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remedy, but they are not found to any marked extent in the pathogenesis while the so-called "crick in the

neck," against which it is so effectual, is aggravated by the slightest motion.

PHLEGMONOUS ERYSIPELAS OF THE FACE.-A CASE.

by

JOS. H. McDOUGALL, M.D.,, New York.

I was called on the morning of May 16, 1879, to attend Lucy D., a girl 13 years old, who had been ailing for a few days before. When her condition became alarming it frightened her parents so much as to induce them to abandon domestic treatment, and the professional was called.

I found the patient in bed, her face red and so intensely swollen that she was unable to open either eye. There was a blister as large as a silver half dollar on her left cheek, and several smaller ones on her forehead and face. Her countenance was so disfigured by subcutaneous effusion as to give her an imbecile expression. She was drowsy, very thirsty and stupid; would talk to herself about school affairs, but could be readily aroused, and would answer questions intelligently, but soon relapsed again into her former lethargic condition.

The temperature about 9 A. M. was 1024. I left Rhus Rad. 30, 5 drops in half a glass of water, one teaspoonful to be given every hour.

I called again about 3 P. M., and found that the temperature had risen to 105%,just 34 degs, higher than in

the morning. Prescribed Aconite every hour until the fever should abate, then to continue the Rhus every 2 hours. I must admit that there was no special indication for Aconite except the dangerously high temperature, and I gave it simply as a palliative. I was in a quandary; I was not satisfied with the action of Rhus, yet I thought that the rapid increase of the fever might be due to an aggravation consequent upon the too frequent administration. of that remedy.

I thought of Apis mel., but was deterred from prescribing it by the great thirst (Johnson says without thirst), though the drowsiness and œdema seemed to call for it.

May 17, 1879, I called about 11 A. M.,and found the temperature 10234°, just a deg. above that of the morning before. The patient had some pain, of which she did not complain to me before, and was unable to lie on either side. I then prescribed Nux vomica 30, 3 powders, the second to be given half an hour after the first, and the third 1 hour after the second (this was to antidote the Rhus.) I also left Apis mel. 3rd, to be given

every hour, then every 2 hours. I called again in the latter part of the afternoon and found the temperature 102 Fahr., just 31⁄2 degrees lower than that of the previous afternoon, the pain almost gone, the patient feeling a happy sense of relief. The large blister on the left cheek had broken, discharged its fluid contents, and was drying up (the others soon followed in its wake.) I directed the Apis mel. to be given every two hours.

May 18, 1879, temperature 10034°, 2 degs. less than the previous morning. Continued Apis every 2 hours. I did not call in afternoon.

May 19, 984 degs. Apis every 3 hours.

May 20, about 3 P. M., 982°. Apis. May 22d, temperature normal. Apis. May 24, temperature normal. Apis 30x. May 27, patient presbyopic, Nat. mur. June 10, patient called at the office. I found that she had regained almost entirely her former vision, but there still remained a very slight degree of swelling of the face, not so noticeable to a stranger as to

those who had known her before this sickness, when her face was rather thin.

She complained of some photophobia and swelling of the eyelids in the morning on rising, which would go down generally during the day. I prescribed Sulphur 30, every 3 hours, to be followed by Cal. carb. four times a day to correct a strumous tendency and for a chronic headache.

I deem it proper to here state that I did not keep a record of the pulse, because I believe it to be only an approximate, and not an accurate indicator of the temperature. I have known the pulse to be below normal and the temperature 102°; therefore I do not think we are always justified in counting one degree rise in the temperature for every ten beats accelerative of the pulse.

I believe also that if I had discontinued the Apis sooner and followed it by Sulphur, the oedema would have subsided more rapidly.

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above the right pupil. Mercurius, Belladonna, Sulphur, Apis successively employed procured no relief, and I finished by having recourse to Arsenic. This remedy was administered in the thirtieth dilution, a few globules dissolved in a glass of water; a teaspoonful was given every three hours. This treatment improved all the symptoms and cured all these patients. The use of this drug should be continued for several weeks, and when I stopped its administration for a few days a remarkable aggravation manifested itself, to quickly yield, however, to a renewed dose. This medication has also always been the means of improving the general condition and constitution of the patients. A singular phenomenon, to

which I wish to draw your atttention, occurred to me in two of the cases; it was the presence of a purulent matter similar to pulverized brick powder, mixed with a dry mucilage, which adhered to the eyelashes, the eyelids and the eyebrows. This phenomenon showed itself several days in succession, and resembled a crisis coinciding with a very marked. improvement of the ocular disease.

In short, I am satisfied that Arsenic of a high dilution and long continued. should play a great part in the treatment of scrofulous ophthalmias. I ought, however, to add that in the course of the treatment I thought it advisable to give a dose of Sulphur or Pulsatilla.

NEW IMPORTANT PATHOGNOMONICAL SYMPTOM OF LYCO

PODIUM.

