The Canal Zone Medical Association

world. I myself have treated such cases for hyperacidity, intestinal indigestion, neurasthenia, anemia, or whatever other symptom or symptoms might be most prominent, without giving any relief to speak of until the correct diagnosis was established, and I have no doubt that others may have done the same. It is well known to you that disturbances of digestion, due to inability properly to assimilate the carbohydrates, form in Panama and the Canal Zone a very large part of the out-patient service and no inconsiderable proportion of the hospital cases as well. The symptomatology of many cases of chronic intestinal amebiasis is practically the same as in the group just mentioned, as is the daily diet also. Loss of weight and alternating sequences of diarrhoea and constipation belong in no