Page images
[ocr errors]

the genital organs. He relates a case of great tightly fastened into a maple block. Passing interest-one of pus tube—where there was the required examination at this block, he is discharge of pus from the vagina, with fre. graduated and sent forth to try and pull quent rigors and rise of temperature.

ro human pegs. There we see him take a The right tube was distended with pus, and position similar to one we would assume, hold as large as the wrist, lying behind the uterus, the jaw, and keep the mouth open with his left which was crowded well forward against the

hand, whilst with the two fingers of his right bladder. The uterus was fixed in position, and he passes into the mouth and extracts, if as he had just treated a case where cure was ef. necessary, five to seven teeth in a minute." fected without an operation, he had less reluct- Druggists' Circular. ance in giving her the benefit of delay. Almost immediately on her being put to bed,

Gum-Lancing. with the foot of the bed elevated eighteen

In a letter to the University Medical Magainches, a free and continuous pus drainage was

zine, on the subject of lancing the gums of established through the uterine canal.

teething children, Dr. H. C. Wood says as Within a week she ceased to have any after- follows:noon rise of temperature and she was allowed

Clinically, I am absolutely sure that I have to get up. Twice this was attempted, but the

seen convulsions, sick stomach, great restlessescape of pus ceased, with increase of pain

ness, fever, and various other functional disand a return of the rigors, with elevation of

turbances in young children, immediately temperature. She was, therefore, kept on the

cured by the use of the gam-lancet, after the inclined plane for five weeks, the discharge

failure of various other well-directed measures gradually diminished, when circumstances

for relief. Theoretically, I am in accord with made it necessary for her to return to her

Dr. Kirk, in believing that Dr. Forchheimer home. It was then found that this tube had

absolutely misses the point of the matter, by returned to its normal position, and was about

his failure to understand that the good achieved the size of the little finger, and the tube was

is not due to the local blood letting or to the much more movable.

relief of the inflammation of the gum, but to

the removal of the backward pressure upon an Tooth-Extraction by the Fingers. extracrdinarily sensitive and, at such times, A CORRESPONDENT of the Archives of congested nerve pulp. As was long ago pointed Dentistry, referring to the unpleasant impres

out by Dr. J. W. White, at the period of erupsion made on dental patients by the sight of

tion the roots of the teeth are yet incomplete. forceps, recommends instruction in the art of "Instead of the conical termination and minute extraction, as practiced in Japan. “ There," foramen, which characterize a perfected tooth, says the writer, “the dentist extracts every the aperture is nearly as large as the root itself, tooth, be it upper or lower, incisor or molar,

and thus when the sensitive pulp, composed of without the use of an instrument, his fingers connective tissue, blood vessels, and nerves, is having been trained to take the part of forceps. in a condition of irritation because of the It may seem incredible, but it is, nevertheless, morbid activity of the process of dentitiona fact, that the Japanese dentist is more pro- augmented vascular and nervous action—there ficient in this particular branch of our art than may be produced a hyperemia sufficient, possi. his European or American brethren, and here bly, to cause the protrusion of a part of the is the way he arrives at his proficiency: In a mass from the incomplete aperture of the root, board of soft wood holes are drilled, and in the giving abundant cause for extreme constituholes pegs are inserted loosely. The board is tional disturbance." laid on the noor, and the apprentice tries to I have myself seen a seemingly incurable pull out every peg perpendicularly without in epilepsy in an adult permanently cured by the the least disturbing the position of the board, removal of a persistent milk or first dentition using the thumb and forefinger of his right tooth. Amaurosis and various other conditions hand; able to do this, the pegs are inserted in the adult, are well known to be the result tighter, the thumb and forefinger gaining of irritation of the trigeminal nerve by faulty strength and dexterity in manipulation as he teeth. How much more evil is to be expected keeps on practicing. Having perfected him from teeth irritation in the child ! self at the pine board, an oak board is substi In conclusion, I reaffirm that whatever the tuted, the oak pegs being driven in tightly. theory in the matter may be, I am positive that There he practices for weeks and months, till

, gum-lancing is a most i npoi tant therapeutic finally, the oak pegs succumb to the skill and measure. It is essential, however, that it should power of his fingers. The third and last term be thorough, and with the object of dividing comprises the extracting of maple pegs, very the dense tissues that bind down the teeth.

