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brains and puny bodies, abnormally active cerebration and abnormally weak digestion, the brilliant graduate, an invalid !” Why? The physiological principle is that the blood can supply the force for but one great work at one time in the body. “ Nature has reserved the catamenial week for the process of ovulation, and for the development and perfection of the reproductive system.” (Dr. Clark.)

Disregarding woman's complex system, the heresy is that a woman can do a man's work of persistent study, in a man's way, which is impossible. In a woman's way she can obtain a liberal education for her sphere and develop her feminine nature.

• Previously to the age of eighteen or twenty years, opportunity must be periodically allowed for the accomplishment of this task. Both muscular and brain work must be remitted enough to yield sufficient force for this work. If the reproductive machinery is not manufactured then, it will not be later. Force must be allowed to flow thither in an ample stream, and not be diverted to the brain by the school, nor to the arms by the factory, nor to the feet by dancing. This care for girls is the duty of the mother and should be demanded by the family physician. “The sad result of neglect of this demand in girlhood, is that it breeds the germs of diseases that in later life yield torturing or fatal maladies.” (Clark.)

Neglect of the young woman during the period of her maturity, through ignorance or indifference, germinates a host of ills, which are well known to physicians under their respective names. Thus a careless management or neglect of the catamenial function at any age of its activity, is followed by consequences that are serious; but neglected during the epoch of development, from the eighteen to twenty years, is fraught with great evil at the time of neglect and leaves a large legacy of suffering to the future. A life of suffering is entailed, a useless existence dragged out in misery and woe. Such a trend of affairs would menace the happiness and perpetuity of the human race.

Dr. E. H. Clark of Harvard University uses the following startling language: “If the culture of the race moves on into the future in the same rut and by the same methods

that limit and direct it now; if the education of the sexes remains identical, instead of being appropriate and special, and especially if the intense and passionate stimulus of the identical co-education of the sexes is added to their identical education, then the sterilizing influence of such a training, acting with tenfold more force upon the female than upon the male, will go on, and the race will be propagated from its inferior classes. The stream of life that is to flow into the future will be Celtic rather than American: it will come from the collieries, and not from the peerage.”

Another cause of woman's trouble is the tyranny of fashion. The unanatomical shoe that crowds and compresses her foot into torture and deformity, with its thin soles that admit the fatal cold; “ corsets that embrace the waist with a grip that tightens respiration into pain ; and skirts that weight the hips with heavier than maternal burdens, have all caused grievous maladies and imposed upon her a needless invalidism. Her vigor is impaired, the functions of her feminine nature suffer deterioration, and permanent injury becomes transmitted to posterity. (Meigs.)

The descent of nobler species of animals through physical evil to extinction, and their successors of inferior genera, are warnings to the careless, the ignorant and the erring, to become wise and obedient to the physiological laws of the human constitution.

The rewards of effort, knowledge and care, in more fragrant flowers, with richer variegated hues; in russet and purple fruits of more exquisite taste; in animals of surpassing beauty, value and fleetness, all obtained from lower types, at great labor and cost, are hints divine that prompt, encourage and command every philanthropist to teach and guide our race to higher perfection of physical being. Let our noble medical profession become the evangéls of mercy to dissipate the clouds of ignorance and to found a sentiment and public opinion that shall enlighten men and women as to the sacred duties they owe our race, that woman may be protected and promoted to that high progress of perfection and happiness of humanity which the divine ideals create.

Let the theologian minister to the safety of the human soul

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where it is said, a great multitude of the immortals transferred to paradise above are free from sickness and are robed in white; but let the physician, his mission of help on this earth, for mortal men, lead woman, freed from her ills, back to Eden, where the reign of physiology, the physical healer, shall extract the serpent's sting, suppress the base elements of the earth and crush the lion's violence, and the multitudes of marvelous longevity shall bask in the light of millennial splendors.



To the Memphis Medical Monthly, February, 1889, I contributed an article under the title of “ Atypical Forms of Typhoid Fever,” in which I offered some reasons for considering the fevers of this locality as being of malarial origin. My experience in treating these fevers during the four years, nearly, which have passed since that article was written, has strengthened my convictions of the cases of continued fever we are called upon to treat. But this is a question that can never be positively settled except by the pathologist and microscopist; and, as I make no claims to being an expert in either of those departments, I will urge my views no farther, but I wish to offer some suggestions as to treatment.

