520 PRACTICE OF PHYSIC. 



and distinguishing marks only, while here we relate the full 

 phenomena. 



" What physicians commonly call the Inflammatory Fever is ar- 

 ranged in our Nosology under the title of Synocha. It is a dis- 

 ease more frequent in cold climates and cold seasons, not however 

 but that there are certain vicissitudes of heat and cold in every 

 climate which may produce somewhat of the same effect. Every 

 constitution may be liable to it, but the robust and sanguineous 

 are more commonly affected with it. It comes on suddenly, 

 without much previous warning, and without being preceded by 

 any very considerable degree of lassitude, loss of appetite, &c. 

 which we would attribute to a preceding degree of debility. It 

 frequently comes on from the application of cold, seldom from 

 contagion ; but we are apt to be mistaken here, for every ap- 

 plication of cold does not bring on a Synocha, and the cold may 

 be only an exciting cause where miasmata were formerly lodged. 

 The attack is commonly with little horror, and without any de- 

 gree of tremor ; the cold fit is always without vomiting and de- 

 lirium, and, in general, in whatever shape it appears, it is al- 

 ways short. There are, during the attack of these inflammatory 

 fevers, seemingly repeated attacks or frequent returns of chilli- 

 ness with hot flushings, but they are less remarkable, and the 

 repetition of what we call the cold fit is always shorter. In the 

 hot fit there is a considerable degree of heat, with redness and 

 turgescence of the face, and the appearance of an approaching 

 sweat. The heat is soon diffused over all the body to the ex- 

 tremities. The pulse is soon full, strong, and commonly hard ; 

 very often its throbbing may be perceived in the temples ; and 

 the fever is accompanied with considerable headach, which is 

 relieved by the head being bound tight. There is commonly 

 pain in the small of the back, and more or less in the joints of 

 the limbs. The breathing is frequently attended with some de- 

 gree of anxiety, but it is neither small nor laborious ; nor is 

 the anxiety generally great, whether it proceeds from the stom- 

 ach or thorax. The appetite for food is seldom taken away, 

 and the anorexia seldom rises to the degree of nausea. The 

 thirst is considerable ; it "arises from a sense of heat in the 

 fauces, and may be referred even to the more internal parts. 

 The belly is bound, the urine high coloured, but, in the begin- 



