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are the conditions necessary for corruption, and they have produced it. I have known of large aniline sellers paying the head dyer in a large silk mill, who received $20 or $25 a week and certainly not over $30, another regular weekly salary of $20 to recommend their dyes and queer all other colors. Thus, when a rival's samples were being tried, this man would quietly slip in a little acid or other chemical that would dull or spoil the color. His recommendations meant thousands of dollars in business to the aniline makers a year.

The business I am connected with uses some ani. lines, and once when our chemist was absent I saw a salesman from a company with whom we had never dealt. He did not catch my name, and after the offer of a cigar he leant forward and whispered :

“ If you can get those colors in I'll see that you get five percent on all orders." I lookt a little astonisht and he hastened to add :

"Make it ten percent." This tempted me into leading him on, and I said:

Oh, you don't do as well as your neighbors." He straightened up and said :

"Fix the price on that color $1.50 per pound (he had already quoted $i per pound on it) and we'll give you sixty-five cents on every pound you order."

As we order three hundred or four hundred pounds at a time, this would make a very tidy sum. Needless to say the order was not placed, but I did not tell the fellow the reason. Another aniline salesman once told me he had to do it or lose his job. I simply told him we tested and bought goods on their merits and did not take commissions.

Another more subtle way, of managing this is to charge the same as other dealers, but to adulterate the color. Thus, if a color is selling at $2 a pound and is shaded--this is the synonym that the trade uses for adulterated-with half its weight of salt, dextrin or some cheap, harmless substance costing a cent or two a pound, its makers can afford to pay fifty cents a pound or even more as commission (in plain language as bribery) and make more money on it. All the user knows is that he has to buy this color very frequently.

Another friend, who sells a large line of hardware, got a large corporation onto some fine goods, but after the first lot the secretary told him the goods were so poor that they could not use them. My friend, whom we will call Brown, persuaded the secretary to go to the factory in an adjacent village to test the goods, and they were tested in the presence of the foreman who had condemned them before, but now they were found all right. The two left, but Brown went back and saw the foreman, who openly askt for a commission. This Brown expected and he at once said to the foreman : “If any more fault is found with these goods your superiors will know of it.” Later the secretary was so worried that he made an investigation, found the foreman had been accepting bribes for years, dismist him, and then Brown told him of this occurrence.

This corruption extends down to the smallest details of buying and selling, where the buyer is not buying for his own use, but for some one else. Thus, the milk dealers in New York complain that it is impossible to serve the people in flats without bribing the janitor. If he is not bribed, something always happens to cause complaints.

And it runs all the way up the gamut to what Judge Grosscup calls the “incorporated dishonesty” of the ship-building trust, engineered by a Schwab and a Morgan. Of this, the Newark News, commenting on the sworn testimony of Mr. Dresser, said editorially:

The abyss of probable financial corruption has not been fully plumbed, but the glimpses carry a public shock. The deduction reached is that J. P. Morgan & Co, lent its great credit to a transaction which was little more nor less than sheer swindling. That it sold its fiduciary honor and integrity is the plain alternativ, if the Dresser testimony be accepted. The Schwab Dresser-Morgan coterie was both buyer and seller, and constituted a wheel within a wheel.

Other illustrations could easily be given, but enough have been stated in detail to show the secret, insidious corruption that prevades buying and selling. When the seller sells what he owns, and the buyer buys for his own use, there is no opportunity for corruption. But where the transaction is secret and the buyer has

power to buy but not the responsibility of buying for himself or his own use, or where there is a supposedly uniform price, such as in freight rates, and the seller can secretly give cut rates, this corruption is sure gradually to prevade and justify the quotation from Whitman that, “The depravity of the business classes of our country is not less than is supposed, but infinitly greater."

How is it with the buying for the government ? Is there an equal amount of corruption there? For years my company has sold goods to the United States government. At times it has sold more than any other concern handling like goods, and in some departments more than all others put together. Of late years I have personally managed that business, and during all the time have been conversant with it. We have never given bribes, never been askt for them, never even had a hint of it. Some fifteen or eighteen years ago there was a small amount of corruption proved and eradicated. Once since, I thought there was a very smoothly workt trick, but on looking into it I came to the conclusion that the government officials were entirely innocent though it was possible they may have been workt a little.

The buying is done by publisht bids, which any one can get, any responsible house can bid, and then, quality considered, the bids are awarded to the lowest bidder. I have occasionally thought there was a bias in the minds of the awarding committee. I have often wisht they had more freedom so that they could adopt improved goods or methods. Frequently I have felt that they got into ruts, were too well satisfied and in a small way were tyrannical, but I have not had even small incidents point to any corruption.

