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atum. It has been such because iron disappointed you. This will not seem so always has been, and now is, given under bold after I shall have explained. I mean the hypothesis that it is directly assimi- that I almost never got results with it, lated. The theory seems to be that after wbich-in the light of past experiencesit has gotten into the blood current, it im- I could not have gotten more quickly and mediately corpusculates. Either this, or pleasantly without other than hygienic that contrary to the fundamental laws of means. *Almost never," in the foregoing histogenesis) the gates of the blood facto- sentence, covers those rarely exceptional ries (the marrow and the spleen) are wide cases in wbich the associated elements of open to artificial iron. In this case the the iron preparation evidently did such good question would recur, why should the blood as was medicinally done. Let it not be ob. makers ever again become reconciled to jected that there are possible salts of iron Nature's iron? Since it is settled that in wbich ferruginous identity is lost. This none but the organic irons are absorbable, might, in an ultratechnical sense, be true; the fact becomes strikingly emphatic that but that does not help the matter any, for all the putative iron cures of the past re- the digestive juices always break up the sulted not from iron, but from the elements combination, and irop produces its characassociated with it. Further, if it is true teristic ill-effects. Whatever preparation that iron is being constantly eliminated of iron may be given, it always discolors from the system, whether any is ingested the feces. or not, it would seem that the blood mak- My uniform failure to get any results ers are capable of elaborating it de novo, from iron that were positive, except in an and of their own intrasystemic resources. adverse sense, set me to thinking. I bad From this it would appear that we might been giving it for years in that conformaget along fairly well even if our food itself tory spirit which, to a great extent, concontained no iron. This scientific refine- trols us all with reference to classical ment pushes iron, as a direct tissue drug preparations. I used to inform my builder, clean out of sane consideration. patients that it had to do them good, for The conclusion, however, that iron is cre- it had the endorsement of all the doctors ated within the system, is not rationally that had lived and that were now living. It acceptable, and it must be relegated to the would “enrich the blood, and the blood is realm of speculative transcendentalism. the life,' don't you know?” etc. There Whatever the secret of its evolution into can be no doubt that these assurances, living iron, it must be assimilated, and festooned, as they were, with suave effusonly food, as nature prepares it, can be iveness-took some of the pucker out of assimilated. You may give all the organic the iron. But with all the moral butiron you will, but it will be expelled from tressing I could furnish, the iron would not the system like any other foreign in- be assimilated. It had no better reason truder.
for this obstinacy than that it could not be After all, the only reliable test with ref- assimilated. erence to the merits of a drug, is unpreju- Thru all those twenty-five years, the thediced experience. Doctor, divest yourself ory that a class of medicines are assimilaof all preteristic taint; cast from you all ted seemed reasonable en uf. It bad never reverence for authority, and for current struck me that this made the establishfashions and fads; in a word, strip your- ment of a line of demarkation between self down to the soul and then, in a spirit food and medicine impossible. The inconof uttermost truth-hunger, retrospectively sistency of at once construing a food to be contemplate your therapeutic experiences. a drug, and a drug to be a food, had not yet Do this, and see if you can recall one lit- addrest itself to my understanding. Even tle instance in which you are sure that an in less degree had the tap-root of this abiron preparation did for you what the surdity manifested itself to me - that compound minus the iron would not have psychic kink which postulates that a qualdone. Being a natural heresiarch, it has ity of fact may simultaneously be, and not been easy for me to do this. I was quite be! It required some thinking to get to an iron enthusiast in the start, and for this point. But once attained, it became twenty-five years was a lavish prescriber plain that drugs and food are antithetically of it. I have prescribed hundreds of gal- related, and that this relationship is essenlons of it in its various combinations, and tial and fundamental. I declare to you that it always disappointed Many have jumpt to the conclusion that me, and I declare to you that it has always food and medicine merge, because edibles
