The tips of the fingers under the nails were similarly affected. Both hands and feet were very painful, they got worse at night, when they used to swell, were red and very hot. They were always more painful from external heat. No treatment that I was able to suggest did more than temporarily palliate the condition of the fingers, though the general health was improved.

In writing of the diagnosis of the condition called after him, Raynaud states that "if the gangrene commences by a diffuse livid color, it is almost always confounded at the commencement with chilblains. The itching and painful smarting are naturally referred to a very common affection." "It is probable that they (chilblains) have some relation with gangrene of the skin." "I will say only, distrust chilblains which form simultaneously on many digits of both feet and both hands in a season and at a temperature when they are not habitual." ("Raynaud's Essays, New Syd. Soc.," vol. cxxi. p. 112).

A. F., aged fifty-seven, out-patient London Homœopathic Hospital, for ten years has had attack of “deadness" of fingers-fingers are yellowwhite, numb, or devoid of sensation. This happens from a slight degree of cold. The cold will sometimes cause her extreme pain without any actual "dying away" of fingers. As they are coming round they are burning and tingling. For several years has had attack of inflammation round nail, destroying nail in one instance.

During this winter has had a number of superficial ulcerations of skin over knuckles. They did not discharge, but became red and the skin thickened, and then desquamated, leaving either no trace, or thin, smooth parchment-like scars.

On the left hand the inflammation has only attacked the neighborhood of nails-not knuckles. No affection of finger tips.

Gets "festerings" about the toes, but they do not "die." This patient has no pronounced blueness of the hands or feet, only the "syncope." Has hæmorrhoids, which bleed a little. These last two patients I do not regard as typical cases of Raynaud's disease. But it shows how difficult it is to draw any hard and fast line between a mild case of that disease and that of ordinary feebleness of circulation or of chilblains. London, Eng.

CAUSTICUM FOR APHONIA.

BY E. G. GRAHN, M.D.

Several months ago-during March-I was called to see a male child aged sixteen months, who had just passed the acute stage of measles, but still had some fever and cough, for which I prescribed bryonia, 3d potency.

Less than a week later the mother came and stated that the little fellow soon got rid of the fever and was now well of the cough, but "since yesterday he cannot speak at all, and it seems impossible for him to make a sound." She could not tell whether or not he could use the tongue. All she knew of it was that the inability to articulate came on quite suddenly.

I suggested that there might be paralysis of both tongue and vocal chords.

With no other symptoms to guide me, I wondered as to the proper remedy. I remembered that Farrington, in his "Materia Medica," alluded to gelsemium in post-diptheritic paralysis. The case there related. had "thick speech as though the tongue was too large for the mouth."

I was not at all sure that this remedy would suit the present case, but prepared a powder of the 3d and 200. While doing this I thought of causticum for aphonia (loss of voice), and remembered that this remedy had done service many times for this difficulty. So I gave her a powder of the 12th. This was on March 28.

On the 1st of April she came again and stated that the first two powders (gelsemium) had no effect, though she waited as per instructions for a result to manifest itself. Then she gave the causticum, 12th in water, and it was only a very short time until the child showed that he was being affected for the better, and by evening of that day (30th) he could talk as well as ever. The mother was so overjoyed at the result that (rather contrary to my expectations) she paid her bill in a few days.

NORTH VERNON, IND.

BOOK REVIEWS.

ELECTRO-THERAPEUTICS, OR ELECTRICITY IN ITS RELATION TO MEDICINE AND SURGERY. BY WM. HARVEY KING, M. D., Electro-Therapeutist to the Hahnemann Hospital, member of the New York Society for Medico-Scientific Investigation, etc. New York. A. L. Chatterton & Co. Pp. 153. Price, $2.00.

