sion or dislocation takes place; pain on joint pressure is present only in intracapsular disease, located between or near the articular surfaces. Limit of motion, spasm of the muscle, limp and deformity, with apparent lengthening or real shortening, are nearly always seen associated together. Atrophy pretty constantly occurs, especially in bone diseases, and it may occur as early as the tenth day. The other symptoms observed in the early stages are night cries, pain in the knee, flattening of the buttock, partial or complete obliteration of the gluteal fold. — Dr. A. M. Phelps, in The Virginia Medical Semi-Monthly.

IT IS A MISTAKE to work when you are not in a fit condition to do so. To take off heavy underclothing out of season, simply because you have become overheated. To think that the more a person eats the healthier and stronger he will become. To believe that children can do as much work as grown people, and that the more they study the more they learn. To go to bed late at night and rise at daybreak, and imagine that every hour taken from sleep is an hour gained. To imagine that if a little work or exercise is good, violent or prolonged exercise is better. To conclude that the smallest room in the house is large enough to sleep in. To sleep exposed to a direct draught at any season. To think any

nostrum or patent medicine is a specific for all diseases that flesh is heir to. To imagine that whatever remedy causes one to feel immediately better as alcoholic stimulants

is good for the system, without regard to the after effects. To eat as if you had only a minute in which to finish the meal, or to eat without an appetite, or to continue after it has been satisfied merely to gratify the taste. To give unnecessary time to a certain established routine of housekeeping when it could be much more profitably spent in rest or recreation. To expect girl or woman to be handsome when the action of her lungs is dependent on the expansive nature of a cent's worth of tape. - Annals of Hygiene.

MORPHINISM IN PRUSSIA. - Statistics from Prussia, duly authenticated, again prove the frightful prevalence of con

firmed morphine habit among medical people. Of sixty-two male patients nearly one third were physicians, and of eighteen married female patients three were wives of physicians. What more powerful plea could be made against the danger arising from the too ready recourse to opiates whenever there is pain! Pacific Coast Journal of Homœopathy

PREVENTATIVE TREATMENT OF SENILE INSANITIES.-Among the premonitory symptoms and the immediate causes of insanity in persons who are becoming old, lack of proper and sufficient food and lack of sufficient sleep are prominent. . . It will often be found that a short nap taken once or twice during the day will favor better sleep at night, by relieving the nervous irritability which tends to prevent sleep.

And then there are many things that the aged sufferer from insomnia may do to promote sleep. A warm bath taken just before retiring, with cold applied to the head, may be an efficient aid. A cold douche to the feet and legs, or a wet pack to the abdomen, is sometimes useful. A light supper just before retiring is usually of advantage. . ..

Equally important with restful sleep is the taking of a sufficient amount of nutritious and easily digestible food at ⚫ proper intervals; for one of the usual forerunners of a mental breakdown is loss of appetite or neglect in the taking of food. Not that the stomach should be overburdened with food, for this, too, would be prejudicial; but that a sufficient amount of suitable food for the purposes of nutrition should be taken at proper intervals. If the nights are restless a glass of milk and a biscuit may often be taken with advantage on awaking in the middle of the night or toward morning; or a glass of warm milk in the early morning before rising. — Dr. R. L. Parsons, in the Medical Record.

STRANGE FOREIGN BODY IN GROIN. A man developed an abscess in the groin. When the abscess was opened it was found to contain a small spelling-book. It was ascertained that this patient, when a boy, was shot, and it is supposed that the spelling-book was in his trousers pocket, and was shot into the groin. - Medical Press and Circular.

Inspection is even more im

THE FACE IN DISEASE. portant in the case of children than in adults. The pale, pinched, weazened face of some babies, who have snuffles, ulcers at corner of mouth, and look prematurely aged, is characteristic of constitutional syphilis; likewise in the "saddle nose," arising from necrosis or removal of a part of the bony framework of the nose. In rickets the head is usually large, square in shape, projecting forehead with large, non-bulging fontanelles. In hydrocephalus the head becomes very much enlarged, is rounded or globular in shape, the fontanelles large, tense, and bulging, the eyes prominent, the bones of the face small, the expression vacant. According to Eustace Smith, pain in the head in children is indicated by contraction of the brows; pain in the chest, by sharpness of the nostrils; and in the belly, by a drawing of the upper lip. A healthy infant, when awake and well fed, is always kicking or cooing and moving its arms about, and has a happy expression on its face; whereas if any cerebral trouble present, it often has an anxious frown, its hands are placed to the side of its head or rubbed over the vertex. Constant screaming is nearly always due to the pain of earache or hunger, for abdominal colic is usually intermittent. ginia Medical Semi-Monthly.

