obtained by proper dosage. Papine does not produce nausea, but rather prevents this symptom. In the event of the development of of more or less prostration, a proper stimulant, such as strychnine or nitro-glycerine, should be judiciously employed.

Gynaecology in Nervous Disorders. Many nervous troubles in women have their origin in affections of the genital organs, and hence in order to effect a permanent cure the condition of the latter must be carefully inquired into and corrected. Neurasthenia, epilepsy, various types of neuralgia, and even insanity, may be caused, or, at any rate, markedly aggravated by reflex irritation from uterine or ovarian diseases. While in some instances cures have been reported from surgical measures in these cases, failures have been far more frequently observed, and especially is this true of cases of insanity. It is certain that much more promising results can be secured from topical medication of the affected genito-urinary tract. in the earlier stages of the case, when it first comes under the care of the general practitioner. A prompt resort to local treatment is much more likely to effect a cure than subsequent recourse to mutilating operations. A plan of topical medication, that is particularly adapted for these patients, consists in the use of Micajah's Medicated Uterine Wafers. Their application is most simple, convenient, and so cleanly that they are well tolerated even by the most sensitive patients. Under their use the congestion and inflammation of the affected parts gradually subsides, the irritation is allayed, and the mucous membranes regain their normal tonicity. Conformably with the disappearance of the genital disease the nervous symptoms vanish, and if this local treatment is combined with the use of nervous tonics, hygienic regulations, proper diet, etc., a complete restoration of health can usually be expected.

A Mark of Progress.--One fact of enormous importance that has been developed by the widespread discussion concerning the proper treatment of infantile diarrhoea is, that it is positively harmfu! to administer food until the very acute inflammatory condition of the gastro-intestinal tract has subsided. In these cases the mucous membrane is swollen, congested, covered with thick, tenacious mucus and the fermenting products of food decomposition. In such instances food acts as a foreign body and therefore aggravates the existing conditions. The first rational step in treatment is to check intestinal fermentation, allay congestion and favor the healing of the ulcerated intestinal mucous membrane. Gray's Glycerine Tonic Comp. accomplishes these objects in a surprisingly short time because its ingredients have a selective specific action upon the seat of inflammation. Administered early in ordinary forms of catarrhal enteritis it will frequently prevent the progressive development of

the more severe and intractable forms of the disease. This remedy paves the way for the successful administration of intestinal astringents: it removes the foreign materials covering the mucous membrane so that astringents have an opportunity of coming immediately in contact with the diseased surface. After the acute period of the disease has subsided, Gray's Glycerine Tonic Comp. can be confidently relied upon to repair the waste of tissue and energy occasioned by the disease.

The Treatment of Catarrhal Conjunctivitis." Either as it appears. as a simple catarrhal imflammation of the conjunctiva, affecting one individual, or when it is encountered in an epidemic, there is no doubt but that catarrhal conjunctivitis is an affection of great importance. This affection is essentially simple, but if allowed to go along without correct treatment it may terminate in entire loss of vision. However, if the affection be given proper and timely attention it yields with great readiness to treatment.

"Either as a simple catarrhal conjunctivitis seen in a single individual, or when the affection manifests itself in the epidemic form, the treatment is essentially the same. Of course, individual

peculiarities in each case make certain indications fitting and even imperative. One thing which a large experience with the disease has taught me is that prompt and systematic treatment must be instituted in every case. Often patients with strumous diathesis will have chronic conjunctivitis, and persons whose health is poor will also have protracted forms of the affection, with the loss or great impairment of sight, when if proper and timely treatment had been instituted a cure could have been effected within a very short time. In the treatment of catarrhal conjunctivitis there have been many mischievous measures brought to bear.

