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Summer Complaint

Listerine is extensively employed in the

treatment of various forms of DIARRHOEA Occurring in children and adults. It is administered in doses of TEN DROPS to a TEASPOONFUL, as an antidote and corrective to the fermentative and putrefactive changes taking place in the contents of the alimentary canal.

In combating serious illness, it is doubly important to be assured that the patient is supplied with genuine Listerine, as the substitutes sometimes offered by the trade are generally of undetermined antiseptic strength and too often worthless for the purpose for which they are required.

A PAMPHLET ENTITLED:

"Summer Complaints of Infants and Children,” MAILED UPON REQUEST.

LAMBERT PHARMACAL CO., Saint Louis, U. S. A.

No more reliable surgical instrument house can be found than the house of Wm. V. Willis & Co. They are men who know their business, and they are patronized by some of the leading surgeons of this city. From them you can get whatever you want in the surgical instrument line, and the prices will be right for the quality bought. See adv. on page 12.

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In those poor victims of a pernicious 'pepsin habit,' where the stomach instead of being encouraged to do its normal work has been allowed to become a lazy, inactiv member while an artificial digestant did the work, I find Seng a boon. Step by step it seems to lead the faltering gastric functions until, before the patient is aware of it, he loses the unhappy knowledge that he has a gastric apparatus. In subacute or chronic digestiv disturbances, I know of nothing which equals it."-Will A. MacKenzie, M.D., St. Louis.

The Norwich Pharmacal Co. recommend their Unguentine Rectal Cones as a specific for internal hemorrhoids. Have you tried them yet? This elegant preparation-Unguentine-is now prepared in a number of useful forms. See adv. on page 2.

Pixine is highly recommended not only for burns, ulcers, etc., but wherever an elegant and efficient surgical dressing is needed. See the formula on page 6 and send for a trial package.

See
MERCK'S

MANUAL,

Page 49.

"As Reliable in Dyspepsia as Quinine in Ague"

WHEELER'S

TISSUE PHOSPHATES

cures not only all forms of Dyspepsia, but is invaluable in reflex sympathetic disturbances peculiar to dyspeptics.

For FORTY YEARS, the sheet-anchor of scientific therapeutists in Marasmus, Nervous Prostration, Gestation, Convalescence or wherever a reliable reconstructive is indicated.

Prepared only by

T. B. WHEELER

MONTREAL, CANADA

Of all Druggists at One Dollar

Send for explanatory pamphlet. Free samples no longer furnished

CHTHALBIN

Phthisis, rheumatism,
intestinal catarrh and
skin diseases.

Clinical Reports on Request.

A form of

Ichthyol for internal use

MERCK & CO., New York

Stay-Lit Driving Lamp

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CONVINCING
TESTIMONY

OF A CELEBRATED

MEXICAN
PHYSICIAN.

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PATENTS APPLIED FOR

FOR PHYSICIANS' USE

The best lamp in the world. It has no equal.
Gives a BIG WHITE LIGHT, and STAYS
lighted under all conditions. Never fails. Is
wind proof. Can not be jolted out. Burns kero-
gene 24 hours with one filling. Fully guaranteed.
Description and special price if this journal is
named. Headquarters for replating surgical
instruments of all kinds.

ATWOOD MANUFACTURING CO.
AMESBURY, MASS.

ERGOAPIOL (SMITH)

THERAPEUTIC QUALITIES

HE absolute absence of all OPIATES, NARCOTICS, and ANALGESICS,

THE

thus offering, instead of false roundabout and mere transitory relief, a true and scientific treatment for AMENORRHEA, DYSMENORRHEA, and other IRREGULAR MENSTRUATION.

In these conditions and the most obstinate cases of SUPPRESSED and RETARDED MENSTRUATION, Ergoapiol (Smith) (though devoid of the above unpleasant features, which are so often followed by a sad sequela) possesses a remarkable power to obviate pain and to bring about a healthy activity of the menstrual functions through its direct tonic and stimulating effect upon the Uterus and its appendages.

CAUTION.-To obviate Substitution or other possible error in compounding, it is advisable always, besides specifying ("Smith") when prescribing Ergoapiol (Smith), to order in Original Packages only, as in fac-simile prescription appended.

These packages contain twenty capsules each, and are so constructed that all printed matter pertaining thereto can be readily removed.

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THE MEDICAL WORLD

The knowledge that a man can use is the only real knowledge; the only knowledge that has life and growth in it and converts itself into practical power. The rest hangs like

dust about the brain, or dries like raindrops off the stones.-FROUDE.

