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suggestion by adding one-twentieth of a grain of strych-
nia in combination with five grains of quinine every four
hours. Doctor Killeni rubbed his hands together as an
evidence of delight, and exclaimed : " The very treatment
needed ! With morphine, hot baths and lithia, strychnia
and quinine, our patient must recover. But I will not
detain you further, gentlemen ! Let us fix the consulta-
tion of to-morrow at four o'clock. Is it agreed ? " Pro-
fessors Billem and Pillem nodded an affirmative to this
proposition and retired. It was noticeable, however,
that they were out of humor over their disagreement ;
nevertheless, a diagnosis had been made; and what is
disease without a diagnosis ?
" So this a modern consultation ? " mused Athothis.
" Verily the skill of these men surprises me, and their
method of arriving at a conclusion is most extraordinary.
If medicine is truly a science, as claimed by writers of
the present day, one should carefully consider the facts
of a given case ; then study the principles based on these
facts. In this, as well as in every other patient, a disease
can only be determined by a minute examination of the
symptoms. Without a true insight as to the significance
of morbid signs, no physician can make an accurate
diagnosis. This keen perception can not be obtained
from books alone, but usually follows observation founded
on long experience."
" But these doctors, no doubt, investigated the case
before we arrived," remarked Paulus Androcydes.
" Know that modern practitioners always carefully exam-
ine a patient's tongue and pulse, make numerous queries
as to the condition of the secretions and morbid sensa-
tions, and likewise carefully auscultate and percuss. In
addition, when indicated, they use the microscope, sphyg-