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The knowledge that a man can use is the only real knowledge; the only knowledge that has We and growth in it and converts itsel into practical power. The rest hango like dust about the brain, or dries like raindrops of the stones.-FBOUDÉ.
The Medical World.
a happy, sweet-tempered child. The teeth are usually the scape-goat for this state of affairs, whether guilty or not. Do not lance
the gums until you have carefully examined Sabe Subscription to any part of the United States and Canada,
ONE DOLLAR per year. To England and the British Col: for other causes of irritability. onies FIVE SHILLINGS per year. Postage free. These rates must be paid invariably in advance.
How shall the phimosis be reduced ? The Notice is given on the wrapper when your subscription old Mosaic operation of circumcision is an upires. You are invited to renew promptly, when this aodice is given. This is necessary if you wish to continuo excellent hygienic procedure, but is rather a to receive THE WORLD, as it is sent only as long as paid for. We cannot always supply back aumbers. Should a num.
delicate operation, and always a bloody one. Der fall to reach a subscriber, we will supply another, if notidied before the end of the month.
Prof. Stewart, of the Medico-Chirurgical Pay no money to agents for this journal unless pub College, Philadelphia, has devised an ingenious lisher's receipt is given.
instrument, called Stewart's Preputial Dílator, C. F. TAYLOR, M. D., LOUIS LEWIS, M. D., M. R. C. 8.,(Eng.)
by which the contracted fore-skin is gently J. J. TAYLOR, M. D.,
dilated and can then be stripped back, washed ADDRESS ALL COXYUNICATIONS TO
and anointed with cosmoline, the whole opera"THE MEDIOAL WORLD,"
tion seldom bringing a drop of blood. It then 1530 Chestnut Street,
requires close attention on the part of the PHILADELPHIA, PA.
mother for a few days, washing and anointing
it, to prevent it from contracting and adhering Vol. VII. MARCH, 1889. No. 3. again. We think this is the best operation in
the hands of the general practitioner. Congenital Phimosis.
When should it be performed? From one We wish to call the attention of our readers week to twenty years of age, as soon as the to the importance of recognizing this condition
condition is clearly diagnosed. The sooner, early and correcting it. Many cases of con the more easily it is performed and the better vulsions and other reflex nervous disturbances the results. in male infants can be traced to a contracted and adherent prepuce, and at once disappear
An article in the Medical Era calls attenupon a correction of the defect. But more
tion to the fact that phimosis of the clitoris of important than this is the fact that many cases
girl babies may also often be the cause of vaof nervous irritability, hardly recognized as a
rious otherwise obscure neuroses. The hood or distinct pathological condition, and hence not prepuce should be stripped back and the usually treated at all, are due to the constant
groove cleansed of smegma, and kept so. irritation of an imprisoned glans, and the accumulation of smegma behind the corona.
J. J. T. This constant irritation, kept up until, in after
Surgical Dressings. years, the boy reduces it himself, exerts a very When the pendulum has swung to its limit deleterious influence upon his health. It ren at once starts back. The tendency to comders him nervous, timid, more liable to incon- plication in antiseptic surgical dressing having tinence of urine, and to contract vile habits developed far beyond a reasonable limit, there at puberty. It lowers the general tone and seems to be a desire to a return to practical vitality of the individual.
simplicity. The question now seems to be, inRemove this condition, and you soon have stead of " how many things can we use ?"
some cardiac stimulant, as morphine, brandy or digitalis, to guard the heart. We would suggest one other important procedure-reduction of the quantity and fuidity of the blood. This may be done by a strictly dry diet for several days preceding the occasion, or, when there is not time enough for that, the induction of gentle diuresis, diaphoresis and hydragogue catharsis for a day or two preceding. Of course this plan is adapted only to premeditated operations, and not to cases of injury requiring immediate surgical attention. J. J. T..
