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With each firm's detail men out working It was hoped, however, that the physioian the doctor, every one naturally made some in the interest of certainty and inniformity demand for their goods, and if there is any of composition; and to discourage secrecy of one who could attest this, it was the phar. composition and self-medication; also to mucist who suffered the brunt of it-for each lessen the cost of medicines to his patients time he received a prescription, be bad a new and to encourage legitimate pbarmacy, would preparation specified; or if not new, then one docept the National Formulary as his guide of the six kinds already in stock by other in prescribing the class of remedial prepara. manufacturers—this time 1.70 gr. stryobpine tions for which it dictates formulae. in a teaspoonful, instead of 1-50, 1.60, 1-80, The reception of the first National Formu. 1-90, 1-100 or 1.120-contained in those on lary met with fairly good sucoess on the part band.
of the American physicians generally. About the middle of the eighties the drug. The second edition was likewise well engists of New York and Brooklyn joined in couraged. the work of interesting the pbysicians of their Tonight I have great pleasure in presentparticular locality in the scheme of devising ing to this distinguished audience of physi. a standard formulary for unofficial prepara- cians the claims of the third edition of the tions of the so-called elegant or palatable new National Formulary, just issued. What kind
success this new book will meet with depends The project was well received hy the local largely on you, gentlemen. All depends upon medical profession, and the outcome was whetber you will accept it or pass it by. the publication of the New York and I think I am safe in predicting that you Brooklyn Formulary. It was only a little will acoept it and make it a success; but I manual, and was restrioted to that class of also realize that you are from "Missouri.” reniedies mostly used in their localities. Well, gentlemen, I have been sent here to ,
It proved such a suocess there that in a show you. short time it was noised abroad, and the Without muoh further ceremony, and not whole country seemed to awaken and take up wisbing to infliot myself upon you for any the project of a scheme which might afford longer time with preliminary talk I will pro. all similar relief. It was not long before ceed at once to my part of the programme. the Brooklyn and New York people, en. The oommittee of the National Formulary couraged by their own successes advocated a of the American Pharmaceutical Associa. National Formulary through the American tion-third edition: Pharmaceutical Association and offered the C. Lewis Diebl, chairman, Louisville, Ky. said association their work as a nucleus for a C. S. N. Hallberg, Chicago, Ill. more extensive formulary. This tender was Chas. Caspari, Jr., Baltimore, Md. acoepted at the Pittsburg meeting in 1885, Wilbur L. Scoville, Boston, Mass. and a suitable committee was appointed to Wm. C. Alpers, New York, N. Y. construct a National Formulary. .
A. B. Stevens, Ann Arbor, Mich. At no time was it the aim of this committee C. A. Rapelye, Hartford, Conn. to imitate proprietary fads and nostrums then H. P. Hynson, Baltimore, Md. extant and largely prescribed, but recognizing F. W. Meissner, Jr., La Porte, Ind. that the resources of the medical profession Louis Efmanuel, Pittsburg, Pa. for standard remedies could not be restricted E. G. Eberle, Dallas, Tex. to those in the pharmacopeia, tbey kept in Edw. Rauber, Milwaukee, Wis. mind the need of offering the physician, first Wm. Mittelbach, Boonville, Mo. of all uniform and rational combinations; Geo. C. Diekmann, New York, N. Y. and secondly, elegant and palatable prepara. Francis Hemm, St. Louis, Mo. tions, whenever such was consistent with effi. сасу.
A. Scope of the third edition : In such instances, however, where efficaoy would have been sacrificed for mere elegance
CLASSES OF PREPARATIONS. of appearance or palatability, the forinula 1. Aceta.
26. Misturae. was constructed to maintain therapeutio 2. Acida.
27. Mucilagines. effect. .
28. Olea Infusa. It was therefore not expected that these 4. Balsama. 29. Oleata. perparations would replace (at least not read 5. Chemicalia. 30. Oleosacobara. ily) with the laity the much advertised fancy 6. Cerata.
31. Olea Medicata. fakes and nostrums of ridiculous and absurd 7. Collodia. 32. Oxymelita. combinations, and of which may were only 8. Cordialia. 33. Petrolata Saponata. pleasant tiokles, and devoid of any medicinal 9. Decoota. 34. Pilulae. value.
11. Emplastra. 36. Pulveres Efferves. and nervines too numreous to mention here,
but worthy of careful perusal.
