(seq. 195)

186

Materia Medica

Tonics

a tertian form and will yield to bark, the fever which
sometimes accompanies it is a quartan; I believe there is not a
fever of three days duration but what puts on a tertian
quartan or remitting type. In this disease the bark in large doses
is said to be efficacious, Catarrh is generally attended with
inflamitory diathesis and bark of course must be improper
in such cases. I have however seen two cases of it
accompanying intermittant fevers, here the bark was of service. Dr
Cullen says in this habitual catarrhs, dysentaries or weak
perspiration and full action in the arterial system, he supposed
a great accumulation must take place in the lungs of a fluid.
Strengthening medicines, bark, exercise, &c. In every inflamitory
infusions of the bark must be hurtfull. I go on to speak of
hemorrhagy of red blood, this I have already divided into active
and passive. I believe 99 out of 100 to be of the active kind.
Epistaxis is one where bark is hurtfull. Dr Cullen though
hemoptesis verry generally inflamitory and the bark hurtfull.
Menorrhagia is almost always active and requires
bleeding, digitalis, and the acetate of lead. Hoffman used
bark in hymoptesis, and I agree with Dr Cullen there are