Page 501. 'Inversion of uterus" I feel positiv was caused by the ergot R of September 10 and the insult by the curet. If he had given the cinnamon in 10 drop doses each fifteen minutes for a few times, he would have corrected the hemorrhagic tendency, and had no after effects. That woman will be years getting over the effects of those drugs and cureting.

If your cases run typical typhoid," why do you ask was it typhoid?" Why did you not give the morning and evening temperatures for five or six days?

Page 502. Dr. Fenn should not consider one remedy as a substitute for another. Each remedy is effectiv in its own individual sphere.

Dr. Holsteen's query to me, I think, is answered in the original article, page 455.

Pages 502-3-4. "Pneumonias." In twenty-seven years of activ practise I have seen very few cases of pneumonia, and in very many cases where I have followed another practician, with pneumonia as his diagnosis, and homeopathic remedies cured the patient, I have felt that may be the doctor might have been honest in his opinion, unless he was running it as a fad and a scare to the family. I knew one practician that always made such a diagnosis in every trouble of the respiratory tract, however slight; and as a Deacon in the Campbellite Church, his favorit twelfth chapter of Romans was brought in every chance he got, Wednesday nights. I wonder if Dr. Robinson saw him in Tartarus, page 527?

Page 505. If Dr. Mick will send me a full description and history of his patient, I will suggest a curativ treatment. We treat the patient, not a diagnosis, nor theory of one.

64

Pages 506-7. Dr. Henderson certainly used quite a number of drugs, in spite of his numerous suggestions to not be guilty of drugging innocent little children into eternity." I do not object to a physician having knowledge of the pure, correct usage of a number of remedies, but to give such a lot of them to one child shows just experimental doings; and if the child gets out of the trouble, not well, it is because its nervous life force had enuf left to react against both the diseased condition, plus the drug diseases, forced upon the helpless child.

We have a little book, "Bell on Diarrhea, etc.," that is a scientific guide to the true physician who wants to honestly cure his patients, and not have drug after effects.

Page 514. I agree with Dr. Bartram in his next to last section, i. e., preparing for a higher, better, education.

I

Page 515. "Toxins." I have practised in Kentucky and Indian Territory, and have followed in cases that have been treated by the theory practise, materialized into calomel, podophyllum and quinin ad libitum, and have used high potencies in such cases, for that is one of the places where they come in." treated the patient, not theory, or diagnosis, and cured. But please understand, Dr. Estock, that I am not a high potency exclusiv, but seek to select the homeopathic remedy, and if the cruder remedies do not help, and that same remedy is still indicated, then I can use the high potency with all confidence. That covers the two laws, homeopathy and dynamization, and enables us to know, and not run after theories. Comprenez vous?

Page 516. Dr. Ward. I thought the first part of his article indicated that he was learning; but it proved only another theory, for uva ursi was the curativ remedy. Hahnemann's Section 18 says, get the totality of the symptoms," and not just sections of it, and then select the remedy that corresponds, in the provings, to the totality. The urin, everything that is abnormal, should be considered; and I consider fissured tongue as indicating inherited dyspepsia.

Page 516. "A. H. B." Headache case. Does not give complete enuf symptoms, but if he will get a Monograph on Headaches from Chatterton, he may be able to study it out himself and cure a bad case. My impression is, contracted sphincters some place, cervix or anus. Sabina is the remedy that comes to my mind, 180 or 100, five drop doses each two hours. Commencé right away, and if compelled to hypodermic, try atropin

sulf. in smaller dose, and repeat by hours as needed. Sabina corresponds to passionate women, while if this patient tells you truthfully she is absolutely averse to a wife's privileges; then I would suggest the mollusc sepia.

Page 517. "Indiana." Cataract. Hahnemannian homeo. physicians cure cataract.

Page 518. Metatarsalgia." Tincture of cinchona, 1000 or 18550 in water, will help your aunt, no matter if she has taken ten pounds of quinin. Ten drops each three hours regularly.

