dislocation of the wrist joint by the fractures not altering the distance between the styloid processes and the knuckles.-Keetlys' Index of Surgery, p. 94

"As a traumatic dislocation consists in the forcible overcoming of the normal restraints upon the joint in one or more directions, restraints offered by the ligaments and capsules of the joint, it is almost invariably accompanied by rupture of a ligament of the capsules."-Stimson, p. 29.

"Other injuries may coexist with a dislocation as complications. They include fracture of the bone, partial or complete rupture of large blood vessels or nerves, and laceration of the soft parts."-Stimson, p. 30.

"Fracture of some of the processes surrounding the joint is a very common complication. In fact, in some joints, as the ankle, it is rare to find a pure specimen of dislocation."-Holmes' System of Surgery, Packard, vol. i., p. 515.

"Finally, it should be remembered that the most skillful and careful surgeons have sometimes remained in doubt, or have denied the existence of dislocation which the subsequent course of the case has shown to have been present, and charity, which the critic may himself so soon need, should be cordially extended to others."-Stimson, p. 55. (To be Continued.)

Formulas.

For Spermatorrhea.-Syrup of Figs. Editor Medical World:-I wish to answer through the World Dr. M. W. Smith, page 113, of March World, and throw some light on this case by advising the doctor to put his patient on pill vita "blue," which is made by Mercer Chemical Co., of Omaha, Neb. This pill has worked like a charm in all cases coming under my charge, and I know it will benefit, if not entirely cure his case.

In answer, I send the following formula requested. Formula for Syrup of Figs:

Macerate seed in the rose water for twenty-four hours, strain and add the other ingredients. Color with carmine if desired. This is not original, as I think I found formula in the World, but if not, it is good enough to be there. Dr. Brown, same

.aa gr. 11 ......gr. iv

Sig. To be taken at bedtime, every night if required.

The last ingredient can be varied accordto the case.-Practitioner.

THE INTERNATIONAL MEDICAL ANNUAL AND PRACTITIONERS' INDEX. Thirteenth Year. 1895; 648 pages; illustrated; cloth; price, $2.75. E. B. Treat, 5 Cooper Union, New York.

The physician is accustomed to his monthly medical periodical, but here he has a first-class annual, well illustrated and well bound, giving a comprehensive survey, with the advantage of sober second thought, of the important developments in medical science throughout the year. We find it to be a valuable book to read through when received and to keep on hand for frequent reference afterwards.

TRANSACTIONS OF THE ANTISEPTIC CLUB. Reported by Albert Abrams, a Member of the San Francisco Medical Profession. Illustrated and bound in Antiseptic dressing; price $1.75. E. B. Treat, 5 Cooper Union, New York.

This is a series of comic chapters, casting goodnatured ridicule upon the germ theory of disease. It is well written for a book of this kind.

DIET LISTS. By Jerome B. Thomas, A. B., M.D. Price, $1.50. W. B. Saunders, 925 Walnut street, Philadelphia, Pa.

This is a collection of diet prescriptions, on paper perforated for a stub, from which each one is to be torn and handed to the patient. The subjects are: Albuminuria, Anemia and Debility, Constipation, Diarrhea, Dyspepsia, Fevers, Gout or Uric Acid Diathesis, Obesity, Tuberculosis, and a general Sick Room Dietary. There are from ten to twenty copies of each in the volume. We judge it to be quite useful to the busy physician.

A MANUAL OF SURGICAL ASEPSIS. By Carl Beck, M.D. Fully illustrated; 306 pages; cloth, $1.25. W. B. Saunders, 925 Walnut street, Philadelphia, Pa.

To the progressive man, who wishes to keep up with every phase of surgical progress, this volume will prove very useful.

COD LIVER OIL AND CHEMISTRY. By F. Peckel Möller, Ph.D. W. H. Schieffelin & Co., New York.

This is a handsome, illustrated, cloth-bound book of 619 large pages. 111 of them being double column. Part I. deals with Norway, giving a very interesting account of that romantic country, and with the codfishing and cod liver oil industry. It is written in a fascinating style and every page is replete with very interesting information. Part II. treats of the chemical law of Atomic Linking. Here for 508 pages the scientist revels in a wealth of intensely interesting information. The illustrations of atomic relations, which richly embellish every page, are very fine indeed. Truly, the New Chemistry is a wonderful science.

LA PRATIQUE DES MALADIES DU CŒUR, ETC. By Prof. Paul Lefert. Paris. J. B Balliere et Fils. A handy volume in the French language. Price, 3 francs.

