Billeder på siden
PDF
ePub

muscular relaxation occurring within an hour. On the following day, if pain and spasms recur, another injection is made. Five injections are usually sufficient.

EXOPHTHALMIC GOITER.-In The Medical Record Spratling calls attention to the four pathognomonic symptoms of exophthalmic goiter. The first is swelling at the root of the neck; (2) protrusion of the eyeballs; (3) cardiac irritability. The fourth manifestation was first observed by Dr. Louise FiskBryson, of New York, in 1888. It consists in the inability on the part of the patient to expand the chest under forced inspiration more than threequarters of an inch to an inch.

PULMONARY EDEMA.-In The British Medical Journal Wethered contributes a valuable paper on this topic. In this paper he says: That one condition under which acute pulmonary edema may be produced is after the administration of an anesthetic, most frequently after ether. He describes a typical case. Death occurred on the fourth day. In the treatment he recommends strychnine, digitalis and strophanthus, from the hypodermic injection of which he had obtained encouraging results. Squill may also be useful as a cardiac stimulant and an expectorant.

ASTHMA.-H. J. Smith reports a case of bronchial asthma, in which relief was not secured from morphine hypodermically, amyl nitrite, or the burning of powders containing stramonium, lobelia, potassium nitrate, etc. The bowels were then cleared by calomel, and water kept constantly heated in the room, to which was added oil of ecualyptus. This oil, with beechwood creosote and chloroform, were also used by inhalation from cotton. Almost immediate relief was noted. In one week's time the patient was out, and no attacks have since occurred. -Montnly Cyclopedia.

DRUGS IN TUBERCULOSIS!-The reaction in favor of drugs seems to have extended even to Germany. Senator has recently published a valuable article on Symptomatic Treatment of Pulmonary Tuberculosis, in which he makes use of "drugs". In hemoptysis he thinks morphine may be useful, also tranquilizing the patient, usually nervous and excited. Digitalis may prove useful if the heart is acting tumultuously. Astringents he does not believe in, excepting possibly lead acetate. Ergot, hydrastis and similar drugs are liable to do harm if the bleeding vessel is diseased.

COCAINE POISONING.-Dr. Kirk reports in The Medical Brief a case of fatal poisoning from cocaine, of which an 8-percent solution had been injected by a dentist into the gums in unknown quantities for the extraction of teeth. The symptoms were dilation of the pupils, protrusion of the tongue, the eyes closed, and deep narcosis resembling that of chloroform. The eye reflex was suspended, as were the functions of the brain. The pulse was full and strong, a little rapid, respiration twenty-six, full and easy. Free vomiting had occurred. Atropine was administered, which proved active as it flushed the face. Suddenly the pulse became weak and rapid, the breath stertorous, and death followed in a few moments. The patient was a woman who

had previously had teeth extracted under the use of cocaine, without harm resulting.

A TASK FOR HALLBERG.-The Bulletin of Pharmacy states that the situation of overshadowing and dominating importance in pharmacy just now is that which revolves around the liquor question. So far, this year, saloons have been closed on an average of thirty a day. Denied liquor in the saloon, those who desire it turn to the drugstore for relief. Further on it says: "The illegal sale of cocaine and other narcotics presents only less danger to the welfare and dignity of pharmacy than the illegal sale of liquor." When Hallberg gets through regulating us he might try uplifting the moral sentiment of the drug trade.

DYSMENORRHEA.-For the relief of pain it is important, especially in the neurotic class of cases, not to use opiates or drugs which are apt to lead to drug habits. Opium and alcohol have both killed many patients and caused lives of wretchedness and invalidism, where a proper examination of the cause would have resulted in health and freedom from pain. The use of phenacetin with sodium bicarbonate is sometimes absolutely necessary to relieve the sharp pain; and especially is it efficient in rheumatic conditions. Aconite in small doses and pulsatilla are efficient in reducing the congestion and causing the flow to appear.-R. A. Murray, American Journal of Surgery.

