(ºllingtuoob's Cherapeutist A monthly Journal of Therapeutics; educational in character, issued on the 25th of the previous month; devoted to the determination of the exact action of Single drugs upon exact conditions of disease. A Journal to which every subscriber is also a contributor, and in which the Subscriber and the Editor are working in the closest possible relationship, to determine true and invariable drug action, for the benefit of the entire profession, and thus, Humanity. - OUR IMOTTO: To learn the Truth. To prove the Truth. To apply the Truth. To spread the Truth. - OUR CREED: The Truth from all, for all, to all, without regard to the creed of the individual. - OUR FAITH: That all disease will ultimately be subdued, in whole or in part, by remedial measureS; - That failure to cure disease is due to our lack of knowledge; That Therapeutic nihilism is the deadly foe to Therapeutic progress; That the study of the clinical action of the single drug, is the true method of drug study; That each drug acts directly and invariably upon one or more exact conditions of disease, and must be so studied and known; That with such knowledge perfected, we can immediately and successfully prescribe for conditions of disease with which we have not previously met. - e TABLE OF CONTENTS FOR JANUARY, 1920 LEAD ING ARTICLES J. H. Hauck, M. D., Terre Haute, Ind. Autotherapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Belladonna and Scarlet Fever. . . . . . . . . . . . . . . . . . . . . . . . 20. . E. Kennett, M. D., Peoria, Ill. C. B. Dean, M. D., Waco, Mo. A British Opinion of the Present Status of Medical Follilular Tonsilitis . . . . . . . . . . . . . . . . . . . . . . . . . s e e s a s a w a 21 dication . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 J. B. Davis, M. D., Chicago, Ill. Finley Ellingwood, M. D., Chicago, Ill. . Polyurea. Cured . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Research. Work with Gelsemium Sempervireus and Dr. L. H. Henley, Claremore, Okla. JBryonia, Albo in Influenza. . . . . . . ... •,• . . . . . . . . . 4 Treatment of Anemia. . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . 21 William F. Baker, A.M., M.D., Philadelphia, Pa. Treatment of Aluminum Poisoning . . . . . . . . . . . . . . . . . . 21 Pathology and Specific Therapeutics of Pneumonia... 7 Chloroform and Ether . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 S. cCully, M. D., Victoria, Texas. Dominant Sentiment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 Making the Potencies. . . . . . . . . . . . . * * * * * * * * * * * * * * * * * * 10 Nitric Acid in Whooping Cough. . . . . . . . . . . . . . . . . . . . . . 22 E. H. Holbrook, M. #. LOS *; Cal. 11 Treatment of Epithelioma *::::::::::.............. 23 » Affl|SiOn , , , , , , , , T J .L. 10 tuliuvilu. UL uplviaviavaska. • * * * * * * * * * * * * * * * * * * Hºoyººſ. USIOIl . . . . . . . . Premonitory Evidence of Gall Stones. . . . . . . . . . . . . . . . . ; Deer-Fly Fever or Pahwant Valley Plague. . . . . . . . . . . . 12 Death of Dr. Houser. . . . . . . . . . . . . . . . . . . . . . . . . . . . . * * * Edward Francis Surgeon, United States Public Dr. A. O. Reppeto, Banks, Oregon. 4 JHealth Service. Secretion. During Gestation. . . . . . . . . . . . . . . . . . . . . . . . . . 2 IHyperthyroidism . . . . . . . • * * * * * * * * * * * * * * * * * * * * * * * * * * * * * 13 Chas. Woodward, Chicago, Ill. Wingate M. Johnson, Winston-Salem, N. C. ED ITO RIALS - sº *ºne * * * * * * * * * * * e a s - e º s = e s e I5 To Belºft Physicians of Wisconsin, Michigan and 25 * p +7-a-s ºf e inois . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49 BRIEF CONTRIBUTIONS Chas. W. Woodward, Chicago. Ill. - The Role of the Thymus............................. 16 Government Wants Workers in Venereal Disease Cam- Murray B. Gordon, M. D. Dalgll . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 Medical and Surgical Relief for War Heroes. . . . . . . . . 17 Mono-Bromate of Camphor . . . . . . . . . . . . . . . . . . . . . . . . . . 26 il of Cinnamon in Epithelioma. . . . . . . . . . . . . . . . . . . . . 17 Indigestion Not Always Present. . . . . . . . . . . . . . . . . . . . . . . 27 A. S. Thompson, M. D., Havelock, Ont., Can. VesicO-Waginal Calculi . . . . . . . . . . . . . . . . . . . . . . . . . . ... 27 Treatment of Influenza. . . . . . . . . . . . . . . * s & s = e º 'º - e. e. e. e s e e 18 Calcium . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 27 L. K. Crabtree, M. D., Akersville, Ky. Dr. W. H. Young, Springdale, Ark. Why Not a Doctor’s Union ?. . . . . . . . . . . . . . . . . . . . . . . . 19 GLEAN l NGS THERAPEUTIC, FACTS Erysipelas, Its Irregularities and Treatment. . . . . . . . . . . 28 Eucalyptus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 O. C. Baird, M. D., Chanute, Kan. . . . . . . . . . . . . . . 29 P. F. Eddington, M. D., Warren, Ind. Orificial Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 Cancers in General. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 W. E. Kinnett, M. D., Peoria, Ill. Dr. O. K. Heller. Ectopic Gestation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 Sore Mouth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 B. F. Jones, M. D., Kenton, Ohio. Crisco . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Is a Lobelia, a Depressant?. . . . . . . . . . . . . . . . . . . . . . . . . . . 36 Ellingwoob's Cherapeutist Is Edited and Published by FINLEY ELLINGwooD, M. D., 32 N. state Street, Chicago, Ill., U. S. A. subscription Bates: In North America and Islands of United States, $1.50 per year in advance, and one Therapeutic Fact. To all other countries, $1.85; singie copies, twenty gents. Sample free to possible subscribers and advertisers. Payment should be made by Express or Postoffice order, or Chicago or New York draft. Personal checks must #&#. cents added for bank exchange. Foreign P. O. orders should be made payable l O. \ ©hanges of address with both old and new addresses must be sent as soon as made. . We are only thus responsible for all issues. Renewals must be sent in promptly as the new postal regulations only allow us four months’ Continuance. Original articles suitable for publication are accepted with the understanding that they are Written especially for this Journal. Foreign articles will be received and translated if found desirable. - Reprints will be furnished at reasonable prices if a request to that effect accompanies the manuscript. Approximate prices may be had on application. Manuscripts will only be returned if requested, and stamps are sent for this Fºº, but We assume no responsibility. Let it be understood that we are not responsible for, nor always in accord, with the opinions of contributors. ' *----- IV- - ELLINGWOOD’S THERAPEUTIST N OR MALS The Highest Grade of Standardized Fluid Plant Medicines NORMALS are distinguished by their purity, uni- formity, cleanliness and dependable therapeu- tic efficiency. NORMALS owe their distinctive qualities to the high menstruum employed and the selection and condition of the drugs used in their manu- facture. NORMALS are made from the fresh, green plant root or bark, except when their therapeutic value is not lessened in the process of drying or curing. NORMALS are of uniform strength, one grain of drug represented in each minimum of the fluid. NORMALS containing alkaloids are standardized by assay and physiological test. NORMALS are readily miscible with water, except such as contain resins; these latter should be prescribed with simple elixir or other alcoholic vehicle. Literature and samples sent on request. Made only by THE WM. S. MERRELL CHEMICAL COMPANY CINCINNATI, OHIO CoRREspond witH our ADVERTISERs, AND MENTION THIS Journal. ADVERTISING V - - k º *::::$ºgº trº - -> | #}_º yº l §4.:Fºº { w" ( - ". rt. * tit MEI ºl Sº ~ # : tºº. § ºº iº º . …- § ! | § §§ - *. Š ń. & *ś \ e º **E. T. S. 5 * A. jºiſsºs & tº: § * \ ſ \\ 7| | #, º Yı º º º .# (\ \\2 - |CA|, | - III] ºf wº º • * * ſº gº º ºr . Nº ºf . " ſ º sº.s.º.º.º.º. Sº… .º & º D º Vol. I THE LUIKART CHILDREN Carter’s Mercury Antidote The recent publicity given the Luikart chil- dren of Detroit, poisoned by corrosive sub- limate administered by their mother, and saved from death through the timely aid of Dr. Thomas A. Carter, of Chicago, must im- press on every physician the advisability of having a supply of Dr. Carter's antidote on hand for such emergencies. The administra- tion of Carter's antidote is very simple—one tablet being given for each tablet of the poi- son taken. It is supplied in bottles of 100 and 500 tablets by The Abbott Laboratories. Incidentally, the too-numerous cases of poisoning with bichloride must 1ead one to consider the use of an antiseptic having all the virtues of bichloride, phenol, and such substances without the ir DECEMBER, 1919 No. 1 AIDS TO SUCCESSFUL SURGERY poisonous qualities. Such an antiseptic is D a kin’s stable, water-soluble, non- irritating synthetic Chlora- Ze 11 e. The latest form in which Chlorazene has been pro- duced and we believe ulti- mately the most popular is AROMATIC CHLORAZENE POWDER A FREE TRIAL BOTTLE OF AROMATIC CHLORAZENE POWDER The coupon below will bring it to you This is a combination of 5% of Dakin's Chlorazene with sodium bicarbonate, sodium chloride, saccharin, and eucalyptol. A tea- spoonful of this powder dissolves instantly in a glass (about 6 ounces) of water and pro- duces a delightful aromatic antiseptic solu- tion which is 2% times as strong as pure car- bolic acid. It makes an agreeable and power- fully germicidal mouth-wash, spray for nose or throat, gargle, or douche. It is cooling, refreshing, and of great germicidal power. It may also be used for general antiseptic pur- poses, such as applications to cuts, wounds, skin diseases, etc. CoRRESPOND witH our ADVERTISERs, AND MENTION THIs Journal The development of remarkably improved germicides—Dakin’s Chlorazene and Dichlora- mine-T, together with a new type of non- sticking wax-impregnated dressing — Parre- sined Lace-Mesh Surgical Dressing — makes possible a procedure for wound treatment which is giving remarkable results. First : CLEAN OUT by excision of all devi- talized tissue and by removing all dirt with Neutral Sodium Soap, Abbott, the non-irritat- ing, alkali-free liquid soap made from vege- table oil. Second : CLEAN OUT all existing infection by irrigating with Chlorazene, Dakin's power- ful, non-irritating, w a t e r-soluble antiseptic. The wound is then dried and sprayed with so- 1ution of Dakin’s Dichloramine-T in Clhorco- sane, the most powerful germicide known to science accomplishing in 94 minute the same degree of sterili- zation which hours for bichloride or 24 hours for phenol, to pro- duce. The antiseptic action of Dichloramine-T-Chlorco- . sane is prolonged over 18 to 24 hours, requiring dress- ings only once daily, and cleaning up infection at a very rapid rate. Third : KEEP CLEAN– Prevent reinfection by daily dressings with Dichlora- mine-T-Chlorcosane and protect with Parre- Sined Lace-Mesh Surgical Dressing. This wax- impregnated woven lace DOES NOT STICK and is painlessly removed without disturbing the healing processes. RETURN THIS COUPON The Abbott Laboratories, Dept. 23, Chicago, Ill. You may send me, without charge, a trial bottle of AROMATIC CHLORAZENE POWDER. Also informa- tion regarding Dichloramine-T, Parresined Lace-Mesh Surgical Dressing and Neutral Sodium Soap. - * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * s • a • * * * * * * * * * * * * * * * it take s 7 . VI ELLINGWOOD S THERAPEUTIST “Start the New Year Right" We positively know that the Huston instruments are meritori- ous. Every physician should have them. They increase con- venience and efficiency. THE HUSTON BAND AIR CUSHION PESSARY unquestionably corrects uterine : displacement—no matter how bad the case may be. Price $5 com- plete or $3 exclusive of shoulder attachments. THE HUSTON AKOUOPHONE is the very best stethoscopic in- strument in all the world—the only differential stethoscope. Gives not only minimum and maximum sound but perfect con- trol over them. Accurate infor- mation re intervening sounds. The net price now is $4. PROTECT YOUR PATIENTS AGAINST . . . . Colds Influenza Pneumonia USE SHERMAN'S N0, 38 write FOR LITERATURE Trade Mark - The “NSS” Iligature is *urº-tunes a definite aid tº obºe - Technique. o nde- … BACTERIALVAccines structible jars sufficient for 30 cases will be - mailed to you for $1.00. Everything Huston Broth- - ers Co. sell is sold on a - - - money back guarantee. Detrozz/ft24. HUSTON BROS. CO. 42/.J.A. 30 E. Randolph St. º Chicago Pat. Jan. *01. Price $4.00 DON'T SEND THE POOR FELLOW AWAY, DOCTOR! VERY DAY doctors are advising a rest, a trip to a sanitarium, a visit to a specialist, an operation—anything to get rid of their old, stubborn cases of Prostatic Disease and Impotence Maybe you are doing, or are about to do, this very thing. You are losing possibilities of dollars and prestige, to say nothing of the keen satisfaction of having won a hard fight! Too many of these cases are passed up by good doctors, only to fall into the hands of unscrupulous men who offer nothing but promises and frequently give less. YOU CAN GET RESULTS in the great majority of these cases. Decide now to try SUPPOS. PROSTANS thoroughly in just one case, Doctor. You will then certainly rely upon Prostans as your Sheet Anchor and thereafter keep the business you’ve been turning away. Now, Doctor, you can easily prove this, just as over two thousand other physicians have done. So don't scoff, but simply fill out the coupon below. THEN JUDGE FOR YOURSELF. —This Coupon Means Success and Money Saved as Well. Fill it Out. Send Today. REGENT º Sº, troit. Mich ward Ave. etroit, - F 1 -w [] I enclose $1.00, send me one box of 15). Suppos. ormula on Every Box! Prostans (price $1.50), also book “On the Treatment of Prostatic Diseases and Impo- tence”—free. Name ............................................... --------- [] I enclose $5.00, send me six boxes of º: Prostans {worth .00), also the above book and “Successful Prostatic Therapy”—free. Address ................................................. ---- CoRRespond witH our Advertisers, AND MENTIon THIs Journal. ADVERTISING VII The STORM BINDER and ABDOMINAL SUPPORTER (PATENTED) MEN, WOMEN, CHILDREN AND BABIES No Whalesbones. No Rubber Elastic. Washable as Underwear Inguinal Hernia Belt Hernia, Obesity, Pregnancy, Relaxed Sacro-lliac Articulations, Floating Kidney, High and Low Operations, Ptosis, Pertussis, etc. Send for new folder and testimonials of physicians. General mail orders filled at Philadelphia only -within twenty-four hours. Katherine L. Storm, M. D. 1541 Diamond St., PHILADELPHIA F R E E “Electro Therapeutics Condensed” A handy Manual containing the latest clinical data on electro-therapeuti- cal treatment and shows where the use of this modern agency is indicated. Also shows the very latest devel- opment in electro-therapeu- tical apparatus. It Tells You Why The Universalmode Is Supreme Galvanic, Faradic, Sinusoi- dal, Cautery, Vibration, Air, DiagnosticLight.IN THEIR HIGHESTEFFICIENCY, The result of over forty years of experience as manufacturers of Electro-Therapeutical and X-Ray Apparatus. McIntosh Universalmode (Trade Mark) Your copy of “Electro Therapeutics Condensed” is reserved. Where shall we address it? McINTOSH BATTERY AND OPTICAL COMPANY Eastern Office and - Service Station 1777 Broadway New York Main Office and Factory 217-223N. Desplaines St. Chicago, Ill. Peacock's BROMIDES assure your patients a pleas- ant, pure and uniform solution of the neutral bromide salts, that may be used for prolong- ed bromide treatment of the chronic neuroses with maxi- mum results and minimum tendency to disagreeable effects. Peacock's Bromides are without a superior as a safe and effective antispasmod- ic, nerve sedative and hypnotic. DOSE: One to four teaspoonfuls. PEAcock CHIONIA places at the physician's com- mand an exceptional prepara- tion of Chionanthus Virginica that can be relied on to stim- ulate the liver without unduly increasing bowel activity. In sluggish liver conditions in which the biliary secretion is depressed, Chionia will be found a remarkably efficient, satisfactory and acceptable cholagogue. DOSE: One to two tea- spoonfuls three times a day. O. CoRREspond witH our Advertisers, AND MENTIon THIs Journal. VIII ELLINGWOOD’S THERAPEUTIST Gl - . . ykeron and Glyco-Heroin ARE SYNONYMOUS APPELLATIONS AND ARE NOW KNOWN AS SUCH TO ALL DISPENSING PHARMACISTS HESE designations may now be used inter- * changeably by the physician when prescribing the preparation originally known only as Glyco- Heroin (Smith). As a safeguard against having worthless imitations of the preparation dispensed, it is suggested that the physician use the name which is non-descriptive and more distinctive, when prescribing GLYCO-HEROIN (Smith) for Cough, Asthma, Phthisis, Pneumonia, Bronchitis, Laryn- gitis, Whooping-Cough and kindred affections of the respiratory system. DOSE—The adult dose is one teaspoon- ful every two hours, or at longer inter- - tº as tº vals as the individual case requires. The composition of GLYCO- For children of ten years or more, the HEROIN (SMITH) has not been dose is from one-quarter to one-half tea- modified i e spoonful; for children of three years or -- d in the slightest degree. - more, five to ten drops. - MARTIN H. SMITH COMPANY º New York, U. S. A. CORRESPOND witH our ADVERTISERs, AND MENTION THIS Journal ADVERTISING IX REST ASSURED When the physician employs Antiphlogistine as the local adjuvant in treating pneumonia, he assists the patient to exactly what he absolutely requires —EASE and REST. 2/4,7; tº ºr tº TRADE MARK by inducing SLEEP gives to nature that assistance which is often sufficient to carry the patient safely and comfortably over the crisis. If you have not already received “The Pneumonic Lung” Booklet Send for one today THE DENVER CHEMICAL MFG. CO. NEW YORK ELLINGWOOD’S THERAPEUTIST How to Give Ipecac in Massive Doses Orally —Without Nausea—In an Uncoated, Disintegrating Tablet HE usefulness of ipecac has been shown in pyorrhea, amebic dysentery, amebic infection of the tonsils, typhoid fever, and in various intestinal disorders such as flatulence, diarrhea and constipation. The difficulty of giving it in sufficiently large doses to secure full therapeutic effects is overcome by administering - 40 || ALCRESTA TABLETs ALCRESTA TABLETS OF IPECAC, LILLY 1559A.C. Each tablet contains the alkaloids from ten grains of | * Ipecac, U. S. P. These tablets cause neither vomiting nor nausea. SEND FOR FURTHER INFORMATION - ---------------- ------------------ Supplied through the drug trade in bottles of 40 and 500 tablets HEMAGULEN– a Hemostatic Prepared from Fresh Brain Substance IN DICATED in hemorrhage after the removal of adenoids and tonsils and other operations on the nose and A PHYSIOLOGICAL - - HEMostatic For throat and in all persistent hemorrhages ***Cºº - KEEP NAC00L from small vessels where it can be DARKPLACE SC. applied to the bleeding surface. Physicians and dentists are using º, Hemagulen with fine results. fºrgº” Supplied through the Drug Trade in º sº. Ounce Bottles 4 - - - Send for Literature on Hemagulen MADE ONLY BY E L I L I L L Y & C O M P A NY Indianapolis, U. S. A. Comazsrowd with our Advertisers, and MENTion this Journal. ADVERTISING XI on the market.” Ultima No. 3. Sinustat A real, portable sine wave appa- ratus for A. C. or D. C. 136 W. Lake Street FREE! A Valuable Booklet and a $1.00 Chart of Sinusoi- dalogy sent to all who answer this advertisement promptly. , *. ULTIMA PHYSICAL APPLIANCE CO. Chicago, Illinois He Got More Than He Expected “Before securing the Sinustat No. 3, I was advised it was only a small machine without enough force to do any good. The advice was not sound. My No. 3 has all the force I need. Can send a current through any part of the body and have never used all its force at any one time. I am pleased with it. It is a good investment. You have done the profession a good turn in putting these machines One of many unsolicited endorsements of Ultima products. (Name upon request.) FREE TRIAL OFFER: Doctor, let us prove to you that the No. 3 Sinustat is the greatest power in all chronic nervous and muscular conditions that you have ever seen or heard of . , Just sign and mail the coupon today,” Thank you ! * * * Gentle- 2^ 111611 . e You m a y ºf send me your ^ Free Trial Of- fer, booklet and chart without ob- ligation to me. ^ Name . . . . . . . . . . . . . . . . . . . .." Address . . . . . . . . . . . . . . . . . . . . . TENGOPIOI. Its UTILITY IN THE TREATMENT OF Amenorrhea, Dysmenorrhea and Other Disturbances of Menstruation Despite the fact that Ergoapiol (Smith) exerts a pronounced analgesic and sedative effect upon the entire re- productive system, its use is not at- tended with the objectionable by-effects associated with anodyne or narcotic drugs. - ness and singular promptness with which Ergoapiol (Smith) relieves the several varieties of amenorrhea and dysmenorrhea has earned for it the un- qualified endorsement of those mem- jected it to exacting clinical tests. Dosage: , Ordinarily, one to two cap- sules should be administered three or four times a day. New York, U. S. A. The unvariable certainty, agreeable- bers of the profession who have sub- MARTIN A. SMITH CO. The NBW Field Series Gūmpleted Books by the lates DR. W. H. BURGESS All about EPSOM SALT and other congenial drugs. New Field method of diagnosis without asking questions. and how to prove it. Congenial treatment of all diseases. The cure of Tuberculosis, Bright's Disease, Uric Acid Diathesis and all ####S. The Double Sulphide treatment of Typhoid and all other ASIONS. * - Doctors say these books are worth their weight in gold. Five small volumes at $1.00 each, or the full set for $4.00, by mail prepaid. 1.00 Second Book: CHRONIC DISEASE, 320 pages.... 1.00 Third Book: NEW DISCOVERIES, 32 pages, con- densed from over a thousand pages of physi- cians' reports . . . . . . . e e a e s e e s e e s e s a e s a • l .0 Fourth Book: NEW FIELD SCIENCE, 303 pages. 1.00 Fifth Book: LITTLE AILMENTS AND CONSE- QUENCES, 192 pages. . . . . . . . . . . . . . . . . . . . 1.00 These books are bound in Princess cover, as durable as leather, and will not mildew Free with any $1.00 book: Nursing Therapy, 32 pages. A practical exposition in pamphlet form. Single copy, 50 cents. Easy Lessons, (Medical), Third Edition, 16 pages. A concrete exposition of the author's ideas on the Five Symptom Producers. Single copy, Io cents. New Field Laboratory, East Chattanooga, Tenn. Correspond wrrh our Advertisers, AND MENTION THIs Journal- XII ELLINGWOOD’S THERAPEUTIST FROM PUBERTY TO MENOPAUSE THROUGH this period pregnancy call for the admin- most women suffer from istration of HAYDEN'S VI- uterine neurosis, and as BURNUM COMPOUND, Godell so aptly describes it, presenting its well-known an- “the intangible, tispasmodic and imponderable, calmative action invisible pelvic as a preventive pains of neurotic , || and as a treat- ment in neurosis. women.” A n ticipated It should be given monthly attacks of Dysmen- in teaspoonful doses, three orrhea, the exhausting effects times a day, administered in of Menorrhagia, and the hot water. Literature, form- nervous symptoms of early ula and samples upon request. New York PHARMACEUTICAL COMPANY BEDFORD SPRINGS, BEDFORD, MASS. =l § =$$3 == The Results You Seek are certain and sure to follow, when you prescribe | f Gay's Elſteine Imit ſm. These results, of course, are the relief of weakness and debility, the restoration of strength and vitality and the general up-building of your patient. - - You do not expect miracles, or the achievement of the impossible. You do not look on Gray's Tonic as a panacea. - But you do expect your patient’s appetite to increase, his digestion to improve, his strength to return, and his whole condition to show a real and substantial gain, when you put him on Gray’s Glycerine Tonic Comp. These are the results you seek—and these are the results you get! The thousands of medical men who have used Gray's Tonic during and after influenza, this past winter know how true this is. - The Purdue Frederick Company 135 Christopher Street - - - . . * New York City | CoRRESPOND witH our ADVERTISERs, AND MENTION THIS Journal. # ellingumon's Cherapeutist A Monthlg Journal of DIRECT THERPAp EUTICS Finley E.1.11ng wood. M. D., Editor and Business Manager JANUARY, 1920 $$. $ st;iš iſis #º #######sºft hiº2=#= ºm tº:- ###, -º- : . tº Wºr ==== sa Wā # = *Eº # = 3–3. # ÉÉ # * :=# =r W. E. KINNETT, M. D., PEORIA, ILL. I have not seen anything in the THERA- PEUTIST in regard to this therapy. Per- haps some have not heard about it, or if they have heard of it, have not used it. The writer has been using it for many months, and while it covers almost every phase of disease I will mention only two. As this comes under the “Therapeutic Fact” department, it must necessarily be a short article. Therefore, I will men- tion two cases of “boils” and one of “mastitis.” Mr. C. G. had a large boil located im- mediately over the spine at the fifth dor- sal vertebra. I obtained some of the discharge, and put ten drops in an ounce glass stoppered bottle and filled the bot- tle with distilled water, and let it stand twenty-four hours and filtered the con- tents through a Berfeld filter, and injected twenty minims of the toxin com- plex hypodermically over the deltoid mus- cle. The boil disappeared as by magic. The pain left within an hour and in two days there was nothing but a small pur- ple spot to mark where the offender had camped. Mr. J. E. W. had a large angry boil in the axilla. I obtained a few drops of the discharge and prepared a toxin com- plex in the same manner as in the above case with the same result. I instructed the patient to call the next day, but he did not come till the second day. He asked “What kind of medicine did you put in my arm * I asked him why? He replied: “Before I got home all pain had ceased. The next day my wife said you boil has all dried up. There has been no more discharge and I guess I am well.” I examined the place' where the boil had been and the boil had disap- peared. Mrs. S., about a week or two after confinement developed mastitis in the right breast, I treated it in the usual manner but in spite of all I had done the inflammation increased. I then obtained an ounce of milk from the diseased gland in an ounce glass stoppered bottle and let it stand twelve hours and made a toxin complex by filtering through a Berkfeld filter, and administered twenty minims hypodermically over the deltoid muscle. The next day she reported that the pain had subsided and the breast was soft and that she had pumped out a large quantity of milk. However, the inflam- mation had run so long that a small ab- scess formed, which was opened and I 2 - - ELLINGWOOD's THERAPEUTIST obtained a dram of pus and placed it in a four ounce bottle filled with dis- tilled water and gave the patient a tea- spoonful every three hours. In twenty- four hours the inflammation had subsided and much milk was pumped from the breast. I feel quite certain that if I had used the toxin complex of the milk at the on- set of the trouble there would not have been any abscess, and the duration of the inflammation would have been cut short, and no serious result would have appeared. - A BRITISH OPINION OF THE PRESENT STATUS OF - MEDICAL EDUCATION FINLEY ELLINGwooD, M. D., CHICAGO. On many occasions the Editor of ELLINGWOOD's THERAPEUTIST has men- tioned the fact that the great move- ments of prevention and cure of disease are made with reference to the preven- tion of single infections or single infec- tious diseases, with no clinical estimate or care of the myriad of primary indica- tions—the beginnings—the initial simple perversions of health. There is the in- vading symptom complex, or the result- ing complications which ultimately induce pathological factors; these on their parts grow to enormous propor- tions and result in changes of structure or function, more difficult to control and more disastrous in their incon- spicuous invasion upon the general health processes than the original in- fections. * - We are constantly calling attention to the neglect by pathologists of these unestimated undervalued symptoms, these beginnings of disease, and the neglect and disparagement by Scien- tific men of clinical observation and bed-side study of each individual pa- tient. - The London correspondent of the A. M. A. for Nov. 22, 1919 is the first writer of the old school whom we have read, that has paid any attention to this subject. Under the sub-head of Preventive Medicine, he makes the following statement from Sir George Newman, Chief Medical Officer. - He begins a very able review of the subject with the statement that “the first duty of medicine is not to cure disease, but to prevent it,” and goes on to define the objects of preventive medicine as: (1) to develop and fortify the physique of the individual and thus to increase the capacity and powers of resistance of the individual and the community; (2) to prevent or remove the cause and conditions of disease or of its propagation, and (3) to postpone the event of death and thus prolong the span of man’s life. A great deal has already been ac- complished; but though the death rate of England and Wales has fallen from 20.6 per thousand living in 1868 to 13.5 in 1917, and the infant mortality rates from 155 to 96 per thousand births, we still lose in England every year up- ward of 235,000 lives by the deaths of persons under the age of 50, and up- ward of 64,000 infants and have many stillbirths. Moreover, the influenza epidemic cost 6,000,000 deaths in India and 100,000 in England and Wales. At present we have an immense body of knowledge and experience old and new, “but there is lack of correla- tion of the knowledge, and there is lack of understanding of the precise problems to be solved and of the ways and means by which they may be faced.” (Italics our own.) In the first place, the new knowledge is insufficiently shared by the whole medical profession; in the second, the administration of the pub- lic health service, both central and local, is insufficiently coordinated and unified; and lastly, There is all over the country inade- quate treatment of the sick and inca– pacitated, in quantity and quality. The beginnings of disease are still almost STATUS OF MEDICAL EDUCATION 3 entirely ignored. The treatment provided for the majority of the sick is unsufficient and inadequate ; it does not represent the best of present medical knowledge. Whole groups of disease are neglected, so far as prevention is concerned, for prevention has been too earclusively con- cerned with certain infectious diseases, and much disease is allowed to go by default, and untreated. Evidence of inadequacy is as folows: In 1918 there were probably 1,000,000 cases of measles in the country; tuber- culosis claimed 92,000 fresh victims, and 6,500 newly born infants developed ophthalmia. Of the children at school in England a large number are back- ward, upward of 10 per cent are un- clean, and 10 per cent are undernour- ished. - Not less f than half the school-chil- dren stand in need of dental treatment, and half a million at least are urgently in need of it. Upward of half a million are so defective in eyesight as to be unable to take reasonable advantage s. Another quarter of a million suffer from ear and throat diseases. At the examination for na- tional service it was found that the number of recruits placed in the lowest categories of ill health or unfitness amounted approximately to not less than 1,000,000. - The writer mentions the attention paid to the infectious and epidemic conditions, and the advance made in their abridgement and abortion. Among these are Tuberculosis, Influ- enza, typhoid claims credit for a fall- ing birth rate and improved death rate, improvement in measles and venereal disease. With this improvement there has been overlooked the evidences of dis- ease in minor symptoms which should be treated with as much care and solicitude, with as much scientific study and research because they may be the beginnings of structural involvement and health ; reduction of as much im- portance as the primary invasion. A thoughtful unprejudiced physician in | estimating on what may follow the development of certain at first unim- portant indications, will become ap- palled at these simple beginnings of un- determined possible results, if these developments are not quickly and pos- itively controlled. The above indica- tions are enough to appall the entire profession, if the right view is taken of them. - To the treatment of these minor in- dications with their initial beginnings of disease and their resultant factors, Eclectic physicians have persistently given their attention; they have studied every individual factor of disease; every medicine which wopuld seem to favor- ably influence each of those, and have learned to adapt the single individual remedy to the exact condition as stud- ied on the individual patient; sick apparently from that condition. The highest scientific measures are adopted to determine these conditions, their line of invasion and their importance. As this course develops, we feel confident that in spite of all infection and of the invasion of the germs of in- fection, this field is of equally great importance with the field of prevention. These conditions are largely infectious but of no less importance. The writer referred to says, concern- ing reform in medical education—The basal sciences of medicine must be studied more deeply, and clinical train- ing must be more thorough. Especially must the mind of the student be di- rected to the beginnings of disease, its earliest signs and symptoms, notably those symptoms which are subjective, “for no laboratory experiment or me- chanical device can serve as a substi- tute for this knowledge to which they are ancillary and auxiliary.” The practice of preventive medicine in all forms of clinical work must be insisted on, since prevention is concerned not only with the mass, but also with the individual. With regard to the physician, early specialism is condemned. The need 4 - ELLINGWOOD’S THERAPEUTIST for closer integration between pre- ventive and curative medicine is em- phasized. In all cases the cause of disease, not in the abstract alone, but in the particular patient, must be Sought. Disease must also be con- sidered in its ancestry, for example, tuberculosis following measles. An adequate medical service is neces- sary, and a systematic and coordinated attack on the problem of disease. A large number of separate departments must work together, and many aspects Of the problem must be viewed at once. For example, there are the problems of heredity and of eugenics; there are alcohol, syphilis and tuberculosis. There is the care of motherhood; there is the welfare work for infants; there is the medical care of the school-child. RESEARCH WORK WITH GELSEMIUM SEMPER VIRENS AND BRYONIA ALBA IN INFLUENZA FINLEY ELLINGWOOD, M. D., CHICAGO, ILLINOIs. If there is any one remedy that we can claim as an Eclectic remedy—that we can claim to have evolved by the most careful pharmacy and clinical study and observation it is Gelsem- ium. In 1913 the editor of the Pre- scriber published a .paper written by the editor of the Therapeutist on the action of Gelsemium in which atten- tion was called to its specific influence in Influenza. On page 233 of our July, 1919 issue, we published a report from a British Base Hospital in France in which they claim to have used 15 special remedies in experimental study of drugs in 937 cases with a mortality of 2.77% in which the best results were obtained from Gelsemium, having used the remedy from the suggestions made in the article from the Prescriber above referred to. - The following report in etiological observation taken from the Homoeo- pathic Recorder of Nov. 15 confirms our claims for Gelsemium and the British officers conclusions, giving this remedy so far, the very highest place in the Therapeutics of this disease the influence of any one remedy, from the pen of Dr. Wm. F. Baker, A. M., M. D., of Philadelphia. - “In the Journal of Immunology for July, 1918, there appeared a very good description of a new method of de- terminating blood immunity, and a full report of the extensive work done in pneumonia by Prof. Solis Cohen at the Jewish Hospital in Philadelphia. The homoeopathicity of the work appealed to me as the function of a homoeopathic laboratory and, following the method of the writer in the Recorder, the subject was studied from the homoeopathic standpoint, and he wished “to publicly express my thanks to Drs. Cohen and Heist for the willing and able support given me and the willingness with which they offered the ways and means of their work. “Having seen also that a method could be used similar, except the sub- stitution of Bryonia, the research was first attempted in July, 1918, with pure pneumococcus toxin. This was later augmented by a study of Gelsemium in the mixed infection which began a little later in Camp Devens, Boston, Mass. Here thousands of cases devel- oped in the barracks so that an alarm- ing situation was soon present, and all available Reserve Corps men were sent to Boston. The infection here seemed to be particularly virulent. Following Dr. Cohen’s method, with the possible exception of immunizing with the rabbit protein which he did not do (the rabbit protein being just placed on the market, a quantity of the toxin was immediately secured and Gelsemium and Bryonia selected in the place of Cinchona, which Dr. Cohen had used in the pneumonic experiments. “The nature of the infection known as influenza was discussed at the re- cent meeting in Chicago of the Ameri- can Public Health Association, and they closed without reaching defi- RESEARCH WORK IN INFLUENZA 5 nite conclusions c on c e r n in g the cause of the influenza. The committee reported “the micro-organism or virus” primarily responsible for this disease has not been identified, but that deaths result- ing from the organism are due to pneu- monia complication, and that the evi- dence at hand as to the value of vaccine influenga epidemic is contradictory. The prevailing influenza is a typical mixed infection, since all the four types of the pneumococcus, streptococcus, staphylococcus and Pfeiffer bacillus or the true bacillus of influenza are found. The organisms have been both hem- olytic and non-hemolytic. The hem- olytic has been found in larger num- bers. The influenza bacillus is prac- tically of no pathological significance. The hemolytic micro-organisms pro- duce certain blood changes, greatly lengthening the coagulation time and increase in watery elements. Con- gestive complications in the lungs did not seem so important according to the report, and yet a mortality as high as 38 per cent was reached, clearly showing a fallacy in therapeutics. “Much of the credit of the homoeo- pathic profession by beginning therapy before a pathological entity was reached a low percentage to .6 per cent was present as a monument to homoeo- pathic therapy which should be of last- ing credit to the school and demand serious attention of all health authori- ties. The homoeopathic prescription be- gins with a disturbance of the dynamic before a pathology is arrived at. A full description of the methods em- ployed are available so that it is only necessary to review the homoeopathic results. So pronounced were the differ- ences in mortality that I understand experiments are now being made with fluid extract of Gelsemium in regular schools. - Dr. Cohen has, however, established two cardinal principles, viz., by ex- periment. - 1. Drugs do and materially so. influence pathology 2. In mixed infections the immunity of the blood ought to be determined first before any serum or antiserum be administered, and this can be done by testing the whole blood with the aid of the Lacey-Heist tube, and is far superior to the agglutination test. A review of the pneumonia work shows at once that derivatives of cinchona in high dilution accelerate phagocytosis. Low dilutions retard plagocytosis, and it is clear that animal experimentation will demonstrate phagocytosis influ- enced by drug administration. He says: “The germicidal properties of the whole blood can be better stud- ied by the Lacey-Heist method, and it will outline the susceptibility of the blood to certain diseases.” Either the culture is killed or grows at once, and, therefore, is determined immunity. The rabbit is highly sus- ceptible to pneumonia, and it is almost impossible to secure immunity. A cul- ture which will not grow in the blood certainly will not kill it. He further states that when a rabbit is fed quinine the blood serum shows little destruc- tive power, but the leucocyte attack upon the toxin is marked. . Kolmer and Steinfeld have clearly shown that cinchonin in solution of 1 to 10,000 will disinfect in a test tube secretions from a pneumonic patient or from a rabbit suffering from influenza. Having decided that it is possible to modify and alter pathologies by means of medication, we are confronted with the so-called genius of the infection. The genius or type of the infection was established by the Chicago com- mittee, and when we speak of influenza, we mean that mixed infection which became pandemic. In section 101, fifth American edi- tion of the Organon, Hahnemann lays down the following principle: “It is possible that a physician meeting with the first case of a certain epidemic should fail to perceive at once its per- fect image, because every collective disease of this kind will not manifest the totality of its symptoms and char- 6 - - ELLINGw.oOD’S THERAPEUTIST acter until several cases have been carefully observed. But after having observed one or two cases of this kind a physician may approach the true condition of the epidemic that he is enabled to construe a true character- istic image of the same and to discover the true homoeopathic remedy.” - Later writers have classed this as a “genius” of the remedy and a “genius” of the drug. - Hahnemann principle in section 102, when he says the complete knowledge is only to be obtained in a perfect manner by obser- vations of the affections of several patients of different bodily constitutions. This method of examining and classi- fying epidemic diseases is the accepted standard now for advanced research work in the laboratories. Having the “genius” of the epidemic, it was the purpose of research to obtain a remedy fitting the “totality.” The method of procedure was to take the mixed toxins in a dose equal to about one-half the lethal dose after the immunity of the animal had been determined. The animal is carefully housed and fed after being given the dose, and the effects noted to determine toxicity. A control animal is also used, which has been treated with animal protein. Within six to twelve hours there is marked chill, rapid rise in temperature, loss of appetite, dullness and heavi- ness with great weakness and prostra- tion and usually a profuse watery diarrhoea, eyes congested and excep- tionally thirsty. After the third day there either develops a hypostatic pneu- monia and death or a prolonged con- valescence extending over a period of several months. Pneumonia developed in about 40 per cent of cases with resultant death. - The control rabbit went through practically the same state but recovered in three to five days, and did not de- velop pneumonia. Post mortem examination showed extreme basal cerebral congestion, broadens this general especially in the medulla even after the animal had been decapitated to pre- vent confusion in pathology caused by the terminal lesions of chloroform anesthesia. The lungs were not primarily in- volved, and where they were secondarily, it was in the form of a passive con- gestion of circulatory origin presum- ably. - - The next step is to intercept the toxin in the animals by administration of the homoeopathic remedy. The caution might be well placed here to say that Gelsemium acts best in a low alcoholic percentage, and Bryonia acts better in a high alcoholic solution in the potency. The 3rd, 6th and 30th were used. This was to determine the effects of the remedies and if possible select the similimum. Having selected Gelsemium because of its control of the infection when administered, the last step in the re- search was to determine the immunity produced by Gelsemium in the rabbit blood, and this is astounding when we say that the index of the blood is raised from 43 to 81 per cent by the administra- tion of dilutions of Gelsemium to per- fectly well and normal animals. Observations were made in the care of animals suffering with the toxin as to food, shelter and administration of aspirin and coal tar products. The essential homoeopathic observa- tions are : - 1. Gelsemium offered according to the animal experimentations the nearest similimum to the infection, and that after Gelsemium was administered to healthy rabbits the lethal dosage of the toxin would be increased showing clearly some relationship. - Immunigation was more complete where Gelsemium had been administered and where no remedy was used and the animal survived, the condition lapsed into what may be called a chronic state, so that it could be started again with a very small dose of the to win. For this reason we may expect to have the epidemic with us again this fall. The best immunization obtainable in RESEARCH WORK IN INFLUENZA 7 rabbits, who are especially sensitive, can be obtained from an animal which has been fed upon Gelsemium. 2. A comite seemed suitable to the hypertonic states and was useful in treatment of chronic states where there was an acute exacerbation or where tonic or clonic spasm resulted. 3. Bryonia seemed in our hands a dangerous remedy on account of its action on lung tissue. It seemed to direct the infection towards the lung, especially when given in large doses. As the toxin was given a preponder- ance of the pure pneumonic culture, Bryonia in potency up to the third seemed to render the animal more com- fortable. The higher potencies of Bryonia were disappointing. -- * General observations were : 1. Purely corn fed animals suffered more with the injection of the toxin and the death rate was high. 2. Milk fed animals suffered least in reaction. 3. Wheat fed animals suffered also lightly. 4. We were unable to get the ani- mals to eat a rice diet or a sugar diet. 5. Our observations-lead to the con- clusion that animals kept warm and not exposed to chill were even better than those exposed to colder weather or draughts. - 6. The invariable rule for the fall of temperature where a remedy was used was by lysis as opposed to crisis in the purely toxic states. 7. The experiments with Gelsemium : show its value in all mixed infections, particularly those affecting the central nervous system. The basilar condi- tion found may account for its peculiar headache. Its exceptional use in post- diphtheritic paralysis and the peculiar symptom of relief after urination may be due to its antagonistic effect upon the toxemias. . i - Gelsemium offers us the most purely dynamic remedy that we possess in the materia medica. Bryonia affects the peripheral sensory functions and marked gastro-enteric. The deep action of Bryonia on lungs is more of the nature of a hypostasis from collapse. While it affects the serous side in nature of a pleurisy. - 8. Coal tar products increased the toxicity of the toxin and provided in- creased mortality. From our observations we are justi- fied in the association of the severity of the reaction with the feeding of the animal. Certainly it is that marked changes in the immunity of the blood are noticed when the animal is deprived of foods containing vitamines. The re- sistance of the animal being lowered a much smaller dose of the toxin will produce serious results. That resist- ance is lowered as long as the animal is deprived, tests being made several weeks apart. . . One of the best methods in combat- ing the disease is a balanced ration. That the disease is highly contagious and infectious is evidenced by the rapidity with which it spread through one of the colony houses. It has been my personal experience after an ex- tended acquaintance with this mixed infection that food plays an important part in the care and prevention of this disease, and that many of our people because of the high cost of food sup- plies were really not balancing the food ration to throw off the effects of the infection.” PATHOLOGY AND SPECIFIC THERAPEUTICS OF PNEUMONIA S. E. McCULLY, M. D., Victoria, Texas. As winter is now at our doors, it may be a good time to take up the causes of Pneumonia, the Sequelae, and the treatment. The past history and treatment of this disease has been and still is a mystery to a large per- centage of the medical men of the present day. 8 ELLINGWOOD S THERAIEUTIST The profession all along the line have been blind to the cause of Pneu- monia, its etiology and the only sound principle that is safe and sane in its treatment. The Alopathic School now adopts the “expectant treatment,” which means physic your patient and blister him, or apply Antiphlogistine, or cold pack, and trust in God, and the vis Medicatria Natural; which usually means a starved worn and weak heart. Solidification of the lungs, one or both ; collapse, death. I then made search for something to alleviate this, to them, fatal disease; they have pursued every unscientific course known in medicine. The dis- covery of a form of Bacteria that was named the Pneumococcus Lanceolatus was hailed as the turning point in the fatality of pneumonia, serum after serum has been made or rather pro- duced, and fired into the unfortunate victims of this disease, and “it was hoped and expected that the serum and its compounds would give as efficient a serum as diphtheria and tetanus bacilli yielded.” It is a matter of history the serum has not decreased the fatality in the army, when thousands of our boys were stricken down by pneumonia and died; and the lid of suppressioberi was clapped on so that the appalling fatal- ity of the scourge might not come to public ears. Cross-roads doctors with incomes of from $500 to $1,000 per year, 80 per cent collectible, were jumped into the army to treat our boys—young and in- experienced men. Practically all of them taught everything in their alma mater but the practical application of medicine at the bedside. They believed that the pneumococcic lanceolatus was the sole cause, the sole agent of attack in pneumonia; they had this idea driven home in their lecture course and with the hopeless tale; no curative serum discovered could be depended On, no anchor but expectancy; thus the student is turned loose to stand at the bedside and helplessly wait till death claims its toll. One great medical au- thor tells us, until lately, or recently, “the serum hope has failed.” Serum did not reduce the mortality, so the expectant treatment stood pat while while death stalked abroad through all Our army camps. rº Did we know the extent of that ap- palling mortality the sacrifice of medi- cal prejudice expectancy and ineffi- ciency, a howl of rage would go up from the homes of the boys sacrificed on the altar of departmental red tape. “Expectancy” in the mouths of the wise ones means, “Trust in God and 1et Nature cut her caper.” - Again, this same author quotes Dr. Cole, of The Rockefeller Institute, as his treatment by serum appearing to be on a firm basis; but too cumbersome (i.e.), too impracticable in general practice; therefore worthless to the general practitioner; so the aver- age pneumonic must depend on physic expediency, God and Nature. If an alopath and orthodox—he is still in the tall timber—no compass, no anchor, no specific medication and his sole hope at the so-called pneumococcic bedside is expectancy, only expecting death in about 65 per cent of cases treated. - When the disease was rampant in every camp in Texas I wrote to Wash- ington to Surgeon General Blue, and offered, for my transportation to camp and home, and a bed and food, to take 20 beds or less and prove that 95 per cent of all cases placed in my hands could be aborted in from 4 to 6 days. I asked no rank in the army. - I asked for no salary, but was in- formed that the proposition would be an unheard of violation of army regu- lations and impossible. Now coming back to cause and ef- fect: We are told first that the pneu- mococcics lanceolatus may be found, is often found in the mouths of healthy individuals; that in such conditions it is a benign inocuous bacterium, harm- |PATHOLOGY OR PNEUMONIA 9 less; but no one has yet told the pro- fession by what process of metamor- phosis, the germ suddenly becomes malignant, and by what method of de- termination it suddenly focuses its malignant power upon the air cells of the lungs. When and where has it been proven beyond cavil that this same bacterium is not a by-product, the result of inflammatory processes in the lung, and that its vast increase in the circulating medium is not due to the immense increase of the materies morbi that follows in the wake of great vascular tension. Now, what are the conditions we meet at the bedside in a case of acute pneumonia P A bounding rapid pulse, at first a hard dry cough, lancinating pains in the effected lung crepitus in the involved lung tissue; as the blood impact increases the capillaries be- come more and more distended, and either burst or the red corpuscles are broken up and the coloring matter is forced through their walls, and the bloody sputum appears. In the meantime the heart beat in- creases in rapidity but decreases in volume; the pulse has changed from a bounding to a sharp thready one, and why? The heart tissue is over- worked. The coronary arteries no longer are able to perform functional offices, the heart is going through a Starving process; its muscular walls are giving way—flabby, soft—because the blood is no longer capable of pre- venting structural change for, and be- cause, of a general loss of vital power, deficient (oxygenation). At this stage of the disease many things may happen; cases of low vital- ity may collapse and death quickly fol- low. Cases of full habit may follow the usual stages of hepatization; the lung or lungs may fill up and death Imay Supervene from various causes. Now the basis of pneumonia can be Summed up by two distinct conditions: the first being a stage of great vascular activity, high temperature and great nervous tension; the second develop- ing all the exhaustive physical proc- esses due to the sequela of the first, infiltration partial organization of that matter in the lung, great curtailment of oxygenization of the blood, and marked decrease of its nutritive power in every tissue of the body. This I consider is a fair summary of the un- interrupted course of acute pneumonia. In view of these facts, it would seem to be the duty and province of the physician never to pass to the second stage. At once the question arises: can this be done? My answer is that from my personal experience it can be done in every sthenic case, if met with in the first 24 hours of the attack, and in many more in the first 48 hours of the attack. - Naturally, the first thought that flashes in the mind of the reader is: but how can you do this? My answer is, hold down the heart! Check the pump ! That is wrecking the capillary blood vessels of the lungs by a high pressure impact. The impact in the lung is the centre of danger to success- fully meet, and if not met successfully all the sequelae of the alopaths “ex- pectant treatment” will follow. Serum in every army hospital in the late war has failed, as witness the death roll, and the high percentage of deaths has fully demonstrated that fact. So we can discard serum as a cura- tive force, and we must fall back on methods of heart control. Here we have two methods—direct and indirect. The direct remedies are aconite and veratrum and gelsemium ; the indirect remedies are lobelia subculoid and belladonna, the latter two used hypo- dermically, not in the arm, but imme- diately over the seat of inflammation. If there is great dyspnea I have found immediate relief from a hypodermic of scopolamin 1/100 gr. and morphia V4 gr. with 20 minims of subculoid of lo- belia. - - Pain can be materially relieved by repeated plasters of Lloyds’ libradol. My favorite treatment is one drop of aconite to each teaspoonful of water 10. ELLINGWOOD’S THERAPEUTIST and 3 drops of gelsemium. I repeat this every half hour, or every hour, de- pending on the vascular tension and the temperature. I have often sat at the bedside and given this dosage every fifteen minutes. We often hear the cry in the later stages of pneumonia: “Oh, but Doctor, you can hardly feel that pulse, it is weak and 120 or 130 may be 140.” My experience is, the moment the action of the heart is being con- trolled with aconite and gelsemium, when that control is perceptible by a lowering of the pulse, the volume of the pulse increases in the radial artery, and from a mechanical standpoint it is reasonable to believe that the heart pulsation must be imperfect when doubled, or nearly so, and that when reduced, a more perfect diastole and systole must follow. - In the epidemic of “Flu” here, I had 180 odd cases—35 cases of pneumonia. A little over half of these were double pneumonia. Two cases were the left- Over cases of other medicos, and were dying when I was called in. Of the balance of 33 cases I lost three, but did not lose a case of “Flu” with any Other complication. Eighty per cent of all these cases were among the slums of this city, and daily, in my car, a big milk can of soup was carried to feed many of them. I used no sera- therapy, my own effort being to hold down the heart, meet the general phy- sical conditions as they presented themselves, and to keep open the great prima vial by some mild form of purga- tive, as the tongue and the physical conditions seemed to indicate. S. E. McCULLY, M. D. CoMMENT: — The particular indication for Veratrum is the soft, cool skin with large full soft pulse of from 100 to 130. In sthenic cases one drop of veratrum every hour will slowly reduce this to from 50 to 60 with no harm whatever. . Then reduce the quantity. The pulse for Aconite is small, quick, sharp, hard, skin hot and pungent. Gelsemium has much the same pulse with flushed face and bright eyes, contracted pupils and much nervous rest- lessness. If belladonna is indicated, the op- posite is the case: Dilated pupils, cool skin and cold extremities. If bryonia is indicated, there is sharp cutting pain, sharp hacking cough and dryness of the skin passages. Most of our doctors discard morphine entirely, as bryonia and libradol meet every indication for pain. The course the doctor advises has saved, with- out, doubt, hundreds of lives during the last epidemic. MARKING THE POTENCIES E. H. HoLBROOK., M. D., Los ANGELES, CALIFORNIA. There appears to be considerable confusion in the minds of some writers for the medical journals, as to how they should mark the potencies of the remedies they have prescribed. They put an X after every potency from 1x. I feel to C. M. (100,000) or higher. quite certain they do not mean what they write in many instances. For in- stance, they will write 30x, 200x, C.M.x, when they no doubt were using the 30, 200, C.M. If they rightly under- stood the two modes of potenizing they would be more careful in making the remedies they have prescribed. The two modes are the decimal and centesi- mal and are prepared as follows. - Decimal Scale One grain of dry drug is mixed with nine grains of sugar or milk and tri- turated thoroughly. This makes the first decimal trituration and is marked 1x. One grain of the 1x is mixed with nine grains of sugar of milk and tri- turated. This makes the second deci- mal and is marked 2x. One grain of the 2x is mixed with nine grains of sugar of milk and triturated. This makes the third decimal and is marked 3x. Thus it can be carried up to the potency desired. For liquids one drop of tincture or other liquid is put in nine drops of alcohol and shaken until thoroughly mixed. This is the 1x dilution or po- tency. One drop of the dilution is put in nine drops of alcohol and well shaken and this makes the 2x dilution. And so on up to the potency desired. MARKING THE POTENCIES 11 Centesimal Scale One grain of dry drug is triturated with ninety-nine grains of Sugar of milk which makes the first centesimal trituration or potency and marked 1 without anything after it. One grain of this first centesimal potency is tritu- rated with ninety-nine grains of sugar of milk and makes the second centesi- mal of potency and is marked 2. One grain of this with ninty-nine grains of sugar of milk makes the third centesi- mal potency and is marked 3 and so On up. * For liquids one drop of tincture or other liquid is put in ninety-nine drops of alcohol and well shaken. This" makes the first centesimal dilution or potency. One drop of this potency with ninety-nine drops of alcohol makes the second centesimal and so on up to the desired potency. Now to compare these we will put them in the following form : - Decimal 1x = 1 part crude drug in 10 parts of trit. Or dil. 2x = 1 part crude drug in 100 parts of trit. Or dil. - 3x = 1 part crude drug in 1,000 parts of trit. Or dil. 4x = 1 part crude drug in 100,000 parts of trit, or dil. 5x = 1 part crude drug in 1,000,000 parts of trit, or dil. - 6x = 1 part crude drug in 1,000,000 parts of trit. or dil. And SO on up—increasing by ten. Centesimal 1 = 1 part of crude drug in 100 parts of trit. Or dil. 2 = 1 part of crude drug in 10,000 parts of trit. or dil. 3= 1 part of crude drug in 1,000,00 parts of trit. or dil. And so on—increasing by 100. It will be seen that the first centesi- mal is equal to the second decimal; Second is equal to the fourth decimal and the third centesimal is equal to the sixth decimal and the fourth centesi- mal is equal to the eighth decimal and so on as far as desired. centesimal. Now if a writer wishes to state that he used the thirtieth centesimal and writes 30x, he makes it the fifteenth If he wishes to state that he used the 200th or the C. M. and puts an x after, then he cuts them in half and makes them 100 and 50M. In order that the reader may under- stand what is meant in the marking of the potencies, the writer should avoid using the x where it is not needed. Use it when it is necessary, but do not put it after the high potencies, which should always be written according to the centesimal scale, with the simple figures as 6, 30, 100, 200, C. M., etc. In plain words, writers should state ex- actly what they mean and mean what they state and not have their readers guessing what they really did mean. CARDIAC HYPERTROPHY WITH EXTREME EFFUSION J. B. DAVIs, M. D., CHICAGO. 4556 Calumet Ave. I was called January 16, of the pres- ent year, to see Mr. B, aged 70 years, a carpenter by trade. He had been un- der the care of other physicians for a long time, without any apparent bene- fit; in fact they had given him up. tell- ing him he had but a very short time to live, and that they could do him no good, which seemed to me to be the whole truth of the case, when I first saw him. He was sitting in an old arm chair where he had spent his whole time night and day for months, with old clothes piled around his feet, to ab- sorb the effusion which was running from many places where the skin was broken, due to dropsical condition of feet and legs, extending up the body almost to the diaphragm. This, of course, made it impossible for him to lie down. This was due to heart dis- ease—valvular insufficiency and hyper- trophy. The lungs and kidneys were acting fairly well considering the circum- Stan CeS. - 12 ELLINGWOOD's THERAPEUTIST This is a dark picture but none too black to be the truth. Digestion poor, appetite very poor, craving water mostly. This man's legs were fully four times their natural size, with vari- cose ulcers along the anterior portion of the tibia. I promised him nothing, only that I would see what I could do. - I gave him Apocynum Specific 3ii, Elaterium Sp. gtt. xx, Syr. Hypophos- phites q.s. iii. Teaspoonful every four hours; also Specific Crataegus gtt. xx four times a day. Gave no special at- tention to the sores on the legs. This . treatment has been continued, gradu- ally increasing the dose, and sometimes substituting Specific Tr. for the Cratae- gus until I could no longer get the Strophanthus, until now he is taking the following: - Sp. Apocyntim . . . . . . . . . . . ‘. .3 iv. Sp. Elaterium - Syr. Hypophosphites Comp., q.S.5 iii. Mix. Sig.—Teaspoonful every four hours during the day and continues the Sp. Tr. Crataegus in twenty-drop doses all the way through. At the present time this man has very little puffiness in the legs or feet, neither in the abdominal cavity. He has planted and raised a little garden the past summer, attends to the jani- tor work in his own building, walks a mile or so at a time, sleeps well lying down in bed, appetite good, compensa- tion having taken place sufficiently that there is little shortness of breath, he is gradually gaining strength. Is working at his trade a little. I am giv- ing a larger dose of Crataegus than is usually advised, but usually I see noth- ing but good results from it. This case certainly emphasizes the oortance of Specific remedies in cer- tain conditions, and what can be ac- complished by the persistent use of them. DEER-FLY FEVER, OR PAHVANT VALI,EY PLAGUE. - A Disease of Man of Hitherto Unknown Etiology." By EDWARD FRANCIS, SURGEON, UNITED STATES PUBLIC HEALTH SERVICE. In recent years there has occurred among the rural population of Millard County, Utah, a disease initiated (ac- cording to popular belief) by a fly bite on some exposed surface of the body and manifested by the enlargement of the lymph glands which drain the bitten area and by a fever of a septic type lasting from 3 to 6 weeks. The site of the bite and the affected lymph glands become tender and inflamed, and they commonly suppurate. There is marked prostration and the patient is confined to his bed. Probably two dozen cases occurred in Millard County in each of the years 1917, 1918, and 1919. The first case known to have terminated fatally was reported in 1919. - - - In response to a request from Dr. T. B. Beatty, State health commissioner of Utah, to the Surgeon General of the United States Public Health Service for the detail of an officer to investigate . this new disease, the writer was di- rected to proceed to Salt Lake City for the purpose of conferring with Com- missioner Beatty and to make a study of deer-fly fever. . Following a confer- ence with Commissioner Beatty at Salt Lake City on July 23, 1919, and acting upon his recommendation, the writer proceeded to Delta, Utah, for conference with Dr. H. L. Charles. Dr. Charles was found to be very much interested in the investigation. He took me with him on visits to his patients; put at my disposal the facili- ties of his office; furnished a place to house laboratory animals, and gave freely of his time and assistance. The Disease Reproduced in Animals The first object of the investigation was the reproduction of the disease in animals, in order that animals thus in- fected might be transported to a well- equipped laboratory for detailed study. *Reprint from the Public Health Reports, Vol. 34, No. 37, Sept. 12, 1919, pp. 2061-2062. HYPERTHY ROIDISM 13 A typical case of deer-fly fever was Selected, and from this case two series of guinea pigs and rabbits were inocu- lated. The first series was inoculated with the patient’s blood; the second Series was inoculated with pus Ob- tained from a suppurating cervical gland of the patient. Both series of animals developed a disease which proved fatal in a few days. At post-mortem these cases ex- hibited caseation of the lymph glands and small necrotic foci throughout the liver and spleen. Subinoculations with lymph glands, liver, or spleen of in- fected animals into healthy ones invari- ably reproduced the same lesions. Cultures Cultures made on ordinary labora- tory media from the lesions of animals dying from the disease were negative; but cultures made upon coagulated egg yolk yielded a growth of small non- motile cocco-bacilli. These cultures reproduced the lesions of the disease in guinea pigs. Identification Dr. McCoy in 1911 described in de- tail a new plague-like disease which he found in the ground squirrels of Cali- fornia. The lesions found in the ex- perimental animals used in this investi- gation are apparently those of the plague-like disease described by Mc- Coy. Drs. McCoy and Chapin in 1912 suc- ceeded for the first time in growing the causative agent of the plague-like dis- ease of rodents. They cultured the organism on coagulated egg yolk and Inamed it Bacterium tularense. The small cocco-bacillus appearing upon coagulated egg yolk after inoculation with liver or spleen of the writer’s ex- perimental animals is probably the Bacterium tularense. An infection of man with this organ- ism has been described by Wherry and Lamb. HYPERTHYROIDISM% WINGATE M. JoHNSON, WINSTON-SALEM, N. C. In the beginning let me state that I do not expect to make a single new or Original observation about hyperthy- roidism. The statement has been made that we may expect a marked increase in the number of cases of this disease as a result of the war, the influenza epidemic, and the reconstruction period through which we are now passing— all tending to increase nervous strain. Several cases occurring recently in my Own practice have stimulated my inter- est in this weird malady. It is with the hope of provoking enough discussion to learn something myself that I pro- ceed to tell how little I know about the subject. Definition.—A disease caused by an increase in the internal secretion of the thyroid gland and characterized when fully developed by abnormally in- * *From report of the Eighth District Medical Society, at Greensboro, N. C., by Charlotte Med. Jour. creased metabolism and by rapid pulse, enlargement of the thyroid, fine tremor and exophthalmos. Etiology. Predisposing influences. Sex. More common by far in WO1116211. Age. Early adult life most suscep- tible. Heredity plays some part. Exciting Causes. Acute infections, especially tonsil- litis and influenza. Many believe that hyperthyroidism is often a manifesta- tion of focal infection in various parts of the body. Nervous influences play an impor- tant part—severe depressing emotions, worry, anxiety, fright, excessive fatigue. Pathology.—The thyroid gland pro- duces an excess of its internal secre- tion which greatly increases the oxida- tion of the body tissues and enhances 14 ELLINGWOOD’S THERAPEUTIST all cellular activities—“driving the cell to death, as it were.” There is general vasodilation. Symptoms.-The four car d in a 1 symptoms of the fully developed case of exophthalmic goiter are, of course, exophthalmos, goiter, tachycardia and tremor. 1. Tachycardia. The rapid pulse is probably oftenest the first symptom to attract attention. The rate may vary from 90 to 160 or more. It is especially marked after exertion. 2. Goiter. Usually both lobes are involved but not equally. The right is apt to be larger. The enlargement is not usually great but nearly always to be found upon close examination. The gland is generally soft. Fre- quently a bruit is to be heard and a palpable thrill present. 3. Earophthalmos, not always pres- ent. Varies in degree from a slight prominence to such protrusion of the eyeball that the lid cannot close over it. This is one of the last symptoms to de- velop. Associated with the exophthal- mos may be any or all of the three “signs” the names of which I suppose few of us try to remember—viz., fail- ure of the upper lid to follow the eye- ball promptly downward, infrequent winking, and deficient convergence of the eye. Riesman has recently called attention to a bruit which is often to be heard when a stethoscope is applied Over the closed eyelid. According to Green, decided exoph- thalmos is absent in at 1east 60 per cent of the cases of hyperthyroidism. 4. Tremor. There is a fine involun- tary tremor of the extremities, best brought out by having the patient stretch out both hands with the fingers separated. As a student I remember hearing Dr. J. C. Wilson remark that while the ex- ophthalmos and goiter gave the dis- ease its name they were of less impor- tance in making a diagnosis than the tachycardia and tremor. Other symptoms of minor impor- tance are extreme nervousness, flashes of heat, excessive perspiration, emaci- ation and mental disturbances—usually depression. Slight temperature may be present in very active forms of the disease. Vomiting and diarrhea may occur. Loss of weight may be strik- ingly rapid, especially when the patient is up and about. Diagnosis. When the classical Syn- drome is fully developed the diagnosis is easy. The rudimentary or incipient cases are not always easily recognized. Yet as in tuberculosis the early recog- nition of the condition is most impor- tant for the earlier treatment is insti- tuted the more probable is a cure. Given a patient with a pulse persist- ently rapid—even above 90—who is losing weight in spite of a good appe- tite one would naturally think first of tuberculosis. Right along with it, how- ever, one should keep in mind hyper- thyroidism and if even a slight enlarge- ment of the gland and a tremor can be found, with or without any of the eye Symptoms, one is justified in making a positive diagnosis. The distinction between hyper- thyroidism and tuberculosis in the in- cipient stage of each is not always easy to make. They are frequently asso- ciated, furthermore, so that one should not be content with making a diagnosis of one without excluding or including the other. In both one may have loss of weight, sweating, rapid pulse, eleva- tion of temperature and digestive dis- turbances. Some points of difference are as follows: Emaciation is apt to be more rapid in hyperthyroidism, particularly on ex- ertion. One of my patients lost twelve pounds in a five-day automobile trip through the mountains. The temperature shows less varia- tion in thyroidism—is less apt to have the pronounced subnormal morning ranges. The pulse is relatively more rapid in goiter. Appetite. In tuberculosis a rather characteristic early symptom is loss of appetite. In thyroidism it is apt to be HYPERTHYROIDISM 15 abnormally good—the patient’s failure to gain indicating the enormously in- creased metabolism present. The patient should be put to bed and kept as quiet as possible. The diet should be generous but the meat should be reduced and no stimulants allowed. The bowels should be kept well open. For this purpose sodium phosphate is at least theoretically to be preferred as it is supposed to aid in replacing the phosphorus oxidized in the excessive metabolism of the body. An ice-cap over the thyroid for part of the time may reduce its activity. An overactive circulation is present with general vasodilation. Any measure to counteract this does good, not only by diminishing the general metabolism of the whole body, but also by reducing the amount of blood in the gland it- self. Hence the advantage of rest. Drug Treatment. For ch e i me r strongly recommends quinine hydro- bromide, Gr. V, combined in a capsule with one grain of ergotin, three or four times a day for its vasoconstrictor and sedative effect. This treatment he recommeds keeping up indefinitely. Tincture of belladonna is frequently used to check the thyroid secretion. It also has the desirable vasoconstrictor effect. Its disadvantage is that it in- creases the dryness of the mouth which is often an annoying symptom of the disease. - Bromides are often useful in very nervous patients. Dr. David Riesman recommends thy- roidectin—which is the desiccated blood of animals whose thyroid glands have been removed—in five-grain doses two or three times a day. He also recommends quinine hydrobromide in very nervous patients. After the pa- tient is a little better he has the gland X-rayed. “From this plan of treat- ment,” he says, “I have seen excellent results—I may say cures.” He strong- ly advocates giving medical treatment a thorough trial before advising sur- gical intervention. SUCCESS OF PREVENTIVE MEDICINE. Alexander Lambert, M. D. • Few realize how crucial has been th test of preventive medicine in the war just finished. The death rate from dis- ease has been held down as never be- fore. The statistics available show conclusively that the great scourges and plagues of former armies have been held in check, i. e., typhus fever, chol- era, recurrent fever, typhoid, scurvy, malaria and small pox. Influenza with pneumonia has been the one uncon- trolled epidemic. To appreciate fully the meaning of this result of preventive medicine and what the American medi- cal profession has accomplished, let us study the battle casualties and disease. rates of former wars, and, by this con- trast, appreciate the achievement. In former wars from the middle ages to the present the plagues and epi- demics were more deadly than the armed opposition, says the New York Medical Journal. Emperor Frederick Barbarossa saw an army in Italy an- nihilated by sunstroke. Ten years later pestilence swept another army away. In the 30 years war bubonic plague decimated the Swedish forces and com- pelled their withdrawal. In modern times disease so disorganized the French army at Sebastopol that it was a large element in concluding peace before the aims of the campaign were accomplished. The death rate in our Civil War of killed and dying of wounds is given as thirty-three to the thousand, the dis- ease death rate as sixty-five. In the Spanish War the death rate from battle is five and the death rate from disease 30.4 to the thousand. In the present war, taking the statistics up to March 28, 1919, we find the rate of death from wounds received in action is 14.191 and that of death from disease is 14.797 to the thousand. This includes the army on both sides. - T]|[E] BRIEF CONTRIBUTIONS On practical Everg-dag Topics | J|[E] THE ROLE OF THE THYMUS. MURRAY B. GORDON, M. D. It has required much research to de- velop the few known facts concerning the character and function and the Op- erations of the thymus gland. It de- velops after the seventh week of foetal life until about the third year after birth. It then remains stationary until the fourteenth year, when it undergoes fatty degeneration and atrophy. This writer in Endocrinology, 1918, presents' the following facts: The thymus is susceptible to all infections and conditions affecting the general nutrition of the body. Pathological involution often results. In acute diseases like starvation, pneu- monia, acute nephritis and acute infec- tious diseases, this change is usually followed by a return of the organ to the normal. In chronic disorders, however, a re- turn to the normal does not take place, the gland instead undergoing a permanent sclerosis with resulting permanent involution. Hereditary syphilis, tuberculosis and diphtheria produce atrophy and degeneration. Respiratory diseases (according to Charkowski) if not tubercular, do not interfere with the development of the thymus. In the course of an acute dis- ease the thymus may be decreased to one-fifth or one-sixth of its normal weight. The function of the thymus is still an open question. There is a tendency among investigators lately to question the former findings of Klose, Vogt, and Matti that it is an organ of internal secretion and to give it now the same or similar function as that possessed by other hematopoietic organs like the spleen and lymph glands. Sajous thinks that it is not the calcium source of an internal secretion. He considers that the “function of the thy- mus is to supply, through the agency of the lymphocytes, the excess of nucleins which the body, particularly the Osseous, nervous and genital sys- tems, requires during infancy, child- hood or even later, if need be, to con- struct the nuclei of its cells.” He thinks that the thymus due to its richness in nucleins, takes part in the Oxidation and auto-protective processes of the body, and that it has some im- portant relation with metabolism as re- gards the role of phosphorus in the body. Conclusive evidence on these points, however, is lacking. The experiments of Klose and Vogt seemed to indicate that the thymus is essential to life, has a profound influ- ence on growth and development of the body and presides especially over metabolism of bone. They found that the removal of the thymus in animals was followed by marked disturbances in growth, that the ani- mals developed a condition resembling rickets and showed well marked changes in the adrenals and thyroid. The thymus was removed in ten days’ old puppies. This was followed by a latent period of two to three weeks, then by a condition of adiposity lasting about two to three months, this in turn giving way to a cachexia and an impaired mentality resembling idiocy and finally culminating in death in about four months. • It was claimed that extirpation of the thymus in children is followed by the same results. Klose and Vogt con- sidered that the bone and other changes . . were due to an acid intoxication and that one of the functions of the thy- mus is to inhibit the formation of acids or promote bone nutrition. *r A. - BRIEF CONTRIBUTIONS . . , 17 MEDICAL AND SURGICAL RELIEF FOR WAR HEROES. Congress foreseeing the necessities of the situation congress has started from the broad-angled viewpoint that a man who has been injured in the service of his country is not an object of charity, but a person who is entitled to compensation and medical relief ex- actly as is the man who suffers a hurt at the hands of industry, and a wise legislative program was inaugurated. This contemplates that the Director of the Bureau of War Risk Insurance shall take all the necessary measures to insure that every person who con- tracted a disease or suffered an injury in military service in the line of duty during the war with Germany shall be recompensed therefor, and that he shal! receive such medical and surgical at- tention which will return him to health, or at least shall bring to him the maxi- mum relief possible in his particular C2, S62. . Furthermore, should this ex-soldier, sailor or marine have lost a limb or eye, or suffered any hurt for which a me- chanical device may be necessary, that such apparatus shall be furnished him without cost. plan Congress has enacted enabling legislation and at present is consider- ing bills which will further elucidate its purposes in this regard. _- OIL OF CINNAMON IN EPITHE- LIOMA. With reference to Oil of Cinnamon I have had recently an interesting case. A middle-aged man came two months ago with a small, hard growth on his upper lip right at the muco-cutaneous margin. It was about the size of half a grain of wheat, hard to touch, sub- cutaneous, almost interstitial and a hard dry lump of skin could be picked Off, leaving a dry hard base. This would be removed in a couple of weeks or less. A history of smoking a clay pipe was also given. # Oil of Cinnamon was applied daily. This produced a local sore or blister. In furtherance of this Less oil was used to avoid such severe reaction. The spot disappeared in about a month, and now, neither by sight or touch, can any trace be dis- covered. In my opinion it was an epi- thelioma just beginning. No other treatment was given. The use of a clay pipe had been discontinued some time before the case came to me. Very truly, A. S. THOMPSON, M. D. Havelock, Ontario, Canada. We tender our thanks to Dr. Alfred S. Burdick, Vice-President of the Abbott Laboratories for furnishing us with the following correction of an error made in our November Journal, concerning the renaming of the Ger- man synthetics which is important. Dr. Burdick has been a warm friend of the Therapeutist since its first issue. Dear Dr. Ellingwood: “The American names of the German synthetics were given them by the United States Government, through the Federal Trade Commission, instead of by the Council on Pharmacy and Chemistry, which simply followed the terminology adopted by this govern- ment bureau. The only exception is in the case of Cinchophen, the name of which was given by the Chemical Foundation, which purchased the Ger- man patents from the Alien Property Custodian. Further, the name of Veronal was never changed to Veronal Sodium, these two being distinct preparations. The name of Veronal was changed to Barbital, and that of Veronal Sodium to Barbital Sodium. It may interest your readers to know that of the four German synthetics which you mention, three are manu- factured by The Abbott Laboratories under license from the United States Government, namely Barbital, Barbital Sodium, and Cinchophen. The Abbott Laboratories also manufactures Pro- caine, the German name of which was Novocaine. Sincerely yours, ALFRED S. BURDICK. 18. - ELLINGWOOD’S THERAPEUTIST HEMOPHILIA CHAs. WoODwARD, M. D., CHICAGO, ILL. In recent years, biologic examinations of the blood have determined why some individuals die of hemorrhage from acci- dents, abortion and operations, these in- vestigations as usual giving the condition of the blood, but not the cause. We have heard many times how different things occur without a cause; but we are in- clined to believe that the blood acquires an uncoagulable condition from either a deficiency of fibrin or some cell salt, due to improper nourishment, or to inorganic chemical combinations formed in the system. We do not deny the congenital occurrence of hemophilia when we know how deficiencies of the maternal diet per- vert the physiologic functions so as to develop ectrogenic monstrosities. Following the finding of biologic ex- amination that the blood is deficient of coagulable constituents, drug manufac- turers have devised a serum which when given subcutaneously will produce coag- ulability of the blood. Clinical observa- tion amounts to nothing with the produc- ers or users of this serum. With such incomplete knowledge it is necessary, for safety, to test the blood of every in- dividual and inject those who need a major or minor operation. As a specialist in diseases of women I have met many intractable cases of men- orrhagia and metrorrhagia and am able usually to ascertain whether hemorrhage will occur following operations by the signs and markings which individuals exhibit. Scarcely a day passes in determining diseases that does not emphasize the ne- cessity for acquiring more knowledge of the effects of foods on the system. This knowledge can be obtained only by long and close observation of how foods im- pinge the sympathetic terminal nerves and affect the acid and alkali secretions and secondarily the blood. Every time that a practitioner is satis- fied with a biologic finding of conditions, which gives no cause for them, he loses his ability to determine some of the most common diseases. TREATMENT OF INFLUENZA. L. R. CRABTREE, M.D., AKERSVILLE, KY. So much has been written about Influenza that it is useless to write more, but however I shall attempt to give what I regard to be the best treat- ment for it medicinally. + The first drug I select is Spec. M. Aconite or Veratrum depending of course on the Specific Indication Aco- nite when the pulse is small and wiry. Veratrum when full and bounding. I have found in my cases that Aconite has been indicated more often than has Veratrum. Having selected my sedative, I next think Spec. Gelsemium, which is more often indicated than any one drug in the treatment of Influenza. The fol- lowing indications serve as a guide for its use: Flushed face, bright eyes, contracted pupils, constant pain in the head, especially in the frontal region. It also controls the pain in other parts of the body nearly as well as does AS- perin and is by far less dangerous. Sometimes we may have the Bella- donna indications and, of course, are governed accordingly. Next in the list of medicines is Eupatorum which is indicated by the intense pain which seems to be in the bones with general soreness of the entire body. Some may use Macrotys but I believe that the Eupatorum will do all that Macrotys can accomplish and more. Asclepias is indicated usually by the cough and pain in the chest and for its sudorific effect. I nearly always use an application of Libradol to the chest. I use castor oil to keep the bowels moving freely, recommending a light diet. I insist upon complete rest in bed, until the fever has been absent for 5 or 6 days at least. I believe with this simple treatment if used correctly, few if any complications will arise. If they do they should be treated ac- cording to the specific indications present. © : The other remedies I sometimes use from their indications, are: Ipecac BRIEF CONTRIBUTIONs 19 Lobelia, Bryonia, Echmacea and Ser- pentaria, but the ones first named are the ones upon which I chiefly rely. If this is good enough to print, do so, and if anyone derives any benefit from it I shall feel amply rewarded for writ- ing it. - WHY NOT A DOCTORS, UNION? By FRANK Lybston, CHICAGO, ILL. To the Editor: Free consultations, ad- vice and prescriptions in the columns of the daily press. Free Wassermanns, free salvarsans, free medical treatment of all kinds for the affiuent. Pitiful salaries for public medical officers; free medical services to the government, and as yet no free food, free raiment or free rent for the doctor. The doctor pays the same taxes as the next fellow, (note the “ex- cess profits tax” of last year) and his is just as expensive as is a layman's. Similar conditions in labor circles would cause a few bloody riots. “Scab” labor is not popular. - But labor soon cures such ills. Why? Because labor is organized and its votes command respect. It is true that small groups of doctors occasionally do organize and get behind one or another candidate in election. If these men were asked why, the majority of them could not give an intelligent answer. The interested few would not answer, or at least truthfully. Did any one ever hear of the profession organiz- ing itself politically and getting behind a big principle in the interest of the pro- fession as a whole P Individual doctors get behind candidates for public office, it is true, but rarely on principle. Most of these medical men bob up in politically filled offices later on. A certain medical gentleman in high political office once said, “The doctors can go to hell.” the spirit of the public and he also knew the medical profession. If the doctors of this country ever in- tend to strike for their rights, now is the time. The profession has just demon- Strated that, in the last analysis, it is the most useful of all professions. Govern- This gentleman knew ments are so crude and reversionary that they can not sustain themselves without war, and—no doctors, no army. The above letter by G. Frank Lydston was published in the Illinois Medical Journal August, 1919. To some it may seem a little harsh, yet it contains more truth than poetry. The high cost of liv- ing has not only struck the doctor, but the high cost of drugs has hit the country doctor and the cost is constantly mount- ing higher and higher. This, however, we feel is only tem- porary, but the steady increase of pater- nalistic legislation; of medical legislation curtailing the income of the physician and increasing his burdens; of the steady increase of specialties, frequently robbing the physician of his just dues, all call for a readjustment. The steady increase of health and pseudo philanthropic legislation increases the burdens of the profession and de- creases its emoluments. The odium of the Harrison anti-nar- cotic law and the prohibition enforce- ment law is laid at his door. Not only do we have “free Wassermanns, free salvar- san, free medical treatment,” as Dr. Lyd- ston states, but we have free laboratory service and, for fear the physician might charge too much, the price of diphtheria antitoxin is made alike to physician and patient. With the fee-splitting laws and health and medical legislation, workmen's com- pensation laws and industrial insurance and the constant lengthening of the cur- riculum for the physician, we can see but little in store for the physician. It is time the profession should strike for higher compensation, shortening of hours. “All work and no play makes Jack a dull boy”; and the medical profs- sion gets no hours for relaxation. Organization is needed that we too should be protected. The union business is being overdone, but there are others that need protection beside “wage earn- ers” and employers. *Reprinted from National from Editor Dr. W. N. undy. THERAp EUTIC, FRCTS SINGLE TRUTHS FROM MANY DOCTORS AND MANY TRUTHS FOR EACH DOCTOR | | Eucalyptus - I will send one fact regarding One remedy F. E. Eucalyptus as I have Inever seen it recommended. I have used it for years in Metrites and En- dometritis 3 gr. to a pint and a half of warm water. I irrigate the womb about every 6 hours and you would be surprised at the results. - Warren, Ind. B. F. EDINGTON, M. D. CoMMENT:—Every once in a while some one sends us a straight, suggestion for the use of eucalyptus. I tried one not long since that worked fine. Who, has not had cases of chronic indigestion where the pain would begin and continue at its worst between the second and fourth hours after eating, to cease on tak- ing a little food. Begin before eating and take from 20 to 30 drops of eucalyptus every hour or two. For a few days it may be con- tinued during the waking hours without re- gard to the absence or presence of pain. Cancers in General Concerning cancer and its treatment, the concensus of opinion is that cancer can be prevented if taken early ; that a few cases should be operated; that surgery does well in its early stages. In skin cancers or in those like this on the extremities X-ray and radium are doing a great deal of good but I am of the opinion that an Operation should be performed anyhow. I would be especially convinced that you should take some measures at once on account of it progressing so slowly. I have had many correspondents who say that they have obtained good results from the use of Echinacea and Thuja and some with Phytolacca. Other cases are benefited by big doses of Muriate of Ammonium. I certainly should use the old potent vegetable remedies thoroughly. A mixture made up of the essential remedies in the syrup of stillingia compound would be excellent, - DR. O. K. HELLER, SOR'e Mouth For canker sore mouth, apply fum- ing nitric acid on a cotton applicator carefully avoiding healthy tissue. It hurts for a few seconds, then, if the work is well done the pain will be entirely relieved and the healing will follow rapidly. Criseo - The preparation used in the home for cooking is one Öf the most desirable applications for use on instruments. It can be used on Sounds on vaginal and rectal dilators sigmoide scorpes, etc., facilitating the introduction of the in- struments find it superior to vaseline. Terre Haute, Ind. - J. H. HAUCK, M. D. Bełładonna and Scarlet Fever ‘I can say that I have used Bella- donna widely as you suggest, to prevent and abort Scarlatina, with uniformly good results. It has never failed to prevent the second case developing, in a family where the medicine was given imme- diately upon the diagnosis of the first case, where other children came in con- tact there with. - If the agent is used according to the specific indications it very materi- ally modifies all cases of Scarlatina. It is seldom I have had a case run more than four or five days, and with these there were very few complica- tions, especially throat troubles, and no impairment of hearing. This is my experience with this one remedy in the course of fifty years, of fairly active practice. I am confident that I am justified in the confidence, that the results have caused me to have in it. - Waco, Mo. C. B. DEAN, M. D. THERAPEUTIC ITACTS 21 Follicular Tomsiliitis In all cases of Follicular Tonsillitis especially those which you in any de- gree suspect Diphtheria, while waiting to have laboratory test, use. Specific Echinacea on a cotton swab the size of a queen Olive, in your throat forceps, with which thoroughly to mop out the throat and pharynx, touching every part as best you can while holding the tongue down with a depressor. Of course this could not be applied in very young patients, and should the cotton be too thoroughly saturated, the pressure of the application may cause some to trickle down the throat and slightly strangle, but after using, the patient will be very grateful. Re- peat this two or three times a day. In conjunction with this make a Solution in alcohol of Hydrargyrum Cyanide one half grain to the ounce and of the solution one to two drahms (according to age of patient) in four Ounces of water giving the patient one teaspoonful every thirty minutes to one hour as the severity of the case indi- cates. Should you follow this faithfully by the time the laboratory report reaches you there will be no occasion to use anything else. - Chicago. J. B. DAVIs, M. D. Polyurea. Cured For hives and infantile erysipelas try Apis and see all worry melt and vanish. —Henley. For recent years I have been annoyed with polyurea, passing perhaps at four times during the night fully four pints. I have carefully cut out all meats, sweets, and pastry, and this being a wonderful year for nuts I have feasted on pecans, with the result that I have had a return to perfect health, with no necessity for getting up at night. Is this due to the nuts tringency of the shuck kernel? For breakfast I eat only oat meal with skimmed milk, no sugar. Something has helped me in this case, and it might help others too. or to the as- around the To overcome constipation and stop toxemia is of first importance. Many think that because they have the daily passage that they are free from this danger but this is not the case. CoMMENT: I was told at one time that the Mexicans depend upon the active astringent influence of the “shuck” around the kernel of pecans to control many fluxes and especially to control the diarrhoeas of infants in sum- mer. This influence should be developed and demonstrated to the full. This astringency may have controlled the polyuria in the doc- tor's case. Its full influence should be dem- onstrated. DR. L. H. HENLEY. Claremont, Oklahoma. * * * * TREATMENT OF ANIEMIHA. In the treatment of pernicious anemia we have found it advisable that the pa- tient drink water only on one day of the week and that at that time he should drink a pint in sips. It is the conclusion of a number of observers that arsenic used in the treat- ment of this disease is not to be relied upon. One of our writers believes that fecal poisoning is to blame for many cases of anemia. Others claim that it follows atrophy of the stomach. This is shown by the tongue being narrow and smooth. It may have a shiny coat with very small papillae or an absences of papillae. For anemia there is marasmus—yellow dock root, in some active form with phy- tolacca which are excellent remedies. We have frequently mentioned the fact that yellow dock carries an ususually large proportion of organic iron and if this root is grown in soil treated with a large amount of iron from old castings and filings, the quantity of iron is much in- creased. jk ºr 3. TREATMENT OF A LUMINTUIVI POISONING At one time aluminum poisoning was much more common than at present. The symptoms are pains along the courses of the nerves, especially pain down the spine and in the legs and feet; cramps in the abdomen the same as those in lead pois- oning; also accompanied with constipa- tion. The tongue is heavily coated and dry; the breath is offensive and there is no appetite and but little thirst. The pa- tient is dull, sleepy and feeble. There is often difficulty in expelling the urine. 22 ELLINGwooD's THERAPEUTIST For treatment it is probable that mag- nesium sulphate would serve a good pur- pose, as it does in lead poisoning. The most specific remedy is Gelsemium. * × k X Someone has observed that if alfalfa could be made to take the place of human food it would be found to exercise the beneficial results of butter, eggs and milk. × k ºr w In the treatment of hysteroamblyopia Gelsemium is advised with addition of Nux Vomica in small doses frequently repeated. - X k k CIHLOROFORMI AND ETHER Concerning the administration of anes- thetics, it is not often recognized that respiration is suspended, and that the supply of oxygen for the time being is reduced to the smallest quantity. The common use of sixteen parts of ether and one part of chloroform is be- coming quite general. When the influence is secured the condition is sustained with one part of chloroform and two parts of ether, thus avoiding respiratory irritation which may occur from ether alone. It also does away with a great reduction in temperature which is often overlooked though very important. It is not generally observed or under- stood that rectal injections of ether twenty-five ce of ether in twenty-five cc of any good plant oil for every thirty-six or forty pounds of the body’s weight will produce anesthetic results equal to inhalation. It is necessary how- ever, after the operation to wash out the rectum thoroughly until no anesthetic is detected. This course is correct in action and if the rectum is irrigated the influence is short; if retained within the rectum the influence may last four hours. DoMINANT sentimeNT Some of the teachings of the dominant school at the present time are very diffi- cult to agree to. One of these is that a high temperature is a conservative course Nature takes, claiming that it destroys poisons in the system, instead of increas- ing the toxins as most recent observers conclude. This, it seems to us, is like the argu- ment the man had who set fire to his barn which was infested with rats. This was the best course to rid it of rats. Another argument they make is that drugs and medicines are now out of date. Such statements lead to therapeutic nihil- ism or the encouragement of doubt, as does the argument that remedial agents are not antagonistic to pathological con- ditions. They argue in favor of diagnosis by laboratory methods and are discrediting a course only capable of furnishing us with real evidence—that of examining a patient when he is sick and treating the conclusions from the action of medicines on a sick patient, rather than on a well patient. The medical ecclesiast is more con- cerned in the formal observation of ethi- cal propriety and tradition, than he is . in studying and observing the close and careful action of remedies for that purpose. - The exclusion of botanical drugs from the National Pharmacopoeia is a course at once unjustifiable, unreasonable, imprac- tical and unwarranted. Another unwarrantable contrary opin- ion at least is that no drugs are of any value, especially those of the vegetable origin, if they do not possess a toxic principle. jºr k ºr , NITRIC ACID IN WEIOOPING COUGH One of our good and faithful corres- pondents in Missouri has sent us his ap- proval of the use of Nitric Acid as a remedy for whooping cough. He be- lieves it to be one of the greatest blessings that has come to the relief of childhood. in this stubborn malady. - He combines from one to two drams C. P. Nitric Acid in two ounces of water. To this he adds two drams of the com- pound spirits of Lavender. The whole is then stirred into two pints of a stiff syrup. This is agitated whenever used and a teaspoonful given every two or three hours. The Doctor claims to have used this prescription for fifty years. He should certainly know whether or not it would harm a child. THERAPEUTIC FACTS 23 I would call special attention, however, to this advice, that it be prepared in the order the doctor has given; that the acid be first diluted with the water. It would be a safe plan then to add the syrup and ultimately the spirits of lavender com- pounded. It would seem at first that this was entirely too strong a proportion of the full strength acid and we would advise care or even a reduction of the quantity of acid one-half to those who are in doubt as to the proportions. After com- bining the ingredients the remedy should stand a few hours before using. jºr k k TREATMENT OF EPITHELIOMA. I have another report to add to one recently published on the use of Thuja in the treatment of Epithelioma. In one case the lesion had lasted about seven years, was one inch long and half as broad and of the cauliflower variety. In one other case the patient was a physician and had used Zinc Chloride, Glacial Acetic Acid and Terchloride of Anti- mony. Then another application was made: - * . I made a saturated solution of Thuja with salycylic acid. The first applica. tion was made broadly over the whole lesion, the solution being held in contact with it for a few minutes. Later there was ex-foliation. The application was repeated two or three different times, a week apart. The evidence of the growth and the wartlike excrescences, and pain, have diminished and the growth is slowly disappearing. I think from this evidence that the ultimate cure will be a com- plete one. jk k ºr PREMONITORY EVIDENCE or GALL STONES An authority on the subject claims that there are certain symptoms during the development of Gall stones upon which one can rely with positiveness. They resemble those of chronic indigestion especially when the symptoms of gastric ulcer are pronounced. There is occa- sionally quick, sharp pain in the region of the gall bladder. The positive symp- toms are colic, and jaundice. The putty them intimate friends of mine. colored stools do not appear until much later in the course of the disease. . If careful medical treatment be insti- tuted early, most cases can be aborted. The use of such remedies as Chionan- thus, Iris, Leptandra and the succinate of sodium are among the best remedies. In order to ameliorate pain and assist in the removal of the small stones a tablespoonful four times a day of the succinate of iron dissolved in a pint of port wine will be found beneficial. One of our readers lays great stress upon this course to relieve pain. He says another measure to adopt with excellent results is to give five drops of the deodorized tincture of opium and five drops of spe- cific Lobelia every twenty minutes, it sometimes being necessary to give six or seven doses. The acute pain will often be relieved quickly by the use of one-half dram of Lloyds Dioscorea in one-half teacup full of hot water. DEATH OF DIR. W.M. T. HOUSER. Dear Doctor Ellingwood : - I enclose you notice of the death of my old friend Doctor Houser. When I was stricken four years ago, very seriously, I sent for Dr. Houser, also Drs. Parks and Bristow, all of They are all gone and I, who expected to pass on first, am left with the prospect of several years more to live. These men took with them a fund of knowl- edge I wish they could have left to the young men of today. Their train- ing in a pioneer practice gave them self-reliance and acumen and a trained common sense that is unknown to many of the present. Dr. William T. Houser was born at Fort Recovery, Ohio, January 22, 1849, and died at Milwaukie (a suburb of Portland) at 1:30 o'clock a. m., No- vember 5, 1919. He was graduated from the E. M. I. Cincinnati, Ohio, in 1870. He prac- ticed at Huntsville and Winchester, Ind., for ten years. He then moved to Salina, Kans, where he practiced for eleven years; then coming to Oregon, N. ſ 24 ELLINGWOOD’S THERAPEUTIST about 1890, he first located at Salem, then he came to Portland, where he has lived and taken care of a large practice for nearly twenty-five years. Dr. Houser was a profound thinker and widely read. Had he sought fame he would surely have attained a high place. To those to whom he gave his confidence he will always be remem- bered for his devoted friendship and unselfishness. When I felt the last feeble pulsation of his noble heart, and told the relatives and friends that the end had come, I felt that a great and good man had gone. He leaves a widow, three daughters and a son, Dr. C. D. Houser, of Unity, Oregon. DR. A. O. REPPETo, Banks, Oregon. Insurance statistics show an increased mortality of 40% above the normal death rate for the five years following an In- fluenza epidemic. Chronic invalidism is a frequent sequel of this disease. Elevation of tissue tone and of the de- fensive power of the body is the best prophylactic measure against the causa- tive agents of influenza. SECRETION DURING GESTATION CHAs. WooDWARD, CHICAGO The general practitioner meets condi- tions that arise during pregnancy the etiology of which is difficult to determine, and most of his therapeutic efforts will fail if he does not observe their cause. It is well known that during gestation women acquire desires for certain foods, and it is conceded that these cravings should be satisfied. But it would be well to make a thorough examination of the secretions, for their condition presents the etiology of abnormal cravings and a variety of reflex actions. The blood is a symptom producer and the secretions manifest many conditions that are difficult to determine. In gesta- tion the system is called upon to furnish the cell salts constituencies for develop- ing a physiological foetus, but when montrosities are delivered it presents evi- dence that the deficiencies of the blood have not been supplied, for nature's workmanship is well performed with proper material. Women are subject to the same physio- logic laws before and during gestation, and if the relief is to be obtained for seemingly new conditions it should be remembered that sympathetic influences are due to abnormal secretions and reflex actions. For instance, few women change their diet or nourishment after becoming pregnant. The mode of living frequently intensifies acidity or alkalinity, and these extremes of the secretions de- velop irritation and deficiencies, proving that the condition of the blood produces the sympathetic symptoms. The medical profession has spent much of its energies in treating condi- tions intead of determining reflex etiol- ogies and removing them. Some time, practitioners will be able to advise a nourishment that will not only construct an embryogeny, but will endow it with an electrical register which will receive and give off impressions at birth. Whenever irritation and reflex action can be traced to involve the sympathetic ganglia associated with local contractions and pain, it is necessary to determine the condition of the secretions. The blood is alkali, and in a normal condition the urine is lightly acid and non-irritant. A diet mostly of alkalies will intensify its alkalinity, and the urine then becomes extremely irritant to the nervous system, bringing into relief reflex or sympathetic symptoms. A diet which secondarily generates acids in the system overcomes alkalinity of the blood, and intensifies the acidity of the urine, which also irritates the nervous system and develops sympa- thetic reflex symptoms. The two extremes—hyperacidity and alkalinity of the urine—present a key to most of the sympathetic symptoms occur- ring during gestation. Some obstetrical writers claim that morning sickness or vomiting is the normal effect of concep- tion. If one woman has the morning ill- ness and another does not, who will con- tend that both are normal? (€llingtmodt's EDITORIALIS [F][ TO ECLECTIC PHYSICIANS OF WIS- CONSIN, MICHIGAN AND ILLINOIS Dear Doctors: The early pioneers of the Eclectic School developed a system of medicine, founded mostly upon vegetable princi- ples, which in recent years has become greatly improved. In order to perpetuate this superior system of medication and to ‘continue to benefit mankind, our forbears endured many hardships, persecution and even Ostracism. Every great benefaction worthy of perpetuation has had its un- selfish pioneers. As their beneficiaries, we present-day Eclectics have arrived at a time, regret- table to so many of us, when political influence and legislation have dimin- ished our colleges and accordingly the number of our physicians. But it must be remembered that time has now made us the pioneers of Eclecticism, and we cannot afford to be less unelfish than those who opened the way. A plan is being inaugurated by which a national propaganda committee will en- deavor to obtain endowments wherewith to reestablish a chain of Eclectic colleges throughout the country. We do not ask our members to con- tribute money. What we do ask is your presence, advice and united help, in order to perpetuate the most perfect system of medicine that has ever been practised. Feeling that it would be to the benefit of . all to meet with the Eclectics of our sister states, we request that you prepare a paper, or give a talk on some new exper- ience with various diseases at the coming Tri-State Convention of Eclectic physi- cians from Wisconsin, Michigan and I11- inois, to be held at the St. Charles Hotel, Milwaukee, Wis., June 3, 4 and 5, 1920. When the National Eclectic Medical Convention was held in Chicago in June, 1919, through the kindness of Dr. John Dill Robertson, Commissioner of Health, and Dr. N. A. Graves, a visit by automo- bile was made by the Association to the Chicago Tubercular Sanitarium, the vis- itors thereby obtaining many new and scientific ideas. Of inestimable benefit were the dis- cussions on terminal nerves by a couple of members, from Kansas City and Peoria. Another member presented new ideas on washing out the uterus, which were also of value. % Nothing gives a practitioner a better professional standing at home or at a convention of his own association than to offer his experiences for debate and to participate in those of other physicians. We want you to come to the Tri-State Convention and be a participant of Eclec- ticism of Today, and be accorded that high esteem by future practitioners that has been accorded Dr. Wooster Beach and his followers in the past. Does this new endowment movement interest you? And is your sympathy in behalf of Eclecticism lukewarn at present or staunch enough to lend us your co- operation ? An early reply will greatly aid us in formulating our plans, and an assurance of your help will be appreciated. Respectfully yours, F. H. Larson, M. D., Sec., Wisconsin. H. A. Shafer, M. D., Sec., Michigan. E. G. Trowbridge, M.D., Sec., Illinois. By : Chas. Woodward, M. D., s For the Committee. 26 ELLINGWOOD’S THERAPEUTIST GOVERNMENT WANTS WORKERS IN VENEREAL DISEASE r CAMPAIGN The recently created Interdepartmental Social Hygiene Board of the United States Government is in need of a num- ber of specially trained men and women to complete its organization. The United States Civil Service Commission has an- nounced examinations for the following positions: Chief of division for scientific research, $3,500 to $4,500 a year; chief of division for educational research and development, $3,500 to $4,000 a year; educational assistant, $2,800 to $3,600 a year; chief of division of relations with States, $3,500 to $4,500 a year; chief of division of records, information and planning, $3,500 to $4,500 a year; super- vising assistant and inspector, $2,800 to $3,600 a year; field agent, $1,800 to $3,- 000 a year. All positions are open to both men and women. CHOLERA MORBUS AND APPENDI- CITIS In the consideration of appendicitis we find we have the same symptom—group Often as that disease then known as cholera morbus. There is no doubt that this latter name was often applied to the Same pathological phenomena now called appendicitis—and was cured with medi- cine, notwithstanding the fact that in the early days there was a general sentiment prevailing that the abdomen of a woman must not be opened—a strange reversal of opinion and that the almost universal opinion now is that there is no cure ex- cept by an operation. I have a formula from an old work, where a doctor treated all of such pa- tients with speedy benefit, with Veratrum and Nux Vomica, alternating them in small doses repeated every ten or fifteen minutes. With my knowledge of condi- tions I would trust some of the bad cases of those days to these simple remedies much more quickly than I would think of resorting to the present heroic measures. The course, as followed by the old physi- cian, is a very rational one, looking care- fully into conditions which are now often considered of no value. They were then treated by those who used the specific remedies, with very satisfactory results. The doctor remarked that such cases as these only required a little common sense for their successful disposal. The treatment of these with the heroic or drastic measures of today, he says, is the bane of the practitioner, and the misfor- tune of the patient. How can we recon- cile the fact that after fifty years this latter statement is as true as it was then P There is no doubt that many cases should have been treated with reference to its symptoms then determined, as cholera morbus and not as appendicitis, as they have been treated by operation, resulting in death. . MONO-BRO MATE OF CAMPHOR In addition to the many beneficial in- fluences of this compound mentioned in a recent issue of this Journal, we ought to enlarge upon the action of the remedy in cases of chronic cystitis. That form in which the pain is found at the neck of the bladder; where the pain is evidently not due to structural change or of neuralgia, but where the condition is one of local congestion involving the circulation of the neck. It will take some care in diagnosing to determine these facts, but they will en- able us to determine a very speedy and satisfactory cure in this remedy. If there is a diffused catarrh, however, this con- dition must be treated according to its own definite indications. *- These facts can be applied to cases of prostatitis which are stubborn in char- acter and positively troublesome. The method which was used by the writer as a satisfactory cure for the treat- ment of orchitis is in the use of arnica externally, and internally in very small doses. A lotion prepared of one part to six parts of water should be applied over the tract of the spermatic cord, two or three times a day, and the parts kept warm and an ointment of equal parts of the tincture of arnica and oil, should be rubbed over the involved parts. This is of much assistance, especially if applied at night. For internal use a fever mix- ture composed of five drops of aconite and five drops of arnica to a two-ounce mixture, a teaspoon given every hour will serve an excellent purpose. EDITORIALS - 27 INDIGESTION NOT ALways PRESENT - There is a common sentiment in favor of the fact that nearly every patient has defective digestion, or that serious indi- gestion is commonly prevalent as a seri- ous disorder. This is indeed a misnomer. Though exceedingly complicated, the great human organ complex is not readily deranged. There is compensation because of in- teroperation, co-operation, provided by which if one is disabled its function is cared for by another organ or organs. It must be a serious disorder that results in the failure of digestion of but a very Small portion of the food, even in ex- treme cases. If a patient has regular bowel movements of well-formed feces of good normal color or even if there is an indication of constipation, it may be considered that that patient has good di- gestion, fully active and sufficient. The fact is that most cases attributed to stomach disorder have but little if any indigestion. If this condition is present there is apt to be diarrhea. Indigestion follows overeating or the accumulation in the stomach of an inordinate amount of food difficult to digest. Notwithstanding these facts, I have obtained good results from selecting foods for chronic invalids with great care and in giving them with a soothing agent and with an agent possessing mild digestive properties to encourage the appropriation of the digestive palenleum without demanding too much of the physical or nervous strength of the patient. - In the treatment of common disorders of the stomach bear in mind the common tendency to hyperacidity or to hypo- acidity and endeavor to sustain the proper balance. The simplest and most effective of remedies are bicarbonate of soda and hydrochloric acid dilute. These must be given in sufficient quantities and persisted in. My commonest digestive is papain and I am confident it is the best of the known agents. In a future paper I shall dwell especially on treatment and diet. - VESIco-vagiNAL CALCULI On the 30th of November, Mr. W. called on me, said a writer in the E. M. Jour., and said that his daughter had taken something from her vagina which was hard as a rock and large as the fist. As the girl was timid and averse to seeing a doctor, the father asked me to call at his house as if by chance. I did as had been suggested and found that the father had not exaggerated the matter. The calculus is pretty well represented in the accompanying diagram. It is two and one-half inches in length and over five inches in circumference in the most con- stricted portion. Measuring over the top of the knob it is six and one-half inches. It weighs four ounces. Two small calculi came away at the same time the large one was delivered. The girl had endeavored to dislodge the calculus on several occa- sions, but it was not until suppuration and sloughing of the vagina and vulva had occurred that extraction could be effected. I obtained the following history of the case from the patient: She is now 22 years of age; eight years ago, pain com- menced in the region of the bladder, and the urinary flow was often obstructed while passing water. The urine was foe- tid. The general health became poor and her father moved from New York to Missouri. She had been treated for sev- eral ailments by different physicians, but would never permit any examination of her person. * She ceased menstruating in July and during the following September she be- gan to observe that the urine dribbled through the vaginal orifice. About this time much purulent matter and flakes of flesh escaped with the urine. Her health was so poor and her sufferings were SO great, that her parents and friends Sup- posed she was laboring under cancer of the womb. The offensive odors arising from the urine, and the purulent dis- charges, rendered it exceedingly unpleas- ant to stay in the room with her. She took large quantities of morphine to allay her pain; and her death was daily ex- pected. . 28 ELLINGWOOD’S THERAPEUTIST At my first visit, which was the next day after the passage of the calculus, I could not make a vaginal examination on account of the extreme tenderness of the vulva. The external parts were greatly excoriated and swollen. The urine es- caped not from the urethra, but from the vagina, which led me to suppose that a vesico-vaginal fistula existed, and to con- clude that the calculus was originally ves- ical, and having ulcerated its way into the wagina, found escape through the vulva. ordered an injection of carbolic acid and water to be thrown into the vagina, and prescribed mineral acid tonics. The patient gained rapidly in flesh and strength, and promises to attain a good degree of health, with the exception of a false communication between the bladder and the vagina. A few days after the first visit I called again for the purpose of ascertaining the nature and extent of the fistulous open- ing, and I found that the vagina was so contracted from cicatrization that an or— dinary speculum could not be introduced, even a digital exploration was attended with great pain. The borders of the chasm were hard as cartilage, and adven- titious bands of neoplastic tissue had dragged the bladder downwards, so that the neck of the uterus could not be dis- covered. Since the passage of the large calculus, a second, the size of a pigeon's egg, and nearly as round, has come away. Probably this existed before the large one escaped, for its surface presents evi- dence of having been worn in places by contact with another calculus. The projection of the large stone prob- ably formed after the large part de- scended into the vagina, and seems to represent the size of the fistula. The lump projected into the bladder and was formed slowly by depositions of urinary salts. The patient has remained so long with the limbs flexed that they cannot be straightened. Possibly time and exercise will enable this great sufferer to walk upon her feet again. I propose to have her wear a rubber urinal until an oper- ation can be performed for the purpose of closing the vesico-vaginal communica- tion. * { CALCIUM DR. W. H. YoUNG, SPRINGDALE, ARK. I want to tell of a remedy whose cura- tive properties have been sadly neglected, that is Calcium. We have cases of bowel troubles or Enteritis in children; often called Cholera Infantum, caused from heat and the ef- fects of teething. I find it is neither one of those causes that produce the bowel disturbance. It is a lack of calcium in the circula- tion and when this salt is supplied the bowels take care of themselves. The idea that the bowels must be purged and then checked by an astringent is a mis- taken idea. If we know enough to find out the excess of the natural Secretions and supply the needed deficiency to equalize the circulation and supply the indicated remedy we cure, if not we slaughter, that’s all. - . The custom among the doctors to give purgatives without any reason except it is a custom, and mostly mercury for its revulsive effect; as is stated in giving medicine to cure the sick without reason or the action of common sense. We have often asserted that diseases were developed from three causes; that is an excess of acid or soda, or ammonia in the system and if we are sufficiently posted in the indications to be able to supply the remedy lacking, we cure our cases, but if we do as is the frequent custom among the Doctors of the present day practise, doctor the name instead of the diseased part; looking for a living organism that is eternally waging war on the leuococites of the blood, then we are giving medicine without any knowl- edge of what they are giving it for. Under such circumstances it is more likely to do harm than good. We have many acids as well as many of the soda salts, and we have also a 1number of ammonium salts and each one has its place in disease if we have been observant enough to find out where it belongs. The Calcium is an alkali and so is the chlorates, thereby we do not find it nec- essary to change our ideas of the cause of disease F|| G. L. E R N IN GS SUMMARIZED FROM CURRENT LITERATURE T | ERYSIPELAS, ITS IRREGULARITIES AND TREATMENT* O. C. BAIRD, M. D., CHANUTE, KAN. By erysipelas we mean a violent in- flammation of the lymph channels. It may be superficial or deep. By irregu- larities we mean those remote symptoms and conditions with an origin strepto- coccic in nature, having the miscroscop- ical symptoms but lacking in many symp- toms physical and perspective. By treat- ment is meant, not everything that has been tried in erysipelas from camphor, chloral, ichthyol, collodion, hydrochloric acid, calomel, redlight, absolute alcohol, hot air douche, chlorinated lime, paraffin ointment, sodium thiosulphate, or sodium nucleinate, bichloride, or biniodide of mercury, lead and opium wash, Sodium salicylate or buttermilk, but the treat- ment most positive, that which is indi- cated and which you have observed as being quickest and most effectual, lead- ing us back to the Eclectic treatment of erysipelas. There is only one disease with which erysipelas can well be confused as to appearance—that is, erythema—while any one who has seen and carefully ex- amined a case of erysipelas can not even in the dark be deceived or mistaken in the diagnosis. Close your eyes, pass your finger over the part affected, and if by the sense of touch you can detect the elevated margin of the erythematous. region, then the disease is erysipelas. This applies to erysipelas in its common- est and Superficial form only. If you can not detect this margin, then it is erythe- ma. Erysipelas varies as to intensity in different patients, depending largely upon previous physical condition. There are some writers who consider this disease very rare in elderly people, *- *Reprinted from National Transactions. and this is generally taught in the classi- . cal text books, and it is far from true. In the McCauley British Medical Jour- mel, February 26, 1910, it was observed that about 5 per cent of all cases of ery- sipelas were senile, and have a very high per cent of mortality, due to the fact of small resistance. Such cases are very largely also afebrile, twenty-nine out of three hundred and twenty-four in one year having no fever, which is only an irregularity. The new-born infantile case of ery- sipelas has been thought to be very rare, yet you and I have lost cases of erysipelas in new-born babies. The infection seemed to spring from the solution of continuity at the umbilicus, the germs entering the tissue and are not opposed by the lymphatic glands with sufficient force, as phagocytosis is in a degree absent in the new born. This disease is a very fatal one to the new born. As the disease would seem to yield on the ex- tremities it would immediately attack other portions of the body, finally through the ears to the Eustachean tubes and throat, and affecting the brain or other vital parts. This is another irregularity. The cause of erysipelas is not always easily apprehended, as the erythema may be immediately surrounding a slight wound, yet it may be so remote from the point of entrance and infection that it is next to impossible to ascertain this point. A case is on record in which a judgment of $5,000 accident insurance was granted on the plea of accident, the death of the insured having been caused by erysipelas due to a slight injury on his cheek in the form of a slight abrasion which resulted in traumatic erysipelas, the erysipelas being apart from and sep- arated at a long distance from this tral 11 na. **s 30 ELLINGWOOD'S THERAPEUTIST Erysipelas attacks the face very often. In the observations of Teissier 62 per cent of all cases of erysipelas were on the face for no other reason ascertainable than that there is a prevalence of catarrh and catarrhal conditions and kindred af- fections of the mucous membranes of the nose and throat. The streptococcic infec- tion takes place through these abrasions and is carried remotely to the skin of the face. The large number of lymphatic glands in the face makes this possible. Twelve years ago the writer had a case of puerperal septicemia, due to no other cause than that of an erysipelas pa- tient entering the lying-in chamber. This women in a very few hours developed a fever with an odorous discharge and Sup- pression of the lochia. The treatment which was suggested was that of slight curettage and douche, in the administra- tion of which there was an infection of a hangnail, resulting in a very sore hand with general inflammation and the Sup- puration of both middle ears, the dis- charge from which was streptococcic. The discharge from the sore hand also was streptococcic. My nurse was attacked with a violent erysipelas of the face showing streptococcic findings. The lady who nursed her was also attacked with the same condition, and is today, after twelve years, afflicted with an osseous de- generation of the bones of the head with a chronic streptococcic discharge. This is another irregularity of erysipelas. Erysipelas is a violent inflammation of the lymph channels, caused by the Strep- toccocus, although it is now generally conceded that the infective agent, as de- scribed by Fehleisen as the cause of ery- sipelas, is identical with the streptococcus of suppuration. The symptoms of ery- sipelas are sufficiently different to war- rant a description of this infection as a form of affection separate from ordinary suppuration. The characteristics of such pus is creamy in appearance and consis- tency and sour in odor. It has been proven that the virulence of the strepto- coccus varies materially with the nature of the soil upon which it grows; that it will even acquire a greater virulence when the resistance of the subject is les- sened, as in tuberculosis, diphtheria, Scar- let fever, smallpox, typhoid fever and influenza, or when the vitality of the body is materially reduced, as by overwork, is generally admitted. In the so-called idiopathic cases it is probable that in most cases we should seek for the cause in the air-passages of the patient himself. The streptococcus and the pneumococcus are practically always present in the normal nose and neighboring cavities. Case of a healthy girl of sixteen, at- tending a woman who was suffering with a severe attack of erysipelas of the face. This girl was suddenly taken with a severe peritonitis and succumbed on the fifth day. The autopsy revealed an acute streptococcic seropurulent peritonitis, but no perforation. The genital organs were normal. This and several other cases 1 35 and ovum vary with the location of the gestation sac, but swelling and turges- cence are present from the beginning. The thickening consists, first, of enlarge- ment of the caliber of vessels, then of hypertrophy of the muscularis, similar to uterine changes that take place in nor- mal pregnancy. This is followed by free development of connective tissue, and often by disappearance of muscular fi- bers, especially after minute rupture, which disintegrates and breaks them up by small extravasations, giving rise to inflammatory and cystic changes. Pres- Sure-atrophy of the wall may also take place opposite the placental attachment. Closure of the ostium abdominale usu- ally occurs about the seventh or eighth week, when the oësperm is retained in the middle or inner portion. Complete closure does no occur when it is retained near the abdominal opening, and there is consequently a tendency to tubal abor- tion. A decidua is undoubtedly formed in the pregnant tube. It is also occasion- ally found in the opposite non-pregnant tube. The amount of decidua vera varies in different cases, but it always shows the characteristics of the true decidua of uterine pregnancy, namely a superfic- ial, compact and a spongy lower layer. A tubal mole is due to an arrest of development of the ovum. The circula- tion is cut off by chorionic hemorrhage, and the ovum is partially or totally de- tached. It either remairls in situ and is absorbed, or, after detachment, particu- larly when located in the outer third of the tube, it may be expelled through a patent abdominal ostium into the abdom- inal cavity, constituting a tubal abortion. Sometimes, however, the tube ruptures, and the mole is extruded into the free cavity, with appalling symptoms. A tubal mole is round or ovoid, from 2 to 6 c.m. in diameter, and resembles a blood-clot in color and consistence. On section it presents a smooth-walled cavity lined with amnion, occasionally contain- ing fetal remnants. Both of these may be absent, but the presence of chorionic villi determines the origin. A tubal mole “is due to blood extravasated from the circulation of the embryo into the sub- chorionic chamber” (J. Bland Sutton). Max Herzog maintains that “in tubal pregnancy decidual membrane is always formed. The placenta is formed as in uterine pregnancy. When rupture oc- curs, if the ovum survives, the placenta becomes attached to adjacent structures and continues to grow. The size of the placenta varies directly with the vascu- larity of the structures upon which it is implanted and with the permanence of the attachment. The essential element of disturbance in its development is trau- matic hemorrhage. Early in pregnancy the tube-wall can accommodate itself to the growing ovum. It becomes atten- uated, and ruptures take place into the substance of the serotina, accompanied by hemorrhages into the intervillous space, endangering the integrity of th villi and chorion.” w Hemorrhages are rarely absent in ectopic placenta. When the mass is con- fined within the tube the hemorrhages are small, but after rupture they may be severe, or even fatal. The fatal hemorr- hages are ordinarily, however, from the maternal vessels, and are consequent up- on the detachment of the placenta. So much for the etiology and path- ology, with their entanglements and un- certainties. We have now arrived at the place where our hair will stand up and begin to turn gray, designated as Symp- tomatology and diagnosis. Although we may be familiar with the anatomy of the parts, the unique tricks that pathológy frequently serves us are sometimes ap- palling, and obscure conditions render diagnosis extremely difficult. Prior to the fourth month, the cardinal and con- stant points in the diagnosis of ectopic gestation are disturbance of menstrua- tion; sharp pelvic pains, usually attended by faintness; and the presence of a mass adjacent to and connected with the uterus. Certainty of diagnosis is based upon a logical analysis of these three fac- tors and the conclusion, however logical, may be only substantiated by an autopsy. Menstruation is almost retarded, but there are other causes for retarded men 36 ELLINGWOOD’S THERAPEUT1ST struation and the variations as regards amount, character and periodicity are SO numerous as to render the description of a typical case difficult. Hemorrhages occurring early in ecto- pic gestation usually indicate shedding of the decidua. The pain is either recur- rent and contractile, due to uterine Con- tractions, or sharp and lancinating, accompanied by faintness, which indi- cates rupture to a greater or less degree. Excruciating pain with syncope usually means a serious rupture and consequent hemorrhage, and it further means hos- pital and a competent surgeon without delay. When an unruptured pregnancy is located at the middle or the outer end of a normally situated tube, a well-defined movable mass adjacent to the uterus can be outlined. When the tube is prolapsed posteriorly the mass may be felt posterior to the uterus. After rupture into the broad ligament the mass is felt lateral to the uterus, but lower, not so easily outlined and less movable. When sepsis has supervened, the presence of exudate may render the outlining of the mass difficult. After early rupture into the general peritoneal cavity, no mass may be felt. It is presumptive evidence that ectopic gestation exists when nausea, changes in the breasts and discoloration of the vagi- nal mucosa are combined with the signs previously mentioned. Corroborative evidence is furnished by the changes, in the uterus and by uterine hemorrhage, should it occur. The absence of chorionic villi furnishes another link in the chain of evidence. Careful sounding and ex- ploration of the uterine cavity is now justifiable, and if found large and empty the diagnosis of ectopic pregnancy is practically certain. Ectopic gestation is most apt to oc- cur in women who have suffered from pelvic inflammation, and primary intra- peritoneal ruptures usually occur prior to the seventh week, and sometimes as early as the fifth or sixth week, conse- quently menstrual irregularities may be overlooked. - Diagnosis of intra-peritoneal or extra- peritoneal rupture before the seventh month will be very difficult. Physical examination will not reveal the trouble, as the presence of blood can not be de- termined by abdominal palpation, bi- manual examination or fluctuation, even though the hemorrhage may be profuse. Chief reliance must be placed upon gen- eral abdominal tenderness, shock and collapse. Ectopic gestation does not uusally sur- vive the fourth month, although women have been known to reach full term without rupturing the tube. With strong presumptive evidence of ectopic gestation prior to the fourth month, an exploratory incision should be made and bleeding vessels ligated and all extraneous matter removed, unless the patient is moribund, when it would be useless. Any operation should not be attempted too late, as death might be attributed to the operation and no good would be accomplished.