omach was the remote cause.
His tongue was not very much furred or very dry, nor his breath very hot;
which shewed, that there was no great increase of the action of the mucous
absorbents, nor of the pulmonary capillaries, and yet sufficient to produce
great emaciation. His urine was nearly natural both in quantity and colour;
which shewed, that there was no increase of action either of the kidnies,
or of the urinary absorbents.
The bathing his legs and hands and face for half an hour twice a day seemed
to refresh him, and sometimes made his pulse slower, and thence I suppose
stronger. This seems to have been caused by the water, though subtepid,
being much below the heat of his skin, and consequently contributing to
cool the capillaries, and by satiating the absorbents to relieve the uneasy
sensation from the dryness of the skin.
He continued the use of three drops of tincture of opium from about the
eighth day to the twenty-fourth, and for the three preceding days took
along with if two large spoonfuls of an infusion of bark in equal parts of
wine and water. The former of these by its stimulus seemed to decrease his
languor for a time, and the latter to strengthen his returning power of
digestion.
The daily exacerbations or remissions were obscure, and not well attended
to; but he appeared to be worse on the fourteenth or fifteenth days, as his
pulse was then quickest, and his inattention greatest; and he began to get
better on the twentieth or twenty-first days of his disease; for the pulse
then became less frequent, and his skin cooler, and he took rather more
food: these circumstances seemed to observe the quarter periods of
lunation.
XIV. _Termination of continued fever._
1. When the stomach is primarily affected with torpor not by defect of
stimulus, but in consequence of the previous exhaustion of its sensorial
power; and not secondarily by its association with other torpid parts; it
seems to be the general cause of the weak pulsations of the heart and
arteries, and the consequent increased action of the capillaries, which
constitute continued fever with weak pulse. In this situation if the
patient recovers, it is owing to the renovation of life in the torpid
stomach, as happens to the whole system in winter-sleeping animals. If he
perishes, it is owing to the exhaustion of the body for want of nourishment
occasioned by indigestion; which is hastened by the increased actions of
the capillaries and ab
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