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A UNIQUE CASE IN OBSTETRICS

Wm. B. Clark, M. D.

all other matters that go to prove the
value of our method of treatment. 2d.

LACERATION OF THE PERINEUM-HOW TO PRE- To look into the possibility of establish

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Thos. W. Stewart, M. D.

The Society discussed the position of Homœopathy in Kentucky, and adopted an aggressive platform for the ensuing year.

ing a hospital in some one of the cities of our State. Be it further

Resolved, That the expenses of this committee be paid by this Society and that each member be requested to contribute toward defraying said expenses.

The resolutions were referred to the committee on the president's address, which committee recommended that the Society adopt Dr. Dills' resolutions as read, which was done by unanimous vote.

The vice-president, who held the chair appointed the following gentlemen on the legislative committee and gave them full power to act:

C. P. Meredith, M. D., Eminence; M. Dills, M. D., Carlisle; J. A. Lucy, M. D., Georgetown; E. M. Gober, M. D., Frankfort; J. A. Vansant, M. D. Mt. Sterling.

The question of publishing the transactions of the meeting was considered, and was finally referred to a committee

Dr. M. Dills, of Carlisle, offered the composed of J. A. Lucy, M. D., Georgefollowing resolutions:

Whereas, There is neither an asylum nor a hospital in the State of Kentucky under Homœopathic management where a Homœopathic physician can send his cases requiring special treatment, surgical or otherwise; be it

Resolved, That the president of this Society appoint a committee of not less than five physicians whose duty shall be: 1st. To petition the next legislature for an appropriation for the purpose of erecting or setting apart an asylum to be controlled by Homopathic physicians, and in their petition to show the comparative results in asylums under Homoeopathic and Allopathic management and to show

town; C. P. Meredith, M. D., Eminence;
A. L. Monroe, M. D., Louisville; J. A.
Vansant, M. D., Mount Sterling; A. A·
Clokey, M. D.. Louisville.

The committee was instructed to use its discretion, and have "transactions" printed if the expense was not too heavy.

The elections passed off without any ill-feeling, only one nomination being made for each office and each nominee receiving a unanimous vote. The elections resulted as follows: Dr. O. H. Buck, Paris, president; Dr. S. M. Worthington, Versailles, vice-president; Dr. Allison Clokey, Louisville, secretary; Dr. M. Dills, Carlisle, treasurer.

Georgetown was chosen as the next

place of meeting.

All who attended the meeting had a royal good time and went home well satisfied with the way the time had been spent and with what had been done.

THE CLINICAL SOCIETY OF MARYLAND AND DISTRICT OF COLUMBIA.

REPORTED BY HENRY CHANDLEE, M. D., BALTIMORE, MD.

THE regular meeting of the Clinical Society of Maryland and District of Columbia was held at Baltimore, March 25. Cases were presented as follows:

CASE I.-By Dr. Hood. A girl, aged 7, previously in good health, was twentythree months ago suddenly seized with convulsions, and was for five days unconscious. During the convulsions the right side would be partially paralized, the limbs of the left side being in constant motion. Six months after the attack she was able to walk slowly, but up to date has only partially recovered use of the right side. Ever since the first convulsion, the child has been subject to slight spasmodic attacks, the head being drawn to the left side, and the muscles of the left leg contracting. These spells may last ten minutes, occur two or three times daily, and the patient is dull and stupid for a short time afterwards. There is evidently some cerebral irritation, and the attacks remind one of Dr. HughlingJackson's "discharging lesions." Gelsemium, mother tincture, has been exhibited recently, from every five or ten minutes to two or three times daily.

Dr. Price, Sr., suggests Artemisia vulgaris, anywhere from third to fifth dilu

tion.

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CASE II.-By Dr. M. Hammond. The patient is 70 years old, and was first attacked with eczema about ten years ago in mid-winter, and although actively treated, did not obtain much relief until spring was well advanced. This has been his experience yearly ever since, and the past season he has been under Dr. H.'s care. The disease is confined to his face with at times excessive swelling, following periods of intense itching and the eruption of small vesicles. Sometimes the appearance is that of urticaria, at which periods the affection is more or less over the whole body, preventing sleep on account of an intense burning and itching, increased by warmth of the bed. He has used various washes and powders with temporary benefit. Remedies have been Rhus tox., Rhus rad., Sulphur, Apis and Graphites.

DISCUSSION:-Dr. Corey remembered a very similar case. The patient had great scabs as large as one's finger lying across the legs, with intense burning and itching. This latter was so constant as to materially interfere with sleep.

