30 DR. CUASES UECIPSa. 



pains in the head, back and extremities; loses his appetite; and although dull 

 and perhaps drowsy in the day time, his sleep is interrupted and unrefreshing 

 at night. The immediate harbinger of the fever is a chUl often so marked as to 

 cause violent shivering. 



The history of the fii-st week shows increased heat of the surface; frequent 

 pulse, ranging from eighty to one hundred and twenty; furred tongue; rest- 

 lessness and sleeplessness; headache and pain in the back; sometimes diarrhoea 

 and swelling of the belly; and sometimes nausea and vomiting. 



The second week is frequently distinguished by an eruption of small, rose- 

 colored spots upon the belly, and by a crop of little watery pimples upon the 

 neck and chest, having an appearance of minute drops of sweat standing on the 

 skin, and hence called sudamitia, or iioeat drops; the tongue is dry and black, 

 or red and sore; the teeth are foul; there may be delirium and dullness of hear- 

 ing; and the symptoms generally are more serious than during the first week. 

 Occasionally, at this period, the bowels are perforated or ate through by ulcer- 

 ation, and the patient suddenly sinks. 



If the disease proceeds unfavorably into the third week, there is low mut- 

 tering and delirium; great exhaustion; sliding down of Uie patient towards the 

 foot of the bed; twilching of the muscles; bleeding from the bowels; and red 

 or purple spots upon the skin. 



If, on the other hand, recovery takes place, the countenance brightens; the 

 pulse moderates; the tongue cleans, and the discharges assume the appearance 

 they have in health. Remedy, pages 61, 62, 63,64, 65, 66, 67, 193. 



TYPHOIX) PNEUMONIA, OR TYPHOID LUNG FEVER. 

 — This is an inflammation of the lungs, differing from the preceding only in the 

 character of the fever attending it, which is of a low typhoid character. The 

 disease, like typhoid fever, is characterized by great debility and prostration. 

 There are a combination of the symptoms of pneumonia and of tj'phoid fever. 

 The disease begins with great weariness, lassitude, dizziness, pain in the head 

 back, and limbs. Soon there is much difficulty of breathing, tightness 

 across the chest, with a dry, short, hacking cough. 



As the disease advances, the active symptoms pass away; there is a dull 

 pain across the chest; drowsiness is very apt to come on, with the various 

 symptoms of sinking peculiar to typlioid fever. The skin is harsh and dry, 

 the temperature uneven, the tip and edge of the tongue red, and the middle 

 covered with a yellow or brown fur. The bowels are tender, swollen, and 

 drum-head-like; while there is often a diarrhoea, — the discharges having a dirty* 

 yellow color. Remedy, page 193. 



ULCER — FEVER SORE.— When the nutrition entirely ceases in any 

 portion of the body, the absorbents devour all the skin, flesh and vessels of the 

 part— leaving an open cavity, the process of taking away the flesh, &c., is 

 ulceration; the cavity left is an ulcer. Remedy, pages 99, 101, 236, 237, 

 238. 



VARICOSE, ENLARGED OR KNOTTED VEINS.-In differ- 

 ent parts, especially of the lower extremities, there are sometimes seen a num- 

 l,^er of unequal knotty swellings, of a deep blue color, occasioced by portioD* 