What is the heart trouble? Other remedies possibly might come in, you gave more particulars to choose from, as agnus cast.; am. mur.; arg. m.; berb. v.; camph.; graph. Am so sorry that " amputation" was even suggested.

Page 520. "High temp." I consider that the salt solution was the cause of the chill, and with the atrop. injection caused the delirium; but the atrop. was what helpt the Doctor out of what might have been a bad case, she not bearing the curetment and salt solution douche well.

His "endemic" looks to me like a modification of the bubonic disease; I have had a few cases. Baryta mur. cured them. See the provings in the Homeo. Mat. Medica. Herrings, G. S.

Page 521. Epilepsy." The Editor's suggestions as to regulating" are very good; but oh! that bromid dosing! Why, oh why, will you always slide back to such? Hahnemannian homeopathy has remedies to cure it, and not ruin the brain or any part by drugs. Differentiate each case, and send in full descriptions, totality of symptoms, and I will help you.

Page 522. Gonorrhea." See my article on urethritis, to be publisht soon.

Page 522. 'Spina bifida." Don't consult a surgeon, but send to Munson & Co., St. Louis, and get 4 ounces. silica, 6x trit., and give a three or four grain powder with every nursing, and cure your child. Build a spine for it.

Page 523. Gastro-intestinal catarrh needs argent. nitr., 100, repeated frequently until better; then extend the time. Editor's suggestions as to diet and eating very good except the drowning of the food after eating. Leave out the drugs.

Page 524. 'Paratyphoid?" Too much hypodermic, Doctor. Some persons are affected by it long afterwards. His "year before trouble," you never found out what it was and how to cure it. Just hypodermict it, and that was not right. You should have had a postmortem.

Page 525. "Chronic diarrhea." Another case for tinct. cinchona in a dilution, five drops after each stool; try it, and use Editor's suggestions except Nos. 2, 6, 10, 11.

Page 527.

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Page 526. "Peculiar." Treatment should have commenced with the mother, before birth or during gestation. This girl needs attention to her ovaries, in the way the Creator intended. Nothing the matter with her appendix unless it extends from the right Ovary. Blackheads." Your treatment has been at results, not causes. Stop all local means, especially the "squeezing out.' Use no soap at all; use bran mash to aid your bathing. Improve your diet yourself, upon fruit lines and less meats and pastry, and procure and take sabina, rodos, five drops four or five times a day. Don't expect a cure next day, for it will take months, and it will be hard at first to keep your fingers from "squeezing," but you will be surely repaid for this complete change of treatment. El Paso, Texas.

JOHN F. EDGAR.

Don't imagin that your financial affairs will run themselves while you attend to practise.

Editor MEDICAL WORLD:-I must surely beg your pardon for not remitting to you long before this for your journal I certainly consider it the best one of many that come to my desk regularly, and I feel that it would be like losing an old friend to lose it. before you stop it and make up your mind that I belong to the class of hogs" you refer to in THE WORLD, I am going to remit. You will find inclosed $2.00 to pay for this year and next. Please continue sending it until I tell you to stop.

Olivia, Minn.

FRED. C. MILLER.

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. 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.

Correction.

We

Editor MEDICAL WORLD:-Regarding your submitted formula for tonic laxativ, page 523, you undoubtedly mean more water than is there given, viz., one-half ounce. How much? E. E. EVANS, M.D. Armada, Mich.

[This was an error, and several subscribers have called our attention to it. The amount should be onehalf gallon. This may be reduced or increast as desired, calculating the dose desired.-ED.]

What is the Value of Electricity in Medicin?

Editor MEDICAL WORLD:-Find inclosed $3.00 to pay for THE WORLD four years. Can't do without it. Mr. Editor, what is the real value of electricity in medicin at the present time? The regular text-books hardly mention it as a therapeutic agent, while some of the electro-therapeutic specialists speak as tho they thought it the whole thing.

Is the treatment of cancer by the x-ray a success?
Mocksville, N. C.
W. C. MARTIN.

