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The Pinnacle of Therapeutic Success can only be
attained by the Timely use of Proper Remedial Agencies

Antiphlogistine

(Inflammation's Antidote)

affords the most scientific method of combating Inflammation and Congestion. It is of especial benefit in the conditions

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In ENTERO-COLITIS, and other Inflammations of the abdominal and pelvic viscera, Antiphlogistine proves a satisfactory adjuvant to treatment, as it produces a depletion of the enteric and peritoneal vessels, stimulates the reflexes and muscular rigidity.

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In SPRAINS and WRENCHES, the stretching or tearing of the ligaments, contusion of the synovial membrane and damage to vessels and nerves are best controlled by Antiphlogistine, which distinctly aids in the reconstruction of the part. The absorption of the liquid exudate from the swollen tissues and the free circulation of blood in the seat of the injury greatly hastens the process of repair.

THE DENVER CHEMICAL MFG. CO.

New York

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ANODYNE PRINCIPLE OF OPIUM, THE
NARCOTIC AND CONVULSIVE ELEMENTS
BEING ELIMINATED, AND IS DERIVED
FROM THE CONCRETE JUICE OF THE
UNRIPE CAPSULES OF PAPAVER SOM-
NIFERUM. ONE FLUID DRACHM IS EQUAL
IN ANODYNE POWER TO ONE-EIGHTH
GRAIN OF MORPHIA. IT PRODUCES NO
TISSUE CHANGES, NO CEREBRAL EX-
CITEMENT, NO INTERFERENCE WITH
DIGESTION.

BROMIDIA ECTHOL

CHEMISTS

IODIA

BATTLE & CO., CORPORATION, ST. LOUIS, MO., U.S. A.

BOVININE

THE ORIGINAL BEET JOICE

BY A COLD PROCESS

Assures Normal Opsonic Index, Full Elimination of Waste. Rich Red Blood. Cell Stimulation and Complete Nutrition.

BOVININE. Internally it establishes a normal balance between elimination and nutrition, result being health.

BOVININE. Contains every element in a full and proper proportion necessary to completely feed every tissue of the human body. BOVININE. BOVININE

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Has no competition, as all other prepared and liquid foods feed only in part, hence their field of usefulness is limited and nature must accomplish the rest, and this she can seldom do. BOVININE. Is not antagonistic to any medication, but greatly aids the therapeutic action of drugs. It is indicated at all ages and in all conditions.

BOVININE. Locally as a dressing in all forms of ulceration or any peripheral starvation is ideal.

BOVININE. Is ready for immediate assimilation, does not disturb, but gives the gastro-intestinal tract full and complete rest.

BOVININE. Is rich in assimilable organic iron and is sterile.

THE BOVININE COMPANY

75 West Houston St., New York City

40

INFANTILE ANEMIA.

M

ANY of the ills of Infancy are due to an anemic
condition imparted by the mother during the con-
cluding months of pregnancy.

Preclude this possibility by increasing the hemoglobin and
the red corpuscles in the mother blood, and the infant
will be less likely to contract diseases incident to the
nursing period.

Pepto-Mangan (Gude) increases the hemoglobin
and the corpuscular element of the blood of the pregnant
woman; renders the vital fluid sufficiently rich to yield
ample nourishment to the mother and her unborn, and
substantially improves the fetal circulation. This is a
demonstrable fact—the microscope proves it.

The palate-pleasing properties of this combination of
organic iron and manganese especially fit it for the
anemic or debilitated pregnant woman-inorganic ferru-
ginous products not only constipate but aggravate the
normally existent nausea.

The administration of Pepto-Mangan (Gude) dur-
ing the months of pregnancy safe-guards the health of
the mother and imparts stamina to the off-spring.
Pepto-Mangan (Gude) is ready for quick absorp-
tion and rapid infusion into the blood.

Order Pepto-Mangan (Gude) in original bottles
and avoid substitution.

Never sold in bulk.

Samples and literature sent upon application.

M. J. BREITENBACH COMPANY,

NEW YORK, U. S. A.

Bacteriological Wall Chart for the Physician's Office.

One of our scientific, and artistically produced, bacteriological charts in colors, exhibiting 60 different pathogenic micro-organisms, will be mailed free to any regular practitioner, upon request, mentioning this journal This chart has received the highest praise from leading bacteriologists and pathologists, in this and other countries, not only for its scientific accuracy, but for the artistic and skillful manner in which it has been executed. It exhibits more illustrations of the different micro-organisms than can be found in any one text-book published.

M. J. BREITENBACH CO., NEW YORK.

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DYSPEPSIA, GASTRITIS, GASTRIC ULCER and

CONTAGIOUS DISEASES of the STOMACH and INTESTINES.

