schedule b, in Bradstreet's useful work, The Metropolitan Practitioner's Vade Mecum.

We may briefly detail the symptoms in these cases as follows: nocturnal nausea, swelling of the lobules of the ears, a peculiar coloration of the sclerotic-quite easily overlooked-and the occasional passage of a strongly urinous renal secretion which gives a pink reaction with P4 DII Q44.

Our patient made a prompt recovery upon the fulfilment of the indications.

CASE II. This lady's husband, every time she became pregnant, suffered from a peculiar psychosis which has been classified by Shooks and Bunk as a so-called grouch-state. This, in turn, occasioned much mental suffering in the wife, and therefore, in view of her disturbed, unhappy, and altogether unfavorable state of mind, it was considered wise to terminate the pregnancy. Recovery of both husband and wife supervened upon the operation.

The various psychoses, it will be seen at once, offer a very wide field for the application of the Dinkelspiellian principles; so, too, may we readily conceive of innumerable social indications, so to say, factors seldom or never taken into account in any deliberate fashion by our professional progenitors.

CASE III. This lady had had an uncle die of nephritis a year before she became pregnant. She consulted me when the gestation had progressed three months. Picklesauer has shown clearly the dangers to be apprehended under such circumstances as these; therefore the uterus was promptly emptied, in accordance with what would have been his judgment in the premises.

CASE IV. This patient presented the condition so exhaustively studied by the buncombe school of obstetricians under the leadership of Crook and Moneypenny. Essentially, this is a justomajor pelvis with a straight, instead of a curved, birth canal; a condition, it will be seen, homologous with that existing normally in the mare and cow. Owing to the upright position of women, however, the subjects of this abnormality cannot carry to full term. P. Curlicue Fussie has pointed out that it is the assumption of the upright posture that has led to contraction of the pelvic brim and the curving of the birth canal, in order that the female may carry her young, and it is these alterations that have made labor in the human female so difficult.

It may be ingenuously asked, why induce labor in this class of cases if abortion be inevitable? Such a question betrays a total lack of appreciation of the subtle principles of the newer obstetrics. It cannot be expected that all should fully grasp these principles, and 'tis well.

Such questions cannot be answered off-hand, anyhow. I shall devote a paper to the clucidation of all moot points at another time. In the mean time, send your cases to me, for with every day's delay you flirt with fortune.

Valuable Original Briefs on Therapeutic Subjects, Interspersed with Diagnostic Points and Interesting MedicoHistorical Facts.

For the information of our new subscribers we will state that answers to queries are sometimes given under a separate department, but will often be found scattered in the Therapeutic Guide or among Minor Therapeutic Items.

It is sometimes very difficult to write "therapeutic hints," for the reason that certain hints seem to the writer so well-known that he fears that everybody would consider them “an old chestnut." But apparently everybody can not know everything, and we often get the most effusive thanks for the simplest hints and the-apparently-most common information. If we were all to write only "new" things, our big weekly and monthly magazines would be reduced to about a page and a half per issue.

Good doses of sulphur internally will prove beneficial in threadworms. But the surest and most effective method is the rectal injection of a strong infusion of quassia. The fluid should be retained for several minutes. The addition of a teaspoonful of common salt to a pint of the infusion is advised by many.

We are sure we don't know why some prescribe camphor in nocturnal emissions. We do not advise it. In fact, we consider it distinctly contra-indicated.

In an obstinate case of constipation which resisted all mild laxatives, responding only to drastics, the following combination proved prompt and agreeably effective: Extract Cascara Sagrada, 2 gr.; Phenolphthalein, I gr.; Capsicum, 1 gr. For one capsule. Sig. one or two capsules at night. The sulphocarbolates were given internally to inhibit excessive fermentation.

There is no question that the excessive use of tobacco, either by smoking or chewing, will impair the sexual powers in a good many cases. And this does not militate against the other statement that the mild occasional use of tobacco often acts as a sexual stimulant. That it may also act as a tonic, we are not willing to admit, until we have more positive evidence.

Many clinicians believe that atropine is the best drug in the treatment of asthma. It not only arrests the attack, but occasionally prevents recurrence. Dose: 1/120 gr. (0.0005 gm.) once a day, gradually increased to 4-6 times a day, and then again gradually reduced to once a day.

Cerium oxalate might as well be discarded from the Pharmacopeia. All its alleged indications are fulfilled better by bismuth subnitrate or subcarbonate.

Sawdust mixed with wheat and baked into bread is now recommended in Austria as a cure for chronic constipation. And so here is our warrant for the use of our breakfast foods.

Mercury Succinimide may be tried in tuberculosis. Guardedly used it will do no harm and may do some good. But as to its being a sure cure-it will go the way all cures have gone before it.

The editor is not very much in favor of potassium permanganate in gonorrhea, either acute or chronic. Zinc permanganate sometimes acts nicely in the terminal stage of an acute attack.

A correspondent writes that quinine sulphate exerts a distinct aphrodisiac effect on him, in doses as small as 2 or 3 grains 3 times a day. If our readers know of similar experiences, will they kindly let us hear from them?

