tre avec la prostato. Bull. soc. anat., Paris, 1863, xxxviii, 62 (Rap de Fischer), 490 492.

Vio-Bonato, A. Breve cenno su qualche affez. ione della prostate. Gaz. med. Ital. prov. venete, Padova, 1863, vi, 57, 65, 73, 81.

Pauli, F. Ueber die hypertrophie der prostata. Arch. f. path. anat, Berlin, 1863, xxvii, 27-67.

Schuit. J. W. Ontleedkundige beschouing der menschelijke voorstanderklier. Leiden, 1864.

Smyly, J. Disease of the Prostate Gland. Doublin Quarterly Journal Medical Science, 1864, Xxxvii, 173.

Schulz, B. Aspermatisms in folge yon atrophia prostatae. Wien. med. Woch, 1864, xiv, 68.83.

Russel. G. W. Enlargement of the Prostate Gland. Proc. Connecticut Medical Society, 1864-7, New Haven, 1867, ii, 35-41.

Cases. Ischuria ex hypertrophia prostatae subsequa uremia. Berlin. d. k. k. Krankenh. Wieden, 1863, Wien, 1864, 170-173.

Braeunig, C. J. H. Ueber die hypertrophie der prostata. Leipzig, 1865.

Malsang, A. De la prostatite aigue. Paris, 1865,

Von Luschka, H. Das vordere mittlestuck

der prostata und die aberration desselben. Arch. f. path, anat., etc. Berlin, 1865, xxxiv, 529 597, I pl.

Visscher, J. A. Oets over aandoeningen der prostata naar aanleiding van een waargenomen zickte geval. Ultretcht, 1865,

Steinberg, A. Med. Vestnik, St. Petersburg, 1865, v, 91.

Payne, F. R. Enlargement of the Prostate. Chicago Med. Journal, 1865, xxii, 205-207.

Hospital, P. F. De la prostatite chroniques. Paris, 1865.

Deniau, O. F. Essai sur l'inflammation subaigue de la prostata chez les adultes. Paris, 1865.

Wyss, O. Die heterologen (bosartigen) neubildungen der vorsteh erdruse. Arch. f. path. anat., Berlin, 1866, xxxv, 378 412, 1 tab.

Cases. Hypertrophy der prostata. Aerxtl. ber d. k. k. allg. krankenh. zu Wien (1865), 1866, 165.

Courty. Hypertrophie du lobe lateral droit de la prostate et du sphincter vesical retention d'urine ponction de la vessie catheterisme du col de la vessie excision incision prostatique dilation guerison. Montpelier med., 1866, xvii, 418-421.

Van Buren, W. H. On Centric Hypertrophy of the Prostate. Med. Record, New York, 1866-7, i, 1 3.

Thompson, Sir II. The Diseases of the Prostate: Their Pathology and Treatment, Comprising the Jacksonian Prize Essay for the Year 1860, third edition, London, 1868; same, fourth edition, London, 1873; same, sixth edition, London, 1886. Erkennung und behandlung der prostata krankheiten autorisirte deutsche ausgabe. Erlangen. 1867.

Kraus. Prostatitis chronicia. Wien. med. Woch., 1867, xvii. 726-728.

(To be continued.)

CALOMEL is an intestinal antiseptic without a peer.—Med. Summary.

Society Proceedings.

THE CINCINNATI SOCIETY FOR MEDICAL RESEARCH.

The December meeting of the Cincinnati Society for Medical Research was held in the pathological laboratory of the Cincinnati Hospital.

DR. JOHN E. GREIWE read an interesting, instructive and carefully prepared paper on

Disease of the Coronary Arteries,

and demonstrated many of the salient features from microscopical specimens and lantern slides. The paper, in brief abstract, is as follows:

A great deal of study has been devoted to diseases of the heart, particularly val vular lesions and their effects upon the various segments of the heart, which has been productive of great advance in the therapy of acute and chronic lesions. The tendency in pathological study, however, has been to study the gross lesions, whereas in general too little attention has been paid to the microscopic study of the finer structures-the coronary arteries and their veins and the nervous elements, which are so important in maintaining the proper function of the organ.

The paper was confined to a study of the acute and chronic affections of the coronary vessels and the effect of such lesions upon the muscular and nervous systems of the heart.

