He was very pale and emaciated, urin heavily laden with pus, mucus and blood; had periodical attacks of chills, retention of urin and excessiv gush of blood following.

Astringent irrigations and local applications to the vesicle neck were made. Hemorrhage controlled temporarily; but there was not sufficient tone in the organs and blood vessels to maintain the relief afforded by the local treatment until the vibratory massage was given, when markt relief was noticeable at once. This was given alternate days and local applications or irrigations every second day. After the third week the hemorrhage had been controlled, patient greatly relieved. After the third month, he was dismissed with all symptoms practically normal.

GEORGE WHITFIELD OVERALL.

Chicago.

An Eye Quack.

Editor MEDICAL WORLD:-Inclosed find the literature that Dr. Oren O'Neal is sending out to people in answer to some of his $1000 advertisements, to be seen in the Chicago or New York papers. He also sends a small cloth book with cuts of the operativ method contrasted with an illustration of his "gentler" method. The whole scheme is very seductiv, and many people have parted with their money. Even a physician near me recommended Dr. O'Neal to an old lady with senile cataract. Result: she loosened to the extent of $200 without results.

[It is not worth while to give space for reprinting the literature. We understand that the cataract method of eye quacks is to instil a weak solution of atropin daily, which, by dilating the pupil, apparently improves the sight by enabling the patient to see better around the obstructing cataract. During this period of apparent improvement the patient is workt for money. This argument is used: "If I can help you so much in a few days, isn't it reasonable that I can cure you if you will give me time and follow my directions?" The fee (as fat a one as possible) is collected, and the patient is sent home with a vial of atropin solution and numerous and intricate directions. The apparent improvement depends entirely upon the temporary dilatation of the pupil by the atropin. When the "drops" are omitted or exhausted, the condition goes back the same as before the wonderful "doctor" was consulted. Then there is a "kick" by the patient, and the "doctor" becomes indignant because the patient has failed to follow some small direction, thus spoiling the promising results, and reflecting upon his "reputation." This is an outline of the little comedy, which is repeated over and over again, with a fat fee in every "repeat." But it is a tragedy to the poor patient, whose hopes are raised, and then cruelly shattered, to say nothing of the loss

For the mouth antiseptic gargles and washes should be used frequently thruout the day, and also with advantage at night. Saturated solution of boric acid and a 5 percent thymol solution are good washes.

The pharynx should be mopt out with a 1 in 50 hypochlorite of soda solution; large washings should not be used for fear of causing otitis.

Care should be taken to prevent complications, such as otitis, orchitis, mastitis, ovaritis, vulvo-vaginitis, etc.

These are most apt to occur after the subsidence of the swelling of the glands of the neck. Take care of your patient until all danger of complications has passed.

The pain in the parotid gland can be relieved by either hot or cold applications, or apply the following mixture two or three times a day, and cover and support the gland by means of cotton and a bandage:

hour till saturation occurs, is also of value; and many clinicians have claimed that by this agent the attack may be almost certainly aborted. The remedy is harmless.

Don't think that mumps is not worth your time and attention. No diseased condition should be neglected. A job slighted, because it is apparently unimportant, leads to habitual neglect. Do everything entrusted to you, no matter how trivial it may seem, as well as it can be done. Doing well depends on doing completely.

Acne: Eliminate! Eliminate! Eliminate! Constipation must be overcome. Flush the bowels with full and frequent doses of a saline laxativ, or, if necessary, with large irrigations of boiled water. Gastric symptoms should be treated with stomach lavage, charcoal, magnesia, hydrochloric acid, pepsin, bitter tonics, or some appropriate remedy as indicated. Diet should be simple, but ample; meats (grilled, boiled or roasted), green vegetables, purees, cookt fruits or thoroly ripe raw fruit during the season. No seasonings or condiments, nor the greater number of fatty foods, fish, preserved foods, game and fermented cheese.

Pure water, an alkalin water or very weak tea is best to drink. Strong tea, coffee, liquors and fermented drinks must be stopt.

