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Transcript.-Physician: "And you have felt this way for several days? H'm! Let me see your tongue." Patient: "It's no use, doctor; no tongue can tell how I suffer."-Cin. Med. Jour.

SEND for samples of uterine wafers to Micajah & Co., Warren, Pa.

FOR free samples address, Pre-digested Food Co., 30 Reade St., New York.

FOR hypodermic tablets address, Sharpe & Dohme. Baltimore, Md.

FOR information in regard to Listerine, address Lambert Pharmacal Co., St. Louis, Mo.

FOR soft rubber snares in abortion, address Chas. H. Harris, M.D., Cedartown, Ga.

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ANEMIC PATIENTS WHO HAVE MALARIAL CACHEXIA, Dr. T. D. Crothers, editor of The Quarterly Journal of Inebriety, published under the auspices of the American Association for the Study and Cure of Inebriates, and who is an authority on neurosis, writes in his last number as follows: Antikamnia and Quinine are put up in tablet form, each tablet containing two and onehalf grains of antikamnia and two and one-half grains of quinine, and is the most satisfactory mode of exhibition. This combination is especially valuable in headache (hemicrania), and the neuralgias occurring in anemic patients who have malarial cachexia, and in a large number of affections, more or less dependent apon this cachectic condition.

GIVE THE PATIENT A CANDID OPINION.

A lay correspondent in a late number of the Brit. Med. Jour. wrote a letter taking medical men to task who do not give a truthful opinion in stating their prognoses. In an editorial comment in a subsequent issue, the same journal wisely says: "When a person having already some forebodings of evil asks the physician to tell him the truth, it is the custom of all experienced medical men to tell the truth gently but

clearly, tempering the communication with such allusions to any aspects of doubt and the fallibility of human prediction as may alleviate the hardness of the sentence."

CHRONIC CYSTITIS WITH STRICTURE.

My experience with Sanmetto is quite extensive. I could give special cases in which its action was simply astonishing, but in this report I wish to summarize my experience by saying I have given Sanmetto a long and thorough trial in a case of chronic cystitis, accompanied with stricture, the result of which warrants me in saying Sanmetto is unsurpassed by any other preparation with which I am acquainted. Its effects are prompt and positive.

Buffalo, N. Y. RACHAEL J. KEMBALL, M. D.

I HAVE treated 34 cases of diphtheria in this city with Antitoxin (H. K. Mulford Co.), with but two deaths, and one of those cases had been sick ten days before I saw it, so that it could not be counted in the statistics.

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IF YOUR dyspeptic patient is "out of sorts" with loss of appetite, give him two or more teaspoonfuls of Seng before each meal; an appetite will soon succeed his heretofore indifference to food.

WALTER W. S. CORRY, M.D., L. R. C. S., I. & C, Rosedale Abbey, Pickering, Yorkshire, England, writes: I have u-ed Iodia, and am satisfied that it is a very powerful alterative, and a great improvement on the old combination of iodide of potassium and sarsaparilla, the latter drug itself being most doubtful in its effects, while the preparation is valuable also as a diuretic, a thing of no small consideration in most of the diseases in which it is indicated.

Mr. WM. WARNER, of the firm of W. R. Warner & Co., Philadelphia, with branches in New York, Chicago and London attended the meeting of the British Medical Association. This association has 16,000 members, 6,000 being present. The British Pharmaceutical Journal August 10th, says of Wm. R. Warner & Co.'s exhibit: "As might be expected, their display was characterized by the elegance of style which is conspicuous in the 'get up" of all their preparations. Effervescent preparations were well represented, both in the granular and tablet form, the more important combinations being Bromo Soda, Bromo Lithia and Antalgic Saline. Ingluvin in its various forms, and Cascara, Coca in all their guises were to the fore. The Pill industry, which forms such an important branch of the firm's output, was represented by a creditable display of variety of coating, including the granules and parvules. Hypodermic Tablets, Lentiforms, etc.

