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PRACTICAL THERAPEUTICS.

INORGANIC IRON.-Henry, in a recent medical essay, after referring to the hypoplasia of the blood-forming organs noted in chlorosis by numerous observers, states that the essence of this affection lies in a reduced amount of hemoglobin, and consequently feeble Oxygen-carrying power in the red blood cells, and that this deficiency is due to inherent biochemic peculiarities of the cell itself, which makes absorption of hemoglobin difficult. Referring to the use of iron, he states that on account of their marked stimulating effect upon the hemoglobin-genetic function, inorganic iron is the form in which the remedy should be administered. In three chlorides (liq. ferrisenic) a serious disadvantage of iron preparations--viz., constipation is completely obviated by combination with the glandular stimulants, bichloride of mercury and arsenic in small, assimilable doses. Give in milk or water.

IMPERIAL GRANUM AT ASHEVILLE-The annual convention of the Mississippi Valley Medical Association, held at Asheville, N. C., Oct. 9, 10, 11 and 12, must be considered among the most successful in the history of the association. Physicians were present from all parts of the country, and practically every prominent manufacturer was represented by an exhibit. Among the most popular was that made by John Carle & Sons, the well-known wholesale druggists of 153 Water street, New York City, of the long established, standard food for infants and invalids, Imperial Granum. Their booth was constantly surrounded by practitioners who listened with interest to the phonograph, and received souvenir boutonnieres and handsome stamp cases.

We have recently been informed by Messrs. John Carle & Sons that stamp case, similar to those given at the meeting, will be forwarded to all readers of our journal, sending their professional cards to the above address.

CLEANLINESS OF THE SICK ROOM.-Justice to both patient and physician demands that the sick room be septically clean; especially in the case of contagions. To be clean in the sense of the word as used by the house-wife is not sufficient. The free use of reliable antiseptics and germicides is all-important and absolutely necessary. This can be best accomplished by a liberal use of Saola (Tilden's), diluted three parts to seven parts of water. Cloths wrung from this solution and hung about the room moistens and purifies the atmposphere. Vessels of every character should be disinfected by a free use of this solution. Saola is preferable to all others, inasmuch as it is absolutely odorless, and non-poisonous, therefore safe in the hands of children and servants; being colorless it will not stain the most delicate fabric. A disinfectant of the most pronounced germicidal properties. A liberal use of Saola (Tilden's) is especially recommended in the presence of epidemics such as diphtheria, typhoid fever, etc.

In the treatment of Nervous Diseases and General Debility. McArthur's Syrup Hypophosphites demonstrates its restorative powers. Here it is not the stimulating action of the remedies usually classed as tonics that is needed. The organic powers of the system are already taxed to their utmost ability to carry on the physiological processes of life. The Hypophosphites of lime and soda gives the much-needed effect in these conditions--not that of a stimulant by irritation, but that of a true nutriment to the starving tissues. Its tonic effects are permanent as they are the effects of a richer blood supply, bringing healthy food and oxygen to the tissues. Thus the patient is gradually brought up to his normal condition.

W. C. Frederick, M. D., Lono, Ark., says: I have used S. H. Kennedy's Extract of Pinus Canadensis (Dark), one to three of water, in sore throat from cold, with splendid results, and have now under treatment a little boy, three years old, suffering from strumous diathesis, who has been afflicted over a year with otorrhea. Have been using as an injection two drachms of S. H. Kennedy's Extract of Pinus Canadensis to four drachms of water, three to five drops, two or three times a day, the ear previously cleansed with castile soap. The little fellow commenced to improve from the very start, and is rapidly improving daily; the discharge has almost ceased. He has been on this treatment for about two weeks.

OPIUM USURPED. From the Antikamnia Chemical Company, St. Louis. U. S. A., have been received two samples of its products-Antikamnia tablets, and tablets of this substance along with Codeine. Antikamnia as its name implies, is an analgesic and anodyne. It has gained much favour in the United States both for this and for its antipyretic action. A coal-tar preparation from several of the "amido" derivatives, it has been proved not to depress the heart after the manner of other coal-tar derivatives. Each tablet of Antikamnia contains 5 grs. of the drug (the usual dose), which can be repeated every fifteen or twenty minutes,

until three or four doses have been taken. The compound tablet consists of 4.74 grs. of antikamnia and 0.25 gr. of codeina, and has been especially brought forward for the treatment of pain where spasm or physical causes of irritation exist, and which is more amenable than to the synthetic drug store. Both the simple and compound tablets merit a trial in neuralgia and neuralgia and spasmodic ailments and as their freedom from injurious action upon the heart and circulation is invariable, they will certainly continue to be received by the profession with favour. -Edinburgh Medical Journal, March,

1900.

DRINKING WITH MEALS.

