Travels in Turkey, Asia Minor, Syria, and across the desert into Egypt ...

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< MEDICAL
JOURNAL,
want of vital energy. The wine and laudanum were repeated,
fomentations were applied to the legs, and calomel continued at
bed-time.
Sept. 25. He appeared somewhat relieved; the skin moderately
warm; pulse more firm and steady: he retained chicken broth upon
the stomach: the wine and laudanum repeated, with a dose of
vitriolic aether, joined with laudanum,
at bed-time.
Sept. 26. Passed a restless night, with delirium ; tongue, foul ;
had stools; urine nearly of a healthy colour; when spoken to, he
roused himself, spoke, and then fell into a drowsy, comatose state,
with muttering delirium; the eyes were turgid; pulse quick, more
full and firm than the 25th (112 strokes in a minute) ;
skin warm :
it was only to-day that a general reaction of system appeared stea-
dy ; the head was shaved; cloths moistened with vinegar were fre-
quently applied; and a blister laid to the nape of the neck.
A drachm and a half of nitrous acid, diluted
freely
with water,
was ordered to be given within twenty-four hours. The aether
anodyne draught repeated.
Sept. 27. Delirium continued; a
general coldness pervaded the
whole body; skin moist; passed loose stools and urine involunta-
rily ; pulse quick and small (120), and very variable; tongue moist,
and less foul ; had occasional nausea ; several large dark spots, and
petechias upon the breast ; fomentations were applied to the legs
and arms ; wine, bark, and nitrous acid continued; a blister, co-
vering the whole »of the head, was applied. He expired in the
evening. He had neither glandular nor other tumors. The body
became extremely offensive a few hours after death. These fatal
cases occurring, and observing that the same fever prevailed with
the Turks, we took every possible precaution, by fumigation, &c.
to prevent the continuance of disease, and recommended a change
of situation.
CASE IV.
A military artificer, Geary, about twenty-five years of age,
while encamped at Jaffa, in Syria, was suddenly seized, on the
5th December 1800, with cold rigors, vertigo, head-ach, fol-
lowed by a hot skin, pain at stomach, with nausea, and ill taste of
the mouth. He had general pains all over his body, and was lan-
guid, with a quick, though rather firm pulse (100). An emetic
removed much bile from the stomach, and several loose stools were