800.Method of escape from Fire.—The following simple machine ought always to be kept in an upper apartment. It is nothing more than a shilling or eighteen-penny rope, one end of which should always be made fast to something in the chamber, and at the other end should be a noose to let down children or infirm persons, in case of fire. Along the rope there should be several knots, to serve as resting places for the hands and feet of the person who drops down by it. No family occupying high houses should ever be without a contrivance of this kind.801.To make Water more efficacious in extinguishing Fires.—Throw into a pump, which contains fifty or sixty buckets of water, eight or ten pounds of salt or pearlashes, and the water thus impregnated will wonderfully accelerate the extinction of the most furious conflagration. Muddy water is better than clear, andcanbe obtained when salt and ashes cannot.802.To extinguish Fires speedily.—Much mischief arises from want of a little presence of mind on these alarming occasions. A small quantity of water, well and immediately applied, will frequently obviate great danger. The moment an alarm of fire is given, wet some blankets well in a bucket of water, and spread them upon the floor of the room where the fire is, and afterwards beat out the other flames with a blanket thus wet. Two or three buckets of water thus used early, will answer better than hundreds applied at a later period. Linen thus wet will be useful, but will not answer so well as woollen.803.To escape from or go into a House on fire.—Creep or crawl with your face near the ground, and, although the room be full of smoke to suffocation, yet near the floor the air is pure, and may be breathed with safety. The best escape from upper windows is by a knotted rope; but, if a leap is unavoidable, then the bed should be thrown out first, or beds prepared for the purpose.804.Hints respecting Women's and Children's Clothes catching fire.—The woman and children in every family should be particularly told and shown, that flame always tends upwards; and, consequently, that as long as they continue erect, or in an upright posture, while their clothes are burning, the fire generally beginning at the lower part of the dress, the flames meeting additional fuel, as they rise, become more powerful in proportion; whereby the neck and head, being more exposed than other parts to the intense and concentrated heat, must necessarily be most injured. In a case of this kind, where the sufferer happens to be alone, and cannot extinguish the flames byinstantly throwing the clothes over the head, and rolling or lying upon them, she may still avoid great agony, and save her life,by throwing herself at full-length on the floor, and rolling herself thereon. This method may not extinguish the flame, but, to a certainty, will retard its progress, prevent fatal injury to the neck and head, and afford opportunity for assistance; and it may be more practicable than the other, to the aged and infirm. A carpet or hearth-rug instantly lapped round the head and body, is almost a certain preventive of danger.805.Method of rendering all sorts of Paper, Linen, and Cotton, less combustible.—This desirable object may be, in some degree, effected, by immersing these combustible materials in a strong solution of alum-water; and, after drying them, repeating this immersion, if necessary. Thus, neither the color nor the quality of the paper will be in the least affected; on the contrary, both will be improved: and the result of the experiment may be ascertained, by holding a slip of paper, so prepared, over a candle.806.To extricate Horses from fire.—If the harness be thrown over a draught, or the saddle placed on the back of a saddle horse, they may be led out of the stable as easily as on commonoccasions. Should there be time to substitute the bridle for the halter, the difficulty towards saving them will be still further diminished.807.Method of rendering assistance to persons in danger of Drowning.—This desirable object appears attainable by the proper use of a man's hat and pocket-handkerchief, which (being all the apparatus necessary) is to be used thus:—Spread the handkerchief on the ground, and place a hat, with the brim downwards, on the middle of the handkerchief; and then tie the handkerchief round the hat as you would tie up a bundle, keeping the knots as near the centre of the crown as may be. Now, by seizing the knots in one hand, and keeping the opening of the hat upwards, a person, without knowing how to swim, may fearlessly plunge into the water with what may be necessary to save the life of a fellow-creature.If a person should fall out of a boat, or the boat upset, by going foul of a cable, &c., or should he fall off the quays, or indeed fall into any water from which he could not extricate himself, but must wait some little time for assistance—had he presence of mind enough to whip off his hat, and hold it by the brim, placing his fingers withinside the crown, and hold it so, (top downwards), he would be able, by this method, to keep his mouth well above water till assistance should reach him. It often happens that danger is descried long before we are involved in the peril, and time enough to prepare the above method; and a courageous person would, in seven instances out of ten, apply to them with success; and travellers, in fording rivers at unknown fords, or where shallows are deceitful, might make use of these methods with advantage.808.To prevent excessive Thirst, in cases of emergency at Sea, in the summer-time.—When thirst is excessive, as is often the case in summer-time, during long voyages, avoid,if possible, even in times of the greatest necessity, the drinking of salt water to allay the thirst; but rather keep thinly clad, and frequently dip in the sea, which will appease both hunger and thirst for a long time, and prevent the disagreeable sensation of swallowing salt water.809.Best mode of avoiding the fatal Accidents of Open Carriages.—Jumping out is particularly dangerous, (the motionof the gig communicating a different one to the one you give yourself by jumping), which tends very much to throw you on your side or head. Many suppose it very easy to jump a little forward, and alight safe: they will not find it so on trial. The method of getting out behind the carriage, is the most safe of any, having often tried it when the horse has been going very fast. Perhaps it is best to fix yourself firm, and remain in the carriage.810.Recovery from Suffocation, &c.—There are many occasions of danger, on which a person who can hold breath for a minute or two, may save the life of another. The best preparation for rendering such assistance is, by breathing deep, hard, and quick, (as a person would do after running,) and ceasing with his lungs full of air; he will then find himself able to hold his breath more than twice as long as he would without such preparation.If in a brewer's fermenting vat, or an opened cess-pool, one man sinks senseless and helpless, from breathing the foul air, another man of cool mind would, by the above preparation, have abundant time, in most cases, to descend by the ladder or bucket, and rescue the sufferer, without any risk to himself. In entering a room on fire, a knowledge of this fact may be useful.The following precautions should also be regarded. Avoid all unnecessary exertion; go coolly and quietly to the spot where help is required; do no more than is needful, leaving the rest to be done by those in a safe atmosphere.In case ofchoke-damp, as in a brewer's vat, hold the head as high as may be: in case of a fire in the room, keep the head as low as possible.If a rope be at hand, fasten it to the person who isgivinghelp, that he may be succored, if he venture too far. Many deaths happen in succession in cess-pools, and similar cases, for want of this precaution.It is hardly needful to say, do not try to breathe the air of the place where help is required. Yet many persons fail, in consequence of forgetting this precaution. If the temptation to breathe be at all given way to, thenecessityincreases, and the helper himself is greatly endangered. Resist the tendency, and retreat in time.Be careful to commence giving aid with the lungsfullof air,not empty; for the preparation consists chiefly in laying up for the time, in the lungs, a store of that pure air which is so essential to life.811.Thunder Storms.—The safest situation during a thunder-storm is the cellar; for when a person is below the surface of the earth, the lightning must strike it before it can reach him, and will probably be expended on it. Dr. Franklin advises persons apprehensive of lightning to sit in the middle of a room, not under a metal lustre, or any other conductor, and to place their feet upon another chair. It will be still safer, he adds, to lay two or three beds or mattresses in the middle of the room, and to place the chairs upon them. A hammock suspended with silk cords would be an improvement on this apparatus. Persons out of doors should avoid trees, &c.The distance of a thunder-storm and its consequent danger can easily be estimated. As light travels at the rate of 192,000 miles in a second of time, its effects may be considered as instantaneous within any moderate distance. Sound is transmitted at the rate of only 1142 feet in a second. By observing, therefore, the time which intervenes between the flash of lightning and the thunder which accompanies it, a very near calculation may be made of its distance.812.Stroke of Lightning.—Throw cold water upon them as soon as possible. It will often restore persons struck by lightning when apparently insensible, or even dead.813.A few Concise Rules for the Recovery of Persons apparently Drowned.—The body on being taken out of the water, should be conveyed to the nearest house,in the gentlest manner possible; the wet clothes must be removed, and the body well dried with a towel; it must then be placed on a mattress, laid on a table of proper height and length. Care must always be taken to lay the head considerably higher than the extremities, and to place the body on the right side. The lungs should be inflated with a pair of bellows, not forcibly, but gradually, so as to imitate the action of respiration.Do not place the body in a high degree of heat; (below 98 degrees of Fahrenheit's scale is the best temperature,) clear the apartment of all supernumerary persons, and let the windows and doors be open, to admit a free circulation of air.Apply friction,after the lungs have been expanded, with the hand only, or with a little oil on the fingers.No injections are necessary, nor emetics, except in particular cases:bleedingis also a doubtful remedy: electricity,in judicious hands, may prove highly beneficial.Let no rolling of the body be used with a view of emptying it of water; there is no water present, or scarcely any. The heart being overloaded with blood, may be burst by this injudicious proceeding, and more mischief has been done by tossing and rolling the body, than by any other erroneous treatment. Hot water, in bottles, may be applied to the feet and ankles, as soon as respiration commences: when the blood begins to circulate, heat may be gradually increased, and the patient removed to a warm bed, where he must be carefully watched till the action of the heart be completely restored.The following way is commended by those who have seen it tried: 1. Lose no time. 2. Handle the body gently. 3. Carry the body with the head gently raised, and never hold it up by the feet. 4. Send for medical assistance immediately, and in the mean time act as follows: 1. Strip the body, rub it dry; then rub it in hot blankets, and place it in a warm bed in a warm room. 2. Cleanse away the froth and mucus from the nose and mouth. 3. Apply warm bricks, bottles, bags of sand, &c., to the arm-pits, between the thighs and the soles of the feet. 4. Rub the surface of the body with the hands enclosed in warm dry worsted socks. 5. If possible, put the body into a warm bath. 6. To restore breathing, put the pipe of a common bellows in one nostril, carefully closing the other and the mouth; at the same time drawing downward, and pushing gently backward, the upper part of the windpipe, to allow a more free admission of air; blow the bellows gently, in order to inflate the lungs, till the breast be raised a little; then set the mouth and nostrils free, and press gently on the chest; repeat this until signs of life appear. When the patient revives, apply smelling-salts to the nose, give warm wine or brandy and water.Cautions.—1. Never rub the body with salt or spirits. 2. Never roll the body on casks. 3. Continue the remedies for twelve hours without ceasing.PART V.MISTRESS—MOTHER—NURSE—AND MAID.In which are set forth the prominent Duties of each department, and the most important Rules for the guidance and care of the Household.OF THE TABLE814. The taste and management of the mistress are always displayed in the general conduct of the table; for, though that department of the household be not always under her direction, it is always under her eye. Its management involves judgment in expenditure, respectability of appearance, and the comfort of her husband as well as of those who partake of their hospitality. Inattention to it is always inexcusable, and should be avoided for the lady's own sake, as it occasions a disagreeable degree of bustle, and evident annoyance to herself, which is never observable in a well-regulated establishment.Perhaps there are few occasions on which the respectability of a man is more immediately felt, than the style of dinner to which he may accidentally bring home a visitor. Every one ought to live according to his circumstances, and the meal of the tradesman ought not to emulate the entertainments of the higher classes; but, if merely two or three dishes be well served, with the proper accompaniments, the table-linen clean, the small sideboard neatly laid, and all that is necessary be at hand, the expectation of both the husband and friend will be gratified, because no interruption of the domestic arrangements will disturb their social intercourse.Should there be only a joint and a pudding, they shouldalways be served up separately; and the dishes, however small the party, should always form two courses. Thus, in the old fashioned style of "fish, soup, and a roast," the soup and fish are placed at the top and bottom of the table, removed by the joint with vegetables and pastry; or, should the company consist of eight or ten, a couple or more of side-dishes in the first course, with game and a pudding in the second, accompanied by confectionary, are quite sufficient.In most of the books which treat of cookery, various bills of fare are given, which are never exactly followed. The mistress should give a moderate number of those dishes which are most in season. The cuts which are inserted in some of those lists, put the soup in the middle of the table—where it should never be placed. For a small party, a single lamp in the centre is sufficient; but, for a larger number, the room should be lighted with lamps hung over the table, and the centre occupied by aplateauof glass or plate, ornamented with flowers or figures.815.Carefulness.—A proper quantity of household articles should always be allowed for daily use. Each should also be kept in its proper place, and applied to its proper use. Let all repairs be done as soon as wanted, remembering the old adage of "a stitch in time;" and never, if possible, defer any necessary household concern a moment beyond the time when it ought to be attended to.In the purchase of glass and crockery-ware, either the most customary patterns should be chosen, in order to secure their being easily matched, when broken; or, if a scarce design be adopted, an extra quantity should be bought, to guard against the annoyance of the set being spoiled by breakage—which, in the course of time, must be expected to happen. There should likewise be plenty of common dishes, that the table-set may not be used for putting away cold meat, &c.The cook should be encouraged to be careful of coals and cinders: for the latter there is a new contrivance for sifting, without dispersing the dust, by means of a covered tin bucket.Small coal, wetted, makes the strongest fire for the back of the grate, but must remain untouched till it cakes. Cinders, lightly wetted, give a great degree of heat, and are better than coal, for furnaces, ironing-stoves, and ovens.816.Attention to little things.—By attention tolittle things, the neat appearance of a house may be secured, and time andlabor saved. For instance, when you are sewing, carefully deposit your bits of thread, &c., in a little basket or box, instead of throwing them on the floor. And again: set your chairs out a little from the wall, instead of putting them close to it, which would not only rub the paint from the chairs, but would soon deface the beauty of the wall-paper. These appear like trifling things—but nothing is too trifling to demand our attention, when we are endeavoring to fulfil the duties of our sphere.817.Cheerfulness.—Does it seem singular thatcheerfulnessis placed among the requisites for good house-keeping? But it is of far more importance than you would, at first view, imagine. What matters it to a brother or husband, if the house be ever so neat, or the meals punctually and well prepared, if the mistress of it is fretful and fault-finding—ever discontented and complaining. Theoutsideof such a house is ever the most attractive to him, and any andeveryexcuse will be made for absenting himself; and the plea of business or engagements will be made to her who is doomed to pass her hours needlessly in solitude.818.Of Economy in Expenditure.—Economy should be the first point in all families, whatever be their circumstances. A prudent housekeeper will regulate the ordinary expenses of a family, according to the annual sum allowed for housekeeping. By this means, the provision will be uniformly good, and it will not be requisite to practise meanness on many occasions, for the sake of meeting extra expense on one.The best check upon outrunning an income is to pay bills weekly, for you may then retrench in time. This practice is likewise a salutary check upon the correctness of the accounts themselves.To young beginners in housekeeping, the following briefhints on domestic economy, in the management of a moderate income, may perhaps not prove unacceptable.A bill of parcels and receipt should be required, even if the money be paid at the time of purchase; and, to avoid mistakes, let the goods be compared with these when brought home; or, if paid or at future periods, a bill should be sent with the article, and regularly filed on separate files for each tradesman.An inventory of furniture, linen, and china should be kept,and the things examined by it twice a-year, or oftener if there be a change of servants; the articles used by servants should be intrusted to their care, with a list, as is done with the plate. In articles not in common use, such as spare bedding, tickets of parchment, numbered and specifying to what they belong, should be sewed on each; and minor articles in daily use, such as household cloths and kitchen requisites, should be occasionally looked to.819.Books and Accounts.—Housekeeping books, with printed forms for the various heads of expenditure, and the several articles, are used in many families; but accounts may be kept with as much certainty in plain books.820.Servants.—In thehiring of Servants, it is an excellent plan to agree to increase their wages annually to a fixed sum, where it should stop, and to recommend that a portion of it should be regularly placed in a savings-bank. An incentive will thus be offered to good conduct; and when the hoard saved up amounts to any considerable sum, the possessor will generally feel more inclined to enlarge than to expend it.A kindly feeling of indulgence on the part of the mistress towards her servants, in the matter of petty faults, coupled with good-natured attention to their daily comforts, and occasional permission to visit and receive a few of their near friends, would go far to create a cordial degree of attachment, which must be ever desirable to a respectable family, and cheaply purchased by such consideration. Mildness of language will generally be met by respectful language on the part of a servant, and of itself will produce a saving of temper at least to the master or mistress. Due praise will mostly be found a powerful stimulus to good, and in some measure a preventive to bad conduct, on the part of a servant.Do not speak harshly or imperatively to servants, or tell them of their faults in the presence of strangers or visitors; but take the earliest opportunity of reproving them after your company have left.821.Store-room.—A store-room is essential for the custody of articles in constant use, as well as for others which are only occasionally called for. These should be at hand when wanted, each in separate drawers, or on shelves and pegs, all under thelock and key of the mistress, and never be given out to the servants but under her inspection.Pickles and preserves, prepared and purchased sauces, and all sorts of groceries, should be there stored; the spices pounded and corked up in small bottles, sugar broken, and everything in readiness for use. Lemon-peel, thyme, parsley, and all sorts of sweet herbs, should be dried and grated for use in seasons of plenty; the tops of tongues saved, and dried, for grating into omelets, &c.; and care taken that nothing be wasted that can be turned to good account.Coarse nets suspended in the store-room are very useful in preserving the finer kinds of fruit, lemons, &c., which are spoiled if allowed to touch. Whenlemonsandorangesare cheap, a proper quantity should be bought and prepared, both for preserving the juice, and keeping the peel for sweetmeats and grating, especially by those who live in the country, where they cannot always be had; and they are perpetually wanted in cookery.822.Sugar.—The lowest-priced and coarsest sugar is not the cheapest in the end, as it is heavy, dirty, and of a very inferior degree of sweetness; that which is most refined is the sweetest: the best has a bright and gravelly appearance. East India sugars appear finer in proportion to the price; but they do not contain so much sweetness as the other kinds. Loaf-sugars should be chosen as fine and as close in texture as possible, except they are for preserving, when the coarse, strong, open kind is preferable.823.Pepper.—The finest Cayenne pepper consists of powdered bird-pepper; but, as this is of a bad color, it is often adulterated to heighten the color. English chilies, dried and pounded, make good pepper.White pepper is inferior to black, although the former is sold at the highest price. White pepper is merely black pepper deprived of its outer coating, which has a stimulating property; so that white pepper is much weaker than black.824.Cinnamon, when good, is rather thin and pliable, and about the substance of thick paper, of yellowish-brown color, sweetish taste, and pleasant odor: that which is hard, thick, and dark-colored, should be rejected.825.Articles in Season.—Some weak-minded persons affect to despise articles of food when they are plentiful and cheap, not knowing that such is the time when the articles are in the greatest perfection.Young and inexperienced housekeepers sometimes incur unnecessary expense by ordering articles of food when they are scarce, dear, and hardly come into season. This can only be prevented by attention to the seasons of different articles.826.Every Family to make their own Sweet Oil.—With a small hand-mill, every family might make their own sweet oil. This may easily be done, by grinding or beating the seeds of white poppies into a paste, then boil it in water, and skim off the oil as it rises; one bushel of seed weighs fifty pounds, and produces two gallons of oil. Of the sweet olive oil sold, one-half is oil of poppies. The poppies will grow in any garden; it is the large-head white poppy, sold by apothecaries. Large fields are sown with poppies in France and Flanders, for the purpose of expressing oil from their seed for food. When the seed is taken out, the poppy head when dried is boiled to an extract, which is sold at two shillings per ounce, and it is to be preferred to opium, which now sells very high. Large fortunes may be acquired by the cultivation of poppies. Women and children could attend to the cultivation of any quantity required for their own use, in making oil, and it would be found a profitable branch of industry, when engaged in on a large scale.827.Candles and Lamps.—In purchasing wax, spermaceti, or composition candles forcompany, there will be a saving by proportioning the length and size of the lights to the probable duration of the party. Mixed wax and spermaceti make the best candles, of which a longfour(that is, four to the pound,) will last ten hours; a shortsixwill burn six hours; athree, twelve hours.A moderate-sized French table-lamp, will consume a quarter of a pint of oil in twelve hours and a half.A common japanned kitchen-lamp, with one burner, will consume one-eighth of a pint of oil in nine hours.828.Neats'-foot Oil.—Boil the feet for several hours, as for making stock for jelly; skim off the oily matter from time totime as it rises, and, when it ceases to come up, pour off the water; next day, take off the cake of fat and oil which will be found on the top; boil it and the oil before obtained, together with a little cold water; let it cool; pour off the water, and bottle the oil for use. This oil being perfectly pure, and free from smell, may be used with the French lights in a sick-room.829.Soap.—Soap, as well as candles, is improved by keeping. Buy your store for the winter as early as September, and cut the large bars of soap into pieces, to dry. It goes farther, and is better.830.Coals.—Lay in your stock of coal and wood, during summer, when fuel of all kinds is cheapest.831.Good method of making Fires.—In managing your fires during the day, first lay on a shovelful of the dust and ashes from under the grate, then a few coals, then more ashes, and afterwards a few more coals, and thus proceed till your grate is properly filled, placing a few round coals in front. You will find that the ashes retain the heat better than coals alone; you will have less smoke, a pleasant fire, and a very little waste left at night.832.Kitchen-Paper.—Whited-brown and common writing is much used: it should be bought by the ream or half-ream, which will be much cheaper than by the quire. White paper only should be used for singeing, and for covering meat, pastry, &c.833.Economy in Tinder.—The very high price of paper, at present, renders the saving of even the smallest quantity of linen or cotton rags of consequence, as they sell very dear. Trifling as it may be thought, yet it will be found that a considerable quantity of rags may be saved in a family, by using as tinder for lighting matches, the contents of the common snuffers, collected in the course of the evening.834.To prevent Accidents, from leaving a poker in the fire.—The following invention is equally simple and secure:—Immediately above that square part of the poker, by blacksmithscalled "the bit," let a small cross of iron, about an inch and a half each way, be welded in.The good consequences of this simple contrivance will be—1st. If the poker, by the fire giving way, should slip out, it will probably catch on the edge of the fender.2d. If it should not, it cannot injure the hearth or carpet, as the hot part of the poker will be borne up some inches.3d. The poker cannot be run into the fire further than the bit, which, in regard to a polished poker, is also of some consequence.ON THE MANAGEMENT OF INFANTS, YOUNG CHILDREN, AND THE SICK.835. In a previous work—"Mrs. Hale's New Cook Book,"—I gave many receipts for preparing food for invalids and children; but something more is needed. Young mothers and nurses, who are often inexperienced, will, I am sure, thank me for taking pains to procure, from the most eminent authorities, the best directions and recipes to aid them in the discharge of their arduous and most important duties. The preservation of life, and the formation of the physical constitution, as well as the moral development of the young beings committed by Divine Providence to the especial care of woman, render it one of the best accomplishments of our sex, to learn all we can respecting the high vocation whereunto we are called, viz., that of conservators of humanity.836.Of young Infants.—Immediately on the birth of the child, it should be received into soft fine flannel, sufficient completely to envelop or wrap round the body, in which, with the mouth and nose scarcely exposed, it should repose at least an hour. The child may then be washed withtepidwater, tenderly and cautiously, yet speedily made dry with soft linen cloth. Afterwards let it be expeditiously dressed, and put into a warm, bed, and, during the first week or fortnight, exposed as little as possible to cold air: how long this caution may be necessary, will depend on the season of the year, or the temperature of the atmosphere. By strictly adhering to this mode of managing a new-born infant, it will not suffer from catarrh, cough, difficulty of breathing, diarrhea, sore eyes, or stoppage in the head.Children are frequently placed under the care of a nurse, who, from her experience, is supposed qualified for the important trust; but it often happens, either from her obstinacy or self-importance, that the most judicious plan of treatment recommended by the attending physician, is defeated.At this period the mother is called on, by religious and moral obligation, as well as by the ties of natural affection, to suckle her infant: no doubt could be entertained of her immediate assent to so powerful an impulse, if uninfluenced by her friends or relatives. It cannot be denied, that she may be disqualified for the office by various maladies, by an incipient phthisis, by a scorbutic or scrofulous taint, by hysterical or nervous affections, &c. However, the fitness or unfitness of the mother for this endearing office, should be determined by the attending physician. There are many instances recorded of women who had been extremely delicate and sickly previous to their first confinement, becoming afterwards healthy and robust. On the contrary, there are several histories of other women, who previously had enjoyed good health, suffering from counteracting the regular process of nature. The flow of the milk being checked, undue determinations have taken place to the chest or head, and in some cases proved fatal.In the bowels of children at the time of their birth, there is an accumulation of what is called "the meconium." For whatever purpose it was intended before the birth of the child, it would become injurious were it afterwards suffered to remain. Nature has provided the means for its removal, by giving to the new milk an aperient quality. Therefore it is advisable to wait, even to the third day, for the appearance of the milk, rather than attempt to remove the meconium by castor oil, or any other mild aperient medicine. The coats of the child's stomach and bowels are so extremely tender and irritable, that the mildest purgative will give pain, and disorder the health of the infant. By waiting for the milk, relief is obtained by the means nature has provided, without the slightest inconvenience.837.Clothing.