The Medical World

C. F. TAYLOR, M.D., Editor and Publisher

A. L. RUSSELL, M.D., Assistant Editor

SUBSCRIPTION RATES: To any part of the United States, Canada, and Mexico, ONE DOLLAR per year, or FOUR YEARS for THREE DOLLARS; to England and the British Colonies, FIVE SHILLINGS SIX PENCE per year; to other foreign countries in the Postal Union, the equivalent of 5s. 6d. Postage free. Single copies, TEN CENTS. These rates are due in advance.

HOW TO REMIT: For their own protection we advise that our patrons remit in a safe way, such as by postal money order, express order, check, draft, or registered mail. Currency sent by ordinary mail usually reaches its destination safely, but money so sent must be at the risk of the sender.

We cannot always supply back numbers. Should a number fail to reach a subscriber, we will supply another, if notified before the end of the month.

Notify us promptly of any change of address, mentioning both old and new addresses.

If you want your subscription stopt at expiration of the time paid for, kindly notify us, as in the absence of such notice we will understand that it is the subscriber's pleasure that the subscription be continued, and we will act accordingly.

Pay no money to agents unless publisher's receipt is given,

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Language is a growth rather than a creation. The growth of our vocabulary is seen in the vast increase in the size of our dictionaries during the past century. This growth is not only in amount, but among other elements of growth the written forms of words are becoming simpler and more uniform. For example, compare Eng. lish spelling of a centnry or two centuries ago with that of to-day! It is our duty to encourage and advance the movement toward simple, uniform and rational spelling. See the recommendations of the Philological Society of London, and of the American Philological Association, and list of amended spellings, publisht in the Century Dictionary (following the letter z) and also in the Standard Dictionary, Webster's Dictionary, and other authoritativ works on language. The tendency is to drop silent letters in some of the most flagrant instances, as ugh from though, etc., change ed to t in most places where so pronounced (where it does not affect the preceding sound), etc.

The National Educational Association, consisting of ten thousand teachers, recommends the following:

"At a meeting of the Board of Directors of the National Educational Association held in Washington, D. C., July 7, 1898, the action of the Department of Superintendence was approved, and the list of words with simplified spelling adopted for use in all publications of the National Educational Association as follows:

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securing the general adoption of the suggested amendments IRVING SHEPARD, Secretary."

We feel it a duty to recognize the above tendency, and to adopt it in a reasonable degree. We are also disposed to add enuf (enough) to the above list, and to conservativly adopt the follow ing rule recommended by the American Philological Association: Drop final "e" in such words as "definite," "infinite," "favorite," etc., when the preceding vowel is short. Thus, spell" opposit, ""preterit," "hypocrit," "requisit," etc. When the preceding vowel is long, as in "polite,' finite,' unite," etc., retain present forms unchanged. We simply wish to do our duty in aiding to simplify and rationalize our universal instrument language.

A Notable Victory Over the Plague. Truly, "Peace hath her victories no less renowned than war." While our sturdy soldiers have been chasing the wily and elusiv "little brown men" thru the Philippine jungles, and trying to shoot civilization into them, our army surgeons have forced into some of them an idea of cleanliness they will not soon forget. The plague is endemic in Hongkong, China, which is but two days' voyage from Manila. Hence the plague was a perpe'ual menace to the Philippine Islands. It first appeared in 1899, and the infection spread steadily, there being 199 deaths in 1900 and 432 in 1901. Then our army medical department went to work. Only a miracle could suppress an epidemic in 1902, it seemed; but hard work of the right kind is the next best substitute for miracles. Early in the campaign it was found that the most strenuous efforts at improving the sanitary condition of the city. were nullified by the filthy habits of the lower classes of Chinese and Filipinos. The wellknown activity of the rat in distribution of the plague being considered, it was deemed advisable to attack the rodents. Traps and poison were distributed, and a special force of ratcatchers, with distinguishing uniform, organized. Police and sanitary agents co-operated, and in all 60,000 rats were caught, and many hundred thousand more were destroyed by poison. As the rats were caught they were tagged with the street and number where they were taken, and the bodies turned over to the bacteriologists for examination, and 40,666 were examined postmortem for the plague bacillus. Thus the authorities not only knew to what extent the disease had extended among the rats, but also by the tagging system, where it

was most virulent. During the first two weeks 1.8 percent of rats examined revealed the existence of the disease, and the ratio steadily increast till in October 2.3 percent showed the presence of the bacilli in the glands. The buildings where infected rats were found were fumigated as carefully as where infected human beings were discovered, and where disinfection was not possible, the buildings were burned. A special plague hospital was improvised with accommodations for 1,500 patients. Frequent house-to-house inspections were made of the infected districts. By April, 1902, the time when an epidemic would be supposed to have reacht its acme of virulence, the diseased rats were exterminated. The Board of Health next devoted its attention to immunization of the susceptible nativs, and inoculated over 25,000 between January 15 and March 15. The Shiga antipestic vaccine was employed and was furnisht to the extent of three hundred doses daily by the government laboratory, but so great was the demand that it was necessary to call on Professor Kitasato, of Tokio, for additional supply, and 50,000 doses were secured from him.

