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below, over the head-board and foot-board. for most cases. After the inflammation has subThe patient, wrapped in a sheet, is then slipped sided, I direct the patient to continue the use of on to the cot; of course, the canvas sags down, the mild, stimulating spray two or three times a and when water is poured over the sheet the day for many months, in order to toughen the man lies half immersed in a pool. If the attend- membrane so that it may not be so easily affected ant is provided with two tubs, one containing by exposure. For this purpose I usually recomwater and one empty, and also with a large bath- mend.a solution of sulphate of zinc in water, two ing sponge, the water in this pool, heated by the or three grains to the ounce. This should be used body, can be removed by means of this sponge, for three or four weeks, and then substituted by and fresh cold water soused over the body en- some similar remedy, as ferric alum or chloride of veloped in the sheet. In this way the water- zinc, for about the same time, after which the orilying continually between the sheet and the body, ginal spray may be again employed. Frequently, as well as saturating the sheet—so envelops the I combine with these solutions small quantities person that the effect of the cold bath can be of carbolic acid, for its sedative effect, and often achieved, and I have seen very rapid reduction I add to them the distilled extract of hamamelis, of obstinate high temperatures. If the bed upon eucalyptol, or Listerine. At the same time, owing which the patient lies be a very wide one, instead to the pharyngeal trouble, troches of krameria, of a cot being used the mattress can be so ar- or Hancock's compound troches of krameria, or ranged on one side as to sag down sufficiently to benzoic acid, may be beneficially employed four form a hollow for the pool, and in this way the or five times a day. By this process, eventually, bath can be given.

nearly all these cases will be cured, if the patient I notice that Stephan, of St. Petersburg, affirms is faithful in the use of his home remedies. that the application of ice-bags over the super- The vapor inhalations which were much in clavicular regions is sufficient to control the tem- vogue a few years ago, are not generally beneperature in fever, owing to the fact that the cold ficial, except during the first few days of the attack; is brought into close contact with much of the on the contrary, they are often hurtful by reason blood of the body by the large superficial veins of the increased tendency to inflammation inof the neck. I have had no experience, how. duced by the frequent applications of warmth ever, of this method of reducing temperature, but and moisture. As a matter of course, the patient it is worthy of a trial; especially as it seems to must not use the voice when hoarse, and he must be safer to reduce temperature in a low fever by be careful in recommencing its use after a period external cold, than by our at present known de- of rest. pressant antipyretic drugs.

The condition of the digestive and secretory RECURRENT LARYNGITIS.—Dr. E. Fletcher organs must be carefully attended to in all these Ingalls (Journal of American Medical Associa- cases, and the rheumatic, gouty, syphilitic, or ation) says the treatment of recurrent laryngitis

dartrous diathesis, if present, must receive proper

consideration. must be varied according to the cause of the disease. In cases in which the affection occurs in

In a considerable number of cases, the inflam

mation is caused and maintained by the use of a person predisposed to inflammation of the mu cous surfaces, and in which there is no obstruc- tobacco. I have found the condition most fretion in the upper air passages to account for it, quently among smokers, though I believe that we adopt the ordinary treatment recommended chewing is almost as injurious in some individufor chronic laryngitis, i.e., local applications of als. In such cases, tobacco must be discontinued

before we can hope for a complete cure. astri ngents and stimulants, together with proper attention to any constitutional symptoms. We THE INTERNATIONAL CONGRESS.-We have must make every effort to ascertain the true received a circular containing the preliminary cause of the frequent colds from which these pa- organization of the International Congress, which tients suffer, and they must be advised accord- we publish elsewhere, and which looks very much ingly.

as though the meeting was destined to be a great During the heighth of the attack, I prefer ap- success. plications of sulphate or chloride of zinc, in In this connection, it seems to us to be our strength varying from gr. ij to xxx in f3j, plain duty to call attention to and to censure in according to the effect, the weaker solutions very severe terms the unpatriotic course that has during the heighth of the affection, and the been hitherto pursued by the two prominent strong ones later on. These are made with the weekly medical journals, that, we are almost atomizer, if possible, but in a large number / ashamed to say, have made every effort in their of cases, the patient cannot hold the throat in power to doom the Congress to failure. position long enough to permit a thorough ap- With remarkable persistency, that would call plication; and then either a brush or a pledget only for the highest praise were it expended in a of cotton must be employed. I prefer the latter worthy direction, the Medical Record of New



