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ing. Regular exercise short of fatigue is family history, or a history of 'growing indispensable, with special provision for pains,' especially if accompanied with even movement of the affected joints.”

slight swelling (fibrous nodules), suggests The indigestion seen in infantile rheu- rheumatism.” matism (acidism) is caused by food and Simple bitters, cathartics, aid, by toning not acids. Baths help, by promoting the up the stomach and assisting the excreaction of the skin, to eliminate acids and tion. Muscular pains are not always due the excretion of poisons.

to rheumatism, but are often incidental to growing children.

The heart symptoms

will not be found in acute cases, but in SMALL-POX VS. CONSUMPTION.

long standing ones. It takes time to infect

the system. Exercise is necessary in orWe build lots of emergency hospitals- der to keep the joints movable; if negpest-houses-for the small-pox patients. lected, stiffness is sure to happen. As to We loathe the disease and run from it. the glands, the disease may produce inWe carefully isolate the victims of it. But flammatory conditions. how inconsistent we are! We do not fear Dr. Harrington must be a man of exthe hawking, expectorating consumptive perience and skill, for his wise remarks who is likely to infect us with a disease

will apply to nearly all cases of rheumathat will kill us dead as a door-nail. We

tism, the complications found being numlet him run at large, a possible menace to

berless. It is a safe plan to administer his family and the community. The con

aconite in small doses where tonsillitis is sumptive needs more attention from a hu

present, and to follow general treatment manitarian standpoint. In caring better

also. for him and trying to restore him to health our work is altrusitic, and we are protecting the well people around him. To close

GOUT. the argument, we wish to state that very few now die from small-pox, and it is only Dr. William H. Thompson says: “Gout to be dreaded from a cosmetic standpoint. is originally a disorder of intestinal diges

tion causing derangement of the metabol

ism of the liver, and when its habit is setRHEUMATISM IN CHILDREN. tled, only attention to digestion affects its

cause, however specific drugs may modify Dr. Thomas F. Harrington, in the Bos

its pathological process in parts removed ton Medical and Surgical Journal, says

from the alimentary canal." that "rheumatism in children differs some

Gradual and progressive, passive mowhat from that of adults. The tonsils are

tion, will, in the majority of patients, overthe most common source of suspected in

come the disease, break up the fibrous fection. The arthritic symptoms are not

adhesions, but it must be commenced and as well marked as in adults and are more

carried on persistantly, and done by one apt to come on insidiously. Recurrent ton

expert in the trade, for trade it is. sillitis, chorea, erythema, or nose bleed, are often associated with arthritis. Continued The child that is properly clothed, can, fever with slight remissions suggests endo- from the very first month of its existence, carditis. There is not the same successive almost live out-of-doors the greater part involvement of joints seen in adults. The of the time, winter and summer.

Leading Articles

Brief and practical articles, short and pithy reports of interesting cases in practice, new methods and new remedies as applicable in the treatment of diseases, are solicited from the profession for this department. 9 Articles contributed for the Summary must be contributed to it exclusively. g Write plainly and on one side of the paper.

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By Jas. R. PHELPS, M, D.

In the course of a conversation with a valued friend, whose methods of thought lead him deeper beneath the surface of things than many care to delve, he remarked:

"I am certain that there is not an antitoxin in the world that is not hidden somewhere in the human body. The trouble is we either ignore or disbelieve this fact, or we do not know how to awaken and direct its energy. If we possessed this knowledge, or did not forget its application just when most needed, we might handle confluent small-pox as safely as birch bark.”

I thought this idea over considerably, for I have long believed that everything in nature has its antagonist, and that every known or possible disease has its remedy if we knew how to look for it and apply it. Perhaps the time may not be far distant when we shall cease our wild chase after coal-tar synthetics, and see what God, through the operations of Mother Nature, has brought under our hand among the living principles of plant life as evolved by men like Lloyd and Burggraeve. Of course my remarks are addressed to believers in the supposed) exploded science of therapeutics, for it would seem that Isaiah had a vision of these days when he wrote: “This people hath refused the waters of Shiloah, that go softly.” The fragrant little wintergreen, so plentiful in our northern States, has no chance in the modern pharmacy with its poisonous synthetic coal-tar imitator.

