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Editor MEDICAL WORLD :
it on her back, with the knees flexed and her Take a board 29 inches long and 12 iuches hips drawn just over the nearest edge of the wide; nail at right angles on this a piece 334 pan. She can now be covered up and the ininches wide by 12 inches long, placing squarely jection proceeded with in the usual manner, across the board, 7 inches from one end. Take either by herself or an assistant. another board, 22 inches long by 12 inches The position is not tiresome, as the woman wide, and nail to the upright pieces, and also can have a pillow under her head and rest quite to one end of the long board." Thus we have comfortably. It has the advantage of being an inclined plane of about 4 inches. The ready for use at all times, and is very cheap boards should not be more than half inch thick. Not a drop of water need be spilled, as ladies Have a tin pan made 7 inches wide, 12 inches soon get quite accustomed to its use. If delong and 372 inches deep; place this, as a sired to give a long injection the pan can be receptacle for water, close up to the upright removed and emptied without moving or in piece and on the projecting end of the long any way disturbing the patient. board. The wooden part can be covered by Í am well pleased with THE WORLD, also any kind of material.
the effects of jaborandi in erysipelas. The This device is placed upon the floor or bed, WORLD surely has a sphere of usefulness. as desired, and the patient is to lie down upon Coronado, Cal.
Dr. W. F. BAILEY.
Dermal Effects of Cinchonidia.
health was better than it had been for five Editor MEDICAL WORLD :
years. Several years have passed, and at no On page 418 of The World Dr. J. W. Groff time since the above described attack has quigives an interesting article on the above subject. tion. It is by no means certain, however, that
nine or cinchonidia caused any kind of erupThe doctor is correct when he says that those
a continuation of the quinine or cinchonidia in eruptions were caused by cinchonidia. I have
such cases will always act so kindly. treated a number of similar cases, but in no
THE WORLD must continue to come to me so instance has the eruption been so severe as to cause me to stop the remedy. The following
long as I practice medicine. case is a typical one:
Corinth, Miss. C. KENDRICK, M.D. P. B., aged twenty-five years, farmer, mar
[Had our beloved friend, Dr. Kendrick, used ried, was seized with a severe form of malarial picrate of ammonia, or the hyposulphite of fever. He had neglected to take medicine clined to think that the quinine would have been
sodium, or sulphite of magnesium, we are inuntil his condition was serious. He said he could not take quinine, because it caused a very cases it may be dispensed with altogether.-Ed.]
effective in much smaller doses, and in many painful eruption all over the body. I gave him a large dose of cinchonidia, and in fisteen min.
On account of the elaborate comutes I saw just such an eruption as he had
pleteness of the index prepared by described. I convinced him of the necessity Dr. W. B. House for our volume for of continuing the medicine, which he did. 1888, we find that we cannot issue it The eruption disappeared, and the fever was until too late for it to go out with the cured in a few days. He continued the cin- January number. As we do not wish
to hold The World back in its monthly chonidia for several weeks to prevent a return
visits we will send it out with the Febof the malarial fever. Three months later his. I ruary issue.
sible. For the same reason I prefer to stick to Editor MEDICAL WORLD:
the old-fashioned method of writing prescripOn the night of February 11, 1880, I visited tions.
W. F. WAUGH, M. D.] a young man who had cut his foot by accident with an axe. I found the next larger toe
Diphtheria. severed at the middle joint, and hanging by a mere strip. I sewed it on, applied adhesive Editor Medical WORLD : plasters, and it grew together without any
In the March number of your excellent trouble, and to-day the young man has fine, journal you call on the physicians for their good toes. Conservative Surgery, on this side
treatment of diphtheria. As my treatment of the “ Big Waters," claims priority of date in
is a little unique and my experience in the this case.
disease so different from the most of writers J. N. TAYLOR, M. D. that I have read, I wish to give it to the readers Lynchburg, Tenn.
of The World. My success with the disease
has been satisfactory of course, though I have As to Prescription Writing.
not cured every case; but, with the exception Editor MEDICAL WORLD:
of perhaps a half dozen cases of laryngeal or The Manual of Treatment arrived all right,
croupous diphtheritis, I have cured every case,
and I have an experience of over sixteen years and I am well pleased with it. In the next edition I hope you will simplify matters still and have passed through some pretty serious
epidemics of the disease. further by writing drachms and grains just as
I will begin by saying that I invariably keep you write dollars and cents. Take the pre
the diphtheritic membrane cleaned off the afscription on page 4 for example. It should
Most writers say, do not stand thus:
use any rough measures to keep the deposit 401 % Strychnia....
cleared away, but I say, leaving out nitrate of Acid, nit. mur.
