nervousness, and promote sleep. I then tried protonuclein special powder after the usual cleansing of the parts with a spray of hydrogen peroxide or bichloride or other antiseptics, according to the condition. I covered burned flesh and bones with the protonuclein special, and then each finger separately with strips of lint covered with unguentine and later with vaseline. Over this, cotton and thin bandages. These dressings were changed three or four times a day with most encouraging results. There was less pain, granulations became very prolific, and in a week they encroached considerably over the bare bones, fully hand three times a day, the burned bone began to separate round its edges, and in a few weeks I was able to remove the burned portions in toto from the first, second, and third fingers. One of these pieces was 18 mm. by 2 mm. As soon as foreign bodies were removed, the new bone, which had been forming underneath, quickly became covered with granulations, and in a few days with integument, making complete fingers. Of course, the capsules, ligaments, and tendons are wanting, and instead we have granulation tissue filling in and covering the articulations and bones. No. 1 shows the hand as it appeared two weeks after being burned when burned flesh had separated, No. 2 shows hand one week after using Protonuclein Special Powder, 'showing beginning granulations. an eighth of an inch. When granu- Continuing the protonuclein, dressing With the above treatment at no time did the hand become congested or swollen. Internal treatment consisted of giving calcium sulphide, bromides aud calomel, and other remedies as were indicated from time to time. She was under treatment between five and six months, and it is now over a year since she was discharged well, and so far no cicatricial contractions have shown themselves. She is able to write and do all kinds of work with the hand, as is seen by a photo of her present condition. If this case will teach others as it taught me, that we must as far as possible save the limbs of those who are dependent upon them for their daily bread, I shall feel well repaid. 316 Camphor-Carbolic Mixture.-Price and Tibbetts Communications. "A Cheap and Effective Antiseptic." TO THE MEDICAL COUNCIL: In your August issue you make favorable mention of an article under the above caption. We have used it for the last eight or nine years and found it very efficient. We prepare it in our own office and after the following formula: To 495 parts of pure camphor we add 505 parts of pure carbolic acid; solution instead of crystals. This, on standing a few hours, forms a limpid, bright, highly-refractive volatile fluid of a hot, aromatic not unpleasant taste, differing from its constituents, and has an odor in which camphor predominates. It is insoluble in water, which will decompose it, slightly soluble in glycerine. It is soluble in alcohol, ether, and chloroform, and the oils-animal, vegetable, and mineral-and freezes at very low tempera tures. When applied to the unbroken skin it produces no sensation save warmth, which is followed by a coldness as the oil volatilizes. If, however, it be covered with oiled silk it acts as a vesicant, accom panied by a burning sensation, which, however, does not last long, and is followed by local anesthesia. Applied to raw surfaces burning is produced, lasting a few minutes, and is then followed by local anesthesia. Experience has proven it to have antiseptic, antizymotic, germicide, and healing properties of the highest order. It is absolutely non-toxic and non-irritant. Pour it into any kind of a wound (we never use it in a body cavity) or sore and you have the finest healer known. [THE MEDICAL COUNCIL, through this county not many years ago selling territory for the use of a secret remedy for the cure of piles. He got as quack, but a genuine, gentlemanly doctor high as $300 for a county. He was no who had a good, sure thing and knew it. This $300 remedy was a few drops of this same camphor and carbolic acid. It may be used one part of this compound to two of olive oil, or you may use four or five of the compound alone. It cures piles. My experience with this drug is so varied and satisfactory that we keep a bottle of the homemade