Page images
PDF
EPUB
[ocr errors]

others are not. If these lesions—which may true. Medical authorities having had no
produce, aggravate, or prolong diseased condi- practical experience pro nor con to offer, can be
tions—are the result of abnormal nervous im- no authority on the merits of osteopathy. With
pulses from tissues primarily affected, then any theoretical evidence from medical authorities,
measure, mechanical, medicinal, or other, that and with clinical evidence from more than one
will control these impulses, will prevent or thousand practising osteopaths of average in-
modify their formation; or if they are already telligence confirming these theories, I submit
developt, removing their cause will allow that it remains for its opponents to show by
their restoration to the normal. If these lesions practical experiment and not by ridicule that
are of sufficiently long standing, tissue changes these results cannot be obtained osteopath-
will likely have developt which will require ically.
much time for nature unaided to remove, even But we are often told that osteopathy may
if the causes which resulted in the condition be all right in hysteria, hypochondriasis and
cease to be activ. Chronic lesions are apt to other nervous disorders. Truly, no greater
take the form of inflammatory, hypertrophic, compliment could be paid to osteopathy than
hyperplastic, atrophic or even paretic changes to say it is successful in treating disorders of
of the softer tissues with resultant osseous sub- that great center of life, the nervous system.
luxations. For these chronic lesions, at least, To say that buckeyes, raw potatoes and rab-
it would seem that mechanical measures are of bits' feet also cure these and other conditions
first importance, tho other means may also be relieved by osteopathy is no argument. Sugar
of service.

pills and hypodermic injections of distilled This idea of external measures to influence water also have some reputation as therapeutic conditions is not new with osteopathy. Coun- agents. The influence of suggestion is not ter-irritants, hydrotherapy, Swedish movements confined alone to osteopathy, and it remains to and massage are all external measures, and be demonstrated that a D. O. has greater most of their good results are reflex.

powers of suggestion than an M. D. In the After the foregoing exposition of osteopathy hands of the M. D., who by tradition and comit would seem superfluous to refer to the ludi- mon consent is the reputed healer of disease, it crous statements made by some that osteopathy would seem that suggestion would be more is nothing but massage. Such statements show effectiv. Only after repeated failures by the ignorance of either osteopathy or massage,

or anointed has brought doubt and discouragebetray a malicious desire to mislead. The ment to the patient, do the majority of them masseur may by efflurage, petrissage, tapote- consult an osteopath. No, this raw potato ment, vibration, and massage-a-friction reduce and rabbit's foot dodge will not do; if any and remove many lesions of softer tissues, and system has a corner on suggestion it is the with them the associated internal disorders. medical, so we must look elsewhere for an exBut of anatomy, physiology, pathology, diag. planation of whatever results may be obtained nosis and therapeutics from an osteopathic by osteopaths. point of view, he knows nothing. His work But we osteopaths are accused of claiming is all good and valuable in its particular sphere, too much for osteopathy. Perhaps we do, but but it has neither the sphere nor the precision having repeatedly proven its merits, our judgof osteopathy. What the engin wiper is to ment on the subject should be of more value the skilled mechanic the masseur is to the than that of those who have not done so. To scientific osteopath. Massage is to osteopathy all such I can but reply in the words of Newwhat patent medicin is to scientific medica- ton, who, when ridiculed concerning his theory tion: a shotgun prescription without positiv of gravitation, said : “Sir, I have investigated diagnosis or accurate prescribing. True, both these things; you have not.” osteopathy and massage are mechanical, and Tho all the common diseases, both acute in that respect they are similar. Surgical op. and chronic, both infectious and non-insecerations and the reduction of fractures are also tious, have been treated osteopathically with mechanical, but on that account could hardly the most encouraging results, it does not claim be classed with massage. Homeopathy and to be a cure-all. If it possesses but one-half allopathy are both systems of medicin, yet one the truth claimed for it by those who know is the antithesis of the other.

most of the subject, it would still demand conThe theoretical side of osteopathy may be sideration by every physician and would rank attractiv, but have clinical results verified these as the greatest contribution to therapeutics, theories? Has bedside experience demon- for no other has so wide a sphere of usefulness. strated the efficiency of this system? I cannot True, some of the enthusiastic advocates or here quote from medical authorities to prove this system have at times promist and tried to my statement when I say that clinical expe- accomplish what osteopathy nor any other rience has demonstrated these theories to be system could accomplish, but have not other

