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tively curative within one or two week 90% of all cases presented. Complica unclean, and expensive appliances heretofore prevented the adoption of treatment by the profession. We now an Intravesical Irrigator manufactured perfected by us after the ideas of Dr. dinand C. Valentine which so greatly plifies this method as to render it at most practical and desirable. It is a sim cleanly, and highly effective apparatus. irrigation treatment does away with nauseous doses. It has the unqualified dorsement of the most eminent specialist genito-urinary diseases. Price of station apparatus, $5.00; with adjustable percol slide, $6.50. Descriptive circular, with print of Dr. Valentine's original articl New York "Medical Record," June 5, 18 on this subject, mailed free on applicat For the same reason that you allow no substitutio ur prescriptions, accept none but our original perfe igator.

ALFRED REICHARDT & CO

27 BARCLAY STREET, NEW YORK, U. S. A.

st Wholesale Surgical Instrument House in America.

Original Manufacturers of this Ap

Gastro-Intestinal Atony.

Dr. A. C. Ziegler, Allegheny, Pa., is most favorably impressed with the effects of Seng in certain functional disorders of the stomach, due to atony of that organ and impaired condition of the gastric juice. The palatability of the preparation rendering it acceptable to the most fastidious patient.

Chlorosis.

Simon, in the American Jour. Med. Sciences, presents the results of his study of thirty-one cases as follows:

1. An anatomical basis of chlorosis has not been satisfactorily determined.

2. A perversion of the appetite-excessive consumption of starches and sugars —is a common symptom of chlorosis.

3. Its development is due to an insufficient consumption of animal proteids.

4. It is far more common than is generally supposed, occurring in both sexes, and at all ages.

5. The diagnosis should be based altogether upon an examination of the blood.

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Prof. Wm. H. Thomson, University of New York.

The best combination ever given to the profession, especially indicated in childhood and old age, pleasant to the taste, increases the appetite, dispels night sweats. The cough ceases and there is a gain of weight and renewed energy following its use.

Each fluid ounce contains: Ol Lini Co., 3313 per cent; Acid Hydrocyani, 4 gtt.; Sulph. Codeine, 12 gr.; Ol. Cinnamon; Irish Moss, q. s.

Original lecture of "Significance of Cough," by Prof. Wm. H. Thomson, free. A full pint bottle will be sent free to any physician who desires to test it, if he will pay the express charges.

THE NORWICH PHARMACAL COMPANY,

NORWICH, NEW YORK.

After the Grip, What? Few diseases are marked by such tedious and unsatisfactory convalescence as is the one known as epidemic influenza. After the acute symptoms have passed away, extreme weakness and prostration remain, persisting for a long time in spite of the ordinary modes of treatment. The patient is left in a condition of general debility altogether disproportionate to the apparent gravity of the affection. Vague neuralgias and mental hallucinations occur, together with an unaccustomed liability to contract other diseases with very slight exposure, or to suffer relapses of this disease. If the patient be a brainworker he finds it especially difficult to apply himself to his usual tasks. Either physical or mental exertion is followed by profound exhaustion.

Let us now look into the actual condition present, and then we can more intelligently seek an appropriate remedynot merely a temporary palliative.

The patient has just passed through a serious and violent disease which, although of comparatively brief duration, has profoundly affected the great nerve centers, and from which they naturally can recover but slowly. Through excessive weakness of the nervous supply of the vital organs, their functions are but feebly and imperfectly carried on. How many there are who date the beginning of a permanent state of decline to their attack of La Grippe.

The ordinary tonics-iron, quinine, strychnine, &c.-seem utterly unable to cope with this condition. In fact, it is not stimulation that the patient needs,

as by it he is only led to overtask his strength, and finally finds himself completely broken down. He needs a reconstruction of the worn-out tissues.

