1044 THE HOT STAGE OF FEVER, AND 



posed by Broussais ; but that the primary cause 

 of these and all the other symptoms is a loss or 

 deficient supply of the animating principle, and 

 a consequent vitiated state of the blood, to which 

 may be traced the universal debility of the brain, 

 stomach, bowels, voluntary muscles, and the 

 general feeling of soreness, with an aching in the 

 back and limbs. Such are the cardinal symp- 

 toms that mark the cold stage of intermittents, 

 which are invariably ushered in with diminished 

 respiration, circulation, sanguification, secretion, 

 nutrition, and of all the vital forces. 



But as the process of breathing, although much 

 impeded, is still carried on during the cold stage ; 

 and as very little of the heat thus obtained is em- 

 ployed in combining the blood with the solids, 

 and in maintaining the various secretions, it 

 gradually accumulates, until the temperature 

 under the tongue rises to 104, and sometimes to 

 107, according to the observations of Currie, 

 and some other pathologists.* The immediate 



* According to the observations of Dr. A. Donne, recorded 

 in the Archives Generates de Medicine for July 1835, the tem- 

 perature and pulse in various diseases were as follows: 



Temperature. Pulsations. 



Puerperal fever 102 to 104 152 to 166 



Typhus fever 101-30 ..104 84 .. 136 



Inflammatory fever 96-40 .. 104 60 .. 102 



Rheumatism.. 98-30 .. 101-75 76.. 96 



Enteritis 100-20 .. 101-58 76. .104 



Phthisis 96 .103-10 68 . . 120 



