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M

E

D

1

nefs of ,he ext«me parts, i, properly

3

fever : F or thero

is always , as

it

were, a doublc: motion in a

rever;

the one

(rcm the circum[c:rencc

lO lhe

centre, or

Irom

{he

exter~

0..

1

pans

lO lhe

¡ntern.d,

Lhe::

hean

and lungs ; the

Olher

{roOl

(he

centre lO

che

ci rcumrcrencc.

i "he

lirfi motion

is atteDded with a {mall, contra{ted. weak,

pulfe,

with

in

anxiety of lhe

prrecordia

and difficuhy of brealhing; the

fecond with ao incre3fed motiao of lhe arteries, a

large

pule.!, and

heal

extended

even lOLhe

extrem~

pans.

The eaufe of .he febrile motion is an uoiverf.1

fp.fm

;

2nd lhat motico never

ccares

dll

che

fp;¡fm is

re[ohed.

The figns of i.s being refolved are, a free perfpiration,

and a breathing fwcat, rhe

pul

re,

which befare was hard,

impetuous, and quick. becomes {oft, moderate, and Oow ;

.he urine le..

f,JI

a fcdimen., and .he lIreng.h gradually

rcturns. \Vhen .hefe 'ppe.r all toge, her, .hey declare

.he folu,ion of .be d,

fe.fe,

and are caBed .he erius.

O!

INTERM

ITT1NC

FEVER5,

or

AGU ES.

T H

IS

fever is of .he regular kind, and is .nended

wi.h ,he following fymplOms.

A.

firll, .he head aehes,

the Jimbs Ceem weary ; there is a

pato

in the leios ahout

.he fi rll vertebra of .he baek, whieh afeends tow.rds the

epigallrium, \Vi.h a painful f<nfe of ••enfion in the hypo.

chondria, and

coll¡v~ne(s :

(hen come.s

OA

a coldnefs of

the external

pans,

efpecially of (he nofe 3f'ld

eHs;

a

firet ching. ya\Vning

j

a Ihivering and Ihaking, fometimes

c:ven to m.u...e the bed tremble under the

p:nient;

(he

puJfe is fmall, contratled, and weak: agaio (he patient is

rroubled with

thiTtl;

thtn foJlows a naufea, with a (fui t–

leCs reaching to vomit; ag.ajo, a pituitou$, bífious, or

greco maner

i5

brought up. cornmoDly joined with a

troublefome eough, .nd an expeaora.ion of phlegm de–

rived from rhe acid c1ammy crudities of (he ftomach;

tO

there fucceEds

30

aoxious burning and

dry

heat, wJlich

pervades .he \Vbole bod)'. The face, whieh was collap.

fed and pale, .he contraaed, rigid Ocin, and .he emp.y

ve1fels of the hands and fee', begin.o rife, and grow red

2nd turgid; ,be pulfe beeomes more grea,. full, . nd quiek ;

.he rellk1fnefs increafes, .he brea.hing is more difficul"

and .he pa.ien., wi.b his eyes almo!! clofed, begins

'0

talk a liule wildly.

M,erwards, .he fymp,oms begio

'0

aba'e, the he.'

becomes mild, (he Ikin reJaxes and grows moifl; the u·

rine is of a Bame colour,

bUl

without a (edimeot;

(h e

putfe

1S

more

moderate ;

and

then

a

(weat

breaking

out,

terminates the paroxyfm. The durarion of the

lit

is un–

cenain; fometimes

it

cnds in ten or eleven hours. and

fometimes not

till

twenty. (our.

0 0

the imerc:tllry day,

.he bouy is ttill feeble and coldiO., wi,h a difpof"ion

10

fbíver; (he pulCe

i5

flow and weak ; (he urine is turbíd, and

depofi,es a Cediment, or .here is a oubccula which Ibews

a diCpofi.ion .here.o.

In.he

BASTARO or SPURtOUS TERT'AN, the fymp–

toms are milder, (he heat is

DOl

fa burning, (he vomiting

is

0 01

ro

frequent. and (he urine is

DOl

fa high-colour–

ed;

bUl

then

it

is a more lingring complaint , and on (he

well day .here is a I.!!i,ude and \Vant of .ppe.i.e. Th is

attacks men of

010

inaétive diCpofition, aod womcn whofc

bodics art: of

;:t

Joofe texture, in the autumnal Ifé\((.¡n.

