tincture of the chloride of iron, in appropriate doses may be alternated with the foregoing prescription when tonics are indicated. HEADACHE.-Dr. Pereira states, as quoted by Waring, that he has often known a ginger plaster, applied to the forehead, afford much relief. Toothache is sometimes relieved by the same application to the face, says W., and also by chewing a piece at thé same time, so as to act on the salivary glands. The fluid extract is, by far, the most eligible form to use for such purposes. RELAXATION OF THE UVULA AND TONSILS, PARALYSIS OF THE FAUCES, ETC.-These states, says Waring, are often much improved by the local stimulus of ginger, chewed, so as to produce a copious flow of saliva. Dr. Stillé remarks that the syrup of ginger forms an excellent means of administering magnesia and alkaline preparations. In many cases of nausea and vomiting for which gastric stimulants are appropriate, artificial carbonated water flavored with ginger syrup, proves useful in settling the stomach. (S.) The same author remarks in closing his observations on the use of this agent: "As a rubefacient, ginger is a most useful application. It is one of the ingredients of the aromatic powder so frequently used with hot brandy as an anodyne application to the abdomen in case of colic. Alone, or with other substances of the same class, it is also applied to the face for the relief of toothache, to the temples or forehead in headache, &c. Its infusion is often resorted to as a gargle to correct relaxation of the uvula; and the rhizome may be used as a mascatory to stimulate the tongue and adjacent parts when they are affected with paralysis. This use of ginger, or that of the gargle, is often servicable in cases of aphronia proceeding from relaxation of the vocal apparatus." As the above therapeutic agent is of but recent origin, perhaps it is not universally known that, by virtue of its powerfully destructive influence on the lower orders of animal life, it can be relied upon as a speedy and effectual remedy in most all parasitic affections of the skin. I have used it in various cutaneous diseases for the last two or three years with uniform and unvarying success. In scabies, I almost regard it an unfailing remedy, certainly it is as efficacious as sulphur, with the advantage in its favor of being a . much more elegant preparation. So strong is my faith in its power over this disease that I seldom, if ever, think of prescribing anything else, and have known it to cure the very worst cases in five days. Indeed, in my hands I have never known a cure prolonged beyond a week. I will cite as an instance the following case: W. U. R., æt. three years, has had a cutaneous eruption for eight months. Was first seen July 16th, 1867; very large ill-looking ulcers with crusts of dry pus over a considerable portion of the back and legs; the spaces between the fingers and along the lines of flexion covered with numerous pustules and scabs; intense itching; somewhat emaciated; bowels regular; appetite poor; tongue slightly furred. My diagnosis was scabies complicated with impetigo, and prescribed the following B. Soda Hyposulphis 3i. 3 viii. Misce et fiat sol. Sig: Wash parts affected thoroughly twice daily. I ordered to be taken internally citrate of iron in catawba wine. Saw the case again July 22, the entire cutaneous surface free from any eruption. The seat of former eruptions somewhat scarlet, but no itching or discharge. There has been no return of the difficulty since. There are a great many other skin diseases in which I found it equally as efficient. In diphtheria, I regard it as one of the best topical applications that can be used. I have also used it in mercurial salivation, and would prefer it to potass. chloras in that difficulty. In the sore throat of scarlatina, I have used the hyposulphite of soda with the happiest results. I once knew a practitioner to use it on a patient with a copper-colored eruption and sore throat, which to my mind, was very clearly of syphilitic origin. Its exhibition in this case was thought at the time to be attended with very marked benefit. Residing as I doin a malarious district, I have, since reading Dr. Leavitt's statement in the American Journal of Medical Sciences, had ample opportunities of testing its therapeutic value in malarious fevers. In almost every instance, I have succeeded in arresting the paroxysms of intermittent fever in two or three days. In two cases only out of seventy-eight, did it fail entirely. In those two cases, (the 6th and 43d) the paroxysms returned, increasing in intensity till the remedy was abandoned. I generally administer somewhat after the following form: B. Soda Hyposulphis Aqua menth. piperita Misce et sig: Half tablespoonful. 3 iv. 3i. 3 iii. Now, if the hyposulphite of soda is so efficacious in destroying animal parasites, will it prove equally as efficient in the destruction of parasitic vegetables? Consequently, would it not prove a very desirable remedy in that class of diseases caused by the presence of vegetable fungi in various parts of the animal organism, and if Prof Salisbury's views as to the etiology of malarious diseases be correct, does it not act pretty much upon the same principle in intermittent fever by somehow decomposing or destroying those palmelloid spores, which he states in the American Journal of Medical Sciences, he found on microscopic examination of the salivary secretions and expectoration of those laboring under malarious troubles. Or is it beneficial in those diseases by virtue of its powerful deoxydizing influence. PRACTICAL NOTES. BY THEODORE C. MILLER, M. D. GONORRHEA :-In the early stages of gonorrhoea, I have found the following of much service : WAFER ASH IN ERYSIPELAS:-Two cases of erysipelas which came under my treatment, where quinia and iron had been used in large doses without success, and proving rather injurious to the patient, succeeded in 24 hours, to ptelia administered thus:- B. Fluid Extract Wafer Ash, Fennel Water, Every hour, one tablespoonful. Al. 3j. WAFER ASH IN ICTERUS WITH HYPERÆMIA OF THE LIVER: -In a severe case of this disease I have found the fluid extract of ptelia an excellent remedy in doses of thirty drops every two hours. WAFER ASH IN ASTHMA :-In two cases of asthma which I tried, it was of more service than any other remedy. WAFER ASH IN ASCITES:-In this complaint ptelia often proves eminently efficacious. I found it to cure a case of a very severe type, after many agents had been employed without success. WAFER ASH IN AFFECTIONS OF THE CHEST:-Several cases of febris hectica, where the expectoration was in the form of pus, of a sweetish taste but without any other symptoms of the chest, than a slight rhonchus mucasus and sibilans, I cured completely with the ptelia in combination with the pyrophosphate of iron. WAFER ASH IN ANASARCA:--Ptelia and pyrophosphate of iron in combination, are eminently beneficial in this disorder. The wafer ash affects primarily the liver, the passage is generally of a brown or of a gray color, rather fragrant. NITRATE OF SILVER IN HEMOPTYSIS:-I frequently use the granules of nitrate of silver in hæmoptysis, and find it a reliable remedy. AURUM CHLORATUM NATRONATUM in the engorgement of the mesaraic glands and the disease that follows it:-Atrophia Mesaraica: B. Aurum Muriaticum, nat Distilled Water, 2 grs. A. 3j. Ten drops three times daily. AURUM CHLORATUM NATRONATUM IN THE INDURATION OF THE UTERUS:-It is here frequently a most excellent remedy. PUERPERAL CONVULSIONS, WITH PHLEGMASIA DOLENS. BY G. H. VARCE, M. D., WATAGA, ILL. On Wednesday, December 18, 1867, I was summoned four miles |