latter's autobiography, makes some statements concerning the fees which he received for operations, which are of interest as showing that to those who are capable, the returns of medicine are by no means small. It also indicates what is generally said of physicians, that they are as a rule very poor business men. The extract containing the statements referred to is as follows: "No man in our country, solitary and alone, ever made as much money as I have by my profession except, perhaps, Dr. H., and yet I am comparatively poor and must work for my daily bread. I am not extravagant, and never gambled. I have lived well, and have educated a large family of children, and I have only found out lately that my agent who managed my business for the last four teen years stole from me not less than $100,000. To justify myself for remaining abroad let me show you what I have done since I saw you. I went to Rome Jan. 1, and remained there until April 1. Of course, people could not find out I was there until about the middle of February. From that time until the close of March, a period of six weeks, I made 52,000 francs. Since coming to Paris the following items show the work done and soon to be done: April 22, operation, 25,000 francs; April 28, operation, 1500 francs; April 29, operation, 15,000 francs; April 30, operation, 20,000 francs; May 3, operation, 5000 franc. Total, 65,500 francs. "In addition to these I am to operate in the next ten days as follows: First case, 10,000 francs; second case, 10,000 francs; third case, 5,000 francs; fourth case, 15,000 francs. Total, 40,000 francs. "This makes the incredible sum of nearly $22,000, all compressed within about one month; but many of these cases followed me from Italy, and you must not think this an av. erage showing. It is an accidental blocking. But if I were to settle down here anywhere in a great, ample center, I am sure I could make with ease $50,000 a year; so you will see that my self expatriation for health is justifiable." MADAME MARIE HUOT. One of those most villainous of all creatures, a meddlesome woman's-rights woman," has been recently stirring up strife in Paris among the vivisectionists, and not only thoroughly disgusted them, her opponents, but by her hysterical vagaries completely lost the respect of her upholders. Vivisection, although not pleasant for any one to contemplate, is still an absolute necessity, just as the sale of liquor, although no question can exist as to its injurious effects, is bound to last forever. The world could progress without either, but the fact of their both having existed for hundreds of years in the face of strong opposition, proves quite conclusively that the demand for them almost or entirely makes necessities of them. The cause of the antivivisectionists was completely lost at the first meeting held in Paris, on account of the ridiculous behavior of their lecturer, Mme. Huot. It will be remembered that it was she who hissed at the unveiling of Claude Bernard's statue,-interrupted a medical lecture by striking the professor on the head with her umbrella, disturbed a pro-Pasteur meeting with constant interpolations, and in general made herself obnoxious by sensational whims. The meeting was disastrous to the antivivisectionist cause, Mme. Huot having boasted of being a freethinker and a socialist,and wildly attacked nearly every prominent scientific man. Continual uproar and disorder prevailed throughout, and the real aim of the meeting was lost si ght of, the lecturer's own supporters being disgusted with her absurdities. A few more like the madame added to the antivivisection ranks will do more good to their opponents' cause than all the scientific argument which they themselves could adduce. STUDY OF NERVOUS DYSPEPSIA. Experiments were performed upon insane patients, and hitherto only upon melancholic patients, who were perfectly free from any stomach trouble. The following facts could while it is by slappings and flagellations that be deduced: I. The rapidity with which the stomach empties itself after the administration of a meal, consisting of an ordinary mixed diet, is much increased. II. The acidity of the stomach during digestion is much greater than in perfectly healthy people (hyperacidity). III. The strong acidity is entirely due to the presence of free hydrochloric acid. Organic acids seldom find their way to the stomach, and if so, only in diminutive quantities. IV. The peptic power of the stomach upon meats is excellent. The peptic power of the filtered contents of the stomach upon albu minates about normal. V. A continued hypersecretion of the juices of the stomach, after the contents have passed through the stomach, does not take place. VI. Dilatation of the stomach was not found. It would be supposed that the hyperacidity of the stomach would give rise to some unpleasant symptoms. The reason that it does not is probably owing to the short space of time that the contents remain in the stomach, and besides the observations were all made apon patients with perfectly healthy