hen
irremediable mischief had already taken place. It would be difficult,
however, to point out the signs of its approach in all its forms (for
this disease does not always commence in the same way, sometimes with
fever, etc.), still it most frequently occurs preceded by certain
striking and well-marked symptoms; and whenever the following are
noticed by the parent apprehensive of mischief, she should at once send
for her medical adviser:--watchfulness, or starting from sleep with a
cry of alarm; prolonged screaming without any obvious cause; moaning
and drowsiness; rolling the head from side to side on the nurse's
arm, or thrusting it back against the pillow; knitting the brows and
aversion from light, with heat of head, and constant carrying the
little hand up to it; half closing the eyelids, and frequent vomiting.

The chief and principal point in the maternal management (for it
includes every other) is promptly and faithfully to administer the
remedies prescribed by the medical attendant. A vigilant maternal
superintendence is more necessary in this than almost any other
disease; and it is highly desirable, therefore, that the mother should
have a day and night nurse--individuals upon whom she can depend. A
careful notice of symptoms and changes in the patient, in the intervals
of the medical man's visits, and a true and faithful report to him upon
his return, are of essential importance. A sleepy nurse will neglect
the application of the most important remedies, and necessarily give an
unfaithful report of symptoms; hours the most valuable to the child's
well-doing are thus lost, and the chances of saving its life worse than
problematical.

The temperature of the room should be kept rather cool than warm, and
the bed-clothes only sufficient to preserve the natural heat of the
body. Strong light must be excluded. Great quiet should be observed.
Freedom from all excitement of the senses, and irritation of the
temper, should be carefully avoided: this is particularly necessary
where the child is naturally of a quick and sensitive disposition.

All the excretions must be put aside for the inspection of the
physician, but not kept in the sick chamber, which must be well aired,
and perfectly free from closeness. The regimen must be only such as is
ordered, and any departure therefrom will be attended with mischievous
consequences. During the early periods of the disease, all that is
required are cooling diluents, give