304 On Malaria. 



take the periodical character of the original intermittent, and partake 

 so identically of its nature, as to require the same plan of medical 

 treatment,* however anomalous in appearance, and however differ- 

 ently it might be requisite to treat them, if arising from other causes, 

 and distinct from the previous effects of malarious influence. In ad- 

 dition to simple or malignant intermittents, remittents, cholera-morbus, 

 dysenteries, &;c. originating in malaria, he enumerates a long list of 

 disorders, produced in mild climates by the same cause, often, but not 

 always succeeding to attacks of fever, where rheumatism, dyspep- 

 sia, hypochondria, mania, ophthalmia, tooth-ache, and those undefin- 

 able complaints which are grouped, under the general name of nervous 

 affections, make out, in fact, those chronic remittents of inveterate and 

 almost endless duration, " occupying the better part of life. These may 

 be the sequel of severe remittents, or of a milder form of attack, but 

 while the disease consists of a series of relapses, with intervals of bet- 

 ter health ; or even if it becomes so mild as to display scarcely a fe- 

 brile symptom, yet it is that durable remittent or intermittent which is 

 the very condition of ill health, under which those suffer perenially, 

 who inhabit the insalubrious districts of France and Italy." 



An instance possessing a strict analogy to the foregoing views, has 

 been under my own observation for four or five years. A friend of 

 mine was attacked on Long Island, five years ago, with simple tertian 

 fever, which affected him with continual relapses, although with inter- 

 vals sometimes for several months, without a recurrence of agues. 

 These intervals were marked, however, with nervous debility and ir- 

 ritation, but sometimes for a few days his alacrity of spirits and mus- 

 cular energy, would seem to be nearly restored, when the least fa- 

 tigue or disquietude, would bring on the chills, and the subsequent 

 routine of distresses. After contending with these forms of disease, 

 aggravated by dyspepsia, for two or three years, the gout supervened 

 with great violence, and he still continues the victim of tliis endless 

 intermittent. 



The summer and autumn of 1828 furnish incontestible evidence of 

 the truth of many of Dr. McCuUoch's positions. It will not be forgot- 

 ten by any of your readers, that endemic and epidemic fever prevailed 



" " As to blood letting, or debilitating practice of whatever nature, it is invariably 

 pernicious, and it is by mistaking diseases belonging to this genus for others, that 

 they are often rendered inveterate or even mortal." — Review of McCulloch on 

 Fevers, Lond. Quar. Jour. Sci, 



