They may go up the eustachian tube and appear at the external meatus (opening of ear).  The serious migration is into the bile-duct.  There is a specimen in the Wister-Horner Museum of the University of Pennsylvania in which not only the common bile-duct, but also the main branches throughout the liver, are enormously distended, and packed with numerous round worms.  The bowel may be blocked or in rare instances an ulcer may be perforated; even the healthy bowel may be perforated.

Symptoms.—­Picking of the nose, grinding of the teeth, a whitish paleness around the mouth, restless sleep; sometimes convulsions, or presence of worms in the stool.  Bad health, cross, peevish, irritable and dumpy, when the child is naturally the opposite.

Mothers’ remedies.—­l.  Round or Pin Worms, Sage Tea for.—­“Sage tea is a fine remedy for children troubled with worms, taken before breakfast or on going to bed.”  Sage tea may help; I have known other mothers to have faith in it.  Its virtue may consist in being a laxative and an antiseptic which in themselves would add to the general health of the child.

2.  Round and Pin Worms, Tansy remedy for.—­“Tansy leaves may be crushed and put in whisky or dried and crushed with sugar.  This is the best vermifuge I ever used.”  A tea made of tansy leaves must be used carefully as it is strong and never given to pregnant women.

3.  Round and Pin Worms, Peach Leaf Tea for.—­“Half an ounce of dried peach leaves may be infused in a pint of boiling water and a tablespoonful given for a dose three times a day.”  They are laxative and exert a sedative influence over the nervous system.  They have been frequently used for worms with reported success.  An infusion is highly recommended in irritability of the bladder, in sick stomach and in whooping cough.

Physicians’ treatment.—­l.  Dr. Osler, of Oxford, England, recommends as follows:  Santonin in doses of two or three grains for an adult; one or two a day for three or four days, followed by salts or calomel; one-half to one grain for children in the same way.  This seems to me to be unnecessarily large.

[46 Mothers’ remedies]

2.  Dr. Ritter’s Santonin Remedy.—­

I always give it thus: 
Santonin      1/10 grain
Calomel       1/10 grain

Give four a day for two days, then miss two days, then give again for two days and stop.  Salts can be given after this.  I then follow this treatment by giving one drop doses of tincture of cina (Homeopathic preparation) four times a day for one or two weeks.  Before giving any of these remedies it is well to move the bowels freely and also after the medicine has been stopped.

3.  Dr. Douglass of Detroit, Michigan, recommends the following for a child five to ten years old: 

Santonin     12 grains
Calomel       3 grains

Divide into six powders, and give one night and morning while fasting.