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Faunting figures of statistics. Few there are of us, Who is there, that is at all acquainted with the hiswho, blinded by the dazzling reputation of learning or tory of medicine, who cannot perceive that the advent the educational fitness of these generalissimos, have of Hahnemannianism was simply due to a sentiment not at some time been inclined to listen to their seduc. of reaction from tbe extravagant polypharmacy of the tive arguments, or even to imitate them in style and last centennial ? The multiple medication handed intention, in the vain hope of finding possibly a single down to regular medicine by the pre-Paracelsian yatrogerm of the great arcanum of the healing art. The sophies, which, regarding the pedantic offices of the idea, though utopian, was certainly beautiful, but the apothecary far more than the weal or woe of suffering ideal beautiful is rarely practical in science.

humanity, found itself at the full end of its rope at the Nor have the battles of the doses been confined to time when Hahnemann caught at the idea of formulatour own school alone.

ing a new and antagonistic barrier. It is hence that Last May we had an article in the Medical Record he is called the inventor of the single-remedy school actually beaded, as in very defiance of the approach- of medicine. But who is there, in this age of invention, ing Verduennung's tendency in even the ever sub- that has not yet learned that there is no such thing stantial allopathic school of therapeutics, “Large as a real, genuine, and unmitigated inventor, but that, against Smail Doses.” And this merely because Dr. on the contrary, he is only the opportune mouthpiece Desan had come out, vearly a year previous, in the of the spirit of the times, and that the idea is already most apologetic manner possible,“On the Value of fully fixed in the general or universal mind, but needs Small and Frequently Repeated Doses."

yet the mediumship of the single individual to give it When one reads the arguments of such contrary materiality of expression. As well may we call Luther doctrines and that, too, tbe result of a boastful the inventor of Protestantism. Certainly, Kaulbach experience-one may well be excused for getting to thought otherwise, though making him a central figure, be prosaic, for certainly, where such variable results he painted the whole age. speak of an ever changing element of contradiction, all If we study caresully the spirit of the times of Hahharmonious systems of thought must come to an end. nemann-or Rademacher for that matter-we cannot Nor might one be seriously blamed for believing with fail to perceive at one glance the spirit of discontent Jacobus Boehmé, the philosophus Teutonicus, of the most of the then existing profession of medicine, as well as ideal of all the transcendental periods of German philo- the consequential desire for a state of a more practical sophy, that no pantological dualisın was possible with simplicity. out the intervention of a catalytic turba, meaning there- Hahnemann became to medicine what our modern by, as I take it, confusion, turmoil; or, to fly to a more Edison is to physics; just as little as the latter bas congenial mysticism, quote, with Sir Lytton Bulwer, discovered even the least fundamental principle in his the passage from “Jerusalem Delivered”: “Between science, so little, too, has Hahnemann given us anything such contrarious mixtures of ice and fire, laughter and that might be called fundamentally scientific in meditears, fears and hopes, the decciving dame."

cine. No wonder that the practice of medicine was Yes, the “deceiving dame," of whom Dr. Desau ex- eager to receive and swallow him, hide and hair, at pected the realization of “that utopian goal," a scientific first, for he offered it liberation from the trammels of therapeutûs. But between “ this contrarious mixture pharmacy. However, an ever paternal government of large and small, high and low, the question naturally, fiend stepped in and asked: “But what of the apothearises as to the probable cause for the experiences of cary?” Ol, no! it would not do to bid that pet of such contrary views by men equally situated to gather revenue go under, merely to humor the drug-ridden rational and reliable data of experience, as well as yatrosophis. Thus homeopathy became a sect. Now, equally constituted educationally, for forming correct this sect, like other sects—yea, even the Anabaptists of suminaries of deductions.

