Class Li.!. 2. OF IRRITATION. 53 



fis or death of fome other part of the body ; as of the fpleen, 

 when a tumour is felt on the left fide, as in fome intermittents ; 

 or of the kidneys, when the urine continues pale and in fmali 

 quantity. Does the revivefcence of thefe affected parts, or their 

 torpor, recurring at intervals, form the paroxyfms of thefe fevers ? 

 and their permanent revivefcence eltablifh the cure ? See Clafs 

 IV. 2. 1. 19. 



The inirritative fever differs from the puerperal and from the 

 hectic fever, by the permanent inactivity of the ftomach, which 

 in this difeafe admits of no folid nutriment. See Clafs II. 1. 6. 

 16. and Suppl. I. 12. 



M. M. Wine and opium in fmall quantities repeated every 

 three hours alternately ; fmall repeated blifters ; warm butfrefh 

 air; forbentia ; nutriewtia ; transfufion of blood. Small electric 

 fhocks palled through the brain in all directions. Oxygene air ? 



2. Pare/is inimtativa. Inirritative debility. A defective ac- 

 tion of the irritative motions without increafe of the frequency 

 of the pulfe. It continues three or four weeks like a fever, and 

 then either terminates in health, or the patient finks into one kind 

 of apoplexy, and periihes. Many fymptoms, which attend inirrita- 

 tive fevers, accompany this difeafe, as cold hands and feet at pe- 

 riodic times, fcurf on the tongue, want of appetite, muddy 

 urine, with pains of the head ; and fometimes vertigo, and vom- 

 iting. 



This difeafe differs from the inirritative fever by the pulfe 

 not being more frequent than in health. The want of appetite 

 and of digeftion is a principal fymptom, and probably is the 

 caufe of the univerfai debility, which may be occafioned by the 

 want of nouriihment. The vertigo is a fymptom of inirritabil- 

 ity, as (hewn in Clafs IV. 1. 2. 6. the muddy urine is owing to 

 increafed abforption from the bladder in confequence of the di- 

 minimed cutaneous and cellular abforption, as in anafarca, ex-^ 

 plained in Sect. XXIX. 5. 1. and is therefore a confequence of 

 the inirritability of that part of the fyftem ; the foul tongue is 

 owing to an increafed abforption of the thinner part of the mu- 

 cus in confequence of the general deficiency of fluid, which 

 ihould be abforbed by the fkin and ftomach. The ficknefs is ow- 

 ing to decreafed action of the ftomach, which is probably the 

 primary difeafe, and is connected with the vertigo. 



M. M. An emetic. Calomel, grains iv. once or twice. Then 

 a blifter. Peruvian bark. Valerian. Columbo. Steel. Opi- 

 um and wine in fmall quantities, repeated alternately every three 

 hours. Small electric percuftions through the ftomach. 



3. Sotnnus interruptus. Interrupted fleep. In fome fevers, 

 where the inirritability is very great, when the patient falls afleep, 



the 