But it is not my purpose to write a condemnatory critique on our U. S. P. While Lloyd and Merrell and Squibbs carry on business, pure plant derivatives can be obtained, even if one has to jump over the

head of the corner soda and cigar divan. But to my story, which I will tell plainly.

For some three years my wife has been troubled with a virulent eczema of the right leg. Last summer, while boarding a street car, she struck her leg, just midway between the knee and foot, which caused a deep ulcer to form. The middle of December I concluded to send her to bed until some improvement could be effected, and I went to work on it with 10 per cent. resorcin ointment with white petrolatum base. The improvement was marked from the beginning, and after the growth of an entire new skin, I finished it up with a dusting powder called "Modoformal,” which I obtained from Armstrong Mantz Co., of 78 Broad Street, Boston. Common justice compels me to say that I never saw its equal.

Well, during the summer and fall I had exhausted my vitality by overwork, and I was in no condition to endure the burden that fell on me. The housemaid went away for the Christmas holidays, and I could get no one temporarily. So I had to be cook, doctor, nurse, scullion, and everything except washerwoman.

One day I got a small splinter in my thumb, which I pulled out and paid no further attention to, and I kept on rubbing the resorcin on the eczema three times daily. In a day or two a small pimple, about the size of a pinhead, that would not heal, appeared on my thumb, but I did not pay much attention to it. A week after Christmas the girl returned, and the next morning I found a hard, painful bunch under the axilla, as large as a hen's egg, and hard as leather. My first thought was that I had strained the serratus magnus, and I used an old forgotten remedy which I have found very useful-Fenugreek. It accomplished no good, and acting on the suggestion of my wife that "a lawyer who conducts his own case generally has a fool for a client,” I called in my friend, Dr.

W- He examined it and pronounced cle. I have cured similar cases in three it a deep-seated enlargement of the lym- days by driving a solution of iodide of phatic gland, and said the only course was lithium into the gland with a galvanic curto poultice it and bring it to a head. Then rent, and using eliminants. This case of he spied the pimple on my thumb and pro- my own lasted me five weeks, probably nounced it the whole cause of the trouble. owing to the fact that I was run down, Surely “great oaks from little acorns and an old chap of 71 is not always wise. grow."

At least if he is, he does not understand For three days I used flaxseed poultices, exactly how to apply his wisdom. and no sign of softening. But the thing

I am fast gaining by the use of a conbegan to decrease in size, and I telephoned structive which I find invaluable—Abbott's Dr. W— to call. He coincided with my

triple arsenates with nuclein, No. 413. opinion, that the thing was going to work

I don't know how you will regard the free off by absorption, not a pleasant anticipa

advertising I have been sandwiching into tion by any means, but what could one do?

this article, but you can cut it out or send And then I began to understand the "min

the bill to the proper parties. I have only istry of pain,” for the pectoral muscles

endeavored to give a succinct account of a were so sore that I could hardly draw a

case in which, for obvious reasons, I was breath. Dr. W— said “paregoric," and

much, perhaps painfully, interested. paregoric it was, although I despise opiates. And the constriction about the larynx was

I would like to say one word regarding horrible. Still all through the whole affair

"Fenugreek” (Foenum Graecum), which there was not a hint of fever, so my ever

I mentioned at the beginning of this artipresent Abbott defevescent granule was

cle. It was brought to my notice a year not invoked.

ago by an old German, a follower of The next indication was urine loaded Father Kneipp. I hunted it up in my with bile, showing that the urine had got

botany, but could find no mention of it. at work on the liver. And then one even

Finally in an English work, in the public ing I had a fit of nausea, and after de

library, I found an exhaustive description positing my frugal supper in the bowl, I

of it, with the information that, while forfollowed it with a volume of bile. I merly in great repute with European practhought this was all, but it was soon fol

titioners, it had fallen into disuse except lowed by a compound for which I have among veterinarians, who used it largely no name, and don't want any. The next

for spavin and ringbone. I reasoned that morning Dr. W— appeared and found if of value in these conditions, it might be the swelling nearly gone, and advised ap

of use in other abnormal deposits, and I plication of iodine to finish it up, syrup

set about looking for it. But the druggists hypophos. comp. U. S. P. as a tonic, and never heard of it, as I could learn, until sodium phosphate three times a day to

