TROOPS IN THE WEST INDIES. 391 



If congestions in the head were suspected, blisters were ap- 

 plied to the head and back. If in the viscera, calomel and 

 opium were given with evident benefit. As soon as the heat 

 abated, the bark and port- wine had the happiest effects. 



TYPHUS. 



Under this head we class the nervous fever, the ship-fever, 

 the hospital-fever, the jail-fever, the pestilential fever, the 

 yellow fever, &c. All of these are different names for the 

 same disease, and differ only from each other in malignity or 

 violence, from local circumstances, the state of the atmos- 

 phere, or season of the year. 



TYPHUS NAVIUM, SHIP-FEVER. 



In transporting troops from England to the West Indies, 

 this fever often breaks out, and rages with great violence. 



Symptoms. The patient sometimes is indisposed for a day 

 or two before the disease be marked, but frequently is taken 

 ill at once, with lassitude, prostration of strength, irregular 

 chills and heats, nausea, and sometimes vomiting. He has 

 a slight headach, is restless in bed, has confused ideas, and 

 troublesome dreams ; there is no great heat of the skin, it is 

 rather moist, cold, and sweating. The tongue at first is white, 

 moist, and slimy ; afterwards dry and parched. The coun- 

 tenance is pale and sunk, the eyes dull and languid, the belly 

 irregular, the urine pale, and secreted in too great a quan- 

 tity. 



These symptoms go on increasing, a stupor comes on, the 

 patient sleeps with his eyes half open, often mutters to him- 

 self, has subsultus tendinum, and keeps tumbling and pick- 

 ing the bed-clothes. The tongue, when put out, is tremu- 

 lous ; he can scarcely articulate, and swallows with diffi- 

 culty. 



