Only graduates of recognised medical schools may be examined. This examination is held to establish a register of eligibles with a knowledge of medicine. This examination is open to all citizens of the United states who comply with the requirements. Competitors will be rated without regard to any consideration other than the qualifications shown in their examination papers, and eligibles will be certified strictly in accordance with the civil service law and rules. Persons who desire to compete should at once apply either to the United States Civil Service Commission, Washington, D. C., or. to the secretary of the local board of examiners for application Form 1312, which should be properly executed and filed with the Commission at Washington. In applying for this examination the exact title as given at the head of this announcement should be used in the application. Persons who are unable to file their formal applications and who notify the Commission of this fact, either by letter or telegrom, with the request that they be permitted to take this examination, will be examined, subject to the subsequent filing of their applications, in complete form, provided their requests are received at the Commission in sufficient time to ship examination papers. Issued January 12, 1904. THE COCA PLANT. Coca is the leaf of an Erythroxylon shrub indigenous to equatorial America, employed during many hundreds of years, empirically, as a sustainer and restorer of muscular force. There are several varieties of Coca, among which the aromatic or "sweet" leaf contains little if any cocaine, and is the only kind used by the natives. This is the Classic Coca to which phenomenal properties are ascribed. The "bitter" leaf which they reject, is exclusively employed for cocaine extraction. Even since the popular introduction of cocaine, the natives will not use that alkaloid which creates exitement without sustaining muscular power. Thus it is shown, even empirically, that the properties of True Coca cannot be substituted by cocaine. A fact upon which all observers agree, but which is not yet generally recognized. Mariani, of Paris, was the first to introduce Coca in available form; he recognized nearly half a century ago the great difference in Coca leaves, and by a special blending of the sweet leaves, carefully treated in nutritious French wine, produced his unequaled neuro-muscular stimulant, which, as a trustworthy preparation, has won high standing in the profession abroad and in this country by all practitioners who have subjected it to test. With the February issue THE CLINICAL REPORTER will have a new dress and new pages added and among the best and ablest contributors will have articles of interest to read. THE TREATMENT OF NASAL CATARRH. Mannon finds no danger whatever from the use of the nasal douche provided ordinary care is taken and a proper solution is employed. The charge that postnasal douching is prone to excite inflammation of the middle ear he does not find sustained. All leading specialists employ this method of treatment in the posterior as well as the anterior nares with equally good results. The doctor has had chronic nasal catarrh of many months duration yield to douching when heroically employed. Listerine to which a small quantity of bicarbonate of soda has been added is his main stand by. If hemorrhage is a controlling feature he uses instead a saturated solution of tannic acid to each ounce of which ten grains of carbolic acid has been added. When the tendency to bleed ceases he returns to the listerine solution. Treated in this way the most pronounced cases yield in three or four weeks and are not prolonged by complications or sequelæ.-Cincinnati Lancet-Clinic. COUGH AND RESTLESSNESS IN PNEUMONIA. Dr. W. J. Parker, truthfully states in the January Medical World, that "The season for pneumonia is here" and it may be of interest to our readers to know that he has found an excellent remedy for the cough and restlessness which are such distressing symptoms of this dreadful malady in Antikamnia and Heroin tablets. Each of these tablets contain five grains of antikamnia and one-twelfth grain heroin hydrochloride and the dosage is one tablet every two or three hours according to the exigencies of the case, or at the discretion of the attending physician. We may also add, that Professor Uriel S. Boone of The College of Physicians and Surgeons, St. Louis, also reports most satisfactory results with this remedy in pneumonia, bronchitis and la grippe, particularly in relieving the accompanying spasmodic coughs and muscular pain. SUPPURATING APPENDICITIS OPENING INTO THE BLADDER. BY DR. ENRIQUE FORTUN. Juan G., a Spanish merchant, 37 years old, with evident syphilitic antecedents, began to suffer about two months ago acute pains in the right iliac pit, while a tumefaction was observed in that region. He became an inmate of a clinic