ALL PHYSICIANS PRESCRIBE Terraline-a purified and tasteless preparation of Petroleum for internal use-a substitute fo Cod Liver Oil and its Emulsions. It is not a patent medicine in any sense of the word, but is sold entirely on the prescriptions of physicians. TERRALINE CAPILLARY LA GRIPPE GROUP GENERAL ANAEMIA It stands to-day without a peer in the treatment of all inflammatory conditions of the respiratory tract. Administered in dessertspoonful doses, it modifies the cough, increases the expectoration, and generally improves the patient. : Terraline is superior to Cod Liver Oil. It does not simply palliate the cough, but allays the pulmonary irritation, improves the digestive and assimilative powers, and exerts a deleterious effect on micro-organisms. It produces the most positive results, and can be administered indefinitely to the weakest stomachs without creating a repugnance to its use. Its effects are especially gratifying in the depressed condition following an attack of La Grippe. In the croupy coughs of children, and in Croup itself, it is prescribed with the greatest benefit. A physician writes that in a case of General Anæmia in an excessively chlorotic girl, the improvement was soon marked and progressive: She used Terraline three months and gained in weight five and one-half pounds each month. It is a reconstructive and tissue-builder of great power. DR. CHAS. H. STOWELL, Editor of The National Medical Review, formerly Professor of Physiology and Microscopy at University of Michigan, experimented on the lower animals and proved that Terraline is thoroughly emulsified by the digestive juices, and is absorbed without the possibility of a doubt. Any "Terraline," or preparation of similar name, is anfimitation if manufactured at any place but Washington, D. C. We will send a dollar bottle, free, to any physician who will pay express charges of 25 cents. MANUFACTURED ONLY BY THE TERRALINE COMPANY 1316 L STREET, N. W., WASHINGTON, D. C. BOLD BY ALL DRUGGISTS ONE DOLLAR A BOTTLE The Doctor's Automatic Driving Lamp T Dentists, and Druggsts Locations and Property Address the Automatic Driving Lamp Co. 4521 Union Ave., Chicago, Illinois, U. S. A. or 8. L. Reefy, Edinburg, Ill. A dark night trip made as safe and pleasant as a daylight voyage. bought, sold, rented, and exchanged. Partner-ships arranged. Assistants and substitutes provided. Business strictly confidential. Medical, pharmaceutical and scientific books supplied at lowest rates. Send ten cents for MONTHLY BULLETIN containing terms, locations, and list of books. All inquiries promptly answered. Address, H. A. MUMAW, M. D., Elkhart, Ind. BORINE The Ideal Apparatus for Office Practice. This apparatus, just recently perfected, is the most useful, scientific and efficient invention ever offered to physicians for the direct application of remedies to the respiratory tract, and other cavities of the body, and for the administration of anæsthetics, etc. It is also the most unique, novel, and artistic apparatus any doctor can have in his office. It is called a comminuter because, by a mechanical process, it reduces the substance acted upon to such infinitesimal particles, that it is transformed from the liquid state to the condition of a visible elastic fluid. In this state it is projected through the flexible tube in great volume and with whatever force it may be desirable or necessary to reach the respiratory tract, eyes, ears, the rectum, vagina, or other passages, cavities, or surfaces of the body, in the most effective manner. Six different prescriptions or single remedies can be put in the apparatus and used separately, or in any desired combination, without changing the medicines or removing the flasks. Medicines insoluble in each other, or even chemically incompatible in the liquid state, can be administered in perfect combination, without precipitation or decomposition. The complete apparatus is 30 inches long, 17 inches high and 7 inches wide at the base. It is elegantly finished in nickel, hard rubber and flint glass, with polished hardwood base. All parts are of the best workmanship, and so constructed as not to get out of order. It can be used in connection with any compressed air receiver. Full directions and many valuable formulæ that have been used successfully with the Multiple Comminuter, by well-known physicians, furnished every purchaser. Considering the scientific and expensive construction of the Multiple Comminuter, the perfection of its operation, efficiency, utility, convenience, economy of time and medicines, and many other advantages, it is the cheapest apparatus offered on the market. Physicians who are using it have informed us that it has paid for itself in a few weeks. Ask your instrument dealer, or write for full information to the manufacturers. THE PNEU-MA-CHEMIC CO. MANUFACTURERS OF DR. JOHN ROBERTSON'S PNEU-MA-CHEMIC INVENTIONS, Original Scientific Apparatus for Physicians and Surgeons. Office and Factory, Murdock Block, 120 