Recently a well known and successful bidder for the supplies for the New York City public schools told me that probably he had more influence with the awarding committee than any other man, but it was only because he had always recommended good goods and that he absolutely could not get any favors at a higher price or on inferior goods. He showed me this year's printed contract, in which every item was clearly specified and the awards for last year in which the kind of goods, the name of the party to whom each item was awarded and the price were printed. Of course, these prices were closely scrutinized by unsuccessful bidders and if there was anything wrong or that lookt wrong, a row was raised. This very publicity prevents corruption.

There is some governmental corruption, as shown by the recent postoffice investigation, but I believe it is sporadic, not of long existence; and that when it is found out a great deal of fuss is made over it, tenfold more than over the same corruption in private business.

Does not this make you a little "easier” on the subject of public ownership of telegraphs, railroads and other public utilities?' The objection of many careful people has always been that there would be too much dishonesty. The above shows that there would be less, if in public hands. I suggest that you get the magazine in which the above occurs, and read the entire article, and think about it.


In rheumatism, gout, lumbago and neuralgia, have you tried Griffith's Compound Mixture of Guaiac, Stillingia, etc.? If not, why not become acquainted with it now? See adv. on page 24 for constituents, and for trial free offer.

On page 7, Mr. Frye is advertising two cases of surgical instruments; one for $15, and the other a pocket case for $3.75. Turn to the adv. and read the description of the contents. Also, you will be interseted in the long list of miscellaneous surgical instruments, and the attractiv prices which Mr. Frye quotes

(Continued over next page.)


During the past fifteen or twenty years various forms of pain, as neuralgia, headache, dysmenorrhea, sciatica, etc., and high temperature from various causes, have been controlled in an almost magical manner by a new class of remedies: The synthetic chemicals, or coal-tar derivatives, chiefly of German manufacture. Antipyrin, and acetanilid are prominent members of this class of preparations But, as is well known, the magical relief from this class of remedies carries with it a grave danger: That of heart depression, with cyanosis and profuse sweating. Cases of sudden death from this cause have been many, but the greatest harm, which has become very wide-spread, is the insidious injury wrought by occasional doses of these remedies.

It was thought that European countries contained all the talent and scientific attainments for the production of remedial chemicals. But at last Yankee inventive genius has come to our aid, and the result is, a group of chemicals far more efficacious than the aniline produets (sometimes called dye-house chemicals), and what is, still better, they are absolutely safe, being free from the depressing qualities of the foreign drugs.

The first preparation perfected, was one intended to cover the wide field involved by the two leading symptorns met in the practise of medicine, namely, Pain and Fever. The mode of manufacturing it is very compllcated, involving many chemical actions and reactions that cannot be entered into here, but those interested in this phase of the subject may obtain full details by writing us. In brief outline: We begin with carbolic acid, then add nitric acid, producing nitro-phenol; then ethylate it through the influence of bromide of ethyl; then it is reduced to the anide group, and afterwards condensed with the two acid radicals, acetic and salicylic acids, the product being a white, crystalline powder.

It is the therapeutic value of any medicine that the practical physician is interested in. Here is the strong point of this preparation, the object sought in its preparation being therapeutic efficiency combined with safety. This preparation is practically tasteless, and does not disturb the most delicate stomach. Its action is that of a sedative to the nerve centers, particularly the thermoYnter, thus controlling heat at the point of physiological control. It assists elimination by way of the kidneys and the sweat glands, by means of gentle relaxation of those parts. At the same time it is antiseptic, inhibiting bacterial growth wherever it goes in the system. The combined result of all these actions is the elimination of ferer and pain. Thus sleep is invited, delightful rest is obtained, and Nature returns to her task of repair and rejuvenation.

This remarkable preparation is called Thermol, and its therapeutic application is almost endless. As a temporary remedy, it gives speedy and safe relief, without depression, in headaches, neuralgias, sciatica, painful menstruation, and all painful conditions. As a leading feature in the treatment of serious and protracted cases, it is invaluable in typhoid fever, pneumonia, peritonitis, rheumatism, remittent fever, etc., etc., also in all meningeal inflammations. It has been on the market now for about four years, and has been thoroughly tried, tested and approved by the medical profession in all parts of the country. The above mentioned claims have been more than fulfilled. Wherever known, the demand for Thermol becomes steady and increases rapidly. Sales are rapidly increasing, both through the trade and direct with physicians, as many physicians seem to prefer to order direct from us, again and again, as our books amply show.

