The old-fashioned routine treatment of blood-letting, is now, fortunately, pretty much out of date. The study of the natural history of the disease has recently shown that the great majority of cases of this disease recover with no active treatment, or no treatment other than simple nursing. It has also been observed, and is acknowledged, that patients who are bled are, as a general rule, much less likely to live than those who are not bled, where bleeding is generally practiced. The greatest immediate danger in this disease is the depressing influence of the excessive heat upon the heart; hence in this, as in most other acute diseases characterized by high fever, the most important measures of treatment are those which will reduce the fever. Of these, the cool bath, the graduated bath, the sponge bath, the wet-sheet pack, and the cold enema are the most effective. Cool compresses alternated at intervals of two or three hours by hot fomentations for five or ten minutes should be applied to the chest, particularly to the affected side, the seat of pain. The hot fomentations relieve the pain, and the cold compresses check the diseased process. The compresses should be wrung out of cold water and changed every five to eight minutes, or as often as they become warm. Although the cool compresses are not usually liked by the patient, they will soon give relief if their use is continued, and they do much toward shortening the course of the disease. Care should be taken to keep the patient's body from being wet except where the treatment is applied. The cold compress is much used in the large hospitals of Germany. In the great hospital at Prague, it is considered the main reliance in the treatment of this grave malady. We have used it in conjunction with other measures of treatment in many cases with marked success. When the pulse becomes as rapid as ninety-five to one hundred and ten, or more, cool sponging, the wet-sheet pack, the cool full bath, or the cool enema should be employed. In ordinary cases any one of the first three measures mentioned is usually sufficient, if repeated with proper frequency. When much chilliness is produced by the contact of water with the skin, the cold enema is a most admirably useful measure. It will control the high temperature when other measures fail to accomplish the desired result in many cases. The amount of water required is half a pint to a pint. The temperature may be forty to sixty degrees. The colder the water, and the larger the quantity employed, the greater and more prolonged will be the effect. We consider this one of the most important of all. the recent advances in the use of water. Next in importance to the use of water in this disease, is the employment of fresh air. The apartment should be kept as cool as possible without discomfort, and an abundance of fresh air should be continually supplied. Drafts should be avoided; but it is better to have fresh air with drafts, than to sacrifice the pure air for fear of drafts. In case water cannot be applied, the patient may be exposed with the surface unprotected to the cooling effects of the air. It is even admissible to expose the wet surface of the body to the air, allowing the patient to be cooled by evaporation. The danger of taking cold in this disease is by no means so great as supposed. It is wholly unnecessary and is exceedingly harmful to cover the patient with many blankets under the mistaken notion that he must be kept at a sweltering heat to prevent him from having a relapse or an extension of the disease.

The diet of the patient should consist of milk, oatmeal gruel, ripe fruit, and similar easily digested food. No meat, eggs, or other stimulating food should be allowed.

The most active symptoms do not usually continue more than three or four days. Improvement then usually begins. This process may be greatly encouraged by the use of alternate hot and cold compresses applied three or four times a day. It is also well to have the patient wear a warm wet compress over the chest at night for the purpose of stimulating absorption.