—The clothing for children cannot be too simple: it should be so formed as to admit of being easily and quickly changed, free from all bandages or pins, and secured only by tape. Shoes or stockings may be dispensed with, until the child begins to use its legs, as they keep the feet wet andunpleasant, unless changed every hour. The child left to itself, will soon begin to enjoy the use and freedom of its limbs.838.Food.—The proper food for children is a subject of more importance. That which nature has provided is the milk of its parent; but, when this is lacking, a preparation formed of cow's milk and water, with a little loaf sugar, in the following proportions, supplies the desideratum:—Take of fresh cow's milk, one table-spoonful; hot water, two table-spoonfuls; loaf sugar, as much as may be agreeable. Such nourishment will alone be sufficient for its support, until the end of the first three months. At this period, it may require a small portion of light animal food, of which, how to select the most nutritious, to regulate the quantity, and to administer it, after proper intervals, must depend on the experience of the nurse. Experience is often superseded by convenience: if the child cries, the nurse attributes it to a want of food, and, by her agency, it is fed almost every hour, both night and day. It is seldom that a child cries from abstinence, if it be healthy and free from pain. In the infantile state, the powers of the digestive organs are much weaker than at a more advanced period of life; and therefore, although the food is more simple, it requires an interval of some hours to convert it into chyle: if this process be interrupted by frequent feeding, the chyle will be crude, and pass off without affording due nourishment to the child. Sickness in children arises from the quality or quantity of their food, unduly administered. The food for children should be light and simple—gruel alone, or mixed with cow's milk; mutton broth, or beef tea; stale bread, rusks, or biscuits, boiled in water to a proper consistence, and a little sugar added. The great mortality of children in large towns, may be attributed to the poverty of their parents, who cannot purchase the necessary food or clothing, nor find leisure to attend to cleanliness, air, and exercise, so indispensably necessary to the well-being of their offspring. In the wealthy ranks of society, these means are easily obtained; and in the management of their children, we have only to dread the abuse of these advantages. Happy would it be both for rich and poor, if the superfluities of the one could be transferred for the benefit of the other.When six months old, a child may be fed every four hours, when awake. Nothing can be more injurious to health than too frequent or irregular meals. Children, if left to themselves,soon acquire the habit of passing through the night without being fed.839.Weaningof children should not take place under six months, if the mother be in health, nor be deferred beyond nine months. It cannot be too frequently impressed on the mind of the parent, that the future health and strength of her child depend on a due supply of the food which nature has provided. Regarding her own health, the chances are that it will be improved—at all events, it is incumbent on her to make the experiment; if her strength falls off, she may at any time retire from the effort, and engage a wet-nurse.Thisfoster-parentshould not be more than thirty years of age, nor should her milk be more than three months old. She should be in health, free from scorbutic or scrofulous taints, from cutaneous scurf, or eruptions, perfectly clean in her person, and extremely neat in her management of whatever concerns the child. She must be sober and temperate: her diet should consist of a due proportion of bread, fresh meat, and vegetables; her drink, tea, chocolate, and milk and water; but on no consideration either wine or any other spirituous liquors. These, if drank by the nurse, will prove injurious to the child.840.Proper Medicines for Infants.—Nature has not only provided food for infants, but likewise given to them a constitution capable of correcting those slight deviations from health, to which alone they are liable when properly nursed. This has induced many to assert that medicines are not required in the nursery: perhaps the assertion might be correct, if children were suffered to remain in a state of nature: the further they are removed from it, the evils they have to contend with bear a proportionate increase. As most of their complaints arise from a want of attention to their food, to air, and exercise, by a prompt and skilful use of medicine, these complaints may be removed; therefore, it is not the use but the abuse of medicine that should be avoided. If a child be tormented by a pin running into the flesh, no one would contend against the removal of the pin.The diseases to which children are liable, are sore eyes, sore ears, sore head, scald head, sickness and vomiting, thrush, redgum, yellow gum, pain in the bowels, diarrhea, dentition, chilblains, rickets, worms, scrofula, catarrh, cough, measles, &c.841.Sore Eyesfrequently occur on the second or third day after the birth, occasioned by too early an exposure of the child to a cold atmosphere: the eyelids swell, become closed, and discharge a purulent matter. It may be relieved by fomenting the eyelids with equal parts of lime water and elder-flower water. Dip some fine old linen cloth into this mixture, moderately warmed, and apply it to the eyelids. This is a mild astringent application: if the swellings should not be reduced by it, the following, which is more astringent, will probably succeed: Take of white vitriol, two grains; rose-water, two ounces; mix them together. Should it be necessary, the quantity of white vitriol may be increased.842.Sore Ears.—Excoriations of the skin frequently happen either behind the ears, in the folds of the skin, on the neck, in the groins, or wherever the folds of the skin, come in contact. Wash the skin morning and evening with cold water, make it perfectly dry with a fine linen cloth, then shake on lightly the following powder: Take white ceruse, one part; wheaten starch, in flour, three parts; mix them together. Or, take Goulard's extract, French brandy, of each, one drachm; rose-water, four ounces. Mix them together, and apply it with soft linen cloth to the excoriations of the skin.The following liniment may be relied on: Take acetate of lead, one scruple; rose-water, half an ounce; melted beef marrow, one ounce. Rub the acetate of lead in the rose-water, until they are intimately mixed, then melt the marrow over a gentle heat; afterwards pour the mixture upon the marrow by little and little, taking care that each addition be incorporated with the marrow, so as to form an uniform mass. This may be applied with a camels'-hair pencil.843.Sore Head.—This complaint appears first on the forehead, in large white spots or scabs, which, if neglected, soon spread over the whole surface of the head. It is sometimes dry, at others moist, with a thin, watery discharge. It is named the crusta lactea, or milky crust. There are two methods of treating it. Nurses encourage the discharge by applying cabbage leaves, oil-cloth, &c.; this is by no means necessary; itmakes the head offensive, and the appearance of the child disgusting. It is much better to cure it as soon as possible, by washing the scabs night and morning with equal parts of brandy and water; then lay on the following ointment: Take, olive oil, five drachms; white wax, two drachms; calcined zinc, one drachm. Melt the oil and wax together, then add the zinc by degrees, and keep stirring it until they are intimately mixed.844.Scald Headis totally unlike the preceding disease: brown-colored scabs appear on the crown of the head, which discharge a glutinous matter, and unite the hairs, so as to prevent their being separated with a comb: these scabs continue to spread until they occupy the whole of the scalp.Keep the hair cut as close as possible, wash the head with a strong solution of soap in water, night and morning; as soon as it can be done, instead of cutting the hair with scissors, let it be shaved close once a day.Every one has a remedy for this complaint; perhaps the following ointment will be found one of the most effective: Take Barbadoes tar, one ounce; the dust of the lycoperdon, or puff fungus, one drachm. Mix them well together, and rub in a part of it to the roots of the hair, after washing the head with the soap and water. By steadily persevering in these means, and giving an occasional purge, the cure will soon be accomplished.845.Sickness and Vomiting.—Soon after the birth, children are frequently annoyed by these symptoms: they are occasioned by the indiscreet conduct of the nurses, who are apt to give either improper food or medicine. At this early period, as before remarked, the stomach is incapable of digesting any other food than the milk of its mother; consequently, whatever is forced into it, remains there undigested, until, by a convulsive effort, it is thrown off by vomiting. So long as it remains in the stomach, the child is restless, and in other respects indisposed. It may be relieved by a tea-spoonful of castor-oil, to be repeated, until one or two motions are occasioned.Children who are dry nursed are most subject to sickness and vomiting; the natural remedy is the breast of a healthy woman. Without this relief, gripings and diarrhea frequently come on and prove fatal.Children so circumstanced, may be relieved by the following emetic:Take of ipecacuanha, two drachms; boiling water, four ounces. Let them stand together until the water grows cold, then strain off the liquor. To one ounce of the liquor, add eight drops of antimonial wine. Dose, two tea-spoonfuls every half hour, until it excites vomiting.846.The Thrush, or sore mouth, is a complaint very painful, and, if neglected, fatal to children. When it first comes on, it resembles small pieces of curd lying loose upon the tongue; it gradually spreads itself over the inside of the mouth, but afterwards rapidly advances to the throat, stomach, and bowels. Therefore, when the white specks appear, proper means should be instantly employed to remove them, or to suspend their progress. If the child be costive, give the following aperient:Take of calcined magnesia, two scruples; common mint water, two ounces; mix them together. The dose, a dessert-spoonful every half hour, until it operates. Or, take of manna, one ounce; senna leaves, one drachm; common mint-water, four ounces. Boil them together, until the manna be dissolved, then strain off the liquor. Dose, two drachms every half hour, until two or more motions are occasioned.For cleaning the mouth, take equal parts of borax and white sugar; rub them together into a fine powder. Of this put a small quantity into the child's mouth, which will be distributed to every part by the motion of its tongue. Repeat this application three or four times a day: if used early, it will keep the mouth free from white specks, and remove the complaint in a few days.If, on the contrary, it should be neglected, and suffered to extend to the stomach and bowels, gentle emetics ought to be employed, such as the following antimonial emetic: Take of antimonial wine, forty drops; mint-water, two ounces. Mix them together. Dose, a dessert-spoonful every half hour, until it excites vomiting.This disease rarely occurs in children, who take no other food but the milk of the mother, or foster-parent. It is so far contagious, that if a healthy child be put to the breast of a woman, who is suckling another child, having the thrush, it will contract this complaint.847.Red Gumrequires no farther attention than keeping the bowels gently open, and avoiding an exposure to cold air. It is symptomatic of healthy action, and ought not to be checked.848.Infantile Jaundice.—The skin of new-born infants is sometimes tinged with bile, and gives the appearance of jaundice; by some it has been named the yellow gum. It seems to be occasioned by the sudden change in the circulation of the blood, immediately on the birth, by which an increased flow of blood is conveyed to the liver, and consequently an increased secretion of bile follows, which from various causes may be prevented from passing off freely into the intestines. It is attended with no danger, and is generally removed by mild purgatives.The hare-lip, frænum linguæ, or tongue-tied, requires surgical aid.849.Pain in the Bowelsmay happen with or without diarrhea, and is often produced by improper food, or exposure to cold air. The symptoms are frequent fits of crying, drawing up the knees towards the bowels, which are hard and tense to the touch, accompanied either with an obstinate costiveness, or thin, watery, and frequent evacuations, slimy, sour, and of a green color. This complaint is oftentimes relieved by the following powders: Take Turkey rhubarb, in very fine powder, calcined magnesia, of each, twelve grains; compound powder of ipecacuanha, four grains. Mix them well together, and divide them into six doses: one to be given night and morning, to a child under three months; above that age, the dose should be increased.The health and diet of the mother, or nurse, should be strictly attended to. In some cases the pain is extremely acute, and the agony of the child is known by its cries. Whenever this happens, the following mixture may be given: Take of Turkey rhubarb, in fine powder, twelve grains; magnesia, eight grains; tincture of rhubarb, one drachm; syrup of poppies, two drachms; simple mint-water, an ounce and a half. Mix them together. Dose, if within the first or second month, two tea-spoonfuls every fourth hour. The phial should be shaken before the medicine is poured out.850.Other remedies for the Colic in Infants.—A great variety of cordials, spices, and opiates, has been recommended, and frequently used, to relieve the pain and expel the wind. They may sometimes answer the purpose, especially in sudden fits of pain in the stomach, from cold or any other accidental cause. At all times, they should be sufficiently diluted with water, cautiously given, and seldom repeated. When the effects of these medicines go off, the pain returns; therefore it is not a desirable mode of obtaining relief. Of the cordials, Geneva, mixed with water, is the least objectionable; being impregnated with the essential oil of juniper-berries, it is an excellent and safe carminative. However, these warm medicines are by no means to be relied on for the removal of the cause of this malady, their effect being merely temporary: such as Godfrey's cordial, and other nostrums—being compounds of opium, spices, and brandy. Opium, when judiciously administered, is an invaluable remedy; the dose of it should be most accurately proportioned to the age of the patient, and urgency of the symptoms, otherwise it may become apoison; and, therefore, should never be given to children, unless under the direction of the most skilful in the profession. Few nurseries are without a medicine of this kind; it quiets the pain of the infant, induces sleep, and leaves the nurse to her repose. Children under this treatment become languid, pallid, incapable of exertion, and, at length, rickety.The following anodyne mixture will generally relieve the griping pains of diarrhea:—Take of prepared chalk, and gum-arabic, each one drachm; syrup of white poppies, three drachms; Geneva, two drachms; water, four ounces. Mix them together. Dose, a dessert-spoonful after each motion.In bowel-complaints, chalk has been objected to, as too powerful an astringent in checking diarrhea suddenly: this may be obviated by giving it only after each motion. When the bowels have been previously acted on, either by the rhubarb powders, or by the antimonial emetic, the chalk mixture is a never-failing remedy. It may be given with or without opium, according to the urgency of the symptoms.The following medicine, by exciting a determination to the skin, effectually relieves the sufferings of the child:—Take ipecacuanha, in coarse powder, two drachms; boiling water, four ounces. When cold, strain off the liquor through a fine piece of linen cloth: then add to three ounces of this liquor—of Geneva,three drachms; syrup of white poppies, two drachms. Dose, a dessert-spoonful every fourth hour.When this state of the bowels is followed by convulsions, the lower extremities, or the whole body, should be immersed in a warm bath. During the preparation of a bath, flannel dipped in warm water and wrung dry, may be applied to the extremities. Leeches and blisters, under skilful directions, will subdue the violence of the symptoms.851.Convulsions—Are generally symptomatic, and, for the most part, in children, occasioned by the growth of their teeth: therefore, the gums should be carefully examined, to ascertain whether they arise from this cause; if so, the lancet should be immediately and freely used, to divide the gum down to the teeth. This operation is not painful, nor in the least degree hazardous, therefore ought not to be delayed.852.Dentition.—There is no period in infancy that requires more skill and attention, than that which passes from the first movement of the teeth in their sockets, to their subsequent advance through the gums. At the birth of the child, the teeth are lodged within the jaw-bones, and enveloped by a membrane or bag, which is distended as the teeth enlarge and press forward, frequently attended with pain, fever, diarrhea, and convulsions. These symptoms first appear towards the end of the third month, when the child is said to be breeding its teeth: they arise from the first enlargement of the teeth in their sockets, and subside as soon as they pass above the jaw. Between the sixth and ninth month, the teeth as they rise, press upon the gums, when the same train of symptoms take place. Some children suffer very little pain during this process; others suffer most severely: this depends chiefly on the nerves being more or less irritable. When the child preserves its appetite and cheerfulness, and is free from fever, no medicine can be required, except what may be necessary to obviate costiveness. This should be carefully attended to, as nothing tends more effectually to relieve or prevent the symptoms of dentition, than a free discharge from the bowels.An increased secretion of saliva marks the first advance of the teeth, followed, in irritable habits, by diarrhea, fever, thirst, and convulsions. The use of the gum-lancet should not be neglected, whenever the symptoms are urgent. The parentsfrequently object to this mode of relief, conceiving it to be a painful operation. As a proof of the contrary, children that have once been relieved by it, will eagerly press their gums upon the lancet. If the tooth should not appear after the first use of the lancet, the incision may be frequently repeated.The symptoms may be relieved by the following emetic:—Take of tartar-emetic, one grain; dissolve it in two ounces of distilled water. Dose, two tea-spoonfuls every half-hour, until it excites vomiting.This remedy will relax the tension of the gums, and lessen the force of the fever.If the habit of the child should be costive, the mildest purgatives should be employed, to occasion two or more motions daily—such as manna, dissolved in common mint-water; or senna-tea; or the following:—Take of senna leaves, one drachm; the yellow rind of the lemon, eight grains: boil them in two ounces of water; strain off the liquor, when cold; and give a dessert-spoonful as a dose for children three or four months old. Or, take manna and fresh-drawn oil of sweet almonds, of each, one ounce; syrup of roses, two ounces: mix them together. Dose, a dessert-spoonful.853.The Croup—At its commencement has the appearance of common catarrh, but speedily assumes its peculiar character, which is marked by hoarseness, with a shrillness and ringing sound in coughing and breathing; so shrill is the noise made by the child, that it resembles the sound of air forced through a tube of brass. This inflammation, seated in the membrane which lines the windpipe, is attended with stricture, difficult respiration, cough, quick pulse, heat, and a flushed countenance.This disease comes on suddenly, and is extremely rapid in its progress; therefore, vigorous measures must be instantly adopted. Give an emetic, then apply a blister across the throat, and keep the bowels open with laxative injections.854.Cure for Croup.—Dr. Fisher, of Boston, relates in a late number of the MedicalJournal, a case in which a severe attack of croup was cured by the application of sponge, wrung out of hot water, to the throat, together with water treatment, which he describes as follows:—"Soon after making the first application of sponges to the throat, I wrapped the child in awoolenblanket, wrung out inwarm water, as a substitute for a warm bath, and gave twenty drops of the wine of antimony in a little sweetened water, which was swallowed with difficulty. I persevered in the application of the hot, moist sponges for an hour, when the child was so much relieved that I ventured to leave it."These applications were continued through the night, and in the morning the child was well."It will never do to trifle with this terrible disease. The quicker the remedies are applied, the better. Instead of antimony, we would recommend small quantities of alum water, given every ten or fifteen minutes, until the child vomits.855.Rickets—Are, for the most part, induced by improper food and bad nursing. Their approach is marked by a sickly, pallid countenance, cough, and difficult respiration. The bones of the legs and arms lose their firmness, and become more or less crooked; the bones of the head do not unite, and the spine becomes distorted. At its first appearance it may be successfully counteracted by a strict attention to cleanliness in every thing that concerns the child, by exercise in the open air, by cold bathing, by friction of the limbs night and morning, and by a light, nutritious diet. Before the use of the bath, the bowels should be cleared by the following aperient powder:—Take of Rhubarb, in fine powder, six grains; calcined magnesia, three grains; common mint-water, six drachms. Mix them together.During the use of the cold bath, either Peruvian bark or steel may be employed to strengthen the child: such as,The precipitate of the sulphate of iron, three grains; syrup of cinnamon, a tea-spoonful. When mixed, to be taken three times a-day. Or, take of the resinous extract of bark, one drachm; the syrup of cinnamon, seven drachms. Mix them together. The dose, a tea-spoonful, three times a-day.856.Scrofula.—Although it has been considered as an hereditary disease, may be induced in a child, whose parents have no such taint, by a neglect of proper food, air and exercise. On the contrary, when the taint does exist in the parent, the offspring may pass through life with the enjoyment of tolerable health, by a strict attention to those means which are known to invigorate the body. Of preventives, there are none so efficacious as sea air, sea bathing, and the internal use of the sea water,in sufficient quantity to act on the bowels, and the local application of it to the glands which are enlarged. Indeed, the children of diseased parents should reside on the coast, in order to have the full benefit of these advantages. Friction should be applied generally on the surface of the body, with the hand covered with a flannel glove, night and morning. Food of easy digestion is to be preferred, such as shell-fish, game, poultry, beef or mutton. Bark and steel, as medicines, may be occasionally administered with good effect. This disease, which bids defiance to the regular physician, cannot with propriety be placed on the list of casualties, or sudden seizures.857.Worms.—There are three species of worms which infest the intestines: namely, the flat worm, or tænia; the long, round worm, lumbrici; the short, round worm, or ascarides. The tænia is of rare occurrence when compared with the lumbrici or ascarides, but more difficult to remove. Full doses of sulphate of iron, with occasional active doses of calomel, force them to retire. The lumbrici are destroyed by repeated doses of calomel and scammony. The ascarides, being found in the lowest portion of the intestines, are easily removed by injections of lime-water, or a solution of aloes.Parents who would preserve their children from worms, ought to allow them plenty of exercise in the open air; to take care that their food be wholesome and sufficiently solid; and, as far as possible, to prevent their eating raw herbs, roots, or green trashy fruits. It will not be amiss to allow a child who is subject to worms, a glass of red wine after meals; as every thing that braces and strengthens the stomach, is good both for preventing and expelling these vermin. In order to prevent any mistake of what I have here said in favor ofsolidfood, it may be proper to observe, that I only made use of that word in opposition toslopsof every kind; not to advise parents to cram their children with meat, two or three times a-day. This should only be allowed at dinner, and in moderate quantities, or it would create, instead of preventing, worms; for there is no substance in nature which generates so many worms as the flesh of animals, when in a state of putrefaction. Meat, therefore, at the principal meal, should always be accompanied with plenty of good bread, and young, tender, and well-boiled vegetables; especially in the spring, when these are poured forth from the bosom of the earth in such profusion. They promote the end in view, bykeeping the body moderately open, without the aid of artificial physic. The ripe fruits of autumn produce the same effect; and, from their cooling, antiputrescent qualities, are as wholesome as the unripe are pernicious. I also very earnestly conjure parents not to take the alarm at every imaginary symptom of worms, and directly run for drugs to the quack, or apothecary. They should first try the good effects of proper diet and regimen, and never have recourse to medicines till after unequivocal proofs of the nature of the complaint.Honey and milk are very good for worms; so is strong salt water; likewise, powdered sage and molasses taken freely.858.Quinsy—Is the common inflammatory sore throat, attended by a sense of heat and fulness in the throat, by difficult deglutition, generally preceded by shivering, with a sense of coldness. On inspection, the tonsils appear red and enlarged. These symptoms continuing to increase, the patient is threatened with suffocation, the tonsils suppurate, when, by a spontaneous bursting of the abscess, relief instantly follows. It often happens that the abscess does not give way so soon as expected, when the puncture of a lancet puts an end to the alarming sufferings of the patient. In some cases, the quantity of matter contained in the tumor is very considerable, and instances have occurred, when, from the sudden bursting of the tumor, the patient being in a horizontal position, suffocation has followed, from the matter falling into the lungs.To guard against these evils, an emetic of ipecacuanha should be administered, and a blister applied to the neck. As soon as the effect of the emetic has ceased, and the stomach will receive it, give the following aperient mixture:—Take of tartarized kali, three drachms; infusion of senna, two ounces; tincture of senna, two drachms. Mix them together.If blisters are objected to, a piece of fine flannel, moistened with the compound spirit of ammonia, may be placed round the neck. Gargles are to be used in every stage of this disease; at first, they should be mildly detergent, as the following:—Take of barley-water, six ounces and a half; honey of roses, one ounce; tincture of myrrh, and vinegar, of each, two drachms. Mix them together, and cleanse the mouth and throat with some of the gargle from time to time.When the violence of the symptoms begins to subside, a sharper gargle becomes necessary; for this purpose the followingis recommended:—Take of infusion of red roses, seven ounces; honey of roses, one ounce; diluted sulphuric acid, twenty drops. Mix them together.Throughout the course of this disease, keep the bowels open with mild purgatives or laxative injections. When the swelling of the tonsils comes on rapidly, send instantly for a surgeon.859.Whooping Cough.—This is a violent, convulsive cough, attended at first with slight febrile symptoms. Its shortest duration is three weeks; during this time, the symptoms may be rendered milder, or more aggravated, by the mode of treatment.During the first three or four weeks, keep the child or patient in an uniform degree of temperature; if possible, never below 64 degrees of Fahrenheit's scale. The diet should be light, chiefly bread, milk, and vegetables with butter. Rice or Indian puddings, with plenty of molasses, are good food for children in this disease. If the cough is very violent, and the phlegm hard in the throat, a gentle emetic of ipecacuanha, or some preparation of antimony, should be given every second or third morning, to clear the stomach from the mucus which, in this cough, is constantly secreted. By these means, the violence of the disease will soon be overcome; whereas, by an exposure to cold air, and neglecting all precautions, you may aggravate and continue the cough for months. In the summer, change of air is one of the best remedies; and be sure to avoid whatever has a tendency to irritate the throat, or excite the action of the heart. In this, as in every other disease, the state of the bowels should be carefully attended to. A mild aperient is sometimes necessary.860.Colds.