This section is from the book "The Lady's Assistant: Family Physician", by P. Davey and B. Law.
This comes on with flight tran-sient chilnesses, often in a day, and uncertain flushes of heat. They are listless, and seem to be quite weary; they are apt to sigh, and complain of a heaviness, sinking of the spirits, with a load, pain and giddiness in the head; as also to yawn and doze; they have no stomach, and difrelish every thing; they have a reaching to vomit, but bring up little or nothing. The 7 breathing is difficult by fits, and at night all the symptoms grow worse with a low, quick, unequal pulse, which must be particularly observed, as being an inseparable sign of this disease. The countenance is heavy and dejected; sometimes they are quite wakeful, or if they fall asleep, they will not own it. They make water often and suddenly. The urine is pale. There is often a dull pain and coldness on the hind part of the head, or a heavy pain on the top of it. These commonly precede a delirium. About the eighth day, the giddiness, pain, or heaviness of the head become much greater, and all the symptoms are stronger. The patient is subject to faint in attempting to sit up, which may be sometimes fatal, and there-fore must be avoided.
In the cure, all strong medicines must be shunned : however, a gentle puke may be given at first, and clysters of milk, sugar, and salt may be thrown up every second or third day. blisters and mild diaphoretics are chiefly to be depended upon; for a breathing sweat gives ease, but a large one is pernicious. "Take of the compound powder of crabs-claws, fifteen grains; "saffron, caster, of each three grains; mix them and make "a powder." This may be taken every fourth or sixth hour, in sack whey or soft wine. This last is a great cordial in this disease, and will support and revive the spirits strangely; for which reason, cordial juleps should not be given by spoonfuls, but by draughts. When there is a great confusion and dejection of spirits, blisters may be laid to the neck, back part of the head, or behind the ears. Whatever symptoms appear, for this disease will put on various shapes, avoid bleeding when the pulse is small, quick, and unequal, which is always the cafe in this fever. When the breathing is thick and laborious, with sighing or sobbing, then give the following bolus: "Take compound powder of contrayerva, fifteen grains; of "safsron, three grains; of confection alkermes, enough to "to make a bolus." After which, the following draught must be drank: "Take half an ounce of the juice of lemons, "twenty grains of salt of wormwood; then add an ounce "and a half of simple alexiterial water, a dram and a half of "compound lavender water, and as much of syrup of saffron, "as also, a dram of fine loaf sugar; mix them." When vast tremblings come on, and twitching of the tendons, in-ftead of the bolus, give ten or fifteen grains of musk, which may be repeated every fifth, sixth, or eighth hour. Like-wise, lay a blister to the thighs, legs, and arms. Be sure re member, to indulge the patient with any sort of wine he likes best. Towards the decline of the fever, when the sweats are copious and weakening, you may give the following tincture of the bark, every fourth, sixth, or eighth hour: "Take two ounces "of Peruvian bark, an ounce and a half of the yellow part "of orange-peel, three drams of Virginian snake-root, four "scruples of saffron, two scruples of cochineal, and a pint "and a gill of French brandy; put them into a bottle, cork "it up, and let them stand for some days." When there is an evident intermission, other preparations of the bark may be given, with half an ounce of the syrup of lemons, and twenty grains of salt of wormwood. A dose of rhubarb now and then will carry the putrid humours downward.