Symptoms. — Swelling,  heat,  stiffness  and  soreness  in  one  or
both  parotid  regions,  at  the  angle  of  the  lower  jaw,  preceded  by
febrile  symptoms.  Sometimes  one  side,  sometimes  both  sides^
are  affected;  there  is  often  considerable  deformity,  with  difficulty
and  pain  in  moving  the  jaws.  On  or  about  the  fourth  day,  in
favorable  cases,  the  inflammation  and  swelling  reach  their  height,
and  by  about  the  eighth  or  tenth  day  all  traces  of  the  complaint
disappear.     In  Mumps  the  glands  rarely  suppurate.
Metastasis. — ^In  some  cases,  as  the  swelling  of  the  neck  and
throat  subsides,  the  testicles  in  the  male,  and  the  mammae  in  the
female,  become  tender  and  swollen.  Occasionally  the  metastasis
is  to  the  brain,  and  then  the  case  becomes  very  serious.  The
transference  of  the  disease  from  the  part  first  implicated  to  the
testicle  or  mamma  is  most  likely  to  supervene  from,  exposure  to
cold,  or  from  cold  applications.
Causes. — ^A  specific  morbid  miasm,  generated  during  peculiar
conditions  of  the  atmosphere,  which  spreads  contagion.  Cold
and  damp  favor  its  appearance.  It  is  also  liable  to  occur  during-
the  course  of  severe  fevers,  in  Cholera,  and  from  large  doses  of
Iodine  or  Mercury.
Epitome  of  Treatment. — 1.  Swollen  glands;  difficult  masti-
cation, — Merc. -Cor.,  or,  in  strumous  patients,  Merc-Iod.;  a  dose
every  six  hours  is  usually  sufficient     Phyto.  is  also  valuabla

2.  Feverish  disturhance.^-Acoji. ;  two  or  three  doses  sufficient.
3.  Metastasis — ^BelL  (brain).  Puis,  (testicles  and  mammae.)
Accessory  Measures. — Exposure  to  cold  or  damp  during  the

progress  of  the  disease  should  be  avoided;  also  cold  local  appli-


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622  THE   FAMILY   DOCTOR.
