Simple continual and solitary Fea∣vers,
are when one sort of Feaver only possesseth the body: These are shorter or longer, or more constant and lasting, if they have their Courses,
The shorter reach not to the seventh day, or to the weeks end: such are some acute and Malignant.
This is that sort of pure Feavers, of which we did speak,
and is cal∣led continual, not Puttid Feavers, and Diaria, because it continueth but few daies. This comes of ex∣ternal causes and continueth som∣times but one day,
and lasteth scarce twenty four houres, and then is cal∣led Ephemera: somtimes it lasteth two, three, or four daies: And then it is called a Diary Feaver of many daies, or Synochus pure, or simple. These end not suddenly with a Crisis, but by degrees by hidden transpiration, or moisture, or by manifest sweat: or they turn into impure Synochus after three or four daies, and that lasteth longer: or into an Hectick which is longest, and we shall shew by signs, into which they will turn.
The accidents or Symptoms of Diary Feavers are these, somtimes they begin with a little shivering, espe∣cially if they be any thing impure, somtimes without shivering, from an external heat.
A feaverish heat following a shivering, or without, is never encreased with fits, from the beginning to the end, but either is in an equal degree, as in Ephemera, Synochus, Acmastick or Uniforme, or Seems, to be increased in that, which is called Epacmastick that encreaseth, or Paracmastick that decreaseth. The heat varieth in them for it is milder, as the Feaver is shorter, as in an Ephe∣mera, this is called gentle, because the Skin feeleth moist; or stronger, as it is longer, as in Synochus called sanguin, somtimes with sharpness, when it is cholerick and begins to grow putride.
The other accidents which are worse, or better, as the heat and constitution of the body is, are paine and beating of the Head, thirst more or less, and bitter rast; in cholerick persons unquietness, weariness, watching, or deep sleep, short breathing, quick pulse, strong and great, yet not uneven, a red face, swolen, great Veins, a soft Skin, and dry, in chollerick persons; Urin not much altered, when the Feavers are short, if long; red sweat not ill sented, or troublesom.
A Malignant short conrinual Feaver, is somtimes Pestilential,
and is not un∣like the formentioned acute Synochus, so that it is scarce to be distinguished from it, but by the generality of it in time of infection, and by the sudden taking away of strength. And if it have a botch, as is usual, it is not distinguished, hence it is that many infe∣cted with the Plague, suppose they have only a Synochus for a Pestilent Feaver, comes also from external causes, but they are occult: and suddenly and secretly smite the body, as in a moment, and endeth in a few daies, as a Synochus doth, except death or a Crisis ap∣pear.
As for the accidents of this Feaver. It begins com∣monly with a little horror or chilness, and after follow∣eth heat; which is somtime so gentle that the patient complains little thereof, And the Urin is little, or no∣thing different from a sound. Yet the Pulse argues weakness. But somtimes there is vehement heat and sharp, as in a Synochus, and then the accidents are alike, as pain of the Head, doting, watching, and thirst, and sudden loss of strength. And also sweats, which in Pestilential Feavers come at the first, and return in again, and yet do not put a period to the Dis∣ease.
The long continual solitary Feavers, are a week or two, or more a coming, such are some acute and Ma∣lignant.
An Acute long continual solitary Feaver,
is one of those called im∣pure, and is called also a continual putride Feaver, or a weeks Feaver, distinguished from the Diary, or daies Feaver. Which beginning of it self, or from a pure Synochus turning impure (which is thus known, when the pure endeth not in the fourth day at farthest, and the heat increaseth especially if there be a new chilness, as is usual;) when after the beginning it stayeth a little in the increase, and so comes to the state, or heighth; the Patient is freed from it suddenly, by a Crisis and it declineth, except death prevent. And if the Crisis be imperfect, which comes again, it either kils, or cures: Somtimes, but seldom, this Feaver, especially that sort which is called burning if it fix, seems to degenerate into a new sort, which suddenly consumes the body: And this is called a burning and melting Feaver, which some say is a sort of Hectick; And somtimes it turns into a true Hectick, as a Diary Feaver doth,
There are more and more fierce accidents in these Feavers, then in Diaries, in so much that by reason of the violence of some accidents, the Feaver somtimes gets a new name, as if it were of another sort. And these molest the Patient, with horror, or amasment, heat, thirst, dryness of Tongue, Head-ach, which hurt the functions, disturbe the mind and weaken the strength, there are other accidents observable by the consumption of the Body, and the Excrements.
Thus; At the first coming there is horror and shive∣ring, especially when they come of themselves and not by being changed from others; and then there is little or no shivering; this presently ceasing, ever after there is no trembling, except somtimes when a Crisis is at hand; neither will it return although there be fits, or Paroxysmes: And if it should return it comes not from this continual Feaver, but from an intermitting joyned with it, as I shall shew in Compound Feavers. But from this chilness, or horror, the outward and inward parts also are cold, and somtimes only the inward, and somtimes only the outward, when the heat is great within.
The heat which follows this horror, or chilness, ac∣cording to the four times of these Feavers, hath di∣vers changes: for at first it is vehe∣ment and sharp,
and from that to the state or highth it increaseth. In which time somtimes are Paroxysmes or fits, and then they are called Synochae con∣tinuated distinguished from putride Synochus. In which if the fits, or Pa∣roxysms come often in a day, so that the feaver is twice or thrice cooled, then it is called in∣ordinate and continual, especially if the day after it come but once or not at all. But if the Paroxysme come the next day and keep the same order after, which is rare, then it is called a continual Quotidian. The third day is usually the fit day in these feavers and then it is called a continual Tertian. The Quartan conti∣nual, is seldom seen, because the fits are seldom put off so long.
Somtimes these fea∣vers have no distinct Paroxysm••s and then it is called Synochus pu∣trid,