PUBLISHED MONTHLY. SUBSCRIPTION PRICES: ONE YEAR, $1.00; SIX MONTHS, 50c. Remit by Draft, Post Office Order, Postal Note or Registered Letter at our risk. Make all drafts on money orders payable to THE CLINICAL REPORTER, ST. LOUIS. Telephone Connections. BOOKS AND PUBLICATIONS for review, EXCHANGES, and matter for the Editor should This journal is not responsible for the individual views of contributions. Address all correspondence relating to subscriptions, advertising or business management to G. A. Mellies, M. D., 2839 Cass Ave., St. Louis, Mo. ADVERTISING RATES FURNISHED ON APPLICATION. AS A VASODILATOR, Sodium nitrate is, because of its stability, permanence and certainty. of effect, preferable to nitroglycerin and amyl nitrate. When given by the mouth its action is usually manifested in from three to five minutes; and when subcutaneously in about two minutes; and this action is maintained from one to two and one-half hours. Both of the other drugs, while quicker in action, are less reliable and less lasting in their effects. Sodium nitrate is, moreover, when given in proper doses (triturates of 11⁄2 grains each), almost entirely without general effects the throbbing, dizziness, flushing and headache so characteristic of amyl nitrite and nitroglycerin. Cook (Therap. Gaz.) reviews the indications for vasodilation in conditions of low and high arterial tension, insisting upon the use of the sphygmomanometer in the treatment of every case of cardiac renal or arterial disease. Any attempt to regulate arterial tension without knowledge of its degree or action is to be working in the dark. In an untried case half a grain of sodium nitrate is a safe initial dose, with a three-hour interval. The adjustment of dosage and interval must be regulated by the sphygmomanometer. Cook finds sodium nitrate the best vasodilator-most enduring in its effects, most stable and dependable, and giving rise to the fewest unpleasant symptoms. Vasodilation may be indicated with low or normal tension (all hemorrhage which occurs either during operative manipulation, or in typhoid ulceration, gastric ulcer, pulmonary hemorrhage, aneurisism, thrombus or other internal hemorrhages uncontrollable by surgical methods). High tension is abnormal; it accompanies organic disease or it presages its onset. In either case treatment is essential, first by general hygienic measures, then, when necessary, by venesection or vasodilatation with drugs, preferably scdium nitrate. The Pinnacle of Therapeutic Success can only be Antiphlogistine (Inflammation's Antidote) affords the most scientific method of combating inflammation and Congestion. It is of especial benefit in the conditions incident to the summer season. In ENTERO-COLITIS, and other Inflammations of the abdominal and pelvic viscera, Antiphlogistine proves a satisfactory adjuvant to treatment, as it produces a depletion of the enteric and peritoneal vessels, stimulates the reflexes and relieves the pain, 'tenesmus and muscular rigidity. In SPRAINS and WRENCHES, the stretching or tearing of the ligaments, contusion of the synovial membrane and damage to vessels and nerves are best controlled by Antiphlogistine, which distinctly aids in the reconstruction of the part. The absorption of the liquid exudate from the swollen tissues and the free circulation of blood in the seat of the injury greatly hastens the process of repair. THE DENVER CHEMICAL MFG. CO. NEW YORK Members attending the Annual Convention OF THE AMERICAN INSTITUTE OF TO BE HELD IN HOMEOPATHY KANSAS CITY, MO., JUNE, 22nd to 29th, 1908 Among the most common ailments, especially among the young, are the periodical nervous headaches, and three or four times as many females as males are afflicted with them. Dr. A. F. Schnellschmidt of Louisville, Ky., states that "they generally manifest themselves about the time of puberty and are very severe for a few years, but with increasing age the attacks become less frequent, until at the age of forty they seem to almost disappear and are seldom or never seen after fifty. They are associated with vertigo, nausea and vomiting. The pain is in and around the eyes and while the attack lasts there frequently is partial or total blindness. Those who complain of this trouble suffer from prodromal symptoms for several days before the attack shows itself in an active form, which symptoms differ in different patients. When treatment is demanded it is more for the pain than anything else. Opium will relieve but does more harm than good as it leaves the system in a worse condition to resist a subsequent attack. Antikamnia tablets give great relief and act quickly. An emetic will sometimes abort an attack. The bowels should be kept open and those diuretics which hasten the elimination of the urea should be administered. If the attacks are due to a reflex nervous condition the cause must be sought and treated. The adult dose of antikamnia tablets best suited for the relief of these headaches, is two every three or four hours." ORIGINAL ARTICLES. PAGE Vaginal Epithelioma.-Report of Case-By J. L. Dryden, M. D., St. Louis...... 161 Sacculated Aneurism of the Right External Iliac Artery-Dr. W. E. Jones, St. Louis........ Has Pneumonia a "Treatment"?-G. A. Mellies, M. D., St. Louis. 165 American Institute.......... EDITORIALS. American Institute of Homeopathy, Kansas City, Mo................................. PUBLISHER'S DEPARTMENT.................................................... ADVERTISERS. The Pennoyer Sanitarium... Munn & Co.......... C. W. Alban...............--- ----------- Mellier Drug Co....... R. L. Polk & Co......... Physicians Defense Company. The Abbott Alkaloidal Co......... Rowe Pub. Co................ Dr. H. A. Mumaw... National Surgical Chair Exchange.. John T. Milliken & Co. The Charles N. Crittenton Co............... C. V. Mosby Medical Book Co....... The Denver Chemical Mfg. Co........ The Fitchmul Company. Luyties Homeopathic Pharmacy Company.. Boericke & Tafel The Detroit Homeopathic College. The Medical Counselor...... Hahnemann Medical College... Chicago Pharmacal Co..... Homeopathic Medical College. The Meatox Company.. 170 172 176 ..Inside Front Cover Inside Front Cover ...Inside Front Cover IN PHTHISIS FITCH MUL IS RECOGNIZED AND EMPLOYED BY FITCHMUL (1) It checks and subdues the persistent, hacking cough. (2) It does not reduce the strength of the patient. (3) Its exhibition is absolutely devoid of undesirable aftereffects. (4) It exercises a distinct sedative and emollient effect upon all mucous surfaces. (5) It loosens tenacious sputum. (6) It soothes irritation. (7) It exerts a marked tonic effect. (8) It induces a healthy circulation in the lung tissue. FITCHMUL combines the active principles of fir balsam, Venice turpentine, chloric ether, and a minute quantity of dilute hydrocyanic acid, tartar emetic and aromatics. It is an excellent vehicle for ergot, codein, heroin, quinine, thiocol, creosote, guaiacol, morphine, etc., although it obtains alone the most satisfactory results. Recent Clinical Reports and Physicians' Samples on Application, with our compliments THE FITCHMUL COMPANY CONCORD |