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Pra&ice.
M E D I
Febres. the fit was over, he Complained of a moft torturing
pain of the bowels. His tongue was generally moift,
and he had a fuppreffion of urine.—This formidable
difeafe, however, was totally fubdued by the ufe of
cinchona, mercurials, antifpafmodics, opiates, and faline
draughts.
134 The Eruptive Tertian. Sp. I. var. 3. I.
lertiana petechialis, Sauv. fp. 3. Donat. Lautter.
Tertiana fcorbutica, Wedel. A. N. C. Dec. I. A.
II. obf. 193.
Tertiana urtieata, Sauv. fp. 22. Elanchon. Jcurn. de
Med. 1763. C/cghorn.
Tertiana miliaris, Sauv. fp. 21. Walthieri de Med.
Ger.
This fpecies of tertian is accompanied with red or
livid blotches on the Ikin, or an eruption like that oc-
cafioned by the flinging of nettles. In the latter cafe
Dr Cleghorn fays the difeafe is very dangerous 5 and
as the former indicates an incipient diffolution and pu¬
trefaction of the blood, it muft alfo be reckoned of very
dangerous tendency.
?35 The bijlammatory Tertian. Sp. I. var. 3. K.
Tertiana pleuritica, Sauv. fp. 4. Valef. Lautt.
Pleuritis periodica, Sauv. G. 103. fp. 14.
Tertiana arthritica, Sauv. fp. 5. Morton. Lautt.
Sauvages informs us, that he has feen a true and
genuine pleurify having all the pathognomic figns of
the difeafe, but afluming the form of an intermittent ;
that is, the patient is one day affeCted with the pieuri-
fy, and the next feemingly in perfeCt health. He alfo
tells us, that in the month of May 1760, a tertian
raged epidemically, which after the third fit imitated
a. pleurify, the pain of the fide, and difficulty of
breathing coming regularly on, and the fever from
an intermittent becoming remittent; the blood had
alfo the fame appearance with that of pleuritic per-
fons, and the dirtemper yielded to bleeding and gentle
cathartics.—Morton alfo informs us, that he has ob-
ferved fimilar diforders an hundred times, which were
always certainly and fafely cured by the Peruvian
bark.
136 The Tertian complicated with other Diforders.
Sp. I. var. 4.
Tertiana fcorbutica, Sauv. fp. q. Etmuller, Timccus.
Tertiana fyphilitica, Sauv. fp. 1 7. Deidier.
Tertiana verminofa, Sauv. fp. 18. Stiffcr. in aft.
Helmftad. Lancif. de noxiis palud. Pringle.
Ramazzini. Van den Bofch. de conft. vermin.
The fcorbutjc tertian, according to Sauvages, is ex¬
ceedingly anomalous, its periods being fometimes much
anticipated, and fometimes mucli poftponed. It is ex¬
ceedingly obftinate, and will return if the body be
not cleared of its fcorbutic taint. The patient- is affeft-
ed with lancinating pains of a wandering nature. The
urine lets fall a dulky red fediment, or a thick branny
matter is copioufly fcattered up and down in it, feem-
ingly tinged with blood. The ufual fymptoms of feur-
vy, viz. livid fpots, and rotten fetid gums, alfo fre¬
quently occur. For this the Peruvian bark is very ufe-
ful, both as a febrifuge and antifcorbutic.
A tertian accompanied with worms is taken notice
CINE. 247
of by Sir John Pringle in his treatife on the difeafes of Tertiana.
the army. The worms, he tells us, were of the round
kind } and though we are by no means to reckon them
the caufe of the fever, they never failed to make it
worfe,' occafioning obftinate gripings or ficknefs at fto-
mach. In thefe cafes flitches were frequent j but, be¬
ing flatulent, were not often relieved by bleeding. The
worms were difeharged by vomiting as well as by ftool.
For difeharging thefe ivorms, he commonly gave half
a dram of rhubarb with 12 grains of calomel j without
obferving any inconvenience from fuch a large dofe of
mercury. Anthelmintics, which aft flowly, had little
chance of doing good ; for though worms will fome¬
times lie long in the bowels without giving much un-
eafinels to a perfon otherwife well, yet in a fever, efpe-
cially one of a putrid kind (to which his intermittents
always feemed to incline), the worms being difturbed
by the increafe of heat, and the corruption of the hu¬
mours in the prints vue, begin to move about, and
flruggle to get out. Lancifius, who makes this remark,
adds, that, upon opening the bodies of fome who had
died at Rome of fevers of this kind, wounds were found
in the inteftines made by the biting of the worms ; nay,
that fome of them had even pierced through the coats
of tire guts, and lay in the cavity of the abdomen.
Pringle never had any inftance of this ; but knew
many cafes in which the worms efcaped by the patient’s
mouth, though there had been no previous retching to
bring them up. One foldier was thrown into violent
convulfions, but was cured by the above-mentioned
powder.
The Tertian varied from its Origin. Sp. I. 137
var. 5.
Tertiana accidentalis, Sauv. fp. 12. Sydenham.
Tertiana a fcabie, Sauv. fp. 12. Juncker, tab. 80.
Hojfman, II. p. 12.
The exiftence of fevers of this kind, as we have al¬
ready oaferved, is denied by Dr Cullen j the acci¬
dental fever of Sauvages was faid to arife from any
flight error in the non-naturals, and confequently was
very eafily cured. That which arofe from the repul-
fion of the itch, was cured as foon as the eruption re¬
turned. ,
The Tertian with only a remijjion between the Remittent
fits. Sp. II. tertian.
Tritaeophya, Sauv. Gen. 85. Sag. p. 695.
Tritaeus, Lin. 21.
Hemitritaea, Lin. 23.
Tertianae remittentes et continuae Auftorum.
Tertianae fubintrantes, proportionatae, fubcontimue,
Torti.
Tertiana fubcontinua, Sauv. fp. 19.
Quotidiana deceptiva, Sauv. fp. 2.
Amphimerina femiquintana, Sauv. fp. 24.
Tritaeophya deceptiva, Sauv. fp. 10.
Caufus Hippocratis.
Tritaeophya caufus, Sauv. fp. 2.
Febris ardens Boerhaavii, aph. 738.
Tertiana perniciofa, quae fimulata tertiani circuitus
effigie lethalis, et mille accidentibus periculofiffi-
mis implicata, exiftit. Lud. Mercatus.
Tertiana peftilens, P. Sal. Diverfus.
Tertiarfa

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