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EDITORIAL.

by pewerful purgatives and anthelminitics. These remedies have, however, failed to kill this dreadful microbe.

The Strongylus Bronchialis Microbe is found in the bronchial tubes and gland, forming abscesses and finally causing death in most painful form

The Dranunculus Medinensis Microbe conveyed in water, enters the human system even through the pores of the skin when bathing. It gains access to the body without reference to age, sex, race, or country, and is the immediate cause of many painful and lingering diseases."

SUCH novel views on bacteriology could only emanate from that gigantic intellect which transmogrified Popoff's discovery of the ordinary physiological exudation of leucocytes on irritation in the central nervous system during typhoid fever, into an evidence of "secondary infection" by pus streptococci..

THERE seems to be an increasing tendency among intelligent homœopathists to discard the sectarian title, which is well illustrated in the N. Y. "Medical Times'" comments on the address by Dr. D. B. Gause to the Senior class of Hahnemann College of Philadelphia:

"Long established custom forbids advertising one's self. Any attempt to evade this will be sure to inure to the injury of him who tries it. He will be ostracised from fraternal relations with his colleagues. Many of our schools do so far violate this as to put 'Homoeopathist' on their cards. I have often said to my classes that this seems to me belittling. I suggest that this would be better:

BAPTISIA TRITURATE, M. D.

HOMEOPATHIC SCHOOL:

"This seems to me informing without limiting. What would be still better, would be the letters 'H. S.' in left-hand lower corner. 'Homœopathist' limits and derogates from the honorable title of M. D.' Your diplomas make you physicians in the broadest sense, not sec

tarians.

The New York "Medical Times," (Hom.)

says:

"The change of front which has been accomplished by the homoeopathic profession of America within the last decade, and the absurd and inconsistent position which that profession now consequently occupies, were never more openly avowed or more clearly shown than in the above sentences. Thirty or even twenty years ago, an address on such an occasion, from the mildest standard-bearer in our ranks, would have breathed contempt and defiance to the 'dominant school,' and would have adjured his pupils to keep their distinctive title well before the public, both for the benefit of the latter and in their own interests. No middle course, no disguised hostility was then dreamed of as either

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justifiable or expedient. But now, what is it, in substance, that Professor Gause (personally, we have no doubt, a most honorable gentleman) feels himself constrained to impress upon these callow graduates of Old Hahnemann' (God save the mark!), as a parting admonition? Why that they cannot advertise themselves in any way, without violating decorum and getting boycotted by their professional brethren-but since, like many of those very brethren, they probably will advertise as homœopathists, this had better be done in the most sneaking and evasive manner possible! 'Homoeopathist,' at full length, 'limits and derogates from the honorable title of M. D.' Certainly it does! And just so, proportionately, would 'the letters H. S. in the left-hand lower corner' operate. 'Your diplomas make you physicians in the broadest since.' Then, in the name of decency, why call yourselves anything but physicians why 'belittle' yourselves by assuming the smallest fragment of a sectarian designation."

SULPHUR of old enjoyed an excellent reputation as an alterative. A reputation which Dicken's (Nicholas Neckleby") burlesqued in his description of "brimstone and treacle" morning in "Dotheboy's Hall." This reputation as an alterative seems to have had a considerable basis. The comparative desuetude into which sulphur has fallen seems to have been due to the lack of persistance in its use.. The results obtained by the homoeopathists from "nepar sulp" in suppuration led to the present extended use of calcium sulphide. Judging from certain results obtained by Dr. Garrod ("Lancet") sulphur bids fair to regain its old place in therapeutics. He claims to have had excellent results from the administration of small doses of sulphur (five grains per diem combined with cream of tartar), for weeks, months, and even years. Sulphur, in his opinion, acts chiefly on the alimentary canal and organs.

