Occupation of Patients, with reference to Susceptibility, for one year.

Servants 150
Labourers 126
Shoemakers 18
Tailors 17
Fruiterers 13
Carpenters 10
Weavers 10
Bricklayers 8
Bakers 6
Dress Makers 6
Painters 5
Plasterers 5
Sailors 5
Printers 3
Sawyers 3
Butchers 3
Porters 3
Sweeps 3
Chair Women 3
Pot-boys 3
Shop-boys 3
Silversmiths 2
Grocers 2
Furriers 2
Curriers 2
Woodmen 2
Grooms 2
Skinners 2
Fishmongers 2
Gardeners 2
Corkcutters 2
Farmers 2
Braidmakers 2
Watchmakers 2
Cagemakers 1
Guncapmakers 1
Blacksmiths 1
Combmakers 1
Coppersmiths 1
Firemen 1
Distillers 1
Masons 1
Cabinetmakers 1
Milkmen 1
Saddlers 1
Ferulemakers 1
Coachbuilders 1
Mercers 1
Bargebuilders 1
Cheesemongers 1
Sawmakers 1
Clockmakers 1
Upholstresses 1
Poulterers 1
Destitute 230
 
Total 679

Sex of Patient, with reference to Susceptibility.

1825. 1826. 1827. 1828.
Males 289 Males 325 Males 337 Males 278
Females, 299 Females, 351 Females, 339 Females, 319
 
 
 
 
Total, 588 Total, 676 Total, 676 Total, 597

Sex of Patient, with reference to Mortality.

1825. 1826. 1827. 1828.
Males 53 Males 56 Males 48 Males 33
Females, 51 Females, 54 Females, 38 Females, 48
 
 
 
 
Total, 104 Total, 110 Total, 86 Total, 81

Locality of Patient, with reference to Susceptibility.

Country Unhealthy. Town Unhealthy. Town Healthy.
 
Servants 12 31 96
Labourers 0 88 48
Destitute 0 43 50

Table of Ages, with reference to Susceptibility.

Age, for 1825. Age, for 1826. Age, for 1827. Age, for 1828.
Under 10 42 Under 10 27 Under 10 25 Under 10 31
15 67 15 87 15 70 15 80
20 172 20 170 20 163 20 136
25 133 25 143 25 164 25 107
30 81 30 102 30 107 30 84
35 29 35 46 35 35 35 47
40 28 40 37 40 50 40 45
45 10 45 28 45 20 45 21
50 10 50 13 50 13 50 17
55 10 55 7 55 8 55 6
60 1 60 5 60 13 60 14
65 1 65 3 65 2 65 6
70 2 70 3 70 4 70 1
75 1 75 4 75 2 75 2
80 1 80 1 80 0 80 0
85 0 85 0 85 0 85 0
 
 
 
 
Total 588 Total 676 Total 676 Total 597

Table of Ages, with reference to Mortality.

Age, for 1825. Age, for 1826. Age, for 1827. Age, for 1828.
Under 10 3 Under 10 1 Under 10 5 Under 10 4
15 5 15 10 15 5 15 5
20 29 20 35 20 16 20 12
25 25 25 14 25 17 25 11
30 17 30 20 30 18 30 12
35 2 35 3 35 1 35 4
40 7 40 7 40 10 40 7
45 6 45 4 45 5 45 5
50 4 50 5 50 4 50 7
55 3 55 1 55 2 55 1
60 0 60 3 60 1 60 4
65 0 65 2 65 0 65 3
70 2 70 1 70 0 70 0
75 1 75 2 75 2 75 1
80 0 80 2 80 0 80 0
85 0 85 0 85 0 85 0
 
 
 
 
Total 104 Total 110 Total 86 Total 76

Relation between Date of Attack, Admission and Cure, in 600 Cases.

Admitted on. Dismissed on Duration of Disease.
1st Day of Fever 2 11th Day 11 11 Days 11
    12 2 12 2
2 6 13 6 13 6
    14 8 14 8
3 29 15 4 15 4
    16 9 16 9
4 47 17 7 17 7
    18 15 18 15
5 54 19 14 19 14
    20 15 20 15
6 43 21 18 21 18
    22 11 22 11
7 138 23 19 23 19
    24 27 24 27
8 35 25 15 25 15
    26 17 26 17
9 25 27 24 27 24
    28 22 28 22
10 20 29 25 29 25
    30 13 30 13
11 4 31 13 31 13
    32 15 32 15
12 7 33 12 33 19
    34 12 34 12
13 4 35 16 35 16
    36 13 36 13
14 71 37 24 37 24
    38 14 38 14
15 11 39 12 39 12
    40 10 40 10
17 3 41 8 41 8
    42 7 42 7
18 2 43 7 43 7
    44 15 44 15
19 1 45 7 45 7
    46 6 46 6
21 43 47 7 47 7
    48 3 48 3
28 8 49 8 49 8
    50 6 50 6
30 2 51 7 51 7
    52 4 52 4
42 2 53 2 53 2
    54 5 54 5
56 1 55 1 55 1
    56 1 56 1
60 1 57 4 57 4
    58 3 58 3
Unknown 21 59 2 59 2
    60 5 60 5
    62 1 62 1
    Beyond 62 24 Beyond 62 24
    Unknown 16 Unknown 16

Relation between date of Attack, Admission, and Death, for one year, comprehending 84 Cases.

