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to flies was sold at many stations, the possibility believes that quinine may be used in the period of transmission of infection introduced by car- of dilatation as well as during that of expulsion riers and disseminated by flies and food was very and it is also of value in cases where labor is ingreat.

duced before term. Pituitrin was found to be a

reliable remedy in secondary inertia and the effect Diuretic Properties of Lavender.- We learn increased with the reriod to which labor had adfrom an abstract of an article in the New York vanced. In the process of abortion it favors the Medical Journal that L. Morpurgo, in Quinzaine process of dilatation and makes curettage easier. thérapeutique for May 10, 1914, is credited with For the induction of premature labor it was found calling attention to the possible utility of lavender of less value during the puerperium, especially for as a diuretic. Being given to drink by mistake hemorrhage it was very serviceable. Tassius is an infusion of this drug instead of one made with convinced however that it cannot induce labor fennel, he was troubled with abundant diuresis pains. Unfavorable influences on either mother or the following night, and was soon enabled, by ex- child are relatively rare if care in the adminisclusion, to trace this to its actual cause. The tration is observed. Pituglandol was found to be effects of a hot infusion of 5 drams (20 grams) very efficient in secondary inertia as well as in of lavender in 6 ounces (200 grams) of water were abortions and the induction of labor, although it thereupon tested in a number of patients present is not efficient for the production of the latter. ing, from various causes, a diminished urinary The writer states that it is valuable in eclampsia, flow, with almost constant free diuretic response. placenta previa, uterine hemorrhage, particularly The increase in the output of urine in twenty- in combination with ergot preparations. Secafour hours ranged from 1.66 to 16 ounces (50 to cornin, an ergot derivative, was not found to be 500 grams).

of value during labor or in the treatment of abor

tions, and the site of injection was likely to be Rema kable Experience with Cataract.—The painful. It was particularly applicable however quantity of operative work upon the eye performed to the postpartum period after the delivery of the by our American surgeons is small indeed when placenta. compared with that of oculists in India. For instance, we learn from the New York Medical Journal that 1,024 cataracts were removed be- Oil of Turpentine in the Treatment of Puertween January 1 and February 15, 1914, in a sin- peral Sepsis.-Cramer (Monatschr. f. Geburtsh. gle hospital connected with the Quetta Medical u. Gynak.) says that for the past ten years he Mission in India. Compare this record with the has used the oil of turpentine in the local treat183 operations for cataract in a vear at the Man- ment of puerperal infections, employing the unhattan Eve. Ear, and Throat Hospital between diluted officinal oil in the form of a tampon to October 1, 1911, and October 1. 1912. to be divided the infected mucous membrane of the vagina and among seven surgeons, four junior surgeons, and wiping out the cavity of the uterus likewise. The a large number of assistant surgeons. The Quetta absorption of the oil is very slight and the writer hospital, according to Dr. H. T. Holland in the claims that no unfavorable symptoms ar Indian Medical Gazette for June, has three sur- In all cases ?

In all cases it is necessary to completely free the geons, one assistant surgeon. one subassistant sur- uterus of all placental and decidual remnants, geon, one sister, one compounder, two dressers, and

avoiding a sharp curet. The results in a considthree ward boys, on entire staff and force of erable series of cases ar

erable series of cases are presented and even where twelve, who work at the highest possible pressure

sloughing has already occurred, the healing procdaily from 8:30 a. m. to 6 p. m. During these ess is favored. Also employs the oil of turpensix weeks 2,330 operations were performed, 1,024

tine in gynecological treatment, especially in the of them for cataract. The maximum number of presence of cel

presence of cervical and vaginal infection with outpatients in any one day was 706, the largest streptococci and staphylococci. It also serves as number of operations 129.

a satisfactory prophylactic for disinfecting the With an experience like this it is hardly to be vagina previous to abdominal hysterectomy for wondered at that Indian physicians have perfected carcinoma. the technique for the cataract operation to the The preceding is quoted from the Charlotte highest point known.