LANDMARKS IN GYNECOLOGY.

By Byron Robinson, B.S., M.D. 2 volumes; paper, 25 cents each. George S. Davis, Detroit, Mich.

The industry of Professor Robinson is something phenomenal. In addition to a large practice, his duties as professor, various hospital appointments, etc., he has found time to do a large amount of most ex cellent writing. The two volumes before us should be read by every man who has a practice in diseases of

women.

INFECTION AND IMMUNITY. By C. R. Bardeen, B.A., of Johns Hopkins University. Pamphlet. Pub lished by C. W. Bardeen, Syracuse, N. Y.

A MANUAL OF BANDAGING, Adapted for SELF INSTRUCTION. By C. Henri Leonard, A.M., M D. Sixth edition, with 139 engravings; cloth; octavo, 189 pages; price, $1.50. The Illustrated Medical Journal Co., publishers, Detroit, Mich.

The main feature for commendation of this book over other similar works is that each illustration shows the direction of the various turns of the bandage with arrow heads, and each turn is properly numbered; this renders the book a self instructor to the reader of it, who has but to put the various bandages about the limbs of an office companion a few times, when the "trick" of its application upon a patient has been Jearned. It takes the place, in this way, of hospital drill. Besides the "Roller Bandages," the various Ts "Cravats," Slings," " Tailed," "Adhesive" and "Plaster" bandages, and "Immovable Dressings" are given. The book is divided into sections treating of The Bandages of the Head," of "The Body," of "The Upper Extremity," of "The Lower Extremity," "Knots," "Strapping," "Compresses" and "Poultices," with full description of making and applying the same. There is an illustration for nearly every bandage described. It has been recommended as a text book in various medical colleges and hospitals in this country, and has had two editions sold abroad. A medical student could profitably spend his vacation evenings in mastering the application of bandages by using this book as a guide; and to a practitioner it would not come amiss.

Have you received the pamphlet containing the re

productions of twenty photographs of skin diseases? They are of great interest to the medical profession. They are elegantly gotten up. If you have not received them, write to Chas. Roome Parmele Co., 90 William street, New York, N. Y., mentioning this notice, and you will receive them free.

SUGGESTIVE THERAPEUTICS IN PSYCHOPATHIA SEXUALIS; WITH ESPECIAL REFERENCE TO CONTRARY SEXUAL INSTINCT. By Dr. A. von Schrenck-Notzing, Munich, Germany. Authorized translation from the German by Charles Gilbert Chaddock. One volume, royal octavo, 325 pages; extra cloth, $2.50 net; sheep, $3.50 net. Sold only by subscription to the medical profession exclusively. Philadelphia: The F. A. Davis Co., publishers, 1914 and 1916 Cherry street.

This is a volume of great interest. It gives a careful consideration, historically and pathologically, of the various forms of morbid and perverted sexual conditions, with most astonishing results obtained by the treatment of such patients by hypnotic suggestion.

IT 18 proposed to have a reunion of the Class of 1874 of the Jefferson Medical College, on the evening of May 10th, in Philadelphia. Members of the Class who have not received an announcement will please forward their names to E. E. Montgomery, 1715 Walnut street, Philadelphia.

AN instructive pamphlet in regard to Louisiana will be sent you free if you address State Immigration Association, 620 Common street, New Orleans, La.

We have received from the Rio Chemical Co., St. Louis, Mo., a beautiful wall map of the world (not THE MEDICAL WORLD). If you have not received one write for it, mentioning this journal, and it will be promptly sent you.

THE Association of Military Surgeons of the United States will meet at Buffalo, N. Y., May 21 to 23. ANTI-OPIUM TREATMENT OF INTESTINAL OBSTRUC TION, TYPHLITIS, APPENDICITIS, ETC. Price, 10 cents. By Arthur Devoe, M. D., Seattle, Wash. THE MODERN AND HUMAN TREATMENT OF THE MORPHINE DISEASE. By J. B. Mattison, M.D., Prospect Place, Brooklyn, N. Y.

Wit and Wisdom.