—The bestpreventiveof colds, is to wash your children every day thoroughly in cold water, if they are strong enough to bear it; if not, add a little warm water, and rub the skin dry. This keeps the pores open. If they do take cold, give them a warm bath as soon as possible; if that is not convenient, bathe the feet and hands, and wash the body all over in warm water; then give a cup of warm tea, and cover the patient in bed.861.—If aSore Throatfollow, take a tumbler of molasses and water, half-and-half, when going to bed; and rub the throatwith a mixture of sweet or goose-oil and spirits of turpentine; then wear flannel round it.862.Canker, or Sore Month.—Steep blackberry-leaves, sweeten with honey, sprinkle in a little burnt alum, and wash the mouth often with this decoction.863.Cutaneous Eruptions in Children.—Children, while on the breast, are seldom free from eruptions of one kind or other. These, however, are not often dangerous, and ought never to be dried up but with the greatest caution. They tend to free the bodies of infants from hurtful humors, which, if retained, might produce fatal disorders. The eruptions of children are chiefly owing to improper food and neglect of cleanliness. If a child be stuffed at all hours with food that its stomach is not able to digest, such food not being properly assimilated, instead of nourishing the body, fills it with gross humors. These must either break out in form of eruptions upon the skin, or remain in the body, and occasion fevers and other internal disorders.Eruptions are the effect of improper food, or want of cleanliness: a proper attention to these alone will generally be sufficient to remove them. If this should not be the case, some drying medicines will be necessary. When they are applied, the body ought at the same time to be kept open, and cold is carefully to be avoided. We know no medicine that is more safe for drying up cutaneous eruptions than sulphur, provided it be prudently used. A little of the flour of sulphur may be mixed with fresh butter, oil, or hog's lard, and the parts affected frequently touched with it.The most obstinate of all the eruptions incident to children are, thetinea capitis, or scabbed head, and chilblains. The scabbed head is often exceedingly difficult to cure, and sometimes, indeed, the cure proves worse than the disease. I have frequently known children seized with internal disorders, of which they died soon after their scabbed heads had been healed by the application of drying medicines. The cure ought always first to be attempted by keeping the head very clean, cutting off the hair, combing and brushing away the scabs, &c. If this is not sufficient, let the head be shaved once a-week, washed daily with yellow soap, and gently anointed with a liniment made of train-oil, eight ounces, red precipitate, in fine powder, one drachm. And if there be proud flesh, it should betouched with a bit of blue vitriol, or sprinkled with a little burnt alum. While these things are doing, the patient must be confined to a regular light diet, the body should be kept gently open, and cold, as far as possible, ought to be avoided. To prevent any bad consequences from stopping this discharge, it will be proper, especially in children of a gross habit, to make an issue in the neck or arm, which may be kept open till the patient becomes more strong, and the constitution be somewhat mended.864.Wounded Feet.—When a nail or pin has been run into the foot, instantly bind on a rind of salt pork; if the foot swell, bathe it in a strong decoction of wormwood, then bind on another rind of pork, and keep quiet till the wound is well. The lockjaw is often caused by such wounds, if neglected.865.For a Bruise or Sprain.—Bathe the part in cold water, till you can get ready a decoction of wormwood. This is one of the best remedies for sprains and bruises. When the wormwood is fresh gathered, pound the leaves and wet them either with water or vinegar, and bind them on the bruise; when the herb is dry, put it into cold water, and let it boil a short time, then bathe the bruise and bind on the herb.Always keep cotton wool, scraped lint, and wormwood on hand.866.Ear-ache in Children.—The ear-ache is usually caused by a sudden cold. Steam the head over hot herbs, bathe the feet, and put into the ear cotton wool wet with sweet oil and paregoric.867.To make Artificial Sea Water, for bathing Children.—Take common sea salt, two pounds; bitter purging salt, two ounces, magnesia earth, half an ounce; dissolve all in river water, six gallons. These are the exact proportions and contents of sea water, from an accurate analyzation.868.Another method of making Sea Water.—Take common salt, half an ounce; rain, or river water, pure, a pint; spirit of sea salt, twenty drops. Mix it.869.Valuable concise Rules for preserving Health in Winter.—Keep the feet from wet, and the head well defended when in bed; avoid too plentiful meals; drink moderately warm and generous, but not inflaming liquors; go not abroad without breakfast. Shun the night air as you would the plague; and let your houses be kept from damps by warm fires. By observing these few and simple rules, better health may be expected than from the use of the most powerful medicines.870.Avoid, as much as possible, living near Church-yards.—The putrid emanations arising from church-yards are very dangerous; and parish-churches, in which many corpses are interred, become impregnated with an air so corrupted, especially in spring, when the ground begins to grow warm, that it is prudent to avoid this evil as much as possible, as it may be, and, in some cases, has been, one of the chief sources of putrid fevers which are so prevalent at that season.871.Cautions in visiting Sick Rooms.—Do not venture into a sick room if you are in a violent perspiration; for the moment your body becomes cold, it is in a state likely to absorb the infection; nor visit a sick person, (if the complaint be of a contagious nature,) with anempty stomach, nor swallow your saliva. In attending a sick person, place yourself where the air passes from the door or window, to the bed of the invalid, not between the invalid and the fire, as the heat of the fire will draw the infectious vapor in that direction, and you would run much danger from breathing in it.872.Syncope, or Fainting.—When fainting comes on from loss of blood, inanition, or sudden emotions of the mind, the patient should be placed in a horizontal position, with the head gently raised. Volatile salts should be applied to the nose, and when the patient is sufficiently recovered, a few spoonfuls of warm cordial medicine should be administered.873.Preventive of Autumnal Rheumatisms.—For the sake of bright and polished stoves, do not, when the weather is cold, refrain from making fires. There is not a more useful document for health to the inhabitants of this climate, than "follow your feelings."874.To promote Sleep.—No fire, candle, rush-light, or lamp, should be kept burning, during the night, in a bed-room; for it not only vitiates the air, but disturbs the nerves of the child. Keep the bed-chamber well ventilated—this greatly promotes healthful rest.875.Useful Properties of Celandine.—The juice of this plant cures tetters and ring-worms, destroys warts, and cures the itch.876.Singularly useful Properties of Garlic.—The smell of garlic, which is formidable to many ladies, is, perhaps, the most infallible remedy in the world against the vapors, and all the nervous disorders to which women are subject. Of this (says St. Pierre) I have had repeated experience.877.The Usefulness of two common Plants.—Every plant in the corn-field possesses virtues particularly adapted to the maladies incident to the condition of the laboring man. The poppy cures the pleurisy, procures sleep, stops hemorrhages, and spitting of blood. Poppy seeds form an emulsion similar to that from almonds in every respect, when prepared in the same manner. They also yield, by expression, fine salad oil, like that from Florence. The blue-bottle is diuretic, vulnerary, cordial, and cooling; an antidote to the stings of venomous insects, and a remedy for inflammation of the eyes.QUALIFICATIONS OF A GOOD NURSE.878.Good Temper.—An even temper is among the principal qualifications, if not the most desirable one, for a good nurse; and without this gentleness and a kind manner, she must be considered deficient.879.Firmness.—Next in importance to good temper, arefirmnessand decision of character, the exercise of which is frequently, or rather absolutely indispensable, in the management of the sick.880.Discrimination.—This talent enables the nurse to distinguish between circumstances which, to an unobserving person, appear nearly allied to each other, but where there is, inreality, an important difference. It is only or generally acquired by experience and observation, and requires good sense as its foundation and support. It is the faculty of right judgment.881.Self-denial.—The business of taking care of the sick, if rightly attended to, requires a devotion to the interests and wants of the patient, which can only be given by the good nurse, who can willingly, and from her heart, practise the heavenly precepts of doing as she would be done by, and denying herself any indulgences that interfere with her duties.882.General Intelligence.—Another important qualification of a good nurse, is such knowledge of reading, and subjects of general interest, as make her able to interest and amuse her patient during the weary hours of slow recovery, or desponding intervals of intermitting diseases.883.Abstinence from improper habits.—The habit of using snuff in any manner—smoking—sipping intoxicating liquors—taking opium—or indulging in any improper and disagreeable habit of actions or expressions, should be carefully avoided by those who hold the responsible and important station of nurses of the sick.884.Cleanliness.—This is a cardinal virtue; and no woman can be a good nurse who is careless in her own apparel, and slatternly in her habits. In the preparation of food for the sick, the most scrupulous neatness should be observed.885.Industry, Economy, and Good Housewifery.—All three of these qualifications are essential, and usually associated in the same person; but, theexerciseof qualities is necessary to their improvement—and a nurse who has proved herself competent, is most worthy of being trusted.886.Prudence and Piety.—The principles of true discretion, or prudence of character, are based on the Christian religion, as are all the moral virtues. The nurse must be religious, or she will rarely be discreet; and the opportunities constantly afforded her of influencing the mind and heart of her patient,render her station one of great trust and responsibility. Agood nurseis a woman that deserves honor as well as reward.887.Rules for the Nurse.—1. Keep the patient's room quiet, well-aired, and clean as possible.2. Never excite disagreeable mental emotions in the sick, by telling sad stories and melancholy news; nor allow the presence of unpleasant persons or objects.3. Never whisper, nor seem to be telling what the sick are not permitted to hear.4. Administer to the necessities of the invalid, promptly and kindly; but do not worry him with questions and constant attentions, when these are not needed.5. Never disturb the quiet sleep of the patient, even to give medicine, unless peremptorily charged to do so by the physician. A refreshing sleep is often better than medicine, for the sick; but do not sleep yourself, and allow the suffering one to lie awake, and needing your care.888.Administering Medicine.—There are certain rules, if observed in giving medicine, that will render the duty less disagreeable to the nurse, by making it more tolerable to the patient.1st. Select the most agreeable and suitable ingredient in which it is to be exhibited.2d. Take as small a quantity of this as can possibly be made to answer the purpose of mixing.3d. If it be disagreeable to the taste, prepare the mouth for its reception by holding in, and rinsing it with some acid, as strong vinegar, lemon juice, or something of the kind.4th. Never mix the medicine within sight or hearing of the patient.5th. Let it be prepared without her knowledge; and insist upon its being taken immediately upon being presented, for the longer her mind is permitted to dwell upon it, the more abhorrent it will become.6th. Endeavor to destroy the taste and smell as much as possible, by any appropriate means, when it has not been done by the apothecary or physician.7th. Let the mouth be well rinsed with the acid after taking it, and let a swallow or two of lemonade, or some other admissible drink, be taken.889.Plasters and Poultices—Mustard Plasters.—Take a sufficient quantity of bread crumbs finely rubbed, add mustard in proportion to the required strength; form a poultice of the proper consistency, by adding vinegar or water. Dr. Wood thinks water preferable, as he is of the opinion that vinegar destroys an essential property of the mustard. Mustard employed for this purpose should be whole grain, fresh as can be procured, and bruised or mashed in a mortar, or by any other convenient means. When mustard cannot be procured, horse radish leaves may be substituted; they must be rolled with a rolling-pin, to mash and make soft the hard stems, and withered by pouring over them a little scalding water.After they have been applied, the feet must be frequently examined to see that they do not get cold. Often more harm than good is done by the nurse neglecting this part of her duty. Burdock and cabbage leaves are frequently directed to be applied to the feet; they are prepared in the same manner, and require the same attention.890.Spice Plaster.—Pulverized cloves, cinnamon, and Cayenne pepper, half an ounce each; mix, and add flour and wine of galls, or diluted spirits, to form this plaster; lay it hot on the region of the stomach. It is excellent for pains and spasms.891.Alum Cataplasm.—Take any quantity of the white of eggs; agitate it with a large lump of alum, till it be coagulated.892.Cataplasm of common Salt.—Take crumbs of bread, and linseed meal, of each equal parts; water, saturated with salt, a sufficient quantity to give it a proper consistency.This poultice may be applied to the indolent swellings of the glands, in scrofulous habits, where the patient is deprived of the benefit of the sea air and water. A constant use of it will frequently occasion great inflammation of the skin, requiring a suspension of its use for a few days; but as soon as the inflammation subsides, it should be repeated. By the use of this poultice, strumous humors, and scrofulous enlargements, of a chronic nature, have been totally dispersed.893.Cerate of Cantharides.—Take of spermaceti ointment, six drachms; cantharides, in fine powder, one drachm. Mix them together.This is the proper application to keep up a constant discharge from the part to which a blister has been applied.894.Bark Poultice.—Take of Peruvian bark, one ounce: sprinkle it over a piece of thick muslin of the required size; take another piece of the same size; lay it over the bark, and quilt them together, to keep the bark to its place; moisten it with brandy or vinegar. Some of the aromatics may be used in conjunction with the bark, if indicated.Let it be worn over the stomach and bowels. It has proved singularly beneficial in cases of obstinate intermittents, and debility arising therefrom.895.Mush Poultice.—Mush poultices are sometimes ordered; this constitutes an invaluable application in cases of violent pain in the stomach and bowels, such as colic, cramp, &c. It is made by simply boiling the corn-meal until it attains the proper consistency. It must be spread on a cloth, and applied as warm as can be endured. We have known the most inveterate cases relieved by it in fifteen minutes.—Shore.FOOD FOR THE SICK AND FOR CHILDREN.896. A few rules, the reasons for which may be found in the Introductory Remarks of "Mrs. Hale's New Cook Book," will be of some advantage here:—First. Select those substances that are the most soluble—that are readily converted into chyle by thegastric juice.Second. Those that experience has shown to be the most nutritious.Third. Those that contain the least amount of stimulus.Fourth. These to be given in quantity and frequency proportioned to the general strength or debility of the patient.By careful observation, the feelings of the invalid will be found to furnish the most unequivocal evidence of the truth of the foregoing principles—any deviation from which will soon be attended with symptoms more or less unpleasant.897.Arrow-root—Contains, in small bulk, a greater proportion of nourishment than any other farinaceous substance yet known.Take of arrow-root, one table-spoonful; sweet milk, half a pint; boiling-water, half a pint: boil these together for a few moments.898.Arrow-root Jelly.—Take one spoonful of arrow-root, and cold water sufficient to form a paste; add one pint of boiling water: stir it briskly, and boil it a few minutes, when it will become a smooth, clear jelly. A little sugar and sherry wine may be added, for debilitated patients; but for infants, a drop or two of the essence of caraway-seed or cinnamon is preferable, wine being very apt to become acid in the stomach of infants, and thus disagree with the bowels.899.Sago.—Take two table-spoonfuls of sago, and one pint of boiling water; stir together, and boil gently, until it thickens. Wine, sugar, and nutmeg may be added, according to circumstances.
800.Method of escape from Fire.—The following simple machine ought always to be kept in an upper apartment. It is nothing more than a shilling or eighteen-penny rope, one end of which should always be made fast to something in the chamber, and at the other end should be a noose to let down children or infirm persons, in case of fire. Along the rope there should be several knots, to serve as resting places for the hands and feet of the person who drops down by it. No family occupying high houses should ever be without a contrivance of this kind.801.To make Water more efficacious in extinguishing Fires.—Throw into a pump, which contains fifty or sixty buckets of water, eight or ten pounds of salt or pearlashes, and the water thus impregnated will wonderfully accelerate the extinction of the most furious conflagration. Muddy water is better than clear, andcanbe obtained when salt and ashes cannot.802.To extinguish Fires speedily.—Much mischief arises from want of a little presence of mind on these alarming occasions. A small quantity of water, well and immediately applied, will frequently obviate great danger. The moment an alarm of fire is given, wet some blankets well in a bucket of water, and spread them upon the floor of the room where the fire is, and afterwards beat out the other flames with a blanket thus wet. Two or three buckets of water thus used early, will answer better than hundreds applied at a later period. Linen thus wet will be useful, but will not answer so well as woollen.803.To escape from or go into a House on fire.—Creep or crawl with your face near the ground, and, although the room be full of smoke to suffocation, yet near the floor the air is pure, and may be breathed with safety. The best escape from upper windows is by a knotted rope; but, if a leap is unavoidable, then the bed should be thrown out first, or beds prepared for the purpose.804.Hints respecting Women's and Children's Clothes catching fire.—The woman and children in every family should be particularly told and shown, that flame always tends upwards; and, consequently, that as long as they continue erect, or in an upright posture, while their clothes are burning, the fire generally beginning at the lower part of the dress, the flames meeting additional fuel, as they rise, become more powerful in proportion; whereby the neck and head, being more exposed than other parts to the intense and concentrated heat, must necessarily be most injured. In a case of this kind, where the sufferer happens to be alone, and cannot extinguish the flames byinstantly throwing the clothes over the head, and rolling or lying upon them, she may still avoid great agony, and save her life,by throwing herself at full-length on the floor, and rolling herself thereon. This method may not extinguish the flame, but, to a certainty, will retard its progress, prevent fatal injury to the neck and head, and afford opportunity for assistance; and it may be more practicable than the other, to the aged and infirm. A carpet or hearth-rug instantly lapped round the head and body, is almost a certain preventive of danger.805.Method of rendering all sorts of Paper, Linen, and Cotton, less combustible.—This desirable object may be, in some degree, effected, by immersing these combustible materials in a strong solution of alum-water; and, after drying them, repeating this immersion, if necessary. Thus, neither the color nor the quality of the paper will be in the least affected; on the contrary, both will be improved: and the result of the experiment may be ascertained, by holding a slip of paper, so prepared, over a candle.806.To extricate Horses from fire.—If the harness be thrown over a draught, or the saddle placed on the back of a saddle horse, they may be led out of the stable as easily as on commonoccasions. Should there be time to substitute the bridle for the halter, the difficulty towards saving them will be still further diminished.807.Method of rendering assistance to persons in danger of Drowning.—This desirable object appears attainable by the proper use of a man's hat and pocket-handkerchief, which (being all the apparatus necessary) is to be used thus:—Spread the handkerchief on the ground, and place a hat, with the brim downwards, on the middle of the handkerchief; and then tie the handkerchief round the hat as you would tie up a bundle, keeping the knots as near the centre of the crown as may be. Now, by seizing the knots in one hand, and keeping the opening of the hat upwards, a person, without knowing how to swim, may fearlessly plunge into the water with what may be necessary to save the life of a fellow-creature.If a person should fall out of a boat, or the boat upset, by going foul of a cable, &c., or should he fall off the quays, or indeed fall into any water from which he could not extricate himself, but must wait some little time for assistance—had he presence of mind enough to whip off his hat, and hold it by the brim, placing his fingers withinside the crown, and hold it so, (top downwards), he would be able, by this method, to keep his mouth well above water till assistance should reach him. It often happens that danger is descried long before we are involved in the peril, and time enough to prepare the above method; and a courageous person would, in seven instances out of ten, apply to them with success; and travellers, in fording rivers at unknown fords, or where shallows are deceitful, might make use of these methods with advantage.808.To prevent excessive Thirst, in cases of emergency at Sea, in the summer-time.—When thirst is excessive, as is often the case in summer-time, during long voyages, avoid,if possible, even in times of the greatest necessity, the drinking of salt water to allay the thirst; but rather keep thinly clad, and frequently dip in the sea, which will appease both hunger and thirst for a long time, and prevent the disagreeable sensation of swallowing salt water.809.Best mode of avoiding the fatal Accidents of Open Carriages.—Jumping out is particularly dangerous, (the motionof the gig communicating a different one to the one you give yourself by jumping), which tends very much to throw you on your side or head. Many suppose it very easy to jump a little forward, and alight safe: they will not find it so on trial. The method of getting out behind the carriage, is the most safe of any, having often tried it when the horse has been going very fast. Perhaps it is best to fix yourself firm, and remain in the carriage.810.Recovery from Suffocation, &c.—There are many occasions of danger, on which a person who can hold breath for a minute or two, may save the life of another. The best preparation for rendering such assistance is, by breathing deep, hard, and quick, (as a person would do after running,) and ceasing with his lungs full of air; he will then find himself able to hold his breath more than twice as long as he would without such preparation.If in a brewer's fermenting vat, or an opened cess-pool, one man sinks senseless and helpless, from breathing the foul air, another man of cool mind would, by the above preparation, have abundant time, in most cases, to descend by the ladder or bucket, and rescue the sufferer, without any risk to himself. In entering a room on fire, a knowledge of this fact may be useful.The following precautions should also be regarded. Avoid all unnecessary exertion; go coolly and quietly to the spot where help is required; do no more than is needful, leaving the rest to be done by those in a safe atmosphere.In case ofchoke-damp, as in a brewer's vat, hold the head as high as may be: in case of a fire in the room, keep the head as low as possible.If a rope be at hand, fasten it to the person who isgivinghelp, that he may be succored, if he venture too far. Many deaths happen in succession in cess-pools, and similar cases, for want of this precaution.It is hardly needful to say, do not try to breathe the air of the place where help is required. Yet many persons fail, in consequence of forgetting this precaution. If the temptation to breathe be at all given way to, thenecessityincreases, and the helper himself is greatly endangered. Resist the tendency, and retreat in time.Be careful to commence giving aid with the lungsfullof air,not empty; for the preparation consists chiefly in laying up for the time, in the lungs, a store of that pure air which is so essential to life.811.Thunder Storms.—The safest situation during a thunder-storm is the cellar; for when a person is below the surface of the earth, the lightning must strike it before it can reach him, and will probably be expended on it. Dr. Franklin advises persons apprehensive of lightning to sit in the middle of a room, not under a metal lustre, or any other conductor, and to place their feet upon another chair. It will be still safer, he adds, to lay two or three beds or mattresses in the middle of the room, and to place the chairs upon them. A hammock suspended with silk cords would be an improvement on this apparatus. Persons out of doors should avoid trees, &c.The distance of a thunder-storm and its consequent danger can easily be estimated. As light travels at the rate of 192,000 miles in a second of time, its effects may be considered as instantaneous within any moderate distance. Sound is transmitted at the rate of only 1142 feet in a second. By observing, therefore, the time which intervenes between the flash of lightning and the thunder which accompanies it, a very near calculation may be made of its distance.812.Stroke of Lightning.—Throw cold water upon them as soon as possible. It will often restore persons struck by lightning when apparently insensible, or even dead.813.A few Concise Rules for the Recovery of Persons apparently Drowned.—The body on being taken out of the water, should be conveyed to the nearest house,in the gentlest manner possible; the wet clothes must be removed, and the body well dried with a towel; it must then be placed on a mattress, laid on a table of proper height and length. Care must always be taken to lay the head considerably higher than the extremities, and to place the body on the right side. The lungs should be inflated with a pair of bellows, not forcibly, but gradually, so as to imitate the action of respiration.Do not place the body in a high degree of heat; (below 98 degrees of Fahrenheit's scale is the best temperature,) clear the apartment of all supernumerary persons, and let the windows and doors be open, to admit a free circulation of air.Apply friction,after the lungs have been expanded, with the hand only, or with a little oil on the fingers.No injections are necessary, nor emetics, except in particular cases:bleedingis also a doubtful remedy: electricity,in judicious hands, may prove highly beneficial.Let no rolling of the body be used with a view of emptying it of water; there is no water present, or scarcely any. The heart being overloaded with blood, may be burst by this injudicious proceeding, and more mischief has been done by tossing and rolling the body, than by any other erroneous treatment. Hot water, in bottles, may be applied to the feet and ankles, as soon as respiration commences: when the blood begins to circulate, heat may be gradually increased, and the patient removed to a warm bed, where he must be carefully watched till the action of the heart be completely restored.The following way is commended by those who have seen it tried: 1. Lose no time. 2. Handle the body gently. 3. Carry the body with the head gently raised, and never hold it up by the feet. 4. Send for medical assistance immediately, and in the mean time act as follows: 1. Strip the body, rub it dry; then rub it in hot blankets, and place it in a warm bed in a warm room. 2. Cleanse away the froth and mucus from the nose and mouth. 3. Apply warm bricks, bottles, bags of sand, &c., to the arm-pits, between the thighs and the soles of the feet. 4. Rub the surface of the body with the hands enclosed in warm dry worsted socks. 5. If possible, put the body into a warm bath. 6. To restore breathing, put the pipe of a common bellows in one nostril, carefully closing the other and the mouth; at the same time drawing downward, and pushing gently backward, the upper part of the windpipe, to allow a more free admission of air; blow the bellows gently, in order to inflate the lungs, till the breast be raised a little; then set the mouth and nostrils free, and press gently on the chest; repeat this until signs of life appear. When the patient revives, apply smelling-salts to the nose, give warm wine or brandy and water.Cautions.—1. Never rub the body with salt or spirits. 2. Never roll the body on casks. 3. Continue the remedies for twelve hours without ceasing.
