488 Observations on the medical effects 



the accession, and a dose of quinine in the interval. The next 

 day during the cold stage, the tourniquet was applied for ten 

 minutes, and when he complained of a dizziness in his head, 

 it was removed. The cold stage was quickly succeeded by a 

 gentle heat, which continued during the day, and terminated 

 in a slight perspiration. 



26th July, — He had slept well ; and his skin was warm 

 and perspiring. He complained of thirst ; his tongue was 

 dry in the centre ; pulse small, soft, and slow. 



29th. — There has been no return of fever, and he is gra- 

 dually gaining strength under the use of tonics and aperients. 



25th August, — Quite well ; had no return of fever after 

 the first application of the tourniquet. 



10th October. — Continues well. 



The complication of intermittent fever with local affections, 

 more particularly with enlargement of the spleen, is very 

 common in Bengal, and renders the cure, in many cases, 

 more difficult ; and a more frequent employment of the 

 tourniquet is required than in the simple forms of ague. 



Case IV. — Sunker, aged 30, was admitted into hospital on 

 the 13th July, in the hot stage of a tertian fever. Spleen en- 

 larged ; the tourniquet was applied for ten minutes in the cold 

 stage of an attack. It immediately put a stop to the cold, and 

 the hot stage which followed, was short and very mild, but 

 was succeeded by a feverishness, which continued during the 

 night. Bowels three times affected ; next morning the skin 

 was cool, and the pulse soft and 62. 



The paroxysms were thus cut short twelve times with the 

 same result, only that the hot stage and the fever went off 

 towards night ; and in one of these occasions, I found the 

 pulse next morning soft, and 48. On the 3rd August he 

 was discharged quite well, when no enlargement of the spleen 

 could be perceived. 



