the penalty; the female, whether she remains a virgin or becomes a wife.

The ovaries constitute the essential part of a woman; if they are absent congenitally, or have been removed before puberty, the genital organs remain undeveloped; if they are removed after puberty, menstruation, as a rule, ceases; while the ovaries can and do develop and ovulate in absence of the womb; the former female remains a girl always, the latter develops the attributes of the woman. From puberty to the menopause the ovaries exert a controlling influence over the female system, and though not vital organs, they settle the question of health or disease when functionally or organically diseased. The ovarian influence upon develop ment and nutrition, as well as upon the sexual functions during the fruitful period of life, cannot be ignored. For perfect health, then, it is not only necessary that these organs should remain in healthful activity, but that their functions should be exercised to the full. Every woman is intended by nature for one thing: child-bearing; and this is as essential to perfect health as is normal menstruation. When these functions are perverted by disease, we soon see the ill effects; when by violation of nature's laws, we also see the effects, but sometimes not for years:

How many women in every hundred can stand, with health, the local and systemic excitement incident to ovulation and menstruation for thirty-three years-429 periods-if no pregnacy occurs? The average married woman will feel the effects inside of five years. Any organ in the body, vital or not, failing in its function, will eventually give trouble. When ovulation is accomplished the function of the ovary is, for the time being, complete, and there is a desire for rest; at the same time the uterus cries out to fulfill its function of child-bearing. During the period of gestation the ovaries get their period of physical rest; if they do not get it, they become tired. We know that a large proportion of the diseases of married women are associated with, or dependent on, sterility. I think a very large number of gynecological cases are due to self-imposed sterility. There is a mistaken notion prevalent among the people, and unfortunately sustained by some misguided doctors, that child-birth is a "woman-killing process." Physicians should spread the true doctrine that attempts to prevent child-birth cause tenfold more suffering and danger than child-bearing, including all accidents possible to the parturient woman. To some this may seem an exaggeration, but calm study will show it is not. It is impossible for the ovaries to ovulate regularly from puberty to the menopause without giving some disturbance. One rarely meets a healthy virgin of forty; and the

married women who prevent conception or cause abortions fill our hospitals to-day. The only relief I know is pregnancy- -or castration.

A female during her teens, possibly up to twenty-five or thirty, may remain regular and comfortable; then her flow will become either scanty or profuse; possibly painful; or the intervals shorter, probably three weeks; which insures ovarian irritation for two-thirds of her time and not much more satisfaction in life unless she survives her menopause, or has her ovaries removed by some aspiring laparotomist. Or, if she is married, she may have one, possibly two, children; thinks she can improve on na ture's plan and concludes not to have any more; in the course of five or ten years she consults the physician for nothing in particular but everything in general-generally with nervous symptoms predominating; the most careful examiner will find at the bottom of the whole trouble a pair of tired ovaries and a hungry womb! Now instead of making a "big to do" over a small "granulated" spot on the cervix, or a slight leucorrheal discharge, or some minor trouble, and telling her she must have "local treatment" every third or fourth day, the physician should be a true man and tell the woman the truth: that if she will go through pregnancy and lactation, she will be cured.

Every mother should have help in taking care of her children, especially during lactation and when pregnancies are close together; this would take away one serious objection to raising a family. Of course there are cases in which the true Malthusian check-self-denial of the sexual pleasures-might be healthfully practiced to a limited extent. The normal mother nurses her baby from twelve to twenty months without ovulation, this function being checked during nine months of pregnancy and from three to twelve months of lactation. During this time the poor tired ovaries rest. For a woman nursing a baby and not menstruating, to advise weaning because she is "delicate" is fallacy, for she gains nothing by substituting ovulation for lactation. It is not so much the bearing of children as excessive care afterwards that breaks down mothers.

Having spent my boyhood on a cotton plantation, I remember how slaveholders regarded this matter. When a slave was pregnant she was given the best of care; a month before and a month after confinement she was given the freedom of the place; and when she returned to her work in the field the baby was cared for in the nursery, she returning regularly during the day to rest and nurse it.

