sorders, seems to arise sometimes from Spasms of the Ducts;
or from too great a Quantity of Bile secreted and absorbed into the
Blood, which seems evidently to be the Case where large Quantities of
Bile are either vomited or discharged by Stool; a Proof that the
biliary Ducts are clear, and free from Obstructions.

In the End of the Campaign of 1760, after a continued Rain for many
Weeks, the Jaundice had been very frequent, and in a Manner
epidemical, among the Troops, for some Time before they left the
Field; and in passing thro' _Munster_, about the End of _December_, I
observed several ill of that Distemper in Hospitals, and met with a
few Cases of this Kind in the Hospitals at _Paderborn_ in _January_
1761; but during the Spring and Summer, we had only one or two now and
then sent to the Hospitals for this Complaint; though towards the End
of the Campaign it became more frequent, and several were sent down to
_Bremen_; and some of the Garrison were likewise affected with it.
During the Winter not above four or five were sent to the Hospitals I
attended, and but a few to the flying Hospital, during the Campaign
1762. It frequently appeared in dropsical Cases, depending on
obstructed Viscera.

Those in whom the Jaundice was the original Disorder, and not
complicated with any other, generally got well soon; but where it
appeared in dropsical Cases, depending on obstructed Viscera, it was
commonly fatal.

In the Beginning of this Disease, Patients usually complained of
Sickness, Heat, Thirst, and other feverish Symptoms; and some had a
Vomiting, and Pain of the Stomach, for a Day or two before the
Jaundice appeared; the Urine was always of a deep Colour from the
first; and about the second or third Day the Skin, and the Whites of
the Eyes, began to be tinged with a yellow Colour, attended with the
common Symptoms of this Disorder.

Such was the Manner in which the Jaundice began in those who were
taken ill in Garrison; but those sent us from the Army could seldom
give any accurate Account of their own Cases.

In the Course of this Disorder, the Sick were inclined to be costive,
though some few had a Diarrhoea; several, who had been reduced by
Fevers, or other Complaints, before the Jaundice appeared, were
attacked with violent Haemorrhages from the Nose; and two had like to
have died of them before the Bleeding was stopped. The Haemorrhages did
not prove critical, but seemed to depend on a dissolved State of the