800.Method of escape from Fire.—The following simple machine ought always to be kept in an upper apartment. It is nothing more than a shilling or eighteen-penny rope, one end of which should always be made fast to something in the chamber, and at the other end should be a noose to let down children or infirm persons, in case of fire. Along the rope there should be several knots, to serve as resting places for the hands and feet of the person who drops down by it. No family occupying high houses should ever be without a contrivance of this kind.
801.To make Water more efficacious in extinguishing Fires.—Throw into a pump, which contains fifty or sixty buckets of water, eight or ten pounds of salt or pearlashes, and the water thus impregnated will wonderfully accelerate the extinction of the most furious conflagration. Muddy water is better than clear, andcanbe obtained when salt and ashes cannot.
802.To extinguish Fires speedily.—Much mischief arises from want of a little presence of mind on these alarming occasions. A small quantity of water, well and immediately applied, will frequently obviate great danger. The moment an alarm of fire is given, wet some blankets well in a bucket of water, and spread them upon the floor of the room where the fire is, and afterwards beat out the other flames with a blanket thus wet. Two or three buckets of water thus used early, will answer better than hundreds applied at a later period. Linen thus wet will be useful, but will not answer so well as woollen.
803.To escape from or go into a House on fire.—Creep or crawl with your face near the ground, and, although the room be full of smoke to suffocation, yet near the floor the air is pure, and may be breathed with safety. The best escape from upper windows is by a knotted rope; but, if a leap is unavoidable, then the bed should be thrown out first, or beds prepared for the purpose.
804.Hints respecting Women's and Children's Clothes catching fire.—The woman and children in every family should be particularly told and shown, that flame always tends upwards; and, consequently, that as long as they continue erect, or in an upright posture, while their clothes are burning, the fire generally beginning at the lower part of the dress, the flames meeting additional fuel, as they rise, become more powerful in proportion; whereby the neck and head, being more exposed than other parts to the intense and concentrated heat, must necessarily be most injured. In a case of this kind, where the sufferer happens to be alone, and cannot extinguish the flames byinstantly throwing the clothes over the head, and rolling or lying upon them, she may still avoid great agony, and save her life,by throwing herself at full-length on the floor, and rolling herself thereon. This method may not extinguish the flame, but, to a certainty, will retard its progress, prevent fatal injury to the neck and head, and afford opportunity for assistance; and it may be more practicable than the other, to the aged and infirm. A carpet or hearth-rug instantly lapped round the head and body, is almost a certain preventive of danger.
805.Method of rendering all sorts of Paper, Linen, and Cotton, less combustible.—This desirable object may be, in some degree, effected, by immersing these combustible materials in a strong solution of alum-water; and, after drying them, repeating this immersion, if necessary. Thus, neither the color nor the quality of the paper will be in the least affected; on the contrary, both will be improved: and the result of the experiment may be ascertained, by holding a slip of paper, so prepared, over a candle.
806.To extricate Horses from fire.—If the harness be thrown over a draught, or the saddle placed on the back of a saddle horse, they may be led out of the stable as easily as on commonoccasions. Should there be time to substitute the bridle for the halter, the difficulty towards saving them will be still further diminished.
807.Method of rendering assistance to persons in danger of Drowning.—This desirable object appears attainable by the proper use of a man's hat and pocket-handkerchief, which (being all the apparatus necessary) is to be used thus:—Spread the handkerchief on the ground, and place a hat, with the brim downwards, on the middle of the handkerchief; and then tie the handkerchief round the hat as you would tie up a bundle, keeping the knots as near the centre of the crown as may be. Now, by seizing the knots in one hand, and keeping the opening of the hat upwards, a person, without knowing how to swim, may fearlessly plunge into the water with what may be necessary to save the life of a fellow-creature.
If a person should fall out of a boat, or the boat upset, by going foul of a cable, &c., or should he fall off the quays, or indeed fall into any water from which he could not extricate himself, but must wait some little time for assistance—had he presence of mind enough to whip off his hat, and hold it by the brim, placing his fingers withinside the crown, and hold it so, (top downwards), he would be able, by this method, to keep his mouth well above water till assistance should reach him. It often happens that danger is descried long before we are involved in the peril, and time enough to prepare the above method; and a courageous person would, in seven instances out of ten, apply to them with success; and travellers, in fording rivers at unknown fords, or where shallows are deceitful, might make use of these methods with advantage.
808.To prevent excessive Thirst, in cases of emergency at Sea, in the summer-time.—When thirst is excessive, as is often the case in summer-time, during long voyages, avoid,if possible, even in times of the greatest necessity, the drinking of salt water to allay the thirst; but rather keep thinly clad, and frequently dip in the sea, which will appease both hunger and thirst for a long time, and prevent the disagreeable sensation of swallowing salt water.
809.Best mode of avoiding the fatal Accidents of Open Carriages.—Jumping out is particularly dangerous, (the motionof the gig communicating a different one to the one you give yourself by jumping), which tends very much to throw you on your side or head. Many suppose it very easy to jump a little forward, and alight safe: they will not find it so on trial. The method of getting out behind the carriage, is the most safe of any, having often tried it when the horse has been going very fast. Perhaps it is best to fix yourself firm, and remain in the carriage.
810.Recovery from Suffocation, &c.—There are many occasions of danger, on which a person who can hold breath for a minute or two, may save the life of another. The best preparation for rendering such assistance is, by breathing deep, hard, and quick, (as a person would do after running,) and ceasing with his lungs full of air; he will then find himself able to hold his breath more than twice as long as he would without such preparation.
If in a brewer's fermenting vat, or an opened cess-pool, one man sinks senseless and helpless, from breathing the foul air, another man of cool mind would, by the above preparation, have abundant time, in most cases, to descend by the ladder or bucket, and rescue the sufferer, without any risk to himself. In entering a room on fire, a knowledge of this fact may be useful.
The following precautions should also be regarded. Avoid all unnecessary exertion; go coolly and quietly to the spot where help is required; do no more than is needful, leaving the rest to be done by those in a safe atmosphere.
In case ofchoke-damp, as in a brewer's vat, hold the head as high as may be: in case of a fire in the room, keep the head as low as possible.
If a rope be at hand, fasten it to the person who isgivinghelp, that he may be succored, if he venture too far. Many deaths happen in succession in cess-pools, and similar cases, for want of this precaution.
It is hardly needful to say, do not try to breathe the air of the place where help is required. Yet many persons fail, in consequence of forgetting this precaution. If the temptation to breathe be at all given way to, thenecessityincreases, and the helper himself is greatly endangered. Resist the tendency, and retreat in time.
Be careful to commence giving aid with the lungsfullof air,not empty; for the preparation consists chiefly in laying up for the time, in the lungs, a store of that pure air which is so essential to life.
811.Thunder Storms.—The safest situation during a thunder-storm is the cellar; for when a person is below the surface of the earth, the lightning must strike it before it can reach him, and will probably be expended on it. Dr. Franklin advises persons apprehensive of lightning to sit in the middle of a room, not under a metal lustre, or any other conductor, and to place their feet upon another chair. It will be still safer, he adds, to lay two or three beds or mattresses in the middle of the room, and to place the chairs upon them. A hammock suspended with silk cords would be an improvement on this apparatus. Persons out of doors should avoid trees, &c.
The distance of a thunder-storm and its consequent danger can easily be estimated. As light travels at the rate of 192,000 miles in a second of time, its effects may be considered as instantaneous within any moderate distance. Sound is transmitted at the rate of only 1142 feet in a second. By observing, therefore, the time which intervenes between the flash of lightning and the thunder which accompanies it, a very near calculation may be made of its distance.
812.Stroke of Lightning.—Throw cold water upon them as soon as possible. It will often restore persons struck by lightning when apparently insensible, or even dead.
813.A few Concise Rules for the Recovery of Persons apparently Drowned.—The body on being taken out of the water, should be conveyed to the nearest house,in the gentlest manner possible; the wet clothes must be removed, and the body well dried with a towel; it must then be placed on a mattress, laid on a table of proper height and length. Care must always be taken to lay the head considerably higher than the extremities, and to place the body on the right side. The lungs should be inflated with a pair of bellows, not forcibly, but gradually, so as to imitate the action of respiration.
Do not place the body in a high degree of heat; (below 98 degrees of Fahrenheit's scale is the best temperature,) clear the apartment of all supernumerary persons, and let the windows and doors be open, to admit a free circulation of air.
Apply friction,after the lungs have been expanded, with the hand only, or with a little oil on the fingers.
No injections are necessary, nor emetics, except in particular cases:bleedingis also a doubtful remedy: electricity,in judicious hands, may prove highly beneficial.
Let no rolling of the body be used with a view of emptying it of water; there is no water present, or scarcely any. The heart being overloaded with blood, may be burst by this injudicious proceeding, and more mischief has been done by tossing and rolling the body, than by any other erroneous treatment. Hot water, in bottles, may be applied to the feet and ankles, as soon as respiration commences: when the blood begins to circulate, heat may be gradually increased, and the patient removed to a warm bed, where he must be carefully watched till the action of the heart be completely restored.
The following way is commended by those who have seen it tried: 1. Lose no time. 2. Handle the body gently. 3. Carry the body with the head gently raised, and never hold it up by the feet. 4. Send for medical assistance immediately, and in the mean time act as follows: 1. Strip the body, rub it dry; then rub it in hot blankets, and place it in a warm bed in a warm room. 2. Cleanse away the froth and mucus from the nose and mouth. 3. Apply warm bricks, bottles, bags of sand, &c., to the arm-pits, between the thighs and the soles of the feet. 4. Rub the surface of the body with the hands enclosed in warm dry worsted socks. 5. If possible, put the body into a warm bath. 6. To restore breathing, put the pipe of a common bellows in one nostril, carefully closing the other and the mouth; at the same time drawing downward, and pushing gently backward, the upper part of the windpipe, to allow a more free admission of air; blow the bellows gently, in order to inflate the lungs, till the breast be raised a little; then set the mouth and nostrils free, and press gently on the chest; repeat this until signs of life appear. When the patient revives, apply smelling-salts to the nose, give warm wine or brandy and water.Cautions.—1. Never rub the body with salt or spirits. 2. Never roll the body on casks. 3. Continue the remedies for twelve hours without ceasing.
PART V.MISTRESS—MOTHER—NURSE—AND MAID.In which are set forth the prominent Duties of each department, and the most important Rules for the guidance and care of the Household.OF THE TABLE814. The taste and management of the mistress are always displayed in the general conduct of the table; for, though that department of the household be not always under her direction, it is always under her eye. Its management involves judgment in expenditure, respectability of appearance, and the comfort of her husband as well as of those who partake of their hospitality. Inattention to it is always inexcusable, and should be avoided for the lady's own sake, as it occasions a disagreeable degree of bustle, and evident annoyance to herself, which is never observable in a well-regulated establishment.Perhaps there are few occasions on which the respectability of a man is more immediately felt, than the style of dinner to which he may accidentally bring home a visitor. Every one ought to live according to his circumstances, and the meal of the tradesman ought not to emulate the entertainments of the higher classes; but, if merely two or three dishes be well served, with the proper accompaniments, the table-linen clean, the small sideboard neatly laid, and all that is necessary be at hand, the expectation of both the husband and friend will be gratified, because no interruption of the domestic arrangements will disturb their social intercourse.Should there be only a joint and a pudding, they shouldalways be served up separately; and the dishes, however small the party, should always form two courses. Thus, in the old fashioned style of "fish, soup, and a roast," the soup and fish are placed at the top and bottom of the table, removed by the joint with vegetables and pastry; or, should the company consist of eight or ten, a couple or more of side-dishes in the first course, with game and a pudding in the second, accompanied by confectionary, are quite sufficient.In most of the books which treat of cookery, various bills of fare are given, which are never exactly followed. The mistress should give a moderate number of those dishes which are most in season. The cuts which are inserted in some of those lists, put the soup in the middle of the table—where it should never be placed. For a small party, a single lamp in the centre is sufficient; but, for a larger number, the room should be lighted with lamps hung over the table, and the centre occupied by aplateauof glass or plate, ornamented with flowers or figures.815.Carefulness.—A proper quantity of household articles should always be allowed for daily use. Each should also be kept in its proper place, and applied to its proper use. Let all repairs be done as soon as wanted, remembering the old adage of "a stitch in time;" and never, if possible, defer any necessary household concern a moment beyond the time when it ought to be attended to.In the purchase of glass and crockery-ware, either the most customary patterns should be chosen, in order to secure their being easily matched, when broken; or, if a scarce design be adopted, an extra quantity should be bought, to guard against the annoyance of the set being spoiled by breakage—which, in the course of time, must be expected to happen. There should likewise be plenty of common dishes, that the table-set may not be used for putting away cold meat, &c.The cook should be encouraged to be careful of coals and cinders: for the latter there is a new contrivance for sifting, without dispersing the dust, by means of a covered tin bucket.Small coal, wetted, makes the strongest fire for the back of the grate, but must remain untouched till it cakes. Cinders, lightly wetted, give a great degree of heat, and are better than coal, for furnaces, ironing-stoves, and ovens.816.Attention to little things.—By attention tolittle things, the neat appearance of a house may be secured, and time andlabor saved. For instance, when you are sewing, carefully deposit your bits of thread, &c., in a little basket or box, instead of throwing them on the floor. And again: set your chairs out a little from the wall, instead of putting them close to it, which would not only rub the paint from the chairs, but would soon deface the beauty of the wall-paper. These appear like trifling things—but nothing is too trifling to demand our attention, when we are endeavoring to fulfil the duties of our sphere.817.Cheerfulness.—Does it seem singular thatcheerfulnessis placed among the requisites for good house-keeping? But it is of far more importance than you would, at first view, imagine. What matters it to a brother or husband, if the house be ever so neat, or the meals punctually and well prepared, if the mistress of it is fretful and fault-finding—ever discontented and complaining. Theoutsideof such a house is ever the most attractive to him, and any andeveryexcuse will be made for absenting himself; and the plea of business or engagements will be made to her who is doomed to pass her hours needlessly in solitude.818.Of Economy in Expenditure.—Economy should be the first point in all families, whatever be their circumstances. A prudent housekeeper will regulate the ordinary expenses of a family, according to the annual sum allowed for housekeeping. By this means, the provision will be uniformly good, and it will not be requisite to practise meanness on many occasions, for the sake of meeting extra expense on one.The best check upon outrunning an income is to pay bills weekly, for you may then retrench in time. This practice is likewise a salutary check upon the correctness of the accounts themselves.To young beginners in housekeeping, the following briefhints on domestic economy, in the management of a moderate income, may perhaps not prove unacceptable.A bill of parcels and receipt should be required, even if the money be paid at the time of purchase; and, to avoid mistakes, let the goods be compared with these when brought home; or, if paid or at future periods, a bill should be sent with the article, and regularly filed on separate files for each tradesman.An inventory of furniture, linen, and china should be kept,and the things examined by it twice a-year, or oftener if there be a change of servants; the articles used by servants should be intrusted to their care, with a list, as is done with the plate. In articles not in common use, such as spare bedding, tickets of parchment, numbered and specifying to what they belong, should be sewed on each; and minor articles in daily use, such as household cloths and kitchen requisites, should be occasionally looked to.819.Books and Accounts.—Housekeeping books, with printed forms for the various heads of expenditure, and the several articles, are used in many families; but accounts may be kept with as much certainty in plain books.820.Servants.—In thehiring of Servants, it is an excellent plan to agree to increase their wages annually to a fixed sum, where it should stop, and to recommend that a portion of it should be regularly placed in a savings-bank. An incentive will thus be offered to good conduct; and when the hoard saved up amounts to any considerable sum, the possessor will generally feel more inclined to enlarge than to expend it.A kindly feeling of indulgence on the part of the mistress towards her servants, in the matter of petty faults, coupled with good-natured attention to their daily comforts, and occasional permission to visit and receive a few of their near friends, would go far to create a cordial degree of attachment, which must be ever desirable to a respectable family, and cheaply purchased by such consideration. Mildness of language will generally be met by respectful language on the part of a servant, and of itself will produce a saving of temper at least to the master or mistress. Due praise will mostly be found a powerful stimulus to good, and in some measure a preventive to bad conduct, on the part of a servant.Do not speak harshly or imperatively to servants, or tell them of their faults in the presence of strangers or visitors; but take the earliest opportunity of reproving them after your company have left.821.Store-room.—A store-room is essential for the custody of articles in constant use, as well as for others which are only occasionally called for. These should be at hand when wanted, each in separate drawers, or on shelves and pegs, all under thelock and key of the mistress, and never be given out to the servants but under her inspection.Pickles and preserves, prepared and purchased sauces, and all sorts of groceries, should be there stored; the spices pounded and corked up in small bottles, sugar broken, and everything in readiness for use. Lemon-peel, thyme, parsley, and all sorts of sweet herbs, should be dried and grated for use in seasons of plenty; the tops of tongues saved, and dried, for grating into omelets, &c.; and care taken that nothing be wasted that can be turned to good account.Coarse nets suspended in the store-room are very useful in preserving the finer kinds of fruit, lemons, &c., which are spoiled if allowed to touch. Whenlemonsandorangesare cheap, a proper quantity should be bought and prepared, both for preserving the juice, and keeping the peel for sweetmeats and grating, especially by those who live in the country, where they cannot always be had; and they are perpetually wanted in cookery.822.Sugar.—The lowest-priced and coarsest sugar is not the cheapest in the end, as it is heavy, dirty, and of a very inferior degree of sweetness; that which is most refined is the sweetest: the best has a bright and gravelly appearance. East India sugars appear finer in proportion to the price; but they do not contain so much sweetness as the other kinds. Loaf-sugars should be chosen as fine and as close in texture as possible, except they are for preserving, when the coarse, strong, open kind is preferable.823.Pepper.—The finest Cayenne pepper consists of powdered bird-pepper; but, as this is of a bad color, it is often adulterated to heighten the color. English chilies, dried and pounded, make good pepper.White pepper is inferior to black, although the former is sold at the highest price. White pepper is merely black pepper deprived of its outer coating, which has a stimulating property; so that white pepper is much weaker than black.824.Cinnamon, when good, is rather thin and pliable, and about the substance of thick paper, of yellowish-brown color, sweetish taste, and pleasant odor: that which is hard, thick, and dark-colored, should be rejected.825.Articles in Season.—Some weak-minded persons affect to despise articles of food when they are plentiful and cheap, not knowing that such is the time when the articles are in the greatest perfection.Young and inexperienced housekeepers sometimes incur unnecessary expense by ordering articles of food when they are scarce, dear, and hardly come into season. This can only be prevented by attention to the seasons of different articles.826.Every Family to make their own Sweet Oil.—With a small hand-mill, every family might make their own sweet oil. This may easily be done, by grinding or beating the seeds of white poppies into a paste, then boil it in water, and skim off the oil as it rises; one bushel of seed weighs fifty pounds, and produces two gallons of oil. Of the sweet olive oil sold, one-half is oil of poppies. The poppies will grow in any garden; it is the large-head white poppy, sold by apothecaries. Large fields are sown with poppies in France and Flanders, for the purpose of expressing oil from their seed for food. When the seed is taken out, the poppy head when dried is boiled to an extract, which is sold at two shillings per ounce, and it is to be preferred to opium, which now sells very high. Large fortunes may be acquired by the cultivation of poppies. Women and children could attend to the cultivation of any quantity required for their own use, in making oil, and it would be found a profitable branch of industry, when engaged in on a large scale.827.Candles and Lamps.—In purchasing wax, spermaceti, or composition candles forcompany, there will be a saving by proportioning the length and size of the lights to the probable duration of the party. Mixed wax and spermaceti make the best candles, of which a longfour(that is, four to the pound,) will last ten hours; a shortsixwill burn six hours; athree, twelve hours.A moderate-sized French table-lamp, will consume a quarter of a pint of oil in twelve hours and a half.A common japanned kitchen-lamp, with one burner, will consume one-eighth of a pint of oil in nine hours.828.Neats'-foot Oil.—Boil the feet for several hours, as for making stock for jelly; skim off the oily matter from time totime as it rises, and, when it ceases to come up, pour off the water; next day, take off the cake of fat and oil which will be found on the top; boil it and the oil before obtained, together with a little cold water; let it cool; pour off the water, and bottle the oil for use. This oil being perfectly pure, and free from smell, may be used with the French lights in a sick-room.829.Soap.—Soap, as well as candles, is improved by keeping. Buy your store for the winter as early as September, and cut the large bars of soap into pieces, to dry. It goes farther, and is better.830.Coals.—Lay in your stock of coal and wood, during summer, when fuel of all kinds is cheapest.831.Good method of making Fires.—In managing your fires during the day, first lay on a shovelful of the dust and ashes from under the grate, then a few coals, then more ashes, and afterwards a few more coals, and thus proceed till your grate is properly filled, placing a few round coals in front. You will find that the ashes retain the heat better than coals alone; you will have less smoke, a pleasant fire, and a very little waste left at night.832.Kitchen-Paper.—Whited-brown and common writing is much used: it should be bought by the ream or half-ream, which will be much cheaper than by the quire. White paper only should be used for singeing, and for covering meat, pastry, &c.833.Economy in Tinder.—The very high price of paper, at present, renders the saving of even the smallest quantity of linen or cotton rags of consequence, as they sell very dear. Trifling as it may be thought, yet it will be found that a considerable quantity of rags may be saved in a family, by using as tinder for lighting matches, the contents of the common snuffers, collected in the course of the evening.834.To prevent Accidents, from leaving a poker in the fire.—The following invention is equally simple and secure:—Immediately above that square part of the poker, by blacksmithscalled "the bit," let a small cross of iron, about an inch and a half each way, be welded in.The good consequences of this simple contrivance will be—1st. If the poker, by the fire giving way, should slip out, it will probably catch on the edge of the fender.2d. If it should not, it cannot injure the hearth or carpet, as the hot part of the poker will be borne up some inches.3d. The poker cannot be run into the fire further than the bit, which, in regard to a polished poker, is also of some consequence.ON THE MANAGEMENT OF INFANTS, YOUNG CHILDREN, AND THE SICK.835. In a previous work—"Mrs. Hale's New Cook Book,"—I gave many receipts for preparing food for invalids and children; but something more is needed. Young mothers and nurses, who are often inexperienced, will, I am sure, thank me for taking pains to procure, from the most eminent authorities, the best directions and recipes to aid them in the discharge of their arduous and most important duties. The preservation of life, and the formation of the physical constitution, as well as the moral development of the young beings committed by Divine Providence to the especial care of woman, render it one of the best accomplishments of our sex, to learn all we can respecting the high vocation whereunto we are called, viz., that of conservators of humanity.836.Of young Infants.