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The "King" Fountain Syringe. There are very few doctors in this country who do not know Dr. Ferdinand King, publisher of the New York Polyclinic, and even that minority will rejoice to know that the genial doctor has evolved in his No. 834 cranium one of the most useful inventions of the age, and in which there is undoubtedly a fortune for the inventor and manufacturer. We refer to the Thermometer Syringe illustrated below, and a glance at the picture will explain its purpose. We all know the importance, as well as the difficulty, of having the enema at just the proper temperature, and when treating children especially. In the majority of cases the water is either too hot or too cold; if the latter, there is a contraction of the parts, and the patient does not get the quantity of water desired,

Sectional view shows the bulb of thermometer in absolute contact with fluid contents of the bag.

to say nothing of the damage arising from chilling the parts; or on the other hand, of overheating the already inflamed membrane, Another and most important feature of this syringe is that an enema may be given a child while asleep, without disturbing it, so perfectly can the temperature be regulated before introducing the tube (and for this purpose we should recommend a soft rubber catheter). This syringe is made of the very best rubber, one gallon size, and carefully packed in a wooden box. Sent to any address, expressage prepaid, for only $2.00. Charles Roome Parmele Co., Manufacturers, 92 William, New York City.-Med. Fortnightly.

For $3.00 we will send you the "King" syringe and THE MEDICAL HERALD until December, 1896.

510

When the

Practical Hints as to the Treatment of Dyspepsia. attention of the profession was first called to the use of pepsin, it was thought by many that it would be a universal cure for nearly every case of indigestion; but it has failed to prove its value in so many cases that a great many practitioners have ceased to use it. Then it was thought that pancreatic extracts, either alone or combined with pepsin, would be a great panacea, and there has been a great deal said pro and con as to the use of such compounds; but the situation today is that many practitioners have lost all faith in digestive animal ferments, while others have equally as much confidence in their efficacy. These disappointments are mostly due to these and also diastasic preparations being prescribed in unsuitable cases. A very considerable portion of cases of indigestion are due to the insufficient mastication of food, and this is followed by imperfect digestion in the stomach; if the stomach is loaded with fermenting material or mucous, the use of hot water sipped slowly an hour before each meal may be depended upon to give good results; then if the secretion of pepsin is defective, pepsin should be administered; if there is a deficient secretion of acid, hydrochloric acid should be administered with the pepsin; if the salivary secretion is deficient in quality or quantity and the patient will not take the time to chew his food slowly, or if he has the bad habit of chewing tobacco after eating, or if he is a smoker who expectorates whilst indulging in his smoke, it will be necessary to administer diastase immediately after the meal so as to assist nature in the proper transformation of the starches of the food; in such cases we usually rely for the diastase on Maltine plain, or with cascara sagrada if there is constipation. When the process of a stomach digestion is incomplete, the acid fermenting material gives rise in time to duodenal catarrh; this produces a congestion of the membranes and interferes with the free flow of the biliary and pancreatic secretions and also the activity of the glands throughout the entire intestinal tract. This is the most common form of indigestion and has received least attention. Many cases of socalled neurasthenia are merely reflex irritations from duodenal indigestion; the gone feeling, the malaise, the sensation of being always tired, cold and hot flashes, inability to sleep well at night, but with heaviness during the day, and flatulence are some of the symptoms of this form of indigestion, and it is sometimes not inappropriately called "nervous dyspepsia." The treatment should be comprehensive, taking into consideration the salivary, stomach and intestinal secretions, and it is of the utmost importance that the alimentary canal be kept clean, and laxatives given if necessary. In cases where there is loss of weight and general debility, with the nervous symptoms prominent, we know of no one preparation that will give more satisfaction than Maltine with coca wine, which should be taken at or immediately after eating. Each ounce of this preparation contains enough diastase to digest fifteen ounces of starch at the bodily temperature, and all the active principles and extractive matter from thirty grains of erythroxylon coca leaf. The beneficial tonic effect of the coca in this combination is felt immediately, and the diastase will so advance the digestion of the starches of the food, that the duodenum is relieved of a certain proportion of its work, and good effects follow promptly.

For Infants and Invalids.

A Soluble Dry Extract of Barley Malt and Wheat, prepared after the formula of the eminent chemist, Baron Justus von Liebig, for the

MODIFICATION OF FRESH COW'S MILK.

MELLIN'S FOOD is entirely free from Starch; the Carbohydrates contained therein are Dextrins and Maltose.

"The sugar formed by the action of the Ptyalin of the Saliva and the Amylopsin of the Pancreas upon starch is MALTOSE. In the digestive tract MALTOSE is absorbed UNCHANGED." Textbook of Human Physiology, Landois and Sterling. "MALTOSE constitutes the end product of the action of diastase, and amylolytic ferments generally, on starch and its congeners."

Physiology of the Carbohydrates, F. W. Pavy, M.D., LL.D., F.R.S.

