Wheeling times and advertiser. [volume] (Wheeling, Va. [W. Va.]) 1839-1849, 1843-03-31
81 KNESS in VERMONT.

anu ulOuc u fCabnehl
Si( kNESS IN VERMONT.
From DIR Chadhourne, who recently
visited Sc, eral towns where the disease
Is most prevalent. we have obtained the
following memoranda in relation 10 the
appearance and mode of treatment Of
the Epidemic. ! he term Erysipelas,
which is so generally applied, as dcs
criptiv" OF the disease, although true IN
most cases, he thinks does not give n
correct idea Of its real character, as in
very many cases, and some ofIhe most
unmanageab.e,t the disease commenced,
and went on 10 n fatal termination with
out any appearance Of external infama-
ton whatever. Neither does il bear
much resemb!a nce,as has been asserted.
To The Spotted Fever that prevailed SO
generally through the New England
States In the winters Of 1912, 1915, and
1877. Although from the Protean shape
IL assumes in different Individuals, as il
attacks dffcren, parts Of the system.
there II ay be discovered some simila ity
10 that Epidemic, yet it is wholly I'M
like in It's mode Of attack, being more
gradual in It's approach, there being usu
ally u well marked period of several
days or q week of incubation, during
which the patient is about, complaining
bat little, except n slight soarness ofthc
throat aud iauces, occasional chills, las
siIude and want Of appetite. In some
cases, however, the attacks arc sudden
and violent, the patieLt being taken
/ down at once with excrucialing pain in
Ike hpDd nSitaliu - -
internal ear, severe rigorS, Erysrueils
at the same time attacking the face,
trunk, or eXtremilics. In others are
discovered most OF the symptoms Of or
binary fever, but this difference in all
which may be cOnside red As characters.
tic Of the Epidemic, viz. a peculiar in
, tlamation Of the throa and fluces, not
tending 10 suppeTatIon of the toasils but
rather TO liberation or aphtha, with
tenderness and enlargement Of the GER
yIca and suDmaxillary glands, pain OF
the side of the head or internal ear,and
restless and tossing about Of the pa
tent on the bed, and can hardly be ac
counted for in the mild cases, from the
violence Of the other symptoms.
In most cases, it was said there was n
tenderness in the region Of he liver. dis
covered on pressure, from which some
physicians derived important indica-
tons of cure. In delicate female consri
;utlonS the disease assumed q peculiar
malIgn1ncy. and producing under GER
tam circumstances all the symptoms of
the most unmanageable puerperal peri
tonitls. Like the Epidemic Spotted Fe-
yer, the disease assumes different as.
poets DIS different organs Of the body are
the seats Of its attack. For Instance
when the BRAN is principally affected III
resembles very much simple Phrenitis
or brain fever; if the lungs, then ap,
Pcared most Of the symptoms of pneu
momia or lung fever; when the throa
was mainly affected, the disease would
pass very well for that form Of scarteti
ma, attended with fever and inflammation
Of the throat
Yet in the great majority Of case,
there was more or less Erysipelatou.
inflammation On the surface; differing
however from common sporadic
EryslPeas in requiring more decisive
anliPhlogistic measures a, its commence
mcnt, 10 prevent sUppuration, gangren,
"iAu hNhAbs vi GOuTSt lHe disease j.
supp Jsed TO be highly in1ammatory, re
quirlnI the most active depletion at IL,
common cemcnt-the degree Of danger
depending on the intensity Of the in
Illumination, as mani ested in The head
throat, lungs or pertoneum. deci
Sive b' eedlng, with other appropriate
remIdr cs promptly applied at the onse
OF the disease, would probably ares
the progress Of the inflammation and
prevent the alterations Of the throat
congestion, and efFusion into the cayi
tics that attend the f. tai examinations o.
the disease, and the physician would
then have but little TO attend to but the
Temporary exhaustion consequent on the
'oss Of blood, which being attended wuh
comparative little or no danger, (cer
family lai less than the Discrimination
and loss Of vital power Occasioned by
the inflammation would probably in q
I great maj jrity Of cases; DO removed by
simple diet and the powers Of nature a
lone, unaided by medicine. But If the
bleeding be not sufficient TO control the
INFLAMMATION and fever, all the danrer.
Gus symptoms may not only continue
bot bn increased. As the debility. fol.
lowing the small loss Of blood would
then be superudded 70 that Of the dis.
ease, and more dangerous STATE Of the