wasting little time or space upon the latter. It is systematically written and arranged, and so indexed that its different parts are easily found. It is the ideal text-book upon this subject. We bespeak for it a deserved popularity among studentbooks, for which class, we take it, it was more especially designed, though its brevity makes it also of decided value to the busy practitioner.

A HISTORY OF MEDICINE. By Alexander Wilder, M. D. New England Publishing Company, New Sharon, Me. Price, $2.75, net.

This is a somewhat cheaply gotten-up book of 946 pages, though a more careful get-up would largely increase its price necessarily. There is a frontespiece giving the picture of the author with his autograph, a procedure that is uncustomary, indelicate, in poor taste, and smacking of egotism, and yet it is a satisfaction to be able to see the face of the man who is talking to us. The book gives an outline of medical history, and the various sects of our profession from the earliest period to the present time, going more into detail in the account of the newer cults of the preceding century, and ending with a full history of American eclectic practice of medicine, in which are included the medical practice laws of most of the States. More than half of the book may be said to be a defence of eclecticism. To the followers of this exclusive school of practice the book is of more value than to any other class of practitioners. We should judge it would have a larger sale with the last half eliminated, because then more uniformly desirable by the broadgauge physicians who constitute the great bulk of practitioners. We know of no other work that goes as fully into medical history as does this in its first half, on which account alone it is worth its purchase price, and should be in the libraries of all those who take an interest in the past history of our profession.

HAY FEVER AND ITS SUCCESSFUL TREATMENT. By W. C. Hollopeter, A. M., M. D., Clinical Professor in the Medico-Chirurgical College in Philadelphia. Second edition, revised and enlarged. P. Blakiston's Son & Co., Philadelphia. $1.00, net.

This is a small 12mo. book of 151 pages, devoted entirely to the subject of hay fever, which it considers in a systematic manner. The author's reason for publishing the book is to make known his treatment for this condition, that has proven successful in his hands as has no other in affording relief to more than two hundred patients in private practice. He believes it to be but a local irritation within the nose from various extraneous causes, materially helped along in its production of distressing symptoms by constitutional defects and peculiarities. He sterilizes the nares daily, and otherwise treats of local and constitutional difficul

ties. We refrain from saying more of the treatment, preferring to refer to the book for this information as being beyond the scope of this notice. The fact of the doctor's unusual success with his treatment would appear to justify the publication of the book and to warrant its purchase.

A TEXTBOOK OF MECHANO-THERAPY (MASSAGE AND MEDICAL GYMNASTICS). By Alex. V. Gräfstrom, B. Sc., M. D. W. B. 12mo., 139 pages. Saunders, 925 Walnut Street, Philadelphia. $100, net.

This is a closely-printed little book with 11 illustrations, giving detailed information upon the subject of which it treats. We regret to say that it partakes of the usual cut-and-dried, mechanic, onetwo-three order of works of this kind; a better fault, however, than lack of arrangement and verbosity. Like many other works of this kind, it claims to do too much, thereby inviting inattention. It does, however, very effectively call attention to and give instructions in resistance movements and the different kinds of massage. It is a useful little book, that can be satisfactorily referred to in briefer time than many of the larger and more expensive works upon this subject.

A COMPENDIUM OF INSANITY. By John B. Chapin, M. D., LL.D., Physician-in-Chief Pennsylvania Hospital for the Insane. 12mo., illustrated, 234 pages. W. B. Saunders, 925 Walnut Street, Philadelphia. $1.25, net.

This is one of the best little works upon the subject that we have seen, and is of particular service to the busy general practitioner with little or no knowledge of insanity. He divides the subject very sensibly into mania, melancholia, dementia, and idiocy, subdividing these further in a logical manner readily followed by the novice. There is an introductory discussion of the qualities of the mind. He points out that there is no sharp dividing line between sanity and insanity, and that mental disease is largely relative in its evidences, it being often necessary, in making a diagnosis, to compare the present status of the patient with his former condition. He fully impresses upon the reader the importance of not attempting to gauge mental qualities by a general standard so much as by the past normal condition of the individual. The different types are shown in very good illustrations from photographs of actual cases. chapter on feigued insanity is important and instructive. That on morbid anatomy, by Dr. J. Montgomery Mosher, is good, of scientific value, and by a man competent in this branch. The book is a primer on insanity, and should be carefully read by the beginner in the study of the subject before attempting the mastery of a larger work. It is a most excellent little book, and we are glad to commend it in the highest terms.

