Licence: Public Domain Mark
Credit: Thermic fever, or, sunstroke / by H.C. Wood. Source: Wellcome Collection.
Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.
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![before there is time to do much or anything for his recovery, death taking place by syncope. This variety I have never seen an instance of, and further discussion of it will be postponed to a later part of this paper. The distinction between cerebro-spinaland mixed cases is certainly not so evident as the separateness of the cardiac variety. If the pathology hereafter developed be, as it seems, true, there can be no mixture between the cerebro-spinal and the car- diac. Leaving out of view the cardiac, it is true that cases of insolation may be divided into those in which death takes place purely through paraly- sis of respiration, and those in which the heart also suffers a gradual weakening; but as these cases are not practically—i.e. therapeutically—distinct, I cannot see any advantage to be gained by such a separation, especially as cases in which the heart does not suffer more or less are so very rare, that I have not only never seen a case, but do not know of an unequivocal account of more than one or two. The nearest approach to such that I can call to mind is the following by Dr. Crawford (Madras Journ., No. 2): Case IX.—A. B., aged 24, a soldier, was heard at mid- night moving, and his comrades, thinking the noise strange, cried out, and, not receiving a reply, got up, and found him muttering incoherently about a drink. He became quiet, then comatose, and when I [Dr. Crawford] saw him about](https://iiif.wellcomecollection.org/image/b21982570_0034.jp2/full/800%2C/0/default.jpg)