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should much rather take our chances under the There is a file used by lawyers, secretaries, care of one who only chooses with good business men and others, for preserving letters judgment, than under the care of an endless and documents, which can be bought of almost experimenter.

any stationer at thirty cents each, us can be But can we not use many formulas without | made by any one whose money is more valuable becoming mere copyists? Let us see.

to him than his time. It consists of a series There are a few formulas that are absolute of apartments which collapse or fold together chemical combinations, and are to be adminis- like the bellows of an accordeon, and is made tered for the effect of the combination itself or entirely of paper and pasteboard. These for some product set free by the combination apartments are properly indexed in alphabetical rather than for any of its separate ingredients.

order on the upper margin. These, when used, should be copied exactly, One of these files may be used by the general until you can find or originate something practitioner who does not care to preserve very better.

much from his reading. A note, extract or There are others which are valuable from the clipping has simply to be dropped into the fact that each ingredient, besides having its proper apartment, and it is always there for own influence towards the therapeutic effect

instant reference at any moment. The alphadesired, also operates to prevent or correct betical indexing may be allowed to remain or some of the undesired effects of others of the the apartments may be labeled with the names ingredients. A good anodyne combination is of different departments of the science or an example. In these the proportions of the

different diseases or classes of disease, just as ingredients should rarely be changed, except the owner desires. A specialist would label the for well defined reasons.

different apartments according to the diseases There are still others which are simply lucky of his specialty. One who does a great deal combinations for the effect of every ingredient of reading and selecting will have a separate contained. These should be thoroughly studied

file for each department of medicine and surand changes, omission or substitution of ingre. gery, with the apartments properly labeled for dients made to suit each case. The physician

The physician the sub-divisions of the respective departments. should as thoroughly study his volume of pre As, for example, one entire file each for surscriptions as any other book in his library.gery, obstetrics, and for each of the medical He should also not undertake to make a new and surgical specialties. A few departments complicated prescription himself without much in each file can be left to be labeled as subse. reflection and research; and even then he quently needed. should be prepared to be sadly disappointed in In this you can drop an entire journal if you his results.

J. J. T. wish to preserve it, or an article which is

printed on bo‘h sides of the leaf, or even a

letter from a medical friend containing valuable The Medical Scrap-Book.

information. From time to time you can reject We desire to preserve notes, extracts, and

articles which you no longer wish to preserve. sometimes entire articles found in our course of

The old fashioned scrap-book system has none professional reading. Many plans have been

of these advantages. proposed for this, as, for example, an indexed When you wish to refer to a certain subject scrap book, an indexed reference book, and you have right before you everything which other complicated and insufficient methods. you have ever preserved on that subject.

Listen to the method we have devised, which Of course, you will still preserve intact the is so easy and inexpensive that the laziest, files of your favorite journal, whatever one busiest, most unsystematic or most poverty that is, and bind it at the end of the year, as stricken doctor can adopt it with perfect satis the index will be sufficient aid to reference faction.

in it.

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Nitro-glycerine, gr. tão every hour. & Tinct. nucis vomicæ..

.min. xvj Tinct. belladon..

...min. xvj Aq. dest.....

..oz. ij One teaspoonful every hour. & Zinci sulphat.

Aq. dest
As an emetic; or
Vin. ipecacuanhæ...

.oz. j B Calomelanos.

Ext. hyosc.
Ft. pil. At bedtime.
B Soda sesquicarb..


.gr. iss .gr, iiss

Cotton-wool, soaked in lime liniment, to vesicles.

.Oz, iss oz. iv

B Petrolei..

Ul. olivæ. As a paint.

Tinct. cimicifugæ racemosa ........02. ss

..dr. iss
Spir. ammon, arom,
Tinct. gent, co.
Syr. aurant.
Inf. gent. co.

ad oz, viij
Two tablespoonfuls three times a day, in sick head-
ache with flatulence.

dr. ij

OZ. SS ....oz. ss

ad oz. i)

R Ammon, carb..

Tinct. calumb.
Sp. chloroformi.

Aq. dest...

R Pulv. acidi citrici....
Divide into six powders,

.gr. XXX
.dr. j

.dr. iss
.ad oz. viij

Aq. dest....
One teaspoonful every three hours.
Warm wet pack, when eruption recedes.
B Acidi carbolici....

.dr. ss Glycerini...

Ung. zinci oxidi..
As a paint.

..dr. iss

... dr. iss ...dr. vj

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Camphoric Acid. Camphoric acid has been recently strongly recommended by Professor Reichert as useful in the treatment of acute and chronic affections of the respiratory passages. Externally he has used solutions containing from 12 to 6 per cent. of the acid, and has observed that, when applied to the mucous membrane, it appears to exercise a constringent action within two min. utes, and that, besides its antiseptic properties it promotes its granulation without irritation. He recommends, in acute angina, the use of a 12 to 1 per cent. solution every three hours; in pharyngo-laryngitis and tracheitis, the application, as a spray, of 4 per cent. solution, increasing in strength to i per cent. ; in acute catarrh, the introduction of wading saturated with a 2 per cent. solution into the nose; in acute bronchitis, a 1 to 2 per cent, solution applied as a spray to the larynx. Camphoric acid forms white crystalline needles, having an acid taste; it is difficultly soluble in water, and readily soluble in alcohol, ether, or fixed oils (2 per cent.) In order to prevent it from crystallizing out from concentrated aqueous solutions, it is advisable to add about 11 per cent. of alcohol.-Phar. Jour.