Pulveres Efferves. 9. Emulsions:
centes Granulati. 1. Codliver oil emulsions, 47 et seq.
a. acacia; b. egg; c. Irish mots; dex.
trin, excipients, with seven different
flavors to select from, viz. : a. win.
tergreen; b. wintergreen and sassa.
fras; c. orange; d. wintergreen, bitter
almond and coriander; e. wintergreen,
sassafras and bitter almond; f. winter-
green and bitter almond; g. orange
tower, bitter almond and oloves. Com.
binations: phosphates, lactophos-
phates, lime and soda, extract malt;
wild cherry, phosphatic.
3. Emulsum olei ricini, 52.
4. Emulsum olei terebinthinae fortior, 52.
10. Essentia pepsini.
11. Fluid extractum rhamni pursbianae alka-
12. Dr. Unna's glycerogelatins, 91.
13. Gossypium stypticum, 72.
14. Iodoformum aromatisatum, 73.
15. Kumyss, 73.
16. Liquor aluminii acetatis, 77.
17. Liquor antisepticus alkalinus, 79.
18. Liquor auri et arseni bromidi, 79.
19. Liquor carmini, 81.
20. Battery Auids, 82, 83.
21. Liquor ferri albuminati, 84.
hypophosphitum compositus, 90.
morphinae hypodermicus, 92.
26. phosphatum acidus, 94.
picis alkalinus, 95.
" seriparus, 97.
32. 1, Lotio plumbi et opii, 103.
dicae composita, 107.
36. 3, Mistura contra diarrhoeam, 108.
4, Mistura copaibae, 109.
(Lassar, Unna and others).
38. 1, Pills, 120-128.
a. P. anticatarrhalis, 132.
b. P. antisepticus, 133.
c. Pepsini compositus, 16.
d. Artificial mineral water salts,
1, Syrupus bromidorum, 151.
soience, as well as for other important reasons, calcii et sodii hypophosphitum, we would respectfully urge physicians to em152.
ploy on their prescriptions the latin names calcii iodidi.
for National Formulary preparations. eriodictyi aromatious, 156. Even though some are lengthy, it will be ferri sacoharati solubilis, 160. preferable to abbreviate than to use the Enhydrochlorophospbatum, 161. glish titles, and besides no doctor ought to
(Syrup phosphates with shy when he meets complex names; his ana
quinine and strychnine). tomical terms ought to make all others look Dover's powder, 162.
tame to him,
THE PRESCRIBING OF PROPRIETARY quinidine.
REMEDIES. 1, Warburg's tincture, with and without aloes, 174, 175.
J. C. FALK, PH, G., M. D. 2, Tinct. cresoli saponata, 177. 3, Tinct. viburni opuli composita, 187.
ST. LOUIS 1, Salve mulls, 189.
The proprietary medioine and nostrum 2, Ung. resorcini compositum, 191. question is a polyhedral problem, and may be 43. Vinum carnis et ferri, 193.
discussed endlessly without solving its intri" cooae aromaticum, 194.
oacies, but the agitation now going on serves " pepsini, 195.
a good purpose in educating the mass of the " picis, 195.
medical profession to a point where they will List of National Formulary III prepara lessen the number of this enigma. tions on exbibition tonight:
While a large number of pbysicians do pre1. Elixir aromatic, white and red.
scribe intelligently-hence ethically-the anisi.
greater proportion unfortunately have rather cinchona, calisaya,
vague ideas as to where they ought to place chinchona detannatum.
the limit, and go far beyond the border of digestivum, compositum,
professional self-respect in prescribing nosferri pyrophosphatis, quininae et frums of whose composition they are ignorstroyhninae.
ant. gentianae glycerinatum.
The enormous number of proprietary reme. glycerophosphatum.
dies now on the market is undoubtedly due potassium bromide.
to the fact that the manufacturers find this a terpin-hydrate.
profitable field for commercial ventures. Of 11. rubi compositum.
course there are many failures marking the potass. acet, et junip.
way of these enterprises, but a disappoint. 13. buchu comp.
ment in one instance in not making a lot of lithii citratis.
money through the help of our profession acidi salicylici.
only spurs them on to renewed effort in an16. " taraxaci compositum.
other direction. Emulsion codliver oil, acacia.