stomachs; moreover, the hyperacidity was not of the strongest kind, but only moderate. The therapeutic value of these experiments. would consist in avoiding hydrochloric acid and pepsin, and all articles of diet which would excite the secretory glands of the stomach in the dietetic treatment, and in case the acidity causes any unpleasant symptoms to administer bicarbonate of soda. we promote a greater activity of the cutaneous circulation, and all you have to do is to stroke a part with the open palm repeatedly to obtain over the parts thus smitten a redness of considerable intensity. This enhanced activity imparted to the circulation entails an augmentation in its local and general temperature. As for the local temperature, Mosengeil estimates the heat-rise by massage at 2° and even 3° C. Berne places it at even a higher figure, and affirms that the rise in the local temperature may attain 5° C. The average, according to him is 11° C. The action on the nervous system is twofold, and this point claims our attention for a moment, for massage has been very much vaunted in the treatment of neuralgias. Massage, and in particular, deep pressures and kneadings, produce traction and stretching of the nerve filaments. Hegart has endeavored to demonstrate experimentally the elongation of nerves under the influence of the maneuvers of massage, and particularly the movements of flexion of the vertebral column. Massage has an undoubted action on nutrition. It has, in fact, been demonstrated that the quantity of urea in the urine augments under the influence of general massage. TREATMENT OF GASTRALGIA. J. Sawyer, in the Lancet, says that before you prescribe you ought to find out if there be any prominent pathological concomitants or causal antecedents of the disorder, and deal with them. Anemia, sexual excess, overwork, work under wrong conditions, uterine discharges, masturbation, etc., must be appropriately met. But for the cure of the gas SOME PHYSIOLOGICAL EFFECTS OF MASSAGE. tralgia something more is usually necessary. Prof. Dujardin-Beaumetz, in an article on massage, speaking of its physiological effects, says that it acts not only in the deep circulation, but also on the circulation of the muscles and skin. It is by kneadings and pressures that we influence the deep circulation, Of all the directly therapeutic results in medicine with which I am acquainted, one of the most demonstrable is that which can be produced by the suitable exhibition of arsenious acid in uncomplicated gastralgia. I give one twenty-fourth of a grain of arsenious acid, made into a pill with two grains of extract of gentian, thrice daily, between meals. The use of this remedy must be continued for a few weeks. In a case of moderate severity no other medicinal treatment is necessary. The gastralgic pains becomes less severe, and recovery is steadily and surely attained. In severe cases I use some form of counter-irritation to the epigastrium, and I usually employ a rubefacient liniment of ammonia. In the severest cases vesication by a fly-blister is of service, and the blistered surface should be kept raw for some days by means of a daily dressing of savin ointment. But you must not rely upon treatment by drugs alone. Every hygienic adjuvant which tends to raise the strength of the patient is of high value in the cure of gastralgia. I especially advise you to make sure the sufferer feeds well and fully. The diet should be generous. TREATMENT OF HEPATIC CONGESTION. The Revue de Thérapeutique gives the following mode of treating congestion of the liver, as practiced by Jules Cyr: 1. Application over the liver of compresses of cold water, often renewed; two or three leeches about the anus. 2. At evening, three-fourths of a grain of calomel should be taken, followed the next morning by five drachms of Glauber's salts. 3. As beverage, milk and Vichy water, or seventy-grains of ammonium chloride in a quart of water. 4. A douche, while patient is reclining, of water at a pleasant temperature given over the hepatic region. KOLISHER'S TREATMENT FOR TUBERCULOSIS. Among the many details of this plan of treatment for tuberculous conditions, in parts where it is applicable, we find the following: In cases where an opening has not yet been established the part is covered with a dressing of sublimate gauze for twenty-four hours, then thoroughly cleansed with soap and water, and finally with sublimate solution 1 to 1000. The injection is made with a Pravaz's syringe, having a platinum needle, which has been cleansed with a five per cent. solution of car bolic acid. The fluid is gradually injected until it thoroughly distends the tuberculous tissue, giving an elastic feeling on palpation; this is pushed until the tissue is tense, the portions not injected feeling less elastic and being depressed. The needle is inserted to its full length, and its passage into healthy tissue is marked by a sensation of resistance or grating; the tuberculous matter does not bleed as freely as does healthy tissue, and the latter is painful when injected