e of the essential means of successful treatment; it should
be done twice a day during the first few days of the disease.

Stimulants are needed in all the cases. They help the heart, act as a
food, and tend to quiet the general nervousness by favoring sleep. Good
brandy given in boiled cool water is the best stimulant.

After the child is over the worst of the acute symptoms all medicine
should be withdrawn and the proper kind of food given. Tonics will aid
in restoring the strength. Cod Liver Oil during the following winter is
a very good plan to aid in building up the vitality of the weakened
bowel, but it must not be given too soon.

CHRONIC ILEO-COLITIS--CHRONIC COLITIS

Chronic Ileo-colitis fellows the acute variety. Cases which are
unusually severe or which have been badly managed are likely to become
chronic. A child suffering from this disease presents the following
picture: The patient is emaciated, the abdomen is usually enlarged with
gas, the feet are cold, the circulation of the blood is poor, the fever
is low or absent altogether except when the child is having a relapse,
when it jumps up suddenly. The bowels are loose and contain mucus,
frequently in large quantities. The mucus may stop for a few days; then
it appears again with a rise of temperature accompanied with loose
stools with foul odor. These children are exceedingly nervous and
irritable and are very poor sleepers.

Parents should be told it will be impossible to effect a rapid cure of
these cases. It often takes months to get them started on the safe road.
The slightest mistake or change in the weather will upset the progress
of the cure and it will be necessary to begin all over again. The entire
hope of cure rests with the mother. She must be faithful, patient, and
must carry out the physician's instructions implicitly. The management
consists in diet, change of climate, and such other treatment as the
physician finds necessary in each individual case.

Treatment.--In children under one year of age the only hope is breast
milk, which must be given in small quantities. They do not do well on
any starch food for a considerable period.

Where breast milk is not available the whites of two or three eggs may
be given daily. They may be beaten up and given in skimmed milk, or in
plain water with a little salt added. Zwieback or bread crumbs may be
given in small quantities. They should be fed at four-hour intervals.

Older children may ta