1000000031

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barlc:y-wtter to mil,ke the expeétoration ca(y, and

aflcr ..

wards going ioto {he: air wcll cloathed.

O/Ihe

SEM1TERTIAN FEVER.

THIS

epedcmic rever, compoundcd ofan ínter–

nlitting tenian and a continual quotidian .

It generally

mak.es

its

Onrel

befare noon, wi th coldncfs,

Ouking, and a cont ralled pulfe ;

which fucceeds a

fr~qut:nt

pulfc, with heat, whi<:h

concinues

fome hours,

till

a warm

rweat

appears,

without a complete: ¡nterrniC·

{ion. The heal, artee a llight

chilncfs, increares

lO–

wards night, with a quick pulfe; which is more m'oderate

the

day, without thirH.1.iIIthe evening, when :l.#Oight

fhivering

come~

cne, and

lhe

Cymptoms return .

01) lhe

third day"the (hakiog 6t appears again with more ioteoCe

beílt, and procceds in the fame track as before; fo that

the fever is never quite off. but has an exacerbation in

the eveoing: h(.weyer, the fllaking 6t is moO: conCpicuous

every third day in the morning.

Bcfide. the fo regoing rymptoms, the arcn¡:lh faiJs, the

appetite is languid, fleep is \vanting, the .....me is thin and

crude ; but after the 6t on lhe third day, it

lhick and

colourcd, and a Cmall quantity of erucle maner is brought

up 'tith eOllghing.

is Cometimes auended \\Iith a pain

th'?

ba.ck

and the

abct~men,

together \Vith a Cwelliog io

lhe lauer. Some al lhe acceCs

the fit of lhe terti;!.o,

are affeéted with a naurea aod cardialgia. Sorne vomit,

others faint, and others again are delitious.

TIlis fever

geDerated by

all

things lhat render lhe

humours Ihick and impure, eCpeci.JJy thoCe that filJ ,he

prim:e via:, and the vcITels

the meCentery, wlth iro·

purities. T hoCe 2rt moCl liable to

\Vho live upoa

fweet, acid, and fermentable aJiment, lhat live an ¡dIe

fedentary Jife, tha, drink JeCs than ,hey ought, or Jove

fweet wioes; as alCa thofe that give \Vay

C.dods and

DleJaochoJy.

Jt generally terminates either on the ninth or thirteeDth

day,

heahh, or another diCeaCe, or death.

is a gooel lign when a Cweat breaks out at the decline

lhe paroxyCrn, and \'Ihen, on lhe Ceventh day, being

crltical. or, after ¡t, lhe belly is ditlurbed, and is

follow~

ed with a flux of a bilious, pituitous, or bloody maner,

for it foretels the Colution of the diCeaCe; as alCo when

the paios iD lhe bellyare very !harp, and grow \VorCe

2t cen ain hours, being followed Wilh a fanious and

puruJent diarrha:a, or \Vheo pJCnty of bJack bJood comes

away.

Is abad

fign.

when nothing

this happens: but,

on lhe other hand, a heat about the pra:cordia, a tenfion

~nd

pain in the whole region of the 1I0mach, a vomiling

and hiccup, inquietude, toffingand tremblíngof the hands,

are very ominous, and (hew that lhe in8ammalion has

re.ched the aomach.

T he cure is

be performcd,

By fpeediJy difculling

the inRarnmalOry (la(is

the coats of the ínteOines and

rncf.otery, and prcventing it (rom fpreading fanher.

By correéling and gently evacuadng the maner of lhe

in·

Jtrmirting

f~ver.

T he

f¡ ,

end may be obtained by diaphoretic powders,

mixt with a little nitre, in Cmall doCes but taken ofeen.

T ake of fcorzonera reot,

ounees

Olavings of

ban(horn ,

and

p:\lTl\lar . minor oof c3ch one ounce ;

of eichor)' root, h.t1fan ounee. BoH the ingrc:dicots

fur half

.10

huur in 8 pounds of watc!f.

