Billeder på siden
PDF
ePub

mals, whose numbers are such, and depredations so great, as to render them a nuisance to mankind? Among some of the colonies of England, rabbits interfere very largely with the efforts of the settlers to raise crops, por tions of the various growths being destroyed by these animals.

Hence the proposition to do away with them by introducing into their midst some infectious disease, which would thin out their ranks, and keep their numbers within proper bounds. The proposal has met with decided opposi tion in some quarters, the idea being advanced that it is too much like poisoning the water of wells in a hostile country during the progress of a war, a mode of warfare which is discountenanced by all civilized nations, and that this method of exterminating the rabbits would create a sentiment which would recoil from an attempt to put medical know. ledge to such a use.

It is argued that the next proposal might be to apply the method to nations during the existence of hostilities, the removal of one's enemies being brought about in the same

way.

It seems to us that a rather novel interchange o "weapons" between war and mediine is about to take place. Some time ago an article appeared which advocated the use of the cannon-ball in the treatment of constipation, by rolling it about over the abdomen, and now a suggestion offers itself as to how a medical micro organism might replace the weapon thus removed from war, by fastening its hold upon the ranks of an army, and by multiplication and dissemination, lead to the death of a greater number of men than was produced by its cast iron ally, the cannonball. Instead of bringing into play the skill of artillery-men and sharp-shooters, the engines of war will now consist of slides, culture plates and culture media, with a select number of pathogenic organisms, which will be cultivated as necessity demands; skilled scientists will seize a spy, for instance, inoculate him, perchance, with the comma bacillus of cholera, and turn him loose upon his friends to spread that fatal disease. Indeed,

the organism might be selected with especial reference to the predilection of a certain nation to a certain disease; and thus war be conducted upon a decidedly medical basis. If a subject for inoculation be not at hand, a letter might be sent to the commanding general of the opposing army, containing a few bacilli of a particularly deadly variety, or any of the many devices which might be concocted could be made use of for the propagation of disease.

PSORIASIS AND ECZEMA.

A.S.Myrtle of Edin., states "that in psoriasis, dieting is of no importance, and internal remedies are of as little. The same cannot be said of eczema; but in both I trust greatly to external applications. As a preventive against recurrent attacks of eczema dermatotherapeutic quinine lotion is by far the best thing I have yet hit upon. It acts as a powerful tonic as well as a sedative, and can be applied with freedom to all parts, as it never produces the slightest irritation. Such preparations are greatly to be preferred to ointments and pigments, which always rub off and soil whatever they come in contact with. I frequently paint old-standing patches of psoriasis and eczema with naphthaline tincture, after immersion in the sulphur bath, with the most satisfactory results, and confidently recommend a trial of it after other applications."

THE AMATEur Doctor.

There is a growing tendency on the part of the public to cultivate, nourish and develop the custom of amateur doctoring. The young father, who thinks the watchfulness and earnestness born of paternal feeling more than compensates for his lack of special medical knowledge, is found to be the possessor of a case of drugs, containing perhaps a little quinine, rhubarb, senna, spigelia, paregoric, and so on, these medicines being poured down the children's throats according to his estimates of the requirements of the case. This

practice is being enlarged by the issue of family medical works, prepared homeopathic cases, medical pamphlets distributed about the city, the last frequently containing on ad jacent pages the comparative treatment of horses and human beings, all these setting forth the simplicity of the recognition of most of the diseases which afflict mankind,

a house of that character, to a grocery when eatables are required.

If these things call for special knowledge in their manufacture, surely the construction and function of the human body offer sufficient complexities to require skilled knowledge in its handling.

and the rapidity of their cure with certain SHALL PHYSICIANS DISPENSE THEIR OWN stated remedies.

It is the old story of little knowledge giv ing great confidence, their inability to recognize obscure difficulties leading them to think that none exist; if the baby draws up its knees and cries, it must needs have the colic and nothing else, and the colic department of the medicine chest is forthwith brought into requisition.

