The special treatment is purely symptomatic. The haemorrhages cease of their own accord with quiet rest in bed. In epistaxis prescribe horizontal position with lowered head, compression of the affected ala, sniffing up cold water in which a few drops of chloride of iron solution has been mixed, and tamponade. In internal hemorrhages, no time should be wasted over ergotin, which is uncertain in action; there should be immediate and repeated injections of 20-30 c.c. (5v-F):) of a 10 per cent. gelatin solution; for internal administration up to 200 Cm. daily of the same solution may be given. Treatment of the abdominal symptoms, such as occur in mild degrees in morbus maculosus, and in the gravest degree in Henoch's purpura, demands special attention. Here absolute rest, application of the icebag on the abdomen and strict est diet are in order. Cooled milk, cold albumin water, cold almond milk, should be given by the teaspoonful, until the stormy manifestations have come to an end. Intestinal hemorrhages should he checked by a diluted solution of iron chloride given by the teaspoonful, gelatin subcutaneously or internally. For pain give opium. The success of these remedies, however, is by no means positive. In a grave case in my practice atropine rendered excellent service. The pains as well as the hemorrhages ceased instantly after an injection of 0.0003 Gm. gr.) atropine sulphate. The remedy has not only an instantly antispasmodic action, but evidently an isclnemic effect upon the intestinal vessels.
Rectal irrigations with a 1 per cent. solution of lead or aluminum acetate are recommended.
way of prophylaxis infants should be fed as long as possible on mother's milk; otherwise fresh, raw or recently boiled milk should be given, also fruit juice. Older children receive raw milk, plenty of fresh vegetables, fruit and salad. Generally speaking, an improve ment of the hygienic conditions should be attempted. These measures are also applicable to the removal of already existing symptoms.
Internally cinchona preparations, myrrh, yeast preparations (zymin, kevurinose and others) may be tried.
The scorbutic affection of the-gums is treated locally with astrin gents, painting with weak solutions of silver, aluminium acetate, alum, chlorate of potash, potassium permanganate or tincture of myrrh; older children rinse their mouths with a decoction of oak hark or cinchona. The skin ulcers require antiseptic bandages (potassium permanganate), avoiding surgical interference.
paroxysms, rest in bed, warmth, avoid ance of lowering body temperature, bland diet. plenty of milk and water, warm baths. In the intervals, strengthening of the body, pro tection against colds and overexertion. Should there be a recognized cause, hereditary syphilis or malaria, then the medication should be di rected against this by antisyphilitic or quinine treatment, respectively ,