The first and most important measure of treatment to be considered in the management of an epidemic of this disease is prevention. The ravages of the malady cannot be checked in any way but by the enforcement of the most rigid quarantine, and the employment of vigorous disinfection. The most scrupulous attention to sanitary measures of all kinds is absolutely necessary. A patient suffering with the disease should be isolated from those who are well. Depopulation of the infected cities was found to be one of the most efficient measures for checking the progress of the epidemic during the prevalence of the disease in the South, in 1878-79. The measures employed in the active treatment of this disease have been as diversified as the theories of its origin. Some physicians have employed mercury, quinine, whisky, and other drugs, in large quantities, and others have declared with emphasis that no benefit is derived from the use of drugs. In analyzing the course of treatment prescribed by a large number of physicians who have had experience in the treatment of this disease, we have observed that there is a decided tendency on the part of those who have had the most experience, especially in severe epidemics, to rely more and more upon hygienic measures.

Col. J. M. Keating, of Memphis, Tenn., Editor of the Memphis Daily Appeal, has prepared a very complete history of yellow fever, and the yellow fever epidemic of 1878 in Memphis, which contains, among much other valuable matter, a full description of the various plans of treatment pursued by the most eminent physicians of Memphis, Louisville, New Orleans, and other cities subject to this disease. The treatment pursued by Dr. R. W. Mitchell, who was medical director of the Howard Association of Memphis, and is now a member of the National Board of Health, seems to be a very rational method, and, as Dr. Mitchell says, is "the plan of treatment which observation and experience have proven to be the best." Dr. Mitchell remarks further, respecting the treatment of the disease, "Being self-limited and one of very short duration, what could possibly be the aim of rational treatment beyond warding off complications, and sustaining nature ?" In accomplishing this, Dr. Mitchell prescribes little or no medicine. He directs the patient to be put to bed as soon as the attack occurs, and kept there until convalescence is fully established. As the disease begins with a chill, measures should be promptly taken to bring about a reaction. This may be best accomplished by covering the patient with woolen blankets, putting the feet into a tub of hot water, introduced under the bedclothes, and surrounding him with hot bags, bricks, bottles filled with hot water, etc. When the bowels are constipated, the patient should take a thorough enema. The pain in the head is best relieved by cold applications; the pain in the back may be relieved by fomentations. Gentle perspiration should be kept up for fifteen to twenty hours by keeping the patient covered with warm blankets, or giving him warm drinks. If the fever rises very high, cool or tepid sponging with water, or equal parts of water and alcohol, should be applied every hour or two. The cold enema may also be employed with advantage. If suppression of the urine occurs, the fever being very high, ice compresses, or compresses of ice and salt, should be applied over the small of the back for fifteen or twenty minutes at a time and repeated every thirty to sixty minutes. To relieve the soreness of the stomach, apply hot fomentations. To relieve vomiting, let the patient swallow small bits of ice.

No food should be taken for two or three days, and then should consist of barley-water or thin oatmeal gruel, milk and lime-water in the proportion of three parts milk to one of lime-water, chicken broth, or some equally simple and nutritious food. When convalescence is established, the quantity of nourishment may be gradually increased, but no solid food should be taken for two or three weeks. When a patient suffers with a great degree of muscular soreness, a warm pack may be given occasionally. The vapor bath is recommended by many physicians, and others have employed cold baths with advantage. Dr. Mitchell declares that when his plan of treatment is scrupulously followed, a large majority of cases recover.