SEND postal to F. Stearns & Co., Detroit, Mich., for thorough treatise of 61 pages on Wine of Cod Liver Oil with Peptonate of Iron.

IT WILL pay you to see J. S. Tyree's advertisement in this issue.

DR. I. S. WEYARD, writing to the Abbott Alkaloidal Co., says:

It affords me great pleasure to express myself as having most satisfactory results from the use of the alkaloidal granules of your manufacture. I find my patients come back to me for medicine when necessary, instead of going again and again to the drug store with a prescription number to be refilled. It is a great convenience to carry such a variety of pleasant remedies in so small a package as a pocket case.

I read the "Alkaloidal Clinic" with both pleasure and profit to myself and know my patients are greatly benefitted thereby.

MELLIN'S FOOD has taken high honors at public expositions.

FOR Passiflora Incarnata, the new nerve sedative, address John B. Daniel, wholesale druggist, 34 Wall street, Atlanta, Ga.

SEND to Ruckersfeldt & Co., pharmacists, St. Louis, for sample of the new local pain reliever, CamphoLyptus.

SEND to I. Phillips, 693 Whitehall street, Atlanta, Ga., for cut rates in first class surgical instruments.

You want a set of "ball-bearing" wheels for your carriage. See advertisement of The Ball bearing Co, 33 India Wharf, Boston, Mass., this issue.

SMALL THINGS IN MEDICINE.

A physician's popularity with the people often depends more upon his knowledge of little things than his ability to meet the great calamities of life. It occasions no loss of dignity, and often pleases your lady patient if you can suggest to her that frequent anointments with oil will prevent wrinkling and keep the skin soft and healthy.

Every physician should know that for tired, aching feet there is no speedier relief than a good foot-bath

and a change of shoes and stockings. When your patient complains of painful corns, you can usually relieve them, and often remove the corn, by having them bathe the foot with hot water and soap and cover the corn with absorbent cotton. Keep it thus protected until the callous is removed. Suggest a little sugar for the baby's hiccough, and the mother will credit you with more knowledge than you claim. To be well acquainted with the various uses of hot water is indispensable to the specialist or general practitioner. It is just as creditable to relieve a neuralgia cr a headache by applications of hot water as by the use of a narcotic or sedative. Hot water will often give speedier results in coryza, sore throat, or an inflamed eye, than the best remedies of our materia medica.

One of the things which it is essential for the successful physician to know, and know well, is human nature. Some people are best treated when they are most humored, but to distinguish these individuals from those who must be scolded and threatened requires accurate perception of human nature.-Kansas Medical Journal.

WE HAVE had perfect satisfaction with the pocket cases made by the Western Leather Manufacturing Co., 137 Rees street, Chicago. See their advertisement.

IN THE treatment of urethritis, try the medicated bougies made by Dr. Charles L. Mitchell, 1016 Cherry street, Philadelphia.

FOR Nuclein Solution, made from yeast, according to Vaughan's method, tend to Park, Davis & Co., Detroit, Mich.

FOR the morphine habit try Avena Sativa, made by B. Keith & Co., 75 William street, New York, N. Y. TRY the Detroit Granule Company, Detroit, Mich., for dosimetric granules.

For Elixir Six Iodides, address Walker-Green Pharmacal Co., Kansas City, Mo.

FOR bilious disorders use Chionia, made by the Peacock Chemical Co., St. Louis.

We have often wondered why physicians do not use bicycles more than they do in their daily practice. Bicycles are faster, cheaper and more convenient than horses, and you get good, wholesome exercise while attending to your regular duties. The makers of one of the most noted bicycles-the Sterling-have decided to place their wheels specially before the profession. See another page of this issue.

Are you interested in the subject matter of Dr. Mitchell's full-page advertisement in this issue? If so, accept the special offer there made. If not, you are certainly interested in the subject of rectal suppositories. The Doctor has something new in that line, and while his advertisements of same are not yet ready, he gives us permission to say that he will send a sample free to our readers, upon request.