LOCAL USES FOR GUAIACOL.-Appleby, noting that guaiacol applied to the skin, is rapidly absorbed and exerts a powerful antipyretic action, applied it in a case of nephritis with slight convulsions and a full, hard pulse. Twenty-five drops were rubbed into the skin of the abdomen. The relief was marked. He then used it in the same manner in a few cases of puerperal eclampsia, the results being surprising and happy. The convulsions recurring in one case when the anesthetic had worn off, fifty drops of guaiacol were rubbed into the abdomen; in a few minutes the pulse became soft, there was free diaphoresis and convulsions ceased.-Boston Medical & Surgical Journal.

EXOPHTHALMIC GOITER.-In a special way for controlling the vascular symptoms, digitalis has proved valuable. Of strophanthus and convallaria good may be said. These remedies will not work in all cases, but will be found beneficial in some to control the distressing tachycardia. They are worthy of a trial at least. I think they are always indicated when we get manifestations of cardiac asthenia. If they do good this will be immediately manifest. Sedatives, as the bromides, are often useful, but no sedative gives so much relief in these cases as opium. But as the symptoms usually require relieving for a long time, it is a remedy that we are often kept from using for fear we may engraft the opium habit.-Frank Warner, in Ohio State Medical Journal.

HOW TO TAKE CASTOR OIL.-There are many ways of taking castor oil with ease and facilityon paper. I have failed to see or taste one that, to my way of thinking, approximated "nice new honey fresh from the comb." For children, peppermint oil or essence of cinnamon disguise the nasty taste

about as well as anything. If the patient can take oil in whisky or beer it is to advantage. It seems that whisky quickens the cathartic action of the oil, although there might be good reasons for not encouraging a patient to thus employ these questionable beverages. Before taking a dose of oil, if it is to be taken straight and alone, the patient should hold ice or very cold water in his mouth for a minute, as the taste bulbs are momentarily put out of commission and much of the disagreeable effects thus obviated.-W. T. Marrs, Pacific Medical Journal.

ADULTERATION.-The American Druggist says: That unaccustomed quantities of adulterated drugs presented for importation are being detected and turned back by the Division of Drugs in the Bureau of Chemistry. Hallberg will still have a little more time to furbish up that halo he is trying to fit over the head of the pharmacist.

A TRI-STATE JOURNAL.-We learn from Northwest Medicine that a movement is on foot to establish a tri-state medical journal for Washington, Oregon and Idaho; Northwest Medicine and The Medical Sentinel to be acquired and merged for this purpose. It does not look good to us. What would medical journalism be without Coe? And how could Coe become the editor of an organization journal?

"PASSING OF AN OLD THERAPY."-In The Jour. of Missouri State Medical Association for October is an article by Oscar L. Peak, entitled "The Passing of an Old Therapy." Don't miss this; it is one of the most valuable contributions to the question of alcohol in therapeutics we have recently read. Compare it with an address in the current number of the Therapeutic Gazette.

REPORTS WANTED.-We are in constant need of reports upon the action of drugs. Many a suggestion is sent out through the columns of CLINICAL MEDICINE, which remains like the Mahomet's coffin, suspended between heaven and earth, neither rising nor falling, because those who alone are capable of judging as to the value of the suggestion fail to make reports. Nothing is so much needed today by the American medical profession as clinical reports, fixing accurately the values of medical agents.

BURGGRAEVE.-The work of Burggraeve may be summed up in two sentences.

I. The demonstration of the possible jugulability of acute maladies.

2. The popularization of the employment of the active principles of plants.

Typic maladies run their course only when we permit them. Hence-down with expectancy!

There are no maximal doses. Use only the active ingredient and not the crude vegetable. Hencea revolution in pharmacy.

Two results follow: A notable reduction in the mortality and in the number of cases of chronic maladies, and a long-desired simplification of materia medica and pharmacy.-Van Renterghem.

APOMORPHINE.-In The New York Medical Journal, M. F. Simpson relates a personal experience with this drug. He injected 1-10 grain hypodermically; half an hour later a peculiar "all-gone" feeling commenced. The arms became heavy, muscular force throughout the body was paralyzed, vomiting and catharsis continued for an hour. He fell and could not rise, the neck muscles refused to support the head, the jaw dropped and saliva dribbled. During most of the time the mind was clear, but for a few seconds a mental hebetude would occur. The arterial pressure seemed to the victim to be normal, muscular relaxation continued, and he fell asleep, awakening next morning. The muscular relaxation was discernible for twenty-four hours. He was credited with an idiosyncrasy.

