478 The Philippine Journal of Science 1923 



gave the following performance, the notes on which were fur- 

 nished by his physician : 



August 4. Calomel, 3 grains at bedtime. 

 August 5. Epsom salts in morning. Liquid diet. 



August 6. No breakfast. Nine cubic centimeters of carbon tetrachloride 

 given at 9 a. m. 



Two hours after taking the medicine his bowels began to move, and 

 the purging continued all day. His chief complaint was a burning sen- 

 sation at the anus. Many worms were recovered, but no count was made. 

 August 7. The patient complained of pain in the stomach. He vomited 

 many times during the day and night, the vomitus containing mucus and bile. 

 August 8. The patient vomited frequently during the day. In the 

 evening he was given a hypodermic of pantopon. He slept well and had 

 no recurrence of the pain or the vomiting. 



August 9. The patient became markedly jaundiced. His urine was very 

 dark, containing bile, but no albumin, sugar, or casts. 



August 12. Discharged from the hospital. The jaundice was beginning 

 to fade. His appetite was good. 



The patient was instructed to report again in two weeks for 

 another stool examination, but he failed to do so. However, 

 his friends stated that he was gaining in weight and had a 

 ravenous appetite. He went back to his work in the provinces. 

 Particulars regarding the extent of the alcoholic indulgences 

 of this man were not forthcoming, but there seems little reason 

 to doubt, from such information as we could secure, that his 

 troubles were consequent upon a too-close association between 

 alcohol and carbon tetrachloride. 



These are two fairly extreme cases. Others we have seen 

 were milder, but all recovered and showed no outward effects 

 after convalescence. Obviously, the drug had spent consider- 

 able force on the liver in every case and there is, of course, no 

 means of telling at the present time if the damage wrought 

 was of a permanent nature. 



Nothing of this kind occurred among our prisoners, however. 

 Statistically, so far as abnormal reactions following treatment 

 are concerned, our "alcoholic group" made a distinctly better 

 showing than did those who denied the use of liquor. Out of 

 the entire group, forty-eight men asserted that they used alco- 

 hol in moderation, while two admitted that they used it in 

 excess. Fifty-five of the men denied the use of alcohol in any 

 form, while five failed to make a statement either way. None 

 of these men were whiskey drinkers. A few drank beer, but 

 most of them indulged in tuba, which is quite freely drunk 

 m some of the rural districts. None of the men had tasted 

 liquor m any form for at least a week prior to treatment. 



