Prof. Vogel, an eminent German physician, asserts that mumps ordinarily require no medicinal treatment, and that "avoidance of injurious influences, rest, anti-febrile [vegetable] diet, and equable warmth, suffice, as a rule, for the restoration of normal health." Instead of "heating herb-bags or cataplasms," he recommends simple inunctions of the affected parts, and the use of ice-compresses. He explicitly states what many people will undoubtedly learn with surprise, that "the use of cold is never dangerous" in this disease. Irritating liniments, mustard plasters, and even blisters and other means of counterirritation, have been employed as local remedies to prevent metastasis, a change of the seat of the disease. We believe these substances to all be injurious and prejudicial to recovery; and we are glad to find our view supported by so eminent an authority as the renowned Dr. Niemeyer, who well remarks that "experience has shown such treatment can only prove injurious." Our plan of treatment is the following:The patient is directed to abstain entirely from the use of all animal food but milk, which may be taken if it does not disagree with digestion. The diet is made to consist chiefly of cooked fruits, and grains in the form of gruels, as oatmeal and barley gruel, with softened graham toast. This the patient can eat easily. Cool, acid drinks are allowed to be taken freely. One or two warm, not hot, baths, or two or three tepid sponge baths, should be taken daily if there is much fever. Warm sitz baths are especially useful as derivative means of treatment, relieving the pain and congestion when it is severe. They may be employed once or twice a day in severe cases. When given at a temperature of 95, the bath may be continued for ten minutes; at 90, nine minutes; at 85, one minute. Apply to the neck cool or cold compresses, according to the intensity of the inflammation. When the cold becomes unpleasant, as it frequently does, apply mild fomentations for fifteen or twenty minutes, when the cool compresses may be renewed for an hour or two, or until they become unpleasant again, then being exchanged for the fomentations for a short time. By this means, constant applications may be kept up and the severity of the disease much mitigated and its duration shortened. If evidences of suppuration appear, exchange the cool compresses for fomentations or a poultice, so as to hasten the process, and have the abscess opened with a lancet as soon as the evidences of the presence of matter are distinct. A safe rule is to continue the application of cold so long as the swelling is hard and acutely painful to pressure; when a softened place is to be felt in the middle, fomentations should be applied. If the bowels are constipated, they should be relieved by means of the enema, and by the employment of manipulation and fomentations of the abdomen.

Metastatic parotitis is a form of inflammation of the parotid gland which occurs in connection with other diseases. It is not contagious. The principles of treatment are the same as those given for mumps. Suppuration is much more common in this form.