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the doses are quite small, aconite acts as a made from Valentine's beef extract, restimulant to the sympathetic system, and peated every hour. if it is not carried too far, really slows the It is well to remark here, that these heart and reduces high temperature in vir- beef extracts are stimulants rather than tue of its stimulant powers and modifying foods, and die out quickly, and must not reflex excitements, thus bettering the con- be fed in too large quantities. Fe d a few dition of the patient.
drops in warm milk; never give alone. I have known hundreds of sick people Milk acts as a nutrient that helps to suskilled by phenacetin, antipyrin, anti- tain the powers of life. kamnia and such remedies in several of Children and aged people need nearly the epidemics of grip and pneumonia that the same kind of treatment; both are dehave visited this section of country. As ficient in recuperative powers, nor do they soon as physicians dropt these medicines stand large doses. Their food must bo and adopted a supporting method of treat specially prepared to make it suitable to ment, a change for the better came over their feeble digestive organs. Besides, their practice.
their assimilating powers are not sufThis class of cases is not attended with ficiently strong to cope against severe perso much fatality in the country, for many turbations that shock the nervous system causes. Country physicians are more in- and lower the powers of recuperation. clined to be eclectic, adopt more supporting No beef extraet eontains food properties treatment; give smaller doses ; are more to speak of, tho on account of the salts on social and friendly terms with each and extractives taken, are quite stimuother; are better acquainted with each lating. It is not desirable to administer other's way of treating diseases; have a much at a time, only at certain times better class of patients to treat, who are when life seems to hang on a very slender better fed and housed. Country doctors thread, then it may be administered, hot, are more friendly with one another, and somewhat freely to stimulate the heart and are willing to assist one another on equal the vasomotors, but too much is dangerterms, so that the alopath and eclectic are ous. It should be withdrawn after the better acquainted with each other's prac- circulation and respiration have improved. tice, exchange ideas and methods freely, If again depression and failure of the heart throwing away dangerous medicines and set in, give some more and add whisky. studying nature independent of theories. When the circulation is improved, stop it of schools, or sectarian prejudices. The for a while, only to be repeated if the failcountry physician is doing more for a ure of the heart reappears. During this rational system of practice than his city time keep the body very warm with dry brethren.
heat and turn from side to side. You may The class of cases we have been consider in this way rescue a case that would othering require a supporting, half-stimulating, wise succumb. toning method of treatment, good food and Turpentine, in 5 or 10 drop doses, reproperly prepared, plenty of fresh milk, peated every hour or two, is the best remchicken broths, prepared in the way I have edy in cases of putrid scarlet fever. In a mentioned, and fed regularly, during night very severe epidemic of scarlet fever of a and day
low typhoid type, the throat_symptoms I must here remark that the night nurs- were exceedingly severe, color of skin ing and feeding, in all these acute diseases almost black and mottled purple, throat are important and must be attended to. and tongue much swollen, thick, sticky During night the defensive powers of the mucus in the mouth and throat, tonsils economy are at an ebb, and many cases that immensely enlarged, pupils fully dilated. have little life in them may be tided thru I used turpentine made in emulsion with the perilous periods in which death stands yelk of egg and powdered gum acacia, ready to reap a harvest, if the night nurs- each teaspoonful containing 10 drops, reing and feeding are not strictly attended peated every hour, in the worst cases. to. I saved an aged woman from death The color of the skin changed and the last winter by making the night nurses eruption came out in a natural form. change her from side to side every hour Besides, the intensely high temperature
two to prevent hypostatic conges- (105° F.), fell in ten hours to 101°, and tions, and give a teaspoon or two of pulse rose in strength and stability of warm milk and good whisky, every 30 to action. In 48 hours all the symptoms had 60. minutes, and a little warm beef essence very much improved. The odor that
came from the patients' bodies during the beats feebly and the frequency is increast worst stage was very offensive; the tur- with some irregularity of the rhythm. In pentine certainly removed this stench, these cases, 5 to 10 drops of turpentine and the urine that was nearly supprest stimulates the kidneys to increast action, was increast in quantity in 24 hours. This the heart beats stronger and the rhythm was one of the encouraging signs.
