is slow intellectual development; Graphites in accompanying skin eruptions; Mercurius in syphilis, etc. If absorption does not take place by the use of the above remedies, but suppuration threatens, then Hepar sulph. or Myristica seb. is indicated. As soon as suppuration has set in, Sil. 30 and Brom. 6 are to be used. Oenothera biennis.-Dr. Van der Laan reports the cure of a case of severe dysentery by Oenothera biennis. Acon., Merc. corr., Capsicum an., and Podophyll. were used with benefit but did not effect a cure. The symptoms which led to the choice of Oenothera biennis 3x were very frequent, exhausting, at times bloody-but generally watery evacuations, with no pain but with nervous exhaustion. Our Advertisers. pay a large part of the expense of publication and it is therefore right that proper attention is given them by the friends of a journal. If you are interested in the success of the "Reporter" you must take an interest in the advertisers represented in its pages. It is our aim to keep our advertising pages clean and free from advertisements whose only excuse for their appearance is the money consideration back of them, and the management of the journal will esteem it a favor to be informed if any advertiser does not give full satisfaction. We believe that the advertising pages of a journal, if they are carefully selected as ours are, should be of great educational advantage to the physician. Through them the physician can keep in touch with new remedies and appliances and learn to know the representative firms who are working in the interest of the profession. We earnestly request our readers to mention the "Reporter" when writing to our advertisers. When writing to business houses who are not represented in our advertising pages ask them why they do not advertise with us. It will show them that we have friends and will influence them to include the journal in the next allotment of their advertising. All this will help us to give you a better journal. Medical and Surgical Notes It is our purpose to give our readers, each month, forty-eight or more pages of reading matter, among which not a line of advertising is printed. In this department, however, we give space to an ethical consideration of articles used by homeopathic physicians and presented to them by our advertisers. We will not print in these columns any article or reference which is not based upon the experience or the opinion of a physician. If our readers have anything of interest and instraction concerning any preparation, whether it is advertised in our pages or not, we would esteem it a favor to receive it. Dioxogen in Medical While the indications for hydrogen dioxid are more limited in internal medicine than in surgery, gynecology, or in diseases of the eye, ear, nose and throat, they are by no means few. In stomatitis, notably the mercurial, ulcerative and gangrenous forms, in aphthae, thrush, glossitis, and noma, the frequent use of a wash or spray of a solution one-fourth the official strength is productive of the greatest benefit and may with advantage be alternated with chlorate of potassium. Ortner prefers hydrogen dioxid to solutions of this salt because of its superior promptness in neutralizing the fetor. In the oral and faucial inflammations ac companying the eruptive fevers-measles, German measles, scarlet fever, and smallpox-the best mode of treatment is spraying or swabbing every half hour or hour with hydrogen dioxid, one part to four parts of water; in scarlet fever half this strength may be used also for nasal irrigation. Sponging the body with dilute solutions (1 part to 8 or 10 parts of water) is highly recommended in the eruptive diseases mentioned as an agent destructive of the contagion present in the exfoliation of the skin and as a means of reducing the temperature. A similar treatment is advised by Boennecken in febrile and wasting diseases, to disinfect the mouth and neutralize the fetid odor so frequently noted in such cases. As an antifermentative in gastric affections attended with flatulence and eructations hydrogen dioxid has been found efficient by a number of writers, notably S. Solis-Cohen, S. S. Wallian, and A. Symon Eccles, the latter of whom says: "In the digestive troubles of anemic, chlorotic, and obese subjects, I have found hydrogen dioxid exceedingly useful....In cases of chronic disease depending on, or associated with, deficient oxygenation, we find dyspep tic symptoms markedly present, and of these one of the most frequent causes is butyric fermentation....This condition is very common among anemic persons and those suffering from wasting maladies; sometimes, also, I believe it is present in pneumonia. Under such circumstances the administration of hydrogen dioxid proves valuable in checking the fermentation process." On account of its stimulant effect upon the secretion of hydrochloric acid, it is a useful remedy in gastric dyspepsia attended with subacidity. In such cases, as well as in those of flatulent