clean, raw, inflamed state, looking much like a huge strawberry. This
is called the _strawberry tongue_ of scarlet-fever, and is one of the
characteristic symptoms of that disease. There is a peculiar smell about
the person of the patient, reminding one of salt fish, old cheese, or
the cages of a menagerie.

4. PERIOD OF ERUPTION, OR APPEARING OF THE RASH.

Commonly, on the second day, towards evening, sometimes on the third,
and only in very bad cases later, the rash begins to make its
appearance, under an increase of the above symptoms, especially of the
fever and delirium, and continues to come out for about twelve hours.
Usually the eruption commences in the face, on the throat and chest;
thence it spreads over the rest of the trunk, and finally it extends to
the extremities. The minute red points, which appear at first, soon
spread into large, flat, irregular patches, which again coalesce and
cover the greater part, if not the whole, of the surface, being densest
on the upper part of the body, particularly in front, in the face, on
the neck, the inner side of the arms, the loins, and the bend of the
joints. The scarlet color of the rash disappears under the pressure of
the finger, but reappears immediately on the latter being removed.
Sometimes the eruption takes place with a profuse warm sweat, which
prognosticates a mild course and a favorable issue of the disorder.
Together with the appearance of the rash, the disease develops itself
also more internally: the inflammation of the mouth and throat
increases; the tonsils and fauces swell to a high degree; the eyes
become suffused and sensitive to the light; the mucous membranes of the
nose and bronchia become also affected, the patient sneezes and coughs,
and all the symptoms denote the intense struggle, in which the whole
organism is engaged, to rid itself of the enemy which has taken
possession of it.

5. PERIOD OF EFFLORESCENCE, OR STANDING OUT OF THE RASH.

During the first day or two of the period of efflorescence, which lasts
three or four days, the above symptoms usually continue to increase.
Sometimes, however, the patient is alleviated at once on the rash being
formed. This alleviation always takes place when the rash comes with
perspiration, and also under a proper course of water-treatment. If the
rash continues to stand out steadily, the symptoms decrease on the third
day; the patient becomes more quiet, the pulse slower (going down to 90
and e