ened out the leg, there was a space entirely clear where the skin and flesh had been taken off right to the bone, and he had not had any attention for three days and nights. I went around and lifted him up and put him in the ambulance, and put him in the hospital in a bunk, and this wounded leg from the bottom up got as red as ever I saw a case of erysipelas. I wanted to save this man's life. I would take quinine — just a teaspoonful of quinine and mix it with tincture of iron, and make it thick like soup, and he would drink that. I gave him egg-nog and punch to drink, and everything I could get to sustain the physical That man just shed the skin off that leg like a snake does in the spring, and there was at least a pint to a quart of pus discharged every day. I treated it with a solution of sugar of lead, and dressed it just as often as necessary, sometimes twice a day.

man.

Dr. Keller: I do not like to interrupt, but there is a meeting of the Executive Committee when we adjourn at this hour. There is a good deal for this committee to do, and there are other important engagements to be attended to afterward. I move that we adjourn until the hour appointed for the meeting this afternoon, so that this committee can meet and attend to this business at once.

This motion was duly seconded and carried, and the meeting adjourned until three o'clock P. M.

(To be concluded in October number.)

Editorial.

YELLOW FEVER AT NEW ORLEANS.

THE country at large was more or less alarmed through the greater portion of July last at the appearance in the Crescent City of this dreaded visitor, after an absence of more than a quarter of a century. As a matter of course, at first there was more or less of a panicky feeling at many points in the South that had suffered so direly in the past, but this has now, to a great extent, subsided, and while at this writing (August 15) the spread of the disease cannot be said to be entirely under control, yet the indications most satisfactorily point that way, and we believe that we can safely predict that the worst is over.

The disease began in that portion of New Orleans known as the "French Quarter," or below Canal Street, and while but few cases have occurred in the upper and better part of the city, or at even distant points, they can or have all been traced as having been infected from this particular locality. At this date there have been in all 1,018 cases reported in New Orleans with only 166 deaths, and the cases that have occurred at other points have not been permitted to spread. Take the two cases that made their way to Shreveport, or the one at Montgomery, Ala.; a sufficient time has elapsed to have had other cases developed therefrom under the measures formerly in force, but in accordance with the views established by Dr. Reed and his associates in Cuba, now accepted as reliable and in every way satisfactory, by means of which the disease has been driven from Havana, we can almost with a certainty depend on the disease going no farther at those two localities unless there is additional infection.

The most encouraging point, in our view, is in the fact that a week ago, at the request of the municipal and sanitary authorities of New Orleans, the United States Government, through its Department of Public Health and Marine Hospital Service, was requested to take charge of the matter in that city. We say this with all respect to and acknowledgement of the efficiency and capability of the State and municipal health and sanitary officials. Dr. Souchon, of the State Board, and Dr. Kohnke, of the City Board of Health, are and have proven themselves in every way as energetic, earnest and efficient as like officials of any State or municipality in the land; but years ago we contended that State and local boards of health were not competent to cope with an invasion of so serious a character, and that the more powerful forces of the National Government were essential.

State and municipal boards of health have certain duties that they and only they can most satisfactorily perform, but there are other points, other duties, that can be best, if at all, controlled by the National Government. These views we enunciated years ago in the pages of this journal, and we are glad to see that the authorities at New Orleans, the medical profession there, and the citizens with a marked unanimity are acting on this line.

State sovereignty and State rights are well enough when they measure up to the requirements of the occasion; but when they fail to meet the requirements in the face of death and danger, as they have so often done in the past, the people will not be deterred by sentiment from accepting services that are effective. See the untimely and unseemly squabble between the Governors of Louisiana and Mississippi. Under Federal control of quarantine such would never have occurred, and the wretched "shot-gun" quarantine, that, as a rule, is far more harmful than effective, will have no place.

We have used the argument before, yet it is none the less valid. In

the event of foreign invasion, the National Government at once assumes control, and if need be, martial law takes the place of State enactment and municipal regulation. So, in an invasion of a most deadly and destructive foe, death dealing to our citizens and most destructive to all commercial and business enterprise, even though it be wafted on the harmonious hum of a mosquito's wing, let the strong arm of the National Government be put forth for its control. What has been done in the "Queen of the Antilles" can be done in our famed "Crescent City," and throughout all our broad, beautiful and magnificent Southland, and another argument is added in favor of national control of quarantine, in which the South will be the greatest beneficiary.

INTERNATIONAL MEDICAL CONGRESS.

THE next meeting will be held in Lisbon, April 19-26, 1906. It is expected that it will be one of unusual importance for a meeting which will be held in what has always been considered as an out-of-the-way country. Already the titles of papers from some of the most distinguished men of the medical profession have been received. Some of the topics for discussion that have been selected by the Excutive Committee are the following:

Section of Descriptive and Comparative Anatomy, Anthropology, Embryology and Histology.-"Definition, Structure, and Composition of Protoplasm;" "Origin, Nature, and Classification of Pigments;" "Cellular Changes in Normal Tissues;" "Evolution and Involution of the Thymus Gland."

Section of Physiology.-"The Role of Leucocytes in Nutrition;” “The Thyroid Secretion;" "Renal Permeability;" "The Nutritive Value of Alcohol;" "The Physiology of the Cytotoxins;" "The Blood Ferments."

Section of General Pathology, Bacteriology, and Pathological Anatomy. -"What Are the Present Scientific Proofs of the Parasitic Nature of Neoplasms, Especially of Cancer?" "Preventive Inoculations against Bacterial Diseases; " "Preventive Inoculations against Protozoic Diseases;" "Preventive Inoculations against Diseases from an Unknown Specific Agent;" "The Pancreas and Fat Necrosis."