While salicylic acid is one of the very best antiseptics, it disagrees with the stomach and deranges digestion. This true not only of salicylic acid, but also of the salicylates, is as salicylate of soda.

We also know that formaldehyde is the king of antiseptics, and as a uric acid

solvent it stands only second to salicylic acid; but the trouble is to place it where we want it. To do this it must be combined in such a way that the combination will split up at the right time and place, and set formaldehyde free slowly and safely where needed.

Dr. S. Lewis Summers condenses salicylic acid with formaldehyde, and then acetylizes this union, thus forming the well defined organic chemical compound Acetyl Methylene Disalicylic Acid which has the structural form. ula CH?(CRC®<CO08)But it is not practical to use

-OC this long chemical name. Hence, for convenience, it has been named Ur-a-sol. This word is gotten in this way: It is a powerful and valuable uric acid solvent. Hence :

Ur(ic) a(cid) sol (vent).

Ur . a sol.
It is nonirritating to the mucous membranes.
It is acceptable to the stomach.

As it is not absorbed till it reaches the bowels, it is a valuable antiseptic for the alimentary tract.

But in the blood is where it does its chief work, for there it breaks up, and its constituents, as explained above, exert their great powers.

It is the eliminator of eliminators. It increases the peristaltic action of the bowels, the diaphoretic action of the skin, the diuretic

action of the kidneys, the solvent action on the uric acid salts as well as restoring the normal fluidity of the blood, and stimulates the respiratory tract through the incorporated properties of acetic acid.

Do not the therapeutic applications suggest themselves readily and abundantly? Wherever there are bacteria to overcome-typhoid fever, scarlet fever-in fact, all.fevers, pneumonia, pyemia, septicemia, etc., etc. But its particular application is in the uric acid diathesis, as mani. fested by the many forms of rheumatism, lithemia, gout, sciatica, etc.

But its application does not stop with its many uses as a hematic antiseptic and uric acid solvent. It is excreted in the urine, and hence as an antiseptic to the urinary tract it is of very great value. The urine remains normally acid. Decomposing and ammoniacal urine is speedily corrected, and all inflammations of the tract are benefici. ally influenced. Try it in gonorrhea.

The most frequent use of ur-a-sol is as an anti-rheumatic and as an eliminator of the uric acid salts. When sufficiently large doses are given to meet the requirements, the removal of the pain and the reduction of the temperature to normal are quite promptly obtained. Whilst it increases the quantity of

the urinary fluid with an augmentation of the solids of the same, it is steadily removing the excessive presence from the blond of the salts of uric acid through elimination by combination. Thus the system is rid of the toxins of the disease and other effete substances from the blood.

Ur-a-sol has now been in successful use for several years, and its use is extending because of its inherent merits. It is truly a remarkable chemical. One potable result of its use (say 10 grains with or after each meal) is increase of the appetite. The explanation is supposed to be this: The elimination of uric acid creates a demand for more nutriment; hence, hunger, and a stimulation of digestion, and assimilation. Usually increased buoyancy and cheerfulness come with the increased appetite. It is now attracting the attention of medical college professors and other leaders of the professionthey are seeking it for investigation, because they have heard of its remarkable usefulness.

Send $1.00 Money Order, and we will send you a highgrade, one minute, self registering clinical thermometer, worth more than $1.00 and one ounce of either Ur-a-sol or Thermol, either in powder or 5 grain tablets. Literature free.




2559 N. Sydenham St., Phi'adelphia

on them, on the same page. These things can be ordered by mail as well as personally.

“The Terrors of the Green Room Done Away With,” a quiz book designed for students during their examinations, and also during their first years of practise. See adv. on page 2.

icine and Surgery." We cannot do better than quote from the advertisement. Just think of "A Yearly Digest of scientific progress and authoritativ opinion in all branches of medicin and surgery, drawn from journals, monographs and text-books of the leading American and foreign authors" by such an editor as George M. Gould, A.M., M.D. You cannot read all the journals and you cannot read all the text-books; you need no more than the above quotation to tell you that you need this book. See adv. on title page.

Do you use the preparations of Messrs. Reed & Carnrick? Have you the entire success in treating dyspepsia that you wish to have? If not, why not try Reed & Carnrick's Peptenzyme? See adv. on page 28, and send for literature.

