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antiseptically treated vegetables. Saw patient eight months afterwards, pulse and temperature normal. The mother was delighted, so much so she intended later on to send her to the Normal College. Flirtus muchus marii young earlius.

CASE IV. Miss J. A. G., weight 246 pounds, eyes black and blue, complexion blue and black, hair dishevelled. A clear case of whoop-la. Been so for ten days. Upon close questioning ascertained she had been drinking whisky quantitatus gallorum. At once began treatment by lessening the quantiti quantus gallorum, limiting the same to no more than two pints per day. She came to the office next day-no signs of Paralysis. A well defined case of Smachi Furnituri. I was much pleased with this case. Showed treatment had markt effect.

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Practical Points.

Hypo-Substitute for Opiates.

Dr. Obe F. Watlington, of Memphis, Tenn., writes in the Medical Brief: "I have in my possession a hypodermic alkaloidal solution, which is a specific in drug addictions (opium habituation, alcoholism, etc.) On receipt of a two-cent stamp, I will take pleasure in furnishing any of the medical profession with the formula, by the use of which a number of the fraternity have been enabled to cure themselves of opiumism, alcoholism and insomnia. I used morphia hypodermically for ten years. Obtained a perfect cure by this prescription."

Never neglect to read Paike, Davis & Company's advertisement on the last page. If you do, you are sure to miss something of great value to you.

Do you prescribe hypophosphites in conditions requiring up-building? If so, "Fellows'" is

the thought that comes at once in your mind. Why not make your test of this preparation thoro? Write to the firm and mention THE MEDICAL WOorld.

Armour's Peptonized Beef is "walking right along" in the favor of the profession. Have you tried it? Better write the firm and mention THE WORLD.

Woodruff's preparations are old "stand bys" lisht, the firm samples liberally, and it would and are in steady demand. Altho so long estabpay you to read their advertisement on another page and write them in accordance.

If there is anything in antisepsis, there must be much in Listerine. You must have proved its value. Write the Lambert Pharmacal Company about it, and don't forget to mention THE WORLD.

Resinol for pruritus-"nothing better," is the verdict of the rank and file of medical men. Write the firm for a sample and tell them you saw it in THE World.

Hydrozone and Glycozone are too well known to require pushing, yet it might be well to call the attention of physicians to the sample clause in the advertisement elsewhere. Read it and profit thereby.

Kennedy's White Pinus Canadensis gives perfect satisfaction in gonorrhea and gleet; have used it in cases within the last six months that resisted all other remedies. Have also used it successfully in cases of leucorrhea and ulceration of the os uteri.-J. R. Wilcox, M. D., Colorado Springs, Colo.

If physicians will report to The Dios Chemical Co., St. Louis, Mo., such druggists as attempt substituting their products, it will be considered strictly confidential and their name will in nowise be mentioned. Dioviburnia and Neurosine have gained favor sufficiently to fall under the work of the substitution fiend, a proceeding the company is determined to stop.

The Waugh Abbott preparations have an assured place in the regard of the profession. Any one who has not already substantiated their merits can have opportunity for doing so by writing for samples. Do not neglect to mention that you read the advertisement in THE WORLD.

Colden's Liquid Tonic and Hydroleine are valuable therapeutic agents. Read the advertisement on another page and write concerning them.

Henry's Three Chlorids may meet the indication that has puzzled you. You cannot afford to neglect to investigate them. Write the firm and mention THe World.

Angier's Petroleum Emulsion is without a peer in its peculiar field. Write the firm concerning their advertisement on another page and

mention THE WORLD.

Nothing will better build up a patient suffering from the depressing effects of grip and other diseases peculiar in winter, or better tide the tuberculous invalid over the trying months of February, March and April, than proper climatic environment. In no place in America can all (Continued over next leaf.)

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Elix. Cascanala 3iv-x) Indicated in all skin Diseases, Chronic Constipation and disorders of Digestion etc.





