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Internal

treatment and olei

INTERNAL USE.—The employment of iodoform by the mouth has never re ceived much support. In pulmonary tuberculosis it has been tried by many clinicians, but the results have generally been disappointing, notwithstanding Gosselin's experiments showing that guinea-pigs, when saturated with iodo form, could stand with impunity inocula tions with tubercular material. Its use in other diseases has been barren of re sults when tried by several observers. Even in syphilis its effects have not, as a rule, been satisfactory.

INuNcrioNs. — Recently, Flick, of Philadelphia, after an experience of eight years, has recommended the use of iodo form by inunctions in the treatment of pulmonary tuberculosis. Europhen may be used instead; in fact, the last prepa ration is preferred by the author. The mixture is composed as follows: Iodoform or europhen, 1 drachm; olei rosin, 2 minims; olei anisi, 1 drachm; olei ounces. About a tablespoonful of

the solution is rubbed into the skin of the inside of the thigh and into the armpits at night.

By means of this treatment, chiefly among the out-patients, he comes to the conclusion (1) that incipient cases can always be cured; (2) that cases advanced to the breaking-down stage may be im proved very much, and sometimes may be cured; (3) that the treatment ought to be continued even after the acute symptoms have disappeared, and should be maintained until perfect health is re established. Flick gives creasote and tonics while using the inunction treat ment. A combination of the two meth ods—viz., the creasote and tonic with the inunction treatment—gives better results than either separately.