"All and everything which produces irritation will render all the elements in the case worse. We must never employ strong solutions. A lotion composed of 10 grains of sulphate of zinc to an ounce of distilled water will aggravate any case. All lotions must of necessity be mild and soothing. As a curative means I have come now to rely on what I term the antiseptic treatment. This has been prodcctive of better results in my hands than the old-time remedies. In carrying out this treatment I first have the nurse to bathe the eyes thoroughly with this antiseptic mixture:

"R-Hydrozone, 3 j; Aqua, q. s. ad 3 iv.

"This mixture is used three or four times daily, as the case may appear to demand. Just as often as this mixture has been copiously applied and the eyelids have been dried, I apply, by means of an ordinary glass medicine dropper, two drops of Marchand's Eye Balsam. This remedy reaches every part of the conjunctiva by the movements of the lids, and is not irritating; the

patient generally makes rapid progress to recovery. By this treatment I have found my patients to recover in from thirty-six hours to three days. In fact my success has been such that I now rely upon this treatment entirely in this affection. Four months ago an epidemic of catarrhal conjunctivitis broke out in a boarding school. I was called and ordered these remedies used on every case that presented itself. The nuns told me that all cases got well speedily.

"Mr. Samuel S., age 39. This patient had been suffering, as he put it, with 'sore eyes' for three days. It was simply a case of catarrhal conjunctivitis, but gave him great discomfort. On the treatment described above he entirely recovered in two days.

"Mrs. Laura S., age 22. This patient thought she had something in her eye, but examination revealed catarrhal conjunctivitis. On this treatment she made a speedy recovery.

"These are only two of the several hundred cases treated on the antiseptic principles."-Milton P. Creel, M.D., Central City, Ky. Medical Summary.

"Cholera Infantum.-"No subject is more important, especially at this period of the year, than that of infantile intestinal disorders, usually caused by the intense heat of summer, dentition, improper diet, and unsanitary surroundings. As physicians we are called on to combat that disease so dreaded by mothers-cholera infantum-it generally occurring in the poorer classes, where, alas, so often such a thing as asepsis is unknown. I wish to report to you some cases that I have been treating, in which I used with great success GlycoThymoline (Kress):

"Aggie McK., age 14 months; cutting four teeth, taken suddenly sick in the night with colicky pains, vomiting and purging, pulse 140, temperature 104 degrees; the stools in a few hours becoming copious, musty odor, greenish in character. The treatment at that time was mustard paste to abdomen and mild purgative. The next day I prescribed standard drugs, but the bowel trouble did not abate; she kept on in the same manner, growing weaker and rapidly becoming emaciated. On the fourth day I commenced using Glyco-Thymoline (Kress) with equal parts Liq. Bismuth, teaspoonful every two hours; it acted like a charm. After two doses could notice a change for the better and in three days the child was convalescent.

"Walter S., 4 months old; delicate, nervous, irritable from birth; had been suffering from cholera infantum for over a week when I was called to see him. He had wasted to a mere nothing; eyes sunken, semi-comatose, skin clammy, bowels moving every few minutes; ordered an enema of warm water with one ounce of GlycoThymoline (Kress) to pint. Administered internally: Bismuth Subcarbonas, dr. i; Spts. Myristicae, min. xx; Spts. Vini Gallici, dr. iii; Glyco-Thymoline (Kress), oz. 2; Mistura Creta, q.s.a.d., oz. iii. Misce-Sig. Teaspoonful every three hours. The next morning when I saw him there was a slight change for the better and the bowels were not so active. Same treatment was kept up;

there was a gradual recovery in three or four days; the stools were normal, and other symptoms had disappeared. I sent him to the Fresh Air Camp, giving the mother a bottle of Glyco-Thymoline (Kress), with directions to use one-half teaspoonful, diluted, three times a day. The child is picking up nicely.

"John T., 2 months old; typical case of cholera infantum; had small hopes of saving the little one; put him on equal parts of Liq. Bismuth and Glyco-Thymoline (Kress), one-half teaspoonful doses every three hours. It controlled the vomiting and regulated the bowels, and the child made a nice recovery.

