been thoroughly cured. The syringe which I use is an aspirating syringe reversing the piston with a thumb screw, it requiring considerable pressure to force the oil under the skin. By injecting oil thus it is absorbed and assimilated by the blood cells and there is a great increase in their numbers. Thus all of the indications for the cure of tuberculosis are met. It overcomes the disease through increased phagocytosis and thus the active cells destroy the disease. Nutrition is re-established. The time required to overcome all symptoms is remarkably short and one will be greatly surprised at the benefits which come with each treatment. Physicians should use great care in the amount of oil given, for very large doses if long continued might result in fatty degeneration of certain organs, but with the disease (tuberculosis) this is not so apt to occur, as tuberculosis and fatty degeneration are antagonistic. I have based the claims of this treatment as a cure for tuberculosis from my experience and clinical evidence and from my conviction. I give my results this early believing that the cure of tuberculosis is solved and that by so doing many lives will be saved. Of course to the above treatment should be added all that has been found useful in the treatment of tuberculosis, principally of which is a forced diet of articles selected for their nutrition, such as meats, fats, butter and cream, out-of-door life, and hygiene. I hope and trust that physicians will at once take up this method of cure and I respectfully request that those doing so will communicate their results to me, as by broader knowledge much good may come and it is my desire to report these results at the International Congress of Tuberculosis, to be held in St. Louis of this year. PHYSICAL CULTURE. By H. M. HILL, Secretary American Institute of Physical Culture, Boston. Jay W. Seaver, M. D., Medical Examiner at Yale University Gymnasium, President of the Chautauqua School of Physical Culture, President of the American Institute of Physical Culture, of Boston, and the highest authority on anthropometry, addressed the physicians of Boston and vicinity, at the rooms of the Institute, 29 Beacon Street, Boston, Mass., on Saturday, March 26th. "Exercise," said Dr. Seaver, "may not only be classified as one of the necessities of life, like food and air, but it may be looked upon as a therapeutic means of very high value. "Exercise may be divided into two general classes, as active and passive, the first being made up of movements that are directed by the central nervous system, consisting of such movements of the various parts as cause a complete flexion and extension of the joints with the consequent stretching of the muscles that would ordinarily produce these joint movements; and second, the muscles may be subjected to mechanical pressures and kneadings that will stimulate the circulation of both blood and lymph, and produce nutritive changes that are quite similar to those set up by active exercise. "These passive movements have been grouped under the term massage. "A combination of active and passive movements may be used at times with advantage, the attendant resisting the active movements of muscles in a more or less vigorous manner according to the condition of the muscles that are being treated. "The abnormal conditions that are best treated by exercises are those of the nervous system where there is a tendency to inertia and explosive action. The normal working of the motor portions of the brain with the attendant activities of large sensory tracts will treat the entire nervous system by one of those fundamental processes that is so essential to vitality and to the smooth or well co-ordained functions of the brain. The utilization of nerve force through these normal channels will usually prevent the explosive action of the nervous system along abnormal lines. We see a good illustration of this in the restful sleep that follows a hard day's work of physical activity, and the opposite effect in the restless, fitful sleep where the day's work has been of an intellectual character and accompanied by no physical activity that has, so to speak, called the brain back to its fundamental processes. "The second great class of cases that are benefited by exercises are those of mal-nutrition. There seems to be no power that so thoroughly calls into activity the nutritive processes of the body as does the reflex demand for more nutrition on the part of muscular tissue that is working. Digestion is immediately improved, and, if the nervous system is at rest, the vegetative processes of life are most effectively stirred by the claims of the muscles, which constitute over 40 per cent of the weight of an ordinary person. "The third class of cases that are especially helped by exercise are those where the circulation is deficient from one cause or another. It has been shown by students of physiological problems in recent years that many of the so-called violent exercises produce a lowering of blood pressure, and it has been noted for some time that people with heart lesions were able to do much physical work with apparent benefit to their health, while such persons remaining quiet and sedentary in their habits of life have suddenly found that the compensation in heart energy has not balanced the loss through the lesion, and sudden heart failure has been the termination of life. "But not only does appropriate exercise act favorably upon the weak heart, but the lymphatic flow is