by large doses of arsenic. The initial dose given was ten drops of Fowler's solution, which was given daily, gradually increased; interstitial injections were also given every two days. The solution was mixed with an equal quantity of water, and the dose gradually increased to twenty drops. Three patients thus treated were cured; three died rapidly; with the two others the treatment had to be discontiued. M. Berger stated that he had often seen in Dolbeau's wards examples of relapse after removing glands, and personally had always found internal arsenical treatment joined to interstitial injections satisfactory. In three cases, one exhibited great improvement; the other two patients died. M. Terrier is also in favor of arsenical treatment of lymphadenoma when limited to internal treatment. He condemns the practice of interstitial injections, and prefers making an incision, which he deems necessary in order to be certain of arriving at a true diagnosis.-The British Medical Journal.

PERIODIC GASTRORRHEA.-Dr Steinberg gives an account of a remarkable case of periodic gastrorrhea occurring in a military officer, aged forty-five. The patient was suddenly seized with a series of attacks of violent vomiting coming on every forty to sixty minutes, each attack being preceded by severe nausea and headache, which symptoms disappeared immediately after the contents of the stomach had been ejected. The vomit consisted of a greenish watery fluid, containing 0.17 to 0.21 per cent of free hydrochloric acid and a very little mucus, but no traces of food. There was no abdominal pain or tenderness. On inquiry it was found that the patient had been subject to attacks of this nature at long intervals for several years. There were signs of lesion of the posterior columns of the cord, but these were limited to Westphal's and Romberg's phenomena, and there was no ataxy; thus the diagnosis was made of periodic gastrorrhea in a tabetic subject rather than that of gastric crisis in an ataxic subject.-The British Medical Journal.

TREATMENT OF THE ECZEMA OF DENTITION. (Journ. de Méd. de Paris, July 28, 1889.) Besmer's opinion is that this form of eczema is a reflex eczema of the face, or of the back of the hand, being manifested by sensitiveness of the gums and salivation. There are three indications: First, to calm the pruritus of the gums; second, to overcome the insomnia; third, to cure the local condition. For the

The affected parts should also be covered with a thin rubber or muslin mask.-Archives of Pediatrics.

EMBALMING.-The best process of embalming is called the "Brunelli Process." The circulatory system is cleansed by washing with cold water till it issues quite clear from the body. This may occupy from two to five hours. Alcohol is injected so as to take out as much water as possible. This occupies about a quarter of an hour. Ether is then injected to abstract the fatty matter. This occupies from two to ten hours. A strong solution of tannin is then injected. This occupies for imbition. from two to ten hours. The body is then dried in a current of warm air passed over heated chloride of calcium. This may occupy from two to five hours. The body is then perfectly preserved and resists decay.-Sanitarian.

PAPAIN (FROM THE FRUIT OF THE PAPAW, CARICA PAPAYA), THE NEW VEGETABLE PEPSIN AND DIPHTHERITIC MEMBRANE SOLVENT. Dr. W. C. Campbell, of Chicago, recommends for a spray the following:

Papain, L. & F........ Hydronaphtol.

..3ij; ..gr.iij ;

Acid. hydrochloric, dil...........gtt xv; Aq. destil.... .....ad 3iv. M.

As we have been informed, officially, nonofficially, and by gratuitous advisement, and as we predicted last year, the coming meeting at Henderson bids fair to be an extraordinary event in the life of this eventful society. Every preliminary, scientific, polemic, forensic, philanthropic, bibulous, and bulimic, has been carefully provided for, if not reduced to mathematical accuracy by the able president, secretaries, and committees to whom the work has been intrusted. It is not necessary to hint that the attendance will be large, nor to repeat the aboriginal chestnut that "the delegates will receive a genuine Kentucky welcome."

The programme, which we append in all its length and beauty below, is, to say the least, liberal. Beside the ordinary business proceedings and two set addresses, fifty-two papers are to be read, digested, and discussed. This mass of scientific lore and eloquence, if it "come tardy off," might justify a prognosis of slight weariness in the soul of the willing listener. If the president can succeed in getting it gracefully delivered and disposed of in the space of three days, he will have accomplished a feat unparalleled in the annals of medical societies. We have no doubt that his effort to attain the desired end will be hercu

lean, and that he has carefully conned that bylaw which prescribes that the discussions shall be fit as to relevancy and time. We would suggest that the administration be herculean in something more than a metaphorical sense, and that he come to the chair with a club big enough and a vis-a-tergo of sufficient quantity and intensity to knock down all interlopers and conscienceless consumers of time. A glance at the programme will, we trust, show that we do not overstate the case. It behooves every member to do his best to make the work of the president as light as possible. The American Practitioner and News has made arrangements to provide its readers with a full report of the proceedings, and copies of the numbers containing this report will be mailed to every member of the society who may be so unfortunate as not to be a subscriber. Come and welcome, in good numbers and in good time, and here's to you in advance!

