PUERPERAL FEVER, 984

Definition, 984

Frequency, 984

Etiology, 1013

Atmosphere, impure, influence on causation, 1013, 1014

Malaria, nosocomial, influence on causation, 1013

Micro-organisms, influence on causation, 1013-1015

Lochial discharge, influence on causation, 1015

Atmosphere, peculiar states of, on causation, 1016

Direct inoculation, 1016

Contagiousness of, 1017

Contagion, physicians as carriers of, 1017

Dissecting poison, 1018

Self-inoculation, 1019

Morbid anatomy, 985

Spiegelberg's classification of puerperal inflammations, 986

Endocolpitis and endometritis, 986

Diphtheritic ulceration, 986

Metritis and parametritis, 987

Diphtheritic endometritis, 987

Pelvic cellulitis, 988

Cellulitis from specific infection, 988

Peritonitis, pelvic and diffused, 988

exudation in, 989

general, 989

appearance of abdominal cavity, 989

ovaries, 989

Phlebitis and phlebo-thrombosis, 989

Thrombi in uterine and pelvic veins, 989

Abscesses, 989

pulmonary, 989

Veins, inflammation, 989

Thrombi, growth, 990

Septicæmia, 990

Abscesses, metastatic, 990

Endocarditis, ulcerative, 990

Pleuritis, 990

Joints, purulent inflammation, 990

Earlier views concerning nature, 990

Modern view concerning nature, 992

Septic origin, 993-1003

Bacteria, relation to causation, 994

Koch's investigations of, 997

physical characters, 999

modes of entering the circulation, 1000

action of, upon the blood, 1000

Diphtheria of genitalia, characters, 1002

Relation of, to erysipelas, 1002

Inflammatory affections of non-specific origin, 1003

Symptoms, general, 1004

Incubation period, 1004

Chill, significance of, 1005

Of endometritis and endocolpitis, 1005

temperature, 1005

Parametritis and perimetritis, 1005

Incubation, 1006

Temperature, 1006

Pulse, 1006

Relapse, 1006

Headache, 1007

Pains, 1007

Vomiting, 1007

Duration, 1007

Exudation, 1007

Uterus fixity of, 1007

Tumors in iliac fossa, 1008

Abscesses, 1008

location, 1008

pointing of, 1008

Local peritonitis, 1009

Of psoas abscess, 1010

Of peritonitis, general, 1010

Pains, 1010

Abdomen, state, 1010

Respiration, 1010

Vomiting, 1010

Vomit, characters, 1010

Fever, 1010

Skin, 1010

Pulse, 1010

Pyæmic form, 1011

Of septicæmia lymphatica, 1011

Mode of onset, 1011

Temperature in, 1011

Abdomen, state, 1011

Skin, state, 1011

Vomiting, 1011

Tongue, condition, 1011

Pulse, condition, 1011

Respiration, 1012

Pleurisy in, 1012

Endocarditis, 1012

Mental condition, 1012

Joint affections in, 1012

Duration, 1012

Of septicæmia venosa, 1012

Chills in, 1012

Fever in, 1012

Temperature in, 1012

Pulse in, 1012

Abdomen, state of, 1012

Uterus in, 1012

Of pure septicæmia, 1013

Mortality, 1020

Relation of, to zymotic diseases, 1020

Prophylaxis, 1021

Maternity hospitals, advantages, 1021

Necessity of light and air, 1024

Antisepsis, value, 1024

methods, 1025

Sulphurous acid, use, 1025

Corrosive sublimate, use, 1025

Iodoform, use of, intra-uterine, 1025

Vaginal injections, carbolized, use, 1025

Tarnier's maternity pavilions for prevention, 1027

Treatment--indications, 1028

Disinfection, 1028

Local, 1028

Use of hydrochloric acid, 1028

Persulphate of iron, 1028

Intra-uterine injections, use, 1029

dangers of, 1029

methods, 1029

Corrosive sublimate, use, 1025, 1029

Pain, peritoneal, 1031

Use of opium, 1031

in pyæmic variety, 1031

Leeches, 1031

Turpentine stupes, 1032

Hyperpyrexia, 1032

Use of purgatives, 1032

