The following method of thoroughly exposing the hymen I have frequently found most effectual; it is, moreover, simple, easily managed, and, if done carefully, painless. The patient being in the lithotomy position and swabs from the vagina (for examination for semen) having been taken, the parts are freely treated with a 20 per cent. solution of cocaine, possible toxic effects where there are large raw surfaces being kept in mind. An ordinary soft red rubber catheter is then taken and over its point for about one inch or one and a half inches there is placed an ordinary india-rubber condom which is tightly bound into the stem of the catheter by a few turns of thread. There is thus improvised an instrument closely resembling one which used to be employed for arresting hemorrhage in cases of epistaxis, the armed catheter being placed in the nose and the point inflated, and so caused either to press on the bleeding point or plug the nostrils. This arrangement is gently passed into the vagina; the point is then expanded either by inflation or by injecting a small quantity of warm water; this done the catheter is clamped. There now is inside the hymen what may be termed a miniature Champetier de Ribes bag and by making very gentle traction on the catheter the hymen is put slightly on the stretch and bulged from within. In this way the whole hymeneal margin is fully exposed to view, so that any interruption in its integrity is at once detected, however, slight it may be. In very young girls this method will be found particularly useful, as the hymen is very inaccessible then. Hydrogen Dioxid in Dyspepsia. Therapeutics. Gallois and Courcoux of Paris have been studying the action of hydrogen dioxid on the digestion, experimenting on dogs with a Pawlow fistula. They claim that it has a pronounced effect in increasing the amount of gastric juice secreted and the proportion of free hydrochloric acid, thus secondarily enhancing the digestive power of the gastric juice, the proportion of pepsin being always higher than under other conditions. Clinical experience also showed that it arrested the vomiting of pregnancy, the effects not being apparent at once, but suggesting that it removed the cause. This seemed to be the case also in certain gastro-intestinal troubles, especially hypopepsia and diarrhea. At it combines the properties of promoting digestion and disinfecting the bowels, it is thus especially indicated in hypopeptic dyspepsia with abnormal fermentation, and is particularly useful for infants. The results seem to be better the more recent the onset of the diarrhea. They add in their article in the Gaz. Med. Belge, Jan. 5th, 1905, that a Russian physician, Novicor, prescribes it in dyspepsia in the formula of 6 gm. (1 1-2 dram.) of hydrogen dioxid at twelve volumes; 85 gm. (2 1-2 ounces of distilled water, and 15 gm. (gr. iv.) of syrup of orange flowers, giving a tablespoonful every two hours. They prefer to give it in milk or water, 10 drops of the dioxide to 100 gm. (qt. i) of milk, for infants; for adults, about a tablespoonful in a quart of water, sipped as a beverage.-J. A. M. A. The Treatment of I order what are known as right and left socks or stockings, which have a straight inner edge to the foot and are normally curved around the toes so as to prevent dragging on the great toe. It would be better to use a sock or stocking which has a separate apartment for the great toe, but it cannot be found on the market, whereas the "rights and lefts" are on sale in New York The inner edge of the sole of the shoe is made perfectly straight, and although the sole is as wide as the foot, the curve of the toe resembles so closely the curve of the normal toes that it is not clumsy in fact or appearance. It has been my experience that it is better to have the toe boxed. The bunion should be bathed night and morning with a four per cent. solution of carbolic acid for a few minutes, and this should be followed by a bath of plain water. The carbolic solution is not only antiseptic, but a decided analgesic. If after several weeks' trial of proper foot-gear the bursa is still distended with fluid, and it is necessary to aspirate it, the operation is simple, practically painless, and, if antiseptic precautions are practised, a safe one. All the foregoing applies to simple bunion. caused by an ill-fitting shoe. Now, there is a class of cases which have been practically ignored in literature, and the management of them requires no little knowledge of the anatomy of the foot, the gouty and rheumatic diathesis, and physical peculiarities. Many cases o bunion are due to flat foot, which causes the great toe to turn out and brings the prominent metatarso-phalangeal joint against the side of the shoe. In this case, unless the arch of the foot is restored by a plate, the treatment for simple bunion would fail. In the case of enlarged joints from gouty or rheumatic inflammation, these constitutional diseases would have to be overcome by internal treatment and hygienic living, otherwise the local treatment would not succeed. Four of the five tendons attached to the great toe tend to drag the toe outward, and the question of their abnormal contraction must be taken into account. Whenever possible, no operation should be performed on the metatarso-phalangeal joint without an X-ray picture being taken as a guide, and in that the sesamoids must not be mistaken for exostoses. As the deformity is often the result of a simple dislocation, the tripod of the foot should be respected, and restoration secured by removing wedges from the metatarsal or phalanx, or both, and tenotomy.