Papers presented to the Association shall be confined possible that a better rate even may be obtained of certo strictly sanitary, climatologic and preventive ques tain lines. An announcement relating to this subject tions, all clinical, pathological, therapeutic, or other will be sent to the members and others before the time strictly medical statements being excluded; nor shall of meeting, either by the Local Committee or the Secany paper tending to the advertisement of special or local interests or establishment be accepted.

retary.

All communications relating to local matters should be addressed to Dr. Henry Sewall, Chairman Local Committee of Arrangements, No. 23 18th street, Denver, Colorado.

For blank applications for membership apply to the Secretary or to the Chairman of the Local Committee. Applications for membership may be forwarded to either.

All communications to the Secretary relating to the meeting, intended to reach him after September 20, should be forwarded to his address at the Brown Palace

Hotel, Denver, Colorado.

The meetings of the Association are open to the pub. lic. All persons, of whatever profession or occupation, interested in the work of the Association, are cordially invited to be present. Ladies are especially invited to attend the evening meetings. IRVING A. WATSON, Concord, N. H., Secretary.

Tri-State Medical Society of Alabama,
Georgia and Tennessee.

The Seventh Annual Meeting of the Tri State Medi cal Society of Alabama, Georgia and Tennessee promi. ses to be of more than passing interest as is evidenced by the following partial list of papers.

The meeting will be held in Chattanooga, Tuesday, Wednesday and Thursday, October 8, 9 and 10. There

1:30 P.M.-Leave Denver for Colorado Springs and is every reason to believe that it will be largely atManitou.

During Friday afternoon and Saturday visits may be made to Broadmoor Casino, Cheyenne Canon, the Garden of the Gods, Pike's Peak, etc.

tended and of much interest.

1.

2.

PARTIAL LIST OF PAPERS.

When to Amputate.-Duncan Eve, Nashville. The Local Committee of Arrangements has made Woman as Physicians; Ought they be Encouraged ample provisions for the entertainment of members and to Enter the Profession.-J. C. Le Grand, Anniston, ladies attending. A special announcement will be made Ala. by the committee. Excursions have been planned by which visitors may, at small expense and with little loss of time, see the characteristic features of Rocky Moun tain scenery.

3. Syphilis.-Jas. T. Selks, Hot Springs Ark. 4. A New Rapid Method of Treating Zona, with Illustrative Cases. A. H. Ohmann Dumesnil, St. Louis. 5. Synthetic Perineotomy in Laceration of the Perineum.-R. R. Kime, Atlanta.

6. A Complicated Case of Obstetrics with Rupture of the Uterus.-E. T. Camp, Gadsden, Ala.

In accordance with an invitation, which was accepted at the last meeting of the Association, a stop over will be made at Davenport, Ia., on Saturday, September 28. Train will leave Chicago, via Rock Island route, at 7. How to do Abdominal Section without Fuss, 8:45 A M., Saturday September 28. For itinerary and Feathers or Foolishness, and with Immunity from further particulars, address Dr. L. H. Montgomery, 70 Sepsis. Joseph Price, Philadelphia. State street, Chicago, Ill. It is to be hoped that the members generally will make this stop over. A special circular relating to this matter will be issued.

8. The Nucleins and their Relative Place in Therapeutics.-R. H. Hayes, Union Springs, Ala.

9. Iodide of Potash, G. A. Baxter, Chattanooga. 10. The Busy Practitioner and his Journal.-Harold Havelock Kynett, New York.

Complete arrangements have not been made with regard to transportation rates, but it is probable that a rate of a fare and a third for the round trip will be granted by all the Traffic Associations. It is barely Nashville.

11. Uses and Abuses of Cocaine.-T. Hilliard Wood,

12. The Treatment of Malignant Cutaneous Epitheliomata (Cancers).-A. R. Robinson, New York.

13. Bile in the Peritoneal Cavity.-W. E. B. Davis, Birmingham.

14. Early Diagnosis and Vaginal Hysterectomy in Cancer of the Uterus.-Jas. A. Goggans, Alexander City, Ala.

15. Reflect.-E. H. Sholl, Birmingham.

deformity. The result is a displacement upwards of the liver, with consequent tension of the diaphragm. This produces a certain immobility of the diaphragm and the lower thorax, so that palpitation and dyspnea may be present on movement, and even slight exercise may cause general discomfort. The transverse colon is also displaced, and so with deficient diaphragmatic action constipation is caused, especially as the dyspnea, etc.,

16. Necessity of Enucleation of the Eyeball -Flavel induce the patient to lead an inactive life —British B. Tiffany, Kansas City. Medical Journal.

