FEVERS. 533 



hardly have admitted this division, if Sauvages had not some 

 species which could not have come in otherwise, the T. acciden- 

 talis, and the T. a scabie : these, however, would deserve more 

 notice if they were established upon a better foundation, (See 

 Synopsis, page 248, note *.) 



" II. We come now to the second head of Tertian fevers, those 

 which admit of a remission only, (T. interposita remissione tan- 

 turn.) The Remittent fever destroys more men in southern clim- 

 ates than all other diseases taken together, particularly persons 

 from the north of Europe, when they go into warm climates. Al- 

 though it is more peculiar to those climates, it frequently occurs 

 in England, but more rarely as you recede towards the north. 

 It is therefore certainly an important object of our study, 

 and it is of consequence to know all its different forms. I 

 have attempted, with respect to the intermittent Tertians, to 

 express the character to the extent I have seen ; and if I had 

 found any thing steady in the Remittents, I would have made 

 an attempt of the same kind with respect to them ; but they are 

 every way so irregular, that we can make no determined dis- 

 tinctions whether they approach to the double, duplicate, and 

 other forms, or with respect to their symptoms and the length 

 of the paroxysms, and the remissions that occur ; but they are 

 various and anomalous even in the course of the same Epide- 

 mic, and the forms are constantly changing even in the same 

 person. They may however be reduced to two heads of fevers ; 

 1st, Those that begin very commonly intermittent, or very dis- 

 tinctly remittent ; and, 2d, those in which the disease begins as 

 a continued fever, and after some days discovers remissions, and 

 afterwards intermissions. This occurs most commonly in the 

 summer season, and young persons are most subject to it ; but 

 it is not attended with the same degree of danger as the former. 



" Torti has described the Remittent Tertians with all their 

 varieties, and with regard to these I follow him, because he re- 

 fers to a great number of other writers, but especially because 

 he himself is among the most valuable. His work c De Febri- 

 bus' contains a great deal of medical erudition, many particu- 

 lar observations with regard to fevers, and many good hints with 

 regard to the method of cure. Though Torti is clear that there 

 is nothing steady in the form of intermittent and remittent fe- 



