Part 10

THREAD WORM OR PIN WORM.--(Oxyuris Vermicularis.)--This common worm occupies the rectum and colon. They produce great irritation and itching, particularly at night, symptoms which become intensely aggravated by the nightly migration (traveling) of the parasite. They sometimes in their travels enter the vagina. Occasionally abscesses are formed around the bowel (rectum) containing numbers of worms. The patient becomes extremely restless and irritable, for the sleep is very often disturbed, and there may be loss of appetite and also anemia. These worms are most common in children, but they can occur in all ages. The worms can easily be seen in the feces. The infection takes place through the drinking of water and possibly through salads, such as lettuce and cresses, and various other means. A person who is the subject of worms passes ova (eggs) in large numbers in the feces, and the possibility of reinfection must be guarded against very scrupulously.

MOTHERS' REMEDIES.--1. Pin worms, Aloes treatment for.--"Pin worms or seat worms are usually found in children and sometime cause a great deal of annoyance to the child. They are usually very restless at night and pull at the rectum both day and night. This condition may be relieved by an injection, of powdered aloes,--five grains; hot water one-half pint." This is sufficient for two injections and should be used at about blood heat.

[ANIMAL PARASITES 47]

2. Pin worms, Pink Root for.--"Take one ounce pink root, and one pint of water. Make a decoction of this by boiling the above to half a pint. Give a teaspoonful three times a day for two days, following this up by a good dose of castor oil or cream of tartar to thoroughly cleanse the system."

3. Pin worms, Quassia chips for.--"I knew of a child who had not slept three hours a night for several months, and several doctors had been called and none of them seemed to get down to the real trouble. Finally the mother tried an injection made by steeping quassia chips for two or three hours slowly, then straining it and injecting about one pint (luke warm) once a day. This gave the child immediate relief and improvement could be seen within a week."

4. Pin worms, Lime-water injection for.--"A very simple remedy is an injection of a teacupful of lime water once a day, preferably in the morning, as the worms are usually lodged in the rectum and this injection will bring them away, giving the child relief at once."

5. Worms-Stomach, Salt Remedy for.--"Encourage the child to eat as much salt as possible and give an injection of salt and water, about one teaspoonful of salt to two quarts of water, once a day."

PHYSICIANS' TREATMENT.--1. Santonin in small doses and mild purgatives like rhubarb. Santonin in doses of one-tenth of a grain can be given for two days, three or four times a day, preceded by spiced syrup of rhubarb, one dram dose, and also followed by the rhubarb. In children the cold injections of strong salt and water is effective. They should be repeated for ten days. The hips should be well elevated so that the injection can be retained for some time.

2. Quassia chips 1 ounce Common salt 1/2 ounce Water 1 pint

Soak over night and inject slowly all the bowels will hold. Repeat once each week till all are removed.

3. Dr. Tooker of Chicago, Illinois, recommends the following:--Give an injection of an infusion of fresh garlic for two or three nights in succession, using, to make the infusion, a small bunch of garlic in a pint of water, steeped down to one-quarter pint.

4. Dr. Tooker gives another method which is often successful. Anoint the anus for several nights in succession with sweet oil, using the little finger to insert the oil as far into the rectum as the fingers will reach.

5. Another Remedy. Inject cod-liver oil (pure) into the bowel or make into an emulsion with the yolk of an egg and then inject.

[48 MOTHERS' REMEDIES]

6. Spearmint Remedy.--Make an infusion of the common spearmint and inject some in the bowel every night for one week. Some can be taken internally at the same time.

Oil of Wormseed 1/2 ounce Oil of Turpentine 1-1/2 dram Castor Oil 2 ounces Fluid extract of Pink Root 3 drams Hydrastin 10 grains Syrup of Peppermint 4 drams

One teaspoonful three times a day one hour before meals to a child ten years old. If it physics to much give less often. Good for both kinds of worms.

8. Tincture of Cina; to accompany any injection.--I give the Tincture of Cina (Homeopathic preparation) in from one-quarter to two or three drop doses, three or four times a day, always after I have given the other worm remedies. It can be given for weeks without producing bad effects. The dose can be made less for weakly children; or greater in grown people. It is good to give in small doses in pin worms when injections are used. It seems to prevent their formation. It is also a good remedy for the worms puppies are troubled with. I have saved the lives of a good many little fellows with this remedy.

