readily becomes a chronic condition since the toxemic patient lacks that initiative which is necessary to active physical exercise; thus cause and effect form a circle which must be broken by rational therapeutic treatment while proper hygienic conditions are being re-established. Cystogen-Aperient (Granular Effervescent Salt) performs a double service by stimulating to normal function and by disinfecting the intestinal and urinary tracts. Specially Indicated in the Treatment of Gouty Conditions and Auto-Intoxication of Self-Poisoning Diseases Such as Pellagra, Typhoid, Etc. Cystogen-Aperient is not presented as a saline purgative, but as a rational therapeutic aid wherever treatment is based on elimination; it combines the laxative and tonic properties of Sodium Phosphate and Tartrate with the diuretic urinary-antiseptic and solvent action of Cystogen (C ̧H12N1). 12 Cardio-Vascular Diseases Clinical results have proven to thousands of physicians that Anasarcin is of unsurpassed remedial value in the treatment of disorders of the circulatory system of ascitic conditions. It controls heart action, relieves dyspnea and eliminates effused serum. Anasarcin's Distinctive Features Dependability of the cardiac stimulant and diuretic properties of its ingredients made certain by standardization. Prevention of toxic cumulative effect. Distinct, definite dosage. Absence of ill effects after prolonged administration. Constructive influence upon circulatory and nutritive processes. That you may observe the action of Anasarcin and subject THE ANASARCIN CHEMICAL COMPANY Messrs. Thos. Christy & Co., London Agents Organized at Council Bluffs, Iowa, September 27, 1888. Objects: "The objects of this society shall be to foster, advance and disseminate medical knowledge; to uphold and maintain the dignity of the profession; and to encourage social and harmonious relations within its ranks."-Constitution TOXIC PALSIES COMPLICATING PREG NANCY.* S. GROVER BURNETT, A. M., M. D., Kansas City, Mo. Attending Alienist and Neurologist to Grandview Sanitarium for Mental and Nervous Diseases; Member American Psychological Association: Ex-President Medical Society of the Missouri Valley, The cause is an underlying toxin of some kind as yet not fully determined as to the origin and character but, according to some authors, it is a toxin peculiar to the pregnant state, thus limiting this paper to palsies of toxic origin. The diagnostician must differentiate three different clinical pictures, viz: 1st. Paralysis limited to the mental field, characterized by a symptom index picturing mind perversion, a result of damaged memory function, namely, limited or lost memory for recent or present events; disorientation, that is, loss of memory for time, meaning the hour, the day, the week, the month, the year, and place; misidentification, that is, loss of memory for identifying things, persons or objects; confabulations, that is, loss of memory for connected descriptives *Read before the Medical Society of the Missouri Valley at Des Moines, Ia., September 23, 1915. of past and present events, creating a fictitious or delusional mental field with a mingling of depressive and roseate and buoyant descriptives of flower strewn journeys unmade and picturesque episodes not real. 2d. Paralysis limited to the somatic field, characterized, namely, by a single nerve trunk palsy limited to a single muscular group, or more; by a paralysis of one or more of the extremities, or all of the extremities, till the only movement left is the head rotation; by a paralysis that is limp and flaccid, with atrophy and the electrical reaction of degeneration present in proportion to the completeness and duration of the paralysis; by a mixed nerve paralysis, giving motor and sensory symptoms. 3d. A clinical picture made up of a combination of the mental and physical symptom groupings. This is very confusing to the attending physician. He invariably interprets the mental symptoms as meaning a puerperal insanity when in fact he has an organic disease present. About fifty known contributions have been made to the literature of this subject, yet I have not seen a single correct diag 305721 |