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R. Acid carbolic
Editor MEDICAL World:—Will you kindly practitioners in larger cities, where they have ask for advice as to the best intrauterive injec- better chances with patients unfit for operation, tion for a persistent and seemingly incurable or unwilling to undergo such, would give the case of metritis, superinduced by gonorrhea. drug a fair trial. The plant is very common The discharge is constant and persistent, after here, one variety called the cartwheel (cineraeight years constant treatment by specialists ria maritima, or grandiflora) is cultured as a and hospital, she is no better than when she pot plant in the garden. The other variety, began. Most, if not all the popular antiseptics with red or purple and green stems, called in have been used, health otherwise apparently Hindu kukrainda (C. Hybrida vel exotica), good. Can a cure be accomplished ?
grows near the bases of old pucca brick build. METRITIS. ings during the rains and early winter, and are
mural plants, very common in the Northwest Current Medical Thought.
Provinces and Bengal. The application causes no pain beyond a little sensation of heat, last
ing from three to five minutes.- Medical ReA Useful Ointment.
view. ABOUT one year ago we had occasion to pre
Antiseptic Formula. scribe the following for an exacerbation of subacute pleuritis with effusion:
Messrs. Christmas and Respant have enAmmonio-ichthyol .....
deavored (Pharm. Prog.) to obtain a formula Ointment of ammoniated mercury,
for an antiseptic solution that shall be powerful Ointment of iodine, of each....
..dram iij Lanoline q. s. ad..
enough to destroy the microbes, and at the same
time not so strong as to damage the organism. The directions were to apply over the affected
The best results were obtained with the fol. area, rubbing it in well, and repeat again lowing formula: as soon as the skin had sufficiently recovered from the first application.
ulicylic The condition was greatly improved after the
Ess. menih. pip. first application, and an apparent recovery was A one-half per cent. solution in water of completed after the third application, four days this mixture destroys the microbes of diphtheapart. The condition has not recurred again, ria; those of typhoid fever cannot stand its although previously the patient had been sub
action for more than half a minute. The anject to frequent exacerbations. We have since
thrax bacillus is destroyed by a one-fifth per used the formula with great benefit in various
cent. solution. This represents an antiseptic inflammatory conditions—subacute peritonitis,
power five times greater than that of carbolic lumbago, rheumatism of joints, intercostal
acid alone. Tuberculous sputa treated by a rheumatism, and to abort a boil or abscess. We
one per cent. solution can be sterilized in a quarnow report it for further trial and suggestions
ter of an hour.-Medical Review. for improvement by our fellow practitioners. It will be observed by the combination, that the ointment is somewhat severe on a sensitive skin,
Common Salt in Diphtheria. producing considerable irritation. For that (A Therapeutic Proposition by Dr. A. Seibert.) reason it should be used with caution until the SOLUTIONS of common salt were used long ago patient's susceptibility to it is determined. for cleaning the nose and the throat, but they
J. J. T.
are not strong enough to be even of prophylac
tic value. It occurred to me, therefore, to use Cineraria Maritima in Cataract.
salt in diphtheria in the same way as it is used in R. P. Banerjee reports several cases of the preparation of corned meat and sauerkraut. cataract cured by the use of the juice of this And thus, since July, 1888, I have treated each plant (Med. Rep., Calcutta) which is indigenous case of diphtheria in the following manner: to India. In each case the opacity cleared At the very first visit, I spread a thick layer away in a very short time. In commenting of fine salt over the tongue as far as between upon these the author remarks: Knowing that the tonsils, by means of the moistened back of the natives of this country used the fresh juice a roundish (not sharp) little spoon handle; then of the plant in cataract (motiabind or nazala) I turn the spoon to the right or to the left, so as with good results, I gave it a trial, because I to have the edges now standing upward and have no eye instruments here, and the cases downward, and thus I press the salt on the being unwilling to undergo any operation, the diphtheric spot and its surroundings. No force results being successful. Also in the Pharma- of any kind is used in this, and it is easy to ceutical Journal for May, 1888, one or two cases maintain the spoon and the salt in situ for a of cures have been noted. And I hope that whole minute. “On retiring the spoon, the salt
remains attached to the tonsil. After covering Phosphorus as an Antipyretic in Fevers the spoon handle with a new layer of salt, the
in General same operation is repeated on the other side. Dr. C. Coleman Benson says: “My specific
Only after some particles of salt have dropped for all temperatures from 101° to 107° F., and near the epiglottis, tussicular irritation is pro- dependent symptoms, is phosphorus, which duced, and in rare cases (in sensitive patients) should be given in temperatures from 990 to choking, and occasionally vomiting. In
101°, in doses of 1-150 of a grain every half most cases children support this application of hour for six doses, and then every two hours salt very well. Grown-up and bigger children during the day, till reduction of temperature to have stated that only after liquefaction of the normal. If the temperature vary from 101.5° to salt some irritation and tussicular fits are 107°, then give 1-100 of a grain every half hour noticeable.
