THREADWORMS. 91 



ministration of santonin in combination with a 

 saline purgative brought away considerable numbers 

 of oxyurides. At a later period I prescribed aloes, 

 followed by quassia enemata, further advising only 

 a continuance of these remedies as occasion might 

 seem to require. It was not a case requiring very 

 active treatment. 



CASE L. C. W. A., about thirty years of 

 age, a gentleman of "independent means, has for 

 years past been a perfect martyr to threadworm. 

 His appearance indicated suffering of no ordinary 

 kind, for he was reduced to a mere skeleton. Every 

 kind of treatment has been recommended by his 

 medical advisers, and hitherto with only a very 

 partial relief. At first 1 employed santonin and 

 podophylliu, with lime-water enemata containing 

 steel; but as this form of injection could not be 

 retained sufficiently long to be of service, I after- 

 wards recommended a twelve-ounce enema con- 

 taining three drachms of sulphuric ether and a few 

 drops of the oil of rue. This treatment commenced 

 in January, 1867, and it had the effect of driving 

 out a large number of parasites, which were mostly 

 dead. At the expiration of two months the thread- 

 worms ceased to appear, and the relief was, of 

 course, well marked. The cure, however, was only 

 very temporary ; for in the course of another month 

 or six weeks the attacks recommenced. I then 

 recommended the frequent use of injections con- 



