76 Medical Topography of the Military Tract 



Since the first of July, I have had upwards of 200 

 patients under my care, ^^ itli inflammations in the eyes. 

 Some are confined suddenly ; but, for the most part, 

 the patients are complaining several days before the 

 more violent symptoms appear. A great proportion of 

 them attribute their disorder, at first, to a bad cold, 

 which prevents them from sending for medical aid for 

 some days. 



Queries 9 and 10. " Does the fever begin with a 

 chill?" " Is it worse every other day, or is there no 

 observable intermission, or remission, of the fever in 

 the first stage?" " Are bilious vomitings frequently 

 met with, and what is the effect of emetics?" 



Answer. The greatest number of cases may be said 

 to commence with a chill ; and the patients are worse 

 every other, every third, or every fourth, day. The 

 intermissions or remissions are generally obvious where 

 depleting means have been used on the third day, some- 

 times on the fourth. But by far the greatest number of 

 cases are worse every other day. 



Bilious vomitings are frequently met with ; a nausea 

 always. 



Emetics, when given after a copious bleeding, and in 

 the first stage of our fevers, are generally attended with 

 good effects. A remission of the fever almost always 

 occurs shortly after the operation of an emetic, and the 

 fever seldom ever rises to its first height after bleeding, 

 and evacuating the contents of the stomach and bowels. 



