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THE SUMMARY PHYSICIANS' CALL-BOOK AND LEDGER COMBINED

Is the simplest and most complete system of book keeping for doctors yet devised There is no posting or transposing. Price $1.50 including one year's supscription to THE MEDICAL SUMMARY, only $2.00.

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R. H. ANDREWS, M. D. Editor and Proprietor. 2009 Oolumbia Avenue.

P. O. Box 1817, PHILADELPHIA.

$1.00 per Annum in Advance,

Ten Cents per Copy.

FOR INDEX SEE ADVERTISING PAGE XXXV. Entered at the Philadelphia Postoffice as Second-Class Matter.

“ In Medicina Qualitas Prima Est.”

THE CHAS. A. PHILLIPS CHEMICAL COMPANY, 77 PINE STREET, NEW YORK.

WILL NEVER DISAPPOINT. In Deficiency of the Phosphates, Lack of Nerve Tonic, Malarial Manifestations, Convalescence from the Exanthemata —

PHOSPHO-MURIATE OF QUININE, Comp. (PHILLIPS”).

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POTENT,
RELIABLE,

SOLUBLE.
PREPARATIONS OF WM. R. WARNER & Co.
Free to our doctor friends, visiting records, prescription blanks.

PIL, PERISTALTIC Comp.
PILL PERISTALTIC.

R. Salol z grs.

Ingluvin gr.
R. Aloin % gr. Ext. Belladonna y gr.

Aloin i• 10 gr. Strych. sulph. 1-100 gr.
Strychnine 1-60 gr. Ipecac 1-16 gr.

Ext, belladonna 1• 30 gr.

80 cents per 100. Dose.-One to two pills.

PIL CHALYBEATE.
Therapeutic, cathartic, tonic.-40 cents per 100.

Proto carb. of iron, 3 grs.
PIL. ARTHROSIA.

Dose 1 to 3 pills

Wm. R. Warner & Co.'s Ferruginous Pills. For care of rheumatism and rheumatic gout.

Ferri sulph Fe S04 Ferri carb. Fe CO4. Formula : Acidum salicylicum; resina podo

Potass. carb. K2 CO3 Potass. sulph. K2 SO4.

40 cents per 100 phyllum, quinia ; ext. colchicum, ext.

PIL CHALYBEATE Comp. phytolacca, capsicum.

Same as pil chalybeate, with y gr. ext. nux 60 cents per 100.

vomica added to each pill to increase the tonic

effect. Dose 1 to 3 pills. 55 cents per 100. WM. R. WARNER & CO'S

EFFERVESCENT

LITHIA TABLETS.

DIURETIC AND ANTACID.
An elegant, portable and effectual remedy in Gout, Rheumatism, Gravel, Stone in the Bladder

Eczema, Bright's Disease, Etc.
Each tablet contains three grains Citrate of Lithia and affords a convenient method for
administering a definite quantity of soluble Lithia in a pleasant form, besides the advantage
of having fresh water with each dose; presenting a therapeutic value of a higher standard
than the various spring waters which oftentimes contain but an indefinite quantity of the
needed salt. The dose is usually one tablet in a glass of pure water three times daily,
except otherwise directed by the physician in charge.

A Tablet dropped into a tumbler of cold water, will in a few moments, entirely dissolve with effervescence, producing a sparkling draught. Sent by mail on receipt of price. 1228 Market Street, Philada. 18 Liberty Street, New York. 197 Randolph Street, Chicago

INGLUVIN. A Specife in Gestation in Doses

A Specific in Gestation in Doses
of 10 to 20 grains.

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(WINE OF KOLA) ONTAINING all of the active constituents of FRESH KOLA NUTS (Tonic,

Stimulant, Carminative, Aphrodisiac), which are extracted by an original process, beginning in the very habitat of Kola. VINO-KOLAFRA is a true Restorative Tonic, in a most effective and agreeable form, and one possessing marked advantages over the ordinary tonic wines of Coca, &c. It produces no after effects, can be borne by the stomach, and continued as long as required.

VINO KOLAFRA

(PAPOID AND KOLA) Containing 1 gr. Papoid ma'.

4 grs. Solid Extract Kola. Cariknla Tablets combine the Tonic, Stimulating, and Starch-converting properties of fresh Kola, in concentrated form, with the digestive power of Papvid.

