Fort Worth daily gazette. (Fort Worth, Tex.) 1882-1891, 1890-06-18

tary measures has gradually lessened the
severity of them, leaving remnant 0
| them, to which the term malaria ha :
come to be generally applied. Therefore
the popular notion is that malaria is a
milder form of the regular intermittent
congestive fever, and is a dwarf de-
scendant of the giant "Ague," but the
victims find the dwarf as hard to escape
from as was its more vigorous ancestor.
1t is the most insidious, eXasperating and
disheartening disease in the whole range
of human ailments.
NATURE.
That malaria is some sort of an emana-
ton from decsying vege tai matter is
agreed by all. But whether it is q poIs-
onous gas that is so emansted, or q
microscopic plant or its spores, or
whether it is not due TO anamalcules, are
questions that ars by no means settled,
so 1 wi2sleave them withoutI fscussion.
n.y. DEFINITION.
The dzkases set up in the WSstem by
the polsdzk called malaria al assed
under Misunderstanding and Isl lar.
The regulaE are pown 80 IL
mittent (alS enIIed oAlls an 3 fever,
fever and and Eemitsnt (Or
bilious fever .)N& 49,
The regular Srmittd 1Seer (also
called fever and #hich produces
distinct chill, AiiBSsdk high fever,
and all interval DION Two or three days
of entire relief, Isl vel Known in ma
larial localities, esfSatiaftAy the earlier
settlers. When thSehlll Ma fever occur
every day it is cal r. quotidiau ague,
every other day sasE5p ague; and every
third day, quaftan hue. The longer
the interval between tighills the more
difficult of curs,r is; hsa the quartan
ague is the moSE obstlnata In intermit-
tent fever THERE'S distinct chill, fol-
lowed by distlEst fever, distinct sweat
ing stage, aHtsa onward an interval of
complete esssatfs of all symptoms
leaving onk seetgly perfectly we'll.
Remitte fever pich is the variety
called mall Ia, bus hich is no more
malaria thdH the iRkrmlttent variety,
the symptoms are more obscure, and
often mistaken for other diseases. The
ouset of remittent fever Cor malaria) is
usually gradual, but it may be sudden.
An uneasy, oppressive sickness of the
stomach, with entire want of appetite,
or even loathing of food, are among the
earliest symptoms. Headache, general
pains, and feeling of languor are &C
companied or followed by ehilliness and
rigors. No distinct cold stage is COM
mon, but the temperature rises imme-
diately, and the hot stage frequently
becomes very intense, the skin burning
and dry, the face flushed, the eyes in
jeeted, with severe headache, giddiness,
restIessness, sleeplessness and often
delirium, which is sometimes violent.
When vomiting occurs it is at first the
food, then a watery fluid, and afterward
bilious matter, which may become
brown, or even black; hence it is
often called bilious fever. The
tongue is dry and furred, the
lips parched, and there is intense
thirst; the pulse is quick and compress
sible.
These symptoms generally abate in
from six to twelve hours, when more or
less perspiration follows, and the patient
feels better for a time. After very
uncertain respite the symptoms all return
in about the same order, but usually
with greater severity. Then follows
another respite (remission,) which will
be followed by another attack (eXaoerba-
tion.) The time of day and number of
each day of these attacks vary in diff
ferent cases. When the disease becomes
established the patient almost invariably
feels better in the morning. In very
severe cases two eXacerbatiOns and re-
missions occur every twenty-four hours.
As the case progresses great weakness is
prominent, resembling typhoid fever.
Yellowness of skin. and even decided
jaundice, may be present. Urine scarce
and high colored, when it is often oalleds
typho- malarlal fever.
The irregular varieties are, first, dumb
ague, by which is meant the absence of
chill, the attack beginning with headache
and fever, followed by sweating stage
and perfect intermission. There may be
neither fever nor sweating stage, but
only chill, followed by a general de-
preston of the system.
Breakbone fever is also an irregular
variety of malaria. Malarial headache
Cor hemicrania) is pain extending above
the eyebrows around the head, with reg
ular interval, coming on about or p.
m. growing more severe from to D.
m, and finally disappears after sun
down. 1t may occur in the morning, or
at noon, and in some cases at sunrise,
increasing until noon, gradually disap-
pearing in the afternoon ,givinga perfect
sntermission during the night.
Malarial neuralgia generally attacks
one side of the face or head, either the
temple or above one eye. The regulasi
appearance and disappearance of the
neuralgia Is precisely the same as in other
forms of malarial disease, presenting a
regular recurrence and distinct interval
of relief. 1t may also attack any other
part of the body, face, teeth, shoulder,
muscles of the chest, etc., etc. When
ever pain is caused By malaria it has
either distinct intermission, as in inter-
mittent fever, or a remission, as in re-
mittent fever. By remission is not
meant an entire cessation of the pain, as
in intermission, but an interval during
which the pain is greatly less.
lady called to see me O few weeks |
ago who was complaining of most e1-
pain of her right knee, which |
at p. m. and continued with |
great severity till 6 p. m, graduallYo
lessening, entirely ceasing at 10 D. ma
the next day at p. m.-t
had been going on for two monlHs |
without cessation. She had been treated |
with quinine in small and large doses; |
had cur and blistered the knee; used |