a fortnight after admission she began to disdischarge the contents of the bladder and rectum in bed. On October 18th she commenced taking her food voluntarily and with evident relish, and a few days later solid food was taken, and agreed well. On November 6th she began to speak occasionally to the other patients. Advantage was now taken of her regained appetite to punish her when she had soiled the bed during the night by not allowing her any breakfast; this plan was quickly attended with complete success. At the beginning of December she began to be useful in the ward, and she would answer my questions in a monosyllabic manner, but several seconds always elapsed before the "Yes" or "No" was uttered. By the end of the month she had begun to talk more readily, but a considerable interval still elapsed before her reply to a question was commenced, as though her powers of comprehension were still sluggish. On January 7, 1888, she was made an out-patient, and has continued to improve; in fact, at the present time (April 3d) all the symptoms have disappeared except, of course, the spinal curvature, and she is quite contented. Her weight has increased considerably, as the following will show: October 1st, 4 stone; 12th, 4 stone 1 pound; 25th, 4 stone 3 pounds; November 15th, 4 stone 7 pounds; December 6th, 4 stone 9 pounds; January 16th, 4 stone 13 pounds; 30th, 5 stone 2 pounds; February 21st, 5 stone 10 pounds April 3d, 6 stone.-Dr. A. W. Edge, Ibid.

TREATMENT OF PUERPERAL ECLAMPSIA.—In a paper on the treatment of puerperal eclampsia, published in the Prager Medicinische Woch ehschrift, Professor G. Veit, of Rostock, writes that, having had experience of more than sixty cases of this affection during a practice of thirty years, he was, up to 1886, always in the habit of laying the utmost stress on the importance of inducing deep and prolonged narcosis as the main treatment, and when the paroxysms came on during labor he hastened the birth as much as possible without endangering the mother. In order to produce narcosis he was in the habit of combining subcutaneous injections of morphia with the inhalation of chloroform. The initial dose of morphia used was about half a grain, and this was followed by still larger doses. In one case he gave about three grains in the course of twenty-nine hours. Sometimes respiration was affected and tracheal ráles were heard. These large doses of morphia, however, he says, never exerted any ill effect on the child. The only cases in which this occurred were among those in which only small doses had been given. Up to 1886 he

had paid but little attention to the state of the kidneys, except where the eclampsia occurred during the continuance of pregnancy, that is, before labor had commenced. During that year, however, he had the misfortune to lose two cases of eclampsia parturientium. Since that time he has directed his treatment of eclampsia during and after labor to the kidney affection mainly, giving hot baths and blanket packs, as used by Leibermeister and Breus. Wet-sheet packs, as recommended by Jaquet and Polster, he did not find so efficacious. He has also employed pilocarpine. Sometimes, too, narcosis is also required, and Professor Veit thinks that even in the worst and most dangerous cases the simultaneous employment of diaphoresis and narcosis should be able to bring the patient through.-Ibid.

ABDOMINAL PRESSURE IN HYSTERIA.-Dr. A. M. Dokhman, in a note communicated to the Russkaya Meditisina on the arrest of hysterical paroxysms by pressure on the "ovary,' points out that the treatment is by no means new, as blows on the abdomen used to be administered by means of iron instruments in the Senmedarski epidemic, and were employed very largely by Goltz as early as 1727. He suggests that, although pressure is made over the region of the ovary, it does not appear that the ovary has much to do with the effect produced, for similar pressure is efficacious where no ovary exists-that is to say in male patients. He is disposed to compare the effect to that produced by compression of the carotid artery, which will sometimes arrest a paroxysm, and he suggests that the sudden stimulation of the splanchnic nerves may produce an alteration in the vaso-motor relations, and in this way may cause the arrest of the paroxysm.-Ibid.

The

LARDACEOUS DEGENERATION OF THE STOMACH. Although but little mention is made by works on pathological anatomy of lardaceous degeneration of the stomach, yet Edinger states that this lesion is frequent enough. The muscular fibers and the walls of the vessels are attacked, and Edinger observed a hyperplasia of the connective tissues of the mucosa. epithelium of the gastric glands was not found to be degenerated. In one case there was an ulcer in the smaller curvature; in another the kidneys showed interstitial changes. In some of the cases the gastric juices were tested during life, and found not to contain hydrochloric acid, though pepsine was freely secreted. The chemical defects consisted chiefly in the proteids not being peptonized and in the development of intense gastric fermentations.— Ibid.

consume every available moment of the time

THE STATE SOCIETY.

