MISSISSIPPI VALLEY MEDICAL ASSOCIATION.

THE last meeting of the Association, the 32nd, held in Indianapolis was a most successful one from every standpoint, especially as regards the scientific and social features. The Association selected Hot Springs, Arkansas, as the place of meeting for 1906, a meeting not having been held at this place for twelve years or more. That meeting twelve years ago

has been rated as one of the most successful the Association ever had. The Lancet-Clinic, of Cincinnati, was again selected as the organ of the Association, and will be sent as before to all members who are paid up in their dues. Full stenographic report of the proceedings will be published in the Lancet-Clinic as rapidly as possible.

The election of officers for the ensuing year resulted as follows:-
President, J. H. Carstens, Detroit, Mich.

First Vice-President, J. Rilus Eastman, Indianapolis, Ind.
Second Vice-President, H. Horace Grant, Louisville, Ky.
Secretary, Henry Enos Tuley, Louisville, Ky. (re-elected).
Treasurer, S. C. Stanton, Chicago, Ill. (re-elected).

SAL HEPATICA VS. NATURAL MINERAL WATERS.-The superiority of Sal Hepatica over the natural mineral waters that are specially recommended in the uric acid diathesis and the various forms of constipation is clearly shown by the following facts:

By commingling lithium and sodium phosphates in proper proportions with certain of the "Bitter Water" salts, as represented by Sal Hepatica, a compound is secured that is superlatively more active than either the lithium or sodium salt alone, or, indeed, than any natural mineral water or any combination that can be effected. Recognizing this, the most eminent practitioners latterly have taken to prescribing Sal Hepatica in preference to the natural waters, with the result that the remedial action of the latter is enhanced, the untoward manifestations accruing reduced to a minimum, and their palatability materially increased.

Sal Hepatica is very effective in limiting and reducing the amount of uric acid formed within the circulation and excreted by the kidneys, and is very freely absorbed and taken into the blood, and as rapidly (along with the chemical products formed) eliminated by the excretory ducts or organs as is readily demonstrated by its presence, after a brief course thereof in perspiration and urine, the latter more particularly being doubled or trebled as to quantity and rendered decidedly alkaline.

FOR TAMPONING Kennedy's Dark Pinus Canadensis is preferred by

many.

TREATMENT OF TUBERCULOSIS.- Dr. Edwin L. Drake, Winchester, Tenn., urges that it should be active and energetic, and specifically directed to resolve the infected area, as the surest way to reach and destroy the bacillus and avert cavities, or if formed, to promote their exsiccation and closure, and abort new foci of infection. He has elaborated such a treatment, which has been tested by himself and others with excellent results, the lung being cleared of the deposit and cases aborted within two months, in every instance in the pre-cavital stage, and some surprising cures in the cavital.

He relies mainly on the liq. nitri. sulph. iron and zinc, iodized, a powerful vaso-constrictor and resolvent, and an active corpuscle builder, anti-suppurant, and bacillicide. He also uses strychnia, arsenic, and quinine and iodized lotions over the larynx and chest.

The rationale of his treatment is excellent, and in accord with the most advanced ideas in the drug therapy of tuberculosis. He offers to send a free trial sample of the full treatment to any physician who will send stamps for postage or pay express charges.

With a personal acquaintance with Dr. Drake for many years, we can sincerely recommend that any reader of this journal who may be interested in this subject, give his suggestions a trial. He has long given this subject careful and thorough investigation. A man of mature age and well poised mind, having served with credit and distinction throughout the war between the States, a regular practitioner whose diploma dates back toward the middle of the last century, his experience has been large and varied.

WINE VS. Coca.- H. W. C., Boston, Mass., writes to the editor of the Coca Leaf: I ask a pertinent question, yet one made in all sincerity, which I am sure many of your readers will be glad to have answered. Is not the influence of the wine in Vin Mariani more important, and really more serviceable, than the Coca it contains?

Vin Mariani is primarily a Coca preparation, and its properties are those of true Coca, the delicate volatile principles of which are conserved and rendered more effective by the added influence of the mild Bordeaux wine. The physiological effects of Coca are enhanced by the initial stimulation of the wine, which speedily gives place to the prolonged benefits of the drug. On the other hand, the after-effects of even a mild alcoholic, when taken alone, are wholly masked by the influence of the Coca of this unique combination. There are numerous instances when Vin Mariani has been employed to support life during protracted periods to the exclusion of all other forms of nutriment. A result which could not be achieved by merely wine alone.- Coca Leaf, January, 1905.

NOTES ON A CASE OF PERIMETRITIS.—I was called to see a female patient in the city on October 12, 1904. On arrival I found her with fever, temperature 102 degrees, tongue coated, pulse rapid, bowels costive, urine scanty and high colored, pain and tenderness over the hypogastric region as well as in both iliac fossæ, vagina hot (as told by native dhai) but no discharge. On palpation the uterus was found hard and on inquiry it was found that the present complaint was due to abortion and exposure to cold. I diagnosed the case as perimetritis associated with ovaritis and prescribed:

(1) Calomel gr. 1-4. One every three hours.

(2) Antikamnia & Heroin Tablets. One every four hours.

(3) Turpentine stupes over the seat of pain.

(4) Liquor Morphia, 15 minims at night, if no sleep.

Oct. 13.- Pain less than before, had a good sleep for four hours. Continued the same treatment.

