304 On Malaria. 
take the periodical character of the original intermittent, and partake 
so identically of its nature, as to require the same plan of medical 
treatment,* however anomalous in appearance, and however differ- 
ently it might be requisite to treat them, if arising from other causes, 
and distinct from the previous effects of seanieten influence. ad- 
dition to simple or malignant i , remittents, cholera-morbus, 
dysenteries, &c. originating in malaria, ia enumerates a long list of 
disorders, produced in mild climates by the same cause, often, but not 
always succeeding to attacks of fever, where rheumatism, dyspep- 
sia, hypochondria, mania, ophthalmia, tooth-ache, and those undefin- 
able complaints which are grouped, under the general name of nervous 
affections, make out, in fact, those chronic remittents of inveterate and 
almost endless duration, “ occupying the better part of life. These may 
be the sequel of severe remittents, or of a milder form of attack, but 
while the disease consists of a series of relapses, with intervals of bet- 
ter health; or even if it becomes so mild as to display scarcely a fe- 
brile symptom, yet it is that durable remittent or intermittent which is 
the very condition of il] health, under which those suffer Sau 
who inhabit the insalubrious districts of France and Italy.” 
An instance possessing a strict analogy to the foregoing views, has 
been under my own observation for four or five years. A friend of 
mine was attacked on Long Island, five years ago, with simple tertian 
fever, which affected him with continual relapses, although with inter- 
vals sometimes for several months, without a recurrence of agues. 
These intervals were marked, however, with nervous debility and ir- 
ritation, but sometimes for a few days his alacrity of spirits and mus- 
cular energy, would seem to be nearly restored, when the least fa- 
tigue or disquietude, would bring on the chills, and the subsequent 
routine of distresses.. After contending with these forms of disease, 
aggravated by dyspepsia, for two or three years, the gout supervened 
with great violence, and he still continues the victim of this endless 
intermittent, 
_ The summer and autumn of 1828 furnish incontestible evidence of 
the truth of many of Dr. McCulloch’s positions. It will not be ue 
ten by any of your readers, that endemic and epidemic fever prevailed. 
2 ae: 
Ce aint etn! 
"As to sod i oe. or ~Sieee eat practice of whatever nature, it is invariably 
taking diseases belonging to this genus for ona that 
eo eels or even mortal.’—Review of McCulloch 07 
. Jour. Sci. 