Medical Journal.

Quinine and Other Oxytocic Remedies. We Treatment of Septic Wounds. Here is a solulearn from the Charlotte Medical Journal that tion recommended by D. H. Stewart, in the MedTassius, writing in the Archiv fuer Gynakologie, ical Summary-Chlumsky's solution. It is to be applied on strips of gauze and poured over the acute attack of appendicitis, the timely adminiswound. The formula is as follows:

tration of ichthalbin has given highly satisfacR Phenol ............................ 3J.

tory results in the hands of B. Beldau, of Riga; Camphor

his dosage being the amount that will lie on the Alcchol C.P.......................3iss.

point of a tableknife, together with 6 drops of M. Sig., ext. use. -Spread the strips over the

hydrochloric acid, and repeated four times a wound, dust them thickly with powdered sugar of day. Especially convincing are the results in milk, put on pads and bandages. Why sugar of the peri

es. Why sugar of the periodically recurrent cases of appendicitis, milk? Because it does not lump, has a pumping and in which during the quiescent periods slight force (sp. gr.) of 1,500 to glycerin's 1,250 or less, subiective symptoms are manifest. Beldau asand is easily obtained in powder form. Put on

sumes the bactericidal as well as the antiphloplenty of it and leave wound, boil or other lesion, vistic properties of ichthalbin to be responsible alone for a week or more, if there is no definite for this action, by virtue of the gradual liberareason for disturbing the bandage, such as pain, tion of ichthyol in the intestine (he calling it soiling or evidences of strangulation.

"in statu nascendi). Why bother with glycerin in such cases, asks It will be remembered that ichthalbin is a comDr. Stewart. The Chlumsky solution is much bet- pound of ichthyol and albumen, which is insoluter. It is analgesic and sedative, it has been widely ble in acid fluids (gastric juice), but soluble, and used to relieve the pain of acute rheumatism, neu- gradually disassociated, in alkaline liquidsritis, etc., and it is applied as iodine or turpentine nence, in the small intestine. The suggestion of would be. Guaiacol may be added (or omitted) Beldau's does seem worthy of attention; not to ten per cent. in cases of gonorrheal knee for neglecting, though, other measures approved in instance. The method of wound treatment gives such “ watchful waiting.the best results which might be anticipated from

en carbolic and glycerin; good antiseptics and dehy

Surgical Relief in Hirschsprung's Disease.-G. dration, but it omits dermatitis and discomfort, which is generally considered a great gain.

Perthes--who considers that the greater proportion of cases of Hirschsprung's disease (congeni

tal dilatation of the lower colon) are a combinaDiet for a Man Past Forty. The following

tion of a secondary, acquired, colonic enlargediet for a man past forty is laid down by Dr.

ment based upon a less pronounced congenital Charles F. Bolduan, and is copied from the Die

abnormality-has described his method of opertetic and Hygienic Gazette:

ative procedure (Beitr. 7. Klin. Chir., 1914, No. In terms of calories (heat units) the human

3) by which in the case of one such victim he body has been found to need 3,000 calories, de

succeeded in affording considerable relief. The rived from all kinds of food, a day. Thus a

operation is also detailed in the Muenchener day's meals should be about as follows:

Medizinische Wochenscrift of June 2. Breakfast-Oat meal to the amount of a good sized helping; a glass of milk and a little more with the oatmeal; sugar for the oatmeal and two Ovaraden Oviferrin in Dysmenorrhea.-In slices of bread and butter. Here we have 1,000 cases of dysmenorrhea dependent upon a deficalories already, which is all that can be allowed ciency of the internal secretions, especially when for breakfast. If coffee is substituted for milk of long duration and refractory to usual treatit is necessary to subtract 300 calories and then ment, E. Otto (Frauenarzt, 1912, p. 438) reports make it up by eating another slice of bread, al- excellent results from ovaradenoviferrin. The though coffee has no place in this diet.