I have found the Elixir Cascanata a very efficient remedy in chronic Eczema. I often prescribe it, and have always been gratified with the results obtained.

T. J. WOOLDRIDGE, M. D., French Hay, Va.



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A valuable and effective remedy for Acne. Prevents the recurrence of Eczematous and other skin troubles. Unsurpassed for shampooing, preventing the accumulation of dandruff and falling out of the hair. An excellent antiseptic soap for the puerperium.

For sale by all Druggists.or sent on receipt of price. ~RESINOL CHEMICAL CO. BALTIMORE, MD.


indications for healthful surroundings be better met than at Old Point Comfort. Physicians sending their patients to the Hygeia Hotel, advertised elsewhere, will have reason to congratulate themselves on their course. Write for fuller particulars and mention THE WORLD.

Phenalgin is well recommended in grip, used in combination with quinin. It is claimed to be free from the depressing effects of the other members of the coal tar group. Read the advertisement of the Etna Chemical Company in this issue; ponder on what it tells you, and then write them for samples, that you may give it a fair trial, mentioning THE WORLD.


Formaldehyd is without a rival in the field of WEEKS DRUG AND CHEMICAL CO. aerial antiseptics. The Sanitary Formaldehyd Regenerator, which is now so largely employed by the Boards of Health of the United States and Canada, employs the commercial solution. Recently this apparatus was very much improved. It is portable, non-explosive and speedily operated. A brochure recently issued by H. K. Mulford details of work

and crucial tests. The brochure will be supplied THROAT TABLETS

on request if you mention THE

Special $1.00 Offer

On receipt of one dollar we will
send, post-paid,

When coughs and colds are prevalent is the time to consider such therapeutic preparations as Terraline, a food, antiseptic reparative and gastro-intestinal lubricant, accelerating intraorganic oxidation with especially gratifying results in the depressed conditions attendant upon grip. Samples and literature will be sent by the (Continued over next leaf.)

One Hypodermic Syringe

together with

1,000 Aloin and Strych. Comp. Tablets

Each containing Aloin, 1-5 grain; Ext Belladonna, 1-8 grain; Strychnine Sulph., 1-60 grain; Ipecac, 1-6 grain.


On receipt of one dollar we will send, post-paid, One SelfRegistering Fever Thermometer with Magnifying lens, in an aluminum case, together with 1000

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Mydear doctor:
If you have a similar case
Fry it

up the doctor stated that as his wife was suffering from an attack One
the of nervous prostration with an irritable condition of the on th
long ti
, and stomach, he decided to at once have some of ESKAY'S ALBUMEN pelago
to put IZED FOOD administered to her hot. Previously everything she to that
praise. had taken had been rejected by the stomach and this was the interest
Leeds' the first thing that was retained. No subsequent vomiting inform
Puer- ensued and she made a splendid recovery.
He further stated that she liked the food so well that she is with t
mes continuing to take it for her breakfast and regards it as a great tion.
our luxury.

ers of


The Medical World

The knowledge that a man can use is the only real knowledge; the only knowledge that has
life and growth in it and converts itself into practical power. The rest hangs
like dust about the brain, or dries like raindrops off the stones.—FROUDE.

terror, and yet any one of these is less

The Medical World surely, if more rapidly, fatal, than pulmo

nary tuberculosis, and should be guarded against and investigated with a view to prophylaxis in no greater degree.

Turn where one may, the "great white plague" is in evidence. The statement has been confidently made that one-third of all mankind are or have been affected with tuberculosis, and in this statement diseases of the bones and joints and affections of the skin and glands and various other depots of infection were not included.


Subscription to any part of the United States and Canada ONE DOLLAR per year. To England and the British Colonies, FIVE SHILLINGS per year. Postage free. Single copies, TEN CENTS. These rates must be paid invariably in advance.

