August 25. 8th day of fever, Complains of severe headach, referred to the forehead, vertigo, tinnitus aurium, throbbing of temples, intolerance of light; of pain of internal fauces, of hind neck, abdomen on pressure, and of small of back, with general uneasiness and soreness; feels much lassitude, and loss of strength; has frequent cough, with copious sputa, which she reports to be occasionally mixed with blood, frequent nausea, vomiting, and rigours, with flushes of heat: Look rather anxious and oppressed; face flushed, and eyes suffused. Respiration 45. Pulse 128, small and firm; tongue moist and pretty clean; surface hot and dry; belly rather costive; urine free; appetite bad; much thirst; sleeps ill. Can assign no cause for ailments. Has used no reme dies. Complaints commenced with rigours, followed by headach, pain of back, &c. Emittantur e brachio sanguinis 3 xxvi. Habeat sulphatis magnesiæ 3 vi ex aqua, 26th, 9th day.-Has passed a good night. Countenance is very much improved; respiration natural; headach, vertigo, tinnitus aurium, throbbing of temples, intolerance of light, pain of hind neck, nausea and cough are much abated; pain of abdomen not felt even on presShe complains chiefly of pain of small of back. Pulse 78, full and soft; tongue clean and moist; full alvine evacuation from the salts; surface cool; thirst much abated; took some breakfast, the first food taken for some days; blood very sizy. sure. Continuetur decoctum avenæ. 27th, 10th day. Had epistaxis this morning, reported to amount to nearly 3 viij. She is now completely free of ailments. 28th. Convalescent. Omittantur medicamenta. Common diet. 31st.-Dismissed cured. THE HE following eight cases are given as examples of the safety and utility of repeating the evacuation of blood, as often as the symptoms seem to require it. Case, No. 11. JOSEPH BURKET, æt. 28, Flaxdresser, spare habit, me lancholic temperament, July 21. 4th day of a second attack of fever, Complains of headach, vertigo, tinnitus aurium, and throbbing of temples; of pain of breast, and small of back, with much general soreness and prostration of strength; has nausea, occasional rigours alternating with heat, and frequent cough, with copious mucaginous sputa; face is flushed, and eyes suffused. Pulse 120, pretty full and firm; tongue white and moist; bowels reported regular. Surface hot and dry; appetite bad; thirst urgent; sleeps ill. Has used no remedies. Emittantur e brachio sanguinis 3 xx. Habeat misturam mucilaginosam pro tussi, Cras mane capiat sulphatis magnesiæ 3 vi ex aqua. 22d, 5th day.-A bad night; flushing of face is gone; but symptoms are not relieved. Pulse 120, sharp; tongue white but moist; two stools; blood in one cup approaching to sizy. Applicentur hirudines xij fronti. 23d, 6th day.-Leeches bled well, headach a little relieved; but he has passed a bad night; looks oppressed, is restless, breathing is hurried, with frequent cough, exciting pain of breast. Pulse 142, sharp; tongue white; skin hot and dry; four stools. Emittantur e brachio sanguinis 3xx prout ferat, 24th, 7th day.—3 xxiv of blood drawn, which is sizy. He has passed a bad night, with frequent sickness at stomach, and vomiting; cough exciting pain of breast continues, but headach is relieved. Pulse 120, still sharp; tongue foul; four scanty watery stools. Emittantur porro e brachio sanguinis xij, et postea Continuentur alia. 25th, 8th day.-An indifferent night, with raving, but he has enjoyed several hours' quiet sleep since morning; his look is greatly improved, and he feels altogether much easier; headach nearly gone; pain of breast much relieved, but cough is still rather frequent: blister rose well; blood not sizy. Pulse 96, of good strength; tongue white but moist; two stools, scanty, watery, and of dark colour. Repetantur pilulæ aloeticæ, et Cras mane habeat infusi sennæ 3 ii. 26th, 9th day.-Countenance farther improved; complains of some pain of loins, and has occasional cough; other complaints are gone; pulse soft; tongue clean; bowels regular; appetite returning. Continuentur medicamenta. 27th, 10th day.-Convalescent. Omittantur medicamenta. August 2.-Common diet. 5th, 2d day of relapse.-Has complained since yesterday of headach, heat of surface, thirst, and restlessness; and this morning he had several attacks of vomiting; has occasional cough. Pulse 120, full and sharp; tongue loaded: bowels slow. Emittantur e brachio sanguinis 3xviij prout ferat. Low diet. 6th, 3d day of relapse.-3 xx of blood drawn, which is sizy: he passed an indifferent night, but his look is improved; says he has no complaint but sickness at stomach, and vomiting of ingesta. Pulse 120, full and firm ; tongue white; two stools; surface cooler. Continuetur decoctum avenæ. Evening.-Is very restless, with raving: much moaning and very anxious expression of countenance; complains of pain of left side of chest, increased by coughing, and in some degree impeding respiration; has frequent short teazing cough: Sickness at stomach and vomiting of ingesta continue. Pulse 136, full and pretty strong; tongue white; bad taste of mouth; urgent thirst. Emittantur e brachio sanguinis 3 xviij. Capiat aquæ mentha piperitæ 3i, vel alteram, nausea urgente. 7th, 4th day of relapse.-A restless night, but without raving: Expression of countenance less anxious; pain of chest gone: sickness at stomach and vomiting of ingesta continue. Pulse 132, very full and strong; tongue foul; three stools; thin and scanty; blood sizy. Emittantur e brachio sanguinis 3 xii. Habeat pilulas aloeticas xij; sumat iij omni bihorio. 8th, 5th day of relapse.-3 xiv of blood drawn, not sizy : has passed a good night, with a good deal of sweating: look greatly improved; sickness and vomiting gone; took breakfast well, and is now completely free of ailment. Pulse 88, full and soft; tongue moist, but still rather foul; two natural stools; surface of moderate warmth. Continuentur medicamenta. |