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cium sulphide three times daily, in alternation with twenty drop doses of tincture columba, or fluid extract hydrastis, will give satisfactory results.

Scrofulous persons who suffer from lymphatic enlargements, catarrhs, tonsillitis, etc., will be benefited by twenty or thirty drop doses of Iodia in a wineglassful of water after meals.

Patients whose skin and kidneys are torpid, will find a combination of sulphur and bitartrate of potassium, one part of the latter to two of the former, in thirty to sixty grain doses three times a day, valuable. If the bowels are sluggish, and the tongue indicates sepsis, give sulphite of soda in five or ten grain doses three times a day.

In our artificial civilization, with its complex and incessant demands, the individual must fall back with greater frequence upon the resources of materia medica to find relief for the bodily ills which beset him and hinder his progress and activity. Spring is one of the seasons when a little medicine, and a little care, will stave off actual sickness. Doctors, let your patients know that an early consultation and treatment is the proverbial ounce of prevention at this time of the year.

The Other Fellow's Blood.

We often make a mistake in judging a matter because we do not fully understand the other side. We thoughtlessly condemn a man's actions because we do not comprehend his situation. In the Spanish-Cuban conflict, the people of the United States have allowed their sympathies to go out impulsively to Cuba without sufficiently considering the facts in the case.

Cuba has long been the property of Spain. For many years a system resembling brigandage has reigned in the inaccessible and uncultivated parts of the island, somewhat similar to the uprisings of Carlists, etc. Even free, enlightened America has not a few banditti. Any of her citizens who may walk abroad in one of our cities on a cold winter night is liable to be held up and assaulted by a highwayman or a footpad. Gradually, guerilla warfare in Cuba became organized and purpose

ful, and encroached so far upon established law, order and commerce, that it became necessary the Spanish government should put it down. Spain has done this once, and is doing her best to accomplish the task again according to her own lights. It is pure folly for us to assume that the Spanish are absolutely wrong, and the Cubans absolutely right. They are one and the same race, except that the Spaniard is a purer breed, the native Cuban being largely a mixture of Spanish, Indian and negro. If Cuba has outgrown Spanish dominion, she will get her freedom without the interference of any other nation. Liberty is a fine thing, but it must be earned and deserved. The probability is that if the Cubans were freed right now, their arms would soon be turned upon themselves in internecine conflict. We hear much indefinite news about Spanish brutality, but what about the sugar mills burned, the plantations laid waste by mischievous insurgents?

In the war of the States, this Government did not think it proper to concede the independence of the Confederacy, and strongly resented the intermeddling of other nations. Spain holds the position that the United States Government occupied at that time, namely, that the Spanish-Cuban affair is a family quarrel, and respectfully requests that we keep out of it. The Spaniard, be it remembered, is a man much like other men, no better and no worse than his German, French and Italian neighbors. He is impulsive, proud and resentful, but great on the subject of honor. There are many things, such as the destruction of the United States Warship, Maine, which the Spanish nation would scorn to sanction.

We do not want to become entangled in the quarrel between Cuba and Spain. The Cuban Junta, for commercial and speculative reasons, has taken advantage of the warm sympathies of Americans to manufacture sentiment in favor of the Cuban cause, but however kindly disposed we may feel towards Cuba, it should not lead us into war. War is a barbarous and inhuman method of settling disputes between civilized nations. It is as brutal as a resort to fisticuffs among gentlemen. One of our oratori

cal, bombastic Senators remarked recently that it would do us good to let a little of our blood flow. But did the Senator mean his blood or the other fellow's? Is he consistent enough to exemplify his meaning in person? We trow not. When politicians advocate the shedding of blood, they always mean someone else's blood. The best fighters are the men who are not anxious for war, but who endure it, and do the best they can when the evil becomes unavoidable.

Yes, there is suffering in Cuba. Men are slain, women and children lose their protectors, and endure the horrors of poverty, sickness and starvation; but how would it help them to plunge American citizens in war, to make our women and children suffer? If we want Cuba, let us buy and pay for it. If we do not want it, we should studiously refrain from meddling between Spain and her province.

