The invasion may be
sudden and severe. It is usually mild and gradual, but with severe pain in
the back and head. A scanty eruption of papules, often only on the face
and hands, appears on the third or fourth day, with disappearance of
constitutional symptoms.
[202 MOTHERS' REMEDIES]
Treatment.--Vaccinate the children the second or third month, and all
persons about every six years, and always after exposure to the disease or
during epidemics. Put the patient in a room cleared of all furniture,
carpets, curtains, rugs, etc.; keep the patient thoroughly clean, and the
linen should be frequently changed. The bed clothing should be light.
Disinfect and sterilize everything thoroughly that has been in contact
with the patient. Get a good experienced nurse, and one who has been
around the disease.
Diet.--Give the supporting diet early. During the first stage give milk,
broths of different kinds, albumin water. Relieve the intense thirst by
water and lemonade. When the first (initial) fever subsides and the
patient feels improved, give milk, eggs, chops, steak, or rare roast meat,
bread or toast; vegetables, such as potato, spinach, celery, asparagus
tips, cauliflower tops. When the second fever returns go back to the
liquid diet again, and give regularly and as much as possible every two or
three hours during the day, and every three or four hours during the
night. Milk, plain or peptonized; milk punch, raw eggs, broths, beef
juice. If swallowing is difficult, give food cold and oftener, and in less
quantity. Increase the diet rapidly during convalescence.
Cold drinks should be freely given. Barley water and oatmeal water are
nutritious and palatable. Milk broths, and articles that give no trouble
to digest.
Nursing.--Nursing is the main thing. The bowels should be kept open with
salts. There is no special medicine we can claim will do good. Aconite may
be used for the fever at first, in drop doses every hour for twenty-four
hours. But the least medicine that is given the better it will generally
be.
There is, I believe, something in protecting the ripening papules from the
light. The constant application on the face and hands of lint soaked in
cold water, to which antiseptics such as carbolic acid or bichloride may
be added, is perhaps the most suitable treatment. It is very pleasant for
the patient at least, and for the face it is well to make a mask of lint
which can be covered with oiled silk. When the crust
|