necessary for this purpose when the insects abound in great numbers. The constitutional treatment in an ordinary gunshot wound, uncomplicated with injury to bone or structures of first importance, should be very simple. The avoidance of all irregularity in habits tending to excite febrile symptoms or to aggravate local inflammation, attention to the due performance of the excretory functions, and support of the general strength, are chiefly to be considered. Bleeding, with a view to prevent the access of inflammation in such cases, is now never practiced, as formerly, by English surgeons. The diet should be nutritious, but not stimulating. A pure fresh atmosphere is a very important ingredient in the means of recovery. If from previous habits of the patient, or from circumstances to which he is unavoidably exposed, the local inflammation has become aggravated,—indicated by pain, increased swelling, and redness about the wound,—topical depletion by leeches or cupping, bleeding from the arm, saline and antimonial medicines, and strict rest in the recumbent position, must be had recourse to, the extent being regulated by the circumstances of each case. In instances such as these, when the inflammation has become diffused, the purulent secretion is not confined to the track of the wound, but is liable to extend among the areolar connections of the muscles; and if the cure be protracted, attention will be necessary to prevent the formation of sinuses. If stiffness or contractions result, attempts must be made to counteract them by passive motion and friction, with appropriate liniments; if a tendency to edema and debility remain in a limb after the wound is healed, the cold–water douche will be found to be one of the most efficient topical remedies. In French practice, the administration of a chalybeate tincture,[6] as a tonic, or diluted as an injection, in wounds threatening to assume an unhealthy character, is very highly praised. It is stated that under the conjoined employment of this remedy internally and externally, in wounds of a pallid, unhealthy aspect, accompanied by nervous irritability and symptoms of approaching pyemia, the granulations have resumed a red and healthy appearance, and the general state of health become rapidly favorable.