Quinia, 1032

Sodium salicylate, 1032

Veratrum viride, 1033

Digitalis, 1033

Alcohol, 1033

Cold in, 1033

Cold, method of applying, 1034

Cold water, intra-uterine injections, 1034

Baths, cold, use, 1034

Kibbie's fever-cot, use, 1034, 1035

Coil, 1036

Diet, 1036

Encysted peritoneal effusions, 1036

Quinia, use, 1036

Pelvic exudations, 1036

Pelvic abscesses, 1036

Puerperal septicæmia, relations of, to obstetrical scarlatina, 499

women, general sepsis from diphtheria in, 674

symptoms of diphtheria in, 674

Pulmonary abscess in puerperal fever, 989

collapse, complicating influenza, 869

complications of typhus fever, treatment, 367

oedema, complicating rubeola, 572

Pulsation of jugular veins, significance of, in general diagnosis, 156

Pulse and temperature, relation of, in yellow fever, 644

average frequency in health and disease, 154

characters of, in erysipelas, 633

in idiopathic parotitis, 623

in general peritonitis of puerperal fever, 1010

in septicæmia, 977

Pulse, characters of, in septicæmia lymphatica of puerperal fever,

1011

venosa of puerperal fever, 1012

condition of, in acute glanders in man, 921

in beriberi, 1040

in cerebro-spinal meningitis, 815

in cholera, 737

in dengue, 881

in influenza, 866

in pyæmia, 975

in relapsing fever, 382

in typhus fever, 351

significance of, in general diagnosis, 152

in malignant scarlet fever, 507

in typhoid fever, 275

kinds of, 154

methods of examining, 153

relation to respiration, 154

temperature, relation of, in relapsing fever, 382

Pupil, significance of state of, in general diagnosis, 151

Pupils, condition of, in cerebro-spinal meningitis, 810

Pure septicæmia of puerperal fever, 1013

Purgatives, use of, during hot stage of intermittent fever, 596

in cerebro-spinal meningitis, 830

in hemorrhagic form of pernicious malarial fever, 613

in puerperal fever, 1032

in remittent fever, 604

Purity of water, standards of, 184

Purpura, complicating diphtheria, 674

Pus, 48

influence of, in production of pyæmia, 955

in stools, significance in diagnosis, 164

Pustule, malignant, 926

Putrefaction of cadaver, rapidity of, in puerperal fever, 971

Putrified flesh as a means of disseminating typhoid fever, 257

PYÆMIA AND SEPTICÆMIA, 945-955

History, 945-952

Nomenclature, 952

Pyæmia, 953

Definition, 953

Septicæmia, 953

Definition, 954

Etiology of pyæmia, 955

Theories concerning, 955

Pus, influence of, in production, 955

Character of production, 956

Thrombosis, relation of, to causation, 957, 958

Contamination of blood, influence of, in causation, 958

sources, 958

Germs, disease-, influence of, in causation, 958

Wounds, characters of, influence on causation, 958

Etiology of spontaneous pyæmia, 959

Wounds of alimentary canal and genito-urinary apparatus as cause,

959

Air, vitiated, influence of, on causation, 959

Spontaneous origin, 959

Contagiousness, 960

Chemical origin, 960

Living organisms, influence of, on causation, 958-960

Etiology of septicæmia, 960

Septic intoxication, relation of, to, 961

Traumatic fever, relation of, to, 962

Dissecting wounds, relation of, to causation, 962

Putrid substances, maximum toxic action of, on the body, 962

Lymphatics as channel of entrance of poison, 963

Etiology of septo-pyæmia, 963

Pathology, 963

Condition of blood, 963

in pyæmia simplex, 963

multiplex, 963

Metastasis, conditions, 964

Pus, mode of entering the circulation, 964

Metastatic abscesses, production, 964

