prescribed for local or internal treatment of contagious diseases, and particularly of diphtheria. It has been proven by scientific authorities that microbes are the cause of all purulent, contagious and chronic affections. (See Prof. Pruddin "Etiology of Diphtheria," American Jour. Med. Sciences, April and May, 1889.) Diphtheritic membranes, for instance, are invaded by a large number of bacteries called micrococci. These cuts illustrate a well-developed case of diphtheria before and after its cure by the use of Marchand's Peroxide of Hydrogen and Glycozone. Chlorate of Potash Alum Tannin "Magnified Diphtheric Membrane, 800 diameters. Figure 1 shows the bacteries called micrococci. Figure 2 shows the fibrin. Showing the same membrane after short contact with Peroxide of Hydrogen. The bacteries are destroyed; the fibrin remains normal. It is obvious that any antiseptic used in proportions, which will vary with its bactericide power, will destroy a given amount of microbes It is obvious also that the safety and consequently the efficiency of the treatment, depends greatly upon the more or less toxicant, corrosive and irritating properties of these antiseptics. Comparative Test between the bactericide power of the following chemicals, acting upon a diphtheritic membrane, to destroy the microbes which are present in half a gramme (about eight grains) of the said membrane : ....... Thymole, Eucalyptus, Bicarbonate of Soda, Lime water, Turpentine have no action at all upon the microbes of a diphtheritic membrane, where they are developed, but they may have, to a certain extent, a preventive action upon the development of the spores. In fact, it is well enough to destroy microbes, but it is very illogical to accomplish this destruction by using remedies, which may have the most dangerous effects upon the life of the patient. It is worthy to notice that all of the above mentioned bactericides have toxicant or corrosive properties except Chas. Marehand's Peroxide of Hydrogen, which is absolutely harmless. The permanganate of potash, the hypochlorite of lime, the bichloride of mercury, and aqueous solution of chlorine gas, destroys the microbes in a very short time, but they are poisonous, and, besides that, they leave as a residue a substance of a peculiar nature which possesses the property of favoring the reproduction of the same kind of microbes. Yours respectfully, W. S. MARCHAND, E. C. P. Paralysis from Injecting Hemorrhoids. -Emphysema. Editor MEDICAL WORLD:-My attention was called to paralysis by injecting hemorrhoidal tumors by reading Dr. Erskin in the May number. Last summer I injected two hemorrhoidal tumors on James Brown, of Morley, Mo. Chas. Marehand's Peroxide of Hydrogen, solution 15 volumes. Capaci y is a 3.2 per cent. solution. When a pint f this solution is decomposed, it gives off 15 pints of nascent oxygen and one pint of water remains. INFANTILE CONSTIPATION. I have long known that belladonna will certainly relieve constipation in young infants if properly given, Prof. J. Lewis Smith to the contrary, notwithstanding. The particular point to be observed is the smallness of the dose. Formerly, when I rubbed one grain of extract of belladonna with an ouuce of syrup and gave a few drops daily, no benefit was derived, because the dose was too large. My method of giving belladonna is as follows: To half dram of reliable tincture of belladonna, add an equal quantity of good alcohol. This is done to increase the bulk of the mixture, but can be omitted if desired. Add one half this quantity to an ounce of glucose globules, No. 25 or 39, in a quinine bottle. Shake until the liquid is equally distributed to all the pellets-about five or six minutes. If shaken too long they will soften and dissolve. Spread on a shallow dish and stir, or shake, to prevent adhering, until thoroughly dry. In a few hours add the remainder of the liquid to the same pellets and proceed as at first. When thoroughly dry enclose in a morphia bottle for use. Fill a dram vial with the pellets, mark the top of the cork "B," and direct five or six to to be given three times a day, dissolved in half a teaspoonful of water. Continue until the effect is obtained, which will be from one day to one week. You see what a small dose is given, about one sixth of a drop of tincture; but I am sure you will be well pleased with your success. CHRONIC DIARRHEA. Children under five years of age, who for weeks and months have frequent loose, lienteric, alvine discharges, who run about actively, are devoid of fever, appetite craving a variety of indigestible food, and whose diarrhea no class of astringents or diet will check or benefit, except temporarily, can be cured by good grapes. Give them a five-pound box of fresh grapes, and let them eat freely, swallowing pulp and seeds, but rejecting the capsule. One feast will cure the case. This is not new to dilligent readers in the profession. It is not probable that any person will wish to pay for this information. It is inexpensive