1000000031

no rdief, but ex.fperates the compl.tolS. The .forefaid

rymptoms

are

now

more

high, Wlth

great

laffitude

nau·

fea, and paios in the back, with paio aod confufiao in

the head, and gre", deje!!ion of fpiri" .

The pulfe at this time is gcneralll quick and fuJl : oow

moderate bleediog affeds the pulle but liule; if large,

it will fiok, .nd bring

0 0

a delirium. The worn kind of

bload is when

lhe craffamenlum

is dicrolved, which is a

fign of high putrefaélion.

If the patien" lie warm, the body is geoerally eom. e ;

eold, there is a diarrh",.. If they have bihous flool,

when

tbey

are warm, lhey are critica1, and nal to be

eheeked unlers immoderate. In ·the worfl kiod of thefe

reVer!!, in

lhe

lar¡ Ilage,

diarrha:<t

commonly

carries

lhe

patient off;

bUl

lhen lhe 110015 are

involuntary,

colliqua–

tive, ¡chorous, or blackiCh', and of

cadaverotls fmeIJ,

whieh are the effeds of • morti6cation in the bowels.

The heat of the

b~dy

at Srn i, oot eonr.derable: but

the pulre is feh

for

a whiJe,

there

30 UDcommon

heal,

which remains upon lhe tinger; fome minutes afterwards.

A day'Or

t\VO

befare death, the extr-emities feel quite

cold. •nd theo tbe pulfe is bardly to be diflinguifhed.

The Od n is gener.lly dry .nd p.rched; yet in the be–

ginniog there are arten imperfelt fweats, without aDy re·

lief.

continued and generous

weat is tbe ruren cure.

The tongue is geoer. lIy dry, hard and blaek, with

ileep ebaps; bU! toward, the J.a it is foft and moin, and

tbe eolour i, a mixture of greeo and yellow, The drought

is fometimes great, at other times very liule.

SOO1e preferve their fenfes ,hrG'gh the eoorfe of the

difeafe, except. eoofufioo and aupor; but few k..p them

till death, if it prove fatal. They neep feldom, aod f..m

to be peofi.e . nd in deep thought . Tbe face is oot gh.flIy

Dor morbid; tiJl towards tbe lan. The confufioo of the

head often rifes

a delirium, efpeci.lly at oight, but

feldom changes to rage. A tremor is more commOD than

a fubfultus teodioum. 'The pulfe fink, all .Ioog, the

Rupor or deJirium and tremor ¡ncreaCe, aad the fpiriu

are relieved in proportion to its r¡Gng to the bead. Fre–

!juently the patient is dull of heariog from the very begin–

iJing, aod at lan grows almon deaf.

Wheo the delirium is at in height, the face is ccmmOD·

ftufhed, aod the eyes red, unlers after large evaeuation,;

¡hen it 'ppears meagre; the eyelido in numbe" are only

"alf fhut ; and the voice, whieh i, eonfl.otly

1I0w

and

low, fink, to adegree (caree to be

he.id

Wheo the feve r i, protraaed with

low pulfe, they

have a

panic~lar

craving for fomething cordial

and

DO–

thing is fo .ecept.ble

wioe. They loog for no food ;

but will take p. oada, if mixed with wioe.

There are fpotS, but oOt always. In hofpital. they are

lef, ufual at the 6rn breaking OUt of the difea(e; but

when the air is more corrupted. the fpots are ccmmon.

They are of ,he peteehial kind, of an obfeore red, paler

than the meanes, nOl raifed above the fleio, of no regular

Ihape. but conBueor. Thefe fpots are very irregular,

fometimes appe.ring on ,he founh or r,f,h d.y, and at

then on the founeenth. They are neither critical nor

mortal figns. but dangerous; if purple, they are more

ominous, but

nOI

abfolute1y mortal. In a few cares Ihere

have been purple nreák••od blotehes. Thefe fometime.,

VOl..

