Misce et pone in caps. xxiv. Sig. One capsule every 4 hours, until urin becomes light blue; then use 2 or 3 a day to keep urin colored..

In conjuction I use Valentine's permang. injection, and one picratol (Wyeth) gr. ss. bougie on retiring. I have had the greatest success by these measures, coupled with proper diet, hygiene, etc. Some day I will endeavor to write a neat little article on gonorrhea for our brethren of the WORLD fraternity.

Denver, Colo. FRED'K AMMON, M.D.

More Quackery.

Editor MEDICAL WORLD:-A full page advertisement in a popular magazine tells how a Kansas City, Mo., doctor cures cataract, squint, and all diseases of the eye by his "Mild Medicin Method." Saying that I am a farmer (not entirely untrue), I wrote the advertiser in reference to treatment for a "terigium" (purposely misspelled). I inclose herewith the reply which I received, and which THE WORLD is at liberty to use if worth the space. I described no symptoms of any eye trouble except pterygium.

One does not need to be an eye specialist to recognize the gross dishonesty in the doctor's reply. The advertising eye specialists have been having very free use of the advertising pages of the magazines and religious periodicals of late. It has been my policy for some years not to contribute to the support of any publication carrying such advertisements, a policy which I would be glad to know that THE WORLD readers approve and practise. Bloomsburg, Pa. H. W. CHAMPLIN, M.D. KANSAS CITY, Mo., Oct. 24, 1905.

MR. H. W. CHAMPLIN,

Bloomsburg, Pa.

Dear Mr. Champlin :-Your eye disease is an inflammation of the optic nerve, which has been produced from a congestion of the glands of the eyeball. (And I want to say here that the sight proper has no direct communication of blood, but derives all its food supply from the secretions.) These secretions give nourishment to the optic nerve as well as the various little nerves branching off from it, the same as the system is nourisht by taking food into the stomach.

It is the diminishment of these secretions that has produced your present difficulty. In plain words, it is a partial paralysis, or atrophy, of the optic nerve, caused by the nerve not receiving proper nourishment.

With my Mild Medicin Method I can bring on an over-abundance of these secretions, so as to give a bountiful supply of nourishment directly to the end of the nerve; when this is done the nerves will gradually take on new life and eventually all of your nerve trouble will be relieved and your sight restored to normal. Please understand that the disease of "inflammation of the optic nerve" does not necessarily mean that your eyes present an inflamed, bloodshot appearance. On the contrary, it is usually the case that the disease presents few, if any, outward indications. It is on account of the insidious character of this disease that makes it so dangerous.

Now for a few points concerning which you will be anxious to inquire: (1) You can use my treatment at home without interfering with your occupation or daily duties just as effectivly as I could administer it to you in my office. (2) It will probably take from two to four months to effect a complete cure-sometimes a little less, sometimes a little longer. (3) My treatment will not only cure you of your main trouble, but it will at the same time remove all reflex complications and associate diseases.

The total cost to you for my home treatment is $5.00 per month, and upon receipt of this amount I will prepare and send you a month's treatment of my remedies covering every phase and condition of your case. If at the expiration of thirty days' use of my treatment your improvement is not sufficient to warrant you in continuing the treatment until cured, or if you are not entirely satisfied with the results of my treatment, write me to that effect, and I will return every cent you have paid me. You are to be the judge-your word shall decide it.

Hoping that I may have the pleasure of prescribing for you in the near future, so I may place you on the road to speedy recovery, I remain, Yours truly,

Dict. F. G. C. Steno. W. I. S.

F. G. CURTS, M.D.

How Can Fleas be Banisht? Editor MEDICAL WORLD:-In the September WORLD, page 364, Dr. J. H. Sanborn gives some excellent applications to destroy certain insects, but he does not mention one of the most abominable pests on earth: fleas. Will you please inquire of him or any one else for something that will banish these little pests? as there are several states in which they are very prevalent, and this is one of them. Many reputed remedies, such as pennyroyal, pyrethrum powder, and various oils are of no use whatever. Pyrethrum or buhach powder, some years ago was of some good, but now, thru adulteration or deterioration, I find it useless; and with some persons it poisons the skin much the same as rhus. It is impossible here to sit in any public place (church, halls, theatre, &c.), without being infested with those little pests, and ladies are as a rule more especially annoyed by them. If you can publish an effectiv remedy for this evil, you will confer a great blessing on many sufferers therefrom. CALIFORNIA.