—Eclectic Med. Jour. IS LOBELIA A DEPRESSANT 2 In the use of Lobelia every prescriber is on the look-out for depression. The Editor of the Gleaner in the October is- Sue, makes the statement that Lobelia is not a dangerous depressant when prop- erly administered. He advises that the Smaller doses are stimulating, beginning with a small dose sometimes less than would be thought sufficient and gradually increasing if necessary. The first effect he claims is to equalize the circulation, whether it be elevated or depressed. He has found that if the blood pressure is low it will be raised and if high it will be lowered. In many cases where the patient is pale and looks as if danger threatened, the heart will become strengthened, the breathing free and every phase of the condition will assume rapidly that of normal health. Proper doses of Lobelia in old persons will strengthen the processes of life, and often increase the tone of the heart es– pecially if there is asthmatic breathing or if there is a tendency to Cynosis, ADVERTISINU, XIII tilllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllſ||1||||IIIHIIIlijſſ!!III/III]]|||||||||||||||||IIIIIIII/IIIIſIIII/IIII/III j| | ||||||||||||||||||||||||||||I||f||1|||||||||}|||||||||||||||}|||| Hay Fever Time Is the time to anticipate the physician's need for PROTEOGENS (FoRMULA of DR.A.s HoRovitz) For Intramuscular Injection PROTEOGEN No. 4 is being extensively used for Hay Fever, by progressive practitioners everywhere, and you are going to get many calls and repeated orders for this product. If you are not stocked on this Proteogen (No. 4) Order at once. Live druggists everywhere are building up a fine Pro- teogen business. Don’t be an exception. Your Jobber Can Make Prompt Deliveries UIIIHIIIIHHIIIllinulliſilliniſhinillilillſigiſmiſſiſſiſtſ IIIHIII/IIIHIII/II/IIIIllililillinſii II . If | | | | | | ... • - - - - - ºriº CoRRESPOND witH oup ADVERTISERs, AND MENTION THIS Journ AL XIV ELLINGWOOD’S THERAPEUTIST Hill Out and Mail This Today Date THE ANIMAL THERAPY CO. No. 7 W. Madison St. Chicago, Ill. Send me, without charge, recent numbers of THE BULLETIN JOURNAL OF ANIMAL THERAPY. Am particularly interested in the radical results of your animal therapy in those of the following diseases which I underscore: LOCOMOTOR ATAXIA CHRONIC JOINT RHEUMATISM I9F9. NEURASTHENIA INCOMPETENCY DIABE,TES MELLITUS M. 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ADVERTISING - Ideal Antiseptic Combination Contains & pºt. cent Chlorazene (paratoluene-sodium. sulphochloramide). tº combination with sodium bicarbonate. sodium chloride, saccharin and eucalyptol, º Aºtºr *AssoRAtoºs *CºA:º - - *-ºs- for Gargle, Mouth- Wash, Nasal and Throat Sprays Fresh solutions can be instantly prepared with measuring cap on bottle. This new combination of CHLORAZENE, sodium bicar- bonate, sodium chloride and Eu- calyptol, has been an immediate success, because of its 1. Powerful Antiseptic action. 2. Safety. 3. The Solvent action of So- dium Bicarbonate. 4. The Cleansing Action of the Salt. 5. Pleasant Aromatic Properties. Colds, Influenza Doctor, try Aromatic Chlorazene Powder in colds, sore throat, infec- tions of the mouth, gums, and nasal passages. Use it for cuts and wounds; as a douche and application wherever a powerful, non-toxic antiseptic is indicated. A Sample Free Send at once for a Free sample bottle of Aromatic Chlorazene Powder for a clinical trial. You will find it a success-maker. For sale at all druggists. The Abbottlaboratories Home Office and Laboratories, Dept. 23 CHICAGO, ILL. New York San Francisco Seattle Los Angeles Toronto Corºzspond wrºn our Advertisers, Ann MENTION THIs Journal- XVI ELLINGWOOD’S THERAPEUTIST }% º º, W. ... / Uncle Sam will provide sanatorium § sº º Ǻ ſº and hospital care for all the boys dis- yº. sº. ſº charged from army or naval Service, so º far as their sickness or disability was … contracted in the service of their country. The United States Public Health Service has already undertaken this stupendous task and is busily engaged in enlarging its hospital facilities all over the country. One of the sanatoria will be located at Dawson Springs, a famous health resort in Kentucky; the location of the others has not yet been determined. | º% ºliº º º \ º º W ſº)\ %\ % y ºffº §§ ** W º %hº # º § º $/ I have been in poor health for some time and need a physician to take care of my practice for several months. Any % person desiring such a position, may iº sº communicate with me direct, stating sal- º s: ary expected, etc. - \\ § j º NS § Š: - s º § A. S. ALDERSON, M. D. 3% f3Žº ºº;º%ºº!ººsg §* º º > -º º |MA H. SMITH COMPANY, New York, N.Y.U.S.A.hº Thayer, Ill. - - 3. de ºl. i. ...:...; …s...s.º.º.º.º. º. ... º §W §§§Willii The Peculiar Advantage - of the r - . 66 e TI e 9 ) Q e Marvel “Whirling Spray” Syringe ºsºs is that The Marvel, by its mºsº N. centrifugal action, dilates and flushes the vaginal passage with a volume of whirling fluid, which smooths out the folds and permits the injection to come in contact with its entire surface. Š jº § sº *:::::::$ §§§ #lli & §§ tiº S$# f Sºº - & º Prominent physicians and gynecologists Y everywhere recommend the MARVEL Sy- ringe in cases of Leucorrhea, Vaginitis, and other vaginal diseases. It always gives satisfaction. The Marvel Company was awarded the Gold Medal, Diploma and . Certificate of Approbation by the Societe D'Hygiene de France, at Paris, Oct. 9, 1902, j º º All Druggists and Dealers in Surgical Instrtem extts sell it. - For literature, address r MARVEL company, 25 w. 45th St., New York Zººmºs →--> CoRREspond witH our Advertisers, AND MENTION THIS Journal. ADVERTISING - - XVII The Last Thorough Revision Ellingwood's New American Materia Medica Therapeutics and Pharmacognosy Has brought this intensely practical work up to the present time. - * - Always Popular It Has Reached the Summit of Its Popularity in this Edition Its very wide circulation speaks volumes for its great practical value. It has reached probably every English speaking country. - Every reader is an enthusiast, and every one who follows the lines suggested obtains phenomenal success. This is saying a great deal, but it is true. Every fact stated has been thoroughly proven, and is thus far and away beyond the experimental stage, and plainly in the narrow but essential field of certainties. The style is clear, concise, pointed, practical; entirely free from verbosity, definite in the extreme and intensely interesting, 4 It is Royal Octavo in size; is double indexed. The price in cloth is $6.50. Our Medical Journal Ellingwood's Therapeutist Occupies a field of its own in Medical Journalism. Its readers are more enthusiastic than ever this year. The highly practical suggestions, - The condensed case histories, . The presentation of the best form of drugs known, The persistent study of the direct action of the single drug, The definite diagnosis of the conditions to which the drugs are innately adapted, All contribute to its immense value to the reader. The price is $1.50 per year in advance. To those new subscribers who send $6.50 for the book we will accept at the same time $1.25 for the Journal. Address Ellingwood’s Publications, Evanston, Ill. CoRRESPOND witH our Adventiskas. AxºD MENTION THIs Journal. X V 1 I I ELLINGWOOD’S THERAPEUTIST - H The Baldwin Sanitarium “The Home of Intravenous Medication” and “The Eye Repression Treatment for Goitre” KALAMAZOO, MICHIGAN Dear Doctor: Permit us to call your attention to the work of the Baldwin Sanitarium and our two special lines of work. In this connection we would like to ask: What are you doing with your first and second stage tuberculosis? Are you meeting with satisfactory results? Have you ever tried the INTRAVENOUS FORMULA used at this institution? If not, why not? Introduced into the venous circulation it goes directly to the lungs and there acts as an oxidant, germicide and anti- ferment. Why not give the method a rigid scientific investigation? Why not give us a trial? Do you know that we are successfully treating both simple and exophthalmic goitre by the EYE REPRESSION TREATMENT; by fogging the vision to relieve the ciliary strain and overcoming the muscular insufficiency by the use of prisms? Do you know that we are successfully taking care of 70 per cent of all cases of goitre, chronic migraine and other cases in which eye strain is more or less a factor? Shall we mail you our literature ? º A: T Coarrs Powd with our Advrarisºns. Arse Mºrrion runs Journal. ADVERTISING - - XIX Lºi º E Bº Lº º Lº Lº º º ſº. 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EXTRATIOBIAINABLE FROM ONE-THIRD fluid OUNCE OF COD uVER Oll (IHE FAITY PORTION BEING ELIMIN- :* 'S ATED)6GRAINSCA1(IUM HYPOpH05PHITE, 3GRAIRS 50DIUM HYPOPH05pHITE, WiTH GIYCERIN AND AROMATIC5. - - º -- - Fº ... . § Yi <-->5xº~/reaſ Fre sacreene oactee Aerºſe, orzāy. ~2^eersed. As of 2-2,tºg/srs. If - - *N . º - jº] Kaſharmon Chemical Co. $1.1 guis.jſp. lººt *... º. º. º. E. ſº º ſº tº gº tº gº ſº |: KATHARMON represents, in combination Hy- drastis Canadensis, Thymus Vulgaris, Mentha Arvensis, Phytolacca Decandra, 10% grains a Acid Borasalicylic, 24 grains Sodium Pyroborate to each fluid ounce of Pure Distilled Extract of Wijch Hazel. * KATHARMON used as a gargle makes bacterial invasion of the respiratory passages difficult. Atº Zºya R2/7CAV CºfE/7/C-ZZ CO-, 57. Lozzis, Aſo. - NEURILLA fººpsºs NEURILLA - A A If Patient suffers from THE BLUES (Nerve Exhausſion), ºr Nervous linsomnia, Nervous Headāche, Irritability of ſº General Nervousness, give four Himes a day one Wºm teaspoonfuſ N E L R H LLA Wºº-y In nervous fretfulness of teething Childreº, give five to twenty drops. ~ DAD CHEMICAL COMPANY, NEW YORKaun PARIs. jū; º : º * sº sº º {{I}|U}. - ©: º ºº: "Tº: C § % º . . . sº º “... y * * iſiſ ONE OUT OF THOUSANDS I have been reading medical journals for 39 years and I consider the THERA- PEUTIST the best, bar none. Every copy THE STANDARD worth the price of subscription for a SALINE LAXATIVE whole year. J. P. Collins, M. D. Samples on request 3 Belcherville, Texas. - § *SES Bristol-Myers Co. New York "sº CoRRESPOND WITH ODE ADVERTISERS, AND MENTION THIS Joub NAL. XX ELLINGWOOD’S THERAPEUTIST [the Eclectic Medical College CINCINNATI, OHIO Chartered: 1845. Admission to the Freshman Class: Certificate of the Ohio State Medical Board, fifteen units plus two years of college work, which must include one year in physics, chemistry, biology, English, and any other one modern language. This pre-medical course can be taken preferably at Miami Univer- sity, Oxford, Butler County, Ohio (39 miles from Cincinnati), or at any other recognized college or university. Session: The 76th annual session begins Septem- ber 16, 1920, and continues eight months. Tuition: $120 per year; matriculation fee, $5.00. Building: New (1910) six-story building at 630 W. Sixth Street. - Clinical Instruction: Seton Hospital Dispensary, Health Department and Tuberculosis Hospital, Seton, Longview and Cincinnati General Hospital (850 beds). For Bulletin and detailed information address the Secretary, JOHN K. SCUDDER, M. D., 630 West Sixth Street, - Cincinnati, Ohio S A N M ETT O kidney-blººr-prostate. Valuable in Prostatitis-Pyelitis-Cystitis-Enuresis In Dysuria–Albuminuria In Irritable and Weak Bladder Conditions As A SOOTHER AND MILD DIURETIC D0SE:—One Teaspoonful Four Times a Day. OD CHEM. Co., NEW YORK. - NECROSINE injected directly upon the necrosed spot through the attendant Drug and Liquor Habits fistula, should seldom fail to permanently cure both in a few weeks' time. Equally Sanitarium established eighteen years. No suf- fering, no danger, close medical care, good nurs- ing. Pleasant surroundings, quick and absolutely Absolutely harmless to sound tissue. An satisfactory results. efficient in dental or long bone caries. - old remedy, but a new combination. Ralph Sanitarium, 529 Highland Ave., Kansas City, Mo. Trial size, $1. Full size, $5. DR. G. W. HARVEY, Paradise, Calif. Conrzspond with our Advertisers. Arno Mention rars Journal. ADVERTISING XXI Ll A Non-Poisonous, Unirritating Antiseptic Solution Agreeable and satisfactory alike to the Physician, Surgeon, Nurse and Patient. Listerine has a wide field of usefulness, and its un- varying quality assures like results under like conditions. As a wash and dressing for wounds. As a deodorizing, antiseptic lotion. As a gargle, spray or douche. As a mouth-wash-dentifrice. Operative or accidental wounds heal rapidly under a Listerine dressing, as its action does not interfere with the natural reparative processes. The freedom of Listerine from possibility of poisonous effect is a distinct advantage, and especially so when the preparation is pre- scribed for employment in the home. LAMBERT PHARMACAL COMPANY ST. LOUIS, MO., U. S. A. CoRREspond witH our Advertisers, AND MENTION THIS Journal. XXII - ELLINGwooD's THERAPEUTIST *— whAT IS AUTO.HEMIC THERAPY! Treating the patient with a drop of his or her own blood admin- istered according to a perfected and refined technic without use of bugs or drugs. - Auto-Hemic Therapy is in perfect harmony with the very latest development in physics, physiological and pathological chemistry. - Properly administered, the treatment is absolutely without risk. - - whAT PHYSICIANS SAY “The missing link in medicine.” “Has no rival in chronic cases.” “The king of Therapies.” “The new life serum.” “A wonderful reconstructive.” - “The greatest producer of physical and mental ‘pep.’” - “No other method appeals so favorably to the intelligent public.” - “The best builder of a creditable, permanent and lucrative office practice.” “Doubles the cures and incomes.” “Of fifty or more different sera with which I have had ex- perience, ANY or ALL are not as a drop in the bucket compared with Auto-Hemic Therapy. It is a God-send to all patients having tubercular, cardiac, hepatic or renal troubles; in fact I have not found its limit in over two hundred cases treated.” - Judging from the reports already published, it would seem that there is scarcely any limit to the applicability and practicability of this new treat- ment. Some of the most obstinate cases of anemia, insomnia, nervousness, constipation, eczema, diabetes, goiter, hay fever, rheumatism, mental and physical debility, lack of “pep,” ulcers, insanity, morning sickness, high-blood pressure, and other conditions too numerous to mention, have been benefited, if not permanently cured, by Auto-Hemic treatment in an incredibly short time, after all other methods had failed. In December, 1918, fifty physicians reported 3,000 cases, representing 200 different ailments with 85 out of a hundred benefited. Copy of a journal containing reports of the surprising results obtained by many physicians, also particulars regarding Dr. Rogers’ book and course of instruction, sent on application to - - North American Journal of Homeopath 2812 North Clark Street, Chicago, Ill. CoRRESPOND witH our ADVERTISERs, AND MENTION THIS Journal. **s Fº - ºr e º gº "ºº-º- ºr e º gº **t */ • * * ***** * * **** * * **** t Yºº-ººººººººººº-ºº: ** ºzº; :::::Gyº *A*- • * * **** * * * **** * * * * **** * * * *** * * * **** see twº-e ** • * ºA:sºy. ºf: º *** - ſº º fººtººººººººººººººººººººººººººººº-ºº: * * * * **** * * * • * ** * * ***** * * **** * * * * * * **** * * ***** - Wºº- :::::::::::::::::::::::{5}:::::{3}:::::G::::::::::: Eg::::::::::::33:3::::::: • * * ***Nºte * * * **** * * * **** * * * • * * * º * = - dº º - tº :::::G): * * ***** is rºse i **.*.*, *s * * **** * * ***** * * **** * * * ~ *we sex, e-jºwe sº-ºes ºr *** * * * ***** * * **** ******* * * *-*.sºs - * * * ºf a tes wºº, sº == s º 㺠§ §§||||||||||||||||||||||||||||||||||||||||&#xºş, -- º º =s* - 4 º 2: º se -º-º-º- ; º § sº w - S. ***** .*.*: sº 3&º: $...yriº, * * • * * **:A erº à º & 3. s ; ; : § 4 § : § : ge§ º# § - # § §: § | FINLEY ELLINGWOOD M.D. E DITOR AND PUBLISHER SINGETRUTS 32 N. STATE ST. CHICAGO |s|BSCRPſ) - ($1.50 PER 4 - YEAR = \INYADVANCE |s - AND liuuuuuuuuuuu"hillilululuutilitiunilillºnji February, 1920 Vol. 14 No. 2 NY TRUTH; #. UW ëTig ..º.º. § º §§ º - ? º §§ §ğt ºº § % § | diº º ñº rº N §§ EACHD9GIOR) Ç § ONE FAGT st º ºn tº ºvºvºº TTTIU - § |N ) - \\ gº ºr ºxº : § ; & jºſë §§ º | º } %| | ſº silhº: Žiš |% |} §: & § º; D. ºld [. ſ Sºś ſº §§ ſ f sº P É #. º l º º: …; ſº l G § 3}: |º sº § ºilº £º - § - \ § 2. º º Chronic Invalidism is a very frequent sequel of §ºl 3% { | : .* jºš §º - - - * º tºº, ñº - §§ W # ! º: % * -se • [. @ } º: Fell | y - © o * -- - *A* %.7% | supplies the indis - §§ § * iº º \}. the system * #H § º strychnine and ºš. olt accelerat sº § * º tº gº, § așº The Ständ § º Ø% ** Fº onic for ovetºſ: Nºr £º: ..~~ ºfºrº Sis- - sº D @ --- `-- * A ..." a # z: $3's à FELLOWS MEDICAL MANFG. CO., Inc. § sº 26 Christopher Street New York Fél § tº- $º: } § t - *A.” ** * fºllºl | § hº ſº º º §§ §§ |\º ğllº t NWilſº All! gº ſº *ś º * §§§ º §§ º Fº jº. £º - 3. ſºlº à: §º ºščič.'ſſi. º sºft'ſ § Sc § r É; 5% alſ º º Sºrºſſil .*Y. ºirºttº:3 limitle:3. & ** -*. & Tºº Yºº-ºº-ººſiº - - - - - - - - - - - - Şājjījāºy2%išš º Qºt 3 blº, tº - º Dºxa *ITQ}; se-N Kºſiſ.All Nº: - 4. Sºlºš | | {6}ºsſº - ºDºğs §3. $º ſºgºs 3%.º. G }=}} - . . . . . §º. Sºč gºš Fºrrºr-cºrrºrcrººrºzºri Ey. cºś § §§ t * §§§ gº * ººzººlºº tºº-ºº:::::gº; - * * º bºrº sº - §§ Entered as Second-class Matter, Apr. 3,1907, at the Post Office at Chicago, Ill., under Act of Mar. 8,187 §§26: º: :::::SE:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::crººrºº: sº Bººrºº:::::::::::::::::::::::::::::::::::::::::::::::::::::: §§ § § º sº:::::::::::::::::::::::::::::::::::::::::::::: Eº sº ºğ §§§ § §§§ :::::: º * * § ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::############## AL VERTISING The Control of Ovarian Disorders IF you believe in organotherapy—and you should—you know why it is so efficacious. It is indeed a physiological measure, restoring in a “natural manner” deficient glandular activity. Caps. Thyro-Ovarian Comp. - * - (Harrower) - - is a superior remedy in the functional dysovarism underlying amenorrhea, dysmenorrhea, menopausal imbalance and neurasthenia. It is often better than corpus luteum alone. - Write for the booklet “Ovarian Dysfunction” —Free Address the nearest office and mention “Ellingwood’s” Therapeutics THE HARROWER LABORATORY Glendale, California NEW YORK, 31 Park Pl. CHICAGO: 186 N. LaSalle St. DENVER: 1132 15th St. BALTIMORE: 4 E. Redwood St. - A NEW SPECIALTY WANTED BY A PROMINENT FIRM The Marvel Company, manufacturers of the Marvel “Whirling Spray” Syringe, is looking for a new ethical preparation or specialty that can be introduced to physicians or to the public, through ad- vertising. Nearly every physician has a formula or an idea of an instrument or appliance which he thinks would be of great bene- fit to mankind and prove profitable toº the manufacturers but is not in a posi- tion to exploit it. The Marvel Company will consider the purchase of same either for cash or on a royalty basis, providing the proposition appeals to them. Formu- lae for the ordinary household remedies will not be considered. Address Marvel Company, No. 25 West 45th St., N. Y. City. - The Pneumonic Lung is a beautiful, valuable, highly instructive little book; reference is made to this book on Page 70. - The illustrations are very correctly col- ored. They show the various pathologic conditions induced by the progressive stages of the various forms of pneumonic progress of the conditions following as the disease advances. The annotations are very clear and of great assistance. The publishers have secured in this a means of immediate and valuable assist- ance in the accurate diagnosis of this formidable disorder in all stages. (£llingtuoob's Uijerapeutigt A monthly Journal of Therapeutics; educational in character, issued on the 25th of the previous month; devoted to the determination of the exact action of Single drugs upon exact conditions of disease. A Journal to which every subscriber is also a contributor, and in which the Subscriber and the Editor are Working in the closest possible relationship, to determine true and invariable drug action, for the benefit of the entire profession, and thus, Humanity. OUR IMOTTO: To learn the Truth. To prove the Truth. To apply the Truth. To spread the Truth. - - - OUIR, CREED: The Truth from all, for all, to all, without regard to the creed of the individual. OUR FAITH: That all disease will ultimately be subdued, in whole or in part, by remedial measures; . That failure to cure disease is due to our lack of knowledge; That Therapeutic nihilism is the deadly foe to Therapeutic progress; That the study of the clinical action of the single drug, is the true method of drug study; That each drug acts directly and invariábly upon one or more exact conditions of disease, and must be so studied and known; - That with such knowledge perfected, we can immediately and successfully prescribe for conditions of disease with which we have not previously met. . . TABLE of CONTENTS FOR FEBRUARY, 1920 LEAD ING ARTICLES - - ED ITO RIALS - y - - - - * he Warm The Ingredients of Proteogens. . . . . . . . . . . . . . . . . . . . 37 Burgess’ Suggestions and Indications for t B . S. Horowitz, M.D., Cincinnati, Ohio - Epsºm Sponge Bath. . . . . . . . . . . . tº e º e e º e a e = e tº e º º º º Muco-Colitis and Insanity Treated by Colonic In- Diagnosis of Duodenal Ulcer; . . . . . . . . . . . . . . . . . . . . . . 57 jections . . . . . • * * * * * ~ *Mix. Alton. iii.' ' ' ' ' ' ' ' ' ' ' ' 40 Nephritis As a Sequel to Influenza. . . . . . . . . . . . . . . . . ; Thomas L. Brunks, - • ? lton, - Anticipation of Eudocarditis • * * * * * * * * * * * - e. e. e. e. e. e. © tº * • . A. º Case of Scarlet Fever (Untreated) 42 Restudy of Good Old Remedies. . . . . . . . . . . . . . . . . • * * * ; 3.I] lphth Clºla. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . º 'Il - - - - - • * * * * * * * * * * * * © gº tº gº tº 40 & - º & By - E. E. Gadd., M.D., Des Moines, Iowa. A...º.º.º.º "àº; - 62 Retention of a Dead Foetus. . . . . . . . . . . . . . . . . . . . . . . . 43 * Mºst º ºx ºvº. . . . . . . . . . . . . . . . . . . . . - For Poisoning of Wood Alcohol. . . . . . . . . . . . . . . . ... . . . 62 By Charles Woodward, M.D., Chicago, III. Pl Dr. Raoli - 62 Pneumonia in Children. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44 ant Drugs vs. Kaolin. . . . . . . . . . . . . . . . e - - e º & © 0 e º 'º - to 6 By C. Weston Edwards, M.D., Port Huron, Mich. Notº. %.*gº. society.......... • * * * * * * * * * * • * > - - § - - - wº • * * * * * * * * * * * * * * * * * * e º e º 'º - e. BRIEF CONTRIBUTIONS - Proº, %º Disease by Feeding High 65 Some Valuable Neglected Truths. . . . . . . . . . . . . . . . . . . . . 46 Experience with Influenza . . . . . . . . . . . . . . . . . . . . . . . . . . 66 Night. Blindness...} . . . . . tº e º s º e º e º e º 'º - e º ºs e º sº tº e º e º 'º a tº 4. CardioSpasm . . . . . . . . . . e e º e º e e. e. e. e. e. e. a tº e . . . . . . . . . . . . . . 66 Fºj ephritis. . . . . . . . . . . . . . . . . ... • * * * * * * * * * * * * § Euphrasia. Indicated. . . . . tº e º 'º e º 'º fº tº e º 'º e tº e º e º s e s a e º s ... 66 º ** whº . . . . ; ; ; ; ; * . . . . . . . . . . ... . . . . . . . . . . . . . . . . . Experiences . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67 Jaborandi As an Abortive Agent in Inflammations. . 51 • { e - Volatile Oils. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52 gººd à §º. Eczema. . . . . . . . . . . . . . . . . . . . . . . # A. Trustworthy Styptic * * * * * * * e g tº e g c tº e o 'º tº s tº e s e • * * * * * * * 54 Teell an * * * ry Tugs . . . . . . . . . tº e g º & º e & © tº º e º te º e º º q tº tº Centipedes and Echinacea 54 Post-Operative Convalescence. . . . . . . . . . . . . . . . . . . . . . . . 67 pecies and ECnina Cea. . . . . . . . . . . . . . . . . . . . . . . . . . . . Quinine-Valerianate As Anti-Periodic. . . . . . . . . . . . . . . 68 THERAPEUTIC, FACTS Criticism . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . 68 Cardiac Epilepsy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68 gº; As a Bone Maker. . . . . . . . . . . . . . . . . . . . . . . . . . ; ;"pºº; ºr ºn and Thuja. . . . . . . . . . . § hyluria. . . . . . . . . • - - - - - - - - - - - - - - - - - - - - - - - ... • * * * * * * * * * w he Drug Plants O erica. . . . . * * * * * * * * * * * * * * * * * * * For a Cardiac Neurosis with Indigestion. . . . . . . . . . . . 55 Prophylaxis of Infectious Diseases. . . . . . e - © e º te . . . . . . 70 Why Is This?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56 A Tonic That May Be Relied Upon. . . . . . . . . . . . . . . . . 70 Auto-Therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56 |United States Public Health Service. . . . . . . . . . . . . . ... 71 Treatment of the Prostate. . . . . . . . . . . . . . . . . . . . . . . . . . . 56 Hemorrhages . . . . . . . . . . . . . . . . . . . . . . . e º 'º - - e º ºs º ºs . . . . . . 71 Substitute for Colchicum. . . . . . . . . . . . . . . . . . . . . . . . . . . . 56 Theorizing . . . . . . . . . . . . . . . . . . . . . . . . ... • * *, * * * * * * * * . . . . . . 72 Ellingwoob's Cberapeutist Is Edited and Published by FINLEY ELLINGWOOD, M. D., 32 N. State Street, Chicago, Ill., U. S. A. Subscription Rates: In North America and Islands of United States, $1.50 per year in advance, and one Therapeutic Fact. To all other countries, $1.85; single copies, twenty gents. Sample free to possible subscribers and advertisers. Payment should be made by Express or PostOffice order, or Chicago or New York draft. Personal checks must #&#. cents added for bank exchange. Foreign P. O. orders should be made payable IIl Calgo. ;3 * Changes of address with both old and new addresses must be sent as soon as made. We are only thus responsible for all issues. - - . . Renewals must be sent in promptly as the new postal regulations only allow us four months' Continuance. Original articles suitable for publication are accepted with the understanding that they are written especially for this Journal. Foreign articles will be received and translated if found desirable. - - Beprints will be furnished at reasonable prices if a request to that effect accompanies the manuscript. Approximate prices may be had on application. - Manuscripts will only be returned if requested, and stamps are sent for this purpose, but º assume no responsibility. Let it be understood that we are not responsible for, n always in accord, with the opinions of contributors. - ELLINGWOOD'S THERAPEUTIST . You'll Have Confidence in Your Remedies when you make it a custom to prescribe NORMALS The Green Drug Tinctures of Dependable Merrell Quality NORMAL TINCTUREs are carefully and accuately stand. ardized, on the basis of one minim of fluid to one grain of the drug. Their distinctive qualities lie in the high men- struum used and the selection and prime condition of the drugs employed in their preparation. * These features make Merrell NORMALS especially dependable in prescription work. They are UNIFORMLY reliable, unvary- ing in their therapeutic value. - - Out NORMAL BOOK may be had ſo the aking All Leading Druggists can supply NORMALS. Be sure you specify Merrell’s The Wm. S. Merrell Company CINCINNATI - e. OHIO CoRRespond witH our Advertisers, AND MENTION THIS Journal. ADVERTISING V º : *. l Cº THE MEDICAL BULLETIN * * , - * - - - - * º tº º - Asº. 2. ~S.: "I *g, ſºlº º.º.º.º. º. º. -- . . . . . . . . a s : º Baº . ºf * 2. Sºzº. tº sºiº ºiſ, º ºf º :* sº 25C º fº º' tº Tº º, ...") w ºf § §º 㺠§ºš. yº §§§ººſ. o #2; ºf M £º: ** - N § - 3\ * Lº v º §'ſ ** rººfsWººs **. yº. & § º - sºjº Sº º l *::: Sº Yº Sºrºſ, ſº / W. º. Vol. I DECEMBER, 1919 No. 1 THE LUIKART CHILDREN Carter's Mercury Antidote The recent publicity given the Luikart chil- dren of Detroit, poisoned by corrosive sub- limate administered by their mother, and saved from death through the timely aid of Dr. Thomas A. Carter, of Chicago, must im- press on every physician the advisability of having a supply of Dr. Carter's antidote on hand for such emergencies. The administra- tion of Carter's antidote is very simple—one tablet being given for each tablet of the poi- son taken. It is supplied in bottles of 100 and 500 tablets by The Abbott Laboratories. Incidentally, the too-numerous cases of poisoning with bichloride must lead one to consider the use of an antiseptic having all the virtues of bichloride, phenol, and such substances without the ir AIDS TO SUCCESSFUL SURGERY The development of remarkably improved germicides—Dakin's Chlorazene and Dichlora- mine-T, together with a new type of non- sticking wax-impregnated dressing — Parre- sined Lace-Mesh Surgical Dressing — makes possible a procedure for wound treatment which is giving remarkable results. First: CLEAN OUT by excision of all devi- talized tissue and by removing all dirt with Neutral Sodium Soap, Abbott, the non-irritat- ing, alkali-free liquid soap made from vege- table oil. Second : CLEAN OUT all existing infection by irrigating with Chlorazene, Dakin's power- ful, non-irritating, w a t e r-soluble antiseptic. The wound is then dried and sprayed with so- 1ution of Dakin's Dichloramine-T in Clhorco- sane, the most powerful germicide known to science accomplishing in 3/4 minute poisonous qualities. Such an antiseptic is D a kin’s stable, water-soluble, non- irritating synthetic Chlora- Zeile. The latest form in which Chlorazene has been pro- duced and we believe ulti- mately the most popular is AROMATIC CHLORAZENE POWDER A FREE TRIAL BOTTLE OF AROMATIC CHLORAZENE POWDER The coupon below will bring it to you the same degree of sterili- zation which it take s 7 hours for bichloride or 24 hours for phenol, to pro- duce. The antiseptic action of Dichloramine-T-Chlorco- sane is prolonged over 18 to 24 hours, requiring dress- ings only once daily, and cleaning up infection at a very rapid rate. Third : KEEP CLEAN– Prevent reinfection by daily This is a combination of 5% of Dakin's Chlorazene with sodium bicarbonate, sodium chloride, saccharin, and eucalyptol. A tea- spoonful of this powder dissolves instantly in a glass (about 6 ounces) of water and pro- duces a delightful aromatic antiseptic solu- tion which is 2% times as strong as pure car- bolic acid. It makes an agreeable and power- fully germicidal mouth-wash, spray for nose or throat, gargle, or douche. It is cooling, refreshing, and of great germicidal power. It may also be used for general antiseptic pur- poses, such as applications to cuts, wounds, skin diseases, etc. dressings with Dichlora- mine-T-Chlorcosane and protect with Parre- Sined Lace-Mesh Surgical Dressing. This wax- impregnated woven lace DOES NOT STICK and is painlessly removed without disturbing the healing processes. RETURN THIS COUPON The Abbott Laboratories, Dept. 23, Chicago, Ill. You may send me, without charge, a trial bottle of AROMATIC CHLORAZENE POWDER. Also informa- tion regarding. Dichloramine-T, Parresined Lace-Mesh Surgical Dressing and Neutral Sodium Soap. Pr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ............ CoRREspond with our ADVERTISERS, AND MENTION THIs Journal. VI ELLINGwood's THERAPEUTIst “Start the | New Year Right" We positively know that the Huston instruments are meritori- ous. Every physician should have them. They increase con- venience and efficiency. THE HUSTON BAND AIR CUSHION PESSARY unquestionably corrects uterine displacement—no matter how bad the case may be. Price $5 com- plete or $3 exclusive of shoulder attachments. THE HUSTON AKOUOPHONE is the very best stethoscopic in- strument in all the world—the only differential stethoscope. Gives not only minimum and maximum sound but perfect con- trol over them. Accurate infor- mation re intervening sounds. º net price now is $4. PROTECT YOUR PATIENTS AGAINST . . . . Colds Influenza Pneumonia USE SHERMAN'S N0, 38 WRITE FOR LITERATURE Trade Mark _ The “NSS” Iligature is *asuºusea a definite aid in Obstetric BAct Technique. Two indel A. - ERALWAccines structible jars sufficient - - for 30 cases will - mailed to you for $1.00 Everything Huston Broth- - HE ers Co. sell is sold on a - - - money back guarantee. º Petrož//icº. HUSTON BROS. Co. &J.A. 30 E. Randolph St. --> Chicago Pat. Jan. *01. Price $4.00 DON'T SEND THE POOR FELLOW AWAY, DOCTOR! VERY DAY doctors are advising a rest, a trip to a sanitarium, a visit to a specialist, an operation—anything to get rid of their old, stubborn cases of Prostatic Disease and Impotence Maybe you are doing, or are about to do, this very thing. You are losing possibilities of dollars and prestige, to say nothing of the keen satisfaction of having won a hard fight! Too many of these cases are passed up by good doctors, only to fall into the hands of unscrupulous men who offer nothing but promises and frequently give less. YOU CAN GET RESULTS in the great majority of these cases. Decide now to try SUPPOS. PROSTANS thoroughly in just one case, Doctor. You will then certainly rely upon Prostans as your Sheet Anchor and thereafter keep the business you've been turning away. - Now, Doctor, you can easily prove this, just as over two thousand other physicians have done. So don't scoff, but simply fill out the coupon below. THEN JUDGE FOR YOURSELF. —This Coupon Means Success and Money Saved as Well. Fill it Out. Send Today. * ºbetroit, Mich - ve., Detroit, - I, I enclose $1.00, send me one box (of 15). Suppos. Formula on Every Box! Prostans (price $1.50), also book “On the Treatment of Prostatic Diseases and Impo- tence”-free. Name [] I enclose $5.00, send me six boxes of Su - Prostans tworth .00), also the above º: - and “Successful Prostatic Therapy”—free. Address b ----------- * ----------------------------------------- Coarespond with our Advertisers, AND MENTIon THIs Journal. ADVERTISING VII The STORM BINDER and ABDOMINAL SUPPORTER (PATENTED) MEN, WOMEN, CHILDREN AND BABIES No Whalesbones. No Rubber Elastic. Washable as Underwear Inguinal Hernia Belt Hernia, Obesity, Pregnancy, Relaxed Sacro-Iliac Articulations, Floating Kidney, High and Low Operations, Ptosis, Pertussis, etc. Send for new folder and testimonials of physicians. General mail orders filled at Philadelphia only -within twenty-four hours. Katherine L. Storm, M. D. PHILADELPHIA 1541 Diamond St., Drug and Liquor Habits Sanitarium established eighteen years. No suf- fering, no danger, close medical care, good nurs- ing. Pleasant surroundings, quick and absolutely satisfactory results. Ralph Sanitarium, 529 Highland Ave., Kansas City, Mo. Peacock's BROMIDES assure your patients a pleas- ant, pure and uniform solution of the neutral bromide salts, that may be used for prolong- ed bromide treatment of the chronic neuroses with maxi- mum results and minimum tendency to disagreeable effects. Peacock's Bromides are without a superior as a safe and effective antispasmod- ic, nerve sedative and hypnotic. - DOSE: One to four º teaspoonfuls. Kºź NECROSINE injected directly upon the necrosed spot through the attendant fistula, should seldom fail to permanently cure both in a few weeks' time. Equally efficient in dental or long bone caries. Absolutely harmless to sound tissue. An old remedy, but a new combination. % size bottle, $2.50; full size, $5.00. DR. G. W. HARVEY, Paradise, Calif. CHIONIA places at the physician's com- mand an exceptional prepara- tion of Chionanthus Virginica that can be relied on to stim- ulate the liver without unduly increasing bowel activity. In sluggish liver conditions in which the biliary secretion is l depressed, Chionia will be found a remarkably efficient, satisfactory and acceptable \ cholagogue. N DOSE: One to tuo fea- - spoonfuls three times a day. PEAcock CHEMICAL Co., St.Louis Mo. CoRRespond witH our Advertisers, AND Mention THIs Journal. VIII - . ELLINGWOOD’S THERAPEUTIST - - O Glykeron and Glyco-Heroin ARE SYNONYMOUS APPELLATIONS AND ARE NOW KNOWN AS SUCH TO ALL DISPENSING PHARMACISTS HESE designations may now be used inter- changeably by the physician when prescribing the preparation originally known only as Glyco- Heroin (Smith). As a safeguard against having worthless imitations of the preparation dispensed, it is suggested that the physician use the name - GLYKERON which is non-descriptive and more distinctive, when prescribing GLYCO-HEROIN (Smith) for Cough, Asthma, Phthisis, Pneumonia, Bronchitis, Laryn- gitis, Whooping-Cough and kindred affections of the respiratory system. . . dose—The adult dose is one teaspoon- ful every two hours, or at longer inter- & = & - vals as the individual case requires. The composition of GLYCO- For children of ten years or more, the HEROIN (SMITH) has not been dose is from one-quarter to one-half tea- modified i c spoonful; for children of three years or d in the slightest degree. more, five to ten drops. MARTIN H. SMITH COMPAN . . . New York, U. S. A. CoRRESPOND witH oUR ADVERTISERS, AND MENTION THIS Journal ADVERTISING IX REST ASSURED When the physician employs Antiphlogistine as the local adjuvant in treating pneumonia, he assists the patient to exactly what he absolutely requires —EASE and REST. TRADE MARK by inducing SLEEP gives to nature that assistance which is often sufficient to carry the patient safely and comfortably over the crisis. If you have not already received “The Pneumonic Lung” Booklet Send for one today THE DENVER CHEMICAL MFG. CO. NEW YORK ELLINGWOOD’S THERAPEUTIST Eli Lilly & Company Makes Clear Its Policy Regarding Alcoholic Medicinal * Preparations OR many months Eli Lilly and Company has been F deleting from its price list alcoholic medicinal prep- arations that can be used for beverage purposes by those possessing abnormal appetites for alcohol. While there is a legitimate demand for these products, under existing laws they constitute a temptation to the unscrupulous. Because Eli Lilly and Company will not consent to such an abuse of its products, it was decided to discontinue entirely their manufacture and sale. Lilly representatives have been given rigid instructions that their house is not in the market for liquor business in any shape or form. Eli Lilly & Company asks the support of the medical profession on the basis upon which the reputation of the house is built — high quality, ethical products and a unique, fair-play-to-all selling policy. In its business dealings Eli Lilly & Company is actu- ated by something more than a desire for dividends to its stockholders. It is interested in the future of phar- macy and in its elevation to the highest possible plane of service to the medical profession. In taking the position outlined above, Eli Lilly & Company believes that it is acting in accordance with the spirit of the times and for the best interests of both pharmacy and medicine. *r Correspond witH our ADVERTIsens, AND MENTION THIS Journal. ADVERTISING XI force to do any good. on the market.” - º º . . . . º 'º' "Ultima No. 3 Sinustat ratus for A. C. or 136 W. Lake Street A real, portable sine wave appa- FREE! A Valuable Booklet and a $1.00 Chart of Sinusoi- dalogy sent to all who answer this advertisement promptly. , ULTIMAPHYSICAL APPLIANCE Co. Chicago, Illinois He Got More Than He Expected “Before securing the Sinustat No. 3, I was advised it was only a small machine without enough The advice was not sound. My No. 3 has all the force I need. Can send a current through any part of the body and have never used all its force at any one time. I am pleased with it. It is a good investment. You have done the profession a good turn in putting these machines One of many unsolicited endorsements of Ultima products. (Name upon request.) FREE TRIAL OFFER: Doctor, 1et us prove to you that the No. 3 Sinustat is the greatest power in all chronic nervous and muscular conditions that you have ever seen or heard of. , Just sign and mail the coupon today. 2^ * Thank you! - - & . . . * , Gentle- * 1116.11 . * . , You may ^ send me your ^ Free Trial Of- fer, booklet and * chart without ob- - ligation to me. 2^ Name . . . . . . . . . . . . . . . . . . . 2^ Address . . . . . . . . . . . . . . . . . . . e e ERGOAPIOL (SMITH) ITS UTILITY IN THE TREATMENT OF Amenorrhea, Dysmenorrhea and Other Disturbances of Menstruation Despite the fact that Erg9apiol (Smith) exerts a pronounced analgesic and sedative effect upon the entire re- productive system, its use is not at- tended with the objectionable by-effects associated with anodyne or narcotic drugs. - The unvariable certainty, agreeable- ness and singular promptness with which Ergoapiol (Smith) relieves the several varieties of amenorrhea and dysmenorrhea has earned for it the un- bers of the profession. who have sub- jected it to exacting clinical tests. Dosage: , Ordinarily, one to two cap- sules should be administered three or four times a day. - MARTIN A. SMITH CO. New York, U. S. A. qualified endorsement of those mem- The New Field Series Cºmpleted Books by the late DR. W. H. BURGESS All about EPSOM SALT and other congenial drugs. New Field method of diagnosis without asking questions. and how to prove it. Congenial treatment of all diseases. The cure of Tuberculosis, Bright's. Disease, Uric Acid Diathesis and all ENERVATIO S. The Double Sulphide treatment of Typhoid and all other INVASIONS. Doctors say these books are worth their weight in gold. ive small volumes at $1.00 each, or the full set for $4.00, by mail prepaid. Fis: Book: THE NEW FIELD, 287 pages....... $1.00 Second Book: CHRONIC DISEASE, 320 pages.... 1.00 Third Book: NEW DISCOVERIES, 32 pages, con- densed from over a thousand pages of physi- cians' reports . . . . . . . . . . . . . . . . . . . . . . . . . ! . 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XII ELLINGWOOD’S THERAPEUTIST L FROM PUBERTY TO MENOPAUSE Tººgº this period most women suffer from uterine neurosis, and as Godell so aptly describes it, “the intangible, pregnancy call for the admin- istration of HAYDEN'S VI- BURNUM COMPOUND, presenting its well-known an- tispasmodic and imponderable, invisible pelvic pains of neurotic women.” HVC calmative action as a preventive and as a treat- ment in neurosis. A n ticipated monthly attacks of Dysmen- orrhea, the exhausting effects of Menorrhagia, and the nervous symptoms of early NEW YORK PHARMACEUTICAL COMPANY It should be given in teaspoonful doses, three times a day, administered in hot water. Literature, form- ula and Samples upon request. . BEDFORD SPRINGS, BEDFORD, MASS. ... --> -ºr-ry =l. § §§ | # These results, of course, are the relief of weakness and debility, the restoration of strength and vitality and the general up-building of your §= The Results You Seek are certain and sure to follow, when you prescribe Gray's Glycºſile IDmit CDmp. patient. You do not expect miracles, or the achievement of the impossible. do not look on Gray's Tonic as a panacea. But you do expect your patient’s appetite to increase, his digestion to improve, his strength to return, and his whole condition to show a real and substantial gain, when you put him on Gray’s Glycerine Tonic Comp. These are the results you seek—and these are the results you get! The thousands of medical men who have used Gray's Tonic during and after influenza, this past winter know how true this is. The Purdue Frederick Company 135 Christopher Street ń. You New York City §: § Correspond with our Advertisers, AND MENTion THIs Journal. E|E * sº Čilingtuoob's Cherapeutist || - DIRECT THERApHUTICs r inley E.11n is wood. M D., Editor and Business Manager - V. V. [… |E VOL. XIV FEBRUARY, 1920 No. 2 º # # º; # #ºs;s:#####"s; ####### :*Fº I ; º ## ### §§ - § § º º The Ingredients of Proteogens º By DR. A. S. HoRovITz, CINCINNATI, OHIO ºr …” The originator of the Proteogen Ther- apy wishes to give a brief explanation of the physiological and biochemical action of the most important ingredients in Proteogens. In doing so considerable mention will be made of a newly discov- ered field in biochemistry and medicine, the result of the writer’s extensive ex- perimentation in this country and abroad, but lengthy discussion of the va- rious experiments will not be indulged in ; a brief account of his research work will only be taken up. I shall describe the ingredients of Pro- teogens according to their importance and the quantity in which they are in- corporated in the Proteogens: (1) The non-specific plant nitrogen. (2) Plant acids. - (3) Enzymes. - (4) Chlorophyll. The remaining ingredients are not of major importance in the make-up of Proteogens. - The term “non-specific proteins” is ap- plied to a fairly large variety of bodies in Proteogens as the chief constituents of the preparation. The non-specific pro- teins incorporated in the Proteogens are derived from roots, stems, leaves, etc. :# -- ºw E #### # § # -- - ######### *śjº sº Rººs §§§ The so-called reserve proteins are ob- tained from a variety of seeds, propaga- tive organs. All the proteins incorpor- ated in Proteogens yield on hydrolysis mono- or diamido- acids. - As the unaltered or native proteins are unable to diffuse through parchment or animal membrane, it is obvious that the Proteogens will contain not only native proteins but albumoses and peptones, which are derived from the more com- pleted protein. Proteogens should not be kept for considerable length of time —not longer than ten or twelve months, as the above-mentioned ingredients have the tendency to form sediment. . The proteins of the Proteogens are coagulated under the influence of heat, certain ferments and alcohol. Therefore, it is not advisable to expose the same to these influences. - Certain group of radicles in the pro- tein molecules produce characteristic colors with suitable reagents. This fact is used for detecting different proteins for different Proteogens, and is also of prime importance in selecting the vari- ous proteins as special for or against proteins of specifics. Millon's reaction is also employed to 38 ELLINGWOOD'S THERAPEUTIST the same extent as the previous men- tioned test. Here we use a solution of mercuric nitrate, containing nitrous acid, which when added to a solution of pro- teins of Proteogens produces a precipi- tate (pink or red). This reaction, of course, is connected with the phenylic group of the tyrosin complex in the pro- tein molecule. The Xanthprotein reaction, and the Adamkiewicz reactions are of some im- portance in some Proteogens. The Liebermann's reaction and the Molish reaction are also employed for detecting different proteins. . . . In selecting the bulk of the proteins, the micro-chemical reactions are used with which we determine the presence of Inecessary proteins. The proteins incorporated in Proteo- gens are in colloidal state, and, therefore, we will appreciate the extreme sensitive- ness of the product. We are aware of the fact that upon introducing electro- lytes (normal salt) the particles in col- loidal solution ten to congregate around the ions and upon close contact with each other form sufficient large aggregates to be precipitated, i. e., the surplus addition of a small amount of salt, and the pro- tein will assume a positive or negative charge in accordance with the salt being acid or alkaline, and give a precipitate. As previously stated, Proteogens con- tain various proteins and their decompo- sition products. These products are classed in two groups: (a) Biuretic de- rivatives, such as albumoses, peptones, etc. These are still very complex sub- stances which have a lower molecular weight than the original unaltered pro- teins. All give the Biuretic reaction. These derivatives are therapeutically beneficial in overcoming the toxemia caused by the toxins of ordinary micro- organism, visible under the microscope without any special maceration. It was extremely difficult to distinguish the various proteins. The research of Wasserman and Uhlenhuth, however, made this extremely complex matter very simple, as is shown by Kowarsky and Schutze in distinguishing the various plant albumins. Plant acids also play an important part in the make-up of Proteogens. It is learned from the information given above that the Proteogens derive their in- gredients from various parts of different plants. Therefore, it is obvious that a number of plant acids are likewise incor- porated in Proteogens. These plant acids are, however, to certain extent in a chemical bound-down-state in the major- ity of the Proteogens for the purpose to be released only at the place of necessity- in-vivo where they meet with a substance of greater affinity than the material they were bound-in-vitro. This fact makes it possible to engage in Proteogens various ingredients, which in free state have the power to disintegrate normal tissues, but in the bound-down-form lose this physio- logical power. This chemical phenomena is very plainly explained in the arsene preparations where we know that some contain sufficient destructive ingredients to kill thirty humans if in free chemical state, but are nearly harmless in bound- down condition. This example is only mentioned for the sake of explanation as Proteogens do not contain any poison- ous ingredients whatever. The very remarkable characteristic of plant acids is their influence upon the virulins of various bacteria, which have a destructive power upon normal body cells, but which destructive power is neu- tralized by the special plant acids. The plant acids have another task to per- form in Proteogens, of which we will mention under the paragraph of para- lyzers. The next important ingredients of the Proteogens are the enzymes. Assuming that we are familiar with the meaning of enzymes and with their activity and the changes brought about, we may say that in the living body, changes are brought about by enzymes, and “Engyme Action” is the strategic center of vital activity. Enzymes are obtainable from various parts of different plants. For instance, in the cells of the surface of the scutel- lum in Zea Mais, next to the endosperm, we find enzymes. The enzymes retain their characteristic power for consider- able time as long sometimes as twenty THE INGREDIENTS OF PROTEOGENs - 39 years. This explains why Proteogens do not lose their therapeutic power if kept under normal conditions for ten to twelve months. Furthermore, it shows that high temperature has no influence in destroying the enzymes of the Proteo- gens, making it possible to sterilize this product by heat to a point where no bacterial infection can possibly be pres- ent without any preservative or disin- fectant, and explains that the Proteogens do not contain any of these substances. The different enzymes as individuals are not specific in attacking any peculiar substances. They become special if at- tached to certain molecular complexes in accordance with the nature of the substrate. This explains and throws suf- ficient light upon the necessity of having a different Proteogen for each disease, and why the Proteogens are not cure- alls. w - The enzymes are obtainable from va- rious parts of different plants as stated above. For example, in Beta vulgaris, the leaves contain invertase, diastase and maltase; the stem possesses invertase, diastase, inulase and emulsin and the root diastase, maltase inulase and emul- sin but not invertase. In deciding upon the raw material from which to obtain the enzymes for the Proteogens, the Guaiacum reaction is very helpful. With or without the ad- dition of peroxide the raw materials ex- hibit proteolytic activity due to their en- zyme content. For example, take the orange. Neither the juice nor the pulp give the Guaiacum reaction, while the peel does. Therefore, the peel is actively proteolytic, but the juice and pulp are not. Similar phenomena are observable in other plants, like the latex of the fig, papaw, lettuce and spurge. The enzymes employed in the Proteogens are in the main of the proteolytic type: (a) Esters, or fat splitting enzymes. This type of enzymes is extremely im- portant in Proteogen No. 3, where in proper combination with many com- plexes has the power of splitting the fatty capsule of the tubercle bacilli. (b) Carbohydrate splitting enzymes which have a therapeutic influence in dia- betes. - (c) Protein splitting enzymes, which have the power of hydrolyzing proteins to polypeptids and amino acids, and are of the greatest importance in splitting the whole molecule of the micro-organ- ism and the proteins escaped from the digestive tract without undergoing com- plete assimilation. - (d) . Urea-splitting enzymes which hydrolyze urea into ammonia and carbon dioxide are absolutely necessary for the purpose of eliminating the end products of the activity of the micro-organisms, and phagocytes and red blood cells. It is very interesting to know that these engymes are not combinable with animal or bacterial products and that through the use of serums, vaccines, toa- ins, the system is thereby crowded with toric substances. Permitting the prob- lematic power of the specific products we have to fear the so-called after ef- fects, which are due to the intoarication, specific and non-specific, due to neglect of not employing peptones—polypeptids— towins—splitting engymes and urea-split- ting engymes. The action of the enzymes is special and therefore different number of Pro- teogens contain different enzymes. the special action of the enzymes is con- nected with the molecular structure of the substances, and their differentiation is detected by the Fisher method. We are in position to know, therefore, what enzymes to use-for the decomposition of various substances by the aid of the structural formation of the molecules. This explains plainly the selective action of the enzymes which are chosen with painful accuracy in the various Proteo- gens. - The chemical affinity between the en- zyme and the substance to be decom- posed plays an important part in the biochemic action which takes place only in substances where the molecular struc- ture fit each other as in other substances no inter-action is possible. This explains why Proteogens have beneficial action 40 ELLINGwooD’S THERAPEUTIST only in the diseases for which they are intended, and why Proteogens will not attack normal tissue, only pathologic ones, and so how it is evident that they are absolutely harmless. The enzymes incorporated in the Prot- eogens act not only qualitatively but quantitatively, and therefore the Proteo- gen treatment must be persisted in for sufficient length of time to change the substance which imbalanced the meta- bolism. The rate at which a disturbed body undergoes chemical changes is de- pendent on the concentration (virulence of infection, standing of the disease, etc.). Consequently, the amount of dis- turbing substance changed in the begin- ning of the use of Proteogens is greater than towards the end, since the amount of unchanged disturbing material is con- tinually decreasing. This explains clearly why the relief and improvement is greater in the beginning of treatment than later on, and emphasizes the neces- sity of continuing treatment to the end, because if a very small quantity of dis- turbing substance is left in the system, it is sufficient to carry out its electro- catalytic action, and more and more of this substance is formed. This points out the danger of animal or bacterial preparations, as through their use we administer substances in the wrong quantity, and after they perform their alleged biochemical function, they call out the above phenomena and are the cause of many dangerous ailments. This explains that the Ehrlich side chain the- ory is right. The bacterial enzymes which are used for the purpose of hydrol- ysis have also the power of synthesis. For further information regarding this especially important question of therapeutic biochemistry, the writer re- fers the readers to his later dissertations. It is a truly sublime spectacle when in the stillness of the night in an unclouded sky, the stars, like the world’s choir, rise and set, and as it were dividing existence into two portions,—the one belonging to the earthly, is silent in the perfect still- ness of the night; whilst the other alone comes forth in sublimity, pomp and majesty. Viewed in this light, the starry heavens truly exercise a moral influence over us; and who can readily stray into the paths of immorality if he has been accustomed to live amidst such thoughts and feelings, and frequently to dwell upon them? How we are entranced by the sim- ple splendors of this wonderful drama of . nature!—Wilhelm von Humboldt. . MUCO.COLITIS AND INSANITY TREATED BY COLONIC INJECTIONS THOMAS L. BRUNK, M. D., ALTon, ILL. In the March issue of the THERA- PEUTIST of this year, I attempted to call attention to the prevalence of disease re- Sulting from a colonic autotoxemia. As my observations become more extended, I am becoming more thoroughly con- vinced that my deductions are correct. A recent case has brought home the facts with more than usual conviction. And it is of such general interest and so prevalent I believe in every commun- ity, that it ought to be of special value to anyone practicing medicine who wishes to get at basic causes and treat his cases upon rational lines. On the 1st of October last, I was called to see a colored man 28 years old, who gave the history of having spells every year or two when he would become de- mented and resist those who attempted to treat him. . . . I found that his bowels were irregular and his stools slimy. He did not sleep well, ate any sort of meat, including bacon and salt meats; memory poor, dizzy at times, bad taste in mouth, tongue white, broad and pale, tender over the liver and quite sore over the transverse colon and splenic flexure. He was weak in the legs and laggy. Had demented spells when he would imagine soldiers coming at him to kill him; that his brothers were in France in the war and other hallucinations. After I began the ~. MUCO-COLITIS AND INSANITY TREATMENT - 41. irrigations of the colon, he would fight us when trying to introduce the rectal tube. ‘. His stools showed a mixture of pur- plish masses of mucous with poorly di- gested fecal matter. His bowels had not moved for a couple days and I ordered castor oil with 2 grains of phenolphalein to start them. Then I gave him the fol- lowing formula: Glyconda, four drams; phosophorus, 20 drops; chionanthus, two drams; jalap, four drams; leptandra, two darms; podophyllum, one dram; iron pyrophosphate, seven grains; crataegus, three drams to aqua q. S., four ounces. Teaspoonful every two hours. I also started to wash out the colon above the sigmoid by using a 30-inch rectal tube introduced by twisting and testing to see if it was not bent upon itself. I first used a quart of water con- taining a little sodium chloride and sod- ium bicarbonate to dissolve out the cling- ing mucous and free the raw inflamed surfaces about the splenic flexture. Af- ter patient ejected this water over the stool, the tube was introduced again and at first two ounces of less than one per cent of a potassium permanganate solu- tion was introduced with a piston syringe while patient was in the knee-chest posi- tion and required to stay in that position five minutes. We then injected through the tube 2 drams of the following Rx with 2 drams of water added: Injection B for muco-colitis: Ber- berine sulphat, grains 20; geranium, drams 2; thuja, drams 2; ipicac, drams 1; aqua q. S., ounces 4. This last injection was made morning and evening for a few days till the amount of the mucous discharge was lessened. Then made only in the morning. At bed- time an ounce of liquid petrolatum in which was stirred about 8 to 10 grains of bismuth submitrate, was injected into the rectum while in the knee-chest posi- tion for 5 to 10 minutes and allowed to remain over night. By the eighth of October his mind became rational and he was able to eat again and to get out of doors. The main part of the work was entrusted to the father and two brothers. I made but three visits. He is a traveling musician and today can play as well as ever and has no signs of insanity. - The thing Eclectics have a right to smile at is that 3 or 4 allopaths wanted to send this case to the State Hospital here for the Insane. - It is now a well known fact that epi- lepsy is but the result of a system be- coming saturated with poisons made by fermentation of fecal masses remaining for long periods in the sulci of the colon. These masses can remain there while the central portion of the fecal stream passes them giving the impression to the unreasoning practitioner that the “Bowels Move” and are therefore empty. And too this condition is so common and the eroded surfaces they make so frequent, that we can have the autotoxemic result shown in many forms of nervous de- rangements from migrane to insanity and epileptic symptoms. - If practitioners will hold this very com- mon cause accountable for their cases of “gastritis,” “catarrh of stomach,” “liver or billious troubles,” loss of appetite, nervousness, mild dementia and many more whose causes are assigned to the organ itself, they will direct their pre- scribing into an entirely different channel. I have a new case of cancer of the womb or cervix. She has a very tender caecum and sigmoid. What does that signify? One of the big causes for the trouble. Her system is non-nutritive. So full of poison that it will not mend an irritated point or overcome the formation of cells resulting from irritating poisons in the system. I beg of the profession to always ex- amine the colonic tract for “sore spots” while the patient is on his back with feet drawn up so the knees are elevated and the abdominal muscles are relaxed. No matter what the internal trouble, mis- trust the COLON. The soul may be compared to a field of battle, where the armies are ready every moment to encounter. Not a single vice but has a more powerful opponent, and not a virtue but may be overborne by a com- bination of vices.—Goldsmith. - 42 ELLINGWOOD’S THERAPEUTIST A comPLICATED CASE OF SCARLET FEVER (UNTREATED) AND DIPHTHERIA . E. E. GADD, M. D., DEs Mornes, Iow A On Oct. 4th, 1919, I was called to see a boy of eight years who was suffering from a severe case of adenitis together with a paratonsilar abscess which neces- sitated opening. • Upon questioning the mother of the child I found some two and one half weeks previous he had a sore throat and a fine eruption over the body. Three or four days thereafter in examining throat I noticed a membrane on right tonsil which a laboratory examination proved to be positively diphtheria. I gave the youngster ten thousand units an- titoxine and echinacea and phytolacca internally. The throat cleared up very rapidly and everything seemed lovely un- til the fourth or fifth day thereafter, I noticed the boy's face looked acdematous with a chalky appearance of the skin. This condition increased to general an- asarca. - - Examination revealed both heart and kidneys greatly at fault. - Urinalysis revealed albumen and casts in abundance. The term used to the mother was that the boy was water-logged and the thing to do was not to let him raise his head for anything; advised drinking tube for taking liquids, yet did not let him be in one position long, but change from posi- tion to position. About this time the child was stricken with a terrible earache in both ears and tenderness extreme, over both mastoids which terminated in middle ear abscess in both ears. - The treatment on finding edema was to stop feeding for twenty-four to thirty hours absolutely, give all water we could get into the patient both externally with (hot sponge) and internally. Then the first thing was a teaspoonful of the old A-B physic in a glass of hot water. The remedies which I varied as I thought best from day to day were the following B Craetegus . . . . . . . . . . . . . . . . . . . . 5iv Cactus . . . . . . . . . . . . . .gtt. xxx to xl. Apocynom . . . . . . . . . . . . . . .5ig to 3ij Apis . • - - - - - - - - - - - gtt. xv to gtt. xx. Glyconda q. S. . . . . . . . . . . . . . . . . .3iv Sig. a teaspoonful every two hours. Since the edema has disappeared and the boy is doing fine I have reduced the dose very greatly. I have dropped the glyconda and he is taking two drops of Howes’ acid solution of iron four times a day. - The mastoid condition was taken care of by an ice bag to both ears an irriga- tion which I relegated to the ear spe- cialist. The boy is convalescing finely and our only trouble is not to over feed during convalescence. ECTOPIC GESTATION* H. H. HELBING, M. D., ST. LOUIs, Mo. I am not going to take up your time by dwelling upon the theoretical side of this question, relating especially to causes, etc., but will relate my experience han- dling three or four cases the past year. It is a subject that should interest all of us, for it is important that we do our best to make a diagnosis as early as possible in such cases so as to avoid serious complications supervening. We will have difficulty in diagnosing this wrong from normal pregnancy, pyo-sal- pinx, cystic ovaries or abscess in pelvis. The first case I wish to relate was Mrs. A. H., age 22, married about five years, and has had no children or mis- carriages. She has been suffering with salpingitis for several months and I have been advising operation, as I suspected pus tubes. She came to me last fall complaining of more pain than usual in the left tubo-ovarian region. Says she has missed her menses two months, but it has now come on and she passes clots. At times the pains are so acute as to cause cold sweats and slight collapse. Her suffering is so great that she no consents to an operation. Upon opening the abdomen we find an ectopic in the left tube, the same being developed to the size of one’s fist. There had been no rupture, so the tube was easily removed. The right tube, being - *Reprint from National Transaction. ECTOPIC GESTATION ... . - 43 chronically diseased, was also removed. She made a smooth recovery and has had no trouble since. - Mrs. G. D., widow, age 31, entered hos- pital January 2, 1919, with a history of having had pain in the pelvic region for some time. No clear subjective history could be obtained, but palpation revealed a mass filling the pelvic cavity and ex- tending to the brim of the pelvis. The uterus, only slightly enlarged, was pushed up against the pubic bone. There was a white blood count of 15,200. There being no clear history we were not sure what the mass could be. Upon opening the abdomen we found that we had an ectopic to deal with. The tube on the right side had ruptured some time previ- ous to her entering the hospital, the in- testines and omentum had become firmly adherent to the sac, so we merely cleansed out the cavity and put in a rubber dam drainage. In this case the fetal products were entirely without the tube, the in- testines, omentum and wall of the pelvis forming the sac wall. covered readily and left the hospital January 20. Mrs. A. R., married, age 32; came into the hospital. February 5 with a history of having had her last menstruation in October, 1918. She says just before Christmas she had cramps and fainted; became very weak. Palpation and bi- manual examination revealed a uterus soft, slightly enlarged and in the nor- mal position. There is a mass in the cul- de-sac slightly to the left. Diagnosis, ectopic gestation. Upon opening the ab- domen there was a mass in the pelvis adjacent to the fimbriated extremity of the left tube and surrounded by the in- testines and omentum; in other words, the intestines and omentum formed the larger part of the sac wall. Evidently the mass had been forced from the tube at the time of her severe pain and weak- ness. The entire sac was easily removed with the fetus and placenta, and the abdo- men was closed without drainage. She recovered and went home two weeks af- ter the operation. The patient I now present is one in The patient re- which the symptoms pointed to ectopic, but which proved to not be such. Miss D. S., age 19, has missed her menses three months. She entered the hospital having cramps and was passing large clots. She had an operation two years. ago for appendiceal abscess. An exam- ination revealed a mass in the right tubo- ovarian region, the uterus being fixed but slightly pushed to the left. White blood count 23,000. The question is as to whether this is a pus tube or ectopic. The high blood count points to pus tube. The fact that she is single also would lead us to believe this were she not a city hospital patient. The absence of menstruation for a time followed by a menorrhagia and the passing of clots point to ectopic. Upon opening the ab- domen we find that it proved to be a pus tube. When called to a case of ectopic that has ruptured into the abdominal cavity, we will often find the abdominal cavity filled with blood and it requires rapid work to save such a patient. If we have reason to suspect a wrong of this kind in a patient, it is wise to either have them operated at once or let them stay where they may be accessible to a hos- pital where surgical interference may be instituted at a moment's notice. RETENTION OF A DEAD FOETUS CHARLEs WooDw ARD, M. D., CHICAGo Unpleasant emergencies sometimes oc- cur in criminal abortion. On the discov- ery of pregnancy and particular environ- ments, some women, to bring on men- struation, resort to methods which are dangerous to life, such as manipulating the uterus with hard rubber catheters, knitting needles, throwing aqua ammonia into the uterus, taking tansy tea and strong em men a g o gues; dangerous amounts of turpentine or nutmeg, large quantities of quinine and cathartics. Some of these methods occasionally produce abortion by destroying the life of the foetus, but so weaken uterine nerves and muscles as to inhibit expulsive efforts. - In many instances death occurs be- 44 - ELLINGWOtjD’S THERAPEUTIST Ca.11Se. physicians are not generally well versed in the intra-uterine constructive methods, and do not know what can be accomplished with it. Text-books con- tain many signs and symptoms caused by the retention of a dead foetus, though only a few are of importance. The breasts of a pregnant woman who has not too recently nursed a child will be- come soft and flaccid, struation does not return. More or less infection occurs from the liquor amnii and cessation of develop- ment with the death of the foetus in early pregnancies. A dead foetus has been retained for weeks and months with- out a fatal issue. Minor signs are de- teriorated health, low fever, loss of ap- petite, sunken countenance, dark areola around the eyes, fetid breath, hurried respiration, repeated rigors and periodic- ity. The latter sign makes diagnosis somewhat uncertain. - The removal of a dead foetus is al- ways justifiable, but a consulting physi- cian forms a protection in case of the patient’s death. - Treatment—Whenever the symptoms positively indicate the retention of a dead foetus; a half of a hard rubber catheter made aseptic, with a string attached, should be fastened in the uterus by a pliogil of cotton with a string attached for removing it in 24 hours. If no pains have occurred at the end of 24 hours remove the catheter and wash out the accumulated blood and septic material, and if the cervix is not dilatable three- quarters of an inch reinsert a fresh cathe- ter for another 24 hours. The cervix then will usually be sufficiently dilated to empty the uterus. - Pass a half spiral curette through the cervix and to the fundus and slowly ro- tate it. If the pain is unbearable admin- ister chloroform short of producing sleep; then continue rotating the curette until the foetus and most of the secudines are removed; now remove the remaining at- tached fragments with a flat dull curette; then wash out the uterus with a three- ounce half-strength solution of peroxid of hydrogen, alternated with a five-ounce although men- alkaline antiseptic solution and finish the washout with epsom salts two drams, 33 per cent phenol gtt. xv. aqua q. s. oz. vlll; place a hot water bag over the uterus for 2 or 3 hours. Repeat the washout every 24 hours for two days then every 48 hours until the uterus is free of oxidizable substance. Evacuation of the bowels every day. If fever is present, showing early infection, prescribe B. potassii chloras, Spe. echinacea, Spe. veratrum gtt. xx. with full pulse or Spe. aconite gtt. x when rapid and weak, aqua. q. s. oz. lv. M., Sig.: One dram every two hours. -- In an obstetrical practice one meets with a great many emergencies that are not surgical, but which are easily over- come with the proper instruments and a knowledge of the intra-uterine construc- tive method. - . . . . PNEUMONIA IN CHILDREN C. WESTON Ewasº, M. D., PORT HURON, - ICH. In the treatment of pneumonia in chil- dren I began 43 years ago by adopting the specific methods advised then by the teachers of our school and have had really marvelous success. In fact, I had practiced medicine many years before it occurred to me that pneumonia was a very serious disorder, as the little folks under the proper treatment reacted in such a satisfactory manner. The course I would suggest is that which involves the use of aconite and belladonna at first. Much is said con- cerning the use of veratrum, and for stenic cases in adults the indications are most frequently those of veratrum, but for children under five years old I have found the indications for aconite most frequently present. . . Inasmuch as we use aconite in very small doses frequently repeated, we are never anticipating any effect of depres- sion. The reductions in pulse and tem- perature are caused by inducing a normal condition of the circulatory organs. The capillary circulation is equalized in a very mild and natural manner. * * In my entire experience, I think I have never had a depressing effect from PNEUMONIA IN CHILDREN 45 aconite but once, and that was in no way alarming. Unless there is marked nervous excitability, belladonna exercises a natural influence. This acts syner- gistically with aconite and these important influences can readily be obtained in con- junction with the action of this remedy. There is a sedative influence exercised by bryonia in pneumonia which covers al- most the entire field of its pathology. I am aware that this is not in harmony with the opinions of many homeopathic prescribers, but at the same time, it is true, if I may judge from the important and unmistakable beneficial influences. I have been able to observe, in a large num- ber of very sick babies. I developed this habit of prescribing byronia at one time, when I had so many of the little folks exhibiting a similar course of treatment. Later I adopted that course with these little folks only in severe cases and when I deviated from this course I regretted it, finding that the satisfactory improvement I antici- pated did not occur. This course is as follows and if a more specific course cannot be adopted this will be usually highly satisfactory. I combine ten drops of aconite and ten drops of belladonna, U. S. P. tinctures of each of these, in one glass and add from twenty to twenty-four drams of water definitely measured. In another glass with the same quantity of water I add ten drops of Lloyd's bryonia and six drops of Lloyd's ipecac. On this I have depended and have in many cases turned the condition from one of extreme seri- ousness, to hopeful anticipation. With these medicines I begin with the aconite mixture, giving one-half tea- spoonful and in one-half hour give one- half teaspoonful of the bryonia mixture. I alternate in this manner, these two mix- tures, until there is a satisfactory reduc- tion in temperature, pulse and in breath- ing rate. If the case is a very severe one it will be necessary to continue it through one night disturbing the child only once an hour and then being care- ful not to awaken the child if possible. This course so adopted has not a single objection. The relaxation is obtained for which we often give lobelia; the an- tagonizing of the conjestive features is secured from belladonna; the soothing influence upon the irritability of the bronchial tubes is obtained from bryonia and the steady influence of control upon the circulation is obtained from aconite. These four influences usually cover al- most the entire symptoms complex, if begun early. In extremely severe cases, in very small children, or during severe par- Oxysms, the half teaspoonful doses alter- nated every one-half hour, I believe, has saved a number of lives for me. A very young infant, less than six weeks old, weighing four pounds, recovered beau- tifully under this simple treatment when double pneumonia had developed with severe bronchial invasion also. In bronchitis with short, quick cough, with short sharp pains, especially if the sputum be bloody or frothy bryonia acts directly. It should be given in small doses at short intervals and should be persisted in. It will subdue the pain and cough promptly and exercise as marked an effect on the fever as any special seda- tive known. The importance of bryonia in this dis- order with both children and the aged cannot be overestimated. It is physiolog- ically adapted to the underlying path- ological processes and is especially indi- cated with children. Its influence upon the temperature we will not undertake to explain. I have found it important to continue, throughout the course of the disease, although those who prescribe with accurate definiteness advise it only for certain indications. Its influence upon an exalted tempera- ture is simple, very uniform and efficient, especially when the pulse though small is hard and vibratile and the cough very dry and irritating, or short, harsh and hacking with bronchial secretions. The homeopathic indications are that the sore- ness is relieved on lying on the inflamed side, and the face is flushed and on the check there is a bright red circumscribed spot. 46 ELLINGWOOD's THERAPEUTIST This agent reduces exudations, hepa- tization, suppuration and adhesion, and promotes the removal of the inflamma- tory products, prevents serous effusion. While this agent is essentially harmoni- ous one, in its action with aconite, there is not more harmony than is found to exist between the four agents advised in the routine course. With severe bronchial symptoms with cough, it is now very common to us libra- dol. Properly adjusted its external appli- cation secures most of the influences of these four remedies in a very fortunate and satisfactory manner. With all else avoid fresh cold air, a col droom and cold applications. SOME VALUABLE NEGLECTED TRUTHS FINLEY ELLINGwooD, M. D., CHICAGO. - Macrotys I am quoting here, some statements concerning the action of macrotys by Dr. John King reproduced from the Chi- cago Medical Times of May, 1886: Dr. King says, “I have prescribed this remedy since 1842 at which time I think but very few doctors had any knowledge of it, as a medicine. I am confident that this remedy lessens the action of the heart and arteries; that it diminishes nervous irritability like a special seda- tive, and that it is especially active in its influence on muscular tissues, as well as upon the glandular organs, and that this sedative influence is extended in Some cases to a plainly marked narcotic influence. If from ten to sixty minims of a good tincture be repeated every two hours in cases of acute inflammatory rheumatism and this dosage is continued until there is distress in the head, a very marked influence is observed in the rheu- matic conditions. In severe cases the influence upon the brain should be sustained in a mild man- ner for a number of doses or until the condition has entirely disappeared. In chronic cases it diminishes the severity of the pain, but is not so active in removing the cause of the disease. It seems to have a special influence upon the eyes. “I have given it’, he says, ‘in conjunctivitis and in sclerotitis, in doses of from ten to sixty minims often repeated and have effected a recovery in a few days. In chorea I have given this remedy as my reliable agent for fifty years preferring the alcoholic extract. Without entering fully into the par- ticulars I have given it successfully in many neuralgic affections. In uterine leucorrhea accompanied with endome- tritis, as well as in uterine congestion, also in those cases where there is a derange- ment of the menstrual functions, espe- cially those accompanied with amenorr- hea, or amenorrhagia, frigidity and steril- ity to a certain extent. It is ecobolic and has a very beneficial effect upon the generative organs. It will certainly in- crease inefficient labor pains overcoming some very stubborn cases of uterine in- ertia. It has proved a substitute for ergot in arousing progress that very nearly resembles the normal, and without any harm to the fetus or impairment of the uterine sensibilities. It may be given throughout the course of the labor, and continued subsequently in severe cases relieving after pains and materially influencing involution. In uterine hypertrophy especially if there be fever and a flabby condition of the uterus accompanied with irregular hemorrhage it will be found an excellent remedy. Where there is marked gastric acidity, this condition prevents proper action of macrotys. There are some cases in which the nervous system is very susceptible to this remedy, and where a few drops have pro- duced a condition similar to delirium tremins. It is a peculiar remedy in that its influence is exercised both upon the serous, and mucous tissues, and its influ- ence once determined is plainly substan- tiated throughout the various conditions in which that influence is involved. The new Colloid Macroty is without doubt the most perfect pharmaceutically of any fluid preparation yet prepared. By combinations of this remedy with gelsemium, aconite, phytolacca, and ar- nica, its influence is greatly increased and the field of its operation is enlarged. SOME VALUABLE NEGLECTED TRUTHS 4? *. Mastitis - One of the highest of the British au- thorities advises the use of a solution of carbonate of ammonia, one ounce to a pint of water, as a fomentation for inflamed breasts, those that are especially heavy, very painful with redness of the skin, deep throbbing sensation with high pulse. These symptoms, he claims, will all disappear from the fomentation alone. It must be assiduously applied for one-half hour and in some cases for two or three hours. The nipples should be protected. From our own experience, a few doses given every two hours of five drops of poke root, and about three drops of aconite and two or three doses two hours apart, of fifteen grains of acetate of po- tassium to carry off the refuse waste. × k ºr In a most conspicuous manner last year our attention was called to euparatium perfoliatum, commonly called boneset as a remedy for influenza. In addition to our own suggestions I have found a very interesting description of its influence in an English work on the action of vege- table durgs by William Henry Webb of Southport. This authority, says, it should be gath- ered in September and October and should be stripped of the leaves and blos- soms as these are the parts used with the small branches. He says its own indica- tions are for a cold infusion. He further says that whatever the causes of con- stipation in dyspeptics, it can be freely used and is a most excellent remedy in fevers. It is a soothing tonic, and is es- pecially advised in malarial regions and marshy territory. Given cold it does not so freely act, as an emetic, but as a warm decoction it acts powerfully on the skin removing obstinate skin diseases, and in many cases, is a sure remedy in malarial fevers. There are cases of petechial or spotted fever, or in pleurisy especially of the low types or in diseases accompanied with general debility, if dropsy be pres- ent where it can be used with advantage. He especially recommends it in influenza and in catarrhal fevers, especially if the conditions are such that the skin is per- sistently hard and dry. The doctor cov- ers a very broad ground in his statements but does not give many specific indica- tions, but he says that its value in yel- low fever and in ring worm, dropsy, gout, syphilitic pains, or in any infections from insects or the bites of snakes. - It has been the experience of many of the observers of the past influenza epi- demic, that it is very similar in its in- fluence to that of the infective fever of the south known as breakbone fever. This is one of the special conditions of this authority to which it is directed. Y Yº Yºr This journal has on several occasions spoken of the use of Collinsonia in chronic stomach and intestinal troubles specially where the nervous system was involved. A patient once called on me with a nine year old boy who was suffer- ing from frequent attacks of epilepsy so severe that nothing but complete an- esthesia would control them. The father had been advised by a physician to use teaspoonful doses of Lloyd's collinsonia every hour and later applied to me for information as to the possibility of over- dosing the child with this remedy. After a careful examination it ap- peared to me that the child was having an anti-spasmodic effect from the rem- edy, in some cases quite pronounced and without doubt, it had been highly bene- ficial at times. I advised its continuance and increased the dosage finally to two drams. - - In spite of this remedy and any other measures suggested the case advanced beyond all control and finally developed to such frequency as an attack every ten or fifteen minutes, finally losing its in- fluence entirely. Notwithstanding this I never have lost my confidence in the fact that there are cases of epilepsy that will be favor- ably influenced by this remedy and I frequently call it to the attention of my readers and ask for reports. * Ar ºr The use of Urtica Dioica in the treat- 48 ELLINGWOOD’S THERAPEUTIST -- ment of certain forms of anemia has been exceedingly popular in foreign coun- tries. Its influence seems to cover the entire field and in many cases has been highly satisfactory. An infusion is made from the roots and stalks of the young leaves in process of development. It is worth while ob- serving and developing this idea from which we may succeed in finding a useful remedy. * × ºr k I would ſike to report the use of lobelia injected into the urethra in cases of spasmodic stricture. In some cases I have found it to act as if by magic, and in the following case it was impossible to pass the smallest kind of a sound for a number of weeks. For a year the patient had had difficulty in urinating, urine passing very slowly but without pain. The difficulty so increased until it simply dribbled and that most of the time. In fact, it would take an hour to satis- factorily empty the bladder and many physicians had failed in other times to pass a catheter or sound. After becoming discouraged I adopted another course. I warmed the catheter and undertook to pass it as warm as he could stand it. After two weeks trial without success I adopted the following course. With a medicine dropper I dropped fifteen drops of fluid extract of lobelia into the urethra. Closing the meatus I held the fluid in there for five minutes. I then prepared my sounds and passing them warm I found I could pass a No. 10 with little difficulty. I con- tinued this method twice a week until I was able to pass a No. 24 without trouble. The patient now is passing urine nor- mally, has no gleety discharge, and has not had a sound passed for two years. Since I treated this case I have tried the same course on many other cases with success in every one, which certainly is Saying a good deal. ¥ k k The saddest of all failures is that of a soul, with its capabilities and possibilities, failing of life everlasting, and entering upon that night of death upon which morn- ing never dawns.—Herrick Johnson. Night Blindness Two cases of night blindness have come under my observation. They were both congenital. One was noticed by its mother when the child began to walk, the other patient told me he was probably three years old before he noticed it. Upon examination I could find no de- fect in the retina in either of these pa- tients, who could see nothing by moon- light. I am inclined to think it was due to sensitiveness of the retina. I have seen a number of horses who had what is called moon eye who were not good night drivers because of defective vision. They would walk or go very slowly in the night time, but in the day time they went as fast as any other horse. It is difficult to assign a real cause for this condition. While the condition is often congenital it just as often results from. functional disturbances. There is an exu- dative choroditis and a pigmentary retini- tis with some other conditions that affect those tunics of the eyes and produce night blindness. Where the cause is idiopathic, there are probably no changes in the ap- pearance of the eyes, but the sensitive- ness of the retina has much to do with these. The conduction of the visual im- pressions is also at fault. There is no specific measures suggested for its cure. × Yº Yºr Scarlatinal Nephritis In the treatment of nephritis follow- ing scarlet fever, the physician is often involved in considerable difficulty. The course of the acute symptoms, develops so rapidly, that it is often with difficulty that the functional activity can be sus- tained. While these cases which appear after this disease, are insidious, the vital forces are so greatly abated that it is with difficulty that the patient can be supported until normal activity is se- cured. In my early practice I was baffled with one severe case. I had occasion to con- sult with Professor Whitford. Very quickly he suggested a course of treat- ment which I have seldom had occasion to complain of. It has been so prompt and satisfactory and with other simple SoME v.ALUABLE NEGLECTED TRUTHs 49 measures has so quickly restored normal activity that I have been able to depend upon it to the exclusion of other more complicated cures. First I applied heat over the kidneys persistently, keeping the area of these or- gans constantly warm with moist heat. An ordinary compress wrung from hot water or a saturated solution of salt and water or a solution of epsom Salts and water are very effective. This can be held in place and over it a rubber water bag filled with hot water can be applied and this retained by a bandage around the body. - With children Dr. Whitford's sugges- tion was to prepare a mixture containing santonin. Twelve or fifteen grains of san- tonin was thoroughly rubbed up with two ounces of the mucilage of acacia in such proportion that one-half grain or one grain should be given at a dose. This dose was alternated every two hours with one-half drop of belladonna in a little water. A larger proportion in older children made by dropping ten drops of belladonna in two ounces of water. With older patients, where the vitality does not show the effect of the suppression, an excellent measure is to combine twenty drops of macrotys and fifteen drops of gelsemium in two ounces of water and give a teaspoonful every hour or two. - If the dropsy is pronounced small frac- tional doses of apocynum should be given every hour or two, or an infusion of digitalis may be given. This course with the persistent use of hot applications will be found very efficient. If there is pain, eight or ten drops of hydrangia may be given every two hours. × Y k Crataegus In the course of the development of our knowledge of crataegus in diseases of the heart, we are brought into contact with the fact that in all forms of the disease considered, the remedy is reliable, especially where there is dropsy from dilated heart, in old standing cases, where there is palpitation with pronounced effu- sion with extreme feebleness, especially if there should be found very large quan- tities of albumen in the urine. . . . . . In my own experience while I have found excellent results, in any case of heart feebleness where the heart muscles were inefficient I have obtained reports from a still larger number of these heart cases, the conditions existing long in aged patients resulting in a series of very seri- ous complications. - I am treating a case at the present time where a man seventy-four years old, al- ways a large man, is very dropsical. Af- ter having treated him for the dropsy by various measures I gave him a small bot- tle crataegus and told him to take two drops every two hours and later four drops every two hours. With this course a long train of disagreeable symptoms have abated. We have a report of a man thirty-eight years old suffering from progressive loss of strength, from interference with sleep. He had also profuse night sweats and was an intemperate man in the use of liquor and was excessive in all forms of dissipation. His pulse was rapid, irreg- ular and intermittent. There was pro- nounced hypertrophy of the heart, the apex beat being found in the sixth inter- space with an increased area of dullness. There was violent palpitation with but little excitement and there was distinct intermittence every four or six beats. This combination of symptoms I have found present in many cases. To this patient five drop doses of crataegus was given and there was immediate improve- ment apparent. After four weeks this course was discontinued and with care- ful directions I permitted the case to take care of itself. Later in the fall I was called and found the patient in a pitiable condition. He had gone back into his habits of dissipation and this had been prolonged into a spree. From four dif- ferent physicians who had attended him in my absence he had received no benefit. The last doctor had told him that death was inevitable in a short time. With crataegus, however, there was slow im- provement. Later specific remedies were given as they were indicated and the pa- 50 - ELLINGWOOD’S THERAPEUTIST tient now eats and sleeps well, and has resumed his accustomed occupation. The intermittent pulse is still present although not so frequent. - One doctor used it in two cases of valvular disease only one of which was benefitted. . - Y Yº Yºr I was recently consulted by a young lady of thirty years who had, since her seventh year, had frequent returns of a most severe form of dry, scaly eczema. The case had recently developed so rap- idly, and the itching was so intolerable that it confined her to her bed for a time. The stubbornness of the case in spite of all previous treatment added to the diffi- culty of a cure. - I gave the case a very careful study to determine some indications, which I could follow, and which would ultimately . explain such a prolonged appearance of this troublesome disease, as previously there had been quite a long period of freedom from any manifestation. I decided finally to give her a nerve sedative to control the nervous excit- ability present, and this I made of sodium bromide in five grain doses every two hours, a few drops of cannabis indica and passiflora. But I was not satisfied with these indications. I discovered a pecu- liar appearance of the tongue. It was red like the redness of new blood, in large follicular manifestations. This showed through a very dirty coat causing me to believe that the patient needed an acid and more distinctly hydrochloric acid. I therefore prescribed this rem- edy. In less than a week from the time I began this acid the improvement was very marked and my last reports were that the patient was rapidly improving and felt as though she would soon re- COWer. - To this I have added to be continued after the acid was discontinued, a form- ula that contains to each dram four drops of poke root and ten drops of berbeibis aquifolium. From this course the patient is getting splendid results and I am anti- cipating a satisfactory cute. PsychoTHERAPY John RUNDSTROM, ST. PETER, MINN. About forty years ago I was called one day, during the last part of October or first of November, to see a young lady at the age of 19 or 20 years, who, during one of the first days of the preceding June, had been out and caught by a cy- clone that had thrown her into a hedge- fence where her folks found her sense- less after the cyclone had passed. The nearest doctor was called and treated her during fully four months. The last time he was to see her he had told her folks that there was no use in his coming there any more as the lady was no better than when he first came to see her, although he had tried every- thing he thought would do her any good. And he had further said that he had never seen or heard of such a case, neither had the doctors whom he had asked for advice and who lived in a ten or twelve miles' distant town. It was in the afternoon of one day when the girl’s uncle came to my place and asked me to go along with him so we could be at his house about Sunset, or when the moon rose. He then told me how his niece was seized with convul- sions at every moonrise and in what a fearful condition she was as long as the moon was up, but got entirely over it as soon as the moon went down, until the next moonrise. - Tonight, he said, will be the third night since this last new moon began and we can just see in the calendar when it is going to commence and when to cease. I now told him that I could not go along with him then, but would come next evening at the time of the moon- rise. And so I did. Coming to the house I knocked at the door, which soon was opened by a tall, slender, goodlooking young girl who bid me enter. - I must now say that I was quite aston- ished to see my patient looking as if she never had been ailing a single day and my examination didn't go very far be- fore her uncle and his wife entered and he began repeating the same that he had PSYCHOTHERAPY - - - 51 told me the day before when he was at my office. - Being through with his talking, he looked at the clock and said: “It is soon time you will have your seizure.” Turning to the girl, I said: “I don't think I will wait any longer, it is getting late, so I will leave you some medicine and give directions how to take it.” This done, I told her that I wanted to know how she was when all the medicine was taken. - I bid her farewell, but hadn't more than just unhitched my pony when the girl’s uncle opened the door and ex- claimed: “Hello, Doctor, now she has got her fit. Come in ſ” I hitched my pony and hurried in. The girl was on the bed and in an extreme position of opisthotonos. All that touched the bed was the back of her head and her heels. Her whole body had assumed the form of a rainbow; her forearms bent flexed against the arms were jerking forcibly; her jaws were rigidly fixed; her mouth covered with foam; her eyes rolling and her eyelids half shut. She was indeed hideous to look at. For a moment I was at a loss to know what to do, but there occurred to me a statement my wife, who had died a few years ago, had said to me some weeks before her death, (She died of con- sumption.) “John,” she said, “do you not make use on your patients of the power you are gifted with P’’ And my answer was a relatively silent and long- drawn “No-o.” “But why don't you? If there is a human being who has a healing power you have it and you should know that.” How she could really know it I can't say, and she must have noticed it more than once, otherwise she couldn't have been so sure of it. Well, standing at the side of the girl and thinking of my wife's advice, I made up my mind to make a trial, as I thought I couldn't get a better specimen for the same than I had here. I thereon applied the ends of my fingers, those of my right hand to her left temple and those of my left hand to her right temple and so lightly that I could hardly feel the touch and then moved the hands slowly down the head and neck. Having made a few such strokes very lamely and almost without thought of what I was doing. I then concentrated my thought on the girl and with a will power so forcible that my whole body was shaking, I made eight of ten strokes more with the result that my patient was now laying flat on her back with all the symptoms gone except now and then an almost impercep- tible jerk of the arms, which had taken their position along the sides. - I didn’t say a single word to the girl during my whole performance. And now I turned to her uncle and said: “Well, this is all I can do tonight. Let her commence tomorrow with the medicine I have left for her, taking two or three drops in a little water after each meal and when it is all taken I want to hear from her again. About two weeks later I saw her uncle coming to my office and when within hearing I called to him: “Hello, how is the girl?” “She is alright,” he said, “you hadn’t got onto your pony before she got up and has had no seizure since.” This happened the fourth day after new moon and if we say the moon's in- crease in time for every day he is up until full moon is one hour, the seizure would have lasted four hours, but under my performance it didn't last more than fif- teen or at most twenty minutes and the girl has not had a single seizure since that time. >{< xk >{< J A B O R A N DI: A S A N ABORTIVE AGENT IN INFLAMMATIONS J. D. SMITH, M. D. DAYTON, OHIO I believe it is a request of yours that each subscriber should furnish you with some medical fact. Well, here is one that I have proven many times: Jabor- andi will abort pneumonia notwithstand- ing the fact that other drugs may do this. I made this statement fifteen years ago and have had no reason to change my mind even though I have been through an epidemic of “Flu” since. 52 . • , ELLINGWOOD's THERAPEUTIST Don't misunderstand me, I’m not a radical, and I believe there are very few cure-alls. Jaborandi will not cure all cases of pneumonia, but given these con- ditions—an intial chill, followed by a temperature of 103° or thereabouts and the crepitation of the stage of engorge- ment of the lungs which is the beginning Stage of lobar pneumonia. In some cases jaborandi properly administered will abort an attack of pneumonia and in many cases cause the attack to be com- paratively mild. It must be given early, however, during the stage of engorge- ment and as hepatization takes place very rapidly sometimes I cannot say just how long after the initial chill jaborandi “should be given only to robust persons, as it is possible in weakly and in quite -young or elderly persons that marked depression follows its use. Jaborandi is just as useful in many other troubles which are characterized by a sudden onset with high fever. The puerperal woman that has a chill and a sudden rise of temperature may often be quickly relieved and if the puerperal flow has stopped, have it restored by the administration of this drug. It is equally effective if the chill and rise of tempera- ture be due to engorged breasts. Peri- tonitis may also be treated with it. As to the mode of administration. This I think of great importance. Put one teaspoonful of Lloyd's specific medi- cine jaborandi in four teaspoonfuls of water, flavor with a few drops of cin- namon. Of this, give a teaspoonful every hour until all is given or until pa- tient perspires freely. Impress upon the nurse that she must follow directions im– plicitly, as this method of administering this powerful drug is to prevent over- dosing and yet so planned as to give enough to secure results. I realize that it is an active, powerful remedy, but in these conditions mentioned you have an active, powerful infection to combat and you must promptly eliminate poisons and equalize the circulation or the patient will either succumb to its effects or suffer a long siege of illness. . The usual method of giving jaborandi in these conditions is absolutely useless. One had as well expect to kill an ele- phant with a shell loaded with bird shot as to stop a disease of this character with the usual small dose of jaborandi. But it certainly is satisfying to see a patient with a temperature of 103 plus 4 or 5 degrees come out of a good sweat in a few hours feeling fine and with a tem- perature of only 101 or 100 degrees or even normal, and I have seen this many, many times. . . Comment:-The writer's statements made in this paper are correct provided the prescriber appreciates the fact that Some cases are more susceptible than others, and that every dose must be given with the idea that full effects may follow that dose and the agent discontinued be- fore depression appears. During late pregnancy or following labor I should give the advised doses with great hesi- tancy. - In acute congestions and inflammations of any organ in a sthenic patient in mid- middle life this course may be appled, although my own dosage has not been above five minum repeated with dis- cretion. I once followed this active dose pro- gramme in a lady past middle life and had salivation follow the first dose of perhaps twenty drops of a fluid extract, with such violence and promptness that the result was an alarming one and one calculated to impress caution upon a pre- scription for the rest of his life. The influence on the skin was ab- sent entirely, giving way fully to its vio- lent influence upon the salivary glands. >k :k :: VOLATILE OILS H. T. GRIME, KALKASKA, MICH. Most oils prove on filtering to consist of several grades. The solvent is usu- ally not inflammable, but strong of per- fume and taste and valuable for thera- peutics. The strong unfiltered part is quite inflammable and irritating and is usually mixed with alcohol to make mar- ket oils. . . . . . . . . . . . . . . . . . . . . I think, that the solvent filtrate is of BRIEF CONTRIBUTIONS 53 most value in therapy and by a second filtering in a coarse filter the two parts can be mixed to suit most doctors. The solvent alone is best for infants and delicate patients. They also prefer the flavor. I obtain a few drops of the perfumery grade, which is the high- est fraction in cooling, which is usually lost for want of proper machinery and is very small in quantity only about one per cent of crude oil. The crude oil is a general mixture of solids, liquids and gases at the usual temperature. - - The mother liquor which is condensed to make fluid extracts usually contains a ferment, which should usually be al- lowed to work to deposit impurities, then may be mixed with the pure oils if de- sired. They are usually quite nutritive, being sugars, pectin, vegetable gelatin and gum resin with mixtures, that are only evident in therapy and a mystery to the chemist. - . $. The true volatile oils are fatty acid Series and aromatic series or benzoate Series. The fatty acid series are nutri- ent. The benzoate series are only Stimulant, sedative or alterative. Those containing true dangerous poi- Sonous narcotics are well known and are usually rare. The most common is called, “Bitter Oil of Almonds” in trade. It is a mixture of benzoldehyde and hydrocyanic acid, though present in many plants that generate benzoic acid, which is the final result of decomposition of oil of bitter almonds. Benzoic acid is only a stage of de- velopment from glucosides in the orig- inal plant and is generated by all flowers and infant animals and their mothers and is the main base of all flower perfumes and is the essence of all new life and always disappears in disease, being satu- rated with stale nitriles. If we inject into the body an excess of benzoates to take up the nitriles of autotoxines, health resumes normal func- tions. Here is the value of perfumery and flower extracts: Benzoates are oxidised glucosides and turpenes, and pass under name of salicylates in the cold regions, while cinnamates exist more in warm regions, but are found together, and convert to benzoates. t They are combined with peculiar tur- penes which oxidize into alcohol, ether, aldehyde to acid. Being only different degrees of oxidation of turpenes and can often be changed by the chemist, at will, . both forward and backward. The chemist has determined the most active and distinctive forms of primary oils that are peculiar to each natural oil, but also found in many other plant oils, which Mr. Chemist declares to be . identical, but the pharmacopea decides, that the vegetable source must also be declared for each primary oil. Volatile oils are all complex com- pounds, containing more elements than I have mentioned (see large text books). Resins are the final remainder after oxi- dation and evaporation, in nature and often mixed with gums and can also result from manufacture and is the fixed final result usable in paints, etc., and for preserving animal and vegetable sub- stance from decay. Some contained powerful medical drugs, that can be dis- Solved out, but I prefer the natural solv- ents in the original oils as far better than Synthetics, because of vital -principles that are active in natural oils, but ab- sent in synthetics. - •. Nature still holds some secrets from art and will for a long time. There is more in the presence of the vital prin- ciple than is generally acknowledged. . . .” I only use art to remove the useless ingredients with as little use of other chemicals as possible and often find, that the filter is all that is required and re- distilling of the crude products after short fermentation, to ripen any imper- fect growth in the original herb, by ripening the crude juice after distilling the pure oil. - Then we get seemingly more pure oil from the crude fermented juice. Other- wise the cost would be beyond market price. It is rare that nature ripens a perfect crop and the chemist must finish the complex job. Being a doctor many years 54 ELLINGW, OOD’S THERAPEUTIST before I became a chemist, teaches me better what the doctor needs for success. After years of partial success with narcotics by old methods, I worked out a treatment with volatile oils that acts perfectly and leaves no bad results as paralysis, etc. It reduces La Grippe to a trifling “cold” with only slight slack- ing on ordinary duties out of doors. I encourage out door work to increase food digestion, but sleep by hot fire with some ventilation and feed during sleep with what pleases patient. I have written a system of treatment for the constitution during disease at- tacks, but printers' strikes delay publica- tion. >}< >|< x < A TRUSTWORTHY STYPTIC F. H. WILLIAMs, BRISTOL, CoNN. In relation to the use of Monsell’s styptic solution, as mentioned previously: Some years ago I had an elderly lady who had all her teeth extracted and there had been a seepage of bleeding for hours that the dentist had not stopped. The bleeding was sufficient to whiten the pa- tient. Adrenalin chloride had just been exploited for these bleedings and I tried it for about a half hour with no results except a momentary blanching of the gums. Then I made two pads of cotton batten which were saturated with Mon- sell's styptic solution and adjusted to both gums, the mouth was then closed and handaged tightly together and left in that condition till morning. The bleed- ing stopped at once and did not recur. This is the second case with same results. TREATMENT OF IRREGULAR MUS- CULAR ACTION THoMAs WINTERs, M. D., BEAUFORT, N. D. Jrregular muscular action, involuntary and persistent, is difficult of treatment. One of the best remedies for this condi- tion is correctly adjusted electrical cur- rent. From the various specific writers we obtain suggestions for a number of remedies which are found, from time to time, to exercise a beneficial influence. Among those from our own writers, the first two most important and promi- ment are Macrotys and Gelsemium. It is surprising to what an extent Macrotys will prove beneficial in these conditions. Confidence was originally placed in the coal tar derivatives but these have proven to be injurious in many cases in pro- ducing other conditions while perhaps exercising a mild beneficial influence upon this condition. The Schussler remedies—Magnesium Phos. has been suggested. In some fe- male patients the symptoms for Pulsa- tilla are very conspicuous but the condi- tions of ataxia are most frequent in the male patient—five to, one. Sodium Phos- phate is found to be a good remedy at times. The anti-spasmodics given in mild doses and such nerve sedatives as Gelse- mium, Conium and Cannabis, are avail- able. Where convulsive phenomena are threatened especially is this class of rem- edies indicated. As a premonitory indi- cation headache is one of the first symp- toms and when this condition is present, the head feeling heavy and the pain espe- cially in the posterior brain, these reme- dies are indicated and usually the de- mand for Gelsemium is pronounced, as Soon as muscular irritability is apparent, with slight muscular twitchings. Vera- trum in doses of from five to fifteen drops of the tincture is a reliable remedy if not continued too long, or given too fre- Quently. >|< >|< >{< w CENTIPEDES AND ECHINACEA While on a trip to Courtland, Arizona, I was bitten or stung on the leg above the knee by a centipede, which had run up the leg under the trousers. I went immediately up to Bailey’s drug store and took about four drachms of Normal Tincture Echinacea at a single dose, early in the afternoon, repeating thé dose in the evening and again the next morning. A compress was also ap- plied and kept moist with full strength As a result of this treatment no bad effects were experienced from the inci- dent, but the purple marks at the point of contact remained with me for several weeks.--DR. J. B. NEEDHAM, Star City, Ind.—Therapeutic Digest. THERPAp EUTIC, FACTS SINGLE TRUTHS FROM MANY DOCTORS AND MANY TRUTHS FOR EPICH DOCTOR • EE T]|[F] Chalk As a Bone Maker - In the making of white flour the wheat is robbed of most of its mineral content which is so necessary for the bones and teeth. - For years I recommended graham and whole wheat bread, but I was unsuccess- ful in changing the condition of my pa- tients. . In late years I have a better way, I buy lump chalk for three cents per pound. This contains calcium, sodium, magnesium, silica and potassium salts; in fact, it is a good cell-salts mixture. I fill No. 0 gelatine capsule with pow- dered lump chalk, and when I have a patient having trouble with his teeth, I prescribe a capsule once daily, and in less than a month he will see the benefit from the treatment. F. Pollard, M. D. - k ºr Chyluria I had a recent case of this disorder which it took me quite a little time to rec- ognize, as it was the first case I had ever seen. Not having experience to help me decide as to a cure I looked up the au- thorities and in a back number of your journal I found a recommendation for gallic acid and thymol. I gave gallic acid ten grains four times a day, and thymol alternately every two hours. There was gradual relief and ultimate complete cure, but it took a little more time than I expected. Would it not be a good plan for others to write up for the THERA- PEUTIST, their treatment of this disease? I find that thymol has been given in very large doses, but I believe that one grain of thymol in solution will be sufficient in most of these cases. C. F. Morton, M. D. For a Cardiac Neurosis with Indigestion On page 297 of the August THERA- PEUTIST is a request from Dr. Carey for diagnosis and treatment of the case which he has on hand. The doctor has given us but a meager description, on which to base a positive diagnosis. I am going to call it indigestion, that most fre- quent of any one pathological wrong, and I shall prescribe the following. I think the indications for the remedies I prescribe are present in his case. This combination has served me an excellent purpose when similar symptoms have been present. B Specific cactus. . . . . . . . . . Dram 1 Specific nux vomica. . . . Drops 15 Fluid hydrastus . . . . . . . Drops 15 Water q. S. . . . . . . . . . . . Ounces 4 Mix. Take a teaspoonful every two hours. - - Take two tablets also of aloin and cas- carin compound every three hours till full effect is produced. They are slow but sure in their influence. After results are obtained, give the tablets only as needed. This will secure success I be- lieve. H. H. Morgan, M. D. X k My Dear Doctor: Sometimes I become bewildered at the Oceans of facts that we run up against every day. There is one consolation, they are true facts, like the law of gravi- tation. Here's one. I can't account for these things, Dame Nature, I suppose, knows all about it. But there are condi- tions in pneumonia, in which Ferrum phos, Jaborandi, Lycopus and Lobelia will do impossible things. Sometime I'll write you details, but, in the meantime, ask the family to investigate, look for in- dications. By the way, that term indica- tions means a great deal. Who'd expect 56 - ELLINGwooD's THERAPEUTIST to find indications for Lycopus in pneu- monia? But they are often seen, and then Lycopus is the only remedy that will save your case. . . . Yours for facts, . . . . . . . Frederick A. Rew. Waverly, N. Y. * - Bursa Pastoris Five drops of the tincture four times a day, cured a persistent case of hema- turia after a number of other well-known remedies had failed. That this remedy will cure certain cases I have no doubt, but I have not been able to find a specific indication for its use. I have failed with * At it where I finally succeeded with other remedies. C. Williams. Port Huron. - k k Why Is This? -- Water that has boiled all night will remain hot longer than water just brought to a boil. - Ice that has stood frozen for a month will remain congealed much longer than ice just from the ice plant though per- fectly frozen. . . It is the rate of vibration thus attained so I think. • - × X One of my most stubborn cases of Singletus yielded to teaspoonful doses of mustard water given every three to five minutes. - * Ar * - - Those persistent pains in the back of the head and neck yield nicely to the re- peated use of the vibrator. DR. HENLEY. * * , Auto-Therapy I began using the autohemic method of treatment a year ago and have given to * date about 800 injections to about 280 patients. - Is this method a cure-all? No! cine. first. corrected a continuous diarrhea which I had had since my gastro-enterostomy eight years before, and besides gave me a fund of energy so that I could work all day and half the night and not get he is sitting upon. But it comes closer to working miracles than anything I know of in the realm of medi- I tried it on “the dog” (myself) One single treatment, permanently tired. This wonderful desire for and ability to work is manifested in nearly every case. - ‘I have no time nor space to go into details. But let me say that I have seen a number of cases of cancer of the breast, abdomen and pelvis get well and a number of cases of diabetes rendered free from sugar on liberal diet under autohemic therapy. - A. F. BURKARD. Santa Barbara, Cal. A. Y. Treatment of the Prostate A combination of veratrum, hydrangea and aletris will prove of value in sub- acute or chronic prostatitis. Aletris may be something new, but remember you are treating the male uterus, and its tonic properties will dawn upon you; it makes your patient forget that he has a ball, that W. E. BREMSER, M.D. St. Louis, Mo. X. X. Substitute for Colchicum * Havelock, Ont., Nov. 10, 1919. Could the Editor or any reader sug- gest any drug to take the place of Col- chicum. I use a good deal of it in my practice but the price has reeled so high that it is very desirable to have, if pos- sible, some substitute that will fill the bill equally well if that be possible. I use it in conditions that show chronic under- elimination. COMMENT: As an eliminative it occupies a place difficult to fill. Its most desirable in- fluence is obtained from doses too small to show physiological reaction. Associated with . macrotys its alterative influence is pronounced. Gelsemum antagonizes any gastro-intestinal influence it seems to exercise. To replace it in all its influences would be a difficult thing to do, and yet combinations of podophyllum in small doses, with leptandrin or iris properly combined will produce results equally satisfactory and occasionally superior. Colchicum is specific to diseases of the gouty diathesis. It mildly increases sluggish elimination, stimulating the skin, kidneys, lungs and intestinal tract. Care must surely be exercised not to give over doses, which result in gastro-intestinal irritation, nausea and vomiting, and depression. - A, S, Thompson. Havelock, Ont, Eſº ellingwoods ºutrapeutist BURGESS’ sugge:STIONS AND INDICA- TIONS FOR THE WARM EPSOMI SPONGE BATH 1. A laboring heart, structed capillaries. - 2. Restlessness, nervousness or itch- showing ob- ing, showing toxic irritation of the 11é1 VeS. - 3. A purple tint of the skin, showing suboxidation of the blood. The epsom bath will take the dark carbon toxin from the blood and purify it in a few minutes. 4. Stupor. 