which it is very prone to do. A degree of sallowness of the complexion, how- ever, usually remains, sometimes even after the entire subsid- ence of the disease. The preceding set of symptoms constitute an "attack" of intermittent fever, or ague, but their subsidence, unfortunately, is not always the complete restoration of health. The subjects of ague, in marshy districts, may almost always be recognized by their muddy or sallow complexion, indicative of a "cachectic" or impaired state of general health. The extent to which this depreciation of health and vigor may reach depends upon the length of the duration of the fever and the severity of the paroxysms. When these are severe and long- continued, serious congestion and disorders of the internal organs is very prone to follow. The spleen is more especially obnoxious to this congested condition, with consequent enlarge- ment known as "ague cake." The enlarged condition of the organ may even b^ perceptible to pressure beneath the lower border of the ribs on the left side. Causes. — The cause of ague is usually marsh miasm. It is not absolutely essential that a marsh shall yield the poison, as we occasionally meet with the disease in London and other places, in the presence of malaria arising from the decomposi- tion of dead vegetable matter. It was formerly very common in London, but has disappeared from that city since sanitary regulations have very much cleared away the vegetable refuse which in bygone times disfigured the streets. Treatment.— The treatment of ague resolves itself into ^ MBDiCINAL M two principal indications, of getting rid of the cause---L e., the malarious poison in the blood, and diminishing the violence of the paroxysms. The cold stage is that part of the paroxysm which, more particularly in hot climateis, most urgently requires aid, and is that from which injurious effects may follow on the congestion of internal organs. As soon as the shivering begins the patient should go to bed, be well covered with blankets, and have hot bottles to the feet, bags of hot bran, salt, etc., together with a free supply of hot drinks. If these means do not succeed in arresting the rigor, an emetic of mus- tard and hot water will often be effectual to bring on the sweat- ing stage. As this comes on, the quantity of clothing should be gradually decreased, taking care to avoid a sudden chill. The sweating may be promoted if it do not come on too freely; it may be promoted by the administration of stimulants, such as brandy and arrowroot, or wine and egg, etc. After the paroxysm has passed off, an aperient dose is often of service. In order to ensure the full benefit of medical treatment, a change from the malarious to a purer air is desirable, and should not be omitted where it can be put in practice. The medical treatment in the remission, or the endeavor to elimin- ate the poison, must be put in practice in the intervals. For this purpose the most valuable remedy is the Peruvian bark, or quinine, the essentially active principle of bark.

AI-modernized reading of the original text

which it is very prone to do. A degree of sallowness of the complexion, however, usually remains, sometimes even after the entire subsidence of the disease. The preceding set of symptoms constitute an "attack" of intermittent fever, or ague, but their subsidence, unfortunately, is not always the complete restoration of health. The subjects of ague, in marshy districts, may almost always be recognized by their muddy or sallow complexion, indicative of a "cachectic" or impaired state of general health. The extent to which this depreciation of health and vigor may reach depends upon the length of the duration of the fever and the severity of the paroxysms. When these are severe and longcontinued, serious congestion and disorders of the internal organs is very prone to follow. The spleen is more especially obnoxious to this congested condition, with consequent enlargement known as "ague cake." The enlarged condition of the organ may even be perceptible to pressure beneath the lower border of the ribs on the left side. Causes. — The cause of ague is usually marsh miasm. It is not absolutely essential that a marsh shall yield the poison, as we occasionally meet with the disease in London and other places, in the presence of malaria arising from the decomposition of dead vegetable matter. It was formerly very common in London, but has disappeared from that city since sanitary regulations have very much cleared away the vegetable refuse which in bygone times disfigured the streets. Treatment.— The treatment of ague resolves itself into [illustration: MEDICINAL] two principal indications, of getting rid of the cause---L e., the malarious poison in the blood, and diminishing the violence of the paroxysms. The cold stage is that part of the paroxysm which, more particularly in hot climates, most urgently requires aid, and is that from which injurious effects may follow on the congestion of internal organs. As soon as the shivering begins the patient should go to bed, be well covered with blankets, and have hot bottles to the feet, bags of hot bran, salt, etc., together with a free supply of hot drinks. If these means do not succeed in arresting the rigor, an emetic of mustard and hot water will often be effectual to bring on the sweating stage. As this comes on, the quantity of clothing should be gradually decreased, taking care to avoid a sudden chill. The sweating may be promoted if it do not come on too freely; it may be promoted by the administration of stimulants, such as brandy and arrowroot, or wine and egg, etc. After the paroxysm has passed off, an aperient dose is often of service. In order to ensure the full benefit of medical treatment, a change from the malarious to a purer air is desirable, and should not be omitted where it can be put in practice. The medical treatment in the remission, or the endeavor to eliminate the poison, must be put in practice in the intervals. For this purpose the most valuable remedy is the Peruvian bark, or quinine, the essentially active principle of bark.

The housekeeper's companion