wonderful mixture, and appended to the "important information" about the mixture and directions for use, is a copy of the testimonial purporting to be given by "the Right Rev. the Lord Bishop of Swansea," who, it will appear, still, as in 1893, gladly takes every opportunity of recommending this mixture to his friends. This is an extraordinary example of the habit so common among the clergy of pouring drugs, of which they know little, into bodies of which they know less. It hardly seems consonant with the dignity of a Church which is still established that one of its highest dignitaries should place himself at the disposal of a dealer in a nostrum, more especially when this advertisement of a chemist's wares appears in association with a sensational story obviously designed to bring the profession of medicine into contempt. Another correspondent sends us a most extraordinary handbill purporting to be issued by "the Rev. J. E. Woodrow, The Vicarage, Ormskirk." It announces in large type "A Sure and Certain Cure for Influenza." This sure and certain cure is stated to be pure phenol, "24 drops in an 8-ounce bottle of water, well mixed. Dose: Two tablespoonfuls three times a day. Children half the dose. enough to prevent, three doses will be enough to cure. cine, 3d. to 6d., according to the profits of the chemist. The medicine taken as above is perfectly harmless, and may be taken by any one at any time." The handbill adds that this recipe was given to Mr. Woodrow by a physician in the West Indies as a sure remedy in malarial and other fevers. The reverend gentleman having come to the conclusion that influenza was "a kind of low fever" tried the remedy with success. "I have now," he adds, "used it in scores of cases without a single failure." The lighthearted manner in which this ecclesiastic embarks upon the unqualified and illegal practice of medicine is only equaled by the bishop's readiness to recommend a secret remedy for some of those diseases which are so largely responsible for the terrible mortality among children in this country.-British Medical Journal.

One dose will be Price of the medi

THE DISCOVERY OF HELIUM.-The earth spirit allows us to see more and more of the fabric that falls from his whirring loom, and we may, perhaps, soon be able to gather the scattered threads together and behold the full beauty of the great design. After the Faraday Medal had been presented to Lord Rayleigh at the annual meeting of the Chemical Society on Wednesday, March 27th, his co-worker in the discovery of argon, Professor Ramsay, was called upon to speak. He announced that in his endeavors to discover a compound of argon he had experimented with a rare earth, clevite, we believe, which was said to yield nitrogen when acted upon by sulphuric acid. Instead of nitrogen, argon was evolved, but associated with it was some strange gas. On examination this turns out to be helium, the lightest of all the possible elements, whose existence, apart from the demands of chemical theory, had only been inferred from the line D, in the solar spectrum. It is the first of all the elements, for below this comes the

hypothetical "protyle"-that pre-elementary cosmic stuff from which all the elements are supposed to have condensed. Although this small quantity of helium was only found a few days ago, its existence has been confirmed by Professor Crookes, who has identified its spectrum, of which the most powerful line is that at a wave-length of 587.47 micro-millimeters. This line is almost identical with the well-known yellow sodium lines, and at first Professor Crookes thought that he had to deal with these, but all the magnifying power at his disposal was incapable of separating the lines into two, and careful measurement confirmed the suggestion that the line was no other than the D, line in the solar spectrum, attributed to an unknown element, provisionally termed helium. A more remarkable vindication of our chemical theories than this it would be difficult to find, and Dr. Ramsay is to be congratulated deeply on this fresh addition to our knowledge and to his own laurels.-London Lancet.

MEDICAL LEGISLATION IN MONTANA.-A new Medical Practice Act, to go into effect July 1, 1895, has just been passed by the Montana Legislature, and received the approval of the Governor on March 13th. The act provides for the appointment by the Governor of a Board of Seven Medical Examiners constituted of graduates of accredited colleges of medicine. Applicants for a license to practice, graduating after July 1, 1898, must have attended four courses of lectures of at least six months each. The Board has the privilege both to refuse to grant and to revoke a certificate for unprofessional, dishonorable, or immoral conduct.-Medical News.

