applies to the symptoms in detail, but I want to be able to get a remedy which applies pathologically to the condition. Many cases occur where the symptoms are only reflex.-Dr. H. E. Spalding......A temperature of 101° or more in the first few weeks of an infant's life always means that the infant is not getting sufficient nourishment.-Dr. Holt......Pulsatilla and Chamomilla affect the ear in the highest degree. If, in a case of infantile earache, you have no other symptoms but the earache, give to the mild, gentle, good little creature Pulsatilla; to the opposite, Chamomilla.-Dr. J. T. Kent......The suggestion that the personal equation should be taken into account by the physician was first made by Hahnemann, and to-day by every educated practitioner, whatever be his creed, the necessity of individualizing is acknowledged.-Dr. Aldridge C. Price...... The temperature in true puerperal fever describes a curve of about forty-eight hours in length, the fever rising the first half and declining the second.Dr. J. B. G. Curtis......I find that women who suffer much from morning sickness have, as a rule, tedious or otherwise troublesome labors. I have observed in multiparæ that at one time they will have much nausea and vomiting followed by a difficult labor, while at another time they will be quite free from the vomiting and will pass through the succeeding labor with comparative ease. Dr. Harrison Mettler.......The second stage of neurasthenia (display of unusual mental and physical energy without subsequent fatigue) is often taken for a sign of unusually good health. When a young girl or mature woman feels that she can study ten hours a day and devote half her nights to pleasure or business, that is the time when the mischief is going on without timely suspicion.-Dr. Conrad Wesselhaft.

THE EARLY MANAGEMENT OF CLUB-FOOT.

Dr. De Forrest Willard, in a clinical lecture on this subject, offers the following conclusions:

1. The first month of life is the period of greatest growth, and to neglect the treatment of club-foot during this time is to permit the bony and soft tissues to become permanently misshapen. 2. Rectification should be commenced from birth by various simple measures.

3. Correction can be accomplished by a variety of dressings. 4. Manipulation is exceedingly important for the production of a flexible foot.

5. Apparatus should be applied as soon as the foot and leg are in position for its application.

6. Rectification and manipulation should be continued up to the age when the infant is ready to walk, at which time, if the foot canot be placed upon the sole firmly, operative measures should be instituted.-Therap. Gazette.

THE ST. LOUIS HOMOEOPATHIC MEDICAL SOCIETY. This society is now one of the strongest and best attended of the medical bodies of the West. During the past winter and spring a valuable paper was presented and read at every meeting. Surgical and gynecological cases were also reported from the various homoeopathic hospitals and dispensaries. These papers were discussed by the very ablest of the homoeopathic profession of St. Louis and he surrounding country. At no time in its history has this society had as extended an influence as at this time. The decided stand taken by this society gave us representation on the State Board of Health at a time when Governor Stone was strongly inclined to ignore our school of medicine. Papers for the meetings of the society this winter are being prepared, and enough are already promised to furnish every gathering with a paper until the first of next March. Dr. J. Martine Kershaw is president and Dr. F. D. Canfield secretary. The meetings are held on the first and third Saturday evenings of each month at the Board of Education Building, corner of Ninth and Locust streets. Members of the profession outside the fifteenth day, the corpuscles numbered 3,050,000. I am indebted to our house surgeons, Messrs. Newby and Brown, for these observations. I am encouraged by these and many other this city are cordially invited to attend.

HOW TO FIND THE UPPER END OF A SEVERED TENDON. M. Felizet, published in the Bulletin de la Societe de Chirurgie, a means for finding the upper end of a divided flexor tendon of the finger. The procedure consists in complete extension of the neighboring finger or of the two adjoining fingers. In consequence of certain delicate fibrous bands passing between the flexor tendons in the great carphal sheath, this brings the upper part of the wounded tendon into view.

STRYCHNINE AS AN ANTIDOTE TO TOAD-STOOL POISONING.

The New York Medical Journal cites from a Russian pharmaceutical journal certain brilliant results achieved by Dr. Konigsdorfer in the treatment of toadstool poisoning by means of subcutaneous injections of strychnine in doses of 0.015 of a grain. The recovery is said to be sometimes instantaneous, as if by enchantment.

I have used Campho-Lyptus in a severe case of Sciatica, with marked benefit. GEO. COVERT, M. D.

Clinton, Wis., June 9th, 1894.

MISSOURI INSTITUTE OF HOMOEOAHTHY.

ERGOT.

(W. A. Edmonds, St. Louis.)

Until recently very divergent, extreme views as to the use of ergot obtained; one extreme advocating its free use; the other ignoring it altogether. The profession seems gradually settling down to a conservative middle ground on the subject. All are agreed that it has great power for hurt under indiscreet use. The fact of its frequent misuse is no more an argument against its claims to confidence than the abuse of forceps. Not long since I was called in consultation where the physician in attendance had tried for two hours to apply the forceps with the os undilated and barely within the upper strait of the pelvis. I have frequently found the midwife using ergot freely in the first stage, and indeed through any and all the stages of labor. These experiences simply illustrate the ignorance of the attendant; but prove nothing, absolutely, against either agency for the furtherance of labor under proper conditions. Formerly ergot was the regular help at hand, time-saving, labor-saving resource. Its use began early and was continued through all the stages, without reference to presentation, the condition of parts as to dilatation or the relative size of the pelvis and the presenting part of the child. Doubtless, many inexperienced and ignorant physicians have done quite as badly as the midwives. Under such indiscreet use of a powerful agent, untold harm has come to both mother and child in deaths, lacerations, uterine rupture, hourglass contraction and what not? Whilst ergot has been supposed to exert a somewhat extended toxic as well as therapeutic range of effects upon the human body, it must be admitted that its more positive action is confined to the expulsive action of the uterine muscular fiber. Under protracted use, one of its very disagreeable results is an irregular, unequal contraction of the uterine muscle. Sometimes this will occur at the inner os and so imprison everything above; placenta, clots, membranes and probably at times the foetus. The only cases of hourglass contraction I have ever encountered in my own practice have been where, for want of that wisdom which we unfortunately in many instances only get by a painful, adverse experience, I had used the ergot protractedly for inertia uteri. desire in this place to make an especial point against its protracted use in any case. Whatever help is to be expected from its use in childbirth is effected at once or not at all. I should say that persistence in its use beyond 30 minutes will be likely to result in harm, either to the mother or child, or both. I propose to defend its use under two conditions: inertia uteri, in the second stage of labor, and for post-partum hemorrhage. For inertid uteri I shall, of course, be reminded that the forceps is the remedy. Pity I did not think of that without waiting to be told. Has it ever occurred in the experience of any mortal, village or country doctor to find himself five to ten miles away from the forceps when needed? More, has it ever

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