VERMINOCS DISEASES 141 



worms without any previous sign of their existence.* 

 The most sure sign in the local or sympathetic af- 

 fections arising from worms, is their expulsion by 

 the mouth or per anum. 



The human body, however, when deranged by 

 worms, presents some phenomena which may at 

 least admonish the practitioner of the probability of 

 their existence. 



§ LXXVII. In persons attack^'d by worms, 

 the colour of the countenance is changed ; it is 

 sometimes red, then pale, or leaden-coloured ; a halt 

 circle of azure appears under the eyes, they lose 

 their vivacity, and are fixed and motionless with 

 regard to surrounding objects ; they are sad and 

 dejected ; the lower eyelids swell and the pupils 

 are evidently dilated. At other times the eyelids 

 are yellowish, and the same tint extends over the 

 white of the eye. There are also insupportable 

 itchings in the nostrils, with occasional hemorrhage 

 from the same parts ;(S) headache is frequent, expe- 

 cially after taking food ; this is sometimes so vio- 

 lent as to produce delirium and phrenitis. 



The mouth is full of saliva, and exhales a fetid 

 and verminous odour; there is grinding of the 



* We saw in ISOl, at the clinical hospital of Prof. Finely a 

 woman, 50 years old, who had all the symptoms of a gastric 

 fever ; three grains of tartrite of antimoniated potass were pre- 

 scribed ; the patient vomited much porraceous matter; the day 

 after she voided with the feces, apiece of flat taenia, about four 

 metres long. The woman never after experienced any symp- 

 toms of the presence of worms. F. Trs. 