TAPE WORM, PORK.-(Taenia Solium). It is six to twelve feet long, but it is not a common form in this country. The head is small, round, not so large as the head of a pin and provided with four sucking ducts and a double row of hooklets. By these hooklets and disks, the parasite attaches itself to the mucous membrane of the small intestine in man. Below the head is a constricted neck, which is followed by a large number of segments, increasing in size from the neck onward. Each segment contains the generative organs of both sexes. The parasite (worm) becomes fully grown in three to three and one-half months. Segments then continually break off and are discharged at stool. Each ovum (egg) contains a single embryo, armed with six hooklets and contained in a thick shell. When swallowed by a pig or man these shells are digested and the embryos migrate (travel) to various parts of the body, where they change to Cysticerci or "Measles." Each contains a scolex or tape-worm. When meat, improperly cooked and containing "measles," is eaten, the cyst is dissolved in the human stomach and the free scolex or head attaches itself to the intestinal mucous membrane and grows into a tapeworm.

TAPE WORM, BEEF.--(Taenia Saginata). This is a larger and longer parasite than the Pork Tape Worm. It is the common form found in this country. It may grow fifteen to twenty feet or more and possesses a large head in comparison with the Taenia Solium. It is square shaped and has four large sucking disks, but no hooklets. The ripe segments are larger and they are passed as in the Taemia Solium, and are eaten by cattle, in the flesh or organs of which the eggs develop into the Cysticerci.

[ANIMAL PARASITES 49]

Symptoms.--These worms (parasites) are found at all ages. They are not uncommon in children, and may be found in nursing children. They may cause excessive appetite, nausea, vomiting, diarrhea, or abdominal pain or sometimes anemia. The knowledge of the presence of this worm may cause great nervousness or depression. The presence of the segment in the stools proves their presence in the bowels.

Treatment, preventive.--This is most important. Careful attention should be given to three points: First, all tapeworm segments should be burned. They should never be thrown into the water-closet or outside; secondly, special inspection of all meat; and, thirdly, cooking the meat sufficiently to kill the parasites.

MOTHERS' REMEDIES.--1. Tape Worms, Pumpkin Seed Tea for.--"One pint pumpkin seeds skinned and steeped. Add water enough to make three tumblers. Take one tumbler every half hour, then a good dose of castor oil. The worm will come with oil. My mother helped prepare the seeds and saw the tapeworm which came from a woman as a result of this dose."

2. Tape Worms, Another good Remedy for.--

"Powdered Kamala 3 drams Syrup simple 3 ounces

Two doses of this mixture hardly ever fails to bring the worm. Give oil and turpentine two hours after the last dose." Of the oil and turpentine an average dose would be a half ounce of castor oil and fifteen drops of turpentine.

3. Tape Worm, Ontario Mother's Remedy for.--"Don't eat until very hungry (extremely so), then eat one-half pint of pumpkin seeds. This is good and will remove the worm every time." This remedy is different from the above in that you eat the seeds instead of making a tea.

4. Tape Worm, Successful Remedy for Children or Adult.--

"Turpentine 15 drops Castor Oil 1 teaspoonful Milk 1 teacupful

Mix and for adult take at one dose. If not successful repeat the next day. For child under ten years, one-half the quantity."

[50 MOTHERS' REMEDIES]

PHYSICIANS' TREATMENT.--Preparing the Patient; Giving the Remedy, and Receiving the Worm.--Whenever a round or tape worm is to be attacked, the patient must be starved for at least twelve to twenty-four hours, in order that no food in the intestinal (bowel) tract may protect the worm from the action of the drug. During this time a little milk can be given, and after a night of fasting, before breakfast, the worm medicine (anthelmintic) must be swallowed. In addition, nearly all the drugs must be followed by purges in order to dislodge the intruder while he is paralyzed and has lost his hold; and in many it is well to have a basin of salt and water ready so that when a passage occurs a rectal injection may be given to wash out the segments of the worm which remain in the rectum. I am giving many remedies and the different ways of administering them. Not every one can be cured with the same remedy. One will act better in some people than in others. So I give a variety and they are all good.

