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 reflex 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 



