106 LECTURES. 



significant indications of impairment of the circula- 

 tion and uterine organs, seemed to me to be fully 

 accounted for on this assumption ; and the more so 

 since I did not learn that the oxyurides were at 

 any time particularly numerous. In the first 

 instance I ordered sulphur and charcoal powders, 

 along with moderate draughts of the Friedrichshall 

 mineral waters. The results being negative as 

 regards the parasites, I next advised a temporary 

 discontinuance of the anthelmintic remedies, sub- 

 stituting a powerful tonic containing steel, quinine, 

 and strychnia. This treatment, materially strength- 

 ened by a prolonged stay in the south-west of 

 England, produced excellent results; but as the 

 threadworms returned I was again consulted. 

 Finally I recommended the Pullna waters, as being 

 more powerful than those she had previously taken, 

 but even this treatment failed to dislodge any 

 considerable number of worms. In point of fact, 

 the degree of parasitism in this case was compara- 

 tively trifling ; but amply sufficient, nevertheless, to 

 aggravate the uterine symptoms, nine-tenths of 

 which were due to one of the commonest of female 

 disorders. 



CASE LXIV. H. S., a young lady, resident in 

 Germany, sought my advice through her parent in 

 the- spring of 1871. The symptoms were of the 

 ordinary type, but decidedly severe. I commenced 

 treatment by employing steel injections, with san- 