The fi, of .he IR'ECU LA R T ERT IAI< obferves no

VOL.IH

.

N°7 ' .

2

e

1

N

E

6r

panicular time; for

it

Comclimes comes on in the r.10ro–

¡ng, fom:timcs

in

lh e aflernooo. io the eveoiog, or

at

midnighr. 'fhe p:\roxyfin is

(ol\leti01es

longer,

fornct im:~

lhoner; the urine

leu

f.JI

no CediOl.!nt within the time of.

remiffion or iOlermiffion; the rweating i5 cither

tOO

epa.

ring or

100

profufe. Whcn ,he

ro.

is off, feve,,1" n..Cual

fyntp.om

, may appelT; as, • 100Cenefs, a bleed'ng", .he

nore, (jckntrs at lhe llomach. a violent he:HtuUrn, pajnl

in .he belly, orlhe gripes. Thefe fon of agu" are gen. –

Tdlly E Pl OE"'c, anJ ntoO: commonly appe.r ia the Cun,–

mer and aU[umo.

SOO1etimes a tenian ague is

DOUBL E,

which mty

be diO:inguilbed froa, a quo. idian, by .he lime of .he

n<s.

whieh is not .he fante every day, bu, every o.her

d.y.

Thcre is rometimes a

CONTINUAL

T ERTIAN,

which

begin! with Chivering and lhakins', an aoxiety, vomiting,

lofs of lIreag.h, .nd .hen a violen. heat. The fi.s d"

nat intermit, but only remit o The pulfe continues fre–

quen. wi.h hea. and debi li.y, and all ,he fymp.ams relUm

wlth fren. vigour every o,he, day; but a. leagth admit

a

perfea iDtermiffion.

An

EN D E,.II C

T ER TIAN

is proper to certaio places ;

as a low Gtuation, and

{uH

of madhes, producing a great

number o{ goats and other infetls, like fome pans of

Kent. and .he hundreds of E1fex. In fueh pl.ces, .he na–

ti

ves

themrelves

have

a titile of it every year; and OraD–

gers (eldom or neverercape, withotlt a preCervative,-whicb

is only .he bark infufed in brandy, \Vi.h

a

little fnake roo"

of which t\VOounces night and morning are co be takeo.

A

QYARTAN AG UE has .wo nts io Jour d ays,

or

'wo days quite free from

a

fi•.

lt

begins about four or five in the a{(erooon, fometime,

fooner and {ometimes Jater, with a great laffitude, llretch·

¡og, a blunt pain io the head, back, loios and legs; the

fee. and hands are cold; . he IVhole body is pale; the

f.ee

aau najls livid, '0 which Ibivering and Ibaking fu–

porvene. T he tongue aod the lips "emble, .he br<a,hin¡:

is diffieult, wi.h r. !llelTnefs and to!!ing; the pulfc

is

coo–

traéled and hard, and fometimes uoequal; and there is

an anxie.y .bou••he prxcord:a. T hefe

fymp.on

. con.i–

nue abou• •wo or .hree hours. In fOOje .he body i, co–

fiive; io olhers [here

i!

a llirn\1lus

lO

Ctool, and to make

water.

In

fome there is a naurea or vomiting, with

Hool.. Some advanced in years !>ave .heir mind. pretty

mueh dillurbed ; ,he he.. comes on gradually, oo. burn·

ing but dry; .he pulfe becomes «Iual, quick, and "rg<;

but Ihe dull pajo in the head rcmains, with a vertigjnous.

affl!ltion; lhe O,in

becomes

only a liule moin ; and in

about four or fi x hours the fymptol11s vaoifh, except a

dull pain io .he boncs, joints . nd fee,. The urine in the

nt is fometimes .hio and wa.ery, fonmimes thiekand \VitI.

a fediment .

Sometimcs a quartan ague is

DOU DL E,

that ¡s, when

the fi ts come on every olhcr day at difFerent hours; and

il

is

srUR IOU S

when a paroxy(m begins at aoy otller

, ime of the d:.y bu. ,h3t above·men.ioned.

!t

is faid 'o

be

CON TIN U .o\L ,

wh\!o

00

lhe intcrc:l)¡uy days there are

Oli\'c:rinfls and pandicul,uions, wirh a grcater heat tJ1i\n

uCual, a quicker pulfe , a want of appetitc, a debility, a

dryners of .he moUth, a li¡:h:nefs 01" ,he hcaJ, a dittu.b–

t

~

eJ