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There seems to be but little weakening of the limb or knee in several years past, excepting such as occurs after several severe attacks closely following each other, as she mentions above. The knee is considerably enlarged at all times.

She has taken many different kinds of homoeopathic remedies, mineral waters, etc., and has used all the favorite baths, packings, etc., of homœopath, hydropath, eclectic, etc., etc., with little or no benefit.

I have given her in the past few years at different times several remedies, among them being Rhus tox, Caust., Colch., Zincum met. Lactic acid 3rd and 6th, which she began taking a year ago, has done very much for her in mitigating the severity of the attacks, without in the least, however, affecting their periodical

nature.

This feature has so far resisted all treatment. It is a peculiarity, and is entirely independent of any aggravating or ameliorating circumstances.

The symptomatology of Lactic acid, as given in Allen's “Encyclopædia," is as follows:

"Swelling and redness of knees. Right knee faintly red, decidedly swolen, very tender, and painful. Dull, yet sharp, pain in right knee-joint on moving leg.'

I wish this remedy might be given a thorough, honest proving; for I believe it to be a valuable one were its true sphere known.

JANUS.

BY S. G. BAILEY, M. D.

As the Roman Janus was fashioned with two faces, so the modern medical Janus looks both ways for practice. Physicians of apparent respectability are found in almost every community who "practise both ways," as they complacently inform you. They are usually practitioners of the old school, who have picked up a smattering of homoeopathy, and they offer the old or the new to the choice of the patient. They are ready to be "all things to all men," and to run their drag-net through society, counting all gain that comes to their hands. These are not the careful searchers for truth, who are convinced of the right of homœopathy, and who are conscientiously applying it as the best method of cure. They are not homoeopathic physicians who are driven by some supposed exigency to try ways and means outside the Similia. They will usually tell you that this homoopathy is well enough for children and light disorders, while adults, forsooth, need something stronger. There is little doubt

that their crude homoeopathy is fitted only for the mildest of selflimited diseases. Yet it would be interesting to know at just what age the arrangement and physiological laws of the human body change, just when that law of nature that fits Aconite to the bounding pulse and fever heat of childhood changes to inactivity with maturing years.

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It is a physician's duty to give the best result of his research and reason to every patient. The sick man does not know what is best for him.

Even the skilful physician, when sick, intrusts himself to other hands. We do not inquire of the patient whether he needs Opium or Mercury for his diarrhoea, for it is our business to have some very definite and well-grounded judgment which is needed. The man who "practises both ways" is a dangerous person. He is apt not to be competent in either method. He is not prepared to give his patient the best, but whatever the sick man chance to elect. He is to be shunned as one who has not the courage to live up to his convictions, and give the best every time, or as too indolent or inefficient to have arrived at any convictions. It is n't safe to try to ride too many horses at once, either in politics or medicine.

REVIEWS

AND NOTICES OF

Books.

CATALOGUE OF OTIS CLAPP & SON, AND DIRECTORY OF HOMOEOPATHIC PHYSICIANS OF NEW ENGLAND. 8vo.

ton Otis Clapp & Son.

pp. 150. Bos

This little volume, which is now issued biyearly, will be welcomed by every homoeopathic physician who may be fortunate enough to receive a copy. A glance at the book will show how great is the supply of goods offered to the profession. The first eighty eight pages contain, alphabetically arranged, a list of all these various articles. The list of medicines covers four pages, and embraces nine hundred and thirty-two different substances, many of which are provided in various forms. Upwards of one hundred different forms of medicine cases are described,— enough in variety to suit the most fastidious. All the surgical instruments and applications in common use are carefully enumerated, while the dietetic preparations and the adjuvants of rational treatment are presented to the reader. The list of homœopathic publications alone covers fourteen pages.

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But perhaps the most interesting part of the book is the directory." This, which within our memory could easily be

put on a single page, now covers ten double-column finely printed pages, and contains the addresses of eight hundred and twenty-two homoeopathic physicians in New England, Sept. 1, 1882, as against seven hundred and sixty-three, March 1, 1880. This shows an increase of about eight per cent in two years and a half, or four times as fast as the increase in population. Maine has changed its number from 77 to 91; New Hampshire from 51 to 60; Vermont from 82 to 79, a loss of three (she must do better in the next two years); Massachusetts from 386 to 414; Rhode Island from 57 to 59; and Connecticut from 110 to 119. Of the cities, Portland has 14 homoeopathic physicians, an increase of fifty per cent; New Haven 15, twenty-five per cent; Hartford II, twenty-two per cent; Springfield 8, fourteen per cent; Boston 114, thirteen per cent; and Providence 29, eleven and a half per cent. Lowell has fourteen and Worcester nine, the same as in the last directory.

The directory contains a list of all towns in New England which have more than 1,500 inhabitants. Of these towns which lack a homœopathic physician Maine still has 76: New Hampshire 30; Vermont 35; Massachusetts 83; Rhode Island 9; and Connecticut 50. Thus we see there are two hundred and eightythree towns in New England which lack and could each well support one or more physicians of our school.

Six State societies and six local or county societies report a list of officers, but none of the institutions under homoeopathic management are mentioned. This we hope to see corrected in the next number. Three thousand copies are issued for free circulation, and the attractive manner in which it is published does great credit to the house from which it comes. Any physician can procure a copy by sending their address to Otis Clapp & Son, Boston.

