If Pekelharing lays more weight on the neuritis and Leslie on the cedema, the connection between the two forms of the disease is not invalidated. In a paper recently published in the Practitioner, I have suggested that wet beri-beri is caused by a muscarin-like poison associated with an acid condition of the blood, while dry beri-beri is a neuritis proceeding from the more chronic action of a similar blood change and beginning with symptoms like those produced by artificial muscarin.-I am, etc., Watford.
THERE is no doubt that the views of the inevitable charact~~r aud the incurability of pulmouary consumption are now altered, and it is admitted that phthisis is both preventable and curable. Although pu]monary consumption carries off, at ages between fifteen and forty-fivc, more than one-thivd of the people who die, and between fifteen and thirty-five nearly one-hatf, yet the ~ ...,4 ~, ~tegls~rar-uene~at s Reports show that in the last 30 years the annual rate of mortality from phthisis has been reduced by more than one-third. Notwithstanding this enormous death-rate, there is no eflicient machiners-at our disposal to e ope with ir.A very large proportion of the patients sufferiug from pulmonary consumption come from the poorer classes, and la I)ublia every dispensary is crowded with such cases: and I purpose very shortly to review the methods adopted in Dublin in dealing with such cases, and to inquire if those ~nethods are the best available.No feature in the modern treatment of consumption has received so much attention and deservedIy so as that which involves on the patieut residente abroad, and the literature on climatic treatment is large and exhaustŸ A sea voya ge or a winter in the south of France is reserved for rich people, and my remarks apply only to the treatmeut
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