374 ANIMAL PARASITES. 



Clysters, with various matters added to them, are tlie most 

 advisable remedies. 



Sommering expelled the worms from his son by a clyster of 

 olive oil ; others praise garlic-, wormwood-, or valerian-clysters, 

 or clvsters with an addition of Oleum Cliaberti, or Oleum animale 

 Dippelii. Dujardin saw an abundant discharge after an addi- 

 tion of aloes. For my own part I believe that simple cold water 

 clysters effect just as much as those just mentioned, but those 

 of salt-water with oil still more. Very recently I have admi- 

 nistered clysters of Natron santonicum (4 — 8 grains to a clyster 

 for adults, for children one half), with the addition of two drops 

 of oil of anise, with good results. In the less obstinate cases 

 these clvsters are sufficient even when only the ordinary short 

 mouthpiece of the clyster-syringe is introduced into the anus. 

 Quiet sleep is obtained by ordering the patient a clyster daily 

 before going to bed. Cure can only be attained by long-con- 

 tinued nightly lavements, and in obstinate cases bv making 

 use of an elastic mouth-tube or catheter which has lately 

 been recommended, especially by Griesinger, and which is in- 

 troduced as far as above the flexura sigmoidea. In this way the 

 stream of the enema reaches to the Oxyurides above the flexura 

 sigmoidea, which is a principal point. Unfortunately a great 

 number of those specimens of the worm which conceal themselves 

 behind the folds of the rectum escapes the action of the clyster. 

 To those who are sent to the baths on account of Molimina 

 hamorrhoidalia, to use alkaline aperient waters, and who observe 

 Oxyurides in their faeces, and are also annoyed by them, espe- 

 cially at night, I would earnestly recommend the use of these 

 waters in the form of lavements. It is also salutary, in order to 

 remove the specimens which have wandered into the small 

 intestine, to administer Natron santon. internally for a couple 

 of days, and afterwards strong purgatives, in order to remove 

 or destroy the worms, which easily swell up and burst in 

 water. 



This is not an unsuitable place in which to refer to the time 

 when anthelmintics should be administered. Popular belief 

 places the most suitable time when the moon wanes ; the same 

 thing was taught by the old physicians, and even at the present 

 day, surgeons who have much to do with worm patients say that 

 at the time of the wane of the moon the greatest number of 

 patients come to them to complain about their annoyance. As 