indigestion, it is best given, according to Solis-Cohen, about five minutes before meal-times, and may be com bined with lavage, or the drinking of hot water from half an hour to an hour before meals. S. W. S. Toms speaks highly of its use in ulcer and carcinoma of the stomach, in doses of 4 c. c., combined with glycerin and taken three times a day in 120 cc. of water. In the use of hydrogen dioxid it is important that the purity of the solution be guaranteed. The manufacturers of Dioxogen have adopted an arbitrary name which in sures definiteness in the prescribing and dispensing of their product. Abstract. H. D. B We invite the most careful attention and consideration of our readers to the announcements made by our advertisers. It is our aim to keep our advertising pages clean and free from advertisements whose only excuse for their appearance in a Homeopathic journal is the money consideration READY NOVEMBER 20th. The Homoeopathic Pharmacopeia OF THE United States SECOND EDITION. Revised by the Committee on Pharmacopeia of the The first edition of this work was issued in 1896 The Pharmacopeia of the American Institute of Part 1-Includes General Pharmacy of Drugs for Homeopathic use. Part III-Select Tables for Reference. Published by the Pharmacopeia Committee of the American Institute of Homoeopathy in one volume, 8vo., 674 pages. Price, cloth, $3.25, net; Half morocco, $4.00, net. Otis Papp & Son Agents, INCORPORATED 10 PARK SQUARE, BOSTON, MASS. The HOMEOPATHIC PHARMACOPEIA OF THE UNITED STATES is the only standard authority on the indentification, preparation and attenuation of Homeopathic Medicines, in the United States. back of them. The advertising department is of educational value. It keeps the profession informed as to the new remedies and appliances and brings prominently before them the representative firms who are working in their interests. We request our readers to mention the Reporter when writing to our advertisers. When writing to business houses who are not represented in our advertising pages ask them why they do not advertise in the Reporter. It will show them that we have friends and will influence them to include our journal in the allotment of their advertising. All this will help in enabling us to give you a larger and better journal for your money. Nitrous Oxid and Oxygen as a General Anæsthetic Some curious facts have been noted with regard to the slow growth of the use of nitrous oxid. Discovered over a century ago, not for twenty-five years was its power to relieve pain recognized. Then there was a lapse of fifty years before its administration as an anesthetic. The first public demonstration, however, proved a fiasco; this misfortune, together with the discovery of the anesthetic properties of ether, placed "laughing gas" upon the shelf, where it remained for nearly twenty years more. Emerging in 1863, but to suffer many changes at the hands of many scien tists, only within the last fifteen years do we find nitrous oxid and oxygen successfully employed for even the briefest operations. These were, however, almost exclusively dental operations, a large majority of that profession using the plain gas; the small minority, in order to prolong the period of available anesthesia, combining oxygen with the nitrous oxid. In England and the larger medical centers the gas has been used to a very limited degree by the surgeon for starting chloroform and ether, and in a few instances for slight operations. If such a career seemed remarkable in its infancy, how is one's credulity taxed by the phenomenon presented at the beginning of this twentieth century? The safest, and from the patient's standpoint, easiest anes thetic has been known, but unused by the surgeon, simply because no method has been devised by which the anesthesia could be extended more than a very short time with out danger of asphyxiation. The whole subject of nitrous oxid with oxygen as a general anesthetic was brought to our attention by a case requiring abdominal section, but with so bad a heart that both chloroform and ether were out of the question. Prior to the operation, which took place June 12, 1901, the heart was dilated, extending as high as the second rib, mitral regurgitant murmur marked, apexbeat plainly discernible in the fourth interspace for the distance of four inches; while the pulse was very irregular, intermittent, and rapid. As soon as she came under the influence of the anesthetic the irregularity disappeared, and the pulse dropped from 120 to 100 or less, remaining so throughout the operation, some three-quarters of an hour. Nor has the heart at any time since caused the trouble that was previously habitual. The unprecedented success of this case opened our eyes to the possibilities of the future. Further trial demonstrated the fact that heart lesion is by no means the only condition to which this anesthetic is peculiarly adapted. Diseases diminishing the efficiency of the kidney, pregnancy, inflammatory diseases of the lungs or