.8.00 Aqua dist.
silver and other strong caustics, that are apt to I was led to hope from the last paragraph in injure sound parts, it is best to keep the dethe preface you had discarded the diphthongs, posit cleaned off so that your local applications but I see you use them even in aqua. And tell
will reach the diseased parts, and also to keep me, what is the use of the f before the drachm
the poison from being absorbed into the gener
al circulation. To do this I use the following: sign? What is the use of saying fluid ounces
No. 1. of water-is there any other kind of ounce for water or other Auids? I know water can be
R Cupri sulphatis...
.grs. V Ext. eucalypti fluidi..
.f 3 j weighed, but what druggist with common sense
.git. XX would weigh it if the f was omitted? One more
Aquæ destillat. q. s. ad.. ..f3 i question: What is the use of the M. S.? Does
M. Sig-Wet a sponge with this, and use sufficient not the druggist know enough to mix and write force to wipe off all the white from the tonsils, palate, without special orders
etc., and be sure you get it all, even if the mopping C. H. MERRICK.
causes a little blood to come. Dwamish, Wash. Ter.
I sometimes use the following instead, and [In regard to the use of the f to designate especially if I find the membrane very tenaceous. fluid drachms, there is no question but that pharmacists would generally comprehend which B Feri perchloridi, is intended, fluid or solid drachms. But there Aquæ distillat..
āā....3 iv are some substances which are sold by both:
M. et. Sig.-Use as with the first. such as castor oil, glycerine, and the mineral Sometimes I use glycerine instead of water acids. Then, without wishing to cast any re in this last prescription. After I have well flection on my good friend and ally, the phar- | cleansed off the affected parts I apply with a macist, there are some of him who are not very fresh sponge or rag mop the following: ready in interpreting the physician's meaning, B Glycerin.
-3 ij and others who take refuge from responsibility Cupri sulphl. by a rigidly literal obedience to instructions,
.guis. X Ext. eucalypti fd.
13; giving fluid or solid measure as called for. We
.f3 ij do not believe that orders for drugs can possi Tr. myrrhæ..
3j bly be too explicit; and we think that the Aquae destillat. q. s. ad.
.f3 physician should cultivate exactness, and that M. et. Sig.-Apply with sponge or mop. this should be so well known to his druggist Then I take a powder blower and blow upon that a mistake as to what is wanted is impos- the parts lac sulphur. The cleansing process
should only be done morning and evening, but disease. The above doses are for a child ten the mopping with the last preparation, and or twelve years old. J. P. BAIRD, M.D. blowing in of sulphur should be done every Greenville, Texas. three hours. When the child is old enough [Compare this treatment, Doctor, with that I make it gargle the last mixture instead of given on pages 161 and 162 of The MANUAL mopping it, by diluting it with a little warm OF TREATMENT. We think a few fair trials water.
will decide you in favor of the latter.-ED.) So much for local treatment, and it is absolutely necessary. I also use constitutional treatment, for we rarely ever get a case until it has constitutional symptoms.
Treatment of Pneumonia. When there is fever (and all bad cases have
Editor MEDICAL WORLD : ever) I give :
I offer my treatment of pneumonia to the
profession for trial hoping that it will prove R Quininä sulph.
satisfactory. Sodii sulphitis..
The prognosis of pneumonia is favorable; Tr. phytolaccæ....
this, of course, is supposing that the patient Tr. aconiti radicæ..
.git. xv Ext. glycyrrhizæ,
has proper treatment and good nursing. Those Aq. destillat...
cases that manifest symptoms of asphyxia early M. et. Sig.-One teaspoonful every three hours till are to be regarded as unfavorable, as are those temperature goes down, then every four or five hours. in which the disease progresses unabated beI alternate this with :
yond the seventh to the ninth day.
My treatment is as follows: & Tr. ferri chloridi....
..f 3 ss
R Syrup of senega,
Infus. of serpentaria...
ãā. M. et. Sig.–Teaspoonful every three hours.
3 ij I also make a liniment of the following:
Acacia q. s. ad.,
Fld. ext. of yerba santa.. B Aq. ammoniæ.....
M. S. Tablespoonful every 4 to 6 hours, according
When the heart's action is rapid and feeble, Chloroform.. M. et. Sig.–Apply the liniment with a piece of filan. breathing shallow and hurried, I give the fol. nel and allow flannel to remain around throat till the lowing: throat is quite sore outside.
R Spts. ammonia, I give plenty of brandy, milk punches, beef tea
M. S. Twenty drops every 2 hours until distressing (or essence of beef as I call it). When there
symptoms disappear. is much prostration the alcoholic stimulants must be given regularly. Keep the bedding clean and rooms ventilated well. Keep the
R Ammon. carb..., bowels with castor oil and enema. open
àā.f3j this treatment, sometimes a little varied, ac
.gr. ij cording to symptoms, I have pulled many a Spts. ferri galici.
