estless, frequently changes his position, is
wakeful, uneasy, and complains of pain in his limbs. In low grades, the
sensibility is blunted, smell, taste, and hearing are impaired.
The patient in the hot stage is generally thirsty, and if he is allowed
to drink much, it may result in nausea and vomiting. Moderate indulgence
in water, however, is permissible. There is aversion to food, and if any
is eaten, it remains undigested. The teeth are sometimes covered with
dark _sordes_ (foul accumulations) early in the fever, and the
appearance of the tongue varies, sometimes being coated a yellowish
brown, sometimes red and dry, at other times thickly coated and white.
The condition of the bowels varies from constipation to diarrhea,
although sometimes they are quite regular. The urine is generally
diminished in quantity, but shows higher color.
The sweating stage in some fevers is very marked, while in others there
is very little moisture, but an evident decline of the hot stage, the
skin becoming more natural and soft. The pulse is more compressible and
less frequent, the kidneys act freely, respiration is natural, the pains
subside, although there remains languor, lassitude, and weariness, a
preternatural sensibility to cold, an easily excited pulse, and a pale
and sickly aspect of the countenance. The appetite has failed and the
powers of digestion are still impaired.
DOMESTIC MANAGEMENT OF FEVERS. It is proper to make a thorough study of
the early, insidious symptoms of fever, in order to understand what
ought to be done. If it arises in consequence of malaria, the treatment
must be suited to the case. If from irritation of the bowels and
improper articles of diet, then a mild cathartic is required. If there
is much inflammation, a severe chill, and strong reaction, then the
treatment should be active. If the fever is of the congestive variety
and the constitution is feeble, the reaction imperfect, a small, weak
pulse, a tendency to fainting, a pale countenance, and great pain in the
head, apply heat and administer diaphoretics, and procure the services
of a good physician.
As a general rule, it is proper to administer a cathartic, unless in
typhoid fever, and for this Dr. Pierce's Purgative Pellets answer the
purpose, given in doses of from four to six, according to the state of
the bowels. If these are not at hand, a tea of sage and senna may be
drunk until it produces a purgative effect, or a dose of Rochelle sa
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