are taken. The red blood corpuscles and the percentage of hemoglobin are rapidly increased with the use of this drug. Occasionally, however, we do find a patient with whom it disagrees, when we must resort to other remedies. The gold solution has also a decided effect on the inflammatory condition of ovaries. This was pointed out by an author in a European journal ten or twelve years ago and has been employed during that period by me. Since the introduction of Dr. Barclay's solution, which is a combination with arsenic, it has been used with better effect than the chloride of gold and sodium in pill form. Barclay gave the name arsenauro to his solution for the sake of brevity."

Care of the Ears in Early Life.

Dr. D. G. Bryant, of Omaha, Neb., in Gaillard's Med. Jour., says, that the care of the ear in early life means the care of the nasal passages and pharynx, as well as the ears themselves. Beginning with the infant. care should be taken that the

nose be clear for breathing purposes before nursing is allowed.

Pure air and hygienic surroundings are as necessary for the health of the mucous membrane lining the throat, nose and ears as for the general health. It is absolutely necessary for the preservation of the ears in a normal condition that perfect ventilation and drainage of the nasal passages be maintained, and any new growths, hypertrophics or deformities should be immediately removed.

In all diseases of childhood prone to effect the mucous tract extending through the nose, throat and middle ear, the latter should be carefully watched and receive proper attention and treatment as soon as any symptoms of implication of the organ become manifest.

Whooping-Cough.

In an article on whooping-cough, published in The Therapist, Dr. Edward F. Willoughby says: "The drug on which I have more than twenty years mainly relied is chloral-hydrate, of which the youngest infants are tolerant. In some

cases it may be useful to combine a bromide with the chloral, and of late years I have found its action greatly aided by combining it with antipyrin-chloral, antipyrin, and vin. ipecac. with syrup being now my favorite formula.”

Medical Chips of Practical Value.

CREOSOTAL AND DUOTAL.-In a chapter on "Specific Treatment," Professor Cornet discusses the chief specific remedies that have been employed. The most favorable influence of all of them upon the body is exercised by creosote, especially when in combination with carbonic acid in the forms of the preparations known as Creosotal and Duotal.

IMPACTED WAX.-To dislodge hard impacted wax from the ear, Dr. Dundas Grant recommends a solution of bicarbonate of sodium, 15 grains; three drachms of glycerin, and distilled water sufficient to make an ounce. To be dropped into the ear warm, followed by persistent syringing.

DRUGS CONTRAINDICATED DURING PREGNANCY.-Dr. M. Huguenin says that at the head of dangerous substances for the pregnant woman may be placed sodium salicylate, ergot, salicylic acid and salol; then come purgatives, antipyrin, acetanilid, sulphonal and cocaine.

DIPHTHERIA.-As a local treatment in

diphtheria monosulphide of calcium, 3-4 grain every half hour, is given for a peried of 36 hours, water being partaken of freely to help elimination of the toxin. Local swabbing with a mixture of carbolic acid, tincture ferri perchloride, glycerin and rectified spirits is advised by Dr. A. M. Osness.

TREATMENT Of Pertussis.—A late number of Pediatrics contains a review of the therapeutics of pertussis by Dr. Kaumheimer, in which he reports bromoform as the most satisfactory agent in relieving the frequency and severity of the spasmodic seizures and shortening the duration of the disease. Dosage-one drop for each year of age, given three and four times a day. It is best given in mucilaginous or syrupy mixtures and should always be prescribed by drops, as the

fluid drachm contains 480 drops, while the drachm by weight 160 drops. The The susceptibility of patients varying, many cases of intoxication are reported, one fatal.

CREOSOTE.-Dr. Atkinson, of Bristol, N. B., writes: Creosote is a drug of wide applicacion. It has been used in phthisis. with success. In cases of vomiting, not caused by organic disease, it is an excellent remedy. As an internal and external antiseptic it is a powerful agent. Topically, it may be mixed with tannic acid and introduced into the cavity of a tooth for the instant relief of toothache. Mixed with lard or vaseline it is an excellent application for the cure of burns, erythema, herpes, erysipelas, eczema of the scalp, cuts and bruises.

DOES QUININE Cause Hematuria ?—Dr. Brodnax writes: I may be wrong, but a careful study for a long time has taught me that quinine has no place in the treatment of malarial troubles. One fact should be satisfactory, that quinine does cause hematuria, and sound judgment should lead us to discard it in all cases that have passed the second chill. It is another fact, that in nine years I have had only one case of hematuria in a pretty large swamp practice, and that in a three-year-old boy who had taken full doses of tasteless syrup of quinine.

The Use and Abuse of the Douche.

Dr. Braden Kyle says, in treating diseases of the nasal mucous membrane calling for the applicatlon of cleansing solutions, the indications for the use of the douche are determined by the character of the secretion. irregularities within the nasal chambers and whether the process is acute or chronic. An irregularity which would direct the flow toward the Eustachian orifice would contraindicate the use of the douche.

An excess of fluid acts as an irritant, and the time of application must not be long enough to irritate. Strong solutions defeat the object of treatment, and increase the trouble, and it is a good plan to discontinue the douche four or five days in every ten days or two weeks to deter

mine whether or not irritation is kept up by its use.

