In all disorders of the respiratory tract in which inflammation or cough is a conspicuous factor, incomparably beneficial results can be secured by the administration of Glyco-Heroin (Smith) The preparation instantly diminishes cough, augments expulsion of secretions, dispels oppressive sense of suffocation, restores regular, pain-free respiration and subdues inflammation of the air passages. The marked analgesic, antispasmodic, balsamic, expectorant, mucus-modifying an inflammation-allaying properties of GLYCO-HEROIN (SMITH) explain curative action of the preparation in the treatment of Coughs, Bronchitis, Pneumonia, Laryngitis, GLYCO-HEROIN (SMITH) is admittedly the ideal heroin product. It is superior DOSK-The adult dose is one teaspoonful repeated every Samples and exhaustive literature bearing upon the preparation will be paid, on request. MARTIN H. SMITH COMPANY, Armour & Co.... ii MARYLAND MEDICAL JOURNAL BALTIMORE INDEX TO ADVERTISERS When writing, say you saw advertisement Antiphlogistine (Denver Chem. Co.).xi McKesson & Robbins... { in the MARYLAND MEDICAL JOURNAL. ...xxii Meatox Co. (Chas. Marchand)....xxiv ..ili ...xix ..xviii Mellins Food Co... Balto. Antiseptic Laundry Co.....xxXV .xxii Mulford, H. K., Co.. .xxiii ...xlii Battle Creek Sanitarium. Battle & Co..... Bovinine Co.. Breitenbach, M. J., Co. ...XX vili ...ix .xvii N. Y. Pharmaceutical Co.......................i, xxxi Smith Premier Typewriter Co....xvii .3d cover Peacock Chemical Co.. .vi Bristol-Myers Co.......... xli Phillips, C. H., Chemical Co.........xix Burns Bros......... California Fig Syrup Co. XXX Cloftlin Chemical Co .vi College of Phys. and Surgeons.. ..xlii Reed & Carnrick .... Daniel, John B.. ...xii Resinol Chemical Co. .xxxvii Warner, Wm. R., & Co. xl Dawson Pharmacal Co.... ..xii Eggers, Henry B., Masseur....,.xxxvii Fairchild Bros. & Foster. Fellows Medical Mfg. Co.. Fougera, E., & Co.........ix, 4th cover Frederick, Purdue, Co... Glen Springs..... ...2d cover Gordshell Chemical Co Gundry Sanitarium.. ...xl ..xli .xxxi ... Xvi Hoffman-LaRoche Chem. Works..xxiv Hotel Chalfonte Arthur H. T., & Co.. .....xl . Vii Likes, Berwanger & Co.... .xxxiii ..xxxili Maryland Carpet Clean'g W'ks....xxxii Pikesville Dairy Co.... Burgess-Hammond Co.. xxxiii Pollack, Uriah A..... Purnell Art Co.. Enterprise Steam Heating Co....xxxvi Roche, Geo. J., & Son. Taylor, R. Q., & Co.. Thomas & Thompson Co. .xxxvii ..XXXV ACHYPHAGIA has been declared to be our national vice; and impaired digestive functions are a feature of many ills that flesh is heir to. The relative importance of pepsin or acid, achylia, hypo- or hyper-chlorhydria, while of interest to the clinician, is of less moment than the relief of the patient. Such corrective agents are to be exhibited as have been time-proven and found clinically not wanting. LACTOPEPTINE (N.Y.P.A.) which has for years stood the test of time and trial, is a combination Lactopeptine (N.Y.P.A.) is furnished in Powder (dose x-xx gr.), Tablets Elixir Lactopeptine (N.Y.P.A.) will be found to be an elegant and efficient vehicle, carring in perfect solution and covering the taste of Bromides, Iodides Salicylates, Chloral, etc. THE NEW YORK PHARM. ASSOCIATION Samples on request. YONKERS, N. Y. MEDICAL JOURNAL A Journal of Medicine and Surgery Vol. LI, No 1 BALTIMORE, JANUARY, 1908 Whole No. 1076 RELATIONS OF PHYSICIANS AND PHARMACISTS AND THE USE OF THE PHARMACOPEIA AND NATIONAL LARY. By Lewelly's F. Barker, M.D., Professor of Medicine, Johns Hopkins University. FORMU REMARKS MADE AT THE JOINT MEETING OF PHYSICIANS AND PHARMACISTS TO DISCUSS UNITED STATES PHARMACOPEIA AND NATIONAL FORMULARY PROPAGANDA, NOVEMBER 26, 1907. THIS meeting, as I understand it, is intended for the discussion of the relations of medicine to pharmacy and of the physician to the pharmacist, with especial reference to the United States Pharmacopeia and the National Formulary. There has been and is still more or less misunderstanding of physicians by pharmacists and of pharmacists by physicians, and where misunderstandings exist there is no better way of clearing things up than for people. to get together and talk the whole thing out. Meetings of this sort are, therefore, of great value for the promotion of the interests of both physicians and pharmacists and for the promulgation of that good feeling among the members of two professions whose aim should be co-operation, and not antagonism. Though a medical man myself, I have more than ordinary reasons for a kindly feeling toward