Therapeutics and Pharmacology.-"Local Therapeutics in Infectious Diseases;" "Separation, from a Physiological and Therapeutic Point of View, of the Different Radiations Produced in Crooke's Tubes and of those which are sent out by Radioactive Bodies;" "The Therapeutic Value of Bactericidal Serums;" "The Relation between the Molecular Constitution of Organic Bodies and their Physiological and Therapeutic Action." Section of Medicine.-"The Pathogenesis of Diabetes:" "The Pathogenesis of Arterial Hypertension;" "The Treatment of Cirrhosis of the

Liver;" "Cerebrospinal Meningitis;" "International Defense against Tuberculosis;" "Meningeal Hemorrhages."

Section of Pediatrics.-"Spastic Affections of Infancy; Classification and Pathogenesis;" "Cerebrospinal Meningitis, Etiology and Treament;" "The Social Struggle Against Rickets; "Orthopedic Surgery in Affections of Nervous Origin, Spastic and Paralytic;" "Congenital Dislocation of the Hip;" "The Treatment of Abdominal Tuberculosis (peritoneal)."

Neurology, Psychiatry, and Criminal Anthropology.-"Penal Reform from the Anthropologic and Psychiatric Point of View;" "Forms and Pathogenesis of Dementia Praecox;" "The Relations of Progressive Muscular Atrophy to Charcot's Disease;" "Cerebral Localization in Mental Disease;" "Education and Crime;" "Stigmata of Degeneration and Crime."

Section of Surgery.-"Septic Peritoneal Infections; Classification and Treatment;" "Gastro-intestinal and Intestino-intestinal Anastomoses;" "Recent Additions to Arterial and Venous Surgery."

Section of Medicine and Surgery of the Urinary Organs.-"Surgical Intervention in Bright's Disease;" "Surgical Treatment of Prostato-Vesical Tuberculosis;" "Progress of Urology in the Diagnosis of Renal Disease;" "Painful Cystides."

Section of Ophthalmology.-"Blepharoplasty;" "Serotherapy in Ophthalmology."

Section of Laryngology, Rhinology, Otology, and Stomatology.-"Study of the Opileptogenous Action of Foreign Bodies in the Ear and of Vegetations in the Naso-pharynx;" "The Different Forms of Suppuration of the Maxillary Sinus;" "Injections of Paraffin in Rhinology;" "Differential Diagnosis of Tubercular, Syphilitic, and Cancerous Lesions of the Larynx;" "Choice of Anesthesia in the Extraction of Teeth;" "Treatment of Alveolar Suppuration."

Section of Obstetrics and Gynecology.-"Conservative Surgery of the Ovaries;" "Tuberculosis of the Adnexa;" "Symphisiotomy;" "Pregnancy and Cancer of the Uterus;" "Therapy of Puerperal Infections."

Section of Hygiene and Epidemiology.-"The Intermediary of Yellow Fever;" "The Co-operation of Nations to Prevent the Importation of Yellow Fever and the Pest;" "Watering the Streets as a Means against Tuberculosis;" "Recent Additions to the Etiology and Epidemiology of Epidemic Cerebrospinal Meningitis."

Section of Military Medicine.-"Portable Ration of the Soldier during Campaign;" "The Purifying of the Country Manor;" "Emergency Hospitals on the Battlefield."

Section of Legal Medicine.-"Signs of Death from Drowning;" "Ecchymoses in Legal Medicine;" "Epilepsy in Legal Medicine;" "Organization of Medico-legal services."

Section of Colonial and Naval Medicine.—“Etiology and Prophylaxis of Beri-beri;" "Etiology and Prophylaxis of Dysentery in Hot Countries;" "Mental Diseases in Tropical Countries;" "Hospital Ships and Their Function in Time of War;" "Tuberculosis in the Navy and its Prophylaxis."

A RECOGNIZED AUTHORITY OF THERAPEUTICS makes the following state

ment:

"In treating acute and chronic rheumatism I regard the patient in much the same light as the surgeon does an infected cavity, the all-important necessity being drainage in both instances. Whether the drainage is for the purpose of eliminating a germ or its toxic product, or the toxic product of a faulty metabolism, the economy demands an elimination of the detrimental substance before results from medication may be expected.

"We should then institute a system of drainage especially from the skin, kidneys and bowels."

Tongaline is constructed on exactly these principles, since in addition to the anodyne and sedative properties of the tonga and cimicifuga, the anti-rheumatic and diuretic properties of salicylic acid made from the natural oil of wintergreen, there is the cathartic action of the colchicum and the diaphoretic action of the pilocarpin.

Hence in Tongaline we have the ideal eliminant, and no remedial agent will enable you to correct more promptly and thoroughly rheumatism, neuralgia, grip, gout, headaches, sciatica, and lumbago.

TREATMENT OF GENITO-URINARY TROUBLES.-Cystitis being the most frequent of the chronic inflammations of the urinary tract, we may take it as an example for consideration. My experience with hundreds of these cases taught me to always examine the urine closely. From a therapeutic standpoint, we are not interested so much as to just where the irritation is located as we are in what will cure the patient. In these cases I have prescribed cystogen, which has a direct action upon the mucous membrane of the genito-urinary tract. Formaldehyde is liberated in the urine, and the whole tract from the glomerulus of the kidney to the meatus is bathed with a solution of formaldehyde, this preventing the formation of pus, allaying irritation, and overcoming decomposition. Cystogen aperient was prescribed in many cases. This is an effervescent salt of cystogen, containing phosphate of soda, and its administration was followed by marked improvement in all cases. Cystogen aperient should be prescribed when a laxative is desired in connection with the therapeutic effect of the drug.-Brose S. Horn, M. D., in Charlotte Medical Journal.