First

breast in 1900. Fibre-myoma; some malignant foci. seen in February, 1904. Right arm swollen from shoulder to wrist; a smaller tumor at clavicle; a larger, posterior to axillary line from fifth to eighth rib. All yielded under fluid extract and the x-ray, which was not taken regularly. The patient began to travel extensively. Returned November 1 because of bleeding from the left nipple. This flattened and depressed upon the greatly enlarged areolar portion, protruding about one and a half inches. The enlarged breast contained an incipient soft tumor fully three inches in diameter, and a few drops of bright red blood exuded upon pressure. In spite of some further interruptions by traveling, complete restitution of this breast to normal took place by February, 1905. This tumor of the breast recurred in August, 1906, but then yielded to five treatments. The other incipient tumors were gone, but upon return to the city some further protective treatment is to follow.

Case 5-Mrs. W. E., æt. forty-nine. Amputation of left breast in 1898. Second operation was performed in 1902. Severe x-ray treatment was employed for about one year. She then contracted the morphine habit on account of pain, and was in a most critical condition when first seen by the writer in April, 1904. Through pressure of a rather firmer tumor, extending inward from the anterior third of the left clavicle upon the bronchus, the recurrent laryngeal, the pneumogastric, and phrenic nerves. There was dyspnea, threatening suffocation upon slightest exertion; small and large moist râles. There was nearly complete suspension of the gastric functions with corresponding emaciation and debility. There were peculiar high-pitched and almost incessant eructations, mostly dry, but at times bringing up a bland neutral fluid. There were glandular nodes extending from above the left clavicle and scapula up to the occiput, and a large circular, and smaller sessile hard plaques in the right breast with chains of enlarged glands extending into the axilla and upwards on the neck. The left arm was swollen from the shoulder to the fingers, the first two phalanges inclusive. The skin was tensely expanded with hydropic color and luster but hardly pitting, and excessively painful, especially at the elbow and the circumflex point of the humerus. The cicatrices of the left breast were indurated and firmly adherent, and a

dense network of telangiectases was present over the space from clavicle to the fifth rib and from the sternum to about the nipple line. There was menorrhagia, a fetid leucorrhea, but no albuminuria.

Treatment had to begin with oxygen inhalations for this dyspnea and threatening suffocation; also four tablespoonfuls of the fluid extract daily, continued till October. Under these sufficient improvement had taken place by May 7 to be able to ride four miles to the office for a resumption of proper x-ray treatment, twice weekly. There was early disappearance of the dyspnea so that oxygen could be suspended. There was very slow diminution in the size of the clavicular tumor and of the force, ring, and frequency of the eructations. In July there was a cessation of the menorrhagia with gradual disappearance of the fetor, and nearly complete subsidence of the leucorrhea. The swelling of and pain in the arm decreased sufficiently for the voluntary abandonment of the morphine by October. The gastritis was very obstinate, necessitating the greatest care in diet, but there was still sufficient increase in strength in July to enable her to attend to her household work, and take outdoor exercise, participating in a country excursion. By November the telangectases were nearly gone and the previously large and smooth clavicular tumor had nearly gone and was outwardly reduced to bean-sized nodules, kernel-like. The plaques in the right breast became mobile and smaller and the râles greatly diminished, although at times there was considerable expectoration, and eructations were rare. Interruption of treatment by a rheumatic attack beginning in October with an abnormally heavy oxaluria, followed by albuminuria with hyaline and granular casts-nephritis, fully developing, ended the life of the poor sufferer a few months later.

Case 6.-Miss P., age about thirty-five. Amputation of the right breast in 1904 for carcinoma. Metastasis, developing in the left breast in 1905, disappeared by treatment upon advice. of Dr. Robert T. Morris with the fluid extract and x-rays. On amputation later of the same breast, for safety, only healthy tissue could be found.

