to obtain medical attendance, we will say that the
treatment should be much the same as in intermittent fever, but more
energetic. Quinine should be taken in doses of from five to fifteen
grains every two or three hours. If it be not retained by the stomach,
the following mixture may be administered by injection: sulphate of
quinine, one-half drachm; sulphuric acid, five drops; water, one ounce;
dissolve, and then add two ounces of starch water.

CONTINUED FEVERS.

The symptoms of these fevers do not intermit and remit, but _continue_
without any marked variation for a certain period. They are usually
characterized by great prostration of the system, and are called
_putrid_ when they manifest septic changes in the fluids, and
_malignant_ when they speedily run to a fatal termination. _Typhoid_ and
_typhus_ fevers belong to this class. We shall not advise treatment for
these more grave disorders which should always, for the safety of the
patient, be attended by the family physician, except to recommend some
simple means which may be employed in the initial stage of the disease,
or when a physician's services cannot be promptly secured.

TYPHOID FEVER. (ENTERIC FEVER.)

In typhoid fever there is ulceration of the intestines and mesenteric
glands. This diseased condition of the bowels distinguishes this fever
from all others, and is readily detected by sensitiveness to pressure,
especially over the lower part of the abdomen on the right side. The
early disposition to diarrhea is another characteristic symptom of it,
and there is also no intermission of symptoms as in intermittent fever.
The disease comes on insidiously, with loss of appetite, headache,
chilliness, and languor. It is usually a week or more before the disease
becomes fully developed.

CAUSE. Typhoid fever is a specific form of fever developed from the
action of a specific germ upon a susceptible system. The poison of
typhoid fever is eliminated mainly through the bowels. The germs of
typhoid can maintain life for months in water, and thus it happens that
ponds, lakes, rivers and streams which receive sewage can spread the
germs of typhoid fever. Well water often swarms with these poisonous
germs. In some cases it has been found that privies, though twenty or
forty feet away from a well, have yet drained into it--through a clay
soil covered with gravel--and carried the germs to those drinking the
water from the well. Next to water, milk is the m