it is doubtless true that thousands of human lives have been sacrificed while demonstrating their worthlessness. It has time and again been proved that the best results in this disease can be attained by the use of what I may term "standard" remedies, and not in the waste of time in experimenting with serums and other impositions on the medical fraternity.

Prominent among the standard remedies referred to stands one that may, with truth, be called "Nature's Own Remedy," in as much as it is obtained from the very bowels of Mother Earth-Petroleum.

The Angier Chemical Co., of Boston, have placed this remedy in our path in palatable form, combining with it the wellknown hypophosphites. This Emulsion supercedes cod liver oil in more ways than one, not the least of which is that it is palatable; consequently, does not disorder digestion or produce nausea. This, in many cases, is of the greatest importance. In regard to its therapeutics it may be said that it is antiseptic, antispasmodic, stimulant, nutrient and expectorant. By its use the cough is at once ameliorated, the perspiration is diminished, the patient is strengthened, thereby enabling him to expectorate the loosened mucus with greater ease; foetid orders are made less and frequently the consumptive steadily improves and regains health. In the first stages of this disease it is certainly curative, as can be verified by any practitioner giving it a faithful trial.

In the commoner coughs, often spoken of as winter coughs, even when not of tubercular origin, and also in bronchitis, Angier's Petroleum Emulsion is invaluable. Here it exerts the same action on the cough, expectoration and mal-nutrition, as in the former conditions, and other medication is rarely required. In the vague and ill-defined chest pains of those recovering from an attack of pneumonia, pleurisy or grippe, this preparation is specially indicated. The improvement in digestion, which always follows its use, is one of its prominent features, and it is therefore also adapted to all forms of mal-nutrition in old or young.

It is not my purpose in this paper to quote particular cases treated, but simply to direct attention to Angier's Petroleum Emulsion those who may not have learned of it, and especially to those physicians who are prescribing cod-liver oil, but who

desire something more efficacious and more acceptable to the patient's palate and stomach.

Pottsville, Pa.

J. D. ALBRIGHT, M.D.

Selections.

AN EFFICIENt Treatment for RheumATISM AND ALLIED AFFECTIONS. For the past seven years I have constantly prescribed Tongaline, and the longer I do so the more thoroughly I learn to rely upon its efficacy for the diseases for which it is indicated. I had always secured good results from its administration, but during the past year these have far surpassed all my expectations, especially in such serious and obstinate troubles as rheumatism, la grippe and sciatica. These really wonderful results I consider due to my methods of administering the preparation, and I believe it to be to the advantage of every physician to understand just what these methods are. For instance, when I have a very severe case of inflammatory rheumatism, a case where the swelling is great and the pain almost beyond endurance, together with a high temperature, I commence with a teaspoonful of Tongaline every hour in a wine glassful of water just as hot as the patient can bear it. I follow the dose with as much hot water as the patient can take. In from four to eight hours the temperature is invariably reduced and the patient falls into a refreshing sleep. Under this treatment, within six hours I have seen the temperature drop from 104 degrees to 100 degrees and the pain disappear as if by magic. Furthermore, I have time and time again witnessed the same results in severe cases of la grippe. The more severe the case, whether of rheumatism, la grippe, gout, sciatica or lumbago, the more I push the Tongaline by giving smaller doses at closer intervals and invariably in hot water in place of cold. In cases where the stomach rebels and Tongaline cannot be administered in that way, I have the affected parts, say the inflamed joints in a case of rheumatism,

or the lumbar region in that of lumbago, sponged with alcohol or soda water, in fact, I prefer the latter, then rubbed with Tongaline and apply heat by a hot-water bag, or by some other convenient method. It is really surprising how quickly and thoroughly the Tongaline is absorbed and how effective its action when it is administered in that manner. In la grippe, when the stomach is very irritable, as is so often the case, you will find that Tongaline applied locally, say under the inner side of the thighs and under the arms on the side of the chest, will eradicate the trouble more quickly and thoroughly than any other remedial agent.

