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INFANTILE DIARRHEA. Dr. Samuel H. Singleton (Mississippi Valley The following compound, comminuted, Medical Monthly) says
complicated, shot-gun prescription was introIf called to a case of dysentery within twenty- duced to us by our friend, Dr. J. P. McGee, fours after the attack, and I find tormina and and has served a most excellent purpose in the tenesmus very violent, which is generally the simple. diarrhoeas of infancy and childhood. case, dejections mucus and bloody, I prescribe It also serves well as a menstruum with which three grains quinine every three hours, hot meal to combine more active remedies :poultices to the bowels, and a tablespoonful of
R. Fluid hydrastis
3j. the following mixture every two hours :
Fluid ext. geranii, R. Sulph, magnesia ,
Fluid ext. catechu āā Ziv.
3v. Spts. vini gallici
3j. Generally, after the third dose of this mix
Ess, menth. pip., ture has been given, all of the above symptoms
āā 3ss. subside, the stools become serous and are
Syr. rhei arom.
q. s. zvj. passed without pain. In fact, a diarrhoea has
M. Sig.-One to two teaspoonfuls after each been substituted for the dysentery. When, in action from the bowels.- Mississippi Valley spite of the above treatment, the bloody dejec- Medical Monthly. tions continue mixed with pus, tormina and tenesmus more frequent, asthenia rapidly su
INFANTILE COLIC. pervenes and collapse is imminent, a pill given
The following is the modification of Dalby's every two hours of the following formula has carminative I spoke to you of, from which I wrought wonders in my hands :
have had almost universal satisfaction in the R. Pulv, opii,
colic of young babies. It beats all the opiates lodoform
āā gr. j.
and nauseous doses :Zinc. sulph. . M.
R. Magnes. carb.
Dij. . Ol, anisi.
mj. I have treated twelve cases of dysentery with
Tinct. cardamomi, iodoform in the above combination, seven last
āā mij. season and five this season, and my experience Glycerine
3ij. has been highly gratifying, every case having Aqua menthæ viridis, been pronounced out of danger or convalescent Aqua camphora ad. Kā fzij. before the seventh day of treatment, a majority M. Sig.–Teaspoonful every half hour till child of them before the fifth day.
Of course, this does not preclude warm baths, CARDIAC DROPSY.
hot cloths on abdomen, relief of constipation, R. Sodii bicarb.
3j. Tinct. digitalis
if present, massage, etc., but it does all opiates Vini colchici rad.
and soothing syrups.—Dr. J. P. McGee, MisTinct. gentianæ comp.
sissippi Valley Medical Monthly. M. Sig.–Teaspoonful in water after meals.
Professor DeLaskie Miller recommends Dr. Horace Dobell recommends
R. Tinct. ferri chloridi
3j. B. Tinct. digitalis
Acidi hydrochlorici dil. mxx.
3xxij. Inf. rosæ acidi ad.
Zviij. M. Sig.-Give a teaspoonful every two or three M. Sig.–Take two tablespoonfuls every two hours, according to the urgency of the symphours.
withdrawn from the Congress because they do not approve of the way in which it is managed.' With but few exceptions,' he adds, "I found very little inclination to incur the trouble and expense of a trip across under such
discouraging auspices. My replies only corJOHN V. SHOEMAKER, A.M., M.D., Editor.
roborated previous impressions.'” F. A. DAVIS, Att'y, Publisher. A. L. HUMMEL, M.D., Business Manager.
PNEUMATIC DIFFERENTIATION. Philadelphia, August, 1886.
7HEN the pneumatic cabinet was intro
duced a few months ago as a panacea THE NEW YORK MEDICAL JOUR- for all lung diseases, THE MEDICAL BULLETIN
NAL'S MUNCHAUSEN CORRES- pointed out that its chief value consisted in the PONDENT.
fact that by its use the patient was compelled "HE following extract from the New York to expand his lungs more fully than ordinarily,
Medical Journal of July 24th is another and that no physician should be so unwise as to sample of the disreputable methods adopted by pay two hundred and fifty dollars a year rental the New York and Philadelphia specialists in for the cabinet, when the same and even better their attempt to prevent the success of the In- results can be obtained by simply directing the ternational Medical Congress. We do not
patient to habituate himself to breathe deeply know who this patriotic correspondent of the and slowly while pursuing his usual avocations. New York Medical Journal is, but he is evi- | This view has since been confirmed by so emidently a combination of Sir Oracle and Baron nent an authority as Dr. William Porter, of St. Munchausen, and would command a high Louis
, Mo. In a recent number of the Weekly salary as a writer and narrator of border
Medical Review, Dr. Porter says:
“ Many inquiries have been received during "THE INTERNATIONAL MEDICAL CONGRESS. cabinet and its practical value and application.
