of the State ofNexu-York. 83 



of Marcellus, who is in the employ of the directors of 

 the western turnpike company, informs me, that in tak- 

 ing up a causeway, across a marshy piece of road, in 

 the summer of 1802, five out of seven of his hands, 

 who were employed in removing the timber, sickened. 

 He attributed their sickness entirely to the effluvia aris- 

 ing from the sloughy spot. All these patients recovered. 



The tongue, at first, appears whitish. On or about 

 the ninth day of the disease, sometimes sooner, if the 

 complaint does not terminate in health, it begins to as- 

 sume a brown colour, sometimes a black colour, and is 

 much furred. The teeth, about the same time, become 

 black, and covered with a brownish or black crust. 

 The patients, in this as well as the preceding stages, 

 are very thirsty, often beg, and if denied will steal, large 

 draughts of water. 



Query 16. " What is the state of the stomach? Is 

 it apt to be in a very disordered state ? When does 

 irritation of this organ usually discover itself, and in 

 what way ? What is the appearance of the discharge 

 from it ? Is the black vomit of matter, resembling cof- 

 fee-grounds, a common occurrence, and is it usually a 

 fatal symptom '? Upon what day of the disorder does it 

 usually occur? Do haemorrhages frequently occur? 

 How is the brain affected ? What is the state of the 

 pulse?" 



Answer. An affection of the stomach may, in gene- 

 ral, be considered as one of the first symptoms. I have 

 often been called to patients taken in the night, and 



