Page:Malarial fever; its cause, prevention and treatment; containing full details for the use of travellers, sportsmen, soldiers, and residents in malarious places (IA malarialfeverits00rossuoft).pdf/85

67 water bottles placed round him. The warm bath may be repeated if it agrees well with the patient.

6. The diet should be a few mouthfuls of broth every two hours while the fever lasts. Do not hope to keep up his strength' by stuffing him with all kinds of foods, which, as a matter of fact, he will not digest. Nor do I advise constant doses of alcohol.

7. Remember that nature may be a better physician than you are.

8. Jaundice is almost sure to appear after a few days, and may be left alone.

9. It is a bad sign if the urine becomes very black or very scanty.

10. After he recovers (if he does so) wait for several days, and then commence to give him quinine, very cautiously, before meals. Begin with not more than five grains daily (in two doses of two-and-a-half grains each), continued for a week. If he bears this well, increase the dose gradually up to ten grains daily; and then proceed as laid down in section XXVII. Let him see a medical man as soon as possible.

It is scarcely advisable for those who have once had blackwater fever to return to the tropics-at all events to countries where blackwater abounds.

XXXII. NOTE ON CAMPS

In the case of camps which are moved from day to day, it is useless to attempt drainage or destruction of mosquitoes, and we must fall back upon mosquito netting and quinine. The careful traveller will probaby be largely repaid if he makes arrangements to protect his whole party, carriers and servants included, by nets. It is easy to devise methods for making tents mosquito- proof; and details can safely be left to the reader's