Is there any

practicians done likewise when intoxicated

Sweet Milk and Malaria. by success and unguarded by reason? Suffi- Editor MEDICAL WORLD:- I noticed in your cient clinical experience is not yet at hand to July issue a communication entitled “Sweet determin the exact value of osteopathy in all Milk and its Possibility of Producing Malaria," conditions as compared with that of other sys- by A. J. Hall, M.D., McKenzie, Ala. My tems. If the osteopath enters fields which for experience in Bacteriology outside of Dr. H. want of results he cannot maintain, like the F. Harris's laboratory, College of Physicians followers of every other system have had to do, and Surgeons, Atlanta, Ga., amounts to very he will be compelled to recede or change his little ; but under the able teachings of Dr. methods. In the meantime the field is open. Harris I was taught that the plasmodium

Homeopathy was and still seems to be neces- malariæ is injected into man thru the bite of sary to show the merits of the single and simi- a certain variety of mosquito known as the lar remedy in the minimum dose. To the anopheles, this mosquito previously having eclectics it was left to develop the vegetable sucked the blood of a malaria patient, which, remedies and specific indications. To osteop. having gone thru certain development within athy is given the task of emphasizing macro- the organism of the mosquito, is then ready for scopic lesions as related to disease process, re introduction into, and renewed life in, the and to develop mechanical therapeutics, and human blood. Sweet milk is our most nutriit, like these other systems, must and will con- tious food-milk from a healthy cow and the tinue to exist as an independent school so long milking being cleanly done. as its truth remains unknown and its workers case on record where malaria developt outside unrecognized by the predominant school as of a malarial district, and patient had not fellow-students and physicians possessing the been to a malarial district ?' You find the same high order of intelligence and purpose anopheles mosquito only in malarial districts, that they claim for themselves.

and

you do find sweet milk elsewhere; so there So far we have dealt chiefly with the theo- is no use “Dreaming, only Dreaming," as retical and political aspect of osteopathy. In tongues don't always tell. our next and concluding article we will con- McKenzie, Ala.

E. P. PRUITT. sider the mechanical and practical side of the subject, illustrating it by the examination, diag

Removal of Tapeworm. nosis and treatment, both palliativ and curativ,

Dr. Mitchell sends us the following letter, of a condition treated so unsuccessfully by

confirming the value of his treatment as given medicina case of chronic headache.

in June WORLD, 1903, pages 251 and 252, to Peoria, Ill. W. A. HINCKLE, M.D.

which those interested are referred : [To be continued.]

Dr. Geo. MitchELL :-I employed your tapeworm remedy, which was publisht in June WORLD, 1903, and

succeeded the first time in removing a tapeworm 23,7% Dr. T. J. Ray, of Centreville, Miss., in- feet long. I got the head. It certainly does the work. closes the following letter as more evidence as

Felton, Minn.

R. W. HÚFFMAN, M.D. to how antikamnia is being pusht Notice

Liquozone. the date. Please notice also that they are still advertising in some medical journals. What

Editor MEDICAL WORLD:~The formula for does the medical profession think of this?

liquozone is hydrochloric acid and water. The

druggists in this country serve it at the soda St. Louis, U. S. A., August 2, 1904.

fountain. They call it a liquozone bracer. MR. JONES :-We are pleased to inclose a sample of “Antikamnia Tablets" for Pain. A sample of some

Coweta, I. T.

F. A. Wier, M.D. thing good is a “good thing” to keep about the house

[We doubt the above. See our remarks in or for convenience, in your pocket or purse. Antikamnia tablets will relieve all headaches, mus

August WORLD, page 354, near top of first cular pains, neuralgia, la grippe, insomnia and column.-ED.] women's aches and ills. The inclosed booklet tells when and how many, and druggists everywhere sell

The following table is short and easily memorized, and will them in any quantity or in our regular “Vest-Pocket

wonderfully aid in his reading one who does not understand the Boxes” as below.

metric system. It is taken from Culbreth's Materia Medica. Sincerely yours,

I millimetre (mm or Mm) of an inch.
THE ANTIKAMNIA CHEMICAL COMPANY,

I centimetre (cm or Cm- of an inch.
Frank A, Ruf, Prest. and Treas.

I inch-25 millimetres, or 212 centimetres.
I cubic centimetre (Cc or cc)-16.23 minime.

