(seq. 197)

188

Materia Medica

Tonics

some cases depending on debility where it is usefull.

Phthisis Pulmonalis. This in its early stage
is generally attended with an inflamitory diathesis, which the
bark must necessarily increase by its tonic power. Dr Cullen
thought it was hurtfull 9 cases out of 10 are generally observed
when the hectic was of the tertian type it sometimes
prevented the paroxysm, but they returned and no good was
effected. Dr Reed never saw it do good, Bergius on the contrary
says he never knew it prove injurious, even in those cases
when the blood showed an inflamitory crust. I have met
with some cases similar to those of Dr Cullen the chills
were distinct and the patient lived only four months, when
the chills are severe the bark may be employd to check them.
Professor Murray relates a case when the matter puked up
was a sweet mucous, this mucous is destitute of factor, a
laxity and debility pervaded the whole system, in this case
he used the bark with much advantage, this kind of
consumption is much more frequent than is immagined, in
most cases of hemorrhagy bark is improper, as they are
mostly of the active kind, where the bark is used it requires