York, and the Medical News, of Philadelphia, oring ludicrously to gracefully retire from a posihave, by repeated editorials and by the republica- tion which they evidently regret. Now, that tion of extracts unfavorable to the Congress from those who would have taken pleasure in ruining interested foreign journals (such as those published the Congress, realize that the fætus has great in Berlin, which city was the great rival of the vitality and gives ample promise of a vigorous United States at Copenhagen for the honor of the maturity, they hesitate in their unpatriotic course, Congress in 1887), used their utmost endeavors and since success always assures success, comto cultivate the seeds of discontent that had been mence to think that they would like to do homage cast abroad by the disappointed clique. The to its shrine, and since, with a commendable editor of the Medical News is one of this select spirit, the present authorities seem inclined to circle, and it is with sorrow that we witness his extend the hand of fellowship to those among the exhibition of weakness in prostituting the great revolters whose coöperation is universally demission of medical journalism to the gratification sirable, we doubt not that the chasm will be of a jealous coterie. The Medical Record is the bridged.-Medical and Surgical Reporter. organ of the New York circle, and its great mis

WHEN A PATIENT DIES OF EXHAUSTION, sion has been submerged by (to say the least) an exceedingly unpatriotic course.

DOES HE Die?-Dr. J. Milner

Fothergill (British Medical Journal) says: We How different in a similar situation would be all know what is meant by death from exhausand indeed how dissimilar in the present case is tion. It is failing power.” The patient sinks the course pursued by the great independent before our eyes, slipping away because we canLondon weekly, the Lancet ; this enormously in- not keep up the strength," or "husband the fluential journal, published in a country that

powers,” or “maintain life,” as we variously would be perfectly excusable for hostility to an

phrase it. We know well that, when the sick American Congress, has been much more loyal

man declines food, in limited time he will sink. to our good name and our good fame than have We give him the readily oxidizable alcohol, but our own journals. The scurrilous imputation

he cannot long survive on that alone. What is has been made that the Lancet has been bought amiss, that we fail to keep him alive? over, and as we write the words, we can see the

If a shipwrecked sailor be deprived of food smile that will illumine the face of Mr. Wakeley for a certain time, he will die of starvation. He when he reads that any one could for a moment suppose that his absolute independence, that has grows weaker and weaker, till, at last, he dies of

exhaustion. Just like the sick man, he sinks. made his journal the most influential medical We know, too, that, while a man so deprived of publication in the world, could be bought at any food in a cool locality will die in about ten days, price. From the beginning, Mr. Wakeley's pene- he will die in less time in a cold locality; while tration enabled him to recognize the true inward-life will be maintained for a longer period of ness of this revolt, and rightly reasoning that time, even to seventeen days, in the tropics. (It justice, truth, and journalistic independence were

is assumed that he has access to water.) Starvato be placed high above all personal aims, he has tion is a slow form of burning up. But what is accorded to the Congress a hearty support.

burnt up? The fuel-food of the body, clearly. That our visitors will not see men worth see- The fuel of the body is glycogen and fat-the ing, and hear men worth hearing, because some stored form of fuel. of the leading lights of our large cities will “sulk Glycogen is burnt, we believe, as lactic acid in in their tents,” is not true. We venture to say union with soda-lactate of soda. From the that the distinguished physicians of Europe would carbohydrates of our food, glycogen or animal consider it well worth their while to have traveled starch is stored mainly in the liver. This glymany miles to have heard and seen McDowell, cogen is stored up from each meal, and given Atlee, or Jenner; to see and hear Koch, and off, as grape-sugar, as the body requires it. Dismany others whose names we could mention who turbance in the glycogenic function of the liver did not, when they became famous, belong to gives us diabetes, a wasting disease. In the city cliques. It is not always those who thein- diabetic person the combustible portions of the selves think so, who are the most worth hearing body are burnt up, just as in death by starvaand seeing.

tion. The liver gives off grape-sugar as long as Besides, we are not so sure that these shining it has any to give ; and, when its store (and the lights will not be found at the feast. It is a sig- spare store, the body-fat) is exhausted, then the nificant fact, that the two journals already al- lamp of life dies out, just as the lamp on our luded to have, for some little time, dropped their study-table dies out when the oil is exhausted. former aggressive form and stand only on the de- Now how does all this bear on our patient fensive, editorially noticing the Congress only sinking from failure of the powers, otherwise when their policy in the past is attacked, and dying of exhaustion”? It bears very matethen lamely defending their course, and endeav- rially upon his case. Virtually, the patient is

