ER. 565 



When the fever is unusually severe or prolonged, and there is mm-h prostration. 

 , half tea-spoonful dose of the arsenic mixture (Pr. 40) given every hour for six or 

 eight hours will be found serviceable. 



When the prominent symptoms are stupefying headache, aggravated by move- 

 ment, shooting pains in tin- limbs, a cough, yellow coated tongue, nausea, 

 constipation, the best remedy is tincture of bryony, given according to Pr. 49. 



Remittent Fever, like ague, is due to the action of malaria on the system. A 

 larger dose of the poison is required to produce a " remittent " than an " intermit- 

 tent " fever. We have already explained the technical use of these terms. J n 

 intermittent fevers, as we have seen, the patient is at some portion of the day quit*- 

 free from fever, but in remittent fever such is not the case ; the fever is sometimes 

 less but the patient is never quite free from it. An Ague may be converted int > 

 remittent fever by continued exposure to the action of malaria, and on the oth< r 

 hand as a patient is recovering from remittent fever the complaint often assumes an 

 intermittent form. 



The disease of which we are now speaking is sometimes known as bilious fever, 

 or bilious remittent fever, or as jungle fever. In this country we meet with it only 

 in a .very mild form, but it is a formidable disease in many parts of the world. 1 1 

 prevails with great intensity on the western shores of Africa, in the East Indies, in 

 many parts of North and South America, and in the West India Islands. 



We need not discuss its mode of causation, as what we have said respecting the 

 origin of ague is, in a great measure, applicable to this disease. 



The fit, as in ague, consists of three stages, but here the cold stage is less severe 

 and of shorter duration, and in some of the worst cases it may be altogether absent 

 The patient usually at first experiences a sensation of nausea with weariness, languor, 

 and lassitude, and complains of oppression at the pit of the stomach. He then feels 

 a certain amount of chilliness, which gradually passes off. The hot stage then com- 

 mences, the countenance is flushed, the patient complains of rending headache, with 

 excruciating pains in the limbs and loins, the skin is burning hot, and the unfor- 

 tunate sufferer is restless, and tosses about in bed in the vain search for an easy 

 posture. Vomiting soon begins, and often continues through the disease a distressing 

 and embarrassing symptom. It usually fails to relieve the sense of fulness and 

 oppression at the pit of the stomach, although the amount of fluid evacuated is often 

 very great. When the hot stage has lasted from six to twelve hours, a little mois- 

 ture breaks out on the brow and neck, and gradually spreads over the body ; the 

 pulse gets slower, the skin is cooler, the headache is less, vomiting ceases, and the 

 patient obtains some sleep. There is always a remission every morning, but in bad 

 cases this is the only one that- can be distinguished, so slight is the abatement. The 

 disease varies in duration from five to fourteen days. Death rarely occurs before 

 the eighth day, and in most cases under judicious treatment a favourable termination 

 may be hoped for. 



This is a disease in which a medical man should be sent for without delay. As, 

 however, it may in many cases be impossible to obtain professional assistance, we 

 will indicate the line of treatment to be pursued. At the commencement of the 



