In older, flabby children arsenic sometimes produces good results, the dose is to be gradually increased and correspondingly decreased.
Not infrequently there is a complication of scrofula which has to be treated according to the usual methods. Medication: Syr. ferri iodidi (to be kept from the light) 15-25 drops three times daily (from the fifth year).
Headache, want of appetite, constipation, generally give way to the hygienic measures mentioned above. For headache. 0.25-0.5 Gm. (3A-7 grains) antipyrin may be given. The appetite should be stimu lated by bitters, such as: Tr. chinchome comp., -1 teaspoonful three times daily (5-7-15 years) in 1 wineglass of sugar water, 1 hour before eating; tr. rhei aromat., teaspoonful, same way.
The following is also good: Fellow's syrup three times daily -1-1 teaspoonful (5-9-12 years) in 1 wineglass of water, then orexin in chocolate tablets of four grains, several days one or twice two hours before meals.
Constipation may be benefited by just taking a walk especially in children with weak muscles; useful, however, are gymnastic exercises, bending of the body (with caution at time of menstruation), breathing and arm exercises, and massage by a skilled operator. A glass of cold
water should be taken in the morning on an empty stomach, baked prunes, also coarse food (brown whole meal bread), buttermilk, kefir two days old, gingerbread, malt extract (very useful; 1-2 tablespoonful daily). Care should be taken to maintain good nutrition, psychical in fluences should not be overlooked, for even young children may be pro nounced hypochondriacs. Regular habits should be inculcated, daily at the same time, the best time being immediately after rising or after the first breakfast. In the beginning, artificial help should be resorted to by an enema of a pint of water, two ounces olive oil, or an injection of 1-2 teaspoonfuls of glycerin with double or treble the quantity of water. Medicinally may be prescribed: Pulv. glycyrrhizx comp. A---1 teaspoonful; pule. rhei. comp. by the knife point; confection of tamarinds (in 1 piece 0.5 senna), ab. 1-1-1 confection; fluid extract rhamni purshiame, 2-3 times daily 10-20 drops in water (bitter); California fig syrup (1 tablespoonful contains 3.11 senna) one teaspoonful three times daily; extr. aloes, extr. rhei. as f. pil. 1-2-3 pills. (older children).