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Carduus marianus, 1st decim., three drops in water every three hours. Cured entirely in fourteen days, with gradual diminishing of all symptoms and swelling. (Proell, H. K., vol. XXI., p. 36.)

With heaviness of the limbs; heat, with sweat and thirst; very sensitive, irritable, easily angered, sad and tearful; frequent tearing pains in the right ear; bitter taste in mouth; coated tongue; diarrhoea and griping pains in bowels; dry cough; breathing short, quick, worse on lying down. Arsen. 6 cured. (Dr. Hanstein, A. H. Z. 61, p. 52, quoted by Karl Hencke, A. H. Z. 93, p. 76.)

Face, belly, and limbs, especially the legs, swollen; could not lie down on account of shortness of breathing and suffocative feeling; she had an attack of weakness, unconsciousness, rattling breathing, and cold sweat. Frequent cough, with mucus, blood-streaked expectoration, with gagging and vomiting of food and drink. Frequent chilliness, with goose - flesh. Great thirst; small, quick pulse; frequent vertigo; heaviness of the head; burning of eyes and nightly sticking together of the lids; dry catarrh, with loss of smell; bitter taste; pressure and feeling of trembling in the epigastrium; painless, bad smelling diarrhoea. Arsen. 12 cured. (Dr. Hanstein, A. H. Z. 73, p. 30, quoted by Karl Hencke, A. H. Z. 93, p. 92.) Elephantiasis. A woman thirty-three years old; elephantiasis of the left leg. Always feeling of chilliness on the diseased part, but when it became cold, as in winter, she felt a burning, biting sensation in it; during walking, or carrying anything, she felt a trembling in that extremity.

Patient had had foot sweats until seven years ago. Then the leg became "erysipelatous," the foot sweat disappeared, but the foot remained swollen, and this swelling had developed into a pure case of elephantiasis.

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Hydrocotyle asiatica, with some relief. Patient did not recover, but the leg became enormously swollen after some time. (H. Billig, H. K., v. XXI., p. 148.) Sulphuric Paste for Removing Small Growths. Asbestos, soft and free from grit, is reduced to a fine powder, and mixed with three times its own weight of strong Sulphuric acid. The paste so made is applied directly to the tumor, the adjacent healthy tissue being protected. One or at most two applications are sufficient. (A. O., 1876, p. 428.)

Boracic Acid and Its Application. Dr. Leonard Cane says, in Lancet: Its cost is trifling; it is simple in application; it does not irritate and inflame; it can be used as "lint lotion, cotton wool, etc., in combination with most other methods of treatment." (A. O., 1876, p. 550.)

Surgeon-Major Watson reports in the Indian Medical Gazette that he has lately employed Boracic acid with very great success as an external application in the treatment of the dermatophyta, or vegetable parasitic diseases of the skin. He was induced to try this remedy from witnessing its employment as an antiseptic in the Edinburgh Infirmary wards. The diseases in which he has hitherto used Boracic acid have been the various forms of tinea (t. tonsurans and circinata), and in that very troublesome form of the disease which affects the scrotum and inner side of the upper part of the thighs of many Europeans in India. Dr. Watson declares that the external application of a solution of Boracic acid acts like a charm in such cases. An aqueous solution of Boracic acid, of a drachm to the ounce, or as much as the water will take up at ordinary temperature, is employed. The affected parts should be well bathed with the solution twice daily, some little friction being used, and it should not be wiped off, but allowed to dry on the part. (HOMEOPATHIC TIMES, vol. IV., p. 113.)

Epithelioma of the upper lip cured with Hydrastis can. 1x, internally and externally. (A. H. Ashton, H. M., February, 1876.) Removed, remedies failing, with Chromic acid locally. When it ulcerates use a wash of Asclepias incarnata. (H. M., August, 1876.)

Cancer. Origin. First, something surplus, as the remainder of an inflammation, neoplasma, nævus, etc. Second, weakening influences, bad nutrition, grief, mental emotions of a depressing character. (Nussbaum, M. I., vol. III., p. 134, 1876.)

General histological observations upon; a paper. (S. J. Bumstead, M. I., vol. III., p. 469, 1876.)

In cases of newly developed cancer, I would recommend Carbolic acid, in one or two drop doses well diluted, twice or three times a day. In advanced cases instant removal of the tumor, provided it was upon the surface, and then the Carbolic acid treatment, to prevent its return. (G. M. Pease, Mass. Trans., vol. IV., p. 130.) Cundurango has no curative power over cancerous disease, but in some forms of

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primary syphilis its action has seemed favorable. (J. H. Smith, Mass. Trans., vol. IV., p. 119.)

