816 ESSENTIAL SYMPTOMS AND PROXIMATE 



shrunken features of ague, corresponding with 

 the general stagnation of the blood and prostra- 

 tion of strength in the blue cholera, finally, the 

 passage of ague into continued fever, a frequent 

 termination of cholera. And so general is the 

 depression of temperature in typhus, that Dr. 

 Billing objects to the hot stage as essential to its 

 existence. (Principles of Medicine, pp. 216, 

 223, 230.) 



Like the black death, the sweating sickness of 

 1485, (described by Dr. Cains,) the algid fever 

 of Alibert, the cold plague of the United States, 

 and the lowest forms of malignant typhus, epide- 

 mic cholera was ushered in with impeded respi- 

 ration, coldness of the breath, surface, and extre- 

 mities, which felt like the back of a frog. And 

 the temperature under the tongue was often 20 

 below the natural standard. As might naturally 

 be supposed, the power of the heart was greatly 

 reduced, and the circulation through the lungs so 

 much diminished, that the blood was no longer 

 renovated by respiration, but became dark and 

 grumous, even in the arteries, causing a livid 

 hue of the skin, with a suspension of the nutri- 

 tive process, and of all the secretions. 



Owing to the cessation or great diminution of 

 the formative process, the cohesive power of the 

 capillaries is so far weakened, that the serous or 

 watery portion of the blood exudes through their 

 coats into the stomach and bowels, producing 



