72 ENDOCRINE THERAPEUTICS 



The gland that seems to be the most help to 

 thyroid in the treatment of high pressure is the 

 anterior pituitary. This seems to help in the 

 lowering process, and at the same time to act 

 as a general tonic. I shall dweU more on this 

 when I deal with my experience of the pituitary 

 gland as a whole. Many makers put a tablet on 

 the market that contains ovarian and orchitic 

 and sometimes also parathyroid; the first two 

 have a slight general tonic effect, I think, but to 

 give parathyroid with thyroid seems rather 

 futile. On the whole, I think, we should make our 

 experiments as simple as possible, otherwise our 

 results and our judgments will become confused. 

 For general use I advise thyroid and pitglandin 

 (ant. pit.), | grain of the former and | grain of the 

 latter. In cases which show weakness and 

 depression the pitglandin can be increased to 

 i or 2 grains without any harm and with much 

 good. The dose of thyroid, too, may have to be 

 altered : I have a case now of myxoedema in a 

 woman, aged 55, which needs 3 grains or more 

 daily to produce any effect on the tension ; 

 others, again, with irritable hearts, will hardly 

 stand the grain doses. The pitglandin, or in 

 some rare cases, suprarenal, will help them to 

 stand this dose, but it is not wise, except in cases 



