Cases of intermittent fever, in which bleeding was employed in the cold stage / [John Mackintosh].

  • Mackintosh, John, -1837
Date:
[1828]
Catalogue details

Licence: Public Domain Mark

Credit: Cases of intermittent fever, in which bleeding was employed in the cold stage / [John Mackintosh]. Source: Wellcome Collection.

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    26th.—Says he does not feel so well; but there has been no tendency to rigor; bowels bound. 31st.—He went on improving in health, and without any return of the disease till this day. He was found at the time of visit in the hot stage, which is scarcely perceptible, after having experienced a slight rigor, which lasted for twenty minutes; tongue white and loaded. April 2d.—Had a severe rigor at 10 a. m. which was followed by fever and the sweating stage ; at 2 p. m. he was found quite free from com¬ plaint. His health went on improving gradually till the 25th, when he was dis¬ charged the hospital cured. The same individual reported himself sick on 30th May following, and was taken into hospital, after a severe paroxysm of intermittent; states, that since his discharge, his health had been very good and his strength increasing, but that he has had three slight rigors; his appearance, however, is much improved. 31st.—Says he expects the paroxysm to-morrow morning at nine o’clock; bowels regular; appetite good. He was ordered to take three grains of sulphate of quinine every half- hour, commencing three hours before the expected time of attack. June 1st.—He took six doses of the quinine ; escaped the paroxysm ; had no return afterwards, and was discharged on the 4th. Case IV.—Robert Smith, a stout man, whose health had formerly suf¬ fered from a residence in a warm climate, states, that he had had an inter¬ mittent fever five years ago when stationed at Woolwich, but has not had a return of the disease till now; was taken into hospital on 7th March 1826, labouring under febrile action, which he said came on after a severe rigor ; the febrile symptoms continued with disturbed sleep till the 13th day, with little variation. He was then seized with a severe rigor, attended by sensations more than usually distressing; above all he complained acutely of his head. He was bled during the cold stage to twelve ounces, when the tremors and the other symptoms ceased all at once; he soon after fell into a profound sleep, his skin having a gentle moisture; there was no hot stage. 14th.—Slept well, and feels free from all complaint. 15th.—Slight chill, but no subsequent pyrexia; no appetite; bowels freely moved by a dose of salts; tongue loaded ; pulse natural. 16th.'—Had a cold sweat during the night; no return of paroxysm; says he feels better, and has some appetite; pulse natural; tongue less loaded. 17th and 18th.-—Improving ; half diet. 19th.—Had another cold perspiration in the night, but says he feels well; bowels rather slow. 20th. — Complained of severe headach yesterday afternoon, attended with some febrile action ; says he is now better ; appetite improving. 21st.—Slight chill, which continued for nearly an hour, attended with griping; but no febrile action followed; bowels regular. 22d.—Had a severe rigor this morning, attended with difficulty of breath¬ ing, oppression at prsecordia; pain in back and loins, and severe pain in the head. At the visit was found in the hot stage, complaining much of headach ; tongue loaded ; pulse 130; bowels open ; cold water to be ap¬ plied to the head. 23d.—The headach has continued violently since the commencement of the cold fit yesterday ; cold applications produced temporary relief only. Appliccntur hirudines xii. capiti. Habeat pulverem laxantem statim. 24th.—Leeches relieved the head ; had another paroxysm this morning.