Leyden-has run to water, and lo! behold again reacIf we look about us for something analogous among tion. Every social state sooner or later begets its conthe affairs of men, we shall be obliged to answer with trary." Halinemann's X's rose to Dunham's C's, only Jobn Stuart Blackie, in his “ Natural History of Athe. to be eclipsed by the Finke-Swan-Guernsey M's. The ism,” that it is reaction,” which, controlling the fluc- lately much-abused Surgeon-General Hammond has tuations of sentiments, tastes, or predilections in man- done one good thing at least: he has shown us that kind, influences also the up and down scale of doses, nervous derangement and Spiritualism are synonymous. theories, fancies, and expectations in medicines. In There can be but little difterence in the brain-fagged the chapter on “The Atheisın of Reaction,” he says : vagaries of a Spiritualist from those of the transcenden

Action and reaction are equal and contrary-so was tal symptom hunters of the hundred thousandth potency I taught many years ago in the natural philosophy of Bedbug. Thanks, therefore, to a Doane, Paine, or class át.", etc., etc., and thus, likewise, was he led to any other man, who, having courage enough, will rise observe, “ through a long life of constant experience," and cry, Halt! Fiat ratio ! Here begins reaction ! that this sentence had a wide applicability. And fur: ther on he says: “ It is the nature of every force, in a CHLORAL IN MALIGNANT CHOLERA.–Used a soluworld made up of a rich variety of opposing forces, tion of Chloral, one in ten, and injected the equivalent either to be stopped in its action altogether, as the of six grains, not simply under the skin, but deep into advancing lide by a rocky coast, or to be sent back on the substance of the muscles, changing the direction of its own traces, as we see in the heavings to and fro of a the needle without withdrawing it from the skin. Im. great crowd of people, when the overpressure in one provement was manifest in a few minutes. In the direction produces a stronger pressure in an opposite course of eight hours, thirty-two grains were thus indirection, till some sort of comfortable adjustment bejected, according to the urgency of the symptoms. achieved in which the jostled thousands may breathe Careful nursing, and the cxhibition of chloral per os, freely. So it is, exactly, in the intellectual and moral served to bring the case completely out of danger. movements of society, which constitute the marked Alcohol was scrupulously avoided. epochs of history.” Reviewing, then, in turn, the classics, arts, and politics, to find in each a suitable ex- PLUMBIC NITRATE has cured three cases of epithelioma ample for argument, he lays down finally the following, by dusting the powder over the affected part, recovery as an historical proposition of universal validity: “Every taking place after four or five applications. Two obsocial state sooner or later begets its contrary, and that stinate ulcers of the foot, which had proved rebellious not only by the natural power of recoil which we see in to other treatment, quickly recovered after similar springs and other elastic bodies, but from mere love of novelty.”

applications. Can there be any difficulty in applying this same this salt also in onychia maligna.

Dr. Vanzetti has recently recommended the use of proposition to medicine?


the vagina. (Iodide, Bromide, Ferrocyanide of Potassa


I hc Nero York Medical Record, Feb., 1878, has a re

port of three cases of pudendal hematocele in virgins; By Mrs. J. G. BRINKMAN, M. D., N. Y.

they all occurred upon the right side. Amann (Munich), on the mechanical treatment of Am. Gyn. Soc. (Trans. 1878), Dr. Emmet reports an versions and flexions, claims that the cure of uterine innovation in the procedure for the restoration of the malposition is only to be obtained through intra-uterine vaginal canal in absence or atresia of the vagina. treatment. He thinks mechanical treatment necessary, He makes a free opening, and washes out the cavity, even in complicated cases where textural changes have thoroughly, with warm water. The site of the conrecurred in the uterus and its surroundings, and constriction, if one exist, he opens more widely than any siders that it favorably affects these complications. He other part of the canal, and completes the operation makes a point of having the staff ol the pessary shorter at one sitting, when possible. The operation is folthan the uterine canal, and thus avoids friction. A lowed by the insertion of a large glass tube or plug, description of his method of treatment may be found two inches in diameter, which is kept in position perin the Am. Obst. Jour., 1878.

sistently. Dr. Emmet has had complete success follow In a paper on the use and abuse of pessaries (Lancet, this method of treatment. Feb., 1878), Dr. Bantock, while advocating their use, The Am. Obst, Jour., 1878, has a reprint from the considers that their abuse arises from the improper se- Wiener Med. Wochenschrift, 1878, of a paper by Louis lection of cases; the use of an ill-fitting instrument and Bandl, of Vienna, on the pathology and treatment of the misuse of one properly fitting. While they are urethro-vaginal fistula, illustrating the value of capable of doing much good, it must not be forgotten Bozeman's method of operating. Only a few cases of that they are equally capable of much injury in the urethro-vaginal fistula are on record. The author hands of the ignorant or careless.

