a bright florid
rash; a regular, steady appearance, standing out, and disappearance of
the latter; a regular and complete pealing off of the cuticle; a
decrease of the pulse after the eruption of the rash; an easy and
regular respiration; a natural expression of the features; a moist
skin.

32. UNFAVORABLE SYMPTOMS

are: A fetid breath, with ulceration and sloughing of the throat and
glands; a smarting and weakening diarrhoea; involuntary evacuations of
the bowels; dizziness, deafness, coma, grinding of the teeth; retention
of urine; petechiae; a rapid decline of the patient's strength; a quick,
small, weak pulse; rapid breathing; twitchings, tetanus, hiccough,
&c.--Closing up of the nose frequently precedes a dangerous affection of
the brain. A sudden disappearance of the rash, or of the inflammation of
the throat, is a bad omen. With such symptoms as these, there is usually
little or no rash, and the little there is, of a pale, livid color, and
the skin, in general, inactive.

FOOTNOTES:

[1] The expression _scarlatina_ does not imply, as it is believed by
many, on account of its diminutive form, a peculiar mild form of the
disease: it is nothing but the Latin and scientific name for
scarlet-fever.

[2] Captain Claridge.

[3] Thomas Watson, M. D. Lectures on the Principles and Practice of
Physic.

[4] Sydenham.

[5] G. C. Reich, M.D. Neue Aufschluesse ueber die Natur und Heilung des
Scharlachfiebers, Halle, 1810.

[6] L. Hesse, M. D. in Rust's Magazin, Vol. XXVII., H. 1 S. 109.

PART II.

TREATMENT OF SCARLET-FEVER.

DIFFERENT METHODS OF OTHER SCHOOLS.

33. Before giving the description of hydriatic treatment of
scarlet-fever, I shall, for the sake of a better appreciation, glance
over the different methods which have been recommended by other schools.

34. THE EXPLETIVE METHOD (_blood-letting_)

has been advocated by some of the best authorities, and there cannot be
a doubt but that it must have rendered good service in cases of violent
reaction, or else men like de Haen, Wendt, Willan, Morton, Alcock,
Dewees, Dawson, Dewar, Hammond, &c., would not have pronounced
themselves in favor of it. However it requires nice discrimination and a
great deal of experience, as in any case where it does no good it is apt
to do a great deal of harm, by weakening the patient and thus depriving
him of that power which he so much needs in struggling against the enemy
invading his system. Besides,