Summary Gleanings.

To cure warts give eight drops of iodine twice daily.

Never give a child a bath immediately after a meal.

One of our very best drugs for the treatment of eysipelas is ichthyol.

Heroin is said to promptly relieve cough of all kinds, especially the cough of tuberculosis.

Painful menstration is not a disease, but merely a symptom found in various pelvic diseases.

Dr. Osler says that the combined infection with the typhoid and malarial germs is excessively rare.

Headaches at the menopause, with the flushes followed by perspiration, are relieved with gelsemium.

In giving cimicifuga in the treatment of chorea, remember that a decoction of the root is the most active form.

Nitroglycerin is the one agent which acts more promptly by the mouth than when given hypodermically.

Inoperable uterine cancers have been reported as arrested in their growth by full doses of thyroid extract.

Capsicin administered in small doses at frequent intervals is stated to give good results in many cases of hay fever.

Painful menstruation in a sterile patient is strong evidence that there is tubal inflammation with occlusion of tubes.

Sycose, having a sweetening power 550 times greater than that of sugar, is the newest, substitute offered in diabetic conditions.

Thyroid extract in mammary cancer lessens the pain and the discharge, and seemingly has an inhibitory action on the malignant growth.

Five drops of the tincture of lobelia in two ounces of water, half teaspoonful every 10 minutes, given warm, will cure many cases of infantile colic from whatever cause; will soothe nervous irritation and induce sleep.

Chronic buzzing in the ears, whether due to dry sclerous otitis or to Meniere's disease, is benefited, according to Bouchard, by giving quinine.

To urine suspected of containing pus add enough tincture of guaiac to produce a milky appearance, then boil. The pus will produce a blue tint.

Passiflora incarnata in five-drop doses, before meals, is said to have cured cases of acidity of the stomach after other drugs had failed to relieve.

Never allow a room to be swept or dusted just before an operation. Cover everything with wet sheets, if necessary, so as to prevent the raising of dust.

In eczema of the scalp in young children, give berberis aquifolium. It is nearly a specific. The application of bismuth and lanolin externally will assist materially.

In pregnancy the occurrence of salivation, dyspepsia, constipation, headache, disordered vision, irritability, deficient excretion of urine, anemia, should make you suspect toxemia.

Take five parts of camphorated chloral, 30 parts of glycerin, and 10 parts of the oil of almonds, saturate a piece of cotton with this and apply into a painful ear and it will cure as if by magic.

Dr. Fisher, of New York, found the duration of 51 cases of whooping-cough treated with Bromoform to be from 10 to 30 days, and believes that it will cure 75% of all uncomplicated cases.

Sulphur, even in the dose of a fraction of a grain, will increase the efficacy of a purgative pill or powder, by increasing the flatus in the intestine, thus facilitating the expulsion of its contents.

In difficult diagnosis between measles and scarlet fever, Dr. Donkin points to the fact that the region of the nose is always occupied by eruption in measles and the lips peel in scarlet fever.

For hemorrhage from lungs or uterus, atropine hypodermically, ergotin and strychnine by the mouth; if there is retained placenta, curette and wash out the uterus with a 25% hydrogen peroxide.

before it commences. I give digitalin, gr. 1-67, about four times daily from the start to finish; keep the pulse at or near normal, the capillaries contracted, the fever very moderate, tonics to keep the strength good, baptisin to anticipate ulceration, intestinal antiseptics to sterilize the alimentary canal, reduce fever and as much nourishment as my patient can be induced to take. The result is only one case of hemorrhage in my cases of typhoid fever and no deaths.

I believe that every additional day of sickness adds new danger of complications and decreases the chances of the patient's recovery, therefore every sick person should have prompt and scientific treatment.

In diphtheria we know there is danger of cardiac paralysis, therefore from the start give strychnine, iron and digitalis and ward it off.

In all continued diseases we know that debility is creeping on, therefore anticipate it, and by tonics, generous feeding and all tonic means ward it off.

In tonsillitis, to prevent suppuration give quinine, calcium sulphide sulphide and nuclein; it is a great combination in curing tonsillitis.

In scarlatina where one of the family is attacked and the others exposed put them all on treatment, and if not all prevented it will be greatly modified if done in season.

In surgical cases where apprehension of pyemia or septicemia is experienced, give nuclein, quinine, calcium sulphide and other appropriate treatment, and the complications if they appear will be mild and the chances of the patient's survival will be much improved.

I am a believer in positive medication. If we can't improve on nature we had better keep out of the way.

Scientific feeding is never to be neglected. Predigested, partially digested and easily digested food in abundance, and the more nourishing the food the better.

