J34 THE HOME, FARM AND IH'SINESS CYCLOPAEDIA. 



incut the throat and upper part of the chest for twenty minutes alternately 

 with the cold compress. 



Put and rub the back it-ntJ c//<W. Manipulate the arms and legs. Give 

 drinks of hot water and of cold. Follow the symptoms with "all dili- 

 gence." Do not relax effort until the breathing is liberated. If the bowels 

 are not free, give full warm enema. 



If there is tendency to coldness of extremities, give hot foot bath occa- 

 sionally ; also apply dr} r flannels heated very hot to the throat, if they 

 seem more agreeable than the hot fomentation. 



Keep the patient in a warm well-ventilated room. Give only baked 

 apple, or toast water, or gruel as food, until the symptoms yield positively. 



I have been told by my patrons that it often occurs in their domestic 

 practice with children, that, by the time the patient is rubbed with the 

 dry hand, having the cold compress on the throat until the hot bath is 

 made ready, there is no need of the bath ; the breathing is relieved. But 

 it is not always so. I have treated cases of what is called " membranous 

 croup," and it lasted persistently for days. I never lost a case of croup. 

 But it is a dreaded disease, and justly so. 



MUMPS (PAROTITIS). 



This disease often prevails epidemically. 



It usually affects children and young persons, and is contagious. 



The parotid gland swells ; swelling beneath the ear, the chin, and all 

 around the neck, deforming the countenance curiously. 



It affects one side only sometimes, but usually both. 



The swelling is hot, tender, and painful ; the lower jaw can scarcely be 

 moved. In about four days the disease begins to decline, and usually lasts 

 in all about ten days. 



Sometimes the swelling suddenly becomes transferred to the mamma 4 in 

 the female and to the testicle in the male, and may oscillate between the 

 throat and the mammae or testicle. Metastasis to the brain is known to 

 take place also, but this is rare. 



TREATMENT. Very little treatment is necessary. Apply warm cloths to 

 the swelling ; let them be kept on constantly. 



If there is general feverishness, a tepid sponge bath and enema of tepid 

 water. A little gruel or bran tea as food. 



Keep the patient comfortably warm and quiet. If metastasis to the 

 parts named occur, a warm sitz bath or fomentation to the affected region 

 will give relief. Keep the feet warm. 



