EXTRACTS FROM EXCHANGES. 
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The Treatment of Purpura Hemorrhagica (Ana¬ 
sarca, Petechial Fever) \Mainet \.—With the exception of 
primary purpura haemorrhagica, which is very rare, this ailment 
always has a microbian, not specific cause, of which the effects 
are due to a conversion of vasadilatoric toxins into the circula¬ 
tory apparatus. In the course of treatment it is essential to de¬ 
stroy, the germs, to neutralize their secretory products or to an¬ 
nihilate them and to encounter the dilatation of the capillary 
vessels. The treatment therefore aims at general and local 
antisepsis and a contraction of the vessels. The medicines can 
be applied by os, by subcutaneous, tracheal, or intravenous in¬ 
jections ; also good results can be obtained by serotheraphy. 
Saline purgatives and diuretics will eliminate the toxic princi¬ 
ples, purifying the blood and prevent haemorrhages, as the am¬ 
monia salts, potassium nitrate, alcohol, coffee, turpentine. 
Further antiseptics, as creolin, creosote, boracic acid, naphtalin, 
one-half per cent, carbolic acid solution, natr. salicyh, salol., etc. 
Subcutanously can be applied 200 gm. of a 1 per cent, salicyl. 
acid solution, or a solution of 1 part iodine, 2 parts iodide of 
potass, and 100 parts distilled water. The last solution, also 
carbolic acid, creosote and thymol preparate, were also applied 
by intratracheal injections, but this method is not recommended, 
as pneumonia may result from the foreign body, with its bad 
consequences. The intravenous treatment is to be used with 
the greatest care ; by this way the argentum colloidale Crede 
can be injected in a dose of 0.50: 50 gm. of water ; also 
Cheron’s serum, of which the formula is : natrium sulph., 8 
gm., natrium phosph., 4 gm., natr. hydrochlor., 2 gm., aqua 
distill., 200 gm., acid. carb. pur., 1 gm. The serotherapy can 
be practiced with natural or artificial serum, normal serum of 
the horse, daily 100 gm.; still better, Marmorek’s or Deny’s an¬ 
tistreptococcic serum in doses of 30 cm. 3 daily for 3 to 4 days. 
As artificial serum a 7.1000 solution of natr. hydrochloric, can 
be used or Menveur’s serum (natr. hydrochl., 5 gm., natr. 
phosph., 1 gm., natr. carbon, 1 gm., caffein hydrochlor., 10 gm., 
and filtrated boiled water 100 gm.) three times a day. The 
local antisepsis consists of. opening the abscesses, nasal in¬ 
jections of antiseptics, inhalations of antiseptic fumes, etc. 
High fever requires antifebrin, antipyrin, quinine, etc. The 
symptomatic treatment consists of cold douches to the head, 
nibbing of the oedema with tinct. of cantharides, oil of turpen¬ 
tine, scarifications, etc. 
