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force. A partial withdrawal of the vital about the given age in spite of all efforts force, or a deficiency of the same, is par- to avert death. They are like the cannon tial death. Tubercle is degenerated tissue ball with only half a charge. They will go -degenerated because of deficiency of along beautifully until the force begins to vital force. The bacillus is only an inci- die out, and then they will go into a dedent, but one that may become an active cline regardless of all efforts to the conagent for harm when once establisht. trary, and death comes sure and soon. Therefore remedies that will destroy the The supply of vital force, like the probacillus will benefit the patient, but they pelling force of the cannon ball, has become will not supply the deficiency of vital exhausted, and the end is inevitable; while force. That must be done by treating the others, supplied with the normal force, live patient, not the disease.
on, just as the cannon ball propelled by a And here is the rub. How can we sup
full charge goes on to the full distance. ply deficient vital force? If it can be done We know the importance of the study of at all, it can be done by making the phy- heredity ; but we also know that families sical life as perfect as possible. Rest and of tuberculous children often come from sleep must be abundant; food of the non-tuberculous parents. Here the probproper kinds must be abundant; and this lem lies in the hidden and mysterious includes indicated “reconstructives" sources of life. Some apparently healthy which are usually clast as medicines, but couples do not “breed " well together. they really are foods ; the proper digestion Either mate, however, might “ breed" of the foods is as important as the selec- well with some other mate. Here lies a tion of foods; air and sunshine are im- deep problem. Stock-raisers do not have portant factors, and a change of climate is much trouble in applying this thought in frequently required to get pure air of the their business, but physicians have not yet proper rarity or density, and abundant * caught on "; and it is impossible to presunshine ; the temperature should not be dict when they will. relaxing, but mild enuf to allow spending The thought that I wish to impress is, much time in the open air; also the moral that tuberculosis is degeneration of tissue, influences should be agreeable and cheer- leading to death of tissue, and may lead, ful. When to all this is added a judicious by the same process, to death of the inand skilful use of antiseptics by inhalation dividual. This degeneration of tissue is and otherwise, with indicated reconstruct- caused by a deficiency of vital force, which ives and medicaments, all is done that can may be caused by disease, bad habits, or a be done.
" run down condition.” Thus tubercular But this is the same old story with only degeneration may follow a badly cured the details a little more perfected here and pneumonia. When the tubercular degenthere perhaps as the years come and go, eration is thus produced, good hygienics and still the victims die. True, some are and skilful treatment may arrest the desaved by the above being faithfully carried generation and restore the patient to health. out, and the lives of others are prolonged. But when the deficiency of vital force is But many die in spite of everything that radical, like the dying force of a cannon can be done. Right here comes in the ball sent by a deficient charge, prospect for philosophy that I wish to insist upon. A cure is as hopeless as that man should live full charge will carry a cannon ball, say, double his allotted time. six miles; then a half charge will carry When I first read of the “ House of Rest, only three miles. We all know that the for Consumptives," in London, I thought members of many tuberculous families die “ what a noble charity.” There are a at a certain age, say at thirty. This is number of them now in this country, and usually a class of cases that will die at how fittingly named, 'A consumptive man or woman is a dying man or woman, and The envelope sent to physicians who in“rest” is fitting for the dying as well as quire concerning his "treatment" contains for the dead. Consumption-consuming. a letter and a circular. The following is
Let hospitals and sanitariums for con- the text of the letter sent to an inquirer, sumptives continue to be establisht; let and probably a similar letter is sent to all hygienics be applied more assiduously ; let other inquirers: foods and reconstructives for consumptives Dear Doctor :-Yours of -- -- is at hand. Enclosed
find the circular letter that explains the nature and continue to be produced and improved ; let uses of my work. With it you can treat rectal dis
eases and hernia in your office, and you can treat antiseptics and the appliances for their use these troubles and catarrh as successfully as the noted
men in the great cities. You can thus take on three multiply; but do not expect that con- new lines of work and increase both your practice
and income. sumption will be exterminated until we The work is now in 43 States, and no fault has ever
been found with it. On the other hand I have reknow what vital force is, and until we are ceived a good many very pleasant letters, among
which are the following: -"You will be pleased to able to manufacture it at will. The treat- learn that we have cured two cases of right inguinal
hernia, both congenital and there was but one injectment of consumption is far more than ion in each case. We think a great deal of the treat
ment." Another has this: “I delayed writing so as “bug fighting." The patient is the first to test your work. And I did it on a very bad case of
piles and fissures of over 20 years' standing. Thanks consideration; the “bugs" second.