For lymphatic subjects, bodily exercise, massage and salt baths. Very hot water (140° F.) applied to the affected parts by means of a soft sponge, hot spray, or small, hot fomentations.

Internally, the arsenates of iron, quinin and strychnin in small doses, say gr. each, three to ten times a day. These may be given together with nuclein or cod-liver oil. This treatinent is also of value in anemic and arthritic patients; in the latter, however, alkalies like sodium bicarbonate and lithium citrate should be given.

Calcium sulfid ingr. doses three or four times a day, alternating with arsenic sulfid gr. every other week, are invaluable remedies in all cases, and especially in rosacea.

Sulfur in some form is the best local application. It should be applied at night after washing in very hot water, pure or slightly alkalin. The following prescriptions for local use are excellent:

soaping with soft potash soap and frequent sprayings of simple boiled water; but no antiseptics.

Yeast internally is recommended; and no case of acne should be abandoned without the application of the x-ray, which is of unquestioned value. GEO. F. BUTLER, M.D. Chicago, Ill.

What Buffalo Lithia Water Has Done for My Cases.

Editor MEDICAL WORLD:-Male, age about 48 or 50 years, married, was suffering from stone in kidney (left) and cystitis. Was put on Buffalo Lithia Water after trying several other kinds of treatment. The sp. gr. of the urin was 1045; reaction acid. Blood, albumin and pus present. After using 6 half-gal. bottles of B. L. Water, sp. gr. was 1022, reaction alkalin, no blood nor pus; still a trace of albumin. After using 2 dozen half-gal. bottles of the water, found by test urin normal in every respect except the reaction was neutral. Patient in two months after using the water returned to his work on the ranch.

Case No. 2: Married, age 55, male. Stone in kidney (left) and a very bad and old case of cystitis, caused from stone. He also was put on Buffalo Lithia Water. Results good after a treatment of 4 weeks with water. He used about 14 dozen bottles of lithia water, and also after his urin cleared up, no more blood nor casts were found. He (to save expense) used distilled water, with lithia tablets. He had a relapse and returned to lithia water; but after the urin cleared up again, went back to the distilled water with his tablets.

Case No. 3: Male, age 75 years, married. By tests and washing out bladder, found sand -about teaspoonful; cystitis; had been suffering for 15 or 20 years. Two bottles of lithia water brought urin to normal, clearing up pus, blood, etc., but other complications and age being against him, he died on the ninth day after I first took charge of case.

Case No. 4: Female, married, don't recall age. Suffered for years with bladder and kidney trouble. Diagnosis not positivly known, except so far as the cystitis. Lithia water is the only treatment that so far has done any good.

The great drawback to the Buffalo Lithia Water is the expense, costing 65 cents a bottle (half-gal.). This is very expensiv, and very few people will pay that amount for water, especially when they use a bottle up every 24 hours. If the cost could be brought down to 25 or 30 cents a great deal more would be used. Distilled water, 5 gals. at 75 cents to $1, delivered at your door, and a bottle of Wyeth's lithia tablets at 50 cents, is much cheaper and in many cases does about as well. Gardena, Cal. B. M. SMITH. [The trouble is that people do not use enuf of ordinary water. One-half gallon per day

of any good, pure water, either with or without lithia, will do much good in these cases. It is desirable that the water be "soft"-that is, without much mineral material dissolved in it. Then it is all the more solvent when ingested. Distilled water is "flat" and uninviting; hence the requisit quantity is seldom ingested. People who go to watering places for kidney and bladder troubles, etc., are benefited chiefly by the quantity of water ingested. The physicians at such places prescribe the quantity of water to be taken, and the time (as, two glasses upon rising in the morning, three glasses between breakfast and dinner, three or four glasses in the afternoon, and perhaps three glasses before retiring), just like medicin would be prescribed. If a good, pure water were ingested at home the same way, most if not all the benefits of the watering places could be gotten at home.-ED.]

Corns, Conception, Etc.

