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by the gagging and retching. It was finally removed with a curved forcep, and proved to be the sting of a bee. The patient felt relief in a short time. Solution of adrenalin chlorid was then applied to aid in reduction of swelling. He was quite comfortable in about an hour, and seven or eight hours later the tumefaction had almost vanisht.

St. Cloud, Wis. C. W. LEONARD, M. D.

My Experience with the Automobile. Editor MEDICAL WORLD:-I purchast an automobile last May. Having four horses I placed two in the pasture and kept two to drive in muddy traveling. I had the "auto" hauled home once, on account of the five connection pins breaking. I was stuck in a muddy road once, and was pulled out by a team. One man fell from his carriage and broke three ribs, by his horse taking fright and running while passing, but we were at a "stand still." I have a good man to run my machine, who also takes care of it. On account of bad roads it is idle this winter, but I will use it next O. W. BURNS, M.D. Dartmouth, 1876.

season.

Winneconne, Wis.

Questions.

1. When a man calls upon a doctor and says, "I wish you to attend my wife in about a month, when she will be confined," should the doctor, if not specially requested, call to see this prospectiv patient prior to the expected time of confinement?

2. Should the physician engaged for such a case (no retaining fee being paid), in the event that he is not called when the child is born, send a bill?

3. Could such a bill be legally collected? the doctor being able to show that he had postponed a trip away in order to be ready in the event of this call.

Smithfield, Utah.

C. E. BOYNTON, M.D.

Corn Remedy.

Editor MEDICAL WORLD:-I wish to report a corn cure that I accidently blundered on. I have several soft corns between the toes and have tried every corn cure I could run across, but none was of much benefit. They would return, and the cure in some instances was as bad as the disease. One night on retiring my corns hurt so much I concluded to anoint them with vaseline as had been my custom, to soften them a little, but as I was undrest for bed and just before me was a small tin box of Lloyd's thuja ointment I had been using for

other troubles, I concluded that it would do to grease my corns, and it felt so good I tried it for several nights. It completely and painlessly cookt my corns so that the warm foot bath and the point of my knife completed the job. B. K. WOOD.

Anadarko, Okla.

Removal of Corns.

Editor MEDICAL WORLD:-In recent issues of your valuable journal I have noticed several items on the "cure of corns." I would say there is no cure for corns. Corns should not be considered a disease, but a condition. They may be removed or prevented. Corns are but the thickening and hardening of the cuticle, which is begun in self defense in trying to protect the more tender tissues beneath. They occur from two causes: Ill shaped feet that no shoes will fit; or, from ill fitting shoes. The patient may not be to blame for the former, but he could mitigate the latter. What I believe to be one of the greatest causes of corns is the wearing of shoes with toe-caps, or box toes, where the hard unyielding seam comes directly across the toes. Such shoes never ought to be worn, altho fashion decrees that they are the proper thing for the present

season.

Many remedies have been devised for the cure of corns, or for their removal. To me the problem of removal is far more simple than the prevention. For soft corns, which occur between the toes, the application of a tuft of absorbent cotton saturated with salicylic acid will soon give relief. If the cotton does not readily stay in place, then tie it there with a bit of white woolen yarn. Hard corns should never be cut. That method is always a source of danger, besides leaving a hard, impervious surface. Many of the caustic remedies used affect the tissues too deeply, causing a condition more painful than the corn. The true and most philosophical treatment is to remove them with a piece of medium sandpaper. This is on the same principle of the fine file of the Chinese chiropodists, which leaves the surface soft, pliable and pervious to the secretions of the tissues beneath. same treatment is applicable to all calluses of the feet or hands. It never hurts nor does harm, yet all hard corns may be perfectly removed in this manner with careful and proper manipulation. D. D. ROSE, M.D.

Valparaiso, Ind.

The

In children prone to enlargement of the cervical glands, it is not well to wait too long after constitutional and local measures have failed. Abcesses make cicatrices more unsightly than incisions, and you invite extension of infection by delay. Incise and enucleate under chlorid of ethyl anesthesia.