to say give grapes. Soon all friends will be apprised of the simple and rapid cure. Now, if we practice medicine as a business, we will not wish to laud the advantage of the grape cure, but will resort to some other means equally as good and more to our advantage. Now for the proper remedy. Add 20 minums of wire of ergot to an ounce of glucose globules, No. 25 or 30, and proceed as directed for belladonna. Fill a dram vial, mark top of cork E, and direct ten pellets to be given three or four times a day. Order a proper diet. In a few days your patient will be cured. Again, remember your dose must not be too large. In these preparations you have cheap, efficient remedies. Your medicine is always at hand. You have your own secret, and are not at the mercy of selfish druggists and other prescribers. I use vials in place of boxes on business principles. They are more attractive to the little patient. Glucose globules cost about 30 cents per pound; sugar of milk globules, 60 cents or more per pound. drink. You also get the advantage of a good astringent, logwood. W. J. CRAIGEN, M.D. Cumberland, Md. [The belladonna preparation has been given before in these columns, but we think it so good that we are pleased to have it repeated.-ED.] Hay Fever.-Prèssure on Womb for Hemorrhage. Gravel in an Infant. Editor MEDICAL WORLD:-I see in the May number, that W. A. Boyden, M. D., would like to hear from the fraternity in regard to hay fever. I will give my experience with it in my own case. Four years ago, in July and August, I would awake in the morning sneezing, thinking it was only a cold. I took a dose of Dover's powder, which helped me for one or two days, then it would return as bad as ever; a great deal of mucus, watery discharge from nose. kept using quinia, and insufflated nose with various powders and liquids, but got no relief until about the first day of December. I saw an article from a Florida physician on coryza, recommending one-twentieth grain of sulphate atropia, three times per day. I So I immediately made a prescription, combining this with Fowler's Solution. I only took three or four doses, till I was nearly well. The atropia soon produced dryness of the throat, and changed the watery discharge to a healthy pus. Each year I have a recurrence of the disease, but am able to hold it in check with the above medicine. Have never had it as bad as I had the first year; it weakens one very much. PRESSURE OVER WOMB FOR HEMORRHAGE. In a multipara, her sixth child, after the placenta came away, I immediately applied my hands firmly over womb for a few minutes with good result. My patient always dreaded postpartum hemorrhage, several times having nearly died, and always so nearly exsanguinated that it required a long time to recover. This last time she made an excellent recovery. I am so pleased with it, that in any case that I would fear hemorrhage, I mean to use the same means. GRAVEL. My little boy, aged 2 years, while at church two weeks ago last Sunday, was attacked by severe pain; brought him home and found some pieces of mucus membrane on his diaper. He rolled and tossed and laid on his stomach all afternoon in great agony. Several pieces came away during the afternoon. Some of the pieces were as large as would more than cover one-half of a nickel. On one side there would be blood. It looked like two layers, mucus and submucus coat. I called Dr. Chilton in con sultation, and we gave him 2-drop doses of potash, hyoscyamus and corn silk. That night chloral anodyne, and a mixture of acetate of he began to pass reddish-brown grains; then we remembered that two months previously he had passed such grains. They were soft at first, but on drying became like sand. This case is the only one of the kind in a child that either Dr. C. or myself has seen, and both have been in active practice since 1874. We judged that masses of this substance coming from the kidney, tore up the lining of the ureter; we could not detect which kidney was sore. His water seems to be acid a great deal of the time; he became some dropsical; his face and hands the most, but feet were a little swollen too. We are keeping skin and bowels active. His appetite is good now, and he seems quite well, but I fear a return. As soon as I can get Lambert's Lithiated Hydrangea, I will give it him; have not had a microscopical examination of the matter expelled. Any help that any of the readers of THE WORLD can give me will be thankfully received. I am giving my child soft water to drink now; he has always had hard water to drink. There was not so much gravel came away this time as there was in March, but he did not have the pain then as he had this time. I fear that this may become a nucleus to a stone. I mean to souud him soon. Howard Lake, Minn. A. M. DAVIS, M.D. Stone Passed from the Bladder of a Young Child. Editor MEDICAL WORLD:-THE WORLD has been a constant visitor to my office, this makes the third year, and it is a true friend and medical adviser. It would be a great sacrifice