"I have also used Glyco-Thymoline (Kress) in syphilitic sore mouth, ulcerative stomatitis and hemorrhoids, and find it a splendid palliative. The results obtained were entirely satisfactory both to myself and patients."-A. E. Chatfield, M. D., Cleveland, Ohio.

The Portal Circulation. "In a large majority of troubles that come to our attention, the first manifestations are indicated by the liver, and if the function of this organ can be restored to a normal connition a great many of these troubles can be aborted. Chronic constipation often starts in a congested or obstructed portal circulation and soon all the incidental manifestations of constipation are evidenced. In congested or obstructed portal circulation we want to remedy several conditions. One is to relieve the engorgement of the liver; another to relieve the excess of bile in the gall-bladder; another to increase the peristaltic action of the small intestines, and to see that the rectum is free from impacted feces. The rectum and liver are intimately associated through the hemorroidal arteries and irritation of the rectum deranges the liver, and vice versa. Drastic purges or cholagogues are not indicated, but a stimulating cholagogue which empties the gall-bladder is preferable. The bile in the intestinal tract increases the peristalsis and in some cases this movement has to be assisted. These indications are fulfilled in the use of Chionia, which is an hepatic stimulant, and indirectly but surely a reliable laxative. In the treatment of derangements of the portal circulation, if the lymphatics are strengthened and stimulated we get an amelioration of the symptoms. Drastic purges are generally used for this purpose, but they will frequently congest the hepatic glands, and in all probability increase the constipation that alreads exists. Chionia stimulates the hepatic glands without producing congestion, and also increases the secretion of bile. Through its regular action on the portal circulation, and its stimulating effect upon the liver, the functions of this organ are increased or restored to normal. In the use of all drugs which act as laxatives or purges, it is of great importance that the rectum should be free from impacted feces, and enemas should be used for this purpose, in preference to suppositories, for the latter will often cause a rectal irritation."-T. E. Converse, M. D., Louisville, Ky.

Editorial Items.-Continued.

Collodion in Enuresis.-Samways (British Medical Journal) employs this fluid to seal the orifice of the external urinary meatus at bedtime. The patient is wakened when the desire for micturition is felt.

1

Listerine. Should auld acquaintance be forgot?" Never. In summer heat it is well to bear in mind the safe and efficient antiseptic action of this old and standard preparation in all stomach and bowel troubles.

Gout Picture. We are in receipt of a very handsome picture of the gout. It is a copy of a drawing published in 1799, by H. Humphrey of London. It is being sent out complimentary to the doctors by Battle & Co.

Rush and Hahnemann.-The Rush monument fund now amounts to only $11,330, while Hahnemann, who believed that the itch is all in all, has just had a fine bronze statue unveiled to his glorious memory in the city where McKinley reigns.

Hyperidrosis. For sweating hands, the following formula is quoted by the New York Medical Journal: 4 dr. each of borax and salicylic acid, I dr. glycerin, 2 oz. each of glycerin and dilute alcohol. Apply with friction three or four times a day.

Remember the Rocky.-We again call the attention of our readers to the meeting of the Rocky Mountain Inter-State Medical Association, to be held in Butte, Aug. 28 and 29. All practitioners who are eligible should join this society and get good from it.

Lousy Heads. "Always examine for lice the heads of children with enlargemeut of the cervical glands," (International Journal of Surgery). "There are many such cases in which a close hair-cut and the application of larkspur or of black wash to the scalp will cure the neck."

Gastric Juice. The normal specific gravity of this fluid is 1.015 -1.020. According to Schuler, a specific gravity below 1.010 is practically certain evidence of what he terms latent or clinical hyperacidity, even when the chemical tests show the percentage of acid not to be in excess.

To Render Creosote Soluble in Water. This may be accomplished, says H. J. C. Sieving in the Stylus, by adding to the creosote eight times as much tincture of quillaja and six times as much distilled The mixture can be diluted with tepid water and administered as an enema or otherwise.

water.