In typhoid fever, in pneumonia and in septic conditions accompanied with high fever, we frequently find marked impairment of the heart's action. In such instances, where no definite signs are present of any disease of the endo- and pericardium, we are inclined to look upon the myocardium as the seat of the lesion. In such cases we ought to have our suspicions excited as to the involvement of the coronary arteries. Our suspicions may never attain greater dignity than a scientific. guess, but we should, on post-mortem examination in fatal cases, pay special attention to the conditions of the coronary arteries.

The first subject mentioned under the head of acute affections of the coronary arteries was endarteritis and thrombosis occurring during typhoid fever. Speci

mens were next demonstrated in which a purulent thrombus lodged in a coronary vessel, and in which secondary foci of pus were scattered throughout the pericardium and myocardium, the foci being easily traced throughout the specimens down to and involving the endocardium. The case might be designated as acute purulent carditis, secondary to septic pneumonia.

Under chronic affections of the coronary arteries the essayist demonstrated a long number of specimens, both gross and microscopic, showing atheromatous disease of these vessels. After a consideration of these diseases in their relation to various forms of degeneration of the heart muscle, the subjects of angina pectoris, cardiac asthma and the exceedingly interesting phenomena of bradycardia were dwelt upon. The essayist promises further report upon a case in which bradycardia. formed a prominent clinical feature. As a preparatory step the essayist demonstrated lesions of a chronic character found in the smaller branches of the coronary arteries, both coronaries being involved in this degeneration, the left, however, to a more marked degree than the right.

DR. WM. MUEHLBERG led in the discussion, and stated that ligation of the coronary arteries, as far as animal experiments demonstrated, was followed by extensive connective tissue degeneration. Ligation of both arteries induced spasmodic convulsions. That although the arteries of the heart are filled during systole, as demonstrated by a distinct systolic wave in the blood pressure, the blood flows through the arteries and arterioles during diastole. In the veins the flow is systolic, and is induced by muscular compression. The motor ganglia maintain tone and control the muscular action of the ventricles, so that they beat in unison. Fibrillary

contraction of one or both ventricles has been noted after ligation of the coronary artery. Occlusion of the coronary artery is not a factor in angina pectoris, because the pulse remains full and strong.

DR. S. P. KRAMER stated that animal experiments have not thrown much light on angina pectoris, because the changes induced by sudden occlusion are not comparable to those of disease, because the latter permits a slow adaptation to the anomalous conditions by reason of the gradual establishment of compensatory circulation.

DR. M. L. HEIDINGSFELD stated that it seemed somewhat doubtful if all the interesting structural changes of the heart could be attributed solely to coronary disease. That it is probable that some of the changes, in a measure at least, could be attributed to the same general or predisposing causes-syphilis, alcoholism, etc.which primarily induced the atheromatous and other changes in the coronaries. The extent of influence of coronary disease could be more accurately determined by a comparative study of the right and left ventricles of one of the specimens described, where the left coronary vessel was diseased and the right normal.

DR. GREIWE, in closing, stated that bradycardia, in such conditions as typhoid, pnsumonia, etc., is attributable to intoxication.

Election of Officers.

The following were elected officers for the ensuing year:

President-Dr. M. L. Heidingsfeld. Vice-President-Dr. Arch. Carson. Secretary and Treasurer-Dr. Wm. Muehlberg.

Executive Committee - Dr. Walter Knight, Dr. Horace Whitacre. Four new names were proposed for membership.

English Medical Folklore.

G. F. Northall, in English FolkRhymes (1892) gives an interesting collection of English charms and spells among other things for various ailments. The following for cramp has a practical value: "Coleridge, in his Table Talk, Vol. ii., p. 59, records the approved mode of procedure (for cramp) in Christ's Hospital [the "Bluecoat School"], which he

believed had been in use in the school since its foundation in the reign of Edward VI. A boy, when attacked by a fit of cramp, would get out of bed, stand firmly on the leg affected [italics ours], and make the sign of the cross over it, thrice repeating this formula:

"The devil is tying a knot in my leg,

Mathew, Mark, Luke and John, unloose it I beg!

Crosses three we make to ease us.

