Summary Gleanings.

Tannoform is recommended as a dusting powder for sweating feet.

Don't wait until the post mortem to study up your cases.

The bedside teaches more than the laboratory and morgue together.

Aconite is a powerful aid in the treatment of acute bronchitis and colds in the head and chest.

If the wound is deep, provide adequate drainage, sterile gauze, rubber tube, catgut or silk worm gut.

Dioscorea is said to be valuable in the treatment and cure of asthma, whooping cough and bronchitis.

It is stated that spirits of camphor applied every few moments for half an hour will abort beginning herpes labialis.

It is claimed that calcium sulphide will abort an abscess, if given, a grain every two hours, before pus has formed.

Dr. S. S. Felker recommends the use of five drops tinct. passiflora incarnata, in water, before meals for acidity of the stomach.

A hot bath at bedtime is most grateful in hot weather, soothing the irritated nerves, equalling the vascular tension and disposing to sleep.

Dioscorea ought not to be forgotten in angina pectoris proper in combination with strophanthus and avena sativa for a continual treatment.

Dioscorea has proved valuable in cholera morbus attended with cramp, when combined with antiseptic treatment to control the watery discharge.

For gonorrheal vaginitis Dr. John Cook Hirst advises the occasional use of silver nitrate, ten or twenty grains to the fluid ounce, filling a cylindric speculum with the solution, and gradually withdrawing the instrument; also douches of mercuric chloride 1-4000.

According to More Madden, arsenic in small doses is the best constitutional rem edy for leucorrhea of anemia and malnutrition.

The valerianate of guaiacol is being used in pulmonary tuberculosis. The dose is from one-third to two-thirds grain. It is frequently given with gentian.

Nitrous oxide should be employed, and with perfect safety, in all short operations, whereas now it is often the custom to ad minister chloroform or ether.

In the severe itching of eczema, particularly the "dry" form, 2 drams of carbolic acid and 4 drams of glycerin to a pint of water, gives immediate relief.

Embelia ribes will remove tapeworm, will expel the entire worm dead; is also employed in chronic skin diseases, rheumatism and flatulent dyspepsia.

For infectious leucorrhea douches containing three per cent. of lactic acid, or the application of the pure acid to the cervix or the endometrium are highly recommended.

Dr. W. J. Kransi says in impetigo contagiosa, after removal of the crusts with warm water and soap, apply a 1 per cent. solution of carbolic acid. This lessens the itching and prevents auto-inoculation.

Dr. F. D. Gridley, of Binghamton, N. Y., calls attention to the value of dioscorea in puerperal convulsions, with or without veratrum vir., in half to dram doses every half hour or hour until relieved.

For leucorrhea of anemia and malnutrition Dr. Hare prescribes thrice daily after meals a pill containing 1-80 grain arsenious acid, one-fourth grain of reduced iron, and one grain of quinine sulphate.

Dr. M. H. Richardson says that when both local and constitutional symptoms are severe in appendicitis, exploration is always demanded. A high pulse alone is a much more reliable guide for operation than high temperature alone. In case of doubt it is safer to operate than to delay.

PRACTICAL

MEDICINE,

PREPARATIONS, ETC.

VOL. XXV.

TERMS.

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FRECKLES.

Just what causes the deposition of pigment in the skin is not known, but the ancient text-book statement that they occur as a result of exposure to the sun is not tenable. Although they generally appear in the summer and disappear in the winter, and invade those portions of skin most exposed to the light, they are by no means rare on covered portions of the body.

No. 7

Blondes are more effected than brunettes, and people with "sandy" complexions are especially susceptible just as they are to the effects of the X-ray. There is also an individual susceptibility, regardless of the complexion or exposure to sunlight. The susceptibility manifested by those endowed with the complexion vulgarly designated as "strawberry blondes," to the X-ray would indicate that light has something to do in the matter.

It is comparatively easy to remove freckles, but difficult to prevent their return. One of the popular remedies amongst the laity is the frequent application of pure lemon juice. Practically every application acts by causing an exfoliation of the external layers of the epidermis. One of the most efficient is a solution of corrosive sublimate, four grains to the ounce of water. It should be dispensed in small quantities, and with due cautions as to its poisonous properties. Others which have met with some favor at the hands of the profession are acetic acid in dilute solution, saturated solution of boracic acid, strong solutions of potassium carbonate, diluted ammoniated mercury, resorcin in the strength of one or two drams to the ounce, saturated aqueous solution of borax, etc. All are inclined to induce desquamation and if they are too concentrated, a certain

amount of irritation is produced. When this is in evidence, soothing applications like glycerin or cold cream are applied till the irritation subsides, and the first application is again renewed.

If an especially rapid result is desired, and the patient is willing to undergo a few days disfigurement, equal parts of resorcin and Unna's zinc paste may be spread thickly upon the face twice a day for three or four days and then follow with any emolient application. This induces free desquamation and rapid cure. Unna's paste is prepared as follows:

When an organ is overworked it soon gives out, it matters not what remedies are used, the result is the same, the heart of an athlete, the kidneys of a dipsomaniac, the liver of Bon Virant, the brain of the editor are examples of abused and overworked organs, and death is the penalty.

Care, attention and medical skill are, without doubt, invaluable, but none of these factors produce good results; abused nature has her revenge. The brain, of all or gans, is the most abused, because of our ignorance, want of prudence and carelessness.

Apoplexy, like a thief in the night, steals away our senses and leaves a wreck behind.

A notable and startling example was that of the late Secretary Windom, who fell during a post-prandial speech and in the

midst of an unfinished sentence. Henry George died also soon after an unusual mental strain in conducting a political campaign. Several clergymen have been stricken in like manner while occupying their pulpits.

Another more recent example was that of the late Dr. I. N. Love, editor of the Medical Mirror, who was stricken while making a speech on board of ship, returning from Europe, a few hours before landing, in New York harbor.

These and other instances go to prove that apoplexy is a common accident with brain workers and that under certain circumstances, and when the mine is ready for the explosion, the slightest exciting cause often invites the fatal result. It is then the last sraw that determines the unfavorable balance.

A plausible reason for these conditions is that the brains of such individuals are worked disproportionately and show degenerative changes earlier than the other vital organs. This portion of the anatomy lives faster and grows old more rapidly. The proof of a contrary proposition is that afforded by the ordinary laborer, who, unless a whiskey drinker, seldom dies of the brain lesion in question.

It has been truly said that a person is as old as his arteries, and the vessels of an active brain are always the first to feel the influence of the extra wear and tear. Becoming hardened and brittle, an undue blood pressure ruptures them, and the stroke is more or less complete according to the region of the brain involved.

DOCTOR, do you read the advertising pages? If not you are missing something of value to you.