Excerpt from The American Practitioner, Vol. 12: A Monthly Journal of Medicine and Surgery; July-December, 1875
All the phenomena of fever depending upon this conges tion, whether it be an intermittent, a remittent, or typhus fever, give way as soon as the accumulation of blood in the vena cava is removed by bilious purging; and Dr. Cooke consequently found no place in his pathology for the intro duction of tonics. He says, He who tries the plan of using such cathartics as produce consistent evacuations from the bowels daily until the discharges become natural in color, etc., will be convinced that tonics are utterly unnecessary. In a severe epidemic of intermittent fever in 1823 he failed in only two cases, in neither of which was the purgative treatment fairly tried; and in subsequent years similar suc cess followed the administration Of pills containing calomel, rhubarb, and aloes, Of each two grains, given two hours before the next cold fit was expected. In a single case of great violence he deemed it prudent to give a saturated solution Of arsenic with a view to preventing, if possible, another fit; but ordinarily purgatives are greatly to be pre ferred, as obviating the enlarged viscera, oedematous swell ings, etc., which when bark, quinine, or arsenic is used sometimes remain.
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