afterward that at noon the day before, he complained to his father of not seeing well; did not recognize a person he was well acquainted with who came in the room; and could not tell the number of fingers his father held up at a distance of a few feet. He had complained of headache during the evening; cried out with pain in the frontal region, putting his hand over the right eye just before losing consciousness an hour before death. He was ten years old, large and developed well. I first saw him a month before his death, when paying a visit to a sister. I then spoke of his appearance to the mother. Though seemingly

stout he was bloodless-anemic. The mother seemed indifferent, though she told me he had had night-sweats for something near a year. The family are people of average good health; no taint or constitutional disease. They live on a ridge one-quarter mile from the river, on the east side, an elevation of about one hun. dred feet above. There is much malarial fever on this ridge at times, but there has been more this winter. The family were off during the past summer. Will some brother M. D. give me an opinion of this case and cause of death. I will gladly give any further information that but I can think of nothing else. San Mateo, Fla. J. M. JONES, M. D.

I

can,

EDITOR MEDICAL WORLD:-I have a patient in regard to whose case I would be glad to have some advice as to treatment, from the readers of THE MEDICAL WORLD. A man, twenty-one years of age, married, previous history good, except that he has had gonorrhea, has been sick about three years, and has been treated by various physicians all to no benefit. He has frequent attacks of vomiting, and nothing that I have tried will stop it, except a hypodermic injection of morphine. The substance vomited is slimy and looks more like that blown from the nose of a person with a bad cold. Formerly it was of a greenish character. His bowels are very constipated, the stools offensive. He has to be careful about his eating. Floating specks appear before his eyes. There was a while that every time his bowels moved he would get deathly sick, and have to vomit. These attacks have lasted him for twenty-four hours at a time, and vomiting at least every half hour.

His

weight before he got sick was about two hundred pounds; now it is about one hundred and fifty pounds. Any information as to treatment will be gladly received. Bismarck, Ill.

J. W. SLACK, M. D.

EDITOR MEDICAL WORLD:-Will some physician give me the most successful treatment

for exophthalmic goitre? Also, for ulceration of the rectum ? S. B. BENNETT, M. D.

Fairview, Illinois.

EDITOR MEDICAL WORLD:- Please record this case of convulsions:

A little girl, nine years old, had convulsions since she was quite young; probably had them before she was one year old. I was told by her parents that a year ago this March she was in convulsions nine hours without any intermission. I was called in, February 29, while she was in one of those spasms, but I relaxed her with chloroform, and it lasted only ten or fifteen minutes after I arrived. She seemed well next day. I thought probably they were due to worms. and gave her medicine for worms but got none.

She has a little soreness in the stomach at times; her appetite is good; cheeks rosy ; general health good. She has thrown up a

great deal of mucus and phlegm since I saw her. She sleeps well and does not grind teeth at night; she is constipated most of the time. She has two sisters and two brothers, and all have had convulsions, but have not been so persistent as this case.

I put her on the following and she is doing well up to this time.

EDITOR MEDICAL WORLD:--Mrs. R., aged 45 years, climacteric period past three years ago, lost her husband and son eight months ago, leaving the responsibility of the entire family to her. Being left in a destitute condition, she was necessarily forced to expose herself in order to maintain her children. Five months ago she had a severe attack of rheumatism, after which, a slight convalescence. Then she had an attack of typhoid fever, which lasted six weeks. After the fever had subsided she was left prostrated, of course, and has remained so ever since, with a mild form of delirium, seldom speaking a rational word. She takes food willingly. Digestion apparently good, with bowels regular and natural. Slight tenderness along the spine. Now tell me what the trouble is if you please? What is the treatment? Would be glad to hear from some of the many readers of THE WORLD regarding this case. R. G. BAXTER, M. D. Hardison's Mills, Tenn.

For Ourselves and Others.

SEND us the name of one new subscriber for 1892, (we can supply the back numbers) with $1.00 for same, and we will send you a Binder or Skin Chart, as you may prefer. Send us two names of new subscribers, with $2.00, and we will send you the "Official Formulæ of American Hospitals," or "Ihe Physician as a Business Man," as you may prefer Send us three names

of new subscribers, with $3.00, and we will send you any three of the above. We want you to help us to place THE WORLD in new hands.

