When an internal mucous astringent is indicated, in such cases as cholera infantum, etc., Kennedy's dark pinus canadensis should be given in an alkaline medium.

For Sale.--First-class surgical chair and fine improved nebulizer. Both will be sold cheap, if taken at once. Address “ Removed,” care Medical Fortnightly, St. Louis, Mo.

In the treatment of bronchial affections, triacol, Alpers, has proven of great benefit to the medical profession during the past few years. A well known practitioner of the East has said of this preparation: “I have never seen any guaiacol preparation that is so efficient. I am delighted that you have such a fine, palata. ble solution of those guaiacol salts, and I know of no better combination of them than your triacol." Upon application to The Alpers Chemical Company, 4-6 White street, New York, samples and literature will be sent free of charge.

A bit of very sensible literature has just been received from the press of Searle & Hereth Co., treating of the physiological action and the therapeutic use of guaiacol and creosote. These drugs, as is well known, are theoretically admirably adapted to the treatment of tubercular conditions, especially where the bronchial tract is involved and where increased appetite and forced feeding are a desideratum. The trouble has always been that before enough of the creosote and guaiacol could be absorbed to have any marked systemic effect, the digestive functions had become badly deranged. The use of the sulphonates of guaiacol and creosote as in guaiatonic S. & H. has evidently overcome this difficulty to a very great extent, as clinical testimonies prove. In thus furnishing the profession with an improved method of administering guaiacol and creosote, the Searle & Hereth Company certainly deserves great praise.

Pneumonia. -The ill effects of pneumonia which we are so often called to treat, sometimes give cause for alarm. Recently a young man, age twenty, carpenter by trade, applied to us for treatment. Several months previous he recovered from pneumonia. His cough which was very irritating seemed to be constant, and especially was this severe at night. By morning he was usually so much exhausted that he could not attend to his work. The usual remedies gave no relief. Bacteriological examination of the sputum revealed no signs of tuberculosis I put the patient on teaspoonful doses of fitchmul, every two and one-half hours for the first five days ; every three hours thereafter and at the end of twelve days the cough had disappeared entirely, and he was again in good health and normal weight within a few weeks after treatment ceased. Fitchmul combines the active properties of fir balsam, Venice turpentine, chloric ether, and a minute quantity of hydrocyanic acid, tartar emetic and aromatics.-New Albany Med. Herald.

One Moment, Please.—Just at this season, when inflammatory affections of the respiratory organs are so prevalent, it is a matter of much importance to apply methods of treatment that will control the respiratory symptoms without deranging the other functions of the body. Expectorants fail so frequently that they are, to say the least, unreliable; cough syrups derange the stomach and thereby add a complication; respiratory sedatives, of which opium and its derivatives are the most frequently employed, depress the central nervous system and have but a transient palliative effect from which an undesirable reaction nearly always results. How much better it is to hold the respiratory symptoms in abeyance with a remedy which not only is absolutely free from deleterious influences, but has also pronounced constitutional effects, which reinforce its specific action on the respiratory tract. The Gray's glycerine tonic comp. has these influences is accepted by the profession at large because the experience of many years has demonstrated the fact beyond question, A convincing proof is evidenced by the effects of this remedy in the ordinary forms of acute bronchitis or “cold.” Almost immediately do the symptoms of respiratory inflammation become less pronounced when Gray's tonic is administered; cough is lessened. bronchial distress relieved and expectoration facilitated; persistence in the use of this remedy will practically always control these troublesome symptoms and shorten, very materially, the duration of the attack. In chronic bronchitis and "winter cough," Gray's tonic is a well-nigh indispensable ally to successful treatment. Its use palliates the respiratory symptoms and exercises a beneficial influence upon nutrition in general-and this latter effect is a matter of no small importance, so authorities state, in overcoming these chronic and recurrent forms of bronchitis. Because of these effects, the routine administration of Gray's tonic in the acute infectious diseases with respiratory complications, has become a widespread habit. Influenza, pneumonia, typhoid fever are, by means of this practice, rendered less troublesome by the specific action of Gray's tonic on the respiratory tract-the course of the disease is obviously modified and convalescence more speedily established. Twenty years of experience of skilled scientific physicians constitutes the foundation upon which the above statements are based. Their 1 ecognition and application by every physician means much gained in treatment.