Next week the Kentucky State Medical Society will hold its thirty-third annual meeting at Crab Orchard.

In view of the well-ordered postponement of the meeting time by our able management, who deemed it inexpedient that the duties incident to the celebration of our country's birthday should be complicated by the conception, gestation, or delivery of the Kentucky doctor's annual crop of new ideas, the gathering comes later in the season than ever before. Fortunately, the resources for cool comfort and social cheer afforded by Kentucky's most delightful watering-place are competent to offset any disadvantage that might otherwise weigh against the full success of the meeting, and the attendance will doubtless be unusually large, while the proceedings promise to be uncommonly

eventful.

That the work will be scientifically up to the measure of former years is attested by the programme, published elsewhere in this issue, which calls for the reading and discussion of about thirty papers. These, with the transaction of the necessary business, and the usual quota of volunteer articles, will

for an extension.

That this wealth of resource be not wasted, it behooves every essayist to trim his paper down to the regulation size, every speaker who takes the floor in discussion to talk to the point, and within the prescribed limit of time, and the honored president to hold the gavel ready-poised to drive home the spike in every gun, big or little, whose first shot shall be clearly prognostic of a fusillade of blank cartridges.

A THERAPEUTIC SENSATION.

Dr. H. T. Goodwin, of the U. S. Marine Hospital Service, has pricked the ears of the manufacturing chemist, and will probably paralyze the medical world.

He claims to have accidentally discovered in cascara sagrada a specific against rheumatism. Exhibiting the drug first upon himself, he afterward gave it in thirty cases. of rheumatism of all types and grades, with curative effect in every case.

The author can give no rational theory of this wonderful effect; but he is sure to create a great demand for the drug. In the boom that follows we trust our readers will not forget the manufacturing chemists who first laid the therapeutic claims of cascara before the American doctor, and have since supplied him with trustworthy preparations

of it.

J. MILNER FOTHERGILL.

A dispatch to the daily press announces the death of this eminent English physician. Take him for all in all, Dr. Fothergill was, perhaps, the most remarkable medical man of the century. What Byron said of Napoleon might, with due tempering, be not inaptly said of him :

"Whose spirit antithetically mixt

One moment of the mightiest, and again
On little objects with like firmness fixt;
Extreme in all things! hadst thou been betwixt,
Thy throne had still been thine, or never been."

Notes and Queries.

SOCIETY.

KENTUCKY STATE MEDICAL The thirty-third annual meeting will be held at Crab Orchard Springs, July 11, 12, and 13, 1888.

Officers: President, John G. Brooks, M. D., Paducah; First Vice-President, L. S. McMurtry, M. D., Danville; Second VicePresident, George Beeler, M. D., Clinton; Permanent Secretary, Steele Bailey, M. D., Stanford; Assistant Secretary, Fayette Dunlap, M. D., Danville; Treasurer, Edward Alcorn, M. D., Hustonville; Librarian, J. L. Taylor, M. D., South Union; Chairman Committee of Arrangements, E. R. Palmer, M. D., Louisville. Board of Censors: D. S. Reynolds, M. D., Chairman, Louisville; J. H. Letcher, M. D., Secretary, Henderson'; W. E. Rodman, M. D., Hodgenville; Andrew Seargent, M. D., Hopkinsville; S. W. Willis, M. D., Winchester; J. B. Evans, M. D., Riley's Station.

Both members and guests are invited and urged to take part in the discussion of the various papers presented. Discussions will usually be opened by some member selected for that purpose, but others are expected to participate. The following is the programme:

FIRST DAY-WEDNESDAY, 10 A. M.
Reading of the Minutes of 1887.
Report of the Committee of Arrangement.
Report of the Committee on Credentials.
Report of the Treasurer.

Report of the Permanent Secretary.
Report of the Librarian.

AFTERNOON SESSION, 2 P. M.

Report on Pathology, by D. S. Reynolds, M. D., Louisville. Discussion by J. B. Marvin, M. D., H. A. Cottell, M. D.

Report on Progress in Public Hygiene, by George Beeler, M. D., Clinton. Discussion by William Bailey, M. D., J. N. McCormack, M. D.

Report on Progress in Practical Medicine, by J. A. Ouchterlony, M. D., Louisville.

Discussion by D. W. C. Tucker, M. D., O. D. Todd, M. D.

Report on Progress in Surgery, by W. O. Roberts, M. D., Louisville. Discussion by A. W. Johnstone, M. D., M. T. Scott, M. D.

