EDITORIAL ITEMS.-Continued.

Spongy Thickening of Nasal Septum at Junction of Cartilaginous Portion with Bones. Coakley instructs to remove with cold snare if projection sufficient. If this is not the case, use linear cauterization with galvanocautery or trichloracetic acid.

Elimination in Chronic Kidney Disease. Moore (Clinical Review) claims that he has seen the drowsiness of impending uremic coma overcome time and again by twenty-grain doses of sodium benzoate, best given in tincture of lemon and water.

Thickened, Pendulous Mucous Membrane on Under Surface of Middle Turbinate. This condition shows a movable but very broad attachment running anteroposteriorly. Coakley directs to remove the pendulous portion only with the cold snare.

Early Arteriosclerosis. Stengel calls attention to the symptomatic value of polyuria alternating with ischuria, and of varias tions in urinary specific gravity without corresponding changein quantity.

Swelling of Posterior Margin of Nasal Septum. As seen posteriorly there is an oval, pale bulging appearance. Coakley recommends the careful application of trichloracetic acid, after measuring exact distance of swelling from anterior nares.

Slight General Thickening of Nasal Mucous Membrane Remaining After Operation. Coakley advises painting the nasal cavity once or twice a week with a solution of five grains of iodine and ten grains of potassium iodide in one ounce of glycerine.

For Caseoue Rhinitis. Kyle advises the removal of septic material by curettement, followed by the use of a solvent (bicar. bonate and biborate of sodium), ten or fifteen grains per ounce, and this by irrigation with equal parts of hydrogen peroxide and cinnamon water.

Gastric Atony or Myasthenia. Kuse and Penzoldt employ strychnine, ipecac and sodium bicarbonate; also orexin in doses of two to six grains in wafers or capsules one to three times a day, followed by a drink of beef-tea or cocoa.

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Constipation. W. D. Robinson (Medical Review of Reviews) administers ordinary white vaseline with a little water or orange juice, with excellent results. He has had particular success in the severe constipation that often accompanies typhoid fever.

Pericardial Effusion. Osler advises aspiration (fourth interspace at left sternal margin or an inch from left sternal margin) of serofibrinous exudate (common after rheumatism); free incision and drainage if purulent.

Laryngo-Tracheo-Bronchitis of Measles. Ringer employs inhalations of iodine. N. S. Davis prescribed as follows: B Tinct. sanguinariae m. viiss; syr. scillae co. m. xxii; tinct. opii camph. q. s.: A teaspoonful for adults every three or four hours.

Tracheitis. Local soreness and irritation are relieved by the external application of camphorated oil or camphor-menthol, and by the frequent sucking of tablets containing terpene hydrate, codeine and cannabis indica.

Gangrenous Bronchitis. Ferrand directs to inhale powdered iodoform each night and spray bedroom with thymol. Give a quinine wine before each meal, and a tonic diet; also a dessertspoonful t. i. d. of infusion of quinine with syrup of orange essence of eucalyptus.

and

For Mucous Patches. Crippe directs to cleanse parts thoroughly and dust with a powder of 20 grains of calomel, 30 grains of iodoform, one dram of zinc oxide, and one-half ounce of starch. Give mercury internally.

Itching Piles. Matthews directs to apply frequently an ointment of one part of ichthyol in eight parts of vaseline. It is also recommenced to apply once daily after defecation, a few drops of colladion on absorbent cotton.

Pile Suppositories. Potter prescribes:

Iodoformi gr. v;

magnesial calc. gr. v; oleo theobrom, cerae albae aa. gr. viiss.; balsami Peruv. gr. x: One morning and evening after washing

with cold water. Avoid soft seats.

Pile Ointments. The following is a good formula: B Pulv. gallae gr. xxx; pulv opii gr. x; ung. plumbi acet. gr. xl; 'ung. simp. 31: Colson prescribes: B Ung. hydrarg. nif. 31; olei amyg. dulc. 3viii: Use a little several times a day.

