SAVE FROM 10 TO 50 PER CENT. BY BUYING We are the only Builders in the United States making a specialty of fine vehicles for physicians' use. OUR SPECIALTIES ARE COUPÉS, ROCKAWAYS, SURREYS, PHAETONS, OPEN AND TOP BUGGIES AND TWO WHEELERS, OF ALL THE LATEST AND MOST APPROVED PATTERNS. Every Style of Harness made, of the Best Quality of Oak-Tanned Leather. We have shipped hundreds of our popular vehicles to physicians all over the world, and received innumerab.e testimonials as to their good qualities. Don't fail to send for our prices and catalogue before buying anything in the vehicle or harness line and we will save you money. THE C. H. BLACK MANUFACTURING CO., Indianapolis, Ind. RUNAWAYS IMPOSSIBLE. This statement is now repeated by thousands who have purchased BRITT'S AUTOMATIC SAFETY BIT. SAFETY GUARANTEED This cut shows Bit without its leather covering. Pat. Feb. 5th, Gold Medal, This Bit, by an automatic device, closes the horse's nostrils. HE CANNOT BREATHE, AND MUST STOP. SAFETY FROM RUNAWAYS ABSOLUTELY GUARANTEED WITH THIS BIT Send for Pamphlet containing startling, testimo- AN ABSOLUTE CURE FOR PULLERS AND HARD-MOUTHED HORSES. DR. L. P. BRITT, 37 COLLEGE PLACE, NEW YORK. STEARNS' CASCARA AROMATIC is a fluid extract of prime CASCARA SAGRADA, from which the bitter principle has been entirely removed, and the product aromatized and sweetened. It is the only fluid extract of Cascara which is sweet in taste. It fills a long-felt want, and is being prescribed by physicians everywhere. Samples and literature free, or a full 4 oz. bottle sent prepaid for 50 cents. FREDERICK STEARNS & CO., DETROIT, MICH. BOYLSTON MEDICAL PRIZE QUESTIONS. April, 1892. I. Results of Original Work in Anatomy, Physiology or Pathol ogy. $200. II. Etiology of Hospital Gangrene. $100. April, 1893. I. As 1892. $200. II. Clinical and Experimental Investigation of Uræmia. $200. FOR PARTICULARS, APPLY TO W. F. WHITNEY, M. D., Sec'y Harvard Medical School, Boston, Mass. WANTED-SALESMEN. We have still some territory at our disposal for the sale of A SYSTEM OF PRACTICAL THERAPEUTICS, which will be published in three very large octavo volumes, the first of which is now ready. The success of our salesmen has, so far, been most gratifying. Those who have sold Pepper's System of Medicine, or are acquainted with that standard treatise, will find the THERAPEUTICS practically supplementary to that work, and we anticipate that every physician who possesses Pepper's System will also purchase the THERAPEUTICS. Our salesmen carry specimens of our other standard subscription works, also, viz.: Taylor's Atlas of Venereal and Skin Diseases, The American Systems of Gynecology and Obstetrics, The National Medical Dictionary and Pepper's System of Medicine. We shall be glad if physicians will direct the attention of honest, competent men to this field of work. Practi tioners desirous of resigning practice can earn a good living. Medical book salesmen are not "canvassers." Address the Manager, Subscription Department, Lea BROTHERS & CO., 706 & 708 Sansom Street, PHILADELPHIA. PRICE, THREE DOLLARS PER DOUBLE BOX. Containing sufficient Tablets of each kind to last from one to three months, according to the condition of the patient. A Connecticut physician writes: "I am now using your Tablets on a patient (young lady) who had had three quite severe hemorrhages the week previous to the beginning of the same. She has taken one box only, has had no return of the hemorrhage, and has gained four (4) pounds since beginning treatment, besides all rational symptoms have improved wonderfully. I will add that I had tried Ol. Morrh., Syr. Hypophos. Co., etc., with no apparent benefit." A Virginia physician writes: "Enclosed find Postal Note for another double box Freligh's Tablets. I used the sample box in three cases, with decided benefit in one, slight improvement in second, and while they did not improve the third case, it being in very advanced stage, there was an amelioration of the distressing symptoms." A Massachusetts physician, in practice 25 years, writes: "Send me two double boxes Freligh's Tablets. I have tried the sample box with most excellent results." A Michigan physician writes: "I am more than pleased with them. They have not disappointed me once. Dr. C., for whom I ordered a box, writes me that he is much improved, and speaks in praise of them. He has genuine Tuberculosis, and while I do not think h can recover, yet I firmly believe the Tablets will prolong his life. SPECIAL OFFER. While the above formulæ have been in use, in private practice, over 30 years, and we could give testimonials from well-known clergymen, lawyers and business men, we prefer to leave them to the unbiased judgment of the profession with the following offer: On receipt of 50 cents, and card, letter-head, billhead, or other proof that the applicant is a physician in active practice, we will send, delivered, charges prepaid, one of the regular (double) boxes (retail price, Three Dollars), containing sufficient of each kind of Tablets to test them three months (in the majority of cases) in some one case. Card, letter-head, or some proof that the applicant is a physician in active practice, MUST accompany each application. Pamphlet, with full particulars, price list, etc., on request. A PHOSPHORIZED CEREBRO-SPINANT. (FRELIGH'S TONIC.) Our Special Offer is still open, to send to any physician, on receipt of 25 cents, and his card, or letter-head, half a dozen samples, delivered, charges prepaid. Each sample is sufficient to test for a week in one case. As we furnish no samples through the trade, wholesale or retail, for samples, directions, price lists, etc., address I. O. WOODRUFF & CO. MANUFACTURERS OF PHYSICIANS' SPECIALTIES, 