Rheumatism, the Bane of the Human Race. -How to Successfully Treat and Cure it. Editor MEDICAL WORLD:-Malarial poison and a bad condition of the liver and stomach are the contributing causes of this disease. To my mind, from a long experience, the first essential of cure is the rectification of a torpid liver, a careful attention to the digestiv tract, and the elimination of the uric acid which has formed in the system. How to bring about these desideratums is as follows: Give ten grains of blue mass at night, following it with phosphate of soda, the effervescing kind, early in the morning, continuing the phosphate for a number of mornings, early. If the patient is a dyspeptic, then use the non-effervescing phosphate in as hot water as can be swallowed. This will keep up a continued action on the liver and help digestion.

The human stomach is made a sort of a slop jar of the body, and from our earliest years it is so used. I take it that in most of the diseases to which flesh is heir, we should deferentially take off our hats to this much abused organ.

After the above named medication has been carried out to create a healthful action of the stomach and liver, we can specifically attempt to eliminate the poison from the blood. My plan, very successfully used, is to give four times a day one of the following capsules:

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Alkaloids in Chronic Troubles. Editor MEDICAL WORLD:-A great many physicians who employ the alkaloidal remedies in acute troubles either seem to forget them or to doubt their value in the treatment of chronic diseases. My practise consists almost wholly of this class of cases. It is very seldom that I have a case that has lasted for less than two years; many of them are troubles of twenty years' standing; most of them have run the gamut of treatment and have survived the attacks of several schools of practise, and most of the patent medicins with which the market is flooded. The various alkaloidal preparations, as indicated, give me excellent results, much better than I have ever been able to secure with any other line of treat

ment.

The diseases which are most common in my practise are rheumatism, neuralgias of various sorts, consumption, neurasthenia, chronic genito-urinary troubles, pelvic troubles in women, especially neuroses, sexual weakness in both sexes, digestiv troubles, asthma, tertiary syphilis, and locomotor ataxia. In the treatment of these cases I use the alkaloidal granules almost altogether, and prefer those made by the Abbott Co. The advantages of the granules are accuracy, reliability and convenience. With the single exception of bioplasm, a remedy which has given me very great satisfaction, I almost never make use of any other internal remedies.

Perhaps a few notes in regard to my treatment of such cases may be of interest to your readers. As you probably know, the first principle of alkalometry is to clean out the alimentary canal and keep it clean. In my practise at least ninety-nine patients out of a hundred have chronic constipation. I am almost ready to assert that this is the beginning of all diseases. One thing is certain: it is useless to try to cure any chronic disease unless this principle is carried out. Epsom salts will do the work if the patient will take it, which isn't often. I use the saline laxativ, an effervescent preparation of the salts. This is the be

ginning of all treatment in all cases, and part of it in most of them.

The next point is "dose enuf"; that is, having chosen your remedy, saturate your patient. Get the physiological effect you are after, then increase the time between doses so as to maintain the effect. The best way to saturate the system is by small doses frequently repeated. If this rule is followed you need never get any over action if you watch the effects properly. In regard to particular diseases, no routine treatment can be followed. This is particularly true in the use of the alkaloids. They have often been called "arms of precision," and must therefore be aimed at definit symptoms or conditions. As no two cases, even when the diseases are called by the sime name, are exactly alike, so, too, the treatment of each must vary according to the conditions to be met.

One

All doctors have their favorit remedies. This is true of the alkaloidal convert, but I think most physicians who use these remedies use a larger number of drugs than those who use the more bulky forms of medicin. reason is that a much larger supply can be carried in the same space, and the remedies being at hand, they are used. Every hospital interne discovers when he goes into practise that the lack of a well stockt laboratory causes him to forget the use of many remedies he deemed absolutely necessary while in the hospital.

Just a few words then in regard to my favorit remedies. Perhaps I ought to give first place to bioplasm; at any rate I use more of it than of any other drug except saline laxativ. Saline, as I said before, is part of the treatment in every case I handle, at least at the start. It is right to "speak well of the bridge that carries you safely over." Bioplasm stopt the course of a well developt case of lateral sclerosis (my own), and has restored me to very nearly a normal condition-and keeps me there.

Nuclein (Aulde) is very similar to bioplasm, or vice versa as you prefer. In some cases it seems to give me fully as good results. I use it particularly in combination with the arsenates of iron, quinin, and strychnin. This tablet is particularly useful in cases of sexual debility, "night losses," premature senility and cases of this class.

