TYPHOID FEVER.
THIS disease, which has prevailed extensively at the west, is treated under a variety of names—such as nervous, putrid, gastrionic, brain fever, &c.; while the people of this vicinity, designate it by the name of slow fever, which, in my opinion, is about as descriptive of the disease as any above mentioned. It is most prevalent during the winter and spring. Patients are variously affected during the first stages of the disease. Some are taken with a chill, while others are not conscious of any such sensations, but merely complain of loss of strength and appetite; others complain of pain in their head and back. I have seen some take to their beds, and declare that nothing was the matter with them, and would insist on the correctness of their absurd opinions for several days. The pulse soon becomes small and frequent, the skin hot and dry, while insufferable thirst continually torments the sufferer. Patients frequently manifest a strong propensity to sing, while laboring under it, yet they seldom complain of pain, though delirium be constantly present, and the bowels morbidly sensitive to firm pressure. I have seen patients die without complaining of pain, and yet, on making post mortem examination, satisfactory evidence was furnished that inflammation of the brain, the lungs, and the mucuous membrane of the bowels, were present. These inflammations, therefore, constitute some of the complications of this disease, while a lack of sensibility, points to an obtunded condition of the nervous system. Ordinarily, for four or five days, the disease does not assume an aggravated appearance, during which time the fever has a remitting form; but shortly after this, if the patient is not relieved, the fever becomes continued; and now begin to rise gradually all the worst symptoms of typhoid fever; the tongue, which at first was white, or of a yellowish brown color, now becomes black, dry in the centre, and cracked; the patient soon falls into a deep coma, and delirium is almost constantly present. Twitching of the muscles of the face, subsultus-tendinum, and floccillation, are symptoms which generally attend this disease.