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My heart goes out to the beginners, though there are so many things to learn. Brought face to face with a patient, seriously ill; it must be so-and-so, because did not Jones, Horner, Wood say that such and such symptoms presented, and here they are, mixed with a good many others. Yes, that is the diagnosis, but which one, out of "Allen's Handbook of Materia Medica" is a similar? Can it be possible that the infintesimal dose of the remedy chosen, can combat such symptoms? Well, the Materia Medica says so, so the remedy is given and the poor, young doctor goes home (you see, she has no other patients to see), and thinks about that case, and-it gets well. Time goes on and as case after case recovers through the administration of "little pills," confidence is strengthened and the law is applied with

more assurance.

There is, after all, something beautiful in the working of the law of Similars, something fascinating, and the results are so sure, when the law is rightly applied. It so often makes me think of the Spiritual Life. In my medical practice I have taken poor, weazened, bigheaded, wailing infants and by the judicious administration of Cal. phos., the little fellows would take a new lease on life and be transformed into growing children. In the Spiritual Life, the good Lord takes us, often, in worse condition of heart than these children were of body, and by the power of His Holy Spirit, transforms us into useful, joyful men and women, capable of fellowship with Himself and usefulness to His creatures.

There is a big difference, however, for no matter how great the people's faith in the Doctor, she would make mistakes in judgment and not all her patients recovered; but the Great Physician makes no mistakes, and if a cure is not effected, it is because the patient wills not to follow directions.

The Lord is blessing the work among the Chinamen here, and encouraging reports come from Mr. Roberts in Lagos.

Again thanking you for the invitation, and with kind regards, I remain, Very sincerely yours,

Transvall, S. Africa.

CYSTITIS.

E. S. PETTIT-ROBERTS.

The treatment of cystitis should be direct and indirect; whether it be due to gonorrhea, obstruction, or any other cause, the management is essentially the same. Here, rest is of first importance; such a condition of quiet is, at times, necessary that on the surface of the urine in the bladder there is not a wave or ripple.

The hips should be raised and the urine kept from the bladder neck; the general health should be cared for, and the use of such demulcent diuretics as will flush out the bladder with minimum discomfort. For the accomplishment of this purpose, the following is of service when the urine is alkaline and much decomposed:

Rx. Cystogen tablets, aa, 5 gr. No. XXV.
Sig.-One in a glass of water after each meal.

CLINICAL NOTES ON HAGEE'S CORDIAL OF COD LIVER OIL COMP.

In this progressive age it is pleasing to note that the pharmaceutical chemist is keeping well to the front in the matter of improving the older preparations as well as in the production of new and more valuable ones. Notable among these achievements is Hagee's Cordial of Cod Liver Oil Compound. It is an elegant combination of particularly useful remedies which are too well known to require more than casual mention here.

Each fluid ounce represents thirty-three per cent. pure Norwegian Cod Liver Oil with six grains Hypophosphite Lime and three grains Hypophosphite Soda in perfect solution.

Combining as it does palatability together with the most active tonic, alternative, reconstructive and digestive properties, it is well tolerated by the most sensitive stomach and in my experience has never failed to produce a decided improvement in the digestive function in cases where serious disturbance was present.

A brief history of the following cases is appended, believing they will prove of interest in the way of demonstrating the results that may be expected to follow an intelligent application of this valuable preparation.

Case I. Miss P., aged 31. Occupation seamstress. Family history: Two brothers and one sister had died of Phthisis Pulmonalis. Patient had been suffering from severe cough, fever, night-sweats, and progressive emaciation for several months. Physical examination which was supplemented by microscopic examination of sputum established diagnosis of tuberculous disease affecting apices of both lungs. The stomach was extremely irritable, which fact had interfered seriously with previous treatment.

Treatment: Bowels were regulated and careful instructions given concerning observance of hygienic rules, etc. Hagee's Cordial of Cod Liver Oil Compound was prescribed, tablespoonful three times daily after food.

Improvement was prompt and at the expiration of two months patient was discharged cured, having regained her normal weight and all of the old symptoms having disappeared. This was more than a year ago and she has since remained well.

Case II. Mr. G., aged 40. Occupation miner. Had bronchitis. for many years with profuse expectoration. Treatment was ordered as in the preceding case and continued six weeks, when patient was discharged well. He has been kept under observation during, the past six months and has had no recurrence of the old trouble.

In case of anæmia following acute diseases I have obtained the

most gratifying results from the use of the remedy.-M. Luther Spriggs, M. D., Joplin, Mo.

MODERN THERAPEUTICS AND PHARMACY.

By Frederick Hadra, M. D., of San Antonio, Texas.

.

In speaking of ethical proprietaries, he says: "I should be sorry, indeed, if the prejudices of any member of this society should so far overcome his better judgment as to banish all or most of these drugs from his practice without investigating their merits. So, if we desire a local antiphlogistic effect, and have to choose between the ancient, unsightly, unhygienic and troublesome flax-seed poultice and the newer proprietary article called Antiphlogistine, a physician must needs be prejudiced, indeed, who will prefer the former. . . . It may be a matter of theoretical indifference what preparation we prescribe, but it may be quite a different matter with the patient who has to use it for long periods."

