I tried this treatment in my practice; but I must confess it was with mediocre success, so much so that I was on the point of giving up the use of syzygium. Just at this time I suffered from diabetes myself, with violent thirst, marked wasting away, dryness of the mouth, complete repugnance to smoking; 20 grammes of sugar per litre of urine. The daily quantity of urine was ordinary, about 1400 grammes. I had read in the Manuel of Puhlmann: "A new remedy, recommended particularly by American homeopaths, is syzygium jambolanum. It is said that true sugar diabetes can be cured by this drug in six weeks, if, during this period, the patient will confine himself to a diet of skim milk. Alcoholic tinctures extracted from the seeds according to homeopathic methods do not act so decidedly. It is necessary to use four teaspoonfuls a day of an infusion prepared as follows: R. Semin Syzygii. jamb. pulv. 25 grammes I prepared the drug in this manner, and took four teaspoonfuls a day, without submitting myself to a strictly dietetic régime. I omitted, however, all alcoholic liquors, and all sugar and amylaceous food. After eight days the sugar had fallen from 20 grammes to 8, and after another eight days all traces of sugar had gone. The violent thirst and dryness of the mouth had disappeared; my former delight in smoking had come back. I considered myself cured, more particularly because my diabetes was of rheumatic origin. I returned to my former manner of life, and kept free for a year, when suddenly the diabetes reappeared. This time the symptoms were extremely sudden and violent; there were distaste for tobacco, wasting, gastric symptoms, impotency, dryness of the mouth with slight ulcerations of the buccal mucous membrane, 30 grammes of sugar per litre; no thirst, no excessive urination. I used the remedy employed before, followed a very mild diet. and a week later, after an abundant perspiration, all symptoms had disappeared. Since then there has been no recurrence. In my practice I have tried the same treatment and found a favorable result in a lady of seventy years of age. She complained of excessive thirst, great feebleness, and had a number of cutaneous ulcers on the legs, which, so far, had resisted all external medication. Urinalysis showed 35 grammes of sugar per litre with S. G. 1028. It was a very characteristic case. I used uranium nitricum, phlorizinum, aqua creseotata, etc., without success. Finally I resorted to syzygium. In 15 days the ulcers on the legs had disappeared, never returning. The violent itching which provoked the scratching that had led to the ulcers disappeared also. The sugar diminished progressively, to 5 cgm.; more thirst. But the patient was obliged to take the medicine constantly. As soon as the treatment was interrupted the sugar increased in quantity.-Revue Homeopathique Française. CONDUCTED BY Pediatry. WALTER SANDS MILLS, M D. Tuberculosis of the Pharynx in Children.-Dr. P. Schötz (Deut's Med. Wochens, October) reports two cases. Case I, a little girl of six who entered the hospital with severe pharyngitis and inflammation and swelling of the surrounding parts. A diagnosis of diphtheria was made. Repeated bacteriological examinations failed to confirm the diagnosis, likewise the cause of the case. Later the tubercle bacillus was found. The father had died of tuberculosis. The child died in about two months and a half. Case II. Boy of eight. No heredity. Personal history of scrofulosis, otitis, conjunctivitis, ceroicitis. The child died in two months. Necropsy showed the walls of the pharynx rough instead of smooth, and in some places eroded. The parts were swollen and covered with tubercular granulations. The epiglottis was uniformly swollen and covered with fine granulations. The base of the tongue and the left tonsil were ulcerated. The author quotes a number of similar cases from the literature. In closing he calls attention particularly to the difficulty of diagnosis between diphtheria and tuberculosis of the pharynx. Examination of the infant's urine will often clear up an obscure case. Collect it in a basin-the baby usually urinates two to four times an hour--or apply a condum with adhesive straps to a boy and catheterize a girl with a thoroughly sterilized No. 6 American rubber catheter. The quantity passed the first day is from o to 2 ounces; the second 24 hours it is from 2 to 3 ounces; the third to the sixth day, 3 to 8; up to two months old it averages 3 to 13 ounces a day; thence to the sixth month, 7 to 16, and from six months to two years old, 8 to 20 fluid