to dispense with it. My purpose in this communication is to report a case of stone passing from the bladder, per urethra, in a child of very tender age. Benny P., aged four years, ten months, was brought to my office on the evening of May 7, 1889. The father stated that the child was suffering from gravel, ard gave as his reason, that the little sufferer had passed a stone from his bladder when only nineteen months old, and that he was now affected just as he was then. He also stated that he had the stone previously passed by the child, and that it was rough like a cockle-burr, and as large as a small pea. The following history of the case was gathered from the father: For some time the child had urethra, the child being free from pain except during the act of voiding urine. The first was passed at the age of nineteen months old; the latter at the age of four years, ten months. Both stones are very large to have passed at such ages. The stones are in my possession. The last is fully as large as an ordinary grain of corn, and is very rough and angular. I can account for the elongated and much child dragging and pulling at it to relieve the pain in the glans penis. In stone in the bladder, the pain in the glans penis is of a sharp, cutting character, and is most marked in children. been in the habit of crying out or whining at the time of urinating, about the close of the act; but this was not by any means the case every time the bladder was emptied. On the Sunday previous to bringing the child to my office, this symptom was greatly aggravated, and the urine, instead of coming in a stream, only dripped or dribbled away. I had all the clothing taken from the child, and found that his drawers and shirt were wet from the drib-hypertrophied prepuce in no other way than the bling urine. The first thing that attracted my attention was the enormous size and length of the prepuce. My first thought was "the trouble is here." After careful examination, I found that it was open, but on account of its being so much elongated and hypertrophied, the meatus urinarius could not be engaged. Next, the perineum was examined, but nothing discovered to cause the symptoms. On following the urethra up, concealed by the scrotum, my fingers came in contact with a hard, angular substance. Pressure on this mass caused great pain, and the child would cry out lustily whenever an attempt was made to press it forward. The stone having made this much progress in escaping, and finding by percussion that the bladder was not distended, I decided to give a diuretic and await results. Six grains of acetate potash were ordered at a dose three hours, every and with every other dose one drop of fluid extract of digitalis to be given. Before leaving my office, I gave the child five drops of laudanum, and ordered five drops more to be given at bedtime. Next morning, the 8th, I saw the child at 10 o'clock. Parents said he was better, had rested well all night, and did not have to get up with him as usual. They said when he first got up, at about 8 o'clock, he had a bad spell when passing his water. Upon examination I found that the stone had reached the meatus, and was firmly lodged there. Another attempt to press it out with my fingers was ineffectual, causing a great amount of pain. I proposed to the parents to chloroform the child and then take the stone away, but they objected, having heard that some died from the effects of an anesthetic. I had the previous treatment continued, ordering the laudanum to be given every three, four, or five hours, as indicated by the pain. Next morning, the 9th, I saw the patient, and found that the stone had passed about an hour before my arrival. The little fellow met me at the door, exc.aiming, "Doctor, I am well now!" What makes this case interesting is the age of the child. Comparatively speaking, they were at ended by no great amount of pain and inconvenience during their passage through the Both stones are of the class known as oxalate of lime. The child is robust and healthy, and seems to have suffered no emaciation from having this foreign body in the bladder, and is now doing well. Trenton, N. C. R. A. WHITAKER, M.D. A Healing Ointment. Editor MEDICAL WORLD:-I think I can improve on Dr. Bentley's healing salve in May WORLD. R Vaseline. Mix. Citrine ointment.. āā....oz. j. I have used it with occasional variations for years, and it has proven eminently satisfactory. It is curative in all kinds of cld sores and ulcers. When used alternately with antiseptic dressings, and in connection with the roller bandage it has brought to a favorable termination many foul varicose ulcers of the leg. Harrisburg, Ill. E. M. PROVINE, M. D. Absence of Lochial Discharge. Editor MEDICAL WORLD:-In reply to the request of Dr. O. F. Shearer, in the June number of your valuable journal, page 237, I would say, that a case similar to the one he reports occurred in my practice about eighteen months since, in which there appeared to be an absence of the lochia. I