For subduing the fever no remedy equals water in antiphlogistic effects. In general, the febrile action accompanying diphtheria does not rise so high as in most other febrile diseases; yet this symptom is one of no small importance. The same means should be employed as elsewhere directed for fever.

Care must be taken continually in the use of water in this disease, that the patient has no tendency toward collapse. If the pulse begins to flag, is slow and feeble, while the skin is cool, no cooling applications are necessary. Warm applications are needed.

Care should be exercised that the limbs are kept warm. Cool compresses may be applied to the head, even the ice-cap when necessary.

At the outset of the disease, when the patient often complains of chilly sensations, a warm blanket pack, given by wringing a woolen sheet out of water a little above blood heat, and wrapping it snugly about the patient, will be found a very excellent remedy, not only for the chilliness, but also for the muscular soreness, which is also a frequent symptom of the onset of the disease.

Diarrhea, vomiting, and the other minor symptoms which often accompany this disease, are to be met by the usual remedies. For troublesome nosebleed, which not infrequently occurs when the nasal cavity is affected, the nasal douche, employing a hot solution of chlorate of potash is the best remedy.

For sustaining the patient, too great reliance is put by many upon the large use of iron and frequent feeding. We have never seen sufficient evidence of the utility of these methods to convince us of their efficiency. Others use stimulants in great quantities, which we believe to be productive of more harm than good. What the patient needs is nutrition, not stimulation. If overcrowded with food, and plied with aliment at too frequent intervals, the nutritive apparatus will have no time for the elaboration of food, and no time for rest. It will be always engaged in the preliminary work of digestion. The overworked stomach will be sure to fail up with indigestion, and the patient will really receive a much smaller amount of available nutrition than if food is taken in proper quantities at intervals sufficiently far apart to allow time for digestion.

Give the patient three meals a day at regular hours. Let the diet consist principally of oatmeal or barley gruel, with fruit and milk toast. If there is difficulty in swallowing solid food, let the patient have plenty of milk, beef soup or broth, at intervals of three to five hours.

If the patient falls into a state of collapse, the pulse being slow and weak, the skin cool, the respirations rapid, with the other usual symptoms of that condition, the temporary use of stimulants may be useful. We have used electricity, both the galvanic and the faradic, in such conditions with excellent results. Dry heat is also a useful stimulant in such cases. All may be used in conjunction.

Paralysis, and the other secondary affections which often follow this disease, should be treated on the general principles governing the treatment of those affections from whatever cause. In the case of paralysis, after the disease is fully developed, electricity should be employed. This, with out-of-door exercise and time, will effect a cure in most cases. Tracheotomy is a surgical operation sometimes performed when the symptoms indicate imminent danger of suffocation; but before it is resorted to, the condition of the patient is already so hopeless that recovery rarely occurs.