Weaver's Pharmacy make a very clever point in their advertisement this month, when they present a list of the houses that handle Salmacrin, and then ask: “Think you that these firms have stockt this threemonths-old preparation merely because we claim it to be a remedy?" It is a pertinent question, for the list of distributors include some of the greatest names in the drug trade of this country. See adv. on page 15, and give Salmacrin a trial. Write now for samples.

The Anasarcin Chemical Company sends us the following warning:

“It is reasonable to suppose that if Anasarcin is potent enuf to relieve extreme cases of ascites and general dropsy promptly and without fail, it will have the best chance of restoring the diseased organs to their complete performance of normal functions when administered in moderate doses for a considerable length of time. Such is invariably the case in actual practise; therefore we give warning against too early discontinuance of Anasarcin in any case. Better continue treatment after necessity for it has ceased than to cut it short so early that the work has to be done over again later." See adv. on page 1o.

"In none of these cases of pneumonia was any rem- Alterative and Tonic-Elixir Six Iodides. An old edy except thermol used, and in every case was im- and well-tried remedy. An ethical preparation, too; provement immediate and recovery rapid. It should in fact, the formula is given in the advertisement: see be especially noted that there was no tendency to car- same on page il. diac depression-which is often too true with many of the remedies used in the treatment of this disease-but

As a brain and nerve tonic it has stood the test of that, on the contrary, the circulation always became better after the exhibition of the drug. Antipyresis

17 years, and is still unequaled for the treatment of

paralysis, locomotor-ataxia, epilepsy, neurasthenia, was successfully accomplisht and there was no need senil and general debility, mental failure, debilitating for calling into use the digitalis group of drugs. It is a

losses, spinal weakness, nervous dyspepsia, all troufact that thermol is a safe agent to use in the treatment

bles affecting the brain, nerve centers and spinal cord, of pneumonia; it is also a fact that it has decided effects for the better on untoward features of the dis

and as a safe and powerful aphrodisiac." Concerning

Freligh's Tonic. Quoted from the advertisement of ease. These are two qualities which stamp the worth

I. O. Woodruff & Co. on page 30. See adv. and send of any drug: first, that it does good; secondly, that it for samples. does no harm. Thermol is, therefore, to be strongly recommended in the treatment of croupous pneumonia."-Abstract from the Interstate Medical Maga

What do you do for nausea, vomiting, dyspepsia and zine of a report from records from City Hospital.

indigestion? Are you acquainted with Ingluvin ? Do you use it? See page 33, and write to Wm. R. War

ner & Co. for further information. Have you yet tried Glycozone in dyspepsia and allied diseases? See adv. on page 16, and send for particulars.

Mr. Tyree, the Washington chemist, could mix his

antiseptic powder with water and sell it to physicians When a scientist demonstrates some new fact, it is of at a price far above what he charges for the powder interest to all having an acquaintance with the subject, alone, but he does not. He knows that every physibut when the studies of the scientist are workt out to

(Continued on next page.) their proper and intended conclusions, that is, when ually made and put on the conimercial market, so that FoLock Box Pabo, Topky

OR SALE-$2,500 property with practise of $3,000. Address scientist's laborious studies, then it is far more inter- Dot

may have the very practise you want, y have propositions esting. Such a case have we before us in the studies of all kinds. Should you wish to sell your practise, I can place it of Prof. Abel, of Johns Hopkins University, when he before the numerous physicians in the United States and Canada succeeded in isolating the activ principle of the adre- who are desirous of securing locations. Write, giving full informanal glands, and in the placing on the market the fruit tion, to W. 0. Dyer, M.D., Westfield, Wis. of those studies, in the form of " Adnephrin" a prod; Wconsin. Excation among German'in

good farming country uct of the biologic laboratories of the great house of Frederick Stearns & Co., of Detroit, Mich. Write to

preferred. Address P.O, Box 42, Pulcifer, Wis. them for literature.


Office practise free to purchaser of office fur.

piture and fixtures. Snap for right map.

Only electrical and X-Ray outfit in this part of State. Address We wish to call the attention of all physicians to a Box 4, Fulton, Ky. new book : “Saunders’ American Year-Book of Med

(Continued on next page)




Clinical Reports to Physicians.

Cough, Morphinism,

Corneal Opacities MERCK Q CO., New York


The knowledge that a man can use is the only real knowledge; the only knowledge that has life and growth in it and converts itself into practical power. The rest hangs like

dust about the brain, or dries like raindrops off the stones.-FROUDE.

