The fever makes its attack with sudden loss of strength, in-somuch that the patient can hardly walk or stand upright, and is apt to faint. The head aches from the very beginning, and is hot and dull, with lowness of spirtts, and a kind of despair. The patient has little or no sleep, at least that is refreshing. The appetite is lost, the countenance dejected, the pulse is weak, small, and unequal. The patient lies in bed in a disorderly manner. There is an oppression of the breast, sometimes with a dry cough. There is an undulatory and tremulous twitching of the fibres of the muscles and tendons; as also, a leaping or twitching of the tendons themselves. However, some are insensible of all other symptoms but weakness and want of sleep. On the fourth, fifth, and seventh day, the spots appear on the back and loins of various colours, generally without relief, be-ing rather symptomatical than critical.

In the cure, a full quick tense pulse indicates moderate bleeding, which must, never be repeated. Besides, taking away a large quantity at first is generally fatal. If the head only suffers, it will be safest to take blood away from the temples with leeches. When there is a delirium, with a funk pulse, bleeding is pernicious. Many have recovered without bleeding, but few or none that have loft much blood. Vomits at the be-ginning may nip the disease in the bud. When the fever is fixed, and vomiting comes on of itself, it may be then dangerous to give one. But some draughts of camomile tea may be allowed, and the juice of lemons with salt of wormwood, mentioned in the nervous fever, and three quarters of an ounce of syrup of white poppies, may be all given to allay the commotions; but the common use of opiates is dangerous.

Costiveness may be removed by laxative emollient clysters, and will be proper at any time of the fever, when there is a nauseous bitterness in the mouth, sickness at the stomach, with belchings that have a strong smell. The next care is to promote a breathing sweat, which must be done by mild means: "Take "of contrayerva root, ten grains; of nitre, six grains; of "camphire, three grains; make a powder." This may be taken every third hour. But the molt certain remedy to procure a sweat, is half an ounce of the spirit of Mindererus. If the patient can be brought to a thorough sweat with a rising pulse, it may prove critical; but it must never be forced: when it is too profuse in the beginning, it must be checked.

If nature endeavours to relieve herself by vomit, between the seventh and fourteenth day, or by loose stools, a gentle laxative of manna, or cream of tartar may be proper, unless the appearance of an eruption, or a kindly sweat forbid it. When the looseness is too profuse, it may be checked with red wine mulled with cinnamon, or an astringent clyster with diascor-dium : but it is very dangerous to suppress a critical loofeness too soon, especially as the disease is often carried off that way. It certainly promotes health, when the fever is part the height, when there is a gentle breathing sweat, or a warm moisture of the {kin. When the pulse sinks with a loofeness, some drops of liquid laudanum may be added to other medicines.

When the pulse sinks and the stupor increases, at which time the spots commonly appear, the general remedies are an alexi-pharmac decoction, a cordial mixture, or wine given alternately, and the patient must never be two hours without drinking some of them. The alexipharmac decoction is thus made: "Take Virginian snake-root bruised, and the Peruvian bark "in powder, of each three drams; boil them in a pint of wa-"ter to one half, strain off the liquor, and then add an ounce "and a half of spirituous cinnamon water, and a quarter of "an ounce of syrup of cloves." The dose is four spoonfuls every fourth or sixth hour. This will keep the patient from sinking under the disease, and, when the fever is gone, will be a preservative against a relapse. The snake-root alone may be given as soon as the pulse begins to fail; but the bark is not to be added till the decline of the disease. The patient may like-wise be indulged in the free use of wine, which alone is a high cordial. Some think generous red wine the best. But if the delirium increases on using wine, if the eyes look wild, or the voice becomes quick, a true phrenzy is to be feared; then all heating medicines aggravate the symptoms, and blisters, before useless, become of considerable service; likewise when the pulse most sunk, sinapisms must be laid to the feet; that is, pultices with horse-radish, or mustard feed with salt and vinegar. The patient mull not be allowed to sit up, because many have loft their lives by attempting it.