This able volume does not essay to deal with all branches of Electricity, as its sub-title might indicate, but only in so far as it applies to the Healing Art, with necessarily, such digressions into the general science of Electricity as will explain the technicalities employed. The application of this agent to the cure of human ailments is rapidly assuming a prominent place, and each year more and more interest is taken therein, as evidenced by the number of text-books coming to the Review Table. Dr. King's Manual is the outgrowth of private instructions, and his "personal" style is visible throughout its pages, many of its chapters being devoted to a clear exposition of the topic, so that when Chapter V., "General Therapeutics" is reached, the reader, or student, or practitioner is amply prepared to enter intelligently upon the medi

cal application as it is elaborately set forth in that and the succeeding chapter, entitled, "Special Therapeutics." This latter chapter alone is worth the price of the book, some mention being made of nearly every known disease, with treatment under this system; and we doubt not that many a chronic case which has haunted the busy practitioner for years will find their curative agency in electricity. It is a vast and important field, and requires a special training for its safe use, and this Dr. King assures to his students and readers. The text, aside from its technical bearing, is finely rendered, the illustrations apropos, though some of them are old acquaintances of the Book Reviews, the printing is clear and large; and altogether the work is one to be commended and recommended.

OUR EXCHANGES.

TARANTULA CUBENSIS.-THOS. YOUNG, M.D, in Med. Advance.Miss N. M. G., a school girl aged eleven, had a brown-colored mole about the size of a grain of wheat on the back of her neck. It commenced burning so that she could not go to school; there was no inflammation to be seen; when touching it she would complain of needles sticking in it. Tarantula cub., 30th, two powders, one night and morning, cured the trouble completely.

DIARRHEA OF INFANTS.-In those with intestinal fermentation and green stools, we have obtained gratifying results, after the apparently indicated remedy had failed us, by the administration of the first decimal trituration of naphthalin in from five to ten grain doses four or five times daily.-Med. and Surg. Inv. Rather scant homoeopathy that.

RUPTURE OF AN EAR DRUM.--The history of a peculiar and interesting case came to the writer's knowledge, wherein an infatuated young man kissed his sweetheart so violently in the ear that pains and vertigo immediately resulted therefrom. Soon afterward a muco-purulent discharge began, and an examination disclosed a rupture of the ear drum. Hearing was impaired in this case, it being more or less permanent, as for a long time there was more or less deafness.-C. WESTON EDWARDS, M.D., in Chic. Med. Times.

CESAREAN SECTION.-What we want is to have the Cæsarean operation established in its proper place, the medical profession agreed as to its utility, and we shall have, I firmly believe, not only hundreds of children saved, but more mothers than at the present day, and certainly much misery prevented, such as now frequently follows the various operations of embryotomy. Let this horrible butchery of infants and mutilation of women cease, and let us endeavor to save life and suffering, which is the true aim of our noble profession, and let us above all remember "Thou shalt not kill.' —P. J. MURPHY, M.D., in Obst. Gaz.

PLANTS AND THEIR ALKALOIDS.-In an important paper recently read at the Academy of Medicine, by Prof. Germain Sée, he stated that in therapeutics, alkaloids, and the plants from which they are derived. should not be confounded. These opportune remarks were made in regard to strophanthus and strophantine, but he pointed out that they might be equally well applied to a number of alkaloids and plants used daily in our practice. In fact, we well know the essentially different

nature of the effects of opium and morphine, of cinchona and quinine, and of the many plants from which alkaloids are derived.

Coca is indisputably that drug to which, above all others, these remarks can be applied. Erythroxylon coca possesses analgesic properties, and is held as a superior local sedative, especially where pain exists in the region of the mouth and the throat (as noted and published by Professor Charles Fauvel, long before the discovery of the local effects of cocaine), and in calling attention to the virtues of this plant, it may be stated that the beneficial effects of wine of coca have been thoroughly established in tuberculous and other ulcerations, existing on the tongue, the mouth, the lips, and on the vocal cords; in all this class of cases, such a preparation is of great value, prolonging, as it does, the anæsthetic and sedative effects of cocaine when applied topically, or when such application becomes, for one reason or another, impracticable, proving itself of great service to the physician by reason of its local action.

