so valuable a combination. Being a mild stomach tonic, it aids in overcoming the irritable qualities of the savin; also acting as a hepatic stimulant, freeing the portal circulation and relieving that condition so often present in diseases of women-pelvic engorgement. These qualities make it an ideal adjunct to the emmenagogues mentioned. Our attention was called to "ergoapiol" (Smith) through a reprint from a St. Louis journal. This reprint gave the names of remedies entering into the combination. We at once concluded that this product would be a useful one, and securing a supply we began prescribing it whenever indicated. The results were even greater than we had anticipated. From the beginning we have kept clinical notes of each case, some of which will be recorded in this article. "Ergoapiol" is a mild, aromatic stomach tonic, anodyne, antispasmodic and hepatic stimulant. It is also a laxative, an ideal emmenagogue in the full sense of the term, and exerts a decided tonic influence upon atonic conditions of the pelvic viscera. It is indicated to a greater or less extent in all forms of dysmenorrhea, viz., atonic, congestive, obstructive and membranous. In true obstructive dysmenorrhea due to actual stenosis of the uterine canal, to a sharp flexure of the organ, or to the valve-like action of a clot or a polyp it is seldom indicated because this form of organic dysmenorrhea requires either surgical operation or mechanical means to effect a cure. However, good results may be expected from its use after such operations have failed to complete a cure or to relieve the suffering. It is even useful in the form where clots cause the trouble by their mechanical obstruction, and we have seen its administration cause the passage of a polyp in one patient. Good results may be expected from its use in that form of dysmenorrhea known as membranous, due to an exfoliation of the endometrium in the form of a membrane. In amenorrhea it is far superior in value to any remedy we have yet tried, if the cases are properly selected. Amenorrhea due to taking cold at the menstrual period, or caused by shock, can be relieved with the remedy in question. This remedy is occasionally beneficial in certain forms of metrorrhagia, after operations to remove fungoid or polypoid growths, or after curretting the uterus. It is a remedy of great value in menorrhagia, especially in that form due to fecal impaction, with torpidity of the liver in persons nearing the menopause. Where this trouble occurs in a plethoric and indolent subject the following plan of treatment will generally be all that is necessary: Begin three or four days before menstruation is due and give one brisk mercurial purge, then follow with "ergoapiol," one capsule three times per day. If this plan is carried out for several months at each menstrual period, a cure will be the result. "Ergoapiol" is especially indicated when disturbances of menstruation occur in feeble and anemic women. It should be alternated with some form of iron in such cases. There is a condition in which the patient's menses are regular as far as time is concerned, but the flow is very scant, exceedingly thick, tarry in color, with an offensive odor. The patient suffers pain and weight in the pelvis and back; is despondent, loses flesh and strength, and may or may not suffer from various reflex disturbances. In this state of affairs "ergoapiol" will be found a sheet anchor. Before recording the clinical notes gathered while prescribing the drug under consideration, we wish to call attention to one or two import nt things before leaving the subject. The first is that form of amenorrhea that is brought about by constitutional disease, such as tuberculosis. In these conditions it is a common occurrence to have women insist on their physicians giving them something to bring on menstruation, thinking that its absence is the cause of their condition, when the fact is, the stopping of menses is only a wise provision of nature to prevent faster decline of vital forces. The course to be pursued is to treat the constitutional disease, and when a cure of the latter has been accomplished, this form of amenorrhea will generally take care of itself. However, when the patient's general health has been restored and the function fails to return, then "ergoapiol" can be prescribed with good results. Our second subject is that of prescribing emmenagogues indiscriminately without regard to the cause of amenorrhea. Women who know or suspect themselves to be pregnant, frequently consult a physician in the hope that, in the attempt to bring on menstruation, he will really succeed in causing abortion. Whoever, under such circumstances, prescribes "ergoapiol" with the understood purpose of inducing the menstrual flow, is liable to have criminal charges brought against him in case abortion actually does take place, even as the result of something the woman has taken or done herself. Before prescribing "ergoapiol" in amenorrhea the physician should satisfy himself that pregnancy does not exist, and in case of doubt he should decline the management of the case, unless he can protect himself by securing some trustworthy consultant who will share the responsibility of the case. Medical Herald Official Journal Buchanan Medical Society of the Missouri Valley meets at Council Bluffs, la., September 5 and 6, 1907. THE INNOVATOR of a truly scientific and rational therapy. ITS SYNTHESIS is based on established physiologic and chemic laws. IT FILLS THE LONG FELT WANT of the medical profession for a non-toxic, physio logical germicide. OUR CLAIMS for oxychlorine in the treatment of disease are bised on the physiological action of chlorin and oxygen, proven