and Kalimur. 6x alternately every one to two hours according, to severity, will cut short attacks and keep fever under control.

When I have one of low type, dry mouth, sordes on teeth, and delirium, Kaliphos. 6x is all I want. Some of grandest results I have had in my practice have been from the administration of this remedy, I think it the remedy of remedies for delirium in fevers. If allowed to digress, I will say that like Bryonia the real worth of Kalimur. is not known, and it is a remedy of wide therapeutic range. In the simpler forms of fever, with a medium temperature, you will be pleased with the result of Kalimur. 6x.

Where the fever runs high with flushed face, thirst and restlessness, Ferrumphos. 6x will give better results than Aconitum. It is my conviction that the tissue remèdies have a great future and will bring about quite a revolution in medicine toward limiting the number of remedies in the treatment of diseases.

For the benefit of those who get into trouble when they have tympanitis, I give my local treatment. First of all comes hot applications. I generally use poultices made of hops and bran or meal. If the bowels are very sensitive I have the abdomen rubbed quite frequently with a mixture of equal parts of lard and turpentine, and in severe cases use poultices also. An application I have had excellent results from is a solution of Acetate of Lead applied on cloths over the abdomen; it soothes the pain, gives rest and relieves the tenderness.

Bags of hot salt or meal are very fine, and being dry it does not soil the clothing and bed like wet poultices. A very nice thing to use is the hot water bottle made of rubber, filled with water; it holds heat so long.

The diet has been exclusively milk where it could be had. Next comes soup, either chicken or vegetable, care being taken that the patient eats none of the vegetables. I like my patients to have good ripe fruit. Apples raw, if mellow, or baked are best, I suppose on account of the mallic acid they contain. Peaches and pears when ripe and soft are fine. A few grapes are admissable, but I do not like many given at one time on account of the fermentation they cause.

In conclusion let me warn you about the lingering cases you may have where the patient does not recover speedily, but has one to two degrees of tever every afternoon, has no appetite, does not gain strength, worries because he does not get well. A few doses of Silicia may prevent perforation of the bowels. Calcarea phos. will bring about resolution and you will see your patient revive. As soon as his appetite returns you may put it down, if you can control him, he will get well. But be very careful that he has no solid food for nearly a week after the fever has gone. A patient can be very easily thrown into fever again by overloading the stomach too soon after the fever is gone.

I had a few interesting cases to report but for lack of time, having procrastinated too long, and from the amount of work on hand, I am prevented from giving attention enough to be able to successfully report them.

If in what I have written I have given any member of this association an idea in the treatment that will benefit a suffering being and help the physician in overcoming a dreaded disease, I shall feel fully rewarded for the time spent in preparing this paper.

Eucalyptus Globulus in periodical faceache; give Arsenic should it fail.

Rhinology.

Contributed to the JOURNAL.

FOREIGN BODY IN NOSE AN UNUSUAL CASE.

BY H. F. FISHER, M. D., O. ET. A. CHIR., FORT WORTH, TEXAS.

MR.

R. B. brought his daughter, aged three years, to me September 14, 1891, requesting me to examine her case and inform him if she could be cured, saying: "We have had her treated by Dr. P., a specialist of Dallas, and by our family physician, who accepted the specialist's diagnosis. Inquiry into the history of the case, elicited the following information:

About a year ago the child was struck on the nose by a swing and when the mother reached her she was bleeding profusely from that organ, but there was no abrasion of the skin and but little swelling. After checking the bleeding the mother took her to the family physician, who, upon examining the nose requested her to consult Dr. Pope, a specialist, saying, "I am of the opinion the nose is broken." Upon hearing this, the mother at once consulted the specialist, who told her that her physician was correct, and immediately began the treatment, not reducing any fracture, but using sprays locally. After a short time, the discharge that had been noticed only slightly before became more profuse and very offensive, the specialist saying the odor was caused by decaying bone. The treatment was persisted in for three or four months, almost daily, without benefit, so was discontinued. Later they removed to Fort Worth, where the family physician treated it, accepting Dr. P.'s diagnosis, and, not having instruments to

make an examination making none for himself. The odor was relieved some, but the discharge is still profuse, and you can detect the odor quite easily.

