A Treatise on the Eclectic Southern Practice of Medicine Page: 99 of 724
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seldom affected; there is at times wandering during the
exacerbations, and occasionally we meet active delirium.
We sometimes have stupor, but it is generally not of long
duration, and like delirium does not exist as a prevailing
feature. ' In those cases which have been styled hepatic
remittent there is an absence of bile in the matters
evacuated, whether by vomiting or stool, until towards
the close of the attack, when there are large evacuations
of dark, pitch-like matter, which have been regarded as
critical." For myself, I can only assert, that I view
such discharges as the most favorable omen, and during
the course of my practice I do not recollect one solitary
case that did not recover when such evacuations were
established. It is true they have a very depressing in-
fluence at the time, and the patient has every appear-
ance of sinking, but in a short time his system reacts,
and he is more vigorous than he was before the discharges
commenced. As I before said, I do not recollect one
solitary exception to this rule.
Remote Cause.-This form of fever is produced by
certain irritating and depressing causes. Miasma gene-
rally has the greatest tendency to produce remittent
fever. My own impression is, that it acts upon the
solids, it is soon transferred into the blood vessels, and
its peculiar influence is conveyed through the nervous
system, which generally produces muscular debility, and
when we find the heart's action rapid it is almost inva-
riably the result of depression of the nervous system.
The excretions and secretions are all perverted in quality.
We have a feeble appetite, the surface is generally hot,
the blood is acted upon from .the foreign poison which
emanated from the solids; the depression is after a time
followed by reaction, which is the first of the hot stage.
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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/m1/99/: accessed August 18, 2017), University of North Texas Libraries, The Portal to Texas History, texashistory.unt.edu; crediting University of Texas Health Science Center Libraries.