SOME local Pasteuromaniacs recently endeavored to kill off nervous people, by maintaining a perennial "mad dog scare" through the permanent establishment of a "Pasteur Institute" in the unoccupied wards of the county hospital which the cheese-paring county board has shut up to make a show of economy. There was no good reason why money should be wasted in such a dubious experiment when it was imperatively needed for a surgical ward. The very small number of deaths in Chicago from alleged hydrophobia did not justify such a theatrical performance, more especially since it has been shown by Dulles and Lutaud that the Paris Pasteur Institute increased the amount of alleged hydrophobia in France. For this there is a very good "Mad dog scares" create lyssophobia,

reason.

and the victims of this mental disease almost certainly die when there is a hydrophobia panic. On the other hand, proper moral treatment results in recovery. This has been excellently illustrated in the case reported by Dr. McHatton of Atlanta, Ga., ("Atlanta Medical and Surgical Journal"). A victim of a "mad dog scare" was promptly cured by proper treatment who would have died had he remained under the conditions he was when first bitten; that is had he been allowed to remain in the atmosphere of panic created by a "mad dog scare." Dr. McHatton's common sense saved this boy's life, and those of others likely have fallen victims to the usual lyssophobia epidemic which results from a "mad dog scare. The "Daily News" checked the attempt by the "cheese paring" majority of a "reform" board, to establish a Pasteur Institute for the benefit of the servile mediocre medical politicians who compose the bactero-maniacal majority of the county hospital staff. Had the attempt succeeded the victims of "hydrophobia" would have numbered scores where they now number units. For the lives of citizens so saved, the Chicago "Daily News" merits the gratitude of the people of Chicago.

PUNS, according to the "Weekly Medical Review" are a necessary complication of abdominal surgery in St. Louis. The patient has a "pained and anxious expression" as a result. Even a St. Louis canine, recently operated on by Drs. Dalton and V. B. Carson, had this expression "clearly depicted on his classic features." What local microbe is responsible for St. Louis puns, and where is the "microbekiller?"

DANIELS TEXAS MEDICAL JOURNAL recently "went" for the MEDICAL STANDARD in a lurid Texan style because a criticism of the "senior" editor of a local contemporary was supposed to be intended for Dr. Daniels who is the autocrat of the Texas luminary. Calm reflection will doubtless convince Dr. Daniels that he was in too great a hurry to fit on a cap never intended for him.

ACCORDING to a recent decision of the Appellate Court habitual morphine-using does not furnish the same legal basis for divorce as habitual drunkenness. Judge Moran decided that" the word 'drunkenness' used in our statute is commonly and generally understood to mean intoxication resulting from alcoholic liquor, and to show one guilty of habitual drunkedness it must be proved that drinking to excess is indulged in so frequently as to become

a fixed habit with him. Words used in the statute must be taken in their ordinary and usual sense. The intoxication resulting from opiates is not understood or described by the word drunkenness in the divorce law, hence proof of immoderate and habitual use of morphine was not sufficient to sustain the charge of habitual drunkenness made in the bill."

DR. LOUIS BAUER calls attention to the fact that in Arabian-Spanish surgery, anesthesia was early known, ("Medical Chips"), and through Hans von Gersdorf, introduced in Germany. The latter advises that the juice of solanum nigrum, hyoscyamus, cicuta, and other narcotics be pressed out and mixed with powdered opium. "Then impregnate new sponges with the fluid and dry them. When it is to be used dip the sponge in hot water and let the patient inhale the odor until he sleeps, when any operation may be performed without sensation on his part. If he must be roused again to consciousness, hold vinegar or aromatic herbs to his nostrils." The Italian surgical anesthetic described by Boccaccio probably had a similar composition.

The meeting of the Mississippi Valley Medical Association at Evansville, Indiana, September 10th, 11th, and 12th, promises to be of exceptional interest. Already over ninety papers have been promised by well known practitioners throughout the Valley. The arrangements made with the railroads include reduced fare to one and one-third rates for the round trip. The Chicago party leaves Monday evening, September 9th, over the Chicago and Eastern Illinois, which furnishes special accommodations for those attending the meeting.

