only unnecessary, but actually injurious. Avoid, therefore, blood-letting, active purging, and emetics. Eat nothing but the mildest kinds of food, as gruel, porridge, custard, soft boiled eggs, boiled rice, and the like; remain quiet in a warm room, and drink no cold water. Apply a bandage of s veral thicknesses of flannel round the throat and jaws, wet with a strong solution of common salt, in warm water, sprinkling freely of salt in between the folds of the flannel, so as to keep up its strength and moisture; renew the application frequently, as warm as can be borne, and continue it for several days. Bathe the feet in warm water with plenty of ground mustard in it, and rub the feet and legs well.

At the same time take internally the following preparation: take of Biniodide of Mercury, three grains; White or Loaf sugar, sixty grains, mix, or triturate, or rub well in a glass, or wedgewood mortar till thoroughly pulverized and mixed; and give of this powder about one to two grains, or about half as much as will lie on a three cents piece, once in two to four hours, according to the urgency of the symp toms. At first you might give a powder once in two hours, till five or six are taken; then once in four hours will be often enough. At the same time put twenty drops of tincture of belladonna into a tumbler of water, mix it well by stirring it with a teaspoon, and give a teaspoonful of this every two hours, or in alternation with the powders. These two remedies may be considered a specific in this disease, and will cure nine cases out of every ten, if not ninety nine in every hundred if properly given and persevered in. See note "F" under Rational Treatment.

Dr. John Buchannan. In his "Centenial Practice" page 66 says:

DIPHTHERIA, an epidemic and contagious disease, depending upon a specific poison which primarily acts on the nerv ous system, as is shown by the vital depression, loss of power, and secondarily on the blood and characterized by the exudation of false membrane on the tonsils and throat.

The peculiar morbific poison seems to find a favorite sphere

of action among strumous, syphilitic, psoric, or other broken down constitutions.

There is an undefined period of incubation, followed by rigors and a continued fever, pain in the head, back, calves of the legs, general derangement of the secretions; tongue conted brown, dry, dark hue at the root: accellerated circulation: sore throat, stupor, drowsy, often delirium, variable in its duration, always attended with danger.

The force of the poison seems to be spent upon the mucous membrane of the throat, and fauces, often times the tongue, and cheek. Little white spects, like blisters, make their appearance here and there, isolated, white. By and by they coalesce in several, or one large patch, which in a few days fill up with serum; a little later it becomes greenish, or gangrenous, forms a large patch like a false membrane. It may break down, or be expectorated in a mass. Throughout the formation of this small membrane, the breath is remarkable for its fætor, and there is great danger of suffocation.

In other cases the symptoms are ushered in with violent vomiting of a thin yellowish white matter, of extremely offensive character, and perhaps purging of a like fluid.

This is usually followed with prostration and stupor. The skin is hot, pulse 100 to 104; tongue, brown dark hue; great thirst, drinks with greediness.

The odor of the breath is very characteristic and peculiarly offensive. It is infected by a specific zymotic poison operating on the secretions of the part affected, as well as the blood and nervous system.

The appearance of the throat (the tonsils, soft palate, back of the pharynx,) presents in some cases a white, shining appearance, a tenacious fluid hangs from the velium to the tongue, and the same gelatinous substance covers all the back portion of the throat.

After a few hours the condition of the patient changes, the stupor passes off and delirium takes its place; high fever, quick breathing, shrill voice, cough, croupy symptoms,

neck swollen and flushed, tongue coated, at first whitish spots, which conglomerate and form one thick plastic deposite.

on;

If remedies do not act and the case progresses, the delirium subsides, the vital forces fail, choking and suffocation come the sufferer tears at his neck with his nails, tries to open his mouth; retains the power of swallowing; purpuric spots on the extremities, muttering delirium, convulsions, and death.

The diphtheritic poison, when once introduced into the human system, has two special and peculiar affinities, one to the nervous system and the other to the blood, and through that agency to the mucous structure.