contain, as they assert, such drugs as iron, but is this going to hurt the urine? It is phosphorus, lime, hydrocyanic acid, etc. not the fact that the liver is making too They are simply mistaken, for no food con- much sugar which constitutes the disease, tains any of these, nor are any of them nor the fact that it wastes what it makes, liberated in the system by the process of but it is the cause of either, or both of these, digestion, metabolism, etc. They exist in as the case may be. When sugar appears the food only in the sense that they may be in the urine of a person it is not because chemically--not vitochemically-derived from there is too much starch in his food. If that it. Vegetable or animal phosphate of lime were the cause, how easy it would be to is not identical with the chemically pre- cure him ; the perspicacity of a street arab pared article, and upon the difference de- would be equal to such a medical problem pends the assimilability of the one, and the as that. To eat less starch would be to nonassimilability of the other. In the face remove the cause, when, of course, the of this fact, nearly all doctors give such effect would cease. To limit a patient to things as lime, iron, etc., under the hy- nitrogenous food, is to assume that carbopothesis that they will add themselves to hydrates cause diabetes mellitus. The systhe tissue which so evidently needs them. tem will absorb only a definit amount of The well-nigh universal assumption is, that any tissue element, no difference how there is no breach in the continuity of much of it may be offered. You may feed food and drugs. Tacit medical philosophy great quantities of sugar to a diabetic, and has it that food and drugs are mutual and beyond the barm it does his digestion, it reciprocal. It would be interesting to all, will not injure him. It will not aggravate if actual believers in this fallacy would at- his diabetes. I have seen it tested and tempt to show the food relationship of, say, know whereof I speak, tho I should have aconite and belladonna, to the system. known it under common sense pressure, And yet these are, logically and practically, without the test. Allow your diabetic paas nearly foods as are the various pharma- tient a varied and generous menu, selectcal preparations of iron, lime, soda, phos- ing with reference to digestibility, and phorus, etc. They are all nonassimilable, give him infinitesimal doses of nitric acid, and are therefore drugs, and not foods in in connection with sensible doses of thuja, any possible sense.
and you will be doing for him all that is In this connection it is proper to call at possible up to date. It depends upon a tention to a dietetic fallacy which controls wrong of some nerve center, possibly that very many medical men. It is this : that which enervates the glandular system of if we habitually eat a food which is rich in the bowels; but up to the present no one a particular substance, the quantity of that can locate its primal lesion. If we could substance will be increast in the system. do so, we would be but little, if any, better *Thus, how common it is for the doctor, off, for a knowledge of the intrasystemic who has a patient suffering from phos- cause of a disease carries with it not even a phoric exhaustion, to advise him to eat hint of what will remove that cause. This plenty of fish, crabs, etc. And how equally must be learned by drug experimentation common it is for this same doctor not to alone. Diagnostic refinement is a little note that-the patient's other habits re- more than a learned accomplishment-but maining unchanged-this fish diet has not not much_ morē—while a knowledge of increast his supply of phosphorus. If there symptomatology and drug-action is the heart were anything in it, fishermen and fish- and soul of the Healing Art. The regular mongers would be the brainiest people on school is losing ground by its over-attention earth; but are they? It is a great piece to incidences, and under-attention to essenof foolishness to send people away off to tials. This is true, unless it is not true chalybeate or sulfur springs, expecting that, in disease, the right drug is promotive these waters to increase these elements in
of cure. their systems. If their financial conditions A good portion of this paper has been are such that the expense won't worry devoted to the discussion of iron, because them, then the outing and the conviction this may be taken as a type of the agents that they are going to be cured may help which are employed as tissue foods, so them considerably-for a short time. called. Whatever is true of iron in referAgain, it is as cruel as it is useless to re- ence to tissue-feeding, is true of many strict a diabetic's diet beyond a limitation other drugs which will be more briefly to digestible food. Carbohydrates may in- considered hereafter.