Single Remedies.

Some people advocate the use of single remedies in the treatment of disease without stopping to reflect that, practically, there are no such things. So-called polypharmacy is as common in nature as in art. Opium and cinchona are usually styled single remedies, yet we know that each contains a number of active principles, some of which have been extracted from the crude drug, and are used in their own special indications. But valuable as quinine, cinchonidia, morphine and codeine, etc., undoubtedly are, there are occasions when the polypharmic drug, in its natural state, gives better results. There are, also, times when the compound Dover's powder of the allopaths or the compound diaphoretic powder of the eclectics will give results which morphine and codeine are powerless to produce.

Then there is paregoric and Warburg's tincture. Paregoric is a mild, valuable compound of opium, which has fallen into disrepute with physicians because of the difficulty in getting a preparation of definite and uniform strength. It has been almost entirely supplanted by Papine, a preparation made from opium, deprived of its convulsant and narcotic properties. This last remedy, fortu

nately proprietary, is assayed and, therefore, always uniform in strength. It does not expose the Doctor to the danger of poisoning and stupefying little children, the feeble and aged, to the great detriment of his reputation. We have known paregoric to do this.

What is true of paregoric is true of Warburg's tincture. As first made it contained a large number of ingredients, constituting about the worst example of polypharmacy known to the profession. But it gave results in those dreadful tropical fevers which cinchona salts were absolutely unable to effect. Unfortunately, this powerful remedy is not now proprietary. Anyone can make it according to his discretion. For this reason the original polypharmic formula has been greatly cut down, no effort has been made to obtain potent drugs, and no prescribed standard of strength has been observed. Under these circumstances, Warburg's tincture ceased to produce those truly magical results, which followed the exhibition of the original preparation, and the profession gradually ceased to use it.

Those who speak of single remedies labor under a little mental confusion. What they mean is single action. A skillfully blended compound, such as those made for the profession by reliable manufacturing chemists, manifests a certain predominant action in the body. It has an affinity for a certain organ or system of organs. This action can be studied and gauged with the same precision whether the remedy be a tincture, a fluid extract, an active principle, or a compound preparation. The chief essential of the remedy is that it be pure and of uniform strength. Where proprietary preparations are prescribed in their original packages this requirement is fully complied with; in other cases it will be necessary to find out who makes good drugs, and then always insist upon having that particular make. For instance, the Doctor knows that Squibb makes good chloroform. He is about to perform a somewhat lengthy operation, and finds it necessary to use chloroform as the anesthetic. There are possibly other chloroforms as good as Squibb's, but as he knows that Squibb's is all right, it is

just as much his duty to provide that particular make for the operation as it is to see that his instruments are clean and sharp. In other words, the Doctor must not rest until he has provided, as far as lies in his power, against every chance of failure. To do this he must avoid small fads like the mistaken single remedy idea, as well as the more dangerous bacteriological and serumtherapy fallacies of the day.


The expectant treatment of disease is a growing evil. It originated in Germany, where the profession is grossly ignorant of the curative powers of pure drugs. German physicians have no such extensive materia medica as ours. Lacking the fine pharmaceutical products which every American physician can command, the German physician has not that invaluable knowledge of drug action, derived from practical experience, which makes American and English physicians the best doctors in the world. In the absence of knowledge and experience, the German medical man has come to doubt the powers of drugs, and this pernicious skepticism pervades all his writings and teachings. Bacteriology and serum-therapy have helped along this tendency to therapeutic nihilism, and the newer generation of doctors have been injured by it.

If the Micawber-like plan of treatment-waiting for something to turn up-is to be adopted, patients will soon conclude that physicians are unneces⚫ sary luxuries. Patients do not care so much what ails them, as they do to be cured as speedily as possible. The doctor is not a nurse, he is a healer, and he should know enough about drugs to straighten out a physiological tangle with dispatch. If he has not this knowledge, he is in the wrong business.

Of course, there are cases where it is impossible to make a diagnosis at the first visit, but even here the system may be put into a favorable condition for what is to follow. For instance, all sickness weakens the heart, and befouls the alimentary canal.