5. Coma. 6. Fever. If the bath is given by these indica- tions, wonderful success will result. Never give the bath by guess work; guessing don’t hit. If the bath is given only by indications, fever baths will be required and the patient’s pain will be relieved from the start. When not indicated, the bath only worries the patient and does no good. Then in an hour it might be indicated and the patient refuse it. The warm epsom Sponge, or towel bath (one heaping tablespoonful of ep- som salts in one pint or quart of warm water). - Sponge the entire body over and over again for fifteen to thirty minutes. Then dry the skin with a towel or let it dry as preferred. The bath neutralizes poisons in the blood and dissolves obstructions in the capillaries, relieves pain, lowers fever, stops congestion and inflammation, cures headaches, colds, cough, throat trouble, heart disease, stomach trouble, pelvic diseases, dropsy, etc. tº An epsom water application on light compress all night or constantly is some- times required and is always good. The larger the application the better. “ . The hot epsom water foot bath, taken at bedtime for fifteen to thirty minutes is a grand thing to cleanse the blood. The warm epsom water head, face and neck bath, for five or ten minutes once or twice daily, dissolves the urates of the skin, cures headache, cold in the head, nasal catarrh, falling hair, dan- druff, pimples and the tendency of old people to Sclerosis. - A five to twenty grain dose of epsom salt in water before meals, especially be- fore breakfast, gives the stomach an epsom bath and improves all secretions. Too rich a diet for the work done is the most prolific cause of disease. Dis- card all animal foods, tomatoes and onions from the diet until cured. - + 3 + - IDIAGNOSIS OF IDUODENAL UILCER. Dr. Pilcher of Brooklyn gave at one- time the following as symptoms of ulcer of the duodenum from 200 cases which he has seen, as the four prominent features: First, the chronicity of the complaint; second, the periodicity of the occurrence of distress; third, the occur- rence of pain of a peculiar type with precise time of onset; four, the control of this discomfort by taking food or al- kaline remedies. - In suggestions for treatment, Dr. Stockton of Buffalo claims that the pa- tient should be kept in bed continuously for several weeks. To manage the pa- tient, so that involuntary action of the pylorus and the duodenum may be min- §8 ELLINGWOOD'S THERAFEUTIST imized to lessen the amount of the gas- tric secretion, decreasing the acids of the juices as much as possible. Considerable is being written on the subject we have frequently referred to of the infection of the tonsils inducing rheu- matism and other evidences of general infection throughout the system. A re- cent report refers to three cases of acute nephritis that were developed during at- tacks of tonsilitis and in incising the ton- sils and removing subsided. . • - The character of diffused infection in these cases is having a great deal of con- sideration, and it really deserves it, be- cause there is so much to be determined. >}< >}< >{< NEPHRITIs As A SEQUEL To INFLUENZA Since the epidemic of influenza of last year much has been said of nephritis as a complication. This disorder compli- cating “flu” or grip is not uncommon. The following describes most of the cases. One of my cases had polyuria with very deficient solids with but little albumin. - - In the cases under observation the grip symptoms were slight, usually many of them not requiring medical aid or caus- ing the sufferer to cease from his usual occupation. These cases were found most frequently in young adults. The advice of the physician was asked more for the relief of the nephritis than for the grippe. Among the most promi- nent symptoms is that of swelling of the face. The swelling seldom affected the hands and feet. In some cases these symptoms were all that were complained of. In others there were other symp- toms, such as great muscular pain. This pain was most severe in the muscles of the neck and along the spine. In none of the cases did the tempera- ture reach over 102.5°, and in many it did not reach normal. - Albumin in all cases was abundant. In but one case was there hematuria, and this lasted but one or two days. Usually the urine was diminished in quantity and low in specific gravity. The tongue was heavily coated, furry and white, having the appearance of atony. the pus, the nephritis Gastric glands inactive. The bowels were at first constipated and followed later by diarrhea. Occasionally there was nausea, but in no case severe. There was always tenderness over the region of the kidney. Headache was not severe but was associated with mus- cular pain. Nervous symptoms not us- ually affected, but the general tendency was toward dullness of intellect. The symptoms in general pointed to those of interstitial nephritis and ran a mild course with no fatalities. It differed from the afebrile variety, as the symptoms did not appear until after the cessation of the attack of grippe nor did they subside without medical treatment and diet. The treatment in principle consisted in specific medication, rest and diet. These are named in relation to their im- portance. The medication was not in many respects alike, as each had its indi- viduality and required peculiar attention, peculiar from the fact that the general chain of symptoms was so varied. The best remedies were gelsemium and macrotys. In fact, I think gelsemium prevented the kidney complications when given early. - Among the other remedies used were eryngium, erigeron, belladonna, Soda sul- phite, sodium salicylate, etc. This, with heat over the kidneys, with absolute rest, milk and broth as a diet, accomplished the desired results. The length of time in most cases was not more than three weeks. Our object in calling attention to this complication is to call attention to the unusual frequency of it and the rapidity with which these cases recovered. To date there have been no unfavorable re- sults from the malady or a return. . :k :k >k - ANTICIPATION of ENDoCARDITIS In an examination of the heart, if it is found when pneumonia is threatened, to be irregular in character or obscure, be suspicious of the approach of endo- carditis and when this is threatened, counter irritation and a cardiac sedative are demanded. If the heart muscle seems to be involved, Cimicifuga will be of great service. ... EDITORIALS. . . . . . . 59 REstudy of good old REMEDIES As there has been a neglect of medi- cines and their study in general in the profession at large in recent years, there has been a marked tendency by the younger students of Eclectic Medicine to take up with serums and antitoxins and other biologic and chemical medi- cines and neglect some of the very excel- lent vegetable products which the early observers and the fathers in our school considered the most promising and cap- able of high development. Among those which should not under any consideration be neglected I will re- view the following as recommended by Some of the best of our old writers. Dr. Bloyer, editor of the Medical Gleaner, wrote about twenty-two years ago in the Eclectic Medical Journal: Ceanothus—It is indicated by a full, doughy, sallow skin; expressionless face; pain in the right side in the region of the liver, or in the left side in or about the spleen. Ceanothus has a specific action upon the portal circulation and it is through this that it so materially affects both the liver and spleen. To a lower degree, it influences the stomach and is regarded as a stimulant to the digestive apparatus. With these facts before us, ceanothus is an efficient remedy in enlarged liver, due to a sluggish portal circulation. On the same basis it is recommended as a remedy of great certainty in either acute or chronic hypertrophy of the spleen. In acute splenitis, with fever and tender- ness, because of its stimulating effect it is not so good a remedy as is unedalia. In malarial splenitis of a chronic nature, and subsequent malarial anemia, cean- othus is a valuable remedy. - Because of its stimulating effect upon the mucous membranes of the body and its stimulating action upon the blood Supply of the stomach, ceanothus is an excellent remedy in some cases of dys- pepsia, those in which there is a depraved blood supply, little absorption, poor he- patic and splenic action. For these rea- sons ceanothus is also a beneficial factor in the relief of many cases of dysentery ant. and diarrhea. It effects pleasing changes in some cases of chronic bronchitis and of asthma. - It is a remedy for both syphilis and gonorrhea—or, in fact, in any other dis- ease where the above indications prevail. This is especially true in some cases of menorrhagia, when the flow is very pro- fuse and the intervals marked by a free, yellow, leucorrheal discharge. The dose of ceanothus is a teaspoonful every one to three hours of a mixture of from ten drops to two drachms of the specific medicine (which is the best preparation of the drug known to us) to four fluid ounces of water. We believe a trial and close study of this drug and preparation will be pleas- Formerly in fusious of ceanothus were used as a gargle and wash in aphthae, sore mouth, gonorrhea, cancer, etc. - A case is given by Dr. Kaunel of chronic splenic hypertrophy with symp- toms of developing leucocythemia. When she came under my care there was a bulging in the left axillary line under the ninth, tenth and eleventh ribs, almost equal in size and contour to the crown of an adult's stiff hat. Patient complained of a dull, heavy, aching pain, with tenderness on pressure over the spleen and kidneys, urine scanty and cloudy, with very offensive odor. Menses were irregular and very painful, having the color and consistency of light red paint. Pulse and temperature normal; tongue full, thick, broad with slight yel- low coating at base; bowels generally constipated; tissues and veins full and . sodden; skin shiny and greasy. - Treatment — R. Specific ceanothus amer. 3 ij;. sp. podophyllum, gtt xxx; water 3, iv. M. Teaspoonful every four hours, alternating with R. Sp. agrimonia 3 ss; water, q.s. 5 iv. Teaspoonful every four hours. Locally, polymnia uvedalia ointment, thoroughly basted in with hot flat iron morning and evening. After second week discontinued the above treatment and gave the following: R. Sp. ceanothus amer. 5 j; sp. macrotys. 60 ELLINGWOOD’S THERAPEUTIST * gtt xxx; water 5 iv. m. Teaspoonful every four hours. At the end of the fourth week her waist measure had decreased five and one-half inches and the bulging had sub- sided. Continued the last prescription two weeks longer. This was followed by a complete and permanent cure. Senecio-This is another of the old Eclectic remedies that seems destined to a state of “inocuous desuetude” unless rescued soon through a restudy by our younger men. The older Eclectics all use it and have used it for years and it has never failed them. In the books gen- erally you will find it described as a tonic diaphoretic, diuretic, expectorant and emmenagogue. We believe a num- ber of these virtues are of a secondary nature. To us senecio seems to have but one very commendable property, that is a special or particular affinity for the genito-urinary organs of both sexes. Given a man with fullness and heavi- ness in the perineum, dragging weight and dull pain in the testicle and cord, together with a urination that is both tardy and difficult, with frequency and tenesnus, or even an involuntary flow, burning and stinging, and a diminished amount of urine, with a turbid, mucoid sediment, and an increased or diminished sexual appetite—the so-called “gravel” case—and senecio is to him a sovereign balm. Senecio is specifically indicated in the treatment of the woman who has weight and fullness in the pelvis, a feeling as though “everything would drop out be- low, pain in vertex and cerebellar regions or in both ; a purulent cervical or uterine leucorrhea, dysmenorrhea, or menorrhea, , sterility, or subinvolution. Senecio has a specific action upon many cases of Ovarian trouble. No class of disease is more troublesome and no remedy, when properly given, brings such certain re- sults. Besides these there may be the dis- turbing urinary symptoms enumerated above and even symptoms of granular degeneration of the kidneys with a slight albuminura. The young woman who most needs senecio is said to be “chlor- otic.” It is she who has taken enough iron to make a railroad train of no mean size and is no better. Give her and the others specific senecio, in from ten drops to a drachm to four fluid ounces of water, a teaspoonful of the mixture every two or three hours. After trying it effectually and in the proper doses and cases, write the Journal your opinion as to whether we have not done ourselves injustice and Senecio a wrong in neglecting this old Eclectic remedy. Helonias is a remedy peculiarly adapted to women. It is specially indi- cated in cases in which there is mental irritability and depression. The woman complains of a fullness or heaviness and congestion in the pelvis. She frequently says, “She feels as if everything will drop out.” There are lumbar pains, restlessness and general weakness. Prof. Scudder said that in the helonias case there was a pinkish color to the surface. This we have not always been able to verify, though we have used helonias frequently and with great satisfaction to ourselves as well as to the patient. The chief action, as we have said, of helonias is to tone up the female repro- ductive organs. It improves both their function and nutrition. It helps over- come excessive fatigue and is the remedy for “that tired feeling” of which the doctor hears so frequently; that pain in the back and down the thighs and back of the legs. It strengthens the uterus and thereby prevents miscarriage and overcomes the tendency to abort. It re- lieves many cases of dysmenorrhea, es- pecially when the flow is accompanied by a “bearing down” pain, etc. Helonias is an excellent remedy in many cases of leucorrhea, of amenorrhea and of chlor- osis. It sometimes will relieve the nausea and vomiting of pregnancy when all other remedies fail. Besides being a tonic, helonias has a decided diuretic action, and is an effi- cient remedy for strangury, jaundice and in many cases of nephritis, both acute EDITORIALS . . . . 61 and chronic, especially when the patient is despondent and given to melancholy. Helonias, through its general tonic effects, is recommended in anorexia and . dyspepsia of the atonic type. It is said to be an efficient remedy in some cases of rheumatism. But for these last uses we have so many superior remedies that we suggest helonias be studied only in its relation to and effect upon the repro- ductive organs of the female. In proper doses, or when given as a ſ medicine and not as a poison, cantharides has a peculiarly stimulating effect upon the urinary apparatus. We believe that it acts principally, if not wholly, upon the base of the bladder and upon the urethra. Besides, it has more or less stimulating action upon the womb and ovaries. As a diuretic—that is, when we desire to increase the quantity of urine excreted—we are positive that we are familiar with a number of remedies far superior to cautharides. Yet, like elaterium, the small dose of which is a specific in bladder irritation, cantharides seem to exert, when the small dose is given, a specific action on the genito- urinary organs of both sexes. It is a remedy of no small value for irritability of the bladder. It has few superiors, if any, for incontinence of urine due to debility and relaxation or partial paralysis of the sphincter vesicae, and especially in that incontinence so often seen in women who, because of weakness of the bladder, are unable to retain the urine when they cough or sneeze or laugh. Here cantharis is an excellent remedy. - - Cantharides is highly recommended in some cases of seminal emissions. We can imagine the case in which it will do well. It is of a “below-par” condition of tissues about the base of the bladder, prostate and urethra. It is a remedy for the same conditions that may be seen in obstinate cases of gleet, prostat- orrhea, spermatorrhea, chordee and in diabetes insipidus. Cantharides is the remedy in chronic nephritis and pyelitis. It has no superior in the relief of that tearing tenesmus that is so wearing and worrisome in cystitis. skin diseases, prurigo, lichin, tinea tonsuraus, tinea Cantharides exerts a beneficial effect upon the uterus and its appendages. It is a uterine stimulant and as such it acts as a direct emmenagogue in some cases of amenorrhea, uterine, leucorrhea, me- tritis and even in mania, depending upon a wrong of these organs. It is very ef- fective for good when given in chronic ovaritis, when there is a burning sensa- tion and pain, worse at the menstrual period. It is a remedy when menstrua- tion is too scanty or too profuse, or too early, or the discharge is too dark, and especially when the breasts are very sore and sensitive. Cantharides is highly recommended in the proper dose as a remedy for scaly like psoriasis, eczema, circinnati and in alopecia, especially when the patient is depressed, needs stimulating, etc. & The dose of specific cantharides, as given in some of the works on thera- peutics and in the dose books—from three to ten drops in water—is too large. Ten-drop doses, frequently repeated, might produce trouble. From the frac- tion of a drop to five drops, well diluted, is ample. Cantharides should not be given when there is active inflammation or congestion of the kidneys. >k :k sk A TREATMENT FOR, CATARREI I find an excellent combination for the treatment of chronic catarrhs, whether they be post-nasal or intestinal, to be fifteen minims of Echinacea with as much Stillingia, four or five times a day, avoiding extreme gastric acidity, and using injections to wash out the lower intestinal tract. - In one case of gastro-intestinal catarrh of seven years standing, probably from ilco-colitis, which had so long existed and resisted all treatment, I gave the Echinacea in a compound syrup of Stil- lingia. From this simple combination the patient has spent several years in excel- lent health, resorting to the medicine only when any severe symptoms of the approach of the disease appear. 62 * ELLINGWOOD'S THERAPEUTIST AVOID THE USE OF THE CATHETER. For strictures of simple character I published a few months ago, a course first suggested by Prof. George W. Bos- kowitz, now deceased, which has proven to be of great service. In this, there should be introduced into the urethra a mixture of Lobelia in Olive Oil, adjust- ing the remedies in quantity so as not to exceed ten drops of specific Lobelia be injected at first. There are many cases where there is difficulty in emptying the bladder where with this remedy injected warm, such complete relaxation takes place that the bladder can be freely emptied with no catheter cystoscope or any other in- strumental course. . The writer agrees with Dr. Lydston that in the treatment of this class of dis- order catheterization is all to frequently adopted, and that if the simple methods be chosen instead of instrumentation in most cases, the patient will be less liable to suffer the disorders from instrumen- tation. It is surprising how little harm will come from many conditions by avoiding the suggestions made for the use of instruments by so many surgeons. a UEBRACHo AND AspidospºrtMINE Homeopaths first introduced quebracho as a remedy for difficult breathing where our school has used it for twenty years for this and for some forms of asthma. Dr. S. S. Cohen has recently declared that aspidospermine, employed in maxi- mum doses, will relieve all cases of asthma, whatever the cause. It takes these folks a long time to find these things out. If they would have accepted our suggestions at first, they would have had years of benefit while they were struggling along with inferior measures. YELLOW DOCK A SPECIFIC Fort BLEED- ING PILES - One of our readers advises me that he has obtained excellent results from the use of yellow dock in the treatment of that condition which results in bleeding piles. He adds two or three drams of specific medicine yellow dock, or a first class fluid extract to a three ounce mix- ture and gives dram doses every two or three hours. - d In two cases we used hypodermic lobelia when a miscarriage was plainly imminent at the seventh month, by one- half dram dose repeated as needed. We controlled the pains, controlled undue spasmodic action and the patient went on to full term. In one of the patients a previous miscarriage had occurred at the time that it threatened to occur at this time. :: 3: :: Fort PoisonING BY wooD ALCOHOL Dr. John Dill Robertson, health com- missioner of Chicago, gives the follow- ing symptoms of wood alcohol poisoning: Great excitability. Severe pain in the stomach. Kidneys affected almost im- mediately. Blindness soon follows in most cases, and death if the dose is SeVere. Use stomach pump or emetic at once to get the poison out of the stomach. If done at once this may save life. There is no antidote. Once the poison is ab- sorbed into the system little can be done. PLANT DRUGS vs. KAOLIN Every now and then we are brought face to face with the fact that plant drugs are growing steadily in favor. Not so very long ago when the doctor felt the need of an antiphlogistic he thought of kaolin, combined with glycerin. That was because there wasn't much else to think of for this purpose, but now his first thought, if he is the usual progres- sive physician, is of diaplasma, a Mer- rell product, prepared from well known plant drugs, which is not only a superior antiphlogistic but a local anodyne as well. Diaplasma has the advantage of being usable as an inunction, if desired, thus permitting its virtues to be more completely absorbed by the tissues than a mere external dressing. It is not a new product by any means and is known to most of the wide-awake practitioners as a valuable combination of therapeutic agents in croup, threatened pneumonia, pleurisy, lumbago, rheumatism, sprains, aching and stiff muscles and joint in- juries. NOTICES OF BOOKS * 63 NOTICES OF BOOKS *=s**E=ºmºsº THE YOUTH'S COMPANION Boston, Mass. & This year December 25—Christmas Day—marks the last issue of The Com- panion for 1919, and with this number of the paper your subscription expires. We express the hope that you have enjoyed the weekly visits of The Com- panion and that you will wish them to continue through 1920. The Companion for the year to come will be larger, better and worth more to you and the family than ever before. With the many good things in store for our readers in the months just ahead, we KNOW that you cannot afford to miss a single number of the paper. An early response to this notice will keep your name on our mailing list, and The Companion will continue to come without interruption or loss of papers. Your remittance before the rush of the busy season is on will greatly lighten the work of our clerks, and will also bring a copy of The Companion Home Calendar for 1920. The liberal offers sent herewith are added inducements for prompt renewal of your subscription. We inclose an order blank and return envelope for your convenience. Perry Mason Company Prostatic Diseases and Impotency, by George Starr White, M. D. F. S. Sc. London. In this work the author presents a new and somewhat original method of treating this serious, troublesome and very common disorder. The method carries its originality on its face and con- stantly suggests the reasonableness of the author's ideas. This publication will bring satisfaction to many an afflicted, elderly man who has long anticipated that he must pass through the trials conse- quent upon a surgical process with its long train of unpleasant results. There is some complexity in the methods suggested but the authority back of it makes us bold to approve the course that is outlined and we suggest that the results obtained in any case among our readers be reported to this journal for publication. This method is advised and urged by Dr. Bobertz, President of the Regent Drug Company, 568 Woodard Avenue, Detroit, Michigan, with whom I would advise correspondence. Practical Materia Medica and Prescription writing, by Oscar W. Bethea, M. D., Ph.G., F. C. S. Professor of Materia Medica and Therapy, Tulane University of Louisana F. A. Davis & Company, Publishers, Philadelphia, Pa. To one who has been through the works on therapy during the past two decades, as thoroughly as an editor must have searched them, it becomes a matter of surprise and astonishment that in so important a subject there should be such radical changes in each brief period. * At other times the astonishment is due to the fact that certain facts concerning Materia Medica are unchanged while with each succeeding decade the treat- ment of the department of therapy or drug application becomes less and less— more and more abridged until finally this department seems to be losing caste en- tirely. In this work the treatment of the min- eral and chemical drugs is not greatly changed, but occasional use is brought forward for some remedy which will strike the experienced reader as unusual and in advance. In the book there are a few fluid ex- tracts of plant drugs and the occasional mention of a new remedy but by far the most space is devoted to comparatively well known remedies. A number of the synthetics and the chemicals are brought forward which, considering the fact that there has been over two thousand listed and advertised in the United States since 1882, there are very few in this, preserved and pre- sented as meriting more study. A few of the serums such as anti- diphtheretic and anti-titanic are briefly presented. The book is divided into three parts. The first is that of Materia 64 § ELLINGWOOD’S THERAPEUTIST Medica; the second is devoted to pre- Scription writing and occupies nearly one hundred pages; in the third part eight Or ten pages are devoted to Medical Latin and the consideration of official Inames, and this part proper, which is made up of incorrect and correct forms of prescription writing. As a primary text book it appears to us that this would be a valuable work, but as a book for ready reference for Therapy, something of which we cer- tainly expect in a work of this kind, we find but little as stated. The book is highly authoritative on Materia Medica, inorganic remedies and prescription writing. >k >k >k Standard Guide to Non-Poisonous Herbal Medicine. Edited by Wm. Henry Webb, Southport, England. For many years the herbists of Great Britain have made a strong fight for the retention of their rights as practitioners of medicine. Little by little they have improved their literature until in 1916 this work was produced. This work is virtually a recent presentation of the theories and methods of that school of physicians once quite numerous in Amer- ica known as the Physio-Medicalists. This body of physicians declared that medicines devoid of any toxic principles are always sufficient to cover the demands of the patient and that there is no need for the use of remedies that contain an active principle that could be classed as toxic in any of their properties. These physicians adopted a very simple and almost domestic course of making in- fusions, teas and decoctions and water Solutions to take the place of the more scientific preparations. They use pow- dered roots and other parts of the herbs also. They make many combinations which seem to us to be somewhat incon- gruous. They have studied the action of the individual plants and have brought out many proofs. The study of the remedies in this book include those found in our litera- ture in considerable number. They con- tain also some that have been discarded in recent years and others that are re- placed by new remedies which are not enlarged upon to any extent by their writers. >{< >k Nº. I find that this book contains some of the old formulae and other applications for their remedies which differ mate- rially from those of the early writer's combinations and yet seem to be of much service. They bring forward black co- hash, black snake root, sometimes called lobelia; capsicum, viburnums, Snecio, helonias, motherwart, euporeum, golden- seal, lysopus, berberis, pyrola, hepatica, slippery elm. In their suggestions there are many practical ideas brought forward. Their simple methods of treatment are pro- ductive of much good and their use of the non-poisonous plants makes it pos- sible for them to escape the serious re- sults from overdosing. They are suc- cessful practitioners with a low mor- tality in the treatment of all diseases. The book will prove of service to any who desire to know more of the effective proofs which the fathers of botanical medicine brought forward and sustained for many years. We have received with the above work from Dr. Webb of Southport, Eng- land, a pamphlet containing about one hundred pages entitled, The Mother and Child, written by Mrs. Webb—Sarah A. Webb, graduate of the Chicago College of Medicine and Surgery, published by the Southport Printing Company of Southport, England. The book is a well written series of essays on Womanhood, Motherhood and Childhood and the diseases complicating motherhood and childhood. The book seems to be full of sugges- tions as to the different conditions that may occur and the simple treatment these physicians adopt under the circum- stances. They are practical, simple, de- void of danger and productive of much good. This little work will be helpful to any physician, however ultra-scientific his course may be. GLEANINGS 65 Practical Organotherapy, the Internal Secre- tions in General Practice. By Dr. Henry R. Harrower, M. D. F. R. S. M., London. The subject matter of this book is about in the following order: It is a new book on the internal secre- tions which are now becoming exceed- ingly popular. The first chapter is the introduction and a department entitled, “The Basis of Organotherapy”; then follows a practical consideration and out- line of this subject. The second depart- ment considers the pleuri-glandular therapy bringing out those disorders which a brief experience of the past has shown are satisfactorily treated with this class of medicines; then follows diagnosis of internal secretion disorders. In this is the consideration of the frequency of endo-crine disturbances as met in gen- eral practice. This includes minor thy- roid disorders and organic thyroid dis- eases and methods of treating thyroid functions; and then the study of adrinals in both health and disease. The disorders of the pituitary and ovarian organs and disturbances of the Hymus and the para- thyroid glands. This book will be found of great in- terest in the study of this subject and an important subject it certainly is. To any physician who will send twenty-five cents, stamps or coin, to pay the ex- penses of shipping the book it will be sent without further charge to those who order at once. The supply is limited. Address Dr. Henry R. Harrower, Glen- dale, California. Later the price of the book will be $2.50. It contains about two hundred and seventy-two octavo pages. The author says further of this book: Frankly this book, like Merck’s “In- dex,” has a dual purpose; for in addition to serving as a convenient work of ref- erence—so far as I know there is no book in any language with which I am famil- iar which contains quite so much boiled- down information on the subject, es- pecially as it has an index with over 1,000 references—it is intended to direct attention to the work of my “laboratory of applied endocrinology.” A NEW TRI-STATE SOCIETY The experiment was tried last year in Cincinnati of effecting a closer union of two or three state societies which were immediately contiguous in a single union session. The effort was eminently suc- cessful. Encouraged by that success Dr. Charles Woodward of 2529 Orchard St., Chi- cago, is arranging a plan to effect a com- bined session of the societies of Wiscon- sin, Michigan and Illinois. The plan is to hold a session if possible in Milwau- kee in June 1920. The details have not yet been com- pleted but in our next issue we hope to print at least a tentative program. There are many reasons why this plan should be successful. Look for a full announcement next month. GLEANINGS PRODUCTION OF BRIGHT’S DISEASE BY FEEDING HIGH PROTEIN DIETS Dr. L. H. Newburg said that the clin- ician had so far been unable to name the etiological factor of Bright's disease, and the causes suggested by investigators had So far accounted for only a minority of cases. The chief business of the kidneys was to rid the organism of the end prod- ucts of protein metabolism.—(Medical Record.) Could it not be true that the kidney could secrete a certain amount of nitrogenous matter for an indefinite period without suffering harm, but that it would be injured if the quantity of some or all of the nitrogenous substances was increased and kept at the higher level for some time. Experiments were undertaken on animals fed with high protein diet, and the groups were typed according to the protein used. The following results were obtained in rab- bits: When rabbits were fed several egg- whites daily, evidence of renal injury was very quickly and constantly noted. With continuance of the egg-white feeding, acute nephritis resulted. How- ever, when the nitrogenous metabolism was increased by means of casein, the animals suffered no renal injury from an 66 ELLINGWOOD'S THERAPEUTIST intake of 15 grams daily; when the daily ingestion of casein was 30 grams, the nitrogen metabolism was about three times the normal and well-marked dele- terious effect on the kidney was pro- duced. Another group of animals were fed on Soya beans for months regularly, and these developed chronic nephritis regu- larly, and frequently died from it. The nitrogen metabolism in this instance was about twice the normal. It was found that the renal lesion produced by feeding high protein diets was not caused by the passage of too much urea thru the kid- ney. It would seem that the kidney injury was related to those digestion products of protein which vary both quantitatively and qualitatively with the type of protein ingested. Experience with Influenza. In pre- vious epidemics as well as in the last epidemic, the writer did all the work the physical, organism could stand. I think I treated as many, if not more, cases in this last epidemic than in the earlier one. I saw instances of several sick at the same time in the same family, and hardly ever were there two of these cases so nearly alike as to require the same remedies; I treated several hundred cases with good St!CCCSS. Space here will only permit the mention of a few of the most prominent remedies frequently indicated. In the first stage, gelsemium and aconite seemed to rank high, followed, perhaps, by one or more of these as indicated: eupatorium perf., belladonna, bryonia, veratrum vir., arsen- icum iodid, phosphorus, etc. Other rem- edies indicated for the numerous con- valescent conditions were many. Cardiospasm Cardiospasm is a condition frequently overlooked. Although the pain is great, it is attributed to other causes. I have had an experience in the treatment of these cases which I consider very valu- able, as they are most difficult to manage. When the condition becomes chronic, it is indeed very serious, and the prognosis is not good. A German writer makes the following statements concerning the diet and care of these patients: “Psychic in- fluences are important in treatment; the patient must be tranquilized and taught to practice swallowing movements before meals, as this helps in relaxing the cardia. “Diversion during the meal, change of the meal hours and change of environ- ment will sometimes help to cure. One of the patients was freed from the spasm when he ate alone in his room. The moment anyone looked at him while he was eating the spasm recurred. Regula- tion of the diet is important; some pa- tients do better with solid foods and others with fluid. “A tablespoonful of pure olive oil be- fore the meal in some cases prevents the contraction. Instead of the pure olive oil, a mayonnaise of oil and eggs is some- times taken with less repugnance. The food must be soft and prepared with a great deal of butter or cream. Sedatives may do good in the mild cases, especially belladonna. “In the chronic cases the accumulated mucus and debris must be thoroughly washed out, with, possibly instrumental dilatation of the cardia. He has treated a patient in this way, with an inflatable bag, with excellent results, but this treat- ment has to be repeated now and then as no instance of a permanent cure by this means has been reported. “Dilatation through the opening in the stomach has been successfully done in 12 cases on record.” Euphrasia Indicated. A patient re- cently consulted me with the following symptoms. He had come from Turkey, and had been in this country but a few months: The principal symptoms were distress —tightness—persistent fullness across the face, at the root of the nose, and through the lower frontal region. There was a slight, persistent, dull headache between and just above the orbits. There was snuffling, and a persistent discharge of a watery fluid from the nasal passages, with watery red eyes. He seldom GLEANIN GS - 67 breathed through but one nostril, and oc- casionally with much difficulty. The con- dition he says has lasted for seven years off and on. An examination with reflected light and throat mirrors showed thickening of the post nasal membranes, with elonga- tion of the middle turbinate. There was a right deflection also of the nasal sep- tum. Casting about for a specific treatment, as he objected to operation, I remem- bered reading in the THERAPEUTIST, a treatise? concerning the actions of Euph- rasia, of its remarkable properties that are unfailing in their influence, and also to convince the readers of its harmless- ness I used this remedy and obtained definite and satisfactory results. Experiences. Doctor, have you ever had in your life any striking experiences; I mean not only thrilling, startling or dangerous experiences, but deeply inter- esting ones, or exceedingly humorous ex- periences? These need not be in pro- fessional life. I would like to collect a series of these experiences to put together in a little volume for the future and if you will write such an experience for me, if I can use it, I will present you with a copy of the volume for yourself and one for some friend besides. If I cannot use these experiences I will return them. CHLORID OF SODIUM IN ECZEMA EDITOR MEDICAL WORLD-Some time ago I read in a medical journal a report of a doctor curing an almost hopeless case of eczema by using injections or enemas of sodium chlorid in the bowels. No other medicine used except laxatives and diet. My old associate, Dr. J. W. Turner, told me some years ago he had tried giv- ing tablets of sodium chlorid for eczema, with some success. He said he saw some medicine from a noted advertising doctor who treats skin diseases by mail, and it was chlorid of sodium given internally, 5 to 20 gr. doses. *. I have not had any cases to treat lately so have not tried it myself. Would be pleased if some brother will try and re- port. - It should be given in tablets or dis- guised in Some way so the laity will not know it is common salt, as they would have little faith in it. Might use enemas, too. If it is of any value it is a cheap and harmless remedy. I have never seen it recommended in any book on skin dis- eases. If any doctor has ever tried it, wish he would report results. Dr. Russell Truitt. Southwick, Ida. COMMENT: I have recently treated a case of exceedingly dry, scaly eczema of a most persistent type with intense pruritus. After a long search for definite indications I noticed the peculiar unusual appearance of the tongue. There was a grayish yellow coat with very prominent papellae extended from a very red base. Mucous membranes very red. On this I prescribed hydrochloric acid and abated the symptoms materially in 48 hours. GREEN AND DRY DRUGS By using the green drugs and prep- arations made from green drugs we not only obtain the benefit of the full thera- peutic value of the plant in its natural condition but we prevent, in using the green drug any changes which might take place in drying. These changes may be of benefit. They may increase the therapeutic value of the drug or they may be detrimental causing a diminishing of the valuable constituents and sometimes forming harmful products of decompo- sition. - In most cases these green drugs are more active therapeutically than those made from dry drug formula as they have a different therapeutic effect. No Pharmacist doubts that incorrect opin- ions have been formed of the use of plant drugs because of the fact that in drying, their medicinal properties have been changed or destroyed entirely. Those of us who have had long exper- ience know that before any plant drug is discarded, it must be considered with reference to its preparation as a medicine both from the dry plant and from the green herb. 68 ELLINGWOOD’S THERAPEUTIST QUININE-VALERIANATE AS AN ANTI-PERIODIC A French authority has advised for the treatment of intermittants the use of valerianate of quinine and for the treat- ment of the neuralgic conditions, thus adding a special sedative influence to qui- 111116. One of his formulas contains one-third , of a grain of hyoscyamus. The effect, he says, should be prompt and if not secured in two or three days, another course should be adopted. This course is similar to that which we find among the remedies of many of the older physicians and this combination is not at all new to present prescribers. Yº Yº Criticism. The Australian govern- ment has been treating their cases of cre- tinism with thyroid extract. More than a thousand patients have thus been treated with satisfactory results. Nearly one half of the cases have been materially benefitted, and only eight per cent showed no benefit. In nearly every case those individuals who were dwarfed, have rapidly increased in height. A re- markable observation, was that the dwarfs grew taller even when from twenty to twenty-six years of age, as if the growing power had been held in re- serve, and was released by the influence of the thyroid extract. Cardiac Epilepºy * a condition not commonly recognized. There are a num- ber of cases of epilepsy which present cardiac neuroses. In some cases the epi- leptic condition includes the heart muscle as well as other muscular structures. In Some cases the spasms of angina will follow the general epileptic condition. There is no doubt that in a number of these cases the condition of the heart is to blame for the epilepsy, and the proba- bilities are, that if the heart condition can be entirely overcome there would be no convulsions. * * The influence of kava kava to increase and sustain a good appetite has received but little attention. There are many cases in which this remedy is most reliable for this purpose. SOME INDICATIONS FOR SOLANUM AND THUJA By E. P. ZEUMER, M. D., HARRISON, O. In a few words I wish to call attention to Solanum car, and its use in whooping cough and other spasmodic affections. Several years ago we had a case of whooping cough in our own family which seemed to resist all attempts to relieve the patient. Finally Dr. W. P. Best, of Indianapolis, suggested that we try Solanum. We accordingly purchased a supply and the results were so pro- nounced that I have continued its use in nearly all cases of pertussis that come my way. We have recently had an epidemic of whooping cough in our neighborhood and almost every patient, young and old, gets Solanum. I have given it in doses rang- ing from one-half to three drams to four ounces of water, a teaspoonful every two or three hours until the spasmodic character of the cough is mitigated, and then about four or five doses daily dur- ing the entire course of the disease. My observation leads me to believe that the duration of the disease is shortened in a large percentage of cases, and all of my patients claim that the spasmodic char- acter of the cough is greatly relieved. I have seen no toxic action following its use, outside of a slight drowsiness when continued largé does were taken. I would suggest to those who have Inever tried it in spasmodic dysmenor- rhea that it be given a trial. Two or three drams to four ounces of water, a teaspoonful every two hours, will re- lieve greatly. Add the usual dose of conium to this and you get happy results indeed. In all spasmodic affections I believe that Solanum has a place of usefulness, and I would like to hear of others giv- ing it a trial. While in the humor, I might suggest to those who have never used oil of thuja to purchase a supply at once and begin using it as a local application to those old chronic forms of endocervicitis, and ero- sion of the cervix. Cleanse the cervix thoroughly by means of hot alkaline douches and then apply pure oil of thuja GLEANINGS 69 on gauze, firmly packed into the cervix and held in place by a tampon also con- taining the oil. & Leave the tampon in place until the following morning, when it should be removed. Two applications a week for a few weeks will work wonders, espe- cially if the indicated remedies have been properly administered. In the latter re- spect each case is a law unto itself, and time and space forbids the discussion of the internal treatment. I might mention, however, that I find that belladonna, caulophyllum, pulsatilla, macrotys, senecio, passiflora and vibur- num about cover. the field of internal medicine along this line. If any one has been using oil of thuja as a local application in the manner men- tioned above, I would be pleased to hear of his experience.—Therapeutic Digest. THE DIRUG PLANTS OF AMERICA The extent of our dependence upon European drugs has been so forcibly brought to our attention that the Marine World thinks it is a good time to turn to our native plants and give them, what they have never yet received, a real scien- tific and fair trial. Away back in the day when Samuel Thomson made his on- slaught upon the medical practice of the day, one of his charges was that we slavishly adhered to the use of foreign plant remedies, neglecting to give our own a trial. He also claimed that this was mostly a matter of habit, and that among our own productions could be found as good or better remedies, if we would only learn to use them. Probably the prevalence of the native American, or know-nothing, political doctrines aided in the popularization of his ideas, as did also the quasi-religious notion that the Deity who permitted diseases peculiar to a country also furnished remedies there- for in the plants peculiar to the same locality. Nevertheless, his accusation was true then and is no less true today. Lycopus controls the circulation in the pulmonary tract without affecting the general circulation. Phytolacca induces a reduction in en- larged thyroids. Polymnia uvedalia causes reduction of the enlarged thyroid as it does of enlarge- ments of the spleen. Leptandra acts on the liver with very little action on the bowels. Carduus removes the varicosis of preg- nancy. Lobelia locally applied relieves rhus poisoning and is one of the best remedies known for bronchial asthma and is a good cardiac stimulant. Pulsatilla is useful for plethoric blondes, nervous, sensitive, with full veins and gastric disorders. Agrimony is of value in treating bron- chorrhea. Passiflora relieves uncomplicated in- Somnia. Echinacea cures catarrhs when given internally. Hamamelis cures disease of the veins. Verbena is of use in some forms of epilepsy. & It has seemed worth while by the editor of The Therapeutic Digest to compile a list of some of our indigenous drugs un- der a classification that will show their therapeutic application as compared with some of the foreign drugs that are af- fected by the war. The following are named: Antipyretics. Foreign—Antipyrin, Phenacetin, Acetanilid. ſº American–Gelsemium, Aconite, Veratrum, Bryonia Rhus Tox. gº Anodynes—Analgesics Foreign—Opium, Cannabis Ind. American—Conium, Cannabis Amer. Hypnotics—Soporifics Foreign—Chlorai, Sulphonal, Trional. Veronal, Urethane. * tº e º e American–Passiflora, Hyoscyamus. Piscidia. Nerve Sedatives & e Foreign—Bromides, Valerates. Valerian, Asafoetida. American—Scuttelaria, Hops. * Emºmenagogues—Ecbolics Foreign—Ergot, Savin, Rue. Apiol, Manganese. American–Gossypium, Caulophyllum. Cimicifuga, Hydrastis. Mistletoe, Ustilago. gº Stimulants and Excitants Foreign—Nux Vimoca, Ignatia. Belladonna. American—Xanthoxylum, Hydrastis, Avent. Stramo- nium. Heart Remedies Foreign—Digitalis, Strophanthus. Adonis, Caffeine. erican—Cactus, Apocynum. Crataegus, Scopa- rium. Convallaria, Lycopus. Respiratory Agents Foreign—Ipecac, Squills. Drosera, Euphrasia. American—Lobelia. Sanguinaria. Grindelia, Tartar Emetic. Asclepias, Terpenes. Ammonium Chloride. Cherry, Castanea, Allium. Yerba Santa. Stomachics Foreign—Gentian. Calumba. American—Collinsonia, Berberis Kava Kava. Quassia, Cornus Florida. quefolium. Of laxatives, liver stimulants, intestinal astringents, we have by far the largest number and the most effi- Aq. Hydrastis, Panax, Quin- 70 Eilli NGWOOD’S THERAPEUTiSºf cient in America. Cascara, Podophyllum, Leptandra, Iris, Chionanthus, Chelidonium, Taraxacum, Polymnia, Euonymus, Juglans, Jalap. Alteratives Of agents influencing the character of the blood, we are scarcely influenced by European supplies. ... Iron and Iodine are widely distributed and generally ob- tainable. Echinacea, Baptisia, Berberis, Phytolacca, Stillingia, Rumex, Corydalis, Lappa, Trifolium, Thuja, Gaultheria, Natural Salicylic Acid. Genito-wrimary Remedies Foreign—Buchu—Uva Ursi. Triticum, Juniper. Cantharides. e American—Epigea, Eryngium. Stigmata Maydis. Eupatorium purpureum. Kava Rhus Aromatic, Saw Palmetto. Genito-uterine Remedies As to agents acting on the female reproductive or- gans, America has almost a monopoly, e. g., Viburnum (prunifolium and opulus) Senecio, Helonias, Aletris, Caulophyllum, Gossypium, Tiger lily, Cypripedium. - O%0Statics Foreign—Ergot—Cinnamon. Sumach, Ustilago. Black Haw, Geranium. Lycopus. American—Erigeron, Capsella. Urtica, Gossypium. Kava, Hydrangea. PROPHYLAXIS OF INFECTIOUS DIS- EASES Infectious diseases such as pneumonia, influenza, tuberculosis, meningitis, diph- theria, infantile paralysis, or in fact any of those diseases due to pathogenic bac- teria, could many times be warded off if the body was protected by a healthy blood stream that is swarming with pha- gocytes. The accumulation of waste in the in- testinal tract permits of the absorption of poisonous material or toxins into the blood, which are then distributed to other parts of the body through the entire cir- culatory system, thereby producing in a mild way a general toxemia. This con- taminated blood is not only a carrier of poison, but also in its impaired state is unable to properly perform one of its greatest functions; that of protecting the body from disease by destroying any invading micro-organisms. Wherever a disturbance of function or structure of any part of the body occurs, there is produced by these functional changes toxins which must be eliminated as waste products in order to prevent their absorption into the circulation. This is necessary or else the body cannot re- gain its normal condition. To produce proper elimination, Sal Hepatica is the ideal preparation for the practitioner to recommend, owing to its efficiency, palatability and low cost to the patient. If frequently administered, it will aid to a considerable degree in warding off disease. A trial bottle of Sal Hepatica will gladly be sent to members of the medical profession upon request to the manu- facturers, Bristol-Myers Company, New York City. × k k In an age when the written word runs into millions every year, fearless, indeed, is the writer who dares to produce “mere words.” To hold a reading audience, facts and facts only are an essential and the portrayer of facts is the popular au- thor of the day. The physician, in his ever constant Search for additional knowledge, is en- titled to the best there is and with this end in view a brochure, “The Pneu- monic Lung,” has been published in the belief that therein the discrimin- ating physician will find some facts which will aid him in the pursuit of his professional duties. The text mat- ter of this booklet is the result of long and exhaustive study of the literature on pneumonia in its different phases, and in its preparation the works of practically every standard author who has discussed internal medicine have been consulted. The clinical records of hospitals have been a source of in- formation and confirmation; the most recent discussions on pneumonia in American, British and French medical journals have been perused, and no field which would yield information has been left untilled. The illustrations have been painted es- pecially for the accompanying text. The subject has been given the closest atten- tion and study, and no opportunity has been neglected to attain the close patho- logical and, anatomical touch so essential in bringing out the necessary details, thus adding to their practical value. Ex- pense has been no factor in the produc- tion of this brochure. With the object of presenting to physicians a booklet which would refresh their knowledge of the etiology, pathology, symptomatology and treatment of a most destructive dis- ease and in order that they might con- stantly have at their elbows an authorita- tive and most practical exposition of the subject, the authors have gone deeply into the matter. GLEANINGS 71 Physicians may obtain, without ex- pense to them, a copy of this interesting booklet by addressing The Denver Chem- ical Mfg. Co., 20–24 Grand St., New York City, N. Y. A TONIC THAT MAY BE RELIED UPON There is no remedy prepared today for the use of physicians that represents more faithful, painstaking care in respect to the quality of its ingredients and their compounding than does Gray's Glycerine Tonic Comp. It is on the good faith which its manufacturers have kept with the medical profession during the past thirty years that the friendship and pat- ronage of thoughtful medical men is looked for. Surely any remedy that phy- sicians can put their trust in as they can in Gray's—in the vital details of quality, uniformity and therapeutic efficiency— deserves their consideration and support far more than one that is of indifferent quality, constantly varying in character, and never certain in its effects. Gray’s Glycerine Tonic is a remedy that earnest result-seeking medical men can use with absolute confidence in its tonic, restorative properties. Every day the busy practitioner is meeting many cases in the treatment of which Gray's will prove of the greatest help. Through its use, he will be able to overcome weakness and debility, and restore health and vitality. Owing to its palatability and agree- able character, Gray's Tonic Comp. can be used without the least trouble in the treatment of children and those who or— dinarily object to taking medicine. As a matter of fact, whenever a thor- oughly dependable tonic is needed, one that has no contraindication of age or season, Gray’s Glycerine Tonic Comp. may be employed with every assurance that it will accomplish the results de- sired and expected. It will not disap- point. × A clean house with plenty of fresh air and sunshine is a long step in the direc- tion of health, says the United States Public Health Service. UNITED STATES PUBLIC HEALTH ... , SERVICE The kitchen is the most important room in the house from a health stand- point, says the United States Public Health Service. Keep everything about it and every one in it scrupulously clean. jºr Beauty is more than skin deep, accord- ing to the United States Public Health Service. Natural beauty is usually a sign of health that comes from keeping the body clean and getting plenty of outdoor €XerC1Sé. Yk A decayed tooth is far more dangerous to health than a fly in the soup, says the United States Public Health Service. Visit the dentist regularly. Keep the teeth clean. Y Thousands of children are killed every year because parents say, “They will have it anyway,” and permit the little ones to expose themselves to whooping cough, measles and scarlet fever, says the United States Public Health Service. jºr The physician who uses Kali Phos 2X in seven to ten grain doses every two to four hours in puerperal fever will not be disappointed. Berberis aquifolum acts splendidly with those catarrhal colds we have dur- ing the early winter. Hemorrhages Monsels Solution of Iron two drachms to two ounces of simple syrup a teaspoon- ful every two to six hours will be a splen- did remedy to use in persistent nose bleed or pulmonary hemorrhage. × ºr ¥ Albany, Ky., December 9, 1919. Huston Brothers Co., 30 E. Randolph, Chicago, Ill. Gentlemen: I have received the Huston Baird's outfit I ordered from you all O. K. and I will say that I, as well as my patient, am perfectly delighted with it. The lady I ordered it for has been bed fast for three years. Now she is up and about and says she feels like a new woman. This is enough to make one feel good. I have just located in this town and this will be some feather in my cap. Thank- ing you, I beg to remain Very truly yours, DR. SAM C. LoNG, 72 ELLINGWOOD’S THERAPEUTIST - Theorizing. Strange it is when we consider the worshipful spirit of the “Faculty” that the profession has not followed the teachings of the Fathers. Prevailing in every branch of the Science of Medicine in its upward course during the past decades has been the practice of Theorizing — theorizing — theorizing. Then when the whole body has blindly accepted some theory the effort—the struggle made—to reconcile results in demonstration and practice, to that theory, has been something startling. Old Areolus Theophrastus Bombastus Von Hoenheim, the revered and honored Par- celsus, established as one of his first prin- ciples in medicine the following: “Prac- tice must not proceed from theory, but theory must proceed from practice.” Strange, indeed, that the old man should have made such a mistake. According to present methods he had the cart be- fore the horse. He was altogether too eminently practical for the “lights” in the profession of today. He certainly had much to learn to attain to the super- iority of the present “light.” Af. Incarcerated inguinal he r n i a was treated by Zagorsky by the internal ad- ministration of one-fourth of a grain of the extract of belladonna. A spontaneous reduction took place in each case after four or five doses. jºr Caffeine, as a heart stimulant, must be carefully studied. Its present use is largely empirical. We have reasons to believe that it would be a most efficient remedy when its specific indications are more definitely determined. *. A London writer uses the juice of the papaw or Some preparation made from it to dissipate tumors of probable can- cerous development in the first stages. He claims that it acts with great cer- tainty on indurated tissues of cancer. wº X. At one time in an eastern city there was a simultaneous occurrence of an epi- demic of smallpox and of la grippe. It was quickly observed that every indi- vidual who was effectually vaccinated for smallpox escaped la grippe. This might be a very important observation. FOR THE THERAPEUTIST AND FOR TRUTH As I have frequently asserted this journal is published, not for the Editor, but for the Doctor—for the individual subscriber—and for every one of these, THE FACTS, must come from them. It is a positive part of your obligation, Doctor, that you furnish at least one fact with each year’s dollar you send 1116. I must have Your Fact now. If I can secure within the next 60 days, two hundred only, of these practical facts, I can plan a journal for the coming year that will be a delight indeed, to the heart of every doctor. Every reader must at once charge his mind with his own personal responsi- bility, in co-operating with me ac- tively, in the important work I am try- ing to do, in collecting for, and giving to the profession the most correct truths, the most positive, exact, abso- lutely dependable facts, known today in the application of drugs to the cure of disease. 1st. A knowledge of the precise action of medicine upon exact condi- tions of disease is the most important of all of a physician’s knowledge. 2nd. This knowledge this journal was established, first to obtain, and second to give to every physician, without regard to school. 3rd. Prejudice, jealousy, dogmatism and apathy are the foes that are re- tarding the full exercise of the influence of such teaching and both the doctor and the people are the losers. Come with us TODAY, Doctor, in this work. Be one of us. Write for us. Respond to suggested ideas written. Reply to queries. Furnish us new facts and new ideas. Report interesting cases in brief and to the point. Report unusual cases. ADVERTISIN U. XIII tillllllllllllllllllllllllllllllllllllllllllllllllilill!!!IIIll!IIHIIIHHHHHHiltiliſ[IIIlíIIIt!!!IIHill|||||||||||||III ||f|||||||||||f||1||||f|{{!!!!!}{}|{{1}}|{tlſ|| muluſ m . . . . . . _s; ºr, . . . . . . . . |||||||| - * > . . w - | mºm- Hay Fever Time Is the time to anticipate the physician's need for prºCTEOGENS (FoRMULA of DR.A.s HoRovitz) For Intramuscular Injection PROTEOGEN No. 4 is being extensively used - for Hay Fever, by progressive practitioners everywhere, and you are going to get many calls and repeated orders for this product. If you are not stocked on this *. Proteogen (No. 4) Order at once. Live druggists everywhere are building up a fine Pro- teogen business. Don't be an exception. Your Jobber Can Make Prompt Deliveries CoRRESPOND witH oup ADVERTISERS, AND MENTION THIS Journal XIV ELLINGWOOD’S THERAPEUTIST Fill Out and Mail This Today Date THE ANIMAL THERAPY CO. No. 7 W. Madison St. Chicago, Ill. Send me, without charge, recent numbers of THE BULLETIN JOURNAL OF ANIMAL THERAPY. Am articularly interested in the radical results of your animal therapy in those of the following diseases which I underscore: LOCOMOTOR ATAXIA CHRONIC JOINT RHEUMATISM I919. NEURASTHENIA INCOMPETENCY DIABE,TES MELLITUS M. D Address S}\UITT 111 ACTINA PILLETS for Heart Disease RUNOIDS for Chronic Constipation Do not create the cathartic habit, which so often fol- lows the use of ordinary laxatives and cathartics. They are a dependable bowel corrective, promot- ing the physiologic function of the intestines, without exciting excessive peristalsis or causing griping. POSE: I to 3 tablets at bedtime. 1ſ sºlº 4. Tººl [[III] lim ºtº* ºteriºriterrentiſtill ſiſſil |] - SULTAN DRUG CO., A true cardiac tonic with- out cumulative effect. Support, strengthen and regulate the heart by im- proving cardiac nutrition and muscle tone. Valuable, therefore, in both func- tional and organic disorders. Notable for their safety and efficiency. DOSE: I to 3 Pillets three | ſ ſ! St. Louis, Mol Commisresno wirm our Advertisºns, AMD MEMrrow THIs Journal. ADVERTISING XV An Ideal Antiseptic Combination Contains s per cent (paratoluene-sodium. sulphºchloramide). - in combination with sodium bicarbonate. sodium chloride. saccharin and eucalyptol. The Aºsorºr *or Aroºs Cºcago Chlorazene for Gargle, Mouth- Wash, Nasal and Throat Sprays Fresh solutions can be instantly prepared with measuring cap on bottle. This new combination of CHLORAZENE, sodium bicar- bonate, sodium chloride and Eu- calyptol, has been an immediate success, because of its 1. Powerful Antiseptic action. 2. Safety. 3. The Solvent action of So- dium Bicarbonate. 4. The Cleansing Action of the Salt. 5. Pleasant Aromatic Properties Colds, Influenza Doctor, try Aromatic Chlorazene Powder in colds, sore throat, infec- tions of the mouth, gums, and nasal passages. - Use it for cuts and wounds; as a douche and application wherever a powerful, non-toxic antiseptic is indicated. A Sample Free Send at once for a Free sample bottle of Aromatic Chlorazene Powder for a clinical trial. You wil find it a success-maker. For saleſ at all druggists. The Abbottlaboratories Home Office and Laboratories, Dept. 23 CHICAGO, ILL. New York San Francisco Seattle Los Angeles Toronto Correspond wrºn our Advertisers, and MENTion this Journal. -- XVI ELLINGwooD's THERAPEUTIST | || AMENORRHEA | | DYSMENORRHEA MENORRHAGIA METRORRHAGA ETC. ercoalpolesmith) is supplied only in packages containing twenty capsules. ; w dose: one to two capsules three * - or four times a day. Se Se Se NN samples and LITERATURE /* ɺ N SENT ON REQUEST. A sº * † " - º |MARTIN H. SMITH COMPANY, New York, N.Y.U.S.A. § ºğWºwºjſilºilº º | % ſ Aft||||} º Uncle Sam will provide sanatorium and hospital care for all the boys dis- charged from army or naval service, so far as their sickness or disability was contracted in the service of their country. The United States Public Health Service has already undertaken this stupendous task and is busily engaged in enlarging its hospital facilities all over the country. One of the sanatoria will be located at Dawson Springs, a famous health resort in Kentucky; the location of the others has not yet been determined. I have been in poor health for some time and need a physician to take care of my practice for several months. Any person desiring such a position, may communicate with me direct, stating sal- ary expected, etc. . A. S. ALDERSON, M. D. Thayer, Ill. - sºm iºm The Peculiar Advantage of the - Marvel “Whirling Prominent physicians, and ecologists \ . everywhere *::::::: the Mºś Sy- ringe in cases of Leucorrhea, Vaginitis, and other vaginal diseases. It always gives satisfaction. - - - The Marvel Company was Diploma and Certificate of Societe D'Hygiene de France, For literature, address MARVEL COMPANY, 25 permits the injection to come awarded the Gold Medal, *g. by the at Paris, Oct. 9, 1902, All Dºrsaggists and Dealers in Surgical Instrumenets sell it. . . . .2% O Spray” Syringe is that The Marvel, by its centrifugal action, dilates and flushes the vaginal passage with a volume of whirling fluid, which smooths out the folds and in contact with its entire surface. - - W. 45th St., New York Al Correspond with our Adventisers, and MENTIon THIs Journal. ADVERTISING XVII The Last Thorough Revision Ellingwood's New American Materia Medica Therapeutics and Pharmacognosy Has brought this intensely practical work up to the present time. Always Popular It Has Reached the Summit of Its Popularity in this Edition Its very wide circulation speaks volumes for its great practical value. It has reached probably every English speaking country. Every reader is an enthusiast, and every one who follows the lines suggested obtains phenomenal success. This is saying a great deal, but it is true. Every fact stated has been thoroughly proven, and is thus far and away beyond the experimental stage, and plainly in the narrow but essential field of certainties. The style is clear, concise, pointed, practical; entirely free from verbosity, definite in the extreme and intensely interesting. It is Royal Octavo in size; is double indexed. The price in cloth is $6.50. Our Medical Journal Ellingwood's Therapeutist Occupies a field of its own in Medical Journalism. Its readers are more enthusiastic than ever this year. The highly practical suggestions, The condensed case histories, The presentation of the best form of drugs known, The persistent study of the direct action of the single drug, The definite diagnosis of the conditions to which the drugs are innately adapted, All contribute to its immense value to the reader. The price is $1.50 per year in advance. To those new subscribers who send $6.50 for the book we will accept at the same time $1.25 for the Journal. Address Ellingwood’s Publications, Evanston, Ill. Correspond with our Adventisºns. AND MENTIon this Journal. X V 1 I I ELLINGWOOD’S THERAPEUTIST - - - t Fillililllllllllllllllllllllllllllllllllllllllllllllllllliiiniililililiſillillºlilililiililillililillililililillililillilillili The Baldwin Sanitarium “The Home of Intravenous Medication” and “The Eye Repression Treatment for Goitre” Dear Doctor: Permit us, to call your attention to the work of the Baldwin Sanitarium and our two special lines of work. In this connection we would like to ask: What are you doing with your first and second stage tuberculosis? Are you meeting with satisfactory results? Have you ever tried the INTRAVENOUS FORMULA used at this institution? - If not, why not? Introduced into the venous circulation it goes directly to the lungs and there acts as an oxidant, germicide and anti- ferment. - Why not give the method a rigid scientific investigation? Why not give us a trial? Do you know that we are successfully treating both simple and exophthalmic goitre by the EYE REPRESSION TREATMENT; by fogging the vision to relieve the ciliary strain and overcoming the muscular insufficiency by the use of prisms? Do you know that we are successfully taking care of 70 per cent of all cases of goitre, chronic migraine and other cases in which eye strain is more or less a factor? Shall we mail you our literature ? n Corºrspond with our Anvarisºns. Ase Mention rais Journal ADVERTISING XIX © - afteå and a 4%oodºmaker Jucá aw t sº B. s ... 3 DEBILITATED are 6evº met & re-rt, 2%e *@*e 9/ Cord &zº. 94.3/201záude Qomº (Zäyee) & ſóőr.ºz. 4ºza &v dºſače Agiver tº make 6:00a, aaa.ºreºgá ºzzie &ºwer and rºore ºp enemy.º. ººza & dr extreme4. Adaizadºe, Zoo. (. EACH FLUID OURCE OF HAGEES coRDIAL OF THE EXTRACT of CUD LlyER OIL COMPOUND CONTAINS º) EXTRACIOBIAlNABLE FROM ONE-THIRD FLUID OUNCF-0F COD LIVER 0ll (IHE FAITY PORTION BEING ELIMIN- AIED)6 GRAINSCAlſ|UM HYPOPHOSPHITE, 3GRAINS SODIUM HYPOPH05PHITE. WITH GirčERIN AND ARDMAIICŞ. .* º - º - - free from ČA ŞILY ac->5.222//ea frt sacreer, ozz/rce 4 of fºes ort/y. ~~42/wper-sea A& 2// cº-azz sys Grease and &milatto Kuſharmon Chemical Co., $1.1 guis.jſp. º. K AT º ARRA (ON & - d © KATHARMON represents in combination Hy- is unsurpassed in drastis º: * *i; Mentha º Árvensis, Phytolacca Decandra, 10% grains the hygiene of the mouth and +eeth. Acid Borosalicylic. 24 grains Sodium Pyroborate ill to each fluid ounce of Pure Distilled Extract of Aºaz77%3A2/2O/y Cºe/ZWCºA. CO. .57: A.O4//5, /º/O. Witch Hazel. * --> ! If Patient suffers from THE BLUES (Nerve Exhausſion), .*- A-ºa Nervousinsomnia. Nervous Headache,Irritability of Ams E. E. ;: ºf Nišišū’ī'ā a day one sm Wºme teaspoonfu *—-6) umn Wºº-y In raervous fretfulness of H.H.A. Children vºy give ſive to twenty drops. *-* DAD chEMcAL COMPANY, NEW YORKalapaRis. - ;II;IIſº - º ºill;; l §§§ tº # Lººse-T =sº |º | ONE OUT OF THOUSANDS I have been reading medical journals for 39 years and I consider the THERA- PEUTIST the best, bar none. Every copy THE STANDARD worth the price of subscription for a SALINE LAXATIVE whole year. - - --> - - e J. P. Collins, M. D. Samples on request Belcherville, Texas. - Bristol-Myers Co. ſ New York R º CoRRESPOND WITH oup ADVERTISERS, AND MENTION THIS JoubNAL. XX ELLINGWOOD’S THERAPEUTIST The Eclectic Medical College CINCINNATI, OHIO Chartered: 1845. Admission to the Freshman Class: Certificate of the Ohio State Medical Board, fifteen units plus two years of college work, which must include one year in physics, chemistry, biology, English, and any other one modern language. This pre-medical course can be taken preferably at Miami Univer- sity, Oxford, Butler County, Ohio (39 miles from Cincinnati), or at any other recognized college or university. Session: The 76th annual session begins Septem- ber 16, 1920, and continues eight months. Tuition: $120 per year; matriculation fee, $5.00. Building: New (1910) six-story building at 630 W. Sixth Street. Clinical Instruction: Seton Hospital Dispensary, Health Department and Tuberculosis Hospital, Seton, Longview and Cincinnati General Hospital (850 beds). For Bulletin and detailed information address the Secretary, JOHN K. SCUDDER, M. D., 630 West Sixth Street, Cincinnati, Ohio SAN M ETT O kidney-blººr-prostate. Valuable in Prostatitis-Pyelitis-Cystitis-Enuresis In Dysuria-Albuminuria In Irritable and Weak Bladder Conditions As A SOOTHER AND MILD DIURETIC D0SE:—One Teaspoonful Four Times a Day. OD CHEM. Co., NEW YORK. DOCTOR!! In Justice to That Patient You / Should Try the Slow Sinusoidal Current / THE McINTOSH No. 8 POLYSINE GENERATOR “The Sine of Progress” Generates Galvanic and Sinusoidal Currents in many variations. Eight different Modalities. Built for operation on alternating cur. Z. rent, this apparatus is the latest development in the field of ºre, M. c. In- | Therapy. The first of these are just nearing completion. to s h Bat- SAFEST-SUREST-SIMPLEST tery & &#. Its installation is a sure proof of your sagacity. Special / ... º: - literature and generous offer sent on request without any gºmº. obligation to you. . A complete line. of X-Ray, and treatment Please send your spe- apparatus described in our 40th Edition Catalogue. cial literature and McINTOSH BATTERY & OPTICAL CO. full particulars with Main Office and Factory: Eastern office and service / rº...” 8 217-223 No. Desplaines St., Station: Name. . . . . . . . . . . . . . . . . . . . Chicago, Ill. 1777 Broadway, New York, N. Y./ Rºss ------------------ Conºrspond wrth our Anvariaras, Amp Mºrrow rººms Journal- ADVERTISING XXI LISTERINE A Non-Poisonous, Unirritating Antiseptic Solution Agreeable and satisfactory alike to the Physician, Surgeon, Nurse and Patient. Listerine has a wide field of usefulness, and its un- varying quality assures like results under like conditions. As a wash and dressing for wounds. As a deodorizing, antiseptic lotion. As a gargle, spray or douche. As a mouth-wash-dentifrice. Operative or accidental wounds heal rapidly under a Listerine dressing, as its action does not interfere with the natural reparative processes. The freedom of Listerine from possibility of poisonous effect is a distinct advantage, and especially so when the preparation is pre- scribed for employment in the home. LAMBERT PHARMACAL COMPANY ST. LOUIS, MO., U. S. A. Coarssrowd with our Apwentisres, AND MENTION THIs Journal. XXII z ELLINGWOOD’S THERAPEUTIST WHAT IS AUTO-HEMIC THERAPY? Treating the patient with a drop of his or her own blood admin- istered according to a perfected and refined technic without use of bugs or drugs. Auto-Hemic Therapy is in perfect harmony with the very latest development in physics, physiological and pathological chemistry. Properly administered, the treatment is absolutely without risk. WHAT PHYSICIANS SAY “The missing link in medicine.” l “Has no rival in chronic cases.” “The king of Therapies.” 4ſ “The new life serum.” “A wonderful reconstructive.” “The greatest producer of physical and mental ‘pep.’” “No other method appeals so favorably to the intelligent public.” t “The best builder of a creditable, permanent and lucrative office practice.” “Doubles the cures and incomes.” “Of fifty or more different sera with which I have had ex- perience, ANY or ALL are not as a drop in the bucket compared with Auto-Hemic Therapy. It is a God-send to all patients having tubercular, cardiac, hepatic or renal troubles; in fact I have not found its limit in over two hundred cases treated.” Judging from the reports already published, it would seem that there is scarcely any limit to the applicability and practicability of this new treat- ment. Some of the most obstinate cases of anemia, insomnia, nervousness, constipation, eczema, diabetes, goiter, hay fever, rheumatism, mental and physical debility, lack of “pep,” ulcers, insanity, morning sickness, high-blood pressure, and other conditions too numerous to mention, have been benefited, if not permanently cured, by Auto-Hemic treatment in an incredibly short time, after all other methods had failed. In December, 1918, fifty physicians reported 3,000 cases, representing 200 different ailments with 85 out of a hundred benefited. Copy of a journal containing reports of the surprising results obtained by many physicians, also particulars regarding Dr. Rogers’ book and course of instruction, sent on application to North American Journal of Homeopathy 2812 North Clark Street, Chicago, Ill." CoRRESPOND witH our ADVERTISERs, AND MENTION THIS Journal. ADVERTISING XXIII mº-ºº-º- Lib RADol For the Quick Relief of Pain by External Application Consult our literature for the history, formula and reports of physicians using Libradol in: Cough, Croup, Croupous Pheumonia, Endometritis, Felon, Sore Glands, Gout, Grippe, Headache, Hemorrhoids, Injury, Itching, Lumbago, Neuralgia, Pleurisy, Pneumonia, Rheuma- tism, Sciatica, Sprain, Stings and Bites of Insects, Tonsillitis, Uterine Carcinoma, Insomnia, etc. The professional use of Libradol increases each year. Its action is surprising, even vºcre the pain is deep-seated. Several years ago, a physician in charge of the hospital of a great iron and steel industry, ordered one pound of Libradol for that establishment. A few days afterward came an order for a five pound jar (Hospital Size). In less than a week came another order for one dozen jars, hospital size. This was followed by frequent orders, each for TWENTY-FOUR JARS, hospital size, these continuing at short intervals; to the present day. REPLACES HARMFUL SYNTHETICS. Where the synthetics have failed, Libradol has acted promptly. Let us quote from reports of physicians: “I was called to a patient suffering intensely from a painful affliction that another physician had failed to relieve. I spread Libradol at once over the seat of pain, and prescribed the indicated internal remedies. The patient was immediately relieved, and fell asleep before internal medication was in- stituted. Since that event I have been the physician of that family.” Another physician wrote: “The following is the experience of a patient suffering from facial neuralgia: Coal-tar products, nervines internally, and other processes had been utilized by the attendant physician to no avail. I was called and spread Libradol over the forehead and behind and below the ears. Within ten minutes relief followed, and in half an hour all pain had disappeared. The indicated Specific Medicines were now prescribed. There was no return of the neuralgic pain.” To Physicians Entering Government Service If your patients are not convenient to a pharmacist who can fill your prescriptions during your absence, it is proper to write on the pre- scription blank under the Libradol label, directicºns for its use, and leave a jar with each patient. This is being done extensively. PRICES: % lb. % Ib. * lb. Hospital Size Regular and Mild (same price) $0.60 $1.10 $2.00 $9.00 suPPLIED BY DRUGGISTS GENERALLY LLOYD BROTHERS, Cincinnati, ohio =ll Correspond witH gun AnwarlsrRs. AND MENTION THIs Journal- XXIV ELLINGwooD's THERAPEUTIST tº #!!! Forty-three Years of Cascara Experience ASCARA SAGRADA was unknown to medicine until we introduced the drug in 1877. It came into immediate favor as a tonic laxative. Now it is recognized in eyery leading pharmacopoeia of the world. Pioneers in its introduction, and sponsors for it ever since, we have throughout felt a responsibility resting upon us to manufacture the best preparations of Cascara Sagrada which science could produce. And this is no easy task. In the first place, the crude drug must be of the right sort. It must be the true Rhamnus Purshiana—unmixed with spurious bark. It must be carefully gathered, selected and cured. It must be aged under proper conditions for at least two years to remove the griping ferment which makes prepa- rations of the green drug undesirable. * The manufacturing process calls for much experience and care. Our pharmacists and chemists have worked on Cascara processes for many years. As a result we are able to turn out products which are more active, more uni- form and more satisfactory than any others available to the physician. We market Cascara Sagrada in a wide variety of forms. We have two preparations, however, which especially com- mend themselves to medical practitioners. One is Fluid Extract of Cascara Sagrada (P.D. & Co.)—a bitter preparation. The other is Cascara Evacuant—a palatable product. Both preparations are ideal in their respective spheres. We have no hesitancy in staking our reputation upon their therapeutic efficiency. Parke, Davis & Company | º - ăillſ|||||||||||||||||||||||||||||||". : º- #:§ Šºš Nº. §) X H ğ º [[ (ſ g * sº ºt, - iſſ *f; i İT §: C-4 %:S §§ # t - **** ***** * * * 3}: *****s, * * * Cº- % {{C})} PS; ...ºr. Sº sºlº #! Wººl stºº ; i i X; - * * * *.* :*:Ajº. *::::::: & Jº E DITOR AND P UB LISHER SINGLETRUTHS * FROM 32 N. STATE ST. CHICAGO FINLEY ELLINGWOOD M.D. i 3 Mºtions AND * †: Vol. 14 No. 4 | se- | ſ §Ullà Ill?S'ſ º º-s, NYIRUís FOR/ 2 EACHD0CIOR - N ſ N #||{ º Sº §§§Spºnsº ----- - | º §§ § w # I || |\! | º \\ - - :º: ! ºf Y& § º #!!! º ſº º º º Íñº }ºft:%|SS: § tºº Chronic Invalidism is a very fre Influenza. - ~~ &";& º sº :: *** * 9 tº l § Nº|| : āş § & º in sº º **** ...? ºv. e supplies théidispensable mineral the system tº gºt Hºwith the Möfðte ... < 3:#& Strychnine squinine. id:résfor *R. āş * Jºios: %3A2: tº nigº Tonic for Ov %.8.2% *** (2?” -" . l - ^ º Sis- ==ºsº & 2% v.” ** / … ::: * # Sº) x **** A. Fellows MEDIC. § * º Sliš |\| º *QNEFºr º t §§ jºšć. SUBSCRIPTION */PRICE - $1.50 PER = YEAR = INYADVANCE § N i quent sequel of == --- r § jº }º º s @ i * gºese a ** * * * *.* * ºfºr º - ..º. tºº e *::Fºº t * * * * * * * ***** : : t : # : w ; § * 7. **#; e SE al E. º C- 26 Christopher Street §§g ŽSºTTN}L.J. ŞāTºš Sº § %| - ſy º #4 ğ : * ( º º º §º º ſlišāśîn Neºſlº##! iſſ QºSºzºs UPº Nº • ****** ******* * * * * * * **** * * * *.** - E. - - **** Yºº ºº:: • * * * at the Post Office at C. * Twº ***- ***** * * * * }º *** * * * * ** * * **** * * * ****** * * ***.** * * **** * * * - # § ; ** * § º \º Sº •. § Q *A*-- - - * a t < *.** * * * * ****** ******* * tasº,”* * * * * * ºº::::::y::::::::::::::::::::::::::::::::: * *** i § ſº 㺠º º º º:S º £º Sº - - º ; ſº- º II - ELLINGWOOD’S THERAPEUTIST CLASS AND CLINIC IN ORIFICIAL SURGERY At the solicitation of a number of doctors, B. E. Daw- son, A. M., M.D., Ch.M., F. S. Sc. (London), will hold another class and clinic in Kansas City, Mo., at Grace Hospital, April 26 to 30 inclusive. Some new methods of diagnosis and therapeutic meas- ures will be demonstrated. Clinic free to patients of members of the class, except hospital service. Tuition $50.00. Write for particulars to Dr. B. E. Dawson, 3110 Char- 1otte Street, Kansas City, Mo. The Control of Ovarian Disorders F you believe in organotherapy—and you should—you know why it is so efficacious. It is indeed a physiological measure, restoring in a “natural manner” deficient glandular activity. Caps. Thyro-Ovarian Comp. (Harrower) is a superior remedy in the functional dysovarism underlying amenorrhea, dysmenorrhea, menopausal imbalance and neurasthenia. It is often better than corpus luteum alone. - Write for the booklet “Ovarian Dysfunction”—Free Address the nearest office and mention “Ellingwood’s” Therapeutics THE HARROWER LABORATORY Glendale, California NEW YORK: 31 Park Pl. CHICAGO: 186 N. LaSalle St. DENVER: 1132 15th St. l - BALTIMORE: 4 E. Redwood St. - (£llingtuoob's Uijerapeutigt A monthly Journal of Therapeutics; educational in character, issued on the 25th of the previous month; devoted to the determination of the exact action of Single drugs upon exact conditions of disease. A Journal to which every subscriber is also a contributor, and in which the Subscriber and , the Editor, are working in the closest possible relationship, to determine true and invariable drug action, for the benefit of the entire profession, and thus, Humanity. OUR IMOTTO: spread the Truth. . OUIR, CIEEED: individual. OUR FAITH: remedial measures; To learn the Truth. To prove the Truth. To apply the Truth. To The Truth from all, for all, to all, without regard to the creed of the That all disease will ultimately be subdued, in whole or in part, by That failure to cure disease is due to our lack of knowledge; That Therapeutic nihilism is the deadly foe to Therapeutic progress; That the study of the clinical action of the single drug, is the true method of drug study; That each drug acts directly and invariábly upon one or more exact conditions of disease, and must be so studied and known; That with such knowledge perfected, we can immediately and successfully prescribe for conditions of disease With Which we have not previously met. TABLE OF CONTENTS FOR APRIL, 1920 LEADING ARTICLES * Mexico . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109 T. H. Standlee, M. D., Mexico. Perforating Ulcer of the Nasal Septum ; Treatment With Thuja. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112 A. H. Stephens, M. D., St. Louis, Mo. Delayed Menstruation From Torsion of the Pedicle of a Tumor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113 Paul F. Muncle, M. D., New York. Clinical Evidences and Practical Facts Concerning Exophthalmic Goitre in the Male. . . . . . . . . . . . 115 T}r. Foot, University of Dublin. Fractures of Wrist and Ankle Complications and Cure .118 I2. Holman, M. D., Indianapolis, . Ind. Specific Medicine Macroty’s. . . . . . . . . . . . . . . . . . . . . . . . . . 121 F. L. Wilmeth. M. D., Lincoln, Nebr. Original Contributions Sanguinaria. . . . . . . . . . . . . . . . . . 121 J. A. Munk, Los Angeles, Calif. The Northern Tri-State Society. . . . . . . . . . . . . . . . . . . . . . . 122 An Important Suggestion. . . . . . . . . . . . . . . . . . . . . . . . . . . . 122 American Medical IEditors ASSociation . . . . . . . . . . . . . . . . 122 ED ITO RIALS What Prejudice Has Done for Medicine. . . . . . . . . . . . . 123 Autotherapy in Civil War Time. . . . . . . . . . . . . . . . . . . . . . 125. Heat, Cold and Inflamation . . . . . . . . . . . . . . . . . . . . . . . . 126 Empiricism . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127 The Pathology of Heart Disorders. . . . . . . . . . . . . . . . . . . 128 Varicose Ulcers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 129 BRIEF EDITOR ALS & The Differential Diagnosis of Headache. . . . . . . . . . . . . . 133 Neglected Suggestions From Past Writings. . . . . . . . . . 134 Treatment of the Hair. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135 Action of Sugar on the Heart. . . . . . . . . . . . . . . . . . . . . . . 135 Specific Endocarditis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135 Lobelia in Rigid O's. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 185 Epigastric Pain in Pregnancy. . . . . . . . . . . . . . . . . . . . . . . . 136 Malignant Postule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 136 Iodine in Infection. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 136 Prevention . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 136 Browing Pains . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 136 Anticipating Endocarditis. . . . . . . . . . . . . . . . . . . . . . . . . . . . 136 Hydrocephalus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 137 For Tetauus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 137 Creosote in Diabetes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 137 A Simple Tonic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 137 Ammonia in Urine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 137 Chlorosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 137 Exopthalmic Goitre . . . . . . . . . . ... • * * * * * * * * * * * * * * * * * * * * 137 Capselin for Uric Acid. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 138 Internal Use of H2SO4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 138 T H E RAPE U TI C F ACTS Gasoline Poisoning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 139 Gelsemium With Morphine. . . . . . . . . . . . . . . . . . . . . . . . . . 139 Facts Tried and Proven. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 139 Enurisis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140 A Good Routine Combination. . . . . . . . . . . . . . . . . . . . . . . . 14() Aphonia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140 Application for Pain. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140 Warts—Muscucolitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140 For Vehereal Warts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141 Pharmaceutical Remarks on DioScorea Willosa. . . . . . . . 142 Mountain Laurel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . j42 Ustilago Maydis . . . . . . . . . . . . . . . . g & tº e g g º e º is . . . . . . . . . .148 Government Needs Physicians. . . . . . . . . . . . . . . . . . . . . . . . 144 Influenza . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141 Gallic Acid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141 Ellingwoob's Cherapeutist Is Edited and Published by FINLEY ELLINGWOOD, M. D., 32 N. State Street, Chicago, Ill., U. S. A. r- Payment should be made Personal checks must Foreign P. O. orders should be made payable We Subscription Bates: ºnce and one Therapeutic Fact. CèIltS. in Chicago. Changes of address with both old and new addresses must be sent as soon as made. are only thus responsible for all issues. Sample free to possible subscribers and advertisers. by Express or Postoffice order, or Chicago or New York draft. have ten cents added for bank exchange. In North America and Islands of United States, $1.50 per year in To all other countries, $1.85; single copies, twenty Renewals must be sent in promptly as the new postal regulations only allow us four months' continuance. Original articles suitable for publication are accepted with the understanding that they are written especially for this Journal. found desirable. Foreign articles will be received and translated if Reprints will be furnished at reasonable prices if a request to that effect accompanies the manuscript. Approximate prices may be had on application. Manuscripts will only be returned if requested, and stamps are sent for this purpose, but We assume no responsibility. Let it be understood that we are not responsible for, nor always in accord, with the opinions of contributors. IV ELLINGWOOD’S THERAPEUTIST SPRINGTIME TOXEMIAS There is no season of the year when toxic conditions are more in evidence than the Springtime. Winter ills have left their accumula- tion of toxic matter; heavy meat diets, with a deficient quantity of fruit and fresh vegetables, have deranged the digestive functions and added to the burden of impurities in the system; bacterial diseases, such as influenza, la grippe, rheumatism, pneumonia, etc., have also contributed their share of toxins, and as a result there is the usual aftermath of toxemias, in varying forms of virulence, demanding the attention of the physician. t * © To ignore these conditions will not do, for we then invite a worse condition—the menace of fevers and other ills due to toxic accumula- tions in the system. THERE is JUST ONE SAFE COURSE TO PURSUE and that is to fight these Springtime Toxemias with the remedy di- rectly indicated: - ECHTISIA The value of Echinacea in all forms of toxemia and blood taint is beyond question, and Echtisia, an echinacea compound, has been found even more effective than its basic ingredient, because of the adjuvant and synergistic properties of the Baptisia, Phytolacca and Thuja with which it is combined. Clinical experience has shown Echtisia to be almost a specific in all forms of toxemia, and its use in all cases of this character is advised and recommended. Full descriptive literature will be sent on request. THE WM. S. MERRELL COMPANY Manufacturers of Reliable Pharmaceuticals Founded 1828 Cincinnati, Ohio CORRESPOND witH oUR ADVERTISERs, AND MENTION THIS Journ AL ADVERTISING V A Real Antiseptic Developed by Dr. Dakin as an Im- provement over the hypochlorite solutions used by Carrel. -> Fifty thousand physicians and surgeons are now using, with sat- isfaction, this popular, powerful, Council passed antiseptic. CHLORAZENE is rapidly be- *Q7 coming the universal antiseptic. This is not surprising when you know that CHLORA- ZENE is fifty times more powerful than phenol, yet is practically non-toxic. It is safe, stable and remark- ably convenient, in tablet and powder form, for im- mediate use. . Try CHLORAZENE in all pus infections, in surgery, wounds, ulcers, burns and carbuncles, in fact wherever there is pus. Use it in nasal and throat infections, as a douche and in your Genito-Urinary cases. CHLORAZENE is supplied in Tablets and Powder form. Also as CHLORAZENE SUR- GICAL CREAM, CHLORAZENE SURGICAL DUSTING POWDER, CHLORAZENE GAUZE and AROMATIC CHLORAZENE POWDER for oral and nasal use. º e º : º - º Send for interesting booklet on º º º s - - - aſſ -- 53 º º the Dakin Antiseptics : ## 3 - - º: º - .. º º CHLORAZENE AND DICHLORAMINE-T º : # § % Tºº º º º + *:::::: gº º Urge your druggist to stock ºn tº .# : º | CHLöß" | CHLQRAZENE for your conveni- : ; ; ; Zºº”. ence in prescribing. In the mean- 3 = F * * ºl...º. º time your orders will be filled || 3: ...: . - directly from our home office or convenient branch points, as listed below. THE ABBOTT LABORATORIES Home Office and Laboratories’ Dept. 23 ---------- - --------- -º-º-º-º-º-º-º-º: --- ºn-- : - - º º CHICAGO - --- Tº º' º º: cºttºmanent surgical cheaº º New York Los Angeles º º: --------- º, º - ºn- ----- º San Francisco Toronto 5 ºf - *** {{# Seattle Bombay - * * - #º º --- -- -- --- º: º ºf ABBoſſ 1A: tºº lº ----- ---- - - º - --- -t * * * agawatories º º º ------ º - CoRREspond with our ADVERTISERs, And Mention this Journal. VI ELLINGWOOD’S THERAPEUTISI "T" " ":" || Safe and Sure AGAINST . . . . Colds The dº.” *y In flu e Il Z2 No possibility of injury from corrosion. Not the O slightest irritation. Absolutely safe and sure. Pneumonia - - s ---. The value of this instrument is y §: very great in cases of dysmenor- USE SHERMAN S N0, 38 - s rhoea, etc.; also whenever there is a catarrhal condition or where drainage is required; also in cases of sterility. Price to patient $25 —to physician $7.50 (%-inch ū base) or $8.50 (1-inch base). Inserted very easily. WRITE FOR LITERATURE Eººl {/ nº." HUST ON BROS. CO. 30 East Randolph Street ZXezrozł/ſec.4. 42/.J. % CHICAGO DON'T SEND THE POOR FELLOW AWAY, DOCTOR! VERY DAY doctors are advising a rest, a trip to a sanitarium, a visit to a specialist, an operation—anything to get rid of their old, stubborn cases of Prostatic Disease and Impotence Maybe you are doing, or are about to do, this very thing. You are losing possibilities of dollars and prestige, to say nothing of the keen satisfaction of having won a hard fight! Too many of these cases are passed up by good doctors, only to fall into the hands of unscrupulous men who offer nothing but promises and frequently give less. YOU CAN GET RESULTS in the great majority of these cases. Decide now to try SUPPOS. PROSTANS thoroughly in just one case, Doctor. You will then certainly rely upon Prostans as your Sheet Anchor and thereafter keep the business you’ve been turning away. - Now, Doctor, you can easily prove this, just as over two thousand other physicians have done. So don’t scoff, but simply fill out the coupon below. THEN JUDGE FOR YOURSELF. —This Coupon Means Success and Money Saved as Well. Fill it Out. Send Today. *... º.º. betroit, Mich - 8 OOdVºy Ve. etroit, º [] I enclose $1.00, send me one box (of 15) Suppos. Formula on Every Box! Prostans (price $1.50), also book “On the Treatment of Prostatic Diseases and Impo- tence”—free. , Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . [] I enclose $5.00, send me six boxes of Suppos. Prostans (worth. $9.00), also the above book - and “Successful Prostatic Therapy”—free. Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . & e e º e º ſº º º CoRRESPOND witH our ADVERTISERs, AND MENTION THIs Journal. ADVERTISING VII The STORM BINDER and ABDOMINAL SUPPORTER NECROSINE injected directly upon the necrosed spot through the attendant (PATENTED) fistula, should seldom fail to permanently MEN, WOMEN, CHILDREN AND BABIES - - cure both in a few weeks' time. Equally No Whalesbones. No Rubber Elastic. Washable as Underwear efficient in dental or long bone caries. Absolutely harmless to sound tissue. An old remedy, but a new combination. % size bottle, $2.50; full size, $5.00. DR. G. W. HARVEY, Paradise, Calif. Inguinal Hernia Belt Hernia, Obesity, Pregnancy, Relaxed Sacro-iliac Articulations, Floating Kidney, High and Low Operations, Ptosis, Pertussis, etc. Drug and Liquor Habits Sanitarium established eighteen years. No suf- fering, no danger, close medical care, good nurs- ing. Pleasant surroundings, quick and absolutely satisfactory results. Ask for new folder with testimonials of physicians. Mail orders filled at Philadelphia only – within twenty-four hours. Katherine L. Storm, M. D. Ralph Sanitarium, 529 Highland Ave., Kansas City, Mo. 1701 Diamond St., PHILADELPHIA Peacock's BROMIDES assure your patients a pleas- ant, pure and uniform solution that may be used for prolong- chronic neuroses with maxi- mum results and minimum are without a superior as a safe and effective antispasmod- effects. Peacock's Bromides ſ ic, nerve sedative and hypnotic. DOSE: One to four sº teaspoonfuls. ºw of the neutral bromide salts, N- ed bromide treatment of the - tendency to disagreeable º w satisfactory and acceptable CHIONIA places at the physician's com- mand an exceptional prepara- tion of Chionanthus Virginica that can be relied on to stim- ulate the liver without unduly increasing bowel activity. In sluggish liver conditions in which the biliary secretion is l depressed, Chionia will be found a remarkably efficient, \ cholagogue. DOSE: One to fuo fea- - spoonfuls three times a day. PEAcock CHEMICAL Co., St. Louis,Mo. - CoRRespond witH our Advertisers, AND MENTIon THIs Journal. VIII ELLINGwooD's THERAPEUTIST HE Got MoRE THAN. HE EXPECTED A. physician who tested out the Ultima No. 3 Sinustat on the free trial Offer made by the manufacturer, reported as follows: - “Before secuirng the Sinustat No. 3 I was advised it was only a small machine without enough force to do any good. The advice was not sound. My No. 3 has all the force I need. Can send a current through any part of . the body and have never used all its force at any one time. It is a good investment. You have done the profession a good turn with it. in putting these machines on the market.” I am pleased Full particulars regarding the “satisfaction guaranteed or money back” offer made on this most unique and effective apparatus may be had by addressing the ULTIMA PHYSIO-ELECTRIC APPLIANCE CO. 136 W. Lake Street - Chicago, Illinois REVOLVING SYRINGE Dear Doctor: Look at it! Revolving Syringe does the business and brings back the bacon. We doubt very much if there is an instrument in your office that will bring you the returns that the Revolving Syringe will. - The results are so gratifying that when you have treated one of your pa- tients she will bring you a dozen more. This is the first and only scientific instrument of its kind in the world. Thirty (30) days introductory sale. During these 30 days we will fill all orders at $6.50. Remember Doctor, this offer is good only for thirty (30) days. - - - . Yours truly, D.R. LARSON'S SANITARY DEVICE COMPANY. The NEW PRODUCTS In view of the growing interest on the part of the medical profession in Benzyl Benzoate as an effective remedy for dys- menorrhea, biliary colic and other pain- ful conditions originating in or attending Spasm and contractions of the smooth muscle organs; it is of interest to receive from The Abbott Laboratories, of Chi- cago, an announcement that they now Supply this popular product, both in tab- let and liquid form. Further informa- tion may be obtained by writing to this firm. - Among other newer products now being supplied by The Abbott Labora- tories are Anesthesin-Calcidin Troches, for the relief of tickling coughs; Di- chloramine-T (Dakin's popular antisep- tic) in convenient tablet form; Procaine with Adrenalin; Cinchophen, Barbital and Barbital Sodium. A newer form of Barbital-Sodium is the elixir, which is proving popular. ADVERTISING IX EASE—REST – SLEEP When the physician orders Antiphlogistine applied warm and thick over the entire thoracic wall, the pneumonic patient is soon in a restful, natural sleep which often marks the beginning of convalescence relieves the congestion by increasing the superficial circulation. The cutaneous reflexes are stimulated causing contraction of the deep-seated blood vessels, the overworked heart is relieved from excessive blood pressure, pain and dyspnoea are lessened, the elimination of toxins is hastened and the temperature declines. THE DENVER CHEMICAL MFG. COMPANY, NEW YORK Coºrspond wrºn our Advertisers, and Mention this Journal. ELLINGWUOD’S THERAPEUTIST cº- --~~~ -> º - -> --- Z_- 7hree tand-bur; I. prescribing Coco-Quinine, Lilly, you know that you are writing for the original product and that your patient will get two grains of true, unchanged quinine sulphate in each average teaspoonful (96 minims.) A child will take Coco-Quinine and lick the spoon. º * ILLY'S Liquid Blaud contains the compo- nent parts of Blaud's Mass which react to form fresh ferrous carbonate at the time the dose is mixed with water. The patient gets the fresh iron salt each time. Lilly's Liquid Blaud is supplied Plain, with Arsenic, with Strychnine, and with Arsenic and Strychnine, in special bottles only. Send for demonstration sample and literature. -------- ºf Lilly's | Louip UCCUS ALTERANS is well known as a purely vegetable alterative. It is made from fresh, undried drugs gathered in season. It has been used extensively by the medical profession for over thirty years. Succus Al- terans contains no iodides but is an excellent vehicle for them. Specify the original Lilly Product, supplied in pint bottles only. Lilly Products Are Supplied Through the Drug Trade ELI LILLY & COMPANY INDIANAPOLIS U. S. A. Comazsrowd with our Advertisºns, AND MENTion this Journal. ADVERTISING XI He Got More Than He Expected “Before securing the Sinustat No. 3, I was advised it was only a small machine without enough, force, to do any good. e advice was not sound. My No. 3 has all the force I need. Can send a current through any part of the body and have never used all its force at any one time. I am pleased with it. It is a good investment. You have done the profession a good turn in putting these machines on the market.” - - - *Ultima No. 3 sinustat A real, portable sine wave appa- ratus for A. C. or D. One of many unsolicited endorsements of Ultima products. (Name upon request.) FREE TRIAL OFFER: Doctor, let us prove to you that the No. 3 Sinustat is the greatest power in all chronic nervous and muscular conditions that you have ever seen or heard of. , Just sign and mail the coupon today, 2^ Thank you ! ,’ 4° #. / Gentle- 1116.11 . * You m a y send me your - ... . * FREE! A Valuable Booklet and a $1.00 Chart of Sinusoi- .2 F. "Tºl'ay: dalogy sent to all who answer this advertisement promptly. /* ULTIMA PHYSICAL APPLIANCE CO. Chicago, Illinois .." Address . . . . . . . . . . . . . . . . . . . . . 136 W. Lake Street fer, booklet and * chart without ob- ligation to me. ^ Name . . . . . . . . . . . . . . . . . . . * * * * * * * * * * * e s e. * * * * * * * * * c e º e º e o e o a Encompoſſ ITS UTILITY IN THE TREATMENT OF Amenorrhea, Dysmenorrhea and Other Disturbances of Menstruation Despite the fact that Ergoapiol (Smith) exerts a pronounced analgesic and sedative effect upon the entire re- productive system, its use is not at- tended with the objectionable by-effects associated with anodyne or narcotic drugs. The unvariable certainty, agreeable- ness and singular promptness with which Ergoapiol (Smith) relieves the several varieties of amenorrhea and dysmenorrhea has earned for it the un- qualified endorsement of those mem- bers of the profession who have sub- jected it to exacting clinical tests. Dosage: Ordinarily, one to two cap- sules should be administered three or four times a day. MARTIN A. SMITH CO. New York, U. S. A. syſtſ, The MBW Field Series Gūmpleted Books by the late DR. W. H. BURGESS . All about EPSOM SALT and other congenial drugs. New Field method of diagnosis without asking questions. and how to prove it. Congenial treatment of all diseases. The cure of Tuberculosis, Bright's Disease, Uric Acid Diathesis and all ####. The Double Sulphide treatment of Typhoid and all other ASIONS. Doctors say these books are worth their weight in gold. Five small volumes at $1.00 each, or the full set for $4.00, by mail prepaid. First Book: THE NEW FIELD, 287 pages....... $1.00 Second Book: CHRONIC DISEASE, 320 pages.... 1.00 Third Book: NEW DISCOVERIES, 32 pages, con- densed from over a thousand pages of physi- cians' reports . . . . . . . . • * * * * * * * * * * * * * * * * e Fourth Book: NEW FIELD SCIENCE, 303 pages. 1.00 Fifth Book: LITTLE AILMENTS AND CONSE- QUENCES, 192 pages........ • * * * * * * * * * * * 1.00 These books are bound in Princess cover, as durable as leather, and will not mildew Free with any $1.00 book: Nursing Therapy, 32 pages. A practical exposition in pamphlet form. Single copy, 50 cents. Easy Lessons, (Medical), Third Edition, 16 pages. A concrete exposition of the author's ideas on the Five Symptom Producers. Single copy, ro cents. - New Field Laboratory, East Chattanooga, Tenn. Correspond wrth our Advertisºns, AND MENTion this Journal. XII ELLINGWOOD’S THERAPEUTIST FROM PUBERTY TO MENOPAUSE Tºogº this period most women suffer from uterine neurosis, and as Godell so aptly describes it, “the intangible, - pregnancy call for the admin- istration of HAYDEN'S VI- BURNUM COMPOUND, presenting its well-known an- - tispasmodic and imponderable, invisible pelvic pains of. neurotic women. HVC calmative action as a preventive and as a treat- ment in neurosis. A n ticipated monthly attacks of Dysmen- orrhea, the exhausting effects of Menorrhagia, and the It should be given in teaspoonful doses, three times a day, administered in hot water. Literature, form- nervous symptoms of early ula and samples upon request. New York PHARMACEUTICAL COMPANY BEDFORD SPRINGS, BEDFORD, MASS. § §§ §§ §§ 135 Christopher Street The Results You Seek Gray's Glycºring IOmic CDmp. These results, of course, are the relief of weakness and debility, the restoration of strength and vitality and the general up-building of your patient. - You do not expect miracles, or the achievement of the impossible. You do not look on Gray's Tonic as a panacea. But you do expect your patient’s appetite to increase, his digestion to improve, his strength to return, and his whole condition to show a real and substantial gain, when you put him on Gray’s Glycerine Tonic Comp. These are the results you seek—and these are the results you get! ... The thousands of medical men who have used Gray's Tonic during and after influenza, this past winter know how true this is. The Purdue Frederick Company New York City § 3 ; tº- §= Correspond with our Advertisers, Ann Mention this Journal. ADVERTISING XIII A NEW TREATMENT for RHEUMATISM “Rheumatism” is not a disease but a clinical manifestation. Other causes of so-called “rheumatism”, i.e., tuberculosis, cancer, syphilis, diseases of the nervous system, and gon- orrheal arthritis having been excluded the results of the treatment of either the acute or subacute forms with Pro- teogen No. 2 are most gratifying. The pain, fever and malaise are usually overcome by two or three injections, but is advisable to give twelve or more injections to com- plete the treatment. In arthritis deformans, with marked pseudo-ankylosis of joints, a longer treatment is required. As a rule, the pain is overcome after six to twelve injections. Free movement of joints is restored unless exostoses prevent. Proteogen No. 2 is a solution of nonspecific, vegetable proteins, vita- mines, etc., in sterile ampoules and is administered by intramuscular injection. Further details and clinical reports showing remarkable results from this remedy will be sent by the manufacturers THE WM. S. MERRELL CO. M anufacturers of Reliable Pharmaceuticals - CINCIN NATI -- - - - - U. S. A. CoRREs Pond witH our Advertisers, AND MENTION THIS Jouen AL. xIV ELLINGWOOD'S THERAPEUTIST Fill Out and Mail This Today Date THE ANIMAL THERAPY CO. - No. 7 W. Madison St. Chicago, Ill. Send me, without charge, recent numbers of THE BULLETIN JOURNAL OF ANIMAL THERAPY. Am particularly interested in the radical results of your animal therapy in those of the following diseases which I underscore: - LOCOMOTOR ATAXIA CHRONIC JOINT RHEUMATISM NEURASTHENIA INCOMPETENCY DIABETES MELLITUS 1920. Address | RUN Chronic Constipation for Heart Disease A true cardiac tonic with out cumulative effect. Support, strengthen and regulate the heart by im- proving cardiac nutrition and muscle tone. Valuable, Do not create the cathartic habit, which so often fol- lows the use of ordinary laxatives and cathartics. They are a dependable bowel corrective, promot- ing the physiologic function of the intestines, without exciting excessive peristalsis or causing griping. DOSE: I to 3 tablets at bedtime. ſ * Jºſiſ Tº sulTANTDRUG co. therefore, in both func- tional and organic disorders. Notable for their safety and . efficiency. Iſſuerſtatutºrſ ST. Louis, Moſ Consesrond wirn our Adverrisºns, and MEurlow this Journal. Aft ADVERTISING XV in improved wiferaſoiſ Preparation It doesn’t gag—it pleases the palate. Whenever a pure petroleum oil is indicated, prescribe Petrochondrin (Abbott), and get results. You will find it the best mineral oil preparation because it is— 1. Pleasant and palatable—not oily. 5. An effective regulator of bowel action. 2. Eagerly taken by children. 6. Mixes with and softens the fecal mass. 3. An ideal vehicle for other remedies. 7. Emollient in its action. 4. Soothes instead of irritates. 8. A nutrient as well as a laxative. 9. Relieves constipation, indigestion, and chronic bronchial troubles. 10. Sure and satisfactory in its action. Doctor, give Petrochondrin a trial. When you have seen how nicely it works you will continue to prescribe it with an increasing degree of satisfaction. If your druggist is not stocked, send your order to the most convenient point. - # Per 16-ounce bottle . . . . . . . . . . . . . . * * * * * * * * * * * * * 94c Net || 3: ś sº Per half-gallon bottle . . . . . . . . . . . . . . . . . . . . . . . . $3.30 Net § § 5 : : # º --~. For the present these prices apply in the U. S. only. o C ; ; * : ; º: - X > y : * * ºr ºf S : J gº .. - o §§ ; º; #3 $ 5 The Abbott Laboratories ă ă ; ; ; ; ; Ś CHICAGO Dept. 23 NEW YORK rn t 2 + 30 9. § gº * - tº 5 : * * U-5 Seattle San Francisco Los Angeles Toronto Bombay ºf sº * º.º. . . . . . In children, and particularly in infants, the importance of maintaining normal diges- tion is most important. In babies most disturbances of health have their origin in faulty digestion of milk. Galactenzyme (Abbott), a virile culture of the true Bulgarieus Bacillus, aids in restoring the normal intestinal functions. Try it in your cases of intesting fermentative diseases and diarrheas. Try it in Gastroenteritis, Bacillary Diarrhea, Intestinal Fermentation and Toxemia, Urticaria, Diabetes, and the various Conditions due to intestinal putrefaction. - - Galactenzyme Bouillon is a local application of dem- OnStrated merit in various mucous-membrane infections. PACKAGES AND PRICES: Galactenzyme Tablets (in bottles of 100), per bottle 75c Net Galactenzyme Bouillon a pure Liquid Culture of , , " " . . º Bacillus Bulgaricus, “A,” per box of 12 gen- Es-Sºiſ, erous vials 94C Net * * * * *** * * * taxe For the present, these prices apply in the U.S. only. GALACTENzYME Most druggists can supply you. (Jobbers * * = * are stocked.) If yours cannot, send your 4 * * * * * * * * * * *** d orders direct to our most convenient - point. When prescribing be sure to specify ABBOTT’S. Price List, Literature and Representative Samples on request to Home Office and Laboratories, Chicago THE ABBOTT LABORATORIES HOME OFFICE AND LABORATORIES: Chicago, Dept. 23 New York Seattle San Francisco Los Angeles Toronto Bombay CORRESPOND WITH our ADVERTISERS, AND MENTION THIS Journal XVI ELLINGWOOD’S THERAPEUTIST AMENORRHEA DYSMENORRHEA MENORRHAGIA METRORRHAGIA ETC. - \ Ercoalpol. (Smith) is supplied only in packages containing twenty capsules. , Dose: One to two capsules three or four times a day. Sº Sº Sº Nº samples and Literature SENT ON REQUEST. LINGERING COUGHS About this time of the year patients make demand upon physicians for re- lief from chronic coughs that have per- sisted throughout the spring months, and are the remaining symptoms of a severe bronchitis or attack of influenza of the winter. The logical plan of treatment is to make an effort to raise the general re- sistance and at the same time offer to the irritated bronchial mucosa an agent that will have a soothing effect. For this double purpose Cord. Ext. O1. Morrhuae Comp. (Hagee) will prove of marked usefulness, owing to its power to increase bodily strength and its specific action upon bronchial tissues. The regular administration of Cord. Ext. O1. Morrhuae Comp. (Hagee) is of the utmost service in these chronic coughs, and with many physicians it is a routine measure. Its reconstructive properties make it decidedly valuable in run-down states, an underlying con- dition in most cases of chronic bron- chitis. This highly scien- tific and sanitary de v ice has been brought forward by Dr. Theo. Larson as a most perfect in- strument with which to cleanse every part of the vagina and of the vaginal vault. The results pro- duced by its use are m or e perfect and more highly scien- tific than can be c 1 aim e d for any other instrument. It is readily introduced and easily used. It is presented as the o n 1 y instrument which will fully ac- complish the results claimed. PATENT APPLIED FOR 7409 N. Clark St. Dr. Larson's Revolving Syringe If the treatment of any vaginal dis- charge, chronic or acute, and especially in the treatment of acute cases of gon- orrhea, the cleansing of the vagina is so complete and thor- ough as to win the highest approval. In the ordinary vaginal discharges it is at once satisfac- tory. We offer this in- strument for $6.50, subject to 30 days’ trial. If after that time you are not satisfied, you may return it and your money will be re- funded. Dr. Larson's Sanitary Device Co. Chicago, U. S. A. CoRREspond witH our ADVERTIs ERs, AND MENTION THIs Journal. º 'º - ºl = iſãl ellingtºn's Cherapeutist A Monthlg Journal Of DIRECT THERPAp EUTICS Finley Ellingwood, M. D., Editor and Business Manager. VOL. XIV APRIL, 1920 Mexico T. H. STANDLEE, M. D., MEXICO CITY. The better class of Mexicans include the educated. They send the chil- dren to school in the cities and to for- eign countries to get their training. They do not labor and are clever and well informed. In the hearts of this class rests the jealousy of foreigners. They realize what the consequences would be if Americans and other for- eigners were given a “free hand” in Mexico. These are only bitter against Americans because they offer the great- est danger to them on account of the proximity of the two countries. Also, they have learned by experience that the United “States Government will not (or has not) resented the treat- ment they have seen fit to mete out to its citizens, or the insults to the Gov- ernment itself. It seems to me that: they consider it to be an honorable act to steal from, or cheat, an Amer- ican. A railroad ticket agent took ten pesos from me while I was looking at him. The train was about ready to leave and he knew I had no time to argue with him; betting at the time that I would not miss the train for the ten pesos. He made a good bet, too, and won. - The best way to get through Mex- ico is by using “Tips” freely. Use them On everybody who serves you with the assurance of not being arrested for bribery. He may feign friendship for you, but he cares nothing at all about you farther than what he may be to his advantage. . - In the matter of pro-creation the Mexican has the evolutionary instinct possessed by all other dark-skinned people, for white blood. This is no- ticed in the women here who are very much inclined to want attention from white men. If white women were plentiful it would be the same with the men. This instinct cannot be overcome by these dark races, because it is nature tending toward improve- ment which is a law. It is very no- ticeable in the American negro race. Also, it is noticeable in Mexico when Americans marry or adopt women, they select from the middle or lower class. A German always goes to the upper class for his selection, where there is money and influence for a wife. The life of the Mexican peom (of such the masses consist), is fraught with great privation. The southern negro lives like a prince in compari- son. Houses are built for protection from rain and sun. They are thatched of bamboo without flooring. When they want to be “tony” they spread a beef-hide on the ground. For furni- ture, they do without. 110 THERAPEUTIST ELLINGWOUD’S The meals of beans, boiled meat and tortellas are cooked on a stick-fire in the room without any preparation for disposing of the smoke. The bed usually consists of a plat- form of suitable size built in one cor- ner by driving sticks into the ground and flooring this with split bamboo poles with the round side up. This is covered with a few “gunny” sacks. When they tire of standing they find a comfortable seat on the ground. Here these people live and die in the opinion that they are doing just like the balance of the world. Some of them have heard of the *United States, and if they ever think of what it is like, they draw on their imaginations for pictures of their own surroundings to fit it. . Considering the way they live, the Mexcan people are remarkably free from disease. If an equal number of American families were placed under the identical conditions to live, they would be dead in four months. I have been in the worst kind of districts and have not seen one case of typhoid fever. This proves the theory of ty- phoid prophylaxis again. These people are born and raised among the live typhoid germs and have become im- mune to them. Their bodies have be- come educated to eliminate them. This is the same thing that occurs when we inject the killed germ into the body for immunity of this disease. We teach the tissues how to eliminate them. There are millions of Mexicans who never took any medicine in all their lives farther than native herbs and barks made into teas. They dress sores with green 1eaves tied on with dirty strings. There is a large per cent of fatalities among infants from bowel troubles. They all have itch (scabies) and boils. In the low district many die with malaria. This fact goes to prove to me that we will never get an efficient malarial prophylactic. In these in- tensely malarial districts in the coast - country they are all malarial carriers, still they do not have chills or fevers until the rainy season, when there are many mosquitos. Then again the na- tive who is carrier and has been all his lifetime will “stand up” better than a newcomer. The disease also responds to treatment better than it does in the case of the newcomer. I called to see a man who, they said, liad been sick for ten days with ma- laria. He was in a tent without any attention and they were looking for him to die every day so they could get him out of the way. As I was passing they stopped me, I gave him 15 grains of quinine Bi-hydrochloride in each thigh (30 grains), and told them to get as much castor oil down him as they could. Two days after, this man went to work. - During this rainy season I have given multiplied thousands of Intra- Venous and Intra-Muscular injections of quinine Bi-hydrochloride and it will do a native twice as much good as it will a foreigner. In an intense mala- rial district like the Mexican coast these injections become absolutely neces- sary. The stomach becomes so irri- table from bile that the patient is con- stantly vomiting. The Intra-Venous use of quinine must be used with cau- tion; and on selected subjects. I have not killed any one yet but have had some close calls. With proper judg- ment in selecting the subject and cau- tious use of the technic the danger is quite small. Use a very dilute solu- tion so as not to burn the vein (15 grs. to 10 cc water). Use about two min- utes for the insertion of this fluid and the shock will be decidedly milder. Watch the patient and if the shock be- comes too violent before you have finished, stop. - I have been in Mexico nearly a year and we have become to be awfully migratory since I joined the U. S. Army in 1917. It is not good for one to get started to “Racking around” over the world. He soon gets the habit MEXICO - * 111 and then he is a tramp, first, second and third class, just as his luck makes him. - - Mexico is a wonderful place. There is no other country under the sun like it. It is very rich in natural resources and very poor in its management. With ten years of war you can not find a more unhappy people as the result. They look and act in their daily life just like they did not know what was going to happen next and they don’t. They have no heart to try to provide for anything but their present needs and wants. With another supposed time, for a supposed President ap- proaching, the same old enemy is ris- ing up like a demon from his lair. Unholy politics - When an American comes to Mex- ico and gets the new worn off he be- gins to prescribe for Mexico’s illness. He knows it from first to last with the remedy as well. You, Dr. Ellingwood, never lived in the country and had a sick horse out by the roadside some Sunday morning. But some of your Readers have experienced the luxury of free advice in this manner. Well, that is poor old Mexico; but those who are doing the prescribing know the least about the illness. Most of these fellows want to prescribe civilization in all its degrees that would do flattery to Mount Vernon. That is the right treatment, we admit, but how are they going to apply it? Civilization can- not be built in a fortnight from raw material. The bulk of the Mexican people are doing very well under the circumstances. Without any knowl- edge of right and wrong farther than natural instinct they have been turned loose to conduct their lives without laws or order to guide them, first by Madero and then by all other leaders. Consider the educated Mexican and he is a very different proposition. He is a natural lawyer and diplomat. He will never fail to outwit the State De- partment of the United States. The election Spanish language is flexible. He can write a note to Mr. Lansing and insult him and when called on to explain it, he can twist it right-about face. To illustrate: A British Consul told me when United States Consul Jenkins was kidnapped he said to himself, “Well, the wool will fly now.” Time passed on. The soft soothing, “Den- ver mud” was used with its unfailing results. Mexico borders on the United States for a distance of 800 miles. A large portion of this distance has no river to divide the two frontiers; still, only for a small distance into the ter- ritory of the United States nothing is known about Mexico, nor do the Amer- ican people care anything about it. Mr. Fall and his Senate sub-committee are now taking evidence to determine what the relations are between the two countries. By this act, the United States Senate admits that it doesn’t know what kind of friendship exists, if any at all, between the United States Government and the so-called Car- ranza Government. - I cannot prescribe a remedy for Mexico that is practicable. Armed in- tervention by the United States Gov- ernment would mean a great deal of lost energy and great expense; to leave it alone means hopelessness for the fu- ture of this country for centuries to come. These people are now living just like they did 500 years ago and will continue to do so during the next 500 years. We have 800 miles of country frontier lying on our border that is too tempting for our people to let alone, so I will just ask Mr. Fall, “What he is going to do about it!” % The Mexicans like American doctors and they are about all the kind of Americans they do like. They consider the American doctor as being more honest of purpose, for this reason the doctor from north of the Rio Grande who drifts into these haunts usually meets with many obstacles. The doc- 112 ELLINGWOOD S THERAPEUTIST e tor who is making a living in the States better stay there. The Mexican Constitution provides that no man shall be hampered in the peaceful pursuit of his profession or his business, but they come along then and pass a law that no doctor can sign a death certificate without having first registered with “The Faculty of Mex- ico.” So the first case you loose by death you are up against trouble. They kept a nice old American doctor in jail for three months at Saltillo for just such a scrape; when he got out he was only too glad to tell them good-bye. Considerable jealousy ex- ists in the Mexican doctor's heart against the American on account of the Mexican liking for the American doctor. - Jealousy is a large factor in the Mex- ican situation. If Americans were allowed to have a free-hand in Mex- ico they would soon own the whole thing. The Mexican Indian would go just like the American Indian has gone in front of the white man. The ignor- ant, humble nature cannot compete with the educated Caucasian, hence he soon finds his home and land belong- ing to his superior while he drifts to the spirit world beyond—somewhere or nowhere ! PERFORATING ULCER OF THE NASAL SEPTUM TREATMENT WITH THUJA* A. F. STEPHENs, M. D., ST. LOUIS, Mo. The treatment of this condition is other than surgical, so commonly neg- lected entirely these days that it is worth while indeed to present a course of treatment of medical applications that has been successful. “The literature upon this subject is rather meager and the treatment of the disease is left to the judgment of the physician when he finds it. Those who do mention it, pass it by as of no importance, which is, perhaps, true in Unfortunately, I have found it to be very troublesome and slow to get well and hard to keep healed afterwards. It has a tendency to show itself when one had supposed it had gone out of business. A few years ago I had a case which, to the owner, was of great annoyance and positive distress and therefore im- portant. He had had it for over two years, although he had been trying to get rid of it all that time. He had consulted more than one physician with the result that he did not im- prove. When the case came under my observation his condition was as fol- lows: The patient was about thirty years of age and had had ulceration of the septum for over two years. The ulcer had perforated the septum and was at this time about as large as a silver dime in diameter and gradualy extend- ing. The nasal mucous membrane was hypertrophied and thus obstructed the free passage of air through the nose. There was a constant aching in the face and head; pain in and about the malar regions; more or less constant pain in the eyes and feeling of fullness, as if from pressure within the antrums. This pain was often very severe at night after retiring. Epistaxis was of frequent occurrence and the general health was not much emaciation. This state of affairs had existed so Happy is the man who has that in his soul which acts upon the dejected as April airs upon violet roots. Gifts from the hand are silver and gold, but the heart gives that which neither silver nor gold can buy. To be full of goodness, full of cheer- fulness, full of sympathy, full of helpful hope, causes , a man to carry blessings which he is himself as unconscious as a lamp is of its own shining. Such a one moves on human life as stars move on dark seas to bewilder mariners; as the sun wheels, bringing all the seasons with him from the south.-Beecher. The path of success in business is inva- riably the path of “common sense.” Not- withstanding all that is said about “lucky hits,” the best kind of success in every man’s life is not that which comes by acci- dent. The only “good time coming” we are justified in hoping for is that which we are capable of making for ourselves.—Sam- uel Smiles. - ... many cases. *Reproduced from National Transactions. DELAYED MENSTRUATION - 113 long that the patient had come to con- sider it as something more than a trifle. - - Seeking for a cause "I accused him of having syphilis, but he denied this SO strenuously and with so much ap- parent honesty, that I did not insist. He was a liveryman, having previously been a farmer. As a treatment I first sprayed the nostrils with echinacea and hamamelis, equal parts, thoroughly washing out the cavities and cleansing them. The ulcer was then packed with an oint- ment of Thuja made by melting one pound of white vaseline, adding one ounce of the oil of Thuja and stirring until cool. This was applied on pled- get of cotton and kept there con- stantly. The cleansing process was done every day before applying the Thuja. .. - Internally, the patient was given Fowler's solution and the syrup lacto- phosphate of lime; one drachm of the former to four ounces of the latter, a teaspoonful every four hours. In three months the ulcer had cicatrized. The case passed from observation at that time and I do not know that the ulcer did not return. A second case which I desire to mention in this connection was that of a wenan who presented an ulcer of the left side of the nasal septum. In this instance the ulcer had not per- forated the septum, but was rapidly destroying the partition as it deepened. In extent, it was perhaps three- eighths of an inch in diameter. There was in this case, as the other, an hypertrophied mucous membrane of chronic rhinitis and therefore an ob- struction to the free passage of air through the nasal organ. In addition there was some little gastric trouble due to decomposition of food in the stomach, causing: gaseous accumula- tion. - The local treatment mentioned above was given her and in addition she was given internally echinacea menstruation in young women. lecture at the Mt. Sinai hospital, New and sulphate of sodium. In two months the ulcer had apparently healed. A little later, however, it returned and the treatment had to be gone over again. This to me has proved of no little importance.