the vital centers, help the various organs to throw off the poisonous material, and thereby help nature to withstand the insult it had received; eliminate the poison already formed, and prevent its further formation; heal the already irritated bowel, and if any given symptom was too annoying, soothe it a little.

Dr. C.'s idea was to depress all the vital centers, ease every pain, ache and discomfort, and if the child slept eighteen or twenty hours out of each twenty-four it was doing finely. It slept while the morbid process consumed its vital forces, toxic absorption and narcotic drugs poisoned its vital centers, and nature thus outraged gave up the ghost. Now, Mr. Editor and brother practicians, whose treatment would the child have most likely recovered under? and was I treated ethically? Wapella, Ill.

G. M. ROBERTSON.

[You should have retired from the case promptly but in a dignified manner upon the first appearance of the rude manners of the consultant.-ED.]

A Perplexing Ethical Situation. Editor MEDICAL WORLD:-Like "Perplext," I come in seek of my duty in a case different from any I have ever heard of. I will first tell of Dr. H. and my relations with him.

Besides myself, in this territory, there is an old M.D. who does not want an activ practise, or at least says he don't, yet answers all calls coming his way. He is, however, an ethical old soul, who treats me right in consultation, and makes my patients always have more confidence in me after a consultation than before; and by this you can see that he is an exception, and one with whom to consult is both an advantage and a pleasure. When perplext, I frequently make use of his ripe years of experience and judgment, and he is always quite willing to accompany me, be the patient wealthy or in the lower scale financially. He, likewise, frequently makes use of my judgment, and I am always willing to accompany him, thru reciprocity. I want to add, however, that in his cases he always treats his patients according to his own notions, regardless of what my suggestions have been; but I never contend with him, however, on account of his age (near 70 years) and from the fact that I am not a strict consultant, but a mere adviser to the Doctor by his own request.

The case I want to mention is as follows: A little girl had fallen out of a door, and the family, thinking that her leg was broken, sent for Dr. H., who called and pronounced it a "strain," and advised the use of hot fomentations of turpentine, and came away. In about three days he was again called, the leg being no better, and he came around to my office

and askt me to accompany him, which I consented to do, and we together called. Upon examination I at once saw that it was a dislocation of the hip, the head of the femur resting near the sciatic notch. The thigh was rotated inward and adducted, and considerable shortening was noticeable, and it was exaggerated upon flexion of the thighs, shortening then being about two and one-half inches. I askt the Doctor into the yard to give him my opinion, but he insisted upon me telling him in the house, which I did in a whisper. I told him that the hip was dislocated and advised its immediate reduction under chloroform. He again made another cose examination and disputed my opinion, and maintained that it was only a "strain and again cautioned them to keep up the hot fomentations, and to keep the leg straight and parallel with the sound leg (an impossibility). We then left, and on the way home he tried to get me to say that I now, like him, believed that it was only a strain, which I would not do. We dropt the subject

In about two weeks from the time that I had seen the case Dr. S., from another town, was in the vicinity and was called to see the child, and he at once pronounced it a dislocation, and immediately reduced it. He made inquiry as to who had heen called and was told, and was also told that I too had seen the case. He denounced our ignorance in strong terms, and advised a suit of mal-practise. The family intend to bring suit, and will no doubt include me with Dr. H. in their suit.

Now, what I want to know is, what position should I have taken at the time I saw the case with Dr. H.? I was not at any time called by any member of the family, and was there merely as a personal favor to Dr. H., who had many times done as much for me. I did not feel it my duty to assert my opinion in the room publicly and expose his ignorance, for, as I said, I was not called in the case and no responsibility was on me, and Dr. H would be far from being guilty of such conduct in a like case of mine. In a like case he would have taken me out and convinced me privately that I was in error, and that was exactly what I tried to do with him, only he wouldn't be convinced. As I said above, he would never consider my opinion, even after he had askt it.