in a greater degree than the diseased parts. The part is at first covered with an antiseptic bandage, which is removed after five or six days, to be followed by a plaster-of-Paris bandage, which is removed as needed. When the stage of reaction and hardening has become fully established, which generally occurs in from three to six weeks, passive motion and massage are employed to restore motion. Contractions and subluxations are treated as they demand. When in a week after injection ab scesses form and break, the opening is enlarged and the cavity tamponed with gauze soaked in phosphate solution; over the tampon is placed an antiseptic dressing. These tampons are generally removed once in two days, as a profuse discharge of foul matter ensues. When the cavity has filled with healthy granulations they are treated with nitrate of silver and iodoform, as is usual in surgery. Even in these cases careful aftertreatment may secure motion. In cases of necrosis the same treatment is employed. Cold abscesses are laid open, scooped, and tamponed with calcium phosphate gauze, and the edges are often freshened and sutured after Kocher's method, which lessens the scar produced. When tubercular granulations have reached the surface of the body the point of exit is enlarged, the edges freshened, the cavity tamponed with gauze, and the cav ity injected with the solution; if the granu lations are very torpid the caustic solutions of calcium phosphate are employed. Two cases of well-marked tuberculous fistula were treated with good success. Tuberculous skin 1 tions. ulcers were bandaged with gauze soaked in days. Care must be taken to use fresh soluphosphate solutions, and healed rapidly. The number of tuberculous lympho mata treated was too small to admit of reaching any conclusion. PROCREATION OF THE SEXES. The author does not mean to advance a new TREATMENT OF LUPUS BY CORROSIVE SUB theory, nor to verify an old one, but simply LIMATE. Dr. Iginio Tansini relates a case of lupus treated by the inercuric bichloride, which resulted very favorably. He began with a weak solution,-corrosive sublimate, 50 centigrammes, distilled water, 100 grammes. This produced no reaction of any kind. A stronger solution-corrosive sublimate, 1 gramme, distilled water, 100 grammes was then used. This produced some tumefaction and edema in the neighborhood of the punctures, and slight suppuration in some of them. Some fourteen or fifteen injections of a few drops were practised. Improvement soon became marked, and eventually all traces of the disease disappeared, the only marks left being those of the punctures in which suppuration had taken place. Dr. Tansini was led to try these injections by the following considerations: 1. That lupus is a form of tubercle. 2. That the bacilli are few, and have no tendency to diffuse themselves. 3. That corrosive sublimate has proved certainly destructive to bacilli. He claims advantages for this method on account of lessened pain and disturbance and superior osmetic results. ATROPINE FOR PTYALISM. Atropine is very efficacious in cases of ptyalism, especially those of a nervous origin. The author cites a case of alcoholic dementia where the patient excreted as much as a litre of saliva in 24 hours; and another case of epileptic mania where the quantity of saliva was not measured, but it could not have been less than in the preceding case. This hypersecretion ceased very quickly upon the administration of atropine in from 1-90 to 1-30 of a grain doses, continued several to present facts, the result of twenty-five years of careful observation. Later on, theoretical conclusions might be arrived at. Among a large number of cases carefully ob. served by him, some of which he even gives in detail, he found that boys are conceived at night before midnight, and girls in the morning. As counter-proof to these facts he has advised to act accordingly a number of families, desirous of interrupting a series of male or female children, and with the desired result. THE FOUR HEAT-CENTERS IN THE BRAIN. A scientific and interesting communication from Dr. Isaac Ott is published in the Ther. Gaz., in which he locates four heat-centers in the brain, the points being located by exact experiments which render them worthy of the highest credence. From these experiments they place these four heat-centers in the following regions, viz., the corpus striatum and the region immediately in front and beneath it; the caudate nucleus; the anterior inner portion of the thalamus opticus; Schiff's crying center, which is situated in the tissues between the optic thalamus and the corpus stri. tum near the median line. -Among some of the directions given to thin people with the hope of making them fat, are the following: They must sleep all they can; keep early hours for retiring; lie down in the middle of the day; drink a great deal of water; eat heartily, especially of farinaceous food; take plenty of exercise, but in moderation. Be cheerful. Sterne says that "every time a man laughs he adds something to his