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sions, premature ejaculation, etc. Arbutin and lithium benzoate I use frequently in bladder troubles, chronic cystitis, and the like. Boldin acts well in torpid liver, also useful in case of gall-stones. Atropin and ergotin, alone or in combination, in cases of menorrhagia, metrorrhagia and all forms of hemorrhage. Cannabin and atropin to replace morphin. Cicutin as a spinal sedativ, to relax spasm, priapism, etc. Colchicum in rheumatism is almost a specific. Hyoscyamin as an antispasmodic, or occasionally as a hypnotic, is excellent. Sanguinarin nitrate is an excellent sexual stimulant, especially for frigid women. The combination granule of helonin, caulophyllin, macrotin and hyoscyamin comes last but not least. It gives me better satisfaction than any combination granule I have ever used. It is of service in almost every form of uterin trouble, whether functional or organic. It gives more or less relief even in those cases where some form of operation is the only hope of cure. This granule, or pill, is known as uterin tonic (Buckley), and it deserves its name. It surprises me nearly every time I use it.

I might say much more, but I fear I have used more than my share of space already. E. F. ROBINSON, M.D.

Boston, Mass.

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This imitation appeared to me to be a very clever one; if anything, it seems to be an improvement on peruna, so far at least as sherry wine is preferable to whiskey. I. LADOFF. Schenectady, N. Y.

Quantity of Triturate or Menstruum in 30x. Editor MEDICAL WORLD:-Dr. Spain's contention that "it would require five globes the size of our earth to contain the 30x trituration of a drug" is approximately correct, notwithstanding the fact that Dr. Edgar can make the 30x "in thirty little 2-drachm vials." The fact of the business is that Dr. Edgar forgets that he discards nine-tenths of his solution at each dilution, and that is what keeps the quantity down. If he does not believe Dr. Spain's statement, let him undertake to make the 30x dilution of salt and use all of it. If he discards no part of it he will have at the tenth dilution something like 20,000,oco gallons of solution, and the quantity will be multiplied by ten at each subsequent dilution. What, therefore, would be the quantity of salt in a barrel of the 30x? I'll tell you doctor that 40,000,000 such particles of salt could play hide-and seek on the toe nail of a ptomain for ten thousand years and never find one another. Shubert, Neb. J. F. STONG, M.D.

Homeopathic Treatment of Elongated Prepuce.

Editor MEDICAL WORLD:-I wish to say a few words in reply to the paper entitled "Homeopathic Substitute for Circumcision." The paper in question is calculated to prejudice the most liberal among the dominant school. Homeopathic therapeutics were never intended to teach such unreasonable ideas. The writer, if he holds such opinions, would better keep them to himself. I studied in the homeopathic school and have never had reason to regret it; but I have failed to find such a remedy-one with the power to amputate foreskins and fingers cosmetically. I have recently circumcised several children, who were brought to me for worms and other supposed nervous troubles, and have succeeded in relieving them. How any sane man can believe, much less expose, such ideas, I fail to understand. The failure to recognize the necessity for circumcision, and to neglect to perform the operation, would be evidence of gross incompetence. The average homeopathic doctor is familiar with the current literature, and is able to consult with regular physicians, or write prescriptions for all the pharmaceutical preparations. Physicians are getting nearer together. For my part, I am practising medicin honestly and conscientiously. D. O. MCCRORY.

Mobile, Ala.

Dr. A. J. Hall, of Jemison, Ala., reports good results in erysipelas from sulfid of calcium internally, and sulfocarbonate of zinc in strong solution applied locally.

Homeopathic Replies.

Editor MEDICAL WORLD:-Page 532. My comment on your editorial, "therapeutic cowardice," would be for such persons to use alkaloids, from a reliable house, as safer than Galenic pharmaceuticals. "Bowel troubles in typhoid." The Editor is correct: That nature means something when causing discharges, and it is hardly correct to fill the patient up with drugs, upon a theory of antisepsis, when the patient's life force is already much deprest. That patient getting up and about is not all the proof. There is where treatment by a law of cure can aid nature restore itself, and these loose discharges, subsultus, etc., are our guides in selecting the remedy to cure, instead of forcing drug action upon any theory.

Page 537. "Spina bifida." I compliment Dr. Workman on his successful operation. If it shows symptoms of returning, or Pott's disease shows up, I ask him to consider the tissue remedy lacking, and my suggestions, for I have cured such cases with the homeopathic remedy when other practicians prognosed as did his colleague.

