M. ungt. Renew every six hours; use freely.

The powders kept up a number of liquid actions during the day, but he suffered none from nausea. Tartar emetic with calomel and Dover's powder enough to allay pain and to prevent free purgation, will do the work.

Old remedies are discarded altogether too much in these days. Even if you approach ptyalism what harm is done? You absorb the inflamed lymph, and the salve has much to recommend. The ichthyol acts as a local absorbent and exsanguinates the parts; the belladonna dilates the arterioles and soothes the inflamed surfaces, and does much toward holding down the pain that keeps up the congestion.

The patient should be kept on a low regimen of diet, and positive rest subjoined for a few days. I have used this method for many years, with satisfaction to myself and patients.

Sometimes in the acute stage I have found that by using the sharp-pointed bistoury and the antiphlogistic tap, or touch, under a local anesthetic, much good follows; or the following poultice, applied often as hot as can be borne and repeated frequently in the 24 hours:

Equal parts of pulv. ulmi, ground flaxseed and fine, strong smoking tobacco (from the stems). Pour on boiling water and place between two old pieces of linen. Put on bandage to elevate the parts. If you do not wish to employ the calomel use this mixture.

If you suspect a rheumatic background, exhibit 20 grains of salicylate of soda with 10 or 20 minims of the wine of colchicum seed.

I have had good service from the following:

B. Fld. ext. japorandi....
Fld. ext. gelsemium.

Soda bromid...

Aqua

3 ss 3 iss

.q. s. 3 iv

3 iij 3iv

M. Sig.-Teaspoonful after meals and at bedtime in a little water.

The Paquelin cautery, in subacute stages, by light etherial touches, can be relied on, and, as hardly any pain is experienced in the application, should not be ignored.

of the

In reviewing the literature journals the report of instances of death from this disease was not once found. Shoemaker, on "Diseases of the Skin," says: "The prognosis of urticaria is always favorable." Pepper, in his "System of Medicine, states: "Most cases of urticaria may be speedily relieved, though relapses occur. The prognosis of chronic urticaria may not be so favorable, depending upon the ability to modify the predisposing causes. Holt, in his work on "Diseases of Children," makes no mention of prognosis in considering this disease.

"

The necessity of a guarded prognosis in urticaria occuring in young children may be insisted upon after considering the following case.

"It must be remembered that urticaria is, in certain instances, likely to involve the respiratory organs concomitantly with the integumental eruption and extension. to the gastro-intestinal tract. Such cases have been said to end fatally."-British Med. Jour.

November 21, 1898, our office was called upon to visit Infant F., age seven months. The babe was the subject of furunculosis, and the mother under treatment for eczema manuum. When inspected the child was found to be suffering with acute urticaria of the tuberous form, great welts covering a large portion of the corporeal surface, and the constitutional symptoms being severe; the fever ranging between 104 and 105 degrees Fahr.

November 22d, a. m. The babe was dead and the following return of death being made, viz: "Died of congestion of the brain, superinduced by acute urticaria and high fever. Death was sudden. He was the subject of an injury to the head, caused by a fall a few days previous."

The mother, previous to the illness of the infant, was taking one of Wyeth & Bro's compressed triturates containing arsenic. This maternal medication was stopped upon the inception of the urticaria, The parents insisted that the triturates had poisoned the babe through the mother's milk, or absorption had taken place from the ointment she was applying to her hand.

It is believed that want of judgment in using sponge baths, prescribed to subdue the febrile movement, militated against a favorable termination. The baths were administered when the infant had become cyanotic, though caution had been given to sponge only parts of the body, avoiding exposure, and to desist when the skin became cool.

DRS. PENNEBAKER AND TRIPP.

Pleasant Hill, Ky.

La Grippe and Other Points.---Query.

Editor Medical Summary:

Although much has been written relative to la grippe, I have concluded to add my mite to its treatment.

We have had quite an epidemic of la grippe in this section this winter, and I have treated many cases, allow me to say, generally satisfactory to myself and patient, and the course pursued having been a very simple one indeed.

