The use, therefore, in every proper and lawful manner should be discouraged. Its sale to the young and immature should be absolutely forbidden, with severe penalties.

The arguments and pretexts which at times seem to justify the use of alcoholic beverages can never be employed for tobacco. The children of this decade will be the young men and women of the next, and every consideration worthy of our manliness and womanly virtues and humanity dictates that we should train them aright, and preserves their physical and moral constitutions pure and vigorous. Those who make the laws should resolutely interdict and prohibit.

Parents and teachers should instruct thoroughly. Every endeavor should be put forth to arouse the moral sense against the impure habit, and impress the perception of its pernicious character and influence. Religion should be called upon to help teaching that everyone should keep himself pure from defilement. If those who know so well the facts about tobacco, and the evil effects of its use, and who are slaves to the habit, should desire personal advice in regard to relief from their slavery, I would say when conviction is thorough relief is urgent; then call upon your moral nature for all the assistance you can command, ask for courage and backbone to give you resistance against further temptation. Mix a liberal amount of grey brain matter with your resolution, and say: "This day my shackles are broken, and henceforth I am free." If you will have this freedom perpetual, this cure complete, you must keep this resolution constantly warm upon the altar of Health and Purity; the fires must be constantly burning, or you are in danger.

Should there be some who cannot fully command their better natures, who have lost their individuality and must depend upon outside means for relief, I would recommend the following, which will greatly assist in the cure: R. Fl. Ext. Cinchonia Rubra Comp., 3ij.; Specific Tr. Avena Sativa, 3ij.; Specific Tr. Nucis Vom., gtts. xvi. ; Specific Tr. Belladonna, gtts. x. ; Simple Elixir, q.s. viij. M. et. Sig. One to two teaspoonfuls before meals and at bed time.*

A similar antidote, put up in tablet form, can be had in any quantity by addressing McCoy-Howe Co., Indianapolis, Ind.

I would, however, say, do not rely wholly upon the drugs; but keep the earnest desire to be free constantly mixed with the remedy, and then yield not to temptation; stand resolutely against the habit by practice and precept, teaching the truth by word, pen and personal action, constantly urging others to do the same, all condemning instead of endorsing the offence. When this sentiment prevails it will not be very long until this pall of the nineteenth century, this incubus, this sin will be regarded as disgraceful, shameful. Our laws will then be better respected and obeyed. The human race may then hope to be redeemed from this destructive and filthy vice, fastened upon it by the American savages.

A FEW PLAIN FACTS.

BY H. C. DAVIDSON, M.D., HENDRICKSON, MO.

Unfortunately for the world, few speakers and writers have spoken and written just what they thought. It is not, and has not been popular. If you have anything to say that may be unpopular or unorthodox, clothe it in an ancient garb, or use doubled and twisted phraseologies that no one can understand, and you have made a great success.

That medicine has made immense strides in the last forty years no one will deny, and all intelligent medical men hail the fact with delight. But that much is yet lacking all know to be true. Ignorance and illiteracy are the bane of the medical profession. It is not confined to any one school of medicine. We all have it, and some of us have it badly. I know a number of men who have been practicing physic for from ten to thirty years, who cannot parse hog-trough. Nay, they cannot tell whether hogtrough is a noun or a verb. They cannot correctly answer 5 per. cent. of the questions upon any science from orthography to astronomy. I believe every intelligent physician would be willing to say that there is no exaggeration in what I have here stated.

If you

These medical pretenders take no medical journals, and you can easily carry their libraries under your arm. They know everything but one, and every man of sense knows that. attend a medical association they are not there, or if a few of them do attend you are sorry for it. Some of these gentlemen support a sheepskin. How they got them the gods only know

or, if any man knew he would be ashamed to tell.

are you going to do with them? legislate fleas out of a hog-pen?

now.

Legislate them out?