[Electricity has a well-defined place in medicin, just as hydrotherapy or any other method of treatment has, but it is impossible to give a resume of its indications in our space here. It is true that many of the text-books give it but slight mention, but this is not because there is no merit in it, but because before one can write with authority he must be well versed in the subject upon which he would write. The practician who writes text-books upon general medicin has little time to devote to special branches, hence he sheers clear of electricity. The special writer on electrotherapeutics can not fill a fair-sized volume with what is known and proven to be of actual

and practical value without committing one of two faults: either he "pads" the book, or he becomes over enthusiastic, and states propositions which are as yet unproven. Some special writers on electro-therapeutics are very fair indeed, and this class realize that while in electricity we have a valuable agent concerning which we have much to learn, there is another class who wish to pose as expert authority who are making extravagant claims for the agent which can not be proven, and who are by that very stand doing much to injure and retard the use of electricity by the rank and file of the profession.

(2). It is too early to state. Many cases have been cured "symptomatically." That is, "it looks like a cure.' and the tumor vanishes, and the general health The pain disappears, improves. Other cases are not benefited further than by the relief of pain. The x-ray is a valuable agent in relieving the pain of cancer, which it does in nearly every case, whether it affects the progress of the disease or not. The best operators advise that the x-ray be used before operation by the knife to prepare the tissues for the operation; and again after the operation to prevent recurrence. Few of the most experienced operators with the x-ray now advise its use to the exclusion of the knife in the treatment of cancer. The matter is in its infancy as yet; sufficient time has not elapst to say that the "symptomatic" cures are really cures the tumor may recur. The recognized modern treatment for cancer is the use of the x-ray and knife combined.—-ED.]

Capricious Vomiting.

Editor MEDICAL WORLD:-Inclosed find $2. Pardon my negligence. I have a case to report which baffles me and other M.D.'s I have mentioned it to. Annie M., twenty-four years, single, saleswoman. Always well and healthy up to the age of fourteen years, when the following occurred: She was sitting alone reading, when she imagined she heard her mother cry" fire,' from the cellar. She got up, went downstairs, and thought she would find her mother in flames, but when she got there she found no fire. She was very much excited, and vomited. She has vomited more or less for the last nine years. At the theater or in church, suddenly she will have the desire to vomit, and will have to leave immediately. In the night, when she lies awake, the same feeling may come upon her. The vomiting is not influenced by any particular food or any particular time before or after eating. The vomitus comes up into her mouth “in chunks," as she expresses it. It consists of partly digested and undigested food. The longest time I had her go without vomiting was six weeks. In that time she gained twelve pounds, and was looking much better every way. The urin is negativ; pelvic organs normal; no pain or tenderness over stomach or abdomen. She has been the rounds, and she says all doctors help her for a time, then she is as bad as ever. Has had no head injury.

Treatment.-Bromids, washing out of stomach, suggestiv therapeutics, arsenic, iron, cannabine and zinc phosphite. Have used no opium preparations, as! was afraid she might contract the habit. My diagnosis is hysteria, or some gastric neurosis. Would like your

edly present, and of this you must be the judge. Examin the nose carefully and treat it as indications warrant. Until the nasal condition is cured, nothing more than transient benefit will accrue from treatment. Stenosis, deformity, or suppuration must be removed, and the hygienic environment made perfect. As a local application, a gargle of one-half percent solution of sulfate of zinc is beneficial in the form which afflicts your patient; it acts by reducing the vascularity of the tissues. Light brushing with Loeffler's solution is irritating, but beneficial in the end. If the tonsils are markedly hypertrophied, they should be removed. The enlarged follicles common in such cases have received more attention than their importance deserves, and they may be ignored except when very prominent, in which event they may be destroyed by inserting a pointed burner into the center. The uvula need not be amputated unless it exceeds two and a half centimeters in length.

The editors have not had any personal experience with yellow fever, but many of our readers have, and we will hope that some of them who have been tried in the furnace will give THE WORLD the benefit of their experience, especially since our family in Texas now has need of help in this particular line.-ED.]

