the child's system of a mass of bacteria, which were undoubtedly
causing the auto-toxemia and consequent nervousness.

Treatment.--The most efficient remedy for removing round-worms is
Santonin. The quantity necessary for the various ages is as follows:

Two to four years 2 grains.
Four to six years 3 grains.
Six to ten years 3-1/2 grains.

The best way to give it is in divided doses, with an equal quantity of
sugar of milk. For a child of six years the formula would therefore be,
3-1/2 grains of Santonin, mixed with the same quantity of sugar of milk
divided into three powders. These powders are given four hours apart in
the following way. The child is given a light supper the evening before
and one-half glass citrate of magnesia the following morning and the
first powder one-half hour later; no breakfast being given. A light
lunch, of milk and crackers, may be taken about noon. The second powder
is given four hours after the first, and the third four hours after the
second. Half an hour after the last powder, a dose of castor oil (one
tablespoonful) is given. In a few moments the bowels will move; usually
there are no worms in this movement. A little later they will move
freely again and if worms are present they will be discharged in this
movement.

Thread-Worm, or Pin-Worm.--A thread-worm looks just like a little
piece of white thread. They are found in the lower part of the bowel and
in the rectum. They are usually present, if present at all, in large
numbers.

Symptoms.--The chief symptom is itching. It may be limited to the anus
or it may involve the neighboring parts. Thread-worms may find their
way out of the anus and in female children may find their way into the
vagina. In these instances the child is tormented with itching of the
privates and may establish the habit of self-abuse as a result of the
constant itching and scratching. The itching is more intense at night
soon after the child goes to bed. As a result of the local irritation in
the lower part of the bowel and rectum there is set up a catarrh of the
bowel which produces large quantities of mucus.

Treatment.--The only medication by the mouth that is of any use is
turpentine in one drop doses after meals, given in a teaspoonful of
sugar. The best treatment, and in most cases the only treatment that is
effective, is the use of rectal injections. The procedure is as
follows:--The child first gets a c