e, and rather
give a pack more than frighten the little patients out of their wits.
Proceed safely, but firmly and try to obtain your object in the mildest
manner possible.

69. Before perspiration comes on, there is a little more excitement for
a few minutes (41), which must not induce the friends of the patient to
take him out of the pack; only when it continues to increase, instead of
the perspiration breaking out and relieving the patient, it will be
necessary to change the sheet, another time, as in that case the
organism is not fully prepared for perspiration. After the breaking out
of the latter, the patient invariably feels easier, and continues so for
some time. When the feverish symptoms increase, during perspiration,
which can be ascertained by feeling the pulse on the temples and by the
thermometer, it is time to remove the patient from the pack, to give him
his bath. Half an hour's perspiration is commonly sufficient; if the
patient feel easy, however, and can be prevailed upon to stay an hour,
or longer, till a good thorough perspiration brings permanent relief, it
will be better. It would be unwise to let the patient stay too long and
get him in a state of over-excitement; but, on the other hand, parents
ought to remember that very few children _like_ to be packed, and that
a patient in high fever is a bad judge of his own case. I have always
found those children the best patients, who had been brought up in
strict obedience to their patients' dictates, before they were sick, and
this, as well as the daily habit of taking baths, and the quiet and firm
behavior of the physician and friends of the patient under treatment
generally remove all difficulty.

70. LENGTH OF BATH.

Although the temperature, in sthenic cases, should be a little lower
than in erethic cases, it is not advisable to use the water very cold,
as this would cause too strong a reaction, and consequently new
excitement. The safer way is to let the temperature of the bath be
between 70 and 65 deg., according to the age and constitution of the patient
(the younger and more delicate the patient, the higher the temperature),
and to let him stay long enough in the bath to become perfectly cool all
over, which can be ascertained by placing the hand or the thermometer
under the arm-pits, which usually retain the warmth longest. I
understand, in advising such a temperate bath of several minutes,
duration, that the patient be hot and the rash