GLYCOZONE. PREVENTS FERMENTATION OF FOOD IN THE STOMACH. DYSPEPSIA, GASTRITIS, ULCER OF THE STOMACH, HEART-BURN, Glycozone is sold only in 4-oz., 8-oz., and 16-oz. bottles. Never sold in bulk. CH. MARCHAND'S PEROXIDE OF HYDROGEN (MEDICINAL) H2O2 (ABSOLUTELY HARMLESS.) MOST POWERFUL BACTERICIDE AND PUS DESTROYER. UNIFORM IN STRENGTH, PURITY AND STABILITY. USED BY THE HOSPITALS OF THE U. S. ARMY. Ch. Marchand's Peroxide of Hydrogen (Medicinal) is sold only in 4-oz., 8-oz., and 16-oz. bottles, bearing a blue label, white letters, red and gold border, with his signature, Never sold in bulk. PHYSICIANS WILLING TO PAY EXPRESS CHARGES WILL RECEIVE FREE SAMPLES ON APPLICATION. BOTH OF THE ABOVE REMEDIES ARE PREPARED ONLY BY Mention this publication, Charles Marchand Chemist and Graduate of the Ecole Centrale des Arts et Manufactures de Paris (France). SOLD BY LEADING DRUGGISTS. Laboratory, 28 Prince St., New York. DRY DRESSING IN TRAUMATISM: WITH A PLEA BY J. S. NOWLIN, M.D., OF SHELBYVILLE, TENN., (Formerly Professor of Gynecology in the Medical Department of the University of Tennessee.) Mr. President and Gentlemen: It gives me great pleasure to respond to the flattering invitation with which you honor me to be present at your meeting to-day and present to you some thoughts connected with medicine. To be here awakens memories of boyhood days spent at your old academy, in studying mathematics, reading Roman history and playing marbles. The affection begotten by those associations are still sweet and fresh in my heart. Here some of the aspirations of my youth *An address before the Marshall County Medical Society. 2 ful mind were born, which have at least stimulated me for a while to active exertion, whether successful or not. Again to be here reminds me pleasantly, of many days spent with you in associated practice of the profession which, as the years go by we learn to love. I am cognizant of the fact that the profession of this county has kept fully abreast with the tide of progress as it moves at the close of the nineteenth century. I have selected the subject of DRY DRESSING IN TRAUMATISM: WITH A PLEA FOR INFLAMMA for our consideration to-day. TION Sepsis, asepsis and antisepsis are familiar terms to the reader of medical literature. Recent progress in the science of pathology, or at least the developments of the past twenty years, for which Pasteur and Sir Joseph Lister laid the foundation, have opened broad fields for thought, experiment and practice, which the practitioners of medicine and surgery have not been slow to occupy, with boldness and great confidence. The history of medicine since the day of Hippocrates gives no time in which the practitioner has been so bold or confident as this era of pathology and prophylatic medicine. Therapia, semiology, pathology and prophylaxis are the four steps through which we have passed in the last 2,000 years. The man who thinks he is moving with scientific accuracy, must not despise the earlier and more crude methods of his ancestry. He is to-day dependent upon those early foundations which were apparently laid in empiricism. Koch and Pasteur, Cohn and Klein, and a legion of co-workers have made themselves and those who have read after them familiar with organisms which they, and the greater part of the profession, embracing the most learned believe to be the cause of most of the diseases to which the human family is heir. In the light of the germ theory every thing is now investigated both as to pathology and etiology. I am not here to-day to endorse all that is being taught in this particular direction. I am mindful of the fact that all men seeking for truth are prone to err and be led by enthusiasm, or something else, far beyond the confines of truth in any given line of investigation. The great Brown-Sequard and Koch him self have given us practical examples of this fact. Neither do I propose in my humble sphere to even deny anything, for I will not make an argument against the microscope, nor am I so ignorant, or presumptous as to set myself against the overwhelming judgment of the profession. I shall however present to you the clinical history of four cases of traumatism selected from a number others treated absolutely with dry dressing, based upon which, I offer two theories and allow you to draw your own conclusions. James H., aged 16, strong and healthy, had his hand cut with a shingle saw in the month of August 1890. The sav passed entirely through the second phalangeal articulation of the thumb entering on dorsal surface and leaving less than an inch in width of the web of skin between the hand and thumb. It then cut directly across the palmar surface, lacerating the skin, subcutaneous fascia, tendons and bones from the second to the fifth metacarpal bone, making a wound entirely across the hand and apparently nearly through the whole thickness, leaving only the fleshy portion on back of the hand in continuity. The metacarpal bone of the little finger was cut through. The others were all injured and the two middle tendons cut. When I saw him, an hour afterward, the hand was wrapped in cloths hastily put on to arrest hemorrhage and cover up the wound. On removal of this covering I found the blood had ceascd, and a clot was formed in the sulcus through which the saw passed. The tissues were much torn and lacerated. The thumb had fallen over in palm and was attached only by a narrow isthmus of skin. I put one suture in the anterior aspect of the thumb, removed the clotted blood from the surface of the hand, being careful not to loosen the coagulum in the wound. No water was applied, a piece of absorbent cotton was dampened in a mixture of listerine and water, equal parts and laid over the cut with cotton enough to prop the thumb in its normal position, all of which was then nicely wrapped with cotton and loosely bandaged to a point above the wrist. This dressing was not removed or interfered with for ten days. The first forty-eight hours he took three-fourth grain of mor phia, after which he had no medicine. The swelling was very slight. When the dressing was removed there was some pus and considerable odor. It was wiped off gently and the same method of dresssing except the listerine continued. This was repeated regularly at intervals of three to five days for five weeks when the hand was entirely healed. The thumb reunited, and while he cannot move it by muscular action, it is of considerable use. The quantity of pus generated was comparatively much less than from other methods of dressing. The lacerated sheaths of the tendons healed without any trouble. A negro boy, aged 12 years was accidently shot from the rear in May 1889. It was done with a shot gun at a distance of eight or ten feet. The whole load struck the top of his shoulder, carrying with it, from the sternal end to half way the clavicle, most of the flesh, leaving spicule of bone embedied in that remaining. The skin and muscle covering the angle of the maxilaris inferior was also destroyed. After removing one or two of the larger pieces of bone I covered the whole surface with iodoform and placed a large amount of absorbent cotton over it, never using a drop of water or other fluid to the wounded portion. After seven days it was dressed and found to be granulating nicely. The quantity of pus was less than usual. The same treatment was kept up for three or four weeks with the exception that the iodoform was discontinued after the first application. The destroyed tissues were re-supplied to a greater extent than usual and the cicatrix much smaller than could have been expected. In January 1891, John R., aged four years, had his foot cut with a hatchet in the hands of his little brother. The ax cut through the shoe and stocking, entered just behind the great toe, and cut all the soft tissues and bone through to the little toe, leaving only the flesh of the sole to maintain the continuity. I applied a paste-board splint to the sole of the foot to support it in as perfect apposition as possible. The coagulated blood was left in the wound and covered with absorbent cotton and a bandage loosely rolled over it. I used no sutures, avoiding that source of irritation, nor any adhesive plaster. On the tenth day I removed the dressing and found the cut granulating with a |