for four doses, and then every two hours during In the subsequent hawking and coughing I the day till reduction in temperature to normal, have frequently seen membranes which had never, however, exceeding in the twenty-four dropped, being inducerl thereby immediately to
hours $ grain, and even less if epigastric pain make a new application of salt on the now raw, be produced by it. The temperature at first ulcerous surface.
will rise slightly, but descend rapidly from 30 The salt now penetrates rapidly into the to 4°. When the normal has been attained diphtheric membrane, into the ulcerous basis
and remained so for twenty-four hours, then and, through the intact membrane, into the give 1-100 of a grain, with food thrice only in depth of the infiltrated and still healthy sur
the day." roundings. Wherever it now reaches, it is While I admit that phosphorus is a very exbound to develop its antiseptic effects. I may cellent nerve tonic and stimulant, acting on the positively assert that the diphtheric germs un- circulation through the nervous system, causing dergo this effect. Mostly very soon after the the pulse to be fuller and more frequent, disfirst application, fever and pain diminish ma
tending the capillaries until free perspiration terially, and accordingly, at the vext visit (after follows, and from its primary action increasing six hours) tumefaction is found to be less, and es
the heat of the surface of the body slightly, its pecially paler, than before, while subjective con- secondary effect lowers temperature. It acceldition is materially improved. Although the
erates cell-growth in the body. It acts as a membrane may not be removed yet, it has not diuretic. The urates and urea are greatly inenlarged and it remains localized; for the ap
creased in the urine; yet I do not think it plication of salt twice every day “corns” the
should be considered a specific for fevers. It surroundings of the diseased part in such a way
may act well as an auxiliary in the management that fungi and cocci are unable to gain a foot
of some cases, and doubtless it does; but I hold, and, on the other hand, the morbid gernus,
think that antiseptics should form the basis of established already in the tissues and in the treat ent in all cases which have sepsis as the lymphatic and sanguiferous ducts, are rendered exciting cause. While it may not play an iminnocuous by the salt.
portant part in causing the fever under considIt is self-evident that in highly-developederation, it does serve as the materies morbi cases, where the laryngeal cavity is clothed in
in many cases of sickness attended with high toto with diphtheric covering, this treatment will
temperature. not perform miracles any more than
Weshould not allow ourselves to be led astray therapeutic method.
by hobbies and specifics, so-called, but should I will not produce statistics. I wish only to
try to meet the indications in each individual say that I am highly satisfied with this system
It is well known that pyrexia results of “ Corning Diphtheria,” and I would like to
from various causes; therefore, we should select recommend it to my colleagues.
our remedies with the view of removing the Until now, I have not found it necessary to cause as well as relieving the symptoms. The make the application oftener than twice per day. Atlanta Medical and Surgical Journal.
The method is simple, absolutely harmless and without any danger, and rational.-Medicinische Monatsschrift.
A REMEDY FOR CHRONIC RHEUMATIC AR
THRITIS.- According to Mr. Hugh Lane, in “MONEY TALKS."
his recent work on Řheumatic Diseases, the folPlease note the following private letter from an em- lowing prescription was found of such service inent physican and surgeon.
among the pensioners of Chelsea Hospital who Dr. J. J. Taylor. - Allow me to say in regard to the suffered from chronic rheumatic arthritis that Physician as a Business Man,” that I received $5.00 of value from it, ere I had the book fifteen minutes.
Lord Anson gave three hundred pounds for Yours very truly, Geo. S. HAZARD, Ph.G., M.D.
the liberty to give publicity to it: B. Honey, 1 Blue Hill Ave., Boston, Mass.
