532 PRACTICE OF PHYSIC. 



in this respect are, first, those accompanied with soporose 

 affections (Tertiana affectibus soporosis stipata), such as Leth- 

 argy, Coma, Cams, or Apoplexy ; secondly, those accompanied 

 with spasmodic and convulsive affections, ' Tertiana spasmis et 

 motibus convulsivis stipata, 1 such as Asthma, Hysteria, and 

 Epilepsy; thirdly, those accompanied with cutaneous erup- 

 tions, ' Tertiana efflorescentia cutis stipata,' such as Petechiae, 

 Urticaria, and Miliary eruptions ; and fourthly, those accompa- 

 nied with inflammatory affections, ' Tertiana phlegmasia sti- 

 pata,' such as Pleurisy, Gout, and Rheumatism. With regard 

 to this last variety, I must remark, that intermittent fevers, 

 particularly those of the vernal season, are very frequently ac- 

 companied with manifest symptoms of phlogistic diathesis ; and 

 this is in proof at what degree that diathesis may arrive : but 

 even when merely the diathesis is present, it requires a particu- 

 lar attention in treatment. In several of these cases it may be 

 a question how far these affections are symptomatic, or whether 

 they concur only from their own separate cause and constitute a 

 complicated disease- 



" 4 As complicated with other diseases. I have here marked 

 the complications mentioned by Sauvages. To the ' Tertiana 

 scorbutica,' I have given a place, but more from theory than from 

 distinct observation. The ' T. syphilitica' may be a true 

 complication, though it but seldom occurs! By far the most 

 considerable of these complications, is the e T. verminosa,' 

 which I have set down in pure complaisance to certain authori- 

 ties. The author I have chiefly in view is Van der Bosch, who, 

 in a treatise entitled Constit. Epid. Verminosa ann. 1760, most 

 fully details the symptoms of worms accompanying intermittent 

 fevers, and makes the worms, in a great measure, the founda- 

 tion of the disease, or at least of its principal symptoms. As I 

 have had little opportunity of observing these remittent Ter- 

 tians, I cannot correct him from my own experience, but I 

 conceive that he is totally mistaken, and that worms are merely 

 a symptom concurring in these autumnal remittent tertians. I 

 have referred to the writers who are clearly in proof of this, viz. 

 Lancisi, Ramazzini, and Sir John Pringle. 



" 5, By the remote cause (ratione principii ) : I should 



