From the loss of appetite and sleep the general health of the child may become impaired; but the only possible evidence of the presence of worms is to examine the stools. If worms of the above description cannot be seen, yet the symptoms make their existence suspected, a dose of some of the remedies above suggested should be given and afterwards the stools again examined. Some children have a peculiar predisposition to pinworms, and although you seem to give them relief for the time being, in a short time afterwards the same symptoms return and the worms are as numerous as ever. In these cases a course of continual treatment becomes necessary to eradicate the morbid habit; for this course I recommend: Take: Powdered wormseed, Powdered chocolate, Milk of sulphur, of each equal parts. Mix and give half to one teaspoonful every night at bedtime. (_g_) Constipation is the bane of artificially reared children and if the sagacity of mother or nurse does not correct the evil it often causes serious complications. Sometimes those who are nursed on the breast suffer from constipation, especially when the mothers or wet nurses are troubled with similar derangements. Children under one year of age should have two evacuations, and those from one to three years should have at least one passage a day; when this does not occur the feces become solid and constipation is the result. In most febrile affections constipation is caused by a loss of moisture through the skin and an increased urinary secretion. Certain foods constipate, especially the starchy or farinaceous variety, as soups containing corn starch, rice, sago, etc., and in older children certain dishes consisting of peas, beans, and wheaten bread. A great many medicines are constipating, for instance, most cough mixtures, for they contain opium in some form, also preparations of iron, lead, alum, bismuth, chalk, and vegetable remedies that contain astringents or tannin.