Business Chances.

PROPERTY, PRACTICES, ETC., FOR SALE. Notices will be placed under this head on receipt of 5 cents a word each insertion. Money must accom. pany the notice.

Dispensing Physicians can save money by dealing direct with the manufacturers. Why don't you make the profit now paid the middle men. Try us once and see what you save. We are the basis of supply. We not only sell, but manufacture ourselves every. thing in the pharmaceutical line. We give physicians forty per cent discount from the usual list. Other houses give you twenty-five per cent. We deliver freight orders for pharmaceuticals free of charge. Goods guaranteed. Catalogue on request. THE MERCER CHEMICAL Co., Omaha, Neb. See also page

152.

Every Physician Knows that ointments, liniments, etc., will not cure piles. Infections, etc., are dangerous. The Llandois method, by the application of a harmless, painless application of a chemical agent, relieves permanently all pain, and causes the tumors to shrivel and dry up and drop off, or disappear. Simple, cheap, and easy to use. It cures, or we refund. Formula and full directions, $1.00. County and city rights, $5.00 to $20.00. Address, LLANDOIS AGENCY, St. Petersburg, Fla.

Doctor.-If you have obstinate cases of Gonorrhoea and Gleet, send for our "Specific" (Emulsion). Money refunded, if not perfectly satisfied. $1.00 per pint bottle, by express. Address IMPERIAL MEDICAL Co., Kansas City, Mo.

Physician's nine-room $2,300 home in county seat, railroad, North Texas, town of twenty-two hundred people; only three doctors. For only $1,200 if sold quick. Address, PHYSICIAN, care MEDICAL BRIEF, St. Louis, Mo.

Speak Quickly.-Owing to being called abroad will sell Imperial Hernia Cure formula and entire business at sacrifice prices. Must sell before February 1st. DR. W. T. S. VINCENT, Jacksonville, Fla.

Cures Gonorrhea at Once.-Send five dollars for prescription, with directions, DR. CRANDALL, Specialist, 155 South Division Street, Buffalo, N. Y.

Buy my horse, buggy, house and office furniture, and get good practice in Southwest Louisiana. Address, Box 124, Welsh, La.

I thought for a long time, as many others do now, that iodoform was indispensable in the treatment of sores of venereal origin, and often forced my patient to submit to its use, in spite of his objections, and the suspicion created by its too familiar and disgusting odor. The odor is, however, not the only objection to the use of iodoform, for I have seen some very aggravating conditions follow its use, such as posthitis, balanoposthitis, dermatitis, etc. Experience has convinced me that many times these conditions were due to the iodoform, and not a result of the disease.DR. J. M. LANGSDALE, in American XRay Journal.

[Written for the MEDICAL BRIEF.]

Typhoid Fever.

BY W. S. ROBINSON, M. D.,
Frostville, Ark.

I will give, briefly, a recital of my treatment of typhoid fever. My first visit to a typhoid patient is by far the most important one. On the first visit, you should not be in a hurry, for there are numerous things that you should teach your patient. You should tell him what to expect, that he may have a protracted illness; impress upon him the importance of patience and coöperation on his part. Give thorough instructions regarding his food, emphasizing the dangers of errors in diet. Give directions, at length, about nursing, ventilation, drinks, change of clothing, sponging, etc. If the weather is warm, have the patient placed in a cool room, and see that he is kept scrupulously clean. Gain your patient's confidence; let him see that you are interested in his case, and endeavor to dissipate any popular errors, regarding the disease, which he may be harboring.

Now, in the treatment of typhoid fever, very little medicine is needed, as a rule. I generally begin with this:

R Hydrarg. Chloridi Mite..............................................................5 grains,
Soda Bicarb............
..............5 grains.

M. ft. pulv. No. 10. Sig.: One powder every two hours until bowels move freely two or three times. If this fails to give satisfactory results, it is followed by salts (magnesium sulphate).

