The reduplication is of the second sound Three supposable sources of reduplication Reduplication produced by want of simultaneous action in the Difficulty of explaining occurrence of double first sound with single Irregularity of contraction from irregularly weakened ventricular Bearings on Practice and Treatment Symptoms attributed to indigestion probably often dependent on disturbed balance between systemic and pulmonary circulation Tonics hurtful Derivative treatment indicated Warm bath the simplest remedy ib. Statement of rarity in infants incorrect Results of examination of return-books of parochial cases Sex has no influence on scarlet fever Error of popular belief Examination of Registrar-General's Reports Relative mortality in sexes in reference to population Relative mortality in sexes varies with age Influence of meteorological conditions Opinions of numerous foreign and English writers Attempt to analyse facts bearing on influence of season Want of relation between rate of atmospheric movement and Electrical conditions of atmosphere Few facts as to effects of atmospheric changes Probable relation between electricity and mortality Propagation of scarlet fever poison not affected by movement of ib. ib. One type communicable by another . Uræmia and dropsy may follow any form Distinction in type not caused by season nor by meteorological Severe epidemics probably always prevent a proportion of mild Type not influenced by locality Nor by physical condition of patient On Scarlet Fever as complicated with acute Rheumatic Fever Described by Wood, Aitken, and others Scarlet fever not unfrequently connected with rheumatic fever Cases observed by the author Chemical Pathology of Scarlet Fever Scarlet fever placed by F. Simon among hypinotic diseases ib. ib. Condition of the skin Mode of death in scarlet fever the same as in all true inflamma- Poison of Scarlet Fever in relation to its Propagation and Mode of Poison travels on material objects rather than by air Evidences of solidity of the poison Instances of communication by objects capable of holding the From what part of the body does the poison come? Action of introduced bodies rather to modify zymosis than to Application of the zymosis theory to scarlet fever Scarlet fever and rheumatism both probably produced by acids Explanation of the transient nature of the symptoms of scarlet Limit to the administration of ammonia The hot air bath and blood-solvent carry out indications at pre- sent known Deodorising gargles often useful Preventive treatment consists in quarantine, ventilation, and disin- Treatment Bearings of Pulsatile Pulmonic Crepitation on Practical Medicine. 130 Mostly of negative value as to treatment Sometimes definite in regard to prognosis Of most value in diagnosis ib. Case of scarlatina with uræmia in a child Case of scarlatina with uræmia, shewing good results of bleeding Case of poisoning by berries of atropa belladonna resembling |