solution, he is perfectly well. I wish you the best of success which you surely deserve.” Another has this: “I am satisfied with the progress I am mak
ing, and I see that your work is right." Another An Insidious Form of Quackery.
says, “Your treatment for catarrh is certainly a suc
cess." Another says, “ Your treatment helped me to Quackery has many forms. A medical cure rectal ulcers and catarrh in a boy that I had not
been able to help before.". A surgeon with a sanitarman may be learned and skilful, yet he ium says, “And I wish further to state that I am very
much pleased with the success I am having with your may pursue methods that are quackish in methods of treatment." Another has this: "Consider.
ing the value of the points given your charge is the extreme. Members of a learned pro- small.” Another has this: "I would not take $100
for the pile part of the work alone and be deprived fession should be honest, high-minded and the privilege of using it." Another has this: “Your
book of instructions is splendid. I have been a stumodest. The science of medicine has been dent at several colleges and I have got more good
from you than from them all." And another has built up by the devoted, conscientious and this: * Thanks for your new edition. I see you are
not standing still, but keep growing. Good for you. I unselfish labors of many, many thousands wish you success, for you have helped me greatly."
I was offered the “Guarantee Rupture Cure"-headof devotees, many of whom have been mar
quarters somewhere in Illinois-for $50 and 25 per
cent of receipts afterward. It is needless to say I did tyrs to science, during all the past ages up not take it, as I know my own work is not surpassed.
The price of this rupture cure shows that the price of to the present time. This is a heritage mine, with two other lines included, is merely nom
inal. that does not need to be divided—everyone I now include with my work the formulæ for The
Woman's Specific and the Best Treatment for Gonorof us is the heir to the entire estate.
rhea. These remedies would add to your success in
these lines. the presence of this vast treasure it is fit
I send you the card I do my business on without
advertising. A wise and energetic use of cards is all ting that we be modest.
the advertising you need. Fraternally yours, But here comes a man who says: “I The following is the text of the circular know how to treat so and so better than inclosed : anybody else, and I will tell you how to
Better than a Post Course do it for five dollars!” This thing has been increasing during the last few years, Rectal Diseases, Hernia and Catarrh. showing that it evidently pays. A few of
STAY AT HOME and learn how to cure these diseases
in your office. Why go away to see surgery that such announcements have, at different your patients would not let you do when you get
home. times, insidiously crept into our advertis
Is your practice satisfactory? ing columns, but now we are on the look
Can you cure rectal diseases and hernia in such a out for them. We here present the litera
way that those who have these affections will let you treat them?
Is your treatment of nasal catarrh a failure ? tare sent out by perhaps one of the best of
Are you making as much money as you ought to
make? this class. Of course we do not give the If you would like to increase your practice and its
financial results, or go into special work exclusively, name nor address of the doctor, but his
read what follows. medical record as given in Polk's Medical
A number of years ago I became greatly discouraged over the old way of treating rectal diseases and heruia.
Ever since that time I have patiently and persistently Directory, indicates that he is an educated
studied and workt until my success in these branches man. His stationery is printed as mod
is about what I desire it to be.
I have had a large experience in the treatment of
nasal catarrh. estly and properly as could be desired.
From my own experience and the confusing book and journal literature on this subject
I have arranged the best and simplest treatment for this disease.
The statement was made in a recent journal that the rectal specialty is the best one in the whole tield. The rectal, hernial and catarrhal are the least occupied of any of the specialties. One in six bad some kind of rectal disease, one in eight has some kind of rupture, and one in six has catarrh of some kind.
There are but few doctors in this country who pre. tend to treat rectal diseases without the severe chlo. roform operations. And as only those who suffer so severely ihat they must have something done or die will submit to these operations, comparatively few are ever treated and cured by physicians. Everyone who has any rectal trouble would be glad to be cured if be knew the cure could be effected without the knife, cautery or chloroform. A doctor ordered my work after losing a $100 case because he could not cure him without a chloroform operation.
I have the best system of rectal treatment that I know anything about, and I know them all. I know all the injection treatments that have been brought before the profession. While some of these treatments have been useful for some kinds of piles, none of them have been generally useful and satisfactory. The old carbolic injection method is diflicult to control, sometimes causes great suffering and is dangerous. When the right medicine is properly used the intra-mural method has no equal for piles. It is always effective and is free from suffering and accidents. I cure all kinds of piles, catarrh, fissures, fistulae, prolapsus, ulcers and most cases of stricture without chloroform operations. The fees for these cases run all the way from $10 to $200.
