6 MISCELLANEOUS PAPERS. 



Associated with these symptoms were those of prostration, with rest- 

 lessness and great thirst. Pain was referred to various localities 

 The temperature usually remained normal or was subnormal, rarely 

 exceeding 99° F. fl At times it reached 100° F. There are, however. 

 very few recorded cases in which the temperature was actually meas- 

 ured by a thermometer. 6 The pulse remained about normal, but 

 might at times be accelerated. Nothing very characteristic was noted 

 concerning the tongue save that it was enlarged/ In certain cases 

 difficulty in swallowing was reported; in others hiccough was a more 

 or less prominent symptom/ 7 Xo reports were made as to the con- 

 dition of the pupil or of any ocular disturbances save an intolerance 

 of light/ 



There was said to be an incubation period of from two to ten days/' 

 although apparently some cases had no such period/ The disease 

 itself usually lasted from two to twenty days, but chronic cases are 

 reported. 7 ' The disorder generally occurred in spring or autumn. 

 particularly in autumn, although it might appear at any season. 1 ' 

 The conditions which were especially favorable for its development 

 were said to be those which interfered with normal excretion.' One 

 attack gave no immunity, but rather predisposed to a second one. 71 ' 



The post-mortem records are few -in number. The only lesions 

 reported are those of irritation and inflammation of the* stomach and 



a Kiiumell. J. A. Milk Sickness iu America. Verkandl. d. X internat. med. 

 Cong., vol. 2. pt 5, p. 54, 1891. 



& Hurd, A. Milk Sickness. Clinic. Cincinnati, vol. 9. p. 280, 1S75.— Way. 

 J. H. Clinical History, Nature and Treatment of " Milk-Sickness." Ainer. 

 Jour. Med. Sci., n. s., vol. 106, p. 310, 1S93.— Tandell, L. P. Inquiry into the 

 Nature of the Disease Called Milk-Sickness. West. Jour. Med. and Surg., 3 s., 

 vol. 9, p. 393. 1852. — Drake. D. Memoir on the Disease Called by the People 

 "' Trembles.'" West. Jour. Med. and Surg., vol. 3. p. ITS, 1841. 



c Graff, G. B. On the Milk Sickness of the West. Ainer. Jour. Med. Sci.. 

 n. s.. vol. 1, p. 351. 1811. 



d Coleman, A. Observations on the Disease Generally Known by the Name of 

 the Sick Stomach. Phila. Jour. Med. and Phys. Sci.. vol. 4. p. 325, 1S22. 



e Graff, G. B.. 1. c. p. 351. 



f Beach, W. M. Milk Sickness. Trans. Ohio State Med. Soc. vol. 38, pp. 131, 

 133, 1881.— Kimmel. J. A.. 1. c. p. 50. 



s Tandell, L. P., 1. c, p. 391. 



7 ' Yandell, L. P., 1. c, p. 392.— Kimmell. J. A.. 1. c. p. 51. 



* Byford. W. H. Milk Sickness. Nashville Jour. Med. and Surg., vol. 9, p. 

 467, 1S55.— Yandell. L. P., 1. c. p. 379.— Beck, J. C. Milk- Sickness. North- 

 West. Med. and Surg. Jour., vol. 14. p. 497. 1S57. 



•'" Philips, W. H. Milk Sickness. Cincinnati Lancet and Observer, vol. 3S, 

 p. 142. 1877. 



7 *- Philips. W. H., 1. c, p. 147.— Yandell. L. P.. 1. c, p. 392. 

 121—1 