17. Acromegaly; Report of a Case.-J. R Rathmell, Chattanooga.

Infective Jaundice.-Banti (Deut. Med. Woch.,

18. When Consumptives should go to Colorado, and August 1, 1895) relates a case of so called simple jaunWhy. J C. Minor, Hot Springs, Ark.

19. Tuberculosis.-R M. Cunningham Birmingham. FRANK TRESTER SMITH, Secretary.

ABSTRACTS

MEDICINE.

dice, in which, in his opinion, the infective character of the disease was established (Brit. Med. Jour.). The patient, aged 21, presented the ordinary symptoms of slight jaundice, which lasted about a fortnight. The liver was enlarged, as also the spleen. The stools were always colored with bile pigment, so that there was no obstruction of the ducts. The temperature seems to have been raised, and there was frequent nose bleeding. The treatment was by naphthol and salol. While the disease was at its height 3 c. cm. of blood were with drawn from the spleen with a sterilized syringe, and under the usual precautions. The author obtained from this blood a capsulated micro organism in pure culture. The Physical Sign of Abdominal Disease. It was pathogenic to white mice, and when injected in-The first of a series of articles compiled from Hayem's to dogs, guinea-pigs, and rabbite it displayed marked lectures by Lion (Arch. Gen. de Med., August) on cer- pyogenic properties. It was most closely allied to two tain forms of abdominal disease, is devoted to the con forms of proteus and to the bacillus of rhino scleroma. sideration of the effects of compression, or, as he terms The author does not think that the presence of the miit, "correct disease." Judging from Hayem, this is a cro-organism in the spleen could have been due to a more complicated condition than would at first appear, secondary infection. Many of the symptoms presented for, according as the natural conformation of the thorax by the patient were in favor of an infective process, and varies, so constriction by the corset differs in its effects. the micro-organism present was closely allied to patho The author describes three chief deformities. The genic forms found in man. The fact that it did not first is suprahepatic constriction, and is found in women produce jaundice in animals does not, in the author's with a naturally large thorax, and of low stature. There opinion, invalidate his conclusions. Some micro organis diminution of the antero posterior diameter, and the isms have a hematolytic action. It does not follow that lower ribs are displaced outwards In this form there every case of simple jaundice is due to this micro organ is downward displacement of the liver, and, in a general ism. The author would divide jaundice into the toxic way, all the abdominal organs, including the pyloric and infective varieties; the latter may own many cases. end of the stomach; the stomach, therefore, assumes an almost vertical position, and the transverse colon becomes V shaped. In the second variety there is hepatic constriction, the thorax is long, and tapers; there is not much external deformity, but merely a tendency to bending outwards of the lower ribs at their angles In this variety there is diminution of abdominal capacity, the liver increases in vertical extent, and presses the pylorus and duodenum against the vertebral column. There is thus no displacement, but compression; the result is dilatation of the stomach towards the pyloric end, with, perhaps, hour glass constriction as well. The third variety is considered by the author as the most important and the least recognized. It is the subhepatic. The compression takes place at the level of the last ribs and the lower margin of the liver. In many cases a certain amount of shortness of the sternum induces this

It remains to be shown how often the B. icterogenes capsulatus causes jaundice.

The Thyroid Treatment of Psoriasis.At the French Congress of Internal Medicine recently held at Bordeaux (Sem. Med., August 17) G. Thibierge stated that be had tried the thyroid treatment in 11 cases of psoriasis (Brit. Med. Jour.). The substance was given for varying periods from a fortnight to two months in daily doses of from 2 to 8, and exceptionally 12, 16, and 20 g. of fresh uncooked thyroid, and in total doses of 72 to 288 g. The general effects were the same as those seen in cases of myxedema treated in the same way, namely, headache, pains in the limbs, gastric dis. turbance, tachycardia, asthenia, and loss of flesh. loss of weight in the majority of the patients exceeded 6 kilos, in less than 6 weeks, and it was not checked by