STYRONE has been studied for the last eleven years by Dr. Beach, ("N. W. Lancet,") in the Massachusetts General Hospital. It is a compound of liquid storax and balsam of Peru. Applied unmixed to a raw surface it is somewhat irritating, but in emulsion with water, liquid vaseline or olive oil, it is an agreeable dressing, a prompt deodorizer, and in an eight per cent. solution a reliable antiseptic according to Dr. Beach, capable of completely disinfecting a foul and ulcerating surface. In the pleural or peritoneal cavities weaker solutions in water, 1-50, I-100 or 1-200 may be safely and effectively used. In the form of a four per cent. spray it sometimes gives great relief in phthisis, and its action upon the cholera bacillus outside the body leads to the hope that it may prove a valuable internal remedy in cholera.

Progress of Medicine.

THERAPEUTICS AND PHARMACOLOGY.

HYSTERIONICA is said by Cervello of Valparaiso, to exert a markedly beneficial influence on diarrhoea.

MILK SUGAR AS A DIURETIC.-("Germain Sée and Dujardin Beaumetz") claim that milk sugar has decided diuretic propertes.

"FRIGORIGENIN according to Bussay ("Wien Med. Woch.") is a ptomaine which reduces canine temperature seven degrees F.

METHOZIN AS AN ARTIGALACTIC.-The "Chicago Medical Times" states that five grains of methozin will check milk secretion.

MORRHUINE, an alkaloid of cod-liver oil, has been found to have a decided appetizing effect as well as diaphoretic and diuretic properties by Gautier.

CAULOPHYLLUM AND PULSATILLA IN AMENORRHOEA have been found by Dr. N. W. Davies to make an excellent remedy for amenorrhoea when used in combination.

HYDROCINNAMIC ACID IN TUBERCULOSIS. Dr. C. E. Williams ("Practitioner')'claims that hydrocinnamic acid exerts a marked influence on the secretion of pus and cough in tuberculosis.

PULSATILLA.-Dr. Lewis ("Med. World") states is decidedly of service when the menses are backward at puberty, or deficient in quantity, or when the flow has received a sudden check. About five mimims of the tincture form a representative dose, given daily between the periods.

CHLORAL IN HYPERPYREXIA.-Dr. Ch. Richet ("Jour. de Phys.") is of opinion that since chloralization, precedent to the production of artificial hyperpyrexia, is found to hasten and insure death. Chloral is hence contraindicated in insomnia, delirium in hyperpyretic patients.

HYDRACETIN, the pure acetyl phenyl-hydrarzin, first introduced in an impure form under the name of pyrodin. Guthmann ("Pharm. Cent.") finds to be a powerful antipyretic. It must be used with care, in doses from 5 to 20 centigrams. In smaller doses it relieves articular rheumatism.

CINNAMON according to Dr. L. Lewis ("Med. World") has some specific control over uterine muscular fiber. It is of great utility in checking menorrhagia and flooding given in large doses.

A drachm of the oll may be given several times in the day, or from ten grains to a scruple of powder. Lesser doses are emmenagogue and abortive.

SANTONIN.-Dr. König ("Nature") claims that the visual phenomena occasioned by the ingestion of sodium santoninate do not constitute actual violet blindness (consisting in an affection of the rectum or optic nerve); but, that the rays of violet light are, during the santoninic toxical condition, simply absorbed by certain of the media of the eye, which have been abnormally, though temporaily, affected in that direction by the drug.

CREOSOTE HYPODERMATICALLY.-Dr. Scheteles recommends the use of creosote hypodermatically for the reduction of temperature ("Pharm. Post") in the form of 20 to 30 per cent. solution in expressed oil of almond. One to one and a half grams is readily borne by the stomach for months, without causing any distressing symptoms, although the taste of the creosote is recognized in about 10 minutes after its administration.

TREATMENT OF MIGRAINE.-Dr. Hammerschlag ("Times and Reg.") claims good results from the use of the following combination for preventing sick-headache:

R Caffein citrat.

M.

Phenacetin.. Sacchar. alb.

