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Physiology of Vision, The A Theory. By George H. Talbot, M.D. 445 Practical Points in the Practice of Midwifery. By George R. Southwick, M.D.

300 Prevention of Premature Baldness, The. By John L. Coffin, M.D....

493 Professional Etiquette and Medical Courtesy. By Charles Sturtevant, M.D.. 404 Relation of Syphilis to Nervous Diseases, The. By E. P. Colby, M.D....... 54 Relation of the Pharmacopæia to the Question of Potency. By J. W. Clapp, M.D.

105 Saving the Twenty-four Hours' Urine. By F. P. Batchelder, M.D..

23 Should Physicians Use Therapeutic Suggestion? By Charles J. Douglass, M.D. 297 Some Experiences with the Normal Salt Solution. By W. F. Wesselhoest, M.D.

410 Some of the Oral Manifestations of Syphilis. By John L. Coffin, M.D. 260 Some Points in Regard to Hemorrhage. By A. H. Powers, M.D.

417 Surgical Diseases of the Faucial Tonsils. By T. M. Strong, A.M., M.D..... 313 Therapeutic and Sanitary Uses of Bromine Vapor, The. By Dwight Warren, M.D.

97 Three Cases of Insanity Complicated with Degenerative Disease of the Kidneys. By Henry I. Klopp, M.D.....

155 Treatment of Conjunctivitis and Phlyctænular Keratitis. By George A. Suffa,

M.D. ...
Use of Rubber Gloves in Surgery, The. By Horace Packard, M.D..

III 202

EDITORIAL.

Action Taken by the Consulting Board of Westboro Insane Hospital upon the Death of Dr. I. T. Talbot

377 Concerning the Medical School...

426 Consolidation of the Dispensary with the Massachusetts Homeopathic Hospital

267 Death of Dr. I. T. Talbot

324 Dr. Mary Mosher's Letter..

268 Hahnemann Monument Association

176 Intemperate Legislation ...

173 Ladies' Hahnemann Association

174 Late Dr. I. T. Talbot, The

464 Meeting and Membership of the Institute.

224 New Hospital at Westboro, The

75 New Laboratory of Otis Clapp & Son, The...

466 Opening of the New Building at Westboro Hospital

175 Our Duty to Our Medical Schools

25 Report of Committee of American Institute on Death of Dr. I. T. Talbot.... 465 Resignation of Prof. John A. Rockwell....

323 Semi-Annual Meeting of the State Society, The

517 Special Meeting of Boston University School of Medicine.

378 State Sanitarium at Rutland, The..

126 Tribute to the Late Dr. I. T. Talbot

374

EDITORIAL NOTES AND COMMENTS. Abuse of Public Charity, The.....

326 American Electro-Therapeutic Association, The

427 American Subscribers

27 Ann Arbor Homæopathic Hospital.

178 Boston Food Fair, The .

470 Brooklyn Homeopathic Hospital Diabetes ....

130 Do Physicians and Pharmacists Live on the Misfortunes of Humanity ?...... 130 Dr. Dwight Warren

178

178

OBITUARY.

Dr. Henry A. Houghton..
Dr. Orren S. Sanders..

95
48

Gleanings and Translations.. 34-38, 90-94, 134-140, 293, 390–392, 436–443,

474-489, 527-533.

Reviews and Notices of Books.. · 39–46, 141-144, 189-191, 237, 238, 289-

293, 345-347, 392–395, 433-435, 489-491, 533-538, 580-583.

Reprints and Monographs Received ....46, 94, 191, 294, 395, 436, 491, 538, 583.

Personal and News Items.47, 96, 144, 192, 239, 295, 348, 395, 444, 492, 539, 584

5693

LIBRARY

THE NEW ENGLAND

MEDICAL GAZETTE

No. 1.

JANUARY, 1899.

Vol. XXXIV.

COMMUNICATIONS.

THE CURATIVE ACTION OF CERTAIN REMEDIES IN

DISEASES OF THE UPPER RESPIRATORY TRACT.

BY GEORGE B. RICE, M.D., BOSTON, MASS.

(Read before the Massachusetts Homæopathic Medical Society, October 8, 1895.) Those who are trained for special work, who devote their thought and action toward treating diseases of certain definite parts of the body, take upon themselves responsibilities toward the medical profession, and particularly the homeopathic medical profession. One of these responsibilities I believe to be the study of remedies as affecting healthy and pathological states of these certain parts, their influence on the healthy tissues and their power in curing diseased conditions. Accuracy in first diagnosis, accuracy in after observation, and care in selecting those cases for internal remedial treatment which come within the scope of cure are of course essential. Clinical evidence is not always reliable, but when the curative effect of a drug has been repeatedly clinically verified by capable observers one is surely justified in attributing to this remedy curative powers. I give nothing original here, but can, I hope, add to the confidence reposed in a few of our homeopathic remedies, as exerting a restorative influence over diseases of the upper respiratory tract. For the sake of brevity, I will take up single diseased conditions rather than single drugs, giving a group of the remedies which have proven themselves reliable in those conditions with their several indications.

VOL. XXXIV.- No. 1.

nose.

Other remedies than those I have clinically proven effective may be indicated of course, but frequently the symptoms one finds are localized and constantly met, and those I may give here.

I have chosen for consideration the symptom nasopharyngeal catarrh because, although not a disease, it is a symptom of a variety of diseased conditions, and because the causes behind this symptom when recognized present a certain variety of pathological states, not all of them I believe curable by the internal indicated remedy alone. Perhaps we are most frequently called upon to prescribe for this symptom as found in children between the ages of three and sixteen years. In these cases, although the parent complains that the child has catarrh, further questioning will frequently develop these additional symptoms : mouth breathing, snoring, difficulty in articulation, slight deafness. Objectively, we find the patient rather pale in appearance, with a short upper lip, open mouth, and pinched look of the

An examination of the throat shows the tonsils to be more or less hypertrophied, enlarged follicles on the posterior wall of the pharynx, while the use of the rhinoscope or finger reveals an enlargement of Luschka's tonsil ; this hypertrophy may be in the nature of a soft mass nearly filling the nasopharynx, or partially obstructing the posterior nasal passages and Eustachian orifices, or it may be fibrous in character presenting numerous crypts and depressions. After cleansing away th

collected mucus the surface is seen to be reddened and irritated or perhaps pale and puffy. In many such cases I believe that surgical or other local measures must supplement or precede the internal remedy. Particularly is this necessary when mouth breathing is a prominent symptom; but even in this case the remedy is of importance, and a permanent cure without its use cannot be accomplished. I shall mention but three remedies for this condition, namely, calcaria carbonica, calcaria phosphorica, and calcaria iodata. These remedies I have proven as efficacious over and over again. The calcaria carbonica patients with fair complexion, flabby muscles, excess of adipose

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