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too slowly; on the thigh it took from 36 to Aourish without opposition, but when they 50 hours. Holmes and Hulkie (System of come up against a brother who is thoro in his Surgery, 1883) give directions also. System diagnosis, they fall quickly. I am only a of Surgery, by Dennis, 1896, Vol. iii, gives young doctor, but it does me good to come in directions for the starch bandage. Moullin's contact with one of the long-faced gentlemen, Treatise on Surgery, by Dr. Hamilton, 1893, in consultation, who is running the young speaks of the same bandages.

doctor down because he hasn't any expeBut Profs. Wyeth, Park and Bryant say rience." The patient or family invariably nothing about the starch bandages. And will say, “why Dr. A. didn't examin me, he lastly, in the System of Practical Surgery, by said I had congestion of stomach and bowels." v. Bergmann, translated by Dr. Bull, up to I endeavor to make a careful diagnosis, direct the close of Vol. ii, 1904, nothing is said of the right treatment, and cure my patient. them.

People like a doctor to take interest enuf in I have used starch bandages, off and on, their case to find out their trouble. 27 years, and a few times have used Larry's Summer is coming, and infantil diarrhea plaster, i. e., white of eggs and flour, which with it. Keep the bowels rid of undigested was used in Napoleon's campaign by Larry. food; evacuate with small and oft repeated

I only write this to disabuse the minds of doses of castor oil, or grs. one tenth of calodoctors who may think that they have some- mel; then give zinc sulfocarbolate, suspended thing new.

Cheves BEVILL. in elixir of bismuth or emulsion of bismuth. Winfield, Ark.

Do not check the bowels too quickly. Bathe

with cool water to control fever, and success For Enlarged Vein.

will follow. Editor TAYLOR :-Will you please say to

I would like to know if any readers of THE La.,” page 216, that the “enlarged vein " WORLD have ever had any experience with will disappear in from 3 to 7 months' time chlorate of potassium in typhoid. under ferrum phos. 3x, 5 grs. t.i.d., in alter

Brookport, Ills. SHERIDAN WATERS. nation every other week with fluoric acid 6x, 5 grs. t.i.d.? I cure all my varicose vein

Ringworm. troubles with these two remedies, giving the ferrum phos. the first week and fluoric acid the

Editor MEDICAL WORLD :-If the brethren second week. Under this treatment there is

who want relief from the itching of the erupno need for an operațion.

tion which wearies them so much (page 214, Jersey City, N. J. BAILIE BROWN. May WORLD), will try the old, time-honored

black wash, it will give them temporary relief.

To diagnose: Touch with a good article of Success Due to Careful Diagnosis.

chloroform; if the spot turns white, it is ringEditor MEDICAL WORLD:-I do not wish to flatter you, but I must say that if I have any I believe in shooting rifle shots; and when knowledge of what pure, honest journalism is, I read my journals and books, I hunt for one THE MEDICAL WORLD is “it." I have been good thing that will do in all or nearly all cases. a subscriber only a short time, but since I Here is one for ringworm: began to read THE WORLD I have become im

R prest with it and have recommended it to Corrosiv sublimate

Oil of sassafras many. I was for some time connected with a

Alcohol, q. s. ad.

fziv medical journal, and I know the many tempta- M. Sig.-Apply once a day; when the place gets tions in the way of an editor; I know what it sore, dress it with a simple ointment. means to cull the reading matter that comes in For children and persons with tender skins, for publication, and I think that the editor I use only five grains of the corrosiv sublimate that keeps clear of the many advertising traps to the ounce. In stubborn cases I put fifteen should have great credit. Brother Lawrence, grains to the ounce. Try this, brethren, and of the Medical Brief, has fallen by the way. let me hear from you. side as an editor, but so have many others. Dalton, Ga. W. J. BROWN, M.D.

I desire to say that success as a practician depends in great measure upon our ability to

White or liquid petroleum is worthy of consideration make a correct diagnosis. There are many when one wishes a mechanical, rather than a med. calomel and quinin doctors in this country

icinal laxativ. It is soothing to inflamed mucous

membrane, and it is promptly efficient. It may be that go thru their work without practically any given to an adult in doses of two or three ounces, and investigation, simply prescribing at random children bear proportionately large doses very well. and calling every disease “congestion," or

Even infants will bear it nicely. It is practically taste

less, and has all the effect of castor oil without its the result of congestion. These M.D.'s may nauseating qualities.

worm.

JUNE, 1904]

Herpes and Eczema, Eclectic Treatment of Typhoid Fever

249.