The schools of our country also strive to impart a little medical learning to the pupils, or at least, a little physiology, which gives them to think that they have acquired a sufficiently firm basis from which to work upon slight ailments, and alleviate the sufferings of their kind.

Probably no greater mistake could be made than is found in this practice of general doctoring by people, which nearly always results in the paying of more money in physician's bills, and more suffering ten times over to the patient, than would have been necessary if the case had had judicious and skilled management from the beginning. It is a well known fact that when a man becomes his own law yer, he finally proves to be a mine of wealth to the members of the legal profession, the complications arising from his own mismanagement calling for extensive litigation on the part of skilled attorneys.

If this is true in law, how much more so ought it to be in medicine, whose details are less evident to ordinary judgment, and the successful practice of which requires an immense fund of knowledge,and powers of ob servation and conclusions which it is impossible for a tyro without thorough medical training, to possess.

When a person wants dry goods, he goes to

REMEDIES.

Extemporaneous Pharmacy in its bearing upon the practice of medicine, has become an important and crying need. It is a question that we cannot lightly push aside, or ignore, for it calls for serious and thoughtful consideration from every physician; and that too, from an unselfish stand-point. It is a practical question and in its solution matters of vital interest to the profession are involved, and hence they should be fairly, honestly and impartially considered. In fact, it should have such a hearing as would free it from party bias, or sect prejudice, but at the same time would serve to awaken in us an increasing interest in medicine as a science to the end that human suffering might be relieved. It is not our purpose to inveigh harshly against any one, or any class-but simply to aver that evils and abuses have arisen under a system that has fastened itself upon the profession, and in our opinion to the detriment of its best interests; evils, that the self-respect and manhood of every true physician cry out against and forbid him to tolerate for a single moment. In former times the apothecary in the practice of his calling represented a distinct principle. He was content to confine himself exclusively to the preparation of pharmaceutical compounds and the dispensing of physicians' prescriptions, but "tempora mutantur," and with these changes the practices and purposes of men. It is only our purpose to call attention to a few of these nefarious devices to show that they sap at the very foundation of the medical art and degrade the pharmaceutist himself to the level of a patent nostrum vendor, or a quack advertising agent. Does not the

practice of medicine does not always depend upon the quantum of knowledge or of genius, either alone or combined, but that the individual who shall possess both harmoniously blended and wisely used has the decided advantage. Confidence, tact, and accuracy in the use of remedies are potent factors in securing success. The fact that a physician has knowledge and understands the thera

system now in vogue encourage an illicit traffic in patent and secret nostrums? Does it not foster and create a rapaciousness and greed for gain that as a natural sequence grows out of the refilling of physicians' prescriptions? Would the reprehensible and indiscriminate practice of counter prescribing, based of course upon the collecting and filling of prescriptions, exist, if there prevailed a just application of the principles of the gold-peutic indications of a remedy does not milien rule, "Do unto others as you would have others do unto you?" This state of things, it must be admitted, is the result of selfishness engendered upon an irrational basis and can only bring harm to all concerned. It is not only a monetary consideration that prompts us to lift our voice against these abuses, but altogether a higher purpose-the saving of human life and the proper elevation of the pharmaceutical art. It is rather against the principles that encourage such practices than the gain that accrues from them to the apothecary that induces us to speak. How to correct these wrongs and at the same time to do no violence to any interest is the ques tion of chief importance to engage our attention at this moment. The practical remedy for the correction of these abuses lies in the direction of educating and qualifying physi❘ cians for the duties heretofore confided to the apothecary. This, of course, will open up a new field of investigation and experiment, but it will also economize time, minimize the cost of remedies and establish a

tate against his extending that knowledge in the direction of preparing, combining and dispensing the same. Responsibility does not end with the mere knowledge of remedies in the abstract, but includes methods of preparation, a thorough acquaintance with the laws that govern chemical combinations in compatibilities and antagonisms, as well as a delicate and refined manner of dispensing them. This does not relegate the physician to the office and laboratory of the apothecary but it does inculcate the idea that knowledge is force and that in order to have it in use to the advantage of the sick it must of a necessity be applied at a proper time, in a proper direction and in a proper manner. Either this idea of education in pharmacy and and dispensing of remedies must prevail, or the system in vogue among our homeopathic friends, namely, of drawing supplies from a central depot and adding the cost of remedies. to the visit made.

