35 [ans 
with difficulty distinguished. Children troubled 
with any of the species, complain of a gnaw- 
ing, uneasy sensation at the stomach, which 
eating appeases. The appetite is capricious—in- 
ordinate—sometimes voracious ; belly hard, tumid 
—morbid vigilance, hiccup, disturbed sleep, grind- 
ing of the teeth, starting from sleep with terror 
and screaming, head-ache, vertigo, convulsions, 
feverishness, thirst, foul tongue, bad taste in the 
mouth, feetid breath, nausea, constipated bowelsand 
tenesmus, of-looseness, with filmy Seder andmu-  ”— 
= i aera 
cus, pulled upper lip, £ hier symptoms 
induced in REY bu e often anomalous 
signs of the presence of these pests, as squinting, 
slow emaciation, sallow or livid countenance, pro- 
truded eyes, inflamed tarsi picking the nose from the 
sympathetic irritation of the lining membrane; he- 
morrahages from the lungs, the brain, the uterus and 
the nostrils; a sfiort, dry, sympathetic cough, or 
pains in the breast, without corresponding affection 
in respiration ; unhealthy urine, and all the symp-_ 
toms of chronic hydrochephaius. Indeed, it 
is often quite impossible to distinguish between 
the symptoms of this cerebral disease and those 
of worms, and there is little doubt, that one 
is often treated for the other ; and that the consti-_ 
tutional disturbance produced by worms is so va- 
rious and extended, that much obscurity must ever 
attend the treatment. Ascarides produce chiefly 
local disturbance: a heat and constant itching about: 
the anus, which is teasing and intolerable in the 
extreme. Bowel affections are occasionally pro- 
duced by them, such asslimy stools, tenesmus and 
cutting pains: vertiginous head-ache, itching of 
nostrils, convulsive cough and dyspeptic disease 
are more rare concomitants:-—all exasperated — 
e cueeee evening. Brera, is of opinion that the 
g sa 