. As before stated. rease the quantity of sugar in the urine, for twenty-five years I used iron very
freely, but for the last nine years I have age is not amiable, or otherwise superior used it in but three cases. I used it in or attractive. He is dirty, squalid, in conthese cases in deference to a brother physi- stant danger, and consequently cruel and cian's prejudices, and to demonstrate to selfish. The social conditions described him its inefficiency and harmfulness. More by Marmontel never existed on this earth. next month. W.C. COOPER, M. D. No tribe of men ever lined up each evening Cleves, 0.
while the women walked by and each chose
her mate for the night, without dispute on P. S.-I want to shake hands with Dr.
either side. Savage beauty and savage Dumm and laughingly rebuke him for
virtues are matters for derision on the part having accused himself of disagreeing with of all who come into actual intimacy with me, when the fact is, he is in perfect ac
the savage. cord with me. He must have skimmed
Nevertheless, there is truth in the idea, thru my article rather hurriedly. I cited
better exprest by the Antaeus myth, of a those authorities merely to show that the
certain rejuvenation obtained by a return results of hypermedication drive men into
to primitive ways. Antaeus renewed his medical scepticism. These were highly in- strength whenever he toucht his mother telligent and thoughtful men, who saw
Earth. The Hebrew was directed to return that drugging, as practised within their
to the tent of his nomad forbears every sphere of observation, did vastly more
and leave the earth untilled. harm than good. They saw that the pre
And every man who, like Mitchell, has vailing method was wrong, and they accepted it as a fact that no other method human biology of modern times, has advo
studied deeply the problems presented by was, or could be right. They had not
cated a return to primitive ways as a remtested the methods of protestant schools, edy for the ills of overwork of the mind. and they were not familiar with the
The camp-cure is now establisht as the clinical results of successful individuals
most effective known means of restoring in their school who, like Dr.
the vitality exhausted by too long and too Dumm, dared to be independent and ra
steady brain work. tional in their modes of treatment. Dr.
Work is a pleasure to well men. It is a Dumm will agree that light medication is better as long as it will do at all. We pleasure to bim who is fit, to do work be
yond the power of ordinary men. It is the want to be very sure of our ground before delight of youth in the flower of his days. we “pour in our shots hot and heavy.'
Exult, oh young man, in the strength of Outside of six or eight diseases, including thy youth. Seek far and wide for tasks particularly malaria and syphilis, I know
that will tax thy muscles. Burn the midof no ailment in which heroic treatment night oil, draw heavily on the deep fondwould be justifiable.
tain of youthful vitality, and take pride in I wish all physicians were like Dr. Dumm.
achievements beyond the reach of ordinary If they were, hypermedication, and the
men; but know that for all this thou shalt other extreme, and tissue-feeding fallacies,
give account. The day will come when and many other errors and abuses would drop back into oblivion, where they belong. thou shalt say, I have no pleasure in
success palls on you ; the evil days “wben W. C. C.
them ;'" when that fatal question arises,
“ What's the good of it all, anyway? Go Fishing.-Notes.
Then the drafts made on youth are preEditor MEDICAL WORLD :-In spite of sented for payment; the Sunday rests you his infidelity, Rousseau followed closely the have stolen from yourself must be replaced line of Biblical thought in representing with interest and penalties; and in the man as fallen from a state of pristine inno- end you are glad to find your success up to cence and contaminated by civilization.
the average. Following him a whole century of writers The man who lived longest didn't accomlike Chateaubriand, Marmontel and St. plish much else. Every one knows that Pierre furnisht the world its stock of Cornaro lived a century, but what else did thought, in glowing pictures of unsophisti. he do? Barring the value of his example, cated and most enticing barbarism. To history does not tell us of a single work this day we find constant references to this accomplisht by that century. idea, altho the belief underlying it is no A certain selfishness is every man's first longer universal.
duty; to develop his own powers, regulate Man is better for civilization.
