You never

It is wonderful what an improvement usually follows this small operation. Extensive caries and necrosis of the bones must be treated according to good surgical rules —that is, surgically, with curettes and bone forceps. I cannot at all agree with those authors who will not resort to surgical measures at all, or only in extreme cases. It stands to reason that we cannot expect a cure when we have to deal with carious and necrotic masses, with sequestra wedged in, as it were, and pus and foul granulations pent up between them. can cure these cases by simply cleansing the nose and giving constitutional treatment. There will remain always a source of infection of neighboring healthy parts, and absorption will continue to take place until all these masses have been removed. I admit that these operations are not trifling, that the hemorrhage is often quite severe, and that it is very difficult to remove all the diseased portions, but improvement will always soon follow these measures; whereas, without them, we cannot expect to cure, nor even to improve, these cases, just as little as you would treat syphilitic necrosis in other portions

of the body by simply irrigating the neighborhood.

Little remains to be said about general treatment. Instead of iodide of potassium I have been using frequently of late the mercurial treatment in all these cases, or sometimes both combined. It does not matter so much which form of mercurial treatment you select, as long as it is done thoroughly. On the whole, I have been always in favor of inunctions, although I have seen excellent results following intra-muscular injections. The internal use of mercurials has been resorted to in such cases of my private practice only, where the other methods had to be excluded for good and sufficient reasons. Whenever there is an indication, general tonics, iron preparations, etc., have to be added. The personal hygiene of the patient has to be closely attended to. But whatever is done, be it in the way of general or local treatment, it must be done most thoroughly and concientiously, with attention to a great many details, and it is not to be discontinued until the examination of the physician, and not the subjective opinion of the patient, demonstrates that what we may reasonably call a cure has been obtained.-Cincinnati Lancet-Clinique.

DR. ROSWELL PARK recommends mustard as a most efficient antiseptic for the surgeon's hand. The hands are scrubbed with green soap, cornmeal and mustard flour for about five minutes. He has dis

carded all other antiseptics for this, and has never been disappointed in it. It leaves no unpleasant sensation. It is also efficient as a deodorizer, taking away all odor of dead or dying tissues, iodoform, etc..

The Treatment of Influenza or La Grippe.

It is quite refreshing these days to read of a clearly defined treatment for the grip. But in an article in the Lancet-Clinic, December 28th, 1895, Dr. James Hervey Bell, 251 East 32d Street, New York City, says he is convinced that too much medication is both unnecessary and injurious. He has few remedies; prescribes them with confidence; and "trusts the rest to nature."

When called to a case of influenza, the patient is usually seen when the fever is present, as the chill, which occasionally ushers in the disease, has generally passed away. Dr. Bell says he then orders that the bowels be opened freely by some saline draught, as hunyadi water or effervescing citrate of magnesia.

For the high fever, severe headache, pain, and general soreness, the following is ordered:

R Antikamnia Tablets (5 gr. each), No. xxx. Sig. One tablet every two hours.

If the pain is extremely severe, the dose is doubled until relief is obtained. Often this single dose of ten grains of antikamnia is followed with almost complete relief from the suffering. Antikamnia is preferred to the hypodermic use of morphia because it leaves no bad after-effects; and also because it has such marked power to control pain and reduce fever. The author says that un

less the attack is a very severe one, the above treatment is sufficient.

After the fever has subsided, the pain, muscular soreness and nervousness generally continue for some time. To relieve these and to meet the indication for a tonic, the following is prescribed:

Antikamnia & Quinine Tablets, No. xxx. Sig. One tablet three times a day. This tablet contains two and one-half grains of each of the drugs, and answers every purpose until health is restored.

Occasionally the muscular soreness is the most prominent symptom. In such cases the following combination is preferred to antikamnia alone:

R Antikamnia & Salol Tablets, No. xxx. Sig. One tablet every two hours.

This tablet contains two and one-half grains of each drug.

Then again it occurs that the most prominent symptom is an irritative cough. A useful prescription for this is one-fourth of a grain sulphate codeine and four and threefourths grains antikamnia. Thus: R Antikamnia & Codeine Tablets, No. xxx. Sig. One tablet every four hours.

Dr. Bell also says that in antikamnia alone we have a remedy sufficient for the treatment of nearly every case, but occasionally one of its combinations meets special conditions. He always instructs patients to crush tablets before taking.

Nos. 402-408 S. Eighth St.,

ST. JOSEPH, MO.