first reviews the relations of the opening of the urethra The use of the intra-uterine stem has been largely in cases of large vesico-vaginal deficiencies, and brings discussed in the Am. Gyn. Trans., vol. 2. Dr. Van de forward the views of distinguished writers regarding Warker presented a special plea for its use. The paper their treatment. In searching the literature of urethrowith the discussion occupies forty-five pages of the vaginal fistula, Bandl found tbat not one case had volume, which is an indication of the interest felt on been cured in ihe direct way. He wrote for advice to this subject. Dr. Noeggeroth stated that operations on Bozeman, who replied, “ Divide the urethra toward the the cervex do often cure dysmenorrhæa, no matter bladder, freshen ihe edges, then to unite them.". By what the method is, not by in any way correcting the strictly fo:lowing out Bozeman's method, he had the position of the uterus, but by their effect on the vaso satisfaction of making a perfect cure of his cases. motor and other nervous centres.

Braxton Hicks calls attention to the fact of general Dr. Graily Hewitt (Lancet, Dec., 1877) remarks if it eczema existing frequently in connection with diabetes. be a fact that mechanical diseases almost never recur It was present in nine out of ten of the patients who unless in cases where the general nutrition of the consulted him for eczema of the genitals. It is well body is at a low ebb, the greatest care is necessary on known that eczema of the genitals las often been the the part of those having the responsibility of the train. first symptom which has led to the suspicion of diaing of young women to nourish and strengthen the betes, but in the cases reported by Hicks, the eczema body. He calls particular attention to the insidious existed so freely on parts remote from, as well as on effects of prolonged uterine nausea in producing a the genitals, that it could not have been produced by kind of semi-starvation. As regards treatment in these saccharine urine. H. suggests that the frequency of the mechanical diseases, some require litile, while others combination may be considerable when it is borne in are cured with great difficulty. Duration is an ele mind that blood laden with sugar is most probably ment of importance. The consistence of the uterus is irritating, and, also, th:t pathologists incline to the a maiter much affecting treatment. If the uterus be opinion that both diseases are dependent upon neurotic still softer than normal it is a hopeful feature in the states. Treatment of the eczema failed to relieve in case, although it may take some monins of general these cases, while treatment directed to the diabetes treatment to restore its tenacity, but the cure of the was successful. flexion is more easy. If the uterus be very firm, atrophy Gerhard Leopold, of Leipzig, has written an admiat the seat of the bend is more apt to coincide. Å rable paper on the condition of the mucous membrane want of attention to these considerations will involve of the uterus during menstruation, pregnancy, and disappointment in many cases. Postural treatment he childbed. (Arch f Gynakologie, XI, 1; XI, 3; XII, 2,) considers of the utmost importance in all cases. As of which the Am. Obst. Jour., 1878, gives extracts. regards the use of pessaries, when the uterus is soft The author disproves the statement made by they may do good service, but when the flexion is Williams (Brit. Obst. Jour., 1875), that the entire chronic, he thinks the uterus should be straightened mucous membrane is shed during menstruation. Leoby the sound, or by the use of tents. He strongly pold's conclusions are based upon the observation of recommends a generous diet, and also points out the nineteen cases. They (range from the first day of fact that while fresh air is essential long walks or long the flow to about the second day before the coming carriage rides are inadmissable.

period. J. M. Fothergill (Am. Obst. Jour., 1878) observed in The mucous membrane increases in thickness at the a number of cases of pbthisis treated in the city of approach of the menstrual period, from two to three London Hospital for diseases of the chest, tha: the two m. m. to six or seven m. m., gradually decreasing dumain concomitants were dyspepsia, with leucorrhæa ring the flow. At the end of the flow the mucosa is and menorrhagia. In these cases there was no history found devoid of its superficial layer, which resumes its of heredity. Here there were linked a defective body normal condition within a day or two. The glands of income with an excessive body expenditure, producing the menstrual membrane become enlarged and tortuous a condition of general mal-nutrition, first the condition in their course. The inter-glandular tissue consists of favorable to the development of tubercle. He con- the well-known short fusiform cells with large nuclei, sidered ovarian irritation as the primary cause of wbich are found in a condition of active reproduction phthisis in these cases.

in the lower layer in contact with the muscular tissue. Experiments liave been made by E. M. Hamberger In marked contrast to the frequency of the enlarged (L' Procince Medicale), Dec., 1877, with the view of capillaries and arteries in the uppermost layers of ihe determining the absorbing power of the vaginal mucous mucosa is the scarcity of veins, which appear only here membrane. The drugs were found in the urine in and there, running in a direct course toward the musfrom two to three hours after their introduction into 'cularis.


