drainage tubes at the bottom of the pelvis, and putting the patient in a sitting posture as soon as put to bed. Every succeeding three or four hours, for two or three days, an antiseptic fluid is used for flushing, the patient being in the recumbent position during flushing.

Epilepsy:

Some fourteen years ago, at the City Nickel Bromide in Asylum for the Insane, at Ward's Island, New York, nickel bromide was tried for epilepsy, but with negative results. Reports from French sources leads us to judge that it is coming into favor again in that country.

Diet in Diabetes
Mellitus:

Thomas B. Futcher, in Maryland Medical Journal for October, 1904, gives the diet used at Johns Hopkins in diabetes mellitus,

which is a modification of Noörden:

Breakfast, 7.30 a.m.-200 c.c (6 ounces) of tea or coffee, without sugar or cream; 150 grams (5 ounces) of beefsteak, mutton chops, or boiled ham; one or two eggs, with plenty of butter, pepper, and salt; 30 grams (1 ounce) of butter, with steak and eggs.

Lunch, 12.30 p.m.-200 grams (6 ounces) cold roast beef; 60 grams (2 ounces) celery, fresh cucumbers, or tomatoes, with vinegar, olive oil, pepper and salt to taste; 20 c.c. (5 drams) whiskey, with 400 c.c (13 ounces) of water; 60 c.c. (2 ounces) coffee, without milk or sugar.

Dinner, 6 p.m.-200 c.c. (6 ounces) clear bouillon; 250 grams (8 ounces) roast beef; 20 grams (5 drams) butter; 80 grams (2 ounces) green salad, with 10 grams (21⁄2 drams) vinegar, and 20 grams (5 drams) olive oil, or 3 tablespoonfuls of some well-cooked green vegetable; 3 sardines a l'huile; 20 c.c. (5 drams) whiskey, with 400 c.c. (13 ounces) water.

Supper, 9 p.m.-2 eggs (raw or cooked); 400 c.c. (13 ounces) water.

In the report of the Medical and ChirurgiSilver Salts in Puru-cal Faculty of Maryland, in the Maryland lent Ophthalmia : Medical Journal for October, 1904, Dr. H. O. Reik, in a paper entitled "Recent Advances in Ophthalmology and Otology," refers to the report of Dr. Miles Standish, of Boston, a very excellent report made recently, and which was

based on experience in the isolation wards of the Massachusetts Eye and Ear Infirmary. He had made careful observation on a large number of cases of ophthalmia neonatorism and of gonorrheal conjunctivitis in the adult. It was demonstrated that protargol was to be preferred to silver nitrate in the treatment of these affections. Its application produces no pain. Solutions of 20 to 25 per cent. may be employed by the physician, while weaker solutions-2 to 5 per cent.-may be entrusted to the patient for frequent use. Dr. Standish strongly opposes the application of cold to eyes in these conditions, as it has a tendency to weaken the resisting power of the cornea and to favor ulceration in that tissue, the serious complication of these diseases to be dreaded. Great care should be used in cleansing such eyes; swabbing with cotton-tipped probes often abraids the epithelial

coat.

ation in the Lower

Air Passages:

John Johnson Kyle, Indianapolis, during Acetozone for Suppur- the past year has had a great deal of experience with a solution of acetone in inorganic oil used in a nebulizer or atomizer for the treatment of various pathological conditions of the trachea and lower air passages. In The Therapeutic Gazette, November, 1904, he says there is a certain technical point to be observed in the administration of the acetone inhalant: The acetozone inhalant must be administered only for a few moments at a time, or until symptoms of irritation are manifest, a minute or two being sufficient, allowing the patient to rest for two or three hours before another administration. The formula for the solution he uses is as follows:

R. Acetezone Crystals...

Chloretone Crystals..

Refined bland mineral oil

0.5 gramme.

0.5 gramme. .99.0 grammes.

Eczema:

Lassar says (Dermatologische Zeitschrift, Berlin, 1904): The first indication is, in the case of any existing eczema, to enquire carefully into its original character. We need often to search for a long time ere we discover the actual cause of the constant recurrence of the cutaneous inflammation. The main indication for special treatment is to preserve the irritated parts from special harm. Moist treatment, when indicated, consists of a bath with bran and a bland, never a medicated, soap, or fomentation with

chamomile flowers. Affected parts are then to be wrapped three times a day for a half hour in compresses moistened with I in 1,000 watery solution of sulphate of zinc. Directly on the moist follows the dry treatment, the free application of a simple dusting powder, such as a fine, pure talc. If itching, use 1 to 2 per cent. solution of carbolic acid. If burning, add to above 1⁄2 to I per cent. of menthol. This procedure will, in time, render the skin dry, when its smoothness can be restored by using a paste of oxide of zinc, 65, and olive oil, 40 parts, thickly smeared on, dusted over with talc. on the trunk and a light bandage on the limbs. In the morning the face is best cleansed with olive oil. The crusted eczema of the face in children can be rapidly cured if managed as follows: It must be carefully cleansed, oiled over, then washed gently. Then thickly smear with a salve of olei rusci, sulphuris sublimate, aa grammes 15; vaselini, saponis domestici, aa grammes 30; creta albal, grammes 10; M., powder and bandage. Finally the X-rays, cautiously used, are of great value.