In biliousness due to dietetic indiscretion, after the bowels have been thoroly cleansed by calomel and ipecac, the following medication is indicated:

Dilute nitro hydrocloric acid. . 10 drops Elixir taraxacum compound. . 2 drams Mix, and direct to be taken half an hour before meals.

[King's American Dispensatory, by Felter. and Lloyd, publisht by The Ohio Valley Company, Cincinnati, Ohio, 1900, is, we believe, considered the authority in these matters among eclectics. From it we quote as follows: Stillingia Liniment: Compound Tincture of Stillingia,

"Preparation:-Take of oil of stillingia, 1 fluid ounce; oil of lobelia, oil of cajuput, of each, fluid ounce; alcohol and glycerin, of each, 2 fluid ounces. Mix in the order named. This formula is that revised by Prof. W. E. Bloyer, and is far preferable to the formula given below. Prepared in this manner, the component parts of the liniment do not separate as readily as in the old preparation, the formula for which is as follows: Take of oil of stillingia, I fluid ounce; oil of cajuput, fluid ounce; oil of lobelia, 2 fluid drams; alcohol, 2 fluid ounces. Mix together.

"Stillingia liniment is prone to precipitate, and often thickens to a magma or jelly. It should be well shaken before being used. If it has solidified, it should be replaced by a fresh supply."

Oil of stillingia costs 90 cents, and oil of lobelia $1.50, an ounce.—ED.]

Editor MEDICAL WORLD:-If it had not been for THE MEDICAL WORLD, I think I would have been caught by one of those collecting agencies. The agent came to me wanting to collect my old accounts for me, but as soon as I mentioned THE MEDICAL WORLD exposing those frauds, he made a short excuse and left my office. Hurrah for the Editor of THE MEDICAL WORLD! Otis, Kans.

D. H. NOTHDURFT, M.D.

Grass Expels Worms from Child. Editor MEDICAL WORLD:-In the spring of 1905 a father sat his little boy, thirteen months old, on the sod while he fixt the yard fence. The blue grass had started to grow, and the little child pickt and ate of the tender blades. In about twelve hours it passed a tape worm twelve inches long, and a round worm

Literature of Interest to Doctors.

22. A Country Doctor. By Sarah O. Jewett. 23. Dr. Grimshawe's Secret. By Nathaniel Hawthorne.

24. Dr. Nikola. By Guy Boothby.

25. Dr. Antonio. By Ruffini.

26. The Surgeon's Daughter. By Sir Walter Scott. 27. Joseph Balsamo. By Alexander Dumas. 28. The Viking's Skull. By John R. Carling. 29. The Sociable Ghost. By Olive Harper and Another.

30. Told by the Death's Head. By Maurus Jokai. 31. Dr. Breen's Practise. By William D. Howells. 32. Dr. Phillips. By Frank Danby.

Mrs. Julia Frankaus uses the pseudonym "Frank Danby" on the title page of her works of fiction, and it is only of late that her identity has become known. She is the wife of a wealthy Jewish merchant of London, and she is a prominent figure in the musical, literary and artistic set of the English capital. In her first and strongest novel entitled "Dr. Phillips," which gives an extraordinarily vivid picture of the more unpleasant features of middle Jewish life, she delineated the principal character with so much fidelity to her model, a leading London physician, that he secured an injunction in the courts against the circulation of the book.

33. Ralph Marlowe. By James Ball Naylor, M.D. Dr. Naylor, of Malta, Ohio, has written some entertaining books: In the Days of St. Clair, The Sign of the Prophet, Under Mad Anthony's Banner, and Ralph Marlowe. The last-mentioned is the only one that has a doctor for the main character.

