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has precisely the same effect as uric acid, and remain free in every sense. In the sitting hence has come to be a favorite domestic position, on the contrary, the contraction remedy for headache. When used habitu. is very evident; the legs are flext on the ally, however, as will readily appear, the thighs, and these latter on the pelvis, and effect must be to cause a storing up in the in general they cannot be straightened out body of uric acid and urates, thus laying beyond an angle of 135 degrees, and somethe foundation for chronic rheumatism and times even to 90 degrees. At the same the various allied conditions which have time the stiffness of the neck becomes their foundation in the so-called uric acid much more markt in this position. No diathesis, or lithemia.-Editorial in Good satisfactory explanation of this phenomeHealth.

non has been given, but the sign is of con

siderable value in obscure cases of meninClimatic Cure of Tuberculosis.

gitis.--Med. Press and Circular. Much has been written about the cli. matic cure for tuberculosis, but few com

Instant Relief of After-Paios. prehend its full value.

Winterburn says: In many cases a nice Patients, in order that they may derive warm meal is better than any medicine; the full benefit from the climate, should be still, where the pains are exhaustingly sent, if possible, while the disease is still in

severe, I turn to amyl nitrite. This potent the early stage. Many are the cases of so- drug is a very efficient controller of aftercalled bronchitis that have waited and pains, and, used cautiously, I see no reahoped, growing worse daily. Then, as a

son to apprehend harm from it. A neat last resort, the attending physician sends way of using it is to saturate a small piece the patient, now a hopeless wreck, to the of tissue paper with five or six drops, stuff climate that would have given health and this into a two-dram vial, and request the strength earlier in the disease. Too much

patient to inhale the odor when she feels stress cannot be laid upon the necessity of the pain coming on. It acts with magical sending these cases while in the first celerity.-Louisville Med. Monthly. stages. The writer has seen so many cases sent away from home to die in a few

For Urticaria. days or a few weeks among strangers.

Ord has found strophanthus, in five Some, perhaps, more fortunate, realizing drop doses, almost a specific in the chronic their condition, return against the physician's advice and pass away at home.

forms of urticaria. It is particularly in

dicated in the anemia of young women, If all cases were sent away from home at once it would materially lessen the physi- especially if there is accompanying cardiac cian's income. But is the true physician

weakness with palpitation.-Med. Times. to consider this? He is licensed by his State and alma mater to practice medicine

Dr. J. C. Lightfoot, of Alvaton, Ky., refor the good of humanity. He is pledged

ports a patient who has been “tapped” virtually to do what is best for his patients, forty-eight times, 480 gallons of fluid, in regardless of his own consideration from a

all, having been removed.

“Her lungs, heart and kidneys are permonetary view. Many more of these cases would recover than at the present

fectly healthy." (?) time if sent to these resorts early.

“My patient complains only of the inThe

convenience accompanying the periodical physician cannot conscientiously refuse to do this.-Charlotte Medical Journal.

tapping, which deters her from social pleasures.'

Quite a gay and aqueous girl.-Med. and Pathognomonic Sign of Meningitis.

Surg. Monitor M. Netter, of Paris, reports having studied carefully the sign of Kernig in 25 Experience has shown that the use of cases of meningitis in children and found solution of mercuric bichlorid of carbolic it only absent in two patients. As is acid for irrigation of the peritoneal cavity known, this sign consists in the flexion of must now be unhesitatingly condemned, the limbs in the sitting posture. In the not only on account of the local necrotic majority of cases of meningitis, said Mr. effects which are produced, but also beNetter, when the patient is in the dorsal cause of the more or less grave symptoms decubitus there exist no contractions of of general intoxication which have been the extremities. The articular movements time and again observed.—Hunter Robb.

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A Point in the Treatment of Hemorrhoids.

