m one to two or three weeks before
the peculiar feature of the disease-the _hoop_-sets in. As the
characteristics of this cough are known to all, it is unnecessary to
enter here, physiologically, on the subject. We shall, therefore, merely
remark that the frequent vomiting and bleeding at the mouth or nose are
favourable signs, and proceed to the

2566. _Treatment_, which should consist in keeping up a state of nausea
and vomiting. For this purpose, give the child doses of ipecacuanha and
antimonial wines, in equal parts, and quantities varying from half to
one and a half teaspoonful once a day, or, when the expectoration is
hard and difficult of expulsion, giving the following cough mixture
every four hours. Take of

Syrup of squills 1/2 ounce.
Antimonial wine 1 ounce.
Laudanum 15 drops.
Syrup of Toulou 2 drachms.
Water 1-1/2 ounce.

Mix. The dose is from half a spoonful to a dessertspoonful. When the
cough is urgent, the warm bath is to be used, and either one or two
leeches applied over the breastbone, or else a small blister laid on the
lower part of the throat.

2567. Such is the medical treatment of hooping-cough; but there is a
moral regimen, based on the nature of the disease, which should never be
omitted. And, on the principle that a sudden start or diversion of the
mind will arrest a person in the act of sneezing or gaping, so the like
means should be adopted with the hooping-cough patient; and, in the
first stage, before the _hooping_ has been added, the parent should
endeavour to break the paroxysm of the cough by abruptly attracting the
patient's attention, and thus, if possible, preventing the cough from
reaching that height when the ingulp of air gives the hoop or crow that
marks the disease; but when once that symptom has set in, it becomes
still more necessary to endeavour, by even measures of intimidation, to
break the spasmodic chain of the cough. Exercise in the open air, when
dry, is also requisite, and charge of scene and air in all cases is of
absolute necessity, and may be adopted at any stage of the disease.

Croup.

2568. This is by far the most formidable and fatal of all the diseases
to which infancy and childhood are liable, and is purely an inflammatory
affection, attacking that portion of the mucous membrane lining the
windpipe and bronchial tubes, and from the effect of which a false or
loose