calling upon a physician. If, on the
other hand, fevers are neglected and no treatment instituted, they
become more serious in character and are more difficult to cure.

To recapitulate, our treatment recommends evacuation through nature's
outlets, the skin, kidneys, and bowels, maintaining warmth, neutralizing
acidity, using antiseptics, tonics, and the hand-bath, and the fluid
extract or tincture of aconite, or veratrum to moderate the pulse by
controlling the accelerated and unequal circulation of the blood. It is
a simple treatment, but if judiciously followed, it will often abort a
fever, or materially modify its intensity and shorten its course.

FEVER AND AGUE. (INTERMITTENT FEVER.)

The description of fever already given applies well to this form of it,
only the symptoms in the former stage are rather more distinct than in
the other varieties. Weariness, lassitude, yawning, and stretching, a
bitter taste in the mouth, nausea, less of appetite, the uneasy state of
the stomach and bowels are more marked in the premonitory stages of
intermittent fevers. The cold stage commences with a chilliness of the
extremities and back, the skin looks pale and shriveled, the blood
recedes from the surface, respiration is hurried, the urine is limpid
and pale, sometimes there is nausea and vomiting, and towards the
conclusion of the stage, the chilly sensations are varied with flushes
of heat. The hot stage is distinguished by the heat and dryness of the
surface of the body and the redness of the face; there is great thirst,
strong, full, and hard pulse, free and hurried respiration and increased
pain in the head and back. The sweating stage commences by perspiration
appearing upon the forehead, which slowly extends over the whole body,
and soon there is an evident intermission of all the symptoms. In the
inflammatory variety of intermittent fever, all these symptoms are
acute, short, and characterized by strong reaction. Gastric fever, the
most frequent variety of intermittent fever, is marked by irritation of
the stomach and bowels, and a yellow appearance of the white of the eye.

CAUSES. The cause of the malarial fevers, intermittent, remittent, and
congestive, is supposed to be _miasm_, a poisonous, gaseous exhalation
from decaying vegetation, which is generally most abundant in swamps and
marshes, and which is absorbed into the system through the lungs.

TREATMENT. During the entire paroxysm the patient should be ke