the past few months regarding the pneumatic A well-known American physician writes to The writer cannot indorse all that has been us from Berlin, under date of June 30th, that said in its favor, although some good has probhe has lately come in contact with prominent members of the profession in that city,—Bre- ably been accomplished already. So far it men, Hamburg, Dresden, Munich, Vienna, breathing, which could be done without it. In
seems to have been little more than aid to deep and Breslau,—and that everywhere the leading the hands of a careless or unskilful practitioner questions were : What about the Congress of it would possibly be a dangerous agent, at 1887? Will it be held ? Will it be a success ? Will you be there? How much reduction
least in cases where there was a tendency to
hemorrhage. will there be in the passage rates ? Is it to be managed by homoeopaths? Have the dissen- thought to have been obtained a few years ago
“Our readers will remember the great results sions which threatened to wreck the Congress by the use of Waldenburg's apparatus for conbeen adjusted? Whom shall we meet whom densed and rarified air. If there is one now we know ?' etc. To these queries he felt it used in St. Louis the writer does not know of his duty to answer : • The Congress will surely be held. Whether it will be a success, will be very patient with the cabinet till we
it. His has been idle for several years. We cannot now be foretold. I SHALL NOT BE THERE. So far as I know, there will be know more of its actual value in inducing perno reduction in fares to America. The homoeo
manent improvement." paths have nothing whatever to do with the Congress. The dissensions have not been ad
A MERITED HONOR.-The Trustees of the justed in any sense whatever. You will be Rush Medical College have conferred the honlikely to meet chiefly men whom you do not orary degree of M.D. upon Dr. Grant Bey, of know by name or fame, since the majority of Cairo, one of the most esteemed correspondthe best known men in the United States have lents of THE MEDICAL BULLETIN.
DR. HIRAM CORSON AND THE greater than midwives—'Every year I use the GYNÆCOLOGICAL SPECIALISTS.
forceps more frequently than before ;' and the
pleased expression of the audience assured the R. HIRAM CORSON, of Consho-speaker that his sentiments were theirs. There,
hocken, Pa., recently presented a paper too, I was amazed to learn—from the experibefore the Philadelphia Obstetrical Society,
ence of these speakers, how numerous were the on the statistics of three thousand and thirty-six and of the perineum—so numerous, indeed,
cases of laceration of the cervix, of the uterus, cases of labor. This
that, when coupled with the fact that they were quently published in the New York Medical
numerous in a positive ratio with the increased Journal, contains such a scathing exposure of frequency of instrumental delivery, and with the dangers and absurdities of the theory and the other fact that the advocates of frequent depractice of the advanced gynæcological special- livery with the forceps, in this convention, ists, who affect to look down upon the general were teachers of midwifery and also eminent practitioner, that we reproduce it almost en-surgeons, skilful to repair' these lacerations, tirely:
so painful, so distressing to women, and that “In my secluded country home, with little these repairs brought large remunerations to the intercourse with my kind Philadelphia friends, surgeons from the ofttimes slender means of who are so industriously looking into every de their patients, I was dazed ; I knew not what partment of our profession, I was not, until a to say. I could not believe it possible that the very few years ago, aware that women in earnest gentlemen before me could have conlabor were subjected to new modes of manage- spired to teach this rushing, forceps plan of dement, 'safer to the child, safer to the mother, livery (without allowing the patient a chance and in point of time distancing nature so
for natural delivery), in order that lacerations speedily,' that women cried for the new meas
should be produced, so that the business of ures, as children are said to cry after some repairing should be brisk and profitable. No, quack medicines. On inquiry, I learned that I could not believe it, and yet the wicked the forceps were used very often-many, many thought dashed through my brain, and left an times oftener, in proportion to the number of unpleasant sensation there. cases, than twenty years ago, and that this was “In October, 1880, The Boston Medical done in the early part of the labor, not because and Surgical Journal came to me containing an nature was inadequate to the work, but because article by J. W. Elliott, M.D., of Boston, on the physician had never hurt himself by using Antiseptics in Gynæcology.' I had heard the instruments, and wished to get away something about their use by accoucheurs, and speedily, as he had other patients who needed when I saw this publication, and from a Boston attention; and, though the condition of the doctor, too, I was quick to acquaint myself lying-in woman would well have permitted him with it, supposing that he would give me the to visit his other patients and return to her in advanced views on the subject; and I was not time to aid her if she needed it, still he would disappointed. From him was learned the fact, not do it, through fear that the child might be as he believed, that puerperal fever was someborn