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& Liq. arsenicalis....


Instantaneous Remedy for Lumbago. Collodion, tincture of iodine, liquid ammonia, equal parts. To be applied widely over the parts with a camel's-hair brush.

The Urine in Organic Kidney Diseases.

In organic diseases of the kidney, albumen is constantly present in the urine, independently of the accidental presence of pus, blood or other fluids containing it. The amount may vary considerably, and in contracted kidney it may be almost absent; but as a rule, there is no true kidney disease without albumen. Casts of the uriniferous tubules are also most frequently found, though they too may be occasionally wanting, and either albumen or casts may be present independently of each other. The specific gravity of the urine is below 1020 in these cases; the left ventricle of the heart is often hypertrophied and there is high arterial

Tinct. ferri perchlor.

Aq. dest. After each meal.

me xij oz. j

R Ung. belladonna,

Ung, aconiti.. Applied locally.

... dã q. s.

dr. ss

R Liq. strychniæ, P. B.

Liq. ferri perchloridi.

Aq. dest...
Two tablespoonfuls after each meal. 72 .ad oz. viij

.oz. ij

.dr. ss

R Tinct. cimicifugæ.

Tinct, stramonii.
Patass. iodid.....

Syr. simplicis..
One teaspoonful every four hours.

.dr. iiss

.Oz, iss



R Phosphori.....

Alcoholis absol...
Ess. menth. pip..

One teaspoonful after each mea).

.9. S. oz, iv

tension. In functional diseases of the kidney, The treatment was accidentally discovered, albumen is inconstant, and is often absent in and consists simply in suspension, as is used in the early morning, appearing later in the day; applying a plaster jacket, three times a week, and the specific gravity of the urine remains one minute the first few times, and two to normal or may exceed it.

three minutes for the times succeeding that.

It is said to succeed admirably in locomotor Some Causes of Menorrhagia.

ataxia and in sexual impotence due to cerebral

lesions. When menorrhagia is persistent at each menstruation, and no disease can be traced in connection with the womb, it is well to examine

The gold medal of the Philadelphia School the urine. Sometimes it will be found laden

of Anatomy for the course of 1888 and 1889 with albumen and casts of tubes, owing to the has been awarded to Julius T. Vissel, a student existence of granular degeneration of the kid- at the Medico Chirurgical College. This medal neys. Here then is the primary cause of the is awarded for the best examination in anatomy, menorrhagia; the attenuated altered blood es- and we herewith congratulate Mr. Vissel and capes with unwonted ease from the vessels of his preceptor, Dr Brumbaugh, of Pipersville, the uterus, each time that they are congested

Pa. by the menstrual Aux. The blocd may also have been impoverished by exhaustion or by

The Cure of Bacillary Phthisis. prolonged lactation, and the womb itself may

Two years ago I commenced a work concernbe in a condition of perfect health.

ing the therapy of diseases of bacterial origin.

For reasons which I cannot now particularly Hemorrhoids.

enumerate I discontinued it in order that I might R. - Tr. hamemelis; tr. collinsonia; tr. euo- restrict my attention to a part of the work, viz., nymus, āā. M. S.—Teaspoonful in water four the treatment of tuberculosis. Theoretically, I times daily. Take the first daily dose early in made the following deductions : the morning in a tumbler of water in which All attempts hitherto made to destroy the 10 grains of soda bicarb. is dissolved; then at tubercle-bacilli in a body infested by them night just before retiring; remaining two doses

failed for the reason that they possess a greater between meals. If needed to overcome consti- power of resistance against antiparasitic agenpation, use black jack prepared as follows: cies, than do the cells of the animal organism R.-Aloes socoratin, zij; soda bicarb., zij;

themselves. . number six, zij; hot water, q. s. to make Zvi.

Just as resistant as the tubercle-bacilli are Dose, 20 to 30 minims in water night and against such remedies, just so susceptible are morning. By care the dose can be determined they to the influence of temperatures, be they that will produce one evacuation daily and not either higher or lower than their optimum temirritate the rectum. We regard aloes a true perature. tonic to the rectum and colon, in appropriate All varieties of microbes, as was first proven doses. As a local application, use a salve made by Pasteur by reducing the virulence of the of vaseline, boric acid and belladonna.- Ga. bacillus of chicken-cholera, and taught later by Ec. Med. Jour.