“how few and inexpensive articles can we get along with and still do good work ?" We welcome this sentiment, because it makes antiseptic surgery possible under any and all circumstances. While the dry antiseptic dressing, undisturbed until healing has taken place, is best where it can be applied, yet we know that it is possible to do good surgical work without it.
Chloride of ammonium, in solution of an ounce to a pint and a half of water, with a slight addition of alcohol, makes an ideal lotion in all kinds of surgical operations, cuts, crushes, lacerations, etc. The chloride of ammonium, besides being antiseptic, has the power of stimulating organic cells to action, so that apparently dead tissue is stimulated to contraction by it as by galvanism. Try this on the heart of a chicken, rabbit or fish, and you will see the demonstration. By this means bad crushes may often be successfully treated that would otherwise require amputation or result in death of the part; also a constant lotion of this mixture will often restore parts in which gangrene is actually threatening.
A solution of the hyposulphite of sodium, one to two ounces to the pint, has proven a very efficient surgical lotion in our hands; as much so, in fact, as we could wish.
As lotions from the plant world, tincture of calendula stands easily at the head, with a reliable preparation of arnica next. They are much more expensive, however, and, we think, not a bit better than those above suggested.
For a powder to be used in the dry dressing we prefer oxide of zinc, thoroughly triturated with one part of corrosive sublimate to one thousand, instead of iodoform. This makes a pleasant agreeable and safe dressing, and is not open to the many objections of smell, poisonous absorption, etc., which we meet in the use of iodoform. We think the process of surgical diessing is destined to be progressively simplified during the next year or two.
J. J.T. Prophylaxis in Chloroform Anesthesia.
There are certain anesthetics which are dangerous by reason of their action upon the heart. It has long been recognized as proper to precede the administration by a dose of
We notice in an eclectic medical journal that the hospital of Springfield, Ohio, is to be under the administration, during alternate years, of the physicians and of the eclectic physicians of that city, that the two modes of practice may be observed and compared. We heartily approve of this, as we think that the absolute truth can be better brought out by this means than by all the discussions in the universe. We believe that there is much merit in both methods of practice, and that they are yearly coming closer and closer together by the influence of sensible men of each system, who are selecting the best out of the other, until, finally, there will be no difference at all
-nor will there be any distinctive title other than physician or doctor.
Doctor, you owe it to yourself and to your family, as well as to your profession, that you send out your bills regularly, and collect closely from all those who are able to pay, and to strictly refuse further attention to those who are able to pay but neglect or decline to do so.
A great many have failed to notice the an. nouncement in January WORLD, page 38, that the price of the Red Cross M. D. Badge was necessarily advanced to $2.co, as their cost is much greater than we at first thought.
We are pleased to see ihat those who are ordering them are men who can bring the best of credentials, men of spirit, who approve an idea upon their own independent judgement. County medical societies are adopting it officially, and gradually it is becoming the modest insignia of friendly recognition among the better class of medical men.
R Quiniæ sulphatis.
Acid. sulph. aromat..
.ad oz, viij Two tablespoonfuls three times a day, in scurvy with prostration. & Potass. chlorat.,
.....dr. j Decoct, cinchonæ.,
.ad oz. vj As a gargle.
B Aq. calcis,
.......ā oz. ss Four times daily, in old scrofula.
Aq. calcis, as a lotion, for scrofulous ulcers.
& Tinct, iodi...
As a lotion for scrofulous sores.
Syr. ferri bromidi, dr. ss ter die, in scrofulous growths. & Ferri bromidi.
ad oz. )
R Acid. phosph. dil......
.oz, viij Two tablespoonfuls three times a day in scrofulous affections, especially of the eye.
Liq. potassa, dr. ss largely diluted, three times a day,
... ...Oz. SS
..Ə) ..dr. j
.gr. x .gr. x .oz, iss
The Current Medical Thought. Ess. rosa.
.mi As a tooth-powder, for spongy gums.