A

THE INTERNATIONAL TEXTBOOK OF SURGERY. By American and British authors. Edited by J. Collins Warrren, M. D., LL. D., Professor of Surgery at Harvard, and A. Pearce Gould, M. S., F. R. C. S., Hospital Surgeon, and Lecturer on Practical Surgery, England. In two volumes. Vol I, General and Operative Surgery. Royal octavo, 947 pages, with 458 illustrations, and 9 full-page colored plates. Price per volume, cloth, $5.00. Sheep, $6.00. W. B. Saunders & Co., Philadelphia.

This book consists of the contributions of twentyseven well-known surgeons, American and English, and is composed of twenty-eight chapters. The reason for the appearance of the work is the rapid development of modern surgery, and the quickness with which textbooks upon this subject become antiquated. This alone is a good reason for a so-called system written by many authors, for a work of this magnitude could not be produced by a single man without the intervention of a sufficient length of time between its beginning and its completion as to have its first parts antiquated by the time it issued from the press. In other words, it could not be equally up to date. This book is, therefore, the collection of monographs upon surgical subjects covering the entire field of general and operative surgery. We are much pleased with the work, and consider it an excellent guide in the practice of surgery. The work is too large and

information it gives. One also misses the absence of the philosophic study of analysis of medical progress through the centuries, and the study of the contemporaneous modifying causes of medical development. This we attribute to the busy life of the author, and possibly, also, a mental disinclination for this kind of work. We would suggest the interposition in smaller print of greater detail and transcendental study in future editions of the work, though it double the cost. The book contains the foundation for the best work upon the subject with which we are familiar, which it is not by any means in its present abbreviated form. It is a necessary work to the student of medical history, who cannot afford to be without it.

Elec

The June number of the Southern California Practitioner (Los Angeles, 1oc. per copy) contains a valuable symposium on Tuberculosis, giving papers on " History," by W. W. Beckett; tricity in Its Diagnosis and Treatment," by A. Soiland; "Prevention," by Hill Harking, of U. S. Marine Hosp. Service; "Pathology," by S. P. Black; Tuberculosis of Nervous System," by J. H. McBride; "Of the Ovaries," by J. R. Haynes; "Of the Skin," by R. Williams; "In Childhood," by F. M. Pottinger; "Adenitis," by A. S. Parker, and many other interesting papers.

as we should like to give it, and which it merits. It is a book that will supply all the needs of the general practitioner, making others of a similar nature unnecessary.

AN EPITOME OF THE HISTORY OF MEDICINE BY Roswell Park, A. M., M. D., Professor of Surgery in the Medical Department of the University of Buffalo, etc Second edition. Illustrated with Portraits and other engravings. 6x91⁄2 inches. Pages, xiv-370. Cloth, $2.00, net. The F. A. Davis Company, publishers, 1914-16 Cherry Street, Philadelphia.

This book is based upon a course of lectures, and is, as its title says, an epitome of medical history, embodying more particularly the biographies of the older masters, or what might be called the forefathers, of medicine, such as Esculapius, Hypo. crites, Herophilis, Erasistratus, Celsus, Galen, Paulus Ægineta, Sylvius, Vesalius, Eustachius, Fallopius, Fabricius ab Aquependente, Ambroise Paré, Paracelsus, Harvey, Malpighi, Willis, Sydenham, Boerhaave, Darwin, Mesmer, Bichat, Scarpa, Gimbernat, Pott, Hunter, the Bells, Smellie, Hal ler, Vicq d' Azyr, Jenner, Bernard, Hahnemann' etc., through a large list. There is, more espe cially, a history of medicine in which is considered the many things to the credit of the professional work done in this country. The work is a firstclass specimen of the publishers' art.

The defect in the work is its epitome style, leaving one, as a rule, dissatisfied with the inadequate

This is what Dr. Abbott, editor of the Alkaloidal Clinic, says in the quiz columns of his journal for August, 1902, in reply to a question regarding a book on BUSINESS for Physicians:

“Dr. J. J. Taylor, of the Philadelphia Medical Council, published a book on the Business Aspect of the profession which is WORTH ITS WEIGHT IN GOLD. I havn't heard of it recently and it may be out of print. Write to the doctor and ask about it."

We thank Dr. Abbott very much for his kind words regarding the book, and take this opportunity to inform the profession that this book is NOT out of print, and that we still have a LIMITED number on hand, which we will supply as long as they last at 50 cents. This book is not for sale by anyone other than The Medical Council, and after this supply is exhausted cannot be duplicated.

If the BUSINESS end of practice puzzles and worries you, this is the book you WANT.

