CLIMATE. 27 



he awoke with oppressive heat. Headache and 

 other symptoms of the fever were ushered in by 

 an instant loss of muscular power and immediate 

 depression of nervous energy. The patient fell 

 down as if he were stunned by a blow, his eyes 

 swimming in tears. In those cases delirium was an 

 early symptom. In a few hours the pain of the loins 

 increased, and in aggravated cases stretched forward 

 towards the umbilicus ; the countenance was flushed ; 

 the white of the eye was as if finely injected by 

 blood-vessels ; the albuginea appearing, through the 

 interstices of the network of vessels, of a pecuHar 

 shining cartilaginous whiteness. 



During the first twelve hours, the patient was not 

 particularly restless, enjoyed some sleep, and when 

 covered by the bedclothes had partial perspirations 

 on his face, neck, and breast. 



About the end of this period there was a great 

 exacerbation of the fever ; the patient became rest- 

 less ; the heat and dryness of the skin increased ; there 

 was much pain of the eyes and frontal sinuses ; the pain 

 of the thighs and legs was augmented ; thirst was 

 increased, with a sensation of pressure about the 

 region of the stomach. Nausea and vomiting 

 occurred towards the end of the first twenty-four 

 hours. If the fever was not checked within thirty- 