is regular. In fact I regard turpentine, in Turpentine is a certain remedy to arrest proper doses, as a fine tonic to the mucous hemorrhage, especially the flow of blood membranes when this tissue is suffering from capillary vessels. I have seen it from chronic inflammation and an abnormal quickly stop bleeding from bones that oc- secretion of mucus. curred after operations, after all other Before I close I offer a formula I use known remedies had failed. I arrested often with success, in aborting boils, hemorrhage that flowed nearly 24 hours bubos that follow soft chancre, and white from a woman's breast, after a large ab- swellings. It is rubifacient, anodyne and scess had been opened and pus let out. anesthetic. It can be taken internally in The bleeding was persistent and copious; the cramp colics and painful intestinal all efforts and remedies had failed to stop troubles so frequent in summer, and for it. Finally, I saturated a piece of fine which Dr. Squibb's diarrhea and cholera sponge with oil of turpentine and intro- morbus medicine is used with much confiduced it into the cavity; in five minutes dence by the average run of doctors : the hemorrhage ceast. The walls of the R abscess granulated rapidly, leading to Oil turpentine
dr. vi a speedy cure, but the pain was severe at Chloroform
dr. vj first. Every physician is aware of the Chloral hydrate
. dr. iij very great value of turpentine in tympa- Gum camphor
dr. ijss nites in the middle and last stage of ty- Mix, dissolving all the ingredients. phoid fever.
But it often fails to cure the It is good externally and internally. tympanites, because the dose is too small. Turpentine is a powerful antiseptic and the
I have often increast the dose from 10 others are noted pain-killers. drops to a teaspoonful, and in some cases The dose is to 10 to 20 drops in water. have administered a tablespoonful after Children can take 3 to 5 drops. Repeat smaller doses had failed, with positive and as often as required. beneficial results. I have seen only one
Dr. Jos. ADOLPHUS. case in which turpentine in typhoid fever South Atlanta, Ga. in large doses caused untoward symptoms when it was administered for tympanites.
Discussion of Brain Pathology. When the mucous membrane in typhoid Editor MEDICAL WORLD :-B. P. Wilson, fever secretes a large quantity of mucus M. D., in WORLD for July, page 277, dealong with the "pea-soup” or “ scraped- scribes a case of convulsions followed by beef” stools, recurring often, turpentine is loss of memory, and requests a diagnosis. the remedy, tho there be no tympanites. The train of symptoms delineated in the In mucous diarrheas and in those septic case suggest various well-known pathologdiseases accompanied by glazed, dry, ical conditions, the influence of any one of cracked, red tongue, with sordes on teeth which may sometimes give rise to their and gums, turpentine is the remedy; and production. Some among these diseases it is best given in emulsion made with yelk after slight reflection may be eliminated of egg and glycerin. The dose should be from consideration; but the degree of 5 to 10 drops in 20 drops of emulsion, re- probability in favor of the presence or abpeated every hour or two. I regard turpen- sence of others can be determined only tine in these cases as nearly specific. Yet after more elaborate analysis. Foremost close attention must be given lest it cause among diseased conditions liable to proirritation of the genito-urinary tract. As dace similar signs may be mentioned the soon as any such symptom presents, stop following: Cerebral hemorrhage, cerebral the medicine and give plenty of mucilagi. embolism, cerebral thrombosi, simple nous drinks.
(serous) apoplexy, congestive apoplexy, Singular to say, turpentine is a valuable cerebral tumor, cerebral abscess, menindiuretic in what we call atonic states of gitis, epilepsy, uremia. the system, and one of the symptoms is Uremic convulsions, even in renal cirinuch diminisht action of the kidneys. rhosis, of all the forms of Bright's disease There is not much if any fever, the heart the most insidious, rarely produce an apoplexy in the absence of premonitory symp- under consideration, were diagnosticated toms. The unconsciousness seems to have by the older writers as congestive apobeen of a more profound and continuous plexy. Vasomotor changes were held retype during and between the convulsive sponsible for a sudden determination of paroxysms than may be expected from this blood to the brain, in quantity sufficient cause, and convulsions caused by an ex- to produce the stroke. In a few hours cess of urea in the blood would hardly the apoplectic symptoms subside and next have terminated so completely, abruptly day the patient may appear none the and permanently unless treatment suit- worse for the experience. Cases grouped able to the elimination of the urea had under this category diminish in frequency been instituted.
