tissue layer suffers, and a scar is the result. Both of these should, and with care and skill, can be avoided. You will doubtless acknowledge that by no other known method can the same result be obtained.

A very important requirement in the electrolysis of nevi is patience. One is often tempted to use a stronger current than advisable, or to destroy more deeply in order to finish the work more quickly. I would most earnestly urge upon those who propose to make trial of the method to resist this temptation. The removal of a birth mark which is followed by a conspicuous scar as the result of the operation cannot be looked upon as a cosmetic success. Not much is gained by the substitution of one disfigurement for another, and an operation which is undertaken s lely for its cosmetic value should be judged by this standard. If it fails in removing the deformity, it is an entire failure, and should be so regarded. I know of no method of removing disfiguring nevi which answers all the demands that can be made upon it so thoroughly as that which I have attempted to bring to your attention.

REVIEWS.

Eleventh Annual Report of State Board of Health of Rhode Island.

Essay on the Treatment of Fractures of the Lower Extremities. By C. B. Newton, M. D., Stafford Springs, Conn.

The Management of Phthisis. By Karl Von Ruck, B. S., M. D., Asheville, N. C. Paper; price, 50 cents. A very sensible treatise on this important subject. Essentials of Physiology. By H. A. Hare, M. D. Cloth, $1.00. W. B. Saunders, 913 Walnut street, Philadelphia, Pa.

This is the second edition of this quiz-compend. It is very good for those who like this kind of a book. Nervous Syphilis. By H. C. Wood, M. D. 25 cents.

Geo. S. Davis, Detroit, Mich.

Price,

This is another of the excellent and high class works of the Physicians' Leisure Library Series. The character of the author and publisher alike guarantee its excellency.

The Nervo-Vascular System, arranged in three paper charts. By W. H. Price and S. P. Eagleton. Price, for the set, 50 cents. F. A. Davis, publisher, 1231 Filbert street, Philadelphia. Chart I.-The Nerves. Chart II -The Arteries. Chart III.-The Veins,

Hypnotism: Its History and Present Development. By Frederick Björnström, M. D. Paper; price, 30 cts. The Humboldt Publishing Company, 28 LaFayette Place, New York.

Every physician should purchase and read this complete treatise on a subject which is attrac ́ing the atten tion of scientific pcople of the present day. Your patients will soon be asking you what you know and think of this subject.

Electro-Therapeutics, or Electricity in its Relation to Medicine and Surgery. By William Harvey King, M. D., Electro-Therapeutist to the Hahnemann Hospital, etc. Cloth, 153 Pp. A. L. Chatterton & Co., N. Y., 1889.

This little book deals in a clear and concise manner with the appliances and methods in electro therapeutics. The author has drawn largely from other than his own experience, but gives en ugh of the latter to redeem the work from being classed as a simple compilation; and while not accepting all of his conclusions, we welcome the book, and commend it to the student and practitione ›ner as a very useful and practical compend.

Lectures on Ma-sage and Electircity in the Treatment of Disease. By Thomas Stretch Dowse, M. D., Fellow of the College of Physicians of Edinburgh, etc. Cloth, pp. 49 John Wright & Co., Bristol.

The author of this work is evidently a master of the art of massage, and devotes thirteen out of the fourteen lectures to this branch of his subject. He first explains the principles of massage, the objects of which are thus tersely expressed, viz. :

"Our first object is to obtain results by induction through the nervous system by peripheral nerve agency -superficial reflexes are always induced by straining and friction movements.

"Our second object is to combat and overcome resistance (nervous or circulatory) by direct pressure, pinching and kneading.

"Our third object is to promote due oxidation and respiration of tissue by percussion and vibration,"

"To sum up, the results of massage are essentially

vital, for by them undue stress, tension and pressure in the tissues are overcome, the natural antagonism between constrictor, dilator, and trophic nerves established, the governing influence of the central nervous system is stimulated and relieved of inhibitory and fettering influences. Endosmosis and exosmosis have free and fair play. Catabolism and anabolism assume a normal level of correlative stability, and thus we ensure the natural functional activity of the processes of secretion, excretion, absorption and assimilation—in fact, healthy nutrition."

What more could be asked or expected of any system than this?

Numerous illustrations are given, and very explicit directions as to the method of application, etc., combining electrical app ications with the massage.

The tendency is to claim too much for this system of therapeutics. One chapter is devoted to electrophysics, and one to electro-therapeutics. The work is ably written, is very interesting and instructive from a scientific standpoint-and so we commend it to our readers.

