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

(20) Tinea Capitis too suddenly repressed had caused cough & Consumption -- Sym. between the Kidney & Skin cold to the skin encreases the UrineBetween the Liver & Skin, as red red cheek or an eruption on the face is some affection of the Liv. - Between the Soles of the feet and head, as cold to the feet produces headachs - Between the Breasts & Uterus, as pain and swelling during pregnan cy - Irritation of a Stone in the neck of the Bladder caus es pain at the extemety of the Urethra -- Between the Skin & Artereal system as cold stops hemorrhage - Continnous Sympathy extends from point to point in the same structure -

(21) Contiguous from one organ to another --

8^th L . . Fever

Continued Fever a paroxysm of Intermittent, is a specimen of all others - Some mak 2 stages others 3 - y^e 2 is cold & hotif 3 add sweatting - Symp- toms, languor, restlessness loss of strength, inclination to change the position of the body, muscles move slow, Animal functions impaired, mind operates slowly, cannot fix it long on one subject, sensation of cold sometimes first symptom sensibility is deminished, respiration diffi cult, weight & fulness at the lungs --

(22) Blood is accumulated to the lungs receding from the surface - Organs of Organic [life affected], pulse weak, frequent, ofthen irregular Secretion diminished, as is indicated by dry tongue, mouth & skinSkin pale also goose-like appearance, owing to a depression between the hairs from a receding of the fluids - Urine small in quantity, pale, Constipation of the bowels, less secretion of mucaus - heavy dull pain in the back by a diminution of muscular or nervous power as is experienced after great fatigue - pain abouth the eyes & head in the cold stage, like that in general debility and nervous irritability - middle of the tongue often covered with mucous, sometimes a dark colored brown or white crust

(23) Junctions of the stomach deranged as often loathing of food or vomiting - particular expression of countenance; muscles of the face relaxed, or not under command - Above are the principal symptoms of the cold stage- temperature has been reduced to 92 [degree symbol]

9^th L. - Fever continued, Contin uance of the cold stage uncertain , as it goes off certain parts at first feel hot, at length heat ensues - the sensation of the P^t. does not agree with the bystanders - if cold be applied before the heat is general the cold stage is produced, - Temperature at last rises to 103[degree symbol] or 105 - Cold is greatful to the pt check often flushed, Tunica Conjunctiva turgid - If tumours existed, they are encreased

(24) by increase of circulation - pulse increased in fastness + strength sometimes in frequency - fre quency of the pulse not an exact index of the quantity of fever, in same p^t it is slower - the secretions are diminished, in the hot stage same as in the cold - urine high colored - nausea + vomiting usually subside - loathing continues Respiration more frequent, not so different - sensibility returns is often increased as the Eye + Ear - muscular power enfeebled also the mind - ordinary objects produce unusual impressions, sleep desturbed by frightful dreams, indicate commencement of delirium - In continued fever, hot stage may be said to last several days Symptoms of Crisis are sweat on the forehead,