[ocr errors]

.. gms, 10

Antiseptic Treatment of Parasitic Skin Dis

More Than a Simple Organism. eases, and Especially Alopecia Areata, In an address upon “Psychol gy in Medi. with Chinese Oil of Cinnamon.

cine" before the Medical Society of McGill Dr. Busquet (Annales de Dermatologie et College, Dr. Murray (Montreal Med. Jour., Syphilographie, No 3, 1892) has found the

June, 1892) remarked : ei herial oils to be powerful antiseptics, and,

There is one interest which the subject basing his opinion on some eighty cases, he

creates, and which ought to be of peculiar recommends the etherial oil of Chinese cinna

value to the student of medical science and mon as a powerful antiseptic in the treatment

art. For the psychological relations of his of parasitic skin diseases and especially alope- professional work raise it to a position among cia areata. He uses the following solution: the noblest occupations in which the energy of R Chinese oil of cinnamon

man can be expended. ' A true physiological (drams ijss). Ether....

psychology forces us to a peculiar conception

gms. 30 (ounce j).

of the human organism. The idea of mere In favus this solution causes a rapid drying organization is found to be inadequate to exof the crusts, the scalp becomes dust-like, the plain the nature of man. The structure of the subjacent epidermal layer exfoliates with ease, mere animal, like that of the plant, may be and the entire process disappears in a few days. sufficiently described in terms of organization; Herpes carcinatus also yields rapidly to this in other words, the structure is one in which treatment. The remedy showed itself to be the parts are essentially organs—that is, instruthe most powerful in alopecia areata ; and, in ments subservient to the uses of the whole. cases where every other treatment had been But man is something more than a simple tried in vain-corrosive sublimate, iodine, organism ; in him, while the different bodily vesicatories, etc.—and where the disease had organs are adapted to the purposes of the lasted for one to four years, this treatment

whole organism which they form, that organism caused it rapidly and completely to disappear

is itself reduced to the position of a mere The affected spot is painted once a day organ—an instrument fitted for carrying out with this solution. It is applied by means of the purposes of a mind. Probably when anata wad of cotton, which is burned after the ap- omy and physiology have attained a completeplication in order to prevent further spread of

ness which they are far from claiming as yet, the disease. The hair is cut short, and all they may be able to show that every tissue of washing of the hairy scalp is avoided as much the human body is differentiated in a peculiar as possible. In all the cases thus treated there way from the corresponding tissues of other soon appeared small hairs, which were, at first, animals by the fact that it has to subserve the whitish, and then rapidly became darker. The uses, not of a purely animal existence, but of average period of treatment was from three to human intelligence. And thus the profession four weeks. Sometimes there appears after

of the medical practitioner is invested with an the first application of the solution a slight aspiring sacredness, when it is viewed as seekreddening of the scalp, with a feeling of heat. ing to preserve, in the highest state of If the applications be interrupted for one or efficiency, that marvellous instrumentality two days these phenomena will disappear, which has been pravided by the Maker of all These all appear in those cases where the solu for working out the vocation of intelligent tion is kept in a cork stoppered bottle, hence moral beings.-Maryland Med. Jour. where evaporation, with consequent concentration of the solution, takes place. The writer

Simple Examination in Urine. has also used the solution in three cases of

A. Coagulum by heat, insoluble in acids, alopecia areata of the beard In the first two


B. Coagulum by nitric acid, insoluble by cases, with plaques five and three centimetres in diameter, there appeared, within ten days,


Albumen. a thick growth of hair upon the hairless spots.

C. Deposits : In three cases, where the balc ness had per

1. Soluble by heat,

U rates. sisted for a year, twenty-five days of treat

2. Insoluble by heat, but ment were required to obtain a cure. The oil

a. Soluble in acetic acid, . Phosphates. of lavender has a similar action. By prevent

b. Soluble in hydrochloric acid, . ing the development of the parasite, the hair

Oxalates. follicle has a chance to produce a hair.-Lan

3 Insoluble in acids,

Uric acid. cet Clinic.

D. Urine effervescing with heat and acid.

Urea converted into carbonate of ammonia. THE St. Louis Clinical Reporter says of “The Phy

E. Urine giving a reddish precipitate with sician as a Business Man:"_" It will, in the literal sense of the term, pay our readers to get and read

heat, liquor potassa and cupric sulphate, this book." Price $1. See order blank, page xxii.