Dr. Roberts being called in consultation suggested Graphites 30x Trit., and a lotion Vinca minor and Grindilia mother tincture each one drachm to one pint of water. The patient was cured in three weeks.

Dr. C. H. Thomas is of opinion that Rhus tox. should benefit the case. For local use, if needed to relieve the intense itching, he had found zinc ointment serviceable. Recently he had used a ten per cent. preparation of Skookum Chuck in Lanoline with excellent results.

Dr. Price, Jr., has used various preparations of Skookum Chuck, and has found the soap a more satisfactory local

application, allowing the lather to dry on the diseased part.

* **

CASE III-By Dr. Garey. This man three years ago suddenly became almost blind in the left eye, so much so that he could not count fingers. No sooner had this condition decidedly improved, than the right eye became similarly affected. This sequence has occurred twice, and the patient is now partially recovered from the last attack of the right eye. A day or two before the attacks, black specks appear before the eyes, and objects seem if viewed through a cloud. There has been no pain in the eyes nor head. He has been subject to stomatitis since childhood, and has remarked that each attack of blindness has occurred immediately after a severe stomatitis. Vision has never been perfectly restored since the primary attack, though the best eye has improved from to 3 under Hepar 2 sulph. 30. There is no specific testing acknowledged. On examination, the vireous is found to be much clouded, and the vessels of the disk are small and contracted.

Dr. King calls attention to the reduced tennison of the right eye. The condition of the optic disks suggests the possibility of an embolus of the artery centralis, and that a gradual absorbtion presents a measurable restoration of vision.

For the stomatitis, Dr. Price, Sr., has been accustomed to rely upon Mercurius and Kali chlor. Lately he has found Kali jod into grain doses of much benefit in stubborn cases.

Dr. Hammond uses Nitric acid, when Mercurius fails in stomatitis. Dr. Price thinks Muriatic acid is better.

Dr. C. H. Thomas suggests Nitric acid as indicated in the present case, to anti

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dote the crude doses of Mercury given the patient while under Allopathic care.

**

CASE IV.-By Dr. H. W. Webner. The patient, a man of about thirty-five years, who had been for some time living in the midst of unsanitary surroundings, was in January, 1886, taken with typhoid fever, which followed a course of usual severity. Soon after convalescence, three abscesses successively appeared on the buttocks, each discharging about half-pint. Shortly after the abscesses were healed, a cough developed, with an expectoration very like pus, and continued through the summer. In September, an over exertion was followed by thirty-four hemorrhages, from the lungs within a period of six months the blood being bright red. Upon the cessation of the hemorrhages he noticed several hard nodules appearing in different parts of the body, some of which suppurated. From one on the forehead, a piece of bone 3 x 4 lines was removed with forceps. He has had no cough the past year, and is apparently in perfect health. Remedies used during successive periods were Cinchon. sulph., Baptisia mother tinct. China, mother tinct., Hepar sulph., 2x., Arsenicum, Bryonia 3, Rhus, 3, Acid phos., 3, Hamamelis mother tinct., Antimon tart., 3x, Fellows' Syr. Hypophos., Arsenicum, Silicea, Kali iod.

CASE V.-By Dr. Condon. A child about 6 years old, had spasms when an infant. Since then she has had constant nystagmus, except during sleep. She possesses a certain amount visual perception, but not by direct focussing. She is also recently developing chronic symptoms. It has been impossible to examine the refraction, owing to the irregular movements of the

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eyeballs. The case is now taking Agari- Douglass' cul-de-sac. The tender abdomen, leucorrhea, dysmenorrhea, and one year's local treatment all support this view of the case.

Dr. King thinks the condition might be almost termed congenital, and doubts if it can be benefitted.

**

CASE VI.-By Dr. Flora A. Brewster. Miss, age 23, has been ailing about two and a half years. The first symptoms experienced was an urgent desire to urinate, caused by intense mental excitement; this was soon followed by pain in uterine and ovarian regions, and backache. She experiences almost constant aching in the hepatic region, especially during the menses. Before this attack, had only occasional slight pain before the menses. The summer following, her periods occured every two weeks and were always profuse, lasting six or seven days. She had local treatment for several months, and has experienced severe pains at menstrual period ever since. Upon examination the uterus and appendages are found in position; there is slight tenderness of the entire abdomen and a cutting pain near the umbilicus upon pressure. She has daily headache with painful eyeballs and a tormenting burn ing from the waist to the knees, both back and front, accompanied by throbbing. Belladonna relieved the throbbing but not the burning. She has taken Lachesis 30 and Hyoscyamus 3x without benefit.