1.00 gr. xv. 2.00 3 SS. 1.00 gr. XV.

Ft. pulv. div. in dos. æqual. no. x. Divid. in capsul. amylac.

Sig.: One capsule every two to three hours during the interval between the attacks.

SALIX NIGRA according to Dr. L Lewis("Med. World") acts as a sexual sedative, controlling ovarian hyperesthesia and neuralgia, and chronic ovarian irritation. It frequently relieves painful menstruation, and the leucorrhoea which follows it. From twenty to forty minims of the fluid extract may be given three times a day, thus:

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SALOL AS A DRESSING.-Dr. Corner ("Quar. Therap. Review") advises the use of salol as a dressing for wounds, after the part has been rendered aseptic by a 1 in 20 solution of carbolic acid. Salol has a pleasant aromatic odor, can be used freely without fear of irritation or poisoning, is absorbent of moisture and whilst drying forms a hard but friable covering. It prevents putrefaction, but does not destroy it when established. It has been used in increasing frequency for several years at the Poplar Hospital, and with excellent results in compound fractures and dislocations; also as a dressing in amputations, minor and major, and in compound comminuted fracture of the skull.

FLUID OLEUM LANE INJECTIONS.-Dr. E. Stern ("Therap. Monatshft.") advises the use of the following:

1. R--Lanolin anhydr.
Ol. amygdal

M. (Basis injection)

2.

25.00 .75.00

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favorable influence upon the gonorrheal process. The "basis-injection" is used in the first stage of gonorrhoea. After eight to ten days, an antiseptic or an astringent drug is mixed with it. and I finally wind up with 11⁄2 per cent. solution of resorcin in water. Lanolin injections may also be employed to good advantage in chronic urethritis anterior.

CIMICIFUGA. Dr. Lewis ("Med. World") states is useful in both amenorrhæ and menorrhagia, and in uterus subinvolution. It is also of service in convulsions due to uterine or ovarian irritation. Its action on the uterus is almost specific, stimulating and strengthening its contractions without prolonging them, thus endangering less the child and the soft structures of the mother. It is useful in promoting expulsion of the placenta, and in preventing after-pains; but here it is less appliable than ergot, as the latter causes more lasting contractions. Cimicifuga is often successful in suppression of the menses, from shock, cold, or fright. Abortion is sometimes averted by its timely use, The fluid extract and tincture are good preparations, their doses ranging from five minims to half a drachm, or one to four grains of the solid

extract.

SAW PALMETTO AND THE GENITO-URINARY ORGANS.-The fluid extract of the saw palmetto ("Pacific Record of Med. and Surg.") has a special action upon the glands of the reproductive organs (mammæ, ovaries, prostate, testes, etc.). It increases their activity, promotes their secreting faculty, and adds greatly to their size. It is specially indicated in all cases of wasting of the testes, such as follows varicocele, or is induced by masturbation, or which is often present in sexual impotency. In gynæcological practice it is much used to promote the growth of the mammæ, and in uterine atrophy, dependent upon ovarian blight, its action is unexcelled. It is upon the prostate gland that this remedy exercises its best efiects. Out of every ten men nine have enlarged prostate and one has atrophy of the same, at ages varying from thirty-one to seventy-five, the result either of indiscretion, or excess, or perversion of the sextual act, or sedentary habits, or from improperly cured gonorrhoea.

ARSENIC IN UTERINE THERAPEUTICS.According to Dr. L. Lewis (" Med. World”) arsenic gives tone to the uterine mucuous membrane, and to some extent controls menorrhagia in young women and girls, when the discharge is too frequent, or lasts too long; but is powerless in cases of profuse menstruation. In the former cases, two or

PROGRESS OF MEDICINE.

three drops of Fowler's solution on sugar, three times a day for a month or so, generally corrects the irregularity. Menorrhagia, when of distinct malarial tope, may be benefited by arsenic; also hæmorrhage of an atonic character following labor or miscarriage. A persistent course of arsenic is often found at least palliative in uterine cancer. The anemia of pregnancy is relieved distinctly by the addition or arsenic to the usual iron treatment. Small doses frequently arrest persistent vomiting in pregnant women. It is also useful in the form of dysmennorrhæ charaterized by the expulsion of quantities of membranous shreds.

