18(j DISEASES CLASS II. 1. 3. 1. 



paler, with less heal, owing to the less violent action of the ca- 

 pillaries; in this it is higher coloured, and hotter, from the greater 

 energy of the capillary action in the production of new vessels. 

 In the more advanced state petechise, and the production of con- 

 tagious matter from inflamed membranes, as the aphtha) of the 

 mouth, or ulcers of the throat, distinguish this fever from thq 

 former. Delirium, and dilated pupils of the eyes, are more fre- 

 quent in nervous fevers; and stupor with deafness a more fre- 

 quent attendant on malignant fevers. See Class I. 2. 5. 6. 



There is another criterion discernible by the touch of an ex- 

 perienced finger; and that is, the coat of the artery in inflamma- 

 tory fevers, both those attended with strength of pulsation, and 

 these with weak pulsation, feels harder, or more like a cord; for 

 the coats of the arteries in these fevers are themselves inflamed, 

 and are consequently turgid with blood, and thence are less easily 

 compressed, though their pulsations are nevertheless weak: when 

 the artery is large or full with an inflamed coat, it is hard; and 

 when small or empty with an inflamed coat, it is called sharp, 

 by many writers. 



M. M. The indications of cure consist, 1. In procuring a 

 regurgitation of any offensive material, which may be lodged in 

 the long mouths of the lacteals or lymphatics, or in their tumid 

 glands. 2. To excite the system into necessary action by the 

 repeated exhibition of nutrientia, sorbentia, and incitantia; and 

 to preserve the due evacuation of the bowels. 3. To prevent 

 any unnecessary expenditure of serisorial power. 4. To prevent 

 the formation of ulcers, or to promote the absorption in them, 

 for the purpose of healing them. 



1. One ounce of wine of ipecacuanha, or about ten grains of 

 the powder, should be given as an emetic. After a few hours 

 three or four grains of calomel should be given in a little muci- 

 lage, or conserve. Where something swallowed into the stomach 

 is the cause of the fever, it is liable to be arrested by the lympha- 

 tic glands, as the matter of the small-pox inoculated in the arm 

 is liable to be stopped by the axillary lymphatic gland; in this 

 situation it may continue a day or two, or longer, and may be 

 regurgitated during the operation of an emetic or cathartic into 

 the stomach or bowel, as evidently happens on the exhibition of 

 calomel, as explained in Sect. XXIX. 7. 2. For this reason 

 an emetic and cathartic, with venesection, if indicated by the 

 hardness and fulness of the pulse, will very frequently remove 

 fevers, if exhibited on the first, second, or even third day. 



2. Wine and opium,' in small doses repeated frequently, but 

 so that not the least degree of intoxication follows, for in that 

 case a greater degree of debility is produced from the expendi- 



