SUPPLEMENT 687 



contents will not pour freely. Zinn 1 prefers extract, filicis maris 

 (freshly prepared) to all other drugs. Warburg' 2 considers the treat- 

 ment with extr. fil. to be all the more certain the more thoroughly the 

 preliminary treatment is carried out. Filmaron 0*7 grm., thymol 

 5*0 grm., chloroform 1-5 grm, ol. ricini 20-0 grm. gave good results 

 after being given two to three times (Nagel 3 ). Opinions are divided 

 as to the combination of thymol and extractum filicis maris (Hynek, 4 

 Stockman, 5 Boycott and Haldane, 6 Adams'). As regards other remedie^ , 

 eucalyptus oil is well spoken of by Philips 8 and Hermann 9 : ol. eucalypti 

 2*0 grm., chloroform 3*0 grm., ol. ricini 30^0 grm., to be taken at one 

 time or in three separate doses in the morning (on the previous evening 

 a saline purgative). Neumann 10 recommends podophyllin, to be taken 

 twice on three consecutive days in doses of 0*035 rm - Podophyllin 

 appears to produce quite a peculiar condition of the intestinal mucosa 

 which is very prejudicial to the Ancylostoma adhering to it. Bentley 11 

 regards /3-naphthol as the best drug; after previous examination of the 

 bowels he gives it two or three times at two-hourly intervals, in doses 

 up to ro grm. (Vide also the Appendix, p. 754, for other drugs.) 

 For the treatment of the anaemia, which often persists very obstinately, 

 good and abundant food, iron and arsenic preparations, Levico water 

 (Goldman n, 12 Liermberger 13 ) are suitable. 



Ascaris lumbricoides (Ascariasis). 



Ascaris lumbricoides is one of the most frequent parasites that 

 occur in man, both in adults as well as in children ; as a rule, indeed, 

 it most frequently infects children of medium age. The normal 

 situation is the small intestine ; this, however, is frequently left, and 

 the Ascarides travel into the stomach, oesophagus, pharynx, bronchi, 

 the nasal cavities and still other regions. It is a peculiarity of the 

 Ascarides that they are prone to glide into narrow canals; for example, 

 Clason u records that in the case of an idiot whose custom it was to 

 swallow glass beads, the Ascarides showed a predilection for sticking 

 in the beads and were passed in the faeces. The disturbances which 

 Ascarides occasion in the intestine itself vary ; isolated species do not 



Zinn, "Theiap. der Gegenwart.," 1903. 



2 Warburg, Munch, mcd. Wochenschr., 1904. 



3 Nagel, loc. cit. * Hynek, Sbornik Kliniky, v. 



5 Stockman, Brit. Med. Jotirn., 1904. 



6 Boycott and Haldane, Journ. of Hyg., ix. 



7 Adams, Arch, of Pcdiat., 1901. 8 Philips, Lancet, 1906. 



9 Hermann, La med. moderns, 1905. 10 Neumann, Dentsch. mcd. Wochenschr., 1904. 



11 Bentley, Indian Med. Gaz., 1904. 



'- Goldmann, Dcutsch. Aerzte-Zeitg., 1903. 13 Liermberger, loc. cit. 



14 Clason, see Seifert, Deutsch, med. Zeitg., 1885. 



