od pure air, and change of the
scene. Horseback riding is a very good form of exercise, but it should be
slow riding. "Tending" the horse is also good, and sleeping in the open
air is excellent. Automobile riding is too straining and should not be
indulged in.

1. Blaud's pills are very much used. The formula follows:

Dried Sulphate of Iron 2 drams
Carbonate of Potash 2 drams
Syrup Sufficient

Mix thoroughly, and make forty-eight pills. Take one to three pills, three
times a day after meals.

2. Fowler's solution of arsenic is also very good remedy; three to four
drops three times a day. It must be watched for bad symptoms and should
only be taken under a physician's supervision.

Diet.--This should be good and varied to suit the special taste, and as
the stomach and bowels are usually disordered such food should be chosen
as will best agree. Diet plays a very important part.

PERNICIOUS ANAEMIA.--This is characterized by great decrease of the red
cells of the blood with a relatively high color index and the presence of
large number of germs. The causes are unknown.

Condition.--The body is not emaciated. A lemon color of the skin is
usually present. The muscles are a dark red, but all the other organs are
pale and fatty. The heart is large and fatty. The liver and spleen are
normal in size, or only slightly enlarged with an excess of iron in the
pigment. The red cells may fall to one-fifth or less of the normal number.
The rich properties of the blood are fearfully decreased.

Symptoms.--Stomach and bowels, dyspepsia, nausea and vomiting, or
constipation, may precede other symptoms or they may last throughout the
case. The onset is gradual and unknown, with gradually increasing weary
feeling, paleness and some difficulty in breathing and palpitation of the
heart on exertion. There is paleness of the skin and the mucous membranes,
the lips look pale, no color. The paleness becomes extreme, the skin often
having a lemon yellow tint. The muscles are flabby; the ankles are
swollen, you can see the arteries beat. Hemorrhages may occur into the
skin, mucous membrane and retina of the eye. Nervous symptoms are not
common. The pallor and weakness become extreme, sometimes with intervals
of improvement and death usually occurs. The following is Addison's
description given by Dr. Osler:

[BLOOD AND DUCTLESS GLANDS 251]

It makes its approach in so slow and insidious a man