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hear from you.
sequently both respiration and pulsation beEditor MEDICAL WORLD :
came more frequent, but the coma increased, Will you or the readers of The WORLD have and the patient died about forty-eight hours the kindness to give me your experience with
after beginning of the initial stupor. antifebrin in cases of pneumonia ? My two last
Sometime after this I was called to see a son cases of pneumonia were given antifebrine with of this man whose symptoms resembled very very satisfactory results. I think it puts quinine much those of his father ; but in his case the in the shade for that disease. Brothers let us
malarial features were so distinct that I did not L. G. WALKER, M. D.
hesitate as to the treatment, and my patient Pounds, Wis.
In the light of subsequent events, on investiEditor MEDICAL WORLD:
gation, I am thoroughly convinced that patient Will you or some confrères suggest treat
No. I was affected with a pernicious intermit. ment for the following case? Mrs. X., aged
tent of the comatose type, and that his life 70 years, nervous temperament, mother of
could have been saved by the heroic exhibition eight children, suffers almost daily for one to of quinine. I was then a mere tyro in the prosix hours, with an internal sensation of heat,
fession, and my regrets in this matter are ame. but my thermometer will not register anything liorated by the fact that the old practitioner could above normal. She is poorly nourished, weak
throw no light on the case. I have written the and has a peculiar transparent skin well covered
above hoping that it may be of benefit to some with tortuous blue veins.
of my medical brethren, and that it may be the She has headache whenever the atmosphere means of prolonging the life of some poor mortal. is moist as before a storm.
Crichton, Va. C. W. ASTROP, M, D. She has been partially deaf for over thirty years, the trouble following typhoid fever.
Opinions Wanted ? She complains of a blowing sensation in the
Editor MEDICAL WORLD : head and has frequent attacks of hoarseness.
I should be pleased to have you and the many I hope from this meagre history you will be able to advise me as to treatment.
truth-seeking readers of The World to give Muscoda, Wis.
opinions as to the utility of a knowledge of the D. B. COLLINS.
human temperaments and phrenology in diag
nosis and therapeutics. My opinion is that a What Was the Diagnosis ?
scientific knowledge of such studies is of great Editor MEDICAL WORLD :
importance to the physician. Sometime ago I was called at night to see a
J. C. BATESON, M. D. middle aged man who had been suffering with
Hollisterville, Pa. chills and fever, one of the most d stressing symptoms of which was an intense cephalalgia.
Is Emphysema of the Cellular Tissue Pathog. His medical attendant, an old practitioner,
nomonic of Traumatic Gangrene? 70 years old, had been administering, for the
Editor MEDICAL WORLD : relief of this condition, quinine and one fourth On October 11, 1888, a freight conductor on gr. doses of morphine. I arrived at the house the B. & O. R. R., aged 57 years, and of exabout 9 P. M; he took one-fourth gr. morphine cellent constitution, had his left leg crushed by for the relief of the headache. From this time a car wheel just above the ankle, making ampustupor set in, becoming more and more pro. tation necessary. There were no other injuries found, until it culminated in the following con. perceptible at the primary examination ; but ditions: deep coma, stertorous breathing, con during the time that elapsed in preparing to tinued subsultus tendinum, six to ten respira- operate, which was about forty minutes, a tions per minute, pulse about normal, skin cov- slight thickening of the integument was obered with a clammy sweat. No marked con- observed on the inner aspect of the leg, extendtraction of pupil, no paralysis, retention, but ing as high as the tubercle of the tibia, which no suppression of urine.
to the tactile sense gave the impression that Don't think I took temperature, but consid the connective tissue was filled with minute air ered it about normal. Diagnosed opium pois- ! bubbles imparting an emphysematous crepitation oning and treated accordingly, for eight or ten (if the term is allowable) upon pressure. The hours, with no improvement of symptoms. amputation was done at the commencement of Next day patient became affected with a de the calf under antiseptic precautions, and the cided jaundice, which commenced with the case progressed fairly well, with the usual lower extremeties, and procee led upwards, moderate acceleration of pul-e and temperature. having a well defined line of demarcation. Sub- As the patient complained of a sense of weigh
and slight pain in the stump, the primary [For the syphilitic ulcers we should recomdressings were removed in thirty hours after mend succus alterans, a teaspoonful four times the operation with a view to conducing to his daily. Also twelve doses daily of lactophoscomfort, when the parts overlying the emphy. phate of calcium one grain and sulphide of sematous tissues were in a state of commencing calcium one-tenth grain.
calcium one-tenth grain. For external appligangrene, which in a marvelously short time , cations, iodoform, or one of the articles meninvaded the entire limb, causing death just tioned in article on editorial page on “Surgical seventy-two hours after the injury, the primary Dressings."-Ed.] cause being undoubtedly an embolus high up in the femoral artery.