—Lloyd's Bulletin. DELAYED MENSTRUATION FROM TORSION OF THE PEDICLE OF A TUMIOR PAUL F. MUNDE, M. D. No condition leads to more trouble- some or even serious results than those follow delayed. In a which sometimes York, Dr. Paul F. Munde made the following statements concerning a clinic which will be of much value to many of our readers. t “The patient, a young girl of eighteen, who was brought to my of— fice a few days ago by her mistress because she had never menstruated or shown the slightest sign of that func- tion. She had been treated by several general practitioners at her home in the country for some months, without, however, having been subjected to a physical examination. - My experience has been that in cases of young girls where menstruation is delayed long beyond the usual stage of puberty—fourteen to fifteen years —until near or later than the twentieth year of age, the absence of this func- tion is usually due either to some dis- tinct organic disease of the ovaries (as imperfect development, absence, at- rophy or cystic degeneration), Ör to a closure of the genital canal, with re- tention of the menstrual flow. While I should scarcely think of suggesting an examination of a young girl of fourteen or fifteen in whom menstruation had not yet appeared, I should certainly think that I was ne- glecting my duty if I failed to propose such a course in a girl in whom this function had been impending for three Or four years and still failed to make its appearance. I have seen a number 114 ELLINGwooD's THERAPEUTIST of cases in which girls have gone up to the eighteenth and twentieth years without any sign of menstruation, all treatment having been unavailing, and in whom a local examination, finally insisted upon, revealed entire absence of the uterus and ovaries. In two cases, indeed, the so-called women were hyospadiac males. Remembering these experiences, I suggested a local .examination of the patient upon whom I at once oper- ated, and found to my great surprise, that she had an abdominal enlarge- ment, which, upon closer investigation, proved to be, in my opinion, an Ovarian tumor. Inasmuch as there had been no menstrual molimina at any time, I ventured the supposition that both ovaries were degenerated and in- capable of evolution. My advice was an operation for the removal of the diseased ovary or ovaries. - The abdominal enlargement about the size of the uterus at the sixth month of pregnancy, upon opening the abdomen a cyst was found on the left ovary which had taken on an in- flammation which involved the peri- toneum, and caused adhesions from torsion of the pedicle which was twisted three times from left to right, the pedicle being very long. The other ovary was found to be greatly enlarged and both ovaries were removed and they with their pedicles were care- fully ligated. - Recovery in this case was uninter- rupted, the temperature never rose above the normal, in spite of the dif- ficult nature of the operation, and the patient was out of bed in the second and discharged about the fourth week. These cases of twisted pedicle are not SO uncommon as may be supposed. The accident occurs chiefly in the cases of small tumors which are still able to turn about in the abdominal cavity. I think twisting of the pedicle is usually due to the gradual rotation of the tumor produced by the peristal- tic action of the intestines and the vol- untary and involuntary movements of the patient. - sº The pedicle may be twisted two or three, or even more times, without producing very decided symptoms— merely pain in the abdominal region on one side or the other, no decided rise of temperature, no symptoms of inflammation of the tumor, or of the peritoneum—and still the patient’s general health rapidly deteriorates, and she becomes anaemic and cachectic, in the sense in which that term is ap- plied to the peculiar condition present in large ovarian tumors. Neither the temperature nor the pulse undergoes any special change; there is simply a rapid depreciation of the general health of the patient which attracts attention, and the presence of pain, with at times more or less slight rise of temperature, leads to the sup- position that an inflammation of the cyst has taken place (the presence of such a cyst having, of course, been ascertained by a physical examina- tion). - I have operated upon eleven cases of twisted pedicle, in some of which the torsion was so extreme that the tumors had become black, friable, and indeed almost gangrenous, so that they had to be removed piecemeal, and their entire removal from the abdom- inal cavity was rendered extremely difficult. In no case, however, have any unpleasant symptoms resulted; in no case was a drainage-tube employed after the abdominal cavity was thor- oughly irrigated, and all the patients made an easy recovery. This liability to torsion of the pedicle is one of the reasons why the removal of small ovarian tumors is in- dicated almost without exception, even though they may not at the time of their discovery produce decided local symptoms. There is no telling when such a tumor may turn, its pedicle be- come twisted, the cyst become adher- ent or gangrenous and the patient die in consequence before its removal can be accomplished. EXOPHTHALMIC GOITRE 115 IS THIS A CURE FOR IMPOTENCYP L. H. HENLEY, M. D., CLAREMORE, OKLA. Here is a matter of fact that may or may not interest, but it has caused me to think quite a bit. Some few years ago, a clever fellow for some cause obscure to me came, telling me that he had “completely lost his pep.” He worked in a sawmill. He had a little family and so far as I know no bad history save that he was an inveterate cigarette smoker. But his sex virility was nil and he took it greatly to heart and was quite “moody” over the mat- ter. I got him to quit cigarettes for a short time and this almost put him crazy. One day a belt somehow struck him as he stepped over it and he stum- bled; and this belt took part of his clothes and most of his scrotum, leaving the testicles unhurt thought quite soiled. In one hour I was by him, he was perfectly reconciled to the removal of the glands. I had about 3i of the oil of Calendula. I cleansed the parts the best I could, stopped the hemor- rhage, used the Calendula and brought a flap about the testicle and made a snugger job of it than I had even hoped for. He soon recovered and felt better than formerly and what is more his vitality became a fact again and today he has a chubby baby that is no other than his very own. Can any one explain if the slack taken from the scrotum worked the relief; is not this a good pointer that may serve a clever purpose? If a discovery it was accidental. . COMMENT—This idea should certainly be investigated to determine if there is not a vital, and essential truth in it. If compres- sion of the reproduction glands or their cir- culatory organs or their lymphatics will bring about a restoration of the reproducing power in these organs, that should be known and explained. The power of medicines is limited for such restoration and no influence from surgical methods have as yet been suggested. No harm can come from reducing a redundancy of the scrotum. It can be done with local anaesthesic with but little inconveni- ence with proper care. CoMMENT—In experiment Dr. Henley writes me that he operated on two old Jersey bulls and restoration was satisfac- tory in both. That should lead to general recognition, ultimately of Henley's opera- tion for the cure of sexual impotency in the male if the results are as good as all have been so far. CLINICAL EVIDENCES AND PRAC- TICAL FACTS CONCERNING EX- OPHTHALMIC GOITRE IN THE MALE DR. Foot, UNIVERSITY OF DUBLIN . It may not be out of place in this journal to publish some important facts on this subject. Therefore I have thought best to prepare them for these readers, not that they have not often seen them but that they may have them for access when reference is needed. I am giving some clinical evidences as presented by Dr. Foot of the University of Dublin. In the first case presented the three characteristics—classical evidences—were there in evidence which is not always the case. The symmetrical protrusion of the eyes was well marked, the excited action of the heart was evident, while the thy- roid swelling was inconspicuous, for he could arrange his collar and necktie in the usual fashion. The complete trial of symptoms is seldom as fully marked either in the case of males or of children who may be the subjects of this disease as it is in the adult females who more usually furnish examples of it. It is also believed that males are affected at a more advanced age than females as is stated further on. The case is that of a coachman, aged fifty. Five months before he had sus- tained a severe shock by the death of one of the stablemen under his charge: He had allowed this helper to exercise a thoroughbred horse; the horse bolted, and threw the man, who was killed on the spot. The coachman fretted very much Over the occurrence, reproaching him- self for having allowed him to mount the animal. Two months after the accident his wife ll6 THERAPEUTIST ELLINGWOOD’S observed the prominence of his eyes and said to him, “Why do you stare so?” At this time he had occasional diplopia; for example, when exercising his horses early in the morning he would see two boys on the road before him when there was but one, which he observed was a strange thing to happen to a person at that time of day. About the same time he noticed that his heart at the least little work would get into a flurry and he would perspire. When he came under observation here he felt much the better of several bottles of quinine he had taken. His heart was quieting down. The pulse was 112 at the wrist, but weak in com- parison with the cardiac impulse. He was treated with belladonna and was soon able to return to his situation, proptosis (not very extreme) being then the only obvious departure from his ordinary state of health. Another case, the late constable in the Royal Irish Constabulary, was admitted with exophthalmic goitre, and remained a month under observation. He was a married man, aged twenty-eight, height, five feet eight inches; his weight on ad- mission was ten stone, it had been twelve stone a year before. His state of health in consequence of which he had been dis- charged from the force, was attributed to over-fatigue, worry and harassing duty on protection stations. His symptoms commenced with palpitations after the first month and were followed by exoph- thalmos and thyroid swelling in the fourth and fifth month. He had a continual tremble and heat over him, threw the bed- clothes off him at night for coolness and perspired heavily two or three nights in each week. While in hospital he lost two stone in weight, making a decrease of fifty-six pounds in little more than a year. The right eye was the more prominent of the two, and the right side of the thy- roid was larger than the left. The mean rate of his pulse (sixty-two observations) was 105; average of the morning pulse, 103; of the evening pulse, 108. There was no sugar found in the urine, nor was there pigmentation of the skin. He had attacks of diarrhea, without colic, for two or three days at a time, subsiding spon- taneously. While in hospital he was kept on iron and digitalis, combined as follows: I} Tinct, digitalis . . . . . . . . . . . . . . . 3i Tinct. ferri perchlordi. . . . . . . . 5ii Acidi phosphoric dilute. . . . . . . . 5ii Aqual, q.S. ad. f. . . . . . . . . . . . . . ăviii—m S. Two tablespoonfuls three times a day. When discharged, which was at his own request, the proptosis might escape observation; the thyroid tumor had greatly decreased; the cardiac symp- toms were variable, any excitement, ex- ertion, or even a change of position pro- ducing a sudden acceleration of rhythm. The case of a bachelor aged thirty- seven, who neither smoked nor drank, was sent in for treatment. He was the postmaster in a country town. He was also the champion dancer of his neigh- borhood. One night he had “kept the floor” for three hours without cessa- tion, wearing out many successive part- ners. He only desisted when his male competitors had resigned the contest. Two days after this over-exertion he got ill with what might have been called “fatigue fever”—with rigors, headache and retchings. In his own words, he was for five or six weeks as bad as he could be with pains in the head, retching, and, when able to do so, his rest was disturbed by frightful dreams. In the third week of his illness he noticed a throbbing in his ears” connected with his heart when he lay on either side. At the time he got sick his weight was 186 pounds. Six months later he weighed only 144 pounds. #This loss of weight, 32 pounds in four months, astonished him the more be- cause his appetite had of late been un- usually large. In the six months which had elapsed before his admission, poly- dipsia, bulimia and diaphoresis had be- come established; his collars became an inch too small for his neck; the left lobe of the thyroid was especially enlarged; there was a humming buzz, like that of a fly in a paper bag, over each lateral lobe of the gland. His eyes were symetrically EXOPHTHALMIC GOITRE 117 prominent, bright, restless and had a humid radiance. There was a fulness above, between the eyebrow and the upper lid, and crescentic bags about the inferior palpebrae. The heart was beating at 129. The order of appearance of the symptoms had been, first, palpitations during the febrile commotion and soon after the over-exertion, increased so much by movement, or by any mental ex- citement, that he could hardly walk across his room, and attended with urgent dysp- noea; the exophthalmos came on in the following months; the neck swelled sub- sequently. The violent action of the heart, cartoids, and thyroid vessels was distinctly seen on inspection of the bared chest. There was evident cutaneous hyperaemia over the front of the thorax, tache cerebrale being very well marked. Flashes or, as he called them, blazes of heat thrilled all over his face and head. He frequently cleared his throat with a short nervous cough unattended with ex- pectoration. His muscles were tremulous and unsteady. Graefe’s lid-sign was not present in this case, for when he looked down to- wards the ground the upper lids followed the globes, and did not leave a band of sclerotic uncovered between their tarsal margins and the upper border of the cor- meae. Graefe’s sign consists in an impair- ment of the consensual movement of the upper eyelid in association with the eye- ball. In Grave's disease this descent of the upper lid on looking down is, in a large number of cases, either in part or entirely wanting, so that a zone of scler- otic becomes visible above the cornea . when the eyeball is rotated downward. Graefe’s lid-sign is one of the earliest symptoms of Grave's disease, sometimes appearing when the exophthalmos is ab- sent, or when it is present in only a slight degree. It may disappear while the prom- inence of the eyes still continues, and in proptosis from other causes, such as tumor or inflammatory exudation in the orbit, the symptom is entirely wanting. There is also a case on record in which, although the exophthalmos was unilat- eral, Graefe's sign was present on both gº sides. It is very remarkable, considering the great relative rarity of Grave's dis- ease in men, that of the fourteen cases in which Graefe observed his lid-sign, ten were males. - From notes of forty-nine cases of Grave's disease which had come under Reynold care in private practice, forty- eight were females, only one was a male. The proportion of females to males varies with different observers in their collec- tions of cases; thus, the estimation of Cheadle is eight females to one male; of Eulenberg, two to one; of Graefe, six to one; of Hill Griffith, twenty-nine to three; of Henoch, twenty-three to four; of Angel Money, seven to one; of Prael, twenty-eight to one; of Romberg, twenty- four to three; of Taylor, twenty to four; of Samuel West, forty-eight to three; of Withinsen, forty-two to eight; of Hale White, twelve to one. Of nineteen cases of which I have kept notes there have been sixteen females to three males. There is no uniform order of appear- ance observed in the advent of the car- dinal phenomena of Grave's disease, but the sequence considered to be the most usual is, first, palpitation; second, goitre: third, exophthalmos. It belongs to the rarest exceptions for the cardiac palpi- tations not to form the first symptom, and it will generally be found that the prop- tosis is a late one. It may also be laid down as true that while the cardiac symp- toms are the most constant, the ocular symptoms are the most striking. In some cases the three cardinal symptoms seem to have appeared simultaneously; in six out of thirty-eight of West's cases all the symptoms appeared at the same time. At other times the complaint runs its course without all of the three great features being present any time. Among fifty-eight cases collected by Dusch, the cardiac phenomena were absent three times and goitre four times. In several of Prael and Fischer's cases the disease was limited to a double exophthalmos. There may be palpitation and exophthal- mos only; there may be palpitation and goitre only; but it is doubtful if there are any accurate observations showing that 1.18 ELLINGWOOD’S THERAPEUTIST exophthalmos and goitre ever occurred without palpitation. Dr. Savage has directed attention to the connection between exophthalmos goitre and mental disorder. He thinks Grave's disease is even more common among the insane than among the sane. In the cases reported by him the form of insanity was melancholia, which in all passed into most violent mania; hallu- cinations were present, and the patients presented examples of mania of the most violent, destructive and dirty kind. Dr. D. Drummond regards the occurrence of maniacal symptoms as an exceedingly un- favorable prognastic indication. FRACTURES OF WIRIST AND ANKLE —COMPLICATIONS AND CURE* J. E. HolmAN, M. D., INDIANAPOLIS, In choosing the above subject I have done so for two reasons: First, because it is a subject upon which I have had a great deal of experience, and, Second, because I wish to learn more about it, No physician has ever written upon a subject about which he feels so confident of his subject-matter but what he is en- lightened materially by his research upon the subject. *... I have in the past three years seen and treated some one hundred cases of fractures of wrist and ankle alone. I have treated likewise many fractures of leg and forearm, including fractures of tibia, fibula, Pott's, Colles’ ulna, ulna- radius combinations, but the point I wish to make is that a greater percentage of fractures of arms or legs that I have treated have been in bones which are, or form, a part of the wrist or ankle. This may be either a coincidence or to the kind of work done, as the greater part of such cases were derived from the automobile industry, especially in the manufacture of army trucks. The causa- tive factor in the production of such in most every case was one of direct force, which undoubtedly accounts for the greater percentage I have had of wrist and ankle fractures alone. Three examples of cases I have in mind to illustrate the cause of such frac- tures: First, in block test room, cement floor, room filled with trucks, a truck backed up on the heel of a man, result- ing in the fracture of the os calcis; an- other upon the side of his foot with a fracture of the astragalus; third, a heavy body riser falls on the wrist of the pa- tient, fracturing the scaphoid bone. Physical examination of the injuries would usualy reveal a fracture, but the complete diagnosis was made in all cases from X-Ray plate. In the last decade the findings of the R-Rays and the clinical observations which they have stimulated and made possible have brought to our knowledge in detail many lesions of the carpal and tarsal COMMENT—It has been this editor's fortune to be able to watch the case of a man of 45 years, a hardware man, almost the en- tire history of a case of classic goitre from the quite simultaneous development of the three classic points of clinical evidence. The condition I attributed to the lifting of heavy goods. He was small, weighing from 100 to 120 pounds only. The pulse ranged from 97 to 120 and the temperature was seldom above 101.5 degrees, although nearly always a little above normal. The tremor was very pronounced in the early stage, although it was quite readily con- trolled by treatment. The patient was very faithful in carry- ing out the advised course of treatment. There was but little influence from the treatment until the second year, when the hydro bromate of quinine four grains four times daily was given for a few months. He resorted then to the original treatment, and the tendency to diarrhea was con- trolled by arsenite of copper in small doses. From that the progress was satisfactory for two years more, when I could pronounce him cured. The treatment at first was with veratrum aconite and cactus, with phytolacca and podophulbum. The liver was enlarged and the skin was conspicuously and persistently . discolored—dingy and He for a time had lycopus instead of remedies. Then he was put on the quininesalt, and later on lycopus, then he was restored to the chisthus iris and podophyleum, with occa- sionally the heart remedies. For more than three years now he has been again about his business and is appar- ently in excellent health. He took medi- cine over a period of four years. At last examination the exophalthmus was absent as was the tachycardia. The enlargement of the gland was not evident to the vision and the tremor has been gone since the first year. always very dark. chionanthus iris and the above glandular *Reprinted from National Transactions. WRIST AND ANKLE FRACTURE 110 bones which were heretofore unknown or known only incompletely and as of rare OCCurrence. * The anatomical and physiological com- plexity of the carpal leads to a corres- ponding complexity of the traumatic lesions which occur in it and of the combinations which may be produced in accordance with the many variations in the direction, extent and prolongations of the force which produces them. Fractures and dislocations of the dif- ferent bones which compose the carpus and tarsus may occur simply or in various combinations, and while some of the single injuries and some of the combinations occur frequently and regu- larly enough to justify systematic de- Scription, others are so few or so vari- able and so dependent upon varying mechanical conditions that they defy analysis and classification and must be recorded only as isolated facts. The most frequent lesions are frac- tures of scaphoid and dislocation of the semilunar in the carpus, and so far as I am able to discern from available litera- ture, fractures of the bones of the tarsus occur with almost equal regularity. An unlimited number of various combina- tions of fractures of tarsus and carpus may be encountered, but time can not be devoted in this paper to such com- plexities. - - --- Diagnosis.--The correct diagnosis of any fracture of tarsus or carpus is often difficult. These fractures can generally be recognized by local tenderness, mo– bility and crepitus. In these fractures an X-Ray examination is often neces- Sary to arrive at a correct diagnosis; in fact, in all injuries about the ankle the X-Ray should be employed as a routine practice. Regarding prognosis in frac- tures of the tarsus and carpus, it may be said that the result of treatment is gen- erally unsatisfactory. Ely, in Annals of Surgery, 1917, has shown that a large percentage of the cases have more or less permanent disability. The causes of the disability are limitations of motion and persistent pain in walking. One of the most frequent causes of pain is the presence of a fragment of projecting bone or exostoses in the soft tissues of the heel; another is the formation of a mass of callus beneath and about the top of the external malleolus, to which at- tention has been called by Cabot and Binny. - Treatment.—In the treatment of the bones of the carpus and tarsus it is most important to restore the fragments to their normal positions and hold them Securely until union has taken place, for it is only in this way that the normal arches can be maintained. & As a means of immobilization and Support I prefer the simple splint well padded with cotton and one or more thick layers of cotton about the injured member and all secured firmly, while fragments are held in position with or without tension on the parts. The use of plaster of Paris as usually put on con- stitutes what is commonly called an Over-treated fracture, due to the fact, as you all well know, to the inability of a plaster cast to maintain the fragments' in position when the cast becomes loose as the swelling subsides. Here is where the old splint and roller bandage can easily be removed and parts examined and redressed sufficiently tight that frac- tured parts can not be separated. Some- times a plaster of Paris splint may be made for the anterior and posterior which conforms to the anatomy of the part. A lint gauze is always applied to the skin to protect it from the plaster. Various contrivances and appliances have been made according to the notions and ideas of many surgeons, but sim- plicity rules as far as appliances are concerned. Most all authorities state in their treatment that the first indication is to prevent a too severe inflammatory reaction if it threatens, and with this object the hand or foot should be kept at rest in an elevated position for three of four weeks. Cases where passive motion was restored too early did not do well. However correct these authorities, and however true all they tell us, with a few stiff joints which make chronic com- plainers and poor business getters, one is prone to do something else. For in- 12U ELLINGwooD's THERAPEUTIST stance, if the doctor on the case before you used ice packs with no results, why use hot packs, of course. All this has led me to the following in the treatment of joint fractures (tak- ing for granted that they are not too comminuted): I examine my fracture every day or every second day by re- moving the bandage and splint, gently holding the fractured member and apply tension if necessary, and direct the pa- tient to begin about the third day to move the fingers and continue to increase the movement both in and out of the splint to as great an extent as my better judgment directs. The hot water baths aid materially in the relaxation of sticky joints. There are a few cases when open operation and removal of a part or all of a bone becomes necessary to overcome stiffness and increase effi- ciency. In conclusion let me say I favor and use passive motion as early in the , case as conditions permit. In so doing I have had excellent results. The sublime only paints the true, and that too in noble objects; it paints it in all its phases, its cause and its effect; it is the most worthy expression or image of this truth. Ordinary minds cannot find out the exact expression, and use synonyms.- Bruyère. SPECIFIC MEDICINE MACROTYS F. L. WILMETH, M. D., LINCOLN, NEB. With all Eclectic physicians, macrotys has been a standard remedy for many more years than I have been in practice. There are few, if any, of these phy- sicians, whose medicine cases do not con- tain a supply of this remedy, whose use- fulness is well known, as it is frequently indicated in a variety of so-called dis- eases. Macrotys occupied a place in the first medicine case I carried, twenty- four years ago, and ever since that time it has been in constant use. While I am sure I have not always prescribed it as intelligently as I should, I cannot remem- ber that it has ever disappointed me. The specific indications for Macrotys, _as enunciated by Dr. Scudder are “Mus- cular Soreness, Muscular Pain and Mus- cular Spasm.” These indications, while very brief and easily remembered, cover a great field of usefulness. They arise from different causes that influence the utility of the drug, only in the character of the associates it requires. Thus, one would not expect Macrotys, unaided, to relieve a muscular soreness caused by the extension of an infection, before the proper means for overcoming the infec- tion had been used. Neither would one expect a spasm of pain of the uterus to yield to its unaided influence, when such spasm or pain was due to mechanical causes, the removal of which was clearly indicated. - While specific indications for the use of Macrotys will probably be most fre- quently met in the direction of the uterus, they are also found in the heart and general musculature. It may be ad- ministered th doses varying from a frac- tion of a drop to ten drops, the latter doses being given in hot water, a few” minutes apart, the remedy being then continued in smaller doses, at longer in- tervals. - Macrotys assists in relieving muscu- lar spasm and soreness, from whatever cause, even trauma. Just what its phy- siological action may be in some in- stances, one must take for granted that its effect is expended on the circulation and enervation. It tones muscular fibre, and hence it becomes a companion rem- edy to Ergot, and in some instances to Digitalis. In uterine and heart disease Macrotys and Ergot act well together, while Macrotys is a safer remedy than Digitalis. . Macrotys will at times demand as com- panion remedies, gelsemium, belladonna, aconite, dioscorea, lithium salicylate, pulsatilla, viburnum, caulophyllum, nux vomica, cactus or hemamelis, the com- panion drug being always selected for its own specific indications. g While in the treatment of inflam- matory rheumatism Macrotys becomes merely an auxiliary, this disease being an infection, that should be properly treated as such, when the muscle fibre is involved Macrotys becomes the remedy. It is also valuable in treatment of subinvolution of the uterus; in dilatation of the heart, in which direction, as al- SANGUINARIA 121 ready stated, it is safer than digitalis. It is an emmanagogue, a remedy in dysmenorrhea, and in chronic muscular rheumatism, but if given in any disease without regard to its indications, its ac- tion will be disappointing, as is true of other remedies. It is said to have re- lieved spermatorrhea, hypochondriasis, mania, convulsions, chronic rheumatism and tumefaction of the joints, bronchitis and caseous pneumonia, and to be a stomachie. While macrotys may be useful under some conditions in any of these diseases, I would urge that one look well for its specific indications. If these be followed, little disappointment need be experienced from the use of macrotys. I have had but a brief experience with the Colloidal Specific Medicine Mac- rotys, but where I have employed this form of the preparation, it has proved in every way satisfactory. While its therapeutic qualities remain unaltered, it has the added advantage that it mixes clear with water, syrup or glycerin. I predict that Colloidal Specific Medicine Macrotys will be found to maintain, fully, the “Lloyd standard,” in every re- spect. LLOYD’s BULLETIN. CoMMENT: Another auxiliary remedy to Macrotys, when indicated, is arnica given in fractional doses. Many of its indications are parallel with those of Macrotys. any excess of temperature these two agents with aconite work admirably together. SANGUINARIA J. A. MUNK, M. D., Los ANGELES, CALIF. Sanguinaria is an old-time but neg- lected remedy, which neglect was doubt- less due to its unpleasant taste. The plant itself is a curiosity and is not often seen. Its native habitat is some wild, cool, shady nook, where it flourishes in rich, black, sandy soil, and is not often discovered or disturbed. It is a low- growing plant, consisting of several large, round, radical leaves and a flower stalk. The root is blood-red and the flower snow white; and its blossom is as dainty and delicate as an orchid. It is one of the early spring wild flowers in the East and is sometimes seen even before all of the snow is off the ground. The ordinary tincture of the pharmacy If there is . has a bright red color and an acrid taste. The powdered root, applied locally, is an irritant and an important ingredient of Beach's Irritating Plaster and of Lloyd's Libradal. Taken internally in large doses, it is an emetic, and in moderate doses is an expectorant, chologogue and stimulant to the capillary circulation. It is especially useful in colds, coughs and pulmonary congestion. - The Specific Medicine Sanguinaria is a perfectly reliable preparation, but, like products of the drug, is somewhat harsh in its action and does not mix clear with water. Professors John King and John M. Scudder, in their day, when Specific Medicines were first introduced, claimed that these remedies were the most per- fect medicines ever made. In recent years these preparations have been greatly improved, and if the early leaders of Eclectic medicine could see these agents as they are presented now in the form of Colloidal Specific Medicines, their eyes would open wide in wonder and amazement at their superior beauty and excellence, produced by the genius and magic touch of Professor John Uri Lloyd. - The medicinal qualities of a drug de- pend either on an alkaloidal or colloidal substance found in the structure of every plant. The finished alkaloids are all well known and usually appear in the form of a white chrystalline powder, such as morphine, quinine, Strychnine, etc. The colloids are of an amorphus, non-crystal- lizeable nature, and until recently have been elusive and difficult to obtain in their separate forms. Both substances are mixed in the plant with inert or harsh acting constituents, such as vegetable chlorophyl, grease and resin, all of which are dissolved and extracted en masse with alcohol by maceration and percola- tion. A tincture or fluid extract thus prepared, because of its objectionable in- gredients, makes an unpleasant and un- desirable medicine, and has to undergo a refining process to make it palatable. The process of separating an alkaloid from its foreign matter by chemical ac- tion is now well understood, but the char- acter and function of the colloids were a 122 ‘THERAPEUTIST ELLINGWOOD’S mystery until Professor Lloyd wrested nature's secret. To successfully separate the colloidal substance of a medicine from its undesirable companions and not de- stroy its medicinal value, delicate fra- grance and distinctive flavor, is a difficult and delicate operation, but it has been accomplished. Forty years ago Professor Lloyd got the idea of the importance and mystery of the colloids, and during all these years has been delving in the new field of col- loids while other chemists slept. Little by little he unraveled the secret, until in the end he achieved complete success and the value of his patient and persistent toil is seen in the line of elegant Colloidal Specific Medicines that he has evolved. His discoveries in chemistry have revolu- tionized pharmacy in some respects, and immeasurably benefited medicine. One of the finest of these preparations is Sanguinaria, a remedy the physician will have use for frequently, as colds are common and in these cases it is especially useful. In diseases of the respiratory tract, it is the remedy par excellence. In a case of pharyngitis, laryngitis or bron- chitis, where there is local irritation and secretion of tenacious mucus, accom- panied by a hacking cough, this remedy will afford immediate relief. It promptly relieves the irritation and the cough dis- appears. Ten drops of the medicine in a half glass of water and given in teaspoon- ful doses, frequently repeated, will do the trick. The mixture is perfectly clear, of a bright amber color, and with its char- acteristic taste and flavor unimpaired; and is not at all bad to take. The im- provement of these new remedies over the old borders on the miraculous. AN IMPORTANT SUGGESTION: Please Sign Your Name, Not an Abbreviation A man will write a long letter in a clear, legible hand, and then when it comes to signing it, he will make a scrawl which the most ingenious expert cannot decipher. He thinks (or as a rule he doesn’t think) that because the signature is familiar to himself, it must be familiar to others. Countless journals and books go astray and numerous letters remain unanswered because of faulty signatures. People are busy nowadays. I try to an- swer all letters, but if I or my secretary have to puzzle over the signäture, the letter very frequently is gently deposited in the waste-basket. It ought to be an absolute rule that unless a man has a printed letterhead (and every man and woman should have one), he should, when writing to strangers, take par- ticular care in signing his name clearly and distinctly. On checks and when writing to personal friends, he may use any scrawl he likes, but not in writing to strangers. Will our numerous corre- spondents please take notice? P. S.—What is said about the name applies also to the address. Sometimes, the only way a person’s town can be lo- cated is from the postmark-Critic and Guide, Gleaner. THE NORTHERN TRI-STATE SOCIETY The Wisconsin, Minnesota and Illinois Tri-State Eclectic Medical meeting will be held, Dr. Woodward announces, at the Hotel Pfister, instead of St. Charles Hotel in Milwaukee, Wisconsin, on the third, fourth and fifth of June. Let this impress the minds of the read- ers interested that there shall be a full turnout and a renewed effort made to arouse all liberal-minded physicians to a new interest in the cause of rational medicine. AMERICAN MEDICAL EDITORS’ ASSOCIATION The fifty-first annual meeting of the American Medical Editors’ Association will be held at Grunewald Hotel, New Orleans, La., on Monday and Tuesday, April 26th and 27th (during the week of the A. M. A. convention) under the presidency of Dr. Seale Harris, editor of the Southern Medical Journal. A most interesting program has been arranged and every doctor, even remotely interested in medical journalism, will find it to his advantage to attend. It is advisable for you to make early reservation of rooms to assure you of accommodations. | Ellingtuoob's Uſerapeutist } | EDITORIALIS ill ElDº Dear Doctor If you ARE ONE of the LARGE NUMBER OF OUR DOCTORS who has been prompt in sending in his order for the 1920 subscription with the price, we have Only words of appreciation and thanks. Because the publication bills DID NOT STOP GOING UP, when we wrote you two years ago, that we would have to increase our rate one-half because of the enormously increased expense. We have had two, if not three increases since. If you have been delayed in sending in your order, you are the one TO GIVE US JOY NOW and we are UP ON THE LOOK OUT for your letter. Right off. For the past five years but very few, indeed, have found any reason to ask us to discontinue sending the Journal, except from interruptions from enlistment and many of these indeed are back On the list again, even more enthusiastic than ever; many of them are demanding the copies they missed while away. ** It is impossible for us to adopt any other plan up to this time of the year, but to ask you to drop us a card at once if you want The Therapeu- tist stopped or send us an order for continuance for our files with 1, 1.50, 3 or 4 dollars as you desire advanced subscription for 8 months, 1, 2 or 3 years. There is no time more convenient Doctor, than the moment this Strikes your eye. .* D0 it NOW. WHAT PREJUDICE HAS DONE FOR MEDICINE One of the most incisive and inclusive of charges made against the old school method of treatment includes such a rad- ical presentation of the charges against the dictators of medicine and so fully in line with our own charges, that I am inclined to present to my readers a sum- mary of these charges as reproduced from an article by Spencer L. Dawes, which was published in October in the Medical Record and reproduced later by The Western Medical Times. It is inconceivable how any intelligent body of men could be so dominated by prejudice and actuated by personal in- terest and jealousy as to conceive of the course which is here described. “The first real assault of any magni- tude upon Materia Medica and therpetu- tics was made when, a little clique of medical politicians and osteopaths met in a certain doctor's office in the city of Albany, New York, and concluded a deal which made possible the passing of the medical practice act of 1909. “Every graduate of any college nowa- days is familiar with the use of the micro- scope, is supposed to be able to make an autopsy and give a comprehensive state- ment of the findings. Can make a blood examination and a Wassermann;has done spinal puncture and examined stomach contents; can differentiate in the labora- tory between typhoid and paratyphoid; has an intimate acquaintance with cal- ories opsonins and vitamines; can read a skiagraph, if he can’t take one; would no more let a patient get away without taking his blood pressure than his proto- type of the early 40's would have parted 124 ELLINGWOOD'S THERAPEUTIST from a case without using his lancet; by the use of his microscope he can readily differentiate between colitis and amebic dysentery; and these by no means complete the list of his accomplishments, each one and all of which were unknown to the average student of twenty years ago. These are now demanded by every college with any standing. “In all this preamble you will note that not once have I mentioned anything in medical teaching that could in any way be connected with the cure of dis- ease, the relief of pain, the assauging away of mental agony, not once have I breathed the word Materia Medica or Therapeutics, and yet—— “What is the earcuse for the physician? Is it merely to be a scientific investigator, a diagnostician, a bacteriologist and his- tologist, a pathologist? Excepting only in surgery the cure of disease is not even a secondary matter, materia medica is not taught and therapeutics, with a few not- able exceptions, is ignored. “This act removed from the list of subjects in which a candidate must pass in order to practice medicine in the state of New York, both materia medica and therapeutics, admitted to practice their calling several hundred osteopaths with- out examinations of any kind, and pro- vided means by , which graduates of schools of osteopathy might later be ad- mitted to practice. “The object of this outrageous deal was to get votes controlled by the osteo- paths among members of the legislature. The effect can be readily seen if we make a careful examination of the announce- ment of what are called Class A medical schools on file in the library of the New York Academy of Medicine, which show that five of the smaller schools teach some kind of materia medica, fifteen teach pharmacology, and fifteen teach therapeutics. “Only two of the larger and more im- portant schools teach real, practical, ap- plied therapeutics, and in most of the fifteen it is not taught as a distinct branch, but as a minor study accessory to something else. In one it is only electrotherapeutics, in anotherhydrothera- peutics, and in a third suggestive therapy, in other words, the “Harvard idea” has cast a pall over all our medical schools, and the “full time” teacher is rapidly pushing out the experienced clinician whose past efforts we have to thank for our present day progress, men to whom teaching was really a labor of love, and never a mercenary pursuit. “The heavy hand of the ‘Little Iron Master” rests on the colleges, for the re- cipients of his bounty must conform to his standard or lose rating. Those who dominate today require of a graduate two very valuable requisites—he must be able to make a diagnosis and be able to make an autopsy so that he can confirm the diagnosis, and he must know path- ology. But treat disease, cure the sick, relieve pain and suffering—nonsense. What true scientist cares for such rot?. Ask a medical student what he is par- ticularly interested in—he will tell you of any one of many different, very laud- able things, excepting the cure of dis- €(IAS 6. “It is perfectly safe to assume that, no matter how ridiculous such an atti- tude may appear to the modern teacher of medicine, the average man, when he goes to a doctor, cares not a ‘tinker’s dam’ about the predominance of giant cells over phagocytes, of the dispropor- tion of esteoblasts, or whether the au- topsy findings in his case will reveal that he had a large white kidney instead of a small red one, however desirable it may be to know these facts, but goes for the specific purpose of being cured or re- lieved from his distress, either real or imagined. One of the most skillful and best known physicians of this country told me recently, apropos of this abandon- ment of therapeutics, that the only in- struction in that subject given in the college in which he is a dominating fac- tor is covered by five or at least ten min- tutes at the end of an hour or two lec- ture on some given disease. “One of the leading men in one of our great medical schools once complimented {} EDITORIALS 125 me on my qualities as a teacher, and ended by saying, but your subject should never be taught.” A week later I was called to see his wife who was ill with bronchitis; my medical friend remarked that he couldn't control the cough, hav- ing given paregoric, brown's mixture, heroin, codeine, creosote, muriate of am- monia and several other drugs in the pre- ceding twenty-four hours without avail. He certainly practiced what he preached. “Recently I saw a man in consultation and made a diagnosis of amebic dysen- tery on laboratory findings. He received inadequate treatment and then went to a man who is considered by many the best medical man in this country. He was placed in a private hospital and dur- ing six weeks was examined by twenty- four different specialists, including den- tists, radiographers, psychologists, Ocu- lists and aurists, and at the end of that time, when he rebelled and was about to leave, he was treated with emetine and speedily cured. “If a man knows no materia medica, what might happen if he was prescribing large doses of iodide of potassium, and at the same time decided to give his pa- tient calomel; would he distinguish be- tween tincture of opium and the cam- phorated tincture of the same drug; might he not give the same doses of the U. S. P. and Pearson’s solution of the arsenate of sodium; will he give his pa- tient tincture of the chloride of iron and let him drink tea immediately after f A wonderfully made chronometer watch, taking a long time and many dollars to construct, may have in it a strong main spring, a perfectly adjusted hair spring, and all the beadings may be jeweled— it may even have a luminous dial, but if it is not provided with hands it cannot perform the only duty for which a watch is made. And so, to pursue the analogy, an experienced pathologist, diagnostic- ian, a wonderful microscopist; he may be experienced in the use of all instruments of precision, and yet if he knows nothing of materia medica and of therapeutics he cannot perform the only duty for which his calling is an excuse. “Is it any wonder that so many prac- titioners have listened to the siren song of the detail man who brings a gener- ous line of Sample, small bottles for the patients and large doses to try on his wife, together with literature (heaven save the mark) describing its virtues and its physiologic (?) action; that he gives fever tablets, kidney pills, coryza tab- lets, heart tonic, hepatic stimulants, and anti-this and anti-that nostrums?” AUTOTHERAPY IN CIVIL WAR TIME I find in an old number of the E. M. J. a report which I give as I find it which looks as if without knowing it the homeopaths had stumbled on an Auto- hemic Method, or at least a form of Autotherapy many decades ago. It was taken from the Homoeopathic Observer. A woman sixty-five years of age, greatly emaciated, could only breathe with her body bent forward; there was lividity of the face, lips and extremities, with hydropsical swelling of the lower extremities; beats of the heart irregular; in short, death was expected by all her relations. Having dried some fox-lung, I triturated one grain of it with one- hundred grains of sugar of milk, and ordered one-grain powders to be taken every hour. After having taken two of them, visible amelioration took place, but without increased expectoration, and after the third powder she could lie down, and slept quietly several hours, which she could not do before. Next day, an ausculation showed only a ves- tige of that mucous rale, which had filled before every particle of her lungs; the beat of the heart could be counted again and intermitted very seldom ; respiration was so free that she could converse for a long while, whereas the day before only a few words could be uttered with the utmost exertion. Amelioration pro- gressed steadily from day to day, so that after eight days, she was able to attend to her household duties, and now for five years, it has remained the same. “Fox-lung here rendered essential aid, and rendered unnecessary the diuretica, expectorantia, narcotia of the physio- 126 ELLINGWOOD'S THERAPEUTIST logical school. Having proved this rem- edy according to the rules of experi- ments and observations, I hand it over to my colleagues in order to find out if, in similar cases it will always show a similar effect. Among the signatures of the ancient physician we find fox-lung given for humid asthma, as a specific, because the animal possesses a remark- ably powerful respiration. We may laugh at their ideas, but may they not have found at first the success of the remedy, and looked afterwards for an explanation according to their ideas? And is it not better and more rational of us, by new experiments and observations, to prove how much truth is in their observations. For me it is very little consolation to find a disease considered incurable, ex cathedra and the observation has troubled me many a year, that in the bodies of those who died of asthma hum- idum, we could not find those enormous quantities of mucus which we had a right to expect from ausculation and per- cussion; therefore, I considered the disease rather a disturbance of nutrition, or a sort of paralysis of the lung cells. Empirical facts are well enough as adju- vantia, but not satisfactory, and find only their full solution by provings on the healthy organism. HEAT, COLD AND INFLAMMATION This edition has on many occasions called the readers’ attention to the im– portance of heat in the progress of the developing process of acute inflamma- tion. But few writers have followed any definite theory concerning the use of cold or heat in combating these con- ditions except the commonest superficial one of direct antagonism. . In the Medical Council for January Dr. Geyser of New York presents an interesting theory concerning heat, cold and inflammation that rationally explains the action of these agents and gives definite specific indications for their se- lection in definite therapeutic adjust- ment.. The writer begins by giving us some- thing to think of out of usual acceptance, by declaring that inflammation is not a pathological but a physiological condi- tion or process. He early makes the following state- mentS : It must be admitted at once that the word disease conveys to us the thought that there is present a deviation from what is usually considered normal, to something that is abnormal. Giving to the term “disease” this wide scope, it will be simple to view disease, not so much as an entity, but as a condition. This condition, furthermore, is patho- logical as distinguished from physio- logical. Anything, therefore, that is normal is physiological, while everything that is abnormal is pathological. Unfortunately the condition recog- nized under the term “inflammation” has been for a long time, and still is, con- sidered by many as pathological. It is absolutely necessary that we rid our minds of this error. Inflammation is a process of reaction by living cells to some agent or condition inimical to their normal existence. A proper appreciation of the inflam- matory process is the foundation of physiology, pathology and therapeutics. It is physiological for injured tissue to react with an inflammatory process; it is nature's main weapon for the produc- tion of a cure. It is because of failure on the part of the cellular system to react, that the disease process is able to injure or even to destroy the cells. Such a failure leads to changes in the cellular system, the science of which is pathology. The intent of an inflammatory process is to cure. No injury to living cells can be recovered from unless through the intervention of an inflammation. The only difference between an inflammation and a general fever is one of magnitude; one is a local, the other a constitutional reaction. When the temperature of the body is higher than normal, the patient is said to be in a state of fever. When a local part of the body is red and hot, we are dealing with a local inflammation. This fever, or local inflammation, is the result of energy. One thing is certain; it is not the result of the injury, since EDITORIALS - 127 the injury tended to disable or kill the cells. It must therefore emanate from the uninjured cells. It is this energy from the uninjured cells which consti- tutes the inflammation and the fever; it is therefore a conservative, a reparative process. - Let me repeat, then that no injury, whether it is chemical, thermic, trau- matic, or bacterial, can be recovered from, except by or through the interven- tion of inflammation. Let us suppose now for a moment that we possessed an agent which could give rise to all of the essential elements of an inflammation without the cells of the body being obliged to receive an injury in order to stimulate them into reaction. heat and redness, not only upon the sur- face of the body, like the rubefacients and counter-irritants, but the heat must be able to penetrate all of the internal tissues, not only that, this heat engen- dered must not cause injury to the cells; it cannot, therefore, be chemical, ther- mic, traumatic, nor bacterial. It must be a means or an agent that is capable of calling forth at our will a physiolog- ical inflammation, which is the result, not of injury, but of energy artificially supplied. Two important factors would at once be supplied, the physiological in- flammation, and yet the saving of waste of energy on the part of the economy, so that, we should have physiological rest plus an inflammation available for therapeutic or curative purposes. What is diathermia P. As the name implies, “it is heating through.” No one denies that thermic influences have a decided effect upon the human economy. Heat or cold in some form have been used for ages, either for the purpose of mitigating pain or to interfere with the progress of some inflammatory process. The former, the mitigation of pain by . the application of heat, is at least symp- tomatic, while the latter, e. g., the appli- cation of ice bags for the purpose of interfering with an inflammatory proc- ess, in the light of present knowledge seems of questionable value. I do not wish to be misunderstood, “Too much tion as it does to anything else. Such an agent would have to be able to create of a good thing is good for nothing.” This applies to a process of inflamma- It is very seldom that an inflammatory proc- ess is excessive. We might as well speak of a person “as being too healthy” or a patient recovering “too completely.” For purely symtomatic treatment, heat is as frequently indicated as cold. On general principles, if pain is deep-seated, heat is the remedy, while if superficial, cold is indicated. Abdominal cramps, being deep-seated, are usually relieved by the application of heat over the ab- domen. In superficial burns of either degree, there is no known agent that will relieve the suffering so completely as the immersion of the part in ice-cold water. There are many erroneous ideas con- cerning the use of thermic influences. Only a short time ago, I was in con- versation with the dean of a medical college; this austere gentleman still har- bored the now musty idea that by the application of the ice bag over the region of the appendix he could pass the cold through the abdominal wall, through the intestines and their contents, to affect the appendix, which was hiding against the anterior surface of the posterior wall. This gentleman is a surgeon, but not a physiological therapeutist, else he would have known that the thermic in- fluence is appreciated only by the ter- minal nerve filaments ending in the skin and so through these nerves carried re- flexly inward to the organ corresponding to the skin area. - EMPIRICISM% \ In an editorial in the Journal of the American Medical Association we find this statement, “Pharmacology and physiology have demonstrated the ab- surdity of many of the products of ancient pharmacy, and have substituted reason and experiment for empiricism. The ward walk and instruction of small groups of students in ward clinics afford. opportunities for the teaching of thera- peutics in conjunction with symptomol- ogy and diagnosis; and on successive days the student sees the results of therapy on the patient. The small clinic 128 THERAPEUTIST ELLINGWOOD’S and ward walk have added much to medical teaching, but at the same time have introduced individuality to a de- gree which sometimes borders on con- fusion. . The truth is the effort of the clinical teacher is so centered on the diagnosis that no therapeutic measures are taught and hence the student’s mind is hazy as regards therapeutics. It is a lamentable fact that most medical men learn thera- peutics after engaging in active prac- tice, and a large amount of it is learned from the detail man. Therapeutics, so far as the dominant school is concerned, is absolutely in the hands of our large pharmaceutical houses. They make the investigations, experimentation and mar- ket the product, detailing uses, dosage, etc. - - This uncertainty and extreme degree of nihilism was illustrated in the recent epidemic of influenza and is again illus- trated in the many articles appearing in the journals. It permeates the army medical corps and is reflected in the teaching of our colleges. I am not so sure that reason and ex- periment have replaced empiricism. Erapiricism has furnished more remedies of real value and stability than has mod- ern experiment or reason, and experi- mentation has not displaced them, but simply strengthened their place in med- icine. is no hard task to recall much that has been relegated to oblivion that was for- merly announced as scientific. There are indeed few remedies now in favor but what were formerly used empirically. Quinia, admitted by every one as a specific in intermittent fever, we find was used as early as 1639 by the Jesuits and priests in Spain and other parts of Europe, being introduced from Peru. Its value was thoroughly estab- lished long before the days of modern medicine and the laboratory. In fact so well established that its cultivation was encouraged in Java, India, Ceylon and elsewhere. . . . . . Belladonna has been recognized in medicine since the fifteenth century and This is not true of much that so- . called scientific medicine has offered. It has been used extensively for the past hundred years. Its physiological and therapeutical value was well established long before the advent of the laboratory expert. The latter has not changed in any way its therapeutic uses as formu- lated years ago. Nux vomica and strychnia, whose physiological action is as well under- stood today as is belladonna, is said to have been used as a remedy by the Ara- bian physicians. It was studied in Eng- land as early as 1818. - Ergot is said to have been used by the peasants in Europe in childbirth three hundred years ago. Thus we might continue a long line of remedies that were established long before the physiological and pharmacological lab- oratory revealed their physiological action, and instead of displacing them they have simply strengthened the clear reasoning and clinical observations of the empiricist. His was a reasoning founded upon close observation and clinical study upon the patient at the bedside rather than experimentation up- on the guinea pig and reactions in the beaker glass and test tube. Reason and experiment, instead of replacing empiricism, have simply strengthened and demonstrated how lucid and clear were their reasoning powers. - It is to the empiricist medicine owes much of what it possesses today. THE PATHOLOGY OF HEART DISORDERS Nothwithstanding definite knowledge concerning heart disease there are so many variations in the symptoms for clearly outlined forms that any informa- tion which clears up indefinite symptoms. is important. r - A writer in the Medical Review of Reviews presents an article in which he claims that the most important ad- vance at the present time in the study of heart disorders is the consideration of the heart and blood vessels as it were a single organ. In these we find the possibility of increase or hypertrophy of the muscular elements, or, on the other EDITORIALS hand, a degeneration of the structures of these organs with a deposit of fatty or calcareous matter, or following pre- existing inflammations, which flow out with some interference from functional action. - - The symptomatology of cardiovas- cular disease is characterized by alter- ations of function, which pertains chiefly to the muscular elements, because the grosser activities of the organ depend upon them. The fundamental functions of the muscle cells are irritability, con- ductivity, tonicity and contractility, which is the most important. The symptoms of heart and blood vessel disease depend upon some change in these four functions, and the most characteristic change in the cardiovas- cular system is a change in rhythm of the contraction of the heart. The irri- tability and conductivity of the cells are affected chiefly by the acute infectious diseases. - The contractility of the heart suffers when the function of contraction of the individual cells is affected. This brings about the fundamental symptoms of heart failure, viz., congestion of the liver, shortness of breath from defective pulmonary circulation and oedema of the dependent portions. The symptoms dependent upon tonic- ity are discovered by examinations for the result of the loss of tone in the heart muscle, when the heart dilates. Cardiac pain is a symptom of great importance which is referred, pretty accurately to the region of the heart itself, but in chronic cases, the distribution is much wider. - - The signs consist of displacement, en- largement and the various sounds, caused by changes in the calibre of the passages through which the blood flows, or may be caused by leakage of the valves so that they fail to support the column of blood during the cardiac diastole. - . . Blood pressure, which has become an. essential matter of observation in all cases of cardiovascular disease, is a complicated matter, and is to be in- terpreted in the light of the findings of 129 the heart, blood vessels and other organs. The author thinks that overeating even more frequently than the abuse of alcohol is the cause of cardiovascular disease. With regard to treatment, the most important element is rest, after which the proper use of exercise may be com- menced. Diet is the next in importance, and the German method of giving five small meals a day of nourishing food is good. Heart patients can eat often, but must never eat too much. The author also recommends the Nauheim treatment, With regard to drugs, Dr. Bishop has had his best results with digitalis. The value of sodium iodide not only modi- fies structural changes in a degenerate heart and blood vessels, but also has a beneficial functional effect. The author has been disappointed in the use of atro- pine, although several authorities recom- mend it highly. . . . . VARICOSE ULCERs This condition is considered a surg- ical one and confidence is only placed in such treatment. Elastic appliances of bandages, of various hardening sub- stances meet with success when prop- erly applied. - - I have had success with a thorough antiseptic cleansing of the parts and an application of some nourishing sub- stance such as bovinine or warm milk with a few drops of arnica in it. This form of ulcer is by far the most common type with which the medical practitioner has to deal, and its treat- ment is generally most unsatisfactory. The reasons for this lie in the fact that the patient will not consent to take the necessary time for the rest essen- tial to successful treatment, until the ulcer becomes painful; or the physician contents himself with the application of some ointment and allows the pa- tient to gain the impression that there is little else to be done. Many of these patients suffer for years from this ex- tremely annoying condition, thinking that there is no help for it. This is 130 THERAPEUTIST ELLINGWOOD'S 3º, stated by the J. A. M. A. in its January issue. When these cases first come under observation, the surface of the ulcer is denuded, with a ragged overhanging edge, while the base is filled with gray granulation tissue accompanied by a continuous discharge. There is usually more or less edema and a brownish con- dition of the surrounding skin, and if the ulcer lies over bone there may be a secondary periostitis which stimu- lates the patient to seek relief. Bac- terial absorption from the ulcer plays an important role in the causation of the local edema; usually this clears up following the healing of the ulcer, in spite of the fact that there may be more or less varicosity. During the past few years, I have evolved a technic which seems to be very simple and applicable in most cases with the minimum loss of time to the patient. This method was re- ported in a previous issue of Elling- wood’s Therapeutist by Dr. Royce of Chicago and the editor has used it with excellent results. The mode of procedure is as fol- lows. The ulcer is first cauterized with fused silver nitrate, and the leg ele- vated for twenty-four hours to clear the edema. Then a dressing, after the formula of unna, is applied; gelatin, two parts; zinc oxid, one part; glycerin, three parts, and water, from four to six parts (depending on the consistency desired). º: These are mixed in a water bath and the paste is applied warm with a spat- ula to the entire leg from the ball of the foot to the knee, leaving the heel free. A roller bandage is immediately applied over this so that the paste penetrates the first layers of the band- age; if applied smoothly and evenly this makes an ideal supporting bandage and prevents a return of the edema when the patient is again ambulant. Forty-eight hours after cauterization, a small window is cut in the dressing over the ulcer. The slough is cleaned away with a sharp curet until the sur- face is clear, clean and easily bleeding; the edges will be found somewhat un- dermined. With curved scissors the edges of the ulcer are trimmed away, removing a barrier to epithelization from the per- iphery of the wound. The tissue thus removed is placed on a piece of gauze moistened with physiologic sodium chlorid solution, and with a piece of dry, sterile gauze gentle pressure is made on the ulcer until all oozing has stopped. The edge is then coiled in the crater of the ulcer, and over this is placed a perforated piece of rubber to assist in drainage, and the whole is covered by a sterile dressing and a snug roller. Elevation of the limb should be continued for three days, when the wound should be dressed, after remov- ing the rubber drain, with gauze im- pregnated with a 5 per cent scarlet red ointment. The patient is now allowed to be up and about, but is cautioned to remain quiet for a few days longer or until epithelization of the wound is complete. The paste dressing is left on the leg for two weeks and is then reapplied if continued support is de- sired. In sensitive patients, the area may be blocked with a 2 per cent solution of ocain. Hemorrhage from the fmouth should be considered in all its bearings to de- termine its source and importance, The Hand Book of Therapy says. Blood- tinged sputum or very slight pulmon- ary hemorrhages as evidenced by small clots or streaks of blood, require no special treatment. Expectoration of pure blood or coughing up a little blood repeatedly requires attention. Such a patient should rest, and undergo no exertion. The diet should be light and hot soups or hot drinks should not be taken for a day or two, until the hem- orrhages cease. For this kind of bleed- ing little other treatment is necessary. If the bleeding is more severe, the pa- tient should immediately be placed in a semi-recumbent position, with loos- EDITORIALS 13+. ened clothing and should be assured that there is no danger, as there rarely is danger from hemorrhage during all the early stages of pulmonary tuber- culosis. In the late stages, with cavi- ties, a large blood vessel may rupture and the hemorrhage be fatal. It is well to have the patient lie on the side which is bleeding. This tends to pre- vent the blood from flowing into the bronchi of the other lung. Besides reassuring the patient, it is Often well, if there is a troublesome, irritating cough, to administer a hyp- notic of morphine in just sufficient dose to quiet the irritability of the bronchial tubes and larynx so that the cough will be only sufficient for expectoration. (It is unnecessary to give a large dose, which later will cause prostration; hence from 1/10 to 96 of a grain will be sufficient.) The more rest the bleeding part has the quicker will the blood coagulate in the bleeding vessels, but as above Stated mere capillary oozing should not be taken seriously. With a real hem- orrhage from the lungs, the rest must be absolute; the patient should not even speak, at least not above a whis- per. For some hours he should receive no food or drink. It is exceedingly doubtful if an ice-bag over the region of the bleeding is at all efficacious. The long-used remedy of eating salt Imay reflexly, by irritation, increase the vasomotor tension and thus may occa- sionally stop a hemorrhage, but most of the remedies used and said to be Satisfactory in hemorrhage from the lungs are drugs that increase the blood pressure more or less, which is unde- sirable. As the blood pressure is low- ered the hemorrhage will generally cease, usually without medication, so that whatever has been given has been supposed to be the cause of such cessa- tion. If the patient becomes faint, blood pressure is lowered, coagulation in the open vessel or vessels takes place, and the unpleasant symptom is cured by Nature's methods; therefore we should aid the natural cure of the condition by giving the patient nitro- glycerin to lower the blood pressure. amyl nitrate is very frequently ad- vised, but its action is so sudden, and for a few minutes so intensely disagree- able, that it is hardly advisable to use this powerful drug. Nitroglycerin on the tongue or hypodermically will act as efficiently and almost as rapidly without causing the faintness and throbbing head that amyl nitrate will cause. It is a mistake to give ergot, caffein, Suprarenal preparations, or dig- italis, as these tend to increase the heart activity and raise the blood pres- St!IC. If there is a tendency to repeated, more or less serious hemorrhages, the daily administration of calcium in some form, either as lime water or calcium lactate and the feeding of gelatin are indicated. Also, if there seems to be a general tendency to the oozing of blood and to hemorrhagic injections of asep- tic horse-serum is advisable; one or two subcutaneous injections will generally be sufficient. Inhalations of steam im- pregnated with some astringent such as tannic acid may be of value, if there is oozing of blood from the larger bron- chial tubes, but such inhalations are of no value in bleeding from deeper portions of the lungs, as the astringent could not reach the region of trouble. The patient should generally remain in bed for a week after a real hemorrh- age. If the heart is impaired and some dilation exists, if the expectorated blood is venous, and there are other signs of passive congestion of the lungs and of cardiac weakness, digitalis may be the best treatment for the condition; but for ordinary hemorrhages in pul- 1monary tuberculosis it is better, as above stated, to administer nitroglyc- erin in sufficient amount distinctly to lower the blood pressure temporarily. It has been repeatedly noted that constipation increases the tendency to hemorrhage in pulmonary tuberculosis, and that the higher blood pressure caused by constipation is readily low- ered by the administration of even sim- ple laxatives. Because of this, it has been recommended that when pulmon- 132 ELLINGWOOD'S THERAPEUTIST .* ary hemorrhages occur, the patient should receive a dose of magnesium sulphate as well as nitroglycerin. Such immediate treatment of hemorrhage from the lungs seems hardly advisable. It might cause vomiting, and the mere increased exertion caused by bowel movements at this time might cause more bleeding. The fact remains, how- ever, that in pulmonary tuberculosis the patient should not be allowed to become very constipated. If the hemoptysis occurs late in the disease and is dangerous in amount, the patient may quickly succumb, whatever the treatment adopted. A most efficient treatment of this serious condition is to place elastic bandages high up on the legs, or even on all the extremities, to shut off their blood from the general circulation. It would be inadvisable, even if the hemorrhage was severe, to transfuse immediately, as anything that raises the blood pres- sure will be likely to cause a return of the hemorrhage from the open ves- sel. Later, after the hemorrhage has ceased and sufficient time for thorough coagulation has passed, the extremities one at a time may be released and the blood contained in them allowed to re- turn to the general circulation. Continued bleeding from the lungs (especially when cavities exist and a serious hemorrhage has taken place, or seems likely to occur) is one of the most important indications for the use of lung compression. Other indications, as previously suggested, are the pres- sure of pus in a cavity in the lungs, and bronchiectasis. For either of these conditions lung compression is becom- ing more and more popular with spe- cialists in tuberculosis. It is also wise, perhaps, to compress a lung when, in spite of some weeks of proper treat- ment, the disease continues to spread in it, the other lung being normal. TREATMENT OF EPILEPSY We are always inclined to preserve good practical suggestions in the treat- ment of Epilepsy, as it is seldom that a reliable one is found. The late very successful and highly respected Dr. George Covert of Clinton, Wis., relied for many years upon the following method with excellent success. In a communication from his pen in the Chicago Medical Times he makes the following statement: “Because I be- lieve it behooves the physician to be the following formula as the best I have ever used in epilepsy, and I have tested it widely during several years: Ammonium bromide, sodium bromide, each four drachms; potassium bromide, one ounce; tincture belladonna, two drachms; tincture oenanthe crocata, one fluid drachm; compound tincture gentian, one ounce; elixir cypripedium, q. s. add six ounces; mix. Dose, one drachm ter die. This prescription may be varied according to age, sex and con- dition. The foregoing formula, with slight variation, is used by certain spe- cialists traveling throughout the coun- try for the cure of epilepsy. Being a druggist, I have reason to know from the filed prescriptions that this is true. The similarity to my prescription, which I published years ago, is a sig- nificant coincidence.” “Sanguinaria, hydrastis and phos- phate of iron may be combined as fol- lows: One-half drachm of sanguin- aria, one scruple of hydrastine, and one drachm of phosphate of iron. One part of this combination is triturated in three parts of sugar of milk. One tea- spoonful of this triturated may be added to four ounces of moderately hot water, and given in teaspoonful doses to adults. It is good in all conditions of indigestion, torpid liver, anaemia, chlorsis, hemoptosis and various con- ditions where an invigorator is indi- cated. “I am guarded in prescribing san- guinaria or any of its derivatives in pregnancy, but in torpid conditions of the pelvic system it is almost a cer- tainty as to favorable results. It is a valuable remedy in combination with irisin, enonymim and podophyllin in sick headache as a curative, not for its immediate effects.” | T] | BRIEF CONTRIBUTIONS On practical Everg-dag Topics | J THE DIFFERENTIAL DIAGNOSIS and transitory, with much lassitude and OF HEAD ACHE Sympathetic head pain is a reflex symptom, due to some derangement of the gastro-intestinal canal, or the gen- ito-urinary tract, and is usually more severe after a night of rest, being com- plained of the first thing in the morn- ing. Constant head pain is due to excess of urea in the blood, 1ead poisoning, or from the administration of repeated doses of strychnin, quinin, alcohol, ni- troglycerin and other stimulants. Hemicrania or neuralgic head pain is manifested by an acute darting char- acter, usually on one side only, and be- ing increased by pressure. Rheumatic head pain is usually bi- lateral, in the region of the occipito- frontalis muscle, the pain being greater on motion of the scalp and neck, and sometimes affects the temporal and masseter muscles rendering movement of the jaws painful. Inflammatory pain in the head is very severe and constant, and is associated with constitutional symptoms, fever, vomiting and deliriums. In abscess, tumors or softening of the brain and other chronic conditions the head pain isºpersistent, and is con- fined to one spot, but not so severe as in the inflammatory kind, and only oc- casionally is paroxysmal, with mental disturbance and muscular inco-ordina- tion. Congestive head pain of a dull ach- ing nature is made worse by stooping or lying down and by protracted sleep or mental or bodily effort, and is at- tended with flushed face, throbbing car- otids and heat in the scalp. Meningeal head pain is constant and fixed, sometimes sharp and cutting, with frontal and occipital congestion. Anemic head pain is severe, but dull scalp tenderness, with no fever, but often there is occular disturbance and lack of power for mental concentration. Frontal. When pain is located in the forehead from the coronal suture to the superciliary ridges below, and within the temporal ridges on either side, the large intestines and rectum are con- gested and overloaded with feces. Also in gout and malarial diseases. Brow-Orbital. When pain is located below the superciliary ridges including the orbit, to the external angular proc- ess on either side of the forehead, there is irritation of the stomach and small intestines, or congestion at the base of the brain over the orbits, or nasal catarrh ; astigmatism or other visual defects, decayed front teeth. If the pain is located at and around the supraorbital notch, there is irrita- tion of the sympathetic and vagus nerves of the stomach from reflex causes, as in uterine and Ovarian con- gestion, functional disturbance of the heart, lungs, etc., or congestion of the sheath of the supra-orbital nerve at that point due to sudden exposure to cold. Mastoid-Occipital. When the pain is located between the ears at the Occi- put below the lambdoidal suture, there is congestion at the base of the brain and medulla-oblongata, or defective supply of blood, or anemia, or spinal irritability from excesses in venery or masturbation. Also in malarial fevers and mental anxiety. Temporal. When pain is located in the temporal fossa, from the squamous suture to the zygoma below, and from the temporal ridge to the mastoid proc- ess, there is congestion of the cerebral meninges or embolus of the meningeal artery, or inflammation of the internal ear. Also in typhus and typhoid fevers. 134 ELLINGWOOD'S THERAPEUTIST Vertical. When pain is located in the vertex, from the coronal to half the distance of the lambdoidal suture, and on either side of the sagittal suture, to the superior line of the parietal emi- nence, there is deficient blood supply to the superior convolutions of the brain, or reflex irritation from the ºuterus, bladder, rectum or organs of generation, catarrh of the eustachian tube, enlarged or diseased tonsils. In nervous conditions from debility and exhausting discharges, over lactation, valvular diseases of the heart, hemorrh- ages, impoverished blood, albuminuria, etc. In hysteria with clavus hystericus, and in sympathetic, organic and neural- gic states, the pain is confined to one spot. Rheumatic head pain is confined to the occipito-frontalis muscles, but if the pain is deep-seated, sharp and radi- ating to the sides of the cranium, occur- ring only at night or before rising in the morning, there is syphilis. Parietal. When pain is located in the region of the parietal bones, from the coronal to the lambdoidal suture, and from the squamous suture to the superior outline of the parietal emi- nence, the liver, duodenum and small intestines are congested and there is constipation also in malarial affections. NEGLECTED SUGGESTIONS FROM - PAST WRITINGS IBEACHPS PULMIONARY BALSAMI A most interesting writer and close, accurate observer was Dr. V. A. Baker of Adrian, Michigan. The following I found from his pen in an old volume of the National Transactions, page 114, among the important pulmonary rem- edies: “I will state that Elecampane hoar- hound, bloodroot comfrey and spike- nard mixed, constitute the ingredi- ents of Beach's Pulmonary Balsam, which was one of the finest combina- tions I have ever used for chronic pul- monary maladies. This compound is applicable especially to that class we often meet in young girls and boys who are thin chested, with hacking cough, and is equally applicable to old people who are thin chested with a teasing cough and short breath. disciplining such invalids in chest cul- ture, to overcome mechanical hindrance I have accomplished with this combin- ation what I have failed to do with syrup of the hypophosphites or cod- liver oil; indeed, I have seen so marked a benefit and permanent cure in many cases observed, covering many years of experience, that I never fail to give it a trial. * “Prepared as a balsam and given freely in cases specifically selected it stands without a peer. I have under care at this time, several old chronics, that are being materially benefited by this combination. One case, an asth- matic, a young man who is receiving more benefit than obtained by going to health resorts and taking treatment from many doctors, one a specialist on diseases of the chest. “Comfrey-Symphytum. This is an- other of the valuable old remedies. In hemoptysis, or any form of hemorrhage of a passive character, or in chronic or sub-acute diarrhea, this remedy is spe- cifically indicated. In gleet, and to modify any catarrhal condition, com- frey is no inferior article. “In conditions marked by debility in the female pelvis, too frequent men- struation, leucorrhea or vaginitis, other conditions not in the way of a cure, it may be regarded as safe and reliable. “Chronic cystitis, scalding of urine will be modified or cured by a free use of this remedy. In those annoying cases of frequent urination, with a teas- ing, uneasy sensation, when other means fail, I try comfrey, usually in the form of decoction, and find it to be specific in many cases relieving with re- markable celerity. “I have now in mind the condition of a married lady, the mother of four children, who had suffered for several years, sometimes in a mild form, but never entirely free of the annoyance, By BRIEF CONTRIBUTIONS 135 and at times, she explained it, in agony. Urination was frequent, with burning cystic heat all the time, and urethral Scalding almost unbearable. A decoc- tion of symphytum relieved her promptly and while she is not entirely free from the annoyance of mild con- ditions of her old trouble occasionally, She is able to control symptoms and ward off attacks, and most of the time remains well by resorting to this rem- edy whenever conditions demand it. “Sanguinaria Canadensis - Sanguin- aria—blood root. This is indeed a re- markable remedy. A remedy which, when specifically prescribed, will give favorable results. - “Acetated tincture of bloodroot in simple syrup for croup, croupous pneu- monia, and as an expectorant in con- ditions demanding such an influence, is decided and prompt in its action. “The acetated tincture of blood root compound (bloodroot and lobelia in- flata, whole plant and seed of the lat- ter, in good cider vinegar), the satu- rated tincture and simple syrup equal parts, is a remedy of which I feel cer- tain as to results. . - º º >}< >{< TREATMENT or THE HAIR Pusey recommends in his late work the use of castor oil for the hair. That is an old suggestion that was at one time very popular. He believes that the present method of using no oily substance on the hair is detrimental. Five or six drams of castor oil in a pint of alcohol makes a fine stimulating preparation, removes the dandruff and improves the nutrition of the hair. Where the hair is inclined to fall Out, it will be benefited by an ointment made by rubbing sixty grains of sul- phur in an ounce of vaseline. It is a good plan to add light oils to these heavier bases. The current of electricity from a small faradic battery will help these cases very materially, stimulating a growth of hair in a short time. :k sk ACTION OF SUGAR on THE HEART • A patient who had disease of the sequel heart had been treated with all the various cardiac drugs under the con- ditions of rest and diet, but showed no improvement. He had had his ab- domen tapped repeatedly, drawing off large quantities of acetic fluid. For the last few weeks he has been treated by granulated cane sugar, eating five ounces each day. Whether it is the result of the treat- ment or not, the patient now sleeps well, can lie down at night and sleep, has good appetite, with no shortness of breath, heart and pulse considerably stronger and lungs almost normal. There is an excess of urates in the urine, but no other evidences of the disease from the sugar. This measure might be adopted in conjunction with specific heart remedies with good re- sults. - . SPECIFIC ENDOCARDITIS It is seldom that endocarditis can be directly traced to specific inflamma- tion of the urethra, but such cases are now commonly known. The presence of micrococci in the blood will cause an actually specific inflammation to occur in the endocardium, which is usually fatal. The possibility of such a result must be considered and active measures adopted to prevent such a when general infection is threatened. Lonelia IN nigid os -. While the use of lobelia hypoder- mically is now advised in the treatment of rigid os, I have recently run across a record of case reports from some of our old writers in which they had given lobelia by the mouth for this purpose with perfectly satisfactory results, and another result they always obtained was that if the patient’s stomach was overloaded the emeses was essential. During the course of labor the relief of this assisted in the opening of the pores of the skin, rendering all condi- tions favorable without depression. The field for lobelia is growing con- stantly. I shall be able in a short time 136 ELLINGWOOD’S THERAPEUTIST to present some advanced interesting facts from our readers. >k >k EPIGASTRIC PAIN IN PREGNANCY A distressing condition is sometimes present with pregnant women when al- bumin is present in the urine, and this is epigastric pain. It occurs without any connection with food or with the taking of food, and slowly increases in intensity. It is nearly constant in its effects, and is not in any way in- fluenced by digestives. It occurs about the time that dropsical effusions ap- pear, and it is quite difficult to cure. Morphine will control it, but this rem- edy increases the dropsy. Powerful eliminatives and heat to the kidneys persistently will be found of benefit. :k >k - MIALIGNANT POSTUILE An Italian writer treats malignant postule by subcutaneous injection of an iodoform solution. was first suggested in 1886, and its adoptions since have proved its value. Several injections are made into and around the seat of the pustule with a ten per cent solution of iodoform in ether. The pain is quite severe at first, but soon disappears. Within a few hours the fever abates, the swelling decreases and later the tongue shows an inclination to clean, the patient be- comes quiet in sleep or is inclined to take food. If applied early, the method is said to be very satisfactory. >k >k IODINE IN INFECTION A foreign exchange lays great stress on iodine in the first appearance of puerperal infection, even if infection has gained some strength. Tariner’s solution has been used for some time for infection in the vagina to antago- nize uterine infection. The use of the remedies that we have found to an– tagonize sepsis and the development of toxines within the system will do more good in some cases of anticipated sep- tic metritis than we are apt to believe. I am very confident that this class of disorders can be readily prevented by the proper use of medicines, even if The method the infection has become quite gener- ally diffused. - :k >{< PREVENTION In preventive medicine we are laying emphasis at the present time on the prevention of the total disease, and on wholesale antagonism of infectious dis- eases where, if the physician was con- stantly on the alert to antagonize minor conditions which lead to gross pathological changes later on, the re- sults would be fully as satisfactory; in fact, I am inclined to believe, they would be more satisfactory. + k GROWING PAINS Rapidly growing children commonly complain of aches in the limbs which are called growing pains and which receive no attention. In persistent cases these patients should have small doses of macrotys, and phosphorous, either in the form of a tincture or in the phosphates, as the difficulty is usually due to a fault in the supply of earthy phosphates. This same rule applies to children who have decaying teeth, children with a general tendency to rickets. The one and one hundred and fiftieth of a grain of phosphorus three times a day is very important with these patients, >k >k Because of certain underlying path- ological factors, I believe that bella- donna can be given throughout the first stages of every case of typhoid with only good results. The congestion in Peyers patches underlying inflamma- tion that quickly takes place is natur- ally affected by the influence bella- donna has on local blood stasis. ANTICIPATING ENDoCARDITIs A premonitory sign of endocarditis which is not generally recognized is a want of cynchronism between the ven- tricular contraction of the heart and the radial pulse. The latter will be delayed as much as a second. Dulcos, who first made this observation, claimed that endocarditis will surely BRIEF CONTRIBUTIONS 137 course of twenty-four hours. follow in less than thirty-six hours if this symptom is first apparent, and it should be looked for in rheumatism and in other conditions which may in- duce endocarditis. :k :k HYDROCEPHALUS A foreign observer treated five cases of hydrocephalus by exposing the head of the child to the direct rays of the Sun. The acciput was the part exposed without change of position for half an hour, gradually increasing the time from fifty minutes to an hour. Out of the five cases he claims that four were Very materially benefited, if not com- pletely cured. This suggestion is cer- tainly worth trying in a condition that has no other cure. >k :k IFOR TETANUS I have spoken frequently of mixing carbolic acid, glycerin and gelseminum in equal parts for hypodermic use in the treatment of tentanus. Dr. Hill says that glycerin and phenol com- bined produces a chemical compound with little toxic properties. Other chemists claim there is no change in toxicity, but there is no doubt about the valué of the mixture if carefully used. >k >}: CREosote, IN DIABETEs Experiments have been made by the use of creosote to stop the excretion of sugar in diabetes mellitis. From four to ten drops are given during the In some cases it greatly abridges the output of sugar and in some cases the sugar has disappeared entirely. x: :k A SIMPLE TONIC An excellent general tonic can be made by combining half of a grain of Strychnin with half of an ounce each of the tincture of chloride of iron and dilute phosphoric acid. To this add enough syrup of the hypophosphites (simple) to make four ounces. Of this from one-half to one teaspoonful is given in severe acute cases of exhaus- tion every two hours, and in protracted cases three or four times a day. >k >{< AMIMONIA. IN URINE The presence of Ammonia in the urine excites immediate irritation and is by most physicians difficult to cure. The method I have advised for many years is the use of benzoic acid and borate of sodium, and it is very satis- factory. Another remedy is advised, and that is the use of saccharine, which may be given in conjunction with the method I have mentioned, but those who have used this alone claim that it neutralizes the ammonia whatever the cause of its existence, and overcomes its unpleasant influences. We need more remedies for this purpose. The prevention of decomposition of the urea molicule is the real thing to be accomplished, as it is from this moli- cule that the ammonia is liberated. CHILOROSIS Lowenthal in a foreign exchange re- ports the history of twenty-three cases of chlorosis which resisted treatment as long as the menses occurred regu- larly. He artificially suppressed the menstruation in each case, and suc- ceeded in curing the condition of the blood very rapidly. In most of the cases after the cure was accomplished the flow occurred spontaneously. In some of the cases the suppression alone was sufficient for the cure. >{< >{< EXOPHTHAILMIC GOITRE In the treatment of exophthalmic goitre with the galvanic current, a foreign writer calls attention to this application. He says the positive electrode should be a thick one and broad enough to cover the lateral portions of the enlarged thyroid gland. The negative electrode can be pressed upon the spine or lower dorsal region, the current then being the des- cending one. For internal use he gives potassium bromide and sulphate of qui- nine, expecting excellent results. This is in line with the measure we have recommended many times for the use of hydrobromate of quinine in these 138 THERAPEUTIST ELLINGWOOD’S cases. There is no doubt that the influence of the remedy is promoted by the electric current. . . . + + Capsella for Urie Acid > We have but few remedies that are directly specific to the uric acid condi- tion in any phase of that condition. Cap- sella bursa pastoris is a remedy that has long been recommended by Homeopaths for this purpose, and as we can readily obtain a good tincture from their pharma- cists, it is well worth a trial when indi- cated. Cattle are fattened for slaughter by being overfed and not allowed to exer- cise. Many men and women prepare themselves for slaughter by voluntarily adopting the “stall fed life,” says the United States Public Health Service. Don't overeat and take plenty of health- ful, outdoor exercise. Hot house people are like hot house plants. They can’t stand exposure to severe weather, says the United States Public Health Service. Sleep with the windows open and keep every room well ventilated. -- . This is the scarlet fever season, warns the United States Public Health Service. A clean, sanitary mouth will help to pre- vent it. clean. • - Beware bootleg liquor, warns the United States Public Health Service, for much of it contains wood alcohol and other poisons. An ordinary swallow of wood alcohol may produce death or blindness. Don’t risk it. Every sore throat is a danger signal, says the United States Public Health Service, and may indicate some acute, infectious disease, such as diphtheria or scarlet fever. Toke no chances. Have a physician make an immediate examina- tion. A few hours’ delay may cause death. INTERNAL USE OF H2SO, Reynolds of London reports the bene- ficial effects of sulphuric acid internally in the treatment of those infections of Compel the children to brush their teeth regularly and keep the mouth the skin and subcutaneous tissue which result in the formation of boils and carbuncles. He administers from twenty to thirty minims of dilute sulphuric acid. It should be taken regularly every four hours. It requires about two weeks to accomplish a satisfactory result. The cases under treatment are in no way disturbed by the medicine. It does . not interfere with the digestion. After the first twelve or eighteen hours, the affected area becomes distinctly circum- scribed, the lesion ceases to extend, softening of the tissues takes place, Sup- puration follows. Very quickly healthy granulations begin, that form at the base, and the process of repair goes on unin- terruptedly. Cutting or surgical inter- ference is unnecessary. - The dehydrating influence and anti- phlogistic effect induced by the applica- tion of antiphlogistine in cases of acute inflammation are now recognized and de- pended upon by all physicians. The agent contributes immediately to the dis- sipation of an excess of blood in acute determination, abstracts the excess of heat, promotes normal restoration of function. It is easy of application, clean- ly, assists in retaining heat in contact with the part, often so essential, and is readily removed. Some authorities claim that it is a febrifuge, tonic, laxative, cathartic and alterative; that it is curative of dysen-. tery and enlarged spleen. Let's give it more careful attention. - jk k A foreign writer says that two or three grains of salicylate of sodium will cure certain cases of whooping cough better than any other remedy. It may be given every two, three or four hours, but some cases will do well if given only two doses daily. There are a few cases in which half of a dram dose of fluid extract of vi- burnum prunifolium will cure the vom- iting of pregnancy, acting directly on the nerve ganglia of the pelvis. THERAp EUTIC, FACTS SINGLE. TRUTHs FROM MANY DOCTORS AND MANY TRUTHS FOR EACH DOCTOR [ Gasoline Poisoning A child less than four years old whose playing alone in a closed room was heard to scream violently and continuously as if in great pain. The child was immedi- ately found to be choking and coughing and the face was very red, and was cov- ered with a cold sweat. The odor of the gasoline in his vicinity, on his clothes and hands, and from his breath caused its investigation, and there was found a small vessel which held not more than two ounces which had been left with some gasoline in it, and this the child had drunk. The child was given an emetic and then a physic with castor oil, and was treated with heat principally to prevent depres- sion. He was taken out into the fresh air, and a large quantity of gas with the odor of gasoline was discharged from the stomach. About three hours after the taking of the agent a fever developed with a tem- perature of about 102 degrees, and this fever lasted all night. The child was very restless and evidently suffered from much pain as he moaned. He moaned with each expiration, the mouth and throat were very sore and the mucous membranes the next day were greatly inflamed, and the odor of the oil was very perceptible in the stools and in the urine. There was evidence of extreme tender- ness over the entire stomach and through- out the intestinal tract, but acute gastritis or enteritis did not develop. There was but little fever on the second day, but no appetite. The child was restless and it was several days before he recovered his normal tone. There are people who unhesitatingly give ºr resene internally for various diffi- cul:es and I have found these cases quite often to suffer from sore stomach, and Soreness of the bowels, but I am in- clined to think that both of these reme- dies are active irritants and would readily develop gastro-intestinal inflammation which would be uncontrollable. There were but few specific indications present in this case, and after a week the patienf made an excellent recovery. >{< :k “Geisemium With Morphine” I notice in your last issue an article under the above title. My first use of these remedies combined was in the year 1877. I was called to a case of gallstone colic and I had with me only one-eighth grain of morphine, and I felt that that small amount would be inadequate to ease the awfully severe pain. I dissolved the morphine and added twenty drops of Merrill's green tincture of gelsemium and gave at one dose hypodermically. Within fifteen minutes the patient was fully re- laxed and free from pain. I was well pleased with the combined action of these drugs and so was the pa- tient, but the patient did not know any- thing about what he had taken. Since that time I have frequently used these two drugs together, sometimes in the same proportions and again in other quantities. I have never had any serious results, and not even any results other than were desired. I have often given gelsemium alone hypodermically in doses of from five to sixty drops and always with the happiest results. - W.M. E. KINNETT, M. D., PEORIA, ILL. >{< >|< Facts Tried and Proven Spasmodic urethral stricture: B Specific Med. Lobelia mixed with Olive oil and injected into a urethra (as you suggested in February number of Thera- peutist) is the thing in a spasmodic form of urethral stricture and I also used it in 140 ELLINGWOOD’S THERAPEUTIST retention of urine with good results. Some urethras will take five drops, some as much as ten or fifteen drops of speci- fic. Med. Lobelia. . I have also used Ab- bott's Lobeloid and it acted well. The above was originated by late Prof. Bos- kowitz and repeatedly suggested by our good editor, Prof. Ellingwood, but it seems that the “family” does not heed it much. I wish to add that sometimes I use a combination of glycerine and lo- belia, adding at times almond oil to it, for the relief of urethral strictures. Now let us say to Dr. Morton (p. ss. Feb. Therapeutist): Your case of chyliuia will clear up very nicely if you will give Kaliphos and Calcaria Phos, alternately. See that there are no gastric or hepatic disturbances. If - so, correct them first and then give these tissue remedies. ¥ k If you want a quickly acting “boil” remedy, try the following: `, B. - Sodium Chlorate. . . . . . . . . Drams 2 Aqua, q. S. . . . . . . . . . . . . . . Ounces 4 Color with caramel. Mix. and Sig.: Take teaspoonful every two to four hours, as to urgency of the C3LS62. I’ve aborted quite a few boils with it. This same remedy acts splendidly in many chronic stomach affections. It is a fine antiseptic alterative. I treated a case of Pruritis of scrotum as follows: First I cleansed the diseased area with carbolated water (3/3 dram of Phenol to 1 pint of water), then wiped the parts lightly and while damp I ap- plied equal parts of acetanilid and boric acid, covered up with cotton and band- aged. It gave a wonderful relief. The acetanilid acts as local anesthetic in dermal conditions and its application cre- ates a grateful feeling in many patients. Late Dr. Brodnax made use of this com- bination, calling it Boralide. You can make this powder of nice pink or red- dish color by adding some Armenian bole to it. Internally in the above case Specific Alnus (Lloyd's) was indicated and given. Cure was effected in a short time. Francis Creek, Wis. A. J. JEDLICKA. Thuja Occidentalis persistently applied to superficial epithelioma will cure it. This observation is the result of extended experience. Rhus Aromatica is invaluable in the treatment of enuresis of the aged. Guthrie, Okla, DR. E. G. SHARP. Enuresis I have never failed to cure enuresis in children and young people from three to fifteen years of age by giving two to fifteen drops of Specific Thuja Occident- alis in a tablespoonful of water before each meal and at bedtime. Chillicothe, Ohio. J. M. STEPHENSoN. A Good Routine Combination I believe we may give asclepias, eupa- torium and eclimacea in nearly every case of La Grippe or “Flu,” whatever the name, the disease is the same, thankful to say. The writer has not lost a case, but has had some pneumonia. Have practiced medicine only thirty years. Why my success? Trust in God for guidance, leave the fads and give real medicines. Streetman, Tex. J. N. MILNER. Aphonia In sudden loss of the voice or sudden horseness, dissolve a piece of borax the size of a pea, in the mouth. It will give almost instant relief. Nashua, N. H. DR. E. D. ROBBINs. & Application for Pain - Here is a fact for nervous pain head- ache, etc.: B - Oil mustard. . . . . . . . . . . . . . . . . . . 3 i Glycerine . . . . . . . . . . . . . . . . . . . . à i Alcohol to make . . . . . . . . . . . . . .5 iv Apply locally. Try it. - Klondike, Tex. S. S. UNSELL, M. D. Warts—Mucucolitis I desire to send you one fact that I have discovered and that is if a few drops of thuja oil is injected into warts on Some occasions with me, I must say al- most invariably, the patient is thrown into a form of a convulsion. The fits are not unlike those of epilepsy. My ex- perience has been with patients not sub- THERAPEUTIC RACTS 141 ject to fits of any kind. If I now use thuja oil in this way I use it very care- fully and when I do use it I watch for the spasm to follow immediately. Denver, Colo. DR. J. R. BLOSSER. Another thing I have concluded to my own satisfaction is that mucocolitis when the mucous membrane peels off, etc., is an infectious disease of the bowels in character and is not of nervous origin, as given in recent medical literature. A paper written by Dr. Young of Cleve- land, O., substantiates my conclusions, and, in my experience, Pixcresol, one tablet every three hours, is a speedy and reliable specific for that disease. Give it internally as any other medicine would be given. DR. J. R. BLossER. For Venereal Warts For Venereal Warts and syhpiltic ul- cers, apply thuja thoroughly from two to four times each day and you will be pleased at the results. Apply for from three to six days, when the wart will turn brown and come off. .# Fulton, N. Y. H. J. TERPENNING, M. D. Influenza. - 1 * In the treatment of influenza, Gelsem- ium, Bryonia, Eupatorium, Aconite, Echinacea are usually indicated with Aco- nite or Veratrum for fever are the rem- edies that have carried my cases through last year's epidemic and I am in midst of and now meeting with same success. No deaths this year, four deaths last year in two hundred and twenty-five cases, and these four could have been saved had treatment been given early, but they waited three or four days before calling for medical aid. - Burson, Calif. W. B. MARCH. After failing with all usual methods in the removal of tape worm, a physician reported that he advised the patient to eat a cocoanut, and was surprised to find that he had discharged a complete tape- worm. Since then the physician has used cocoanut frequently as a taenicide and finds it pleasant. It brings the worm without the usual administration of a cathartic. GALLIC ACID This mild but effectual astringent is of inestimable value in all the condi- tions for which such an agent is indi- cated. For internal administration it is in every way superior to tannic acid. It may not exercise such immediately astringent effects, but its taste is not so objectionable and it exercises no in- jurious or unpleasant effects upon the stomach. - For local effects tannic acid is supe- rior, but for systemic effects and in pas- sive hemorrhages especially, gallic acid is always to be preferred. In order that tannic acid should produce any remote constitutional effects it is first converted within the system into gallic acid, hence the advantage of giving the gallic acid first. For hematemesis and hematuria it is Superior to any other agent. In the hemorrhagiac diathesis it is of great value. In intestinal hemorrhage and in Some cases of metrorrhagia it is the agent par excellence. In catarrhal conditions of the bron- chi, naso-pharynx, intestinal canal, bladder or vagina it is equally useful. But the agent has an almost specific action on certain conditions of albu- minuria. In descuamative nephritis, if persisted in, its action can be positively depended upon. We have found it in small doses an excellent agent, also in post scarlatina albuminuria. One of its advantages in chronic cases is due to the fact that it can be persistently taken without deranging the stomach for months in some cases, and is not disagreeable to the taste. In chronic desoluamative nephritis with occasional attacks of hematuria we have continued its use in from eight to ten grain doses every two or three hours for three or four months with- out producing any unpleasant results, the patients at no time objecting to its use. In the nightsweats of phthisis, or following prostrating fevers, it is valu- able. - In atonic conditions of the stomach it often has a direct tonic effect, im- proving digestion. i43 - ELLINGWOOD’S THERAPEUTIST PHARMACEUTICAL REMARKS ON DIOSCOREA VILL OSA In suggesting a method of preparing a tincture of this plant which shall give the practitioner satisfaction, and we be- lieve bring this very valuable drug in much more general use, we will first make three general propositions, which we think no one will deny are correct: 1st. That in order to obtain from any plant a tincture which shall be of the most practical value, the plant or part of it used must be entirely ex- hausted, so that we have nothing left except the woody and fibrinous portions, bereft of all taste. 2nd. That many plants, such as Digi- talis, Lycopus, Squilla, Apocynum Can- nabinum, require both water and heat to exhaust them. 3rd. That alcohol alone is not a uni- versal solvent of the medicinal qualities of plants. With these propositions before us, we have tried to find a method by which Dioscorea could be exhausted, and by reference to “Griffiths Medical Botany,” “King's Dispensatory,” and numerous allopathic textbooks we find them recom- mending that it be prepared by decoction, and we find them almost universally get- ting good results from its use. * While from our officinal tincture, giv- ing us so little satisfaction, very many— we think the majority of our School— almost never use it, and when they do are often disappointed in its effects. It would seem that the decoction was by far the most reliable preparation, but it can not be preserved in that form for any length of time, and consequently is very inconvenient. We would therefore suggest that a tincture be made by taking one ounce root Dioscorea, adding ten ounces cold water—that it be heated over a slow fire in a tightly covered dish to the boiling point, allow to remain at that point for ten minutes, then allow to cool, then filter; after the residuum has become pretty nearly dry, add five ounces pure Alcohol slowly to the residuum and allow to slowly filter until almost per- fectly dry; when we will have ordinarily ten ounces of a tincture, each ounce of stimulants and irritants. which shall contain one-tenth ounce of the Dioscorea, and that will have all the promptness and faithfulness of action of the decoction, and also be as perma- ment as any of the tinctures. From this the 1st dilution can be made with one part wº:er and four parts alcohol; the 2nd dilution and upwards, all alcohol. MOUNTAIN LAUREL. One of our remedies which was quite popular with the old physicians was Mountain Laurel, known as Kalmia. Prof. King laid great stress upon the action of this remedy as an alterative and recommended it in certain forms of fever, probably times in which blood changes exercised an influence. The homeopathists for many years have used this remedy in painful affections of the heart, of course, giving it in minute doses. - Kent enlarges on its influence on pain that radiates downward from given cen- ters as from the shoulder down the arms or the neck down the back, or from the hips down to the feet, darting or radiat- ing, rather than localized pain. In an article in the Eclectic Medical Journal Dr. Webster gives his experience with the action of this remedy in a cer- tain heart case with pain exhibiting the above peculiarities. & * An old sea captain, who brought on heart strain by overexertion in rowing a boat race with a young man, has ever since been afflicted with more or less valvular incompetency. With advanc- ing years the cardiac lesion has become more and more troublesome. Cardiac dyspnoea and prostrating palpitation fol- lowing exertion long ago warned him to avoid all excessive activity. Late years he has been subject to at- tacks of dyspnoea in the night, which have been alarming to himself and fam- ily. Treatment by divers practitioners for several years failed to afford any permanent benefit. The remedies mostly employed were digitalis, nitro-glycerine, strophanthus, Strychnia, and other heart * Fifteen months ago we began the use of cactus in his case, alternating and combining it singly THERAPEUTIC FACTS 143 with pulsatilla, Srataegus, Scutellaria, etc., as conditions seemed to require. Marked benefit of permanent character resulted in a few months, though one dis- agreeable symptom persisted — pain in the cardiac region, which often extended down the left arm. After a long period of density on the part of the prescriber, former experience with kalmia was re- called, and its use speedily and perma- nently banished the pain. For the past three months pain and dyspnoea have been entirely banished, and the patient's general appearance is much improved; pallor and anxious countenance having given way to good color and an expres– sion of comfort. A Before the use of cactus was begun the patient had given up hope and ex- pected to die every hour. He now ex- pects to live at least ten years more, and, as he is only sixty-eight and is living a careful, sedentary life, such anticipation is 1not unreasonable. This remedy should have more careful and extended study. It probably has an influence that is not as yet clearly out- lined and this should be understood more thoroughly. USTILAGO MAYDIS This remedy, the product of corn Smut, acts in some particulars like ergot, but has an influence of its own which has been overlooked. It will prove a use- ful remedy in conditions otherwise in- tractable. It is advised in the treatment of chronic metritis or in any condition that induces hypertrophy of the womb, acting beneficially, also, in all fibroids that are not extraperitoneal. It will expel hyda- tids, moles and polypi. Its action on the womb is thought to be as great as that of ergot, but without irritating or un- comfortable effect. I depended upon it in one case of uterine cancer, where the pain and hemorrhage were extreme. Its influence over the pain was as satisfac- tory as its control of the hemorrhage. It will, in some cases, regulate irre- gular menses if given between the regu- lar periods. In small doses—one drop three times a day—it has been thought to cure amenorrhea. It checks vicarious menstruation and is beneficial in the va- rious forms of uterine hemorrhage. The remedy is also valuable in combi- nation with hamamelis and collinsonia in the treatment of piles and varicoses. It can also be used in enlarged spleen and in exopthalmic goitre. It is an excellent remedy for sunstroke with cerebral en- gorgement, as it unloads the engorged capillaries, will ward off apoplexy and is of much value in the treatment of men- ingitis. In that form of impotence or in spermatorrhea where there is intense en- gorgement of the parts, those who have used it claim that it is a most efficient remedy. There are some forms of acute insanity in which dram doses were given every five or six hours with good results. In some parts of the tropics the natives have a sure cure for influenza they be- lieve in drinking orange juice freely and living on a vegetable diet; in certain. cases the diet while the fever lasts should be greatly restricted. jºr × The application of eucalyptol, the Same remedy taken three or four times a day in capsules, is said by the summary to be beneficial in Psoriasis. - jk k I have often mentioned as a remedy for hemorrhages a solution of one dram of the oil of cinnamon and oil of erigen in twelve drams of alcohol, from ten to thirty drops as an emergency in sudden flowing, repeat every half hour or hour for three or four doses. * X X - A Summary writer calls attention to the use of the common barberry as a valuable remedy now generally over- looked. This is not Berbiris Aqua foium nor Berbery. It is the Berberis vulgaris. This remedy is a tonic to the stomach, and to the intestinal tract and in large doses is a cathartic. It influences the liver and kidneys, reducing the urates in the urine; it relieves constipation and improves the condition of the mucous lining of the intestinal tract. It stimu- lates the liver, inducing a normal flow of bile. . 144 ELLINGwooD) S THERAPEUTIST There is a fluid extract of berberistion to be made in order to become a vulgaris put up by the leading phama-claimant of the Federal Board of Voca- ceuticals, minim for grain, and an in- fusion of the bark made by adding 14, ounces of boiling water to 2 ounces of; the fluid extract; the dose of the former is seemingly rather large, one-half to one dram; the latter, one-half to one ounce, jk k It is very efficacious in the treatment of atonic dyspepsia, hepatic torpor, jaundice, costiveness, constipation, malarial poisoning, and rheumatism. GOVERNMENT NEEDS PHYSICIANS The United States Civil Service Com- mission announces that a large number of physicians are needed for employment in the Indian service, the public health service, the coast and Goedetic survey, and the Panama Canal service. Both men and women will be admitted to ex- aminations, but appointing officers have the legal right to specify the sex desired when requesting the certification of eligibles. Entrance salaries as high as $200 a month are offered, with prospect of pro- motion in some branches to $250, $300 and higher rates for special positions. Further information and application blanks may be obtained from the secre- tary of the U. S. civil service board at Boston, New York, Philadelphia, At- lanta, Cincinnati, Chicago, St. Paul, St. Louis, New Orleans, Seattle or San Francisco, or from the U. S. Civil Serv- ice Commission at Washington, D. C. A discharged soldier can receive treat- ment at the hands of the public health service, to which he is entitled as a beneficiary of the Bureau of War Risk Insurance, through one of a number of channels: * 1. He can apply directly to the ex- aminer of the public health service in his locality, presenting evidence in the form of an honorable discharge of his right to such treatment. He will at once be ex- amined, treated, and provision made for hospital care should such be necessary. The examiner will also instruct and aid him in making out the necessary forms to be forwarded the War Risk Insurance Bureau, and also the necessary applica- tional Education. - 2. The discharged soldier can apply to the Bureau of War Risk Insurance by letter requesting examination and treat- ment as its beneficiary. The War Risk Insurance Bureau then notifies the Dis- trict Supervisor of this request, who in turn notifies the patient to report to an examiner, giving the examiner's name and address, and issuing him transporta- tion if travel is necessary to carry out the request. Upon presenting himself to the examiner, he is cared for in the above manner. 3. The discharged soldier can apply to the American Red Cross, American Legion, to his country or state board of health, or to other organizations inter- ested in his welfare, who, through the publicity of the War Risk Insurance Bu- reau and the public Health Service, will either direct him to the nearest examiner Of the Public Health Service or will take up his case with the Public Health Serv- ice of the district in which he resides, who proceeds at once to notify the pa- tient to report for examination, as indi- cated under 2. - The examiner is authorized to obtain the advice and services of consultants for a patient, should such be necessary, and if hospital care is deemed advisable, to place him in the hospital under the di- rection of the District Supervisor, either locally, if his case can be cared for lo- cally, or in a hospital unit where the services of special consultants can be ob- tained. Upon the discharge of a patient from the hospital, a report of physical examination is submitted to the District Medical Officer of the Federal Board for Vocational Education, and the patient is notified of his rights as a claimant of that board for training, and as he ceases to be a patient of the Public Health Serv- ice, his case is turned over to the Federal Board for further disposition. Many forms of muscular cramp will be relieved by the use of viburnum. In some cases it may be combined with gel- Semium, in others, with macrotys, and in uterine difficulties, with both. ADVERTISIN ºf XVII | The Last Thorough Revision Ellingwood's New American Materia Medica Therapeutics and Pharmacognosy Has brought this intensily practable work up to the present time. Always Popular It Has Reached the Summit of Its Popularity in this Edition Its very wide circulation speaks volumes for its great practical value. It has reached probably every English speaking country. Every reader is an enthusiast, and every one who follows the lines suggested obtains phenomenal success. This is saying a great deal, but it is true. Every fact stated has been thoroughly proven, and is thus far and away beyond the experimental stage, and plainly in the narrow but essential field of certainties. The style is clear, concise, pointed, practical; entirely free from verbosity, definite in the extreme and intensely interesting. - - It is Royal Octavo in size; is double indexed. The price in cloth is $6.50. Address Ellingwood’s Publications, Evanston, Ill. L is T E R IN E A No n - Poison o us, Unirritating Antispetic Solution Agreeable and satisfactory alike to the Physician, Surgeon, Nurse and Patient. Listerine has a wide field of usefulness, and its unvarying quality assures like results under like conditions. 4. As a wash and dressing for wounds. As a deodorizing, antiseptic lotion. As a gargle, spray or douche. As a mouth-wash-dentifrice. Operative or accidental wounds heal rapidly under a Listerine dressing, as its action does not interfere with the natural reparative processes. The freedom of Listerine from possibility of poisonous effect is a distinct advantage, and especially so when the preparation is prescribed for employment in the home. LAMBERT PHARMACAL COMPANY ST. LOUIS, Mo., U. S. A. CoRREspond witH oup Advertisers, AND MENTION THIS Journal XVIII ELLINGWOOD’S THERAPEUTIST -- #1111111111111111111111Hilliiliiliiliili III.iii.III.iii.III.iiiIIIIIIIIIIIIIIIIIIIllilillllllllllllllllllllllllllllllllllllllllllllli - The Baldwin Sanitarium “The Home of Intravenous Medication” and “The Eye Repression Treatment for Goitre” Dear Doctor: Permit us to call your attention to the work of the Baldwin Sanitarium and our two special lines of work. In this connection we would like to ask: What are you doing with your first and second stage tuberculosis? Are you meeting with satisfactory results? Have you ever tried the INTRAVENOUS FORMULA used at this institution? . If not, why not? Introduced into the venous circulation it goes directly to the lungs and there acts as an oxidant, germicide and anti- ferment. Why not give the method a rigid scientific investigation? Why not give us a trial? Do you know that we are successfully treating both simple and exophthalmic goitre by the EYE REPRESSION TREATMENT; by fogging the vision to relieve the ciliary strain and overcoming the muscular insufficiency by the use of prisms? Do you know that we are successfully taking care of 70 per cent of all cases of goitre, chronic migraine and other cases in which eye strain is more or less a factor? - Shall we mail you our literature ? º: # CoRREspond with our Advertisers. Ano Mexition tºrs Journal- ADVERTISING - XIX state the patient is left in after an attack of influenza is a clearly defined indication for a reliable re constructive such as FLU Sºrº This cod liver oil agent increases the sustaining power of the blood, stimulates the recuperation of weakened tissues, and reinforces the reduced ruervous function. EASILY EAſli FLUID OUNCE OF HAGEE.5 CORDIAL OF THE EXTRACT OF COD LIVER OIL (OMPOUND CONIAINS THE FREE FROM ASSIMILATED EXTRACTOBLAINABLE FROM ONE-THIRD FLUID OUNCE OF CODuVER Oll (IHE FAITY PORTION BEING ELIMIN- GREASE AND AIED)66%AINSCAUCIUM HYPOPłł05pHITE, 3GRAINS 50DIUM HYPDPH05pHITE.WITH Gly(ERIN AND AROMATIC5. jºr" <-->5twººed fºr sixteere oºzºre &orrºes only. . .<2/spenséa Ay aſ cº-wºsz's. Kaſharhºun Chemical Co., $1.1 guis, ſlo. - KATHAR.NTON • ‘ - KATHARMON represents in combination Hy- drastis Canadensis, Thymus Vulgaris, Mentha has 3). definite value in every Aryensis, Phytolacca *::::::: ". grains inflammation of mucous membranes. º:::::::::::::::::: Wi !. AATF/ARMON CHEMICAL co, S.T.A.OUIS, MO, with Haze FOR S ALE Neal-Armstrong, four patient Oxyline e machine, in good running order, almost like new, for sale. Send check with your offer. Crated F. O. B. DRS. PARKER & PARKER º PEORIA, ILLINOIS PºſſIII; º|| | - º: º 2. F. - ºf ºrth N gº Tº T. §º E |W . * . . S % nº º 'º . . . . . . \\ - - % ONE OUT OF THOUSANDS ( I have been reading medical journals. for 39 years and I consider the THERA- PEUTIST the best, bar none. Every copy THE STANDARD º worth the price of subscription for a SALINE LAXATIVE whole year. & J. P. Collins, M. D. Samples on request Belcherville, Texas. Bristol-Myers Co. i New York - CORRESPOND witH oue Adve:RTISERS, AND MENTI on TFIIs Journal. XX ELLINGWOOD's THERAPEUTIST The Eclectic Medical College CINCINNATI, OHIO Chartered: 1845. Admission to the Freshman Class: Certificate of the Ohio State Medical Board, fifteen units plus two years of college work, which must include one year fn physics, chemistry, biology, English, and any other one modern language. This pre-medical course can be taken preferably at Miami Univer- sity, Oxford, Butler County, Ohio (39 miles from Cincinnati), or at any other recognized college or university. Session: The 76th annual session begins Septem- ber 16, 1920, and continues eight months. Tuition: $120 per year; matriculation fee, $5.00. Building: New (1910) six-story building at 630 W. Sixth Street. - Clinical Instruction: Seton Hospital Dispensary, Health Department and Tuberculosis Hospital, Seton, Longview and Cincinnati General Hospital (850 beds). For Bulletin and detailed information address the Secretary, JOHN K. SCUDDER, M.D., 630 West Sixth Street, Cincinnati, Ohio SAN METTO kidney-slaviºr-prostate. Valuable in Prostatitis-Pyelitis-Cystitis-Enuresis | In Dysuria–Albuminuria In Irritable and Weak Bladder Conditions As A SOOTHER AND MILD DIURETIC 00SE:—One Teaspoonful Four Times a Day. oD CHEM. Co., NEW YORK. Doctor In Justice to that Patient / You Should Try the Slow Sinusoidal Current/ THE McINTOSH No. 8 POLYSINE GENERATOR “The Sine of Progress” Generates Galvanic and Sinusoidal Currents in many variations. Eight different Modalities. Built for operation on alternating cur- rent, this apparatus is the latest development in the field of º/ M. c. In- Therapy. The first of these are just nearing completion. to s h Bat- SAFEST-SUREST-SIMPLEST . - / ºo:: §: Its installation is a sure proof of your sagacity. Special tical Co., - literature and generous offer sent on request without any Z gº Ple obligation to you. A complete line of X-Ray and treatment ase send your spe- º … --- . ... º. º º --~~ apparatus described in our 40th Edition Catalogue. cial literature and McINTOSH BATTERY & OPTICAL CO. full particulars with - reference to the No. 8 Main Office and Factory: Eastern office and Service / Polysine Generator. 217-223 No. Desplaines St., Station: Name. . . . . . . . . . . . . . . . . . . . Chicago, Ill. 1777 Broadway, New York, N. Y. Address. . . . . . . . . . . . . . . . . . Conºrspond with our Advººrisras. Arno Mºrton rºrs Journal. ADVERTIS 'NG XXI LEND A. HAND The National Eclectic - Medical Association is not r accomplishing its maxi- mum good without a full and complete membership which includes every eligible Eclectic physician in the United States. It is im- possible for your Propaganda Committee to approach every man who should be a member. If you have as your neighbor a non- member qualified for membership, it is your duty to interest him in your Society and its meetings. Tell him about your State Asso- ciation, your National, and the “National Quarterly”—show him what he is missing. Then ask him to fill out this application and submit it to H. H. Helbing, M. D., Natl. Secy., 4963 Fountain Avenue, St. Louis, Mo. - - - Application for Membership To the officers and Members of the I hereby make application for membership in the State and National Societies. I am inclosing check for $4.50, to meet my dues for 1920, including membership in the State Eclectic Medical Association and the National Eclectic Medical Association. It is understood’ that same is to cover, in addition to the dues, a year’s subscription to the “National Quarterly” and the other association benefits. (Signed) (Full Name). . . . . . . . . . . . . . . . • * * * * * * * * * * * * * * * * * * * * * . . . . . . . . . . . . . . . . * & Street or P. O. Box. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Licensed to Practice © --- - 111 • * * * * e e • * * * * * * * * * * * * e s a e s 6 c e s s a s e º e º 'º e s e e º e º e s e e º 4 e º a º e º & e 'e e º e s sº a Have Practiced in This Location since. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . CoRRESPOND witH our ADVERTISERs, AND MENTION THIS Journal. XXII E.LLINGWOOD’S THERAPEUTIST WHAT IS AUTO-HEMIC THERAPY7 Treating the patient with a drop of his or her own blood admin- istered according to a perfected and refined technic without use of bugs or drugs. - Auto-Hemic Therapy is in perfect harmony with the very latest development in physics, physiological and pathological chemistry. Properly administered, the treatment is absolutely without risk. - what PHYSICIANS SAY “The missing link in medicine.” “Has no rival in chronic cases.” “The king of Therapies.” “The new life serum.” *A “A wonderful reconstructive.” - “The greatest producer of physical and mental ‘pep.’” “No other method appeals so favorably to the intelligent public.” - “The best builder of a creditable, permanent and lucrative office practice.” . - “Doubles the cures and incomes.” “Of fifty or more different sera with which I have had ex- perience, ANY or ALL are not as a drop in the bucket compared with Auto-Hemic Therapy. It is a God-send to all patients having tubercular, cardiac, hepatic or renal troubles; in fact I have not found its limit in over two hundred cases treated.” Judging from the reports already published, it would seem that there is scarcely any limit to the applicability and practicability of this new treat- ment. Some of the most obstinate cases of anemia, insomnia, nervousness, constipation, eczema, diabetes, goiter, hay fever, rheumatism, mental and physical debility, lack of “pep,” ulcers, insanity, morning sickness, high-blood pressure, and other conditions too numerous to mention, have been benefited, if not permanently cured, by Auto-Hemic treatment in an incredibly short time, after all other methods had failed. - In December, 1918, fifty physicians reported 3,000 cases, representing 200 different ailments with 85 out of a hundred benefited. Copy of a journal containing reports of the surprising results obtained by many physicians, also particulars regarding Dr. Rogers’ book and course of instruction, sent on application to - - North American Journal of Homeopathy 2812 North Clark Street, Chicago, Ill. CoRRESPOND WITH our ADVERTISERs, AND MENTION THIs Journal. . { * ; ADVERTISING XXIII *tºn- i -Ta' LIBRADol For the Quick Relief of Pain by External Application Consult our literature for the history, formula and reports of physicians using Libradol in: Cough, Croup, Croupous Pheumonia, Endometritis, Felon, Sore Glands, Gout, Grippe, Headache, Hemorrhoids, Injury, Itching, Lumbago, Neuralgia, Pleurisy, Pneumonia, Rheuma- tism, Sciatica, Sprain, Stings and Bites of Insects, Tonsillitis, Uterine Carcinoma, Insomnia, etc. The professional use of Libradol increases each year. Its action is surprising, even rºcre the pain is deep-seated. Several years ago, a physician in charge of the hospital of a great iron and steel industry, ordered one pound of Libradol for that establishment. A few days afterward came an order for a five pound jar (Hospital Size). In less than a week came another order for one dozen jars, hospital size. This was followed by frequent orders, each for TWENTY-FOUR JARS, hospital size, these continuing at short intervals, to the present day. tº . REPLACES HARMFUL SYNTHETICS. Where the synthetics have failed, Libradol has acted promptly. Let us quote from reports of physicians: - “I was called to a patient suffering intensely from a painful affliction that another physician had failed to relieve. I spread Libradol at once over the seat of pain, and prescribed the indicated internal remedies. The patient was immediately relieved, and fell asleep before internal medication was in- stituted. Since that event I have been the physician of that family.” Another physician wrote: “The following is the experience of a patient suffering from facial neuralgia: Coal-tar products, nervines internally, and other processes had been utilized by the attendant physician to no avail. I was called and spread Libradol over the forehead and behind and below the ears. Within ten minutes relief followed, and in half an hour all pain had disappeared. The indicated Specific Medicines were now prescribed. There was no return of the neuralgic pain.” - - To Physicians Entering Government Service If your patients are not convenient to a pharmacist who can fill your prescriptions during your absence, it is proper to write on the pre- scription blank under the Libradol label, directic ns for its use, and leave a jar with each patient. This is being done extensively. PRICES: % lb. % lb. 1b: Hospital Size Regular and Mild (same price) $0.60 $1.10 $2.00 $9.00 SUPPLIED BY DRUGGISTS GENERALLY LLOYD BROTHERS, Cincinnati, Ohio ELLINGWOOD’S THERAPEUTIST º reno sº º º º A Silver Germicide in Convenient Form SLVol. is an extremely soluble, non-irritating silver germicide. Silvol Capsules represent one of the convenient forms in which this silver germicide is supplied. Silvol Capsules enable a physician to prepare a fresh solution of Silvol quickly. The contents of one capsule, dissolved in two fluidrachms of water, makes a five-per-cent solution of Silvol. Silvol is indicated in the treatment of acute inflammations of the mucous membrane of the eye, ear, nose, throat, urethra and vagina. Silvol is employed in solutions ranging from five to fifty per cent. silvol. CAPSULES 6 grains. Bottles of 50 capsules. Note.