James Batcheller Medical Notebook - "Extracts from Doct. Mussey's Lectures delivered at Hanover", 1816

(25) increase of urine depositing a [sidissnent], mucous from the mouth or nose, pain subside - pulse natural, Respiration easy - faculties of the mind restrored - 7^th- 14 - 20, most commonly critical days - [baitrial] days, more manifest in tropical climates - Symptoms often continue several days stationay - fever often terminates at the end of the 1^st 2^nd week - indicated by the restoration of the action of some organ, as maristun on the tongue or nostrils, flow of urine, perspiration -

10. L - - Treatment of fever Excessive excitement indicated by fulness + frequency of the pulse, unequal section in the several organs, necessary to equalize excitement

(26) Removes Debility - Cold water shall place at the head of remedeis in [Continued] fevers - best method is affusion, applied during the hot stage, when the heat of the [pt] is above the natural standard, if no sense of cold and the skin dry - P^t breaks out into a sweat after the Rem edy - often breaks up the fever Cold Water may be taken with the same precaution internaly An Epidemic called sweatting fever has been treated succssfully with cold water in Connecticut - cold water not to be used in cold stage - Cold W. probably acts by producing a strong impression on the system - breaks up morbid action - impression is probably stronger than the disease - C old W. may be used throughout continued fever unless some local affection exists.

(27) C. W. also abstracts morbid heat - Sponging may be used with advantage, if P^t objects to affussion [Evacceant] Remedies - Emetics fist, may sometimes be given in the cold stage, not always - safe in mild form fever - if P^t be cold warm him, if hot cool him good maxim - Emetics safe in the hot stage, removes substances that might be a sours of irritation - frequency of the pulse does not always indicate artereal excitement, but often denotes Dibility - may use Tart. Antimony, or Ipecac former [Don] Gr ʒ to 4 in 6 spoon fuls of water 2 spoonfuls every 25 or 30 minutes - or 1 Tar. Ant. with 10 or 12 of Ipecac or Sulphate of Copper G2 / with 10 or 15 of Ipecac every 20 or 30 minutes - Cathartics [placed] next, operate partly by eveacuating the

(28) intestinal canal, removing the mucous - they communicate prob. ably a strong infussion on the system - should not use them often in latter stage of fever Neutral Salts as good as any Sulphate of Soda or magnesia Jon ℥i Phosphate magnesia more palatable not so energetic dose ℥iſs or Calomil mild mureate of mercury gr . 4 with 8 or 10 of Rheubarb. or Jalap - Deaphoretis are used Tart. Ant. gr 1/4 to 2/7 dissoved in hot water every 4 hours - Balm, Pennyroyal or Sage Tea [?] ler given with Deaphoretci Rumedus - Should not use diaphoretics after 3 or 4 first days, antimoni als in excess tend to dilute

(29) itate without any salutary effect - [Arrtile] of Ammonia good Deaphoretic - [bassphor] and [?] [bassphor] with [aritrate], Carbonate or oxymureate of Palash - Opium with Deaphoretic powders too much and in [liontrinered] fevers - Artircal excitement differs from that indurred by muscular exertion as latter soon subsides, former is permanent -

11^th L. . . Fever continued

Fever in this Climate attended with much ability which takes place soon, Bleeding useful in tropical climates usded by Dart. Jackson - good in yellow fever used by Dr. Rush