because of my report they gave him a policy for two thousand dollars. But my patient did not improve under any treatment given him except perhaps temporarily by hypodermic injections of pilocarpine; but died six days from my first visit. I put in as the cause of death in my death certificate: acute albuminuria from an overdose of morphine. The above are some of the reasons for my fear of the effects of morphine in operations in this region. The question has occured to me and I think naturally enough; is it not possible that in all the cases where suppression of urine has come on and morphine has at the same time been administered, is it not possible I repeat, for this suppression to be due to the morphine and to that alone? Soon after my experience with the last case that I have reported I saw in the Medical Record for July 5, 1890, a report copied from the London Lancet of ten cases observed by two French physicians of albuminuria caused by morphinism. All of these cases died from uræmia. As to the theoretical connection between disease of the kidneys and the morphine, I would respectfully refer those who are interested in the subject to the journal from which I have quoted. As to what I consider theoretically the proper preparatory treatment for these cases-please bear with me while I briefly state it.

First, no morphine; codeine or possibly papine will answer. Second, some antiseptic that is mostly eliminated by the kidneys; acid camphoric, acid benzoic or salol given in good sized doses for at least a week previous to the operation. Third, diuretin Third, diuretin given three or four times a day in ten grain doses; commenced three or four days before the expected operation and just afterward would constitute my treatment for these cases. This is simply theoretical, but I believe that it will give good results. The diuretin is a combination of soda salicylas and theobromine, proved to have marked diuretic properties in all cases where the kidney epithelium is intact. Another desirable property that it possesses is its tonic action on the heart. I first learned the value of this drug from an interesting and valuable paper on some clinical observations made by Dr. A. Seibert, of New York city, to be found in the Medical Record of September 12, 1891.

Further Remarks on Rational Therapeutics.

CALOMEL, BLUE PILL AND GREY POWDer.
THOMAS TEMPLE, CAMERON, ILL.

Read before The Military Tract Medical Association, at Peoria,
Ill., Oct. 20 and 21, 1891.

Everything in this world is considered good or bad, high or low, rich or poor, hot or cold, by comparison.* Rational therapeutics is no exception to this rule. We judge of progress by past conditions, we compare the present with the past and draw our conclusions accordingly. There are many men who are forever looking on the dark side of everything. They never see a good quality in anything, and never fail to see a bad one. They speak despondingly of medicine and declare that we of the present day are using and practicing with the same materia medica that Galen and our forefathers used hundreds of years ago. We do not look at things in this light, because we happen to know that no science with which human beings have

* Baconian Philosophy.

become acquainted has made such advancement in the last fifty years as the science of medicine.† And though its advancement has been so great, yet it is not necessary for us of the present day to throw away all the knowledge we have obtained from our forefathers until we can find safer or better remedies for the combating of disease than we already possess. The safest and best rule to follow in this respect is, if you have a good remedy, which means safe and reliable, is to "hold fast that which is good" till you can find a better.

I here ask the question, has there ever been, or is there at the present time a single remedy for the rousing of the liver to a heathy action, and of stirring up all the secretions of the human system, as the preparations of mercury mentioned at the head of this paper. It is not well ascertained as yet how calomel, blue pill, and gray powder find their way into the circulation, it is supposed that oxydation takes place in the mercury, and by the action of the bile and other secretions met with in the duodenum render it soluble, so that thus it gains access to the circulation, of this we are not positively certain; but of the fact of its presence in the circulation, it has been found in the blood, bile, urine, and feces. And that it thus acts on the liver and secreting organs by passing through the blood to said organs. There are many things in physiology as well as medicine that we cannot explain the how. For instance the entire action of digestion is not fully comprehended by us, more especially, for instance, after the disappearance of the peptones in the portal blood, to the time of their final change, and appearance as excreta, as bile acids, and urine solids, we as yet do not know their history, yet it is most certainly what we would like to know.

