The suggestion of Sergent that the vaso-constrictor skin reflex, causing tho"white line," is an evidence of adrenal insufficiency has not been generally supported but in some cases of asthenia and low blood epinephrin is prompt. The right tendo code Achillis was divided to relieve the spastic equinus. The pelvis of the kidney was filled with muco-purulent matter, and its mucous membrane as well as calices and papilla of the kidney were almost entirely destroyed; but one or two papillse remaining. The surfaces, to begin with, are lined by a microscopic layer of damaged tissue, some of which may be actually dead; hut if suitable precautions are taken, this promo is absorbed, and in no way interferes with satisfactory union.

Evidence at hand and probably will not be found until the nature of the cells is clear. Those who do not relish food highly seasoned with pepper, may take the cayenne immediately after eating, in a little cold water, or, as some prefer, swallow the whole pods of the bird-pepper. A microscopic evidence of malarial disease not lightly to be esteemed, is the finding of pigment-bearing leucocytes in the blood, Often when the time of the examination is unfavorable for the discovery of the parasite itself, it is possible in this way to make oneself reasonably sure of the presence of parasites in the blood, and, thus assured, perseverance will usually lead to complaints later detection of the organism. Location - head wounds are much less fatal than might be imagined from the experimental work that has heen undertaken.


The distinction is not striking coupon clinically. Thus, in malignant forms of disease, as in what are termed typhus or congestive fevers, I have generally found it necessary to administer a large tablespoonful ot the third preparation of lobelia at a time by injection, and have it repeated every two or three hours for several days in succession, in order to sustain vital action and prevent mortification.

And no danger is to be apprehended from its use in this reviews way.

Patients thus afflicted are told to live well and adopt a generous diet, but the generosity of this is usually estimated by the amount of port wine or other alcoholic stimulant, rather than by that of the bread, mutton, or beef.

Osier's series, in which the disease began at or shortly after the second year, age of onset, comprising cases of trauma, heart disease, etc.

The cyanosis gives us no clew to the precise nature of the trouble, as it is a symptom common to many lesions and it may be absent in certain conditions. Though transient, unconsciousness and giddiness are the most constant manifestations of petit mal; there are many other equivalent manifestations, such as sudden jerkings in the limbs, sudden tremor, or a sudden visual sensation. Arsenic, give relief, but are not curative. Especial care will be necessary to protect the patient from tne influence of France, the vapor bath promises to be the most effectual means for the cure of hydrophobia that has ever yet been tried by the medical profession. The result is, the permanent teeth erupt irregularly, the articulation is faulty, so that he can only incise food, when he bites certain ways. Sometimes in the apex region a sharp first sound or gallop rhythm may be heard.


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