“ All day long, and every day, multitudinTwo tablespoonfuls three times a day.
ous afferent impulses, from eye, and ear, and
skin, and muscle, and other tissues and organs, Tannici glyceriti, to spongy gums.
are streaming into our nervous system, and did R Potass. permanganat.
each afferent impulse issue as its correlative Aq..
..oz. vj motor impulse, our life would be a prolonged As a gargle, for fetid breath.
As it is, by checks and counter-checks of Sea-Sickness.
cerebral and spinal activities, all these imNitrite of amyl inhalations, m v (with caution). pulses are drilled and marshalled and kept on Ether-spray to region of stomach.
hand in orderly array till a movement is called
for ; and thus we are able to execute at will R Chloral hydrat. .
the most complex bodily maneuvers, knowing Potass, bromidi.
only why, and unconscious or but dimly conAq. chloroformi For a draught.
scious how we carry them out.”
PROF. RANNEY. B Tinct. opii....
.mx Aq. effervescentis.
Vertigo from Constipation. For a draught.
BY B. W. RICHARDSON, M. D., F. R. S.,
Of London, England. Cocaine, gr. zo, every half hour.
Persons who are accustomed to have a reguAtropia, hypodermatically.
lar action of the bowels every morning are
usually affected with giddiness or vertigo, or R Creasoti...
mij Mist. amygdala.
with a sense of faintness, if the natural habit
..oz. ) For a draught.
be, by any accident, omitted. The reason is a
very simple one, and is purely mechanical. The Naval Medical Examining Board The regular habit causes the rectum to be Is now in session at the U. S. Naval Hospital,
loaded with feces, and when the rectum is Philadelphia, for the examination of candidates
loaded there is pressure on the surrounding for admission into the Medical Corps of the
veins. But, as I have shown by direct experiNavy as assistant surgeons. The Board will
ment, the cerebro spinal fluid finds its way remain in Philadelphia until the 31st of March,
into the venous circulation by the inferior vena
When, 1889. After the ist of April, 1889, the Board
cava and the common iliac veins. will hold its sessions at the Naval Hospital, therefore, there is pressure, causing impediBrooklyn, N. Y. There are fourteen vacancies
ment to the venous circulation in the pelvis,
there is at once an interference with the proin the grade of assistant surgeon. Further information may be obtained by addressing the
cess of escape of the cerebro spinal Auid, and President of the Examining Board.
pressure upon the whole of the cord, up to the J. Mills BROWNE,
cerebrum itself. Surgeon General U. S. Navy.
The form of constipation here referred to is Navy Department,
in the rectum, and must not be confounded Bureau of Medicine and Surgery,
with constipation due to accumulation or inWashington, D. C., January 16, 1889.
action in the colon. Vertigo with constipa
tion, and with the patient connecting the unSimple Treatment of Diphtheria.
easy cerebral symptoms with the constipation,
is an indication that the rectum is loaded, and Dr. Lorey, of Frankfort-on-the Main, uses a that relief will follow from a brisk aloetic simple application of pulverized sugar to the
purge. - The Asclepiad. throat, by means of a powder blower. This, he says, is uniformly successful, in a series of
TREMONT, Pa. eighty cases, in loosening the membrane and Dear Doctor TAYLOR.-I received the Visiting List ameliorating the disease.
and am very much pleased with it. With the many He also administers apo-morphine in one
works of the kind in the market, it seems strange now twenteth grain doses, in a suitable menstruum.
that no one ever conceived this style before. I think it is as nearly perfection as one can get.
I have been After the acute stage he gives tincture of the using one kind or another for thirty-eight years, and this chloride of iron in glycerine.
beats them all. Yours Truly,
Jos. W. BIRD.
On the Effects of Acids on the Functions of Curious Facts Regarding Various Liquors. the Stomach, and Their Therapeutic Application.
