kes an inquiry for treatment of a case of sneezing in a white
child of ten. The sneezing started without apparent cause and would
continue 20 or 30 times, or until the child was exhausted, and then
stop for a half or one minute, only to relapse again. Beilby speaks of
a boy of thirteen who suffered constant sneezing (from one to six times
a minute) for one month. Only during sleep was there any relief. The
patient recovered under treatment consisting of active leeching,
purgation, and blisters applied behind the ear, together with the
application of olive oil to the nostrils.

Lee reports a remarkable case of yawning followed by sneezing in a girl
of fifteen who, just before, had a tooth removed without difficulty.
Half an hour afterward yawning began and continued for five weeks
continuously. There was no pain, no illness, and she seemed amused at
her condition. There was no derangement of the sexual or other organs
and no account of an hysteric spasm. Potassium bromid and belladonna
were administered for a few days with negative results, when the
attacks of yawning suddenly turned to sneezing. One paroxysm followed
another with scarcely an interval for speech. She was chloroformed once
and the sneezing ceased, but was more violent on recovery therefrom.
Ammonium bromid in half-drachm doses, with rest in bed for psychologic
reasons, checked the sneezing. Woakes presented a paper on what he
designated "ear-sneezing," due to the caking of cerumen in one ear.
Irritation of the auricular branch of the vagus was produced, whence an
impression was propagated to the lungs through the pulmonary branches
of the vagus. Yawning was caused through implication of the third
division of the 5th nerve, sneezing following from reflex implication
of the spinal nerves of respiration, the lungs being full of air at the
time of yawning. Woakes also speaks of "ear-giddiness" and offers a new
associate symptom--superficial congestion of the hands and forearm.

A case of anomalous sneezing immediately prior to sexual intercourse is
mentioned on page 511.

Hemophilia is an hereditary, constitutional fault, characterized by a
tendency to uncontrollable bleeding, either spontaneous or from slight
wounds. It is sometimes associated with a form of arthritis (Ogler).
This hemorrhagic diathesis has been known for many years; and the fact
that there were some persons who showed a peculiar tendency to bleed
after wounds of a trifling nature is rec