same is true for painful oligomenorrhea. Luncheon-Toast, milk and fruit to the quantity of 500 calories. Dinner—Meat, three vegetables with gravy,

A New Alkaloid of Jaborandi: Carpiline.-E. but only one helping: two slices of bread and Legére and F. Rogues have announced (Compt. butter, one helping of prunes and tea with milk

Rend., 1912, p. 1088; cf. Pharm. Zentralh., 1913, and sugar. This gives 1,500 calories, which

No. 40) the discovery of a new alkaloid in jabomakes the 3,000 total for the day.

randi (pilocarpus), to which they give the name With this a satisfying amount of water should

carpiline. They obtain it from the motherbe drunk at meals: and copiously between

It contains a

liquor of pilocarpine production. meals.

lactone group and is but slightly poisonous, while

not possessing any sodorific properties. Certain Ichthalbin in Appendicitis.-When for any French chemists, though, are inclined to suspect reason whatever laparotomy is impossible in an its identity with the pylosine of Pymann.

THERAPEUTIC BULLETINS

legumes, and cuts out corn products, syrups, and cereals until there is decided improvement.

McClintock praises warmly the use of quinine and thyroid gland in the treatment of the keratoses so frequently following X-ray treatments.

grains daily of quinine, and 4 to 10 grains daily of thyroid are employed.

Here are two excellent prescriptions for the treatment of chilblains: Plumbi Subacetatis. ........

.......grn. lxxv Petrolati.....

Adipis Lanæ Hydrosi...............ãā 3 vj M. et ft. unguentum.

The latest suggestion for the treatment of arthritis of long standing, and subject to acute exacerbations, is the use of hypodermic injections of emetine hydrochloride.

MERSCHLAG.

Have you tried rubbing your scarlet fever patients with oil of eucalyptus? If it is to be ap

Pplied to large areas dilute it with olive oil or liquid petrolatum.

Camphoræ ..........

..........grn. XV Ceræ Albæ ...........

...............3x Olei Lini ............................zijss

Balsami Peraviani ....... ........min. xxiv M. et ft. unguentum.

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The time-honored prescription for a black-eye is a generous beefsteak--but beef is getting too expensive. Perhaps the following will do as well. Try it:

Ichthyolis ...........................f. 3iv Olei Myrciæ ...................... min. xx Tinct. Capsici ......................min. x

M. Sig.: Apply carefully on bruised spots around the eye. Caution! Keep out of the eye.

If this isn't satisfactory, try thorough depletion, before the part has become greatly discolored, by applying a leech. The color may be improved by using the grease paint employed by actors.

Schmidt found 151 cases of rectal gonorrhea in females, due to secondary infection from the vagina. He recommends the daily injection of 1 per cent albargin solution.

The following formula for laryngitis is suggested in Merck's Archives:

Tinct. aconite................. min. 8
Syr. ipecac.....................dr. 14/2
Tinct. opii camph...... .........dr. 3
Liq. potassi citrat............ad oz. 3

Oppenheim makes the following suggestions for the treatment of infantile convulsions :

Potassii Bromidi ................grn. iv-XV Chlorali Hydrati ....

orali Hydrati .............grn. jss-vijss Vitelli Ovi ...........

..........No. j Aquæ .....

..........f. zij Misce.

Chlorali Hydrati ..
Asafætidæ .... ............kā grn. jss-vijss
Olei Amygdalæ Expressi.............gtt. xx
Vitelli Ovi ..

.......No. j Aquæ ...............................f. Zij

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Arsenic and the iodides, with rest and restricted diet, are the sheet anchors of treatment in arteriosclerosis, according to Klemperer.

Misce.

Many cases of diabetes, even advanced cases, are benefited by the continued use of Bulgarian bacillus tablets.