Leopold explains the menstrual flow as follows : The first of December, 1877, a German, Peter For several days an extravagation of red and white Schrecker, came' under the care of the writer. The blood corpuscles takes place from the enlarged and history of the case and the existing symptoms seemed superficial capillaries into the surrounding tissues, to point to malignant disease involving the ductus especially toward the surface of the mecosa. Thus choledochus. Various methods of treatment were emthe uppermost layer of cells is undermined and sepa- 1 ployed without avail until January 17th, when, the rated from the underlying layers. A copious supply patient being in a cholamic stupor, and other means of blood reaches the superficial capillaries through the having failed, the gall-bladder was aspirated and about numerous arteries, although it arrives but slowly on 4 oz. of thick, brown fluid drawn off. account of the tortuous course of the vessels. Its pro. Marked relief was obtained for a few days, after gress is checked by the enormous dilitation of the which the condition of affairs was as bad as ever. A capillaries and the scarcity of the returning veins ; second aspiration was followed by temporary relief, hence the rupture of the distended capillaries and the when again the patient sank to his former state.

the remaining extravasated blood corpuscles, reproduction for the bile from the distended gall-bladder was furof the interglandular tissue, and an upward growth of nislıed, death would soon close the scene; another the cylindrical epitheliun lining the glands. Regene- aspiration would but defer the evil day. An attempt ration is probably accomplished in the course of a day at the establishment of a biliary fistula alone afforded a or two.

ray of hope for the now unconscious patient. Medical The same process takes place in membranous dys. literature gave no mention of such an operation, yet menorrhæa, in which all but the deepest layers are the desperate nature of the case would seem to justity cast off. Not even in this condition is the entire the attempt. mucosa expelled. From the eighteenth day on, the On the 4th of February, at 10 A. M., chloroform havmucosa again begins to hypertrophy. Thus this ing been administered, assisted by Drs. Cowl and Cormembrane is in a condition of constant change. nell, of this city, I cut down upon the peritoneum,

immediately over the distended gall-bladder. Hæm

orrhage having been checked, the peritoneum was CHOLECYSTOTOMY.

divided upon a director and the gall bladder brought BY GEORGE W. BLODGETT, M. D.,

up to the abdominal wound.

Without being opened, its walls, which were considFormerly, House Surgeon Homeopathic Hospital, Ward's erably thickened, were stitched to the integument Island , Resident Surgeon Hahnemann IIospital, New York. along each edge of the incision by means of closely

In the British Medical Journal for June 8th, 1878, approximated horsehair sutures carried down only to Dr. Marion Sims, writing under the head of " Re: the mucous coat. The irritation from the needle puncmarks upon Cholecystotomy in Dropsy of the Gall tures and numerous sutures was relied upon to excite Bladder, reports a very interesting case of obstructive adhesive inflammation and secure union. disease of the gall-duct from biliary calculi, in which,

The reason for proceeding in this way was that the after aspiration of the gall-bladder had once been per- contact of gall with granulating surfaces might be formed with temporary relief, the obstruction seeming avoided, and all possibility ot its escape into the abdom. permanent and death imminent, hic resorted to incision inal cavity prevented. Most of the contained bile was of the gall-bladderfand the establishment of a biliary drawn off, a free opening to be made when the union fistula in the hope of thus relieving and prolonging the should be complete. life of his patient.

No change for the better occurred after operation. At the time of operation there was a condition of The coma became more profound, and death from profound cho'æmia, and although for the time marked cholæmia ensued on the morning of the 7th. relief was afforded, yet on the ninth day death resulted

A post mortem twelve hours after death gave no from cholæmic blood changes.

evidence of peritonitis. A marked degree of union had Dr. Sims, in commenting upon the case, states that, taken place; cancerous disease of the pancreas, inhad the operation been attempted before the state of the volving the gall-duct, was found. patient had become deeply toxic, a different result

The exhaustive comments of Dr. Sims upon his own might, in his opinion, have been looked for.

case are equally applicable to the one detailed above, Hc speaks of cholecystotomy, together with anti- in which the date of operation was more than two septicism, as opening up a new and great field in months earlier. Therefore the credit, if there be any abdominal surgery.