I discarded the so-called cough sedatives entirely, simply because nearly all such mixtures contain opium in some form or another, and it has a tendency to lock up the secretions, which is certainly contraindicated in this affection. The very first thing I usually did was to prescribe the following:

tion. I assured him that it was not consumption, and placed him on the above treatment-that is, the Antikamnia and quinine-and also Dr. Brodnax's iron tonic, which I would not like to be without.

On page 321, February SUMMARY, Dr. Brodnax revives the old stand-by, apocynum cannabinum. It does exactly as he states. Twenty years ago our old family physician prescribed it for our old servant and it acted like a charm.

I had a case not very long ago that puzzled me, and I would like some brother to give me his views. The case was that of a colored girl, 16 years old, who slept all the time, either sitting or lying down. She would not talk, and if asked if she felt any pain she would shake her head; ate hearty and would take anything handed to her, but appeared to have but little use of her arms and legs. Who can give me more light on this case ? J. P. CARRINGTON, M. D. Waller, Tex.

Comments on February “Summary."

Editor Medical Summary:

The editorial, "The Physician," is a splendid article, and one to the credit of the SUMMARY pages. Yes, he should be "a man, well rounded, built from the

ground up, firmly planted. cultivated, intelligent and truthful," and, allow me to add, a kind hearted gentleman. This is what every physician ought to be, without a doubt, but alas, how many are not. If any one in this world ought to be such it is the doctor-he who ushers us into the world, who enters the sick chamber to soothe the tired nerves and allay the torturing pain, to give the ailing brain rest, to ease the burning fever and rest the weary eye. He should be "tried and true" as the steel of a Damascus blade, for unto him are confided secrets and confidences that only he and his patient know, and I am convinced without any reserve, that a good honest doctor comes in closer contact and has more confidences placed in his trust than the minister of the gospel, Then, too, he should be able to give spiritual advice as well as to prescribe medicine for the patients' ailments, for

often he must stand by the death bed of one who has gathered no sheves, and, holding the patient's hand, knowing that he has done all that he can do therapeutically, that the tide is surely ebbing, that the death seal is on the brow, he must be able to advise the flickering spirit to make its peace with God and rest on the Rock of Ages. A doctor should be a christian if anybody outside of a minister should.

Yet it is true that a great many physicians are the opposite of all this. Many are addicted to drink, use profane language, chew, smoke and are immoral. Doctor, do not be offended if this shoe pinches so hard that you wince under these condemnations. You will come to the time when you will have to balance up the books, and if you fizzled away your day of grace and have not anything on the credit side you had better never have seen daylight. A physician who is not up to the standard of the SUMMARY editorial is like the wicked servant who hid his master's talent in a napkin, and has no business practicing medicine.

Dr. Andrews says that the SUMMARY is to be better in the coming issues, and you may rest assured it will be so. The Doctor is a hustler and, with energy and push, will keep the SUMMARY star bright. Truly, it has cut a niche in the medical journal ranks that no other can fill.

Dr. Ellis, in "An Interesting Case of Pneumonia," shows that he is a close observer, and he dwells on some practical points which many of us do not meet. I have never used cold applications to chest, but always use dry hot oats in bags, with a mixture of mustard and lard applied to the skin, and with good results.

"Tedious and Imperfect Convalescence" is interesting and shows the many things that are to be taken into consideration in our convalescing patients. Just now I have a case where the chief annoyance is night-sweats from an attack of la grippe. These I have controlled by full doses of camphoric acid, taking one dose about three hours before sleeping time and a half dose just before going to sleep. I prefer this to atropine, as it does not dilate the pupils nor make the throat

dry. dry. Dr. Egbert explains a point new to me regarding these sweats in convalescence-that they are due to "tissue relaxation." Dr. Waugh says that Sanose, the new iron preparation, is an excellent thing in these convalescences.

"The Portal System" gives us some thoughts for deliberate and close thinking. ing. This subject is not fully understood by all. Dr. Watkins handles his subject very clearly and it is worth reading.

Dr. Britton's article on "Observations on Use of Morphine" is ably written. Morphine, used carefully and where physiologically indicated, is a blessing. Dr. B. gives us some ideas that we cannot turn down.

