ntly he sleeps till awakened by the increasing
heat. A drink of cold water will quiet him for a while, which may be
administered by means of a glass tube (julep-tube), in order not to
disarrange the pack by lifting him up. As long as the head is not
affected, there is no danger of his staying too long. The longer he can
stay, the surer the eruption will appear.

83. COLD AFFUSIONS AND RUBBING.

After the pack, the patient is placed in an empty bathing or wash-tub,
and cold water (of 65 deg.-60 deg. Fahr., only with very young and delicate
children a little higher, with adults rather lower) is thrown over him
in quick succession by means of a dipper, whilst he is well rubbed all
over his body, especially the extremities. Not too much water should be
poured over the head; however, the head should be always wetted first.
This process should not last longer than a minute or two, except the
patient continue very warm during it, in which case it should be
prolonged, as the perfect cooling of the body is necessary to prevent
the fever from coming on soon after and the patient continuing weak.
After the bath, he should be rubbed dry, first with the bare hands of
the attendants, and then with a dry sheet, and put to bed again, or, if
he feel inclined to stay up, dressed warmly and be induced to walk about
as long as he can.

84. ICE-WATER AND SNOW-BATH IN MALIGNANT CASES.

If no rash appear during the first pack, which will scarcely fail, the
proceeding should be repeated, and the patient stay longer in the pack
than the first time. In very bad cases, when the patient fails at once
under the action of the poison (malignant scarlet-fever) iced water or
snow may be resorted too. I know several instances of patients, having
been given up by their physicians, reviving again under the influence of
a snow-bath, which produced a healthy reaction, when nothing else was of
avail. I have never had occasion myself to resort to such extremes, cold
water having always answered my purposes; but I would not hesitate a
minute to use snow and ice in a case where I could think it useful and
necessary. Such proceedings _look_ cruel; but it _is_ decidedly more
cruel to let the patient's life be destroyed from want of timely
assistance. I distinctly remember a case, which occurred in Cassel, when
the physician objected to "tormenting the poor boy," and wanted the
father to "let him die in peace." But the father,[33] who had some
knowledge of