was called in to attend Mrs. B. in her third confinement. It was an ordinary case of labor, with the exception of the very slight amount of hemorrhage that followed the expulsion of the child and the placenta. There was not sufficient hemorrhage to soil the linen. It was practically a "bloodless affair." The placenta itself was clean, and its surface of attachment was of a peculiar pale yellow color. This was my first attendance in the family, and I was complimented for the skill and neat ness with which I had managed the case, the mother saying that in her two previous labors the linen and bedding had been greatly soiled with blood. I accepted the compliment as gracefully as possible under the circumstances, and in due time bade them "good-night." I did not see my patient again until the third day, when I was summoned in regard to the lochial discharge, which had not yet appeared. Patient had had daily vaginal injections of weak bi-chloride solution, according to my instructions on the first visit, and these injections had passed from the vagina quite clear. There had been no sanguineous discharge, but, instead, a very scanty watery flow, barely enough to soil the napkin, and attributed by the nurse to the injections given. After a thorough examination of my patient, nothing of an abnormal character was found, except the apparent absence of the lochia. Remembering the anemic appearance of the placenta and absence of hemorrhage at the time of confinement, I concluded that the case needed no extra treatment. I kept a close watch of the patient, however, for a few days, only to find her doing well, and she made a rapid recovery. The scanty watery discharge continued for five or six days after delivery, and then apparently ceased altogether. I have never attempted to look up the literature on the subject, and as to suggestions for treatment, your humble servant is of the opinion, that in cases of scanty lochia, when pulse and temperature are normal, the uterus and soft parts in good condition, and there is an entire absence of any ominous symptoms, we may look for good results from fluid extract of non-interference, in liberal doses, carefully watching its effect. F. D. HULBURT, M.D. Reedsburg, Wis. Erysipelas. Editor MEDICAL WORLD:-Last winter we had numerous cases of erysipelas, and, having a great deal of confidence inthe suggestions of Prof. Waugh, I decided to adopt his treatment in such cases, and can say truthfully that I was not disappointed in a single ca-e. Some years ago I read in THE WORLD that a saturated solution of chloride of ammonia applied locally, would cure without fail, and as that had always given good results, it was continued externally, and the jaborandi internally, and my cases of erys pelas are no longer tortured with iodine and tincture of iron. The May WORLD just received. I notice sexual apathy receives considerable attention. My observation is that quite a large per cent. of women never have experienced any pleasure in the sexual congress. I have a lady patient, the mother of two children, married fifteen years, and never knew what an orgasm was until the last two years. She is now nearly forty years of age, and she only experiences the pleasurable orgasm when she takes the "topmost side." As to the attached placenta, as soon as the child is removed from the bed I grasp the womb with my left hand, make gentle traction on the cord with my right, and am generally able in a very few minutes to clear the woman. In my first practice I waited twenty minutes, and had some trouble in several cases. But since adopting the plan of removing the placenta immediately, I succeed better, and never yet went off and left the afterbirth to be expelled by the womb. The article from Dr. Barlow, page 182, is replete with good sense, and the subject should be thoroughly discussed. The idea of mileage regulating the fee should be a secondary consideration. The importance of the case should be taken into consideration, and should be the basis upon which the fee is made. Brethren, give the placenta a short rest, and let us have your views on this fee business. Sarcoxie, Mo. S. W. HOPKINS, M. D. Gonorrhea. Editor MEDICAL WORLD:--In the April number of THE MEDICAL WORLD, Dr H. E. Stroud, Oceanside, Cal., offered a prize of five dollars for the simplest, quickest and least harmful treatment of gonorrhea. I claim the prize, and will pay ten dollars for a better one. Give the patient two capsules of docuta sandal wood two hours after each meal. Use no injections, bathe the penis in hot water for ten minutes, morning, noon and night. Also let patient have a teaspoonful of Peacock's bromides, containing five drams of Merrell's fld. ext. of gelseminum every night. pain after urinating, and all aggravating symp In three days there will be no discharge, no toms will have ceased. The patient should continue the capsules twice daily for ten days after discharge has ceased. Dundas & Dicks A. J. ROE, M.D. capsules are those I use. Decatur, Ill. |