Now, what
Can you

I don't believe in boards of health, examining boards and such other foolery. Human nature is weak. Money is strong. Let every medical college be chartered by the State, as the law is Let there be a law that no student shall be admitted to said college without good and sufficient evidence that he can pass a rigid examination upon the various branches of an English education. That if the faculty violate the above law, their charter shall be revoked, and they liable to further prosecution. That said faculty shall be the sole judges of the proficiency of their students. That when a diploma is granted to such student, it shall be prima facie evidence of his medical standing anywhere in the United States. This old doctrine of State sovereignty was shot to death from '61 to '65. We don't want it resurrected. In the name of all the gods, is it possible that any one is weak enough to think that a board appointed by a partisan politician, nonmedical and non-sensical, would be better, stronger and purer than a faculty of medical gentlemen at the head of a medical college, and they at the same time acting under every moral obligation, besides strong legal restraints? It is absurd and ridiculous. No, the whole thing was concocted to wipe from the face of the earth the last vestige of Eclecticism. Now after a thorough trial and an inglorious failure, we think it is time to call a halt, and let the whole thing fall back into the hands of our medical colleges; bringing them under proper restraints, as above stated. In this grand and glorious country of ours, the time will never come when one man, or set of men, will be compelled to bow to the dictum of another. Those glorious old days of barbarism and savagery are gone, and gone forever.

There is no system of medicine perfect. Why not then lay down all bickering and strife, duplicity and envy, and unite as a band of brothers to forward the greatest of all causes-the happiness and comfort of mankind?

Confucius, the great Chinese philosopher, was asked twenty-five centuries ago if there was any single sentence in the Chinese language which contained the whole duty of man. He answered

yes: "What you would not have a man do to you, do not that thing to him."

This is our code of ethics. It is broad enough and strong enough for the whole world, and, as the great General Jackson once said-and the rest of mankind. Another great man said: "Whoever should deprive another of a right he claims for himself, is an intellectual thief and a robber." This rule of reciprocity has been the code of ethics among all nations of the earth, taught by all great philosophers, and adopted by all well-regulated societies, and when strictly lived up to peace and harmony have prevailed.

OTOLOGY: CONGENITAL MALFORMATIONS, INJURIES,

AND MORBID GROWTHS OF THE AURICLE.

BY PITTS EDWIN HOWES, M.D., BOSTON, MASS.

IV.

It has been said that it is the unexpected that happens." The truth of this maxim is practically demonstrated in the occasional malformation which presents itself for rectification.

Congenital Malformations of the Auricle.-These manifest themselves usually in the excess, or defect, of some part of the auricle; more rarely in that form where the appendage has not the slightest resemblance to the external ear.

Those conditions which simply affect a portion of the auricle can, almost invariably, be relieved by a plastic operation, suited to the particular case which presents itself; but where the congenital malformation is such that it renders the auricle hardly recognizable you may be almost positive that the defect extends and involves the internal organ of hearing as well.

While the first class of cases may be treated at an early period with the greatest advantage, those of the latter should be delayed until the child has attained the years of understanding.

The probable outcome of the operation should be carefully explained the slight hope there is of benefit being received-and the unfortunate individual left to decide for himself what he desires.

Rather infrequently we meet with auricular appendages which may be removed without the slightest hesitation, and cause very little inconvenience either to the patient or the physician. Such

cases have been reported by Wagenhäuser, Erskine, Burnett, Dench and others. They should be removed by excising the integument, on either side, pressing it away from the growth, which is clipped off by a pair of sharp scissors. After this removal the integument should be brought together and the edges held in apposition by fine sutures; the recovery will be rapid and complete.

Injuries of the Auricle.-These are of comparative rarity. Incised wounds are occasionally seen; lacerated wounds present themselves more frequently; contused wounds are the most common of all the injuries.

The treatment, in incised and lacerated wounds, is simple and usually effective. In the first variety, the cut surfaces should be cleansed and brought in close juxtaposition by means of fine sutures. These are preferably introduced from the posterior side of the ear, being taken so as to include the cartilage, but not extending through to the anterior surface.

Care taken in thus repairing these injuries will more than repay by the absence of disfiguration.

All parts of lacerated wounds should be saved, if possible. Many times fine sutures will perform wonders-the surgeon's skill being directed toward the producing as little deformity as possible.

Semetimes it is essential, when there is much inflammation, to resort to cold antiseptic applications for the purpose of subduing inflammation. Two or three days will usually accomplish this, when the sutures may be introduced with happy results.

Contused wounds are much more frequent than both of the other kind combined. These are apt to result either in a hæmatoma, or an acute or chronic perichondritis. The cartilage may

or may not be fractured.

If these injuries are seen shortly after they occur cold applications should be used to reduce the effusion. Should this not be accomplished within forty-eight hours, surgical interference will be necessary. The fluid should be removed by means of an aspirator, and compresses resorted to. It is ordinarily needful to aspirate several times; but at the best this method will not produce the most satisfactory results.

The free incision made along one of the natural folds, thus