bath being enveloped in a blanket, are much in favour. They are said to relieve the cerebral congestion and the intense headache. Very hot baths, with subsequent blanketing and sinapisms to the epigastrium, are also said to have a similarly favourable influence on the congestion of the stomach which is, undoubtedly, another constant feature of the disease. For high fever, antipyretic drugs, cold baths, iced injections, cold sponging, and the like may be carefully employed. In view of the asthenic nature of the disease, the less depressing measures should be preferred.
Vomiting may be treated with sinapisms and ice pills, or with small doses of cocaine. Morphia is dangerous, and must be avoided. For black vomit, frequently repeated doses of perchloride of iron, ergotine injections, acetate of lead, and other styptics have been recommended. For restlessness, phenacetin or antipyrin is used. When the skin is dry, the urine scanty, and the loins ache excessively, Sternberg recommends pilocarpine.
After the fourth or fifth day the flagging circulation demands stimulants of some sort. Iced champagne, hock, or teaspoonful doses of brandy given every half-hour may tide the patient over the period of collapse. Great care, however, should be exercised in the use of these things; if they seem to increase the vomiting and the irritability of the stomach, they must be stopped at once.
The feeding is an important matter. So long as there is fever the patient has no appetite; during this time— that is, for the first two or three days— he is better without food. When the fever subsides appetite may return, and a craving for nourishment become more or less urgent; the greatest care, however, must be exercised about gratifying this untimely appetite. Only the blandest foods, and these only in very small quantities, should be allowed —such as spoonfuls of iced milk or chicken tea. Gradually the quantities may be increased; but, even when convalescence is established, solid food must be partaken of very sparingly, and it must be of the