Uremic Ulcers of Intestine. Sims (Maryland Medical Journal), liga- According to Virchow a diphtheritic ultures the piles in the usual way, then cuts cer is one beginning with superficial scabthem off close to the ligature. The edges bing of a mucous surface, and after casting of the mucosa are then sewed together off the scab leaving a permanent loss of with cat-gut over the stump, so that the tissue. Uremic ulcers, which belong also raw surface is entirely covered. By this to this category, are essentially charactermeans the risk of suppuration, and the ized by their situation, and then by their suffering, are reduced to a minimum. An extent superficially and in depth. They antiseptic dressing is applied. The bowels are principally met with in the small inare moved four days later by salines and testine, whilst those connected with dysenan enema. The results of operations thus tery and mercurial poisoning mainly affect carried out are most satisfactory.

the large intestine. Uremic ulcers often

penetrate deeply, and present some resemCreosote in Constipation.

blances to typhoid ulcers before perfora

tion. In an advanced case, preparations According to the West London Medical of which were shown, and which proved Journal, creosote may be administered in

fatal from granular atrophy of both kiddrop doses, twice daily, after breakfast and

neys, the small intestine from the jejunum dinner, for constipation. It should not

downwards was covered with ulcers of this be prescribed in capsules or pearls, but kind, so numerous that scarcely a centimeshould be taken in milk, beer, wine, etc.

tre of sound surface was left in one place. After a few days the dose should be grad

The pathologic process begins with, first, ually increased to seven ininims twice

superficial, followed by deeper necrosis, daily.

and not associated with the lymph appa

ratus. In appearance it resembles a superAn Ointment for Pruritus.

ficial cauterization from some fluid caustic. The Journal de Médecine de Paris, for When in cases of more or less sudden April 10, gives the following formula:

suppression of the renal function or of B

paralysis of a highly hypertrophic left venNeutral lead acetate

10 parts.

tricle which has played an important part Cocaine hydrochlorid 15

in the excretion of urine in the case of White vaselin

. 300

contracted kidney, large quantities of uriM.

nary salts find their way into the bowel,

ulcers are found in the bowel, superficial The injection of a glass syringeful of at first, then passing on to deeper necrosis, lemon juice into the nose after it has been they may fairly be designated as uremic cleansed of clots, will stop bleeding after

ulcers.-Med. Press and Circular. everything else has failed.-Med. Summary.

I believe that divulsion of the sphincter

is a very wise thing to do in many condiGlasgow's infection hospital is one of tions, and I believe it is a means of curing its finest features. It is a suburban park,


or abolishing or destroying many forms of with beautiful grounds and well appointed,

hemorrhoids, especially the more superfiattractive buildings, accommodating 1,000 cial ones, particularly about the sphinc. patients. The horror of the pest-house is ter and muco-cutaneous border.-B. M. taken away, and this has stopt the con

Ricketts. cealment of infectious cases which formerly baffled the efforts of the sanitary depart

In genuine felon, true paronychia, which ment in stamping out epidemics.-Com- does not early abort of itself, penetration monwealth.

to or destruction of the diseased process beneath the periosteum alone will save the

affected joint or cut short the inflammaThe chief advantage of vaginal incision

tory changes.-T. H. Manley. and drainage is that it lessens the serious. ness of operation by abdominal section, and when the indications are such that Nitrate of silver stains can be removed the operation can be done thoroly, there is by rubbing with a cloth wet in one part no question that it is much to be preferred each of corrosive sublimate and ammonium o the abdominal route.-E. N. Liell. chloride to eight parts of water.

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Aseptic Surgery in Country Houses.

eral secretion, or in cases of abscess caviDr. C. K. Ladd (Pacific Med. Journal) ties communicating laterally or incomdescribes the procedure in a case of ap- pletely with the bronchi, or of cavities pendicitis: Water was boiled in a large with irritating contents.

with irritating contents. It may be diffiboiler and cooled. The patient's abdomen cult to distinguish between these conditwas shaved and washed first in yellow ions in practice, and this mode of treatsoapsuds and afterward in permanganate, ment may help in the diagnosis. The followed by oxalic acid. Solutions were

number of suitable cases is not large, but made in porcelain wash-basins, which had at times the results are remarkable.—Gailbeen scalded before using; the towels used

lard's Med. Journal. were baked in an oven and afterward wrung out of a strong solution of mercuric The Craig Colony Prize for Original Research chloride in boiled water. The author and

