Petechia and Hemorrhage^ vjithout Fencer. 51 



the consistence and colour of tar. His urine, which 

 was discharged in small quantity, was of a blood-co- 

 lour, and very thick. His eyes exhibited the appear- 

 ance of a person in the last stage of typhus-fever. 

 The pulse was small, frequent, and by no means 

 tense. An almost incessant cough and spitting of 

 blood attended, and there were frequent hemorrhages 

 from the nose. 



The account which he gave me was, that, after the 

 diarrhoea had ceased, he had, for several days, a great 

 inclination to vomit ; that this symptom finally left 

 him ; but that his appetite and former strength had 

 never returned. Four days before my seeing him, 

 he had symptoms of cholic, which terminated in a re- 

 currence of his diarrhoea ; and in two days after, the 

 petechise began to make their appearance. At first, 

 he suspected, that they were caused by the bites of 

 bed-bugs, but the night preceding the day on which 

 I visited him, a confluence of the spots had taken 

 place, attended with a change of their colour. 



Having never seen a similar case, nor met with any 

 record of an affection exactly according with this, 

 I was, at first, a little embarrassed. As the pulse 

 indicated great debility and relaxation, and as he had 

 lost large quantities of blood, I, at length, determined 

 to prescribe the Peruvian-bark, the carbonate of pot- 

 ash, sulphuric acid diluted, and the copious use of 

 wine. A weak solution of the same carbonate, to- 

 gether with the muriate of soda, was aisp used as a 

 wash for his mouth. 