TAPE WORM PILLS.-Bettelheim ("Quar. Therap. Rev.") recommends to prepare pills of the following, which are to be coated with keratin :

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Make seventy pills, and coat them with keratin (which causes them to pass the stomach undigested, while they will be dissolved in the intestinal canal). An adult patient is to take fifteen to twenty of these pills on the "fast-day" preceding the day of treatment. On the latter, he is to take the remainder of the pills, within two or three hours. On the preceding "fastday," he is also to take a purgative enema.

TREATMENT OF RED HANDS.--Dr. G. Meyer ("Quar. Therap. Rev.") advises the following procedure: The hand is to be washed with an easy lathering soap, and to be dried very carefully. Then small quantity of lanolin is rubbed into the hand. Liebreich's formulæ are:

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The ointment is best kept in a little tin box, such as is used for colors, from which the contents can be squeezed out at any time. The ointment can easily be removed from linen soiled with it. The cause of the action of the ointment is the absorption of all water left from the washing and an absolute drying of the hand. Besides the hand becomes covered with an impermeable fatty coating, which prevents the tearing or fissuring of the cuticle. Lanolin is also used to remove wrinkles from the face.

URAL, a combination of Urethan and Chloral hydrate is, according to Dr. Poppi ("Wien. Med. Woch.") an excellent hypnotic which in ordinary doses produces a physiologically quiet

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sleep more rapidly and of longer duration than any of the other known hypnotics. He claims that its use produces no disagreeable accidents and in therapeutic doses no disturbance of blood pressure; if, however, poisonous doses are given to dogs uuder these circumstances reduction of blood pressure is the principal mode through which its toxic action is expressed. No discomfort or distress is produced on awakening from the sleep produced by ural, and its use may be persisted in for several days without inconvenience. He claims that he has given it in different cases of heart disease, hysteria, and other nervous affections, in all cases with the best results, when other hypnotics had proved ineffective.

BURSA PASTORIS.-Dr. K. E. Wagner (Quar. Therap. Rev.") states that capsules of shepherd's purse (capsellæ bursæ pastoris), a common garden weed, when made into a tincture have very considerable hæmostatic properties. The cases were of different kinds, two of them being of uterine hæmorrhage, two of hæmoptysis, and one of epistaxis. In all these a marked effect was produced, the hæmorrhage being either entirely arrested, or at least very greatly diminished. No unpleasant effects, such as headache or dyspnoea, were observed, even when three tablespoonfuls of the tincture were taken in the course of twenty-four hours, the usual dose being from four to six teaspoonfuls. It appears that Dr. Caleb Threlkeld ("Synopsis Stirpium Hibernicarum, Dublin, 1727,") under the names of "bursa pastoris major, folio sinuato, shepherd's purse, pickpurse, and caseweed," says: "It is cooling, incrassating, and good in all sorts of fluxes, spitting of blood, bloody urine, violent floodings. Nature sports wonderfully in the fashion of the leaves of this plant. It certainly cures a gonorrhoea, according to Simon Paul. I suppose he did not mean the virulent one, which is too stubborn for any one vegetable."

TOXIC ANTAGONISM.-Dr. Louise G. Rabinovitch ("N. Y. Med. Jour.") says that beside physiological antagonism of poisonous substances, endeavors have been made to find a toxic antagonism or on antidotal role of two poisons taken vis-a-vis in the organism. Atropine and morphine have been regarded as toxic antagonists. M. G. H. Roger has experimented on rabbits with the purpose of determining the existence or non-existence of a toxic antagonism between hydrochloride of morphine, neutral sulphate of atropine, sulphate of quinine, and potassium chloride. To be enabled to draw experimental conclusions, he determined the poisonous dose of each element, or

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