establishment of a school where prospective health officers may be taught and trained in the profession of sanitation. Heretofore efforts have been directed to protect the healthy person from the sick, but practically nothing has been done to shield him from the dead. The Doctor also gave valuable statistics on tuberculosis which causes 150,000 deaths annually in the United States, the average age being 32 years so that the loss of life measured by time is 4,800,000 years per annum. Dr. James C. Wood, of Cleveland, in his paper entitled "The Tragedy of the Gonococcus," created much favorable surprise by recommending an amendment to the code of ethics. Dr. Wood's amendment was as follows: A physician is bound to keep secret whatever he may either hear or observe while in the discharge of his professional duties respecting the private affairs of the patient or his family, unless it is probable that such secrecy would result in harm to others, in which event it becomes his duty to protect the innocent party or parties. In response to Dr. Ames's caution that we will be liable to suit for damages and malpractice in divulging conditions found, Dr. James C. Wood, of Cleveland, announced himself the author of this "child" and would be responsible for it. The object of the resolution is to free physicians from the shackles of the code of ethics which prevent protecting the innocent party after having exhausted every effort to dissuade the young man from entering into a marriage contract when he is morally and physically unfit to do so. The attorney of the Physicians' Defense Company of Fort Wayne, Ind., and others, were quoted as holding there is nothing in the legal enactments of the various states to prevent physicians from giving such information. The resolution was adopted with the intent to have the authorities specify that physicians must report infectious diseases.

The Bureau of Materia Medica was in charge of Dr. Joseph F. Fahnstock, of Piqua, O., Dr. Crutcher being unavoidably absent on account of the illness of his wife. One of the most unique papers of the Institute was presented in this bureau by Chandra Sekhar Kali, L.M.S., M.C., Calcutta, India; being a proving of "Naja Tripudians;" the venomous cobra di capello, the cobra snake with the hood, the bite of which is fatal in a short time. Although the deaths in India from the bite of this snake are appalling, yet it is the favorite of the snake charmers who handle these reptiles with astonishing ease and freedom, even when in possession of their fangs. Dr. Convers also made a valuable contribution in the presentation of "A New Mineral Salt-Chloroiodide of Calcium and Sodium."

The election of Dr. James W. Ward as president was received with cheers. Dr. Ward was escorted to the platform and introduced by President Foster: Dr. Ward responded, considering his election of the greatest significance; its responsibilities will be shared by the entire California delegation, he stated, and that he takes it not as an unusual tribute to himself but that it expresses the recognition of California's needs and wishes; its campaign was one simply of invitation. On behalf of the physicians of California, Dr. Ward thanked the profession for the generosity bestowed upon California in 1906 for which they shall be ever grateful, pledging himself for the welfare of the Institution and that which it bespeaks.

The Senate of Seniors nominated Dr. T. Griswold Comstock, of St. Louis senior president for the ensuing year.

Other elections were announced as follows: first vice-president, Dr. Herbert Dana Schenck; second vice-president, Dr. Sarah M. Hobson; treasurer, Dr. T. Franklin Smith; secretary, Dr. J. Richey Horner, for both the short term and the long term; for registrar, Dr. W. O. Forbes received 126 votes and Dr. T. E. Costain 121 votes; a later voting resulted in the election of Dr. Forbes, of Hot Springs, Ark.; censor Dr. J. B. Garrison; for the board of trustees, there was one candidate for each position.

HOMEOPATHIC RESEARCH HOSPITAL.

It would seem as though the time had come for the homeopathic school of practice to have a laboratory of experimental medicine; a laboratory different from any yet established, in that the principal work be devoted to the study of drug therapy.

An institution of this description should be equipped as completely as any other of its kind, with the addition of a hospital in which human subjects can be used. Expert laboratory men could be engaged for the work and practical clinicians for the hospital work. As a school we have wandered too far into the maize of symptomatology without, being able to explain the reasons for our belief. The development of modern pharmacology has opened to our understanding the possibilities of drug action. The science of diagnosis has been so perfected that a more specific knowledge of the phenomena of disease is possible, and these two being the principle basis upon which our therapeutics is founded, make it imperative that we should

adopt more modern methods of proving drugs. Infinitely greater progress can be made by the above method, than can be by unscientific and imaginary study. If we expect to be successful in our propagandism of homeopathy, we must show to the world of science some tangible evidence along the line of research work. There is no doubt that money for the carrying on of this work would be forthcoming, if once started and ability shown for its performance. Let us not be behind in modern methods of research, nor be content without knowledge of even the most commonly used drugs.

