hydragogue cathartic. H. C. Wood recommends mercuric chloride. gr. 1/100-1/50 for a long time, along with tinct. ferri chloridi; also mercurial purges occasionally.

Gastro-Intestinal Catarrh With Torpid Liver. E. P. Davis gives three times daily with food a powder of 1/12 grain rhubarb, 1/4 gr. sodium bicarbonate and 1/2 grain aromatic powder. In obstinate cases he gives t.i.d. with the food 1/8 drop creosote in five drops each of brandy and simple elixir and sufficient water.

Paresis of Phrenic Nerve or Diaphragm. If due to neuritis, Tyson tries to galvanize the nerve by pressing one pole over the epigastrium or the coresponding half of diaphragm. He also employs counter-irritation in the triangle of the neck outside of clavicular portion of the sternomastoid.

Constipation of Obesity. Falkin employs an India rubber ball 311⁄2 inches in diameter filled about four-fifths full (32 or 4 pounds) with shot and closed. The patient, lying supine, rolls the ball over the abdomen from right to left for four or five minutes night and morning.

Flatulence in Tuberculous Subjects. When flatulence is the prominent feature of the gastric or intestinal derangement, says Burton-Fanning, the most generally serviceable drug is creosote. The addition of one-eighth grain of menthol to one minim of creosote enhances the value of the latter.

Tuberculous Diarrhea. Burton-Fanning states that salicylate of bismuth is our best remedy here. It is convenient for the patient to get the pure powder and measure out a level teaspoonful (about twenty grains), which he takes along with his food at each meal.

Tuberculous Dyspepsia. F. W. Burton-Fanning says that the well known mixture of sodium bicarbonate gr. xv, tinct. nux vomica m. vii, tinct. gentian 3ss., aqua chloroformi to 3i, is particularly useful. It remedies flatulence and pyrosis, and increases appetite, and may be continued for long periods with advantage.

Editorial Items continued on page 686

BOOKS

WELCH & SCHAMBERG ON ACUTE CONTAGIOUS DISEASES.--A Treatise on Acute Contagious Diseases by William M. Welch, M.D., Consulting Physician to the Muncipal Hospital for Contagious and Infectious Diseases; Diagnostician to the Bureau of Health, etc., Philadelphia, and Jay F. Schamberg, A.B., M.D., Professor of Dermatology and of Infectious Eruptive Diseases, Philadelphia Polyclinic; Consulting Physician to the Muncipal Hospital for Contagious and Infectious Diseases, and Assistant Diagnostician to the Philadelphia Bureau of Health, etc. In one very handsome octavo volume of 781 pages, illustrated with 109 engravings and 61 full-page plates. Cloth, $5.00, net; leather, $6.00, net; half morocco, $6.50, net. Lea Brothers & Co., Publishers, Philadelphia and New York, 1905.

The text of this work is based upon a personal study of over 9,000 cases of smallpox, 9,000 cases of scarlet fever and 10,000 cases of diphtheria, in addition to a considerable number of cases of the other contagious diseases, treated in the Municipal Hospital of Philadelphia during the past thirty-five years. The relative infrequency nowadays of smallpox, renders the taking up of over one-third of the text with this disease a matter for congratulation, since its early diagnosis is of great importance to the community. The serial plates, showing the character of erruptions on different days, are very helpful. Altogether the book is one that commands attention by its thoroughness, reliability and general utility. SURGICAL DIAGNOSIS.-A Manual for Practitioners of Medicine. and Surgery by Otto G. T. Kiliani, M.D., Surgeon to the German Hospital; Member of the New York Surgical Society, and of the Surgical Society of Berlin, etc. Octavo, 466 pages. Illustrated by 59 full-page plates and by engravings in the text. Price, $4.50 in cloth; $5.50 in half morocco. Wm. Wood & Co., New York, 1905.

This is a very practical and timely work, equally helpful to the surgeon and the general practitioner, who in the great majority of instances makes the first diagnosis of surgical diseases. The author is master of his subject, and presents it in an impressive way, using side notes, heavy type for leading names and facts, and a large number of differential diagnostic tables. The plates are mostly skiagraphic representations. Dr. Kiliani's work is about

the only modern one dealing exclusively with surgical diagnosis, and is to be commended from every point of view.

INTERNATIONAL CLINICS.-A Quarterly of Illustrated Clinical Lectures and Especially prepared Original Articles on Treatment, Medicine, Surgery, Neurology, Pediatrics, Obstetrics, Gynecology, Orthopedics, Pathology, Dermatology, Opthalmology, Otology, Rhinology, Laryngology, and Other Topics of Interest to Students and Practitioners. By Leading Members of the Medical Profession Throughout the World. Edited by A. O. J. Kelly, A.M., M.D. Vol. 1, Fifteenth Series. 1905. Price, $2.00. Philadelphia and London. J. B. Lippincott Co.