credit, of being the first surgeou to conceive and exeIn biliary obstruction, liepatic abscess, or impacted cute cholecystotoiny, belongs not to Dr. Marion Sims. gall-stone, he advocates exploratory incision of the abdominal walls for purposes of diagnosis, to be fol. lowed in proper cases by operative procedure. In PROF. SIMPSON graphically describes the growth of cases of hepatic abscess the use of the trocar, the re- the pregnant uterus, and its involution after delivery, moval of impacted calculi, followed by the application It is a kind of physiological hypertrophy, unequaled, of antiseptic sutures to the incision in the duct, and either in regard to its magnitude or its rapidity, in any cholecystotomy for the relief of a distended gall-bladder other organ of the adult human body, for, during the with cholæmia.

forty weeks of utero-gestation, the uterus enlarges from Dr. Sims speaks of the operatiou as being entirely nearly 3 inches in length and 14 inches in breadth, 10 new in so far as he knows, and very properly names it 12 or 15 inches in length and 9 to 10 inches in breadth. cholecystotomy.

It increases from about 2 ounces in weight, to 25 or 30 The Chicago Medical Journal and Examiner for ounces. The cavity of the uterus before impregnation September, 1878, in referring to Dr. Sims' case, says: is less than one cubic inch; while, at the full term of " So much for the conception and execution of a new pregnancy, it is extended to above 400 cubic inches, operation by an American surgeon, to which he has and the surface of the organ increases, from about 5 or given a most appropriate name as above. With aspi- 6 square inches, to nearly 350 square inches. Before ration as a means of diagnosis and antisepticism as a impregnation, the uterine cavity would not hold above means of safety, there seems no reason why it should a drachm or two of fluid; at the end of the ninth not take its place with ovariotomy and other similar month of utero-gestation its contents usually weigh operations as a dernier resort, and at the same time as from 120 to 150 ounces. a most positive relief where it is appropriate." Dr. The rapidity, however, with which the uterus diminSims operated April 18th, 1878.

ishes in size after delivery is perhaps still more mar

WAX nose.

velous than the rapidity with which it increases in size . Making Sound VIBRATIONS VISIBLE. --Bend the after impregnation, for, while it takes forty weeks to forefinger of the hand so as to form a circle, with the attain the dimensions of the fully developed uterus of other hand draw over the aperture a film of soapsuds. pregnancy, it requires only from four to eight weeks to By turning the wrist, the angle made with the direction decrease to the small size of the same organ in its im of the light may be readily adjusted; a motion of the pregnated condition. D. S. Nelson, Chicago Med. Ex. elbow alters the distance from the mouth, and the

Milk.--It is said that the milk from Alpine dairy tension of the film can be exactly regulated by moving farms differs from other good milk merely because it the thumb and finger. On singing or speaking to the contains a high percentage of sugar of milk, and be film when in proper tension, beautiful figures appear, cause it possesses a peculiar flavor, derived from the which may be reflected direct to a screen. aromatic plants on which the animals feed.

HYPODERMICS OF COFFEE FOR MORPHIA VOMITINGS MERE KNOWLEDGE A Wax Nose. -Mere acquired And Opium PoisonING.—I gave a warın hypodermic, knowledge belongs to us only like a wooden leg and a of twenty minims, in the epigastrium, and in about

Knowledge attained by means of thinking fifteen minutes the patient expressed herself as feeling resembles our natural limbs, and is the only kind that decidedly better, having vomited but once during that really belongs to us. Hence the difference between the time. I then gave an additional hypodermic of fifteen thinker and the pedant. The intellectual possession minims (warni) in the abdominal parites. She was of the independent thinker is like a beautiful picture, tree from the nausea in less than an hour, and never which stands before us, a living tining, with fitting light vomited after the second injection of coffee. and shadow, sustained tones, perfect harmony of color. Where ibe fluid was used warm, about the temperaThat of the merely learned man may be compared to ture of the body, no trouble manifested itself. — Moxa palette covered with bright colors, perhaps even TROSE A. PALLEN, Medical Record. arranged with some system, but wanting in harmony, coherence and meaning.

