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cus Alterans gives me perfect results. I prescribe it almost daily, and have never failed to obtain the effect sought. I regard it a specific for syphilis in all stages. I can pay no greater tribute to an article so worthy and so meritorious than to say it is the very best and safest alterative known to the profession."

767 S. 12TH STREET, PHILA., PA., March 8, 1893. I have tried the Freligh's Tablets and Tonic with satisfactory results. The Rheumatic Remedy I am not familiar with, and would be glad to have samples. Class of 1881. ROBERT KILDUFFE, M. D.

TANNIGEN, A NEW INTESTINAL ASTRINGENT. Tannigen, or acetyl tannin, is the result of a series of experiments made by Prof. H. Meyer, of Marburg, to discover a combination of tannic acid which would pass unchanged through the stomach and be gradually decomposed in the intestines, thus exerting an astringent effect upon the entire intestinal canal. It occurs in form of a yellowish-gray powder, odorless and tasteless, insoluble in dilute acids and cold water, but soluble in cold alcohol and dilute solutions of phosphate of soda, borax and soda. Tannigen is not acted upon in the stomach, and in this respect is superior to tannic acid which impairs the gastric functions, especially when impaired for a long time. On his experiments on animals, Meyer found that even when administered in small doses a portion of the drug could still be.detected in the feces, and it is therefore probable that its astringent effect extends to the large intestine. Prof. Muller, who has tested Tanningen in numerous cases of chronic diarrhea, found that it was well borne without gastric disturbance and promptly diminished the number of stools which became of firmer consistence. Excellent results were obtained from its use in the darrhoea of phthisical persons. Doses of 0.2 to 0.5 grms. usually sufficed, although daily quantities of 3.0 to 4.0 gm. were sometimes administered, and the remedy appears perfectly innocuous.

THE salicylates have long been regarded by the profession as potent anti-rheumatics, whose efficacy is unapproached by any other known medicine in the treatment of neuralgia, rheumatism, sciatica and other neurotic lesions.

The liquor tongae salicylatus, being a compc'ind of tonga, salicylates and other known and tried constituents, is bound to possess special alterative and eliminative action, with positive affinity for the excretory system of glands, necessarily producing a thorough elimination of the toxic and morbific secretions of the system through the various emunctories. It gives me unqualified pleasure to state that I have for many years freely utilized liquor tongae salicylatus in numerous lesions, and have found it a most acceptable and palatable form in which to administer the important agents which enter into its composition.

CHAS. KELLEY GARDNER, M.D.,

Huntington, W. Va.

IN giving the profession a surgical dressing (Unguentine) for use in minor surgical, obstetrical and gyneocological cases, unalterable, always ready for use, and with merit that is unquestioned, the Norwich Pharmacal Co., Norwich, N. Y., deserves the thanks of every practitioner. "Time is money." It is also much more to the suffering patient, and the time saved and agony avoided by having a jar of this preparation in your office can best be estimated after it has been used for a few weeks. If you have not yet become acquainted with it drop the manufacturers a card and they will gladly send sample and literature.

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WE are informed that a number of prominent hospitals are using, with great success, in discharges from the vagina caused by salpingitis, endometritis and pelvic inflammation, traceable in many cases to latent gonorrhea, an admirable Antiseptic in the form of a powder which is said to be perfectly soluble in water and free from corrosive effects. It is from the laboratory of J. S. Tyree, at Washington, D. C., and the investigations of Prof. W. M. Gray, Microscopist to the Army Medical Museum, are said to show that it is an Antiseptic of great value, as it acts specifically upon that direct form of bacteria which produce so many inflammatory and ulcerated conditions of the womb.

FAKIRS' TREATMENT OF DEAFNESS.

One of our city drug clerks who chanced to be in Centerville a short time since is telling how a fakir "milked" that town dry with a real old gag. Equipped with two watches, one having a faint the other a loud ticker, and many bottles of liniment, he goes to work curing deaf people. Most of you know how he did it. This particular individual worked from a carriage. By offering to cure one or more free he gets his victim up in the buggy, applies the watch having the weak tick to his ear, returns the watch to his pocket, applies some of his "lightning liniment," does considerable talking and rubbing, and winds up by applying the other watch-the loud one-to the ear. After this cure he makes probably a dozen sales, and then excites further interest by making another cure.-Iowa Corner, Western Druggist.

