370 
VARIOLA 
Variolous Diseases. 
hard ; the breathing sonorous ; the 
breath fetid ; the lips and extremities 
often infiltrated ; the wool pulled 
off with the greatest ease. These 
symptoms are followed on the second 
or third day, or sometimes not until 
the eighth day, by numerous red spots 
on every part of the body; from 
which there arise hard, knotty, cord- 
ed swellings, or rather agglomerations 
of swellings, which soon assume the 
form of large red pustules, princi- 
pally around the natural apertures, 
and sometimes all over the body. 
Some animals die during this eruptive 
process. Sometimes death occurs be- 
fore the eruption appears. 
These pustules contain a bloody 
serous, ichorous fluid. In some cases 
this suppuration is slowly perfected, 
and accompanied by intense fever; 
often by diarrhoea and dysentery, utter 
prostration of strength, convulsions, 
and death on the tenth or twelfth 
day. 
The cases of cure are few in num- 
ber ; the desquamation proceeds very 
slowly ; the period of convalescence 
is always long ; occasionally there is 
revulsion of the eruption ; phlegmon- 
ous tumours ; gangrenous erysipelas ; 
pustules on every part ; aphtha in the 
mouth; blindness. 
Contagious Typhus. 
modical contractions of the neck, the 
haunch, and the arms. 
On the third or fourth day there is 
subcutaneous emphysema along the 
back ; continual motion of the head; 
great flow of tears ; nasal discharge, 
sometimes bloody, and obstructing the 
nostrils ; continual discharge of saliva 
from the mouth; sometimes cough; 
laborious and plaintive breathing; 
constipation, to which succeeds diarr- 
hoea; spots of ecchvmosisonthebody, 
the conjunctiva, and the nasal mem- 
brane ; a violet tint of the pituitary 
membrane, the buccal, the breasts, 
and the vulva : exacerbation of every 
symptom at night. 
On the fourth, fifth, or sixth day, 
there is considerable subcutaneous 
emphysema ; aphthae and buttons in 
the mouth, and around the lips and 
the nostrils ; mucous and bilious 
diarrhoea, followed by dysentery ; the 
matters expelled are black, and ex- 
cessively infectious ; the debility ex- 
treme; the pulse small, quick, and 
almost inexplorable. Blood can with 
difficulty be procured — it is partially 
coagulated in the living vessels — it 
is thick as treacle ; at other times it 
is altogether as thin — it is like the 
water with which flesh has been washed. 
On the seventh or eighth day there 
is profound exhaustion of vital power ; 
and tenesmus, with the constant expul- 
sion of grey or black infectious matter. 
Subcutaneous emphysema forming 
engorgements of great size on various 
parts of the body. 
Death on the second, third, or 
fourth day, and rarely protracted to 
the tenth. The general cutaneous 
eruption is rarely seen in these bad 
cases, or disappears rapidly by me- 
tastasis {Vicq c VAzyr , Beauman , Gi- 
rard, and Dupuy). 
