In cases of inflammatory complications, the treatment would necessarily be modified; and in all cases, in the commencement, a thorough cleansing of the alimentary canal and depuration of the biliary system by the usual remedies would be deemed necessary. As malaria is present in almost all of our cases, engrafting itself into all diseases, changing and modifying them to a considerable extent, it often happens that our inflammatory affections are more expeditiously cut short by a prompt

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... ation of quinine than by tho inoro usual routine of depletion, alteratives, &c. But with us, for the last two years, the malarious element has been evidently upon the decrease, and the lancet and other depletives have been called into requisition oftencr than heretofore. Yet, as soon as the inflammatory symptoms are partially subdued, it is often necessary to commence the administration of the usual " tonic," and usually in febrifuge doses, for depletion is not so well borne * On Baths and Mineral Waters, 1831.