The latest volume of International Clinics is exceptionally rich in timely and practical information. Over one-third of the text is devoted to a resume of the progress of medicine during the year 1904, the part on treatment having been compiled by A. A. Stevens; that on Medicine, by David L. Edsall and Wm. B. Stanton; and that on Surgery, by Joseph C. Bloodgood. Among the original articles the one one on "The Eye and the Hand in the Diagnosis of Heart Diseases," by J. J. Walsh, is particularly noteworthy. PRACTICAL PROBLEMS OF DIET AND NUTRITION.-By Max Einhorn, M.D., Professor of Medicine at the New York Post Graduate Medical School and Hospital, and Visiting Physician to the German Hospital, New York. Wm. Wood & Co., 1905.

This little volume will well repay a careful perusal. It treats of the titular subject in a strikingly original way. The author believes in strengthening the digestive functions by the diet, rather than weakening him. While we may not agree with all his propositions, we are certainly informed and benefited by reading his brochure.

A NURSE'S GUIDE FOR THE OPERATING ROOM.-Second Edition. Enlarged and Revised, by Nicholas Senn, M.D., Ph.D., LL. D., C.M., Professor of Surgery, Rush Medical College, Surgeon-in-Chief, St. Joseph's Hospital, Surgeon-General of the State of Illinois. Price, $1.75. W. T. Keener & Co., 90 Wabash Ave., Chicago.

The text of this little volume is made up largely of abstracts of lectures delivered by the author to the pupils of the Training School of St. Joseph's Hospital, Chicago. Asepsis is given especial

prominence, and formulas are furnished for the most reliable antiseptic solutions. The most important wound complications are briefly described, so that the nurse may warn the surgeon in due season. Sutures, dressing material and ligatures are explained, a list of instruments is furnished for each important major operation and a large number of cuts of instruments, with names, are appended to the text.

OPERATIVE SURGERY.-By Joseph D. Bryant, M.D., Professor of the Principles and Practice of Surgery, Operative and Clinical Surgery, University and Bellevue Hospital Medical College. Fourth Edition, Printed from New Plates, Entirely Revised and Largely Rewritten. New York and London. D. Appleton & Co.

The two volumes comprised in this standard work contain about 250 pages and 230 illustrations more than were in the third edition. Altogether there are 1,793 illustrations, 100 of which are colored. The text is written in a lucid and graphic style, and bears the marks of the author's quarter-century of experience as a surgical teacher. General considerations are set forth forcibly, but much the gerater portion of the text is devoted to the description of special operative procedures. In this connection the author is particularly clear and definite in his statements. He has taken special pains to give due credit to fellow surgeons whose work has been utilized in the pages of his books. This treatise on operative surgery is more than ever worthy of the marked popularity which it has achieved.

Reflex Precordial Pain. Colbeck says that reflex disturbance of the heart, often associated with pain in the precordial area, is very commonly produced by sudden emotion or by prolonged grief or anxiety. The pain over the heart that is so frequently found in connection with conditions of nervous strain or exhaustion, digestive derangements and uterine disorders, is also due to reflex disturbance of the organ. Referred precordial pain is commonly attended by headache and superficial tenderness of the scalp in the supraorbital and temporal regions.

SELECTIONS

ANTIKAMNIA. Therapeutic Indications. Antikamnia is an American product, and conspicuous on this account and because of the immense popularity which it has achieved, it is to-day in greater use than any other of the synthetically produced antipyretics. The literature is voluminous, and clinical reports from prominent medical men in all parts of this country, with society proceedings and editorial references, attest its value in actual practice in an endless variety of diseases and symptomatic affections, such as the neuralgias, rheumatism, typhoid and other fevers, headaches, influenza and particularly in the pains due to irregularities of menstruation. Antikamnia has received more adverse criticism of a certain spiteful kind, particularly directed against its origin—and because of its success-than any other remedy known; critics have seemed personally aggrieved because of its American source, and that it did not emanate from the usual "color works," but their diatribes have fallen flat as do most persecutions and unreasonable and petty prejudices. The fact stands incontrovertible that antikamnia has proved an excellent and reliable remedy, and when a physician is satisfied with the effects achieved he usually holds fast to the product. That is the secret and mainspring of the antikamnia success. It is antipyretic, analgesic, and anodyne, and the dose is from 5 to 10 grains, in powder, tablets, or in konseals, taken with a swallow of water or wine. When prescribing Antikamnia, particularly in combination with other drugs, it is desirable to specify "in konseals," which are rice flour capsules, affording an unequalled vehicle for administering drugs of all kinds.

LIQUIZONE OR HYDROZONE. We are advised by excellent authority that various well authenticated instances have been reported where physicians have been using Liquozone on the supposition that it is practically of the same composition and therapeutic utility as Hydrozone and Glycozone.

The New York Sun recently described the experience of a confiding individual who actually gave up $50,000 to alleged wire tappers who posed as being philanthropic enough to give him inside information on the races. The characteristic editorial comment