Given a case where we cannot make a positive diagnosis after seeing that all the bodily organs are performing their functions normally, give the following and you will not be disappointed in improving

Editor Medical Summary:

In an editorial in your September issue the subject of medical legislation is again referred to, and the question of a National Board of Examiners is therein mentioned.

The frequency with which this subject is seen mentioned in medical journals makes it apparent that a large majority of the medical profession are interested in the medical laws and would welcome a change from a State to a National law relating to the practice of medicine.

While this consummation may be devoutedly wished for, I am inclined to ask for information: "Is this a possibility ?"

I have frequently noticed a line here and there stating that it would be impossible for Congress to create such a law, as it would take from the several States the "police rights" granted them by the Constitution, and that each State had the inherent right to make such laws for the "protection" (?) of its constituents as may be deemed necessary and just.

What then is the condition of affairs? Can we ever hope to have a National Board, or must the reform come through interstate recognition? Who can properly explain the situation?

In the October issue, likewise editorially, copper arsenite is mentioned. Reference is made to its value in acute conditions, to which I must add a word for its great value in chronic diarrhea due

to an inflammatory or fermentative condition, where the stools are highly offensive and watery. Given in doses of 1-100 to 150 grain, combined with zinc sulphocarbolate, two grains, in elixir and water, or with tincture gentian compound, three to four times daily, it has given me the best of results and has permanently cured a number of cases.

We have but little malaria here; only an occasional case that originated elsewhere. In several of these cases, as well as different manifestations of the malarial cachexia, the theory of Dr. Brodnax has proved itself thoroughly reliable. Calomel, podophyllin and acetanilid, compounded with soda and a little caffeine if a chill was threatened or occurred, and acid iron compound for the "varmit." The excellent results obtained from this treatment makes it more than chance, and notwithstanding the contrary reports occasionally seen I must subscribe to it.

My experience with the pessary, while perhaps somewhat limited, is of such a nature that I cannot condemn it with the generality that some physicians do. It is probable that in some of the cases in which they have done mischief, there was some unrecognized troubie or condition which contraindicated the particular form used. The soft rubber ring pessary with spiral spring is the one I have used most, probably have applied a hundred, and I cannot but report their use on the whole satisfactory. This model is of necessity more valuable in simple prolapse than in the graver forms of malposition, but where we have complaints of a bearing-down feeling, pains in the rectum, worse on sitting down, vesical irritation and perhaps reflex symptoms, the introduction of one of these pessaries has in fully 90% of all cases treated given the most satisfactory results. In cases where we find much leucorrhea an astringent tablet or suppository may be employed in addition. I have never had an unfavorable result, and cannot see upon what grounds the men who object to them base their assertions.

The article on hemorrhoids in the November issue suggests a few comments on the treatment of this affection, as I have experienced the most unsatis

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factory results from the use of suppositories. Anusol supposltories are a new wrinkle as far as I know, as I have never seen nor heard of them, but I presume they are some proprietary article. wonder whether we all could obtain the results Dr. Creel claims to have obtained. It seems rather remarkable that persons who have been afflicted with piles for from two to 10 years, one of them being "almost an invalid," could be "completely cured" in two to four weeks.

Any one that imagines that by the use of a suppository (I care nothing what its name or who its maker) he can cure 25% of pile cases as they come, will be the most disappointed man in the country before he has attempted to cure IO cases. A nest of full-grown piles, more or less angry as the case may be, perhaps

crowded a little too close for their own as well as the patient's comfort, will be cured by a suppository about as quickly as a 10-year-old chap will get away with an 18 inch hornets' nest about the latter part of August any summer within the next century.

If our experience would only average one-half the success the Doctor has had with those magical suppositories, what a fortune we would make! We might even drop our other well-paying specialties and treat nothing but piles. With such results our fame would surely spread and we would soon have no time to attend to anything else. In our hands other measures—the ligature, the clamp and injection-have given us good results; results that were satisfying to both ourselves and patients, but very often different cases require different treatment, such as is dictated by experience and judgment.

The curability of drug addictions outside of a sanitarium still seems to be, among certain of the SUMMARY readers, a "mooted" question.

As time passes, week by week, and each one adding almost an average of one case to my list of cures, I am becoming more and more enthusiastic on the subject. Why some insist that a four to six weeks' course of treatment in a sanitarium or private home is necessary I cannot understand by any form of reasoning, except that they have not yet advanced to

that stage when they can realize that while they may have succeeded in part others may have done so in the whole.