—Silvolis also supplied in these forms: Granular powder, ointment, bougies, and vaginal suppositories. Parke, Davis & Company Detroit Cosmºsrown wrtº ovº Apºstiskas, and MENTion this Journal- * * * r *, ***** * * *** * * *** * * * * he * * * * ***** * a *.*.*.* gº tºº *** * * * * tº.". º: !}ſº #TTT ; : : {º* ; : *:i à # $º : § : | FINLEY ELLINGWOOD M.D. EDITOR AND PUBLISHER ſº º ſ? Q- à ; t § { S} # &2 Šº. º- e : : ; ; * * ; > SINGLETRUTHS ... ROM MANYDOCTORS #2AND NYTRUTH; */ FOR/. EACHD0CIOR 32 N. STATE ST. CHICAGO ||SFSRPſiCN ^31.50 PER ſº % Vol. 14 No. 5 * | | ſ! iº INYADVANCE 2. N | § ;§3. º - # § 3. º: : ; = - ..º Zºe Nºrt: = º § (º P. § Sr. H y Ç t axSº $º aſ ſ | º Kº | ſ l * : º º º § § f º: º ºÄ § §§§ sº jº Yº ſº §§ ) ... º. supplies th the system tº fe strychnine aff FELLOWS MEDICAL M 26 Christopher Street º Bºlſº airſ Sºttº QºSºlº Zºº jº º - Nº. ºšāble.pnineral, salts With the Bößtº dºquinine. It accelerat ź. - sé. º --- -- s S. } ( C } §4. ſº ANFG. CO., Inc. ::::::::. º s ăl § Zºº;iſ liº |||||||||||||||||||||||||||||||||||||||||| §nſ llllllll ) - º ***** ***Jºs sº ºº::2Sº t * = + Jºe tº sº sº fe? *::::::::::::::::::::::::$º wº º º: º: º: Apr. 3,1907, at the Post Office at Chicago, Ill., under Act of Mar:3: : i : :: g * e º: : E3 * K * }. t" - *I*** - - - ºw º' II ELLINGwooD'S THERAPEUTIST SETYOURSELFRIGHIAboutGrificialSurgery It is not a fad, ism or pathy IT IS A POTENT THERAPEUTIC MEASURE BASED ON SCIENTIFIC FACTS. IT PERTAINS NOT ALONE TO “PILES AND CIRCUMCISION” BUT TO EVERY TUBE and hollow organ—to all tissues receiving fibres from the Sympathetic Nervous System. The School of Orificial Surgery offers its Course to graduate phy- sicians only. The theoretical and basic study is conducted by a successful plan of correspondence. The practical and technical work is taught clinically. Each student receives personal attention. Satisfied graduals tell. Ask for some of their letters. Write for a copy of The Orificialist. SCHOOL OF ORIFICIAL SURGERY, Inc. UTICA BUILDING - DES MOINES, IOWA The Control of Ovarian Disorders F you believe in organotherapy—and you should—you know why it is so efficacious. It is indeed a physiological measure, restoring in a “natural manner” deficient glandular activity. Caps. Thyro-Ovarian Comp. - (Harrower) is a superior remedy in the functional dysovarism underlying amenorrhea, dysmenorrhea, menopausal imbalance and neuras thenia. It is often better than corpus luteum alone. - Write for the booklet “ovarian Dysfunction' *—Free Address the nearest office and mention “Ellingwood’s Therapeutist” THE HARROWER LABORATORY - Glendale, California NEW YORK; 31 Park Pl. CHICAGO: 186 N. LaSalle St. DENVER: 1132 15th St. - BALTIMORE: 4 E. Redwood St. Čllingtuoob's Ultra A monthly Journal of Therapeutics; educational in character, issued on the 25th of the previous month; devoted to the determination of the exact action of single drugs upon exact conditions of disease. A Journal to which every subscriber is also a contributor, and in which the Subscriber and the Editor are working in the closest possible relationship, to determine true and invariable drug action, for the benefit of the entire profession, and thus, Humanity. OUR MOTTO: To learn the Truth. To prove the Truth. To apply the Truth. To Spread the Truth. OUR CREED: The Truth from all, for all, to all, without regard to the creed of the individual. -- - OUR FAITH: That all disease will ultimately be subdued, in whole or in part, by remedial measures; - That failure to cure disease is due to our lack of knowledge; That Therapeutic nihilism is the deadly foe to Therapeutic progress; . That the study of the clinical action of the single drug, is the true method of drug study; That each drug acts directly and invariäbly upon one or more exact conditions of disease, and must be so studied and known; That with such knowledge perfected, we can immediately and successfully prescribe for conditions of disease with which we have not previously met. - TABLE OF CONTENTS FOR MAY, 1920 LEAD IN G ARTICLES Pregnancy and Heart Disease. . . . . . . . . . . . . . .... • * * * * * * * * 162 - - e 4. - w Faith and Theory. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 163 Tuberculosis in Animals Spreads Disease Among * - Humans—Efforts to Stamp Out Disease. . . . . . 145 The Important Special Sedatives. . . . . . . . . . . . e s s tº $ s s º 164 W. C. Hanawalt, D. W. S., Galesburg, Ill. Horse Nettle for Whooping Cough. . . . . . . . . . . . . . . . . . . . 165 Leucomatorrhoea of the Labia and Walls of the Therapeutics Of Cannabis Indica. . . . . . . . . . . . . . . . . . . . . . 166 Vagina . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .146 Dr. J. B. Matthew. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 168 . W. H. Halbert, M. D., Nashville, Tenn. The Munk Botanical Garden and Arboretum. . . . . . . . . 168 Infantile Syphillis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 149 - - . . F. W. Wells, M. D., Altoona, Tenn. - SPECIAL DEPARTMENT OF THERAPEUTIC, FACTS Concerning Epilepsy and Reflex . . . . . . . . . . . . . . . . . . . . . 150 - A. West, M. D., Duluth, Minn. ‘‘E'lu” . . . . . . . é, e s , , s s s = * * * * * * * * * * * * * * * * * * * * * * * * * a e s e < * 172 Varix of the Vagina in Pregnancy. . . . . . . . . . . . . . . . . . . . 152 Calendula . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . * e s a e s w s 172 - George L. Wayne, M. D., Brooklyn, N. Y. Treatment of Appendicitjs . . . . . . . . . . . . . . . . . . . e = * * * * * 173 Influenza:—A Resume of Its Treatment. . . . . . . . . . . . . . 154 Involuntary Gastroenteric Spasm. . . . . . . . . . . . . . . . . . . . 173 A. S. Tuchler, M. D., San Francisco, Cal. Calendula . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 173 Fatal Liver Injuries. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 155 Virburnum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 174 . T. Wormley, M. D., Austin, Texas. The Action of Geranium . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 174 Spotted I'ever or Tick Fever. . . . . . . . . . . . . . . . . . . . . . . . . 156 Piper Methysticum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 175 R. E. Adkins, M. D., Riverton, Wyoming. Lycopus Virginicus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .175 A Night Call. . . . . . . . . . . . . . . . . e º & 8 & 9 e º 'º º $ tº e º $ tº g ſº tº º tº $ tº 156 Cholera . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 175 S. M. Sherman, M. D., Columbus, Ohio. Quinin Bi-Sulphate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 176 Treatment of Middle Ear Disorders. . . . . . . . . . . . . . . . . 157 - Triticum Repens (Couch Grass) . . . . . . . . . . . . . . . . . . . . ... 176 Rent O. Foltz, M. D., Cincinnati, Ohio. Xanthoxylum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 176 Pneumonia Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 158 Thapsia. Garganica. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 176 Geo. W. Ayelsworth, Collingwood, Ontario. Echinacea. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . * * * * * * * * * * * * * * 177 Iron in the Treatment of Acute Inflammatory Dis- . Ustilago Maidis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 177 C8 SeS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 160 Specific Acid Indications. . . . . . . . . . . . . . . . . . . . . . . . . . . . 177 A. F. Stephens, M. D., St. Louis, Mo - ED ITO RIALS GLEAN IN GS - - - - IRelated Diseases of the Eye and Nose. . . . . . . . . . . . . . 178 Honors to Professor Lloyd. . . . . . . . . . . . . . . . . . . . . . . , ... 161 Veratrum in Palpitation . . . . . . . . . . . . . . . . . . . . . . . . . . . 180 Scarlet Fever . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 162 Gastric and Nervous Disorders. . . . . . . . . . . . . . . . . . . . . . . 180 The Use of Caulophyllum . . . . . . . . . . . . . . . . . . . . . . . . . . . 162 Management and Circulation of Therapeutist. . . . . . . . 180 Ellingwoob's Cherapeutist Is Edited and Published by FINLEY ELLINGWOOD, M.D., 32 N. State Street, Chicago, Ill., U. S. A. i | Subscription Rates: In North America and Islands of United States, $1.50 per year in advance, and one Therapeutic Fact. To all other countries, $1.85; single copies. twenty gents. Sample free to possible subscribers and advertisers. Payment should be made by Express or Postoffice order, or Chicago or New York draft. Personal checks must have ten cents added for bank exchange. Foreign P. O. orders should be made payable in Chicago: - - Changes of address with both old and new addresses must be sent as soon as made. We are only thus responsible for all issues. Renewals must be sent in promptly as the new postal regulations only allow us four months’ €ontinuance. Original articles suitable for publication are accepted with the understanding that they are written especially for this Journal. Foreign articles will be received and translated if found desirable. - Reprints wiil be furnished at reasonable prices if a request to that effect accompanies the manuscript. Approximate prices may be had on application. Manuscripts will ealy be returned if requested, and stamps are sent for this purpose, but we assume no responsibility. Let it be understood that we are not responsible for, nor always in accord, with the opinions of contributors, IV ELLINGWOOD’S THERAPEUTIST SPRINGTIME TOXEMIAS There is no season of the year when toxic conditions are more in evidence than the Springtime. Winter ills have left their accumula- tion of toxic matter; heavy meat diets, with a deficient quantity of fruit and fresh vegetables, have deranged the digestive functions and added to the burden of impurities in the system; bacterial diseases, such as influenza, la grippe, rheumatism, pneumonia, etc., have also contributed their share of toxins, and as a result there is the usual aftermath of toxemias, in varying forms of virulence, demanding the attention of the physician. - To ignore these conditions will not do, for we then invite a worse condition—the menace of fevers and other ills due to toxic accumula- tions in the system. THERE IS JUST ONE SAFE COURSE TO PURSUE and that is to fight these Springtime Toxemias with the remedy di- rectly indicated: ECHTISIA The value of Echinacea in all forms of toxemia and blood taint is beyond question, and Echtisia, an echinacea compound, has been found even more effective than its basic ingredient, because of the adjuvant and synergistic properties of the Baptisia, Phytolacca and Thuja with which it is combined. . Clinical experience has shown Echtisia to be almost a specific in all forms of toxemia, and its use in all cases of this character is advised and recommended. Full descriptive literature will be sent on request. THE WM. S. MERRELL COMPANY Manufacturers of Reliable Pharmaceuticals - Founded 1828 Cincinnati, Ohio CoRRESPOND WITH OUR ADVERTISERs, AND MENTION THIS Journal ADVERTISING YOUR RHEUMATIC CASES WILL IMPROVE UNDER *** **** . *** Aº arr is masº - * * *** I can give Calc a lith where antirheumatics are indicated and get results as certain as can be expected of any specific. - Dr. J. W. —, Ohio. I am more than pleased with Calcalith after the brief trial that I have given it. Dr. Thos. L. —, Wisconsin. The Calcalith works like a charm so far as tested. Your products are reliable and never disappoint. Dr. C. M. W. ——, Illinois. This excellent combination of Calcium, Lithium and Colchi- cine, according to many reports, acts more generally, more posi- tively and more potently than any other preparation of its class in rheumatic cases. Give Calcalith a Trial In your next case of Sciatic a try CALCALITH. Whenever rheumatic Con- ditions a re exhibited or suspected try CALCALITH. Many doctors state that nothing surpasses CALCALITH in uri- nary troubles and in gouty disorders. In chronic lumbago, CALCALITH acts with remarkable results. Some doctors are using CALCALITH for uricacidemia. Splendid reports are received from all sections of the country. - - Samples of CALCALITH will be sent to interested doctors on request, together with literature and directions for use. Packages and Prices Bottle of 100 tablets, $0.53 net; 500, $2.18 net; $1,000, $4.13 net. Special prices on larger quantities in bulk. Urge your druggist to stock for your convenience or order direct. Send for Literature The Abbott Laboratories I am having splen did success with Calcalith in rheumatism a n d uric-acid diathesis. Dr. C. R. H. —, Illinois. New York Home Office and Laboratories, Dept. 23 CHICAGO, ILL. San Francisco Seattle Los Angeles Toronto Bombay CoRRESPOND WITH OUR ADVERTISERs, AND MENTION THIS Journ AL VJ ELLINGWOOD S THERAPEUris 1. PROTECT YOUR PATIENTS AGAINST . . . . Colds Influenza Pneumonia USE SHERMAN'S N0, 38 || THE DESIETRICAL SHOF HORN ANATOMICALLY CORRECT AS REGARDSSIZE aid SHAPE WRITE FOR LITERATURE - In cases where the foetal head engages against the Symphysis pubes instead of emerging toward the birth canal this instrument will be found worth | Manuºiunea its weight in gold. The head of the foetus may be |BACTERIALVACCINES readily deflected toward the canal. Eliminates — —w ANMD hours of danger and suffering to mothers. © HERMº Price $5.00 GłłŠ Zetrozz/ft2% HUSTON BROS. CO. •w.sa. 30 East Randolph St. CHICAGO DON'T SEND THE POOR FELLOW AWAY, DOCTOR! VERY DAY doctors are advising a rest, a trip to a sanitarium, a visit to a specialist, an operation—anything to get rid of their old, stubborn cases of Prostatic Disease and Impotence Maybe you are doing, or are about to do, this very thing. You are losing possibilities of dollars and prestige, to say nothing of the keen satisfaction of having won a hard fight! - - Too many of these cases are passed up by good doctors, only to fall into the hands of unscrupulous men who offer nothing but promises and frequently give less. YOU CAN GET RESULTS in the great majority of these cases. Decide now to try SUPPOS. PROSTANS thoroughly in just one case, Doctor. You will then certainly rely upon Prostans as your Sheet Anchor and thereafter keep the business you’ve been turning away. Now, Doctor, you can easily prove this, just as over two thousand other physicians have done. So don’t scoff, but simply fill out the coupon below. THEN JUDGE FOR YOURSELF. —This Coupon Means Success and Money Saved as Well. Fill it Out. Send Today. REGENT DRUG COMPANY., 568 Woodward Ave., Detroit, Mich. [] I enclose $1.00, send me one box (of 15). Suppos. 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ELLINGWOOD’S THERAPEUTIST The IATELEsions of SYPHills make a satisfactory response - fo the use of the combination É of antisuphilifics Composing = 7. N *º-º-º-º-º-º- mº-sº-sº-º-º-º- -º-mm-ºs-ºs-ºº-º-º-º-º-º-º-º: \ A * CEZTTLE) === Although of marked potency in the treatment of lafe lesions of suphilis, IODIA (BATTLE) is E well folerated and meg be given E for long periods without causing distress. Berrle & Co., Chemists' Corporation, St. Louis. Mo. = & **--— REVOLVING SYRINGE Dear Doctor: Look at it! The Revolving Syringe does the business and brings back the bacon. We doubt very much if there is an instrument in your office that will bring you the returns that the Revolving Syringe will. The results are so gratifying that when you have treated one of your pa- tients she will bring you a dozen more. This is the first and only scientific instrument of its kind in the world. Thirty (30) days introductory sale. During these 30 days we will fill all orders at $6.50. 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WEBB 41 Eastbank Street Southport, England Commissrono wirn our Anvertisrns, AND MENTION THIs Journal- ADVERTISING Quotations from Doctors: No. 1 “To mention the hygroscopic action of glycerine to any one who has the slightest knowledge of chemistry, is unnecessary. But, to be able to harness' this action and utilize it as a therapeutic agent of great potency, is worthy of note. we have such a combination; and it has stood the test of many years. It has shown that, in proper mixture with a suitable base, the acknowledged osmotic power of glycerine may be greatly intensified; that through this action congestion in all tissues may be reduced, thus relieving pain from distention . . . and acting as a stimulant to normal circulation, and hastening resolution.” THE DENVER CHEMICAL M'F'G COMPANY NEW YORK Corrrspond wrrh our Advertisers, Ann MENTION THIs Journal. ELLINGWOOD’S THERAPEUTIST ree otand-burº I. prescribing Coco-Quinine, Lilly, you know that you are writing for the original product and that your patient will get two grains of true, unchanged quinine sulphate in each average teaspoonful (96 minims.) A child will take Coco-Quinine and lick the spoon. ILLY'S Liquid Blaud contains the compo- nent parts of Blaud's Mass which react to form fresh ferrous carbonate at the time the dose is mixed with water. The patient gets the fresh iron salt each time. Lilly's Liquid Blaud is supplied Plain, with Arsenic, with Strychnine, and with Arsenic and Strychnine, in special bottles only. Send for demonstration sample and literature. UCCUS ALTERANS is well known as a purely vegetable alterative. It is made from fresh, undried drugs gathered in season. It has been used extensively by the medical profession for over thirty years. Succus Al- terans contains no iodides but is an excellent vehicle for them. Specify the original Lilly Product, supplied in pint bottles only. Lilly Products Are Supplied Through the Drug Trade ELI LILLY & COMPANY INDIANAPOLIS U. S. A. CX- Correspond with our Advertiseps, and Mention this Journal. ADVERTISING - : XI He Got More Than He Expected “Before securing the Sinustat No. 3, I was advised it was only a small machine without enough. force to do any good. The advice was not sound. My No. 3 has all the force I need. Can send a current through any part of the body and have never used all its force at any one time. I am pleased on the market.” Ultima No. 3 Sinustat ratus for A. C. or D. C. 136 W. Lake Street A real, portable sine wave appa- ULTIMAPHYSICAL APPLIANCEco, 2^n. with it. It is a good investment. You have done the profession a good turn in putting these machines One of many unsolicited endorsements of Ultima products. (Name upon request.) FREE TRIAL OFFER: Doctor, let us prove to you that the No. 3 Sinustat is the greatest power in all chronic nervous and muscular conditions that you have ever seen or heard of. , Just sign and mail the coupon today,” Thank you ! - - * * * Gentle- 111611 . * * You m a y - - /* . . FREE! A valuable Booklet and a $1.00 Chart of Sinusoi- .2° E;"tº: dalogy sent to all who answer this advertisement promptly. , fer, booklet and * chart without ob- ligation to me. Chicago, Illinois 2^ Address . . . . . . . . . . . . . . . . . . . . . * * * * * : * * = . ." Its UTILITY IN THE TREATMENT OF and Other Disturbances of Menstruation Despite the fact that Ergoapiol (Smith) exerts a pronounced analgesic and sedative effect upon the entire re- productive system, its use is not at- tended with the objectionable by-effects associated with anodyne or narcotic drugs. ness and singular promptness with which Ergoapiol (Smith) relieves the several varieties of amenorrhea and dysmenorrhea has earned for it the un- qualified endorsement of those mem- bers of the profession who have sub- jected it to exacting clinical tests. Dosage: Ordinarily, one to two cap- sules should be administered three or four times a day. MARTIN A. SMITH CO. New York, U. S. A. Amenorrhea, Dysmenorrhea . The unvariable certainty, agreeable- The New Field Series Completeſ All about EPSOM SALT and other congenial drugs. New Field method of diagnosis without asking questions. and how to prove it. Congenial treatment of all diseases. The cure of Tuberculosis, Bright's Disease, Uric Acid | Diathesis and all ENERVATIONS. The Double Sulphide treatment of Typhoid and all other INVASIONS. Doctors say these books are worth their weight in gold. ive small volumes at $1.00 each, or the full set for $4.00, by mail prepaid. First Book: THE NEW FIELD, 287 pages. . . . . . . $1.00 Second Book: CHRONIC DISEASE, 320 pages. ... 1.00 Third Book: NEW DISCOVERIES, 32 pages, con- densed from over a thousand pages of physi- cians' reports . . . . . . . . . . . . . . . . . . . . . . . . • Fourth Book: NEW FIELD science, 303 pages. 1.00 Fifth Book: LITTLE AILMENTS AND CONSE QUENCES, 192 pages. . . . . . . . . . . . . . . . . . . ... 1 .00 These books are bound in Princess cover, $13 durable as leather, and will not mildew Free with any $1.oo book: Nursing Therapy, 32 pages. A practical exposition in pamphlet form. Single copy, 50 cents. Easy Lessons, (Medical),. Third Edition, 16 pages. A concrete exposition of the author's ideas on the Five Symptom Producers. Single copy, Io cents. New Field Laboratory, w East Chattanooga, Tenn. Corrrspond with our ADVERTIsrRs, AND MENTion this Journal. XII * - ELLINGWOOD’S THERAPEUTIST FROM PUBERTY TO MENOPAUSE / | \HROUGH this period pregnancy call for the admin- most women suffer from istration of HAYDEN'S VI- uterine neurosis, and as BURNUM COMPOUND, Godell so aptly describes it, presenting its well-known an: , “the intangible, . _, tispasmodic and imponderable, calmative action invisible pelvic | || as a preventive pains of neurotic and as a treat- . - | ment In neurosis. women.” A n ticipated It should be given monthly attacks of Dysmen- in teaspoonful doses, three orrhea, the exhausting effects times a day, administered in of Menorrhagia, and the hot water. Literature, form- nervous symptoms of early ula and samples upon request. NEW YORK PHARMACEUTICAL COMPANY - BEDFORD SPRINGS, BEDFORD, MASS. º El “After That Attack of Influenza" . |Ell The constantly growing number of patients who have never completely recovered from an attack of influenza or pneumonia, emphasize the great importance of giving the utmost care and attention to the stage of con- valescence. Every function needs to be supported and stimulated, and the nutrition of the whole body restored as near to the normal as possible. In Gray's Blytºſile IUlit a great many physicians have found so efficient and dependable a means of El El [E]] El insuring complete and satisfactory recovery in the majority of cases of º fill El El fill El ſtill ſil El [l] influenza, that they have come to employ it as a matter of routine. Patients who are placed on “Gray's Glycerine Tonic Comp.” as soon as the temperature subsides, rapidly regain their strength and vitality. The influence of “Gray's Tonic” as a post-influenzal tonic and reconstructive is shown not only by the prompt and gratifying effect on the whole body that follows its use, but also by the notable freedom it assures from complications and sequelae. - The Purdue Frederick Company 135 Christopher Street New York City EEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE , Correspond witH oUR ADVERTISERs, AND MENTION THIs Journal. [E] º [E] º El [E] [E] El |El [E] El [E] |E|| [E] El |E|| Ell 5|| | (ºllingtugot's Uijerap A Monthlg Journal of DIRECT THERPAp EUTICS Finley Ellingwood, M. D., Editor and Business Manager. | VOL. XIV MAY, 1920 #* ºf #EA :=*= ) := : §§ w * ###########"ºff tºº &3% §§ Tuberculosis in Animals Spreads Disease Among Humans–Efforts to Stamp Out Disease W. C. HANAWALT, D.V.S., GALESBURG, ILL. St. Because tuberculosis claims more peo- ple in my county than any other disease; because it takes more lives in Illinois than all other diseases; because it is the climax of all diseases for taking the lives of our loved ones, our neighbors, friends and the greatest personages, and because I feel sure that by the combined efforts of the medical profession, veterinarians and kindred organizations we can all, working together, greatly decrease this mortality, is my excuse for writing this article. In the year 1917, out of 40,000,000 hogs slaughtered for human food at our government inspected abbatoirs, 3,974,- 000 cases were found of tuberculosis. Nearly all hogs marketed for food-pur- poses are less than one year old. - There- fore, they must acquire the disease very early in life, and you must agree with me that there must be frequent sources of infection in Örder to so quickly infect 3,974,000 hogs every year and gradually increase this number annually. Because I know where many of these hotbeds of infection are located, and the way they spread the tubercular germs and the progression from the source to the human being is certainly excuse enough for this transgression. - We are all aware of the fact that hogs are raised on farms by feeders. Seldom any feeder of note feeds hogs alone. He has in addition a carload or two of cattle, and it is these cattle that are the hotbeds of tuberculosis. In my past years of service as assistant state inspector for horses, cattle and hogs I found numerous cases of tuberculosis in cattle. And in my practice as veteri- narian in Knox and adjoining counties I have discovered many herds of cattle where there were from one to several animals affected with tuberculosis. I was at a farm the other day where they were butchering hogs for the yearly supply of meat for family use and recog- nized several carcasses severely affected with this disease. . This is sufficient to show you that tuberculosis is rampant in our very midst and that there is very little being done to protect our lives from its intrusion, there- fore, we cannot expect anything else than that we must, many of us, acquire the great white plague. Cattle, more especially milk cows, with 146 - º ELLINGwooD's THERAPEUTIST tuberculosis, like some people, do not spit, but after coughing swallow the excre- ment which passes through the alimen- tary tract and to the ground, where it is devoured by the hogs when eating where upon they become affected with the dis- ease early in life. The cows also lay down on this excrement, grinding it into their hair, where it dries, and the process of milking loosens this as dust and adds it to the milk, which in turn is distributed over the city and fed unpasteurized to children and babies, thus planting the dis- ease in our very own selves. It has been repeatedly proven in our microscopic laboratories that these same bacilla in- fest the milk glands in the udders of cows and are drawn out when milking, im- pregnating the milk and in this way find their way into the cream and all its acces- sories, i. e., butter, ice cream, candies and the like, and is eaten without the process Of pasteurization. - I shall cite a case in practice where I was called to see a cow supposed to be choking with a nubbin of corn, which showed all the symptoms of choke, but there was nothing found in the esophagus or trachea (windpipe) sufficient to cause this distress. In a few minutes the ani- mal expired, and autopsy revealed tuber- culosis of both lungs, which were entirely consumed with tubercles from the size of mustard seeds up to that of a hazelnut. When I told the owner the cause of death, he asked me if I thought his two children, which he had reared on this cow’s milk, were in any danger of taking the disease. My answer was that I be- lieved they were in very grave danger, and suggested he counsel with his family physician and pursue whatever measures he suggested for their safety. - To make it positive that there should be no mistake in diagnosis of this new alarming case, I sent specimens of the lungs to the biological laboratories of the Rush Medical College for examination, and in a few days received slides mount- ed by them and labeled Conglomerate Tuberculosis. Therefore, you must agree with me that there was no mistake in diagnosis. ments which I here make. This family's physician, two years later, told me that both of these children died of tuberculosis, and when I told him about the cow above mentioned, he ex- claimed: “That solves the problem; I ex- amined that whole family to find where those children got the disease, but could find no trace of the disease in any of the rest of them, but now I am satisfied the cow was the whole factor.” I also learned from this doctor that the parents had neglected to counsel with him concerning the sickness and death of the cow and the rearing of the children with this cow's milk. - Now, while we are all interested in the Saving of lives, which is paramount, we are also interested just now in the saving of food and this is no small feature in this article, as the 3,974,000 hogs were consigned to the rendering tanks by the government inspectors. LEUCOMATORRHOEA OF THE LABIA AND WALLS OF THE VAGINA W. H. HALBERT, M.D., NASHVILLE, TENN. The experiences which I narrate in the following article came to me a number of years ago. The six cases appeared within a short period of the time, and Strange as it may seem, I have had no case since of the same character. Notic- ing but little literature on the subject, I wrote the history of the cases and sent them to Dr. Ellingwood for publication. I looked through the literature on the subject and consulted some very best au- thorities, and because of the looked the matter up thoroughly, but have nothing to add beyond the state- All of these patients are still living ex- cept the one who refused to be prescribed for. I have nothing special to add to what I wrote at that time, but still retain my interest, and I am sure that the edi- tor of THE THERAPEUTIST will be glad to publish any histories that may be given by others of similar cases. This peculiar pathological condition is called a tumor. There is change of struc- ture without any enlargement of tissues - interest elicited by these cases, I have since LEUCOMATORRHoEA OF THE LABIA 147 except at the edge of the tumor. This disease is said to appear only on the labia, one or both, or on the monsveneris. I will give a minute description of these tumors as I have seen them. - I have seen six of these cases in my practice. In the first four the tumors Were on the labiae majora and minora. There was no tissue projecting above the plane of the surrounding skin or mucous membrane except the part of the outer edge of the tumor; this part was from one-sixteenth to one-eighth of an inch above the surrounding tissue and was Scallop-shaped ; that is, some parts of the edge of the tumor was thicker than other parts, having an irregular and serrated edge. There was no difference between the color of the tumor and the surround- ing part, with the exception of a slight bluish cast, caused by the peculiar color of the flow, which had the bluish cast of whey. At the edge of the tumor there was an increased redness, but not suffi- cient to indicate a high degree of inflam- mation. They spread very slowly. One, when first examined, was two-thirds of an inch wide by one inch in length. Within twelve months it was not more than one- third larger. As the tumor spreads it still keeps up the peculiar, irregular, ser- rated edge. There is a marked tender- ness at the edge of the tumor, while there is none at any other part—at least it is not SO appreciable, and no more tender than Sound tissue. In two of these patients the tumors were on the walls of the vagina. the tumor was on the posterior and sides of the vaginal walls, extending from half to one inch upward. In the other the tumor extended from the labia minora upward three-fourths of an inch, and one and one-fourth inches along the vaginal walls, and made a complete circuit of the walls of the vagina, covering that portion of the wall which covered the urethra. The peculiarity of this was that there were several crypts over the urethra which were lined with the tumor, and the canals, which connected with each In one other. A probe one-sixteenth of an inch in diameter would easily pass through them. These tumors were not more than one-sixteenth of an inch in depth. They may not be more than half that depth. The surface is irregular in shape, as though covered with netting, having slight eminences in the center of each mesh or Square. I have never been able to tell whether the fluid flows from the eminence or de- pression. I rather think that it flows from both, and the sides of the eminence, as we will show further on. I have no- ticed two small tumors close together (less than one-fourth inch) which were united in about four months; this one was on the walls of the vagina. The growth is quite slow, as all of these patients had noticed the flow from six months to more than two years before applying for treatment. I heard no com- plaint from the patients, nor did I notice that the flow was irritating to the ad- jacent parts. There was at no time any pruritus. They all complained of the excessive amount of the flow. I do not know what causes this pathological con- dition. It does not appear to be malig- nant and yet it is not what one would call an innocent growth. I believe un- checked it would, in the course of years, either directly or remotely destroy the life of the patient. I secured the services of Prof. J. J. D. Hinds, of Lebanon, Tenn., to make a microscopical examination, and he made the following report: “The material from an oozing tumor, furnished me by Dr. W. H. Halbert, exhibited on microscopic examination the following characteris- tics: The mucous membrane is somewhat thickened and its cells are in a more Or less degenerated condition. It is per- forated with numerous little tubes or ducts reaching through to the sub-mucous areolar tissue, and ending at the lower surface of the epithelial layer with an enlarged opening. - “The tubes appear as if they had been made by pressure from beneath and end upon the mucous surface in a little pro- jection. The tissue beneath the epithe- 148 ELLINGwooD's THERAPEUTIST . lium is filled with minute granular bodies Somewhat resembling pus cells, but ap- parently without envelope or wall, and varying in size from 1/1,000 to 1/10,000 of an inch in diameter. These seem to be abnormal constituents of the tissue. They are almost identical in appearance with the nuclei of the epithelial and tis- sue cells, and act in the same way with staining fluid. “An examination of the fluid which exudates from the tumor, shows an abun- dance of the same granular bodies seen within the tissues; also an excessive amount of epithelial cells in various stages of disintegration. Most of the cells have lost their granular appearance. Many are reduced to one-third or one- half the normal size, and in some scarcely anything is left but the nucleus.” - The flow is so rapid and continuous that it will often soil a large napkin in half an hour. The flow from one of these one inch in diameter is quite annoying to the patient, and would soil one or more napkins in twenty-four hours. never known the fluid to irritate the sur- rounding parts or to cause any itching, It may be wiped perfectly dry and in a minute the fluid can be seen collecting on the parts. I have noticed often on making an examination that every few minutes I would be compelled to apply absorbent cotton to keep the large quan- tity out of my way. I have never noticed an oedematous condition of the tumor or of the con- tiguous tissues. None of the adjacent parts show any evidence of disease. One thing peculiar with all of these patients is a tenderness and dull pain over the sacrum. Two were rather fleshy, the rest in a debilitated state; one who had worn glasses for two years, had her eyes im– proved so much by curing the tumor that she did not need them and has not worn them for more than a year. Two were married and four were single. They were aged from eighteen to twenty-four. All were of good families and enjoyed good society. • These tumors can be easily determined from other tumors or from local inflam- I have mation, as there is no other pathological condition like it. There is no difference in the quantity of flow in moist or dry atmosphere. I am not sure, but think excessively warm weather increases the flow instead of diminishing it; indicating, possibly, that the change of structure is not deeper than the sub-mucous tissues. In ther treatment I would say, if it is at a 1 possible, use the knife. This can be done in a large majority of the cases. I have not found that tonics, alteratives, or any medicines will check the disease. By using the following wash twice a day the flow is not so troublesome : R. - . . Lloyd's hydrastis. . . . . . . . . 4 drachms Dis. ext, hamamelis. . . . . .4 drachms Fluid ext, yerba reuma. . .4 drachms Glycerine . . . . . . . . . . . . . .2% ounces Mix one teaspoonful of this with two ounces of warm water and use as a Va- ginal injection night and morning, after using an injection of one pint of warm Water. Within two days after this is discon- tinued the flow is as free as ever. The patient should take the same care of her- self that would be necessary in any other debilitating disease. Excision of the tu- mor should be performed by cutting about one-eighth of an inch deep, and it should be treated as one would treat any other wound. - I use a local application of half a grain of thymol with one ounce of glycerine, after bathing the parts with a solution of borax. I applied this night and morning. I dissolve the thymol in twenty minims of alcohol, then add the glycerine. An ointment of zinc chloride or salicylic acid ointment might be applied. The knife is best. Keep the skin in good condition. Take outdoor exercise. Have the hips, back, abdomen and thighs rubbed every morning on rising with a towel dipped in cold water. - r The patient should eat wholesome food. No pork, beef, pastries or sweet meats should be permitted until the wound has perfectly healed and there is no evidence of a diseased cell left in or about the parts. Any Small part of the LEUCOMATORRHOEA OF THE LABIA 149 tumor left should be cut away when dis- covered. - - In four of my patients the mass was cut out, resulting in a perfect cure. In the other two the tumors were destroyed by electrolysis. These, by far the largest I ever saw, were in the vagina. I was fearful of the amount of tissue that would have to be cut. There might have been a strictured vagina in both cases. In these I used electrolysis at first, four needles piercing the parts just beneath the tumor, side by side, using four to six cells five minutes. The work was not well done, because the needles were in- serted too deep. I had better success when I used only one needle at each sit- ting, with six cells, a gold needle attached to the negative pole and left in position two minutes. The positive pole was ap- p'ied to the thigh above the knee, and held by the patient. wou'd have the patient remove the posi- tive pole, when I would withdraw the needle and insert it within one-sixteenth of an inch of the position from which I had withdrawn it. In this way I would destroy one-fourth to one-third of an inch of the tumor at one sitting. - This was repeated twice a week until the whole tumor had been passed over. I then let the patient rest one month, when I would find a few spots, which were easily destroyed by a few applica- tions. I found it more trouble to use the battery on that part of the tumor around the urethra. This was tender and quite sensitive. The patient could not tolerate one or two cells. After making an effort with one cell I was obliged to resort to the knife. Have you ever thought, when darkness and mist enveloped you, that in nature we have only to ascend a little and we can overlook the clouds, and there is eternal Sunshine above them. Let this thought remain then, if you desire to live right—if you are wrestling and struggling with the mists of evil or with vi- cious habits, that it only needs that you ascend into a higher moral atmosphere, and live in that higher atmosphere and nearer to your source of strength, to be above it all. If we remain in a vicious moral atmosphere how difficult to be free from the influences of that atmosphere. In two minutes I short and difficult. INFANTILE SYPHILIS F. W. WELLs, M.D., ALToonA, TENN. I desire to present a short account of a case of hereditary syphilis, which came under my care for treatment. In Octo- ber, 1887, a man presented himself to me for treatment of syphilis. The next month his wife also presented herself for treatment with the same disease. I treated them until June, 1888, both presenting clearly developed syphilis, but both apparently cured at the time of dis- missal. In September, 1889, one year and three months later, the woman gave birth to a perfectly developed, finely formed child, plump and fat, with no apparent sign of the disease I had treated in the par- ents. When the child was two months and twenty days old I was called to see it. It was very sick. The temperature was very high and its breathing was worse for several days when an eruption appeared on different parts of the body. Its throat became sore, its voice changed and became unnatural, its eyes were dull and its finger nails split into layers. I attended it for several weeks. It moaned incessantly and was a most piti- able object. - I gave the child internally iris and phytolacca and a solution of the Sulphate of soda and applied the Solution, exter- nally, to the eruption. I administered the compound powder of rhubarb and potassa internally, to keep the stomach and bowels in a nor- mal condition, which is important in these cases. For the difficulty in breathing, which is one of the best marked symptoms in in- fantile syphilis, I gave the stillingia lini- ment and also applied it externally to the nose and throat, with great benefit. I prescribed for the mother the same remedies, in proper doses, I gave the child, and, as a result, the child is now apparently well. Although I am not positive that the disease will not appear again, I think as much of iris and phyto- lacca in these cases as Father King did of stillingia and iodide of potassium, It continued to get 150 ELLINGWOOD’S THERAPEUTIST CONCERNING EPILEPSY AND REFLEX A. WEST, M.D., DULUTH, MINN. The profession at one time agreed that there could be no morbid manifestations without a change in the material struc- ture of the organs involved, we are now fully convinced after the fruitless search of pathological anatomists that the dis- eases of epilepsy, hysteria, chorea and neurasthenia present no primary anatom- ical changes which are visible to the eye or the microscope. This I think will be more apparent to you when I call attention to what I re- gard as of vital importance in a large number of these cases, the relationship between functional neuroses and anom- alies of the visual apparatus. Eye strain is a serious matter, because the incessant effort made to fuse the images perceived by the two eyes into a single image, when a muscular defect renders such an act possible, yet one of extreme difficulty, are liable, sooner or later, to exhaust the nervous force of the patient, and to excite some form of func- tional disturbance and perpetuate it as long as the factor exists. Now if we admit the proposition that eye defects or anomalies of the ocular muscles are liable to become causes of impaired nervous energy, because they demand an excess of nervous expendi- ture, we are forced to the conclusion that the earlier this physical depression is removed the better are the prospects of the person to escape diseases which this impaired nervous energy would hasten to develop. - The study of defects in the adjustment of the eye muscles and other errors of refraction, such as hypermetropia, myo- pia and astigmatism, and the relationship that exists between these defects and nervous diseases, has not always been generally regarded of practical impor- tance. We have learned that the ovaries, the womb, the rectum, alimentary canal, the reduce and the urethra can, in some in- p 3. stances, produce serious nervous disturb- ances that closely simulate the evidences of organic disease. This is now quite fully enlarged upon by orificialists. Although quite a little has been written the past few years in relation to the deleterious effects of errors of refraction, accommodation and muscular insuffi- ciency upon the functions of the nervous system and the viscera, the profes- sion at large is not thoroughly awakened to the importance of the detection and correction of such errors; but the fact that ocular defects cause headaches has been recognized in an imperfect way for many years. I do not think that any skilled neurologists today can deny that the defects here mentioned are impor- tant, and are generally a neglected factor of causation. Why cannot the eye act as a disturbing element as well as ovarian irritation, phymosis, etc.? Perhaps it has never occurred to us all that sight is the only special sense which we use constantly except during the hours of sleep, but fortunately for our nervous system, the normal eye takes pictures of surrounding objects without any muscular effort, when the object is not more than twenty feet away. Hence the larger part of each day the normal eye is passive and practically at rest, although performing its functions. But how different with the hyperme- tropic eye from the normal, being too short in its antero-posterior axis, all objects must be focused by muscular effort irrespective of their distance from the eye. Such an eye is never passive, it has no rest, but is always straining more or less intensely to bring properly upon the retina the images of objects See 11. - The normal eye is both controlled and supported while performing its move- ments within the orbit, by the eye muscles, which are its reins. The brain is the driver; at its com- mand the eye revolves or remains stationary at any desired point. The ten- sion of muscles opposed to any move- ment required of the eye is so modified by the brain as to insure the requisite support to the eyeball and to steady it - *. CONCERNING EPILEPSY AND REFLEX as it moves. Thus a perfect equipoise is constantly established between the opposing forces, adjusted with the nicest care, to meet the full requirements of the organ under all possible circumstances. The normal eye does not tremble when it moves or when the attempt is made to hold it in any fixed attitude. It is a piece of machinery, perfect in all its parts, reliable in its movements, per- fectly controlled by its master. The eye with muscular insufficiency is like a horse with an inexperienced and incompetent driver; the proper tension upon the reins is not maintained at all times as it should be, there is no equilib- rium between antagonistic muscles, fixed attitudes are maintained with diffi- culty for any length of time, the brain becomes more or less disturbed by its inability to properly control the eye movements, and, exhausted by the con- tinued strain imposed upon it by the efforts made to fuse the images perceived by the two eyes into a single image, are liable sooner or later to exhaust the ner- vous force of the patient and to excite some form of functional nervous dis- turbance. - - “.. This is a line of argument which, ap- parently, seems difficult to understand. It is a course of reasoning which many enthusiastic pathologists naturally prefer to discard, because it puts an end to a search for a pathognomic lesion which no human eye or microscope has yet ever been able to detect in many hopeless and chronic cases of epilepsy, insanity, head- ache, neuralgia, hysteria, chorea and neu- rasthenia. It will be opposed by some because it comes in direct antagonism with the continuous use of the various bromide salts, though the injurious effects of such administration are too often encountered to be ignored. I do not expect that these views, so radically opposed to the ordinary method of treat- ment by medication now generally advo- cated for the cure of epilepsy and other functional nervous diseases, will be ac- cepted at once, even if correctly demon- strated. But no great advance in science has ever been made until time has cooled trics of hypermetropia by glasses. 151 down prejudices and modified the pre- vailing tendency of thought. A boy, eleven years old—a very healthy appearing lad—would have epi- leptic seizures at very irregular times, three or four times a week, or several times a day. He would especially have an attack when sitting in the sun or a strong light. Examination showed a marked degree of hypermetropia and in- sufficiency of the external recti muscles. Tenotomy was performed and afterwards glasses fitted to correct the refractive error, and he has been relieved of his terrible malady for two years without any other treatment. He had previously used the bromides for several years, with- out any apparent benefit. A Mrs. M., twenty-eight years of age, had for eight years severe headaches. At these times she was very nervous and irritable, sometimes with twitching and jerking of the muscles, which gradually terminated in epileptic seizures. These had continued about three years, when she came to me for treatment. I put her on nerve tonics for several months and corrected the two and one-fourth diop- She has since gained over fifty pounds in weight and is entirely relieved of her former trouble. A boy, eight years old, of a nervous and very energetic disposition, could not attend school more than three or four weeks at a time when he would become weak and lose flesh, also become very irritable, with loss of appetite and severe headaches, so that during the fall and winter he was kept from school. Three months ago he began going to school again, but in two or three weeks he began the old complaints, but at the same time complaining of his eyes, that he could not see anything. When in school one or two hours everything blurred be- fore him and he could not tell one letter from another. I examined his eyes and found only one dioptric of the left and one and one-half dioptric of hyperme- tropia of the right eye. From the very moment that the proper glasses were applied he has felt as well as any boy, 152 ELLINGWOOD's THERAPEUTIST and his former complaints have disap- peared. In 1887 an interesting case came under my care, due to other reflex cause. Mrs. S., thirty-nine years of age, married, of strong physical build, never had any children, had violent attacks of epilepsy for four years. She had sometimes as many as two a day, Sometimes four or five a week. Examination showed no ocular defect, and otherwise apparent good health. On questioning her she claimed the attacks came on more fre- quently before the menstrual period. I concluded that the cause must be some uterine trouble. - I found the womb larger than normal, as if in the third month of pregnancy, the organ otherwise in good condition. I gave treatment to last a week without a return of her complaint. Continued for four weeks more with the same re- sult, when I was called in a hurry and found her flooding profusely. I gave her some medicine to check the hemor- rhage and told her to keep in a recum- bent position that all would be all right in time. Three days afterwards the hus- band came to my office bringing some- thing in a glass that had been expelled from the uterus. inches in length, tapering to a point re- sembling a top. The outer coat was hard and appeared like a wrinkled piece of leather and about as tough. Its inner coat was lined with fibrous layers with a mass-like blood clot in the center. She made a good recovery. The womb con- tracted down to its normal size. She became pregnant the following year and I delivered her of a healthy boy nearly a year ago, her first child, she then being forty-one years of age. She has had no return of epilepsy from the first dose of medicine up to the present time, is in good health and appears about ten years younger than when she called at my office three years ago. - Happy is that man in whom and with whom merit is born and who living his best, dies yet possessed of it; who lives and dies believ- ing that his merit is insufficient, because this belief is the sufficiency of merit. It was about four VARIX OF THE VAGINA IN NANCY GEORGE L. WAYNE, M.D., Brooklyn, N. Y. In THE THERAPEUTIST during the past year I noticed an editorial article on the subject of varicose veins within the va- gina. I have had one experience myself with this difficulty occurring some years PREG- ago, and as it gave me a great deal of anxiety at that time, I think it worth publishing. I have not been able to find a great deal in medical literature on the subject and what I have seen is brief and unsatisfactory, and yet I have met other physicians who have had similar experi- €11C6S. - Varicosities of the vagina are inde- pendent, I think, from those observed on other parts of the body, and yet it is more than likely that they will occur on the limbs at the same time. It is cer- tainly a matter that needs careful atten- tion, and as my case was cured by almost the same measures that Dr. Ellingwood used in his, I believe I am justified in advising such a course. - Prof. John King, in five lines, men- tions that, “If the varices are situated in the genital parts, as the vulva, or vagina, compresses, moistened with cooling lo- tions may be applied,” and notes, occa- sionally the application of leeches, etc. Churchill is silent upon the subject. Richardson mentions, “enlargement and painful distension of the veins of the legs, vagina and vulva,” to Stiggest the “appropriateness of rest on a sofa with the feet elevated,” also, “elastic hose and an abdominal supporter.” - Schroeder does not mention varicose veins beyond their effect upon the limbs. Galabin alludes to varix, “sometimes of the vulva and vagina,” which may pro- duce death by rupture, but gives no hint at treatment; and it is but consoling to learn from the same author, further on, that thrombus may result with a fatality of nearly thirteen per cent of cases. A. F. A. King is hardly more satisfac- tory in his remarks upon the subject, and notes the disastrous effects which ma follow rupture of the veins. . - Roberts speaks only of “thrombus of v.ARIX of THE VAGINA IN PREGNANCY 153 the labia.” Swayne is entirely silent. Corr does not mention the subject. In the American System of Obstetrics, . by Hirst, I also failed to get any satis- faction. g - From the Cyclopedia of Obstetrics, by Charpentier, we learn that these varices may appear upon any part of the organs of generation and extend up the vagina as far as the cervix, or even to the broad and round ligaments. But no hint as to treatment appears. The Reference Hand Book of the Medical Sciences mentions that rarely the veins of the vulva, vagina, etc., are affected, but unless the directions further on given with reference, it appears more especially to varicose veins of the limbs, “the avoidance of undue standing or walking” be adopted, there is no treat- ment that is applicable. The case which suggested this article came to my hands from another physi- cian, who with eminent counsel had de- cided that “an operation” was a necessity. The aversion of the patient to taking an anaesthetic led to my consultation and examination. An examination made as thoroughly as seemed prudent, without anaesthesia, revealed a varicose tumor or plexus of distended veins occupying the anterior border of the ostium vagina of the size of an ordinary black walnut. The patient had walked to the office and the veins were distended to a point mak- ing their rupture seem imminent. Behind the tumor, and as far up as the explor- ing finger could be prudently carried, the anterior vaginal wall seemed corrugated. The patient had about completed seven months of her pregnancy. There was little, if any, discoloration of the mucous membrane of the vulva, or other evidence of implication of that structure. After a little persuasion the patient yielded her scruples against taking an anaesthetic and decided to place herself entirely at my disposal for such treat- ment as might be decided upon. An ap- pointment was then made for a thorough and complete examination under anaes- thesia, at which time it was decided that any operative treatment deemed advisable should be entered upon. - Considering the greatly distended con- dition of the veins at this time it did seem that their rupture would surely occur when labor came Ön, if not previously, and the question was an open One, whether to attempt some ligation or ex- tirpation of the yeins with the likelihood of inducing a premature labor, or wait until their rupture and combat the con- dition with pressure, such hemostatics as were available, and a rapid, if need be, instrumental labor. . At the examination under anaesthesia a Sims' speculum was used, and the en- tire anterior wall of the vagina being exposed was found to be covered, to the cervical attachment with a mass of enlarged and tortuous veins of the size of an ordinary quill toothpick. It was believed by myself and assistant that ligation at any point below the cervix would perhaps result in enlargement be- yond the ligatures with no improvement in the condition of the patient. Besides this, since the enlargement might extend to the broad ligaments, a rupture at the time of labor occurring there, would be far more dangerous than at any point in the vagina. ~ The conclusion was then to put the patient in bed, enjoin a constant recum- bent posture until after the termination of labor, and apply as a milk astringent and tonic the distilled extract of hama- melis. - Even the examination brought on. pains, which for a few hours threatened premature delivery and gave us cause to congratulate ourselves that we had not given by any operation further prov- ocation to so undesirable a result. Day by day, under the treatment adopted, the condition of the patient continued to im- prove, and at full term was uneventfully delivered, with no trace of the varicose condition. CoMMENT: The above history corresponds so accurately with the only case that I have met in my own practice in thirty-five years, and the course for cure and results were so similar that I, like the writer, think best to impress the fact upon our readers’ minds and urge them to report similar cases. - 154 ELLINGwooD's THERAPEUTIST I gave fluid extract of hamamelis and fluid extract of collinsonia equal parts from twenty to thirty drops every two hours, and I applied the same within the vagina very thoroughly twice a day. I did not insist upon my patient retaining a recumbent position. In some cases it would be necessary. ... The result of the treatment was perfect as the condition dis- appeared before labor occurred, and there were no complications. - INFLUENZA : A RESUME OF ITS TREATMENT . A. S. TUCHLER, SAN FRANCIsco, CAL. The influenza epidemic of 1918 had not disconcerted nor caused any conster- nation among the eclectic physicians in reference to its treatment; the same can be said of the present epidemic. I remember well the unique literary effusions of Dr. Cooper in the Gleaner in the latter part of the last century. He found that Bryonia and Gelsemium were particularly indicated in influenza, then called the Russian la grippe. This was in 1898. These two remedies are just as important today in this disease. The Specific indications of pathological condi- tions for the use of these remedies in any disease are the same at the present time as they were then and will be the same when you and I will be gone to our eter- mal rest. - - - There is no need of guesswork as to know what to prescribe when one is trained in eclectic medicine. My experi- ence with this method of practice since 1890 has enabled me to obtain 99% of cures, and that without much extra worry or study, but simply to put into practice the principles that had been in- culcated in my early teachings and studies since that time. This is not said in a spirit of braggadocio, but merely as a plain matter-of-fact statement. Have stated in a previous article the course of treatment pursued in this dis- ease, but will repeat it again without doing any harm. The most important remedies that were called for were Eupatorium, Bryonia and Gelsemium, with Aconite or Veratrum as indicated by the pulse and temperature, as well as an acid or alkaline remedy, as shown by the tongue and mucous membrane. Have found that the following pre- scriptions were most in evidence and although not in favor of routine practice nor prescribing, still they were most gen- erally required: No. 1 B. Spec. med. Aconite, 10 drops. Spec. med. Gelsemium, 20 drops. Water, 4 ounces. Give one teaspoonful every hour. No. 2 B Spec. med. Bryonia, 10 drops. Spec. med. Eupatorium, 60 drops. Water, 4 ounces. Give one teaspoonful every hour. These two prescriptions to be given alternately every half hour, and, as im- provement is noted, the interval between these two remedies can be lengthened. For the cough that later is very annoy- ing: - “, - Ammonium chloride, one drachm. Spec. med. Sanguinaria, 10 drops. Spec. med. Lobelia, 30 drops. Spec, med. Drosera, 60 drops. Syrup of wild cherry, 4 ounces. Give one teaspoonful every two or three hours. - This is very soothing where the bron- chial irritation is severe and the cough is dry and harsh. Absolute rest in bed is insisted upon, a liquid diet and plenty of cold water to drink. The bowels are to be gently kept open daily. In an elderly gentleman of 69 years this line of treatment brought him around to nearly normal in four days, when the most unexpected happened. Saw him one afternoon when the temperature was only 99°F.; informed him that it would be normal the next day. That evening about 6 p. m. he commenced to expec- torate mucous, slightly tinged with blood. By 11 p.m. the color was quite profuse. The pulse was now full and bounding at 110, and the temperature was 102°. Pre- scribed: * Spec. med. Veratrum, 1 drachm. Spec. med. Bryonia, 20 drops. Water, 4 ounces. l Give one teaspoonful every 15 minute throughout the night and as the tempera- ture recedes the intervals to be length- FATAL LIVER INJURIES 155 ened between doses. Also strychnine ar- senate, grain 1/128 every hour. - In 24 hours the red colored mucous began to clear up and the temperature and pulse nearly, normal and by the fourth day he was sitting up in bed with- out any weakness or debility. There was no guesswork indulged in as to what to prescribe; the Scientific application of remedies according to eclectic teachings aborted a clear case of pneumonia in the first stages and brought about a prompt recovery. FATAL LIVER INJURIES H. T. WoRMLEY, M.D., AUSTIN, TEXAS Injuries of the liver may occur from stab or gunshot wounds or from rupture by great violence without external in- jury. The cases are often amenable to treatment by abdominal section, with the view of arresting hemorrhage either by ligature of vessels, suturing together of bleeding surfaces, or plugging bleeding wounds where the hemorrhage cannot otherwise be arrested. - - In gunshot injuries and in stab wounds surgical treatment holds out considerable chanees of success, e. g.: - Korte has reported two cases in which cure followed laparotomy. Dr. W. C. Dalton also reported before the St. Louis Medical Society a case of stab wound, with excessive hemorrhage, where the liver wound was plugged with iodoform gauze, which was removed at the end of forty-eight hours, when the abdomen was washed out and cleared of extravasated blood and clot, the patient making a good recovery. Other cases of recovery after direct injury have also been reported. In some instances, however, the Sur- geon will be powerless, as the patient never sufficiently recovers from the shock to be able to bear an extensive operation. This is well shown by a case admitted to the Leeds Infirmary under my care in May, 1892, where a man had fallen from a considerable height, break- ing his arm, fracturing some ribs and sustaining internal abdominal injuries, accompanied by hemorrhage into the peritoneum, thought to be from a rup- tured liver. The catheter proved absence of blad- der rupture and the presence of liver dullness negatived rupture in the gastro- intestinal tract, though the presence of fluid, free in the abdomen, which the exploring syringe proved to be blood, showed internal hemorrhage. The pa- tient was, however, suffering from such profound shock that it was felt by myself and colleagues that he would die on the table if laparotomy was undertaken. Transfusion was tried, but produced only temporary improvement. An autopsy showed laceration of the pons hepatis and the abdomen full of blood. Here operation could have done no good. The indications for surgical interfer- ence in injuries of the liver are: In pene- trating wounds over the liver laparotomy should be done as early as possible so as to cleanse the wound, to arrest hemor- rhage, to repair injured viscera and to wash blood and extravasated fluid from the peritoneal cavity. Even if no visceral lesion be found, this treatment, with due precautions, will not add to the danger; but in many cases will be the means of averting death, as there are no constant symptoms which may be relied on to prove or disprove visceral injury. In internal injury without external wound and with signs of internal hemor- rhage, if the patient recovers from the shock sufficiently to warrant operation, abdominal section should certainly be undertaken in order to arrest the bleed- ing and to repair the lesion, if possible. A recruit, aged twenty-two, shortly after his admission to hospital on account of right-sided croupos pneumonia, was seized with an epileptic fit during which he fell out of bed. The convulsions soon ceased and the patient fell asleep. On awaking he complained of intense pain about the right side, which was ascribed to the pulmonary inflammation, and ac- cordingly on the next morning he was dry-cupped. A few hours later he died with symptoms of acute anemia. At the post-mortem examination the abdominal cavity was found to contain about five pints of straw-colored serum, while the right side was occupied by a large quan- tity of blood clots. 156 ELLINGWOOD’S THERAPEUTIST SPOTTED FEVER OR TICK FEVER R. E. ADKINs, M. D., RIVERTON, WYOMING. As the season for Spotted Fever will soon be with us again, a word about it will not be amiss. The disease is transmitted by the bite of the Tick, whose range is from the Canadian border south to the Mexican line. The period of incubation following the bite of the Tick is from two to five days, in which organism resembling the Plasmodium Malaria runs a certain cycle with a duration from four to six weeks. Then the fever subsides and convalescence begins. One attack renders the patient immune. The Prodromal symptoms that arise are similar to smallpox, the usual specific indications are followed on the ap- pearance of the eruption which gives it, the name of Spotted Fever. Treatment consists in the indicated remedies, the following description of the case I had last year may be of in- terest: On the seventh day after the bite of the Tick, patient’s temperature was 102 degrees, he was given a good purge, with a saline laxative to flush out the bowels. Echinacea was given in one-half drachm doses, asclepias given until the patient began to per- spire freely, cool bathing was insti- tuted from the beginning to control and reduce the fever, but in spite of the methods used and drugs employed the fever reached 105° On the morn- ing of the fourteenth day. The pa- tient had very little delirium up to this time. This morning I administeréd fifteen grains of quinine Di-hydro- chloride intravenously, the morning of the fifteenth day the fever was down to 103°. I then gave another injec- tion of fifteen grains of the quinine; on sixteenth day fever had dropped to 101°, I gave him his third injec- tion of quinine; on the seventeenth day the patient's fever was 992/10°. I then gave him his fourth and last in- jection of quinine; on the eighteenth day the patient's temperature was nor- mal and he was resting well; no ex- haustion; bowels and kidneys act well; patient made an eventful recovery. My conclusions are that quinine Di-hydro- chloride intravenously is a specific for Spotted Fever, further observation of this remedy will confirm this. I would like to hear reports from others who may have the opportunity to use this remedy this summer. A NIGHT CALL S. M. SHERMAN, CoLUMBUS, OHIO Some years ago, while practicing in a new part of Indiana, some one râpped at my door in the middle of the night. I put my head out of the second-story window and asked what was wanted. A man said, “Woman sick; come go.” I inquired where. He said, “We show you.” My wife wanted to know where the call was. I could only say that two rough looking men, who seemed unable to speak much English, wished me to go with them to see a sick person. She said, “You better be on your guard, put your revolver in your pocket.” I did so, and as I was a pretty fair marks- man in those days, I felt I was somewhat safer with it. The messengers took me to the rail- road, which ran through the village and turned east. About three-fourths of a mile down the railroad was a willow swamp to the left with three or four rods of pasture between it and the railroad, no houses being in sight. We turned in toward this swamp. The willows were ten or twelve feet high, and as I did not know of any way through them, this course seemed strange to me. Visions of being murdered in the middle of the swamp came to my mind. However, as there was no sign of evil intentions on the part of my guides, I followed a step or two behind with my revolver ready for instant use. When we got to the edge of the swamp I found a narrow passage had been cut through the bushes and the willows tied in sheaves and laid lengthwise in the water to walk on and further along some logs. The footing being somewhat uncer- tain, my guides, who had high boots on, & TREATMENT OF MIDDLE EAR DISORDERS 157 *- walked on each side of the logs in the water, six or eight inches deep, and steadied me on my way. Their solicitude for my comfort quieted my suspicions Somewhat and when we got through the Swamp to the heavy woods beyond I found a cluster of huts built of logs as large as a stovepipe with board roofs. and floors. It was a settlement of Polish wood- choppers, but I had never suspected its existence, so concealed was it. Opening the door of a hut we entered and I found a young woman suffering from cholera morbus. The hut had been chinked, daubed and whitewashed, the floors scrubbed, the bedding was clean. and in fact, the little room was a model of neatness. After relieving my patient my fee was paid and I was helped back through the swamp to the railroad in the Same careful manner as when I came. I felt ashamed of myself for suspect- ing such kindly persons of murderous intentions, but under the circumstances maybe I was not to blame. I have not carried a revolver since. TREATMENT OF MIDDLE EAR DIS- ORDERS - KENT O. Foltz, M.D., CINCINNATI One of the best prescribers of medi- cine for ear and eye troubles in his time was Dr. Kent O. Foltz, Akron, Ohio. Among many excellent suggestions were found the following: r “Practical knowledge is what is re- quired in our profession and not glitter- ing theories regarding microbes, etc.” Chronic suppuration of the middle ear is almost always the result of neglected acute catarrhal inflammation and comes for treatment after the well-meaning, but worse than useless efforts of over- zealous friends to affect a cure. Treatment : Constitutional as well as general treatment is necessary and both vary according to the conditions pre- sented. Cod liver oil, if scrofulous, alter- nating with the following: Lig. Potass. Arsen fl. 5 SS. - Syr. Calc. Lactophos, qS. fl. 5 jv. Sig.—Teaspoonful four times a day. Mix. If a syphilitic taint is suspected, either potass, iod. in gr. v to gr. x doses should be given or I have found the following an excellent remedy, especially where there is considerable necrosis of the temporal bone: • B Aurii et Sodii Chlor. gr. j. Aqua dist, fl. Ounce j.-Dissolve. Sig. Five drops in water four times a day, after eating and at bedtime. If none of the above remedies seem to be indicated, I use the following: B. Tab. Calx. Sulph. 1.x or 2x. Sig. One every three hours. If the ear is filled with a tenacious discharge, syringe with warm water until the canal and tympanic cavity are clean. Then use Politzer's inflation to be sure. all the secretion is removed ; then dry the ear thoroughly with cotton. Now examine carefully the condition of the canal, tympanic membrane and cavity. Polypi or granulations will render all treatment unavailing until they are re- moved, and for this purpose I have found the following prescriptions unexcelled: B. Acid Salicylic grs. xx. - Ungt. Petrolei 55—Mix ft. Ungt. This I use on cotton, placing the pled- get well down, so as to come in contact with the morbid mass. If, however, the patient is unable to come to my office every other day, I give the following to use at home : . - - } Acid Salicylic gr. v. - Spts. Vini Rect. Dil. fl. 5 jv.–Mix ft. Sol. º - Sig: Warm and drop eight to ten drops in the ear when lying down. After the polpi or granulations have disappeared then the local treatment can be commenced in earnest. " - I make it a rule to use no fluids in the ear, as they macerate the tissues and prevent, if they do not actually increase the suppuration—the healing process. When the tissues are pale a favorite of mine is boric acid and iodoform aa.g.s., the powder to be thrown in the ear with a Devilbiss powder blower. This should not be used, however, if the discharge 158 ELLINGWOOD'S THERAPEUTIST is profuse and thick, or tenacious rather, as it may clog the canal and be difficult of removal. - If the discharge is purulent in char- acter the following will be found useful: I} Sp. Tr. Calendula fl. 5 j. Acid Boric 5 j.-Mix ft. chart. To be used the same as all other pow- ders. When the discharge is acrid and thin, not tenacious: B Squibb's F1. Ext. Ergot fl. 3 ss. Acid Boric à j—Mix ft. chart.— will be found valuable. - If the discharge is simply thin, plain boric acid answers well. If the discharge is not profuse, the tissues only moder- ately reddened and showing a tendency to heal, then I use the salicylic acid oint- ment spoken of before. This seems to act as a stimulant to the mucous mem- brane and drumhead, the latter often healing in a few days. A word in regard to the remedies: The Salicylic acid must be the true acid, made from the oil of wintergreen, and not the commercial acid usually sold in the stores, which is worse than nothing, when medicinal effects are required. The boric acid should be pure acid in impal- pable powder. I write Squibb's ergot, because it is absolutely necessary that the fl. ext, contain no glycerine. Any reliable make that is free from glycerine will do. - I also write ungt. petrolei, but always use the vaseline, our druggist never using any other petroleum product when I write it in that way. Do not promise a cure in a few days. Always be guarded in your prognosis regarding a cure, and also the hearing. Bear in mind that it is dangerous to pack powders in the canal. You may do it hundreds of times without any bad re- sults, but when you get convulsions a couple of times from the packing treat- ment, you will be inclined to go a little slow. - Remember, cleanliness is of the utmost importance, and that if there is any dis- ease of the nose or vault of the pharynx they must be looked after. In cleansing the ear use cotton on a cotton carrier or probe, keeping the light in position all the time so that you will not do harm by rough manipulation. PNEUMONIA TREATMENT+ GEO. W. AYLEsworth, CoLLINGwooD, ONTARIO I began my study of this subject as a “kid” at the age of six, when I stood with my hands behind my back some two or three feet from a “lusty” male patient of my father's, who was getting ready to bleed him in the good old fashioned way. It will be recognized as a sthenic case when it is known that the first gush of blood went pretty much all over my face and pinafore. This occurred about sixty- five years ago and is the only time I have seen venesection used in pneumonia though in active practice for fifty years. Those were troublesome times. Home- opathy and Eclecticism were disturbing the placidity of the profession which had existed from time immemorial—author- ity being at high premium, and originality, if not prohibited altogether, was at a heavy discount. At college I was taught to use both aconite and veratrum viride in full doses, they being regarded as almost specifics in pneumonia, and in some cases this faith seemed well founded. In other cases they proved even worse than complete failures and thus fell into disfavor with old or regular schoolmen, and as one of them I discontinued their use. But investigations of Homeopathic and Eclectic therapeutics were practically forced upon me, resulting in the evolution of a working hypothesis so satisfactory in the treatment of pneumonia that I have ceased to seek an improvement. The basis of this hypothesis is the be- lief that aconite is a heart stimulant and veratrum viride a heart depressant; also that pneumonia is asthenic or sthenic. The component parts of this hypothesis are almost universally admitted if the claim that aconite is a heart stimulant be accepted. . Authorities are easily found to say that it is both a stimulant and a depressant. The U. S. Disp. faintly supports this view *Reprinted from National Transaction. PNEUMONIA TREATMENT 159 by saying: “In moderate doses aconite is said to excite the circulation, but this effect is doubtful and certainly not con- stant.” Hase in one sentence declares: “Aconite is both a stimulant and Seda- tive”—in different doses, of course. Ringer begins his discussion of the drug by saying: “Perhaps no drug is more valuable than aconite, and I predict that ere long it will be more extensively em- ployed.” But, after devoting eleven pages to its discussion leaves the question as to whether it is a stimulant or depressant “up in the air.” Accepting the aforementioned basis from the standpoint of the writer in his view settles the much debated question of the usefulness of aconite and veratrum viride in pneumonia. To get curative results aconite must be used in the minute dose lest the paral- ysis of over-stimulation be induced, and veratrum viride must be used in the large dose lest the depression induced be too feeble to give results. To me it is beyond all question that aconite in the minute dose (as Home- opathics use it) is as much a specific in asthenic pneumonia as quinine in malaria. Similarly veratrum viride in the physio- logical dose is curative in sthenic pneu- monia. Further, aconite in any dose does harm in sthenic cases and veratrum viride in any dose does harm in asthenic cases. - - So that if I am sure of my case being a sthenic one and veratrum viride seems to fail, I do not discontinue the drug, but increase the dose. If I am sure of my case being an as- thenic one and aconite seems to fail I do not discontinue the drug, but reduce the dose. Thus is shown the weak point in home- opathy. Hughes over thirty years ago wrote: “If homeopathy had done noth- ing for therapeutics but reveal the virtues of aconite it might even die content,” and between the same covers he devotes ten pages to aconite where he does one page to veratrum viride. These conditions still obtain and indicate that the homeopathic law of similars, if it be confined to stim- ulative drugs used in asthenic troubles, is true; otherwise not. . The Eclectic school values veratrum viride and aconite as equally useful be- cause they vary the doses as indicated above and is the more efficient on that aCCOunt. . Tartar Emetic.—For many years I have used tartar emetic as a remedy in broncho pneumonia or, as formerly known, capillary bronchitis, in children with what I regarded as specific results. After losing a couple of cases of pneu- monia complicating the flu early in the tremendous epidemic of 1918-19 I was impressed with the resemblance of this pneumonia to the capillary bronchitis. I thought of the use of tartar emetic and began its use and was soon convinced that it was specific in the Eclectic sense. As time wore on I used it more until during the latter half of the epidemic I gave it to all the flu cases coming under my care, without further loss of life and entire ab- sence of pneumonia unless it had been established before I was called. I do not claim the use of this drug for this disease as new or original with me, having watched my preceptor deal it out at the bedside over fifty years ago, but the method of administration has changed from doses large enough to produce nau- sea to doses too small to produce notice- able effects unless it be upon the lungs. My prescription, in addition to the in- dicated remedy or remedies gelsemium, bryonia, aconite, or what not): I added to the half-tumbler of water or four- ounce mixture from one to five gtts. of tartar emetic, giving a teaspoonful every two to four hours. In my hands it either aborts the disease when begun early or puts the patient on the high road to re- covery inside of forty-eight hours if be- gun after the disease is established. Before allowing myself to be convinced I made many experiments which it would seem unnecessary to detail. . I have read the best journals I could select of the old school, Homeopathic and Eclectic schools for thirty years and Clinical Medicine since it began its meteoric course as the Alkaloidal Clinic, 160 THERAPEUTIST ELLINGWOOD’S I think, and I have yet to see anything upon the point herein elaborated except what I have written myself. IRON IN THE TREATMENT OF A CUTE IN FLAMMATORY DISEASES A. F. STEPHENs, M. D., ST. LOUIs, Mo. For eighteen years I have had this remedy under observation; first having had my attention directed to it by reading “Tissue Remedies,” by Schussler. For a long time I used the 3x trituration of the phosphate of iron, but afterwards changed to the citrate of iron and am- monium, soluble citrate of iron, which I find equally as effective as the other preparation, if not more so. I carry in my medicine case a small bottle of the crystals and dispense the remedy in water, using about ten grains of the citrate of iron to four ounces of water, giving a teaspoonful as often as may be necessary, or according to the urgency of the case. I have used this remedy in inflamma- tory conditions which are found in many diseases and my experience has been most highly satisfactory indeed. In the treatment of acute pneumonitis, I consider iron of the first importance, and believe the disease is often aborted or cut short by its administration. True, I do not use it to the exclusion of all other remedies in the treatment of pneu- monia, but usually give in connection with it veratrum, gelsemium, ipecac, bryonia, etc., as they may be indicated. Notwithstanding I do not use it alone, I am positive the disease is held away from the danger line by its early administra- tion. As an example, and one of many sim- ilar cases, I will cite a case: I was called to see a child which had suddenly devel- oped a high temperature—105 degrees— convulsions, short suppressed cough, rapid superficial respiration, roughened vesicular murmur and every indication of the first stage of pneumonia. From appearances I expected a week’s illness. I gave iron and veratrum. On return- ing next morning I found temperature nearly normal, cough lessened and not painful, breathing almost normal and ves- icular murmur less harsh. Continued the same treatment and returned on the fol- lowing day to find the patient sitting up in bed at play. I have had many similar cases and nearly all follow the same course. Sometimes I am caught without the remedy in my medicine case, when I depend upon other remedies. On return- ing the following day I do not find the same change for the better which I do when the iron has been given. While proving the drug I have often purposely left it out in order to see what results I can obtain. They are never as satis- factory—as when I give the iron.- In tonsilitis, laryngitis and bronchitis the remedy is strongly indicated and we will find that it will take away much of the severity of the diseases mentioned, and shorten their duration while it les- sens the suffering of the patient. In the first named disease—tonsilitis—it will in the vast majority of cases, destroy the tendency to suppuration, which we find in many of them. In croup 1 would not think of treating it without this remedy. Not, however, to the exclusion of other tried remedies and means, but in con- nection with them. In erysipelas it will be found of the greatest value and will lessen the inflam- imation process and shorten the duration of the disease. I incidentally remarked to a physician friend that if he would use iron for his pneumonia patients he would not have to write the name of that disease on his burial certificates. He took the advice and now his pneumonia cases which be- fore gave him employment for two weeks have use for him for a few days only as a rule. He will testify before a notary, that he aborts half his cases. The indication is: Active inflammation anywhere. It is not hard to remember. I believe there are more good motives in the world than bad ; more strength than weak- ness; more earnest desire for better things, than willingness to yield to evil; more of an upward tendency than downward. This is due to the constant influence of the Divine element that is in every human heart urging toward right. The Divinity within us is never en- tirely obliterated. ſåſ ſ *=rss & iº ~~~x. *- : l li r - Ellingtuoob's Cherapeutist EDITORIALIS ; iſ º 2-º El H HONORS TO PROFESSOR LLOYD We take pleasure in congratulating our readers and eclectic physicians as a school, and especially Professor John Uri Lloyd, in the fact that our Professor Lloyd has been tendered by the New York branch of the American Pharma- ceutical Association the second Reming- ion Honor Medal for advanced pharma- ceutical methods. A full explanation of the conferring of the medal and its significance is explained in the following letter to Professor Lloyd. This is indeed a great honor to every physician who practices the system of medicine which demands the finest quality of pharmaceuticals de- veloped by the most superior, original and advanced methods, including the evo- lution of the colloids, more positively in the lead in our literature. New York Branch of the American Pharmaceutical Association New York, March 9th, 1920. Prof. John Uri Lloyd, Court and Plum Sts., Cincinnati, Ohio. - My Dear Prof. Lloyd: It gives me great pleasure to announce to you that you have been elected recipient of the Second Remington Honor Medal, and I hereby wish to extend to you my heart- iest congratulations. - According to the rules, the medal should be awarded at an April meeting of the New York local branch in New York City. I sincerely hope that it will be possible for you to come to New York to be presented with the medal. I have already started plans to arrange for a banquet at which the actual presentation will be made. It now remains for you to decide which evening in April you can be with us. Whatever is most convenient to you will suit us, but on or about Mon- day, April 19, we think would be about right. - Rindly let me know at once, if pos- sible, whether you can come to New York, and also on what date, as it will enable me to perfect the arrangements to have these details settled. Again asking you to accept my heart- iest congratulations, I am, Very cordially yours, (Signed) HUGO H. SCHAEFER, - Secretary. PLAN FOR THE JOSEPH. P. REMINGTON HONOR • * MEDAL That a gold medal to be known as the Joseph P. Remington medal and suitably engraved, be awarded to the man or woman who has done most for American pharmacy during the preceding year or whose efforts during a number of years have culminated to a point during the preceding year where the result of these efforts would be considered as being the most important and advantageous for American pharmacy. That no bar be placed as to the candidate's profession or kind of work accomplished. That the Special Committee on the Pharmacy Honor Medal be empowered, in order to make the presentation of this award permanent and perpetual, to raise a fund of $1,000 and in addition sufficient money to pay the initial expenses of die, postage, etc. That this money be raised by obtaining a contribution of $100 from the branch treasury and the rest to be made up by voluntary contributions from the members and firms in New York City and vicinity. That the $1,000 fund be 162 ELLINGWOOD’S THERAPEUTIST invested in Liberty Bonds, which bonds are to be held in trust by the treasurer of the American Pharmaceutical Asso- ciation. That the medal be awarded by a stand- ing committee consisting of all the past presidents of the American Pharmaceu- tical Association, and in case the number of living past presidents is less than five, the senior past vice-presidents of the American Pharmaceutical Association are to be drawn upon in sufficient num- ber to create a committee of five. The secretary of the New York branch is to —act as-Secretary of this standing com- mittee. That the medal be presented by the senior past president of the local branch or in his inability to do so by other past presidents in the order of their seniority. SCARLIET FEVER, Concerning scarlet fever I have fre- quently made the statement that a very mild exanthem must receive the same at- tention as those cases in which it is ex- treme; that no case must be overlooked ; that the contagion from the mild case may induce cases of the severest type, or that cases of a severe type may be fol- lowed in a single individual who pos- sesses a degree of immunity, but a mild appearance of the disease. I have observed cases that were claimed to be mild cases of diphtheria, and those which had apparently a simple form of follicular tonsillitis, accompanied with a mild rash, and on exposure these con- veyed clear, definite cases of scarlet fever. In yet other cases the eruption has re- sembled roetheln, or ordinary measles, and yet has been proven to be definite cases of scarlet fever. A mistake in the diagnosis is apt to be made, as the pa- tient has been known to have previously had an attack of scarlet fever. But there is no doubt that an individual may have a typically developed case of scarlet fever two, or even three times, in rare cases. All these facts were recently discussed with exactly these conclusions at the meeting of the American Pediatric So- ciety in Lenox, Mass. It was also noted that the strawberry tongue is occasion- ally absent and the characteristic desqua- mation may not occur. jk X THE USE OF CAULOPHYLLUM Our older writers gave caulophyllum when there was extreme pain at the men- Strual period, or irregular pains during pregnancy, with a sense of prostration at this time. It certainly is an excellent remedy to restore a normal functional action of the genito-urinary organs. × PREGNANCY AND HEART DISEASE Among the many conditions likely to complicate pregnancy are those of the heart, especially mitral stenosis. A writer in a Stuttgart journal claims that on account of the increased area of the circulation, mitrostenosis keeps the con- dition of the pregnant woman like that of one who is not pregnant and these women pregnant are apt to miscarry in forty per cent of the cases. The com- pensation is disturbed in any valvular condition, much more likely to be so when the patient is pregnant. This mili- tates against the normal continuency of pregnancy. The writer in a Japanese journal gives Some interesting observations he has made on the influence of the endocrine glands on each other and on the function of the various glands during pregnancy. He has removed the thyroid early during the pregnant period in order to see what the effect would be on both the fetus and mother. He concludes that the ef- fect of the action of this gland at this time is most important. In the absence 6f the influence of this gland the period of pregnancy was prolonged to twice its usual length. The young were poorly developed and weak, their thyroid glands were all enlarged and their development subsequently was not as usual. The writer concludes that there is an im- portant relationship exercised by the thyroid during the time of the growth and development of the fetus. Apocynum Cannabinum in Dropsical Diseases—A physician says that he has used a tincture of the root (recently EDITORIALS l63 dried) in whisky, in suitable doses, four times per day, in a few cases, always with success. He gave nothing else with it or during its exhibition. We have much confidence in its virtues in those affections, as also in many dyspepsias. In the dispensatory, we notice hydro- chlorate of ammonia as a resolvent of inflammation, and its products acting in these cases as a powerful alterative. Ac- cordingly, in a case of sub-acute inflam- mation of ear, attended with deafness, One physician prescribed R. Puly, am- monia hydrochloras 32; ft. chart No. 12. Sig.: One to to be taken every six hours in a wineglass of water. It was the only remedy used except an aperient. Hear- ing became perfect and patient was dis- charged in ten days. It seemed to act like a charm. We have since found its action satisfactory in the conditions Stated, its solvent action seeming to be exerted throughout all the tissues of the body. To cause the resorption of products of inflammation, we conceive it to have a range of therapeutical application pos- sessed by no other agent of the materia medica. Macrotin—As regards to macrotin: In distinction to Macrotys one doctor writes as follows: His experiencehas been very great both in obstetric and chronic cases. This article in conection with gelsemin has been my favorite in obstet- rics, and the great dependence of my good success in the first place. I give six grains of macrotin and half a grain to a grain of gelsemine; then in fifteen minutes I give six grains of macrotin, and by the third powder, it will many times make them vomit, which will soon follow with expulsive pains, but not so as to do any injury. As soon as the ex- pulsive pains commence, then I allow them all the cold water that they can drink, or hot pennyroyal tea, which will soon finish the labor with safety. Then to prevent any trouble of fever or pro- lapsus, I have some twenty powders, half a grain each, of macrotin given, one every three hours and with them a cath- artic of anti-bilious powders. By taking • this course, I have not failed of good success, and for chronic difficulties I am lost without it. In most cases I give a full grain of macrotin and half a grain of gelsemin at bed-time, and continue every night. If costive I add a little podophyllin; to make it still better, I continue one grain of macrotin every three hours through the day time, then add the gelsemin at bed-time, which has given me great credit. A favorite application for mammary abcess to be used until time to open is the following, R. Tinc. aconite, tinct. opii, glycerin, chloroform, aa. mix and apply often. FAITH AND THEORY One of the greatest mistakes made by . observers is to make a panacea out of any single remedy or measure and try to believe it will cure all similar condi- tions. “I was sick just like you,” and cured it with “Dr. Roe's Medicine,” “buy a bottle at the drug store,” is a common assertion of friends. It is not many years since that was a very common practice. The fault of the enthusiastic doctor is to fit the fact to his theory, as I wrote a month or so ago, instead of fitting the theory to the fact. Prevailing in every branch of the Sci- ence of Medicine in its upward course during the past decades has been the practice of theorizing—theorizing—theo- rizing. Then when the whole body has blindly accepted some theory the effort— the struggle made—to reconcile results in demonstration and practice, to that theory, has been something startling. Old Areolus Theophrastus Bombastus Von Hoenheim, the revered and hon- cred Paracelsus, established as one of his first principles in medicine the following: “Practice must not proceed from theory, but theory must proceed from practice.” Facts are determined from practice and when determined establish faith. Faith, if correctly founded on truth, like truth is eternal, and when established is half of the battle. Doubt conduces to confusion and disorder and quickly undermines efficiency. 164 ELLINGWOOD S THERAPEUTIST THE IMPORTANT SPECIAL SEDATIVES I am confident that too little is written nowadays to keep the mind of the pre- scriber directed to the extreme impor- tance of the proper use of the special sedatives aconite and aconite veratrum. Lloyd Brothers’ recently improved colloidal-gelsemium is keeping that special nerve sedative before the profes- sion, at this very timely moment. Influ- enza is so prevalent, but few are men- tioning aconite. Veratrum is too impor- tant a remedy for influenzal pneumonia to be overlooked and often its careful use with aconite will facilitate more speedy cure. I have found in an old number of Scudder's Journal a valuable contribu- tion on the use of the two latter remedies which is too important to remain buried, and I take the liberty to reproduce it: “Notwithstanding the well-known therapeutic effects of aconite and vera- trum, I venture to contrast some of their remedial activities. Both act upon the heart, the arteries and the capillaries; both specifically impress the vaso-motor system of nerves hence, according to the pathological notions of Cohnheim they should prove antidotal to fever and in- flammation—they are febrifuges. Both agents slow the pulse, restrain hurried respiration, promote secretion, and allay irritation; both can be administered in small doses, and, as such, never do dam- age. “Aconite is the head and front of homeopathic therapeutics, from the fact that a minute and tasteless quantity can never be given amiss. Homeopathic ‘provings' show multiple indications for the use of the agent. Eclectics utilize the drug and allopaths admit that in modi- fying the circulation the medicine has taken the place of the lancet. All medi- ciners admit that aconite softens a wiry pulse, eases an embarrassed respiration, moistens the skin and comforts the pa- tient. “Aconite is quite general in its thera- peutic ranges, and is especially applicable and curative in the acute stages of erupt- ive diseases, as in scarlatina, measles, varicella, smallpox and erysipelas. In the later phases of exanthematous dis- eases the medicine is not indicated. In typhoidal states neither aconite nor veratrum should be administered. In acute nasal catarrh, and a stuffiness of the respiratory organs, aconite is an ex- cellent remedy—is curative and comfort- ing. In large doses aconite is poisonous. However, a teaspoonful, accidentally Swallowed, has been survived. In dam- aging doses it makes the fauces dry, weakens the force of the heart and the lungs, provokes a profuse perspiration, leaves the extremities pulseless, induces blindness, inability to stand or walk, and imparts the appearance of death. In three hours. the poison spends its strength and gives way to recuperation. Enforced activity helps elimination of the poison and aids in restoration. “Used externally, aconite lessens neuralgic pains and provokes a creeping sensation, which is practically counter- irritant. A finger threatened with felon should receive a link-like wrapping, and be wetted every hour or two with the tincture of aconite. If the medication be utilized early it will abort the disease. As a topical agent in acute arthritis there is nothing more comforting and curative. In cerebral symptoms of a congestive character, when convulsions are threatening, the head should be often wetted with a dilute tincture of aconite. The cerebral congestion of cholera in- fantum is made to yield by the same agency. “Aconite exhibited internally opposes an exalted temperature of the body—is antithermic, but not to a pronounced de- gree. In pneumonia I have had the heat of the body to fall two degrees in three hours by the use of the drug in thera- peutic doses. One drop of the tincture is a dose that may be repeated every three hours, but half the quantity will do almost as well. If ten drops be put in a half tumbler of water a teaspoonful of the mixture constitutes an average dose. “Veratrum slows the heart’s action and the respiration, softens a wiry pulse, moistens the skin, mitigates the distress of fever, and does not dull the appetite. EDITORIALS 165 In fact, it will do all that aconite can, and Something more; it is emphatically the best remedy in pneumonia, pleurisy and respiratory troubles in general. Vera- trum helps to harmonize movements of the heart and lungs when they are acting abnormally, accomplishing more in this way than aconite can do. In acute influ- enza veratrum is the remedy par excel- lence. I now carry veratrum instead of aconite, and find that it covers more morbid conditions than any other medi- cinal agent known to me. In obstetric practice I like veratrum, and in operative gynecology. In dysmenorrhea, metritis, and ovaritis it is preferable to aconite. In the hemorrhages and febrile onsets of phthisis, and in congestive states gener- ally, veratrum is emphatically indicated. “Surgical inflammations are better managed with veratrum than with acon- ite. In drop doses veratrum is decidedly antithermic, and an equalizer of capil- lary or vaso-motor action. By stimulat- ing a sluggish lymphatic state of the body, assimilation is promoted. In the incipient stage of phthisis veratrum is invaluable. It provokes an appetite, les- sens cough, and subdues febrile par- oxysms. The nutritive system is directly benefited by the action of vera- trum. To impress the mesenteric, lymphatic and nutritive activities gen- erally, the medicine must be given in full doses—a drop of the tincture every two or three hours. In Overdoses veratrum vomits, therefore it proves its own anti- dote in cases of poisoning. I have never known a death to occur from an over- dose of the poison. “The local use of veratrum has been too much neglected. A dilute tincture rubbed upon the painful and itching spots of chilblains proves both comfort- ing and curative. Some practitioners employ aconite and veratrum at the same time, but the act would be like mixing whisky with brandy to concoct a stimu- lant. Veratrum, being the more potent drug, can be made the most efficient. “In conclusion I repeat that veratrum will accomplish all aconite does, and something besides.” HORSE. NETTLE FOR WHOO PING COUGH Dr. Best of Indianapolis has long been an enthusiastic advocate of the use of Horse Nettle for whooping cough. In the National Transactions 1903 states as follows: My two children were at one time in the incipient stages of whooping cough, and with no faith whatever in the value of Solanum in this disease, I determined to at least try it. It was administered as follows: R. “Succus Solani,” one fluid Ounce; glycerine etaqua, of each three fluid ounces; mix and give one teaspoon- ful every three hours during the day and when awake at night. The result was highly pleasing. The disease disappeared so rapidly that we were almost persuaded the little ones had been the victims of an experiment with- Out just cause. Later on, however, repeated use of the remedy gave further evidence of its merit, and with some hope of being able to find a remedy of positive value in this disease, the horse nettle was carefully given to every case of whooping cough appearing in my practice. Until recently my oppor- tunities to study its action in a method- ical manner were limited and only about a dozen cases in all were treated, but with unvarying relief from the severity of the spasms of coughing and very material Shortening of the duration of the dis- € a Se. In 1900 a lady asked me for something for whooping cough. Her boy, W. M., age Seven, was then coughing severely and the neighbors testify that he “whooped” distinctly. One four-ounce bottle of the medicine given as above mentioned was all the boy required. His cure was so positive and unexpected that the parents do not believe he had pertussis. Later on the next door neighbor, Mr. C., who had three children, applied for “some of that medicine for whooping cough.” At the same time he related what he knew of the former case, which really induced him to try the same medi- cation. During the three weeks his chil- 166 ELLINGWOOD’S THERAPEUTIST } dren were under treatment, they used two eight-ounce bottles and one four- ounce bottle of the formula as above, and he said when at my office the last time that the children were almost well, but felt that they ought to take the medi- cine for a short time yet. He reported a lessening of the frequency of the parox- ySms of coughing, also a lessening of their severity. The little folks ranged in age from two to six years. Without going into details further, allow me to add that within the last few months I have treated fifteen cases, all of which were under my personal obser- vation, and some very severe. In these the following observations seem worthy of record: That Solanum, the only preparation used, does mitigate the attack of whoop- ing cough. It lessens the frequency of the parox- ySms. It diminishes the severity of the cough. It, in no way seems to affect the mu- cous membrane, unless it be to allow free discharge of mucous. The full dose causes some dullness or inclination to drowsiness. The patient gets longer and less inter- rupted sleep. The disease is cured in from two to three weeks, and in severe cases not longer than four weeks. While we are not ready to pronounce this a specific in whooping cough, I know of no remedy, given singly, that has made as good a record in the relief and cure of this disease. The fact that thirty or forty remedies are named for whooping cough is good evidence of the unsatisfactory treatment of it. ^ If careful investigation proves this remedy worthy of a place in our materia medica for this disease, we shall have added one mite to the sum total of knowl- edge and feel rewarded. × × There is nothing that is so wonderfully created as the human soul. There is some- thing of God in it. We are infinite in the future, though we are finite in the past.— Henry Ward Beecher. THERAPEUTICS OF CANNABIS INDICA The following symptoms and sugges- tions are the results of Homeopathic proving and may guide us in prescribing this important remedy more specifically. Cannabis indica may be considered a com- paratively prompt, but not a long-acting drug; when prescribed in disease, results should be expected soon after its admin- istration. * There are no cases of deaths reported from the effects of cannabis indica, either in man or in the lower animals; we have, therefore, no post mortem lesions to guide us in interpreting the modus oper- and of the drug. But the symptomatic indications are so decided that there need be no hesitancy in pronouncing these ef- fects due to the action of the drug solely upon the nerve tissue. So strongly does the symptomatic synthesis point to this fact that we may safely say there is prob- ably no drug in the known materia med- ica whose action is so entirely limited to disturbances of the functions of the nerv- Ous system. In using the expression, nervous sys- tem, we mean both the voluntary and in- voluntary systems. Chiefly and most powerfully, however, are the cerebro- spinal centres disturbed. The cerebrum yields to the toxic influence, and we find more or less disturbance of the various mental faculties, viz.: “Correct apprecia- tion of the physical relations of things is to a greater or less degree perverted; illu- sions of various kinds occur, in which the Special senses of sight, hearing, smell and touch become involved. The emotions and the ideational sphere are also in- vaded. Ratiocination, and the dependent will-power and memory, pass through various states of modification, from a pri- mary over-excitement, stimulation, to a Secondary weakness, obtuseness and final complete temporary obliteration. As a result of this disturbance in the cerebrum head, eye and ear symptoms su- pervene, and the sleep is also disturbed and filled with dreams. & Indications that the vegetative nervous system is involved are found in the dis- EDITORIALS 16? turbance of the circulatory, the respira- tory and the urinary functions. Further- more, the perversion of the normal dynamic of the muscular system exhibited in languor, weakness and cataleptic mani- festations, besides the peculiar general nervous “thrills,” point still more strongly to the influence of haschish upon the sym- pathetic nervous system. The uses of cannabis in sickness which are based upon the foregoing synthesis of Symptoms are limited to maladies origi- nating in perversions of functions of nerve centres. In the following patho- logical derangements, therefore, cannabis indica should be of use. The effects of the agent are certainly Somewhat analogous to the acute effects of alcohol. Resulting from both indi- viduality, there is mental excitement and a general confusion of ideas, absurd ac- tions, weakened will-power, loquacity, silly laughter, and finally, stupidity and even complete insensibility. When the alcohol habit is confirmed and the delirium of chronic alcoholismus Supervenes, the drug is strongly indicated. There is great nervous excitability, the will-power is weakened or gone, muscu- lar power is impaired, hallucinations oc- cur, and mental depression with a sense of fear may exist. There is headache and vertigo, with dilated pupils and indis- tinct vision; mouth, tongue, and throat dry, with thirst; nausea, and the general feeling of intoxication experienced by the victim of delirium tremens. The vivid hallucinations of the sufferer should call especial attention to the hemp of India. Cannabis indica is indicated in insan- ity with illusions of various kinds. Es- pecially is the correct appreciation of time and space affected; a few seconds are prolonged into hours, days, or an indefi- nite number of years, and near objects seemed removed to infinite distance; near Sounds also appear to come from a dis- tance. A sense of duality is experienced, the patient imagining himself to be two separate individuals. During the apparent prolongation of time, the brain is crowded with rapidly Succeeding ideas, and in this state the pa- tient imagines himself to have passed through the most varied experiences, and naturally his conversation and actions are inspired by his illusions. Reaction may take place, and mental depression Succeed, with causeless fear; or a state of revery is developed; but of whatever character the mania there are from time to time lucid intervals. Another fact to be remembered is that the pathogenesis shows no indication of a coarse or malicious tendency in the mental aberration. The delirium of can- nabis ind, is apparently dependent upon a derangement of the refined and higher mental qualities, e. g., the poetic and the artistic. That form of ecstacy following reli- gious excitement, may also find its simil- imum in this drug. In the delirium of fevers haschish may be studied. Especially is it suggested when the sense of duality is experienced, which is sometimes present in typhoid fever. In the cerebral form of this dis- ease the drug should always be studied. Catalepsy has been produced by Indian hemp, relief may therefore be expected from the plant when this peculiar neurosis is manifested. Nerve pains occur throughout the whole body, and there is a sensation as though an electric current prevaded the body; there is also a general tingling. In addition a nervous excitability is present, which further indicates involvement of the nervous system. The neuralgic pains are reported as tensive in character. Indian hemp produces a heavy frontal headache, with a sensation of weight in forehead. The blood seems to be forcibly impelled into the head, which naturally produces a sensation of constriction. Ac- companying may be a sensation of pendu- lum-like oscillations in the head, and ver- tigo will be a prominent concomitant. Vertigo from over-stimulation of the intellect may be inferred as a legitimate indication for the drug. The tingling, and sensations as from an electric current throughout the whole body, with nervous thrills, impairment of | 68 THERAPEUTIST ELLINGWOOD’S muscular power, and pains and numbness of the limbs, all point to impending or even partial paralysis. If, together with these symptoms, we find the patient laboring under various illusions, the condition known as paral- ysis of the insane is progressing, and the hemp will still be indicated. Cannabis indica has been suggested in the treatment of Morbus Brightii, in the treatment of general anaesthesia, and in Catarrhalis senilis; but the foregoing Symptomatology does not justify its use in these affections. However, as with all other drugs, so a study of this synthesis of symptoms will discover indications for the drug in other pathological conditions than those here noted. * DR. J. B. MATTHEW A local paper announces the 70th birthday of Dr. J. B. Matthew of Blue Mound, Ill., 45 years in practice in about the same locality and widely and most favorably known in his community. Dr. Matthew graduated from two Eclectic Colleges and is among the most popular of the eclectic physicians in the state. He is an enterprising citizen, enthusiastic in whatever pertains to local or general in- terests. He is very popular as a physi- cian and among his medical friends. His methods of practice are highly successful and in many particulars original. As the flowers follow the sun, and si- lently hold up their petals to be tinted and enlarged by its shining, so must we, if we would know the joy of God, hold our souls, wills, hearts, and minds still before Him, whose voice commands, whose love warns, whose truth makes fair our whole being. God speaks for the most part in such si- lence only. If the soul be full of tumult and jangling voices, His voice is little likely to be heard.—Alexander Maclaren. >k >}< Anything which elevates the mind is sub- lime. Greatness of matter, space, power, virtue or beauty, are all sublime.—Ruskin. To look upon the soul as going on from strength to strength, to consider that she is to shine forever with new accessions of glory, and brighten to all eternity; that she will be still adding virtue to virtue, and knowledge to knowledge,_carries in it something wonderfully agreeable to that ambition which is natural to the mind of man.—Addison. THE MUNIK BOTANICAL GARDEN AND ARBORETUM* J. A. MUNK, M.D., Los ANGELES, CAL. In 1906 I started a botanical garden for growing domestic medicinal herbs, in order to find out how plants from other states would act when transferred to California soil and climate. Some native medicinal plants, like Anemopsis and Rhammus Californica, were already established on the ground when the gar- den was begun, and these were allowed to remain to help give variety to the col- lection. Later on the experiment was extended to include many eastern forest trees and shrubs. The place chosen for making the trial was an eight-acre lot near the village of Compton, in an agricultural district halfway between Los Angeles and Long Beach. The ground selected is on an alluvial plain, seventy-six feet above tidewater. The soil is a rich, sandy loam, filled with fine bits of mica and some alkali in spots. Not a grain of coarse sand or gravel, nor a piece of any kind of rock, unless imported, is found over an area of many miles. The locality has the benefit of the daily cool sea breeze from the Pacific Ocean during the summer months, and an occa- sional touch of frost in the winter. The frost seldom amounts to more than ten degrees, for a short time during the early morning hours, and rarely does any dam- age. The land lies midway between the frostless seashore and the foothill ther- mal belt. Apples are supposed to be benefited by a little frost, and they grow here to perfection, but citrus fruits thrive best where there is no frost. At the time that the garden was begun, a professional friend from Topeka, Kan- sas, paid me a visit. After showing him over the place and explaining the project, he immediately began to figure out my prospect of life, according to actuary rules, and decided that I was undertaking the enterprise too late in life to make it a success. However, I did not let his talk discourage me from going ahead, *Reproduced from California Eclectic Medi- cal Journal. EDITORIALS 169 saying that even if the time were short, the work gave me great pleasure in the joy of watching things grow ; and al- though it might not benefit me, it would do somebody else some good after I was gone. He proved to be a poor prophet, as I have lived long enough to realize my expectations, while he departed this life many years ago, As the trees now growing in Southern California are mostly evergreen, and im- ported from hot countries, I decided to make the test with deciduous trees from the temperate zone. When I began to inquire, I found that deciduous shade trees were scarce and could not be ob- tained in quantity in the local market. I Succeeded in finding a few native pop- lars, Sycamores and willows and with these I made a start. I then sent east and procured an as- SOrtment of forest trees and shrubs from nurserymen and friends; also some new foreign varieties from the Bureau of Plant Industry. In planting the trees, I aimed to avoid any stereotyped method of arrangement, but distributed them at irregular intervals, to give the grove the appearance of a natural forest. I wanted to see how the trees would be affected by a change in local conditions and gave them only such attention as was neces- Sary to give them a good start. They readily became established and grew rap- idly, so that now after a lapse of twelve years some of the trees have attained a diameter of two feet and a height of one hundred feet, all covered by a thick canopy of dense foliage. A winding brook meanders through the grove, with here and there a foot- path leading to some favorite spot. The spaces of level bottom land, sloping banks, open Swales and sequestered glades, covered with trees and shrubbery, give it the appearance of an eastern WOOdland. Many kinds of birds and Some Small four-footed wild creatures have been attracted to its shelter and have made it their sanctuary. The little animals are seldom seen, as they usually travel at night, but the track of their nocturnal rambles are visible in the dust On the road and in the soft earth of the damp ditches. An important ingredient of the soil to keep it in good condition is an adequate Supply of water. In a country like Cali- fornia, where it does not rain during eight months of the year, water is an important factor and must be applied to the land artificially by irrigation, to rºmake the soil productive. This essential ele- ment is furnished by an artesian well, which flows in a perennial stream with- Out pumping. The water is conducted Over the ground in ditches, by gravity ſlow, and is used whenever and wherever needed. When the water is not being used for irrigation, it is discharged by a Spillway over rippling cascades as it falls. from the higher level of the well to the lower level of the brook, where their waters commingle and flow onward to the sea. One advantage of a dry country is that weeds do not grow and spread as in a wet country. No plant that is brought from the humid east, where it is accustomed to being drenched by rain every few days, can stand a prolonged drouth with- Out dying. Naturally, some weeds must grow in every land, but those imported to the desert must first become desert bred in order to acquire the habit of drouth resistance. Otherwise they must be nursed with water and cultivated to be able to endure. However, plants sometimes change their habits and will adapt themselves to drouth so that they can live without much water. A familiar example of such a change in California is the common hoarhound (Marrubium vulgaris), which is an adopted child, but flourishes as if it were a native of the soil. Of all the forest trees experimented with, the Carolina poplar (Populus Caro- linensis) is the favorite. It grows rap- idly and is clean, tall and stately. Its foliage is glossy and sparkles in the sun- light! Its leaves are scarcely ever still and have a musical rustle. It is hand- some looking throughout the year, green in the spring and summer, yellow in the fall when its leaves show the autumn 170 ELLINGWOOD’S THERAPEUTIST tints, and white in the winter when the bare branches are gracefully outlined against the blue sky. The treetop is the last to acquire leaves in the spring and the last to lose them in the fall. After most of the lower leaves have disap- peared, the topmost branches stand up like flagstaffs, in a glorious array of shin- ing yellow leaves, like an army with ban- ners fluttering in the breeze. When the autumnal colors appear in the foliage the change is called oxidation, which is an effect rather than a cause and has no special significance except to indicate that the leaves have reached full maturity and passed into a state of decay. This action takes place en masse only in deciduous trees when they shed their leaves in the fall to carpet the ground in varying shades of russet and brown. If at this time the weather happens to be hot and dry, the leaves do not show their usual bright colors, but die and drop quickly. If the weather is cool, damp and cloudy, the colors are noticeably brighter and the leaves adhere closely for some time, yet it all happens without any frost. In California the change occurs during the month of October, the same as in the east and the appearance of Such a grove in a California landscape is in striking contrast to the prevailing ever- green forests that have been introduced from Australia and other tropic lands. Nature's arboreal pageant is a pleasing spectacle to contemplate. It begins early in the spring with the buds bursting into many kinds of leaves which spread a fresh green color over the trees like an emerald garment and marks the begin- ning of nature's annual carnival. The mild winter weather of the California summerland does not appear to hurry na- ture in the least. The trees remain dor- mant all winter long, until it is time for them to act, when suddenly the buds start to swell and grow and nothing can stop them. Nature's order of procedure is perfect and each variety of leaf and flower finds its particular place in the procession at precisely the right time to add its touch of color to the harmony of this wonderful panorama. Yellow predominates in the colors of the autumn foliage, yet there are also bright splashes of red to be seen. The trees that are most conspicuous in yellow stand out in about the following order: Carolina poplar (Populus Carolinensis), yellow poplar (Liriodendron tulipifera), maple (Acer saacharium), ash (Fraxinus Americana), elm (ulmus fulva), linden (Tilia Americana), and several kinds of nut trees; while the tallow tree (Sapium sebiferum), red oak (Quercus rubra), Sweetgum (Liquidambar styraciflua), wahoo (Euonymus atropurpurens), stag- horn sumach (Rhus hirta), poke root (Phytolacca decandra) are clothed in brilliant red as if growing on their native heath. Starting a grove of deciduous forest trees seemed to be a necessary prelimi- nary in preparing a suitable ground for the reception of eastern wildwoods plants, in order to provide them with their accustomed leaf mold and shade. Notwithstanding that this work was thoroughly done, the plants did not take kindly to the change and in most cases perished. My first order consisted of one hundred sets each of golden seal (Hydrastis Canadensis) and of ginseng (Panax quinquifolium) that had been propagated in an eastern nursery. They arrived in good condition, were carefully planted and made a good start. After several weeks had passed they were stricken with a blight that wilted them in one day, and only a few plants sur- vived. The few that lived made a feeble effort to grow the next year, surviving only a short time, when they, too, died. Other woods plants were procured at different times direct from eastern col- lectors. They met a like fate and this was a sore disappointment. No sufficient cause could be ascribed for the failure only that the plants did not seem to fit into their new environment. Some of these plants, as I now recall them, were black cohosh (Cimicifuga racemosa), mayapple (Podophyllum peltatum), blood-root (Sanguinaria Canadensis), liverwort (Hepatica triloba), partridge berry (Mitchella repens), wild ginger : EDITORIALS 171 (Asarum Canadensis), trailing arbutus (Epegea repens), wintergreen (Gaul- theria procumbens), and yellow lady's slipper (Cypripedium pubescens). About the same time a few periwinkle vines (Vinca minor) were planted in another section of the grove. These soon grew rank and spread rapidly by runners into a thick mat of vines that covered the ground. The plant seems to thrive in a Soft bed of leaves and dense shade, which conditions appeared to be detrimental to the other plants as described above. It is an attractive midwinter cover crop, with its trailing vines, green leaves and blue flowers showing conspicuously among the gray trees and brown leaves of the forest. Of the climbing plants only three kinds lived and continued to endure. These were the wild yam (Dios- corea villosa), American ivy (Ampelop- sis quinquifolium) and yellow parilla (Menispermum Canadensis). The shrubs and herbaceous plants which were planted in the open garden fared better, and some of them have prospered exceedingly well. Among them are the spicebush (Larus benzoin), elderberry (Sambucus Canadensis), prickly ash (Xanthoxylum America- num) bayberry (Mirica cerifera), black haw (Viburnum prunifolium), witch hazel (Hamamelis Virginica), pawpaw (Asimina triloba), English hawthorn (Crategas oxyacantha), Oregon grape (Berberis acquifolium), Apache plume (Fallugia paredoxa), green bells (Ly- cium pollidum), desert willow (Chilopsis linearis), Scotch broom (Cytisus sco- parius), Canadian hemp (Apocynum canabinum), queen of the meadow (Eu- patorium purpurum), iron weed (Vero- nia Noveboracensis), Solomon's seal (Polygonatum bifeorum), boneset (Eu- patorium perfoliatum), c r a n e s b i 11 (Geranium maculatum), butterfly weed (Asclepias tuberosa), Indian pink (Spi- gelia marilandica), spikenard (Aralia racemosa), mullein (Verbascum thap- sus), and elecampane (Inula Helenium). The plants mentioned above are only a few out of many hundreds that grow in the garden, but are sufficient to denote the wide range of plant life which the garden produces. Some families of plants are represented by several differ- ent species, all manifesting similar pe- culiarities. There is every kind of mint, several kinds of Sumach and dogwood, a dozen or more varieties of Berberis and a like number of golden rods. Many of the plants show unusual vigor and are increased in size. As an illustration, take the iron weed, which, as found growing in an eastern meadow, has a height of from three to four feet, while here it attains a height of from eight to ten feet, with a flower-head of deep purple blossoms as large as a water bucket. Another instance is the elder, which in the east has a corymb of white flowers the size of a saucer, while here they are as big as a dinner plate. In protected places the bushes are loaded with fruit in season, but where the ber- ries are exposed they are devoured by the greedy birds even before they are half ripe. One reason for growing medicinal plants was to ascertain if their value as medicines would be impaired by the changed conditions of environment. They evidently lose none of their strength and if there is any difference it is in favor of an increased value. I stood one morning on the mountainside, and looked out upon the beauties of the mag- nificent scene spread before me, flooded with sunlight, the beauties enhanced by the song of the birds. I drank in these beauties and my heart was indeed glad. For a moment a cloud shut out the sunlight where I stood, and imme- diately around me was quite dark, but I still looked out on the beautiful beyond, and it was all bright. >k As the cloud passed, I thought, if I had closed my eyes to the sunlight beyond, and had seen only the dark shadow that enveloped me, and had believed, as we are prone to be- lieve when a shadow passes over our life, that all is dark, how dark would it indeed have been. How much better to pay but little atten- tion to the cloud, and have faith, believing that around and above the cloud, God's sunlight ever shines. >k A case is reported where varicocele induced violent sexual desire which continued until an operation cured both. Special Department THERPAp EUTIC, FACTS SINGLE TRUTHS FROM MANY DocTops AND MANY TRUTHS FOR EPICH DOCTOR [F]iſ Tl|[H] “FH122 - The flu has arrived and nearly de- parted and I have again scored 100 per cent recoveries. any hard cases, but I would just as soon be born lucky with just brains enough to appreciate living, as I would to be born smart and unlucky—and regret living. Last October a lady summonded doc- tor and nurse in expectancy of mother- hood at that time, but the pains stopped. The party was repeated early in Novem- ber and later in the same month. The uterus was then pronounced a tumor. Others advised operation immediately or soon and the case came to me in Decem- ber. * - I found toxaemia intense, water every- where, continuous vomiting of sour “hot water,” face bloated and blue. Girth 66", palpation indefinite. Vaginal mucosa pink; breasts soft, but color intense. His- tory I elicited indicated February 19 in- stead of October. Friday, March 3, I got the tumor—a 12-lb. girl. There were many things about the case interesting to me—never want another like it—but I want to emphasize a little remark I once heard Dr. Rittenhouse make—that ex- pectant mothers frequently err in dates, but Nature seldom does. This “enor- mous” tumor in an otherwise enormous woman was producing no evidence of malignancy. She improved under elimi- native treatment. The possibility of preg- nancy was given opportunity to develop. Meddlesome midwifery has killed as many babes and mothers as it saves. Would have liked to have called on you while back there this summer, but three months is entirely too short a time to spend in Chicago—wish I had a fortune so that I would need to do nothing but Some say I never get watch and see how the other fellows do things. - It is a pleasure to read THE THERA- PEUTIST. Instead of interesting essays on the Effects of Midnight Air on An Owl's Feathers and kindred scientific subjects, it tells how to cure Billie's belly- ache in a matter of fact way that permits the reader to make a hit with Billie's mother and dad about 2 a. m. ; any old time. It is the little talks that make and hold a practice. Sincerely, A. A. DAvis, M. D. Port Angeles, Wash. × { I have treated many cases of “flu” this winter with the usual eclectic success. (All got well.) - S. M. SHERMAN. Columbus, Ohio. × { Całeſſeduka I have for some years successfully used Aqueous Extract Calendula in con- tused and pus bathed wounds. - I have during the past year added from half a dram to one dram to an ounce of boric acid solution for the eye in simple conjunctivitis after the removal of a for- eign body (irritating substance) and es- pecially if pus or other matter was dis- charged, with gratifying results. In ad- dition I have noticed it causes less pain when dropped into a sensitive eye than plain boric acid solution, or even distilled water. The aqueous extract must be used as all alcoholic preparations, even in dilute solution will “smart” in the eye. I have not noticed this reported upon in our recent writings and if of sufficient interest to warrant same I am giving it for publication and further trial. . E. R. BLOUGH; M. D. Pittsburgh, Pa. - SPECIAL T).H.PARTMENT 173 Treatment of Appendicitis * * I am still with you and I am going to stay, or at least try to for two years longer, then I'll be past eighty, if I do not “cash in my checks” before that. I am getting on in years, but still in the har- ness, although beginning to feel my age. Just now I have a case under treat- ment of appendicitis, which had been treated for two days for colic; when called the fever thermometer stood 103.77 F., that was eighteen days ago. Patient now feels and is a great deal better, al- though temperature rises as yet 1 to 2 de- grees above normal, but the lump at Mc- Burney's point has disappeared. Have treated her with internal and external medicine and she is improving daily and am in hopes of getting her through O. K. ; if I do I shall send you the “facts” of the case. - By the way, have you or any of your readers ever used, or heard of being used, the true oil of Rhodium for antepartum hemorrhage? I have been using it for forty years, and never had it fail me, placenta praevia, of course, excepted; I have had some hard cases, but it is very excellent in cases of abortion especially, also in threatened premature delivery. THEODORE WENDLANT. Sahnarpia, Sonora, Mexico. - A k Rinvolunretary Gastroenterie Spasm I would like some suggestions and ad- vice in the following peculiar case. I have not succeeded in finding a history of one like it. A woman forty-two years. of age has had eleven children. Other- wise she has had good health. She is troubled with spasmodic jerking of the Stomach or of the abdominal structures. It is about the same as when one would exercise the stomach and abdomen by drawing them up and down with the muscles, pushing it in and out again. It is worse at times entirely involuntary be- yond her control. She has been troubled with it for about three years. The difficulty seems to involve the stomach or the abdominal wall and it pulls apparently clear through her from the back. As it seems to pull back from the spinal column the entire abdomen is drawn with it, and then the whole is pushed forward involving the entire re- gion between the hip bones and the ribs. I cannot figure out that any of the in- dividual organs of the abdomen are more to blame than others. There is no pain and the Spasms come on in a jerky man- ner, but with a quick wavelike move- ment. Sometimes that condition is quite regular. I sent her to the Sioux Falls Hospital last year for examination, and they found nothing wrong organically, but called it nervous disturbance only, as the patient is of a nervous develop- Iment. I would like to have a diagnosis of this case and suggestions as to a cure or the history of other cases similar. N. S. Starr, M. D. St. Cloud, Minn. CoMMENT: In answering the Doctor’s first letter on this case I advised him to consider carefully the possibility of entero-Spasm, gas- tro-Spasm, pyloro-Spasm or cardio-spasm, separately, but he replied that he could not distinguish as stated any organic fault. I suggested also that he try full doses of hypo- dermic lobelia to determine what influence that valuable remedy would have. X #: CALENDULA We are fortunate in obtaining some practical and reliable truths from a num- ber of writers from which we select the following. If these suggest any valuable experiences to you, dear readers, please write us these, for the benefit of all. Many doctors testify gangrene will not follow, and danger of tetanus is almost, if not entirely prevented. I used the drug first as directed by Dr. Ball, of Erie, Pa., as a dressing after the removal of epithelioma. - Calendula prevents all cicatrices and is the best healer on earth. He uses in these cases the fluid extract of the drug, evaporated till thick, mixed with vaseline. I have seen cavities from which epithe- liomatous growths had been removed, covering two square inches of surface, with depth corresponding to size of growth, heal in the course of a few weeks with this dressing, so that an ordinary observer would recognize no defect. Why hesitate to use it in case of severe burns, to prevent frightful cicatrization? 