531 the forceps and washed the womb and again injected the carbolized oil and used another tampon with instruction to remove it in twenty-four to fortyeight hours; and to use free vaginal injection and to repeat the same once or twice a day. The patient made a rapid, uninterrupted recovery. She became pregnant again early in October following. First of January, 1895, she had some hemorrhage for which I prescribed Elix. Black Haw Co., and rest in bed, At the end of three days it ceased, and about a week later it again recurred more in quantity and with some pain; the same treatment was resorted to and she kept her bed for several days. There was recurrence of all the symptoms on February 11th, the hemorrhage and pain being more severe and some fever. I repeated the prescription of Black Haw with the addition of Dover powder and acetanilide. The discharge continued for four days and so great was the quantity of blood that I made up my mind that prevention of miscarriage was hopeless, nevertheless on the 16th, being the sixth day, the symptoms had much improved and soon ceased. From this she went to full term and was delivered of a large, healthy child, weighing eight lbs., with easy, natural labor. I would state further that the patient suffered from chronic constipation for which I prescribed Fl. Ext. Cascara, say in one teaspoonful doses every night at bed-time, and that she had taken it continuously for more than a year, but a good part of the time in only one-third to one-half teaspoonful doses. Case 2. Mrs. B. miscarried at about the third or fourth month of pregnancy, on the 4th of January, 1895. The fetus was born the first day and the after-birth came away three or four days later, but slight periodical hemorrhage continued with some fever up to January 12th, when the flooding was very profuse and I was called. (She had had no attendant up to this time except a woman mid-wife.) Found the loss of blood had been great and she was still flowing; the bed and bedding were saturated. The patient was very pale and weak and pulse feeble, and she was semi-comatose. On examination, found the uterus much subinvoluted, the os painless and cervix enlarged. Prescribed Fl. ext. ergot, and strychnia hypodermatically and thoroughly tamponed the vagina. Cleaned the patient and bed. In the course of two hours was more comfortable, with some contraction of the womb. Next day removed the tampon, washed the vagina and injected carbolized oil into the womb and placed the single cotton tampon. Next day subinvolution much reduced the discharge but slight, fever gone. Prescribed hot vaginal injection, with full milk and raw egg diet and whisky; patient made rapid recovery. She became pregnant again in March following, and aborted in July. About the 10th the fetus was delivered, and the placenta on the 13th. I was called to the case on the 17th. The patient had had a chill, temperature was 103, pulse 120; her face was sallow and waxy, lips almost colorless and tongue very pale. The womb was subinvoluted and discharging freely a thick purulent matter with offensive odor. After cleansing the parts, used carbolized oil injection and tampon; gave calomel cathartic followed by quinia and acetanilide of each two grains every two hours. After thirty-six hours repeated the local treatment; temperature was then IOI, and on the fourth day the temperature was normal and 532 the pulse 90. Prescribed elix. cal. bark iron and strychnia with small doses of sul. mag. sufficient to keep the bowels open, and put her on milk and egg diet. She gained strength slowly but was able to sit up in about two weeks. During convalescence there was considerable cedema of the feet, legs and hands. I have also used this course of treatment in cases of sepsis after parturition at full time, and with very satisfactory results. Also in cases of leucorrhea of the uterus. I believe we should always give our patients the best treatment possible and now the question is, could any better results have been obtained with any other treatment? I know that good authority would say that in case No. 1 the patient should have been anesthetized, the os forcibly dilated and the uterus curetted. This would have entailed much more suffering to the patient. Outside of the slight danger there may be in the administration of an anesthetic there is considerable suffering on the part of every patient from the thought of taking it, together with the idea of an operation being performed, which is much more than we sometimes think. Besides, to do this operation well and safely an assistant is necessary; this with the necessary preparation always causes suffering and anxiety on the part of patient and friends, and should be avoided unless there is absolute necessity for it. I have simply given the result of a mild course of treatment in two cases, each with two abortions or threatened abortion, within the period of one year. One, an almost hopeless case prevented, and the others with good and perfect recovery. This treatment is painless and of but little inconvenience to the patient. The effect of the oil injection is always agreeable, and is soon followed by relief of the soreness and pain. In using the injection I pass the tube of the syringe well up into the womb and inject the contents slowly. The part of the fluid that reflows into the speculum is absorbed by the cotton and the tampon make a continuous application of the medicine to the cervix and vagina, and gives support to the enlarged uterus and relieves the tension; similar to the effect of the suspensory bandage applied to the male scrotum. I believe that medicated oil is more effective as an internal application to the uterus than any aqueous solution, and a much stronger solution can be used if necessary. I have never known it to produce irritation in but one case, and that was slight and of short duration. The Archives of Pediatrics will commence its thirteenth year with the January number, under the business management of E. B. Treat, Publisher, of New York, long identified with medical publishing interests. "Archives" has been for