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Symptoms. - The most prominent symptoms are pain, tenderness on pressure over the stomach, vomiting after eating, and the escape of blood with the vomited matters. The pain is usually of a gnawing or burning character, beginning very soon after food has been taken into the stomach, and continuing until the food has escaped from this organ, either into the intestine, or has been ejected by vomiting. The pain then usually ceases, to begin again so soon as more food is taken into the stomach. Sometimes pain is felt not only in the region of the stomach, but also in the back, between the shoulders. Vomiting is a quite constant symptom, occurring a short time after food has been taken. The act of vomiting is not usually pre ceded by much nausea, but is followed by marked relief from the pain. The vomited matter usually contains some 'blood, and at times a quanty of bright red blood may be ejected with the food ; indeed, alarming, and even fatal, hemorrhage has been known to occur immediately after food has been taken into the stomach. This symptom - the vomiting of blood very soon after food has been swallowed - is especially characteristic of this affection. It will be noticed, too, that the vomiting and the quantity of blood ejected vary considerably with the kind and quantity of food taken. Indigestible and highly-seasoned articles are more likely to provoke the stomach to vomiti'ng and to cause the appearance of blood than bland substances, which are easy of digestion. Hot food, too, is not so well borne as cold articles. Sometimes it happen that, although but little blood is present in the vomited matters, a considerable quantity may be passed with the stools. In this case the blood is black and tar-like, so that the nature of the substance may not be suspected. Cause.-There are two or three varieties of ulcer of the stomach, which may be traced to different causes. It is not neces sary to explain the somewhat complicated processes by which ulcers are formed in the stomach. It may suffice to say, that the disease occurs most frequently in women, especially in those of feeble constitutions ; an especially large number of cases have been noted among young female servants. Ulcer of the stomach may ultimately recover; in fact this termination is believed to occur in a large majority of cases. On the other hand the disease may prove fatal in any one of several ways: death may occur from profuse hemorrhage; or from per foration of the coats of the stomach, causing peritonitis ; or the patient's strength may be ultimately exhausted, because he is unable to retain sufficient food upon the stomach to nourish his body ; in this case he dies therefore of starvation. The duration of the disease is very uncertain. Death may take place from hemorrhage, or from perforation, within a few weeks after the commencement of the ulcer ; on the other hand, if these accidents do not occur, the disease may last for many months or even years. Flint reports a case in which an ulcer existed for thirty-five years, and instances of shorter duration than this are not uncommon. In some cases recovery occurs either spontaneously or under treat ment ; in others the symptoms disappear for a time, but subse quently return. Treatment.-The most important object of treatment is to give the stomach as much repose as possible. This object can be secured, if at all, by the regulation of the diet. It is important, of course, that the patient be properly nourished, while at the same time all unnecessary irritation of the stomach is to be avoided. For this purpose the bland and sole articles of food, liquid when possi ble, are to be employed - milk, eggs, arrow root, jellies, etc.; and if necessary, the patient can live for a considerable time on milk or ]^Mpto. Solid and indigestible food, meat, sugar, spices, alcoholic stimulants, should be avoided. In this disease it will be found advantageous to administer food in small quantities at short inter vals ; for in this way there will be less probability of provoking vomiting. Yet cases are found which obstinately resist all attempts to secure repose for the stomach ; the blandest articles of food, even cold water itself, provoke vomiting and pain ; in such cases there is still a resort which has been successfully employed in many instances otherwise unmanageable : The patient can be nourished entirely for weeks or months by the injection of food into the rectum, noth ing whatever being taken into the stomach, and only small pieces of ice being held in the mouth. In such cases there is apt to come a time when the rectum becomes so irritable as to eject all food. In these cases the patient must of course be nourished again through the stomach, and it will be found that after a rest of a month or two the stomach has become far less irritable than before, so that the patient can now be sustained by a careful diet without provoking pain or vomiting. An instance of this sort is quoted by Prof. Flint, as follows: The patient was a female, age 26. She appeared to vomit everything taken, a few moments after eating ; circumscribed tenderness existed over the stomach ; she was ema ciated, feeble, and had been confined to the bed for three months ; purulent matter (pus) was ejected from the stomach with the food, and sometimes by itself. Severe pains were referred to the region of the stomach. Remedies, as well as food, being quickly vomited, Dr. Pierce proposed to her to submit for a month to entire absti nence as regards food by the stomach, and to try the plan of taking nourishment by injections into the rectum, to which she assented. A half pint of good lamb or mutton broth was injected every three hours. For the first week she took by the mouth, several times a day, a tenspoonful of gum arabic or pure water, but after the first week this was discontinued. The skin over the stomach was blis tered and the surface sprinkled with morphine. During the first week vomiting of pus occurred several times daily, but during the three following weeks it was diminished, and she was in all respects more comfortable. It was resolved to continue the plan for an other month. The vomiting of pus occurred during this month only occasionally, and the improvement continued. It was agreed to continue the plan for still another month. The improvement still progressed rapidly, and by the middle of the month all evi dence of stomach disease had disappeared. She began, before the month ended, to take a little water and mucilage. She had gained in flesh and strength during this plan of treatment. On returning to the introduction of food by the stomach, the symptoms did not return, and two years afterward the patient was in the enjoyment of excellent health. In order to arrest hemorrhage, small pieces of ice may be swallowed, and lumps of ice wrapped in cloth may be applied over the stomach. If the bleeding still continues, twenty grains of tannin, or half a teaspoonful of the tincture of ergot, may be given ; yet little reliance can be placed upon these measures, since vomit ing usually occurs when the blood escapes into the stomach. To relieve pain, opium in some form should be used, the best form being the hypodermic injection of morphine, beginning with one-eighth of a grain in ten drops of water. 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