while the patients were greatly improved in their general condition. The cases of unsuccess were those of fibrocystic tumor.-Medical Record, Dec. 18, 1886.

Tissue Remedies in Diseases of the Ear.

Dr. Henry C. Houghton directs attention to the tissue remedies in diseases of the ear, as in his practice he has found them very useful:

Calc. phos. he finds of value in scrofulous diseases of children, affecting the bones or in general debility, malassimilation of even abundant food, in restoration of osseous structure after suppuration, and in delayed dentition. Calcaria fluorica in one case of caries of the roof of the auditory meatus gave a new reparative impulse when silicea and calcarea phos. failed to check the disease. Ferrum phos. in acute inflammation of the middle ear, acts better, more promptly and covers a wider range of cases without symptoms that are characteristic than any other remedy. When inflammation extends to the mastoid cells, and when cerebral complications arise, it is equally effective. It is also indicated in acute catarrh of the middle ear with decided redness of the membrana tympani, beating in the ear, every impulse of the heart being felt in the ear; pressive pains relieved by pressure, epistaxis, etc. The suffering is relieved by quiet in recumbent position and aggravated by sudden or continued motion, especially so the beating. In kali mur. Dr. Houghton believes we have the longdesired remedy for chronic catarrhal inflammation of the middle ear. It reduces swelling of tissue and guards against loss of substance. It acts upon the eustachian tube as promptly as does mercurius dulc., but in cases with radically opposite objective symptoms. When mercurius is indicated, the mucous membrane of the pharynx is dark red, thick, secreting a stringy mucous. In kali mur., the mucous membrane is rather paler, thin, with multiple adenoid elevations, secreting white, tough mucous and a similar secretion is exuded from the posterior nares, causing a subjective symptom of obstruction associated with efforts to dislodge mucus by snuffing or hawking. Kali sulph. is similar to the muriate but the secretions are yellow and sticky. Kali phos. is

indicated in nervous phases of disease or degeneration of tissue, suppuration with dark foetid pus; in deafness of old people with subjective sounds or tinnitus from anæmia; nervous prostration. Magnesium phos. is indicated in spasmodic affections, in neuralgia or otalgia, neuralgic spasm of tensor tympani, earache with toothache; neuralgia following acute otitis.-Trans. N. Y. Hom. Med. Soc., 1886.

Spermatorrhoea in Gonorrhoea,

In studying the causation of spermatorrhoea, Fürbringer finds that a previous attack of gonorrhoea is the cause of spermatorrhoea in the majority of cases, as compared with the neurasthenic spermatorrhoea. He has been able to determine this fact for himself by a careful examination, during four and a half years past, of the urine of patients under treatment for chronic gonorrhoea. In making his examinations, he has been careful to exclude cases in which the presence of a small quantity of semen could be attributed to natural coitus, or nocturnal emissions, or the practice of onanism, in the correct sense of the word, or of masturbation, as well as those cases in which straining at stool, or in any other way, has forced a little semen from the vesicles. Fürbringer has found in one hundred and forty cases of chronic gonorrhoea, no less than twenty-five patients with what he calls "latentspermatorrhoea," that is, with the presence of a few spermatozoa of gonorrhoeal in the urine, totally unsuspected in themselves. Fürbringer's investigations seem to indicate that in the spermatorrhoea origin, the discharge is not mixed with the secretion of the prostate, is devoid of the characteristic odor of the seminal fluid and contains no Böttscher's crystals, while all these are present in neurasthenic spermatorrhoea.Medical News, November 27, 1886.

Iodoform Rash.

Treves reports the case of a girl. on whom iodoform was used, who developed a remarkable exanthem. It was first limited to the forearm, arm and shoulder. During the day of its appearance the patient had complained of intense headache and dizziness and of not feeling well. In the evening all these symptoms had disappeared. The forearm now was very

much less swollen and had ceased to be tender. On the next day the exanthem covered the left arm and shoulder, the greater part of the face, nearly the whole of the front of the chest, and some part of both sides of the neck. The right upper limb, the legs, the abdomen and the back were quite free. These papules were all of a less size than a pin's head and were set upon a pink erythematous base. They could be felt as well as seen and they were paler than the surrounding skin. The erythematous patches varied in size from a six-penny to half-crown piece. They were irregularly round and ran the one into the other. margin of each patch was clearly defined. No constitutional symptoms accompanied this rash, which disappeared in two days.-Analectic, November, 1886.

The

Asphalgesia in Hysterical Patients.

