Result of the Visitation.
1st, NONE of the patients, whom we visited, had any fever; and they all declared, that they found no inconvenience nor pain; but, on the contrary, eat, drank, and slept well, performing every natural function; which was proved by their plumpness, which appeared even when the disease was most confirmed.
2. The disease began to shew itself in the Negroes by reddish spots, a little raised, upon the skin, being a dry kind of tetter, neither branny nor scabbed, and without any running, but of a livid-red, and very ill-conditioned. The Negroes sometimes bring these spots with them from their own country. The spots are constantly found upon every person troubled with this disease; and are in greater numbers, in proportion as the disease grows more inveterate.
3. Among the whites the disease shews itself at the beginning by spots of a livid violet colour, without pain; which are followed by little watery bladders, particularly upon the legs, which burst, and leave small ulcers with pale edges, and different in their natures from the common ulcers.
4. In proportion as the disease increased, the hands and feet grew larger, without any signs of inflammation; since neither redness, nor pain, nor any oedematous appearance accompanied it; but it was the very flesh, that increased in bulk. And this growth of the hands and feet was not attended with any sharp pain, but only a kind of numbness.
5. This bloated state of the hands and feet was succeeded by white deep ulcers under the skin, which became callous and insensible; and which emitted only a clear serous matter like water, and were but little painful. Afterwards the ends of the fingers became dry, the nails became scaly, and, I don't know how, they were eaten away; the ends of the fingers dropt off; then the joints separated without pain, and the wounds cicatrized of themselves, without the least need of medicines. In the increase of the distemper hardnesses and lumps were formed in the flesh, the colour became tarnished, the nose swelled, and the nostrils grew wide: at last the nose softened like paste, the voice became hoarse, the eyes round and brilliant, the forehead covered with tetters and lumps, as well as the face; the eye-brows became very large, the countenance was horrible, the breath fœtid, the lips swelled, large tubercles were formed under the tongue; the ears grew thick and red, and hung down; and, such was the insensibility of all the parts, that we run pins thro' the hands of several, without their feeling any thing of it. In short, we were assured, that these people perished by degrees, falling into a mortification; and the limbs dropt off of themselves, without any considerable pain, continuing still to perform well their natural functions.
6. These leprous people lived thus easy, if I may be allowed the expression, for several years, even fifteen or twenty; for the disease begins insensibly, and shews itself but very slowly.
7. Antivenereal remedies, which were ordered for almost every patient we saw, were of no service: if they sometimes palliated some symptoms, they very often hastened the progress of the disease: besides, we never found the parts of generation at all infected, nor any thing, that looked like the pox about them.
8. Some of these people had indeed particular symptoms. In some the hair fell off; which was replaced by a finer kind: in others, worms were found in their ulcers: want of sleep, or frightful dreams, afflicted some; while others quite lost their voice, or it became effeminate like that of eunuchs; and others, we found, stunk extremely.
9. Almost all of them, being desirous of concealing their disorders, endeavored to deceive us, by alleging false excuses for the causes of their sores and ulcers: the greater part of them pretended, that the rats had eaten off their toes, and that burns had caused their ulcers. These were the figures, that every where presented to us.