Dr. H. G. PIFFARD offers, as a convenient substitute Utilizing NIAGARA FALLS. -Sir William Thomson

sor Fehling's solution, the following mixture, which said “ he was of opinion that a great deal of natural vial, to be used any time at the bedside in the house of

may be kept ready made and may be carried in a small energy which was now lost might be advantageously applied in the future to lighting and manutactures.

a patient : There was a great deal of energy in water-falls. In the lized tartrate of sodium and potassium, five parts; sodic

Take of sulphate of copper (C. P.) one part; crystal. future, no doubt, such falls as the Falls of Niagara liydrate (C. P.), two parts. Mix well in a mortar. The would be extensively used-indeed, he believed the resulting mass can be kept in a wide-mouthed bottle Falls of Niagara would in the future be used for the until wanted. For use, a piece the size of a pill is production of light and mechanical power over a large dissolved in a couple of drachms of water, in a test area of North America. The electricity produced by tube. A few drops of the suspected liquid are now them might be advantageously conducted for hundreds added, when, if sugar be present, the usual reaction of miles, and the manufactories of whole towns might will be manifested. be set in motion by it. Powerful copper conductors would have to be used-conductors of a tubular form

VOMITING OF PREGNANCY_TREATMENT WITH WINE with water flowing through them to keep them cool. OF IPECAC.–Fouud she was pregnant with second There would be no limit to the application of the elec- child, first month of gestation. She was considerably tricity as a motive power; it might do all the work emaciated; pulse small and thready, 115 per minute; that could be done by steam engir of the most power- tongue dry and furred, and great tenderness in pressing ful description. It seemed to him that legislation, in over epigastric region. She stated she had been vomit. the interests of the nation and in the interests of man- ing, vight and day, for a week, and would throw up kind, should remove, as far as possible, all obstacles, everything she would eat; bowels constipated. Having such as those arising from vested interests, and should used minute doses of ipecacuanlia, in vomiting, of encourage inventors to the utmost. As to the use of drunkards, with success, I determined to try it in her electricity by means of the Falls of Niagara, his idea case, and so ordered : Wine of ipecacuanha, gtis. xvj. ; was to drive dynamic engines by water-power in the aquafontis, zij., M., with directions to give one teaneighborhood of the falls, and then to have conductors spoonful every hour, day and night, until vomiting to transmit the force to the places where illumination ceased. Had no return of the vomiting, and is now or the development of mechanical power was wanted. perfectly well. I have since used the preparation in There would be no danger of terrible effects being nausea of preguancy without vomiting, in which case brought about accidentally by the use of such a terrific it acted like magic. power, because the currents employed would be con- I trust some of my professional brethren will give it tinuous and not alternating.”-Nature.

a thorough trial, and if they meet with the same success INTESTINAL GAS-COLOCYNTH. - Dr. Eads in a case that I have, they will always give homeopathic doses of the above character prescribed tinct. Colocynth gtt x.

of wine of ipecacuanha in this troublesome and somewater? iv. a teaspoonful every three or four hours times obstinate affection.--D. B. NESBIT, Southern until relieved. Next day found his patient per

Medical Record. fectly free from pain, no wind in stomach or bowels, OPHTHALMIA IN NEW-BORN INFANTS.-Dr. Luton, the first permanent relief obtained for two months of Rheims, advocates, in the Rerue Medicale, the use of When her babe was about three weeks old, it began to iodine dissolved in cherry-laurel water. Ten drops of suffer very much like the mother. Colocynth gttij the tincture in ten grammes of the cherry-laurel water water } ii a teaspoonful three times a day gare prompt make a colorless mixture, leaving no precipitate, while relief, and both have remained well for nine months. in the same quantity of distilled water a colored preHe believes Colocynth to be a specific in the above con- cipitate would soun torm. The decoloration is owing dition.- National Medical Revier.

to the production of hydriodic acid and iodide of cyan[4 very good homæopathic prescription, but he will ogen, two colorless bodies in solution. A mixture conbe disappointed in the next unless it is indicidualized taining one part of tincture of iodine to twenty parts Colocynth is a specific, but not the specific in such of cherry-laurel water is a collyrium of incontestible cases. -Ed.]

power, in the purulent ophtbalvia of infants. The SLIGHTLY AUBIGUOUS.-An enterprising druggist liquid' is to be dropped between the lids five or six advertises his cough medicine in the following manner: times a day, besides external applications. In efficacy

Cough while you can, for afier you have taken one it is declared to be superior to nitrate of silver, while bottle of my mixture you can't."

it has the advantage of being both painless and safe.