Pitres has been carefully watching the case of an hysterical patient affected with hemi-anesthesia of the left side. Pinching, burning or pricking her on the left side does not produce pain; but if she touches any copper article her hand contracts and intense pain is felt, which, if prolonged by contact with that metal, produces a convulsive contact. In two other cases, during wakefulness, the patients were unable to touch either silver or copper without experiencing the sensation of being burned. Dr. Pitres speaks of these curious phenomena under the title of asphalgesia. It is rare to meet with these symptoms in hysterical patients during the period of wakefulness, but they are very general during hypnotic sleep. In the greater number of patients, with whom it was possible to induce hypnotic sleep, it has generally been found that on their touching any metal, a painful sensation as of burning or of a violent electric shock was felt. Some patients only experienced these sensations on touching certain metals; others are affected in the same manner by touching any glass object. Generally, asphalgesia is present on both sides of the body, whether the patient be affected with only hemi-anæsthesia or hemi-analgesia; but no rule could be given for these symptoms, as, in some cases, painful sensations produced by the contact of metal may likewise be felt on the side of the body

where the sensibility is normal.-British Medical Journal, Nov. 13, 1886.

Supra-clavicular Adenopathy in

Cancer of the Stomach.

glands is sometimes an indication of canThe presence of swollen cervical cer of the œsophagus, lungs, pleura, or other inter-thoracic organs, but it is not generally recognized that a supra-clavicular adenopathy may be present also in cancer of the stomach. Several German and French writers have recorded instances of this kind however, and more recently, M. Troisier related three cases at a meeting of the Hospitals' Medical Society of Paris (Concours Medical). In two of the cases, an autopsy could not be made, but the clinical history left no room to doubt the correctness of the diagnosis. In the third case, cancer of the large cul-de-sac and pyloric end of the stomach was found but the oesophagus was not involved in the morbid process. The ganglia in the immediate neighborhood of the stomach were not degenerated, but those in the supraclavicular region were manifestly cancerous. In each of these cases, during life several enlarged and indurated, but not painful, glands were noticed in the supra-clavicular region of the left side, behind and to the outer side of the sterno-cleido-mastoid muscle. Some of the glands were isolated, others confluent; they were not adherent to the skin, but could be rolled like marbles under the finger.-The Medical Record, December 11, 1886.

A Peculiar Form of Motor Disturbance of the Pupil.

Salgo describes a peculiar form of pupil which consists essentially of an irregular contraction of the muscular tissue of the iris, by which its pupillary margin assumes many different shapes. The pupil generally appears triangular or polyangular, with corners thickened and rounded out, resembling somewhat the slit-like pupil of the cat, or the irregular appearance caused by synechia. This kind of pupil reacts in a normal manner, but after each movement assumes a somewhat different form, so that the contracted pupil appears different from the same when dilated. The great majority of cases so far observed have been associated with general paralysis of the insane, though it has been

seen in chronic progressive psychoses, in which no paralyses could be detected. The author considers that it is much the most frequent pupillary symptom in general paralysis, and regards it as an expression of the varying intensity of innervation from the cortex.-Medical News, Dec. 18, 1886.

Idiosyncracy With Regard to Tannic Acid.

Dr. James M. Williamson, of Edinburgh, reports the case of a woman to whom he gave infusion of uva ursi in combination with atropia, and who in consequence was seized with the following symptoms: Great dyspnoea; the patient sitting down and bending forward slightly, and laboring for breath. The dyspnoea was precisely that of an asthmatic paroxysm, and was accompanied at intervals by short, violent suffocative cough. There was no lividity, but the eyes were suffused, and patches of erythema were spread over the face and neck. The pupils were not dilated. Pulse 60, of average strength; skin warm, palms moisty, and tongue and throat were not dry. There was neither vomiting nor nausea. Patient's aspect was half-stupefied, halfanxious. Complained of confusion of thought, "as if not all there," and she felt as if her head had grown very large. She had suffered on other occasions from similar attacks from taking tannic acid. The author therefore attributed the symptoms in this case to the tannic acid which is contained in the uva ursi. Strong tea always produced with this patient marked nausea.-N. Y. Medical Abstract, August, 1886.

Reflex Nasal Cough.

Dr. E. Creswell Baber concludes from his observations respecting reflex nasal cough, as follows: 1. Reflex nasal cough is only exceptionally produced by probing the anterior part of the inferior and middle turbinated bodies and the tubercle of the septum. 2. In children it is not very uncommon to find that a slight hacking cough can be produced by irritating the anterior end of the inferior turbinated body. 3. The cough reaction may occur without erection of the inferior turbinated bodies and may be intermittent in character. 4. Reflex nasal cough and the act of sneezing are very closely associated, and proba

bly represent different forms or degrees of the same irritation. The practical outcome of these considerations is, that in cases of spasmodic cough not otherwise to be accounted for, we should do well to examine carefully the nasal cavities in regard to the reflex irritability of their lining membrane.--Practitioner.