SYPHILIS. BY V. CORNIL.

*

TRANSLATED WITH NOTES AND ADDITIONS. By J. Henry C. Simes, M. D., and J. William White, M. D. With eighty-four illustrations. 1882. 8vo. pp. 461. Philadelphia: Henry C. Lea's Son & Co.

This volume, which has just been published, is a translation from lectures delivered and published by Prof. Cornil, of the Lourcine Hospital, Paris, in 1878. The author names one hundred and forty-four books of reference on this subject, and has, in addition, the experience which his immense hospital and private practice affords. He claims that his book "forms an elementary manual of syphilis based upon a minute knowledge of anatomy. This, he considers, is "the only logical method by which syphilis may be studied or understood." In accordance with this plan he devotes his first chapter to the "General consideration of syphilis

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- Contagion and inoculation - Period of incubation." The next two chapters contain an "Anatomical description of infecting chancre and soft-chancre- Symptoms and comparisons of the two chancres." These three chapters would alone well repay physicians for their purchasing the book, and would tell them why they so easily cure some cases, and have so much difficulty with others.

The succeeding chapters consider the anatomical structure successively invaded, such as the lymphatics, skin, mucous membrane, bones, teeth, nerves, liver, digestive canal, respiratory organs, spleen, supra-renal capsules, etc.

The final chapter, XIV., is on the “Treatment of Syphilis." He carefully considers both the pro and con of "mercurial medications" which was introduced and made such ravages at the close of the fifteenth and beginning of the sixteenth century. Not taking the side of the anti-mercurialists, he says: "When mercury is given in a still larger dose, . . . stomatitis and salivation rapidly follow, but are symptoms not sought after in these days, it being now believed that the dangers of these conditions, which are in many cases of extreme gravity, sometimes resulting in rapid death, are totally disproportionate to the advantages derived therefrom." He relates that, when in the St. Louis hospital, he assisted in cauterizing a series of cases with acid nitrate of mercury. "The next day, all the unfortunate subjects were affected with stomatitis, and two of the number died within a few days from its effects." Such a frank admission would lead us naturally to the statement, "At this hospital [the Lourcine] we give mercury in small doses in such a manner as to avoid salivation." He speaks favorably of the use of hypodermic injection, and says, "Injections were made by Liégeois twice daily, using a very weak dilution; he introduced but to of a grain at each puncture," i. e., between the first and second homoeopathic preparation two doses in twenty-four hours. Hahnemann's teachings come slowly but surely!

The following is worthy of consideration: "We have very frequently in our service pregnant women who are syphilitic. When syphilis has shown itself a little before conception, or at the same time, or within the first two or three months of pregnancy, these women generally abort, if the disease be permitted to take its natural course; on the other hand, if mercury be used methodically, in moderate doses, but continued for some time, the patients usually carry their children to the end of their term, and the child is born well and free from syphilis. We have treated in the St. Clement ward, during the greater part of their pregnancy, syphilitic women who have been confined, and whose children, nursed by them, are healthy."

PRACTICAL MEDICAL ANATOMY. By Ambrose L. Ranney, A. M., M. D. Wm. Wood & Co., New York.

This, the June number of Wood's Medical Library, is a work to be highly prized by every physician. The author does not pretend to offer anything original, but as a compilation and presentation of facts in new shape, nothing better has appeared for years. The purpose of the work he sets forth in these words: "As a prominent writer puts it, 'That writer accomplishes the most who gives his reader the most knowledge and takes from him the least time'; and I have not forgotten in my effort to make the work useful to all the wise observation of him who says, 'In the same meadow the ox seeks the herbage, the dog the hare, and the stork the lizard."" The book is replete with illustrations, many of them wholly new, which materially aid in the proper understanding of the text. The chapters on "The human face in health and disease, and its value as a guide in diagnosis," "Special regions of the head, and the points of general interest pertaining to each," and "The abdomen, its viscera, and the surgical guides to important structures of that region," are particularly valuable.

A TREATISE ON ANTISEPTIC MEDICATION, OR

DECLAT'S

METHOD. By Nicholas Francis Cooke, M. D., LL. D.
Chicago: Gross & Delbridge.

That Dr. Cooke is an enthusiastic devotee of Declat and his method of treatment, no one would for a moment question after reading this book. The germ theory of disease and the absolute germicide power of phenic acid (absolutely pure carbolic acid) are the principles which underly Declat's teaching; and as a pupil of Declat, Dr. Cooke accepts them unconditionally. It is no place here to discuss the merits of Declat's method, as Dr. Sternberg has done from time to time in the Medical Record, but what we have to do with is the book itself. In the first place, the book cannot be criticised as a literary production, for it is merely a presentation of facts which Dr. Cooke is cognizant of and wishes other physicians to be also. Any book written by a man so earnest as Dr. Cooke cannot fail to carry with it conviction more or less pronounced; and we confess to have derived much profit from its perusal. Dr. Cooke in the Preface gives his reasons for writing, an account of his acquaintance with Dr. Declat, and his conversion to the principles taught. In the introduction may be found a history of antiseptic medication, the controversy between Declat, Lemaire, and Tyndal, a brief sketch of Declat's life, and the theory on which the phenic-acid treatment is based. In the work proper he begins by giving a description of the various

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