1350. Mumps are sometimes epidemic and manifestly contagious; they come on with shivering and a sense of coldness, followed by an increased heat, and a considerable enlargement of the glands on each side the neck, below the ear, near to the angle of the jaw bone. This swelling continues to increase until the fourth or fifth day, when it gradually subsides; but before it entirely disappears, it often happens that other tumors take place in the breasts of women, to which the male sex are also subject in different parts of the body.
They are more or less painful, but commonly run their course without any alarming symptoms, and therefore scarcely require any remedies. This entirely depends on good nursing; care should be taken to avoid exposure to cold air, and no application should be used except a slight additional covering. Fomentations, liniments, blisters, and whatever may have a tendency to check the regular process of this disease, may occasion a sudden determination to the brain, and prove fatal to the patient.
A spare diet, gentle laxative medicines, and a free use of weak diluting liquors, are the best means to be employed; these, with a well-regulated temperature, will generally guard off the secondary tumors. But when the disease has been improperly managed, and a determination to any vital part brought on, send for the physician.
1351. Measles frequently assume an alarming character, too much so to entitle them to a place in the list of common casualties. They are at all times too serious to be left, with safety, in the hands of the domestic practitioner. Medical aid, therefore, should be instantly sought for, as much depends on proper management during the first stage of the fever. The approach of this disease may be known, by attending to the symptoms which precede the eruption, in the following order: First, the patient complains of shivering, with a sense of coldness, a thin watery discharge from the nose, hoarseness, cough, and a continued flow of tears from the eyes, which appear red and inflamed. These symptoms continue to increase in violence, until the eruption is completed, when they gradually subside. As this disorder has frequently a putrid tendency, which can only be counteracted by the scientific skill of the physician, and which, if neglected, or improperly treated, proves fatal, there can be no excuse for not calling for his aid at the commencement of the attack. But that no time may be lost, should there be no physician present, an emetic of some gentle kind may be given and repeated every half hour till vomiting be excited. If it should not act on the bowels, take mild aperient medicine every fourth hour; but this is not to be repeated after a motion has been procured. The patient should be kept in an equal temperature, near sixty-four degrees of Fahrenheit; if exposed to a higher degree of heat, the fever might be increased; if to a lower temperature, the cough and hoarseness would be aggravated. Wine, or wine and water, and all other fermented liquors must be avoided. Toast and water, barley water, apple-water, rennet whey, tamarind tea, coffee, tea, or any other weak diluting beverage, may be freely used, provided they are of an equal warmth to milk when drawn from the cow; also, weak lemonade.
1352. Soothing Beverage for a Cough, after Measles.—Two ounces of figs, two ounces of raisins, two ounces of pearl barley, and half an ounce of liquorice-root. Boil them together in a pint and a half of water, and strain off the liquor. A tea-cupful to be taken night and morning.