The Lancaster ledger. [volume] (Lancaster, S.C.) 1852-1905, 1852-09-15

oppose by or with other remedial agents.
Mercurials in Typhoid Fever are remedies
of no inconsiderable depressing powers
Other objections might be urged, but the
limits of an article Of this kind precludcs
space.
OF the utility of Quinine in this Adonamic
Fever, do not entertain doubt. Expert
ence will invariably teach full confidence
in the remedy. The chain of morbid asso-
Citations, being broken by full and frequent
vomiting, the system is left in good degree
qualified for the reception of Quinine, which
article we use both for its sedative and equal
izing Influences. And here l must avow,
that with the remedies mentioned unmis-
takably have, while the disease is as yet
chiefly developed on the nervous system,
controlled cases in few days, and in other
instances prcceptably modified the malig
nancy, of the attack. In this, as in some
other continued fevers, there is almost in
variably n remission, in the latter part of
the night and morning, which justifes the
tolcrable free use of Quninc we prescribe
it in maximum doses from two to ten o'clock
A. NJ. believe large advantages may be
obtained from the use of Quinine through
that period of the twerty four hours, over
any other part of the uay or night. 1t is
true that sensorial disturbance may inter-
vene, which would positively contra indicate
its use, but / would like to remark here that
| have seen intense sympathetic headache
entirely relieved by both Quininc and Bran
dy. And would also add that have had
much reason to be pleased with the altema-
tive property of the latter remedy through
out the second and succeeding stages of the
disease.
The next article to be spoken of, is the
Nitrate of Silver. One not of common use,
but ofincalculable powers. The phisiologi-
cal action of the remedy is to diminish local
inflammation. 1t is decidedly antiphlogistic,
of which we have abundant evidence in En-
ysipelas, in its effects in opthalmia, and in
tlamation of other mucous membranes In
dysentery, it, in combination, is the most re-
liable of remedies. woulc advise it early,
n lesion characteristic of Typhoid Fever,
with this most valuable of local rcmcdies.-
To show the necessity of employing this REM
cdy early, would briefly revert to post
mortcm examination made less than week
ago, Cat the request of medical fricnd) in a
case dying of the Typhoid Fever on the 9th
day, showing irrcgularly difused exanthem-
eta, with numerous tollicular alterations, of
both the ilium and colon. Tee Nitrate of
Silver bears less reputation, perpaps, in this
Tollicuiar Entcaite, than it merits, because it
is generally prescribed in minimum doses
The onc-tifth to the one-tenth is generally
prescribed, very small doses to be efficient.
IL occurs to me that the Onc-third or one
fourth suspended in mucilagc, is more ef-
fectual dose. With the Nitrate of silver
and remedy to be alluded to, prevent
or if present, control, beyond doubt, the
diarrhna, so often annoying in Typhoid Fe
yer. A fearful effect, but by no means com
mon, is the Blne-skin. have seen it pro
duced more than once, and judging from my
knowledge of those cases, | concluded tha
nothing less than two to three hundred
: grains administered in maximum doses anc
without intervals will produce it,
1t is comfortable for the physician te full
ly realize the abundant resource offered il
epispastics. When, even in despite of Other
medicinal agents, the disease keeps in tn
r progressve-vital powers showing an evi
: dent tendency to prOstration-then he ma,
reliably employ his blisters. Employ then
, ifpossible in anticipation of prostration-
knowing that there is evidently period be
tween the stage of excitement and prostra
ton, in which blisters procure n most saluta
ry influeucc. Congestion is with us tIoub
lesome feature in our cases; predominatinl
over any local inflammation. Hence the utii
ity OF blisters, as powerful and most pcrma
nent equalizers of tho circulation. Exten
: sVe superficial resecation may be had with
: out much discharge from bistered surfaces
which perhaps is not very desirable, by ear
ly removing the plasters, in which we i'm
part new energies to the already succumbins
nervous system-change the action of tn,
circulation, &c, thereby re.establshing ou
patient beyond our largest expectation.
, If the disease treated is strictly an Adyna
= mic Fever, stimulants are most certainly re
quired. Various stimulants are offered sucl
for example, as ammonia, camphor, opium
D wine, brandy, &C. We employ the wine o
: brandy to the almost entire exclusion of th
= rest, for the reason that they best fulfil tn,
= indications presented. Good wine will suf
fee in the mildest cases. In the more az
gravated cases, brandy is both most suitabl
5 and reliable.
Quantities.-The one-half, and again tn
, one-fourth Of which would in health produc,
: inebriation, are essentially necessary t,
rouse the depressed nervous energy, fill the