2. The urine should be rendered bland by the use of a milk diet, the ingestion of considerable quantities of water, the administration of potassium citrate, if the urine be too acid, or of boric acid if it be alkaline.

3. Pelvic congestion should be relieved by hot vaginal douches, placing the patient in the knee-chest position, and the correction of constipation.

4. The inflamed cystic mucous membrane may be relieved by the administration of boric acid, salol, ol. santal, copaiba or creasote by mouth, or the use of injections of boric acid, carbolic acid or nitrate of silver in suitable strengths.

5. The patient's general health should be improved by tonics, etc.

6. Rest in bed, especially in all acute cases, is absolutely imperative.

While advocating direct local treatment for cases of cystitis which do not readily respond to ordinary therapeutic measures, the writer advises that it should be employed with judgment and caution.-Clinique.

Beer and Degeneration of the Heart and Kidneys.

Dr. Bollinger, director of the Anatomico-pathological Institute in Munich, asserts that it is very rare to find a normal heart and normal kidneys in an adult resident of that city. The reason for the kidney disease is the tax put upon these organs by the drinking of excessive amounts of beer, and the cardiac hypertrophy and degeneration are secondary lesions for the most part. Formerly the population of the city was recruited by accessions from the country, but the abuse of beer has spread now to the rural communities, so that this source of healthy new blood is cut off-Med. Record.

Salicylate of Soda in Tonsillitis.

This remedy is recommended as little less than a specific in acute cases. It should be given as early in the attack as possible, and in sufficient doses to cause ringing in the ears. Fifteen grains every three hours will usually cause this effect, when the dose may be diminished to ten and then to five grains at the same intervals. It should be continued for a day or two after disappearance of fever.-N. C. Med. Jour.

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AMERICAN MEDICAL ASSOCIATION.-The forty - sixth annual meeting of the Association was held in Baltimore on the four days ending May 10. The attendance was large, especially from the South and West. Under the admirable management of our old friend President Donald Maclean of Detroit, Mich., the work of the general sessions progressed with unusual smoothness and celerity. After the call to order and prayer, the President invited the Vice-Presidents and all ex-Presidents to seats on the platform, and among those who responded was Vice-President Dr. W. B. Rogers of this city.

Among the various useful measures considered or accomplished was the adoption of a resolution to urge upon Congress "such legislation as shall confer upon the officers of the medical corps of the Navy the same status, pay and emoluments as are now accorded to the medical officers of the Army." A resolution was also adopted which "most respectfully appeals to the colleges of the country to at once carry into execution the provisions of the four years' curricula of study."

Much fault has been found with the Journal of the Association, on account of its advertisement of secret remedies. The report of the trustees showed that the Journal now accepts no cards of that character; and, as existing contracts expire, they are renewed with those only who furnish the formulæ of their preparations for publication as a part of their advertisements; thus putting an end to that trouble. The inevitable VOL. XV-18

constitution and by-laws amender bobbed up as usual; but, after a speech by the venerable N. S. Davis, was once more suppressed, and by an overwhelming vote.

The committee on the establishment of a branch of the Federal Government, to be known as the Department of Public Health, with a medical Secretary of the same, had little progress to report, due largely to lack of funds for the payment of necessary expenses. The committee was continued, and with this difficulty remedied will prosecute the work vigorously, and we trust successfully, for we regard this addition to the Government as among the most worthy and beneficent purposes of the Association.

During the past year the library, consisting of more than seven thousand volumes and pamphlets, has been transferred from Washington to the Newberry Library in Chicago, where it will not only be better preserved, but so arranged as to be much more available to the members of the Association. Now that the library is permanently established in such excellent quarters, it is to be hoped that the members of the Association will contribute with increasing liberality to the filling of its shelves.

Before the various sections, a very large number of papers were read. Many of these had been prepared with great care and elicited much interesting discussion.

The social features of the occasion were marked by unsurpassed liberality and attractiveness. Altogether, the Baltimore meeting was one of the most profitable and enjoyable ever held by the Association.

The next meeting will be held in Atlanta, Ga., beginning on the first Tuesday in May, 1896.