The

the excessive appetite which the patient showed after of a very large quantity of gas by eructation; then in an initial period of anorexia. Nevertheless, the doses the course of the first or second day extremely fetid being equal, these general disturbances were less marked diarrhea with abundant gas occurred. After a few days than in the myxedema cases; the author concludes from tolerance was established, and the patient felt better this that in the latter the effects apparently due to the than he had done for a long time; his general state imtreatment are in part also due to the disease. The proved, his appetite returned, his strength increased, therapeutic effects of the treatment on psoriasis were and pain diminished. The weight of the three patients nil in 3 cases, including the one in which the largest in whom the trectment was tried increased three, five, doses were given and thyroidism was most marked. In and eight pounds respectively after the yeast had been the other 8 the effect was good, but did not extend to administered for a fortnight. The gain in weight was complete cure, local treatment being always required to get rid of the lesions. Therefore, in Thibierge's opinion, the thyroid treatment is not a specific for psoriasis, nor should it be employed as a matter of routine. It should be reserved for refractory cases in which all the ordinary methods of treatment have been tried in vain, and the effect should be very carefully watched.

particularly remarkable inasmuch as one of them was phthisical as well as diabetic, and another had diabetes of the gravest type. On discontinuing the treatment loss of weight was soon observed again. As regards strength as tested by the dynamometer an improvement from 12 to 20 kilos. was noted in the right hand, and of 17 to 22 in the left. As regards the urine the urea re mained stationary or increased, and the proportion of sugar diminished, in one case by three-fourths, and in

Dr. Fere, Physician to the Bicetre Asylum, however, has found by experience that, as a rule, this condition is only the result of a suspension of the epileptic seizures, which are liable to reappear after a while with the same violence as before, though the interval may extend over several years.

Action of Antipyretics on the Blood.-At the French Congress of Internal Medicine, recently another by two-thirds in the fortnight.-British Medi held at Bordeaux (Sem. Med, August 17), Henocque cal Journal. presented a communication on this subject. He began by pointing out that one of the antipyretics most in use, The Continuous Administration of Bro. namely, antipyrine, has a powerful hemostatic action mides During the Period of Apparent ReThis property he claims to have discovered in 1884, in covery from Epilepsy.-It is well known that in the course of some experiments with the drug. The epilepsy, the seizures frequently disappear so completehemostatic action is local and its mechanism is vaso- ly under the influence of a prolonged and energetic constriction and retraction of the tissues, with forma treatment with bromides, as to suggest definite recov tion of a minute clot which is extremely retractile and ery. aseptic. Antipyrin has also a favorable effect on cicatrization. The action of antipyretics on the blood when administered in toxic doses may be summed up as a transformation of oxyhemoglobin into methemoglobin. A phase of anemia or diminution of oxyhemoglobin precedes the accumulation of methemoglobin. In this period there is at the same time production and elimi nation of methemoglobin; if elimination is hindered, or transformation is too rapid, phenomena of cyanosis may be produced which must be distingui-hed from those of the period of intoxication. These various phenomena may be studied hematospectroscopically, and the influ ence of antipyretics on the activity of reduction of oxy hemoglobin, that is to say the energy with which changes take place between the blood and the tissues will be recognized, and the influence of antipyretics on the activity of elementary oxydations will be determined.-British Medical Journal.

Brewers' Yeast in Diabetes.-At the French Congress of Internal Medicine recently held at Bor deaux (Sem. Med., August 21) Cassaet stated that he had obtained good results in three cases of diabetes by the administration of brewers' yeast in a daily dose of 50 grammes, although the administration of the sub stance could not be continued sufficiently long on account of the practical difficulty in summer of preventing acetous or putrid fermentation. It was taken readily by the patients. The immediate effect was the expul sion, during the few minutes following its absorption,

The continuous administration of bromidee is, therefore, a sine qua non in the treatment of epilepsy. The medical man must on no consideration yield to a desire on the part of the patient to discontinue the medication without fully explaining to him the risk to which he exposes himself by not conforming to the requirements of his case.

When suitably regulated, this medication is said to be attended with no ill-effects. The dose of bromide to be employed varies greatly in each case; it needs to be so adjusted as to be both efficacious and well borne by the patient.

Generally speaking, the symptoms of nervous depression observed as a result of the continuous administration of bromides are due to gastro-intestinal dis turbances, which may be prevented or checked by resorting to intestinal antisepsis. Whenever the digestive tract shows signs of being intolerant of bromide of potassium, this drug must be temporarily replaced by bromide of strontium Cutaneous morbid symptoms, if not entirely checked by intestinal antisepsis, may be subdued by cutaneous antisepsis by means of frequent baths of the ordinary kind, or in water containing perchloride of mercury, if there are no ulcers on any part

of the skin, otherwise with boracic acid.

