6. QUALITIES OF THE MIND.—The qualities of the mind are perhaps as much liable to hereditary transmission as bodily configuration.



Memory, intelligence, judgment, imagination, passions, diseases, and what is usually called genius, are often very markedly traced in the offspring.—I have known mental impressions forcibly impressed upon the offspring at the time of conception, as concomitant of some peculiar eccentricity, idiosyncracy, morbidness, waywardness, irritability, or proclivity of either one or both parents.

7. THE PLASTIC BRAIN.—The plastic brain of the foetus is prompt to receive all impressions. It retains them, and they become the characteristics of the child and the man. Low spirits, violent passions, irritability, frivolity, in the pregnant woman, leave indelible marks on the unborn child.

8. FORMATION OF CHARACTER.—I believe that pre-natal influences may do as much in the formation of character as all the education that can come after, and that mothers may, in a measure, "will," what that influence shall be, and that, as knowledge on the subject increases, it will be more and more under their control. In that, as in everything else, things that would be possible with one mother would not be with another, and measures that would be successful with one would produce opposite results from the other.

9. A HISTORICAL ILLUSTRATION.—A woman rode side by side with her soldier husband, and witnessed the drilling of troops for battle. The scene inspired her with a deep longing to see a battle and share in the excitements of the {294} conquerors. This was but a few months before her boy was born, and his name was Napoleon.

10. A MUSICIAN.—The following was reported by Dr. F. W. Moffatt, in the mother's own language: "When I was first pregnant, I wished my offspring to be a musician, so, during the period of that pregnancy, settled my whole mind on music, and attended every musical entertainment I possibly could. I had my husband, who has a violin, to play for me by the hour. When the child was born, it was a girl, which grew and prospered, and finally became an expert musician."

11. MURDEROUS INTENT.—The mother of a young man, who was hung not long ago, was heard to say: "I tried to get rid of him before he was born; and, oh, how I wish now that I had succeeded!" She added that it was the only time she had attempted anything of the sort; but, because of home troubles, she became desperate, and resolved that her burdens should not be made any greater. Does it not seem probable that the murderous intent, even though of short duration, was communicated to the mind of the child, and resulted in the crime for which he was hung?

12. THE ASSASSIN OF GARFIELD.—Guiteau's father was a man of integrity and considerable intellectual ability. His children were born in quick succession, and the mother was obliged to work very hard. Before this child was born, she resorted to every means, though unsuccessful, to produce abortion. The world knows the result. Guiteau's whole life was full of contradictions. There was little self-controlling power in him; no common sense, and not a vestige of remorse or shame. In his wild imagination, he believed himself capable of doing the greatest work, and of filling the loftiest station in life. Who will dare question that this mother's effort to destroy him while in embryo was the main cause in bringing him to the level of the brutes?

13. CAUTION.—Any attempt, on the part of the mother, to destroy her child before birth, is liable, if unsuccessful, to produce murderous tendencies. Even harboring murderous thoughts, whether toward her own child or not, might be followed by similar results.

"The great King of kings Hath in the table of His law commanded That thou shalt do no murder. Wilt thou, then, Spurn at His edict, and fulfill a man's? Take heed, for He holds vengeance in His hand To hurl upon their heads that break his law."—RICHARD III., Act 1.

* * * * *

{295}

How to Calculate the Time of Expected Labor.



1. The table on the opposite page has been very accurately compiled, and will be very helpful to those who desire the exact time.

2. The duration of pregnancy is from 278 to 280 days, or nearly forty weeks. The count should be made from the beginning of the last menstruation, and add eight days on account of the possibility of it occurring within that period The heavier the child the longer is the duration; the younger the woman the longer time it often requires. The duration is longer in married than in unmarried women; the duration is liable to be longer if the child is a female.

3. MOVEMENT.—The first movement is generally felt on the 135th day after impregnation.

4. GROWTH OF THE EMBRYO.—About the twentieth day the embryo resembles the appearance of an ant or lettuce seed; the 30th day the embryo is as large as a common horse fly; the 40th day the form resembles that of a person; in sixty days the limbs begin to form, and in four months the embryo takes the name of foetus.

5. Children born after seven or eight months can survive and develop to maturity.

* * * * *

{296}

DURATION OF PREGNANCY.

DIRECTIONS.—Find in the upper horizontal line the date on which the last menstruation ceased; the figure beneath gives the date of expected confinement (280 days).

Jan. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Oct. 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 Feb. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Nov. 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 Mar. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Dec. 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Apr. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Jan. 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 May 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Feb. 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 June 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Mar. 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 July 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Apr. 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Aug. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 May 8 9 10 11 12 13 14 15 16 17 18 19 21 21 22 23 24 25 26 Sept. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 June 8 9 10 11 12 13 14 15 16 17 18 19 21 21 22 23 24 25 26 Oct. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 July 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 Nov. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Aug. 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 Dec. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Sep. 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

Jan. 20 21 22 23 24 25 26 27 28 29 30 31 Oct. 27 28 29 30 31 1 2 3 4 5 6 7 Nov. Feb. 20 21 22 23 24 25 26 27 28 Nov. 27 28 29 30 1 2 3 4 5 Dec. Mar. 20 21 22 23 24 25 26 27 28 19 30 31 Dec. 25 26 27 28 29 30 31 1 2 3 4 5 Jan. Apr. 20 21 22 23 24 25 26 27 28 29 30 31 Jan. 25 26 27 28 29 30 31 1 2 3 4 5 Feb. May 20 21 22 23 24 25 26 27 28 29 30 31 Feb. 24 25 26 27 28 1 2 3 4 5 6 7 Mar. June 20 21 22 23 24 25 26 27 28 29 30 Mar. 27 28 29 30 31 1 2 3 4 5 6 Apr. July 20 21 22 23 24 25 26 27 28 29 30 Apr. 26 27 28 29 30 1 2 3 4 5 6 May Aug. 20 21 22 23 24 25 26 27 28 29 30 31 May 27 28 29 30 31 1 2 3 4 5 6 7 June Sept. 20 21 22 23 24 25 26 27 28 29 30 June 27 28 29 30 1 2 3 4 5 6 7 July Oct. 20 21 22 23 24 25 26 27 28 29 30 31 July 27 28 29 30 31 1 2 3 4 5 6 7 Aug. Nov. 20 21 22 23 24 25 26 27 28 29 30 Aug. 27 28 29 30 31 1 2 3 4 5 6 Sep. Dec. 20 21 22 23 24 25 26 27 23 29 30 31 Sep. 26 27 28 29 30 1 2 3 4 5 6 7 Oct.



{297}

19. THIS IS WHAT DR. STOCKHAM says: "If women had common sense, instead of fashion sense, the corset would not exist. There are not words in the English language to express my convictions upon this subject. The corset more than any other one thing is responsible for woman's being the victim of disease and doctors....

"What is the effect upon the child? One-half of the children born in this country die before they are five years of age. Who can tell how much this state of things is due to the enervation of maternal life forces by the one instrument of torture?

"I am a temperance woman. No one can realize more than I the devastation and ruin alcohol in its many tempting forms has brought to the human family. Still I solemnly believe that in weakness and deterioration of health, the corset has more to answer for than intoxicating drinks." When asked how far advanced a woman should be in pregnancy before she laid aside her corset, Dr. Stockham said with emphasis: "The corset should not be worn for two hundred years before pregnancy takes place. Ladies, it will take that time at least to overcome the ill-effect of tight garments which you think so essential."

20. PAINLESS PREGNANCY AND CHILD-BIRTH.—"Some excellent popular volumes," says Dr. Haff, "have been largely devoted to directions how to secure a comfortable period of pregnancy and painless delivery. After much conning of these worthy efforts to impress a little common sense upon the sisterhood, we are convinced that all may be summed up under the simple heads of: (1) An unconfined and lightly burdened waist; (2) Moderate but persistent outdoor exercise, of which walking is the best form; (3) A plain, unstimulating, chiefly fruit and vegetable diet; (4) Little or no intercourse during the time.

"These are hygienic rules of benefit under any ordinary conditions; yet they are violated by almost every pregnant lady. If they are followed, biliousness, indigestion, constipation, swollen limbs, morning sickness and nausea—all will absent themselves or be much lessened. In pregnancy, more than at any other time, corsets are injurious. The waist and abdomen must be allowed to expand freely with the growth of the child. The great process of evolution must have room."

21. IN ADDITION, we can do no better than quote the following recapitulation by Dr. Stockham in her famous {298} Tokology: "To give a woman the greatest immunity from suffering during pregnancy, prepare her for a safe and comparatively easy delivery, and insure a speedy recovery, all hygienic conditions must be observed.

"The dress must give:

"1. Freedom of movement;

"2. No pressure upon any part of the body;

"3. No more weight than is essential for warmth, and both weight and warmth evenly distributed.

