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at all j and in this, it mud be confeflfed, even the 

 mod acute perfons of the profeffion have been de- 

 ceived. The intermittent fever fometimes comes 



on with fuch violent fymptoms as to refemble very 

 ftrongly an inflammatory fever. But a little time 

 generally refolves the difficulty, and the fucceflive 

 and clear marked ftages of cold y heat, and fweat> are 

 for the molt part fufficient to determine the nature 

 of the diforder, even before any intermifllon takes 

 place, and any neceiTity of beginning to treat it as a 

 fever of a different kind. Even if it mould be mis- 

 taken, and fome blood drawn, this evacuation has 

 been often found ferviceable in the beginning of in- 

 termittents, when the fymptoms are violent, and is 

 recommended on fuch occafions by the mod judici- 

 ous practitioners. A careful examination of cir- 

 cumdances will, for the mod part, enable us to dif- 

 tinguifh this diforder at its firft appearance. — Moid 

 weather, and a feafon of the year about either the 

 vernal or autumnal equinoxes, the latter efpecially, 

 and the frequency of the diforder in the neighbour- 

 hood, afford drong preemptions in favour of a fever 

 being of the intermittent kind; — to which we may 

 add, fuch obfervations as may be drawn from the 

 nature of the foil and fituation, and the bufinefs or 

 work in which thofe attacked with the complaint 

 had been employed, previous to its firft coming on. 



Vol. IV. C c It 



