will then be need to
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 tell you what is wrong; what medicine you must give. If the disease is not checked at first, 1t may go on until there is structu- ral Arrangement, and then it is almost incurable. When one of your negroes has a chill, no mat ter how well he may appear to be after the fevel is off, give him quinine to prevent the next chill; it is certain to come on about the same hour the next day or the day after, as the sun is to rise. If you will take the case i'll hand now, give quinine to prevent the second chill, you will almost al. wayssucceed in curing them with that alone. But if the chill is permitted to return again and again, until the healthy action of the different organs become de-

 

 ranged, other medicine is neces- sary, and then send for your phy- sican.

 In the remittent fever, you see 1 give the quinine as soon as the fever begins to subside, and with it often succeed in bringing about a complete intermisslon. In the levers, purgatives are of. tener necessary than in chills and fever. I consider all cases of intermittent and remittent fever, and all cases that assume a re- gular periodical form, no matter what the disease may be, cura- ble by quinine in the commen- cement.

 In the fall and winter, there is a fever called by the doctors here, winter fever. It is a con- tinued fever. The patient com plains of great weakness, often there is no pain; skin cool ; tongue at first is often clean, of ten red on the edges with q brown fur up the centre; pulse from 90 to 130, small and soft. When you have one of these cases send for your physician He will do well if he cures him and it is not at all probable that he will get up under 3 weeks.

 Bilious Pneumonias also make their appearance here every win ter. It is a most dangerous dis case, and unless properly atten ded to is often fatal. The symp- toms arc cough, difficult and painful respiration, fixed pain in the chest and fever. The pulse is sometimes full and hard, in other cases soft and small. l will tell you how I treat these diseases by giving few cases.

 F., Il negro girl about IA, strong and healthy, had been washing during the day; at night she was taken with pain in the side breathing short and quick; a deep respiration gave much pain; bled her until the pain was removed, and she could breathe easy. She soon went to sleep, and was easy until day. She awoke complaining of the pain again. The pulse not hard and full like it was when I bled her. l now cupped her until the pain was removed entirely; directed her to keep quiet through the day; she was cured.

 A negro fellow, 45 years old, sent for me at night has had a cold for several days; taken this evening while at work with a pain in the side; pulse at 100, full and hard; deep breathing gives him much pain. Made him sit up and bled him from large orifice, and let him bleed until he broke out in a profuse perspira- tion; the pulse softer and less frequent, the pain gone and the breathing easy. His tongue be- ing little coated, I gave him ten grains of calomel, one grain of tartar emetic, and five grains of Dovepowder. He rested we'll through the night; the cal omel operated well. He had no return of the pneumonia symp- toms, and soon got well.