MELLIN'S FOOD, prepared with FRESH COW'S MILK according to the directions, is a true LIEBIG'S FOOD, and the BEST SUBSTITUTE for Mother's Milk yet produced.

THE DOLIBER-GOODALE CO., BOSTON, MASS.

A NEW BLOOD CORPUSCLE.

When Hayem announced the discovery of a third corpuscle, there was great enthusiasm among all biologists. When he later announced the relation of these corpuscles to the coagulation of the blood, the interest was greatly deepened. But when Laveran published to the world his discovery of a parasite in the blood of persons suffering from malaria, the very climax was reached. It was far greater than the discovery of a new blood corpuscle; for it told of a parasite which developed and multiplied within the red corpuscle, causing untold misery and large loss of life. We need no longer say we think a patient has malaria; for it is now possible, thanks to Laveran and the microscope, to give a positive answer. Now we know why quinine has such controlling power in this disease; it destroys the parasite and thus removes the cause. As the heel of man shail crush the serpent's head, so, definitely and positively does the alkaloid of Peruvian bark crush out the life of the malarial parasite. But how can one describe the aches and pains which form a part of a malarial attack. Shall we give an opiate and quiet the pain at the expense of locking up the secretion of the body? There appears to be but one rational method: Give a remedy, if there be one, which will quiet the pain without affecting in the slightest degree any of the secretory or excretory organs. Such a remedy exists in antikamnia. Antikamnia and quinine, therefore, are the two remedies which science has selected for the treatment of malaria and all malarial conditions. These are now prepared in the form of tablets, each containing 23 grains of Antikamnia and 2 grains of Sulph. Quinine.

Detach this and Mail to Codliver Glycerine Co., St. Louis, and you will get a $1.00 bottle of Codliver Glycerine and sample of REFUSE obtained in its manufacture, by merely paying express charges. Write name and address plainly.

511

NEWS AND MISCELLANY

Nay, Verily.-It is said the State Board of Health of Iowa has refused to recognize the Ensworth Medical College, St. Joseph, Mo.; the State Board of Health of Missouri is also said to have taken similar action.-North American Medical Review.

Please make inquiry of the secretary of the Board, who is not far from you, and make the necessary correction. State the facts.

The Difference.-Dr. William G. Grace of England has achieved distinction by having made two hundred runs at cricket, and now a London daily paper has started a testimonial fund to which the people are graciously contributing. Nearly $10,000 has already been collected.-The Physician and Surgeon.

In this country it seems difficult to raise even $5000 for the maintenance of so valuable a library as the Index Medicus.

Quality vs. Quantity.-A patient in Beyreuth, was affleted with cataract in both eyes. He contracted with an oculist to have two operations performed-one on each eye-for £50 sterling. The first operation proved very successful, but when the doctor offered to operate also on the other eye, the patient refused, declaring that he could see as much as he wanted with one eye and tendered half of the amount stimpulated, i. e., £25. The physician, however, says that he fixed the price as low as he did in consideration of the quantity of payment to be received, not in consideration of the quantity of work to be done, and the unique case dispute is now before the courts awaiting a Solomonic settlement.

Marriages, Births and Deaths. As might be expected the decline of marriages has been accompanied by a decline of births. Deaths are more numerous than births among the native population of France. The population of the country would decline but for the number of Italians, Slavs and Germans who have become residents. The birth rate in England has declined during twenty years from 38 per thousand of the population to 30, while in France it has sunk from 32 to 24. Proud Massachusetts boasts that her birth rate has increased during the past twenty-five years 25.6 to 25.8, but that slight increase does not show that the number of Pilgrim or Puritan stock is becoming greater. The Canadian French women "is abroad" in New England and she does not propose to have her race die out. She will preserve her reputation in her adopted country.

Death From Anesthesia.-Dr. R. W. Stewart, (Maryland Med. Jour.) reports a death from anesthesia as follows: "The patient had been admitted to the medical department of the Mercy Hospital for treatment for empyema. He was aspirated, but subsequently transferred to the surgical department and turned over to my care. I decided on a resection of the ribs and drainage of the chest. The patient was about forty-five years of age, rather weak, pulse 120, but as far as 1 could ascertain there was no orgenic disease of the heart. Owing to the circumstances of the case I took some extra precautions. For instance I asked the patient to allow me to operate without an anesthetic. His consent not being obtained I had him anesthetized in the operating-room with chloroform, using the mask for the purpose. The patient was under my observation all of the time, and also under the observation of four or five others. He took kindly to the anesthetic for about two minutes, when suddenly his respiration and pulse ceased, and he assumed a cadaveric hue. It seemed that both heart and lungs stopped together. Although closely watched, it was impossible to say which stopped first. Every effort was made to resuscitate him. Artificial respiration was immediately begun, but all efforts were useless. The man never gave a single evidence of life."