"These requirements necessitate looseness, lightness and warmth, which can be obtained from the union underclothes, a princess skirt and dress, with a shoe that allows full development and use of the foot. While decoration and elegance are desirable, they should not sacrifice comfort and convenience.

22. "LET THE DIET BE LIGHT, plain and nutritious. Avoid fats and sweets, relying mainly upon fruits and grain that contain little of the mineral salts. By this diet bilious and inflammatory conditions are overcome, the development of bone in the foetus lessened, and muscles necessary in labor nourished and strengthened.

23. "EXERCISE should be sufficient and of such a character as will bring into action gently every muscle of the body; but must particularly develop the muscles of the trunk, abdomen and groin, that are specially called into action in labor. Exercise, taken faithfully and systematically, more than any other means assists assimilative processes and stimulates the organs of excretion to healthy action.

24. "BATHING MUST BE FREQUENT and regular. Unless in special conditions the best results are obtained from tepid or cold bathing, which invigorates the system and overcomes nervousness. The sitz-bath is the best therapeutic and hygienic measure within the reach of the pregnant woman.

"Therefore, to establish conditions which will overcome many previous infractions of law, dress naturally and physiologically; live much of the time out of doors; have abundance of fresh air in the house; let exercise be sufficient and systematic; pursue a diet of fruit, rice and vegetables; regular rest must be faithfully taken; abstain from the sexual relation. To those who will commit themselves to this course of life, patiently and persistently carrying it out through the period of gestation, the possibilities of attaining a healthy, natural, painless parturition will be remarkably increased. {299}

25. "IF THE FIRST EXPERIMENT should not result in a painless labor, it without doubt will prove the beginning of sound health. Persisted in through years of married life, the ultimate result will be more and more closely approximated, while there will be less danger of diseases after childbirth and better and more vigorous children will be produced.

"Then pregnancy by every true woman will be desired, and instead of being a period of disease, suffering and direful forebodings, will become a period of health, exalted pleasure and holiest anticipations. Motherhood will be deemed the choicest of earth's blessings; women will rejoice in a glad maternity and for any self-denial will be compensated by healthy, happy, buoyant, grateful children."



{300}

{301}

Solemn Lessons for Parents.



1. EXCESSIVE PLEASURES AND PAINS.—A woman during her time of pregnancy should of all women be most carefully tended, and kept from violent and excessive pleasures and pains; and at that time she should cultivate gentleness, benevolence and kindness. {302}

2. HEREDITARY EFFECTS.—Those who are born to become insane do not necessarily spring from insane parents, or from any ancestry having any apparent taint of lunacy in their blood, but they do receive from their progenitors certain impressions upon their mental and moral, as well as their physical beings, which impressions, like an iron mould, fix and shape their subsequent destinies. Hysteria in the mother may develop insanity in the child, while drunkenness in the father may impel epilepsy, or mania, in the son. Ungoverned passions in the parents may unloose the furies of unrestrained madness in the minds of their children, and the bad treatment of the wife may produce sickly or weak-minded children.

3. THE INFLUENCE OF PREDOMINANT PASSION may be transmitted from the parent to the child, just as surely as similarity of looks. It has been truly said that "the faculties which predominate in power and activity in the parents, when the organic existence of the child commences, determine its future mental disposition." A bad mental condition of the mother may produce serious defects upon her unborn child.

4. THE SINGULAR EFFECTS produced on the unborn child by the sudden mental emotions of the mother are remarkable examples of a kind of electrotyping on the sensitive surfaces of living forms. It is doubtless true that the mind's action in such cases may increase or diminish the molecular deposits in the several portions of the system. The precise place which each separate particle assumes in the new organic structure may be determined by the influence of thought or feeling. Perfect love and perfect harmony should exist between wife and husband during this vital period.

5. AN ILLUSTRATION.—If a sudden and powerful emotion of a woman's mind exerts such an influence upon her stomach as to excite vomiting, and upon her heart as almost to arrest its motion and induce fainting, can we believe that it will have no effect upon her womb and the fragile being contained within it? Facts and reason then, alike demonstrate the reality of the influence, and much practical advantage would result to both parent and child, were the conditions and extent of its operations better understood.

6. PREGNANT WOMEN should not be exposed to causes likely to distress or otherwise strongly impress their minds. A consistent life with worthy objects constantly kept in mind should be the aim and purpose of every expectant mother. {303}

CASES CITED.

We selected only a few cases to illustrate the above statement. Thousands of cases occur every year that might be cited to illustrate these principles. A mother cannot be too careful, and she should have the hearty co-operation and assistance of her husband. We quote the following cases from Dr. Pancoast's Medical Guide, who is no doubt one of the best authorities on the subject.

1. A woman bitten on the vulva by a dog, bore a child having a similar wound on the glans penis. The boy suffered from epilepsy, and when the fit came on, or during sleep, was frequently heard to cry out, "The dog bites me!"

2. A pregnant woman who was suddenly alarmed from seeing her husband come home with one side of his face swollen and distorted by a blow, bore a girl with a purple swelling upon the same side of the face.

3. A woman, who was forced to be present at the opening of a calf by a butcher, bore a child with all its bowels protruding from the abdomen. She was aware at the time of something going on within the womb.

4. A pregnant woman fell into a violent passion at not being able to procure a particular piece of meat of a butcher; she bled at the nose, and wiping the blood from her lips, bore a child wanting a lip.

5. A woman absent from home became alarmed by seeing a great fire in the direction of her own house, bore a child with a distinct mark of the flame upon its forehead.

6. A woman who had borne healthy children, became frightened by a beggar with a wooden leg and a stumped arm, who threatened to embrace her. Her next child had one stump leg and two stump arms.

7. A woman frightened in her first pregnancy by the sight of a child with a hare lip, had a child with a deformity of the same kind. Her second child had a deep slit, and the third a mark of a similar character or modified hare lips. In this instance the morbid mind of the mother affected several successive issues of her body.

8. A pregnant woman became frightened at a lizard jumping into her bosom. She bore a child with a fleshy excrescence exactly resembling a lizard, growing from the breast, adhering by the head and neck.

* * * * *

{304}

The Care of New-Born Infants.



1. The first thing to be done ordinarily is to give the little stranger a bath by using soap and warm water. To remove the white material that usually covers the child use olive oil, goose oil or lard, and apply it with a soft piece of worn flannel, and when the child is entirely clean rub all off with a fresh piece of flannel.

2. Many physicians in the United States recommend a thorough oiling of the child with pure lard or olive oil, and then rub dry as above stated. By these means water is avoided, and with it much risk of taking cold.

3. The application of brandy or liquor is entirely unnecessary, and generally does more injury than good. {305}

4. If an infant should breathe feebly, or exhibit other signs of great feebleness, it should not be washed at once, but allowed to remain quiet and undisturbed, warmly wrapped up until the vital actions have acquired a fair degree of activity.

5. DRESSING THE NAVEL.—There is nothing better for dressing the navel than absorbent antiseptic cotton. There needs be no grease or oil upon the cotton. After the separation of the cord the navel should be dressed with a little cosmoline, still using the absorbent cotton. The navel string usually separates in a week's time; it may be delayed for twice this length of time, this will make no material difference, and the rule is to allow it to drop off of its own accord.

6. THE CLOTHING OF THE INFANT.—The clothing of the infant should be light, soft and perfectly loose. A soft flannel band is necessary only until the navel is healed. Afterwards discard bands entirely if you wish your babe to be happy and well. Make the dresses "Mother Hubbard"—Put on first a soft woolen shirt, then prepare the flannel skirts to hang from the neck like a slip. Make one kind with sleeves and one just like it without sleeves, then white muslin skirts (if they are desired), all the same way. Then baby is ready for any weather. In intense heat simply put on the one flannel slip with sleeves, leaving off the shirt. In Spring and Fall the shirt and skirt with no sleeves. In cold weather shirt and both skirts. These garments can be all put on at once, thus making the process of dressing very quick and easy. These are the most approved modern styles for dressing infants, and with long cashmere stockings pinned to the diapers the little feet are free to kick with no old-fashioned pinning blanket to torture the naturally active, healthy child, and retard its development. If tight bands are an injury to grown people, then in the name of pity emancipate the poor little infant from their torture!

7. THE DIAPER.—Diapers should be of soft linen, and great care should be exercised not to pin them too tightly. Never dry them, but always wash them thoroughly before being used again.

8. The band need not be worn after the navel has healed so that it requires no dressing, as it serves no purpose save to keep in place the dressing of the navel. The child's body should be kept thoroughly warm around the chest, bowels and feet. Give the heart and lungs plenty of room to heave.

