THREADWORMS. 87 



enemata, had the effect of affording temporary 

 relief; but they were afterwards abandoned in 

 favour of compound scammony powders, followed 

 by active saline draughts and the administration of 

 medicated injections. 



CASE XLIV. S. G. J., a gentleatan past the 

 middle age, living in Gloucestershire, has been 

 infested by threadworms for a period of sixteen 

 years, their presence rendering him irritable and 

 nervous. He first consulted me in the autumn of 

 1866 ; and when I saw him again in the following 

 December, he admitted that he had derived relief 

 from the treatment recommended. In the first 

 instance, I had here also employed santonin in 

 combination with senna, and the use of copious 

 enemata. This treatment was subsequently modi- 

 fied, with decidedly better effect, by ordering san- 

 tonin and podophyllin supplemented by injections 

 containing sulphuric ether. In the following spring, 

 when I saw him for the last time, the improvement 

 observed was such that I merely advised a renewal 

 of the enemata whenever occasion required. 



CASE XLV. G. R., a gentleaten about sixty 

 years of age, also from Gloucestershire, first saw 

 me in April, 1866. He has been troubled with 

 these obnoxious parasites all his lifetime hitherto. 

 Their presence had not only rendered him highly 

 nervous, but he suffered from depression of spirits, 

 accompanied with great debility and considerable 