T o cle,'C'lCe lhe li rCl p.tff:lges, and to carry

off

Ihe mor·

bid maller. uCe:J. folutlon

maona Wilh cream

tan ar.

{.ifins, . nd • lillle

C.I

poJyehrdl.

Thmgs of lhis

kind

ele.lnCe

(he

¡ntcrunal canal, without

rai{i ng

comrnOtion in the blood. without nimulatiag the

ncrvous pans, and wilhout linking the Cpirits.

Purgcs

the beginning are uoCare, becauCe lhe

mor~

bi6e maner is not prepared;

bUl

ir the body

collive, it

may be opcned \Vith ao emollieot and Caponaceo\ls clyCler.

Al!

detafivc raIn are improper io this diCeaCe, exeept

ilibiated nitre and Cal polychrcrt. ; for theCe have an ape–

rienr, diuretic :lod lax::uive virtuc. and may be given to

graios io a proper vehicle. When this rever is

0 0

the

decline, and nature rcems iotent io carrying off Ihe

dir–

eafe by nool, then the above laxati"e will be proper.

RJeediog \Vil! be proper in the oe,y begi nning of the

direare,

the patient is pleehoric, the heal urgent , tbe

nrength not much impaired, and

when

Come critical

h~morrhage

is fuppre!fed.

heatiag medicines are to

be avoided, as wcll as fixt aflringeot earthy tefiaccou$

powders; and .ICa lhe bark. unJeCs there is a perfea in·

termiffion; for this Jan, as Baglivi obCerves, has brought

00 fatal infiamlll:uioos, or flow

heéli~

fevers.

O/ Ihe

Nnvous

F EVER,

nervous fc\'cr, the patients at firCl are fubjelt

flighe tfaofieot chilnelTes orten in a day, witb uncertain

flulhings of he.,; they havc a JillJe{fneCs, JallitUde, and

wearineCs; lhey are apt 10 figh, and complaio of a hea-vj ·

nefs. dejeétioo, and anxiety,

with

a load, pain. or gid·

dinefs of \he head, \Vith an inclination to yawn and doze ;

they wanl appetite, aad diCrelinl every thing ; they have

dryoeCs af the Jips and tongue IVithoUI any confidcrabJe

thirn; they h:\vl! rrequcnt nauCca's, with reaching lO

vomit: rhe breathing is difficult by intervals, and efpe–

cially towards Dight there is an exacerbalÍon or the

fymptoms, with a low. quick, unequal plllfe

lhe urine

is pale, aod madc Orten and fuddenly; a torpor, or

ab~

luCe pain and coJdnds often .fl'ea Ihe hind·part af the

head, or a heavy pain is Celt aJong the eoronary Cuture.

T heCe commoaJy precede fome degre< of a dcJirium.

The countea;¡nce is heavy. pale, and dcjeéled : fome–

times they are quite wakeCul ; and when they fd.1l aflcep.

they are fo ¡n(enflole of

it,

thal they diCo\Vn ¡t.

The puJCe is very rem.rkabJe in this diCeaCe, .nd re–

quires the moll eliligcnt aucotioo; for it is generalJy low.

quick. aod unequal: the inequaJity eoofi!ts

this, lhat

a few puJCations nlaU be more Cwifl, frequeot, and Jarge,

fometimes fluuering; and lhen prefently it retllrns tO

Jow .od quick.

The urine has gcncrally no Cedimcnt ; and when it has,

it is like bran

is ComeuOles of a whey·colour, or like

de.d CmaU·becr. Tho dIyoeC. of the II"'óue CeJdom ap·

pears al the bcginning, though il is then COJntlitnl S coyere.l

with

thin whitit'h mucus

bUl al

\1,:("

dore.'

the

ulf.

eafe,

oClcn appears \Tery ory, red. anu chapped.

AboUl the reveoth or eighrh dAy the gidrllílds, F"ín, Or

he-.1finrfs of lbe hcad, become much greater, with a con·

aaot