in his absence, or some other doctor be times produced by the noxious material within called in his place. Soon after being thus the woman-sometimes, indeed generally, by awakened to what was going on, and after poisonous matter or germs from without, and learning that the graduate of a month could that these latter were introduced by the finger use the forceps and all the other swift-sure of the doctor or the nurse. Then came direcmeans of speedy delivery, without hurting his tions to prevent their introduction, as folhands or spraining his back-of course, the lows:suffering and fate of the woman were of second- "At the beginning of labor the patient ary importance I was anxious to learn all about should have a hip-bath; the hair should be cut these advances in the art of midwifery. With from the genitals, the vagina and vulva should this desire I attended the meeting of the Ameri- be washed with soap and disinfected with carcan Gynæcological Society, in Philadelphia, a bolic acid; next the hands of the doctor and few years ago. There, I heard from the mouth nurse should be absolutely clean. of more than one eminent gynæcologist-men “During labor every examination should be MEDICAL BULLETIN. preceded by a vaginal injection of a three per such stuff, when I learned that my Philadelphia cent. carbolic acid solution, to prevent the ex- friends engaged in obstetrical practice were, to amining finger from carrying germs lodged at some considerable extent, following the lead the vulva, or in the vagina, up to the uterus, of the Germans, and, above all, when I rewhich is about to be more or less lacerated. ceived from my good friend, Dr. Albert H.
" • After a normal delivery the vagina should Smith, whose too early death we deeply rebe immediately washed out with a three per gret, a copy of his Clinical Lecture on the cent. carbolic solution, and these injections Relation of Cleanliness to the Prevention of should be continued twice or three times a day, Puerperal Septicæmia,' the necessity to careaccording to the foulness of the lochia, for nine fully examine the subject presented itself to me. or ten days.
This is an interesting lecture, taking the view “After delivery the uterus and genitals of the necessity of vigilant antiseptic measures should be considered as a deep and important during all the course of labor, and differing wound which may heal by first intention, or in very little from Dr. Elliott's article as to the which the secretions may stagnate, become means to be used. It would scarcely be just putrid, and be absorbed.'
toward Dr. Smith to make brief extracts from “From Dr. Elliott's paper I also learned his lecture, which, from beginning to end, is that Winckel's Hospital, in Dresden, is one crowded with opinions and directions, all of grand experiment to perfect this theory. There which to him were deemed important. no one is allowed to examine a patient without “In view of this wide-spread belief of the first scrubbing his hands with soap and a nail- eminent teachers and practitioners of obstetrics, brush, then disinfecting with a five per cent. that there is absolute necessity to practise the carbolic acid solution, and this procedure must rigid rules looking to a speedy termination of be repeated before and after each examination.' every stage of labor by forcible means, and to
"When I had read all this, it occurred to the use of constant antiseptic precautions, I am me that possibly German women were unlike inclined to ask, Is labor a natural process? In the women of America. How else could I ac-other words, can a child be born without the count for the fact that the thousands whom I aid of the forceps, and is it necessary, when had attended without antiseptics, and without labor has commenced, that, after a bath, antiobserving the precautions spoken of, did not septics should be injected into the vagina-yea, all die. As I had never before heard of Dr. into the uterus—as directed by teachers, and Elliott, I concluded that he was a very that the physician should at once begin to young practitioner, who, perhaps, had never force open the mouth of the womb by hooking had many cases to attend, and so I went on in one or two fingers in it and pulling and stretchmy usual way, taking no razor with me to ing it, and if this fails, using cunningly devised shave the parts as directed by him, no syringe, forceps-dilating forceps—and, when it has no carbolic acid, but let nature go on with her been forced open, so that one blade can be inwork, pleased to see how steadily and perfectly troduced, employing that as a lever to stretch she accomplished it, as in the days of fifty years it open so that the other blade may be introago. Though I plodded on in my accustomed duced, and the head of the child, though still way, all around me, in the cities, from Boston at the upper strait, be grasped and drawn down, to New Orleans, the air was filled with carbolic disregarding in this heroic undertaking, rupture acid in lying-in rooms, and the medical jour of the cervix and the perineum ? And, if the nals teemed with directions how to keep the child is born alive, must it immediately have poisonous germs from getting access to the its body, and even its eyes, washed with some body of the puerperal woman. One writer antiseptic by the nurse, while the doctor withcautioned against allowing them to enter by out a moment's delay, presses his one heavy the anus while the patient was at stool. How hand on the sore belly of the mother and thrusts amazing all this seemed to me after having the other into the vagina, so that, by pressing seen three thousand women, subjected to no strongly with the one and pulling with the precautions at all, pass safely through their other, the after-birth–I declare, it is hard for labors, and in a brief time rise from their beds me to get away from these old, now obsolete, well, I need not say here. I was about to dis- words, after-birth and midwife—may be got miss the subject, to forget that I had ever read away, ‘so as to prevent flooding ?' Numerous