Admitted on
 
3d day of fever 5
4 4
5 2
6 4
7 11
8 6
9 3
10 3
11 2
13 1
14 13
17 1
21 16
28 5
30 1
42 3
Unknown 4
 
 
Died on
 
7th day of fever 1
8 2
9 2
10 4
11 7
12 2
13 1
14 6
15 2
16 2
17 2
18 1
19 1
20 5
21 3
22 1
23 2
24 4
25 2
26 1
27 3
28 3
29 1
30 3
31 4
32 1
33 1
35 4
36 2
37 2
40 1
41 1
42 1
60 2
Unknown 4
 
 
Died on
 
1st day after admission 4
2 5
3 11
4 8
5 5
6 8
7 5
8 2
9 1
10 5
11 4
12 4
13 1
14 7
15 1
16 3
18 1
19 2
20 1
28 1
30 1
34 2
44 1

Proportions of Type out of 300 Cases.

Synochus 235
Typhus Mitior 21
Typhus Gravior 1
Scarlatina 40
Intermittent 1
Remittent 2

Proportions of Internal Characteristic Affection out of 300 Cases.

Cerebral 66
Thoracic 79
Abdominal 60
Mixed 95

Proportions of External Accidental Affection out of 300 Cases.

Erysipelatous 11
Glandular 6
Cynancheal 5
Herpetic 3
Laryngeal 1
Phlegmatial 1
Rheumatic 1
Miscarriage 7
Preternatural Cutaneous Sensibility 4
PRINTED BY G. HAYDEN, LITTLE COLLEGE STREET, WESTMINSTER.

1. Observations on the Treatment of Epidemic Fever, &c. By Henry Clutterbuck, M.D., p. 3–9.

2. Sydenham’s Works, p. 1, 2, &c.

3. Cullen, First Lines, S. 46.

4. Pathological Observations, Part II. on Continued Fever, &c. By W. Stoker, M.D. p. 32.

5. Ibid. p. 34.

6. Pathological Observations, &c. pp. 73, 74.

7. A Practical Treatise on the Typhus or Adynamic Fever, by John Burne, M.D.

8. Pathological Observations on Continued Fever, &c. p. 110.

9. Practical Treatise, &c. p. 161.

10. A Lecture upon Typhus Fever, by W. R. Clanny, M.D. p. 12.

11. Ibid., p. 16.

12. Observations on the Prevention and Treatment of the Epidemic Fever, by Henry Clutterbuck, M.D. p. 5, 6.

13. See a paper in the Medico-Chirurgical Review, for 1828, entitled An Eclectic Review on Fever.

14. Broussais’ exposition of his own doctrine in his own words is as follows. On doit regarder comme nécessairement affectés, dans une maladie, les tissus dont l’irritation est constante durant la vie, et qui en offrent toujours des traces après la mort. Or, les phénomènes de la sur-excitation des muqueuses, et surtout de la gastrique, ne manquent jamais, dans le typhus fébrile, puisque leurs symptômes sont identiques avec ceux des gastro-entérites sporadiques; tandis que ceux des autres phlegmasies ne s’y montrent qu’accidentellement. Ensuite, lorsque les personnes affectées de typhus out le malheur de succomber, on trouve toujours ces membranes rouges, brunes ou noires, pendant que les autres tissus n’offrent d’alteration que dans certaines circonstances accidentelles: done l’irritation des membranes muqueuses est inséparable du typhus fébrile.

Les typhus fébriles sont donc des gastro-entérites, ordinairement compliquèes de catarrhes pulmonaires; ces deux phlegmasies sont le résultat d’un véritable empoisonnement, plus ou moins analogue à celui des champignons et des poissons gâtées, et qui en a tous les caractères.

Le foie, principal annexe du canal digestif, est irrité secondairement, et sa sécrétion est plus ou moins augmentée. Plus le miasme est actif, plus cette lésion est marquée le typhus carcéraires plus la chaleur est intense, plus l’irritation du foie est inflammatoire (la fièvre jaune.)

