e done when the patient is
_warm in bed_.
It will be of great importance, in carrying out this process, to use
olive oil in such a way, all over the body, as to help in maintaining
the general normal heat. In addition to these suggestions, it may be
well to remark that the appearances in such cases are, as a rule, worse
than the reality. For instance, the motion of the eyes and of the
tongue makes one imagine that the sufferer has lost all reason, and
even consciousness of normal character. But this is not so; the brain
may not be affected at all, and the worst feeling is that of weariness.
We have seen a patient smiling through the most distressing
contortions--that is, most distressing to the ordinary observer. It is
of great importance that any one who treats such cases should be _cool_
and _kind_.
It will sometimes be impossible for one person to keep the patient in
bed and covered with the clothes so as to keep warm. If so, two must do
it. It is, however, to be remembered constantly, that the patient feels
it much more agreeable to be held within even close limits than to be
allowed to throw arms and legs, and head and body about in all
directions. This is a most invaluable truth in such cases. It will not
do to hold as with an iron grasp, so that no degree of movement is
allowed; but you may hold softly, so that no motion, such as will even
disturb the bedclothes, shall take place. This must be done so that all
the body shall be comfortably warm when the cold towel is laid along
the spine and pressed gently to the centre of the back. In
comparatively mild cases, we give an hour of this cooling process every
morning only, and the warm washing and anointing with olive oil at
bedtime; but in such cases as we sometimes meet with, where drugs have
done their mischievous work, it is necessary to cool much more
frequently. For instance, when the morning cooling has laid the
irritation, and the patient is quiet for an hour, or, perhaps, only
half-an-hour, the movement returns. The persons applying the cure are
afraid to repeat it till another morning has come. But they need not be
so. Or, they apply it for five minutes, and are afraid to continue it
longer. They may quite safely apply it as long as they can keep the
rest of the body comfortably warm. If they can keep nice, soft blankets
well round the patient, as a rule it will not be difficult to keep up
all general heat. Let us suppose that, when warm in bed and asl
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