For Chronic Pulmonary Disease. the raw surface. This can be done by first This formula has been very frequently pre

soaking the surface with a warm alkaline scribed by me during the last year and a half

lotion (five grains of bicarbonate of soda to an with good effects in asthma, chronic bron- ounce of water), which softens the hardened chitis, chronic pneumonia and pulmonary

crusts and thus permits their easy removal. consumption :

But it is in phlyctenular disease of the con.

junctiva and cornea that the ointment has its Strychniæ sulphat.

grains ;

greatest value, and in these affections there is Syr, acidi hydriodici. Syr. hypophosph ..aa....Auid ounces ij

no better remedy that can be used by the M. Sig.-One teaspoonful four times a day. patient or nurse. A small portion should be

introduced into the conjunctival sac nightly, The hypophosphites and hydriodic acid are

upon retiring. among the most useful tonics of the materia

The subjects of this special form of inflammedica, and it is also a well known fact that strychnine possesses a special, stimulating tic remedies, with bandaging or even poultic

mation are usually children; as a rule, domesin/uence on the pulmonary nerve supply. I

ing of the eyes will have been tried before the had long been in the habit of using the alkaloid

patient is brought to the physician. It will be in respirator y diseases, but I found that its combination with the other two ingredients re

found, moreover, that these patients are

addicted to improper food and drink, with the sulted in a mutual enhancement of action. The good effects of strychnine can, however, only ing them in the house for intolerance of light


exclusion of the eyes by a bandage or the keepbe obtained when it is given in large doses.

Suitable food, avoidance of all bandages, Hence, I begin with 1-32 of a grain and

fresh air and the dally application of the ointgradually increase it to 1-20 or to 1.15, or until it shows a tendency to manifest its physi.

ment will affect a change for the better in a ological action. Thomas J. Mays, in Phila.

very few days.

Mr. Jonathan Hutchinson is so impressed Polyclinic.

with its value in these affections that in an inOintment of Yellow Oxide of Mercury.

troductory address while President of the

British Ophthalmological Society, he urges the AMONG the most useful of topical agents in certain affections of the conjunctiva and cornea

Society to put the stamp of its official approval stands this well known preparation-the so

upon this remedy. He declared that of the

thousands of children in England with phlyccalled Pagenstecher's ointment:

tenular ulcerations on the cornea, destined to Hydrarg. oxid, flav.... grains i

leave disfiguring and incapacitating scars, Vaselini....

... drams

three fourths would be almost well in a fort. The red oxide which is identical in chemical night by the use of this remedy alone, and composition was formerly employed in place of

that if a quack were to bring out this ointment, the yellow, but, as first pointed out by Mr. B. give it a striking name and advertise it suffi Squire, of England, the yellow oxide is superior ciently, he would be a public consequence of its amorphous character, T. B. Schneideman, in Phila. Polyclinic. and the subsequent communication of Drs. Pagenstecr er and Hoffman, of Weisbaden, in Luecke's Method of Treating Erysipelas. 1865, in the “ Ophthalmic Review," gave the Winkler (Weiner me 1. Wochenschrift, No. weight of experience to the theory. The red 46-48, 1891). The method of Luecke consists oxide, however carefully triturated, still shows of the application of rectified oil of turpentine crystalline particles under the microscope with a brush or small compress with stroking which, in contact with the delicate conjunctiva movements from the healthy toward the diseased and cornea, cause more or less irritation. From portion several times daily; the seances should this objection the yellow oxide is entirely not exceed five in the twenty-four hours. In exempt in that it is prepared by precipitation, the after-treatment, following each seance, the and is a perfectly impalpable powder.

parts are covered by cotton wadding held in The proportion of oxide in the ointment place by a bandage. The parts are thoroughly may vary somewhat; for use in the eye and not cleansed in the beginning with ether or alcohol. simply as an application to the edges of the Excoriations are covered with sublimated lanolids, the above strength is sufficient and as lin. Twenty-two cases are reported, showing much as can usually be tolerated without pro- an average of five days elapsing between the ducing undue irritation; in marginal blephar- first application and the desquamation marking tis, however, it may be used in the strength of the subsidence of the disease. The benefit three or four grains to the drachm. Previous derived is said by the author to depend upon to making the ap, lication, the scales or scabs the ozone present in the oil of turpentine. should be removed and the remedy applied to Brooklyn Med. Jour.