Page 538. Erysipelas." I suggest to Dr. Eads that his cases may have been caused by the home use of tinct. of arnica. It is frequently the cause thru drug store prescribing and the family not knowing how to use this useful remedy correctly. Never use it to an open wound.

Page 539. Dr. Black's treatment of septicemia. "Put yourself in his or her place," is the title of a book by Chas. Reade.

Page 543.

Routine use of douche after parturition." I second and quadruple his comment that "it is unjustifiable."

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Page 544. Dr. Giltner takes steam to not learn. The Editor put the heading. The truths I gave were for the profession to learn, and is not literally a tute for circumcision," but to cure the patient, whose abnormal condition is keeping back proper development. We give the remedy to absorb only what is abnormal to the proper development, and on the same principle is that of proper subinvolution restoring the uterus of the new mother to near its virgin size. Dr. G. has viewed my suggestions of proven remedies, verified, and has cured, thru his forcing drug action ideas. I thank him for his compliments on what I know, also for his attack on the jaborandi forcing, for in that rut he is more versed. But during gestation, we have remedies to help nature restore the mammary gland to its natural duty, guided by its previous failure and the concomitants of the woman otherwise, to help us select the remedy, commencing to give it at the third or fourth month of gestation. Many cases in multiparas have been caused by the forcing drug treatments previously, as ergot, camphor, etc.

Page 547. Dr. Boynton makes some good points in his suggestions about changing locations. They are worth thinking about.

Page 549. Dr. Lum's points about R writing are correct. The sooner the profession do their own dispensing, the better for both physician and the people. Having been in the drug business myself, I know something about it. We had one family who averaged at my store $150 per year for patent medicins, and maybe some more from other stores. I, as a physician, would have gladly taken charge of that family at $150 or $100 per year and furnisht the medicin.

Page 559. Capricious vomiting." I suggest to Dr. Hoyt to dilate the cervix uteri and leave a sponge tent therein for 36 or 40 hours, if possible, before withdrawing it. Add calc. sulfid, smallest dose, but repeat frequently and for some weeks. Don't saturate! Tobo tastes bad enuf if water is used. Get the Too from Clapp & Sons. Omit all drugs and local means except cervix dilatation.

Page 560. Capitis, or terebintha poisoning. Give phosphorous 10000 to antidote the poisoning, then follow with psoric 10x in disks two each two hours to cure. Can be procured from B. & T., Chicago.

Page 560. Progressiv paralysis." Electricity I think is harmful; but conium 6x, and nux vomica 6x, three doses of each per day, have helpt others. You

might try the alkaloids conin and strychnin, and proscribe coffee absolutely.

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Page 560. 'Chronic pharyngitis" needs bichromate of potash in a weak solution, frequently repeated. If you use the atomizer as a placebo," use the bich. potass. in it. This is to cure catarrh and all. Try it. Page 562. "Facial eczema." With what symptoms given, try weak solution of ammon. carb., internally and locally. This is to cure, not to palliate or drive in. Page 562. "Rectal prolapse in boy" is absolutely curable by the remedy given internally. I suggest podophyllin 30x if light-colored stools; plumbum 30x if constipated and the sphincter tends to violent constriction at times; merc. vivus 30x if rectum of dark color and bleeds easily and the prolapse is after the fecal discharge; ignat. 30x if worm indications, and prolapse even with soft discharges. Dr. Hines can procure I oz. of disks of one or more of the above remedies from B. & T., Baltimore, and give two disks night and morning. Use no local applications except pure

water.

Page 562. "Chronic diarrhea in female." Needs tinct. cinchona first. Make a solution of robo in water and alcohol, and give 20 drops each three hours. This will build her up at once. You may have to follow with small doses of rheum or nux moschata afterwards. These suggestions, Doctor, are for curativ remedies, not to force a drug action, hoping to abort.

Page 563. "Traumatic epilepsy" in 13-year-old girl. Needs arnica 30x first. Send to Munson & Co., St. Louis, and get 13 of disks and give three three times a day. Also procure hypericum 30x and give the same way alternate weeks. It will take fine remedies to cure this case, and crude drugs will not only not cure, but will set the case like soap does an ink stain.

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Cure for Colic in Horses.

