greater than can possibly be estimated. From this center arises much of the stimulus that makes of them strong characters and useful beings, and if they are robbed of these organs which serve as the center from which these vital forces flow, they cannot be otherwise than handicapped. We offer in evidence the fact that many of our female writers do their best work while exhilarated by the process of menstruation or ovulation.

Our best authority on the subject of psychical impression proves that the proper functionating of the generative organs is the greatest producer of nerve force; therefore it becomes our duty as gynaecological surgeons to save any and every part of the generative system that offers the slightest prospect of repair. It is really better to err on the side of doing too little than of doing too much. A secondary operation may be performed to relieve what the first has failed to accomplish, but there is absolutely no recourse when too much has been removed. To be sure, there are cases in which nothing but the more radical operations will suffice, but we have long since passed the necessity of submitting all patients to the more heroic operations. Especially is this true in the treatment of fibroid or myomatous tumors, for it matters little what the size or location of the growth, real surgical skill makes possible the enucleation of the foreign body with the preservation of the organ itself.

Myomectomy, in my opinion, constitutes the highest possible achievement of the gynaecological surgeon. To be able to remove a tumor or tumors from the uterus and its appendages and leave. practically undisturbed the part from which it is developed, is scientific.

Fortunately the advancement made. through the experiences of gynaecolog

ical surgery has relieved the operation. of myomectomy of its greatest risk because it has taught the urgent necessity of care in closing wounds and thoroughness in every detail of technique, and as it is upon this that all success hinges, it stands greatly to the credit of gynaecological surgery that this wonderful discovery was made.

Myomectomy deals with the diseased part alone. Nothing but abnormal pathological tissue is destroyed. The pelvic floor which is constituted in no better way than by the organs of generation is left intact and the after consequences which are so common in the bringing on of the premature menopause are all foregone.

In April last Miss N. M., a newspaper woman of Oak Park, Chicago, age forty-five, came to the sanatorium for examination, the result of which elicited the fact that she had tumors of the uterus. Her history disclosed a marked predisposition to tumors, several members. of her family having died of abdominal tumors within the past few years.

She was extremely nervous, greatly emaciated, feverish, restless and much dejected. She had run down in flesh until she was nothing but a skeleton and had been confined to her bed for several weeks. Her appetite was poor, her sleep broken and every appearance and condition indicated profound nervous complication. Physical examination of the urine showed high specific gravity, large excess of urates, mucus and some pus. She had to urinate frequently and was much distressed in consequence of tenesmus and burning. This urinary derangement had become such a troublesome complication as to be extremely distressing. A careful blood count showed red corpuscles 2,800,000, white corpuscles 6,000, specific gravity 1,048, haemaglobin 54 per cent. She was al

most colorless and everything warranted. the conclusion that she was not a very promising case for operation. Local examination revealed a large tumor attached to the fundus of the uterus on its anterior surface, and another of smaller size on its posterior surface. The latter could only be indefinitely outlined, owing to the prominence of the former. All appearances indicated a carcinomatous condition and she had been informed by other surgeons that her case was inoperable, but as there seemed to be no other possible relief an operation was offered as a dernier resort. The patient was informed of the risks entailed and after consideration she concluded to accept the chance of operative

treatment.

The ordinary preparatory steps were employed and the abdomen opened. Much difficulty was experienced in delivering the growth because it had been so tightly wedged into the pelvis, but finally it was drawn into view and was found to be myomatous in character.

My first thought was to do a pan-hysterectomy, because I did not think it possible to enucleate this mass of fibrous tissue without removing the uterus, ovaries and tubes, but upon close examination I found these organs in such good condition that I decided to attempt a myomectomy and so proceeded to dissect out, first the larger growth and then the next in size and finally the two smaller ones. Considerable difficulty was met in controlling the hemorrhage, but finally this was stopped and the organs dropped back into the abdomen and the operation completed in the usual way. The wounds made by dissecting out the growths were all closed with catgut.

The patient made a rapid and uneventful recovery. There were no symptoms of shock, very little pain and al

most no disturbance of the circulation or temperature. In less than three months she had so far regained her health as to be able to walk a distance of two or three miles without fatigue and in a short time was back at her work. It is now eight months since the operation was performed and the patient is strong and robust.

OPEN LETTER FOR THE CLEVELAND MEDICAL AND SURGICAL REPORTER.

A. L. WALTZ, M. D.

Dear Doctor:---Your "Clinical Verifications," as they appear in the January number of the journal, are interesting to the truly homeopathic physician. There is great need of such reports. Our system of therapeutics carefully and skillfully applied will cure more cases than that of all other schools combined. I like the way you report these cases. You not only carefully take your cases, but you give the "reason for the hope within you" of curing them, by stating just what symptoms led you to the prescription. Such reports stick to the reader, especially to the young practitioner, and he lays them up for future use. You say in your second calcarea case, "To my surprise he returned in two days with the following report: 'Feels better, etc."" Well I should have been more surprised if he hadn't, for it was the right remedy, and we have a right to expect good results.