Prescription Difficulty. I have the history of another case of railroad Editor MEDICAL WORLD: injury, in which a large part of muscular struc
Is it possible to combine ture of the thigh was involved, in which this
.80 grains, same condition of emphysema was present which
Fl. ex. nux. vom..
4 drachms, was early followed by traumatic gangrene and Sol. chloridi iron...
drachms, death. My object in reporting these cases is to
Con. sol. phos. acid.... 6 drachms. elicit some expressions from those of your numer- in any menstruum that will make either eight or ous readers who are experienced in surgical sixteen fluid ounces, and remain permanent? work, as to the significance of emphysema as a I have tried elixir, glycerin, spirits, syrups, and symptom of traumatic gangrene.
various mixtures of the same. After a few Martinsburg, W. Va. S. N. MYERS, M. D. weeks a deposit sets up. The remedy is of value,
but is not permanent. Syphilic Ulcers.
Northumberland, Pa. J. A. Elliott, M.D. Editor MEDICAL WORLD : I gather much varied and useful information
R Morphia sulphatis..
.f3 ss fit arising from the use of the post-nasal syringe
3 vj in diphtheria and other throat diseases needing
M. Sig.--Use as an injection every six hours.
3j would emphasize the good effects produced in
3 ss using this convenient little syring, and could
Spts. frumenti. name lives it surely has helped to save.
M. Sig.–Teaspoonful aster meals. Alum, zinc sulphate, carbolic acid, tincture of iodine (solutions), are the usual medi
R Ext. aloes... caments, except in infants with a catarrhal sore
Resinæ podophylli. throat or tonsillitis, where the borate of sodium Ext. colcynthi comp.. solution may answer. Use often and give M. ft. pilulæ No. xij. Sig.–One pill every night, calomel or other antiphigistics and stimulants as needed.
Gastralgia The lancet, treatment by bleeding, has got to
R Tinct. belladonnæ..
me xl Spts. myristicæ.
3 ss be raised again. It has been too long laid away Spts. ætheris comp..
3 as the “ fruit of many bone orchards” might M. Sig.–Teaspoonful every three hours. testity. Try it on the first case of acute pneu
Chronic Dysentery. monitis. Ammonia chloride is a great remedy in liver,
R Pulv. Doverii....
:31 Pulv. aluminis.
3 iss lung and many intestinal and gastric disorders.
M. ft. charta No. xij. Sig.-One powder every four Let us hear from those that have used it their hours. success or failure.
Hemoptysis. Should like to hear the editor's treatment for
R Sodii chloridi....
3 ss lower extremity ulcers of syphilitic origin. The Magnesii sulphatis,
. 3 ij patient cannot take iodide of potassium. It pro- M. st. charta No. viij. Sig.-One powder every hour
in water. duces iodism in a 5 gr. dose. Is it not the ruling fashion now-a days to discard old and well
Chorea. tried remedies for those of newer invention, the
R Strychnia sulphatis..
3 ss true merits of which are yet to be proven ?
Vini Portense.... Portland, Ct. J. L. GARDNER, M. D.
M. Sig.-Twenty drops every three hours.
..gr. vj .gr. iij
. 3 ij
3 ss Aqua M. Sig.–Teaspoonful, well diluted, four times daily.
Erysipelas. B Tinct. aconiti rad...
.fm iv Creasoti ..
m vj Vini Portense, ,
:3 iij M. Sig.-Teaspoonful every three hours.
Chronic Cerebral Congestion. R Sodii bromidi..
3 ss Ext. ergotæ....
.fï iiss M. Sig.– Teaspoonful every four hours.
Spermatorrhea. R Spts, myristicæ...
-3 ss Strychninæ sulphatis.
