..........

3 ij

Fld. ext. grindelia robust. 3j Syr. castan. vesc... 3 iij M. Sig.-Teaspoonful after meals and at bedtime.

FOR UREMIA.-Dr. L. D. Kastenbine claimes that, for promptness and certainty, the following is the best prescription that can be used in the treatment of uremia: B. Tr. ferri chloridi..... 3 ss Spts. ætheris nitrosi, Liq. ammon. acetatis.....aa j Aqua dest... .. . 3 iiss

M. Sig.-Tablespoonful in wine glass of water.

WHAT THE TONGUE INDICATES.-A white tongue denotes a febrile disturbance; a brown, moist tongue, indigestion; a brown, dry tongue, depression, blood poisoning, typhoid fever; a red, moist tongue, inflammatory fever; a red, glazed tongue, general fever, loss of digestion; a tremulous, moist and flabby tongue, feebleness, nervousness; a glazed tongue with blue appearance, tertiary syphilis.— Med. Age.

Potass. brom Tr. belladonna.

Syr. tolu.......

gr. xv XX

M. Sig. A teaspoonful four times a day.-Southern Med. Record.

young unmarried women and examination

Dr. Geo. M. Warner, of Louisville. says that in chronic dyspepsia accompanied by diarrhea, especially where there is a desire to evacuate the bowels immediately after eating, few remedies will be found equal to arsenic. Some patients experience the desire for an action even during the process of mastication, and may have to leave a half finished meal to have a motion, consisting of lumpy, semisolid and partially digested food.

This condition seems to be due to excessive peristaltic action of both stomach and intestines, causing the ingesta to be hurried through the stomach be

fore digestion is completed, into the intestines, and thence expelled at once.

The disease occurs most frequently among children from eight to 12 years of age, and may last for many months.

One to five minims of Fowler's solution should be given shortly before each meal. The interval between the meal and the diarrhea will gradually lengthen until (usually within 10 days or two weeks) normal peristalsis is restored. Perfect rest and quiet should be enjoined for at least 30 minutes before eating, and slow and complete mastication insisted upon.

Constipation in Infants.

The first step must be to regulate the habits and life of the mother, She must be placed on a diet of fresh meat, fresh vegetables and freshly cooked fruit, with due provision for regular exercise and restriction in the matter of tea drinking and other dietetic irregularities. This regime will diminish the proteid and increase the fatty constituents of the miik, and will go far to rid the infant of the tendency to constipation. Should it fail, the best treatment for the child is the administration of cream, in doses of from one to two teaspoonfuls in warm water from time to time, just before the periodical meal.Med. Press and Circular.

Pneumonia.

According to the statement of Dr. A. Chase, in a late number of the Pacific Med. Jour., the most successful treatment consists in giving a patient a hot water bath. He says: "When nothing better was at hand I have often called for a tea-kettleful of boiling hot water and a bucket of cold water, a wash-basin, and a bath or large wash-tub. Seating the patient on a stool in the tub, covered with a sheet, having the water mixed in a wash-basin, as hot as it can be borne, I ladle it on the sheet covering the patient. From the tea kettle of boiling water and the bucket of cold water the wash-basin is kept replenished. The hot bath is kept up for 30 or 40 minutes. If the patient complains of suffocation cut a hole in the sheet and let his nose out.

While under this simple operation patients by inhaling the hot vapor will expectorate a large amount of mucus, and sometimes more or less blood. The heart action is improved and the dyspnea is greatly relieved; in short, you have respited the patient and gained time for the operation of medicine."

The True Value of Gargling.

By gargling in the usual way only the upper anterior surface of the uvula, soft palate and base of the tongue are reached. The method of holding the nose and throwing the head well back when gargling enables the fluid to reach every surface of the pharynx.

The value of the two methods can readily be tested by painting the posterior wall of the pharynx with a strong solution of methylene blue. After gargling with water in the usual way, the latter will be perfectly clear and unstained; then let the patient gargle again by the method suggested, and the ejected fluid will be found stained.-Charlotte Med Jour.

Veratrum Viride in Puerperal Eclampsia.