THE LANGUAGES OF SCIENCE.

The English, the German and the French are the languages of science. This fact should be recognized by those who are entrusted with the education of youths desirous of entering the medical profession. It is much wiser to spend two years in a pre-medical course based upon the future intentions of a boy than to adhere blindly to the dictum, that only classical education can fit the mind for the study of a profession. Now that all reputable schools of medicine will shortly require four courses of lectures, the necessity of abridging the pre-medical course is strongly (Continued on next leaf.)

More

Brandt, of Europe, and by Baruch, in America, enjoys the distinction of reducing the mortality to less than two per cent. in a very large number of cases. than that, it renders the patient comfortable, reducing the great distress of the illness, prevents delirium and other evidences of poisoning of the nervous system, and in most cases shortens the course of the disease. It acts, not as an antipyretic, but as a tonic and stimulant to the nervous system, stimulating all the vital organs to their normal activity, thus enabling them to overcome the disease germs and to eliminate their toxines as fast as formed. When accompanied with systematic colon-flushing, this constitutes a most excellent treatment of this disease. At the recent meeting of the American Medical Association, the genial and talented Dr. Albert H. Burr, of 2036 Indiana avenue, Chicago, read a paper and exhibited a most ingenious apparatus, invented by himself, by means of which the baths can be administered with great ease and comfort, without moving the patient from the place he occupies in bed, and with very little trouble to the attendant. The Doctor magnanimously refrained from taking out a patent upon the apparatus, donating it to the profession and through them to humanity. Any manufacturer has the right to make it; consequently it can be procured very cheaply. A physician mechanically inclined might make it for himself. It can be conveniently carried from place to place in the buggy.

I.-Elimination. Typhoid fever has been quite successfully treated upon this. principle by the continuous administration of the mildest laxatives, to keep the bowels

moderately loose and requiring the patient to drink enormous quantities of cold water. III. Intestinal antisepsis. This has been regarded as the ideal treatment-the ultimate desideratum-but the difficulty has been in finding a drug or combination of drug fulfilling the required conditions. Calomel, sulpho-carbolate of zinc, and the antiseptic camphoraceous oils seem, at least, to meet the requirements. Dr. J. E. Woodbridge, of Youngstown, O., has had remarkable success, as before published in this journal, with the following formulas: Begin the treatment with

One or more doses every hour or two should be given with No. I as frequently and in as large doses as possible without producing too much laxative effect, and as long as necessary if no symptoms of ptyalism (a wholly unnecessary complication) appear, in which event they must be discontinued promptly, for a day or two, and if necessary chlorate of soda or potash given, returning as soon as possible to formulas Nos. 1 and 2. The object is to give these remedies as freely as possible at first, and then so gradually reduce the size and frequency of the doses as to allow the movements of the bowels to become less and less frequent, until, as the temperature approaches normal, the movements shall be reduced to one or two each day. About the fourth or fifth day of treatment begin No. 3 every three hours:

down with large draughts of distilled or sterilized water, or according to indications with some good laxative or diuretic mineral

water.

This treatment begun early and intelligently carried out will, if the remedies are pure, active and properly prepared, abort typhoid fever and a death from the disease will be unknown.

Dr. Woodbridge's treatment has been read before his county and State societies, the Mississippi Valley and the American Medical Associations, has been widely published and is now employed by many physicians throughout the country, with excellent reported results. It is, as may be observed, a combination of the eliminative and the antiseptic methods. The doctor very justly urges that the physician should not wait until an absolute diagnosis is made out before beginning the treatment. It is beneficial in all fever accompanied by intestina sepsis.

Dr. W. L. Dunn, Glade Spring, Va., accomplishes intestinal antisepsis with the well-known excellent antiseptic and nervous sedative, chloral.

Now, in conclusion, may we not urge our readers to give their patients the benefit of these methods combined-free elimination and intestinal antisepsis-and the cold bathing as indicated?