Editor MEDICAL WORLD:-In reply to Dr. Gibson's query, page 563, December WORLD, I beg to submit the following:

Twenty years ago I started in business. I knew nothing of business, and considerably less of horses. In the first four years of my experience I lost thirteen horses with colic. They cost me over $2,000. This prompted me to make inquiry in every direction. Finally, I askt a coal agent. It so happened that a relativ of his was a veterinary. He then made it a point to ask the veterinary for a remedy. Later on he brought me the following prescription from M. E. Conrad, V.M.D., West Grove, Pa.:

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Give two tablespoonfuls every half hour until pain subsides, or until three doses are given.

I am pleased to state that since then I have not lost another horse. The proper way to give it is to get a syringe to hold one ounce, fill it with the medicin and squirt it in the horse's mouth. Keep away from him so as not to excite him. If given early, one dose will do the business.

I gave the above recipe to a horse doctor of this city some time ago. He uses can. ind. and linseed oil, equal parts. He claims that this is better, because it will not irritate the stomach. Last year he had 229 cases and lost only two. He is, without exception, the most intelligent veterinary I ever knew. He has a tremendous practise. He was educated at the University of Pennsylvania. He uses two ounces of can. ind. and lin. oil, equal parts, mixt, as a dose.

Now, as to a preventativ: About five years ago I was at York, Pa., to buy a horse from a contractor. I got there late in the evening. After we had been at his stable to look at the horse, we came out and he lockt up the stable. He had about 75 horses in there, with no one to look after them during the night. This

surprised me, and then I said to him, "Suppose one of those horses should get the colic during the night; who would find it out?" The stable was 100 yards away from the nearest house. He replied, "We have no colic." Then I askt him how he prevented it. He replied, "I will take you into the stable again and show you." We entered and he showed me a barrel full of Glauber salts. He further stated, "We keep that on hand all the time, and put a handful into the feed of each horse twice a week." When I returned home I bought a barrel, ordered it to be used as above mentioned, and I am pleased to state that we have not had a case since. This beats all the cures.

BALTIMORE. [This is not a veterinary journal, but as nearly every doctor has one or more horses, the above will doubtless be of value to our readers.-ED.]

Is This the Truth?

It is a mighty easy matter now to become an M.D. For $25 you can get a four years' course and a diploma which says, "Labor conquers all things." and the labor part has conquered when you get the $25. For an additional $10, you can get a four or five years' hospital experience (this is regulated by your age) and a certificate with a big seal and blue ribbons will herald it to the suffering public. The signatures at the bottom of one of these certificates would make a Chinese laundry check look like 38 cents.

It's too late now for some of us to take advantage of this grand clearing sale of medical learning, but to the young man starting in life this is certainly a golden opportunity.

It would be well for any one desiring to take up this course to follow the advice of one who went the long

route.

The first and most important thing is the $25, which can be sent by money order or N. Y. draft.

A silk hat will give you the practise of medicin as well as you need know it.

A diamond ring (imitation will do) will make any man an accoucheur.

A Prince Albert coat, to the laity will mean a knowledge of surgery.

Diagnosis is easy, for nine out of ten will know exactly what is the matter with them.

Patent leather shoes will build you up a reputation as a gynecologist.

As to prescribing, just get a lot of tablets; the directions on the bottle will tell you what they are for, dosage, etc.

Get your picture in the paper and advertise to cure all things. A certain percent of your cases will get well in spite of your treatment.

Don't pay any attention to ethics; antagonize every old style physician in the country; make your fees high and collect in advance.

Now, young man, I am satisfied that this will work, for I have seen it tried in several different localities. The people are tired of the old school man and are anxious for a change. If you will follow my instructions, and above all things be brazen, you will be able to stay in most any community for a year.

You understand that the regular physician hasn't any way of letting the public know that you are a fakir and a grafter, and if he did have, his misunderstanding of ethics would prevent him from exposing

you.

True, they have societies everywhere, but their time is taken up in professional research instead of mutual assistance.

Go forth young man, for "the harvest is plenty and the laborers are few." D. L. BLEVINS, M.D. St. Anthony, Idaho.

In injecting whiskey or ether for surgical shock, or in suspension of respiration during anesthesia, always inject deeply into muscular tissue to guard against slufing of the skin, and avoid the larger nerve trunks, as such injections have been followed by neuritis and paralysis.

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