Appendix. 3 1 5 



common salt in water. In the hot stage, sponge the body 

 with tepid water ; apply cold wet cloths to the head, and 

 drink freely of cold or iced water. One grain of opium, or 

 twenty drops of laudanum, given in this stage will relieve the 

 throbbing of the temples and promote perspiration. 



In the sweating stage, encourage perspiration by covering 

 the body with blankets, and by warm drinks ; afterwards 

 wipe the skin with dry towels, change the clothes and get 

 out of bed, or go to sleep if so inclined. 



Preventive Measures. When an attack or paroxysm 

 threatens, take a simple purgative ; two compound colocynth 

 pills, or twenty grains of jalap if the bowels are constipated ; 

 and after the purgative has ceased to operate, give fifteen 

 grains of quinine in water, followed by smaller doses of three 

 or four grains three times a day ; or, for convenience, take 

 the following 



Ague Mixture. Take of Epsom salts, one ounce ; nitre, 

 one dram ; quinine, two scruples ; diluted sulphuric acid, 

 one dram (or the juice of one lime) ; and water one quart. 

 Mix. Dose, a wineglassful three times a day. This mixture 

 will be found especially suitable in removing the dropsical 

 symptoms which frequently attack coolies after fever. 



DENGUE FEVER. 



Symptoms. Sudden and severe pains all over the body, 

 not unlike rheumatism, considerable fever, red-tipped, furred 

 tongue, great depression, and on the fourth or fifth day a 

 red or measly eruption, appearing first in patches, then 

 spreading over the body, followed by swelling of the joints 

 and glands, and subsequent shedding of the cuticle. 



Treatment. Rest in bed ; warmth externally and warm 

 drinks. Give ten grains of Dover's powder at bedtime, 

 followed next morning by a simple aperient, if necessary, 

 after which give the following : take of iodide of potass forty- 

 eight grains, water one pint. Mix, ^nd give half a wine- 

 glassful three or four times a day. 



