In dyspepsia and constipation, bitter tonics, alkalies, acids, pepsin, saline and vegetable laxatives, are variously prescribed. Special mention may be made of the following:—

℞ Ext. rhamni pursh. fl., ......................... fʒij-fʒiv
Tinct. nucis vom., .............................. fʒiij
Tinct. cardamomi comp., ................. q.s. ad. ℥iij. M.
SIG.—fʒ t.d.

Or Hunyadi Janos or Friedrichshall water may be employed for a laxative purpose.

In chlorotic and anæmic cases the ferruginous preparations are of advantage. Cod-liver oil is often a remedy of great value, and is especially useful in strumous and debilitated subjects. Calx sulphurata in pill form, one-tenth to one-fourth grain four or five times daily, is said, acts well in the pustular variety. In some instances, more particularly in sluggish papular acne, arsenic, especially the sulphide of arsenic, acts favorably. Upon the whole, the line of

Acne of back

treatment that keeps in view proper and healthy action of the gastro-intestinal canal is the most successful.

In inflammatory cases occurring in robust individuals the following is often of service:—

℞ Potassii acetat., ................................ ʒiv
Liq. potassæ, ................................... fʒij
Liq. ammonii acetat., ............ q.s. ad. ..... f℥iij. M.
SIG.—fʒj-fʒij t.d., largely diluted.

State the character of the local treatment in acne.