—Immediately on the birth of the child, it should be received into soft fine flannel, sufficient completely to envelop or wrap round the body, in which, with the mouth and nose scarcely exposed, it should repose at least an hour. The child may then be washed withtepidwater, tenderly and cautiously, yet speedily made dry with soft linen cloth. Afterwards let it be expeditiously dressed, and put into a warm, bed, and, during the first week or fortnight, exposed as little as possible to cold air: how long this caution may be necessary, will depend on the season of the year, or the temperature of the atmosphere. By strictly adhering to this mode of managing a new-born infant, it will not suffer from catarrh, cough, difficulty of breathing, diarrhea, sore eyes, or stoppage in the head.Children are frequently placed under the care of a nurse, who, from her experience, is supposed qualified for the important trust; but it often happens, either from her obstinacy or self-importance, that the most judicious plan of treatment recommended by the attending physician, is defeated.At this period the mother is called on, by religious and moral obligation, as well as by the ties of natural affection, to suckle her infant: no doubt could be entertained of her immediate assent to so powerful an impulse, if uninfluenced by her friends or relatives. It cannot be denied, that she may be disqualified for the office by various maladies, by an incipient phthisis, by a scorbutic or scrofulous taint, by hysterical or nervous affections, &c. However, the fitness or unfitness of the mother for this endearing office, should be determined by the attending physician. There are many instances recorded of women who had been extremely delicate and sickly previous to their first confinement, becoming afterwards healthy and robust. On the contrary, there are several histories of other women, who previously had enjoyed good health, suffering from counteracting the regular process of nature. The flow of the milk being checked, undue determinations have taken place to the chest or head, and in some cases proved fatal.In the bowels of children at the time of their birth, there is an accumulation of what is called "the meconium." For whatever purpose it was intended before the birth of the child, it would become injurious were it afterwards suffered to remain. Nature has provided the means for its removal, by giving to the new milk an aperient quality. Therefore it is advisable to wait, even to the third day, for the appearance of the milk, rather than attempt to remove the meconium by castor oil, or any other mild aperient medicine. The coats of the child's stomach and bowels are so extremely tender and irritable, that the mildest purgative will give pain, and disorder the health of the infant. By waiting for the milk, relief is obtained by the means nature has provided, without the slightest inconvenience.837.Clothing.—The clothing for children cannot be too simple: it should be so formed as to admit of being easily and quickly changed, free from all bandages or pins, and secured only by tape. Shoes or stockings may be dispensed with, until the child begins to use its legs, as they keep the feet wet andunpleasant, unless changed every hour. The child left to itself, will soon begin to enjoy the use and freedom of its limbs.838.Food.—The proper food for children is a subject of more importance. That which nature has provided is the milk of its parent; but, when this is lacking, a preparation formed of cow's milk and water, with a little loaf sugar, in the following proportions, supplies the desideratum:—Take of fresh cow's milk, one table-spoonful; hot water, two table-spoonfuls; loaf sugar, as much as may be agreeable. Such nourishment will alone be sufficient for its support, until the end of the first three months. At this period, it may require a small portion of light animal food, of which, how to select the most nutritious, to regulate the quantity, and to administer it, after proper intervals, must depend on the experience of the nurse. Experience is often superseded by convenience: if the child cries, the nurse attributes it to a want of food, and, by her agency, it is fed almost every hour, both night and day. It is seldom that a child cries from abstinence, if it be healthy and free from pain. In the infantile state, the powers of the digestive organs are much weaker than at a more advanced period of life; and therefore, although the food is more simple, it requires an interval of some hours to convert it into chyle: if this process be interrupted by frequent feeding, the chyle will be crude, and pass off without affording due nourishment to the child. Sickness in children arises from the quality or quantity of their food, unduly administered. The food for children should be light and simple—gruel alone, or mixed with cow's milk; mutton broth, or beef tea; stale bread, rusks, or biscuits, boiled in water to a proper consistence, and a little sugar added. The great mortality of children in large towns, may be attributed to the poverty of their parents, who cannot purchase the necessary food or clothing, nor find leisure to attend to cleanliness, air, and exercise, so indispensably necessary to the well-being of their offspring. In the wealthy ranks of society, these means are easily obtained; and in the management of their children, we have only to dread the abuse of these advantages. Happy would it be both for rich and poor, if the superfluities of the one could be transferred for the benefit of the other.When six months old, a child may be fed every four hours, when awake. Nothing can be more injurious to health than too frequent or irregular meals. Children, if left to themselves,soon acquire the habit of passing through the night without being fed.839.Weaningof children should not take place under six months, if the mother be in health, nor be deferred beyond nine months. It cannot be too frequently impressed on the mind of the parent, that the future health and strength of her child depend on a due supply of the food which nature has provided. Regarding her own health, the chances are that it will be improved—at all events, it is incumbent on her to make the experiment; if her strength falls off, she may at any time retire from the effort, and engage a wet-nurse.Thisfoster-parentshould not be more than thirty years of age, nor should her milk be more than three months old. She should be in health, free from scorbutic or scrofulous taints, from cutaneous scurf, or eruptions, perfectly clean in her person, and extremely neat in her management of whatever concerns the child. She must be sober and temperate: her diet should consist of a due proportion of bread, fresh meat, and vegetables; her drink, tea, chocolate, and milk and water; but on no consideration either wine or any other spirituous liquors. These, if drank by the nurse, will prove injurious to the child.840.Proper Medicines for Infants.—Nature has not only provided food for infants, but likewise given to them a constitution capable of correcting those slight deviations from health, to which alone they are liable when properly nursed. This has induced many to assert that medicines are not required in the nursery: perhaps the assertion might be correct, if children were suffered to remain in a state of nature: the further they are removed from it, the evils they have to contend with bear a proportionate increase. As most of their complaints arise from a want of attention to their food, to air, and exercise, by a prompt and skilful use of medicine, these complaints may be removed; therefore, it is not the use but the abuse of medicine that should be avoided. If a child be tormented by a pin running into the flesh, no one would contend against the removal of the pin.The diseases to which children are liable, are sore eyes, sore ears, sore head, scald head, sickness and vomiting, thrush, redgum, yellow gum, pain in the bowels, diarrhea, dentition, chilblains, rickets, worms, scrofula, catarrh, cough, measles, &c.841.Sore Eyesfrequently occur on the second or third day after the birth, occasioned by too early an exposure of the child to a cold atmosphere: the eyelids swell, become closed, and discharge a purulent matter. It may be relieved by fomenting the eyelids with equal parts of lime water and elder-flower water. Dip some fine old linen cloth into this mixture, moderately warmed, and apply it to the eyelids. This is a mild astringent application: if the swellings should not be reduced by it, the following, which is more astringent, will probably succeed: Take of white vitriol, two grains; rose-water, two ounces; mix them together. Should it be necessary, the quantity of white vitriol may be increased.842.Sore Ears.—Excoriations of the skin frequently happen either behind the ears, in the folds of the skin, on the neck, in the groins, or wherever the folds of the skin, come in contact. Wash the skin morning and evening with cold water, make it perfectly dry with a fine linen cloth, then shake on lightly the following powder: Take white ceruse, one part; wheaten starch, in flour, three parts; mix them together. Or, take Goulard's extract, French brandy, of each, one drachm; rose-water, four ounces. Mix them together, and apply it with soft linen cloth to the excoriations of the skin.The following liniment may be relied on: Take acetate of lead, one scruple; rose-water, half an ounce; melted beef marrow, one ounce. Rub the acetate of lead in the rose-water, until they are intimately mixed, then melt the marrow over a gentle heat; afterwards pour the mixture upon the marrow by little and little, taking care that each addition be incorporated with the marrow, so as to form an uniform mass. This may be applied with a camels'-hair pencil.843.Sore Head.—This complaint appears first on the forehead, in large white spots or scabs, which, if neglected, soon spread over the whole surface of the head. It is sometimes dry, at others moist, with a thin, watery discharge. It is named the crusta lactea, or milky crust. There are two methods of treating it. Nurses encourage the discharge by applying cabbage leaves, oil-cloth, &c.; this is by no means necessary; itmakes the head offensive, and the appearance of the child disgusting. It is much better to cure it as soon as possible, by washing the scabs night and morning with equal parts of brandy and water; then lay on the following ointment: Take, olive oil, five drachms; white wax, two drachms; calcined zinc, one drachm. Melt the oil and wax together, then add the zinc by degrees, and keep stirring it until they are intimately mixed.844.Scald Headis totally unlike the preceding disease: brown-colored scabs appear on the crown of the head, which discharge a glutinous matter, and unite the hairs, so as to prevent their being separated with a comb: these scabs continue to spread until they occupy the whole of the scalp.Keep the hair cut as close as possible, wash the head with a strong solution of soap in water, night and morning; as soon as it can be done, instead of cutting the hair with scissors, let it be shaved close once a day.Every one has a remedy for this complaint; perhaps the following ointment will be found one of the most effective: Take Barbadoes tar, one ounce; the dust of the lycoperdon, or puff fungus, one drachm. Mix them well together, and rub in a part of it to the roots of the hair, after washing the head with the soap and water. By steadily persevering in these means, and giving an occasional purge, the cure will soon be accomplished.845.Sickness and Vomiting.—Soon after the birth, children are frequently annoyed by these symptoms: they are occasioned by the indiscreet conduct of the nurses, who are apt to give either improper food or medicine. At this early period, as before remarked, the stomach is incapable of digesting any other food than the milk of its mother; consequently, whatever is forced into it, remains there undigested, until, by a convulsive effort, it is thrown off by vomiting. So long as it remains in the stomach, the child is restless, and in other respects indisposed. It may be relieved by a tea-spoonful of castor-oil, to be repeated, until one or two motions are occasioned.Children who are dry nursed are most subject to sickness and vomiting; the natural remedy is the breast of a healthy woman. Without this relief, gripings and diarrhea frequently come on and prove fatal.Children so circumstanced, may be relieved by the following emetic:Take of ipecacuanha, two drachms; boiling water, four ounces. Let them stand together until the water grows cold, then strain off the liquor. To one ounce of the liquor, add eight drops of antimonial wine. Dose, two tea-spoonfuls every half hour, until it excites vomiting.846.The Thrush, or sore mouth, is a complaint very painful, and, if neglected, fatal to children. When it first comes on, it resembles small pieces of curd lying loose upon the tongue; it gradually spreads itself over the inside of the mouth, but afterwards rapidly advances to the throat, stomach, and bowels. Therefore, when the white specks appear, proper means should be instantly employed to remove them, or to suspend their progress. If the child be costive, give the following aperient:Take of calcined magnesia, two scruples; common mint water, two ounces; mix them together. The dose, a dessert-spoonful every half hour, until it operates. Or, take of manna, one ounce; senna leaves, one drachm; common mint-water, four ounces. Boil them together, until the manna be dissolved, then strain off the liquor. Dose, two drachms every half hour, until two or more motions are occasioned.For cleaning the mouth, take equal parts of borax and white sugar; rub them together into a fine powder. Of this put a small quantity into the child's mouth, which will be distributed to every part by the motion of its tongue. Repeat this application three or four times a day: if used early, it will keep the mouth free from white specks, and remove the complaint in a few days.If, on the contrary, it should be neglected, and suffered to extend to the stomach and bowels, gentle emetics ought to be employed, such as the following antimonial emetic: Take of antimonial wine, forty drops; mint-water, two ounces. Mix them together. Dose, a dessert-spoonful every half hour, until it excites vomiting.This disease rarely occurs in children, who take no other food but the milk of the mother, or foster-parent. It is so far contagious, that if a healthy child be put to the breast of a woman, who is suckling another child, having the thrush, it will contract this complaint.847.Red Gumrequires no farther attention than keeping the bowels gently open, and avoiding an exposure to cold air. It is symptomatic of healthy action, and ought not to be checked.848.Infantile Jaundice.—The skin of new-born infants is sometimes tinged with bile, and gives the appearance of jaundice; by some it has been named the yellow gum. It seems to be occasioned by the sudden change in the circulation of the blood, immediately on the birth, by which an increased flow of blood is conveyed to the liver, and consequently an increased secretion of bile follows, which from various causes may be prevented from passing off freely into the intestines. It is attended with no danger, and is generally removed by mild purgatives.The hare-lip, frænum linguæ, or tongue-tied, requires surgical aid.849.Pain in the Bowelsmay happen with or without diarrhea, and is often produced by improper food, or exposure to cold air. The symptoms are frequent fits of crying, drawing up the knees towards the bowels, which are hard and tense to the touch, accompanied either with an obstinate costiveness, or thin, watery, and frequent evacuations, slimy, sour, and of a green color. This complaint is oftentimes relieved by the following powders: Take Turkey rhubarb, in very fine powder, calcined magnesia, of each, twelve grains; compound powder of ipecacuanha, four grains. Mix them well together, and divide them into six doses: one to be given night and morning, to a child under three months; above that age, the dose should be increased.The health and diet of the mother, or nurse, should be strictly attended to. In some cases the pain is extremely acute, and the agony of the child is known by its cries. Whenever this happens, the following mixture may be given: Take of Turkey rhubarb, in fine powder, twelve grains; magnesia, eight grains; tincture of rhubarb, one drachm; syrup of poppies, two drachms; simple mint-water, an ounce and a half. Mix them together. Dose, if within the first or second month, two tea-spoonfuls every fourth hour. The phial should be shaken before the medicine is poured out.850.Other remedies for the Colic in Infants.—A great variety of cordials, spices, and opiates, has been recommended, and frequently used, to relieve the pain and expel the wind. They may sometimes answer the purpose, especially in sudden fits of pain in the stomach, from cold or any other accidental cause. At all times, they should be sufficiently diluted with water, cautiously given, and seldom repeated. When the effects of these medicines go off, the pain returns; therefore it is not a desirable mode of obtaining relief. Of the cordials, Geneva, mixed with water, is the least objectionable; being impregnated with the essential oil of juniper-berries, it is an excellent and safe carminative. However, these warm medicines are by no means to be relied on for the removal of the cause of this malady, their effect being merely temporary: such as Godfrey's cordial, and other nostrums—being compounds of opium, spices, and brandy. Opium, when judiciously administered, is an invaluable remedy; the dose of it should be most accurately proportioned to the age of the patient, and urgency of the symptoms, otherwise it may become apoison; and, therefore, should never be given to children, unless under the direction of the most skilful in the profession. Few nurseries are without a medicine of this kind; it quiets the pain of the infant, induces sleep, and leaves the nurse to her repose. Children under this treatment become languid, pallid, incapable of exertion, and, at length, rickety.The following anodyne mixture will generally relieve the griping pains of diarrhea:—Take of prepared chalk, and gum-arabic, each one drachm; syrup of white poppies, three drachms; Geneva, two drachms; water, four ounces. Mix them together. Dose, a dessert-spoonful after each motion.In bowel-complaints, chalk has been objected to, as too powerful an astringent in checking diarrhea suddenly: this may be obviated by giving it only after each motion. When the bowels have been previously acted on, either by the rhubarb powders, or by the antimonial emetic, the chalk mixture is a never-failing remedy. It may be given with or without opium, according to the urgency of the symptoms.The following medicine, by exciting a determination to the skin, effectually relieves the sufferings of the child:—Take ipecacuanha, in coarse powder, two drachms; boiling water, four ounces. When cold, strain off the liquor through a fine piece of linen cloth: then add to three ounces of this liquor—of Geneva,three drachms; syrup of white poppies, two drachms. Dose, a dessert-spoonful every fourth hour.When this state of the bowels is followed by convulsions, the lower extremities, or the whole body, should be immersed in a warm bath. During the preparation of a bath, flannel dipped in warm water and wrung dry, may be applied to the extremities. Leeches and blisters, under skilful directions, will subdue the violence of the symptoms.851.Convulsions—Are generally symptomatic, and, for the most part, in children, occasioned by the growth of their teeth: therefore, the gums should be carefully examined, to ascertain whether they arise from this cause; if so, the lancet should be immediately and freely used, to divide the gum down to the teeth. This operation is not painful, nor in the least degree hazardous, therefore ought not to be delayed.852.Dentition.—There is no period in infancy that requires more skill and attention, than that which passes from the first movement of the teeth in their sockets, to their subsequent advance through the gums. At the birth of the child, the teeth are lodged within the jaw-bones, and enveloped by a membrane or bag, which is distended as the teeth enlarge and press forward, frequently attended with pain, fever, diarrhea, and convulsions. These symptoms first appear towards the end of the third month, when the child is said to be breeding its teeth: they arise from the first enlargement of the teeth in their sockets, and subside as soon as they pass above the jaw. Between the sixth and ninth month, the teeth as they rise, press upon the gums, when the same train of symptoms take place. Some children suffer very little pain during this process; others suffer most severely: this depends chiefly on the nerves being more or less irritable. When the child preserves its appetite and cheerfulness, and is free from fever, no medicine can be required, except what may be necessary to obviate costiveness. This should be carefully attended to, as nothing tends more effectually to relieve or prevent the symptoms of dentition, than a free discharge from the bowels.An increased secretion of saliva marks the first advance of the teeth, followed, in irritable habits, by diarrhea, fever, thirst, and convulsions. The use of the gum-lancet should not be neglected, whenever the symptoms are urgent. The parentsfrequently object to this mode of relief, conceiving it to be a painful operation. As a proof of the contrary, children that have once been relieved by it, will eagerly press their gums upon the lancet. If the tooth should not appear after the first use of the lancet, the incision may be frequently repeated.The symptoms may be relieved by the following emetic:—Take of tartar-emetic, one grain; dissolve it in two ounces of distilled water. Dose, two tea-spoonfuls every half-hour, until it excites vomiting.This remedy will relax the tension of the gums, and lessen the force of the fever.If the habit of the child should be costive, the mildest purgatives should be employed, to occasion two or more motions daily—such as manna, dissolved in common mint-water; or senna-tea; or the following:—Take of senna leaves, one drachm; the yellow rind of the lemon, eight grains: boil them in two ounces of water; strain off the liquor, when cold; and give a dessert-spoonful as a dose for children three or four months old. Or, take manna and fresh-drawn oil of sweet almonds, of each, one ounce; syrup of roses, two ounces: mix them together. Dose, a dessert-spoonful.853.The Croup—At its commencement has the appearance of common catarrh, but speedily assumes its peculiar character, which is marked by hoarseness, with a shrillness and ringing sound in coughing and breathing; so shrill is the noise made by the child, that it resembles the sound of air forced through a tube of brass. This inflammation, seated in the membrane which lines the windpipe, is attended with stricture, difficult respiration, cough, quick pulse, heat, and a flushed countenance.This disease comes on suddenly, and is extremely rapid in its progress; therefore, vigorous measures must be instantly adopted. Give an emetic, then apply a blister across the throat, and keep the bowels open with laxative injections.854.Cure for Croup.—Dr. Fisher, of Boston, relates in a late number of the MedicalJournal, a case in which a severe attack of croup was cured by the application of sponge, wrung out of hot water, to the throat, together with water treatment, which he describes as follows:—"Soon after making the first application of sponges to the throat, I wrapped the child in awoolenblanket, wrung out inwarm water, as a substitute for a warm bath, and gave twenty drops of the wine of antimony in a little sweetened water, which was swallowed with difficulty. I persevered in the application of the hot, moist sponges for an hour, when the child was so much relieved that I ventured to leave it."These applications were continued through the night, and in the morning the child was well."It will never do to trifle with this terrible disease. The quicker the remedies are applied, the better. Instead of antimony, we would recommend small quantities of alum water, given every ten or fifteen minutes, until the child vomits.855.Rickets—Are, for the most part, induced by improper food and bad nursing. Their approach is marked by a sickly, pallid countenance, cough, and difficult respiration. The bones of the legs and arms lose their firmness, and become more or less crooked; the bones of the head do not unite, and the spine becomes distorted. At its first appearance it may be successfully counteracted by a strict attention to cleanliness in every thing that concerns the child, by exercise in the open air, by cold bathing, by friction of the limbs night and morning, and by a light, nutritious diet. Before the use of the bath, the bowels should be cleared by the following aperient powder:—Take of Rhubarb, in fine powder, six grains; calcined magnesia, three grains; common mint-water, six drachms. Mix them together.During the use of the cold bath, either Peruvian bark or steel may be employed to strengthen the child: such as,The precipitate of the sulphate of iron, three grains; syrup of cinnamon, a tea-spoonful. When mixed, to be taken three times a-day. Or, take of the resinous extract of bark, one drachm; the syrup of cinnamon, seven drachms. Mix them together. The dose, a tea-spoonful, three times a-day.856.Scrofula.—Although it has been considered as an hereditary disease, may be induced in a child, whose parents have no such taint, by a neglect of proper food, air and exercise. On the contrary, when the taint does exist in the parent, the offspring may pass through life with the enjoyment of tolerable health, by a strict attention to those means which are known to invigorate the body. Of preventives, there are none so efficacious as sea air, sea bathing, and the internal use of the sea water,in sufficient quantity to act on the bowels, and the local application of it to the glands which are enlarged. Indeed, the children of diseased parents should reside on the coast, in order to have the full benefit of these advantages. Friction should be applied generally on the surface of the body, with the hand covered with a flannel glove, night and morning. Food of easy digestion is to be preferred, such as shell-fish, game, poultry, beef or mutton. Bark and steel, as medicines, may be occasionally administered with good effect. This disease, which bids defiance to the regular physician, cannot with propriety be placed on the list of casualties, or sudden seizures.857.Worms.—There are three species of worms which infest the intestines: namely, the flat worm, or tænia; the long, round worm, lumbrici; the short, round worm, or ascarides. The tænia is of rare occurrence when compared with the lumbrici or ascarides, but more difficult to remove. Full doses of sulphate of iron, with occasional active doses of calomel, force them to retire. The lumbrici are destroyed by repeated doses of calomel and scammony. The ascarides, being found in the lowest portion of the intestines, are easily removed by injections of lime-water, or a solution of aloes.Parents who would preserve their children from worms, ought to allow them plenty of exercise in the open air; to take care that their food be wholesome and sufficiently solid; and, as far as possible, to prevent their eating raw herbs, roots, or green trashy fruits. It will not be amiss to allow a child who is subject to worms, a glass of red wine after meals; as every thing that braces and strengthens the stomach, is good both for preventing and expelling these vermin. In order to prevent any mistake of what I have here said in favor ofsolidfood, it may be proper to observe, that I only made use of that word in opposition toslopsof every kind; not to advise parents to cram their children with meat, two or three times a-day. This should only be allowed at dinner, and in moderate quantities, or it would create, instead of preventing, worms; for there is no substance in nature which generates so many worms as the flesh of animals, when in a state of putrefaction. Meat, therefore, at the principal meal, should always be accompanied with plenty of good bread, and young, tender, and well-boiled vegetables; especially in the spring, when these are poured forth from the bosom of the earth in such profusion. They promote the end in view, bykeeping the body moderately open, without the aid of artificial physic. The ripe fruits of autumn produce the same effect; and, from their cooling, antiputrescent qualities, are as wholesome as the unripe are pernicious. I also very earnestly conjure parents not to take the alarm at every imaginary symptom of worms, and directly run for drugs to the quack, or apothecary. They should first try the good effects of proper diet and regimen, and never have recourse to medicines till after unequivocal proofs of the nature of the complaint.Honey and milk are very good for worms; so is strong salt water; likewise, powdered sage and molasses taken freely.858.Quinsy—Is the common inflammatory sore throat, attended by a sense of heat and fulness in the throat, by difficult deglutition, generally preceded by shivering, with a sense of coldness. On inspection, the tonsils appear red and enlarged. These symptoms continuing to increase, the patient is threatened with suffocation, the tonsils suppurate, when, by a spontaneous bursting of the abscess, relief instantly follows. It often happens that the abscess does not give way so soon as expected, when the puncture of a lancet puts an end to the alarming sufferings of the patient. In some cases, the quantity of matter contained in the tumor is very considerable, and instances have occurred, when, from the sudden bursting of the tumor, the patient being in a horizontal position, suffocation has followed, from the matter falling into the lungs.To guard against these evils, an emetic of ipecacuanha should be administered, and a blister applied to the neck. As soon as the effect of the emetic has ceased, and the stomach will receive it, give the following aperient mixture:—Take of tartarized kali, three drachms; infusion of senna, two ounces; tincture of senna, two drachms. Mix them together.If blisters are objected to, a piece of fine flannel, moistened with the compound spirit of ammonia, may be placed round the neck. Gargles are to be used in every stage of this disease; at first, they should be mildly detergent, as the following:—Take of barley-water, six ounces and a half; honey of roses, one ounce; tincture of myrrh, and vinegar, of each, two drachms. Mix them together, and cleanse the mouth and throat with some of the gargle from time to time.When the violence of the symptoms begins to subside, a sharper gargle becomes necessary; for this purpose the followingis recommended:—Take of infusion of red roses, seven ounces; honey of roses, one ounce; diluted sulphuric acid, twenty drops. Mix them together.Throughout the course of this disease, keep the bowels open with mild purgatives or laxative injections. When the swelling of the tonsils comes on rapidly, send instantly for a surgeon.859.Whooping Cough.