440 MILK-FEVER. 



and to be frequently renewed, as often, at least, as they begin to 

 grow dry. There must not be much covering over the sheets. In 

 severe cases the patient should be kept in the wet-sheet the most of 

 the time until the fever is broken up. As much fresh air as possi- 

 ble is to be admitted into the room. The sheet should always be 

 doubled and wet towels applied to such parts as the armpits, 

 between the limbs and wherever one part comes in contact with 

 another. 



2. The cold-bath is given three or four times in twenty-four 

 hours and even oftener, should there be much heat. If the patient 

 is very weak, the water is used mild, and this should be diminished 

 from time to time until it can be borne moderately cold. The bath 

 should, if possible, be administered to the patient in a reclining 

 posture. At the same time the back of the head and neck should 

 be bathed in water of the same temperature as the general bath, 

 ending always with the water as cold as can be borne with comfort. 

 The surface of the body should be rubbed constantly while the 

 patient is being bathed and the bath continued until tne tempera- 

 ture of the armpits is the same as the rest of the surface. 



3. As the patient becomes able to take nourishment, give cold 

 milk, fruit and farinaceous food in small quantities, always cold and 

 at intervals of the usual meals. Great care is necessary in the food. 

 "Water at all times to be drunk according to the dictates of thirst. 



4. Use the wet girdle all the time when the patient is not in 

 the wet-sheet. 



5. Injections or clysters of pure water are to be given if the 

 bowels do not act naturally without; the water cold, if the patient 

 is not very weak, one pint at a time. 



The object of the whole treatment is to supply the body amply 

 with coolness and moisture. 



MILK-FEVER. 



It is of great service, in every respect, for the patient to bathe 

 three or four times a day at such a period. The more the fever is 

 kept in check the better. 



GOUT. 



The wet-pack, prolonged shallow-baths and wet bandages are 

 the means to be used. The practice should be continued as many 

 hours or days in succession as may be necessary to quell the pain. 

 It is far better to use cold, tepid and warm baths alternately; the 

 wet-pack, frictions, bandages, etc., constantly; that is, to live in 

 water than to endure the pain. Nor does water act by repelling 

 the morbid matters from the surface, but by drawing them out. All 

 spirituous liquors and a stimulating diet should oe strictly pro- 

 hibited. A strictly vegetarian diet in this disease is a necessity. 



