Treatment of Lupus Vulgaris.-Stelwagon recommends nutritious food, fresh air and outdoor exercise; cod-liver oil, potassium iodide, iron and quinine; cauterization with lunar caustic, or ointment of two drams pyrogallin with one dram lead plaster and five drams cerate of resin applied for a week or two alternately with poultices; or ointment of arsenous acid gr. xx with 60 grains of red sulphide of mercury to the ounce of cold cream, spread on lint and renewed daily for three days, followed by poultice and simple dressing; or galvanocautery or repeated linear or punctate scarifications (followed by simple salicylated ointment), or erosion with curette (followed by pyrogallol ointment), or excision if patches quite small.

The Pan-American Congress.-The next meeting of the Pan-American Congress will be held in Panama the latter part of December. The Pan-American Congress meets every three years. It was started by Dr. William Pepper of Philadelphia, Dr. C. A. L. Reed of Cincinnati, Dr. Albert Vander Veer of Albany, and Dr. H. L. E. Johnson of Washington. The first meeting was held in Washington in September, 1893, the second in Mexico, in 1896, the third was to have been held in Venezulea in 1899, but was given up on account of the war in that country. The place of meeting was changed to Cuba, but had to be postponed until 1901 on account of the fever there. These meetings have always been well attended, and it is thought that Panama will be an interesting place for the convention.

Treatment of Acute Myelitis.-Gower's method may be summarized as follows: Hot bath followed by sweating and counter-irritation at onset when due to cold; if considerable paralysis already present, give perfect rest on face or side with plank back-rest; leeches, wet or dry cupping, hot fomentations, mustard plaster or hot water bags; nutritious but stimuliating diet; free purgation if constipation; nitrous ether and tincture of digitalis as diuretics; ergot of use in hemorrhagic form; extreme cleanliness and care to avoid bed-sores (cotton-wool, water bath; regular catheterization when either simple retention. or overflow of incontinence; iron, quinine and arsenic when disease has become stationary-also electricity and massage for atrophied muscles.

Treatment of Meningitis.—This varies with the cause. The otitic form demands surgical measures. Antiphlogistics and counter-irritation are generally of value. In leptomeningitis infantum Angel Money advocates the daily inunction of blue ointment into the back of the neck. For the simple and cerebrospinal types he advises absolute rest in a quiet, dark room, well ventilated at 60 to 65°; keep bowels regularly open by simple means or saline purges; digestible, nutritious diet; ice bags or cold applications to the shorn scalp; bromides, chloral, hyoscyamus, paraldehyde, sulphonal, opium, injections of morphine or cocaine; leeches behind ears if great heat of head; iced or effervescing drinks to relieve vomiting; calomel or gray powder till gums are touched; iodides and mercury to promote absorption in later stages and subacute and chronic cases.

Multiple Neuritis.-Says Gowers: Discover and remove special cause; rest in bed and careful feeding; warm fomentations over any tender nerves at outset; cocaine hypodermically over seat of pain; wrap tender limbs in cotton wool (may be covered with oiled silk); warm bath for 15 or 20 minutes daily; prevent habitual postures leading to deformities; mercury may be tried whenever pain and tenderness of larger nerve-trunks prominent; during acute febrile onset of alcoholic form give potassium citrate, nitrous ether and tincture of cinchona, with a little digitalis if pulse feeble; sodium or potassium salicylate when due to cold; quinine for malarial cases; in toxemic forms give tincture of iron m. xx-xxx 3 or 4 times a day; in subacute and chronic cases, iron, quinine and small doses of strychnine; in chronic cases, also potassium iodide and arsenic (continuously in small doses) cod-liver oil, massage and electricity.

Acute Anterior Poliomyelitis.-Archibald Church recommends salicylates or mercuric chloride in the early febrile stage; faithful employment of hot applications or mild sinapisms to spine; keep child lying on side or face with affected limbs thoroughly enveloped in cotton wool; systematic use of galvanic electricity to paralyzed muscles when active process has come to a standstill (about a fortnight)—taking care not to alarm child or unduly fatigue muscles; also local frictions, salt baths, warm wrappings and massage. In the active stage Henry M. Lyman

gives solution of antipyrin with tincture of aconite, and evacuates bowels thoroughly with 1-10 grain calomel every hour, giving full dose of castor oil if overloaded. Codeine phosphate is given after the evacuation to relieve pain and restlessness; baths and sponging only when agreeable; chloral and bromides if convulsions. In stage of convalescence use good food and small doses of strychnine and arsenic, daily bathing of affected limb with hot water followed by massage, and electricity for ten minutes daily.

Uremia.--Bartholow advocates the vapor bath and hot water pack to excite the skin and promote free diaphoresis. When diaphoresis and catharsis fail in promptness or efficiency, Anders employs venesection; also the intravenous injection of physiologic salt solution in cases of profound weakness threatening collapse.