The applicabolic acid in cases of diabetes mellitus, than from any tion of a spray of concentrated solution of boracic acid other medicinal agent. Withous restricting the patient may also be advantageously resorted to in the latter

case.

to any special diet, this treatment 18 said to have resulted in numerous instances in relieving the thirst, The patient should carefully avcid everything liable reducing the amount of sugar in the urine, and prolongto have a depressing influence on the organism, more ing life for years. A patient, who had been pronounced particularly cold, painful emotions, and traumatisms, by a prominent medical man as likely not to live over which favor the supervention of symptoms of bromine intoxication.

six months, continued this treatment during ten years and lived for eighteen years in seemingly good health; he died from an attack of acute enteritis.

In no instance have ill-effects of any kind followed either the topical application or ingestion of carbolic acid.-N. A. Prac.

Lastly, care must be taken not to attribute to bromine intoxication symptoms with which it has nothing to do, such as periods of apathy, more or less closely resemb ling the stupor which supervenes spontaneously in ep. ileptic patients, and impairment of the memory or intelligence, due to vertiginous disorders which often The Dietetic Use of Common Salt.-For increase in frequency in proportion as the convulsive many years the high value of salt as an article of food symptoms become more and more infrequent under the has been maintained by physiologiste, the claim being influence of the treatment. None of these symptoms chiefly based upon the experiments of Boussingault, in are accompanied by the gastro intestinal disturbances which calves that were fed salt were fairer and fatter which are characteristic of bromine intoxication, and at the end of a certain time than those that had none, there is, consequently, no occasion to suspend the treat both having been previously accustomed to the use of ment on this account.-Med. Week. salt. The subject was never subjected to a careful scientific inquiry, however, until taken up by Leriche, in 1884. With reference to the result of his investigations and those of others, we translate as follows from a recent very interesting volume, "Traite des Maladies de l'Estomac," by MM. Debove and Remond:

Carbolic Acid Treatment of Hydrocele and Other Affections.-Dr. Coffman, of Omaha, in the treatment of hydrocele, recommends the inject ion of one dram of 95 per cent carbolic acid without previous evacuation of the fluid; if absorption is not completed within one week he repeats the operation. He takes no precaution either before or after the operation, while the patient is able to pursue his ordinary work without inconvenience. A permanent cure is effected within a month without any untoward symptoms. Housemaid's knee is treated in like manner by the in jection of a single syringe full of the acid into the tumor. A second injection is made a week later. The tumor disappears and without recurrence in from four to six weeks.

"It might be thought, since the stomach secretes hydrochloric acid, that the addition of chloride of sodium to the food must play a certain role in digestive activity. According to Leriche, however, common salt has no peptogenic action. The acidity of the gastric juice, which, in the subjects studied by him, ordinarily increased during the first hours of digestion, without exception diminished when salt was taken with the food, and this diminution was greater and more prolonged just in proportion as the quantity of salt administered was greater. This action of salt is probably due to the hypersecretion of the mucous glands, not being observed when salt is administered by enema.

Carbuncle has been arrested in its development by the injection into different parts of the tumor of five drops of pure liquid carbolic acid at each point. When Reichmann, repeating these exgeriments, found that the carbuncle has advanced to the honey comb appear one or two per cent solutions of chloride of sodium emance, the pure acid is applied, by means of a match, ployed in washing the stomach, diminished both the around the end of which a little cotton wool has been acidity and the quantity of the gastric juice. Gerard wrapped to hold the acid, the end thus prepared being observed in a dog with a gastric fistula that large doses pushed deep down into each opening, after which a of salt gave rise to abundant secretion of mucus in the piece of cotton saturated with pure carbolic acid is ap-stomach, whereby the stomach fluid, which was previplied to the surface, and on top of this another layer of cotton, steeped in boracic acid or perchloride of mercu ry solution.

ously acid, was neutralized by the alkalinity of the secreted mucus.- -Modern Medicine.

Lastly, Dr. Coffman employs carbolic acid internally, Alkalinity of the Blood and Microbic Inespecially in cases of cutaneous pruritus, when the itch fection.-Josef v. Fodor (Centralbl. f. Bakt. u. Paring is so persistent that an eczematous eruption or ab- asitenk.) records a number of experiments showing the rasion of the cuticle follows. A cure is effected in influence of the alkalinity of the blood on diseases prosuch cases by ingestion of three drops of the 95 per duced by micro organisms. Four series of experiments cent carbolic acid solution in a glass of water after on animals are first reported, which show clearly that, meals and on retiring for the night, without application by the administration of alkalies (sodium bicarbonate of any local treatment. He also reports having obtained by the mouth or by subcutaneous injection), the power better results from ingestion of the same dose of car- of resistance against infection with cultures of anthrax