In my work "Leaders in Homeopathic Therapeutics," page 63, (2nd edition) you find "Calcarea has characteristic symptoms in the digestive tract. One is that everything in the whole length of the tract seems sour. Eructations sour; sour vomiting of large curds (Acthusa); sour diarrhea. And then there is a sour smell

of the whole body. This is not like the offensive odor of the body that sulphur has."

Let me say here that this symptom of sourness will not always lead to calcarea as the remedy, for magnesia carb., hepar sulphur and rheum have it in a marked degree. I have found, however, that the strongest diagnostic point for choice between these remedies is the marked calcarea temperament, LEUCOPHLEGMATIC. This holds wonderfully reliable in all cases, but especially in children. I remember the curing of a very marked case of this kind in my earlier practice. A child naturally phlegmatic, mother also markedly so, was reduced to a skeleton, with sour vomiting and diarrhea--(so-called cholera infantum). It had, been subjected to all sorts of experiments in the way of diet by the old school without the least benefit. Feeling sure that I had a calcarea case I put the child on fresh cow's milk (of course it had grown sick under that at the first, for it was a bottle-fed baby from the first) in which I had the mother put a powder of calcarea carb. 6m. (Jenichen). Under that treatment, and that alone, improvement at once set in, and rapid cure resulted. That child is now a healthy I have made many young woman. such cures with the indicated remedy, and am still making them.

If

Now a word in regard to the opium case. There is no doubt in my mind that either the opium or the belladonna was But the questhe remedy for the case. tion is---which? Why give both? the belladonna had been given before and failed, why combine it with the opium? You undoubtedly gave the opium to stop that pain. I have more than once in cases in which the patient had, as you say, "had a bad night, no sleep, and a great deal of pain," relieved it all, and seen as prompt subsi

dence of all the symptoms as you report here, with a dose of arsenicum 30th or 200th, and especially in the "second week of typhoid." That is where arsenic generally first comes in, if at all. But I think your reasoning and conclusion in regard to the action of opium is sound and right. Opium did it. And would have done it in the 6th dilution even better. I never, however, undertake to dictate any man as to dose, any farther than that it ought to be the minimum dose, i. e., the smallest dose that will bring about the cure, because I believe, after forty years of careful experimentation that the curative action following such dose is better and more. lasting than any other. Your closing, "If the relief of the pain had been only temporary," etc., is sound to the core. And now, my dear doctor, let me thank you for the article "in toto" and say that although I have never met you, I recognize you as a "workman that needeth not to be ashamed." Do not consider this letter in the light, so much of a criticism as of a frank and friendly discussion of the principles governing our practice of medicine according to the teachings of Hahnemann. Long may you wave! Fraternally,

Dr. E. B. Nash,

Cortland, N. Y.

HISTORY OF THE CLEVELAND HOMEOPATHIC MEDICAL

COLLEGE.

THE UNIVERSITY OF MEDICINE AND SURGERY, 1893-1895.

By D. H. BECKWITH, M. D.,
Emeritus Professor of Physiology.

The most noteworthy action taken at the mid-term meeting of the faculty during 1893 was the establishment, with the consent of the Board of Trustees, of three scholarships to be granted each

year and awarded after a competitive examination. It was required that the applicant should be a graduate of some literary college in Ohio and must have the best of references. We believe our College to be the first Homeopathic college in the world to offer free scholarships.

In July a new working arrangement was made with the managers of the Maternity Home. On consideration of the payment of $300 the management agreed to relieve the College from all financial obligations connected with the Home and to permit the use of the cases in the Home as means for clinical instruction to the senior students. A re-arrangement was made also with the dental department by which its financial relations with the College proper were placed upon a more satisfactory basis.

Worthy of particular note is the generosity of Dr. P. T. Johnson, of Scranton, Pa., who, believing in the shedding of more light within the precincts, presented the Board of Trustees with a magnificent chandelier, which was placed in the general lecture room. An appropriate vote of thanks was tendered this generous alumnus.

A new departure in the College work was the establishment in the College. building of a lunch room for the purpose of providing at cost price a simple and inexpensive mid-day lunch for the benefit of those students who lived at a distance.

The College opened on the 20th of September, the calendar including a "Convocation and Laureation at Association Hall, at 7:30 p. m., March 20th, 1894," and a "Conversazione at the College after Convocation, at 9:30 p. m., March 20th, 1894." The post graduate course opened on the 27th of March and closed on the 10th of April.