Thus was scored a most remarkably successful warfare against disease; a combat waged by doctors for humanity—a glorious record. The National Geographic Magazine says: "If it had not been for the tireless vigilance and ceaseless war on rats and filth by Dr. Meacham and his associates, a wave of the plague would have swept over Manila and the islands as destructiv of life as the cholera itself. The United States has driven the bubonic plague out of the Philippines as completely as it has swept the yellow fever out of Cuba." All honor to the courageous and able man who planned the campaign and carried it to victory.

Is a "Fourthless” July Desired?

On each Fourth of July we celebrate a great National event, but each celebration is as disastrous to us in killed and injured as a defeat on the field of battle. In this connection the following editorial, which appeared on the day before the 4th is one of the best we ever read:

THE FATAL FOURTH.

There is something naively gruesome in the preparations which are annually made for taking care of the wounded victims of Fourth of July patriotism. This year, as usual, the Boards of Health of various cities have issued bulletins intended to minimize the fatalities. The newspapers on all hands-this journal with the rest-have conspicuously advised against the binding up of wounds. And yet the public resources for attending the injured will be taxed to meet the annual emergency; a misdirected enthusiasm tomorrow will make cripples, swell the number of the blind and add to the list of the dead. Fires will destroy property; invalids will be hurried to their graves. There is no element of chance in this prediction. Everybody

knows perfectly that these things will happen. Last. year, on the Fourth of July, over $500,000 worth of property was destroyed by fire due solely to the foolish celebration of the day; thirty-one persons were killed by it, and 2 649 others are known to have been seriously injured.

If July 4 were a date appointed for the visitation of some malignant enemy of the nation's youth, allowed an annual tribute of victims, true patriotism would not rest until it had stopt the enormity. Because we are in this matter our own annual enemy; because noise has been mistaken for patriotism, and the instinct that causes boys to love a row, on every other day supprest as reprehensible, is suffered to have a curious consecration on this particular date, the country groans and submits to what it has come to regard as its fate.

The prevailing fashion of celebrating Independence day is barbarous. There isn't a particle of common sense or fitness in it. It would have some meaning in China or perhaps in Central Africa. In other matters we are past the firecracker and the tom-tom stage of civilization. How long do we propose to linger there in this? We celebrate Memorial day after a touchingly appropriate fashion; Christmas we observe with ceremonies of significance and propriety-these festivals are not the less dear on that account. There prevailed for awhile a foolish convention which made it necessary for gentlemen to overindulge on New Year's day; popular sentiment has repealed the custom. Is it too much to hope that public sentiment may one day insist that the Fourth be kept rationally?-Philadelphia Ledger, July 3d.

On the day after the 4th the following appeared in the news columns of the Philadelphia Press:

58 Die; 3,431 Hurt; Glorious Fourth. Reports Covering the Country Show National Celebration More Fatal and Bloody than any of its Prede

cessors.

Special Despatch to "The Press."

Chicago, Ill., July 5.-Reports of the dead and seriously injured because of the Fourth of July celebration yesterday indicate that the carnage due to the giant firecracker, the toy pistol and their fellows was greater than in previous years.

The list of dead reacht fifty-eight, and the seriously injured 3,431. The carnage was unusually severe in the large cities, the long list of those seriously injured by accidents with firearms, improvised cannons fireworks and powder being such as to appall the quiet observer of Independence day, who, in his convservatism is disposed to oppose any celebration that carries with it such a heavy toll as was paid during the twenty-four hours devoted to heavy cannonading in honor of the great American holiday.

Chicago alone contributed two lives to the general holiday, while 117 were injured, some fatally, some seriously, while others were maimed for life. Carelessness may be charged in the wounding of others, but it does not relieve the unfortunate who was the sufferer because of the "didn't-know-it-was-loaded" idiot, who seems to be prevalent, particularly on the Fourth.

Last year the death list throughout the country reached twenty-one, and the reported injured 2,172. In Chicago three persons were killed during the celebration, while I were injured from causes directly attributable to the discharge of firecrackers, firearms or

cannon.

