Page images
PDF
EPUB

cutting is the minor part of surgery, and we doubt not that the greater part of scientific surgery is eruditely treated in Senn's Principles. The man who has the "principles" for a foundation may make a surgeon; the man who does not have them-- never.

Regeneration, inflammation, pathogenic bacteria, necrosis, suppuration, ulceration and fistula; suppurative osteomyelitis, suppuration in large cavities, abscess of internal organs, septicemia, pyemia, erysipelas, tetanus, hydrophobia, surgical tuberculosis, and its clinical forms, and of the lymphatics, and peritoneum, and of the bones and joints, and of tendon sheaths, etc.; actinomycosis hominis, anthrax, and glanders, etc., all receive in this work the utmost care and attention of the author whose vast and varied surgical experience is seldom equalled. It is written in a plain, practical style, and the mechanical make-up of the book-the publisher's part is no exception to the many other excellent works that have emanated under the well known name and supervision of this firm. As a whole, we say (because we believe it) that the library of any man who makes any pretension of surgery whatever, is incomplete without a copy of "Senn's Principles." It has no equal.

A Manual of Nervous Diseases and their Homeopathic Treatment. A compend for students and physicians, by George H. Martin, M. D. professor of mental and nervous diseases Hahnemann Medical College, San Francisco. Pp. 325 Price $2.00. The Medical Century Company, Chicago and New York.

We are very favorably impressed with this little work of Dr. Martin, and can very conscientiously recommend it to all students and practitioners. It has some material advantages over the larger works on the subject. In it we have the "kernel of the nut”- the practical outline that enables one to grasp at once the features of a case in hand. The two dollars spent for this book are well invested. In part one is given a brief, practical, up-to date anatomy and physiology of the nervous system. Then follow thirty pages on symptomatology, under which there is a brief outline of motor, sensory, trophic, reflex, digestive, urinary, sexual, eye, ear, nasal, gustatory and speech symptoms. Then comes, method of inspection, followed by diseases of the brain, its membranes, of the cranial nerves, spinal cord and its membranes, the muscles, the spinal nerves, and functional nervous diseases. Under each particular disease is its definition, its cause, its pathology, its symptoms and its treatment. The latter is sub divided into general, dietetic and remedial. Under remedies the most prominent are given, with the special indications for each. Neither dose or attenuation is given any prominence whatever. There is nothing visionary about the book. It is solid facts, and is worthy the attention of any physician.

[blocks in formation]

The GLEANER will not knowingly be sent regularly to anyone who has not subscribed for it, or who does not wish former subscription continued. If anyone is receiving the GLEANER regularly who does not want it, or who does not intend to pay for it, he should at once advise 11s of the fact, because payment will be expected unless such notice be received.

This has no reference to occasional sample copies that are received at irregular intervals. No pay will be demanded for them.

EDITORIAL NOTES,

Doctor, can you, in these so called hard times, invest a dollar where it will do you more good, than in a year's subscription for the GLEANER? There are points on every page that will be of lasting benefit to you in your daily work. Do you want it? A dollar and your address is sufficient reply.

MALARIA. That something, we (possibly improperly) call malaria is always with us. During the fall it is worse, and it often keeps up its didoes far into winter. Quinine and arsenic are the classical remedies. But there are many objections to both of these. Both of them disagree with many people, and both of them, if used in large quantities or for a long time, leave very bad effects. Then again, many become quinine an arsenic-proof. And then there are the children. Who wants to be dosing them with such gross, and unpleasant remedies? It is true the arsenic is not unpleasant, and children take to it idiosyncratically, but it is not a remedy whose use should be long continued in a given case. It establishes a fictitious condition bearing some of the external indices of health, but not being genuine, they fade out, leaving the patient worse off than in the start. It is the persistent and uppermost and perpetual suggestion of rational medicine to give those remedies which are soon eliminated from the system, and which leave no toxic dregs behind.

In the September Cincinnati Medical Journal is an article from Dr. Geo. J. Monroe on acetanilid as a remedy for malaria. Old Dr. Brodnax, of Louisiana, a breezy old relic of antiquity who still salivates and bleeds, but who nevertheless monkeys with some modern remedies, bad recommended it with ebullient confidence. Dr. Monroe bad thoroughly tested it and found it to be no good in this condition, of course. Dr. Monroe says, after relating his experience with it: "I wish to give all the credit I can. Yet I am very well satisfied that malaria is caused by the same conditions in one section of the country as another. Its effect may be more marked, yet it is the same poison. Reasoning, logically, therefore, what must I conclude? That acetanilid is nil in its effects upon malaria everywhere. Can it be possible? Yes, I think it is possible, and very probable that Dr. Brodnax is laboring under a great mistake so far as the effects of acetanilid are concerned. In Kentucky, we absolutely have to resort to the quivine and arsenic in order to control malaria. I have never known, although many have tried it, a case of malaria to be cured by acetanilid. I have often wished that some method of treatment might be devised, where we could cure malaria without having to resort to the use of quinine. Quinine, we know, acts powerfully upon the nervous system; often it has a bad effect upon the stomach. Sometimes the skin is badly affected from its use. It has other bad effects, yet, in spite of all that, so far, we have nothing to take its place. When we attempt to control malaria by acetanilid, or any other means, than quinine and arsenic, we are simply losing time."

