190 



FEVER 



The hair was shaved or closely cut, and evapor- 

 ating lotions were applied to the head. The 

 extreme restlessness of the patient often called 

 for a timid narcotic ; in these days, however, the 

 invaluable hydrate of chloral, Sumbul and chlo- 

 rodyne were unknown, and soporifics were used, 

 as it were under protest, being believed to cause 

 constipation. Extreme exhaustion was not vi- 

 gorously attacked with medical and other stimu- 

 lants ; and thus many sank under the want of 

 ammonia and wine. I have since remarked the 

 same errors of treatment in the West African 

 coast ; the patient was often restricted to the 

 acidity-breeding rice water, arrowroot, and simi- 

 lar 'slops.' When he pined for brandy and 

 beef-tea, the safe plan of consulting his in- 

 stincts was carefully ignored. 



In strong constitutions the initiatory attack 

 of remittents is followed after a time by the 

 normal intermittent, and the traveller may then 

 consider himself tolerably safe. In some Indian 

 cases ague and fever have recurred regularly for 

 a whole year after the bilious remittent. 



The bilious remittent of Zanzibar is preceded 

 by general languor and listlessness, with lassi- 

 tude of limbs and heaviness of head, with chills 

 and dull pains in the body and extremities, and 



