Hydriatic treatment of Scarlet Fever in its Different FormsMunde, Charles
Science
Hydriatic treatment of Scarlet Fever in its Different Forms
Munde, Charles
Hydrotherapy; Scarlatina
Although the temperature, in sthenic cases, should be a little lower
than in erethic cases, it is not advisable to use the water very cold,
as this would cause too strong a reaction, and consequently new
excitement. The safer way is to let the temperature of the bath be
between 70 and 65 deg., according to the age and constitution of the patient
(the younger and more delicate the patient, the higher the temperature),
and to let him stay long enough in the bath to become perfectly cool all
over, which can be ascertained by placing the hand or the thermometer
under the arm-pits, which usually retain the warmth longest. I
understand, in advising such a temperate bath of several minutes,
duration, that the patient be hot and the rash standing out full and
bright on coming from the pack; or else the bath must be colder and
shorter, not exceeding a minute or two.
71. CAUTION.
After the bath, the patient is rubbed dry, and either taken to his bed,
or, if he feels well enough, dressed and induced to walk about the room,
or placed in a snug corner (not near the fire, however), till he feels
tired and wishes to go to bed. During his stay out of bed, the rash
ought to be an object of constant attention for his friends; for as soon
as it becomes pale, the patient ought to be sent to bed immediately and
covered well, or should then the rash continue to become paler and
paler, the pack should be renewed, and the patient kept in bed ever
after, till desquamation is over.
72. THE WET COMPRESS.
In bed, a wet compress is put on the throat, and another on the stomach,
which, beside the direct influence it has on that organ, acts as a
derivative upon the throat and head, and as a diaphoretic upon the skin,
assisting in allaying the fever and heat. This compress on the stomach
is an excellent remedy with small children and infants in a restless,
feverish condition. I often use it, even with infants scarce a week old,
and always with perfect success. I wish, mothers could be made to
substitute it for paregoric and the like stupefying stuff, to procure
their crying infants relief and themselves rest. There is more power in
the compress than any one who is not familiar with its use, can imagine.
At the same time it has a very good effect on the bowels, which should
be kept regular, either with the assistance of tepid injections, or, if
they fail to operate, with a moderate dose of castor oil. If possible,
however, avoid the irritation of the digestive apparatus through
medicines, which are apt to counteract the external applications, whose
object is to draw the morbid poison as early and as completely as
possible to the skin.
73. HIGHLY INFLAMED THROAT--CROUP.
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