PART III. TREATMENT 131 



Beta-naphtliol. This drug was used in the case of Gildel 

 mentioned above ; fifteen grains were given three times a day for 

 twelve days without any change in the tetramitus infection. 



Turpentine. Turpentine in the form of mist, terebinth, with a 

 dose of ten minims of turpentine three times a day was tried. In 

 one case, Peacock, the infection disappeared during the treatment, 

 but it reappeared eight days after the course. In another case, 

 Fulford, it had a similar effect, while in another, Buckley, the 

 flagellates did not even disappear from the stool. It seems doubtful 

 if turpentine given in this way can have any permanent effect on 

 a tetramitus infection. 



Bismuth Salicylate. In a dose of twenty grains three times 

 a day bismuth salicylate was tried on several cases. In some of 

 these during the course of treatment the tetramitus disappeared 

 while in others there was no such disappearance. Owing to the 

 irregular course of these infections it is difficult to pronounce any 

 definite opinion on the action of this drug, for we have not controlled 

 these cases sufficiently. A subsequent control of less than one 

 month after treatment is insufficient to enable any result to be 

 claimed as a permanent cure. 



It is evident that though certain drugs will cause a tetramitus 

 infection to disappear, there is nearly always a subsequent relapse. 

 No satisfactory treatment for the infection is known. 



(5) Treatment of Triclwmonas Infections. 



Naturally enough, with an infection which runs such an 

 intermittent course, it is exceedingly difficult to judge the action 

 of any line of treatment. From. the tables of the cases treated by 

 emetin where trichomonas infections co-existed it does not appear 

 that this drug has any action on the flagellate. 



Turpentine. This drug in a dose of ten minims three times 

 a day (in mist, terebinth.) has been tried in several cases of 

 trichomonas infection. One of these cases (Buane) had an 

 infection in a soft unformed stool. The mixture was taken for 

 twelve days and trichomonas was last seen the day before the end 

 of the course. The stools were examined on eight occasions during 

 the next month, but no flagellates were found. It must be stated, 

 however, that during the period of control the stools were formed, 

 so that the flagellate may still have been present in the gut though 

 not in the stool. In another case (Fulford) where there was 

 a mixed infection of trichomonas, tetramitus, lamblia and E. coli, 

 the first named flagellate disappeared during the course of mist. 