ounces a day. The specific gravity varies more; for the first two or three days it averages 1010 or 1012; fourth to fourteenth day, 1004 to 1008; to the sixth month, 1004 to 1010; from six months to two years of age, 1006 to 1012. Urea in 24 hours per pound weight: Up to one month old, 134 grains to the pound, 2 years to 14 years, about 31⁄2 grains per pound; the adult, about 21⁄2 grains per pound. The daily excretion of urea. by an infant averages; First day, 41⁄2 grains; second day, 5; third, 7: fourth, 9; fifth to ninth, 14; tenth, 18; eleventh to thirtieth, 36; to the third month, 46; to three years, 300 to 600. For the first few months sugar is sometimes found with the copper, but not with the fermentation, test-a trace or even one-eighth grain to the ounce especially if there is much artificial feeding with sugar of milk. The phosphates, chlorides and sulphates are relatively less than in the adult. The reaction is usually neutral; if persistently acid something is wrong-lithuria or possibly too long time between nursing. Clinical Medicine. CONDUCTED BY JOHN L. Moffat, M. D. AND JOHN B. GARRISON, M. D. Apply Salicylic Acid, saturated solution, to soften the skin hardened by formalin. Swan's thou The very high potencies are not Hahnemannian. sandth" was shown experimentally by Dr. Burdick (who used high potencies himself), to be no higher than Hahnemann's fourth, and the so-called "millionth" in reality no higher than the eighth. The blood pressure during a laparotomy, as shown by the RivaRocci sphygmo-dynamometer, rises upon the abdomen being opened, then falls as a result of irritation. If the mercury falls below normal-130 to 140 in man, 120 to 130 in woman—it is suggestive of oncoming shock. If it rises again promptly the shock soon passes; but if it remains low, stimulation is demanded, even though other evidences of shock be lacking Comparing the Circulatory Stimulants.-Strychnia raises the pressure and maintains it for three or four hours, when it will fall below normal unless the dose is then repeated. Alcohol seems to stimulate only the peripheral circulation; the rise in pressure is very slight, and extremely transitory. Its value in such conditions must depend upon its action in other ways-possibly in combatting toxemia. Saline infusions raise the blood pressure only during the time of their introduction. Calcium chloride increases the coagulability of the blood, the dose is several grains, three or four times a day. It has been given for this purpose in typhoid fever when in Wright's coagulation tubes the time of coagulation is 8 or 9 minutes, instead of the normal 31⁄2, upon the assumption that such a state of the blood favors hemorrhage. This is not homeopathic reasoning. The only provings of calcium chloride-Calcarea chlorata-are Allen: Cyclopedia, V. 2, and Cattell; Brit. Journ. Hom. V. II., p. 18, according to Bradford's valuable index (1901). The Treatment of Diabetes.-Dr. J. H. Darling, of Thompsonville, Conn., gives his experience as follows: "My experience with arsenauro has been better than with any other course of treatment in diabetes. If it will not cure I do not know anything that will, and do not believe that any other treatment is of any consequence. My experience has been as follows: I have used it in five cases: but in two children it was not a fair test. Two cases were men above fifty years of age, and, though quite bad, both have apparently fully recovered, and have been well nearly two years. The last of the series is still under treatment and I am not prepared to report yet." Search for adenoids in every child who is deaf or who has repeated earaches. With adolesence the fibrous enlarged tonsil only shrinks; it is not entirely absorbed. In Diphtheria or tonsilitis apply a small rubber bag filled with finely crushed ice to the throat and keep it there until the patient. feels the discomfort of the cold, which will not be as long as any inflammation exists. We have never seen the membrane advance in any case after the ice bag has been applied. Kali Phos. 6x-cured a case of mental aberration in a lady 24 years of age, married, who, four weeks previous, was confined, labor being an instrumental one with severe perineal laceration, which was repaired one week later. Insomnia was present, patient was. very anxious, troubled and worried about something all the time. No violent delirium, but melancholy. Capricious about her food. Patient was anemic. Much exhaustion. Kali phos. was given three times a day with absolute rest, and in ten days the patient had made a perfect