in Epilepsy. one assistant prepared their hands and The president of the board of managers arms as usual and were covered with of Craig Colony offers a prize of a hundred aprons of baked sheets, tied around the dollars for the best contribution to the neck and body by means of bandages. In- pathology and treatment of epilepsy, origstruments, ligatures, etc., had been boiled inality being the main condition. The in a solution of soda and water. “ It is prize is open to universal competition, but almost impossible," says the author, “to all manuscripts must be submitted in Engprevent interested friends from taking the lish. All papers will be passed upon by a temperature of the boiled water by plung- committee to consist of three members of ing their hands in it, and their propensity the New York Neurological Society, and to wipe out aseptic basins with their the award will be made at the annual aprons is absolutely incurable." ' The meeting of the board of managers of Craig burning of from seven to ten lamps gives Colony, October 10, 1899.

Each essay the heat of a Turkish bath ; these must be must be accompanied by a sealed envelope placed high above the ether vapor.

containing the name and address of the

author and bearing on the outside the The Treatment of Bronchitis.

motto or device which is inscribed upon

the essay. The successful essay becomes In bronchitis, as in the case of collections

the property of the Craig Colony, for pubof pus, the object of treatment is to facili

lication in its Annual Medical Report. tate the draining away of the exudation. Manuscripts should be sent to Dr. FrederThis is, however, possible in bronchitis

ick Peterson, No. 4 West Fiftieth street, only to a limited extent. Cough, and es

New York, on or before September 1, pecially the act of vomiting, assists to this

1899. end. The same object has been attempted by means of the elastic corset, respiratory

Extraordinarily Acute Case of Graves's exercises, etc. Often in the early morning

Disease. the bronchitic brings up a large quantity of sputum by the help of more or less per

E. H. Sutcliff (Lancet, records the case sistent coughing. At this time the patient of a woman, thirty-three years old, whose

mother died of cancer. A sister had curyshould lie as flat as possible for a couple of

ature of spine. hours, so as to assist the draining of the

The patient had had gecretion into the large bronchi, and hence

three severe confinements, which greatly

She had all its expectoration. The patient becomes depresst the tone of health. accustomed to the position, even though

the usual symptoms of the disease. Three

weeks before death she vomited everywith some difficulty, and can expectorate by turning the head to one side. After a

thing; took no food, as rectal feeding was few days the foot of the bed may also be

not allowed ; and could sip little water. raised from eight to twelve inches. In shortly after this persistent vomiting suitable cases in from two to four weeks

supervened, the pulse was 200, a very

troublesome and painful cough developed, there is a considerable diminution in the sputum. This mode of treatment is adap

and the pharyngeal and laryngeal muscles ted to cases of chronic bronchitis which

became paralyzed, causing choking from have led to a cylindrical or sacculated taking water. The patient died three bronchiectasis in the lower lobes of the

months after first symptoms. lung. It is of no avail in cases of diffuse,

WORLD one year and Dr. Waugh's book, $5. You need them and especially recent, bronchitis, with gen



each if equally divided. This startling fact seems Charges are constantly made against to be entirely lost sight of by the editorial writers medical men which are most easy to bring

on our great daries, and equally hard to refute, 60° that the

The extension of popular education has been

one of the most distinguished achievements of matter is usually fought out in court. At

the nineteenth century, particularly in this counfirst sight it might often seem worth while try. Regarding this I wish to say a few words. for a medical man to submit to blackmail; The three r's, reading, “riting” and “rithlegal proceedings are very long, always metic,” were formerly considered the essentials expensive, and in cases of this sort not

of an education, and they were considered quite

sufficient for the average man. But we now very particularly pleasant for the defending plainly see that what were considered essentials side. Small wonder, then, if the busy are not an education, but the means by which an practitioner is sometimes tempted to buy education may be acquired. One who can read silence at the price demanded. It is a

but does not read is scarcely better off than one who temptation, however, to which he rarely prising and progressive (as they have thought),

cannot read. Our educators have been very enteryields, for he knows very well that the

and have led their pupils—children of the masses, blackmailer is a very vampire, who returns in our public schools-into fields of study heretotime after time until he has drained bis fore entered only by specialists. Geology, botany, victim dry, so that unless he is met and zoology, psychology, mythology, etc., are a few of fought at the outset he becomes more and

