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A Treatise on Fever

Chapter 61: TRANSCRIBER’S NOTES
By Southwood Smith
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Health & Medicine

About This Book

This work presents a practical investigation of fever, analyzing symptoms, pathology, and treatment through systematic observation and hospital case records. It distinguishes fever from inflammation, identifies recurring organ and functional derangements in nervous, circulatory, secretory, and excretory systems, and proposes a classification of febrile illnesses (notably synochus and typhus with milder and graver forms, and scarlatina-related fevers). Chapters combine symptom analysis, pathological findings, tables, and illustrative case studies to trace disease progression, criteria for recovery, and therapeutic indications, while emphasizing careful clinical method and the limits of existing theories.

34. In pursuing these researches, I hope to have the advantage of the co-operation of my friend Dr. Dill.

35. It would be trifling, while treating of so momentous a subject as the proper management of fever, which requires the prompt, vigorous, and yet cautious exhibition of the most powerful remedies, to spend any time in discussing the merits of saline, refrigerant, diaphoretic, antimonial medicines, and the rest of the apparatus, which unfortunately continues to hold the place of direct, honourable, and well-earned (if any thing can be well-earned) remuneration to the practitioner.

36. Watchful of the convalescence as experience had taught us it is necessary to be after so severe an attack, still he was allowed to put himself too forward. When to all appearance recovered, though still weak, he undertook a journey of fifty miles, that he might the more completely re-establish his health in the country. He had not arrived at his journey’s end an hour before he relapsed. He was again bled, and the cold dash was applied a second time with success. From the commencement to the termination of the disease, 120 pounds of blood were abstracted in this case.

TRANSCRIBER’S NOTES

  1. Silently corrected typographical errors and variations in spelling.
  2. Retained anachronistic, non-standard, and uncertain spellings as printed.