9. The proper time for shortening the clothes is about three months in Summer and six months in Winter. {306}

10. INFANT BATHING.—The first week of a child's life it should not be entirely stripped and washed. It is too exhausting. After a child is over a week old it should be bathed every day; after a child is three weeks old it may be put in the water and supported with one hand while it is being washed with the other. Never, however, allow it to remain too long in the water. From ten to twenty minutes is the limit. Use Pears' soap or castile soap, and with a sponge wipe quickly, or use a soft towel.

* * * * *

NURSING.



1. The new-born infant requires only the mother's milk. The true mother will nurse her child if it is a possibility. The infant will thrive better and have many more chances for life.

2. The mother's milk is the natural food, and nothing can fully take its place. It needs no feeding for the first few days as it was commonly deemed necessary a few years ago. The secretions in the mother's breast are sufficient.

3. ARTIFICIAL FOOD.—Tokology says: "The best artificial food is cream reduced and sweetened with sugar of milk. Analysis shows that human milk contains more cream and sugar and less casein than the milk of animals. {307}

4. Milk should form the basis of all preparations of food. If the milk is too strong, indigestion will follow, and the child will lose instead of gaining strength.

WEANING.—The weaning of the child depends much upon the strength and condition of the mother. If it does not occur in hot weather, from nine to twelve months is as long as any child should be nursed.

FOOD IN WEANING.—Infants cry a great deal during weaning, but a few days of patient perseverance will overcome all difficulties. Give the child purely a milk diet, Graham bread, milk crackers and milk, or a little milk thickened with boiled rice, a little jelly, apple sauce, etc., may be safely used. Cracked wheat, oatmeal, wheat germ, or anything of that kind thoroughly cooked and served with a little cream and sugar, is an excellent food.

MILK DRAWN FROM THE BREASTS.—If the mother suffers considerably from the milk gathering in the breast after weaning the child, withdraw it by taking a bottle that holds about a pint or a quart, putting a piece of cloth wrung out in warm water around the bottle, then fill it with boiling water, pour the water out and apply the bottle to the breast, and the bottle cooling will form a vacuum and will withdraw the milk into the bottle. This is one of the best methods now in use.

RETURN OF THE MENSES.—If the menses return while the mother is nursing, the child should at once be weaned, for the mother's milk no longer contains sufficient nourishment. In case the mother should become pregnant while the child is nursing it should at once be weaned, or serious results will follow to the health of the child. A mother's milk is no longer sufficiently rich to nourish the child or keep it in good health.

CARE OF THE BOTTLE.—If the child is fed on the bottle, great care should be taken in keeping it absolutely clean. Never use white rubber nipples. A plain form of bottle with a black rubber nipple is preferable.

CHILDREN should not be permitted to come to the table until two years of age.

CHAFING.—One of the best remedies is powdered lycopodium; apply it every time the babe is cleaned; but first wash with pure castile soap; Pears' soap is also good. A preparation of oxide of zinc is also highly recommended. Chafing sometimes results from an acid condition of the stomach; in that case give a few doses of castoria.

COLIC.—If an infant is seriously troubled with colic, there is nothing better than camomile or catnip tea. Procure the leaves and make tea and give it as warm as the babe can bear.

* * * * *

{308}

FEEDING INFANTS.

1. The best food for infants is mother's milk; next best is cow's milk. Cow's milk contains about three times as much curd and one-half as much sugar, and it should be reduced with two parts of water.

2. In feeding cow's milk there is too little cream and too little sugar, and there is no doubt no better preparation than Mellin's food to mix it with (according to directions).

3. Children being fed on food lacking fat generally have their teeth come late; their muscles will be flabby and bones soft. Children will be too fat when their food contains too much sugar. Sugar always makes their flesh soft and flabby.

4. During the first two months the baby should be fed every two hours during the day, and two or three times during the night, but no more. Ten or eleven feedings for twenty-four hours are all a child will bear and remain healthy. At three months the child may be fed every three hours instead of every two.

5. Children can be taught regular habits by being fed and put to sleep at the same time every day and evening. Nervous diseases are caused by irregular hours of sleep and diet, and the use of soothing medicines.

6. A child five or six months old should not be fed during the night—from nine in the evening until six or seven in the morning, as overfeeding causes most of the wakefulness and nervousness of children during the night.

7. If a child vomits soon after taking the bottle, and there is an appearance of undigested food in the stool, it is a sign of overfeeding. If a large part of the bottle has been vomited, avoid the next bottle at regular time and pass over one bottle. If the child is nursing the same principles apply.

8. If a child empties its bottle and sucks vigorously its fingers after the bottle is emptied, it is very evident that the child is not fed enough, and should have its food gradually increased.

9. Give the baby a little cold water several times a day.

* * * * *

INFANTILE CONVULSIONS.

DEFINITION.—An infantile convulsion corresponds to a chill in an adult, and is the most common brain affection among children.

CAUSES.—Anything that irritates the nervous system may cause convulsions in the child, as teething, indigestible food, worms, dropsy of the brain, hereditary constitution, or they may be the accompanying symptom in nearly all the {309} acute diseases of children, or when the eruption is suppressed in eruptive diseases.

SYMPTOMS.—In case of convulsions of a child parents usually become frightened, and very rarely do the things that should be done in order to afford relief. The child, previous to the fit, is usually irritable, and the twitching of the muscles of the face may be noticed, or it may come on suddenly without warning. The child becomes insensible, clenches its hands tightly, lips turn blue, and the eyes become fixed, usually frothing from the mouth with head turned back. The convulsion generally lasts two or three minutes; sometimes, however, as long as ten or fifteen minutes, but rarely.

REMEDY.—Give the child a warm bath and rub gently. Clothes wrung out of cold water and applied to the lower and back part of the head and plenty of fresh air will usually relieve the convulsion. Be sure and loosen the clothing around the child's neck. After the convulsion is over, give the child a few doses of potassic bromide, and an injection of castor oil if the abdomen is swollen. Potassic bromide should be kept in the house, to use in case of necessity.



{310}

Pains and Ills in Nursing.



1. SORE NIPPLES.—If a lady, during the latter few months of her pregnancy, were to adopt "means to harden the nipples," sore nipples during the period of suckling would not be so prevalent as they are.

2. CAUSE.—A sore nipple is frequently produced by the injudicious custom of allowing the child to have the nipple {311} almost constantly in his mouth. Another frequent cause of a sore nipple is from the babe having the canker. Another cause of a sore nipple is from the mother, after the babe has been sucking, putting up the nipple wet. She, therefore, ought always to dry the nipple, not by rubbing, but by dabbing it with a soft cambric or lawn handkerchief, or with a piece of soft linen rag—one or the other of which ought always to be at hand—every time directly after the child has done sucking, and just before applying any of the following powders or lotions to the nipple.

3. REMEDIES.—One of the best remedies for a sore nipple is the following powder:

Take of—Borax, one drachm; Powdered Starch, seven drachms.

Mix.—A pinch of the powder to be frequently applied to the nipple.

If the above does not cure, try Glycerine by applying it each time after nursing.

4. GATHERED BREAST.—A healthy-woman with a well-developed breast and a good nipple, scarcely, if ever, has a gathered bosom; it is the delicate, the ill-developed breasted and worse-developed nippled lady who usually suffers from this painful complaint. And why? The evil can generally be traced to girlhood. If she be brought up luxuriously, her health and her breasts are sure to be weakened, and thus to suffer, more especially if the development of the bosoms and nipples has been arrested and interfered with by tight stays and corsets. Why, the nipple is by them drawn in, and retained on the level with the breast—countersunk—as though it were of no consequence to her future well-being, as though it were a thing of nought.

5. TIGHT LACERS.—Tight lacers will have to pay the penalties of which they little dream. Oh, the monstrous folly of such proceedings! When will mothers awake from their lethargy? It is high time that they did so! From the mother having "no nipple," the effects of tight lacing, many a home has been made childless, the babe not being able to procure its proper nourishment, and dying in consequence! It is a frightful state of things! But fashion, unfortunately, blinds the eyes and deafens the ears of its votaries!

6. BAD BREAST.—A gathered bosom, or "bad breast," as it is sometimes called, is more likely to occur after a first confinement and during the first month. Great care, therefore, ought to be taken to avoid such a misfortune. A gathered breast is frequently owing to the carelessness of a {312} mother in not covering her bosoms during the time she is suckling. Too much attention cannot be paid to keeping the breasts comfortably warm. This, during the act of nursing, should be done by throwing either a shawl or a square of flannel over the neck, shoulders, and bosoms.

7. ANOTHER CAUSE.—Another cause of gathered breasts arises from a mother sitting up in bed to suckle her babe. He ought to be accustomed to take the bosom while she is lying down; if this habit is not at first instituted, it will be difficult to adopt it afterwards. Good habits may be taught a child from earliest babyhood.

