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(MCDADE.)

SUCCUS ALTERANS is a purely vegetable compound of the preserved juices of Stillingia Sylvatica, Lappa Minor, Phytolacca Decandra, Smilax Sarsaparilla and Xanthoxylum Fraxineum, as collected by DR. GEO. W. MCDADE exclusively for EI LILLY & Co., and endorsed by DR. J MARION SIMS.

SUCCUS ALTERANS continues to gain in favor from its remarkable Alterative and Tonic properties, eliminating specific poison from the blood and increasing the proportion of red corpuscles in anamic patients to a wonderful degree.

SUCCUS ALTERANS is venereal and cutaneous diseases is fast supplanting Mercury, the Iodides and Arsenic; and is a certain remedy for Mercurialization, Iodism and the dreadful effects often following the use of Arsenic in skin diseases.

SUCCUS ALTERANS is also strongly recommended for its Tonic and Alterative effects in myriad forms of scrofulous disease, and in all cases where anæmia is a factor. Such patients rapidly develop a good appetite, sleep soundly and gain flesh rap dly. Many cases are on record where patients increased ten to twenty-five pounds in weight in a few weeks. SUCCUS ALTERANS is giving satisfactory results in treatment of Chronic Rheumatism and can be used with confidence.

SUCCUS ALTERANS may be given for any length of time, without injury to the patient. SUCCUS ALTERANS is endorsed by the medical profession and in use by many hospitals of note.

PHYSICIANS who have not received DR. MCDADE's latest publication, the MONOGRAPHIA SYPHILITICA, should send their address, mentioning this journal, and we will mail a copy. It contains a paper, illustrated with colored plates, by DR. D. H. GOODWILLIE, of New York, on the "Sequelae of Syphilis," reports of cases in practice and many other valuable papers.

ELIXIR PURGANS.

ELIXIR PURGANS (LILLY) reliably stimulates the dormant liver without undue irritation, and has gentle yet positive effect upon the alimentary tract. In HABITUAL CONSTIPATION, so common in WOMEN AND CHILDREN, it wille found particularly useful. Its indorsement at Bellevue and many other prominent hospitals East and West, as well as its employment in general practice by the most eminent medical men, confirms the experience of years in its

use.

Each Teaspoonful Represents:

Rhamnus Purshiana.....10 grs.
Euonymus Atropur...... 8 grs.
Cassia Acutifolia (Purif.)10 grs.
Iris Versicolor
4 grs.
Hyoscyamus Niger ...... 2 grs.
Aromatics, etc.

IN PRESCRIBING, PLEASE BE CAREFUL TO WRITE

Elixir Purgans (Lilly),

THAT OTHER PREPARATIONS MAY NOT BE SUBSTITUTED.

HIGHLY RECOMMENDED.

We take pleasure in indorsing the LIXIR PURGANS (LILLY) as prepared from the above formula, for in it we find a near approach to positive perfection in the form of a Liquid Cathartic, and, from our experience with the preparation, can highly recommend it to the profession.

JAMES R. HEALY, M.D., Sup't Infants' and Childrens' Hospital, Randall's Island, N. Y
W. G. R BINSON, M.D., Surgeon to the Bureau of Medical and Surgical Relief to the Out-
Door Poor, Bellevue Hospital, N. Ÿ.

J. H. HORTER, M.D.. Surgeon to New York Ophthalmic and Aural Institute.
JOHN A. ARNOLD, M.D., Medical Sup't Kings County Hospital, Flatbush, N. Y.
NELSON B. SIZER, M.D., Senior Surgeon Brooklyn and E. Brooklyn Dispensary N. Y.
EDWARD J. DARKEN, M.D., Medical Sup't Demilt Dispensary, New York City.
A. W. CATLIN, M.D., Attending Physician St. John's Hospital, Brooklyn, N. Y.
CHAS. H. COBB M.D., Medical Sup't Columbus Lying-In Hospital, Boston, Mass.
H. S. DEARING, M.D., Fellow of Massuchusetts Medical Society, etc.
T. J. BRODERICK, M.D., Surgeon Charlestown, Mass., Free Dispensary and Hospital.

ELI LILLY & COMPANY,

PHARMACEUTICAL CHEMISTS,

INDIANAPOLIS, INDIANA, U. S. A

SUPPLIED BY ALL DRUGGISTS.

SUBSCRIBE

FOR THE

Southern Practitioner,

AN INDEPENDENT MEDICAL JOURNAL, DEVOTED TO
MEDICINE AND SURGERY.

EDITORS AND PROPRIETORS.

DUNCAN EVE, M.D., Professor of Principles and Practice of Surgery in the Medical Department of the University of Tennessee.

DEERING J. ROBERTS, M.D., Late Professor of Theory and Practice of Medicine in the Medical Department of the University of Tennessee.

Lowest Rates of any Medical Periodical containing as much good and reliable reading matter published in America.

FORTY-EIGHT PAGES OF READING MATTER EACH MONTH.

SUBSCRIPTION PRICE IS ONLY

ONE DOLLAR A YEAR,

IN ADVANCE.

Original Essays, Original Communications, Clinical Reports of Interesting Cases, Reprints of Interesting Articles, Results of Experience with Old and New Remedies, Proceedings of Medical Societies, Extracts from Medical Journals, Bibliographical Notices and Reviews, Medical News Items, and Editorial Comments, will constitute the subject matter of each monthly issue. Its pages will at all times be open to any thing that pertains to progress in Medicine and Surgery.