The Medical World

securing the general adoption of the suggested amendments IRVING SHEPARD, Secretary,"

We feel it a duty to recognize the above tendency, and to adopt it in a reasonable degree. We are also disposed to add enuf

(enough) to the above list, and to conservativly adopt the followC. F. TAYLOR, M.D., Editor and Publisher ing rule recommended by the American Philological Association :

Drop final "e" in such words as “definite," " infinite," A. L. RUSSELL, M.D., Assistant Editor

“ favorite,” etc., when the preceding vowel is short. Thus, spell“ opposit, preterit," "hypocrit," " requisit," etc.

When the preceding vowel is long, as in polite," "finite,” SUBSCRIPTION RATES: To any part of the United States, unite," etc., retain present forms uncbanged.

Canada, and Mexico, One DOLLAR per year, or FOUR YEARS We simply wish to do our duty in aiding to simplify and rationfor THREE DOLLARS; to England and the British Colonies, alize our universal instrument language. Five SHILLINGS Sıx PENCB per year; to other foreign countries in the Postal Union, the equivalent of 5s. 6d. Postage

Congestion of the Lungs. free. Single copies, Ten CBNTS. These rates are due in advance.

Some confusion has arisen in the family thru HOW TO REMIT: For their own protection we advise that

the use of this term, and while it does not our patrons remit in a safe way, such as by postal money order, express order, check, draft, or registered mail. Currency sent require extended space, we will notice it briefly by ordinary mail usually reaches its destination safely, but and editorially. Congestion of the lungs, per money so sept must be at the risk of the sender.

se, is a rather common condition, with many We cannot always supply back numbers. Should a number fail to

reach a subscriber, we will supply another, if notified before gradations and variations. Violent exercise the end of the month,

will produce a temporary congestion of the Notify as promptly of any change of address, mentioning both old lungs, as will also high altitudes, inhalation of

and aew addresses. If you want your subscription stopt at expiration of the time paid irritants, etc. It is associated with every

for, kindly notify us, as in the absence of such notice we will severe inflammatory condition of the lungs or understand that it is the subscriber's pleasure that the subscrip- pleura, and in many instances it is the most

tion be continued, and we will act accurdingly. Pay no money to agents unless publisher's receipt is given.

prominent symptom of the initial stage of pneumonia.

It is a frequent accompaniment ADDRESS ALL COMMUNICATIONS TO

of the initial stage of typhoid fever. Cardiac “THE MEDICAL WORLD"

weakness produces it in chronic form. 1320 Chestout Street

Philadelphia, Pa. It is positiv that you may have an acute or a

chronic congestion of the lung, without having VOL. XXII. MARCH, 1904.

No. 3

pneumonia. The text-books declare the three Language is a growth rather than a creation. The growth of

stages of pneumonia to be (1) congestion, car vocabulary is seen in the vast increase in the size of our diction. (2) hepatization, (3) grey hepatization. When aries during the past century. This growth is not only in amount, bat among other elements of growth the written forms of words are pneumonia occurs, it is positiv that you must becoming simpler and more uniform. For example, compare Eng. have had congestion before hepatization was lisb spelling of a centnry or two centuries ago with that of to-day! It is our duty to encourage and advance the movement toward possible; but by no means are all cases of consimple, uniform and rational spelling. See the recommendations of the Philological Society of London, and of the American Philo.

gestion followed by hepatization. This brings logical Association, and list of amended spellings, publisbt in the

us to the well chewed, but not digested, quesCentury Dictionary (following the letter 2) and also in the Standard Dictionary, Webster's Dictionary, and other authoritativ

tion as to whether or not true pnemonia may works on language. The tendency is to drop silent letters in some be aborted. The trouble with too many of the of the most flagrant instances, as ugh from though, etc., change ed tot in most places where so pronounced (where it does not affect

authors who have discust the matter is that the preceding sound), etc. Tbe National Educational Association, consisting of ten thous

their ideas are constipated, and they adhere too and teachers, recommends the following:

closely to the text-book style of phraseology, "At a meeting of the Board of Directors of the National Educational Association held in Washington, D. C., July 7, 1898, the

diagnosis, etc. We have observed symptoms action of the Department of Superintendence was approved, and many times, and in many varieties of disease; no the list of words with simplified spelling adopted for use in all publications of the National Educational Association as follows: visible complications which could be presumed tho (though);

program (programme); to cause them; no individual peculiarity which altho (although);

catalog (catalogue); thoro (thorough): prolog (prologue);

could be discovered which could act as assignathorofare (thoroughfare); decalog (decalogue); thra (through);

ble cause ; no drug administered which ever demagog (demagogue); thruout (throughout); pedagog (pedagogue).