8. FAINTNESS.—When a nursing mother feels faint, she ought immediately to lie down and take a little nourishment; a cup of tea with the yolk of an egg beaten up in it, or a cup of warm milk, or some beef-tea, any of which will answer the purpose extremely well. Brandy, or any other spirit we would not recommend, as it would only cause, as soon as the immediate effects of the stimulant had gone off, a greater depression to ensue; not only so, but the frequent taking of brandy might become a habit—a necessity—which would be a calamity deeply to be deplored!

9. STRONG PURGATIVES.—Strong purgatives during this period are highly improper, as they are apt to give pain to the infant, as well as to injure the mother. If it be absolutely necessary to give physic, the mildest, such as a dose of castor oil, should be chosen.

10. HABITUALLY COSTIVE.—When a lady who is nursing is habitually costive, she ought to eat brown instead of white bread. This will, in the majority of cases, enable her to do without an aperient. The brown bread may be made with flour finely ground all one way; or by mixing one part of bran and three parts of fine wheaten flour together, and then making it in the usual way into bread. Treacle instead of butter, on the brown bread increases its efficacy as an aperient; and raw should be substituted for lump sugar in her tea.

11. TO PREVENT CONSTIPATION.—Stewed prunes, or stewed French plums, or stewed Normandy pippins, are excellent remedies to prevent constipation. The patient ought to eat, every morning, a dozen or fifteen of them. The best way to stew either prunes or French plums, is the following:—Put a pound of either prunes or French plums, and two tablespoonfuls of raw sugar, into a brown jar; cover them with water; put them into a slow oven, and stew them for three or four hours. Both stewed rhubarb and stewed {313} pears often act as mild and gentle aperients. Muscatel raisins, eaten at dessert, will oftentimes without medicine relieve the bowels.

12. COLD WATER.—A tumblerful of cold water, taken early every morning, sometimes effectually relieves the bowels; indeed, few people know the value of cold water as an aperient—it is one of the best we possess, and, unlike drug aperients, can never by any possibility do any harm. An injection of warm water is one of the best ways to relieve the bowels.

13. WELL-COOKED VEGETABLES.—Although a nursing mother ought, more especially if she be costive, to take a variety of well-cooked vegetables, such as potatoes, asparagus, cauliflower, French beans, spinach, stewed celery and turnips; she should avoid eating greens, cabbages, and pickles, as they would be likely to affect the babe, and might cause him to suffer from gripings, from pain, and "looseness" of the bowels.

14. SUPERSEDE THE NECESSITY OF TAKING PHYSIC.—Let me again—for it cannot be too urgently insisted upon—strongly advise a nursing mother to use every means in the way of diet, etc., to supersede the necessity of taking physic (opening medicine), as the repetition of aperients injures, and that severely, both herself and child. Moreover, the more opening medicine she swallows, the more she requires; so that if she once gets into the habit of regularly taking physic, the bowels will not act without them. What a miserable existence to be always swallowing physic!



{314}

Home Lessons in Nursing Sick Children.



1. MISMANAGEMENT.—Every doctor knows that a large share of the ills to which infancy is subject are directly traceable to mismanagement. Troubles of the digestive system are, for the most part due to errors, either in the selection of the food or in the preparation of it.

2. RESPIRATORY DISEASES.—Respiratory diseases or the diseases of the throat and lungs have their origin, as a rule, in want of care and judgment in matters of clothing, bathing and exposure to cold and drafts. A child should always be dressed to suit the existing temperature of the weather. {315}

3. NERVOUS DISEASES.—Nervous diseases are often aggravated if not caused by over-stimulation of the brain, by irregular hours of sleep, or by the use of "soothing" medicines, or eating indigestible food.

4. SKIN AFFECTIONS.—Skin affections are generally due to want of proper care of the skin, to improper clothing or feeding, or to indiscriminate association with nurses and children, who are the carriers of contagious diseases.

5. PERMANENT INJURY.—Permanent injury is often caused by lifting the child by one hand, allowing it to fall, permitting it to play with sharp instruments, etc.

6. RULES AND PRINCIPLES.—Every mother should understand the rules and principles of home nursing. Children are very tender plants and the want of proper knowledge is often very disastrous if not fatal. Study carefully and follow the principles and rules which are laid down in the different parts of this work on nursing and cooking for the sick.

7. WHAT A MOTHER SHOULD KNOW:

I. INFANT FEEDING.—The care of milk, milk sterilization, care of bottles, preparation of commonly employed infant foods, the general principles of infant feeding, with rules as to quality and frequency.

II. BATHING.—The daily bath; the use of hot, cold and mustard baths.

III. HYGIENE OF THE SKIN. Care of the mouth, eyes and ears. Ventilation, temperature, cleanliness, care of napkins, etc.

IV. TRAINING OF CHILDREN in proper bodily habits. Simple means of treatment in sickness, etc.

8. THE CRY OF THE SICK CHILD.—The cry of the child is a language by which the character of its suffering to some extent may be ascertained. The manner in which the cry is uttered, or the pitch and tone is generally a symptom of a certain kind of disease.

9. STOMACHACHE.—The cry of the child in suffering with pain of the stomach is loud, excitable and spasmodic. The legs are drawn up and as the pain ceases, they are relaxed and the child sobs itself to sleep, and rests until awakened again by pain.

10. LUNG TROUBLE.—When a child is suffering with an affection of the lungs or throat, it never cries loudly or continuously. A distress in breathing causes a sort of subdued cry and low moaning. If there is a slight cough it is generally a sign that there is some complication with the lungs. {316}

11. DISEASE OF THE BRAIN.—In disease of the brain the cry is always sharp, short and piercing. Drowsiness generally follows each spasm of pain.

12. FEVERS.—Children rarely cry when suffering with fever unless they are disturbed. They should be handled very gently and spoken to in a very quiet and tender tone of voice.

13. THE CHAMBER OF THE SICK ROOM.—The room of the sick child should be kept scrupulously clean. No noise should disturb the quiet and rest of the child. If the weather is mild, plenty of fresh air should be admitted; the temperature should be kept at about 70 degrees. A thermometer should be kept in the room, and the air should be changed several times during the day. This may be done with safety to the child by covering it up with woolen blankets to protect it from draft, while the windows and doors are opened. Fresh air often does more to restore the sick child than the doctor's medicine. Take the best room in the house. If necessary take the parlor, always make the room pleasant for the sick.

14. VISITORS.—Carefully avoid the conversation of visitors or the loud and boisterous playing of children in the house. If there is much noise about the house that cannot be avoided, it is a good plan to put cotton in the ears of the patient.

15. LIGHT IN THE ROOM.—Light has a tendency to produce nervous irritability, consequently it is best to exclude as much daylight as possible and keep the room in a sort of twilight until the child begins to improve. Be careful to avoid any odor coming from a burning lamp in the night. When the child begins to recover, give it plenty of sunlight. After the child begins to get better let in all the sunlight the windows will admit. Take a south room for the sick bed.

16. SICKNESS IN SUMMER.—If the weather is very hot it is a good plan to dampen the floors with cold water, or set several dishes of water in the room, but be careful to keep the patient out of the draft, and avoid any sudden change of temperature.

17. BATHING.—Bathe every sick child in warm water once a day unless prohibited by the doctor. If the child has a spasm or any attack of a serious nervous character in absence of the doctor, place him in a hot bath at once. Hot water is one of the finest agencies for the cure of nervous diseases. {317}



18. SCARLET FEVER AND MEASLES.—Bathe the child in warm water to bring out the rash, and put in about a dessertspoonful of mustard into each bath.

19. DRINKS.—If a child is suffering with fevers, let it have all the water it wants. Toast-water will be found nourishing. When the stomach of the child is in an irritable condition, nourishments containing milk or any other fluid should be given very sparingly. Barley-water and rice-water are very soothing to an irritable stomach.

20. FOOD.—Mellin's Food and milk is very nourishing if the child will take it. Oatmeal gruel, white of eggs, etc. are excellent and nourishing articles. See "How to cook for the Sick."

21. EATING FRUIT.—Let children who are recovering from sickness eat moderately of good fresh fruit. Never let a child, whether well or sick, eat the skins of any kind of fruit. The outer covering of fruit was not made to eat, and often has poisonous matter very injurious to health upon its surface. Contagious and infectious diseases are often communicated in that way.

22. SUDDEN STARTINGS with the thumbs drawn into the palms, portend trouble with the brain, and often end in convulsions, which are far more serious in infants than in children. Convulsions in children often result from a suppression of urine. If you have occasion to believe that such is the case, get the patient to sweating as soon as possible. Give it a hot bath, after which cover it up in bed and put bags of hot salt over the lower part of the abdomen.

23. SYMPTOMS OF INDIGESTION.—If the baby shows symptoms of indigestion, do not begin giving it medicine. It is wiser to decrease the quantity and quality of the food and let the little one omit one meal entirely, that his stomach may rest. Avoid all starchy foods, as the organs of digestion are not sufficiently developed to receive them.

