38 . tc count of the Epidemic Diseases 



12. Occasional chills were not uncommon ; and, as 

 they indicated the existence of considerable sensibility, 

 they were a favourable symptom. 



13. When strong emetic, cathartic, and sudorific me- 

 dicines were exhibited, and operated freely at the com- 

 mencement, they generally destroyed the fever. 



14. I bled freely in two or three instances, when 

 there seemed to be considerable inflammatory diathesis ; 

 but, as they proved to be among the most dangerous 

 cases that occurred, I left it off. 



15. The general plan of treatment, and one which I 

 partly derived from Dr. Duke, a respectable and old 

 practitioner, was to exhibit emetics and cathartics freely 

 at the commencement, and at any subsequent period 

 when they seemed necessary ; to exhibit diaphoretic 

 medicines at every period of the disease ; to apply 

 blisters and sinapisms during the whole course of the 

 fever, but more especially towards the latter stages ; 

 and to exhibit stimulants and tonics freely, after the 

 transient inflammatory symptoms of the commencement 

 were abated. 



The cause of this fever I shall not attempt to assign ; 

 but will mention those circumstances which were at- 

 tendant upon k. 



1. The summer and autumn were remarkably dry. 

 Almost every spring was exhausted. The wheat, ike, 

 ripened nearly two weeks earlier than usual ; and whole 



