isht a little. In course of six hours the bandage was removed and a new one applied as before. As a result the patient past the easiest night since his first attack of pain, altho he suffered some from the withdrawal of the morphin, which had to receive appropriate treatment. To my regret, the patient was removed to another institution and I was unable to fully follow the result, but the pain had gradually decreast from the time the application was made, and he was able to walk to the carriage as he was leaving, without suffering very much pain. I afterwards learned that a week or so later he returned to his home practically cured. I do not think this case one of true sciatica, but a neuritis due to acute alcoholism.

Case No. 2. Female, age thirty-eight, married, mother of four children, two youngest about two and four years. tient was admitted to hospital for narcotism.

Pa

Seven or eight years previous, while riding horseback, she was violently thrown to the ground and sustained a fracture of left hip at acetabulum. The fracture was reduced by a local practitioner and seemed to get along all right; and in the usual length of time patient was able to be out. The only apparent result was a shortening of about one inch. A short time afterwards the patient had a severe attack of pain in left limb along the sciatic nerve. She suffered similar attacks at appearance of a storm, and became addicted to the use of opiates. At the time of admission she was using six ounces of tr. opii camph. During an attack of pain, after the opiate was gradually reduced, the patient's pain was very severe; so much that she would cry for hours and tear a towel or handkerchief in her hands trying to divert her mind. The patient had previously consulted the most eminent surgeons and tried the different baths, etc., in this country and Europe, all without any apparent effect. I used the usual remedies that were used on Case No. 1, and in addition electricity and Betz's hot air apparatus, without the least effect, altho the hot air apparatus did give some relief.

For various reasons I was unable to use the potassium solution until a short time before she left. At the next attack of pain I applied a bandage as in the other case, changing it every four hours, and was greatly pleased to learn that it gave

Ft. pil. No. X. S.-One every two hours.

The only trouble about this is the unreliable quality of the drug.. You must be sure that you get a good article. It will be found especially useful as a hypnotic and anodyne for nervous, delicate women and children.

As a galactagog I have used galega officinalis. Dr. John Abercrombie, of this place, an old practitioner, tells me the leaves of palma christi (the castor oil plant) boiled and made into a poultice for the breasts and armpits is next to infallible. J. S. BRUNNER, M.D.

St. Petersburg, Fla.

What Man's Body Contains. A bowlful of sugar. Enuf salt to provide a dinner party. Enuf gas to fill a gasometer of 3,649 feet. Enuf iron to make five carpet tacks. Enuf carbon to make 9,360 lead pencils. Phosphorous enuf to make 8,064 boxes of matches.

Enuf hydrogen to fill a balloon that would lift himself.

There is enuf fat to make from four to eight pounds of candles.-N. Y. Jour. of Health.

Quiz Column.

Questions are solicited for this column. Communications not accompanied by the proper name and address of the writer (not necessarily for publication) will not be noticed.

The great number of requests for private answers, for the information and benefit of the writer, makes it necessary for us to charge a fee for the time required. This fee will be from one to five dollars, according to the amount of research and writing required.

Atrophy of Penis and Testicles. Editor MEDICAL WORLD:-I have a case of atrophy of penis and testicles. J. B., aet. 44, unmarried, good general health, practist masturbation excessivly when a boy and venery since becoming a man. Has been a hard drinker at times, going on sprees for two and three weeks. Erections are good, but testicles soft and flabby. Is there anything that can be done to develop the parts? Will you or some of your readers give me your opinion on the

case?

N. Y.

X.