The remedy which will be effective, then, must be one that will convey to the tissues the revivifying and vitalizing agent, phosphorus, in its oxidizable and assimilable form. Thus the true vitality of the nerve structure is restored and with it the healthy function is re-established. The process is not that of stimulation, or whipping up the exhausted powers, but is one of renewing the nutrition of the tissues themselves; hence it is steady and sure in its progress and permanent in its results. The patient feels that he is gradually recovering his accustomed strength of mind and body.

The one form in which the compounds of phosphorus, as they exist in normal animal cells, can be conveyed to the tissues and there utilized, is in the oxidizable form of the hypophosphites of lime and soda, chemically pure. It should be given early, and continued, at appropriate intervals, until the condition has been entirely overcome. Its favorable action in convalescence from acute diseases in general is especially marked in the disease under consideration. By its use many cases of chronic invalidism can be averted, and the susceptibility to intercurrent diseases corrected.

As it is essential to have the agent in an absolutely chemically pure form, McArthur's syrup should be prescribed. This is an agreeable, wholesome syrup, containing only the pure hypophosphites of lime and soda. If you are not already acquainted with it, a full sized bottle will be sent you, if you will agree to pay express charges. Address, The McArthur Hypophosphite Company, Boston, Mass.

Diabetes Mellitus.

Dr. William Pavy, of London, read a paper on this subject, which was one, he said, that had hitherto puzzled all investigators, but modern research has cleared up the difficulties; diabetes mellitus is no longer the intricate disease of former time, and we can look at it now in a sensible light. Diabetes mellitus consists in a malassimilation by the animal organism of the carbohydrates of the food. Ordinarily the carbohydrates, when properly neutralized, go to benefit the system, but in diabetes, instead of benefiting, they simply pass through as waste products. The province of the physician is to investigate the nature of the error which causes this, and then bring back to the system its natural powers. The first serious fault is in the villi of the small intestine. Under normal conditions of health, they so change the carbohydrates that little or no sugar, as such, gets into the portal vein, and so our first step in the treatment of diabetes is to prevent the carbohydrates from passing unchanged into the portal vein. In order that sugar may appear in the urine it must have been in the general circulation, and so, if we prevent it from reaching the general circulation, we shall stop its elimination by the urine. It is absolutely true that, under conditions of health, there is no sugar in the general circulation, for if we inject sugar into the vein of any individual, just so much as has been injected will later be found in the urine. It was formerly said that the carbohydrates, as such, went to the muscles to make heat, but this we can demonstrate to be false, and we can say with certainty, that the carbohydrates, whether under the form of glucose, maltose, or starch, getting into the general circulation, can not be used by the organism, and SO are eliminated waste. Between the intestines and the liver the carbohydrates must all be converted into principles, which the general circulation can distribute, and the speaker believed that most of this conversion takes place in the intestine itself. That carbohydrates are changed into fat there is no doubt, since we can find almost as much fat in the lacteals after the ingestion of carbohydrates, as

as

after that of fatty food. Consequently, when we find sugar in the urine, we appreciate at once that the power in the intestine of proper assimilation has been weakened. In a perfect condition this power is such that even excesses do not disturb it, but we can easily imagine an individual whose power of assimilation is just so balanced that when he eats normally there is no trouble, but a banquet, or the ingestion of an excess of carbohydrates for any reason, will precipitate some of them into the general circulation, and they will consequently appear in the urine. Such a man may go to Dr. A, who, finding sugar, will tell him he has diabetes, and later to Dr. B, who will contradict the first. This has happened more than once, and is to be remembered. But in actual diabetes the condition is much worse; the power of assimilation of starches may be almost entirely gone. When this is so the patient rapidly loses flesh and strength, since carbohydrates are necessary for the animal organism.