bronchial tubes, and irritable stomach, are not contra-indications for nitrous oxid and oxygen, as for the other anesthetics. A few notes may serve to illustrate the point. Mr. M., who had been subjected to a nephrectomy under chloroform in May, took the gas, September 25, for an appendectomy, with no appreciable effect upon the remaining kidney, although there was diminution of urine and considerable apprehension of the insufficiency of the single kidney follow. ing the chloroform operation. Mrs. S., September 12, double salpingoovariotomy and appendectomy. Three months pregnant. Exceedingly rapid and satisfactory convalescence without interference with the pregnancy. Mr. H. Acute phlegmon of the arm and forearm (streptococcus infection). Constant drinker for years. Urine full of albumin and casts, which at once began to clear up after the operation. Although the pulse remained strong, this patient became cyanotic and rigid with suspended breathing, but res piration forced with oxygen pressure quickly dispelled these distressing symptoms. When addressing our advertisers mention the Reporter. Mrs. M., August 24, gastro-enterostomy and appendectomy. Objective signs were heart dilation and stomach irritability; the subjective symptoms, except the attack of acute appendicitis, were mainly referable to the heart. Recovery complete. Mrs. Mc. Salpingoophorectomy and appendectomy, with very little nausea, although three years previously under simply currettage she suffered excessive vomiting for four days. Within the past three months four stomach cases have been operated on under this anesthetic with less than the usual irritation of the alimentary tract.-Abstract of an article by Dr. E. E. Brown.-Cleveland Journal of Medicine. It will doubtless be of interest to those who are following the subject of Nitrous Oxid and Oxygen as an Anesthetic to know that there is an apparatus now being constructed by the Lennox Chemical Co., of Cleveland, which is believed by the makers and those who have had most experience in using such appliances, to be a great improvement over anything to be had at present. It will do away with many obstacles and annoyances which heretofore have been left to the ingenuity of the users to overcome. We are informed that the makers will be very glad to explain the apparatus to those interested at any time, whether they are prospective buyers or not.-H. D. B. A Local Anæsthetic Every practitioner recognizes the advis ability of using a local anesthetic in minor surgery, and for a number of years subcutaneous injections of cocaine, morphine and other alkaloids have been used for this purpose. But there are many drawbacks to their use, notably, their unpleasant after effects, the danger of a habit being formed, and the fact that their toxic properties limit their use on the patient. Local anesthesia by refrigeration has none of these disadvantages. As the refrigerent is not absorbed by the tissues, it can produce no unpleasant after effects, and as it is absolutely non-toxic, it can form no dangerous habit. In addition to this, extensive experiments have demonstrated that it can be applied an unlimited number of times on the same patient without danger. Ethyl-Chloride is a colorless haloid ether which boils at 12.5° C or (54° F). Projected on the skin in the form of a spray it evaporates so rapidly that it speedily causes intense local refrigeration and consequent anæsthesia. With a proper spraying apparatus which will properly deliver the ethyl-chloride at any given point, the physician can do painless work in quite a variety of cases-such as abscesses, furunculi, and felons, enucleation of small tumors, extraction of foreign bodies, ingrowing toe-nails, etc., etc. Of the many tubes for spraying ethyl-chloride there is none that presents the advantages of the Gebauer Tube. The spray is absolutely under con trol and can be limited to the smallest area. Moreover, there is no possibility of leakage, and when you want to use it you are not met with an empty tube, the contents of which have disappeared since the last time the tube was used. The writer unhesitatingly commends this tube to the readers of the Reporter as the best one on the market. -H. D. B. We take pleasure in calling the attention of our readers to the following notice: Cleveland, O., Nov. 1, 1901. Dear Doctor:-Owing to the largely increasing business and the addition of a manufacturing drug and prescription department, together with the manufacture of Surgical Instruments, Deformity Apparatus, and Physicians', Surgeons' and Dental Supplies and Specialties, Static and other elec tric apparatus, we have incorporated The H. H. Hessler Co. to succeed the firm of H. H. Hessler & Co. Orders sent to us will have prompt attention and will be duly appreciated as in the past. Thanking you for your past favors and hoping to be favored with your orders in the future, we remain, Yours very truly, THE H. H. HESSLER CO. When addressing our advertisers mention the Reporter. |