General Officers for 1895-96: President, R. Beverly Cole, California; First Vice President, J. J. Chisolm, Maryland; Second Vice-President, C. Le Grand, Alabama; Third VicePresident, A. C. Clarke, Massachusetts; Fourth Vice-President, T. P. Satterwhite, Kentucky; Treasurer, Henry P. Newman, Chicago; Secretary, Wm. B. Atkinson, Pennsylvania; Assistant Secretary, J. McFadden Gaston, Alabama; Librarian, Geo. W. Webster, Chicago.

Chairman Committee of Arrangements-W. F. Westmoreland, Georgia.

Board of Trustees-J. E. Woodbridge, Ohio (unexpired term), 1896; E. E. Montgomery, Pennsylvania, 1896; E. F. Ingals, Illinois, 1896; Joseph Eastman, Indiana, 1897; J. T. Priestley, Iowa, 1897; D. W. Graham, Illinois, 1897; Alonzo Garcelon, Maine, 1898; J. E. Reeves, Tennessee, 1898; I. N. Love, Missouri, 1898.

Judicial Council, 1895-96-Elected 1895: N. S. Davis, Illinois; H. D. Didama, New York; John Morris, Maryland; W. E. B. Davis, Alabama; Daniel R. Brower, Illinois; D. W. Smouse, Iowa; M. B. Ward, Kansas (for three years); W. M. Welch, Pennsylvania (one year). Elected 1894: D. W. Crouse, Iowa; R. C. Moore, Nebraska; T. D. Crothers, Connecticut; G. B. Gillespie, Tennessee; W. T. Bishop, Pennsylvania; C. H. Hughes, Missouri; Ida J. Heiberger, District of Columbia. Elected 1893: X. C. Scott, Ohio; G. W. Stoner, U. S. M.-H. Service; J. McFadden Gaston, Georgia; T. A. Foster, Maine; I. N. Quimby, New Jersey; H. Brown, Kentucky.

Address on Medicine-William Osler, Maryland.
Address on Surgery-Nicholas Senn, Illinois.
Address on State Medicine-Geo. H. Rohe, Maryland.

NEW CITY HOSPITAL.-For the consideration of the Council committee appointed to recommend a site for the new Hospital, the MONTHLY begs to submit briefly the following points in favor of the present location: First, being owned by the city, there can be no charge of corruption in the selection and purchase of other property; second, it already has sewer connection; third, it is on a high level, easily drained; fourth, it lies between two electric car lines; fifth, and most important of all, it is central-about equi-distant from Fort Pickering on the south and Chelsea on the north, and nearer Court Square, the center of the city, than any other ground of no greater front-foot value obtainable. Humanity and justice to the sick and the injured demand that it shall be easily accessible, and as nearly as possible equally so from all parts of the city.

It is said that hospitals are detrimental to adjacent property.

The experience of other cities shows this to be a fallacy. But were it true, a change from a location surrounded by property purchased when there was no reason to expect removal, to one in the midst of property purchased when its owners had no reason to expect such an attack on their interests, would be a rank injustice, and one that would no doubt meet with troublesome, costly, and perhaps insurmountable, opposition. Moreover, of the taxpayers who signed the request for the hospital tax, a majority of those who expressed their wishes in the matter stipulated for the erection of the new buildings on the present hospital grounds.

APROPOS TO THE "HEILSERUM."-The vigorous decrial of the antitoxin treatment of diphtheria, first started by Hauseman of Berlin-who declared that the heilserum of Behring not only had no virtues as a healing agent, but had positively an injurious effect-is now being taken up so strongly elsewhere, particularly in New York, that the conservative physicians, who have been awaiting further developments in this mode of treatment before themselves beginning its use, begin to feel that they have been thoroughly justified in taking this course. Dr. Winter of New York seems to be one of the most strenuous of the declaimers of the antitoxin in America, basing his statements concerning its inefficiency upon an extensive observation of the treatment as carried out in the Willard Parker Hospital in New York.

In contradistinction to the declarations of no virtue in the antitoxin, we have a large number of statistics from the leading European hospitals and the assertions of some of the most prominent scientific investigators on the Continent. The results of the observations of Roux in Paris and Heubner and Baginsky in Berlin are such as to cause the most radical of the opponents of the new therapy to pause and think. We ourselves are strong advocates of conservatism in taking hold of new theories as they are sprung upon the profession; but when such able authority as that eminent clinician, Heubner, supports the auguments in favor of the antitoxin after himself thoroughly studying and investigating the subject, we are inclined to believe that there must be something in it.