See to it that the patient has a daily movement of the bowels. In the early stage try the effect of liquid paraffin or of the mineral waters such as Pluto, or Hunyadi Janos, or artificial Carlsbad salts (Sprudel salts). These last can be made as follows: Sodium chloride, ounce I; sodium bicarbonate, ounce II; sodium sulphate, ounce IV. Take two tablespoonsful of this in a glass of hot water before breakfast. Should these not succeed, assist the action of the drugs by the use of enemata. The pill of aloin, strychnine sulphate, and extract of cascara, with the addition of a small quantity of hyoscyamus, is a mild tonic purgative. In cases of constipation with high tension, there is no drug as valuable as calomel or one of the other mercurials given occasionally. Never give Epsom salts unless copious watery stools are desired to deplete effusion into the serous cavities or into the subcutaneous tissue. Chronic constipation increases the gravity of the prognosis. In case of suppression of urine and anasarca, hot air packs may be of value. The patient may be wrapped in a hot wet sheet and covered with blankets. I do not believe in administering pilocarpine to assist the sweating. Remember to treat the patient and not the disease. The careful hygienic and dietetic treatment, combined with the least amount of drugging, is the best and most rational method of treatment. INDEX A Abdominal symptoms, 201 Aconite in treatment, 242 Acquired arteriosclerosis, 159 Adami, effect of syphilis in aorta, 45 Adventitia, 28 Age in arteriosclerosis, 161 Albuminuria, 221 Albutt's classification of arteriosclerosis, 186 Alcohol, 166, 228, 235 Anatomy, 25 Angina abdominalis, 201, 216 pectoris, 197, 216 pseudo, 216 Angiosclerosis, 26, 64 Aorta, 27 anatomical lesions in, 33 Aschoff on, 35 normal, 41 syphilis in, 44 thoracic, 29 thoracic and abdominal, arteriosclerosis of, 39 velocity of blood in, 66 Aortic incompetence, 61, 258 stenosis, 60 Aortitis, acute, 165 Arcus senilis, 191 Arrhythmia, tonal, 92, 102 Arterial pressure, 85 symptoms, 189 Arteries, 29 examination of, 172, 177 general structure of, 27 large, 30 adventitia of, 30 palpable, 189 pulmonary, arteriosclerosis of, 63 Arteriocapillary fibrosis, 26 Arteriosclerotic endocarditis, 60, 219 Artery, coronary, cross-section of, 36 pulmonary, 209 radial, 29 Aschoff on aorta, 35 Atheroma, simple, 32 Atheromatous abscess, 38 Auricular fibrillation, 133 flutter, 131 Auscultation, 176 Auscultatory blood pressure phenomenon, 90 method of taking blood pressure, 83 percussion, 175 B Balneotherapy, 233 Basch's blood pressure instrument, 70 Blood, circulation of, 65 velocity of, 65 in animals, 66 in aorta, 66 in capillaries, 66 viscosity of, 68