stro-enteric intoxication. Overfeeding and indiscriminate feeding must
be religiously avoided,--they are the two most prolific causes of
stomach and intestinal troubles in childhood.

Symptoms.--The onset is sudden and pronounced. The child begins to
vomit and continues vomiting and retching persistently. The bowels are
loose, and large, watery, greenish stools are frequent. The prostration
is very marked, the child looks seriously sick, respiration is quick and
shallow, the eyes sunken, the skin becomes ashen gray in color, and the
pulse is soft and very rapid. The fever may be very high or it may
remain low. The low febrile cases are the worst.

If taken in hand quickly and if the treatment is energetic and if the
child reacts, the case may go rapidly on to recovery and the child be
wholly well in a few days; or it may not react, but be overwhelmed by
the poison and sink and die in twenty-four hours.

Treatment.--In the treatment of cholera infantum it must not be
forgotten that the dangerous element is the poisoning of the system that
is constantly going on. It is difficult for the non-medical mind to
estimate the importance of this element. It is, of course, caused by the
bacteria present in the gastro-intestinal canal. There are numberless
millions of bacteria in the normal healthy bowel. A very large
percentage of those germs are good for us, are there for a beneficent
purpose, and can and do protect us from other germs which occasionally
find their way into the bowel and whose purpose is not a peaceful one.
When the bowel condition changes, as during an attack of summer
diarrhea, it is invaded by multitudes of evil-intentioned germs. These
germs find conditions in the diseased bowel exceedingly favorable to
them, so they begin work in an active, energetic way. The result of
their activity is highly poisonous, and, as the good germs are virtually
out of business and are consequently not working in our interest, we are
absolutely in the hands of the enemy. There is soon manufactured, by
these invading germs, enough poison to poison the entire system of the
child. It is this feature that we must combat in summer diarrhea.

It is absolutely essential to keep these cases as much in the open fresh
air as possible. No matter how sick they may be, this rule must be
observed. Light clothing is advisable.

If it is a city child that is affected and it does not show decided
improvement in three or four days, it should,