REPRINTS.

The wearing of veils and its effects upon the eye sight. By Casey H. Woods, M. D., Chicago, Ill., Professor of Opthalmology, PostGraduate Medical School; Opthalmic Surgeon to Passavant Hospital, Chicago, reprinted from the Boston Medical and Surgical Journal of December 3, 1896.

Chest Drainage in Empyema, By S. S. Brownson, M. D., of Dubuque, Iowa. Read before the Tri-State Medical Society at Chicago, April 8, 1896.

Fulminating Appendicitis. By Howard Crutcher, M. D., Chicago, reprinted from the International Journal of Surgery, January, 1897.

Some unusual cases of Appendicitis. By William B. Van Lennep, A. M., M. D., Philadelphia, reprinted from the North American Journal of Homeopathy, April, 1897.

A History of Homeopathy in the State of Ohio, by D. H. Beckwith, M. D., Cleveland, Ohio.

Sterlized gauge in Pelvic Surgery, by Thomas H. Hawkins, A.M., M. D., Denver, reprinted from the Medical Mirror, St. Louis, January, 1897.

A prospectus will be sent upon request, of the Doctor Window, by addressing Charles Well Moulton, 411 Mooney-Brisbane Building, Buffalo, N. Y.

Clinical Lecture delivered at the Hahnemann Hospital, Philadelphia by William B. Van Lennep, A. M., M. D., Senior Surgeon, reprinted from the Hahnemannian Institute, April 1897.

Diseases of the Ear, Nose, and Throat and their
Accessory Cavities.

A condensed text-book. By Seth Scott Bishop, M. D., LL. D., professor in the Chicago Post-Graduate Medical School and Hospital; surgeon to the Illinois Charitable Eye and Ear Infirmary; consulting surgeon to the Illinois Masonic Orphan's Home and to the Silver Cross Hospital of Joliet; formerly surgeon to the South-Side Free Dispensary and to the West-Side Free Dispensary; member of the International Medical Congress, The Pan-American Medical Congress,

The American Medical Association, The State Medical Societies of Illinois and Wisconsin, The Chicago Pathological Society, etc. Illustrated with 100 Colored Lithographs and 168 Additional Illustrations. One volume, royal octavo, pages xvi–496. Extra cloth, $4.00, net; sheep or half russia, $5.00, net. The F. A. Davis Co., publishers, 1914 and 1916 Cherry Street, Philadelphia, 117 W. Forty-second, Street, New York; 9 Lakeside Building, Chicago.

This hand book has been especially prepared for the use of the student and general practitioner and is well adapted for the purpose intended. It is divided into four parts, the first part treats of the disease of the ear, the opening chapter describing the necessary instruments and the proper methods employed in making the first examination of the patient.

The Author considers the treatment of chronic catarrh of the middle ear fully. Inflation by the ordinary method he considers inadequate and uses a special form of apparatus for employment of compressed air. He considers sound vibrations as useless and electricity of very little value.

In the chapter of mastoid diseases, he says, "I have seen fatal results follow such delay and refusal to allow an operation, but I have never seen a fatal termination due to the operation." The various operations are described at length with numerous illustrations.

Part two. Diseases of the Nose.

The first chapter treats of the various instruments for examination and the many devises that are employed in treating the nasal cavities, and gives the method of using them in the nasal cavities.

The author accepts the neurotic theory of hay fever; an abnormal amount of uric acid in the system being the condition necessary to produce an attack.

Part three. Diseases of the Pharynx.

Part four. Diseases of the Larynx.

The illustration of the normal and abnormal conditions of these parts add very much to the text, and gives the student a better understanding of the subject.

This work contains in a condensed form all that is essential for a general practitioner to gain a good working knowledge of the disease of which it treats.

S. S. K.

HISTORY OF MEDICINE.

BY DAVID A. STRICKLER, M. D.

PROFESSOR OF HISTORY OF MEDICINE, ORGANON AND MEDICAL TECHNOLOGY, DENVER HOMEOPATHIC MEDICAL COLLEGE. (Continued from April number.)

Application of Homeopathy.

