The whole season being wet, cold, and northerly, people were, for
the most part, healthy during winter; but early in the spring very
many, indeed, the greater part, were valetudinary. At first
ophthalmies set in, with rheums, pains, unconcocted discharges,
small concretions, generally breaking with difficulty, in most
instances they relapsed, and they did not cease until late in
autumn. During summer and autumn there were dysenteric affections,
attacks of tenesmus and lientery, bilious diarrhoea, with thin,
copious, undigested, and acrid dejections, and sometimes with watery
stools; many had copious defluxions, with pain, of a bilious,
watery, slimy, purulent nature, attended with strangury, not connected
with disease of the kidneys, but one complaint succeeding the other;
vomitings of bile, phlegm, and undigested food, sweats, in all cases a
reduncance of humors. In many instances these complaints were
unattended with fever, and did not prevent the patients from walking
about, but some cases were febrile, as will be described. In some
all those described below occurred with pain. During autumn, and at
the commencement of winter, there were phthisical complaints,
continual fevers; and, in a few cases, ardent; some diurnal, others
nocturnal, semi-tertians, true tertians, quartans, irregular fevers.
2. All these fevers described attacked great numbers. All these
fevers attacked the smallest numbers, and the patients suffered the
least from them, for there were no hemorrhages, except a few and to
a small amount, nor was there delirium; all the other complaints
were slight; in these the crises were regular, in most instances, with
the intermittents, in seventeen days; and I know no instance of a
person dying of causus, nor becoming phrenitic. The tertians were more
numerous than the ardent fevers, and attended with more pain; but
these all had four periods in regular succession from the first
attack, and they had a complete crisis in seven, without a relapse
in any instance. The quartans attacked many at first, in the form of
regular quartans, but in no few cases a transition from other fevers