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Show l84 Fluctuation of opinion malpractice infever. would have presumed to censure him, had he been less conciliatory. ' It might, however, have been in some respects better, ifhe had still more comprehensively considered the subject of ii‘VCl'. He cannot be said to have neglected that \‘iju', which the public is likely to be so much indeht: .i to Dr. Clutterhuck for holding up, namely, its connection with inflammation. H4350w INDIA 18.5 tack: and at all events, I should have thought it right to restore theflow of bile before risking that sudden application of cold to the surface, by which the internal organs are so profoundly searched. Fourteen allusions from large (and generally double) buckets, fullof water at 100° lie should, however, perhapshavc more strongly impressed the necessity of purposely searching, or a little above, in about three days had the happiest effects ; scarce any other medicine being given than calomel enough to act on the biliary system; and the patient recovered far (If [east 9' (1/1" grower cases, for local? signs 0] too more rapidly than from the first attack, in great/urea in the blood vessels or acczmmlatiou of which no affusion or spunging was employed. mm The perceptions of fever-patients are doubtless indistinct. But the pulsation of the arteries about the head can always be felt. When the patient is roused, the condition of Having shCWn by superfluity of evidence, though much might be added, that in violent. the chest can be ascertained; and pressure upon the \‘lSL‘t'l'Ll, not fenced round by bone, may bring to light, latent inflammation, when it is not hctrayml by spontaneous pain-In a patient. who, after about a fortnight's conval- esccnce with :. pulse still feverish, had a violent relapse from the fatigue of travelling, and of whom I was informed that on the attack, hi5 stools had shewn (ltfect of bile, accompanied by slight pain aboutthe liver, these very symptoms punctually recurred with the rest. '16lapse is far from an absolute objection to the cold all'usion. lint a relapse during very great weakness seems equivalent to a far advanced first at»tack : fever, whether foreign or domestic, whether yellow or of a different hue, we have a right 'to assume inflammatory disposition in the abdominal viscera, I propose the earliest applica- tion of leeches to that region. They should be laid on by relays of dozens; and intermediate subtepid fomentation will at once encourage the bleeding and subdue the fever of the subjacent organs. Some years since, I had written a letter to America, containing this proposal, but suppressed it from a feeling that I could have no pretensions to advise the very enlightened physicians ofthe United States in a case under their own inspection. I am led to mention the sug- gestion by my present plan. And I do so in the belief that it will be found useful, although a take |