.gr. Tinct. cinchonæ comp M. Sig.-Teaspoonful four times daily.
Anemia. R Tinct, nucis vomica.
3 ij Tinct. ferri chlor. M. Sig.–Twenty drops, well diluted, after meals.
A Good Tonic.
3 ij M. . Sig.–Teaspoonful before meals.
.3 ss Vini Portense M. Sig.-Teaspoonsul every hour.
Irritable Bladder. B Morphia sulphatis.....
iv M. Sig. -Two teaspoonfuls every three hours.
Cystitis. R Tinct. aconiti rad....
.3 ss Tinct. belladonnæ.
.m xx Infusi tritici repens.
• 3 vj M. Sig.–Tablespoonful every two hours.
Malarial Neuralgia. B Tinct. opii.
.3j M. Sig.–Teaspoonful, in water, every three hours.
To Break Up a Cold. R Camphor
Ether sufficient to make a thin paste.
Then add :
..gr. iij M. Sig.–Take from three to ten grains, according to age or opium idiosyncrasy, every four to six hours, in the beginning of a cold.
ãā 3 ) M. Sig.--Drop into the eyes p. r. n.
Scabies. R Sulphur. sublim,
3 j Balsam. Peru ..
3 iv Butyri petrolii M. Sig.-Rub over entire body twice a day. (The above besides being very effective is pleasant to the smell.)
John Specht, M.D., of Duluth, Minn., in Northwestern Lancet.
Rheumatism (Acute). In cases where the attack is sudden with considerable pyrexia I use: R Sodii salicylatis.
3 ij Vin. colch, sem.
3 ij Syr. sacch...
..4. S. ad ž iv M. Sig.-One teaspoonful every hour. (Ibid.)
. q. s. ad Z iv M. Sig.-One teaspoonsul in water or milk three times a day.
If there is much inflammatory deposit in the tissues about the joints and extremities, I have the parts painted with sol iodin. comp. If much pain, apply tinct. aconit.
gr. ij 3 ss 3 iss
---(Ibid.) Conjunctivitis (Chronic). R Argenti nitratis.. Aquæ....
.-3 ss M. Sig.-One drop in the eye twice a day.
-(Ibid.) For Tape Worm. R Ol. tiglii..
.gr. ij .gr. iv
For Superficial Neuralgias.
M. S.-Inject two to three drops in the gum or beGarretson's favorite application for superfi
tween the gum and tooth, three to five minutes before
operating cial neuralgias, especially of the face:
Favorite Prescriptions of Distinguished Practitioners.
By B. W. Palmer, A. M., M. D. Cloth, 256 pages, Olei olivæ.
$2.75. E. B. Treat, 771 Broadway, N. Y. M. Sig.–Rub over the affected spot thrice daily.
This is a useful work compiled from the experience
of Barker, Bartholow, Gross, Flint, Clark, Loomis, - Medical Summary. Burnstead, Thomas, Wood, Goodell, Fotherg 1), Davis,
Sims, Byford, Janeway, Da Costa, Cohen, Clymer,
Smith, Thompson, Brown-Sequard, Pallen, Hammond, Comedones.
and others of distinguished ability. There are Dr. J. McCaskey (Analectic) advises the fol
occasional blank forms in which the owners can record
others that he may pick up. The work is divided into lowing in comedones:
departments for the different diseases and well indexed R Sulphuric ether....
A Treatise on Headache and Neuralgia, including
Spinal Irritation and a Disquisition on Normal and
grs. XX Water, to make..
Morbid pleep. By ). Leonard Corning, M. A, M. D.
Cloth, 231 pages, $2.75. E. B. Treat, 771 Broadway, M. Sig.–Apply twice a day.
N. Y. The ammonia carbonate forms a soap with
The title of this work is sufficiently descriptive of its
contents, and the well known conscientious work of its the grease. The boracic acid acts as an an- | author is sufficient guarantee of its value to the tiseptin, and the ether as a sulvent.
Pictorial History of Ancient Pharmacy and MediAn Ointment for Seborrhea Sicci of the Scalp. cine. By Hermann Peters. Translated from the Vidal recommends the following formula:
German and revised, with numerous additions by
William Netter. Cloth, 184 pages and 83 illustrations. R Precipitated sulphur..
