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falling into a state of insomnolency。 There were many cases of failure
of crisis； and many of unfavorable crisis； many of dropsy and of
phthisis。 Such were the diseases then epidemic。 There were patients
affected with every one of the species which have been mentioned；
and many died。 The symptoms in each of these cases were as follows：
4。 In many cases erysipelas； from some obvious cause； such as an
accident； and sometimes from even a very small wound； broke out all
over the body； especially； in persons about sixty years of age；
about the head； if such an accident was neglected in the slightest
degree； and this happened in some who were under treatment； great
inflammation took place； and the erysipelas quickly spread all over。
in the most of them abscessed ended in suppurations； and there were
great fallings off （sloughing） of the flesh； tendons； and bones； and
the defluxion which seated in the part was not like pus； but a sort of
putrefaction； and the running was large and of various characters。
Those cases in which any of these things happened about the head
were accompanied with falling off of the hairs of the head and chin；
the bones were laid bare and separated； and there were excessive
runnings； and these symptoms happened in fevers and without fevers。
But these things were more formidable in appearance than dangerous；
for when the concoction in these cases turned to a these cases
turned to a suppuration； most of them recovered； but when the
inflammation and erysipelas disappeared； and when no abscess was
formed； a great number of these died。 In like manner； the same
things happened to whatever part of the body the disease wandered； for
in many cases both forearm and arm dropped off； and in those cases
in which it fell upon the sides； the parts there； either before or
behind； got into a bad state； and in some cases the whole femur and
bones of the leg and whole foot were laid bare。 But of all such cases；
the most formidable were those which took place about the pubes and
genital organs。 Such was the nature of these cases when attended
with sores； and proceeding from an external cause； but the same things
occurred in fevers； before fevers； and after fevers。 fevers。 But those
cases in which an abscess was formed； and turned to a suppuration；
or a seasonable diarrhea or discharge of good urine took place； were
relieved thereby： but those cases in which none of these symptoms
occurred； but they disappeared without a crisis； proved fatal。 The
greater number of these erysipelatous cases took place in the
spring； but were prolonged through the summer and during autumn。
5。 In certain cases there was much disorder； and tumors about the
fauces； and inflammations of the tongue； and abscesses about the
teeth。 And many were attacked with impairment or loss of speech； at
first； those in the commencement of phthisis； but also persons in
ardent fever and in phrenitis。
6。 The cases of ardent fever and phrenitis occurred early in
spring after the cold set in； and great numbers were taken ill at that
time； and these cases were attended with acute and fatal symptoms。 The
constitution of the ardent fevers which then occurred was as
follows： at the commencement they were affected with coma； nausea； and
rigors； fever acute； not much thirst； nor delirium； slight
epistaxis； the paroxysms for the most part on even days； and； about
the time of the paroxysms； forgetfulness； loss of strength and of
speech； the extremities； that is to say； the hands and feet； at all
times； but more especially about the time of the paroxysms； were
colder than natural； they slowly and imperfectly became warmed； and
again recovered their recollection and speech。 They were constantly
affected either with coma； in which they got which they got no
sleep； or with insomnolency； attended with pains； most had disorders
of the bowels； attended with undigested； thin； and copious
evacuations； urine copious； thin； having nothing critical nor
favorable about it； neither was there any other critical appearance in
persons affected thus； for neither was there any proper hemorrhage；
nor any other of the accustomed evacuations； to prove a crisis。 They
died； as it happened； in an irregular manner； mostly about the crisis；
but in some instances after having lost their speech for a long
time； and having had copious sweats。 These were the symptoms which
marked the fatal cases of ardent fever； similar symptoms occurred in
the phrenitic cases； but these were particularly free from thirst； and
none of these had wild delirium as in other cases； but they died
oppressed by a bad tendency to sleep； and stupor。
7。 But there were also other fevers； as will be described。 Many
had their mouths affected with aphthous ulcerations。 There were also
many defluxions about the genital parts； and ulcerations； boils
（phymata）； externally and internally； about the groins。 Watery
ophthalmies of a chronic character； with pains； fungous excrescences
of the eyelids； externally and internally； called fig； which destroyed
the sight of many persons。 There were fungous growths； in many other
instances； on ulcers； especially on those seated on the genital
organs。 There were many attacks of carbuncle （anthrax） through the
summer； and other affections； which are called 〃the putrefaction〃
（seps）； also large ecthymata； and large tetters （herpetes） in many
instances。
8。 And many and serious complaints attacked many persons in the
region of the belly。 In the first place； tenesmus； accompanied with
pain； attacked many； but more especially children； and all who had not
attained to puberty； and the most of these died。 There were many cases
of lientery and of dysentery； but these were not attended with much
pain。 The evacuations were bilious； and fatty； and thin； and watery；
in many instances the disease terminated in this way； with and without
fever； there were painful tormina and volvuli of a malignant kind；
copious evacuations of the contents of the guts； and yet much remained
behind； and the passages did not carry off the pains； but yielded with
difficulty to the means administered； for in most cases purgings
were hurtful to those affected in this manner； many died speedily； but
in many others they held out longer。 In a word； all died； both those
who had acute attacks and those who had chronic； most especially
from affections of the belly； for it was the belly which carried
them all off。
9。 All persons had an aversion to food in all the afore…mentioned
complaints to a degree such as I never met with before； and persons in
these complaints most especially； and those recovering from them；
and in all other diseases of a mortal nature。 Some were troubled
with thirst； and some not； and both in febrile complaints and in