Two for the the theives, and one for Christ
Jesus.'"

-N. Y. Med. Journal.

A Weekly Journal of Medicine and Surgery.

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CINCINNATI, O.

SATURDAY, JANUARY 3, 1903.

RESOLUTION DAY.

With commendable regularity this stated period comes around along about the first of January every year. Good resolutions

are formed and but few bad ones. The forming of a good resolution in and of itself has a more or less beneficial influence over almost any individual. When broken, there are possibly some pangs of remorse; nevertheless, it may be stated that ordinarily a man is the better for having formed the good resolution, then fractured. Good resolutions have much to do with a formation of high ambitions; in fact, they are so correlated one with the other as to be one and inseparable. Good resolutions have much to do with the formation of stability of character and purposes which are essential to the success of any physician. The time has come and gone by when a physician without character could attain any desirable success. Therefore, it is to be seen of every one that the physician of all men is the one who should be found holding up his own end of the line in regard to the moral ethics of life. Now and then, but quite infrequently, there is to be observed a physician with a lack of moral habits, but in comparison with the

and is so rare as to be noted and remarked. For these and other cogent reasons the medical profession as a body, has an inalienable right to shake hands with itself and congratulate humanity on a general betterment of conditions.

There are a few doctors who may be classed in a category of pessimists who only see the dark side of human nature and of the world in general. It is their misfortune; every other doctor sympathizes and condoles with them. It is the duty of every physician to be an optimist and look habitually on the bright side cf humanity. There is no man in any community whose horizon of life should be more extended than the doctor's. To have a knowledge of the science and art of medicine is a necessity, but he should have very much. more in order to be a successful man in his occupation. He must know a great deal about the Monroe doctrine and its influence upon, first, the people of our own country; next, upon all America, as well as upon all of Europe, Africa and Asia. A doctor without such information, however well up in medicine he may be, is a back number in world affairs. A physician would be sadly lacking in educational endowments if he were not able to converse intelligently and speak of the recent visit of the Crown Prince of Germany, and of Dr. Lorenz, the famous Vienna surgeon. The up-to-date doctor must be familiar with the wonderful magazine literature of the day, as well as of the current medical periodicals. It is the sheerest nonsense for a man at this time to say that he takes one medical journal, and that is sufficient; but he must range through one, two or three weeklies, and as many monthlies, in order to catch on to the medical progress of the times. A few men have the advantage of great city libraries which have in their possession the current literature of the day. This is not enough. The doctor can rarely afford

the time from his office or practice in order to visit libraries of this character. Fortunately for him, all literature of every class and description of a periodical nature is so cheap as to be within the easy reach of any man's financial resources. Ten dollars a year, or twice that amount, and as much for books, will soon stock a library and private reading-room with the necessary intellectual pabulum for everyday mental nourishment.

Canal packets, stage coaches and Connestoga wagons have passed into the great beyond. Their legitimate successors are steam railroads, trolley cars, and electric motors. Fifty and sixty miles an hour for mail trains is no longer considered a wonder, but is taken as a matter of course. The phonograph, telephone and telegraph bring to the desk of every one the very latest news of the day. Within a very few months, hardly exceeding a year, rural postal delivery has spread all over the United States even more rapidly than the Canada thistle. The farmer, mechanic, and professional man all have their daily deliveries. It is not long since this was declared and believed to be a vision, a dream, or the effects of a nightmare. It is an accepted condition belonging to the twentieth century, and may be regarded. as a part of it.

There are many things new and novel that are capable of arousing the ambition and resolution of any man, be he doctor or layman. The formal declaration of resolve to be one to climb to a point as near the top of the ladder of fame in one's own profession is an ideal resolution. This does not necessarily involve a step over the rights and prerogatives of others, but should be formulated on a foundation of merit alone. There are quacks in every occupation in life. There is the shoddy veneer that is an imitation of the real to be found here, there, and everywhere. But the ratio of good men, with high moral perceptions as to the rights of