In order to prove the efficiency of GLYCOZONE, I will

send a

81.00 bottle free

to Physicians accompanying their request with 25c. to pay forwarding charges.

A copy of the 18th edition of my book of 340 pages, on the "Rational Treatment of Diseases Characterized by the Presence of Pathogenic Germs," containing reprints of 210 un

Prepared only by

Charles Marchand

solicited clinical reports, by leading contributors to Medical Chemist and Graduate of the "Ecole Centrale des Literature, will be mailed free of charge to Physicians mentioning this Journal.

Arts et Manufactures de Paris (France) 57-59 Prince Street, NEW YORK.

SOLGUATONE P-M CO.

In bronchial affections where there is

IS SUCCESSFULLY USED

Persistent cough
Profuse secretion
Remittent fever
Prostration

Reports from many practitioners confirm our
claims that under the influence of this remedy,

secretion was diminished and its purulent
character lost; bronchial irritation and cough
were abated; fever was reduced but patient
invigorated; infection was prevented or if
present, confined to limited area.

Particularly in chronic cases of catarrhal bronchitis (notably those with recurrent acute attacks), bronchiectasis, or other respiratory disorders in which a specific causative or ganism may or may not be demonstrated, or in the convalescence from acute diseases such as pneumonia, pleuritis, etc., the most beneficial treatment is the free use of

SOLGUATONE P-M CO.

DOSE-One-half fluidram 3 times a day increased to 2 fluidrams four times a day.

Made by

Each fluidounce contains guaiacol, 8 minims, and creosote 8 miniins both combined in water-soluble sulphonotes-strychnine hypophos 1-32 gr., quinine hypophosphite gr., with hypophosphites of calcium, manganese and potassium 5 grs.

Samples supplied on request.

Pitman-Myers Co., 111-117 N. Capitol Ave., Indianapolis

Phones, Main 2782; New 4725

GRAND RAPIDS

FUBLIC LIBRARY

INDIANA MEDICAL JOURNAL.

VOL. XXVII.

INDIANAPOLIS, SEPTEMBER, 1908.

No. 3

Addresses and Original Communi- symptoms of the ocular disorder have

cations.

THE COMMONER SYMPTOMS OF EYE

STRAIN.

BY JOHN R. NEWCOMB, M. D., INDIANAPOLIS.

The subject of eye strain has, in the past decade, received a very considerable amount of attention from ophthalmologists and general practitioners have, in varying degree, learned the significance of the widely distributed. cycles of symptoms produced by it. The importance of this subject cannot be overestimated and a frequent repetition of the diagnostic points seems warrantable. Among Dr. Gould's excellent writings on the subject of Asthenopia, or eye strain, he says: "The eye, as in no other sense organ, is the conditio sine qua non of motility and development of all the higher organs, the retina being essentially brain substance, and every activity of the body depends upon precedent and governing vision. Intellect itself is fundamentally and initially visual: the brain comes out to see.' The raison d'etre of this article is but to bring out again the commoner symptoms, so often unrecognized until through their continuance severe pathologic changes have been wrought in the eye.

Asthenopia or eye strain, as it is commonly known, is universal. It is a product of civilization, often beginning in our kindergartens, assiduously following throughout school life and serving as a handicap in business and professional activities. The American people have become a bespectacled race due to the fact that the early

been disregarded as a result of which there have occurred actual alterations in the mechanical details of the visual apparatus, and the patients have been forced to don spectacles, which at best are but ocular crutches. The effects of abnormal visual activity or of extraocular muscle imbalance on both physical and intellectual development present in themselves a pitiable plea for the early recognition and proper treatment of the ocular deficiency.

The symptom groupings of Asthenopia are wide spread, the causes are many and without entering into detailed classification, let us consider only the more important local and general subjective and objective symptoms. It will serve the purposes of this article to consider asthenopia under two general heads. That form of eye strain dependent upon Ametropia, or abnormal refractive power of the eye, which includes Hypermetropia, or far sight, Myopia, near sight, and Astigmatism; under the second head we will consider that form of eye strain brought about by a condition of Heterophoria, or abnormalities, functional or idiopathic of ocular muscle balance.

Those symptoms not affecting the eye structures proper are readily accounted for by the anatomy of the eye and its correlative structures. For example-in the cerebral sight center in the occipital cortex we find the embryonal and anatomical counterparts of the retinal fields and with the intimate, intricate vascularization and innervation it is obvious that any faulty sensory acts of the eyes continued over a period of time will result in functional. and organic disorder. The connection. of the motor and sensory portions of the eyes with the several intracranial

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