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Food of the hard-tack variety seems to be dispensed at the County Asylum, in Lancaster, Pennsylvania. A case has recently been reported which involved laparotomy on a maniac, whose incoherent statements indicated that this diet had been too freely indulged in. On section of the stomach it was found that one hundred and ninety-two nails had repudiated the digestive action of the vital juices, and were cosily ensconced on a mattress of matted hair, beneath a covering of rust. The nails consisted of three varieties-sharp, bent and twisted, their lengths averaging two and one half inches, although some were three inches and over. The mattress was nearly two inches in length and it (Continued on next leaf)

The

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

The Medical World.

PUBLISHED MONTHLY, by C. F. TAYLOR, M. D.

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We now have it recommended as an abortive of malarial attacks, Dr. Ben. H. Brodnax, of Brodnax, La., having sent a communication to the Philadelphia Medical Society, detailing his use of it in that disease, and regarding it as a valuable substitute for quinine.

He administers a dose proportioned to age (about six grains to an adult) a half hour before the time for the expected chill. The patient sinks into a quiet slumber, with profuse perspiration, from which he awakes refreshed, having missed his chill. If there has been time to do so before the time for the expected chill, the doctor gives six to eight doses of onequarter grain of calomel, one half hour apart. If there is not time to complete this mercurial course before the chill time, he waits until after that time to begin it. After the attacks are broken he gives a tonic consisting of eighty grains of the sulphate of iron in one ounce of dilute nitro-muriatic acid, ten drops thrice No. 3. daily. The further developments of this treatment will be presented in THE WORLD during the coming season.

PHILADELPHIA, PA.

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The Still Growing Use of Acetanilid. When this agent was first brought before the scientific world its only use was supposed to be that of a symptomatic fever reducer. Later it acquired quite a reputation for the relief of headache, neuralgia and rheumatic pain. Later still it was found eminently useful in many spasmodic affections, muscular cramps, dysmenorrhea, etc. We have but recently chronicled its superiority over anything else now in use as a surgical dressing-as a powder, (pure, or mixed with bland dusting powders, as boracic acid, starch, sub-nitrate of bismuth), or in an aqueous, alcoholic or oily solution, or in an ointment, forty grains to the ounce. In the same preparations it has been found an ideal application in various skin eruptions.

Writing for Publication.

It is a good general principle that a young man engaged in a scientific calling should be slow to venture to write for the instruction of his professional colleagues. He could very appropriately practice, study, observe, compare, taking careful notes as he goes along, and thus lay a solid foundation for his subsequent work and exchange of views with his fellow-practitioners. It is a golden rule that while he is not very busy he should so prepare himself that his opinions will be ready, correct and accurate when he becomes busy.

However, experience is not always a mere matter of years. One man, with a small prac

tice and no habits of study, may not have as correct a knowledge of the science after some years as when he first graduated. Another, who has laid a solid foundation during his educational course, supplemented by active and careful hospital practice, practice with a precep tor or even private practice, may have much that is of value to report, even during the first few years of his professional career. Some men are born observers and inventors; others may go through life blind to the great mass of facts around them. To have the natural scientific mind is of far more value than to have passed through years of indifferent experier ce, with careless observations and loosely constructed ideas. However, the divinely constituted, truly scientific mind, free from prejudice, always open to newly-discovered truth, improves with advancing years and accumulating experience. Such minds constitute the advance guard of civilization-the steady bulwark of science. We can hardly hear from them too early or too often.

It is extremely valuable practice and training for a young physician to take careful notes of all his cases, read them up in the best and latest authors, and write them out fully, even if not for publication. This practice trains him in exact observation, exhaustive research and correct reporting. It will be of untold value to him in after years, both in his practice and in his writing. Let us hear from the young me n modestly, from those in the prime of their practice frequently and from those of ripe experience thoroughly.

The Physicians' Measure of Success. "That system of political economy which makes wealth and not man the ultimatum is based on a monstrous fallacy-on a fallacy so slavish and so detestable that the wonder is how accomplished and personally amiable men can be found as its abettors. The fallacy is in taking the rents of the landlord and the profits of the capitalist as the measure of good and evil, instead of taking the condition of the cultivators and of the laborers (the many) as the sure index of the character of a system. Whatever tends to debase man, to make him physically, intellectually or morally a lower being, is bad, however much or however little the wealth produced may be. The wealth is not the stable element. It is an accidental and by no means an important adjunct. Man is the stable element. His condition is the standard. His improve

ment is a good. His deterioration is an evil. And this independently of all other considerations. All other considerations are secondary, dependent, subsidiary to the great intention. Man is not useful as he produces wealth, but wealth is useful as it sustains man, ameliorates his condition, improves his capacities, gives opportunities for his further cultivation and aids his progress in the great scheme of human regeneration."

