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yet they command a high price for their milk and butter. This was probably the recommendation of the first cattle on the island, and this quality has improved from that time to this through in and in breeding

14. It would be better for the offspring were consanguineous marriages under medieal supervision. Certainly no better than for all marriages to be under like supervision.

15. The half a hundred abnormalities ascribed to the consanguinity, including almost all the ills that flesh is heir to," among others, whooping cough, approaches the ludicrous."

16. The factors which lead to consanguineous marriages are: portions of country geographically isolated or mountainous, rendering communication with the outside world difficult, religious or political sects of an exclusive nature, and aristocratic ideas. As examples, note the per cent. of consanguineous marriages in Scotland, 5.25 per cent., to those in England, 3 per cent., the preponderence in Martha's Vineyard, the commune of Balz, and among the Jews and Quakers.

17. The facts do not warrant us in supposing that there is a specific degenerative effect caused ipso facto by consanguinity.

18. Consanguineous marriages, no other objection being present, should not be opposed on physiological grounds.

DISEASES OF THE SKIN OCCURRING IN SUB

JECTS OF GOUT.

Conclusions from a Paper read at the Akron Meeting of the Ohio State Medical

Society, June 2, 1886.

By Wm. T. CORLETT, M.D., L.R.C.P., Professor of Diseases of the Skin in the Medical Dapartment of the University of

Wooster, Cleveland, Ohio.

*

*

*

Let me conclude by giving a few suggestions as to the treatment which has proved most useful in this class of skin diseases. The diet is of primary import and does not differ from that employed in the treatment of gout. In this there can be no fixed rules, some require more than their accustomed fare, while others must be curtailed to a lenten simplicity; all have especial idiosyncrasies which are imperative. The things generally to be interdicted are: rhubarb, strawberries, apples, pickles, sugar and acids except in moderation; eggs, lobsters and fats are generally illy borne. Malt liquors, port wine and champagne should be especially prohibited, and the free use of water should with equal emphasis be encouraged.

After this the digestion should recieve attention : First, the hygienic laws pertaining thereto should be enforced and if necessary vegetable bitters, pepsin or pancreatin may be given as indicated.

Next in importance to the diet is fresh air and exercise.

The special medication embraces the alkalies, colchicum, and, in special cases, the mineral acids. of the first, the liquor of potassium, ten to fifteen minims well diluted, taken twenty to thirty minutes after meals, as suggested to the writer by Dr. Liveing, of London, is of benefit in a large number of cases. At times rochelle salts, carlsbad salts or the mineral waters are required; they should be taken before breakfast, the former well diluted in hot water. Again, the lithia salts act best; this has been noted when the eruption was accompanied by muscular rheumatism.

My very limited experience with colchicum is not favorable to its use; when benefit was derived it seemed to be due to its purgative effect.

Local treatment is of little importance except to mitigate suffering. The alkaline baths, preparations of tar, and ammoniated mercury comprise the means most in vogue and best suited to this end.

THE TREATMENT OF CHOREA.-In the Practitioner, 1886, Dr. Cheadle advocates the use of large doses of arsenic in the treatment of chorea. He commences with a medium dose and increases the amount daily until the chorea disappears or toxic symptoms appear. In the latter case, he administers a calomel purge, after which he resumes the arsenic in smaller doses and pushes it as before.

He has noted cases of arsenical bronzing not unlike the discoloration of Addison's disease. This, however, disappears within six months after stopping the arsenic.

EDITORIAL.

A. B. THRASHER, M.A., M.D.

Editor.

OHIO STATE MEDICAL SOCIETY.

FORTY-FIRST ANNUAL MEETING AT AKRON, June 2, 3, and 4, 1886.

President Wm. Morrow Beach, London, called the society to order at 2 p.m., June 2nd, and Secretary G. A. Collamore, Toledo, read his annual report. He said that the present membership of the society was 557. For neglecting to send their annual catalogue, the following societies are declared “in contempt:” Delaware Co. Medical Association; Fulton Co. Medical Society; Northeastern Ohio Medical Associatiou.

The committee to push the bill for a State Board of Examiners presented their report, stating that the bill had been postponed until next January. Dr. R. S. C. Reed moved that the report be received and committee discharged—the object being to withdraw the support of the Society from the bill. With this understanding the motion was lost and the report was received and the committee continued. The Society in this action placed itself on recor:1 as heartily endorsing the bill, and the committee will now work for its passage.

Thirty papers were offered before the meeting and twenty-one were read and discussed.