The Dosage and Excretion of Quinin. Editor MEDICAL WORLD:-I have subscribed for THE MEDICAL WORLD two years, hoping to get the benefit of a reproduction of the paragraph that once appeared in your journal from the writings of Prof. Virchow in reference to quinin taken by himself as an experiment on his own person, and the amount ingested and the amount recovered from the urin after taking ten to twelve grains. I was more anxious to get the publisht statement to base some experience of my own upon, and to refute the absurd idea of its injurious effects on the kidney or its use in hematuria. Thus far I have been foiled in my purpose, and not having the works of Prof. Virchow at hand, fear I must give up the project for the want of the aid desired.

It was simply to refute the theories of some that quinin is a poison in cases of hematuria. It is not the quinin, but the excessiv and unwarranted doses of the medicin that do the injury, and the same of its oxytoxic effect. Like poisons, there is a limit to its use. For fifty years of my life as a medical man and as a pharmacist, I have not failed six consecutiv days to take quinin, and in all this period have only had three well markt chills. One of these occurred while

under surgical treatment from home for a malignant tumor of the hip. During fifty years experience almost entirely on the Yazoo (the river of death) the prophylactic use of quinin has been most markt in my own person, but not in the heroic doses given by many of my conferes. The first thing in the morning is a three-grain gelatin coated quinin pill, and frequently, you may say almost constantly, no more during the twenty-four hours, unless symptoms of fever, headache or other malarial trouble suggest it; then two grains every two to three hours. I find this ample, and never give over three grains at a dose. I have found five grains repeated every three hours to produce the most depressing feelings and distressing symptoms in my own person, and in many of my patients, who at the suggestion of consulting friends (M.D.'s), I have consented to give five grains, with the symptoms of prostration I had predicted after the third dose, at in

tervals of three hours. I have used quinin in my own family up to the very day or hour of confinement, and have yet to see any oxytoxic effect or other effect than the mildest tonic or permanent stimulant and tonic, except in the heroic doses of the last century, which should be forever forgotten or abandoned. Ten to forty grain doses have killed more than they have ever cured.

Calomel and quinin in hematuria, as in all malarial troubles, have been my sheet anchor; and my graveyard, the showing of all doctors, is less by far for the entire time than that of any other doctor who has lived in this section for even one-half of the time, and many less than one-fourth of the time. My success has been almost marvelous; but I confine myself to small and repeated doses, two to three grains of quinin every two to three hours, which can be taken with impunity for days without any injurious effects, and I have yet in an experience of fifty years to see one case of troublesome exacerbation or fatal collapses from such doses, but have seen patients that required brandy and mustard used freely to prevent fatal collapse when only five grain doses were given. Thornton, Miss. CHAS. C. THORNTON, M.D.

[It is generally conceded that quinin is eliminated mainly thru the kidneys, but we have no means of ascertaining just what article you refer to. Likely the article or part of an article which you desire will be found in Virchow's Archivs, 1869, Bd. xlvi, in which the experiments were conducted by Professor Binz. Probably you could learn where you could secure this book by addressing the Library of the Surgeon General's Office, in Washington, D. C. Dr. L. Thau, in three experiments gave 4.4586 grams of the alkaloid and recovered from urin passed in the succeeding forty-eight hours 4.3 grams, thus leaving but o.1586 grams to be accounted for, and this small amount may easily have been lost in the chemical processes involved. Quinin is found in small quantities in other body fluids. Landerer states that he has detected it in the tears, serum of dropsical effusions, milk of nursing women, and urin. Albertoni and De Renzi found it in the bile when given by the mouth, but not when given hypodermically. If you could cite us to the copy we would gladly republish same for you.

We fear if you had been confronted with some cases of pernicious malarial fever and attempted controling it with two or three-grain doses that you would have had opportunity to give but few before your patient passed where there is no quinin. In the worst varieties of pernicious malarial fever life is only prolonged a few hours.

Authority is not found for the widespread belief that quinin must be tabooed in malarial hematuria. Emphasis should be placed on the important fact that in malarial hematuria the emunctories should be made activ before and while administering quinin; then its action is not only harmless, but curativ. H. C. Wood says such a statement challenges investigation, and adds the following footnote regarding the

matter:

"In certain regions of the country persons