article always ready. M. G. PRICE, M. D. TO THE MEdical CouNCIL: I wish to say of the camphor and carbolic mixture spoken of in August COUNCIL, page 295, that I have used it in a great many cases, and it will do wonders. Applied freely to burns, it stops pain at once. bruises, toothache, lameness, and anyUse it for cuts, where as you would any liniment. It is safe to put in the eye, if necessary. Poured on the stump of a finger after amputation, it leaves an absolutely painless wound and promotes healing. As there is no formula given I will give mine. I usually take a pint bottle of carbolic acid and put in the space left at top an ounce of alcohol; set the bottle in warm in warm water and heat until all is liquified. Into a 4-ounce graduate pour 1⁄2 ounces of the acid. Cut the campher into thin slices and fill up to the fourounce mark. Stir until dissolved and bottle. After using this a few times you will never be without it. I like what Dr. Boynton says about brevity; those are my views exactly. J. T. TIBBETTS, M. D. Hyde Park, Mass. It may be injected into the tissues for the abortive treatment of anthrax and abscess formations. It has been thrown into the knee-joint for tuberculous affections without the slightest harmful result. For the destruction of pus loci it Now, at the beginning of the fall season, we is superior to kreolin or H2 O2. For especially desire articles relating to diseases of the compound fractures no remedy with respiratory tract, and conditions especially prevawhich we are acquainted is half so good. lent in cold weather. Let us have your helpful A traveling "pile doctor" passed ideas confirmed by your last season's experience. Treatment of Hypertrophied Tonsils. also actual sugar reactions may occur TO THE MEDICAL COUNCIL : I think it my duty to reply to Dr. W. H. Williams on hypertrophied tonsils. What he wrote is good and worthy of our attention. I find what he wrote in the March number (p. 94). All seems to be good but a portion of his treatment. I believe it would be "a sin and a shame" for me to cut out a tonsil, or to apply a strong per cent. of nitrate of silver. I was in favor of cutting them out ten years ago, but I discovered my mistake. I found, by cutting them, that I destroyed that nice mucous membrane, which never is replaced. I hope that my dear brother will try electricity. If he will take the electric needle at a high heat and puncture the tonsil in the center, or puncture in two or three places, he will find the tonsil disappear in two or three weeks. This treatment is only for chronic tonsillitis. I do not find it necessary to apply the electric needle more than once or twice, and this is almost painless. For the acute form a poultice and internal treatment. I find it well, in most cases, to first give calomel, and a little bicarbonate of soda with it, and then give: Ꭱ Ammoniæ muriatici Mist. glycyrr. com. (or Brown's 3jss 31 iv M. S.-One teaspoonful every four hours to a child ten or twelve years old.", It is sometimes necessary to give aconite or ipecac. J. R. ANDERSON, M. D. Martinsville, Va. On Sugar in Urine without Evident Cause. TO THE MEDICAL COUNCIL: Regarding "Sugar in Urine Without Evident Cause," July issue, Dr. W. would have given a better basis for discussing his cases had he given the total amount for twenty-four hours, the spec. grav., and the amount of urea; also, had he stated the tests used and what controls, if any. Reactions simulating sugar, due to the reagent, its manipulation, or the accidental presence of sugar in the bottle containing the sample. Thus, with Fehling's, through other constituents in the urine, deterioration of the reagent, or error in manipulation, a reaction might occur which is similar to, and could readily be taken for, glucose. In the fermentation test, some occasionally use dry yeast, which at times works accurately, but usually there is conversion of its constituents, followed by fermentation. Hence, it is not reliable, and only compressed yeast should be used. If there is any evidence of glycosuria, at least two different tests should be made, each with the same result, before deciding positively; and if a reaction for sugar is given, then, whether there is other evidence of glycosuria or