I inquired of one of our Dorchester drugclear the liver, instead of podophyllin and

gists, who told me that he sold large quanleptandrin, which I was using. This latter tities to veterinary doctors. Meantime I salt made me pause, for I have seen speci

had got some from an obscure house in mens of this salt containing enough arsenic

New York City. The first trial I made of to make its use dangerous, not that ar

it was in a case of goiter, with marked senic is used as an adulterant, but not

effect, and for sprains it is a fine remedy, enough care is taken to eliminate the

and I consider it a forgotten remedy that poison. But on taking down my Squibb's

may well be remembered. It resembles in Materia Medica, I found that they made

odor pulverized slippery elm. I mix it a preparation of guaranteed purity, and the

with vaseline into a stiff paste, and use as guarantee of that house goes with me.

I would a poultice, and my experience with Their products cost more than some others,

it leads me to further experiment with it. but cassimere costs more than satinet, and

Some years ago a queer old chap in this I will have Squibb's or Merck's if I have

city had great success in curing sprains, to send to the home office for them.

and I have questioned if this powder was Well, I don't know that I have added

not an important factor in his practice. much to the world's knowledge in this arti- Dorchester Centre, Mass.


IS CLIMATIC INFLUENCE OF ANY ous community. Our schools and churches HELP IN THE TREATMENT

are as good as can be found in the world.

Our farmers are progressive and many of OF TUBERCULOSIS?

them highly educated. Farming under irri

gation tends to small farms and intensive By L. P. BARBOUR, M. D.

farming, which attracts the intelligent.

Our climate, outside of and irrespective of Fifteen years ago nearly every member

its effect upon health, is one of the most of the medical profession believed that

pleasant in the world. Knowing this cliclimatic treatment was the only treatment

mate as I now do, I have real sorrow for of tuberculosis of any use whatever. The

those people who live in the Mississippi writer of this was one of the first of the

Valley or Atlantic States, even though they country to urge active treatment of this

may be in the best of health. Life here is disease at home for those who could not

so much more comfortable. go away from home. To-day the pendulum

That the readers of the SUMMARY may has swung to the other extreme, and the appreciate more fully the comfort of the profession is now neglecting its most valu- climate here, I give a short table of comable asset in the combat with this disease. parison of reports from the weather bureau While some cases be successfully

of the United States :treated at home, and while active efforts Rocky Ford, Colo. 99 1 277 14.6 inches should be made at home for those who Philadelphia. 106 5 106 41.7 inches cannot get away, yet the synchronous ac


95 10

95 45. inches tion of climate with the same efforts that Nor does this table tell all the story. are made at home, will save many lives The low humidity, both actual and relathat are lost by treatment in the home cli- tive, makes both a high and low temperamate of the East. Let me ask the readers ture much more bearable. It is an experiof the SUMMARY how many of your pa- ence familiar to all easterners that a day tients are cured by home treatment? I with a high temperature and a high huhave put this question to many eastern midity—a steamy day—is vastly more opphysicians, and they all acknowledge that pressive than one with the same high their percentage of recoveries is very temperature and a low humidity. Such small. If, to the open air, good food, "steamy" days we never have in the Arkanproper regulation of rest and exercise, and sas Valley. Again, a day with a low temsuch medication as each individual needs, perature and high humidity is raw and you could add the positive action of dry chilly. Such days are common enough air, bright sunshine, and altitude, you in the central and eastern States. They would find your efforts crowned with a are rare, indeed-almost unknown-with large percentage of recoveries instead.

A low temperature with a low huFor the combined effect of dryness, midity is crisp and bracing. Such are our bright sunshine, and altitude is of positive

winter days. benefit. That this is true is proved by Therapeutic Effect. — The comfort of actual results. The country around Rocky being able to be out of doors and moving Ford and throughout the Arkansas Valley around, in summer without sweltering, in of Colorado, is filled with former invalids winter without chilling, has

no small who came here with tuberculosis and are therapeutic effect. You doctors of the now living in health and prosperity. To east know how difficult it is to keep your name individual cases would unnecessarily patients out of doors. Here they willingly fill my allotted space; but if any doctor and cheerfully adopt the out-door life. would like to have such cases cited, I will

Yet this is of minor importance compared give him as many names as he can pos- to other effects, though this alone would sibly want, to whom he can write if he make a change of climate desirable for the doubts my word. Nor is a residence in tuberculous patient. this region a banishment to a wilderness, Physiological and Therapeutic Effect of as some people of the East seem to think.