1. For two days prior to the administration of the remedies the patient should take a very light, diet and have the bowels moved by a saline (salts) cathartic. As a rule the male fern acts promptly and well. The etheral extract of male fern in two dram doses may be given; fast, and follow in the course of a couple of hours by a brisk purgative; that is, calomel followed by salts.

Fasting means this: Light diet for a day or two and a cathartic at night, no supper except a glass of milk before the worm medicine is given. Then at bed-time take two to three grains of calomel with ten grains of bicarbonate of sodium; rochelle salts, one-half to one ounce, upon awakening. As soon as the bowels have moved give oleorisin of aspidium, one dram in capsules. A saline cathartic should be given one-half to one hour later. Never give castor oil or any oil after this remedy, When calomel is given it should be given about one hour after taking the worm medicine and followed in one or one and one-half hours by a half to one ounce of salts.

2. Pelletierine Remedy for.--This comes in bottles of the proper dose. It is dear, but effective. It must be taken lying down, and followed by some cathartic or a dose of epsom salts in two hours after taking.

3. Infusion and Emulsion for.--An infusion of

Pomegranate root 1/2 ounce Pumpkin seeds 1 ounce Powdered ergot 1 dram Boiling water 10 ounces

To an emulsion of the male fern (a dram of the ethereal extract) made with acacia powders, two drops of croton oil are added. The patient should have had a low diet on the previous day and have taken a dose of salts in the evening.

The emulsion and infusion are mixed and taken at nine in the morning. If the bowels do not move in two hours, salts should be taken.

4. An Old Remedy.--Chew freely of slippery elm bark. This, it is stated, is very effective and as it is cheap and will not injure, it is worth a thorough trial. I am often surprised at the value of the seemingly simple remedies.

[ANIMAL PARASITES 51]

TRICHINIASIS (Trichinosis).--The disease is caused by the trichina spiratis, a parasite introduced into the body by eating imperfectly cooked flesh of infected hogs. The "embryos" pass from the bowel and reach the voluntary muscles, where they finally become "encapsulated larvae,"--muscle trichinae. It is in the migration of these embryos that the group of symptoms known as trichiniasis is produced.

When the flesh containing the trichinae is eaten by man or by any animal in which the development can take place, the capsules are digested and the trichinae are set free. They pass into the small intestine and about the third day attain their full growth and become sexually mature. The young produced by each female trichina have been estimated at several hundred. The time from the eating of the flesh containing the muscle trichinae to the development of the brood of embryos in the intestines (bowels) is from seven to nine days. The female worm penetrates the intestinal wall and the embryos are probably discharged into the lymph spaces, thence into the venous system, and by the blood stream to the muscles, which constitutes their seat of election. After a preliminary migration in the inter-muscular connective tissue, they penetrate the primitive muscle- fibres and in about two weeks develop into the full grown muscle form. In this process interstitial inflammation of the muscle is excited, and gradually an ovoid capsule develops about the parasite. Two, and occasionally three or four, worms may be seen within a single capsule. This process of encapsulation has been estimated to take about six weeks. Within the muscles the parasites do not undergo further development. Gradually the capsule becomes thicker and ultimately lime salts are deposited within it. This change may take place in man within four or five months. The trichinae may live within the muscles for an indefinite period. They have been found alive and capable of developing as late as twenty or twenty-five years after their entrance into the system. These calcified capsules appear as white specks in the muscles. In many instances however these worms are completely calcified. In the hog the trichinae cause few if any symptoms. An animal, the muscles of which are swarming with living trichinae, may be well nourished and healthy looking. An important point also is the fact that in the hog the capsule does not readily become calcified, so that the parasites are not visible as in the human muscles.

Modes of Infection.--The danger of infection depends entirely upon the mode of preparation of the flesh. Thorough cooking, so that all parts of the meat reach the boiling point, destroys the parasites; but, in larger joints, the central portions are not often raised to this temperature. The frequency of the disease in different countries depends largely upon the habits of the people in the preparation of pork. In North Germany, where raw ham and wurst are freely eaten, the greatest number of instances have occurred. In South Germany, France, and England cases are rare. Salting and smoking the flesh are not always sufficient, and the Havre experiments showed that animals are readily infected when fed with portions of the pickled or the smoked meat as prepared in this country.

