History of Medical Education And Institutions in the United States From the Fi

N S Nathan Smith Davis

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* * * In the years 1791 and 1792, it assumed an inflammatory appearance, and was accompa- nied, ia many cases, with hepatic affections. It appeared in 1793 as an epidemic, in the fofm of what is called yellow fever, in which form it has appeared, in sporadic cases, or as an epidemic, nearly every year since. During the reign of this high grade of bilious fever, mild intermittents, and remittents, and the chronic or nervous forms of the summer and autumnal fever, have nearly dis- appeared. Infla...mmations and obstructions of the liver have been more frequent than in former years, and even the pneumonias, catarrhs, intercurrent, and other fevers of the winter and spring months, have all partaken more or less of the inflamma- tory and malignant nature of the yellow fever. " Whoever will compare the most accurate accounts which are left on record, of the diseases that pre- vailed between 1780 and 1806, with the pheno- mena of diseases prevalent in the same cities at the present time, will certainly find little difficulty in recognising a marked difference in their MEDICAL HISTORY.

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