I fluid ounce--29.53 Cc. After disinfection of the vagina and cervix, in gon- 1 gram (Gm or gm)-15.4324 grains (generally considered in orrheal endometritis, Dr. Serra, in Riforma Medical, prescription writing as even 15 grains). states that he injects into the uterus 30 minims of a

I grain-0.0648 solution of picric acid containing 3 drams to a quart of

1 milligramme (Mg or mg)-0.01543, or of a grain.

1 litre (L)-34 fuid ounces, or 24 pints. water; the vagina is then tamponed with iodoform gauze, which is removed the next day. The solution

Editor MEDICAL WORLD:- Please credit my account $3.00 and is stable, and keeps indefinitly. The vagina is flusht

oblige. Your exposure of the Comstock agency is worth several once daily with potassium permanganate solution.

years' subscription to any physician. B. F. BISHOP, M.D. The injection is not caustic, but is analgesic.

Garrattsville, N, Y.

m.

QUIZ

SODS.

The circumstances and environment are calculated to encourage infection. The fireworks and explosivs are generally fired from the ground; the hands of the parties firing are generally more or less begrimed; dust and dirt are much in evidence; and the tetanus germ is common in certain kinds of earth and dust; and when a wound occurs, the facilities for infection are present. Wounds from explosivs are more likely to be followed by tetanus because extraneous matters are forced into the flesh, and the contusion of tissues extends further than is evident to the eye, the force following the course of tendons, and hence the wound is seldom completely opened. -Ed.]

New books as they appear, are sent to our Assistant Editor, Dr. A. L. Russell, of Midway, Washington Co., Pa., for review As the Doctor thus has all the late books for refer. ence, and is made familiar with them by reviewing each one carefully as it reaches him, he is unusually equipp for answering queries. Therefore it has been our custom for a long time to send queries to him for reply. In fact, the Doctor made a special request that this be done, as he enjoys this work. It now occurs to us that time will be saved if you will send directly to Dr. Russell matter intended for the Quiz Department, which has grown so much under his vigorous treatment Please notice that our query department is not used to " boost" proprietary remedies, almanac fashion. THE MEDICAL WORLD has no interests other than to give to the medical profession the greatest amount of honest service possible. It has absolutely no interests in any proprietary preparation nor any medical supply house. Other medical editors have become, and are becoming, wealthy, by using their pages to Increase the sale of preparations that they are interested in ; but we prefer to render service to our subscribers that is above suspi. cion of personal pecuniary interest. How can a man interested in the sale of certain preparations render the best service?

He is always trying to push one of his preparations in. That is commercial journalism. We prefer ethical journalism-and so does the profession, for THE MEDICAL World is growing in popularity faster than ever before-and our subscribers are paying ones. They must be, for we have no medicins to “ boost," nothing to sell, nothing to depend on but pure journalism ; but doctors that want honest, straight journalism are willing to pay for it--they are glad of the opportunity.

Only such queries will be publisht as are likely to interest and Instruct many others as well as the one asking help. No charge has ever been made, nor will any charge be made, for this service to our subscribers. However, those who wish an immediate and personal reply by mail may obtain the same by inclosing two dollars to Dr. Russell. This is really a consultation in the interest of the patient, and should be charged to the patient-two dollars being a very moderate consultation Re. The Doctor agrees to give full, careful and immediate attention to such consultations. We reserve the right to publish in this department any such consultations that may be interesting and helpful to our readers. Name and address will be withheld if requested. Come freely for help, but read up as fully as you can before coming to us.

Drugless Treatment of Insomnia, Editor MEDICAL WORLD :-I am taken with the originality of many natural methods of treatment of disease advocated thru your columns, and profited by the suggestion,

Now I would like to ask, in your experience, what is the best method of producing natural sleep in the vast army of patients troubled with insomnia ?

Is there a drugless method by which we can give the nervous over-workt business man natural sleep without injuring him with drugs? Can you help me out?

P. C. SCHENKELBERGER, M.D. Montreal. [The drugless treatment of insomnia is more of a fantasy than a fact Hypnosis; suggestion; local application of cold and hot water by means of baths, or of packs; judicious rest, or exercise in moderation, as the case may require; due consideration of the evening employment before retiring, etc., have all been commended, and have found favor in certain

Each individual case must be studied, and the treatment adapted to it. There is a cause for the imsomnia, and when the cause is found and removed, the insomnia will disappear. An hour's talk with your patient should suffice to reveal wherein he has sinned or is sinning against the ordinary rules of hygiene; then correct the vicious habit. There are now numerous drugs of value in insomnia against which no harmful effect has been recorded, yet naturally the thoughtful practician would prefer a “drugléss” method. If you get such a method, you will find that it will require remodelling with each patient treated, general rules of proper living excepted. See editorial

“ Insomnia."-Ed.]

