Modern surgery, general and operative . ecessary, pure, raw milk should be used and elaborate formulaeare to be regarded as anathema. The treatment consists in having the child live as much as possible in theopen air and sunshine. Salt-water baths are useful. Sea air is very food (milk, cream, and meat-juice) should be ordered. Prune juiceand orange juice are of service. As the child grows older it can be given eggs,broths of vegetables and cereals (Rost, Ibid.). Cod-liver oil, syrup of theiodid of iron, arsenic, and some form of phosphorus are to be give thy


Modern surgery, general and operative . ecessary, pure, raw milk should be used and elaborate formulaeare to be regarded as anathema. The treatment consists in having the child live as much as possible in theopen air and sunshine. Salt-water baths are useful. Sea air is very food (milk, cream, and meat-juice) should be ordered. Prune juiceand orange juice are of service. As the child grows older it can be given eggs,broths of vegetables and cereals (Rost, Ibid.). Cod-liver oil, syrup of theiodid of iron, arsenic, and some form of phosphorus are to be give thymus extract, others administer pituitrin. It is absolutelynecessary to improve the primary assimilation. During the acute and pro-gressive stage keep children off their feet in order to prevent deformities of the extremities require no special treatment unless theyincrease. If the deformity is marked or is increasing, use braces; employ mas-sage, manipulation, and faradism. By the time the child is three years of age. 109.—Fracture of femur in rickets. Scorbutus (Scurvy) 281 the bones are usually so firm that the pressure of a brace cannot cure the de-formity, though the real test of brace efficiency is the degree of elasticitypresent in the bones, as determined by the surgeons hands. After the ageof three braces are commonly useless. Pronounced established deformitiesof the extremities are usually treated surgically. Kyphosis is treated by makingthe patient lie upon a hard bed without a pillow. The child sits up a few hourseach day, the shoulders being held back and support applied to the body. Inbad cases, during the time the child is erect it should wear a brace or plaster-of-Paris jacket. Daily manipulation, the child lying prone, is helpful. Frictionof and electricity to the spinal muscles do good. Scorbutus (Scurvy).—Many ancient writers described symptoms whichmust have been due to scurvy. For instance, Pliny, speaking of the army ofGermanicus when


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