as methods of pathological research beThe condition of this patient was in come more exact. The best of authority, many respects similar to the condition not however, for believing a few cases actually infrequently found in epilepsy and known due to congestion, prevails. But the as the status epilepticus. With no great opinion is now widespread that the constretch of the imagination, the vertiginous vulsive (epileptiform) type is never due to attack which ushered in the first convul- simple hyperemia. So in the light of the sive seizure might be regarded as an epi- most recent knowledge, still further search leptic aura. The apparently normal sleep for the diagnosis is required. noted subsequently to the series of spas- Simple apoplexy is a designation for a modic paroxysms was precisely similar to stroke occurring in old persons, usually the post-paroxysmal somnolence of idio- recovered from in a few hours, no brain pathic epilepsy, and the forgetfulness man- lesion subsequently discoverable. In such ifested the following two days was very persons retrograde metamorphosis has nearly akin to the dazed, semi-conscious produced atrophy of the convolutions, and mental state observed in many epileptics nature has provided an increast secretion for some time after the severer explosions of serum, in order to equalize intracranial of the disease. However, contracted pu
However, contracted pu- pressure. As no lesion can be found, the pils contraindicate epilepsy, as does the serum formerly was held responsible, and flusht face which soon gives way to livid- the affection called serous apoplexy. The ity. The idiopathic disease developing in face is pallid, the circulation feeble, cona patient seventy-six years of age is prac- ditions that differentiate the trouble from tically unknown. The status once set up the case under consideration. does not cease in four bours. Altho the This narrows down the range of probinitial epileptic explosion may be a very ability in diagnosis to one of two condisevere one, it does not assume the form of tions: brain hemorrhage or brain softenthe status epilepticus.
ing. If the latter, which was it due to, The severe convulsions, contracted pu- embolism or thrombosis? Here again the pils, flusht face, and particularly the ex- cardiac strength leads to the belief that treme retraction of the head, amounting in the formation of a thrombus was quite this case almost to opisthotonos, picture a improbable. It is also unlikely, in the condition met with at times in meningitis. absence of any history of cardiac disease But the limited duration of the attack, the or other source for the production of an absence during the whole period of delir- embolus, that the mischief resulted from ium and the normal temperature combine embolism. Could a thrombus from the to exclude any form of meningitis from the veins of the affected axillary region or a diagnosis.
lymph clot have reacht the brain? Not The case presents some resemblance to unless small enuf to have traverst the the convulsions met with in the course of pulmonary capillaries. Even then, sympintracranial growths and cerebral abscess. toms of greater duration, purulent softenBut many of the general indications of ing with febril disturbance, must have these diseases, as vomiting, intense head- resulted from its more or less septic ache, continuous but characterized by nature. If a cerebral artery is obstructed, agonizing exacerbations, impairment of as a result of septic infection of the genvision, due to optic neuritis or consecutive eral system, either secondary pulmonary atrophy, as well as the manifold disturb. abscess or endocarditis furnishes the em. ances of function in the various cranial bolus. The conclusion therefore is that nerves from pressure on or absorption of the patient's symptoms of brain disease their structures, are not in evidence. were due to a minute cerebral hemorrhage.