Glycerine and succinic acid are constantly
present in all wines in varying proportions. W. Jaworski (Ctrlblatt für klin. Med.,
Fusel oil is found in low class whiskey and 1888, No. 10) draws the tollowing conclusions, brandy, especially in those prepared from potaafter extensive experiments with acids on the
toes and beets. It is a most deleterious and gastric function :
objectionable product of fermentation, and has 1. The acids throw down a considerable
to be removed by rectification with sulphuric, precipitate of mucus.
muriatic, or nitric acid. This process causes 2. They (especially hydrochloric acid) in the formation of acetic ether and acetate of crease the cellular elements of the gastric con
amyl, giving a pleasant, “fruity" flavor to the tents.
spirit; whereas, fusel oil is pungent and pene3. Their introduction is followed by in
trating, causes gagging and nausea, and injures tense butyric reaction, most marked after hy
the coats of the stomach. The best spirits are drochloric acid.
made from rye, wheat, or barley, or a combina4. Larger quantities of the acids produce a
tion of these. Rum is made from molasses, or considerable effusion of bile into the stomach.
from the sugar cane direct. Pelargonic eiher 5. They stimulate, very actively, the secre
and essence of pineapple are used as flavoring tion of pepsin, but have no more influence ingredients. An inferior brandy is made in upon the secretion of hydrochloric acid than
Germany from potatoes, and sold as cognac. It so much distilled water would have.
contains much fusel oil. Good spirits are also 6. Their long. continued administration is
distilled from old wines in France and Spain. followed by marked diminution of the secre
They produce the best brandies: and the resition of hydrochloric acid.
due of these old wines left over after distillation 7. Even in large quantities hydrochloric
contains sufficient glycerine to be utilized for acid produces no gastric disturbances. On the
other purposes. contrary, a continued administration of the acid is attended with a feeling of well-being. 8. The difference in the effect between
Bloodless Treatment of Ingrowing Nail. acids and the alkaline salts on the gastric func Dr. Patin recommends the following procetions consists in the fact that the alkaline salts dure for removal of ingrowing toe-nail, which dissolve the mucus and decrease the secretion he has employed with excellent results in all of of pepsin, while the acids precipitate the mu
After thorough cleansing of the cus and increase the secretion of pepsin. The nail, a solution of gutta percha 10 parts, in 80 disappearance of the alkaline salts from the parts of chloroform, is applied with a brush to stomach is followed by a decided increase of the interstices between the nail and the granuthe hydrochloric acid secretion. This does lations. This is repeated several times on the not occur, or only to a slight degree, in the first day, and subsequently at longer intervals. case of acids. Both the acids and salts, in By exercise of care and patience it will be found large quantities in continued use, have the that the nail is gradually lifted from the undersame effect in lowering the activity, and finally | lying parts, and can then be removed without in destroying the function of the glands se pain with the scissors. If a properly fitting shoe creting hydrochloric acid.
is worn no recurrences need be apprehended. Experiments with the introduction of car The solution applied in this manner exerts a bonic acid into the stomach, either in gaseous
double effect, the chloroform is anesthetic, and form or dissolved in water, show that this acid the gutta-percha acts mechanically, forcing its has the property of stimulating the peptic and way between the granulations and the nail, and acid functions of the stomach, and in that way finally liberating it from its abnormal position. increases its digestive power.-N. Y. Meil. - Gaz. des Hopitaux.-The Clinical Reporter. Journal, Jan. 19, 1889.
In an article in the Medical and Surgical Tattoo marks may be entirely obliterated by | Reporter, Dr. J. B. Carrell, of Hatboro, Pa., pricking each spot with a needle until it bleeds, recites the value of this drug in a variety of then injecting a solution of tannin, and finally diseases. He says, “In the early stages of cauterizing with nitrate of silver. The mark is pneumonia--that is, in the congestive stageeffaced in about four weeks, after passing characterized by sudden rise of temperature, through many shades of color, like the slow throbbing pulse, dryness of skin, hurried and disappearance of a “black eye.
difficult respiration, chilliness, etc., I will put