And Eucalyptus. Five cases of cancer reported as improved and progressing toward a cure. (By Prof. Luton, Le Moniteur Therapeutique, quoted by T. Kafka, A. H. Z., 93, p. 207.)

- On the Epithelial Origin of. (F. Forchheimer, N. A. J., May, 1876.)

- Fusil oil for, applied daily, and in time it will disappear. (Mary Clark, M. I.,

vol. III., p. 94, 1876.)

Of lip. Great prevalence in Auvergne, (Ex. Gaz. Hebd., H. W. vol. XI., p. 574.) Syphilis. Complicated with overdoses of Mercury; Nitric acid, 2 cent., external application or bathing with Nitr. ac., 1 dec. 6 drops in a cup of water, cured in three months. (Carl Koeck, H. P. vol. VII., p. 272.)

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Two cases cured by giving Merc. five weeks, Nitric acid for two weeks, and then Merc. again, when recovery soon took place. (Medicus, M. I., vol. III., p. 264, 1876.) Cured a case with Merc. jod., high. (Dr. Macfarlan, M. I., vol. IV., p. 192, 1876.) Ulceration of tongue together with pharynx; pain in stomach; loss of appetite; bright yellow coating at back part of the tongue; edges red. Merc. jod. 40,000 cured. (W. James Blakely, M. I., vol. IV., p.. 169, 1876.)

Has been cured with Merc. jod., 1,000, and also with Merc. cor., 500. (E. A. Farrington, M. I., vol. IV., p. 192, 1876.)

Dr. Sorge uses Sol. cupr. acetici Rademacheri, several drops two or three times daily in cases of syphilis, which have been maitreated with Mercury, or which resist the usual methods; he treated a patient for a year with Merc. corros. 2x, 10-12 gt., twice daily, and then discharged him cured; the man afterward begot healthy children. Dr. Windelband treated two cases of hard chancre with Iodiform, used externally, and saw no secondary symptoms. Nit. ac. 5,000; one dose and Sac. lac. will cure. (J. F. Griffin, M. I., vol. III., p. 575, 1876.)

Case of self-inoculation from a bubo, in which the pus caused a characteristic indurated chancre on the scrotum; a girl wounded herself with a soiled knife, with which a bubo had been opened, and acquired a chancre on the injured finger. (Dr. Windelband, A. H. Z., 92, p. 45.)

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Chronic. You will find great assistance from Sylphilinum 100,000 and 200,000; one dose per week; caries of the vertebra of three years' standing cured with three doses. (Dr. Skinner, M. I., vol. IV., p. 568, 1876.)

Soft chancre on penis, with tearing pains in the bones of the face; swollen tonsils and gums. (Patient had once taken mercury for a peritonitis.) Tinct. cupri acetici Rademacheri four times daily; also used externally. Better. (Dr. Sorge, A. H. Z., 92, p. 45.)

Man had a chancre which was first treated locally, with nitrate of silver, and as this had no effect, the red precipitate of mercury was applied, and in a week and a half the sore had disappeared. Two months later he thought he had acquired a fresh chancre, but examination showed it to be the result of the first infection. There were seven chancres on the glans, foreskin, and body of the penis, and the parts were covered with many small warts; they did not bleed and caused no symptoms. Merc. solubl.

was given; the larger warts began to bleed and the smaller ones to decrease in size, the ulcers became cleaner, and in seventeen days ulcers and warts were all gone. (H. Goullon, Jr., quoted from Dr. Herrmann, A. H. Z. 92, p. 83.)

For Secondary and Tertiary, have been recommended the Liquor antimiasmaticus: synonym-Tinct. antimiasmaticus Köchlini, a preparation of Copper. It has been often used by Dr. Sorge as an intercurrent remedy in syphilis, especially where there co-exists mercurialization. (A. H. Z. 92, p. 140.)

Hereditaria Tarda. (G. Lewin, N. A. J., May, 1876.)

Treatment of. Don't use Merc. too low. Merc. sol. is accurately adapted to the Hunterian chancre as well as the developments which follow. Chancre with indurated base and margin; induration of inguinal glands; excessive languor, with fever and sweat, which ushers in the secondary symptoms. Erythematous and papular eruption; ulcers in the thrcat; throat at first dry and itching, becoming filled with excessive secretions; fauces and tonsils swollen, inflamed, and ulcerated; rupia, with violent itching, worse in bed; excoriated spots, which bleed easily; syphilides; macula; brownish skin with hard swellings (gummata); pains in bones, with restlessness, worse at night; exostosis, caries, and necrosis; emaciation, with slow hectic fever; swelling and induration of the liver.