OPPORTUNITIES.

Use Peacock's Bromides for Nervous Disorders. Parke, Davis & Co., Detroit, Mich, always have something new and useful on hand.

The pile ointment of Fred. W. Stewart, Oswego, N. Y., is a pronounced success.

You will find Platt's Chlorides a reliable and safe disinfectant for general use in the dwelling and sick-room.

Send to H. Weinhagen, Nos. 22 and 24 N. William street, N. Y., for catalogue of thermometers and batteries. The Ladies' Syringe will give you perfect satisfaction. Address The Goodyear Rubber Company, 57 Maiden lane, N. Y.

Have you used the Succus-Alterans of Eli. Lilly & Co., Indianapolis, Ind, for syphilis and nervous impuri

ties of the blood?

We have had uniform success in the use of Crystalline Phosphate. Address Provident Chemical Works, St. Louis, Mo., for samples.

By all means send and get a pocket case filled with Upjohn's friable pills. Address The Upjohn Pill and Granule Company, Kalamazoo, Mich.

Address the N. Y. Pharmaceutical Co., Bedford Springs, Mass., for the means of successfully treating that distressing case of kidney disease.

We regard Bovinine as a most excellent tonic and reconstructive. Sample free. The J. P. Bush Manufacturing Company., 2 Barc ay street, N. Y.

Willis H. Davis, Keokuk, Iowa, is an enterprising and successful dealer in surgical instruments. Order of him and mention THE MEDICAL WORLD.

The Hasting's Truss Company, 224 S. Ninth street, Philadelphia, will furnish you with first-class trusses and elastic goods. Always mention this journal.

Nestle's Milk- Food is as valuable for invalids as it has hitherto been found to be for infants. For a generous sample, address Thos. Leeming & Co., N. Y.

Dr. Phillippe Ricord, the great American surgeon, of Paris, France, is dead. He was born in Baltimore, Md., in 1800, and began practice in France in 1826.

Charles Lentz & Sons, 18 N. Eleventh street, Phila., will give you 25 per cent. discount on first-class surgical goods, if you will mention this journal when ordering.

B. Keith & Co., 75 William street, N. Y., will send you valuable information regarding the treatment of nervous diseases and dyspepsia, if you write in our

name.

Since C. N. Crittenton, 115 Fulton street, N. Y., has taken charge of Hydroleine, he has made a pharmaceutical success of it. A sample free, if you mention this journal.

Antipyrine has acquired a world-wide reputation, and Lanoline is now known as the best base for an ointment that is to be absorbed. Lutz & Movius, N. Y., are the agents for both.

For your infants prescribe the Mizpah Nipples, and for your male unfortunates the Gonorrheal Apron, made by Walter F. Ware, 70 N. Third st., Phila., Pa. Mention this journal.

Send a postal card to the Phillips Instrument House, 14 Marietta street, Atlanta, Ga., for circulars of their marvelously low-priced medicine-cases and instruments. Mention THE MEDICAL WORLD.

Fellows' Hypophosphites still remain the standard preparation. Send for sample to James I. Fellows, Chemist, 48 Vesey St., N. Y., and mention THE MEDICAL WORLD. You pay express charges.

Have you tried the new method of treating strictures by the use of a painless chemical solvent? Address The Century Chemical Company, 2949 Sheridan avenue, St. Louis, Mo., and mention this journal.

RIVERSIDE, R. I., Sept. 10, 1889.

B. KEITH & Co., 75 William St., N. Y. Gentlemen:-Six years ago I wrote you in reference to the success I had met with in the use of your

"CON. TINC. AVENA SATIVA."

Now, after six years more experience with this remedy, I am prepared to say that in the treatment of Nervous Prostration (from whatever cause) in Sleeplessness, Chronic and Acute Alcoholism, and last (but far from least) in the treatment of those formerly addicted to the use of Morphia, I consider it a Nerve Tonic par excellence. I have used this in my practice for ten or twelve years, and until I find something better, shall continue to do so. One thing I think the Professsion should be cautioned in reference to, viz: the substitution of other preparations of Avena in place of yours. I always specify "Keith's" and have yet to be disappointed in the result.

Wishing you continued success, I am, gentlemen, very truly yours,

R. G. C. BROwne, M.D.

Ch. Marchand's Peroxide of Hydrogen and Glycozone are making a valuable reputation for them in all diseases dependent upon specific germs. Address E. Drevet, 10 W. Fourth street, N. Y., and mention this journal.