A NEW OPERATION IN GLAUCOMA: SCLERIRITOMY.-Nicati (Rev. gén. d'ophthal., Jan. 31, 1894,) recommends the following operation with a very narrow knife: The blade, with cutting edge downward, is introduced in the sclero-corneal margin in the inferior angle of the anterior chamber, passed horizontally across the anterior chamber parallel to the iris, and is brought out through the sclerotic. The blade is then turned on its axis ninety degrees with the edge toward the iris. This makes in the sclerotic an incision perpendicular to the first, and the aqueous humor at once pours out. The blade is then rapidly withdrawn, and the iris is divided at its peripheral attachment throughout the length of the wound.-New York Med. Journal.

KILLED BY FOOT-BALL.-George Bahen, the half-back of the Georgetown football team, who suffered a fracture of the cervical vertebræ in a "scrimmage" in a game of foot-ball last Thanksgiving, died on March 26th at the Emergency Hospital, in Washington, D. C., at the age of nineteen years. From the time of the accident the unfortunate young man was paralyzed. An operation on the vertebral column was undertaken, but without permanent avail. In the language of the newspapers "the accident was one natural to the brutal lengths of recklessness to which foot-ball playing has gone in recent years."-Medical News.

Special Notices.

EXALGIN AS AN ANALGESIC.-In an editorial (La Médecine Moderne, October 20, 1894,) the therapeutic use of exalgin, from the point of view of the literature of the subject so far published, is discussed. The consensus of opinion in regard to the analgesic properties of exalgin seems to be one. All painful manifestations, it is asserted, are justifiably treated with this drug. The experience of a large number of writers shows that the medicament is the remedy par excellence in the treatment of neuralgia, whether this disease be the result of simple nerve irritation or whether it be due to a true neuritis. For example, a neuralgia dependent on dental caries, or due to cold; a sciatic neuralgia; an intercostal neuralgia; a sciatic neuralgia due to a true neuritis; neuralgia due to rheumatism, chlorosis, syphilis, cancer, or ataxia; in all and in each case exalgin produces its curative effects. Again, in many cases of visceral pains, in cardialgias, gastralgias, ovarialgias, in menstrual or nephritic colic, etc., exalgin often cures and generally produces a marked sedation. In one word, exalgin may be considered as the prince of analgesic medicaments, its employment being indicated in all cases where pain is a prominent symptom. Given in solution or in the form of compressed tablets, exalgin never causes untoward effects, these following only an impure preparation.-Therapeutic Gazette.

EXPERIENCE OF A MEDICAL JOURNALIST WITH NERVOUS EXHAUSTION.—I take this occasion to write you in grateful recognition of what your Petroleum Emulsion has done for me. Noting your advertisement in the Medical Century I called our editor's attention to it as being possibly beneficial in my own case of nervous exhaustion and general tissue debility. Dr. Fisher endorsed the emulsion so heartily that I have since been using it as a daily diet, and find the effect most invigorating and soothing. Yours very truly, R. E. YOUNG, Manager.

ALCOHOLIC NAUSEA.-If the stomach of your patient is nauseated by the excessive use of alcoholic stimulants, administer one or two teaspoonfuls of Seng every hour or two until his stomach is O. K.

HEADACHE in childhood is rapidly relieved by Celerina in doses of ten minims four times a day.

LABOR SAVING: The American Medical Publishers' Association is prepared to furnish carefully revised lists, set by the Mergenthaler Linotype Machine, and printed upon either plain or adhesive paper, for use in addressing wrappers, envelopes, postal cards, etc., as follows:

List No. I contains the name and address of all reputable advertisers in the United States who use medical and pharmaceutical publications, including many new customers just entering the field. Price, $1.25 per dozen sheets.

List No. 2 contains the address of all publications devoted to Medicine, Surgery, Pharmacy, Microscopy, and allied sciences, throughout the United States and Canada, revised and corrected to date. Price, $1.25 per dozen sheets.

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The above lists are furnished gummed, in strip form, for use on the "Plymouth Rock" mailer, and will be found a great convenience in sending out advertising matter, sample copies, and your exchanges. If you do not use a mailing machine, these lists can readily be cut apart and applied as quickly as postage stamps, insuring accuracy in delivery and saving your office help valuable time.

