FEVERS. 663 



such sweating, to take away any additional bed-clothes, or even 

 to dimmish those that are usual to take the fire out of the 

 patients chamber- to take out the patient's hands from under 

 the bed-clothes to take away his warm drink, and the use of 

 the neutral salts or sudorific remedies, and to give those that 

 are more cooling, by being acidulated. Where that has been 

 neglected, and the accession of the fever allowed to go on for 

 some time longer, a phrenitic delirium, and all the various 

 symptoms of an inflammatory fever have come on. 



" B. A case of a different kind, likewise frequently occurs 

 on the third or fourth day, where no such sweating has occur- 

 red either by design or accident, and without any other cir- 

 cumstance of heating regimen ; where blood-letting, vomiting, 

 glysters, the saline mixtures, and even the emetic tartar, have 

 been employed; and, notwithstanding all this, the pulse conti- 

 nues to increase in frequency is still full the headach vio- 

 lent the febrile anxiety and restlessness considerable, and 

 there is an almost total want of sleep. I mention these cir- 

 cumstances to say, that without regard to the nature of the 

 disease, though it very certainly is a synochus which is to 

 change into the form of a typhus, in the circumstances I men- 

 tion another venesection or more is necessary ; and if you join 

 to the case the considerations that lead to give a presumption 

 of the phlogistic diathesis, several venesections may be neces- 

 sary. In the same case however, by changing the circumstances 

 a little we come to have more doubt. If the pulse is some- 

 what more moderate, hardly above a hundred, neither hard nor 

 full ; if, at the same time, there is no particular evidence of the 

 phlogistic diathesis ; and particularly if we know certainly from 

 the nature of the epidemic prevailing, that the disease is to 

 turn out a synochus of three weeks duration, the question with 

 regard to venesection is to be put and answered with some 

 doubt and difficulty. Here it is especially that we are to have 

 particular regard to the circumstances of the patient, his age, 

 habit, &c. which may diminish the difficulty ; and where there is 

 any doubt, we may, in repeating the venesection, be in some 

 measure determined by the quantity of blood that has been pre- 

 viously taken, and by the appearance of the blood. If the size 

 upon its surface is very considerable, this last mark, at the 