Sunshine. The active physical effect of The Arkansas Valley of Colorado is a sunshine is so patent as to scarcely rehighly organized, intelligent, and prosper- quire mentioning. It has been the subject


of careful experimentation, as well as of gestion of internal organs occur, even to every-day observation. We have all seen the brain, and we have "sunstroke.” Given plants attempt to grow without sunshine, a low humidity, a dry air, with the same and all know how "pale and spindling" temperature, and the perspiration comes such plants are. The effect upon animals with great rapidity, but is just as rapidly and upon mankind is the same. Direct rays absorbed by the thirsty air; the skin is of the sun promote the formation of hemo- reddened and the individual, though warm, globin, and promote constructive metamor- is not depressed or overcome. phosis. Life in dark rooms and houses is

Now, all this increased action of the one of the most potent predisposing causes

peripheral circulation, the increase of of phthisis, and, conversely, life in the sun

blood in skin and mucous surfaces, is cershine is one of the most potent means for

tainly to be desired in the case of phthisical overcoming a phthisical attack.

patients. We have, during the last two or Now, not only do we have more sun

three years, heard much of the Bier's shine here than in Philadelphia by over method of treating tuberculosis of the 250 per cent. (see table above), but, owing joints and other accessible parts. The to the altitude and absence of moisture, effect of sunshine and dry air upon the the thermic and chemic effects of the sun's skin and mucous surfaces is similar to the rays are much more intense. A resident

Bier's treatment upon the joints, and the of the Atlantic Coast can scarcely realize results are just as undoubted. this increased intensity. All of the effects of sunshine at sea level are intensified. Physical and Therapeutic Effect of AltiThe quick and decided increase of hemo

tude.This has been the subject of much globin and tissue oxidation, the stimulated

discussion and experimentation, but has peripheral circulation, and the general been finally settled forever. Altitude does well-being of the patient, are manifest in

increase the number of red blood-corpuscles almost every one that comes here, sick or

of the blood, and the increase is actual, well. These effects are as positively shown

and not merely apparent. Altitude also as is the contraction of the uterus shown

increases the amount of hemoglobin by 20 to follow the administration of ergot, or

to 30 per cent. It also increases the oxidathe relief of pain to follow morphine.

tion of the body, as shown both by the

amount of oxygen absorbed and the CO Physical and Therapeutic Effects of Dry- produced. It increases both the rate and ness of the Atmosphere.-Increased action

depth of breathing. And further it stimuof the sweat glands and increased circu

lates the assimilation of nitrogenous matlation of the skin and mucous surfaces

ter. Because of this stimulation of all the and of the submucous and subcutaneous

metabolic processes to too great action, a vessels, are the most marked results from

very high altitude-7000 feet upward-bea dry atmosphere. Whether this is true or

comes detrimental to some people. This not you can learn at home. Watch the

effect is most commonly shown upon the weather bureau reports and then notice

nervous system, but is not so common as upon yourself the effect of days with a

physicians of the East seem to think. I low relative humidity. If it is cold weather

have never seen serious effects from the even a very low relative humidity will not

moderate altitude of the Arkansas Valley: cause visible perspiration. But the in

4177 feet at Rocky Ford. Rarely are any creased circulation is plainly evident in the

detrimental effects shown short of an altireddened skin and general good feeling.

tude of six or seven thousand feet. Now change to a high humidity. You will see a "blue" surface and will feel chilled I want to repeat, every one of the physioand uncomfortable.

logical and therapeutic effects of sunshine, Hot weather with a high humidity does,

dry air, and altitude, given above, have indeed, leave a visible perspiration. The

been established by careful experimentaair is already so laden with moisture that

tion, as well as by observation, and are it can take no more, and beads of sweat

as well settled as are the therapeutic effect hang on to the surface to check further of any drug upon any diseased condition. perspiration. The skin becomes pale, con- Rocky Ford, Col.

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