[52 MOTHERS' REMEDIES]

Symptoms.--The eating of trichinous flesh is not always followed by this disease.

In the course of a few days after eating the infected meat there are signs of disturbance of the stomach and bowels, and pain in the abdomen, loss of appetite, vomiting and sometimes diarrhea; and yet, these preliminary symptoms do not always occur, for in some of the large epidemics cases have been observed in which they have been absent. Pain in different parts of the body, general debility and weakness have been noted in some of the epidemics. In some instances the stomach and bowel disturbances have been so marked from the outset that the attack resembled our cholera. The invasion symptoms develop between the seventh and tenth day. Sometimes not until the end of the second week, and they are marked by fever, a chill in some cases and pain and swelling and tenderness along the muscles involved. The migration of the parasites into the muscles excites a more or less intense inflammation of these muscles, which is characterized by pain on pressure and movement, and by swelling and tension of the muscles, over which the skin may be swollen. The limbs are placed in some position in which these muscles are more at rest. Difficulty in chewing and swallowing is caused by the involvement of the muscles controlling these acts. In severe cases the involvement of the diaphragm and intercostal muscles may lead to difficult breathing (Dyspnoea) which sometimes proves fatal. Watery swelling, a feature of great importance, may be seen early in the face, particularly about the, eyes. Later it develops in the extremities when the swelling and stiffness of the muscles are at their height. Profuse sweats, tingling and itching of the skin and in some instances hives (Urticaria) have been described.

There are emaciation and anemia. In the severe cases the appearance may be like that in the third week of typhoid fever. In mild cases the fever and muscular symptoms subside in ten to fourteen days, in others only after two or three months. The mortality, from one to thirty per cent, seems to depend upon the virulence and number of parasites.

PHYSICIANS' TREATMENT.--If discovered within twenty-four to thirty-six hours, thoroughly empty the bowel with purgatives. Rhubarb and senna, or an occasional dose of calomel may be given. Relieve the pains afterwards and support the strength.

[SKIN DISEASES 53]

DISEASES OF THE SKIN.

The skin is divided into three layers. Beginning with the outer one and naming inward, they are named as follows: The outer layer is called the epidermis or cuticle (near or upon the skin). The second layer is called the corium, derma cutis vera, or true skin. The third layer is called the sub-cutaneous (under the skin) (fatty or connective) tissue. This last layer contains the sweat glands, the lower end of the deep-seated hair follicles, (little sacs containing the roots of the hair) and larger branches of the lymphatics, blood vessels and nerves, and serves in general as a bed for the true skin to rest upon, and by which the true skin is connected with the deeper parts, muscles, etc. The appendages of the skin are the hair, nails, sebaceous and sweat-glands. The discharge from the sweat-glands form a little or larger tumor. The contents of a wen are from sebaceous glands--fat secretions--fat tumor. The following names are frequently mentioned in the skin diseases:

Macule. (Spots, patches). Skin is altered in color, but the skin is not raised or depressed; freckle, etc.

Papule. (Pimple). Elevated piece of skin, varying in size from a pin-head to a coffee bean.

Tubercle. (Node-lump). A solid elevation of the skin, varying in size from a pea to a cherry.

Tumors. These are soft or firm elevations of the skin, like a wen or hard lump. They are always deep-seated.

Wheel. A round flat, white or pink elevation of the skin; such as hives, mosquito bites, etc.

Vesicle. This is a pin-head or pea-sized elevation of the outer layer (epidermis) filled with a watery fluid.

Bleb. (Bulla). A circumscribed elevation of the skin and contains a watery fluid, such as a burn, etc.

Pustule. A rounded elevation of the outer layer (epidermis) of varying size, containing pus (matter).

A vesicle, bleb, and pustule are hollow; macule, papule, and tubercle are solid.

Scale. (Squama). This is a dry attached or unattached thin piece from the skin as a result of disease of the skin.

