'A voyage from England to India, in the year 1754, and an historical narrative of the operations of the squadron and army in India, under the command of Vice-Admiral Watson and Colonel Clive, in the years 1755, 1756, 1757 ... Also a journey from Persia to England by an unusual route. With an appendix, containing an account of the diseases prevalent in Admiral Watson's squadron, etc.' [‎499] (552/562)

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Other Intermittents, were of a more malignant nature, and attended with
fuch complicated and redoubled fits, as fometimes to terminate in a con
tinual fever of the worft kind, to the great danger and often the deftrudion
of the patient. Continual Putrid Fevers^ appeared as the fun approached the
winter, or fummer folftice, but were by no means fo freqjient as to defervc
the name of epidemics. Bafltird Peripneutnonies^ alfo occurred from the
middle of Ottoher to the middle of November, and might in fome years be
obferved even in the fucceeding months to the end of February.
But the various fpecies of Intermitting Fevers already mentioned, were,
at leaft while I was there, the moft prevailing dilbrders at Gombroon.
The Quotidians, during the firft days, by reafon of their obfeure inter-
miffion, were fomewhat difficult to be diftinguifhed from the reft: but by
attending to the attack of the firft cold fit, and the progrefs of the other
fubfequent fymptoms, the cafe may be known. The chilnefs in the begin
ning of this fever commences in the extreme parts of the body, fuch as at
the tip of the nofe, and the ends of the fingers, or toes: it never feizes with
an univerfal rigor, or in all or moft of the mufcular parts of the body at
once, as in the beginning of many Continual Fevers ; neither does it rife to
fo great a degree as in a "Tertian. The cold fit is often very flight at Gom
broon, and I believe in moft hot climates. Towards the end of the cold fit,
a pituitous vomiting, with great drowfinefs, often attacks the patient, and
foon after, the pulfe becomes quicker, having an undulating motion, but
not fo ftrong in its vibrations as in a Tertian, nor attended with that tenfity
and hardnefs as in acute Inflammatory Fevers: neither does the patient com
plain much of thirft, but is on the contrary frequently troubled with watery
and frothy fpittings. Moreover, the heat of the body during the increafe
or ftate, is accompanied with a moifture, and is very moderate when com
pared with the heat attendant on conrhnuaX Ivflammatory Fevers, ox Tertian
Intermit tents, in the fame ftate. If the face continues for any time pale,
livid, and as it were a little bloated, with tenfe Hypochondria, danger is
portended.
The patient in the firft days hath feldom any truly critical fweat; nor
are the intermiflions for the moft part perceptible. However, in five or fix
days thefe Fevers moft commonly fhow their nature more plainly, by Inter-
tniffions of fix or eight hours continuance, and, what I have not elfewherc
obferved of fuch Quotidians, they in about a fortnight afterwards terminate
in Tertians. This Fever will by no means bear a hot regimen; by this
it will foon be thanged into a Continual Putrid, and more dangerous Fever.
A cold regimen is alfo a dangerous extreme. At Gombroon, if I may be
allowed the expreflion, it is of a phlegmatic arpituitous nature, in which a
mean courfe between the two exceiTes of either of thefe regimens, is to bq
followed.
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