3xvj; sulphur, 3j; cream of tartar, 3j; rhu
barb, Ziv; gum guaiaci, 3j; nutmeg, No. j. Blood Examinations in East African MalaMisce. The patient took two tablespoonfuls in
rial Diseases. a small tumbler of hot wine and water when
By E. GRAWITZ, Staff Physician at II Medical Clinic, Berlin. going to bed, and the same quantity before rising in the morning, remaining in bed until
[Review by Wm. Krauss, M.D., Memphis.] any perspiration that was occasioned had sub
This investigator has examined the blood of sided. The treatment was continued until a
six officers who had done duty in the East Afriperceptibly good effect had ensuell, when only can German Colonies. one teaspoonful was administered at a dose un- Four of these cases had remained well and til the mixture was used up.-N. Y. Med. Jour- without plasmodia since their return home some nal.
months since. In three there was still marked
diminution of red corpuscles at this time. In Infusion of Triticum Comp.
all six of the cases, as well as all of the domesThis term I would apply as a proper pro
tic cases of malaria examined, Grawitz finds fessional name to the advertised “Garfield Tea."
a marked increase of eosinophilous cells.* The This popular laxative and diuretic, composed of
fifth case was peculiar. This patient stood the the simplest herbs, as a proprietary medicine, Southern climate well at first, but soon became makes these herbs altogether too expensive for
the subject of short attacks of chills, with fever poor people. I therefore suggest the term above
and sweating, but at irregular intervals. and present the formula for it as follows:
first he rallied well from these, but finally he
succumbed, presenting all the symptoms of R. Sennæ folii
åå 25 parts.
our (Mississippi Valley) chronic malarias, viz., Balmoniæ......
chilly sensations, malarial pails, headaches M. One to two heaping teaspoonfuls to a cup of water, steeped as common tea should be steeped, viz. : Put in tin dish and pour the diarrhea, anorexia, with occasional inter- and water on absolutely boiling hot ; stir and steep three minutes and no longer. This extracts the virtue and leaves the bad taste and
remission. He returned to Berlin, pale, withgriping elements of the senna bebind. Drink this as hot as out fever, enlarged spleen, no other changes. possible on retiring at night. There is no griping about it and the light stimulation of the kidneys is more agreeable than other
A few days later had slight attacks, was wise.
extremely weak, and complained of palpitaThis, taken in greater or less quantities every tion. Blood examination showed 4.5 million night for a time, will work wonders for those red, 16,000 white corpuscles, eosinophilous who need the laxative. As for the diuretic cells somewhat increased, and small roundish qualities, they are as much needed as were the
and ovoid, delicate, colorless bodies, within red diuretic qualities of the waters of a certain blood corpuscles, without pigment, and showing spring near a girl's seminary. The seminary energetic voluntary motion. In a few days was advertised over the advantages the young longer irregular pigmented bodies, and still ladies might receive from these diuretic waters, larger, round, still more pigmented forms, as though all girls needed them.
taking up almost the entire red corpuscles, some Any apothecary can prepare and keep on of their contours extending even beyond its hand such mixtures of herbs, using better senna margin. They were extremely few, often rethan that found in the proprietary Garfield quiring half a day to find a single one. Tea. This makes a very convenient mixture As is well known, these large pigmented for every family to keep on hand for family forms are always precursors of an attack, but use, and offers a proper prescription for the this was not the case with this patient. Nor physician.-E. CHENERY, M.D., in Times and
were there any forms with Aagellæ, but the Register.
next examination from this patient showed a
form entirely different from the forms of acute Phytolacca decandra (the common poke root malaria,f the semilunar plasmodium of Laveran. and poke berries) is acquiring a reputation as an “anti-fat," or remedy for surplus flesh.
*White blood corpuscles, capable of taking on eosin stain, a property discovered by Ehrlich, who believed them diagnostic ef beginning leukemia.
fFor the benefit of those of the readers who have not kept tip DOCTOR-Have you been wishing to adopt the con- with the literature on malarial parasites, it might be well to give venient and most efficient alkaloidal or dosimetric
the author's review of the same. The Italian investigators have
done more in this line than all others, they having had more granules in your practice, but hesitated on account of abundant material at their disposal for studying the varieties lack of definite knowledge as to how to use them ? and biological relations of this parasite, first discovered and de The new book " Outline of Treatment with Dosimetric
scribed by Laveran, and later named plasmodium malariæ by
Marchiafava and Celli. Granules ” will meet your needs admirably. It is the Italian authors distinguished (see Memphis Journal Medical only book published treating this important subject Sciences, December, 1890.) three principal developmental series from the standpoint of the American practicing physi
characterized by their morphological character, arrangement,
presenee and absence of pigment, etc. It meets the difficulties that are encountered at
In the beginning of a paroxysm all three varieties commence the bedside and in the consulting room. Bound in their cycle with the appearance of small roundish or ovoid bodies, flexible cloth, small pocket size, 106 pages, price only
which grow inside of the red blood disks, and at the expense of
their hemoglobin, as a rule forming pigment in their center, and 50 cents See order blank on page xxvi.
