imonial Wine, mixed
with one-fourth Part of the _tinctura thebaica_, in a large Draught of
some warm Liquor; which I have observed, in many Cases, to have a
better Effect, than most other Medicines used for this Purpose; as it
acts both as an Opiate in easing the Pain, and procuring Rest; at the
same Time that it promotes a free Perspiration, or gentle Sweat, to
carry off the Distemper.

But it should be observed, that, in the Beginning of Rheumatic Fevers,
forced Sweats generally did Hurt, and often increased both the Pain
and Fever; and that in general we had greater Success, and made
speedier Cures, when we did not attempt to promote Sweating, till
after other Evacuations had been sufficiently made, and the Fever had
begun to abate; and that in this Fever, when we did attempt to procure
Sweats, the milder Diaphoretics, with Plenty of weak diluting Liquors,
answered better than those of a more heating Nature; though after the
Fever was gone, and the Pains still continued, sometimes the stronger
Sudorifics, such as G. Guaiac, and its volatile Tincture, _Dover_'s
Powder, and the like, best answered the Purpose, and carried off the
Distemper, when the milder ones had little Effect.

I have often observed, where Sweating made no Change in the Distemper,
that keeping up a free Perspiration by Means of the Decoction of the
Sarsaparilla with the Antimonial Wine, or small Doses of the _pulvis
antimonialis_ (_gr._ v.), given twice or thrice a Day, removed
Rheumatisms, which had resisted the Force of other Remedies.

Sometimes the cold Bath[63] removed Pains which had not yielded to
internal Medicines; but it ought to be observed, that when Patients
went into the cold Bath while the Feverishness still remained, and the
Blood continued sizy, or before free Evacuations had been made,
oftentimes, instead of giving Relief, it made the Disorder worse, and
more obstinate[64].

[63] I have frequently ordered the warm Bath with Advantage
in Rheumatic Cases in _St. George_'s Hospital; but we had no
Convenience of this Kind with the flying Hospital in
_Germany_.

[64] This I have seen many Instances of, particularly in the
Case of _Ann Walker_, a Woman of twenty three Years of Age,
who was under my Care in _St. George_'s Hospital, in _May_,
1759. Before she came to the Hospital, she had been blooded,
and had gone into the cold Bath four Times, which, she told
me, had increased her Pains to a