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228 buchan's
The most lavourable symptoms are a slow eruption
nnd an abatement of the ferer as soon as the pus¬
tules appear. In a mild, distinct kind of small-pox,
the pustules seldom appear before the fourth day
from the time of sickening, and they generally keep
coming out gradually for several days after. Pus¬
tules which are distinct, with a florid red basis, and
which fill with thick purulent matter, first of a
whitish, and afterward of a yellowish colour, are the
best.
A livid brown colour of the pustules is an unfa¬
vourable symptom; as also when they are small and
flat, with black specks in the middle. Pustules
which contain a thin watery ichor are very bad. A
great number of pox on the face is always attended
with danger. It is likewise a very bad sign when
they run into one another.
It is a most unfavourable symptom when petechise,
or purple, brown, or black spots are interspersed
among the pustules. These are signs of a putrid
dissolution of the blood, and shew the danger to be
very great. Bloody stools or urine, with a swelled
belly, are bad symptoms ; as is also a continual stran¬
gury. Pale urine and a violent throbbing of the
arteries of the neck are signs of an approaching deli¬
rium, or of convulsion-fits. When the face does not
swell, or falls before the pox come to maturity, it
is very unfavourable. If the face begins to fall about
the eleventh or twelfth day, and at the same time
the hands and feet begin to swell, the patient ge¬
nerally does well; but when these do not succeed to
each other, there is reason to apprehend danger.
When the tongue is covered with a brown crust, it is
an unfavourable symptom. Cold shivering fits coming
on at the height of the disease are likewise unfavour¬
able. Grinding of the teeth, when it proceeds from an