This fever assumes two principal forms: Simple or mild, and Malignant. In the _Simple form_, there is great heat of the surface, extremely quick and frequent pulse, headache, and some sense of pain and soreness in the throat. After a day or two, there appears upon the surface, bright scarlet patches, in some cases extending over the whole limbs, the skin smooth and shining, and somewhat bloated or swollen; upon pressure with the finger, a white spot is seen, which soon disappears on removal of the pressure. As the disease subsides, the cuticle comes off (_desquamates_) in patches. In the simple form of this disease, the throat, though often more or less sore, does not ulcerate. In some cases, notwithstanding the fever is high, the pulse frequent, and the throat sore, there may be no external redness, but the mouth and tongue will have a scarlet hue, indicating the existence of disease more dangerous than when it appears externally. _In the malignant form_, the same symptoms are present, the patient suffers more pain in the head; the back and throat, root of the tongue, tonsils and soft palate become ulcerated, turn black, and sometimes gangrenous, proving fatal in a few days, or slough out in large portions, the ulcers destroying the parts extensively. The breath becomes foul and fetid, and the effluvia from the ulcerated surface, is very sickening to the patient and all around him. This disease rarely attacks adults, but occasionally, and for the last six or eight months, in one region where I am acquainted, where Scarlatina of a malignant type has prevailed among children, adults have been affected with an epidemic soreness of the mouth and throat, strongly resembling the worst form of the _angina_ in malignant Scarlatina, together with a low typhoid form of fever. TREATMENT. In simple scarlatina, all that is necessary is to keep the child quiet, in a room of uniform temperature, as far as practicable; let it drink cold water only, and give _Aconite_, _Belladonna_ and _Pulsatilla_ in rotation, a dose every hour until the fever subsides. If any soreness of the throat remains, give a few doses of _Mercurius_. If the fever subsides, and the soreness remain, _Hydrastin_ or _Eupatorium arom._ will soon complete the cure. In the _malignant_ form, with ulcerated, dark colored, or red and purulent throat, and typhoid form of fever, give _Aconite_ and _Belladonna_ in alternation, every hour, and, at the same time, gargle the throat freely with _Hydrastin_. Some of the tincture may be put in water, about in the proportion of ten drops to a teaspoonful, or a warm infusion of the crude medicine may be used. This can be applied with a camel's hair pencil, or a swab, to the parts affected, once in two hours, and will soon bring about such a state as will result in speedy recovery. After the active fever has subsided, the _Aconite_ and _Bell._ may be discontinued, and _Eupatorium arom._ used instead, once in three hours until convalescence is complete.