I call to mind a case of sub-acute, localized rheumatism of the knee, which had defied every kind of treatment generally prescribed for that condition, such as the potassium salts, salicylate of soda, tonics, blisters and counter-irritants. I decided to try Tongaline in the manner above described. By the third day the pain had almost disappeared and the swelling had been reduced two-thirds at least. The improvement was uninterrupted and in ten days the patient pronounced himself cured. certainly somewhat remarkable to see an old, chronic rheumatic patient, who has been bedridden for months, able to walk comfortably, as if by magic, and due entirely to the effects of Tongaline. On several occasions, when in the company of medical men and the subject of rheumatism was introduced, I have mentioned this treatment, and stated that in my belief we had in Tongaline almost as thorough a specific for rheumatic and neu ralgic diseases as quinine was for malaria. Some of the physi cians remarked that they had not found Tongaline of so much value, whereupon I replied that the fault was in their manner of prescribing the preparation. I explained to them how Tongaline must invariably be pushed to the extreme in certain obstinate cases and always administered in hot water. had the pleasure of hearing one of these physicians state that firm a believer in the efficacy of Tongaline for rheumaas I am, and that the reason he had never appreciated the so thoroughly was because he had never used it in

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tism

as

preparation

Since then I have

sufficiently large quantities. In conclusion I would state that if any reader of this article doubts the efficacy that I have ascribed to Tongaline in the more severe forms of the diseases for which

it is indicated, just let him push the drug until the full physiological symptoms are secured, and I feel assured that he will agree thoroughly with my statements.-C. W. Canan, M.D., of Orkney Springs, Va., in St. Louis Medical and Surgical Journal.

water.

ACUTE INTESTINAL OBSTRUCTION.--McArdle (Dublin Journal of Medical Science, Oct. 1, 1897) in concluding a paper on this subject offers the following suggestions in case of difficulty in finding the site of obstruction: 1. Follow the engorged coil of intestines upward and downward until the point of obstruction is reached, or turn out all the intestines. 2. Remove all fluid from Douglas' pouch and the loins, by irrigation with sterile 3. Restore the color of the bowel, and establish peristaltic movements by heating with neutral saline solution. The removal of the primary cause of intestinal obstruction is not always followed by relief of the symptoms. 4. Should there be difficulty in returning the intestines, elevate the pelvis in the Trendelenberg position, or if necessary, open and wash out. 5. Before all, and above all these conclusions, the following rule should be observed: "When a surgeou is called to a case of complete obstruction of the bowel, with evidence of peritoneal effusion, it is his duty to operate at once."-Journal of the American Medical Association.

BICYCLE ABUSE is the title of a very excellent editorial in the American Medico-Surgical Bulletin, which concludes as follows:

What is in store for these racers? A coiled spring within its range of strength can stand a definite amount of strain before being permanently damaged. The human body is very much like a coiled spring in its power of recuperation. It sometimes rallies from exceedingly severe attacks of disease with but few marks of permanent injury. When the vital coil is overstrained it leaves the system a wreck. Every great strain weakens it. In all the cases where the constitution of the rider was powerful enough to resist the strain there will be a slight weakening of vigor, but in some there is sure to be overstrain, and they will

go through life mere wrecks of their former selves. Some of them received nothing for their week's agony, a few received $75 to $500 in graded amounts, and the winner got $1,500. The few organizers of the show pocketed about $20,000 out of the $40,000 taken in at the door. The crowd paid its money freely to see and gloat over such an agonizing scene. They shouted like madmen at the poor suffering fools before them, and jeered at those whose hallucinations made them talk wildly as they rode along. Give us less talk and better riding" was the answer of the sport-mad crowd to the delirious talk of the riders. A prize-fight, a Spanish bull-fight or a contest of gladiators in the arena of the Coliseum at Rome would be royal sport as compared with so gross a degradation of the most health-giving mode of exercise of the nineteenth century. It is to be hoped that this is the last exhibition of the kind that will ever occur in this or any other country.

SHOULD THOSE WHO ARE DISEASED MARRY?" Should those who are diseased marry?" is a question often asked and discussed. It is impossible to treat the human race as we do our beasts; we kill diseased cattle; entire herds of valuable Jerseys have been destroyed because they were found to be tuberculous. It would be equivalent to war if such methods were adopted in an attempt to stamp out tuberculosis in the human race. Yet we must realize that efforts stronger and more logical than have been and are now being used must eventually be employed for this purpose. Either laws must be passed prohibiting intermarriage between healthy and diseased persons, or compelling the isolation of all who are diseased, irrespective of class, condition, and sex.

This editorial was not written to discuss the best methods of obliterating tuberculosis, but to impress upon the profession the necessity of pointing out dangers which their patients cannot disCover. Those who inherit tubercular tendencies should be carefully schooled in habits which will best enable them to guard against the disease; many who are to-day beyond the hope of recovery would still be on the safer side had they been warned in time. Change of climate, quitting the more dangerous