* * * * *

{318}

A Practical Rule for Feeding a Baby on Cow's Milk.

Cow's milk is steadily growing in favor as an artificial food. Country milk should be used instead of milk purchased in town or city.

RULE—Take the upper half of milk that has stood an hour of two, dilute, not hardly as much as a third, with sweetened water, and if there is a tendency to sour stomach, put in a teaspoonful of lime water to every quart. The milk and water should both be boiled separately. If the baby is constipated, it is best to heat the milk over boiling water and not allow it to boil.

INFANT FOOD FOR 24 HOURS.

Age of Child. Milk. Water. Total.

2 to 10 days 1-1/4 gills 3-1/4 gills 4-1/2 gills 10 to 20 days 1-3/4 gills 4-1/4 gills 6 gills 20 to 30 days 2-1/2 gills 6 gills 8-1/2 gills 1 to 1-1/2 months 3 gills 6-3/4 gills 9-3/4 gills 1-1/2 to 2 months 3-1/2 gills 7 gills 10-1/2 gills 2 to 2-1/2 months 4 gills 7-1/2 gills 11-1/2 gills 2-1/2 to 3 months 4-1/2 gills 7-1/2 gills 12 gills 3 to 3-1/2 months 5 gills 7-1/2 gills 12-1/2 gills 3-1/2 to 4 months 5-1/2 gills 7-1/2 gills 13 gills 4 to 4-1/2 months 6 gills 7-1/2 gills 13-1/2 gills 4-1/2 to 5 months 6-1/2 gills 7-1/2 gills 14 gills 5 to 6 months 7 gills 7 gills 14 gills 6-1/2 to 7 months 7-1/2 gills 6-1/2 gills 14 gills 7 to 8 months 8 gills 6 gills 14 gills 8 to 9 months 8-1/4 gills 6 gills 14-1/4 gills 9 to 10 months 8-1/2 gills 6 gills 14-1/2 gills 10 to 11 months 8-3/4 gills 6 gills 14-3/4 gills 11 to 12 months 9 gills 5-1/2 gills 14-1/2 gills 12 to 15 months 9-1/4 gills 5-1/4 gills 14-1/2 gills 15 to 18 months 9-1/2 gills 5 gills 14-1/2 gills 18 and more months 10 gills 5 gills 15 gills

* * * * *

{319}

HOW TO KEEP A BABY WELL.



1. The mother's milk is the natural food, and nothing can fully take its place.

2. The infant's stomach does not readily accommodate itself to changes in diet; therefore, regularity in quality, quantity and temperature is extremely necessary.

3. Not until a child is a year old should it be allowed any food except that of milk, and possibly a little cracker or bread, thoroughly soaked and softened.

4. Meat should never be given to very young children. The best artificial food is cream, reduced and sweetened with sugar and milk. No rule can be given for its reduction. Observation and experience must teach that, because every child's stomach is governed by a rule of its own.

5. A child can be safely weaned at one year of age, and sometimes less. It depends entirely upon the season, and upon the health of the child.

6. A child should never be weaned during the warm weather, in June, July or August.

7. When a child is weaned it may be given, in connection {320} with the milk diet, some such nourishment as broth, gruel, egg, or some prepared food.

8. A child should never be allowed to come to the table until two years of age.

9. A child should never eat much starchy food until four years old.

10. A child should have all the water it desires to drink, but it is decidedly the best to boil the water first, and allow it to cool. All the impurities and disease germs are thereby destroyed. This one thing alone will add greatly to the health and vigor of the child.

11. Where there is a tendency to bowel disorder, a little gum arabic, rice, or barley may be boiled with the drinking water.

12. If the child uses a bottle it should be kept absolutely clean. It is best to have two or three bottles, so that one will always be perfectly clean and fresh.

13. The nipple should be of black or pure rubber, and not of the white or vulcanized rubber; it should fit over the top of the bottle. No tubes should ever be used; it is impossible to keep them clean.

14. When the rubber becomes coated, a little coarse salt will clean it.

15. Babies should be fed at regular times. They should also be put to sleep at regular hours. Regularity is one of the best safeguards to health.

16. Milk for babies and children should be from healthy cows. Milk from different cows varies, and it is always better for a child to have milk from the same cow. A farrow cow's milk is preferable, especially if the child is not very strong.

17. Many of the prepared foods advertised for children are of little benefit. A few may be good, but what is good for one child may not be for another. So it must be simply a matter of experiment if any of the advertised foods are used.

18. It is a physiological fact that an infant is always healthier and better to sleep alone. It gets better air and is not liable to suffocation.

19. A healthy child should never be fed in less than two hours from the last time they finished before, gradually lengthening the time as it grows older. At 4 months 31/2 or 4 hours; at 5 months a healthy child will be better if given nothing in the night except, perhaps, a little water.

20. Give an infant a little water several times a day.

21. A delicate child the first year should be oiled after each bath. The oiling may often take the place of the bath, in case of a cold.

22. In oiling a babe, use pure olive oil, and wipe off thoroughly after each application. For nourishing a weak child use also olive oil.

23. For colds, coughs, croup, etc., use goose oil externally and give a teaspoonful at bed-time.

* * * * *

{321}

HOW TO PRESERVE THE HEALTH AND LIFE OF YOUR INFANT DURING HOT WEATHER.



BATHING.

1. Bathe infants daily in tepid water and even twice a day in hot weather.

If delicate they should be sponged instead of immersing them in water, but cleanliness is absolutely necessary for the health of infants.

CLOTHING.

2. Put no bands in their clothing, but make all garments to hang loosely from the shoulders, and have all their clothing scrupulously clean; even the diaper should not be re-used without rinsing. {322}

SLEEP ALONE.

3. The child should in all cases sleep by itself on a cot or in a crib and retire at a regular hour. A child always early taught to go to sleep without rocking or nursing is the healthier and happier for it. Begin at birth and this will be easily accomplished.

CORDIALS AND SOOTHING SYRUPS.

4. Never give cordials, soothing syrups, sleeping drops, etc., without the advice of a physician. A child that frets and does not sleep is either hungry or ill. If ill it needs a physician. Never give candy or cake to quiet a small child, they are sure to produce disorders of the stomach, diarrhoea or some other trouble.

FRESH AIR.

5. Children should have plenty of fresh air summer as well as winter. Avoid the severe hot sun and the heated kitchen for infants in summer. Heat is the great destroyer of infants. In excessive hot weather feed them with chips of ice occasionally, if you have it.

CLEAN HOUSES.

6. Keep your house clean and cool and well aired night and day. Your cellars cleared of all rubbish and whitewashed every spring, your drains cleaned with strong solution of copperas or chloride of lime, poured down them once a week. Keep your gutters and yards clean and insist upon your neighbors doing the same.

EVACUATIONS OF A CHILD.

The healthy motion varies from light orange yellow to greenish yellow, in number, two to four times daily. Smell should never be offensive. Slimy mucous-like jelly passages indicate worms. Pale green, offensive, acrid motions indicate disordered stomach. Dark green indicate acid secretions and a more serious trouble.

Fetid dark brown stools are present in chronic diarrhoea. Putty-like pasty passages are due to acidity curdling the milk or to torpid liver. {323}



BREAST MILK.

7. Breast milk is the only proper food for infants, until after the second summer. If the supply is small keep what you have and feed the child in connection with it, for if the babe is ill this breast milk may be all that will save its life.

STERILIZED MILK.

8. Milk is the best food. Goat's milk best, cows milk next. If the child thrives on this nothing else should be given during the hot weather, until the front teeth are cut. Get fresh cow's milk twice a day if the child requires food in the night, pour it into a glass fruit jar with one-third pure water for a child under three months old, afterwards the proportion of water may be less and less, also a trifle of sugar may be added.

Then place the jar in a kettle or pan of cold water, like the bottom of an oatmeal kettle. Leave the cover of the jar loose. Place it on the stove and let the water come to a boil and boil ten minutes, screw down the cover tight and boil ten minutes more, then remove from the fire, and allow it to cool in the water slowly so as not to break the jar. When partly cool put on the ice or in a cool place, and keep tightly covered except when the milk is poured out for use. The glass jar must be kept perfectly clean and washed {324} and scalded carefully before use. A tablespoonful of lime water to a bottle of milk will aid indigestion. Discard the bottle as soon as possible and use a cup which you know is clean, whereas a bottle must be kept in water constantly when not in use, or the sour milk will make the child sick. Use no tube for it is exceedingly hard to keep it clean, and if pure milk cannot be had, condensed milk is admirable and does not need to be sterilized as the above.

DIET.

9. Never give babies under two years old such food as grown persons eat. Their chief diet should be milk, wheat bread and milk, oatmeal, possibly a little rare boiled egg, but always and chiefly milk. Germ wheat is also excellent.

EXERCISE.