174 ELLINGWOOD’S THERAPEUTIST Its action on mucous surfaces is no less kindly and healing. Excoriations on the cervix and in the cervical canal yield readily to an application of tr. calendula diluted two or three times. Apply on absorbent cotton and leave in contact with excoriated surfaces. In catarrhal conditions of nose and throat, with raw and tender mucous membrane, its action is most kindly and Soothing as well as healing. Apply with vaseline atomizer. B. Tr. Calendula, gtt. x-lx. Oil Vaseline, 5.j. X k VIRBURNUM “This old and well-known indigenous plant affords a frequently indicated medi- cament. It exerts a positive action of a Soothing and quieting character upon the nervous system, and promptly relieves many cases of nervous excitement. In nervous state, when the patient complains of moderate pain and restlessness as a prominent cause of suffering, it should constitute a part of the treatment. Vi- burnum is a useful remedy in many wrongs of the reproductive organs, and is especially valuable as a means of les- sening nervous excitement in abnormal conditions of the uterus. In dysmenor- rhea, whether the flow is scant or pro- fuse, it exerts a relieving influence, and is especially needed in cases in which the discharge is membranous. Amenorrhea and menorrhagia also come within the range of the curative action of this ener- getic remedy. Viburnum constitutes an excellent medicament in almost every form of ovarian irritation. Acting as a uterine tonic, it restores normal innerva- tion, improves the circulation, and cor- rects faulty nutrition of the uterus and ovaries. In pregnancy its tonic influence has often proved of much value, and has. long been employed as a remedy in habit- ual abortion, with satisfactory results. In order to obtain the most beneficial influ- ence of the drug in these cases, small doses of the remedy should be given from soon after conception until the end of the fifth month of pregnancy. In after-pains its action is modifying in character, and in chlorosis, chorea and hysteria, when associated with uterine irritation, it is an efficient remedial agent.” . The above statement from the Eclectic Medical Review is most heartily en- dorsed. For nearly half a century, by sheer force of therapeutic worth as a dependable remedy in gynecological and obstetrical work, Hayden’s Viburnum Compound has maintained professional esteem and confidence. In this day of therapeutic nihilism and substitution of standard remedies, this is worth while considering. - × k The Action of Geranium Dr. Herbert T. Webster reports: “I had been treating a case of pulmonary tuberculosis which for several months be- fore I saw it, was afflicted with a stub- born and profuse colloquative diarrhea which nothing administered would con- trol. I tried several remedies without influencing the condition at all, but after two weeks of trial, gave geranium which controlled it permanently as long as the case remained under observation.” Leav- ing for a vacation, he lost control of the case, but the promptness in action of the remedy surprised him. The final out- come is unknown. Shoemaker regarded geranium as a valuable restorative in the treatment of incipient phthisis. In 1893 Dr. Furber of Topeka, re- ported geranium as a special cancer cure in a case with obscure stomach symptoms seemingly indicative. Physicians said the patient would not live six weeks but on dram doses of the drug three times daily, lived four years without irritation or constipation. Later, obstruction of the bowels appeared when operation pro- longed life sixteen months more. Dr. Frank Webb of Cincinnati, in the Gleaner, reports the cure of three cases of nasal polypus with geranium, inject- ing 30 drops into the mass and warning the patient that an inflammation would set up to subside in a few days. In all cases the polypi have shriveled up and come away without return. SPECIAL DEPARTMENT 175 IPIPER METHYSTICUM This remedy, which was first brought forward by P. D. & C. in the early 80s, is not growing in popularity as it deserves. It is without doubt one of the finest stom- achic tonics in the materia medica. Ten drops every three hours improves diges- tion and assimilation; and increases the appetite prodigiously in a few days. The appetite continues to increase in some cases, after it has reached a normal Standard, until it becomes necessary to discontinue the medicine. This occurred to three or four of my patients. The remedy acts directly upon mucous surfaces, quickly restoring their tone. In catarrhal affections and in bronchitis it will prove serviceable. - The remedy has a specific action upon the kidneys and the genito urinary ap- paratus. Thirty minims three or four times daily in a goblet of water will pro- duce an abundant secretion of limpid urine immediately, which is passéd with comfort and satisfaction to the patient. In acute gonorrhea the agent has worked most admirably for me in many cases. In the subacute and chronic forms, and in gleet, it has produced admirable re- Sults, although slower in its actions. It quickly soothes all irritation and relieves the inflammation. The agent is not un- pleasant to take and in no way disagrees with the stomach or deranges the diges- tion. In fact, it is an assistant to diges– tion and an active stimulant to the appe- tite. - jk k " LY COPUS VIRGINICUS This remedy is another of the old re- liables, that is not properly appreciated by the younger doctors. Prof. Scudder says: “We employ it in all forms of chronic disease with frequent pulse, and in the advanced stages of acute disease where there is debility. It is a certain sedative where frequency of pulse is dependent upon want of power.” It acts directly upon every vegetable function, through the great sympathetic. Hector says: “In functional or organic disease of the heart marked by irritability and irregularity, dyspnoea and oppression, its results are gratifying. Hypertrophy and dilitation have been known to un- dergo marked diminution under its ad- ministration.” In endocarditis and peri- carditis it quickly reduces the inflamma- tory action. - - In one case of heart failure with dyspnoea, great irregularity and depres- Sion where death seemed imminent, five drops of the tincture lycopus every hour removed all the distressing symptoms in six hours. The patient made a good re- covery. In incipient phthisis it is valuable, and in haemoptysis its action is certain and speedy. Goss says, “It exerts the same power over the capillaries of the lungs that ergot does over those of the uterus. The cough from chronic inflammatory lung trouble is speedily relieved by it.” Lamoreaux says, “It has proven bene- ficial in chronic diarrhea and dysentery, in the inflammatory gastro-intestinal dis- orders of drunkards and in intermit- tents.” - - It promotes digestion, invigorates the appetite, allays gastric and enteric ir- ritability, and should not be omitted in diabetes. It exerts powerful contraction on all unstriped muscular fibres, espe- cially those of the heart and arteries. The dose is from one to five drops every two to four hours as indicated. ¥ k CHIO LERA. As no epidemic of cholera has visited this country for many years, there has been but little to occasion a collection of facts on its treatment. In the last epi- demic of this very serious trouble Salol was used more frequently. than any other remedy with excellent results. Ten grains every two hours with as much spirits of chloroform. In one group of eleven patients all recovered. Other treatment gave a mortality as high as 45 per cent, this course shortened convales- cence, prevented the appearance of uri- nemic symptoms and produced only good results. In other cases the results were not so satisfactory. i 176 ELLINGWOOD’S THERAPEUTIST QUININE BIS ULPHATE I seldom use the sulphate, except when I desire a powerful anti-periodic effect, and then I generally combine it with cap- Sicum. As a nerve tonic, as a stomach tonic and gastric stimulant, as a general stimulant and restorer to the vital func- tions, I obtain sulphate repeated every three hours. Used in this manner it is rapidly appropriated because of its easy solubility, and its effects can be readily observed in from half an hour to an hour. For children it is the quinine salt par- excellence. It may be used in inunction and is quickly absorbed. It produces none of the harsh effects and all of the desirable results of the sulphate. As a general nerve tonic I combine it with nux vomica and get no unpleasant vise them to use it frequently and famil- iarize themselves with it, as it is indeed a valuable agent, and must not be laid aside. Paine, years ago wrote: “Xan- thoxylum is one of the most valuable dif- fusible stimulants known to the profes- sion. In the healthy person it produces a warm glow through the entire system; and a tingling sensation of the nerves as though gentle shocks of electricity were passing through the body. The remedy is specific to those condi- tions where there is atonicity of the nerv- ous system, torpor, with a sluggish circu- lation.” w Where there is innervation and relaxa- tion of the mucous membranes, an en- feebled condition, with hypersecretion, In acute or chronic catarrh of the stom- cerebral effects and all the tonic effects ach or intestines, it is thus invaluable, be- of the sulphate. As a stomach tonic it may be combined with hydrastine or capsicum, or both and works admirably. As an hepatic tonic and stimulant it may be combined with leptandrin and produce speedy results. It takes ten grains to produce the un- pleasant cerebral symptoms—the tinnitis —that three or four grains of the sul- phate will produce, except in very sensi- tive subjects. William Henderson, M. D. Portsmouth, Maine. X # TRITICUM REPENS (Couch Grass) An infusion of this plant is recom- mended very highly by some physicians in painful urination. I was once treating a severe case of interstitial nephritis with a very large quantity of pus in the urine, which was passed with the most excruciating pain. After using every possible agent, a friend recommended this agent, which was 11sed in strong infusion, and kept the pain un- der control until the patient was cured of the disease. It is useful in cystitis, and in all irritable conditions of the bladder and urethra. 5* + YANTHOXYLUM This remedy is not properly appreci- ated by our younger men. We would ad- cause its directed action is on the mucous and muscular structure of the intestinal canal, restoring tone, vitality and normal functional action. It is thus useful in low forms of typhus and typhoid, with tympanites, in perito- mitis with tympanites, and in tympanitic distention of enteritis. It is valuable in spasm of the bowels, in flatulency and in diarrhea from atonicity. Dr. King used it extensively in the cholera epidemic of 1849–53 with the happiest of results. He says, “It acted like electricity, so sudden was its influ- ence over the system.” After the acute inflammatory action of dysentery has subsided, it quickly re- stores the functional activity of the in- testines. In epidemic dysentery it has worked wonders. × ºr THAPSHA GARGANICA This is a common plant in its native country, Algiers. The fresh root con- tains an irritating resin, which is incor- porated into a plaster by the French pharmacopeia, and as an active counter- irritant it is singularly valuable. I have used the plaster for a number of years, and in the cases where it is indicated there is nothing superior. It produces in a few hours an immense crop of small miliary vesicles upon a reddened skin. SPECIAL DEPARTMENT 177 There is no pain, and if the surface is not Scratched or irritated there is no spread- ing. The intense itching can be allayed in a moment by the application of starch paste. In a few patients, especially those of a sanguine temperament, with Sandy or red hair, it has produced a mild in- flammation of the skin, with much red- ness and swelling. This is quickly al- layed by an emolient poultice, and the therapeutic effects are marked and de- cisive. * In stubborn bronchial disorders it has produced immediate and permanent bene- fit. I have cured several cases of Sciatica with a single application. If the plaster is of French manufacture six hours is long enough to get its full effects. Thapsia is too harsh to be received with favor by the profession for internal use ; but for external use, in the hands of a judicious and careful physician, it has no superior. jk X ECHINA CEA. I have made extensive use of echinacea in u'cerative tonsilitis, combining it with aconite or giving it alone. I have used it as a dressing for wounds and open Sores and find it a very fine remedy, and in many cases superior to anything else I have used. I have also been using it in cases of cholera morbus and cholera infantum, combining it with neutralizing cordial in Some cases, and in others I have Com- bined it with other remedies that were indicated, such as aconite and nux vomica, and at other times giving it alone. I have just dismissed a very severe case of cholera infantum in a child two years old which I treated mainly with echinacea, adding other indicated reme- dies. It sweetens the breath, controls the very bad smell of the discharges from the bowels and acts as a tonic. I have injected it into pus cavitus, after evacuating the m (using full strength) and they healed more rapidly than any I had previously treated. I have used it in two cases of rhus poison- ing with success. It does not cause pain when applied to recent wounds. I have not had any cases of diphtheria since I have been testing the remedy. As soon as a case presents itself, I will give echi- nacea a thorough trial. I administer it in doses from five to thirty drops every two or three hours in water or syrup. × k TJSTILA GO MAIDIS The specific action of corn ergot is to stimulate the painless contractions of the womb, and increase the tonicity of the muscular structure of that organ, with- out producing the pain consequent upon the use of the ergot of rye. It soothes the nervous irritability of the en- tire reproductive apparatus, and if given in certain kinds of ovarian pain, it is a sovereign remedy. One patient was re- lieved for weeks with half teaspoonful doses of corn ergot, from the agonizing pain of uterine cancer. If this agent be given to induce labor pains, the pains are regularly intermit- tent like natural pains, and not unremit- ting and unbearable as those of ergot of rye. It is valuable in passive hemor- rhages, in capillary congestion and in cerebral hyperemia. X k SPECIFIC ACID INDICATIONS Our older writers gave as an indica- tion for salicylic acid, there must be mus- cular aching or pains with a full, broad but leaden-colored tongue. For sulphurous acid there should be a deep red tongue with marked evidence of sepsis with sordes on the teeth, the breath foul. For nitric acid there should be a violet shade or a deep colored mucous mem- brane, both of the tongue and mouth. Hydrochloric acid, we know, is given when the mucous membranes are dry and dark, especially when they are deep red. While an acid remedy is beneficial in all these conditions, I have no doubt that a nice discrimination in selecting one of these four acids, or in selecting hydro- bromic acid when with the dark colored membranes there is restlessness, delirium or evidences of mild mental derangement, especially during the course of low fevers, will result most favorably. =|E SUMMARIZED FROM CURRENT LITERATURE T G L E R N IN GS . | E] |||}} t RELATED DISEASES OF THE EYE AND NOSE} JOHN H. Powell, M.D., ATLANTA, GA. For many years it has been recognized that diseases of the eye and those of the nose were often associated and inter-de- pendent. In certain cases pathological conditions originate in the nose and ex- tend, by continuity of tissue or by migra- tion of morbific germs, to the eye. Occa- sionally the reverse process occurs. More recently reflex ocular disturbances aris- ing from nasal affections have received attention. W. F. Mittendorf says: “Inflamma- tory conditions of the lining membrane of the nose are, perhaps, the most fre- quent of all the causes of inflammatory actions in the tear-passages. How often do we see diseases of the conjunctiva or Cornea—especially those that are accom- panied by lacrymation, followed by in- flammation of the Schneiderian mem- brane, and, on the other hand, mild forms of conjunctivitis generally accompany catarrhal inflammation of the nose or the tear-sac.” G. E. de Schweinitz, in his work on the eye, 1893, says: “Diseases of the lacrymal sac are rarely primary. In nearly every case of disease of the lacry- mal Sac and of the lacrymo-nasal duct morbid conditions of the nasal chambers and of the naso-pharynx are present. Although it might seem natural that con- junctivitis, and especially purulent con- junctivitis, should cause lacrymal dis- ease, this is by no means frequently the case. Conjunctivitis and blepharitis, so often accompanying diseases, follow rather than cause the lacrymal affection. Obstruction of the duct and diseases of the Sac are sequels of measles, scarlet fever, and especially smallpox, because - *Reproduced from National Transactions. these exanthemata are accompanied by inflammation of the nasal mucous mem- brane.” George M. Gould says that in the vast majority of related affections of the nose and eye, the nose is the point of depart- ure of the morbific process, the eye more seldom setting up disease in the nose. R. W. Seiss has reported several cases of closure of the nasal-mouth of the lac- rymo-nasal duct caused by unskillful use of the cautery. The effect on the drain- age of tears is evident. -A number of illustrative cases are re- ported in “The American Year Book of Medicine and Surgery.” Among them is a case cited by Panas, in which there was double purulent dacryoadenitis, coinci- dent with a .severe tonsilitis and muco- purulent nasal catarrh. Ramsey, in treating of lacrymal ob- structions, advocates the necessity of ex- amining the nasal fossae, of treating inflammatory or hypertrophic conditions found, and of investigating for syphilitic history. T. K. Hamilton found eye disease in 51 out of 106 cases of post-nasal vege- tations. In 6 of these there was blephari- tis, in 7 follicular, in 16 granular, and in 22 catarrhal conjunctivitis. John Dunn believes that in the vast majority of cases of children suffering from phlyctenular troubles there will be found a coincident rhinitis, and behind this unhealthy adenoid vegetations. D. B. St. John Roosa, in his book on the eye, in treating of lacrymal catarrh, says that in a large proportion of cases it is a purely , catarrhal affection, pro- duced by the same causes that bring on catarrh in other parts of the naso-pharyn- geal tract, colds in the head, and catarrhal conjunctivitis. Influenza has given rise to orbital GLEANINGS 179 cellulitis, and out of three such cases recently two have died of the influenza. Fischer attributes cases of chronic conjunctivitis, trachoma, iritis, keratitis, and glaucoma to Ozena, and gonorrheal ophthalmia has been traced to infection by way of the nose and the lacrymal gland. s An appearance of excessive lacryma- tion may be caused by an obstruction to the passage of tears into the nose, due to ethmoid disease or pressure of a nasal polypus or other growth on the nasal duct. On account of this the tears flow over the lids and cheek (epiphora). Ethmoid disease may produce suffi- g • & e Cient pressure to increase the distance be-, tween the eyes, causing the globes to protrude and giving the appearance known as frog-face. These variations in the anatomical relation of the bones of the orbit and the recti-muscles may pro- duce disturbance of the functions of the eye, such as Strabismus and astigmatism; or over-development of the sphenoid bone may produce pressure on the optic nerve and impair or destroy its functions. Thus it will be seen that a growth in the nasal fossa exceeding the natural limit of the cavity may be the cause of serious Ocular disturbances. - Hansell referred double optic atrophy in a young man to a purulent disease of the ethmoid and spenoid cavities. In 1882 and later, Hack called attention to the probability of reflex ocular symptoms originating in pathological conditions of the nasal cavities. He also observed the causative relation of inflammatory con- ditions of the Schneiderian membrane to sick headache, neuralgia, cough, asthma, pain and Swelling of the eyelids, and that, while the ordinary treatment for these latter affections were ineffective, they yielded to measures which restored the pituitary membrane to its normal condi- tion. The nasal diseases that are the most prolific of ocular manifestations are chronic hypertrophic rhinitis, especially when there is contact, pressure, and even adhesion of the nasal septum and tur- binals, acute rhinitis, inflammation of the membrane lining, the sinuses connecting with the nose, ulceration of the nasal membrane, Ozena and polypoid growth. The reflex conditions that may be excited have reference to the sensibility. of the eye, to the character of the secre- tions, to motility, and to trophic and vasomotor disturbances. S. S. Bishop, of Pennsylvania, ob- Serves that discomfort of the eyes and lids and vasomotor disturbances are Sometimes the reflex effects of the nasal mucus membrane. He lays especial stress on spurs of the septum-nasi and hypertrophy of the turbinate bodies as causes of these troubles, asthenopia and headache. Ocular disturbances that cause a profuse flow of tears give rise to nasal hydrorrhea and chronic rhinitis. - In all inflammatory conditions of the conjunctiva lacrymal apparatus, espe- cially those with a chronic history, a careful inspection of the nasal cavities should be made, the condition of the mucous membrane, the size, shape and position of the turbinated bones, ade- tioids, polypoid, ulcerated and bleeding Spots, if any. The nasal septum looked over for de- viations, for ulcerated and bleeding areas, look for and inquire into the history of all discharges, determine if mucous or pus, and where they come from and the cause. Your patient may have ethmoid, sinus or anthral troubles. After completing your examination of the anterior nose, proceed with the naso- pharynx, examine the tonsils, and this should be properly done, especially if the tonsils are of the submerged variety; use a curved probe, inspecting the crypts for . secretions and pus, the pillars for adhe- sion pockets, and ulcerated cavities; get the history of coughs, tonsillar and rheu- matic attacks with the rhinoscopic mir- ror, or, better, with your finger. Care- fully examine the post-nasal space for adenoids and other growths and abnor- nalities and advise their removal if found. This procedure has been care- fully followed in my practice for years, with excellent results, in all chronic in- flammation of the eye and lacrymal apparatus. In fact, I seriously doubt if 180 ELLINGWOOD’S THERAPEUTIST any person could have healthy eyes, ears or good digestion if the nose and throat are very much wrong. The writings of S. S. Bishop, of Chi- cago, and Henry D. Noyes of New York, have been freely consulted. To them due credit is acknowledged. VERATRIUM IN PALPITATION A London writer speaks highly of the properties of veratrum viride in palpita- tion of the heart due to various causes, especially in cases of functional origin. It also gives good results in palpitations associated with cardiac hypertrophy re- sulting from valvular or peripheral lesions. He claims that veratrum is in- dicated in the following conditions: (1) In functional palpitation and arhythmia, accompanied by heightened arterial pres- sure; (2) In palpitation and arhythmia due to organic valvular lesions during the period of hypersystole; (3) In palpita- tion and arhythmia during the first stage of the so-called arterial or vascular heart- disease. The alkaloid (veratrine) of white ver- atrum only slows the heart and lowers arterial tension when given in doses not exceeding four to five milligrammes (+'s to 1/12 grain), and this dose must be re- peated every four or six hours in order to maintain the effect. Unfortunately, these doses are apt to prove extremely irritating and even emetocathartic. The veratrum viride, on the other hand, does not give rise to these distressing symp- toms, and, like strophanthus, may be given for weeks together, if a sufficient interval be allowed to elapse between each dose, and provided that the dose be not excessive, no cumulative effect is pro- duced and tolerance is not established. ¥ Yºr In treating gastric and nervous dis- orders with women in pelvic disorder or uterine misplacements, remember that permanent results are not obtained until the uterine difficulties are cor- rected. Only in the simpler cases can the aggravating conditions be relieved. MANAGEMENT, CIRCULATION, ETC., REQUIRED BY THE ACT OF CON- GRESS OF AUGUST 24, 1912. Of ELLINGwood's THERAPEUTIST, published monthly at Chicago, Illinois, for April 1, 1920. State of Illinois, County of Cook. Before me, a notary public, in and for the state and county aforesaid, personally appeared Finley Ellingwood, who, having been duly sworn according to law, deposes and says that he is the editor, publisher and manager of the ELLINGwooD THERAPEUTIST, and that the fol- lowing is, to the best of his knowledge and belief, a true statement of the ownership, man- agement (and if a daily paper, the circula- tion), etc. of the aforesaid publication for the date shown in the above caption, required by the Act of August 24, 1912, embodied in Sec- tion 443, Postal Laws and Regulations, printed on the reverse of this form, to wit: 1. That the names and addresses of the publisher, editor, managing editor and busi- ness managers are : Publisher–Finley Ellingwood, Chicago, Ill. Editor—Finley Ellingwood, Chicago, Ill. Managing Editor—Finley Ellingwood, Chi- cago, Ill. Business Manager—Finley Ellingwood, Chi- cago, Ill. 2. That the owners are: (Give names and addresses of individual owners, or, if a cor- poration, give its name and the names and addresses of stockholders owning or holding 1 per cent or more of the total amount of stock). Finley Ellingwood, 32 North State street, Chicago, Ill., residence, 2209 Central street, Fvanston, Ill. No other individual in any way interested. 3. That the known bondholders, mort- gagees, and other security holders owning or holding 1 per cent or more of total amount of bonds, mortgages, or other securities are: (If there are none, so state.) None. 4. That the two paragraphs next above, giving the names of the owners, stockholders, and security holders, if any, contain not only the list of stockholders and security holders as they appear upon the books of the com- pany, but also, in cases where the stockholder or security holder appears upon the books of the company as trustee or in any other fidu- ciary relation, the name of the person or cor- poration for whom such trustee is acting, is given; also that the said two paragraphs con- tain statements embracing affiant's full knöwl- edge and belief as to the circumstances and conditions under which stockholders and se- curity holders who do not appear upon the books of the company as trustees, hold stock and securities in a capacity other than that of a bona fide owner; and this affiant has no reason to believe that any other person, as- sociation, or corporation has any interest direct or indirect in the said stocks, bonds, or other securities than as so stated by him. FINLEY ELLINGWOOD, M. D. Sworn to and subscribed before me this 31st day of March, 1920. [SEAL.] J. B. BLAIR, Notary Public. (My commission expires April 8, 1922.) ADVERTISING XIII A NEW TREATMENT for RHEUMATISM “Rheumatism” is not a disease but a clinical manifestation. Other causes of so-called “rheumatism”, i.e., tuberculosis, cancer, syphilis, diseases of the nervous system, and gon- orrheal arthritis having been excluded the results of the treatment of either the acute or subacute forms with Pro- teogen No. 2 are most gratifying. The pain, fever and malaise are usually overcome by two or three injections, but is advisable to give twelve or more injections to com- plete the treatment. In arthritis deformans, with marked pseudo-ankylosis of joints, a longer treatment is required. As a rule, the pain is overcome after six to twelve injections. Free movement of joints is restored unless exostoses prevent. Proteogen No. 2 is a solution of nonspecific, vegetable proteins, vita- mines, etc., in sterile ampoules and is administered by intramuscular injection. Further details and clinical reports showing remarkable results from this remedy will be sent by the manufacturers THE WM. S. MERRELL CO. Founded 1828 Manufacturers of Reliable Pharmaceuticals C IN C IN NATI -:- -:- -:- U. S. A. Correspond with our Advant Isras, And MENTION THIS Jouan Al- XIV – ELLINGWOOD’S THERAPEUTIST - Fill Out and Mail This Today Date 1920. THE ANIMAL THERAPY CO. No. 7 W. Madison St. Chicago, Ill. Send me, without charge, recent numbers of THE BULLETIN JOURNAL OF ANIMAL THERAPY. Am articularly interested in the radical results of your animal therapy in those of the following diseases which I underscore: LOCOMOTOR ATAXIA CHRONIC JOINT RHEUMATISM NEURASTHENIA INCOMPETENCY DIABE,TES MELLITUS • M. D Address — Lººs ºn 6/96.7//VA) - 72/22////Z.5 2/ZA/37.5 yºor yor Arrhythmia Chronic Functional Constipation Disorders Hepatic Palpitation Torpor Tachycardia Intestinal TObaCCO Atony or Heart Stasis Pośz to3 Pillets $290.52%. A to 3 Zač/ety’ three or/ður times& at 3edºze/ 32/20. 22% cº-º/wºod Correspond with our Advertisers, Ann, MENTion rhrs Journal. ADVERTISING - XV . . . . ºx :-- s." . . . º ‘. 2 ** .3 ". . . . .” F. - '.. - “ . . . . . º . . . . . . . ; “. . .". ºr '' . . . . . . . . . . . . -- * * * : . . . . . . . . . . . . .” - ; : . . " ºr & Fºº. Tº sº. Tº . º ... RV 7. Yº * * * * * § 3...º.º. º. * * * * * * In improved Mineraſoiſ Preparañon It doesn’t gag—it pleases the palate. Whenever a pure petroleum oil is indicated, prescribe Petrochondrin (Abbott), and get results. You will find it the best mineral oil preparation because it is— 1. Pleasant and palatable—not oily. 5. An effective regulator of bowel action. 2. Eagerly taken by children. 6. Mixes with and softens the fecal mass. 3. An ideal vehicle for other remedies. 7. Emollient in its action. 4. Soothes instead of irritates. 8. A nutrient as well as a laxative. elieves constipation, indigestion, and chronic bronchial troubles. 10. Sure and satisfactory in its action. Doctor, give Petrochondrin a trial. When you have seen how nicely it works you will continue to prescribe it with an increasing degree of satisfaction. gºssºſs-cº. . . . . tº If your druggist is not stocked, send your order to the most a pºss- =- :: * : . . rºse convenient point. • . # * G > a Per 16-ounce bottle . . . . . . . . . . . . . . . . . . . . . . . . . . . 94c Net |...; ; ; ; ; ; ; ; ; ; pg. *s Per half-gallon bottle . . . . . . . . . . . . . . . . . . . . . . . . $3.30 Net £ š § : i ; : \ : j : # ! º … " " 'º For the present these prices apply in-the U. S. only. S C ; ; \* * * * : * ~ * P re. * - , 8 $ s- 3 S >] * C §§ 3 ; }; ** = & S 5 The Abbott Laboratories s: # i ; ; ; ; ; R CHICAGO Dept. 23 NEW YORK 3 i: ; ; S. § ; : S- T S Seattle San Francisco Los Angeles Toronto Bombay * - ſº º- * * ... " . . . . . ; - . In children, and particularly in infants, the importance of maintaining normal diges- tion is most important. In babies most disturbances of heaſth have their origin in faulty digestion of milk. Galactenzyme (Abbott), a virile culture of the true Bulgarious Bacillus, aids in restoring the normal intestinal functions. Try it in your cases of intestinal fermentative diseases and diarrheas. Try it in Gastroenteritis, Bacillary Diarrhea, Intestinal Fermentation and Toxemia, Urticaria, Diabetes, and the various Conditions due to intestinal putrefaction. Galactenzyme Douillon is a local application of dem- OnStrated merit in various mucous-membrane infections. PACKAGES AND PRICES : Galactenzyme Tablets (in bottles of 100), per bottle. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75c Net, £3. Galactenzyme Bouillon a pure Liquid Culture of 2- ºwº - Bacillus Bulgaricus, “A,” per box of 12 gen- º E= ºff erous vials. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 94C Net ſ *{ ** * * *** * * * * * For the present, these prices apply in the U.S. only. GALACTENZYME Most druggists can supply you. (Jobbers * * *-* * are stocked.) If yours cannot, send your 4 9–4 VA u-tº was sº. orders direct to our most convenient point. When prescribing be sure to specify ABBOTT’S. Price List, Literature and Representative Samples on request to Home Office and Laboratories, Chicago THE ABBOTT LABORATORIES HOME OFFICE AND LABORATORIES: Chicago, Dept. 23 New York Seattle San Francisco Taos Angeles Toronto IBombay CORRESPOND WITH OUR ADVERTISERs, AND MENTION THIS Journal ELLINGWOOD’S THERAPEUTIST | ºnwºº W % -- AMENORRHEA DYSMENORRHEA MENORRFHAGIA METRORRHAGHA ERGOAPIOL (Smith) is supplied only in I packages containing twenty capsules. pose: one to two capsulesthree or four times a day. Sº Sº Yº SAMPLES and LITERATURE ºSENT ON REQUEST. º RELIER OF HEADACHES. With many patients there is a periodic need for relief from headaches of vary- ing degrees. In this class of patients it is well to seek for anodynes outside of narcotics and coal tar products, if the possibility of habit-formation is to be guarded against. In these cases Pasa- dyne (Daniel) will be found of definite value, owing to its power to relieve pain of mild degree. In headache pasadyne Daniel acts by erducing cerebral congestion. As an anodyne in headache Pasadyne is particularly indicated in those cases in which the pain recurs from time to time. As a means of producing sleep Pasadyne is a thoroughly dependable drug. No danger of habit-formation at- tends its continued employment. A sam- ple bottle may be had by addressing the The laboratory of John B. Daniel, Inc., Atlanta, Ga. Dr. Larson's Revolving Syringe This highly scien- tific and sanitary device has been brought forward by Dr. Theo. Larson as a most perfect in- strument with which to cleanse every part of the vagina and of the vaginal vault. The results pro- duced by its use are m or e perfect and more highly scien- tific than can be c 1 aim e d for any other instrument. It is readily introduced and easily used. It is presented as the o n 1 y instrument which will fully ac- complish the results claimed. - PATENT APPLIED FOR In the treatment of any vaginal dis- charge, chronic or acute, and especially in the treatment of acute cases of gon- orrhea, the cleansing of the vagina is so complete and thor- ough as to win the highest approval. In the ordinary vaginal discharges it is at once satisfac- tory. We offer this in- strument for $6.50, subject to 30 days' trial. If after that time you are not satisfied, you may return it and your money will be re- funded. Dr. Larson's Sanitary Device Co. 7409 N. Clark St. Chicago, U. S. A. CoRRESPond witH our ADVERTIse Rs, and Mention THIS Journal. ADVERTISING XVII The Last Thorough Revision A of Ellingwood's New American Materia Medica Therapeutics and Pharmacognosy Has brought this intensely practical work up to the present time. Always Popular It Has Reached the Summit of Its Popularity in this Edition Its very wide circulation speaks volumes for its great practical value. It has reached probably every English speaking country. Every reader is an enthusiast, and every one who follows the lines suggested obtains phenomenal success. This is saying a great deal, but it is true. Every fact stated has been thoroughly proven, and is thus far and away beyond the experimental stage, and plainly in the narrow but essential field of certainties. The style is clear, concise, pointed, practical; entirely free from verbosity, definite in the extreme and intensely interesting. - It is Royal Octavo in size; is double indexed. The price in cloth is $6.50. Address Ellingwood’s Publications, Evanston, Ill. T A No n - Poison o us, Unirritating Antiseptic Solution Agreeable and satisfactory alike to the Physician, Surgeon, Nurse and Patient. Listerine has a wide field of usefulness, and its unvarying quality assures like results under like conditions. As a wash and dressing for wounds. As a deodorizing, antiseptic lotion. As a gargle, spray or douche. As a mouth-wash-dentifrice. Operative or accidental wounds heal rapidly under a Listerine dressing, as its action does not interfere with the natural reparative processes. The freedom of Listerine from possibility of poisonous effect is a distinct advantage, and especially so when the preparation is prescribed for employment in the home. LAMBERT PHARMACAL COMPANY ST. LOUIS, MO., U. S. A. CoRRESPOND witH OUP ADVERTISERs, AND MENTION THIS Journal XVIII ELLINGWOOD’S THERAPEUTIST - - The Baldwin Sanitarium “The Home of Intravenous Medication” and “The Eye Repression Treatment for Goitre” Dear Doctor: Permit us to call your attention to the work of the Baldwin Sanitarium and our two special lines of work. In this connection we would like to ask: What are you doing with your first and second stage tuberculosis? Are you meeting with satisfactory results? Have you ever tried the INTRAVENOUS FORMULA used at this institution? If not, why not? Introduced into the venous circulation it goes directly to the lungs and there acts as an oxidant, germicide and anti- ferment. Why not give the method a rigid scientific investigation? Why not give us a trial? - Do you know that we are successfully treating both simple and exophthalmic goitre by the EYE REPRESSION TREATMENT; by fogging the vision to relieve the ciliary strain and overcoming the muscular insufficiency by the use of prisms? Do you know that we are successfully taking care of 70 per cent of all cases of goitre, chronic migraine and other cases in which eye strain is more or less a factor? - Shall we mail you our literature ? CoRREspond with our Advertisers. AND MENTion this Journal º: ADVERTISING XIX dministrati | º º §§§3& & - º Its use in the case of rundown, debili DIT * in children jeasu solution bu the use of meets children. who are susceptible to colds and bronchial inflammations, is followed by gratifying results. These patients fake on weight, and increased resistance, showing the definite reconstruc- five powers of Cord. Exf. Öl. Morrhuae Comp. (Hagee). EACH FUND OUNCE OF HAGEES condiAL OF THE EXTRACT OF COD Llyfr Oil COMPOUND CONTAINS THE Triarſ of IANABLE FROM ONE-THIRD FLUID 0UNCE OF COD LIVER Oll (IHE FAITY PORTION BEING EllMIN- EX - (# GRANS (AICIUM HypophOSPHITE, 3GRAIN550blin Hypophosphiné.wiſh GiyſERIN AND ARDMAICŞ. 2 Easily ssimilated * -->5.222//ec/Jºe sacreer: oºzzee Aort/es orºg. ſºuthartºun ſhemical Co., $1.1 ultis, ſſp. free from Grease and the Taste of Fish. -->2- ~~<2׺persed ºr ºſ/ dºzºzzi's rºs. KATHARMON - - arry it in your emergency - bag and use it as a germi- cidal dressing. A3?harmon Cheroica/ Co., Jy. Louis. Mo. KATHARMON represents in combination Hy, drastis Canadensis, Thyraus Vulgaris, Mentha Aryensis, Phytolacca Decandra, 10% grains Acid Borosalicylic, 24 grains. Sodium Pyroborate to each fluid onnce of Pure Distilled Extract -* {#ifeh Hazel. - SALE like new, for sale. Neal-Armstrong, four patient Oxyline machine, in good running order, almost Send check with your offer. Crated F. O. B. - PEORIA, ILLINOIs DRS. PARKER & PARKER ONE OUT OF THOUSANDS I have been reading medical journals for 39 years and I consider the THERA- PEUTIST the best, bar none. Every copy worth the price of subscription for a whole year. J. P. Collins, M. D. Belcherville, Texas. .* - ;: § : . | º º Liš [I] § º THE STANDARD SALINE LAXATIVE Samples on request Bristol-Myers Co. New York CoRRESPOND witH oup ADVERTISERS, AND MENTI on THIs Journal. XX ELLINGWOOD’S THERAPEUTIST Wiſſipp/WAL OFALCOHOLICS in the case ºf manu men long accustomed tº their dail use. has resulted in marked nervous phenomena whilºhe Phusician is called upon to manage. ASA DYNE- D. A. N. I. E. L." C O N c E. N. T. R. A o F. |FA-3sºº's Eº *śºsſ N EXURE) in these gases, especially if sleeplessness and extre : - true nervo are outstanding féatures, produces +he happiest of ºf.” its use the patient secures restful sleep, a more stable nervous #;" and without the possibilitu of acquiring a fresh addic 1 ºn . £4/ºzers Awazz/fºazzare stapºzºa Joaºxºca/vis aarava ºxazºss razºs LaeorraroRº" of JOHN B. DANIEL, Inc., Atlanta, Georgia. A Superior Cod Liver Oil Preparation. The chief—in fact the only objection one can have to cod liver oil—is its disagreeable taste, and condition of reduced toleration brought about by its continued use. It was this objectionable feature of cod liver oil which finally induced chemists to produce more palatable preparations of the oil. Chief among these more palatable preparations of cod liver oil is Cord. Ext. O1. Morrhuae Comp. (Hagee). In the manufacture of Cord. Ext. O1. Morrhuae Comp. (Hagee) the aim of maximum of therapeutic efficiency and palatableness has been achieved. Cord. Ext. Ol. Morrhuae Comp. (Hagee) contains the essential therapeutic properties of the plain oil with none of its dis- agreeable features. If cod liver oil is indicated Cord. Ext. O1. Morrhuae Comp. (Hagee) may be used with every assurance that in it are to be found the reconstructive tissue-building powers of the plain oil. - - - Nºvº ----- º - - R -- S A N M ETT O KIDNEY-BLADDER-PROSTATE. Valuable in Prostatitis-Pyelitis-Cystitis-Enuresis In Dysuria–Albuminuria In Irritable and Weak Bladder Conditions AS A SOOTHER AND MILD DIURETIC D0SE:—One Teaspoonful Four Times a Day. oD CHEM. Co., NEW YORK. DOCTOR 1 " In Justice to That Patient / You Should Try the Slow Sinusoidal Current/ THE McINTOSH No. 8 POLYSINE GENERATOR “The Sine of Progress” Generates Galvanic and Sinusoidal Currents in many variations. Eight different Modalities. Built for operation on alternating cur- / rent, this apparatus is the latest development in the field of ºtro/ M. c. In- Therapy. The first of these are just nearing completion. to s h Bat- SAFEST-SUREST-SIMPLEST / ºo: &#. Its installation is a sure proof of your sagacity. Special . fii. - literature and generous offer sent on request without any gº obligation to you. A complete line of X-Ray and ºtmº. / Please send your spe- apparatus described in our 40th Edition Catalogue. cial literature and McINTOSH BATTERY & OPTICAL CO. ...'...". s."; Main Office and Factory: Eastern office and service / Péº. Generator.” 217-223 No. Desplaines St., Station: Name... . . . . . . . . . . . . . . . . . Chicago, Ill. 1777 Broadway, New York, N. Y. Address. . . . . . . . . . . . . . . . . . Conrzspond with our Advertisres. Arno Mention this Journal. ADVERTISTING XXI LEND A. HAN The National Eclectic - Medical Association is not - accomplishing its maxi- mum good without a full and complete membership which includes every eligible Eclectic physician in the United States. It is im- possible for your Propaganda Committee to approach every man who should be a member. If you have as your neighbor a non- member qualified for membership, it is your duty to interest him in your society and its meetings. Tell him about your State Asso- ciation, your National, and the “National Quarterly”—show him what he is missing. Then ask him to fill out this application and submit it to H. H. Helbing, M. D., Natl. Secy., 4963 Fountain Avenue, St. Louis, Mo. n Application for Membership To the Officers and Members of the … ... s e e s e s e e s e º e s e e s e e s e e s a s Eclectic Medical Society. I hereby make application for membership in the State and National Societies. I am inclosing check for $4.50, to meet my dues for 1920, including membership in the State Eclectic Medical Association and the National Eclectic Medical Association. It is understood that same is to cover, in addition to the dues, a year’s subscription to the “National Quarterly” and the other association benefits. (Signed) (Full Name). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Street or P. O. Box. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Licensed to Practice Have Practiced in This Location since. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . CORRESPOND witH OUR ADVERTISERS, AND MENTION THIS Journal. XXII XLLINGWOOD’S THERAPEUTIST WHAT IS AUTO-HEMIC THERAPY2 Treating the patient with a drop of his or her own blood admin- istered according to a perfected and refined technic without use of bugs or drugs. Auto-Hemic Therapy is in perfect harmony with the very latest development in physics, physiological and pathological chemistry. Properly administered, the treatment is absolutely without risk. WHAT PHYSICIANS SAY “The missing link in medicine.” “Has no rival in chronic cases.” “The king of Therapies.” “The new life serum.” “A wonderful reconstructive.” “The greatest producer of physical and mental ‘pep.’” “No other method appeals so favorably to the intelligent public.” “The best builder of a creditable, permanent and lucrative office practice.” “Doubles the cures and incomes.” “Of fifty or more different sera with which I have had ex- perience, ANY or ALL are not as a drop in the bucket compared with Auto-Hemic Therapy. It is a God-send to all patients having tubercular, cardiac, hepatic or renal troubles; in fact I have not found its limit in over two hundred cases treated.” Judging from the reports already published, it would seem that there is scarcely any limit to the applicability and practicability of this new treat- ment. Some of the most obstinate cases of anemia, insomnia, nervousness, constipation, eczema, diabetes, goiter, hay fever, rheumatism, mental and physical debility, lack of “pep,” ulcers, insanity, morning sickness, high-blood pressure, and other conditions too numerous to mention, have been benefited, if not permanently cured, by Auto-Hemic treatment in an incredibly short time, after all other methods had failed. In December, 1918, fifty physicians reported 3,000 cases, representing 200 different ailments with 85 out of a hundred benefited. Copy of a journal containing reports of the surprising results obtained by many physicians, also particulars regarding Dr. Rogers’ book and course of instruction, sent on application to North American Journal of Homeopathy 2812 North Clark Street, Chicago, Ill. CoRRESPOND witH our ADVERTISERs, AND MENTION THIS Journal. ADVERTISING XXIII For the Quichº Relief of Pain by External Application Consult our literature for the history, formula and reports of physicians using Libradol in: Cough, Croup, Croupous Pheumonia, Endometritis, Felon, Sore Glands, Gout, Grippe, Headache, Hemorrhoids, Injury, Itching, Lumbago, Neuralgia, Pleurisy, Pneumonia, Rheuma- tism, Sciatica, Sprain, Stings and Bites of insects, Tonsillitis, Uterine Carcinoma, Insomnia, etc. * The professional use of Libradol increases each year. Its action is surprising, even where the pain is deep-seated. Several years ago, a physician in charge of the hospital of a great iron and steel industry, ordered one pound of Libradol for that establishment. A few days afterward came an order for a five pound jar (Hospital Size). In 1ess than a week came another order for one dozen jars, hospital size. This was followed by frequent orders, each for TWENTY-FOUR JARS, hospital size, these continuing at short intervals, to the present day. REPLACES HARMFUL SYNTHETICS. Where the synthetics have failed, Libradol has acted promptly. Let us quote from reports of physicians: --~ “I was called to a patient suffering intensely from a painful affliction that another physician had failed to relieve. I spread Libradoi at oncé over the seat of pain, and prescribed the indicated internal remedies. The patient was immediately relieved, and fell asleep before internal medication was in- stituted. Since that event I have been the physician of that family.” Another physician wrote: “The following is the experience of a patient suffering from facial neuralgia: Coal-tar products, nervines internally, and other processes had been utilized by the attendant physician to no avail. I was called and spread Libradol over the forehead and behind and below the ears. Within ten minutes relief followed, and in half an hour all pain had disappeared. The indicated Specific Medicines were now prescribed. There was no return of the neuralgic pain.” sº To Physicians Entering Government Service If your patients are not convenient to a pharmacist who can fill your prescriptions during your absence, it is proper to write on the pre- scription blank under the Libradol label, directic.ns for its use, and leave a jar with each patient. This is being done extensively. PRICES: % lb. % Ib. lb. Hospital Size Regular and Mild (same price) $0.60 $1.10 $2.00 $9.00 SUPPLIED BY DRUGGISTS GENERALLY LLOYD BROTHERS, Cincinnati, Ohio * g "Ellingwood's THERAPEUTIST sº Pºmº º tº . Cascara Sagrada r * ... Functional Intestinal To THE treatment of chronic constipation presents a problem peculiar in itself. The pivotal point in its solution is the selection of a therapeutic agent that will aid in re-establishing normal peristalsis. ºg º ºs - º º ſº 3. º - º º, * ſº The various laxatives and cathartics are indi- - cated for the relief of acute conditions. They cannot be administered for prolonged periods, for obvious reasons. One drug, according to the best authorities, meets all requirements. That drug is Cascara Sagrada. It is pre-eminently adapted to the treat- ment of chronic intestinal torpor. The dose can be increased gradually, and con- tinued for weeks, if necessary. Finally, as the desired effect is attained, it can be progressively diminished as a regular daily “habit” of bowel evacuation is formed. Cascara Sagrada is well suited to meet condi- tions not infrequently encountered in constipation *s. of the aged and the very young. We market Cascara in a variety of forms. Two preparations, however, especially commend them- selves to physicians. Fluid Extract Cascara Sagrada (P. D. & Co.), a bitter product, is one of them. The other is Cascara Evacuant, the most widely prescribed palatable Cascara. Parke, Davis & Company - - - - - - - - ºr- ºr . ~ . * * * * * * * *.*.* -- - - - - - - - - - * ~ **** * * * * jº, * * > Pºſ = 1 - * * * * * * * t * 3& • s & sº * w * : **s-se ×2 - - º, * * * ***** • * * *** * * * **** is z=-sie is z*.*.*.*.*.*.*.*.*.*.*.* :3: 23: --- sº ste • * * * > -ºº-ºº: º º zº :35 ºr tºº §§ * tº ſº º $ºſìTº : : º : ºe wº * :º § º eº C § ; ; º g } º º § ſº Ø:S SK § Sº 2 § º Sº) º º : - § t º ić © §: º : FINLEY ELLINGWOOD M.D. E DITOR AND DUBLISHER SINGLETRUTHS 32 N. STATE ST. CHICAGO sº t 2/PRICE - uuuuuuuuuuuuuuuuuluuluuluuluuj $1 .50 PER 00T OR S ñ } * :/|| Vol. 14 No. 6 § NYTRUTHS. WAI All - §ſºme *:ś §§ º §§ Z º § §§ § º ſº N | jº; & º §§ º º: U}|ºg ſº EACH DOCTOR - § {\ º | % º M § | V º º #|| §|| §§ ſ 2 fljś º IR * sº § sº ſº Brºº cº- § iº É\}^\º =|ºllº; º ºšº's §§§ ; #|º ºśiñº fºllº =|º § § E|ſº º § = |\,...); (* 9%||É|É =|º Il 9 S §§ Hº Fellows - yrupus º #|sº - O jº Ajº. Hypophosphitum ſº = º p p p º § | = * A concentrated mineral pabulum, possessing unrivalled thera- = º peutic properties in all Wasting Diseases, which have been = º termed “Demineralizations” by modern clinicians. É § | Supplies the organism with those indispensable mineral elements: = º Manganese Potassium Sodium Calcium Iron #E sº together with the dynamic action of quinine and strychnine. =|º e #|#|º “THE STANDARD TONIC.” º º É s Samples and Literature upon request. § § #3; ...t- * • * §§ FELLOWS MEDICAL MANUFACTURING CO., Inc. §§ § º § 26 Christopher Street § É #|\4 New York É2.É. Ç º º #K §§ ÉÉ). §§§§ sº ºś §§§ º Nº: Aſ [º W º lºšičğ2%iº º * º ETNº|U}|N|Wilſº,Uſº §§ tºº § º § : º ºº R à º - 23.7°5 ññºs * - u tº - āş; CŞ. º ſº §§ >>; ºliº § § º § &º º tººkºº:: § SYSº § º e - º § § ; # # § § §: ;: § 2 ºriº ** :::: § ELLINGWOOD’S THERAPEUTIST SETIOURSEIFRIGIAlmſitiºn It is not a fad, ism or pathy IT IS A POTENT THERAPEUTIC MEASURE BASED ON SCIENTIFIC FACTS. IT PERTAINS NOT ALONE TO “PILES AND CIRCUMCISION” BUT TO EVERY TUBE and hollow organ—to all tissues receiving fibres from the Sympathetic Nervous System. The School of Orificial Surgery offers its Course to graduate phy- sicians only. The theoretical and basic study is conducted by a successful plan of correspondence. The practical and technical work is taught clinically. Each student receives personal attention. Satisfied graduates tell. Ask for some of their letters. Write for a copy of The Orificialist. SCHOOL OF ORIFICIAL SURGERY, Inc. UTICA BUILDING DES MOINES, IOWA The Control of Ovarian Disorders F you believe in organotherapy—and you should—you know why it is so efficacious. It is indeed a physiological measure, restoring in a “natural manner” deficient glandular activity. Caps. Thyro-Ovarian Comp. (Harrower) is a superior remedy in the functional dysovarism underlying amenorrhea, dysmenorrhea, menopausal imbalance and neurasthenia. It is often better than corpus luteum alone. Write for the booklet “Ovarian Dysfunction”—Free Address the nearest office and mention “Ellingwood’s Therapeutist” THE HARROWER LABORATORY Glendale, California NEW YORK; 31 Park Pl. CHICAGO: 186 N. LaSalle St. DENVER: 1132 15th St. BALTIMORE: 4 E. Redwood St. —-mº * A monthly Journal of Therapeutics; educational in character, issued on the 25th of the previous month; devoted to the determination of the exact action of single drugs upon exact conditions of disease. A Journal to Which every subscriber is also a contributor, and in which the Subscriber and the Editor, are working in the closest possible relationship, to determine true and invariable drug action, for the benefit of the entire profession, and thus, Humanity. - * OUR MoTTO: To learn the Truth. To prove the Truth. To apply the Truth. To spread the Truth. - - wº indi º: CREED: The Truth from all, for all, to all, without regard to the creed of the ndividual. * - " . OUR FAITH: That all disease will ultimately be subdued, in whole or in part, by remedial measures; - - - That failure to cure disease is due to our lack of knowledge; That Therapeutic nihilism is the deadly foe to Therapeutic progress; That the study of the clinical action of the single drug, is the true method of drug study; That each drug acts directly and invariábly upon one or more exact conditions of disease, and must be so studied and known; - That with such knowledge perfected, we can immediately and successfully prescribe for conditions of disease with which we have not previously met. - - TABLE OF CONTENTS FOR JUNE, 1920 LEAD IN G ARTICLES gº Of iº s a • * * * * s e s - e e s s e s = e º a s = e s a • * * ** s e º a 9 º' ; The Tongue as an Index of Disease. . . . . . . . . . . . . . . . . . 181 ºt. ndications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . W. H. Dickinson, M. D., New York. Gonorrhea. . . . . . . . . . . . . . '• * * * * * * * * * * * * * * * * * * * * * * * * * * * . . 200 Diplº e s & e a • a º e º 'º - e. e º s & e º e º e e s s e e º a c e s e º a - © tº e s tº * 183 THERAPEUTIC, FACTS . W. Yenger, M. D., Richmond, Ind. - - - - - * : - ... 2 Gynecology and Its Non-Surgical Treatment. . . . . . . . . . . 184 #ºº.....:::::::::::::::::::::::::: Charles Woodward, M. D., Chicago, Ill. Nausea - ... . . . . . . . . . . . . . . . . . . . . . . . - ... 202 Tefinite Treatment, for Certain Diseases. . . . . . . . . . . . . . . 188 Toothache . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .252 Eli G. Jones, M. D., Buffalo, N. Y. Nephritis in Childhood. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 202 Acidosis with Starch Indigestion... . . . . . . . . . . . . . . . . . . . . 189 Gelsemium in Meningitis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 203 ... Henry A: Strºng, M.D., New York. , , Urinary Irritation in Neurotic Women. . . . . . . . . . . . . . . . 205 The Treatment of Mental and Nervous Dise..ises. . . . . . 190 To Prevent Nausea from Apocynum. . . . . . . . . . . . . . . 205 OS J. Givens, M. D., Stamford, Conn. Queen of the Meadow. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .205 A Case of Prolapsus, Ani Cured by Sodium Salicylate. .192 Calabar Bean for impotency. . . . . . . . . . . . . . . . . . . . . . . . . .255 ...M., Atre, H.C. P. and S. Chronic Stasis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 205 Coliºicºm $yºgists.º.º.º. . ; ; ; ; ; . . . . . . . . . . . . . . . 192 Baptisia Indications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 205 - . S. Thompson, Havelock, Outario. Inactive Liver . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 205 BRIEF EDITORIALS Tincture of Copper. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 206 #. * BºeIssue. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . #: jºin - * * * * - - - - - e. e. e. e. - - - e s = - . . . . . . . . . .. . . . . . . . . . ; ; rrest of Dr. Bishop. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . ; ; ;......... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The Cincinnati College. . . . . . . . . . . . . . -- - - - e º ºs º e - - - tº e º 'º - 193 Intrauterine Injections. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 206 X. Wº: Yº a s a tº 4 tº e s s a s = - a tº s 6 s e - a e º e s a e - e. e. e s tº e - # GLEAN INGS - * "eating Specifically. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 * - - - - - - Referring to Elongated Scrotum and Impotence. . . . . . . 195 ; *...*.*.*.tes. a sº • * * * s w a ... . . . . . . . .* § Intravenous Treatment of Disease. . . . . . . . . . . . . . . . . . . . . 196 Give the Baby its Rights. . . . . . . . . . . . . . . . . . . . . . . . . . . .253 Nasº-Pharyngeal Cough.... . ; . . . . . . . . . . . . . . . . . . . . . . . 197 T}o Movies Hurt the Eyes?... . . . . . . . . . . . . . . . . . . . . . . . . . 209 Study the Hand in Nervous Diseases. . . . . . . . . . . . . . . . . 198 “Lest We Forget”. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 210 Neurosis • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 198 Suggestions for Safety in T}angerous Labors. . . . . . . . . . . 210 Apocynum, in Pregnancy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 199 Misplaced Credulity. . . . . . . . . . . . • * * * * * * * * * * * * * * * * * * * * 211 A Comparison of Eruptive Fevers. . . . . . . . . . . . . . . . . . . . . . 199. fºxophthalmic Goitre. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 213 Hemorrhagia at the Menopause. . . . . . . . . . . . . . . . . . . . . . . 200 fºrth Registration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2i; Ellingwoob's Cherapeutist Is Edited and Published by FINLEY ELLINGWOOD, M.D., 32 N. State Street, Chicago, Ill., U. S. A. Subscription Rates: In North America and Islands of United States, $1.50 per year in advance, and one Therapeutic Fact. To all other countries, $1.85; single copies, twenty gents. Sample free to possible subscribers and advertisers. Payment should be made by Express or Postoffice order, or Chicago or New York draft. Personal checks must have ten cents added for bank exchange. Foreign P. O. orders should be made payable in Chicago. - - Ghanges of address with both old and new addresses must be sent as soon as made. We are only thus responsible for all issues. Renewals must be sent in promptly as the new postal regulations only allow us four months’ Continuance. - Original articles suitable for publication are accepted with the understanding that they are Written especially for this Journal. Foreign articles will be received and translated if found desirable. - - Reprints will be furnished at reasonable prices if a request to that effect accompanies the - manuscript. Approximate prices may be had on application. Manuscripts will only be returned if requested, and stamps are sent for this purpose, but we assume no responsibility. Let it be understood that we are not responsible for, nor always in accord, with the opinions of contributors. IV ELLINGWOOD’S THERAPEUTIST BENIDWUIES-Merrell Each soft gelatine capsule contains: Benzyl Benzoate 5 minims—Vegetable Oil 5 minims. Dose: 1 to 3 capsules every 2 or 3 hours until relief is obtained. Benzovules are a convenient form for administration of BENZYL BENZOATE The New Antispasmodic. The medical profession is being detailed NOW by our repre- sentatives on BENZOVULES. Stock them now. Be ready for prescriptions. Benzovules are packed 24 capsules to the box. Price per dozen boxes of 24–$6.60 less 15%. Order Through Your Jobber THE WM. S. MERRELL COMPANY Cincinnati, Ohio, U. S. A. Founded 1828 CORRESPOND WITH ouR ADVERTISERS, AND MENTION THIS Journal ADVERTISING V *: - - Es º 5. * { º º - º º Sº º º SALINE LAXATIVE GHAHütahitfºrthwºstºni : ºntains purifº - .###, #hâté, ti S. -- - ºn º º f sºdium. ºrlºat. ºric aciº. --- - - - fºLiº º | ſt 5 ºzs. Avº. º frigerant, -- :# Aºſé, Anti-ferment. . - - - £º º ative and cathartic.” jº #º. º º A*A*#iºttº sroºts. E AL L DT - - | º ºf the assor aeosaronics - - º º N. -º-º-º-Gº's ºf º ABBETT5 5ALINE tºº Pººs- º LAXATIVE-7%////Z º º, D IMITATIEN= SALINE is best as a rule for ridding the bowel quickly and effectually of offending residuals and toxins. And our best eliminant of this class, no doubt, is magnesium sulphate. Not the plain salt which has an evil taste, nor the bottled solutions which are needlessly expensive. But in the granular effervescent form known far and wide as - ABBOTT'S SALINE LAXATIVE; this is pleasant to take, never nauseates, and seldom if ever gripes. In screw-cap bottles: Large size, $1.28 net; medium, $0.53 net; small, $0.34 net. Also in bulk at special prices. Sample vial sent on request. THE ABBOTT LABORATORIES Home Office and Laboratories, Dept. 23, Chicago, Ill. New York Seattle San Francisco Los Angeles Toronto Bombay CoRRESPOND witH our ADVERTISERs, AND MENTION THIs Journal VI ELLINGWOOD’S THERAPEU.” ISI PROTECT YOUR PATIENTS AGAINST . . . . Colds Influenza Pneumonia - USE SHERMAN'S N. 38 WRITE FOR LITERATURE | Fº ºf URER - BACTERIALVACCINES NMD - HERMA” Q ZXetrozz/ft24. º POST-OPERATIVE CONVALESCENCE A prominent surgeon recently said, “We give too little attention to our patients after Severe operations. The wound receives ample care, but too often we overlook the patient himself and the more or less severe depres- sion of vital functions incidental to the inev- itable shock to his nervous system. Then, in many instances, we wonder why a patient does not recover more promptly and remains a semi-invalid so long. In thinking the matter over, I came to the conclusion that a good systemic tonic was indicated in the great ma- jority of cases. I, therefore, commenced the practice of administering Gray's Glycerine Tonic Comp. after every operation. The re- sults have more than justified my conclusions and I not only have the satisfaction of seeing my patients recover more rapidly and uni- formly, but I am now seldom if ever called on to answer that inquiry that was once SO general, ‘Doctor, why don’t I get back my strength 2' The routine use of Gray's Tonic Comp. obviates any reason for such a ques- tion.” - - -- DON'T SEND THE POOR FELLOW AWAY, DOCTOR! EY. DAY doctors are advising a rest, a trip to a sanitarium, a visit to a specialist, an operation—anything to get rid of their old, stubborn cases of Prostatic Disease and Imp - Maybe you are doing, or are about to do, this very thing. You are prestige, to say nothing of the keen satisfaction of having won a hard fight! otence losing possibilities of dollars and Too many of these cases are passed up by good doctors, only to fall into the hands of unscrupulous men who offer nothing but promises and frequently give less. YOU CAN GET RESULTS in the great majority of these cases. Decide now to try SUPPOS. PROSTANS thoroughly in just one case, Doctor. You will then certainly rely upon Prostans as your Sheet Anchor and thereafter keep the business you’ve been turning away. - Now, Doctor, you can easily prove this, just as over two thousand other physicians have done. So don’t scoff, but simply fill out the coupon below. THEN JUDGE FOR YOURSELF. —This Coupon Means Success and Money Saved as Well. Fill "it Out. Send. Today. REGENT DRUG COMPANY sºs woodward Ave., betroit, Mich. [] I enclose $1.00, send me one box (of 15) Suppos. Prostans (price $1.50), also book “On the Treatment of Prostatic Diseases and Impo- Formula on Every Box! tence”—free. Name ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ................... © e Q I] I enclose $5.00, send me six boxes of Suppos. - Prostans (worth £º: also the above º: and “Successful Prostatic Therapy”—free. Address ............................................ e e e - e > * > * *- CoRRESPOND witH our ADVERTISERs, AND MENTION THIs Journal. ADVERTISING VII The STORM BINDER and NECROSINE injected directly upon ABDOMINAL SUPPORTER the necrosed spot through the attendant PATENTED) h - MEN, WOMEN, CHILDREN AND BABIES fistula, should seldom fail to permanently h i * -- - 1 No Whalesbones. No Rubber Elastic. Washable as Underwear cure both in a few weeks time Equal y efficient in dental or long bone caries. Absolutely harmless to sound tissue. An old remedy, but a new combination. % size bottle, $2.50; full size, $5.00. DR. G. W. HARVEY, Paradise, Calif. Inguinal Hernia Belt Hernia, Obesity, Pregnancy, - - Relaxed Sacro-Iliac Articulations, Drug and Liquor Habits Floating Kidney, High and Low Operations, Ptosis, Pertussis, etc. Sanitarium established eighteen years. No suf- fering, no danger, close medical care, good nurs- A º - - icians. - - - sk ## :########## º ing. Pleasant surroundings, quick and absolutely within twenty-four hours. satisfactory results. Katherine L. Storm, M. D. Ralph Sanitarium, 529 Highland Ave., Kansas City, Mo. 1701 Diamond St., PHILADELPHIA |PEACOCKS BROMIDES. | chion|A "/ºr - ſor | - - | Epilepsy Jaundice | Utero-Ovarian | Hepatic Congestion Torpor |- Migraine Biliousness Neuroses Indigestion Hysteria Cholangitis 2005E: Onze zo. Four' .20.55: One to ºo tea- feasoooºſaſ's ºzoozſºs three dºmes&day T || || || || || | | | || | *PEACOCK CHEMICAL CO. ST.LOUIS MO: CoRRespond with our Advertisers, AND Mention this Journal. VIII ELLINGWOOD's THERAPEUTIST etº: [.=&=2~~~ | E. AA M º | Z. = Z. B ~~ E Ell’E +d | | | ſ | T | º - superior fea | | ºth |Fºr +hese reasting ând held a front- ſº full ºf rivals. (§ałłle) be found in His positiveness of ther; eutic effect, the even balance ºf its form T lă, the purity of its constituents and the caré uwhich it is cºmpounded. j (Dattle) has gaine! place fºr many years in a Fie * i º | # º C-> ºA W Z= º | ]] lºl } Whenever #he bromides are indicated Bromidi. should be chosen if you urant a maxi; •=--º = − = −7 a--a -s s_- * = *=-------- * *-* * –– -- " - * =>s-- * ==== |id=r-i-...- = −ees thumāf-therapeutic effect BăsăgăGöäChemińGößgräfiſäääßſä REVOLVING SYRINGE Dear Doctor: Look at it! The Revolving Syringe does the business and brings back the bacon. - We doubt very much if there is an instrument in your office that will bring you the returns that the Revolving Syringe will. -- - The results are so gratifying that when you have treated one of your pa- tients she will bring you a dozen more. This is the first and only scientific instrument of its kind in the world. Thirty (30) days introductory sale. During these 30 days we will fill all orders at $6.50. Remember Doctor, this offer is good only for thirty (30) days. Yours truly, DR. LARSON'S - SANITARY DEVICE COMPANY. The New Field Series Cºmpleted Books by the late DR. W. H. BURGESS All about EPSOM SALT and other congenial drugs. New Field method of diagnosis without asking questions. and how to prove it. Congenial treatment of all diseases. The cure of Tuberculosis, #" Disease, Uric Acid Diathesis and all ENERVATIONS. * The Double Sulphide treatment of Typhoid and a other INVASIONs. . Doctors say these books are worth their weight in gold. Five small volumes at $1.00 each, or the full set for $4.00, by mail prepaid. First Book: THE NEW FIELD, 287 pages....... $1. Second Book: CHRONIC DISEASE, 320 pages.... l. Third Book: NEW DISCOVERIES, 32 pages, con- densed from over a thousand pages of physi- cians' reports e Fourth Book: NEW FIELD SCIENCE, 303 pages. 1.00 Fifth Book: LITTLE AILMENTS AND CONSE- QUENCES, 192 pages. . . . . . . • * * * * * * * * * * * * |.00 These books are bound in Princess cover, as durable as leather, and will not mildew Free with any $1.oo book: Nursing Therapy, 32 pages. A practical exposition in pamphlet form. Single copy, 50 cents. -- - - Easy Lessons, (Medical), Third Edition, 16 pages. A concrete exposition of the author's ideas on the Five Symptom Producers. Single copy, Io cents. New Field Laboratory, East Chattanooga, Tenn. e e º e º sº e º ºs º º ſº º e º 'º e º ſº e º e g tº e *===== Coan-srowd witn our Anwarrisres, and Manrion this Journal- ADVERTISING IX Quotations from Doctors: No. 1 “To mention the hygroscopic action of glycerine to any one who has the slightest knowledge of chemistry, is unnecessary. But, to be able ‘to harness' this action and utilize it as a therapeutic agent of great potency, is worthy of note. In 4 we have such a combination; and it has stood the test of many years. It has shown that, in proper mixture with a suitable base, the acknowledged osmotic power of glycerine may be greatly intensified; that through this action congestion in all tissues may be reduced, thus relieving pain from distention . . . and acting as a stimulant to normal circulation, and hastening resolution.” THE DENVER CHEMICAL M'F'G COMPANY - NEW YORK CoRREspond wrh our Advertisers, AND MENTION THIS Journal. ELLINGWOOD’S THERAPEUTIST FROM PUBERTY TO MENOPAUSE / | SHROUGH this period pregnancy call for the admin- - most women suffer from istration of HAYDEN'S VI- uterine neurosis, and as BURNUM COMPOUND, Godell so aptly describes it, presenting its well-known an- “ the intangible, tispasmodic and imponderable, calmative action invisible pelvic - as a preventive pains of neurotic - . and as a treat- women.” . . . . - ment in neurosis. A n ticipated It should be given monthly attacks of Dysmen- in teaspoonful doses, three orrhea, the exhausting effects | times a day, administered in of Menorrhagia, and the hot water. Literature, form- nervous symptoms of early ula and samples upon request. NEW YORK PHARMACEUTICAL COMPANY BEDFord SPRINGs. BEDFord, MAss. * : ill [E]] [E]] “After That Attack of Influenza” The constantly growing number of patients who have never completely recovered from an attack of influenza or pneumonia, emphasize the great importance of giving the utmost care and attention to the stage of con- valescence. Every function needs to be supported and stimulated, and the nutrition of the whole body restored as near to the normal as possible. In Gray's Bl/Cºſile IUlit CDIll. a great many physicians have found so efficient and dependable a means of insuring complete and satisfactory recovery in the majority of cases of influenza, that they have come to employ it as a matter of routine. Patients who are placed on “Gray's Glycerine Tonic Comp.” as soon as the temperature subsides, rapidly regain their strength and vitality. The influence of “Gray's Tonic” as a post-influenzal tonic and reconstructive is shown not only by the prompt and gratifying effect on the whole body that follows its use, but also by the notable freedom it assures from complications and sequelae. - The Purdue Frederick Company [l] |E|| |E|| El [E] [E] E] El º EEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE| 135 Christopher Street New York City Correspond with our AdvertisKRs, AND MENTION THIs Journal. [E][ =|ºl ellingudº's wnerapeutist A Monthlg Journal of - DIRECT THERApHUTICS Finley Ellingwood, M. D., Editor and Business Manager. [E][ VOL. XIV JUNE, 1920 # C The Tongue as an Index of Disease W. H. Dickinson, M. D., New York - It is not so many years since the evi- dences furnished by the tongue of the condition of the gastro-intestinal organs and the condition of the system and of body fluids were considered as most im- portant factors in diagnosis. They are now neglected for scientific (?) labora- tory and instrumental evidences and this important knowledge is entirely over- looked. The truth is there and we should know it. - As a result of the information pre- sented in 1890 I am reproducing a sum- mary of the facts which I have gleaned from some highly esteemed writers. It is as follows: The tongue is an index of constitu- tional states, seldom of individual dis- eases. An ancient theologian described the face of a wicked man as a map of the empire of sin. It has been fancied that the tongue presents a map of the em- pire of disease; and a writer, though one of no great note, has gone so far as to divide the lingual surface into a number of rectangular regions as numerous as the United States of America. These he places under the rule of sepa- rate organs; the larynx, the bronchi, the lungs, the pleural, the large intestine, the the locality of it. small intestine, the kidneys, and the brain, each possessing a distinct territory. The heart, says this writer very wisely, has a common control over all. In truth, Dickinson says in Wood's Monogram, 1889, the tongue has no such local significance; it seldom points to solitary organs or isolated disorders, but is rather a gauge of the effects of disease upon the system that is an indication as to It is often a guide in treatment, so far as treatment is general, not local ; and it is an important help in prognosis. * It may, indeed, be doubtful whether any means of observation open to the physician, including the pulse and the thermometer, give him more insight into constitutional states than he can derive from the tongue. . . * Clinically it always speaks the truth, and in a language which is not foreign to the experienced physician. How much truth, or, rather, how many truths, are to be read on how small a page! Con- ditions of fever and of feeding: states of the nervous system; the main- tenance or abeyance of vital secre- tions; failure of vitality, though we may not be able to find out why; in one case 182 ELLINGWOOD’S THERAPEUTIST . that the disease is getting the better of the patient; in another that the patient is getting the better of the disease; all these are discernible to the educated eye. The clinical value of the tongue largely de- pends on the number of interests it rep- resents; these are more or less mingled in its indications, and the impression they convey is a combined one; but it is none the less valuable because compre- hensive; it gives to a glance what other- wise could be learned only by detailed inquiry. - The two factors which stand before all others in the making of the medical indi- cations which the tongue presents, by which I imply those changes which are connected with remote or general states, not local disorders, are the heat of the body and the secretion of saliva. It has been shown that the white coat of the tongue essentially consists of horny epithelium, and that the various grades of coating are mainly due to its increase. I have not dwelt upon the parasites which are apt to gather upon the coat; these are only of secondary in- terest; they do not determine the char- acter of the coat or of the tongue, and they have been subjected to an exhaust- ive examination by Mr. Butlin, with re- sults in negation of their practical im- portance. It has been shown that the several degrees of coat are mainly due to over- growth of epithelium, though in a smaller measure to its want of removal, and there is a remarkable correspond- ence between the heat of the body and the coating of the tongue. Superadded to the forcing process, if I may so speak, of fever, we have step by step other changes, dryness, furring and incrustation, which are essentially connected with want of saliva. I have endeavored to show that this diminution or arrest is declared by the state of the tongue almost as certainly as by observa- tions on the ducts, and is the chief cause of the furring and incrustation which ac- company it. It is true that in the crust are parasites, but these are secondary; the primary fact is the want of saliva, a clinical indi- foundly seated. cation, always of importance, though the process by which it is brought about is not always the same. I have shown the effect of dehydration in diabetes and by diarrhea, but it has, I think, been made clear that the most frequent and im- portant concomitant of the dryness is a certain failure of the bodily force and function which I have not assumed to describe with physiological exactness, but have expressed by such terms as weakness, prostration, and exhaustion. I do not ignore the effects of depriva- tion of water, of alcohol, and of opium; but, nevertheless, the relation to which I have drawn attention, so far as it con- cerns such dryness as to cause incrusta- tion, has a general hold. It is difficult not to infer that with the salivary are other glandular failures, more especially such as concern the di- gestive system. Good digestions wait on putting aside diabetes, where there are special circumstances, it may be said with general truth that with the dry encrusted tongue appetite is nil, and solid food im- possible, not merely from the local dif- ficulty caused by the dryness of the mouth, but from inability more pro- It may be inferred without rashness that the loss of power to take food is connected with a loss of power to assimilate it; and if the di- gestive function is in abeyance it is not likely that digestive fluids are abundant. Hence it presents itself as what may be called a working probability that a want of the more vital juices concerned in nutrition may be indicated by the want of saliva which is sometimes so conspicuously displayed. Physicians acknowledge in their prac- tice some such guidance; the dry and en- crusted tongue is seldom disregarded as a call for animal liquids, which require little digestion, and alcohol, which re- quires none. To translate theory into practice is not only dangerous because the theory may be wrong, but the means may be ill adapted though the theory be sound. I have often taken the dry tongue as an indication for peptonized food, and thought it beneficial, but have not as yet ** DIPHTHERIA 183 had enough experience to speak con- fidently. . . . - Proceeding from the variety of coating which dryness produces, we come to the opposite, but sometimes succeeding, con- dition,--that of nakedness. This is often connected, like the previous, as has been shown, with want of saliva, of which it is usually a later concomitant. ; It may be simply due to this cause, but other circumstances are so often present that it is difficult not to assign to them some share in the loss of integu- ment, and attribute this, in part at least, to the failure of nutrition which belongs to hectic fever and suppurative waste. When the tongue becomes dry and bare, it is ill with the patient. He is not sure to die, but likely to. - If, as has been said, the tongues of dying men enforce attention, it must be often directed to this. The indication of the red, smooth tongue is for what fail- ing nutrition calls for—tonics, stimu- lants, and food, probably liquid, but nour- ishing. - The failing pulse does not more surely tell of asthenic tendencies than, as a rule, does the red, dry and polished tongue. - • The tongue, indeed, has a whole book of prognostics written upon its surface. A glance may suffice to show whether it is on the road towards health or from it; and thus tell us at once what could other- wise be ascertained, and then less surely, only by a historic research. When the tongue is approaching the condition of health, so, as a rule, is the patient, as is seen whenever the red, dry, and bare tongue acquires moisture and clothing. * In fevers the gradual recovery by the tongue of moisture and the exposure of a normal surface at the tip and edges as the coat recedes are favorable indications of the greatest significance. - There is no better sign in diabetes than the resumption of the natural moisture by a tongue which has been dry. Some- thing may be judged by the way an en- crusted tongue cleans; if gradually and from the edges, well; less so when it scales, especially when the surface ex- posed is red and dry. - One glance at a coated or plastered tongue may give an assurance, which perhaps could not be otherwise obtained, that the disease is on the wane. If the thick coat in the centre steeply shelves towards the sides and front, re- vealing a normal, moist, not over-in- jected surface, the tongue is in process of cleaning; the natural friction is over- coming the coating process, and the tongue and patient are on the mend. A tongue acquires coat more evenly and generally than it parts with it; we can thus tell whether the coating is on the advance or decline, and apply this rule to the disease. - There remains to me only the pleasant duty of mentioning those to whom I have not yet referred to whom I have been indebted. No one who has worked at the tongue can fail to have profited by the labors of Mr. Jonathan Hutchinson, to whom, in- deed, I have been under special obliga- tions, though as surgeon and phy- sician our points of view have not been the same. I must next record my debt to Mr. Sweeting and Mr. Armstrong, of the Western Fever Hospital, and Dr. Collie, of the Eastern Fever Hospital, for kindly providing me with scarlatinal tongues. Diphtheria - W. W. YENCER, M. D., RICHMOND, IND.. In the past ten months this locality has had an epidemic of diphtheria and during this time I have treated some seventy-five cases. The treatment in- stituted with all the cases was first to administer Double. Sulphide Compound (Burgess) 1 gr. doses every hour till eight doses were used; then every two or three hours alternate with Potassium Bi- chromate gri to water jiv, a teaspoonful every one to two hours, according to the severity of the case. - If the child is old enough I have the throat gargled before each dose of medi- cine, if not, have the throat and mouth swabbed out and washed with the Kali solution many times during the day. 184 ELLINGWOOD's THERAPEUTIST I keep this treatment up till all diph- theria exudates have disappeared and fever and pulse falls to or about normal. Then I give the double sulphides com- pound gr.i three to four times a day and continue the Kali Bich. as gargle and a teaspoonful of the solution every four hours. Then I follow with Specific medicine Baptisia gtts, v to x specific medicine, Echinacea or Ecafolta3i to iii or more to water 5iv. Teaspoonful of the solution every two to four hours, dose as to age. In my severe cases, I use the Epsom, hot compression to the throat ài to 1 pint hot water. All day and night also bathe the entire body with the same solution. In the past five years I have used the above methods of treatment, and I have had no occasion to use antitoxin. I think the double sulphides com- pound is far superior to the antitoxin for diphtheria. I see the disease fade away and such a complete recovery without any complications as you often find with antitoxin. - By this method of treatment I have had 100 per cent recoveries and no com- plications. As to diagnosis, this has been affirmed by the Indiana State Board, De- partment of Bacteriology. When Dr. Burgess gave to the medical profession, this one combination, the Double Sulphides Compound, he ren- dered one of the greatest combinations known to the realms of medical science. No physician can afford to practice his or her profession without this valuable drug. Its field of usefulness are many. I also found this combination, Double Sulphides Compound, to be one of the best preventives of the “Flu.” Have made a test in so many cases the past eighteen months it justifies me to render a decision in its favor. The writer himself, the past two epi- demics, has had a satisfactory test. Have taken the Double Sulphides Compound about every day during the epidemic and not the loss of one hour from my pro- fessional work, which I think is up to the average, and during all this time only noticed a little acute cold, but a few times. The D. S. C. is also worthy of a trial, as a prophylaxis. As a preventive to all exposed to diph- theria, give all the little ones and big ones a dose of the Double Sulphide Compound every hour till eight doses are used, then every three or four hours. Also use the Kali Bich. as a gargle, one teaspoonful of the solution every three to four hours and see what wonders you can do without that shot of antitoxin. Gynecology and Its Non-Surgical Treatment CHARLEs WooDWARD, M. D., CHICAGO. ILL. Gynecology treats of a large class of diseases, mostly chronic, which sympa- thetically or pathologically affect the whole human economy, and it can scarcely be said that their etiology is well understood. This will be the case so long as temporary or exciting symptoms are accepted as causes. We must know the primary causes, and be able to trace their indirect effects to their ultimate or excit- ing causes. To trace logically the effects between the primary and the exciting causes, the importance of understanding the reciprocal phenomena existing be- tween the alimentary canal and the skin should be recognized, which knowledge the physician can acquire only by ex- tensive experience in non-surgical treat- ment of gynecological diseases. The primary and indirect effects lead- ing up to the exciting causes may be hypothetically illustrated as follows: A woman, aged thirty, an invalid from wrong living, was persuaded to fast thirty days, which resulted in perfect health. For several years afterwards she ate foods that irritated and over-stimu- lated the nerves of the alimentary canal, and that by reflex action emptied the capillaries and diminished transpiration, thus preparing the system for the de- velopment of exciting symptoms of gyne- cological diseases. - The primary causes or symptoms are irritation, indigestion, constipation and overstimulation; the indirect causes or symptoms are enervation, muscular atony, organic condition of the general circulatory system, subnormal tempera- GYNECOLOGY AND ITS NON-SURGICAL TREATMENT 185 ture or slightly elevated, sallow, waxy pallor or muddy complexion, and local reparation inhibited; the exciting causes or symptoms are uterine irritation and reflex action, puerperal septicemia, peri- tonitis, pyosalpinx, ovaritis, menopause, phlegmasia dolens, effects of spontaneous and criminal abortions, and specific dis- eases: effects, from injuries during puer- perium, as cervical laceration; cervicitis; endometritis; parametritis; exudations; cancers polypoid; fibroid, and other be- nign and malignant growths. The regular physician determines a disease, and then names it, using nosology as a suffix to define pathology; thus ends their investigation, for after a disease is known and named, who wants to know any more about it? The Eclectics deter- mine disease by symptoms of the third or exciting set of causes, their investiga- tion terminating here, since they maintain that in forming conclusions they have recognized the condition. The only dif- ference of knowledge obtained form the two methods is derived by results of their different treatments, which greatly favor the Eclectics, though I cannot believe that either system will control the perversions that have been developing for years, and which is the true etiology of the exciting symptoms. Medical men of authority who for ages have denied that foods are the cause of disease have recently pronounced the most harmless food to be the greatest cause. Foods act in the system like drugs but less pronounced. Like drugs, there are irritant and non-irritant foods, the non-irritants furnishing nourishment for maintaining health, while irritants supply nutrition but prepare the system, by weakening certain functions, for devel- oping exciting symptoms. It is impossible for anyone to prepare himself to treat successfully most chronic diseases without the knowledge of how and what irritant foods seriously pervert certain functions of the system. With such a knowledge irritant foods may be prescribed, and whenever cell destruction is not too great a treatment adopted which may reasonably insure restoration. Before presenting a treatment a sketch and prognosis of a single case may be of interest. A woman, aged forty-five, for several years affected with cervicitis and endometritis and suffering with the pri- mary symptoms, irritation, indigestion, limited oxidation and constipation. An examination disclosed that the perver- sions or indirect symptoms were enerva- tion, muscular atony, organic condition of the circulatory system, cutis pendula, waxy pallor, thermal condition sub- normal, chilly sensations during winter and the reverse in summer. The exciting symptoms were irritation, inflammation and hyperplasia of the cervix with back- ache, irritation, inflammation, utero- toxemia with reflex headaches, pain in the right ovary, passive hemorrhage, and profuse exudation from an ulcerative en- dometrium and edema of the uterus. In forming a prognosis of this case it is necessary to consider further perversions of the primary and indirect symptoms. In the former there was mercurial per- version of the mucosa of the alimentary canal, and of the indirect symptoms the circulatory system was beyond repair. With these perversions the local condi- tions and reflex actions can be controlled, and the general health may be satisfac- torily improved though never perfectly restored. - It may be thought that the local treat- ment of gynecological diseases is of greater importance than the constitu- tional treatment, but a well-adapted treat- ment which will reestablish perverted conditions is indispensable. Treatment.—When adapting a specific treatment the first act is to proscribe irri- tant foods and suggest non-irritants; sec- ond, advise medicated baths, how often taken so as not to increase the subnor- mal temperature, and secure reaction with stimulant application. If these in- structions are properly applied, irritation will decrease and digestion improve. Third, constipation with hyperesthesia of the bowels, and especially with women who drink too little water, the following mild antiseptic alkaline laxative or some similar substitute should be given: 186 ELLINGwooD's THERAPEUTIST Quadruple senna infusion stock. 5ii Glycerine . . . . . . • * * * * * * * * * * * * ... àj Bourbon or rye whisky. . . . . . . . . 5; Misce. Sig.—One dram in a glass of hot or cold water before breakfast every morning; at night also if necessary. This is an ideal preparation for controlling ir- ritation and intestinal reflexes; restoring tonicity to the lacteal glands, overcoming hyperesthesia and for maintaining nor- mal evacuations. Fourth, if the patient lives on non-irritant foods the blood will become cleansed, but pure blood re- establishes these serious effects so slowly, which have been developing for years, as to require therapeutic assistance to over- come enervation, reflex pains, muscular and circulatory atony, as: - I} . Kali phos. . . . . . . . . . . . . . . . . 3x 5ii Distilled ext, hamamelis. . . . . . . 5ss Specific medicine lobelia. . . . gtt. x Aqua . . . . . . . . . . . . . . . . . ... q. S. 5iv Mis. Sig.—One dram every three hours. - With anemia, deficient oxidation and a defective condition of the circulatory sys- tem, prescribe: . Ferrum phos. . . . . . . . . . . . .3x 3ii Specific veratrum. . . . . . . . . gtt. xx Distilled hamamelis . . . . . . . . . 5iv Aqua . . . . . . . . . . . . . . . . . . q. s. 5iv Mis. Sig.—One dram every three hours. - - Local Treatment: The object of a local treatment is, first, to stop suffering by controlling local irritation and inflam- mation, which through reflex action may be causing supra-orbital or a neuralgic tooth or headache, gastric and intestinal fermentation, sciatica or spasmodic con- tractions of the rectum, pain in the back and at one or both ovaries, in the rectum or urethral tenesmus. With these condi- tions there are usually present a purulent, decomposed, specific or non-specific exu- dation and ulcerations followed by utero- toxemia, which causes insomnia, melan- cholia and insanity, profuse transpira- tion, plethora and sexual neurasthenia, reflex action and rheumatic periodicity. The examination and first treatment should determine the density, size and aperture of the cervix, location, mobility and depth of the uterus, whether there is hyperemia, dry or discharging inflamma- tion, the consistency and color of the exu- dation, also the weight, complexion, sen- sitiveness over the ovaries, and general aspect of the pelvic and abdominal walls. With subinvolution, retroversion and other displacements and edema of the uterus and pelvic tissues and accompanied with a thick or thin purulent exudation, the uterus is washed out with an alka- line antiseptic solution and alternated with a 25-35 or 50 per gent solution of peroxide of hydrogen ºvery second or third day. If there is a dry inflammation of the endometrium, which causes more suffering than an exudation, a treatment every third day will establish secretion, and if the treatments are continued reso- lution will take place. If there has been metrorrhagia for weeks the treatment should be repeated every 24 hours for a few days, then fur- ther apart with the two former solutions and followed by a solution of sulphate of iron, four to six grains to the ounce of water and then a pack inserted against the cervix, saturated with 3 drams of distil. hamamelis and 2 drams of dark pinus canadensis. - It is well to follow the specific indica- tion when inserting dehydrating packs, for the condition of the uterus and pelvic tissues requires different influences, as for instance, specific phytolacca, Calc. fluor and glycerine when hyperplasia and indurations of the cervix require absorp- tion; specific belladonna, tincture opii and glycerine for hyperemia and pain; for pelvic atony, procidentia or retrover- sion, dis. hamamelis and dark pinus can- adensis; for edema of the uterus and pel- vic tissues, elaterium and pinus canaden- sis; for hypersecretion of the cervix and vagina, powdered stearate of zinc. Metrorrhagia: It is believed that many intractable uterine hemorrhages are uncontrollable unless the uterus is first curetted, but a broad experience has proved that they can be controlled by GYNECOLOGY AND ITS NON-SURGICAL TREATMENT 187 intra uterine medication in connection with restoring tonicity to the circulatory system. Hemorrhages which occur from pyosalpinx following the exit of the pus through the uterus and those from ob- literated oviduct, due to extra-uterine pregnancy and to some forms of fibroma, belong to surgery. But hemorrhages re- sulting from breaking down of cancer tissues, some forms of fibroma, neglected abortions, ulcerative and vegetative growths of the endometrium, the meno- pause, defibrinated condition of the blood and atony of the circulation may be con- trolled by uterine medication. An expert of chronic diseases—one who is familiar with uterine medication—can absorb be- nign and even malignant growths of the 11terúS. ~ A dozen or fifteen pledgets of cot- ton, fourth of an inch in size, may be saturated in a solution of per-sul- phate of iron and shoved into the cav- ity of the uterus, and a large one then inserted against the cervix with a string attached, and repeated every 24 hours for three or four days for uncontrollable hemorrhages, arising during the meno- pause. Some of these hemorrhages will yield to medicating the uterine cavity with sulphate of iron following the use of peroxide and other antiseptics; others may be controlled by injecting the fol- lowing mixture into the uterus imme- diately after cleansing the cavity with peroxide: - Salicylic acid. . . . . . . . . . . . . drams 2 Alcohol . . . . . . . . . . . . . . . . . drams 2 Specific belladonna, thuja and sanguinaria, of each. . . . drams 2 Distilled hamamelis. . . . . . . . ounce 1% Glycerine and olive oil, of each tº e º 'º e º º ſº tº e - tº tº e º tº gº e º ſº tº tº e ounce 1 Mix Sig.—Warm and inject two half- ounce syringefuls into the uterus and repeat every 48 hours. Hemorrhages, which are the most dif- ficult to control, are met in those who exhibit a defibrinated condition of the blood, perverted circulation and deficient elimination. In these cases there is atony by local medication. gonorrhea and those in which the spe- and relaxation of the circulatory system to that extent which inhibits reparative action and is too weak to respond to the most powerful local and internal astrin- gents. - There are a great many women who approach the menopause with some form of metritis accompanied with an acrid ex- udation which ulcerates the endometrium and in connection with renervation, per- verted circulation and edema of the uterus results in metrorrhagia, and if not controlled develops fibroids, cancers and other growths. Hemorrhages from can- cer of the uterus, if not controlled, will develop psychasthenia, a condition in which the patient loses all hope of re- covery or even of relief. The attending physicians in the Berlin hospitals, some twenty-five years ago, kept those affected with cancer of the uterus from bleeding to death by the application of carbide of calcium—powdered acetylene. This is a substance used for lighting houses and bicycles. - - Whenever a uterine hemorrhage is dif- ficult to control, the diseased part should be made thoroughly aseptic; then 2 No. 2 capsules should be filled with the pow- dered carbide of calcium and inserted or placed against the bleeding parts and held in position by a cotton tampon, the treatment repeated every 48 hours. This remedy controls hemorrhage, odor, and a greater part of the pain, as well as prolonging life. Procidentia and other displacements, without adhesions, are easily restored Recent cases of cific infection has not invaded the fal- lopian tubes are easily cured by uterine medication: i. e., if the patient does not know that she has the disease, but in- curable if she knows it. Recent cases of syphilis are curable with combined treatment which prevents any further local infection, controls irritation of the alimentary canal and maintains normal elimination; the seriousness of this dis- ease if known secures much aid when treating it. The field for non-surgical treatment 188. - ELLINGwooD's THERAPEUTIST of gynecological diseases has never been supplied, and practitioners who have never practiced local medication do not know what remarkable cures can be ac- complished. Gynecological diseases all being chronic, the practitioner builds up a wide reputation and prevents his pa- tients from visiting neighboring physi- cians. - In order successfully to treat gynec- ological diseases, non-surgically, the practitioner must be able to determine and distinguish the different effects on the system between the primary, indirect perversions and the exciting causes, and adapt a treatment indicated by the three groups of symptoms. Definite Treatment for Certain Diseases - ELI G. Jon Es, M. D., BUFFALO, N. Y. A stroke of apoplexy usually ends in one of three ways, either complete re- covery, instant death, or it may be re- covery with Hemiplegia. The treatment for the after effects of apoplexy has not been very satisfactory to the average physician, the most prac- tice the “do nothing” plan for the reason that they have NOT been taught a definite treatment for such cases. When cerebral hemorrhage has taken place it causes certain symptoms and the duty of the physician is, first of all, to give such remedies as will remove the effects of the “stroke.” In the next place, he should administer such remedies as will prevent another attack. To absorb the clot from the brain, and also, to prevent inflammatory deposits about the apoplectic focus, as well as to stimulate absorptions of the exudate. I give Kali Mur. 3 to 15 grains in half a cup of water, one teaspoonful every hour. This remedy does something more than absorb the clots from the brain. It will help you to cure the Hemi- plegia. In addition to the above remedy, I also prescribe Tr. Arnica 30th 5 drops once in three hours. The above two remedies makes an ideal treatment for the after effects of a stroke of apoplexy. - After the above treatment the brain gradually clears up, the patient swal- lows better, can talk better, his tongue don’t feel so thick, and the patient gradually gets the use of his paralyzed side. I have repeatedly seen the GOOD ef- fects of this treatment in my practice, and I want to urge upon the readers of this journal to try it out in their practice, not only to clear up the effects of a stroke of apoplexy but also to prevent another attack. The Kale Mur should be given at least sixty days. It sometimes happens from rheumatic deposits, or over stimulations with intoxi- cating liquor, tobacco or coffee, that the muscles of the heart become weak. A weak heart is not an uncommon thing in old people. -. . Now, in either of the above conditions if we read the pulse and find it small, weak and irregular it will point to one remedy, Tr. Stropanthus 2d X five drops four times a day. It is more powerful than Digitalis and quicker in its action. Many physicians have discarded the above remedy as dangerous, or worth- less, for the simple reason that they did not know how or when to use it. It has been often prescribed in the form of the tincture in ten and fifteen drop doses, with no result, when if they had read the pulse, it would have told them, when it was indicated and, experi- ence of some of our best prescribers have taught them that the BEST results are ob- tained with the 2d dilution, 5 drops four times a day. - Remember the pulse indication for Stropanthus; if you have a case of sus- pected valvular disease of the heart, read the pulse, if it is jerky with a quick and forcible beat, followed by abrupt ces- sation for one or two beats, it indicates structural lesion of the valves of the heart. Calcarea Flourica 3d X is the remedy we must depend upon to arrest the early stages of valvular disease, and to restore normal action of the valvular Strt1Ctt1neS. . . - It will arrest aortic insufficiency, aortic strenosis, and neutral disease. I give Calcarea Flourica 3d X three tablets every three hours, in alternation ACIDOSIS WITH STARCH INDIGESTION 189 with Tr. Crataegus, ten drops every three hours. In valvular disease of the heart, I have seen violent palpitation of the heart, often visible to the eye through the clothes, shaking the whole chest. For- tunately we have a remedy for this con- dition, it is Tr. Spigelia 3d X five drops every hour. In valvular disease of the heart you may meet with this symptom. The pa- tient awakes out of a sound sleep from a sense of suffocation with violent, loud, cough, much frightened and difficult respiration. It indicates one remedy, Tr. Spongia 1st X five drops every hour. In rapid heart we have one remedy that can be depended upon—Tr. Jberis Remara gtts X in half a glass of water. Give a teaspoonful every two hours. There are many cases you will meet with in practice, where the patient seems suffering from a condition known as general debility. There is an atony of all the tissues, and a poverty of all the secre- tions, due to the lack of assimilation of the nutritive elements of food. You will observe in all these cases that the heart appears to be the weakest or- gan, because it is constantly laboring. Now while you may be thinking of Some good tonic to build up the vitality of the sick person, do not forget a special tonic for the heart. It will help you to cure your patient just so much quicker. Thus if you alternate Digitalin 3d X three tablets every three hours, you will succeed in curing anaemia and chlorosis in half the time you would with Ferrum alone. The above two remedies makes an ideal treatment for the above two dis- eases. In feeble, broken down constitu- tions, we have no better remedy than Digitalin 3d X in alternation with Phos- phate Strychnia 3d, each one once in three hours. . . To be a good prescriber should be the highest ambition of every physician. It enables a doctor to prescribe for the sick intelligently, rapidly, and successfully. If a doctor takes patients off your hands and cures them he knows some- thing that you don’t know, he may be a better student of Materia Medica than jou are. A knowledge of materia medica al- ways has been and always will be the solid rock upon which the young phy- sician must lay the foundation of his skill and reputation. It is his best bower anchor that will help him ride out the storm when the angel of death seems hovering over his patient. It is then he must know materia medica to enable him to find the indi- cated remedy. To know materia medica is to be a physician, to be a physician is to know how to heal the sick. Acidosis With Starch Indigestion HENRY A. STRONG, M. D., NEW YORK One of our contributors has sent the following symptom groups for a diag- nosis and the paper has become sepa- rated from the letter and we have no address. The condition is related to a digestive disturbance with the nerve reflexes that is not uncommon, but it is seldom diagnosed. The following are the symptoms: The patient is a male, age fifty-eight, height five feet eight inches, weight one hundred and seventy-five pounds. When at the age of sixteen years, going to school, about ten a. m. one morning he became suddenly dazed, his eyes blurred, and then darkness appeared which lasted about half an hour, things then be- came normal. If he would look straight at any object that object would disap- pear, but if he looked around, then straight he could see the object for an in- stant only, then it disappeared again. He was free for three or four months, but in June the same thing occurred again, lasting about half an hour. This time at six a. m., after the sight became normal, he had some headache lasting all day and the same during the night. It left the next morning and he got up feel- ing good. - There was then no more trouble until about the year 1900, when the same thing happened again, and since then it occurs about every six weeks, sometimes four or five spells per day. At times they come every two to six months since. 190 ELLINGWOOD’S THERAPEUTIST In looking straight, blurring occurs and he can see only one-half of an ob- ject. If he looks to the right or left of the object, he sees two objects, after the spells leave he has soreness at the top of the head and on the opposite side of head. There is no warning of spells. His bowels are fair, he has soft stool, kidneys fair, urine examination showed no albumen, sugar or uriates, no other in- dications of disease, the amount of urine passed normal, spec. gravity normal. Heart was weak at times, pulse a little fast, but generally good. The last occa- sion the pulse was 90 but full, there was astigmatism in the left eye, wears glasses for reading only, his appetite is fairly good, teeth good, gums spongy, at times he feels a creeping or aching sen- sation side of neck, goes up side head across top to other side, head feels sore next day. - - He is a farmer, does general farm work and is temperate in all things. Three or four cases of this or similar complaint have come to me. There were slight differences in the appearance of the objects before the eyes, most com- plained of radio zigzag movements, mov- ing from the center to the peripheries of a circle like a kaleidoscope in some cases, with sharply colored angular forms. There is vertigo, nausea weakness and usually persistent headache, sometimes very severe. Occasionally there is feeble and irregular heart action with occasional interrupted beat. - I have had satisfactory results from a very simple course of treatment, making a permanent cure in most cases. A normal adjustment of glasses for correct vision is first considered. Ex- treme gastric acidity has been found in all of my cases and especially a material fault in the digestion of starch. I have excluded all starches from the diet and advised from ten to twenty grains of so- dium bi-carbonate after each meal. The close diet is brown bread, graham crackers, not acid fruits, milk in abun- dance, no meat, no coffee, no tea for the first three weeks. Then soft cooked eggs, a little later bacon once each week, will ultimately disappear. slowly increasing the proteids. Then I gave from two to four Papain tablets after eating. - . - If these patients will lie down and firmly close the eyes for from fifteen to thirty minutes the difficulty will disap- pear often with no further manifesta- tion. With this course of no starch, but little proteids and milk diet the difficulty Where the heart symptoms are persistent I give a drop or two of cactus and gelseminum every two hours. . The Treatment of Mental and Nervous . . Disease” - AMos J. GIVENS, M. D., LL.D., STAMFORD, - - CoNN. - The importance of this subject can hardly be overestimated. It is difficult to accept the optimistic assertion, “no increase” or “an inconsiderable in- crease,” of nervous diseases. Public and private testimony both, by over- whelming majority, oppose such deduc- tions. The problem of disposition of these cases is a growing problem, more especially as about 50 per cent of the mental cases admitted to state institu- tions remain as more or less perma- nent residents. We import much ma- terial which is manufactured into the nervous and insane; the American product of American stock shows no signs of diminishing. Why, therefore, should not these diseases increase?" This paper will not discuss increase. A single statement regarding the prev- alence of mental diseases will suffice to illustrate how the census enumera- tion, alone, indicates the magnitude of the problem of care and treatment. While the population of the United States increased about 11 per cent be- tween 1904 and 1910, the population in state hospitals increased about 27 per Cent. - - - It would seem to be obvious that every institution receiving new patients suffering from mental diseases should be supplied with psycopathic wards, *Reprinted from National Transactions. TREATMENT OF MENTAL AND NERVOUS DISEASES 191 preferably pavilions. Diagnosis of these cases is often difficult, frequently re- quires time as well as skill and all the aids afforded by modern facilities. Such institutions cannot but prove favorable to patients, and aid in solving the prob- lem of their suitable accommodations. In a commercial age it would seem that the economic side of this question would appeal to the average taxpayer if he were only aware of the much larger proportion of cases recovered by early and scientific treatment and the immense cost of prolonged care of the patient. At a public hearing on the alien insane in the New York state hos- pitals, July 1, 1912, Mabon, director of the Manhattan State Hospital, testi- fied that at the present price of main- tenance the alien insane alone in that hospital would cost the state $3,413,200 in the course of ten years. This is but a single illustration. . A few months, even weeks, in cases of incipient mental diseases before com- ing under scientific treatment, may make the greatest possible difference in prognosis; and another object is, of course, not merely cure, but preven- tion. This is not the place to speak tarium treatment, but the admirable results obtained by the removal of the nervously affected from their accus- tomed environment and activities have long been well known, and it is not surprising that legislators should be inclined to authorize the establishment of such institutions for appropriate cases unable to avail themselves of the comforts, quiet, trained care and skilled treatment of the still more desirable private sanitoria. In the solution of the problem of the care and treatment of those nerv- ously and mentally ill, modern meth- ods mark a radical departure in almost every particular from those of a few generations ago. The cottage system, or the employment of small groups of small, detached buildings, introduces a more homelike atmosphere and pro- vides for the separation of patients into small classified groups. The family care system for the chronic, harmless insane is practiced to a certain extent in several states. Doubtless it could advantageously be still further extended. 'In Gheel, Bel- gium, this method has been in practice for more than one hundred years. Nearly every house in Gheel contains at least two mental incompetents, and as a rule they are given their freedom of the town. Suicides are few ; the death rate low ; the percentage of re- coveries for twenty-five years almost double that in England. - Chief among the agencies for solving the problem of the care and recovery of both nervous and mental cases stands occupational treatment. This is not a new method, but newly devel- oped and applied. One hundred years ago, Dr. Benjamin Rush, that famous professor of the Institutes and Prac- tice of Medicine in the University of Pennsylvania, published his shrewd and still serviceable “Medical Inquiries and Observations,” in the course of which he highly recommends employ- ment as a valuable form of treatment in mental derangements. To employ- ment he adds amusements, including concerts, evening parties, chess, check- ers, cards, music, theatrical perform- ances, billiards, tennis, baseball and playing quoits. It is impossible to enu- merate here the many forms of indus- trial activity which have been devel- oped. There is great need, however, for more general provision of well equipped workshops and trained teach- ers, for amusement rooms, assembly halls, etc. Mere custodial care favors mental de- terioration. Aimless inactivity is detri- mental even to the sane. It is highly desirable occupation outdoors should be more frequently provided for women patients. Statistics for the past ten years show that the death rate from tuberculosis in hospitals has been more than twice as great for women than for men. - Other remedial measures yielding ex- cellent results are the initial rest treat- 192 ELLINGWOOD’S THERAPEUTIST ment, especially where patients present evidences of malnutrition, the use of the solarium, outdoor sleeping, the con- tinuous warm bath for certain patients, free administration of water internally, massage and electricity in selected cases, operative correction when indi- cated by pathological conditions. In- dividualization must be the keynote; clinical and laboratory examinations and careful observation cannot be dis- pensed with. It will be obvious that the satisfac- tory solution of care and treatment is dependent to a considerable extent upon an adequate medical staff and excellent trained nurses. Were it possible, the disposition of the insane and epileptic, of the drug habitue, the inebriate and the feeble- minded would be here touched upon. In all of them the public has a very vital interest, and a very grave respons- ibility. Their awakening to both is an essential part of the final solution, if such solution is to be found of this growing problem, which is one of the most important of all the important problems of the age, namely, the care and treatment of mental and nervous diseases. - - A CASE OF PROLAPSUs ANI CURED - BY SODIUM SALICYLATE M. R. ATRE, L. C. P. AND S. A patient named Laxman Rao, aged nearly forty years, came to me at Nee- much Hospital for treatment. He tried a good many country as well as English medicines but to no effect. On the first day when he was registered he was also suffering from rheumatism and was given sodium salicylate gr. 10 thrice daily. For prolapse he was given gall and opium ointment for application and was instructed to pass motion in usual position without straining. For the first few days he complained of consti- pation. I therefore prescribed cascara sagrada pill, one at bed time. Applica- tion of the ointment was continued and he was asked to clean the part with alum and borax lotion (dr. 1 each to oz. 5) and then to keep the pads of the same lotion for half an hour. He continued the treatment in this way for more than two weeks and to my great surprise the patient got completely cured. I had treated two similar cases of prolapsus ani previously by giving them the same treat- ment as mentioned above except soda salicylas, but they were not cured. I therefore naturally thought it was not those astringent ointment and lotion which did good to the patient but that it was soda salicylate which played promi- nent part in alleviating the disease. I tried soda salicylate in four other cases with the said treatment and found the drug to be effective. - I beg to bring to the notice of my pro- fessional brothers that I do not claim that the drug will invariably be effective but request them to try the drug in their practice and publish the results for gen- eral information. - COLCHICUM SYNERGISTS A. S. THOMPson, HAVELOCK, ONTARIO, For six or seven years past, in combat- ting acidosis as evidenced by high acid- ity of urine, using Doctor Harrower's acidometer, I have used a tablet contain- ing Calcium Carbonate gr.iv, Soda-Bi- Carbonate gr.iii, Potassium nitrate gri, fluid extract Colchicum sem. 96/125 min. with satisfactory results. - Lately, owing to high prices of Colchi- cum, I have substituted Sodium Salicy- late (natural) in its place; I give gr.i of these tablets from four to eight per day in divided doses. - I wonder what the cause is of such ex- cessive acidity of the urine? Recent cases have gone up on Harrower's scale to ninety and one hundred and ten de- grees. I have imagined it was perhaps due to lack of fresh vegetable juices in the winter dietary that so many follow in this country—meats, starches, and sweets, preserved fruits, etc. * : * N- BRIEF EDITORIALIS − IGF|| ABOUT THE MAY ISSUE Blame for the tardiness of the last is- sue of the THERAPEUTIST can be placed on the condition of transportation facil- ities in and around Chicago. We had confidently expected to escape the delays and maladjustments which the railroad strikes have caused our confreres. How- ever, such was not to be the case, for as we were about to go to press our printers advised us in their most sympathetic way that paper was not to be had. The situation was a vexing one. Daily reports showed that our stock was “some- where on the way,” but the disorder of traffic prevented any emergency assist- ance on our part. There was nothing to do but wait—so we did that. The avalanche of notices, demands and requests for information, which have ac- cumulated ever since the THERAPEUTIST was three days late would turn the hair of the average managing editor gray over night. To us, who appreciate the close friendly relations existing between this journal and its subscribers, these are in- dicative of the position which THE THERAPEUTIST occupies in the hearts of its subscribers. We should have far greater cause for concern were none. of Our co-workers to know, or care, whether the THERAPEUTIST ever came on time, or at all. Nevertheless, we regret the delay and inconvenience, though due, as it was, to circumstances beyond our control. ARREST OF DR. BISHOP The recent arrest of Doctor Ernest S. Bishop, charged with violation of the Harrison Anti-Narcotic law, is a matter of importance, not only to the medical profession, but to those suffering from addiction, and to the general public as well. Its importance lies, not so much in the personal issue over Doctor Bishop's innocence, but rather in the effect of the publicity given the whole matter upon the previous work the doctor has done. During the past eight or ten years Doc- tor Bishop has contributed more than any other man in this country, and prob- ably in the world, to the scientific litera- ture and knowledge of this subject of drug addiction. We constantly are in receipt of in- quiries from practicing physicians con- cerning all matters of a related nature. We are continually asked for informa- tion and advice, and we know the great need for definite information both as to the scientific care of the addict, and as to the status of the physician under the law. We know of the uncertainty that exists among medical men. Will this arrest tend to increase this uncertainty, and to drive practitioners away from a careful study of the disease? We sincerely hope not. We hope that this incident will not check the influence of Doctor Bishop's past work, nor react to the detriment of his present and future scientific educa- tional activities. The need for work such as his is great. A sharp line must be drawn between Doctor Bishop, the individual, who is charged with violation of the law, and the Doctor Bishop who, in the opinion of those most competent to judge, is con- sidered the foremost authority on the 'subject of narcotic addiction in this country. THE CINCIN NATI COLLEGE We read with interest of the Seventy- fifth Annual Commencement of the Eclectic Medical College of Cincinnati, which was celebrated May 11th. This college was originally the Re- formed Medical College of New York City and was the direct outgrowth of the reform movement which had its incep- 194 - ELLINGWOOD’S THERAPEUTIST tion in that city in 1825. The college was later removed to Worthington, Ohio, in 1833, and in 1843 it was again moved to Cincinnati, where it was chartered as the Eclectic Medical Institute by special act of the legislature. - Since its opening day the college has been a stronghold of Eclecticism, and during the seventy-five years of its life it has sent out as its graduates 4,234 phy- sicians. The total matriculation during that time has been 14,401. At the pres- ent time over 1,700 of her graduates are practicing medicine in this and foreign countries. - During the past year there were ninety- three students enrolled, of whom three were women. This year's graduating class numbers thirty men and two WOII le11. - It is interesting to note that the gradu- ates of this college who pass the Ohio State Medical Board examination are eligible to receive reciprocal recognition in twenty-eight other states. If Eclecticism is to serve humanity with its maximum efficiency—if it is to obtain the recognition which it deserves —schools such as the Cincinnati College should receive the support and moral backing of all true Eclectics everywhere. WORTH WHILE work No one profession or business is so rich in human experience as the medical profession. Particularly is this true of the members of the profession who are in active practice, and who daily encoun- ter-situations humorous, as well as path- etic. - of his own experiences, but he hears first hand from the experiences of all those who make up the family of which he is the head. When the printer persists in hashing the editorials and advertising; when the mailman consistently fails to function as we have been led to expect; in the midst of the myriad perplexing de- tails of a busy publication office, it is with a sigh of relief that we open a per- sonal letter from “one of the family” and The editor of a medical journal such as this is unusually fortunate in this re- spect: for he has not only the advantage read of the problems and perplexities of some doctor in Maine or Panama. It was during one of the worst of these phantasmagoria that we opened a letter from Dr. N. M. Cook of Kotzebue, Alaska, and we miss our guess if the en- closures do not prove a specific for all types of blues. - We are quoting verbatim from Doctor Cook’s letter and the billets it contained: “Dear Doctor (says the letter): Here are some love letters from some of my eskimos. More next mail. - Fraternally, N. M. COOK.” And here are some of the letters: “Dr. Cook. Please I was some medi- cine for Lucy Weed her Bladder sick not must pease.” * * . . “Dear Doctor, This man like to have body plaster for the back bone. For it self. Tommy Kawaii.” “Doctor Cook. Please I want some Medicine for my wife. Plenty blood in- side backbone. MRs. Townsen D.” “Doctor—Cook I am going to write you a few words. Please I want cough medicine and Physic medicine. - HELEN GLOVER.” “Dr. Cook. Please send me a Plaster for my back bone. . -- From JACK KENworthy.” . “Doctor Cook I want to ask you about chew tobacco two persons say to me if I use chew tobacco I will get well. he say when I sick just a same as you I use pepper and other medicine but they dont cure my disease and I spite blood two time in two years but only tobacco cure it but now I got well he say to me How would you like that? If you dont like me to use it Please send spit blood medicine and tell me how to use it. Please answer my letter. - '. - From HALE HUNNICULT. and my heart beat hard some time yet.” When a doctor is putting in his time teaching and healing people such as these his work should be known. We hope sincerely that the doctor will not forget his promise of “More next mail.” . . [E] = BRIEF CONTRIBUTIONS On practical Everg-dag Topics . # | –º- =|E TREATING SPECIFICALLY. W. R. DUNLAP, M. D., DEs Moines, Iowa In replying to your first question about curing cases of syphilis without 606 or mercury: I have never used 606. I don't believe in it; and as to mercury, I have used dry calomel in dressings and also mercuric ointment, but for internal treat- ment I have depended on Lloyd's Speci- fics, Echafolta, Echinacea, Iris, Versi- color, Phytolacca, Berberis and such other remedies as seemed to be indicated. I treat summer complaints of children with Lloyd's Specifics as indications point to them, sometimes aconite, epicac, nux belladonna, or mangifera; some- times singly, and sometimes in combina- tions. I find frequently that a two, three, or four decimal trituration of Podophyl- lin with sugar of milk acts well. I think the old school is off on lots of things per- taining to plant drugs in medication. I cannot understand why a drug must necessarily be poisonous in order to have medical properties that are therapeutic- ally beneficial. . - - As to what I have used for Tetanus, I cannot say I ever had a case of genuine Tetanus, but if I have traumatic condi- tion with any fear of tetanus developing I always use Echinacea or Echafolta in- ternally, externally and eternally to satu- rate the system thoroughly with subcu- loid Lobelia and other specifics that to me seem to be indicated. I make a fight to keep any tetanic conditions from de- veloping. I have treated and cured lumps indurated and somewhat tender in breasts of young girls which had been pronounced cancer. I havé treated and cured them permanently with specific treatment, and Phytolacca has been my main remedy. I have also treated condi- tions of the uterine cervix, when it was raw and bleeding and very painful. Some would have called it cancer of the cervix but I have cured it with local cleansing and application of Thuja, Echinacea and Mangifera to the parts, with internal medication as indicated. In one particular case there was a return of conditions but they soon yielded to the same treatment and now, in almost a year, there has been no return and the parts look perfectly healthy though slightly paler than they should. - REFERRING TO ELONGATED SCROTUM AND IMPOTENCE S. E. McCULLY, M. D., Victoria, TEx. Some years ago I operated on a young man, twenty years old at the time; he was a mental imbecile. He had practiced masturbation from boyhood to man- hood. He had varicocele, and his scrotum extended down from the base ten inches; many of the veins were as large as my small finger and saculated. His brother, who was with him, pro- posed to place him in an asylum. I pre- vailed on him to permit me to operate to remove the scrotum, only leaving suf- ficient to cover the testicles and force them well up to the inguinal ring. On the third day after the examination, I operated, removed the great redundant scrotum, carried the testicles high up, brought the ends of the scrotum together, and for three days had hot applications constantly applied. My patient made an early recovery—union by first intention took place. All signs of varicosity dis- appeared and steady recovery followed. This patient had not had an erection for over one year at the time I first saw him. I put him on the three bromides and strychnia; had him watched to pre- vent any effort at masturbation, and soon the sexual organs began to function. His mental condition steadily cleared up, nocturnal emissions became less fre- uent, and he returned to his work of 196 ELLINGWOOD S THERAPEUTIST bee-keeping. In this case the scrotum was so large that it could easily have been slipped over a baby’s head three months old. Referring to ordinary cases of varicocele, my treatment is to seize the scrotum on the side above the varix between the index and second fin- ger, using strong pressure so as to fill the varix or varices, if more than one. Fill a hypodermic syringe with No. 8 acetic acid, pierce each varix and inject from fifteen to thirty drops of the acid, keeping firm pressure for some min- utes till a distinct clot of blood is formed and can be felt in the varix, full and firm. Then place the scrotum in a supporter and the work is done. Slow absorption then takes place till a hard body about the size of a bean re- Sults, and my patient is cured. This usually takes a period of from three to four months. Occasionally I have had to repeat the injection twice; but in 90 per cent of my cases one injection has been sufficient; while in no case have I had any complications. I have met with One case where No. 8 acetic acid would produce no coagulum either in the varix or from blood drawn from a vein and treated in a watch-glass. INTRAVENOUs TREATMENT OF DISEASE H. H. HELEING, M. D., St. Louis, Mo. It has been quite a while since I have written about this subject, which is not being given the attention by the profes- Sion that it justly deserves. My experi- ence has been mostly with the use of Salicylic acid solution in the treatment of tuberculosis and rheumatism. I have written an article previously for this Journal at which time I had but lim- ited experience with the use of the rem- edy. I have had considerable experience in the last two years in the treatment of these diseases, though not as extensive as those who have sanitariums and make a specialty of the use of this remedy. My report of the use of the remedy, how- ever, is more liable to be unbiased. In connection with the subject of tuber- culosis, I wish to call your attention to an article that appeared in the Medical World for February, 1917, relative to blood pressure as an indication that a person is subject to, or already has, tuber- culosis. Briefly to determine this sign the systolic is ascertained, the diastolic is subtracted which, of course, gives the pulse pressure. Pulse pressure is divided by diastolic to giving you the heartload. This should never be over 53 in healthy persons. Among the cases of tuber- culosis I have examined, every one had an overload of from 13 to 38. Inasmuch as the successful treatment of tuber- culosis depends upon how early in its development we recognize the condition, a method such as this, so easily ascer- tained by any physician impresses us with its importance, although we are not to minimize other diagnostic measures. The formula I use for intravenous treatment is as follows: Salicylic acid (from natural oil) . . . . . . . . . . . . . . . . . . . grs. 96 Phosphate sodium C. P.. . . grs. 192 Glycerine . . . . . . . . . . . . . . . . 