-G. R. PLUMMER, M.D., N.Y.M.J. and P.M.J. Consumption. The therapeutic arsenal for the treatment of Early Treatment of pulmonary tuberculosis is well stocked and even overstocked, remarks Prof. Renon. Neither the tuberculin of Koch nor the new tuberculin T.R. have given decisive results. The same may be said of the series of serums recommended by men of good faith and of undeniable scientific standing. One of the best remedies to be utilized in phthisis is arsenic. It may be given in very small doses : B Arsenate of soda I gr. .IO OZ. A tablespoonful twice a day at meals, and continued twenty days a month for three or four months. There are other preparations of arsenic, such as cacodylate of soda and arrhenal. The former is employed by the mouth, the rectum or subcutaneously. M. Renon prefers the latter mode. He injects one grain dissolved in twenty drops of sterilized water every two days, or eight injections in sixteen days. He then suspends them for eight days and recommences the series. Arrhenal may be employed in the place of cacodylate of soda, but M. Renon thinks it inferior. The raison d'être of the arsenical treatment is to keep the patient in good condition and increase his weight if possible, but it should be used with prudence, especial care being taken to avoid even the semblance of any gastro-intestinal disturbance, as such would act prejudicially in the matter of feeding the patient. Creosote was considered a kind of specific for phthisis for many years, but it frequently aggravates the condition of the patient by fatiguing the stomach, and, on the other hand, it has frequently provcked hemoptysis. In certain torpid forms of phthisis, however, creosote might be given by the rectum in twenty to thirty drop doses. Synthetic preparations, such as guaiacol or thiocol, replace creosote. Thiocol given in 10-grain wafers, three times a day, has much benefited some patients. Besides creosote, and acting in a different manner, is urea, utilized first by Harper, in England, which has a favorable action. in all forms of tuberculosis. It can be employed in subcutaneous injections and by the mouth. Prof. Renon gives it in wafers containing 12 grains each, two to four daily. Tannin is also an excellent preparation, but, unfortunately, this is ill tolerated by the stomach. It is best given in the form of wafers: R Tannin 5 grs. 10 grs. For one wafer; five daily. Tannigen is a good substitute in the dose of four grains three times a day. The glycerophosphates have a good action on the general nutrition: two or three 5-grain doses daily before meals. Lately M. Renon has been employing with much benefit a new phosphated substance called phyline, described by Posternak, which is a phospho-organic principle of vegetable grains. It is well tolerated, improves the appetite, and favors sleep. He gives 10 grains of before the two principal repasts. One of the complications of pulmonary consumption is fever. For this, rest in bed will frequently be sufficient, otherwise antithermics must be given. Of these there are a host, but those which have given the best results are aspirin and cryogenin, discovered by Lumière, of Lyons. Either of these agents may be given in 4-grain doses twice a day, at three o'clock in the afternoon and at six o'clock. Two other symptoms frequently require attention-hemoptysis and diarrhea. The former will be treated by the classical remedies, needless to mention. The diarrhea is best treated with : R Cotoin.... 2 grs. 2 grs. 4 grs. For one wafer; two daily. For the cough M. Renon recommends a half grain of opium two or three times a day.-The Med. News. Ringworm of Scalp. Röentgen rays has been found to be an efficient remedy in treatment of ringworm of the scalp. trodisplacements of the Uterus. The Correction of Re. Of the many operations devised, the ventrosuspension of Kelly and Olshausen and the extraperitoneal shortening of the round ligaments after the Alexander-Adams method, or some modification of the same, are still the operations in most common use. The advocates of the vaginal route insist that they are able to deal as thoroughly with any possible complications found within the pelvis, as through a suprapubic opening. This position, I feel quite sure, will never be accepted by the majority of operators. The slight advantage claimed for the vaginal route can hardly offset its palpable disadvantages. While ready to grant that the majority of cases may be successfully operated on by some method through the vagina, it is certainly true that with tubal infection that has created a mass of matted adhesions, involving, perhaps, intestines or the vermiform appendix, better, cleaner and safer work can be done from above. The majority of cases require the careful use of the curette as a preliminary step, as endometritis is a common complication. If the cervix is lacerated and hypertrophic, it should be repaired or amputated. Lesions of the pelvic floor should, of |