It is well to bear in mind that those who have an idiosyncrasy against iodine and the alkaline iodides are sometimes affected more by small than by large doses. Also that some people have an idiosyncrasy against small doses but not against large ones.

A novel suggestion is the use of oleatum hydrargyri in the patient's socks when they are put on in the morning. The pressure and friction of walking, together with the heat of the feet, insure thoro absorption. The method obviates manual inunction and is cleanlier than the usual one. The writer has employed this plan with excellent results. Somewhat to his surprise no soreness resulted.

Never assume that obstructed nasal respiration in children is always due to adenoids. Examine the anterior nares. Neglect of this factor explains some of the failures of adenectomy.

The Moro percutaneous tuberculin test is the handiest for the general practitioner. It is simply a matter of inunction-no scarifying and no damaged eyes.

Try Fowler's solution in increasing doses to the limit of tolerance in those asthmatics who suffer from very frequent paroxysms. You will be surprised at the results. Begin with one minim doses directly after meals in a lot of water-half to one tumbler full. Add a drop to the dose every day until you get the t. i. d. dose up to about 15 minims. Watch for edema about the eyes, diarrhea, nausea, cramps, vomiting, neuritis, etc. If any

of these occur interdict the drug until they have disappeared. Do not resume at the dose at which you left off; start all over again. You will fail unless you observe the point about the large amount of water.

After you tap your next ascites put the patient on powdered digitalis leaves (the best English)-one grain t. i. d.—and keep him on it religiously. Many times the ascites will not recur, or its reappearance will be postponed an astonishingly long time.

Don't allow anybody to use warm enemata habitually. They cause muscular atonicity and the patient's later state is worse than the earlier. Cold water exerts a contrary effect and is a wholly rational practice.

The writer recently saw a five year old child who had been given two aloin, belladonna and strychnine pills by his mother. There were delirium, mydriasis, rapid pulse, a rash limited to the face and a spasmodic cough resembling whooping-cough. irresponsible use of these pills by the laity is fraught with much danger. As will be remembered, the strychnine content of these pills is also considerable.

The

ERGOT THE MOST VALUABLE DRUG IN DELIRIUM TREMENS.

From a tabulated study of the results of drugs in 500 cases of delirium tremens, Dr. S. Walter Ranson, Chicago, reaches the conclusion that of all drugs used (morphine, chloral, bromides, scopolamine, whisky and ergot) ergot had proved of the greatest value. Dram doses of the fluid extract were given every four hours. But drugs alone are not sufficient in the treatment of delirium tremens. Of the greatest importance are proper restraint, frequent administration of liquids and sedative baths.

According to The Hospital, stout is one of the most harmless and best hypnotics we possess, and is often far more efficacious in the treatment of insomnia than drugs. This is perhaps the reason why habitual drinkers of stout have sleepy brains.

In the J. A. M. A. for May 8, '09, Dr. John R. Williams and Dr. W. D. Becker of Rochester, N. Y., report an interesting and fatal case of necrosis of the liver after chloroform anesthesia.

It is our belief that both chloroform and ether always produce some degree of necrosis of the tissues. The degree depends on the susceptibility of the patient and on the amount of anesthetic used. Local or hypodermatic anesthesia should always be used in preference to general anesthesia, whenever possible.

EYE STRAIN AND SCOLIOSIS.

For years past George M. Gould has been insisting that the majority of orthopedists and ophthalmologists have ignored a very patent cause of spinal curvature. Gould has shown very conclusively, we think, that the common writing positions which children are taught to assume occasion head tilting and rotation of the vertebral column, leading to spinal curvature.

If it be true that the majority of our specialists ignore this cause they can in no wise excuse themselves, for five minutes' observation in any schoolroom will convince anybody that Gould is wholly right in his contention.

Children are usually taught to so hold a pen and take such a position that the right eye cannot see the pen-point so well as the left unless the head is tilted to the left and the vertebrae rotated. The remedy? Have the paper in front of the child's right shoulder and laid straight upon the desk, not askew. (Angle of desk surface about 30 degrees.)

If Gould's oft-repeated assertions regarding the sneering and unscientific attitude of most specialists are only partly true, they are an extraordinary bunch of Pharisees.

We know how sneeringly the new gynecological principles of Sims were received, and we know how their promulgation was resisted. It is a matter of history how the leading medical cads of the metropolis hampered and blackguarded him. He was called a faker, a charlatan and an advertiser.

Are we not yet scientifically civilized, so to say? Can we not yet distinguish between the man and the scientific truth he has developed? What in ——- have prejudices to do with the correction or prevention of the crooked backs of our children?

The wearing of orthopedic appliances and daily exercises, however well-directed, are not to be weighed against the persistent maintenance of a faulty writing position.

Scoliosis is said to be rare in blind children and among the Japanese. The latter write with a brush which is held so far from the writing end that the latter is always in plain view.

Gould hardly overstates the case when he declares that lateral spinal curvature is as deplorable as the greatest fact in pathology, as bad, he thinks, as the prevalence of tuberculosis.

In all infectious diseases bear in mind that the soil is as important as the seed. The tissues must be in a favorable condition for the development of the germ, before the mischief called disease can develop.