,15 parts. $2.00. G. P. Englehard & Co., Chicago. Castor-oil.
•50 parts. This is a fascinating historical sketch of early Cacao butter.
pharmacy and medicine, dealing largely with that Balsam of Peru ....
2 parts. portion of its history characterized by the rule of rank The sulphur and the castor oil are to be superstition. The mystical theories, potions, philters, mixed thoroughly, then the cacoa butter is to
symbols, love-draughts, incantations, spells and charms be added with the aid of a gentle heat, and
are reviewed in a scholarly manner. Aster reading
this work we are constrained to believe that there is finally the balsam. The ointment is to be rub- much of superstition yet abounding in medical bed into the hairy scalp every morning and practice. evening
The Vest Pocket Anatomist. (Founded upon
Gray.") By C. Henri Leonard, A.M., M.D., Professor An Ointment for Burns.
of the Medical and Surgical Diseases of Women and Gomez de la Mata gives the following for
Clinical Gynecology in the Detroit College of Medi
cine. Fourteenth revised edition containing 193 mula:
illustrations, “ Dissection Hints" and Visceral Anatomy. B Iodoform ..
Cloth, 12mo., 304 pages ; price $1.00. ILLUSTRATED Extract of conium.
40 parts. MEDICAL JOURNAL Co., Publishers, Detroit, Mich. Carbolic acid..
The new fourteenth edition of this work has been Rose ointment.
increased in size by the addition of over 100 pages of
text and one hundred engravings; the page of the book Mistura Quininæ Dulcis.
has also been somewhat enlarged to accommodate better
the engravings. The Brain and its Membranes, the B Quininä sulphatis,
Eye, Ear and Throat, in fact the entire Viscera and the Glycyrrhizini ammoniati (U.S.P.) àā gr. 16 Generative Organs of both Sexes, forms the new subject Elixir aromatici....
matter in this edition. Besides being a very popular Dissolve the ammoniated glycyrrhizin in the aro. dissecting room companion, it has become also a very matic elixir, and suspend in it the sulphate of quinine. popular surgical case companion for the practitioner, The latter should not be dissolved with the aid of an since the illustrations show at a glance (heing photoacid, since this would precipitate the glycyrrhizin. engraved from the English cuts of Gray) the positions Dose-A teaspoonful.
-Dr. L. Curtis. of all the important blood-vessels, nerves, muscles and
vicera. Painless Extraction of Teeth.
Physician's Visiting List. P. Blakiston Sons & Co.,
Phila., price $1.00. The following, in use in many places, is an
This list contains many useful tables, besides blank excellent formula :
| pages for recording, in signs only, visits to 2; patients & Cocainæ mur. (cryst.).
.gr. viij Chloralis. .
Medieal Bulletin Visiting List. For 70 patients, Acidi carbolici.
$1.25; for 105 patients, $1.50. F. A. Davis, publisher, Aquæ distillatæ.
.f. dr. ij
This book contains many useful tables, besides blank pages for recording, in signs only, medical services,
Pulmonary Consumption Considered as a Neurosis. which may be continued for one month without re
By Thos. J. Mays, M.D,, Philadelphia Polyclinic, Phila
delphia, Pa. writing the name,
Retrojection in Gonorrhea. By E. R. Palmer, M. D., The Case of Emperor Frederick III. Full Reports
721 West Jefferson St., Louisville, Ky. by the German Physicians and by Sir Morell Mackenzie. 276 pages, paper cover, 75 cents; cloth, $1.25. Edward S. Werner, 48 University Place, New York,
Report of the Pennsylvania State Board of Health. This compilation contains full reports of the con- Cloth, 1056 pages, accompanied by five valuable statistestants on both sides of the celebrated case, with illus- tical maps and charts of the State. Benjamin Lee, M. trations of the condition of the larynx and growth at D., Secretary, 1532 Pine St., Phila., Pa. aroused in this case will create a large demand for this every physician in the State should possess. book.
A very fine exhibit was made at the American InstiDiseases of the Kidneys. Their modern treatment,
tute by the Jerome Kidder Manufacturing Company, By Dujardin-Beaumetz, M. D. Translated by E. P.
