168 



F.) I saw him at 4 P. M. and from that time I followed the case, keeping 

 accurate notes of the symptoms. 



1st day. 4 p. m., felt very poorly, complained of headache and pains 

 in the loins and calves; face flushed and covered with perspiration; eyes 

 injected; was sent to bed, and after a while presented: Temp. 102.2° F. ; 

 pulse 100, dicrotic. Treatment : Castor oil with lime juice. Night : Temp. 

 102.3° F. ; pulse 104; vomited five or six times through the night and had 

 several passages ; thirst ; eyes injected. 



2d day. Morning: Temp. 101.3° F. ; pulse 88; resp. 20; eyes injected, 

 without yellow tinge; urine natural in appearance. Evening: Temp. 101.4° 

 F. ; pulse 90; resp. 30; somewhat drowsy; urine less copious than usual, 

 acid reaction, not affected by boiling. Treatment : Hyposulphite of soda ; 

 boiled orangeade for common drink. 



3d day. Morning: Temp. 101.8° F. ; pulse 80; resp. 27; urine contains 

 no albumen; restless night, insomnia; tongue white; thirst; face less 

 flushed. Evening: Temp. 101.8° F. ; pulse 84; resp. 26; subicteric tinge 

 of conjunctivae. Same treatment. 



4th day. Morning: Temp. 100.4° F.. pulse 60; rep. 27; subicteric tinge 

 more marked; the pains have ceased; urine scanty, contains biliverdine, 

 but no albumen ; the gums bleed on presure. Treatment : Chlorate of 

 potash. Evening: Temp. 101.4° F. ; pulse 80; restlessness; urine scanty, no 

 albumen; thirst; anorexia. 



5th day. Morning: Temp. 101.1° F. ; pulse 76; resp. 29. Evening: 

 Temp. 101.8° F. ; pulse 83. Night : During a thunderstorm became very 

 nervous ; ten hours without passing urine ; urine presents traces of albumen. 

 Treatment : Morphia syrup. 



6th day. Morning: Temp. 101.8° F. ; pulse 72; urine not altered by 

 ebullition; quiet night; expectorated some bloody sputa. Broth allowed. 

 Evening: Temp. 100.7° F. ; pulse 75. 



7th day. Morning: Temp. 99.6° F. pulse 62; resp. 20; subicteric tint 

 of conjunctivae; some bloody sputa; gums bleed on pressure; urine scanty, 

 no albumen. Evening: Temp. 98.9° F. ; pulse 57. 



8th day. Morning: Temp. 98.7° F. ; pulse 58; subicteric tint of 

 conjunctivae. 



It is worthy of notice that this patient in his normal condition presented 

 a polyuria insípida, amounting to over two litres per day; the secretion 

 becoming immediately reduced from the invasion of the attack. 



The patient spent two summers in the city after this attack, visiting 

 cases of yellow fever, and having witnessed two severe ones in the town- 

 college where he resided, without experiencing any inconvenience. 



CASE VI. — The unacclimated servant before mentioned, who was 

 staying at the Jesuits' "Quinta" with the preceding case, and upon whom 



