athing becomes oppressed, the skin becomes more
pungently hot and dry, and the thirst urgent. All these symptoms being
increased towards evening, when the febrile restlessness is often
succeeded by delirium.

The rash is seldom perceptible before the third day, and then comes
out in irregular patches on various parts of the body, particularly
about the elbows and wrists; thus differing as to the time and mode of
its appearance, from the mild form of the disease. It frequently
recedes, or entirely vanishes, the day after it first comes out, and
then reappears partially, and at uncertain times. This generally
protracts the duration of the disorder, without, however, producing any
perceptible change in the other symptoms. On the fifth or sixth day of
the disease, the fever and inflammation of the throat begin to abate;
at the same time the rash declines, and the peeling off of the cuticle
soon follows.

This is the ordinary course of scarlet fever with sore throat; but in
many cases the symptoms run still higher, and the disease is alarmingly
dangerous from its commencement. In some instances, there is an acrid
discharge from the nostrils or ears, often accompanied with deafness;
as also enlargements of the glands in the neck, followed by the
formation of abscesses in their immediate neighbourhood. It is
unnecessary, however, to follow out the symptoms of scarlet fever more
fully; as all that has been attempted here, has been so to sketch out
the more prominent symptoms of this disease, that the directions upon
the parental management may be readily comprehended: they will be very
brief, but a strict attention thereto will be found all-important to
the well-doing and comfort of the child.

CHARACTER OF SCARLET FEVER COMPARED WITH THAT OF MEASLES.--It will be
seldom difficult to distinguish this disease from other acute eruptive
disorders. The one to which it bears the greatest resemblance is the
measles; but from this it is readily distinguished by the absence of
the cough, the inflamed and watery eye, running at the nose and
sneezing, which are the predominant symptoms in the early stage of the
measles; but which do not usually attend on scarlet fever--at least, in
any high degree. In measles, also, there is an absence of that
restlessness, anxiety, and depression of spirits, by which scarlet
fever is peculiarly distinguished.--The rash, too, in measles, does not
appear till two or three days later than that of scarl