on the human and animals, and on scientific deductions drawn by many able members of the profession from clinical results following its use over a period of fifteen years. OXYCHLORINE Is a Powerful PHYSIOLOGICAL Non-poisonous Can be Used Locally, Internally or Intravenously TRY 6% SOLUTION of oxychlorine in continuous wet dressings on a bad case of local infection. TRY 20 TO 30 GRAIN DOSES of oxychlorine dissolved in 6 ounces of water, four times daily in a case of intestinal putrefaction no matter from what cause or in what disease. Continue treatment in both trials for 48 hours and draw your own conclusions. IF YOU ARE INTERESTED and desire literature and enough oxychlorine for trial, write us, state kind of case so we can judge how much oxychlorine you will need, and we shall be pleased to send both. We manufacture Oxychlorine, Oxychlorine Dusting Powder, OXYCHLORINE CHEMICAL COMPANY, The personal claims of a manufacturer may be regarded as partisan, but when a manufacturer makes no claim for his product, contenting himself with presenting the consensus of opinion of thousands of physicians, his statements merit consideration and his product deserves investigation from those members of the profession who have not used it. Clinical Results Prove Therapeutics and clinical results, reported by thousands of successful practitioners, demonstrate that Papers read at the Nineteenth Semi-annual Meeting held in Omaha, Neb., March 21, 22, 1907. ཀྱང་ DANGERS FROM THE TUBERCULOUS DAIRY COW. Solon R. Towne, A. M., M. D., Omaha. HE most stupendous task to which the medical profession has ever put its hands, is the crusade against tuberculosis, whose prominence as the leading cause of death in all communities is threatened. Sufficient knowledge of the causation and spread of this disease has been gained in the last quarter of a century, to bring within the possible bounds of realization, the hopes of even the most enthusiastic; but it will require a long time, much patience, and a combination of all the forces of society, viz., medical, legislative, educational, philan. thropic, sociological, to attain this goal." These are the words of Dr. Welch, of Baltimore, at the opening of the Rock feller Institute for Med ical Research. In a more general way was it put by President Elliott last September at the dedication of Harvard's new five-million dollar medical plant at the head of Pasteur Ave., Boston: "Civilization by crowding to cities and to the noise, smoke, dust and waste of manufactories, exposes society to far greater dangers. So society to endure must demand more ardor from the medical profession in preventing disease. The profession must know health as a social product, which psychologists recognize the modern mind to be. Thousands of medical men South, must teach the people what Reed's associates taught us of yellow fever, and see to it that the precious knowledge is applied. This new function of the profession is to apply all around, to the long list of communicable disease and to public health. The profession may not take well to preaching, but primarily through them alone may the public health-conscience be developed." While then it is proven that the regime of the sanitorium does exalt nutrition sufficiently to arrest the tubercular process in a certain per cent of incipient cases, and the tubercular death-rate is diminishing, our task is still great. First, we must secure this regime to the incipient case so early as to ensure the arrest of his disease; and secondly, we must hold the patient to the regime well beyond his subjective recovery. To secure these results, education of the laity is the great need; but on our part there is needed, by most of the profession, a far closer study of early local and general symptoms of incipient tuberculosis, else we miss our greatest opportunity. And thirdly, we need to know more exactly methods or routes of infection, whether inhalation or ingestion is the more common, or whether both are common, so much has this to do with prevention. Holt Inhalation of living bacilli either in dry dust or by droplets in air, shown by Flugge and his followers, has been the method generally accepted, and for obvious reasons. Anders, Osler, Tyson in 1906, and Holt (1), with most general writers, say that "in the vast majority of cases, as proven by the location of the lesion, "infection is by inhalation" giving ingestion as rare, since intestinal infection is rare. mentions the two midwives reported by Reich, who removed mucous from the air passages of the newborn, by mouth to mouth aspiration. In fourteen months ten children, attended by one-the tuberculous midwifedied of tuberculosis, the other having no such deaths; were these cases infected by inhalation or ingestion? Councilman (2), taking the same ground, replies to those who oppose the inhalation theory (because not able to find either the bacilli or any local injury in their experiments), by saying that "The lymphatics remove foreign material from the trachea very quickly, so that it can be recovered experimentally only with the greatest difficulty. He believes tonsillar infection infrequent, and intestinal usually secondary and not frequent; and finally, to say just when and how infection does occur is extremely difficult. No satisfactory reasons for infection at the apices of the lung are yet given, but without doubt the primary lesion may be hematogenous at whatever point. "The infrequency of intestinal lesion does not oppose food infection," he says "since the intestinal mucosa may show no lesion." E. v. Behring (3) upholds the greater susceptibility of infants, over adults, doubts the inhalation infection, believing adult disease due to |