The only prominent Emulsion of Cod-Liver Oil introduced directly to the medical profession. NYDROLEINE. (HYDRATED OIL.) Produces rapid increase in Flesh and Strength. FORMULA.-Esch Dose contains: Pare Cod Liver Oil.....80 m. (drops) | Soda...........................1-3 Grains Recommended and Prescribed by It is pleasant to the Taste and IT IS ECONOMICAL IN USE AND CERTAIN IN RESULTS, HYDROLEINE (Hydrated Oll) is not a simple alkaline emulsion of oleum morrhuse, but a hydro pancreated preparation, containing acids and a small percentage of TO BRAIN WORKERS of all classes, HYDROLEINE is invaluable, supplying as it does, the C. N. CRITTENTON, SOLE AGENT FOR THE UNITED STATES. 115 FULTON STREET, N. Y. A Bample of Hydroleine will be sent free upon application, to any physician (enclosing business card) in the U. 8. PRICE, THREE DOLLARS PER DOUBLE BOX. Containing sufficient Tablets of each kind to last from one to three months according to the condition of the patient. A Connecticut physician writes: "I am now using your Tablets on a patient (young lady), who has had three quite severe hemorrhages the week previous to the beginning of the same. She has taken one box only, has had no return of the hemorrhage, and has gained four (4) pounds since beginning treatment, besides all rational symptoms have improved wonderfully. I will add that I had tried Ol. Morrh., Syr. Hypophos. Co., etc., with no apparent benefit." A Virginia physician writes: Enclosed find Postal Note for another double box Freligh's Tablets. I used the sample box in three cases, with decided benefit in one, slight improvement in second, and while they did not improve the third case, it being in very advanced stage, there was an amelioration of the distressing symptoms." A Massachusetts physician, in practice 25 years, writes: "Send me two double boxes Freligh's Tablets. I have tried the sample box with most excellent results." A Michigan physician writes: "I am more than pleased with them. They have not disappointed me once. Dr. C., for whom I ordered a box, writes me that he is much improved, and speaks in praise of them. He has genuine Tuberculosis, and while I do not think he can recover, yet I firmly believe the Tablets will prolong his life.” SPECIAL OFFER. While the above formulæ have been in use, in private practice, over 30 years, and we could give testimonials from well-known clergymen, lawyers and business men, we prefer to leave them to the unbiased judgment of the profession with the following offer: On receipt of 50 cents, and card, letter-head, bill-head, or other proof that the applicant is a physician in active practice, we will send, delivered, charges prepaid, one of the regular (double) boxes, (retail price, Three Dollars), containing sufficient of each kind of Tablets to test them three months (in the majority of cases) in some one case. Card, letterhead, or some proof that the applicant is a physician in active practice, MUST accompany each application. Pamphlet, with full particulars, price lists, etc., on request. A PHOSPHORIZED CEREBRO-SPINANT. [FRELICH'S TONIC.] FORMULA. Ten minims of the Tonic contain the equivalents (according to the formula of the U. S. P. and Dispensatory) of Tinct. Nux Strychnos, m I; Tinct. Ignatia Amara, m 1; Tinct. Cinchona, m 4; Tinct. Matricaria, I; Tinct. Gentian, m1⁄2; Tinct. Columbo, m2; Tinct. Phosphorus, C. P., gr. 1-300; Aromatics, m 2. Our Special Offer is still open, to send to any physician, on receipt of 25 cents, and his card or letterhead, half a dozen samples, delivered, charges prepaid. Each sample is sufficient to test it for a week in one case. As we furnish no samples through the trade, wholesale or retail, for samples, directions, price lists, etc., address 1. O. WOODRUFF & CO., 88 MAIDEN LANE, NEW YORK CITY. THE TREATMENT OF HEART-FAILURE FROM CHLOROFORM.