It is not suggested that the operation of nephrorrhaphy should be performed in every case in which the kidney is found movable, or even floating Like other surgical procedures, nephrorrhaphy, or nephropexia, should be performed only when the operation is necessary to relieve pain or other disability from which it promises relief.

bacilli is greatly increased. The normal alkalinity of vestigation I found a floating kidney, which was subthe blood was determined by the examination of seven- sequently restored to position by the operation of neph ty-six healthy rabbits, and four experiments are re rorrhaphy or nephropexie ported, showing the increase in the alkalinity of the blood which occurs after the administration of sodium bicarbonate. The author then records the result of a large number of observations on the alkalinity of the blood in rabbits after infection with the bacilli of an thrax, cholera, typhoid fever, tuberculosis and erysipelas. These observations show that in the living organism, after infection with certain bacilli, there is first an in Many of these cases are relieved by the wearing of a crease of the alkalinity of the blood and then a diminu proper bandage. A simple abdominal bandage which tion of the same, more or less. If the infection is fatal, we have had constructed is especially useful in these the diminution of the alkalinity is marked and progres cases. It consists of two oval shaped hard rubber pads sive; if not fatal, the diminution is slight, and is fol of elastic webbing and held in place by a pair of light lowed by an increase of the same, in consequence of springs connected to a back piece, as in a truss for which the alkalinity of the blood becomes permanently double inguinal hernia. I find this more efficient than higher than before the infection. Thus there exists a any other instrument which I have even employed. connection between the pathological action of certain Attention must also be given to the development of bacteria and the alkalinity of the blood. Those rabbits the abdominal muscles by exercise, massage, and the having the greater alkalinity of the blood, as well as employment of the sinusoidal electric current. The those in which the alkalinity of the blood is increased development of the muscles of the abdominal wall is, in to a greater extent after infection, have greater power fact, the only remedy likely to afford permanent relief. of resistance against certain infectious organisms (an. thrax bacilli) than the rabbits in which the alkalinity of the blood is less. It appears, therefore, that the degree of alkalinity of the blood, as well as the power of the organism to increase this alkalinity with corresponding intensity after infection, is of essential influence upon humanity.-Brit. Med. Jour.

SURGERY.

A certain proportion of cases are, however, suitable sub jects for operation. In such cases the operation should be performed as soon as it is apparent that the patient will not be cured by other means of treatment. The method of performing the operation which I have found to be both efficient and expeditious, is the following;

Incision being made in the loin along the anterior border of the quadratus lumborum, the tissues are rapidly cut through until the mass of fat surrounding the kidney is reached; then using the handle of the scalpel and the fingers of one hand, the surgeon works his way through the mass of fat surrounding the kidney until the organ is distinctly felt. With the other hand A New Quick Method of Performing the the kidney is then pushed up into place and the assistOperation of Nephrorrhaphy.-Since Glenard ant is instructed to place his closed fist firmly against taught us the important relation of enteroptosis to a the abdominal wall in such position as to keep the kidgreat number of nervous disorders and the disturbances ney from slipping down again. Catching the lower end of the sympathetic nervous system set up by prolapse of the abdominal viscera, greater attention has been paid to the displacements of the kidney as well as of other abdominal organs, than heretofore.

The frequency of prolapse of the right kidney, par ticularly in women, is a fact which has now become well established. Observations made by the writer and reported at the meeting of the American Medical Associa tion held in Washington, June 24 to 27, 1894, show that movable kidney and floating kidney are, in women, generally associated with pelvic disorders. In not a few cases of women suffering from this class of ailments the symptoms have been found to be due, not to pelvic disease, as supposed, but to the sympathetic nerve disturbance set up by traction of the pendant kidney. Only recently the writer met a case in which the woman had for several years been unable to walk because of great pain occasioned by standing on her feet. The pain was confined to the umbilical region and right side. On in

of the kidney with one or two fingers of the left hand a pair of strong seizing forceps, similar to those used in seizing the cervix in drawing it down for repairing or other operations, is passed into the wound, and the end of the kidney and capsule seized and drawn forward. By means of a long curved Hagadorn needle solidly at tached to a handle, a silkworm suture is then passed through the lower end of the organ, including the cap. sule, first from behind forward, then from backward, the two lines of puncture being about an inch apart. By this means a firm hold is obtained upon the kidney and its capsule. By means of the same needle the free ends of the suture are then passed through the two sides of the wound at its upper angle, including all the structures except the skin and subcutaneous tissue. While the kidney is pushed up and firmly held in place, the suture is tied and the ends cut off short, the suture be ing buried to remain permanently. By a few deep sutures the wound is closed and the operation is complete.