Il!. N°

¡2.

as wel1 as the fpo.., do not appeor till after death . Thil

fever, On aceount of its exacerbations át night, may be

Jooked "poo as the lowefi dtgree of the remiu ing kiod.

The durarion is uncertain, and in proponion to the vi·

rulence. Theír courCe is generally from (ourteen to

twenty days: fome have díed or recovered after four

weeks. _ When lhe courre is long, it commonly termi–

nates io abreetres of the parotid or

axill.ry

glaods, fome–

til1)es in ao heltic: Some, after this fever is over,

falt

into an irregular intermittent; many complaio of a paio

in their limbo, and want of ren ; .od almu{\ al1 of great

weakoefs. eonfuficD in thcir heads, aod naife in their

ea,.. \'1hen the air is highly malignant, the difeafe ter–

minates, in five or fiK days, cither in death or a critical

fweat.

The mon peculiar

fymp,~ms

of thi, difeafe, are .Iway.

a fingular attaek upon the head, as a {lupor,

pain; and

it lingers, a Oow law voiee, and finklng of lhe fpirit8,

wichout aay large evacuatian; pale urine. petechial

(po

ti,

the b, d effed, of large bleediog, or

100

many c1yner.;

lafllj, the difagreemeot of eooliog medicines, excepting in

.he beginniog; and on me other hand, {he agreemeot

with wine, volatiles. and ath:r cardíaIs, during

(he

great–

ea part of the

dife.fe.

Ao to the progoo(\ieo, the fpoto are fo far from being

falutary, tbat the, more plentiful they are the grea'er i.

the degree of ,he eorruption : wheo they are livid, Jead–

coloured, and of

greenifh blaek, tbey fhew a fphaeelou.

eorruption. Thofe who efcape are oot f,eed by a euta–

neous excretion, but by Jarge fweats, breathiDg a lHnk–

iog aeor; or by eritieal fluxes'of the belly; which happen

py the beoefit of oature, when the eorruptioo of ,he fluid.

00'

great. Many are apt tO fall into a fpilaeelou, eor–

ruption of the llomach, intdlines, and other vifcera, or

ioto a 'phrenfy, or more frequently into an anginous in.

flammation of the fauces .od ",ropbagu"

'ppe." from

tbe intolerable fmeJl whieh h.ppens af,er death . Thi.

uoháppy eveot i, prefaged, if there i, no thirfl, .or Ooe

thuis uoquenehable; if ,h. tongue i, dry,

eh.pt

, blaek.;

the fauces ioOamed aod befet with forde., witb dillieult

fwallowing; if, after the eruption (lf the fpoto,

dillieult

breathing and llraitnefs of. the brean remains aod gaios

groundj or

a ddirium ¡ncreaCes after fweating. aDd a

tlux of the belly, the urioe being

the fame time ,urbid,

. od depofiting

fedimen"; lafily, if the eyes are di••,

the paliem catching at llraws;

there is a fubfultus ten–

diDum,

the excrement! come away ig{enfibly,

[bere is a coJd fweat with convul(jons,

.Pringle

o~ferves,

tbat thofe wbo are we.keoed by

0 -

ther dillemper., or their cures,

lre

more fufeeptible of the

goal or hofpi'al feve" thao the flrong aod vigorou.; and

that one who i, reeovered i, more fubjeét to relapfe, tbu

he who is to be fi rfl attaeked.

AJI .he prognollic", fayo he, token fingly. are une."._

tain. The following fign. are good, to have no delí–

ri.um;

to have ,he pulfe neither' very lo", nor quick, or.

runk, to have

rife by wine or cordiaJs, wil h an a–

batement of the deliri\lm

and to have the

rOl"gUt:

moilt,

aod of a natural c010ur. It reems

p~culiar

tO tbis fever,

that deafoefs i, generally a good fign. The natural and

bea crifio i, by fweat, when tbe'pulfe rif.., 'aod tbe fymp-

tom,