.f 3 ij bad case through, and, though I know others M. S. Teaspoonful every 2 hours until patient feels have equal good luck with a different course,
comfortable and rests easy. still this treatment has been very satisfactory to For pain I use compound powder of capsicum me. Those cases where the disease is in the lobelio and mustard. trachea, or where the deposit begins in the I hope that the professional brothers will give windpipe below the larynx, I find very difficult this a trial and report. to cure owing to the reason that the local reme Brussels, Ill. Chas. ROHNING, M.D. dies do not reach the disease. In such cases I use the constitutional treatment, and give them inbalations of vinegar and water vapor, This is an age characterized by an elaborate “system," and of the vapor of carbolic acid, eucalyptus in medicine, giving in minute detail many pages of old and camphor. When the nasal cavity is af and well-known descriptions of disease, with but few fected I inject with a nasal syringe or douche pages of new treatment. The physician's slender income the third mixture in this article. "I hope other is exhausted from year to year by purchasing these ex
pensive systems. Our “Manual of Treatment," price readers of The MEDICAL WORLD will give their only four dollars, will give you all these advances in experience in the treatment of this formidable
treatment, which is, after all, just what you want.
rely on good whiskey for my stiinulant when
stimulants are called for. Editor MEDICAL WORLD :
I almost invariably
give small doses of calomel and sodii bicarb. I see in Dec. World an article by Dr. Wm.
every two hours till I get a pretty free action B. Bigler, on the treatment of pneumonia by of the bowels; then I do not give any more judicious blood-letting, his motto being “Keep physic till after convalescence is established, blood from your skirts by judicious blood-let
unless I think it necessary. I give no quinine ting." His treatment is certainly a bold one: unless I have reason to believe there is some bleeding to syncope, a prompt mercurial cathar
malaria in the case. If the cough is dry and tic, and a large blister; also veratrum viride, painful and hara ses the patient a great deal, tartar emetic and morphine.
I give Dover's powders and ext. glycyrrhiza rad., ond visit he found the inflammation unsubdued,
āā gr. v every three or four hours. This comhe would bleed again.” Now, if pneumonia bination is pleasant to take, does the patient be due to an excess of blood in the lung, and if by abstracting a sufficient quantity from the good, and makes him feel thankful to me, which
you know is quite a good thing. Do not forget patient's arm to produce syncope, regarding to give plenty of cold water to drink. syncope as our guide-mark of sufficiency, we
As for cough syrups, I generally use this prethereby remove the cause of pneumonia, then scription, although there are others as good or I am in strong and solid favor of blood-letting.
better. But pneumonia is not due to an excess of blood to the lung. The lung is not inflamed because R Potass. iodidi...... it receives more blood; but it receives more
Syrp. prun. Virg., blood because it is inflamed. This excess of
.āā..q. s. ad 3 i) blood is caused by pneumonia. Then, if we
M. Sig.-Teaspoonful every four hours. remove this blood (which I am much inclined to think we do not), we remove only the effect, Cold water is the best expectorant. I seldom and not the cause. Does the removal of the blister in the young or old, but generally do in effect remove the cause? Not by any means.. the adult. If I blister, I do not use any poul
" He feels himself a very sick man tice, and vice versa. This is an outline of my indeed ;'' and no wonder ! I would rather treatment of pneumonia. Of course, I vary have pneumonia than to be in the condition the from it as the case or cases demand. doctor places his patients before he allows them I presume it will be criticised; but I can bear even to start towards convalescence. The mer any criticism for my own good. Still I have curial purge is all right if used in the first stage had good success in the treatment of pneumonia.
that of engorgement. It rouses the secre Brethren, take hold of the subject and work it tions, and to some extent relieves the engorged well. I am anxious to have this “ bloody skirt" condition of the lung. Now I have seen pa shaken till not a drop, not a red corpuscle, retients in whom bleeding would at least be harm mains.
W. B. MIDDLETON, MD. less, and may have done good. We bleed in Newark, O. convulsions sometimes to quiet the nervous system by the shock produced; but in pneumonia there is sufficient shock to the nervous system without bleeding.
Bismuth and Cocaine for Coryza. Pneumonia is a self-limited disease; and no Editor MEDICAL WORLD: treatment with which the medical profession is Coryza has so long been an opprobium mediacquainted has ever been known to shorten or corum that such of us as are unacquainted with cure the disease. All we can do is to watch the bismuth and cocaine treatment would like the symptoms and attend to them as best we to get the particulars.
Vast numbers of pneumonic patients will I am delighted with The World for the get well with no other treatment than plenty of busy practitioner ; have not found any journal cold water and milk. Stimulants are to be
to equal it.
ALEX. MONTAGUE. given when needed, and they are surely needed Galt, Cal. the day after Dr. Bigler sees them. I have no special medicines to use. I never give any
( R Cocainæ mur....