Editor and Publisher

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Pay no money to agents for the journal unless publisher's
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In 4,250 necropsies made in one year in the city of Breslau, gross macroscopic lesions were found in 1,393, or at least onethird of all the cases that came upon the post-mortem table. Another investigator, Biggs, found characteristic lesions of the lungs in 60 per cent. of all the autopsies conducted by him, and of the cases on which post-mortems were held at the Paris Morgue, in 1894, 75 per cent. showed the lesions of pulmonary tuberculosis. As many cases show lesions only under the microscope, and others recover without lesion, it is quite evident that there is little danger of over-estimating the importance of the disease, either in regard to frequency or the variety of its lesions.

General belief in the profession is that tuberculosis, latent, active, or the remains of previous lesions, is present in about two-thirds of all bodies. Investigation made with a view to determine the point, showed that in the bodies examined, evidence visible to the naked eye of the existence of tuberculosis was present on 66 per cent., was the cause of death in 53 per cent. of these, and was latent in 41 per

cent., while it was of great importance in 6 per cent. In the cases of non-manifest tuberculosis, almost every other body examined showed a concealed depot of infection. These numbers, astounding tho they are, must be regarded as low, however, as the examination was grossly anatomic, the microscope not being used at all, and because, even with the most critical examination by an expert, concealed depots can be overlookt. Hence numerous writers and investigators believe that the disease is practically general in its scope of the human race, and that the individual absolutely free from the tuberculous taint, would be very difficult if not impossible to find.

The reason that the rate of the number of cases varies according to the different authorities, is to be ascribed more to the differing methods of examination than to the difference in frequency of occur


The more quickly fatal cases are now supposed to be instances of mixt infection. The tuberculosis in the body is invariably due to a single definite cause, the existence of the tubercle-bacillus, and is an absolutely specific process; it is almost invariably associated with some other affection. It is now generally recognized that the whole character of phthisis was not determined by the discovery of the bacillus tuberculosis, since it is known that tuberculosis of the lungs is not a pure process. This thought was developt from the fact that in order to obtain a pure test-tube culture of the bacillus, the air must positively be entirely excluded. The next step was the recollection that this exclusion of the air does not exist in the lungs, the bronchial tubes being opened to the air and exposed to constant contamination. Hence, tuberculosis as it exists in our patients is an essentially different process from that obtained by means of the laboratory cult


These complicating infections are generally secondary, and may be considered in some degree as wound infections. The

steps in the process may be described, first, an inherited delicacy of constitution, the diathesis of consumption, enabling easy invasion by the tubercle-bacillus ; second, the invasion and destructive processes of the bacillus, forming the "wound;" third, the invasion of the wound by the streptococcus or other virulent organ


When it is considered that the hectic fever which is so characteristic of phthisis presents exactly the same characteristics as the septic fever following upon any infection of a septic nature, the solution of many of the problems in pulmonary tuberculosis that have led to so much controversy, and with some, to repudiation of the doctrine of the tubercle-bacillus as a causative agent of consumption, will be readily understood. The fever of consumption has its sudden evening elevation followed by sweats of an exhausting nature and later by morning remissions of temperature. This is identical with the pyrexia of erysipelas, of puerperal fever, and of all acute suppurative processes in which pus-producing organisms, and, notably, the streptococcus, play a part.

In the pursuance of this idea, conclusion follows that the destruction of tissue so universal in tuberculosis is possibly due to coexisting bacteria of a pyogenic nature, and that the hectic fever is caused by these, and is but a manifestation of a septic process. We are then in a condition to rightly consider the matters of heredity, the predisposition to attack, the best modes of prevention, and the best modes of treatment. Inquiry should be directed to ascertaining the origin of the delicacy that lessens resistance to disease, the mode of conveyance of the infecting principle, and the best modes of combating these dangers. Treatment of the developed conditions can be studied later.

Phthisis or Pulmonary Tuberculosis.

Phthisis may be defined as a specific inflammatory disease of the lungs, caused primarily by the bacillus tuberculosis, and

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