MEDICINAL TREATMENT ‘197 
or mustard, to the abdomen. If the patient is weak 
give nitro-hydrochloric acid (mill. to mx.) with quinine 
(grs. i. to grs. v.), which is soluble in acid, or a combina- 
-tion of camphor, ether, and caffeine. 
The use of a bacterin prepared from the cultures of 
B. coli communis has been reported of considerable value 
in the treatment of catarrhal jaundice, but I have not 
personally exploited it, nor have I any detailed or con- 
firmatory information before me. It appears quite 
feasible, however, that such a bacterin might have a 
marked beneficial effect. 
Nervous Disorders.—In probably the majority of cases 
in which these grave complications make their appear- 
-ance, complete recovery is not effected. Much depends 
upon the type of disorder, the stage at which its onset is 
first noticed, and its severity. 
Convulsions.—Convulsions, when they appear at the 
‘commencement of the disease, are doubtless not so serious 
and may usually be checked by the use of narcotics, and 
I know of no better agent for the purpose than chlore- 
tone, which may be given in large doses at first, then 
gradually reducing the amount as the symptoms are 
allayed. A light, easily digestible diet, perfect quiet 
and semi-darkness, and free action to the bowels, are 
auxiliaries in the treatment of fits. Chloroform inhala- 
tions, the bromides of potassium, sodium, and strontium, 
sulphonal (grs. x. to grs. 1), chloral hydrate, phenazone 
(grs. x. to grs. xx.), morphine subcutaneously (gr. 3 to 
gr. 14), ice to the head or spine, are remedies which have 
been variously recommended for convulsions; all these, 
with the exception of chloroform, are, in my experience, 
inferior to chloretone. Sodium bromide (grs. vii. to 
grs. xx.) certainly appears to lessen the severity and 
frequency of each convulsion, and can be given in full 
doses over a long period of time. 