When the manufacturer has decided to try 18. codliver oil, phosphatio.
his luck on some preparation he has con" petrolei.
cocted he gives it a fanciful name, gets it castor oil.
copyrighted and and then hunts up his nonturpentine stronger.
salaried salesmen-the physicians—those 22. Ess. pepsin.
willing workers without whose efforts the 23. Liq. antiseptious alkalinus.
proprietary maker would soon be out of busi24. Liq. ferri peptopati cum mangano.
ness. 25. Mistura chlorali et potassii bromidi com. To get the dootors lined up for his purpose posita.
he employs a few well paid agents, engages 26. Pulvis antisepticus.
some costly pages in the advertising space of 27. Syr. bromidorum.
the friendly medical journals and buys a lot 28. Syr. eriodiotyi aromaticus.
of postage stamps to distribute bis ciroular 29. Syr. ferri saccharati solubilis.
letters. With these forces playing upon the 30. Syr phosphates compound.
doctors it is usually not long until he has a 31. Syr. strobi compositūs.
large army of prescribers striving with all 32. Tinct. viburnuin compound.
their might to pay bis advertising bills and
pile up a big fortune, upon whiob he can live Concluding Remarks.- In the interest o with ease while they struggle along as best
they can. Literally "they work while he that it is not in the province of a medical sleeps.”
school to make its students adepts prior to The average physician is easily led into graduation. the prescribing of proprietaries by the argu True enough, but the young physician has ments of the manufacturer, because he has a right to expect a foundation of instruction much of the inherent human trait of believ. in that direction that is a little more pracing wbat be sees in print, and accepting as tical than is generally the case. And he also truth what is told him concerning the proper. ought to be fortified by a consistent example ties of medioines. This fundamental weak on the part of his teachers-a deficienoy that ness of all civilized people-cultivated as is glaring only too often. well as ignorant-medical men share equally In the last year at school more time ought with the lay public.
to be devoted to the teaobing of this import. This innate tendency on the part of physi. ant practical subject. And the instructors cians could be materially controlled if they should inform themselves more thorougbly in had a better knowledge of legitimate materia the matter of prescription writing so that medica; if they thoroughly understood tbe they may be better able to instruct their physiological action of the important known pupils. Our medical teachers in many indrugs and chemicals, and if they had a stanoes show an inexcusable ignorance of the reasonable comprehension of pbarmaceutical United States Pharmacopeia, and as to the compatibility and the allied subject prescrip. National Formulary that work may as well be tion writing.
a volume in Sanskrit so far as their familiar. We find that the physician is not trained ity with its contents is concerned. with the view of being able to withstand a What can be expected of a medical grad. negative pressure from withio and the posi. uate whose instructors do not know the differ. tive force from without; negative within, be- once between the United States Pbarmacopeia cause of his consciousress of the fact that he and the United States Dispensatory, and are is unable to combine prescriptions with ther. unable to comprehend the points of dissimi. apeutic and pharmaceutic accuracy and posi. larity between an authoritative pharmacopeia tive force without by reason of bis inability and commenting dispensatory? to resist the arguments of the trained manu. I will venture to say that one-half of the facturer when he points out the claimed ad. professors and other instructors in the medi. vantages of bis particular nostrum.
cal colleges of the United States today could Now, we we are getting to the primary not intelligently describe the subjeot matter source of the difficulty.
of either of the above mentioned works. And The medical college does not give its grad. it is a self-evident fact that without a clear uate a sufficient working knowledge of pre. conception of what these books are and conscription writing. When the young doctor tain, no one can comprebend or teach ethical leaves school to enter active practice he is at and legitimate presoription writing. a loss as how to write, at tbe spur of the mo. In view of the known fact that we cannot ment, and in the presence of a suspicions pa- prevent the commercial instinct of the manu. tient, an order for the medicines that he may facturing pharmacist from attempting, with have in mind as meeting the indications. In all his resources, to accumulate wealth, and the bazy whirl of his excited brain there to accomplish this purpose in a manner that stands out in the midst of a conglomerate of experience has shown him to be most success. remedies the name of the most recently ex. ful, tbat is, through the medium of the medi. ploited proprietary, which he remembers the cal prescriber, what can we do to minimize agent assured him was the best thing in the this admitted evil? therapeutic universe for just such a case. In answer I should say: teach the teachAnd down goes the name on the prescription ers, that they in turn may train the coming blank with a sigh of relief that will hardly generation of prescribers. The older nos. be echoed by the patient.
trum prescribers are firmly fixed in their This experience, repeated daily, leads bim habits and will in most instances have to into the babit-easily acquired, but difficult be allowed to dose their patients with propri. to shake off- of writing for ready-made mix. etaries to their mutual graves. But with the tures and newly launched remedies.
younger and coming physicians sometbing In defence of the medical college it may be can be accomplished in the way of guiding argued that the demands of modern medical their steps in a correct line, and we must plan education are so severe that there is not suffi. for them. cient time to devote to the acquirement of the At every possible opportunity (for instance technique of prescription writing.
occasions like this evening's meeting) let us And it might be further claimed that this remind the medical teachers of the duty they ability must be gained in actual practice- owe to their pupils, the profession--and ul.