If the patient complains of marked irritation, headache, pain in ears and a sensation of having taken cold after the use of the douche, he should discontinue it.

The temperature of the fluid used should be as warm as can be comfortably borne, and patients should be forbidden to blow the nose until ten or fifteer minutes after the application.

For use in chronic cases, the author recommends six grains each of sodium bicarbonate, sodium biborate, sodium chlorate and potassium bicarbonate in one ounce of distilled water.

In acute cases, and after operations, he uses warm, equal parts of extract hamamelis (aqueous) and distilled water.Internal. Med. Mag.

The Treatment of Eustachian Tubal Catarrah.

Dr. J. H. Powell, of Fitzgerald, Ga., says, in the successful treatment of this form of catarrhal deafness our efforts must be directed to the tube itself as well as the nose and naso-pharynx. The most immediate relief is afforded the patient if we can at once inflate the middle ear; this relieves the tension of the drum membrane, reduces engorgement of blood vessels by filling the partial vacuum, removes the cause of dizziness, impaction of the stirrup, etc.

The use of the catheter should be avoided as it only inflames the orifice of the tube and makes matters worse than before. Bougies have their disadvantages as they may lacerate the walls of the tube or break through them altogether or be pushed too far, rupturing the drum membrane or dislocating the ossicles.

Medicated air is harmless when properly used; of course the pressure must not be too high and the air receiver supplied with valves and air meter so that the current can be controlled and handled at any pressure desired. Fluid vaseline combined with camphor menthol is a favorite remedy with me.

After getting the tubes well open, I use Bishop's improved inflater, filling the sponge with this medicament three or

Summary Gleanings.

Calcium sulphide has been lauded as a cure for phthisis.

All persisteat hemorrhages during menopause should be regarded with suspicion.

As a remedy for boils, pimples and some forms of skin disease calcium sulphide stands without an equal.

Ammonium iodide, regardless of the nosology, is the remedy for dizziness, or dizzy headache.

Guaiacol in vaseline or lanoline is advised as an excellent application in the treatment of orchitis.

In the treatment of boils coming in crops colchicum is recommended in doses of from one-third to one-half of a grain each day.

Aconite is indicated where there is a

small, hard, sharp, frequent pulse, chilly and aching sensations, at the onset of fevers.

Lobelia inflata is demanded in small doses where there is full and oppressed pulse, precordial oppression and oppressed breathing.

In the case of children who are often sufferers from rickets, phosphate of sodium, lime salts and common salt should be freely given.

Ammonium bromide is a remedy for convulsions when the face is pallid and extremities cool; there is usually anemia with some prostration.

A carbuncle may be arrested in its development by the injection into different parts of the tumor of five drops of pure liquid carbolic acid at each point.

Dr. Wilson says that equal parts of glycerin and water, with sufficient lemon juice to make the mixture agreeable to taste, is an excellent mouth-wash in fever

cases.

Dr. Emmet says that all pelvic congestions are venous, and the term "chronic inflammation," so far as it applies to the organs in that cavity, is a misnomer, because the arterial vessels are not involved in that process.

Dr. Bozarth says that in the later stages of la grippe, when the cases have been neglected or badly treated, he has found no remedy so frequently indicated as bryonia.

Cancer of the womb, says Dr. Goodell, usually begins on the vaginal portion of the cervix, and consequently has to bear the brunt of the insults of coition and parturition.

Dr. Barnes says tepid vaginal injections so generally recommended and inadvertently used by patients in place of hot injections, have no positive therapeutic effect whatever.

Dr. Tait states that the most common displacement of the ovary is dislocation downward into the retro-uterine pouch, to which the name of prolapse has been improperly given.

Dr. Munde says chronic leucorrhea of long standing can only be cured by persevering in frequent local use of astringents through a speculum, together with hot vaginal injections.

Podophyllum will work nicely when there are full veins, full face, full abdomen and full tongue. Usually there is a yellow stripe down the center of the tongue, or there is a yellowish coat.

As prophylactic measures in delirium tremens, moderate quanities of alcoholic stimulants, of digitalis and capsicum, nourishing food and plenty of sleep are recommended by Dr. Horwitz.

Veratrum viride is indicated where there is a full and bounding, or hard pulse, whatever the condition. Many cases of convulsions, especially those of the puerperium, will present this indication.

Sodium sulphite is always indicated by a broad, pallid, dirty-coated tongue; those diseases in which this indication is present Dr. Ellingwood, of Chicago, says, are promptly benefited in many of their symptoms by this remedy.

Dr. Hare says that in cases of chronic nasal catarrh where the mucous membrane is congested and irritable, a solution of equal parts of distilled extract of hamamelis and water sprayed up the nose does very well, but first the nasal cavities must be well cleaned.

Arsenious Acid in Superficial Epithelioma.