BY

DR. LOOSVELT.

(Translated by F. A. G.)

I cannot refrain from calling your attention to a symptom which seems to me characteristic for the administration of Lycopodium, and which has caused me several times to give this drug with success. This symptom, which is scarcely indicated in Jahr's Manual, consists in the eyelids partly opened in sleep; the conjunctiva is then dry and purulent like, and the cornea is hidden under the upper eyelid. It sometimes presents itself with the prostration and convulsive contractions of the muscles of the eyes, of the face and limbs, in meningitis and hydrocephalus, which often terminates in death; several serious diseases of children, such as bronchial catarrh, pneumonia, anc. typhoid fever. These symptoms, especially if joined to con

stipation, have often placed me on the road to Lycopodium, and on onerecent occasion helped me to save the life of a child, of which I was very fond. This child, after vomiting

a few times, was taken with a violent fever, total loss of consciousness, drowsiness, insensibility and convulsive contractions of the eyes, limbs and face. Aconitum and Belladonna given for twenty hours had done nothing towards changing this condition and a disastrous termination seemed imminent, when the condition of the partly opened eyelids made me think of Lycopodium. In less than one hour after the adminis-. tration of the first dose, I was able to discover a slight improvement. The next day the child was out of danger.

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EDITORIAL.

THE JUST CLAIM OF THE MEDICAL STUDENT UPON HIS ALMA MATER.

When a medical student enters one of our colleges as an accepted undergraduate and his fee is paid, the college enters tacitly into an agreement to furnish him with all the means requisite to acquire a thorough knowledge of all the branches of a medical education, and in our school, in addition, with instruction in the principles and practice which we have adopted as peculiarly our own. When he has passed a satisfactory examination at the close of his three years course, he is further entitled to a diploma as a certificate of his ability and of his right to practice medicine

in accordance with the law of the land.

Having received this diploma, he naturally looks to his alma mater to protect him in his rights acquired by this certificate, and to defend him when his claim founded upon the possession of that diploma is challenged.

We fear full justice has hitherto not always been done to the undergraduates, and certainly not to the graduates of homoeopathic colleges.

It is true, of late years a great improvement has taken place in the curriculum of our colleges, and in the period required to complete a full course of lectures. But there is still room for vast improvement in the manner in which our students are instructed. There is too much taught in a given time, and, as an inevitable result, too little thoroughly understood and appropriated by our young men. There is too much cramming done in consequence of it.

Even three years is not enough for a student to be thoroughly grounded. in all the branches of his medical education that now compose a regular course. Several of these branches that are now parts of the modern curriculum, might be advantageously omitted, and some of the others and more important ones more thoroughly taught, more particularly the theory and practice of homœopathy and the rational principles upon which it is founded. Our undergraduates as well as graduates are woefully deficient in the latter branch.

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But our graduates have just cause of complaint against their alma mater for the indifference manifested to protect the holders of its diplomas in the just rights conferred with it.

The holders of a diploma, legally obtained from a college authorized by the laws of this country to confer such certificates of qualification, are justly entitled to have their rights secured by this document, fully protected, and are entitled to look to their alma mater for aid in securing these rights.

The holder of a diploma from any college of the old school, even the smallest and most insignificant, can present himself to the medical examiner of the general government as a candidate for a medical commission as a surgeon in the navy or army, and his claim is respected.

Not so with him who holds a diploma from a homoeopathic college; when he presents himself he is snubbed, and generally refused even the opportunity to show what his qualifications are. We all know that this treatment is wrong in every sense of the word.

Our colleges are regular medical institutions, chartered by the lawmakers of the different States, and endowed by them with all the regular and legal powers to give permission to any person deemed qualified by them in accordance with our laws, to practice medicine in any part of the country. Why then, do these colleges permit their graduates to be treated. with contempt by the medical officers

of the general government, without a determined and emphatic protest, which, if made with great unanimity and indorsed by the eminent laymen and jurists who are adherents to our school throughout the land, would soon teach the would-be-aristocrats in the medical ranks of the old schools, that the graduates of both schools are on an equality before the laws of our country, and have equal rights to enter the service of that country.

The supineness of our college authorities in protecting their graduates when competing with those of the old school for recognitions, as applicants for positions in the navy or army, has driven many a student to finish his studies in some allopathic college, in order to obtain a diploma, which should place him on an equality with other competitors.

The old school dreads an influx of homœopathic physicians in the navy or army, for the privileges granted us by state authorities and state laws, have proven too clearly, that when and wherever the two systems are practiced in a fair and honest competition, the superiority of the practice of homoeopathy has always been so clearly demonstrated, that the old. school had to modify its own practice, in order to preserve the appearance of not lagging too far behind, in the advance which ours has made in the process of curing disease.

But is it just to our graduates, who had placed themselves in good faith under the instruction and protection of the preceptors in our colleges,

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