Sole Agents for above Preparations : JOHNSON & JOHNSON, 92 WILLIAM STREET, NEW YORK.

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MEDICAL SUMMARY,

A MONTHLY JOURNAL OF

Practical Medicine, New Preparations, Etc.

R. H. ANDREWS, M. D., Editor, P. O. Box 1217, Philadelphia, Pa.

ONE DOLLAR PER ANNUM, IN ADVANCE.

SINGLE COPIES, TEN CENTS

VOL. XVII.

PHILADELPHIA, APRIL, 1895.

No. 2

THE MEDICAL SUMMARY,

R. H. ANDREWS, M. D., PROPRIETOR. Subscription Price, in the United States and Canand..

......$1.00 Foreign countries

......... 1.25 These rates include postage, and

must be paid Invariably in advance. Single copies. Ten Cents. Subscriptions may begin at any time. Su 'scribers desir. ing their address changed must give their former, as well as their new, post-office.

We cannot always supply back numbers. Should a pumber fail to reach a subscriber, we will supply Another, if notified before the close of the month.

Address THE MEDICAL SUMMARY P. O. BOX 1217.

Philadelphia, Pa.

PHILADELPHIA, APRIL, 1895.

ROUTINE IN PRACTICE. There is no doubt but that physicians, like other people, are subject to the evil effects of routine practice. Some one has stated, that the expressions frequently heard at Medical Society meetings present the strongest evidence of routine practice.

The physician who never uses ergot, never gives veratrum viride is as much of a routinist as the one who uses ergot in every case of labor and gives veratrum viride in every case of puerperal convulsions. It is only a difference in the method.

The doctor who follows a routine plan of

treating his patients, cannot possibly exercise that perception or discernment, which evinces a thorough comprehension of pathological conditions. To recognize every condition, and meet every indication, is indispensible to a truly scientific practice.

No particular drug or method should be entirely ignored, perchance, in any condition, it should meet the requirement. It is a well known fact that the skill witb which remedies are used, often makes or mars the result. If we know when, and how to administer a remedy, we may feel per. fectly satisfied of obtaining the desired result from its use.

The doctor cannot afford to fall behind and retain antiquated methods from lack of energy and application, He should keep up with the times and exercise his faculties so that they will grow in strength and develop new powers,

The good physician is always a student, and if his studies do not terminate with his college course; then he is not likely ever to fall into the habit of routine practice, but applies his knowledge in the most sci

entific way, to the relief of human suff- not disturbed or worried by any particular ering.

care or anxiety. On the o her hand, it is a well known fact, that the continued

strain and worry in relation to this particITS INTRINSIO VALUE.

ular duty or responsibility, has been, at least, The large number of practitioners from

the primary cause of the death of many of every section of this country, who regular

the best men in the medical profession. ly read the SUMMARY, have expressed

This is, of course, not to be wondered at, themselves in such positive terms as to the

when one takes into due consideration the intrinsic value of each and every issue of this publication. This leads us to believe; responsibility or duty, which is of such

magnitude that it can not be over-estimathat for his individual interest, no doctor

ted. It has no doubt been truly said, that, in active practice, should fail to become a regular reader of the SUMMARY.

worry is a cause of the development of

self poisoning. It has a most depressing The following quotation is from a letter

effect upon that hyper-sensitive organ, the received by us during the past month,

stomach, which at times becomes a most from a prominent Chicago physician; and

unwilling and laggard servant. It is unis one out of hundreds of similar expres

doubtedly safe to say, that unless encoursions with which the SUMMARY has been

aged by a cheerful temper, and bright, or favored by its subscribers. This of course

at least hopeful thoughts, the stomach speaks louder and better than anything we

will play truant, or sulk and do no work could possibly say.

that it can shirk. The physiological ex“My Dear Doctor :— Enclosed I send

planation of this is the close alliance of you one dollar-I wish it represented a

the great sympathetic nerves, which are thousand—in addition to which, I send you

worse than the telegraph for carrying bad my best and highest regards, and earnest

news; the worry and anxiety that dewishes for your continued success; I

press the brain, producing simultaneously a believe the circulation of the bright and

semi-paralysis of the nerves of the stomach, pithy "Summary” will continue to extend gastric juice will not Aow, and— presto! in every part and section of this glorious

there is indigestion. republic. It possesses the merit--and must succeed,"

TUBEROLE BACILLI. The last issue commenced the seventeenth year of continuous publication of

A writer, the accuracy of whose statethe SUMMARY, and it is now one of the

ments is amply verified, states, that a most popular of all the Medical Journals.

tuberculous patient expectorates daily from If your name is not already on our sub

30,000,000 to 40,000,000 bacilli. According scription list, we hope that it will appear

to statistics, the annual number of cases of there soon.

consumption in the United States is 250,

000, average number daily expectorated is DO NOT WORRY.

