An obstinate wakefulness continued through the whole of the disease in Dr. Leib. It was common during the convalescence, in many cases.
The whole body was affected, in many cases, with a morbid sensibility, or what has been called supersensation, so that patients complained of pain upon being touched, when they were moved in their beds. This extreme sensibility was general in parts to which blisters had been applied. It continued through every stage of the disease. Dr. Physick informed me, that he observed it in a man two hours before he died. In this man there was an absence of pulse, and a coldness of his extremities. Upon touching his wrist, he cried out, as if he felt great pain.
V. A redness in the eyes was a general symptom. I saw few recoveries where this redness was not removed.
A discharge of matter from one ear relieved Mr. J. C. Warren from a distressing pulsation of the arteries in his head.
VI. Glandular swellings occurred in several instances. Two cases of them came under my notice. They both terminated favourably.
VII. The blood had its usual appearances in this disease. In the yellow fever which prevailed at the same time in Boston, Dr. Rand says the blood was sizy in but one out of a hundred cases.
The forms of the fever were nearly similar to those which have been described in the year 1797. I saw several cases in which the disease appeared in the form of a tertian fever. In one of them it terminated in death.
The system, in many cases, was prostrated below the point of inflammatory re-action. These were called, by some practitioners, typhous fevers. It was the most dangerous and fatal form of the disease. Its frequent occurrence gave occasion to a remark, that our epidemic resembled the yellow fever of the West-Indies, much more than the fevers of 1793 and 1797.
I attended two patients in whom the disease was protracted nearly to the 30th day. They both recovered.