Again, I couldn't feel right in going back to the family and telling them of my opinion and of the Doctor's mistake, for that is in my opinion the most unprofessional act that a doctor (?) can do; and Dr. H. would be far from doing such a thing with any of my patients.

What I should have done, and what I would have done had I been called by the family (and thus given a right in the case) would have been

SEPTEMBER, 1903]

to give them my opinion, and told them that Dr. H. and myself saw differently and they could retain either of us that they thought was right.

Now, from the peculiarity of the circumstances, you can readily see that I was in a puzzling position and am still in it. Of course I am not subject to their suit, from the fact that they never called me, and I went gratuitously as a favor to Dr. H., and yet if they bring their suit I will have to go on the stand and swear to the facts against the best professional friend that it was ever the lot of a doctor to possess. He still contends that the hip was not dislocated, and wants me to swear that in my opinion it was not, which I cannot do.

I am only a young man 27 years old with but 6 years' experience, yet my experience has been rather wide, since most of the time has been spent as a local surgeon for a railway company, where they workt a number of men and accidents of almost every nature were almost a daily occurrence. I do not claim to be the brightest man in the state, but being a graduate of one of the oldest and best-known colleges in the United States, and with close application to all chances afforded, I was sure of my diagnosis, and was surprised that the Doctor could not see the trouble, especially after it was pointed out to him. It was about the plainest case of dislocation that I ever saw, altho I have not seen very many.

What would the various members of the WORLD family have done under the same circumstances? Let us hear from several of you. Illinois. J. M. Reply to "Indiana on Ethics.-Doctors in Court.

Editor MEDICAL WORLD:-In August WORLD, page 362, I notice a communication from "Indiana," asking if the conduct of the physicians was a breach of medical ethics. I answer yes; for as I understand the code, no physician can visit the patient of another in the absence of the attending physician, without his knowledge and consent. But while this is true, we are bound to admit that circumstances might arise in which a visiting physician would be excused, and not held to so strict an accountability. For example, here is a man charged with no small offense-an aggravated assault, or an assault to murder; or with murder, should the child die. Suppose the defendant has had nothing to do with calling the doctor, and that the doctors are not on good terms, or the attending physician has refused to meet other doctors, in consultation, called by defendant. Now we are bound to concede that the defendant has rights, tho he has been guilty of a grievous wrong; and I am proud to say that our profession is ever ready to see

417

justice done in all cases, and would not stand back on the letter of the "code."

On the other hand, if the circumstances were not as above, and they could have arranged for a consultation with the physician in attendance, they would certainly be guilty of a flagrant violation of the code of ethics.

I am not as charitable as the Doctor, who excuses them on the ground of ignorance, for I do not believe there is a regular physician in the United States but that knows it is contrary to ethics for him to visit the patient of another doctor in his absence without his knowledge and consent, except in emergency. There is nothing better known than this.

It is the growing tendency of doctors to allow themselves to be used by plaintiff or defendant as witnesses in courts, sometimes perhaps for sake of a small fee, but more often in the hope that they may make a happy hit in the court-house and thereby build up a big reputation at the expense of some brother physician who happens to be on the other side. There never was a greater mistake made. Such are the laughing stock of the court and lawyers. I have heard lawyers say, "you wait until I bring on my doctor, and I will make yours look like thirty cents" or kindred expressions showing in what contempt doctors are held by even the lawyers, who want to use them merely as a cat's paw in the case. Brethren, we are members of a great and noble profession, and it is a burning shame that some will so forget themselves, or purposely so act, as to cast a reflection upon our profession. We should be too busy in our study to the better prepare ourselves to battle with disease and to prevent its ravages upon mankind, to have the time to act as witness, unless compelled to do so by the court's mandate, or unless it be a case where justice demands. Then we should stand up like men and dare to do right.

Bennington, I. T. J. H. HARGRAVE, M.D.

