80 



New Orleans last summer, and Dr. Nott'a suggestion of kreosote, 

 require confirmation. 



61. Dr. Lewis, of Mobile, in the articles already quoted, discusses 

 the question of the identity of the prominent forms of fever in that 

 region, and concludes that each is a peculiar and independent form 

 of the disease, met with under peculiar conditions of soil and other 

 accessory circumstances. "In the coal, granitic and hilly section 

 of the state, subject to great vicissitudes of weather, we find," he 

 remarks, " the fevers to be of the continued or remittent type ; usually, 

 when not so from the outset, becoming continued as they become 

 grave and serious. It would appear to be irritative, attended by 

 dry tongue, slight delirium, tendency to serous evacuations, enteritis ; 

 and continuing from ten to fifteen days, displaying after death a dis- 

 tinct lesion of the small intestines." 



In the Prairie lands abounding in animal matter, the "malady 

 is of short duration, running its course in from two to six days; Avith 

 a deep-seated thready pulse, cold skin, profuse exudation, pale, livid, 

 mottled, shriveled appearance of the skin, cold tongue, tremulous, 

 oppressed, irregular action of the heart, difficult breathing, violent, 

 harsh expectoration, feeling of great heat, burning and smothering, 

 anxiety, restlessness, mental depression, and gloomy forebodings of 

 evil. Death ensues, and we find the surface and external tissues 

 exsanguinous, whilst the viscera are excessively engorged with dark 

 venous blood." 



"In the deep, humid, vegetable morasses, marshes and swamps 

 of the tertiary or southern portion of the state, the fevers are remit- 

 tent, intermittent, or continued, lasting from four to fifteen days. 

 The cold stage is attended with an intense feeling of coldness, 

 stretching and shaking of the whole frame; fever immediately suc- 

 ceeds, and is characterized by a pungently hot skin, white furred 

 tongue, violent pain in the head and back, pulse increased to 120 

 or 140, hard and contracted, maddened impatience, and irritability 

 of temper. This fever, high and violent as it is, rages for ten or fif- 

 teen days without producing organic lesion or serious disease of 

 structure. The blood becomes thin or impoverished, but the nervous 

 system has not succumbed, as in congestive fever, nor do we see the 

 same tendency to a breaking down of the tissues and putrescency, 

 so characteristic of yellow fever. Convalescence is painfully pro- 

 tracted or interrupted by relapses until winter." 



"In the trodden, anirhalized streets of Mobile is another form 



