. Les maladies de l'enfance : services médicaux et chirurgicaux ain. isfrequently trouvés de grande taille, theconvolutions bien marqué, la sous-position assez fermes ; ces cerveaux à aresaid theneuroglia contiennent un excès d'éléments. Le foie andspleen sont habituellement grande et ferme,et l'ancien sur l'article a un gommeux ou plus ou moins translucentappearance. Concernant le sang mais peu d'observations ont été formulées.Dr. Goodhart a observé dans certains de ses dossiers une carence en globules rouges, en carence de certains colorants, dans certains le sang rempli de détritus, agranulaires et dans d'autres les globules rouges étaient de

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. The diseases of children : medical and surgical. ain isfrequently found of large size, theconvolutions well marked, the sub-stance fairly firm ; such brains aresaid to contain an excess of theneuroglia elements. The liver andspleen are usually enlarged and firm, and the former on section has a gummy or more or less translucentappearance. Concerning the blood but few observations have been made.Dr. Goodhart has observed in some of his cases a deficiency of corpuscles, in some deficiency of colouring matters, in some the blood crowded with agranular detritus, and in others the corpuscles were of four or five differentsizes. The most recent examinations of the blood in rickets have been made byFelsenthal, who examined the blood in twelve cases of rickets, varying in agefrom six months to two years. He found the number of red blood corpusclesnearly normal, but the haemoglobin diminished (40 to 50 per cent.—Fleischel), the number of white corpuscles was increased two to five times. In severecases some of the red corpuscles were nucleated.. ^ig- -as-—Transverse section through the Shaftof the Ulna from a Rickety Child of thirteenrnonths. x lo. (Kassowitz.) Showing spongytissue beneath the periosteum instead of thecompact tissue of normal bone. Rickets 207 Treaii)ie7it.— i xci&.s is due to the mal-assimilation of the products ofdigestion or to faulty digestive processes, we can hardly hope to discoverany specific for its cure, but must direct all our efforts to secure that suit-able nourishment in appropriate quantities is taken, and that the digestiveapparatus shall be in good working order. Directly the first symptomsmake their appearance, whether they are tenderness of the bones, sweatingabout the head, or enlarged epiphyses, spongy gums, hematuria, we shouldcarefully inquire into the diet, as it is probable that the child is either notdigesting its food properly, or it is not being properly fed. The condition ofthe digestive organs and the state of the blood a

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