10. Children should have exercise in the house as well as outdoors, but should not be jolted and jumped and jarred in rough play, not rudely rocked in the cradle, nor carelessly trundled over bumps in their carriages. They should not be held too much in the arms, but allowed to crawl and kick upon the floor and develop their limbs and muscles. A child should not be lifted by its arms, nor dragged along by one hand after it learns to take a few feeble steps, but when they do learn to walk steadily it is the best of all exercise, especially in the open air.

Let the children as they grow older romp and play in the open air all they wish, girls as well as boys. Give the girls an even chance for health, while they are young at least, and don't mind about their complexion.



{325}

Infant Teething.



1. REMARKABLE INSTANCES.—There are instances where babies have been born with teeth, and, on the other hand, there are cases of persons who have never had any teeth at all; and others that had double teeth all around in both upper and lower jaws, but these are rare instances, and may be termed as a sort of freaks of nature.

2. INFANT TEETHING.—The first teeth generally make their appearance after the third month, and during the period of teething the child is fretful and restless, causing sometimes constitutional disturbances, such as diarrhoea, indigestion, etc. Usually, however, no serious results follow, and no unnecessary anxiety need be felt, unless the weather is extremely warm, then there is some danger of summer complaint setting in and seriously complicating matters.

3. THE NUMBER OF TEETH.—Teeth are generally cut in pairs and make their appearance first in the front and going backwards until all are complete. It generally takes about {326} two years for a temporary set of children's teeth. A child two or three years old should have twenty teeth. After the age of seven they generally begin to loosen and fall out and permanent teeth take their place.

4. LANCING THE GUMS.—This is very rarely necessary. There are extreme cases when the condition of the mouth and health of the child demand a physician's lance but this should not be resorted to, unless it is absolutely necessary. When the gums are very much swollen and the tooth is nearly through, the pains may be relieved by the mother taking a thimble and pressing it down upon the tooth, the sharp edges of the tooth will cut through the swollen flesh, and instant relief will follow. A child in a few hours or a day will be perfectly happy after a very severe and trying time of sickness.

5. PERMANENT TEETH.—The teeth are firmly inserted in sockets of the upper and lower jaw. The permanent teeth which follow the temporary teeth, when complete, are sixteen in each jaw, or thirty-two in all.

6. NAMES OF TEETH.—There are four incisors (front teeth), four cuspids (eye teeth), four bicuspids (grinders), and four molars (large grinders), in each jaw. Each tooth is divided into the crown, body, and root. The crown is the grinding surface; the body—the part projecting from the jaw—is the seat of sensation and nutrition; the root is that portion of the tooth which is inserted in the alveolus. The teeth are composed of dentine (ivory) and enamel. The ivory forms the greater portion of the body and root, while the enamel covers the exposed surface. The small white cords communicating with the teeth are the nerves.



{327}

HOME TREATMENT FOR THE DISEASES OF INFANTS AND CHILDREN.



1. Out of the 984,000 persons that died during the year of 1890, 227,264 did not reach one year of age, and 400,647 died under five years of age.

What a fearful responsibility therefore rests upon the parents who permit these hundreds of thousands of children to die annually. This terrible mortality among children is undoubtedly largely the result of ignorance as regarding to the proper care and treatment of sick children.

2. For very small children it is always best to use homoeopathic remedies.

COLIC.

1. Babies often suffer severely with colic. It is not considered dangerous, but causes considerable suffering.

2. Severe colic is usually the result of derangement of the liver in the mother, or of her insufficient or improper nourishment, and it occurs more frequently when the child is from two to five months old. {328}

3. Let the mother eat chiefly barley, wheat and bread, rolled wheat, graham bread, fish, milk, eggs and fruit. The latter may be freely eaten, avoiding that which is very sour.

4. A rubber bag or bottle filled with hot water put into a crib, will keep the child, once quieted, asleep for hours. If a child is suffering from colic, it should be thoroughly warmed and kept warm.

5. Avoid giving opiates of any kind, such as cordials, Mrs. Winslow's Soothing Syrup, "Mother's Friend," and various other patent medicines. They injure the stomach and health of the child, instead of benefiting it.

6. REMEDIES.—A few tablespoonfuls of hot water will often allay a severe attack of the colic. Catnip tea is also a good remedy.

A drop of essence of peppermint in 6 or 7 teaspoonfuls of hot water will give relief.

If the stools are green and the child is very restless, give chamomilla.

If the child is suffering from constipation, and undigested curds of milk appear in its faeces, and the child starts suddenly in its sleep, give nux vomica.

An injection of a few spoonfuls of hot water into the rectum with a little asafoetida is an effective remedy, and will be good for an adult.

CONSTIPATION.

1. This is a very frequent ailment of infants. The first thing necessary is for the mother to regulate her diet.

2. If the child is nursed regularly and held out at the same time of each day, it will seldom be troubled with this complaint. Give plenty of water. Regularity of habit is the remedy. If this method fails, use a soap suppository. Make it by paring a piece of white castile soap round. It should be made about the size of a lead pencil, pointed at the end.

3. Avoid giving a baby drugs. Let the physician administer them if necessary. {329}

DIARRHOEA.

Great care should be exercised by parents in checking the diarrhoea of children. Many times serious diseases are brought on by parents being too hasty in checking this disorder of the bowels. It is an infant's first method of removing obstructions and overcoming derangements of the system.

SUMMER COMPLAINT.

1. Summer complaint is an irritation and inflammation of the lining membranes of the intestines. This may often be caused by teething, eating indigestible food, etc.

2. If the discharges are only frequent and yellow and not accompanied with pain, there is no cause for anxiety; but if the discharges are green, soon becoming gray, brown and sometimes frothy, having a mixture of phlegm, and sometimes containing food undigested, a physician had better be summoned.

3. For mild attacks the following treatment may be given:

1) Keep the child perfectly quiet and keep the room well aired.

2) Put a drop of tincture of camphor on a teaspoonful of sugar, mix thoroughly; then add 6 teaspoonfuls of hot water and give a teaspoonful of the mixture every ten minutes. This is indicated where the discharges are watery, and where there is vomiting and coldness of the feet and hands. Chamomilla is also an excellent remedy. Ipecac and nux vomica may also be given.

In giving homoeopathic remedies, give 5 or 6 pellets every 2 or 3 hours.

3) The diet should be wholesome and nourishing.

FOR TEETHING.

If a child is suffering with swollen gums, is feverish, restless, and starts in its sleep, give nux vomica. {330}

WORMS.

PIN WORMS.

Pin worms and round worms are the most common in children. They are generally found in the lower bowels.

SYMPTOMS.—Restlessness, itching about the anus in the fore part of the evening, and worms in the faeces.

TREATMENT.—Give with a syringe an injection of a tablespoonful of linseed oil. Cleanliness is also very necessary.

ROUND WORMS.

A round worm is from six to sixteen inches in length, resembling the common earth worm. It inhabits generally the small intestines, but it sometimes enters the stomach and is thrown up by vomiting.

SYMPTOMS.—Distress, indigestion, swelling of the abdomen, grinding of the teeth, restlessness, and sometimes convulsions.

TREATMENT.—One teaspoonful of powdered wormseed mixed with a sufficient quantity of molasses, or spread on bread and butter.

Or, one grain of santonine every four hours for two or three days, followed by a brisk cathartic. Wormwood tea is also highly recommended.

SWAIM'S VERMIFUGE. 2 ounces wormseed, 11/2 ounces valerian, 11/2 ounces rhubarb, 11/2 ounces pink-root, 11/2 ounces white agaric.

Boil in sufficient water to yield 3 quarts of decoction, and add to it 30 drops of oil of tansy and 45 drops of oil of cloves, dissolved in a quart of rectified spirits. Dose, 1 teaspoonful at night.

ANOTHER EXCELLENT VERMIFUGE.

Oil of wormseed, 1 ounce, Oil of anise, 1 ounce, Castor oil, 1 ounce, Tinct. of myrrh, 2 drops, Oil of turpentine, 10 drops.

Mix thoroughly. Always shake well before using. Give 10 to 15 drops in cold coffee, once or twice a day.

* * * * *

{331}

HOW TO TREAT CROUP

SPASMODIC AND TRUE.

SPASMODIC CROUP.



DEFINITION.—A spasmodic closure of the glottis which interferes with respiration. Comes on suddenly and usually at night, without much warning. It is a purely nervous disease and may be caused by reflex nervous irritation from undigested food in the stomach or bowels, irritation of the gums in dentition, or from brain disorders.

SYMPTOMS.—Child awakens suddenly at night with suspended respiration or very difficult breathing. After a few respirations it cries out and then falls asleep quietly, or the attack may last an hour or so, when the face will become pale, veins in the neck become turgid and feet and hands contract spasmodically. In mild cases the attacks will only occur once during the night, but may recur on the following night.