-

Vir.

A PRIZE OF ONE HUNDRED DOLLARS. The president of the board of managers of Craig Colony offers a prize of $100 for the best contribution to the pathology and treatment of epilepsy, originality being the main condition. The prize is open to universal competition, but all manuscripts must be submitted in English. All papers will be passed upon by a committee to consist of three members of the New York Neurological Society, and the award will be made at the annual meeting of the board of managers of Craig Colony, October 10, 1899. Each essay must be accompanied by a sealed envelope containing the name and address of the author and bearing on the outside the motto or device which is inscribed upon the essay. The successful essay becomes the property of the Craig Colony for publication in its Annual Medical Report.

Manuscripts should be sent to Dr. Frederick Peterson, 4 West Fiftieth Street, New York City, on or before September 1, 1899.

In

DIET IN LITHEMIA AND GOUT. Almost every case of lithemia and of gout can use milk without discomfort. severe cases milk is the only animal food to be used. According to degrees of severity, fish and the white meat of chicken may be allowed. When the urine is heavily laden. with urates, fruits cannot be eaten with comfort. Each patient must experiment until a diet of suitable vegetables can be obtained. As a rule, white potatoes are not well tolerated. Many patients cannot eat tomatoes and rhubarb.

To sum up, apparently restored health and a feeling of comfort and happiness, with willingness and ability to work, will come to patients with lithemia and with gout if they will omit meat from the diet and subsist upon milk with suitable vegetables and fruits. The secret of success is to lighten the labors of weakened eliminating organs. - Dr. Charles Baum, in the Philadelphia Polyclinic.

DIAGNOSIS OF ECTOPIC PREGNANCY. Dr. D. von Ott, Wiener medizinische Presse, states that swelling of the uterine tissue in the vicinity of the internal os uteri, so important for the diagnosis of normal pregnancy, is lacking in ectopic pregnancy, and the organ retains its pear-like shape. Menstruation usually is only absent for one and a half to two months, when hemorrhages either of an intermittent or irregular character appear; they may also be constant. These, however, have no connection with menstruation, but are due to the hyperæmia and the formation of decidua in the uterine cavity. The ovaries are as a rule enlarged, hyperamic, and not infrequently present a corpus luteum cyst of unusual size. Sometimes ripe follicles degenerate into large cysts. The unaffected tube is also hyperæmic, and not infrequently by inflammatory changes become atresic, and is transformed into hydrosalpinx. In cases where a diagnosis is difficult he advises curetting the uterine cavity, in the hope of getting shreds of decidua for the purpose of

a diagnosis. In case that the fetus had died a crackling sensation in the tumor is characteristic.

nal of Obstetrics, Gynæcology, and Pedology.

Homœopathic Jour

A NEW HOT-WATER BOTTLE. According to a recent number of the Druggists' Circular and Chemical Gazette, the expensiveness and want of durability in the ordinary rubber bottles and icebags which have been so essential in the sick chamber have long been a perplexing problem. Experiment with rice paper, covered inside and out with a coating of Japanese lacquer, led Professor Jacobsohn to recommend this material to the Berlin Society of Internal Medicine as far superior to rubber. In strength, flexibility, imperviousness, lightness, and durability it is said that this bottle leaves little to be desired.

ADD SALT. Where it is of importance to have plaster of Paris set quickly, it should be mixed with a five per cent solution of common salt, which may be made by adding a teaspoonful of salt to a pint of water. Scientific American.

OPERATIONS FOR CANCER AT JOHNS HOPKINS.

The re

sults of operations for cancer of the breast in the Johns Hopkins Hospital from June, 1889, to April, 1898, are shown by the following data:

Total of 133 cases, including work of assistants (Finney, Bloodgood, and Cushing). Nine per cent had local and 16 per cent regionary recurrence. Of the 76 cases operated

upon three or more years ago (Halstead), 41 per cent are living without local recurrence or sign of metastasis, 10 died after the third year, one as late as five and one half years after the operation. One of these had a local recurrence, 46 per cent died within three years, and 7 of these with local

recurrence.

HEAD INJURIES. In head injuries an artery of the brain may have been injured without bleeding until after reaction has taken place. Many a patient has shown symptoms of cerebral concussion, and apparently rapidly recovered, who has been permitted to get up and has died suddenly a short