Volume 1

The works of William Cullen, M.D. containing his physiology, nosology, and first lines of the practice of physic: with numerous extracts from his manuscript papers, and from his Treatise of the materia medica / Edited by John Thomson.

  • Cullen, William, 1710-1790.
Date:
1827
Catalogue details

Licence: Public Domain Mark

Credit: The works of William Cullen, M.D. containing his physiology, nosology, and first lines of the practice of physic: with numerous extracts from his manuscript papers, and from his Treatise of the materia medica / Edited by John Thomson. Source: Wellcome Collection.

    694/706 (page 676)
    % 676 . PRACTICE OF PHYSIC. where the inflammatory diathesis is absent, that it proves bene= 3 ficial, and from some of our late trials here, from a good deal of our late hospital practice; we find that opium may be useful in all the different stages _of intermittents with more safety than was imagined ; we find that an opiate may be employed in the time of the hot fit, very soon after it has come on; and if that is a Clear point there is no difficulty of. transferring the analogy to continued fevers; there may be cases of these that admit of the same thing, but I have not experience enough to allow me to assign the cases more exactly.” ‘ | “We need hardly say here, that almost every practitioner has found it useful to jom opium to Peruvian bark, or other tonics, in the cure of intermittents. Not only in correcting the purgative quality of the bark, or other tonics which some times take place, but even where no such quality is to be ap- prehended, we know that a certain quantity of opium, joined with the bark, makes it sit easier on the stomach than, with some persons; it would otherwise do; and that a portion of it, joined with two or three doses of the bark, which are given _ immediately before the time of accession, enables it in less © quantity than it would otherwise do, to prevent the return of paroxysms.—M..M. . ley rte . > CCX XXIV. The circumstances which may especially pre- vent the fulfilling of those two indications, and therefore give occasion to our third, are, a phlogistic diathesis ‘prevailing in the system, and congestions fixed in the abdominal viscera. The first must be removed by blood-letting and the antiphlogistic regimen ; the.second, by vomiting and purging. — . Where these measures are not immediately effectual, I hold ‘it safer to attempt the cure’of the disease by the means n0inted out in general in CCX XIX., rather than by those in article second of the same paragraph. ' od Fat END OF THE FIRST VOLUME. “4 pe A JOHN JOHNSTONE, PRINTER,