34. The Strange Story of the Quillmores. By Augustus L. Chatterton. Rocbus," a medical man, is the leading character in this interesting novel. The book contains frequent references to the masonic fraternity:

"Ira," called the doctor, "turn your head this way a minute. That's the sheriff's posse we hear coming and we're ready to be captured-listen. This man is a brother mason! He has correctly communicated the words and tokens. We have unwittingly saved a brother of our order from direst peril and did not know it at the time."

This book, while of interest to physicians, should be of special interest to practicians who are members of the F. & A. M. DR. GRACE M. NORRIS.

South Columbia, N. Y.

Editor MEDICAL WORLD:-Your December issue contains a short article by Dr. Gott in regard to an infant of 13 months weighing 102 lbs. W. B. Saunders & Co., of Philadelphia, publish a book written by Drs. Gould and Pyle, called "Anomalies and Curiosities of Medicin." This book cites many examples of obesity in infants and children. This condition is called "congenital corpulency." Numerous cases of excessiv avoirdupois are given. No cause is given for the abnormal amount of adipose tissue.

DR. GRACE M. NORRIS.

South Columbia, N. Y.

Editor MEDICAL WORLD:-Dr. Gott, in last number certainly has the record baby. My record for 1905 is a 16 lb. 4 oz. boy. That's fair for Okla., I think. Long live THE WORLD. J. M. WORKMAN. Woodward, Okla.

[Now, when hundreds of subscriptions are coming in every day, the brethren frequently take occasion to incidentally express some sentiment that they did not consider it worth while to write a letter specially for. These sentiments are always referred to me from the subscription department, and I take pleasure in reading them over every day, and from them I frequently get hints, helps, and suggestions. The above sentiment or opinion has been exprest repeatedly not only this year, but every year. The moral is, be careful in diagnosis; and in making up statistics concerning a certain disease, include only cases in which the diag nosis is beyond doubt. I wish I knew how to reach and disciplin the "blow hards" who diagnose every little ailment in the chest as pneumonia“ a marvelous cure", and every rise of temperature as "typhoid fever"-"cured in 3 days!" Many communities are still infected by such so-called physicians." What shall we do with them? How can we reform or get rid of them ?-ED.]

A Magnificent Endorsement.

My Dear Editor:-Today I renew my annual subscription to the Philadelphia MEDICAL WORLD for the twenty-first time. It is interesting at this time to glance back over the decades, and review the steady growth and progress of THE WORLD during that time under the careful supervision of its ever vigilant, ever intrepid Editor, whose happy family now embraces within its circle doctors of every school of practise and of every political and religious faith, united under one head, having in view the same noble object, the health and welfare of the people. The past twenty years have witnest a vigorous growth and progress in every branch of mechanical art and science, and medical science has advanced pari passu in the grand movement onward and upward; and the WORLD family, like a well-equipt army, under the skilful leadership of its dauntless chief-the Editor-leads the

that their minds should agree in every detail. So long as men's hearts are together they can work together harmoniously and helpfully; and the longer they so work together, the chances are that their minds will come more nearly into agreement. It is more important that a man's heart should be right, than that his head should be right; a right heart, with suitable industry, will usually lead to a right head.-ED.]

A Pleasing Sentiment from a Homeopathic Brother. DEAR DR. TAYLOR:-A lot of us are like the old man who said his prayers till he got tired, and then had them printed and tacked on the foot of his bed, and then said, as he pulled up the covers: "Lord, them's my sentiments."

Just so I have said, as I smelled the bouquets thrown at you: "Good for Taylor; he deserves every bit of it." I only take 10 journals, and THE WORLD is the only one which is thoroly read. So here is for might to your pen, red blood for your brain, and the Lord's grace for your heart, and a place in heaven, long, long years from now. J. F. ROEMER.

Waukegan, Ill.

[The Doctor inclosed a $3 check to push his subscription four years in advance, but he modestly did not mention it in the letter.-ED.]

Dear DOCTOR TAYLOR:-Herein please find draft for $1, my subscription to THE WORLD for 1906. I wish to assure you of my appreciation of your efforts in editing for us such an interesting and profitable journal. It has come to me for many years, and every issue has some suggestion of much value. I trust all the "fellows" will be prompt in paying their subscriptions, thus relieving you of annoyance and worry and the better enabling you to forward our interests. EDWARD G. LEFFLER. La Porte City, Iowa, Dec. 4th, 1905.