In looking over the Argus of October 1st, at which time it was edited by Prof. W. A. Phillips, we find the following literary production:

HOW THE FACULTY SPENT

meat.

THEIR VACATIONS.

Dean Sanders, in poetic contemplation of the gestative state. Dr. Biggar, in showing the Canadians how to carve Dr. Pomeroy, in a study of stoic philosophy. Dr. Wilson lectured at Brady's Lake on "The Whatness of the Is." Dr. Waite was collecting delinquent mosquito's bills in Western New York. Dr. J. K. Sanders went gunning for microbes up the Cuyahoga. Drs. Ellis, Baker and Wells hunted possums in the forests of Dover. Dr. Meredith fished with a crooked pin in Lake Shaker. Dr. Beckwith was making up a new assortment of smiles for the fall trade. Dr. Frost was digging stiffs in the Arctic regions. Dr. Spencer spent considerable time in studying hideropathy. Dr. Turrill took rhynoscopic views through the turbinated regions. Dr. Darby speared cod-fish in the Atlantic. Dr. Canfield with her kodak traveled through "Darkest Cleveland." Dr. Phillips spent some time abroad in taking ophthalmoscopical views.

On the first of November the faculty gave a complimentary banquet to Prof. Eggleston, of the University of Michigan, and the Board of Trustees. The occasion was one of great rejoicing over the success of the College, and congratulations were indulged in on all sides. because of the auspicious opening of the session of 1893-1894. The evening was spent in enjoyable social intercourse. Among the speakers were Profs. Martha A. Canfield, T. P. Wilson, H. F. Biggar, S. B. Dewey, W. A. Phillips, and the guest of the evening, Prof. E. R. Eggles

ton.

FIRST YEAR-FRESHMAN. Anatomy, General Chemistry, Histology and Microscopy, Dissections, Prosthetic Dentistry, Physiology, Osteology, Materia Medica, Metallurgy, Clinics. COMPLETED THE FIRST YEAR. Histology,

Osteology, Dissection, Normal.

SECOND YEAR-JUNIORS. Anatomy, Prosthetic Dentistry, Microscopy and Histology (Pathological), General and Oral Pathology, General Chemistry, Physiology, Materia Medica, Dissection (If not completed first year).

Note. The above are completed at end of second year.

Theory and Practice of Dentistry, Clinical Dentistry, Dental Anatomy and Histology, Clinics.

THIRD YEAR-SENIORS.

Theory and Practice of Dentistry, Dental Anatomy and Histology, Diseases of Children, Dental Medicine, General Pathology, Oral Pathology, Chemistry, Clinics.

During the College session it is noteworthy that there were forty cases of obstetrics, each of the senior class having an opportunity to conduct one or more cases to completion and to make an instrumental delivery, under the supervision of the clinical instructor.

The exercises of laureation of the medical department took place on the 20th of March, as indicated in the calendar.

The program included a report from Prof. J. C. Sanders, dean of the medical department, a report from Prof.

S. B. Dewey, dean of the dental department, the address by the Rev. Levi T. Gilbert, of the First Methodist Church, and the Hahnemann Society valedictory by Dudley Smith, and the exercises of laureation by the president of the University. The graduates were as follows:

MEDICAL DEPARTMENT.

Allen, Oswald S., Baker, Charles F., Banning, Carina B. C., B. S., Beatty, I. M., Bishop, Frank D., Brown, Hiram, Brown, May Minnisee, Crouch, Walter Charles, Cushing, Charles Hayward, Erskine, Anna Jennett, Gray, Grant J., Gray, Sara Armstrong, B. S., Gridley, George Louis, Judson, Freeland Walter, Licht, Frederick August, McLaughlin, Charles H., Pyle, Henry G., D. V. S., Pulford, William Henry, Ranson, Thos. W. Jr., Reeve, Florentine O., A. M., Rideout, Arthur C., Saint, Richard V., Smith, Dudley, Slick, Ada Florence, Steadman, William F., Todd, Melvin Brian, Walker, Sidney Roland, Williams, Charles Creighton, Wyant, Ira L., Zimmerly, Harry Clifford.

DENTAL DEPARTMENT.

Johnson, William Gladden, Fenton, Maurice Edelbert, Herrick, Fred Avery, Colton, John G.

We find no record of graduates from the post-graduate course of this year.

Prof. H. F. Biggar resigned on the 30th of November, 1893, his chairmanship of the finance committee of the University and his membership on the Board of the Maternity Home.

In response to a feeling which had become wide-spread among the profession, the College in its arrangements for the following year took a long step in advance towards a higher system of medical education. On the 26th of March, 1894, at a joint meeting of the Board of Trustees and the medical faculty it was