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administration, morning and night, of effervescent sodium phosphate is invaluable. If the appetite

is not good, the regular use of the tincture of nux vomica, ten to twenty drops three times a day, is strongly indicated. In anemic cases pills of carbonate of iron or, probably still better, the pills of valerianate of quinin, iron, and zinc are necessary. In nervous cases with anemia, valerianate of zinc, one grain with two grains of the compound asafetida pill, two or three times a day (after Morell Mackenzie), will be found valuable. Careful diet, a tranquil mind, and moderate exercise are essential. Outdoor exercise, with a daily tepid bath followed by vigorous friction of the whole body, will serve to eliminate waste material. The patient should not unnecessarily expose himself to direct rays of the sun, as they are calculated to excite intense reflex irritation of the sensitive nerve centers. Much trouble may be averted by the use of a sunshade or umbrella and by the avoidance of exercise in the sun.

It must be understood that with this general hygienic and constitutional treatment the course of local prophylaxis by daily sterilization is most necessary.

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