ontinued for eighty-six hours. The treatment
consisted of the application of belladonna and cantharides plasters,
bismuth, and lime-water, camphor, and salts of white hellebore inhaled
through the nose in finest powder. Two other cases are mentioned by the
same author. Gapper describes the case of a young man who was seized
with loud and distressing hiccough that never ceased for a minute
during eighty hours. Two ounces of laudanum were administered in the
three days without any decided effect, producing only slight languor.

Ranney reports the case of an unmarried woman of forty-four who
suffered from paroxysms of hiccough that persisted for four years. A
peculiarity of this attack was that it invariably followed movements of
the upper extremities. Tenderness and hyperesthesia over the spinous
processes of the 4th, 5th, and 6th cervical vertebrae led to the
application of the thermocautery, which, in conjunction with the
administration of ergot and bromide, was attended with marked benefit,
though not by complete cure. Barlow mentions a man with a rheumatic
affection of the shoulder who hiccoughed when he moved his joints.
Barlow also recites a case of hiccough which was caused by pressure on
the cicatrix of a wound in the left hand.

Beilby reports a peculiar case in a girl of seventeen who suffered an
anomalous affection of the respiratory muscle, producing a sound like a
cough, but shriller, almost resembling a howl. It was repeated every
five or six seconds during the whole of the waking moments, and
subsided during sleep. Under rest and free purgation the patient
recovered, but the paroxysms continued during prolonged intervals, and
in the last six years they only lasted from twenty-four to forty-eight
hours.

Parker reports four rebellious cases of singultus successfully treated
by dry cups applied to the abdomen. In each case it was necessary to
repeat the operation after two hours, but recovery was then rapid.
Tatevosoff reports a brilliant cure in a patient with chronic chest
trouble, by the use of common snuff, enough being given several times
to induce lively sneezing. Griswold records a successful treatment of
one case in a man of fifty, occurring after a debauch, by the
administration of glonoin, 1/150 of a grain every three hours.
Heidenhain records a very severe and prolonged case caused, as shown
later at the operation and postmortem examination, by carcinoma of the
pancreas. The spasms were greatly