XX

Professional and Busi

ness Chances.

Under this head we shall insert free of charge an advertisement occupying not more than four lines, which is equal to about twenty-eight words, to any one whose name is on the subscription list of the SUMMARY. For additional words, or if more than one insertion is desired, cash, at the rate of Two Cents per word, is required. If letters are to be sent in care of this office an extra fee of 25 cents must accompany the order. Instruments, Preparations, etc., advertised under this heading at double the above rates.

READ-Wanted and For Sale Ads Inserted in this column for 2 Cents per Word.

FOR SALE.-House, barn, drug store, office, and $2000 practice; railroad town; terms easy; only physician, splendid opportunity. Address, Box 58, Grover, Bradford county, Pa.

FOR SALE. Formula for positive cure of the tobacco habit. By mail, $1.00. Testimonials and references given. F. H. Amlar, care Carrier 4, Jackson, Mich.

ANY PHYSICIAN with $2,500 wishing one of the best locations in Indiana gas field, will learn something greatly to his interest by writing for particulars, with stamp. Box 139, Greentown, Ind.

PROPERTY-House heated by hot-air; cost $3,500; will sell for $2,200; business town, summer resort. Will introduce to buyer $2,000 to $3,000 practice a year. F. E. Aldrich, M. D., Chestertown, Warren Co., N. Y1 Address with

AGENTS WANTED, big money.

stamp, Box 704, Elkhart, Ind.

FOR SALE.-Property and practice, a splendid location. Address, with stamp, D., care MEDICAL SUMMARY.

ANY physician wishing a good practice in Provi dence will learn of something greatly to his interest by writing for particulars to "Physician," Box 378, Providence, R. I.

THE NATIONAL MEDICAL EXCHANGE, Elkhart, Ind. Lis: and terms, ten cents.

DOCTORS' EXCHANGE BUREAU.

Locations

furnished for physicians in all parts of the United States; buyers furnished for those desiring to sell practice or property; choice locations on easy terms; quick sales; facilities unsurpassed; monthly bulletin, terms, etc., sent free. Address, Hutchinson & Jones, Lock Box 1501, Weyauwega, Wis.

SPECIAL OFFER to Physicians and Surgeons.-150 No. 6 XXX high-cut white envelopes printed to order and postpaid, 50 cents; note heads do. W. J. Kafroth, printer, Talmage, Lancaster Co., Pa. Samples free.

Constipation.

Pavara Pills produce a prompt, painless and natural evacuation of the bowels, without the usual sequence of constipation and they will not, under any conditions, interfere in the slightest degree with other medical treatment. Formula printed on outside label. For constipation during preg. nancy, these pills are a perfect remedy. A large bottle (150 pills) will be mailed to any physician. for trial, on receipt of 25 cents in postage stamps.

Prepared by C. L. TOPLIFF, New York. PO. Box 991. Depot, 115 Fulton Street.

"I desire to add my testimony to the efficacy of Cactina Pillets in heart disease of various forms. I have under treatment a case of essential paroxysmal tachycardia, result of excessive tobacco chewing, in which the only remedy that gives relief is Cactina Pillets. I have used them with signal success in the various forms of functional and organic disease."-JOHN A. ROBINSON, A. M., M. D.. Professor General Medicine, Post-Graduate School; Adjunct Professor Practice Medicine, Rush Medical College; Attending Physician Presbyterian Hospital, etc., etc., Chicago, Ill.

D. W. Cushman, M. D., of Cleveland, Ind., writes: "I find Antipuralgos to be the best coal-tar preparation ever in use. I have given it a fair trial, and am delighted to testify as to its wonderful power in the reduction of temperature, its freedom from depressing effects over the heart, and its prompt and efficient action in febrile conditions, whether malarial or typhoid in character. It is an agreeable remedy that acts without disturbing the stomach, and it is easily administered in powder or capsule. I shall be glad to continue its use, and report upon its merits from time to time."

Dr. Wm. H. Robert, of Cincinnati, O., says: "I am pleased to add my name to the list of practitioners who endorse and recommend Sanmetto. I have never been disappointed by its failure to act beneficially in all cases of urethral and vesical irritation and inflammations, where it was employed. I shall continue to use and recommend it in my practice, knowing I can depend on its giving desired results."

Salitonia has been meeting with unqualified success in the treatment of gastric derangements, and all those affections due to acidity of the system. This success has been attested to by the phenomenal growth of its sales. The doctor who does not prescribe Salitonia is a back number. Bill Nye says, “Dont be a clam.”

