Pneumonia.

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This comprehends an infection by a specific microbe and involves venous stasis, cyanosis, mucus in the lungs, liver ducts and stomach; as a rule, constipation; general intestinal dryness and inactivity.

Wanted: First, mobilization of the blood to overcome the stasis. Second, a general unloading of the alimentary tract for the triple purpose of (a) drainage; (b) absorption of the appropriate remedies; (c) oxygenation of the arterial blood at least, and of the venous blood if possible. It seems to destroy the autotoxins and overcome the nervous inactivity.

This is made possible by means of the blandest of oxidizers, the permanganate of potassium, one decigram dose taken in three portions of warm water five minutes apart, i. e., one-half grain every five minutes in a half pint of pretty hot water.

In five minutes more give a small dose of triturated calomel by the mouth, enough to cleanse the stomach and small intestine, and a clyster of warm water, one quart with one grain of permanganate of potassium, to cleanse the colon.

Ten minutes after the administration of the last dose of the solution of the permanganate of potassium begin the administration of bryonia, and with it either aconite or belladonna according to the indications. Possibly both may be needed.

Hot applications should be made to the affected area, preferably dry. These should be kept up until there is elimination of the distress, which may be within an hour or so. Continue the medicine several hours after relief is obtained to guard against a relapse; avoid draughts and observe the usual hygienic rules. That is all.

W. C. ROBY, M. D.

Ellingwood's Therapeutist, Vol. 2, 1908, was edited by Finley Ellingwood M.D.