POMEGRANATE BARK. 175 



quantum acleptus es ex rad., Jiv %vj. Solve in Aq. destil. 

 fervidse, g v j viij. Adde Extract. Filic. Mar. ^Ether., 9j 388:; 

 Extract. Tanaceti vulgar., ^ij ; Gi Gutti, gr. iv, vj, ad. x. M. 

 D. S. To be shaken. A cupful to be taken in the morning 

 (six or seven o' clock) fasting. A similar dose in three quarters 

 of an hour. The third is kept in reserve. If the worm should 

 not be expelled in an hour and a half after the second dose, the 

 last portion is also to be taken. I formerly gave Natr. Sulf. ; 

 now I administer immediately Gi Gutti, gr. iv vj, with good 

 results, If vomiting occur, a table-spoonful of the medicine 

 is given every ten minutes. 



To alleviate the tendency to vomit, the patient should gargle 

 after every dose with fresh milk, but without swallowing any 

 of it. Between the doses also he may take as much Elseo- 

 sacchar. Citri as will lie on the point of a knife as often as he 

 likes. If no evacuation have taken place three hours after the 

 first dose, and the worm have not been expelled, an aperient is 

 administered. With Tcenia solium castor oil is usually sufficient, 

 1 2 table-spoonfuls every half hour or hour ; or, R Gi Gutti, 

 gr. vj viij ; Pulv. Had. Jalapp., gr. x xv ; to be repeated 

 again in case of need in two hours. With T. mediocanellata I 

 have found the best results with a stronger aperient : I Calo- 

 melan., gr. iv vj ; Pulv. Jalapp., gr. x xv. M. D. S. at once. 



Subsequent treatment. None, except tonics in cases of great 

 weakness. 



Preliminary treatment. At the season of fresh strawberries* 

 and grapes I give half a pint of the fresh fruits every morning, 

 fasting, for 6 8 days, and on the evening before the expulsion 

 a herring salad, with plenty of vinegar, onions, raw and boiled 

 ham, and plenty of oil, and to very costive persons gj of castor 

 oil ; after which the patient may drink a large glass of light 

 Rhenish wine, or a glass of bitter beer (Bavarian, Waldschlosschen- 

 hier, &c.) If these fresh fruits cannot be had, the salad alone 

 must suffice. 



In very obstinate cases of Tcenia mediocanellata, I let the 



1 I take this opportunity to mention the methodical strawberry treatment, which I 

 have adopted in various cases, without having a tape-worm to treat. I have employed 

 strawberries taken fasting for three or four weeks together in cases in which whey and 

 mineral waters could not be borne, but in which regular mineral-water treatment should 

 have been prescribed from the presence of abdominal stoppages, chronic cramps of the 

 stomach, and similar disorders. 



