LECTURES. 



emaciation. In accordance with my advice, he 

 persevered in the employment of copious enemata, 

 preceded by the use of powders containing santonin. 

 Unfortunately, active purgatives could not be borne, 

 although when I last saw him in December, 1870, 

 I so far prevailed upon him as to induce him to 

 take powders containing a few grains of scammony. 

 Simple cold water enemata, however, became the 

 most acceptable mode of treatment, affording only 

 a very temporary and partial relief. x" 



CASE XLVI. S. A. W., a magistrate from Sussex, 

 about fifty-five years of age, has also been annoyed 

 all his lifetime by ascarides. He suffers chiefly 

 from depression of spirits, being at times almost 

 hypochondriacal. He has tried various remedies 

 without success. When I first saw him, which was 

 in April, 1866, I recommended electuaries of san- 

 tonin and cold water enemata. With some slight 

 changes, this simple method of treatment was con- 

 tinued for a month. Large numbers of parasites 

 were brought away, and on the 16th of the following 

 May I received a note stating that up to that time 

 there had been " no return of the inconvenience." 

 The good effects, indeed, lasted until the middle of 

 June, during which month there was a recurrence 

 of the irritation, " though to no great extent." 

 The temporary relief thus afforded appeared to give 

 satisfaction, the patient being contented to renew the 

 remedies whenever they might become necessary. 