twelve years the only journal in the English language devoted exclusively to "Diseases of Children," and has always maintained a high standard of excellence. The new management propose several important changes in its make-up; increasing the text fifteen per cent and enlarging its scope in every way. This will give room for the fuller contributions and additional collaborators who have been secured for the various departments, all of which give promise of a more successful era than has been known even in the already brilliant career of the journal. The editorial management will be in the hands of Floyd M. Crandall, M. D., Adjunct Professor of Pediatrics, New York Polyclinic, and Chairman of Section on Pediatrics, New York Academy of Medicine. Although Pepsin in its various forms will, beyond all question, digest proteids, and is therefore to be relied upon in its particular sphere, PEPSIN IS OF NO IN THE DIGESTION OF STARCHY FOODS. 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TAKA-DIASTASE is perfectly soluble, and is compatible with other medicaments in neutral or slightly alkaline media. Malt extracts, owing to their viscosity, are difficult to handle and to incorporate with other ingredients in prescriptions. 6. TAKA-DIASTASE is economical, owing to its small dosage. Necessarily large dosage renders malt extracts expensive in comparison. Correspondence upon this subject respectfully solicited. Parke, Davis & Co. DETROIT, NEW YORK, KANSAS CITY, U.S.A. LONDON, ENG. WALKERVILLE, ONT. THE DITTRICH OZONE PREPARATIONS are Genuine.-Volume per cent of Ozone established by analysis of high chemical authority and warranted. Safe, and easy of administration and application to both children and adults. AQUZON. ozonized, distilled, and sterilized water, containing 3 KODOZONOL vols. per cent of Ozone ozonized cod-liver oil, 6 vols. per. cent of Ozone. THERAPOL. ozonized vegetable oil, 8 vols. per cent of Ozone. KREOZONAL ozonized oil of tar, 10 vols. per cent of Ozone. AEROZOL ozonized essential oils, 75 vols. per cent of Ozone. The Ozone preparations and machines are referred to in the following publications: "Ozone in Atrophic Catarrh," by Dr. Clarence C. Rice, New York. "Ozone and its Uses in Medicine," by Dr. W. J. Morton, New York "The Therapeutic Value of Inhalations of Ozone," by Dr. August Caille, New York. THE OZONE COMPANY, Suite 1115, Masonic Temple, CHICAGO, ILL. Beaumont Hospital Medical College Cor. Jefferson Ave. and Pine St. FOUR BLOCKS FROM THE ST. LOUIS, MO. NEW UNION STATION. The Regular Winter Session begins Tuesday, September 17th, 1895, and continues six months. The course is a graded one and covers a period of three years, in conformity with the requirements of the State Boards of Health. Didactic teaching is not entirely dispensed with, but prominence is given to Laboratory Work, Dissections and Clinical Instruction. The Laboratory teaching and facilities in Chemistry, Physiology, Histology, Pathological Anatomy and Bacteriology are unsurpassed, and the CLINICAL facilities of this College are unequaled. The College Dispensary, the Missouri Pacific Railroad Hospital, the Alexian Brothers' Hospital, St. Mary's Infirmary, the City Hospital, the Female Hospital, St. Louis Insane Asylum and Poor House furnish an abundance of clinical material. Members of the Faculty are connected with other hospitals, where frequent opportunity is offered for clinical instruction. For the Annual Catalogue and further particulars address Dr. W. B. OUTTEN, Dean. or Dr. J. T. LAREW, Secretary. 533 Mind. BY FREDERIC S. THOMAS, M. D., COUNCIL BLUFFS, IA. Professor of Mental Diseases. INTRODUCTORY LECTURE OF THE COURSE ON "DISEASES OF THE MIND,' ," TO THE CLASS OF CREIGHTON MEDICAL COLLEGE, OMAHA, NEBRASKA. your professor of surgery should present to you a case of "tubercular necrosis of the acetabulum," and talk learnedly to you about the proper treatment to pursue, you would soon realize the importance of a thorough knowledge of anatomy to properly understand the subject under consider ation. Should the professor of the theory and practice of medicine talk to you about the pathological condition of some organ of the body, you would understand his subject only by having first learned the physiological condition of the same organ. It seems to me it is but proper, before beginning our lectures upon diseases of the mind, that we should first consider the normal mind. In your preliminary study you have considered the living organism as a mechanism, accumulating energy and expending it in movement; receiving impressions from the outside world, and responding to them by adapted actions. You have not yet dealt with the phenomena of mind, nor have you found how mental phenomena are related to the working of this elaborate nervous mechanism. Let us then for the purpose of study, discard every preconceived notion of what mind is, and begin the study without prejudice. It is a popular belief with the laity, and even with some writers on psychology, that "mind influences matter." It is likewise as erroneously believed that "material particles become transformed into a mental phenomenon-into an idea, or a feeling." One writer speaks of "memories being stored up in the brain cells," Another explains how an ingoing current undergoes a "peculiar metabolic change, becomes animalized, intellectualized, and finally is transformed into an idea;" which is much as if a piece of Limburgher cheese should be run through a coffee mill, where it would undergo a peculiar metabolic change, and emerge as Trilby's rendition of Ben Bolt. One eminent writer suggests that "the brain contains a substance intermediate between mind and matter, which partakes of the nature of both without being exclusively either." In other words, a thing that is partly a bicycle and partly a smell of sulphuretted hydrogen, being exclusively neither. One person writing on psychology says: "the brain secretes ideas, as the liver secretes bile." The commonest, and probably the most prevalent opinion of all is, "that above the material part of the brain, somewhere in the skull cavity, |