Cases of Febricula with Abdominal Tenderness

more or less abdominal tenderness in spots. The fever, which often runs rather high and which may or may not be preceded by a rigor, generally lasts for some days, but gives way atonce to an efficient purgative, with or without a dose of quinine. The cases are epidemic, endemic or sporadic. The tongue is red, rather dry, with a high standing white or yellow fur, and sometimes with "strawberry" points. The abdomen is generally slightly full. On making a gentle but deep palpation with the fingers of one hand, local lized spots of tenderness will be discovered, especially close to the left of the umbilicus and a little above it; also in both iliac regions. Portions of the intestines may be tympanitic; other portions, generally tender, may be felt to have