The disease begins with a cough and more or less fever, and as it is
always preceded with bronchitis, the symptoms that were enumerated when
speaking of the latter disease are equally applicable to this one.
Later on, when the transition of bronchial catarrh into pneumonia takes
place, all the symptoms become at once aggravated. The breathing, for
instance, becomes labored and increases and the nostrils dilate with
each inspiration. The mouth is open, and its corners are drawn downward
and outward, depicting distress and suffering, while the eyes roll
anxiously about or become glassy and staring.
The treatment of pneumonia in its early stages would be the treatment
of bronchitis, since every pneumonia in young children is preceded by a
bronchial catarrh. The uniform temperature is of the first importance.
The same remedy that was suggested for the cough in bronchitis is also
here serviceable.
A systematic course of nourishment must form a part of every successful
treatment for pneumonia; and as an old medical friend once told me in a
consultation “_if the child is kept alive long enough with nourishment
it is bound to get well_.” In critical cases it is surprising the
large amount of whisky a little infant consumes with avidity; its
eyes begging and watchingly following the teaspoon from the cup to
its mouth. I attended my own child once when only three months old
and although there seemed no hope, for its tiny finger tips were blue
and its lips livid from deficient aeration, yet it eagerly took its
teaspoonful of whisky toddy every fifteen minutes through the longest
part of the night, and towards morning it took a change for the better
and its life was saved. I also believe that these babies must be kept
in a constant sweat; this relieves the congestion of the lungs. The
nourishment must be given at regular intervals of several hours just as
you would give medicine, for indeed it is a medicine at this time.