258 DR. CEASE'S RECIPES. 



MALIGN AITT SCARLET FEVER -With Putrid Sore 

 Throat. — There is yet another and more fatal form of scarlet fever where the 

 malisuant and putrescent symptoms are more rapid and severe, where the gen- 

 eral system is much oppressed, and the throat and neigliboring parts affected 

 with rapidly spreading ulcerations. It is this which has obtained the name of 

 putrid sore throat. This form of scarlet fever begins like the preceding, but 

 in a day or two shows symptoms of peculiar severity. The rash is usually 

 faint, and the whole skin soon assumes a dark or livid red color. The heat is 

 not so great nor so permanent as in the other kinds; the pulse is small, feeble, 

 and irregular, there is delirium and coma, with occasional fretful ness and 

 violence. The eyes are suffused with a dull redness, there is a dark red flush 

 on the cheek, and the mouth is incrusted with a black or brown fur. The 

 ulcers in the throat are covered with dark sloughs and surrounded by a livid 

 base; there is a large quantity of tough phlegm which impedes the breathing, 

 occasioning a rattling noise; and increasing the pain and difficulty of swallow- 

 ing. A sharp discharge comes from the nostrils, producing soreness, chaps, 

 and even blisters. There is severe diarrhoea, spots oa the skin, bleedings from 

 the mouth, bowels, or other parts, all of which portend a fatal termination to 

 the disease. Sometimes the patients die suddenly about the third or fourth 

 day; at other times in the second or third week; gangrene having probably 

 arisen in the throat or some parts of the bowels. Those who recover have 

 often long illnesses from the ulceration spreading from the throat to the neigh- 

 boring parts, occasioning suppuration of the glands, cough, and difficulty of 

 breathing with hectic fever. 



Treatment. — The active remedies formerly mentioned are quite inad- 

 missible here. Unnecessary heat is to be avoided, but we are not to think of 

 the cold washing or of purging, lest we oppress the powers of life and bring 

 on a fatal diarrhoea. The system requires support and stimulants from the 

 commencement of the attack. Strong beef tea should be given in as large 

 quantities as possible, and wine and bark should be liberally administered; 

 the throat must be injected with strong cleaning gargles. The infusion of 

 cayenne pepper or the decoction of bark acidulated with sulphuric or muriatic 

 acid, or gargles to which a little tincture of myrrh or of camphor is added, 

 may be usefully employed. Too often, however, all treatment is unavailing, 

 and there is no more fatal contagious disease than malignant scarlet fever. 



There is an ulcerated sore throat of peculiar malignity, distinct from 

 scarlet fever, which commonly terminates with the worst symptoms of croup. 



ABORTION, OR MISCARRIAGE— (Abortus.)— The separation 

 of the child from the womb of the mother at any period before the sixth month 

 of pregnancy; between which period and the full time the same event is called 

 premature labor. 



Symptoms. — Abortion may be described as consisting of three stages, each 

 of which should be carefully studied; because in the two first much may be 

 done by the patient herself or by the judicious management of friends about h^i:. 



