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
_Treatment_.--Let the patient keep his room, and if he be very ill,
his bed. Let the chamber be well ventilated. If it be winter time, a
small fire in the grate will encourage ventilation. If it be summer, a
fire is out of the question; indeed, in such a case, the window-sash
ought to be opened, as thorough ventilation is an important requisite
of cure, both in small-pox and in _modified_ small-pox. While the
eruption is out, do not on any account give aperient medicine. In ten
days from the commencement of the illness a mild aperient may be
given. The best medicine in these cases is, the sweetened Acidulated
Infusion of Roses, [Footnote: See page 178] which ought to be given
from the commencement of the disease, and should be continued until
the fever be abated. For the first few days, as long as the fever
lasts, the patient ought not to be allowed either meat or broth, but
should be kept on a low diet, such as on gruel, arrow-root,
milk-puddings, &c. As soon as the fever is abated he ought gradually
to resume his usual diet. When he is convalescent, it is well, where
practicable, that he should have change of air for a month.
232. _How would you distinguish between Modified Small-pox and
Chicken-pox_?
Modified small-pox may readily be distinguished from chicken-pox, by
the former disease being, notwithstanding its modification, much more
severe and the fever much more intense before the eruption shows
itself than chicken-pox; indeed, in chicken-pox there is little or no
fever either before or after the eruption; by the former disease--the
modified small-pox--consisting _partly_ of pustules (containing
matter), each pustule having a depression in the centre, and the
favourite localities of the pustules being the wrists and the inside
of the nostrils; while, in the chicken-pox, the eruption consists of
vesicles (containing water), and _not_ pustules (containing matter),
and the vesicles having neither a depression in the centre, nor having
any particular partiality to attack either the wrists or the inside of
the nose. In modified small-pox each pustule is, as in unprotected
small-pox, inflamed at the base; while in chicken-pox there is only
very slight redness around each vesicle. The vesicles in chicken-pox
are small--much smaller than the pustules in modified small-pox.
233. _Is Hooping-cough an inflammatory disease_?
Hooping-cough in itself is not inflammatory, it is purely spasmodic;
but it is generally accompanied with more or less of bronchitis--
inflammation of the mucous membrane of the bronchial tubes--on which
account it is necessary, _in all cases_ of hooping-cough, to consult a
medical man, that he may watch the progress of the disease and nip
inflammation in the bud.
234. _Will you have the goodness to give the symptoms, and a brief
history of, Hooping-cough_?
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