he Evening, and next Day a Dose of some
gentle Purge, as Rhubarb or Salts; to carry off these putrid, bilious
Humours: And afterwards, in the Course of the Disorder, if the Patient
was costive, and grew hot, restless, and uneasy, we either repeated
the Purge, or gave laxative Clysters, which generally removed these
Symptoms.--Frequently after the Operation of the Emetic, the Patient
had some loose Stools, from the Gall Bladder's being emptied in the
Strainings to vomit. Such Stools were always bilious, as were commonly
those procured by purgative Medicines.

[74] According to Dr. _Hillary_'s Account of the Yellow Fever
in the _West Indies_, which is attended with bilious
Vomiting, it bears bleeding once or twice, but not a third
Time, before the third Day, but not at all after that Time;
and after Bleeding a great Part of the Cure depends on
carrying off as much of the putrid Bile as expeditiously and
safely as possible, which he says is to be done by making the
Patients drink freely of warm Water (sometimes mixed with a
little simple Oxymel or Green Tea) so as to vomit seven or
eight Times; and then to give a grain, or a Grain and a half
of Opium, to procure Rest, and to settle the Stomach; to make
the Patient take nothing for two Hours after; and then, if he
has not had a Stool, to give a laxative Clyster; after six
Hours Rest, to give a gentle Purge, to carry off as much as
possible of the bilious corrupted Humours; and in the Course
of the Disorder to repeat the Purge, as often as the Patient
is attacked with an Anxiety, and a painful burning Heat about
the Praecordia; which almost always depend on bilious
corrupted Humours pent up within the Bowels; and to endeavour
to support the Patient's Strength, and stop the putrescent
Diathesis of the Fluids by suitable Antiseptics, of which he
found a watery Infusion of Snake Root, mixed with _Madeira_
Wine and Syrup of Poppies, to answer the best of any Thing he
tried, and to sit easiest on the Stomach; and to this he
added the Use of Cordials, and of strong Wine Whey as the
Patient became lower.

Dr. _Hillary_'s Purge was: Rx. Mannae sescunc. vel unc. ij.
Tamarind. cond. unc. i. Tartar vitriolat. gr. x. solve in
seri lactis praeparat. cum Vin. Maderiens. unc. vi. Colaturae
adde Tinct. Senae unciam dimidiam. Divide in Partes quatuor, &
capt. aeger