—This is a violent, convulsive cough, attended at first with slight febrile symptoms. Its shortest duration is three weeks; during this time, the symptoms may be rendered milder, or more aggravated, by the mode of treatment.During the first three or four weeks, keep the child or patient in an uniform degree of temperature; if possible, never below 64 degrees of Fahrenheit's scale. The diet should be light, chiefly bread, milk, and vegetables with butter. Rice or Indian puddings, with plenty of molasses, are good food for children in this disease. If the cough is very violent, and the phlegm hard in the throat, a gentle emetic of ipecacuanha, or some preparation of antimony, should be given every second or third morning, to clear the stomach from the mucus which, in this cough, is constantly secreted. By these means, the violence of the disease will soon be overcome; whereas, by an exposure to cold air, and neglecting all precautions, you may aggravate and continue the cough for months. In the summer, change of air is one of the best remedies; and be sure to avoid whatever has a tendency to irritate the throat, or excite the action of the heart. In this, as in every other disease, the state of the bowels should be carefully attended to. A mild aperient is sometimes necessary.860.Colds.—The bestpreventiveof colds, is to wash your children every day thoroughly in cold water, if they are strong enough to bear it; if not, add a little warm water, and rub the skin dry. This keeps the pores open. If they do take cold, give them a warm bath as soon as possible; if that is not convenient, bathe the feet and hands, and wash the body all over in warm water; then give a cup of warm tea, and cover the patient in bed.861.—If aSore Throatfollow, take a tumbler of molasses and water, half-and-half, when going to bed; and rub the throatwith a mixture of sweet or goose-oil and spirits of turpentine; then wear flannel round it.862.Canker, or Sore Month.—Steep blackberry-leaves, sweeten with honey, sprinkle in a little burnt alum, and wash the mouth often with this decoction.863.Cutaneous Eruptions in Children.—Children, while on the breast, are seldom free from eruptions of one kind or other. These, however, are not often dangerous, and ought never to be dried up but with the greatest caution. They tend to free the bodies of infants from hurtful humors, which, if retained, might produce fatal disorders. The eruptions of children are chiefly owing to improper food and neglect of cleanliness. If a child be stuffed at all hours with food that its stomach is not able to digest, such food not being properly assimilated, instead of nourishing the body, fills it with gross humors. These must either break out in form of eruptions upon the skin, or remain in the body, and occasion fevers and other internal disorders.Eruptions are the effect of improper food, or want of cleanliness: a proper attention to these alone will generally be sufficient to remove them. If this should not be the case, some drying medicines will be necessary. When they are applied, the body ought at the same time to be kept open, and cold is carefully to be avoided. We know no medicine that is more safe for drying up cutaneous eruptions than sulphur, provided it be prudently used. A little of the flour of sulphur may be mixed with fresh butter, oil, or hog's lard, and the parts affected frequently touched with it.The most obstinate of all the eruptions incident to children are, thetinea capitis, or scabbed head, and chilblains. The scabbed head is often exceedingly difficult to cure, and sometimes, indeed, the cure proves worse than the disease. I have frequently known children seized with internal disorders, of which they died soon after their scabbed heads had been healed by the application of drying medicines. The cure ought always first to be attempted by keeping the head very clean, cutting off the hair, combing and brushing away the scabs, &c. If this is not sufficient, let the head be shaved once a-week, washed daily with yellow soap, and gently anointed with a liniment made of train-oil, eight ounces, red precipitate, in fine powder, one drachm. And if there be proud flesh, it should betouched with a bit of blue vitriol, or sprinkled with a little burnt alum. While these things are doing, the patient must be confined to a regular light diet, the body should be kept gently open, and cold, as far as possible, ought to be avoided. To prevent any bad consequences from stopping this discharge, it will be proper, especially in children of a gross habit, to make an issue in the neck or arm, which may be kept open till the patient becomes more strong, and the constitution be somewhat mended.864.Wounded Feet.—When a nail or pin has been run into the foot, instantly bind on a rind of salt pork; if the foot swell, bathe it in a strong decoction of wormwood, then bind on another rind of pork, and keep quiet till the wound is well. The lockjaw is often caused by such wounds, if neglected.865.For a Bruise or Sprain.—Bathe the part in cold water, till you can get ready a decoction of wormwood. This is one of the best remedies for sprains and bruises. When the wormwood is fresh gathered, pound the leaves and wet them either with water or vinegar, and bind them on the bruise; when the herb is dry, put it into cold water, and let it boil a short time, then bathe the bruise and bind on the herb.Always keep cotton wool, scraped lint, and wormwood on hand.866.Ear-ache in Children.—The ear-ache is usually caused by a sudden cold. Steam the head over hot herbs, bathe the feet, and put into the ear cotton wool wet with sweet oil and paregoric.867.To make Artificial Sea Water, for bathing Children.—Take common sea salt, two pounds; bitter purging salt, two ounces, magnesia earth, half an ounce; dissolve all in river water, six gallons. These are the exact proportions and contents of sea water, from an accurate analyzation.868.Another method of making Sea Water.—Take common salt, half an ounce; rain, or river water, pure, a pint; spirit of sea salt, twenty drops. Mix it.869.Valuable concise Rules for preserving Health in Winter.—Keep the feet from wet, and the head well defended when in bed; avoid too plentiful meals; drink moderately warm and generous, but not inflaming liquors; go not abroad without breakfast. Shun the night air as you would the plague; and let your houses be kept from damps by warm fires. By observing these few and simple rules, better health may be expected than from the use of the most powerful medicines.870.Avoid, as much as possible, living near Church-yards.—The putrid emanations arising from church-yards are very dangerous; and parish-churches, in which many corpses are interred, become impregnated with an air so corrupted, especially in spring, when the ground begins to grow warm, that it is prudent to avoid this evil as much as possible, as it may be, and, in some cases, has been, one of the chief sources of putrid fevers which are so prevalent at that season.871.Cautions in visiting Sick Rooms.—Do not venture into a sick room if you are in a violent perspiration; for the moment your body becomes cold, it is in a state likely to absorb the infection; nor visit a sick person, (if the complaint be of a contagious nature,) with anempty stomach, nor swallow your saliva. In attending a sick person, place yourself where the air passes from the door or window, to the bed of the invalid, not between the invalid and the fire, as the heat of the fire will draw the infectious vapor in that direction, and you would run much danger from breathing in it.872.Syncope, or Fainting.—When fainting comes on from loss of blood, inanition, or sudden emotions of the mind, the patient should be placed in a horizontal position, with the head gently raised. Volatile salts should be applied to the nose, and when the patient is sufficiently recovered, a few spoonfuls of warm cordial medicine should be administered.873.Preventive of Autumnal Rheumatisms.—For the sake of bright and polished stoves, do not, when the weather is cold, refrain from making fires. There is not a more useful document for health to the inhabitants of this climate, than "follow your feelings."874.To promote Sleep.—No fire, candle, rush-light, or lamp, should be kept burning, during the night, in a bed-room; for it not only vitiates the air, but disturbs the nerves of the child. Keep the bed-chamber well ventilated—this greatly promotes healthful rest.875.Useful Properties of Celandine.—The juice of this plant cures tetters and ring-worms, destroys warts, and cures the itch.876.Singularly useful Properties of Garlic.—The smell of garlic, which is formidable to many ladies, is, perhaps, the most infallible remedy in the world against the vapors, and all the nervous disorders to which women are subject. Of this (says St. Pierre) I have had repeated experience.877.The Usefulness of two common Plants.—Every plant in the corn-field possesses virtues particularly adapted to the maladies incident to the condition of the laboring man. The poppy cures the pleurisy, procures sleep, stops hemorrhages, and spitting of blood. Poppy seeds form an emulsion similar to that from almonds in every respect, when prepared in the same manner. They also yield, by expression, fine salad oil, like that from Florence. The blue-bottle is diuretic, vulnerary, cordial, and cooling; an antidote to the stings of venomous insects, and a remedy for inflammation of the eyes.QUALIFICATIONS OF A GOOD NURSE.878.Good Temper.—An even temper is among the principal qualifications, if not the most desirable one, for a good nurse; and without this gentleness and a kind manner, she must be considered deficient.879.Firmness.—Next in importance to good temper, arefirmnessand decision of character, the exercise of which is frequently, or rather absolutely indispensable, in the management of the sick.880.Discrimination.—This talent enables the nurse to distinguish between circumstances which, to an unobserving person, appear nearly allied to each other, but where there is, inreality, an important difference. It is only or generally acquired by experience and observation, and requires good sense as its foundation and support. It is the faculty of right judgment.881.Self-denial.—The business of taking care of the sick, if rightly attended to, requires a devotion to the interests and wants of the patient, which can only be given by the good nurse, who can willingly, and from her heart, practise the heavenly precepts of doing as she would be done by, and denying herself any indulgences that interfere with her duties.882.General Intelligence.—Another important qualification of a good nurse, is such knowledge of reading, and subjects of general interest, as make her able to interest and amuse her patient during the weary hours of slow recovery, or desponding intervals of intermitting diseases.883.Abstinence from improper habits.—The habit of using snuff in any manner—smoking—sipping intoxicating liquors—taking opium—or indulging in any improper and disagreeable habit of actions or expressions, should be carefully avoided by those who hold the responsible and important station of nurses of the sick.884.Cleanliness.—This is a cardinal virtue; and no woman can be a good nurse who is careless in her own apparel, and slatternly in her habits. In the preparation of food for the sick, the most scrupulous neatness should be observed.885.Industry, Economy, and Good Housewifery.—All three of these qualifications are essential, and usually associated in the same person; but, theexerciseof qualities is necessary to their improvement—and a nurse who has proved herself competent, is most worthy of being trusted.886.Prudence and Piety.—The principles of true discretion, or prudence of character, are based on the Christian religion, as are all the moral virtues. The nurse must be religious, or she will rarely be discreet; and the opportunities constantly afforded her of influencing the mind and heart of her patient,render her station one of great trust and responsibility. Agood nurseis a woman that deserves honor as well as reward.887.Rules for the Nurse.—1. Keep the patient's room quiet, well-aired, and clean as possible.2. Never excite disagreeable mental emotions in the sick, by telling sad stories and melancholy news; nor allow the presence of unpleasant persons or objects.3. Never whisper, nor seem to be telling what the sick are not permitted to hear.4. Administer to the necessities of the invalid, promptly and kindly; but do not worry him with questions and constant attentions, when these are not needed.5. Never disturb the quiet sleep of the patient, even to give medicine, unless peremptorily charged to do so by the physician. A refreshing sleep is often better than medicine, for the sick; but do not sleep yourself, and allow the suffering one to lie awake, and needing your care.888.Administering Medicine.—There are certain rules, if observed in giving medicine, that will render the duty less disagreeable to the nurse, by making it more tolerable to the patient.1st. Select the most agreeable and suitable ingredient in which it is to be exhibited.2d. Take as small a quantity of this as can possibly be made to answer the purpose of mixing.3d. If it be disagreeable to the taste, prepare the mouth for its reception by holding in, and rinsing it with some acid, as strong vinegar, lemon juice, or something of the kind.4th. Never mix the medicine within sight or hearing of the patient.5th. Let it be prepared without her knowledge; and insist upon its being taken immediately upon being presented, for the longer her mind is permitted to dwell upon it, the more abhorrent it will become.6th. Endeavor to destroy the taste and smell as much as possible, by any appropriate means, when it has not been done by the apothecary or physician.7th. Let the mouth be well rinsed with the acid after taking it, and let a swallow or two of lemonade, or some other admissible drink, be taken.889.Plasters and Poultices—Mustard Plasters.—Take a sufficient quantity of bread crumbs finely rubbed, add mustard in proportion to the required strength; form a poultice of the proper consistency, by adding vinegar or water. Dr. Wood thinks water preferable, as he is of the opinion that vinegar destroys an essential property of the mustard. Mustard employed for this purpose should be whole grain, fresh as can be procured, and bruised or mashed in a mortar, or by any other convenient means. When mustard cannot be procured, horse radish leaves may be substituted; they must be rolled with a rolling-pin, to mash and make soft the hard stems, and withered by pouring over them a little scalding water.After they have been applied, the feet must be frequently examined to see that they do not get cold. Often more harm than good is done by the nurse neglecting this part of her duty. Burdock and cabbage leaves are frequently directed to be applied to the feet; they are prepared in the same manner, and require the same attention.890.Spice Plaster.—Pulverized cloves, cinnamon, and Cayenne pepper, half an ounce each; mix, and add flour and wine of galls, or diluted spirits, to form this plaster; lay it hot on the region of the stomach. It is excellent for pains and spasms.891.Alum Cataplasm.—Take any quantity of the white of eggs; agitate it with a large lump of alum, till it be coagulated.892.Cataplasm of common Salt.—Take crumbs of bread, and linseed meal, of each equal parts; water, saturated with salt, a sufficient quantity to give it a proper consistency.This poultice may be applied to the indolent swellings of the glands, in scrofulous habits, where the patient is deprived of the benefit of the sea air and water. A constant use of it will frequently occasion great inflammation of the skin, requiring a suspension of its use for a few days; but as soon as the inflammation subsides, it should be repeated. By the use of this poultice, strumous humors, and scrofulous enlargements, of a chronic nature, have been totally dispersed.893.Cerate of Cantharides.—Take of spermaceti ointment, six drachms; cantharides, in fine powder, one drachm. Mix them together.This is the proper application to keep up a constant discharge from the part to which a blister has been applied.894.Bark Poultice.—Take of Peruvian bark, one ounce: sprinkle it over a piece of thick muslin of the required size; take another piece of the same size; lay it over the bark, and quilt them together, to keep the bark to its place; moisten it with brandy or vinegar. Some of the aromatics may be used in conjunction with the bark, if indicated.Let it be worn over the stomach and bowels. It has proved singularly beneficial in cases of obstinate intermittents, and debility arising therefrom.895.Mush Poultice.—Mush poultices are sometimes ordered; this constitutes an invaluable application in cases of violent pain in the stomach and bowels, such as colic, cramp, &c. It is made by simply boiling the corn-meal until it attains the proper consistency. It must be spread on a cloth, and applied as warm as can be endured. We have known the most inveterate cases relieved by it in fifteen minutes.—Shore.FOOD FOR THE SICK AND FOR CHILDREN.896. A few rules, the reasons for which may be found in the Introductory Remarks of "Mrs. Hale's New Cook Book," will be of some advantage here:—First. Select those substances that are the most soluble—that are readily converted into chyle by thegastric juice.Second. Those that experience has shown to be the most nutritious.Third. Those that contain the least amount of stimulus.Fourth. These to be given in quantity and frequency proportioned to the general strength or debility of the patient.By careful observation, the feelings of the invalid will be found to furnish the most unequivocal evidence of the truth of the foregoing principles—any deviation from which will soon be attended with symptoms more or less unpleasant.897.Arrow-root—Contains, in small bulk, a greater proportion of nourishment than any other farinaceous substance yet known.Take of arrow-root, one table-spoonful; sweet milk, half a pint; boiling-water, half a pint: boil these together for a few moments.898.Arrow-root Jelly.—Take one spoonful of arrow-root, and cold water sufficient to form a paste; add one pint of boiling water: stir it briskly, and boil it a few minutes, when it will become a smooth, clear jelly. A little sugar and sherry wine may be added, for debilitated patients; but for infants, a drop or two of the essence of caraway-seed or cinnamon is preferable, wine being very apt to become acid in the stomach of infants, and thus disagree with the bowels.899.Sago.—Take two table-spoonfuls of sago, and one pint of boiling water; stir together, and boil gently, until it thickens. Wine, sugar, and nutmeg may be added, according to circumstances.
In which are set forth the prominent Duties of each department, and the most important Rules for the guidance and care of the Household.
814. The taste and management of the mistress are always displayed in the general conduct of the table; for, though that department of the household be not always under her direction, it is always under her eye. Its management involves judgment in expenditure, respectability of appearance, and the comfort of her husband as well as of those who partake of their hospitality. Inattention to it is always inexcusable, and should be avoided for the lady's own sake, as it occasions a disagreeable degree of bustle, and evident annoyance to herself, which is never observable in a well-regulated establishment.
Perhaps there are few occasions on which the respectability of a man is more immediately felt, than the style of dinner to which he may accidentally bring home a visitor. Every one ought to live according to his circumstances, and the meal of the tradesman ought not to emulate the entertainments of the higher classes; but, if merely two or three dishes be well served, with the proper accompaniments, the table-linen clean, the small sideboard neatly laid, and all that is necessary be at hand, the expectation of both the husband and friend will be gratified, because no interruption of the domestic arrangements will disturb their social intercourse.
Should there be only a joint and a pudding, they shouldalways be served up separately; and the dishes, however small the party, should always form two courses. Thus, in the old fashioned style of "fish, soup, and a roast," the soup and fish are placed at the top and bottom of the table, removed by the joint with vegetables and pastry; or, should the company consist of eight or ten, a couple or more of side-dishes in the first course, with game and a pudding in the second, accompanied by confectionary, are quite sufficient.
In most of the books which treat of cookery, various bills of fare are given, which are never exactly followed. The mistress should give a moderate number of those dishes which are most in season. The cuts which are inserted in some of those lists, put the soup in the middle of the table—where it should never be placed. For a small party, a single lamp in the centre is sufficient; but, for a larger number, the room should be lighted with lamps hung over the table, and the centre occupied by aplateauof glass or plate, ornamented with flowers or figures.
815.Carefulness.—A proper quantity of household articles should always be allowed for daily use. Each should also be kept in its proper place, and applied to its proper use. Let all repairs be done as soon as wanted, remembering the old adage of "a stitch in time;" and never, if possible, defer any necessary household concern a moment beyond the time when it ought to be attended to.
In the purchase of glass and crockery-ware, either the most customary patterns should be chosen, in order to secure their being easily matched, when broken; or, if a scarce design be adopted, an extra quantity should be bought, to guard against the annoyance of the set being spoiled by breakage—which, in the course of time, must be expected to happen. There should likewise be plenty of common dishes, that the table-set may not be used for putting away cold meat, &c.
The cook should be encouraged to be careful of coals and cinders: for the latter there is a new contrivance for sifting, without dispersing the dust, by means of a covered tin bucket.
Small coal, wetted, makes the strongest fire for the back of the grate, but must remain untouched till it cakes. Cinders, lightly wetted, give a great degree of heat, and are better than coal, for furnaces, ironing-stoves, and ovens.
816.Attention to little things.—By attention tolittle things, the neat appearance of a house may be secured, and time andlabor saved. For instance, when you are sewing, carefully deposit your bits of thread, &c., in a little basket or box, instead of throwing them on the floor. And again: set your chairs out a little from the wall, instead of putting them close to it, which would not only rub the paint from the chairs, but would soon deface the beauty of the wall-paper. These appear like trifling things—but nothing is too trifling to demand our attention, when we are endeavoring to fulfil the duties of our sphere.
817.Cheerfulness.—Does it seem singular thatcheerfulnessis placed among the requisites for good house-keeping? But it is of far more importance than you would, at first view, imagine. What matters it to a brother or husband, if the house be ever so neat, or the meals punctually and well prepared, if the mistress of it is fretful and fault-finding—ever discontented and complaining. Theoutsideof such a house is ever the most attractive to him, and any andeveryexcuse will be made for absenting himself; and the plea of business or engagements will be made to her who is doomed to pass her hours needlessly in solitude.
818.Of Economy in Expenditure.—Economy should be the first point in all families, whatever be their circumstances. A prudent housekeeper will regulate the ordinary expenses of a family, according to the annual sum allowed for housekeeping. By this means, the provision will be uniformly good, and it will not be requisite to practise meanness on many occasions, for the sake of meeting extra expense on one.
The best check upon outrunning an income is to pay bills weekly, for you may then retrench in time. This practice is likewise a salutary check upon the correctness of the accounts themselves.
To young beginners in housekeeping, the following briefhints on domestic economy, in the management of a moderate income, may perhaps not prove unacceptable.
A bill of parcels and receipt should be required, even if the money be paid at the time of purchase; and, to avoid mistakes, let the goods be compared with these when brought home; or, if paid or at future periods, a bill should be sent with the article, and regularly filed on separate files for each tradesman.
An inventory of furniture, linen, and china should be kept,and the things examined by it twice a-year, or oftener if there be a change of servants; the articles used by servants should be intrusted to their care, with a list, as is done with the plate. In articles not in common use, such as spare bedding, tickets of parchment, numbered and specifying to what they belong, should be sewed on each; and minor articles in daily use, such as household cloths and kitchen requisites, should be occasionally looked to.
819.Books and Accounts.—Housekeeping books, with printed forms for the various heads of expenditure, and the several articles, are used in many families; but accounts may be kept with as much certainty in plain books.
820.Servants.—In thehiring of Servants, it is an excellent plan to agree to increase their wages annually to a fixed sum, where it should stop, and to recommend that a portion of it should be regularly placed in a savings-bank. An incentive will thus be offered to good conduct; and when the hoard saved up amounts to any considerable sum, the possessor will generally feel more inclined to enlarge than to expend it.
A kindly feeling of indulgence on the part of the mistress towards her servants, in the matter of petty faults, coupled with good-natured attention to their daily comforts, and occasional permission to visit and receive a few of their near friends, would go far to create a cordial degree of attachment, which must be ever desirable to a respectable family, and cheaply purchased by such consideration. Mildness of language will generally be met by respectful language on the part of a servant, and of itself will produce a saving of temper at least to the master or mistress. Due praise will mostly be found a powerful stimulus to good, and in some measure a preventive to bad conduct, on the part of a servant.