I noticed the yellowish discharge from the nose to be only slight at the time, but offensive, like the discharge from carious bone. The child appears in excellent health, quite happy, cheerful and bright; rosy cheeks, blue eyes, blonde hair, and no defect in contour of the nose at all. Insisting upon local inspection I discovered something in the right nostril that resembled the head of a sixpenny nail in shape and color. The child became frightened and the examination proved very unsatisfactory, the parent and aunt becoming wearied. with her cries. I requested them to let me see her again on the morrow, and to bring their family physician to hold her, saying there is either a foreign body (which opinion I advocated), or carious bone in that nostril, which, in my opinion was loose and would have to be removed.

At the appointed time the father, daughter and family physician arrived at my office. Seeing a disposition upon the child's part to become frightened, chloroform was suggested and agreed to. In less than a minute anæsthesia was produced and the examination proceeded with "en pace." Upon passing the ring curette a grating feeling as of bone was experienced, and the family physician expressed the opinion of bone, and I confess that I felt a little dubious concerning my foreign body theory; but upon passing the curette I could only get the grating sound and feeling at one point, but could pass it entirely around the substance. At last determining to my satisfaction that the piece was removable, I applied a pair of angular, mouth tooth forceps to the body, applied gentle

traction, and extracted the whole cause of the trouble (in less than ten minutes from the time of administering the chloroform), a "much disfigured, but still with the ring" shoe button, which had absorbed enough moisture to make the layers of which it is composed distinctly visible. Undoubtedly this button had been there all the time, as no line of fracture can be felt or seen, and no further nasal trouble can be discovered by close examination of the cavity. The grating feeling and sound produced by the probe, or curette, was due to the metallic substance coming in contact with the eye of the button. The father is a happy man, and the child's disposition is even sunnier than before, so I am informed by the pleased relatives.

A few remarks in conclusion. When there is any discharge from a child's nose, examine it carefully. In children a few whiffs of choloform will produce anæsthesia sufficient for nearly all purposes, and no ill results ensue. If odor from the nose is offensive, at once suspect a foreign substance or polypus in the nose, because caries of the nasal bones is rare, especially in children.

Obstetrics.

Alabama Homœopathic Association, 1891. CHLOROFORM IN CHILD-BIRTH.

BY A. N. BALLARD, M. D., BIRMINGHAM, ALA.,

proper and right to alleviate the one as the other. Anesthesia, the best means of accomplishing this desired end, has only come into use within the life-time of the oldest members of this Association. Two score years ago the different means of rendering the body insensible to pain were discovered and presented to the profession, and in less than two years it is said they were in general use among surgeons; while in midwifery, where the patient suffers with pain no less severe, they have been much less generally accepted. Would I be unjust to suggest there might be some self-interest on the part of the doctors in this matter? To the surgeon on the one hand it is a great advantage to feel that his patient is oblivious to his manipulations, that his entire thought and energy may be given to accomplishing well the task in hand. On the other hand the accoucheur, who is usually the doctor, who is less often brought in contact with the emergencies that confront the surgeon is disinclined to take any new risks, and is often fortified in this conservative notion by the opinion of some antiquated friend who may be present and argues that this is the way it is to be done, "Our mothers stood it and so can our wives and daughters."

I would not advocate the use of anesthetics in all cases by any means. There are many where the contractions come on very gradually, the patient does not become nervous, but bears the pains

Eden it has been the lot of woman to suffer pain in reproducing her kind. Nor is it any the less pain, nor does it tax the nerves of the system any the less because it is a process of nature. The pains of child birth are just as severe as those suffered from most surgical operations, and I maintain that it is just as

and an abundance of courage to meet each one as it comes. These have no need to be put to sleep. On the other hand, when the patient is of a nervous temperament, thoroughly alarmed at what is about to take place, in a constant agony of dread from one pain until another, such an one should have all the

benefits to be derived from an anesthetic.

Chloroform gives better satisfaction than the other forms of anesthesia, hence is in more common use. It should not be given too early, but we should rather depend on the indicated remedy for the symptoms that may arise, along with the foot bath, sitz bath, etc., etc., in the first stage. As the harder pains of the second stage come on, chloroform should be given quite freely during the continuance of the pain, and as this stage approaches its close and the pains become awfully heroic, it is my practice to give it to the extent of complete anesthesia, and I have never yet had any of the theoretical trouble often referred to as producing so much relaxation as to allow dangerous hemorrhage; but contraction takes place very nicely, and in due time the mother wakes up in surprise to find that her suffering is over.

Colleges.

Contributed to the JOURNAL.

KANSAS CITY'S NEW COLLEGE.

BY M. A. A. WOLFF, M. D., GAINESVILLE, TEXAS.

