THYROIDS

in Prostatic Enlargement.

'A youth aged nineteen years, of neurotic temperament, complained of pains in the perineum. On examination the Prostate was felt as large as a bantam's egg. After being treated some time without benefit, he was given Thyroid Tablets thrice daily, with the result that the enlargement entirely subsided and the neurotic symptoms were considerably reduced."-Stretton- (Birmingham

Med. Review, March '98.

Armour's Desiccated Thyroids
and Thyroid Tablets.

In our Desiccated Thyroids we have a stable and uniform preparation of agreeable odor and taste, each grain representing eight grains of the fresh gland.

Each Tablet contains two grains of Powdered Thyroids and is equivalent to sixteen grains of fresh gland.

Armour & Company, Chicago.

WHEN there is a sensation of weight in the region of the heart;

WHEN the patient feels as if a band was tightly bound around the chest or head;

WHEN the pulse is weak, intermittent, or irregular;

WHEN the diagnoses show cardiac neu

roses from the excessive use of tobacco, tea, or coffee;

WHEN in the treatment of febrile, nervous, or chronic diseases, the heart needs a sustainer or tonic;

AND in all cases where we desire to improve the nutrition of the heart to enable that organ to perform its natural functions,

CACTINA PILLETS

IS

CLEARLY INDICATED.

SULTAN DRUG CO.,

ST. LOUIS, MO.

And 36 Basingha!I St., London, Eng.

FOR ALL STOMACH DISORDERS OF

WHATSOEVER NATURE?

IF NOT, IT WILL PAY YOU TO DO SO.

[Written for the MEDICAL BRIEF.]

Malarial Fevers.

BY JOHN H. COOPER, M. D.,
Welch, La.

To a physician living in a malarious district, anything which claims to throw any light upon the several types of malarial fever is, of course, interesting, and is generally read with avidity, and for this cause I have just finished reading a rather lengthy article headed, "The Exact Treatment of Malaria," in which the writer shows considerable ability in handling the subject, but leaves the impression on one who is acquainted with malarial fevers that he has really very little knowledge of their treatment, except that gained from books. Now, above all things, to start with a physician should have book learning, for without a scientific knowledge of etiology and pathology, he is, at best, poorly fitted to begin his career. But there is another kind of knowledge, or, rather, there is certain information that a physician can get only at the bedside

of his patients, and upon this information largely depends his success or failure as a physician. In the article referred to we are told what things we may use, but this is vague. The textbooks tell us as much, and works on materia medica and therapeutics tell us the physiological effect of drugs, but what we want in this class of writings is what we do use, and what effect it does produce in certain diseases, and under certain circumstances. The forms of malaria are, as is well known, very numerous, and it would require much more space to describe them than it is the intention of this article to occupy, so I will merely lay down some general rules of treatment that may be modified to suit almost any form of the disease.

In the outset I will say that, in an opinion based upon the actual practice of twelve years, I believe quinine and calomel constitute the sheet anchor of treatment. When I am called to see a person attacked with malarial fever, I first ascertain the degree of fever. It is seldom we see the patient before the (Continued on page 932.)

PURGATIVES.

The evil effects resulting from the indiscriminate use of drastic purgatives and cathartics are well known to every practitioner. That they impair the physiological action of the liver and create chronic constipation, with the inevitable spasmodic demand for purgatives, is undoubted, Therefore, the rational treatment is to administer a mild hepatic stimulant; and of all the hepatic stimulants, CHIONIA is the best, as it does not dispose the bowels to subsequent costiveness.

DOSE:

ONE TEASPOONFUL THREE TIMES A DAY,

S. H. KENNEDY'S

CONCENTRATED EXTRACT OF

PINUS CANADENSIS

DARK. A NON-ALCOHOLIC LIQUID.

WHITE.

A MOST VALUABLE NON-IRRITATING MUCOUS ASTRINGENT.

INDICATIONS.-Albuminuria, Diarrhea, Dysentery, Night Sweats, Hemorrhages, Profuse Expectoration, Catarrh, Sore Throat, Leucorrhea and other Vaginal Diseases, Piles, Sores, Ulcers, Burns, Scalds, Gonorrhea, Gleet, etc.

When used as an Injection, to Avoid Staining of Linen, the WHITE Pinus should be used.

RECOMMENDED BY PROMINENT EUROPEAN AND AMERICAN PHYSICIANS.

CAUTION.

The great reputation of Kennedy's Pinus Canadensis has caused several cheap and irritating preparations to be sold as Pinus Canadensis. Some of these preparations are not only worthless, but absolutely harmful.

As a precaution, it is not only necessary to specify Kennedy's Pinus Canadensis, but also to see that Rio Chemical Co. is on the label. Cheap substitutes of reliable preparations of established reputation are constantly offered to druggists as "just as good," and the temptation to the druggist to make more profit is very great; hence, unless care is used in avoiding substitutes, the physician will invariably be disappointed in the results.

RIO CHEMICAL CO., St. Louis, Mo., U. S. A.

LONDON.

PARIS.

CALCUTTA.

MONTREAL.