was attacked the second time by an Italian mob, and Dr. Leach came in contact with the state board of health over his proposed scientific investigations.

Dr. and Mrs. John Punton attended the annual meeting of the American Medical Association at Portland, Ore. While absent they also visited points of interest in California, Wyoming, Colordo and Utah.

John Wixford, a St. Louis chemist, is promising to cause difficulties or collect royalties, should the proposed water clearing process be put in effect by Kansas City. He claims to have the process covered with patents.

Location for Physician-A physician; $400 down as part payment for my residence, can secure location as only physician in a town of 500 inhabitants in northern Oklahoma. W. H. Bowers, M.D., Oklahoma City, Ok.

Judge Park of the circuit court decided August 4 against the Abel Drug Company's injunction. He says the proprietor of a patent medicine has a right to fix the price of his goods and to sell or not to sell to whomsoever he chooses.

Ellis county, Kansas, residents are bitterly opposing the removal of the bodies of 185 old soldiers to Leavenworth. The removal is ardered by the government, but the residents claim that the soldiers died of cholera and they fear infection.

A committee of local physicians entertained eighty-five Eastern physicians who were returning through Kansas City from Portland, on the night of July 31. The committee was composed of Dr. C. Lester Hall, Dr. J. D. Griffith, Dr. W. J. Frick and Dr. Jabez N. Jack

son.

Superintendent Newlon of the Winfield asylum for imbeciles, was removed on a charge of extravagance and the action of the board approved by the governor of Kansas, August I. Dr. Vannuy is the new superintendent. The board further recommended that the ap

pointment of a woman physician for the Beloit industrial school.

THERAPEUTIC AND MEDICAL NEWS NOTES.

The many indications for the use of lithia in combination with Cystogen have resulted in the preparation of cystogenresulted in the preparation of CystogenLithia Effervescent tablets. Physicians will find these tablets of special value in the treatment of many conditions suggesting the addition of lithia as increasing the efficiency of Cystogen. In rheumatism, gout, urinary deposits, ammoniacal urine, cystitis, etc., Cystogen-Lithia hastens the excretion of urates and uric

acid and prevents the formation of calculus. These tablets are composed of Cystogen 3 grains, lithium tartarate 3 grains; usual dose, one to two tablets three or four times daily dissolved in half a glass of water. Samples will be sent to physicians addressing the Cystogen Chemical Company, St. Louis, Mo.

Eli Lilly & Co., have just issued a handsome illustrated pamphlet on “Elastic Capsule Medication," giving in natural colors the important preparations of this class. The work is replete with concise therapeutic notes on the various oils and oleoresins used in modern medical practice and the forms in which they may be administered best. The book is addressed to the practitioner and will be found full of useful information on thi simportant and increasing line of recent pharmaceuticals. A copy will be sent to any practitioner on application to the publishers, Eli Lilly & Co., Pharmaceutical Chemists, Indianapolis.

THE MOST SATISFACTORY METHOD OF TREATING HAY FEVER.

It is now regarded as a pretty well established fact that hay fever is a neurosis with the peculiar local manifestation of hypersensitiveness of the respiratory mucous membrane. Excessively humid air, dust, the pollen of certain plants, attenuated particles of matter, and certain

volatile emanations cause a pronounced irritation of the mucous membrane. This is indicated by violent fits of sneezing, copious discharge of mucus, sensation of burning in the pharynx and post nasal vault and sometimes in the region of the forehead, the eyes and the cheeks; more or less headache and difficulty of breathing, due to nasal stenosis produced by turgescence of the musous membrane, and n not a few cases, cough and bronchial asthma. These phenomena are undoubtedly the direct result of the vasor motor paralysis that follows the primary irritation. They are caused by an engorgement of the tissues, resulting from excessive dilation of the capillaries. So much for the etiology and pathology of the distressing condition that annually incapacitates thousands of the most valued citizens of the country every year, and for which no method of treatment heretofore has proved more than palliative.

With the discovery of the remarkable therapeutic properties of the suprarenal gland and the isolation of its active principle, Adrenalin, a new day dawned for the hay fever patient. As our experience with Adrenalin increases we are more than ever convinced of its efficacy. Its very satisfactory and exceedingly prompt action in controlling the paroxysm s simply charming to physician and patient. It affords the sufferer the grateful relief from physical torment and mental anguish that he once learned to expect from cocaine; but the dangers and inconveniences of cocaine are entirely wanting after the use of Adrenalin. The latter powerfully contracts the capillaries, reduces the turbinal turgescence, thus relieving nasal stenosis, and checks the profuse flow of mucus. It also overcomes the sense of mental and physical depression that is so common in many chronic cases.