The Advantages of Acetanilid.

It can be safely given as an antithermic in DR. J. WILTON Hope, of Poquosin, Va., typhoid fever-always bearing in mind the gives an article in the Virginia Medical before mentioned remark on decrease of dose Monthly, on " Uses of Some Modern Antipy

when used for several weeks. I have given it retics,” from which we quote as follows:

for four or five weeks in a considerable number

of cases of this fever, and I think my results 'After trying all the above mentioned drugs (the various proprietary antipyretics] I have

will compare favorably with any other method decided to use acetanilid in the majority of

used to combat pyrexia in this disease. cases, for the following reasons : It is not

In simple remittext fever, a decided dose of patented (except when prescribed under the

eight or ten grains, followed in an hour by ten name of antifebrin), and can be obtained as

grains of sulphate of quinia, is most effective.

The quinia should be repeated every six hours cheaply per pound as the other per ounce. When it is administered for its antipyretic acetanilid may be continued, in doses of five

till forty grains have been taken; then the effect, the dose can be steadily decreased when

grains, for several days. It thus produces a it is to be given for any length of time.

period of apyrexia for two or three hours, Though it can scarcely be said to have 'cumu

materially aids the action of quinia, and shortlative action, yet in continued pyrexia, after

ens the attack. its continued use, at the end of two weeks, two

Sciatica resists the action of all the remedies grains will accomplish the same results that six

of this class, and one had better resort at once grains will at the beginning of the attack,

to deep hypodermic injections of morphia and There is not nearly so much danger to be atropia along the course of the nerve, as this is apprehended from its effect as one would be curative as well as anodyne. led to believe from current literature. I have Acetanilid, being cheap and apparently given it in hundreds of instances in doses effective as an antiseptic, can be used as a local ranging from two grains, to children of one application for chancroids, ulcers, etc. It is year to twelve grains to adults, and have yet non-irritating, but must be well-powdered to to see a case in which it produced any bad destroy its sharp crystals. The excruciating symptoms. But I would recommend that in

pains of dysmenorrhea are benefited by ten any case of pyrexia the initial dose be not more grain doses, but the addition of an eighth of a than six grains.

grain of morphia enhances its efficacy and, at As an analgesic, it can be given in larger the same time, disguises the remedy. We doses safely.

should be guarded in using morphia in these Children bear a proportionately larger dose. cases, for such cases comprise a large quota of

This conclusion I have arrived at after an the army of morphine habitues. extensive experience :-In many cases it seems In acute rheumatism, the above combination to have an effect on the cause of pyrexia-in can be used with confident assurance to the children especially—though this may be due sufferer of speedy relief. to the ephemeral nature of infantile fevers. I have never noticed the craving for acetan

It is certainly more safe than aconite and ilid that follows the continual administration veratrum-the classic sheet anchors of the of morphia; nor, indeed, is there so much pyrexial state.

danger of the morphia habit when the morphia In some cases, minimum doses will cause is administered in combination with acetanilid. profuse sweating, due, probably, to idiosyn- A most effective formula for chronic malarial crasy; and in these cases, if reduced doses poisoning is : (and these must be tried before resorting to

R Acetanilid.. other means) do not produce reduction of Salol.. temperature with less perspiration, it had best Quinia sulph...

grains xxir be abandoned, although atropine, in doses of M. Ft, caps. No, xij. Sig.-One every sixivi 1.200th of a grain, will counteract this effect The above is also efficacious in many cases if combined with it.

of continued fevers." Atropine would, I think, if occasion arise, prove an effective remedy for its depressive

For Alarming Tympanites. action.

To relieve obstinate constipation or the typu: In pneumonia, I have given it with excellent panites of peritonitis or typhoid fever, Dr. results every four hours, combined with quinia, Everett Thornton Nealy, of Bangor, Maine, till the temperature remained below 102 F.o. reports to the Univ. Med Magazine that he But it is well to bear in mind the expected uses a rectal injection of the following, recrisis, as the sweating that frequently occurs at Feated as required : One ounce of salts, two this time will often cause a subnormal tempera- ounces of glycerin, three ounces of warm water ture which might be attributed to acetanilid. and thirty drops of turpentine.


[ocr errors]

Class-Room Notes.

be relieved by the administration of five or ten(From the College and Clinical Record.)

grain doses of antipyrin once in three hours.

