th. Colds must be guarded against.
The patients should never get their feet or their clothes wet. Muscular
exercise, because of the weak condition of the heart, should be
moderate, and only given on the advice of a physician. It is frequently
necessary to stop all forms of exercise and in many instances we get the
best results by directing complete rest in bed for a considerable part
of the day or for all day if the case demands it.

* * * * *

CHAPTER XXXVII

DISEASES OF CHILDREN, CONTINUED

Rheumatism--Malaria--Rashes of Childhood--Pimples--Acne--
Blackheads--Convulsions--Fits--Spasms--Bed-wetting--Enuresis--
Incontinence--Sleeplessness--Disturbed Sleep--Nightmare--Night Terrors--
Headache--Thumb-sucking--Biting the Finger Nails--Colon Irrigation--
How to Wash Out the Bowels--A High Enema--Enema--Methods of Reducing
Fever--Ice Cap--Cold Sponging--Cold Pack--The Cold Bath--Various Baths--
Mustard Baths--Hot Pack--Hot Bath--Hot Air, or Vapor Bath--Bran Bath--
Tepid Bath--Cold Sponge--Shower Bath--Poultices--Hot Fomentations--How
to Make and How to Apply a Mustard Paste--How to Prepare and Use the
Mustard Pack--Turpentine Stupes--Oiled Silk, What it is and Why it is
Used.

RHEUMATISM

This is a rather common disease of childhood. It occurs most frequently
between the ages of nine and thirteen years. Children can have it,
however, at any age.

The symptoms of rheumatism in children are much the same, though
somewhat milder, as when the disease is present in an adult. Children
are not quite as sick, nor is the fever as high, nor is the pain as
great as in a grown person. In children the disease does not last as
long, as a rule. Sometimes it will jump from one joint to another, and
may, as a consequence, become chronic. When a child has once had
rheumatism, it has the same disposition to recur that it has in adults.
The principal danger of rheumatism in children is its tendency to attack
the heart. Even mild attacks of the disease can do serious damage to the
heart.

Children who have the rheumatic tendency invariably suffer from
inflammatory conditions of the upper respiratory tract. They are prone
to have recurring colds, tonsilitis, and sore throats. Treatment of
conditions without regard to the underlying rheumatism is never
satisfactory. These children complain of indefinite pains, now in one
place, now in another. These pains are commonly known as "growing-pains"
and, ina