This was

not done solely for humanity's sake; the owners learned that the only profit in the slave system was the increase; healthy mothers and healthy babies. It was not unusual to see families of

from twelve to eighteen children and four generations of such families on the same plantation.

So that when investigating our obscure cases in this line with a view to a correct diagnosis and giving the best treatment and advice, let us not be too anxious to find a case in operative gynecology, but remember "tired ovaries." I know this will not make us popular with some of our patients, but we will have the satisfaction of having done our duty.

-Kansas City Med. Index.

Pain in Pelvic Disease. PAIN or numbness in the outer part of the thigh denotes some disturbance of the sexual organs, in both male and female. Sciatic neuralgia often depends, in females, on inflammation of the ovary; in men, on irritation of lumbar or sacral nerves.

Pain in the heels, in females, may be the only evidence of ovarian abscess, while pain and swelling in the mamme will evince some trouble in the same side of uterus or fallopian tube.-Toledo Med. Compend.

OCCASIONALLY we receive a letter saying: "I did not stop my subscription; you cut me off," and other similar expressions, to the effect that THE WORLD was stopped at the expiration of the time paid for. Now let us talk a little about that point. A business upon which the sun never sets (for we have subscribers in England, Germany, Egypt, Syria, Persia, India, Ceylon, Japan, etc., and from the Atlantic to the Pacific in this country, so the sun is always shining on our subscribers), such a business must be conducted by system. If conducted at loose ends it would soon fail. But no system ever invented will suit everybody. We are discussing the matter of subscriptions. If subscriptions were continued indefinitely, some physicians would pay up every few years; but with the great majority this would only foster a spirit of procrastination and neglect, regarding business matters, that is far too prevalent among physicians; we all know that. There are peculiar reasons for this, and the physician is not altogether to blame. The demands made for his services at all times, in season and out of season, frequently establish irregular habits of life. Neglect of doctors' bills by the people is very prevalent, and frequently the doctor unwittingly follows this bad business example. Because of these and many other facts, we prepared and published the book called "The Physician as a Business Man," and no book was ever more needed. It is doing a good work among both physicians and their patrons, but there is still much to do. But to return to the matter of subscriptions. Procrastination, did we say? Yes, that's the trouble. Isn't "pay as you go" the best rule for us all to follow? For those who wish to pay only once in several years, we offer four years for $3. That's fair, isn't it?

Physicians complain that there are many medical journals that they cannot shake off, if they have ever subscribed no difference how long ago, and arrearages are constantly piled up against them, against their will. Now, THE MEDICAL WORLD is not forced upon anybody. Out of the various methods to be pursued, we have evolved the plain, straightforward, dignified

business course of simply stopping when subscription has expired, unless or until it is renewed. The notice, "Your subscription expires with this number," is Those who wish THE WORLD continued should then stamped on the bottom of the last issue paid for. immediately renew subscription, either for one or four years, as desired; if done at once, there is no danger of missing any numbers. This is the plain, easy and straightforward business course, leading to satisfaction to all.

YOURS of recent date to hand. In answer to inquiry regarding papoid, I would say that I have prescribed it every day since the Detroit meeting. I had been slow to use papoid because of the fact that there are so many new remedies on the market. Many of these have greatly disappointed me. At the Detroit meeting I conversed with a number of friends. The reports which they gave regarding papoid were so flattering as to induce me to give it a trial. The cases in which I have generally prescribed it are those in which pepsin is indicated. (I have had most satisfactory results from pepsin, thus I resorted to papoid and the results have not once been a disappointment to me.) In its surgical use, I can say but little, having used it in but few cases, but these were satisfactory. One particularly worthy of attention was one of long standing (twenty years) blind ischiorectal fistula. This case had been operated upon repeatedly and treated by some of the best men in the country. All treatment had failed. I had operated upon and treated the case for about a year, and had given it up as one beyond my ability to manage. What I am about to state may seem somewhat startling, but is none the less true. After proper preparation of the fistulous tract, one injection of papoid effected a cure, at least, it has been well for about two months.