I have bought several systems of hernial treatment for purposes of investigation. The Huid I use gives the best results with the least pain of any that I know anything about. And I am able to give more practical points about where and how to inject the different varieties of bernia than I could find in all that has been said on this subject. There are three essentials about the bernial work. 1st, a fluid must be used that will produce a non-absorbable exudate ; 2d, the Auid must be injected into the ring of emergence; 3d, the rupture must be kept back till the exudate becomes firm and strong. That is all there is of the bernial work, no difference what or whose the “system" is. All hernias are curable that can be reduced and retained with a truss-about ninety per cent. Relapses are not more common than after the old hospital operations. A patient will submit to another injection or two wben he would not submit to anotber knife operation. The fees for curing hernia are from $25 to $250, generally $100. Some say now that there is more money in the hernial specialty than in any other. And it is not difficult to learn. The pain is but slight in the rectal and hernial work, and there is no detention from business except a little in unusual cases.
You should be just as successful in the treatment of catarrh as the specialists in the cities. There are two essentials about the catarrhal work : 1st, the removal of neoplasms when present; 2d, the cure of chronic inflammation of the membranes and its causes and results. To accomplish these ends the resources of simple surgery and general and local treatment are brought into use. The elaborate machinery in use for the treatment of catarrh is more useful for advertising purposes than for anything else. The simple, direct and effective means are generally overlookt. The fees for curing catarrh run all the way from $10 to $50.
You cannot push general practice, but you can push these specialties. You can hunt up these cases and tell them wbat you can do. And every cured case will be an agent for you, so great is the relief and satisfaction.
Many doctors take Post Graduate work for some special knowledge which costs, including loss of time, several hundred dollars. I offer you at home what I believe to be practically better on these branches, than a Post Graduate course in any school. Take it in regard to rectal diseases: here I give a one-man treatment that certainly gives as good results as the hospital treatment with its two or three doctors to perform its operations and its expensive hospital accompaniments. Bear in mind that I also give all the after-instruction and help in the three specialties by correspondence that is desired, thus affording the largest opportunity to make the work satisfactory. There can be no failure in the work unless one is too low in skill and energy to make an intelligent effort to use it.
If you are tired of general practice you can take these specialties, and by a judicious use of cards do office work exclusively.' If you hate the night-bell as much as I used to you will appreciate having your nights unbroken.
Doctors have paid for one of these specialties, even
in a crude and bungling form, from $100 to $500. As most doctors will not wish to take up these branches as exclusive specialties, but to improve their general practice, I have decided to put the price within the easy and immediate reach of all. For the small fee of $15 I will give you, in printed pamphlet form, the formula with complete directions for injections, operations, applications and treatment in these specialties, including all needed after-belp by correspondence. There are no secrets in the work. On receipt of the work a doctor wrote, “I must admit you have succeeded in condensing into very small compass a very rational working formula for ihe conditions under consideration." I now include with my work the formula for The Woman's Specific. It is the best combination of remedies for most nonsurgical diseases of women. I also give The Best Treatment for Gonorrhea. These remedies would add to your success in these lines of practice. The work is copyrighted, so you cannot be deprived of its benefits by publication. The charge I inake is in. tended to cover cost of publication and advertising and give me a fair remuneration for my time and work. Remit by P. O. or express order, bank draft or registered letter Personal checks will not be accepted.
I should have said that I also give some instruction about the business side of these specialties, so that your work may be more remunerative. Many doctors fall short on the business side. I can make your work not only more successful in curative results, but also more profitable.
The outfit required to do the work of these specialties is simple and inexpensive. You probably have instruments enuf now to to enable you to enter upon the work. You might buy a few instruments as you go along, according to your fancy. The medicines for the formulae can be obtained at any drug store.
There is work enuf along the lines of these special. ties in your community to add to your income from $500 to $2,000 per annum. You can just as well do this work and enjoy the reward. Only a little determination and energy are required. My work will be sold to only one man in your place, uuless it bas a popula. lion of over 20,000, and the one who gets it will have the advantage it couters.
If you could place $1 so that in a year or two it would yield $100. you would think it a good investment. It is easily within your power to make $15 put into this work an equally good investment. Your first case in any one of these specialties should more than bring your money back.
This is an age of push in all lines of business. If you want to rise above the ground floor in the profession you must go into or take on some kind of special work. You must reduce your competition by being able to do some lines of practice better than your competitors do. And there is no money in anything but special lines of practice.