from primary infection, 964

from secondary infection, 964

Emboli, action of, in production of metastatic abscesses, 964

Thrombi, action of, in production of metastatic abscesses, 965

Seat of pathological changes, 965

Fat emboli, influence of, in production, 966

Morbid anatomy, 966

Of pyæmia, 966

Appearance of body, 966

Rigor mortis, 966

Lesions of cellular tissue, 966

Muscles, 966

Brain and membrane, 966

Retina and choroid, 967

Cornea, 967

Ear, 967

Bones, 967

Joints, 967

Parotid gland, 967

Arteries and veins, 967

Blood, 968

Pericardium, 968

Pleuræ, 968

Lungs, 968

Liver, 969

Spleen, 969

Kidneys, 969

Micro-organism in blood, changes effected by, 970

Pyæmia simplex, 970

Absence of abscesses in, 970

Septicæmia, 971

Putrefaction of bodies, rapidity of, 971

Blood, lesions of, 971

Sepsin, nature, 971

Lesions, nervous system, 972

Endo- and pericardium, 972

Lungs, 972

Pleuræ, 972

Kidneys, 972

Spleen, 972

Uterus, 972

Ovaries, 972

Bladder, 972

Of septo-pyæmia, 972

Symptoms, 972

Of pyæmia, 972

Prodromal stage, 973

Chills, date of appearance, 973

frequency, 973

Temperature, 974

Perspiration, 974

Eruptions, 974

Pulse, 975

Tongue, condition of, 975

Vomiting, 975

Singultus, 975

Diarrhoea, 975

Stools, character of, 976

Heart, condition of, 976

Lungs, condition of, 976

Liver and spleen, enlargement, 976

Urine, 976

Joints, suppuration, 976

Abscesses, frequency, 976

Delirium, 976

Breath, odor of, 976

Wound, changes, 976

Of septicæmia, 976

General, 976

Wound, condition of, 977

Temperature, 977

Abdomen, state of, 977

Pulse, 977

Diarrhoea, 977

Vomiting, 977

Tongue, 977

Singultus, 977

Bronchitis in, 977

Of gangrene foudroyante, 977

Skin, condition, 977

Diagnosis, 978

Of pyæmia from septicæmia, table showing, 978, 979

Treatment, 979

In fully-developed cases unsuccessful, 980

Preventive, 979, 980

Cleanliness, necessity of, in prevention, 980

Atmosphere, pure, necessity of, in prevention, 980

Food and drink, proper, necessity of, in prevention, 980

Cheerful and pleasant surroundings, in prevention, 980

Antiseptics, use of, 980

Local, 981

Of wound, 981

Metastatic abscesses, 981

Constitutional, 982

Sulphites of magnesium, sodium, potassium, and lime, use of, 982

Use of alcohol, 982

Quinia, 982

Ergotine, 982

Diet, 982

Stimulants, 982

Of septicæmia, 982

Indications for, 982

Local, 983

Preventive, 983

Of wound, 983

Diarrhoea, 983

Antisepsis, 983

Sulphites and hyposulphites, use of, 983

Quinia, use of, 983

Of puerperal septicæmia, 983

complicating erysipelas, 634

typhoid fever, 295

typhus fever, 356

Pyæmic form of general peritonitis of puerperal fever, 1010

Q.

Quarantine in cholera, 204, 755

in leprosy, 794

in the plague, 783

Quinia, use of, in cerebro-spinal meningitis, 833

in dengue, 885

in diphtheria, 708, 712

in erysipelas, 637

in influenza, 874-876

during cold stage of intermittent fever, 595

hot stage of intermittent fever, 596

sweating stage of intermittent fever, 597

to prevent the return of intermittent fever, paroxysm, 598

in hemorrhagic form of pernicious malarial fever, 612

in pertussis, 847

in puerperal fever, 1032, 1036

in pyæmia, 982

in relapsing fever, 426

in remittent fever, 603

in rubeola, 580

in scarlet fever, 543

in septicæmia, 983

in typhoid fever, 330

in typho-malarial fever, 618

in typhus fever, 365

in yellow fever, 651

and opium, use of, in yellow fever, 651

R.

