184 THE INTERNAL SECRETIONS 1920 



icine as well as therapeutics at present engaging such 

 prominent men as Barker, Sajous, Cannon, Harrower, 

 Kinnicut, Pottenger, Borchardt, Sergent, Perrier and 

 many others in its work. 



GENERAL CONSIDERATIONS 



The successful organotherapy of the various endo- 

 crinopathies which are either fundamental or incidental 

 in children's disorders involves a broad understanding 

 and a knowledge of details, greater, perhaps, than in 

 any other line of medical work. Not infrequently it is 

 the absence of such knowledge on the part of medical 

 men which explains a great deal of the therapeutic 

 doubt and skepticism which exist at the present time. 

 Therapeutic nihilism in ductless gland therapy as far 

 as pediatrics is concerned, and also any other branch of 

 medicine, invariably means gross ignorance and incom- 

 petence. Without a doubt, a great deal of judgment 

 must be used in the study of these cases as well as in 

 the selection of these remedies. 



I will now consider the most important of the endo- 

 crinopathies that exist in the disorders of children, 

 such as nutritional disorders ; anomalies of growth and 

 morphogenesis ; anomalies of the sex glands and repro- 

 ductive organs ; and certain of the nervous and muscu- 

 lar disturbances. 



NUTRITIONAL DISTURBANCES 



There exists an intimate relationship between the 

 internal secretions and the growing organism. Ob- 

 servations upon the growth and development during in- 

 fancy and childhood are of utmost importance. Only 

 through such means are many diseases detected in their 

 incipiency. I have divided the various nutritional dis- 

 orders into definite types, each being characteristic of 

 its associated dyscrinism. 



