in Frederick-Town and County. 41 



The following symptoms generally attended this 

 disease. The head was always more or less affected, 

 but the breast very seldom. The stomach suffered 

 much from nausea, cardialgia, and sometimes a vo- 

 miting of bile. An acidity was also very trouble- 

 some, to which I attributed the dark, viscid state of 

 the bile, which distressed the patient, and sometimes 

 required the repetition of an emetic, to carry it off. 

 A diarrhoea sometimes took place, but more fre- 

 quently there was a costive state of the bowels. In 

 many cases, there were spasms in the extremities. 

 The urine was always high coloured, and the alvine 

 discharges were bilious, and sometimes green. In 

 female habits, the catamenia were always obstructed. 

 The arterial action varied with the different forms of 

 the disease. 



The ordinary febrifuges were employed with good 

 success. Magnesia was found highly useful to cor- 

 rect the predominant acidity in the first passages; 

 and it was not only necessary to alternate or com- 

 pound it with the neutral and antimonial febrifuge 

 medicines, but to combine it with the Peruvian bark, 

 in the intermission of the fever. 



The crisis was not strongly marked in this epi- 

 demic. In several cases, I observed an eruption upon 

 the skin, and a peeling off of the cuticle, during the 

 convalescence of the patient. 



This disease was by no means formidable on ac- 

 count of the mortality that attended it : for, within 



VOL. I. PART II. F 



