deficient in the blood in these cases. Such being the case those foods (vegatable) which contain this agent in comparatively large quantity should be allowed as early as practicable. The administration of carbonate of potassium in view of the condition of the blood would seem to be a rational element in the general treatment. The albuminate, pyrophosphate, citrate, and other mild preparations of iron are valuable. Hemoglobin should be given when iron cannot be borne. The glycerine extract of bone marrow is valuable in many anaemic cases. The arsenious acid should be given 2 or 3 days in each week (gr., .002) for months (Liebreich). [TO BE CONTINUED.] Small-pox Therapy.-The prevalence of a mild type of small-pox throughout the country gives the therapy of that disease especial interest at the present time. Vaccination is, of course, unquestionably not to be overlooked as a preventive measure, but in addition infection may be made much more unlikely and, where infection has taken place, the course of the disease considerably shortened and shorn of its terrors by the administration of the valuable anti-purulent ecthol. The Battle Company has just issued a pamphlet dealing with the use of ecthol in this disease. The pamphlet should be in the hands of every physician who may be called upon to treat small-pox. It will be sent to any physician who makes the request. The Maltine Contest.-We take great pleasure in calling our readers attention to the offer made by the Maltine Co. of two prizes, one of $1000 and the second for $500, for the two best essays on Preventive Medicine. In offering these prizes the Maltine Co. has used every precaution to make the contest purely ethical, the specifications clearly indicate that the object is to promote scientific research along the lines of preventive medicine. In Europe this method of stimulating investigation is more prevalent than in America, it is seldom that so generous an offer is made to American students. The prizes are so large, the judges of such high standing, and the conditions governing the competition such as to enable the most ethical man to compete without compromising himself. The three judges are not only men of the first rank, but represent different sections of the country and different branches of the profession. Dr. Lewis being a surgeon and editor of one of the leading medical journals; Dr. Reed a gynecologist and former president of the American Medical Association, and Dr. Rhodes, a purely medical man. Then again, the subject is such a broad one, that every intelligent practitioner, whether he makes a specialty of surgery, pediatrics, gynecology or internal medicine, or is simply an all around family doctor, can write upon it. The reputation of the Maltine Company and of the judges they have selected is an absolute guarantee of the integrity of the contest. We trust that at least one of the winners may be from among the readers of the FORTNIGHTLY. THE MEDICAL ASSOCIATION Of Missouri will reorganize at its meeting in St. Joseph in May, and all county societies are requested to send delegates, with a view to affiliation with the American Medical Association. THE SOUTHWESTERN IOWA MEDICAL ASSOCIATION will hold its annual meeting in Creston, on February 20th. The efficient secretary, Dr. Sampson, has prepared an interesting program, and the profession is cordially invited to attend. THE SAMUEL D. GROSS PRIZE of $1,000 for original research in surgery, has been awarded to Dr. R. H. M. Dawbarn, of New York. His treatise is entitled "The Treatment of Certain Malignant Growths by Excision of Both Carotids." DESK CALENDAR.-The Scott & Bowne calendar for 1902 appears in its usual good form. It has become a regular and well-nigh indispensable visitor, for no desk is complete without some such ready reminder of duties that otherwise might be forgotten. This one, too, is a reminder of many uses, new and old, of Scott's emulsion that must prove of value to a vast number of physicians. It will be sent on application to any who may have been overlooked in its distribution. THE KANSAS CITY ACADEMY OF MEDICINE held its annual banquet on the night of January 9th, with 150 in attendance. Dr. George W. Webster, of Chicago, was the guest of honor, and responded to the toast, "The Medical Profession in the West." Other speakers were Drs. H. C. Crowell, E. G. Blair, W. E. Kuhn, R. T. Sloan, J. H. Thompson and J. N. Jackson. The following officers of the Academy were installed: President, Dr. J. W. Gaines; VicePresident, Dr. C. B. Hardin; Secretary, Dr. J. G. Lapp; Treasurer, Dr. C. Lester Hall; Censor, Dr. G. E. Bellows. MEDICAL SOCIETY OF THE MISSOURI VALLEY.-The program for the Lincoln meeting, on March 20th, is nearly completed, and includes a number of interesting topics from members, as well as some volunteer papers from eminent men in Chicago. Dr. Harold N. Moyer, the well-known neurologist, will present a paper. Dr. Palmer Findley, who gave a most entertaining lecture at the last meeting, will again favor the society with a practical demonstration in Pathology; Dr. B W. Sippy, who is doing such good work in internal medicine at Rush, will hold a clinic, and Dr. J. Homer Coulter, laryngologist at the Clinical School, will present "The Suppurating Ear." Program will be issued the latter part of the month, and further information may be obtained by addressing the secretary. MEDICAL MEMORANDA. CONCERNING ACESTORIA. Acestoria is distinguished as the antiseptic anaesthetic local. There may be others, but this is such par excellence. The formula is before the profession, and it is a thoroughly good formula, scientific and common sense. If we study it over cursorily, we find there the desirable constituents. Taking them altogether, one is convinced