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CHAP. XI. Of nervous Fevers, Cholicks, Gouts, Afthmas, Rheumatisms, and other Distempers denominated nervous

Conftitution of a Nervous (or, as it is iomctimes called, Malignant) Fever \ it generally attacking thofc of originally or Qccafionally weak Solids or Conftitutions, who have for­ merly had l'ome of the Symptoms and Marks which I have alfigned, in a former Chapter, to belong to weak Nerves ox Fibres : The Symptoms of fuch a Fever arc thefe follow­ ing ·, the Rigour and Chilliuefs, tho' not fo ltrong or violent at firft, yet is longer, more flow and imperceptible; the Burning Heat afterwards is not fo intenfe, nor the Headach and Sicknefs fo great, nor with fuch frequent Vomitings, but rather a continued Sickilhnefs; the Pul/e is neither fo quick, ftrong, or full, as in the inflammatory Kindi, but imall, oppreifed, and iomctimcs inter­ rupted j the Sleep refembles a Lethargick Doling or Dreaming, with Startings; the Water fometimes crude, commonly limpid, pale, and in great Quantity, without any great Sediment at firft ; In ihort, the Fever rather creeps in, than attacks or furprizes, and the whole Duration of the Exordium or firft Stage, is more flow and tedious, than in acute, inflammatory, ordepuratory Feverst infomuch that it is fometimes fix, feven, or perhaps nine Days before it comes to its State, by which any one may judge o f the Duration of the whole, (for the iooner a Fever comes to its State, the ihorter is its Duration) and of its Danger, which is always

greatef

greater from its Nature, and alio bccaufe it is long before Afliftance is called, or Means ufed, or the latent Enemy difcovered ; In its State (efpccially the middle Time of that) the Head is ftupid, confufed, and incapable, rather than delirious; the longue is feldom black, till towards the very End of the Fever, at leaft, not parched, but covered with a thick, white, or browniih Cruft, and generally m oift; the I ’hirjl is io far from being intenfe, that Drink is fcarcc called for, or fwallowcd with Ardour; the Breathing difficult, with Glutting, Gulping, or Choaktng< the tyulfe, tho’ quick, yet fmall and thrcedy ; the Water now fometimes limpid and much, fometimes broken and in fmall Quantities, by turns, but never with a grofs or full lateritious Sediment ; the ‘tendons leaping and jumping: and Pulfations from Flatulency, like what is vulgarly called the Life-Blood, in fcveral Parts of the Body ; and during this whole Period, uncertain Fits o f Coldnels and Rigour, with Succeed­ ing Glowings, and broken, coldifh, faint Sweats, and conftant Exacerbations towards Night, or after Sun-fet ; the Belly, tho’ perhaps it might be open, and tending to­ wards a Diarrhoea at firft, becomes now quite conftipate and tumified with Flatu­ lencies ; the 7'ip of the Nofe and the Ears often cold with an Ichor, and fometimes an Ulcer in thefe laft ; a carelefs and unnatural

Q, 3 Pofture

Pofture of the Kody, with (ituple. childiJh Gefliculations; and, by Turns, a kthargick Doling* or watching Coma, .with flaring Eyes, or their White turn'd outwards. This State continues, or grows worlc, from thq fifteenth to the twentieth, or thirtieth, or fometimes the fortieth Day, i f they live fo long (as generally the Time o f the Crife o f all Fevers is as long as the Exordium, and the Duration of the State, is equal to that of both firft and laft Periods together). Towards the End of this Fever, they either ilccp, as it •were, into the Arms of Death, or if a Crife happens, it is either into a mecr Languor and Infenffbilityy a confirmed Cachexy, with deep Nervous Symptoms, or fettled Melan­ choly, a Palfy, fomc mortified Limb, a vio­ lent Jailing Diarrhoia; and fometimes thole o f the more benign. Kinds terminate in Inter­ mit tent s. This Fever (which always a riles from a Cachexy and great Obftrudions, as well as weak Solids, and which enters, in fome Degree, into our Malignant Fevers o f all Kinds) has infinite Degrees and Va­ riety, according to the original Strength of the Fibres, or the Time of the Patient’s Life, but thofe I have defcribed are the moil com·? mon, and perhaps the worft Symptoms, as any one who has leen andobferyed them mu ft knowr.