The general symptoms which I have already described of the cow-
pox, when communicated in a casual way to any great extent, will,
I am convinced, from the many cases I have seen, be found
accurate; but from the very slight indisposition which ensues in
cases of inoculation, where the pustule, after affecting the
constitution, quickly runs into a scab spontaneously, or is
artificially suppressed by some proper application, I am induced
to believe that the violence of the symptoms may be ascribed to
the inflammation and irritation of the ulcers (when ulceration
takes place to any extent, as in the casual cow-pox), and that
the constitutional symptoms which appear during the presence of
the sore, while it assumes the character of a pustule only, are
felt but in a very trifling degree. This mild affection of the
system happens when the disease makes but a slight local
impression on those who have been accidentally infected by cows;
and, as far as I have seen, it has uniformly happened among those
who have been inoculated, when a pustule only and no great degree
of inflammation or any ulceration has taken place from the
inoculation. The following cases will strengthen this opinion.
The cow-pox appeared at a farm in the village of Stonehouse, in
this county, about Michaelmas last, and continued gradually to
pass from one cow to another till the end of November, On the
twenty-sixth of that month some ichorous matter was taken from a
cow and dried upon a quill. On the 2d of December some of it was
inserted into a scratch, made so superficial that no blood
appeared, on the arms of Susan Phipps, a child seven years old.
The common inflammatory appearances took place in consequence,
and advanced till the fifth day, when they had so much subsided
that I did not conceive any thing further would ensue.
6th: Appearances stationary.
7th: The inflammation began to advance.
8th: A vesication, perceptible on the edges, forming, as in the
inoculated smallpox, an appearance not unlike a grain of wheat,
with the cleft, or indentation in the centre.
9th: Pain in the axilla.
10th: A little headache; pulse, 110; tongue not discoloured;
countenance in health.
11th, 12th: No perceptible illness; pulse about 100.
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