Toussaint and Pasteur by their protective an

thrax inoculation, are thus reduced by the acWe are pleased to note that i he stand taken

tion of increased temperatures. by this journal over a year ago-away in ad

The temperature limits within which the tu

bercle bacilli can flourish are partictularly narvance of the times-in advocating that State boards should be so constituted that examina

row.* Were it possible now, by means of a tions in therapeutics should be conducted in

discontinuous sterilizing process, to hinder the accordance with the principles of the appli

tubercle bacilli in their development and thus cant's own sect or school of medicine, is now

to diminish their virulence, and were it possibeing advocated and agitated by all the leading ble for the human organism to bear the inhalamedical journals and societies of the State.

tion of highly heated air without detriment,

then we would have obtained a means in such New Treatment of Locomotor Ataxia and

inhalations of combating bacillary phthisis. Certain Diseases of the Spinal Cord.

Thus reasoning, I instituted experiments in

various directions, with the following results : Dr. Motchonkowsky, of Odessa, Russia, origi. ist. The correctness of the announcements nated the treatment, which has been adopted made by other investigators concerning the temby Prof. Charcot, of Paris, France, who has perature limits, and the effects of various deused it in fifteen cases with remarkable success. grees of temperature upon the tubercle-bacilli.


2d. The possibility of lowering their de- ticularly in such cases as previously had been velopmental and procreating capacity by means much emaciated, and also in such in whom has of discontinuous sterilization.

occured not only a standstill of the acute pro3d. That dry air heated to 150°-180° C. cess, but already a beginning of the healing (302°-356° F.) may be inhaled by man with process. The absence of increase in weight at out difficulty for several hours, and that such first is however easily explainable, when it is inhalation produce a hurrying of the pulse only considered that patients treated according to during the first few minutes; a diminution in my method are not subjected to any extra diet the frequency of respiration, with at the same whatever, and that the inhalations require more time a deepening of the inspirations; on eleva or less bodily exertion. tion of the general temperature of the body by 15. Microscopic examinations show 1° -1° C. ; the expired air shows a tempera- gradual decrease of the elastic fibres in the ture of at least 45° C.; within an hour after sputa up to a total disappearance of the same, completing an inhalation the temperature of the as also a rapid diminution of the pus corpuscles. body returns to normal, and the general well- During the early period of the inhalations, it being remains undisturbed.

seems to me that there occurs an increase of the My experiments thus far instituted for deter bacilli in the expectoration ; but later on there mining the temperature of the air contained in is shown a considerable diminution of the the alveoli, and that of their tissues during an same. inhalation, have thus far not maintained any That a cure can only be a gradual process positive resnlt.

can be easily understood from all that has now I commenced a series of experiments, with been said. An immediate killing of the bacilli, the purpose of determining whether, and in by means of hot air inhalations only from time which stage of the treatment, the virulence of to time, cannot be made possible, but simply the tubercle-bacilli contained in the sputa of their discontinuous sterilization. The inhala consumptives, was, through such inhalations, tions continue but for a few hours daily; only diminished and thus removed, simultaneously during this time are the bacilli exposed to with the reception of a tuberculous patient for weakening temperature, and after all this is not treatment by means of highly heated dry air. as high as would appear. For though the in

I began treating the first patient June 7, 1888. haled air at the mouth is at a temperature of Since then I have treated a very large number 160° C. (320° F.), it cools considerably on its of consumptives after the same manner, and way to the lungs by being in contact with tissues moreover almost throughout with such favora and the blood circulating therein, of a temperable results, that, indeed, every doubt as to the ture of only 37.5° C., as may be inferred from correctness of my premises must be excluded. the fact that the exhaled air is warmed to 45° I intend shortly to have appear in print the C. (112° F.). Now, inasmuch as this again clinical history of my first 50 cases, and thus must have become still further cooled down on place them at the disposal of my colleagues. its passage from the lungs, we may infer that Meanwhile I shall limit myself to a representa

the air contained in the pulmonary passages tion, seriatim, of the general results attained : during an inhalation must be at a temperature Removal of dyspnca.

many degrees higher than 45° C. 2. Lessening of cough.

The experience so far gained enables me to 3. During the first few days, especially give the following definite directions: while inhaling, increased expectoration ; later I. The effort must be made to increase the on considerable diminution, up to its complete duration of the inhalations as rapidly as possidisappearance.

ble, beginning with half an hour twice daily, 4. Cessation of the fever.

up to two hours or more twice a day. The more 5. Removal of night sweats.

or less rapid lengthening of the sittings, as also 6. Improvement of appetite.

the eventual shortening of the same, must be 7. Increase of strength.

adapted by the observant physician to the indi8. In a short time, in most cases, a complete vidual condition of the patient. Never must standstill of the acute process.

the inhalations last longer than is comfortable 9. Les; frequent occurrence, and later on and agreeable to the patient. entire freedom from hæmoptysis.

The patient must be encouraged to make 10. Removal of catarrhal phenomena. the deepest possible, and later on, forced in

11. Clearing up of previously infiltrated spirations. parts.

3. The temperature of the air during these 12. Disappearance of bronchiectases, inhalations, as indicated of course by the ther13. Cicatrization of cavities.

mometer in the breathing tube, beginning with 14. An increase of weight takes place, par 100°, must as rapidly as possible be raised to



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