h on circumstances; as long as the patient
feels comfortable and can be kept in it, without too much trouble, he
ought to stay. In case the patient cannot be prevailed upon to stay
longer than an hour, or if the fever increases soon after the pack, it
may be necessary to repeat packing every three or four hours, which is
the general practice of several water-physicians in Germany and England.

59. If the patient becomes restless soon after having been packed, the
heat and fever increasing, as may be ascertained from the pulse at the
temples and the general appearance of the face, the sheet must be
changed, as directed above (46) till the patient becomes quiet and feels
more comfortable. In case of repeated changing of sheet, the patient
should stay in the last sheet, till he has perspired about half an hour,
or longer, before he is taken out to the bath, which should be of about
70 deg., as in all the mild forms of scarlatina. The length of the bath
depends on the heat, and reaction of the patient, who should be well
cooled down all over, before going to bed again or dressing. He ought
not to be out of bed for a long time, and only after a bath, as this
will protect him from taking cold.

60. The throat should be covered with a wet compress, i. e. a piece of
linen four to eightfold, according to its original thickness, dipped in
cold water (60 deg.-50 deg.), well wrung out and changed as often as it grows
hot. It should be well covered to exclude the air. This compress should
be large enough to cover the whole of the throat and part of the chest;
it should closely fit to the jaw, and reach as far up as the ear to
protect the submaxillary and parotid glands located there.

61. When the period of eruption is over, there is commonly less fever,
and the packs and baths may be diminished.

62. Towards the end of the period of efflorescence, when the rash
declines, fades, disappears, and the skin begins to peal off, an
ablution in the morning of cool water, with which some vinegar _may_ be
mixed, and a pack and bath in the afternoon, are quite sufficient,
except the throat continue troublesome, when a pack should also be given
in the morning. The packs, once a day, should be continued about a week
after desquamation. The patient may safely leave the house in a
fortnight. I have frequently had my patients out of doors in ten or
twelve days, even in winter.[32]

63. This going out so early, in bad weather, is by n