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istration of violent rastics made unnecessary. The dangers of injuring the intestine are not great, if due care is taken. The result, of course, is only palliative in cases where organic lesion precludes the possibility of a complete cure. Life is certainly not shortened by the early interference; and a more frequent repetition of the measure is plainly made possible only by a prolonged lease of life.- Weekly Medical Review.

STYPTICS AND DEPRESSANTS IN THE TREATMENT OF HÆMOPTYSIS. Apropos of a recent article on the treatment of hæmoptysis, by Mr. W. H. Kesteven, Dr. Godwin Timms, senior physician to the North London Consumption Hospital, writes to the Lancet that, for the last twenty-five years, he has treated hæmoptysis with tartarized antimony, one-sixteenth of a grain, in a saline daught, every hour or two. Where the profuseness of the hæmorrhage or the patient's anxiety makes it advisable to produce an immediate effect, forty minims of oil of turpentine are given every two hours, in a wineglassful of water. He adds that this treatment is most successful, except in the rapidly fatal cases in which the hæmorrhage comes from the bursting of a small aneurysm. On the other hand, Mr. F. W. Allwright, of Beaconsfield, writes to the same journal in recommendation of astringents. He cannot imagine how depressants can stop bleeding, and says that he would never again try ipecacuanha. - N. Y. Med. Journal.

CHRONIC DIARRHEA.-In the Brit. Med. Jour., August 22, Dr. J. Vose Solmon says that he is sometimes consulted by females of nervous temperament, on account of a chaonic diarrhoea of several years' standing, and which has hitherto resisted medical treatment. As many as six or eight stools have been reported as passed daily.

When failing to discover organic abdominal dis

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ease, the following formula has produced considerable mitigation, and sometimes a perfect relief to the symptoms.

to think the disorder is a neurosis:

R. Acidi nitrici diluti....

Liquoris opii sedativi ( Battley ),...............
Tincture gentianæ....

Infusi gentianæ............

Aquam menthæ piperitæ fort. ad.....

.....

He is inclined

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One ounce to be taken three times a day.-Med. and Sur. Rep.

MIXTURE FOR WHOOPING-COUGH.-A contributor to Un. Med. prescribes the following formula:

Tincture of belladona................
Tincture of valerian,

Tincture of digitalis,

.......5 drachms;

each......75 grains.

For a child two years old, begin with five drops daily; increase the amount by five drops each day until it reaches thirty drops. The initial dose and the increment are ten and fifteen drops respectively for children between two and five years old and for patients who are still older. If the valerian is not well borne, tincture of musk may be used instead. Where nervous and spasmodic symptoms predominate, the author resorts to chloroform, giving to children between two and five years old from six to thirty drops daily, in two ounces of gum julep.- Columbus Medical Journal.

THE TREATMENT OF HÆMORRHOIDS BY INJECTION.-In an instructive clinical paper in the July number of The Am. Jour. of the Med. Sciences, Dr. Charles B. Kelsey, of New York, urges the treatment of hæmorrhoids by injection of carbolic acid. After an ample experience, this has become his routine practice, and in all his cases he has never known a patient to abandon the treatment after it was begun, and he has never failed to effect a per

fectly satisfactory cure by it, and he has never had an accident of serious nature with it. He uses three solutions, one of 15 per cent., one of 33 per cent., one of 50 per cent., and sometimes he uses the pure acid. In a severe case, he begins with stronger ones; in a mild case, with the weaker.-Buffalo Med. and Surg. Journal.

THE TREATMENT OF DYSENTERY WITH IODIDE of PheNOL.-Rosenfeld (Bull Gen. de Therap.) recommends this drug highly. He uses the following mixture:

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From one to two teaspoonfuls are given, in an enema, three or four times a day. The bloody stools cease, and the tenesmus rapidly subsides under this treatment. Of a hundred and fortytwo patients who were treated in this manner during an epidemic of dysentery, only six died.

GASTRO-INTESTINAL INDIGESTION.-Keating recommends the following treatment of acute gastro-intestinal indigestion in teething children:

R. Hydrarg. chlor. mit.......

Pulv. ipecac.......

Soda bicarb......