In the progress of preparing remedies we had first the crude drugs; next decoctions and infusions, made from them. Up to this point the savage is as skillful as we are. Then followed the tincture, fluid extract and solid extract. Here science halted for a long time. Chemistry, ever onward pushing and upward striving, is now busily engaged in supplying us with the active principles themselves, leaving all coarse, inert and injurious matter (that forever hinders all accurate calculations as to definite results) out of the preparations entirely. The Philadelphia Dosimetric Company, 2009 Arch Street, is engaged in furnishing the alkaloids, glucosides, resinoids, and other forms of concentrated and exact medication, in delicate granules. We know the manager to be a physician or fine attainments, who had spent many years as a scientific and successful pharmacist before studying medicine. He knows the argent needs of the profession and is prepared to supply them.

"I SUPPOSE the baby is a delicate pink-eh, Bron

son ?"

"No, he's a robust yeller," replied the proud and sleepy father.

itle

AFTER the Grippe-but just turn back and read the page of this journal and you will know all about it. DR. C. S. ROBINSON, Richford, Tioga Co. N. Y., says: I have tried Papine (Battle & Co.) and I find it possesses the me licinal virtues of opium, unalloyed with the drawbacks following the use of other forms of the drug. I te ted Papine in my own case, having ased many forms of opium, during forty years, but only in acute attacks. It is not harmful like crude opium, morphine and other preparations, in delicate or irritable stomachs: on the contrary it is acceptable as cor dial. Also, the head is not made ill as it is by the other forms of opium that have come under my observation during most half a century.

SEND to the Walker Pharmacal Co., St. Louis, Mo., for Fareol.

WRITE to the H. K. Mulford Co., Philadelphia, for complete list of their tablets.

SAMPLES of hollow suppositories will be sent you by addressing Hall & Ruckel, 218 Greenwich Street, N. Y. EVERY man who does not labor and lay up a fortune may cause absolute suffering to his daughter's future husband-Elmira Gazette. [Or to his own wife's second husband.-ED. MED. WORLD.]

FOR the new drugs, Europhen, Aristol, Phenacetine and Sulfonal, apply to W. 11. Schieffelin & Co., N. Y. FOR the morphine habit try Avena Sativa, made by L. Keith & Co., 75 William Street, N. Y.

We have used the Febricide pill with satisfaction in levers. For samples address Health Restorative Co., 90 South Fifth Avenue, N. Y.

OUR Weinhagen thermometer gives perfect satisfaction.

FEED your delicate patients with Bovinine. Sample free. The J P. Bush Mf'g Co,, Chicago, or N. Y. FOR artificial limbs A. A. Marks, 701 Broadway, N. Y., is the leading supply for the United States.

WHY is an Editor a moral man? Because he always does write.-Ex. [Excepting when he is using his steal shears.-ED, MEDICAL WORLD.]

SEND to the Norwich Pharmacal Co., Norwich, N Y., for Antilupia.

I. PHILLIPS, 14 Marietta St., Atlanta, Ga., will farnish you surgical instruments at cut rates.

HAVE you had any expprience with Micajah's Uterine Waters? Send for a sample to Micajah Co., Warren Pa.

THE Hoff Malt Extract imported by Tarrant & Co., is the genuine.

SEND your name and address on a postal card, te Mallinckrodt Chemical Works, St. Louis, Mo., with request, and mention THE MEDICAL WORLD, and you will receive an interesting pamphlet on the uses of the Sozo-Idol compounds. They may help you greatly in your gynecological and surgical practice.

TRY Griffith & Co's Compound Mixture for rheumatism.

ADDRESS the McIntosh Battery & Optical Co,, 14a Wabash Ave., Chicago, for electrical instruments and uterine supporters..

PARKE, DAVIS & Co., Detroit, Mich., are always introducing new and valuable drugs.

A NEW FOOD.-Lacto-cereal Food is a new produc recently put on the market by Reed and Carnrick, of New York. It is prepared from milk, cereals and fruit, and is not only palatable, but highly nutritious and easily digested. Great progress has been made in recent years in making foods to meet various indica tions. The Lacto-Cereal Food is especiall prepared for invalids, the aged, and for convalescents who need a palatable, digestible, perfect food for building up waste tissues at the least possible expense of digestive effort. Dietetic Gazette.

