A Treatise on the Eclectic Southern Practice of Medicine Page: 83 of 724
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are always well developed; the first symptom which
presents itself in this disease is the cold stage.
Cold Stage.-The patient has indescribable sensations.
of feeling, a great desire to yawn and stretch, and a
chilly sensation along his spine; he soon begins to trem-
ble slightly, and in a few minutes complains of being
very cold, and in many instances his jaws chatter, the
skin becomes very rough, and the urine which he makes
at the time is very pale, and in small quantities; the
pulse is weak, and generally very slow; sometimes
nausea and vomiting; finger nails become blue. The
relation between the violence and duration of the stage
is direct; the former being violent and short, the re-
action will be apt to be vigorous; weak and lengthy
chills usually followed by feeble reaction. A chill oc-
curring in the advanced period of a remittent, indicates
that it is about altering its type or form.
Hot Stage.-In the cold stage the blood recedes from
the surface, and accumulates in the large vessels; it
here regains its warmth, and the pulse soon becomes
very full and rapid, and creates such an excitement as
to produce pain and throbbing in the head, the eyes
become prominent, a dry skin, urine small, and high
Sweating Stage.-After the hot stage the skin becomes
soft, perspiration is profuse and general, urine copious,
and a cessation of pains in the head, loins, &c.
Incidental Symptoms.-We have, occasionally, these
symptoms, such as fainting, delirium, and at times, the
appearance of petecchiceon the surface; by this term we
mean red or purple spots. Pringle mentions, as the
character of an epidemic which he saw prevail, violent
delirium with a clinching of the hands, &c.
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Massie, J. Cam. A Treatise on the Eclectic Southern Practice of Medicine, book, 1854; Philadelphia, Pennsylvania. (texashistory.unt.edu/ark:/67531/metapth143817/m1/83/: accessed July 20, 2017), University of North Texas Libraries, The Portal to Texas History, texashistory.unt.edu; crediting University of Texas Health Science Center Libraries.