484 PRACTICE OF PHYSIC. 



with respect to other functions which accompanies those already 

 mentioned, and which is more frequently to be observed by 

 the physician. Thus," 



XII. Upon the first approach of languor, the pulse becomes 

 sometimes slower, and always weaker than before. As the sense 

 of cold comes on, the pulse becomes smaller, very frequent, and 

 often irregular. As the cold abates, and heat comes on, the 

 pulse becomes more regular, hard, and full ; and in these re- 

 spects increases till the sweat breaks out. As the sweat flows, 

 the pulse becomes softer and less frequent, till the sweat ceasing 

 altogether, it returns to its usual state. 



XIII. The respiration also suffers some changes. During 

 the cold stage, the respiration is small, frequent, and anxious, 

 and is sometimes attended with a cough. As the hot stage 

 comes on, the respiration becomes fuller and more free, but con- 

 tinues still frequent and anxious, till the flowing of the sweat 

 relieves the anxiety, and renders the breathing less frequent and 

 more free. With the ceasing of the sweat, the breathing re- 

 turns to its ordinary state. 



XIV. The natural functions also suffer a change. Upon the 

 approach of the cold stage, the appetite for food ceases, and does 

 not return till the paroxysm be over, or the sweat has flowed for 

 some tune. Generally, during the whole of the paroxysm, there 

 is not only a want of appetite, but an aversion from all solid, 

 and especially animal food. As the cold stage advances, there 

 frequently comes on a sickness and nausea, which often increase 

 to a vomiting of a matter that is for the most part bilious. 

 This vomiting commonly puts an end to the cold stage and 

 brings on the hot. As the hot stage advances, the nausea and 

 vomiting abate ; and when the sweat breaks out, they generally 

 cease altogether. 



XV. A considerable degree of thirst is commonly felt during 

 the whole course of the paroxysm. During the cold stage, the 

 thirst seems to arise from the dryness and clamminess of the 

 mouth and fauces ; but during the hot stage, from the heat 

 which then prevails over the whole body ; and as the sweat 

 flows, the mouth becomes moister, and the thirst, together with 

 the heat, gradually abates. 



XVI. In the course of a paroxysm, there is often a consider- 