PILL VITA is the most powerful aphrodisiac known to medicine. See page facing contents.

KEARNEY, N. J., January 7th, 1893. Enclosed please find $2.40, for which please send one double box Freligh's Tablets. I am satisfied they are a good thing.

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DR. TODD, of Abbeville, S. C., a brother-in-law of Abraham Lincoln, and now 79 years of age, has gone blind. He was a division surgeon in the corps of General Longstreet, and served all through the war as a Confederate, while his brother-in-law was president of the United States.-Cincinnati Med. Jour.

HAVE you used Pineoline for skin diseases? Sample free. Walker Pharmacal Co., St. Louis, Mo.

FOR Tritica, used for diseases of the kidneys and

other portions of the urinary tract, address The Searle & Hereth Co., Chicago, Ill.

SEE the advertisement of Hydrozone, the strongest antiseptic known, on page opposite editorials, this issue.

FOR free sample of Malted Milk, address Horlick's Food Co., Racine, Wis.

IF YOUR patients cannot digest starch, try TakaDiastase, made by Parke, Davis & Co., Detroit, Mich.

TO A SKELETON.

Behold this ruin! 'Twas a skull
Once of ethereal spirit full.

This narrow cell was life's retreat;
This space was thought's mysterious seat.
What beauteous visions filled this spot!
What dreams of pleasure long forgot!
Nor hope, nor joy, nor love, nor fear,
Has left one trace of record here.

Beneath this mouldering canopy
Once shone the bright and busy eye.
But start not at the dismal void,
If social love that eye employed,
If with no lawless fire it gleamed,

But through the dews of kindness beamed,
That eye shall be forever bright
When stars and sun are sunk in night.

Within this hollow cavern hung
The ready, swift and tuneful tongue.
If falsehood's honey it disdained,

And when it could not praise was chained;
If bold in virtue's cause it spoke,
Yet gentle concord never broke,
This silent tongue shall plead for thee
When time unveils eternity!

Say, did these fingers delve the mine,
Or with the envied rubies shine?
To hew the rock, or wear a gem,
Can little now avail to them.
But if the page of truth they sought,
Or comfort to the mourner brought
These hands a richer mead shall claim
Than all that wait on wealth or fame.

Avails it whether bare or shod
These feet the paths of duty trod?
If from the bowers of ease they fled,
To seek affliction's humble shed,

If grandeur's guilty bride they spurned,
And home to virtue's cot returned,
These feet with angel wings shall vie
And tread the palace to the sky!

[The late Dr. Darling, Professor of Anatomy, Univ. New York.]

PATIENT: "I suppose there are still a great many unsolved problems in medicine, doctor." Doctor: "Yes. For instance, there is the question why sick people are called patients."-Cin. Med. Jour.

We can supply the "Physician's Vade Mecum," a book of nearly five hundred pages, suitable for the pocket, and a perfect mine from which to dig pure facts at any and all times. It would require a page to give an adequate idea of the contents. Tables of all kinds; dosage, weights and measures, solubility of chemicals, eruptive fevers, incompatibles, pulse formulas, doses for inhalation, table of feigned diseases. ete, etc., etc. Classification of skin diseases, emergencies and their management, diseases of the digestive system, miasmetic diseases, fevers, care of new-born infants, diseases of childhood-we cannot at

tempt to give a fuller idea of the contents, excepting to say that the fourteenth chapter is a novelty in medical literature. being a physician's interpreter in three languages. This alone is worth much more than cost of book to many. Last chapter contains over one thousand prescriptions All this for one dollar! May be returned within ten days if not satisfactory. Address THE MEDICAL WORLD.

HIS FIRST SEIDLITZ POWDER.

The desire for new things was not confined to the Athenians. Even far distant Africa possesses it, if the story now current is true.

On the arrival of the first consignment of seidlitz powders in the capital of Delhi the monarch became deeply interested in the accounts of the refreshing draught. A box was brought to the king in full court, and interpreter explained to his majesty how it should be used.