HOME TREATMENT.—During the paroxysm dashing cold water in the face is a common remedy. To terminate the spasm and prevent its return give teaspoonful doses of {332} powdered alum. The syrup of squills is an old and tried remedy; give in 15 to 30 drop doses and repeat every 10 minutes till vomiting occurs. Seek out the cause if possible and remove it. It commonly lies in some derangement of the digestive organs.

TRUE CROUP.

DEFINITION.—This disease consists of an inflammation of the mucous membrane of the upper air passages, particularly of the larynx with the formation of a false membrane that obstructs the breathing. The disease is most common in children between the ages of two and seven years, but it may occur at any age.

SYMPTOMS.—Usually there are symptoms of a cold for three or four days previous to the attack. Marked hoarseness is observed in the evening with a ringing metallic cough and some difficulty in breathing, which increases and becomes somewhat paroxysmal till the face which was at first flushed becomes pallid and ashy in hue. The efforts at breathing become very great, and unless the child gets speedy relief it will die of suffocation.

HOME TREATMENT.—Patient should be kept in a moist warm atmosphere, and cold water applied to the neck early in the attack. As soon as the breathing seems difficult give a half to one teaspoonful of powdered alum in honey to produce vomiting and apply the remedies suggested in the treatment of diphtheria, as the two diseases are thought by many to be identical. When the breathing becomes labored and face becomes pallid, the condition is very serious and a physician should be called without delay.

SCARLET FEVER.

DEFINITION.—An eruptive contagious disease, brought about by direct exposure to those having the disease, or by contact with clothing, dishes, or other articles, used about the sick room.

The clothing may be disinfected by heating to a temperature of 230 deg. Fahrenheit or by dipping in boiling water before washing. {333}

Dogs and cats will also carry the disease and should be kept from the house, and particularly from the sick room.

SYMPTOMS.—Chilly sensations or a decided chill, fever, headache, furred tongue, vomiting, sore throat, rapid pulse, hot dry skin and more or less stupor. In from 6 to 18 hours a fine red rash appears about the ears, neck and shoulders, which rapidly spreads to the entire surface of the body. After a few days, a scurf or branny scales will begin to form on the skin. These scales are the principal source of contagion.

HOME TREATMENT.

1. Isolate the patient from other members of the family to prevent the spread of the disease.

2. Keep the patient in bed and give a fluid diet of milk gruel, beef tea, etc., with plenty of cold water to drink.

3. Control the fever by sponging the body with tepid water, and relieve the pain in the throat by cold compresses, applied externally.

4. As soon as the skin shows a tendency to become scaly, apply goose grease or clean lard with a little boracic acid powder dusted in it, or better, perhaps, carbolized vaseline to relieve the itching and prevent the scales from being scattered about, and subjecting others to the contagion.

REGULAR TREATMENT.—A few drops of aconite every three hours to regulate the pulse, and if the skin be pale and circulation feeble, with tardy eruption, administer one to ten drops of tincture of belladonna, according to the age of the patient. At the end of third week, if eyes look puffy and feet swell, there is danger of Acute Bright's disease, and a physician should be consulted. If the case does not progress well under the home remedies suggested, a physician should be called at once.

WHOOPING COUGH.

DEFINITION.—This is a contagious disease which is known by a peculiar whooping sound in the cough. Considerable mucus is thrown off after each attack of spasmodic coughing.

SYMPTOMS.—It usually commences with the symptoms of a common cold in the head, some chilliness, feverishness, {334} restlessness, headache, a feeling of tightness across the chest, violent paroxysms of coughing, sometimes almost threatening suffocation, and accompanied with vomiting.

HOME TREATMENT.—Patient should eat plain food and avoid cold drafts and damp air, but keep in the open air as much as possible. A strong tea made of the tops of red clover is highly recommended. A strong tea made of chestnut leaves, sweetened with sugar, is also very good.

1 teaspoonful of powdered alum. 1 teaspoonful of syrup.

Mix in a tumbler of water, and give the child one teaspoonful every two or three hours. A kerosene lamp kept burning in the bed chamber at night is said to lessen the cough and shorten the course of the disease.

MUMPS.

DEFINITION.—This is a contagious disease causing the inflammation of the salivary glands, and is generally a disease of childhood and youth.

SYMPTOMS.—A slight fever, stiffness of the neck and lower jaw, swelling and soreness of the gland. It usually develops in four or five days and then begins to disappear.

HOME TREATMENT.—Apply to the swelling a hot poultice of cornmeal and bread and milk. A hop poultice is also excellent. Take a good dose of physic and rest carefully. A warm general bath, or mustard foot bath, is very good. Avoid exposure or cold drafts. If a bad cold is taken, serious results may follow.

MEASLES.

DEFINITION.—It is an eruptive, contagious disease, preceded by cough and other catarrhal symptoms for about four or five days. The eruption comes rapidly in small red spots, which are slightly raised.

SYMPTOMS.—A feeling of weakness, loss of appetite, some fever, cold in the head, frequent sneezing, watery eyes, dry cough and a hot skin. The disease takes effect nine or ten days after exposure. {335}

HOME TREATMENT.—Measles is not a dangerous disease in the child, but in an adult it is often very serious. In childhood very little medicine is necessary, but exposure must be carefully avoided, and the patient kept in bed, in a moderately warm room. The diet should be light and nourishing. Keep the room dark. If the eruption does not come out promptly, apply hot baths.

COMMON TREATMENT.—Two teaspoonfuls of spirits of nitre, one teaspoonful paregoric, one wineglassful of camphor water. Mix thoroughly, and give a teaspoonful in half a tea-cupful of water every two hours. To relieve the cough, if troublesome, flax seed tea, or infusion of slippery-elm bark, with a little lemon juice to render more palatable, will be of benefit.

CHICKEN POX.

DEFINITION.—This is a contagious, eruptive disease, which resembles to some extent small-pox. The pointed vesicles or pimples have a depression in the center in chicken-pox, and in small pox they do not.

SYMPTOMS.—Nine to seventeen days elapse after the exposure, before symptoms appear. Slight fever, a sense of sickness, the appearance of scattered pimples, some itching and heat. The pimples rapidly change into little blisters, filled with a watery fluid. After five or six days they disappear.

HOME TREATMENT.—Milk diet, and avoid all kinds of meat. Keep the bowels open, and avoid all exposure to cold. Large vesicles on the face should be punctured early, and irritation by rubbing should be avoided.

HOME TREATMENT OF DIPHTHERIA.

DEFINITION.—Acute, specific, constitutional disease, with local manifestations in the throat, mouth, nose, larynx, windpipe, and glands of the neck. The disease is infectious, but not very contagious under the proper precautions. It is a disease of childhood, though adults sometimes contract it. Many of the best physicians of the day consider true or membranous croup to be due to this diphtheritic membranous disease thus located in the larynx or trachea. {336}

SYMPTOMS.—Symptoms vary according to the severity of the attack. Chills, fever, headache, languor, loss of appetite, stiffness of neck, with tenderness about the angles of the jaw, soreness of the throat, pain in the ear, aching of the limbs, loss of strength, coated tongue, swelling of the neck, and offensive breath; lymphatic glands on side of neck enlarged and tender. The throat is first to be seen red and swollen, then covered with grayish white patches, which spread, and a false membrane is found on the mucous membrane. If the nose is attacked, there will be an offensive discharge, and the child will breathe through the mouth. If the larynx or throat are involved, the voice will become hoarse, and a croupy cough, with difficult breathing, shows that the air passage to the lungs is being obstructed by the false membrane.

HOME TREATMENT.—Isolate the patient, to prevent the spread of the disease. Diet should be of the most nutritious character, as milk, eggs, broths, and oysters. Give at intervals of every two or three hours. If patient refuses to swallow, from the pain caused by the effort, a nutrition injection must be resorted to. Inhalations of steam and hot water, and allowing the patient to suck pellets of ice, will give relief. Sponges dipped in hot water, and applied to the angles of the jaw, are beneficial. Inhalations of lime, made by slaking freshly burnt lime in a vessel, and directing the vapor to the child's mouth, by means of a newspaper, or similar contrivance. Flour of sulphur, blown into the back of the mouth and throat by means of a goose quill, has been highly recommended. Frequent gargling of the throat and mouth, with a solution of lactic acid, strong enough to taste sour, will help to keep the parts clean, and correct the foul breath. If there is great prostration, with the nasal passage affected, or hoarseness and difficult breathing, a physician should be called at once.

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DISEASES OF WOMEN.

DISORDERS OF THE MENSES.

1. SUPPRESSION OF, OR SCANTY MENSES.



HOME TREATMENT.—Attention to the diet, and exercise in the open air to promote the general health. Some bitter tonic, taken with fifteen grains of dialyzed iron, well diluted, after meals, if patient is pale and debilitated. A hot foot bath is often all that is necessary.

