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Many like the action of prussiate of iron with quinia as follows: Quinia 15 grains. Prussiate Iron 10 grains. M. Divide into three powders, and give as above. With a return of a new exacerbation, the sedatives are to be repeated, and with the return of the intermission, we again resort to quinia. Usually, in simple intermittent, the paroxysm is arrested at the end of the second or third revolution. To prevent a return, it is well to continue the quinia, in small doses, for two or three days after the fever is arrested, and every seventh day for three or four weeks.
The liver partakes of the same changes, although the enlargement is not so great. It is of a dark color, and contains pigment granules. The kidneys are somewhat enlarged, are of a darkred color, and have the characteristic pigment. Pigment granules are also sometimes found in the white corpuscles. Parasites are found in the phagocytes, and occasionally pigment granules. The leuko-cytes are not increased. —Etiologically, malaria is divided into Tertian, Quartan, and Estivo-Autumnal; clinically, into Intermittent and Remittent.
5°C. ), at noon. From this time the fever remained continuous up to January i8th. 5° at 4 P. M. 9°; at 2 A. M. 5°; at 10 A. M. 5°. 4°. 2° at 6 A. M. 4° at 4 P. M. 2° at 4 A. M. 4° at 4 P. M. The temperature fell to normal at 6 A. M. on the i8th. “On January 16th a hypodermic injection of hydrochlorate of quinine 2 gm. (gr. xxx) was administered, and this was repeated on the following day. The patient was entirely without fever on January l8th, but he continued to take quinine, and, except for very slight elevations of temperature on the evening's of January l9th and 22d, he had no further trouble.