112. The young woman, who apparently communicated the typhoid contagion to William, was in quite as critical a condition as her fellow-servant; and for a while I doubted of her recovery. She continued delirious for more than a fortnight, and there were distinct putrid symptoms, her throat and glands ulcerating, and breaking in two places outside. For longer than a week she had not a lucid moment, became extenuated and powerless. We had to lift her into the baths and out; involuntary discharges from the bowels and the bladder took place; petechiae appeared, and every thing indicated a steady decay. Neither acids nor chloride of lime seemed to have any effect; the only thing, which revived her, was the tepid half-bath, of 70 deg., which she took twice a day for about twenty minutes. She was usually carried into the bath-room near by, and was commonly able to walk back assisted by the nurses. She took a pack occasionally for an hour or an hour and a half, as long as a few spots of the rash made their appearance. Her skin peeled off but imperfectly (there was not an appearance of desquamation on the driver's person, although he died about the tenth day after the disease had manifested itself). The patient not producing much heat, I used a poultice of hemlock-leaves and bran on her glands, the gargle of muriatic-acid, and ablutions of water and vinegar externally, when the skin was not prepared for a bath. Although of a weak, scrofulous habit, and having always been sickly, not only her life was saved, but her health became afterwards stronger, and her looks much better than they ever were before. The gland kept discharging for three or four months longer, and I have no doubt, to her great benefit. With this patient, I never found the heat to exceed 100 deg. Fahr. and the delirium never had a very active character. For the greater part of the time, her skin was more cool than warm, and sometimes even clammy. FOOTNOTES: [7] Elements of Medicine, Vol. I. London, 1836. [8] J. Armstrong, Practical Illustrations of the scarlet-fever, measles, &c. London, 1818. [9] W. Withering. An account of the scarlet-fever, &c. London, 1779. [10] Hamilton, in Edinburgh Journal. [11] F. Jahn, in Hufeland's Journal, 1829. [12] J. Wendt, das Wesen, die Bedeutung und aerztl. Behandl. des Scharlachs. Breslau, 1819. [13] F. A. G. Berndt, D. Scharlachepidemie im Kuestriner Kreise, 1817-19, &c. Berlin, 1820.--The same, Bemerk. ueber das Scharlachfieber, &c. Greifswalde, 1827. [14] Peart, Practical informations on malignant scarlet-fever and sore-throat, in which a new mode of treatment is freely communicated. London, 1802. [15] J. B. Brown, On scarlatina, and its successful treatment by the Acidum-aceticum-dilutum of the Pharmacopaeia. London, 1846. [16] The forms in which I have given this acid are the following: