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Atropine in doses of 1-120 to 1-60 grain is good to stop the sweating. It must be used carefully, three doses in twenty-four hours are enough.

2. Tonics to keep up the appetite like gentian, nux vomica or quinine may be given. The patient should wear flannel night-dresses, as the cotton night-shirt, when soaked with perspiration, has a cold, clammy feeling. Bathe the patient in the morning with tepid water and afterwards rub gently with alcohol diluted one-half with water. Night sweating occurs in rickets but mainly around the head. They also occur when one is run down, but they are not so debilitating and constant. In such cases, building up treatment is needed. Proper diet, bathing, out-door life, bitter tonics, etc.

[ANIMAL PARASITES 45] ANIMAL PARASITES, DISEASES CAUSED BY.

ROUND WORM.—(Ascariasis Lumbricoides).—The round worm resembles the angle worm in form; is the most common human parasite and is found chiefly in children. The female is seven to twelve inches long, the male four to eight inches. It is pointed at both ends. The parasite occupies the upper part of the small bowel and there is usually only one or two present, but sometimes they occur in enormous numbers. They migrate in a peculiar manner. They may pass into the stomach, whence they may be thrown out by vomiting, or they may crawl up the gullet, and enter the pharynx and cause serious trouble. They may go up the eustachian tube and appear at the external meatus (opening of ear). The serious migration is into the bile-duct. There is a specimen in the Wister-Horner Museum of the University of Pennsylvania in which not only the common bile-duct, but also the main branches throughout the liver, are enormously distended, and packed with numerous round worms. The bowel may be blocked or in rare instances an ulcer may be perforated; even the healthy bowel may be perforated.

Symptoms.—Picking of the nose, grinding of the teeth, a whitish paleness around the mouth, restless sleep; sometimes convulsions, or presence of worms in the stool. Bad health, cross, peevish, irritable and dumpy, when the child is naturally the opposite.

MOTHERS' REMEDIES.—l. Round or Pin Worms, Sage Tea for.—"Sage tea is a fine remedy for children troubled with worms, taken before breakfast or on going to bed." Sage tea may help; I have known other mothers to have faith in it. Its virtue may consist in being a laxative and an antiseptic which in themselves would add to the general health of the child.

2. Round and Pin Worms, Tansy remedy for.—"Tansy leaves may be crushed and put in whisky or dried and crushed with sugar. This is the best vermifuge I ever used." A tea made of tansy leaves must be used carefully as it is strong and never given to pregnant women.

3. Round and Pin Worms, Peach Leaf Tea for.—"Half an ounce of dried peach leaves may be infused in a pint of boiling water and a tablespoonful given for a dose three times a day." They are laxative and exert a sedative influence over the nervous system. They have been frequently used for worms with reported success. An infusion is highly recommended in irritability of the bladder, in sick stomach and in whooping cough.

PHYSICIANS' TREATMENT.—l. Dr. Osler, of Oxford, England, recommends as follows: Santonin in doses of two or three grains for an adult; one or two a day for three or four days, followed by salts or calomel; one-half to one grain for children in the same way. This seems to me to be unnecessarily large.

[46 MOTHERS' REMEDIES]

2. Dr. Ritter's Santonin Remedy.—

    I always give it thus:
    Santonin 1/10 grain
    Calomel 1/10 grain

Give four a day for two days, then miss two days, then give again for two days and stop. Salts can be given after this. I then follow this treatment by giving one drop doses of tincture of cina (Homeopathic preparation) four times a day for one or two weeks. Before giving any of these remedies it is well to move the bowels freely and also after the medicine has been stopped.

3. Dr. Douglass of Detroit, Michigan, recommends the following for a child five to ten years old:

    Santonin 12 grains
    Calomel 3 grains

Divide into six powders, and give one night and morning while fasting.

4. The following is from Professor Stille:

    Spigelia 1/2 ounce
    Senna 2 drams
    Fennel seed 2 drams
    Manna 1 ounce
    Boiling water 1 pint

Mix and make into an infusion (tea). Dose for a child, one or two teaspoonfuls. For an adult, one or two wineglassfuls.

THREAD WORM OR PIN WORM.—(Oxyuris Vermicularis.)—This common worm occupies the rectum and colon. They produce great irritation and itching, particularly at night, symptoms which become intensely aggravated by the nightly migration (traveling) of the parasite. They sometimes in their travels enter the vagina. Occasionally abscesses are formed around the bowel (rectum) containing numbers of worms. The patient becomes extremely restless and irritable, for the sleep is very often disturbed, and there may be loss of appetite and also anemia. These worms are most common in children, but they can occur in all ages. The worms can easily be seen in the feces. The infection takes place through the drinking of water and possibly through salads, such as lettuce and cresses, and various other means. A person who is the subject of worms passes ova (eggs) in large numbers in the feces, and the possibility of reinfection must be guarded against very scrupulously.

MOTHERS' REMEDIES.—1. Pin worms, Aloes treatment for.—"Pin worms or seat worms are usually found in children and sometime cause a great deal of annoyance to the child. They are usually very restless at night and pull at the rectum both day and night. This condition may be relieved by an injection, of powdered aloes,—five grains; hot water one-half pint." This is sufficient for two injections and should be used at about blood heat.

