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Title:  An account of the bilious remitting yellow fever, as it appeared in the city of Philadelphia, in the year 1793. By Benjamin Rush, M.D. Professor of the institutes, and of clinical medicine, in the University of Pennsylvania.
Author: Rush, Benjamin, 1746-1813.
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One of them came under my notice. He was supposed by the bye-standers to be drunken, but his countenance, and convulsive motions, soon convinced me that this was not the case.A coma was observed in some people, or an obstinate wakefulness in every stage of the disor|der. The latter symptom most frequently attended the convalescence. Many were affected with im|mobility, or numbness in their limbs.These symptoms were constant, or temporary, according to the nature of the remedies which were made use of, to remove them. They ex|tended to all the limbs, in some cases, and only to a part of them in others. In some, a violent cramp both in the arms, and legs attended the first attack of the fever. I met with one case in which there was a difficulty of swallowing from a spasmodic affection of the throat, such as occurs in the locked-jaw.A hiccup attended the last stage of this disor|der, but I think less frequently than the last stage of the common bilious fever. I saw only five cases of recovery where this symptom took place.There was in some instances a deficiency of sen|sibility, but in others a degree of it, extending to 0