So of our trio of this paper in entering the circulation. So after entering the blood it likewise has an action of disintegrating or decomposing it, and wastes the body, it is ultimately excreted, and passes out of the body by some glands more than others, increasing secretion both healthy and morbid. It is a powerful factor for evil as well as good, and it is to the judg ment of the physician we must look for its proper administration, as we do to our Tailor, for the proper fit of our clothes. It was by the injudicious use of mercury that such a hue and cry was established against it, that many persons, aye, and medical men too looked upon a mercurial pill as if it were "possessed of a devil.”

Now it behooves the medical man to keep well in view the future, as well as to recognize the present necessities, in cases of liver derangement. It is not only desirable to give relief at the present time, but it is well to include the future in the therapeutic scheme. It is not only the present trouble of the patient, it is what is looming in the distance which must be calculated for in the estimate. It was because of this factor being omitted, that brought ultimately such discredit on the "blue pill" and "black draught" treatment. Such means gave immediate relief, about that there can be no question. But what was the consequence of not following this up with a proper dietary, they ate, drank and were merry, because possessing so ready a means of relief, they never thought of the "flood that was awaiting them, to swallow them up," they set no bounds to their indulgence, bringing back the same condition, the liver and system sur

†Druggists' Retrospect.

charged with nitrogenous matter they fell back on the "blue pill and black draught," but instead of righting itself the system became accustomed to this artificial means of restoring the equilibrium, until the power of self restoration became irretrievably lost, and a permanent cachexia settled down upon the remainder of their days. This is one reason why the stream set in the opposite direction, and one extreme begat the other. So we see that the injudicious use of "blue pill" was the cause of a great reaction against it. So in the case of calomel used inordinately in the early stages of syphilis, in which some physicians supposed that the poison of syphilis was eliminated through the salivary glands, ordered their patients to be salivated to several pints per day, found that they simply dethroned their idol, not only in professional, but in public opinion.

Then followed the patent medicine man, who announced with a great flourish of trumpets, that their pills contained no "mercury." The action actually extended to the point of abandoning mercury in the treatment of syphilis. Slowly the tide of indignation against the use of mercury has ebbed, until its use in syphilis is once more universal.

Now I have found in my practice of a lifetime, nothing to give so prompt relief, in severe cases of inordinate vomiting, caused by a regurgitation of bile into the stomach, as five or ten grains of calomel with as much bicarbonate of soda in a tablespoonful of cold water, and if rejected by the stomach, the same dose repeated in an hour, followed in another hour by a saline cathartic. The calomel and soda acting as a first class cholagogue. The portal circulation the seat of obstruction is not only relieved, but likewise are set in good condition, by relieving the primæ viæ, this is the method by elimination, this was the great watchword of our fathers in medicine, and I am persuaded that they used those means much more intelligently than physicians of the present day, after thus rousing up the liver and general system to continue a gentle stimulation of the liver by leptandrin or hydrastin or other gentle liver stimulants, with proper diet until the liver will act of itself is the proper method of treating those difficulties. In iritis mercury has a wonderful influence and thus we give a gentle hint to our brethren who make eye troubles a specialty. In fact were we to believe all that has been said of this drug, we should welcome it as the universal panacea of the old dreamers, but we cannot do this, because we do not believe in specifics, but in remedies, yet we can say that it is an agent of wondrous properties, a remedy of vast and varied power, perhaps altogether the most useful in the pharmacopoea. It is the very king of the blood medicines, and we have not yet been able to bring forth from our chemical laboratories, or from the alkaloids or resinoids, or active principles of roots and herbs contained in our vegetable materia medica or any other source, a remedy of such varied properties, powers and application.

Now for comparisons, hepatic stimulants from the vegetable pharmacopoea for extended use to give a fillip to the liver, after the administration of mercury. We here give a partial list of these. Ipecacuhana, hydrastin, leptandrin, euonymin, iridin, juglandin, baptisin and there conjeners, given alone or combined with aloes, rheubarb, colocynth, jalap or senna as laxatives, combined with carminatives in pill form, or the more active podophyllin, croton oil, or gamboge where there is stubborn constipation.

