PART 7
VII. But those fevers which were altogether continuous
and never intermitted at all, but in all cases
[p. 159]
grew worse after the manner of semitertians, with
remission during one day followed by exacerbation
during the next, were the most severe of all the
fevers which occurred at this time, the longest
and the most painful. Beginning mildly, and on
the whole increasing always, with exacerbation,
and growing worse, they had slight remissions
followed quickly after an abatement by more violent
exacerbations, generally becoming worse on the
critical days. All patients had irregular rigors that
followed no fixed law, most rarely and least in
the semitertians,
1 but more
violent in the other
fevers. Copious sweats, least copious in the semitertians ;
they brought no relief, but on the contrary
caused harm. These patients suffered great
chill in the extremities, which grew warm again
with difficulty. Generally there was sleeplessness,
especially with the semitertians, followed afterwards
by coma. In all the bowels were disordered
and in a bad state, but in the semitertians they were
far the worst. In most of them urine either (
a）
thin, crude, colourless, after a time becoming slightly
concocted with signs of crisis, or (
b) thick enough
but turbid, in no way settling or forming sediment,
or (
c) with small, bad, crude sediments, these being
the worst of all. Coughs attended the fevers, but
I cannot say that either harm or good resulted from
the coughing on this occasion.