Bismuth subcarbonatis. antipyretic unless the temperature is above 1030
.A iss, The best I have used has been antifebrin, and I have had a bad result only in one case, in
M. S. Enough to cover a silver five-cent piece, in
sufflated into nostrils every two hours. In place of which it produced such profuse sweating that I
talc, starch, sugar of milk, or some other bland power withdrew it and gave antipyrine. I use plenty may be used, it preferred. The talc does not gum so of milk and water from the beginning, and I readily.—ED.)
.gr. vj. ..gr. xxx.
Foreign Body in the Trachea.
tinctoria, gtt. j, hourly will do it just as soon, Editor MEDICAL WORLD:
and in addition will very much lessen the deAccept my congratulations for the admirable bility, and prevent the stupor which is so dis
All of my cases have journal for 1888. I can truly say it hàs been tressing to the friends. a great help to me in my practice.
had a ravenous craving for “just a little more
of that nice, fresh buttermilk," using sometimes I send you a segment of a button which remained in the trachea of a child six months. I
more than a gallon daily. It was often the only was several times during that period sent for to
nourishment tolerated. For a tonic and blood operate; but each visit finding the patient maker I have found nothing to equal Auid ex.
This better, concluded to try conservative surgery.
tract helonias dioica, gtt. v-x t. i. d. One day, to the great joy of her parents, in
was sometimes combined with nux, colorless violent fit of coughing the button was expelled. hydrastis, arsenic, phosphorus, etc., as I Bowling Green, Va. C. C. BROADDUS. thought indicated.
I am not in the least " stuck" on the above[The segment is one-half of a colored glass button, three-fourths of an inch in diameter, mentioned remedies; but I know from long and one-sixth of an inch thick. -Ed.]
experience and careful observation that they have just as positive a specific action when
properly indicated and used as have jaborandi Treatment of Typhoid Fever,
and the sulpho-carbolate of zinc, so highly [Dr. Waugh has kindly handed us the follow
vaunted by Prof. Waugh, whom may the gods ing letter as interesting for publication.]
F. A. REW, M.D. Prof. Wm. F. Waugh, M.D.,
P.S. It will be noticed that I have made no Dear Doctor :-I notice in THE MEDICAL
mention of the cinchona preparations. Several World for November your mention of cases of of my most severe and unfavorable cases have continued fever in which you find, as promi. recovered without their use. In other cases I nent symptoms, “Fetid stools and breath, could plainly see that quinine really did harm. debility, anorexia, anomalous pains, etc.". II beg pardon for expressing my belief in the have had quite an extensive experience with "heresy" that all drugs have a peculiar, specisuch cases this past summer and fall, and have fic action (Vide. Zinci Sulpho-Carb. jaborandi, often thought of writing you an article on the et id omne), and when indicated and properly subject; but have hesitated to do so, as my used do good; otherwise they may do harm. therapeutics have differed so much from yours. I think that quinine is no exception to this rule. Your assurance that you are not a bit “stuck
F. A. R. on the zinc salt (and I hope not on jaborandi) gives me confidence to write the following: A Case of Acute Diffuse Peritonitis of Idiopathic I have the careful history of twenty cases
Origin. tabulated for reference. In all of them, the Editor MEDICAL WORLD: symptoms have appeared in about this order:
The writer was called a few days since to First, high temperature, then the muscular relieve the suffering of Mrs. W., a lady of pains, then the fetid stools, anorexia and de- some forty summers, who, upon interrogation, bility. If the first symptoms are kept under gave a history of having contracted a severe control, the succeeding ones are much modi. cold, which had retarded her menstrual flux fied. There may be diarrhea or constipation and given rise to anomalous pains. Those My treatment has been to control the tem- causing her most inconvenience being restricted perature, stop the muscular pains (stagnation to the sacral and lumber region, which were of the lymphatic circulation), disinfect the very much intensified upon assuming the erect stools, and nourish the patient. As my suc- posture. Within a few hours of my summons cess in these cases has been unusually good, I she had suffered but little inconvenience from will mention the remedies used. I control the the condition mentioned. temperature with antifebrin, or the “ febri- There ensued, however, an eruption of cide” of Thurber, Whyland & Co., and the symptoms of the most agonizing nature, sugplainly indicated arterial sedative (this last I gesting to those present the possibility of coninsist upon). I have never found anything to gestion, a term associated with all that is dread relieve the anomalous pains so certainly as ma and appalling to the credulous layman. Broad crotys. I use Lloyd's specific tincture or the in its significance, it is very much used by fluid extract of P. D. & Co., gtt. ij, quaque hora some physicians of to-day as a subterfuge with till the pains subside.
which they cover their ignorance of existing The sulpho carbolate of zinc will soon stop morbid conditions. Hence its application by the fetid stools, but the fluid extract of baptisia those to whom it is so often reiterated.