One of us in 1893 reported twenty-three cases of colica mucosa (von Noorden sixteen) that were treated according to the method that we have just described in detail. To this number must be added, if we include our joint experience since that time, fifty-three cases more; there are therefore all in all seventy-six cases. Among these, four were children (two boys of four and six, and two girls of seven and nine). Among the adults there were forty-eight women and twenty-four men. We mention expressly that only typical cases of colica mucosa are included in this tabulation, all of them cases that corresponded in all their features to the disease-picture given above. In twenty of the patients the motor and secretory functions of the stomach were also tested; four of them suffered from achylia gastrica; in the others there was comparatively frequently a condition of hyperacidity; sometimes, too, of subacidity of the gastric juice. Seventy-one of the patients suffered from chronic constipation; in five of the patients the constipation occasionally alternated with diarrhea.

The following is a summary of the results of our treatment:

In four cases complete failure. It became necessary to stop the treatment after a few days, in part because the secretion of mucus and the attacks of enteralgia did not stop, in part because the patients did not possess enough energy to carry out the treatment. The former happened in the case of two women, the latter in the case of two men who were highly neurasthenic.

In twelve cases there was only an incomplete re_ suit; so much was attained that the attacks became less frequent and that the pain grew less severe. In a part of these cases the treatment could only be carried out with unwelcome interruptions. Six of the twelve cases, remarkable to say (see above), underwent the treatment at home, partly because they did not have time or means to take the treatment in an institution or at a watering place.

In the remaining sixty cases the treatment was completely successful; in other words, as long as the course of treatment was continued, the evacuation of mucus, the constipation and the pain disappeared completely; the general nutrition of the patients improved, in some of the cases to a remarkable degree (see above), and the nervous symptoms also became ameliorated. In twelve of the cases no further record was obtainable in regard to the subsequent course of the disease, so that we can only report in this direction on forty-eight of the sixty cases.

In ten of these cases the first results were excellent and the good effects persisted for from three to six months after the course of treatment. At the expiration of this time, but not before, constipation returned and, later, attacks of colica mucosa. In ten of these cases we know, further, that they began too soon to neglect the dietary regulations that had been given and that they did this because they felt in such excellent health; the result was that the bowels again became constipated; then they further neglected the regulations even after this occurred or had recourse to unsuitable measures in order to relieve the condition (powerful laxatives and clysters). Under these circumstances relapses are of course unavoidable. Four of the patients repeated the treatment after one or two years and since that time they may be considered cured. (Duration of the cure to-day from three to four years.)

Thirty-eight of the patients (four children and thirty-four adults) remained perfectly well for at least a year after the first treatment - i. e., no symptoms whatever pointing to a derangement of the bowel function appeared within this time. In the majority of the patients the cure has remained permanent for many years, in some of the cases for ten years and longer.