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ophthalmies set in； with rheums； pains； unconcocted discharges；
small concretions； generally breaking with difficulty； in most
instances they relapsed； and they did not cease until late in
autumn。 During summer and autumn there were dysenteric affections；
attacks of tenesmus and lientery； bilious diarrhoea； with thin；
copious； undigested； and acrid dejections； and sometimes with watery
stools； many had copious defluxions； with pain； of a bilious；
watery； slimy； purulent nature； attended with strangury； not connected
with disease of the kidneys； but one complaint succeeding the other；
vomitings of bile； phlegm； and undigested food； sweats； in all cases a
reduncance of humors。 In many instances these complaints were
unattended with fever； and did not prevent the patients from walking
about； but some cases were febrile； as will be described。 In some
all those described below occurred with pain。 During autumn； and at
the commencement of winter； there were phthisical complaints；
continual fevers； and； in a few cases； ardent； some diurnal； others
nocturnal； semi…tertians； true tertians； quartans； irregular fevers。
2。 All these fevers described attacked great numbers。 All these
fevers attacked the smallest numbers； and the patients suffered the
least from them； for there were no hemorrhages； except a few and to
a small amount； nor was there delirium； all the other complaints
were slight； in these the crises were regular； in most instances； with
the intermittents； in seventeen days； and I know no instance of a
person dying of causus； nor becoming phrenitic。 The tertians were more
numerous than the ardent fevers； and attended with more pain； but
these all had four periods in regular succession from the first
attack； and they had a complete crisis in seven； without a relapse
in any instance。 The quartans attacked many at first； in the form of
regular quartans； but in no few cases a transition from other fevers
and diseases into quartans took place； they were protracted； as is
wont with them； indeed； more so than usual。 Quotidian； nocturnal；
and wandering fevers attacked many persons； some of whom continued
to keep up； and others were confined to bed。 In most instances these
fevers were prolonged under the Pleiades and till winter。 Many
persons； and more especially children； had convulsions from the
commencement； and they had fever； and the convulsions supervened
upon the fevers； in most cases they were protracted； but free from
danger； unless in those who were in a deadly state from other
complaints。 Those fevers which were continual in the main； and with no
intermissions； but having exacerbations in the tertian form； there
being remissions the one day and exacerbations the next； were the most
violent of all those which occurred at that time； and the most
protracted； and occurring with the greatest pains； beginning mildly；
always on the whole increasing； and being exacerbated； and always
turning worse； having small remissions； and after an abatement
having more violent paroxysms； and growing worse； for the most part；
on the critical days。 Rigors； in all cases； took place in an irregular
and uncertain manner； very rare and weak in them； but greater in all
other fevers； frequent sweats； but most seldom in them； bringing no
alleviation； but； on the contrary； doing mischief。 Much cold of the
extremities in them； and these were warmed with difficulty。
Insomnolency； for the most part； especially in these fevers； and again
a disposition to coma。 The bowels； in all diseases； were disordered；
and in a bad state； but worst of all in these。 The urine； in most of
them； was either thin and crude； yellow； and after a time with
slight symptoms of concoction in a critical form； or having the proper
thickness； but muddy； and neither settling nor subsiding； or having
small and bad； and crude sediments； these being the worst of all。
Coughs attended these fevers； but I cannot state that any harm or good
ever resulted from the cough。
3。 The most of these were protracted and troublesome； went on in a
very disorderly and irregular form； and； for the most part； did in a
crisis； either in the fatal cases or in the others； for if it left
some of them for a season it soon returned again。 In a few instances
the lever terminated with a crisis； in the earliest of these about the
eightieth day； and some of these relapsed； so that most of them were
not free from the fever during the winter； but the fever left most
of them without a crisis； and these things happened alike to those who
recovered and to those who did not。 There being much want of crisis
and much variety as to these diseases； the greatest and worst
symptom attended the most of them； namely； a loathing of all
articles of food； more especially with those who had otherwise fatal
symptoms； but they were not unseasonably thirsty in such fevers。 After
a length of time； with much suffering and great wasting； abscesses
were formed in these cases； either unusually large； so that the
patients could not support them； or unusually small； so that they
did no good； but soon relapsed and speedily got worse。 The diseases
which attacked them were in the form of dysenteries； tenesmus；
lientery； and fluxes； but； in some cases； there were dropsies； with or
without these complaints。 Whatever attacked them violently speedily
cut them off； or again； did them no good。 Small rashes； and not
corresponding to the violence of the disease； and quickly
disappearing； or swellings occurred about the ears； which were not
resolved； and brought on no crisis。 In some they were determined to
the joints； and especially to the hip…joint； terminating critically
with a few； and quickly again increasing to its original habit。
4。 People died of all these diseases； but mostly of these fevers；
and notably infants just weaned； and older children； until eight or
ten years of age； and those before puberty。 These things occurred to
those affected with the complaints described above； and to many
persons at first without them。 The only favorable symptom； and the
greatest of those which occurred； and what saved most of those who
were in the greatest dangers； was the conversion of it to a strangury；
and when； in addition to this； abscesses were formed。 The strangury
attacked； most especially； persons of the ages I have mentioned； but
it also occurred in many others； both of those who were not confined
to bed and those who were。 There was a speedy and great change in
all these cases。 For the bowels； if they happened previously to have
watery discharges of a bad character； became regular； they got an
appetite for food； and the fevers were mild afterwards。 But； with
regard to the strangury itself； the symptoms were protracted and
painful。 Their urine was copio