This section is from the book "Materia Medica And Therapeutics Inorganic Substances", by Charles D. F. Phillips. Also available from Amazon: Materia medica and therapeutics.
A similar method of systematic bathing has been followed with advantage in the remittent fever of the tropics, and Dr. Lucas has recently described a severe case in which the patient (at 103° F.) was lowered into a bath at 80°, and a small continuous stream of cold water was poured over the body for eight minutes. After return to bed the temperature was 97°; quinine and port wine were given. After seven days of bathing - the temperature being kept under 103° - some bronchitis having developed, injections of cold water into the rectum were substituted for the bath, and with very definite effect in lowering temperature; recovery occurred in about a month (Medical Times, ii., 1879). In intermittent fever, both Currie and Giannini used cold affusion and bathing with excellent effect, and found that it prevented or delayed a paroxysm if given an hour before its usual access; also that the water-treatment much assisted the action of quinine. Dr. Fleury, however, claims for his cold douche much more than this, stating that he has radically cured by it more than one hundred cases of all forms of intermittent fever, many of them rebellious to all ordinary treatment (including quinine, arsenic, change of climate, etc.), and he quotes evidence on the subject which should receive earnest attention. An energetic cold douche for fifteen or twenty seconds can relieve both the pyretic and the congestive, and also the anaemic condition. For preventing a paroxysm it should be used a quarter of an hour before the expected onset; if this come on before its time, the douche may even be used in the cold stage with good effect, if given strongly for a short time so as to be excitant; if necessary, a second may be given in the hot stage. In irregular inter-mittents the abdominal viscera are usually congested, and Fleury finds the douche competent to reduce both liver and spleen to their normal size in comparatively short time. Cerebral complications require compresses; pulmonary oedema and acute bronchitis contra-indicate the treatment. In bilious subjects purgatives may be required, or other treatment conjoined.