This is a variety of fever, to which children from one to ten or twelve years of age are liable to be affected.

It is characterized by one or more daily exacerbations and remissions, by pain in the belly and sometimes in the head, loss of appetite . and by an unnatural state of the alvine discharges. It is very often, although erroneously, attributed to worms, and sometimes called "worm fever."

The affection usually comes on gradually, manifesting itself generally by irregularities in the bowels, which are usually costive. In the course of the day there are several slight accessions of fever, marked by drowsiness, in the intervals appearing well, though peevish. The appetite is variable, and the pulse ranges from 100 to 130. These symptoms may continue for 8 or 10 days, when a violent paroxysm sets in, preceded by chilliness and attended with vomiting, the pulse rises in frequency, the drowsiness is increased, and the cheeks are flushed. There is picking of the nose, lips, and angles of the eyes. Cough may also be present, also grinding of the teeth, and startings in sleep. Digestion is deranged, and food taken into the stomach is brought up some time after, or is evacuated from the bowels apparently undigested, and resembling a mass of putrid animal and vegetable matter subjected to heat and moisture; sometimes worms appear in the discharges. The breath is sickly, appetite is gone, and delirium sometimes occurs for two or three days together. The causes of the disease may be traced in part to the use of improper food, neglect of the bowels, want of pure air, and cleanliness.

Treatment

Ipecac. should commence the treatment, particularly if the attack has been occasioned by indigestible food or eating too fast. There is heat, thirst; extreme restlessness; perspiration at night, foul tongue, quick breathing, nausea and vomiting.

Dose

A powder, or three globules; on the tongue once in three hours.

Pulsatilla

If Ipecac, fail to produce relief after five or six doses, or there is fetid whitish or bilious diarrhoea, accompanied with griping and distention of the bowels.

Dose

One drop or six globules, in a tumbler half full of water, a teaspoonful once in three or four hours.

Nux-V

Constipated bowels with frequent inclination to stool, or straining followed by watery motions, mixed with mucus or blood; peevish temper, loss of appetite, nausea, disgust at food, restlessness.

Dose

Same as Ipecac.

Chamomilla

Lethargic sleep, or restless and agitated with frequent jerks and starts of the limbs; head hot and heavy, skin hot, pulse quick, thirst, nausea and bilious vomiting; constipation or diarrhoea with greenish evacuations.

Dose

Same as Pulsatilla.

Belladonna

In alternation with Chamomilla, where there is considerable disturbance about the head; tenderness of the bowels to the slightest pressure.

Dose

Same as Pulsatilla.

Bryonia

Constipation, sometimes alternating with diarrhoea, derangement of the stomach and painful state of the bowels; headache, thirst, and laborious respiration.

Dose

One drop, or six globules, in a tumbler half full of water, a teaspoonful once in four hours.

Mercury

Tenderness of the bowels, cloudy or milklike urine; diarrhoea, with straining stools, mixed with slime or blood.

Dose

Same as Ipecac.

Cina

Picking at the nose and lips, starting and screaming during sleep, colic and diarrhoea.

Dose

Same as Bryonia.

Sulphur

After the employment of other remedies, to complete the cure.

Dose

A powder morning and night.

Diet And Regimen

Particular attention should be paid to the diet, which should be of a light farinaceous character, such as toast, gruels, etc, carefully avoiding the more solid articles of food, such as meat and fish.