tional infirmity. Especially should this be enforced in families. who have suffered from this particular form of tuberculous disease. Nutritious food, suitable and sufficient clothing, and unrestricted exercise in the open air are absolutely necessary. If necessary to attain the latter, a change of climate ought to be enforced, if possible. The mental and moral faculties should receive proper attention and direction. The precocity which so frequently characterizes children laboring under the scrofulous or tuberculous diathesis should be repressed. The child should be taught self-control in all things. Every thing calculated to excite the passion of anger, grief, or fear should be avoided. If old enough to attend school, his studies should be so carefully adapted to his condition as to require no great mental effort. The hygiene of the school-room should by no means be neglected.

The condition of the digestive organs, the skin, the kidneys, and the bowels should be closely looked after, and any departure from healthy action promptly corrected by appropriate hygienic and medical agents. For pale, anemic children, some soluble form of iron should be given; and when there is lack of nutrition cod-liver oil, in some one of its forms, must not be neglected. It is in improvement in the function of nutrition that change of air and of climate sometimes displays such wonderful power.

In the adaptation of our curative measures due regard must be had to the constitutional vigor of the case in hand. It is not the removal of the tubercles which we hope to achieve so much as the abatement of the inflammation which has been provoked by the deposit. To this end, local abstractions of blood by leeches to the temples or mastoid processes, or by cups to the back of the neck, may be ordered for those of robust constitution, or who have been suddenly stricken down in the midst of apparent good health. We must never forget the possibility of mistaken diagnosis. For simple meningitis this is our surest remedy. May it not prevent the formation of tubercles in cases otherwise predisposed?

The application of cold, either by means of ether spray or cloths wrung from cold water, or what is usually far more efficient, the ice-bag, is indicated in the early stage of most cases, regardless of age or previous condition. It soothes and quiets the patient, mitigates the headache, and tends to abate the fever.

This remedy can be beneficially applied, even though artificial heat may be required to the extremities.

In the earlier stages the pain, the restlessness, and loss of sleep will call for anodynes and sedatives. To meet these indications, the bromides of sodium or potassium are called for, and in doses of sufficient size to command the situation. It is sometimes necessary to add chloral hydrate. At times the pain becomes so excruciating as to demand an opiate, of which class Dover's powder is perhaps preferable.

Constipation is best overcome with calomel, either alone or in unison with some vegetable cathartic. Hyper-purgation may do positive harm, and should never be resorted to. Calomel, pushed to the extent of ptyalism, as was formerly the fashion, is fortunately the fashion no longer. In my opinion, when so used, it is an agent of evil only.

Iodine, in some of its forms-generally that of iodide of potassium-is a remedy that has come down to us with many laudations, but, in cases of unquestioned tubercular character, with but little proof to sustain its reputation. Where benefit has been observed, a mistake in diagnosis may be suspected. However, I am in the habit of prescribing it, and frequently in association with the bichloride of mercury, perhaps for want of something better to order.

Counter-irritation by means of blisters and tartar emetic, upon both a limited and unlimited scale, have been practiced. From the tartar emetic particularly wonderful results have been claimed. I have never seen any good from either. In the earlier stages, and before consciousness is lost, they give pain, and hence increase the discomfort and restlessness.

The use of inunction of iodoform, as suggested by Dr. Warfring in an article in the New York Medical Record of 1886, has the advantage over the counter-irritant plan of at least doing no damage, if it does no good. The Doctor claims success in five well-recognized cases. The method followed by hin, consisted in shaving the scalp and smearing it liberally with an ointment of iodoform, grains xv, to zi of vaseline; the application to be made night and morning and carefully protected by some imperviable covering.

As in the case of most intractable diseases, remedies have been

multiplied, of which I might make an extended list, but I do not wish to consume the time of the Academy. Of the most of them it can be said that they have been tried and found wanting. I will close this already extended paper with the following suggestions:

The patient, if possible, should occupy a large, airy room on the quiet side of the house, and should be protected from light and noise. His diet in the early stage should be light and unirritating, and of easy digestion, strengthened and increased as the case progresses.

