the throat.

Though it is a disease attended sometimes if not generally with signs
of local inflammation, yet owing to some peculiar affection or
tendency of the nervous system, blood letting is in my opinion
inadmissible. Of those who have been bled it has appeared that they
either die or have tedious recoveries.

The disease is frequently though not always of a bilious
character--that is an abundance of bile is found floating in the
stomach or intestines. There seems to be neither torpor nor
enlargement of the liver which have characterized the diseases of
this country for 21 years past; hence culomel especially in the
beginning has been avoided.

Emetics, if employed at all, (and in some cases they may be
necessary) should not be given till the intestines have been well
evacuated. The leading curative indication is purging, for which
purpose Glaubers Salt has been preferred as acting upon the bowels
with most ease and certainty. The purging process to be diligently
persisted in, day and night or day after day according to the force
and duration of the disease.

Warm, stimulating drinks such as toddy, made of whiskey, is
frequently, though not in every case, indispensible. This stimulus,
is to be resorted to whenever there are signs of prostration of body
or mind, both in the beginning and after stages of the disease.

Excessive pain in the trunk may be generally mitigated in every stage
of the disease by anodyne injections; for an adult two or three
teaspoonsful of laudunum with a half pint of warm water. A beneficial
persperation often follows this exhibition. Spontaneous sweats are
commonly useful, but I have not found them critical.

Blisters may be employed for the mitigation of pain, and perhaps
ought not to be omitted when ... is either fever [?] is obstinate,
but I have not found them in this disease to evidence their usually
efficacy.

If the disease be attended with sore throat, swelling of the tonsils
or palate, stricture of the trachea, with or without external
swelling, a gargle of warm strong toddy, in the water of which has
been boiled a pod of red pepper, will it is believed from past
experience, be found uniformly and promptly effectual even in cases
when suffacation seems immediately threatened. When this affection
has existed to any considerable extent, I have generally with the