When teeth are being cut, scarification of the gums and the administration of the following solution will often prove successful:

Potassii Bromidi ..................grn. lxxv Syrupi Aurantii Flor....... ......... Zjss Aquæ Destillatæ ..................ad f. v

M. Sig.: Teaspoonful three times a day for a child one year old.

Pellagra is declared by Goldberger to be due to an unbalanced diet—too much carbohydrate. He orders proteins, such as eggs, milk, meat and

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Gazette; authof the American Gazette P

MOTHERHOOD.

sees pleasure and health in getting out into the Motherhood. By E. S. Harris, M. D., Inde- sunshine. pendence, Missouri. Published by the author. We might wish the book better printed and

This is not a large book or an ambitious book, bound, but certainly we can find little fault with but it contains in a very few words the facts what Doctor Huber has to say. The book is a that the average woman about to become a good one to help while away many a leisure mother wants to know about herself and her winter hour. Buy it. child. The price is so small (10 cents) that any physician can afford to secure a generous EVERYDAY DISEASES OF CHILDREN. supply to place in the hands of his patients. We Everyday Diseases of Children and Their Ratake pleasure in recommending the booklet to tional Treatment. By George H. Candler, M. readers of the Standard.

D. Second edition. Publishers: The Abbott

Press, Chicago, Ill. Price, $1.00.
A DOCTOR'S VIEWPOINT.

This book contains more real, practical helpA Doctor's Viewpoint. By John B. Huber, A. fulness for the general practitioner than any M., M. D., Editor of the Dietetic and Hygienic work upon pediatrics which we have seen, reGazette; author of Consumption and Civiliza- gardless of price and size. True, there are many tion; Fellow of the American Medical Associa- books which are more complete and undoubtedly tion, etc. Published by the Gazette Publishing more “scientific,” entering with greater detail Company, 87 Nassau Street, New York City. into the late advances in pediatrics, but, unfor

This volume contains a number of essays tunately, the majority of these books do not conwhich have been contributed by the author to centrate greatly upon therapy, with the excepthe American Review of Reviews, Collier's tion of the dietetic treatment of children's disWeekly, Harper's Weekly, the Scientific Amer- eases, which most of the textbooks upon this ican, and other publications, together with a subject discuss very fully. large amount of new material. The subjects dis- Doctor Candler, on the contrary, believes in cussed are various. For instance, the first es- the use of drugs, and knows how to use them. say, “A Twentieth Century Epic," is a tri- Also, he describes the methods of using them umphant record of the great achievements in with the most minute detail, so that any physimedicine during the last few years—the first cian who becomes familiar with this work is years of the twentieth century. Doctor Huber hardly likely to lack for information when it writes as an American proud of the work that comes to the treatment of the acute diseases at our own people have done to make the world a least. In this field, the acute infectious diseases, better and safer place to live in.

the book is particularly strong. It is for this It would be a pleasant task to make frequent reason that it should appeal with especial interest quotations from these essays; indeed, I am not to general practitioners. sure that I shall not do so later, for there is a There will be many physicians, of course, who spirit of friendliness and optimism-a deter- will rebel at the repeated references to the vari mination to look on the bright side of things- ous active-principle and closely allied remedies. running through them all which makes the book Such men will undoubtedly declare this book very pleasant to read. Thus, Doctor Huber commercial. However, if commercialism can give writes hopefully of the conquest of tuberculosis; · the doctor the means of treating his little pahe thinks that the danger signals that come to a tients successfully and pleasantly, as this book man of forty or thereabouts are blessings in dis- undoubtedly does, it deserves praise rather than guise and give no reason for worrying: and he blame. The price of $1.00 for a book of 432

pages is ridiculously small. The book is well the Dominant Factor in Evolution." (b) “Conprinted and bound.

scious Evolution in Relation to Medical Science

and Art." (c) “Practical Hints to the EvolvANNOUNCEMENT.

ing Physician."