Send for copy of By-laws and Monthly Bulletin. These lists will be furnished free of charge to members of the Association. See "Association Notes" in The Medical Herald. CHARLES WOOD FASSETT, Secretary, corner Sixth and Charles streets, St. Joseph, Missouri.

Certainly it is excellent discipline for an author to feel that he must say all he has to say in the fewest possible words, or his reader is sure to skip them; and in the plainest possible words, or his reader will certainly misunderstand them. Generally, also, a downright fact may be told in a plain way; and we want downright facts at present more than any thing else.-RUSKIN.

Original Articles.

UNCURED GONORRHEA.*

Part Second.

BY E. R. PALMER, M. D.

Professor of Physiology and Genito-Urinary Diseases, University of Louisville.

In February, 1892, I read before the Surgical Society a paper on Uncured Gonorrhea. I propose to-night to still further discuss the subject with reference to its characteristics and management in the male. I referred then to the inutility of the "cut-off" in the matter of extension backward to the deep urethra of this disease, the frequency of such extension, its masked dangers to the infected, and its latent dangers to others. The glass test, that has been so frequently and fully written up of late, shows the alarming frequency of the existence of active deep infection after all discharge from the urethra has ceased. For determining simply the existence or non-existence of posterior infection in reasonably recent cases, the simple collection of the patient's urine in two clean bottles will usually suffice. There will then be no shreds, but a general cloudiness of the water passed, in the first bottle only if the disease be confined to the anterior urethra, in both if it has invaded the deeper parts. One must always take the precaution of adding a few drops of acetic acid to the urine to determine that the cloudiness is not due to phosphates.

In chronic cases, cases in which the urine may be cloudy or flaky, and that have a history, subjective, objective, and clinical, pointing to

*Read before the Louisville Academy of Medicine.

deep and obstinate involvement, an important question of differentiation presents itself. In a general way we may say that as many as five different localities may be singly responsible for the similar symptoms presenting in different cases, namely, the deep urethra, the bladder, the ureters, the renal pelves, and the seminal vesicles. To exactly locate the disease in such cases is by no means a simple affair. It is indeed often an impossibility. More care must now be exercised in the glass test. The patient should be seen with a full bladder, which, except in acute cystitis, is usually feasible. The anterior urethra, back six inches, should be carefully irrigated with some simple, cleansing hot wash by means of a fountain syringe hung seven feet from the floor, and a Jacque catheter, the patient standing. With a little practice this may be readily and effectively done. Two bottles are then used to receive the urine. The first represents the washings of the prostatic urethra, and therefore of the prostate and seminal vesicles, the second the washings of the bladder, and therefore of it, the ureters, and the pelves. A floating or sinking tripper fäden or two, with otherwise clear urine, would indicate a granular deep urethra, and in the vast majority of cases endoscopic examination will confirm this, and furnish us the royal means of at once and effectually working a cure.

It is surprising what strong solutions of silver nitrate may be so applied without any other than the wished-for result. I rarely use in such treatment a solution weaker than twenty grains to the ounce, while sixty grains to the ounce is frequently required and well borne, a striking contrast with the objectionable effects so often following one- or two-grain solutions of the same salt applied by means of a Keyes or Ultzmann syringe. I use exclusively in such cases the Otis-Klotz urethroscope, which is exceedingly simple of design and easy of application. By a simple trick the straight Klotz tube may be carried clear into the bladder. It should be passed gently as far as it will go, and then, with the thumb against the obturator to prevent its ejection, the flange should be steadily and firmly depressed between the patient's thighs until the distal end will be felt to pass through the cut-off. It should then be steadily pressed onward until the flange has packed the penis up against the symphysis pubis, and then the obturator withdrawn and the Otis lamp coupled on. The bladder not being wholly empty, a stylet armed with a bit of cotton should be used to remove the few drops of urine present, and the examination and subsequent application are but simple matters of detail. I have frequently by such pro