2. PROFUSE MENSTRUATION.

HOME TREATMENT.—Avoid highly seasoned food, and the use of spirituous liquors; also excessive fatigue, either physical or mental. To check the flow, patient should be kept quiet, and allowed to sip cinnamon tea during the period.

3. PAINFUL MENSTRUATION.

HOME TREATMENT.—Often brought on by colds. Treat by warm hip baths, hot drinks (avoiding spirituous liquors), and heat applied to the back and extremities. A teaspoonful of the fluid extract of viburnum will sometimes act like a charm.

HOW TO CURE SWELLED AND SORE BREASTS.

Take and boil a quantity of chamomile, and apply the hot fomentations. This dissolves the knot, and reduce the swelling and soreness. {338}

LEUCORRHEA OR WHITES.

HOME TREATMENT.—This disorder, if not arising from some abnormal condition of the pelvic organs, can easily be cured by patient taking the proper amount of exercise and good nutritious food, avoiding tea and coffee. An injection every evening of one teaspoonful of Pond's Extract in a cup of hot water, after first cleansing the vagina well with a quart of warm water, is a simple but effective remedy.

INFLAMMATION OF THE WOMB.

HOME TREATMENT.—When in the acute form this disease is ushered in by a chill, followed by fever, and pain in the region of the womb. Patient should be placed in bed, and a brisk purgative given, hot poultices applied to the abdomen, and the feet and hands kept warm. If the symptoms do not subside, a physician should be consulted.

HYSTERIA.

DEFINITION.—A functional disorder of the nervous system of which it is impossible to speak definitely; characterized by disturbance of the reason, will, imagination, and emotions, with sometimes convulsive attacks that resemble epilepsy.

SYMPTOMS.—Fits of laughter, and tears without apparent cause; emotions easily excited; mind often melancholy and depressed; tenderness along the spine; disturbances of digestion, with hysterical convulsions, and other nervous phenomena.

HOME TREATMENT.—Some healthy and pleasant employment should be urged upon women afflicted with this disease. Men are also subject to it, though not so frequently. Avoid excessive fatigue and mental worry; also stimulants and opiates. Plenty of good food and fresh air will do more good than drugs.

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Falling of the Womb.

CAUSES.—The displacement of the womb usually is the result of too much childbearing, miscarriages, abortions, or the taking of strong medicines to bring about menstruation. It may also be the result in getting up too quickly from the childbed. There are, however, other causes, such as a general breaking down of the health.

SYMPTOMS.—If the womb has fallen forward it presses against the bladder, causing the patient to urinate frequently. If the womb has fallen back, it presses against the rectum, and constipation is the result with often severe pain at stool. If the womb descends into the vagina there is a feeling of heaviness. All forms of displacement produce pain in the back, with an irregular and scanty menstrual flow and a dull and exhausted feeling.

HOME TREATMENT.—Improve the general health. Take some preparation of cod-liver oil, hot injections (of a teaspoonful of powdered alum with a pint of water), a daily sitz-bath, and a regular morning bath three times a week will be found very beneficial. There, however, can be no remedy unless the womb is first replaced to the proper position. This must be done by a competent physician who should frequently be consulted.



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Menstruation.

1. ITS IMPORTANCE.—Menstruation plays a momentous part in the female economy; indeed, unless it be in every way properly and duly performed, it is neither possible that a lady can be well, nor is it at all probable that she will conceive. The large number of barren, of delicate, and of hysterical women there are in America arises mainly from menstruation not being duly and properly performed.

2. THE BOUNDARY-LINE.—Menstruation—"the periods"—the appearance of the catamenia or the menses—is then one of the most important epochs in a girl's life. It is the boundary-line, the landmark between childhood and womanhood; it is the threshold, so to speak, of a woman's life. Her body now develops and expands, and her mental capacity enlarges and improves.

3. THE COMMENCEMENT OF MENSTRUATION.—A good beginning at this time is peculiarly necessary, or a girl's health is sure to suffer, and different organs of the body—her lungs, for instance, may become imperiled. A healthy continuation, at regular periods, is also much needed, or conception, when she is married, may not occur. Great attention and skillful management is required to ward off many formidable diseases, which at the close of menstruation—at "the change of life"—are more likely than at any time to be developed. If she marry when very young, marriage weakens her system, and prevents a full development of her body. Moreover, such an one is, during the progress of her labor, prone to convulsions—which is a very serious childbed complication.

4. EARLY MARRIAGES.—Statistics prove that twenty per cent—20 in every 100—of females who marry are under age, and that such early marriages are often followed by serious, and sometimes even by fatal consequences to mother, to progeny, or to both. Parents ought, therefore, to persuade their daughters not to marry until they are of age—twenty-one; they should point out to them the risk and danger likely to ensue if their advice be not followed; they should impress upon their minds the old adage:

"Early wed, Early dead."

5. TIME TO MARRY.—Parents who have the real interest and happiness of their daughters at heart, ought, in consonance with the laws of physiology, to discountenance marriage before twenty; and the nearer the girls arrive at {341} the age of twenty-five before the consummation of this important rite, the greater the probability that, physically and morally, they will be protected against those risks which precocious marriages bring in their train.

6. FEEBLE PARENTS.—Feeble parents have generally feeble children; diseased parents, diseased children; nervous parents, nervous children;—"like begets like." It is sad to reflect, that the innocent have to suffer, not only for the guilty, but for the thoughtless and inconsiderate. Disease and debility are thus propagated from one generation to another and the American race becomes woefully deteriorated.

7. TIME.—Menstruation in this country usually commences at the ages of from thirteen to sixteen, sometimes earlier; occasionally as early as eleven or twelve; at other times later, and not until a girl be seventeen or eighteen years of age. Menstruation in large towns is supposed to commence at an earlier period than in the country, and earlier in luxurious than in simple life.

8. CHARACTER.—The menstrual fluid is not exactly blood, although, both in appearance and properties, it much resembles it; yet it never in the healthy state clots as blood does. It is a secretion of the womb, and, when healthy, ought to be of a bright red color, in appearance very much like the blood from a recently cut finger. The menstrual fluid ought not, as before observed, clot. If it does, a lady, during "her periods," suffers intense pain; moreover, she seldom conceives until the clotting has ceased.

9. MENSTRUATION DURING NURSING.—Some ladies, though comparatively few, menstruate during nursing; when they do, it may be considered not as the rule, but as the exception. It is said in such instances, that they are more likely to conceive; and no doubt they are, as menstruation is an indication of a proneness to conception. Many persons have an idea that when a woman, during lactation, menstruates, her milk is both sweeter and purer. Such is an error. Menstruation during nursing is more likely to weaken the mother, and consequently to deteriorate her milk, and thus make it less sweet and less pure.

10. VIOLENT EXERCISE.—During "the monthly periods" violent exercise is injurious; iced drinks and acid beverages are improper; and bathing in the sea, and bathing the feet in cold water, and cold baths are dangerous; indeed, at such times as these, no risks should be run, and no experiments should, for the moment, be permitted, otherwise serious consequences will, in all probability, ensue. {342}

11. THE PALE, COLORLESS-COMPLEXIONED.—The pale, colorless-complexioned, helpless, listless, and almost lifeless young ladies who are so constantly seen in society, usually owe their miserable state of health to absent, to deficient, or to profuse menstruation. Their breathing is short—they are soon "out of breath," if they attempt to take exercise—to walk, for instance, either up stairs or up a hill, or even for half a mile on level ground, their breath is nearly exhausted—they pant as though they had been running quickly. They are ready, after the slightest exertion or fatigue, and after the least worry or excitement, to feel faint, and sometimes even to actually swoon away. Now such cases may, if judiciously treated, be generally soon cured. It therefore behooves mothers to seek medical aid early for their girls, and that before irreparable mischief has been done to the constitution.

12. POVERTY OF BLOOD.—In a pale, delicate girl or wife, who is laboring under what is popularly called poverty of blood, the menstrual fluid is sometimes very scant, at others very copious, but is, in either case, usually very pale—almost as colorless as water, the patient being very nervous and even hysterical. Now, these are signs of great debility; but, fortunately for such an one, a medical man is, in the majority of cases, in possession of remedies that will soon make her all right again.

13. NO RIGHT TO MARRY.—A delicate girl has no right until she be made strong, to marry. If she should marry, she will frequently, when in labor, not have strength, unless she has help, to bring a child into the world; which, provided she be healthy and well-formed, ought not to be. How graphically the Bible tells of delicate women not having strength to bring children into the world: "For the children are come to the birth, and there is not strength to bring forth."—2 Kings XIX, 3.

14. TOO SPARING.—Menstruation at another time is too sparing; this is a frequent cause of sterility. Medical aid, in the majority of cases, will be able to remedy the defect, and, by doing so, will probably be the means of bringing the womb into a healthy state, and thus predispose to conception.