ure record is kept the fever will
be found to rise from one-half to a degree higher each day. A steady
climb in the temperature curve is noted until the end of the first
week, when it remains for a week, possibly 103 or 104 F. After one
week it begins slowly to decrease and, if all goes well, the early
part of the fourth week usually finds the temperature about normal. It
is exceedingly important that the child be kept in bed during the
entire course of the disease. The bed pan must be used at each bowel
movement or urination.

_First Week Treatment._ During this week the child may feel quite
well, but he should be kept in bed and sustaining treatments
begun--such as wet-sheet packs and cold frictions to the skin (during
which time there should always be external heat to the feet). The diet
must be full and nourishing, but all pastries and "knicknacks" should
be avoided. Abundance of fresh fruit that has been well washed before
paring, eggs, pasteurized milk, baked potatoes, and toasted bread may
be taken at regular periods--with an interval of not less than five
hours between meals.

The bowels should be opened in the beginning of the disease with a
liberal dose of castor oil, after which daily colonic irrigations
should be employed. These enemas should be given at least once a day,
the temperature being about that of the body, with a smaller terminal
enema about five degrees cooler at the close of each bowel cleansing.

_Second Week Treatment._ The normal temperature at this time is no
longer 98.6, it is 101.5 F. This fever is essential to the curative
and defensive processes of the body; and while we do not care to have
the fever fall below 101.5, at the same time nothing is to be gained
by allowing the fever to go up much above 102.5 or 103 degrees F. And
so, during the second week, while the disease is at its height, we
make frequent use of the wet-sheet pack, always remembering that the
extremities must be kept warm and never permitting the skin to become
blue or mottled while the cold treatment is being administered. Since
the real disease is localized in the small intestine, we will now
describe a very important treatment for the diseased bowel--and one
which is also very useful in combating high temperature.

_The Cooling Enema._ The temperature of this enema begins one degree
higher than that of the body (supposing the body temperature to be
103, the temperature of the enema would start at 104 F.). This is