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dying of starvation. How do we feed that | Practical Surgery, Including Surgical Dressperishing patient? We give him beef-tea, calf's- ings, Bandaging Fractures, Dislocations, Ligafoot jelly, alcohol, and milk, and seltzer-water or tion of Arteries, Amputations, and Excisions other effervescing water. He may get a small of Bones and Joints. By J. EWING MEARS, quantity of other foods; but that just given is M.D., Lecturer on Practical Surgery and the staple of his regimen. Now, let me ask, in Demonstrator of Surgery, Jefferson Medical all seriousness, how much of the body-fuel College, etc. With four hundred and ninety (grape-sugar) is contained in the list ? A small illustrations. Second edition. Revised and quantity of milk-sugar there is certainly; also, a enlarged. Philadelphia: P. Blakiston, Son small quantity of fat in the milk; some oxidizable & Co., 1885. alcohol certainly. But are we not mocking the

Much new and important matter has been infamishing man by giving him a stone when he corporated in the second edition of this valuable asks for bread? Do we not stand around his work. It now contains a clear and concise dying bedside, and, with the best intentions in description of all the operative procedures of the world, let him die by inches before our eyes, every-day surgical life, and will be of inestiunsuccored, unfed ?

mable assistance to the busy practitioner, as well Fashion prescribes the food of the sick-room

as to the student when preparing for examinato a large extent. Veal-broth had given way to tion. calf's-foot jelly when my professional experience first began. Then a patient who had not had

Inebrism; a Pathological and Physiological call's-foot jelly had been neglected. Now it is

Study. By T. L. WRIGHT, M.D., Bellefonbeef.tea which holds the place of honor in the

taine, Ohio. Published by the author. sick-room. Beef-tea is valuable as a stimulant, This instructive treatise is devoted to a considas a pleasant vehicle of something else, but its eration of the causes of inebriety, and the pathofood-value is so small, that it can scarcely be logical changes which are developed in the orclassed as a food.

gans and tissues of inebriates. It contains much What that beef-tea needs is grape-sugar. How important information and many valuable sugcan this be added ? In our prepared foods, gestions, and should be read by every lover of known generally as “baby food,” starch has humanity. been converted into the soluble dextrine, or

Post-Mortem Examination, with especial rejmaltose; the one grape-sugar, the other only requiring a touch of saliva to complete its con

erence to Medico-Legal Practice. By Professor

RUDOLPH VIRCHOW. Translated by T. P. version, Add some of this material to the beef

SMITH, M.D., M.R.C.S. Philadelphia: P. tea, and then food is supplied to the famishing

Blakiston, Son & Co., 1885. system. Starch that has long been exposed to heat (either by the baking process or the malting

This valuable monograph contains an interprocess) is converted, more or less completely, esting account of Professor Virchow's early exinto grape-sugar. The saliva of a sick person is perience as Prosector in the Berlin Hospital, and enfeebled, and so carbohydrates should be pro- the subsequent development under his guidance vided which do not require insalivation for their of a systematic method of making post-mortem solution, being already soluble. This demand is

examinations. By this method a post-mortem met by the various malt extracts which contain examination can be completed in three or four not only soluble carbohydrates, but also some hours, and yet conducted so carefully that every soluble albuminoids, and phosphatic salts, ground possible cause of death may be fully investigated. malt of like composition, also grape-sugar itself. A Text-Book of Medical Chemistry for Medical The latter is not too sweet to pall upon the palate

and Pharmaceutical Students and Practiwhen added to beef-tea or other meat-broth.

tioners. By Elias H. BARTLEY, M.D., Adjunct Professor of Chemistry and Lecturer on

Diseases of Children in Long Island College BOOK REVIEWS.

Hospital, etc., with forty illustrations. Phila

delphia : P. Blakiston, Son & Co., 1885. The Physicians' Visiting List for 1886. Phila.

This work is the result of the author's experidelphia : P. Blakiston, Son & Co.

ence as a teacher of chemistry during the past This popular visiting list, which is now in the twelve years, and corresponds in subject matter thirty-sixth year of its publication, contains a and general arrangement with the course of complete posological table, an illustrated de lectures given by him for several years in the scription of Marshall Hall's ready method of re- Long Island College Hospital. It was written suscitating asphyxiated patients, a list of poisons especially for the use of medical and pharmaand their antidotes, a résumé of new remedies, ceutical students, but will also be of value to the and a well-arranged visiting and obstetric record. practising physician as a book of ready reference.


