TROOPS IN TIIK WEST INDIES. 389 



The urine is sometimes pale, but for the most part high- 

 coloured. 



In the second stage, every symptom is aggravated ; the 

 eyes look wild and inflamed, a delirium comes on ; the 

 tongue, when put out, is tremulous, and the voice faulter- 

 ing. 



In severe cases, there is a yellow suffusion of the skin, and 

 of the white of the eyes, sometimes attended with a tension 

 of the abdomen, and sometimes with dysentery. The most 

 distressing symptom is a constant retching to vomit. At last, 

 the patient becomes comatose, has frequent hiccough, and cold 

 clammy sweats, and sometimes an involuntary discharge of 

 stools, and of urine ; the face becomes hippocratic, and death 

 closes the scene. 



The causes of remitting fevers arc the same as those of in- 

 termittcnts, particularly marsh miasma, and fatigue in the 

 heat of the day. This fever is dangerous at all times, more 

 especially if the patient continue exposed to the effluvia of 

 swamps or morasses. 



Cure. The first step is, an immediate removal of the sick 

 to better air, and proper hospitals, where attendants are at 

 hand, and every kind of provision made for their comfort and 

 support. 



In the beginning, or first stage of this fever, there was no- 

 thing else to be done, but to cleanse the alimentary canal, by 

 some mild cathartic, such as a solution of manna and cream of 

 tartar, or by small and repeated doses of natron vitriolatum, 

 and immediately afterwards to give the bark in substance. 



In the advanced stage, where the heat was considerable, 

 and the vomiting frequent, early purging was practised with 

 good effect. This was sometimes done with compound pow- 

 der of jalap, in small or repeated doses, in saline draughts, 

 or simple peppermint-water. Ikit if these were not retained, 

 two grains calomel, in a bolus, were given every two hours, 

 which not only purged plentifully, but occasioned a copious 



