Epidemic Dropsy

of articles on ' Epidemic Dropsy '??the burning question of the day?even in the remotest villages. The treatment indicated is tincture ephedra vulgaris for the heart, which is analogous to the action of adrenalin and so will accelerate the heart. What should be done in the following case of epidemic dropsy? (1) Patient, aged 7 years; history of beri-beri? three months. (2) Sudden dilatation of the heart?apex beat diffuse and 1 inch lateral to the nipple line. (3) Pulse 170 and respiration 70 per minute. (4) Haemoglobin?45 per cent. The patient suffering extremely from dyspnoea?apparently cardiac in origin. (5) Temperature?101 ?F. Questions (1) Whether tincture ephedra should be given or not?if so in what dose? (2) Whether digitalin, cardiazol, adrenalin (accelerator) should be given in such cases? (3) What about giving ' coramine'? (4) If digitalin, digifortis, digistan (B. C. P. W.) produce no action, what is to be done? (5) Whether blood letting should be done in anaemic cases like this? (6) Is Vitys (B. C. P. W.) to be given? I shall be very much obliged if you will kindly give me detailed advice on these points.