The treatment in measles should consist in good nursing, rather than
in medication. Owing to the inflammation of the membranes of the
eyes, the patient should be kept in a darkened chamber, and the eyes
occasionally bathed with a solution of borax, by dissolving half a
teaspoonful in a tumblerful of water. Good judgment forbids that the
patient should be sweltered, but that he should be kept comfortably
warm and never allowed to cool off suddenly is also very important.
When the eruption is slow to develop a good sweat will often bring it
out; so will undue exposure, to cold drafts and the transportation out
of a warm bed into a cold one or drinking immoderately of cold drinks
either delay the development of the eruption or drive it back, and
from this undoubtedly dangerous complications arise, like pneumonia,
diphtheritic croup, and convulsions. A mouthful of cold water now and
then is harmless, but on the whole the drinks should be quite warm; the
cough and bronchitis alone would require that.
Warm milk thoroughly beaten is the most suitable form of diet; broths
and soups may be given for a change, so can a mixture of equal parts of
weak hot tea and milk. The bowels should be moved with a mild laxative
and if the fever runs very high, ten to fifteen drops of the sweet
spirits of nitre, for a child five years old, in half wineglass of
water every few hours will generally reduce the temperature. For the
itching, the skin should be rubbed with equal parts of glycerine and
warm water. The cough is generally the most troublesome feature, and
the only symptom requiring regular medication; for this a good general
cough mixture will serve every purpose, such as:
Take: Compound mixture of liquorice,
Syrup of wild cherry, of each 2 ounces
Mix and give to a child four years old a teaspoonful every four hours;
older or younger children in proportion.
(_k_) Rose rash, sometimes called false or German measles is a
comparatively trivial affection and of very little importance, for
it never has any serious complications and lasts only twenty-four or
forty-eight hours in the majority of cases. It is often mistaken for
measles, and one attack affords no protection against recurrences. The
eruption appears in small rose-colored spots or patches which are not
elevated. It does not commence on the head, but appears on different
parts of the body. The eruption may be preceded by headache, loss of
appetite, occasionally vomiting, and more or less fever or chilly
sensations.
The affection of the eyes and air passages, especially the bronchitis
which is characteristic of measles, are wanting in rose rash, and when
we hear of children having had measles several times it is reasonable
to presume that it was rose rash instead. This eruption hardly calls
for treatment, but a mild laxative and a regulated diet would fulfill
all requirements.