I am helping doctors in the smaller cities and villages do what a few doctors in the largest cities are doing. You may be just as successful in these specialties as they are.
If you are in a small place and have the laudable ambition of moving to a larger place, you need this work to give you a good, quick start. It will pay you well where you are, no difference how small the place, but you ought to become familiar with it before moving so that you can use it to the best advantage at the start in a new location. If you have recently changed location this work will be specially useful in helping you to get into practice.
If you are just entering upon your professional life you need this work. It will help you to treat these neglected cases as easily and successfully as your ordinary cases. You will thus take on a larger prac. tice at the beginning.
If on account of advancing age you want to retire from general practice, take this work and do office work exclusively. I knew an old physician to do better at hernia alone than he had done at general practice.
The statements in this letter may be relied upon. The work is what it purports to be. No word of dissatisfaction has ever been exprest to me about it, and many good letters have been written to me in its favor. I will answer any inquiries, but as the work is right, you would just as well make your order at once as many do.
I bave room for only two testimonials. I do not give the addresses of signers because I do not wish to impose an inundation of correspondence upon them. But I will give their addresses by letter to any one who wants them.
Fraternally, The above is very cleverly and skilfully worded, and perhaps many unwary are caught. Yes, and perhaps some who are too
lazy or too stupid to look into the vast as its constant aim is to give as wide curtreasure of accumulated medical knowl
rency among the members of the profesedge which is their heritage find the above sion as possible to all that is best and offered information worth the price—to latest in the healing art, from whatever them. Knowledge is usually worth what it costs, but how foolish a man is who pays The following is another example of the $15 for knowledge that he already has (or quackery referred to above. It may be of ought to have) in his library! Medical interest in this connection: literature is now cheaper and better than
The Letter. ever before. It is the means of preserving
THE MEDICAL WORLD :- What would your and of distributing to the individual mem
terms be for inserting the following advertise
ment, three months, commencing with the June bers of the profession the vast heritage number. that is their own. Medical books and
I have made a valuable discovery and know of
no better way for to bring it before the medica) medical periodicals each cover a distinct- profession than by advertising in your valuable ive and very useful field. Spend $15 judi- journal. Hoping to hear from you in due time,
your terms, etc., ciously for medical books and magazines
I remain yours truly, and you will get many times more than is
M. D. offered in the above copied circulars.
The Advertisement. The leading spirits of our profession are
Doctor.-Increase your income by regulating constantly striving to discover new and
the menstrual periods in women by the use of the
method. On receipt of $2.00 I will send better means of curing their patients, and you an individual right to use this method, with when one suceeeds in making a decided
formula and specific directions. Satisfaction
guaranteed where instructions are carried out. improvement or discovery does he "put it
Address, Dr. under a bushel” and advertise it at so
My Reply. much a peep? Not much. He is proud Yours of May 22d just at band. Have you not to give it to his brethren as speedily and
received your entire medical education from the
medical profession? Then do you not owe to the completely as possible. He will present
He will present profession what little you can do to advance it ? it to the next meeting of the largest medi
I would suggest that you do your duty by pub
lishing your "valuable discovery” to the medical cal society of which he is a member, or he
profession thru THE MEDICAL WORLD or some will offer it to the medical magazine of other recognized medical medium.
Very truly, largest circulation. That is the spirit that
C. F. TAYLOR. has built up the healing art.
This man is a graduate of the Hospital Our customary reply to those who wish to advertise secrets for sale is, "Give what College of Medicine, Louisville, Ky., 1890,
but I suppose that worthy institution is you know freely to your medical brethren
helpless concerning the conduct of its thru the columns of THE MEDICAL WORLD.
alumni. Upon this point the following may Don't be afraid of being too generous.
be of interest. An alumnus of another You owe a debt to the profession greater worthy institution is advertising in the than you can ever hope to repay. This
newspapers in the most flagrant and quackapplies to us all. Or, publish what you
ish manner. I sent a copy of the paper conknow in a book; and if you will sell it at
taining the advertisement to the college, a reasonable price, we will be pleased to
and wrote inquiring if there was no way of advertise it in our columns.” We should all discourage by every hon
revoking the diploma of one guilty of such
conduct. I have just received the following orable means possible this insidious and
reply. growing form of quackery. It is ungrate
Dr. C. F. Taylor, Editor MEDICAL WORLD, ful, to say the least. We should all freely
1520 Chestnut Street, Pbila give to the profession what little we can My Dear Doctor:--Replying to your favor of for the much that we have received. THE
the 12th inst., I am sorry to say that there seems
to be no way in which the College can do any MEDICAL WORLD stands for this principle, thing to check the abuse of which you speak.)
notice in the advertisement that he does not ORIGINAL COMMUNICATIONS claim to be a graduate of this institution, but nevertheless, we are extremely sorry that any of
Short stories on the treatment of diseases and experience with our Alumni should so transgress upon the ethics new remedies are solicited from the profession for this of the code and the profession.
department; also difficult cases for diagnosis and treat
ment. Yours very sincerely,
Articles accepted must be contributed to this journal only.
