TAPEWORMS. 77 



under middle age, has had tapeworm for fully two 

 years. She admits that she at one time had a sort 

 of mania for underdone meat, especially pork, 

 which she frequently ate in the perfectly raw state. 

 She experiences obscure pains about the abdomen, 

 has irritation at the nasal passages, and elsewhere, 

 and is frequently disturbed at night. Her ordinary 

 medical attendant appears to have treated her most 

 judiciously, and his success has been so marked 

 that on one occasion it was estimated that the 

 remedies brought away no less than seventy feet of 

 tapeworm in fragments. These portions were referred 

 to two or more individuals. She was last treated 

 about two months since, on which occasion twenty- 

 four more feet of tapeworm came away, all being 

 referred to a single worm, as it included the 

 finest neck segments close up to the head. The 

 drugs employed were kamala and male-fern. When 

 she brought me six loose proglottides in a phial I 

 observed that two of the segments presented the 

 abnormal characters above mentioned, but in other 

 respects the joints corresponded with those of the 

 pork-tapeworm. Under my advice she first took a 

 drachm and a half of male-fern extract in two 

 successive doses without effect. She then took 

 powders containing half-an-ounce of areca-nut with 

 a drachm of the fern-root, which dislodged more 

 than eighteen feet of tapeworm, and this was fol- 

 lowed up by a combination of these two drugs 