recovery. The Hot Pack is valuable in many cases, and should be given by taking a large double blanket and immersing it in water only a few degrees below boiling, run it quickly through a wringer and wrap it around the patient, leaving the head exposed. It is well to cover the head with a cap of muslin, dipping it frequently in cold water and replacing it. A blanket should be used to cover the moist hot one on the patient, so that the heat may be retained, and the patient may be kept lying down for from half an hour to one hour, during which time, cool water should be given freely, after which he is removed from the pack, rubbed briskly, covered with a large sheet of linen-mesh, a thin woolen blanket outside, and left to rest in perfect quiet for at least an hour, when the usual conditions may be resumed. Terebinth is a good remedy for acute nephritis following exposure to cold, or in hemorrhagic cases where albumin and blood appear in the urine when the patient gets up and moves around. When milk is not tolerated, mix it with French Vichy water, one-half to two-thirds water, and the patient will usually retain it without trouble. F. Park Lewis has removed enlarged adenoids from a man thirty-five years old, thus relieving deafness of one ear. Many houses are kept at summer temperature in winter, yet we wear winter clothing in those houses; no wonder colds are prevalent. Many houses are dangerous because of the great disparity of temperature of the halls and the rooms. Arsenite of Copper should be thought of when, in nephritis of pregnancy, convulsions occur in a patient whose heart is already affected, the urine has the odor of garlic, and especially where the convulsions are preceded by gastro-intestinal symptoms. Pus Formation in any location will call for the administration of protoneuclin, one tablet every two hours, to repair waste. Lysidin has proved of value when given to patients suffering with oxaluria. It was given in doses of ten drops of the 50 per cent. solution, three times a day, well diluted with water. The indications are said to be, irritability of the bladder, irregular heart action and nervous symptoms. Hemorrhage from the Bladder from no obvious cause may be due to vesical hemorrhoids. Mitchel recommends Hamamelis, tincture, internally in one dram doses three times daily, together with irrigation of one per cent. tannic acid solution and one-half per cent. alum solution, alternated with a three per cent. boric acid solution, or a one per cent. salicylic acid solution. In Neurasthenia give picric acid if you find depression and weariness from slightest fatigue, a mental inactivity with indifference and a desire to lie down and rest; brain fag; fatigue from the least exercise should always accompany if the drug is to be of service. Do not forget Ledum when you find a wound made by puncture of a pointed instrument. You Know that Silicea should be given for boils which occur in crops and do not heal readily but continue to discharge a thin pus. When there is much throbbing and sticking in them hepar sulphur is indicated. The arnica boil begins with great soreness and goes on to suppuration slowly. Graphites has an eczema with itching blotches on various. parts of the body, from which ooze a watery, sticky fluid. Moist eruptions arise behind the ears, on chin, on palms of hand and on the left side. Itching worse in the evening and at night. Itching and burning. Skin inclined to crack. More prominently indicated in blondes inclined to obesity and delayed menses. Amenorrhea in a woman of 42 years following suppression of the menses fifteen years previously caused by a severe drenching in a rainstorm. Had tried many remedies without avail. A characteristic symptom, nearly always present, was a fear of death with great anxiety. Aconite was prescribed and she was soon cured. A study of heart stimulants at Johns Hopkins Hospital upon ward cases, especially febrile conditions, showed that alcohol does not increase the heart's force as shown by the blood pressure. Caffein was disappointing; it stood between strychnin on the one hand and camphor and ammonia on the other. Each of the latter caused a prompt but transitory increase. Strychnin, the ordinary dose, acted not so soon but in creased the blood pressure more and maintained it longer-four hour s-than any other heart stimulant that was studied. Strychnin used as a tonic makes neurotic women more hypersensitive. In pneumonia one can get along much longer without recourse to heart stimulation by watching the second sound of the heart. |