Naphthalin as a Cause of Cataract.

M. Bouchard made a communication for M. Charrin to the Paris Academy of Medicine, in connection with some experiments made on animals with naphthalin. The drug was administered to five animals, in two of which cataract appeared from three to twenty days. The animals received a dose equal to one gramme for each kilogramme of their weight.-N. Y. Med. Journ., Nov. 20, 1886.

Pneumonia in Pregnant Females. Dr. Edwin F.Wells believes that pneumonia is met with fully as frequently in the pregnant as in the non-pregnant female. He finds that his experience is contrary to the opinion usually held that pneumonia during pregnancy pursues a more acute, rapid and severe course. Before quickening, abortion rarely occurs, but after this time premature labor will take place in the maIn Dr. Wells' nine jority of cases. cases, there were two premature deliveries in patients with a temperature of not above 102°, and there were two others in which pregnancy proceeded to full time in which the temperature exceeded 104°. It is probable, therefore, that there are other factors equally potent besides the exalted temperature which determine delivery in pneumonic fever. Some have held that the interference of the respiratory function by pregnancy and pneumonic fever might be a cause of premature delivery. This, the author has never believed to be the case, although he holds that such embarassment is an indication for the production of premature labor if the child is viable. In these cases, in which pregnancy does not cause any impediment to free breathing, he does not think that the condition exerts any influence indicating a modification of the ordinary treatment of the disease. Miscarriage, under these circumstances, is

a decided evil. In cases in which it is

necessary to produce premature delivery on account of the interference with respiration, labor has rather a favorable influence on the pulmonary disease. The temperature and pulse decline and the other symptoms ameliorate.-Journ. Amer. Med. Assocn., Dec. 18, 1886.

News, Etc.

DR. CHARLES MAYER, a well-known homoeopathist of Louisville, has been appointed by Governor Knott, a member of the Kentucky State Board of Health.

THE HOMEOPATHIC HOSPITAL OF DETROIT, now in course of erection, will be a first-class institution in all respects. Two hundred thousand dollars have been given for the purpose of its establishment, by two prominent citizens.

ASIATIC CHOLERA has succeeded in crossing the Atlantic and has made its appearance in the Argentine Republic, in Paraguay and Rio Janeiro.

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THE NEW SURGEON-GENERAL. President has appointed LieutenantColonel John Moore, M. D., to be Surgeon-General of the army, vice SurgeonGeneral Robert Murray, retired.

DEATH OF PROFESSOR DYCE DAVIDSON. -On October 22, Professor Davidson, while lecturing at Aberdeen University, was seized with apoplexy and died within an hour. He was forty-five years old.

THE MEDICAL CURRENT.-Dr. Henry Sherry has resigned the editorship of the Current and Dr. W. E. Reed, formerly associate editor, becomes his suc

cessor.

THE MARYLAND HOMEOPATHIC MEDICAL SOCIETY, at its recent meeting, received twelve new members and elected the following officers: President, Joseph Lloyd Martin, M. D.; Vice-Presidents, N. W. Kneass, M. D., and Thomas C. Sears, M. D.; Treasurer, Thos. Shearer, M. D.; Secretary, Irving Miller, M. D. The meeting was regarded as a very satisfactory and successful one, and professional interest in it is steadily growing. The next meeting will be in January, at which time several important

papers will be presented and discussed. The secretary's address is 1207 E. Monument street, Baltimore.

THE HOMEOPHATIC HOSPITAL, at Minneapolis, recently netted seventeen hundred dollars at a fair held for its benefit. And what is perhaps more to the future good of the institution, public attention was thoroughly drawn towards it by the energy of those whose labors made the fair so complete a success.

THE CHILDREN'S HOMOEOPATHIC HOSPITAL OF PHILADELPHIA held its annual fair during the early part of December, and realized from the effort about fourteen hundred dollars for the hospital treasury.