THE

Editor MEDICAL WORLD: - In WORLD for September, 1905 (page 364), J. H. Sanborn, of Red Bud, Ill., gave a mixture of corrosiv sublimate, gasoline and wood alcohol for bedbugs. I have tried it, and the gasoline and wood alcohol will not mix. Will Dr. Sanborn tell us how to make a permanent mixture?

I have tried the remedy for corns given by the same author in the above-mentioned article and find it works very nicely. Who has a remedy to apply to corns that will cure them so they will stay cured? I have tried the salicylic acid formulas, with and without cannabis indica, but the corns come back in a short time. I have cut them down to the bone, and then they come again in the same old place.

In June WORLD (page 231), Dr. J. E. Shipley wants to know if acetozone has any rating as a germicide in typhoid fever. Influenced by the claims of P. D. & Co., who sell this drug, I gave it a thoro trial three years ago, and found it perfectly harmless and perfectly worthless.

I admire the policy of THE WORLD in fighting the proprietary nostrums that are advertised to the public. This policy will, if successful, keep the use of quack medicins within the profession, and make quackery a close monopoly. After all the nostrums that are advertised to the public are killed off, perhaps some daring author will begin a war on quack medicins advertised to the profession. About the only difference I can see in the two classes is that in the case of those nostrums advertised to the public and those advertised only to the doctors is that in the former case the druggist gets the profit and the public gets humbugged; in the latter case the medical journal gets a rake-off for advertising and the doctor, who is too slow to study his case and his materia medica, gets a fee for

writing a prescription for some ready-made cure-all.

The editorial in August WORLD on removal of insects, etc., from the ears is a good thing to read over once in awhile.

Shall we tell the laity how to avoid conception? No. The minute you begin to give away that sort of information you will get the reputation of being an accommodating doctor. Applications to do abortions will pile in on you. If you tell one woman in private, what not to do, she will tell some friend, and the news soon gets abroad in the community that Dr. Blank will tell all the women what to do, and you will not have to tell the young girls, for the young married women whom you instruct will teach the girls. I believe this sort of information will lower a doctor's moral standing in the community, and that in time it will drive away a better class of patients who will not want to be seen going to his office for fear the neighbors will say they are after the information that will enable them to dance without paying the fiddler. Marriage is a sacred and honorable relation that no person should contract who is not willing to have children if they happen to come.

I note that THE WORLD has plenty of remedies for rhus poison; so many that I am almost ashamed to bring out my old remedy of solution of sugar of lead in aqua pura. For facial erysipelas it removes the itching and burning and dries up the eruption. C. F. CONGDON.

Colchester, Conn.

[There is no good reason for using both gasoline and wood alcohol with corrosiv sublimate for bedbugs. The only object is to dissolve the corrosiv sublimate, which is the poison that kills the bugs. A solution in water would do as well as any other.

Corns will not "stay cured" unless the cause is removed. A few weeks or months of bare-foot life will remove all corns; but they will return again if the original cause returns. That cause is rubbing or pressure by shoes. It seems difficult to wear shoes without corns or callosities as a penalty. An easy and convenient way to remove or modify hard corns and callosities is by means of coarse sand-paper or a file. This is better than the knife (unless the knife is in skilled hands) because it is easier and entirely safe. The frequent use of sand-paper will pay large dividends in foot-ease for the trouble.

The advertising returns of medical journals are greatly exaggerated. As long as there are doctors who, as you say, are "too slow to study their cases or their materia medica," there will be a need for ready-made mixtures; and for some ready-made mixtures there are very good pharmaceutic reasons.— ED.]

In intractable hemoptysis, amyl nitrite should be tried. It exerts its influence by checking the influx of blood into the ulcerated lung tissue.