the many burdens prematurely loaded on our inno. more difficult to shake off. Everyone

cent and misguided youth, while the actual world

of industry going on around us constantly is should remember this point, and medical

untouched. The study of nature is always intermen of all others, for their honor is their esting and ennobling, and I would not decry it in existence; and if they have not time, or the least ; but the question of relative importance think they have not time, or are too poor

is what I wish to call attention to. To make my to battle single-handed, there is an easy

meaning clear, suppose we take two classes here way out of that difficulty-namely, by

in Philadelphia, beginning on this beautiful day

in January. We will designate them as A and B. joining one of the societies organized for Class A begins the study of geology (one of the medical defence.- Lancet.

most interesting and delightful of the sciences),

and receives didactic instruction until the early Our Monthly Talk

spring days will permit expeditions over the bills

and thru ravines, hammer in hand. Every Much has been written and spoken of the stratum that crops out on a hillside is examined achievements of the nineteenth century. Among and placed in its proper place in the wonderful all its predecessors, it is called the wonderful scheme of earth building which has been going century. Perhaps the most complete and author- on for so many ages. itative statement of the progress of the century- Class B begins on the same day, to study what certainly the most scientific statement-is con- man has put beneath the surface of the earth in tained in a book entitled “The Wonderful and about Philadelphia, instead of what nature Century,” by the great English scientist, Alfred put there ages ago. First, the drainage system is Russell Wallace.

taught didactically, and the importance of proper The work of this century has been chiefly the and successful drainage on the health and wellsubjugation and utilization of the physical forces, being of the community. Then they are taken and the production of material wealth. In this to wherever any part of the sewer system can be respect, however, it has surpassed the wildest seen, and also where new sewers are in process of dreams of Aladdin, and eclipsed the wonders of construction, and all is explained to them. Then his magic lamp. But material wealth is not the water system is taken up for study. The always the greatest good-certainly it is not the reservoirs, the engines and pumps, the distributonly good. Under some circumstances it may be ing system to the traps and waste pipes, all are

The wild dissipation and debauchery studied from books and diagrams, then by visits during the latter days of Rome were made pos- to and actual examination of the various parts as sible by the concentration of great wealth in few far as possible. Then the gas works and dishands; while the Icelander is frugal, industrious tributing system are taken up, tracing the process and virtuous in his poverty. Great material from the retort to the holder, then to the burning wealth may be a blessing or a curse, according to jet in the average home. Next the electric sysits distribution'; yet this is seldom referred to by tems for both lighting and power are taken up in our writers or speakers. The tremenduous in. the same way, and thoroly studied and undercrease in our national wealth is glowingly por- stood. What could be more interesting than a trayed by the grandiloquent style of oratory, but course like this? never a word about distribution. The fact that Now, to which class would you rather have one per cent. of our population own 99 per cent. your son belong, A or B? Which class would of the wealth of the United States does not seem produce the best men and best citizens ? Civic to disturb or concern these shallow orators. life is necessarily more complicated in large cities Every $100 earned in this country is distributed than in small towns and in rural districts. But among 300 people as follows: one man gets $70, if the conveniences of large cities were more the remaining $30 being divided among the properly studied and understood, ways could ically to even the smallest places. Classes in "starter," ask your local editor to reprint this small places where there are none of the above- “Talk" in his paper and make comments on it. mentioned local public services to study could take up the telegraph system of the country, the postal system, the transportation system, etc., [The following parody on the grandiloquent and study these things with great edification and style of reporting cases may provoke a smile. profit.

maining 299 persons—a fraction over ten cents easily be found to apply many of them econom

a curse.

The author's name will be made known upon Every boy will be a citizen (and in some states request. ] the girls, also), but every boy will not be a scien

Report of Some Recent Cases. tist nor a professor of dead languages or the higher mathematics. Then is it not rational to By Dr. Hornblower, A. M , P. M., Dislocated educate every boy for citizenship rather than to

Member of the Ancient but Honorable Body give him a smattering of many things that he

of Dilatory Survivors. Twice Read Before the will never use ?