The indications for treatment are evident, and in the majority of cases the assimilative powers can be brought back, if not to the normal, at least to a condition approaching it. The first indication is to prevent the sugar from getting into the urine. Keep it from the intestine, and this is easy; therefore, stop the carbohydrates for a time, limiting the patient to other food. At once, on limited diet, the sugar in the urine lessens, after a time it stops, and still later the gradually increasing ingestion of carbohydrates will have the effect. For the present we can say only that then the intestine is at fault, but Dr. Pavy could not help thinking we shall later find it to be a nervous condition acting on the vessels of the intestine.-Med. Record.

Sluggish Liver.

Dr. M. T. Ansbrooks, Mitchellville, Tenn., says: In a case of hepatic torpor, in which constipation, icterus, and poor appetite were marked symptoms, I employed Chionia with results most gratifying. I have also prescribed it in biliary calculi with splendid results.

ARTIFICIAL ARMS AND LEGS.

PATENTS OF 1895.

Marks' Improved Rubber Hands and Feet are Natural in Action, Noiseless
in Motion, and the most Durable in Construction.

IT is not unusual to see a farmer working in the fields with an artificial leg, or an engineer, conductor, brakeman, carpenter, mason, miner, in fact, men of every Vocation, wearing one or two artificial legs, of Marks' Patents performing as much as men in possession of all their natural members, and experiencing little or no inconvenience.

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BOTH LEGS AMPUTATED BELOW THE KNEES.

MR. A. A. MARKS.
MAMARONECK, N. Y.
Dear Sir: Over twenty years ago had both my legs crushed by the railroad
cars, which necessitated amputation below the knees. I was then a mere lad, and
did not fully realize the gravity of my misfortune. By the advice of my
surgeons, I placed myself under your care, Your reputation as the most com-
petent in the land had so impressed me that, from the first, I felt that I was
soon to realize all that skill and ingenuity could possibly do for me.
this I have not been disappointed, for your labors have restored me, and
I am, for all practical purposes, myself again. I well remember how
proud I was when your genius placed me in a position in which I could
indulge in youthful sports, how I availed myself of every advantage,
playing ball, boating, fishing and hunting in summer, and skating in
winter. I even went so far as to swing my partner in rural dances.
I have always felt that your arti cial legs
were wonders, and ought to be known
throughout the land. My latest fad is riding
a bicycle. I found the task difficult, but I ride
well and enjoy it. Respectfully,

JAMES A. MCDONALD, P. M. Over 19,000 scattered in all parts of the world. Eminent surgeons commend the Rubber Foot and Hand. At :he World's Columbian Exposition they received the highest award. They are endorsed by the United States and many foreign Governments. A Treatise, containing 544 pages, with 800 illustrations, sent free; also a formula for taking measurements, by which limbs can be sent to all parts of the world with a fit guaranteed. Address

Established 44 Years.

A. A. MARKS, 701 BROADWAY, NEW YORK CITY.

OUT OF SORTS.

IF your dyspeptic patient is "out of sorts" with loss of appetite, give him two or more teaspoonfuls of SENG before each meal-an appetite will soon succeed his heretofore indifference to food.

DR. McMUNN'S

ELIXIR OF OPIUM

An Invaluable Discovery in the Preparation of Opium.

It contains all the valuable medicinal properties of Opium in natural combination, to the exclusion of all its noxious, deleterious, useless principles upon which its bad effects depend. It possesses all the sedative, anodyne and antispasmodic powers of Opium: To produce sleep and composure; to relieve pain and irritation, nervous excitement and morbid irritability of body and mind; to allay convulsive and spasmodic actions, etc.; and being purified from all the noxious and deleterious elements, its operation is attended by no sickness of the stomach, no vomiting, no costiveness, no headache, nor any derangement of the constitution or general health. Hence its high superiority over Laudanum, Paregorin Black Drop, Denarcotized Landanum, and every other Opiate preparation.

CAUTION.

On account of its large sale, spurious articles are offered in bulk. The genuine is sold only in vials of about seven drachms, with yellow wrappers and signature of Jno. B. McMunn.

E. FERRETT, Agent, 372 Pearl Street, New York.

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