your suspicions are proven unfounded. I say unfounded because you may never prove them correct, and when this is the case, you must continue suspicious to the end.

The Typhoid almost always presents a history of an indescribable tired condition that is almost always accompanied by nose bleed. I do not mean that a nasal hemorrhage occurs in all cases, but there is a tendency to a discharge of blood from the nose, it may be only an occasional drop, hardly noticed, often forgotten, until recalled to the memory, or it may be profuse enough to impress itself actively upon the mind. With these indescribable tired symptoms and the nose bleed may be many others that may or may not impress the patient with their extreme importance, but are of no value in diagnosis.

The fever begins and continues and gradually rises until it reaches its fastigium by the seventh or eighth day. We seldom in Colorado see the typical Typhoid come as described by Wunderlick, but we do find very frequently this gradual rise in temperature and gradual increase in the severity of the symptoms. Now comes splenic enlargement that you may or may not be able to detect, the bowels become more or less tympanitic, gurgling with tenderness in the right iteo-cecal region may cause you to think that you have a perityhlitis, the typical peasoup stool may appear, the roseate spots are found, if looked carefully for, the Widal sero-reaction may be present, the bacilli may be found in the stool or urine, the urine may show the diazzo reaction the palmar and plantar surfaces may show the yellow tinge sometimes found, in fact, at the close of the first week the symptoms may be so markedly Typhoid that the way-faring man though a fool need not err. Again doubt will hold the field and you must go along without a positive diagnosis, convalesence may even arrive and pass and fail to remove the doubt. Under careful treatment you may dispel the severity of the disease during the first week and be only able to base your diagnosis upon the history, the suspicious symptoms, other cases and the fact that the temperature gently dropped towards the normal.

Should you be careless in the convalescent period as to the food supply of the patient, or permit too early physical exertion,

a recrudenscence, a relapse, hemorrhage or perforation may furnish you confirmatory proof of the correctness of the diagnosis. Another thing we must guard against is the presence of the symptoms of the remedy we are using being mistaken for the symptoms of the disease. Where a low potency of a remedy is given hourly to a patient for days, if they do not develope a proving of the remedy it is because of the immunity of the system.

While I would advise the use of the laboratory means as a help to a correct diagnosis, yet I would warn you that you must not place too much confidence upon their infallibility or you will find your confidence abused and misplaced.

The Widal reaction carefully performed by an expert is a grand aid, it usually is noticed by the close of the first week, or may appear earlier, later, or be entirely absent. It may be present and death show no Typhoid lesions. The blood count under the microscope, about the close of the second week, may furnish you a valuable aid in differentiation from a suspected appendicitis or other disease. The bacilli may be found in the stool or urine or may be absent, their presence cannot always be considered proof of the existence of Typhoid. The diazzo reaction of the urine is sometimes found early but may occur in other febril disorders. So while using all these methods at your com. mand, give them only such consideration as they deserve when viewed with the other symptoms. Learn to grasp the disease in its entirely and not by piecemeal. Careful exclusion of all other febril diseases will be a great help. One can often tell what a thing is not, when they would find it hard to say what it is; so cut out all other diseases, and though you may not have the positive symptoms present, yet it will give you great confidence in your diagnosis. Lay stress upon the history of the disease, upon the four cardinal symptoms: 1, of the peculiar temperature curve; 2, peasoup stool; 3, enlarged spleen; and 4, the rose spots.

When you have the history of indescribable tired symptoms, with nose bleed, be suspicious of Typhoid and increase the suspicion as the case develops a continued form of fever. Be suspicious of all continued fevers, no matter what the prodromal symptoms.

In all suspicious cases have the patient nursed as though the case were Typhoid.

Conducted by W. A. Burr, M. D.

A Remarkable Cure.

Early on the morning of July 23rd, I was called in haste to go six miles to see a woman in her 83rd year, reported to be in a dying condition from cholera morbus. She had been dropsical for the past three or four years, which condition was uniformly relieved by the use of apis mel. 3x.

