The maternal management of children, in health and diseaseBull, Thomas
Science
The maternal management of children, in health and disease
Bull, Thomas
Child care
If the figure of the healthy infant is observed, something may be
learnt from this. There will be perceived such an universal roundness
in all parts of the child's body, that there is no such thing as an
angle to be found in the whole figure; whether the limbs are bent or
straight, every line forms a portion of a circle. The limbs will feel
firm and solid, and unless they are bent, the joints cannot be
discovered.
The tongue, even in health, is always white, but it will be free from
sores,--the skin cool,--the eye bright,--the complexion clear,--the head
cool,--and the abdomen not projecting too far,--the breathing regular,
and without effort.
When awake, the infant will be cheerful and sprightly, and, loving to
be played with, will often break out into its merry, happy, laugh;
whilst, on the other hand, when asleep, it will appear calm, every
feature composed, its countenance displaying an expression of
happiness, and frequently, perhaps, lit up with a smile.
Sect. II. SIGNS OF DISEASE.
Just in proportion as the above appearances are present and entire,
health may be said to exist; and just in proportion to their partial or
total absence disease will have usurped its place.
We will, however, for the sake of clearness examine the signs of
disease as they are manifested separately by the countenance,--the
gestures,--in sleep,--in the stools,--and by the breathing and cough.
OF THE COUNTENANCE.
In health the countenance of a thild is expressive of serenity in mind
and body; but if the child be unwell, this expression will be changed,
and in a manner which, to a certain extent, will indicate what part of
the system is at fault.
The brows will be contracted, if there is pain, and its seat is in the
head. This is frequently the very first outward sign of any thing being
wrong, and will occur at the very onset of disease; if therefore
remarked at an early period, and proper remedies used, its notice may
prevent one of the most fearful of infantile complaints--"Water in the
Head."
If this sign is passed by unheeded, and the above disease be
threatened, soon the eyes will become fixed and staring,--the head hot,
and moved uneasily from side to side upon the pillow, or lie heavily
upon the nurse's arm,--the child will start in its sleep, grinding its
teeth, and awake alarmed and screaming,--its face will be flushed,
particularly the cheeks (as if rouged),--its hands hot,--but feet cold,
its bowels obstinately costive, or its motions scanty, dark-coloured,
and foul.
If the lips are drawn apart, so as to show the teeth or gums, the seat
of the pain is in the belly. This sign, however, will only be present
during the actual existence of suffering; if, therefore, there be any
doubt whether it exist, press upon the stomach, and watch the eifect on
the expression of the countenance.
Public-domain text, read in full here on John Shaqi.
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