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How Much Fluid Should We Allow Patients with General Anasarca?—Thompson thinks (Medical Record) the only safe guide is the ratio between the fluid ingested and that which is voided. That is to say, if diminished ingestion of fluid is accompanied by a corresponding decrease in the urinary secretion, more water should be drunk. Upon the whole restriction of drink influences reabsorption of transudates less than does active catharsis.

Edematous Rhinitis.-In this we find serous infiltration of the mucous membrane over the middle or inferior turbinate, unilateral or bilateral and remittent in occurrence, the serum exuding slowly on puncture. J. C. Mulhall states that the best results are obtained by scarification. Nasal deformities, if present, should be removed and attention be paid to the alimentary canal and the general system.

Treatment of Ringworm.-Formalin, a four per cent solution in glycerine (Clinical Review), is highly extolled as a remedy in this affection. All grease should be first removed with turpentine, followed by soap and warm water. Then apply the formalin-glycerine, and repeat several times for about an hour. One prolonged treatment of this kind is usually sufficient.

The Chaves Co. Medical Society met at Roswell, N. M., on December 13th, and elected the following officers to serve for the ensuing year: W. E. Parkhurst, President; C. M. Mayes, VicePresident; W. W. Phillips, Secretary, and M. W. Flournoy, Treasurer.

Diet in Arthritis Deformans.--Thompson (Medical Record) recommends forced feeding with a full diet of animal food, the fats predominating. The ordinary meals should be supplemented by two or three luncheons during the day. Biliousness can be prevented largely by the use of simple bitters before meals, dilute hydrochloric acid with nux vomica after meals, drinking much water and the occasional use of a cathartic.

Croupous Rhinitis.-This form of inflammation, says Bosworth, often follows operations on the nose. The symptoms include chilly sensations followed by moderate fever with frontal headache, nasal neuralgia, pain in bones, depression and symptoms of acute rhinitis. One can see a pearly white, thin or thick false

membrane covering the nasal lining and easily detached without bleeding (diphtheritic membrane leaves a bleeding surface on removal).

Chronic Esophagitis.-Allen A. Jones directs to treat cause; a bland, non-irritating diet; interdict alcohol. Burning after eating is relieved by small doses of bismuth with a drop or two of chloroform suspended in mucilage of tragacanth. Apply silver nitrate (eight grains to ounce of water) with a soft sponge or cotton on an applicator: Pass stomach tube or sound occasionally to prevent stricture.

Paraffin for Fecal Impaction.-Theodore Potter (Central States Medical Gazette) lauds the virtues of liquid paraffin, given by the mouth in the medical treatment of fecal impaction. He reports success in a case where the bowels had not moved for three weeks, giving three ounces of the remedy every three hours. The petroleum hydrocarbons dissolve fecal matter, are neutral, non-irritating and non-absorbable, and cause no griping.

Vesical Ulcers.--Garcean (Progressive Medicine) states that the simple ulcer is single, usually circular, often coated with phosphates, and is usually on the posterior vesical wall near the internal border of the ureteral orifice, never encroaching on the trigonum. Tuberculous ulcers are multiple, irregular, seldom encrusted with phosphates, and have a predilection for the trigonum.

Vomiting and Pain of Gastric Cancer.- Ewald relies on lavage an hour before breakfast, followed in a half hour by four drams of infusion of condurango containing 1-32 grain of strychnine sulphate and fifteen minims of dilute hydrochloric acid. He also recommends small pieces of ice with a few drops of chloroform; ice-cold carbonic water in teaspoonful doses; effervescing lemonade or champagne; morphine, and opium suppositories. Taylor advises the use of ice internally, either alone or with milk; ice applied to epigastrium; effervescing medicines; small quantities of iced champagne; extract of opium 1-6 grain to grain, or morphine to 1-6 grain.

Vomiting and Pain of Gastric Ulcer.-Ewald advises a carefully regulated diet-chiefly milk; drinking large quantities of warm water several times during day; pieces of ice with chloroform. Osler has found lavage most successful. He has also

employed cracked ice, chloroform, cerium oxalate, bismuth salts, hydrocyanic acid and ingluvin. If the trouble is intractable, the patient must be fed per rectum. Ringer praises dilute hydrobromic acid, m. xxx in water four times a day. Bartholow extolled Fowler's solution in drop cases. Taylor lauds morphine, or bismuth and morphine, effervescing medicines or a few drops of tincture of iodine every hour.

Gastric Hyperacidity.—Bartholow prescribed: Bismuthi subnit. gr. xx; acidi carbol. gr. -; mucil. acadiae m. lxxx; aquam menth. pip. q. s.: A tablespoonful for adults three or four times a day. Chambers uses the following formula: B Sodii bicarb. gr. xv; acidi hydrocyan. dil. m. iss; aquae camphorae 3x: Take t. i. d. after meals. Ringer recommends nux vomica and ipecac simultaneously when there are a creamy-coated tongue and much acidity and heartburn. In the case of infants he adds oneeighth lime water to the milk unless they are constipated, when he employs sodium bicarbonate.

Denver and Gross College of Medicine. The second regular meeting of the Alumni Association of the Denver and Gross College of Medicine was held at the College Building, 14th and Arapahoe Streets, Saturday evening, December 10th. Dr. Stover read an interesting paper on "Electro-Therapeutics of Acne," and other members reported cases. Thirty members were present. The present officers are: President, Dr. I. B. Perkins; 1st Vice-President, Dr. T. M. Burns; 2d Vice-President, Dr. M. E. Preston; 3d Vice-President, Dr. F. M. McCartney; Secretary, Dr. C. Parsons, and Treasurer, Dr. G. M. Blickensderfer. Regular meetings are held on the first Saturday of each month, except during

the summer.

Strychnine as an Evacuant.-In infectious and autotoxemic conditions the sympathetic motor centers are noticeably blunted, with resulting constipation. As a stimulant to these centers Geo. E. Pettey has had excellent results from the use of strychnine. The dose for this purpose varies with age, tonicity of tissues, etc., fromto 1-30 of a grain, given at intervals of two or three hours until four to six such doses have been given. The drug is satisfactorily combined with salines, mercurials and other purgatives.