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THIS Company sells Five per cent Interest-Bearing Gold Bonds

O for Savings Investment on partial payments of one dollar per week and over.

Also Five per cent Interest-Bearing Gold Coupon Bonds calling for a Cash Investment of $500.00. The Gold Coupon Bonds carry semi-annual five per cent interest coupons.

Both the partial payment Savings Bonds and the Gold Coupon Bonds are ideal forms of investment for physicians and other professional men who, from the nature of their pursuits and profession are in the habit of receiving varying sums of money at uncertain intervals, and which incomes in the absence of a stipulated scheme of investment, is likely to be distributed in a way that secures no profit of any kind to the earner.

Assets .... .............. April 1, 1902 .................. $125,000.00
Assets.................... April 1, 1903............... $ 237,279.39
Assets......... April 1, 1904.... $505,756.97

Assets....... ....July 1, 1905.. $927,332.58 PROTECTION FUND, March 24, 1905, $500,000.

Under the plans of the NORTH AMERICAN INVESTMENT COMPANY OF THE UNITED STATES, fifty-two dollars a year paid in weekly instal. ments of one dollar each, or an investment in a lump sum of $500, each draws interest at the rate of 5 per cent a year, and to furnish UNQUESTIONED SECURITY for principal as well as interest—the Company, under State inspection, has deposited with the Treasurer of the State of Missouri FIVE HUNDRED THOUSAND DOLLARS($500,000.00) as a security fundNO OTHER SIMILAR COMPANY IN THE WORLD CARRIES SO LARGE A PROTECTION FUND of this kind for the protection of its investors

No other savings investment company in the world can show so consistent and steady an in Cut out and mail this coupon TODAY. crease in its business. The Savings Investment Bonds of the company operate in reverse of North American Investment Co. life insurance. By means of dividends and

Odd Fellows Bullding, St. Louis. Mo. other distribution of accrued profits the bonds PAY MORE THAN FIVE PER CENT PER

Gentlemen, Please mail me literature ANNUM on the amount invested.

setting forth the savings investments ofIt will amply repay any physician or other

fered by the company. professional man to make a close inquiry ininto the plans and operations of the Company. Name

..M.D. To facilitate such correspondence the reader is requested to make use of the subjoined in Street... quiry blank by mailing the same to

The North American Investment Co.
Odd Fellows Building, St. Louis, Mo.

State ..........

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(Sat. sol. Nucleo-(proteid et albumen cum enzymes) R. & C.) and the ordinary liquid foods is that Trophonine is a saturated solution of nucleo-proteids and nucleo-albumens, which are considered by Hammarsten as "complex phosphorized bodies and the nutritive materials for the cells” together with the enzymes ( nucleo-enzymes) in a menstruum of pancreatized gluten and peptone with less than 14 per cent of alcohol by weight. Do not confuse Trophonine with the ordinary liquid foods. Remember it is a direct cell nutriont and builder.


42-44-46 Germania Ave., JERSEY CITY, N. J.

Do not jeopardize your patient's life by patronizing a druggist who will substitute,

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Papers for the original department must be contributed ex- been somewhat neglected because of the clusively to th's magazine, and should be in hand at least one month in advance. French and German articles will be trans greater advance in more fascinating lated free of charge, if accepted. A liberal number of extra copies will be furnished authors, and

branches of surgery, I will, therefore, as reprints may be obtained at cost, if request accompanies the briefly as possible present for your consideraproof.

