1000000031

of , Ile

vít~1

fluíd., 3nd a putríd diffolutÍon conC.qucnt

thcreupon .

Thefe pctechial fevers are dc(crvedly

c~Hcd mali~nant,

-or poifonous. as chey

(;cnaally pcocecd

from ';\

!non

rub·

tile, aél:ive. virulcm \'apour, or miaGu3, which is

¡nrce·

tious .

¡irfl they

orten

fecm milcl ancl gcntle, and have

die "'ppearance of

ciHarrhíll

rl'vers;

bu~

chey [oon cxcrt

their virulent effctls in a

mofe

fatal m:mner.

Al (id! rhe patient complains

great weakne[s and lofs

of Hrcngrh. alld is apt

faiol 3way.

The he:id achcs, and

[roOl

[he "cry

beginning

is hot,

dull,

attcndt:d

with

a dej:!tlion of mind . There is con–

fi'ant watchfulnc[s ;

[he

appetite

i!:

lo!l; the pulfe is lan–

guido [mall, and unequal; there

opprefIion of

the

brean,

romt!tim~s

a dry cough . an uodulatoryand tremu ·

10us twitching

the mufcular and tendinous l'ibres. with

a fubfultus tcndinum. Meln)' neither complttin of heat,

nor pain, nor anxiety. and a{f:!rt that they fed noching

b:a.d, bUl we3kncfs 2nd want of (leep . The urine is ge–

Ilerally thin a' firll, and like th;" of foune!

p~e.

"tee fourth, fiftb, or the fev<nth day, ,he lpOts appear

·ptineipally on ,he baek and loins, of various eolours, ge·

·Ilerally withou, reliof¡ wherefore they are rather [ympto–

mati~than

criticaL

Huxham

fí!.y~,

there fevers attack with much more vio–

Jence (han the (low and nervous; the rigors, if any, are

greater, ,he hea" {harper and more lamng, ye, at firll

fudden, traoúent, and remint:.nt ; {he pulfe more renre or

J;ilrd, bu, cOOlmonly quiek and fm all, though Cometimes

flow and Ceemingly regular for a time; and then fluttering

and unequa!. The head· aeh, giddinefs, nauCea, and

vo–

miting, are much more confiderable, eveo from the very

begi nning. Sometimes a [evere fixed pain Is felt io one or

both temples, or over one or both eye. b:-ows, frequent–

in ,he bouom of the orbit of ,he eyes. T he eyes al–

\Vay' appear very fu ll , hea.y, yellowiOl, and of«n a li,·

tle infl.lmed. The couotenanc! reems bloated} and more

aead·coloured than ufua!. Commonly the temporol arte–

ries throb mu h, and a tiooitus aurium is very trouble–

fome; a firong vibration alfo of the carotid arteries comes

on frequen"!ly in the advanee of th. fever, though thc pulre

.at the \'Hill mity be fmall, nay, even low: This is a cer·

tain fign of an impending deliriom.

The profirit tion of fpi.rits, weakners, 2nd [aintocfs, art

often fur prifiogly grea' and Cudden; rometimes, when the

pulCe Ceem, tolerably (hong. ,he refpiration is very labo–

r ious. and in,errupted wi,h a kiod of fighiog or Cobbing,

and the breath ·is ho, and ofFenfive.

T here is genera!ly a fon of lumbago, or pain in the baek

2nd loins, a weariners, rorenefs, and paio in rhe limus.

Sornetimes

a great heat, load, and pain at the pit of the

fiomach. wah a perpetual vomiting of porraceous or black

bile, of a naufeous finell, with a· troublefoOle hiccup.

The tongue at the begiooing is white, but grows dóli]y

more dark and dry, or of a Ihining, livid colour, with a

kind ofbu')lJle at the lOp ; fometimes excecding blal:k

(OT

many days: A, the height, it is generally dry, OifF, and

blaek. and ,he Cp«eh feareely intelligible.

T he thirfl, in the increare of the

fever,

is commonly

"Very greM, rometimes unquen:::hable; and all the drinks

{eem biner aod Dlau!dOl; at other times there is no ,hIrfl,

though

lhe

momh :\nd

tOilgl1C

are

eKcecdio~ly

roul antl

dry; thiz is :\ d.logerous fyr.lptom:anJ eodsin

phrcn'l.y

coma.