3 3 Aqua dist. . . . . . . . . . . . . . . . 3 5 M. Boil until dissolved. When admin- istering dilute with 83 saline solution. For tuberculosis I add from 5 to 15 c.c. of inula echinacea to each dose. This dose is to be given, only after a previous half strength dose has been given a week or two previously. The first dose may be as follows: Sal. acid . . . . . . . . . . . . . . . . . grs. 40 Soda phos. . . . . . . . . . . . . . . . grs. 80 Glycerine . . . . . . . . . . . . . . . . . § 1 Aqua dist. . . . . . . . . . . . . . . . . 3 2 M. Boil until dissolved, filter and add 5 c.c. inula echinacea, which will make 20 c.c. by volume. This concentrated solution may be given. Both solutions must be filtered before administering. In the treatment of rheumatism, the inula echinacea is omitted. - - Among some of the cases of tuber- culosis I have treated were the follow- ing most marked. A lady, 38 years old, whose sister, brother, uncle and grand- parents had died of the disease. Clinical symptoms positive. Two treatments re- stored her to normal health. A lady un- BRIEF CONTRIBUTIONS 197 married, age 32, had a sister die of the disease recently. She had well-marked symptoms of the disease herself, and it required three doses to restore her to normal. She was treated two years ago and remains perfectly healthy to the pres- ent time. - It is important that hygienic measures be instituted in conjunction with this treatment. This treatment is used only as an aid to other valuable measures used to benefit such cases. Unless you have the co-operation of the patient in the use of proper hygiene I find that while the treatment will boost them for the time being, they will relapse, and for that rea- son I do not offer to treat any patients residing in this city unless they can move out in the suburbs, away from the Smoke and gas and dust of the city. In rheumatism I always use the smaller 15 c.c. dose as it simplifies the ad- ministration of the remedy and is just as effective. You will be surprised how quickly stubborn cases of articular rheumatism will respond to this method of treatment, especially when medicine cannot be taken orally in sufficient doses to remedy the trouble. intravenous use of the remedy will cure in so much shorter time compared to the time consumed in treating patients by giving the remedy orally. To illustrate, I had a case recently, a girl suffering with arthritis of the knee, who had been suf- fering for six weeks and was in such a condition that she lay on her back with her knee propped up with a pillow; she would not let anyone touch her or the bed, the pain and tenderness was so great. I gave her the 40 grain dose in- travenously and when time for the Second dose came a week later she was sitting up in a chair and was able to shuffle around over the floor from chair to bed. Previous to treatment she was unable to sleep at night without an opiate, but after the dose had been given she slept comfortably every night. This remedy is especially applicable to the uric acid type of the disease, but I be- lieve it would be useful in the septic type as well. - As you know, this medicament is on Then, too, the the market in ampoules for use, but the dose is so small that it must be fre- quently repeated to obtain continued benefit, and in tuberculosis I believe We must have a larger dose to produce a profound effect. The dose seems large but you need not fear bad results fol- lowing if you prepare the formula your- self and are careful in the technique of sterilization and filtering the solution. I believe this remedy would be beneficial in septic infection of all kinds as well as in the above conditions. I hope we will take enough interest in this subject to try it out and help prove its value. Naso-Pharyngeal Coughs.-It is not quite seasonable to write about the in- volvement of the naso-pharynx with, par- oxysmal coughs that do not seem to yield to our various sedatives, but it is of such importance to the practitioner that I will venture a few remarks at this time as we often get the same cough in Spring. When children and adults too are housed up in hot, unventilated quarters, the vault of the naso-pharynx nearly always becomes not only inflamed but the adenoid tissue there becomes so thick- ened, inclined to bleed and enlarged that it sets up an irritation to the recurrent pharyngeal nerve and it affects the so- called “tickling” in the throat that brings ‘out the expulsive, uncontrollable cough. Medicines—Lobelia, sanguinaria, hyos- cyamus, spongia, potassium dichromate, ipecac with stramonium or belladonna do not stop this sort of cough. But it is a simple thing to take a bent applicator that will reach up into the naso-pharynx and carefully apply silver nitrate, 20 grains to the ounce or full strength thuja to the raw surface and make it bleed. Be sure in applying to rub over, into and downward through the fossae of Rosen- muller behind each ear eminence to mop out any granular tissue that is likely to be there. This last makes the ears have noises or tinnitis as a rule, not always. One, two or three such treatments will end most cases of severe coughs due to this cause. ‘. - - I am often surprised at the amount of 198 ELLINGWOOD’S THERAPEUTIST bleeding from this treatment. But it is a sign that it was needed and my practice is to give this treatment every other day till there is no bleeding. Every doctor should carry this curved applicator made out of a strong uterine applicator, cut off to a seven-inch length and an inch and a quarter of the end turned nearly at right angle and the tip fled down to a blunt point so the cotton will slip off easily. Always suspicion this very preva- lent trouble when you have a cough to deal with, especially those worse at night and not due to tuberculosis or bronchial troubles. Give the sedative cough medi- cines along with this treatment as indi- cated. - - THOMAS L. BRUNK, M.D., ALTON, ILL. STUDY THE HAND IN NERVOTUS DISEASES It is surprising how much is gained in the diagnosis of certain diseases of the nervous system by the study of the hand. In some cases with the stage of disease also. Fox, of London, says the hand may be at one time paralyzed and at another time atrophied and another time it may be tremor with paralysis, and contracture, the sequence in which these conditions occur is of importance in the diagnosis. The movements of the hand, the dy- namic power, the sensory accuracy, the nutrition, the tremor, the abnormal pos- ture of both hand or fingers, are symp- toms that point also to other parts of the body so affected. The subject naturally divides itself into consideration of the or— der and character of paralyses, atrophies and several forms of hyperkinesis, these may depend on faults of the nerve cen- ters or of the nerves themselves. Par- alysis is most commonly a sign of disease in the cortical motor area of the brain. Wrist drop is generally a symptom of paralysis from 'lead, tremor is usually absent. In mercurial poisoning tremor is a prominent symptom, however, it ceases during sleep and is more impor- tant than that which occurs in the neuri- tis of general paralysis. Much could be said on this interesting subject. doubt correctly so. NEUROSIS : . Dr. Laughlin says, “We, almost daily, hear of sudden deaths from Bright's dis- ease, paralysis and heart failure, charged up to grip, la grippe or “flu,” and no And it is the daily experience of every practicing physician to see its record in some pathological manifestation, among which may be men- tioned, bronchitis, laryngitis, tonsilitis, suppurative catarrh of the eye and ear, and functional or organic disease of the lungs, heart and kidneys. And the long list of neuralgias are all aggravated, and induced to repeat themselves by it. “After the closest study of this disease that I have been able to make, I have be- come satisfied that it is a neurosis. That the active cause, whatever it may be, spends its force upon the nervous system, both cerebro-spinal and sympathic. “By this theory alone, I think, we can explain its varied phenomena. Such ex- treme physical manifestations from such apparently insignificant causes. Fre- quently the attack appears to affect every nervous and muscular tissue. “Then, again, it appears to be local- ized, but with a decided tendency to metastasis to remote points, with a celer- ity not common to disease. - “The extreme exhaustion that is mani- fest in the disease, and the collapse that suddenly befalls so many with other dis- eases, who have passed safely through the clutches of la grippe, is plainly ap- parent. I notice that the condition of our patients require and demand more and stronger nerve tonics and stimulants than usual, thereby emphasizing the motto of our school—sustain the vital forces; and the true eclectic ought to make the best record in this year's work. “Treatment—I now come to the last consideration of this subject, which should be the fullest, richest and best, but on the contrary, it is just the opposite. It is important to know all the phenomena of disease manifestation. It is still more important to be able to prevent and cure it. On this branch of the subject I find myself most weak and incompetent. I have been studying this subject as our BRIEF CONTRIBUTIONS 199 homeopathic friends study materia me- dica, by provings. A COMPARISON OF ERUPTIVE FEVERS Scalp, and arms; fully formed pustles on 6th to 9th day. How Long Contagious (Modified Sailpo x) headache; pain in 1oins, etc.→ Like variola, but less dis- tinct. 9th day of disease, with- out suppuration. DiseaseIncubation PeriodMode of OnsetEruption AppearsCharacter of Eruption! Eruption Disappears Scarlatina. . . . . . . . . . . . . . . . . .2ays.Sudden; often at night;| End of 1st or during 2nd | Dusky or light-red; often! In 3 to 5 days; first whereSo long as desquamation, (Scarlet Fever)yomiting;sore throat;ñigh] day on chest and （neck| diffused; çoñsişts of num-l appeared first; geņerally|ear dişcharge or absçeşS fever; in severe cases con-| first.erous réd points which | copious desquamation, in| present; i dą nger indefi- vulsions;conjunctivae un-coalesce to form a flush. I shreds.nitely in , çlothing, etc., -affected.not well disinfected. Rubeölą . . . . . . . . . . . . ......... | 8-10 days.Rather sudden catarrhalRed dots like flea bites;|| In about 4 days.Fos a week or more after (Measles; Morbilli)symptoms, particularly ofcrescentic; thickly about-eruption. the eyes; moderate fever.-mouth and förehead.-- Rubella. . . . . . . . . . . . . . . . .2-3 weeks.Gradual; fever slight or|| Usually first symptom; onļ Like rubeola, but less dis-| In 4 to 6 days, withoutUnknown. (Rotheln; GermanWanting.face, forehead, and be-| tinct.desquamation. Measles)|-hind ears.• →- Variola. . . . . . . . . . . . . . . . .Usually 10 to 14 days.| Sudden; chi11; high fever;| 3rd （or 4th day; fully| Red, spots becoming sųc-| Desiccation at end of 2nd | Şo 19 ng as sçabs, reform; (Smallpox)headache; pain ſin loins,] formed pustles on 6th toſ cessivēly papules, vēsicles|| week; crusts slowly sepa-l indefinitely in formites, --etc.9th day.and pustules.rate, leaving pits.etc. Varioloid . . . . . . . . . . . . . . .10-14 days.Sudden; chill; high fever;|. 3rd or 4th day on face,Vesicles dry up on 5th to! So long as crusts reform; indefinitely in formites, etc.* Varicella. . . . . . . . . . . . . . . . Usually about 2 weeks Sudden; slight symptoms; Sometimes none. Within 24 hours; often in successive crops. Pink papules, becoming vesicles; first about nose. In 3 or 4 days, drying up without suppuration. Ti11 shedding of dried crusts.: Typhoid Fever. . . . . . . . . . ' (Typhus Abdominalis) 10-14 days. Gradual; sometimes sud- den. 7th to 14th day. Pink spots; few in num |ber.- Variable and recurrent. Throughout disease; dan- ger in stools.|- I have made a per- The medical journals of sonal matter of it and still I can't tell you that I have gained much valuable knowl- edge from it. ication, and I have given them pretty all Schools have given us showers of med- liberal trial, and still I am free to say that I know of no treatment that will prevent or cut short an attack. I * venting some anticipated sequence. “Now don’t understand me to say that think that we are powerless to prevent an I do not medicate in this disease, for I do; but it is with the intention of pre- I think our function is to When I am called to attack, or to antidote the peculiar poison producing it. system, to prevent complications if we can, meet them if we must, to prevent relapse, and guard against chronic patho- conduct it safely through and out of the logical conditions. a case of la grippe I give some appro- priate remedy to meet the existing con- disposition, and also to any acquired flaw or deviation from the normal standard of health ; with that information as a ditions, and then inquire into the family history with reference to hereditary pre- basis, I formulate my treatment, with but slight regard to the existing disease. º g 5 The best remedies are Boneset tea, gel- Semium, aconite, echinacea, and phyto- lacca with veratrum and bryonia for For the la grippe itself I have no respect but for some of its far-reaching and un- avoidable results I have profound re- spect.” 1 QL) _º +→. “¡ ¿ $ ！ ●¿ † # ！ 5 ） ğ 5 ¡ ¿ ță și șă ſă E și C_)§ 5. „ţă = 8 :ē ž 5 5 E Ë .5: S = ~ ? --> -º a--------- sº- -s:::::::: # É t # - - - -º-º: tº: ########### # ###########| sis: {#if: （ ## #; ~- º: += £º #:- A º- - - E R -º-;- ~ É É Pathologic Food Markings CHARLEs WooDWARD, M. D., CHICAGO, ILL. The late Doctor J. M. Scudder added much to pathology when he brought out “Specific Diagnosis.” A study of the action of the sympathetic aerve by the Orificialists has definitely increased our diagnostic ability; but a knowledge of pathologic food marking will increase a physician’s resources for determining the cause of many un- known conditions of the system. There is a wide difference between symptomatology and pathologic food marking. The former is the superficial manifestation of acute and subacute diseases, while the latter exhibits de- finite causes of physiologic perversions which develop chronic and organic dis- eases. No subject will amplify our ability in pathology more than a knowledge of the correct action of nourishment. What we should know is, how the foods classified as protein, carbohydrates, fats and mineral matter increase chronic and organic diseases. To find the cause we must 1earn what foods interfere, increase and de- press the dynamic rate of the physio- *Read at the Milwaukee º Joint Eclectic Medical Society, June 3, 4 and 5, 1920. logic functions. Physiology teaches us how the system is nourished by a proper balance of the classified foods; but disease is on the increase, which is substantiated by the crowded con- dition of numerous hospitals every- where. Foods possess the active properties of medicine as alteratives, cathartics, irritants, stimulants, vermifuges, di- uretics, astringents, laxatives, refriger- ants, aphrodisiacs, etc. When five or more foods are present at a meal it can be noticed that the One possessing either irritant, stimulant, cathartic, or aphrodisiac properties ex- erts a predominant influence on the system over the other properties. It may be a stimulant at one time, irri- tant at another, cathartic, aphrodisiac or prolonged digestive chemical reac- tion. It can be observed that the pre- dominant property increases the heart's action and the dynamic rate of all the physiologic functions, which is the initiatory factor of high and low blood pressure. - - The stimulation of the dynamic rate of the physiologic functions is a me- 216 ELLINGwooD's THERAPEUTIST chanical action or contraction of the cells, followed by relaxation, which in- duces cell atony. Cell atony con- tributes to many functional perver- sions, and the increased rate of the functions produces individual patho- logic markings. In order to determine the cause and condition of many chronic diseases, it is necessary to ac- quire a knowledge of how different foods mark the system. It should be remembered that the excessive use of stimulating foods, through reflex action, increases the dy- Inamic rate of the functions which re- sults in pathologic markings. . . Tea : The stimulant property of tea predominates over its other properties and marks the system by reflex head- ache and constipation. The writer considers a permanent local irritation ing. Coffee: Coffee marks the system by increasing the urinary and biliary de- posits in the skin. It increases the dynamic speed of the functions; con- tracts the cells, followed by relaxation, which produces atony; it causes imper- ceptible irritation resulting in reflex closure of the sphincters and impinge- ment of the terminal nerves; it breaks the ratio of the secretions by contribut- ing to acidosis; it produces hemorrho- ids by its constriction of the rectum; it produces colitis, sigmoiditis and aphrodisiac effects; it perverts meta- bolism and overstimulates the spinal nerves, and thus disturbs sleep. Sugar is a stimulant antiseptic, which pro- duces irritant blood from its clarifying and crystalizing acids; it marks the skin with eruptions and by exposing local nerves to neuralgia which simu- lates neuritis; it increases the dynamic rate of the functions and produces hemorrhoids by determination of blood to the rectum; it produces acidity which breaks the ratio of the secre- tions; prolongs chemical reaction which produces reflex irritation; di- minishes the capillary circulation; in any part of the body as a food mark- dries the skin; produces constipation and impinges terminal nerves by im- perceptible reflex action; its excessive use produces indigestion and thus de- ficient oxidation, although considered a heat producer.’ - Sodium Chlorid: Sodium chlorid is an irritant, stimulant, aphrodisiac which markes the skin with eczema and psoriasis; it increases the dynamic rate of the physiologic functions, which results in high and low blood pressure. High blood pressure pro- duces dizziness and apoplexy ; its irri- tant and stimulant action has de- veloped albumen and albuminuric re- tinites and glaucoma. It empties and even destroys the capillaries by de- termination of blood to the internal organs (anemia of the skin) it perverts osmos as observed by cell atony, dropsies, local edematous swellings and plethora; prolongs digestive chemical reaction; and produces acidosis which breaks the ratio of the secretions. When the alkalinity of the blood is di- minished for a period by eating an un- equal amount of acid producing foods the urine becomes intensely irritant to the nervous system and acts as an aphrodisiac, which induces an erethism of the clitoris (nymphomania) substan- tiated by the pathologic food markings on the body of its victims in the asy- lums. It overcomes tissue elasticity which stiffens the joints, simulating rheumatism. It produces hyperes- thesia of the nerves which subjects the system to paralytic shocks from the slightest centric or peripheral re- flex irritation and destroys the fats of the system, as evidenced by odorless perspiration. ... • Ham, Bacon and Butter: There are many who do not add salt to their pre- pared foods but who eat excessive quantities of ham, bacon and butter, which being prepared with salt, an antiseptic, prolongs chemical reaction during digestion. The prolonged chemical reaction creates imperceptible irritation and reflex contraction of the LEADING ARTICLES 217 cells, and increases the dynamic rate of the functions. The foregoing are the stimulating foods which imperceptibly produce in- digestion, constipation and hyperes- thesia of the nerves which subjects the young and middle-aged as well as elderly persons to reflex paralytic shocks. Salt in these foods destroys the fats; produces odorless perspira- tion, capillary anemia and catarrh, and marks the complexion and the system with hundreds of unknown reflex irri- tations. Carbons: How many know that carbon is the greatest of all elements furnishing power to the brain, nerves and muscles and is the fuel of life, but that it burns itself into a poison by its very energy P. We need oxygen be- cause we must have something that will keep changes always going on. The system needs hydrogen as a sea of fluid in which all changes occur. Nitrogen is essential in order to weave the tissue of flesh. Thus with the woven material, the system makes use of the first three elements in human life. The fourth is carbon, or the fuel. When carbon is burned in the body it forms a new product which must be eliminated at once, for it becomes a poisonous irritant if allowed to remain. This act of disposing of it is con- trolled by Oxygen in the lungs, and the thing thrown out is dioxid CO, gas. This dioxid CO2 gas is a stimu- lating poison which increases the dy- namic rate of the physiologic func- tions. What are the carbons? Sugar is a carbon. Butter is a carbon. Cream is a carbon. These three things, which are so useful in cooking, are almost pure carbon. When they are taken separately into the stomach in connection with other foods they are a help to their digestion in most in- stances. But they fight with one an- other, and as Oxygen is always present, it perverts any two carbons into the stimulating deadly poison known as dioxid CO2 gas. Thus if we eat sugar and butter, we set up a ferment in the stomach and alimentary canal and gen- erate gas, flatulence, or even colic, all due to the stimulating irritant poison carbonic acid gas. A wrong combination of carbons de- velops a larger amount of dioxid CO2 gas than can be thrown out by the action of the lungs and Oxygen; then the system is marked with asthma, bronchitis and tuberculosis. Carbonic acid sets up local fermentation in groups of paretic cells which results in inflamation. Inflamation with its non- protecting paretic condition becomes a field for parasites. Educating people to select proper proportions of protein, carbohydrates, fats and mineral matter, when their nutritive properties have been dena- tured or changed with irritant and stimulating aphrodisiac substances, has proved a failure for maintaining health. - These facts have been obtained from long observation, and varified by the removal of food markings through re- ducing or proscribing these stimulat- ing and mechanically acting foods, and in most instances with little or no medication. Ignorance of food marking has greatly advanced surgery with some- what of a loss of confidence in thera- peutics, but if practioners desire to re- gain their lost prestige they must learn to read food markings. - . Y k One of our physicians uses echinacea locally in the treatment of hemorrho- ids. Those who have used this remedy, either alone or in conjunction with thuja, will please report. Not only for the treatment of piles, but for fistula and other diseases of the rectum. + k - We want some experienced enthusi- ast in the use of lycopus to write us an article on that remedy based on his ex- perience. We are not using this rem- edy as fully as we should. Let us know more about it. |- 218 ELLINGWOOD's THERAPEUTIST Some New Viewpoints Regarding the Cause and Treatment of Diabetes - Mellitus BY DR. A. S. HoRovitz, CINCINNAT1, OHIo. Mr. Chairman and Gentlemen: At the meeting of the National Eclectic Medical Association in Chi- cago, June, 1919, I had the honor to bring to the attention of this eminent gathering the physiologic and bio- chemic action of certain plant deriva- tives not before employed in thero- peutics. In this brief dissertation I wish to explain a new view regarding the conception of the cause of diabetes mellitus and its treatment with plant derivatives hitherto not employed in this disease. - “Correction of poor treatment is a necessary adjunct to the introduction of a better treatment.” this sentence is true to certain extent. However, when the underlying principle of a treatment is based on erroneous ob- servation the whole treatment must be discarded as worthless and in fact dangerous. In the endless chain of diseases not one was less misunder- stood than diabetes. In no disease where the causative factor was known has a more untrue conception been taught than in diabetes, and we may say that general carelessness or ultra- conservatism played, and plays, an im- portant part in this misconception and consequent wrong treatment of dia- betes. Diabetes is eminently chronic, and is due to the unequal distribution of sugar in the system. Some patients are aware of their trouble; some are not. Some cases are left to go along until irreparable complications or fatal acidosis develop. All the older and newer methods of diabetic treatment are based erroneously on the so-called sugar free existence. Janney states in his article in the J. A. M. A., May 4, 1919, that “in spite of the recent important advances made in diabetic treatments by the studies of Allen, Joslin, Mosenthal and others, *Read before the National Eclectic Medical Asso- ciation, Atlanta, Ga., June, 1920. our profession at large has failed to profit.” - I believe the conception of diabetes is erroneous, as the body of a diabetic does not contain comparatively more Sugar than that of a normal one; in fact, the tissues of the diabetic are poorer in Sugar than the tissues of a normal individual. This last men- tioned lack of sugar in the tissues is the cause of the atrophy of the muscles of a diabetic case, which atrophy is Only aggravated through the so-called starvation treatment, and if this is car- ried on for certain time irreparable damage is done, resulting in fatal aci- dosis and diabetic gangrene. The quantity of sugar in a diabetic is confined to certain organs, conse- quently disturbing the whole metabol- ism. It is my belief that diabetes is caused by the prevention of osmosis of the sugar content of the chilus, chimus, blood and tissues. This pheno- mena is caused by certain substance deposits in the different vessels, which have the power or a special influence to prevent the osmosis of sugar from the vessels to the tissues, thus in a way depriving the tissues of necessary sugar content and causing accumula- tion of surplus sugar in the vessels. That the tissues of diabetic persons are poorer in sugar content than the . tissues of a normal case is sufficient verification of this statement. My firm belief is that we are in position to eliminate the substances which pre- vent osmosis of sugar between the ves- sels and tissues and that diabetes will pass as a historical disease. In looking for successful treatment to overcome diabetes, we must dis- card traditional treatment, as the old type of dietetics and other well known methods are wanting. Instead of meeting the expectations of the med- ical profession, they frequently prove dangerous in the hands of the inex- perienced. - It is not my intention to give a chronological history of the different LEADING ARTICLES - 219 diabetic treatments from time of Galen (middle of eighteenth century) Dob- son (1775) Rollo (1797) Chevruel (1815) Friedeman Gmeilin (1821). Von Stosch (1828) Kuscimun (1874) Kutz (1876), etc. We know that the dia- betic treatments today are based mainly upon dietetics. The mushroom growth of the fasting method and its 1eady adoption has done much harm. The latest and most advanced improve- ment in the treatment of diabetes was originated by Mosenthal and Harop. According to their findings “the addi- tion of equal number of calories of protein fat or alcohol to a low caloric carbohydrate free diet in cases of dia- betes mellitus results in the assimila- tion of considerable amount of nitro- gen when the protein is used, a favor- able nitrogen balance in only occa- sional instances with fat, and no change in the nitrogen equilibrium when alcohol is given. This would point to a high protein diet as the most advisable low calory-carbohy- drate free diet by which to conserve the body tissues"and furnish maintain- ence ration for the diabetic.” These findings are the most marked approach to the correct treatment, but not in the way Mosenthal and Harop contemplated and explained. The real beneficial physiological and biochemic action of the protein feeding is based on the action of protein on the cyto- genic mechanism, which indirectly tries to correct the disturbed metabol- ism. The proteins are cytogenic stimuli only and are not sufficient for the task of overcoming diabetes. It is necessary to combine additional therapeutic principles with the pro- teins to accomplish the task of over- coming diabetes, and this medication should be given by the parenteral 1 Oute. - The new treatment intended to over- come diabetes is the so-called Proteo- gen treatment. Before you will be able to understand the mode of action of this preparation, a short explana- creased. tion of my concept of diabetes is neces- sary. The physiological disturbances in a diabetic body are caused by foreign substances undoubtedly be- longing to the protein group. It is a well known fact that these sub- stances differ from the substances which build up our normal body tis- sues in specific gravity. In this in- stance the specific gravity is higher than that of the normal ones, and they contain more inorganic matter than the normal molecules. This is ob- served in diabetes, arteriosclerosis, pernicious anemia. In diabetic cases these special foreign molecules have a chemical affinity to the tissues of the circulatory organs and are accumu- lated and deposited in these organs. Through their accumulation the nor- mal osmisis of the sugar contents of the blood is gradually lowered and consequently the quality of sugar in- It is obvious that through this phenomena the whole metabolism is disturbed and the body tissues, not receiving certain necessary food com- mence to atrophy. - This is not a theory, but an estab- lished fact, which may be demon= strated by every interested practitioner upon diabetic and control dogs. This experiment will prove that the tissues of diabetic dogs are poorer in sugar than normal ones. Accepting this theory, the most important fact would be the solution of removing and pre- venting the formation of the special high specific gravity substances which interfere with the normal sugar os- mosis. All foreign substances which are built up of molecules of different specific gravity than normal molecules come under the influence of our im- munizing factors, i. e. our system will try its utmost to relieve the body of these foreign substances. In cases of diabetes, however, this is too great a task for the immunizing mechanism, and help is required to accomplish this work. This help I believe to have found in the special Proteogen for 220 ELLINGWOOD's THERAPEUTIST Diabetes. I have endeavored to pre- pare a preparation which will not only distribute the sugar equally all over the system, but neutralize the dan- gerous acidosis, which is the most dan- gerous factor in destroying the life of a diabetic sufferer. ... • Through the weakening influence of diabetes, various micro-organisms have a chance to call out their danger- ous activity and hasten the destruc- tion of the patient. The ingredients of Proteogen (explained in “Proteogen Therapy”) through their polyvalent action upon micro-organism have the power to overcome indirectly the in- fections associated in some cases suf- fering from diabetes, and therefore the use of other therapeutic principles is unnecessary. - The End of the Long, Long Trail F. P. DAVIs, M. D., ENID, OKLA. There are two things in 1ífe that overshadow all other subjects of inter- est to the human family. The greatest problems of the ages have been those of producing and sustaining life. With all our boasted knowledge and all our long years of progress from the dawn of civilization to the present time we have succeeded only in maintaining what we are pleased to call an average term of life. The fact being that we have not been able to hold the span of 1ife with which we began, and have all these years been running a losing race. Until very recent times it has been held that the life and developments of tis- sues was combined in the body a a whole. The experiments of Harrison in 1910, first showed the possibility of cultivat- ing tissues outside the body, by the demonstration that embryonic tissue of the frog, transplanted into coagul- able lympht, will develop normally. Later, Carrel and Burrows succeeded in cultivating adult tissue in a similar 1112.1111621. - - After Carrel had succeeded in keep- *Read before the Oklahoma State Eclectic Medical Association, at Oklahoma City, May 26, 1920. ing fragments of connective tissue alive, outside the body, a new light was thrown upon the problem of senil- ity and death. These discoveries raised the question as to whether senility and death are due to the accumulation of waste, or the lack of nutrition, or to some other factor. Woodruff has shown that the proto- plasm of the paramacia is capable of continued reproduction without the sexual device of renewal of youth by conjunction. And now it appears that the connective tissue cells have the power of multiplying indefinitely in culture media. A strain of connective cells first cultivated by Carrel in 1912, is still very active after more than seven years of life outside the body in vitro. Its rate of activity has not de- creased after more than a thousand transplantations. The experiments of Maupas, Woodruff, and Metalnekow, seem to indicate that protoplasm is immortal, and that the living cell has an inherent capacity for renewal and multiplication indefinitely. These facts, together with reports on higher forms of life, indicate that elemental death might be postponed indefinitely as suggested in a late edi- torial in the Jour. A. M. A., provided a suitable nutrition could be attained continually for the cells. Loeb has suggested that death is not inherent in the individual cell but is only the fate of a complicated or- ganism in which the different types of cells and tissues are dependent upon each other. Carrel’s experiments, showing the possibility of continued growth of connective tissue outside the body, appears to add weight to this view. Loeb and Northrup have proven that life is possible without bacteria, yet the animals so raised all reached old age—died. The questions confronting the in- vestigator who would solve the prob- 1ems of life and death are many. Metchnikoff held that foreign organ- isms, in the form of intestinal bacteria, LEADING ARTICLES - 221 are the cause of senility and death, and recommended a sour milk diet to over- come the invaders. The question has been raised whether or not death may be due to a chemical transformation of materials by certain cells thus con- suming some essential substance which is not replaced. It is recognized by scientists that the rate of chemical reaction ordinarily is hastened when the temperature is raised, and decreased when the temp- erature is lowered. Picet’s experi- ments with the frozen goldfish is a good example of the inhibiting action on cell activity of a lowered tempera- ture. Loeb holds that, if life depends upon certain chemical actions in the body duration of life may be greatly increased by lowering the tem- perature. It has been shown that the duration of the life of the fly is the same as the influence of tempera- ture on the velocity of a chemical re- action. Loeb found that a lowering of the temperature by ten degrees re- sulted in an increase in the duration of life by two or three hundred per cent. From the foregoing we are justified in assuming that life depends upon a chemical reaction within the body, and the death of cells is influenced by an increase in temperature, which in turn hastens the chemical changes within the body. The conclusion to be drawn, then, is, that the span of life is short- ened or extended according as the temperature within the body is raised or lowered. Thus, fever, by hastening the chemical processes destroys cells and weakens the body. The ingestion of large amounts of heat producing foods increases the temperature and destroys the cells. Metchnikoff’s sour milk diet was a cooling food and to a considerable extent reduced cell temperature. The people who use the sour milk diet and are noted for their longlivity consume but a very little sugar and meats. While those who consume large amounts of fats, sweets and such heat-producing foods increase temperatures thus increasing chemical activity which means cell destruction, senility and death. Significance of Abdominal Tenderness. S. T. HEMMINGs, M. D., BEAUMONT, TExAs. Tenderness is one of our most im- portant links of evidence in the diag- nosis of the various chronic affections of the abdominal viscera. The char- acter, location, and limitation of area of tenderness assists us in telling which organ is affected, while the degree of tenderness is of great assistance in forming an opinion as to the extent of such disease. * . Tenderness is a symptom of special importance in three of the common causes of chronic dyspepsia in adults, 11amely: Diseases of the gall bladder and ducts, ulcer of the stomach or duodenum, and chronic appendicitis. Whenever a patient presents dys- peptic symptoms, a careful palpation should be made of the abdomen to de- termine not only the points of tender- ness, but the area which is free from such symptoms. In other words, be sure of the normal as well as of the ab- normal condition. Just a word might not be out of place as to the method of determining tender points. The patient should be in a horizontal position with clothing free from the waist. If it is believed that a certain point is tender or the patient calls attention to some special point, it is far better to go over the abdomen systematically, beginning at some other portion and gradually com- ing to the part which is supposed to be tender, at first using very gentle pressure, and later, after gaining the confidence of the patient, try deeper pressure, for it is well to know whether tenderness is elicited only upon super- ficial or upon deep pressure. - We must not always be too well sat- isfied, either, with the patient's state- ments, for often he wants to deceive both himself and the doctor as to the true condition. 222 Tº LLINGWOOD’S THERAPEUTIST In addition to noting the tenderness as told by the patient, we should notice Very carefully his expression and gen- eral behavior. Spasm of the muscles and rigidity are also often involuntary answers to our questions as to tenderness. In searching for tenderness and giving it its proper place among the symptoms elicited, the personal factor must have consideration. A neurotic woman or a patient who is shamming may scream before he is touched, while, on the other hand, a Stoical, laboring man may give no sign of pain with pressure over a severely inflamed organ. We must also take 1nto consideration the state of the pa- tient’s mind, as it makes a great differ- ence whether he wishes to be tender or not over that particular point. In quite a large proportion of adults with dyspepsia, tenderness will be found in Cne of three places, namely, over the stomach, the gall bladder and ducts, or near McBurney’s point. The ten- derness over the stomach may be due to a nervous condition, but usually it means that there is something inflamed under that point. In chronic gastritis there may be considerable tenderness distributed Over the stomach area, but a persis- tent, localized soreness in the stomach or duodenum is most likely to be due to ulcer, although cancer will also give Some tenderness. Usually this sign can be elicited at any stage of the dis- ease in the case of ulcer, and it should be pretty constant as to position and ordinarily rather closely circum- stribed as to area. In recent years it has been found that many cases of dyspepsia are due to gall-stone disease, and here again tenderness is a symptom of first impor- tance. It will usually be found dur- ing the attack of gallstone colic if there be any and lasting for some time after- wards, and the tenderness will be found at the costal margin over the gall-bladder or in a line between that and the umbilicus. There may not be distinct attacks of colic, but only ordinary symptoms of dyspepsia, with tenderness in the location stated, and although discov- ered only after patient and careful ex- amination, it is of exceedingly great importance, as this tenderness, elimi- nating very few possibilities, means that there is inflammatory disturbance in the gall-bladder or ducts. This in turn may or may not be due to gall- Stones. When the appendix is the cause of dyspeptic symptoms, tenderness will almost invariably be found and usually over McBurney's point, but this will vary Somewhat on account of its vari- able length and position. Thus the appendix has been found in almost every portion of the abdomen. A great majority of cases, however, will show the appendix at its base, very close to McBurney’s point, and the tenderness will be present and will extend in some direction from that. By this tender- ness it is often to tell before the opera- tion the position in which the appendix will be found. In this region there is some chance for a mistake as to the cause of the tenderness. Any disease of the ureter, either due to stone or tuberculosis or other cause, would also give tenderness, but, ex- cept in the case of small stone or other localized disease of the ureter, there will be tenderness continuing over to the kidney or bladder, or both. In women it is often difficult to state definitely whether tenderness, which is found in the region of the appendix or below, is due to disease of the appen- dix or the ovaries, and it is no wonder that it is difficult to determine between these two conditions, because, at Op- eration, it is a very common thing to find the appendix adherent to diseased ovaries and tubes. - In fact, with the appendix in the pelvic position it is almost always in- volved in pelvic peritonitis, which is so common in women. Perhaps, al- though except in a most general way, LEADING ARTICLES . - 223 I do not believe that diseases of these organs have material relationship to chronic dyspepsia. - There are other diseases which may be present and give abdominal tender- ness in chronic dyspepsia. The most important of these are the disease of the kidneys and pancreas. In disease of the kidneys, such as tuberculosis or calculus or other inflammation disturb- ances, there will be tenderness over the region of the kidney, and this will be very constant in position except in case of abnormal mobility of the or- gan. The kidney, which is abnormally movable, will usually also be tender on pressure. t The pancreas may be the seat of in- flammatory disease, or tenderness in this region may be due to stone in the pancreatic duct. I have also seen calculous material taken direct from the body of the pancreas. A cause of tenderness, which is very often a source of error in the diagnosis of these various conditions, is the en- largement of the lymphatic glands in the abdominal cavity. Tender mesen- teric glands are particularly like to confuse one when they are in the re- gion of the gall ducts or epigastrium, and a very careful study is often neces- sary to separate these conditions. A beginning tubercular peritonitis will often give dyspeptic symptoms and the tenderness here is usually somewhat general, although it is likely to be much more marked over certain areas, and particularly the appendix and the tubes and ovaries in women. Tubercular enteritis and chronic en- terocolitis should also be mentioned as causing tenderness over the ulcerated area.S. - In any case of chronic dyspepsia with abdominal tenderness, it is well to look for every possible cause of it before settled that this is due to dis- ease of a special organ, we should not be too hasty in putting this in a posi- tion of cause and effect as far as dys- pepsia is concerned. Uterine Remedies J. A. WILLIAMs, M. D., HARTFORD, CoNN. I began to study medicine in a doc- tor's office in Hartford. At that time the two most prominent doctors of the Botanic faith were my preceptor, Isaac J. Sperry, and John W. Johnson. Dr. Johnson was the first president of the older National Eclectic Association. Dr. Sperry was always a rigid Physio- Medicalist, although in the first Na- tional Meeting of Reformed Physi- cians, about ’52-'54, he it was that first Suggested the name Eclectic, to those who followed Beach more than Thom- SO11. - While in Hartford I had the pleas- ure of meeting such men as Walter Burnham of Massachusetts, Alva Cur- tis of Cincinnati, Dr. Hayden when he first began to introduce his Vibur- nam Cordial, Dr. Robert Safford New- ton and other men of high position among our elders. In those days we had few tinctures, comparatively no fluid extracts and the most of our Imedicines were used in powders or decoctions. The so-called resinoids were trying to kill us off even then. Each of these chief doctors kept stores of the Botanic drugs, writing no recipes. There were also very many who doctored with “Clairvoyants,” and we used to prepare the voluminous prescriptions put out by them. Conse- quently we were acquainted with the looks and tastes of all sorts of roots and herbs. - Personally, I had King's Dispensa- tory from my tenth year, edition 1854; and it was my study all the years of my minority. Not only that, but I was always a lover of Nature, and strove to know all the plants and in- sects that were around me. . There was an old “witch” woman who took a fancy to me when very young, and as she went to gather her herbs and simples, she often took me and taught me her uses for each, their old names and many very wonderful lies also. But her acquaintance with 224 ELLINGWOOD’S THERAPEUTIST me was what fixed my fancy to the profession. - About Mitchella repens. In my copy of King I read “The whole plant is official and imparts its virtues to boil- ing water and alcohol.” The root is like grass root. Dr. Sperry had a faith in it as a corrector of female weakness, and used it always in the pregnant female to prepare for easy delivery. He made a syrup of mitchella, helo- nias, macrotys, senecio, cypripedium and viburnum opulus, which he gave to nearly all pregnant patients. Dr. Sperry told me that before he stopped counting he had delivered over 5,000 women. this syrup in very many cases. J had a call for it from Napa, Cal., last fall. I remember one lady who was over forty before she first became pregnant after a good dosing with Senecio Aureus, which will often do that. She lived about forty miles from me, in a place where it was very hard to get to her. She was very timid and fear- ful. I began giving this syrup at the third month. She took it continuously. She had counted the time carefully and had engaged an experienced man to deliver her and a midwife to attend. Her husband had to be away two days and went a week before the ex- pected time, leaving her with a girl of fourteen, all alone, with no near neigh- bors. This was before the time of telephones. About midnight while she was all alone except for the girl, that miserable baby (probably in- tended for a suffragette) came into the world. The birth was perfectly easy and the secundines came away nicely. A year after she brought me the little girl to show it. I have been knowing to a good num- ber of elderly women who from taking this medicine have had very easy de- liveries and also rapid recoveries, the cypripedium and the macrotys carry- ing along an influence that prevents the after pains (the old Bontanichs rather favored caulophyllum and actea Personally I have used serious disease. spicata for after pains above the macrotys). - I have used mitchella a good deal in weakness of the female organs. Buſ in cases where there was neither preg- nancy nor a wish for it I have rather favored helonias and senecio. I also think that Asclepias Tuberosa has a good tonic action on these organs, and for a long time I have used Lillium tig. with great confidence. There are some things that one can- not explain to another, but you see some undefined likeness between one patient and another that memory has conserved and you remember the drug associated with the relief of the first and get results on the second. It is only when these things repeat and be- come insistent in your mind that you grasp the therapeutic fact. There are some things that I have waited thirty years to get another simi- 1ar conjunction of symptoms and rem- edy relief. For instance in Allen, under the provings of Cantharis, I read, “The patient wakes up at 3 a. m. and has a strong desire to urinate but has to wait a long time to start it.” One day there came a man with exactly that com- plaint. I whipped some Cantharis up to the sixth decimal potency and placed twelve drops in four ounces of water, to be taken a teaspoonful every four hours, with complete success. But I have never seen another case. There are a few other drugs that I have used for a long time that do not seem to be well known, as Condurango and Boldo; the more that I use these drugs the better I like them. - - * * - Auto-toxemia is proving to be pres– ent much oftener than we used to think. We have observed patients who called themselves in good health and yet who were so filled with toxines that but little cause from any condition was sufficient to unbalance their health, and permit the development of This condition must have more constant attention. LEADING ARTICLES - 225 Care and Diet During Pregnancy A. E. PARKER, M. D., NEW YORK. Martin F. Tupper truly said, that “a child in a house is a well-spring of pleasure.” The little helpless life as it is ushered into the world, appeals to our love and sympathy. It humanises even a brutal nature. In very truth it comes to us laden with blessings, not- withstanding its faint wail of anguish at its new birth; and oftentimes through a life of neglect and lack of sympathy it wails on until it is taken in pity to that great Unknown from whence no traveler returns. When a child is born to a wedded life it ce- ments the bond between the husband and wife, and it is the only bond that makes “them twain to be one flesh.” Who can say how much of the one or the other is contained in that little atom of helplessness? Or which ex- ceeds the other. Are they not one flesh? I hold the theory that, if a woman does love her husband she de- sires children, because she loves to watch the unfolding to her loving eyes the features of face and form, the men- tal peculiarities that first won her the attention, and later on the love of him she calls husband and delights to honor, and to whom she has yielded her life and her own personality. If she does not love her life-partner, and their lives, tastes, and aspirations lie apart, there is a gulf of differences separating them that it is impossible to cross. There is a void in the woman’s life that nothing under heaven can fill except a child. O ! is not that child a ministering angel? She wakes to the fact that she too has an object in life; something to live, struggle and endure for. A child is a necessity of a woman’s life; and as she must tread the “wine-press alone” in giving it birth, we propose to see if we cannot aid her in this matter, by teach- ing her how to live in such a way that the disposition and health of her off- spring may be improved, and the hours ever, of her travail shortened, at the same time that her own future health is se- Cured. I have in quite an extensive practice of many years met with two women, one of whom had given birth to seven and the other to four children, not at all connected with each other, neither of whom had experienced the first symptom of a pain in giving birth to their children. The former had never been delivered on a bed, never having had time to get there. They both told me that they would feel as if something dropped and they would hasten to their rooms as if trying to catch a train. Some of their deliveries occurred on the stairs, some in the hall-way, and only twice at the side of the bed. . One of these ladies is still living and enjoys exceptionally good health. The other died of pneumonia in her 67th year. They were both women in moderate circumstances who personally attended to their household duties during the entire period of gestation. - Dr. Dewees, one of the best author- ities on obstetrics, says that “pain in childbirth is a morbid symptom.” Well, I can only say that nine hun- dred and ninety-nine women of every thousand suffer from the “morbid. symptoms.” Most of us who have borne children can testify to the truth- fulness of this last assertion. Absence of pain is the exception; very acute pain the rule. I do not want to be understood as & restricting little girls from proper ex- ercise. Every child should be allowed to ramble in the woods, climb the mountains, swim, ride horseback, go boating, and in fact have as good a time generally as boys do. I am, how- - opposed to roller-skating for girls, and cannot see anything health- ful in it for them. Nor do I believe it healthy for children to feed on sweets or highly-spiced foods, or that they should be allowed to turn night into day, either for purposes of pleas- ure or study. They should sleep from 226 ELLINGWOOD’S THERAPEUTIST . dark till daylight, winter and summer, from infancy to maturity. (The run- ning of a sewing machine is equally severe on maturing girls, and child- bearing women. Ed.) The seeds of dyspepsia are sown in childhood by allowing the child to par- take of wines, ales, beers, spiced foods, cake, pastry, and even fruit between meals. Young children should never go longer than four hours without food being taken into the stomach (except during sleep,) which, though it should be palatable and easily digested should be absolutely void of condi- ments, rich cakes and pastry, tea, coffee or alcoholic stimulants of any kind. Plain cakes, puddings, fruits are not detrimental if partaken of at meal- times as dessert, even candy may be partaken of occasionally. should be made agreeable to the child, and should be inculcated as second only to godliness. Teach the child so that the bath will be a pleasure, never a punishment; but unless feverish, the bathtub should be forsworn, unless salt-water can be obtained, and then have the temperature directed by the child for its own comfort and enjoy- ment. - - - - A proper supervision of the daily habits of children, and attention to the regular evacuations of the bowels are just as necessary as the providing of proper food, and a sufficient quantity of it. And I must condemn the cus- tom of permitting young girls and their male associates to go unaccompanied by parent or guardian to late suppers. Young men and women had better not be very much alone till their acquaint- ance is consecrated by marriage. It is much easier to escape trouble, if we avoid the inciting causes that invari- ably lead to it. Human nature is the same in both sexes, and requires con- trolling influences and a guiding hand. Hence, late hours, seclusion in a room dimly or brilliantly lighted, secure from intrusion, is a pitfall into which many good people have tumbled. You may Bathing wonder by this time what all this has to do with our subject as announced. I will tell you. If our young children are allowed to cultivate depraved appe- tites, improper exercise, mentally or physically, we shall, as physicians, be less able to control them when they are about to become mothers; because the gratification of these desires have become as second nature to them. And our little girls from infancy to maturity should be trained for mothers with in- finitely greater care than is the athlete for his race, or the pugilist for his fight. - The influences of maternity are boundless as space, as limitless as etermity. We have now brought our little one to maidenhood, and she is standing on the threshold of woman- hood, we should counsel her as to her duties to her husband and herself. When after a few weeks or months she finds herself pregnant, she should be encouraged to take up the burden with cheerfulness and full appreciation of the honor that awaits her. She should take daily moderate exercise in the open air, giving her personal super- vision to her household duties without lifting or carrying heavy burdens. “Early to bed and early to rise” is a safe rule to be observed during preg- nancy—a sponge-bath daily, the tem- perature to be regulated by the desire of the patient at the time of taking it. If constipation occurs, the sitz-bath may be of service, but I question whether any of the many supposed-to- be-necessary accompanying maladies of pregnancy will occur if proper at- tention is paid to exercise and diet. Quite early in life I became a wife and soon after began the study of medicine. I had ascertained that to be my condition, and longed for a child as the baby does for a doll, having a very limited idea of the duties or re- sponsibilities attending maternity; and a very kind, but stupid friend of the family had informed me that the doc- tors said that “I could not live to give LEADING ARTICLES 227 birth to a living child.” The “pure cussedness” of my nature asserted it- self and I declared my intention then and there, that I would live and I would give birth to a living child, whose mental attainments should be absolutely astonishing. I read and Studied persistently at all times, under all circumstances and almost all sorts of works on medical subjects, this pamphlet among the rest; and I at once concluded that if fruits would carry me through, I would not eat or desire anything but fruits. Only once did I break that rule during seven months, and then I ate salt mackerel boiled. I procured a barrel of oranges, a bunch of bananas, and a keg of white grapes, and the fun began for me. I was ridi- culed, sneered at. Every one said I would lose my strength, and that when the trying time came, I would give out. I finally promised them that if I felt weak or sick, I would eat meat. Be- fore I began this course of diet, I had frequent fainting. After I had done So, I had no symptoms of syncope till the seventh month, when being ordered to take a dose of castor oil (which was entirely unnecessary) it produced violent vomiting; under which circum- stances, of course, it was insisted that I be bled. They left nothing undone to make their words true, but I was firm—pig-headed if you will—in my determination to follow the course of diet that I had started on ; and I had the unspeakable pleasure to give birth to a healthy daughter who is living, and was the mother of six children. With four of my children I pursued the same course of living; with two, I was unable to do so and paid the pen- alty by prolonged and excessively severe labors. My principal diet was Oranges, bananas, lemons, apples, rice, Sago, grapes, spinach, etc. As I never cared for bread, it was no deprivation to do without it; but I had been always a great lover of beef, and it was some- what of a trial to abstain from it with my first child. I was taken in labor at Seven o'clock in the evening and at a quarter before ten the babe (weighing ten pounds) was born. I was a little Over fourteen years of age. On the eleventh day afterward, I was out riding with the baby. I was then told that this was not the result of my diet, but that it would have happened so any way. I have tested this method of dieting in my practice and I can unequivocally commend it as almost unfailing. Im- mediately after parturition I recom- Imend a glass of cold water to be taken, and as soon as desirable a glass of milk. On the fourth day I give beef- steak, roast beef, lamb or mutton, po- tatoes boiled or baked, and whatever the appetite craves. Sugar was recommended, if I remember cor- rectly, but as I never was very fond of sweets, I concluded that I would not be injured very much by not in- dulging in them. Yet if my patients are fond of confectionery, I let them have it. Of course it is possible to overload the stomach with any diet; and as many people believe that when preg- nant they should eat for two, they im- mediately proceed to eat for a dozen, not because the appetite craves so much, but they “want the baby to be fat.” They thus prevent the assimila- tion of their food, and the nourishment of themselves as well as their offspring. No pregnant woman needs any more food than she does when she is not pregnant. Let her look to the quality, and not the material of which that food is composed. - An unwelcome child goes through life feeling like an intruder; and no matter how much of love may be given afterward, the blight that fell upon it prior to its birth lends its aid to em- bitter and render morbidly sensitive a human being for whose life that mother is responsible. Is this follow- ing the golden rule of “doing to others as we would have them do to us?” Surely the disposition of the mother 228 ELLINGWOOD’S THERAPEUTIST must influence that of the child to a greater or less extent. - Fruits of all kinds as well as all vegetables may be eaten during preg- nancy, provided very little salt is used and no spices, such as peppers, cloves, allspice, etc., etc. I am convinced that if you will make one trial of this, you will be thoroughly satisfied of its effi- cacy, and the pains of maternity will lose their terror, women will enjoy good health and bear healthy children —all of which is a conclusion most devoutly to be wished. A Ramble in Therapeutics P. F. PRICE, M. D., MILo, Iowa. After getting a letter from Dr. M. B. Stine, of Des Moines, in regard to Our annual State Medical Association and asking me to choose my own sub- ject and write a paper, I began to cast about for a starter for my subject. In my meditation I began to ramble about in memory of the past several years of meanderings in pathological fields where swarmed myriads of bac- teria bacilla and germs of all disease and death. In these fields of enemies to health and vigor, we are not armed with the hand grenade, the machine gun or any sort of artillery used in our late war but prepared went with a thorough training in therapeutics and the pure drug remedies to be used in the machine guns of diagnosis, the hand grenade of therapeutics and spe- cific medication and the aeroplanes of knowledge of getting the specific range and dropping the large indicated shells of antiseptics and sedatives into the cesspools of sepsis and elevated temp- erature. - - I finally stopped on a place which took in the surrounding country. This way lead into a very broad highway winding about over hills, plains and valleys. On every hand was trouble; nearly every home of this land some member or members or the whole family was sick, infected with the world wide enemy to the human fam- ily, called the “Flu” or Influenza. We all know too well the ravages this monster made with all people. When this epidemic struck our part of the country in 1918, phone calls for help were many. I struck the trail armed, equipped with the same reme- dies with which I fought this same enemy through the hard winters of 1889-1890 and 1891. At that time we called it “La Grippe.” • , When I got the range by direct diagnosis and turned on the artillery of definite medication, charged with mighty shells of Gelsemimum, Bryonia, Asclepias, Aconite, and Eupatorium. I was very soon master of the situa- tion. At one time in December, 1918, I had eight patients in one house, four miles Southeast of town ; eight in an- Other four miles north-west from town ; , eleven in another three miles northwest from town, and four in an- other, three miles west of town, all sick with the “flu.” Two in each family sick with pneumonia, the others were suffering respiratory disease, such as bronchitis, pleuritis and tonsolitis. The small children would be crying from headache, backache and Soreness of the whole body. - Now, to begin medication, I would carefully examine each one separately and make a note of the condition. I did not issue to the whole one kind of treatment such as aspirin and the coal tar derivatives as was done in Our camps, but I prescribed according to the condition of each patient. If the patient had high temperature, flushed face and eyes, headache, sharp, harsh cough, soreness of chest and aching of the body, Gelseminum, Bry- onia and Epatorium were given. If there was pleuritis, asclepsas was added. One remedy I must mention in the treatment of pneumonia among the children is Antimonium Tartoricum. I used it successfully in many cases but followed the indications for this LEADING ARTICLES - 229 remedy. The prominent symptons are in the respiratory tract, the larynx, trachia bronchial tubes, by pronounced subcrepitant rouchi, difficult wheezing respiration, Suffocating rattling cough, given in a case of this kind where the Subcrepetant rouchi are marked, and tartar emetic is almost sure to relieve unless the case has been of long stand- ing and here we should alternate with Calcarea carbonate to tone up the bronchial mucus membrane. Another indication for this remedy is the tongue coated, pasty, thick, white with reddened tip and edges. Dissolve five grains of the 24 in water four ounces, give teaspoonful every hour and use Libradol for application. In my ramble I used Floyd's Sub- culoid Lobelia, the elixir of life. I often use it hypodermically in rigid OS 15 to 20 drops, will dilate readily and increase contractions. I use it also in asthma, where the patients sit up and gasp for breath, a hypo of 30 minims will open up for more air and relieve the nerve tension. I have used it in elderly people with palpitation, heart weakness, when it is apparently useless to try anything. A hypo of 15 to 20 drops will at once put life into the waning power. Give it in shock, croup, spasms, asthma, gall Stones, colic, etc. - Another remedy I used, and it is a hero, is made by Merrell and called Proteogen. I have been using it for two years for rheumatism, sciatica and pneumonia. The first patient was a miner, with sciatica in the left limb from his back down to his foot. He could not lift his limb, suffered intense pain all the time, except when relieved by a hypo of morphine. I sent for a package of Proteogen No. 2, I gave him 1 c.c. deep into the muscle of the affected limb, every other day until he had taken four ampails of 1 c.c. each. That let him up and he began to improve from the first. I have used this on several who were down in bed with lumbago, who could not turn or move, four to five doing the work. During the past winter I was treat- ing ten little children in the family, the boy, five years old, had the “flu” quite severely. The respiratory irrita- tion was leading to pneumonia, in spite of the remedies I was using. One evening I took two Ampouls of Pro- teogen No. 12 for pneumonia. I gave the little fellow % ampoul, or 8 min- nims, and the next day the temperature was normal, the respiratory irritation had subsided, and soon he was alright. Several other patients I relieved as quickly. One case of an old lady, seventy-five years of age, who had broncho-pneumonia. I did not think anything could help her, but gave het one ampoul, No. 12, and the next day another, and she soon recovered. I will close my ramble this time by saying that as I rambled through the fall of 1918 and that winter I followed definite medication in the treatment of Influenza and treated 302 patients without a death loss. In the fall of 1919 and the past winter, I treated 170 patients with Influenza and lost only one patient, an old lady seventy- five years of age. * , . I have fought the Influenza through four epidemics within thirty years, but the end is not yet, we will have it again. - - caution IN PELVIC OPERATIONS Many of the so-called scientific oper- aters upon the organs of the woman's pelvis forget entirely the importance of free blood supply to these organs. Atten- tion has been called to the fact that oper- ative measures, that in any way interfere with the nutrition of the anatomical struc- tures which comprise the upper floor of the pelvis by cutting off their blood vessels or the trophic nerves, so materially interferes with the nutrition of the organs, supplied by these, that the result of the operation is not only defeated but a condition more serious than that which previously existed may result. l BRIEF CONTRIBUTIONS On practical Everg-dag Topics ſ J|[E] THE HEART AS A CENTER OF UN- REASON AND FEAR THOS. L. BRUNK, M. D., ALTon, ILL. Not one heart out of a hundred has organic trouble. At least a very small per cent are defective in their mech- anism. While, on the other hand, it is rare that a heart is found which does not have some functional trouble, if not before meals it is after meals. A heart with a normal pulse at 10 A. M. may palpitate or even become intermit- tent at 2 P. M. after a big turkey din- ner or after eating some almost indi- gestible boiled meat, soggy dumplings and kraut. In fact, the heart is very sensitive to the constant changes in the function of the various vital organs of the body. And to say that the heart is at fault when it modifies its function- ing to either compensate for these changes or loses some of its power, due to these outside influences, is sim- ply talking about effects and not causes. An engineer with equal reasoning would attempt to mend a steam gauge when the pressure becomes dangerous instead of regulating the fire. It is with this thought that the heart. has been the center of unreason and the seat of fear by which the laity can be scared into parting with their hard earnings for the treatment of effects that I wish to enter my sternest protest and condemnation. And the article published in the Pennsylvania Medical Journal in December, 1918, and in part copied by the THERAPEUTIST of Febru- ary, 1919, on “The Failing Heart,” is the text for these remarks. While the heart is a somewhat com- plicated mechanism, subject to stress and strain, yet it is not true to good teasoning to place “psychic and emo- tional symptoms” and “such cardinal or usual evidence as palpitation, tachycardia, bradycardia, ventricular flutter and variations” and “circulatory bankruptcy” and more to the “early failing heart.” That is, to the inherent weakness of the heart itself. Like Other organs, it weakens almost alto- gether from outside causes, and the thoughtful analytic physician will never allow himself to fall into the habit or error of considering heart symptoms without searching the vital orgens for first causes. And, this is especially true of the colon and more or less true of the liver spleen, kidneys, thyroids and other ductless glands. Then, too, we should never be satisfied with the examination of a patient till we know the maladjustments of the vertebrae. Finally, we should inquire carefully into the diet of the patient and his daily habit. Among all these we will find the cause for the “func- tional incapacity” of the heart. It is not exercising good sense to “treat” the heart specifically, when even a slight colitis is causing fermen- tation of stagnate feces and consequent gases which dilate the colon and make pressure upon the solar plexus and sympathetic ganglia branches of which lead to the heart, causing a general disturbance of the circulatory centers both in the heart walls and in the medulla. An autotoxemia from acute indigestion will give one a severe chill with cold extremities, a bloodless skin and a consequent strain upon the heart in pumping the whole of the system's blood through the vessels of the in- terior of the body. It becomes excited and flutters; it may even become leaky BRIEF CONTRIBUTIONS 231 in the valves. But as soon as the di- gestive disturbance is allayed by glynonda, or sodium sulphite, acid sul- phurous, echinacea and geranium, dioscorea or colocynth or other indi- cated remedy, the heart flutter adjusts itself as a rule. With congested liver or in catarrhal jaundice with obstructed bile ducts, with enlargement of the liver, and often with an associated enlargement of the spleen we have a feeble action of the heart both from poorer nutrition of the whole system and from the poor action of the diaphragm in breathing. With acute or chronic perenchy- matous nephritis the pulse becomes quick, tense and full. There may be cardiac palpitation with hypertrophy and ascites or hydrothorax. But we should treat the kidney trouble, and, if the heart at all, to aid in restoring its function caused by the first cause in the kidneys. - It is well known that with an en- larged thyroid there is the rapid, ex- cited heart and that it is good practice to treat the cause of the goitre and not the heart directly, or at least in con- junction with the goitre treatment. Those who make a careful clinical study of the effects of the luxations of the vertebrae know that the heart is one of the internal organs disturbed by the partial nerve paralyses caused by them. Instead of giving heart tonics or regulators or sedatives, it is more logi- cal to restore the vertebrae to their nor- mal positions in the cervical and upper dorsal regions and thus restore the heart to normal action. And lastly, when we come to the question of diet and habits of living, we come to the most common cause of “functional heart incapacity.” For with some people this “incapacity” happens three times a day and often way into the night after some night- mare-making supper. Therefore, if we are wise, and we may say honest, we will be frank with our heart-troubled patients and in all probability advise palpitation them how and what to eat for theis and flutters and only enough medicine to put an abused sys- tem, including the heart, back into normal functioning. - S I am one of those who believe in medical generalizing—in taking a large number of observations, experiences, test cases, clinical evidences and inter- relations of internal organs and draw- ing some generalized principle or fun- damental source of causation from it all. I believe if we view the perspec- tive of the picture presented by the neurotic, plethoric, psycopathic, alco- holic, anemic, the so-called bilious and chronic dyspeptic, and perhaps others, we will see an autotoxemia in the back- ground causing it and some loss of function in the colon behind it all. There is always some starting point to every loss of function. It does not just happen. There is a cause somewhere, though it may be at the end of a chain of succesive causes. The heart is seldom if ever intrin- sically at fault. It may have anatom- ical anomalies in a few rare cases that abridge its function, but for the large almost total number of daily incapaci- ties we meet, we will find the first causes under the headings I have named. And to tell a patient “he has serious heart trouble” when he has sore- ness over the caecum, hepatic flexture or splenic flexture or anywhere along the colon, or misplaced vertebrae or other first causes that should be observed, is to play upon the credulity of the pa- tient and attempt to get money under false pretenses. To creat a fear in the mind of the patient by a falsehood is to play the part of a medical scoundrel. And all the more so when it is done with a State's Certificate naming one as a bona fide Doctor thus gaining the confidence of the public. The cry of “Heart trouble” by many practitioners, is either a display of ignorance or dis- honesty. In the mind of the laity the Heart is the one organ of the whole body by which FEAR of DEATH can 232 ELLINGwooD's THERAPEUTIST most easily be created. And it is this taking advantage of ignorance that is bringing reproach upon the whole medical fraternity. The honest prac- tioner must suffer. by the acts of the dishonest. Let us have State employ- ment of Doctors and thus do away with the Fee System which fosters and invites dishonesty. - ONE MORE MIRACLE FOR LOBELIA HYPODERMICALLY WM. F. ZANDER, A. M., M. D., Fort MEADE, FLA. As an appreciative reader of ELLING- wooD's THERAPEUTIST I send you here- with a report relative to the value of Lloyd’s Subculoid Lobelia in emerg- ency cases, several of which have come to my care recently that have baffled the skill of prominent regulars, and in which the therapeutic effect of hypo- dermic Lobelia, attracted their atten- tion and admiration. Not faith alone, but the visible re- sults strengthen the confidence of the physician in the use of Lloyd Brothers Subculoid Lobelia, when it is indi- cated; and in the daily routine of the general practitioner opportunity offers when its use becomes imperative and, no other remedies, no matter how ef- fective they may be in their proper place, can substitute the effect of LO- belia when muscular relaxation is de- sired. When I first began to use this preparation I exercised great caution in choosing the doseage, for fear of causing conditions which might not be easily controlled; however close study of the action of the drug and still closer observation of the results obtained of the varying dosage, has given me precision and confidence which permits no doubt in cases of emergency. - - To substantiate : Mrs. H 5 age 66, upon entering the automobile in front of her son’s house, fell and sustained a fracture of her right femur, aware of it. The family physician, under general anesthesia reduced the fracture and the patient was then taken ten miles to the county seat, where two other physicians were called upon, who de- cided that the fractured leg should be further safeguarded. Additional wire Splints were then adjusted, and the patient was taken to the home of her daughter twelve miles further, where the husband of this daughter, an op- erator in a phosphate mine, entrusted the mine physician with the case. Serious intestinal symptoms how- ever soon developed, and, regardless of the means adopted, intestinal peris- talsis remained at the zero point. After ten days of suffering, the pa- tient’s condition alarmed the family— the doctor, as well as the patient and family, looked to physicians for a means of relief, but, as no relief was forthcoming, two other doctors were called upon for help, there now being five in attendance. If a diagnosis was ever attempted, the family was not The decision of this consultation was announced to the family—that the patient could not possibly survive more than ten hours and that all was done that under the circumstances could be done; all five doctors were of the dominating school of medicine. Several members of the family, how- ever, were not satisfied with this find- ing and requested that the writer be called to the patient’s bedside to assure them whether a hopeful sight for her recovery might not even at this time be found. - - I found the patient in great agony, the expression of her countenance was a sight that elicited pity from the bravest heart. With tears in her eyes she begged that something be done for her. Her abdomen was distended with gas to an enormous extent; great pain was present in the right hypochondriac and tenderness over McBurney point. Handing a vial of Lloyd's Subculoid Lobelia to one of the nurses, I filled BRIEF CONTRIBUTIONS - 233 my Luer syringe up to the four c.c. point, requesting the other nurse to prepare the patient for the injection and forthwith I administered the charge. rectal tube were suspended, Spec, Med, AGonine, Gelsemium and Lobelia, a proper quantity in four ounces of water was given, a teaspoonful hourly as di- rected, and the nurses were instructed that no purgatives be given until fur- ther order. In about half an hour the patient gave the assurance that she felt better and expressed a desire not to be further molested, but be permitted to sleep. - While the patient was sleeping and the nurses, who for ten days had faith- fully administered the prescribed rem- edies without obtaining the hoped for result, were watching for the approach of the end of the allotted ten hours, the natural functions, stirred to action by the effect of the lobelia and the spe- cifics, astonished the nurses, and at the break of day there was a copious nor- mal bowel action and the danger was past. ANOTHER SANATORIUM FOR TU- BERCULOUS SOLDIERS U. S. PUBLIC HEALTH SERVICE According to an announcement made by Surgeon General Hugh S. Cumming, the magnificent tuberculosis sanatorium heretofore operated by the Army author- ities at Fort Bayard, New Mexico, has just been transferred to the U. S. Public Health Service, and will soon be avail- able for treating discharged, disabled soldiers. Splendidly located, not far from Silver City, and conveniently ac- cessible on the Santa Fe Railroad, this sanatorium has long been the pride of the Army. The climate is almost ideal, in that it permits outdoor life for a large part of the year. - The Fort Bayard Sanatorium will pro- vide the Public Health Service with 1,000 additional beds to care for its tubercu- lous patients. The present sanatorium at All further enemata with the Deming will be held in reserve, specially for winter use. At the Fort Bayard Sanatorium the Public Health Service will treat only am- bulatory cases of tuberculosis, in which the prognosis is favorable. Patients will be admitted only after careful observa- tion elsewhere to make sure that their condition is suitable for successful treat- ment at the high altitude of this sana- torium. In general, it is the policy of the Public Health Service not to move patients far from their homes, for ex- perience has shown that such removal Often has an unfavorable effect. For this reason patients for the new sana- torium will probably be drawn prin- cipally from the middle and south-west sections of the country. Eclectic Medical Meeting The joint Eclectic Medical meeting held at Milwaukee, Wis., June 3, 4, 5, 1920, by the Eclectic physicians of Illi- nois, Wisconsin and Michigan was well attended. The papers were of a high character and well discussed. The members were very enthusiastic and showed their loyalty to Eclectic- 1sm by unanimously adopting the res- olutions presented by Dr. Charles Woodward, of Chicago, as follows: Be It Resolved: That the Eclectic societies of Wisconsin, Michigan and Illinois, in convention at Milwaukee, Wis., June 3, 4, 5, 1920, each appoint or select three of their eminent phys- icians to solicit endowments for estab- iishing Eclectic colleges. And Further Resolved: That , we, as separate and joint Eclectic So- cieties, do authorize and endorse the committee of nine Eclectic practition- ers, appointed at the Milwaukee conven- tion June 3, 4, 5, 1920, to solicit en- dowments to build colleges for the per- petuation of the most efficient prin- ciples of medicine ever formulated. * . CHARLEs WooDw ARD, M. D. Truth makes the face of that person shine who speaks and owns it.—South. 234 - - - ELLINGWOOD’S THERAPEUTIST SPINAL CONCUSSION IN TACHA- CARDIA AND ASTHMA R. F. BROWN, M. D., GREEN VILLE, TEXAs. Having now been a subscriber to your excellent Journal, the THERA- PEUTIST, for some months, and finding SO many interesting facts pertaining to the medical end of the profession, I have decided to submit a couple of facts which, while not coming under the head of orthodox medicine, may prove of interest to some of your read- ers, and at the same time a boon to suffering humanity. My “facts” will deal altogether with “spinal therapy,” a specialty to which I have devoted the past four years of my practice, and which has proven wonderfully success- ful from a clinical standpoint. For fear, however, that I may be intruding my views upon a more or less skeptical profession, I will confine my remarks to two subjects, viz., tachacardia and asthma. Since the ending of the world war it has fallen to my lot to treat a num- ber of returned soldiers for what is commonly termed “shell shock,” but technically, is nothing more or less than tachacardia. I have treated them when their heart beat was so rapid I could hardly keep up with the count. So far I have my first failure to en- COunter. - The treatment is simply this: Lay the patient flat on his abdomen, head turned to the right, and with a plexi- meter or clenched first concuss the seventh cervical nerve on the left side for twelve minutes, giving a rest of one minute to each six minutes of con- cussion. When through test your pa- tient’s heart beat and note result. I have reduced high temperatures in the same manner and now practice this method altogether in my pediatric cases. In most cases I give a treat- ment every day from one to two months, depending of course, upon the nature of the case. - Asthma, that most baffling and troublesome disease, to both patient and doctor, yields readily to spinal con- cussion. I have handled cases of thirty years standing successfully, and during the past two years of my prac- tice have not failed in a single case which has come to me for treatment. The mode of procedure is this: Place the patient on abdomen on hard table, head to right or left (position makes no difference) concuss fourth and fifth cervical nerves from six to twelve min- utes, interruptedly, that is, concuss for a few minutes and wait half minute or longer, when through with the con- cussion, apply fast sine wave of elec- tricity, placing the pad on sacrum and the electrode over fourth and fifth cervical nerves. Give this current for at least six minutes. In some cases it is better to prolong the application to. twelve minutes. These facts are worth trying by any physician who desires to enlighten himself on spinal therapy, and if correctly applied he will gain a knowledge which will prove of bene- fit, to himself, and to the whole human family. ** Should these “facts” be published, and the editor of the THERAPEUTIST and its many readers desire further communications along this line, it will be my delight to furnish them. There 1s a wide scope of usefulness in spinal therapy and I am more than willing to give the profession the advantage of my experience along this line if same is desired. CoMMENT.-Truths in these lines are devel- oping most rapidly and the profession is clamoring for them. Let us have some more carefully prepared, Doctor, to give definite in- struction. The application of iodine is sug- gested in the treatment of trachoma. One part of iodine in one hundred parts of vaseline is applied once or twice daily. Resorcin is said to be one of the best— almost specific—remedies for dandruff. It is employed in combination with castor oil and alcohol. - IE THERAp EUTIC, FACTS SINGLE TRUTHS FROM MANY DOCTORS AND MANY TRUTHS FOR EACH poctor I | Indications in Diarrhea The following cases have come be- fore me lately: - Case 1. A miner, about 50 years, diarrhea of the rice-water type with much pain, great feeling of weakness. The color of the stools and the great weakness led me to prescribe Kali Phos which speedily cured. Case 2. A miner over 40, diarrhea in the early morning with great agony due to cramps in the abdomen and legs. The cramping pain led me to prescribe Mag. Phos. with immediate results. Case 3. Elderly lady had diarrhea for over 2 months and failed to get relief. Her married daughter came to my of— fice with these indications:–Diarrhea commencing at 5 a. m. dark with very offensive odor. I prescribed Nat. Sulph and the old lady came along a day or two after to tell me how well the medicine had acted and, she said, for years I could not lie on my left side but now I can lie on either side. - JoBIN RAE. Lethbridge, Canada. × k SmaII Pox and Thuja In a case of a young man 20 years old with pustules covering the face and a few scattering on each forearm and chest and a temperature of 104, aching all over, chilly, pulse large throbbing. I gave the following: Rx. 4 ounces. Veratrum 30 gt., Lobelia 30 gt. for cough, Chionanthus 1% dr., Bryonia 10 gt., Macrotys 2 dr., Eupatorium 1 dr., Echinacea 2 dr., Jaborandi 1 dr. Teaspoonful every hour. - Also a powder every 2 hours of: Sodium salicylate 5 gr., Magnesium phosphate 9% gr., Hydrastis /. gr. After eruptions appeared, applied Thuja full strength of tincture to the papules which dried them up in four days. In three days fever was gone and in one week from time of onset, he was ready to return to work with no pock marks to be seen. This was evi- dently a case of mild Small-Pox brot to a stand-still in a week by Botanic medication and a remarkable showing for the action of Thuja. THos. L. BRUNK, M. D. Alton, Ill. - k ºr Facts Am enclosing check for another copy of your new Amer. M. M., T. P. This is the third copy I have bought, gave one away, sold the other one to a physician who said that it was the book he “long had sought and now had found.” Couldn’t wait to send for one, must have mine, so that he could com- mence reading it on the train on his way home. Am helping those patients who have conjunctivities with the Euphrasia or Pulsotilla indications pronounced, by using either the subculoyd Euphrasia or Subculoyd Pulsatilla, as a colly- rium; I use a solution, strength from 2% to 5% and use with an eye-cup. Have found this very helpful, either using the single remedy or combining it with something else where inflama- tion is intense and painful. H. W. CONRAD. - * † As decay of teeth is due principally to the action of acid secretions in the mouth, washing of the mouth with all alkaline solution such as milk of mag- nesia is suggested in the Critic and Guide as an active preventive of de- composition. 236 ELLINGWOOD’S THERAPEUTIST Vomiting of Pregnancy Broad full tongue not too moist, pale, give specific nux 2 drop, aqua rubrum 10 ounces. Give, 1 dram every 3 hours. - Hyperacidity Broad tongue, secretives mouth, in excess. Spir. Xanthoxylum 1 dram, water 4 ounces. Give from 1 to 3 drams every hour. Hyperacidity Again Natruim Phos. 3x. These three have filled the bill for me in 400 cases with 5 per cent of failures. C. F. FLANNERY, M. D. New Castle, Pa. × Patients whose throats are kept in normal clean condition will not be af- fected by diphtheria. The best author- ities claim that it is very rare to find diphtheria occurring in one whose throat has been previously normal. When diffuse pains are present in the pelvis, and hysterical symptoms develop pointing to an irritability of the uterus or ovaries, an injection of a solution of one dram or more of the bromide of potash, to a pint of hot water, may be used in the vagina, the patient in a position calculated to re- tain as much as possible of the solu- tion. In cases of chronic nephritis, Dr. Perry reports favorable results from the administration of the thyroid ex- tract. He gave from twenty to thirty grains a day in two cases with bene- ficial results. X. Because of the popularity of the potassium iodide and the apparent mildness of the potassium acetate, the latter remedy is underestimated in its power to improve the blood and get 1id of waste substances. I much pre- fer the acetate to the iodide, as a blood purifier in children’s disorders, and es- pecially in those skin troubles where the iodide is eliminated through the skin with irritation while the acetate is of the eliminated through the kidneys. Small doses are usually sufficient. Where a patient suffering previously from Bright's disease is attacked with pneumonia the treatment is usually un- satisfactory, as the case often suc- cumbs to the disease in spite of specific treatment, but the pneumonic symp- toms must be vigorously combatted with the precisely indicated remedy, from the first to the last, without abatement. - Y A writer gives a simple method of applying dry cups by attaching a small piece of a tiny paraffine candle to a coin, heating this over the seat of the application, and immediately applying an ordinary tumbler over the candle, small or large as the case may demand. Of course the edge of the tumbler should be moistened. The results cer- tainly would be satisfactory. jºr To those who are in the habit of us- ing the salts of mercury in the treat- ment of syphilis, the fact will be inter- esting that observations have been made on the action of bichloride of mercury in preventing the develop- ment of syphilis in the nursing child, and in promoting its physical well-be- ing against the inroads of this disease. One thirty-second of a grain is given to the mother after her meals and this is sufficient for the child. - jºr It is stated by a Homeopathic physi- cian that dark-skinned whites—bru- nettes—have typhoid perhaps more Se- verely and are more especially suscept- ible to perforation than blondes. jºk Since the Americans took possession of Manilla the mortality from disease has very rapidly decreased. Last year the improvement was twenty per cent over the previous year. This certainly speaks well for our hygienic measures. Yºr - - A surgeon in Richland, Virginia, makes what he claims to be an au- thentic report of the removal of 6,184 THERAPEUTIC, FACTS 237 gall stones from the gall bladder, rang- ing in size from those of the smallest to the largest that have previously been known. In acne, more ſºrticularly in girls, where there is no ovarian irritation, and in men and boys, Berberis is an excellent remedy. It may be given in doses of from ten to thirty drops four times a day. In One very bad case in which I used it a pint bottle was taken and the patient was entirely cured. Sir Clifford Añutt in Saunder's Hand Book of Practical Treatment, says that Cactus is the best remedy for the irritable symptoms of functional heart disease, and very useful in con- valescence from heart strain by effort but should be given in fifteen-drop doses. That dose is somewhat larger than we have usually supplied, but I have been confident for years that we should certainly give cactus in full large doses as it does not show toxic symptoms. I shall be glad of experiences of those who use from fifteen to thirty drop doses of cactus. r Chionanthus is "producing results when given in marked chronic cases of diabetes mellitus. If it be given when the first symptoms of this disease ap- pear, those who have used it say it will prevent a development of nearly every case. This is a broad statement, but the remedy must be used for this purpose to determine just what it will do. X. . With all the other conditions which have been charged to gonorrhea, now comes bronchitis. A well marked case is mentioned which was plainly in- duced by this infection. Remember if valvular heart sounds of a smoothered character, or of a hard smothered tone be heard after pneu- monia has progressed for some days, that endocarditis is threatened, and active measures must be taken to head it off. A homeopathic writer says that a headache which is continuous, not pal. Oxysmal, but making the patient low- spirited, is controlled by gelsemium; also the so-called blind headaches, or a headache in which the patient says he is blind before it appears. The remedy is specially adapted to excit- able females, hysterical and nervous. Yºr Senile pneumonia differs materially from pneumonia in early life. There is consolidation with many of the char- acteristic phenomena, without fever. Often the temperature is subnormal. There is occasionally, however, a tem- perature of from one and one-half to three degrees. These cases demand very careful attention, especially acute observation in diagnosis. The treat- ment must be directed to the cases. s Af. Diagnosis is receiving from this journal much attention. I especially desire to bring out characteristic evi- dences which are often called trifles, but which point unmistakably to im- portant pathological conditions. We must observe every departure from the normal. We must discover every trifle and know whether or not it is a trifle. Every evidence of disease must be noted. With the skill of a shrewd detective, the physician must look for these evidences. - × - Listerine given in ten-drop doses four or five times a day to children prevents fermentation in the gastro-in- testinal tract, and is found serviceable in adults in 1arger doses. It is a safe and palatable remedy. With other remedies for hiccough, the oil of cinnamon should not be omitted. From one to four drops on a square of loaf sugar, slowly dissolved and swallowed, will sometimes suc- ceed where the others have failed. The spirit of nitric ether is best dis- pensed in glycerine, as water is likely to decompose the drug. * 238 - ELLINGWOOD’S THERAPEUTIST An ointment made of one part of mild zinc ointment to about three parts of vaseline with sufficient quantity of subnitrate of bismuth and a few grains of camphor added, will be found serv- iceable in the treatment of itching of the anus. Dr. Alter of Arkansas uses with echinacea, populus in the treatment of snake bites. He believes that these two remedies combined perhaps with phytolacca, have a more beneficial ef- fect on the red blood corpuscles in the complete restoration of the patient. Sodium salicylate is developing a wider influence than has been attrib- uted to it. It is valuable in removing the exudate of pleurisy, and after mild jaundice from obstruction of the duct, it will quickly remove the bile from the blood and urine. A number of experiments made by Dr. Abt of Chicago to determine which of the common cathartics was the least irritating to children, proved that calo- mel was the most irritating, and castor oil the least. Attention must be paid to the pos- sibilities of acute dilatation of the stomach following surgical Operations, as death may occur from this cause. A number of cases have been observed. Diagnosis is not difficult. Vomiting usually comes on ten or twelve hours after the operation. The fluids from the stomach welling up or regurgitat- ing. The condition must be promptly treated or the mortality is high. The use of Burdock in skin diseases is declining and yet it has proven in the past to be a powerful agent. The pharmaceutical preparation is less ac- tive than the strong infusions, although all preparations are good. It must be persisted in to produce good results where the cutaneous tissues are gen- erally involved. An organism believed to be the cause of pyorrhea alveolaris has been named treponema mucosum. It is sup- posed to be the cause of a strong odor observed in these cases. A solution of formaldehyde kept in readiness will be found efficient as a local antiseptic for many lacerations or abrasions, and especially for the bites of insects. There are some cases of profuse per- spiration that are best treated by small doses of jaborandi frequently repeated. The homeopaths claim good results from the 6x dilution. Acute pain in the muscles of the back of the neck with pain in the Occi- put, muscular stiffness, pain increased by motion, give bryonia, gelsemium in full doses, and macrotys with applica- tion of heat. Urinary Incontinence in the Aged Lask of control of the urine in aged patients, whether male or female, can sometimes be temporarily Overcome by the use of small doses of the tinc- ture of cantharides from one-fourth of a drop to two-drop doses, diluted prop- erly. I have found that thuja sustains this remedy in some cases, given in from two to eight-drop doses, especi- ally if in males the prostate gland be irritable. +. A GOOD worD “To say that I am thankful for THE THERAPEUTIST is putting it mildly. It is . a blessing to the people at this time of thinking there is no relief outside of surgery.” - S. H. STARBUCK, M. D., Seattle, Wash. A recent writer has advised in the vomiting of pregnancy, frequent doses of ten drops of a twenty per cent solu- tion of menthol in olive oil. |Fl C. L. E R N IN GS SUMMARIZED FROM CURRENT LITERATURE [- TIBE GOITER MARGARETA WILKENLOH, M. D., CHICAGO, ILL. Goiter or bronchocele, an enlarge- ment of the thyroid body, the whole gland, or one or the other of its lobes may be involved, sometimes the isth- mus alone. Clinical History.—From 1896 to 1917 over 400 cases of goiter came under my treatment; of them 378 were fe- male and 17 were male. The age of the youngest female was eleven, the oldest seventy-three; the age of the youngest male was thirteen, the oldest fifty-three. A majority were from six- teen to forty-five years of age. It oc- curs in certain families from one gen- eration to another. Varieties.—Simple or parenchymat- ous, acute or inflammatory, fibrocystic, exophthalmic and malignant. The simple form occurs more in young subjects—203 cases, mostly fe- male and single. The growth is uni- form and one side may be slightly larger than the other; more often it is the right side. In this kind of goiter the tumor is soft; there are no dis- tressing symptoms, only a Swelling in front of the neck which increases be- fore the menstrual period and de- creases after the menstrual flow ceases. Climate predisposes, especially where it is chilly; some influence on the sym- pathetic nervous system, exposure and over-work were causes in thirty-three C2S62.S. Acute or inflammatory goiter fol- lows contagious diseases. Eight de- veloped goiter from influenza, seven from scarlet fever, twenty from paro- titis, bronchitis, pneumonia or pleur- isy attacks. The thyroid gland modi- *Reprinted from National Transactions. fies the normal function of its glandu- lar elements. The streptococcus was found in the inflammatory varieties associated with large tonsils. In acute cases the enlargement of the gland is rapid, with rapid pulse-beat from 120 to 140 per minute, rapid breathing and a variety of symptoms such as shoot- ing pains in the glands. In the 260 cases of fibrous form the disease made its appearance more fre- quently in pregnancy and after child- birth. It is a nodular, encapsulated tumor, located either in the right or left side; very seldom is it central, un- 1ess the isthmus is involved. There were sixty-nine enlargements of the right side, the rest left and central, including the isthmus. The cystic form is more frontal. There is one or more cysts, filled with a clear fluid or with blood. The veins are large and the tumor is very vascu- lar, and makes its appearance towards the age of forty. There are two varieties, accompanied by other dis- eases, such as diabetes, rheumatism, gonorrheal infection, chronic nephritis. In some the pulse is irregular, small and compressible. Heart murmurs are frequent, and pulmonary or systolic murmurs in two-thirds of these cases. In exophthalmia (Graves’ disease) constitutional symptoms are great. Tachycardia and tremor of the hands were the most constant symptoms. Those with gonorrheal infections or rheumatism had tremor of the lower extremities, cerebral disturbance, with pronounced indigestion, high blood pressure with tumefaction on left side in some cases—in other both lobes and the isthmus were involved. In forty females the chronic exophthalmia was 240 ELLINGWOOD's THERAPEUTIST due to exposure, overwork, prolonged grief and anxiety, complicated syphilis, tuberculosis, chronic alcoholism or mercurial poisoning. In fifteen males, of whom eleven were married, two were epileptics, five alcoholics, four tuberculous, and four were gonorrheics and rheumatics. - Prognosis good in all single and acute forms; no return of the goiter in young single patients. In married women the goiter returns with each pregnancy and vanishes as soon as the child is born. In, cases complicated with tubercu- losis or syphilis the goiter tumor is Somewhat troublesome. Four cases of tuberculosis were treated by tonsil- lectomy with good results. - In one tubercular male, married, age thirty-seven, the goiter tumor was central, including isthmus, fibroid and exophthalmic. This case resisted treat- ment for months; the adhesions were broken up so as to make the tumor movable, and the cerebral symptoms disappeared, and the patient passed through an operation with good re- sults. Male, aged forty-two, exophthalmic goiter complicated with epilepsy. This patient received four months’ treat- ment. Prognosis good as to both goiter and epileptic condition. Two females, married, but childless, had exophthalmia; one of them, syphi- litic, had a great desire for stimulants. These cases were treated for seven months; tumefaction, with tremor and mental symptoms, disappeared. The alcoholic patient died after two years at the age of thirty-nine. In another female, forty years of age, gonococci were found in the goiter substances, and examination of urine showed gonococci in great quantity, with polyuria. Patient died at the age of forty-three. - In regard to treatment, the general malnutrition should receive attention, prescribing diet according to compli- cations. sist internal treatment. A simple form of medicinal treat- ment is as follows: External appliance Over tumor of libradol or turpentine, which helps to decrease tumor and as- As internal treatment I selected echinacea, iris, phytolacca, pulsatilla, tiger lily, ma- crotys. Hypodermically, directly into the goiter tumor, echinacea or echa- folta. First I have the field of the in- jection, myself and the instruments, all thoroughly clean ; I use a long, strong, sharp-pointed needle, rub the tumor with echafolta for its anesthetic effect so as to reduce the tension ; the patient will then not feel the needle. I inject from 1 cc. or 16 drops to 4 cc. or 60 drops, the injection repeated every third day, and increase the dose ac- cording to the patient. After the in- jection I massage and knead the tumor thoroughly, apply echafolta over the site of the injection, and use adhesive plaster to protect from infection. - In the acute or inflammatory form I not only use echinacea hypodermically, but also veratrum where the blood pressure is high; gelsemium or lobelia in oppressed feelings with difficult breathing, and these same specific remedies I have given internally. In the fibroid form, in cases of mar- ried women who are pregnant, I never give hypodermic injections, but treat them according to indications. If the female reproductive organs are dis- turbed, this disturbance influences the nervous system. This should be treated locally to remove the cause of irritation. In the cystic form I have injected thuja and given internal remedies such as apocynum in gonorrheal infection; gelsemium is a great remedy for rheu- matism; macrotys, bryonia or collin- sonia or thuja in syphilis, staphy- sagria in diabetes, chionanthus or hy- drangea. As to external appliance, where the veins are large and lying ex- ternal to the tumor, beware of turpen- tine and the original librado1, as they GLEANINGS - 241 only will produce irritation and hemor- rhage will be the result. * In the exophthalmic form the inter- nal remedies should be carefully se- lected, for each case has a different complication. The best internal reme- dies are echinacea, nux vomica, pul- satilla, scutellaria, crataegus. These remedies will assist the hypodermic injection of echinacea. - In the malignant form I have used thuja hypodermically, and the carbon- ate of magnesium for external appli- 3.11Ce. . GELSEIMIUIM . J. A. MUNK, M. D., Los ANGELES, CAL. My first favorite remedy after I be- gan to practice medicine in 1870 was Gelsemium, and it has been my favor- ite medicine ever since. I have found it good for so many things that I re- gard it as indispensable to a success- ful practice. If for any reason I should ever be restricted to the use of a single medicine, Gelsemium would be my choice. - Pt is the remedy for sthenia and its use is, in a measure, indicated in all acute diseases. Given in any case of Inervous excitement, or increased func- tional action of the vital organs, its beneficial effect is soon manifest. It may well be called the universal seda- tive, or febrifuge, as it is useful in the early stages of all fevers. It is also a valuable soporific, nervine, relaxant of nervous tension, and antispasmodic, and the physician who has ever used it Once will use it again. . It not only acts promptly when the specific indications of “bright-eyes, flushed face, contracted pupils, in- creased heat of the head and general headache” are present, but it is a suit- able remedy in all fevers and inflam- matory diseases when no other remedy is specially indicated. Under its kindly influence the vascular excitement is Soon controlled and the burning fever subdued. The active brain and nerves are soothed and the patient falls into a quiet sleep. -- Its physiological action is pro- nounced if given in large doses, first affecting the eyes by causing disturbed vision, which is immediately followed by drooping eyelids, the muscular re- laxation extending rapidly to all parts of the body. By some the agent is re- garded as a poison, but I do not con- sider it dangerous. I have used it freely for many years and have never seen or known any harmful results. The dose of Colloidal Specific Gelse- mium, which is the most perfect prep- aration of the drug on the market, ranges from one to thirty drops, re- peated according to the effect pro- duced. Except in case of an emerg- gency, when a big dose is required and its full effect desired, the medicine is best prepared after the customary Eclectic fashion of mixing it with water, or other suitable vehicle, and given in small, frequently repeated doses for its gradual influence. When the nervous system is over- wrought and the patient is nervous, restless and w a ke f u 1, Gelsemium should be administered in full doses until nervous and muscular relaxation are produced. The full adult dose of the drug is thirty minims, or half a dram, but some large physiques re- quire more. Even a teaspoonful is not too much in some cases; and in a desperate case the large dose should be given without hesitation. When the medicine has done its perfect work, the nerves become quiet and the muscles relaxed and flabby. A patient who won’t stay in bed when he ought to be there is readily held hors de com- bat by filling him with Gelsemium. It is a remedy to be thought of and used in any desperate case of convul- sions, cerebro-spinal me n in g it is, eclampsia, mania and hydrophobia, or in any case where there is great cere- bral excitement, or strong muscular contractions. . There is no other remedy equal to 242 ELLINGWOOD's THERAPEUTIST Gelsemium to control spasms in chil- ('ren, but it must be given in sufficient quantity to relax the muscles and put the little patient to sleep. It is sur- prising the amount of this medicine which is sometimes required in such cases to produce the desired effect. A single dose of Gelsemium taken at night on going to bed will invari- ably break up a fresh cold; and if the patient is troubled with insomnia it will produce an all-night, sound, re- freshing sleep. Taking the dose just before retiring avoids the general un- pleasant effects which will pass off during sleep. It does not depress the heart and is superior to aspirine and other coal tar derivatives in all par- ticulars for La Grippe-Cal. Eclectic Med. Jour. THE USE OF PROSTATIC EXTRACT FOR SENILE PROSTATIC HYPERTROPHY By MULFORD THEWLIS, NEw York CITY. A patient, aged 70, consulted me for difficulty in urination, especially at night. He was obliged to get up several times and had considerable pain and difficulty attending micturition. Finally, I was forced to catheterize him with a metal catheter. - - Upon examination, the prostate was found to be much enlarged and urinalysis revealed a chronic interstitial nephritis. I gave him a saline laxative each day, advised a diet of milk and cereals for a few days, and prescribed tablets of pros- tatic extract, each tablet containing ten centigrams of the substance of the pros- tate gland, one tablet being given every three hours. He was relieved on the second day and catheterization became unnecessary. He improved from day to day, and, in the course of a week, had nearly returned to a state of normal senility. He continued the use of the prostatic extract and his condition has improved. * I have employed the extract of pros- tate in several cases with equal benefit. It also relieves the nervous symptoms at- tending prostatic hypertrophy and neurasthenia which often accompany this condition. - Opotherapy is an important thera- peutic aid in the practice of geriatrics. While studying in Paris, I recently pur- chased several different extracts, and be- lieve the French products to be superior to ours. As far as I know, it is not possible to obtain prostatic extract in the United States. • The French extracts are prepared with great care and much attention is given to the age and health of the animal from which they are taken. The method of preparation is somewhat similar to that of the thyroid extract. It is possible to obtain the prostatic extract in ampules for hypodermic injections, which greatly adds to the results in many cases and is more practical in serious conditions. There are many methods of treating prostatic hypertrophy without surgical measures, and I have had many cases that were relieved without radical pro- cedures. Many of them were secondary congestions from senile-nephritis. At- tention to the senile kidney often will re- lieve the disease. The results from the use of prostatic extract are very en- couraging. A. J. C. M. Settlement of 127,151 insurance claims, for death and total permanent disability, and representing a total value of $1,135,- 552,173.45, is announced by Director R. G. Cholmeley-Jones of the Bureau of War Risk Insurance. Only 5,119 claims are pending, and in these cases the claim- ants are beneficiaries in many instances residing in foreign countries where dis- turbed conditions render communication impossible. It now requires only about five days from receipt of final evidence of death in an insurance case for the issuance of the first check, and frequently cases have been handled even more rapidly in the Compensation and Insurance Claims Di- vision of the Bureau. In cases of total permanent disability, men have been examined, the award made, and the first check placed in their hands, all within a very few hours. GLEANINGS 243 ACIDS AND ALKALIES Among the many valuable additions to direct specific medication is Dr. Scud- der's contribution relative to the acids and alkalies. Not every clinician has the time or ap- paratus at his disposal by which he may determine if the system be suffering from hyper-acidity or hypoacidity. This fact renders brief, yet distinct and positive, indications of inestimable value to the physician who is in the gen- eral practice of medicine. - Hyperacidity, or excess of acid in the system, may be definitely known by a careful study of the tongue, for it tells of conditions of the stomach, blood and general system. Specific conditions in this case, hyper- acidity, are revealed by specific symp- toms. The tongue is not normally red in color, it is pale, sickly or white look- ing, depending on the relative acidity and the concomitant conditions. It may be white, dirty white, stained by medicines or food, but the essential condition is the color of the mucous membrane itself. Not only the tongue is pale or sallow, but the lips and mucous lining of the mouth are not normally pink, but are devoid of the color we carry in mind as a standard Of health. / To correct this condition we give some alkali. Bicarbonate of soda being the normal salt of the blood, it is more often indicated and prescribed than any. The white tongue. pale, white coated or clean, will be the indication for this salt. Should the membranes look dirty or a grayish white, the coat dirty white and the breath foul, we would then prefer the sulphite of soda. The specific indi- cations for the sodium sulphite are the dirty white tongue, or the pale tongue with a dirty white coat. Reliable sul- phite of soda must be prescribed. If the pallor of the tongue has a leaden hue, we will then employ the bicarbonate of potash. This remedy is more apt to be indicated in rheumatoid conditions. In prescribing the sodium salicylate for rheumatism or rheucatio conditions it is well to observe the same indication, the leaden discoloration of the mucous membranes. - The alkali treatment many times makes the foundation of the entire medi- cation of a case, both acute and chronic. On the other hand, we are sometimes just as much in need of an acid in the system, and without it the patient does not do well. - ! When there is too much alkali in the System the specific indications are as marked but very different, and stand in decided contrast to the indications for the alkali. . This condition being the exact con- trary of the former, the mucous mem– branes distinctly tell us what is wrong and suggest the remedy. : Familiar examples of the extremes in either case are seen in different stomach complaints, which may present some striking similarity in end-results yet the cause and treatment are wholly unlike. We are taught to recognize the excess of alkali or the need of acid by a decided or abnormal redness of the tongue or mucous membranes of the mouth. In the case now under consideration the membranes of the tongue itself are red, regardless of the superimposed coating which may be present; the latter may be of any appearance, but is most apt to be dry and dark—brown or almost black if the system is greatly depressed, or the tongue may be clean, red, raw, cracked or bleeding. In typhoid and other diseases where the blood and secretions are badly vitiated, the coat will be dirty brown, reddish brown or almost black, possibly mixed with blood. Yet the underlying tongue and membranes are red. Recently a patient complained of ex- cessive gas in the stomach after partak- ing of food. Dieting and peptics did not afford any relief. The tongue was ab- normally red, slightly coated. We interpreted this to mean need of acid and prescribed dilute hydrochloric acid, ounce one-half; lactated pepsin, elixir, quantity sufficient to make four ounces. Sig.: Take one teaspoonful after eating. 244 ELLINGWOOD’S THERAPEUTIST Improvement was immediate and cure resulted. - - It is easy to demonstrate the specific action of acids, fruit juices, etc., with the specific conditions above mentioned as a basis of prescribing. The acids are not only gratifying to the taste, taken readily or with avidity, but prompt and marked benefit will result and the dif- ference may be that between recovery and death. - With such positive and simple indica- tions we are not surprised to find an acid a specific remedy for a cough, indiges– tion, infectious conditions, etc., but we must not make the mistake too commonly made of supposing this is a remedy for all coughs or stomach complaints, for it is not; nothing would prove more fal- lacious. The positive indication must be present, and if interpreted correctly and the remedy selected according to the in- dications the results will be positive and confidence in specific medication will result. Reproduced from National Transac- tions. THE SUPPLY OF PRACTICAL NURSES What’s the matter with the trained nurse? A wave of harsh and resentful criticism of the professional nurse seems to be sweeping over the country. In spite of a recognition of her splendid achievement in remaking hospital nurs- ing and of setting up high standards for private nursing; in spite of her mag- nificant and sacrificial service in the great war, she is not now viewed by large numbers of physicians and laymen as a ministering angel of mercy or as an un- mixed blessing. And when rebuked for these harsh expressions of disapproval, her unfeeling critics forcefully reply: “She is getting just what she deserves.” What does it mean? Is it because through high standards of admission to her schools, and long years of training before she is graduated, she has chosen to make herself one of a small body of the elect—a superior be- ing? Is it because with the high cost of living and the scarcity of these chosen few, she has, labor-union-like, demanded higher pay, which only the well-to-do can give. Is it because in the home she is autocratic and unwilling to serve except in accordance with rules that she herself lays down, often demanding that service be rendered her and causing discord in the household management at a time of crisis? Is it because in many hospitals she has gradually acquired more in- fluence and power until, through her offi- cials, she speaks with authority even to the management, and dictatorially de- mands that before, the interests of the medical staff are considered—sometimes even before the interests of the patients —there must be considered those of the nurses? Perhaps there is a little truth in each one of these reasons. Perhaps in this resentful criticism, narrow as it may be, the nurses are reaping what they have SOW11. - The war and the epidemic of influenza, with the consequent scarcity of nurses, have acutely drawn attention to the trained nurse and to the fact that she does not supply the suitable agent for ministering to the large body of the ill. The very poor may get free nursing in the hospitals, or, if lucky, at their homes through charity; the rich can and will pay whatever may be demanded; but the large mass of people of moderate means, too self-respecting to accept charity, not able to pay the high price of the expert nurse, must be deprived of her services, or secure them at what to these people is often a ruinous sacrifice. More than this: a nurse of the highly trained type is not necessary or even desirable in the vast majority of cases of illness. What are the requirements of a cap- able, skilled nurse, a physician's assist- ant? First, a right personality; without this she is hopeless. Then, intelligence, by which we mean a readiness of com- prehension and understanding. Further, she should be of fair education, able to make herself understood, to write, to read, to reason. Lastly, she should have had training of sufficient length, probably one year, in a good hospital. This train- GLEANINGS . 245 ing should teach her the proper bed care of the ill, the preparation of food, the management of the patient—not his ill- ness—and the methods of administering drugs and other remedial agents. She should learn enough of anatomy so that she will not, with her hypodermic syringe, enter the brachial artery; she should know enough of symptomatology to sense the possible significance of blood in the stool or of abdominal pain in ty- phoid; she should know enough path- ology so that she will not willfully violate the physician’s orders against massaging a thrombosed femoral vein; she should have enough theoretical and practical training in bacteriology so that aseptic methods are to her, through her grasp of the reasons underlying them, methods to be scrupulously followed. It goes without saying that other things —personality, native intelligence, etc.