In treating a case of this fever the first thing to be considered is, whether we can break it up or shorten its duration; and the profession seems to be agreed that we cannot; and this fact is urged as evidence that it is not of malarial origin. In the whole range of therapeutics there is nothing from which we get more decided results than the administration of quinine in intermittent fever, while in the continued fevers about the only effect we get is gastric derangement; but quinine, to be effectual in intermittent fever, must be given during the intermission.

If a man comes to you with a history of a chill every day, followed by fever, of say ten hours' duration, you can give him quinine during the intermission and prevent a recurrence of the chill and fever, and sometimes after the cold stage has come on you can give quinine and prevent a rise of fever, but


it wait till the temperature has risen above the normal, you cannot then give quinine and shorten the duration of the fever. So far, then, as the effect on the duration of the fever is concerned, we get about the same results from the use of quinine in both forms of fever. Admitting, then, that we çannot shorten the duration of the fever, and having very little idea how long a course it may run, for it may be three days, and it may be thirty, we have to direct our efforts toward preserving the patient's strength, relieving headache and constipation, symptoms which are nearly always present, and toward keeping the fever down within a safe limit; and, besides this, we have to meet such special indications as we may and generally do meet in each individual case. To preserve the strength I believe we need nothing in the majority of cases but good nourishment, and I think the case an exceptional one in which it is necessary to limit the patient to a liquid diet. I often allow my patients soft eggs, rare beef and stewed chicken, etc., and I believe they get along better than when confined to a liquid diet. When the fever abates I generally allow a small quantity of whisky, about one dram, every three hours for an adult, for three or four days, then gradually diminish it. I think it is very seldom that we gain anything by the use of alcoholic stimulants before the fever declines. After the patient has had one or two courses of calomel, there seems to be very little to gain by purgatives, but the bowels should be moved once in every twenty-four hours by enemata. There are two remedies, and only two, to which my attention has been called upon which we can rely to modify the fever, relieve headache and restlessness, and exercise a favorable influence on the secretions and excretions. These are tinct. iodine and salicylate of ammonia.

My attention was called to the use of salicylate ammonia by a paper read by Dr. E. A. Neely of Memphis, before the Memphis Medical Society several years ago, in which he advocated the use of the drug in eight grain doses every four hours. I used it in a great many cases, and was very much pleased with the results; and I think that next to the tinct. iodine it meets the requirements better than anything else.

My attention was called to the use of Bartholow's iodine

and carbolic acid mixture by the late lamented Dr. H. R. Ward of this place, and I gave it a fair trial, but was not so well pleased with its effects; it then occurred to me that it was the carbolic acid which was occasioning so much gastric disturbance, and that if the iodine was given in sufficient quantity it might have its desired effect; accordingly, I began the use of it in the following formula: R Tinct. iodine, z ss; alco. hol, zi; syrup simp., Z iiss. Mix. Sig.: Teaspoonful every four hours in a little ice water.

The alcohol is added to make the iodine more soluble. I don't know that it exercises any influence on the fever, but it certainly does no harm. I find that when my patients take this mixture their temperature rarely ever goes above 102° F., and I have never yet had to give a dose of anything to reduce the temperature when this mixture was taken. It relieves headache and restlessness, and never produces gastric derangement—the chief objection to the use of salicylate ammonia.

I find that since I have been treating fevers with this formula, my patients pull through with a great deal more strength than formerly, and, after the fever breaks, they are able to be up sooner than they would had they not had the treatment. I have not deemed it worth while to speak of the use of ice, for I believe the profession is about united on the desirability of ice in all forms of fever.



Dr. Franklin considered an air bath almost equal to a water bath in its benefit to the skin. That there is some truth in this, is almost self-evident. Perspiration, both sensible and insensible, should be removed from the surface of the skin as fast as it gathers there; but as we cannot do this, we should resort to frequent bathing and all other convenient means. When the skin is exposed to the atmosphere all the volatile elements of its perspiration are rapidly removed by evaporation, and the salts and other solid compounds held in solution are left in a more or less dry state upon the skin. When the skin is not thus relieved, a scurf soon gathers upon it. To

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