93 
tomatic conditions present. On the theory that the infection enters through the 
i alimentary canal, I employ intestinal antiseptics and evacuants and a su[)portive 
I treatment.” — Bowers, 1896, p. 64. “No medication will relieve the pain and fever; 
I but quinine, dissolved in aromatic sulphuric acid, in comparatively large doses, gives 
: the best results to those who can withstand the treatment.” — Dubois, 1896, p. 64. 
I “It is a self-limited disease, and drugs have little or no effect upon the attack. I 
; treat on expectant plan principally. When pain is severe I control it with morphia, 
I and to lessen the hy^jeraemia of the cord, etc., I usually give a mixture of bromide 
I and ergot. When temperature goes above 103° F., I bathe with tepid water, and, if 
! indicated, give small doses of acetanilid or phenacetin. Quinine has given no results 
I in my hands. I keep patients in a recumbent position constantly, overcome con- 
^ stipation with salines, and confine them to a milk diet.” — Fairchild, 1896. “ I never 
j employ any other than such as is used in ordinary malarial fevers, and that of symp- 
tomatic nature.” — Figgins, 1896, p. 64. “Exj)ectant. Morphine for pain; salines 
for constipation; sponge baths and antipyretics for high temperature. Diet, milk.” — 
Springer, 1896, p. 62. “Milk diet; a cholagogue followed by frequent alcohol hot 
baths, with usually very little positive medication. As routine, I usually relieve the 
i dengue ache with salol, quinia salts, and some coal-tar products in very small doses 
! until free diaphoresis is obtained. I give little but a placebo in mild cases.” — Sweet, 
1896. “Treatment is entirely symptomatic. The hygienic and sanitary surround- 
, ings should be the best possible to obtain. Frequent baths and changes of bedding 
i add materially to the patient’s comfort. For the fever I usually use cold sponging, 
; with occasional doses of acetanilid or phenacetin and codeine, or Dover’s j^owders 
! may be required to relieve the pain and restlessness. During convalescence stimu- 
' lants, iron and bitter tonics are in order.” — Maxey, 1899, p. 438. 
Montana. — “I have tried many remedies, but found most of them to do but little 
i or no good, and often harm if they should be pushed in amount or number. The 
I treatment which has served me best is what might be termed eliminative and sup- 
' portive treatment. The old rule of keeping the head cool and feet warm should be 
closely observed. The patient should be frequently turned in bed after the disease 
I is well established, in order to prevent hypostatic pneumonia, and to cool the under- 
‘ side of the body, which may be superheated while the upper side is cool.” — Gwinn, 
I 1902. “The best results are obtained by systematic and eliminative treatment” 
]1 (McCullough, 1902, p. 227). “Until the past season [1903] the treatment of this 
•i disease has been purely symptomatic, but after the discovery of the parasite. Doctor 
' Wilson and the writer suggested the use of quinine in large doses, preferably hypo- 
i! dermatically” (see below, p. 94). — Anderson, 1903c, p. 40. “Many drugs have been 
used in the treatment of ‘spotted fever,’ but while some of them are important as 
' stimulants, sedatives, etc. , none of them — except perhaps quinine — seem to have any 
! specific action on the disease through destruction of the parasites.” — AVilson and 
Chowning, 1904a, p. 57. 
j SURROUNDINGS. 
I “The room should be kept dark and as free from noise as possible.” — Anderson, 
j 1903c, p. 41. “Darkening of tlie room and hot sponge baths add much to the com- 
,fort of the patient.” — Wilson and Chowning, 1904a, p. 57. 
•i 
I DIET. 
I Idaho. — “The diet and bowels should be properly regulated, particularly after the 
I eruption is well out, for I have found in the majority of my cases that at this time 
the appetite is apt to return to the patient, and the physician’s judgment will be 
taxed to decide just what and how much food may be allowed.” — IMaxey, 1899, 
p. 438. 
Montana. — “Milk, buttermilk, broths, soft eggs, and soft toast may all be allowed. 
The whisky may be administered in an eggnog.” — Anderson, 1903c, p. 41. 