Herpes and Eczema.—Maskt Malaria.-Coal- There was ample evidence of pregnancy,

but Tar Derivativs.

not an indication of labor. Five grains of Editor MEDICAL WORLD :-In response to

quinin, every two hours, were ordered, and Texas," page 214, May WORLD, would say morphin left, but not needed. Two months that herpes and eczema have an exasperating later labor came on, and was concluded before way of simulating each other. When I am in the doctor arrived. doubt as to whether a given case is “eczematous Clearly, these were all cases of maskt ague, herpes" or "herpetic eczema," I inquire as to and Dr. Moore struck the right chord when he attendant sensation. If this is a rather in

said quinin. definable discomfort of a burning nature, I feel But in the matter of coaltar derivativs he is justified in diagnosing it ringworm or other “ way off" and " way back” according to my variety of herpes, and prescribe chrysophanic experience. The fact that tons aud tons of acid ointment, and it cures every time. That antikamnia, phenacetin, etc., are consumed involving the palms is most obstinate, but per- without the formality of a prescription, proves sistence and kid gloves will prove effectiv. On that they render some service, and hence find the other hand, if the attendant sensation be

favor. That acetanilid at thirty cents a pound one of “ intolerable itching,” I think eczema, will accomplish every good which these articles and the outcome justifies the conclusion. For at a dollar per ounce effect, goes without saying, this I prescribe a cerate composed of:

and is as safe as any sedativ in the hands of Petrolatum

those who know how and when. The profession Beeswax

33

first took up antipyrin, gave it in poisonous Salicylic acid

. 3ss doses, then deserted the field, leaving the bars Ichthyol.

. 3ss

down for these crafty fellows. Melt the wax and petrolatum with gentle

Ú. N. MELLETTE, M.D. heat-a lignted candle being sufficient; then Holdenville, Ind. Ter. add the powder, and, when dissolved, suspend the heat. Now add the ichthyol and stir Eclectic Treatment of Typhoid Fever. briskly to a smooth, brilliant, stiff cerate.

Editor MEDICAL WORLD:-I have no secrets Apply morning and evening, and rest assured

to keep from the profession. I might know a of good results. Dr. Moore's prescription of quinin, page

good remedy that you do not, and if I do not 196, in a special case of dysmenorrhea, will ap- benefited by it. But if I tell it to the many

tell you, no one but my own patients will be peal to every “river bottom" doctor who has

readers of THE WORLD, thousands may be been diligent in gathering up the scattered threads. Soon after I began practise, a

benefited by it, and possibly some loved one

may be saved from an untimely grave. So let woman presented herself with a

sore eye,' us tell each other our good things, and thereby red as a beet, and handkerchief wet with mop

make the world better by us having lived in it. ping. I gave her a dose of salts, and a collyr

Typhoid fever is doubtless caused by a ium containing two grains of acetate of zinc

specific germ; but it matters not what the to the ounce. The next day worse, and the fol

cause may be ; what we want is the treatment lowing worse still, but said when night came and

that will cure.

In the first place, everything eye-water was left off, the pain ceast, and so I

should be thoroly cleaned up and disinfected. reduced the strength one-half. Next day worse

Formaldehyde is an excellent disinfectant. than ever, and lids had to be separated to let

The stools should be burned, or buried. The the tears out. I accused the sunlight, and

direct remedies are antiseptics. The other urged seclusion, but she charged it to the eye

remedies are auxiliaries. At the beginning, a water, and wouldn't. To convince her of

mild laxativ or purgativ should be given in error, I discontinued it, but gave more salts,

order to cleanse the intestinal canal and and the usual evening let up followed. The

remove any morbid accumulation in that following morning she had a chill, and then

tract. Then we should select the proper antibegan to think, and it resulted in morphin for the pain, and full doses of quinin every two

septic. The same antiseptic will not be indi

cated in every case ; and it will not do to hours. The outcome was what our alkaloidal friends would call "jugulation."

give a remedy simply because it is called an Twenty years later I was induced to go be. antiseptic. If the tongue is large and pale,

with a dirty, pasty coat, sulfite of soda is the yond my usual range to see a woman whom a

remedy. I usually write my prescription thus : doctor had attended in labor for nine con

R secutiv nights, but had finally gone on a jour- Sulfite of soda

Zij ney to escape responsibility. When I arrived Water

313

Dissolve the soda in the water, then add simple daylight was approaching, and the pains had

syrup q.

s. to make Ziv. measureably subsided, as had been their wont.

Sig. -Tablespoonful every four hours.

ziv

.

