.Some again order it in the quantity of an ounce between
the fits; the dofe being more frequent and larger, ac-
.cording to the frequency of the fits; and this mode of
procedure, although it may perhaps lead to the employment
of more Bark than is neceflary, is confidered by Dr.
Duncan * as upon the whole preferable, from being beft
fuited to molt ftomachs. When the Bark pukes, or
purges, or opprefles the ftomach, it is to be counteracted
by remedies particularly appropriated to them. Thus,
vomiting is often reftrained by exhibiting it in wine;
loofenefs, by combining it with opium; and oppreflion
at the ftomach, by the addition of an aromatic. But un-
lefs for obviating particular occurrences, it is more fuc-
cefsful when exhibited in its fimple ftate than with any
addition.
It may be given from the very commencement of
the difeafe without any previous evacuations, though
it commonly anfwers better after emptying the alimentary
canal, particularly the ftomach; and it is to
be continued not only till the paroxyfms ceafe, but
till the natural appetite, ftrength, and completion return.
In remittent fevers, elpecially during the times of re-
miflion, the Bark may alfo be employed with great fuc-
cefs; for as both thefe and intermittents arife from the
* See New Edinburgh Difpenfatory,
fame
fame caufe, prevail at the fame feafons, and aftume mutually
the form of each other, they Ihow a ftridt affinity,
and found a prefumption which is confirmed by experience,
that they may be cured by the fame remedy.
In continued fevers, or typhus of the nervous and putrid
kind, the Bark is very generally ufed, as well fuited
to counteract the debility or putrefcency which marks
the progrefs of the diforder. There is, however, one
ftate not unfrequently prefent in thefe epidemic fevers,
in which the Bark is found to be hurtful; i. e.
fymptoms of congeftion, or topical inflammation of the
head, manifefted by headach, rednefs of. the eyes, and
phrenitic delirium. And whenever delirium is accompanied
with much fubfultus tendinum, or frequent
convulfive twitchings of the limbs, Dr. Cullen thinks
opium in large dofes is the only remedy to which we can
truft.
Of late the Bark has been much employed in acute
rheumatifm, particularly after the violence of the difeafe
has been in fome meafure moderated by the antiphlo-
giftic treatment, or when evident remiffions take place.
Many-, however, have recourfe to this medicine in the
firft ftage of the difeafe, and we have witnefledits fuccefs
in fome of the London Hofpitals, even while the inflammatory
fymptoms prevailed to a very confiderable degree.
This feems contrary to the experience of Dr.
Cullen, who fays, “ As I confider this difeafe as efpecially
G confifting