1"he

lips

aod

tCI!:h,

ncar lhe ft:ue, arl! fl1rreJ

wi,h :\ v:!ry iJl.ick tenacious fardes .

J\t

lh:!

on(~t

of the ftver, the urine is oCten crucle,

paJe,

and vapi..i;

bu~

grows

fo high a colour as to refemble

nrong 1i:<.!viu!l1, or citron urine, tingcd with

ver

fOlall

quamily of IJlood :

has no fcd im::nt, or cluud, for many

days tOgcther; bm by dcgret:'s grows d.uker, Ji ke ciead

Hrong

b~er,

and íindls o(l"enfive.

The 1100!s. cfpecially near lhe (late, or in the decline

of the fever. are fOI" the moíl pan

vc.ry

o{fenfive, greell ,

livid, or bl.!ck, frequcntIy with fevere gripes or blood.

\oVhen the)' .. re more yeIJow or browo, the lefs is the dan..

ger: but th l! d:\nger is greatefi of :\11 when they come a–

lVay infenf:bly. If the belly be hard, ClVelled. and tenCe,

it is a very bad fymptom. A gentle

cjarrh~a

is often

vel'y

bcnt:licial, by which nature cafl·jes off the morbific

matter.

The more florid ,he fpots .re, the lefs is ,he danger ;

and it is a good fign, if ,he bloek or viole, beeome of a

brighter eolou r. The large, blaek, or ¡¡vid fpo", are

almoO alIV:lys attended lVi,h proruCe bleedings. The rmall

' duO,y, brolVn fpots, like freckl es, are almol! as bad as

the Jjvid and black. Sometimes they are attended with

profufe. cold, .clammy fweats; at which time the fpots va..

Oin1 without aoy adv.tntage_

'j'he eruptioo of

dl~

f"ots is uncert:lin; rometimes they

appear on the founh or .,f,h d.y: rometimes not ,ill the

eleventh, or Jater. The

vibicu,

or large livid or dark

greeni{h marks, reldom 'ppe. r till very near ,he fa,al pe–

ríod. Sometimes about lhe eleventh or fou rtcenth day,

when the fwea" are profuCe, the (po" diC.ppear, aod

v.O:

qUí\ntities of fmall, white,

mili.HY

puOles break ou[.

there is an itching, [marting. red rallt,

cornmonly great–

Iy relieves the fi ck, as well as large, frctting. watery blad–

ders on ,he

b.ck

breaO, and fhoulders.

A fcabby e–

ruption about ,he lips and nore is a C.lutary fymp'om : ,he

more hot and .nEry the bett". Brown d"k .phthz

are more uncertain and dangerous. as well as thofe

ex·

eeedillg \Vhi,e and ,hiek like lard. Tiley are followed

with difficuh,y of fwallowing, paio and ulcerarion of che

fauces and cerophagus, with incerrant hiccup; ¡he whole

prim" vid:

are a' length •fFeéted , • bloody dyfentery

comes on, and a monification of the intefl:ines.

Pringle obIerves. thot in hofpital, goal, or camp fe–

vers, the firfi compl.\inls are gentle horrors. "3od liule fe·

verilh heats, alternateIy [uccecciing each

other.

with ]ofs

of .ppe,ite ; the diforder bOlng grcateO at night, ,he bo–

dy is hot, the {Jeep ioterrupted ano noc rcfrcfll ing. They

have confi:lOtly rome pelin and conruúorJin lhe lIea.d, chicf·

Iyabout their forehead¡ ,he pulre is a, firfl bu, linle

quicker than the natural, and the drought.

any, is in–

confiJerable. They are too il1 tO mind bufinefs, and too

well tObe coofined. Jn

tI.is

(late, a change of air, wíth

a vomit ano fweat, \'Jill perfor01 a ctlre:; yct a large

blecding

this time will fink ,he pulfe, and bring en •

deliriuOl.

When ,hc fym,toms come on quiok and violent, ,he fe–

ver reC!OlS

he infiamatory, . and can ooly be difiinguifhcd

a knowledgc of tbe circumU.nees; ond blceding yields