As

ONE DOLLAR PER ANNUM, IN ADVANCE.

VOL. XV.

SINGLE COPIES, TEN CENTS

No. 3

MEDICAL SCAPEGOATS. Biliousness and worms and cold in the decades of the past did duty conjointly; all symptoms, as aches, loss of appetite, gastric and intestinal disorders, were referred to one or other of them. Doctor would note coat on tongue, yellow stain of conjunctiva, bronzing of face, and place it all in the comprehensive catalogue of biliousness. In the vocabulary of the day all cough, all sneezing, all pain and discomfort of chest, etc., was cold. All children who were pale and fretful, all who had tumid bellies, all who picked the nose or talked in their sleep, were voted to have

heart-failure, nervousness, uterine trouble -all equally comprehensive. Heart failure includes about all sudden failures to live longer; to the reflecting mind it seems to serve equally well as a cloak to professional carelessness or ignorance, and to satisfy popular credulity. Like cold and biliousness, heart-failure is a scapegoat.

Nervousness- -what a multitude of evils it covers. How familiar the refrain, “It is only nervousness." Uterine trouble requires the uterus to bear more than childbearing; uterine trouble is another scapegoat. And right here it may be included in parenthesis that la grippe is in danger of the comprehensive classification.

According to the above nosology the divisions of a treatise on Practice might be the following: Chapter I.-Biliousness; Chapter II.-Colds; Chapter III.-Worms; Chapter IV.-Constipation; Chapter V.Nervousness; Chapter VI.-Heart Failure; Chapter VII.-Uterine Trouble.

DIET AND FRESH AIR IN PHTHISIS.

Undoubtedly the most important factor in the treatment of consumption, that is of more importance than medicine, and

has given much better results, is nutritious food and an abundance of fresh air. Great success has been attained by restricting the patient to an exclusive diet of beef, and at the same time requiring the patient to drink a large amount of warm water. A diet composed of raw beef has also given excellent results in many cases, but it has been determined that raw beef has no particular advantage over rare broiled steak or rare roast beef.

Tender and juicy beef should be eaten by the consumptive patient three times a day. The beef may be broiled or roasted, but should always be done rare, and when the patient tires of it, mutton broth, fish and eggs may be substituted for a short time, however returning to the beef diet as soon as possible. In connection with the diet outlined as above, have your patient to drink milk freely; one and one-half quarts and a pint of cream may be used, if possible, during each twenty-four hours. Also see that your patient gets plenty of pure fresh air.

A STANDARD DROP-FORMER. Interest has been manifested to the importance of having some more accurate measure for doses than the teaspoonful or drop. It is convenient to regard the teaspoonful as the equivalent of a fluid drachm, or an eighth of an ounce, yet is often of as much as a sixth of an ounce. By experimenting on the sizes of drops it has been found that a fluid drachm of wine of colchicum seed yielded 85 drops from a stock bottle, 72 from a glass-stoppered bottle, and 103 from a minim measure; wine of colchicum root gave 92, 73 and 96 drops respectively; carbolic acid, 81, 65 and 109 drops; spirit of camphor, 95, 78 and 139; croton oil, 85, 63 and 101; tincture of aconite, 120, 102 and 163; tincture of opium, 98, 93 and 142. A drachm of fluid extract of gelsemium gave 75 drops from the orig

inal quart bottle, 100 from an oval prescription vial, and 154 from a medicine dropper.

The adoption of a standard drop-former by the pharmacopoeias would be the proper remedy in this case.

CLIMATE FOR CONSUMPTION.

In addition to diet and medication in the treatment of consumption, an important factor for consideration is the proper climate for our patients, although in many cases a change of climate, for obvious reasons, becomes an impossibility; but whenever the patient is so situated that a change of climate becomes possible then the subject demands the attending physician's most careful consideration. All conditions which predispose persons to this disease are also to be dreaded as promoting its continuance. Among these predisposing conditions are moist, irritating air, dust and sudden changes of temperature. Removal from such conditions to a place where the air, is dry, pure, equable, free from wind and dust, sometimes acts in the most satisfactory manner. The progress of the malady is stayed, though the patient may not be radically cured.