Of course all the accidents in all parts of the country do not get into the leading newspapers, and tetanus does not appear until several days or a week after. Reports of deaths from tetanus from the 4th of July accidents are now coming in from all parts of the country. The Cincinnati Lancet-Clinic makes the following comparison:

The mortality from tetanus in the United States the coming Fourth of July will most probably more than

equal the smallpox mortality for the whole year. The cap toy pistol in the hands of a youthful American has now grown more fatal than the modern type of smallpox. State boards of health might well investigate and suppress the toy pistol. A serum for the Fourth of July toy pistol is now in order. We appeal to the immortal Metchnikoff! Thirty cases of death from tetanus in New York City alone at this date (June 30) have already been recorded. Hurrah for the glorious Fourth and the toy pistol!

Hay Fever.

In hay fever due to inhalation of the pollen of ragweed, H. H. Curtis highly commends the tincture or fluid extract of ambrosia artemesia folia in ten minim doses, three times a day.

Avoid morphin and cocain in this affection; it is so very intractable to treatment that there is markt danger of inducing the "habit" in those who experience the grateful relief afforded by these drugs.

The following tablet benefits many cases:
Camphor

2 grains

I m. 8 m.

Extract belladonna, fl. Tincture euphrasia Divide into eight tablets, and direct one every half hour.

Thirty grains of the fresh suprarenal extract added to an ounce of water and sprayed into the nostrils daily is an efficient method of reducing the turgescence of the turbinated bones and adding to the comfort of the patient. After cleansing the nostrils with a douche of Dobell's solution or other mild antiseptic, brush all parts that can be reacht with a brush with a four percent solution of antipyrin.

Quinin, arsenic, and potassium iodid are the best routine internal remedies.

Not every case is benefited by the same climatic change, but a sea voyage is certain to give temporary immunity to every case.

One or two hypodermic injections of atropin, a grain, will relieve paroxysms.

Quinin, one grain to the ounce of water, makes a cheap, efficient, and pleasant douche for domestic use where the patient demands some remedy that can be safely used frequently.

Where it is expedient to give the patient a snuff that can be carried in the pocket, try Ꭱ

Acetate of aluminium

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boric acid added to an ounce of liquid vaselin makes an admirable application by spray or brush.

Common salt, a dram to the pint of water, makes a good and inexpensiv cleansing douche, and gives relief to many where the more complicated and expensiv douches fail.

Instruct hay fever patients to avoid dust, dampness, and drafts both by day and night.

Glycerin: A Valuable but Neglected Agent.

It is strange that the many valuable virtues of glycerin are so little known or appreciated by the profession. Despite its cheapness and efficiency, it has been almost entirely relegated to the realm of domestic medicin. The general practician, in whose hands it would be of daily use in a variety of ways, seldom uses it.

It does not evaporate, nor does it become rancid or undergo fermentation. Added to a mixture of fluid extracts, it prevents precipitation. It has remarkable solvent powers: iodid of potassium, iodin, bromin, iodid of sulfur, chlorids of sodium and potassium, the alkalies, some of the alkalin earths, many of the neutral salts, the vegetable acids, morphin, quinin, strychnin, veratrin, atropin, and carbolic acid are all freely soluble in glycerin. It has decided antiseptic property. In the dose of a dram at meal time it promptly relieves acidity of the stomach, pyrosis, and flatulence. Mixt in equal proportions with cod-liver oil, and flavored with tincture of cinnamon, it makes a very acceptable method of administration. Applied to the nares with a brush, it relieves coryza. Given internally it is of service in acne. A few drops on the tongue will relieve laryngeal cough in children and adults. In deep typhoidal conditions, when the tongue and lips have been neglected until sordes have accumulated, a few drops on the tongue affords an evident amelioration of the annoying mouth and throat symptoms. An ounce of glycerin and four ounces of infusion of flaxseed injected into the rectum, with or without the addition of morphin, will relieve rectal tenesmus in dysentery and allied conditions. In fissured nipple, Stillé highly commends a

dram of tincture benzoin added to an ounce of glycerin and filtered. Dropt into the ear, it softens hardened cerumen so that it is easily syringed out. It quickly renders an insect in the ear so helpless that it will remain quiet till it can be removed. It is a valuable aid in disguising the taste of many offensiv medicins, and may be added to any prescription to inɔrease its "body." The glycerite of starch affords an admirable vehicle with which to apply astringents to the eye, and is considerably used by ophthalmologists.

These are but a few hints from which the

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