Have used Tongaline extensively during an epidemic of Dengue or break-bone fever, where I had an opportunity to test it very thoroughly, and I secured much more successful results from it than from ordinary treatment.-A. M. Sittler, M. D., Bowmanstown, Carbon county, Pa.

We are pleased to note that the firm of A. A. Marks, 701 Broadway, N. Y., received the John Scott Legacy Medal and Premium from the Franklin Institute of

FROM DR. S. W. HUNTER, BALTIMORE, Md. **Having become familiar with "Colden's Liquid Beef Tonic," I take pleasure in recommending it as an excellent preparation, combining, as it does, FOOD and TONIC in a remarkable way, producing good blood, health and strength.

We have a very enterprising instrument house with us this month-A. E. Yarnall, 1020 Walnut street, Phila. Please see his advertisement. We should be pleased to have all our readers who need instruments to give him a welcome. He has been long established and has had a successful career.

Mr. G. W. Wigner, who is President of the Society of Public Analysts, London, has made a critical examination of Mellin's Food, and finds that it not only contains the nitrogenous and phosphatic matters essential to the healthy growth of a child, but that these are in the proper proportions. The examination demonstrated that Mellin's Food is not only readily digestible itself, but that it actually assists to digest milk and other foods with which it is mixed. Mr. Wigner considers it of great value for infants and as an addition to the diet of healthy children,

Messrs. John Wyeth & Brother's advertisement in this issue is worthy of the careful attention of our pa trons. They give a complete list of their compressed hypodermic tablets, embracing in all some seventy-four different agents and combinations, the most complete we have yet seen. In it will be found almost every medicament used in hypodermic practice. This house was the first to devise this most valuable and convenient form of subcutaneous treatment. The well-known reputation of this house is sufficient guarantee for all the claims they make for them, as well as for all their preparations, so widely and favorably known. When writing, kindly express your opinion of THE MEDICAL WORLD.

Dr. G. B. Hope, 34 West Fifty-first Street, New York, Attending Surgeon Metropolitan Throat Hospital, and Professor Diseases of the Throat, University of Vermont, says: "For a long time I have been employing Horsford's Acid Phosphate as a constitutional treatment for catarrhal affections of the throat. I consider it to be among the very best tonic excitants of the vocal organs, and particularly applicable in relieving the fatigue and huskiness of voice incident to those who pursue a professional career of actor or vocalist, and far preferable to the various forms of wines now so generally recommended for this purpose.

"I have seen no other allusion to its employment in this direction, which I believe you are perfectly safe in recommending both from a theoretical and practical point of view."

There is no other exhibit (at the Paris Exposition) of the class in the United States section to rival that of Wm. R. Warner & Co. From the globe-advertising Philadelphia merchant comes an exhibit which the native pharmaciens can look at with both admiration and won[CONTINUED OVER NEXT LEAF.]

After a profound nerve storm, whether one

ubscription to any part of the United States and Canada,

onles FIVE SHILLINGS per year. Postage free.

These rates must be paid invariably in advance. Notice is given on the wrapper when your subscription expires. You are invited to renew promptly, when this notice is given. This is necessary if you wish to continue to receive THE WORLD, as it is sent only as long as paid for.

We cannot always supply back numbers. Should a number fail to reach a subscriber, we will supply another, if notiiled before the end of the month.

Pay no money to agents for this journal unless publisher's receipt is given.

The comparatively recent idea of the nationalization of all industries, as set forth in Mr. Bellamy's book, "Looking Backward," is based upon the broad idea of subordinating the especial privileges of the lucky few to the general good of all-the universal brotherhood of man. There is one phase of the profession of medicine which perfectly illustrates this especial feature , of the movement. A physician who discovers a successful formula, or method of treatment, or who devises an improved surgical instrument, is not allowed, by the code of ethics governing the organized profession, to have the discovery patented, and use it for his own exclusive profit. He must make it known to the profession at large, that all may use it for the benefit of suf fering humanity. This works him no harm, however, for in return for the very few ideas which he may be able to give to the profession, he receives a great number from them. Can any other profession or trade show such an example of self-denial for the benefit of mankind?

slowly. The nervous system has been profoundly shocked, the secretions have been interfered with, and there is a general perverted state of the system, requiring many hours to correct it. This is found to be as true after a violent fit of anger, or sudden grief, or any of the severe mental or emotional causes which produce a genuine nerve-storm of a different character. Digestion is disordered, the secretion of bile is interrupted, respiration is so embarrassed as to occasion frequent long breaths, or sighing, to catch up, and the vital functions generally are greatly disturbed. This condition of vital and nervous depression lasts from several hours to a day or two, gradually passing away. With some it may be accompanied by a veritable jaundice; with others, dyspepsia; with others, insomnia and a brooding over real or fancied wrongs. These results are more likely to take place in one who is of a delicate nervous organization, or who is in a state of neurasthenia. But they cannot help it any more than one can help being favorably affected by sunshine.