not, it should not be so marked until at least one other reliable test gives the same result. I prefer the fermentation test, with a control in a saccharometer to affirm any of the other reagent tests, as it gives both quantitative and qualitative at one manipulation. Then, if sugar reaction is confirmed, repeated examinations should be made, as suggested by the editor of THE COUNCIL, to ascertain if it is permanent, before the applicant is "turned down." This is from my experience in several similar cases. Holland, N. Y. C. A. BUTTON, M. D. Enteric Hemorrhage Stopped by Internal Use of Gelatine. Mercurial Poisoning Held in Check during Typhoid. Mrs. H., age 24, was "feeling poorly," and took by mistake, for a dose of salts. a preparation containing bichloride of mercury intended for vaginal injection. Vomiting immediately followed and continued persistently, for which I was called. The mercurial poisoning was severe, but was controlled. The "feeling poorly" developed into a severe case of typhoid is sound. It is one case, and its lesson will be enhanced in value by the addition of many others. Concerning the recurrence of symptoms of mercurial poisoning, he may be right. We also suggest the possibility of the typhoid fever baving had a prohibitory effect, just as the intervention of a secondary disease often temporarily abates a primary or preexisting affection. May not the tonsillitis have been held in abeyance during the activity of the typhoid fever ?—ED.] fever, the roseola extending over the whole body nearly as thick as a mild case of measles. On the fourteenth day, she had a profuse hemorrhage from the bowels, followed by two others of a less degree within thirty-six hours. Ergotine and digitalis were given, which checked it. Afterwards turpentine was also given with better effect, but still there was oozing, evidenced by a portion of the stools being black, tarry, and sticky, and by prostration. I finally made a preparation of gelatin, with water, of a consistency that would barely remain fluid at 120°, and added to it turpentine (m xx to 3j), and gave of the mixture one tablespoon- Three Cases of Creosote Treatment ful every half hour for five doses, and every six hours for three days thereafter. The hemorrhage stopped promptly, and did not recur, and she rallied from the prostration. Now this is but a single case, and the hemorrhage may have been stopped by the other remedies coincident with the administration of the gelatin. But when given the desired result was so prompt and so happy that I attributed it to the gelatin. of Pneumonia. TO THE Medical CouNCIL: D. M; æt. 40; male; white; pneumonia of L. R. lobe. February 8, 1902, 3 P. M. T., 104°; P., 116, strong; R., 35. Calomel and podophyllin purge, quin. sulph., gr. iv, every 4 hours; zomaky ne, gr. v, every 3 hours from midday to midnight. Expectorant mixture: Ammon. chloride, fld. ext. ipecac. and tr. hyoscy ami. 9th, 3 P. M. T., 103°; P., 110, weak; R., 40, shallow; rusty sputa; gr. strych. sulph. every 4 hours in addition to the above. Incidentally, I will mention an exhibition of the effects of the mercury. All symptoms of the poisoning disappeared about the tenth day, to suddenly and severely reappear on the twenty-ninth day, on the morning of which the tem- 10th. T., 102.75°; P., 120; R., 35; perature was 99.5°, pulse 115, and general very restless. Expectorant mixture dissymptoms indicating convalescence. In In continued; zomakyne every 4 hours, as the evening, to my surprise, I found the above. Quin. changed to 6 hours; stry ch. temperature 106.5°, pulse 200, breath continued; commenced use of whisfetid, some salivation, and mouth and key and R, Creosotal, zij; ammon. salinose very sore, followed by sloughing cylate, zij; mucilage acaciæ, ziij; teafrom the tonsils. Evidently a portion of spoonful every 2 hours. the mercury had become deposited in some portion of the system, where it remained inert until it was suddenly reabsorbed to manifest itself again. The patient finally made a good recovery, and was dismissed on the fortysecond day. JOHN R. MCCARTEY, M. D. Fredonia, Pa. [The doctor's reference to the possibility of the giving of gelatin and the stoppage of hemorrhage being a coincidence 11th. P., 110, ; T., 102°; R., 30. Cough easy, expectoration free, skin moist, zomakyne discontinued, other continued. 