Worm diseases have a slow run, and are very much disposed to occur again, or the patient is apt to have a relapse. Other diseases, such as chronic inflammation of the mucous membrane of the intestines, resulting in perforation, mucous fevers, epilepsy, hectic fever (occasioned by the disordered process of nutrition), may arise from worm affections.

The prognosis is favourable; it is most favourable in diseases arising from ascarides, least favourable in taenia on account of the symptoms being more obstinate and the cure more uncertain. If the worms be lodged in the large intestine, the cure is always more easily accomplished than when the worms are lodged in the lesser intestines or the stomach.

§ 53. The surest way to cure worm diseases, is to remove that morbid condition of the digestive organs which always precedes and favours the formation of worms. According to Hahnemann's view it is not required to remove the worms, inasmuch as they result from a general constitutional illness, and an unwholesome mode of life; if the constitutional disturbance, which has generally a psoric origin, be cured homoeo-pathically (which can be done easily in childhood), few or none of the worms will remain, or, at any rate, the children will not he troubled by them, whereas the worms are reproduced in quantities after the bowels have been purged with cathartic medicines, even when mixed with Cina. However, not to mention the circumstance that the organism is in a more or less anormal condition as long as worms are present, even if there should be an appearance of health, it is certainly true that the entire removal of the worms, either living or dead, is most desirable, and is, in some respects, the chief object of the treatment, inasmuch as it is the most certain proof that the remedies have effected a cure. As long as no troublesome or dangerous symptoms make their appearance medical aid is seldom resorted to against worms, nor is it required. We know very well that lumbrici and as-carides may live on the contents of the bowels of children without irritating these organs in the least. Worms, taenia excepted, require medical treatment so much less, as they exist only for a limited number of years in the organism; after that period the worms disappear of themselves, owing to the changes which take place in those vital secretions upon which the existence of the worms depended. At any rate a palliative treatment will be sufficient in such cases to ef-fect a cure. We ought to observe, that notwithstanding the considerable number of remedies which we possess in our practice for curing worm affections, in Which we succeed in most cases, there exist no specific remedies, and, indeed, there cannot exist any for the in mediate removal of the worms; if this be desired we have to resort to large doses of the so-called an-thelmintica. This, however, is entirely unnecessary; for we know for certain that the small homoeopathic doses of a properly-selected remedy are entirely sufficient to destroy the worms, which are afterwards carried off by the rectum.

The following are the general remedies against worm diseases: Aconite, Bell., Cina, China, Dig., Fer-rum, Asar., Calc. c, Graph., Ignat., Marum verum, Merc, Nux v., Filix mas, Sabad., Spigel., Stram., Stann., Silic, Valer., Verat., Sulphur, and others.

If the symptoms arise from the presence of ascarides in the colon and rectum (they are scarcely ever found in any other part), Acon., Ferr., Ignat., Merc, Nux v., and Valeriana are the best remedies. Against the intolerable itching and the feeling of excoriation and soreness, Ignatia, Tinct. sulph., and Marum verum are especially useful; Mercurius is indicated for the violent diarrhoea and tenesmus; Ferrum for the vomiting and the confluence of water in the mouth, Valeriana for the nightly itching and the muscular spasms and sleeplessness arising from it.

The morbid phenomena denoting the presence of lumbrici, generally correspond to Nux v., China, Cina, Bellad., Merc, Spigelia. Nux v. is especially useful against great distention and sensitiveness of the abdomen and the region of the stomach, heat in that region, hard stool, inclination to vomit, excessive general irritability and sensibility, aggravation of the symptoms early in the morning.

China is indicated when the symptoms are aggravated principally at night, when after every meal the patient experiences a painful pressure below the umbilicus, fulness of the abdomen, heartburn with confluence of water in the mouth, cardialgia and retching; when the nervous system is excessively sensitive, with spasmodic jactitation of the muscles in various parts, tremor and debility (Valer. may prove useful when those symptoms occur).

Cina is a principal specific against worm affections of children, when arising from the presence of oxyurides vermiculares and ascarides lumbricoides, and when the group of symptoms is constituted as follows:

8* evening chilliness, small, rather hard, frequent pulse, little sleep, tossing about, shrieking and starting in sleep, ill humour, imbecility, transitory paroxysms of delirium, weight in the limbs, alternate paleness and coldness, and then again redness and heat of the face, dilatation of the pupils, continual rubbing of the tip of the nose, stoppage of the nose, lying on the back with open mouth, coating of tenacious mucus on the tongue, offensive eructations, vomiting, hot, distended abdomen, colic, difficulty of evacuating the bowels, and costiveness, itching of the anus, the ascarides crawl out at the anus, the urine, which is emitted involuntarily, is white, turbid, cloudy, (compare Ignatia and Grap.)

Belladonna is most suitable when the cerebral functions are disturbed, and when the following symptoms prevail: somnolency, spasms, illusions of the senses, great thirst, starting during sleep as if in affright, paralysis of the anus with involuntary discharge of faeces and urine, retention of urine.