Sec. 238. When the Disease is left to itself, or injudiciously treated; or when it proves more powerful than the Remedies against it, which is by no Means seldom the Case, the Aggravations of it become longer, more frequent and irregular. There is scarcely an Interval of Ease. The Patient's Belly is swell'd out like a Foot-ball; a _Delirium_ or Raving comes on; he proves insensible of his own Evacuations, which come away involuntarily; he rejects Assistance, and keeps muttering continually, with a quick, small, irregular Pulse. Sometimes little Spots of a brown, or of a livid Colour appear on the Surface, but particularly about the Neck, Back and Breast. All the Discharges from his Body have a most foetid Smell: convulsive Motions also supervene, especially in the Face; he lies down only on his Back, sinks down insensibly towards the Foot of the Bed, and picks about, as if catching Flies; his Pulse becomes so quick and so small, that it cannot be perceived without Difficulty, and cannot be counted. His Anguish seems inexpressible: his Sweats stream down from Agony: his Breast swells out as if distended by Fullness, and he dies miserably. Sec. 239. When this Distemper is less violent, or more judiciously treated, and the Medicines succeed well, it continues for some Days in the State described Sec. 237, without growing worse, though without abating. None of these Symptoms however appear, described Sec. 238; but, on the contrary, all the Symptoms become milder, the Paroxysms, or Aggravations, are shorter and less violent, the Head-ach more supportable; the Discharges by Stool are less frequent, but more at once, and attended with Relief to the Patient. The Quantity of Urine is very considerable, though it varies at different Times in Colour and Consistence, as before. The Patient soon begins to get a little Sleep, and grows more composed and easy. The Tongue disengages itself from its Filth and Furriness, and Health gradually, yet daily, advances. Sec. 240. This Fever seems to have no critical Time, either for its Termination in Recovery, or in Death. When it is very violent, or very badly conducted, it proves sometimes fatal on the ninth Day. Persons often die of it from the eighteenth to the twentieth; sometimes only about the fortieth; after having been alternately better and worse. When it happens but in a light Degree, it is sometimes cured within a few Days, after the earliest Evacuations. When it is of a very different Character, some Patients are not out of Danger before the End of six Weeks, and even still later. Nevertheless it is certain, that these Fevers, extended to this Length of Duration, often depend in a great Measure on the Manner of treating them; and that in general their Course must be determined, some time from the fourteenth to the thirtieth Day. Sec. 241. The Treatment of this Species of Fevers is comprized in the following Method and Medicines.