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THIRD ANNUAL SESSION OF THE SOUTHERN HOMOEOPATHIC ASSOCIATION. third annual meeting of the Southern Homœopathic Association was held in Tulane Ĥall, New Orleans, December 8, 9 and 10, 1886. Dr. A. L. Monroe, of Louisville, Ky., the president, delivered an able address at the opening of the session, in which he dwelt at some length upon the antagonism of the allopathic system toward homoeopathy in the South especially, and spoke in strong terms against the efforts at coercion and proscription in medical affairs by the enactment of sumptuary or class legislation, which the old school is attempting in several Southern States. The effect of such laws is ex

emplified by the comparative monopoly the allopathic school enjoys in Alabama, Mississippi, North Carolina and Virginia. In the latter State, homœopathy has lately secured her rights, and the antagonistic legislation secured by her opponents is practically a dead letter; but in Alabama and the Carolinas the old school laws are in full force and oppressive in the extreme.

The Committee on Legislation, Dr. F. H. Orme, chairman, reported that the laws are satisfactory, or, at least, are not inimical to homoeopathists, in the following States: Arkansas, Tennessee, Kentucky, South Carolina, Georgia, Florida, Louisiana and Texas. They are chiefly laws requiring registration of diplomas from chartered colleges, of any school, as stated in the last report.

Complaint is made in North Carolina, Alabama and Mississippi, where there

are boards of examiners, all of the old school, which, whatever may be their arrangements for appearing fair, are from the nature of things, intimidating to applicants of other schools. The result is, as a matter of course, that few of our school enter those States.

The State of Virginia has a medical law, with regard to which Dr. J. V. Hobson, of Richmond, gives this information: The Board of Medical Examiners is composed of three physicians from each congressional district and two for the State at large, recommended by the Medical Society of Virginia and commissioned by the Governor, and of five homoeopathic physicians recommended by the Hahnemann Society of the Old Dominion. A candidate for medical license is required to get an order for examination from the president of the board, for which he pays a fee of $5, and then has a choice of any three members of the board for his examination. The certificates of three examiners are necessary to entitle him to license and practice anywhere in the State, which license is obtained from the clerk of the corporation or county in which he wishes to practice for the usual fee of $1.

The report concludes as follows: Inasmuch as the American Medical Association has started a scheme for having a general medical law adopted by all of the States, looking, of course, to obtaining control of the licensing, as far as possible, by the one school of medicine which that association represents, it behooves all homœopathists to be vigilant and active in counteracting its efforts. Perhaps the best way in which this can be done will be by moving for a fair and liberal registration law, allowing all graduates of chartered colleges to practice.

While, theoretically, it would seem well to have boards to pass upon the work of the colleges-that is, to have the students of colleges to pass examination before those not interested in having large classes, and who are not passing judgment upon their own work -still, there are many difficulties in the way of this plan, the chief of which would be to procure efficient and impartial examiners. Beside this, it is not probable that any legislation can be secured against which all of the colleges would of course combine.

As matters now stand, therefore, our

best hope probably at last lies in the colleges. Their examinations will have to be accepted, and we must do what we can to keep them up to a good standard

Dr. J. P. Dake, Nashville, Tenn., offered the following, which was adopted:

Whereas, the public health of this country, especially the protection of the people from the spread of infectious diseases, calls for the exercise of the best experience from different sections; and whereas, army and navy surgeons are not so brought in contact with the masses of the population and made acquainted with the varied health needs of different localities as to be the safest sanitary gurdians;

Resolved, That we view with great concern the withdrawal, on the part of Congress, of the appropriations necessary to enable the National Board of Health to discharge its duties, and the persistent transfer of the work entrusted by law to its competent care to the surgeons of the army and navy; and further, that we, individually, make known our views on this subject to our several Representatives in Congress.

The following was also offered by Dr. Dake and adopted by the Association:

Whereas, the safety of the people in the Mississippi Valley, as well as along the Gulf coast, from the ravages of the yellow fever demands a watchful care and a prompt notification on the part of all persons having in charge private as well as public health interests;

Resolved, That the thanks of this association be tendered to Dr. Joseph Holt and the State Board of Health of Louisiana for their prompt and efficient action during the past summer, and that we commend the plans adopted by them for the detention and purification of all carriers of infection.

Dr. Walter Bailey, Jr., of New Orleans, offered the report on Homœopathic Statistics and Dr. Fisher, of Texas, presented a resolution expressing the appreciation of the Society, of the compliment paid by the American Institute of Homoeopathy in the election of Dr. F. H. Orme, of Alanta, Ga., to the presidency of the Institute.

Among the papers read and discussed were, one by Dr. Henry of Montgomery, Ala., on the Preparation and Use of the Higher Attenuations; one by Dr. Wm. H. Holcombe of New Orleans, La., on "Diphtheria;" one by Dr. Geo. M. Óckford of Lexington, Ky., on "Hygiene;"