168 THE INTERNAL SECRETIONS—1920 
hemoglobin 80 per cent (Talquist). The urine showed 
no albumin, sugar, or acetone. There was urobilinogen 
and urobilin and an acid elimination of 230 degrees. 
There were no pus cells or casts. She had been oper- 
ated on for appendicitis, and had had several suspicious 
teeth extracted. No organic disease could be found, 
but for a long time she had felt very weak, spoke in an 
all-gone tone of voice, complained of attacks of dizzi- 
ness and was convinced there was something very 
wrong with her. Her blood pressure was found to be 
only 64 mm. diastolic and 98 mm. systolic! On the 
strength of this she was temporarily put on adrenalin, 
by mouth, followed by certain pluriglandular capsules. 
A few days later the sparkle in her eyes and the anima- 
tion of voice and gesture told the story. 
Another patient gave a history of headaches from 
childhood. She had spent much money in the attempt 
to obtain relief. Among other things, had had eight 
Wassermann tests! Her low white count and low 
blood pressure suggested the advisability of supportive 
glandular therapy. In the course of a few weeks she 
was much relieved and declared nothing had ever done 
her so much good. 
Such histories could be continued almost indefinitely ; 
and many conditions in which the same therapy is in- 
dicated readily suggest themselves. 
In this connection a report of Dr. Cazamin, Chief 
Medical Officer of the “Jean-Bart,” is interesting. He 
made a special study of 50 cases of seasickness from 
the standpoint of adrenal function. He found that 
there is at first a stimulation of the sympathetics with 
increased production of adrenalin, with a resulting 
higher blood pressure, tachycardia, inversion of the 
oculocardiac refiex and dilatation of the pupils. 
The symptoms suggest excessive production of adre- 
nin at first. Then the adrenals soon become exhausted 
and the blood pressure drops. During the first phase 