RABIES AND HYDROPHOBIA, 886

Synonyms, 886

Definition, 886

History, 886

Geographical distribution, 886

Etiology, 887

Climate, relation of, to causation, 887

Season, relation of, to causation, 887

Summer heats, relation of, to causation, 887

Hunger and thirst, relation of, to causation, 888

Improper food, relation of, to causation 888

Sex, relation of, to causation, 888

Liability of special breeds, 889

From skunk-bite, 889

Spontaneous origin, 890

Contagion, 891

Modes of dissemination, 891

Milk, propagation by, 891

Saliva, propagation by, 891

Specific germ, 892

Pasteur's experiments as to infectiousness, 892

Point of election of germ, 892

Antagonism between blood and germ, 892, 893

Localization of the virus in the wound, 893

Relation of successful inoculation to bites, 893

Insusceptibility to, 894

Incubation, 894

Duration of, in lower animals, 894

in man, 894

Condition of cicatrix during, 895

Symptoms, 895

In dogs, 895

Importance of recognizing premonitory, 895

Of prodromal stage, 895

Of furious form, 896

During paroxysms, 896

Between paroxysms, 896

Of paralytic form, 896, 897

Of lethargic form, 897

Popular fallacies regarding, 897

In horse and other animals, 897

In man, 898

Symptoms, 898

Prodromal stage, 898

Appearance of wound, 898, 899

Of paroxysms, 899

Duration, 899

Reflex irritability during, 899

Facies during, 899

Mental condition, 900

Delirium during, 900

Relative severity in men and women, 900

Paralytic stage, 900

duration, 900

Without paroxysms, 900

Diagnosis, 900

Pathognomonic features in, 900

From tetanus, 900

From diphtheria, 900

From pharyngeal anthrax, 900

From acute mania, 900

From epilepsy, 901

From hysteria, 901

From pseudo-hydrophobia, 901

Inoculation in doubtful cases, 902

Morbid anatomy, 902

Post-mortem appearance of body, 902

Changes in mucous membranes, 902

Bronchi and pharynx, 902

Lungs, 902

Heart and blood-vessels, 902

Gastro-intestinal tract, 902

Liver and spleen, 902

Kidneys, 902

Bladder, 902

Brain and spinal cord, 902

Pathognomonic changes in dogs, 903

Treatment, 903

Preventive, 903

Registration of dogs, 904

Modes of preventing diffusion, 904

Inoculation, 904

Pasteur's method, 905

Of bites, 905

Use of caustics, 905

Excision of cicatrix, 906, 908

Futility of eliminating measures, 906

Hygienic, 906

Psychical, importance of, 906

Therapeutic, 907

Use of chloroform, 907

Chloral, 907

Pilocarpine, 907

Curare, 907

Morphia, 907

Atropia and daturia, 907

Vaccine virus, 907

Warm baths, 907

Faradization, 907

Inhalation of oxygen, 907

Importance of rest and quiet, 907

Intravenous injections, 908

Venesection, 908

Race, influence of, in causation of variola, 436

protection as a preventive of small-pox, 130

relation of, as causation of rubeola, 561

Rachialgia in cerebro-spinal meningitis, 808

Rash of variola, date of appearance of, 437

significance of, 437

variolous, 437

Raspberry excrescence in vaccinia, 461

Reaction in cholera, 734

treatment, 763

Reflex irritability in hydrophobia, 899

symptoms in diphtheria, treatment, 694

Registration of dogs for prevention of rabies, 904

Relapse, in relapsing fever, 381

Relapses, cause of, in typhoid fever, 309

duration of, in typhoid fever, 304

frequency of, in typhoid fever, 302

in cerebro-spinal meningitis, 820

of diphtheria, prognosis of, 694

in rubeola, 563

RELAPSING FEVER, 369

Definition, 369

Synonyms, 369

History and geographical distribution, 369

Etiology, 370

Destitution and filth as causes, 370

Intemperance as a cause, 370

Starvation and over-crowding as a cause, 371

Age, relation of, to causation, 371

Sex, relation of, to causation, 371

Nationality, relation of, to causation, 371

Season, relation of, to causation, 371

