and their practical value greatly increased. This constant and careful revision reflects the progress of medical science, and the usefulness of the work is largely extended. It is a good example of modern book-making, bound in red, flexible morocco and elegantly printed in clear type on fine, quality of thin paper.

PHYSICIAN'S POCKET ACCOUNT BOOK. By J. J. Taylor, M. D., Editor Medical Council, Publisher, 4105 Walnut St., Philadelphia. Price $1.00.

A full page of this book is intended for every separate account, or if a single account requires more space the account can be carried over to another page; there are 144 pages of this form, and 16 pages of the same form so divided so as to make five accounts to each page for short or transient accounts, a very simple arrangement. book may be begun at any time and continued until used up. It also contains obstetric, vaccination and death records and cash account, in all about 200 pages.

The

NOSE AND THROAT WORK FOR THE GENERAL PRACTITIONER. By George L. Richards, M. D., Fellow American Laryngological, Rhinological and Otological Society; Fellow American Otological Society; Associate Editor Annals of Otology, Laryngology and Rhinology; Otologist and Laryngologist Fall River Union Hospital, Fall River, Mass. International Journal of Surgery Co., Publishers, New York City, 1903. Price, $2.00.

If there is one field that should be cultivated by the general practitioner more than any other it is probably nose and throat work, from the fact that it abounds in all sections and is lucrative. This book is written to meet the requirements of the general practitioner in this direction; that is, to help him diagnose and treat these diseases successfully with a minimum of expenditure for instruments and apparatus. It is not a complete treatise, but simply a working guide to those with little experience in the treatment of these affections, and an introduction to the more complete treatises. There are of course many cases which are never able to see a specialist, and this work will aid the general man to treat skillfully the nose and throat cases that naturally come his way.

THE FOUR EPOCHS OF WOMAN'S LIFE. Maidenhood, Marriage, Maternity, Menopause. By Anna M. Galbraith, M. D., Author of "Hygiene and Physical Culture for Women," Fellow of the New York Academy of Medicine, etc. With an Introductory Note by John H. Musser, M. D., Professor of Clinical Medicine, University of Pennsylvania. 12 mo. volume of 247 pages. W. B. Saunders and Co., Publishers, Philadelphia, New York, London, 1903. Price, Cloth, $1.50 net.

This volume treats on subjects of which every woman should have thorough knowledge, and it is written in sufficiently plain language, yet, withal, modest, to come within the grasp of those unfamiliar with medical subjects. In fact, it is a book intended for the instruction of the laity. The fact of a second edition havi..g been demanded in so short a time is sufficient proof that women have at last awakened to a sense of the penalties they have paid for their ignorance of those laws of nature which govern the epochs of their lives.

A section on "The Hygiene of Puberty," one on "Hemorrhage at the Menopause a Significant Symptom of Cancer," and one on "The Hygiene of the Menopause," have been added to the present edition. Physicians should recommend this book to their patients.

A TEXT-BOOK OF OBSTETRICS. By Barton Cooke Hirst, M. D., Professor of Obstetrics in the University of Pennsylvania. Handsome octavo, 900 pages, with 746 illustrations, 39 of them in colors. W. B. Saunders & Company, Publishers, Philadelphia, New York, London, 1903. Price, Cloth, $5.00 net; Sheep or Half Morocco, $6.00 net.

This work has been thoroughly revised for the fourth edition, and it seems almost unnecessary for us to dilate upon its attractive features, as when first presented to the profession it was at once recognized as one of the most satisfactory written and illustrated works on obstetrics in the English language. In the present edition every page has been altered and bettered in some way. More attention has been given than in the previous editions to the diseases of the genital organs associated with or following childbirth, and this, we think, is an excellent improvement. Many of the old illustrations have been replaced by better ones, and there have been added besides a number entirely new.

Summary Gleanings.

One grain of chloral hydrate, given every three hours, rarely fails to cure nettle rash.

Crude petroleum, poured upon a burned surface, and covered loosely with cotton, will subdue pain almost at once.