We can not go astray in giving a gentle and harmless heart tonic, and adminis

tering a laxative, or enema, to clean out the intestines. The patient is comforted by the thought that we are doing something for him while we are trying to get at the cause of his trouble.

The expectant treatment of disease may cause death, or permanently cripple health, by permitting Nature to exhaust herself in fruitless efforts at reaction. The Doctor should prevent this by prompt recourse to his knowledge of materia medica and therapeutics, not stand by and philosophize upon the disease.

Sick Schedules.

Comparatively few doctors enjoy the privilege of a trained nurse in their cases, but must do the best they can with the more or less inexperienced members of the family. Under these circumstances it is necessary to be very explicit in the matter of giving directions.

Recently, the writer heard of a case of typhoid fever which died, in all probability, from insufficient nourishment. The patient was a previously healthy, vigorous young man of good habits, who had become run down by a week's journey on horseback through a rough, unfamiliar country, without proper food and rest, the freak of a thoughtless city youth.

His physician ordered hot milk several times daily, leaving the amount to be given, and the times at which it was to be administered, to the judgment of his family. Now, sickness excites most families. It makes them an object of interest, if not of envy, to the entire neighborhood. All the women in it will call to discuss and lament over the sad occurrence and forget the needs of the unfortunate sufferer. The doctor must be prepared for this human peculiarity. He should carry, in connection with his prescription pad, a somewhat larger one, on which he should write out, in detail, a sick schedule to be strictly carried out. This schedule should state the dose of medicine, how and when administered. It should specify the exact nature of the food to be given, the amount, the hours, and the mode of preparation. If stimulants are to be used, the symptoms calling for them

should be enumerated, the desired stimulant named, and the dose. If antipyretics are likely to be needed, the temperature, which must first be reached, should be recorded, and the attendant shown how to take it. If bathing is to be done, the time, and the method should be set down. If urine, feces, vomit, membranes, secundines, etc., are to be kept for inspection, say so. Be systematic and businesslike. As far as possible, leave nothing to chance, memory, or the discretion of an ignorant, excitable relative. A specific routine can be carried out fairly intelligently by anyone.

If the physician of the young man mentioned above had left a card, directing that he should have an ounce of milk at eight, ten, twelve, two, four, and six, during the day, and whenever awake during the night, the presumption is that he might have recovered, for he had no hemorrhage, and his heart was reasonably strong until near the end. Life flickered out because the vital powers were allowed to run too low for want of nourishment. It was ascertained that the patient had received food but twice the day of his death, and three times the day before, and then but a spoonful at a time.

Do not trust to the family doing the proper thing. Think of everything you want done for your patients, and write it out. It will cost you some trouble, but you will be repaid in results, and well advertised as a thorough, careful and painstaking man.


There are a great many large fleshy persons who suffer much from the natural ills incident to their corpulence. Such persons are short of breath, their hearts are erratic in action; they have pains in the joints and limbs, but more especially in the hip-joints and thighs; they walk with difficulty, and are subject to occasional attacks of asthma, and even syncope.

Corresponding to the large deposit of fat in the muscles of the frame, the functionating internal organs also suffer from fatty infiltration. The heart and liver are chiefly affected, but all the

viscera are disturbed by the constant encroachment of this inert, anemic, useless fat, the product of imperfect digestion and malassimilation.

The symptoms resulting from obesity can only be permanently cured by getting rid of the fat. To tell these patients to work it off by exercise is pure folly. They are too weak. Almost destitute of will power, they are incapable of putting forth the sustained, systematic effort. Even should they make the attempt, the reduction effected is so gradual, they become discouraged, and abandon the up-hill task. Putting these patients on a spare diet alone, is, also, usually a failure. Food is stimulating, as well as nourishing. The nervous system of fleshy patients is usually weak, and, accustomed to the repeated stimulus of a varied and abundant dietary; collapses at the first attempt at abstinence.

