and some time after convalescence, the
patient should take a cool bath, or a cold ablution every morning,
immediately on rising from bed, and walk after it as soon as he is
dressed. In very cold and disagreeable weather, the walk should be taken
in the house; but the patient should not sit down, or stand about,
before circulation and warmth are completely restored in every part of
the body, especially in the feet. I cannot insist too much upon exercise
being taken immediately after every bath, as, without it, the bath may
do more harm than good, and dressing, with many, will take so much time,
that they will take cold before getting their clothes on.

If the patient should take cold, or feel otherwise unwell, during
convalescence, the packs must be resorted to again, and continued till
he is quite well.

57. TREATMENT OF SCARLATINA ANGINOSA, OR SORE-THROAT SCARLET-FEVER.

In _scarlatina anginosa_, or _sore-throat scarlet-fever_, which is the
most common form of the disease (1-7) we have to discriminate, whether

1) the _reaction is mild_, the heat of the body not being much above
100 deg. Fahr. and the pulse full, but not above 110 to 120, the pain and
swelling of the throat moderate, the brain little or not affected; or

2) _violent_, the heat from 106 to 112, the pulse 120 to 150 beats or
more, the inflammation of the throat decided and extensive, the brain
very much affected; or

3) _torpid_, little or no heat, the pulse quick and weak, the
inflammation of the throat undecided, varying, the rash appearing slowly
or not at all, and what there appears of a pale, livid color, the
patient more or less delirious.

58.--1. TREATMENT OF THE MILD OR ERETHIC FORM OF SCARLATINA ANGINOSA.

The _mild_ or _erethic form_ of scarlatina anginosa requires about the
same treatment as scarlatina simplex. I would, however, for the sake of
safety, advise a pack and bath per day, through the whole course of the
disease, in the afternoon, when the fever begins to rise; and during the
period of eruption, when all the symptoms increase, two and even three
packs a day may be required. This depends on the increasing heat and
fever, as well as on the condition of the throat. The greater the heat
and fever, and the more troublesome the inflammation, the more packs. If
the fever and pain increase some time after the pack, in which the
patient may stay for an hour or two, the packing must be repeated. The
length of the pack depends muc