CO129-408 - Public Offices & Others - 1913 — Page 364

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342

to the influence of night air in the close vicinity of marshes.

Sydenham adverts to congestive fever, although he does not enter

into a full explanation of it. The great difference between marsh

congestive fever and ardent fever are that the former is induced

by pagudal effluvia during the night, the latter by exposure to

the solar rays, by stimulants, perhaps of a poissnova character,

and by over fatigue.

The marsh congestive is ushered in by chilliness, coldness

of the extremities, small quick pulse, dull pain inthe head

and lumbar ragione, vomiting and watery diarrheasa, a purple

or livid or corrugated state of the skin, constriction of the

chest, pain over the precordis, with considerable thirst, and

perhaps a few hours low delirium. The muent fever on the con-

trarycommences with severe pain of the head, very hot skin,

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quick, full, and bounding pulse, extreme rostlessness, flushed

face, tongue red and furred on the centre, eyes suffused, urine

nigaly coloursɑ and sounty. There also vomiting with bilions

diarrhoses, and in the course of a few hours violent delirium.

This violent, mad delirium is not however so fatal a symptom

in ardent fever as the low muttering delirium which occurs in

the worst cases of congestive fever. the former disease, I think

is more confined to the venous, the latter to the arterial system.