132 LECTURES. 



from Pembrokeshire, is certain that she is a martyr 

 to worms, from which she has suffered for years, 

 as her medical advisers, if I asked them, would be 

 ready to testify. That she had been well phy- 

 sicked there could not be the slightest doubt, for 

 she seemed to have tasted almost every drug in the 

 Pharmacopoeia. Amongst the various medicines 

 she had swallowed to say nothing of the turpen- 

 tine and other remedies introduced as enemata 

 she certainly named ammonia, aloes, assafoetida, 

 gentian, quassia, sulphur, potash, taraxacum, va- 

 lerian, hyoscyamus, senna, santonin, male-fern, and 

 quantities of mercury. That, under these circum- 

 stances, she should be so well as she now appeared 

 was in itself, I thought, noteworthy. On closely ques- 

 tioning her, I felt bound to admit that at one time 

 or other she must have had lumbrici ; but when I 

 saw her, which was in November, 1867, the pains 

 she complained of were clearly referable to rheu- 

 matism and gout, and there was no evidence that 

 she was suffering from parasites of any kind. In 

 accordance with her wishes, I prescribed an anthel- 

 mintic (containing santonin), but the result, as I 

 anticipated, was equally negative a.rid unsatis- 

 factory. / 



CASE LXXIV. J. M., a titled lady, residing in 

 Belgravia, was seen by me in consultation with her 

 usual medical attendant. Suffering from hysteria 

 and ennui, she attributed her obscure pains to 