almost entirely dependent upon muscular contraction, and the nutrition of the various tissues appears to depend more upon the lymph than upon the blood directly, so that if we have inadequate central power to force the fluids of the body along in their course, we must depend more and more upon the movements of skeletal muscles to accomplish this work." Pacific Medical Bureau of Information. Medical, Dental and Pharmaceutical practices bought, sold and exchanged. Partners, Associates, Assistants and Locum Tenens found. Five dollars entitles any one to become a member for one year and to receive all information the Bureau possesses regarding locations, etc. All members of the Bureau of Information are entitled to one year's subscription to the PACIFIC MEDICAL JOURNAL FREE. Address, with postage, Pacific Medical Bureau of Information, 1025 Sutter Street, San Francisco, Calif. Sections. ANATOMY. Under the charge of FRANCIS F. KNORP, M. D., Professor of Anatomy, College of Physicians and Surgeons, San Francisco. A Rare Case of Patent Diverticulum Ilei.-By AUGUST ADRIAN STRASSER, M. D., Arlington, N. J. John W., born April 19, 1903, after a normal gestation and physiological partus, fourth issue of perfectly healthy parents. The child was normal in every respect except the following anomaly: While the normally implanted cord was being tied, there was seen in its inferior aspect, at its junction with the umbilical ring, a triangular slit about 2 cm. long, through which protruded a dark purplish-red tumor about the size of a small cherry; in the summit of this there was an opening, from which, with the straining incidental to crying, there issued in jets small amounts of meconium. This, after twenty-four hours, after the bowels had moved normally by the anus, changed in character to the ordinary yellow fæces of the healthy babe. The child nursed well and scrupulous care was exercised to keep the skin around the umbilicus as clean and aseptic as possible. There was a very slow detachment of the cord; it came off on the eleventh day, leaving a clean scar. The protruding diverticulum of the bowel was then about the size of a raspberry. Under the use of a powder of boric acid and bismuth subnitrate and very firm compression, there was not only a reduction in the size of the tumor, but also a cessation of the discharge of feces from the fistulous opening, so that for a time it seemed to promise a spontaneous But a month later it grew larger again and a slight fecal discharge reappeared. The reason I report the case is its great rarity. The literature on intestinal anomalies is not voluminous. Congenital umbilical hernia is rare; still more so is that abnormal condition in which the lower portion of the gut from the omphalomesenteric duct to the sigmoid is obliterated and the anus imperforate. Cases of this kind usually present other malformations also. But the rarest condition of all is the one described above. In a careful search of the literature I have been able to add to the 39 cases reported by Morian and the 4 cases reported by Hubbard, 21 cases, including my own, cure. that were overlooked or reported since Hubbard's article was written. The table on page 934 includes the cases so far reported; but several of them are doubtful; others are cases of prolapse of Meckel's diverticulum without patency; and still others Tillmann looks upon as cases of artificial anus produced by accidental tying of the bowels; and for that reason such cases, for instance, as Schneider's, Stadfeldt's, Thudichum's, Latimer's, and Motte's are not included in the table; but Marshall's and Jacoby's are retained because they make part of Morian's table, and I have added Broadbent's because he reports his case as one of umbilical fecal fistula in the new-born, and it is, in my opinion, a true case. I have also not included such cases as MacSwiney's, Bottini's, and Nicholich's, in which the patency was discovered only by the fact that ascarides used this tract as a means of egress, or which were only cases of persistent Meckel's diverticulum. Anatomy of the Anomaly. -Its occurrence takes us back to the third or fourth week of embryonal life. In the embryo of the third week, the rudimentary fore-, mid-, and hind guts are visible. The primitive mid-gut is connected at this period of embryonal life by a tubular canal, the vitelline duct, with the yolk-sac. The embryo lies curved over this yolk-sac with its endodermic surface spread out. Then as the cephalic and caudal extremities curl up, and the sides fold in, differentiation commences and the embryo is gradually lifted from but still attached to the yolk-sac by the yolk-stalk. At the fourth week the sac has begun to atrophy and the duct is only a very thin canal; by the fifth week the navel closes entirely and the omphalomesenteric duct is obliterated. In the sixth or seventh week the loop of intestine, which may be in the cord, is withdrawn and the intestines now lie free in the abdominal cavity. If this normal process is interrupted, various malformations result from the persistence of part or all of the vitelline duct. Riesman (Univ. Med. Mag., 1897-8, X, p. 526–539) classifies these as follows: (1) Persistence of the proximal portion of the duct-Meckel's diverticulum; (2) persistence of the entire duct as a patulous canal; (3) persistence of the distal part of the duct connecting with the navel; (4) persistence of the middle of the duct; (5) persistence of the omphalomesenteric vessels. The cases under dis |