The daily morning journal and courier., 1898-07-30
MELLOW JACKS scouRGE.
tcontinued From Fourth Page.)


 Complicated cases occur among those who have had some form of malarial fever. The tongue generally is furred from the back to the front. The vom- 1ted matters at first are clear, hence called white vomit' by Dr. Blair. It precedes the black vonit" The latter generally is a fatal symptom. Still some patients have had 1t and have re- covered. As the fever increases in in- tensity the mucous membrane of the tongue and mouth shows strips where blood exudes and collects on the teeth and lips. It indicates the blood changes.
 A very peculiar and characteristic odor is exhaled from the bodies of such patients while alive. The peculiar coi- or developed in many of the cases dur ing some of it's stages, depending upon their severity, is due to blood changes. The color is a very rich canary yellow. It becomes very marked after death and during convalescence; hence the name of the disease.
 The issue Of the case depends on maintaining the vitality of the, blood. In the majority of severe cases no nourashment is retained by the stom- ach. The whole gastro- o-intestinal tract is in an abnormal condition. There is no assimilation, no pabu1um for blood, and q general failure to maintain the life currents. The blood in malignant cases, when examined microscopically, on the fourth day shows a wholly dis organized fluid, deficient in the life sustaining red corpuscles. They are oxygen bearers, and it is their duty to purify the blood. The blood loses it's fbrine. The heart simply pumps a fluid that has no tissue-repairing prop ertya Compositions and allied condi- tions obtain. Heart failure and acute fatty degeneration of the liver are pro- ducts of the disease.
 The sases that recover are of two kinds. Some have the secondary fe- ver'' and the intensified symptoms. The fever lasts in the "secondary phase from four to ten days and ends abruptly when thepatient enters on his cOnvaiescence. In this class treatment does have some effect. As the temper ature falls insuch cases the symptoms become ,nilder. The kidneys com mence to do their work and naturesets about fighting herself.
 In the third and last form to be con- sidered here the initial symptoms are those already described, but greatly modified. Some writers call if fever of acclimation, with headache, back ache, temperature at 101 or 102 degrees, face flushed, eyes congested, and a previous constipation. This kind of yellow fever consists of single fever, esaccess," or Daroxysm. It has all the other symptoms. The urine gives al- bumen. Albumen must be present in all the cases. or they are not yellow fe- yer of the tropics.
 Yellow fever protects against subse- quent attacks The immunity is com plete while they live in the tropics. Convaiesoence is very slow. Where practicable when well enough patients should be sent to 8 cooler climate Many are as weak as infants for days and weeks. They have to be watched constantly. At times they are ravenous for food. An improper meal frequently means death in a few hours. The rich canary scalp and skin often remains for weeks. Tn the tedious cases the emaci- ation is great. AS the blood is re- stored the tissues are restored and the color disappears.
 The many treatments laid down in the text books of yellow fever are a general confession that no real or effi- cacious treatment is known The gen. eral plan is to overcome the always present and obstinate constipation. The next is to get the hot, dry skin in proper action. Much valuable time may be saved by instant action. The administration of a full dose of sul- phate of soda Or epson salts in a pint of hot lemonade is excellent, and give it to the sick man while getting him ready for simple vapor bath--one that can be given anywhere. Place him on a chair with q wooden seat. Put his feet in a bucket of water as hot as he cam bear it. Light a spirit lamp and set It under the chair. Wrap man in blankets. See that no heat or vapor escapes. Tn a few minutes the perspi- ration will begin to flow down the face. It will roll down the body. The angry red flush of the face fades. The hot dry skin is moist. The betterment is very marked. This is greatly increased swIen the salts have acted. The pa tient looks and is better. He is lifted, nut to bed and covered with blankets. HIe may be bathed in precipitation for an hour or two. If the skin again is hot and dry, repeat the vapor bath. If necessary also repeat the dose of salts. Three or four baths may be given. They must not be pushed to causing Haintness.
 With this treatment two primary and most important indications have been mdt--the loaded intestines have been emrAied, the skin has been forced to act and eliminate it's retained escretions. Tn short, the patient has been placed in the most favorable condition to fight the disease. The saving of time is a factor of the greatest importance.
 If the stomach will stand it, acid drinks are very satisfying and very useful. The condition of the stomach must determine the frequency of ad- ministering them. Acid solutions are 1,nfavorable to development of germ life. and yellow fever is due to germ. Dr. Freire discovered it in 1882. Mus +ard over the stomach may be useful in checking the vomiting.
 Later, if the temperature persists in ascending, the cold packers will be very useful. A temperature of 1041s degrees . x,,,xyar rd is the tanaDerature aSsOCia-