(11) Published in The American Journal of Other important papers, leading up to and ex

Clinical Medicine, March, 1913, a paper entitled tending the issues discussed in “The Call of the

“Evolution's Message to Physicians." Twentieth Century,” published in The Medical

(12) Published in The Medical Herald, SepStandard, June, July and August, 1914, from the

tember, 1913, a paper entitled “Evolution His pen of Dr. Munro, are as follows:

Foundation Stone,''-an expression of commen(1) Published in The Illinois Medical Journal,

dation and appreciation of the election of Prof. October, 1914, and to appear soon in Journal of

Victor G. Vaughan, as President of the American Criminal Law and Criminology, a paper entitled

Medical Association. ** The Emotional Factor in the Etiology of Sui

(13) Published in The Medical Herald, June, cide, Criminality, Insanity and Mortality,'' read

1914, a paper entitled “Some Broader Issues of by invitation before the Meeting of Alienists and

Public Health.” Neurologists of the United States for the Dis

(14) Published in The American Journal of cussion of Mental Diseases in Their Various

Clinical Medicine, August, 1914, a paper entiPhases, under the auspices of the Chicago Med

tled “Opportunity as a Therapeutic Expedient." ical Society, July 13, 1914. (2) Published in The American Practitioner,

PAPERS TO APPEAR SOON. November and December, 1913, a paper entitled

(15) To be published in The St. Louis Med“The Correlation, Unification or Synthesis of

hesis of ical Review, November, 1914, a paper entitled ('hemo- and Psychotherapy."

“The Arrival of the General Practitioner.” (3) Published in The Journal of the Ameri

(16) To be published in The Medical Hercan Institute of Homeopathy, 1914, a paper en

on ald, November, 1914, a paper entitled “The View titled “Instinct, Intellect and the Game,'' read

read Point of the Laity.”

1 by invitation before the National Society of

(17) To be published in The Illinois Medical Physical Therapeutics, Denver, Colo., July, 1913.

13 Journal and also in The Medical Standard, No(4) Published in The Medical Herald, Feb

vember, 1914, a paper entitled “An Open Quesruary and March, 1914, a paper entitled “Auto non." Intoxication and Dis-Intoxication in Relation to

(18) To be published in The General Practhe Etiology and Treatment of Disease," read

tioner, November, 1914, a paper entitled “The before the Society of the Missouri Valley, Oma

e New Era in Medicine." ha, Sept. 19, 1913.

(5) Published in The Medical Herald, March. For fifteen years have I been working in the 1912, a paper entitled “The Retraining of the interests of the medical profession, that I might Human Animal for the Restoration of Health," benefit humanity in an indirect way through the read before the Society of the Missouri Valley, physicians of the United States. We have now Sept. 7, 1911.

come to the parting of the ways. Henceforth, (6) Published in The Medical Standard, a I will direct my appeal to people, rather than paper entitled "The Activating Motives of Pro- to depend entirely upon physicians for referred fessional Conduct," the first part of which ap- work, as I have done for the past five and a half peared under the Department of Psychotherapy years, while working for the people through the of several 1913 issues of The Medical Record. Medical Profession.

(7) Published in the New York Medical Rec- If I am forced to conform to the rules of the ord, May 30, 1914, a paper entitled “The Pre- game, or to "go your own route," I prefer the vention of Psychic Trauma."

latter. If the competitive system must prevail, (8) Published in The Medical Standard, July, I choose to work in the interest of the larger 1913, a paper entitled “What I Prescribed for a social organization, and not in the interest of Patient."

the Medical School Monopolists, under the title (9) Published in The Medical Herald, June, of “The American Medical Association,”—an 1910, a paper entitled “Psychotherapy in Rela- aggregation of men organized for the exploitation to the General Practice of Medicine and tion of medical schools and hospitals, for the Surgery," read before the Society of the Mis- treatment of pathological end products (gross souri Valley, March, 1910.

pathology), while the real cause of disease is being (10) Published in The Medical Herald, in neglected. 1912, the following papers: (a) “Suggestion I hereby express my grateful acknowledgment

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