WALDEMAR FISCHER. Ophthalmology.
timately to the general public-in that they should so familiarize themselves with the legitimate materials of medicine that they may, by force of example, always lead their Issued Tenth and Twenty-Fifth of Every Month. followers in the proper direction.
THOMAS A. HOPKINS, Every lecturer in a medical school should
Managing Editor. own a copy of the last revision of the United
Editorial Starr : States Pharmacopeia and a copy of the Na
0. E. LADEMANN, Internal Modicine. tional Formulary, ought to thoroughly ac. JOHN MCHALE DEAN, Surgery.
F. P. NORBURY, Nervous and Mental Diseases. quaint himself with the important features of
R. B. H. GRADWOHL, Pathology and Bacteriolory. each of these books, and then frequently re.
W. H. VOGT, Obstetrics and Gynecology. fer to them in the course of his leotures. By
A. LEVY, Pediatrics.
W. T. HIRSCHI, Therapeutics. these oft-repeated reminders the young doc
A. F. KOETTER, Otology, tors will be lead into the habit of looking
HERMAN STOLTE, Laryngology and Rhinology.
T. A. HOPKINS, Genito-Urinary Diseases. to these two very desirable sources for pres. ROBERT H. DAVIS, Dermatology. criptions, and this routine practice inouloa.
Editorial Rooms, Suite 319-321 Century Building, St. Louis. ted early in their professional lives will leave lasting and valuable impressions. Thus they will be in a positiou to meet the
EDITORIAL nostrum vendors' specious arguments with some degree of self-confidence. We must not let those physicians who hav.
hoo. It is a happy oustom that makes the year's ing no medical college affiliations think they end and beginning a season of greetings and can bide themselves in their obscurity and go
expressions of good on prescribing in their own reokless way
wishes; in the intimacy
The Season's without censure. They also have a duty to Greetings.
of the family, between perform and owe it to their profession that
friends, and even bethey do not by word or example render the
tween strangers, the ex. way of the reform now under progress any
change of felicitations result in a confortable more difficult. They should look to them.
uplift. It is a form of giving which surely selves carefully, and see if they cannot pre
blesses both him that gives and him that rescribe rationally, as becomes scientific men,
ceives. As has been our custom for years who recognizing a definite pathologioal le
past we most heartily wish our readers each sion, meet the condition with a definite and
and all a Merry Christmas and a Happy known therapeutic measure; a remedy whose
New Year. May your new year be tbe best composition they know.
year, just as every year should be. If you If then they obtain favorable results they
will look for it with a sufficient degree of have a scientifio basis on which to plan sub.
earnestness, happiness and prosperity in all sequent treatment in similar conditions. The
your goings to and fro will be a matter of physician who is constantly vacillating from
daily experience. You may not have noticed one nostrum to another, knowing nothing of
it but people find pretty much what they are their composition, having no data bearing
bent on finding in this world, and he who upon their physiological action, and being in
enters 1907 with “a chip on bis shoulder," the dark as to their therapeutic value is illy
and bitterness in his heart, will surely find a adapted for a pattern for the young practi.
lot of unpleasant people and many unhappy tioner who should have placed before him
experiences before the year ends. The real ideals of a profession whose modern aim and
lesson of the life of Christ, whose birthday goal is exaot scientifio metbods.
the world celebrates at this time, has insepar. In closing, let me summarize my sugges
ably woven into it a deal of cheerfulness, tions: Let all physicians, especially medical
helpfulness and good will; these are features teachers, familiarize themselves with the
of the real Christian life; we have no purpose United States Pharmacopeia and the National
to deliver a sermon, but we can wish for the Formulary, and restriot their prescribing as
readers of our journal no better things for near as practicable to the preparations em.
1907 than a full realization of the spifit of bodied in those two books.
Christmas throughout the year. 2701 Stoddard street.
The appearance of pus in the breast of a woman who is not, or has not recently been nursing, is suspicious of some unusual form of infection, e. g., tuberou losis.
THE FORTNIGHTLY INDEX.-A glance at the annual index inclosed with this issue will give our readers a fair conception of our work during the past twelve months.