croscopic work, as free from the possibility of error, under the circumstances, I rushed a specimen to the State Bacteriological Station, with a personal explanation to the superintendent, the brilliant Dr. Helene Knabe, and obtained from her a statement completely verifying my finding.

Dr. Seal immediately stopped the palliative treatment usual in advanced tuberculosis, and began with intestinal antisepsis. Instead of the milk and egg diet, he substituted grape-juice, buttermilk and acid foods. Milk and broths are ideal propagating fluids for bacteria, acids retard their development, and as the typhoid "bug" has its habitation in the digestive tract, it is certainly rational practice not to furnish him a breeding medium in feeding the patient.

As the ulcerations did not seem to yield to the antisepsis, ergot was resorted to as a last resort, to control the hemorrhage and ulceration. At the end of a week this drug was stopped for fear of ergotism, but the hemorrhage and purulent discharge became so alarming that ergot was again administered, 15 drops, on a three-hour schedule, with a close watch for ill effects. For three months the drug was continued, without intermission, and the patient then discharged, cured.

The value of reporting cases of this abnormal type is not in the feeding of curiosity, nor for impirical formula, such as to advise an indiscriminate heavy dosage with ergot.

There is far too much unidentified typhoid spreading the infection. There is far too much bowing down to precedent, to formula, and to the other fellow's experience in the practice of medicine.

Doctor, be a man, make a declaration of independence, and then live up to it.

Routine treatment would have given us a nice Christmas funeral, and as it is Ed. Stewart will soon be earning a living for the wife who has so bravely nursed him. Brookville, Ind.

FROM SHAKESPEARE.

By D. L. FIELD, M. D.

"Take this phial, being then in bed, And this distilled liquor, drink thou off;

When thinly scattered to make up a show. Noting this penury, to myself, I said— 'If a man did need poison now,

Whose sale is present death in Mantua, Here lives a caitiff wretch would sell it him!'

O, this same thought did forerun my need, And this same needy man must sell it me. As I remember, this should be the house; Being holiday, the beggar's shop is shut,What, ho! apothecary?

Apothecary: 'Who calls so loud?' Romeo: 'Come hither man-I see that thou art poor;

Hold, there is forty ducats; let me have A dram of poison; such soon spreading gean,

As will disperse itself through all the veins.

That the life-weary taker may fall dead; And that the trunk may be discharged of breath,

As violently as hasty powder fired,

Doth hurry from the fatal cannon's womb!' Apothecary: 'Such mortal drugs, I have, But Mantua's law is death to any he that utters them!'

Romeo: 'Art thou so bare and full of Wretchedness, and fearest to die? Famine is in thy cheeks, need and Oppression, starveth in thy eyes;

for the removal of warts as a painless and convenient method of treatment. The tincture is prepared from dry thuja leaves macerated in 80 per cent. alcohol. The re

back;

The world is not thy friend, nor the world's law!

The world affords no law to make thee rich!

Thou be not poor, but break it, and take this!'

Apothecary: 'My poverty, and not my will, consents.'

Romeo: 'I pray thy poverty, and not thy will?'.

Apothecary: 'Put this in any liquid thing you will,

And drink it off; and if you had the strength

Of twenty men, it would dispatch you straight.'

Romeo: 'There is thy gold;
Worse poison to men's souls,

Doing more murther in this loathsome world,

Than these poor compounds that thou

mayest not sell !'"

In Brooke's "Tragicall Historye of Romeus and Julietta," printed in 1562, Friar Laurence thus speaks to Julietta: "I have learned, and proved of long time, the composition of a certain paste which I make of divers somniferous, simples, which, beated afterwards to powders, and drunke with a quantitie of water, within a quarter of an houre after, bringeth the receiver into such a sleepe, and burieth so deeply the senses and other spirits of life, that the cunningest phistian will judge the party dead. And more, that it hath a marvelous effect, for the person which useth the same, feeleth no kind of grief, and, according to the quantitie of the draught, the patient remaineth in a sweete sleepe; but when the operation is perfect and done, he returneth to his first estate."

Jeffersonville, Ind.

TINCTURE OF THUJA FOR THE

TREATMENT OF WARTS.

Drs. Sicard and Larue (Wiener Klin. Wochensch., March 14, 1909) recommend injections of a few drops of thuja tincture

hot water to soften the horny layer, and then under aseptic precautions a few drops of the tincture injected directly beneath the hypertrophied papillæ, a thin needle with a short point being employed. Another injection is made at a place directly opposite to the first, so that the entire growth is subjected to the action of the tincture. The result is that after a few days the wart, if of moderate size, assumes a blackish brown color, shrivels, and after a week drops off. Larger warts may require two to six injections at intervals of five to six days. The treatment may be rendered entirely painless by previous injection of a local anesthetic.

CHOLERA INFANTUM.