Sacch. lact.............

M. ft. chart iv.

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This is to be followed by a dose of castor oil, and then the child shoutd be placed on a careful diet for a day or two, and given the wine of pepsin in half-teaspoonful doses, or the elix. cinchona co.-Archives of Pediatrics.

3 S. P.

Reviews and Book Notices

A SYSTEM OF PRACTICAL MEDICINE. BY AMERICAN AUTHORS. Edited by WILLIAM PEPPER, M.D., LL.D., Provost and Professor of the Theory and Practice of Medicine and of Clinical Medicine in the University of Pennsylvania. Assisted by LOUIS STARR, M. D., Clinical Professor of Diseases of Children in the Hospital of the University of Pennsylvania. Vol, III. Diseases of the Respiratory, Circulatory, and Hæmatopoietic Systems. Philadelphia; Lea Brothers & Co., 1885.

With the completion of the 3d volume of this magnificent monument of the attainments of American medicine, we have nothing but praise to bestow on its projectors and their co-adjutors. The articles are the work of writers, many of whom are already recognized and acknowledged as authorities on the particular topics of which they treat; while the others will become so, as soon as the reading public have an opportunity of seeing the able and masterly manner in which they have handled the subjects entrusted to them. In the 3d volume we have the diseases of the respiratory organs discussed by Carl Seiller, Harrison Allen, Hosmer A. Johnson, Abraham Jacobi, Louis Elsberg, Geo. M. Lefferts, N. S. Davis, W. H. Geddings, Samuel C. Chew, Wm. Carson, A. L. Loomis, William Pepper, Beverly Robinson, Austin Flint, sr., Edward T. Bruen, John S. Lynch, and Frank Donaldson; Diseases of the Circulatory System, by Wm. Osler, A. L. Loomis, M. Longstreth, Beverly Robinson, Austin Flint, sr., J. M. Da Costa, John B. Roberts, G. M. Garland, E. G. Cutler, A. H. Smith, and E. T. Bruen; Diseases of the Blood and Hæmatopoietic System have been entrusted to Wm. Osler, I. Edmondson Atkinson, D. Hayes Agnew, and Samuel C. Busey. The names of these gentlemen alone, are a sufficient guarantee of the reliable and satisfactory character of the subject matter.

The distinguished editor has so apportioned the work that each author has had assigned to him the subject which he is peculiarly fitted to discuss, and in which his views will be accepted as the latest expression of scientific and practical knowledge. The practitioner will therefore find these volumes a complete, authoritative and unfailing work of reference, to which he may at all times turn with full certainty of finding what he needs in its most recent aspect, whether he seeks information on the general principles of medicine, or minute guidance in the treatment of special disease. So wide is the scope of the work that, with the exception of midwifery and matters strictly surgical, it embraces the whole domain of medicine, including the departments for which the physician is accustomed to rely on special treatises, such as diseases of women and children, of the genito-urinary organs, of the skin, of the nerves, hygiene and sanitary science, and medical ophthalmology and otology. Moreover, authors have inserted the formulas which they have found most efficient in the treatment of the various affections. It may thus be truly regarded as a complete Library of Practical Medicine, and the general practitioner possessing it may feel secure that he will require little else in the daily round of professional duties.

A TEXT-BOOK OF PHARMACOLOGY, THERAPEUTICS AND MATERIA MEDICA. By T. LAUDER BRUNTON, M. D., D. Sc., F. R. S., F. R. C. P., assistant Physician and Lecturer on Materia Medica at St. Bartholomew's Hospital; Examiner in Materia Medica in the University of London, in the Victoria University, and in the Royal College of Physicians, London, etc., etc., adapted to the United States Pharmacopoeia, by FRANCIS H. WILLIAMS, M. D., of Boston, Mass. 8 vo., leather, illustrated, pp. 1033. Lea Brothers & Co., Publishers, Philadelphia. 1885.

For some years past the periodical publications of both England and America have been enriched by contributions, mainly of experimental observations in regard to the actions of drugs, by Dr. Brunton, which have been regarded as of great intrinsic value. This volume represents the conclusions of the author as attained after more than twenty years, close, intelligent and pa

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