This is much better than gin, which is a do. Prof. Hare said that as a Circulatory De.

mestic remedy, or the professional remedy, pressant veratrum viride is a much safer rem

opium. Mild cases may be treated by giving edy than aconite, as in large doses it is an

apiol, and in severe cases the uterus may have emetic.

to be curetted. Prof. Wilson said that the only condition in

In the treatment of Erysipelas, Prof. Hare which bleeding is permissible in the treatment of Enveric Fever, is when meningitis develops said that ichthyol is the best local application.

He advises the following treatment: Wash the as a complication in the course of the disease,

affected part with a solution of bichloride of and in that case the complication is to be

mercury and rinse with pure water, then apply treated the same as the disease would be treated ordinarily.

an ointment containing ichthyol dram į or ij

to the ounce j This should be combined with For a case of Chronic Parenchymatous the internal administration of large doses of Nephritis, Prof. Da Costa prescribed :

the tincture of the chloride of iron. R Insus, digitalis

.f. ounces ss

In the Jefferson clinic, for three sisters, all of Every four hours.

whom had Malarial Cachexia, Prof. Da. Costa The patient to have strictly a milk diet, and prescribed the following treatment for all : also to be given a purgative to unload the Rochelle salts, ounce ss daily, before breakfast, portal circulation.

to keep the bowels freely open, and For a case of Paralysis Agitans in a man

B Ferri sulphatis

grains ij sixty-one years of age, Prof. Da. Costa gave

Cupri sulphatis

.grain 12 - the following treatment:

Arsenious sulphat

.. grain 1.40

M. Sig.–Three times a day. R Hyoscyamin ....

-grain 1.200 three times a day and in.

In the treatment of Ring-worm of the Scalp, crease the dose to... ...grain 1.100 Dr. Henry W. S:elwagon said that the removal Also the application of electricity (the mild of the hair in the affected area will shorten the continuous current).

time at least one-third of that otherwise re. For excessive Elema of the External Fe. quired to cure the disease. Chrysarobin and male Genital Organs, Prof. Parvin said tha

corrosive sublimate are the best remedies in puncture (under aseptic conditions), with the treatment, and possibly of the two the pressure applied over the parts, will be all that better is the solution of bichloride of mercury, is required in the majority of cases.

as chrysarobin may get into the patient's eyes Prof. Wilson in lecturing on Pulmonary

and set up a conjunctivitis, unless great care Hemorrhage, said that the practice of giving is exercised in its ust. ergot has been questioned, from laboratory

Prof. Keen adopted the method of rendering studies; that the drug when pushed to its

his hands aseptic previous to operating, by the physiological effect tends to increase the blood

use of a saturated solution of permanganate of pressure in the pulmonary circulation : and potassium, which is then washed off with a if such is the case the administration of the fifteen-per cent solution of oxalic acid. His drug is contra-indicated.

method of preparing his hands and arms is as For Asthma, Prof. Hare gave the following follows: He first washes his hands in hot prescription, which he recommended very water with soap, and using a brush; then highly for that disease:

washes in alcohol. After which he uses the B Tinct, lobeliæ ............f. drams ijss

permanganate of potassium solution and washes Extract euphorbiæ piluliseræ

it off with the oxalic acid solution. He then fluid

f. ounces ij dips his hands in a solution of bichloride of Nitro-glycerin

.... grain X

mercury. Tinct, gentianæ,. .q. s., ad., f. ounces iv

A patient at the surgical clinic, who was M. Sig -A teaspoonful three times a day.

given a hypodermic injection of ten drops of a Prof. Wilson said that in his private prac- four per cent. solution of cocaine as a local tice he has adopted the method of treating anesthetic previous to the removal of a small Syphilis by the hypodermic injection of cal. epithelial tumor of the lower lip, developed omel. Injections made once in five or six marked Cocaine Intoxication. Prof. Keen days for about fifteen times, will very frequently told the class that this was the first case in his be found to be sufficient to cure the disease, personal experience that had shown any idioalthough the patient should be watched at

syncrasy for the drug. Also that from inves. regular intervals for two years.

tigations of Dr. J. Chalmers Da Costa of six In the treatment of Dysmenorrhea Prof. cases all of the six patients had albuminous Parvin said that in many cases the pain may urine. He therefore recommended that an

« PreviousContinue »