REMEMBER THIS BOOK IS WORTH $ $ $ $S TO YOU AND THE PRICE IS ONLY ONE-HALF A DOLLAR

Order from

THE MEDICAL COUNCIL

N. E. Cor. 12th and Walnut Sts,, Phila., Pa.

Reed & Carnrick, 42 Germania Avenue, Jersey City, N. J., have issued a very handsome and interesting booklet, entitled "The Baby's Care in Health and Disease," by Edwin Leonard, Jr., M. D., of Boston. Each physician should have a copy. In this connection we wish also to call attention to the excellent work they are doing in their Analytical Laboratories, examining specimens of urine, sputum, scrapings, etc., for physicians, and reporting the findings. Send for their Table of Diseases of Kidney and Urinary Tract.

During an operation at St. Elizabeth's Hospital, Belleville, for removal of a huge sarcoma of the neck, Lanphear, of St. Louis, accidentally made a longitudinal incision in the internal carotid artery. Hemorrhage was, of course, furious for an instant, but was controlled by finger-pressure until the wound was closed with catgut sutures. The loose connective tissue of the region was sewn tightly around the point of injury to reinforce the stitches of the vessel-wall. The patient (a man of 63 years -hence the suturing instead of ligation) recovered without a bad symptom.-Amer. Jour. of Surg. and Gynecol.

English Pronunciation Puzzles.

The perpetual puzzle of English orthography is well set out in these verses:

There is a farmer who is YY
Enough to take his EE,
And study nature with his II,
And think of what he CC.
He hears the chatter of the JJ

As they each other TT,
And sees that when a tree DKK
It makes a home for BB.
A showman to the jungle went,

And caught a fierce young gnu.
Said he, "I'll teach him to perform
And sell him to the Zoo."

This man was very much surprised,
And quite delighted, too,
For, lo, each quick and novel trick
The new gnu knew.
-London Express.

The following refers to a professor of Materia Medica in one of our large eastern schools:

"Dr. L. B., in opening a small chancroid, slightly cut his index-finger. The injury was of such small apparent consequence that no attention was given the wound. In two days inoculation was manifested, and in four days the entire arm to the axilla was involved. Free incisions were made with little benefit. On the advice of a brother practitioner, Antiphlogistine was applied, covering the entire arm. At the end of twelve hours the dressing was removed and the inflammation had subsided. Antiphlogistine was not again immediately applied, but, the pain returning, hot application of bichloride solution was used, but with no abatement of pain, and the inflammation was again most rapidly assuming control. A second resort to Antiphlogistine was then decided upon, with most happy results. The arm again under this treatment assumed its normal condition, and all traces of the virus disappeared."-Internat. Jour. of Surg.

For literature, etc., address Denver Chem. Co., 451 Washington St., New York. Mention COUNCIL.

Martha, the colored washerwoman, was complaining of her husband's health to one of her patrons. The Christian Register reports the dialogue: "He's ve'y po'ly, ma'am, ve'y po❜ly. He's got dat exclamatory rheumatism." You mean inflammatory, Martha. Exclamatory is from exclaim, which means to cry out." "Yes, miss, answered Martha, with conviction, "dat's what it is. He hollers all de time."-Life.

Acute Gastro-enteritis.

Beauty Bath Salt.

The following preparation for health and beauty is said to be used by Sara Bernhardt and many other professionals: "One ounce, each, of spirits of camphor and ammonia water to one gallon of water; add common table salt to saturation. Use one tablespoonful of the solution to a bowl of water for a sponge-bath."

Doctor, do you smoke? If not, do you not often give advice to patients who do? Please see the full-page adv. of the Flower Health Cigar Co., Detroit, Mich., regarding their cigars, from which the poison-nicotine-has been extracted. Made in a model factory, under good sanitary and hygi

enic conditions. Write them for information.

The

Among the most popular novels of the present season, is one entitled "The History of Sir Richard Calmady," by a daughter of the late Charles Kingsley-a lady presumably of the highest culture, and certainly of more than average intelligence. hero of the story is described as having come into the world beautiful and perfect in body, with the exception of his lower limbs, which were crippled and monstrously deformed as the result of a maternal impression, his mother having listened at the door while his father, whose legs had been crushed by a fall from his horse, was undergoing amputation in the next room. The child, we are told, was born-" with his feet set right up where his knees should have been, thus dwarfing him by a fourth of his height "-a few days after the accident. Within those few days, therefore, a quadruple amputation must have taken place in utero, the legs have been disposed of in some inconceivable way, and the feet secured, by a thorough union of tissue, etc., in their unnatural position. Well, to borrow a remark of Mr Squeers, "It only shows what Natur' can do, sir. She's a rum un, is Natur'!"-Med. Times.