But of the action, and after effects of podophyllin we cannot say that we approve very highly. Though it has been lauded to the skies as a cholagogue, and a substitute for mercury. In our experience we have found that a continued use of this drug, will and does produce such an irritable condition of the mucous membrane of the stomach and bowels, amounting in symptoms to a catarrhal condition, so that patients troubled with hemorrhoids are sure to have them abundantly irritated by its continuous use, likewise the idiosyncrasies of others are such that podophyllin in ever so small doses, and well seasoned with aromatics or sedatives, do experience long and excruciating pains in the abdomen, likewise causing spasmodic action of the lumen of the bowel so as to closely resemble spasmodic colic. As to its hematic effect we have no criterion to go by, as to its antisyphilitic powers, we have never seen anything recorded that is trustworthy. Soda and its salts are found to act potently upon the liver. While sulphate of magnesia is a capital purgative, when the intestinal glands alone require stimulating, yet this salt acts but feebly upon the liver, probably by its derivative effect, whereas the sulphate of soda will "rouse the liver" as well as the intestines, notwithstanding its bitter taste. Clinical empiricism has arrived at the following conclusions: Potash for the kidneys, ammonia for the lungs, and soda for the liver. Those are the bases of the salts to be used according to the circumstances of the cases. Capsicum, ginger and other hot spices are justly supposed to render the liver more active, and to increase the secretion of bile, chloride of ammonium has always had warm advocates for its utility as a cholagogue. Nitromuriatic acid dilute given internally, and used externally in water as a bath for the feet or applied on cloths to other parts of the body, has been thought to be of service in liver disturbance, I have not found it of much service, only in cases of poor gastric digestion after an attack of jaundice is passing away, the free chlorine is the supposed active agent, chloride of ammonium is often combined with it, but enough of these comparisons, in every case where mercury is indicated it has the advantage over all others, probably it will be pardoned if we make an analogy in the shape of an illustration, strophanthus for certain heart troubles may be substituted for digitalis, but can never hold its own with digitalis as a heart tonic. with all substitutes for mercury, as we have somewhat wandered, I would like to state just here that in hypertrophy of the heart with all its concomitants, I have found nothing to so relieve the "system of the nitrogenous waste" that this and kindred heart affections generate, as a good dose of calomel or blue pill, followed by a proper dose of sulphate of soda.

So

Take it all in all there has not yet been found a perfect substitute for mercury. Yet it is one of these "edged tools" that must be used with care and great good judgment, or your patient may have some ugly scars, caused by this potent drug, and be sure the physician will not escape the onus put on him for his carelessness and want of judgment. Now I can only plead my belief in mercury has been forced upon me by experience, as I was at one time as thoroughly opposed to its use as any person could be, but opposition to it was only "ground out" of me, by the resistless action of an accumulating experience, and if there are any physicians present who have prejudices against its proper and legitimate use, if you will only

use it rationally, you will get the heartfelt gratitude and thanks of your patients, for restoring them to health and vigor, by so pleasant and efficacious a remedy. I do not remember a case in which I have prescribed calomel in which ptyalism was produced. Patients who had at some time been salivated prior to this by somebody else, have had the gums touched slightly. In all cases I am in the habit of combining every dose of calomel I give with an equal quantity of soda bicarbonas, whether this, or the injunction given that nothing salt or sour is to be taken, till after the bowels have been freely moved, has made me so fortunate, I am not prepared to verify. Yet caution and mixing mercury intimately with brains is the watchword for its proper administration. Without pure blood the human system can not be healthy, now as a secement agent, we possess none at the present time equal to the preparations of mercury at the head of this paper, we cordially recommend them to the members of this association.

Items.