These attacks of nervous depression are alike injurious to all, but especially so to growing children. They blight their mental, moral, and physical development, as surely as a chilling wind retards the development of a budding plant. Many a child has been rendered a stupid dolt, or a physical weakling, by the system of constant scolding, blaming, and intimidation to which it has been subjected. The one who grows up with the most vigorous nervous system is generally the strongest man. It is true in a much more literal sense than is generally believed, that "the nervous system is the man."

This should be borne in mind in our association with each other, and in bringing up the young. Our lives should be as cheerful as pos

sible, for our own sake, as well as for the sake of those around us. Happiness and long life are impossible without cheerful surroundings.

There is nothing more discouraging than to see specialism prejudice a scientific man's judgment, and lead him to make himself a stupid, stubborn block in the way of scientific progress. It seems that, when a man has once opened a woman's abdomen, nothing else will satisfy him after that. It is like the first taste of blood to a wild animal which sets his thirst a-raging; he at once begins to dream of the happy time when he shall be known as "Prof. Rypper, the great laparotomist; " his first examination of a female patient after that is accompanied with the mental query, "Can't we find some reason for opening her?"

The laparotomist is jealous of the conservative gynecologist, or general practitioner, but he is especially bitter against the electrical specialist. He does not want any one in the field who can cure diseases of the female pelvic organs or make the patient comfortable during the rest of her life without extirpating the organs.

It is against this unreasonable bitterness that we protest. Everywhere, in medical journals, in medicalsocieties, in public institutions, the laparotomists are using their efforts, their influence, their sneers and ridicule to prevent successful electrical specialists from getting recognition, proper credit, or opportunity to demonstrate their work. If they honestly believe that skilful electrical treatment is of no benefit in gynecological practice, why do they not allow it to come to a fair trial and be defeated, and then let that be the end of it? Because

they know that when a good electro-therapeutist gets one of their cases, it is generally but a short time until the case is either cured, or so very much improved that laparotomy is no longer to be thought of. The patient is in a better condition than she would be if she had all the sequelæ of the traumatisms of a laparotomy to annoy her the remainder of her life.

But why do not the laparotomists add electrical treatment to their accomplishments. Because it requires a great deal of patient study and investigation to master its details. Laparotomy is almost purely mechanical; medical

electricity requires a philosophical mind, a careful scientific training, and a great deal of patient practice to master its details. There are some who think that it does not pay to give it the time and work that its perfect acquirement requires. It is cheaper to go on doing laparotomies, for which they can now obtain good fees, though the patient be far from cured of her troubles, and even have the added troubles of a mutilated body. It is not against the operation, when it is properly indicated (and it often is), that we protest, but against the bigoted opposition to scientific progress which the laparotomists manifest.

Our yearly index for 1889 will be issued with the January number, 1890. This will be much more convenient to us, and just as convenient to our subscribers, as they always renew their subscriptions, and generally very promptly. A few neglect it for a month or two, until they begin to miss THE WORLD, when they recognize the cause, and send the necessary dollar. several thousand subscriptions expire with this issue, it would be a good idea to keep this paragraph before you until you attend to the little formality of inclosing $1.00 to us.

Pathies and Isms.

As

In the opening address to the medical students of the University of Pennsylvania, by Prof. H. C. Wood, occurs the following paragraph:

"One word as to what you shall call yourselves. According to the world medicine is divided into 'old school' or allopaths, homeopaths, eclectics, down to the rabble of faithcures and Christian Science. There is no such division, and cursed be the physician who acknowledges 'schools.' There are but two bodies in the field of medicine-physicians and the 'paths. Try to make the public understand this; if you must have some name, let it be that of a common-sense doctor,' who, brought face to face with the problem of life and death, is willing to save life in any way; who acknowl edges no boundaries, no sects, no schools; but who searches heaven and earth to find means to relieve suffering and cure disease."

You will have to use the figure 9 in writ ing your dates now for 110 years to come. The figure it takes to subscribe for THE MEDICAL WORLD is only $1. We hope it is not so small that you are liable to forget.