hat is followed by
this formidable malady, still this symptom rarely attends a common cold
in young children, and therefore always deserves when present the
serious attention of the mother, particularly if accompanied by a rough
cough.

The symptoms or signs of the approach of this disease have been ably
and graphically depicted by the late Dr. Cheyne,

"In the approach of an attack of croup, which almost always takes
place in the evening, probably of a day during which the child has been
exposed to the weather, and often after catarrhal symptoms have existed
for several days, he may be observed to be excited; in variable
spirits; more ready than usual to laugh or to cry; a little flushed;
occasionally coughing, the sound of the cough being rough, like that
which attends the catarrhal stage of the measles. More generally,
however, the patient has been for some time in bed and asleep before
the nature of the disease with which he is threatened is apparent;
then, perhaps without awaking, he gives a very unusual cough, well
known to any one who has witnessed an attack of the croup: it rings as
if the child had coughed through a brazen trumpet; it is truly a tussis
clangosa; it penetrates the walls and floors of the apartment, and
startles the experienced mother--'Oh, I am afraid our child is taking
the croup!' She runs to the nursery, finds her child sleeping softly,
and hopes she may be mistaken. But remaining to tend him, before long
the ringing cough, a single cough, is repeated again and again. The
patient is roused, and then a new symptom is remarked: the sound of his
voice is changed; puling, and as if the throat were swelled, it
corresponds with the cough; the cough is succeeded by a sonorous
inspiration, not unlike the kink in hooping-cough--a crowing noise, not
so shrill, but similar to the sound emitted by a chicken in the pip
(which in some parts of Scotland is called the roup, hence probably the
word croup); the breathing, hitherto inaudible and natural, now becomes
audible, and a little slower than common, as if the breath were forced
through a narrow tube; and this is more remarkable as the disease
advances," etc. etc.

It is unnecessary for me to add to the foregoing picture.

MATERNAL MANAGEMENT.--Having early obtained medical assistance attend
with the strictest obedience to the directions given. And in this
disease, more than any other, it is particularly important that the
mother should give her p