38 LECTURES. 



tsenise passed during the employment of remedies ; 

 and I may even venture to affirm that if, in all the 

 cases of the beef tapeworm coming under my care, 

 I could have obtained the same facilities for ex- 

 amination that I secured in the last mentioned case 

 of human tapeworm, I almost doubt if the " head" 

 would in any instance have escaped my detection. 

 As it is I have no reason to believe that any case 

 coming fully under my care in private practice has 

 been treated unsuccessfully. Cases indeed, not here 

 recorded, have come before me where I have had no 

 opportunity of giving more than a word of preliminary 

 advice ; whilst in others, proper advice having been 

 given, I have had no opportunity of ascertaining re- 

 sults. Instances of the former kind are particularly 

 tantalizing, especially when you have reason to be- 

 lieve that you would have to deal with a compara- 

 tively rare form of parasite. For example : 



CASE XXIV. P. H., a lady residing in the 

 western suburbs of London, comes to consult me 

 respecting a tapeworm, which she appears to have 

 contracted some years since whilst resident in 

 Germany. When I saw her (November, 1867) she 

 was not passing tapeworm . segments or joints of 

 the ordinary kind; but occasionally an entire foot 

 or more of the body (strobile) came away with the 

 ordinary movement of the bowels. I at once 

 diagnosed the presence of a broad tapeworm, my 

 suspicions being confirmed by the notions of the 