[The only way to benefit this man is to regenerate his manhood. Many think that "manhood" consists of sexual power! This is a great mistake. Sexual power is only a single factor in the best and highest "manhood," and that factor grows relativly less after forty years of age. This man does not need sexual power-he has no use for it. But he is in pitiful need of real and noble manhood. He should give no thought to venery; he should correct his intemperate and dissolute habits; he should build up his physique by a careful hygienic course, consisting of a strict regimen, regular hours and plenty of sleep, outdoor exercise or a careful course in gymnastics, and last but not least, some noble object to live for, which will interest him deeply. This course will make a man of him if manhood is in him. Also, this course will restore his sexual competency, if that is at all possible, in which event he should marry some good woman who will have prudence enuf to conserve his sexual powers and inspire him to noble aspira tions.-ED]

Diabetes in Child of Five Years. Editor MEDICAL WORLD: Mother brought child of five years to my office on December 15, 1900, complaining of pains in abdomen. Mother said that during last three weeks she had been passing a great amount of urin, wetting the bed every night. A case of simple eneuresis as

I supposed, but later found out my mistake.

She came twice afterward, each interval being a week or ten days, but the remedy I gave had not the desired effect. After a few days I saw the child again, and noticed the dryness of the skin, the wasting, heard from the mother of a loss of weight of five pounds in three weeks, and of the extreme thirst of child, and concluded that it must be a case of diabetes.

I intimated this fact to the mother and

askt for a sample of urin, which when examined, revealed the fact that the child was suffering from infantile diabetes. Sp. g. 1040, amount five pints voided in twenty-four hours.

I put her on proper treatment for this and in four days have to report some progress. Sp. gr. 1034, quantity past, two quarts in twenty-four hours; no thirst, good appetite, weight increast one pound.

Now, will the readers of THE WORLD kindly make suggestions as to the very best treatment of this case, or of similar ones which have come under their observation? Would like to hear from the Editor. Might just say that I cannot find any apparent cause for the malady. Corunna, Ind.

A. F. PHILLIPS.

[Treat just as you would treat diabetes in an older person. The cause of diabetes can seldom be made out clearly and satisfactorily, tho prolonged mental strain is a well markt exciting cause in many cases, but that could not well apply in a child five years old.-ED.]

What will relieve severe tinnitus aurium? Patient otherwise apparently healthy. Have used every thing I can find recommended, all to no avail.

CINCINNATI.

Treatment Wanted for Cerebro-Spinal Meningitis. Simple Way to Plug the Nostril.

spinal meningitis is a very stubborn and fatal disease, I would be glad if the readers of THE WORLD would discuss its treatment. There is so much diversity of treatment, even opposit plans, that one is at sea when called to a case.

Editor MEDICAL WORLD:As cerebro

Let me add a simple but effectiv remedy for epistaxis: take the finger of a lady's kid glove, introduce a probe into it and push into the nostril. Then plug it with cotton, wool or other substance and the

flow ceases. This simple remedy has never failed with me.

D. C. MCCAMPBELL, M.D. Mt. Pleasant, Miss.

Cranial Hematoma in the New-born. Editor MEDICAL WORLD:-I was called January 18 to attend Mrs. M. who, the messenger stated, was in labor. When I arrived (I had to go about twenty miles) the child was born, a fat, plump girl, but had a large hematoma just over the posterior fontonelle. The child lived five days, and died from the loss of blood. Could there have been any treatment that would have done any good? The hemorrhage came from the inside of cranium. This was their first child. Have you any comments on the case?

W. R. PENNINGTON, M.D.

Broken Bow, Neb. [We will ask the fraternity to discuss this case.-ED.]

Thiosinamin occurs as colorless, rhombic crystals. It is made by the action of alcohol and ammonia on mustard oil. It has a faint garlic-like odor and a bitter taste. It is used externally in lupus, chronic glandular tumors, for removing scar tissue, and is declared to have the power of "softening tumors of the uterin appendages." It is always used hypodermically and is then injected only subcutaneously. It has also been tried for the purpose of absorbing corneal opacities. It is injected in one-half to eight grain doses, generally in a 15 per cent. solution, and is employed once every three or four days. It may also be obtained from Merck.

Regarding the drug treatment of goitre we can only quote the old reliable iodin and iodids, internally and externally. In first attempting to treat a goitre, it is best

ex

to use the milder forms of the drug, say, potassium iodid internally. If tended course does not bring a reduction in the size of the gland, it may be necessary to use more severe measures, such as repeated paintings with tr. iodin, externally. The internal administration of thyroid extract has been successful in a numerous series of cases. It may be obtained from any druggist. The manufacturers will furnish data which will enable you to use it without fear of over dosage. Until its use is better understood, it is well to exercise caution in administering it.-ED.]