Into a goblet he put the twelve blue papers, and having added water, the king drank it off. This was the alkali, and the royal countenance expressed no signs of satisfaction. It was then explained that in the combination of the two lay the luxury, and the twelve white powders were quickly dissolved and eagerly swallowed by his majesty.

With a wild shriek that will be remembered while Delhi is numbered among the kingdoms, the monarch rose, staggered, exploded, and in his full agonies screamed, "Hold me down!" then, rushing from the throne fell prostrate on the floor. There he lay during the long continued effervescence of the compound, spurting like 10,000 pennyworth of imperial pop, and believing himself in the agonies of death.-Kansas City Med. Index.

[If he had used the elegant Seidlitz Dosimetric, used by the Philadelphia Granule Co., he would have had no trouble, but would have called for more. It is just like an effervescent lemonade]

For general surgical work, Dr. Samuel Roome, Lecturer of Surgery, New York Post-Graduate, writes as follows:

GENTLEMEN:-The formula of Unguentine at once caught my eye, and I have used it quite extensively since. In burns, scalds, cuts, excoriations, simple ulcers and inflammatory skin affections, I find it works admirably. Will use it frequently in the future.

GREAT RELIEF.

J. Ringwood, L. R. C. P. I and L. M. L. R. C. S. I., Kells, County Meath, Ireland, writes: "I have had the most satisfactory results from the use of Lilly's Glycones. Besides their certain gentle action on the bowels, they give the greatest relief in all cases of pelvic congestion, prutritus and internal hemorroids."

IN LINE with the progressive spirit which seems to animate the pharmaceutical guild, the Mellier Drug Company of St. Louis, in addition to Tongaline, liquid, now present that most reliable rheumatic and neuralgic agent in tablet form. For those cases, which in addition to the rheumatic and neuralgic features, exhibit any excess of Uric or Lithic Acids, they make Tongaline and Lithia Tablets, Tongaline 5 grs., Lithium Salicylate 1 gr. Where the rheumatism and neuralgia is accompanied by malarial conditions, they have Tongaline and Quinine Tablets, Tongaline 3 grs., Quinia Sulph 2 grs. Samples and literature mailed on application to the Mellier Drug Company, 2112 Locust St., St. Louis.

GETTING ACQUAINTED.

I got acquainted very quick

With Teddy Brown, when he

(Continued over next leaf.)

The knowledge that a man can use is the only real knowledge; the only knowledge
that has life and growth in it and converts itself into practical power. The rest
hangs like dust about the brain, or dries like raindrops off the stones.-FROUDE.

The Medical World. they wear no underclothing at all. He

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has convinced many, who are now successfully following his rule and would not go back again to the custom of wearing the usual undergarments.

A book recently published by Dr. E. H. Dewey, Norwich, Conn., entitled "The True Science of Living," advocates that we should not eat so frequently, and that we should do without the usual morning meal,. breakfast, altogether. Yet we have iten been advised by physicians in malariousclimates that we should not go out and expose ourselves to the morning atmosphere before we have taken a warm meal. We are also advised that we should never go. anywhere where we are liable to be exposed to contagious diseases without nourishing food in the stomach. The members of the "Ralston Club," of Washington, D. C., who expect to live 200 years, have as one of their

VOL. XIII. NOVEMBER, 1895. No. 11. principles that one should eat something,.

Hygienic Fads and Theories.

Persons reasoning with different degrees of information and from different points of view usually arrive at different conclusions. Hence we see announced from time to time widely divergent ideas as to the best manner of living to promote health and secure long life. We will mention a few of the recently advocated theories.

Almost every physician will advise his patients who are predisposed to consumption or subject to catarrhs and rheumatism to wear warm woolen underclothing. That is the central idea of Prof. Jaeger, the founder of a certain system of hygienic underclothing. Yet Dr. Charles E. Page, of Boston, as our readers will remember, advocates the theory that persons will be healthier if

even if only a little, every hour, that the stomach should never be allowed to remain empty.