To solve the problem in the treatment of corpulence, we must adopt a method which is efficient, yet so mild as not to punish the patient beyond his powers of endurance. If the doctor calls upon the patient to do too much, or to deny himself to any great extent, the latter will inevitably conclude that the doctor does not know his business, and he will employ some one who can and will make things easy for him. It is well for the enthusiastic and conscientious physician to bear this in mind.

Drugs are of the greatest use in the treatment of obesity. Alteratives, cathartics, diaphoretics, and diuretics, may answer in some cases; in many they prove too weakening. But a method of treatment, which is applicable to all cases, consists in administering a mild nervine, which will give to the nervous system that stimulus which it is accustomed to receive from the food, and thus enable the doctor to cut down the daily rations without punishing the patient too severely. Such a nervine is found in Celerina, and similar preparations. In short, the habit of taking too much food resembles the habit of taking drugs, such as morphine, cocaine, alcohol, etc., and should be treated on a similar basis.

The Celerina should be given in teaspoonful doses every two or three hours during the day. It causes amelioration of many of the unpleasant symptoms,

and after its use has been persisted in for two or three weeks, the daily food supply may be cut down pretty vigorously, and Phytoline may be administered in ten drop doses three times a day, in conjunction with the Celerina. Starchy foods should go first, such as bread, pastry, pie, potatoes, peas and beans. There should be an abundance of lettuce, watercress, tomatoes, onions, asparagus, spinach and other green vegetables, and fruits, because they are stimulating, but not so fattening.

Patients whose nervous systems are put into good shape, and kept so, by the use of Celerina, will not rebel at the inevitable dieting, and the physician can make appreciable headway in reducing the diseased flesh through the cheerful co-operation of his patients.

The South.

The South is beginning to have its innings. Its people are quick and intelligent, and have begun to recognize and make use of their great natural advantages. The closure of the New England cotton mills is a fine illustration of the coming prosperity of the South. Cotton is the chief Southern product, land, labor, taxes are cheaper down there than in the North. Southern cotton mills avoid the cost of transportation of the raw material, and get their labor cheaper than New England competitors can possibly do. Therefore, the Southern mill can profitably undersell the New England factory, and the latter must either cut down the wages of its operatives (which is by far the largest item in the cost of manufacture), or close down. This is the inevitable logic of the situation, and it bears no relation whatever to the gold standard. Any business concern which can manufacture an identical article cheaper than another house in the same line, will inevitably take the business, and force the latter to the wall. It is this law of competition which led to the formation of pools, trusts, combines, etc., in the effort to artificially equalize the individual advantages of separate plants.

Capital is looking with longing eyes upon the great resources and oppor

tunities of the South. If her people make no political and financial mistakes; if they refrain from passing laws antagonistic to the interests of Capital, money will flow steadily in that direction, building up, developing and utilizing the natural wealth of that section, and incidentally making its people a prosperous and progressive one.

The only danger to the South lies in the wrong teachings of its politicians. Politicians care for nothing but office, and they go to work in the easiest and most direct way to acquire influence and catch votes. It is far easier to work upon the passions and prejudices of people, to awaken pride and obstinacy, than it is to move them through moral suasion and instruction. A patriot and statesman would tell the Southern people that money makes money; that none can be gotten where none is; that they must study financial science, and obey its laws; that they must offer every inducement to money to settle among them; that the operation of great industries would constantly draw money to the South, which, as constantly circulating, would fill many homes with comfort.

Politicians, on the contrary, offer the people the barbaric and untrue idea that compulsion and destruction can help them. To destroy the present prosperity of a class which has won it by obedience to financial laws, can not help those who have neither knowledge of nor experience with those laws, nor can any legislation compel successful men to give up what they have worked for. All that such measures can do is to create chaos, which would benefit no one but the unscrupulous and dishonest.

The opportunity of the South is come. If its people are not led astray by politicians it will shortly know an era of prosperity hitherto unexampled in the history of these United States.

Scarlet Fever.

Scarlet fever has been uniformly regarded as, next to diphtheria, the most dangerous and fatal of the diseases of childhood. Nutrition in children is both active and unstable, owing to their rapid growth and development. The

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