of a partial Obstruction of the Circulation. 493 



the hands and feet, followed by copious perspirations, which 

 extends to the sides, and in a less degree to the backs of the 

 hands. The right hand appears to be more affected than 

 the left, and these again more than the soles of the feet. 

 This disease is more troublesome in hot than in cold wea- 

 ther ; and when the health is impaired by any cause, parti- 

 cularly when the bowels are relaxed. 



This disease is not only distressing in itself, but not un- 

 frequently prevents the person affected with it from follow- 

 ing his trade or occupation. 



The dry fever of the feet occurs more frequently in the 

 old and debilitated, who have been afflicted by disease, more 

 particularly with fever and bowel complaints. Under such 

 circumstances the European is not exempt from its attacks, 

 which are of a most distressing nature, without exhibiting 

 any appearance of inflammation or disease of any kind. It 

 exists in very different degrees of severity ; from an uneasy 

 sensation of heat and tingling to a severe burning feel in the 

 soles of the feet. The burning pain often becomes excruci- 

 ating, and sometimes extends along the leg, which prevents 

 sleep, and deranges the digestive organs, and the general 

 health. 



The paroxysms take on a remittent or intermittent form ; 

 and a paroxysm is liable to occur, on exposure to the exciting 

 causes. 



In these cases, the very important perspiratory function 

 which the skin performs in tropical climates, is deranged, 

 more particularly in the soles of the feet and palms of the 

 hands, where the thick cuticle and the diminished force of 

 the propelled fluid prevent such a free circulation, as in 

 other parts of the body. When the system is deranged, such 

 a degree of debility will be the consequence as will pre- 

 dispose him to the disease. Should it occur in the young, 

 the activity of the arterial system is likely to produce copious 

 perspirations soon after the burning feeling is experienced ; 



