A Treatise on the Eclectic Southern Practice of Medicine Page: 105 of 724
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RE1MITTENT FEVER.
deration in producing a copious termination to the sur-
face. In all the diseases of the South there is generally
great biliary derangement; therefore, it is that Podo-
phylline and 'some medicines act so beneficially in pro-
ducing healthy action of the blood, by relieving biliary
engorgement of the liver. I would here remark that,
whilst you are giving cathartics, to deplete the alimen-
tary canal, it is difficult to produce perspiration at the
same time, consequently the latter should be attempted
after purging. I frequently resort to it, however, be-
fore. I generally use spiritus mindererus, or Dover's
Powders, on the sudorific tincture. If the patient's
stomach be very irritable, you will be better able to
remove foreign substances by giving a light emetic;
if you resort to this, use the emetic powder. I should,
however, be very careful not to administer an emetic if
the pulse was full, which would indicate a slight inflam-
mation; if you found any soreness upon the epigastric re-
gion from pressure, you should not administer an emetic,
or at least be careful in it. If you find soreness upon
percussion, you would not attempt to administer it.
Ipecac. I always add to the emetic powder; it is my fa-
vorite in this fever. I would here caution.you against
pushing cathartics too far; you can produce such an
irritation in the alimentary canal as will terminate in
inflammation, and I have frequently seen instances
where purging was the cause alone of changing the color
of the tongue to a very bad appearance.
Antimonial preparations sometimes change the dia-
thesis in this disease; mercury will sometimes change
its type, but we must confess that we are a poor advo-
cate for its use; we think, in a large majority of cases,
that Podophylline fulfils all its indications. Quinine is105
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Massie, J. Cam. A Treatise on the Eclectic Southern Practice of Medicine, book, 1854; Philadelphia, Pennsylvania. (https://texashistory.unt.edu/ark:/67531/metapth143817/m1/105/: accessed April 19, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu; crediting University of Texas Health Science Center Libraries.