EXTRACTS FROM EXCHANGES. 
837 
inals; further, it is known that actinomyces in man produces 
suppuration, while in cattle tumors. He further states that the 
intestinal mucous membrane does not belong, by any means, to 
the prsedilectic places for tubercle bacilli, as it often remains 
intact, when the mesenteric lymph glands are extensively af¬ 
fected, and also often, when through a number of years, the 
sputum containing the bacilli and expectorated from the lungs 
is swallowed. G. in his demonstrative courses, continually 
called attention to the great importance of the tonsils as enter¬ 
ing place for the tubercle bacilli, and found that in tuberculosis 
the tonsils not only contain residues, but also fresh tubercles 
with giant cells, without noticing a change in them from their 
external appearance. From the tonsils the bacilli reach by 
the way of the lymph circulation, the cervical lymph glands, and 
from here they infect the lungs and even the pleura and 
pericardium. Therefore a child may die from tuberculosis , 
without showing the slightest affections of the intestines , or the 
mesenteric lymph glands , and at the same time the food being 
the carrier of the infection.—(Deutsche Med. Wochenschr .) 
Tapeworms in Dogs \Schiei\ .—To expel this worm is 
often accompanied with great difficulty. All the single anthel¬ 
mintics for tapeworms have the disadvantage that before their 
administration the animals must be prepared by fasting, and 
they also must be followed by a cathartic. Therefore, prepara¬ 
tory, worm and after-treatment is required. A complicated 
treatment of this kind can be adopted in a hospital, but is very 
often impracticable for the busy practitioner. It is also well 
known that to obtain satisfactory results in most cases, one can¬ 
not depend on the clients for the administration of the anthel¬ 
mintic and cathartic. The best anthelmintic doubtlessly is 
kamala, even in cases where the species of the parasite is un¬ 
known. But after the administration of kamala, in most cases, 
only a few segments of the worm will leave the animal, as gen¬ 
erally dogs will not retain the medicine. The author has had 
considerable experience with dogs affected with tapeworms, 
and obtained remarkable results from the following prescrip¬ 
tion : 
31 Seminis arecse, gm. 20.0 
Kamala, gm. 10.o 
Butyr. cacao, q. s. f. pilulae No. xxv. 
Obduce ceratino. 
As soon as the presence of worms is established, or even if they 
are suspected, in all circumstances, whether fed before or not, 