"Fifteen years' experience with tenement house babies has taught me that the main cause of cholera infantum is the overfeeding and too frequent feeding of improper food by careless mothers; it is also certain that careless medical advice, consisting usually of prescriptions of all kinds of mixtures containing opium in some form, is the main cause of the high percentage of mortality; the druggist who has no conscience, but who has a ten-cent panacea for every disease, is also a very serious menace in the poorer districts of the city."-Dr. Joseph BAUM, in Medical Standard.

REMEDY FOR BLACK EYE.

There is nothing to compare with the tincture of strong infusion of capsicum mixed with an equal bulk of mucilage of gum arabic with the addition of a few drops of glycerine. This should be painted over the bruised surface with a camel's-hair pencil and allowed to dry on, a second or third coating being applied as soon as the first is dry. If this is done as soon as the injury is inflicted, it will invariably prevent blackening of the bruised tissue. This same remedy has no equal in rheumatic, sore or stiff neck.-Va. Med. Semi-Mo.

CHRISTIAN SCIENCE WEIGHED UP.

Dr. John D. Quackenbos says: "No case of organic trouble has ever been cured by Christian Science, or ever will be. On the contrary, scores of perfectly curable cases have been sent by its fanatics to the undertaker. The methods in vogue among its healers of treating the critically or hopelessly sick by appeal to the transliminal self are un-Christian and inhuman-so much so that repressive legislation is widely demanded for the protection of society from a legion of charlatans whom existing laws do not sufficiently reach, and who are thus left at liberty to assume responsibility for the most dangerous forms of disease. In some States it is regarded as a misdemeanor to give Christian Science treatment, and refusal to call in proper medical or surgical aid in critical cases is nothing short of homicide."

While hypnotism may not directly aid in curing disease, it does so indirectly. It will enable us to regulate the food, correct bad habits, and quiet excitement. In organic diseases, such as fatty degeneration and infiltration, the use of food and drugs will enable us to prolong life. In mitral stenosis much good may be done with its aid, conjoined with hygienic measures and drugs.

The administration of chloroform is much easier when used in combination with the hyoscine, morphine and cactin anesthetic. One would hardly care to give chloroform alone when he once sees how well the two act together when directions are followed. The heart action is much better, he uses much less chloroform, vomiting seldom occurs and the patient sleeps during the time when pains are most severe. Whenever there is a spasmodic tendency, however, this hypodermic anesthetic will almost invariably bring on the spasmodic seizure about the time the face begins to flush.DR. BETTENCOURT, in Ellingwood's Therapeutist.

CHLOROSIS.

The main point in the treatment of chlorosis consists in relieving the stomach of the thick tenacious mucus which clings to its lining membrane. I have often proved this by ordering 20 grains of zinc sulphate for six or eight doses taken fasting on successive mornings, and this has never failed to bring the complaint to a favorable end. . . . . A less unpleasant way is to prescribe frequent doses of the compound senna mixture of the British Pharmacopoeia three times daily. The magnesium sulphate dislodges and liquefies the collected mucus, and the senna hastens the escape of the mucus from the system.-DR. EUSTACE SMITH.

THE DIAGNOSIS OF VERTIGO.

In considering a case of vertigo the physician should inquire as to whether the attack is an acute or a chronic one, and

Dr. H. C. Wood has collected from literature a record of 1988 cases in which this unusual form of anesthesia was employed. Out of this number there were 23 deaths, nine of which the author thinks were directly traceable to the anesthetic. We must also bear in mind the fact that a great many deaths due to anesthetics do not get into the statistics. Men are more prone to rush into print with good news than with the bad. The use of scopolamin-morphin anesthesia is not conservative clinically nor rational scientifically. Dr. Wood thinks only a reckless surgeon would produce anesthesia in this way.

GRAVE'S DISEASE.

The treatment of Graves' disease demands mental and bodily rest, with a liberal diet, including two to three pints of milk. A mild faradic current applied to the neck for two to three hours daily is often most beneficial. A prolonged course of arsenic in small doses, with or without the addition of convallaria, is also useful in most of the cases.-DR. GEO. R. MURRAY.

Beates says: "Not one patient in ten thousand will fit a fixed formula. Compressed tablets have shaken the public's faith in medicine. The Council of Pharmacy and Chemistry should revise some of its rules. On the other hand, valuable preparations are denied recognition for not complying with the rules. This attitude deprives us of some good remedies."-A, Ph. A. Bulletin.

ENTERO-COLITIS AND CHOLERA

INFANTUM.

The following advice from the pen of a well-known Denver physician will be found to be most seasonable and helpful in the treatment of entero-colitis:

"Cleanse the intestinal tract with calomel and a saline or with castor oil. Prescribe a suitable diet, easily digested and non-irritating. Irrigate the rectum and colon at suitable intervals with normal salt solution or some mild antiseptic, using for the purpose a soft rubber catheter or colon tube.

