ACUTE INFECTIOUS DISEASES. 



simple intermittent fever, which we do not in the least understand. 

 The intermittent neuralgiae resulting from malaria, which chiefly bear 

 the name of intermittentes larvatae, most frequently affect the supra- 

 orbital, more rarely other branches of the trigeminus or other nerves. 

 We may omit a description of the attacks, as they are about the same 

 as those of neuralgic attacks from other causes. They are accompa- 

 nied by a slight elevation of temperature, perceptible by the thermom- 

 eter. In rare cases, other anomalies of excitement of the cerebro- 

 spinal and vaso-motor nerves appear to result from malaria. Among 

 these are intermittent anaesthesia, paralysis, spasms, psychical dis- 

 turbances, and hyperaemia or cedema of different organs. 



TREATMENT. Prophylaxis requires that the State should attempt 

 to remove by sanitary laws (which do not come in our province) the 

 injurious influences which notoriously favor the development of mala- 

 ria ; that it should drain the marshes in whose vicinity intermittent 

 fever is endemic, and should protect by dikes those lands that are 

 overflowed yearly. Moreover, persons obliged to reside temporarily or 

 permanently in malarial regions should observe certain rules, which 

 afford more protection than any prophylactic medicines. Hauschka, 

 who has apparently had great experience, gives very precise and prac- 

 tical rules for life in malarial regions. In his special pathology and 

 therapeutics, he advises : 1, on going to a dangerous place, to assume at 

 once the peculiar mode of life of the inhabitants ; on the Weichsel to 

 drink schnaps, in Banate slivovitz, in Hungary only to eat melons and 

 pickles with plenty of pepper, in Italy to drink plenty of lemonade 

 and black coffee, and avoid eating at night, also to drink water pre- 

 pared as is customary at different places ; 2, to suit the clothing to the 

 temperature of the time of day, especially to protect the person by 

 warmer clothes against the cool evening air, and to keep the windows 

 closed at night ; 3, to seek a dwelling high and dry above the marshes, 

 etc. ; 4, to avoid getting wet through, errors of diet and other excesses, 

 so as not to bring on any other disease by which the tendency to ma- 

 laria will be increased ; 5, to avoid certain things, such as the use of 

 vegetables, milk, and bathing in rivers or the sea, especially after sun- 

 down. Sleeping in the open air seems to be most dangerous. 



Treatment of the paroxysm may almost always be dispensed with, 

 except as regards directing the regimen. As soon as the first symp- 

 toms of chill are observed, the patient should go to bed; but we 

 should warn the attendants against piling on too many bed-clothes, as 

 they do not warm the skin, and only interfere still more with the cir- 

 culation in the peripheral parts, and with the impeded respiration. If 

 the chill be very severe, the skin may be rubbed with warm woollen 

 cloths, and warm bottles placed in the bed. Hot drinks neither re- 



