In all of the writings concerning malaria we find but few suggestions for the treatment of congestive chill. In order to obtain a reaction while the chill is on, I have used the following prescription: Spiritis frumenti, drams four; chloroform, dram one-half; Mix. Give this at a single dose, and the chill is usually gone within thirty minutes.
Thirty years ago I saw my first case of congestive chill. I followed the treatment of the books and lost the patient. I then began to do some thinking for myself, and I evolved the above formula, with which I have treated a number of cases since, and all successfully.
After the chill is relieved, I combine forty grains of quinine and 15 grains of powdered capsicum, and fill eight capsules. I give one of these every two hours, this is a treatment for a well-developed strong man. For a woman I would use 25 per cent less chloroform. If brandy is not available, I use water with which to co nbine the chloroform, but use about 10 per cant more chloroform. I have learned to believe this a reliable specific for this class of cases.
C. B. DEAN, M. D.
Ellingwood's Therapeutist, Vol. 2, 1908, was edited by Finley Ellingwood M.D.