YELLOW FErER 371 



To eliminate the Toxins rapidly. 



By the BoivcL — Give small doses of calomel to disinfect the alimen- 

 tary tract. Follow this with doses of sodium sulphate until the bowels 

 are well opened. Afterwards give enemata, twice daily, of sodium 

 sulphate, ij drachms to i pint. 



By the Skin. — Wrap the patient in warm blankets, but not so as 

 to oppress the patient with them. Precede this by a hot mustard bath. 

 By these measures the skin will be stimulated and the headache relieved. 



By the Kidneys. — To stimulate the kidneys and dilute the toxins 

 use Sternberg's treatment : — 



I^ Sodii bicarbonatis ... ... ... ... grains 150 



Hydrargyri perchlor. ... ... ... ,, J 



Aquas ... ... ad 60 ounces 



Give li ounces hourly 



or, a drink of sodium bircarbonate and fresh limejuice n-,ade neutral with sodium 



sulpliate if necessary. This may be administered per rectum. 



To alleviate the Symptoms. 



Relieve pain by aspirin or phenacetin, never opium. 



Apply hot fomentations for severe lumbar pain. 



Warm mustard bath for increasing the urine. 



Do not give food during the first few days. 



Prevent vomiting by sips of champagne, iced if possible. 



Put plasters to pit of stomach. 



Treat hyperpyrexia by cold sponging. 



Bleeding should be treated b}' calcium lactate or adrenalin injection 

 or ergotin. 



Anuria by hot fomentations to the loins, cupping, hot-air baths. 



Cardiac insufficiency by strychnine, camphor, or ether. 



Weakness should be met, after three days, w^ith milk, lime water, 

 toast water, cream, lemon jelly, olive oil bv mouth or skin. 



After three days of normal temperature, chicken broth, custards, &c. 



Avoid strong alcoholic stimulants and meat extracts. 



Be very careful during remissions not to give food. 



Always increase diet with great caution. 



PROPHYLACTIC MEASURES. 



To spread the disease three factors are necessary : — 



An infected person from the first to the third dav of the disease. 



The presence of non-immune persons. 



The presence of the Stegomyia calopus (fasciata). 



To spread the infection the fly must bite the patient infected during 



the first three days. Twelve days must elapse for the development 



of the virus in the mosquito; then it can bite and infect a non-immune 



