As a means of reducing temperature, he does not mention it, but relies on cold, quinine, and sometimes, digitalis and quinine." When, about the third week, signs of failure of heart-power begin to manifest themselves, and the use of some form of stimulant seems to be indicated, Dr.Loomis gives the most guarded advice as to their employment.

"Never," he says, "give a patient stimulants simply because he has typhoid fever." And again, "Where there is reasonable doubt as to the propriety of giving or withholding stimulants, it is safer to withhold them." He then insists that, if stimulants are administered, the patient should be visited every two hours to watch their effects.
It will thus be seen how guarded has now become the use of alcohol as a cardiac stimulant in typhoid fevers, where it was once employed with an almost reckless freedom.

Many practitioners have come to exclude it altogether, and to rely wholly on ammonia, ether and foods.
In Cameron's "Hygiene" is this sentence: "In candor, it must be admitted that many eminent physicians deny the efficacy of alcohol in the treatment of any kind of disease, _and some assert that it is worse than useless_." ACCUMULATIVE TESTIMONY.
Dr.Arnold Lees, F.L.S., in a recent paper on the "Use and Action of Alcohol in Disease," assumes "_that the old use of alcohol was not science, but a grave blunder_." Prof.C.A.Parks says: "It is impossible not to feel that, so far, the progress of physiological inquiry renders the use of alcohol (in medicine) more and more doubtful." Dr.Anstie says: "If alcohol is to be administered at all for the _relief_ of neuralgia, it should be given with as much precision, as to dose, as we should use in giving an acknowledged _deadly poison_." Dr.F.T.

Roberts, an eminent English physician, in advocating a guarded use of alcohol in typhoid fever, says: "Alcoholic stimulants are, by no means, always required, and their indiscriminate use may do a great deal of harm." In Asiatic cholera, brandy was formerly administered freely to patients when in the stage of collapse.

The effect was injurious, instead of beneficial.