Coca differing essentially from cocaine, the action of the plant upon the general economy, and not its local action, should be borne in inind. It is a most active stimulant tonic, and no better preparation can be employed than the "VIN MARIANI," which contains all the properties of the plant, combined with an absolutely pure wine.

There are numerous conditions in which this preparation is indicated; in a general way, it is serviceable in all those various diseases, which come under the clinical head of anæmia (weak heart, chlorosis, various forms of cachectic conditions, neurasthenia, general debility, and in convalescence from fever. In tuberculosis, presenting essentially anæmic features, it can be readily understood that here the happiest results may be obtained by the use of the above preparation of coca, as also in the other forms of phthisis.

The only tonic which it has been found may be given for an indefinite period without any unpleasant reaction in wasting diseases, is wine of coca. The preparation known as "VIN MARIANI" (prepared by Mr. Angelo Mariani of Paris) which has been employed by the medical profession for the last thirty years, is the only one which has given me uniformly good results without the unfavorable features which frequently follow in the wake of tonics and stimulants. And I attribute this to the fact that it represents all the volatile principles of the plant, thus differing essentially from those preparations made from the dried, comparatively inert leaf (the volatile principles being absent), or through ignorance of the proper requirements containing a dangerous added percentage of the alkaloid cocaine.-Dr. S. A. NITARD, “Le Bulletin Médical," Paris.

GLOBULES.

-Give gelsemium in hysterical paroxysms.

-Sensation as if a spider were in the face.-sulph. acid.
-A hot infusion of capsicum will stop persistent hiccough.
-Feeling as if a lump of ice were in the right chest-sulphur.
-Arnica prevents suppuration even when given in large doses.

-When going upstairs or ascending a hill if there is pain in the heart, then give sulphur.

-A Seidlitz powder, divided in four parts, one every half-hour gives excellent results in violent vomiting.

-Never inject anything into the womb, unless the cervical canal is thoroughly and completely dilated.-Goodell.

-Apply a bicarbonate of soda paste to a severe burn and let it alone for twelve hours, then dress with any simple ointment.

-Remember that belladonna is opposed to blood stasis, and is indicated in any acute condition where there is capillary engorgement.

-Dr. J. D. Grabill, formerly of Ohio, writes from 828 Cotton St. Shreveport, Louisiana, that the South has many good openings for homœopathists.

- Ledum pal. is a good remedy for chronic rheumatism, and in enlarged joints massage is very efficacious. This will be appreciated by ladies with enlarged finger-joints.-DR. WILCOX.

-In menorrhagia, where all remedies have been tried without success, pass in a sharp curette, and thoroughly curette the endometrium. Í have yet to see the case in which this mode of treatment fails.-Goodell. -BATTERY FOR SALE. An order on Jerome Kibber Co. for a battery which may be selected from their stock, value of $42. Will sell for $25. Address X. L., care A. L. Chatterton & Co. New York.

-In the first stage of hip disease, pain and swelling are absent, and the patient does not complain; the second complaint is the result of an injury, which may be slight and unnoticeable, but an injury has been received in some form or other; the third and last stage is the destruction of the parts. Do not attempt to move the hip-joint, if it is stiff; if you do, you will do harm.—Dr. Allis.

-Owing to the increased demand for the famous Orange Blossom Remedies, I am compelled to greatly increase my facilities for their manufacture, and for this purpose I have erected an extensive Laboratory, with elegant offices, in Chicago, where by direct shipment, I will be enabled to reach more rapidly all American and foreign points.

J. A. MCGILL, M.D., 4 Panorama Place, CHICAGO, ILL.

OH-DONT-OLOGY.

DON'T leave your presidential address in your spare dress suit. DON'T let the newspaper headliner put your portrait under "Troubles with Flatheads."

DON'T say ice-o-lated when you mean isolated; nor de-sultt-ory for desultory nor even fud for food.

DON'T be "too high and mighty" to look after such little things as the proper food and clothing for children.

DON'T ever propose a resolution to the Institute unless can engage some of the silver-tongued to champion it for you.