Medical men have pointed out that man is probably the only animal that drinks while eating, showing that the laws of nature, which are instinctively obeyed by the lower animals, are quite calmly ignored by mankind.

However, if one must drink liquids at table, physicians recommend discrimination and insist that water of questionable purity be strictly avoided.

The only type of a water that can be used advantageously at meals is a dietetic mineral water, such as Sparkling Allouez magnesia, as it promotes digestion of the food, and but a very moderate quantity of the effervescent (gaseous) water is required to satisfy the thirst. The carbonic gas in the water not only stimulates and refreshes but drives out bilious gases often present in the stomach giving welcome relief.

By the use of the sparkling water the danger to digestion from diluting the food with an inordinate volume of plain water is avoided.

CORTEXALIN is a fine combination of long known and well approved stomachic tonics prepared with the medium of the best alcohol found in the wine of Burgandy. It will answer the physician in many a case where single bitter tonics will not. It is very recommendable. This product is just being exploited to the profession by the Cortexalin Co., 65 Fifth Ave., N. Y. City, and an announcement will be found in this issue.

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Lawrence (The Medical Brief, April, 1900) gives as the best treatment for cancer and the cachexia attending it, teaspoonful doses of Ecthol four times daily in conjunction with alterative doses of iodide of arsenic. The latter should be administered in doses ranging from one-sixtieth to one-thirtieth of a grain three times a day and continued for a long period. Ecthol contains the active principle of thuja which is accorded specific value in cancer. The treatment outlined is aimed to cause absorption of the cancerous tissues.-Medical News.

BLOOD CURE OF CHRONIC GASTRIC CATARRH. By T. J. Biggs, M. D., Stamford, Conn. Sam A- -, age 34, English, admitted June 2, 1900. Diagnosis Chronic Gastric Catarrh. The case was sent to me by Dr. R-, he having given up all hope of doing anything for it himself. Prior to be treated by Dr. R―, the case had been in St. Louis Hospital for six months, but there received little or no benefit.

The general symptoms presenting were: Loss of appetite, disagreeable gnawing, and at times, fullness in the stomach, tenderness at the epigastrium, slightly influenced by eating, almost constant prominence of the epigastrium from distension by decomposing gases. The patient has continual attacks of nausea and vomiting, occurring most frequently on arising, consisting of gray mucus raised after great retching; constant thirst; often great burning at the pit of the stomach; bowels constipated; urine highly colored. There was a constant feeling of mental depression, and sleeplessness, with occa

sional attacks of vertigo. The patient also had a follicular pharyngitis of an aggravated type. He was very thin, muscles relaxed, and the skin dry. On entering the hospital he was so weak that he had to be carried from the ambulance on a litter.

His secretions were regulated and he was put on absolute bovinine diet, half a teaspoonful every hour in lime water and peptonized milk. Once in twentyfour hours he was rubbed thoroughly with olive oil. The follicular pharyngitis was first treated by cleansing the surface with bovinine-Thiersh followed by spraying the bovinine pure, this being employed every three hours.

On the 10th, the patient felt stronger, was sleeping well, and was not so depressed mentally, burning in the pit of the stomach greatly reduced, no vomiting, but still present nausea and constant thirst. The bovinine was now increased to a tablespoonful every two hours, and the treatment of the pharyngitis reduced to twice in twenty-four hours.

On the 20th, the patient was up and about, feeling much stronger, having gained five pounds in weight. The constant thirst had disappeared as well as the nausea. He also craved some general diet. He was, however, perfectly nourished and did not complain of being hungry, only thought he would like to try and eat something. This was not as yet allowed.

On the 22nd, however, his condition still being on the gain, he was allowed a little rare beef well chopped up, and a piece of toast. This he ate with relish, and retained it without any discomfort. Treatment continued.

On the 23rd, the follicular pharyngitis had entirely disappeared. He was allowed some rare chopped beef, a little rice and toast.

On the 25th, he took a long walk and on returning, said he felt splendidly.

On the 28th, he was discharged, cured, with the advice to continue the bovinine and to report for examination at the end of a week.

The action of the bovinine on this class of cases is as in all others. First, it gives the alimentary tracts absolute rest, and at the same time supplies perfect nutrition, containing as it does every element in the proper proportion to sustain the human organism.

TREATMENT OF LOCAL TUBER

CULOUS LESIONS.