Oct. 14. Pain less than the previous day, had good sleep without morphia.

Oct: 15.- Pain considerably less, patient could walk with the aid of stick. Good sleep. Continued same treatment but stopped turpentine stupes.

Oct. 16.- Very slight pain remaining, patient weak, otherwise well. Stopped calomel, prescribed castor oil, oz. I, and continued Antikamnia & Heroin tablets as before.

Oct 17. No pain at all. Bowels moved twice. Prescribed tonic mixture. Patient getting well.

REMARKS. In my opinion the recovery of this case was due to the analgesic and antipyretic properties of Antikamnia & Heroin Tablets. They are worth a trial in such conditions.- Hukam Chand, C. M. S.. Surgeon Delhi Hospital, Delhi, India, in Practical Medicine, March, 1905.

IN VIEW OF THE NUMEROUS CHEAP SUBSTITUTES for cod liver oil and the prevailing tendency to adulterate the ingredients used in them, it is gratifying to know that Scott's Emulsion continues to maintain its high standard of excellence and that it contains such a large percentage of the pure Norwegian oil—a higher percentage than is contained in any other emulsion. In prescribing cod liver oil, we trust that you will not overlook the fact that Scott's Emulsion has been the standard for thirty years.

THE PHOSPHATES OF IRON, SODA, LIME AND POTASH, dissolved in an excess of Phosphoric Acid, is a valuable combination to prescribe in Nervous Exhaustion, General Debility, etc. Robinson's Phosphoric Elixir is an elegant solution of these chemicals. (See ad. page 17.)

IMPORTANT NOTICE.- Judging from communications recently received, our reference to the "stegomyia fasciata" in connection with the "stegomyia punctata" has caused some physicians to suppose that we recommended Tongaline for yellow fever. This we emphatically disclaim.

The mention of these two species of mosquitoes was for the purpose of indicating that the mode of inoculation of yellow fever and malaria was precisely the same, and a careful reading of our statement will show that we had no intention to suggest that Tongaline was indicated in yellow fever, but on account of its pronounced eliminative action it did possess decided therapeutic value in the treatment of malaria.

We regret exceedingly that the notice referred to should have been misunderstood or misconstrued by anybody.

MELLIER DRUG COMPANY, ST. LOUIS, MO.

The following is a copy of the reading notice which recently appeared, and an unbiased and unprejudiced mind can readily see just what was intended. ED. S. P.

"Stegomyia fasciata has produced an epidemic of yellow fever in certain sections of Louisiana and adjoining states.

"Stegomyia punctata has inoculated thousands with virulent malarial germs throughout the balance of the Mississippi Valley.

"Tongaline, Mellier, in one of its forms as indicated, antagonizes and destroys the effects of these parasites on account of its extraordinary eliminative action on the liver, the bowels, the kidneys and the pores, whereby the poison is promptly and thoroughly expelled."

A POSITIVE FACT.-The profession generally has come to recognize Scott's Emulsion as one of the best available remedies in the treatment of anæmic children and pale young girls. To those who have not tried Scott's Emulsion in such cases we would be glad to refer them to specific cases and would suggest an early trial of Scott's Emulsion in any particularly stubborn case of anæmia, rickets, chlorosis or marasmus.

CYSTITIS. The treatment of cystitis should be direct and indirect; whether it be due to gonorrhoea, 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.

R.

Cystogen tablets, aa, 5 gr. No. XXV.

Sig. One in a glass of water after each meal.

FAIRCHILD'S ESSENCE OF PEPSINE is obtained by direct extraction from the fresh stomach glands and presents the active ferments and all the essential organic and inorganic soluble constituents of the gastric juice in their natural association.

Fairchild's Essence of Pepsine is a clear, bright solution, devoid of all suggestion of animal origin; is highly agreeable, carminative and stomachic, and these qualities enhance its therapeutic effects as an extract of the gastric juice.

Fairchild's Essence is a veritable gastric juice extract, absolutely constant in all respects-enzymic characteristics, composition, physical and physiological properties, and of a therapeutic value established by many years of clinical experience; contains the entire gastric juice constituents in their normal association, its enzymic nucleo-proteid physiologically bound to the hydrochloric acid.

This extract of the gastric juice - Fairchild's Essence is a rigidly standardized product, sterile, stable, wholesome, and highly agreeable. Fairchild's Essence of Pepsine is

An aid to digestion for both adults and infants.

An aid to the toleration of drugs which disturb digestion and impair the appetite-given at the same time or immediately following their administration.

A vehicle, by far the best available - for the iodides, bromides, salicylates, mercurials etc., and for many tonics.

A reliable and wholesome rennet agent- for making junket and whey as foods for invalids and infants.

WAYNE'S DIURETIC ELIXIR.- For more than twenty years we have been using with the greatest degree of satisfaction the above well known preparation in all cases requiring a gentle, certain, mild, and unirritating diuretic. It is the formula of Dr. Wayne, who had given unusual consideration to vesical and renal pathology, and his combination consists principally of buchu, juniper, and acetate of potash, combined in such a way as to make it a most valuable aid in the treatment of all cases of renal or vesical irritation needing gentle stimulation and avoidance of irritation, the latter being greatly allayed when present. We have found it particularly beneficial in urethritis especially, and for many years it has been the only internal medication we have used in these cases, especially specific urethritis, outside an occasional laxative. With quite a number of our professional friends in this city it has become both a "stand-by" and a standard.