90 LECTURES. 



santonin powders and cold water enemata ; but the 

 inefficiency of these remedies soon caused me to 

 substitute powders of areca nut and chenopodium, 

 followed by active saline mixtures. So far as the 

 parasites were concerned this treatment seemed to 

 promise more success ; but the necessity of discon- 

 tinuing all vigorous treatment of this sort was 

 afterwards rendered imperative by the setting in of 

 serious paralytic symptoms, attended with aphasia 

 and extreme depression. Under additional profes- 

 sional advice, he resorted to the south of France. 

 This was in the month of January, 1870. Whilst 

 there, for a period of three months or so, he expe- 

 rienced a decided improvement in health, but it 

 could scarcely be . said that this was due to the 

 change of residence, since the climate proved too 

 relaxing. Under my advice he had continued the 

 areca-nut and chenopodium powders, gaining further 

 aid from the use of simple enemata, and more par- 

 ticularly also from a strict adherence to rules as to 

 wine and diet. The saline draughts could not be 

 borne at any time ; and the employment of all other 

 active purgatives was equally contra-indicated. 



CASE XLIX. M. G., a gentleman of middle 

 age, residing in the suburbs of London, consulted 

 me in May, 1867. The symptoms in this case were 

 less marked than usual. The employment of san- 

 tonin and podophyllin electuaries, with other injec- 

 tions, had but little effect ; but the subsequent ad- 