I found her very seriously ill; her stools were very frequent and consisted of very nearly pure water, and the cramps every fifteen or twenty minutes were so severe as to elicit cries of pain. These cramps involved not only the stomach and bowels, but the extremities also. Each paroxysm was followed by coma more or less profound. The anus remained open, from which there, almost constantly, issued liquid stools; these became worse during the paroxysms. She also had been attacked with two or three paroxysms of vomiting. These symptoms had been present some six or eight hours when I saw her. The limbs. were cold, with cold sweat, especially on the forehead. During a very severe paroxysm of pain the extremities became bluish; following this the coma was so profound she was thought to be dying.

Considering the extreme gravity of the symptoms and the great age of the patient, it seemed as if she could not possibly recover. Moreover, the bed had become saturated with the profuse watery stools, which had a cadaverous odor. But nothing. daunted, and remembering the wonderful efficiency of homeopathic remedies, even in such extreme cases, I hastily prepared veratrum album 3x in solution, about a drop to the spoonful; of this preparation a spoonful was given every ten minutes. She also received a grain of cuprum aceticum 3x, followed by a sec ond powder in half an hour.

After three doses of the veratrum and one of the cupr. acet.

she was perceptibly better, and in an hour from the first dose the paroxysms of pain, the cramps and all the grave symptoms were much improved. She had been allowed all the water she wanted to drink, and hot water bottles had been applied to the extremities.

I then retired, with instructions to call me by phone if she ceased to improve, the medicines to be given less frequently as she became better.

No word being received from her during the day, I knew that improvement had continued.

Next morning I found her comfortable, and in fact nearly well; but, as would be expected, very weak. The cramps did not return, the diarrhea was all gone. In all she had taken four powders of the cupr. acet., but the veratrum she continued to take every hour. Lest there might be a return, the veratrum was continned, a dose to be taken every hour or two as the symptoms should seem to call for.

This was a plain case of cholerine, and the recovery was most remarkable. Nothing less than Homeopathy would have raised such a case, from apparent in articulo mortis to a state of reasonable health. The rescue from death is the wonder of her relatives and friends. To Homeopathy is due all the praise, for the indications were plain, and any homeopathic physician would have given the same remedies.

W. A. B.

APPENDICITIS.-Dr. Nathan Starr, of Charleston, Ill., has this to say of his experience with appendicitis:

"I have treated twenty-eight cases of appendicits. Twentyfour recovered under medical treatment, four were operated on. Two of those operated on died. Seven cases occurred in young and adult women, eight cases in boys and girls under fourteen years, and the balance in young and adult men. The ages ranged from five to thirty-five years.

The list of remedies used is not large. Belladonna, bryonia, dioscorea, hepar sulph., mercurius and phytolacca comprise the list. Locally turpentine stupes or lard and turpentine, and later

in cases where there is slow absorption of the exudate ichthyol twenty per cent. in oil or glycerine has been used to advantage. When the bowels were found impacted rectal enemas of water or water and glycerine carried high into bowels by means of the rectal tube or catheter were used. Oil, either castor oil or olive oil, generally with a few drops of turpentine, was used in some cases to remove fecal accumulations from the intestinal tract. The opium treatment I have never used, and the statement of eminent surgeons that opium in abdominal diseases where operations are required increases the mortality from two to six times, convinces me that it should never be used except to ease the pains of dissolution."-The Clinique.

ANTITOXIN AGAIN. "My experience proves, to my mind, that diphtheria is first a local disease, and only becomes constitutional by absorption of the toxin; and antitoxin favors resolution of the membranes and lessens the absorption of toxins. I consider that I would be wasting your time to quote statistics either from board of health reports, hospital or private practice reports, so in conclusion I wish to say, that I believe there is no more treacherous disease than laryngeal diphtheria, nor one which demands such prompt treatment. And I know of no remedy or treatment that has a record of reducing the death rate of diphtheria one-half except the God-given remedy, antitoxin. I know of nothing so nearly a specific, nothing that acts as quickly. I consider it a proud trophy of victorious therapeuties. I have lost but one case since I began using antitoxin, and I have treated from one to as many as eight cases in many families, with no bad after effects.”—Dr. Norman P. Smith in Clinique.

HOW TO PREVENT THE SPREAD OF CONSUMPTION.-According to the "Colorado Medical Journal" the board of health of Brighton, England, suggests these rules to prevent the spread of consumption: "(1) Expectoration indoors should be received into small paper bags and afterwards burned. (2) Expectoration out-of-doors should be received into a suitable bottle, to be afterward washed out with boiling water; or into a small paper