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The Homeopathic Tin


Look at the errata of the thirty-two pages of Aconitum in Allen's Encyclopædia of Materia Medica, as pointed out by Dunham, and see whether our strict

ures are correct - errata that should have been correctA MONTHLY JOURNAL

ed before going to press. of Medicine, Surgery and Collateral Sciences, To tickle somebody's vanity, the profession is sad

dled with a so-called standard work - which is worse Editors:

than none at all, on account of the errors it con

tains when, by concerted action of competent EGBERT GUERNSEY, M.D. ALFRED K. HILLS, M.D. J. B. GILBERT, M. D.

hands, a much more complete and reliable work could have been accomplished. Jealousy and vanity were in

the way of this, and for the time being, conquered, Published on the First of each month.

with what results time only will reveal. Office, 18 West Twenty-third Street, New York, We are sorry to see so much of the vulgar, slangy

style predominating of late, and that, too, from some of NEW YORK, JULY, 1879. our most scholarly minds. Slang and vulgarity may

provoke a smile, but this is evanescent, and is sure to A regular me:lical education furnishes the only presumptive be succeeded by a thoughtfulness which will carefully evidence oj professional abilities and acquirements, and ought to weigh its cause, and place its author in the scale below be the ONLY ACKNOWLEDGED RIGHT of an individual to the erercise and honors of his profession.”—Code of Medical Ethics, Amer. where he really belongs. Med. Ass., Art. iv., Sec. 1.

What we need is more care in literary work, and this

is born of thought, time and patience. In a profession MEDICAL LITERATURE.

like ours, dignity should constitute one of the advance Any one familiar with medical journalism, or with guards. the editorship of the transactions of our medical societies, knows how ridiculously shameful in orthography,

INLAND OR SEA-SHORE. syntax and prosody are many of the articles presented The season rapidly approaches when we as physifor consideration with a view to publication.

cians shall be looking around for a place to send our Few authors are able, in a first draft, to make a pa. invalids for the heated term, and the first question per worthy of being offered for the enlightenment of which arises in our minds in each case is, shall it be others. But this sort of thing is done repeatedly, and inland or sea-shore? We must solve this problem by consequently we get the poorest fruits of those who the aid of unprejudiced investigation. are equal to much better. What we want is ripe fruit, In a general way we say, change of air is the best carefully nurtured and garnered, with the least possi- plan to pursue. We have known patients to be beneble imperfection.

fited by a change from New York City to Long Branch, One of our ablest authors once said to the writer and we have known others who could not bear even that his earlier contributions to literature were many this. times re-written, some even as many as twenty. This But supposing we have decided that a change to an fact accounts for the grace and elegance of construc- inland atmosphere seems desirable, where is the best tion, for the evidence of a master-hand which they con- place? In our experience the Adirondack region is tain, and is one of the reasons why the productions of certainly one. Situated as it is at a varying altitude this author have won the encomiums of the world for far above the sea level (1700 feet), this vast wilderness reliable scholarly maturity.

of 100 miles in diameter unites the beauties of nature Condensation is an exceedingly difficult task for with the pleasures of rural sojourn — its quiet and insome, and forms a most important element in scientific vigorating atmosphere, its opportunities for agreeable literature. Persons inclined to verbosity, should re- occupation in hunting and fishing (for this region write and cut down their productions before expecting abounds in fish and game) — to a degree not to be them to see the light which is to introduce them to the found in any other. Patients who have been accusfield of literature.

tomed to the bustle of city life will not be satisfiedIn the most kindly spirit we urge authors to re-read and hence less likely to improve-in any place where their productions with a view to erasure and interline- there is not something to occupy their minds and give ation, rather than with the feeling of satisfaction that them pleasurable occupation, and we know of no place improvement is impossible-- a spirit which engenders which presents so great a variety. egotism and conceit.

The whole region is intersected and diversified by a Many papers which inevitably see the waste-basket, net-work of lakes and streams, which render it picturon account of their style, by re-writing would make esque and beautiful in an almost unequaled degree. valuable contributions to literature, and redound to the These systems of water communication afford very credit of their authors.

convenient means of transit for hunters and pleasureVery much of our medical literature -- magazines, seekers, the lakes being connected by streams, in some books, etc. — is too loosely and hurriedly thrown to- cases navigable for bateaux, and in others broken by gether, and upon this some inexperienced individual falls and rapids, around which boats and luggage must succeeds to the title of author.

be carried.

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