Editor MEDICAL WORLD:-I am not accustomed to writing for journals but I have a case now in which I need help. Mrs. M., who was married about two years ago, is twenty years old. Began about three years ago having headache; it gradually grew worse until now it is almost unbearable. The pain is in the back part of her head, almost the whole occipital region; it usually begins on the first appearance of menstruation; at least this was the case till two months ago, and since that time it is twice or thrice each month. She has anteversion of the uterus, also a very bad case of ulceration, for which I have been treating her. pain is of a neuralgic character, and is so severe that I have to resort to chloroform inhalation until I get the effect of morphin, of which 2 grs. are usually required, hypodermically, and then it does not relieve every time. If any of the WORLD readers can help me I would be glad to hear from them thru THE WORLD or by private letter. Hope the Editor will give me a cure as well as a name.

Centreville, Tenn.

The

J. A. BATTON, M. D.

[The pain is probably reflex. An old outline, not invariably true, but frequently helpful, is this: for the cause of frontal headache, look to the stomach; for the cause of pain in the top of the head, look to the uterus; for the cause of pain in the back part of the head, look to the rectum. In anteversion the os presses against the rectum. Relieve constipation if present, preferably by copious and regular rectal injections for a while, examin the rectum for any diseased condition, and relieve the anteversion. You don't need any special name for the trouble-you want to cure it. —ED.]

Editor MEDICAL WORLD:-I have two cases of indigestion in which I wish to ask help.

Case No. 1 is an old lady sixty-five years of age. I have been treating her about a year, and have called in two other physicians, with very little benefit. It is of a catarrhal form; her bowels move from six to twelve times in twenty-four hours. When I first began to treat her she was sick at stomach most of the time, with loose bowels. Stomach seems to be better at times, but her bowels are still loose. Appetite very good now, but she has become very weak and despondent. I have exhausted every thing I knew and could hear of, with very little benefit. Have given every thing in the form of pepsin, bismuth, calomel in small doses, acids in every form, and strychnin and cod-liver oil to hold strength.

Case No. 2: An old gentleman sixtyeight years of age came to me in November, 1900, complaining of pains in stomach and bowels; furred tongue; no appetite; weak and nervous; bowels constipated. Gave broken doses of calomel and pepsin, then dilute phosphoric acid before meal and essence pepsin after meal, with very little improvement. Bowels do not move without salts or some drastic cathartic. Have put him on strychnin and ipecac, with a little improvement. I ask the Editor and brethren to come to my rescue, and give me some help if possible in these J. C. EMBRY.

cases.

Cropwell, Ala.

[You do not seem to have examined the urin in either of these cases. Always do this in chronic cases, particularly in prolonged stomach cases like these. Also depend more upon diet and habits than on artificial digestivs.-ED.]

Editor MEDICAL WORLD:-I would like the advice of some of the brethren regarding the treatment of the following case: A young man, twenty years of age, well nourisht, farm hand, has complained for two years of a dull aching pain about one inch above the sacro-coccygeal articulation and confined to an area included in a circle with a radius of one-half an inch. Pain is aggravated by exertion of any kind. Careful examination of the part shows nothing abnormal. Complains of frequent seminal emissions. Have tried. counterirritation by means of blisters and cautery. By way of internal medication

Use

Scarlet Fever: Isolate the patient. disinfectant washes on the body of the patient after recovery. Thoroly disinfect all clothing and bedding. Air the room well for several days before permitting any one to occupy it. Danger of infection of others as long as epidermis is desquemating. Said to be air-borne. Carries readily on clothes, and may persist for years on unused garments.

Whooping Cough: Isolate the patient, until paroxysmal cough abates. Disinfect clothing, bedding and apartments. Air room well before occupancy. Contagion is disseminated by the breath of patient, carried on clothes, and scattered from the particles of mucus thrown out in coughing.