Several years ago Dr. Lawrence F. Flick, of Philadelphia, (Journal of the American Medical Association) made the important observation that the introduction of europhen into the system by inunction and internal administration exerted a very beneficial alterative effect in tubercular cases. This observation has been confirmed by the author in later publications, and also by Dr. E. O. Otis, of Boston, (Boston Medical and Surgical Journal), Dr. F. W. Waugh (Charlotte Medical Journal). Dr. J. Muir,of New York (American Medico-Surgical Bulletin), Dr. J. L. Barton (Medical Record), and others. Dr. Waugh administered the drug internally in pill form, Dr. Otis in inunctions, and Drs. Muir and Barton in the form of intratracheal and intrabronchial injections. In view of these clinical facts it does not seem surprising that the topical application of europhen should have become one of the most efficient and desirable means if treating local tuberculous lesions. Among other affections it has been utilized with especially good results in the treatment of fissure and fistula, any of which are of so common occurrence in phthisical persons. The late Professor James T. Whittaker, of Cincinnati, (Ohio Medical Journal), was in the habit of treating ulcerations of the rectum of tuberculous origin by the use of europhen suppositories, containing each five grains of the drug, and inserted at bedtime. Dr. Jasinski has also successfully employed it in this class of cases. One of the most striking examples of the curative action of europhen upon local tuberculous processes is furnished by a case reported by Dr. W. H. DeWitt, of Cincinnati, (Cincinnati Lancet-Clinic). The condition was one of extensive tuberculosis verrucosa of the face which had produced extreme disfigurement and had become extremely loathsome to the patient and his surroundings owing to the horrible offensive odor of the discharges from the ulcerative surfaces. Although other remedies had proved entirely useless the local application of a five per cent. solution of europhen in connection with the internal administration of the drug in one grain doses, three times daily, effected a remarkable improvement, the case terminating later in almost complete recovery, with but slight disfigurement

considering the extent and severity of the lesions.

"VIN MARIANI" is essentially the brain and nerve tonic of those who have talent and genius. These it is who compose the great army of intellectual workers, and the ravages made upon their nervous systems by the demands made upon them are at times truly appalling. This damage and consequent drain yield to nothing more quickly than to "Vin Mariana." The most noted European physicians, literateurs, musicians, singers, artists and diplomats have sent the most flattering letters to M. Mariani extolling his product. Not only these but crowned heads as well have been mentally invigorated and rejuvenated by "Vin Mariani" and never tire of speaking words in its praise. It must be acknowledged that unsolicited testimonials, couched in such glowing terms, from such sources, are the best evidence possible that can be offered for the merits of the preparation. When "Vin Mariani" becomes as well known in this country as it is in Europe, it will be adopted as one of the indispensable remedies in the household.-The St. Louis Medical and Surgical Journal

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Issued Tenth and Twenty-fifth of Every Month by the Fortnightly Press Co.

UNDER THE EDITORIAL DIRECTION OF

FRANK PARSONS NORBURY, M. D. AND THOS. A. HOPKINS, M. D. Secretary: CHarles Wood Fassett, M. D.

A COSMOPOLITAN BIWEEKLY FOR THE GENERAL PRACTITIONER

Editorial Offices in St. Louis, Chicago, Cincinnati, Jacksonville, St. Joseph, Kansas City, and Pueblo, where specimen copies may be obtained and subscriptions will be taken.

Address all business communications to the Fortnightly Press Company.

Address all contributions and books for review to the Editors, Suite 312, Century Building, Saint Louis.

Volume XVIII

NOVEMBER TWENTY-SIXTH

Editorial Department.

Number 10

CHICAGO proposes a mixed infection in the line of irregular practice. This time it is to be a training school for nurses, wherein the rag-tag and bob

A Mixed
Infection in
Training
Schools.

tail of the noble healing art can unite in instructing nurses regarding the peculiar intricacies of caring for the sick after the copyrighted methods of these very varied schools. It is to be a mixed infection, to say the least, for we read that the osteopaths, the allopaths (who are they by the way ?); the homeopaths, and the eclectics, like the lion and the lamb, are to feed out of the same box, and chew cuds 'neath the shades of the stunted oaks of Chicago. Behold, too, Bishop Fellows, Rev. Hiram W. Thomas and Rev. Frank DeWitt Talmage are to lend their prayers and support to this mixed infection.

And this school exists for what purpose? Listen. "It is to give woman training in all duties of skilled nurses without requiring two years of bondage in hospitals and training schools." In other words, this is a short cut to nursing, and is on the same footing as irregular medical practice, another diploma mill.

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Once more esteemed clergymen, who ought to know better, are made the cat's-paw to irregular practice. When will clergymen ever learn to use 'applied good sense" and differentiate the true from the false. Any fool, as he runs, can read that this school is out for the money there is in it, and graduates from a ten-bed hospital will be about as well qualified to practice nursing as the bugler of a campaign drum corps is to play solo parts in Thomas' orchestra. Verily, this is the day of pseudo-science, to which is added the mixed infection of pseudo-religion. F. P. N.

DR. W. W. BULETTE, of Pueblo, Colo., has just returned to his home after several days of combined business and pleasure in St. Louis.

DR. R. M. FUNKHOUSER, President of the St. Louis Medical Society, was made City Coroner by the vote of November 6th. The city is to be congratulated.

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