DISEASES OF CHILDREN. 295 
colds, sometimes vomiting, quick pulse. From about the 
third or fourth day the characteristic red spots appear about 
the neck and chest, spreading over the body till it is covered 
with the scarlet or red-coloured eruptions. There are 
generally no throat symptoms in this form, or if any, very 
slight. The colour begins to change about the fifthday. The 
second, scarlatina anginosa, has similar symptoms, with the 
addition of severe throat affections, which inflame, swell, and 
suiffen the neck; and the whole system seems more under the 
control of the poison. The third or worst form, is called 
‘Scarlatina maligna. The fever is more intense, the eruption 
of a darker hue, pain in the head of a severe throbbing nature, 
and the throat almost in a putrid state. 
From the symptoms present we see that there is a poisoned 
‘condition of the blood. Our energies, then, must be 
directed to the elimination of this morbid matter. The 
medicines indicated are sudorifics, stimulants. antiseptics, 
and diuretics. If the patient is an adult, give a Thompsonian 
course (see index); if a child, a hot bath up to the thighs for 
10 minutes, wipe dry, put on clean underclothing, with a hot 
bottle to the feet; give an emetic of lobelia, suitable to the 
age ofthe patient (see powders). After the emetic, sponge the 
body with vinegar. Prepare the following medicine :— 
Raspberry Leaves ...........0..0e08 One ounce. 
Sumach Berries ...... ONE Te ig eb hee, Half ounce. 
PERTPOVAR ys Sisate cm asnunie ot ++ otewiee «Oe Oe ee 
VOR Gass pee oe ee Rede cate Half ounce. 
EPOtehGaide 4 os h vee peek wine ee acae ie Half ounce. 
‘Gently simmer the whole in a quart of water, take off the 
fire, stir in a quarter ounce of fever powder, let cool, strain, 
and take, for an adult, half a teacupful every two hours. 
If the throat is sore put on a poultice of German camomiles, 
scalded with vinegar; cover up with oiled silk or gutta-percha 
‘tissue to keep in the steam, and flannel to retain the heat ; 
renew the poultice every two hours or oftener if it gets cold; 
keep the bowels moderately open. If the first course of 