ASIATIC CHOLERA.-Cocaine and creosote were given to control vomiting, later one or two chlorodyne tablets, then glonoin and digitalis in heroic doses till the pulse was felt at the wrist; then four ounces tincture of eucalyptus, two teaspoonfuls of camphor spirit, one-half teaspoonful of tincture of capsicum, at one dose, in an equal quantity of water. Not the smallest particle of food was given for thirty-six hours. To control bowel movement a synthetic form of tannic acid was given, in tento twenty-grain doses every hour. The equivalent of 120 grains of tannic acid was often given in twenty-four hours. Treatment by saline transfusion did not prove satisfactory.-C. S. Braddock, Late Chief Medical Inspector, Royal Siamese Government, Bangkok, Siam. -Therapeutic Record.

GUARANA.-Guarana is a paste, derived from the seeds of the Paullinia sorbilis, a plant of Brazil. These are dried in the sun, roasted and reduced to a fine powder. It contains guaranine (an alkaloid), tannic acid, saponine, a volatile oil, and the ordinary constituents of seeds. Guaranine resembles caffeine closely, if it be not identical with it. Mantegazza found that small doses increased the activity of the mental faculties, rendering them more capable of sustained effort. Large doses caused inebriety, inquietude, insomnia and dyspepsia. The therapeutic applications are those of caffeine. No advantage has as yet been shown in using the rarer and more costly guaranine. If any reader has made observations on this alkaloid we would be pleased to hear of them.

TUBERCULOSIS.-In the Monthly Cyclopedia, Joseph Walsh, of the Henry Phipps Institute, gives some interesting experiences in the treatment of tuberculosis of the lungs. His medication in one case consisted of digestants, phosphoric acid, strychnine, arsenic, glonoin, and a little creosote for a gastric disturbance. In addition he used europhen dissolved in olive oil by inunction. In his second case the medication consisted of strychnine, arsenic, phosphoric acid, glonoin, phenacetin and salol; the latter two given for a cold in the head. Creosote is at present believed to have little effect upon the tuberculosis, but some on the complicating streptococcic infection." He says: "There is one thing that cannot be insisted on too strongly, and that is the importance of avoiding opium in any form, in the treatment of tuberculosis of the lungs."

[ocr errors]
[merged small][merged small][graphic][ocr errors][subsumed]

The only alternating current rectifier, which delivers perfectly smooth current adapted to operating a galvanic wall plate. The fifth cell absorbs all the undulations. The equal of a motor-generator costing four times as much. Our Wall Plate and Rectifier make a perfect unit on alternating current circuits.

Price of No. 1 Wall Plate in case, $45.00. Special Rectifier, $15.00. Special Rectifiers for operating X-Ray Coils, $40.00. Special Rectifiers for operating Giant Magnets, $50.00 Write for 1908-1909 Catalog and special information on the Rectifier

THE WM. MEYER CO., Electrical Engineers

56 Fifth Avenue

CHICAGO

Anasarcin

[graphic]

Messrs.Thos. Christy & Co., London.
Agents.

When writing Advertisers, please mention The American Journal of Clinical Medicine

[blocks in formation]

The words "mineral water" usually suggest the administration of a large quantity of water at short intervals, often a nauseous and disagreeable dose. Matchless Mineral Water (Aqua Ferri Naturæ, Wilkinson) is a natural concentrated chalybeate, requiring only a tea- to a tablespoonful to each dose. It is not objectionable to take and quiets an irritable stomach promptly. This alone makes it almost indispensable, but in addition it is the most powerful natural tonic, styptic, astringent, stomachic and external and internal antiseptic known.

