Clinical lectures on the principles and practice of medicine . exposed to their emanations,are not particularly liable to fever. 6. Epidemic fever, and especially typhoid fever, therefore, must origi-nate in other causes, amongst which, besides contagion and infection,may be cited starvation, improper quality of food, bad water—especiallyfrom springs arising in the neighborhood of cess-pools or churchyards—overcrowding, bad ventilation, and the numerous ills arising frompoverty and dissipation. Dr. W. Budd of Bristol has with great abilitysupported the doctrine, that the cause is a specific vi


Clinical lectures on the principles and practice of medicine . exposed to their emanations,are not particularly liable to fever. 6. Epidemic fever, and especially typhoid fever, therefore, must origi-nate in other causes, amongst which, besides contagion and infection,may be cited starvation, improper quality of food, bad water—especiallyfrom springs arising in the neighborhood of cess-pools or churchyards—overcrowding, bad ventilation, and the numerous ills arising frompoverty and dissipation. Dr. W. Budd of Bristol has with great abilitysupported the doctrine, that the cause is a specific virus, always emanat-ing from the body, which may be conveyed by, but never originates indrains.* For my own part, I believe we have yet to discover the causeproducing essential fevers. But while there are so many sources offallacy, we cannot be too cautious in accepting plausible explanations,or in acting upon them, either in our efforts to cure disease or to im-prove the health of towns. Another question which will be found discussed in systematic works. Fig. 530. relating to the pathology and mode of propagation of continued fever is* Papers in the Lancet, from 1856 to 1858. Fig. 530. A clinical ward of the Royal Infirmary in 1817, 60 feet by 24, showingthe arrangement of fever beds, and the screen which isolated them. CONTINUED FEVER. 945 important, namely, Whether it be or be not advisable and right to admitfever cases into the general ward of an hospital. My reply is decidedlyin the affirmative, being satisfied it is far better in every point of viewto dilute the contagious element as much as possible, rather than toconcentrate it by providing special wards for typhus cases. Previous to1825 a few fever cases were treated in each clinical ward of this In-firmary without injury to the other patients, the disposition of the feverbeds being represented in shadow in Fig. 530. The space around


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Keywords: ., bookcentury1800, bookdecade1870, booksubjectmedicine, bookyear187