LADY STUDENTS IN PARIS.-From a report just issued I learn that the number of ladies pursuing their studies at the various faculties of Paris has increased from 152 in the year 1890 to 252, the actual figures. An analysis of the nationality of these fair aspirants to academic honors tells us that at the faculty of medicine 18 are French, 6 English, 3 Roumanians, 2 Turks, 1 Greek, 1 American, and no less than 103 Russians. At the faculty of sciences there are 14 foreigners to 5 natives. At the faculty of letters, however, the French take their revenge, 82 out of 97 being citoyennes of the French Republic. Three ladies, all Russians, have graduated during the last year as doctors of medicine.

OPERATION FOR HERNIA. -A new operation for the radical cure of all varieties of hernia has been invented by Mr. Lawson Tait. He opens the abdomen in the median line, draws up the intestines from within and closes the ring in the inside with silkworm gut sutures.

DEATH BY ELECTRICITY.-The executions at Sing Sing prison have excited much medical press comment. Experts seem to disagree as to the conclusions reached concerning the advisability of adopting this method of execution in preference to hanging. The Medical Record editorially condemns electrical death as inhuman and revolting, and declares for hanging. In the Journal of the American Medical Association it is stated: A medical declaration in reference to the recent execution by electricity at Sing Sing prison, in New York, has been officially filed in the appropriate bureau. It is signed by Dr. Ira Van Gieson, who had charge of the autopsy.

Dr. Van Gieson regards electrical execution as practically instantaneous and apparently painless.

Still others point out that the guillotine is the speediest, and therefore the most human method of execution for criminal.

A man who had been bitten by a dog suffering from the effects of turpentine, recently died in the Iowa State Insane Asylum with symptoms of hydrophobia. Eight deaths are reported from Ontario of black diphtheria.

Subscription, $1.00 a year; to Europe, $1.25.

Entered at Chicago post office as second-class matter.

THE EDITOR would be glad to receive any items of general interest in regard to local events, or matters that it is desirable to call to the attention of the profession. Letters written for publication or containing items of information should be accompanied by the full name and address of the writer, although not necessarily to be published. All communications should be addressed to WESTERN MEDICAL REPORTER, 163 State Street, Chicago.

Fraudulent Eucalyptol-How the Medical Profession is Deceived.

In these days when manufacturing and proprietary interests are scheming in every way to render the practitioner their bond slave, it behooves the medical man to scan carefully the character of therapeutic agents that are offered (and sometimes forced) upon his consideration.

Therapeutics are burdened with an appalling list. of proprietaries, a few perhaps possessed of some merit, others of none at all, and a still greater number masquerading under fancy, false and deluding titles; further, all are knocking with a degree of insistence scarcely appreciable in its magnitude, for recognition by the Pharmacopoeia are being thrust thereupon forcibly, as it were, and with all the powerful enginery of monetary backing, political interest, bribery, subversion, subornation, etc. The fact is, the majority are products of no scientific value, and all are put forth to the end of adding to the wealth of their utterers and promoters, without the least regard or care as to the actual results (good, bad or indifferent) that may obtain to the ill and afflicted. Indeed, it is terrible to contemplate the criminality that thus juggles with the ignorance of a community, and more. than all with the ills of humanity, merely to gratify an ever increasing lust and greed.

We are led to these remarks, in view of a recent exposé regarding a product, in the United States. termed "eucalyptol," put forth by an australian firm of manufacturers, who are attempting to force this article upon the market, and upon the medical profession, by means of gross misrepresentation. This exposé appeared in the Bulletin of Pharmacy for October last, being supplemented in the January number. We recommend the perusal of the papers to all medical men, and likewise, the replies of the Australian firm that appeared in the intervening numbers.