Official Formula of American Hospitals. Col- | The Use of the Microscope in Clinical and Patho

lected and arranged by C. F. TAYLOR, M.D., logical Examination. By DR. CARL FRIEDeditor of The Medical World. Published by LANDER, Private Docent in Pathological AnThe Medical World, Philadelphia.

atomy, Berlin. Translated by Henry C. CoE, This little volume contains the formulæ which M.D., Pathologist to the Woman's Hospital. most frequently employed in the prin.

New York. Second edition. Enlarged and cipal American hospitals. It has been carefully

improved. New York : D. Appleton & Co., compiled by Dr. C. F. Taylor, and will be found 1885. to be a useful pocket companion.

This volume contains a concise description of A Treatise on Nervous Diseases; their Symp- the best methods of making microscopic examinatoms and Treatment. A Text-Book for Stu. tions for diagnostic and pathological purposes, and

will be found to render invaluable aid in many dents and Practitioners. By SAMUEL G.

obscure cases. WEBBER, M.D., Clinical Instructor on Ner

Its author is well known as one vous Diseases Harvard Medical School, etc.

of the most expert anatomists and microscopists New York: D. Appleton & Co., 1885.

of the famous Berlin school. This volume contains a concise but compre- Aids. to Gynecology. By ALFRED S. GUBB, hensive description of the etiology, pathology,

L.R.C.P., M.R.C.S. New York and London: diagnosis, prognosis, and therapeutics of the

G. P. Putnam's Sons, 1885. functional and organic diseases of the nervous slids to Surgery. By GEORGE BROWN, M.R.C.Ş., system. It is written in an attractive style, and L.S.A. New York and London: G. P. Putwill prove a valuable addition to the working

nam's Sons, 1885. library of every practitioner of medicine. Aids to Obstetrics. By SAMUEL NALL, B.A.,

M.B. New York and London: G. P. PutThe Physician Himself, and what he should

nam's Sons, 1885. add to his Scientific Acquirements in order to secure Success. By D. W. Cahill, M.D., Aids to Medicine. By Dr. C. E. ARMAND SEMlate Professor of Pathology in the College of

PLE, B.A., M.B., etc. New York and London: Physicians and Surgeons, of Baltimore. Fifth

G. P. Putnam's Sons, 1885. edition. Revised and enlarged. Baltimore: This valuable series of compends has been Cushing & Bailey, 1885.

written for the use of students while preparing The success of this admirable book is as un

for examination. Each volume presents in a paralleled as it is well deserved. Over fifteen clear and concise manner all the important facts thousand copies were sold within two years from connected with the subject of which it treats. its first publication, and the fifth edition, which The volume on gynecology is especially worthy has been recently printed, will soon be exhausted of commendation, as containing a complete

résumé of all the salient features of that departalso. We cordially advise those of our readers who

ment of medicine. have not yet procured a copy of it, to send for Leonard's Physician's Pocket Day-Book. Pubone at once. It is full of practical suggestions, lished annually by the Illustrated Medical from which every young practitioner, and many Journal Company, Detroit, Mich. old ones, can derive both pleasure and benefit. This popular day-book is now in its ninth year Milk Analysis and Infant Feeding : a Practical of publication. It is good for thirteen months,

Treatise on the Examination of Human and from the first of any month that it may be begun, Cow's Milk, Cream, Condensed Milk, etc., and and accommodates daily charges for fifty paDirections as to the Diet of Young Infants

. tients, besides having a cash department, and

It also contains By ARTHUR V. Meigs, M.D., Physician to the complete obstetric records. Pennsylvania Hospital, and to the Children's columns for the diagnosis of the case, or for brief Hospital, etc. Philadelphia : P. Blakiston, record of the treatment adopted, following each Son & Co., 1885.

name space. This little book is a valuable contribution to Modern Therapeutics of the Diseases of Chilour knowledge of infantile dietetics. The author,

dren. By J. F. EDWARDS, M.D. Philadelafter long and careful investigation, is convinced phia: D, G. Brinton, M.D., 1886. that human milk contains a much smaller per- This valuable book presents in a concise form centage of casein than is ordinarily believed to be a summary of the most approved modern methpresent in it; and that the failure of the various ods of treatment of diseases of children. The substitutes which are used for it is due to the fact sections on diphtheria, croup, and bronchitis are that they usually contain more casein than can especially instructive. Every page, however, be digested by the infantile stomach. Experi- contains valuable suggestions, and will well repay ence has shown that these views are correct. careful perusal.


