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bones of the leg and whole foot were laid bare。 But of all such cases；
the most formidable were those which took place about the pubes and
genital organs。 Such was the nature of these cases when attended
with sores； and proceeding from an external cause； but the same things
occurred in fevers； before fevers； and after fevers。 fevers。 But those
cases in which an abscess was formed； and turned to a suppuration；
or a seasonable diarrhea or discharge of good urine took place； were
relieved thereby： but those cases in which none of these symptoms
occurred； but they disappeared without a crisis； proved fatal。 The
greater number of these erysipelatous cases took place in the
spring； but were prolonged through the summer and during autumn。
5。 In certain cases there was much disorder； and tumors about the
fauces； and inflammations of the tongue； and abscesses about the
teeth。 And many were attacked with impairment or loss of speech； at
first； those in the commencement of phthisis； but also persons in
ardent fever and in phrenitis。
6。 The cases of ardent fever and phrenitis occurred early in
spring after the cold set in； and great numbers were taken ill at that
time； and these cases were attended with acute and fatal symptoms。 The
constitution of the ardent fevers which then occurred was as
follows： at the commencement they were affected with coma； nausea； and
rigors； fever acute； not much thirst； nor delirium； slight
epistaxis； the paroxysms for the most part on even days； and； about
the time of the paroxysms； forgetfulness； loss of strength and of
speech； the extremities； that is to say； the hands and feet； at all
times； but more especially about the time of the paroxysms； were
colder than natural； they slowly and imperfectly became warmed； and
again recovered their recollection and speech。 They were constantly
affected either with coma； in which they got which they got no
sleep； or with insomnolency； attended with pains； most had disorders
of the bowels； attended with undigested； thin； and copious
evacuations； urine copious； thin； having nothing critical nor
favorable about it； neither was there any other critical appearance in
persons affected thus； for neither was there any proper hemorrhage；
nor any other of the accustomed evacuations； to prove a crisis。 They
died； as it happened； in an irregular manner； mostly about the crisis；
but in some instances after having lost their speech for a long
time； and having had copious sweats。 These were the symptoms which
marked the fatal cases of ardent fever； similar symptoms occurred in
the phrenitic cases； but these were particularly free from thirst； and
none of these had wild delirium as in other cases； but they died
oppressed by a bad tendency to sleep； and stupor。
7。 But there were also other fevers； as will be described。 Many
had their mouths affected with aphthous ulcerations。 There were also
many defluxions about the genital parts； and ulcerations； boils
（phymata）； externally and internally； about the groins。 Watery
ophthalmies of a chronic character； with pains； fungous excrescences
of the eyelids； externally and internally； called fig； which destroyed
the sight of many persons。 There were fungous growths； in many other
instances； on ulcers； especially on those seated on the genital
organs。 There were many attacks of carbuncle （anthrax） through the
summer； and other affections； which are called 〃the putrefaction〃
（seps）； also large ecthymata； and large tetters （herpetes） in many
instances。
8。 And many and serious complaints attacked many persons in the
region of the belly。 In the first place； tenesmus； accompanied with
pain； attacked many； but more especially children； and all who had not
attained to puberty； and the most of these died。 There were many cases
of lientery and of dysentery； but these were not attended with much
pain。 The evacuations were bilious； and fatty； and thin； and watery；
in many instances the disease terminated in this way； with and without
fever； there were painful tormina and volvuli of a malignant kind；
copious evacuations of the contents of the guts； and yet much remained
behind； and the passages did not carry off the pains； but yielded with
difficulty to the means administered； for in most cases purgings
were hurtful to those affected in this manner； many died speedily； but
in many others they held out longer。 In a word； all died； both those
who had acute attacks and those who had chronic； most especially
from affections of the belly； for it was the belly which carried
them all off。
9。 All persons had an aversion to food in all the afore…mentioned
complaints to a degree such as I never met with before； and persons in
these complaints most especially； and those recovering from them；
and in all other diseases of a mortal nature。 Some were troubled
with thirst； and some not； and both in febrile complaints and in
others no one drank unseasonably or disobeyed injunctions。
10。 The urine in many cases was not in proportion to the drink
administered； but greatly in excess； and the badness of the urine
voided was great； for it had not the proper thickness； nor concoction；
nor purged properly； for in many cases purgings by the bladder
indicate favorably； but in the greatest number they indicated a
melting of the body； disorder of the bowels； pains； and a want of
crisis。
11。 Persons laboring under phrenitis and causus were particularly
disposed to coma； but also in all other great diseases which
occurred along with fever。 In the main； most cases were attended
either by heavy coma； or by short and light sleep。
12。 And many other forms of fevers were then epidemic； of tertian；
of quartan； of nocturnal； of continual； of chronic； of erratic； of
fevers attended with nausea； and of irregular fevers。 All these were
attended with much disorder； for the bowels in most cases were
disordered； accompanied with rigors； sweats not of a critical
character； and with the state of the urine as described。 In most
instances the disease was protracted； for neither did the deposits
which took place prove critical as in other cases； for in all
complaints and in all cases there was difficulty of crisis； want of
crisis； and protraction of the disease； but most especially in
these。 A few had the crisis about the eightieth day； but in most
instances it （the disease？） left them irregularly。 A few of them
died of dropsy without being confined to bed。 And in many other
diseases people were troubled with swelling； but more especially in
phthisical cases。
13。 The greatest and most dangerous disease； and the one that proved
fatal to the greatest number； was consumption。 With many persons it
commenced during the winter； and of these some were confined to bed；
and others bore up on foot； the most of those died early in spring who
were confined to bed； of the others； the cough left not a single
person； but it became milder through the summer； during the autumn；
all these were confined to bed； and many of them died； but in the
greater number of cases the disease was long protracted。 Most of these
were suddenly attacked with these diseases； having frequent rigors；
often continual and acute fevers； unseasonable； copious； and cold
sweats throughout； great coldness； from which they had great
difficulty in being restored to heat； the bowels variously
constipated； and again immediately in a loose state； but towards the
termination in all cases with violent looseness of the bowels； a
determination downwards of all matters collected about the lungs；
urine excessive； and not good； troublesome melting。 The coughs
throughout were frequent； and copious； digested； and liquid； but not
brought up with much pain； and even when they had some slight pain； in
all cases the purging of the matters about the lungs went on mildly。
The fauces were not very irritable； nor were they troubled with any
saltish humors； but there were viscid； white； liquid； frothy； and
copious defluxions from the head。 But by far the greatest mischief
attending these and the other complaints； was the aversion to food； as
has been described。 For neither been described。 For neither had they
any relish for drink along with their food； but continued without
thirst。 There was heaviness of the body； disposition to coma； in
most cases swelling； which ended in dropsy； they had rigors； and
were delirious towards death。
14。 The form of body peculiarly subject to phthisical complaints was
the smooth； the whitish； that resembling the lentil； the reddish；
the blue…eyed； the leucophlegmatic； and that with the scapulae
having the appearance of wings： and women in like manner； with
regard to the me