IT IS now twelve weeks since I came

to Kansas City to be treated for the internal open wound following the low operation for stone in the bladder, performed on the 19th of May last. The term "internal wound" is the only correct explanation of my condition, for the words "recto-vesical fistula," which have been applied, convey to me something quite different from the traumatic lesion present in my case. It is astonishing that none of the works on surgery bespeak the trouble in any way whatsoAll treatment is therefore experi

ever.

mental in my case, and the cure is protracted and delayed, if indeed a cure shall ever result.

And thus it is that I had the pleasure of witnessing the gold letter day of Homœopathy in this city, when the hospital was recently moved to its new building, above 504 and 506 West Seventh street. As I halted outside and I was taken from the vehicle which had conveyed me hither, I was most agreeably impressed with the imposing appearance of the structure and its lofty and artistic appearance. The frontage of the building is about eighty feet, while its depth is 125 feet. It is three stories in height, beside the basement. In the latter are the kitchen, dining rooms and laundry. On the first floor are the college rooms, with all necessary apartments, as lecture rooms, clinical rooms, laboratory, etc. The two upper stories, with fourteen. rooms each, are light and airy, and are apportioned into parlors, male and female wards, rooms for the house physician and attendants, and individual sick rooms; the whole going to make up a hospital and college building of which the Homœopaths of Kansas City may well be proud.

May abundant success attend the efforts of our worthy colleagues of Kansas City, for they deserve it fully.

SOUTHERN HOMOEOPATHIC MEDICAL COLLEGE.

The Southern Homœopathic Medical College, Baltimore, Md., opened the doors of its new building for the reception of students for its first course of lectures on the 6th inst., with interesting exercises and a very large attendance of citizens and members of the profession from Baltimore and neighboring cities. The dean pledged the faculty to faithful work for the cause of Homoeopathy and a higher medical education, under which flag may every possible success attend the new college.

Hygiene.

Alabama Homœopathic Association, 1891.
SOME THOUGHTS ON HYGIENE.

BY W. W. CLAPP, M. D., BIRMINGHAM, ALA.

IN casting about for a subject that

might prove interesting and instructive, I have thought it might be a good idea to select a topic the study of which would benefit myself in a special way. And as I seem to know less about sanitary science than about anything else pertaining to our profession, I have chosen this as my topic for this meeting.

And I am not at all sure that I stand alone, in the matter of deficiency in knowledge of Hygiene. It is a subject which has received a great deal of attention from men eminent in the profession recently and as an art it has made wonderful progress within the last few

years.

Grand results have followed the enforcement of sanitary laws. As an instance, in Bengal the mortality from cholera has fallen off one-third, and in Europe one-half. In Italy there has been established a school of sanitary science. In our own country State Boards of Health, local and municipal boards, and voluntary associations, are found every where. In Chicago, there has been formed a "Woman's Medical Union, for the advancement of domestic and public hygiene." And in New York a "Ladies' Health Protection Association" for investigation of hygienic conditions of public schools. Even in Africa they have inspectors of nuisances who visit from house to house.

The steadily increasing longevity of the whole population of the earth is ascribed to the progress in medical

knowledge, and greater regard for the natural laws of health and disease, on the part of the people as a result of the teaching by the medical profession, and more recently also by teaching in public schools, the principles of hygiene being now taught in all our institutions of learning and entering into their examinations.

As our knowledge of sanitation increases the death rate decreases. In Belgium, as the result of the work done by the sanitary bureau, the death rate has fallen, in five years, from about 29 per M to 23 M on all diseases, and from 4.6 M to 1.3 M, in zymotic diseases. The lowering of the death-rate being much greater in zymotic diseases than in all diseases. The foregoing facts in connection with the possibility of our being called upon to display, in public, either our knowledge or ignorance on this subject, furnish good reason in my opinion, for presenting it to-day.

It may be interesting to know that while the scientists of one nation are sedulously working to discover some means by which a national birth-rate shall be increased, the scientists of its neighbor are just as anxious to find some ligitimate way of reducing their own, to avoid the apparent danger of over-population, from poverty, overcrowding and consequent disease. The former maintain that because of the great facilities for emigration and the large area of uroccupied lands, there need be no fear of over-production for some hundreds of years. The pressure from over-population, causes the emigrant and pioneer to push out in search of new and uninhabited lands, to reclaim them from a state of nature, to form new communities, and thereby aid in the advance of civilization.

There is a tendency of population