36o DISEASES OF UNCERTAIN .ETIOLOGY 



thin slices of bread baked in an oven for twenty minutes. 

 Give milk every fourth day for twenty-four hours. 



Drugs. 



Astringents are dangerous, antiseptics useless. 



Yellow, santonin, 3 to 5 grains, twice daily in olive oil. 



If the santonin is white expose to the sun for a few days. 



Ipecacuanha, 20 grains daily, for three days in severe cases 

 (Cant lie). 



To be discontinued when the stools are brown and free from odour. 



Paint the mouth with glycerine and borax; for pain, spray or paint 

 on 2 to 5 per cent, cocaine or stovaine. 



Give morphia for painful oesophagus. 



Adrenalin, 5 to 10 minims (i in 1,000), gives immediate relief. 



For muscular pain, massage and pilocarpine, i/ioth gr. to i/5th gr. 

 thrice daily. 



For acute diarrhoea^ opium or lead and opiimi pills. 



Send the patient to a temperate zone as soon as possible. 



Alkalies diminish, acids increase the symptoms. 



Cantlie savs that milk clots in the acid fermentation, the patient 

 absorbing only the whey. 



Emetine and streptococcal vaccines can be tried, the latter prepared 

 from the mouth lesions (Rogers). 



Good results have been obtained with the following medicinal 

 remedies : — 



Large doses of pancreaiin, 2 grm. dail\-, dilute hydrochloric acid, 

 calcium carbonate and a liille tannic acid. The pancreatin was con- 

 tinued for months with good effects while being taken, and slight 

 relapses A\hen it was omitted. 



Some claim good results from Monilia vaccines. Six injections 

 of ihe emulsion, eight to fourteen days apart, the primary dose of 

 0*03 c.c. increasing to a final dose of r40 c.c 



Of 62 patients tluis treated, 49 were cured, 12 improved, and i died 

 (Michel). 



PHLEBOTO:\IUS FEVER (THREE-DAY FEVER). 



DEFINITION. 



An acute specific three-day fever of unknown causation, spread by 

 the Phlebotomus papatasii. 



DISTRIBUTION. 



Around the Mediterranean and Adriatic seas, India, Egvpt and 

 South America. 

 ' ■ It agrees with the distribution of the P. papatasii. 



