The Medical Herald

Incorporating the

Kansas City Medical Inder-Lancet

Subscription, $1.00 a year, in advance, including postage to any part of the United States, Alaska, the Philippines, Cuba and Mexico. Canada, 25 cents additional. Postage to foreign countries in the Universal Postal Union, including Newfoundland, 50 cents a year additional.

The Medical Herald aims to reflect the progress in the sciences of medicine and surgery, especially throughout the Missouri Valley and Southwest, the territory of its greatest distribution.

Concise and practical articles, news and reports of interesting cases invited, and should be typewritten.

The privilege of rejecting any communication is reserved, and all papers accepted must be for exclusive publication in this magazine, unless otherwise arranged."

To contributors of original articles a liberal number of copies of the Herald will be given (or mailed free of expense if addresses are furnished) and the publishers will furnish reprints at printers' cost, application for same to be made when proof is returned.

The editors are not responsible for the utterances of contributors or correspondents. Illustrations will be furnished at reasonable rates, if drawings or photos are furnished.

Address all remittances, correspondence, articles for publication, books for review and exchanges to the Managing Editor.

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Electrotypes and changes in advertising copy should be addressed to the Medical Herald, St. Joseph, Mo.

Advertising rates on application to the Managing Editor.

Poetic Reprints-Do not mutilate your Medical Herald by tearing out any piece of poetry that may strike your fancy. Write to the Managing Editor, and he will send you a reprint. Reprints are made of all verse appearing in this magazine.

(Entered at the St. Joseph P. O. as second class matter.)

FOOD WILL WIN THE WAR DON'T WASTE IT

Organic Democracy-The atrocities that may be produced in the human organism through the ruthless warfare of toxins and other disease producing agencies-whether these be introduced from without or formed because of faulty body-chemistry-are amenable only to an unhesitating removal of all the offending and hostile forces. In short, the principle of cleaning out, of removing the injurious substances from the body constitutes a first condition for the restoration of true organic democracy; which is what health means. Saline Laxative and Salithia (Abbott) possesses the efficiency of the best ordinance made and will enable you to start your patients back on the road to health. "Clean out" with Abbott's Saline Laxative or Salithia, "Clean up" with the Sulphocarbolates, W-A Intestinal Antiseptic and "Keep Clean" with Galactenzyme (Abbott). These products may be obtained at most druggists. Samples will be sent on request to The Abbott Laboratories, Chicago, Ill.

POND'S EXTRACT

Tire Bargains-Doctor, when you think of new tires for your auto, look up the card of the Victoria Tire and Rubber Co., of Chicago, in this issue, and save money. The editor of the Herald has two of these tires on his car, and they are proving most satisfactory.

Taurocol is a combination of bile salts, extracts of cascara sagrada, phenolphthalein and aromatics Taurocol is a true cholagogue and a biliary disin fectant, because it directly stimulates the hepatic cells, producing an abundant flow of bile, rich in cholates. Sample and literature free. Paul Plessner Co., Detroit, Mich.

CAUTIONI-Whenever the true merit of

a preparation is authoritatively established, imitation is sure to make its pernicious appearance. To counteract the injurious results of another of these fraudulent proceedings-in this instance affecting firm name and reputation-Sander & Sons have been compelled to appeal to law, and in the action tried before the Supreme Court of Victoria, the testimony of a sworn witness revealed the fact that this witness suffered intense irritation from the application to an ulcer of the defendant's product, which was palmed off as "just as good as Sander's Ercalyptol." Sander & Sons had the satisfaction to obtain a verdict with costs against this imitator, who is perpetually restrained from continuing his malpractice. Dr. Owen, in a report to the Medical Society of Victoria, and Dr. J. Benjamin, in the Lancet, London, both denounced, as others did before, on the strength of negative results, the application of unspecified eucalyptus products.

This forms convincing proof that only an authoritatively sanctioned article can be relied on.

SANDER & SONS' EUCALYPTOL
(Ecalypti Extract)

1. Has stood the test of Government investigation.

2. It was proved at the Supreme Court of Victoria by experts to be an absolutely pure and scientifically standardized prep

aration.

3. It is honored by royal patronage. 4. It always produces definite therapeutic results.

Therefore, to safegaurd the physicians' interest and to protect their patients, we earnestly request you to specify "Sander's Eucalyptol" when prescribing eucalyptus.

The Meyer Bros. Drug Co., St. Louis, Mo., agents, will forward one original package (1 oz.) on receipt on One Dollar.

and

CO.

