TREATMENT OF TAPE-WORM. 151 



b. Drastics, amongst others calomel, or Schmidt's method. — 

 A method which, probably only on account of its violence, is still 

 famous, and is employed in cases in which all others have failed. 



Preparation. — To ascertain positively the presence of the tape- 

 worm, the patient is directed to eat no meat at dinner; at night 

 he receives a herring-salad without potatoes, but with large quan- 

 tities of onions and sugar, and after it drinks much sugar and 

 water. The next morning he takes the following powder with 

 syrup: li Rad. Jalapp., gr. xv; Sem. Santou., 3ss ; Gi Gutti, 

 Calom., aa gr. v j ; Eheos. Tanaceti, 5i; and afterwards drinks 

 black coffee, with a great deal of syrup, or very rich meat broth. 

 Upon this fragments, and sometimes even the whole, of the worm 

 pass away ; when, on the suspicion that another worm may still 

 be there, the expellent pills are immediately given. 



R Assafoetidse, Extract. Gramin., aa 5ij ; Gi Gutti, Pulv. 

 Rad. Rhei, Pulv. Jalapp., aa 51J ; Pulv. Ipecac, Pulv. Hb. 

 Digit. Purp., Antim. Sulfur. Aurat., aa 3ss ; Calomel, 9ij ; 01. 

 Tanaceti, 01. Anisi, aa gtt. xv. M. f. pill. gr. ij, consp. Pulv. 

 Lycop. S. Six to be taken every hour. Between the first aud 

 second doses the patient takes a table-spoonful of castor oil, and 

 afterwards weak black coffee, with plenty of syrup, between the 

 doses. In the afternoon the worm passes off. If this takes place 

 slowly, a little more castor oil is given in the meantime, and by way 

 of precaution the six pills are administered three times on the fol- 

 lowing day. (For my own part, I think that this method ought 

 not to be again employed immediately, when one whole worm 

 has been passed. My own observations have shown me that when 

 several worms inhabit the same intestine, one of them, in passing 

 out, always tears away so much of the others, that the medical 

 man, who certainly must make a careful examination, may see 

 whether there be only one or several tape-worms.) 



If this total expulsion of the worm does not take place after 

 the herring-salad, but there is only an expulsion of single seg- 

 ments, the patient on the following day takes the following mix- 

 ture, from the morning until seven o'clock in the evening : ft 

 Pulv. Rad. Valer., 3VJ ; Fol. Sennse, ^iij ; fiat Infus. Colat., ^vj, 

 adde Natri Sulfur., 5iij : Syrup. Mannas, ^ij ; Elseos. Tanaceti, 

 3ij. At noon a thin gruel, with herring, and about eight 

 o'clock in the evening a herring-salad, with raw ham, &c. Sugar- 

 water to drink. 



I consider this method as too exhaustive, and explain the neces- 



