First lines of the practice of physic / by William Cullen, M.D. ... ; with practical and explanatory notes, by John Rotheram, M. D. ; in two volumes ; vol. I[-II].

  • Cullen, William, 1710-1790.
Date:
1805
Catalogue details

Licence: Public Domain Mark

Credit: First lines of the practice of physic / by William Cullen, M.D. ... ; with practical and explanatory notes, by John Rotheram, M. D. ; in two volumes ; vol. I[-II]. Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

    34/600
    observed cr distinguished ; and this has led physicians Co imagine, that there is a species of lever subsisting for se- veral davs together, and seemingly, consisting of one pa- roxysm only. This they have called a continent fever ; but^ in a long course of practice, I have not had an op- portunitv of observing such a fever. 2!>.] It is, however, to be observed here, that the fevers of a continued form are to be distinguished from one ano- ther ; and that, while some of a very continued form do still belong to the section of intermittents, there are others a\ Inch, though still consisting of separate and repeated pa- roxysms, yet as different from their causes and circumstan- ees from intermittents, are to be distinguished from the •whole of these, and are more strictly to be called and con- sidered as continued.* Sueli arc most of those which have been commonly supposed to be continent; and those which by most writers have been simply named con- tinued; and which term I have employed as the title of a section, to be distinguished from that of intermittent. I shall here add the marks by which, in practice, these different continued fevers may be distinguished from one another. Those fevers of a continued form, which, however, still belong to the section of Intermittents, may be distinguish- ed by their having passed from an intermittent or remit- tent form, to that of a continued ; by their showing some tendency to become intermittent, or at least remittent; by their being known to have been occasioned by marsh mias- mata ; and for the most part, by their having but one pa- roxysm, or exacerbation and remission, in the course of twenty-four hours. On the other hand, Continued Fevers, to be more strict- ly so called, may be distinguished by their showing little tendency to become intermittent, or remittent in any part of their course, and especially after the first week of their continuance; by their being occasioned by human contagi- on, at least by other causes than the marsh miasmata ; and by their having pretty constantly an exacerbation and re- mission^ twice in the course of twenty-four hours. In both cases, the knowledge of the nature of the epidemic for the time prevailing, may v vat share in determining the nature of the particular fe. & * This passage is very obscure : theaut:- ,.■ ,, irf intermittent* ; but . , l.^,^5 ^ on the .tHfc, *re notto be , . ■ pecutar and m.twi.l cucumsuncei,