We have a disease located in a portion of the system which the ingenuity of man has rendered quite accessible for purposes of treatment. The digestive tract is regarded by physiologists as being, technically speaking, outside of the body, in the same sense in which the lining of a coat is one of the boundaries of the substances composing the walls of the coat. The mucous membrane of the tract is but the skin covering the body modified to suit the different conditions. Is it not time, then, that we adapt our treatment of diseased conditions of this tract to rational principles? When this is done, the fact of allowing a case to proceed to the full development of a typical picture of typhoid fever-high temperature, brown, fissured tongue, sordes, delirium and death

-will be regarded as an evidence of malpractice, a disgrace to the attending physician.

The Direction of Progress.

The study, investigation and progress in medical science are now and will be in the indefinite future along the following lines:

As to causes of disease: poisoning from without by disease germs and by chemical substances; poisoning from within (autointoxication) by products of our own perverted organic processes, combined with faulty elimination.

As to treatment: protection from exposure, free elimination, antisepsis, restoration and preservation of normal physiological functions.

We have reached the zenith of artificial and unhygienic methods of living. The tendency will now be towards the simplicity of nature, guided by intelligent scientific knowledge.

Having groped upward through the mists of uncertainty to the clearer light, the study of medicine will henceforth become more precise and accurate and more simple an easy. While knowledge is becoming more definite and easier, it will also become mo. and more difficult for the pretender to hide his ignorance.

Treatment of Apparent Death.

Persons apparently dead from drowning, suffocation, anesthesia and other causes, including asphyxia neonatorum, may often be resuscitated when the case seems hopeless. Two methods not generally practiced are: Ist. Forcibly dilating the sphincter ani. 2nd. Rythmical traction upon the tongue. This, the method introduced by Laborde, of France, is the best method of artificial respiration that may be employed. Grasp the tongue with a towel or other suitable article and draw it back and forth rather forcibly, continuing until recovery or the certainty of death is established. Of course, other methods need not be neglected.

Copy must be received on or before the twelfth of the month for publication in the next month. Unused manuscript cannot be returned.

Certainly it is excellent discipline for an author to feel that he must say all he has to say in the fewest possible words, or his reader is sure to skip them; and in the plainest possible words, or his reader will certainly misunderstand them. Generally, also, a downright fact may be told in a plain way; and we want dowright facts at present more than anything else.-RUSKIN.

READ. REFLECT. COMPARE. RECORD.

Notes and Comments.

Editor Medical World:-You ask your readers if they have had ergot poisoning in pneumonia. I had a case of ergotism once in treating hemorrhage after abortion. The flow was not great, but I gave about ten

drops of the fluid extract, in a teaspoonful

of the wine, every 4 hours. In a few days the woman complained of the coldness of her legs, which I found white, cold and apparently nearly lifeless. I stopped the ergot and she soon recovered, but I have since been careful in giving ergot. The flow was not checked much, even when the ergotism was manifest, but after this passed off the hemorrhage promptly ceased, when digitalis was given. It has been my experience on other occasions that ergot would reduce a hemorrhage to a certain point and no further, and that then digitalis would complete the work. In Dr. Wright's case (page 166) the doses were surely large enough if the drug were of good quality (a pretty big "if" with ergot); yet the attack ran its usual course, the hemorrhage continuing for four days. Veratrum antagonizes ergot, as the former relaxes that vascular tension which ergot is given to secure.

In Dr. Hurd's case (page 171), the probability is that the man had pericarditis. The sudden development, the friction sound, the gradual recovery, point this way, while the absence of pressure symptoms, which would not be overlooked by Dr. Hurd, renders aneurism unlikely. I would suggest a course of iodoform for the remaining pain.

Dr. Alway (page 187) describes a peculiar case of periodic bilious vomiting. I would try the laxative granules for this child, giving about five thrice daily, and

She

twice a week a little podophyllin. should also learn to digest fats; eating some little at each meal, and taking pancreatin until she has learned to like the taste of the fat.