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To hard-worked medical men, with limited time for reading, and few opportunities for professional conversation, such a journal as this, bringing every month the latest ideas in medical practice and the latest records of important cases, ought to be invaluable. As a medical periodical that is within the reach of every professional reader, we respectfully submit it to your consideration. Subscriptions-ONLY ONE DOLLAR PËR YEAR, POSTAGE INCLUDED-are respectfully solicited.

Correspondence and reports of cases are requested from all regular Practitioners and Medical Organizations. All communications must be addressed to DEERING J. ROBERTS, M. D., Managing Editor, No. 8 SOUTH CHERRY STREET NASHVILLE, TENN.

A CASE OF STRANGULATED HERNIA: OPERATION.

BY W. W. PUGH, M.D., OF AUGUSTA, TEXAS.

I was called to see Mr. Welch about three months ago, and was told he had colic. On my arrival at his domicile I found him on the bed suffering intense pain, nauseated and occasionally trying to defecate. On examination I found a firm, tense, and unyielding tumor, which was of a rounded shape, situated in the groin to the inner side of the femoral vessels, about the size of a billiard ball. After trying the various methods to reduce the strangulated intestine, and all failing, I told the inmates it would require the knife or an operation, and pretty soon, or it would be useless, as it had been five hours from the time the intestine came down and became painful. I sent for my friend, Dr. McQueen, to assist me; he arrived in one and one-half hour, and agreed at once with me as to what should be done. Dr. McQueen administered the chloroform, but previous to the administration of chloroform we gave him a dose of digitalis and quinine. I then made an incision about three inches in length over the neck of tumor, sponging the wound with cold wellwater all the time, divided the fibrinous strictured bands around the intestine, which were very hard to cut, exposing the intestine, found it very black and no circulation going on; and it being impossible to return it in the abdominal cavity as it was, or making an unusual large opening of internal femoral ring, I opened the intestine by making an incision about one-quarter inch longitudinal with intestine, and found it contained clots of blood and watery sanguineous fluid, which I gradually pressed out, in amount, about 10 oz. In a few minutes the intestine began to recover its natural color, which I was fearing it would not; but instead gangreene would set up, I then cleansed the parts thoroughly with cold carbolized water, stopped all hemmorrhage, and then proceeded to divide the internal femoral

370

ORIGINAL COMUNICATIONS

-GLENN.

fibrinous bands, which I did by introducing a grooved director and slipping the knife downwards and upwards. The intestine was sewed up, where I opened, and pushed back gradually with my index finger into the abdominal cavity; a couple of deep stitches were taken at the internal opening to close it thoroughly, and four to close the walls of the external wound. I then placed him comfortably in bed, kept cold water to the wounded parts for four days, kept bowels constipated for nine days, gave him nutritious food in fluid form for three weeks, gave also quinine, antipyrine, and sulphate of iron. He never suffered or had any fever, is well as ever now, and doing farm work.

I notice most of our text-books lay great stress on not opening the bowel, but I am of the opinion whenever the bowel is found to be black from strangulated blood or any other cause, open it, and by so doing you will relieve it of the cause, and a larger per cent. will get well and gangrene will be diminished in our statistics.

SPIRITUALISM: IS IT DISPROVEN BY THE LIGHT OF (DR. S. P. CRAWFORD'S) SCIENCE?

BY W. F. GLENN, M.D.,

Professor of Physiology and Genito-Urinary Diseases in the Medical Department of the University of Tennessee.

In the last issue of the PRACTITIONER an article appears from the pen of Dr. S. P. Crawford, of California, on Spiritualism, which is a subject of vast interest to all, in as much as it involves the proof of future existence and eternal life. Dr. C., after various random assertions which evince entire ignorance of the subject, and the methods of its investigation, folds his arms in content and declares that he has thoroughly and completely disproved every thing in connection with it, and forever settled the question to the satisfaction of every fair minded person. He declares that in the various spiritual seances a person may see certain objects, and hear certain sounds, yet those pictures and those

sounds are created in the brain, and reviewed by the brain afterward, while nothing external exists at all. Think of such an argument as this for or against any cause. The human eye, the human ear, are so certain in their physiological action, that their testimony is taken as the most positive proof in all the courts of the land, and Dr. C., positively refuses to accept them in regard to spiritualistic manifestation, but vainly evades the question by asserting it a fallacy. My dear doctor, if your style of proof is accepted, no criminal will ever again be convicted or punished. When a witness whose character for veracity is undoubted, solemnly swears he saw the prisoner murder a man in cold blood, he knows it to be so, because he was an eye witness, the attorney for the defence calmly insists that he is mistaken, that he is truthful, but what he saw was a picture of the mind, internal, but not external. That his brain created a picture of a man murdering another, but it was not real and therefore must not be believed. What would judge and jury say to such an argument as this? What could a poor prisoner hope from such a defense?

In this article I will notattempt to argue or bring proof in favor of the power of the dead to return, but simply wish to call the attention of the readers of the PRACTITIONER to the fact that Dr. C. presents no proof of his reckless assertions, and caution them against being misled by silvery words and golden sentences. When the Doctor undertakes to handle the great question of "the return of the dead as a proof of immortality" in a scientific and unprejudiced manner, I will take great pleasure in attempting to fully refute any argument he may present.

SANDER & SONS' Eucalypi Extract (Eucalptol.)-Apply to Dr. Sander, Dillon, Iowa, for gratis supplied reports on cures effected at the clinics of the Universities of Bonn and Greisfwald,

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