[It is slightly out of date (since the New Orleans meeting of the American Medical Association last May) to speak of the "code." We have no "code of ethics" now; it is "principles of ethics." However, the spirit still remains. Call a rose by any other name and its perfume still remains. Let us put the emphasis on ethics; it is of little importance whether it is "code" or "principles," just so ethics remain. Tho the "code" has been dropt, it is still as incumbent as ever upon us to treat one another ethically. The strict interpretation of the code regarding consultation with adherents of other "schools" than the regular has been dropt, and superseded by a more liberal policy. That, within bounds, is a great improvement, and let us be thankful for it.-Ed.]

Evidently from an Osteopath Editor MEDICAL WORLD:-Just received the August WORLD, and as usual when not too busy, sat down to enjoy the feast of good things always to be found in THE WORLD. While reading Homeopathic replies, by Dr. J. F. Edgar, page 371, I came upon this paragraph: "Your comments on page 258 on Osteopathy and Dr. Lorenz are good."

Having missed these comments, and not wishing to miss any of the good things in THE WORLD, I lookt up the comments in question. While I believe with A. J. McIntosh, of Allendale, Ill., that "ye Editor" is the right man in the right place, I must take issue with him in regard to his definition of osteopathy. I agree that the word osteopathy comes from the Greek word, osteon, meaning bone, and pathos, meaning suffering, but if a school of practise is to be judged by its name, I fear our judgment must needs be false. The word, allopathy, literally means another disease; while homeopathy means like suffering or disease. Dr. A. P. Still, the founder of osteopathy, himself a regular physician, says: "A natural flow of blood is health, and disease is the result of local or general disturbance of blood; that to excite the nerves causes muscles to contract, and compress venous flow of blood to the heart, and bones can be used as levers to relieve pressure on nerves, veins and arteries."

We believe in lesions as a cause of disease. You of the older schools, who scoff at the idea of bony or other lesions, should obtain Hilton's Rest and Pain, and become convinced.

No, osteopathy is not deep massage, Mr. Editor, and if you will take the trouble to investigate, you will find that osteopaths are, and have been, performing the same kind of operations as Lorenz performs, with the exception they do not use the terrific force that he uses, and thereby avoid the possibility of a fatal termination.

Natura naturis curantur means something to the osteopath. Surely twenty-three states would not pass laws recognizing osteopathy if it were. only deep massage. J. C. HOWELL.

Vineland, N. J.

Homeopathic Replies.

Editor MEDICAL WORLD:-Dr. McGee's case, page 319, looks like petit mal; and the Editor's suggestion of asafetida is good. Would also suggest a solution of nitrate of silver 1 gr. to pint of water, and give in spoonful doses three or four hours apart every day. Cicutin granules to follow if the silver salt has not cured. Avoid any and all of the bromid salts.

Dr. Thompson's case of Fistula in Ano, page 319, will get good results from the internal administration of calcarea sulfate (not sulfid), and the mechanical procedure will not be needed. The remedy will have to be continued some time to completely cure the

cause.

Dr. Braine's case, page 321, will find prompt curativ

results from pulsatilla or acid phosfate in cases of virgins and when "taking cold" is the only cause.

Dr. Hutchinson's case of fissure, page 322, should be cured, not cut, unless interested only in the fee, or the patient's life insurance. Suppressing a symptom is not curing the cause in this twentieth century and therefore not scientific, or even "rational." In the "unmarried female," I think he will find, if examined carefully, a narrow, undevelopt cervix, which should be dilated, and emetin granules will relieve the nausea, if the dilation has not removed it all.

"Utica's" case of hysteria, page 322, needs agaracin granules, repeated frequently during the day for some weeks. Cicutin is another remedy also indicated, if the former has not relieved. The indications tend toward the diagnosis of chorea.