For pruritus of the anus and genitals there are two good remedies: creosote and losophan. Wash the parts well with dilute solution of sodium chlorinata and apply one or the other in ointment. Also, regulate the diet so as to get rid of the uricemia causing the pruritus.

Dr. Randall (page 188) should have insisted on a post-mortem on the child. There was an accident and the child dies of pulmonary hemorrhage. He may have had something in his mouth that was driven down into the lungs or stomach. It is impossible to do more than guess at such a

case.

Dr. Sellers' first case (page 189) is one of rather frequent occurrence. The man was overheated and has since suffered frontal headache. Is this a case of post hoc or propter hoc? Frontal headaches are either Examine ocular, nasal or anto-toxemic.

the eyes and fit glasses, examine the nasal tract and remove any abnormality found. Clear out the alimentary tract with a brisk cathartic, give zinc sulfocarbolate (won't The World aid the cause of spelling reform by adopting this?) half a dram daily; and, if improvement follows put him on small doses of podophyllin, with ox gall and pancreatin. But if from none of these comes relief, there is a cerebral or meningeal lesion, for which a course of iodoform and hydriodic acid should be given for some months, with hydrobromic acid whenever the pain is worse. Iodoform, a grain thrice daily for a week, often works as well as mercury as a stimulant of the absorbents.

How even the best things are forgotten in the rush of new thought continually pouring upon us. If Dr. Sellers had read Hilton's admirable work on "Rest and Pain," he would never have asked about his second case. Suppuration about the neck is kept up by the constant movements of the cervical muscles. Wash out the pus cavity with peroxide solution and put a splint on the neck and jaw, holding them immovable for two days, feeding by the

rectum.

Dr. Lever has a case of more than usual interest. Anto-toxemia from reabsorption of the bowel contents, among which has developed the leucomaines that depress tem

perature and circulation and produce insomnia. This is a case for the laxative pills and sulfocarbolate, with full doses of ox-gall and careful feeding. I would take a look at his lungs also, as pneumonia may be latent.

Dr. Le Noir (page 189) asks for the treatment of phlegmasia dolens or phlebitis gravidarum. Does anyone know a better remedy than the application of mercurial ointment to the whole limb, so vividly described by Ellerslie Wallace that not one of his old students has forgotten it? What a gift that man had as a teacher! Great relief may be obtained by mild faradization to the leg.

Dr. Kernodle has possibly a case of cirrhotic Brights (page 189), of hysteria, or of diabetes insipidus. If the former give nitroglycerine; for either of the latter, valerian. I suspect hysteria, as the lady is about old enough for the change of life and exhibits symptoms of mental aberration.

Dr. Lowder asks about iodoform as a remedy for consumption. This drug is one of the most valuable in our repertory. It relieves cough, stimulates the absorbents to carry off waste material and possibly is a germicide. In the non-tubercular form of consumption, in the destructive disease following lobar pneumonia when crisis does not occur, but the lung tissue is necrosed, and in chronic bronchitis of nearly every grade, iodoform is of the greatest_value. At my clinic at the Post-Graduate College we have a number of these cases, in which I have demonstrated the efficiency of this drug. One girl who presented herself with advanced phthisis is especially noteworthy. She had a temperature of 103 degrees in the afternoons, normal in the morning. There were emaciation, night sweats, cough, expectoration of blood and muco-pus, great debility, anorexia, with dullness on percussion at both apices and retraction above and below the clavicles. The signs denoted also a cavity in the right upper lung. She was given cod liver oil and the hypophosphites and one grain of iodoform four times daily, with mild counter irritation to the

chest.

Improvement was soon manifest; she has gained many pounds in weight and her rosy face presents a marked contrast to what she was six months ago. There is still a little cough and no new lung tissue has beer. created, but the improvement has been remarkable to those who place all consumptions under the head of tuberculosis