88 MAIDEN LANE, NEW YORK CITY. BY J. J. MAXFIELD, M. D. A year ago Mr. A., fifty-one years old, consulted me for an oldstanding and intractable cystitis, as he supposed and had been informed by two physicians. I suggested an exploration and readily detected a It was a large one, and it was so hard that you could hear the click of the instrument in any part of my office. I advised that he should have an operation performed, but as his brother had died stone. after same operation a few years previously, he was afraid and refused to consent. In view to palliate, I ordered him to drink one quart of Buffalo Lithia Water every day. Washing out the bladder once a day with the same, warm, a careful attention to diet and bowels, with gentle tonics. This treatment was faithfully kept up for nine months, when pus appeared in the urine and the operation could no longer be delayed. During the time he was under the treatment, large quantities of débris came away, some of the pieces were so large that it was only by great effort that they were passed via urethra. None of these were saved. The day before the operation, on the twentieth day of June, I examined him again, and the stone did not seem so large nor was the click so pronounced, though we could tell that there was a stone present by the grating as from a rough body. On the twentyfirst, I did the left lateral operation, and after getting into the bladder, I introduced the forceps, grasped the stone and pulling it away I found it was like a mass of putty filled with sand. It was sacculated and there was a quantity of pus in the viscus. With forceps, gouge, curette and fingers I finally got it all away. No part of it was so hard but that it could not be crushed with very little effort between the fingers. After the fragments were allowed to dry they became hard. The cut will illustrate better than I could tell how some of the mass looked, though a great deal of the finest particles were lost in the irrigation. It will be noticed that there were very few large pieces, and these were so soft that they would drop to pieces on the slightest provocation. This friable quality showed me why I did not get so pronounced a sound at my second examination, nine months after the first. Had I known before I operated what I knew afterward, I would not have done it, but with a lithotrite I would have crushed it and washed it out, though I believe firmly that if I had continued the treatment of the Buffalo Lithia Water a few weeks more the stone would have fallen to pieces. The outer segments were roughened, showing the disintegrating action of the water in dissolving it. I believe the case is unique in every particular and shows the value of Buffalo Lithia Water so clearly that I thought it worth reporting. The patient made a complete recovery without an accident to mar it. The total weight of the pieces saved was 213 grains.-The Prescription. Other Clinical Reports and Descriptive Pamphlet sent free. Thomas F. Goode, Proprietor, BUFFALO LITHIA SPRINGS, VA. Venereal AND OF Skin Diseases INCLUDING DIAGNOSIS, PROGNOSIS AND TREATMENT. BY ROBERT W. TAYLOR, A. M., M. D., Surgeon to the Charity Hospital, New York, and to the Department of Skin Diseases of the New York Hospital; Late President of the American Dermatological Association; Joint Author of Bumstead & Taylor's "Pathology and Treatment of Venereal Diseases." IN N EIGHT very handsome imperial folio parts, containing 431 pages, with 58 full-page chromo-lithographic plates, measuring 14 x 18 inches, containing 213 figures from original paintings, and selected from the works of the leading authorities on these subjects throughout the world, as well as numerous woodcuts. In eight parts, bound in heavy paper; Price, each, $2.50. Two parts delivered together. Also bound in one volume, half Russia, $27.00; half Turkey Morocco, $28.00. Sold only by Subscription. SPECIMEN PLATES SENT POST-PAID ON RECEIPT OF TEN CENTS. This concludes a work of the greatest value to the general practitioner and surgeon, for by its aid the diagnosis of skin lesions, which is often attended with so many difficulties, becomes comparatively simple and easy. A more helpful work could hardly be chosen for the physician's library. - Journal of the American Medical Association. Never before has the profession been presented with such a perfect set of pictures. All the illustrations are life-like and strikingly accurate. The accompanying text is equally clear and instructive.-Nashville Journal of Medicine and Surgery. Dr. Taylor's admirable Atlas is so suggestive that one might readily be tempted to deliver a clinical lecture on the basis of the well-drawn figures and carefully tinted illustrations which its pages spread before the observant eye. There is scarce a figure in any plate that does not surpass in value to the student all the writings of Boerhaave and some of the more modern treatises by less distinguished men. Dr. Taylor's Atlas can be well commended to the profession as a credit to American medical literature.- American Journal of the Medical Sciences. LEA BROTHERS & CO., Publishers, 706 & 708 Sansom Street, Philadelphia. JAROS HYGIENIC UNDERWEAR WOOL FLEECE KNIT FORMULA.-Unspun Wool, knitted into meshes of a cotton thread Basie. the theories of Profs. Von Pettenkofer, Parkes. Kreiger. Buck and others. ADVANTAGES.-Capillary action of unspun wool upon the body hydroscopic qualities and non-irritating Interstices ing climatic changes, aids transporta- (H. & P-43) 80-Page Treatise containing reports of results in special practice as well as from US Government, mailed post-paid on application Jaros Hygienic Underwear Co. 831 BROADWAY, NEW YORK Por lettere so street address is necessary |