you,—do not give opening medicine during the time the eruption is out. In all probability the bowels will be opened: if so, all well and good; but do not, on any account, for the first ten days, use artificial means to open them. It is my firm conviction that the administration of purgatives in scarlet fever is a fruitful source of dropsy, of disease and death. When we take into consideration the sympathy there is between the skin and the mucous membrane, I think that we should pause before giving irritating medicines, such as purgatives. The irritation of aperients on the mucous membrane may cause the poison of the skin disease (for scarlet fever is a blood poison) to be driven internally to the kidneys, to the throat, to the pericardium (bag of the heart), or to the brain. You may say, Do you not purge if the bowels be not open for a week? I say emphatically, No!
I consider my great success in the treatment of scarlet fever to be partly owing to my avoidance of aperients during the first ten days of the child's illness.
If the bowels, after the ten days, are not properly opened, a dose or two of the following mixture should be given:
Take of—Simple Syrup, three drachms;
Essence of Senna, nine drachms:
To make a Mixture. Two teaspoofuls to be given early in the morning occasionally, and to be repeated in four hours, if the first dose should not operate.
In a subsequent Conversation, I shall strongly urge you
not to allow your child, when convalescent, to leave the
house under at least a month from the commencement of
the illness; I therefore beg to refer you to that Conversation,
and hope that you will give it your best and earnest
consideration! During the last seventeen years I have
never had dropsy from scarlet fever, and I attribute it
