132

NERVOUS FEVER.

of salt of hartshorn, may be made into a bolus with a little syrup,and given as above ; or in any of the subjoined forms.*

If the fever should happen to intermit, which it frequently doestowards the decline, or if the patient's strength should be wastedwith colliquative sweats, «fee. it will be necessary to give him thePeruvian bark. Half a drachm, or a whole drachm, if the stom-ach will bear it, of the bark in fine powder, may be given four orfive times a-day in a glass of red port or claret. Should the barkin substance not sit easy on the stomach, an ounce of it in pow-der may be infused in a bottle of Lisbon or Rhenish wine for twoor three days, afterwards it may be strained, and a glass of it tak-en frequently.

The bark may likewise be very properly administered, alongwith other cordials, in the following manner — Take an ounce ofPeruvian bark, orange-peel half an ounce, Virginian Snake-roottwo drachms, saffron one drachm. Let all of them be powdered,and infused in an English pint of the best brandy for three or fourdays. Afterwards the liquor may be strained, and two tea-spoon-fuls of it given three or four times a-day in a glass of small wineor negus. I now generally administer Huxham's tincture.

Some give the bark in this and other fevers, where there are nosymptoms of inflammation, without any regard to the remission orintermission of the fever. How far future observations may tend toestablish this practice, we will not pretend to say ; but we havereason to believe, that the bark is a very universal febrifuge, andthat it may be administered with advantage in most fevers, whereWeeding is not necessary, or where there are no symptoms of top-ical inflammation.

There is no fever that requires to be watched with more careand attention than this. If the actions of the system are not keptup by stimulating applications, and the patient's strength support-ed by cordial medicines and nourishing diet, he will sink underthe disease ; and it frequently happens, that, when the attendantsthink him better, he is actually dying.

Mulled port wine, or pure port wine, or diluted brandy, shouldbe frequently administered ; profuse perspirations may be restrain-ed by the use of some of the vegetable acids.t Should the extrem-ities become cold, direct senapisms { to the feet, blisters to the in-side of the ancles, and give camphor and ether.

I wish to inspire not only patients in this fever, but their physi-cians also, with, unceasing, unabated hope till the very last extrem-

* Take musk mixture, 6 oz.

Compound Tincture of Cardamoms,1 oz.Make a mixture, of which let two tablespoonsful be taken every two hours.orTake Musk mixture, 7 oz.

Compound Spirit of Ether, 2 drs.Syrup of Roses, 3 drs.

Of which, make a mixture, and let the pa-tient take a table spoonful often.

t Take of the strongest Camphor Mixture,7 oz.

Diluted Sulphuric Acid, i drm.Three table spoonsful to be taken often.

orTake of infusion of Roses.Port Wine, of each equal parts; mix forthe ordinary drink.

t Take strongest Camphor mixture,

7 oz.Spirit of Compound Ether, 2 drs.Make a mixture — two table spoonsful ev«ry two hours.