In "Intestinal Occlusion," Dr. Browning gives us the details of a very interesting case, and the Doctor can be congratulated in pulling the case through without an operation, which he did very cleverly. A great many knife surgeons would have sharpened their instruments and slashed away. It is not the one who cuts most, but the one who understands his business and knows just what to do that is best for his patient, regardless of trying to do an operation for the sake of brilliancy. Doctor, I am with you in your treatment on the lines laid down in your article.

"Pericæcal Abscess" presents another very interesting case, and one where operation was necessary to relieve the condition.

Dr. Brodnax, as usual, has something practical and useful in his contribution. Doctor, apocynum is all right for dropsy, but why not use the granules made by the Abbott Alkaloidal Co. instead of the tincture? Easier and better by far, Doctor. The Doctor says that soda bicarbonate is all right in dyspepsia. This is a new thought to me. I was always of the opinion that it was harmful and was prejudiced against its use. Dr. B. certainly got very good results from its use. I think I will try it in my dyspepsia cases.

One of the best articles in this number is one from that able veteran, Dr. Monroe, on rectal diseases. His theory is clinched with years of experience, which is proof without a doubt. His article is short,

crisp and to the point. Dr. Monroe knows how to write a good useful article on rectal diseases and their treatment. S. D. SOUR, M. D.

Princeton, Minn.

Summary Gleanings.

AN AMERICAN TEXT-BOOK OF DISEASES OF THE EYE, EAR, NOSE AND THROAT. By 58 Prominent Specialists. Edited by G. E. DESchweinitz, M. D., Professor of Ophthalmology in Jefferson Medical College, and B. Alex. Randall, M. D., Professor Diseases of the Ear in the University of Pennsylvania and in the Philadelphia Polyclinic. W. B. Saunders, Publisher, Philadelphia. 1899. Price $7.00.

This is the latest addition to the "American Text-Book Series," and it undoubtedly takes rank with the other volumes of this very popular series.

It is a large, handsome volume of 1250 pages, illustrated with 766 engravings, 79 of which are in colors. The work contains certain novel features not usually found in text-books, as, for instance, articles on the standards of form and color-vision required in railway service, the Rontgen rays in ophthalmic surgery, the practice of ophthalmic operations on animals' eyes, the most important microorganisms having etiological relationship to ocular disorders, etc. This work, as the authors state, is essentially a textbook on the one hand, on the other, a volume of reference to which the practitioner may turn and find a series of articles written by men who are authorities on their respective subjects. The practical side of each subject was evidently borne in mind by the editors of this admirable work. We commend it to our readers.

Dictionary" noticed in the January SUMMARY. One specially commendable feature about this book is the plain black letter used for all the words.

SAUNDERS' POCKET MEDICAL FORMULARY. By William M. Powell, M. D., Author of "Essentials of the Diseases of Children," etc. Fifth edition, thoroughly revised. W. B. Saunders, Publisher, Philadelphia. 1899. Price $1.75.

This pocket formulary contains much valuable matter besides the large and well selected list of formula: a posological table, formulæ and doses for hypodermic medication, the diameters of the pelvis and of the foetal head, an obstetrical table, a diet list, a list of materials and drugs for antiseptic surgery, the treatment for asphyxia from drowning, surgical remembrancer, etc. It is also interleaved and furnished with a thumb index. The latter is a most valuable feature.

THE MANUAL OF MASSATHERAPY; THE USE OF MASSAGE ROLLERS AND MUSCLE BEATERS. By W. E. Forest, M. D. The Health Culture Co., Publishers, 503 Fifth Ave., New York. 1898. Price 25 cents.

This brochure of less than 100 pages is offered as a complete guide to massotherapy in the home, and as such it will no doubt be found valuable.

THREE THOUSAND MEDICAL QUESTIONS, ARRANGED FOR SELF EXAMINATION. With the Proper References to Standard Works in Which the Correct Replies May be Found. P. Blakiston's Son & Co., Publishers, Philadelphia. 1899. Price 10 cents, postpaid.

The publishers say that since the first edition was exhausted the book has been much in demand. It has been thoroughly revised, brought up-to-date, and it will no doubt prove of value to physicians as well as students preparing for examinations.

TO SUBSCRIBERS.-Please examine the wrapper in which your SUMMARY comes, and see the date to which your subscription is paid. If your time is out, a remitance is in order!