his own life so as to get the greatest possible benefit from it, for himself and others. the imprint of vast personal experience. The doctor who wears himself out in a few My boy and I hold daily consultations years for his patients is a spendthrift; for over our fishing tackle. A man can shirk he deprives them as well as his family of heaps of work when he really puts his that golden time, the fruitful Indian sum- mind to it; and a return to a wholesome mer of his days, when the judgment com- way of living makes what he does of so ing from experience ripens his life-harvest much better quality that neither he nor of knowledge.
the public is the worse. Go a fishing, brethren. Take that boy There is a good deal in Dr. High's sugof yours and teach him the art pertaining gestions (page 230) in regard to the necesto snood and swivel, sinker and fly. Show sity of keeping phthisical patients quiet him how to net on a limerick, and teach during the febril period. The less the him to despise that modern abomination, exercise the less fever and consequent tying a line in an eye. Get acquainted waste. Moreover, fatigue seems to lessen with him, and how surprised you will be the resistance of the tissues (or the leuto find how eager he is for the knowledge cocytes ?) and a markt increase in the you can give him, and what good company tubercular invasion is apt to follow overhe is.
exertion. Patients do better if compelled But if your life is spent among country to remain in bed, even if nothing else in scenes, this will not be a rest for you. the way of treatment is done. The minute Bring him to town.
care of a really capable and faithful nurse
is of inestimable advantage to any one of “Crowded cities please me then And the busy hum of men."
those patients who require this nursing.
But, in how many cases this is after all Let him see what men do in the great hives; only the prolonging of the life of a body show him workshops, department stores, that has received already its death blow. theatres, libraries ; and let him hear some Truly has it been said that what we call of the great preachers who are well worth consumption is often merely the molecular a trip to the city.
death of a body whose stock of vitality has I have said all this before. But it seems been exhausted. We see the Aickering to me that each year, since failing health spark of life nurst carefully, fanned into taught me the lesson, and since curtail- a feeble flame, carried along with the ment of work, with rest when needed, has utmost care thru childhood and youth, restored my strength, I feel the duty of and, as early manhood is reacht, the vital preaching this doctrin to my fellow-men. force is exhausted. While the patient falls A bright Methodist whom I sometimes go into consumption, it is evident that death to hear said the other Sunday that man would have commenced elsewhere were it had really only two duties; to get con- not that the lungs presented the feeblest verted and to go out to preach. I carried resistance to the tendency to decay. The on the high-pressure system for eighteen bacillus is but an accident here. years, working about 18 hours a day, not happened in, death would have come keeping it up from waking until deep in anyhow. the night when my eyes would no longer But there is another class of consumpstay open, when I dragged myself to bed, tives, those to whom the disease has come scarcely able to climb the stairs. Then I as would have happened a broken bone. collapst; made a great resolve, cut loose, An unusually large or virulent colony of came to this wonderful city whose air has bacilli have been inhaled at a time when the stimulant properties of champagne, the body was unusually deprest, and a and settled down to rest. When I found lodgment has been effected in the lungs. that four colleges and eight lectures a week But this is no surrender. The patient is were ceasing to be restful, I cut each down fighting for his life with all the energy of to two. When being wakened in the mid- his nature. He may succeed by the dle of the night, to go out and tell a young "coddling" process, tho the chances are mother nothing ailed her baby, made me against it. But, suppose instead of this he cross, I quit it, When a lazy spell over- resolutely refuses to consider himself ill, takes me I just laze. I have gotten a
and, fever or no fever, persistently goes wheel and am fast learning its peculiari- out in the open, climbs mountains, sleeps ties. My forthcoming paper on the appli- in tents and lives the rugged life of a cation of arnica, hamamelis and other nomad. remedies for local injuries will bear on it It is "kill or cure." Some overcome the deadly foe; the strength revives, the for hemicrania. The causes modify the appetite and digestion respond to the treatment. Many cases are due to uricedemands, the fever and cough subside, the mia, and the remedy is the adoption of the pulmonary lesion cicatrizes, the tubercles vegetarian regime. Others are attributable calcify or remain encapsulated, a belea- to degeneration at the nerve roots, the soguered garrison in a victorious land, per- called inveterate neuralgias, and yield to haps in time to fall, perhaps to scatter the vigorous treatment with zinc phosphid, besiegers in some murderous sortie. These strychnin arseniate and quinin. For the are the noblest of cures, for these are the paroxysm, a scruple of chloral just after men who face death unflinchingly, yet who taking a hot foot-bath, the patient covered will only be content to die fighting.
