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a, The impressions made upon our senses, particu
ad, External beat, or
BB, The accumulation of the heat of the body.
a, The sense of thirst,
à, A general acrimony of the fluids.
dy Acids of all kinds,
Y, Metallic salts.
b, Purging. 2, Taking off the spasm of the extreme vessels, by A. Internal means; which are, a, Those remedies which determine to the surface, as,
II. To remove the causes, or obviate the effects, of
debility, by 1, Supporting and increasing the action of the heart
and arteries, by A, Tonics, as,
acce, Saccharum saturni, &c. or
an, Peruvian bark. B, Stimulants, as,
a, Aromatics, &c.
III. To obriate or correct the tendency of the fluids
to putrefaction, by 1, Avoiding the application of putrid or putrescent
matter, by A, Renioving the patient from places filled with cor.
rupted air. B, Correcting the air from which he cannot be re
moved. C, Avoiding the accumulation of the patient's own
effluvia, by a, A constant ventilation, b, Frequently changing the bed-clothes and body
D, Removing carefully and speedily all excremental
matters. E, Avoiding animal food, or correcting it. 2, Evacuating the putrid or putrescent matter already present in the body, by
A, Evacuating frequently the intestines.
b, Neutral salts. 3, Correcting the putrid or putrescent matter remaining
in the body, by A, Diluents, B, Antiseptics,
C, Fixed air. 4, Resisting farther putrefaction, or obviating its ef
fects, by . Supporting the tone of the vessels, by
Of the Cure of Intermittent Fevers. 228. It still remains to consider the cure of intermittent fevers; and with respect to these, we form also three general indications.
1. In the time of intermission, to prevent the recurrence of paroxysms.
2, In the time of paroxysms, to conduct these so as to obtain a final solution of the disease.
3, To take off certain circumstances which might prevent the fulfilling of the two first indications.
229. The first indication may be answered in two ways.
1, By increasing the action of the heart and arteries sometime before the period of accession, and supporting that increased action till the period of the accession be over, so as thereby to prevent the recurrence of the atony and spasm of the extreme vessels which give occasion to the recur. rence of paroxysms.
2, Without increasing the action of the heart and arteries, the recurrence of paroxysms may be prevented, by supporting the tone of the vessels, and thereby preventing atony, and the consequent spasm.
230. For the purpose mentioned in 229, 1, the action of the heart and arteries may be increased.
1, By various stimulant remedies, internally given, or externally applied, and that without exciting sweat. ,
2, By the same remedies, or others so managed as to excite sweating, and to support that sweating till the period of accession be for sometime past.
3, By nauseating doses of emetics, given about an hour before the time of accession, thereby supporting and increasing the tone and action of the extreme vessels.
231. The tone of the extreme vessels may be supported without increasing the action of the
heart and arteries (229, 2), by various tonic me, dicines; as,
1, Astringents alone;
A good deal of exercise, and as full a diet as the condition of the patient's appetite and digestion may allow of, will be proper during the time of intermission, and may be considered as belonging to this head.
292. Of all the tonic remedies mentioned (231), the most celebrated, and perhaps the most cer. tainly effectual, is the Peruvian bark, the tonic power of which we have endeavoured to demonstrate above (214), and have, at the same time, explained its use in continued fevers.
The same observation as made in 216, is especially proper in the case of intermittents: and fur. ther, with respect to these, the following observations or rules are cffered here.
1, That the bark may be employed with safety at any period of intermittent fevers, providing that, at the same time, there be neither a phlogistic diathesis prevailirg in the s} ?m, nor any considerable or fixed congestion present in the abdominal viscera.