The Esquimau drinks large quantities of oil and eats large amounts of fat and blubber. One of the first things urged upon those who are supposed to be going into pulmonary consumption is that they should take plenty of fats-as much as thev can digest. Yet a physician some time ago published an article in a medical journal asserting that fats and sugar are almost poisonous to the system, are never assin.ilated and should never be eaten,even to the creain that exists in milk.

A certain school of vegetarians confidently assert that chloride of sodium-our own beloved table salt-is a rank poison to the system, and should never be taken un

less it may occasionally be indicated for medicinal purposes in very small doses. Yet a Baltimore firm has prepared a remedy for indigestion, to be taken immediately after eating, which consists largely or almost entirely of-salt. They claim (we understand) that people do not customarily take enough salt in their food.

Now who shall decide between all these conflicting and confusing theories? Shall we have a national committee of investigation?

Potassium Permanganate a True Antidote to Opium and Its Alkaloids.

We find many reports from competent practitioners all over the world detailing the brilliant and even marvelous results from the administration of this most useful drug in all forms of opium poisoning. It seems to act best when given hypodermically, from one-half to two grains at each injection.

The Great Chemist and Bacteriologist. Louis Pasteur, who died September 28th, near Paris, France, was not a physician; he was a teacher and scientific investigator. Yet his investigations and discoveries have exerted more influence in clearing up certain problems in pathology than those of any other single person in the history of the scientific world. His domain of activity was the laboratory, with the microscope and the culture tube as his principal implements. A very brief resume of his great work will be sufficient to enable one to form an opinion of the incalculable value of his services to mankind, both in dollars and cents and in lives and suffering saved:

The relation between crystallization and physiological action.

The bacterial cause of fermentation.

The organic cause of deteriorations in wines, and the correction of the trouble by heating to 122 degrees Fah.

The disease germs that, by killing the silk worms, were destroying the silk industry of France. The correction saved it.

The germ theory of infective diseases, as a foundation for curing and preventing such diseases.

Pasteur's discoveries were of an elementary or fundamental character, forming a basis for future investigations for ages to come. Pasteur is one of the giants of the world's scientific progress.

Original Communications.

Short articles on the treatment of diseases, and experience with new remedies, are solicited from the profession for this department; also difficult cases for diagnosis and

treatment.

Articles accepted must be contributed to this journal only. The editors are not responsible for views expressed by contributors.

Copy must be received on or before the twelfth of the month for publication in the next month. Unused manuscript cannot be returned.

Certainly it is excellent discipline for an author to feel that he must say all he has to say in the fewest possible words, or his reader is sure to skip them; and in the plainest possible words, or his reader will certainly misunderstand them. Generally, also, a downright fact may be told in a plain way; and we want dowright facts at present more than anything else.-RUSKIN.

READ. REFLECT. COMPARE. RECORD.

Interesting Cases.

Editor Medical World:-I have written so much concerning the morphine habit that many of my readers believe I treat nothing else. I shall give a few details of other cases to show the peculiar advantages of sanatorium treatment.

A physician came here from the East complaining of a dull, persistent pain in the left side above the kidney. It had existed for many years, with occasional exacerbations, and rarely being entirely absent. Motion, such as riding, was apt to aggravate the pain. He was feeble, emaciated, weak in digestive capacity, yet had fulfilled. the onerous duties of a country physician with credit and pecuniary success.

Examination revealed distension of the gall bladder, which became inflamed to such an extent that it was deemed best to open it. This was done, the pus evacuated and a drainage tube inserted. A few days later a gall-stone presented itself at the wound, and was removed. The patient recovered but slowly, although his appetite and digestion were excellent. The effects of fifteen years' suffering do not disappear very rapidly when the patient is over forty. At present, several months after the operation, he is quite well and strong.

The point of special interest in this case is that the calculus did not manifest its presence by colic and jaundice, but by a continuous pain referred to the locality of the left suprarenal capsule.

