ROUNDWORMS. 117 



suspected lumbrici, but I saw no satisfactory grounds 

 for that assumption. To test his views I prescribed 

 single-grain doses of santonin, and a simple tonic 

 containing steel. What further treatment was 

 adopted I do not know ; but had the result been 

 otherwise than negative as regards the parasites, I 

 should certainly have been informed. 



CASE LXIX. M. B., a lady residing in Lon- 

 don and rather advanced in years, believes herself 

 to be the victim of lumbrici. Six months back 

 she passed a large specimen of this kind of worm ; 

 and as she is still subject to painful sensations in 

 the region of the stomach and liver, these symp- 

 toms, in her own judgment, can only be attributable 

 to other parasites left behind. At the present time 

 the pain in her right side is more or less persistent, 

 but before the solitary Ascaris came away she 

 suffered much more considerably from nervous 

 twitchings, colicky pains, accompanied with occa- 

 sional attacks of hsematemesis. Here again, con- 

 sidering the fact of the cessation of all the more 

 marked and characteristic symptoms, I doubted the 

 presence of lumbrici, attributing the alleged symp- 

 toms partly to nervousness, and partly to a rather 

 free use of stimulants. Nevertheless, as is my 

 wont in such cases, I tested for lumbrici by the 

 administration of santonin and scammony powders, 

 followed by a saline cathartic. No worms of any 

 kind coming away, I looked more closely into the 



