y are always more or less enlarged in
typhoid fever; they become enlarged when irritated by unwholesome food
in infancy, or they may swell in the course of chronic indigestion. In
all these cases too, the glands in the groin may be enlarged by
sympathy, and this without the existence of any actual abiding disease.
A big abdomen is, of itself, no evidence of it, nor even when associated
with indigestion and frequent stomach-ache; but when to these you add
abiding tenderness, and an evening temperature always at least one
degree above that in the morning, there is every reason to fear that
consumptive disease has attacked the organs of digestion.

Even then, however, there is no ground for despair; for, while
consumptive disease in any form is less seldom recovered from in
childhood than in after-life, such recovery oftener takes place in cases
of affection of the digestive organs than when the disease is seated
elsewhere.

=Scrofula.=--With this word of comfort I leave the subject of
consumption, and pass to that of the allied disease _scrofula_. Briefly
stated, two of the great differences between it and consumption are that
scrofula is almost entirely limited to childhood and youth, while
consumption may occur at any age; and next, that while scrofula attacks
the bones and the glands, the skin and the membranes adjacent to it,
consumption has its seat in the lungs, the brain, and the internal
organs.

Scrofulous diseases of the bones come so exclusively under the
observation of the surgeon, that I do not feel myself competent to say
anything about them. I would however warn all parents to be very much
alive to the importance of noticing the early symptoms of any such
diseases, as shown by slight lameness, complaint of pain in the back, or
difficulty in moving the hand or arm, or in turning the head or bending
the neck. They may be but temporary accidents, due to cold, or to slight
muscular rheumatism, or to some sprain not noticed at the time; but they
may also be signs of the commencement of scrofulous disease of some
bone; and in no disease whatever is early judicious treatment of greater
value, or the result of neglect less remediable.

Besides these graver ailments which seldom appear until after the time
of infancy has passed, there are others of a less serious nature which
often show themselves within the first year of life. One of these
consists in the formation beneath the skin of numerous small lumps of a