MARCHAND'S Peroxide of Hydrogen is always reliable in surgery

FOR digestive ferments address Armour & Co., Chicago.

TO THE NUTROLACTIS Co., World Building, New York City Gentlemen: I take very great pleasure in informing you that I received the samples of Nutrolactus you sent me, and I have used it according to direc tions with two patients. The first patient had had no milk for three or four weeks, and after taking your medicine for four days she had so much that it overflowed her breasts. Up to date the supply his kept up although the medicine has been stopped. Patient No. 2.-Baby six weeks old, had no milk for three weeks. After half bottfe of your medicine she has full and plenty for her baby which weighs now twelve pounds. Yours very truly, W. W. Naylor, Philadelphia, Febru ary 9th, 1892.

DR. BUNN, of Altoona, Pa., has the following lines printed on gummed paper, ready for pasting in his books:

PRAYER OF THIS BOOK,

When you have borrowed me, O man, Or woman should you be,

Spare every moment that you can To read and study me.

Return me then and send me not Adrift among your friends; Imperiled is the book that's lent, To any one who lends.

Full many a shelf mate I have lost
And brothers, many a score;
For they were lent, and then relent
And came back nevermore,

Turn not my corners down at all

Mark not my leaves-not one;
Return me when you read me through

TO DR. JAMES M. BUNN.

WE have purchased goods from Flavell & Bro., 1005 Spring Garden Street, Philadelphia, with entire satisfaction.

BILL NYE, in the Republic, says, in speaking of Hot Springs, "Dr. Keeley has here one of his justly celebrated institutes for the cure of jagomania. It is a neat and attractive brick structure with a cheery aspect. Here, with a bottle of Apollinaris and a firm resolution to do better, reformation may be seen gnashing its teeth on every hand." And until the doctor divulges his secret what other conception as to the eause of relief can one reasonably fashion ?-Hot Springs Medical Journal.

LANOLINE is an excellent base or ingredient in all ointments or oily applications.

THE U. D. M. of the Century Chemical Co., 904 Olive Street, St Louis, Mo., will prove a far more popular method for you of treating stricture than operative methods.

FOR valuable pills, made after celebrated formulas and in a masterly manner, address the Upjohn Pill & Granule Co., Kalamazoo, Mich.

HYDROLEINE is a matchless preparation of oil. Many have tried to imitate it but none have yet succeeded.

FOR fine operating chair and table, or throat specula, address W. D. Allison Co., Indianapolis, Ind.

FOR your cases of Kidney Disease use Londonderry Lithia Water. A wonderful success.

As a

ANDREW BOYD, M. D., Vice-President of the TriState Medical Association, Scottsboro. Ala., says: It gives me pleasure to say that for two years I have prescribed S. H. Kennedy's Extract of Pinus Canadensis, both alone and in combination, in many acute and subacute inflammations of the mucous membrane. disinfectant and astringent I do not know its superior. It forms the base of my prescriptions for phyctenular pharyngitis used as a spray. Have used it undiluted in ulcerated sore throat and ulcers of rectum. it daily almost in common sore throat, diluted with aqua carbolic. It has given me good results, and I am very glad you have given us a preparation we can rely upon.

I use

FOR your new suit of clothes send to E. O. Thompson, 1338 Chestnut St., Philadelphia, Pa.

HAYDEN'S Viburnum Compound is a standard article in diseases of women.

WRITE to the New York and Chicago Chemical Co., New York, for valuable samples of pepsin.

FOR elastic hose, spinal apparatus, trusses &c., address the Pomeroy Company, 785 Broadway, N. Y.

"INGLUVIN; W. R. Warner & Co. desire to send to any physician a sample of this remedy wherever they have a patient resisting all other treatment for sickness in Gestation, Marasmus, Cholera Infantum for which it has been found to be almost a specifiie."

Who would not be cheered by a cup of Van Houten's Cocoa. It is a most delicious and nourishing drink.

GIVE Freligh's Tablets a trial in chronic cough and consumption.

LISTERINE forms an elegant surgical dressing.

FOR the past year or two I have been using Peacock's Bromides with good success, and from my experience find it the most satisfactory of any of that class of preparations now on the market.