Sincerely yours,

To get a look at the tongue of a child, press gently on the chin with the first finger, and often it will open the mouth immediately, enuf to admit of examination. If this fails, push the child's under lip up over its under teeth, and press downwards firmly; the child will open the mouth to avoid getting its under lip cut. In very obstinate children it may occasionally be necessary to hold the nostrils till it opens the mouth to breathe; but these are exceptional cases.

To get opportunity of counting the pulse of a child, allow the mother or some one accustomed to being with it to hold its hand, when the physician may often slip his finger upon the artery without the child noticing it; whereas if the attempt is made in the usual manner, struggling and excitement are certain to send the pulse 15 or 20 beats higher than it would otherwise register.

Doctor, was adv. page 19 in your December WORLD markt with a blue pencil? If so, you received a bill. And if you received a bill, have you sent us the

needful" yet? If not, will you kindly do so, and save us the trouble of sending another bill? You know you don't like to have to send bills time after time to your patrons. You should treat us like your best patrons treat you-you want to be among our best patrons." We sent out a large number of bills in December, and many payments are being made daily. But there will be a remnant that we will have to bill again. You don't want to be among this remnant. As our accounts are so small and so many, we do not send receipts except when specially requested. The bill shows the condition of your account, and when you pay it we stop sending bills to you, until another is due, either the next year, or at the end of four years, if you remit for that length of time. So when you pay up, and receive no more bills (THE WORLD arriving each month), you may know that the money was received, and that your record here is all right. Please do not compel us to send several bills each year, and then follow with dunning letters.

QUIZ

New books as they appear, are sent to our Assistant Editor, Dr. A. L. Russell, of Midway, Washington Co., Pa for review. As the Doctor thus has all the late books for refer ence, and is made familiar with them by reviewing each one carefully as it reaches him, he is unusually equipt for answering queries. Therefore it has been our custom for a long time to send queries to him for reply. In fact, the Doctor made a specia request that this be done, as he enjoys this work. It now occurs to us that time will be saved if you will send directly to Dr. Russell matter intended for the Quiz Department, which has grown so much under his vigorous treatment " Please notice that our query department is not used to "boost" proprietary remedies, aimanac fashion. THE MEDICAL WORLD has no interests other than to give to the medical profession the greatest amount of hones service possible. It has absolutely no interests in any proprietary preparation nor any medical supply house. Other medical editors have become, and are becoming, wealthy, by using their pages to ncrease the sale of preparations that they are interested in; but we prefer to render service to our subscribers that is above suspition of personal pecuniary interest. How can a man interested in the sale of certain preparations render the best service? He is always trying to push one of his preparations in. That is commer cial journalism. We prefer ethical journalism-and so does the profession, for THE MEDICAL WORLD is growing in popularity faster than ever before-and our subscribers are paying ones They must be, for we have no medicins to "boost," nothing to sell, nothing to depend on but pure journalism; but doctors that want honest, straight journalism are willing to pay for it-they are glad of the opportunity.

Only such queries will be publisht as are likely to interest and Instruct many others as well as the one asking help. No charge has ever been made, nor will any charge be made, for this service to our subscribers. However, those who wish an immediate and personal reply by mail may obtain the same by inclosing two dollars to Dr. Russell. This is really a consultation in the interest of the patient, and should be charged to the patient-two dollars being a very moderate consultation fee. The Doctor agrees to give full, careful and immediate attention to such consultations. We reserve the right to publish in this department any such consultations that may be interesting and helpful to our readers. Name and address will be withheld if requested. Come freely for help, but read up as fully as you can before coming to us.

Acetanilid in Bromo-Seltzer.