A good many cases, similar to the one It is now well known that a minute lesion, a hemorrhage or small spot of sciousness, stertorous breathing, long.consoftening may occur in some parts of the tinued and oft-repeated convulsions. The brain and give rise to only transient and combination of symptoms constitute a general symptoms. The patient's age (76), picture of impending death, but on the weight (200 lbs.), plethora, florid face and following day the patient may appear none cardiac strength all combine to render the worse for his experience. Such a case this diagnosis decidedly probable. The causes the medical novice in an asylum to loss of memory may be supposed to depend exclaim, mentally at least, “Will wonders on the general irritation of the cerebral never cease !'' In the existing state of cortex, the receptive centers, which are knowledge we believe a positive diagnosis supposed to be widely distributed thruout of the case impossible, but think that the cerebral cortex, recovering from the herein outlined highly probable, and feel disturbance of nutrition, in this instance reasonably well assured in prognosticating less readily than the others.
the occurrence of similar attacks in this The seat of the lesion is a matter of patient, which may serve to emphasize the considerable interest. Convulsions indi- diagnosis. W. P. CRUMBACKER, M.D. cate irritation, not necessarily direct, of Athens, O. the motor cortical cells. The lesion hav. ing irritated the neurons in the immediate Place Taxation Where It Should be Borne. locality to a discharge of nervous energy, The following press despatch will be of inthe discharge itself in turn becomes the
terest : source of irritation to adjacent cells. The
Washington, July 13.-It is altogether probable that discharge spreads by direct extension to the next annual report of the Internal Revenue Bu
reau will recommend a number of changes in the the cortical motor region, producing local War Revenue act. In the main the law has workt or general convulsions varying with the satisfactorily, and has produced almost exactly the
amount estimated by the Commissioner. This, howdegree of irritation and the susceptibility ever, was something less than the estimates generally of the cortex to discharge nerve force.
accepted by well-informed members of Congress.
The internal revenue officials are of the opinion that Contracted pupils suggest the pons Varolii the law might properly be extended in certain direc
tions without becoming at all burdensome to the pub. as the seat of the lesion, but a lesion of the
lic, and in a way to produce a considerable revenue. pons so small that neither palsy nor anes
One of the propositions pow under consideration is to
assess a tax on the sale or rental of all patent prothesia is produced could hardly cause such tected articles. In speaking of the matter to-day,
one of the officials spoke of the telephone companies severe convulsions. The convulsions ap- in this connection, and at the same time said that pear to have been general, but far more
there were many inventions producing an enormous
profit which could well stand a revenue tax. severe on the right side, which justifies It probably will be suggested to Congress that ex
press and telegraph companies doing a money exthe supposition that the lesion was situ- change business be required to pay an annual tax for ated in the cerebral cortex, on the medial
the privilege. Altho taxes are now paid on receipts
and telegrams respectively, the customer does the aspect of the left hemisphere. It was paying. It is probable that each express office and
telegraph office in towns having over a certain popumost likely a small hemorrhage in the lation, if the views of the Treasury officials are apparacentral lobule, a rupture of a minute
proved by Congress, will be required to pay a certain
yearly tax for the privilege of doing an exchange ramification from the second branch of the business.
Section 20 of the War Revenue act, defining what anterior cerebral artery. This lesion may sball be taxed under Schedule B has been a source of have caused a discharge of nervous energy,
much trouble to the internal revenue officers. Por
instance, the whole group of coal tar extracts have which at once irritated the adjacent cor- been decided by the Courts to be not subject to the tax.
A pound of phenacetin costs in Canada, it is said, responding part on the right side. The
from 12 to 15 cents, and yet in the United States the explosion may have extended from these price is uniformly $1.00 a pound. This drug, it is
thought, could well stand a heavy tax. two sources, until the entire motor region
The last paragraph is of chief interest to doc-the ascending frontal and ascending parietal convolutions—of each hemisphere enjoy the protection of our patent laws, will not
tors. If foreign manufacturing chemists, who was invaded, the extension spreading so rapidly that the convulsions, in reality of
sell their products to us as cheaply as to Canadilocal significance, appeared general.
ans, we should tax them for the difference. Cases very like the one described are
Now we protect phenacetin and kindred preparaencountered not infrequently in large tions by our patent laws, but do not tax it at all, State hospitals for the insane. Apoplecti- for by a strange decision, it is relieved from all form and epileptiform attacks occur among war taxation, while every cough mixture or box the victims of paretic dementia almost of pills is required to bear a war revenue stamp. daily. Congestive apoplexy and simple We tax ourselves but protect the foreigner, and apoplexy, so called, are occasionally met at the same time this same foreigner charges us with. Aged males, especially, are subject several times as much for the same article as is to attacks characterized by sudden uncon- charged in Canada.
