the arterioles. This treatment should be continued for two or three days or until the condition of the heart is better and compensation fairly well established, when it might be well substituted for the digitalin and veratrine, strophanthin, gr. 1-134 and strychnine in doses of, say 1-40 grain, or even smaller, every three or four hours, according to their effect on the circulation. Potassium iodide should be given in four or five grain doses three times a day, in water after eating. This will have a beneficial influence on the degenerated arteries and at the same time exercise a mild alterative influence as an antisyphilitic. Later the patient should be put on Basham's Mixture.-B. F. Butler, AmerJour. of Clinical Med. ENTERO-COLITIS. I was called last August to see an eight months' old boy who was said to be dying of cholera infantum. He had been treated by two capable men, both of whom agreed that the child could not possibly outlive the day. Every conventional remedy had been tried and the favorite methods of both men had been exhausted. They frankly admitted that all had been done that could be done. I found the patient almost moribund and displaying all the symptoms of a child dying of what I diagnosed as entero-colitis. The symptoms, to my mind, were classic, despite the previous diagnosis. The case was turned over to me at 9 a. m., August 7. A trained nurse was already on the case. She is an unusually competent woman, in whom I have the most implicit confidence. Then began one of the hardest battles of some years in my practice. I ordered high enemas of Glyco-Thymoline in 25% solution and warm. Used four ounces at a time with a soft rubber catheter once every three hours. The child could retain nothing, was in frightful pain and passing constantly thin foul smelling discharge tinged with blood. The child was emaciated to the last degree and for several days before I was called had been in a semi-conscious state. The poor little baby was a pitiful sight. For nourishment I ordered several combinations to be admin istered, an ounce at a time, as a rectal clyster following the enemas of Glyco-Thymoline. I know it is not good practice to give hypodermics to an infant, but this was a grave case. My predecessor had ordered gr. 1-64 morphine, gr. 1-960 atropin, sub. q. every four hours if needed, with strychnine 1-240 gr. if necessary. I continued this as the baby was often in intense pain and there seemed to be no other way. This was my plan of campaign, and I am both thankful and pleased that it was successful. The baby improved from the first, but so slowly that it was scarcely discernible to the parents, but the nurse and myself saw it. After three days the child could take some nourishment per corem. I then gave 2 m. GlycoThymoline in one ounce of water every two hours before feeding. It began to have short periods of natural rest and the discharges were in every way improved. At the end of a week, August 14, the' improvement was quite marked, but we did not relax our vigilance. The hypodermics, except of strychnine, were discontinued. The enemas were continued fifteen days, once every three hours, then at less frequent intervals for a month, then once a day for six weeks. The recovery of the little patient was long and slow, but uneventful. The mother and nurse were devoted and ably seconded my efforts. At this time the baby is a strong rosy youngster. It gives me great pleasure to tell you of this case. The experience may be of value and it certainly proves to my satisfaction at least, the potential possibilities of Glyco-Thymoline in gastrointestinal work. May you be speeded in your good work. MARKED GROwth of BeaUMONT AGENCY, "Everything in Advertising" seems to have been a profitable motto for the promotion of the Beaumont Advertising Agency, of which Mr. Henry F. Beaumont is general manager and secretary, judging from the phenomenal growth of the concern since February 7, 1905. On that date the Beaumont Agency was established, and gradually the energy and effectiveness of its man agement has swept all competition out of the Middle Tennessee field. About ninety days ago this agency acquired its own printing plant, and is now operating it as The Beaumont Printery, in the Chamber of Commerce. Prior to that a sign board system of large dimensions was acquired for its local patrons interested in that line; and the announcement is now made that Mr. C. R. Fitzpatrick, well known as an artist and illustrator, has accepted the management of the designing department of the Beaumont Agency-a department which will require the services of two assistants to Mr. Fitzpatrick. This addition to the equipment of the Beaumont Agency now renders this concern one of the most efficient and effective in the South, and its growth is a great testimonial to the skill at management and the enterprise of Mr. Beaumont, Contents for June, 1906 ORIGINAL COMMUNICATIONS Synovitis, by J. W. Brandau, M. D., Clarksville, Tenn....... 241 SELECTED ARTICLES Pruitus Ani-Its Etiology and Treatment.... 248 Gonococcal Infection in Women, by Egbert H. Grandin, M. D., 256 EXTRACTS FROM HOME AND FOREIGN JOURNALS Surgical. A Case of Tetanus Treated by the Intraspinal Injection of 25 per cent. Solution of Magnesium Sulphate, by Dr. Samuel Logan .... Surgical Suggestions.. Removal of the Gall Bladder..... The Relation of Neuritis to Appendicitis.. Anesthetics and Renal Activity.. To Remove Foreign Bodies..... Primary Thrombosis of External Iliac Artery. Medical. 262 265 267 268 268 269 270 Permanganate of Potassium as a Remedy in Snake-bite...... 271 Clinical Manifestations of the Toxemia of Pregnancy... 276 277 REPORT OF SURGICAL OPERATIONS AT THE PRI- REPORTED BY J. E. BELL, M. D., NASHVILLE, TENN. The fifteenth season of this institution will end August 1, 1906, and the next will begin September 10. In presenting this annual report of the surgical work done during this time, the attention of the profession is called to the facts that the range of surgical operations has embraced the greatest variety, from trephining the skull to avulsion of the toe-nail, that in every instance the most modern and improved methods of treatment have been employed and that the results obtained have been above the average. Suppuration has been the exception and healing without wound accident the rule. One hundred and sixty patients have been admitted, of which number there were two deaths, both operative cases. Chloroform has been the anesthetic used by |