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turb the stomach, and erythrol tetranitrate some- times proves less effective than nitroglycerin. Atro- pin is useful to protect the heart against inhibition shock, and should be used more or less continu- ously for this purpose, the doses ranging up to 2.0 milligrams (3/100 grain). Iodides and arsenic are recommended, but often prove of little value. Morphine may be required in prolonged and severe attacks, but it often disturbs the digestion, and .should Quanto Costa Il Cialis Da 20 Mg never be used unless absolutely necessary. Digitalis and nux vomica should be used when the heart is feeble, and the results seem better when the two are given than from either one alone. The usual measures of rest, diet, avoidance of exciting causes, and use of baths should be invoked. Eczema in Infancy. — F. P. Gengenbach (Southern Medical Journal, March, 1918) considers under the head of general treatment increased elim- ination from the bowels, kidneys and skin, proper nourishment, and the relief of reflex conditions. A thorough cleaning out of the gastrointestinal tract, Quanto Costa Il Cialis Da 20 Mg with increased water intake, will frequently be suf- ficient to cause an immediate improvement in the eruption, and for this purpose he recommends a pre- liminary intestinal irrigation, then a course of calomel, followed by castor oil, milk of magnesia, or sodium phosphate. Under proper nourishment comes regulation of the diet, preferably after efforts have been made to discover the offending food ele- ments by examination of the Quanto Costa Il Cialis Da 20 Mg stools and food inocu- lations of the skin. In breast fed infants fat is practically always the offending element. The mother should take less of the fat producing foods, especially red meats, rich milk or cream, eggs, malt preparations and alcoholic beverages. She should drink more water and take more outdoor exercise. The nursing interval should be lengthened and the nursing time curtailed, so that the infant will get only the first part of the milk, which is lowest in fat. The rest should be pumped out to prevent caking of the breasts. If necessary, the infant should re- ceive before nursing one half to one ounce of boiled water, or weak cereal water, to which has been added two to five grains of sodium citrate. If the infant is constipated it should be given milk of magnesia or sodium phosphate, while if the mother is constipated she should drink plenty of water and eat plenty of the subacid fruits, vegetables, bran preparations, and if necessary take some mild laxa- tive. The writer's practice is to give artificially fed in- fants boiled skimmed milk diluted with boiled water to which has been added sodium citrate. If sweet- ening is needed a small amount of saccharin is added. This places the infant upon a food low in fat and sugar, with the proteid so modified as to be easily digestible. Then the dilution is gradually de- creased until the infant is taking boiled skimmed milk alone. This tests out the tolerance for proteid. .•\t the same time orange juice is tried about half an hour before one or more feedings, the latter being given every three hours. If the skin manifestations have practically, if not wholly, cleared up, a gradu- ally increasing amount of cream is added until if possible whole milk is given. Should this cause an aggravation the fat percentage is again reduced to MODERN TREATMENT AND ['REVENTIVE MEDICINE. 903 the point of tolerance, and maltose or dextrose is cautiously tried. If Quanto Costa Il Cialis Da 20 Mg the infant has passed the first half year of life, vegetable broths with little or no meat slock are next tried, followed later by strained vegetables, the best of which are potatoes, carrots, spinach, turnips, and squash. Strained stewed fruits may be tried, es|x;cially if the child is constipated, as well as cereals, and puddings of gelatine, tapioca, corn starch, and custards, if no sensitization to eggs exists. In order to help the teeth through the baby is given zwieback, whole wheat sticks, or toasted whole wheal bread to chew. During the second year beef juice, scraped meat, or meat broths and eggs may be given, but these cases usually do better Quanto Costa Il Cialis Da 20 Mg on Quanto Costa Il Cialis Da 20 Mg practically a meat free diet and a sparing use of eggs. 1 horoughly cooked rice, farina, and hominy grits usually agree well. If the digestion is good more stress is laid on the solid foods and less on milk. VVhelher the infant is artificially or breast fed, the normal food re(juirement must not Quanto Costa Il Cialis Da 20 Mg be inter- fered with for a long time for the sake of curing the eczema. In iX)orly nourished infants tonics are often helpful. Under local treatment special efforts should be made to protect the skin from irritating underwear, exposure to inclement weather, overheating, and ir- ritating discharges. In acute cases moist applica- tions are sometimes preferable to ointments, but may cause depression by chilling. One of the best is : 'iJL Calamine (pink) grs. Ixxx; Zinc oxid 3