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D I C A L PAPERS, 



390 



This ftage of the difeaie was attended with a very great 

 aad fudden proftration of ftrength; a very remarkable 

 hollow dry cough, and a peculiar change In the tone of the 



voice; not eafily defcribed, but fo fingular^ that a perfon 

 who had once heard It, could almoft certainly know the 

 difeafe again by hearing the patient cough or fpeak. In 



fomq the voice was almoft entirely loftj and would conti- 



nue very weak and low for feveral weeks after recovery. 

 A couftant fever attended this difeaiCj but it w^as much 



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more remarkable in the night than in the day time; an 

 in fome there was a remarkable remiihon towards morning 



The pulfe at the wrift wa8 in genera! quick, foft and tlut 



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tenng, though not very low, and it was remarkable^, that 

 at the fame time the pulfations of the heart were rather 

 ftrong and fmart than feeble. The heat vt^as not Ytry 

 great, and the fkin was commonly moift. 



Thefe fymptoms continued for one, two, or three days. 

 By that time it was ulual for them to be greatly increaled 

 in fuch as died; and the patients, though commonly fome 

 what comatous from the beginning, now became much 

 more fo; yet even when the diforder was at the worft, they 

 retained their fenfes, and would give diiliod anfwerSj when 

 fpokc^\ to; although on being left to themfelves, they lay 

 for the moft part in a lethargic fituatioa, only raifing u 

 now and then to receive their drink. Great reftlefsnels 



and iadation came on tov/ards the end of the difeafe^ the 

 fick perpetually tolTmg from one fide of the bed to the 

 other, but they were ftilf (0 far comatous as to appear to 

 he aileep, immediately upon changing their fituation or 

 pofture. An univerfal languor and dejcdion were obferved 

 in their countenances; the fwelling of the face fu!)rided; 

 a profufe fweat broke out about the head, neck and brcaft, 

 particularly when aflcep; a purging in feveral came on; 

 the difficulty of breathing increafed, fo as to be frequently 

 almoft entirely obftrufted, and the patient died apparently 

 from the luftocation. This commonly happened before 

 the end of the fourth or fifth day; in feveral within thirt} 

 fix hours from the tin^.e the difficulty of breathing came 

 Vol. I. 



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