M. Sig. 15 to 25 minims well diluted or dropped in capsules after each meal.-Dana.

The average daily dose of bromides, for a Epilepsy: person above fourteen years, is 60 grains. The best adjuvant by all odds is glycero-phosphate of soda, 30 grains daily. The standard prescription is:

R. Aq. sol. glycero-sodii phosphati (50 per cent.)... fii.

Sodii Bromidi....

Aquæ, q.s. ad..

iii.

1 Zvi.

M. Sig.; One drachm twice a day in water, a.m. and p.m., six days in seven.--Dana.

Ulcers and Burns:

Martin J. Schuh, M.D., New York, in the International Journal of Surgery, tells of the effective treatment of ulcers and burns by zinc dioxide. Its efficacy is most marked in ulcer resulting from varicose veins, the average time required to cure these being three weeks. A

10 per cent. ointment was used and the dressing changed three times daily. It is rapidly effective also in syphilitic ulceration of the leg. In the treatment of burns, brilliant results are said to be obtained by a 10 per cent. ointment.

D.T.'s:

Jones, in The Lancet, Aug. 6, 1904, says: The great motor restlessness so often seen in alcoholic cases, and caused by painful visual and aural hallucinations, is best controlled by hyoscine in doses of from 1-120 to 1-60 of a grain administered hypodermically. Sulphonal or trional (20 grains twice a day) are useful.

Whooping Cough:

Dr. Alvis Marti has been recently attempting to cure whooping cough by an entirely new treatment. Children with this disease sit for three-quarters of an hour in the midst of camphor and naphthalin vapor. claims mild cases are entirely cured in from three to four weeks, the more severe cases from four to six weeks.

He

The employment of formaldehyd in acute Acute Tonsilitis: tonsilitis has produced good results in the hands of A. C. Jordan (Bull. Gen. de Therap.). He employs a 1 to 4 per cent. in glycerin in making his applications. This causes some pain for several hours, but is not unbearable. Eating and drinking should be prohibited for some hours after each application.

Opotherapy in
Typhoid:

Chantemesse (Press Medicale) reports 523 cases of typhoid fever treated with antityphoid serum, with 22 deaths, a mortality of 4 per cent. The usual mortality is 18 to 20 per cent. Antityphoid serum differs in this respect from diphtheria antitoxin, as the more aggravated the symptoms of typhoid, the feebler should be the dose.

Bergey, in American Medicine, classifies the Serum-therapy: sera: The antitoxic-two in general usethe diphtheria and tetanus antitoxines (the last is inefficient); the bactericidal immune sera-typhoid, dysentery, tuberculosisin first two results have been disappointing; the immune sera which are not bactericidal-pneumococcus, the staphylococcus, and the streptococcus. Their therapeutic success is still in experimental stage.

Society Reports--Notes of Interest.

Gum:

Before the Pathological Society of London, Paget's Disease of the Mr. A. Hopewell-Smith reported a case of Paget's disease of the gum, probably the first occasion where this disease has been noticed as affecting the oral tissues.

Stenosis of the Lower According to Dr. Sippy, before the Chicago Medical Society, there have been only seventy-five to eighty cases of stenosis of

Portion of the

Esophagus:

the lower portion of the esophagus reported.

Dr. Wm. H. Thomson, before the New Internal Secretions, York Academy of Medicine, states there Present Status: is no doubt that the pancreas has much to do with diabetes. When the entire gland is destroyed, the disease develops in its severest form. If one-quarter of the gland is left the disease will not develop.

Congenital Atresia

Hymenalis:

Dr. J. Riddle Goffe recently reported to the New York Obstetrical Society two cases of this condition, one in a colored girl, nineteen years of age, and the other in a white girl of twenty-one years. Neither patient had any vicarious menstruation.

Before the Philadelphia County Medical The Schott Method: Society, in November last, Dr. Jas. M. Anders, after pointing out that confusion reigned in the minds of many physicians as to what were the suitable cases for the Schott method of treating chronic cardiovascular affections, stated that the method was especially valuable in arteriosclerosis with embarrassed heart action, most gratifying in cases of angina pectoris, and in the large group of cases arising from neurasthenic disturbances. He set down the contraindications as follows: 1. Fever. 2. Advanced arteriosclerosis. 3. Far-advanced