"The whole system of modern manufacture, with its factory slavery; its gaunt and sallow faces; its half clad hunger; its female degradation; its abortions and rickety children; its dens of pestilence and abomination; its ignorance and brutality and drunkenness; its vice and all the hideous forms of infidelity, hopeless poverty and mad despair-these, and if it were possible worse than these, are the sure fruits of making man the workman of mammon, instead of making wealth the servant of humanity for the relief of man's estate."-The Twentieth Century.

When I read the above it impressed me as a prophecy. I could see a white winged figure pointing to the darkness, misery and injustice of our industrial present, and then to the possible bright morning of the future, when success will be measured by the human product, rather than by the profit in dollars, cattle or factory products. I thought of little children put to tasks instead of to play and to school; of women over-worked and under-fed; of statistical reports giving glow. ing showings of material progress and wealth, without mentioning the fearful human cost. Then I thought of the relation of our profession to the matter, and I saw what we have always known, but it had not occurred to me before to note the difference.

The medical profession has always measured its success by the human results. The physi cian's record is not how much wealth amassed, but how many cases treated successfully; how many operations without a death; how much pain relieved; how many lives saved or prolonged; how many pallid cheeks made to glow with health; how many sighs replaced by smiles. He deals with the human element. Not only does he grapple with the evils that exist, but with the divination of a prophet, he reaches into the future and wards off threatened evils, his victories in the way of prevention being among his most brilliant ones, and absolutely unsel fish, as he thus cuts off prospect of personal gain.

Many a physician has devoted years of untiring labor to the truest service of humanity and left his family in need, while many a large employer of labor has caused the ruin of many constitutions, and much sickness and even death, while he and his family live in ease and affluence. Is it just? Can we not strive for the universal adoption of our high standard? Simply change the measure of success and the motive of effort from money to men; from gold to humanity; from products to the welfare of the producers.-C. F. T.*

*A notable example of what industrial institutions can be and yet be successful in a pecuniary way, is the John B. Stetson hat manufactory of this city. I recently had the pleasure of visiting and investigating this institution, and it was a great pleasure. I need not describe the manufacturing department, excepting to say that it is the largest and most successful hat manufactory in the world, and that discontent and strikes among the operatives are not known. A commodious annex has been built to the factory in which are main tained a library and reading room, rooms for the Young Woman's Guild and for evening games, a large entertainment hall supplied with a $6,000 pipe organ, a gymnasium, kindergarten, and, best of all, a complete dispensary, with a staff of physicians, and rooms specially fitted up for the various departments, as eye and ear, gynecology, etc., and a room for a hospital ward is now being fitted up. All absolutely free. A long and interesting description of the workings and influence for good of this human side of the great factory might be written, but suffice it to say that, while the benefits were first intended for the employees and their families, no line is drawn, all who come being freely admitted, enlargement of premises being made as increased facilities are required. I found the library and reading room well supplied with books, papers and magazines, attended the Friday noon services in the hall (Friday services are special, being led by employees and cocasionally visiting clergymen, while noon-day prayer meetings are usually held on other days), inspected the various departments of the dispensary, looked in upon the kindergarten, and was delighted with all. Competent persons are employed in each department, with a capable director and superintendent over all. Sunday School (non-sectarian) is held in the hall and adjoining rooms, the average attendance being over thousand. While the Stetson hats are acknowledged to be the best in the world, yet Mr. Stetson is also interested in the welfare of his employees and their children as well as in the making of hats. May his example shine with such lustre that others may follow.

one

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 plais way; and we want downright facts at present more than -ything else.-RUSKIN.

READ.

some.

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Editor MEDICAL WORLD:-One of my correspondents has requested me to write of the treatment of gonorrhea by dosimetry, as the ordinary remedies for this affection are so loathEven when given in capsules or in mass with magresia, copaiba soon becomes so disagreeable that patients cannot endure it. And then the flow, held back by the drug, recommences when the latter is discontinued and the disease runs its regular course. I do not like to be dogmatic or to claim that my experience is the only truth, but I have never yet seen any real benefit from copaiba or cubebs in the early stages of gonorrhea.

It is better to dismiss the specific idea, and to treat the attack as an acute catarrhal inflammation. Rest in bed, low diet, plenty of water to flush the urinary track and elevation of the testicles by a suspensory or pillow are the first essentials. The testimony is almost unanimous as to the value of alkalies, one to three drachms daily of the acetate, citrate or bicarbonate of potassium in the beverages. No alcohol, tobacco, spices or substances containing a volatile oil should be allowed.

