the first week or ten days, the symptoms
have probably become every day more grave; and for the next ten the
doctor could find no better consolation than the assurance--happy if he
could give it--that the condition was not worse, but that you must have
patience, for the time for improvement had not yet arrived. If the
attack has been severe, the child will be left greatly exhausted, sadly
emaciated, and suffering from the effects of that ulceration of the
bowels which accompanies the fever, and from which life may still be in
imminent danger. But the fire is quenched; the question is no longer how
to put out the conflagration, but how to repair the mischief it has
caused.

When mild, the disease usually comes on very gradually, the child loses
its cheerfulness, the appearance of health leaves it, the appetite
fails, and the thirst becomes troublesome; in the daytime it is listless
and fretful, and drowsy towards evening, but the nights are often
restless, and the slumber broken and unrefreshing. The skin is hotter,
and almost always drier than natural, or if there is any perspiration,
it comes on at irregular times, lasts but an hour or two and brings no
refreshing. The thermometer will quite, in the early days, solve all
doubt as to the nature of the case. In the morning the thermometer will
be natural, or nearly so, but at seven o'clock in the evening it will
have risen to 101 deg. or 102 deg., and will continue so during the early part
of the unquiet night. After midnight it will begin to fall, and by six
o'clock in the morning, or even earlier, will have regained its natural
standard. There is no other disease but typhoid fever, and now and then
some forms of galloping consumption, in which these oscillations of
temperature take place regularly. Other symptoms attend typhoid fever
besides these, and serve to stamp upon it its distinctive character. The
bowels are usually loose, or if not, a moderate aperient acts on them
excessively, the evacuations being loose, often watery, of a light
yellow-ochrey colour. The abdomen is full, the bowels being more or less
distended with wind, sometimes tender, especially at the right side, and
both tender and painful in all cases where the disease is severe.
Towards the end of the first, or at the latest by the middle of the
second week, small rose-red spots or pimples appear on the abdomen,
sometimes also on the chest and back. They disappear for the moment if
pressure is made o