On the Treatment of Cholera: By Calomel and Colocynth.

-ticularly obnoxious to rheumatic affections of joints, though not of the acute form. Pleurodynia and rheumatic cough frequently occur in all ages of childhood. On the coiitrary, I find they are not disposed to endocardial rheumatism; at least, according to what I have seen, it can be but of rare occurrence in the first years of life. This fact, and the analagous one, concerning the acute general articular form, may perhaps concert in some way to advance the pathological knowledge of the rheumatic dyscrasy. The disposition once acquired may last for years and years. In some children, however, it ceases entirely as they grow older and stronger towards puberty. In some others, of course, there is no trace of it. As the cause, everybody recognises a sudden change from warm to cold, particularly when the skin is per. spiring and damp, cold more than dry. The sudden occurrence of east winds is also very productive of rheumatism According to this property some countries represent a more fertile soil for this malady. In this respect there may be fe wv countries worse than Hungary and Austria. England, particularly the eastern parts, enjoys also the discredit of being much troubled with rheumatism. But, it cannot be denied, the mentioned changes of temperature are, as well, productive of catarrhal and parenchymatous inflammations. There must, therefore, be another condition or circumstance besides, special in producing rheumatism instead of pneumonia or catarrh. The electric influence, I believe, is too little known and valued in this respect. I remember many children who, without being exposed to cold, before stormy weather, or some other sudden change of the weather, became affected with rheumatism; and some even when confined to bed, and guarded carefully against "taking cold." As a prophylactic measure, nothing is more proper than to accustom children, judiciously and by degrees, to the vicissitudes of temperature; performing cold sponging of their whole body, strengthening the more obnoxious kind of skin by lotions of a mixture of brandy and water. The custom to dress children lightly, with bare neck, short stockings, and trousers, as a general measure, is also very suitable, in constitutions which allow it. Amongst complications, like as in adults, the rlheumatic affections frequently combines with the bilious, the catarrhal, and others; the liability of clhildren to rheumatism during the last stage of, or convalescence from, measles, is, however, very strikinig. But rheumatism combines also occasionally with other eruptive fevers. The combination of intermittent fever with rheuma. tism is, I find, interesting. I have had to attend, at Pesth, many children at once affected wvith both dis. eases. The latter was only rheumatalgia, more commonly costal pleurodynia, or rheumatic cough, always remittent or even intermitttent, and increasing along with the paroxysm. I do not remember one single case in which pleurodynia, or articular rheulia. tism, when complicating ague, would have passed into inflammation, swelling, or exudation; nor do I know a single case of genuine inflammation complicating ague. Now let me add to this that I did not see phlegmonous or parenchymatous inflammations, f. e., pneumonia, suppurative pleurisy, acute meningitis with plastic or purulent products, in connection with an unequivocallyestablished rheumatic fever, not even with the acutest articular form, which we generally look at as inflammatory, and in which, no doubt, certain degrees and kinds of inflammatory action take place. These are, I believe, facts of some pathological interest. The remissions of the rheumatic fever come sometimes near the intermissions of ague. It stands between the inflammatory and ague. The most frequent combination of local rheumatism is that with inflammation; thence a modificationof the inflammatory process and its products arises, which is not sufficienitly studied yet. I have seen only one or two cases of acute arthritis in the knee pass into suppuration; and even in these cases I could not state with confidence that it was originally rheumatism. An intimate amalgamation of the rheumatic inflammation with the scrofulous dyscrasy, is a common and occasionally sad occurrence in childhood. Those that have penetrated a little deeper into the difficulties of children's practice, and those of you who intend to do so, will perhaps excuse theminuteness anid length with wlhicll I have dwelt on the subjects of this lecture. There are some obvious things which it is still suitable to call to mind in various practical connections. I will next speak of the treatment.