Report on Progress in Obstetrics, by J. W. Irwin, M. D., Louisville. Discussion by Turner Anderson, M. D., A. D. Price, M. D.

Report on Progress in Ophthalmology, by J. M. Ray, M. D., Louisville. Discussion by D. S. Reynolds, M. D., S. G. Dabney, M. D.

Report of the Committee on Dermatology, by I. N. Bloom, M. D., Louisville. Discussion by J. Clarke McGuire, M. D., Fayette Dunlap, M. D.

On Dilatation of the Sphincter Ani, by J. G. Carpenter, M. D., Stanford. Discussion by J. M. Mathews, M. D., F. O. Young, M. D. EVENING SESSION, 8 P. M.

Address of the President, John G. Brooks, M. D., Paducah.

Address, The Successful Practitioner, by O. D. Todd, M. D., Eminence.

SECOND DAY-MORNING SESSION, 9 A. M. Miscellaneous Business limited to one

hour.

Report on Progress in Laryngology, by William Cheatham, M. D., Louisville. Discussion by W. M. Cowgill, M. D., M. E. Poynter, M. D.

On Recent Advances in Gynecology, by L. S. McMurtry, M. D., Danville. Discussion by A. W. Johnstone, M. D., A. M. Cartledge, M. D.

Report on Genito-Urinary Diseases, by E. R. Palmer, M. D., Louisville. Discussion by J. G. Taylor, M. D., I. N. Bloom M. D.

On Improvement in Instruments in Nasal Surgery, by M. F. Coomes, M. D., Louisville. Discussion by T. Hunt Stucky, M. D.

Report on Diseases of the Rectum, by J. M. Mathews, M. D., Louisville. Discussion by J. G. Carpenter, M. D., A. R. Jenkins, M. D.

Report on Antipyretics, or the Therapeutics of Fever, by H. J. Cowan, M. D., Danville. Discussion by R. C. McChord, M. D., O. D. Todd, M. D.

The Use and Abuse of the Forceps, by M. T. Scott, M. D., Lexington. Discussion by W. H. Wathen, M. D., Turner Anderson, M. D.

On the Exploring Needle in Bone Disease, by Ap M. Vance, M. D., Louisville. Discussion by M. T. Scott, M. D., John Young Brown, M. D.

AFTERNOON SESSION, 2 P. M.

A Unique case of Intestinal ObstructionLaparotomy, by John Young Brown, M. D., Henderson. Discussion by L. S. McMurtry, M. D., W. O. Roberts, M. D.

Report on Ocular Paralyses, by S. G. Dabney, M. D., Louisville. Discussion by J. M. Ray, M. D., Wm. Cheatham, M. D.

A case of Anomalous Development of Blood-Vessels in the Vitreous body, by W. M. Cowgill, M. D., Paducah. Discussion by S. G. Dabney, M. D., M. F. Coomes, M. D. On Progress in Treatment of Pulmonary Diseases, by Frank C. Wilson, M. D., Louisville. Discussion by P. B. Scott, M. D., W. B. McClure, M. D.

On the State Law regarding Empiricism, by J. N. McCormack, M. D., Bowling Green. Discussion by Pinckney Thompson, M. D., I. A. Shirley, M. D.

On the Surgical Treatment of the Urinary Bladder and Urethra, by Arch'd Dixon, M. D., Henderson. Discussion by W. O. Roberts, M. D., H. H. Grant, M. D.

The Nursing Bottle, by Sam. E. Woody, M. D., Louisville. Discussion by L. B. Todd, M. D., J. A. Larrabee, M. D.

THIRD DAY-MORNING SESSION, 9 A. M.

Insanity and Life Insurance, by B. W. Stone, M. D., Hopkinsville. Discussion by J. B. Marvin, M. D., H. A. Cottell, M. D.

Report of Committee on Abdominal Surgery, by J. N. McCormack, M. D., Bowling Green. Discussion by Harry J. Cowan, M. D., Thos. S. Bullock, M. D.

On the Abortive Treatment of Gonorrhea, by E. M. Wiley, M. D., Harrodsburg. Discussion by E. R. Palmer, M. D., Henry Orendorf, M. D.

On Insoluble Mercurial Injections in Syph

ilis, by I. N. Bloom, M. D., Louisville. Discussion by Arch'd Dixon, M. D., Fayette Dunlap, M. D.

Report of the Committee on Necrology, by Pinckney Thompson, M. D., Henderson.