Now the fact is, it is only in exceptional cases that I use quioine; and arsenic, almost never. I suspect this is true of a majority of eclectics. In typical intermittent, and cases characterized by a pronounced periodicity, I use quinine if the patient does not object to it, and if it is not objectionable for other reasons, the chief of which is childhood. Who would give a child quinine! The fact is, we see in this section but few cases of the old fashioned "chills and fever." I have seen but a half dozen in the last year.

If you want to use heroic means and make a short job of it, without employing quinine, use the anticipatory sweat. Give your patient a hot sitz-and-foot bath, with a hot vervain tea accompaniment, so timing the bath that the patient will be shedding rivulets of sweat when the chill or molyma is due. This will “bust” the chill all to flinders—there'll be no chill. One such treatment is often sufficient, but I advise two or three of them, or even more in very old and intractable cases. Just try this brethren, you who have never yet done so. It is much more certain than quinine.

I cure five sixths of my malarial cases without a resort to any of these heroic methods. It is a fact however, that I frequently use quinine by inunction, in connection with my standard treatment. My substitute for quinine is gelsemium and bryonia. In some cases I

replace bryonia with ipecac. Little and often is the rule. For an adult twenty drops of Lloyd's specific gelsemium and five to eight drops of specific hryonia in a glass two-thirds full of water. A teaspoonful every hour. Strength of the medicine to be proportionately reduced for children. Small as the dose seems, this is heroic treatment by virtue of drug summation. You can not safely give these specific remedies in larger doses. Remember they are from four to ten times as strong as common tinctures. They are insallibly uniform in strength, the foregoing statement being justified by variations among the common tinctures and fluid extracts on the market. If you are used to other tinctures which you know to be made conscientiously from fresh and reliable crude drugs, learn their strength as compared to the specific medicine, and then figure out the quantity necessary to correspond with the amounts I have indicated. If you are not careful about this, you will be disappointed and think I am only one more victim of coincidence, if you don't think that, under pet-remedy pressure, I have been led into crazy exageration.

This gelsemium bryonia method, as the central therapeutic idea, is the boss in malarial fever. Coinine is peremptorily contraindicated in this fever any time before it merges into an intermittent or takes on convalescent features. In either event the skin must be moist, and the tongue cleaning before you employ it.

C.

AS TO ECLECTICISM. Woen eclecticism ceases to be heretical as related to regular medicine, it will be proper to begin to talk about the union of the two schools. So long as our allopathic friends can consistently call us therapeutic and ethical heretics, the talk in favor of the coalition of these systems is retrogressive. The trouble of this proposition depends upon the fact that allopathy is moving toward us, not we toward them. Eclecticism bears to allopathy the relation which the horse at the end of the tow line bears to the canal boat. We are dragging the old school into ethical liberality and therapeutic precisionism. They don't like to admit this, but it is one of those virile and rampant facts that you can't head off. If they have progressed-and they have-it has been through the adoption of eclectic methods and medicines.

In the beginning the difference between the two systems depended upon the beneficient, and broad norrowness of eclecticism. The breadth of the new school was ethical; the narrowness, therapeutical. However, the establishment of an obsolescent list was wise in the fatbers. Only radical movements will break up conservative lethargy. Startling doctrinal departures are necessary to shake the routine world. Professional magisturalism had held the people in unquestioning

silence, so that medical slaughter was accepted as a matter of course. The establishment of a new system had to depend upon the co operation of the people. These radical movements on the part of a brave few awakened their attention, which gradually warmed into sympathy, which finally melted into espousement.

The rank and file of present-day allopathy is nearly as far removed from the eclecticism of to-day, as it was sixty years ago from new-born eclecticism. It is true there are advanced allopaths who are within hand-shaking distance of eclecticism. These gentlemen, forgetting that they have far outstripped their comrades, see but little to prevent a coalition of the schools. Their positions are honorable to them to the last degree, but their very nobility has blinded them to the actual relationships of the two schools.

The analytic, close-shaving spirit of the times is hard on therapeutic haphazardism. The requirement of the age is that we must work to the line. Allopathy has no line. Very laudably, they have been trying to create a bacteriological one, but the attempt is proving a failure. Even if they could have established the truth of the germ theory, no therapeutic good would have come from it. Diagnostic accuracy might have been furthered a little, but that would help therapeutics in only a very small negative sense. The close, intelligent study of drug action opens the only road to clinical success.

C.

.

[ocr errors]

MEDICAL REGISTRATION IN Ohio.—The State Board of medical registration has issued the following statement: Graduates of medicine granted certificates to date .

6367 Legal practitioners granted certificates to date

588 Total

7155
Applications rejected to date . .

236
Applications under consideration
Grand total of applications received

7491
Number of physicians in state as per Polk's Directory .

7560 Secretary Winders of the board, says, that this directory contains many duplicate names and the names of many persons who are not practicing medicine. Comparing this total to the number who have been considered by the board, it will be seen that a very small number, comparatively, have not complied with the law.

Notwithstanding reports and rumors to the contrary, the Board has not heard of a single effort to test the law by any physician throughout the state. It is prepared to defend any attempts to assail the law. The hearty response which the board has received leads them to believe that the law is a good one and has the endorsement of nearly all the physicians of the state. [Since writing the above it has come to our knowledge that one-a Dr. Leatherman, of Columbus, Ohio, has con

« PreviousContinue »