SURGICAL SUGGESTIONS.

In surgical shock strychnine and alcohol aggravate the condition. American Journal of Surgery.

Syphilis simulates nearly every other surgical disease, and the most virtuous are subject to its ravages. American Journal of Surgery.

The presence of diabetes should not deter the surgeon from giving a patient with that malady the benefit of relief from a surgical disease. American Journal of Surgery.

In operating for intestinal obstruction in the colon the first thought should be to save the life of the patient. This can often best be done by making an artificial anus. Too many patients are sacrificed to the surgeon's zeal to do a complete and mechanically perfect operation at once. - American Journal of Surgery.

Gangrene of the extremities may be due to senile changes; local infection; mechanical injury to blood vessels; tumors; diabetes; constittuional infective febrile disease; poisoning with ergot, lead, phenol, arsenic or tobacco; syphilis; trophic cord lesion; Bright's disease; leprosy; embolism; frost; ainhum; or Raynaud's disease.American Journal of Surgery.

"So you have decided to call in another doctor?”

"I have," was the reply. "The absurdity of the man prescribing linseed-tea and mustard plasters for people of our position!"

Clinical Department.

EUCALYPTUS, 1x-2x.-Acute Nephritis Complicating Influenza.-A remedy peculiarly efficacious in this not uncommon, though little recognized and much neglected complicating condition, in recent epidemics of influenza.

These attacks of influenza are often ushered in with a chill. When the renal complication appears later in the course of the disease there are, in many cases, frequent recurrences of chilliness often alternating with a feeling of heat. In some of these cases there is a renal irritation equivalent to a mild inflammation. Degenerative changes being evidenced by the presence of albumen, casts, renal epithelium and blood in the urine, which at first is increased and later partially suppressed, of high color with turpidity. The temperature is generally not excessive in these mild cases, and if high is of brief duration, the entire condition yielding promptly to treatment.

In these conditions eucalyptus produces positive results and is a remedy to tie to. Whether it acts as an opsonin-preparing the bacilli for phagocytic digestion or as a direct antitoxin-antidoting the toxins of the disease-matters little so long as the results are so definite and satisfactory. It mildly stimulates cardiac action but does not overstrain the myocardium so characteristically weakened by the toxins of the infection. This increased cardiac action together with its selective action on the renal cells, help to overcome the renal insufficiency and restore the secretory function, thereby increasing the quantity of urine as also the output of urea. It increases skin action and controls any tendency to hematuria.

I wish here to emphasize the value of eucalyptus as a remedy for hemorrhages not only when given internally, but as a styptic locally applied. The tincture is used for local application.

It has further action of prime value in suppurative inflammations of the kidneys. Do not forget it when an infection has made its way to these organs and purulent inflammation results.

When puzzled by persistent temperature in influenza look to the kidneys and remember eucalyptus.

PLANTAGO MAJOR AND STAPHISAGRIA.-Pyorrhea Alveolaris.-This affection, the bete noir of the dental surgeon, with its insidious onset, its tendency to chronicity and far-reaching harmful effects, though so generally neglected, will now and again intrude its unwelcome presence upon us and press for remedial attention. Here two remedies offer us truly valuable aid-in many cases they are veritable specifics. First and foremost is Plantago Major, verifying a legendary reputation as a remedy for septic or toxic results, and ably seconded by Staphisagria demonstrating its one-time repute as curative for dyscrasiaspossibly of a leutic nature.

Given in rotation or alternately-they will most admirably overcome most cases of this generally unyielding and medically unresponsive disease entity. The inflamed, pus laden and germ breeding pingival areas heal promptly and the teeth not already dead regain their natural firmness. Their effect is specially marked in overcoming that most common general symptom of alveolar pyorrhea-secondary anemia. It will clear up the neurasthenic symptoms so often present and help to cure the sometimes attendant chronic rheumatism.

In one case treated, not only was the pyorrhea relieved and the anemia overcome, but the patient was cured of a predisposition to frequently recurring attacks of erysipelas. The two diseases possibly being diverse manifestations of a streptococcus infection.