In our last lecture we considered the different methods of apply. ing drugs to cure the sick. You will recall the three methods of combatting disease with which all physicians are supposed to be familiar, viz: Preventive, Palliative and Curative medicine. You will also remember that the main difference in the schools lies in the application of medicine for the cure of disease. You were then told that the Homeopathic school is the only one basing the application of drugs on a law of nature; that the great central truths of Homeopathy are:

I. The totality of the symptoms of the patient constitutes the disease for the purpose of cure.

2. That drug experimentation on the healthy is the only reliable method of arriving at a knowledge of the effects of drugs. 3. The curative relation between these two sets of symptomatic facts is the law of similars.

4. The admission of one single remedy at a time.

5. The minninum dose that will cure.

6. The dose should not be repeated when marked improvement sets in.

To day we will consider the application of Homeopathy. Homeopathy consists in the application of the law of similars. It is essentially drug selection. In this selection the Homeopathic physician has two sets of facts to deal with.

On the one hand is the patient with a train of morbid symptoms; on the other similar symptoms known to be produced on the heatlhy by some drug. The closer the similarity of the two in essential features the more certain and speedy the cure. The application of

Homeopathy, then, necessitates a consideration of the examination of patient, and the record of his symptoms.

2. The selection of remedy corresponding to the totality of his symptoms.

3. The administration of the single remedy.

4. The dose and its repetition.

The Examination of the Patient. The patient should be examined for the purpos of two diagnosis. First, the diagnosis of the disease; second, the diagnosis of the remedy. Neither depends on the other and the methods employed diverge at many places.

Many physicians are excellent in only one of the two. It matters not how well you can name the disease, if you cannot name the remedy you will never succeed as a Homeopathic physician. On the other hand many good prescribers cure serious conditions that they cannot name. If you must fail in one or the other let it be the former; better by far, however, fail in neither.

At this time we are concerned alone in finding the remedy. To do this your examination should be full in every detail, you should recognize abnormal conditions of any and all organs, abnormal functions, abnormal secretions and excretions. Should call to your assistance, anatomy, physiology, chemistry, and all modern instruments of precisions, such as the clinical thermometer, stethoscope, ophthalmoscope, etc. All that you can learn by your own observation and with the help of these instruments is known as objective phenomena or symptoms. They are essential to both forms of diagnosis, and go far toward establishing the pathological diagnosis. To what you thus learn must be added what the patient feels, hears, sees, tastes, etc., the so designated subjective symptoms. The subjective symptoms are of paramount importance in helping you to decide between two or more remedies capable of producing practically the same changes in the organism. There is a somewhat wide diversity of selecting remedies by physicians of our own school, some basing their prescriptions almost wholly on the objective symptoms and in a great measure, if not wholly, rejecting subjective symptoms, others basing the prescription on the subjective symptoms, and ignoring wholly or almost wholly the objective symptoms.

It seems to me neither position is tenable. Hahnemann distinctly taught, and I think experience fully bears him out, that the totality of symptoms, both objection and subjection, must be the sole indication to determine the choice of the curative remedy.

The totality of symptoms for the selection of a remedy, then, includes every subjective symptom the patient can define, and every objective symptom that the physician or the patient's friends can discover.

Taking the Case. The objective symptoms should be taken systematically. For this purpose your instruction in physical diagnoss will serve you. In addition to the usual observations in physical diagnosis you will note the mental condition, the tendency to motion or to remain quiet, the general demeanor of the patient. In taking the subjective symptoms you must proceed with much care lest a garrulous case will mislead you, or by unguarded questions you will mislead the patient. In either case you will not get a good picture. A few good rules to remember are as follows:

I. Do not interrupt the patient in his first recital; when he has finished, cross examine him to fill in deficiencies.

2. Avoid asking leading questions, or questions that can be answered by yes or no.

3. Accept no diagnostic suggestions or pathological views of the patient or of his former physician.

4. Be sure to get the modalities, especially the influence of the times of the day, weather, season, position of body, exercise, sleep

etc.

5. Pay special attention to the mental state and functions of the patient.

6. Take into account the apparently immediate cause of sickness. 7. In chronic disease look into family history, patients former illnesses, eruptions, etc.

Write down all symptoms, beginning a new line for each symp. tom. This will greatly facilitate study and reference to allied remedies.

Interpretation of the Tolality.

Having obtained a record of the totality of symptoms, it becomes necessary to make some classification of them. In interpreting the