35,000,000, therefore, there are spit up daily

of these parasites, about 8,122,234,432,876. Not all physicians appear to be cogni. Multiply this number by 365. and we have zant of the very great responsibility a countless army of these microscopical resting upon them in the performance of carnivora, turned loose to ravage and their duties, consequently their mind is despoil.

Original Communications. covered the real Labferment, and that they

gave us a deeper insight into the whole proBrief and practical articles short and pithy reports cess of gastric and intestinal digestion, of interesting cases in practice, new methods and new remedies as applicable in the treatment of dis- than we ever possessed before. But recases are solicited from the profession for this department.

cently the enterprise of Americans has Articles intended for the SUMMARY must be contributed to it exclusively. The Editor is not responsi

introduced into our country a new instituble for the views of any contributors.

tion, the want of which alone prevented us Write only on one side of the paper.

heretofore from competing successfully, in

the field of original research, with our PEPTENZYME, THE NEW DIGESTIVE

transatlantic brethren; the physiological FERMENT.

laboratory as an addition to the simple

chemical laboratories of our great manuBY HUGO ENGEL, A. M., M. D.

facturing firms. What in Germany is done

almost only by the aid of state funds, here Fellow of Amer. Academy of Med.; l. Prof. of

private capit 1 has to provide. Thus we Nervous Diseases and Clinical Med.

have now in our country laboratories, in at Philadelphia, etc., etc.

which every appliance may be found for

pursuing bacteriological investigations, That pepsin will soon be prescribed no and one large firm has but recently comlonger, is the fault of the manufacturers merced to build a complete establishment themselves; presuming that the greater for the preparation of diphtheria and other the power of their pepsin for dissolving antitoxins. To another firmt we have to albumen in the testtube, the more deci

thank a recent and decided progress in sive would be its digestive strength in the our knowledge of digested ferments, a step human stomach, they have finally pro- forward of great importance; the isoladuced a hothouse plant almost useless for tion and combination of various mother the great process of nutrition in the animal ferments, theoretically indicated some time economy. Why is it, that pepsin is thus ago by German scientists, who showed neglected, and to-day prescribed much us the way, but who in vain attempted to less than six or ten years ago? The it produce these substances, so as to make was much dearer ; but while generally the

them available for practical purposes. And cheapening of an article soon increases this benificent result of chemo-biological the demand for it, with pepsin the oppo

research has been increased still more in site seems to hold good ; though sharp' value by the isolation of that principle competition and more economical methods in the spleen, which according to Herzenti of manufacture have decidedly reduced its seems to endow the mother ferments with price, yet as an aid to digestion it is em

their real vital activity. Thus the panployed much less at the present time than

creas in its cells developes trypsinogen, formerly. And why? Because practical

i. e. that material which gives rise to experience has taught the physician, that trypsin, one of the most powerfull ferpepsin itself, as now obtained, produces ments in the animal economy, but it is the scarcely any effect, that, on the contrary, vital principle in the spleen, which changes with the increase of its solving power the

the trypsinogen to trypsin. As such, the diminution in its usefulness has gone hand

latter is returned to the circulation and in hand, and that by contributing to a coming back to the pancreas is once more more rapid dissolution of certain nitro- assimilated by this gland, to be then secregenous aliments it so accelerates their ted for the purpose of digestion. passage through the stomach, that the

All the active agents of the salivary, main digestion has to go on in the small

gastric, pancreatic, Bruner's, Lieberkuehn's, intestines, where the conditions are such, hepatic and splenic glands have been isola. that pepsine as a digestive is of little lated and combined into one remedy, which moment, impeding the natural process

is called Peptenzyme, and is offered in the rather than fostering the same.

market in the form of powder, which is We must admit, that the Germans dis- also compressed into tablets, and of an

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