In simple scarlatina, all that is necessary is to keep the child quiet, in a room of uniform temperature, as far as practicable; let it drink cold water only, and give _Aconite_, _Belladonna_ and _Pulsatilla_ in rotation, a dose every hour until the fever subsides. If any soreness of the throat remains, give a few doses of _Mercurius_. If the fever subsides, and the soreness remain, _Hydrastin_ or _Eupatorium arom._ will soon complete the cure. In the _malignant_ form, with ulcerated, dark colored, or red and purulent throat, and typhoid form of fever, give _Aconite_ and _Belladonna_ in alternation, every hour, and, at the same time, gargle the throat freely with _Hydrastin_. Some of the tincture may be put in water, about in the proportion of ten drops to a teaspoonful, or a warm infusion of the crude medicine may be used. This can be applied with a camel's hair pencil, or a swab, to the parts affected, once in two hours, and will soon bring about such a state as will result in speedy recovery. After the active fever has subsided, the _Aconite_ and _Bell._ may be discontinued, and _Eupatorium arom._ used instead, once in three hours until convalescence is complete.
I would remark that, with these remedies applied as here recommended, my brother, Dr. G. S. HILL, of Erie County, Ohio, has, during the last four months, treated a large number of those malignant sore-throats, (the "Black tongue Erysipelas,") and been universally successful, relieving them in a few hours, when the symptoms were of the most alarming character, and the disease in some cases, so far advanced that the patients were considered by their friends and attendants, "at the point of death."
The _Hydrastin_ is a most potent remedy in putrid ulcerations of the mucous surfaces, and much the same may be said of _Eupatorium aromaticum_.
[As I have never practiced farther South than Cincinnati, and have seen but few cases of this disease, my experience with it has not been sufficient to be relied upon as authority. Therefore, I shall give a brief description of the disease, with the proper and _successful treatment_, furnished me by A. H. BURRETT, M. D., of New Orleans, who is not only a Physician of more than ordinary learning and skill in his profession generally, but is one who has spent his time in New Orleans among the sick of Yellow Fever, through three of the most fatal epidemics that ever scourged any city. He is a man for the times, a man of resources, who draws useful lessons from experience and observation. Hence he has been able to select such remedies as have enabled him to cope most successfully with the pestilence, saving nearly all his patients, while, under other treatment, a majority have died. I therefore, attach great value to his treatment, and recommend its adoption with the most implicit confidence.]