* The International Medical Magazine, July, 1892, quoting from a German journal, gives Maass's description of a method in use at the Göttingen clinic, by which the heart can be made to resume its action after apparently fatal paralysis from chloroform. Rapid impulses are given to the region of the heart by the hand of the surgeon, as many as one hundred and twenty a minute. The operator stands at the left side of the patient, laying his right hand on the left side of the chest, and placing the ball of the thumb half-way between the apex beat and the sternum. The left hand is applied to the right side of the chest and steadies. The rapid compressing motions are made with the right hand. Two patients have been revived by this method perseveringly applied for half an hour or more, after their restoration seemed hopeless. Heart contractions ceased whenever compression was interrupted, though shallow respirations continued spontaneously. THE VAGINAL DOUCHE IN NORMAL LABOR CASES.† BY C. E. COOPER, M. D., I. Avoid internal manipulation, if it be in any way possible, in all normal labor cases. 2. We shall be on the safer side if the external genitalia are rendered thoroughly aseptic before the labor and kept so during the puerperal period. This can be accomplished by the liberal use of hot water, sublimate soap, and sublimate solution in the strength of 1 to 1000. 3. If internal examination be absolutely. necessary, or if, in spite of all precautions, sepsis has occurred, let the vaginal douches be rendered aseptic before they are given. This may be accomplished by using water that has been boiled with sublimate solution I to 1000, which is allowed to stand at least one half hour before using, in order to destroy the spores in the water. The syringe, irriga * Abstract from Medical Record. + Conclusions of a paper in Occidental Med. Times. tor, rubber tubing, etc., should be rendered aseptic by thorough washing and soaking with the strong sublimate solution, or with alcohol. Class-Room Notes. [Specially reported for the COLLEge and Clinical Record.] -Prof. Hare says that an ordinary cup of coffee contains from twenty to thirty minims of the oil of caffeine. -Gelsemium, Dr. Eschner thinks, is the Fifth Nerve or one of its branches. best remedy in cases of Neuralgia of the -In cases of Synovitis, Dr. Eschner advises the application of the tincture of iodine as a counter-irritant, and the rubbing in well of mercurial ointment. -The following ointment is recommended by Prof. Keen in cases of Erysipelas :R. Unguent. zinci oxidi, Zij Hydrarg. chlorid. mitis, 3i M. Ft. unguentum. Apply to parts affected. -Prof. Longstreth obtains good results in cases of Efferent Articular Rheumatism by applying poultices to the extremity in which the disease manifests itself. -For a case of Chronic Jaundice, Prof. Wilson ordered the following treatment: Good, easily digested diet, and five grains of inspissated ox gall three times a day. -Prof. Hare says that dermatol, a preparation of bismuth, which has lately been introduced in medicine, is giving good results in cases of Eczema in which there is a slight exudate. -Prof. Parvin highly recommends a creolin solution in the strength of one-third to onehalf a teaspoonful to the quart of water as an antiseptic wash in cases of Inflammation of the Uterus. -Prof. Hare says that by rubbing a patient suffering from Scarlet Fever and having a high temperature all over with some fatty substance we will frequently get a fall of the temperature. -Prof. Keen says that in some few cases the bacteria of Erysipelas injected in a cancerous tumor have at first produced erysipelas in the patient, but later on have effected a cure of the tumor. -Masturbation, according to Prof. Parvin, is of rare occurrence in the female sex, the percentage being only about three-tenths of one per cent., whilst among the male sex it is about three per cent. -Prof. Keen prefers not administering any stimulants in the earlier stages of Erysipelas; but thinks that they should be administered in the later stages, if the patient's condition calls for them. —A favorite prescription for cases of Fever at the J. M. C. Hospital is as follows: R. Liquor. potassii citrat., Tinct. aconit. rad., Morphiæ sulph., f3ss 3j gtt. ij gr. %. M. SIG. This dose every three hours in water. -Prof. Parvin says that antipyrine will be found very useful for the relief of pain in Dysmenorrhea; and, moreover, it is free from the many objections that are raised against opium for the relief of pain. -Prof. Keen recommends, in cases of Tubercular Peritonitis, that the abscess be opened up and drained; but in order to get good results let the drainage-tube stay in for some time-three to four weeks. -Prof. Hare says that in Persistent Attacks of Vomiting best results will be