avoiding close rooms.  It is a good practice to sponge the throat and chest night and morning with cold water.  Special attention should be paid to the diet and to the mode of feeding.  The meals should be given at regular hours, and the food plain and substantial.  From the onset the child should be encouraged to drink freely of milk.  Unfortunately in these cases there seems to be an uncontrollable aversion to fats of all kinds.  As the child grows older, systematically regulated exercise or a course of pulmonary (lung) gymnastics may be taken.  In the choice of an occupation, preference should be given to an out of door life.  Families with a predisposition to tuberculosis should, if possible, reside in an equable climate.  It would be best for a young person belonging to such a family to remove to Colorado or Southern California, or to some other suitable climate before trouble begins.  The trifling ailments of children should be carefully watched.  In convalescence from fevers, which so frequently prove dangerous, the greatest care should be exercised to prevent from catching cold.  Cod-liver oil, the syrup of iodide of iron and arsenic may be given.  Enlarged tonsils should be removed.  “The spontaneous healing of local tuberculosis is an every-day affair.  Many cases of adenitis (inflammation of the glands) and disease of the bone or joints terminate favorably.  The healing of pulmonary (lung) tuberculosis is shown clinically by the recovery of patients in whose sputa elastic tissue and bacilli have been found.”

[214 Mothers’ remedies]

General Measures.—­The cure of tuberculosis is a question of nutrition; digestion and assimilation control the situation; make a patient grow fat, and the local disease may be left to take care of itself.  There are three indications: 

First, to place the patient in surroundings most favorable for the greatest degree of nutrition; second, to take such measures as in a local and general way influence the tuberculosis process; third, to alleviate the symptoms.  This is effected by the open air treatment with the necessary feeding and nursing.

At Home.—­In the majority of cases patients must be treated at home.  In the city it has many disadvantages.  The patient’s bed should be in a room where he can have plenty of sunshine and air.  Two things are essential—­plenty of fresh air and sunshine.  While there is fever he should be at rest in bed.  For the greater part of each day, unless the weather is blustering and raining, the windows should be open.  On the bright days he can sit out-doors on a balcony or porch, in a reclining chair.  He must be in the open air all that is possible to be.  A great many patients spend most of the time out in the open air now.  In the country places this can be easily carried out.  In the summer he should be out of doors from eleven to twelve hours; in the winter six to eight at least.  At night the room should be cool and thoroughly ventilated.  “In the