A Compend of the Practice of Medicine. By | Iritis: Its Relation to the Rheumatic Diathesis

DANIEL E. HUGHES, M.D., Demonstrator of and Its Treatment, by Charles J. Lundy, A.M., Clinical Medicine, Jefferson Medical College, M.D., Detroit, Mich. Reprint from the Phyetc. Philadelphia : P. Blakiston, Son & Co., sician and Surgeon. 1886.

Abnormal Positions of the Head: What do they This valuable work is one of the most com- Indicate? by Edward Borck, A.M., M.D., St. plete handbooks of the practice of medicine that Louis, Mo. Reprint from The Medical and has yet been published. It is based upon the Surgical Reporter. some years ago, but contains much new and In Memoriam, John L. Atlee, M.D., LL.D. An

Address delivered before the Lancaster City original matter, and has been further enlarged and improved by the addition of a complete sec

and County Medical Society, by J. L. Ziegler, tion upon diseases of the skin.

A.M., M.D., of Mount Joy, Pa. A Practical Treatise on the Diseases of Children. Hydrobromic Ether, or Bromide of Ethyl as an

Anæsthetic, by Laurence Turnbull, M.D., By ALFRED VOGEL, M.D., Professor of Clinical Medicine in the University of Dorpat, Rus

Ph.G., Philadelphia, Pa. Reprint from the sia. Translated and edited by H. RAPHAEL,

Journal of the American Medical Association. M.D., New York. Third American edition, The Practice of Artificial Anästhesia, Local and from the eighth German edition. Revised General, with especial reference to the Modes and enlarged. New York: D. Appleton &

of Production and their Physiological SignifiCo., 1885.

cance, by Dudley W. Buxton, A.M., M.D. The value of Professor Vogel's interesting and

Reprint from British Medical Journal. instructive treatise on the diseases of children is A Case of Fatal Ear Disease, beginning as a sufficiently attested by the fact that it has been Circumscribed Inflammation in the outer half translated into four languages, and the present of the External Auditory Canal, by Charles J. edition is the third that has been issued in America Kipp, M.D., Newark, N. J. Reprint from within a few years. It contains a complete sum Transactions of American Otological Society. mary of the etiology, pathology, prognosis, and therapeutics of the varied diseases of infantile Résumé of Dr. J. Mortimer Granville's Book on

Nerve Vibration and Excitation, with Notes life. It is evidently the result of years of personal experience, as well as of extensive reading,

of Clinical Experience with the Percuteur, by and is well entitled to a first place in the field of

Asa F. Pattee, M.D., Boston, Mass. Reprint

from the Journal of the American Medical Asmodern medical literature.


Observations upon the Mutual Relations of the NEW PUBLICATIONS RECEIVED.

Medical Profession and the State. An AdPuerperal Mania, by T. K. Holmes, M.D., dress by Donald Maclean, M.D., President of

Chatham, Ont. Reprint from Canadian Prac- the Michigan State Medical Society. Delivered titioner.

before the Society at Port Huron, Mich. Pub

lished by order of the Society. Contributions to the Philosophy of Color, by Wil.

liam C. Cahall, M.D., Philadelphia. Reprint Ninth International Medical Congress, to be from Popular Science Monthly.

held in Washington, D. C., in September,

1887. Preliminary Organization. Rules and Rectal Medication, by D. W. Cathell, M.D. Re

General Officers. Published by order of the print from the Transactions of the Medical and

Executive Committee, Henry H. Smith, M.D., Chirurgical Faculty of Maryland.

Chairman, Philadelphia ; Nathan S. Davis, The Surgical Treatment of Cystis of the Pan- M.D., LL.D., Secretary-General, Chicago, Ills.

creas, by N. Senn, M.D., Chicago, Ills. Re. On the Necessity of an International Pharmaprint from Journal of American Medical Asso

copæia. An Address delivered in French beciation.

fore the International Pharmaceutica! ConMechanical Dilatation of the Uterus, by Charles gress, at its meeting in Brussels, September

Meigs Wilson, M.D., Philadelphia. Extract 1, 1885, by F. J. B. Quinlan, M.D., Professor from Transactions of Pennsylvania State Medi

of Materia Medica and Therapeutics, Catholic cal Society.

University Medical College, etc. Reprint from

the Dublin Journal of Medical Science. A Case of Laparotomy for Gunshot Wound, by

John R. Hamilton, M.D., Washington, D. C. Reprint from the Journal of the American Medi- Subscribe for The MEDICAL BULLETIN; the cal Association.

largest and best journal issued for $1.00 a year.

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