25 8 DISEASES CLASS II. i. 6. 16. 



the greater debility, and confequent quicker pulfe, and more 

 rapid progrefs of the former than the latter ; but agree, in the 

 few patients which I have attended, in the circumitance of the 

 patients bearing the quantity of thefe fevers better than the 

 typhus, as i;; feen in their frequent rifing from their beds for 

 hours, and even attending to their occupations with a pulfe of 

 more than 120 in a minute ; and alfo in another important cir- 

 cum (lance, which is, that they take folid food, as bread, and 

 eggs, and oytlers, and even chicken, in great quantities ; which 

 in the inirritative fever, or typhus, is refufed during the whole 

 courfe of the difeafe. And hence it feems probable, that the 

 caufe or comrrencement of the inirritative fever, or typhus, may 

 have been from the torpor or paralyfis of the ftomach, owing to 

 the fwallowing of contagious matter along with our faliva ; and 

 the actions of the heart fuffer in confequence from fympathy. 

 And that hence thefe three kinds of fever may be diftinguimed 

 from each other : the typhus, by the total lofs of appetite for 

 folid food ; the heftic fever, by the pulfe being feldom above 

 1 20, and with attendant inflammation ; and the puerperal fever, 

 by a quicker and weaker pulfe ; but both the latter exifting 

 without the inability to take fome folid nourifhment. 



In this fever time muit be allowed for the abforption of the 

 matter. Very large and repeated quantities of the bark, by 

 preventing fufficient food from being taken, as bread, and wine, 

 and water, I have thought, have much injured the patient ; for 

 the bark is not here given, as in intermittent fevers, to prevent 

 the paroxyfro, but (imply to ftrengthen the patient by increafing 

 the power of digeflion. About two ounces of decoction of 

 bark, with four drops of laudanum, and a drachm of fwect fpir- 

 it of vitriol, once in fix hours, and a glafs of wine between thofe 

 times, with panada, or other food, I have thought of mod ad- 

 vantage, with a fmall blifter occafionally. 



Where not only the ftomach but alfo the bowels are much 

 diftended with air, fo as to found on ftriking them with the fin- 

 gers, the cafe is always dangerous, generally hopelefs ; which 

 is more fo in proportion to the quicknefs of the pulfe. Where 

 the bowels are diftended two drops of oil of cinnamon piould 

 be given in the panada three or four times a day, with ten grains 

 of alum. 



In one cafe of puerperal fever, which lafted above forty days, 

 and was attended for the laft fortnight with perpetual fubfultus 

 of the tendons, and even twitching of the hands with unceafing 

 delirium, and inability to fleep, mufk given in the dofe of ten 

 grains every fix hours, with five drops of tincture of opium, 

 teemed to be of fervice \ and when the abdomen became tumid 



with 