A lady 43 years of age was brought to me for profound debility. She was carried into my house, being too weak to walk. She was neurasthenic, subject to nervous or hysteric attacks, and complained of severe aching along the upper dorsal spine and between the shoulders, with basic head

ache, ovarian, sciatic, lumbar and epigastric pain and tenderness. She had a history of uterine retroversion of many years' standing. When the so-called hysteric seizures occurred the stomach became intolerant of food, and she would go ten days without being able to retain anything in her stomach.

She was placed at once upon the system of feeding which I have termed "scientific stuffing," getting food every two hours, consisting of milk with rennet, bovinine, the predigested foods, clam broth, grape juice, etc., given in small quantities and gradually increased as she was able to bear it. Peptenzyme and protonuclein were used largely and with good effect. The uterine tissues were drained by the use of cotton tampons saturated with glycerine and ichthyol. After two weeks we succeeded in restoring the uterus to its normal place. But it proved quite another matter to retain the organ there. A pessary could be worn only twenty-four hours, when the uterus would be aching so severely that the instrument had to be removed. The tampons were used. Finally a chamois skin bag was made, covered with petrolatum and filled with cotton, and inserted. In this we have the ideal pessary for cases where the hard rubber cannot be worn. (I trust no reader of our World ever employs a soft rubber pessary). The bag is worn by day, and, after being washed, is left in a bowl of water over night.

The aching of the uterus was so great that I had to devise some means of relief. She had been taking codeine for her pain before coming to me, and the struggle it cost her to renounce this drug opened her eyes to the danger. I found helonias gave great relief, but it did not agree very well with her stomach, so I applied it on the vaginal tampons, about a dram of the elixir on each. The success of this application set me to thinking. Pain is the cry for food, when of the neurotic type. If the pelvic viscera ache, why not try if we cannot provide local nutrition, as has been done in treating ulcers? So I applied bovinine on the tampons and substituted animal fats for the glycerine. This has succeeded beyond my expectations. I am quite sure that the nutritious material is absorbed from the vagina, and that the neighboring tissues are nourished thereby, and that this relieves the pain much better than any remedy given by the mouth. I do not believe it will remove the pain attending

suppuration, but that which is strictly neurotic in character.

But this is not the only lesson we have learned from this valuable case. The first hysteric attack lasted nearly a week, with the symptoms stated above. Several have occurred since, though each has been less severe than the one preceding it. But we noticed that before each nerve storm occurred her urine markedly lessened in quantity, and was almost suppressed for a day before the storm broke. This was without the knowledge of the patient. I gave a scruple of diuretin once, but the aching of the kidneys that followed was so severe that I did not repeat the experiment. Instead, whenever the urine grows scanty, I give a bottle of lithiated water, and my favorite fruit juices, and as the urine becomes abundant the nervousness diminishes. This serves to illustrate what I have frequently claimed, that the diagnosis of hysteria is no diagnosis at all, as there still remains the question: Why is she hysterical?. For some unknown reason this woman's kidneys grow sluggish in their work and fail to excrete sufficiently. As this occurs she grows restless, uncomfortable, aching and nervous in the way usually called hysterical. It seems to me the condition approximates uremia more closely, though there is no albuminuria, and the urine is of rather high specific gravity (1026), showing a concen

tration.

And now I want to modify what I have just written by frankly expressing the doubt in my own mind concerning the value of the remedies named. As I grow older and more arbitrary, more obstinate, perhaps, I am conscious more and more of the power that lies in the faith my patients have in me. Is the improvement due to the helonias, or is it attributable to that unconscious hypnotic suggestion by which our own faith is communicated to our patients? At any rate the lady gets well, which is to her the main question.

A gentleman came here from the far West to consult me in relation to impotence. There were two very large veins, one on each side of the penis, that I concluded to tie; but not the dorsal vein. I fear that the latter is being tied, to the patient's detri

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