I am thoroughly satisfied with the results I obtain from the use of Peacock's Bromides. I prescribe them with much confidence, and, while I have seen others said to be "just as good." I do not tolerate them, but consider this a splendid recommendation for the preparatiou. Braymer, Mo.

H. A. SCHRAEDER, M. D.

"Sander & Son's Eucalyptol" is invaluable in inflammations of the mucous membranes and in all septic and infectious diseases. Sample and literature gratis through Dr. Sander, 88 Lincoln Ave., Chicago, Ill. Meyer Bros. Drug. Co., St. Louis, Mo., Agents.

Triacol (Alpers) is a wonderful remedy in diseased conditions of the throat, bronchi, and lungs. The benefits are quickly apparent. For literature, etc., address Alpers Chemical Co., 47 W. 31st St., New York. Mention COUNCIL.

Doctor, are you acquainted with the properties and uses of the Compound Stearates and their many combinations? This interesting chapter of inorganic chemistry, materia medica, and therapeutics is well set forth in a booklet, which will be sent to those interested by McKesson & Robbins, New York. Mention MEDICAL COUNCIL.

A Contribution to the Therapeutics of Anemic Conditions.

By Dr. HERMANN METALL, Assistant Physician to the General Polyclinic, Vienna.

[From Medicinisch-Chirurgisches Central-Blatt, Vienna, Austria, January, 1902.]

In the medicinal treatment of the various forms of anemia, whether it be essential chlorosis or the so called secondary forms arising from severe loss of blood and various diseases (tuberculosis, cancer, etc.), iron has always occupied the most prominent place. In the management of chlorosis, especially, the chief object is the administration of an adequate quantity of iron, since upon this depends the success of all treatment. As to the manner in which iron acts in anemic conditions, that is a secondary matter. Whatever be its mode of action, it remains an empirical remedy and yet one of incontestable value.

According to the unanimous opinion of many authors, the effect of iron in chlorosis cannot be replaced by alimentation. Reinert, Klein, Immermann, Ensli, and others, have shown that typical chlorosis cannot be cured in any other way, even by forced feeding. Some of them have made a series of very careful experiments for this purpose, and reached the remarkable result that during superalimentation, extending even over a number of weeks, the quantity of hemoglobin in the blood increased scarcely a few per cent., and remained permanently at this level. That this is actually so we daily convince ourselves in cases of chlorosis in girls of the wealthy classes. These girls, if placed on a full diet, accumulate more fat, while the chlorosis remains practically unaffected-it requires iron. The dietary therefore plays a subordinate part in the therapy of chlorosis (Klein), and is to be regarded only as an important adjunct to the

treatment.

I will now devote a few words to manganese, which is employed in combination with iron in some ferruginous preparations for the treatment of anemia. Hannon already directed attention to this metal, which is a constituent of healthy blood, and which besides iron has an important bearing on the absorption of oxygen by the blood In fact, experiments have shown that anemic conditions are most successfully treated with iron in connection with manganese. Chalybeate medication is materially aided and promoted by the addition of manganese. Efforts have therefore been made to introduce combinations of iron and manganese into therapeutics.

After laborious attempts, Dr. Gude, chemist, succeeded in producing such an iron-manganese preparation, which is easily absorbed by the entire intestinal tract, evokes no concomitant effects, and, as is illustrated in the following histories of cases, has proved an excellent remedy for the formation of blood. The preparation referred to is PeptoMangan (Gude). It contains iron and manganese in an organic combination with peptone, and is a clear fluid, resembling dark red wine, of an agreeable, non-metallic, non-astringent taste.

The advantage of this preparation is that it exerts a stimulating effect upon the blood-forming organs, these being excited to greater functional activity, and that the favorable effect manifests itself even within a short time by an increased oxygenation of the blood. At the same time, this chalybeate, as already mentioned, causes no diges

tive disturbances and does not injure the teeth. In regard to the daily dose of iron, Quincke maintains that it should range from 4 to 11⁄2 grs. of Fe. Most clinicians prescribe commonly 4 grs., which considerably exceeds the maximum dose recommended by Quincke. Some of them, like Niemayer and Trousseau, give even 7 grs. of metallic iron daily; hence Pepto-Mangan (Gude) should be prescribed in doses of one tablespoonful three times daily for adults, and one teaspoonful twice daily for children up to twelve years, after meals. Sour, fatty foods and red wine should be avoided during its administration. The preparation is much relished by all patients, and it is my custom to administer it to children in water, or, better, in cold milk with the addition of sugar, in which form it is very palatable.