In

John A. Wyeth, M. D., in a clinical lecture delivered at the New York Polyclinic says: "If I had a superficial epithelioma develop anywhere on my body where I could use Marsden's paste I would prefer that method of treatment to the knife. cases where the disease has existed for so long a period the paste alone cannot be relied upon, I would prefer to have the malignant process first cut or scraped away and then have the paste applied. In this way we get more satisfactory results than any other treatment I know of. The formula for Marsden's paste, which I have given a number of times, is as follows: B. Arsenious acid....

Pow'd gum arabic...
Cocaine mur....

3 ij 3 j .gr. xviij

"This powder should be made into a paste by adding water, when it is to be used, and the paste should be of the consistency of rich cream and applied to the wound on a small piece of cloth and left on from eighteen to thirty-six hours. This can be repeated as often as necessary. The above is the formula for the stronger paste. In the weaker only one dram of arsenious acid is used and 12 grains of cocaine."-International Journal of Surgery.

Mix and keep at a boiling heat for several hours, then pour off the liquid, and when cold bottle. Sig.-Apply to the enlarged gland, with slight friction, twice daily until a slight desquamation occurs, after which apply only once daily until the enlargement is reduced. In no instance did the disease return.-Chicago Med. Times.

To Cure a Cold in the Head.

Dr. Barnes (Irter. State Mea. Jour.) treats a cold in the head as follows: Sweating is produced by giving the patient a hot tub bath, immediately after this putting him to bed, rolled in warm blankets, and giving one-eighth grain pilocarpine muriate, dissolved in half a glass of warm water. After three-quarters of an hour of sweating give onehundredth of a grain of atropine in water.

Fifteen minutes after this mop the patient with warm towels. Then place on the patient a warmed night robe and put him between warmed sheets with his ordinary covering over him, and give the following preecription: B. Phenacetine..

Salol

Caffeine cirate.. M. ft. caps. No. xij

two hours.

.gr. xviij .gr. xxxvj

.gr. iv Sig.-One every

Notes and Queries.

For this department we cordially invite questions, comments and criticisms on all topics of interest to the physician in his daily work for the relief of the sick, thus making the SUMMARY a valuable medium for intercommunication between the medical profession.

Correspondents will give their names and addresses, but initials only will be printed when desired. The QUERIES in this issue await the ANSWERS which our intelligent readers may be pleased to contribute for publication in our next.

The Best and Safest Hypnotic.

Editor Medical Summary:

I have told you before that I always find something in the SUMMARY that is suggestive, encouraging, helpful and readable, and now again, in your January number, there is an article in the double leaded portion of the journal, that I take to be "editorial," which is headed "The Danger from Hypnotics," and which so closely fits my own experience and the lessons thereof that it is as if I said it myself. It is every word true.

But what I want to say is, that although I have tried the newly discovered hyp

notics and have found them not fully satisfactory, though often so, yet, in these days of revival and appreciation of the survival of the best, I have not lost faith in chloral. Its danger, in my experience. has been in using too large doses uncombined. I have found absolute safety in small dosage in combination with bromides, the potassium, the soda or the ammonia salts, as indicated by conditions of the patient. As a sample, three to five grains of chloral with 10 to 15 grains of the bromine salt mentioned, given in large solution, one, two, three or four hours, has always been and still is the very best and safest hypnotic I have ever used. It is an old prescription, but most of all satisfactory, Everybody try it again who has trouble with hypnotics. H. A. BEESON, M. D.

Leesburg, Ohio.

Reply to Query.

Editor Medical Summary:

Having recently come across the December number of the SUMMARY I was struck, while perusing it, by the query of J. M. P., page 315. I would suggest that

hls patient died of uremia rather than septicemia. Did he examine the urine? Did the patient have a slow or rapid palse? I have always found a rapid and rather wiry pulse in septicemia and the opposite in uremia. I offer this suggestion hoping that it will be of some help to J. M. P. in satisfying himself as to the cause of his patient's death.

W. G. LOCKARD, M. D.

New Castle, Colo.

Reclaimed.

Editor Medical Summary :

Camphor monobromide one grain every two hours, will surprise you in painful menstruation. It is also worthy of a trial in convulsive teething of children; dose as to age.

The most pitiable sight I ever saw was a poor mortal laboring for breath in the dyspnea of cardiac disease, and then great was the satisfaction at seeing this aspidospermin, grain 1-67, three every 15 terrible state relieved as if by magic with

minutes until relieved.

Try bryonin in pleurisy; it stimulates absorption. Get a good article, grain 1-67, and give one or two every two hours.

Remember calcium iodide (dark) in croup; it is of no avail in diphtheria.

We have seen a cough caused by bronchial irritation yield to the following formula when it resisted everything else: B. Morphine hydrochlor..gr. 1-200 Pilocarpine hyd... Calcium sulph..

.gr. 1-200 ..gr. I-40

We gave two granules every hour; one to four may be given.

Gossypin is a concentration from cotton root bark, and is much like ergot in its effects, only more oxytocic. When premature labor is to be brought on this drug ought to be thought of. As much as a grain every two hours may be given.

We have used a pill made by Moses W. Kidder, of Lincoln, Mass., which contains a 1-3 grain of metalic mercury, "protected" from deterioration. Its effect in our own case was very agreeable. When under its influence there was a sense of well being that is hard to describe-we