If the pulse is small and frequent, I give : R
R

Spec. tr. baptisia

• gtts xx to 3ss Lloyd's spec. tr. aconite

Spec. tr. echinacea.

Zij to ziv gtts x Water, q. s. ad.

Water, q. s. ad.

Ziy M. Sig.-Teaspoonful every hour.

M. Sig. - Teaspoonful every two hours. I keep them on this till conditions change. scription in typhoid fever I have ever used,

This is the best all-around antiseptic preBut if the skin is dusky, tongue brown or bluish color, breath offensiv, instead of the

and I have been practising for twenty years, soda I put them on the following:

and have been a close observer. These are a

few thoughts upon the treatment of typhoid R

fever. If anyone wishes to ask any questions, Lloyd's spec. tr. baptisia ·gtts xx to 3ss Lloyd's spec. tr. echinacea .

Zij to Ziij I will take pleasure in answering, either priWater, q. s. ad.

ziv

vately or thru WORLD. M. Sig.-Teaspoonful every two hours alternated with the aconite-one, one hour, the other the next.

Magazine, Ark. T. J. DANIEL, M.D. If the pulse is full and bounding, I give :

[Dr. Daniel is president of the Ark. Eclec

tic Med. Assn., so he can be considered a R Lloyd's spec. tr. veratrum .

representativ eclectic of that part of the

- gtts xx to 3ss Water, q. s. ad.

Zjv

country. -Ed.] M. Sig.-Teaspoonful every hour, till character of the pulse changes; then I discontinue the veratrum.

No Alcohol in Pneumonia and Typhoid. Sometimes we will meet with a case where the tongue is red at tip and edges, with papillae

Editor MEDICAL WORLD:-In your May prominently elevated, the bowels tympanitic, number, just received, Senator Hanna's case is pulse small, frequent and sharp. It has the

mentioned I take exception to the cause of feel of the “E” string of the violin under

his death. Knowing full well the attitude of your finger. In this case there is no better

the profession in regard to stimulants, will say, remedy in the materia medica than rhus. tox.,

altho trained in that way by Stille, Carson & combined with aconite. I usually write the

Levick, it did not take me very long to get out prescription thus :

of the ruts. I believe liquor killed the Sena

tor, as it does thousands of others with pneuR Lloyd's spec. tr. aconite

monia and typhoid. I graduated with honor Lloyd's spec. tr. rhus, tox.

aa gtts x

in the class of '68 at the University of PennWater, q. s. ad.

živ sylvania, and am proud of it. Dr. Leidy told M. Sig.-Teaspoonful every hour.

me the day of graduation our class was the The bath should never be neglected.

best that ever came before him for examinaIn the latter stages the heart should be sup- tion. I will state positivly I never lost a case ported, if any symptoms of failing, with of typhoid or pneumonia, and I have practised strychnin, cactus, digitalis, etc.

in the alleys of Philadelphia, among the Occasionally we will have trouble in con- Indians of Nebraska, and for the last four years troling the bowels.

Upon the first appear- among the negroes in the hovels in Virginia. ance of tenderness, dioscorea should be given. Have used milk diet and anything I could get I usually combine it with the sedativ. Put to nourish my patients (liquid), but not one from 3ss to 3j in with the sedativ mixture. drop of alcohol in any form. Í challenge my Sometimes we meet a case where the face is professional brethren to a better record, with flusht, eyes bright, pupils contracted, and all their refinements of practise. Keep the restlessness. In this condition gelsemium is Temple of the living God” pure and undethe remedy; 3j to 3ij added to the sedativ filed. Clean up and disinfect; the diet will mixture, and a teaspoonful given every hour. take care of itself. While in Nebraska among Some patients are nervous, restless and sleep- the Indians and forty-five miles from a drunken less. In this condition passiflora, 3ss to 3i, doctor, I treated myself of typhoid by ice should be given as needed. Sometimes we cream-cream frozen without flavor and a will have trouble controling the bowels, as little sugar; no medicins, no bathing; in bed stated above. They will “run off” as the four weeks to the day. My cases are now old women say. With such a case we some- aborted in from twelve hours to ten days, times get excellent results from the following: according to the case when I take it. R

Lincoln, Va. Geo. ROBERTS, M.D. Subnitrate of bismuth .

3j Sulfocarbolate of zinc

grs. xvj Dover's powder .

grs. xxiy M. ft. charts No. 8. Sig.-One every three or four

The practician deliberately rupturing the “bag of

waters" in a case of miscarriage should mercifully hours.

abandon his unfortunate victim to Nature, or get a If I were going to select a routine antiseptic

better doctor than he, and seek the nearest jail to beg

for imprisonment, on confession of willul and inexcusprescription, it would be the following:

able manslaughter.