pharmacy. In 1884 I apprenticed myself to a Canadian pharmacist, signing an agreement to spend three years in Mr. Gibbard's pharmacy in Whitby. Though the term was not completed, I spent two full years at this work, at the end of which time my instructor advised me to go into medicine and released me from the third year of my apprenticeship. Those two years in the drug store of a country town I consider two of the most profitable years I ever spent, not only as preparation for medicine, but as preparation for life. I learned at first hand what goes on in pharmacies, and I know much about the ideals and a great deal, too, about the difficulties of the pharmacist. I know the mysteries of the back shop as well as the brilliancy of the store in front. The apprentice in those days began by washing bottles and cleaning showcases, and I remember that I regarded the permission to make Seidlitz powders and Blaud's pills later on as great privileges. In that pharmacy I became familiar with the great variety of prescriptions which doctors send to be filled and with the host of proprietary remedies and nostrums with which patients dose themselves. I learned to know the subterfuges to which the morphin- ist and the cocaine fiend will resort in order to obtain their drugs, and I became, I am sorry to say, acquainted with the physician who will sell prescriptions for spiritus frumenti in quart bottles on days when saloons are closed. I knew, too, the pressure which is brought to bear upon the salesman in an apothecary shop to do counter prescribing, and I remember how easy it was for a young man learning pharmacy and seeing many prescriptions to get the idea that he really was competent to treat many of the patients who apply to him. An inside knowledge of aims, purposes and difficulties in pharmacy thus gained makes me feel very close indeed to members of the pharmaceutical profession. In my days. of apprenticeship I gained a high regard for the pharmacist of the better sort, and this regard has grown with the years. It is, therefore, an especial pleasure for me to say a few words here tonight concerning some of the relations which we have met to discuss. THE PLACE OF PHARMACO-THERAPY IN MEDICINE. In the treatment of disease we, as medical men, use many measures physical, chemical and psychic-in order to get our patients well. Therapeutics is by no means limited to the administration of drugs. Indeed, pharmaco-therapy includes only a relatively small portion of our methods of treatment. Formerly it occupied a relatively more prominent place, perhaps, than it does now. Indeed, the reaction against drug-giving has been so great that some medical men have gone to an extreme and assumed that the use of drugs in the treatment of disease will gradually disappear. It must be confessed that no one familiar with the history of drug therapy can fail to marvel at the death of enthusiasm after enthusiasm with regard to the virtue of various substances which from time to time have been used in the treatment of disease. We realize now how useless in themselves many of them were, and how much of the effect following the administration of drugs was due to the faith the doctor and the patient had in them rather than to the chemical changes and physiological effects which they produced in the body. But, having discovered this truth, we should not fall into the error of denouncing the use of all drugs or depreciating the value of pharmaco-therapy. Treatment by drugs has its place along with treatment by baths, good nursing, massage, exercise, diet, climate, electricity and mental influences. All doctors, I feel sure, prescribe a certain number of drugs in connection with at least some of their cases, and I believe very often with great benefit to the patients. The number of substances available has enormously increased, and there is every prospect that the future will provide us with substances now entirely unknown to us which will prove of the greatest value in influencing the tissues of the body. It has been a great advance to get away from the crude polypharmacy and the grotesque empiricism in the use of drugs so characteristic of the past. The simplification of prescriptions, the attempt to treat our patients rationally rather than empirically and the movement toward preceding clinical experimentation with drugs by careful pharmacological studies on animals are signs of our times which we most heartily approve. It must not be forgotten, however, that the physician standing before the |