492 Observations on the medical effects 



It continues the same as that of the leg, unless when it 

 terminates in a painful hardness which suppurates. Sup- 

 posing that the tourniquet might be employed with advan- 

 tage by diminishing the quantity of blood sent to the limb 

 affected^ and by increasing the mass in the rest of the body, 

 that the morbid action might thus be removed, I applied it 

 in the following case. 



Case VI. — Petumber Doss, aged 23, has his left leg twice 

 the size of the other from elephantiasis. He had likewise 

 a large discharge of serum from a number of pustules which 

 had formed on the swollen part. The periodical fever was 

 stopped by the ligature. He slept after this, and next morn- 

 ing was quite free from fever. Had no return of fever for 

 a considerable time afterwards. 



Ephidrosis, or Burning in the feet and hands. 



This is a very common endemic complaint in the moist 

 plains of Bengal, and attacks all ages and both sexes ; but it 

 is most common in persons engaged in sedentary employ- 

 ments. In the dry sandy plains of Upper Hindoostan, it is 

 never seen. There are two varieties of the disease, the moist 

 and the dry ; the former being most commonly seen in the 

 young, and the latter in the old. 



The burning in the hands with moisture generally attacks 

 individuals at an early age, and in some cases appears to be 

 hereditary. In this variety, the paroxysms come on periodi- 

 cally, but they are produced at any time on any cause 

 agitating the body, or accelerating the pulse. Thus I have 

 seen a youth standing before me, and exerting himself men- 

 tally, attacked with a paroxysm of the disease so severely, 

 that large drops of perspiration fell rapidly from the ex- 

 tremities of the fingers. When the part is wiped dry with 

 a cloth, it again becomes bedewed with moisture. Before 

 this takes place, the person feels a hot burning sensation in 



