Creta Prep.

...

3ij.

Ms. S. Dust in shoes and socks, for sweating feet and corns.

Ms. S. Apply locally for four or five nights.

aa. gr. xxx.

3j.

3ijss.

gr. xv. gt. lxxv.

aa. 3ss. Ziijss.

For those preferring an ointment, the following is sug

Ms.

gr. xxx. 3ij.

gr. ij. žj.

S. Apply nightly for four or five nights, then soak foot

in warm water and lift out the corn.

CONDITIONS, OR NAMES, WHICH?

BY Q. CINCINNATUS SMITH, M. D., OF SAN DIEGO, CAL.

IN the Medical Record for Sept. 23, 1905, Dr. H. S. Stark advises the treatment of the individual patient, in diabetes mellitus, rather than the arbitrary treatment of the disease by stereotyped methods" (italics ours).

It is no credit to physicians that Dr. Stark should have thought it necessary, at the present day, to admonish us as in the foregoing quotation, for if we were not all taught to treat patients, having due regard for their conditions rather than the names, real or supposed, of their diseases, we certainly should have been so taught.

But it is possible that some physicians - Regulars, too— were not so taught, as we sometimes receive inquiries from such physicians, asking directions for our very best treatment" for typhoid fever or consumption; just as though we were a retail dealer in treatments, and had some to sell at $5, better at $10, and best at $15 each, trimmings thrown in.

The principles involved in a proper solution of the foregoing problem are so unmistakably and emphatically plain, that we would not consume valuable time and space to mention the matter did we not see so much routinism indicated in many medical journals, even down to the present.

As physicians, we, like Job of old, should "set our hearts to find out the causes of things," and treat accordingly.

LATENT RHEUMATIC CONDITIONS.

BY J. R. PHELAN, M. D., OKLAHOMA CITY, OKLA.

Ir is during the spring months more particularly that the physician is called upon to treat patients, who, though not ill enough to be in bed, are not at all well. Their appetite is capricious, they sleep indifferently, or even if they sleep soundly they are not refreshed, and in the morning they are almost as fatigued and ill at ease as was the case on retiring. Upon awakening there is frequently an aching sensation in the loins, sometimes in the lower limbs, which may partially wear off as the day progresses, but there is at all times a vague, undefined, uneasy, painful feeling.

The symptoms are very much like those experienced in malaria, but the causes are entirely different and a different treatment is necessary.

This condition arises from the fact that in the spring the eliminative functions do not present their usual activity, owing to the torpor and locked-up secretions which have existed during the winter months, when the skin neglects its duties and the kidneys are overworked.

If the condition remains neglected, the probable result will be sooner or later a pronounced attack of rheumatism or grip in one or another of its forms. All that is needed to induce such an attack is a sudden change in the weather, or the exposure on the part of the patient to cold or wet, or to a combination of both. This is due to a latent rheumatic diathesis to which every adult is liable.

The necessity of a powerful eliminant in every prescription for rheumatism and grip is self evident. While anti-pyretics and anti-periodics may slightly stimulate the excretions and relieve congestion, thereby controlling certain features of the disease, a complete cure cannot be expected until the poisons are thoroughly eliminated from the system and the diseased organs enabled to resume normal functions.

In the treatment of all rheumatic, neuralgic, and grippy con

ditions, Tongaline, by promoting the absorptive powers of the various glands which have been clogged, and by its stimulating action upon the liver, the bowels, the kidneys, and the skin, will relieve the pain, allay the fever, eliminate the poisons, stimulate recuperation, and prevent sequelæ.

Abstracts.

CHRONIC AND RECURRENT COUGHS AND THEIR TREATMENT.

ABSTRACT OF ARTICLE BY J. E. ALTER, M. D.

IN treating coughs we quite often encounter obstinate cases, which, no matter what combative measures may be instituted, will continue without abatement. Such cases are best classified as the chronic cough and the recurrent winter cough. Both of these classes are extremely obstinate in their course and yield reluctantly to treatment. They are usually of long duration, and while not in themselves directly dangerous, may become so by inducing emphysema and bronchiectasis.

In the great majority of chronic and recurrent winter coughs, the basic trouble lies in a low form of inflammation of the bronchial mucous membrane, especially that of the bronchioles.

In many cases I have used codeia, but lately I have been having much more success with another derivative of opium, i. e., heroin. In comparing the results obtained from the use of these two drugs, I notice that heroin will not constipate the patient, nor will it have the stupefying effect characteristic of codeine. Another advantage possessed by heroin is that it is effective in young children in very small doses.

I had been accustomed to prescribe heroin alone, but about a year ago my attention was called to a preparation of that drug -Glyco-Heroin (Smith). Upon giving it a good trial I found that it gave me better results than obtained when heroin alone was given, and much more quickly. Glyco-Heroin (Smith) has

one distinct advantage over plain heroin, in that it can be given. for a long time without ill effects, and in the class of patients in question this is, indeed, a most important feature. During the past year and a half I have treated a number of cases and recurrent winter coughs with Glyco-Heroin (Smith), and have obtained uniformly good results.

Example. — A. L., salesman, aged 28. I saw this patient early in the spring of 1903. He is robust and of good habits. He consulted me concerning a constant cough which had troubled him for over a year. It was usually worse in the morning and after meals, and accompanied by expectoration of thick mucopurulent matter, sometimes blood-stained, and especially so after a severe paroxysm. This circumstance preyed upon his mind. considerably he thought he had consumption. I learned that he had had a severe attack of acute bronchitis during the spring of 1902, and had been coughing ever since. Physical examination excluded tuberculosis. The diagnosis was chronic bronchitis, sequential to acute. The patient was immediately put on Glyco-Heroin (Smith), and the same hygienic measures ordered as in Case 1. Here again the financial condition of the patient precluded change of climate. In addition to the GlycoHeroin (Smith) the patient was given syrup of hypophosphites as a tonic. I did not see him again until last October. He then reported himself absolutely free from cough. He continued taking the Glyco-Heroin (Smith), and during the present winter has not experienced any return of the trouble. In this case a complete cure was effected by means of quieting the cough and stopping the irritation of the mucous membrane, in this manner allowing the restorative powers of the body, aided by the tonics and good hygiene, to accomplish a cure.

Example.- Miss R. M., aged 24, teacher. This lady had been coughing ever since she was nineteen years of age. At that time she had had an attack of rheumatism with a complicating bronchitis. After the acute condition had moderated, she continued to cough, the cough being very annoying in character, spasmodic and prolonged. After each paroxysm she was left in a state of exhaustion. During the attacks she urinated invol