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Myofascitis is a common condition due to a low-grade inflammation of the muscles and fasciae. Focal infection is the basic cause with trauma frequently acting as the exciting or aggravating factor. The differential diagnosis is difficult as myofascitis simulates or complicates a wide variety of conditions. Treatment consists of improving the hygiene of the patient and elimination of toxicity by a combination of methods; removal of the source of cause of toxicity, local massage, colonic lavage, stimulating the growth of bacilli acidophilus in the intestinal tract and attention to diet. Local mechanical treatment is also applied when necessary.

A case is reported of a typhoid fever carrier with typhoid periostitis and bone abscess having positive cultures from the abscess, the bladder urine, the blood and the bile, which was completely cleared by bacteriophage administered locally and intravenously.

The unusually satisfactory results enumerated in detail in this communication are of particular gratification and interest to me in that they illustrate the dependability of the principles of both physiology and biology when applied to surgical procedure. The plan of the above treatment was arrived at by me from extensive experience in reconstructive surgery where at the operating table over a period of thirty-five years, I have repeatedly proved that the essential requirement of all reconstructive work is to make way for the provision of an adequate blood supply. I have often made the statement that new bone formation is no more likely to occur than a masonry wall without brick and mortar with which to build it, no matter how skillful the mason may be. It was my theoretical deduction that if we could bring an adequate blood supply from the center of the bone, through the cortex, directly to the base of the ulcer, by every physiological and biological principle the ulcer should promptly heal. This has been proved as definitely as it has been proved that when an adequate blood supply is brought to a bone graft, it will survive and thrive.