Aucient Society of Dilatory Survivors. Again In the days when even the most advanced

Read and Digested by the Profound Order of dations were ruled by “the divine right of

Doctoris Billi No Collectus. kings," the object of the one or at most a few Il has been ascertained by a diagnosis of pendumaster minds who really governed was to keep lum precisum, ibat if it were so, as it should be, the nobility amused and the masses enslaved. In then in that event it is such as it should be. If this country "education” bas run riot among it were so and no argument can be of a perimpracticable things, and left citizenship, our manent consideration, based upon observation, most precious jewel, our “ possession beyond it is of such a nature as to preclude any effort compare," our greatest duty and responsibility, when and how. It is a well-known fact tbat in to take care of itself. When the light is thrown its embodiment of perfection, that if it were to on it, this dissipation and diversion of the time, be as it is, then in that event, it could not be energies and opportunities of our youth is seen to other than a Prolongus Laceralus. Having this be no less than a national crime.

in view, and counting the Diaguosis of the Iron The above is an arraignment not only of our Cells, it remains undisputed ibat 60 days proeducators, but of ourselves as well. Our edu- nounced by a judge will produce a greater cators do what we want them to do, and we are increase of Hobgoblins, which are and will be if responsible for the above-mentioned state of they were. Taking all this into consideration, I things. When will we know better, and insist at once began my experiments, having at my upon our youth being educated for citizenship? command the intricate machinery Bicycliridum

A rejoinder might be made by instancing our Taka Headus, with results which were found to numerous and rapidly multiplying manual train- be far beyond my grasp, but in the wind of the ing schools. Yes, this is good, practical work, practitioner, will stand such tests. but there is no citizenship in it. That prepares

I herewith submit a few cases:them only for private pursuits. In this country CASE I. Pat Ching; father, Irish ; mother, of government "of, by and for the people," Chinese. Found him to be somewbat mixed. there are large and ever-growing duties which 'Alf and 'alf. His pulse obscurus. I spoke of his the average citizen never makes any preparation whiskers. He replied not more than 28 per day. for; ever growing because government is no Questioned him closely, found he thought I said longer limited to police duties, but it serves the whisky." Made clore examination and by people in an ever-increasing number of ways. the action of his palate, I at once diagnosed the For example, the telegraph must soon become a as one of Eat-Em-All-You Canibus. I public service in this country as it is in all other placed him on a diet of wasb-be-wash. He civilized countries,except Honduras and B livia. returned in six months. Could speak Chinese So with many other public utilities that we are well. Remarkable cure. I asked him for $3.00. now allowing to be conducted by private parties He replied, “ Me no Chink.” for private profit.

Case II. Miss A Lamb; young lady, aged 59, It seems that there is a “forbidden nook” in pulse torpid. Breath irregular and congealed. our scheme of education as now pursued-or is Complexion furred. At once diagnosed the it indifference the part of all-pupils, trouble as being Lambodi. Placed her on a diet teachers and people? It is the matter of costs exclusively of sheep dip, one quart daily. After and profits. The cost of carrying a street car three days this was changed, owing to griping passenger in any of our large cities is a little less sensation in the region of the Stomachichitis. than two cents; yet the people go along paying She could talk belier, louder and longer than five-cent fares as tho it was right. To make formerly. Lungi Shoutis. Gave her Lamb's matters look right, the street car companies works to read, lambs' tongue to eat, and law bs? water their stock in proportion, and there is no wool to drink. At the end of 81 days she protest from the indifferent and thoughtless pnb. returned, asked me how much she owed me. I lic! The game is true regarding the cost of téle- replied $6.50. All she uttered was bab, bah, graph service, telephone service, railroad service, bah! Entirely cured. etc. If our youth were educated in these things, CASE III. Child six days old, female ; pulse citizenship would mean much more than it now high. temperal ure low, actions indifferent. Could does, and our country would be vastly improved not speak; could not walk. Mother said she was as a consequence.

born that way. Advised the parent to teach her Talk to the teachers of your children about to walk, and saw no reason why later on she tbis matter. Demand better education in citizen. should not talk Muchum Moribus. Advised diet ship for our youth from our educators. Write of cabbage, beans and celery, as by this method I upon the question for your local papers. As a desired to introduce iron, new, clean yeast and



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