before he has even seen Acestoria that it possesses powerful anaesthetic properties. It can scarcely be otherwise. Every constituent has found out its fixed place in therapeutics, and there is not one among them that has not been tried and approved, with the records in the text books, the medical press and weighty papers read before scientific societies. A powerful combination. We pro nounce the words with wholesome respect. A powerful combination, butthere attaches a bit of rational demurrer. Powerful anaesthetics of local employment are not wholly deprived of dangerous qualities. As a rule, they depress. But Acestoria does not do this, as there is introduced an ingredient that forbids any such effect. Experience has not long been mentioned, but it may be placed on record that, wherever employed as directed, no pain has proved rebellious to the treatment. That is certainly honor enough. But it is honor that is brightened by the further statement that those who have employed Acestoria never before met with such certain and efficacious results. This means extraordinary success. It means an analgesic of the greatest local power possible. It does not mean simply a diminution of sensibility. It does not mean any mere freezing of the part treated. It means a very notable advancement in anasthetic application. This: Ancestoria, as employed in the laboratory experiments, possesses the power to dissolve protagon. It does this completely, and-purchasing the proper laboratory language-beautifully. Now, of course, protagon is present. in the nerve cells, and there it is effected by the anaesthetic. That is, the application tends to cause a coagulation of albuminous substances; and in the application it is to be noted that the nerve tubes momentarily lose their transparency, explaining the anaes thetic as a result of a semi-coagulation of nervous protoplasm. Understanding this, our appreciation of Acestoria should grow. There are no disadvantages. A comparatively small quantity is required. No disagreeable sensations precede the anaesthetic effct. Thre is no nausea and vomiting, no discomfort, no bronchial irritation. No nervous function is compromised. The nitro-glycerin which is present precludes, or at least antagonizes, any depression of the heart or the arterial tension. On the contrary, several observers have stated that, during the anaesthesia, an increased systolic energy has been observed. Again, no inhibitory action of the pneumogastric ensues. Reflex action is so fully abolished that there can be no paralyzing influence. The anaesthetic effect disappears quickly, without a single disagreeable after effect. The action manifests itself pleasurably. Several applications can be made without discomfort. No unusual care is required. The effect can be regu lated with a nicety, both as regards the intensity and the area. Not only has Acestoria its province in surgical dentistry, but it may be employed in nearly all of the_numerous minor surgical operations. Indeed, no minor surgery case is completely stocked without it. Among the many small, but more or less painful operations in which it renders the effect of entire painlessness, are the opening of abscesses, the amputation of fingers, circumcisions, the opening of felons, operations on ingrowing toenails, etc., Something like very remarkable success attends its use wherever employed, and this is due entirely to its intrinsic merits. One does not need to say that it is "so much better than any other anaesthetic" for the good and sufficient reason that there it no other local anesthetic of a similar character. If we look carefully at the category of faults ascribable to local anaesthetics, for one reason or another, or for many diverse reasons, we find no amenability on the part of Acestoria. It is not only in the Materia Medica with staying qualities, but as well it is becoming to the position that it occupies, a stable antiseptic anaesthetic. W. H. MORSE. M. D., Consulting Chemist, New York. A CLINICAL REPORT ON TERPHEROIN (Foster). Harry P. Schlansky, M. D., Physician to Beth Israel Hospital, New York City, says: I have used Terp-Heroin (Foster) in about twenty-five cases in my private and dispensary practice and from its use I have received excellent results. The following are a few cases in brief: Case I-Mrs. G. K. has tuberculosis; coughs and expectorates profusely; bothered a great deal; prescribed Terp-Heroin (Foster) oz. ii, q 3. h. and the patient told me it has relieved her a great deal of the distressing cough. Have advised her to continue use of the preparation. Case II-C. L., male, chronic bronchitis. cough and pain; prescribed oz. ii, q 2. h. and it decreased cough and pain. Case III-Mrs. A. C., bronchitis; cough with pain; prescribed oz. i, q 2. h. and it relieved her of the cough. (Patient claimed "it worked wonderful.") Case IV-Mrs. B. M., asthma; coughed a great deal and which kept her awake mostly all night; prescribed Terp-Heroin oz. ii, q 2. h. and results were excellent; patient claimed she slept better at night than before the use of the preparation. Case V-T. C., child, age 2 years; bronchitis; prescribed 15 drops q. 3. h. and results were excellent. Case VI-H. T., tuberculosis; gave Terp-Heroin for cough and it gave most gratifying relief; prescribed oz. ii, q. 2. h. I could write out many more cases in which I have used the preparation, but the few cases cited above will serve to show the excellent results obtained. It is a meritorious remedy and should receive the careful attention of every practitioner. THE TREATMENT OF NASAL CATARRH BY THE GENERAL PRACTITIONER. By Eugene C. Underwood, M. D., Sugeon B. & O. S. R. R.; Surgeon K. & I. B. Co., etc., Louisville, Ky. I have long entertained the view that the general