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which we will suppose to be upon the leg, is the following: Cut a plate of copper the exact shape of, and place it over the ulcer, connect this by a copper wire with a second plate of zinc placed high up on the thigh. Each day the copper should he removed and the ulcer cleaned with water or a weak solution of Carbolic acid. Ulcers have cleaned up, granulated and cicatrised under this treatment alone. Now, suppose that by one or more of these methods healthy granulations have been obtained, then look well to the edges of the ulcer ; cold-water dressings here come in, or you may apply a very weak solution of Carbolic acid or Calendula wash. To facilitate the formation of a cicatrix, grafting stands pre-eminent, though oftentimes the grafts do not take. Those which are raised by means of a hair beneath which they are clipped, seem to take better than those which have been pierced by some instrument. In speaking of cicatrisation, Erichsen says: "The new cuticle is formed at the edge only, and never primarily at the centre of an ulcer, unless islands of old skin be left there undestroyed to serve as centres of cicatrisation." Furthermore, Agnew says : " It begins at the circumference and is doubtless determined by contact with the old skin. . . The supposition that islands or isolated patches of epidermis can form at irregular points over a granulating surface independent of the old skin, is not supported by any well-established cases." Could these gentlemen visit our surgical wards, four cases, all ulcerations of the leg, could be shown, where islands of cicatrisation have formed, seemingly independent of the old skin. One of these cases was a man on whose leg extensive sloughing, dipping into the muscles, took place. Subsequently to granulating, an island of cicatrisation formed surrounded by at least one inch of granulating surface. Locally the ulcer received Permanganate of potash and then Carbolic acid solutions, the same dressing never being replaced. Suppose now that instead of cicatrisation the granulations become large, flabby, gelatinous, and protruding beyond the sides of the sore, then we have the so-called fungous ulcer. Here pressure must be made, which is best done by adhesive plaster, over which a roller bandage should be applied. Unless high up on the leg, bandaging should begin at the toes to produce an even support for the limb. Should the granulations persist, a little loaf sugar or burnt alum may be placed beneath the plaster. If this does not
check them, cauterise with Nitrate of silver, or, as has often been recommended, a solution of Chloral (12 grs. to the oz. of water). Finally, the shortest and a very satisfactory method is to clip them off with knife or scissors, after which adhesive plaster or a water dressing may be applied.
Concerning syphilitic ulcers the best application is Iodoform paste. Formula: Iodoform 5j, Bah. Peru jij, Vaseline Jviij, or in some cases where the ulcer has a very foul discharge, Iodoform powder sprinkled over the ulcer, over which a charcoal poultice may be placed.
As to the treatment of varicose ulcers, Samamelis virg. benefits them. We have tried the elastic bandage in several cases, only to see the ulcer break down and slough. To close our article, I wish to draw especial attention to the fact that many of our cases, even the most indolent, have intercurrently contracted erysipelas, for which they have generally received Belladonna, Rhus, or Apis. Subsequent to the erysipelas in all cases the ulcers have rapidly healed.
Dr. Fanning (corroborated by the editors) has had remarkable results from Cuprum aceticum, 3 in cardiac asthenia, where Digitalis failed.
May.—Dr. Franklin reports a cure of three out of four cases of lupus exedens by Hydrocotyle, 3 internally and ] locally. He repeats, however, Dr. Helmuth's mistake as to its being this disease in which Boileau reported such brilliants results from the medicine, though we corrected it in our review of the New York surgeon's last edition.
Oct.—Dr. Talcott writes of Equiselum—" We have used this remedy at the Homoeopathic Asylum in several cases where the patients have suffered from weakness of the bladder, and inability to retain their urine. The urine dribbles away almost constantly, both from relaxation of the sphincter vesicae, and from mental inattention to the calls of nature. Among male patients, both old and young, the use of Equisetum, in the first decimal dilution, has been followed by invariably satisfactory results. Among the female patients, the remedy has produced some good effects, but not so uniformly as when the drug has been administered to males.'' Dr. Bukk Carleton finds the Benzoate of Soda (which last he always writes Sode) as effective internally in phthisis as in Germany it has proved in inhalation. He gives it in four-grain doses. Drs. Ordway and Dake write in warm terms of satisfaction with our International Convention.
Dec.—Dr. Alfred K. Hills relates a case of the endemic disease of Brazil, " beri beri," occurring in a native of that country. He made a complete recovery under Ignatia and Sulphur.
While we have made but few excerpts from these numbers, we are bound to say that they are unusually full of interesting and useful matter.