could have produced the results; no neglect or "You are invited to extend notice of this action and to join in exposure which might have been responsible; yet we never thought of trying to make the only in the proper mastication of the proper condition an entity in medical literature, how- kind of food in proper amount. Probably ever often we observed the condition. What

all of us eat too much, masticate insuffipractician of extended experience has not had ciently, and allow our tastes to dominate our similar experience? We have just as frequently judgment in the choice of foods. While it is observed cases of acute congestion of the kid- true that none could live by the complicated neys as we have acute congestion of the lungs; formulas which the actual measurement of the yet we have never insisted that this is nephritis. calorics yielded by certain foods, and the

Taken, a patient who has been exposed to actual demand of the organism for a certain inclement weather, who is otherwise perfectly number of calorics would entail, it is quite as healthy, and who has an activ congestion of the indisputable that physiology can teach us lungs with all the accompanying symptoms much regarding the causes of gastro-intestinal developt to intensity, and we are certain that fermentation, would we but learn. Our lay he is threatened with pneumonia. He may not sufferers cannot be expected to know anything have it when we see him; he may have it thru of these mysteries; but is it asking too much the other stages later, or he may not. Whether of the presumably well educated physician the resistance of nature to infection (if infection that he know something of the actual facts? it be), whether drugs can affect it or not, is Familiar as we are with the libraries of physianother and quite a different question.

cians in activ, extensiv, and remunerativ pracScarlet fever is different from cutaneous tise, we say advisedly that we know no books erythema; small-pox is different from “ Cuban

which are so antiquated and so little used as itch ; " diarrhea is different from cholera; and those treating upon dietetics and physiology; congestion of the lungs is different from pneu- indeed, many successful (?) practicians dismonia. Congestion of the lungs may be but a pense with such books entirely, or if they do symptom, or it may be the primary stage of a have one of a date some years back, it is in an disease. Congestion is, in other words, an excellent state of preservation. incident; pneumonia is an entity. We do not Carbohydrates are responsible for nearly all believe any diagnostician can tell, when he gastro-intestinal fermentation. When digesfirst examins a case of congestion, whether or tion of carbohydrates is slow, or ceases ennot pneumonia will follow; nor do we believe tirely, bacteria cause an abnormal fermentaany therapeutist can declare beyond cavil that tion. Bacteria are always present in the small he will prevent pneumonia following a case of intestin, but it is only when carbohydrates congestion, where the conditions favor a further

have been ingested in excessiv quantities or extension of the abnormal condition. None of have been subjected to insufficient mastication, the authorities say more, despite verbosity or that these serve as a favorable nidus for the unproven assertions; hence further discussion

growth of the trouble-breeding germs. Carbowould be useless. Treat your congestion of hydrates, no more than other foods, will cause the lungs, when you get it, on rational lines;

excessiv gaseous formation, if properly subif you don't get pneumonia following, en- jected to salivary digestion and efficient musdeavor to be rational still.

cular activity of the gastric walls. Foods fried

in grease and hastily swallowed, are slow o Gastro-Intestinal Fermentation of Foods.

submit to the feeble kneading of a weakened Probably the commonest affection which the stomach. The same food, properly cookt and American practician is called upon to treat is judiciously masticated, would quickly become gastro-intestinal fermentation; we do not ex- assimilable. The American palate has a predicept constipation, even. How very seldom is lection for starches and sugars; fresh, hot the treatment satisfactory to either patient or bread and pancakes, reinforced with syrup or physician. The reason need not be sought sugar, are familiar examples. The fermentalong : either the patient will not obey the tion of starch and sugar yields, in the stomach, instructions of the physician, or the physician ethyl alcohol and acetic, butyric, lactic, and is not competent to give the proper instructions. succinic acids, hydrogen gas, and carbonic acid The average physician, consulted regarding gas; not to mention the malodorous combinagastro-intestinal fermentation, gives a cathartic, tions of hydrogen. The ever present cellulose with orders to follow it with some of the mul- is ready to form marsh gas and carbonic acid titudinous preparations or prescriptions pre

gas. sumed and recommended to be able to check No practician will ever get results until the trouble promptly and permanently. Nat- he has studied well the physiology and dietetics urally the results are but temporary, if indeed of the common foods, and establisht his right at all perceptible, since fuel is being constantly to direct what a patient shall eat, and how he added to the fire.

shall eat it. Yet how may he who is himself The solution of the problem is to be sought innocent of knowledge do this? The per- :

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