the pulse which tell the expert what is passing; quick and regular in
the first stage; irregular and slower in the second; quick, variable,
irregular from time to time in the third; growing more rapid and more
feeble as the end arrives. Squinting, stupor, dilated pupil, difficulty
of swallowing, tremulous limbs, convulsions, profound insensibility,
such are the series of occurrences which bring on death usually within a
fortnight, always within three weeks from the appearance of the first
decided symptoms.

What are you to do in these cases? Above all save yourselves the
heartbreak of feeling that you have overlooked the premonitory symptoms
of the disease. Guard with special care the health of any child in whose
family a disposition to consumptive disease has ever shown itself, and
keep it at any cost from the risk of catching the hooping cough or
measles. Since, too, it is not in early infancy, but after the age of
one year, and in the majority of instances between the ages of three and
six years that this disease occurs, that is to say, at the time when the
brain begins to be most actively exercised, when the new world on which
the child is just entering brings with it new wonders every day; be very
careful not to over-stimulate its intelligence, over-excite its
imagination, or over-strain its mental powers. After the age of ten the
great danger is over; up to that time it is the health of the body which
requires care; not fuss, not rearing like a hothouse plant, but the
healthy training that may fortify the system.

When any signs such as I have described indicate the threatening of
disease, do not look on them as within the scope of domestic management,
but place the child at once under the watchful care of a skilful doctor.
I have seen but one recovery in all my life, after the disease had fully
set in, and that was a recovery almost worse than death.

=Earache.=--There is another form of inflammation of the brain which is
likewise oftenest met with in children who are of weakly constitution,
or of scrofulous habit, or in whom scarlet fever has left behind that
very troublesome ailment, discharge from the ear. This is so tedious, so
difficult to cure, so apt to return under the influence of very slight
causes, that people are too ready to put up with it as an inconvenience
which it is useless to try to remedy.

In addition, however, to the risk of the child's hearing being impaired
by the extension of the misch