[ANIMAL PARASITES 47]

2. Pin worms, Pink Root for.—"Take one ounce pink root, and one pint of water. Make a decoction of this by boiling the above to half a pint. Give a teaspoonful three times a day for two days, following this up by a good dose of castor oil or cream of tartar to thoroughly cleanse the system."

3. Pin worms, Quassia chips for.—"I knew of a child who had not slept three hours a night for several months, and several doctors had been called and none of them seemed to get down to the real trouble. Finally the mother tried an injection made by steeping quassia chips for two or three hours slowly, then straining it and injecting about one pint (luke warm) once a day. This gave the child immediate relief and improvement could be seen within a week."

4. Pin worms, Lime-water injection for.—"A very simple remedy is an injection of a teacupful of lime water once a day, preferably in the morning, as the worms are usually lodged in the rectum and this injection will bring them away, giving the child relief at once."

5. Worms-Stomach, Salt Remedy for.—"Encourage the child to eat as much salt as possible and give an injection of salt and water, about one teaspoonful of salt to two quarts of water, once a day."

PHYSICIANS' TREATMENT.—1. Santonin in small doses and mild purgatives like rhubarb. Santonin in doses of one-tenth of a grain can be given for two days, three or four times a day, preceded by spiced syrup of rhubarb, one dram dose, and also followed by the rhubarb. In children the cold injections of strong salt and water is effective. They should be repeated for ten days. The hips should be well elevated so that the injection can be retained for some time.

2. Quassia chips 1 ounce
      Common salt 1/2 ounce
      Water 1 pint

Soak over night and inject slowly all the bowels will hold. Repeat once each week till all are removed.

3. Dr. Tooker of Chicago, Illinois, recommends the following:—Give an injection of an infusion of fresh garlic for two or three nights in succession, using, to make the infusion, a small bunch of garlic in a pint of water, steeped down to one-quarter pint.

4. Dr. Tooker gives another method which is often successful. Anoint the anus for several nights in succession with sweet oil, using the little finger to insert the oil as far into the rectum as the fingers will reach.

5. Another Remedy. Inject cod-liver oil (pure) into the bowel or make into an emulsion with the yolk of an egg and then inject.

[48 MOTHERS' REMEDIES]

6. Spearmint Remedy.—Make an infusion of the common spearmint and inject some in the bowel every night for one week. Some can be taken internally at the same time.

      Oil of Wormseed 1/2 ounce
      Oil of Turpentine 1-1/2 dram
      Castor Oil 2 ounces
      Fluid extract of Pink Root 3 drams
      Hydrastin 10 grains
      Syrup of Peppermint 4 drams

One teaspoonful three times a day one hour before meals to a child ten years old. If it physics to much give less often. Good for both kinds of worms.

8. Tincture of Cina; to accompany any injection.—I give the Tincture of Cina (Homeopathic preparation) in from one-quarter to two or three drop doses, three or four times a day, always after I have given the other worm remedies. It can be given for weeks without producing bad effects. The dose can be made less for weakly children; or greater in grown people. It is good to give in small doses in pin worms when injections are used. It seems to prevent their formation. It is also a good remedy for the worms puppies are troubled with. I have saved the lives of a good many little fellows with this remedy.

TAPE WORM, PORK.-(Taenia Solium). It is six to twelve feet long, but it is not a common form in this country. The head is small, round, not so large as the head of a pin and provided with four sucking ducts and a double row of hooklets. By these hooklets and disks, the parasite attaches itself to the mucous membrane of the small intestine in man. Below the head is a constricted neck, which is followed by a large number of segments, increasing in size from the neck onward. Each segment contains the generative organs of both sexes. The parasite (worm) becomes fully grown in three to three and one-half months. Segments then continually break off and are discharged at stool. Each ovum (egg) contains a single embryo, armed with six hooklets and contained in a thick shell. When swallowed by a pig or man these shells are digested and the embryos migrate (travel) to various parts of the body, where they change to Cysticerci or "Measles." Each contains a scolex or tape-worm. When meat, improperly cooked and containing "measles," is eaten, the cyst is dissolved in the human stomach and the free scolex or head attaches itself to the intestinal mucous membrane and grows into a tapeworm.

TAPE WORM, BEEF.—(Taenia Saginata). This is a larger and longer parasite than the Pork Tape Worm. It is the common form found in this country. It may grow fifteen to twenty feet or more and possesses a large head in comparison with the Taenia Solium. It is square shaped and has four large sucking disks, but no hooklets. The ripe segments are larger and they are passed as in the Taemia Solium, and are eaten by cattle, in the flesh or organs of which the eggs develop into the Cysticerci.

[ANIMAL PARASITES 49]

Symptoms.—These worms (parasites) are found at all ages. They are not uncommon in children, and may be found in nursing children. They may cause excessive appetite, nausea, vomiting, diarrhea, or abdominal pain or sometimes anemia. The

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