It is difficult to determine the presence of _worms_ in children, much more in adults, yet both are affected by them occasionally. In children, there is more or less fever and restlessness, screaming out in sleep, starting, pain in the bowels, vomiting, choking, diarrhoea, picking at the nose, fetid breath, voracious and variable appetite. TREATMENT. _Santonine_ is a remedy which I have used for years, and I have treated many hundreds of cases, with such unvariable success, that I feel disinclined to use or to recommend any other. It brings away the worms entire, and relieves the patient of all morbid symptoms immediately, or in much less time than any other remedy of which I have any knowledge. It seems to act specifically upon the worms, causing them to leave the bowels by being evacuated with the feces, without producing any sensible impression upon the bowels, the evacuations remaining natural, if they were so, or becoming so, if deranged, and the worms coming away not quite lifeless. I have often prescribed this remedy for children suffering under intermittent or remitting, and even typhoid fever, in the summer season, when there were not present any well defined symptoms of worms, and yet the fever would soon abate, and in due time worms appear in the fecal evacuations. It often arrests entirely intermittent fever, when worms are present, and are the probable cause of the fever. I give either the crude salt in from one-fourth to one-half grain doses, or a trituration of one grain to four of sugar, giving in the latter case, from one to two grains of the trituration. Give one dose at bed-time, or in an urgent case at any other time, but never repeat the dose under thirty-six hours, and in an ordinary case, under forty-eight hours. This is _the_ medicine _par excellence_ for worms. It may be repeated once a week, when there is a tendency in the patient to the development of worm symptoms, or, in other words, the breeding of worms. The idea held out by some that it is hurtful, or unimportant to remove the worms, in itself considered, is simply _nonsense_, and _worse_, for children are sometimes sacrificed to this idea. Earache--Otalgia. This may arise from various causes, but a common one is sudden cold. If it arises from cold, and there is general fever, or if the ear is red, or the side of the head and ear hot, _Bell._ and _Baptisia_ should be given in alternation, every hour, or in a violent case, more frequently. These remedies will soon relieve such cases. Cloths wrung out of hot water should be laid over the ear, or the side of the head steamed, or it may be laid into water quite warm, with good effect. Where the disease is a chronic affection, and the patient is subject to frequent attacks of pain in the ear, especially on a change of the weather, from dry to moist, _Mercurius_ is the proper remedy, especially if it is worse at night, when warm in bed.