490 THEORY OF FEVER. Sur. I. 13. 



action, and the quantity of heat, which they possess, is also con- 

 fined, or insulated, and further increases by its stimulus the ac- 

 tivity of the cutaneous vessels of the feet; and by that circum- 

 stance abates the too great action of the capillaries of the face, 

 and the consequent heat of it. 



XIII. Case of Continued Fever. 



The following case of continued fever which I frequently saw 

 during its progress, as it is less complicate than usual, may illus- 

 trate this doctrine. Master S. D. an active boy about eight years 

 of age, had been much in the snow for many days, and sat in the 

 classical school with wet feet; he had also about a fortnight at- 

 tended a writing school, where many children of the lower order 

 were instructed. He was seized on February the 8th, 1795, 

 with great languor, and pain in his forehead, with vomiting and 

 perpetual sickness; his pulse weak, but not very frequent. He 

 took an emetic, and on the next day had a blister, which check- 

 ed the sickness only for a few hours; his skin became perpetu- 

 ally hot and dry; and his tongue white and furred; his pulse 

 when asleep about 104 in a minute, and when awake about 

 112. 



Fourth day of the disease. He has had another blister, the 

 pain of his head is gone, but the sickness continues by intervals; 

 he refuses to take any solid food, and will drink nothing but milk, 

 or milk and water, cold. He has two or three very liquid stools 

 every clay, which are sometimes green, but generally of a dark- 

 ish yellow, with great flatulency both upwards and downwards 

 at those times. An antimonial powder was once given, but in- 

 stantly rejected; a spoonful of decoction of bark was also ex- 

 hibited with the same event. His legs are bathed, and his 

 hands and face are moistened twice a day for half an hour in 

 warmish water, which is nevertheless much colder than his 

 skin. 



Eighth day. His skin continues hot and dry without any ob- 

 servable remissions, with liquid stools and much flatulency and 

 sickness; his water when observed was of a straw colour. He 

 has asked for cider, and drinks nearly a bottle a day mixed 

 with cold water, and takes three drops of laudanum twice a 

 day. 



Twelfth day. He continues much the same, takes no milk, 

 drinks only cider and water, skin hot and dry, tongue hot and 

 furred, with liquid stools, and sickness always at the same time; 

 sleeps much. 

 . Sixteenth day. Was apparently more torpid, and once rather 