[The Doctor quotes a series of 23 illustrative cases showing the benefits of the above outlined treatment.-ED.]

Summer Diarrheas of Children and Their Treatment.

By M, A. AUERBACH, Ph. G., M. D., New York City Medical Inspector, Department of Health.

Three forms, more or less distinct, can be recognized, viz., acute dyspeptic diarrhea, cholera infantum, and acute entero-colitis.

Acute Dyspeptic Diarrhea.

This disease is chiefly due to errors in diet, which do not necessarily consist in the substitution of unnatural foods for the mother's milk. The mother's milk may be altered in quality by emotional causes, by improper food and improper hygiene. Or it may be caused by over-frequent nursing. More often, however, it is caused by the ingestion of unnatural foods.

There are also predisposing influences which facilitate the action of the exciting causes. These are especially dentition and the extreme heat of

summer.

The prognosis among the better classes is commonly favorable, but among the weak, puny, and half-starved children of our lower east side large numbers perish, especially during the summer months.

The old-time treatment in these cases was a primary purge, calcined magnesia, or castor oil. After the purge, bismuth subnitrate or prepared chalk was given. Since the introduction of Glycothymoline (Kress) the above-mentioned methods have been cast aside. A very good and effective prescription, which has given me most splendid results in this kind of cases, in conjunction with a carefully-restricted diet, is:

R

Bismuth subnitrate

Deod. tr. opium.

Glyco-thymoline

Rose water

Misce et Sig.-Drachm j every three hours for a child one year of age.

Cholera Infantum.

A variety of acute catarrhal enteritis of intense severity, corresponding in symptoms and course to cholera morbus in the adult, but more serious in termination. Prognosis in these cases is at best not very favorable, although recovery is not impossible.

Treatment of these cases is of quite a different

nature from those above mentioned. In the first place the fever must be combated, and I know of no better method than a bath containing some Glyco-thymoline, at about 80° F., reduced by adding small pieces of ice to 70° or 65°. Next, to reduce pain, 100th of a grain of morphine sulphate can be administered to a child of one year. Stimulation with strychnia hypodermically, iced champagne to prevent vomiting, brandy, whiskey, and other stimulants.

One of the best methods for irrigating the large intestine is by introducing a small soft catheter through the rectum and injecting into the bowel about a pint to a pint and a half of warm water containing about 25 per cent. of Glyco-thymoline. This I find removes and prevents the reaccumulation of the fermentative as well as the putrefactive products of the bowel. Should, however, the hyperpyrexia continue, the douche may be given at a lower temperature. During convalescence great care must be taken in the feeding of the patient.

Acute Entero-colitis

is an affection of inflammatory nature more severe than dyspeptic enteritis, chiefly of the ileum and colon, affecting especially the lymph follicles. This like the preceding is a disease in the hot months of summer, and the period of teething especially. It is produced by the same causes as dyspeptic diarrhea. It is most frequent between the ages of six and eighteen months. It likewise may be a termination of dyspeptic diarrhea, or of cholera infantum.

Treatment.

The general surroundings and hygiene necessarily play an important part. The medical treatment, however, is somewhat different. Anodynes are more imperatively demanded because there is greater suffering, and depletion may be needed in the beginning, by salines, though good judgment is required because the child's strength must be watched. The colon should be flushed with a solution of Glyco-thymoline having a strength of 25 per cent. This I find answers admirably in these cases. The solution may be made with iced water. The coming teeth should likewise be watched, and the gums be scarified whenever required. [The author here reports several successful cases illustrating the above treatment.]

A Literary Curiosity.

Why all this toil for triumphs of an hour?—Young.
Life's a short summer-man is but a flower.- Dr.
Johnson.

By turns we catch the fatal breath and die ;-Pope.
The cradle and the tomb, alas! how nigh.-Prior.
To be, better far than not to be.- Sewell.
Though all man's life may seem a tragedy;-
Spencer.

But light cares speak when mighty cares are dumb,--Daniel.

The bottom is but shallow whence they come.-Sir Walter Raleigh.

Thy fate is the common fate of all;-Longfellow. Unmingled joys here no man befall;-Southwell. Nature to each allots his proper sphere.-Congreve. Fortune makes folly her peculiar care.-Churchill. Custom does often reason overrule,--Rochester. And throw a cruel sunshine on a fool.--Armstrong. Live well; how long or short permit to Heaven,Milton.

(Continued over next leaf.)