Adrenalin is used either in the form of the 1-1000 solution or the more recent Adrenalin inhalant. The latter is a permanent oily solution also of 1-1000 strength. Either solution may be sprayed into the nares and pharynx during deep

inspiration when it is desired to reach the lower air passages, or the nasal tissues may be treated by means of tropical applications on cotton mops. It is unnecessary to use cocaine, as the Adrenalin solutions are not at all or very slightly irritating. Adrenalin is kept in the leading pharmacies of the country and the physician should have no difficulty in procuring it at any time. Messrs. Parke, Davis & Co., who market the Adrenalin preparations, have published a brochure on the treatment of hay fever that should be in the hands of every medical practitioner. It can be obtained on application to the Detroit office, or any of the branch houses.

ADRENALIN AND ITS USES IN GENERAL SURGERY.

Under the above title an article appears in the October issue of the Indian Medical Gazette, from the pen of Harry Gidney, F. R. C. S. (Edin.), D. P. H. (Camb.), etc. The author finds that "the clinical usefulness of Adrenalin is very great and extensive, and owing to its power of rapidly and effectively producing vaso-motor constriction, it is adapted to the treatment of all inflammatory conditions. The drug is also of extreme value in arresting hemorrhage during all surgical operations. It is indicated whenever and wherever any local hyperaemia exists, more especially in inflammations of mucous surfaces such

we have, being chiefly used in cardiac affections, haematemesis, hemoptysis, hemophilia, hematuria, menorrhagia, post-partum hemorrhage, purpura,

scurvy, etc. It is said to be the most rapid restorative in chloroform and other forms of anosthetic syncope, and in such cases it is advisable to administer it intravenously."

The author reports the results of several operations, major and minor, in which Adrenalin was employed. The The first case was one of fracture of the vertex of the skull. As one of the larger branches of the middle meningcal artery had been torn there was profuse dural hemorrhage and capillary oozing which were controlled by the use of the 1-1000 solution. In the second case, one of hemorrhoids, profuse bleeding was checked by the rectal insertion of a plug of cotton wool soaked with Adrenalin Chloride Solution.

The third case was one of skin grafting, in which the author tried pressure to stop the capillary bleeding. As the procedure was somewhat tedious he applied Adrenalin Chloride Solution with almost immediate cessation of all oozing, and what is usually alengthy and sanguinary operation was converted into a short and comparatively bloodless one.

the

The fourth case, one of hemorrhage after the extraction of teeth, and the fifth, which appears to embrace the author's experience in a number of cases of epistaxis, afforded additional opportunity to test the hemostatic effect of Adrenalin.

It the sixth case a post-partum hemorrhage was checked by swabbing the uterine cavity with Adrenalin Solution, while the same happy result was obtained in a case of secondary hemorrhage following an operation for the relief of mammary abscess.

The author has found that the instillation of a 1-5000 to 1-2000 solution of this drug reduces the inflammation and considerably cuts short the process of conjunctivities. He usually applies it (diluted) over the inflamed parts by means of a soft camel's hair brush. He

always uses the preparation containing Chloretone, which has a decided local anesthetic action relieing much of the photophobia and pain. He is fully convinced of the power of Adrenalin to arrest or lessen the bleeding that arises. from the cut ends of the iris after iridectomy. He speaks of its efficiency in chemosis, catract operations, evisceration of the eyeball, operations for ectropion, symblepharon and trachomatous pannus.

The author concludes that in all cases of minor surgery in which it is desired to arrest bleeding from any cut or exposed surface we have in Adrenalin a most useful, powerful and rapid drugone that is non-poisonous, non-irritant and non-accumulative, especially in operations upon the conjunctive and eyelids.

AN ELIGIBLE COMBINATION.

A number of years ago Dr. James J. Sullivan (University Medical College), New York City, applied the remark, “An Eligible Combination" to a then new preparation of well known synergetic remedial agents. It is almost unnecessary to state that the preparation to which he referred is now well and favorably known as Antikamnia and Codeine Tablets, each tablet containing one-quarter grain codeine and four and three-quarter grains antikamnia. A fact which should not be overlooked is that the codeine used in this tablet is specially prepared and purified, is non-constipating, and does not induce a habit. These are some of the particularly advantageous features of the Antikamnia Chemical Company's codeine and are well worth bearing in mind.

In the harrassing cough of phthisis, or in the pain of pleuritis, in the painful sensation accompanying bronchitis when the tubes are dry and irritable-as they usually are-the blending of the two drugs composing Antikamnia and Codeine Tablets will not be found wanting in action, but will give results that are gratifying to both the patient and the