Occupation, relation of, to causation, 372

Specific origin, 370, 372

Contagious nature, 372

Transmission of contagion, 373

Area of contagious atmosphere, 373

Spirillum, 373

Mode of detecting, 373

Inoculation, 374

Incubation period, 376

General clinical description, 374

Invasion, 376

Special symptoms, 376

Odor, 378

Physiognomy, 376

Bronzing of face, 376

Eruptions, 377

Hepatic eruptions, 377

Sudamina, 377

Desquamation, 377

Primary paroxysms, duration, 378

Temperature, 378

at crisis, 378

peculiarities, 382

Relapse, 381

Duration, 381

Absence, 380

Frequency, 382

Later relapses, 381

Cases illustrating frequency of relapses, 394

Average duration of paroxysms, 381

Intermission, duration, 381

Pulse, 382

Relation of pulse to temperature, 382

Character of pulse during paroxysm, 383

Pulse at crisis, 382

During intermission, 383

Character of heart-sounds, 383

Convulsions, 384

Mental condition, 384

Headache, 383

Wakefulness, 384

Vertigo, 384

Delirium, 384

General tremor, 384

Muscular rigidity, 384

Muscular and joint pains, 385

Cause of muscular and joint pains, 385

Seat of muscular and joint pains, 385

Motor paralysis, 385

Debility, 386

Perversion of special senses, 386

Respiration, 386

Relation of respiration, temperature, and pulse, 386

Bronchitis and pneumonia, 387

Condition of urine, 387

Urine of paroxysm, 388

of intermission, 388

Thirst, 389

Anorexia, 389

Condition of tongue, 389

Nausea and vomiting, 390

Hæmatemesis, 390

Condition of bowels, 390

of abdomen, 390

Spleen, enlargement, 391

Liver, enlargement, 391

Jaundice, significance of, 391

Epistaxis, 393

Hemorrhages, 393

Convalescence, 393

Varieties, 395

Grave form, 395

Multiple or protracted form, 395

Abortive form, 395

Case illustrating subintrant form, 396

Complications, 396

Peculiarities of temperature, 397

Mental hebetude, 398

Local palsies, 398

Severe rheumatic pains, 399

Disorders of vision, 399

Ophthalmia, 399

Disorders of hearing, 400

Otorrhoea, 400

Swellings and effusions of joints, 400

Bed-sores, 400

Gangrene, 400

Abscesses, 400

Anæmia, 400

Oedema, 400

Sudden collapse and syncope, 401

Hemorrhages from mucous surfaces, 401

Pericarditis, 402

Heart-clot, 402

Thrombosis and embolism, 402

Laryngitis, 403

Bronchitis, 403

Splenic enlargement, 403

Rupture of spleen, 403

Parotitis, 404

Pleurisy, 404

Pneumonia, 404

Pulmonary gangrene, 404

Metastatic abscesses of lungs, 404

Pharyngitis and tonsillitis, 405

Hiccough, 405

Diarrhoea, 405

Dysentery, 406

stools, 406

Suppuration of mesenteric glands, 406

General and local peritonitis, 406

Emaciation, 407

Renal disorders, 408

Albuminuria, 407

Suppression of urine, 407

Incontinence of urine, 407

Hæmaturia, 409

Glycosuria, 410

Metastatic inflammation of kidneys, 410

Disorders of menstruation, 410

Pregnancy, 410

Sequelæ, 398

Local palsies, 398

Acute miliary tuberculosis, 404

Dyspepsia, 406

Anæmia, 400

Morbid anatomy, 410

Post-mortem appearance of body, 410

Changes in voluntary muscles, 410

Blood, 411

Granule-cells of blood, 412

Changes in pericardium, 411

Heat, 411

Gastro-intestinal canal, 412

Solitary and agminated glands, 413

Mesenteric glands, 413

Larynx and pharynx, 413

Pleura, 413

Lungs, 413

Brain and membranes, 413

Liver, 414

Bile-ducts and gall-bladder, 415

Spleen and capsule, 416

Pancreas, 417

Peritoneum, 417

Kidneys, 414

Bladder, 414

Lymphatic glands, 417

Marrow of bones, 417

Diagnosis, 418

Presence of spirillum as a means, 418

From typhus fever, 418

From typhoid fever, 419

Grave form of, from typhoid fever, 420

From bilious remittent fever, 420

Yellow fever, 420

Small-pox, 421

Acute gastro-hepatic catarrh, 421

Simple febricula, 421

