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 1904 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 i 
it in aborting a piroplasmosis. 
PURGATION. 
“ To act 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 Avith the same amount 
of sodium bi. carl)., to be followed in 12 hours by an ounce dose of magnesium sul. , 
This will keep the bowels active for 1 to 3 days, after Avhich I gi\'e the same remedies 
in sufficient quantity to make the boAvels act 2 or 3 times every 24 hours.” — Gwinn, ' 
1902. ' 
“For cases encountered within the first 3 or 4 days I begin Avith: E. 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 relieA'ing any tendency to hepatic engorgement. Should catharis be insuffi- 
cient, a clyster containing a teaspoonful of turpentine should be giA^en. Then Avith ' 
a vieAV of eliminating the noxious accumulations in the system, and in some degree | 
modifying the jaundice, give: E: Sodium phosphatis ^ii. Sig.: Teaspoonful given 
in hot Avater eA’ery 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, boAvels Avere kept open Avith calomel (Anderson, 1903c, p. 28). , 
QUININE. 
“In 5 cases in Avhich it [quinine] Avas used systematically and in large doses the 
results Avere most liappy, all recovering. Five cases Avhich did not have the treatment 
died. Of course, 10 cases is too small a number on Avhich to base very positiA’e con- ’ 
elusions, but I hope that the use of quinine Avill be folloAved in the future treatment " 
of the disease. Quinine bimuriate, 1 gram, should be giA’en hypodermically eA^ery f 
6 hours. If there is great objection to the use of the needle, the sulphate, 1 gram : 
every 4 hours, may be giA^en by mouth; but the irritable condition of the stomach at 
times may preA^ent. The use of quinine should be begun as soon as the diagnosis is 
made, and persisted Avith in decreasing doses as convalescence begins. Some of the 
A’alley 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, ]). 40. “ The good results that have fol- 
lowed the administration of large doses of quinine — the 5 cases in Avhich it Avas used 
having recoA^ered — giA^e much hope that this disease, Avhich is so much dreaded, 
may in future be robbed of many of its terrors.” — Anderson, 1903c, p. 7. 