after many changes of form becoming larger, and giving of spares
This parasite is still the subject of lively contro- corpuscles to 20,000 on twenty-fifth day, about versies, Golgi believing it to be the plasmodium twenty to twenty-five per cent. being eosinophiof the current malarias, paroxysms coming on lous cells. The author concludes by calling at longer intervals. Others believe it to be char- attention to the value of blood examinations acteristic of chronic malarias. They have before giving quinine. never been found except in malarias of the The observations given above coincide with Southern climate.
those of Dr. E H. Martin of Green Grove, An effort was made to influence this organism Miss. (see vol. iii, No. 12, this journal), who by large doses of methyl-blue, but this was says: “A patient with malarial hematuria has unsuccessful, and patient was finally cured by a malaria to fear least of all.”—Memphis Journal total of eighty grains of quinine.
Medical Sciences. The sixth subject of this paper was a typical malarial hemoglobinuria. He was a sergeant The New York World pays the following in the East African Colonies, and had to be compliment to the medical profession : relieved from duty on account of physical A recent case has brought to public attention derangements, due to the prolonged malarial
the attitude of the medical profession towards intoxication. On his return he looked well, no
doctors who keep secret discoveries made by changes in organs, red corpuscles 5.75 million, themselves, or secure patents on such, or otherwhite, 12,000; no plasmodia. Ten days later wise seek to make their discoveries a source of paroxysms, with extremely high fever, delirium, exclusive profit to themselves. The doctors etc., resulting in grave physical and psychical call this quackery and refuse to have relations depressions. Author saw patient twenty-five days with the men who practice it, and for this many later, looking very pale, weak, without fever;
persons regard the profession as narrow-minded. no plasmodia. On following day suddenly vio- But the doctors are right. It is not in their lent paroxysms, very marked icterus, spleen
own but in humanity's interest that they hold and liver greatly swollen, urine deep brown-red, each other to this rule of ethics. It is the containing enormous quantities of hemoglobin, doctrine of the profession—as old as Galenno red blood disks. No plasmodia in blood. that the first duty of the doctor is to humanity,
Two days later there were 1.75 million red that his learning and his skill belong to mancorpuscles to c. c., a diminution of four million
kind, not to himself. Hence it is held to be in six days, their form normal, and very numer- his obligation to give to the profession, for huour examinations of fresh and stained specimens manity's benefit, whatever discovery or device on this and succeeding days failed to reveal any
he may niake tending to the saving of life or parasite whatever. On the seventh day the the mitigation of suffering. To this, moreover, red disks reached their minimum, one million ;
every physician upon graduation makes oath of on the ninth the white ones had sunk to 2,800.
allegiance, so that the doctor who violates the Changes then took place with great rapidity, ethical rule disregards his own oath and is not megalocytes of a very pale color, then giganto
a person to be trusted. Even his pretensions blasts, the numerous mycrocytes, 3 poikilo
as to his discovery must be taken as that of a cytes ; 4 in short, all the characteristic elements
man unworthy of confidence. This rule is a of the so-called pernicious anemia made their
generous, not a narrow-minded one. It has its appearance in rapid order. Then, with the
source in a high and unselfish conception of cessation of sever, a rapid regeneration, all the duty, and its rigid enforcement is a matter of morphologically altered, red disks disappeared, true morality as well as of professional ethics. preceded by an enormous increase of white - Medical Standard.
PLEASE do not procrastinate; send subscriptions now for 1893. There is no time like the present.
W.G. MacLACHLAN, A.B., M.D., of Ettrick, Wis, writes : “ The Physician as a Business Man’ has been money in my pocket.”
from their center which again become free, attack new corpuscles, and precipitate a fresh paroxysm. The first form, found by Marchiafava and Celli in summer and fall malarias, exhibit a mainly, though not purely, quotidian type, require twenty four hours for completion of cycle, the sporulative forms being rarely found in circulating blood, but always in internal organs. This form generally causes the quotidian type of the Italian summer and fall malarias.
The second, discovered by Golgi, requires twice twenty-four hours for completion of cycle, the third, also described by Golgi, requiring three times twenty-four hours.
If two generations of the tertian type are found, of which each matures twenty-four hours apart, we have a pure quotidian ague, or rather a bitertiana duplex, whilst in case of the quartan three generations may alternate and give rise to daily chills, really a triquartana triplex.
Very large, pale, red blood corpuscles.
Nucleated red blood corpuscles. : Very small red corpuscles. • Very irregularly shaped red corpuscles.
* Fifteen grains quinine had been given experimentally at first, although there were no plasmodia. It failed, and was replaced by very concentrated food, stimulants, later' arsenic.
