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destroy the superficial
bacteria and infected tissues. But I have found that it is not at all necessary. The ointment when applied even to the most foul ulcers clears up everything, and within 48 hours I have always seen granulations springing up. The necessity of caustics, the pain, and the mental agony of the patients, are thus relieved. The effect of fuchsin seems to correspond in some respects to that of scarlet red-viz., rapid epidermisation; but over and above this the antiseptic effect which I have noticed in fuchsin is not found in scarlet red, though I must confess I have not given the latter a fair trial in such cases. Fuchsin ointment in a greater strength than 5 per cent. may irritate .the parts. It is of no benefit in hard chancres. I tried it in two cases. Both, according to their statements, On inspection I found the were the worse for it. chancres ulcerating and discharging pus. I am, Sir, yours faithfullv, CHHAGAN H. KANTAWALA, M.R.C.S. Eng., L.R.C.P. Lond. Bombay, April 25th, 1914. * Fuchsin is known to have an antiseptic action, and it
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syphilis, their treatment with these drugs, if continued, like quinine in malaria, until convalescence is established in all cases, should considerably lower
the incidence of measles. These cell-inclusions can be found in the peripheral blood cells of acute measles so long as the fever lasts; then they are present in the nasal and aural pus, as well as in the abscess pus for long periods. I have found them thus in every case examined up to the present time. Therefore I think the method of preventive treatment is worth a trial. I proposed giving an initial dose of 0’1 to 0’2 grm. of salvarsan intravenously, or for small children a small dose of a weak alkaline solution hypodermically ; and this repeated a week Then each case should be given either later. mercury or arsenic in amounts according to practice and similar to that employed in congenital syphilis, until all peeling or purulent discharges have ceased. If, as I believe, these bodies are parasites, they should possess an extracellular phase, and then the drug should affect them, as quinine does in malaria. Such treatment is harmless, for has been employed to a slight extent in the treatment of children take arsenic well, and in the absence of it may be protrypanosomiasis and occasionally for chronic ulcers, but so any other method of prevention I it in a few ductive of results. have tried good far as we are aware it has not hitherto been used for soft cases which Dr. F. F. Caiger put at my disposal; chancres. The beneficial action described by our correbut it must be given an organised trial on a large spondent is doubtless due to its antiseptic power and not to scale before we can judge justly of its effects. The stimulation of the epidermis, for scarlet red, which causes idea is to bring about an immediate reduction of much greater stimulation of the epidermis, has no antiseptic parasites and to prevent their further spread. power.-ED. L. I am. Sir. vours faithfullv. E. HALFORD ROSS.
THEORIES OF HYSTERIA.
The Lister Institute of Preventive Medicine,
Chelsea-gardens, S.W., May 11th, 1914.
To the Editor of THE LANCET.
AN IMPORTANT CORRECTION. SIR,-The interesting fact reveals itself from a consideration of Dr. J. A. Ormerod’s lecture in To the Editor of THE LANCET. THE LANCET of May 9th on the Freudian Theory of SIR,-Will you kindly allow me to correct an Hysteria, and from other similar writings recently unfortunate error in the "Annual Reports" of the published, that criticism against Freudian psycho- Royal Dental Hospital of London, School of Dental logy is becoming a good deal less confident and Surgery, for 1913, just issued. Mr. Frank V. emphatic than formerly. Any criticism in Dr. Richardson, whose name was included in the Ormerod’s article beyond simple exposition of the Obituary Notice, is, I am glad to say, still alive and subject under consideration was markedly tentative well. I am, Sir, yours faithfully, and vigilantly non-committal. It will be instructive THE EDITOR OF THE REPORTS. May 14th, 1914. to observe if this is the mark of a changed attitude on the subiect.-I am, Sir, vours faithfully, DONATIONS AND BEQUESTS.-Under the will of FREDERICK DILLON, M.B., Ch.B. Edin. the late Mr. testator left
Leicester Borough Mental Hospital, May 14th, 1914.
Henry James Casey, of Tunbridge Wells, the .f.6000 to the Walthamstow, Levton, and
Wanstead Children’s and General Hospital for the endowment of six beds to bear his name and that of his THE FATALITY OF MEASLES. wife.-The late Mr. Henry Griffith has left E500 to the Brompton Cancer Hospital.-The late Mr. J. Richardson, To the Editor of THE LANCET. of Bath, has bequeathed £500 each to the Royal United SIR,-It seems to me that the question of the Hospital, Bath ; the Royal Infirmary, Liverpool; and St. fatality of measles, referred to by Dr. J. Gordon Mary’s Hospital, Paddington.-The late Miss Jane Whipp, Sharp in THE LANCET of May 9th, can only be solved of Merlewood, Prestwich, Lanes., left by will £300 to when the cause of the disease has been settled. the Bury Dispensary Hospital.-Failing issue to the legatee late Mrs. Edna Howarth, of Langdale Chase, WinderExperience of malaria, Malta fever, plague, yellow the mere, Westmorland, left by will certain sums to provide fever, sleeping sickness, and the other successfully a in the Manchester Children’s Hospital, Pendlewing combated affections seems to show that until we her will the late Mrs. Mary Ann Wingrove, of bury.-By have a complete knowledge of their natural history Southampton, left the residue of her estate, amounting to to be equally divided among eight charities, they cannot be prevented. .f.17,00O, some Two years ago I described cell-inclusions in the including Dr. Barnardo’s Homes, the Devon and Exeter blood of acute measles cases similar to those I have Hospital, Exeter, the Royal South Hants and Southampton described in syphilis and in scarlet fever. And Hospital, Southampton, and the Cancer Hospital, Brompton. late Mrs. Mary Elizabeth Booth, of Redhill, Surrey, although I have suggested that these " bodies " are -The left .f.400 each to the London Hospital, the University parasites and that they may be amenable to or North London Hospital, the Children’s Hospital, salvarsan and mercury, and have published these College Green, and St. Mary’s Hospital, Paddington.Paddington suggestions, little or no attempt has been made to The late Miss Sarah Anne Adams, of Coventry, Warwickshire, give this method of prevention an organised trial. has left .f.l000 each to the Walsall Cottage Hospital, the If these cell-inclusions are protozoal parasites and Birmingham General Hospital, and the Coventry and really resemble those found in human and animal Warwickshire Hospital.
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