Thus, although all these organs are invariably affected in every case of
fever, yet in no two cases are all these organs affected in the same
degree. Sometimes one system is more affected than another; sometimes
one organ of one system, and these different degrees of affection, in
these different systems, are variously combined and modified. How great
then must necessarily be the diversity of symptoms presented by the
different forms of fever! How incalculable are the varieties that result
from difference of intensity alone. One degree of affection of the
brain, for example, will occasion violent headache, constant
watchfulness, great restlessness, a peculiar expression of the eye, and
intolerance of light; in another there will be no headache, or none of
which the patient will complain; there will be sleep though it be
disturbed and unrefreshing; there will be no peculiar expression of the
eye, and no intolerance of light. By one degree of affection the
sensibility will be rendered preternaturally intense; by another it will
be totally obliterated: one will produce violent delirium, another, only
slight wandering, or unrefreshing slumber: one, violence requiring
restraint; another, profound coma. In the circulating system the
symptoms will alike vary. One degree will produce a quick, strong and
hard pulse; another, a quick, small and feeble pulse; another, a slow
and intermittent pulse. A similar diversity will be found in the
temperature of the body: in one, the heat will be little changed; in
another, it will be below the natural standard; in a third, it will be
intense, and the organs of secretion and excretion will equally vary in
the extent of their morbid changes.
Thus, from one and the same affection of one and the same organ, not
only different but opposite symptoms will be produced in all the organs
involved in what we may call the febrile circle. When to this variety
are added diversities occasioned by various stages of the diseased
processes that are going on in the system; by the previous state of the
organs affected; by the reaction of the affected organs one upon
another, producing innumerable and ever varying combinations of
different intensities of affection, in different sets of organs; and by
the treatment to which the whole have been subjected, we cannot wonder
if the symptoms of fever appear to be countless.
Public-domain text, read in full here on John Shaqi.
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