Dr. Coston, in the Va. Med. SemiMonthly, from his own experience and that of others, offers the following conclusions:

1. Veratrum viride is a perfectly safe remedy. Even when used in extra large doses no danger need be feared so long as the patient is kept in the recumbent posture.

2. It is almost a specific when used early for all cases of puerperal eclampsia. 3. Those who inveigh against it have used it either not at all or too sparingly.

To Cure a Cold.

Dr. A. S. Barnes, of St. Louis, in an article in the Interstate Med. Jonr., presents the following quick method of curing a cold in the head:

Place the patient in a bath tub of warm water, the temperature being from 97° to 100°, or as hot as he can stand it without inconvenience, for five minutes. Then roll the patient in warmed blanket, put

in bed and heap on covers. Something old must previously be placed under the patient so as not to wet the bed clothes from the sweating. Then give one-eighth of a grain of pilocarpine muriate dissolved in half a glass of warm water. If the patient is weak or thin, less pilocarpine may be used. After three quarters of an hour's sweating, give the patient 1-100 of a grain of atropine in water. Fifteen minutes after this, mop (do not use friction) the patient with warm towels, the Turkish being preferable. Then place on the patient a warmed night robe and put him between warmed sheets with his ordinary covering over him. Then give the following prescription: B. Phenacetine..

Salol

Caffeine citrate. M. ft. caps. No. xij. two hours.

..gr. xviij .gr. xxxvj .gr. iv Sig.-One every

In very young babies this may be diluted with equal parts of ungt. acid. boric or vaseline.

This paste is rubbed into the skin and the part covered by a bandage. Where the face is affected a mask of lint is employed. The dressing is renewed once a day, the skin having been first completely cleaned off with pledgets of cotton covered with the boric acid ointment or vaseline. This is to remove the paste that has been applied the previous days so that a fresh supply can be rubbed in.Dr. H. D. Chapin in Post Graduate.

Typhoid Fever in Children.

In cer

Under the above caption Dr. Abraham Jacobi read a paper at the late meeting of the New York State Medical Association, in which he said that the absence of high temperature was worthy of note. General peritonitis was very uncommon. tain epidemics he had found intestinal hemorrhage very frequent and severe. The food should be exclusively liquid until the temperature had been normal for 10 days. A few drops of dilute hydrochloric acid in a glass of water made a useful and pleasant drink. The lips and tongue should be kept clean. When the tongue was dry and fissured, one or two applications should be made with a camel's hair brush dipped in a one or two per cent. solution of nitrate of silver. The posture in bed should be changed from time to time to avoid hypostatic congestion. The bowel should be irrigated frequently with water at 95° or 100° Fahr. Internally, bismuth, sulphocarbolate of zinc and salol were indicated. Stupor

and coma should be combated by cold affusions while the body was immersed in water at 95° Fahr. Antipyrine was perhaps the safest of the antipyretic drugs, but baths were better because of their stimulating action on the nervous system. -Med. Record.

Report of a Case of Septicemia.

Dr. R. H. Lawrence, of Chicago, in the Amer. Gynecological and Obstetrical Jour., presents the following clinical memorandum:

Mrs. D. A., age 23. Married five months. Aborted October 1st. Found patient in bed, great difficulty in breathing, with pain in abdomen, which was very tympanitic and sore; foul odorvery noticeable during examination. Gave history of previous good health, but continuous flow of blood from vagina for five days. On examination found clots of retained placenta. Temperature 103°; pulse 122. Used curette and gave carbolized douche. 8 p. m.-Temperature 104°; pulse 150. Gave stimulants and intra-uterine douche of Borolyptol, two ounces, and vaginal douche of carbolized water. Consultation with Dr. H. P. Nelson. Prognosis very doubtful. Diaphoretics and stimulants ordered every half hour.

Same day, 11.30 p. m.-Temperature 101.6°; pulse 126. Vomited freely, mild perspiration, light sleep.

Oct. 6, 5 a. m.-Temperature 104.4°: pulse rapid and weak, skin dry. Ordered diaphoretics every 15 minutes for four hours, and stimulants every hour; surrounded with hot-water bottles.

