TAPEWORMS. 21 



seemed to me to be one of the cases in which I 

 might have reason to believe that the worm would 

 reappear ; and I may so far anticipate what I have 

 to say upon the subject of anthelmintics by remark- 

 ing that this patient had previously taken kousso, 

 kamala, and turpentine. 



CASE X. C. M., a delicately nurtured child, in 

 her fourth year, was recommended to see me re- 

 specting a tapeworm which she also had contracted 

 in India. The Medical gentleman who thus advised 

 had himself successfully expelled fourteen feet of the 

 parasite by means of a simple dose of calomel and 

 jalap. At the time (May 20, 1869) it was evident 

 that the head and greater part of the neck remained 

 behind, but there were circumstances which induced 

 me to attempt their separate expulsion. No result, 

 however, having been directly obtained in this way, 

 and it being clear that we had to deal with the 

 pork-tapeworm, I awaited the return of the fully 

 developed worm, segments of which appeared at the 

 expiration of ten weeks. I now administered a 

 suitable dose of male-fern and brought away twelve 

 feet of the parasite. Though not so lengthily de- 

 veloped as the previously expelled specimen, it was 

 a much more perfect individual so to speak the 

 finer and uppermost neck-segments being among 

 the dislodged fragments. As I had no opportunity 

 of myself searching for the head, it appeared to me 

 quite possible though scarcely probable that the 