life." And, according to Solomon, "A merry heart doeth good like medicine, but a broken spirit drieth the bones." Follow the old adage, “Laugh and grow fat." SELECTIONS. THE TREATMENT OF RHEUMATISM. BY E. S. F. ARNOLD, M. D. told him I thought we could do better than that. In a few days he was entirely free from pain, and in a little over a week I found him strolling in the garden in a drizzle, without experiencing any ill effects. Another case was that of the English foreman in a silk-dyeing establishment. This When the late Dr. Robert Nelson, for was built against a dam. Water poured from many years the Mott of Canada, went to the wall, at the same time the atmosphere California, I succeeded him in his office in in wa was so full of hot vapor from the vats that a New York. During his absence constant in-person unaccustomed to it could scarely see quiries were made of me for his remedy for through it. It was a bad place for a rheumarheumatism. On his return I asked him tic person. I found the man had rheumatic what this wonderful remedy was. He fever, as he called it, affecting every limb. smiled, then simply answered, "Colchicum." He told me he once had a similar attack in Seeing that I was incredulous, he then told England and was laid up for six weeks, sufme that he had once at the Hotel Dieu, in fering horribly. He was at his work in less Montreal, experimented with colchicum, try- than a fortnight, and was never again, during ing all the officinal preparations, sometimes the many years I stayed in Yonkers, attacked. with benefit, but in the main finding all unre- I have mentioned this remedy to many, more reliable and often totally worthless. He ul- recently to my friend, Dr. Gouley. He says timately tried a strong alcoholic tincture pre- he has found it most valuable, and that he pared from fresh seed. He found that the will never be without it. shell of the seed contained a volatile oil, that when water was added to the tincture it became opalescent, like tincture of myrrh, and by its use he obtained extraordinary effects. He prepared it by adding to one ounce of the seed half a pint of highest proof alcohol. After standing a fortnight and shaking once or twice daily it was fit for use. Add five drachms of this tincture to half a pint of water, or, rather, enough to make a half pint, and of this the full dose is half an ounce. "Now," said he, "if you have a case of acute or subacute rheumatism, give this every four hours, night and day, avoiding acids and giving a light diet until the toxic effects of the colchicum are induced, viz., nausea or even vomiting, with active purging, which occurs generally by the time the sixteen doses are taken, and the rheumatism will disappear like a flash. Up to this period there will be appar ently no relief." He cautioned, if I would secure the beneficial effects, always to prepare it myself. In cases of acute and subacute rheumatism I have never found its equal, also in rheumatic gout. In simple local or chronic rheumatism, I do not expect anything from it. When I was first appointed Physician to the Sisters of Charity at Mt. St. Vincent, on the Hudson, I was shortly afterward called upon to attend the chaplain, a Canadian, between fifty-five and sixty years of age. I found him in a high fever and racked with pain from head to foot. "Ah," he said, "my dear doctor, I am in for a long siege of it. I have had a similar attack of rheumatism once before, and did not leave my bed for three months". I In the local and chronic cases it is less efficient. In these I have found the St. Catherine mineral water of very great value. A gentleman, about sixty, came to ask me about Sir Astley Cooper's remedy for rheumatism, which was iodide of potassium. I suggested a trial of the St. Catherine water first. He said that as winter approached he was so constantly troubled with rheumatism on exposure, that it confined him during the cold months entirely to the house. He commenced a course of the mineral water, with entire relief, and during the last fifteen years of his life went out in all seasons and in all weathers, without ever suffering any inconvenience. He was never without the remedy in his house, and he told me subsequently that whenever he felt a little bilious he would take a teaspoonful (concentrated) half an hour before dinner. In half an after this meal he would have one or two good movements and he felt perfectly well again. He very seldom had occasion to re sort to it. Another case was that of a middle-aged French gentleman, who had been a great sportsman, often passing whole days in the marshes. He was ultimately attacked with a rheumatic neuralgia, which seemed to affect the tendo Achillis. He suffered at times for many days with it, keeping him from his business, and endured acute pain. It seemed determined to resist all remedies, both local and general, until I tried the mineral water. He found it horribly nasty, but experienced so much benefit from it that he persevered, and a cure was effected. Of course I do not recommend these things as hour |