The transition of a mild case of fever into a severe one, or the
progress of a case severe from the commencement, is accompanied with, or
depends upon, as will abundantly appear hereafter, certain changes that
take place in certain organs. These changes occur with great regularity;
the organs in which they take place are always the same; and the
symptoms by which they are denoted are uniform. The organs affected are
the spinal cord, the brain, the membranes of both, the mucous membrane
of the lungs, and the mucous membrane of the intestines. For the reason
just assigned the nature of these affections cannot be described in this
place, but must be postponed to that part of the work which treats of
the pathology. Since however the symptoms are nothing but the signs of
these conditions, and the history of the succession of the former, is
nothing but an account of the indications of the successive changes that
take place in the latter, all the important symptoms must necessarily
have their seat in the head, in the thorax, and in the abdomen. Mixed
and blended as they appear in the different cases which the practitioner
is called upon to treat, nothing can appear more complex or more
variable: when analyzed, nothing is more remarkable than their
simplicity and their uniformity. In order to perform that analysis with
exactness, and to render it really instructive, these symptoms must be
contemplated as they arise in the affected organs. These organs, as we
have seen, are the cerebral, the thoracic, and the abdominal; the
symptoms therefore divide themselves into cerebral, thoracic, and
abdominal: there is, indeed, a fourth order, in which all the organs
appear to be equally involved; in which the general affection is
intense, and which therefore may be appropriately termed mixed. We shall
see that cases of this kind constitute by far the most dangerous form of
the disease.
I. SYNOCHUS GRAVIOR WITH CEREBRAL AFFECTION,
occurs under two degrees of intensity: when the cerebral affection is
moderate, it may be termed subacute; when great, acute.
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