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inguinal and other glands. Its main causes are not, as it is mistakenly supposed, poor hygiene and clothing, but rather, scandescence, suppression of sweating, irregularities of the gastric system and obstruction of the second (quiliferous) pathways, which are justly caused by climatic influences. The bite of thousands of hungry mosquitoes, after great heat, and even more intolerable after wet days, also contributes to the development or spread of this disease. There are rare cases in Rio de Janeiro where scabies, after a long chronic state, transitions to a generalized eruption that is almost similar to the first degrees of leprosy, and then almost always goes hand in hand with syphilitic dyscrasia. Lemonade and small doses of calomelans, external ablutions with very diluted warm rum, baths and purgatives are used as a remedy. Also chronic diarrhea, passing to dysenterias or lienterias, to hydrops, are common in Rio de Janeiro. In the first period, diarrhea, which mostly comes from colds, sometimes heals by taking hot vinegar lemonade. Diabetes, however, is not seen as much here as in cold countries; It has been noted that blacks are much less subject to this disease than whites or mulattos; however, they suffer the most from the scaling of the feet (elefantiase). Rio de Janeiro has no endemic areas; illnesses easily take a certain periodicity, or the feverish state soon appears to the slightest suffering, as a consequence of the liveliness with which all organic functions are performed, and soon thereafter follows the disfunction of the organs.

We were able to observe, in the early days of our stay, that the elevation of external stimuli, especially heat and light, influences this climate in the acceleration of vital acts and the resulting depletion, when the body is not yet weakened by fatigue and disease. Even at rest, without any excitement, our pulse indicates greater gentleness and acceleration than in Europe; Unfortunately, this circumstance turned the other way around when, in the wake of the trip, we started to get sick. This greater vital activity is externalized, both in health and in the state of illness, by the faster development of symptoms and acceleration in the course of the disease. It is not uncommon in Rio, and especially in the tropical countries, to see an individual, just a few days before in full health, after short suffering, colic, diarrhea, fever, etc., near death, with the hypocratic physiognomy, in full agony and in the last phase of pernicious fever. So applying the safest and most powerful means can save you, and in that sense it should be said that doctors here, more than