Wyeth says that in surgery, where you are in doubt about the case, always play "trumps" (the knife being the trump). I say if you are in doubt about a prescription where the gastrointestinal tract is involved, play trumps by giving papoid.

A. M. OWEN, M.D. Evansville, Ind., Oct. 15, 1892.

close of the treatment of each disease will be especially appreciated by those physicians who are studying some of the newer developments of modern therapeutics. The entire work of two volumes comprises 1555 pages, with many illustrations.

A SYSTEM OF OBSTETRICS. Based upon a Translation from the French of Auvard. Revised by Curtis M. Beebe, M.D., of Chicago. 436 pages, over 500 illustrations. J. B. Flint & Co., New York. We have examined this work with a great deal of care. The illustrations are the leading features of the work. By means of them every manipulation and operation of obstetrics and every relation of the mother and fetus seem to be made plain. The division and classification of subjects is very logical and helpful to the systematic student. For example, Puerperal Septicemia is divided into: 1. Generalized forms without lesions; 2. Generalized forms with lesions; 3. Peritoneal form; 4. Periuterine form (pelvic peritonitis); 5. U erine form; 6. Vulvovaginal form; 7. Mammary form (mastitis); 8. Special forms (phlegmasia, paralyses, eruptions, etc). This recognizes a general cause for these different manifestations of the puerperal poisoning, and greatly simplifies the prevention and

treatment.

For price, address the publisher.
TUBERCULOSIS OF BONES AND JOINTS. By N. Senn,

M.D., Ph.D., Professor of Practice of Surgery in
Rush Medical College; Professor of Surgery in the
Chicago Polyclinic; President of the American
Surgical Association; Permanent Member of the
German Congress of Surgeons, etc. Illustrated
with 107 engravings (seven of them colored). In
one handsome Royal Octavo Volume. 520 pages.
Extra Cloth, $4.00 net; Sheep, $5.00 net; Half-
Russia, $5.00 net. Philadelphia: The F. A. Davis
Co., publishers, 1231 Filbert St.

This work embraces the entire subject, history and theory of tuberculosis, including full consideration of the tubercle bacillus, symptomatology and exhaustive means of diagnosis and methods of treatment in full, including operations.

DISEASES OF THE LUNGS, HEART AND KIDNEYS. By

N. S. Davis, Jr., A.M., M.D., Professor of Principles and Practice of Medicine, Chicago Medical College, etc. No. 14 in the Physician's and Students' Ready-Reference Series. In one neat 12mo volume of 359 pages. Extra Cloth, $1.25 net. Philadelphia: The F. A. Davis Co., 1231 Filbert St.

We find this to be a quite thorough, conscientious treatise upon the subjects. The researches of pathology and the developments of therapeutics make it appropriate that new works should be prepared in this domain of medical science every few

years.

A MANUAL OF MEDICAL JURISPRUDENCE AND TOXICOLOGY. By Prof. Henry C. Chapman, M.D., of Jefferson Medical College. 537 pages. Cloth, $1.25. W. B. Saunders, 913 Walnut St., Philadelphia, Pa. This work treats of the physician in his relation to the law of the land. It considers the legal aspects of signs of death, wounds, blood-stains, deaths by the accidents of burning, suffocation, drowning, death by starvation, rape and means of determination, pregnancy, feticide, infanticide, legitimacy, insanity, feigned diseases and poisoning. Every physician should have such a work in his library, as he knows not when he may be called into court.

MEDICAL MATTERS. Price 50 Cts. Era Publishing Co., Chicago.

This is an illustrated collection of the funniest lot of humorous anecdotes and jokes of a medical nature we ever saw. It will be capital for the table of your waiting room, only it won't stay there long, unless you put a chain to it.