"The thirty-fifth annual session of this society will be held at Henderson, May 14, 15, and 16, 1890.

"Officers: President, John A. Ouchterlony, M. D., Louisville; Vice-President, William Jennings, M. D., Richmond; Second VicePresident, Robert L. Willis, M. D., Lexington; Permanent Secretary, Steele Bailey, M. D., Stanford; Assistant Secretary, John Young Brown, M. D., Henderson; Treasurer, James B. Kinnaird, M. D., Lancaster.

"Board of Censors: H. Brown, Chairman, Hustonville; T. B. Greenly, M. D., Secretary, West Point; S. M. Willis, M. D., Pine Grove; J. B. Evans, M. D., Riley; W. E. Rodman, M. D., Hodgenville; Charles Mann, M. D., Nicholasville.

"Chairman Committee of Arrangements, James H. Letcher, M. D., Henderson.

'Reduced rates have been granted on all railroads in Kentucky. When you purchase your ticket do not fail to ask the agent for a certifi cate that you have paid full fare one way. Present this early in the session to the secretary for his signature. The steamboat lines. have also given reduced rates of transportation, agreeing to sell to members and their families round trip tickets from Louisville at $6, which includes meals and berth.

"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."

PROGRAMME.

FIRST DAY (WEDNESDAY), 2:30 P. M.
Reading of the Minutes of 1889.
Report of the Committee of Arrangements.
Report of the Committee on Credentials.
Report of the Treasurer.

Report of the Permanent Secretary.

Report on Progress in Practical Medicine, by F. C. Wilson, M. D., Louisville. Discussion by J. W. Gilbert, M. D., William Bailey, M. D.

Report on Progress in Surgery, by Arch'd Dixon, M. D., Henderson. Discussion by W. L. Rodman, M. D., Jos. M. Mathews, M. D. Report on Progress in Obstetrics, by Fayette Dunlap, M. D., Danville. Subject, Puerperal Fever, a Preventable Disease. Discussion by Turner Anderson, M. D., J. H. Letcher, M. D.

On Methods of Diagnosis in Pelvic Diseases, by L. S. McMurtry, M. D., Louisville. Discussion by W. H. Wathen, M. D., Richard Douglass, M. D.

A case of Pyosalpinx, with Intestinal Laceration and Omental Grafting, by J. G. Carpenter, M. D., Stanford. Discussion by A. W. Johnstone, M. D., W. O. Roberts, M. D. On Gunshot Injury of the Spine, with Paralysis; death after four years, M. E. Alderson, M. D., Russellville. Discussion by H. Brown, Discussion by H. Brown, M. D., H. Orendorf, M. D.

Report on Pathological Histology and Urinalysis, by Simon Flexner, M. D., Louisville. Discussion by H. A. Cottell, M. D., J. B. Marvin, M. D.

Report on Lithemia and Uric Acid Diathesis in affections of the Eye, Ear, and Throat, by W. Cheatham, M. D., Louisville. Discussion by S. G. Dabney, M. D., W. B. McClure, M. D.

Report on Neurology, by J. Ford Barbour, M. D., Louisville. Discussion by F. C. Wilson, M. D., W. Bailey, M. D.

An Operation for Vesico-Vaginal and RectoVaginal Fistules, by W. H. Wathen, M. D., Louisville. Discussion by David Barrow, M. D., A. C. Bernays, M. D.

Report on Otology, by S. G. Dabney, M. D., Louisville. Discussion by J. M. Ray, M. D., W. Cheatham, M. D.

Surgery of the Pleura, by A. M. Cartledge, M. D., Louisville. Discussion by A. W. Johnstone, M. D., W. L. Rodman, M. D. Report on Materia Medica, by William Webb, M. D., Bryantsville.

EVENING SESSION, 8 O'CLOCK.

Address of the President, John A. Ouchterlony, M. D., Louisville.

Address, Materialism versus Sentiment in the Study of the Causes and Correction of Crime, by G. Frank Lydston, M. D., Chicago.

SECOND DAY (THURSDAY), MORNING SESSION, 8 O'CLOCK.

Miscellaneous Business, limited to one hour. Report on Fistula in Ano, its Pathology and Treatment, by J. M. Mathews, M. D., Louisville. Discussion by W. L. Rodman, M. D., J. G. Brooks, M. D.