Excepting certain seasons of the year, places where the proper conditions prevail are not easily found, and are seldom easy of access; consequently a change may become impracticable on account of distance, as the inevitable exposure to harm by the way must be well considered before attempting the removal of a patient any long distance; and also the question how many of the comforts of home the patient is likely to miss in his new quarters, because should he be liable to become homesick, or in way unhappy, it would probably be better for him to stay where he is. If it is found impracticable to send the pa. tient away, care should be taken to conform that part of the house or room which the patient occupies as near as possible in cleanliness, ariness, evenness of temperature, to the ideal out-of-door climate. It is the attending physician's duty to give the family full instruction in relation to this very important matter.

New Remedies.

In the following we will mention the most import ant new remedies that have been discovered of late, selecting only those whose therapeutical value has been proved, and the administration of which is followed by definite results-therefore, only those that may be relied upon. In a general way their chemical nature, and the sources from which they are derived, as well as the method of manufacture, when known, will also be referred to; their doses will be given, and any obnoxious or dangerous by-effects will be brought prominently to the notice of the reader. Many of the new drugs are so-called proprietary medicines-i. e., their discoverers have secured to themselves the ownership, and in some the exact mode of manufacture is kept secret. For these very reasons we have been the more careful to enumerate only the drugs of recognized value to the profession, such as are being employed by the most eminent members of the fraternity here and abroad, so that the reader may place the fullest confidence in every statement made in

these lines.

C6H4 {OCH3

он

Colorless, refractive fluid, of strong, aromatic, but not disagreeable odor. Easily soluble in alcohol and ether; almost insoluble in water.

Much of the guayacol in the market is impure, and contains phenol. Only the pure article has the good effect attributed to it in tubercular phthisis. On the addition of ferric chloride an alcoholic solution of guayacol must give an emerald green tint, and at a temperature of 15 deg. C. its specific gravity must be 1,117. Any guayacol of a lower specific gravity is to be discarded.

Internally, administered in gradually increasing doses of from 1 to 15 drops ter die, it diminishes in incipient phthisis the cough, loosens the expectoration, which it also diminishes, and improves the general health and the appetite of the patient-an effect invariably produced by pure guayacol in the beginning of the disease. It but rarely gives rise to vomiting and diarrhoea, much less so than creosote.

Best used in the form of mixtures, or if administered for a long time, in capsules. Prescriptions:

Naphtalinum.—Antiseptic.

From the products of distillation of coaltar passing over at a temperature of from 180 to 250 deg. C., the so-called heavy oil, there separate, after long standing, darkcolored crystalline masses, which in the main consist of very impure naphthalin. by pressure they are first freed from fluids; then they are treated with soda-lye, and afterwards with diluted sulphuric acid, to remove the acid substances (called phenols) and all basic material (anilin and other bases). Then distillation with steam purifies the product further, but it has to be repeatedly heated with small quantities of conc. sulphuric acid. at 180 deg. C., and each time again treated with steam, to obtain a really pure product, which, however, because of the still present phenols-in traces-assumes a brownish tint on exposure to air and light. It is, therefore, once more passed through the above process, with the addition of manganese, when pure naphtaline results. CIOH8.

It may also be remarked that oxydation changes the remedy at once into phtalic acid (C6H4[CO-OH]2), from which, by proper treatment, we derive benzoic acid and some important coloring matters.

Naphtalin is a colorless powder consisting of slimy crystalline scales, has an aromatic odor reminding one of coal-tar, and evaporates at the common temperature. Scarcely soluble in water, but easily so in ether, chloroform and sulph-carbon. Must be kept apart from all other drugs. Internally, in doses of from to 9 grains, up to 16 grains, used as expectorant in diseases of the air-passages, and in the latter dose as a vermifuge for children. It is a positive cure for seed-worms. Only naphtalin recrystallized in alcohol should be used internally.

Externally, in oily solutions of 10 to 12 per cent. strength (with ol. lini or oliv

never be used for medical purposes, and B naphtol, or Iso-naphtol, the drug here referred to. Its mode of manufacture is too complicated to be detailed here. The formula is CIOH80.

ß naphtol consists of colorless silken crystalline scales, or of a white crystalline powder of mild phenol-like odor and burning taste, which, however, rapidly disappears. Slightly soluble in water, easily so in spirits, ether, chloroform, benzol, oils and alkaline fluids.

Externally employed like naphtoline. Internally it is poisonous. Prescriptions:

3 ij

3 ij

iv

.ad 3 vj

Gum acaciæ q. s., ut f. emuls.,
Syrup. zingib...

M. Sig. A tablespoonful thrice daily

M. Sig.-Externally in cases of prurigo and other forms of itching.