LONDON

of quartz can be attached to the lamp, in front of its window, so as to treat areas smaller than the lamp window or to treat lesions within the mouth, urethra, etc. It has been found that the ultraviolet rays will travel along these quartz projections and flow from their ends. Pressure, upon the part treated, is made in the use of this lamp, for the same reason that it is exerted in the use of the Finsen lamp, i. e., to mechanically empty the superficial blood vessels and bring about a greater penetration of the tissues by the lamp's rays. This, in turn, is occasioned by the fact that the circulating blood absorbs the rays and diverts them from the subjacent tissues.

The Alpine sun lamp was modified from the Kromayer lamp by Nagelschmidt. Its burner is about four inches long, is very slightly bowed upwards, and is surrounded by a large aluminum hood or reflector. The burner is of quartz to allow the rays to escape from the vaporized mercury within. This lamp being always used at a distance from the part treated, requires no circulating water to cool it; several aluminum blades at the ends of the burner serve for this purpose. A form of this lamp suitable for use with the alternating current is obtainable; it has a burner and transformer different from the ones used for the direct current. The Cooper-Hewitt lamp is an apparatus with a long burner made of common glass in which a mercury arc is struck. The ultra-violet rays from the vaporized mercury are unable to escape through the glass and it is used in photography and for common lighting purposes. I have seen it used in cases of pruritus but have no confidence in it as a therapeutic agent. The advantages of the Alpine sun lamp over the Kromayer lamp are: 1. A large area of the skin can be rayed without changing the position of the lamp or patient. 2. A lamp suitable for either alternating or direct current is obtainable. 3. No water connection is neces

sary. 4. It generates ozone during its operation. Its disadvantages are: 1. Its rays do not penetrate as deeply. 2. It cannot be used in the treatment of cavities through quartz attachments as in the case of the Kromayer lamp.

The physiological action of the rays generated by the mercury-quartz lamp may be divided into: 1. general, and 2. local. For general effects, the Apline sun lamp should be used, on account of the large area over which it exerts its influence. The general effects are tonic and sedative. The tonic effects express themselves in a marked increase in haemoglobin. Whether this is due solely to the action of the rays upon the body surface, or partly to the inhalation of ozone, I do not know.

Concerning the local effects, I can say that while I have had some experience with the Kro

mate acquaintance with the Alpine sun lamp in this country, and for purposes of brevity, I will confine the succeeding remarks to that form of apparatus. During the treatment the eyes of the patient and physician should, at all times, be protected from the rays by glass goggles. Exposing the eyes to the action of the rays, for even a brief period, results in a traumatic conjunctivitis lasting from a few hours to several days. Portions of the skin surface which we desire to defend against the rays' effects, can be protected by a layer of cloth, preferably of a dark color. The first treatment should last for about four minutes, with the lamp twenty inches from the surface and the rays striking at a right angle. It may be necessary to vary the position. of the lamp and patient, in order to reach all parts of the surface; the principles governing the relation of patient to tube, in x-ray treatment, applies very well in ultra-violet ray therapy.

For several hors after the treatment no effect whatever can be noticed, then the skin begins to swell and redden and becomes tender and slightly painful. In about forty-eight hours the symptoms have reached their maximum; a distinct dermatitis results with very marked puffing and swelling, intense congestion, causing the skin to assume a bright scarlet hue. The tenderness is increased. The sebaceous glands now become very active: their secretion pours out in the form of a thin watery fluid which soon hardens into crusts. Movements of the parts beneath, especially noticeable in the face, impart to the patient a sensation of stiffening in the affected skin. This condition persists for another fortyeight hours and then the symptoms gradually ameliorate. The swelling and puffing subside, the redness changes to a deep tan, tenderness disappears, the increased activity of the sebaceous glands ceases and the drawn sensation is supplanted by one of relaxation. The outer layers of the epithelium exfoliate in large flakes and by the time another forty-eight hours has passed, nothing but a pink flush marks the treated area. In brief, the effect is that of a very severe sun burn. If the exposure to the rays has not been long enough, or the lamp too far off, these symptoms will be milder. Conversely, if the treatment has been too severe, blistering may results even in cases of severe conjunctivitis reensue, but no scarring or other permanent harm action of the rays. In order to obtain the same sulting from careless exposure of the eyes to the effect it is necessary to bring the lamp closer and prolong the exposure at each treatment. This is due to the fact that the parts accustom themselves to the rays and become resistant. As soon as the reaction from the rays has subsided the next treatment may be given. If a considerable time is allowed to elapse after the reaction has subsided, the next dose should be