The remedies were used, plantago tincture 1x and staphisagria 2x-3x di

lutions.

BROMIUM, 1x-2x.-Whooping Cough.-It appears that few if any physicians recognize the extraordinary value of this remedy in the treatment of this intratcable affection. This fact appears the more singular as its pathogenesy manifestly indicates its use in spasmodic affections of the bronchial portion of the respiratory tract. This is probably due, in a large measure, to the worthlessness

of the remedy in stock because of its instability and tendency to rapid deterioration. The reliability of the drug must be insisted upon absolutely if its use is not to prove disappointing. Have it fresh and properly prepared and in the lower dilutions. The 1x and 2x being found most effective by me.

In some cases the beneficent effect is promptly apparent. More often there can be observed no appreciable effect of the remedy until it has been taken persistently for ten days or two weeks, then there results so complete and sudden an amelioration of the disease as to be, in some cases, almost startling-so much so that you will at times doubt your diagnosis of the condition. It is then that the paroxysms of coughing completely disappear or become infrequent and less spasmodic with a tendency to disappear within a very short period of time. With the continued administration of the remedy at less frequent intervals, the few tardy symptoms clear away and the little sufferer remains well.

The indiscriminate use of the remedy necessarily means some failures, but the death of characteristic indications or symptoms in the early stages of the disease has led me to an almost routine use of the remedy as soon as I am fairly sure of my diagnosis.

The only special indications that can be given you are, the aggravation late in the day and early part of the night, and also from the warm air of a poorly ventilated room.

In association with bromine, belladonna and ipecac are valuable intercurrents; belladonna for dry cough with the appearance of fever, and ipecac where there are excessive quantities of mucus with a tendency to vomit,-both conditions are from bronchial inflammation resulting from taking cold.

An effective way to administer the remedy is to add 2 to 3 drams of the 1x and 2x dilutions to 6 ounces of simple syrup-given a teaspoonful from one to two hours.-The Clinique.

NATRUM MUR.-Natrum mur. is a great promoter of tissue-change, increasing the excretion of urea, hence its great value in chronic scrofulous, gouty and rheumatic disorders.

It has a special action on the blood (anti-scorbutic), lymphatics, digestive organs, liver, and spleen, and will cure certain forms of malarial fever, especially when complicated by the harmful effects of large doses of quinine. It is the chief remedy (in conjunction with Cale. phos.) for anemia and chlorosis, as it has been found that iron is present in the blood-albumen of most anemic persons in quite sufficient quantity; but it is fautly action of the NaCl, whereby cell-multiplication is arrested, and of the Calc. phos., whereby the young cells cannot be organized" and so prepared for the process of ferruginising" in the spleen, that is the true cause of anemia and chlorosis, so that the usual method of drugging" with so-called "iron tonics" is not only useless and even harmful, but actually leads to the very thing which it is given to correct, viz., an actual deficiency of iron in the blood due to the irritation of constantly repeated doses of crude iron preparations. The pathogenesis and symptomatology of Natr. mur. is so vast that only a few of its possibilities can be shown in a sketch like this. Amongst the chief are: Sunstroke (I have cured it several times by means of Natr. mur. 6x), this disease being due to a sudden abstraction of water from the tissues at the nape of the neck; therefore the worst thing to do is to give spirits of any kind to a person so afflicted, which kind "Samaritans" usually do on such occasions!

Should Natr. mur. 6x not be at hand, the next best thing would be to administer a little of a solution made by stirring a pinch of salt well up in a tumblerful of water, or, better still, by shaking it up in a clean bottle, such as a large beer or whiskey bottle, half full of water, which would amount to about the 4x dilution of Natr. mur. In constipation Natr. mur. is a sheet anchor.

Next in delirium tremens and some forms of epilepsy when frothing at the mouth occurs, as it did in the case of a man who suddenly fell unconscious on the pavement one day when I happened to be near. Fortunately I had some Natr. mur. 30 in my pocket in the form of soft tablets, one of which I crushed upand rubbed into his gums, the teeth zeing set too tight to get at his tongue. In less than five minutes he opened his eyes, sat up, and after a little pulling together walked off as if nothing had happened.