Mercurius cor. sub. Chancres inflamed and painful; ulcers have a lardaceous bottom and secrete a thin ichorous pus; acute bu bonic symptoms; secondary symptoms make an early appearance. Useful in iritis, together with affections of the conjunctivæ, accompanied by acrid discharges, soft flat condylomata, or mucus tubercles; use the third for the first week, and then go higher. It has acted very kindly when administered by hypodermics.

Mercurius prot. Painless chancres; when the glandular system is largely implicated, inguinal glands large, swollen, but not disposed to suppurate; when the throat becomes affected, tonsils large, secretions not profuse, but rather tenacious; when the testicles are involved.

Mercurius bin. When the chancre and bubo are very indolent.

Merc. dulc. To be used when the eyes and ears are affected; bright-red roseola. It acts well in infantile syphilis.

Merc. prec. sub. When the chancre and bubo

show a disposition to become phagedenic and the various ulcerative processes become destructive.

Cinnabaris. Useful in secondary and tertiary forms. Chancres with hard base in scrofulous persons; the middle of the chancre becomes raised and fungoid; indurated bubo; iritis, with pain in the supra-orbital region, commencing at the inner angle and passing around the temple; circular ulcerations of the skin, mouth, and throat; disorganization of the tonsils.

When secondary symptoms appear, if no remedy is especially indicated, give Nitric acid as long as there is improvement. Nitric acid. It antidotes Mercury. Chancre with raised edges, disposition to bleed easily and profusely; pale, flabby, and prominent granulations; ulcers inclined to spread in circumference rather than in depth, and exhibit a tendency to fungous growths. Discharge various and corrosive; pain as of splinters. Buboes threaten to suppurate. Coppery and violet colored spots on the skin; squamæ, rupia, mucus tubercles; condylomata. Pains drawing and pressing, particularly in bones of the head; strong smelling perspiration and urine. Good in all potencies.

Kali iod. Is indicated after the abuse of Mercury indicated in hard bubo of a scrofulous person; if suppurating, a curdy, offensive discharge. Thickening of the spermatic cord. Ulceration of nose, mouth, or throat, etc., with corrosive, burning discharge. Lancinating pains in the

throat. Often required in the secondary and tertiary conditions. System much depressed; effusion of serum into the cellular tissue; threatening abscesses; induration of the liver.

Thuja. It is curative in the condylomatous excrescences which appear on the penis vulva and around the anus; painful inguinal glands; drawing pains extending to the knee. Purulent pimples. Brown or red mottled spots, with itching. Red nodosites on the temples. Rupia. Condylomata on the iris.

Kali bich. Useful in syphilitic laryngitis with hoarseness, dry, hacking cough, and tenacious sputum.

Aurum met. Syphilis with mercurial cachexia. Most valuable in secondary and tertiary forms; ulcers of nose and mouth, with fetid discharge; necrosis of the nasal bones; nodosites of cranial bones.

Asafoetida. Affections of the long bones, with severe pain at night; nodosites. Carbo veg. In cachexia syphilitica; extreme prostration, with impairment of digestion, acidity of the stomach, and great flatulency. Suppuration of the bubo. Parts are livid or mottled. General or partial falling off of the hair, with furfuracious desquamation. Yellow skin, shooting pains in liver and skin, palpitation of the heart. Carbo animalis. Bubo which is becoming phagedenic. (J. H. McClelland, M. I., vol. IV., p. 185, 1876.)

Induration of inguinal glands. Carbo. anim. (Fischer, H. K., vol. XXI., p. 5.) A young, slim man; sore places at each side of frenulum præputii; commenced a few days ago. Diagnosis: Soft chancre; no glandular swelling. Prescr.: Hg. 2, 3 times a day; Nov. 5th, 9th, 13th, the same. Nov. 19th drawing in the bones of the face; pain in the tonsils; swelling of the gums. (Had been treated with large doses of Mercury in an inflammation of the bowels 7 years ago.) The frenulum was perforated; another little ulcer appeared near the old ones, penetrating into the glans penis. Prescr.: Tinct. cupri. acet. Rademacheri, 3 drops four times a day, in water; externally 1 drop twice a day. Nov. 26th ulcers cured; no more suppuration; gums a little swol len, much less sensitive. (Sorge, H. K., vol. XXI., p. 12.)

Iritis and Retinitis Syphilitica. Subcutaneous injections of 1 gramme of 1 cent. solut. in water of Merc. subl., once or twice a day. Dose about 1-6 grain. (Windel| band, H. K., vol. XXI., p. 12.)