Do not speak harshly or imperatively to servants, or tell them of their faults in the presence of strangers or visitors; but take the earliest opportunity of reproving them after your company have left.
821.Store-room.—A store-room is essential for the custody of articles in constant use, as well as for others which are only occasionally called for. These should be at hand when wanted, each in separate drawers, or on shelves and pegs, all under thelock and key of the mistress, and never be given out to the servants but under her inspection.
Pickles and preserves, prepared and purchased sauces, and all sorts of groceries, should be there stored; the spices pounded and corked up in small bottles, sugar broken, and everything in readiness for use. Lemon-peel, thyme, parsley, and all sorts of sweet herbs, should be dried and grated for use in seasons of plenty; the tops of tongues saved, and dried, for grating into omelets, &c.; and care taken that nothing be wasted that can be turned to good account.
Coarse nets suspended in the store-room are very useful in preserving the finer kinds of fruit, lemons, &c., which are spoiled if allowed to touch. Whenlemonsandorangesare cheap, a proper quantity should be bought and prepared, both for preserving the juice, and keeping the peel for sweetmeats and grating, especially by those who live in the country, where they cannot always be had; and they are perpetually wanted in cookery.
822.Sugar.—The lowest-priced and coarsest sugar is not the cheapest in the end, as it is heavy, dirty, and of a very inferior degree of sweetness; that which is most refined is the sweetest: the best has a bright and gravelly appearance. East India sugars appear finer in proportion to the price; but they do not contain so much sweetness as the other kinds. Loaf-sugars should be chosen as fine and as close in texture as possible, except they are for preserving, when the coarse, strong, open kind is preferable.
823.Pepper.—The finest Cayenne pepper consists of powdered bird-pepper; but, as this is of a bad color, it is often adulterated to heighten the color. English chilies, dried and pounded, make good pepper.
White pepper is inferior to black, although the former is sold at the highest price. White pepper is merely black pepper deprived of its outer coating, which has a stimulating property; so that white pepper is much weaker than black.
824.Cinnamon, when good, is rather thin and pliable, and about the substance of thick paper, of yellowish-brown color, sweetish taste, and pleasant odor: that which is hard, thick, and dark-colored, should be rejected.
825.Articles in Season.—Some weak-minded persons affect to despise articles of food when they are plentiful and cheap, not knowing that such is the time when the articles are in the greatest perfection.
Young and inexperienced housekeepers sometimes incur unnecessary expense by ordering articles of food when they are scarce, dear, and hardly come into season. This can only be prevented by attention to the seasons of different articles.
826.Every Family to make their own Sweet Oil.—With a small hand-mill, every family might make their own sweet oil. This may easily be done, by grinding or beating the seeds of white poppies into a paste, then boil it in water, and skim off the oil as it rises; one bushel of seed weighs fifty pounds, and produces two gallons of oil. Of the sweet olive oil sold, one-half is oil of poppies. The poppies will grow in any garden; it is the large-head white poppy, sold by apothecaries. Large fields are sown with poppies in France and Flanders, for the purpose of expressing oil from their seed for food. When the seed is taken out, the poppy head when dried is boiled to an extract, which is sold at two shillings per ounce, and it is to be preferred to opium, which now sells very high. Large fortunes may be acquired by the cultivation of poppies. Women and children could attend to the cultivation of any quantity required for their own use, in making oil, and it would be found a profitable branch of industry, when engaged in on a large scale.
827.Candles and Lamps.—In purchasing wax, spermaceti, or composition candles forcompany, there will be a saving by proportioning the length and size of the lights to the probable duration of the party. Mixed wax and spermaceti make the best candles, of which a longfour(that is, four to the pound,) will last ten hours; a shortsixwill burn six hours; athree, twelve hours.
A moderate-sized French table-lamp, will consume a quarter of a pint of oil in twelve hours and a half.
A common japanned kitchen-lamp, with one burner, will consume one-eighth of a pint of oil in nine hours.
828.Neats'-foot Oil.—Boil the feet for several hours, as for making stock for jelly; skim off the oily matter from time totime as it rises, and, when it ceases to come up, pour off the water; next day, take off the cake of fat and oil which will be found on the top; boil it and the oil before obtained, together with a little cold water; let it cool; pour off the water, and bottle the oil for use. This oil being perfectly pure, and free from smell, may be used with the French lights in a sick-room.
829.Soap.—Soap, as well as candles, is improved by keeping. Buy your store for the winter as early as September, and cut the large bars of soap into pieces, to dry. It goes farther, and is better.
830.Coals.—Lay in your stock of coal and wood, during summer, when fuel of all kinds is cheapest.
831.Good method of making Fires.—In managing your fires during the day, first lay on a shovelful of the dust and ashes from under the grate, then a few coals, then more ashes, and afterwards a few more coals, and thus proceed till your grate is properly filled, placing a few round coals in front. You will find that the ashes retain the heat better than coals alone; you will have less smoke, a pleasant fire, and a very little waste left at night.
832.Kitchen-Paper.—Whited-brown and common writing is much used: it should be bought by the ream or half-ream, which will be much cheaper than by the quire. White paper only should be used for singeing, and for covering meat, pastry, &c.
833.Economy in Tinder.—The very high price of paper, at present, renders the saving of even the smallest quantity of linen or cotton rags of consequence, as they sell very dear. Trifling as it may be thought, yet it will be found that a considerable quantity of rags may be saved in a family, by using as tinder for lighting matches, the contents of the common snuffers, collected in the course of the evening.
834.To prevent Accidents, from leaving a poker in the fire.—The following invention is equally simple and secure:—Immediately above that square part of the poker, by blacksmithscalled "the bit," let a small cross of iron, about an inch and a half each way, be welded in.
The good consequences of this simple contrivance will be—
1st. If the poker, by the fire giving way, should slip out, it will probably catch on the edge of the fender.
2d. If it should not, it cannot injure the hearth or carpet, as the hot part of the poker will be borne up some inches.
3d. The poker cannot be run into the fire further than the bit, which, in regard to a polished poker, is also of some consequence.
835. In a previous work—"Mrs. Hale's New Cook Book,"—I gave many receipts for preparing food for invalids and children; but something more is needed. Young mothers and nurses, who are often inexperienced, will, I am sure, thank me for taking pains to procure, from the most eminent authorities, the best directions and recipes to aid them in the discharge of their arduous and most important duties. The preservation of life, and the formation of the physical constitution, as well as the moral development of the young beings committed by Divine Providence to the especial care of woman, render it one of the best accomplishments of our sex, to learn all we can respecting the high vocation whereunto we are called, viz., that of conservators of humanity.
836.Of young Infants.—Immediately on the birth of the child, it should be received into soft fine flannel, sufficient completely to envelop or wrap round the body, in which, with the mouth and nose scarcely exposed, it should repose at least an hour. The child may then be washed withtepidwater, tenderly and cautiously, yet speedily made dry with soft linen cloth. Afterwards let it be expeditiously dressed, and put into a warm, bed, and, during the first week or fortnight, exposed as little as possible to cold air: how long this caution may be necessary, will depend on the season of the year, or the temperature of the atmosphere. By strictly adhering to this mode of managing a new-born infant, it will not suffer from catarrh, cough, difficulty of breathing, diarrhea, sore eyes, or stoppage in the head.
Children are frequently placed under the care of a nurse, who, from her experience, is supposed qualified for the important trust; but it often happens, either from her obstinacy or self-importance, that the most judicious plan of treatment recommended by the attending physician, is defeated.
At this period the mother is called on, by religious and moral obligation, as well as by the ties of natural affection, to suckle her infant: no doubt could be entertained of her immediate assent to so powerful an impulse, if uninfluenced by her friends or relatives. It cannot be denied, that she may be disqualified for the office by various maladies, by an incipient phthisis, by a scorbutic or scrofulous taint, by hysterical or nervous affections, &c. However, the fitness or unfitness of the mother for this endearing office, should be determined by the attending physician. There are many instances recorded of women who had been extremely delicate and sickly previous to their first confinement, becoming afterwards healthy and robust. On the contrary, there are several histories of other women, who previously had enjoyed good health, suffering from counteracting the regular process of nature. The flow of the milk being checked, undue determinations have taken place to the chest or head, and in some cases proved fatal.
In the bowels of children at the time of their birth, there is an accumulation of what is called "the meconium." For whatever purpose it was intended before the birth of the child, it would become injurious were it afterwards suffered to remain. Nature has provided the means for its removal, by giving to the new milk an aperient quality. Therefore it is advisable to wait, even to the third day, for the appearance of the milk, rather than attempt to remove the meconium by castor oil, or any other mild aperient medicine. The coats of the child's stomach and bowels are so extremely tender and irritable, that the mildest purgative will give pain, and disorder the health of the infant. By waiting for the milk, relief is obtained by the means nature has provided, without the slightest inconvenience.
837.Clothing.—The clothing for children cannot be too simple: it should be so formed as to admit of being easily and quickly changed, free from all bandages or pins, and secured only by tape. Shoes or stockings may be dispensed with, until the child begins to use its legs, as they keep the feet wet andunpleasant, unless changed every hour. The child left to itself, will soon begin to enjoy the use and freedom of its limbs.
838.Food.—The proper food for children is a subject of more importance. That which nature has provided is the milk of its parent; but, when this is lacking, a preparation formed of cow's milk and water, with a little loaf sugar, in the following proportions, supplies the desideratum:—Take of fresh cow's milk, one table-spoonful; hot water, two table-spoonfuls; loaf sugar, as much as may be agreeable. Such nourishment will alone be sufficient for its support, until the end of the first three months. At this period, it may require a small portion of light animal food, of which, how to select the most nutritious, to regulate the quantity, and to administer it, after proper intervals, must depend on the experience of the nurse. Experience is often superseded by convenience: if the child cries, the nurse attributes it to a want of food, and, by her agency, it is fed almost every hour, both night and day. It is seldom that a child cries from abstinence, if it be healthy and free from pain. In the infantile state, the powers of the digestive organs are much weaker than at a more advanced period of life; and therefore, although the food is more simple, it requires an interval of some hours to convert it into chyle: if this process be interrupted by frequent feeding, the chyle will be crude, and pass off without affording due nourishment to the child. Sickness in children arises from the quality or quantity of their food, unduly administered. The food for children should be light and simple—gruel alone, or mixed with cow's milk; mutton broth, or beef tea; stale bread, rusks, or biscuits, boiled in water to a proper consistence, and a little sugar added. The great mortality of children in large towns, may be attributed to the poverty of their parents, who cannot purchase the necessary food or clothing, nor find leisure to attend to cleanliness, air, and exercise, so indispensably necessary to the well-being of their offspring. In the wealthy ranks of society, these means are easily obtained; and in the management of their children, we have only to dread the abuse of these advantages. Happy would it be both for rich and poor, if the superfluities of the one could be transferred for the benefit of the other.
When six months old, a child may be fed every four hours, when awake. Nothing can be more injurious to health than too frequent or irregular meals. Children, if left to themselves,soon acquire the habit of passing through the night without being fed.
839.Weaningof children should not take place under six months, if the mother be in health, nor be deferred beyond nine months. It cannot be too frequently impressed on the mind of the parent, that the future health and strength of her child depend on a due supply of the food which nature has provided. Regarding her own health, the chances are that it will be improved—at all events, it is incumbent on her to make the experiment; if her strength falls off, she may at any time retire from the effort, and engage a wet-nurse.
Thisfoster-parentshould not be more than thirty years of age, nor should her milk be more than three months old. She should be in health, free from scorbutic or scrofulous taints, from cutaneous scurf, or eruptions, perfectly clean in her person, and extremely neat in her management of whatever concerns the child. She must be sober and temperate: her diet should consist of a due proportion of bread, fresh meat, and vegetables; her drink, tea, chocolate, and milk and water; but on no consideration either wine or any other spirituous liquors. These, if drank by the nurse, will prove injurious to the child.
840.Proper Medicines for Infants.—Nature has not only provided food for infants, but likewise given to them a constitution capable of correcting those slight deviations from health, to which alone they are liable when properly nursed. This has induced many to assert that medicines are not required in the nursery: perhaps the assertion might be correct, if children were suffered to remain in a state of nature: the further they are removed from it, the evils they have to contend with bear a proportionate increase. As most of their complaints arise from a want of attention to their food, to air, and exercise, by a prompt and skilful use of medicine, these complaints may be removed; therefore, it is not the use but the abuse of medicine that should be avoided. If a child be tormented by a pin running into the flesh, no one would contend against the removal of the pin.
The diseases to which children are liable, are sore eyes, sore ears, sore head, scald head, sickness and vomiting, thrush, redgum, yellow gum, pain in the bowels, diarrhea, dentition, chilblains, rickets, worms, scrofula, catarrh, cough, measles, &c.
841.Sore Eyesfrequently occur on the second or third day after the birth, occasioned by too early an exposure of the child to a cold atmosphere: the eyelids swell, become closed, and discharge a purulent matter. It may be relieved by fomenting the eyelids with equal parts of lime water and elder-flower water. Dip some fine old linen cloth into this mixture, moderately warmed, and apply it to the eyelids. This is a mild astringent application: if the swellings should not be reduced by it, the following, which is more astringent, will probably succeed: Take of white vitriol, two grains; rose-water, two ounces; mix them together. Should it be necessary, the quantity of white vitriol may be increased.
842.Sore Ears.—Excoriations of the skin frequently happen either behind the ears, in the folds of the skin, on the neck, in the groins, or wherever the folds of the skin, come in contact. Wash the skin morning and evening with cold water, make it perfectly dry with a fine linen cloth, then shake on lightly the following powder: Take white ceruse, one part; wheaten starch, in flour, three parts; mix them together. Or, take Goulard's extract, French brandy, of each, one drachm; rose-water, four ounces. Mix them together, and apply it with soft linen cloth to the excoriations of the skin.
The following liniment may be relied on: Take acetate of lead, one scruple; rose-water, half an ounce; melted beef marrow, one ounce. Rub the acetate of lead in the rose-water, until they are intimately mixed, then melt the marrow over a gentle heat; afterwards pour the mixture upon the marrow by little and little, taking care that each addition be incorporated with the marrow, so as to form an uniform mass. This may be applied with a camels'-hair pencil.
843.Sore Head.—This complaint appears first on the forehead, in large white spots or scabs, which, if neglected, soon spread over the whole surface of the head. It is sometimes dry, at others moist, with a thin, watery discharge. It is named the crusta lactea, or milky crust. There are two methods of treating it. Nurses encourage the discharge by applying cabbage leaves, oil-cloth, &c.; this is by no means necessary; itmakes the head offensive, and the appearance of the child disgusting. It is much better to cure it as soon as possible, by washing the scabs night and morning with equal parts of brandy and water; then lay on the following ointment: Take, olive oil, five drachms; white wax, two drachms; calcined zinc, one drachm. Melt the oil and wax together, then add the zinc by degrees, and keep stirring it until they are intimately mixed.
844.Scald Headis totally unlike the preceding disease: brown-colored scabs appear on the crown of the head, which discharge a glutinous matter, and unite the hairs, so as to prevent their being separated with a comb: these scabs continue to spread until they occupy the whole of the scalp.
Keep the hair cut as close as possible, wash the head with a strong solution of soap in water, night and morning; as soon as it can be done, instead of cutting the hair with scissors, let it be shaved close once a day.
Every one has a remedy for this complaint; perhaps the following ointment will be found one of the most effective: Take Barbadoes tar, one ounce; the dust of the lycoperdon, or puff fungus, one drachm. Mix them well together, and rub in a part of it to the roots of the hair, after washing the head with the soap and water. By steadily persevering in these means, and giving an occasional purge, the cure will soon be accomplished.
845.Sickness and Vomiting.—Soon after the birth, children are frequently annoyed by these symptoms: they are occasioned by the indiscreet conduct of the nurses, who are apt to give either improper food or medicine. At this early period, as before remarked, the stomach is incapable of digesting any other food than the milk of its mother; consequently, whatever is forced into it, remains there undigested, until, by a convulsive effort, it is thrown off by vomiting. So long as it remains in the stomach, the child is restless, and in other respects indisposed. It may be relieved by a tea-spoonful of castor-oil, to be repeated, until one or two motions are occasioned.
Children who are dry nursed are most subject to sickness and vomiting; the natural remedy is the breast of a healthy woman. Without this relief, gripings and diarrhea frequently come on and prove fatal.
Children so circumstanced, may be relieved by the following emetic:
Take of ipecacuanha, two drachms; boiling water, four ounces. Let them stand together until the water grows cold, then strain off the liquor. To one ounce of the liquor, add eight drops of antimonial wine. Dose, two tea-spoonfuls every half hour, until it excites vomiting.
846.The Thrush, or sore mouth, is a complaint very painful, and, if neglected, fatal to children. When it first comes on, it resembles small pieces of curd lying loose upon the tongue; it gradually spreads itself over the inside of the mouth, but afterwards rapidly advances to the throat, stomach, and bowels. Therefore, when the white specks appear, proper means should be instantly employed to remove them, or to suspend their progress. If the child be costive, give the following aperient:
Take of calcined magnesia, two scruples; common mint water, two ounces; mix them together. The dose, a dessert-spoonful every half hour, until it operates. Or, take of manna, one ounce; senna leaves, one drachm; common mint-water, four ounces. Boil them together, until the manna be dissolved, then strain off the liquor. Dose, two drachms every half hour, until two or more motions are occasioned.
For cleaning the mouth, take equal parts of borax and white sugar; rub them together into a fine powder. Of this put a small quantity into the child's mouth, which will be distributed to every part by the motion of its tongue. Repeat this application three or four times a day: if used early, it will keep the mouth free from white specks, and remove the complaint in a few days.
If, on the contrary, it should be neglected, and suffered to extend to the stomach and bowels, gentle emetics ought to be employed, such as the following antimonial emetic: Take of antimonial wine, forty drops; mint-water, two ounces. Mix them together. Dose, a dessert-spoonful every half hour, until it excites vomiting.
This disease rarely occurs in children, who take no other food but the milk of the mother, or foster-parent. It is so far contagious, that if a healthy child be put to the breast of a woman, who is suckling another child, having the thrush, it will contract this complaint.
847.Red Gumrequires no farther attention than keeping the bowels gently open, and avoiding an exposure to cold air. It is symptomatic of healthy action, and ought not to be checked.
848.Infantile Jaundice.—The skin of new-born infants is sometimes tinged with bile, and gives the appearance of jaundice; by some it has been named the yellow gum. It seems to be occasioned by the sudden change in the circulation of the blood, immediately on the birth, by which an increased flow of blood is conveyed to the liver, and consequently an increased secretion of bile follows, which from various causes may be prevented from passing off freely into the intestines. It is attended with no danger, and is generally removed by mild purgatives.
The hare-lip, frænum linguæ, or tongue-tied, requires surgical aid.
849.Pain in the Bowelsmay happen with or without diarrhea, and is often produced by improper food, or exposure to cold air. The symptoms are frequent fits of crying, drawing up the knees towards the bowels, which are hard and tense to the touch, accompanied either with an obstinate costiveness, or thin, watery, and frequent evacuations, slimy, sour, and of a green color. This complaint is oftentimes relieved by the following powders: Take Turkey rhubarb, in very fine powder, calcined magnesia, of each, twelve grains; compound powder of ipecacuanha, four grains. Mix them well together, and divide them into six doses: one to be given night and morning, to a child under three months; above that age, the dose should be increased.
The health and diet of the mother, or nurse, should be strictly attended to. In some cases the pain is extremely acute, and the agony of the child is known by its cries. Whenever this happens, the following mixture may be given: Take of Turkey rhubarb, in fine powder, twelve grains; magnesia, eight grains; tincture of rhubarb, one drachm; syrup of poppies, two drachms; simple mint-water, an ounce and a half. Mix them together. Dose, if within the first or second month, two tea-spoonfuls every fourth hour. The phial should be shaken before the medicine is poured out.
850.Other remedies for the Colic in Infants.—A great variety of cordials, spices, and opiates, has been recommended, and frequently used, to relieve the pain and expel the wind. They may sometimes answer the purpose, especially in sudden fits of pain in the stomach, from cold or any other accidental cause. At all times, they should be sufficiently diluted with water, cautiously given, and seldom repeated. When the effects of these medicines go off, the pain returns; therefore it is not a desirable mode of obtaining relief. Of the cordials, Geneva, mixed with water, is the least objectionable; being impregnated with the essential oil of juniper-berries, it is an excellent and safe carminative. However, these warm medicines are by no means to be relied on for the removal of the cause of this malady, their effect being merely temporary: such as Godfrey's cordial, and other nostrums—being compounds of opium, spices, and brandy. Opium, when judiciously administered, is an invaluable remedy; the dose of it should be most accurately proportioned to the age of the patient, and urgency of the symptoms, otherwise it may become apoison; and, therefore, should never be given to children, unless under the direction of the most skilful in the profession. Few nurseries are without a medicine of this kind; it quiets the pain of the infant, induces sleep, and leaves the nurse to her repose. Children under this treatment become languid, pallid, incapable of exertion, and, at length, rickety.
The following anodyne mixture will generally relieve the griping pains of diarrhea:—Take of prepared chalk, and gum-arabic, each one drachm; syrup of white poppies, three drachms; Geneva, two drachms; water, four ounces. Mix them together. Dose, a dessert-spoonful after each motion.
In bowel-complaints, chalk has been objected to, as too powerful an astringent in checking diarrhea suddenly: this may be obviated by giving it only after each motion. When the bowels have been previously acted on, either by the rhubarb powders, or by the antimonial emetic, the chalk mixture is a never-failing remedy. It may be given with or without opium, according to the urgency of the symptoms.
The following medicine, by exciting a determination to the skin, effectually relieves the sufferings of the child:—Take ipecacuanha, in coarse powder, two drachms; boiling water, four ounces. When cold, strain off the liquor through a fine piece of linen cloth: then add to three ounces of this liquor—of Geneva,three drachms; syrup of white poppies, two drachms. Dose, a dessert-spoonful every fourth hour.
When this state of the bowels is followed by convulsions, the lower extremities, or the whole body, should be immersed in a warm bath. During the preparation of a bath, flannel dipped in warm water and wrung dry, may be applied to the extremities. Leeches and blisters, under skilful directions, will subdue the violence of the symptoms.
851.Convulsions—Are generally symptomatic, and, for the most part, in children, occasioned by the growth of their teeth: therefore, the gums should be carefully examined, to ascertain whether they arise from this cause; if so, the lancet should be immediately and freely used, to divide the gum down to the teeth. This operation is not painful, nor in the least degree hazardous, therefore ought not to be delayed.
852.Dentition.—There is no period in infancy that requires more skill and attention, than that which passes from the first movement of the teeth in their sockets, to their subsequent advance through the gums. At the birth of the child, the teeth are lodged within the jaw-bones, and enveloped by a membrane or bag, which is distended as the teeth enlarge and press forward, frequently attended with pain, fever, diarrhea, and convulsions. These symptoms first appear towards the end of the third month, when the child is said to be breeding its teeth: they arise from the first enlargement of the teeth in their sockets, and subside as soon as they pass above the jaw. Between the sixth and ninth month, the teeth as they rise, press upon the gums, when the same train of symptoms take place. Some children suffer very little pain during this process; others suffer most severely: this depends chiefly on the nerves being more or less irritable. When the child preserves its appetite and cheerfulness, and is free from fever, no medicine can be required, except what may be necessary to obviate costiveness. This should be carefully attended to, as nothing tends more effectually to relieve or prevent the symptoms of dentition, than a free discharge from the bowels.
