holly
better until the cause is cured. These children should lead an active
outdoor life when the weather is favorable. Their sleeping-room should
be well aired and ventilated. Red meats are allowed twice a week only.
Sugar is cut down to the lowest limit. Skimmed milk only should be
taken--the cream being too rich for them. They can eat freely of fruits
in season, green vegetables and cereals. The bowels must move freely
every day. Patients must be given a lukewarm bath, followed by a brief
spray of cold water, daily. The cold spray should not be too cold; about
60 degrees F. is the suitable temperature of the water.

An absolute change of climate, to a warmer inland atmosphere, is
imperative before some of these patients will begin to improve.

SUMMARY:--

A child with chronic bronchitis, or with frequent attacks of bronchitis
(or chronic colds), is usually suffering from some other diseased
condition.

The bronchitis, or the cold, will not get better until you find
out what that "other diseased condition" is.

It takes a physician to find that out.

Having found the cause, cure it, and the bronchitis will disappear and
the general health of the child will immediately improve.

PNEUMONIA

Pneumonia is a very common disease in childhood. It is the most frequent
complication of the various acute infectious diseases. Pneumonia is an
exceedingly important factor in the mortality of infancy.

There are two kinds of pneumonia:--

1. Broncho-pneumonia.
2. Lobar-pneumonia.

Acute Broncho-Pneumonia.--Up to the fourth year this is the form of
pneumonia always present. It is the form that always complicates other
diseases all through childhood.

It is most apt to occur during the spring and winter months.

It affects all classes, but especially those whose hygienic surroundings
are poor. Catching cold is the exciting cause in a large percentage of
primary pneumonias.

Symptoms.--Broncho-pneumonia has no regular course. It may or it may
not follow a cold or an attack of bronchitis. As a rule it begins
suddenly with a high fever, frequently accompanied by vomiting, rapid
respiration, cough, and prostration.

The child does not maintain a high fever continuously; it varies
considerably throughout each twenty-four hours. It lasts from one to
three weeks, and subsides gradually.

The respirations vary between 60 and 80 per minute, though they may be
much more frequent than this. The child breathes with a