MEDICAL JOURNAL ADVERTISING. By A. L. Hummel, M.D., 612 Drexel Building, Philadelphia, Pa. Price $1.

This little book gives a great deal of information to advertisers, regarding this department of their busi

ness.

OVER 1,000 PRESCRIPTIONS AND FAVORITE FORMULA FROM AUTHORS, PROFESSORS AND PRACTICING PHYSICIANS. Cloth, 12mo, postpaid, $1.00. The Illustrated Medical Journal Co., Detroit, Mich. The various formulæ contained in this volume are practical prescriptions of new and old remedies for the various types of diseases that affect mankind. They are the favorite ones, of the various authorities, for the diseases indicated. The Index is full and complete, thus rendering the whole book easy of access. The volume is copiously interleaved, so that on the blank pages can be recorded, by pasting or copying with pen or pencil, any other prescription suitable for any disease that is on the opposite page of the book; the complete index thus indexes each new formula you may see fit to copy into the pages of the volume. The whole is comprised in a handy cloth-bound volume of nearly 300 pages, and will be mailed to any address upon receipt of its price by the above publishers.

HOME, HEALTH AND HAPPINESS. By T. W. Taylor, M.D. The Normal Publishing House, Indianapolis, Ind.

We regard this as a practical and useful manual of hygiene and morals. A special feature of it is the number of blanks for keeping the physical and intellectual record of every member of the family, from the grand-parents down to all the children. Every home would profit by having a copy of this book. ALASKANA; OR ALASKA IN DESCRIPTIVE AND LEGENDARY POEMS. By Bushrod W. James, A.M., M.D. Porter & Coates, Philadelphia.

This is a beautiful volume of 368 pages, with a number of very fine illustrations, giving views of Alaskan scenery, towns and people. The text is in that charming Hiawatha meter. The following are a few of the subjects: A Humming-Bird in Sitka; Alaskan Marriage; Alaskan Doctors; Cliff-Builders; Moonlight in Alaska, etc., etc.

ANGLO-ISRAEL. A STUDY IN SCIENTIFIC ETHNOLOGY. By Rev. T. Roswell Howlett. Price $1.00. Address the Author, 3805 Fairmount Ave., Philadelphia, Pa.

We have studied this work carefully, and think that it settles in a scientific manner the important questions as to the identity of the Anglo-Saxon race, and also what became of the lost tribes of Israel. Every student of ethnology must read this book. It is selling quite rapidly, and has created quite a stir in the scientific and social worlds.

GONORRHEA AND ITS TREATMENT. By G. Frank Lydston, M.D.

ACNE AND ALOPECIA. By L. Duncan Bulkley, M.D.
CONTRIBUTION OF PHYSICIANS TO ENGLISH AND

AMERICAN LITERATURE. By Robert C. Kenner,
M.D.

These are successive numbers of the Physician's Leisure Library, and are published at 25 cts. each, by

Geo. S. Davis, Detroit, Mich. They are the freshest and newest, the brightest and best of current medical literature. The Library is a conspicuous success and will continue.

ALL AROUND THE YEAR. This is a beautiful, artistic calendar for parlor or boudoir ornamentation; dainty and delicate. Price 50 cts., published by Lee & Shepard, 10 Milk St., Boston, Mass. ORIGINAL COMMUNICATIONS IN NOVEMBER THERAPEUTIC GAZETTE:

Dr. Werner. Nephrectomy for Enormous Sarcoma of the Kidney; Recovery.

Dr. Longstreet Taylor. Shurly-Gibbes Method of Treating Phthisis.

Dr. Colgan. Operation for Stiff Knee following Tu bercular Disease.

Dr. Salinger. The Use of Cold Water-Rectal Injections.

Dr. Montgomery. The Diagnosis and Operative Treatment of Uterine Fibroids.