To whom is the Human Race indebted for the Healing Art? by Jas. Rawlings, M. D., Georgetown. Discussion by T. B. Greenley, M. D., D. T. Smith, M. D.

On Local Treatment of Lung Cavities. and Pulmonary Abscesses, by Wade M. Logan, M. D., Cincinnati. Discussion by P. B. Scott, M. D., F. C. Wilson, M. D. Voluntary papers.

AMERICAN ASSOCIATION OF OBSTETRICIANS AND GYNECOLOGISTS.-The programme of the annual meeting to be held in Washington, D. C., September 18, 19, 20, 1888:

The President's Annual Address, William H. Taylor, Cincinnati. Discussion: Extrauterine Pregnancy, (1) Pathology; (2) Diagnosis; (3) Treatment, (a) Medical, (b) Electrolytic, (c) Surgical.

The Relations of the Abdominal Surgeon to the Obstetrician and Gynecologist, Albert Vander Veer, Albany. Operation for an Unusual Case of Subserous Uterine Fibroid, Hampton Eugene Hill, Saco, Maine. Drainage in Abdominal and Pelvic Surgery, Joseph Price, Philadelphia. Double Ovariotomy during Pregnancy, a Successful Case Going on to Full Term, William Warren Potter, Buffalo. The Indications for Artifi cial Aid in Labor, Thomas Opie, Baltimore. The Technique of Vaginal Hysterectomy, James H. Etheridge, Chicago. The Surgical Treatment of the Perineum, William H. Wathen, Louisville. Laparotomy in Peritouitis, E. E. Montgomery, Philadelphia. Tumors of the Abdominal Wall, Charles A. L. Reed, Cincinnati. Uterine Fibroids, their Diagnosis and Treatment, Thomas J. Maxwell, Keokuk. Desmoid (Fibroid) Tumors of the Abdominal Walls, Edward J. Ill, Newark. Ruptured Perineum, J. Henry Carstens, Detroit. A Contribution to the Study of Pelvic Abscess, Clinton Cushing, San Francisco. The Female Perineum, its Anatomy, its Physiological Function, and

Methods of Restoration after Injury-this paper will be illustrated with lime-light and screen-Henry O. Marcy, Boston. Heart Failure in the Puerperium, Thomas Lothrop, Buffalo. Treatment of Suppurative Peritonitis, William H. Myers, Fort Wayne. Operative Treatment in Uterine Carcinoma, George R. Shepard, Hartford. The Reflexes Reflected, or Some Things that Retard Progress in Gynecic Surgery, Joseph Eastman, Indianapolis. Some Points in Relation to the Diagnosis of Pregnancy in the Early Months, James P. Boyd, Albany. Vaginal Tamponnement in the Treatment of Prolapsed Ovaries, W. P. Manton, Detroit. Mr. Lawson Tait, F. R. C. S. E., Birmingham, England, will also present a paper on "The Methods of Success in Abdominal Surgery."

Mr. Lawson Tait, Dr. Franklin Townsend, Dr. E. E. Montgomery, Dr. Charles A. L. Reed, Dr. A. Vander Veer, and others will participate in the discussion on Extra-uterine Pregnancy. The full announcement of the topics that each referee will speak to will be made in the final programme to be issued in August.

WILLIAM H. TAYLOR, M. D.,

WILLIAM W. POTTER, M. D.,

Secretary.

President.

DR. AGNEW'S PICTURE.-At the last meeting of the Ophthalmological and Otological Section of the New York Academy of Medicine, the following motion was made and carried:

"That a committee be appointed, of which the chairman of the section, Dr. David Webster, be a member, whose duty it shall be to obtain a good photograph of the late Dr. Cornelius R. Agnew, for the purpose of having engravings suitable for framing made from this. The right of issue and sale of such engravings shall be given to some first-class publisher, if practicable; if not, the committee shall offer them to the profession, at cost."

In accordance with the above, a committee has been appointed. Members of the profession who desire such an engraving, accompanied by an autograph signature, should send their names and addresses to the secretary of the committee, Dr. Charles H. May, 640 Madison Avenue,

The fact that the manufacturers of this palatable preparation use the purest and best Pepsin on the American market, and that every lot made by them is carfully tested before offering for sale, is a guarantee to the physician that he will certainly obtain the good results he expects from Pepsin.

THE conditions formulated by the Committee on Infants' Foods at the American Medical Association are approximated more nearly by Carnrick's Food than by any other with which we are familiar.-Editorial note in Philadelphia Medical Times, June 1, 1888.