Crust. This is a dried mass as a result of fluid oozing from a diseased skin.

Excoriation. Like a scratch mark.

Fissures. This is a crack, like that found on chapped hands.

Ulcer. (Sore). Eating away of the parts.

Scar. Ulcer healed leaving a mark, like from a healed cut.

Pigmentation. Discoloration.

ACNE. (Simple Acne).--This is an inflammation of the sebaceous (fatty, cheesy) glands. It forms these pimples or pustules and these are intermingled with black-heads (comedones), flesh-worms. They vary from a pin-head to a split-pea in size, and are of a bright or dark red color. They occur for the most part on the face; also on the back, neck and chest.

Condition.--An over secretion, or alteration and retention of the fatty (sebaceous) matter, and this is followed by inflammation involving the glands, ducts of the glands, and hair follicles. Pus often forms and tissue may be destroyed.

[54 MOTHERS' REMEDIES]

Causes.--These skin glands are active at the time of puberty. The active cause may be the stomach troubles, constipation, womb disorders, and poor general nutrition.

PHYSICIANS' TREATMENT for Acne.--All stomach troubles, constipation, and womb troubles should be looked into and remedied. The diet and hygiene must be regulated. Food that stimulates and is hard to digest should be prohibited. When there is dyspepsia and constipation, bitter tonics, like compound tincture of gentian, one dram before meals, or pepsin (five grains) and loosening medicines like salts should be given.

Tincture of Nux Vomica is a good stomach and bowel tonic given in doses of one to two drops before meals.

Calomel, one-half grain at night for a few nights, followed in the morning by epsom salts or some mineral water like Abilena or Hunjadi is useful. The following is a good combination by Dr. Schalek:

Tincture of Nux Vomica 2 drams Dilute Nitro Muriatic Acid 4 drams Sherry Wine enough for 3 ounces

Mix and take one teaspoonful three times a day.

Diet.--See diet for dyspepsia and constipation. All fatty, greasy, rich foods are prohibited.

Local Treatment.--If the skin is quite red and tender, mild soothing applications should be used. Most cases require vigorous treatment. First wash the parts with warm water and the best soap, rinse with hot water and then dry carefully. Remove the black-heads by careful pressure of the fingers, or with black-head extractor; the pimples and pustules should be freely cut, to allow the matter to escape and all the matter taken out.

External Medication, Ointment and Lotions.--Lotions are to be preferred in cases of oily discharge. If the skin becomes rough and chapped, soap should not be used in washing, and a soothing ointment should be applied. Drugs used are for stimulating the skin and healing the lesions.

1. Soothing Ointment.--

Precipitated Sulphur 1 dram Benzoinated Lard 1/2 ounce Lanolin 1/2 ounce

For local use but not in oily cases. (Dr. Schalek.)

2. The following used as a soothing lotion:

Washed Sulphur 2-1/2 drams Spirits of Camphor 3 drams Biborate of Sodium 2 drams Glycerin 6 drams Distilled water enough for 4 ounces

Mix and shake well and apply freely so as to leave a film on the face. (Dr. Schalek.)

[SKIN DISEASES 55]

3. Dr. Duhring's Lotion, following:

Precipitated Sulphur 2 drams Glycerin 2 drams Alcohol 1 ounce Lime water 1 ounce Rose water 2 ounces

Mix and shake before using and apply.

4. Kummerfield's Lotion. "Oriental Lotion."

Precipitated Sulphur 4 drams Powdered Camphor 10 grains Powdered Tragacanth 20 grains Lime water 2 ounces Rose water 2 ounces

Mix; shake well and apply every few hours.

5. Stimulating preparations.

Corrosive sublimate 1/2 to 2 grains Emulsion bitter almonds 4 ounces

Mix thoroughly and use to stimulate the skin.

6. Ointment of white precipitate (five to fifteen per cent strength) can be used in place of one above.

7. The Following Hebra Lotion (I give as written).

Hydrarg. Bichlor 1 dram Aqua Distill 4 drams Ov. Albuminis 3 drams Succi Citri 3 drams Sacchari 1 ounce

Mix and apply as directed.