192 



FEVER. 



power, the ejecta become offensive ; the pulse is 

 almost imperceptible ; the skin changes its dry 

 heat for a clammy cold ; the respiration grows 

 loaded, the evacuations pass involuntarily; and 

 after perhaps a short apparent improvement, 

 stupor, insensibility, and sinking usher in death. 

 On the other hand, if the fever intends yielding to 

 treatment, it presents after the 7th day marked 

 signs of abatement ; the tongue is clearer, pain 

 leaves the head and eyes, the face is no longer 

 flushed; nausea ceases after profuse emesis of 

 bile, and a faint appetite returns. 



After the mildest attacks of the Zanzibar re- 

 mittent, the liver acts with excessive energy : 

 sudden exercise causes a gush or overflow of bile, 

 which is sufficient to bring on a second attack. 

 The debility, which is inordinate, may last for 

 months. It is often increased by boils, which 

 follow one another in rapid succession, and which 

 sometimes may be counted by scores. Besides 

 the wet cloth, the usual remedy to cause granul- 

 ation, and to prevent the sore leaving a head, is 

 to stuff it with camphor and Peruvian bark. 

 When boils appear behind the head, the brain is 

 sometimes affected by them, and patients have 

 even sunk under their sufferings. The recovery, 

 indeed, as in the case of the intermittent type, 



