Acute Amœbic Dysentery Treated by Hedyotes Auriculares, N. O. Rubiaceæ

S., male adult, age about 40, a Cutchi Jain, a clerk, living in Madras. 1 was called to see the case at 8 a!m. on Thursday, 28th March, 1929. History of the onset of disease.?On 24th March he had had four diarrhoeic motions with griping during the night, followed by four or five similar loose motions during the day. During the night of the 25th he had 10 to 12 motions with mucus and blood; and on the 26th he had about 20 muco-sanguinous motions with severe griping tenesmus, for which the doctor, called in on the morning of the 27th, gave him a hypodermic injection, possibly emetine, and also a pinkish white mixture internally. He had about 20 motions during the day and more than 30 motions during the night of 27th with unbearable tenesmus in spite of the injection and medicine. The motion had been examined by Dr. Murugesan, Bacteriologist. The patient had a temperature of 102.8 and an anxious expression. Bacteriologist's report: Entamoeba histolytica found in very large numbers, living and active ones. I_prescribed, Tiq. ext. hedyotes auriculares .. a 1 i Tinct. opii. .. .. min. 40 Syrup .. .. oi. Aqam ad. .. .. viii. One-eighth part every four hours. 1st dose given at 10 a.m. one motion. 2nd dose ? 12 noon one motion. 3rd dose ? 4 p.m. one motion. 7 p.m. one motion, tenesmus reduced. 4th dose ,, 8 p.m. two motions before 10 p.m. The patient slept well till 2 a.m. 29th and had one motion, slept again and woke up at 4 a.m. and had two motions. 5th dose given at 7 a.m.?had a small motion with little blood and mucus, but more faecal