1 86 DISEASES CLASS II. i. 3. i, 



paler, with lefs heat, owing to the lefs violent action of the ca- 

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

 er energy of the capillary action in the production of new vef- 

 fels. In the more advanced (late petechise, and the production 

 of contagious matter from inflamed membranes, as the aphthae 

 of the mouth, or ulcers of the throat, diftinguim this fever from 

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

 frequent in nervous fevers *, and ftupor with deafnefs a more 

 frequent attendant on malignant fevers. See Clafs I. 2. 5. 6. 



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

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

 tory fevers, both thofe attended with ftrength of pulfation, and 

 thefe with weak pulfation, feels harder, or more like a cord ; 

 for the coats of the arteries in thefe fevers are themfelves infla- 

 med and are confequently turgid with blood, and thence are lefs 

 eafily comprefled, though their pulfations are neverthelefs weak : 

 when the artery is large or full with an inflamed coat, it is called 

 hard ; and when fmall or empty with an inflamed coat, it is 

 called fharp, by many writers. 



M. M. The indications of cure confift, i. In procuring a 

 regurgitation of any ofFenfive material, which may be lodged in 

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

 glands. 2. To excite the fyftem into necellary action by the 

 repeated exhibition of nwtrientia, forbcntia, and incitantia ; and 

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

 any imneceffary expenditure of fenforidl power. 4. To prevent 

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

 for the purpofe of healing them. 



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

 the pow'der, ihould be given as an emetic. After a few hours- 

 three or four grains of calomel iliould be given in a little mu- 

 cilage, or conferve. Where fomething fwallowecfinto the ftom- 

 ach is the caufe of the fever, it is liable to be arrefted by the lym- 

 phatic glands, as the matter of the fmall-pox inoculated in the arm 

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

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

 regurgitated during the operation of an emetic or cathartic into 

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

 calomel, as explained in Seel. XXIX. 7. 2. For this reafon 

 an enietic and cathartic, with venefection, if indicated by the 

 hardneis and fulnefs of the pulfe, will very frequently remove 

 fevers, if exhibited on the firft, fecond, or even third day. 



2. Wine and opium, in fmall dofes repeated frequently, but 

 fo that not the leal! degree of intoxication follows, for in that 

 cafe a greater degree of debility is produced jroni the expendi- 

 ture 



