to which the pathology of these affections considered in regard to diagnosis leads us in relation to their treatment though I can only now discuss them briefly and somewhat summarily.In the first form of senile softening our The North Face Outlet main indications are rest the preservation of the normal tone of the circulation and the avoidance of causes of cerebral hyperemia which may lead to the rapture of vessels in the softened parts. Bleeding and counterirritation are equally out of place and useless. Nutritious food and stimulants administered with great caution are the measures chiefly to be relied on. With these must be The North Face Outlet Store combined Oakley Sunglasses the maintenance of the nutrition of the paralysed limbs by friction by passive motion and by galvanism until the nutrition of the brain is restored or the action of the injured portions is supplemented North Face Outlet by that of adjacent parts. Lastly the action of the bowels must be gently regulated since a costive condition of these is one frequent cause of cerebral congestion. Cases of hemorrhage when coming before you after the active part of the attack has subsided are to be treated in a very similar manner. You cannot remove or diminish the pressure of the clot by depletion counterirritation or antiphlogistic measures; and by lowering the patient you only weaken his reparative powers. When seen early and there are signs of a determination of blood to the head you may in some cases possibly diminish the amount of extravasation bv general or local bleeding and revulsives to the extremities. If the case be seen after this has passed though comparative inaction on your part is harder to practise in the presence of a threatening disease than what may appear to the friends more vigorous measures this is in the majority of cases the more philosophical and the safer treatment. You have seen the benefit of rest and galvanism in the case of Antill: this is fortunately an example of which you will meet with many instances; though in others of greater severity the paralysis of the arm may be more permanent than it has been in his case.In cases of softening from obstruction of the artery your treatment may also be guided in part by the state of the circulation. You cannot North Face Outlet Store reopen the obstructed vessel; and the North Face Coat compensating hyperemia in the adjacent parts is in a measure only in accordance with a natural andwell known physiological process. It is however within your province to see that this does not overstep salutary limits. I need hardly tell you that venesection in the initial stages of the attack is likely to prove positively injurious. If Oakley Canada however you observe signs of subsequent excessire determination you may control this by cold or occasionally by topical bleeding and counterirritation by which means you may endeavour to limit the excessive dilatation of the vessels by acting on the peripheral extremities of the spinal nerves. Moderate purgation is also admissible in such cases. I believe that no good is effected by the use of mercurials; but the other indications for rest and nutritious food are called for in this as in the other affections of which I have spoken.THE CLOSING OF BLEEDING BLOODVESSELS BY ARTERIAL FORCEPS.By WILLIAM TAYLOR M.D Edinburgh.MYattention has been directed to an article in the BRITISHMEDICALJOURNAIentitled North Face Clearance A New Method of closing Bleeding Bloodvessels by Moveable Forceps. By Thomas