ng the chill
feet with flannel at the eruption of the small-pox, the points of the
flannel stimulate the skin of the feet into greater action, and the
quantity of heat, which they possess, is also confined, or insulated, and
further increases by its stimulus the activity of the cutaneous vessels of
the feet; and by that circumstance abates the too great action of the
capillaries of the face, and the consequent heat of it.
XIII. _Case of continued fever._
The following case of continued fever which I frequently saw during its
progress, as it is less complicate than usual, may illustrate this
doctrine. Master S. D. an active boy about eight years of age, had been
much in the snow for many days, and sat in the classical school with wet
feet; he had also about a fortnight attended a writing school, where many
children of the lower order were instructed. He was seized on February the
8th, 1795, with great languor, and pain in his forehead, with vomiting and
perpetual sickness; his pulse weak, but not very frequent. He took an
emetic, and on the next day, had a blister, which checked the sickness only
for a few hours; his skin became perpetually hot, and dry; and his tongue
white and furred; his pulse when asleep about 104 in a minute, and when
awake about 112.
Fourth day of the disease. He has had another blister, the pain of his head
is gone, but the sickness continues by intervals; he refuses to take any
solid food, and will drink nothing but milk, or milk and water, cold. He
has two or three very liquid stools every day, which are somtimes green,
but generally of a darkish yellow, with great flatulency both upwards and
downwards at those times. An antimonial powder was once given, but
instantly rejected; a spoonful of decoction of bark was also exhibited with
the same event. His legs are bathed, and his hands and face are moistened
twice a day for half an hour in warmish water, which is nevertheless much
colder than his skin.
Eighth day. His skin continues hot and dry without any observable
remissions, with liquid stools and much flatulency and sickness; his water
when observed was of a straw colour. He has asked for cyder, and drinks
nearly a bottle a day mixed with cold water, and takes three drops of
laudanum twice a day.
Twelfth day. He continues much the same, takes no milk, drinks only cyder
and water, skin hot and dry, tongue hot and furred, with liquid stools, and
sickness always at the same time; sleeps
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