up warmly in bed, has often given great But for one who wins thru, the hills are relief. But, latterly, I have found that dotted with the graves of hundreds who the dosimetric granules of glonoin, aconhave succumbed. It is a method that itin, strychnin and hyoscyamin, one promises success only to the few exceptional each, every fifteen minutes, till the skin individuals—death to the many. And, begins to redden, answer very well. As yet, “die we may and die we
the cutaneous vaso-motor_spasm relaxes, If it were you, dear doctor, wouldn't you the blood leaves the congested centers and rather make one grand fight for your life the pain subsides. But this does not strike than be coddled thru a few weary years of the cause, and a man who has suffered invalidism ?
from this malady so long ought to know The next article, that of Dr. Ritter, to what they are attributable. (page 230) gives another phase of the same To Dr. Warner, (page 243): A corsubject. How can you deduce rules for respondent writes me that he has succeeded the civilized woman from the customs of in relieving infantile constipation by dissavages ? The Indian woman whose sys- solving lobelin granules in water and tem is inured to hardships, exposure, administering one-tenth to one-half a and hunger and labor, may not need repose granule three times a day. The granules after child-bearing. But how can anyone had to be dissolved. This is a good remedy expect this from our delicately nurtured if the stools are too dry. Caucasians ? As well ask the portly alder
WILLIAM F. Waugh, M. D. man to go into the circus ring and com- Ravenswood, Chicago, Ill. pete with the trained athletes. Dr. Ritter's conclusions are in harmony with my
Calcium Sulfid for Phthisis. Own.
Dr. Souder, also (page 235), refers to Editor MEDICAL WORLD :-Two years the variability of resistance in the tissues ago you askt for experience and notes on of various individuals, in the production the treatment of phthisis pulmonalis with of hernias and in methods for their cure. calcium sulfid. I send notes of three cases: One cannot hope for much success in our Case I: Mrs. T., age 26, white, twoprofession until he learns to individualize.
para, youngest child 6 months old.
Was Dr. Adolphus' steel sounds are all right, called in consultation October 27, 1896. as far as they go, in treating gleet. They found her very much emaciated. Temp. open the door, let light into the dark cor- 102° F.; hectic flash; eyes brilliant and ners in which the festive gonococcus has glassy; weight 91 lbs. Without further been lurking; but what then? Does he description, will say this was a typical come out? Not much. The reflex nery. case. Made no microscopic examination ous phenomena due to the stricture may of sputa. Auscultation revealed the tinkcease, but the gonorrhea remains. And, ling, cavernous sound at apex of left lung; while zinc chlorid is sometimes of value, diarrhea; very scanty urine. I put the in more cases it fails. No urethral in
patient on calcium sulfid, 1 grain, three jection will go as far in curing gleet as the times a day, together with iron tonics, and mixture of europhen in fluid petrolatum, after bowels became costive, prescribed one part to eight; but if you wish to render pill lapаctic, S. & D. The lady began to the body uninhabitable by the gonococcus recover almost from the first, and to-day you must saturate the body with the sul- weighs 140 lbs., and looks the picture of fids. Give seven grains of calcium sul- health. fid daily till the breath has a stercoraceous Case II : Mrs. G., aet 29, white, married odor, and the task is completed.
8 years, six-para. Was called to see her Dr. Mask (page 242) asks for treatment on July 7, 1897. Found her with severe