[In Collier's Weekly (publisht at 416 W. 13th street, N. Y. City, 10 cts. per copy) for Dec. 2, page 17, near middle of second column, occurs this: "Bromo-Seltzer is commonly sold in drug stores, both by the bottle and at soda fountains. The full dose is a heaping teaspoonful.' A heaping teaspoonful of BromoSeltzer means about ten grains of acetanilid. The United States Pharmacopeia dose is four grains; five grains have been known to produce fatal results. The prescribed dose of Bromo Seltzer is dangerous and has been known to produce sudden collapse."-ED.]

In your case, where the argyria is already so markt, there is no hope of alteration in the color of the skin.-ED.]

Probably Locomotor Ataxia.

MR. EDITOR:-As I have been hors de combat for the past six weeks or two months, I come to you, and the brotherhood, for help. I am 48 years old, weigh 137 pounds, height 5 ft. 8 in., married, and the father of three children. Live on my farm and do an activ country practise, in which I have been engaged for 27 years. I have always been very temperate in my habits, not addicted to the use of tobacco or liquor in any form. Have always led a very activ life. My general health has always been good, barring an occasional attack of indigestion.

About three years ago I felt a tired, stiff sensation in the calves of both legs, which gave me some trouble in walking. Several of my confreres attributed my condition to a disordered stomach, and advised dieting and a course of nux vomica; neither of which I did, but the symptoms passed off entirely in six or eight days, and I felt nothing more of it until about the ist of Oct. of this year, when the same symptoms returned (preceded by a slight spell of indigestion), and gradually grew worse until about the 18th of Oct., when partial paralysis set in from the knees down, and I had to use crutches. When in a sitting position I had to be raised to a standing posture. I could manage to shuffle along a little, but if I am not very careful my ankles will turn and throw me down. Still, when sitting down I can kick straight out with either leg, or move them in any direction, or cross my legs with ease. But when sitting down I can't get up to save my life, unless some one raises me erect, or I can put one hand on each arm of my chair and push myself up until my legs are straight at the knees; then with crutches I can walk around a little.

At first my feet and ankles were considerably swollen, but that has all subsided; the sensibility from the knees down was also considerably obtunded, but that is also much better now. I have no pain at all. Eat and sleep well. The muscles of extension of both hands, the left more than the right, are also affected; but I can still grip very well. For a while I was troubled at times with dyspnea, which gave me some uneasiness, thinking the muscles of respiration were becoming involved; but I called in my friends, Drs. I. E. Shute and B. A. Littell, and they were of the opinion that it was due to an accumulation of gas in the intestins, with which I was bothered at the time.

Acting upon this suggestion, I began taking a prescription containing listerine, pepsin cordial, carbo ligni, and carbolic acid, which gave me prompt relief. They also advised a continuance of strychnin and electricity, which I was using. I am also taking phosfate, iron, quinin, and nux. My right hand is not so much affected but that I can write with a pencil. When standing I can close my eyes without getting dizzy in the least. In the last two or three days I can walk across my room and back without crutches, but my gait is like that of a child just beginning to walk. My diagnosis of the case is Landry's acute ascending paralysis. Am I correct? If so, could it be due to a reflex sympathetic action from the condition of my stomach, causing an auto-toxemia?

I forgot to state that my urin is normal in every respect. It is my opinion that I will recover in the course of time. P. FOSTER, M.D. Opelousas, La.

[We do not believe, doctor, that your disease is Landry's paralysis; if you will read this up, you will note that Landry's disease is one which is always acute in course, abrupt in onset, and generally fatal in from a few days to a very few weeks. We think you have locomotor ataxia, and that the symptoms are mild in character. We believe if you will get

a good modern work on nerve disease and study it well, that you will be able to derive great benefit from the suggestions found therein. If you take up the systematic re-education movements as advised by Frenkel, we believe you will avoid much trouble later, especially if the disease is stationary or but slowly progressiv. Wear flannel next the skin. at all times. Maintain good digestion and avoid food difficult of digestion; the diet in this manner is important.

It is possible that your trouble might be antero-lateral sclerosis, but the symptoms detailed by you are not sufficient to admit of a positiv diagnosis being made. Have careful tests made of the knee-jerk and for ankle clonus. A careful study of these two diseases will admit of your making your own differentiation, and adopting for yourself the best form of treatment. We do not believe drugs will prove availing in either case; but hygienic measures, dieting, massage, electricity, etc., may do much.-ED.]