On Treatment of Hemorrhoids, by J. H. Letcher, M. D., Henderson. Discussion by J. M. Mathews, M. D., A. M. Cartledge, M. D. A Regional Study of Tumors, by W. L. Rodman, M. D., Louisville. Discussion by J. W. Pryor, M. D., C. Skinner, M. D.

The Technique of Supra-Vaginal Hysterectomy, by Richard Douglass, M. D., Nashville. Discussion by L. S. McMurtry, M. D., W. H. Wathen, M. D.

Report on Ophthalmology, by D. S. Reynolds, M. D., Louisville. Discussion by S. G. Dabney, M. D., M. F. Cooms, M. D.

The Importance of Correcting Errors of Refraction in Children, by F. D. Green, M. D., Louisville. Discussion by W. Cheatham, M. D., J. M. Ray, M. D.

On Circumcision, by E. R. Palmer, M. D., Louisville. Discussion by A. M. Cartledge, M. D., J. Y. Brown, M. D.

Report on Genito-Urinary Surgery, by Jno. Young Brown, M. D., Henderson. Discussion by John M. Foster, M. D., E. R. Palmer, M. D.

Some of the Common Errors in Gynecological Practice and the Ills Resulting from Them, by David Barrow, M. D., Lexington. Discussion by John G. Cecil, M. D., Chas. M. Mann, M. D.

On Summer and Autumnal Fevers in Central Kentucky, by William Jennings, M. D., Richmond. Discussion by D. T. Smith, M. D., Pinckney Thompson, M. D.

On Pleuritic Effusions, by C. W. Aitken, M. D., Sherburne. Discussion by I. N. Love, M. D., A. R. Jenkins, M. D.

On Tubercular Peritonitis, by John G. Cecil, M. D., Louisville. Discussion by F. C. Wilson, M. D., H. C. Herring, M. D.

On Acute Intussusception of the Intestines, by J. O. Jenkins, M. D., Newport. Discussion by C. T. Stillman, M. D., W. O. Roberts, M. D.

On Exanthematous Fevers in Children, by I. N. Love, M. D., St. Louis. Discussion by J. A. Larrabee, M. D., J. F. Purdom, M. D. On Infant Feeding, by J. A. Larrabee, M. D., Louisville. Discussion by I. N. Love, M. D., J. C. Bogle, M. D.

The Mechanics of Stretching the Spine in Locomotor Ataxia, with a Description of the Various Methods for its Accomplishment, by Chas. T. Stillman, M. D., Chicago. Discussion by G. Frank Lydston, M. D., Ap. Morgan Vance, M. D.

On Vesical Calculus and its Treatment, by B. L. Coleman, M. D., Lexington. Discussion by Wm. Jennings, M. D., Arch'd Dixon, M. D.

Report on Brain Surgery, by C. Skinner, M. D., Louisville. Discussion by H. H. Grant, M. D., Patton Griffiths, M. D.

AFTERNOON SESSION, 2 O'CLOCK.

The Ophthalmoscope as an Aid to the Diagnosis of Certain Diseases of the Central Nervous System, by J. M. Ray, M. D., Louisville. Discussion by D. S. Reynolds, M. D., J. Ford Barbour, M. D.

The Relation Between the Nose and the Eye in Disease, by John Y. Oldham, M. D., Lexington. Discussion by J. G. Carpenter, M. D., F. O. Young, M. D.

tion, by A. C. Bernays, M. D., St. Louis, Mo. Discussion by L. S. McMurtry, M. D., R. Douglass, M. D., W. H. Wathen, M. D.

On the Management of Abortion, by Andrew Seargent, M. D., Hopkinsville. Discussion by W. W. Cleaver, M. D., W. W. Coleman, M. D., J. O. McReynolds, M D.

Wound Drainage, by Ap. M. Vance, M. D., Louisville. Discussion by A. C. Bernays, M. D., A. J. Cowan, M. D.

On the Treatment of Endometritis, by Theo. L. Burnett, M. D., Louisville.

On Endometritis, by L. F. Royston, M. D., Smith's Mills. Discussion by R. C. McCord, M. D., P. B. Scott, M. D.

On Congenital Atresia of Vagina, involving the Cervix Uteri, by J. B. Taulbee, M. D., Mt. Sterling. Discussion by J. B. Evans, M. D., W. E. Rodman, M. D.

Report on Rhinology, by M. F. Coomes, M. D., Louisville. Discussion by J. G. Carpenter, M. D., J. B. Kinnaird, M. D.

On Chronic Hypertrophic Rhinitis, by W. B. McClure, M. D., Lexington.