If there be fever, or the local inflammation run high, veratrine, aconitine or tartar emetic should be given, often enough to keep the pulse down and the skin moist. These are admirable remedies for the acute stage, and by their use the attack is rendered milder and of shorter duration. If the case be seen in the beginning, before the discharge has become cloudy, the attack may be aborted by the administration of calcium sulphide, one-sixth grain every one or two hours, and by the use of tannic acid injections. The lime salt comes nearer being specific than any other remedy. It lessens the flow and hastens the stages of the disease along; its action differing wholly from that of copaiba..

My last case was discharged in just nine days, cured by the sulphide of calcium. I must say here that this agent is rather troublesome to the pharmacist, and the preparations in the market. are not all equally reliable. Those used in the case mentioned came from the Philadelphia Granule Co., and were perfectly satisfactory, as have been all the granules I have used of their make.

Next to this comes salol, and this also is usefully given from the beginning of the attack. But the best time to give salol is when there are indications that the bladder is becoming affected, the urination being frequent, and a disposition to straining manifested. From twenty to forty grains daily should be given, in pill or capsule. The same indication is met by the use of benzoic acid, in doses up to twenty grains daily. Both these agents relieve the pain and tenesmus, and check the discharge. I prefer salol in the early stages, benzoic acid in the later, when the acute inflammation has sub. sided. The salicylate of lithia may be substi tuted for salol if the latter disagrees, or may be given with it if it be deemed advisable not to give large doses of salol. For instance, if the urine becomes brown or smoky, salol should be discontinued and the lithia substituted. The benzoate of lithia is admirably suited to the later stages, when the potash salts have been laid aside.

Still later, when all acute symptoms have passed away and the discharge continues freely, from relaxation and atony of the mucous membrane, the oleo resin of cubebs and tannate of iron are indicated. I prefer to give these agents alternately, each for a week. Other remedies for this stage are eucalyptol, thymol, copaiba, myrtol, myrrhic acid, barosmin, menthol, liatrin, collinsonin, and oleo resin of piper nigrum. The barosmin is best if the bladder be implicated. As to the others, I have not been able to establish any certain guide as to their selection. The action is very nearly identical; some being stronger, others agreeing best with certain persons.

Del

The

Chordee is not so likely to develop if injections and copaiba are not employed in the acute stage. Tartar emetic or colchicine should be given in full doses, to produce nausea. phinine has the reputation of a specific. bowels should be kept open by salines, and iridin or enonymin to act on the liver. If the erections are frequent, piperazin, gr. v. thrice daily, should be added. But if the regimen suggested be carried out, there is rarely any trouble with chordee.

Cantharidin is a useful remedy when a slight gleet hangs on, with feebleness of the bladder

or impairment of the sexual vigor. exceedingly active remedy and or three times a day is quite enough.

This is an grain two

For gonorrheal ophthalmia anemonim has been recommended; but for this, and for gonorrheal rheumatism as well, I prefer the sulphide of calsium and the iodi le of arsenic; the latter in doses of gr. thrice daily, before meals.

Hydrastine is of value in the same cases as tannate of iron. Caulophyllin is said to be useful, but I have never tried it in this affection. Gelseminine is an efficient remedy for chordee, and to allay sexual excitement. It should be given cautiously, yet in doses large enough to have the desired effect; or at least to reduce the heart's action materially. Perhaps the most generally useful combination is calcium sulphide and gelseminine.

Are injections really required? So much harm is done by unskilful topical medication that I would prefer not to use injections at all, unless they are administered by the physician in person. In that case, a weak solution of potassium permanganate in hot water, or the acetates of lead and of morphine, or bismuth sub nitrate suspended in water, or hamamelis water give the same relief that hot salt water does in coryza, or hot water alone in dysentery. It is the heat that relieves; the antiseptic being of less importance. The solution should never be strong enough to cause smarting; the object being sedation strictly. If the local inflammation be severe it is better not to employ injections at all, but to apply tincture of iodine, or the yellow oxide of mercury ointment to the under surface of the penis. When I use injections at all, I employ a delicate little rubber tube with the orifices at the end directed back. wards. This is inserted just after the patient has urinated, so as to avoid, if possible, carrying the gonococci back into the healthy portion of the urethra. The tube is inserted beyond the inflamed section, and a stream of the liquid allowed to run through and out at the meatus for five or ten minutes. Thus the urethra is thoroughly flushed. This is repeated as often as pus shows itself at the meatus.

A case recently treated by me showed some unusual features. The man had had gonorrhea four years previously. At that time a tumor appeared on the left side of the penis, increased to the size of an egg, and was lanced, discharging pus and urine. It soon closed, but left a hard lump about the size of a large bean, and on erection, the penis was curved toward that side. One month before coming to me he had a second attack of gonorrhea in which the abscess reappeared in the same spot, and opened

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