Villous Growths of the Rectum. Stretch the sphincters, says Gant, seize tumor with a pair of pile forceps, draw down, transfix base of tumor with a double ligature, cut this and tie both lobes of the pedicle, and cut off tumor when pedicle is long enough.

Treatment of Rectal Ploypi. Gant directs to remove with clamp and cautery, or place a ligature around the pedicle at its attachment and cut off external portion, or twist and snip off with scissors and place some astringent on stump or apply actual cautery.

Iodine as an Antiseptic. In all kinds of contused wounds (Medical World), after cleaning as carefully as possible, the introduction of a little tincture of iodine usually suffices to prevent the purulent complications so common in these cases.

Cutaneous Piles (Skin Tags). Says Gant: Seize (after divulsion) with catch-tooth forceps and snip off with curved scissors, taking care not to remove more skin than is absolutely necessary, for fear of contraction. If considerable space is left between the skin and mucous membrane, unite them with catgut sutures.

Anal Papillomata. If large and warty, says Gant, cut off with scissors and cauterize points of attachment. When small apply powdered alum, zinc, tannin and iron. Snip off any cutaneous tags and correct disordered conditions of rectum. Observe strict cleanliness.

Rumination of Mercyism. This curious gastric motor dynamic affection is treated by Van Valzah and Nisbet by moral and suggestive measures; thorough mastication of food; a diet that leaves the stomach rapidly; hydrochloric acid or alkalies in suitable cases; strychnine or quinine to render food bitter.

Spasmodic Dysphagia. Osler advises to pass bougies and pay special attention to the general neurotic condition. In hydrophobia he employs local applications of cocaine. For hysterical form Charles G. Stockton recommends orthoform, one to four of water through an esophageal syringe.

Gastrisoasm. Van Valzah and Nisbet recommend a soothing diet in small quantities, particularly hot milk (gradually increased), and after a week cereals and later meats should be added.

Codeine and aconite are of the greatest value. Sedative galvanization and a hot compress may be tied. Vigorous massage is also beneficial.

Gastroplegia. Van Valzah and Nisbet instruct to keep stomach clean and empty by lavage, and nourish body by the rectum. The usual means are indicated to restore the paralyzed muscles or prevent their atrophy. Strychnine hypodermically in large doses is a sovereign remedy for traumatic gastraplegia.

Gastric Hyperperistalsis. Among curative measures mentioned by Van Valzah and Nisbet are rest in bed; indifferent diet; strong intraventricular or epigastric faradization, or preferably anodal sedative galvanization; hudroperapy; good hygiene and reconstituent medication; codeine and electricity for pure

neuroses.

Sphincterismus. Kelsey advises attention to the general health allaying nervous excitement; cathartic to empty bowel when spasm is present; anodyne injections, such as twenty drops of laudanum in one ounce of water; introduction and retention of bougie. A cure, he says, is always effected by forcible dilation of the sphincter under ether.

Tubercular Larynigitis. Osler says: Spray ulcers and keep thoroughly clean. Use two or three times a day insufflations of morphine and iodoform, or a four per cent cocaine solution. The distress from these ulcers is quickly relieved, according to Younge, by injecting one minim of pure guaiacol into floor of ulcer by means of a specially curved syringe.

Polyps in the Lower Canliculus. George F. Libby (Ophthalmic Record) reports the successful removal of nine polyps the size of grape seeds from this situation, being the fourth recorded case of the kind. There had been localized redness and swelling, a purulent discharge, and pain on reading.

Nitrites in Hemorrhages. The editor of the Medical Standard commends amyl nitrite inhalations as an emergency treatment in hempotysis and other hemorrhages. Nitroglycerin prolongs the blood-pressure-reducing action, while atropine may be used to maintain it for a considerable period.

Chronic Furunculosis. Gaucher (Clinical Review) recommends an alternating treatment, one week with a tablespoonful of