74 LECTURES. 



a bottle for my inspection and determination. There- 

 fore, on questioning the patient and on examining 

 the supposed parasitic debris, I had no difficulty in 

 at once deciding that this patient was not infested 

 by any tapeworm. However, she succeeded in 

 satisfying me that she had really suffered from 

 oxyurides a few years previously ; and I was inclined 

 to look upon some of her present symptoms as a 

 permanent result of the attack by her former ene- 

 mies. At all events, she was now suffering from 

 acute hysteria, coupled with delusions. There were 

 distinct indications of " globus," combined with 

 voracity, and a tendency to bolt her food. To add 

 to these vexatious symptoms, it was rendered quite 

 manifest that she had been very much neglected ; 

 and it was therefore not surprising that I also found 

 evidence of serious constitutional disturbance, in 

 association with distressing anaemia, leucorrhcea, 

 occasional diarrhoea, abdominal distention, a feeling 

 of soreness over the region of the stomach, and 

 other painful complications. I prescribed a mixture 

 containing assaftetida and carbonate of ammonia; 

 at the same time suggesting certain rules as to diet 

 and occupation. Obviously, however, it was a case 

 where treatment could be of little avail in the ab- 

 sence of personal kindness and consideration on the 

 part of those upon whom such duties naturally 

 devolved. / 



CASE XLI. A. A., a gentleman residing in Liver- 