The editors are not responsible for views expressed by Dean of the Medical Faculty.
Copy must be received on or before the twelfth of the month Later: A later letter from the first above for publication in the next month. Unused manuscript
cannot be returned. mentioned emphasizes the fact that he helps certainly it is excellent discipline for an author to feel that he must
say all he has to say in the fewest possible words, or his reader his patrons by correspondence, invites is sure to skip them, and in the plainest possible words, or his them to write him whenever in trouble,
reader will certainly misunderstand them. Generally, also, a downright fact may be told in a plain way; and we want
downright facts at present more than anything else. ---RUSKIN. etc. I state this in this connection in or
COMPARE. RECORD, der to be entirely fair. I would suggest, however, that he publish his alleged
Therapeutic Philosophy. “ treatments" in the medical prints, in the
No. 4. regular way, either in the medical magazines, or in a book to be sold at a reason
Editor MEDICAL WORLD:-I was talking able price. Then offer to receive students
of iron. It is past doubt that iron posat regular and reasonable prices, just like fore medicinal. I do not know that pure
sesses perturbing qualities, and is thereany other teacher of medicine, if any stu- metallic iron has been much tested as a dents wish to seek him ; or offer corres. medicine, but since it is not a food, it would pondence assistance at a reasonable rate, call into extraordinary activity some neural to any purchasers of his book who feel capital with its dependencies. The sim
plest ferric compound-the oxid-would the need of further aid from him. But
disturb some different center, for it is a claiming a secret or mysteriously superior different drug, and this rule would follow treatment, for sale at an exorbitant price, all the ferruginous preparations. Now, it is quackery pure and simple.
being true that the medicinal sphere of It be true that the teachers in our
iron is not known, and being true that an may
unindicated drug, if given, does unmixt medical colleges do not sufficiently appre- harm, it is plain that the use of iron is, ciate the needs of the general practitioner nolens volens, malpractice. It is a mitigatwhen he is at home in his own field of ing circumstance that in one case out of practice, far away from hospitals and ten thousand, perhaps, the associated elemany helpful accessories. Particularly
ment in an iron preparation is indicated. should the teachers in post graduate iron is almost never given with special
I say one case in ten thousand, because courses teach their practitioner.students reference to its chemical associate. It is how to accomplish the best results with about always given under the tissue-feedthe aids in reach in their fields of practice ing impulsion.
In the Boston Medical and Surgical Jourat home, rather than make vain-glorious
nal of March 30, Dr. Austin, who has exdisplays of rare and difficult surgery which perimented exhaustively with reference to a general practitioner could not attempt at the relations of iron to blood, concludes home.
that“ organic iron, of which hematin and
hemoglobin are representatives, furnishes My Dear Doctor:-Please excuse my delay in attending to the most easily absorbable and the most this matter, having nearly completed my four score years, as the comic song has it, "I'm not as young as I us't to was,"
valuable of all iron preparations." Even and so, perhaps, less prompt. Inclosed find P. O. M. Order “the albuminates and peptonates of iron for one dollar; thanks for continuing to send WORLD. I prize highly your Monthly Talks, and pray you to continue are absorbable, but to a limited extent." them until the voting cattle of our country shall be trans. formed into intelligent, upright men-men knowing what
It is notable that "iron is being constantly constitutes a true civilization
eliminated, both in the urine and feces, Very respectfully and hopefully, Elkhart, Ind.
F. A. BENIIAM, M. D. even during fasting." No wonder Dr.
Austin's conclusions have been widely A busy doctor doesn't want to be bothered to send a dollar for THE WORLD every year. For this reason we establisht the
copied, because for hundreds of years a rate of four years for $3. This is a saving of both time and preparation of iron which should be the money to our busy patrons. We have received a greater umber of four-year subscriptions this year than ever before.
most absorbable has been a major desider