JOTTINGS FROM MY NOTE-BOOK: ECHOES FROM THE MEDICAL DEPARTMENT OF THE

UNIVERSITY OF TENNESSEE.

BY WILL D. HAGGARD, JR., M.D., NASHVILLE, TENN.

Creasote is the best remedy we have for phthisis.- Witherspoon.

Dr. Handly admonishes to be careful in the administration of an anesthetic where cystitis has previously existed.

Prof. Paul F. Eve used an ice-bag successfully in the reduction of an obstinate hernia that was not reducible by other means than the radical operation.

Prof. Paul Eve-Mr. Escue, I will escue for the varieties of benign tumors, sir, please. Now, Mr. Tullos, will you tullos the operation of lithotomy?

Doctors are prone to follow preconceived ideas of disease; after they get the theory, they will reason out things to suit their preconceived views.-Cain.

Professor-If a man should be blown up in a quarry, what would do for him?

Student-Wait till he came down, sir!

"All who expect to ride on my train must be ready to move

when the time comes to start. I move on time, and regard time of all things the most important."-McCampbell.

It is rumored that Professor Stephens alternates theological and obstetrical questions in the green-roon. The appended is a sample of the answers:

Answer-Esau wrote a book of fables, and sold his copyright for a bottle of potash.

For run-down, anemic condition-chronic chills-Dr. Witherspoon sometimes uses:

R. Ferri sulph. exsic..

Quinia sulph........

Pulv. rhei.....

zi

...gr. xl

.gr. xx

M. Et fiat pillulæ No. 40. Sig. One pill after each meal.

In congenital club-foot Prof. Duncan Eve begins treatment at once, as the foot is then as pliable as potter's clay. Several full and thorough manipulations each day, with adhesive strips carefully and scientifically applied, are simple but effective means when religiously followed out.

Professor Glenn finds the following invaluable in the successful treatment of impotence:

R. Chloride of gold and sodium.....

Sulph. strych.......

Phosphate zinc.......

Ext. damiana..............

gr. iii

.gr. i

...gr. iii

3 i.

M. and put into 30 capsules. Sig. One three times a day.

In simple continued malarial fever, erroneously called typhomalarial, Professor Witherspoon considers dierotic pulse, cracked tongue, and great sweating as pathognomonic. He treats it as follows: First by hydrochloric acid and sodii bicarbonatis; for three days large doses of quinine, but, if no good effect is derived, some bitter tonic, or muriatic acid and arsenic are used. Cold water to control temperature; ice-water taken freely; milk, preferably buttermilk. Light bread prohibited.

Rah, rah, ree! Se-wa-nee! The University of the South has a medical department. Hail to our little baby-sister! She will

make her debut in the blossoming spring-time, and be nurtured on the crest of the Cumberland plateau. That we find ourself already sincerely attached to the little bud of love, is attested by the fact that she has chosen from our faculty three of its brightest jewels-Professors Cain, Witherspoon, and Wood. In borrowing them for the summer months, our tenderest hope goes with them, and we shall watch her progress with unfeigned solicitude.

The trials of a medical student are indeed onerous. He poses perforce as a student, doctorem in arte medendi in esse, and the expositor of every thing that is abstruse and mooted in his profession. The laity take a sinister delight in propounding the most momentous questions that ignorance and inquisitiveness can conjure up. They ask for an explanation of the most occult facts in nature, and the poor student is expected to explain theories and demonstrate facts that have occupied the attention of the most eminent and erudite men who have struggled before us. It is not altogether bad. While it begins a practice of attempting to explain things of which we know nothing, still it inculcates the invaluable habit of looking at things in a catholic, independent sort of way, and inspires a greed for more specific and definite information.

Correspondence.

COMPLIMENTARY-LA GRIPPE-TYPHO-MALARIAL.

To the Editor of the Southern Practitioner:

My Dear Doctor:-It is 1:30 A.M., and not the first intimation from Morpheus of the coming of "tired nature's sweet restorer.' I seek to put insomnia to flight by taking up THE SOUTHERN PRACTITIONER for January, which has just come to hand-a most welcome visitor at all times.

In turning over its pages, a lithograph attracts my attention. I recognize the features of a grand old patriarch whom I never