. Rational therapy . not to leave him without an attendant, to seethat the room is well ventilated, to wash his face with ice water,renew the ice cap or cold compress to the head as often as maybe necessary, and not to commence the pack until the patient hasemptied bladder and rectum. The pulse observed on the tempor-alis indicates the progress. It is first slowed gradually, returnsto normal and just before perspiration sets in, becomes measure may be interrupted if perspiration is not desired. Acold rub or ablution closes the proceeding. If used as an hypnoticthe patient is at once
. Rational therapy . not to leave him without an attendant, to seethat the room is well ventilated, to wash his face with ice water,renew the ice cap or cold compress to the head as often as maybe necessary, and not to commence the pack until the patient hasemptied bladder and rectum. The pulse observed on the tempor-alis indicates the progress. It is first slowed gradually, returnsto normal and just before perspiration sets in, becomes measure may be interrupted if perspiration is not desired. Acold rub or ablution closes the proceeding. If used as an hypnoticthe patient is at once placed in bed. THE HOT PACK The hot pack, like the cold pack, is applied with the sheetwrung out in hot water. The body temperature rises from i°to 2° and perspiration commences after twenty to forty minutes^—to be followed by cold ablutions or tub. It stimulates, changesthe circulation and acts as a powerful sedative. In eclampsia, inthe convulsions of childhood, and in uremic convulsions, it isa supreme Figure 5—The Thermophore, Eiderdown Cover HYDROTHERAPY, 157 A number of instruments for carrying temperature havebeen devised, of which the rubber bag is the most simple. Itmay be filled with crushed ice, ice water or hot water, to suit thepurpose, and may be applied to any portion of the body, the head,chest, abdomen, back, feet and, if of oval form, to the neck. Poultices of linseed, slippery elm, etc., are still frequentlyused. They keep the temperature better than hot, moist applica-tion and pigmentation and irritation of the skin may be pre-vented by anointing it freely with borated vaseline before usingthe poultice, A china plate heated in boiling water, wrapped inflannel and applied to the abdomen, serves the purpose well, andan ice poultice may be made by thickly covering a napkin withalternating layers of linseed flour and crushed ice and then fold-ing the napkin. Such a poultice is easily adapted to any portionof the body, especially to neck and head,
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