A carpenter must know his tools and a hunter must know his ammunition. But the tools and ammunition must be worthy of confidence, else the carpenter and hunter will be constantly at a loss in their calculations and expectations. Equally so, or more so, with a doctor. Facts recently discovered show that some of our specially valuable preparations are being extensively "substituted," thus cheating both patients and doctor. See letter quoted in Messrs. I. O. Woodruff & Co.'s new advertisement in this issue. They publish the formula exact, but their secret, their property, is the special knowledge and skill in combining. A hap-hazzard mixture of the constituents and true chemical combination of the constituents produce very different products. The latter is what you want, and upon this depends the therapeutic action claimed. You can always get it by specifying an

a

original bottle. The druggist will make sufficient profit, and you and your patient will not be cheated.

Mr. Parmele recently had six prescriptions for his Arsenauro and Mercauro written and taken to supposedly fisrt-class druggists in a western ciiy. Analysis shows that in not a single instance was the genuine article dispensed. The only remedy for this great and growing evil is to specify original packages and insist that they be supplied.

We are pleased to advise our readers that the firm of H. K. Mulford Company, Philadelphia and Chicago, are now in position to fill orders for a reliable and thoroughly standard article of diphtheria antitoxic serum.

Early in November, 1894, the firm of Mulford Company established a biological department for the production of anti-toxin and allied products at 3907-9-11 Egglesfield street, Philadelphia, equipped without_regard to expense, under the direction of Dr. Jos. McFarland, lecturer on Bacteriology, Medical Department of the University of Pennsylvania.

The horses are under the direct supervision of Dr. Leonard Pearson, Professor of Theory and Practice of Veterinary Medicine, University of Pennsylvania.

The standardizing of their anti-toxin is not only carried out in their own laboratory but is also confirmed by the Department of Hygiene of the University of Pennsylvania, each package being dated and stamped, with its strength being expressed in immunity units.

SEND to Micajah & Co., Warren, Pa., for samples of Medicated Uterine Wafers.

SUPPLY your library with Webster's National Dictionary. For fine illustrated pamphlet, free, address the publishers, G. & C. Merriam & Co., Springfield, Mass.

FOR Syrupus Roborans and Peptic Essence send to Arthur Peter & Co., Louisville, Ky.

FOR fine trusses, supporters, etc, address G. W. Flavell & Bro., 1005 Spring Garden street, Philadelphia. We have had satisfactory goods from them.

Sell your expensive horse and buy a Sterling wheel; it will keep itself and never grow tired.

FOR a "Herald" Buggy Case address Willis H. Davis, Keokuk, Iowa.

TRY Ingluvin in the nausea of pregnancy.

"MARVELOUS TO RELIEVE PAIN."

NEW YORK, Feb. 9, 1895. JEROME KIDDER MANUFACTURING CO., 820 Broadway, New York. Gentlemen:-Your favor of Feb. 1st was duly received. It gives me a great deal of pleasure to testify to the very satisfactory results which I have been able to obtain by the use of the High Tension Faradaic apparatus furnished me over a year ago. There is no comparison between your latest production and the ordinary Faradaic instrument; it would be as sensible to compare an old-fashioned locomotive with the modern express engine of the present day. The long coil high tension current is marvelous in its power to relieve pain, stimulate the circulation and strengthen muscular tissues. I could not get along in my gynaecological practice without the high tension instrument.

Your improved apparatus is very much superior to the one made for me two years ago, which you kindly replaced with the modern instrument.

I am very truly, L. L. DANFORTH, M.D.

After an attack of the grip the patient finds himself in a state of extreme weakness and prostration, from which condition he is tediously brought to his former health. Remedies which stimulate his exhausted nerves too vigorously, do so at the expense of his general condition. Then comes the relapse. Syr. Hypophos. Comp. McArthur conveys to the tissues the revivifying and vitalizing agent, phosphorous, in its most oxidizable and assimilable form. Thus the true vitality of the nerve structure is restored by renewing the nutrition of the tissues themselves.

The No. 8 Faradic Battery, manufactured by the Chloride of Silver Dry Cell Battery Company, Baltimore, is said to be, without doubt, the most complete portable Faradic apparatus in the world. In the first place, to be portable, a battery must be dry, and as the No. 8 machine is operated by chloride of silver dry cells, it has the advantage of containing the smallest cells in the market; then, instead of the old method of increasing and diminishing the current strength by moving one coil over another, a "Willms" dry current controller is employed. In addition, this apparatus is furnished with the usual primary and four secondary coils, leaving nothing to be desired, while the price of the instrument is so low as to place it beyond competition.

