of the Atlantic side of Virginia, 9 



and I have, now and then, seen one very yellow. 

 Some I have seen spurt up bile from the stomach, 

 without any motion to vomit. But these were such 

 as had lived in low places, for a long time ; or had 

 often exposed themselves to the inclemency of the 

 weather. 



In the autumnal fever all suffer more or less in the 

 stomach. There is a continual nausea, and frequently 

 a vomiting of yellow or green bile, particularly during 

 the exacerbation of the fever. A bilious diarrhoea 

 sometimes attends the fever towards its remission, 

 and is generally salutary : but in sickly places, the 

 bile is secreted in such quantity that it continually 

 discharges through the intestines, until the patient 

 becomes emaciated and dies. 



A costiveness is still a more common symptom, 

 occasioned by a spasmodic stricture in the intestines 

 caused by the heat and acrimony of the bile passing 

 through, and out of, the ductus communis cho/edochus, 

 in a vitiated state. 



A pain and heat about the region of the liver, and 

 a heat and burning (as they themselves frequently ex- 

 press it) in the stomach, are very grievous and com- 

 mon complaints. A scarlet eruption, or petechia, 

 sometimes appears on the skin, like those caused by 

 the stinging of nettles ; and these came out regularly 

 with the exacerbation of the fever, and totally vanished 

 in every remission : and where the paroxysms are 

 alternately worse, these spots only attend the worst 