Hg. o. 1-3 centes., three times daily. Ulcerations and indurations of the tongue.

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skin. Hydrg.
(Deventer, H.

Aurum mur. natr. Tertiary in the bones and auratum, 1,2 or 3 centes. K., vol. XXI., p. 12.) Severe affections of the eyes. Hydr. bijod. rubr. in water, with much Kali jod. Hunterian Chancre. Merc. corros. 2 dec. in Alcohol of 45°, 10-12 drops 3 times daily. If Mercury does not improve any longer, 3-5 drops of Tinct. cupri. acetici Rademacheri every three hours, especially in bad ulcerations of the inguinal glands, on the skin, or in the throat. After the abuse of Mercury, quickly increasing ulceration of the soft palate, phagedænic, threatening to eat through the pharyngeal muscle to the vertebræ. Internal administration of Nitric acid, with cauterization by the pure acid every 2-3 days. (Sorge, H. K., vol. XXI., p. 5.)

carrying out carefully the last stages of all
operations; look very carefully to all your
instruments and apparatus. (Quoted from
Paget's Clinical Lectures in O. M. and S.
R., Jan. 1876, p. 1.)

Plastic Operations. Dr. Wolfe is convinced
that the pedicle is not essential, if, indeed,
it contributes at all to the vitality of the
flap in plastic operations. The chief causes
of failure in plastic operations are the sub-
cutaneous structures. If we wish a skin
flap to adhere to a new surface by first in-
tention or agglutination, we must be sure
that it is clear of all areolar tissue and
properly fixed in its new place. (O. M.
and S. R., January, 1876, p. 44.)
Lateral Curvature of the Spine, etc.
(Roth, Brit. Jour., p. 632.)

Surgical Operations during Pregnancy.

port of discussion at Societe de Chirurgie. (0. M. and S. R., September, 1876, p. 299.)

A fork extracted from the stomach. (O. M. and S. R., September, 1876, p. 298.)

The Theory of Sycosis. (H. Goullon, Jr., Successful Gastrotomy.
N. A. J., Nov., 1876.)
Mercurial Ulcers on the penis in a man

who had had syphilis and gonorrhoea, and
had taken a great deal of Mercury, were
for a time relieved by Hepar. sulph. or
Nitr. ac. 3; later by Kali chlor. 6. A
fresh attack of chancre was relieved by
Cinnabar. 1st cent., and later 3d cent.;
for verv painful bubos Carbo. animal 6.
(H. Fischer, A. H. Z. 93, p. 6.)

Chancre. Three cases with small sore on prepuce cured in from one to three weeks with Merc. cor. 200. (T. S. Hoyne, M. I., vol. III., p. 541, 1876.)

Fig Warts from syphilis. Thuja 200 cured three cases. (T. S. Hoyne, M. I., vol. III., p. 540, 1876.)

Rectum; cauliflower growth. Hydrastis cured. (A. C. Clifton, M. I., vol. IV., p. 482, 1876.)

SURGERY.

The Calamities of Surgery. Never decide upon an operation for any reason other than the good of the patient; never decide upon an operation, even of a trivial kind, without first examining the patient as to the risk to his life, and never make light of an operation to a patient; do not operate upon inflamed parts; look to the hygienic surroundings of the patient; never perform an operation if you can cure the patient by any other reasonable means, if a disease can be cured as well by a bloodless operation, choose that in preference to any other; be quite clear about

Wound in the Palmar Arch. When
you cannot reach the cut artery-in addi-
tion to a well adjusted compress, and ban-
daging the fingers from the tips-you
should secure the hand and forearm upon
a well padded splint, reaching beyond the
fingers and above the elbow, and forbid
the slightest attempt to actively move the
limb. (Ext. in N. E. M. G., vol. XI., p.
144.)

Purulent Infiltration is to be distin-
guished from pseudo-erysipelas in former
large area of cellular tissue; becomes gan-
grenous in the later small area only. Car-
bolic acid is the remedy. (Nussbaum, M.
I., vol. III., p. 133, 1876.)
Injuries of all kinds. Must be cautious in
predetermining consequences, as malignant
neuralgia, epilepsy, and even insanity,
may follow from consecutive osteophytes;
also, scars at tendo-Achillis, at the margo-
supra-orbitalis and scalp, with contractions,
may have such results. (Nussbaum, M. I.,
vol. III., p. 133, 1876.)

Aspirating the Pericardium. To be performed

when amount of effusion threatens life of patient. (A. O., 1876, p. 173.)