Diphtheria has a tendency to invade the respiratory passage, nasal foss, the larynx and the treachea. Its characteristic feature is the effussion of the particular, plastic fibrinous material, in appearance resembling washed leather, thrown out in spots, which quickly coalesce, and when united gradually increase in consistency and thickness, firmly attached to the mucous membrane beneath, and if forcibly removed a new patch instantly forms and spreads to all the surrounding parts. When this membrane separates and begins to decompose, the breath becomes horribly offensive. Its disappearance may be followed by ulceration, sloughing, gangrene, or resolution.

Diphtheritic patches have been detected on various parts of the mucous membrane, as the conjunctiva, vagina, rectum.

The peculiar action of the virulent poison on the blood is to destroy its fibrine, hence hemorrhage is not uncommon, from the nose, fauces, bronchi, purpura, albuminuria, death from exhaustion, hemorrhage, gangrene, asphyxia, embolism, sometimes a complication. Recovery under the best treatment is slow and tardy. There is generally persistent anæmia or leucocythemia. The secondary affections are flabby heart, nerve affections, paralysis, neuralgia and amaurosis from exhaustion.

It can easily be recognized from scarlet fever by the coma,

tongue, vescles forming on the fauces, and the formation of the false membrane.

PATHOLOGY.

A terrible poisonous and destroys blood diseases that causes diphtheritic patches on all the mucous membrane of the body.

Continued.

MALARIA.

J. H. HANAFORD, M. D.

Though not "spoiling for a fight," nor wishing to "take the negative referred to in Dr. Miller's article on malaria (is he my old friend, the lecturer?) At least, till I know precisely what the affirmative is, still this subject is open to discussion. If Dr. M. supposes that most of our diseases are caused by malaria, I most cheerfully take "the negative." It is easier to charge most of our ills on the weather, malaria, "sudden changes," "our fickle climate" and the like, than it is to be honest, no "charging everything that is mean on the Creator," as one of our noted female writers has said. Now, I am ready to take this position, first that malaria is a thing of light, relative importance, and that, second, most of our diseases are the direct result of our bau habits, those of eating, drinking, the use of tobacco, intoxicants, the opiates and our general irregularities.

No one will be so stupid as to deny that there are vast strains of poisonous gases constantly flowing into the great air-ocean (by some supposed to be two hundred miles deep) the natural products of decaying vegetable and animal matters. I grant this most cheerfully, and am thankful that such is the case, as it is a part of the wonderful plan of the Creator in sustaining the relations of the animal and vegetable worlds. If the position is one of certain croakers, on this subject and many others. The time is in the near future when all animate creation must disappear, swept away by a pestiferous flood of malaria, actually suffocated in the lower stratum of the air, as carbonic acid gas is heavier than air,

and therefore, falls to the earth, where man must live till thus suffocated. They seem to forget the great law of diffusion, by which all such gases are promptly distributed through the vital air, constantly becoming less and less harmful, while still other forces are as constantly at work disposing of these poisonous gases, utilizing them. 1 freely confess that every time that I breathe, about 4,1-2 per cent. of a deadly gas escapes into the air and that when 6 per cent. is produced animal life cannot be well supported (more than this being produced breathing the same for the second time) and that I have been doing the same for more than sixty-eight years, robbing the air of its most vitalizing element, from which this foul gas has been evolved, notwithstanding which "I still live." I as freely confess that every time that I light a lamp I am destroying about the same as I consume-gas-burners producing still more carbonic gas, and that when I build a fire I vastly increase this supply of the deadly gas, still the world has not be 'n destroyed. Aside from counteracting forces, such breathing, combustion, decay, putrefaction, &c. I well know that the end would have occurred long since, still I am hopeful, not disposed to yield to imaginary evils.

Now, in addition to the fact that all such gases are rapidly bereft of their power for harm, by diffusion. The winds are constantly wafting them away across the ocean, on the prairies and uninhabited portions of the earth, where no harm can be done, the whole vegetable world comes to the rescue of the animal kingdom. Vegetation is constantly absorbing the filth which is floating in this air-sea, thriving upon what would soon poison us, while the leaves are as active in absorbing carbonic acid gas, appropriating the carbon for its growth, at the same time returning the oxygen which respiration, combustion, decay, &c., have taken from the air, preserving its purity. The two kingdoms, therefore, are mutually dependent, and the more each contributes to the other, the greater will be its returns. Aside from the interferance of man, therefore, I say that we have but lit