Are we crazy?
is simple, but very painful; hence cocain
anesthesia is necessary.-ED.] Questions are solicited for this column. Communications
not accompanied by the proper name and address of the writer (not necessarily for publication) will not be noticed.
Bright's Disease. The great number of requests for private answers, for the in. Editor MEDICAL WORLD :- I would like
formation and benefit of the writer, makes it necessary for us to charge a fee for the time required. This fee will a little assistance in the following case: be from one to five dollars, according to the amount of Patient, a little girl aged three years, research and writing required.
fairly well nourisht, of healthy parents Editor MEDICAL WORLD:-Will some living on a farm. Was taken about the one give the best formula for the injection first of August, 1898, with what was suptreatment of hemorrhoids?
posed to be a slight cold. I was called. I Can you give the prescription used in prescribed, and she seemed to get all right. the Daney treatment.
But about the middle of September followBoone, N. C. T. C. BLACKBURN. ing, not being so well, the parents, acting
upon the advice of friends, took her to Editor MEDICAL WORLD :-THE WORLD another doctor, who examined her urine has been a valuable helper to me four years. and found it loaded with albumin. He Will you please answer the following treated her continuously up to April, 1899. query? A woman aged 32, German, the without any apparent benefit or lessening wife of a farmer, two years ago while help of the albumin, when they returned to me ing her husband haul bay got caught in for further consideration of the case. Now, the rigging some way and was thrown over I have not been able to ascertain what a fence, falling on her face and left breast. treatment the child has had all this time, No bones were broken, and she was up but upon examination I found fully twentyin a few hours; but since that time she has five per cent. albumin. I have put her complained almost continually with pain upon etherial tr. of iron and nitro-glycerin in her chest, changing from place to place, with an exclusive diet of milk. There is remaining in any one place only a short no history of febril trouble-diphtheria, time.
scarlet fever, etc. There is no deformity or local soreness, What will I do to stop this waste and no trouble with heart or lungs, and her benefit my patient? If I have not made general health is good. Please help me on the case sufficiently plain, I would be glad this case.
to answer any questions. What is the best all-purpose electric Bad Axe, Mich. M. C. McDONNELL. battery for a country physician ? Shedds, Oregon. A. Á. Higgs, M. D.
Editor MEDICAL World:-I wish you Lack of Sexual Passion in Women. would call for a general write up Editor MEDICAL WORLD :--I have a lady Bright's disease. Your thousands of active, patient 39 years of age, married, three practical, progressive readers must have children, 15, 10 and 5 years of age, excel- gained some new points over the text-book lent physique; lovely, lovable and loving treatment in the last few years. I have Husband and wife in perfect accord. She some cases of interstitial nephritis on hand has never experienced any sexual desire which worry me, and I wish the brethren or pleasure; is simply pleased with hus- would help me, thru the grandest medical band's embraces because it gratifies him. journal of them all, THE WORLD, or by Can anything be done in the way of medic private letter. What is best for the concal treatment or by electricity ?
gestion of the kidney ? For the low spe
VERMONTER. cific gravity (defective eliminations)? For [We do not see how electricity can do the high-tension pulse? What of diet. any good. Dr. E. P. Bernardy, of this medication, climate ? city, a few years ago read a paper before
J. T. WALLACE, M. D. the Philadelphia Co. Med. Society, in Oakesdale, Wash. which he gave as a reason for lack of pas- [Doctor, suppose you lead out with what . sion in women, a condition analogous to you have gained from the text-books, girphymosis in the male. He has establisht ing some of your most puzzling cases up normal passion in a number of cases by to date. Do you make any external apuncovering the glans clitoris, and making plication, as a plaster, or a pad for warmth: it entirely free, so that it will come in con- This simple thing is usually over-lookt tact with the male organ. The operation and neglected because it is so simple. It