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W. L. ZUILL. 
and congestion prevented. This may be followed by counter¬ 
irritation with mustard to the chest, belly and extremities, as it 
will probably tend to prevent localization upon important 
viscera, and to establish it in the subcutaneous connective tis¬ 
sue. This must be followed by antipyretic remedies, such as 
quinine, acetanelid, salts of iodine, arsenic and mercury, bicar¬ 
bonate of soda, etc. Iodide of potassium, when used, should be 
given in half ounce doses three times a day; it is expensive, but 
is by far the best of these salts. Bicarbonate of soda is cheap, 
and may be used to advantage in some of these cases. When 
there is a tendency to blood stasis, digitalis given in small doses 
frequently, for a day or two, will often do much good. Quinine 
and acetanelid become our sheet anchor, in the majority of 
these cases, especially when intelligently aided by drugs to 
meet special conditions, and judiciously supplemented by the 
use of such stimulants as coffee and alcohol. 
Treatment of Local Complications. —The treament of 
the localizations must be adapted to the different conditions as 
they arise, so that each new phenomenon will have to be com¬ 
bated by new and special treatment, in other words medicine 
must be given entirely to counteract symptoms. 
Intestinal complications will be seen in the majority of cases, 
and is the least serious form with which we have to contend. It 
is first indicated to restore the normal tone of the digestive 
mucous membrane; this should be done with as little irritation 
as possible, and is best accomplished by the administration of 
small doses of sulphate of soda. 
There are cases when abdominal pains and dull colics 
are present; these are probably best combated by the use of 
suchanodines as camphor and chloral or asafcetida given in doses 
of from 2 to 3 3 each. It is not by any means infrequent to 
find cases of muco-albuminous diarrhoea due to the presence of 
irritating food masses. The first indication in treatment is to 
remove the cause by the administration of from 20 to 30 ounces 
of castor oil, containing one drachm of carbolic acid or iodine, 
and to continue the administration of these drugs in 10 or 15 
