from the bowels are dark, or yellow and consistent,
or there is bilious vomiting, _Podophyllin_ is the remedy. From some
cause or other, to me wholly unaccountable, the writers generally have
laid down _Rhus_ and _Bryonia_ as _the_ remedies in typhoid fever. I
must confess I have no confidence in them for this fever as it prevails,
and has for several years past, in this country. They have proved a
failure, and I discard them altogether, as I am confident, from thorough
trial, we have much more reliable remedies as a substitute for Rhus in
the _Podophyllin_, and for Bryonia in the _Macrotin_. In the early
stage, or at any time to arrest febrile and inflammatory symptoms, the
_Baptisia_ is much more potent than Aconite, its symptoms corresponding
peculiarly with typhoid fever. If the discharges become slimy or bloody,
give _Leptandrin_ and _Nit. acid_. It is important to bathe in this
disease.

Scarlet Fever.--Scarlatina.

This fever assumes two principal forms: Simple or mild, and Malignant.
In the _Simple form_, there is great heat of the surface, extremely
quick and frequent pulse, headache, and some sense of pain and soreness
in the throat. After a day or two, there appears upon the surface,
bright scarlet patches, in some cases extending over the whole limbs,
the skin smooth and shining, and somewhat bloated or swollen; upon
pressure with the finger, a white spot is seen, which soon disappears on
removal of the pressure. As the disease subsides, the cuticle comes off
(_desquamates_) in patches. In the simple form of this disease, the
throat, though often more or less sore, does not ulcerate. In some
cases, notwithstanding the fever is high, the pulse frequent, and the
throat sore, there may be no external redness, but the mouth and tongue
will have a scarlet hue, indicating the existence of disease more
dangerous than when it appears externally. _In the malignant form_, the
same symptoms are present, the patient suffers more pain in the head;
the back and throat, root of the tongue, tonsils and soft palate become
ulcerated, turn black, and sometimes gangrenous, proving fatal in a few
days, or slough out in large portions, the ulcers destroying the parts
extensively. The breath becomes foul and fetid, and the effluvia from
the ulcerated surface, is very sickening to the patient and all around
him. This disease rarely attacks adults, but occasionally, and for the
last six or eight months, in one region where I am