:

Stomach Trouble in an Old Man.

Editor MEDICAL WORLD:-I wish to report a case of a man 72 years old. First saw him eight weeks ago, complaining of bloating of stomach. He is a typical Irishman; says he never drank, only an occasional glass of beer; farmer by occupation; is very healthy other than this stomach trouble. The symptoms are these when he first visited me he had a spell of belching, which lasted fully twenty-five minutes. Just before these spells come on, hot water will come into his mouth until he can scarcely spit it out fast enuf, it is so profuse. This comes on regardless of what he eats. Scarcely ever belches any food. His bowels and appetite are normal. Has very little tenderness over stomach now. Tongue is clean. Sleeps well unless those belching spells come on at night, when they usually last with more or less severity for two to three hours. Always some belching thruout the day. I have given him nux vomica, gentian and various stomach tonics; also digestants. What I want in this case is a treatment that you or some of the family can give me. My diagnosis is, gastric catarrh. Will some one come to my relief? as I am a new man here and can see the advantage of a cure in this case, or relief, as I expect no permanent cure. INDIANA.

[The first point in the successful management of this case is to convince the old gentleman that he does not require so much food as he did when a young man; this is often hard to do, as such men keep ingesting the same amount of food that they have always been accustomed to, but a decrease in quantity is imperativ. Then, too, thoro mastication is to be insisted upon, and this is also difficult to attain. No fluids whatever are to be taken while eating; if coffee or tea, water or milk, are habitually used, let them be taken just before eating, or not until the meal is finisht. He would do well not to use either tea or coffee, but if such has been customary, do not let the amount exceed one small cup. It would be better if all fluid would be ingested between meals and at bed time. Place him

upon the customary dyspeptic diet, with avoidance of starchy and fatty foods, fresh bread, and any article which he knows by experience disagrees with him. He will be able to assist you in making out a diet table by naming the foods which he has noted aggravate the complaint.

As to drugs, the bromids will do gcod, and the least irritating salts, such as the strontium salt, are to be selected. You may as well save time, expense and trouble in so far as prescribing digestants for such a case. Bismuth, charcoal and carbolic acid, in powder, would probably be beneficial. Denarcotized opium, belladonna, and nitrate of silver often act well in such cases, but in others they are of no avail. Oil of cloves or oil of cajuput may be beneficial, and thymol, salol, beta-napthol, or resorcin should be tried. Ten grains of bicarbonate of soda half an hour before meals will often materially aid other measures.

It may be necessary to determin the prevailing condition of the stomach as regards the kind of acids secreted and the amounts of the same, as by the phloro-vanillin test.

We do not by any means regard the case as incurable, and we think a proper study and careful therapeusis will show material improvement in a short time. We suggest that you purchase a good modern work on diseases of the stomach, as our space will not permit even a suggestion of the various lines of treatment sometimes demanded in these chronic cases. Depend chiefly on dietetics and hygienics.ED.]

Broken Finger, with Adhesions.

Editor MEDICAL WORLD:-I would like to know the best treatment for the following condition: Patient had the index finger broken by a base ball striking it. He had it in splints for two or three months, and the second joint is stiff. He kept flexing it until at one time he could completely flex it, but since then has not been able to do so, and comes to me for relief. The extensor tendon seems to hold it from motion, and the joint is swollen, and it pains when forcible flexion is tried.

He has used liniments, and I have ordered ichthyol and iodin applied, with massage. I think the tendon (extensor) should be severed or the joint forcibly broken. J. A. POIRIER.

Forest Lake, Minn.

[Two methods of treatment suggest themselves to us from the description you have given. It is possible that the condition may not be due to the flexor tendon. There may have been a "T" fracture involving the joint. Our first suggestion would be to etherize and cautiously attempt full flexion. In this way you may be able to stretch the tendon or break up adhesions without further operativ interference. If this procedure is successful, it will be necessary to secure flexion once each day or once every other day, to prevent any degree of recurrence until the pain on motion