of this city, where his case was diagnosed as malignant neoplasm. After remaining about 20 days in said. clinic, the patient decided to leave for Spain; in the meantime, he stopped at a hotel here. While there he was taken with violent fever and ague, with a temperature of about 41 degrees C., and the first micturition following this attack did show the presence of a great quantity of pus. Dr. Parra, who was attending the patient, did me the honor to ask me to assist him. I called on him the night after the evacuation of pus had occurred. The first symptom to which my attention was called upon examination was the dimension and hardness of the liver, with swellings, the massiveness of which continued uninterruptedly in connection with the massiveness of the iliac pit, in which region (the right iliac pit) an accentuated muscular resistance was observed, though that region instead of being swollen presented a depression, at the bottom of which the rim of the hepatic gland could be felt by the hand. The temperature was 38 degrees, the pulse beat between 80 and 90, and the general condition of the patient was rather satisfactory. The diagnosis offered no doubt in our opinion: Suppurating Appendicitis with evacuation into the bladder (the urine which was shown to us was extremely fetid and mingled, and it did contain a large quantity of pus) and syphilitic cirrhosis of the liver. We advised the patient to consent to be operated upon, which he did. On the following day an incision of about 7 centimetres was made into the middle of the depression observed in the iliac pit. We rapidly reached a perfectly defined cavity, which contained a little pus mixed with mucosities. We washed out the cavity with Hydrozone and plugged it with iodoform gauze. On the following day, when we dressed the wound, upon careful examination of the cavity, we did not find any connection with the bladder, but we could extract the appendix which was affected by faeces. A complete cure was accomplished in a month, and during that time the liver decreased considerably in volume. Since the third day of the operation antisyphilitic treatment was followed. The communication between the cavity of the abscess and the bladder healed after 12 days of treatment.-Revista Medica Cubana, July, 1903. RHEUMATIC PAIN AND FEVER. In The Medical and Surgical Bulletin we find the following under the caption of "Acute Articular Rheumatism" by Dr. E. G. Evans: "Salol is the best intestinal antiseptic we have and Antikamnia as a pain reliever is, without doubt, unsurpassed, therefore, the combination of these two remedies in the form of the well-known Antikamnia and Salol Tablets' affords us the ideal medicament for pain and fever in rheumatic conditions. Patients appreciate the fact that when administering Antikamnia, you relieve the pain without giving them morphia, while the salol acts as a germicide and antiseptic, tending to ameliorate generally, the symptoms of the disease. Antikamnia and Salol Tablets (each tablet contains 21⁄2 grains Antikamnia and 2 grains Salol) are best given in doses of two tablets every three hours until ten or twelve tablets are taken during twenty-four hours. The patient's bowels must be kept open and the diet should be light. Alcohol is contra-indicated and water should be freely and frequently given. The bed covering should not be too heavy, but warm. Cold water packs, as well as hot fomentations are very beneficial." CONTENTS. A Plea for Conservative Treatment in Disease of the Knee Joint-By D. M. Gibson, Common Diseases of the Rectum-By W. W. Gilbert, M. D., St. Louis... DEPARTMENT OF NOSE, THROAT, HEART AND LUNGS-By J.Martine Kershaw, M. D., Homeopathic Pharmacists .. Business Established in 1835.. OLDFST AND LARGEST HOMEOPATHIC PHARMACY. The only Homeopathic Pharmacy in the United States that has been awarded Prize Medal at International Exhibitions. The Centennial Philadelphia, 1876. The Cotton, New Orleans, 1884-5. The Columbian, Chicago, 1893. The finest results are obtained from high class Homeopathic Medicines. The highest class Homeopathic Medicines are those prepared by this firm. Their fresh plant tinctures are made from Fresh Plants. All of their 1x triturations receive not less than four hours triturating, and each succeeding X receives not less than two hours triturating. Their tablet triturates are made from these triturations and are not equalled by any others. THE PRICES ARE REASONABLE FOR HIGH CLASS MEDICINES. Physicians Price Current sent Free on Request, to Physicians and Medical Students only: Correspondence respectfully solicited. Address nearest Pharmacy as given below. BOERICKE & TAFEL. PHILADELPHIA: 1011 Arch St. NEW YORK: 145 Grand St. NEW YORK: 15 West 42nd St. NEW YORK: 634 Columbus Ave. PITTSBURGH: 627 Smithfield St. No physician can afford to be indifferent regarding the accurate filling of his prescriptions. |