Tubercular Hemoptysis.-Fraenkel directs to calm patient and soothe cough, for which purpose codeine is preferable to morphine. Have patient rest in bed. Give digitalis for rapid, feeble heart. Use ice-bag on precordium. Antipyrin or phenacetin may be given occasionally to produce quiet and euphoria. Ligation of the extremities and infusion of saline solution are resorted to in critical cases. Solis-Cohen recommends turpentine and calcium chloride internally. Flick uses nitroglycerin, 1⁄2 drop of one per cent. alcoholic solution every half hour. Karl Von Ruck gives sufficient apomorphine to produce emesis, as the best and quickest sedative. Ringer advises the spinal hot water bag to the cervical or upper dorsal vertebræ. Anders praises oil of erigeron in 5 minim capsules every two, three or four hours. Hare gives one-fourth grain morphine hypodermically as a routine measure;; small, frequent doses of aconite if profuse bleeding produces collapse; chloral to quiet the circulation, allay cough and induce sleep; and a small ice-bag over the affected bronchial vessel. Kenworthy recommends suprarenal extract, three grains every half hour for three doses. When cough accompanies, Scarpa prescribes 15 grams each of the tincture and fluid extract of hydrastis with 0.3 to 0.45 gm. codeine, the dose being 20 to 25 drops t. i. d. For mere spitting of blood Brasher recommends the fluid extract of geranium maculatum, five to ten drops every two hours.

Editorial Items continued on Page 50

BOOKS.

PROCEEDINGS OF THE AMERICAN MEDICO-PSYCHOLOGICAL ASSOCIATION AT THE FIFTY-NINTH ANNUAL MEETING, held in Washington, D. C., May 12-15, 1903.

Among the many able papers in this volume we note one by Dr. J. E. Courtney, of Denver, being a "Report of a Case of Cerebral Lues."

ELECTRO-DIAGNOSIS AND ELECTRO-THERAPEUTICS.

By Dr. Toby Cohn, Nerve Specialist of Berlin. Translated from the Second German Edition and edited by Francis A. Scratchley, M. D., of New York. With eight plates and thirty-nine illustrations. Cloth, 280 pages. Price, $2.00. Funk & Wagnalls Company, New York and London.

This is the authorized translation of the most popular German manual on the diagnosis and cure of disease by electricity. The work is designed for students and practitioners who know little or nothing of the subjects treated; hence the author begins with primary facts and takes nothing for granted. The principles and technique of electro diagnosis are presented in a clear and simple manner, sometimes in the way of object lessons. All that is of positive value in electro-therapeutics is placed before the reader, with careful directions as to modes and methods of use. The eight anatomical plates are reproductions of the German originals, and have coverings of transparent paper on which are indicated the points of application of the electric current. TUBERCULOSIS AND ACUTE GENERAL MILIARY TUBERCULOSIS. By Dr. G. Cornet, of Berlin. Edited, with additions, by Walter B. James, M. D., Professor of the Practice of Medicine in the College of Physicians and Surgeons (Columbia University), New York. Handsome octavo volume of 806 pages. Philadelphia, New York, London: W. B. Saunders & Company, 1904. Cloth, $5.00 net; Half Morocco, $6.00 net.

This is the seventh volume to be issued in Saunders' American Edition of Nothnagel's Practice. The vital importance of the subject is manifest to all. The work of Professor Cornet is complete and exhaustive from every standpoint, and is quite up to date. It is a pleasure and satisfaction to be able to get an immediate comprehensive view of any point concerning the disease, by referring to the full and orderly index. Besides this,

bibliography of tuberculosis covering ninety pages is appended for consultation purposes. The text is clearly and interestingly written, and, like other members of the series, the book presents a handsome typographic appearance. Physicians of the Rocky Mountain region would do well to procure this volume at least of Nothnagel's great work.

DISEASES OF THE INTESTINES AND PERITONEUM. By Dr. Hermann Nothnagel, of Vienna. The entire volume edited, with additions, by Humphrey D. Rolleston, M. D., F. R. C. P., Physician to St. George's Hospital, London, England. Octavo volume of 1032 pages, fully illustrated. Philadelphia, New York, London: W. B. Saunders & Company, 1904. Cloth, $5.00 net; Half Morocco, $6.00 net.

This is the eighth volume in Saunders' American Edition of Nothnagel's Practice. The remaining three volumes are in active preparation for early publication, probably before the end of the year. The present book is by Nothnagel himself, and is characterized by the thoroughness and practicality of this famous clinician. The English editor has performed his task with much care, and has made many important additions. Peritonitis and appendicitis receive an exhaustive discussion commensurate with their clinical importance. The plates are of great diagnostic value. The work is in every way a safe and reliable guide.

EPILEPSY AND ITS TREATMENT. By William P. Spratling, M.

D., Superintendent of the Craig Colony for Epileptics at Sonyea, N. Y. Handsome octavo volume of 522 pages, illustrated. Philadelphia, New York, London: W. B. Saunders & Company, 1904. Cloth, $4.00 net.

This work is the first complete treatise on epilepsy during the present generation. It represents the practical experience of the author for ten years as Superintendent of the famous Craig Colony for Epileptics at Sonyea, New York. There has been marked progress of late years in the knowledge and treatment of this important nervous disease, all of which is fully portrayed in the forelying volume. Treatment is discussed with the ripe wisdom of a well-rounded and thorough knowledge of the subject. The phases and stigmata of the disease are fully illustrated, mostly from photographs. For those who wish to know what there is to learn about epilepsy, this is the book.