Why So Much Tetanus from Fourth of July

Wounds ? Editor MEDICAL WORLD :-Now that the glorious Fourth of July is once more over and the daily papers have reported their usual number of victims, it would be interesting to have you or some one of the World readers to explain why it is that so many little victims of innocent pleasure die of tetanus. Why do we never hear of such cases occurring at any other time, except as a result of fireworks accidents? I have no reason to doubt the correctness of the daily press reports as to the diagnosis, but I am puzzled to know from whence the infection. Accidents occur daily, men are wounded by the thousands in war time, but such heartrending stories of lockjaw as are reported from Fourth of July accidents very seldom or never reach our ears from these other sources. Moxahala, O.

G. C. SNYDER, M.D. [We are not aware that there is any special reason for more cases of tetanus following Fourth of July wounds than follow a like number of similar wounds at other times. The dreadful results following the customary method of celebrating this day have claimed the attention of medical as well as lay press, because the accidents come all on the same day. The mere fact that the deaths following the Fourth of July directly due to wounds from explosivs are in excess of the deaths following contests of armies is sufficient to attract attention. It is a fact that tetanus is more apt to follow wounds of the feet and hands than of other parts of the body, and these are the parts most frequently wounded in the use of fireworks and holiday explosivs. It is also well known that more cases occur in warm weather than at other sea

cases.

on

Questions concerning Growths on Skin.

A. L. RUSSELL, M. D.; DEAR DOCTOR:-In re your article on Growths on Skin (MEDICAL WORLD, Aug., 1904), kindly answer two questions :

(1) Hirsuties. When epilation is practised do you not find a certain irritation causing a coarseness of skin which is to the patient as objectionable in its way as the hairs?

(2) Epithelioma. I have used this method successfully in two or three cases, but your article fails to describe a minor point which in actual practise is one of the difficulties.' To quote your article: “Either paste

formed and the growth simply “goes." In a few cases which we have treated it has been necessary to resume treatment for a short time after the lapse of a few months, but only in a very few. It will leave no scar. No definit time can be stated as required for removal, some consuming more than others. There is nothing to be gained by applying the acid oftener than three times a day, since the treatment must be discontinued when soreness is manifest; some skins, indeed, will not tolerate applications made more frequently than twice daily. Now, brother surgeon, work up all your nerve and tackle that mole.—ED.]

is covered with lint and left in position 24 to 48 hours ; it is then removed and poultices applied.”

How do you manage to retain your dressing and poultices, and what sort of poultices do you use? It is no easy matter to fasten a dressing on a small epithelioma situated near the margin of the lip, or on the alae nasi, or on the outer canthus of the eye, or even on the cheek; and I feel sure that a supplenientary note dealing with this matter would be useful to read. ers, as it certainly would to me. Thanking you for your useful article, and in anticipation for your further information, I am yours truly, R. S. THORNTON. Deloraine, Man.

[Yes, it is true that certain patients suffer from this coarseness of the texture of the skin, but it is not nearly a universal rule, and I find that lady patients would rather endure it than to have the more unsightly hair.

The dressing may be held in place where a bandage is not readily applied by overlapping strips of ordinary surgeon's adhesiv plaster. I cut the strips long enuf to afford considerable attachment to the skin. By a little care, the dressing may be held neatly in place about the eye, nose, or mouth. It does not matter what is employed as a poultice, so that ordinary cleanliness is employed. Anything that is kept moist and warm will do: flaxseed meal ; corn meal ; hops ; bran; or a mixture of any two will answer well. All of them may be kept antiseptic by addition of an appropriate amount of carbolic acid.- ED.]