United States Medical Investigator.—July 1st.—Dr. Dowler confirms, from his experience, the value of Actea racemosa in rendering labour easy; he gives drop doses of <p, three times daily for the last month. The doctor, however, should not call his remedy "a Partus Preparatur." Dr. J. C. Morgan states that a pledget of cotton soaked in glycerine, inserted into the vagina, relieves pruritus vulvae at once.
July 15th.—Dr. Boyce states (p. 105) that " Hahnemann, in proving vegetable charcoal, obtained no result until he had reached the sixth potency." Hahnemann himself states that he made his proving with the third trituration.
August 1st.—Dr. Elder reports a fatal case of Santonine poisoning.—"A member of the American Institute (the name escapes me) reported that white peony had the reputation of curing epilepsy. Try it and report.—T. C. D." This is not the way to advance scientific therapeutics, Mr. Editor. Dr. Wolff sends a somewhat heroic proving of Piper methysticum.
September 1st.—Dr. Woodward gives here a revised edition of his paper, "A New Similia," which appeared in the Transactions of our International Convention.
October 15th.—This number gives an account of the new building erected for the Chicago Homoeopathic College, and a view of the Cook County Homoeopathic Hospital, a portion of which has been placed in the hands of its medical staff. From an exceedingly able address delivered on that occasion by one of our late visitors, Dr. R. N. Foster, we make the following extract:
You are all aware that homoeopathy has been a very great puzzle to a large class of deeply interested persons for about a hundred years. Its funeral has been cheerfully anticipated daily during all that period; but notwithstanding the amount of "regular " surgery to which it has been subjected, there are still no positive signsof its early demise. Poets have sung its requiem. Prophets have foretold its destruction. Savants have criticised its philosophy adversely. And medical scientists have pronounced it a delusion. At first, as a matter of course, homoeopathy was purely a doctrine. Wait, said its opponents, until it is brought to the test of practice. That will end it. But that was the thing which precisely did not end it. It grew stronger. Introduced into families it soon made for itself there a domestic stronghold. Wait longer, said its opponents. It may flourish in private and grow fat upon domestic ignorance, but let it be brought to the public test in hospital and other public service; then it will assuredly collapse. But now for many years homoeopathy has been increasingly represented in armies, and public hospitals, and everywhere its history has been the same. Not one word drawn from its practical results in these departments has ever been uttered against it. Furthermore, the death records of great cities are open to the inspection of all men. If homoeopathy were a failure in practice those records would show it, and we and our patients alike would desert it in terror. Now, if the theory of any system of therapeutics were to be proved absurd in a hundred different ways, it would not avail so long as the practical results all point the other way. Neither will any amount of demonstration of the scientific superiority of a medical system avail anything so long as practical results fail to attest such superiority. Of course this proves nothing for or against the theory of our school. It simply declares its practical success. In my opinion all medical theories repose upon a subtratum or solid earth of science, but soon rise up and expand into the vague and borderless atmosphere of faith, hope, and charity. But there is a good deal more in homoeopathy, that will account for its contagious prosperity, than can be found in either its theory or its clinical history. It is really a part of modern civilisation. It is the therapeutic phase of a movement that has made itself felt especially during the past century in every department of human thought, but which is especially manifest in religion, philosophy, politics, and medicine. During the period in question there has arisen, everywhere in the civilised world, a new element of thought, which has everywhere been, in the best acceptation of the word, radical. In religion this thinking force has been independent, in philosophy universal, in politics republican, and in medicine homoeopathic. This style of modern thought, which is essentially a mental revolt against the old order of things, a grand intellectual revolution, divides the mind of the world into two pretty equal parts, one of which loves the old, the other the new, in all things. So well defined are the two great parties in this movement, that one could run through a long list of representative men in religion, or politics, or anything almost, and distinguish them into adherents of the old regime and adherents of the new, as readily as one can distinguish between a formal and courteous gentleman of the old school of manners and the perfect quiet simplicity of the gentleman of to-day.
To state it briefly. There are two types of mind both pretty actively manifest in the life of the world to-day. In philosophy, one of these types tends to materialism, the other to spirituality. And when these two types of philosophers come to choose their medicine, the materialist takes the larger dose. In religion, the same typical difference appears—one class tending strongly towards an orthodox conservatism, the other towards liberalism; and again, when it comes to a choice of medicines, it is the man who questions traditions that takes to the homoeopathic globule. There is a notable example of this in at least one remarkably intellectual religious organisation in this country, in which at least ninety-nine per cent. of the members—men, women, and children—are homoeopathists. Draw a line between the two political parties of the United States, at least ninety per cent. of homoeopathists in the country will be found in one of those parties, and only ten per cent. in the other. Divide the inhabitants of any city into classes, say the educated and the uneducated—or the more intelligent and the less intelligent—you will not find more than five per cent. of homoeopathists among the uneducated class. I do not mean to insinuate