ugh becomes
spasmodic) than attention to diet, regimen, and the excretions. The
diet should be farinaceous, with milk, or as may be otherwise directed.
The child must be confined to a mild equable temperature; in fact, to
his apartment. It is a popular error to suppose that at this time
change of air is beneficial to the disease: at a later period it
certainly is so, but now injurious, and attended with great risk.
Should the weather be cold, the little patient must be warmly clad, and
flannel worn next the skin; this latter precaution should always be
taken in the winter, spring, and autumn. Purgatives and other medicines
will be required, and ordered by the medical attendant; the chief
attention, however, of the parent must be directed to any change she
may observe in the symptoms, breathing, etc.; she must be all on the
alert to notice the first signs of local inflammation. Of this,
however, we shall speak presently.
During the early part of the second stage, that is, when the cough
becomes spasmodic, assuming its peculiar sound, the same diet and
regimen must be continued, and the same watchfulness observed, lest
any inflammatory symptoms manifest themselves.
Under the foregoing treatment the disease generally runs its course
without any untoward event, and the child recovers perfectly.
Sometimes, however, although the patient is quite well, and the disease
on the decline, the cough still continues. In these cases, and at this
time, it is that change of air often proves so very serviceable. The
sea-side is preferable, if the season of the year permit; and salt-
water bathing, commencing with the warm or tepid bath, and passing
gradually to the cold-bath (if no complication forbid it), will also
prove certainly and rapidly remedial.
Crying, mental irritation, or opposition, frequently bring on a fit;
and even the sight of another in a paroxysm will induce it in those
affected by the disease. Running or other active exercise will
generally cause the fits to be more severe. Young children, too, must
be carefully watched at night, and be raised up by the nurse as soon as
the fit is threatened. These hints the mother should bear in mind.
So much for the simple form of the disease, and that in which it most
frequently and commonly presents itself to our notice: a mild disease;
and, if carefully managed and watched over, certainly not a dangerous
one.
Of what, then, is a parent to be afraid, or against what is s
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