2.30 p. m.-Temperature 104°. Diaphoretics every 15 minutes, stimulants every half hour, intra-uterine douche of Borolyptol, two ounces.

6 p. m.-Temperature 104°; pulse 130. Consultation with Dr. A. McDiarmid. Curetted again under full anesthesia and used 1.3000 bichloride solution as douche. This procedure was followed by a severe chill, abdominal tenderness and involuntary bowel evacuations. At 8.30 temperature had risen to 105.5°; pulse 140.

Oct. 7, 10 a. m.-Temperature 100.2°; pulse 108. During the day the tempera

ture rose gradually, and at 6 p. m. was 104.4°. Then gave intra-uterine douche of bichloride, 1.4000, which was followed, as before, by very severe chill, abdominal pain and involuntary bowel movements. At 9 p. m. temperature had risen to 106.4°; pulse 150; respiration 36; patient very restless.

Oct. 8, I a. m.-Temperature 102.6°; pulse 120. Stimulants and diaphoretics continued, but hot-water bottles removed. Temperature at 2.30 p. m. had dropped to 10°. Intra-uterine douche of Borolyptol, two ounces; vaginal douche of Borolyptol solution. After this temperature continued below 100° until Oct. 9 at II a. m., when it rose to 102 8°. Borolyptol douche repeated and several large clots washed away; no pain, no chills as after bichloride, but a rather restless night. Temperature continued low until noon, when Borolyptol intra-uterine douche was again repeated, after which patient slept for three hours.

Oct. 10, 10 a. m.-Temperature 100.2°. Borolyptol, two ounces, intra-uterine douche and a similar douche at 10 p. m. These douches were repeated twice a day until Oct. 15, during which time temperature did not rise above 100°, discharge gradually decreased and my attendance ceased Oct. 21, when patient had fully recovered.

I am very much pleased with the action of Borolyptol in this case as compared with mercuric bichloride-no pain, chills or rise of temperature followed its use, and its action was in every way superior to that of the sublimate.

Subinvolution of the Uterus.

Dr. F. J. Campbell, of Fargo, N. D., is of the opinion that much operative work would be unnecessary if more careful attention were given to the critical periods immediately following the puerperium and miscarriage. This is the golden time to prevent pelvic congestion and its attendant train of evils. He believes that it is good practice to repair every extensive cervical laceration within the first few weeks following confinement, as preventive measure. It is self-evident that a subsequent miscarriage will empha

size any pathological condition. The cervical canal and lacerated parts roll out and become eroded by the vaginal secretion. The glands become cystic, the uterus enlarged, soggy and displaced and a general pelvic congestion ensues.

Dr. Campbell does not think it necessary to waste time in preparatory topical treatments before operating. The traumatism of curettage and the cervical operation furnish an efficient stimulant to uterine contraction. Subsequent treatment with properly medicated tampons may be necessary adjuvants to the proper completion of the work.

Before curetting it is a safe procedure to dilate the cervix sufficiently to admit the finger to the fundus. In one case operated upon he found a large piece of placenta and in another a fetal head of three months' development. These cases had been operated upon and douched five weeks before. If the first operator had dilated sufficiently these would not have been overlooked. It has seemed to him that involution was more rapid and that the symptoms referable to pelvic congestion disappeared more quickly when the operation was performed within 10 days of miscarriage than when it was delayed for a number of months.

Headache and Eye Affections.

the

In a paper by Dr. S. D. Risley, in the Jour. Amer. Med. Association, on relations of headache to affections of the eye, the writer believes the following conclusions may be regarded as established by clinical experience:

1. Abnormalities of the ocular apparatus are in a large group of patients the sole and sufficient cause of headache.

2. These abnormalities of vision may be the unsuspected cause, and therefore the absence of symptoms obviously referable to the eyes does not exclude them as an etiological factor in headache, insomnia, vertigo, petit chorea in children, and certain stomach derangements.

3. The recent or sudden development of symptoms, after attacks of severe illness, as typhoid fever, the exanthemata, etc., or in association with more or less acute exacerbations of some general