The fluid extract of ustilago maydes, onehalf dram, cured a case of hiccough, it is stated, that had resisted all other treatment for days.

An ointment made of yellow oxide of mercury, two grains to one ounce of vaseline, applied lightly once a day, cures granulated lids.

Jaborandi, in doses of from five to ten minims, promotes diaphoresis in retarded labors, favors general relaxation and overcomes rigid os uteri.

The frequent application of oil of eucalyptus, with a camel's hair brush, gives speedy relief of pain in chilblains, and soon effects

a cure.

In the treatment of a chronic gleety discharge without complicating conditions, we have three excellent remedies. The first is staphisagria, the second is kava-kava and the third is sandal oil.

Passiflora in full doses is receiving considerable praise as an agent which induces sleep and controls the nocturnal paroxysms of whooping cough.

Codein, in doses of half a grain or less, three times daily, is a specific for the relief of all pain originating in the ovaries, whatever the condition may be.

Guaiacol mixed with an equal part of glycerin and applied over the seat of a neuralgic or muscular pain will often give quick. relief.

The tincture of fucus vesiculosus is a valuable remedy in the treatment of goiter.

Vinegar will remove the odor of iodoform-use as a wash.

It has been found that the thorough application of an ointment of salicylic acid and lanolin will greatly facilitate the cure in cases of acute articular rheumatism.

Twelve hours from the time of delivery the patient should have urinated. If no distress is occasioned, the physician may wait three hours longer before the catheter is passed, not longer than that time.

It is stated that three drops of the warm tincture of bryonia in the ear or in the cavities of an aching tooth will quickly relieve pain, in certain cases.

In the repeated irregular feeble heart, which occurs from the excessive use of tobacco, there is no better remedy than cactus grandiflorus.

Hydrastinine, dose gr. 1-6 to 1-4, is probably the best uterine hemistatic at our command.

Dr. J. R. Clemens, claims that in rheumatoid arthritis great improvement follows the prolonged use of the syrup of iodide of iron in the dose of a dram thrice daily.

For herpetic ulcers on the genitals a good local application is a dusting powder of bismuth or calomel.

All that is generally required by way of treatment for mucous patches is mercury internally and mild cauterization with silver nitrate.

If interference is demanded in nevus pigmentosus, remove the formation with a knife, caustics or electrolysis.

When a pregnant patient complains of gastric distress, constant headache, faults of vision, lassitude, look to the kidneys and estimate as to the amount of solids passed; be sure there is enough, uremia is threatened.

Ammonium chloride is a specific remedy for neuralgias of a congestive or a distinctly malarial type.

Ten drops of tincture of cantharides was given three times a day and cured a case of persistent hematuria.

PRACTICAL

MEDICINE,

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VOL. XXV.

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IS ANTITOXIN ON TRIAL IN SOME OF UNCLE SAM'S BAILIWICKS?

Society and many individual reports go to show that antitoxin is little short of a specific. It has been affirmed that the physician who does not give it a trial in his fatal cases is guilty of manslaughter. There is a pretty large number of reputable writ

No. II

ers and practitioners who do not believe that it possesses any such virtues, and a number, not so great, who confess to their opinion that it is hurtful and that the patient's chances are discounted by its use.

But while this variance goes on growing greater or less, the innocent victims of the scourge go on dying, breaking homes and leaving gloom and sorrow.

A point worthy of thought is that cases in which the clinical features of the disease are not difficult of recognition are precisely the ones in which the country practitioner would make use of antitoxin, and they are

also the ones that are apt to be amenable to other methods of treatment with which he is already familiar.

Again, those cases which he cannot determine by the classical features of the malady, because they are not discernible by the natural senses and ordinary means of diagnosis, are the very ones he does not like to commence on with a new and untried remedy. It is probable that some are deterred from its use by its expensiveness. In short, there are those who have never tried it and therefore have not the confidence inspired by successful use, who besides in obscure and doubtful cases have not the skill or appliances for establishing a differential diagnosis. What will they do? Do what they know best how to do. To one who has every confidence in it, this