rwards in a dry blanket, to assist in producing a reaction.
In such cases I have found very cold water to be of more service than
water of a warmer temperature. When the patient has not been too much
weakened already, a rash is likely to be produced by the proceeding, and
in consequence of repeated baths, the nervous system to be relieved and
a healthier reaction to be obtained.
108. Should putrid symptoms appear, I would advise the use of mineral
acids and chloride of lime, in addition to hydriatic treatment.
109. In no case would I advise a hydriatic practitioner to overdo,
either in regard to the temperature or to the quantity of the baths. The
state of the brain and of the skin should always guide him. The increase
of delirium will require a bath, and the dryness and heat of the skin a
pack. If both symptoms exist, the bath is to be preferred, as the
condition of the nervous system should always command the principal
attention of the physician. When the nervous system is supported, the
whole of the organism is, and the condition of the skin usually improves
with the former.
110. ILLUSTRATIONS.
I shall give a couple of illustrations:
In the winter of 1845-46, during an epidemic, which ravaged the city of
Dresden and the neighboring villages, I was called to see a child,
belonging to a tradesman, blessed with a large family, but without
sufficient means to support them. I found the whole family crammed
together in a room of moderate size, the patient lying in a bed near the
window. There was a large fire in a sheet-iron stove, upon which the
mother was preparing the scanty dinner of the family. The air was filled
with the exhalations of the living, beside the smell from the potatoes
and sourkrout, which was undergoing the cooking process, the sundry
boots and shoes lying around or being under repair in the hands of the
father, and a few pieces of linen hanging behind the stove for the
purpose of drying. In an adjoining alcove lay the body of a little boy,
who had expired the day before, a victim of scarlet-fever.
I found the patient, a fair-haired little girl of about eight years, in
a state of sopor, which had lasted a day and a half; there had been
delirium for two or three days, during which time the child had never
had a clear moment. There was a purple rash all over the body. The
temperature of the body I found 112 F., on placing my pocket-thermometer
under the pit of the arm; the pulse was smal
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