The latter method is objectionable in this, that it establishes a monopoly, and while it would drive out and prevent the multiplying of small dealers, it securely fixes the large ones, and therefore, does not correct the evils. It is to be hoped that the question will receive that attention that its importance demands, and that the evils and abuses of which we have complained may be thoroughly and completely eradicated.

R. M. K.

certain degree of self-reliance. Besides it will deal a vigorous blow at polypharmacy the bane of the medical profession of to-day. The physicians' skill and keen sense of discrimination in the application and use of remedies will be enhanced by it. Can't a physician use to a better advantage, more rationally and accurately, a remedy that he has both handled and prepared, even if it is in accordance with certain formulated meth- CAN A MAN COUGH HIMSELF TO PIECES ? ods known only to the art? Will any one contend that it detracts from the skill and dexterity of the surgeon, if perchance he should fashion and make his own scalpel? Of course it is agreed that success in the

Such is the question propounded on the strength of the discovery of a broken rib in the body of an inmate of the Borough Asylum, and in commenting upon it, the Lancet says

that the doctor who gave evidence endeavored to point out that under some abnormal conditions bones may be broken during life by muscular efforts, or even by the act of violent coughing. The coroner, in comment ing upon this, appeared to have much difficulty in recognizing the existence of such an unusual occurrence, and naively stated to the jury that they would doubtless have equal hesitation in appreciating the learned theory that it was possible for a man to cough himself to pieces! A perusal of the writings of Dr. Weir Mitchel and Prof. Charcot will show that spontaneous fracture of the bones in locomotor ataxy is not uncommon; the importance of this in medico-legal inquiries is worth remembering, and throws much light upon questions affecting the treatment of the insane.

THE PERSPIRATION.

concen

The result of elaborate research made by, M. Peiper yields the following conclusions: (Lancet) The perspiration is more trated on the right side of the body; this observation is in accordance with that of Reinhardt; it would be interesting to know whether the opposite was the case in the left-handed. The palm of the hand sweats four times more than the skin of the chest, and the cheeks one and a half times as much. There is a slow increase in the sweat in the afternoon, especially obvious from 8 to 12 o'clock at night. After midnight there is a diminution. Feeding has but little influence on this function. Elevation of the surrounding temperature increases the perspiration, and variations of the hygrometric state of the atmosphere have an immense influence on the function.

AMPUTATION OF FINGERS UNDER COCAINE. The quantity of water evaporated in a quarter

of an hour from a cutaneous surface 25 centimeters square, in a normal individual, is about 1.76 of a gramme. In infants the quantity is generally less than in adults. The weight of the body and sex have no marked

In those cases of injury to the fingers in which amputation is necessary, cocaine has been used by Dr. North, of Brooklyn, according to the following method: On the entrance of the patient the wound is thoroughly satura-influence on the perspiration. ted with a 4 per cent. solution of hydrochlo.

The recent claim made for therapeutic agents, that their remedial effects could be exercised even at a distance from the body of the patient, has been totally exploded by the results of the investigations on the part of a com mittee appointed to examine into that claim.

rate of cocaine before any examination is EFFECTS OF DISTANT THERAPEUTIC AGENTS. made. After waiting a few minutes for absorption to take place, the injury can be examined and the wound probed with entire satisfaction, as the patient makes no resistance, because he suffers no pain. Flaps may then be cut, following each considerable incision with a few drops of cocaine solution, also using it occasionally to wet the entire part. Ligatures may be applied, and the bone sawed as necessity may demand. After thoroughly irrigating the wound with antiseptic solution and providing for proper drainage, sutures may be applied and the wound dressed according to the principles of antiseptic surgery.