Longworth Street, Cincinnati, O. AS TO SYMPTOMATOLOGY, ETC. There are two kinds of symptoms-direct and indirect. There is a class of ailments in which the symptoms-so to call them-are necessarily direct. Included in this class are all those pathological conditions in which the primal lesion is immediately accessible to some one, or more, of our senses. We can see a boil, or cut, or bruise, or broken leg, or erysipelatous or other external physical fractured pathological output. We can, with, or without the aid of instruments, see those internal disease manifestations which show themselves near the surface. Thus, by means of specula and other appliances, we can bring into visual range. rectal, vaginal, uterine, urethral, aural, nasal, occular, esophageal and tracheal disease points. We can hear heart and lung sounds, and the aneurismal purr. By palpation we can locate and define organic displacements and enlargements, etc., and we can discover tumors. Through the sense of touch we can diagnose a number of morbid conditions. Even the olfactory sense may play a part in differentiating disease. All the maladies belonging to the class whose surface expressions we can see, hear, feel, or smell, throw out symptoms, so to call them, but, as such, they are little needed; excepting perhaps, those which address themselves to the auditory sense. We recognize this class of diseases through their physical chracteristics, and these, strictly speaking, are not symptoms. For instance, crepitation is a fact, not the sign of a fact. That which suggests the possibility of crepitation is a symptom. A symptom is merely the probable index of a possible condition. Heat, redness and pain, are not signs of inflammation; they constitute inflammation itself. Visible inflammations have no symptoms-we see them immediately, not mediately. And so of all those disease effects which appeal directly to our senses. If our reverence did not over-ride our surface passions, we should think it a piece of murderous diabolism, that, by far, the larger number of serious diseases have to be diagnosed at. These numerous and multifarious diseases are beyond direct communication, and must be apprehended through a correct interpretation of symptoms. A class of morbid conditions give off direct indices, and these may be more or less correctly read by the mediocre. In this class are such ills as belly-ache, renal, or bilious colic, worms, etc. But the number of diseases between the class whose nature is sensibly apprehensible to us, and that in which symptoms may be either, or both direct and indirect, is small. There is a large number of maladies whose symptom pictures may be delusions and snares, or may be true presentments. This pathologic arcanum, nearly insulated by a "Thus far" fiat, is penetrable to only the keenest of trained intellects. A set of symptoms refer to the uterus. If you are a mediocre, or less, you address your attention immediately and exclusively to that complaining womb. The same treatment which heretofore reached, and controlled that identical condition, (identical because the same symptomatic group is sketched) fails miserably. Being a mediocre, at most, you are at the end of your tether. Still, you will keep monkeying with that sacred viscus till the woman is worn out, or passes into other hands. If you are flush up to the front, and are not a mere mediciner, you will hunt beyond that uterus for the starter of this trouble. You will conclude that, for a sufficient intramural neurotic reason, the primal lesion has elected to express itself through the womb, and you will institute an intelligent quest for that morbid center. You will be very likely to find it in the anal, rectal, or sigmoidal region, though you may not. Getting no clue through special-sense agency, you will think of over-snug sphincters with their pinched nerve terminals. Treatment for this condition failing, you will have to hunt in remoter realms-in those cryptic pathologic deeps where neurotic essences, for some ultimate molecular reason, have gotten out of vital parallelism. There are marvels and marvels in the occult depths of symptom origin. I have treated three cases of cancer of the stomach. In each case all the pain and distress was located in the upper duodenal region. Autopsy showed this section to be perfectly normal, the cancer being located at the cardiac crifice of the stomach. The phrase "sympto n treatment" is essentially meaningless, of course. In every-day vernacnlar, it has a meaning, one which relates it dubiously to "causal treatment." In diseases that throw out direct symptoms, the sailing is plain; in those whose symptoms may be indirect, serious diagnostic trouble begins; in those in which they may be either, both or neither, (for there are symptomless diseases) you must put on your study cap, and make heavy draughts on your gray matter. There are two large facts which comprehend nearly all of practical medicine-diagnosis and causal treatment. C. |