820 Broadway, New York, makers of Dr. Kidder's Hurd, M. D., 169 pages.
electro-medical apparatus. The company may well Hysteria and Epilepsy, with observations on Epileptic
take pride in their exceptionally fine line of instru
ments, medical batteries, etc. Insomnia. By J. Leonard Corning, M. D.
The company have reThese are two volumes in the Physician's Leisure
ceived the highest awards from the Institute since 1872,
and so far from falling off in their productions manifest Library series, 175 pages, published by Geo. S. Davis, Detroit, Michigan, at 25 cents per copy in paper covers,
a steady onward and upward tendency. They show a
full line of galvanic batteries, galvano-caustic batteries, or $2.50 per year for the entire monthly series. The
many styles of Faradic batteries for family and physi. physician thus gets, at a small price, the latest medical
cians' use, tip batteries, surgical instruments, cauteries information.
and special appliances for an endless variety of medical Pocket Medical Formulary Therapeutically Arranged and surgical operations.-Electrical World. in Alphabetical Order. By A. Hazard, M.D. Revised and enlarged by A. S. Gerhard, A.M., M.D., of the Dr. Esguive, Colonization physician to the ParisMedico-Chirurgical College, Philadelphia. With useful Lyons-Mediterranean Railway, Bon-Medja, France, appendices. Cloth, 334 pages, in convenient pocket
March 28, 1887, says: form, with clasp. A. L. Hummel, M.D., publisher, 224 “I tried Bromidia (Battle) nn iwo cases of insomSouth 16th St., Phila., Pa.
nia, which I had already treated for some time, with a Annals of Surgery. A Monthly Review of Surgical
mixture of equal parts of bromide of potassium and
chloral. I noticed that hypnot: results were proScience and Practice, $5 per year in advance. J. H.
duced with much smuller do es of Bromidia than of Chambers & Co., 914 Locust St., St. Louis, Mo. An
the mixture of bromide and chloral. excellent journal which the scientific surgeon must have.
In a large num
ber of cases it is important not to push too iar the quan. Messrs. Eli Lilly & Company, of Indianapolis, have
tily of bromide of potassium. On this account I beissued a work entitled Hand-Book of Pharmacy and
lieve Bromidia is destined to be of real value, particuTherapeutics. The aim, as stated in the introduction, Jarly in insomnia of cardiac origin, and I deem it vastly is to furnish the busy practitioner a reliable means of superior to the simple mixture of bromide of potassium ready reference, at once concise, systematic and author
and chloral." itive, to which he may refer with confidence in cases of doubt. Younger members of the profession and medical
The agents of Nestle's Milk Food send out a beautistudents will find this work full of suggestions. It will
ful calendar this On the front is an interesting be sent free to any physician, druggist or medical
picture of Cupid whispering his counsel to the stork. student by addressing Eli Lilly & Co., Indianapolis,
Send for it, if you want something handsome and arInd., mentioning this Journal.
listic. Warner's Physician's Formulary, Warner's Physician's Visiting Record, and Warner's Book of Prescription
OPPORTUNITIES. Blanks will all be sent free to any reader of this Journal who will mention our name in asking for them.
If you want an attractive Medical Almanac send
your address to the New York Pharmacal Association, We welcome to our table « The Trained Nurse," a Lox 1574, N. Y., and mention THE MEDICAL WORLD. bright and useful monthly, at one dollar a year, published by the Lakeside Publishing Co., Buffalo, N. Y.
Have you tried London Essence of Beef? We call our readers' attention to the following pam- reliable preparations of old and standard di ugs, as well
Parke, Davis & Co., Detroit, Mich., will furnish you phlets :
as the best new ones that are constantly coming into The Annual Address of the President of thc Ameri- notice. can Gynecological Society. By Robert Battey, M.D., Rome, Ga.
We have recently had satisfactory success in our
practice with Eli Lily & Co.'s Succus Alterans. AdReport on Hydrophobia. By C. W. Dulles, M.D.,
dress them at Indianapolis, Ind. Philadelphia, Pa.
Wm. R. Warner & Co., 1228 Market St., Phila., will Why Electrolytic Treatment Does not Succeed in all
send you valuable prescription books and other things Hands. By G. C. H. Meier, M.D., 215 East 53d St.,
convenient for a physician's use. New York.
[CONTINUED ON NEXT LEAF.]