Le cerveau n’est inflammé primitivement que par l’effet de certaines circonstances qui ont fait prédominer l’action dans son tissu; telles sont les affections morales, la nostalgie, les chaleurs, etc.; mais il souffre toujours beaucoup par sympathie et quelquefois au point que son irritation passe au degré de la phlegmasie, et devient aussi grave que si elle était primitive.—Examen. de la Doctrine Medicale, par F. J. V. Broussais, p. 112–114.

Il n’y a de difference entre les gastrites qui sont ici dépeintes et ces fièvres, que celle qui dépend du degré; car les gastrites aigües qu’on ne peut pas arrêter arrivent toujours ou à l’ataxic ou a l’adynamic, dont les symptômes ne different pas de ceux du typhus. D’ailleurs, la gastrite dont il est ici question est déjà pour les ontologists, une fièvre ataxique.—Histoire des Phlegmasies, par F. J. V. Broussais, Vol. III. p. 39.

15. Observations on the Prevention and Treatment of Epidemic Fever, &c. pp. 11–12.

16. Thus Dr. Stoker states that the remedies “may be arranged according to their relative importance in the treatment of fever, in the following order; viz. In mixed fever, 1. Cleanliness. 2. Ventilation. 3. Cool regimen. 4. Plentiful dilution. 5. Purgatives. 6. Topical bleeding. 7. Antimonial or James’s Powder. In Typhoid Fever. 1. Yeast or barm. 2. Wine. 3. Aperients. 4. Emetics. 5. Blisters. 6. Tepid or cold affusion. 7. Peruvian bark.”—Pathological Observations &c., p. 111. In neither of these catalogues is general bleeding mentioned at all: in the first, topical bleeding is mentioned, but it is placed the last but one in the list, while in the second, allusion even to topical bleeding is wholly omitted. And Dr. Clanny states that the first proposition relative to the cure is how to restore sanguification, or how to afford fresh chyle to the blood; that although in full habits, at the commencement of typhus fever, general blood-letting is often attended with good effects, yet we should remember that if we take one ounce too much, we may thereby prevent sanguification altogether; that therefore it is better to have a sufficient quantity of lymphatic blood in the system them to run the risk of having too little of the pabulum vitæ, for the purpose of carrying on the functions of life, and that in fact venesection is not called for in nine cases out of ten of typhus fever. Let me caution young practitioners, he adds, against the repeated use of the lancet, when the buffy coat shews itself, for in many cases, which have come under my notice, I have observed the buffy coat to be present after repeated bleedings, AND WHICH COULD NOT BE ATTRIBUTED TO ANY OTHER CAUSE THAN DEBILITY.—Lecture on Fever, pp. 21–2–3.

17. It is remarkable that the word which expresses fever, both in the Greek and the Latin languages, signifies to burn or to boil, and it is probable that this state of the system is denoted in most modern languages by some term bearing a similar meaning.

18. A Treatise on Fevers, &c. By A. P. Wilson Philip, M.D. p. 10.

19. Treatise on Fever, &c. By A. P. Wilson Philip, M.D. p. 12.

20. Sydenham’s Works, Chap. 3, p. 11.

21. Sir John Pringle on the Diseases of the Army, p. 66, &c.

22. In scarlatina the affection of the skin modifies the febrile symptoms, as has just been said, considerably: in small-pox exceedingly. If, on this account, any one enamoured of nosological distinctions should wish to separate these varieties of disease, it might be done by dividing continued fever into—

1. Continued fever without an eruption;
Synochus mitior, Typhus mitior,
—— gravior, —— gravior:
2. Continued fever with an eruption;
Scarlatina, Variola,
Synochodes, Synochodes,
Typhodes, Typhodes:

and so on of all the Exanthemata.

Although the eruption may, and without doubt does give rise to some peculiar symptoms and so modifies the fever, yet the true character of the disease, or the disease as a subject of medical treatment, depends entirely on the nature, that is in truth on the intensity of the fever. If, therefore, the Exanthemata can find no place under the genus fever consistently with the principles of nosological arrangement, it appears to me that these artificial distinctions ought to be abandoned: because it is better to reject nosology, than to overlook or to mistake pathology.

23. Observations on the Prevention and Treatment of Epidemic Fever, by Henry Clutterbuck, M.D. p. 15.

24. See pathology—chest cases. John Potter.

25. See page 107.

26. See page 163, 1.

27. See page 163, 2.

28. Those morbid appearances which, not being constant in fever, must be considered as accidental, are placed in brackets throughout this chapter.

29. See Case L.

30. See page 51. et seq.

31. Observations on the Diseases of the Army, by Sir John Pringle, Bart., p. 11. et seq.

32. Observations on the Diseases of the Army, by Sir John Pringle, Bart., p. 36.

33. See a Memoir on Contagion, more especially as it respects the Yellow Fever, &c., by N. Potter, M.D., Baltimore.