94 
TICK BITE. 
“As soon as a person is bitten by a tick, the insect should be removed and the 
place cauterized with 95 per cent carbolic acid. There is sometimes difficulty in 
removing the tick, but by applying ammonia, kerosene, or carbolized vaseline it can 
usually be detached without trouble.” — Anderson, 1903a, p. 41. 
“As soon as a person is bitten by a tick, the arachnid should be removed and the 
wound cauterized with a 95 per cent carbolic acid.” — Wilson and Chowning, 1904a, 
page 56. 
In 3 cases during 1901 in which this precaution was adopted it did 
not seem to inhibit the development of the disease, for all 3 patients 
died. Further, while the precaution may be good, so far as the tick 
bite is concerned, I do not see what good effect may be expected from 
it in aborting a piroplasmosis. 
PURGATION. 
“ To a(d on the bowels, if the patient be an adult and robust, I begin by giving 20 
grains of the mild chloride of mercury well rubbed together with the same amount 
of sodium hi. carb., to be followed in 12 hours by an ounce dose of magnesium sul. 
This will keep the howels active for 1 to 3 days, after which I give the same remedies 
in sufficient quantity to make the bowels act 2 or 3 times every 24 hours.” — Gwinn, 
1902. 
“For cases encountered within the first 3 or 4 days I begin with: I^. Hydrarg. 
chlor. mite et sodii bicarb., aa. gr. i. Tablets no. xii. Sig. : One tablet every half 
hour until all are taken. 
“This rarely fails to produce free purgation and unloads the intestinal canal, 
thereby relieving any tendency to hepatic engorgement. Should catharis be insuffi- 
cient, a clyster containing a teaspoonful of turpentine should be given. Then with 
a view of eliminating the noxious accumulations in the system, and in some degree 
modifying the jaundice, give: 1^: Sodium phosphatis Sig.: Teaspoonful given 
in hot water every 3 hours. 
“By administering this remedy at above-named intervals the bowels are kept 
free, diaphoresis increased, and muscular soreness diminished.” — McCullough, 1902, 
pp. 227-228. 
In case 118, bowels were kept open with calomel (Anderson, 1903c, p. 28). 
QUININE. 
“In 5 cases in which it [quinine] was used systematically and in large doses the 
results were most happy, all recovering. Five cases which did not have the treatment 
died. Of course, 10 cases is too small a number on which to base very positive con- 
clusions, but I hope that the use of quinine will be followed in the future treatment 
of the disease. Quinine bimuriate, 1 gram, should be given hypodermically every 
6 hours. If there is great objection to the use of the needle, the sulphate, 1 gram 
every 4 hours, may be given by mouth ; but the irritable condition of the stomach at 
times may prevent. The use of quinine should be begun as soon as the diagnosis is 
made, and persisted with in decreasing doses as convalescence begins. Some of the 
valley physicians seemed to fear that quinine depressed the heart and caused nerv- 
ous symptoms; but I am of the opinion that the great good the drug does more than 
counterbalances these effects. I strongly advise the early and continuous use of 
large doses of quinine.” Anderson, 1903c, p. 40. “The good results that have fol- 
lowed the administration of large doses of quinine — the 5 cases in which it was used 
having recovered — give much hope that this disease, winch is so much dreaded, 
may in future be robbed of many of its terrors.” — Anderson, 1903c, p. 7. 