Dr. Poole, page 323, query as "to the best treatment for leucorrhea," can get excellent results from hydrastin internally and locally after each bathing of parts externally only. That is, if he really wishes to cure his patients rationally and scientifically. The use of enemas of water, or medicaments, is only palliativ and productiv of harm to the future health. I was taught all those methods and practised them for some years in my specialties of female diseases and also of the eye and ear, but I learned better-curativ-ways. Dr. Boynton's query, page 323: I would like to ask if he and the other two have a Christian spirit towards this suspect, or a desire to down him and damn him? Dr. Ballard's "hysteria" case, page 324, is plainly diagnosed by the Editor.

Dr. Keoun's "Infantil ignatia to cure. That is the only remedy needed. Convulsions" requires Give to mother as well as to the baby. Try and have the mother resume suckling.

"Oliver's" case, page 325, needs tinct. of cinchona 10 drops in a pint of water and a dram every two hours, and a laxativ dose of leptandra each bedtime. You will come nearer a cure with this than any other medication.

The young man with seminal emissions needs digitalin granules, four or five times a day for several weeks. Sure to relieve.

Dr. Brasfield's case of "injury of maxillary" will be able to give his patient relief and go a long ways towards antidoting the original salivation, by the use of mild doses of kali causticum Hahnemanis. He will get results that will surprise and please him. ̧

Dr. Lovell's case of pruritus," page 327: he will be able to cure with the internal administration of copaiba, 30x dilution and pure cleanliness externally.

Eczema of leg," page 327: Rhus tox. granules administered internally will relieve.

Dr. Cooper's Aphorisms, page 329, are excellent, especially upon the antitoxin statistics.

Texas doctors, according to your list of subs., page 294, seem to like THE MEDICAL WORLD.

Dr. Spain's article, page 317, shows that he sees a good many errors in his school of practise; but he is in his narrow rut, or he would not give away his ignorance of 30x dilution of salt or any other remedy, by his comparison of five globes of milk sugar the size of our earth planet necessary in his mathematical calculation. Thirty 1 dram vials of pure water, each corkt, markt ready for use, will make the 30x dilution very nicely and scientifically; six grains of chemically pure sodium chlorid in first vial and shaken or pounded on his knee ten times, and that vial markt first. Then six drops of that first vial added to the next and pounded ten times will make 2x and so on up to the thirtieth vial. Will not take a very large "globe" of aqua pura or milk sugar to do the work. To compare the osmotic use of salt in the daily ingestion of food with the curativ use of 30x salt is pueril. Now I say this in kindness, and hope to broaden his brain capacity, 30x of salt, even 200c. or higher will cure cases of intermittent fever or malarial cachexias, when it is indicated homeopathically and the patient eating and desiring large quantities of salt each meal and has been so for weeks and months. "Believe nothing; deny nothing; prove all things yourself." But prove them intelligently and do not let prejudice give away your ignorance.

"Prostatorrhea," Dr. Latham's case, page 374,

needs carbonate of ammonia or agnus cast. in small doses, frequently repeated. No theory in this; it will

cure.

"Diabetes Insipidus," in young married woman will receive benefit from acid phos., dilute, in frequently repeated doses. If very amorous, the mollusc murex purpuria will be better. After that trouble is cured, then give physostigmin four times a day to help cure the myopia. This is also not a theory.

Lack of Milk" (page 376), in young multipara, can be cured during gestation, by asafetida in a weak solution (in whiskey if thought best) given half hour to one hour after meals and 6x trit. of calc. ostrearum (powder of middle layer of oyster shells) half hour before meals. Continue this all thru gestation, and no drugs, tonics, etc. Try this and learn.

Rheumatoid Arthritis," page 377: I cured a case in an old lady with phosfate of ammonia o trituration, but my impression on this man's case is that either the tincture of menyanthes (buck bean) or sabina, will cure him, given in small doses, frequently repeated, and can also be used externally as a lotion for psychic effect. The alkaloidists suggest echinacea. Potas. jod. will ruin his stomach and no benefit other ways. El Paso, Texas. JOHN F. EDGAR.

