Another valuable agent to which I attribute a number of recoveries
is the application of a moist girdle suggested by Professor Alfred
Vogel, of the University of Dorpat, Russia. In his work on “Diseases
of Children” he says: “A diaper, or large white pocket handkerchief is
folded up like a cravat; the bandage thus obtained should be three or
four fingers wide, and the whole length of the handkerchief. This is
now dipped in warm water, and wrung out so that the cloth does not
drip, and then applied like a girdle around the chest of the child.
A second cloth, double the size of the first, is folded up in the
same manner like it, but which must be six to eight fingers broad,
and then applied dry and warm over the first. It is very advisable
to interpose a piece of gutta percha or oil silk between the dry and
the wet girdle by which on the one hand, the moistness of the first
cloth is preserved longer, while on the other, the second does not
become wet. If the water with which the fomentations are made is not
too cold, the child will tolerate them very well and in a short time,
a slight retardation in frequency and improvement of the respiration
are indicated by less motion of the nostrils. These warm compresses
should be continued for from four to six days, and it is not at all
necessary, during the entire time, to remove the bandage; the oil silk
is raised up a little, and a few teaspoonfuls of water are poured upon
the girdle or it is moistened with a sponge. The principal thing is not
to allow a cooling of the skin by evaporation to take place. To secure
this object, the dry cloth should properly overlap the moist one on all
sides and as it is impossible to prevent the upper cloth from becoming
wet, it should be changed several times during the day. I certainly
have applied this girdle many hundreds of times, and have very often
seen rapid improvement ensue; nevertheless, it cannot be denied that
the half of these children perish notwithstanding. If cold compresses
are applied the children cry of fright in consequence, and the symptoms
become worse until the cold water has become warm.” The application of
blisters, cupping or leeching should not be tolerated.
CHAPTER XXX.
DISEASES PECULIAR TO CHILDREN—CONTINUED.