True eucalyptol is a medicament of known specific chemical combination, valued at about $1.00 per ounce. But this factitious and trade-marked product, which is marketed under the name of "eucalyptol " and advertised throughout Australasia as a proprietary medicine, under the title of "eucalyptus extract," and on occasion claimed as an exclusive oil of eucalyptus globulus, and "only oil derived from eucalyptus leaves," proves to be merely a common place eucalyptus oil, not an exclusive globulus, and by no means the best oil in the market, with a value of perhaps ten or twelve cents per ounce. The title "eucalyptol" is apparently assumed in order to market the product at the price of eucalyptus camphor (true eucalyptol). Its proprietors, with unparalleled impudence, declare they are the only firm on the globe

"using exclusively leaves in the preparation of euca. lyptus oil," and, further, that they are the "only manufacturers of pure eucalyptol in the world." The papers in the Bulletin of Pharmacy prove incontestably the falsity of all the claims made by Sander & Sons for their product; and, further, show that the evidence the firm cites in support of its product is largely factitious-that is to say, almost wholly garbled, distorted, or manufactured.

Circulars have been distributed broadcast throughout the country by Sander & Sons, embodying a purported translation by Prof. Hugo Schulz, of the University of Bonn; and translations of extracts from papers by Prof. Dr. Mosler, of the University of Geifswald; both of which are made to appear especially laudatory of the Sander product. The name of the purported translator is given as "Sander, M. D., of Dillon, Iowa, a member of the firm of "Sander & Sons," its advertising manager, and distributor of its product. Yet, the Sanders claim he is a disinterested observer, and not connected with their firm. For the extent of the duplicity of the Sanders, and their unwarranted use of the names of two eminent German professors, we refer our readers to the Bulletin of Pharmacy, and as partial evidence here reproduce in parallel columns the real utterances of Dr. Mosler, and the same as garbled and sent forth by the Sanders:

DR. MOSLER'S OWN WORDS:

"A forester living in the neighborhood of Stettin and his wife had been suffering for six weeks from what was held to be an incurable form of diphtheria. Despite the 'most energetic treatment, the disease did not give way. The local caustics, consisting first of concentrated solution of carbolic acid, and subsequently of salicylic acid, were lavishly applied several times daily by the domestic to the mucous membrane of the pharynx. As a result, not only did new wounds arise on the mucous membrane, but the cure of the existing diphtheritic ulcers was also retarded. After cessation of this energetic treatment, cure followed in a short time the inhalations of vapors of salt water, as warm as possible, alternating with those of diluted solution of salicylic acid.

"The cases of pharyngeal diphtheria thus far treated by me with oleum eucalypti have all had a favorable Issue. But I would by no means on that account recommend this method of treatment as a universal remedy. I too have unfortunately had the experience that at certain times in some epidemics there are cases of diphtheria so sudden in their development that from the very beginning all forms of treatment seem to be fruitless. I do not, therefore, feel justified in cherishing the hope that the proposed method of treatment with inhalations of euc ilyptus oil will be rewarded with assured success."

"Prof. Dr. Mosler, Director of the Medical Clinic of the University at Greifswald, says in his report on diphtheritis, published in the Berlin Klin. Wochenschrift, 1879, No. 21. 'All cases of diphtheritis treated by me with ol. euc. e foliis (Sander & Sons) have without exception. proved successful. I believe that the drug affords the means to avoid that exciting and poisonous irritability the treatment is always complicated with when carbolic acid, salicylic acid, etc.. are applied. How disastrous these complications may become I had lately opportunity to witness. The patient, seen by me In consultation, was suffering since six weeks from a form of diphtheritis believed to be incurable. In spite of the most energetic treatment, it was impossible to conquer the disease. Concentrated solutions of carbolic acid in the first place, then extensive applications of salicylic acid, were brought upon the membrane of the throat, but all without any effect, except to produce new wounds in addition to the already existing diphtheritic sores. This treatment was discontinued, and on inhaling vapors of ol. euc. e foliis a quick turn toward recovery was effected.

Surely there is a broad gulf between the statement of Dr. Mosler, that patients recover under the use of "inhalations of salt and water," and that put in his mouth by the Sanders, that they recovered by the use of "inhalations of ol. eucalyptus e foliis, Sander & Sons."

