The Clifton clarion., 1885-10-14
OFFICIAL COUNTY PAPER.
MalariaI Diseases.
BY DR. A. S. A.

oxysm of fever, enlargement of the spleen (popularly called ague- cake) and of the liver under the formation of an increased deposit of yellow, red or dark pigment in the spleen and in the liver (melan- aemia.) The red blood corpuseles and the albumen of the blood are very much diminished. The indi- vidual forms of malarial poison ing, intermittent and remittent fever, are but notifications of the malarial miasma due to the differ ent constitutions of the patients, their personal habits, place of abode, etc.
 The element of the malarial poi soning has not been definitely set tied yet and want of space pre= vents the discussion of the various theories in regard to it. But we know with certainty that 1t is cons tained in the exhalations arising from swamps, which are developed under the decomposition Of or ganic. and especially vegetable, matter in stagnant, fat waters, heated by the rays of the sun, and especially is this the case when such waters have an impenetrable and muddy bottom. The agent of malaria is found in very low lands covered with water ahd mud, in wells, wet places, in decomposing ditches, damp cellars in the pres ence of the necessary degree of heat. In short no malarla where there Is no water. At times when there is 10 wind blowing the ele- ment of malarial poison will accu- mulate near the surface of the water, and for this very reason it is harmful to sleep on the ground in malarious countries. If the wind blows it carries these bodies to distant and otherwise healthy locations.
 The predisposing causes include a depressed state of health, fatigue after hard labor or any other bodily exercise, long fasting, catching cold, etc. The time of incubation generally lasts from IA to 20 days. The organs chiefly affected are the spleen, liver, kid- neys and the blood.
 INTERMITTENT FEVER (AaUE.
 The period of incubation is from three to five days. The stage pre- ceeding the attack consists of 8 certain depression of the body, headache, pains in the bones, loss of appetite, nausea and frequent vomiting, a sensation of pain in stomach, sometimes 8 slight yell low discoloratlon of the skin (ieterus), and in the evening the individual has slight fever. This fever has three stages. The first, the stage of chill. Patient at first feels very lnconvenient, fatigued and drowsy; yawns frequently and stretches h1s arms, legs and body; headache, dizziness, pains in the neck, back, Joins and in the legs are present very early. Then the chill, that is not necessary to describe, appears. Patient vomits, complains of pains in the region of the heart, palpitation of the heart, constriction in the chest and of thirst. The temperature of the remote portions of the body is decreased, whilst that of the internal organs (meas ured in the oxilla and mouth) is very much increased-about 102 deg. to 113 deg. This stage may last from 1 to 4 and even to 6 hours. The second stage of heat, lasts from 2 to 12 hours. The whole body feels warm and lips are cov- cred with fever sores (herpes). Headache is more increased, the heart is more active, respiration IS increased, spleen is enlarged and to be felt under the border of the last rib on the left side.
 Stage of prespiration com mences after short space of time with the decrease of the burning heat. The skin becomes moist and the unbearable pains of the diff ferent regions Of the body grad ually disappear, and patient falls into quiet sleep. The tempera- ture is approaching to it's normal height. The whole paroxysm, with it's three stages. lasts usually from four to 12 hours. in rare cases to  IS or longer. After the paroxysm the patient is free from fever (apyrexy intermission). The pa tient feels weak, slight headache ovicfo oppot;to d;p,;n;cIoJ o,I