200 
W. L. ZUILL. 
effects which may follow its use. The pulse in this complica¬ 
tion should be closely watched, as there is frequently an indica¬ 
tion for the use ot digitalis, which may be given in from 30 to 
50 M doses of the fluid extract. The effect of the drug must be 
carefully noted, and if the pulsations become slow or intermit¬ 
tent, the drug must be stopped. Over active treatment in this 
complication is to be avoided, as the very great majority of 
cases will get well in a week or ten days if the patient is not 
killed with medicine. Bronchial irritation, marked weakness, 
and poor appetite, often remain for a long time, after all other 
symptoms have disappeared; diffusive stimulants, tonics and 
nutritious foods and drinks fulfill all the indications in this case. 
If the disease concentrates itself upon the nervous system, 
and does not yield to the general treatment already indicated, 
death almost invariably occurs. If founder is the complication, 
the ordinary course of treatment for this disease is to be fol¬ 
lowed, but not infrequently it will require several months for its 
complete recovery. 
In those cases when gangrene of the lungs is a complication, 
it should be treated in a manner indicated bv this condition, 
such as stimulants and antiseptics; but whatever the treatment, 
death will be the invariable termination. A large number of 
cases of this complication has been brought to my attention, 
and I have yet to see the first recovery, nor have I been able to 
find any recorded cases and gangrenous sloughs on the surface, 
whether primary or secondary, can often be successfully treated, 
and a general infection prevented. The treatment indicated in 
these cases is such as applies to all sloughing wounds. 
In those cases of plastic and haemorrhagic iritis, which is 
sometimes in the convalescing stages of this disease; very hot 
local fermentation is indicated, this combined with Donovan's 
solution, liquor arsenic et hydragri iodium, will give the best 
results. This preparation should be given in 60 M doses three 
times daily, and gradually increase to one ounce daily; in from 
iS to 25 days; complete absorption of the transudate or haem¬ 
orrhage will have taken place. 
