732 OBSERVATIONS ON THE
it was before, the heat of the fkin continues much the fame, and
fometimes feems rather to increafe.
I have infilled the longer on the ftate of the pulfe in this period,
as from thence we can learn the furefl diagnoßic.
During the fécond ftage, mofi of the fymptoms mentioned in
the firft continue* The fick are then unable to fit up, tho’ general¬
ly they fleep little, till towards the end of this period, when they
begin to grow drowfy* They moan heavily, yet cannot tell what
ails them. Their eyes are often turned towards their nofe, or they
fquint outwards, and fometimes they complain of feeing objeds
double. Some, towards the end of this ftage, grow delirious, and
cry out in a wild manner, as if they were much frightened : About
this time alfo, or later, they frequently void either real worms, or
fome fubftance like worms in a diffolved ftate yet this difcharge
gives no relief to the patient, and only helps to deceive the lefs ex¬
perienced pradlitioner with regard to the nature of the difeafe*
The urine in this, as well as in the other ftages, varies it has
often a large fediment, fometimes none at all ; but moft common»
ly it depofites one of a light -confidence and a white colour. In fe¬
deral I have obferved the urine have a large furfuraceous fediment,
till within a few days of their death, when it had no feparatiom
The breath has now, but efpecially in the lafl ftage, fuch a fick-
ifh and offenfive fmell, as I do not remember to have obferved in
any other diflemper. During the fécond as well as the firft ftage*
the patients are often, for fome days, or parts of days, much eafier
than at other times..
The Symptoms of the THIRD STAGE.
When the pulfe (which for fome time was nearly as flow or
flower than in a healthful ftate) rifes again to a feverifh quicknefs,
and becomes regular, the third and lafl ftage may be faid to
begin.
This change in the pulfe is obferved five, fix, or feven days be¬
fore death. In two patients only the pulfe did not become more
frequent