Dr. Freer has seen cases presenting a very similar train of symptoms, but has always been able to recognize local trouble. In a recent case, quite like the present, a dislocated ovary was found.

Dr. Kneass feels quite sure that an examination in Simm's position would enable one to find some tenderness in

Dr. Price, Sr., advises an examination per rectum in all such obscure cases. Remedies suggested were Chamomila Actea rac. and Apis.

* **

CASE VII.-By Dr. Janney. A child, age 6 years, when three months old had a severe coryza, followed by an apparent mastoid abscess which did not discharge and was well in two weeks. The child was artificially fed from shortly after this attack, and when between three and four months old peculiar irregular movements of limbs were noticed. especially during sleep. At two years she began to crawl and could not walk until four. The body is nourished equally on either side, but in earlier life the child's diet was but little restricted and she was not as well nourished as at present. The choreic movements are increasing. Remedies used are Ignatia, Causticum and Arsenicum.

Dr. Drane suggested Calcarea phos. on account of spinal symptoms and deficient nutrition.

CASE VIII-By Dr. Lindley. The patient, a negro aged 22, came under my care in January, 1890. He dates his present trouble from a large abscess on the leg about eight years ago, the opening of which exposed "the tendons" of the leg. About the time of this swelling he first noticed enlarged veins on the legs. This varicose condition gradually extended over both legs and the abdomen. Finally ulcers appeared in various places on the legs, numbering thirteen, when

he came under my care. Hydrocotyle Asiatica, as recommended by Dr. Helmuth, gave marked improvement for a time, many of the ulcers healing nicely. But after a time the remedy seemed to lose its effect, since which time Silicea and Graphiles have been the principal remedies used, supplemented by an occasional dose of Mercurius or Sulphur. At the suggestion of Dr. N. W. Kneass a rubber bandage over soft paper was some time ago applied instead of the muslin one heretofore employed, but improvement under any treatment has been and probably will be slow, as is the usual course of Elephantiasis.

OFFICERS OF THE SOUTHERN

HOMEOPATHIC MEDICAL
ASSOCIATION FOR 1891.

DR. Henry R.

R. Stout, Jacksonville, Florida, President of the Southern Homœopathic Medical Association, President of the Board of Homoeopathic Medical Examiner of Florida, ex-President of the Homeopathic Medical Society of Florida, and a member of the American Institute of Homœopathy, was born in Westfield New York, March 17th 1843. After a thorough prepatory course of study under his father, the Reverend Charles B. Stout, he entered Kenyon College, Ohio, at the age of eighteen. The martial influences of those days proving too attractive he left the college in 1863, before graduation, and entered the One Hundred and Thirty-Fourth Illinois Volunteers. When mustered out of service with his regiment he returned to Illinois and settled in Chicago, and, in the fall of 1865, entered the office of Dr. N. F.Cooke, and began the study of medicine. After

a course of reading and study under Dr. Cooke, he matriculated at Hahnemann Medical College, from which he was graduated in 1868. He commenced practice under the shadow of his alma mater, and built up a large and lucrative practice in Chicago during the seven years he remained there, most of that time in association with his former preceptor, Dr. Cooke. The rigorous climate of the "Lake City," and the arduous duties of an extensive practice undermined his health, and compelled him to seek a more genial climate. He selected Florida, and established himself in practice in Jacksonville in December, 1875. The change of climate, happily, wrought the entire recovery of his health, and, in a very short time, his medical skill, his scientific attainments and his sympathetic nature were recognized and appreciated.

The doctor was the first to suggest the organization of a Southern Association.

Dr. S. M. Angell, First Vice-president, is a son of the late Dr. Richard Angell, and was born in Jefferson County, Miss., August 2, 1833. He began the study of medicine under his father, in Huntsville, Alabama, January, 1853. Attended his first course of lectures at the Eclectic Medical College, Cincinnati, Ohio, during the winter of 1854-5, and his second in the Medical Department of the University of Louisiana during the session of 1855-6; during the winter of 1856-7, he attended the Pensylvania Homœopathic Medical College in Philidelphia, where he received the degree of Medical Doctor, March 1, 1857. Soon thereafter the doctor located at New Orleans, where he has continued in practice ever since. Dr. Angell is an active worker for the cause of Homoeopathy in the South.

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