An increased secretion of saliva marks the first advance of the teeth, followed, in irritable habits, by diarrhea, fever, thirst, and convulsions. The use of the gum-lancet should not be neglected, whenever the symptoms are urgent. The parentsfrequently object to this mode of relief, conceiving it to be a painful operation. As a proof of the contrary, children that have once been relieved by it, will eagerly press their gums upon the lancet. If the tooth should not appear after the first use of the lancet, the incision may be frequently repeated.
The symptoms may be relieved by the following emetic:—Take of tartar-emetic, one grain; dissolve it in two ounces of distilled water. Dose, two tea-spoonfuls every half-hour, until it excites vomiting.
This remedy will relax the tension of the gums, and lessen the force of the fever.
If the habit of the child should be costive, the mildest purgatives should be employed, to occasion two or more motions daily—such as manna, dissolved in common mint-water; or senna-tea; or the following:—Take of senna leaves, one drachm; the yellow rind of the lemon, eight grains: boil them in two ounces of water; strain off the liquor, when cold; and give a dessert-spoonful as a dose for children three or four months old. Or, take manna and fresh-drawn oil of sweet almonds, of each, one ounce; syrup of roses, two ounces: mix them together. Dose, a dessert-spoonful.
853.The Croup—At its commencement has the appearance of common catarrh, but speedily assumes its peculiar character, which is marked by hoarseness, with a shrillness and ringing sound in coughing and breathing; so shrill is the noise made by the child, that it resembles the sound of air forced through a tube of brass. This inflammation, seated in the membrane which lines the windpipe, is attended with stricture, difficult respiration, cough, quick pulse, heat, and a flushed countenance.
This disease comes on suddenly, and is extremely rapid in its progress; therefore, vigorous measures must be instantly adopted. Give an emetic, then apply a blister across the throat, and keep the bowels open with laxative injections.
854.Cure for Croup.—Dr. Fisher, of Boston, relates in a late number of the MedicalJournal, a case in which a severe attack of croup was cured by the application of sponge, wrung out of hot water, to the throat, together with water treatment, which he describes as follows:—
"Soon after making the first application of sponges to the throat, I wrapped the child in awoolenblanket, wrung out inwarm water, as a substitute for a warm bath, and gave twenty drops of the wine of antimony in a little sweetened water, which was swallowed with difficulty. I persevered in the application of the hot, moist sponges for an hour, when the child was so much relieved that I ventured to leave it.
"These applications were continued through the night, and in the morning the child was well."
It will never do to trifle with this terrible disease. The quicker the remedies are applied, the better. Instead of antimony, we would recommend small quantities of alum water, given every ten or fifteen minutes, until the child vomits.
855.Rickets—Are, for the most part, induced by improper food and bad nursing. Their approach is marked by a sickly, pallid countenance, cough, and difficult respiration. The bones of the legs and arms lose their firmness, and become more or less crooked; the bones of the head do not unite, and the spine becomes distorted. At its first appearance it may be successfully counteracted by a strict attention to cleanliness in every thing that concerns the child, by exercise in the open air, by cold bathing, by friction of the limbs night and morning, and by a light, nutritious diet. Before the use of the bath, the bowels should be cleared by the following aperient powder:—
Take of Rhubarb, in fine powder, six grains; calcined magnesia, three grains; common mint-water, six drachms. Mix them together.
During the use of the cold bath, either Peruvian bark or steel may be employed to strengthen the child: such as,
The precipitate of the sulphate of iron, three grains; syrup of cinnamon, a tea-spoonful. When mixed, to be taken three times a-day. Or, take of the resinous extract of bark, one drachm; the syrup of cinnamon, seven drachms. Mix them together. The dose, a tea-spoonful, three times a-day.
856.Scrofula.—Although it has been considered as an hereditary disease, may be induced in a child, whose parents have no such taint, by a neglect of proper food, air and exercise. On the contrary, when the taint does exist in the parent, the offspring may pass through life with the enjoyment of tolerable health, by a strict attention to those means which are known to invigorate the body. Of preventives, there are none so efficacious as sea air, sea bathing, and the internal use of the sea water,in sufficient quantity to act on the bowels, and the local application of it to the glands which are enlarged. Indeed, the children of diseased parents should reside on the coast, in order to have the full benefit of these advantages. Friction should be applied generally on the surface of the body, with the hand covered with a flannel glove, night and morning. Food of easy digestion is to be preferred, such as shell-fish, game, poultry, beef or mutton. Bark and steel, as medicines, may be occasionally administered with good effect. This disease, which bids defiance to the regular physician, cannot with propriety be placed on the list of casualties, or sudden seizures.
857.Worms.—There are three species of worms which infest the intestines: namely, the flat worm, or tænia; the long, round worm, lumbrici; the short, round worm, or ascarides. The tænia is of rare occurrence when compared with the lumbrici or ascarides, but more difficult to remove. Full doses of sulphate of iron, with occasional active doses of calomel, force them to retire. The lumbrici are destroyed by repeated doses of calomel and scammony. The ascarides, being found in the lowest portion of the intestines, are easily removed by injections of lime-water, or a solution of aloes.
Parents who would preserve their children from worms, ought to allow them plenty of exercise in the open air; to take care that their food be wholesome and sufficiently solid; and, as far as possible, to prevent their eating raw herbs, roots, or green trashy fruits. It will not be amiss to allow a child who is subject to worms, a glass of red wine after meals; as every thing that braces and strengthens the stomach, is good both for preventing and expelling these vermin. In order to prevent any mistake of what I have here said in favor ofsolidfood, it may be proper to observe, that I only made use of that word in opposition toslopsof every kind; not to advise parents to cram their children with meat, two or three times a-day. This should only be allowed at dinner, and in moderate quantities, or it would create, instead of preventing, worms; for there is no substance in nature which generates so many worms as the flesh of animals, when in a state of putrefaction. Meat, therefore, at the principal meal, should always be accompanied with plenty of good bread, and young, tender, and well-boiled vegetables; especially in the spring, when these are poured forth from the bosom of the earth in such profusion. They promote the end in view, bykeeping the body moderately open, without the aid of artificial physic. The ripe fruits of autumn produce the same effect; and, from their cooling, antiputrescent qualities, are as wholesome as the unripe are pernicious. I also very earnestly conjure parents not to take the alarm at every imaginary symptom of worms, and directly run for drugs to the quack, or apothecary. They should first try the good effects of proper diet and regimen, and never have recourse to medicines till after unequivocal proofs of the nature of the complaint.
Honey and milk are very good for worms; so is strong salt water; likewise, powdered sage and molasses taken freely.
858.Quinsy—Is the common inflammatory sore throat, attended by a sense of heat and fulness in the throat, by difficult deglutition, generally preceded by shivering, with a sense of coldness. On inspection, the tonsils appear red and enlarged. These symptoms continuing to increase, the patient is threatened with suffocation, the tonsils suppurate, when, by a spontaneous bursting of the abscess, relief instantly follows. It often happens that the abscess does not give way so soon as expected, when the puncture of a lancet puts an end to the alarming sufferings of the patient. In some cases, the quantity of matter contained in the tumor is very considerable, and instances have occurred, when, from the sudden bursting of the tumor, the patient being in a horizontal position, suffocation has followed, from the matter falling into the lungs.
To guard against these evils, an emetic of ipecacuanha should be administered, and a blister applied to the neck. As soon as the effect of the emetic has ceased, and the stomach will receive it, give the following aperient mixture:—Take of tartarized kali, three drachms; infusion of senna, two ounces; tincture of senna, two drachms. Mix them together.
If blisters are objected to, a piece of fine flannel, moistened with the compound spirit of ammonia, may be placed round the neck. Gargles are to be used in every stage of this disease; at first, they should be mildly detergent, as the following:—Take of barley-water, six ounces and a half; honey of roses, one ounce; tincture of myrrh, and vinegar, of each, two drachms. Mix them together, and cleanse the mouth and throat with some of the gargle from time to time.
When the violence of the symptoms begins to subside, a sharper gargle becomes necessary; for this purpose the followingis recommended:—Take of infusion of red roses, seven ounces; honey of roses, one ounce; diluted sulphuric acid, twenty drops. Mix them together.
Throughout the course of this disease, keep the bowels open with mild purgatives or laxative injections. When the swelling of the tonsils comes on rapidly, send instantly for a surgeon.
859.Whooping Cough.—This is a violent, convulsive cough, attended at first with slight febrile symptoms. Its shortest duration is three weeks; during this time, the symptoms may be rendered milder, or more aggravated, by the mode of treatment.
During the first three or four weeks, keep the child or patient in an uniform degree of temperature; if possible, never below 64 degrees of Fahrenheit's scale. The diet should be light, chiefly bread, milk, and vegetables with butter. Rice or Indian puddings, with plenty of molasses, are good food for children in this disease. If the cough is very violent, and the phlegm hard in the throat, a gentle emetic of ipecacuanha, or some preparation of antimony, should be given every second or third morning, to clear the stomach from the mucus which, in this cough, is constantly secreted. By these means, the violence of the disease will soon be overcome; whereas, by an exposure to cold air, and neglecting all precautions, you may aggravate and continue the cough for months. In the summer, change of air is one of the best remedies; and be sure to avoid whatever has a tendency to irritate the throat, or excite the action of the heart. In this, as in every other disease, the state of the bowels should be carefully attended to. A mild aperient is sometimes necessary.
860.Colds.—The bestpreventiveof colds, is to wash your children every day thoroughly in cold water, if they are strong enough to bear it; if not, add a little warm water, and rub the skin dry. This keeps the pores open. If they do take cold, give them a warm bath as soon as possible; if that is not convenient, bathe the feet and hands, and wash the body all over in warm water; then give a cup of warm tea, and cover the patient in bed.
861.—If aSore Throatfollow, take a tumbler of molasses and water, half-and-half, when going to bed; and rub the throatwith a mixture of sweet or goose-oil and spirits of turpentine; then wear flannel round it.
862.Canker, or Sore Month.—Steep blackberry-leaves, sweeten with honey, sprinkle in a little burnt alum, and wash the mouth often with this decoction.
863.Cutaneous Eruptions in Children.—Children, while on the breast, are seldom free from eruptions of one kind or other. These, however, are not often dangerous, and ought never to be dried up but with the greatest caution. They tend to free the bodies of infants from hurtful humors, which, if retained, might produce fatal disorders. The eruptions of children are chiefly owing to improper food and neglect of cleanliness. If a child be stuffed at all hours with food that its stomach is not able to digest, such food not being properly assimilated, instead of nourishing the body, fills it with gross humors. These must either break out in form of eruptions upon the skin, or remain in the body, and occasion fevers and other internal disorders.
Eruptions are the effect of improper food, or want of cleanliness: a proper attention to these alone will generally be sufficient to remove them. If this should not be the case, some drying medicines will be necessary. When they are applied, the body ought at the same time to be kept open, and cold is carefully to be avoided. We know no medicine that is more safe for drying up cutaneous eruptions than sulphur, provided it be prudently used. A little of the flour of sulphur may be mixed with fresh butter, oil, or hog's lard, and the parts affected frequently touched with it.
The most obstinate of all the eruptions incident to children are, thetinea capitis, or scabbed head, and chilblains. The scabbed head is often exceedingly difficult to cure, and sometimes, indeed, the cure proves worse than the disease. I have frequently known children seized with internal disorders, of which they died soon after their scabbed heads had been healed by the application of drying medicines. The cure ought always first to be attempted by keeping the head very clean, cutting off the hair, combing and brushing away the scabs, &c. If this is not sufficient, let the head be shaved once a-week, washed daily with yellow soap, and gently anointed with a liniment made of train-oil, eight ounces, red precipitate, in fine powder, one drachm. And if there be proud flesh, it should betouched with a bit of blue vitriol, or sprinkled with a little burnt alum. While these things are doing, the patient must be confined to a regular light diet, the body should be kept gently open, and cold, as far as possible, ought to be avoided. To prevent any bad consequences from stopping this discharge, it will be proper, especially in children of a gross habit, to make an issue in the neck or arm, which may be kept open till the patient becomes more strong, and the constitution be somewhat mended.
864.Wounded Feet.—When a nail or pin has been run into the foot, instantly bind on a rind of salt pork; if the foot swell, bathe it in a strong decoction of wormwood, then bind on another rind of pork, and keep quiet till the wound is well. The lockjaw is often caused by such wounds, if neglected.
865.For a Bruise or Sprain.—Bathe the part in cold water, till you can get ready a decoction of wormwood. This is one of the best remedies for sprains and bruises. When the wormwood is fresh gathered, pound the leaves and wet them either with water or vinegar, and bind them on the bruise; when the herb is dry, put it into cold water, and let it boil a short time, then bathe the bruise and bind on the herb.
Always keep cotton wool, scraped lint, and wormwood on hand.
866.Ear-ache in Children.—The ear-ache is usually caused by a sudden cold. Steam the head over hot herbs, bathe the feet, and put into the ear cotton wool wet with sweet oil and paregoric.
867.To make Artificial Sea Water, for bathing Children.—Take common sea salt, two pounds; bitter purging salt, two ounces, magnesia earth, half an ounce; dissolve all in river water, six gallons. These are the exact proportions and contents of sea water, from an accurate analyzation.
868.Another method of making Sea Water.—Take common salt, half an ounce; rain, or river water, pure, a pint; spirit of sea salt, twenty drops. Mix it.
869.Valuable concise Rules for preserving Health in Winter.—Keep the feet from wet, and the head well defended when in bed; avoid too plentiful meals; drink moderately warm and generous, but not inflaming liquors; go not abroad without breakfast. Shun the night air as you would the plague; and let your houses be kept from damps by warm fires. By observing these few and simple rules, better health may be expected than from the use of the most powerful medicines.
870.Avoid, as much as possible, living near Church-yards.—The putrid emanations arising from church-yards are very dangerous; and parish-churches, in which many corpses are interred, become impregnated with an air so corrupted, especially in spring, when the ground begins to grow warm, that it is prudent to avoid this evil as much as possible, as it may be, and, in some cases, has been, one of the chief sources of putrid fevers which are so prevalent at that season.
871.Cautions in visiting Sick Rooms.—Do not venture into a sick room if you are in a violent perspiration; for the moment your body becomes cold, it is in a state likely to absorb the infection; nor visit a sick person, (if the complaint be of a contagious nature,) with anempty stomach, nor swallow your saliva. In attending a sick person, place yourself where the air passes from the door or window, to the bed of the invalid, not between the invalid and the fire, as the heat of the fire will draw the infectious vapor in that direction, and you would run much danger from breathing in it.
872.Syncope, or Fainting.—When fainting comes on from loss of blood, inanition, or sudden emotions of the mind, the patient should be placed in a horizontal position, with the head gently raised. Volatile salts should be applied to the nose, and when the patient is sufficiently recovered, a few spoonfuls of warm cordial medicine should be administered.
873.Preventive of Autumnal Rheumatisms.—For the sake of bright and polished stoves, do not, when the weather is cold, refrain from making fires. There is not a more useful document for health to the inhabitants of this climate, than "follow your feelings."
874.To promote Sleep.—No fire, candle, rush-light, or lamp, should be kept burning, during the night, in a bed-room; for it not only vitiates the air, but disturbs the nerves of the child. Keep the bed-chamber well ventilated—this greatly promotes healthful rest.
875.Useful Properties of Celandine.—The juice of this plant cures tetters and ring-worms, destroys warts, and cures the itch.
876.Singularly useful Properties of Garlic.—The smell of garlic, which is formidable to many ladies, is, perhaps, the most infallible remedy in the world against the vapors, and all the nervous disorders to which women are subject. Of this (says St. Pierre) I have had repeated experience.
877.The Usefulness of two common Plants.—Every plant in the corn-field possesses virtues particularly adapted to the maladies incident to the condition of the laboring man. The poppy cures the pleurisy, procures sleep, stops hemorrhages, and spitting of blood. Poppy seeds form an emulsion similar to that from almonds in every respect, when prepared in the same manner. They also yield, by expression, fine salad oil, like that from Florence. The blue-bottle is diuretic, vulnerary, cordial, and cooling; an antidote to the stings of venomous insects, and a remedy for inflammation of the eyes.
878.Good Temper.—An even temper is among the principal qualifications, if not the most desirable one, for a good nurse; and without this gentleness and a kind manner, she must be considered deficient.
879.Firmness.—Next in importance to good temper, arefirmnessand decision of character, the exercise of which is frequently, or rather absolutely indispensable, in the management of the sick.
880.Discrimination.—This talent enables the nurse to distinguish between circumstances which, to an unobserving person, appear nearly allied to each other, but where there is, inreality, an important difference. It is only or generally acquired by experience and observation, and requires good sense as its foundation and support. It is the faculty of right judgment.
881.Self-denial.—The business of taking care of the sick, if rightly attended to, requires a devotion to the interests and wants of the patient, which can only be given by the good nurse, who can willingly, and from her heart, practise the heavenly precepts of doing as she would be done by, and denying herself any indulgences that interfere with her duties.
882.General Intelligence.—Another important qualification of a good nurse, is such knowledge of reading, and subjects of general interest, as make her able to interest and amuse her patient during the weary hours of slow recovery, or desponding intervals of intermitting diseases.
883.Abstinence from improper habits.—The habit of using snuff in any manner—smoking—sipping intoxicating liquors—taking opium—or indulging in any improper and disagreeable habit of actions or expressions, should be carefully avoided by those who hold the responsible and important station of nurses of the sick.
884.Cleanliness.—This is a cardinal virtue; and no woman can be a good nurse who is careless in her own apparel, and slatternly in her habits. In the preparation of food for the sick, the most scrupulous neatness should be observed.
885.Industry, Economy, and Good Housewifery.—All three of these qualifications are essential, and usually associated in the same person; but, theexerciseof qualities is necessary to their improvement—and a nurse who has proved herself competent, is most worthy of being trusted.
886.Prudence and Piety.—The principles of true discretion, or prudence of character, are based on the Christian religion, as are all the moral virtues. The nurse must be religious, or she will rarely be discreet; and the opportunities constantly afforded her of influencing the mind and heart of her patient,render her station one of great trust and responsibility. Agood nurseis a woman that deserves honor as well as reward.
887.Rules for the Nurse.—1. Keep the patient's room quiet, well-aired, and clean as possible.
2. Never excite disagreeable mental emotions in the sick, by telling sad stories and melancholy news; nor allow the presence of unpleasant persons or objects.
3. Never whisper, nor seem to be telling what the sick are not permitted to hear.
4. Administer to the necessities of the invalid, promptly and kindly; but do not worry him with questions and constant attentions, when these are not needed.
5. Never disturb the quiet sleep of the patient, even to give medicine, unless peremptorily charged to do so by the physician. A refreshing sleep is often better than medicine, for the sick; but do not sleep yourself, and allow the suffering one to lie awake, and needing your care.
888.Administering Medicine.—There are certain rules, if observed in giving medicine, that will render the duty less disagreeable to the nurse, by making it more tolerable to the patient.
1st. Select the most agreeable and suitable ingredient in which it is to be exhibited.
2d. Take as small a quantity of this as can possibly be made to answer the purpose of mixing.
3d. If it be disagreeable to the taste, prepare the mouth for its reception by holding in, and rinsing it with some acid, as strong vinegar, lemon juice, or something of the kind.
4th. Never mix the medicine within sight or hearing of the patient.
5th. Let it be prepared without her knowledge; and insist upon its being taken immediately upon being presented, for the longer her mind is permitted to dwell upon it, the more abhorrent it will become.
6th. Endeavor to destroy the taste and smell as much as possible, by any appropriate means, when it has not been done by the apothecary or physician.
7th. Let the mouth be well rinsed with the acid after taking it, and let a swallow or two of lemonade, or some other admissible drink, be taken.
889.Plasters and Poultices—Mustard Plasters.—Take a sufficient quantity of bread crumbs finely rubbed, add mustard in proportion to the required strength; form a poultice of the proper consistency, by adding vinegar or water. Dr. Wood thinks water preferable, as he is of the opinion that vinegar destroys an essential property of the mustard. Mustard employed for this purpose should be whole grain, fresh as can be procured, and bruised or mashed in a mortar, or by any other convenient means. When mustard cannot be procured, horse radish leaves may be substituted; they must be rolled with a rolling-pin, to mash and make soft the hard stems, and withered by pouring over them a little scalding water.
After they have been applied, the feet must be frequently examined to see that they do not get cold. Often more harm than good is done by the nurse neglecting this part of her duty. Burdock and cabbage leaves are frequently directed to be applied to the feet; they are prepared in the same manner, and require the same attention.
890.Spice Plaster.—Pulverized cloves, cinnamon, and Cayenne pepper, half an ounce each; mix, and add flour and wine of galls, or diluted spirits, to form this plaster; lay it hot on the region of the stomach. It is excellent for pains and spasms.
891.Alum Cataplasm.—Take any quantity of the white of eggs; agitate it with a large lump of alum, till it be coagulated.
892.Cataplasm of common Salt.—Take crumbs of bread, and linseed meal, of each equal parts; water, saturated with salt, a sufficient quantity to give it a proper consistency.
This poultice may be applied to the indolent swellings of the glands, in scrofulous habits, where the patient is deprived of the benefit of the sea air and water. A constant use of it will frequently occasion great inflammation of the skin, requiring a suspension of its use for a few days; but as soon as the inflammation subsides, it should be repeated. By the use of this poultice, strumous humors, and scrofulous enlargements, of a chronic nature, have been totally dispersed.
893.Cerate of Cantharides.—Take of spermaceti ointment, six drachms; cantharides, in fine powder, one drachm. Mix them together.
This is the proper application to keep up a constant discharge from the part to which a blister has been applied.
894.Bark Poultice.—Take of Peruvian bark, one ounce: sprinkle it over a piece of thick muslin of the required size; take another piece of the same size; lay it over the bark, and quilt them together, to keep the bark to its place; moisten it with brandy or vinegar. Some of the aromatics may be used in conjunction with the bark, if indicated.
Let it be worn over the stomach and bowels. It has proved singularly beneficial in cases of obstinate intermittents, and debility arising therefrom.
895.Mush Poultice.—Mush poultices are sometimes ordered; this constitutes an invaluable application in cases of violent pain in the stomach and bowels, such as colic, cramp, &c. It is made by simply boiling the corn-meal until it attains the proper consistency. It must be spread on a cloth, and applied as warm as can be endured. We have known the most inveterate cases relieved by it in fifteen minutes.—Shore.
896. A few rules, the reasons for which may be found in the Introductory Remarks of "Mrs. Hale's New Cook Book," will be of some advantage here:—
First. Select those substances that are the most soluble—that are readily converted into chyle by thegastric juice.
Second. Those that experience has shown to be the most nutritious.
Third. Those that contain the least amount of stimulus.
Fourth. These to be given in quantity and frequency proportioned to the general strength or debility of the patient.
By careful observation, the feelings of the invalid will be found to furnish the most unequivocal evidence of the truth of the foregoing principles—any deviation from which will soon be attended with symptoms more or less unpleasant.
897.Arrow-root—Contains, in small bulk, a greater proportion of nourishment than any other farinaceous substance yet known.
Take of arrow-root, one table-spoonful; sweet milk, half a pint; boiling-water, half a pint: boil these together for a few moments.
898.Arrow-root Jelly.—Take one spoonful of arrow-root, and cold water sufficient to form a paste; add one pint of boiling water: stir it briskly, and boil it a few minutes, when it will become a smooth, clear jelly. A little sugar and sherry wine may be added, for debilitated patients; but for infants, a drop or two of the essence of caraway-seed or cinnamon is preferable, wine being very apt to become acid in the stomach of infants, and thus disagree with the bowels.
899.Sago.—Take two table-spoonfuls of sago, and one pint of boiling water; stir together, and boil gently, until it thickens. Wine, sugar, and nutmeg may be added, according to circumstances.