holic soap. The latter is made from two ounces of pure soft (potash) soap, one-half ounce of alcohol, and ten minims of oil of lavender. After well rubbing it in the hair, wash it away with plenty of hot water, and thoroughly dry with a warm, soft cloth. When the head is quite dry, use a glycerole of tannin (ten to thirty grains to the ounce), and rub firmly into the scalp. If tannin does not seem to aid, resorcin may be used. This to be done from one to three times a week. The following dressing be used: Carbolic acid 20 grains, oil of cinnamon 60 grains, olive oil 2 ounces. Apply daily.-Phar. Record.

may

RAT-TAIL SUTURES.-In the Medical News Dr. E. Oliver Belt, of Washington, states that he has made extensive use in ophthalmic operations of a fine fiber derived from the rat's tail. The tail is skinned and soaked in water for several days, when, on slight manipulation, it splits into perhaps a hundred fibers, each about eight inches long. They are placed in alcohol, and about once a month, for two or three days at a time, they are soaked in 1 to 5000 solution of corrosive sublimate. Dr. Belt recommends these fibers in cases where a strong and fine animal suture is required. He says they are much finer than those prepared from the opossum's tail, which he had seen used by Dr. Chisholm, of Baltimore.-New York Medical Journal.

QUININE pills and capsules are very insoluble, being discharged undissolved.

Febriline, or Tasteless Syrup of Quinine, has been found to be just as reliable in all cases as the bitter sulphate of quinine, and physicians will find it to their interest to use it for adults as well as children in place of pills and capsules. It is as pleasant as lemon syrup, and will be retained by the most delicate stomach, having also the advantage of not producing the unpleasant head symptoms of which so many patients complain after taking the quinine sulphate. Possessing these advantages, physicians will find it superior to the quinine sulphate for all cases requiring quine, particularly typhoid fever.

CONSERATIVE SURGERY APPLIED TO THE OVARY.-History of Case.-Mrs. P., a nullipara, married three years, but never pregnant, came on from Cincinnati to consult me about October 1st of the present year, on account of sterility, painful and irregular menstruation, pelvic neuralgia extending down the thighs, depression of spirits, persistent leucorrhoea, and impaired nutrition, which demonstrated itself by emaciation, or rather by the absence of all tendency to adipose deposits.

Upon physical examination the uterus was found decidedly anteflexed, and the cervical mucous membrane granular from prolonged contact with ichorous leucorrhoeal discharge. The left ovary was found to be as large as a small hen's egg, prolapsed and tender; and the right ovary as large as a small orange, or a large goose egg, prolapsed low down in the pelvis a little below the brim, and firmly fixed by adhesions.

The patient entered my hospital about October 15th, and laparotomy was performed at 10 A.M. on October 28th.

Description of Diseased Parts.-Upon opening the abdomen, the left ovary was found to be unattached by adhesions. It was as large as a small hen's egg, had a number of little peripheral cysts over its surface, and upon palpation presented unmistakable evidences of containing fluid of dense character. This ovary, with its corresponding Fallopian tube, was removed in the ordinary way, and upon being bisected presented the appearance depicted in Fig. 1. The superficial cysts were, apparently, due to dropsies of the Nabothian follicles. The center of the

Ovary was occupied by a mass of black, grumous blood, about as solid as that which usually makes up the bloody material of a pelvic hematocele. This was the result either of an ovarian apoplexy or of a small blood cyst. I am decidedly of the opinion that it had the former origin.

The right ovary with a thick-walled cyst, which existed between itself and its ligament below and the Fallopian tube above, was firmly fixed by adhesions in the pelvis, and had to be enucleated or "shelled out" by tearing attachments with the finger. Lifted into the abdominal opening, the condition of the parts was found to be that shown in Fig. 2.

The tumor depicted was one developed in the right broad ligament, and was firmly attached to the Fallopian tube above and the surface of the ovary below.

Operation. The patient was extremely desirous of becoming a mother, and I was very averse to following the usual practice of ligating the parts below the ovary and removing this organ, together with the cyst and Fallopian tube. Instead, therefore, of doing this, I split the broad ligament with a bistoury guided by a grooved director, and at the expenditure of considerable

time shelled out the cyst entirely and without evacuating its contents. Then I applied a half-dozen ligatures of Chinese silk to the bleeding vessels, and with fine cat-gut closed the opening in the broad ligament carefully and completely.

Two cysts as large as cherry-stones were found in the ovary. These were opened and their cavities lightly cauterized with Pacquelin's thermo-cautery brought to a white heat. Then the Fallopian tube, which, in consequence of these manipulations, had been broken completely away from the ovary, was attached to that organ by a strong cat-gut suture, the parts were returned to their normal places, and the abdominal wound was closed by silkworm-gut.

The patient, as soon as ether narcosis had passed off, was made happy and hopeful by the announcement that the prospects of maternity had not been destroyed by the operation, but, on the contrary, had been much increased. Upon receiving this intelligence, she said, very promptly and decidedly: "Thank you for telling me this at once; now I shall surely get well, for I desire very much to live, and am determined to recover. confirmed my fears as to the result of the operation upon pects of having children, I should have been indifferent as to the end."

Had you the pros

The steps of the operation, simple as they were, were very tedious, and over an hour was expended in their performance. Mrs. P. made a rapid and easy recovery, and at the next regular menstrual epoch menstruated normally and painlessly, as I very confidently expected that she would do.

Although this case presents no features of great interest or moment, I report it as a contribution to the daily growing subject the conservative surgery of the ovary. Certain I am that ten, or even five, years ago in my hands the ovary, which in this case has been saved, would have been destroyed; one more sterile female would have been added to the number daily created by the gynecologist; and one more disappointed and sorrowing woman made to swell the already long list of those who bemoan a childless existence.-Prof. T. Gaillard Thomas, M.D., in New York Medical Record, December 19, 1891.

THERAPEUTIC BRIEFS.-For vegetations on the genitals Dr. Uriola (National Druggist) recommends the following:

R. Acid. salicylic.....

Acid. acetic......

p. j

·P. xv.

M.

SIG.-Apply with camel's-hair brush; the growth will quickly disappear.

For sciatica Dr. Starr (Nervous Diseases") suggests:

R. Tinet. colchici
Tinct. cimicifugæ..

Tinet. aconiti.....

Tinet. belladonnæ..

SIG. One dose.

..aa minn. 3. M.

For infantile bronchistis a writer in Dixie Doctor suggests the

The following dressing protects the surface of wounds and dispenses with the use of bandages after operations. (Gaz. Hebd. des Sci. Med. in Satellite.) It is especially of service for dressing wounds on the face:

R. Zinci oxidi...

Zinci chloridi

Gelatin......

Aquæ.......

..gr. ivss

..gr. xxijss
3 v

...f 3 vijss.

M.

For some forms of sorethroat the following is an excellent prescription:

[The above Therapeutic Briefs" are taken from our excellent and valued cotemporary, The College and Clinical Record for January, 1892.-ED. S. P.]