USE J. Fehr's Compound Talcum Baby Powder. SEND to E. Fongera & Co., N. Y., for Apioline and Santal-Midy.

SEND to the Paris Chemical Co., 212 N. Main Street, St. Louis, Mo., for Febriline.

A PHYSIOLOGICAL demonstration that tight lacing means red nose is worth any number of medical proofs that close corsets mean physical degeneration and dan ger of death to the wearer and her posterity.

TERRALINE is a pure preparation from petroleum, and is valuable in tuberculosis and all allied conditions. Address Terraline Co., 1316 L. St., N. W., Washington, D. C.

"I have used Terraline in my practice for a year and can speak in the highest terms of it. It does not nause ate like Cod Liver oil. It digests easily and causes no eructation from the stomach. Igive it when the cough is heavy, tight and painful. It gives perfect satisfaction." R. W. St. Clair, M. D., Brooklyn, N. Y.

GIVE Antikamnia a thorough trial.

CHLORO-PHENIQUE is a valuable preparation.

WE use Petroselinum ointment with entire satisfac tion. Address Fred. W. Stewart, Oswego, N. Y.

BROMO-SODA.

C. C. PERRY, M, D., of 214 West 42nd Street, New York, writes to Messrs. Wm. R. Warner & Co., of Phila., stating that his daughter, being in the incipient stage of phthisis, was afflicted with severe and persistent headache and nausea. After vainly trying many remedies she was finally permanently relieved by the use of bromo-soda.

WILLIS H. DAVIS & Co's. "Leader" is a handsome buggy case. Address them at Keokuk, Iowa.

HORSFORD'S Acid Phosphate is a standard prepar

ation.

NESTLE'S FOOD is one of the best for infants and invalids.

Crackers and Tea. (A BALLAD.)

CRACKERS and tea, crackers and tea,
Such is the diet prescribed for me;
No mince pie, no pudding, no macaroni,
But quinine and pepsin, and crackers and tea.
Crackers and tea, crackers and tea,
Visions of banquets-avaunt-from me flee!-

(CONTINUED OVER NEXT LEAF.)

The Medical World.

Published Monthly, by C. F. Taylor, M. D.

A Special Cholera Infantum Number. RECOGNIZING the great importance of a proper knowledge of the causes, pathology, diagnosis, prophylaxis and treatment of cholera infantum, we wish to devote the June number of THE WORLD entirely to this subject. This will appear at about the beginning of the season when this disease prevails, and we hope that the practical facts brought out will make the management of this scourge of childhood plainer and easier for our readers, and be the means of saving many a precious little life.

When we realize what a fearful mortality from this disease prevails every summer among the most helpless of all humanity, we can see the importance of a correct understanding of the disease and of successful methods of treating it. We should bear in mind that in saving a life at the period of life when all the years of the future are before it, a greater work is

accomplished than by merely prolonging for

a few more years the life of one whose work is mostly done.

We invite articles upon this subject from all who have valuable or original ideas to communicate. The following are the principal points to be considered in regard to the subject: causes and prevention; diet and manner of feeding; pathology, symptomatol. ogy and diagnosis; its contagious character; general indications for treatment; special methods of treatment; immunity of certain localities and reasons therefor; different types of the disease in city and country.

Of course, it is not expected that any one will attempt to cover the entire subject in an article; but that he will select any phase of the subject that suits him best. Practical methods of prevention and treatment will be of most value to the practitioner.

Skin Dimpling in Mammary Cancer. An article read by Dr. Tiffany before the clinical Society of Maryland, Baltimore, and published in the Maryland Medical Journai, calls attention to the importance of this early sign in the diagnosis of carcinoma of the fe male breast. Months before any pain is felt, or before attention is called to the development of a tumor, a dimple-simply a slight depression of the skin-may be observed on the breast. the breast. This is caused by a shortening of the fibrous bands connecting the skin with the gland itself. The dimpled skin is whiter than normal, and is not as freely movable as the skin over a healthy area. They have been observed more frequently over the outer portion of the breast but never within the areola. This dimple never disappears excepting by the ulceration occurring at a later stage of the degenerative process. This is not the earliest sign of mammary carcinoma, but is usually the first one coming under casual observation.