234 On Chronic Debility 



the limbs, back, head and balls of the eyes follow, m 

 many instances ; the urine becomes pale and limpid, 

 and is secreted in large quantities. Accompanying or 

 succeeding these, we often find a severe ague. After 

 some time the stomach, becoming more and more disor- 

 dered, is at length relieved by vomiting. Soon an in- 

 creased action takes place in the heart and arteries ; heat 

 in the skin follows ; a copious sweat breaks out ; and 

 the patient is for a time free from his complaint- This 

 fever sometimes consists of one paroxysm, and consti- 

 tutes the ephemeral, or simplest kind of fever. If it 

 returns after an interval of one, two, or three days, it con- 

 stitutes intermitting fever. In either case, the symp- 

 toms are all a chain of sympathies. The primary dis- 

 ease is a disease of the skin merely. Hence it is so 

 much more easily cured than other fevers. 



Should morbid sympathies to a great extent similary 

 be occasioned by noxious miasmata, operating directly 

 upon the stomach, by mixing with the saliva, the fever 

 would become remitting, or typhus, perhaps of a ma- 

 lignant grade,, would continue much longer, and be cu- 

 red with much more difficulty. Here the stomach is pri- 

 marily affected, and the disease is a disease of that vis- 

 cus, or what I have ventured to call a stomach fever. 



When the fever commences in the manner first speci- 

 fied, in a person having a disordered liver, several new 

 sympathies take place. The disease is much more ob- 

 stinate, and frequently cannot be cured, without partic- 

 ular attention to the disordered liver. 



We come next to shevv^, that a peculiar sympathy ex- 

 ists between the stomach and other parts of the body. 

 This may be evinced in two ways, viz. 1st. from the 

 effects produced by morbid action, in the stomach, upon 

 other parts of the body ; and 2dly, by the effects of mor- 

 bid action, in other parts of the body, upon the healthy 

 stomach. 



I. The Sympathetic actions produced by disease in 

 the Stomach are verj- various, differing greatly in differ- 

 ent persons,, and in the same person, at different times. 

 I will state a few only of such as I have often seen. 



1. An Emetic taken into the stomach soon excites 

 nausea. In consequence of the nausea a paleness of the- 