medical practitioner neglects to treat his patients for catarrh and sends them to a specialist when he could successfully manage these himself. In fact, the treatment of catarrh is very simple and the results which follow correct and systematic treatment are very satisfactory. In practice two forms of chronic nasal catarrh are met. These are hypertrophic rhinitis and atrophic rhinitis. The hypertrophic form is more generally seen, and is characterized by a thick mucous discharge from the nose. great liability to colds, obstruction of one or both nostrils, which forces the patient to breathe through his mouth, nasal intonation of the voice. There is more or less headache and the sense of smell is lost or impaired. There is dryness of the throat, deafness and other symptoms showing the extension of the disease to neighboring organs. Exostosis of the Osseous structures often is seen. Atrophic rhinitis (ozena) is characterized by a sense of dryness in the nose and throat, a thick, purulent discharge and the expulsion of discolored crusts and an offensive putrid odor. The sense of smell is impaired and the patient is weak and anemic. The mucous membrane is dry and glazed, but in advanced cases ulceration and necrosis are present. The treatment consists of applications directly to the diseased area and the administration of such internal remedies as will correct any coexisting disease or morbid state. In some cases where there is occlusion by exostosis the resources of surgery must be invoked. Let me examine more in detail the treatment of the types of nasal catarrh. In simple chronic hypertrophic rhinitis the results of treatment will be most flattering. In a case attended with no constitutional disease nothing is necessary beyond having the patient spray the nasal mucous surface with a solution composed of equal parts of water and Hydrozone every three hours. If the case has persisted some_time and the patient has an amount of mucous discharge, I have him take twenty drops of balsam of copaiba four times daily. The Hydrozone is not only a disinfectant and germicide, but its curative action on the inflamed mucous membranes is speedy and is not equaled by any other drug I have ever used. When the patient is anemic I have him take iron, and any other drug is used when it is called for by any associated disease or morbid condition, but the Hydrozone spray is used in all cases. In the atrophic variety we shall have to use the same local application. The Hydrozone at once overcomes the offensive odor and takes off the purulent crusts. These cases must be treated with cod liver oil, iron and such other remedies as will bring up the general health. Issued Tenth and Twenty-fifth of Every Month by the Fortnightly Press Co. UNDER THE EDITORIAL DIRECTION OF FRANK PARSONS NORBURY, M. D. AND THOS. A. HOPKINS, M. D. Secretary: CHARLES WOOD FASSETT, M. D. A COSMOPOLITAN BIWEEKLY FOR THE GENERAL PRACTITIONER Editorial Offices in St. Louis, Chicago, Cincinnati, Jacksonville, St. Joseph, Kansas City, and Pueblo, where specimen copies may be obtained and subscriptions will be taken. Address all business communications to the Fortnightly Press Company. Address all contributions and books for review to the Editors, Suite 312, Century Building, Saint Louis. Volume XXI FEBRUARY TWENTY-FIFTH Editorial Department. Number 4 THERE is perhaps no one disease for which the physician is called upon more frequently to prescribe than acute bronchitis, nor is there a disease Acute of which the layman thinks he knows all, and by reason of his knowledge can prescribe for himself. The almanac so promiscuously scattered about by the enterprising proprietary medicine firms is largely responsible for this belief. Take an average farmer who depends on his knowledge and skill to conduct a farm with profit, or the successful tradesman or mechanic, "up-to-date" in their respective callings, will when confronted with disease in their families, display such ignorance and jeopardize health by reason of their blind following of the teachings of so-called "domestic medicine" promulgated by tradition and the almanac. It is timely that physicians stop to consider occurrence of acute bronchitis and its care, and dispel the belief that it is "a common disease" and urge their patrons to regard it as of serious import, and should be properly treated. Dr. Dillon Brown, of whom there is no better authority, in his excellent journal, Pediatrics, editorially comments upon a feature of this subject as follows: "The raw weather of northern winters makes this topic always important. For dwellers in cities winter bronchitis is by no means a trifle. In infants and young children it is the familiar winter substitute for diarrhea in summer, and among adults, particularly those who live under the trying conditions of the tenements, it outnumbers far away all other winter diseases. Undoubtedly the most important element in etiology is the inhalation of bacterial dust. This is flying everywhere in closely built towns and cities, and until people can be brought to realize the danger of prommiscuous spitting, pathogenic bacteria in untold myriads will continue to fly. They are thicker of course in cars, steamboats and ferry houses; and in those dwellings where register heat is provided from basement furnaces with an "intake" near the ground and no straining apparatus they are also apt to be numerous. "How the bacteria may be avoided is consequently a grievous question, which for the multitudes who must travel on the streets or in the cars admits of no present answer. Till the external conditions improve the only way of escape is in the increase of one's resisting power. This is, of course, the salvation already of the thousands who do not suffer, but for |