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the medical guide.
23

SPRAINS & BRUISES.

Causes.——External violence.

Symptoms.——Part swollen, painful, and sometimes discoloured.

Treatment.——Bathe with ardent spirits or vinegar, or apply cloths dipped in cold water, or mixed with vinegar; sometimes hot water or hot poultices give most relief; rub with soap linament, &c.

Observations.——Allowing a stream of cold water to fall upon tho sprain for a considerable time, to be repeated daily, is often of singular benefit.——N.B, Sugar of lead, dissolved in hot water, is much recommended as an application.

SCARLET FEVER.

Causes.——Specific contagion, modified by tho state of the atmosphere, &c.

Symptoms.——Commences with cold shivering, succeeded by increased heat, confusion of mind, scarlet efflorescence, which disappears on the third day, after which the outer skin peels aud falls off. Usually there is sore throat.

Treatment.——In general little treatment is required besides guarding against the extremes of cold or heat; aboundant supply of mild diluents, as barley water, eream of tartar and water, or tamarinds and water, &c.; gargle throat with borax in water; if severe, and there is a tendency to mortification, the throat requires to be rubbed over with a solution of lunar caustic.

Observations.——An attack of scarlet fever renders the patient susceptible to be injuriously affected with cold for a considerable time after; also dropsy of the celular substance, requiring the employment of diuretics such as eream of tartar and salt petre, squill and calomel, &c. Swelling of the glands is a common occurrence, and to be treated same as Abcess.

SORE THROAT (Quinsey).

Causes.——Exposure to cold and damp