Removal of Moles. Dr. A. L. RUSSELL; DEAR DOCTOR :-In the August World I notice your treatment for warts, moles, corns, etc. For years I have been troubled with a mole, situated at lower edge of eyebrow. Fearing the laity might have some grounds for their belief that " if interfered with they turn to cancers," I let it alone. I have concluded now to try and remove it. There are others on my face and body, but this special one is in the way. I remember my mother had them, so they may be hereditary. This one is one-quarter inch at base, about three-eighths inch long, and is disposed to hang out over the eye. Do you use the common glacial acetic acid ? Applying the acid three times daily, about how long should it take to remove it? or should I apply it more frequently? I have toucht it a few times. I notice it has turned black on top. Should the part that has turned black be removed ? or shall I continue to daub it? Does it just dry up and fall out? How does it get loose at the base ? Is there any other dressing to apply to heal it after removal ? I am rather anxious about it, and any instructions you will give me I shall receive gratefully. I am getting to be an old man now. I graduated at St. Louis, Mo., in 1859. I have done lots of surgery, but have always been afraid to tackle that mole ; but it is getting to be an eyesore

J. C. FORD, M.D. Rocklin, Cal.

[Doctor, simply go after it ; that's all. Use the ordinary commercial glacial acetic acid, full strength. In a case like yours where the wart is fusiform in shape, you would apply the acid to the entire surface. Remember the caution to suspend operations whenever soreness is manifest. The wart darkens, and finally disappears; in some instances a crust is formed which may be pickt off so as to admit of the acid reaching the living part of the wart more quickly; but in many instances no crust is

Persistent Hiccups. Editor MEDICAL WORLD:-Male, sixty years of age, came with history of having drank' a great deal, but for a year or more had not drunk any. Was taken on Sunday night; I saw him Thursday. However, another doctor had him in charge three days. Don't know what his treatment was, but he had blistered his stomach. Patient had an aggravated case of hiccups. His urin showed nothing abnormal; vomited frequently ; couldn't retain much food or medicin ; didn't suffer much pain, only a soreness in the chest from constant hiccuping. Had very little fever during the attack.

I gave him hypodermics of morphin and nitroglycerin ; also gave him Hoffman's anodyne, chloral hy. drate, and at the beginning gave him a purge, and all during the attack kept his bowels open with mild doses of salines; but was unable to control the hiccup, only temporarily; two hours at a time was the longest I was able to get them stopt. On the sixth day I washt out his stomach with warm normal saline solution and put him on dessertspoonful doses of neurosine every two hours ; on the eighth day I put him on a tonic of iron, quinin and strychnin. About the third day of my treatment I put a blister on back of patient's neck. My treatment from the sixth day acted well, and patient improved rapidly.

I thought this was from a gastritis, the result of drinking; but was a little doubtful, inasmuch as he had not drunk any for about a year, and had not suffered any unpleasantness whatever. Were my diagnosis and treatment right?

T. B. MCANALLY, M.D. Buda, Texas.

[It is not likely that the gastritis could have been due to intemperate use of liquor a year before. It was doubtless a gastritis, but probably due to indiscretion in diet; however, many other factors may cause the development of hiccups. Your treatment was good, but you might have tried other remedies with earlier success. See editorial on “ Persistent Hiccup" in this issue. Examin your patient carefully for high-colored urin, any evidence of uric acid diathesis, and orificial troubles, and you may be able to ward off another attack. ED]

Local Dropsy.-Dysmenorrhea. Editor MEDICAL WORLD :-First I wish to say to those members of The World family who have not carefully scanned the August number, to do as I have done: Place a tab on it, reading as follows: "This number is full of good meat. Save it and digest and re-digest it in the future."

Brother A. L. Russell, Midway, Pa., keep writing your articles on Dermatology. They are worth rereading and saving. Now, Brother Editor and family,

now.

I wish good formulae and advice on cases of local

Asks Help Too Soon. dropsical diathesis. Say, in legs below knees and no

Editor MEDICAL WORLD :-Lady of 46 years has place else, and of long and short standing ; also in

been confined twelve times; the last time six years arms and no place else; one of a year and the other of shorter standing. General health of each good. The

ago. Ten years ago feet' began to feel cold and

clammy; never been warm since to the touch exyoungest twenty years, the oldest sixty-five years. have not, as many say, exhausted the materia med

cept as bathed or rubbed. Five years back she began ica," but have tried a few remedies, but with no last

to have what she called weak or nervous spells and ing results.

slight perspiration every two or three days, and coidTHE WORLD, as I see it, is becoming too precious

ness extended to knees and hands, and from then to for extended, long historical explanations, unless un

present time has grown worse gradually until now she

is in bed with the following symptoms : respiration der discussion. The World is doing good in Montgomery County, in stamping out the “cure-alls."