Mumps: Markedly contagious and spreads by contact. Breath, nasal, and oral secretions disseminate it. Contagion is not easily carried on clothing. Patient should be isolated at least three weeks from onset of the disease.

Mode of Dissemination of Grip. The influenza bacillus is probably taken up by the air passages exclusivly. Its distribution by means of dried and powdered sputum can play an etiologic role

only in restricted degree, as the bacillus withstands drying so badly. The ordinary mode of conveyance is certainly by means of the moist nasal and bronchial secretions of influenza patients. The widespread and often pandemic distribution of influenza may be explained by the fact that in the first place the susceptibility of human beings to the disease is quite considerable; further, that the disease appears in many cases in the form of a mild coryza and of a harmless bronchial catarrh, and these at the beginning of an epidemic are not immediately recognized as influenza; that even after the epidemic character of the disease is establisht they do not confine patients to the house, so that opportunity is thus afforded, in sneezing and coughing, to disseminate innumerable bacilli among those not yet infected. The sudden recrudescence of apparently extinct epidemics is rendered comprehensible by the fact just mentioned, and there are cases of chronic influenza that act for a long time as carriers of bacilli capable of introducing influenza

In 1892 Pfeiffer, in the Hygienic Institute at Berlin, recognized a special bacillus as the exciting agent of influenza, and developt it in pure culture. The statements of Pfeiffer have since been completely confirmed. (Clinical Bacteriology; Levy & Klemperer.)

Transmission of Pneumonia.

Infection with pneumonia takes place primarily thru the respiratory passages. Only in some cases of secondary, complicating pneumonia may the micro-organisms gain entrance into the lungs thru the blood stream. Direct transmission of pneumonia from one individual to another seems possible, and a considerable number of house epidemics of pneumonia have been reported. In the majority of cases an attack of pneumonia probably results from the inhalation of pneumococci with the air: or, more frequently, pneumococci that have long been present in the mouth, the pharynx, or the nose, are permitted by some accidental occurrence to gain entrance into the lungs and there to set up inflammation. Naturally, in connection with the epidemic distribution of pneumonia, the possibility cannot be excluded that the accidental influence has been operativ in all cases in common, and that the pneumococcus need not be transmitted from one person to another, but

that it was previously present in all persons affected.

The hereditary transmission of pneumonia from the mother to the fetus is a matter of great interest. A few cases have been reported in which the children of pneumonic mothers have been born with pneumonia. In general the pneumococcus is not disseminated outside the lungs of the infected individual. The slighter degree of susceptibility of human beings protects them, as a rule, against septicemic infection, which occurs regularly, for instance, in the more susceptible rabbit. In some cases, however, the pneumococcus has been found, also, in the blood of pneumonic persons during life. Such cases have always been markt by especial severity, with a fatal termination, so that the discovery of pneumococci in the circulation of the blood must always be considered as of unfavorable prognostic omen. In the small number of cases of congenital pneumonia reported the bacteria must have gained an entrance into the placenta, thru a lesion of which they have past over into the fetal circulation. Without such lesion the placenta, as is quite generally admitted, is impassible to micro-organisms. Like all febril diseases, pneumonia readily induces abortion. The child that has been infected with diplococci can, however, suffer from true pneumonia only if it has already breathed. As a matter of fact, in only two of the children in the reported cases was pneumonic infiltration present; in the others diplococci were found in the blood-there existed a septicemia. (Clinical Bacteriology; Levy & Klemperer. W. B. Saunders. 1900.)

Skullcap

One of our subscribers writes us that a preparation of skullcap, made from the fresh herb, will quiet the nerves. said to stop a nervous person from "thinking"; especially on "love or sexual matters." It will quiet fear, he says.

We have not used this drug for such purposes; but the assertions are so strong that we feel that it is worth investigation at the hands of those who have opportunity to prepare a decoction of the fresh herb.

The Eclectic dispensatory advises an ounce of the recently dried leaves to a pint of boiling water to make a strong infusion. Its free use is highly commended in chorea, convulsions, tremors, intermittent