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"Does it not strike you as somewhat incongruous that we alone of all professions and trades should rise up in arms against a co-ordinate branch which is continually striving to assist us in improving our therapeutic weapons? If we would take advantage of the opportunity offered to make intelligent selection of such preparations of drugs of reliable concerns as appeal to reason and common sense, those of us who do so will certainly have an advantage over those who do not."

As regards the refilling by the druggists of prescriptions of proprietary remedies, he says: "If I am called to treat a sprain of the ankle, and find it necessary to order an antiphlogistic application, it would be just as easy for the patient to send to his druggist daily for more flax-seed meal or iodine, as it would be for him to order more cans of the more cleanly proprietary preparation, Antiphlogistine. A tonic or cough medicine, quinine mixture or capsule would share the same fate whether proprietary or extemporaneous."

"If the intelligent use of the drugs mentioned is not injurious per se, why should we protect the laity against their use any more than against the employment of any other drugs? Would the committee advocate the abandonment of calomel, castor oil, mag. sulph., quinine, flax-seed meal, paregoric, laudanum or carbolic acid because the laity can also go to the drug store and purchase these just as they cascara preparations, Phenacetin, Listerine, Antiphlogistine,

can

etc.?"

* Extracts from an article in the Texas Medical Journal for March, 1905.

TONSILLITIS.

Inflammation in any form attacking the tonsillar region gives rise to symptoms of most distressing character and at the same time provides a most favorable soil for the entry into the system of other infections. It is well to remember that at first this disease is only a local disturbance affecting the capillary system and glandular structures if promptly and efficiently treated will remain local. The constitutional symptoms, such as fever, headache, etc., only develop when there is considerable infection taken up.

In treatment, the first indication is to increase local capillary circulation. A local remedy must fill two requirements, i. e., a detergent antiseptic and a degree of permanency in effect. Many of the remedies which have been advocated for the various forms of Tonsillitis are antiseptic, but they are not sufficiently exosmotic in their action to increase the circulation or else their effect is too transient. Glyco-Thymoline, frequently applied in a 50% strength with a hand atomizer, produces a rapid depletion of the congested area through its well defined exosmotic property, re-establishing normal passage of fluids through the tissues, promptly relieving the dry condition of the membrane and giving an immediate and lasting anodyne effect. As a gargle a 25% solution hot may be effectively used, providing the process does not cause undue pain. The external aplication of cloths dipped in hot water and Glyco-Thymoline in 25% solution greatly increases the venous circulation.

Probably the best "heart tonic" is Crataegus ox. in five drop doses of the mother tincture, two or three times a day. It seems to act beneficially in all heart diseases, and being non-poisonous its use cannot possibly be harmful. It is a tincture of the fresh English hawthorn berry.

The Famous

Belle Vernon Farms

Devoted exclusively to the production of table and nursery milk. We invite the closest investigation and guarantee the purity of our milk supply.

Belle Vernon-Mapes Dairy Co.

Tel. East 536

1312-14 Euclid Ave.

Central 3168

!

***

At the September meeting of the Dayton Homeopathic Medical Society the following officers were elected: President, Dr. H. P. Littell; vice-president, Dr. Charles Shawen; secretary-treasurer, Dr. J. E. Welliver. An interesting social program followed, presided over by Dr. H. P. Wetzel.

*** At the recent meeting of the Northwestern Homeopathic Medical Society of Illinois it was stated by Dr. A. E. Smith, a member of the tubercular committee of the State society that a tuberculosis colony would be established which would be conducted under the auspices of the Homeopathic physicians of the State.

*** We are sorry to hear that Dr. C. H. Murphy, '99, is compelled, on account of ill health, to give up his business at Shaftsbury, Mich., and remove to New Mexico. Our best wishes go with the doctor, and we hope for a speedy restoration of his health in his new home. He writes us requesting that the REPORTER be sent to his new address.

H. C. Barr, '05, was compelled to take a rest of several months' duration after his term in the City Hospital. The work was very heavy and he devoted himself assiduously to it. During his term of service, he performed over 50 major operations, and he is now looking for a location where he will have an opportunity to apply his surgical knowledge.

*** The clinics at the City Hospital this year have been of unusual interest. Drs. Welles and Williams are doing excellent work as internes and it is seldom that they fail to thoroughly work out a case. Old graduates of the college cannot appreciate what it means to the students to have the advantage of the clinical facilities of the City Hospital at their command.

*** We have received the Third Annual Report of the Lee Private Hospital, Rochester, N. Y. The report shows that from Jan. 1, 1902, to Dec. 31, 1904, there were treated in the hospital, 1495 cases. Of these 1240 were surgical, 178 medical and 77 maternity cases. This is one of the hospitals of which we are proud and its record is a monument to the skill and business ability of Dr. Lee.

*** Stanton E. Deeley, Mt. Vernon, Ohio, recently left for an extended course of study in Europe. He has written the REPORTER that he wishes a good reliable man to take his practice while he is absent with the idea of locating permanently in the city on the doctor's return. Mt. Vernon is a good location and is on the verge of a big boom. Any communications regarding the practice should be addressed to his office clerk, Mr. Frank Martin.

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