Strictures on the Diseases of Young Children — From Lectures Delivered at Guy's Hospital
Boston Medical and Surgical Journal
tion. The patient was obliged to be supported at first with a crutch, and afterwards with a staff, from the weakness of the limb ; otherwise in excellent health, and a strong, good-looking young man. The tincture was used in this case, and as stated, with perfect success. The essential part of the treatment may be comprised in a few words : in chronic cases, after effusion has taken place, bleeding from the head is of very doubtful propriety ; but it seems to be a principal remedy if the attack
... is sudden and recent. The blood may be taken by leeches, or from the jugular vein ; of the quantities, you may judge from the table already given. Again. To clear the cbylopoietic viscera, is always proper in these convulsive and hydrocéphalie affections ; ipecacuanha and calomel, or other laxatives and emetics, being employed for the purpose. Pas,try and fruit are sometimes brought away in this manner, given, perhaps, to please the child by some indiscreet acquaintance. In convulsive affections, be sure to refrigerate the head, particularly if the attack be recent. Lei the hair be removed by the razor, or by the diligent use of the seis' sors. Ether and water, vinegai and water, or liquor ammon. ace' tatis, being employed in the waj of lotion. Take care of the eyes Ice may be thought of; watei may be poured over the scalp from a coffee pot ; this is, in fact, la douche. Once a day, or half a dozen limes, for a few seconds, or for a few minutes, the administration of refrigerants may be continued, according to the effect produced. Coolness of the scalp, and paleness and shrinking of the features, are the indications that the refrigerating applications have exerted their full operation. Warmth about the head, pulsating fontanels, and inward lits, are the best signs that the refrigerants are again required, To equalize the circulation, the warm bath is of gteat service ; and although timorous mothers are very anxious lest the water should weaken, I think I never in one instance witnessed a dangerous debility produced in this manner ; and of the bath I have made frequent use. 97 deg. of Farenheit's thermometer appeaVs to be a very fit temperature ; ten or fifteen minutes is an average period of immersion, to be lengthened if the child seem lively, and to be abbreviated should faintness occur ; perhaps it is better to keep the head above water.