— being equal, the college or high school graduate will grasp these facts more readily and will to this extent, be the more competent nurse. But such super- knowledge is not necessary. For 90 per cent of cases of illness, a skilled nurse with the characteristics just enumerated and with one year's training, will answer fully as well, and will fit into the average household better. She will be a true physician’s assistant and will be a house- hold helper not too proud to assist in the kitchen or even to help care for the baby. If this is true, why should not this cap- able woman of ordinary but sufficient ability and training be allowed to practice her profession licensed by the state and earning an honorable livelihood? There is a place for the highly trained nurse, the registered nurse of today. From their ranks will come the superin- tendents of the training schools of various grades, the head nurses in our hospitals, the nurses in our operating rooms, nurses for cases of special severity or complication, and the teachers of nurses. Let the training schools preserve their high ideals, though there may be ques- tion as to the necessity or wisdom of re- quiring even a high school degree for admission or a three years' course of sº training except in special cases or for post-graduate work. - For her own good let the nurse be a little less autocratic, a little less dictatorial, a little more human. Non ministrari sed ministrare is as good a motto for a training school as for a woman's college. The trained nurse from having been a luxury has become a public necessity, like the telephone and railroad. Should not methods less like those of selfish private ownership give way to those wherein service to the sick public is the paramount aim P —Jrl. A. M. A. THE x-RAY MOVIE Combining in a single apparatus the moving picture camera and the X-ray machine, two French scientists, Dr. Lor- mon and Comandon have worked out a “radiocinematograph” which makes pos- sible movies of the interior functioning of living organisms. Although not yet entirely perfected, the new invention has reached the practicable stage, and it opens up new fields of investigation which radiology will not be slow to enter. Medical experts attached to the American Red Cross Commission to Europe are already considering its ap- plication to special problems raised by the unprecedented epidemics now sweep- ing central and eastern Europe. Discussing the invention, Dr. Lormon states that the greatest difficulty en- countered was the danger of thermic in- filtration by the ultra-violet rays during the photographing of the subjects. To overcome this difficulty the inventors devised a method for changing the character of the rays employed, and achievement comparable to the original discovery of the Roentgen ray. Dr. L. O. Howard, United States De- partment of Entomology, says: “5,598,- 720,000,000 is the normal number of flies a single fly will produce from April 15th to September 10th.” The war on flies should begin early in the spring. One fly killed in April means one hundred and fifty less in two weeks; five thousand less in one month; 5,598,- 720,000,000 less in one summer. - 246 * ELLINGWOOD’S THERAPEUTIST MISBRANDED MEDICINE CASEs MORE NUMEROUS LAST YEAR A large number of seizures and pros- ecutions on the charge of false and fraudulent labeling of proprietary prep- arations have been made during the past year than in any other year since the enactment of the - Drugs Act, according to a recent state- ment by officials of the Bureau of Chem- istry, United States Department of Agriculture. - A number of such cases terminated lately in the Federal courts are reported in Service and Regulatory Supplement No. 64, issued by the bureau. The dis- position of the actions in the courts are described as follows: “Sal-Sano” was misbranded, it was alleged by the Government, for the reason that certain statements on the labels of the containers falsely and fraud- ulently represented it as a cure for dia- betes. per cent water, 19.9 per cent sodium chlorid or common salt, 13.6 per cent sodium phosphate, 42.2 per cent sodium bicarbonate and 20 per cent sodium sul- phate, with small quantities of iron, aluminum, and potassium salts present as impurities. The defendant, Ernst Bischoff, trading as the Sal-Sano Com- pany, New York, N. Y., entered a plea of guilty, and the court imposed a fine of $100. - “Indian Wyanoke” was shipped in interstate commerce by Albert M. Fol- lett, trading as Park & Russell Company, Concord, N. H. It was alleged by the Government that the preparation was falsely and fraudulently represented as a remedy for every form of external or internal congestion, soreness, pain, in- flammation, injury or disease, especially of the throat and lungs; acute, chronic, malignant or diphtheritic sore throat, tonsilitis, swollen glands, coughs, colds, catarrh, croup, consumption, pleurisy, In a booklet accomp- and pneumonia. anying the package, the product was represented also as a remedy for whoop- ing cough, lung congestion, lung fever, hay fever, deafness, ringing in the ears, Federal Food and An analysis of a sample of this product showed that it consisted of 3.2. Sores in the head, sore eyes, granulations and inflammations of the lids, sore nose, rheumatism, rheumatic headache, mus- cular disorders, stiff neck, lame back, . spinal irritability, numbness, incipient or creeping paralysis, palsy, hives, Cuban itch, salt rheum, eczema, felons, run- round, whitlow, boils, carbuncles, erup- tions, enteritis, peritonitis, appendicitis, baldness, dandruff and falling hair. An analysis of a sample of this article showed that it consisted essentially of chloroform, ammonia, menthol, glycerin, turpentine-like oils, alcohol and water. The defendant entered a plea of guilty, and the court imposed a fine of $25 and COStS. - “Gregory's Antiseptic Oil” was the basis of an action against the C. J. Lincoln Co., of Little Rock, Ark., in which the Government alleged that certain statements appearing on the label and in a circular falsely and fraudulently represented it as a cure for neuralgia, rheumatism, pneumonia, lung troubles, asthma, coughs, pleurisy, backache, burns, headache, flux, all bowel com- plaints, sore throat, catarrh of stomach or bowels, consumption, kidney troubles, blind staggers, distemper, glanders, fis- tula, poll evil, bighead, bigjaw, sweeny, blackleg, and hog cholera. This prepara- tion was found on analysis to consist of approximately 89 per cent kerosene oil, small amounts of oil of cloves, oil of cassia, oil of Sassafras and a trace of camphor and pepper resins. The defend- ant entered a plea of guilty and the court imposed a fine of $50. * McGraw's Liquid Herbs of Youth” was misbranded, the Government alleged among other things, for the reason that certain statements appearing on the cartons inclosing the bottles falsely and fraudulently represented it to be effective as a cure for all stomach, liver and kidney diseases, and a number of other ailments; as well as to invigorate the nervous system, tone and strengthen the digestive organs, impart new life and energy to all functions of the body, and to strengthen and build up the system, while it eradicates disease. An analysis of the article showed that it contained :y GLEANINGS 24? essentially Epsom salt, Senna, red pepper, quassia, alcohol and water, flavored with methyl salicylate. The defendant, George W. McGraw, trading as the McGraw Remedy Company, Little Rock., Ark., entered a plea of guilty, and the court imposed a fine of $10. A shipment of “P P P Prickly Ash, Poke Root, Potassium and Stillingia” was seized. It was alleged by the Gov- ernment, among other things, that the article was misbranded for the reason that certain statements on the cartoons and circulars regarding the curative and therapeutic effect of the preparation were false and fraudulent in that the article contained no ingredient or com- bination of ingredients capable of pro- ducing the therapeutic effect claimed for it. No claimant appearing for the prop- erty, judgment of condemnation and for- feiture was entered, and it was ordered by the court that the product should be destroyed by the United States Marshal. An information was filed by the Gov- ernment against Carroll Dunham Smith Pharmacal Co., of New York, N. Y., for the interstate shipment of quantities of articles labelled in part “acetanilid tab- lets,” “nitroglycerine tablets,” “acetyl salicylic acid tablets,” “acetphenetidin and salol tablets,” and “quinine sulphate tablets” which were adulterated and mis- branded. Adulteration was charged be- cause the tablets fell below the professed standard and quality under which they were sold. Misbranding was alleged for the reason, among others, that there were false and misleading statements on the labels regarding the ingredients. The defendant company entered a plea of guilty to the information, and the court imposed a fine of $25. “Kampfmueller's Rheumatic Remedy” was the basis of an action against the Kampfmueller Rheumatic Remedy Co., of Louisville, Ky., it being alleged by the Government that certain statements ap- pearing on the labels of the cartons and bottles falsely and fraudulently repre- sented it as a remedy for rheumatism, and as a cure for arthritic rheumatism, articular rheumatism, inflammatory rheu- matism, muscular rheumatism, and rhet1- matic fever. Analysis of a sample of the article by the Bureau of Chemistry showed that it consisted essentially of potassium iodid, extract from a laxative plant drug, alcohol and water. The de- fenant company entered a plea of guilty, and the court imposed a fine of $25. USE OF ARSENIC PREPARATIONS IN TREATMENT OF SYPHILIS TREASURY DEPARTMENT BUREAU OF THE PUBLIC HEALTH SERVICE WASHINGTON - May 12, 1920. Bureau Circular * . Letter No. 219. |Medical Officers, U. S. Public Health Service and others concerned: Your attention is invited to the ex- tensive exploitation through advertise- ments in professional journals and otherwise of various arsenic prepara- tions which are not related to the ars- phenamine group. The preparations referred to are sold with claims in regard to their value in the treatment of syph- ilis, which are unwarranted. In the opinion of this office it is in the interest of all concerned that the sub- cutaneous, intramuscular or intravenous use of arsenic in the treatment of syph- ilis be confined to preparations of the arsphenamine group as these agents are of established value and are produced under the regulations of the Public Health Service. The following firms are now licensed for the manufacture of arsphenamine and neo-arsphenamine: Dermatological Research Laboratories, 1720 Lombard Street, Philadelphia, Pa. H. A. Metz Laboratories, 122 Hudson Street, New York, N. Y. Diarsenol Co., Inc., Buffalo, N. Y. Takamine Laboratories, Clifton, N. J. The Lowy Laboratory, of Newark, N. J., has been granted a license to pre- pare a stable solution of arsphenamine. It is not the desire of the Bureau to limit clinicians in the choice of agents of 248 ELLINGWOOD'S THERAPEUTIST recognized worth but in the case of arsenic preparations, not members of the arsphenamine group, the available evi- dence indicates that their routine use is inadvisable in the treatment of syphilis. If it is desired to use any of these prep- arations in a purely experimental way previous authority from the Bureau should be secured. Applications for this authority should be accompanied by a statement as to the composition of the drug including the structural formula and the reason for its use. All informa- tion available on the value of the prepara- tion should be forwarded. - H. S. CUMMING, Surgeon General. Cascara Sagrada is particularly adapted to those who suffer from hemorrhoids or piles, especially in those cases where cath- ...” such as aloes and senna, have been 11S6 Ol. If a mixture of equal parts of a fluid ex- tract of aconite, opium and belladonna be brushed over a location where an abscess is forming, the abscess will be avoided. A writer places great faith in the influence of asafetida in the treatment of habitual abortion. - As a palliative measure in the treatment of paralysis agitans, duboisin is suggested as a reliable remedy. - Children who have a marked uric acid dithesis are thought to be more subject to appendicitis than others. º A teaspoonful of the tincture of san- guinaria, three times a day, is said to be a good emmenangogue. Authorities are agreeing upon smaller doses of pituitary extract and most of them disapprove of the use of the drug in the first stage or to induce labor. Lipkis re- ports success in the use of this agent in incomplete abortion. He does not curette or use packing, and he gives rather small doses of the extract. Camphor is useful in capillary bronchitis for its stimulant and tonic effect, and when indicated the iodides are used. Camphor is useful in diarrhea to combat profound depression. Arsenate of copper is useful in the early stages of biliousness when marked by fer- mentation of food, indigestion, attacks of dizziness with colicky pains, associated with diarrhea and constipation in alternation. THE WOMAN OF FORTY BY DR. E. B. LowRY. At no period of life is a woman more liable to misunderstand herself and be misunderstood than at the “dangerous age” of forty. Upon the care and atten- tion given her body at that time depends her health for the second half of her life. Dr. Lowry's helpful book will remove the fears and troubles which come from wrong ideas about the changes of middle life. With broad vision it considers the physical, mental and spiritual activities and possibilities of women and points the way to perfect health and happiness. The Spirit of noble womanhood flows through its pages. - - As Dr. Lowry says, most of the world's great women have been past mid- dle life when they performed the achieve- ments which made them famous. Every Woman in the forties who wishes to be at her best and desires mental and physical growth should read this sensible book, and it should be read by her husband also. It is a book physicians will recom- mend to their patients. This is the tenth volume of the famous - Sex hygiene books by Dr. Lowry, which have become famous throughout the world because they give the fundamen- tals of health in such a clear, reliable way that they lead to right living and books by this able author, and it will be happiness. The new work is fully equal read with profit by thousands of women. to the splendid quality of the former and failing, I take out of the index. The constant duty of every man to his fellows is to ascertain his own powers and Special gifts, and to strengthen them for the help of others.-John Ruskin. Like a morning dream, life becomes more and more bright the longer we live, and the reason of everything appears more clear. What has puzzled us before seems less mys- terious, and the crooked paths look straighter as we approach the end.—Richt- er. THE THERAPEUTIST bristles with crisp, terse, boiled down facts, no song, no eulogies, but straight-out business. L. FITZSIMMONs, M. D., Pulteney, N. Y. ADVERTISIN G SPRINGTIME TOXEMIAS There is no season of the year when toxic conditions are more in evidence than the Springtime. Winter ills have left their accumula- tion of toxic matter; heavy meat diets, with a deficient quantity of fruit and fresh vegetables, have deranged the digestive functions and added to the burden of impurities in the system; bacterial diseases, Such as influenza, la grippe, rheumatism, pneumonia, etc., have also contributed their share of toxins, and as a result there is the usual aftermath of toxemias, in varying forms of virulence, demanding the attention of the physician. - - To ignore these conditions will not do, for we then invite a worse condition—the menace of fevers and other ills due to toxic accumula- tions in the system. THERE IS JUST ONE SAFE COURSE TO PURSUE and that is to fight these Springtime Toxemias with the remedy di- rectly indicated: - ECHTISIA The value of Echinacea in all forms of toxemia and blood taint is beyond question, and Echtisia, an echinacea compound, has been found even more effective than its basic ingredient, because of the adjuvant and synergistic properties of the Baptisia, Phytolacca and Thuja with which it is combined. - . - Clinical experience has shown Echtisia to be almost a specific in all forms of toxemia, and its use in all cases of this character is advised and recommended. - Full descriptive literature will be sent on request. THE wM. S. MERRELL COMPANY Manufacturers of Reliable Pharmaceuticals Founded 1828 Cincinnati, Ohio Courrspond wrts our Anvertisirs, and MENTION THrs. Journal. XII ELLINGWOOD’S THERAPEUTIST. Fill out and Mail This Today Date 1920. THE ANIMAL THERAPY CO. No. 7 W. Madison St. Chicago, Ill. Send me, without charge, recent numbers of THE BULLETIN JOURNAL OF ANIMAL THERAPY. Am articularly interested in the radical results of your animal therapy in those of the following diseases which I underscore: LOCOMOTOR ATAXIA CHRONIC JOINT RHEUMATISM NEURASTHENIA . INCOMPETENCY DIABE,TES MELLITUS Address LLUL|ll Lillº [[ILULLIT 1II Tū ſº Ut | #ſº Ü (2/267//VA) 2////; 7.5 J%r Arrhythmia 5ME | 5 5 5 Chronic ; Functional É # Constipation ; Disorders 5 É Hepatic É Palpitation É É Torpor É Tachycardia i # Intestinal i TobacCO 5 # Atony or | Heart E # Stasis |É • 20.5& Z to 3 Aillets = |É Q0.5/5: Z to 3 Zač/ed; 5 &ree or/artime;& i # at 3edºze/ 32%Z20 2% což0% ºzoa ſy [iſ] hº 49. U. - ſº 1. Ul eſſ ſ! Ul 10 ſ!!!! Jut ſ!!!!” 1ſº - Ut º ſ ſº * l Ju [[IIITILITUTILIL Tººl Cossrssond wrrn our Anvertisires. Ano Mºrrion this Journal. ADVERTISING XIII T- The Eclectic Medical College CINCINNATI, OHIO Chartered—By Special Act of the Ohio State Legislature, March, 1845. Admission to the Freshman Class—Certificate of the Ohio State Medical Board, based on a first-grade high school di- ploma, or the equivalent of fifteen units. In addition, college credits covering two years of college work, which must in- clude one year in Physics, Chemistry, Biology, English, and any one other modern language. Pre-Medical Courses—Pre-medical college courses re- quired by this college and the various State Boards, of two years, including college Physics, Chemistry, Biology, English, and a modern language, can be taken at Miami University, Oxford, Butler County, Ohio, or at St. Xavier’s College, Cin- cinnati, or any other recognized literary college or university. Session—The seventy-sixth annual session will begin Sep- tember 16, 1920, and continue eight months to May 16, 1921. Tuition—One hundred and fifty dollars per year, in two installments. Matriculation fee (once only), five dollars. Hospital Facilities—Systematic clinical lectures and bed- side instruction in the new four million dollar public hospital of 850 beds. Instruction at the Tuberculosis Hospital, Long- view Asylum for the Insane, Co-operative course of the Health Department, Senior interne service at the Seton Hospital im- mediately adjoining the College, with daily Dispensary, and Union Bethel clinics. Laboratories—Six well equipped laboratories in the new (1910) six-story college building under competent salaried instructors. For Bulletin and detailed information address the Secretary, JOHN K. SCUDDER, M.D., 630 West Sixth Street, Cincinnati, Ohio CoRRESPOND WITH OUR ADVERTISERS, AND MENTION THIS Journ AL ELLINGWOOD’S THERAPEUTIST For AMENORRHEA DYSMENORRHEA MENORRFHAGIA METRORRHAGIA º ETC. § s \ ERGOAPIOL (Smith) is supplied only in - packages containing twenty capsules. DOSE: One to two capsules three or four times a day. Sº Sº Sº samples and literature - SENT ON REQUEST. ſº - §ſº N º | º º H. SMITH COMPANY, New York, N.Y.U.S.A *|| sº THE DOCTOR'S LAXATIVE * Abbott's Saline Laxative is one of the few preparations of its kind which has never been advertised to the public in newspapers or magazines. This is the original effervescent magnesium sulphate preparation, recom- mended originally some fifty years ago, by that great French Clinician Burggraeve. Dr. W. C. Abbott transplanted into this country some thirty years ago the Burggraev- ean principles, among which was the Clean- Out, Clean-Up and Keep-Clean idea, made famous by this slogan and backed by Abbott's Saline Laxative. During all the intervening years this product has been ethically adver- tised to the medical profession and has indeed become the favorite prescription of discerning doctors who recognize in “Abbott’s” the stand- ard Saline Laxative of guaranteed purity and proven quality. Samples will be sent upon request to THE ABBOTT LABORATORIES Chicago, Illinois ... This highly scien- tific and sanitary device has been brought forward by Dr. Theo. Larson as a most perfect in- strument with which to cleanse every part of the vagina and of the vaginal vault. 200TOR LARSON'S SANTARY DEVICE The results pro- - duced by its use are m or e perfect and more highly scien- tific than can be c 1 aim e d for any other instrument. It is readily introduced and easily used. It is presented as the o n 1 y instrument which will fully ac- complish the results claimed. PATENT APPLIED FOR 7409 N. Clark St. Dr.Larson's Revolving Syringe Dr. Larson's Sanitary Device Co. In the treatment of any vaginal dis- charge, chronic or acute, and especially in the treatment of acute cases of gon- orrhea, the cleansing of the vagina is so complete and thor- ough as to win the highest approval. In the ordinary vaginal discharges it is at once satisfac- tory. We offer this in- strument for $6.50, subject to 30 days' - trial. If after that time you are not satisfied, you may return it and your money will be re- funded. Chicago, U. S. A. Correspond witH our Advertisers, AND MENTion this Journal. ADVERTISING XV The Last Thorough Revision Ellingwood's New American Materia Medica Therapeutics and Pharmacognosy Has brought this intensely practical work up to the present time. Always Popular It Has Reached the Summit of Its Popularity in this Edition Its very wide circulation speaks volumes for its great practical value. It has reached probably every English speaking country. Every reader is an enthusiast, and every one who follows the lines suggested obtains phenomenal success. This is saying a great deal, but it is true. Every fact stated has been thoroughly proven, and is thus far and away beyond the experimental stage, and plainly in the narrow but essential field of certainties. The style is clear, concise, pointed, practical; entirely free from verbosity, definite in the extreme and intensely interesting. It is Royal Octavo in size; is double indexed. The price in cloth is $6.50. Address Ellingwood’s Publications, Evanston, Ill. T E R I N E A Non-Poisonous, Unirritating Antiseptic Solution Agreeable and satisfactory alike to the Physician, Surgeon, Nurse and Patient. Listerine has a wide field of usefulness, and its unvarying quality assures like results under like conditions. - - As a wash and dressing for wounds. As a deodorizing, antiseptic lotion. As a gargle, spray or douche. As a mouth-wash-dentifrice. Operative or accidental wounds heal rapidly under a Listerine dressing, as its action does not interfere with the natural reparative processes. - The freedom of Listerine from possibility of poisonous effect is a distinct advantage, and especially so when the preparation is prescribed for employment in the home. LAMBERT PHARMACAL COMPANY ST. LOUIS, Mo., U.S. A. CoRREspond with our Advertisers, AND MENTION THIs Journal X VI ELLINGWOOD’S THERAPEUTIST IIIIllililllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllililililililillilililililillilililillº The Baldwin Sanitarium “The Home of Intravenous Medication” and “The Eye Repression Treatment for Goitre” Dear Doctor: Permit us to call your attention to the work of the Baldwin Sanitarium and our two special lines of work. In this connection we would like to ask: What are you doing with your first and second stage tuberculosis? Are you meeting with satisfactory results? Have you ever tried the INTRAVENOUS FORMULA used at this institution? - . If not, why not? Introduced into the venous circulation it goes directly to the lungs and there acts as an oxidant, germicide and anti- ferment. Why not give the method a rigid scientific investigation? Why not give us a trial? - Do you know that we are successfully treating both simple and exophthalmic goitre by the EYE REPRESSION TREATMENT; by fogging the vision to relieve the ciliary strain and overcoming the muscular insufficiency by the use of prisms? Do you know that we are successfully taking care of 70 per cent of all cases of goitre, chronic migraine and other cases in which eye strain is more or less a factor? Shall we mail you our literature ? # Illilillililllllllllllllllllllllllllllllllllllllllllllllllllllllllllllilillºlilililillilihilliililillllllllllllllllllllllllli Conºrsrowd with our Anvirºrisºns. Arse Marrion runs Journal ADVERTISING xvi.I manifested by loss in bodily weight, reduced muscular capacity, increased pallor, etc., the indication for sº º D º { º º Yº - zº&Kºź ºw, §§ º in Y. Rºgº % A* ºn tº is clear and definite. - Through its power to supply the body with a rich and easily assimilated tissue food, Cord. Ext. Ol. Morrhuae Camp. (Hagee) is of marked aid in a case reduced through nutritional disturbances of whatsoever cause. #2% — - - / º: % EAG; fluiD OUNCE OF HAGEES CORDIAL OF THE EXIRACT OF COD Llyfr DIL (OMPOUND CONTAINS THE sRN º #)}*... ( fººl!Aºi fººliſh fluid ounciº (ºn liviº all ſºlº Pºlº ) º %) % 2. ATED)6GRAINS (Alcium HYPOPH05PHITE, 3GRAiNSSODIUri HYPOPHOSPHITE.WITH Glycºplºt AND AROMATIC5 ** * & *N e's § *~5-ºxazed. Zºr sixteer orace Borres orº. --2′spersed. As *// cºsys.siſ. * Kaſharmon Chemical Co. 31.101:13.100. f{uſhuffſ, pſ! aſ he f.# § - || ºt. 1neag ag a ſacril appº §:..º.º. º # #; 1ſtíí 5 3. : ºº ..*: Pure Distilled Extract of Kaſhurman ſhriúiral [0, St.Louis,Md. mº-mºm EPILEPSY—In epilepsy, no remedy gives more uniformly satisfac- tory results than Peacock’s Bromides. This is due, first, to the happy combination of the five important bromides; second, to the greater purity of each salt, and finally, to the pharmaceutical character of the composite product. The physician should insist on the genuine Peacock's Bromides, particularly when it is desired to administer them over long periods. One to three teaspoonfuls, in water, as needed, will be found effective. º EINſ|| s :- . . . sº {I}|U}. Drug and Liquor Habits Sanitarium established eighteen years. No suf- | | tº ! sº & THE STANDARD fering, no danger, close medical care, good nurs- ing. Pleasant surroundings, quick and absolutely S ALINE LAXATIVE satisfactory results. Samples on request Ralph Sanitarium, 529 Highland Ave., Kansas City, Mo. * . - Bristol-Myers Co. New York CoRRESPOND witH out ADVERTISERS, AND MENTION THIs Journal. XVIII ELLINGWOOD’S THERAPEUTIST EFLEX SPASMODIC SEIZURES in children may be controlled by several doses of 2A S.A PYNE- (3? Nºssº's Fºrºsſ N-FIUFF) which has marked antispasmodic power, without eng bad after effect. Pasady N.E. (Daniel) exerts a distinct hypnotic and antispasmodic influence. IT HAs No conceph WITH THE HARRISON ACT. sawazes Awda/zzazzara sweeza o yo awrºzczaws earrawa expºss catawafs LaeorraroRY or JOHN B. DANIEL. Inc., Arlarita, GEortala. A Superior Cod Liver Oil Preparation. The chief--in fact the only objection one can have to cod liver oil—is its disagreeable taste, and condition of reduced toleration brought about by its continued use. It was this objectionable feature of cod liver oil which finally induced chemists to produce more palatable preparations of the oil. Chief among these more palatable preparations of cod liver oil is Cord. Ext. O1. Morrhuae Comp. (Hagee). In the manufacture of Cord. Ext. Ol. Morrhuae Comp. (Hagee) the aim of maximum of therapeutic efficiency and palatableness has been achieved. Cord. Ext. Ol. Morrhuae Comp. (Hagee) contains the essential therapeutic properties of the plain oil with none of its dis- agreeable features. If cod liver oil is indicated Cord. Ext. Ol. Morrhuae Comp. (Hagee) may be used with every assurance that in it are to be found the reconstructive tissue-building powers of the plain oil. SANMET TO Kinney-blººr-prostate. valuable in Prostatitis-Pyelitis-Cystitis-Enuresis In Dysuria–Albuminuria In Irritable and Weak Bladder Conditions As A SOOTHER AND MILD DIURETIC oD CHEM. Co., NEW YORK. D0SE:—One Teaspoonful Four Times a Day. | Doctor it in Justice to that Patient / You Should Try the Slow Sinusoidal Current / THE McINTOSH No. 8 POLYSINE GENERATOR “The Sine of Progress” Generates Galvanic, and Sinusoidal Currents in many variations. Eight different Modalities. Built for operation on alternating cur- rent, this apparatus is the latest development in the field of ºtro/ M. c. In- Therapy. The first of these are just nearing completion. to s h Bat- - - SAFEST-SUREST-SIMPLEST / º'cº. §: Its installation is a sure proof of your sagacity. Special 3. -- - literature and generous offer sent on º without any Genºmen: obligation to you. A complete line of X-Ray and *...in. A Please send your spe- apparatus described in our 40th Edition Catalogue. cial literature and McINTOSH BATTERY & OPTICAL CO. flººr." Main Office and Factory: Eastern office and service / pº. Generator." 217-223 No. Desplaines St., Station: Name............... . . . . . - Chicago, Ill. 1777 Broadway, New York, N. Y. Address..... ------------- CoRREspond with oug Advertisers. And wention rars Tournal ADVERTISING XIX ºd ALCRESTA TABLETS iPECAC *****ºtº-ºººººcºº -- -º-º-º-º-º-º-º-º- º LCRESTA TABLETS of IPECAC are an enteric preparation of ipecac alkaloids, a convenient, practical method of administering the alkaloids of ipecac by mouth without causing nausea or vomiting. Alcresta Tablets of Ipecac are uncoated and disintegrating. Each tablet contains the alka- loids from ten grains of Ipecac U.S.P. They are as effective as emetine hypodermically and have a wide field of usefulness. Supplied by the ‘Drug Trade in bottles of 40 and 5oo Tablets ILLY'S DENTAL LOTION contains emetine among other valuable antiseptics. It was origi- | | * * nally intended as a prophylactic | || LILLY's mouth wash but has met with much . favor by physicians as a spray or gargle in tonsillitis, pharyngitis, and other throat affections. It has a dis- tinctive color, a pleasant odor, and an agreeable taste. Supplied by the ‘Drug Trade in Three Ounce and One ‘Pint Bottles º Fif it. Yºº noianapolist Li LLº a co NDIANA Polis CoRRespond witH our Advertisers, AND MENTIon THIs Journal ELLINGwooD's THERAPEUTIST WHAT IS AUTO-HEMIC THERAPY7 Treating the patient with a drop of his or her own blood admin- istered according to a perfected and refined technic without use of bugs or drugs. . . . . - Auto-Hemic Therapy is in perfect harmony with the very latest development in physics, physiological and pathological chemistry. - Properly administered, the treatment is absolutely without risk. - * , - WHAT PHYSICIANS SAY “The missing link in medicine.” “Has no rival in chronic cases.” “The king of Therapies.” “The new life serum.” - “A wonderful reconstructive.” -- - “The greatest producer of physical and mental ‘pep.’” “No other method appeals so favorably to the intelligent public.” - - - “The best builder of a creditable, permanent and lucrative office practice.” - - . - “Doubles the cures and incomes.” - “Of fifty or more different sera with which I have had ex- perience, ANY or ALL are not as a drop in the bucket compared with Auto-Hemic Therapy. It is a God-send to all patients having tubercular, cardiac, hepatic or renal troubles; in fact I have not found its limit in over two hundred cases treated.” - Judging from the reports already published, it would seem that there is scarcely any limit to the applicability and practicability of this new treat- ment. Some of the most obstinate cases of anemia, insomnia, nervousness, constipation, eczema, diabetes, goiter, hay fever, rheumatism, mental and physical debility, lack of “pep,” ulcers, insanity, morning sickness, high-blood pressure, and other conditions too numerous to mention, have been benefited, if not permanently cured, by Auto-Hemic treatment in an incredibly short time, after all other methods had failed. - - In December, 1918, fifty physicians reported 3,000 cases, representing 200 different ailments with 85 out of a hundred benefited. - Copy of a journal containing reports of the surprising results obtained by many physicians, also particulars regarding Dr. Rogers’ book and course of instruction, sent on application to - North American Journal of Homeopathy 2812 North Clark Street, Chicago, Ill. - CORRESPOND WITH OUR ADVERTISERs, AND MENTION THIS Journal. ** ~ ADVERTISING XXI r) Three Emergency Summer Remedies for Poison Ivy, Insect Stings, Reptile Bites POISON IVY. Physicians report that if CIT-CEL-CE be applied locally in cases of infection from “Poison Ivy,” (Rhus Toxicodendron), the most pronounced relief known to them in the treatment of this ailment is experienced. In our Laboratory, the handlers of RHUS find CITCELCE a specific antidote for the poison. They now handle the green leaves in quantities, and then apply to the skin CITCELCE, either full strength or diluted one-half with water. Collectors of Rhus, when infected by the poison, apply a CIT- CELCE saturated bandage, and report immediate relief. None of the han- dlers of Rhus under our jurisdiction now experience any local disturbance or infection in this direction. Insect Stings and Bites. A plaster of LIBRADOL applied to the af- fected part, as a rule at once relieves the pain from a bee sting. Often there is no after-swelling. Plaster the Libradol thick on the part bitten, and if necessary, cover with parchment paper or a muslin bandage. (See LIBRA- DOL and its uses, Summer Bulletin, 1916). In severe cases use Specific Medicine Echinacea internally. Bites of Snakes and Other Venomous Reptiles. Administer, every half hour, from 30 to 60 minims ECHAFOLTA or SPECIFIC MEDICINE ECHINACEA, diluted with water. Apply also to the affected part a com- press saturated with Echinacea, keeping same wet there with. Niederkorn's two booklets (1910), on the bites of venomous creatures, give reports from ninety physicians who have successfully employed this treatment. Quick Relief Important. Every physician with a rural practice should have these three remedies in his office. Every pharmacist, regardless of lo- cation, should have them in stock. Emergencies in these directions are im- minent, and should not await the procuring of a remedy from a distance. PRICES %. 1b. WA 1b. 1b. Citcelce . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $0.65 $1.20 Libradol . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $0.60 1.10 2.00 Specific Medicine Echinacea (Echafolta, same price) 1.00 2,00 4.00 LLOYD BROTHERS, - Cincinnati, Ohio CoRRESPOND WITH our ADVERTISERS, AND MENTION THIS Journal XXII ELLINGwooD's THERAPEUTIST Zo Rational Treatment :/Constipation THE secret of success in the use of Cascara Sagrada is its proper adaptation to one definite purpose—to empty the bowel in constipation. An eminent authority has said: “Cascara Sagrada ought never to be used as a purge, but only as a laxative.” In a nutshell, that is the rationale of Cascara therapy. • Cascara Sagrada extracts should be given in grad- ually ascending doses. A single dose is of little avail if permanent benefit is the goal. The doses should be given daily, preferably at night. In obstinate cases two or even three daily doses may be required. The treatment should be persistently continued until the patient has a normal bowel action every day; until Nature's habit of regular daily movements has been reëstablished. Then and not until then should the dose be gradually tapered off to the vanishing point. Cascara Sagrada acts as a tonic to the intestine, thus preventing a recurrence of the torpid state that follows the use of purgatives generally. The physician has the choice of two standard prep- arations—Cascara Eva cuant, a palatable extract of “twice the strength of the ordinary aromatic cascaras, and F. E. Cascara Sagrada (P. D. & Co.), a bitter product which has been in use by the medical profes- sion for more than forty years. Parke, Davis & Company * DETROIT CoRRESPOND witH our ADVERTISERs, AND MENTION THIS Journ Al. - H --- -- *-- -- iSE -- -- == • FINLEY ELLINGWOOD M.D. E DITOR AND PUBLISHER SNIEIRIS 32 N. STATE ST. CHICAGO |s|Eggſ) FROM’ - >PRICE - MANYDOCTORS - | $1.50 PER Vol. 14 No. 8 - * YEAR - §lºgi \lNYADVANCE º Nº. §§ º §§§ . §§§ <\ºſº lº º lºſſ º § §§§ } bº ãºlºiºsº §§§ º º |S}}}#}jºjº tºº §# |ſ|| a *. }% ºft §ſ D - Nº - º |fi/ſº § §§ - - iº āş. { - 'ſº § º ŽVºl) 'º º Syrupus osphitum A concentrated mineral pabulam, possessing unrivalled thera- . mineral papulºm, possessing un peutic properties in all Wasting Diseases, which have been termed “Demineralizations” by modern clinicians. Supplies the organism with those indispensable mineral elements: Manganese Potassium Sodium Calcium Iron together with the dynamic action of quinine and Strychnine. “THE STANDARD TONIC.” Samples and Literature upon request. FELLOWS MEDICAL MANUFACTURING CO., Inc. 26 Christopher Street New York Jº ñº. hº 㺠ſtill Xſlim We Žſ ğ. - sº --- s w - * rt º, -º } : § § = § @ th. 5 § # r - º ſºil"Tºº §  :::::::::::::::::::::::::::::::::::: º * sº Şſº ered as Second-class Matter, A º: the Post Office at Chicago, Ill., under Act of M -***-* • ** * º a **** * * * * * * * * **.** * * : § ; II N(, Y, OOD’S THERAPEUTIST . SETYOURSELFRIGHT About OrificialSurgery It is not a fad, ism or pathy IT IS A POTENT THERAPEUTIC MEASURE BASED ON SCIENTIFIC FACTS. IT PERTAINS NOT ALONE TO “PILES AND CIRCUMCISION” BUT TO EVERY TUBE and hollow organ—to all tissues receiving fibres from the Sympathetic Nervous System. *- - The School of Orificial Surgery offers its Course to graduate phy- sicians only. The theoretical and basic study is conducted by a successful plan of correspondence. The practical and technical work is taught clinically. Each student receives personal attention. Satisfied graduates tell. Ask for some of their letters. Write for a copy of The Orificialist SCHOOL OF ORIFICIAL SURGERY, Inc. UTICA BUILDING - DES MOINES, IOWA The Control of Ovarian Disorders F you believe in organotherapy—and you should—you know why it is so efficacious. It is indeed a physiological measure, restoring in a “natural manner” deficient glandular activity. Caps. Thyro-Ovarian Comp. (Harrower) is a superior remedy in the functional dysovarism underlying amenorrhea, dysmenorrhea, menopausal imbalance and neuras thenia. It is often better than corpus luteum alone. - $: Write for the booklet “Ovarian Dysfunction”—Free Address the nearest office and mention “Ellingwood’s Therapeutist” THE HARROWER LABORATORY Glendale, California NEW YORK; 31 Park PI. CHICAGO: 186 N. LaSalle St. DENVER: 1132 15th St. BALTIMORE: 4 E. Redwood St. A monthly Journal of Therapeutics; educational in character, issued on the 25th of the previous month; devoted to the determination of the exact action of single drugs upon exact conditions of disease. A Journal to which every subscriber is also a contributor, and in which the Subscriber and the Editor are working in the closest possible relationship, to determine true and in variable drug action, for the benefit of the entire profession, and thus, Humanity. OUR IMOTTO: To learn the Truth. To prove the Truth. To apply the Truth. To spread the Truth. . . - OUR CREED: The Truth from all, for all, to all, without regard to the creed of the individual. - OUR FAITH: That all disease will ultimately be subdued, in whole or in part, by remedial measures; - That failure to cure disease is due to our lack of knowledge; That Therapeutic nihilism is the deadly foe to Therapeutic progress; That the study of the clinical action of the single drug, is the true method of drug study; That each drug acts directly and invariábly upon one or more exact conditions of disease, and must be so studied and known; That with such knowledge perfected, we can immediately and successfully prescribe for conditions of disease with which we have not previously met. TABLE OF CONTENTS FOR AUGUST, 1920 LEAD N G ARTICLES SPECIAL D EPARTMENT bºº Action of Lipcids Upon the Waxy Tubercle Q Charles Woodward, M. D., Chicago, Ill. acili Capsule . . . . . . . . . . . . . . . . . . . . . . ... • * * * * * * * * * * * * 24 Cholera Infantum - 272 A. S. Horowitz, M. D., Cincinnati, Ohio. Ädenoid operations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 273 Cancer, Its Cause and Treatment. . . . . . . . . . . . . . . . . . . . 252 Teething Children . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 273 G. O. Morse, M. D., Denver, Colo. Pºetic * - - - - - - e s is tº 4 - - - - - - - e s = e º - - - - - - - e º e = * * * - - #: Protracted Neura Sthenia. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 252 !ºyºs's.... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -- e º . perimental stage. i. a n d clinical Millions of doses emonstration. The largest producers of Stock and Autogenous Bacterial Vaccines. Manufacturer of Bacterial Vaccines G.H. SHERMAN, M.D., Detroit, Mich., U.S.A. “Sherman’s Vaccines are Dependable Antigens” have been ad- ministered. SHARP PAIN AND ITS RELIEF There are times when an acute condi- tion is of such a painful character that the application of heat and other simple agents is without avail, and the physician is forced to resort to an anodyne of prompt and definite power. Hypodermic injections have such a marked advantage by reason of their psychical effect that with most physicians they are a measure of last resort. In cases of this character where prompt and lasting relief must be given in a severely painful condition, PAPINE (Battle) is of much value. Not only is it effective as an anodyne, but its use guards the patient from the evil effect of the hypodermic. Furthermore, owing to its well balanced formula of carefully chosen agents, it does not produce the evil after-effects so prone to follow extemporaneously pre- pared mixtures containing opiates. As an anodyne Papine may be fully relied upon. - THE CASCARA Hous E An unknown drug in 1876, cascara sagrada has become official in all of the principal pharmacopoeias of the world. In 1877 Parke, Davis & Co. began a clinical investigation of the bark, making a fluid extract of it and placing supplies. without charge in the hands of physicians throughout the United States. The unique action of the fluid extract as a tonic-laxative impressed clinical observ- ers everywhere, thus insuring the perma- ment future of the drug. Then began the work of eliminating the objectionable features. Fresh cas- cara bark, or a fluid extract made from it, will gripe. Parke, Davis & Co. began storing the bark and testing the action of the fluid extract after varying periods. It was found that bark “cured” by stor- ing for one year possessed little or no griping property; but to insure perfect results, two years of storage was deter- mined upon, and that has since been the practice of this house. Still cascara was bitter. The fluid ex- tract was bitter. Was this bitterness es- sential to the therapeutic action? “Debit- terized” cascaras appeared, but the ef- fective dose was found to be very much greater than the effective dose of the bitter fluid extract. - - Certain manufacturers had destroyed the bitter principle of cascara with alka- lies, at the same time, however, reducing the activity of the drug by 50 to 75 per cent. But Parke, Davis & Co.'s chemists discovered that the bitter principle could be removed bodily without in the least degree impairing the other constituents of the drug. Thus was Cascara Evacuant (P. D. & Co.) evolved. - From the foregoing it will be seen that three historical facts entitle Parke, Davis & Co. to the name of “The Cascara House”: First, the introduction of cas- cara sagrada to the notice of the medical profession; second, the elimination of the griping principle; third, the removal of the bitter principle. - CoRRESPOND WITH OUR ADVERTISERs, AND MENTION THIS Journal ADVERTISING VII - The STORM BINDER and ABDOMINAL SUPPORTER (patent ED) MEN, WOMEN, CHILDREN AND BABIES No Whalesbones. No Rubber Elastic. Washable as Underwear Inguinal Hernia Belt Hernia, Obesity, Pregnancy, Relaxed Sacro-iliac Articulations, Floating Kidney, High and Low Operations, Ptosis, Pertussis, etc. Ask for new folder with testimoniaks of physicians. Mail orders filled at Philadelphia only - within twenty-four hours. Katherine L. Storm, M. D. 1701 Diamond St., PHILADELPHIA - E - -- " - ErgoPro Tºm ITS UTILITY IN THE TREATMENT OF Amenorrhea, Dysmenorrhea and Other Disturbances of Menstruation Despite the fact that Ergoapiol (Smith) exerts a pronounced analgesic and sedative effect upon the entire re- productive system, its use is not at- tended with the objectionable by-ef- fects associated with anodyne or nar- cotic drugs. The unvariable certainty, agreeable- ness and singular promptness with which Ergoapiol (Smith) relieves the several varieties of amenorrhea and dysmenorrhea has earned for it the unqualified endorsement of those members of the profession who have subjected it to exacting clinical tests. Dosage: Ordinarily, one to two cap- sules should be administered three or four times a day. MARTIN A. SMITH CO. New York, U. S. A. Epilepsy Utero-Ovarian Congestion Migraine Neuroses Hysteria 2O.S.E: Onze zo-Moº- feasaoonfuſ's "PEACOCK. CHEMICAL CO. St.Louis-Mo. cHonia Jaundice Hepatic Torpor Biliousness Indigestion | Cholangitis .20.5/5: One to anºo tea. •ºroozſºs three dinesødøy CoRRESPOND witH our ADVERTISERS, AND MENTION THIS Journal - VIII ELLINGWOOD’S THERAPEUTIST 5|STENT * demand for *N relief is often times so urgent that the first thought is of a hypodermic injection of morphine—and get every doctor holds, back ºn account: ºf †s * Fossibilities: is an anodyne that may be fully relied upon to ºve relief in pain with complete avoidance of the evil psychical influence of the hypodermic injection. The patient gets relief with a mini- mum of possibility of habit-formation. WHAT MORE COULD YOU ASKOFANANODYNE? Barrle & Co. Chemists' Corporation St. Louis, M. o. ELECTR0 THERAPY IN A NUT SHELL Doctor, have you ever yet seen a portable electrotherapeutical apparatus combining the following: First—a highly perfected sinusoidal apparatus giving slow, rapid and surging sinusoidal currents from A. C. or D. C Second—a first-class galvanic current appa- ratus combining rheostat and milliampere- meter. Third—a generating set to convert A. C. to D. C. for galvanism and delivering all cur- rents earth-free and ungrounded, and free from shock to the patient. - Such an apparatus is the Ultima No. 4 Sinustat. You can evoke reflexes, according to 2 Abrams; treat gastro-intestinal neu- ~~ roses, relieve muscular flaccidity ~ and employ galvanism in hundreds of cases, according to Neis- 2 wanger. Can you do without 2 Gentlemen: Ultima No. 4 Sinustat this outfit? ^ I am interested - - ^ in the Ultima No. SPECIAL! An introductory offer will be made on a limited 2 + Singstat. Kindly - - - d li ture, al number of these machines to quickly place them. Write for 2" siąślsº special literature and booklet on sinusoidal technique today. 2. * me your special 2^ orter. ULTIMA PHYSICAL APPLIANCE CO. 2 (Name ................................ 136 W. Lake St. Chicago, Ill. 2^ Address ................................. ---------------------------------------------- CoRRespond witH our ADVERTISERs, AND MENTION THIs Journal ADVERTISING Quotations from Doctors: No. 4 “In cervicitis and its allied conditions, the best remedial agent, in my opinion, is “It can be applied warm, on a wool tam- pon and packed in the vagina against the cervix, and supported lightly with a gauze dressing, held in place with a T-bandage. Care must be taken not to pack so tightly as to prevent drainage. “Pruritis, from vaginal irritation, is allevi- ated within twenty-four hours by the ap- plication of Antiphlogistine. The osmotic and hygroscopic properties of this prep- aration make it one of the best means of treating pelvic congestion." M. A. B., M. D., MILWAUKEE, WIS. THE DENVER CHEMICAL M'F'G COMPANY NEW YORK CoRRESPOND witH our ADVERTISERS, AND MENTION THIS JOURNAL ELLINGWOOD’S THERAPEUTIST º s za/i> ſ | {íl º * * ºS’ Øs *~~ ~ \S t There are women, who, under ordi- nary conditions, are likely to be threat- If seen in time such patients may be spared from disaster by the prompt and continued use of Hayden's Vibur- num Compound. s Administer in teaspoonful doses in hot water sweetened with sugar, three times a day. s S. Samples and Literature Upon Request NEw York PHARMACEUTICAL Co. BEDFORD SPRINGS BEDFORD, MASS. º- §: ºº ...ºs. Sºº-ºº: “ 5 E- iſſiſſilſilſilſil; “Summer Fag” heat depression—with its impairment of the appetite, digestive troubles, bowel disturbances, diarrheal disorders, nervous exhaustion, cardiac em- barrassment and deranged functions—generally, can be effectively relieved, and often prevented, by the use of Gray's Glycºſile IOſit COIII]. Two to four teaspoonfuls in iced water or poured over cracked ice will not only greatly refresh invalid or convalescent patients to a gratifying degree, but its continued use will substantially increase the vital resistance. The effect on the appetite, digestion and assimilation, and prompt relief of nervous exhaustion, tell why so many physicians look on Gray’s Glycerine Tonic Comp. as the ideal hot weather tonic. The Purdue Frederick Compan y 135 Christopher Street New York City ened with miscarriage or abortion. [. § $ º º RE | º WE TURN THE PAGE EACH NºonTH e . ==a. CoRRESPOND witH our ADVERTISERs, AND MENTION THIS Journ AL #. Čilingtuoob's Cherapeutist DIRECT THERApHUTICS Finley Ellingwood, M. D., Editor and Business Manager. º AUGUST, 1920 w º-º-º- ###############!”; iii. Fº ##### ###################### # #jºš Fº #: % > sº->:--> G- º: # Biochemical Action of Lipoids Upon the Waxy Tubercle Bacilli Capsule - BY DR. A. S. HoRovitz, CINCINNATI, OHIO In this paper I shall explain briefly the action of certain plant derivatives upon the tubercle bacilli. I do not intend to enter into a long and tiresome repeti- tion of well-known facts about tubercu- losis, which have been set forth time and again in various text-books and period- icals, but shall bring to your attention some conclusions which I have reached as a result of extensive experimentation. in the last decade. I believe that the 1medical profession appreciates more than ever before the magnitude and gravity of the tuberculosis situation. The World Struggle has left us in far worse condition regarding tuberculosis than we had to face before the war. -- That the medical profession has here- tofore practically failed in its efforts to cure tubercular infection is not so much due to the great resistant power of tu- bercle bacilli as to lack of adequate knowledge of the subject. Physiological chemistry and biochemistry had not ad- vanced to the point where the structure of the tubercle bacilli as a whole, and the molecular constitution of its parts could be understood. Today, however, *Read before the Eclectic Medical Association of kio. - . A we know that the tubercle bacillus is acid fats, and possesses a lipoid or waxy capsule, which encloses the actual ba- cillus. In chemical language, we would say that the lipoidal substance encloses a protein substance. Of these two chem- ical substances the lipoidal one is the far more resistive, and has always been the stumbling block in combatting tubercu- losis. With the ordinary bacilli or pro- teins, we are fairly familiar and know how to deal. The resistive power of the lipoidal capsule of the tubercle bacillus is due to the fact that lipoids are fats of peculiar properties, one of their characteristics being their failure to saponify like other known fats. A very intricate biochem- ical process is necessary to accomplish this saponification. To dissolve and re- move by saponification through well known physiologic chemicals, is impos- sible, and the claims of some investi- gators that they are able to Saponify the lipoid capsule of tubercle bacilli with certain high alcohols or esters must be considered with the utmost reserve, in view of the destructive power of these agents. Tubercle bacilli even when 250 . ELLINGWOOD’S THERAPEUTIST boiled in pure chloroform for nine weeks will give up very little of their lipolytic substances. This simple experiment makes it obvious that the claim that the tubercle bacillus capsule can be saponi- fied with similar substances in vivo can- not be accepted without question. In face, lipoids have no chemical affinity for any chemical substances except of their own kind; in other words, their combina- tion with other substances is impossible in the state in which they exist in the body. We know that lipoids will conn- bine only with other lipoids. These sub- stances were not nkown until recently, and this accounts for our failure to suc- cessfully combat tuberculosis heretofore. From this short description of the lipoidal capsule, it is obvious if we are able to deprive the tubercule bacillus of its protecting capsule, we are in a fair way to solve the problem of tuberculosis. At the beginning of my investigations, I recognized the character of the lipoid capsule and its limited range of chemical affinity, and concentrated my whole at- tention on this point. I came to the con- clusion that in the use of lipoid substance alone lies the hope of overcoming the resistance of the tubercle bacillus, and the possibilities of combatting tubercu- losis. Lipoidal substances are available from the animal, bacterial and plant kingdoms. Going over very carefully the various therapeutic substances employed for combatting tuberculosis, I found that the only one which contains lipoids is the ordinary tuberculin. But knowing that the employment of tuberculin in which all the substances of tubercle bacilli are included is dangerous, it soon became plain that the lipoids of the capsule which were made available through tuberculin could be used with little or no benefit; in fact, on the contrary the dangers con- nected with tuberculin treatment are well known. Therefore, I very early dis- carded the idea of obtaining the lipoids from the tubercle bacillus. This idea, however, was revived recently in Europe by Drs. Bossan and Balvay, who do not realize that they are using dangerous sub- stances, which may possibly produce secondary infection and that any im- mediate benefits conferred by this lipoid is nullified by the destructive action of the other ingredients, associated with it. Lipoids are also available from plants, and these lipoids have a well defined chemical affinity for the lipoids of the tubercle capsule without exerting any influence upon the building substance of the normal body cells. The plant lipºids in proper combination with biochemical activators when introduced into the sys- tem of the tubercular subject will have a tendency to avoid every association with substances of the normal protoplasmatic structure, but due to their chemical af- finity will unite with the lipoids of the tubercle bacillus capsule, forming bili- poids, or higher lipoids of an altogether different character, which are subject to the normal immunizing factors. A description of the physiologic and, biochemic phenomena involved in these processes would be too lengthy and is not timely. Therefore, in summarizing the effect of the plant lipoids upon the li- poidal capsule of the tubercle, I wish to Say: (1) Lipoids are protein substances of peculiar molecular make up. (2) Lipoids have no chemical affinity for most known chemical substances. (3) All lipoids, whether of plant or of bacterial origin, have a strong affinity for each other. (4) Lipoids are available from both plant and bacterial substances. (5) Plant lipoids in proper combina- tion with biochemical activators will com- bine with the lipoids of the tubercle ba- cillus capsule, without interfering with the protoplasmatic activity of the normal cells. (6) Through the association of plant lipoids with lipoids of tubercle bacillus capsules, a high lipoidal substance is formed of altogether different chemical character. (7) The newly formed higher lipoids are subject to the normal immunizing factors of the system. LEADING ARTICLES 251. This is a concise explanation of the action of the lipoids upon the tubercle bacillus capsule. Through the use of plant lipoids, we are in position to remove the protective and resistant capsule from the tubercle bacilli, which, however, does not mean that tuberculosis is conquered. Numer- ous biochemical activities are necessary to overcome the tubercle bacilli after they have been deprived of their protective lipoid capsules by the use of the plant lipoids, and to dispose of the toxins which are the outcome of the metabolism of the tubercle bacilli and to overcome the virolins, set free by the tubercle bacilli. An unprotected tubercle bacillus has no greater power of resistance than any other known micro-organism, and comes under the influence of bacteriolysis of the host. The elimination of the ordi- nary bacteria from the host is the duty of our immunizing bodies, which in cases of tubercle infection are demoralized and unable to perform the duties which they are called upon to do. This is due to the fact that in active tubercular infec- tion, the tubercle bacilli will liberate certain chemical substances, which have power to paralyze our defensive army, i. e., to prevent phagocytosis and make the progress of further destruction pos- sible. Furthermore, the same chemical substances which are characteristic of the tubercle bacilli have the power to destroy the normal tissue cells and trans- form the same into substances available for the tubercular bacilli and its future generations. It is obvious that to over- come this phenomenon we need active principles to neutralize the action of dif- ferent chemical substances, designed as Virolins. We also need biochemical principles with the power to liberate the phagocytes from their bondage, and stim- ulate the cytogenic mechanism to greater production of both white and red blood cells. The greater activity of the blood forming organs combined with the united action of all these biochemical principles render the system not only resistant to the tubercle bacillus but in position to ** acids. destroy the invader and eliminate it from the body. All these principles we find in the plant kingdom. The first and most important are the non-specific plant pro- teins, which have the ability once they are introduced into the circulation to stimulate the formation of both white and red blood cells, thus increasing the number of phagocytes and of red blood cells. • The phagocytes, as is well known, are the only ameba-like cells in our system with the power of splitting the whole micro-organism. The phagocytes have the power to attack the unprotected tu- bercle bacilli, take each and every one into its own body intracellularly, split the whole protein molecule of the tu- bercle bacilli into smaller molecules, such as peptones, toxins. Owing to the activity of the phag- ocytes the rebuilding of the lipoidal capsule is rendered impossible and the progress of the infection arrested. Through the assimilation of the whole tubercle bacilli the multiplication of the invaders is also made impossible. This part of my research was made known years ago, and you will find its echo in various medical articles, giving accounts of so-called original investiga- tions, the writers purposely avoiding a statement of the source of their informa- t1O11. - Reverting to the action of the blood cells, the products of the activity of the phagocytes are the so-called toxins, which are thrown out from, the body of the phagocytes by osmotic pressure into the middle of myriads of red blood cells. As a result of the investigations of Ab- derhalden and his co-workers, we know that the red blood cells also have enzymic power over toxins, and can take in various toxins and split them into amino- The red blood cells not being of amebic character, can not get rid of their toxic contents and therefore are carried through the circulation until they reach the liver where the great enzymic power of the liver hormones destroy the red blood cells, splitting their toxic contents 252 ELLINGWOOD’S THERAPEUTIST into fatty acids, and urates, which are eliminated by the emunctories. This short explanation shows how the System is cleared of tubercular infection by the aid of plant lipoids and non- Specific plant proteins. In a great many instances postmortems will reveal that death is not due to the destructive action of the tubercle bacilli upon the lung tissue, as cases with the largest cavities and with the greatest amount of lung tissue destroyed are liv- ing. This shows that death must be due to some other influence. Careful in- vestigations reveal that where death oc- curs the muscular structure is more atrophied even though the lung tissue may not be. The atrophication of the muscular structure, as we know, is due to the action of toxins of low nitrogenic content, toward which toxins the body tissues have certain resistive or catalytic power, due to their fat and water soluble vitamine contents. The qualitative an- alysis of tissues of a patient dying of tu- berculosis earlier than the destructive areas of the lungs would necessitate, will show the entire absence of vitamines. Therefore, it is always of major im- portance to replace the vitamine contents of the tissues in all tubercular infections, rendering the catalytic power of the body tissues able to overcome the toxins above mentioned. These vitamines may also be obtained from the plant kingdom in a wholesome and non-toxic state. Yºk - There was a theory propounded a few years ago, which is still entertained by some, that there is an intimate relation- ship between chorea and epilepsy, both being due to disturbances of the motor and intellectual centers, differing how- ever in degree. & Yºr A case of rapidly advancing purpura in a man 25 years old, with violent hemor- rhages from all mucous surfaces was controlled in two hours and cured within a few days with 20 drop doses of tur- pentine given every two or three hours. Cancer, Its Cause and Treatment G. O. MoRSE, M. D., DENVER, COLO. It is ten years since I have written any- thing for publication on the subject of cancer, but I have not been idle. I have treated and cured many cases during this time not one of which has, so far as I have been able to find out, suffered from a ſectſ1'1"e11Ce. - Recurrent had been cases which treated with the X-ray, with a view to preventing a recurrence, have been my most stubborn and unsatisfactory cases. Cancer is not a surgical disease, not even in its earliest stages, and until this is recognized by the medical profession, there will be no decline in the rapidly rising mortality, for it has been shown that the mortality has risen 30 per cent in the last ten years, during the period of greatest surgical activity. Under surgical treatment 90 per cent die. Fifty per cent come to the surgeon too late for any hope from an operation. 25 per cent die as result of the opera- tion, 15 per cent die from a recurrence of the disease, which leaves only 10 per cent that are really cured. The surgeon, so far as I am able to learn takes no thought of a pre-cancerous condition, nor does he advise any post- operative treatment to prevent a re- CU11'1"e11Ce. - ** Cancer is not a local disease, not even in the beginning, it is a local manifesta- tion of a systemic condition, in which certain organs, from Some cause, are unable to perform their normal func- tions. Cancer never attacks a part that has not been subjected to irritation or enfeebled by disease. Nothing but mischief can result from the efforts of surgery as practiced in the present day, for the relief of cancer; tissues of the greatest importance are removed and the vascular supply of the part subjected to operation is reduced to a minimum; this terrible multilation has the result of reducing the power of the part operated upon to resist disease and there is good reason why there should be a recurrence, especially if the constitu- tional derangement which was the origi- LEADING ARTICLES 253 nal cause of the disease is not corrected. I believe it was Dr. Bashford who said, that the cancer death rate in females above thirty-five years of age, was not due so much to cancer, as to the opera- tions which are so frequently performed. Whether they are cancer or not, the multilation is so destructive to the vitality of the part that if there is the least tend- ency to cancer—it may be from pro- longed constipation, errors in diet, an unhealthy environment, and these are all predisposing causes—a nidus has been provided and the chances are that the cancerous process will again be set up in the weakened tissues. To me the extreme operative measures advocated by the surgeon of the present day are wrong, for Strange to say, the inevitable results are surely foreseen, for the knife never has cured and never will cure cancer; every surgeon knows that when he advises operative measures for cancer, he is advising that which will not only aggravate suffering, but will also shorten the life of the poor victim. The profession must be blind in regard to cancer, otherwise they long ago would have seen that the knife has failed as a cure for this disease. The cancer prob- lem has not been solved but I think a good start has been made, and the next ten years will show a marked decline in the mortality statistics; more especially if the treatment is left to the physician. Forty per cent of the operations done in . the hospitals are done for malignant disease. I cannot see what warrant there is for the indiscriminate interference of the surgeon in cancer. The history of cancer surely shows that it is not a local disease even in the beginning. It surely shows that it has a systemic or consti- tutional origin recurrence of the disease after surgical removal, metastases, or development in internal organs, these latter ending in death, point to something more than a local disease; primary cancer of internal organs, as of the brain, pan- creas, kidney, and liver, cannot be ac- counted for by local injury. Wrong nutrition accounts for tubercu- losis, rickets, obesity and for many com- plaints, and we surely know that nutri- tion depends upon the food taken and assimilated. Again we know that good or bad nutrition depends upon the proper or improper action of one or more of the various internal organs, and these organs are influenced by nervous conditions. Cancer is due to errors of nutrition, and a faulty metabolism. - - Hundreds of mammae are removed in which not the slightest suspicion of can- cer exists. At a medical society meeting which I attended not long ago I heard a prominent pathologist say, “every lump or Swelling of the female breast should be considered cancer.” I would ask, why should the Surgeon operate in such cases, inasmuch as most of these cases would, give rise to no serious trouble if properly treated by the physician. - In the use of radium there is consider- able risk of blood poisoning, due to the absorption of toxic material from the dis- integrated tissue. The X-ray has sig- nally failed as a cure for cancer and has failed to prevent recurrence. As a mat- ter of fact cases are much more difficult to treat after the part has been subjected to the x-ray. My experience in the last ten years has convinced me that cancer is a preventable disease, and that it is curable in its early stages and Sometimes in its later stages. If the physician would only take up the treatment of this disease, the next ten years would show a marked decline in the mortality of cancer: surgery has had its day and has failed to check the rap- idly rising mortality and it is now “up to". the physician. I believe that eighty per cent of the early cases should be cured; and I believe the records of my cases will show that I have not exaggerated. Many of the late cases can be cured if treated in an institution where they can be carefully watched and cared for by one experienced in the treatment of can- cer. Epotheliel cases are especially amenable to proper treatment, but as they comprise only about two per cent of the whole number affected, I have not treated a great number. Most of my 254 ELLINGWOOD’S THERAPEUTIST cases have been cancer of the uterus, breast, and internal organs. The surgeons of this country are the best in the world and, I believe, they would welcome any treatment that would promise relief for this terrible disease. Many cures have been heralded and brought to the attention of the profession in the last few years, but on trial all have failed, and for that reason the doctor is skeptical when a cure for cancer is men- tioned, and who can blame him P The treatment of cancer bristles with difficulties and success depends upon many things; plenty of fresh air, a healthy environment, a strict dietary, good pure water, rest and a clean bowel. The constitutional and local treatment are of much importance. Formic acid or Sodium formate injected into or as near the growth as possible seems to inhibit the growth of cancer. The diet must consist of raw fruits and vegetables, salads should never be omitted; white bread should not be eaten, coffee must be forbidden; patients may drink weak tea or postum with their meals; meat is not allowed at any time. The blood has been found to have a diminished alkalescence and this can be Overcome in a measure by the internal administration of acetate potash. As much as seventy-five grains may be given daily with much benefit. The urine has been found to contain less than half the amount of solids 11ormally excreted and is also diminished in quantity; this condition has been known to obtain even in early cancer. This in a general way is the treatment I have followed in successfully combat- ting this disease. The humble soul is like the violet, which grows low, hangs the head downward, and hides itself with its own leaves.—Fredicka Bremer. - Excessive sweating of the hands and feet may be materially benefited, if not cured, by bathing them three times a day with a mixture of one part of the tincture of belladonna and four parts of cologne water. Protracted Neurasthenia A. PLEAVIN, M. D., BIRKENHEAD, ENGLAND Early in the year 1890 I was called to see Mr. P., jeweler and silversmith. He had had a severe nervous breakdown, became so ill that he was obliged to give up his business entirely. In the hands of a medical man he gradually grew worse. A specialist was called, he still making no headway. A change of doctors was made. Later the service of two leading physicians, also further consultations with other specialists, brought no relief. During this time almost twelve months had elapsed and the patient was fast los- ing strength, so that by this time he could only walk with difficulty. The phy- sicians had employed electricity and mas- sage in addition to the medicine pre- scribed. They also had prescribed red wine, whisky and champagne, with a very liberal diet. I was finally called to see the gentle- man. After noting the history that was given to me, I proceeded to make a full examination. It revealed nothing of much importance beyond emaciation. The tongue was covered with a pasty looking coat, tip and edges red moist; movements, etc., about normal; facial ex- pression pinched, eyes dull, somewhat sunken in their sockets; color of skin muddy and dirty looking. Examination with stethoscope revealed lungs to be normal; heart's action regular but weak, slight trace of cardial rheumatism; com- plained of difficulty in digesting his food, not being able to sleep, also troubled with flatulence; pulse easily compressed, soft, weak and small. No. examination of urine was made, except with the eye. Bowels were slightly con- stipated. The gentleman had lost over two stone in weight, and the general con- dition appeared to be one of neuras- thenia. I discovered nothing in the condition so far that would prevent me from giv- ing a favorable prognosis. In fact, one of full recovery, conditioned that my in- structions were fully carried out. Their conduct toward me appeared as though the gentleman, his wife, and male attend- LEADING ARTICLES 255 ant had some doubt that I would be able to carry out my promise of full recovery, and they began questioning me, naming the doctor specialists, also the many things they had done and recommended. I still assured them that I did not think I should have any difficulty with the case, if my instructions were carried out, and that I quite believed treatment and pa- tience would bring the desired health. After a little further thought and con- sideration on their part, they said per- haps I would be able to render some assistance, and began to bargain with me as to the conditions under which I should treat the gentleman. They were ap- parently amazed at my promise to effect recovery after his many doctors had so far failed. And you can rest satisfied that I was amazed, when they said they would agree to my treating the gentle- man, on the understanding that my treat- ment would be given while the two medical gentlemen who were attending Still continued their visits. I declined to have anything to do with the case while he was being visited or treated by any other doctor. After spending more than an hour on the gentleman I was asked my fee, and paid. They thanked me for coming, and excused themselves that they did not like to give up the present doctors, who were very kind. So ended chapter O11C. I saw a very good prospect of helping the gentleman to a perfect recovery. However, so it remained, and I went my way to use my knowledge in the interest of other members of suffering humanity. Judge of my surprise when, after some five years had elapsed since my first visit to the gentleman, I received by post a letter from his wife containing an urgent request for me to visit her husband some few miles away. I had not forgotten my experience of five years previously with the gentleman, therefore I ignored the message. Three days later the post brought a further message that was also ignored. - I Still declined the invitation to visit the gentleman. Something like a week passed when a gentleman friend of the family called upon me and asked me to forget the past, and for God’s sake to go and see him, at the same time saying he had gone down to a bag of bones. I promised to go the following day. Upon my arrival I found the gentle- man and his wife apparently pleased to see me; the lady gave me a further his- tory of many doctors, and many wander- ing journeys to various places the differ- ent doctors had advised in search of health until about six thousand dollars had been spent in the hope of recovery, closing her remarks by saying, “We have had to come to you in the end, and we hope you will be able to do something for us.” Since my last visit some five years previously, his physical condition had be- come so low that he was almost helpless. He could neither stand, walk, dress or undress himself. He had grown so weak he was almost like a baby. All he was capable of doing was to crawl over the carpet upon his hands and knees. We placed him in bed, a full examina- tion was carefully made to discover what changes had taken place during the pre- vious five years. There was still a freedom from any organic disease, and beyond the increased general weakness, So far as I could judge, I found nothing that would be likely to check or prevent my restoring him to good health. I left on the understanding that I was Yıot going to have any humbug and that if he wished me to attend him, I would re- turn the following day after I had con- sidered his case, and the prospect there was of recovery. I weighed his condi- tion in my mind, also his age, for he had now passed his sixty-third milestone. After carefully considering all the cir- cumstances surrounding the case, I de- cided there was still a good prospect of full recovery. . - The gentleman and his wife expressed their thanks when I returned the follow- ing day and made known my decision. A suitable diet being advised, treatment for the preparation of good digestion was given for three weeks, as follows: Avena Sativa, hydrastis, cascara sag., with 256 ELLINGWOOD'S THERAPEUTIST peptonizing agents. Afterwards, Scull- cap, cimicifuga, nux vomica and cascara sag. was prescribed, until the nervous system and the circulation gave evidence of improvement. A return was then made to the first treatment and continued with very little change to the end of the case. The fol- lowing treatment was also employed: The patient was sponged with hot water morning and night, and afterwards rubbed down from head to foot with a weak solution of chloride of sodium and capsicum. This latter treatment was continued right through. Improvement was noticeable shortly after treatment was commenced. And by close attention to the selection of diet, a steady but certain progress toward recovery was maintained. The patient’s gradual arrival at the stage of improvement that enabled him to stand erect and walk with the aid of a stick brought me the congratulations of both himself and his friends, with the further steady but certain advancement toward recovery. Friends expressed their joy, saying they never expected to See him stand again, to Say nothing of his being able to walk. We plodded on with the treatment, realizing that it would not be safe to adopt any half measures, until at the end of ten months the patient had fully re- covered his normal health, and was as well as any man could wish to be. The evidence of the fact that the re- covery was full and in every way satis- factory was shown by the patient to his attendant doctor, by presentation to him a few months after recovery of a very handsome eighteen-carat Solid gold semi- hunting English lever watch, extra jeweled in rubies, valued at over forty guineas ($200). Attached to the watch was a double eighteen-carat solid gold albert. The following words are en- graved upon the watch : “Specially made; presented to Dr. Pleavin by W. Palfry- man in consideration of his skilful and successful treatment of my case when all others had failed, after an illness of five years and six months.” This was not the end of the proof of this recovery, as some twelve months later the gentleman commenced active business again as a jeweler and silver- Smith, which he attended to almost with- out interruption to the end of his life, which came as the result of advancing years at the age of eighty-one, Some eighteen years of a still further useful life having been enjoyed. -T Cough—Its Cause, Significance in Diagnosis, Prognosis and Treatment” - N. A. GRAVES, M. D., CHICAGO, ILL. Coughing is a reflex act. The mechan- ism of cough is, first, a deep inspiration, the closing of the glottis, and its quick and forcible opening by the sudden pres- sure of air forced from the lungs by the action of the thoracic and abdominal muscles. - - Cough does not of itself constitute a disease—it is, however, a symptom of SO many diseases that it demands a careful study. The most frequent causes of cough are located in the respiratory tract. Irritation of the pharynx, larynx or bronchial tubes from cold or hot air, to- bacco smoke, acid fumes, particles of metal or dust, acting as foreign bodies, give rise to cough. Irritation from in- flammation of the mucous membrane of the respiratory tract causes cough. Nasal Spurs, elongated uvula, enlarged tonsils, or enlarged lingual glands frequently cause a cough. Outside the respiratory tract cough may be caused from pleural inflammation, irritation of the heart, heart disease, disease of the ear, or a for- eign body in the ear, an irritant tooth, disease of the uterus or pregnancy, dis- ease of the stomach or liver. The cough associated with disease of the heart is secondarily due to the lung congestion, and that of the stomach or liver due to the accompanying pharyngitis or pleural irritation, but these must none the less be considered primal causes. Cough may be due to pressure effects from the heart or liver, an aneurysm, caries of the dor- “Reprinted from N. E. M. A. Quarterly. LEADING ARTICLES 257 sal vertebrae, abscess or enlarged bron- chial or peribronchial glands. Cough may be caused by sudden chilling of the body surface. Aspiration of the pleural cavity often causes cough. As to centric cough, Kohts found that irritation of the floor of the fourth ven- tricle above the center of respiration causes cough, and the cough of hysteria or hydrophobia may thus be accounted for. Probably the first noticeable thing about cough is its sound. We learn to recognize the peculiar sound of cough associated with various disease condi- tions. We characterize laryngeal coughs as croupy, hoarse, brassy or metallic. Heard once they are never forgotten. Such coughs may be from spasmodic croup, diphtheritic croup or a simple or tubercular laryngitis. The more I see of the so-called chronic bronchial diseases, the more I am convinced that ninety per cent are tubercular—that some old, latent tubercular focus exists somewhere in the lungs. Second, the duration of the cough is noted. The short cough of hysteria, heart disease, or pleurisy is markedly dif- ferent from the prolonged cough of bronchitis, when the patient may cough for several minutes and be rewarded finally by getting up much or little mucus, or in the prolonged, difficult asthmatic cough, by raising a mucus plug. The duration of cough in pertussis is char- acteristic, with or without the whoop. The third point noticed is the result of cough, first, whether the cough is pro- ductive of sputum, which may be mucus, pus, blood; or, second, whether it be without sputum. The first is the moist or loose cough, the second the dry cough. Dry coughs occur in pleurisy, in disease of the larynx, diseases of the nose and throat, sometimes in pertussis and in most extra-respiratory conditions. They usually occur in the first stages of bronchitis, pneumonia, phthisis, influenza, asthma and a few other diseases. Moist or loose coughs occur in the later, rarely in the early, periods of bronchitis, pneu- monia, pertussis, phthisis, asthma, influ- nosis and treatment. enza, and some other diseases. The longer the duration of these diseases the more profuse the sputum, usually. To the patient the second class of cases consti- tute what I shall call useless coughs. Coughs which are unproductive, which use up energy, cause hypertension of the blood vessels and leave the patient ex- hausted to a greater or less degree. The first class embrace for the patient the useful cough, the productive cough; the cough of bronchitis, pneumonia, bron- chiectasis, phthisis and occasionally asthma are examples. Cough is of value to the physician not only in the diagnosis of the disease, but it is of value in prog- Given a patient with a useful cough in acute pneumonia —if such cough is productive and fairly strong it is an important element in a fa- vorable prognosis. If, however, such cough stops or is stopped by medication the patient rarely recovers. In the later stages of lung tuberculosis this fact is no less true. Unless cough and expec- toration can be restored the outlook is unfavorable in every case. In twenty years I have yet to see a case of acute lobar pneumonia recover when the secre- tion was fair and the cough moderate in severity and have them suddenly stop. On the other hand, the persistent pro- ductive cough aids always in determining a favorable outcome. - To the physician.-The successful treatment of cough involves five essen- tials, first, education; second, the removal of the cause when possible; third, hy- gienic care; fourth, diet; fifth, the med- ical treatment. The education of the people to care for all coughs no matter how little or insignificant they may seem is of the greatest importance. Consump- tion is often foretold by a slight, per- sistent hacking cough. The cure of con- sumption depends more on its early recognition than on any other single fac- tor, therefore we must teach our people to have repeated and frequent physical examinations made when they cough. School children should be sent to their homes with instructions to go to their family physician when they have coughs, ~ 258 ELLINGWOOD’S THERAPEUTIST and it is the duty of the physician to make a careful, thorough, systematic ex- amination in every case. Epidemics of measles and whooping cough may thus be prevented and incipient tuberculosis recognized and properly treated. This is a day of preventive medicine and if the public would take one-half the interest in keeping well that they do in trying to get well when once sick there would be a material decrease in deaths from lung diseases, and no cough is too insignificant to be neglected. The re- Imoval of the cause is of course necessary. A few times this can be done promptly, as in a cough from foreign body in the ear, a nasal Spur, or enlarged tonsils. In some cases it is removed slowly and only after persistent care, as in bronchitis or pneumonia, and in other cases the cause can not be removed, as in cases of aneurysm, heart disease and bronchi- ectasis. The hygienic care of cough is most important. Many patients with bronchitis cough more than necessary. Many individuals may be taught to sup- press their cough, for there is such a thing as a habit cough. Teach others to cough and expectorate. This is impor- tant in all stages of consumption and pneumonia. See that all sputum, whether influenzal, pneumonic or tubercular, is kept from being expelled anywhere ex- cept into a cup or a cloth where it can be destroyed. Teach the patient to keep his expectoration to himself; in other words, to cover mouth and nose when coughing and not throw sputum over others. See that children cover the mouth and nose with a handkerchief when they cough. Regular bathing, out of door exercise in the sunlight, full and deep respirations are useful in all chronic coughs, not excepting the tubercular. Climate will occasionally do more for the relief of cough than anything else. Wit- ness the relief of the asthmatic and phthisical when they change climate. The diet in cough depends largely upon the associated disease. In heart lesions a very carefully regulated diet is neces- sary. In pneumonia with high tempera- ture it is perhaps best to feed little or nothing for a few days. The use of oil, lard made hot and thoroughly rubbed into the chest once or twice a day, is a valuable way to feed a consumptive. In the medical treatment of cough the first question to be asked of ourselves is, Is this a useful or useless cough for the pa- tient? If a dry cough it may be checked by the use of those remedies which stop cough by reducing nerve sensibility. If a moist cough, stimulation of nerve cen- ters is indicated, associated with those remedies which tend to liquefy sputum. There is no single remedy for cough. Medicine is of the greatest value, but must be given for definite conditions. For example, the harsh, bronchial cough of measles can be most quickly relieved by drosera with paregoric in a syrup of ginger. Any bronchial cough of the same character may usually be relieved by the S3.1116 111623.11S. The cough of simple croup is relieved promptly by lobelia, stillingia and oil of cajeput, as found combined in stillingia liniment compound. Five drops on a lit- tle Sugar given to a child will give prompt relief. Todide of calcium acts well in those cases also. But they are useless in diphtheritic croup or tubercular laryn- gitis. Here inhalations of lime fumes, calomel or beech wood creosote are indi- cated. Vinegar stupes to the throat are valuable. The cough of a pleurisy is best relieved by bryonia given alone or asso- ciated with some opium derivative. It is a useless cough and should be checked. The cough of pertussis is another use- less cough. For five years I have used in the spasmodic cough a preparation of solanum carolense and have been able to check this cough in from a week or ten days' time and to modify the severity from the first. This was recommended by Dr. Best. A few cases it has only relieved ; in the great majority of cases it cures promptly. I have just relieved this condition in two children who were coughing very severely and in about ten days. I use belladonna with it if the pa- tient is inclined to be drowsy, and give it in glycerine in 20 to 60 drop doses. The suffocating asthmatic cough is best LEADING ARTICLES - - 259 relieved by nitroglycerine, adrin and lo- belia, lobelia in 30 to 60 drops of the tincture hypodermatically. The cough of pneumonia is practically always a useful one. When we wish to increase the fluid- ity of the sputum and stimulate cough the carbonate of ammonia as found in the aromatic spirits of ammonium is very useful, 20 to 30 drops every two hours. Sanguinaria and ipecac are valuable ad- juncts and act synergistically. When necessary to stimulate the cough of phthisis guaiacol carbonate and calcium iodide are of much value—here again the vapor inhalations are useful, either creosote or turpentine or benzoin. Some chronic, harsh, bronchial coughs that have not readily responded to treatment will do so where potassium bichromate is given in 1-20 to 1-60 of a grain every two or three hours. Camphor or men- thol inhalations help in these cases. In case of a severe cold, with a tickling irri- tating bronchial cough paregoric in gin- ger water drunk hot will give prompt and satisfactory relief. Use a teaspoon of paregoric and a teaspoonful of ginger to a quart of water, as hot as can be com- fortably drunk, and have the patient sip slowly. In pneumonia or phthisis, when the cough is difficult and the sputum viscid and slight, with a tendency to dry- ness of mucous membranes, turpentine is the indicated remedy given in emulsion or as spirits of turpentine in 5 to 10-drop doses. In the cough of a severe bron- chitis with much nasal discharge, aralia and belladonna produce results promptly. Aconite, veratrum, rhus tox, stricta plum., grindelia, chloroform, asclepias, gelsem- ium, the salts of ammonia, potash and soda all have a decided value in cough, but must be used when definitely indi- cated. You will remember that the alka- line salts with pilocarpine or apomor- phine increase the fluidity of sputum and aid its expulsion, while the mineral acids alone or with belladonna or opium de- crease or check secretion of the bronchial membrane. Less than a week ago I saw a case of bronchitis, with considerable harsh cough, a thick viscid sputum, who had been taking various cough medicines time and in the right dosage. for over six weeks, and growing no bet- ter. His tongue was heavily coated, whitish, he had no appetite and felt weak and depressed, with a temperature of 100 degrees and a pulse of about 90. He was given Soda bicarbonate in 20 grain doses every two hours; aromatic spirits am- monia in 20 drop doses in hot water every three hours. In three days his tongue was clean, he could eat, his tem- perature was normal, his pulse better, his cough greatly lessened and his whole condition improved. Had he been given acids or cough mixtures with opium he would have grown worse. Medicines are certain enough—the un- certainty is in our understanding them, and in not using the right one at the right What we need is to study each case individually and select the indicated remedy for the underlying pathologic conditions, as ex- pressed by definite symptoms. It may be opium or its alkaloids, belladonna or its alkaloids, the acids, ammonia, soda or potash salts, or some of the special sedatives. I am sure we all recognize fully the necessity of a careful study of all symp- toms in any given case. The cough, in many cases, is an unimportant symptom ; nevertheless, its importance is too fre- quently under-estimated and this paper is a plea for more care in the study of each case as to the causology and the elimina- tion of much useless drugging by the use Of the semi-proprietary cough mixtures. For cough, even of consumption, give glycerin, one to three dessertspoonfuls in water, tea, coffee or lemonade, three times a day. jºr Berkeley recommends parathyroid gland extract in the treatment of paralysis agi- tans. It is given in capsules or in a special solution hypodermically. Give small doses and keep up for a long time. º ¥ Arsenicum in the third decimal tritu- ration is the homeopathic remedy for diarrhea, with fetid discharges, semi- fluid in character and of greenish tinge; acrid and irritating. 260 ELLINGWOOD’S THERAPEUTIST Hysteria ANNA. T. NIVISON, M. D., NEWARK, N. J. Perhaps there is no complaint in the catalogue, so generally known and so little comprehended as the one denomi- nated hysteria. The earliest known writers on medicine have described it with different characteristics, and the same diversity of opinion has continued until the present day. In Southern Europe medical writers represent it as peculiar, chiefly to women of plethoric habit, dark complexion, jet-black hair and ruddy countenance. In Northern Europe, where the complaint is equally common, it is set forth as oftenest occur- ring with women of delicate figure, fair complexion, thin, wan-faced, and totally unlike the others. Each writer has written for his own locality and range of observation, almost entirely ignoring the inhabitants of other climates. Indeed, as Briquet observes, “we can fix upon no constitution of body in which the hys- terical tendency can be appreciated by the study of external manifestations.” The name of this disorder is signifi- cant of a false pathology. It indicates a disease peculiar to women, and resulting from peculiar structural disturbance. Yet, notwithstanding the legions of females afflicted with the complaint, the scrutiny of the dissector has never de- scried any distinctive malformation, dis- placement or disorganization which could legitimately be assigned as a cause. Even men are sometimes afflicted with it, ex- hibiting the symptoms of exalted nervous sensibility, and its peculiar accompani- ments. The great apostle of the Moslem religion was himself hysterical, and his peculiar visions, trances and hallucina- tions were more or less influenced from this cause. It is fair to presume that the “moral insanity,” which we hear of in courts of justice, so far as it is a genuine condition, should be classed under the same head. And may it not be the case that certain of our latter-day manifesta- tions are of this character P. We have “Faith Cure,” “Mind Cure,” “Metaphys- ical Medicine”—and many, certainly, of the “Spiritualistic Phenomena,” that can may be imputed to other causes. be well accounted for upon this theory. A distorted imagination possesses cre- ative energy sufficient to enable all these. I would not be so skeptical, materialistic and unbelieving as to attribute every- thing to this cause, yet we know it to be prolific enough to evolve most of the remarkable results. In treating of hysteria it is well enough to confine ourselves to the actual dis- order, giving no heed to things not ad- mitting of ready explanation. It is notorious that every part of the body may become, under provocation, the seat of an apparent disease, that in reality does not exist. This will often assume the attributes of reality so exactly as to require great carefulness to distinguish it. There will be severe pain in a joint, and it will be aggravated by the slightest movement, yet our remedies will fail to relieve the suffering or to remove the stiffness. A patient will complain of weakness in the back, which makes walk- ing difficult or impossible. An examina- tion will show peculiar tenderness on Some of the vertebrae, apparently indicat- ing spinal disease. Yet treatment for this will be ineffectual. Brodie, however, solves these difficulties by a single re- mark: “I do not hesitate to declare that among the higher classes of society, at least four-fifths of the female patients who are commonly supposed to labor under disease of the joints, labor under hysteria, and nothing else.” - Hammond mentions three men whom he had treated for this complaint; one Was a young man in whom it had been induced by excessive study; a second was a lawyer in whom it simulated epilepsy; the third had tetanoid paroxysms at- tended with fits of sobbing, crying and laughing. - - We mistake sadly if we consider hys- teria to be an imaginary disease. It is not denied that it is characterized by a morbid imagination, and this imagination will produce very serious disturbances. But of itself it has a distinctive patho- logical character. To be sure there are no organic lesions, or, if these exist, they The LEADING ARTICLES - - 261 digestive apparatus is always more or less deranged, and there are indications analogous to those of the earliest stages of physical decay. In softening of the brain, and during convalescence from ex- hausting disease, hysterical symptoms are very common. In cases of loss of blood, undue abstinence from food, or privation of rest, they are likely to occur, whatever weakness of the body may bring about this peculiar disturbance. This indicates the true pathology of the disease—that it results primarily from the nervous sys- tem itself, and, but in a subordinate Sense from that department of it directly as- sociated with the sex. The hysteric con- dition is essentially one of mental dis- turbance, and comes into existence from causes that are active in producing dis- order of the mind. Men are affected by reason of worry, anxiety, overwork, late hours, injuries from accident and dissi- pation; women, from vexatious emotions, want of sympathy or success, dissap- pointed affections, want of occupation, fear, anger or hopelessness. These con- ditions react upon the nervous system and produce the immense variety of mor- bid manifestations. There is no degen- eration of tissue, yet the corporal func- tions are more or less disturbed. Mr. Hovell says: “The nutrition of the body is not affected; mental power is not im- paired although it may be suspended; innervation is deranged, for the genera- tion of nerve power is feeble and its distribution irregular; but it is the sym- pathetic, the vaso-motor system, the moral power that is at fault, either from exhaustion of the physical strength of the sensori-motor centers, or because, perhaps most frequently, the purpose of life are in some respects disappointed, and the paresis of disappointment not only saps the strength, but at the same time that it brings low the nervous sys- tem, also renders it peculiarly liable to irritable excitability from opposing and aggravating causes.” While, however, we concede this hy- pothesis, there must be a distinction made somewhere. Up to a certain point, chorea, epilepsy, and every form of in- sanity have a like cause; beyond it must 1)e a single cause which induces the hys- teria result alone. What that cause is, we cannot so readily determine. We may point out defect of constitution, con- genital weakness, and a variety of emo- lional disturbances. Hysteria seems most common in the female sex, because it ex- tiggerates what are considered the normal characteristics of that sex. It seems to be found in the male sex when circum- 5tances have developed corresponding 1:onditions, where the emotions have been so played upon as to have broken through the power of resistance. The essential characteristic of hysteria is, therefore, the disturbed equilibrium between vol- untary and involuntary power. We wit- ness this in the excitement of religious assemblies. It is often produced by the eloquence of the popular orator. We see it in the uncontrollable temper of the teased and over-worried child. It no less is manifest in the bed-ridden patient, who has no apparent disease, yet lacks the requisite energy of will or purpose. It accounts in no inconsiderable degree for the paroxysms, mental exaltations, and nervous prostration of the spiritual- istic medium. It bears no small part in the miraculous cures which are heralded in the newspapers. The physician is often called upon to distinguish it from the diseases which it resembles. In hysterio-epilepsy the pa- tient does not lose consciousness, bite the tongue, or fall in a manner liable to in- jure the person, or even the clothing. He looks about, recovers more slowly, sobs and cries, is greatly exhausted, but never becomes completely insensible. In the simulated inflammatory affections— such as peritonitis, laryngitis, and arth- ritis—there is no rise of temperature, and the parts complained of are tender at the surface, rather than in the deeper tissues. Hysteric neuralgia is not so severe as the genuine complaint, and ceases when the attention is withdrawn. There are no painful spots, and the pain complained of follows no nervous tract. Perhaps the most pronounced symp- tom of hysteria is an eager desire for 262 ELLINGWOOD’S THERAPEUTIST riotice and sympathy from others. This Often leads to exaggeration of the actual suffering, and even to ingenious decep- tion. Doubtless the knowledge of this characteristic is the chief cause for the disregard, and often contempt, which patients of this class so frequently en- counter. As a general thing, they exhibit remarkable quickness of apprehension, with corresponding weakness of judg- ment, and inability to fix the attention upon any subject for a considerable length of time. They are more or less deficient in energy to pursue an under- taking to its accomplishment. The emo- tions are quickly excited, but often in- congruously. The patient will weep readily at Some ridiculous matter, and laugh over an event of tragical character. Spasm, convulsion and paralysis are common. Sensation may be exaggerated or suspended. The globus-hystericus, or choking sensation, is an almost unfailing Symptom. Paraplegia is comparatively frequent, but hemiplegia is rare. There is sometimes paralysis of the vocal or- gans, so that the patient cannot speak aloud, but has no difficulty in writing his thoughts. Occasionally there is syncope. In elderly persons the skin is anaesthetic, so that the prick of a pin may not be per- ceived. Vomiting is not uncommon, but does not seem to exhaust the strength. There may be aversion for food, or a depraved appetite for innutritious sub- StanceS. Hysterical symptoms are sometimes liable to pass into those of mania, melan- cholia, and occasionally, dementia. There may be an outburst of acute mania, which will as suddenly disappear. The disease seldom terminates life, but its cures are not always permanent. If the person was born hysterical, or there is a constitutional defect, the prospect is not good. When, however, the moral nature can be aroused and self-control developed, there is better ground for hope. The physician should exhibit sym- pathy and intelligent knowledge of the patient’s condition. A great step is taken towards permanent cure when self- respect is awakened, a motive for activity afforded, and he becomes interested in some object, some pursuit, something that is of use to somebody. There is no drug, specific to the com- plaint. The morbid habits of body should be corrected. Remedies for in- digestion, deranged secretion, constipa- tion and sleeplessness will be more or less beneficial. Electricity is said to be often serviceable. - Hysterical patients should not be allowed in the company of others pre- disposed to the complaint. Ignorance or carelessness in this respect has often dis- seminated it with a universality and im- mediateness, almost incredible. Examples of this have fallen under almost every- body’s observation. - On the part of the medical attendant the greatest discretion and diligence are required. He must recognize the disease as genuine, and be fertile of resources in his endeavors to correct it. He should be cheerful and sympathetic, but not con- doling or apparently anxious. A strong will, with invincible patience and tact are necessary. He must control the patient with a firm hand, and make sure that what he does or attempts is not undone by relatives or friends. With regard to further details, every case will suggest the special treatment it requires. It is hardly practicable to make rules of general application. The physician must be on the watch against mistakes or deception — ready for every new emergency, and as diligent in observ- ing and treating mental conditions as the various morbid bodily symptoms. I would by no means discard the use of medicines at this stage of our knowl- edge, but insist that the moral treatment have precedence. In that consists our chief hope of success. The beginning of cancer is usually pain- 1ess. For this reason its insidious onset is frequently overlooked, and is too easily neglected. × Gelsemium is an excellent remedy to allay simple excitement, nervousness and promote sleep; several doses half an hour apart can be taken before retiring. LEADING ARTICLES - 263 Mind and Medicine B. A. GRIFFITH, M. D., SWAN CREEK, ILL. The reason for the creation and per- petuation of the legal profession is, with- out doubt, traceable to the fact that a great proportion of mankind, even in countries most enlightened, are either ignorant of, or indifferent to law. If there were no violators of the law, there need be no lawyers. This, of course, refers to the laws of government or State—in other words, laws instituted by men for the benefit and regulation of society. There are other and higher laws than these, chief of which are the physical and moral. Every human being born into the world, is bound by certain fixed and in- exorable laws, upon the observance of which depend health, happiness and life itself. Human laws are sometimes broken with impunity, and the violators are suffered to go unrebuked and un- punished. Not so with the physical laws of life; every violation of them entails a just and suitable punishment. Sickness, disease and death—these are the legiti- mate fruits growing out of the violation of the laws of one's being. And so long as there is ignorance of, or indifference to, the laws of life and health, just so long will there be sickness, disease and premature death. Hence, then, we perceive the urgent demand for a profession learned in the laws of life; hence the early rise and progress of the medical profession—a calling second to no other on earth, not even the ministry. Every one who seeks and follows the physician's calling ought to do so con- scientiously, and with the determination to excel in the profession. There is plenty of room on the “upper shelves” in this, as in every other calling, but the lower ones will always be found crowded. In order to attain to an average degree of success and popularity, there are Some things necessary besides learning the uses and qualities of the various medi- cines and the technical terms made use of in the various branches of the pro- fession—something to study besides the anatomy, physiology, and chemical ele- ments of mankind. It is now a well-grounded conviction that the human mind exercises a wonder- ful and potent influence on the physical or bodily functions. That sickness, dis- ease and death are oftentimes accelerated or retarded by the operation of the mind. The physician in all his practice ought to engage one eye with the mental con- dition of his patients, while with the other he looks after the physical. While there is an abundance of genu- ine physical disease and suffering in the world, the physician must not lose sight of the fact that there is also a great amount of mental disability. Among all grades and classes he will meet grunters and hypochondriacs; those who imagine themselves afflicted with all known diseases and maladies, and a great many that are not known. In such cases it is evident that the mind needs the treatment more than the body, and that the physician who, while apparently treating some physical mal- ady, diverts the mind of the patient from the contemplation of his fancied ailments and sets it to work in a channel of in- terest and benefit to himself and the com- munity, is most likely to effect the desired result, and reap a benefit to him- self. I He must learn to detect genuine sick- ness from sham, likewise physical from mental ailments. sº In my mind the rule laid down is ap- plicable in the practice of medicine. Experiments without number might be cited, tending to show the inexplicable influence of the mind in aggravating or allaying physical disorders. A few drops of chloroform will sometimes satisfy a nervous patient in parturition, and make the pains more easy to bear. Many a patient will tell us that they never could have lived through confinement without us, when in reality we did nothing to as- sist them. We of course gave them encourage- ment by our presence, and by kindly 264 ELLINGWOOD's THERAPEUTIST words of assurance, and appeared to be doing a great deal to facilitate the labor, In this connection I refer only to cases that do not need our interference. We all know of experiments that have been made for the purpose of demon- strating to the scientific world the influ- ence of the mind over the body of the criminal who has perished, believing that his life's blood was ebbing away, when not a drop had been lost, and of persons who have been made sick by a precon- certed plan of a number of persons meet- ing them at different places and telling them how bad they looked. Thus demon- strating clearly that the mind can be . made to weave fact out of fiction, and that the mental man is above and su- perior to the physical man. Every one who served his country dur- ing the great world war must of necessity have been numbered of able bodied men begin to droop, and fade, and finally die, without apparently the least sign of physical disability. Small wound, a mere scratch, and died. While thousands of others had their limbs torn from the body with shot and shell, and were riddled with leaden mis- siles in all conceivable forms, and yet lived. - I could mention many patients that have come under my own observation during a country practice of nearly twenty-two years, who have convinced themselves and their friends that they were confirmed invalids, and thus for years dragged out an existence useless to themselves and a burden to their friends. The next thing we know, some quack that has never seen the inside of a med- ical or any other college comes along, and, with some simple means that we would not get out of the old rut to try, cures the patient. Thus, I take it that the physician in order to attain the highest success in his profession has something else to do be- sides writing prescriptions. True, he must, in all cases, study the physical symptoms, and seek, through their treat- ment, a normal condition of the bodily functions. * Others received a But he must not lose sight of the fact that in every human body there sits enthralled a force—call it mind or what we will—by which even the involuntary functions of the body are, in some mys- terious manner, more or less controlled. Hence, it is quite necessary to make a proper diagnosis of the mind as well as of the body. - Of course, it is impossible for even a skilled physician to enter into the mind of a patient and discern what are the operations going on there—see the emo- tions of thought, the pictures of imagina- tion, of hope or despair, but with him who has made human nature a daily study the mental man seems not so im- penetrable. - It has been said that every man carries on his face the stamp of his character, which, to the initiated, appears as plain as the style and cut of his garments. There is no doubt that, to a great ex- tent, this is true. The mental character- istics and emotions are mirrored in the external features and expressions. We can frequently divine one's thoughts merely by his looks. It is necessary, then, not only that the physician should be gifted with his “modicum” of mind, but he must, in his practice, never lose sight of the fact that all men are similarly endowed, though in different degrees, and that mind may be either a powerful auxiliary or a per- sistent enemy of medicine. Phosphorus given during the course of a case of diabetes will occasionally re- tard materially the progress of the dis- ease and promote a cure. X - Diarrhea with clay colored discharges, semi-solid in character and of light weight, floating on water, is corrected with the phosphate of soda. × The tincture of kino is recommended as a cure for diabetes. Thirty drops every four hours has materially lessened the quantity of water in some cases, within a short time. | - sº |[E] BRIEF contributions On practical Everg-dag Topics Hiſ- IJ|EE THE COLON IN CHOIKING AND SMOTHERING SENSATIONS AND HEADACHES THOS. L. BRUNK, M. D., ALTON, ILL. It would seem far fetched to many to attribute a choking sensation located in the bronchial tubes at the top of the Sternum, to some Colonic trouble. But it is usually so, when there is no acute bronchitis present. A lady, 48 old, complained of a choky sensation in her trachea with hot Spells, bad taste in mouth, nausea, feeble pulse, poor appetite and cold hands and feet. I told her at once, “You have trouble in the Colon.” “O, No. I think not,” she replied. “My bowels move about every day.” I still insisted that the symptoms pointed di- rectly to Colonic trouble and asked her to loosen her corset and get upon the Operating table. When I pressed over the Caecum, it was tender but when I came to the transverse colon, she flinched and said “I had no idea it could be so sore.” The Splenic flexture and top of the Sigmoid were also quite SOre. I stroked over the transverse first and when I had made about 15 strokes in the direction the feces should pass, she said: “Why, the choky sen- sation is all gone.” I have had others to say the same thing. Moreover the Soreness was nearly all relieved. I gave her the following prescrip- tion: Rx 4 oz. Belladonna 8 gt., Cac- tus 1 dr., Leptandra 2 drs., Crataegus 2 drs., Mitchella 1 dr., Nux 10 gt., Geranium for the rawness in the Colon 2 drs., Gentian 1 dr. Take dram every hour for a day then every 2 hours. She has fully recovered from her symp- totals. - Mr. J. F. H., 42 old, complained of severe occipito-frontal headache with a very sore transverse Colon and the Atlas bone luxated to the right. The neck was very sore on the right side. I adjusted the Atlas by placing the head on a narrow hair pillow on my adjusting table and placing the 1eft hand little-finger side down and sud- denly thrusting it downward with the right hand helping on top of left. The bone went back to place with a snap and at once he felt better. But this did not stop the headache in full. He said it felt as tho the top of his head would come off. I told him that his bowel was obstructed where the sore- ness was in the transverse section of of the Colon and that a high in- jection was needed. This was done with a 32 inch rectal tube and the dis- charge was full of flakey, stringy ex- foliation of the mucosa together with a large hard fecal mass. And his bowels had moved that day. As soon as this fecel mass passed, his lifting headache left him. Therefore when we have these severe headaches, think of the Colon as a cause. And remem- ber that the Colon is not necessarily empty even if the bowel has moved and especially so if it is loose. The Colon is not the seat of ALL headaches by any means. But we should never fail to examine it for ob- structing fecal masses when the head- ache is blinding with the complaint that the head feels as tho the top would come off. Especially so if other symptoms of nausea, anorexia and yel- lowness of skin with a white or brown- ish coated tongue. You will make a big hit to irrigate the Colon in such C3 SéS. - - But a high enema should not be of more than eight ounces of fluid as a large amount of water in the Colon 266 ELLINGWOOD’S THERAPEUTIST tends to dilate it and make it mor- atonic. Small enemas containing Tur- pentine or Oil Eucalyptus about 30 gt., Green soap 1 dr., Glycerine /3 oz., Petrolatum oil 9% oz., to water about 12 oz., given while patient is in the knee-chest position and thru a rectal tube, will usually dislodge any lodged fecal matter. After the bowel is emp- tied, introduce the tube again and in- ject thru it two ounces of the follow- ing formula: Rx. 2 oz., Geranium } dr., Ipicac 10 gt., Hydrastis 10 gt. It is best if the fecal matter is quite putrid, to first use Potassium perman- ganate one per cent solution to wash out the bowel. Then introduce the above medicines. Tag Alder HENRY S. FRANK, M. D., CLEVELAND, OHIO. Tag Alder is one of the most impor- tant, as well as one of the most neg- lected, remedies in use. Its specific indications are plain and easy to un- derstand. Its field covers imperfec- tions of the blood due to imperfect superficial circulation. It is indicated in scrofulous skin diseases, general de- pravity of the system, and general im- pairment of the nutritive functions. It promotes a clear, soft, healthy skin by purifying and enriching the blood and increasing the blood corpuscles; and it also builds up and strengthens the whole system. Tag Alder is a remedy for worn-out constitutions, as it repairs and tones up the mucous structures of the entire system. In cases where the tongue is broad and flabby, skin and mucous membranes pale and inclined to ulcera- tion, gastric juice deficient, it matters not what you call the disease, you will find Tag Alder a true specific. I have used it for the past thirty-five years, and it has never failed where the above indications were present. I have found that in the after effects of fever, where the mucous surfaces of the System have become weak and inactive, that the tonic effects of this remedy will Soon correct these conditions, as it in- creases the strength of the pulse and power of the heart, and at the same time adds strength and weight to the body by its tonic and restorative influ- €11CeS. Tag. Alder is also a tonic for the gastro-intestinal tract, as it increases the gastric juices, stimulates normal secretions, increases the appetite, aids assimilation, builds up and strengthens the entire system, expels waste prod- uct. Anemic conditions improve, and the pallid conditions of the skin and mucous membranes quickly disappear. In indigestion caused by lack of gastric juice we find a general break- ing down of the entire system. The patient becomes weak, loses flesh; the secretive and excretive organs fail to properly perform their functions, caus- ing a general catarrhal condition of the mucous surfaces of the entire system. There is weak action of the heart, and a general breaking down from mal- nutrition. When you have a case of this kind prescribe alnuin, and it will not disappoint you, as it will stop the waste, build up the system, and change despair to hope and happiness. In general debility from protracted diseases, loss of blood, overwork, or from old age, it exercises specific prop- erties, supplies new blood cells, stops mucous discharges and the wasting away of the tissues. If physicians knew what a good remedy Tag Alder is it would soon find a place in the medicine case of every physician in the land. I have used this drug for many years, and the more I use it the more I like it, and I have Inever seen any bad symptoms follow- ing its use in any instance. \ Tor the temporary relief of the diffi- cult breathing of advanced Bright’s disease, give frequent doses of the one one-hundredth or the one one-hun- dred-and-fiftieth of a grain of phos- phorus repeated every two or three hours. BRIEF CONTRIBUTIONS 267 Nature’s Therapy H. J. HENLEY, M. D., ENID, OKLA. In these days—through Dr. Chas. H. Duncan, of New York—there has come to us a system of Therapy that bids fair to reach far out beyond our conservative expectations as properly applied to com- mon things that appear new. Let me add, too, that this scientific discovery has been given to the medical profession of America and the world in the true spirit of a Christian, something like Christ. He has not clothed with secrecy and mystery any well established and proven fact and called it new. He has offered no school of exorbitant graft; but has come forth graciously to the anxious, earnest element of the medical profession and has, with- out money and without price, given in “the whole price of the land.” The term Auto Therapy, in its various applications to human pathological conditions, ex- presses the remarkable treatment herein referred to. As becomes clearly apparent, we carry within ourselves the dual potencies of destruction and health, and the how and when and where spells the right and wrong of all things and in this system in particular. We continually generate tox- ins which if not eliminated will destroy health and life, and that the converse should turn out to be true—just as true —has to us now, become axiomatic— proved over and over a thousand times. How strangely it happens that one of the most learned of all professions should, at times, find occasion to turn to things inferior to be taught. Many years ago the American Indian observed that by tantalizing the rattle- Snake he would in his wrath bite himself. The Indian did not always kill the snake, but observed that Mr. Snake grew im- mediately restless and wanted to get away. Snake as he went straight to what we may call Rattlesnake's Master (a shrub) and here he became a veritable sucker. When he had finished sucking the plant or shrub, if not molested, he turned over On his back and would show some rudi- mentary feet. Then he would hunt a CuS, The Indian would follow the hole and would hide himself, but he did not die. He recovered and this led them to the discovery of the properties of In- dian Head or what we know as Echi- nacea. And from the medicine men of the Mohawk and Cherokee families, we obtained our first knowledge of this rem- edy. There is a beautiful legend relating to Squaw-vine or Mitchilla, but there is no space for that now. We who have observed the birth of a calf know with what promptness the cow devours the placenta and the ac- companying mucus and eagerly licks the offspring. This, too, may reveal a dual purpose instilled into that animal by the wonderful wisdom that is so close about us always. Now we find that this Mu- foul as we have heretofore con- sidered it, holds the precise key by which we may, if we will, with or without the Berkfeld Filter, with simple technique, restore to perfect health—even without any other agent—those who suffer with purulent abscesses, eczema, gonorrhea, and restore to health, without an opera- tion, the woman who suffers from sal- pingitis and many such diseases. This key, which is free to all physi- cians, will take prompt care of, and cure mastitis, and will also restore the normal lactic supply desired; and more—the dreadful bronchial coughs which have hung on to us like original sin will yield now and many distressing forms of asthma will disappear and perfect Com- fort will be established in their stead. The same is true of eczema. I hold that it is just as unwise to fail to give credence to a valuable truth when fully proved as it is to blindly accept a theory or claimed principle with no evi- dence beside a fond hope or lurid fancy, or the statements found in the literature of some special school or cult. We who are endowed with minds must think and make ourselves worthy of the common confidence bestowed upon us. . . Auto therapy will not in any sense take the place of the rational use of medicine, and as a rule these are used together with this application, and with great com- fort and profit to the patient and the physician. To claim for this a cure-all 268 ELLINGWOOD’S THERAPEUTIST would be folly, but to disregard it with- out proving it would perhaps be a greater folly. - When there is no exude that can be used as in the Dr. Duncan method, the blood may be incubated and the serum filtered and used with an astonishing effect. No process of incubation need extend over twenty-four hours and some only three hours, and many applications per as may be taken immediately. So far as I know, this technique may be had for the asking, and it is most simple and clear. There are some few points that per- haps should remain out of print: to be criticized and ridiculed by the ignorant and those too hungry for mirth; but to the earnest physician who desires only to benefit mankind there should be no screen or secrets. This principle if ap- plied will greatly reduce the number of major surgical operations beyond a per- adventure. Let's open the door and ob- serve what truth may appear. The application of the auto therapy methods and treatment does not involve the least danger, so far as I have tried them, and the headaches induced are not of unreasonable discomfort. Like the vast ocean, when we first look upon its placid or turbulent surface, we wonder to what distant shores it reaches, and Inaturally we think of its blue inlets and crystal creeks in the far off somewhere of conditions and places about which we may never know. I have no doubt that what I do not know of this branch of natural knowledge would make a very large book, but I have faithfully tried and applied it both upon myself and others, and I think I know something about it. It has been proved that a guinea pig will absorb in an empty stomach in one hour sufficient antitoxins to protect against five lethal doses of the corres- ponding toxin. It is accepted and be- lieved, that the heterogenus antitoxin will cure more cases of the corresponding disease than the heterogenus toxin or vaccine of that microorganism will cure. That is to say, the antitoxin does not have to be so individualized to act thera- peutically as does the toxin. We believe the antitoxin tends to be curative in practically every patient having the cor- responding disease; and that it is more general in its application as a therapeutic agent than the toxin or vaccine. To be more certain of cure the toxin or vaccine must be taken from the pa- tient’s body. The range of cure of the toxin therefore is narrowed down to the individual from whom it was taken, un- less it cures by accident, as we term it. Be assured of the one blessed thing— that these things which have truth and value will remain with man, and that which is not sound will ultimately fail. Nature's methods of establishing im- munities in our systems is so wonderful that we might bare our heads while con- templating the results. For instance: if both the mother and nursing babe chance to be suffering with malarial conditions —both chilling—we need not treat the babe, for when we have restored the mother to health, or even before this is accomplished, the immunity is established in the child, and this fact will carry as promptly under homeopathic treatment as under the old school methods. We find that the transmitting of this im- munity of the mother to the child is just another important function being per- formed. We all recall the remarkable facts in Collies' law—which remains a law still after all defects are deducted. The only true method of action in this world is to be in it, but not of it.—Madame Swetchine. A STRONG STATEMENT “The best thing for humanity is that every physician possess one of Elling- wood’s ‘Materia Medica.’ He should have it on his desk as a reference book . and apply the remedies as Ellingwood Suggests. - y “If he does this, I know that he will be amply rewarded.” - E. E. GADD, M. D., Des Moines, Iowa. BRIEF CONTRIBUTIONs 269 The Treatemnt of Chronic Nephritis J. E. G. WADDINGTON, M. D., C. M., DETROIT, MICH. The term “chronic nephritis,” of course, embraces chronic parenchymat- ous nephritis and chronic interstitial nephritis, but my paper has nothing to do with diagnosis or pathology, except as incidentally symptomatically alluded to in the application of treatment, thereby serving to differentiate, where needed, between the two types. Prevention is pre-eminently the first and chief things to be thought of when discussing the treatment of nephritis, acute or chronic. The acute, contagious, and other diseases so liable to be se- queled by damaged kidneys, should be carefully treated and close attention paid to the urinary apparatus and secretion, SO as to ward off, if possible, or at least ob- tain early recognition of, kidney involve- ment. It is too often forgotten that a nephritic incidence may follow some common, apparently simple acute disease, and attention only paid to the kidneys when such attention is unavoidably di- rected thereto by some unmistakable pathology, damage being then somewhat beyond repair. Alcoholism, syphilis, “auto-toxemia,” need to be prevented, or at least thoroughly treated, if one would obviate chronic nephritis, and we are taught that prevention is better than cure, so that prevention surely enters into the matter of treatment. “Auto-toxemia” has been and is a very controversial term, something like high blood pressure; both are symptoms, truly, and not disease entities, yet they both represent conditions of imperfect, faulty elimination and lie at the basis of chronic nephritis as well as many other noso- logical entities. - The blood is the circulating medium of the body; it carries nourishment to every tissue and every cell. It equally carries deleterious material when the eliminative organs do not eliminate normally, or are overburdened with excess baggage. TExcessive eating and drinking, im- proper diet, worry, overwork, mental or physical, constipation, sexual excesses, nerve impingement with consequent nerve waste or nerve inhibition, through orificial defects, internal or external– these things must be prevented or cor- rected. The correct treatment of these ills, if not too far advanced, will prevent or cure nephritis. - When adverse conditions have ex- tended so long that marked organic changes have taken place, then only pal- liation can be expected, and we resort in desperation to apocynum, digitalis, elater- ium, crataegus, cactus, squill, etc., etc., the indications for which are too well known to need repetition here. There are two drugs which are ex- tremely useful, however, in the medica- tion of chronic nephritis, whether ad- vanced or only incipient, and these two drugs are specific medicine echinacea and tincture ferri chlor. Specific echinacea, in 20-minim doses every three or four hours will exercise a powerful effect for good through its well established action in Stimulating retrograde metabolism. Tr. ferri chlor., despite its many pro- prietary and semi-proprietary rivals, is pre-eminently the preparation of iron for tonic effect in chronic nephritis, the dose being five to ten drops every three or four hours in alternation with the echin- acea. The ethereal tincture of ferri chlor., is recommended by Ellingwood as Superior to the above, but either prepara- tion will give excellent results. As elimination is the key to treatment proper of chronic nephritis, electricity is superlatively indicated, in the form of auto-condensation. This form of “cellu- lar massage,” to quote from Eberhart, “increases general metabolism, glandular activity, Oxidation, secretion, elimination, lowers blood pressure, and is soothing to the nervous system.” Treatment should be given daily, and less than three treat- ments per week is but waste of time and energy. - . . Milk should be the chief, not the only, food, except for a limited period of time, and the simpler the diet the better will be the ultimate outcome. When called as a court of last resort, to consult upon or at- tend a case where heart, kidneys and liver are all but at a functional standstill, 270 ELLINGWOOD’S THERAPEUTIST cessation of all drug medication and the establishment of an absolute milk diet, six quarts in twenty-four hours, being divided into six-ounce doses every half hour during the day with a couple of doses during the night, will postpone the inevitable for a little while longer. It is indeed surprising and almost miraculous to see these water-logged, moribund nephritics, after running the gamut of everything else, gain a temporary respite with a fair amount of comfort, simply by stopping medication and enforcing complete rest in bed, with the above milk diet. The National The fifteenth semi-centennial session of the National Eclectic Medical Associa- tion was held at the Hotel Kimball in At- lanta, Ga., June 15-18, 1920. The asso- ciation was opened by prayer by Rev. Johnson; address of welcome by the mayor, Hon. James L. Key; address of welcome on behalf of the Georgia Society by the president, R. M. Moore of Wa- leska. Response was made by Prof. John Uri Lloyd of Cincinnati, O. The meeting was well attended, more than 175 members and visiting physicians being present. All the sections were prompt and on time, and considerable important business was transacted. On Wednesday afternoon, the Geor- gians gave an auto ride and barbecue at the Country Club and a visit to Stone mountain. Thursday afternoon a recep- tion was given by Mrs. Hess to all the visiting ladies. Thursday evening a banquet was tendered all members and visitors in the hotel. The meeting at large was one of the most successful in many years and the true Southern hos- pitality was in evidence on all occasions. The following officers were elected for the ensuing year: - President, Harvey Wickes Felter, Cin- cinnati. O. - 1st Vice-President, Dan H. Griffiths, Atlanta, Ga. 2nd Vice-President, W. T. Collins, Howard, S. D. - - 3rd Vice-President, J. W. Pruitt, St. Louis, Mo. - - - Corresponding Secretary and Editor, William N. Mundy, Forest, Ohio. Recording Secretary, H. H. Helbing, 4963 Fountain ave., St. Louis, Mo. Treasurer, J. Paul Harvill, 203 Hitch- cock Bldg., Nashville, Tenn. - Council on Medical Education: E. H. Stevenson, Ft. Smith, Ark. ; T. D. Alder- man, 696 St. Marks ave., Brooklyn, N. Y.; E. G. Sharp, Guthrie, Okla. Propaganda Committee: Wm. P. Best, Indianapolis, Ind. ; J. H. Powell, Atlanta, Ga.; T. D. Alderman, Brooklyn, N. Y.; J. A. Munk, Los Angeles, Calif. Speciai Committee to Consider the Feasibility of Reorganizing the Georgia College of Eclectic Medicine, and Sur- gery: Drs. A. F. White and J. H. Powell of Georgia, Mrs. J. Paul Harvill and W. N. Holmes of Tennessee, and E. C. Aurin and John A. McDonald of Florida. Next meeting will be held at Colorado Springs, Colo., June 21–24, 1921. - Graduating Class of 1874 Dr. Geo. A. Love of Preston, Minn., has sent us the program of the com- mencement exercises of the tenth session of the Bennett Eclectic Medical College, held at the College Hall, Chicago, Ill., Tuesday evening, January 27th, 1874. The following names are those of the graduating class: - J. P. Caldwell, Illinois. Floyd Clendenen, Illinois. C. S. Stoddard, Minnesota. W. H. Babcock, Illinois. Charles L. Gish, Wisconsin. W. H. Robbins, Illinois. S. G. Wright, Illinois. W. H. Robbins, Ilinois. Geo. W. McKinney, Indiana. J. D. Hamilton, Kansas. J. H. Terrell, Illinois. E. M. Heffelfinger, Iowa. L. R. Williams, Illinois. Geo. A. Love, Minnesota. Daniel McLean, Michigan. J. A. Hiatt, Indiana. Any member of this class or any one who can give any information regarding these members kindly communicate with Dr. Love, as he is very anxious to get in touch with them. - | Ellingtuoob's Cherapeutist EDITORIALIS * The Death of Dr. Ellingwood The friends and co-workers of Doctor Finley Ellingwood, Owner and Editor of ELLINGWOOD’S THERAPEUTIST, will be grieved to learn of his death, from interstitial nephritis, on June 26th in Pasa- dena, California. He had gone there for a short rest, hoping to return with renewed vigor to his work for Eclecticism. Doctor Ellingwood was born September 12, 1852, in Manchester, Indiana, and his boyhood was spent in Manteno, Momence, and Kan- kakee, Illinois. He received his degree from Bennett Medical College in 1878, and in 1880 he married Jennie S. Elliott of Chicago. The fol- lowing four years were spent in general practice in Manteno and Braid- wood. In 1884 he moved to Chicago and became Professor of Chem- istry in Bennett College. From 1886 until 1907 he was Managing Editor of The Chicago Medical Times. Since 1907 he has owned and edited his independent medical journal—The Therapeutist. He was a constant worker in the cause of Eclecticism. In 1891 he and his family moved to Evanston, Illinois, where they have since lived. He is survived by his wife and five children—a daughter and four sons. . . He loved God and his fellow man, and he was true to the right - as he saw it. He held his profession as a sacred trust. His greatest joy was in giving help to others. He was loved and honored by his º family and by his friends, and he was respected by the members of his profession. | " " ' About the Therapeutist ELLINGWOOD’S THERAPEUTIST has been built around the works of Finley Ellingwood. His ideas and his thoughts were the foundations of its success. Without him it will cease to render the service to the profession which it has given in the past. It has there- fore been deemed advisable by the manager of the estate to dispose of the business in some way not detrimental to the interests of the subscribers. - Notice is therefore now given that this business has been sold to The North American Journal of Homeopathy, 546 Surf Street, Chi- sº cago, of which Doctor L. D. Rogers is Editor. Beginning with the . September issue, all unfulfilled subscriptions to The Therapeutist will º be filled by the latter journal. - Special Department CLINICAL OBSERVATION CONCERNING CHILDREN CHARLEs WOODWARD, M. D., CHICAGO, ILL.