Skin
Parchment-like dryness of skin. Tingling and burnings shooting under skin. Red bands, spots, and points in different parts of skin, appearing with greatest intensity in cold air.
Sleep
Great inclination to sleep during day, with continued yawning and stretching. Sleep retarded by a multitude of thoughts. Imperfect sleep in evening, with mental fatigue from wandering thoughts. Agitated and unrefreshing sleep at night, with anxious dreams. In the morning he starts up from his sleep as from a fright.
Fever
Pulse small but spasmodic. Sensation as if the circulation were suspended. Chilliness in evening always at same hour, frequently not followed by heat, the chills run up the body. Heat principally in head and face, often interrupted by chilliness, always returning at same hour. Fever without thirst, manifested only by chilliness, with intermittent heat, which is more perceptible in the face and hands than in other parts of body. Hot perspiration in face with coldness of rest of body. Intermittent fever which returns at same hour, chill, then thirst, then thirst with headache. Shivering or external coldness and trembling of limbs without shivering, and with more violent thirst or complete adipsia, afterwards heat with moderate thirst, accompanied or followed by perspiration. In the morning hours perspiration. During the shivering pain in upper ribs, dry, spasmodic cough, and tearing in all the limbs and bones. Delirium, yawning, and stretching during the heat. Sleep during the perspiration. Quotidian, tertian, quartan fever at regular intervals, with anorexia, pressive inflation of stomach, pains in chest, cough, shivering, weakness and thirst between the shiverings and the heat. Thirst only between hot and cold stage. Fever where the gastric symptoms prevail, with dry, convulsive cough in cold stage (quartan ague). During the apyrexia painful weariness of the limbs without any other symptom.
