The Austin weekly statesman. (Austin, Tex.) 1883-1898, 1897-09-23

those who have to return to infected
localities. Before entering an infected
locality, the treatment should be taken
for at least a week before. and it should
be. taken faithfully. without any inter-
mission. in the infected locality, until
time afterward. This prescription
ought to be put up by druggists who
should compound it faithfully and not
change it, because If only one-half the
quantity, or one-fourth the quantity, is
given in a capsule, it is not the suggest
ed remedy.
yellow fever is an infectious. acute
and eruptive fever. The eruption is so
faint in some cases that it is overlooked
before the physician sees the case, but
If seen early and close inspection is
made an eruption will be found on the
skin and on the mucous membrane of
the mouth and fauces. The eruption in
dicates that there is something of an
irritant character in the blood. and is
doubtless the cause of the changes found
in the internal viscera, especially the
stomach and kidneys. producing in the
stomach that softened condition found
in its mucous coat, which thus pro-
duces black vomit through liberation
into some blood vessel of the stomach
and produces black vomit, which is a
mixture of the mucous of the stomach,
associated with blood and the gastric
juice. This irritant substance circulat-
ing in the blood damages the kidney
and Is the cause of the albumen found in
the urine associated with this disease.
Yellow fever has three stages. the first
febrile, is ushered in suddenly with a
chilly sensation, and often distinct
rigor. Fever rises rapidly; there is
more or less headache and other pains.
and more or less irritability of the stom-
ach, with nausea. The first stage lasts
from twenty-four hours to three days.
This is followed by remission. or sec
ond stage, where the fever subsidies,
pains disappear, and the patient con-
valensces or merges into the third
stage, known as the stage of collapse.
In this stage the fever becomes very
much higher; the gastric irritability in
crcases into great nausea and repeated
vomitings. Albumen is found in the
urine. and frequently blood oozes from
all the mucous surfaces and is passed
by the bowels. Black vomit is asso-
ciated with this stage. the patient dying
from exhaustion or gradually RECEIVERS
by slow stages.
In the first stage the peculiar odor of
yellow fever is found about the second
day, and the eyes and capillary circu-
lation are congested. All of these are
intensified in the third stage.
II believe that where a continued fever
of three days duration. completely re-
mitting about the third day. is asso-
ciated with back vomit and albumen in
the urine. and jaundiced appearance
about the mucous membrane of the eye.
and slight jaundiced appearance about
the surface of the body. associated with
pains in the head and back. and other
portions of the hody and more or less
gastric irritability, 1t matters not If this
he an isolated case or in the midst of
many, / would consider it yellow fever.
"The shades which separate the symp-
toms of the yellow and remittent types
of fever are sometimes so light that the
bilious remittent has frequently been con-
sidered and classified as true yellow fe-
yer, but this apparent similarity vanishes
on close and continuous inspection, for
then essential and distinctive marks are
observed which stamp each with individ-
uality.
1.-THE differences may thus be summa-
riZed:
Yellow Fever.
First-1s essentially infectious and
found in cities.
Second-Chiefiy. vigorous and young
constitutions fall victims to it. Colored
population less liable than white.
Third-Temperature in bad cases very
high.
Fourth-Usually attacks at night.
Fifth-Seyere nausea and vomiting
throughout. Epigastric tenderness early
and decided; black vOmit; headache-Oc-
cipital.
Sixth-Hcmorrhage from gums and
various parts of body.
Seventh-Tongue clean, or but slightly
coated; pulse variable, becoming slow in
last stages.
Eighth-Eyc highly injected and humid !;
expression often fierce or anxious.
Nnth--Pain in back, very severe; also
pain in calves and over eyes.
Tenth-Dclirium rare; mind generally
clear and cheerful.
Eleventh-Urine generally albuminous,
suppression common.
Twelfth-Muscular prostraton slight :;
eonvalesceDce rapid; no sequelae.
Thirtcenth-Liver affected and slightly
enlarged.
Fourtecnth--Splcen not affected
Fifteenth-Onc attack affords an a.
most certain immunity.
Sxtecnth-NIOrtality very high.
Peculiar smell often per-
ccptible.
Never mcrges into inter
miftcnt.
Observation-Disclosures show great con
gestion, inflammation. liberation and
softcning of stomach: liver enlarged, fat
ty. yellowish in color, its secreting cells
filed with oil globules: heart often ex-
hibits disintogratiOn of the muscular
fibcrs.
Bilious Remittent.
First-ls not infectious and found usu-
ally in the country.
SecOnd-All ages and constitutions liza
bic. and the weakest more 30. Colored
population liable