A Study of Lachesis.

Editor MEDICAL WORLD:-Lachesis trigonocephalus, the surukuku, an ophidian of South America, the pathogenesis of whose virus is due to that prince among homeopaths, Constantine Hering.

The virus may be swallowed with impunity, as may all snake poisons, provided there be no abrasions of the mucosae; but inoculated, or dynamized by the Hahnemannian procedure, its action is profound. Therapeutically the 30th, may be considered a moderate dilution.

Hering states that temperamentally lach. is suitable to the melancholic (from whom the most important pathogenetic symptoms were obtained); then to the choleric, leucophlegmatics with a disposition to melancholy and idleness, dark-eyed, are also affected but the sanguin, ruddy, impressionable, fine-skinned individual seldom requires the drug unless the disease has induced a melancholic or choleric disposition. In women of hasty temperament, auburn-haired and freckled, it may be indicated. The thin and debilitated require it symptomatically oftener than the robust; the acute maladies of infants and the chronic diseases of senils frequently call for it.

The degenerativ tissue changes produced by all snake poisons are well illustrated in lachesis; degenerativ moral and intellectual changes are equally characteristic of the drug, The mind is like an engin without a governing fly wheel; loquacity is markt, but the flow of language lacks continuity and steadiness; the patient jumps from one subject to another; jealousy, the poison of love, is predominant; the patient is suspicious, peevish, morose; there are frightful visions; in delirium she watches the preparations made for her funeral, or she thinks she is nearly dead and wishes some one would help her off; the delirium is worse after sleep; there is suicidal mood and great weariness of living comes upon her.

The serpent virus suckt up by the blood stream turns it purple with rottenness; non-coagulable, it flows sullenly thru the tissues carrying gangrene on its flood. Bluish, sensitiv ulcers with ichorous discharge, dark bullae filled with bloody serum, carbuncles or ulcers with purple areola and surrounded with small boils or pimples, bed-sores with black edges, cellulitis with burning and blue color of the skin, fungus hematodes frequently bleeding-such are salient changes in the tissues of the body.

Every part finds constriction or pressure unendurable, throat, thorax, hypochondria, abdomen. In the throat a lump descends on swallowing but returns at once deglutition is most difficult when swallowing saliva, less from liquids, and even relieved by solids. Diphtheria or tonsillitis begins or is worse on the left side, and the fauces are purple, while great debility and feeble pulse show need of heroic measures. There is great pain, but the local swelling may be small.

The blood degeneration is exhibited in the excretions; cadaverous stools, often containing flecks of blood like charred straw; urin almost black, frequent and foamy or scanty and dark; the sweat is cold and stains yellow; or bloody, staining red.

Lachesis is a left-sided drug, and complementary to that right-sided antipsoric, lycopodium. Arsenic, belladona, cedron, heat, alcohol, and salt are antidotal, In the sexual sphere; nymphomania, severe, as if she were possest by a demon-perfectly insatiable." Swelling, induration, neuralgia, or suppuration of the left ovary; uterin and ovarian pains relieved by the menstrual flow. Any pain (as a headache relieved by the commencing catarrhal discharge) which is better from some delayed discharge appearing is indicativ of lachesis. The climacteric with its flashes, its heat at the vertex, its metrorrhagia, its fainting, often demands a consideration of lachesis.

Blood degeneration; hyperesthesia of the nervous system causing great intolerance of pressure or constriction; aggravation after sleep from the cumulativ decomposition of tissues withdrawn from the external stimuli of the waking state; the left-sided action of the drug; the climacteric indications-these are a few of the key-notes of this powerful poison, which, by the great natural law of similia similibus curantur may be used by the physician with the same scientific accuracy that the chemist determins the reactions of his laboratory. P. W. SHEDD. N. Y. City.