The method is simply one of saturating the wound with the cocaine solution-the cocaine is not injected, anesthesia being sufficient without the use of the hypodermic

needle.

The effects were nothing more than could be produced by "suggestion" to hypnotized patients, as was clearly proved by bringing a bottle filled with water near the subject, and informing him that it was alcohol or cherrylaurel water, or any therapeutic agent which entered the mind at that moment, when symptoms dependent upon the administration of such drugs immediately manifested themselves, provided they had been suggested to the patient previously while in a state of hypnotization. Numerous methods were pur

sued to prove the incorrectness of the position taken by Dr. Luys, in assuming that it was the direct effect of the drug itself upon the patient, and the conclusion was that such influence could not be said to exist.

MAURIAC ON Gonorrhea.

It is remarkable, to say the least, that so many cases of rapid cure of gonorrhea are reported, from all parts of the country, and the abortive method by means of germicides still held up for adoption by the profession, when those men who are the recognized heads of their department in medicine, universally admit that they cannot cure a specific gonor rhea in less than five or six weeks, and still depend upon the old-time remedies as furnishing the best results. Mauriac, for instance, states that although the results obtained from the injections of corrosive sublimate, permanganate of potassium, chloral hydrate, etc.,are seemingly good, in a short time the discharge nearly always returns, leaving the patient about as he was before. Evidently the specific cure for gonorrhea has not yet been found.

A CEREBRAL CENTRE FOR MOVEMENTS OF THE STOMACH.

Dr. B. A. Hlaska performed experiments upon 76 dogs; they consisted in exciting different parts of the cerebrum with an uninter. rupted current. He found that the center for the contraction of the cardiac end of the stomach lay in the corpora quadrigemina, and that the connecting nerve filaments ran along the cord, but mostly with the vagus. The center for the contractions of the lateral portions of the stomach also lies in the corpora quadrigemina, but the filaments run only along the cord. The center for the expansion or opening of the cardiac end of the stomach lies at the lower anterior end of the nucleus caudatus, close to the anterior commissure. The communication is established by means of the pneumogastric. On account of the above facts Dr. Hlaska doubts the exist

ence of a single center for nausea or vomiting, and considers it a complex action, in which the abdominal and respiratory muscles as well as the stomach itself take part, and that the impulse originates in more than one

center.

OPERATIVE TREATMENT OF PERITONITIS.

Dr. Trzebicky, writing in a Polish journal on the operative treatment of peritonitis, details experimental researches on sixty-seven dogs. From these he concludes that operative treatment is indicated in cases of purulent or septic peritonitis; that the employment of different antiseptic substances leads to results differing from one another. The most suitable liquid for washing out the peritoneal cavity appeared to be a solution of salicylie acid. The greatest care is necessary in cleansing the abdomen externally before the operation is commenced. Dr. Trzebicky does not find it easy to explain the variations in his results, but about the facts he has no doubt.

TRICHINOSIS.

During an epidemic of trichinosis at Carthage 64 persons were attacked, 29 of which were males, 35 females; of these 24 died, among whom were 8 males and 16 females, a mortality of 37.5 per cent. Former statistics seem to coincide in one point and that is the more frequent occurrence and greater mortality of the female sex.

IN REGARD TO RAPES.

Basing his opinion upon a very numerous and correct statistic, Prof. Brouardel believes that the majority of rapes are perpetrated by either very young individuals or old men. The former are generally idiots, epileptics, alcoholicists, who are unable to distinguish The latter very between right and wrong. frequently gardeners are usually upon the verge of dementia.

« ForrigeFortsæt »