others, never was so great as it is to-day. To be sure, there are those who may be classified as defectives, delinquents, and charlatans in every profession and occupation. Such people are not always easily differentiated from the mass of mankind, but it is a good thing for a doctor to practice the art of observation, and to take the mental measurements of those with whom he comes in contact, whether daily or at long intervals. A resolution to practice the art of research with a microscope as well as with the ordinary optics is a good thing to do. A resolve to get in close touch with those who are around and about in the same vicinity, without the Paul Pry method, is a good thing to do. Above all, at this season of the year, a resolution should be formed and carried into effect by every doctor to add to his present store of reading matter from 10 to 100 per cent. It is preposterous for a man to sit on a store box and whittle and say he has no time to read, his journals. are unopened, he cannot afford to take another one, and all such similar expressions, for it is the veriest nonsense in the world. Men have habits, some good, some bad, some indifferent. The habit of indifference is not far removed from the line of bad. Good habits are commendable and reach up and out, and not down nor in. They partake in character of the ambitious resolution, and are commendable. So it is that we are off with the old and on with the new.

HUMANITARIANISM.

This seems to be a peculiarly characteristic feature of the twentieth century. In the last days of the nineteenth century war was declared for the sake of humanity by the United States Government and vigorously prosecuted to a successful termination. Recently there came from the city of Vienna to the United States a most distinguished surgeon, Dr. Lorenz,

who has been unwearying in his attention upon affluent and poor alike, as his time permitted. So great has been his success in giving relief to the afflicted, particularly the congenital, as to direct universal attention to him. Because of his skill, and as if to clothe him with the greatest possible honor, the city of New York, last week, at a meeting of the Board of Aldermen, tendered to him the "freedom of the city." This was a beautifully engrossed document, written on parchment and inclosed in a silver box, to bear the expression of the city's cordial welcome. The box was suitably inscribed by the engraver. This is an act most commendable, and, so far as known to the writer, is without a precedent in America. This means a great deal. Such honors to an individual are not to him alone, but are a tribute to the worth of the profession to which he belongs. This is truly an age and era of humanitarianism.

A NUISANCE.

A subscriber directs attention to what he calls the "chalk nuisance." He says: "We are annoyed a great deal at our house by children chalking over the side of the house, with all sorts of figures, and in my professional rounds I find the same unsightly smear on houses in half the streets of the city. This certainly gives the city a slovenly appearance, is of no benefit whatever to the children who do it, and it ought to be abated," etc. Our correspondent is just right in directing attention to this unsightly evil. Apparently it belongs to the police force to abate the nuisance, and a proclamation on the part of the Mayor or Chief of Police to the effect that such disgraceful markings would be punished as a misdemeanor would have a wholesome effect.

A QUICK pulse, large and full, without increased temperature, ts apt to indicate a dilated heart.-Med. Summary.

WEBSTER'S International Dictionary is not only the standard authority, but is quite comprehensive, and the one book that is invaluable in every library.

THE action of Celerina on the brain and nervous system is that of an exhilarant, relieving depressions, and lessening irritable nerve conditions. In cases of organic and functional lesions of the heart, an increased steadiness of pulse beat, and diminution of pulse variation is apparent.

WHAT SUBSTITUTION MEANS.-Outside of the serious consequences often resulting from using a substitute, it also means the original article was of established merit or it could not pay commercially to try and imitate it. Bear this fact in mind when prescribing a uterine wafer, that the great service rendered by Micajah's Medicated Uterine Wafers in the treatment of diseases of women have popularized them with the physician. Consequently, they are largely substituted, Be sure it is a Micajah.

EXTRACT from "Treatment of Diphtheria," by Dr. J. W. Pearce, in American Practitioner and News, July 15, 1902:

"To briefly relate, this is the way I treat diphtheria, and I have never lost a case. If I can get perfectly fresh antitoxine I give it, but if it can not be had perfectly fresh I do not. Whether antitoxine is given or not, I give ecthol in full doses appropriate for the age of the patient, every three hours, administered by the mouth. The entire fauces, larynx, and pharynx are sprayed with a mixture of ecthol and peroxide of hydrogen, three parts of the former to one of the latter, every fifteen to thirty minutes. Calomel in small doses is administered every hour until the bowels are thoroughly moved. Nourishing and supportive diet is given at short, regular intervals, and everything done to make the patient comfortable in the way of supplying fresh air, etc. I have been using this plan, modifying it to suit the needs of each individual case, for several years.