Dr. de Schweinitz. The Use of the Ophthalmometer of Javal in the Correction of Cases of Astigmatism

MR. HOWELLS will begin in the November COSMOPOLITAN a department under the attractive title "A Traveler from Altruria." Those who have seen the first two papers think they will equal in interest and in their wide appeal to all classes, the Breakfast-Table Papers of Dr. Holmes. In order to give the necessary time to this work, Mr. Howells has turned over the detail editorial work to Mr. Walker.

PICTURES FOR PHYSICIANS' OFFICES. Wm. Wood & Co., New York.

These are excellent copies of famous paintings and engravings, the subjects chosen being more or less suitable for the physician's office. They are most of them 19x24 inches, price $1.00, without frame. The one exception in size and price is "Prof. Billroth's Surgical Clinic," 24x32, price $2.00.

THE U. S. PHARMACOPOEIA "1890," which w 11 be published during 1893, adopts in great measure the Metric System of Weights and Measures; this will doubtless create much confusion in the minds of physicians and druggists, and lead to many misunderstandings and errors. In order to provide a guide to the proper dosage, etc., Dr. Geo. M. Gould, author of "The New Medical Dictionary," has prepared a very complete table of the official and unofficial drugs, with doses in both the Metric and English systems; this table is to be published in P. Blakiston, Son & Co's. Physicians' Visiting List, for 1893, together with a short description of the Metric System.

HAND-BOOK OF EMERGENCIES AND COMMON AILMENTS. By E F. Bradford, A.B., M.D., and Louis Lewis, M.D., M.R.C.S. (Eng.). Published by B. B. Russell, Boston, Mass. Sold by subscription. Physicians like to have their patients possess a work which will give them, in plain language, sensible instruction regarding the minor injuries and ailments for which they are not likely to consult a physician, yet in regard to which they should have non-injurious treatment We are glad to recognize just such a work in the convenient volume before us. The language in which the book is written is exceedingly plain and simple, and the style elegant and delightful. The scientific accuracy of the instruction given is guaranteed to all readers of THE MEDICAL WORLD by the name of Dr. Lewis formerly one of its editors. The work

does not attempt to supersede the requirement for professional services when they are necessary. On the contrary, the command is often given, "Send for a competent physician."

THE TIMES AND REGISTER (Dr. Waugh's Journal), a weekly medical journal, at $3.00 a year. For a copy of the special number devoted to typhoid fever, send 10 cents to 1725 Arch St., Phila., Pa.

For Ourselves and Others.

It Fetches Them.

Balance of bill rendered- -189-to date. $To treating eye, ear and throat- -189-to date.

Professional visits, including medicines
Office consultations.
Surgical services.

Confinements.

Total

Credits.

Balance due at date.

Received payment, Doctor..

Printed on the bottom of the bill-head is:

A prompt settlement of this bill is requested. If bills are paid monthly a discount of 10 per cent. is given. Bills not paid promptly will be passed to my attorney for collection."

If you pay your physican promptly he will attend you promptly, night or day, while your slow neighbor suffers and waits, as he made the doctor wait, and while he is waiting the angels gather him in.

Moral: Pay your family physician promptly.-Ezchange.

PRIVATE SANATORIUM. For Nervous Cases, especially Narcotic Habitués. William F. Waugh, M.D., 1725 Arch St., Philadelphia, Pa.

Now that the election is over you want a new suit of clothes. Send your order to E. O. Thompson, 1338 Chestnut St., Phila., Pa,

SEND 25 cents for fine Pepsin samples to the New York and Chicago Chemical Co., New York, N. Y.

FOR purifying the air in the room use the Vaporizer made by the Coulton Vaporizer Manufacturing Co., 114 Fifth Ave., New York, Ń. Y.

USE Peacock's Bromides for nervous conditions. FELLOWS' Syrup of the Hypophosphites still remains the standard.

We have used the supporters made by Flavell & Bro., 1005 Spring Garden St., Philadelphia, with satisfaction.

H. V. C. stands for Hayden's Viburnum Compound for female complaints.

USE the Hudor Lithia Water, sold by the Hudor Co., 68 Terrace, Buffalo, N. Y