normal, pulse 78 and a little feeble; slight pain in Give us some formulae on dysmenorrheal troubles

bladder at times; some days does not void any urin, without the knife. The formula in THE WORLD for

and at best does not void exceeding 8 or 10 ounces; Orange Blossom" is not complete. We find a trace

specific gravity 1,016; no albumin or precipitates. of tannic acid in it, and that is not all; who can find

From one to three times in twenty-four bours she takes more? A brother in the family.

spells of sweating and saturates all clothing and the Dayton, O. É. P. CLEMENS, M.D.

part of bed on which she lies. The least bit of air or

draft produces a severe toothache, or neuralgia all over [Localized swelling is due to renal or cardiac entire body that is exposed to it. Appetite is as good disease, or to local conditions, such as venous

as expected of one to be in bed all of the time. Tongue

coated at times and liver a little sluggish, but tongue obstruction, feeble heart, pressure in the lym- cleans off with a brisk purgativ. Sometimes there are phatics, malnutrition in the capillaries supply

some eructations of gas, and on eating heartily suffers

some pain in stomach for about an hour or two. ing the part, some depraved condition of the

I am giving elixir lactopeptin for indigestion, solution blood, or an individual predisposition to this acetate potassium, camphorated tr, of opium, spirits affection. We could not advise you what to

nitre and water áā for kidneys and bladder. Shall do in either of your cases ; you will find a

begin picrotoxin at once for sweating. Am now giving

strychnin sulfate t grain four times a day, and nitrodifferent treatment necessary in each. It will glycerin to three times a day. This case has just first be necessary to ascertain the cause, then

fallen into my hands, and I have not had time to tell

what my treatment will do; but am very desirous of treat it appropriately. No one could do this giving relief and ask for help.

OKLAHOMA. except after a personal examination. We could [You should have tried your own ideas of only suggest that in event of your being unable treatment before asking others for help. We to find the locally acting cause, that you keep are always willing to aid every subscriber, but the patient upon diuretics; elevate the limb, one may cripple his self-reliance and dwarf his and insist upon rest in bed. Another plan independence by seeking aid too early in any might be of service: the application of an given case. We opine that your patient enjoys elastic bandage, either of flannel or rubber. staying in bed, and we would suggest vigorous The latter admits of the patient following his treatment. If the picrotoxin fails to check the customary vocation, and often the bandage excessiv perspiration, we suggest the use of need only be applied for a few days to cause a agaricin, io of a grain two hours before the complete disappearance of the trouble.

expected paroxysm and a like dose one hour Dysmenorrhea, likewise, arises from a mul- before; not over three such doses to be given tiplicity of causes. It would not be possible to daily. You must also get that skin accustomed outline treatment applicable in all cases, except to a little more exposure, and probably the best upon general principles. The local causes of method would be to give sponge baths in bed dysmenorrhea are an important factor, and twice a day, beginning with warm water, and vary with individuals. They are imperfect de gradually reducing the temperature day by day velopment of the uterus, atresia of the cervix, until really cold water is being used. As the displacements of the uterus, inflammation of the temperature approaches cold, or if an honest tubes, ovaries, pelvic connectiv tissue, and of chill follows the contact with the sponge, folthe endometrium. The origin of the trouble low with brisk friction, or give a little whiskey may be constitutional; in which event the twenty minutes before the bath. Put her on treatment consists in change in environment vaso-motor stimulants, and bathe the feet in and attention to the diet, bowels, and toward warm mustard water once or twice daily, as an the general health, rather than in the employ- adjuvant to restoring the circulation. Have ment of local measures. Dysmenorrhea due to her drink several quarts of water each day, no flexions or to stenosis of the cervix requires matter what diuretics you see fit to employ. dilation and perhaps curetment. Endome- We believe hygienic measures will do more for tritis requires local depletion and often curet- her than drugging. See that there is no uterin ment. Hyoscin, chloral, and the bromids, complication. If you find an enlarged and given before the expected periods, have given tender uterus, try depletion by glycerin tamgood results in many cases. It will be much pons or suppositories. Remember that at her more satisfactory to examin a given case and time of life the menopause is generally about then make a full report of the exact condition; to become a considerable factor, and govern then we will be in a position to advise the yourself accordingly. The rest cure of S. Weir treatment for that case.—Ed.]

Mitchell would fit her case admirably.—ED.]

« PreviousContinue »