12th. 9 A. M., T., 100°; P., 90; R., 25. Passed very restless night, slept from 6 A. M. to 9 A. M. Sweat excessive. Quin., tonic doses; strychnine continued; creosotal mixture every 4 hours. 13th. T., normal. Pulse, 80. Slept well. Creosotal mixture three times a day. Syr. hypophosphites com., 3jevery 4 hours. Crisis on morning of 5th day, 2d day of using creosotal. G. N.; male; white; æt. 28; pneumonia two lower lobes R. side. February 17th, 5 P. M. T., 103°; P., 110, strong and bounding; R., 30. Cough incessant. Sick week prior with la grippe. 16th, chill. Cal 17th, A. M. Chill; went to bed. omel and podophyllin purge; gtt. viij of beechwood creosote in capsule every 2 hours. Quin., gr. v, every 4 hours. Zomakyne when temperature reached 103° (family had thermometer). 18th, 19th, 20th. No change, except T., 102.5°, which was highest temperature. Zomakyne, gr. ijss, when highest point was reached. 21st. T., 102°; P., weak. Strych. sulph, gr., every 4 hours. Whiskey between. Cough not troublesome. Expectoration free, less characteristic. Creosotal in place of creosote. 22d, 7 A. M. T., 99°; rested well; 8.30, bidly frightened; 10 A. M. (I saw case), T., 104; P., 125; R, 40. T. reduced to 102° by zomakyne. 23d, 11 A. M. T., 101.5°; P., 130, weak; R., 40 to 50. Quin., creosotal continued. Strych. sulph., gr. 3%, tinc. digitalis, gtt. X, every 3 hours. 24th. No improvement; no signs of resolution; no cough nor expectoration; so add to treatment: R, Kali iodi., ss; aromat. spts. ammon., zj; aquæ, q. s. 3 iv. M. S.-Teaspoonful every 3 hours. Emp. cantharides, 6x8. 25th. T., 101.5°; R., 40; P., 128. Coughing and expectorating muco-purulent sputa. Treatment continued. 26th. II A. M. About the same. 9.30 P. M., cardiac failure, and another had passed to the great beyond. L. M., male, white, æt. 7, pneumonia L. left lobe. February 16th. Chill, followed by high fever. Monday had a cold and felt badly; said no fever Tuesday A. M. 18th. Chill, fever not disappearing Wednesday A. M., was called 5 P. M. T., 104°; P., 125. Very restless, skin dry. Calomel purge. Quin., gr. ij, every 5 hours. R, Creosotal, zij; syrup., 3v. M. Sig.-Teaspoonful every 2 hours. Fever mixture: R, Citrat. potas., gr. v; spts. ether. nitrosi, mv; fluid ext. aconite, gtt. ss, every 2 hours. Once a day I saw the case-morning one day, evening the next. Cough moderate, rusty sputa, skin slightly moist. T. and P. about the same each day at my visits. 22d. Add tinct. digitalis to fever mixture. 23d (morning). T. normal, discontinued fever mixture, kept up creosotal mixture every 4 hours. Quinine twice a day. Said I would not call anymore unless sent for, and it was never required. In conclusion, I would state that moist skin, lower temperature, and desire for food were points that impressed me most. I failed to see cases terminate as early by said treatment as has been reported. CLINTON TOy, M. D. Mineral, Texas. Experience Hints. TO THE MEDICAL COUNCIL : (1) Quinine may increase menstrual flow, if given prior to the period. (2) Caffein in large doses may bring on menstrual flow after the same has been suspended by pregnancy and lactation. (3) Tablets with sharp edges are difficult to swallow. Manufacturers should take this hint and make oval tablets. (4) Several manufacturers furnish sharpedged hypodermic tablets that get stuck in the tubes, causing delay at critical times. The writer has reminded the m of this by letter, but they don't catch on, although their tablets do, and hushed' profanity is liable to result. (5) Certain manufacturers use strips of tissue paper to fill tablet and pill bottles. Sometimes it takes ten minutes' "fishing" to get these out. Cotton, if in one slender strip, comes out easily, thus saving time and temper. (6) Sometimes a doctor should not openly notice trifles. For example: Called to a sick child. Mrs. Know-it-all is there. If she becomes your enemy, you will lose money. It is a good rule to treat her like any other woman. Be polite and attentive to every one, but not more so to her than to others; then she will respect you. (7) A physician should praise merit in a nurse whenever he finds it, but every |