On Periodical Hyperesthetic Rhinitis, by J. B. Kinnaird, M. D., Lancaster. Discussion by W. Cheatham, M. D., M. F. Coomes, M. D.

On Empyema, by W. O. Roberts, M. D., Louisville. Discussion by W. L. Rodman, M. D., J. N. McCormick, M. D.

A Comparison of Birth-Rate between Civilized and Semi-Barbarous Nations, by T. B. Greenly, M. D., West Point.

THIRD DAY (FRIDAY), MORNING SESSION, 8:00

O'CLOCK.

Report on Hygiene, by J. N. McCormick, M. D., Bowling Green. Discussion by J. M. Poyntz, M. D., Pinckney Thompson, M. D.

On Hyperpyrexia and Antipyretics, by W. A. Quinn, M. D., Henderson. Discussion by J. B. Taulbee, M. D., Joseph Price, M D.

Report of some Surgical Cases of Interest, by Matt. T. Scott, M. D., Lexington. Discussion by A. W. Johnstone, M. D., Harry Cowan, M. D.

On Some of the Unrecorded Dangers from Tooth Inflammation, by A. R. Jenkins, M. D.,

A Mysterious Abdominal Tumor, with Exhibition of Patient, by A. R Jenkins, M. D., Sturgis.

Report on Dermatology, by H. Orendorf, M. D., Louisville. Discussion by I. N. Bloom, M. D., J. C. McGuire, M. D.

On Cancer of the Cervix Uteri, by Robert Stuart, M. D., Zion. Discussion by David Barrow, M. D., J. P. Thomas, M. D.

Report of Case of Abscess of Lung following Pneumonia; Drainage through Chest Wall; Recovery, by Turner Anderson, M. D., Louisville. Discussion by F. C. Wilson, M. D., D. D. Robertson, M. D.

Report of Case of Perforation of the Appendix Vermiformis, by W. V. Cook, M. D., Corydon. Discussion by C. Skinner, M. D., J. H. Letcher, M. D.

On the Advantage of Cutting Off Both Ends of the Silk Ligature and Closing the Wound Over it in all Amputations, by J. O. McReynolds, M. D., Elkton. Discussion by Arch'd Dixon, M. D., W. O. Roberts, M. D.

Notes and Queries.

MR. GLADSTONE ON THE MEDICAL PROFESSION.—On Wednesday, March 26th, Mr. Glad stone, as Senior Governor of Guy's Hospital, opened a new medical college in connection with that institution. Mr. Gladstone, who wes accompanied by Mrs. Gladstone, was met at the entrance to the college by Mr. H. Hucks Gibbs, the President, and the members of the governing body, and conducted, amid the cheers of a large crowd, to the dining hall, where luncheon was served. In responding to the toast of "Prosperity to Guy's Hospital," the right honorable gentleman said he "could not possibly look back on the history of the medical profession without being impressed with the extraordinary degree in which it presents most special features to us. If we travel back, say two or three centuries, we find the medical profession almost without a recognized existence. In the competition with the other great professions, only a short time back, it was nowhere. The great name of Harvey was known, but as regards its social position and influence the time

of Dr. Freind and Dr. Mead in the last century was almost the first period to which one could point at which the medical man of this country had assumed a position of influence and power and general recognition. That profession has been steadily rising in power and influence and general respect from that date to this, and it is my belief that it will continue to rise. The growth of civilization, as we call it, in a large and comprehensive, but also in a very loose and indefinite phrase, carries with it the production of many new forms of human infirmities and disease, and men's wants in the medical sphere are the opportunities of the medical man. His position is in many respects singularly fortunate and favorable. In the first place I am inclined to doubt for myself whether, as regards the mere question of remuneration, the medical profession does not offer on its threshold as good opportunities of, in some cases, even liberal return with as little risk as either of the other great professions." Having referred in appropriate terms to Sir William Gull, the right honorable gentleman said: "I am delighted when I hear of the creation of great fortunes in this country that are not merely commercial. It is an excellent thing that large fortunes are made in commerce, by the handling of money, by the supply of the country with material goods; but it is desirable that their power and influence should be qualified by the creation of other fortunes, such as now, almost for the first time, we find beginning to be created by medical men. I rejoice to think that the medical man, who spends his talent and strength as freely in the performance of his duty as any member of any other profession, will be able to make a competent and even large provision for his family. Another point upon which I congratulate the profession is its independence. It does not rely on endowment, but on its own exertions directed to meeting human wants. There is no great profession which has so little to say to the public purse, and which so moderately and modestly dips its hand into that purse. It is not only in the interest of the public, but of the profession itself, that it is eminently self-supporting; and, rely upon it, that principle of self-support does much to maintain its honor and independence,