as are these questions, is it necessary that the and thirty-six cases in which scarcely half a physician now that the after-birth is away, dozen women suffered from puerperal fever, should stay by the bedside, pressing down on peritonitis, and pelvic abscess taken together. the tender womb for two hours, as directed by That answer might excuse me from anything teachers And whe the labor is progressing more, but, as I regard the measures now urged naturally and well, is it necessary that the -one and all, save cleanliness, in the old doctor have at the side of the bed, during all sense of that term- -as unnecessary, and very the time of his manipulations adilute Labarraque dangerous to the lying-in woman and her offsolution, and dip the finger in it every time spring, the responsibility rests upon me to avert, before a touch be made, and from time to time as best I can, the danger forced on these helpbathe the genitalia with a cloth wrung out of less patients at the very moment when life is the liquid, and, as the head passes keep the trembling in the balance. Dr. Albert Smith cloth in continuous contact with the tissues ?' -good, conscientious man—felt compelled to And, after the labor is accomplished, is it im- bear testimony against the carbolic acid soluportant to the safety of the mother to wash tion, because he saw two patients partially out the uterus with a carbolic solution or with poisoned by it. Afterward he recommended hot water at 115 or 120° Fahr., either chlori- water, 110 to 115° Fahr. But Dr. Thomas, nated or acidulated with vinegar about twenty- of New York, in a paper read before the New five per cent.' as recommended by Dr. Albert York Academy, said: “As labor sets in, the H. Smith in his recent work? The answer to nurse should administer a warm vaginal injecthese questions will be found scattered here and tion of antiseptic character.' Referring to this there through the following pages. It appears utterance of Dr. Thomas, Dr. George T. Harto me that many persons who report the doings in rison, of New York, in a paper on Puerperal foreign hospitals and urge their adoption here, Septicæmia, published in the Transactions of when they themselves really have never tested the Medical Society of Virginia,' thus writes : such practice, and know little of its danger, as- | · Against this advice I must enter an earnest sume a great responsibility, indeed, sometimes protest, as such injections are unnecessary and imperil the health, if not the lives, of those on fraught with danger.' In the same • Transacwhom such measures are practised. In the tions,' Dr. Dickinson, in a report on “AdPhiladelphia Medical and Surgical Reporter, vances in Obstetrics,' quotes from a letter of March 28, 1885, Dr. W. O. Stillman, of from Berlin, written by Dr. Cushing, in which Albany, N. Y., has an article in which he de- he says: “Vaginal injections are now abanscribes the precautions taken by Professor Carl doned, in all institutions of repute, after normal Braun, of Vienna, to prevent infection to the labor.' Poor Carl Braun's hospital seems not lying-in woman. After urging every possible in good repute! Could we take in the whole care to disinfect everything needed to be near field in which this carbolic antiseptic práctice to the woman prior to examination, he thus has prevailed, how many thousands of women speaks: “As soon as the after birth is removed must have suffered from this (at that time) the vagina is washed out high up with a two highly lauded practice of using carbolic acid per cent. solution of carbolic acid at the tem- injections ! Dr. Smith refers to the experience perature of the room. About one gallon of the of Fritsch, as confirming his belief in the solution is used, and the injection is given by danger of carbolic acid solution as thus used. means of a huge glass fountain syringe. Almost Now, when I reflect how many thousands of as soon as the child is born, and often before the physicians are there in the United States who are cord is cut, its eyes are syringed out with a two using carbolic solutions as they were at first per cent. solution of nitrate of silver.' Dr. recommended, and who are not aware of their Stillman doubtless believes he has given valu poisonous effects when thus used, I feel that it able information to the thousands of American is proper here to state what Fritsch has said on practitioners. He has us on trial. Dare we the subject. Do you ask, “How can it be that refuse to follow Carl Braun? This brings me they are not aware of these poisonous results if to the inquiry :
they have ever occurred in their practice?' “ Are antiseptic solutions, when thrown into My answer is that, although these effects may the vagina and uterus, safe? I do not know. have been produced many times, they would alI have never used them in my three thousand most certainly have attributed them to the intro