"Search THE WORLD."

Editor MEDICAL WORLD: I notice in August WORLD, page 379, an article from Dr. J. R. Simms, of Racine, Wis., in reference to the publication of the alcohol treatment as given in THE WORLD by an exphysician of one of the Keeley Institutes, but I think he is mistaken in regard to its publication in 1902. I remember distinctly reading such an article myself, and was imprest by it very much from the fact that it was the first and only article I ever read from a physician who claimed to know and give the Keeley treatment. I remember the treatment was given in full, and he spoke of giving apomorphin hypodermically and coloring with the chlorid of gold to impress the patient with the gold treatment. There was a general tonic treatment of strychnin, atropin, hydrastin and several other things. I think this article appeared five or six years ago. I have lookt over several files of THE WORLD for it, but have been unable to find it. After reading Dr. Simms' article I went back over my files of THE WORLD for fifteen years, thinking I could and would find it, but failed. The only articles of any consequence on the subject of alcohol and its treatment aside from Dr. Waugh's contributions are as follows: The most remote I find in May WORLD for 1895, by Dr. A. C. Matchette, page 163, and is probably the one referred to by Dr. Simms, as he is an Indiana The next is by T. D. Crothers, Hartford, Conn., December WORLD. 1900, page 473. The next is by Dr. Geo. H. DeNike, March WORLD, 1901, page 106. Rolesville, N. C. L. B. YOUNG, M.D.

man.

Gastralgia, when actually due to a neuralgic condition of the gastric nerves, is quickly relieved by dilute hydrocyanic acid. A few doses are sufficient to establish doubtful diagnoses: if it relieves with a few doses, you have gastralgia; if it fails to relieve promptly, you have missed your guess and must guess again. Make the first guess sure, and use the certain remedy.

In blepharitis marginalis soften the crusts by an application of a saturated solution of boric acid in camphor water, and follow by inunction of an ointment of two grains each of sulfur and resorcin to the dram of wool fat.

"Do Hogs Pay?" asks a farmer's journal. Lamphear, the inimitable, who spells "kissed kist," says that in his experience they do not that they take a medical journal about five years without paying for it, and then return a copy to the publisher markt "refused." We have had some experience of that kind. No, hogs don't pay.-Tex. Med. Jour

QUIZ

New books as they appear, are sent to our Assistant Editor, Dr. A. L. Russell, of Midway, Washington Co., Pa., for review As the Doctor thus has all the late books for reference, and is made familiar with them by reviewing each one carefully as it reaches him, he is unusually equipt for answering queries. Therefore it has been our custom for a long time to send queries to him for reply. In fact, the Doctor made a special request that this be done, as he enjoys this work. It now occurs to us that time will be saved if you will send directly to Dr. Russell matter intended for the Quiz Department, which has grown so much under his vigorous treatment " Please notice that our query department is not used to "boost" proprietary remedies, almanac fashion. THE MEDICAL WORLD has no interests other than to give to the medical profession the greatest amount of honest service possible. It has absolutely no interests in any proprietary preparation nor any medical supply house. Other medical editors have become, and are becoming, wealthy, by using their pages to increase the sale of preparations that they are interested in; but we prefer to render service to our subscribers that is above suspicion of personal pecuniary interest. How can a man interested in the sale of certain preparations render the best service? He is always trying to push one of his preparations in. That is commercial journalism. We prefer ethical journalism-and so does the profession, for THE MEDICAL WORLD is growing in popularity faster than ever before-and our subscribers are paying ones. They must be, for we have no medicins to "boost," nothing to sell, nothing to depend on but pure journalism; but doctors that want honest, straight journalism are willing to pay for it-they are glad of the opportunity.