obtained from rectal injections of the following: -The following constitutional treatment is recommended by Prof. Keen in cases of Septicamia, Pyamia, and Puerperal Fever: Good, easily digested food, and alcoholic liquor in as large a quantity as the patient will be able to bear without becoming intoxicated. -Dr. Albert Brubaker says that Spasmodic Croup in children, coming on suddenly at night, is often due to impaired digestion brought on by eating some heavy food just before retiring. If the stomach in these cases be emptied by an emetic, it will be found that the croup will also disappear. -Prof. Hare recommends the following treatment in cases of Urinary Incontinence, in which the patient has not lately suffered from an attack of-scarlet fever, and in which some other predisposing cause is not known. First administer large doses of the citrate of potassium, in order to cause the urine to become alkaline, and if there are no deposits then administer belladonna. -For Gonorrhea in females, Dr. Horwitz recommends the following treatment:R. Ung. cucumis, Alum., Acid. tannic., Ft. unguentum. 3j M. Clinical Record. medication, while, on the other hand, skeptics The College and Clinical Record. A MONTHLY MEDICAL JOURNAL. RICHARD J. DUNGLISON, A.M., M.D., Editor. VOL. XIV. PHILADELPHIA, JANUARY, 1893. NO. 1. The New Year has opened with the usual retrospects and anticipations, with promises and hopes which, if realized, will add largely to the sum of individual and collective hap piness and prosperity. For ourselves, as journalists, we shall earnestly endeavor to make THE COLLEGE AND CLINICAL RECORD in every way more attractive, more practical and more useful than it has ever been; and among other features we especially call attention to the important series of leading articles which commence with this issue, and emanate from the pens of some of the able practitioners and writers of the day. appeal to meteorological records to prove that pneumonia in its frequency and mortality is influenced by season and by climate, or by occult causes, more than it is by the use of drugs. The very practical question, however, almost daily confronts the busy practitioner, How shall I treat my patients suffering with pneumonia? Among the many modes at present in use, as reflected in the medical press, the widest latitude apparently prevails alcohol, strychnine, or digitalis, on one hand, with venesection, veratrum viride, and aconite on the other. We turn from brandy punch to antimony; from nitrites to oxygen inhalations; from leeching and cardiac sedatives to intravenous injections of blood contributed by convalescent pneumonic patients. From the ice jacket and cold pack it is a long way to mustard plasters and hot poultices. Finally, if in doubt, we may use saline solutions by hypodermic injection (hypodermoclysis), and still have the support of good clinical author The INDEX for 1892 will appear in the ity in our therapeutic experiment. February issue. Leading Article. ACUTE LOBAR PNEUMONIA CLINI CALLY CONSIDERED. There are a number of reasons why a want of agreement should exist as to the treatment of pneumonia. In spite of the fact that each year new suggestions are made and new remedies offered for the cure of this frequently occurring disease, we cannot say that we are much nearer to unanimity of opinion as to its clinical management now than we were a decade ago. Favorite methods defended by favorable statistics are the basis of numerous contributions to our medical journals by enthusiastic advocates of active The cynical looker-on in Vienna might see in this only confusion and uncertainty, if not a reproach to modern therapeutics; in this hasty conclusion, however, he would be far from doing justice to modern clinical medicine. The real source of confusion and apparent uncertainty lies in the very obvious. error of confounding several distinct morbid states under the single designation of “pneumonia." There are a number of perfectly well defined pulmonary lesions which fall properly within the definition of pneumonitis, while at least one form, which is known universally as pneumonia, is not pneumonitis at all, but a specific fever accompanied by pulmonary consolidation due to fibrinous exudation, which, as the rule, subsequently disappears by resolution and absorption, |