Conservative Surgery consists in opposing to disease the indicated remedies selected according to our law of cure. The list of "incurable" diseases is now less than half what it was ten years ago and rapidly decreasing. This condition is due to conservative surgery. (J. C. Gilchrist, A. O., 1876, p. 382.)

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"Fools Rush In." An account of how a "German tradesman, resident in London," "bled one doctor with a lancet borrowed from a second" while a third looked on. Traumatic aneurism resulted from puncture of brachial artery. (A. O., 1876, p. 543.)

Surgery as a Science. (J. G. Gilchrist, A. O., 1876, p. 422.)

Coaptating Wounds. (A. O., 1876, p. 263.) Marvels of Galvanic Surgery and Reply thereto. A criticism and answer. (A. O., 1876., pp. 553 and 555.) Homoeopathy; Its Influence upon Surgery. (Wm. Tod Helmuth, M. I., vol. IV., pp. 468-556, 1876.)

A Manual of Bandaging, with illustrating figures and cuts. (A. O., 1876.) Strange Accident and Skillful Treatment. Mr.

Brunel, the engineer, swallowed a silver coin, which was securely held by the muscles of the throat. It was not in the windpipe. An aperture was made in the gullet, by which he was fed for some days while an apparatus was constructed upon which he could be securely fastened, face downward; the machine was then raised so as to bring him into a perpendicular position, feet uppermost, and brought up suddenly with a jerk when the perpendicular was reached. The shock caused by the sudden stoppage relaxed for a moment the muscles which held the coin, and it dropped against his teeth. (A. O., 1876, p. 538.)

Bristle Probang for Esophagus. An old but ingenious and simple instrument of removal of foreign bodies from œsophagus. (A. O., 1876, pp. 44-45.)

The Arrest of Hemorrhage. Mr. Maunder concludes, from his experience, when bleeding has ceased, no operation is to be performed, unless another hemorrhage would endanger life. The bleeding vessel is to be tied above and below the wound in it, and, if possible, at the seat of injury, and should only be sought at a distance from seat of injury when attempts to otherwise secure it have failed, or when such attempt is anatomically injurious or pathologically useless. Ligate the brachial in preference to both ulnar and radial for hemorrhage from hand. Ligation of brachial stops destructive inflammatory changes from futile local efforts to check hemorrhage. Blood, venous in color, will often flow from distal end of severed artery in lower extremity, and occasionally, also, in upper extremity. In malignant disease the feeding artery may be ligatured in its continuity when bleeding cannot be checked by

milder measures. Where a part is disorganized, and repair rendered doubtful by bleeding, amputation is to be performed. "Indirect compression will occasionally arrest severe bleeding." Both femoral and axillary arteries may be wounded and still pulse be felt at the extremity of limb. A wounded artery may be recognized by warm blood impinging on the inserted finger. "Direct compression upon bleeding point will often succeed after the main artery is tied, though it failed before," and this fact justifies tying a main vessel. (A. O., 1876, pp. 552 and 556.)

Aneurism of Abdominal Aorta. Cured by Gallic acid and Ferri sub-sulphate. (Duncan McFarlan, Trans. N. Y. S., 1876 -7, p. 160.)

Sprains. The treatment of, by circular compression and perfect immobilization. (Ext. N. E. M. G., vol. XI., p. 479.)

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Massage. Especially efficient in, and contusions with bloody extravasations. Three manipulations suffice. 1. Stroking the extremities. 2. Kneading. 3. Tractions with passive motions in the joint. (A. O., 1876, p. 421.)

Ferr. phosp. was successfully used in the case of a man who had been run over by a wagon and had been severely bruised. (Dr. Walz, A. H. Z. 92, p. 110.)

Transfusion of Human Blood as a principle of cure. History, with cascs. Anæmia, the result of flooding after abortion, cured. Phthisis pulmonalis improved. Hemiplegia greatly improved (three operations). Chronic rheumatism, diabetes mellitus, and dropsy improved. (E. C. Franklin, M. I., vol. III., p. 460, 1876.)

Two cases of transfusion of animals' blood into man. One case, a consumptive, revived for four or five days. The other, suffering from cough and purulent sputum, was attacked four days afterward with erysipelas. Bell. and Lach. cured this. Later an abscess formed at the site of the wound, which was incised, bad smelling pus escaping. Ars. 30 helped. Several days afterward she was supposed to be dying, but Morphia 1 relieved. Recovered eventually. (Dr. Buffum, H. M., Aug., 1876.)

Hermetic Transfusee. (I. Roussel, Trans. E. Y. Howard, C. M. A., p. 509.)

Senile Gangrene. A case of. (R. A. Brinks, M. I., vol. III., p. 93, 1876.)

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