Rheumatic fever, 421

Acute yellow atrophy of liver, 422

Parotitis, 422

Cerebral diseases, 422

Prognosis, 422

Symptoms indicating unfavorable, 424

Influence of variations of temperature, 424

Cerebral symptoms, 424

Character of eruption, 425

Hiccough upon, 425

Epistaxis, 425

Cough upon, 425

Heart complications on, 425

Hepatic enlargement upon, 425

Splenic enlargement upon, 425

Jaundice upon, 425

Albuminuria, 425

Mortality--bilious typhoid form, 422

Influence of type of disease, 423

Stage of disease, 423

Season, 423

Habits and previous health, 424

Sex, 424

Age, 424

Race, 424

Cause of death in, 426

Treatment--indications for treatment in regular cases, 426

Hyperpyrexia, 426

Cause of failure of antipyretics, 429

Insomnia, 429

Headache, 429

Nausea and vomiting, 430

Constipation, 430

Jaundice, 431

Muscular tremor, 432

soreness and pains, 432

At critical fall of temperature, 432

Renal complications, 432

Epistaxis, 432

Collapse, 433

Necessity of absolute rest in, 432

Résumé of treatment, 432

Diet, 430

Special remedies, 431

Use of antiperiodics, 428

Arsenic, 427

Atropia, 429

Bromide and chloral, 430

Blisters, 431

Chloroform, 431

Cold baths, 428

Digitalis and other antipyretics, 428

Hyposulphite of sodium, 428

Opium, 429

Quinia, 426

Salicylic acid and salicylates, 428

Simple febrifuges, 428

Stimulants, 430

Venesection, 431

REMITTENT FEVER, 598

Definition, 598

Malarial nature, 598

Etiology, 598, 599

Relation of, to intermittent fever, 599

Symptoms, 599

Prodromal stage, 599

Paroxysm, 599

Temperature, 599

Epistaxis, 602

State of tongue, 600

Stomach, 602

Bowels, 602

Urine, 602

Jaundice, 600

cause, 600

Nervous symptoms, 602

Physiognomy, 600

Pulse in, 602

Duration of, 602

Diagnosis, 600

From intermittent fever, 600

From typhoid fever, 600

From yellow fever, 600

Prognosis, 602

Mortality, 599

Morbid anatomy, 602

Changes in skin, 603

Liver, 602

Spleen, 602

Treatment, 603

Main indications, 603

Use of quinia, 603

Amount of quinia, 603

Causes of failure of quinia, 604

Adjuvants to quinia, 604

Use of depuratives, 604

Purgatives, 604

Opium, 604

Of hemorrhage, 605

Of tympanites, 605

Of vomiting, 605

Renal disease, complicating relapsing fever, 408

scarlet fever, 525

Residence, change of, in treatment of beriberi, 1042

Resolution, incomplete, in idiopathic parotitis, treatment, 625

of symptomatic parotitis, treatment, 628

of erysipelas, 633

of inflammation, 54

Respiration in cerebro-spinal meningitis, 814

characters of, in idiopathic parotitis, 623

in general peritonitis of puerperal fever, 1010

in mild scarlet fever, 504

in relapsing fever, 386

in septicæmia lymphatica, 1012

in typhoid fever, 276

in typhus fever, 352

in croup, 157

in disease, 156

kinds of, 156

significance of, in general diagnosis, 156

Respiratory diseases, relation of, to rubeola, 561

organs, lesions of, in typhus fever, 356

spread of diphtheria into, 671

tract, alterations of, in scarlet fever, 531

Rest, necessity of, in cholera, 760

in rabies and hydrophobia, 907

in relapsing fever, 432

in yellow fever, 654

Retention-cysts, 116, 122

Retro-vaccine, 473

Re-vaccination, time of, 467

Rheumatic and cardiac inflammation in scarlet fever, treatment, 556

Rheumatism, complicating scarlet fever, 521

Rickets, hereditary nature, 128

Rigidity, muscular, in relapsing fever, 384

Rindfleisch's definition of diphtheritic inflammation, 686

RÖTHELN, 582

Definition, 582

Synonyms, 582

History, 582

Etiology, 583

Age as a cause, 583

Sex as a cause, 583

Specific origin, 583

Nature of contagion, 583

Modes of transmission, 583

Period of greatest contagiousness, 583

Distinct nature, 584

Frequency of second attacks, 584

