TREATMENT OF TAPE- WORM. 153 



Antira. Diaphor., gr. xij; Pulv. Rad. Filic. Mar., Pulv. Rad. 

 Mori Fructu Nigro, aa 9ss. M. D. S. at once. And R Pulv. 

 Sabin., Serain. Rutse, aa gr. viij ; Mercur. Dulc., gr. iv ; 01. 

 Essent. Tanaceti, gtt. vj. M. fiat cum syrup, persicorum bolus, 

 D. S., to be taken at once, and a glass of an infusion of peach- 

 kernels in wine to be drunk after it. 



h. Desault's method is almost ludicrous. He rubbed mer- 

 curial ointments into the abdomen, and between the rubbings in 

 administered strong doses of calomel. By this means it is cer- 

 tain the worm will very rarely be expelled, but we may make 

 pretty sure of producing salivation. 



i. The method of Clossius. — As soon as the presence of the 

 Tcenia has been ascertained by means of turpentine, the patient 

 is kept for four weeks upon a diet entirely consisting of pungent, 

 salted and smoked food, and cheese. With this the patient must 

 drink more wine than usual. For a few days before the adminis- 

 tration of the purgative, the patient takes, every evening, a grain 

 of opium or Laud. Liquid. Lyd. Frequently only a single 

 administration of the purgative is necessary. R Mercurii 

 dulcis, Lapidum Cancrorum prreparatorum, aa gr. xij. M. f. 

 pulvis, S. No. I. — R 01. Amygd. dulc, ^ss. S. No. 2. — 

 R Gi Gutti, gr. xxxvj ; Rad. Angel., gr. viij ; Pulv. Card, 

 bened., Pulv. Epilept., aa 3j. M. etc., divide in partes sequal. 

 No. 3. — About four or five o'clock the patient takes No. 1 in a 

 little water, takes only half a supper at night, and No. 2 at bed- 

 time. The next morning, if possible whilst still in bed, he takes 

 one of the three powders in a little tea, or in a wafer. In two 

 or three hours, vomiting and liquid evacuations usually occur, and 

 this is to be assisted with tea or thin broths. If the worm has 

 not passed in two hours, the second powder is administered, and, 

 after again waiting for two hours and a half, the third, after 

 which the worm is always expelled. The worm either passes in 

 a living state on the same day, or on the following day dead. 

 The remedy is rarely unaccompanied by diarrhoea and vomiting, 

 so that the worm itself passes out with a natural stool. For the 

 reasons already given in the general section, I can never approve 

 of this method with T. solium, as the long preliminary treatment 

 may easily give rise to a dissemination of the embryos in the in- 

 testine, and to Cysticercus cellulosce in various parts of the body. 

 Ttenia solium, above all, requires quick methods. 