MESSRS. W. H. HOSTELLEY & Co:-I have used your preparation of Syrup Hydriodic Acid and find it acts splendidly in cases of strumous diathesis. I now use it many cases requiring iodine treatment, and from my experience with the remedy can heartily recommend it to the medical fraternity. You may use this letter if you wish. I am a member of the Medical Society of Virginia. W. E. PRATT, M.D., Buckingham C. H., Virginia.

LYCETOL IN THE URIC ACID DIATHESIS.

Neurasthenic patients form a considerable proportion of the clientele of the American practitioner; in fact, neurasthenia has been dubbed by some the American disease. Although the etiology of this affection is still involved in much obscurity, it is known that in many instances the presence of an excess of uric acid in the blood is one of its chief causative factors. This is shown by the frequency of uratic deposits in the urine, the passage of gravel, the abnormal acidity of the urine. Much can be accomplished in a certain class of cases by the administration of uric acid solvents and alkalies, and among these Lycetol has recently been brought forward as an eligible remedy. As might be anticipated from its chemical formula, it is the tartrate of dimethylpiperazine-Lycetol embodies both the uric solvent properties of the base with the alkaline effects belonging to the salt of a vegetable acid. It is theretore particu. larly adapted for the treatment of the uric acid diathesis, as it keeps the blood in an alkaline condition and favors the elimination of uric acid by preventing the formation of insoluble urates. But aside from this, Lycetol has other claims to the consideration of the physician. It is exceedingly palatable, having a slightly acid taste, and is entirely devoid of irritating effects on the stomach or unpleasant after-effects, so that it can be confidently recommended for prolonged administration in the case of even fastidious patients. It is best given in 5 grain doses dissolved in a gobletful of water three times daily, and, if desired, some sugar may be added, giving the solution the pleasant taste of lemonade.

"SENNINE"

Is recommended where a dry dressing is indicated,

and is manufactured by the Dios Chemical Co., after first having consulted Sir Joseph Lister and other authorities upon antiseptics and also receiving the expressed opinion of the most prominent surgeons and bacteriologists in this country as well as Europe, giving their practical experience as to the best antiseptics for dry dressing.

Examine the formulas for urethritis given in Dr. Mitchell's full-page advertisement in this issue. They are the result of large experience. His special offer, which see, is very generous. Something new in the way of rectal suppositories will be included without charge, if you request them.

The mention of an inhaler on page 148, April WORLD, might lead the readers to think that the instrument was made by the well-known manufacturers of vaseline, on account of the similarity in the names. However, such is not the case. The full name of the company making the inhaler is the Chesbro Vaporizing Inhaler Company, 244 Sixth avenue, New York, N. Y.

TONGALINE in tablets, in addition to Tongaline liquid, is now made. Each tablet contains: Concentration of fluid tonga, 1 gr.; sodium salicylate, 5 grs.; cimicifugin salicylate, gr.; pilocarpin salicylate, z gr.; colchicin salicylate, Too gr. All the salicylic acid in tongaline is made from the pure_oil of wintergreen. Tongaline and lithia tablets: Tongaline, 5 grs.; lithium salicylate, 1 gr. Tongaline and quinine tablets: Tongaline, 3 grs. ; quinia sulph., 2 grs. Each tablet is equivalent to one-half dram of the liquid, and two tablets should be administered at a dose.

Dr. Walling's Gold Solutions are good. Have you used them? See his advertisent.

Melachol.the advertisement of which appears in one of our pages, and to which we draw the attention of our readers, is the product of experimentation of the most reliable pharmaceutical purveyors in St. Louis. Its projectors and manufacturers are among the best and most thoroughly well known drug-makers in St. Louis.

In an agreeable attractive form, Melachol furnishes several remedies which are admirable laxatives, the most prominent of which is the phosphate of soda, and those who are familiar with the value f this remedy, and the importance of having a pure article, will appreciate Melachol. In conditions of catarrh of the bile duct and the gall bladder, and of the intestinal canal, there is no better remedy than the phosphate of soda. Melachol, then, in doses from a tea. spoonful to a tablespoonful, according to the laxative effect desired, in half a glass of water, two or three times a day, will be found of great value.

The well-known solvent effects of this combination upon gall stones and other unfavorable conditions of the intestinal tract will commend it. We are confident that the medical profession will welcome Melachol.

The editor of this journal has already tried it in a large number of cases to most excellent advantage and confidently commends it.-I. N. Love, M. D., in Medical Mirror.

What cases give you the most trouble? The answer to this question will be a general chorusUrethritis! Read Dr. Mitchell's full-page advertisement in this issue and see if it won't help to clear up