Almost a year ago I communicated to the SUMMARX an article on how I treated hernia by the injection method, giving my formula and a brief technique. The in rush of letters asking for more information made it necessary for me to have copies of my technique and full instructions printed, which I offered to the profession on the receipt of a few postage stamps. I have still several hundred on hand, and if any of your readers wish to obtain a full and complete resume of the subject, giving full technique and instructions, and covering four pages the size of the SUMMARY, I will be pleased to mail one to all who wish, if they will enclose stamps sufficient to cover cost of mailing, stationery, etc.

What is the best treatment for the prostatorrhea following gonorrhea?

What is the best treatment for noises in the ear when not due to anemia, catarrh or coryza? How are they caused? J. D. ALBRIGHT, M. D.

Pottsville, Pa.

Retrospective Remarks.

Editor Medical Summary :

In a distinctively medical journal "further apology or comment" certainly cannot be necessary as a prelude to comment on the subject ("Preventive of Conception") of Dr. Mann's article, on page 286 of November SUMMARY. Not a reputable physician living but must, at some time, find it necessary to instruct a woman how conception may be avoided. The prevention being necessary, the best method is as follows: B. Quinine sulph..... Cacao-butter.

.gr. xxiv 3j-iss Mix intimately and make 12 tongueshaped vaginal pessaries. By tongueshaped I mean a mass flat, rounded and thinner in front, with a thick and straight base.

One of these inserted well up into the posterior cul de sac will keep the os bathed freely with its product-a sure and safe preventive.

An English concern has made a fortune selling these self-same suppositories at a

fancy price. From the prevention of conception to disposing of its unwelcome. product is a short step and apropos.

Ofttimes we must empty the fast fructifying uterus and, too often, the refusal of the respectable family doctor to "remove the intruder" drives some unhappy woman into the net of the advertising abortionist, who fulfills the proverb by "flourishing like a green bay-tree." continually. Well, when this thing, too, must be done, we can do it promptly and almost with absolute safety, thus:

Into the cervical canal inject, with a suitable syringe, a generous drachm of glycerin saturated with citric acid; or, through a metal catheter (the eyed end being removed) insert well within the os externum say 10 grains of the crystals. If the os is open or easily dilatable plug the entire canal (cervical) with pledgets of cotton soaked in the solution mentioned. A few brief pains, perchance some nausea, and the embryo, sac and all entire, will be disponed. After claps are an unknown quantity if the work is properly done, and it would be really difficult to do it wrongly.

Dr. Brodnax will find Chesebrough's vaseline about as good a petrolatum product as is made. Apart from some change in the refining process it is the petrolatum (pure) of the U. S. P.

"Whooping cough" comes in, I see, for its share of attention, and Dr. Brown gives an apparently effective formula on page 317 of the December issue. A treatment sworn by in the eastern counties of England and most effective in my hands here, is as follows:

If nothing else seems to work, try keeping the child continuously drowsy with a chloral and antipyrine mixture. The effect is delightful all round.

I want to know if any Summarians have tried ligating the dorsal (or other) vein of penis in cases of sexual debility, organic atrophy, etc., and the result? I have been waiting to ask this question but forgot to do so. Answers will oblige.

The moot point, "Veratrum, Morphine, or What?" in puerperal eclampsia is one of interest. I have never heard of a man who used veratrum boldly trying anything else with a good grace, Prompt and copious injections of normal saline solution and the use of veratrum (Norwood's preferable) will never fail to subdue thoroughly this one of the conditions which the obstetrician had need subdue quickly, if at all.

The chloroform vial may, and doubtless will, serve when the convulsion is severe and at its height, but to prevent its recurrence use saline solution and veratrum. Morphine? No! Most emphatically, No!! A very little thought will explain the emphasis upon the negative. Do some thinking.

May I compliment Dr. Jones upon his excellent article on diphtheria (page 300, December number), and then ask him, as he desires fame and fortune, to let all his favorite treatments severely alone the very next chance he gets and try, faithfully and earnestly, the new "applied blood" treatment?

It's so simple, Doctor. Just spray the fauces thoroughly with Bovinine, then turn on H2O2 (Hydrozone) with a free hand, wash off the debris with Thiersch's solution and respray with pure Bovinine. Do this yourself twice a day as long as danger lasts, and let the nurse repeat every two hours, Some Bovinine "inside" will help win the fight. If an antipyretic must be exhibited and the patient is a child, eschew the subtle coal-tar series and order the dosimetric trinity with suitable instructions. A clean digestive tract and this treatment, Doctor, will simply make diphtheria a howling humbug.

GEO. H. CANDLER, M. D. 340 St. Ann's Ave., New York City.