Dr. H. Z. Gill, Cleveland, reported a case of “ Posterior Torticollis."

Dr. R. Harvey Reed advocated, in a spicy paper, the “Importance of Early Operations in Surgical Injuries." He thought the old rule of waiting until all symptoms of shock were over a poor

Ether was the proper anæsthetic to give in such cases, as it acted as a heart stimulant and under it the patient frequently became better. The immediate removal of crushed and mangled extremities was the way to prevent death from shock.

In discussing this paper the veteran Dr. Dunlap, of Springfield, gave it his hearty endorsement.

Dr. Weaver, of Dayton, said that the question of how to operate was a very serious one. Bold surgery was very attractive.

one.

But he thought that in this, as in many other cases, that the middle course was the safe one-operate neither too soon nor too late.

Dr. Hyatt, of Delaware, said that in conditions of a compound comminuted fracture, with accompanying shock, then we should always be governed by the degree of shock as to the time of operation. In conditions of profound shock he thought it bad surgery to immediately operate. The strong probabilities were that the patient would die in the operation or soon after.

Ether was far better than any mixture containing chloroform, and it might be advantageous to give some ether as a cardiac stimulant. In conditions of shock he thought the very best remedy was artificial heat, -far better than any alcoholic stimulants given by mouth.

Dr. Gill, of Cleveland, said that the rule of early amputation was the proper one, —the exception was when it should not be done. Every severe case should be judged by itself.

Dr. W. J. Scott, Cleveland, thought that even in profound shock immediate amputation should be made. He also believed in giving such cases alcohol.

Dr. R. B. Hall, Chillicothe, said that he thought the degree of shock had everything to do with determining whether the operation should be immediately performed, or whether there should be delay. In cases of profound shock he used dry heat which he thought exceedingly beneficial, but he also had great faith in the effect of whisky per orem.

Dr. N. Gay, Columbus, was governed as to time of operation by the effects of the ether. If under the influence of ether the pulse became stronger, then he operated; if, on the contrary, it became weaker, then he waited. Dr. Hamilton, Columbus, remarked that the time of the

operation should be governed by the situation of the injury: below the knee or shoulder, immediate; above, wait.

Dr. Harmon, Warren, thought the apparent depressing effect of chloroform was due to its powerful action. The stage of excitement passed much more rapidly and that of depression followed much more quickly than when a less powerful anæsthetic, such as ether, was used.

Dr. Norman Gay, Columbus, read a paper on “Malignant Carbuncle.” He advised treatment by deep injections around the carbuncle of equal parts of carbolic acid and olive oil.

This paper drew out quite a discussion on the effects of carbolic acid.

Dr. Hamilton reported the following case: A lady was suffering from paronychia. The pain becoming unbearable one night, she arose and saturated a piece of lint with carbolic acid (about a saturated solution) and wrapped it around the finger.

The pain soon subsided. She did not remove the lint until the second day, when she found her finger to be black, shriveled and dead. Dr. H. amputated.

Dr. Weaver reported a case where the carbolic acid had been simply poured over the finger, with a result like the above case.

Dr. Underwood reported a case where carbolic acid had been used as in Dr. Hamilton's case, for a burn of the finger, and with like result.

Dr. W. C. Jacobs, of Akron, reported five cases of Phosphor Necrosis, and presented cases. The patients had been working in the Akron match factories. He said that those persons who were suffering with unsound teeth were more liable to the disease. In case of attack he advised the early removal of the necrosed bone. Cleanliness and care in reference to food were essential.

Dr. Larimer presented a dicephalous fætus.
The other papers

read were: “On the Close Relation and Probable Identity Between Scarlatina and Diphtheria, with Pseudo-membranous Croup Considered." by A. Hurd, M.D., Findlay.

, "The Present Aspect of the Treatment of Vesical Calculus,' by N. P. Dandridge, M.D., Cincinnati.

“Progress in the Treatment of Epithelioma,” by B. M. Ricketts, M.D., Cincinnati.

"Some Cases of Abdominal Section,” by C. A. L. Reed, M. D., Hamilton.

“Selected Cases of Laparotomy,” by Dudley P. Allen, M.D., Cleveland."

“Optical Delusions,” by E. Williams, M.D., Cincinnati.

“The Cardiac Complications of Bright's Disease," by Jas. T. Whittaker, M.D., Cincinnati.

“ Dietetics in Idiopathic Fevers,” by H. J. Herrick, M.D., Cleveland.

“The Visual Field as a Diagnostic Symptom," by B. L. Millikin, M.D., Cleveland.

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