This consists of an engorgement and tubercular degeneration of the mesenteric glands, followed by emaciation and general disorder of the nutritive functions. It occurs particularly in children of a scrofulous diathesis, and in those who are weaned too soon, or fed on indigestible substances. The disease is often owing to irritation in inflammation of the lining membrane of the intestines, giving occasion to enlargement of the glands of the mesentery, or duplicature of the peritoneum. Diarrhoea, emaciation, loss of appetite, or sometimes immoderate appetite, hardness and swelling of the abdomen, and toward the end hectic fever, are the chief symptoms of this disease. Recovery is seldom from this disease, if it has attained such a stage in which the glands have become extensively disorganized.

TREATMENT. -- Digestible food, fresh air, etc., must be provided for the patient, and the bowels should be kept soluble. The treatment advised in scrofula should be resorted to in this disease. The patient's strength is especially to be well supported by good food, tonics and stimulants. This disease is commonly known as "opneme" in certain localities, which literally means taking of or wasting away, and persons can yet be found who ascribe the miserable condition of the child to the power of witchcraft, and the celebrated "witch doctors" do yet find employment and supply their amulets or engage in heathenish incantations. I advise every mother when the first symptoms of this disease are recognized to at once engage skilful medical aid, and her child may oftentimes be saved.