PART III. TREATMENT 105 



(4) Case Healy again was given emetin by the mouth after an 

 interval during which he was treated with ipecacuanha and thymol. 

 On this occasion, he was placed on very strict dysentery diet and 

 given by the mouth li grains of emetin a day for twelve days. 

 The infection disappeared, but returned in three days after the 

 course was completed. 



(5) Case Kettlewell, who had not reacted to a twelve-day course 

 of one-grain emetin injections, was given emetin by the mouth in a 

 dose of 1 grains a day for four days followed by one grain a day 

 for eight days. During the treatment the patient was kept in bed 

 on dysentery diet. The infection disappeared and did not recur. 



Group III. Cases treated by Emetin administered both hypo- 

 dermically and orally (1 Grains a day for Twelve Days). 

 Table XII. 



The cases in this group were all treated on a combined oral 

 and injection therapy. They were kept strictly in bed and given 

 milk or beef tea diet and received each morning during twelve 

 days a one-grain emetin injection and each evening ^ grain of 

 emetin in keratin-coated tabloid by the mouth. The vomiting in 

 these cases was, as a rule, less frequent than when the emetin was 

 given in the tinct. opii tea mixture, and when it occurred it was 

 generally an hour or more after the tabloid had been taken. In 

 this manner were treated thirty-eight cases, of which thirty were 

 simple carriers without dysentery, and eight were acute cases of 

 amoebic dysentery showing active amoebae with included red blood 

 corpuscles. It will be seen that a cure was obtained in all the 

 carrier cases, though six of these (Table X 5 ) had previously re- 

 lapsed after a course of emetin injections of one grain a day for 

 twelve days. Of the eight acute cases there were five relapses and 

 two cures, while one case (Jackson) was not sufficiently controlled 

 after treatment (only nine days). Two of the acute cases which 

 relapsed (Dorter and Smith) and one which was cured (Rushforth) 

 had already relapsed after treatment by emetin injections of one 

 grain a day for twelve days (Table X). The results are as 

 follow : 



Carrier cases cured . . . . . . . . 30 



, , , , relapsed . . . . . . 



,. ,, no reaction .. .. ..0 



Acute cases cured . . . . . . . . 2 



. , , , relapsed . . . . . . 5 



no reaction . . . . 