Matchless Mineral Water is an opportunity given the medical profession-an opportunity to discontinue the obnoxious preparations of iron and administer a natural chalybeate. This opportunity is being accepted by physicians everywhere, and the use of this strongest of all chalybeates is proving efficacious in cases of typhoid fever, vomiting in pregnancy, anemia, diarrhea, dysentery, dyspep

LOCAL ANESTHESIA FOR LESS THAN

TWO CENTS

NO INJECTION OF A DRUG, HENCE NO SYSTEMIC EFFECT

Chloride of Ethyl application by a new method. By this method there is no waste

of material, whereas by other methods over 90 per cent is wasted. This does the work with one-tenth the material of other methods. This produces a fine spray, instead of a stream, and can be held close to the part to be affected. Anesthesia produced in 30 seconds or less, by reason of the vaporized spray and the guaranteed absolute purity of the Chloride of Ethyl.

No leakage or other waste. No blocking. No fine capillaries to clog.

The Gebauer Chemical Co. are the pioneer manufacturers of this drug and are, therefore, in a position not only to furnish an absolutely pure product, but also put up in a neat and durable container that will keep the liquid in a pure state indefinitely.

The tube is made of metal, handsomely nickeled and can be refilled at a greatly reduced cost. All glass tubes are more

[graphic]

or less dangerous, since sunlight has a tendency to deteriorate the liquid.

Chloride of Ethyl is useful in all minor surgery and as a preliminary to hypodermic and antitoxin injections. Try it, Doctor, in opening boils, carbuncles and abscesses; in treating felons, fistulas and fissures; in amputating fingers and toes; in removing small tumors; and in all minor surgery, or wherever a brief harmless local anesthetic is desired.

Mailed anywhere in the United States or Canada, prepaid, upon receipt of the price. 100 C. C. tube, $1.60; 40 grm. tube, $1.00.

Your druggist or surgical instrument dealer can supply you

sia, hyperchlorhydria, hemorrhoids, tonsillitis, and The Gebauer The Gebauer Chemical Co.

all inflammatory conditions of mucous membranes. Free samples, analysis and literature will be cheerfully furnished by the Matchless Mineral Water Co., Andalusia, Ala.

Sole Manufacturers

6953 Broadway, Cleveland, Ohio

Never accept substitutes, always insist upon getting just what you ask for

A Vibrating Chair Free

WITH THE WHITE CROSS

ELECTRIC VIBRATOR

Buy Direct From The Factory

Our machines have stood the most severe test for the last two years.
Will not stop even with the hardest pressure.

A VIBRATING CHAIR FREE

If you send us cash with order, we will give you an attachment with the No. 1, 4, 7, 11, and 18 Vibrator by means of which your office chair can be made a Vibrating Chair, giving equal results to chairs selling from $75.00 to $100.00.

EVERY VIBRATOR FULLY GUARANTEED

[merged small][merged small][merged small][graphic][ocr errors][merged small]

$13.50

AN INVESTMENT, NOT AN EXPENSE.

Regular price, $25.00
Special price, only $20.00

Regular price, $35.00 Special price, only $27.50

Hundreds of Physicians have greatly increased their practice with one of our

Vibrators and more than paid for the Vibrator in 10 days. Treat your chronics with Vibration and Electricity. We send charts and directions written by an expert with every machine without extra charge. Money back if everything is not as represented. Every machine gives Percussion Stroke, Side Stroke, and Rubbing Motion, and has a Full Set of Applicators. Orders filled the same day we receive them. Don't pay from $50.00 to $75.00 for a Vibrator when you can get one from us at less than half that price. Combination Vibrator No. 18 Operates on 10 dry cells and both the Direct and Alternating Currents.

Vibrator No. 27

Operates on 100 to 120 volt Direct and
Alternating Current

[graphic]
[graphic]

Vibrator No. 11

Operates on 100 to 250 volt Direct
and Alternating Current.

[graphic]

Besides Vibration it also gives Galvanic

and Faradic Electricity.

Regular price, $50.00

Special price, only $37.50

Regular price, $22.50

Special price, only
$15.00

[blocks in formation]

Regular price, $27.50 Special price, only $22.50

Vibrator No. 25

Operates on 100 to 120 volt Direct and Alternating Current. Has a regulating Rheostat to regGives very heavy Vibration.

ulate speed.

LINDSTROM-SMITH,

Regular price, $37.50 Special price, only $30.00

When writing Advertisers, please mention The American Journal of Clinical Medicine

« ForrigeFortsæt »