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.heBASTARO 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.JIno 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.eeaau 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