A Treatise on the Eclectic Southern Practice of Medicine Page: 86 of 724
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and liver is common, but particularly of the former. In
the case of spleen the patient is for the most part pale;
while in the case of the liver he becomes more or less
Diagnosis and Prognosis have been given briefly in
the fore part of the work, and we view it as superfluous
TREATMENT. The means which we adopt to eradicate
this fever we divide into two-remedies for the inter-
mission, and those during the paroxysm of the disease;
with regard to the latter they are numerous, and pre-
scribed to alleviate rather than to the cure.
Cold Stage.-Little is ever attempted to be done at
this time. Plenty of cover, with the aid of warm drinks,
should be resorted to, but by no means should they be
of a stimulating character. I have frequently prescribed
opium in this stage; where there was no evidence of
congestion upon the brain, it will most certainly shorten
it, and in many instances alleviate it.
Bleeding in the Cold Stage.-This has been proposed,
and in favor of which there is strong testimony. We
certainly have more powerful congestion in: this climate
than they have in a more northern latitude, and it is
quite common to have congestion to such an extent as
to prove fatal, if it were not speedily relieved. Dr.
Mackintosh and others recommend this practice very
highly; it seems rather to alleviate than to cure. I
never have resorted to bleeding in the cold stage of in-
termittent, from never having had a case that I thought
required it. Dr. Mackintosh says it is always safe, often
shortens and sometimes cures. Dr. Lind says, he and
two other friends had three patients each, each bled
their patients and they all lost one. I have no doubt it
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Massie, J. Cam. A Treatise on the Eclectic Southern Practice of Medicine, book, 1854; Philadelphia, Pennsylvania. (texashistory.unt.edu/ark:/67531/metapth143817/m1/86/: accessed May 22, 2017), University of North Texas Libraries, The Portal to Texas History, texashistory.unt.edu; crediting University of Texas Health Science Center Libraries.