40 History of an Epidemic Fever, 



cines, but required the free and early use of tonic 

 remedies. It appeared in the following forms : 



I. An inflammatory remittent fever, with or with- 

 out topical affection, and with considerable discharges 

 of green or yellow bile. 



II. An intermittent fever, with slight chills, usher- 

 ing in each paroxysm ; headach, nausea or vomiting 

 of bile, subsiding in a general perspiration. 



III. A double tertian, with the alternate paroxysms 

 more violent, attended with the last- mentioned symp- 

 toms. 



In all these cases, blood-letting was found very 

 useful, and sometimes absolutely necessary. 



IV. But the epidemic most frequently made its 

 attack in the shape of a tertian, or quotidian-ague, 

 accompanied with the ordinary symptoms of those 

 diseases, and sometimes with cholera. 



V., and lastly. It appeared in the form of a nervous 

 fever, with coma, subsultus tendinum, and typhous 

 pulse, particularly when the symptoms had been re- 

 duced by injudicious depletion. 



I did not discover, that the epidemic prevailed in 

 one of these forms more in one place than in another. 