Only such queries will be publisht as are likely to interest and instruct many others as well as the one asking help. No charge has ever been made, nor will any charge be made, for this service to our subscribers. However, those who wish an immediate and personal reply by mail may obtain the same by inclosing two dollars to Dr. Russell. This is really a consultation in the interest of the patient, and should be charged to the patient-two dollars being a very moderate consultation fee. The Doctor agrees to give full, careful and immediate attention to such consultations. We reserve the right to publish in this department any such consultations that may be interesting and helpful to our readers. Name and address will be withheld if requested. Come freely for help, but read up as fully as you can before coming to us.

Treatment of Asthma.

Editor MEDICAL WORLD:-Can you or any of the WORLD readers give the formula of Himalya?" It is claimed to be a specific for asthma and hay fever. It is sold by "The Kole Importing Co.," Cincinnati, Ohio. I inclose a page of the circular. A man here claims it has done more for his hay fever than any thing else. C. F. CONGDON.

Colchester, Conn.

[We do not know what "Himalya" may be, but the circular lauds the preparation in the most brazen style known to the nostrum vender. How can anything be a "specific " for asthma, when we well know that asthma arises from a variety of causes? Asthma is always a symptom, and never a disease, per se. It may take its origin in either the heart, lungs, liver, stomach, or kidneys; now how could any nostrum be prepared so as to fit all cases of the various affections of all those various organs? In addition to these causes, we have many cases of asthma in which the paroxysms are excited by the most trivial causes, such as an offensiv odor or a breath of dust. Their claim is preposterous in the extreme.

In treating asthma, it is necessary to locate the cause. If it lie in the heart, that organ must be treated in a much different manner than the case which takes rise from deficiency in the elimination thru the kidneys. Nearly all asthmatics are nervous, and it is generally safe to give bromids in large doses. Many of the proprietaries are solely made up of heavy

bromid solutions to which cathartics have been added. To be certain of curing an asthmatic, you must exclude organic disease of the part which is at fault, and correct the functional depravity which exists; then you can cure the asthma, and only then.-ED.]

Ulcers in Mouth.

Editor MEDICAL WORLD:-Married woman, aged 23, is troubled with little ulcers in her mouth. They will start as little red spots and will continue to develop until they become a perfect little ulcer. They stay about a week and gradually go away. Nearly every antiseptic has been tried; also astringents; burnt alum, hydrastin, etc., but none check them after they have started, nor do they cause them not to come. Bowels are somewhat irregular, but generally regular. The ulcers are very painful. They come at any time, and generally last a week. They come anywhere in R. C. LIDDON.

the mouth.

Corinth, Miss.

[The ulceration of the buccal mucous membrane may be due to faulty gastric juices quite as likely as to local causes. It is in order to treat both possible causes. Have her make the hygiene of her mouth perfect by brushing the teeth thoroly and carefully after each meal, and by completing the cleansing by rinsing well with some non-irritating antiseptic. Few know how to brush the teeth right; they should be brusht up and down and not sideways. The bristles should be neither too stiff nor too flexible, the intent being to have them cleanse the interstices between the teeth, as well as the surfaces. The dentifrice selected should be alkalin in reaction. Pure soap makes an efficient, yet rather disagreeable cleansing agent. Next, put her on a course of mild salines until you are certain that the intestinal canal has had a thoro and complete flushing. Then give her charcoal, bismuth, soda bicarbonate, pepsin, pancreatin, etc., as digestants and antifermentivs. Taboo all eating between meals, and warn especially against candy and sweets. If she will follow your directions she will soon be well.—ED.]

Depilatory.

Editor MEDICAL WORLD:-I have quite a strong beard, but my skin is so sensitiv that I can hardly be shaved without cuts or abrasions. Is there a depilatory on the market, which replaces shaving completely? I know the orthodox Jews use such a preparation, but alas the smell is enuf, and it also produces eruption and smarting. Can anyone give me a prescription for a preparation that is effectiv, not poisonous, and acting within ten minutes? I will gladly pay for it, and pay liberally if it proves to be the thing. ESCULAPIUS.