lly
the Colon, were tinged with a yellow Bile, and had a slight Degree of
Inflammation all over their Surface; the Gall-Bladder was distended
with a very dark-coloured Bile; but no Concretions were found in its
Cavity, or in the bilious Ducts; nor Mucus, or any other Thing
obstructing these Passages. The Surface of the Lungs seemed slightly
inflamed; and there was a small Quantity of greenish Serum in the
Cavities of the Thorax. I could not learn the Histories of these two
Mens Disorders, before they were brought to the Hospital; but, from
the Symptoms, was inclined to believe, that the Fevers had been of the
malignant or petechial Kind; and that the yellow Colour was only an
accidental Symptom of it; for on one of the Men we could perceive
obscure Traces of dun petechial Spots on his Breast and Arms; and the
malignant Fever was frequent at this Time among the Troops, and the
bilious autumnal Fevers had ceased long before.
[72] Dr. _Pringle_ takes Notice of this yellow Colour or
Jaundice. He says, "some grow yellow, as in the Jaundice.
This was found more frequent during the first Campaign than
afterwards; it was an unfavourable, but not a mortal
Symptom." _Observ._ part iii. ch. 4.--_Hippocrates_ mentions
the Jaundice occurring in Fevers, _Aphor._ iv. Sec. 62 & 64; and
he reckons it a favourable Symptom in ardent Fevers, where it
happens on the seventh Day. See _Book on Crises_'s, sect. 3.
[73] Does this Fever, when accompanied with this universal
Yellowness of the Skin, approach to the Nature of the yellow
Fever of the _West Indies_? As I had so few Cases of this
Kind under my Care, I cannot determine any thing about it
from my own Experience; but, from the Accounts of others, I
should believe them to be very different Disorders.--In the
yellow Fever of the _West Indies_, the Blood appears quite
loose and dissolved, without the least Appearance of Size,
even on the first Day; and the general Yellowness appears on
the third or fourth, with Signs of a total Dissolution, and
gangrenous Diathesis of the Blood: Whereas, in the Remitting
Fever of _Jamaica_, Mr. _Nasmith_ tells us, (See Dr. _Lind_'s
first Paper on Fevers), there is always an inflammatory
Diathesis of the Blood. The Yellowness in both depends on a
Redundancy and Absorption of Bile; but in the yellow Fever of
the _West Indies_, the Bile is in a much more putres
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