This disease occasionally prevails as an epidemic in the southern seacost towns. There is pain, stiffness of the neck, back, and loins, and swelling of the muscles of the limbs and joints. Intolerance of light, restlessness, chilliness, fever, headache, a full and quick pulse, red eyes, a hot and dry skin, and an intense thirst prevail. The fever usually lasts from one to two days, when a gradual remission occurs, and the patient feels quite comfortable. After an interval of two or three days the fever returns, the pains are increased, the tongue is thickly coated, the stomach irritable, and the patient becomes dejected and fretful. Nausea is a prominent symptom, but seldom any vomiting occurs. About the sixth or seventh day an eruption, resembling scarlatina, appears, and gives relief to the distressing symptoms. It disappears after two or three days, the color of the skin gradually fading, with slight desquamation. The duration of the disease is about eight days. The causes are evidently miasmatic poison, in concert with epidemic influence.

TREATMENT. -- Essentially the same as in scarlatina, accompanied with such remedies as advised in rheumatism. Quinine, in antiperiodic doses, should also be administered, and the anodynes should be given if the pains are severe. Tonics may be required in some cases; and in convalescence, frequent baths, a generous diet, and out-door exercises should be prescribed.