Worms, thread :

-JAHR Georg Heinrich Gottlieb

Description of Disorder. -Small worms resembling ends of white cotton or thread, affecting the last portion of the bowel, and especially the rectum, causing great irritation, especially at night, nervous derangement, difficulty in making water, paleness of the face, picking of the nose, variation of the appetite, etc. They may often be seen in the child's stool, or crawling on the child's person, if examined.

Medicinal treatment
Aconitum napellus
If there are feverish symptoms at night, with restlessness and great irritability.
Dose. -Four drops to be mixed in half a small tumbler of water, a dessertspoonful taken every three or four hours.
Calcarea carbonica
Is useful in feeble, debilitated constitutions, to eradicate a tendency to worms, or where there is chronic derangement of the digestive organs.
Dose. -Two grains, dry, on the tongue, night and morning.
Cina maritima
Is one of the most useful medicines in worm affections, and may be used in all stages of the complaint.
Dose. -As Aconitum, repeated every four or six hours.
Thread worms
Ignatia amara
Should be given to relieve the nervous symptoms.
Dose. -As Cina.
Mercurius solubilis
Is useful in worm-diarrhoea or colic, distension of the bowels, straining during tool, with small slimy evacuations, or bleeding from the nose arising from worms.

Dose. -Two grains to be taken three times a day, followed by a mouthful of water.
Sulphur
Is useful in most stages of the complaint, especially after the prominent symptoms have subsided, to complete the cure, or to eradicate a tendency to worms.
Dose. -As Calcarea Carb..

Accessory treatment
Active daily exercise in the fresh air, early rising, and cold hip and shower baths, or sponging with salt and water (a dessertspoonful of salt to a pint of water), or of vinegar (a quarter of a pint of vinegar to three-quarters of a pint of water), or of olive oil, may be thrown up into the bowel, to the great relief of the patient; and the parts may be washed nightly with vinegar and water. Avoid acids and all indigestible foods, and take simple, nourishing articles of diet - beef-tea, mutton-broth, roasted meats, well boiled vegetables. Avoid all salt or dried meats, fruits, raw vegetables, etc.; but increase the quantity of salt at each meal and lessen that of every sweet food. A tumbler of salt water should be taken in the morning fasting, twice or thrice a week.

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