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must be in the _first stage_ of the disease; and, if the lungs are the
apprehended seat of the inflammation, two or more leeches, according to
the age and strength of the patient, must be applied to the upper part
of the chest, followed by a small blister; or the blister may be
substituted for the leeches, the attendant bearing in mind, that the
benefit effected by the blister can always be considerably augmented by
plunging the feet into very hot water about a couple of hours after
applying the blister, and kept in the water for about two minutes. And
let it further be remembered, that this immersion of the feet in hot
water may be adopted at any time or stage of the disease; and that,
whenever the _head_ or _lungs_ are oppressed, relief will _always_
accrue from its sudden and brief employment. When the symptoms commence
with much shivering, and the skin early assumes a hot, dry character,
the appearance of the rash will be facilitated, and all the other
symptoms rendered milder, if the patient is put into a warm bath, and
kept in the water for about three minutes. Or, where that is not
convenient, the following process, which will answer quite as well, can
be substituted:--Stand the child, naked, in a tub, and, having first
prepared several jugs of sufficiently warm water, empty them, in quick
succession, over the patient's shoulders and body; immediately wrap in a
hot blanket, and put the child to bed till it rouses from the sleep that
always follows the effusion or bath. This agent, by lowering the
temperature of the skin, and opening the pores, producing a natural
perspiration, and unloading the congested state of the lungs, in most
cases does away entirely with the necessity both for leeches and a
blister. Whether any of these external means have been employed or not,
the first internal remedies should commence with a series of aperient
powders and a saline mixture, as prescribed in the following
formularies; at the same time, as a beverage to quench the thirst, let a
quantity of barley-water be made, slightly acidulated by the juice of an
orange, and partially sweetened by some sugar-candy; and of which, when
properly made and cold, let the patient drink as often as thirst, or the
dryness of the mouth, renders necessary.
2553. _Aperient Powders_.--Take of scammony and jalap, each 24 grains;
grey powder and powdered antimony, each 18 grains. Mix and divide into
12 powders, if for a child between two and four y
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