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physician.. I arrived at the hospital four hours later in company with the well-known gynecologist, Dr. Mendez Capote, who, upon having examined the patient, decided to sew up the lacerations. He washed out the vagina and uterine cavity completely; adjusted with the scissors the edges of the lacerated tissues; sewed up the wounds and touched the ulcer at the neck with a cauterizer; then he gave another wash and plugged with iodoform

gauze.

When the patient was on the operating table, she had fever, 38.4° C. At 5 p. m. the fever was at 39°; then the vaginal plug was taken out and a great intra-uterine wash of a one-half per cent solution of permanganate was applied very hot in a quantity of five liters. The fever was at 40° throughout the night, and washes were given every four hours.

The following day, at 8 A. M., temperature 40°, same local treatment. The fever lasted all day, falling to 39° by the wash, but rose again to 40°. The day thereafter, fever at 41°; same treatment with more vaginal washes of bichloride of mercury, before the uterine washes; the fever keeps on at 41°.

On the next day at 8 A. M., [temperature 41.5], I took out the stitches made on the day of confinement, washed well both uterus and vagina, dried the latter with carbolated cotton and conveyed into the uterine cavity eight grammes of pure Hydrozone, taking care that this liquid should flow towards the vagina, into which I poured about 60 grammes of the same liquid and drained the uterus with simple gauze saturated in Hydrozone, while the vagina was drained by the same means.

From that time on the fever declined slowly, and at 6 P. M. it was apyretic. The fever did not return and the patient's cure proceeds without further difficulty.

This case, which is interesting by itself, proves of great value in setting forth two points; viz.:

1. That, although the intra-uterine injections of pure Hydrozone may be dangerous, it can be applied if care is taken to keep the neck dilated as much as possible.

2. That in this case the superiority of Hydrozone over the other treatments of puerperal septicemia, in connection with gonococcia, is indisputable; and that this splendid result should encourage repetition of its application. Dr. Matias Duque, Director of the San Antonio Hospital, Section. of Hygiene. Abstract from the Revista Medica Cubana, April 15, 1903.

The indications for this remedy are mainly clinical, and it is generally useful in cases of malnutrition, emaciated and scrofulous children. In ulcers or abscess of the cornea, accompanied by pus in the anterior chamber (hypopion) in scrofulous, cachectic and poorly nourished persons. In eyes which, after some sthenic process, pass to the other extreme and exhibit a slightly reduced tension.-Arena.

BOERICKE & TAFEL,

Homeopathic Pharmacists
Importers and Publishers.

.. Business Established in 1835..

OLDEST AND LARGEST

HOMEOPATHIC PHARMACY.

The only Homeopathic Pharmacy in the United States that has been awarded Prize Medal at International Exhibitions.

The Centennial Philadelphia, 1876.

The Cotton, New Orleans, 1884-5.

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The finest results are obtained from high class Homeopathic Medicines. The highest class Homeopathic Medicines are those prepared by this firm. Their fresh plant tinctures are made from Fresh Plants. All of their 1x triturations receive not less than four hours triturating, and each succeeding X receives not less than two hours triturating. Their tablet triturates are made from these triturations and are not equalled by any others. THE PRICES ARE REASONABLE FOR

HIGH CLASS MEDICINES.

Physicians Price Current sent Free on Request, to Physicians and Medical Students only. Correspondence respectfully solicited.

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CONTENTS.

ORIGINAL ARTICLES.

DEPARTMENT OF EYE AND EAR-By G. N. Seidlitz, M. D., St. Louis, Mo............ DEPARTMENT OF NOSE, THROAT, LUNGS AND HEART-By J.Martine Kershaw, M. D., St. Louis

EDITORIAL.

PAGE.

385

387

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OBSTETRICS. A TEXT-BOOK for the Use of Practitioners and Students. By J. WHITRIDGE WILLIAMS, Professor of Obstetrics, Johns Hopkins University; Obstetrician-in-Chief to the Johns Hopkins Hospital; Gynecologist to the Union Protestant Infirmary, Baltimore. 8vo. 820 pages. Illustrated. Cloth, $6.00. Sold only by subscription. The work contains 630 half-tone drawings and 16 full-page plates. Most of the illustrations are original, and have been prepared with special reference to their instructive rather than their artistic qualities.

THE SURGICAL DISEASES OF THE CENITO-URINARY ORGANS. By E. L. KEYES, A. M. M. D., LL. D., Consulting Surgeon to the Bellevue and the Skin and Cancer Hospitals; Surgeon to St. Elizabeth Hospital, formerly Professor of Genito-Urinary Surgery, Syphilology and Dermatology at the Bellevue Hospital, Medical College, etc.; and E. L. KEYES JR., A. B., M. D., Ph. D., Lecturer on Genito-Urinary Surgery, New York Polyclinic Medical School and Hospital; Assistant Visiting Surgeon to St. Vincent's Hospital; Physician to the Venereal Clinic, Out-Patient Department of the House of Relief of the New York Hospital, etc. Cloth, $5.00. Sold only by subscription. With One Hundred and Seventy-four Illustrations in the Text and Eleven Plates, eight of which are in Colors.

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HE choosing of an Alma Mater is the most important step in ob-

taining a medical education. It should be done only after making careful investigation and comparison of the different schools. There is a greater difference between schools than the student realizes. Systematic gradation of studies, the method of utilization of clinical material, the thoroughness and the character of Homeopathic teaching are all important features to the student.

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In order to get every Homeopathic physician to know its merits
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The Medical and Surgical Reporter,

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the most careful and critical comparison of this work with that of other schools. We believe that our curriculum, clinical facilities and general methods of teaching are far in advance of other Homeopathic Schools. Send for an Announcement.

Cleveland Homeopathic Medical College,

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We will give one year's subscription to the Ren for names of three prospective medical students.

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