(seq. 309)

300

Materia Medica

Stimulants

this practice from Doct of Burlington 40 gtt. [drops] of Laudanum
in a strong cup of coffee is not more powerfull than 25 or 30,
without coffee, the coffee increases the power of opium in
keeping of an intermittant. In what manner it does this I cannot
tell. Mr_ gave Dover's powders before the accession of the
paroxysm, I have never tried it in dreadfull lethargy or
soporous intermittants, but it has been advantageously
employ’d in them. Opium is frequently combined with bark in the
treatment of intermittants, and Cullen says it increases its
power when it is given just before the paroxysm, I suppose the
combination to be peculiarly usefull in the intermittants
that have a tendency to typhus. It appears therefore that
opium is usefull before the paroxysm either alone or in union
with other substances, here the testimony of its utility during
the hot stage is by no means satisfactory, Dr Lind being
the only author that maintained it. I proceed to speak
of its use in Continued Fevers. These
have by Nosologists been formed into many genera. Cullen
reduced them into Synocha, Synochus and Typhus. I do
not agree with him that these are produced by different