In the October Bulletin of Pharmacy appears a letter from Dr. Hugo Schulz, in which he repudiates the Sanders and their product in toto; a like communication from Prof. Dr. Mosler appears in the Jan

uary issue, and, further, a copy of a letter addressed by him to the Sanders commanding them to cease the use of his name, as it is unauthorized, and he has no knowledge of their product.

As further evidence of the extremes to which the proprietary medical interests will go, there will be found in the Bulletin of Pharmacy for November and December what purports to be replies to the paper in the October issue of the same journal. As a matter of fact, no attempt is made to reply to the charges formulated, but the same false assertions attributed to Prof. Mosler are restated and an attempt made to saddle upon this gentleman's shoulders all the dishonesty of which the firm has been guilty.

A more colossal attempt to deceive the medical profession has rarely been conceived, and this exposure must be viewed with general satisfaction.

The foregoing also teaches a trite lesson, viz.: that members of the medical profession cannot be too careful in giving support and certificates to purported therapeutic products. The Sanders sent circulars broadcast to physicians throughout the country, asking for reports of their experience with "eucalyptol," no hint being given of the Sander product; and the replies, given honestly as to true eucalyptol, have been made to do duty as evidences of the virtues of a factitious article, the words "Sander & Sons" being in every instance interpolated. In some instances certificates have been apparently deliberately manufactured. Many that have appeared are repudiated in toto by those whose names are attached thereto, and other names are proved to have no existence.

In a circular sent out by "Sander, M. D.," of Dillon, Iowa, and dated Sandhurst, Australia, July, 1891, appear the names of eighty-five purported medical men, who are proclaimed as supporters of fictitious eucalyptol. One name was employed twice, which leaves properly eighty-four. An analysis of this list shows the character of evidence which is relied upon by proprietary medicine manufacturers to support their products. Four names after close investigation appear to have no tangible existence. Nineteen are arrant quacks devoid of medical qualification. Thirty-three are doubtful, that is to say, cannot be found in Polk's Register, or in directories, hence may be presumed to have no existence; or perhaps are new graduates, consequently without experience and incompetent for evidence. In five instances there is no such name or post office as that given. Of those having authority to practice medicine, eight wholly repudiate the Sanders and their product; twelve have their names or addresses distorted—possibly the Sanders know why; and there remains a total of but three individuals of presumed reliability unaccounted for. From these three may be deducted the name of Dr. Bartholow, which is made to do duty as a quotation from the Medical Brief, but as it appeared in that journal bears unmistakable evidence. of being an advertisement. The character of Dr. Bartholow is sufficient evidence he never knowingly lent his name to such disreputable procedure.

Crimes by Sexual Perverts.

The sensational killing of one girl by another who was enamored of her is too recent to need any detailed statement concerning it. Two other crimes, suicide and attempted murder springing from the same impulse, sexual perversion, have since engaged public attention.

It is probable that these cases will become almost epidemic, as there are a number of hysterical females who imitate their perpetrators in order to secure the attention their morbid condition craves. It is well in view of this probability to look at the legal side of this question. The defense set up will be insanity in every instance. These sexual perverts are not mentally sound, some of them being congenitally defective, but the courts have never held, and it is right that they have not, that sexual perversion is accompanied by a lack of responsibility. The condition arising from sexual excesses is either melancholia or a confusional state and in neither is deliberation possible. The deliberation and premeditation displayed by the criminals exclude them from these classes. They are properly classed by the courts with cases of murder from jealousy. While they do not deserve the fullest punishment known to the law, the committing. of one or two to state's prison for a term of years will exert a wholesome effect in restraining others. Dr. Kiernan, than whom no observer is more competent, believes and has demonstrated in one case that a sexual pervent can be taught to look upon such desires in the natural way and restrain them by the exertion of will power.

one of the objects of the Journal. The editors have selected a good field and have ample opportunities for excellent work along the lines they have laid down. That they will succeed is a foregone conclusion.

