Page:A Treatise upon the Small-Pox.pdf/57

Rh of less noxious or malignant Matter, they are not accompanied with violent or threatning Symptoms, and they generally compleat their Course with good Success, which most commonly is done on the eleventh Night after the first Attack, when many likewise expire; that Period of Time then is only properly assigned as commonly decisive in the lowest Degree of the Confluent Sort.

The next Gradation in the Confluent Kind is, when the Eruptions are smaller and more numerous, which proceed from higher Degrees of Corruption; that is, when many more Ingredients of the Blood are divided and ruin'd than in the former Degree. In this Case the Pustules are so small, so many, and so contiguous, that they soon flow together, and in a shorter Time than the former; and this is the Sort that is indeed dangerous to the Patient, and most tries the Skill and Judgment of the Physician; for now there appears a great Variety of grievous and formidable Symptoms, violent Vomitings, great Head-achs, Delirium or Suspension of Reason, obstinate Wakefulness, excessive Heat, great Inquietudes, and often laborious and short Breathing. The ninth Day from the first Invasion the Pustules rise higher, and the Face swells and grows redder, the Fever that continued all along, is now augmented, and without Reason, as I have said, is called the second Fever, it being the same with the first, only higher rais'd. The Pustules usually in