Vol. XXI No. I MARCH 1899 $1.00 per Year TheMedicalR Established .1879. Summary RHANDREWS MD. Editor and Publisher, 2321 Park Ave., Philadelphia,Pa THIS IS A FIKULAX (CHOCOLATE FIO LAXATIVE TABLET. BAZZI-BIANCHI PHONENDOSCOPE Velvet-lined Case, $4.00. Beware of infringements. All genuine have our name on instrument. Buy from your dealer, or, if not in stock, from us direct. GEO. P. PILLING & SON, 1989 Callowhill St., Philadelphia. Sole Agents for U. S. A. MELLIER DRUG COMPANY, St. Louis, Mo. Recent Medical Therapeutics Treatment of Pneumonia As a rule certain diseases prove more fatal, not only in given districts but during certain periods of time, along particular areas of territory. Twenty years ago, and preceding the appearance of La Grippe in its epidemic form, pneumonia proved as dangerous as it does at the present time. Medical men were at a loss, not for a remedy for the disease alone, but even for a logical line of treatment. The celebrated DujardinBeaumetz became so skeptical that he prescribed stimulants, regardless of therapeutical conditions. The mortality in his ward at the Hotel Dieu in Paris proved that his patients fared no worse than the others submitted to the antiphlogistic remedies then in vogue. Codeine was considered the best remedy known possessing a marked and distinct effect upon the hypersecretions of the bronchial mucous membrane. What was desired was an analgesic possessing antipyretic properties which could be safely used. This has since been found in antikamnia which can be safely exhibited, especially on account of its not having a depressing effect on the cardiac system. Doses of from five to ten grains of antikamnia administered under ordinary conditions do not develop any untoward after-effects. In the treatment of pneumonia, antikamnia is indicated as a necessary adjunct to codeine, on account of its analgesic and antipyretic properties and particularly because it acts as a tonic upon the nerve centres. The tablets of antikamnia and codeine containing four and three-quarter grains antikamnia and one-fourth grain sulphate of codeine present these two remedies in the most desirable form. One tablet every hour, allowed to dissolve slowly in the mouth, is almost a specific for the irritating cough so often met with in these com plications. For general internal medication it is always best to crush the tablets. The Prompt Solution of Tablets We are glad to know that the Antikamnia people take the precaution to state that when prompt effect is desired the Antikamnia Tablets should be crushed. It so frequently happens that certain unfavorable influences of the stomach may prevent the prompt solution of tablets, that this suggestion is well worth heeding. Antikamnia itself is tasteless, and the crushed tablet can be placed on the tongue and washed down with a swallow of water. Proprietors of other tablets would have had better success if they had given more thought to this question of prompt solubility. Antikamnia and its combinations in tablet form are great favorites of ours, not because of their convenience alone, but also because of their therapeutic effects.-The Journal of Practical Medi cine. PRACTICAL MEDICINE, NEW PREPARATIONS, ETC. R. H. ANDREWS, M. D., Editor, 2321 Park Ave., Philadelphia, Pa. VOL. XXI. TERMS: Subscription $1.00 per year, in advance, including postage to any part of the United States, Mexico and Canada. Postage to any foreign country in the Universal Postal Union, including Newfoundland, 25 cents a year additional. Subscribers failing to receive the SUMMARY should notify us within the month and the omission will be supplied. When a change of address is ordered, both the new and the old address must be given. Subscriptions may begin with any number. How to Remit.-Payment can be made by Postal Money-Order, Bank Check or Draft, or Express Money-Order. When none of these can be procured, send the money in a Registered Letter. All postmasters are required to register letters whenever requested to do so. Receipts. The receipt of all money is immediately acknowledged by a postal card. Important Notice.-The printed address label which appears on the wrapper of your SUMMARY indicates the date to which your subscription has been paid. Subscribers wishing the SUMMARY stopped at the expiration of their paidin-advance subscription must notify us to that effect, otherwise we assume it their wish to have it continued, expecting to receive a remittance at their earliest convenience. Address THE MEDICAL SUMMARY, P. O. Box 1217. 2321 Park Ave., Philadelphia, Pa. This journal has an extensive and constantly increasing circulation, is substantially established, and therefore presents to business houses desiring to reach the rank and file of the medical profession throughout the land, a most valuable advertising medium. Entered at Phila. Post Office as second-class matter. COUGHS. Coughs are musical and unmusical; they slide and jump along, up and down the chromatic scale, through all the variations of the gamut. Bronchial, laryngeal, pharyngeal and nasal-these are the grand divisions. Dry cough, moist cough, hollow cough, cavernous cough, brassy cough, suggestive cough, sympathetic cough, habit cough, are suggestive and descriptive. This classification may include gastric cough, hepatic cough, uterine cough and ovarian cough. Any may be heard in all No. I Chronologically the modes and tenses. they are sure to be past, present and future, and characteristically, indicative, subjunctive, potential and imperative; known to educated ears by their inflection, pitch and emphasis. May we not add cephalic cough and spinal cough to the list! The last named once made a strong impression on the writer. The cough in this instance was a circular affair, with its center everywhere and circumference nowhere. It kept up a constant din day and night. Friends supposed it was consumption; doctor knew it was hard to manage. Polypharmacy and polypharmical expectorants were not in it. The doctor's finger found a certain dorsal vertebra and light broke on the darkness; pressure cleared up the obscure pathology; a small fly blister of small proportions brought speedy relief. Sallowness, cadaverousness, emaciation, foul tongue, tumid belly and dry cough are co-efficients of ill health in childhood. Old people believe these signs spell worms, but the doctor knows they may mean anything else. However, turpentine and santonin are magic to some, and coughs go with the exodus of worms. Sometimes a mysterious cough is stopped by tapping the liver, overhauling disordered stomach, or healing a pruritus |