Twins.--Dr. Rice's B for Burns.-A Factor Ante-Partum Placental Detachment.

in the Treatment of Typhoid.-
Salicylate of Ammonium.

Editor MEDICAL WORLD:-Mrs. A., aged Editor MEDICAL WORLD:~I have been a

42, weight 160 pounds, mother of eight chilsubscriber and reader of The World for a

dren, at eight months in gestation contracted

measles. I was called to see her for severe good many years, and take a great deal of

uterin hemorrhage. When I arrived, hemorpleasure and interest in cases reported and

rhage seemed to have ceast. treatments given.

However, put I have been sometimes

her on Hayden's viburnum comp. Altho she amused at repeated rubs given in certain cases,

passed thru a severe siege of measles, with a e. g. single and double placentas occurring

very troublesome cough, I did not see her with twins of the same sex or with the two sexes. In this connection I will say that my

again until called to attend her in confinement

thirty days later. On arrival I found her experience of twenty-five years' practise and seventeen (17) cases of twins has been a single sitting up in a chair; said four hours previous

a profuse hemorrhage from uterus had appeared, placenta, one sac with septum, in each and

but no pain whatever except some pain in every case, and I have had both classes. I

her back. My first suspicion was placenta can “point with pride" to a number of cases

previa. I at once made a digital examination. of “boy and girl," as also of the same sex ;

Found os dilated to the size of a quarter of a but most of my cases where both were of same

dollar ; very low down. Did not find placenta sex were girls. My last case this a.m. I have

previa, but found amniotic membrane perfectly yet to see a case where there were two placen

intact and tightly distended. Introducing my tas. I knew of a doctor (?) who sat for twelve

fingers as high up as possible I could easily hours or more waiting and watching for the detect the life fluid flowing down my fingers second placenta, which never came.

with considerable rapidity. I proceeded to The B sometimes spoken of as Dr. Rice's B

bring on labor as soon as possible. Gave for burns, was given me some twenty-two years quinin and strychnin to maximum, which ago by a German barber. I thought it good

seemed to have the desired effect. With one and tried it and have always used it in all cases

short pain the uterus expelled its entire conof superficial burns. It is perfection : Anti

tents, fetus, placenta and a large ragged blood septic, elastic, of the color of the skin ; and

clot three times the size of placenta, which one application is sufficient, as when it comes

seemed to be acting as a propeller. Uterus off or is worn off, the new skin has formed. The

contracted nicely and hemorrhage stopt. The ß is composed of white glue, glycerin to make

child was dead and perfectly anemic; cord flexible, carbolic acid to make antiseptic, and

and placenta had entirely collapst as tho wa'er; to be applied with a camel's hair brush,

there had been no blood for several hours, after heating to make thin (or liquid) enuf to altho she had felt the fetal movement thirty spread evenly.

minutes prior to delivery. Mother collapst If anybody is looking for a good treatment

from loss of blood. Had quite a time keeping for typhoid fever, do not forget Dr. Bartho

her alive with nitroglycerin, whiskey, external low's iodin and carbolic acid treatment. I heat and friction to the limbs. Immediately ordinarily give six calomel and soda powders, after reaction I gave three pints normal saline one every hour, every second or third day.

solution per rectum and put her on restorativ My success has been one death in forty cases.

treatment, under which she made a slow Some of them, a majority, were severe cases.

recovery. It is good treatment and successful.

Diagnosis : Ante partum placental detachAnother good thing, little known, is salicy- ment, from the effect of measles on the endometlate of ammonium. In pneumonia it is the rium, as there was severe bronchial irritation and best treatment I know of and I know whereof diarrhea from time of attack of measles to conI speak. I use digitalis when required. I finement; in fact, all the mucous membranes place no dependence on strychnin as curativ.

were severely affected. Were my diagnosis would not condemn its use however, but it has

and treatment right or wrong? Now this is not very much to its credit. Salicylate of

my first pass at a report, but this case interested ammonium is also good in any septic condition.

me so, I could not resist the temptation. Geo. MACMURPHY, M.D.

Should be pleased to hear from some brother Ortonville, Minn. Bellevue Hosp., Med. Col., 1878. on similar cases. If this is not worthy of con[In this connection are pained to

sideration, pardon me and transfer to waste chronicle the recent death of Dr. Bartholow. basket.

J. CULBERTSON. -Ed.]

Whitefield, I. T.

