Advice to a Mother on the Management of Her ChildrenChavasse, Pye Henry
Science
Advice to a Mother on the Management of Her Children
Chavasse, Pye Henry
Child care; Children -- Health and hygiene; Infants -- Health and hygiene
_What NOT to do._--Do not, then, apply either leeches or blisters to
the throat; do not paint the tonsils with caustic; do not give
aperients; do not, on any account, give either calomel or emetic
tartar; do not, for the first few days of the illness, be afraid of
_cold air_ to the skin, and of cold water as a beverage; do not,
emphatically let me say, _do not_ let the child leave the house for at
least a month from the commencement of the illness.
My firm conviction is, that purgatives, emetics, and blisters, by
depressing the patient, sometimes cause ordinary scarlet fever to
degenerate into malignant scarlet fever.
I am aware that some of our first authorities advocate a different
plan to mine. They recommend purgatives, which I may say, in scarlet
fever, are my dread and abhorrence. They advise cold and tepid
spongings--a plan which I think dangerous, as it will probably drive
the disease internally. Blisters, too, have been prescribed; these I
consider weakening, injurious, and barbarous, and likely still more to
inflame the already inflamed skin. They recommend leeches to the
throat, which I am convinced, by depressing the patient, will lessen
the chance of his battling against the disease, and will increase the
ulceration of the tonsils. Again, the patient has not too much blood;
the blood is only poisoned. I look upon scarlet fever as a specific
poison of the blood, and one which will be eliminated from the system,
_not_ by bleeding, _not_ by purgatives, _not_ by emetics but by a
constant supply of fresh and cool air, by the acid treatment, by cold
water as a beverage, and for the first few days by a strict
antiphlogistic (low) diet. Sydenham says that scarlet fever is
oftentimes "fatal through the officiousness of the doctor." I
conscientiously believe that a truer remark was never made; and that,
under a different system to the usual one adopted, scarlet fever would
not be so much dreaded. [Footnote: If any of my medical brethren
should do me the honour to read these pages, let me entreat them to
try my plan of treating scarlet fever, as my success has been great. I
have given full and minute particulars, in order that they and mothers
(if mothers cannot obtain medical advice) may give my plan a fair and
impartial trial. My only stipulations are that they must _begin_ with
my treatment, and _not mix_ any other with it, and carry out my plan
to the very letter. I then, with God's blessing, provided the cases be
neither malignant nor complicated with diphtheria, shall not fear the
result. If any of my _confreres_ have tried my plan of treatment of
scarlet fever--and I have reason to know that many have--I should feel
grateful to them if they would favour me with their opinion as to its
efficacy. Address--"Pye Chavasse, 214 Hagley Road, Birmingham."]
Public-domain text, read in full here on John Shaqi.
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