Case 7-Mr. F. J., æt. sixty-two. Right colostomy for complete obstruction in February, 1905. Laparatomy a week later revealed an inoperable adeno-carcinoma of the sigmoid flexure and upper rectum. Prognosis: early fatal issue. Be

gan April 4 with x-rays by writer at first three times weekly, gradually less often. The fluid extract in doses of at first three tablespoonfuls daily, then two, then one; during the hot weather of 1906 one-half of one. Two secondary tumors, apparently by extension at first; one filling out the iliac fossa; bulging out; the other in the anterior rectal wall. These two have disappeared. The initial proctitis subsided last summer, It reappeared this summer following attempted internal cataphoresis, but together with some pain disappeared since using Dr. Geyser's rectifier. With employment of Dr. Robert T. Morris' rubber-ball closure last spring, normal passage of all feces. At this writing, September, 1906, the very active patient looks on his wheel, or launch, or sometimes at hard labor, the picture of robust health. Weight 178 pounds, a recent gain of 6. Treatment continues.

319 W. 45th St.

A PROPER RECOGNITION OF PHYSICAL MEASURES IN THE TREATMENT OF NEURITIS.

NEURITIS, too often referred to by authorities as neuralgia,

has in the past been one of the banes of the profession; and from the reading of the literary contributions of some of our best known medical authorities it would seem that even now the profession at large is at sea for a means of radically treating this painful neurosis. Not so, however, is it in the hands of the members of the profession who, having learned how to localize the lesion, and therefore not being misled by the referred peripheral pains, are treating with physical measures the local inflammatory process. Those who command a virile method of treatment do not fall back upon rheumatism as a cause or the rheumatic remedies as a screen for inability to cope with the condition.

There is probably no lesion more promptly responsive to the correct treatment than the early diagnosed and localized neuritis, or more stubborn and resisting to an unscientific management. In the very early stages, except in deep-seated involvements, as in the pelvis or chest cavity, the administration of intense radiant light, and heat, or prolonged administrations (four to five hours consecutively) of dry heat, is capable of aborting the process. When, however, the lesion has progressed for a week or so, the product of the inflammatory process has been thrown out into the intercellular spaces and sheath surrounding the lesion; when more energetic measures will be demanded. Probably no agent will so well meet the indication of such cases as the static modalities, associated in chronic cases with the x-ray for promotion of the absorption of the organized exudates. The static wave current and static sparks are capable of curing any uncomplicated case of acute neuritis of not more than two weeks' standing within the period of time that it has been present, in all cases in which the lesion is exterior to the cavities of the body. This effect has been. confirmed over and over again in the hands of all those who understand the employment of these measures, and yet many of

the leaders of medical thought still fail to recognize this truth. Those who follow only the therapeutics of climate, drugs, and diet, must be brought to recognize the truth, as to the energetic effects of the physical agents in therapeutics; both for the preservation of the virility and reputation of the profession at large, and especially for the sake of suffering humanity.

RECOGNITION OF ELECTRO-THERAPEUTICS BY THE MEDICAL PROFESSION.

WE

E note with satisfaction the step taken by the great British Medical Societies-The Academy of Medicine, and the British Medical Association-in adding sections devoted to Electro-Therapeutics to their departments, the leadership of which has been placed in the hands of men who have been honorably active in the promulgation and advancement of this long neglected department of medical science.

It is to be hoped that this example set by the English members of the profession will not go unobserved and unheeded by the officials of the American Medical Association who to this time have ignored appeals made by the earnest workers for the institution of a section of Electro or Physical Therapeutics.

The broadening spirit of the so-called electro-therapeutists in this country, through the action of the American ElectroTherapeutic Association, the oldest electro-therapeutic organization in the world, is now evident from the fact that it has taken the initial step by instituting the consideration of other physical measures, in its sessions, and by taking steps at the last session to change the name so that it will nominally include the other departments of physical therapeutics.

A section was formed Wednesday evening, March 20, in the New York Academy of Medicine, under the title of the Section of Therapeutics, through the efforts of gentlemen interested in the advancement of physical therapeutics. This step means a still broader conception of the recognition of these valuable therapeutic measures, in the general field of therapeutics, where they properly belong. So also we might consider it possible that the American Medical Association in its Section of Thera-peutics might recognize the efforts of the members of the