The Magnesia Heart. Editor MEDICAL WORLD:-Sudden death from so-called "heart failure" is now so prevalent that the mere mention of this condition is quite sufficient to produce a profound mental depression in the most stoic. So far, but little advance has been made towards a correct interpretation of the pathology underlying the condition; and the writer takes it for granted that the medical profession will be interested in learning the cause or causes which conspire to bring about this fatal affliction. The object of the present communication is to direct attention to the influence exerted by magnesium in its various forms, when introduced into the system for medicinal purposes, or occurring as a result of nutritional defects.

We all know that magnesium sulfate has long been recognized as a popular domestic remedy, and we also know that it is extensivly, I might say universally, employed by surgeons both before and after major operations, and it is probable that the following remarks will appeal more strongly to the surgeon than to the strictly medical man, because of the necessity which appears in connection with surgical treatment for overcoming or subduing the various forms of "nervousness" which manifest themselves after surgical interference and the difficulties attending nutrition all, or nearly all of which, are probably due to the influence of magnesium.

This statement will be more apparent when we come to consider the obscure nervous manifestations occurring in the case of nervous prostration (neurasthenia), in the various types of insanity, and in that condition known as "general debility." My claim is substantially as follows: That in all forms of disease, both acute and chronic, there is a tendency to acid excess, the result of which is a depletion of the lime content, while the magnesium remains in the system and effects a chemical combination with the nerve structures, interfering with the function of the cells, arresting the transmission of nerve impulses and thus producing the obscure nervous phenomena which are so common in all diseased conditions.

Perhaps my premises will be more fully understood by brief reference to illustrativ cases. Thus, I have recently noticed a report from Berlin, in which a woman was admitted to the hospital with symptoms which defied diagnosis. Post-mortem examination discovered a malignant tumor of the brain, while the heart, liver and kidneys were partially petrified by a thick, calcareous deposit. Another case is that of a prominent handwriting expert who died suddenly after a short illness, from heart failure, without apparent disease. A third case is that of a woman "who fell over dead in the street," following some unusual excitement incident to a fight

between two men. These cases illustrate the point which I wish to bring out: that there was what might be termed a dis-assimilation with deposit of magnesium in the nerves of the solar plexus. Of course, these instances may be regarded as extreme cases. Whether they could be recognized during life by the characteristic metallic heart sound, together with concomitant nervous derangement, is a question which for the present must remain open.

In the case of nervous prostration and insanity the pathological conditions are not so well markt, but in nearly every instance we have the evidence of cardiac derangement due to mal-assimilation, engrafted upon disturbances of the nervous system incident to the strenuous life which marks our modern civilization. In the case of both disorders, I have witnessed personally the most marvellous changes attending treatment directed to removal of the effects of dis-assimilation, together with the concurrent administration of remedies directed to the displacement of the physiological equilibrium. physiological equilibrium. That is, in the treatment of these cases, we must first correct the acid excess in order to re-establish the normal alkalinity of the blood-to promote oxidation and favor elimination of waste material. In this connection, however, it is necessary to restore the lime content, which enables the nerves which are electroplated with magnesium to discharge the magnesium and recoup themselves with the proper lime constituent.

An article recently appeared in the New York Medical Record by Prof. Alex. Haig, of London, in which he claims that the prevalence of crime is due to weak heart, the latter being a result of failure in nutrition, from lack of proper food. Professor Haig insists that those starving patients "lose heart” and commit crime as a consequence. On the contrary, my investigations and observation lead me to the conclusion that these patients who suffer from lack of proper food gradually acquire the acid "diathesis," and suffer from magnesium poisoning; finally their nervous mechanism becomes so obtunded that they disregard the line of demarcation between right and wrong. When these nervous subjects are provided with suitable food and given legitimate and regular employment the criminal disposition disappears. Hence, it becomes a question for the state and municipal authorities to protect the community against crime by means of food and employment, rather than thru the medium of magistrates' courts, jails and work houses.

In a paper recently presented to the American Medical Association at Boston, Dr. Gould, of this city, claims that both headache and stomach disorders arise from eyestrain, and that one-fifth of the entire population, or 15,000,000 persons in this country, are suffering from spinal curvature, as a consequence of eye-strain. My interpretation of