Relapses, 584

Symptoms, 585

Incubation period, 583, 585

Duration of incubation period, 583

Prodromal stage, 585

Eruption, 585

Duration of eruption, 585

Characters of eruption, 586

Types of eruption, 586

Condition of mucous membranes, 586

Swelling of lymphatic glands, 586

Temperature, 587

Complications and sequelæ, 587

Diagnosis, 587

From measles, 587

From scarlet fever, 587

From symptomatic skin eruptions, 588

Prognosis of, 588

Treatment of, 588

RUBEOLA, 557

Definition, 557

Synonyms, 557

History, 557

Etiology, 557

Nature of contagion, 558

Relation of straw fungus, 558

Mode of entrance into body, 558

Modes of dissemination of contagion, 559

Inoculation, 559

Stage when most easily propagated, 560

Race, influence of, 561

Age, influence of, 561

Sex, influence of, 562

Climate as a cause, 560

Pregnancy and parturition as a cause, 561

Scrofula as a cause, 561

Diseases of respiratory organs as a cause, 561

Relation of, to acute diseases, 561

to chronic diseases, 561

to whooping cough, 561

Influence of nervous diseases upon susceptibility, 561

Frequency of epidemics, 560

in new-born, 562

second attacks, 563

Relapses in, 563

Symptoms, 563

Incubation stage, 563

Duration of incubation stage, 560

Prodromal stage, 564

Temperature, 564

Catarrhal symptoms, 564

Punctated appearance of palatal and faucial mucous membrane, 564

Convulsions, 565

Duration of, 565

Eruptive stage, 565

Temperature of, 566

Character and seat of eruption, 566

General symptoms, 567

Symptoms at decline, 567

Temperature at decline, 567

Duration of eruptive stage, 567

Varieties of, 568

Inflammatory or synochal, 568

Hemorrhagic (rubeola nigra), 569

Without eruption, 568

catarrh, 568

Deviations from ordinary course, 569

Peculiarities in seat of eruption, 569

in character of eruption, 569

Relapses of eruption, 570

Complications, 570

Causes, 570

Complicated with epistaxis, 570

Skin disorders, 570

Pemphigoid eruptions, 571

Ear diseases, 570

Eye diseases, 571

Faucial inflammation, 571

Laryngitis, 571

Bronchitis and capillary bronchitis, 571

Pneumonia, 571

Pulmonary oedema, 572

Acute miliary tuberculosis, 572

Heart-clot, 572

Intestinal catarrh, 572

Convulsions, 572

Diphtheria, 573

Sequelæ, 573

Followed by general miliary tuberculosis, 574

Chronic pulmonary tuberculosis, 573

Coryza, 574

Ophthalmia, 574

Otitis, 574

Intestinal catarrh, 574

Cutaneous diseases, 574

Bone and joint disease, 574

Nervous affections, 574

Granular meningitis, 574

Albuminuria, 574

Gangrenous affections, 574

Morbid anatomy, 575

Changes in skin, 575

Diagnosis, 575

Value of punctated appearance of palatal and faucial mucous

membranes, 575

Salient points in diagnosis, 575

From rötheln, 576

Scarlet fever, 576

Variola, 576

Roseola and erythema, 577

Typhus, 577

Roseola syphilitica, 577

Prognosis, 577

Factors to be considered in making, 577

Influence of hygienic surroundings, 577

previous health, 578

complications, 578

Mortality, 578

Influence of stage of disease, 578

of age, 578

Treatment, 578

Preventive, 578

Isolation, 578

Hygienic, 579

Diet, 579

Uncomplicated cases, 579

Results, 579

Hyperpyrexia, 580

Retrocession of eruption, 580

Epistaxis, 580

Diarrhoea, 581

Nausea and vomiting, 581

Constipation, 581

Cough, 581

Eye complications, 581

Aural complications, 581

Bronchitis and pneumonia, 581

Convulsions, 581

Use of aconite, 580

Inunctions, 580

Quinia, 580

Stimulants, 580

S.

Salicylic acid, use of, in diphtheria, 707

in relapsing fever, 428

Saliva, propagation of rabies and hydrophobia by, 891

Salivary glands, lesions of, in typhoid fever, 268

Sanitary inspection of houses, 187

Sarcoma, 118

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