TAE CREATOR Knows —" Doctor," said the patient, “ I believe there's is something wrong with my stomach.'
“Not a bit of it,” replied the doctor promptly. “ God made your stomach and He knows how to make them. There's is something wrong with the stuff you put in it, may be, and something wrong in the way you stuff it in and stamp it down, but your stomach is all right.” And immediately the patient discharged him.- Amer. Anal.
CHRONIC URETHRITIS is treated by Dr. A. G. of the brawny protuberant portion, inserted Gerster, of New York, by injections of a 1-2000 a crystal of pure carbolic acid into each solution of potassium permanganate, carried to cavity that was so formed; the crater was a point between the sphincter of the bladder thoroughly cleansed of pus and slough, and and the cut-off muscle.
freely dusted with a mixture of equal parts of A marked improvement, usually, quickly fol- oxide of zinc and iodoform, and the whole was lows, and on the degree of improvement de covered over with carbolized lint. pends the frequency with which the applica- The next morning the patient was almost free tions should be made.
from pain, and hence much more cheerful. I In very chronic cases it is necessary to resort removed several sloughs, scraped the softened to the deep injection of from three to five min- portions of the mass, dusteil in iodoform and zinc ims of a five per cent. solution of nitrate of over the cavity and inserted six or seven crystals silver, once, twice or three times a week, accord- of carbolic acid in various directions. Acid and ing to the severity of the case.
bark was ordered to be taken three times daily, These injections are made after the patient and the urine was examined and found to be has urinated.
free from sugar. He is placed on his back and the injector in- This treatment was continued daily for a week, troduced beyond the cut-off muscle into the at the end of which time all the surrounding neck of the bladder, but not into the bladder. brawny tissues had broken down, and most of
It is at this point that the trouble lies, between the sloughs had separated, leaving * large, cut-off muscle and the vesical sphincter.—Medi- healthy granulating cavity which was dusted cal Mirror.
as before, and the patient was soon well enough
to leave his bed and go about. An Enormous Carbuncle; Crystals of Car- Surgn.-Capt. E. HAROLD BROWN, I M.S. bolic Acid Applied; Recovery.
Civil Surgeon, Cooch-Behar. On the 28th of last June I was asked to
- Indian Med. Record. see a Mahommedan named Sher Jan Khan, aged 43 years, who was suffering from car- Treatment of Asthma by Pilocarpine. buncle. The patient had been ill for more A middle-aged woman (wife of a pensioned than a month, having been treated at first soldier) was subject to asthma for some years, by a kobiraj and afterwards, up to the time and was treate i by several medical men by I was called in, by a regular practitioner, various methods, which gave her only temwho had just left the town. I was told that it porary relief. When she placed herself under was a serious case, but was not prepared for the my treatment I also had primarily tried many sight which met my eyes when the patient's methods, such as drug-smoking, medicated steam back was uncovered; there was a large, deep inhalations, etc., without any effect. cavity between and below the shoulder-blades, In this perplexity I took advantage of a few as wide across the top of a full-sized breakfast hints from the Indian Medical Record, and havcup, and two inches in depth. Its floor was ing preferred pilocarpine tried it in one sixthcovered with pus and shreds of slough, on re- grain doses at bed-time for three days, and the moving which some of the muscles of the back patient having felt relieved to a great extent I were exposed. Surrounding this huge cavity continued the same thrice daily for a week, and was a protuberant mass rising an inch above the patient was quite relieved, and for the past the general surface ;
four months she has had no return of the com. color, hard and riddled with small orifices, each plaint. containivg a slough. From side to side of this It is, however, left to be seen whether the mass across the central crater was a measure- cure, so promising, will prove radical and perment of ten inches, and from above downwards
manent, or only palliative. eight and a half inches-truly an enormous car- In conclusion, it is suggested that this remedy buncle.
having proved so efficacious in the case cited The patient was very weak and low, worn above, which resisted so many varieties of treatout by the continuous pain and profuse dis- ment, be given a fair trial in other cases and charge He had lost considerable flesh, was results reported in the Record. In another case, unable to leave his bed, and was altogether in it may be mentioned, that I have tried tincture such a low state that I gave a very guarded of jaborandi in ten-minim doses every three prognosis.
hours, and the patient was relieved of the more The treatment which had been adopted up to prominent symptoms; but I am not aware this time was poulticing the part three or four whether the patient was permanently cured, as times daily and dressing it with carbolic oil. he refrained from further treatment. I immediately interdicted poulticing, and
By B. V. KASA VIAH. extracted several sloughs from various parts Hospital Assistant, Aurangabad. - Ibid.