In the commencement of the disease, Ignatia is sometimes useful, especially when the symptoms are changeable, and when the following group of symptoms occurs: great indolence, inclination to lie down, weight and pressure in the forehead, pain in the pit of the stomach, alternate redness and paleness of the face, dry and chapped lips, white-coated tongue, flat, insipid taste, great aversion to food and drinks, regurgitation of a bitter substance, frequent discharges of white mucus; sudden flushes of heat over the whole body are frequently present, with small, accelerated pulse.

Staphysagria may likewise prove useful in the first commencement of the disease, and competes with Ignatia when the disease has been occasioned by moral emotions. But even in the highest degrees of pituitous fevers, Staphysagria is an excellent remedy, even when typhoid and putrid symptoms have made their appearance. The attending physician will easily discover the symptoms indicating Staphysagria without our mentioning them. All that we intended to do was to point to Staphysagria, and likewise to Senega, which is indicated for many affections of the mucous membranes, especially when the patients are of a phlegmatic, passive disposition. In cases where Senega is indicated the fever is not very violent, there are merely slight shiverings and heat, accompanied by a beating pain in the head, laboured breathing with anxiety, stitches in the chest, the whole body feels bruised, the pulse is frequent, and the thirst increased; the stools are rather less frequent, in a few cases more frequent than usual; there is an accumulation of viscid mucus in the throat, occasioning constant hawking.

The following remedies have likewise been found useful in practice: Bryo., Rheum, Cham., Dig., Anti-monium cr. and Tart, emet., Cina, Bellad, Ac. sulphur., Ars., Phosph., Sepia, China, Rhus, Spig., Mezereum. Digitalis especially is a distinguished remedy in fully-developed mucous fevers when the vital forces are greatly depressed, when the pulse is slow, the patient is very feeble, complains of pressure and fulness in the pit of the stomach, constant loathing, nausea and frequent vomiting, thirst, diarrhoea, vertigo, aching in the forehead over the eyes, restlessness, and scarcely any sleep.

Sepia may likewise be ranked among the remedies for pituitous fever; it is frequently adapted to fevers of that kind which have a long run without being characterized by any violent symptoms. We take this opportunity of remarking that Sepia is an excellent remedy for plethora venosa abdominalis, provided the symptoms correspond.

If the fever assume a torpid character and typhoid symptoms make their appearance, Bryonia will be found an excellent remedy as long as the typhoid symptoms have not reached a high degree of violence and when the following group of symptoms occurs: violent congestion to the head, dry, burning heat, dry lips, dry, red tongue, pressure at the pit of the stomach, constipation, wandering looks, slight delirium, etc. Rhus corresponds to similar symptoms when the pulse is very much depressed. Belladonna deserves a preference when the brain is principally affected and when the following symptoms occur: quick, hard pulse, dry skin, great thirst, parched tongue. If the increased secretion of mucus spread over the respiratory organs and the intestinal canal, if expectoration of mucus, rattling in the trachea and diarrhoea be present, if the patient lie still with open mouth, dry, parched, black lips and tongue, if the respiration be oppressed and delirium and floccilegium be present, Phosphorus is the suitable remedy. If rash threaten to break out, which is almost always accompanied with a peculiar sighing breathing, Ipecacuanha is particularly suitable. If the rash should have actually broken out, or should have receded, Arsenic may still save the patient's life. The characteristic symptoms in such a case are: sopor, cold sweats, blackish lips and teeth, dry, trembling tongue, unquenchable thirst, meteorism, involuntary discharges of faeces and urine, snoring, oppressed, and excessively hurried breathing, small, trembling, very frequent pulse, automatic movements of the hands, nightly muttering delirium. (Aci-dum phosp., and Carbo veg. ought to be thought of when those symptoms occur). Arsenic is likewise indicated when aphthae form in the mouth, no matter whether it be a simple or putrid ulceration, and affect the whole intestinal canal. For simple aphthous ulceration Mezereum may likewise be indicated, especially when a violent burning in the fauces and stomach is present, and the aphthae look flat and flaccid; Mer-curius, Acid. nitr. and sulp. may also prove curative. If gangrene threaten to set in, Arsenic is the first remedy, China, Ac. mur., Carbo veg. and Baryta are the principal remedies next to Arsenic.

The diet is of the utmost importance both in the precursory stage, in order to prevent the full development of the fever, and in the stage of convalescence, in order to prevent a relapse. The object of diet in the precursory stage is to arrest the excessive secretion of mucus; in the stage of convalescence the object of diet is to invigorate the patient by suitable nourishment without exposing him to the danger of having a relapse for which there is a great disposition. The patient ought to take small quantities of liquid food with a good deal of drink, the convalescent patient may add a few drops of wine to his drink.