Engravings from photographs or pen drawings will be fur- tion some observations based upon experience, nished when necessary to elucidate the text. Rejected manu

and whioh touch upon the most important script will be returned if stamps are enclosed for this purpose.

poiuts in fraоture treatment. Those of us COLLABORATORS. ALBERT ABRAMS, M. D., San Francisco.

who do railroad work well know that the frac. M. V. BALL, M, D., Warren, Pa.

tures that ocour there are usually of the FRANK BILLINGS, M. D., Chicago, Ill. CHARLES W. BURR, M. D., Philadelphia.

worst degree, and differ from the traumatism C. G. CHADDOCK, M. D., St. Louis, Mo.

of the same class, as jars, contusions, laceraS. SOLIS COHEN, M. D., Philadelphia, Pa. ARCHIBALD CHURCH, M. D., Chicago.

tions, nervous shooks or traumatio neuras. N. S. DAVIS, M. D., 'Chicago. ARTHUR R EDWARDS, M. D., Chicago, Ill.

thenia, differ from the injuries received in FRANK R. FRY, M. D., St. Louis.

the ordinary walks of life. Mr. REGINALD HARRISON, London, England. RICHARD T. HEWLETT, M. D., London, England. The first and most important thing in fracJ. N. HALL, M. D., Denver HOBART A. HARE, M. D., Philadelphia.

tures is that the surgeon should bave in mind CHARLES JEWETT, M. D., Brooklyn. THOMAS LINN, M. D., Nice, France.

a clear and accurate conception of the conFRANKLIN H. MARTIN, M. D., Chicago.

dition of the bone he is treating, so that he E. E. MONTGOMERY, M. D., Philadelphia. NICHOLAS SENN, M. D., Chicago

may arrive at a satisfactory and correct diag. FERD C. VALENTINE, M. D., New York. EDWIN WALKER, M. D., Evansville, Ind.

nosis, as nothing contributes so much to the REYNOLD W. WILCOX, M. D., New York.

successful treatment of fractures, and peace H. M. WHELPLEY, M. D., St. Louis. WM. H. WILDER, M. D., Chicago, Ill.

of mind of the surgeon, as a correct diagno. sis. This is, in some instances, made with.

out difficulty but oocasionally there is the LEADING ARTICLES greatest diffioulty in establishing it. It is

apparent then that, to accomplish this suc

cessfully, a most careful and systematic ex. THE TREATMENT OF FRACTURES IN

amination sbould be made in each and every GENERAL.

case; not only of the part known to be frac

tured, but of the entire body; care being EDWIN A. WEIMER, M. D.

taken to note carefully the condition of the

heart and respiration, and the condition of PEKIN, ILL.

the pupils. hief Surgeon G. S R. Co.: Chief Surgeon I. B. V.R. R.: Chiet Surgeon P. & P.T.R. R.: Surgeon C. P. St L, R. R.; Beginuing at the head go carefully over Member of American Medical Association, American Association Railway Surgeons, Association Mili

every bone and joint, not forgetting the spine. tary Surgeons of the United States. Illinois

After having established the diagnosis and State Medical Society. Brainard District Medical Society, etc.

adjusted the principal injury look to the con.

dition of the bladder, and take notice of any In coming before you today with my subject I do so fully realizing that it is not a new

graver injury. There is no more common

error in the diagnosis and treatment of smaller one, bat although old, and upon which much bas been written, is fraught with never vary.

injuries than those injuries of the fingers re. ing interest to both the physician and sur.

quiring amputation than to overlook a fraogeon.

ture of the phalanges. There is no class of cases that are the cause

At this point I wish to call your atten. of so much anxiety to surgeon as fractures.

tion to the diagnostio importance of crepi. It has been well said that the recovery from fractures bas two phases: the surgical recop. • Localized pain and tenderness are signs ery and the legal recovery. The first de to wbioh often too little importance is at. pending upon the skill of the surgeon, the tached. There are a great many conditions, constituional condition of the patient, and such as interposition of blood olot or soft the nature of the injury; the latter upon the parts which interfere with and entirely abo). Snancial condition of the surgeon and the ish crepitus, but pain and tenderness are al. mental constitution of the patient.

most always present. In the long bones es. The study of the treatment of fractures has pecially, pain at the seat of fracture can be

elicited by making pressure at a point re"Read by title before the Brainard District Medical Soci. Fat Bloomington, Di., October 27, 1905.

mote from it.

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