"Instead of opiates, which lock up the secretions and thereby favor auto-intoxication, relieve the muscular rigidity and the excruciating pain which is such a drain upon the vital forces by the use of antiphlogistine as hot as can be borne over the entire abdominal walls and covered with absorbent cotton. If the patient is not too far gone, the effect will be astonishing. The little drawn-faced patient, who until now has been suffering severely, will, in most cases, soon quiet down; the agonized expression will leave the face and restful slumber supervene, thus starting the child upon the road to recovery."

SUMMER DIARRHEAS IN CHILDREN.

Keep the surface temperature as nearly normal as possible-where the skin is cool, apply heat; to a hot, dry skin, cool sponging. Stop all food for twenty-four hours or longer. This is indicated in all cases, regardless of the apparent mildness or the emaciation or exhaustion of the patient. During this twenty-four hours give copious amounts of cold water. A weak cereal solution may take the place of plain water where it is difficult to have all food stopped. The initial medicinal treatment is one-tenth grain doses of calomel given every hour for six doses, followed by a dram dose of castor oil. This should be enough to practically empty the stomach and small intestine. Where it is possible to have the instructions intelligently followed, colonic flushing is ordered. The instructions given to the mother are, the child to lie on the mother's lap or the bed, with legs and thighs flexed. A

No. 14 French soft rubber catheter is attached to a fountain syringe; the catheter is well oiled with warm sweet oil, and inserted about one inch into the rectum, when the water is turned on. The catheter is then to be wormed into the gut. The fountain of the syringe should never be more than two feet higher than the buttocks of the child. The injection ordinarily used is tepid, but in competent hands the temperature may be lowered to reduce hyperpyrexia; this can only be recommended when the flushing is done by competent observers. Plain sterile water may be used, but in many cases there is an advantage in the use of weak alkaline or of normal saline solutions. The amount used for each injection is from two to six pints, or sufficient to cleanse the bowel so that only clear water returns. Following the initial medicinal treatment it is advisable to use a laxative for a few days; for this, the aromatic syrup of rhubarb is frequently indicated, because of the so-called after-constipating effect of the contained tannic acid; the aromatics are antiseptic and the drug is usually well borne.

The giving of large doses of bismuth preparations should not be done as routine treatment; it is only in marked hyperperistalsis, or in repeated vomiting, that the indications for use of bismuth salts are met. The coating of the gastric mucous membrane with bismuth occludes the peptic glands, and where the gastric secretion is already impaired their use but further interferes with digestion. After the first twenty-four hours a thin gruel or an eggalbumen solution may be given. These must be given in small amounts, and the amounts slowly increased as the ability to digest increases. We err most frequently by overfeeding. We must make haste slowly. The diet during the continuance of the diarrhea consists of dilute rice, barley, or oatmeal gruels, expressed beef juice, raw eggs, broths (preferably containing cereal), bacon fat and baked potatoes. It is best to omit milk from the diet so long as the diarrhea continues. In feeding during this interval it is imperative that the food value of the foods taken be known. It is quite possible to give an insufficient amount as well as an over amount at such a time. To guard against this the cereal and albumin solutions should have fixed proportions that their value may be known. Broths have no

nutritive value except by the addition of a cereal. In the restoring of a milk diet, the milk must be added gradually to the diet, and it is often advantageous to digest or partially digest the milk for a few daysgradually reducing the length of time the peptonizing process is carried on-this decrease from day to day, as the child's ability to digest increases. It is usually possible to stop the peptonizing by the end of the week. In breast-fed children there is an earlier return to milk, but the process should be gradual, giving the breast for but a few minutes and gauging the length of the interval by the ability to retain the milk.

The use of alcohol and opium may be necessary at times. They should never be used as routine practice. The indication for the use of opium is not in the frequency of the bowel movements, but in the pain and tenesmus, and should be given as a high colonic injection of one minim in an ounce or two of starch water for a child one year of age.

The pain and tenesmus can usually be controlled by the use of carminatives and local heat, or a thin mustard paste, made with the white of egg.-DR. J. W. VAN DERSLICK, in Medical Brief.

VEST-POCKET CASE.

This means a few emergency drugs. How about these, doctor? Morphine, atropine, glonoin, strychnine, migraine, apomorphine, digitalin, menthol (vomiting), carry more than ten, how about these? codeine and infant anodyne. If you can Calomel, active cathartic, Dover powder, H. M. C. tablets, acetanilide, quinine, bromide of soda, ipecac, nausea, chloral hydrate, sun cholera and alkaline and antiseptic tablets.

SPINAL MENINGITIS.

Probably many cases of so-called acute myelitis are really meningeal in origin, and a laminectomy and free drainage of the subdural spine might arrest the whole process and the consequent fatal injury which the cord sustains in such conditions.-VICTOR HORSLEY.

Affinity is trouble in disguise.