METHODS WITH TIN. 157 



b. Matthieu's method. — Preliminary treatment : For some 

 days the patient is to keep a sparing, light diet, such as a 

 herring diet, and then for two or three days to take the follow- 

 ing electuary : R Limatur. Stanni Anglici puri, 5J ; Filic. Maris 

 pulverisat., 3VJ ; Semin. Cince Pulveris, $ss ; Pulv. Rad. Jalapp., 

 Sal Polychrest., aa 3J ; Mellis comm., q. s. ut fiat elect. ; a full 

 teaspoonful every two hours. As soon as the worm makes 

 itself felt [which may very often be the tin filings making 

 themselves felt], a tea-spoonful of the following electuary is 

 given every two hours : ft Pulv. Rad. Jalapp., Sal Polychr., 

 aa 3ij ; Pulv. Scammon., 3j ; Pulv. Gi Gutti, 3ss ; Mellis com- 

 mun., q. s. ut fiat elect.; or a little castor oil, or a castor-oil 

 clyster, until the worm passes off. 



c. Mayer's method. — 3j tin is made into an electuary with 

 honey, and the dose is gradually increased to 3 SS of tin. 



d. Autenrieth's method. — A powder composed of 3j Stann. 

 Rasp., or more properly of the less irritating granulated tin and 

 Filix Mas, is administered six times a day for three days, followed 

 by a purgative, of which the best is a decoction of gamboge 

 with the addition of castor oil. 



e. Alston's method. — On the Thursday before a change of the 

 moon (!) an aperient is given ; on the following Friday, in the 

 morning, fasting, a syrup with 5J of tin ; on Saturday and 

 Sunday, 5 SS of tin; and on Monday an aperient. I think this 

 method must be quite obsolete. Even Bremser found it in- 

 sufficient. Even in three months segments of Tcenice were being 

 given off again. 



/. Dupuis's method. — For those who will not give up the 

 irritating tin filings, this appears to be the best mode of adminis- 

 tering tin. Without any preliminary treatment, the patient takes, 

 at six and half-past six in the morning, each time a powder of 

 Stann. Rasp. Angl., 3ss; Tannini Puri, Gi Gutti, aa gr. v, and 

 Elreosacchar. Cajeput, gr. iiss; and after each dose drinks two 

 cups of black coffee. In two hours the worm passes off, usually 

 with colicky pains ; on the occurrence of which, strong black 

 coffee is immediately given. For the subsequent treatment a 

 tincture of iron. 



(j. The process is still better when, as Becker recommends, the 

 chemically precipitated tin is used. According to Becker, it is 

 certain in its action, does not irritate the intestine mechanically, 

 and is to be recommended in doubtful cases; it is, however, 



