65 



result of your treatment of my daughter. I am pleased to say, 

 in every respect, it seems satisfactory. 



" On Thursday night last she had one dose of medicine, 

 and on Friday morning another dose. She then had the use 

 of her bowels, and her mother examined the matter, and found 

 several worms, quite dead, one or two of them quite 1 J inches 

 long. I saw them myself. They were about the thickness 

 of very thin twine. Each day has brought the same result. 



" On Saturday morning there were quite a lot of small ones ; 

 but on Sunday there were fewer. 



" This (Monday) morning none could be found. She says 

 she cannot feel anything now like she used to in the stomach. 

 Her eyes seem brighter, the rings have disappeared from be- 

 neath them, and her skin to-day has taken on a decidedly 

 healthier tinge, and she says she feels so much better. She 

 has not been at her nose at all, neither does she grind her teeth 

 when asleep ; and she certainly sleeps the night through, with 

 hardly a movement. Where before she hardly cared whether 

 she had anything to eat or not, she now appears to enjoy her 

 food. 



" This is all I can think of now. 



" I should be pleased to bring her to see you, if you would 

 now be so kind as to prescribe also a course of constitutional 

 treatment for her." 



Jan. 3rd. The child was seen again, and everything in the 

 above letter was confirmed. Weight, 3 stone 1 Ib. 6 oz. A 

 mild course of constitutional treatment for the after-effects 

 was commenced. 



Jan. llth. Seen again. Weight, 3 stone 2 Ib. 10 oz. 



Jan. 3lst. Seen again. The child was now entirely 

 changed, and looked absolutely healthy. It was, however, 

 clear that re-infection had occurred, as, during the interval 

 since her last visit, one or two threadworms had been noticed 

 in the stools. The doses of the tincture had, therefore, been 

 repeated for one day, when three more dead worms appeared. 

 No more were seen after this. 



Feb. 14th. It was reported to me that the inflammation of 

 the vulva and vagina had disappeared ; and that the child 

 seemed perfectly healthy in every way. 