THE NATIONAL MEDICAL REVIEW.-Dr. Charles H. Stowell, who founded The Microscope and was its ed itor and publisher for seven years, retiring three years since, has just established The National Medical Review at Washington, D. C. His new venture is a handsome monthly, well gotten out and filled with the best from current publications, bright comments and clean-cut editorials on live questions. As the medical profession appreciates a good thing when it sees it, The Review is in no danger of death from failure of circulation.

THE INTERNATIONAL MEDICAL MAGAZINE.-The International Medical Magazine has just been issued in Philadelphia by the Lippincotts. It is edited by Dr. Judson Daland, with a corps of assistants who are men of eminence in their departments. The names at the head of the new journal are a sufficient guarantee that the high state of excellence attained in the first issue will be maintained in subsequent numbers.

A Correction.

In the February number of this journal Dr. John A. Wyeth was accused of having appropriated Dr. Muscroft's operation of "bloodless amputation at the hip joint." Dr. Wyeth, in a letter under date of Feb. 23, calls attention to the injustice done him, and the REPORTER hastens to place him in the proper attitude and to acknowledge the error into which it had fallen. Dr. Muscroft's operation consists in inserting a needle. of appropriate size perpendicularly into the forepart of the thigh about an inch and a half below Poupart's ligament. The point of entrance is one-fourth of an inch internal to the combined sheaths of the vein, artery and nerve. The point of the needle is pushed beyond the vessels, then turned outward until it has passed beyond them; the point is then pushed out through the integument. A piece of cord is then passed under the heel and point of the needle, forma figure-of-eight ligature.

In Dr. Wyeth's operation the entire thigh is constricted at the hip joint, the constricting rubber tourniquet being kept from slipping down by two steel pins inserted through an inch or two of skin and muscle, one on the outer and the other on the inner aspect of the thigh.

New Journals.

The Hot Springs Medical Journal, edited by Drs. J. M. Keller, S. W. Franklin, Thos. E. Holland and J. C. Minor, and published at Hot Springs, Arkansas, is the latest condidate for favors in the field of medical journalism It is a twenty-four page monthly, well gotten up and filled with readable matter. It is the intention of the editors to make it fill a want, not long felt, but which really exists. Much space will be devoted to the therapeutics of the Hot Springs and their limitations frankly discussed. Many cases are sent there which are not amenable to the treatment by the baths. To prevent this by educating the profession with regard to the merits of the waters will be

Recent Developments Anent the Keeley Cure.

Few things have received the advertising that Keeley and his inebriety cure have received.

A recent report in the dailies informed the public that the United States had contracted with him to put his remedy in the army and navy hospitals and the soldiers' homes. This may catch the unsuspecting portion of the public but to one acquainted with the details of the medical corps of the army and navy it is absurd. The medical purveyors and surgeon-generals are not contracting with charlatans for secret remedies.

The death of a patient at the New York institute may provoke an investigation at the hands of the Legislative committee on Public Health. Telegraphic reports are to the effect that while the Institute people are courting an investigation on the surface, they are making strenuous efforts in private to prevent it. Attributed to the treatment several cases of insanity have recently been brought before the public. Nearly all of the patients complain of mental confusion lasting from a few days to months. One suicide has been noted. Observers have noted a weakening, and in some cases a total loss of vivility among the graduates. If this observation is correct, and there is no reason to doubt it, the popularity of the treatment will speedily wane, for few men will be willing to risk the loss of the power of reproduction in order to secure a doubtful immunity from the whiskey habit.

Removal of the Crystalline in Myopia.

An eastern contemporary contains the statement that a Vienna oculist has removed the crystalline lens to relieve myopia of. a high degree, and European oculists are going wild over it. As the procedure is old, very old, and has been done several times in Chicago without attracting comment, the impression arises that the Vienna correspondent has been imposing upon his employer.