of
_stimulant_, alcohol should be designated and used only as an
anaesthetic and sedative, or depressor of vital activity.

"And a thorough and impartial investigation will show that its
use in the treatment of typhoid and other fevers, while
deceiving both physician and patient, by its anaesthetic effect
in diminishing restlessness, both prolongs the duration and
increases the ratio of mortality of the disease, by its
impairment of vital activity in the organizable elements of both
blood and tissues."

Equally interesting is the following outline of treatment pursued by
Dr. W. H. Riley, of the Battle Creek Sanitarium.

"The purpose of the present paper is to give briefly an outline
of the method of treatment of typhoid fever as used by the
writer in a considerable number of cases.

"A consideration of the pathology of this disease does not
properly come under this head, but we wish simply to call
attention to the well-known fact that typhoid fever is a germ
disease. The germ which causes this fever has generally been
supposed to be the bacillus of Eberth. More recent
bacteriological studies rather indicate that the bacillus coli
may also cause the disease. These germs are usually carried into
the body in food or drink, and, lodging in the small intestines,
begin to grow and multiply, and by their life produce poisonous
ptomaines which are absorbed and carried by the circulation to
all the organs and tissues of the body.

"It is these ptomaines, thus carried to all parts of the body,
that are largely the immediate cause of the pyrexia and
attending symptoms. The organisms which produce these poisons
for the most part remain in the intestines, although they have
been found in the spleen.

"The indications for treatment are:--

"1. To remove or destroy the cause (to eliminate the germs and
ptomaines from the body).

"2. To sustain the vital and resisting powers of the patient.

"If the patient is seen early in the disease, it has been my
practice to immediately put him to bed and give a free dose of
magnesium sulphate. This is preferably given in the morning or
forenoon, and may be repeated once or twice on successive days.
Besides this the patient should have a large enema of water at a
temperature of from 75 deg. to 80 deg. F.; and this may be repeated