The patient is at once put upon zinc sulpho-carbolate, three grains in capsules every three or four hours, and this is kept up during the whole course of the disease. Also, turpentine emulsion, tympanitis, sufficiently developed to need treatment, has not occurred in a single case in my practice, where the zinc sulpho-carbolate was given systematically from the beginning.

I never give anything else except as symptoms arise demanding treatment. The less medicine you give, the better, has been my experience. At the same time, there is no disease which needs closer watching by the physician, or a more prompt and judicious use of remedies where symptoms arise demanding them.

The symptoms which occasionally occur, and call for treatment, are as follows: Tympanitis, hemorrhage, diar

rhea, constipation, temperature, weak pulse, and sick stomach. The rebellious stomach is best treated by reducing, for a time, the amount of food to a minimum compatible with safety.

Cracked ice has acted wonderfully well in my cases, if the temperature does not go above 103° F. I do not worry much about it. Generally, the best antipyretic, because safe, effectual, and easily applied, is sponging with cold water. I often give two or three small doses of antifebrine during the afternoon, or when the fever is above 103° F.

Quinine, I never now give in this fever. It seems to me to derange the stomach, and augment the nervous prostration. It does not shorten the course of the disease, nor does it do any good in any way that I have ever been able to see.

For intestinal hemorrhage I use morphine and ergotole. Give both hypodermically.

For moderately weak pulse I use strychnine hypodermically. Where there is great danger, I have never found anything so good as a combination of nitroglycerine and digitalis. These stimulants are given pro re nata, and gradually left off as soon as the heart's action is sufficiently improved to allow of their withdrawal.

The management of the bowels is one of the most important things to be considered in the treatment of this disease, and in nothing else is more discretion needed. Constipation causes distention, discomfort, and often a rise of temperature. Hard masses of feces rub and fret the ulcers. On the other hand, it is claimed that the peristalsis set up by a purgative may do irremedial harm by converting an ulcer into a perforation or tearing down adhesions of lymph already formed, or cause dangerous bleeding. My belief is, that constipation should never be allowed to occur; that the bowels should be kept open from the beginning, at least one action every day. I believe purgatives are not free from danger, and should be administered cautiously, in small doses, repeated as required, yet constipation is still more dangerous.

As to diet, fresh buttermilk is the chief article. In a few of my cases (Continued on page 116).

buttermilk was the only food given during the entire illness, and these cases did well, escaping any complications or troublesome symptoms. I also give chicken broth.

Malted milk and egg-nog, when they call for it. Let me emphasize one point right here, which I have learned from experience, namely, that when the food was pushed the patients did not do so well as when only a moderate amount was given. I believe that diarrhea, nausea, tympany, hemorrhage, and high temperature, are often caused by excessive feeding. I have had somewhere near fifty cases of typhoid fever in the last five years, and have only lost three, with the above plan of treatment.

I will say, right here, that you can put me down as one who is in favor of mild purgatives, and very little feeding, in the treatment of typhoid fever, and especially in this section of the country.

If any physician will write to me, I will give him information to permanently cure his patients of the opium, morphine, and cocaine habits, in fortyeight hours. Painless and harmless.

Take calomel, the hypodermic syringe, and the grand old BRIEF, away from me, and I will quit practicing medicine.

[Written for the MEDICAL BRIEF.] Some Things Concerning Typhoid Fever.

BY W. E. SROFE, M. D.,
Cuba, O.

In Dr. Britton's article in November BRIEF, "Malaria vs. Typhoid Fever," he makes the statement, "that we either need our text-books revised or quinine will not cure all malarial fevers," and I think I agree with him, and that typical cases of typhoid, and those cases which Dr. Britton and Dr. Downing are wrangling about, should be called septic fever. I think the term, typhoid fever, should become obsolete.

He then goes on to say, "that Dr. Downing would have a big job on hand. He would have a typhoid fever that has