[An interesting case well worth reporting, Never rupture the “bag of waters" in a primipara, and only in a multipara after complete distention, and

which you have done modestly and well. No very low position of the presenting part.

criticisms.-ED.)

we

High Temperature Following an Intrauterin it from rotting and poisoning the system. Douche.

used as a local dressing echinacea until I got Editor MEDICAL WORLD:~Mrs. S., second all of the underlying gristle cut out; did not confinement, labor lasting two hours, normal

let any of this substance rot in the carbuncle. in all respects, placenta delivered by Credé’s Then I used bichlorid dressing for the balance method, complete with membranes intact. All of the time. Fed my patient on panopepton symptoms normal till the third day, when (Fairchild) with raw eggs. Patient made a lochia became offensiv; no rise of temperature good recovery. When full grown the car. or pulse ; gave vaginal douche of oreolin solu

buncle measured 6 by 8 inches. Was in bed tion which was followed in one-half hour by from January 27 until March 24, 1904. slight chill; temperature raised to 102°, last- Tifton, Ga.

J. A. McCREA. ing six hours, followed by profuse sweat. Next morning all symptoms normal except lochia, Dr. I. C. Chapman, of Lafayette, La., which was very offensiv; gave an intrauterin reports the birth of a child with two perfectly douche of permanganate solution; no debris; formed heads. It died during the process of in one-half hour the patient began to tremble; birth. He does not say that he preserved the did not feel cold, but trembled all over. This specimen, so we conclude that he did not. He condition lasted about twenty minutes, when should have preserved it in alcohol, if he could the temperature had reacht 108° in the axilla, have possibly gotten possession of it. pulse over 200, patient acting as tho dazed, but was not delirious until temperature had dropt to Dysmenorrhea.-For Colic in Horses. 106°; then mildly so. This was followed by a Editor MEDICAL WORLD:-For the “ nine drenching perspiration, and in turn by frequent o'clock exacerbation" (Dysmenorrhea, page attacks of palpitation. The next morning, ex- 167, April WORLD), I would suggest that cept for excessiv prostration and the offensiv “M.D."' have patient secure a motor for proodor of the lochia, the condition was again pelling her sewing machine or employ the sernormal. No more douches being given, we vices of some available boy. This will give had no more trouble. A profound anemia her much pelvic rest, and may be a factor in developt, which yielded promptly to treatment, removing the exciting cause. Would also join patient making an uneventful recovery.

the Editor in his mairimonial suggestion. At Some years ago I reported a case of puerperal eight o'clock give hypodermic of morphin 4 insanity, with a temperatuie of 110°, lasting gr., atropin Išo gr.; at the same time apply a two days, which developt acutely after an intra- rubber hot water bottle containing water as uterin douche, recovery being complete and

near 212° F. as can possibly be borne. Perprompt on ceasing the douches.

It took me sistence in the use of hot applications will three douches to catch on in the first instance, afford prompt relief. and two in the last; in both the trouble ceast

Page 165: For the benefit of Dr. H. W. promptly on stopping the douche. The total

Scott or others, I give the following prescrip. absence of symptoms before and after the treat

tion that I have frequently used with my own ment would seem to eliminate septic infection; horses for colic, both renal and intestinal : or did the expanding of the uterin cavity open

Chloroform
up channels of absorption that were closed by Spts, nit. aeth. āä.
the normal involution, and thereby protected

Spts. turpentine
Castor oil

xij until interfered with by distention with the

Mix well and give in one dose. douche? or does the nervous idiosyncrasy offer The horse will be relieved immediately. the explanation? What would have been the

After eight or twelve hours, if bowels have result of continued irrigation ? a mistake which

not moved freely, put him into harness and might easily be made under the circumstances.

trot him briskly three or four miles and you MALCOLM G. VIOLET, M.D. will wish your dash board had been built Butternut, Wis.

higher. A good tonic effect follows the free catharsis.

J. WOOLSEY, M.D. Carbuncle.

Riddleville, Tex.

Vanderbilt, 1894. Editor MEDICAL WORLD:-I was called to see a man 74 years of age, on January 27,

Case Record and Account Book Combined. 1904, with two small carbuncles on back, at Editor MEDICAL WORLD:-I am pleased to upper points of scapulas, eight inches apart. note article in Feb. WORLD on the important I split them and then cross split them. One but much neglected subject of keeping grew no more; the other one kept growing accounts. I have a method, originating Soon as the skin began to decay, I commenced according to my needs, which I find handy. to cut out the gristle, and would cut a round of We who practise at the cross-roads and in it out every other day. I did this to keep villages, of necessity dispense our own rem

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