Mutton tallow BEGGS'S FEVER AND AGUE PILLS. Beggs's Fever and Ague Pills, for radical and permanent cure of ague upon "purely scientific principles," consists, according to our examination, as follows: Each pill contains one grain of quinia sulphate, one-half grain cinchonia sulphate, rhubarb one grain, with a little flavoring. These pills are put up in a half-ounce plain flint vial; they are uncoated, 32 pills in a bottle, balance of space filled with powdered licorice root. A small slip with title, uses, and directions surrounds the bottle, and a red lead wrapper, type set, surrounds the whole. This is an excellent ague cure. -New Idea. Venice turpentine Balsam fir 6 dr. 30 gr. 30 gr. 30 gr. .30 gr. 30 gr. Spread on thin leather or cloth and apply to affected part. GARFIELD TEA. Manufactured by the Stillman Remedies Co., 58 West 55th Street, New York. "The Garfield Tea, Stillman's Liver and Kidney Cure, is unrivaled." It is composed wholly of herbs; a natural remedy, potent and harmless. Directions :-Place a heaping teaspoonful of the herbs in a tin cup or vessel; add a teacupful of boiling water, let the cup remain on the fire until the water boils up, then cover and remove from the fire; strain and drink every night on retiring. The tea may also be made by simply pouring boiling water on the herbs, letting stand a few hours; drink before retiring. Price of small package is 25 cents. Our examination showed it to contain chiefly senna leaves and crushed couch-grass. There are perhaps small amounts of other drugs present; but if so, they are relatively of little importance. -New Idea. HAGAN'S MAGNOLIA BALM. Said to resemble the genuine. Pure oxide of zinc 1 oz. 4 oz. 1 dr. 25 drops. Take of Senna Manna Rochelle salts Fennel, bruised Boiling water Sugar Oil of wintergreen 4 dr. 1 oz. Rose-water Glycerine Perfume 8 fl. oz. 8 oz. Sufficient. Pour the water on the ingredients. Cover and macerate until cool; strain and add the sugar, dissolve by agitation and add oil of wintergreen to flavor.j -Lillard's Prac. Hints and Formulas. HEISKELL'S TETTER OINTMENT. Heiskell's Tetter Ointment, according to the Western Druggist, is said to be simply cerate of subacetate of lead. -King's American Dispensatory. Laxative Bromo Quinine Tablets. THE MEDICAL WORLD, Philadelphia, Pa.; Gentlemen: We have your favor of April 18th stating that you have two inquiries for the formula of our Laxative Bromo Quinine Tablets. You ask what we would be willing to tell about it. Will say that our Mr. Grove is the inventor of this preparation and he is the only one who knows the formula. Will state further that we would not reveal the formula for one hundred thousand dollars. St. Louis, Mo., 4, 21, 98. Yours truly, PARIS MEDICINE CO. 2 drs. 6 fl. drs. 2 fl. drs. 6 dr. 2 oz. 20 drops. Comp. spirits ammonia 2 dr. UREMIC HEADACHE. Rectified spirits Tinct. opium. 1 dr. Syrup saffron 1 oz. Spirit nitrous ether Infusion broom Mix. Used as an antacid, anodyne and hypnotic. -Pharm. Record. Wineglassful three times a day. ANTI-HYSTERIA PILLS. 6 fl. ozs. Current Medical Thought. Our Most Deadly Enemy. If American troops invade Cuba, the Spaniards will have a formidable ally in their work of destruction. Yellow fever, hitherto their enemy, will now become their friend. It is said that more Spanish soldiers have been slain by this foe than by the insurgents, but those who have survived are now, it is to be presumed, immune-invulnerable to its attack. Our men, on the other hand, have no such immunity, and will be sent into Cuba toward that period of the year when the fever is most to be dreaded. At the instance, it is said, of Prof. John Guitéras, instructions have been issued to the United States Army, giving information as to the best method of preserving health under the conditions to which the troops will be exposed in Cuba. It is not likely, however, that the instructions as to bathing the feet, as to the ts of boiled water only, as to the avoidance of alcohol and other excesses, as to the means of protection from the sun, as to the constant provision of the necessary lemon, etc., will be possible of exact fulfilment under all the conditions of warfare, or will be scrupulously observed when so possible; and we must be prepared to lament the death of thousands of our bravest and best citizens, not alone from bullet and bayonet, but from pestilence. It has been asked whether it would not be possible to employ preventive inoculation of the American troops as a safeguard against yellow fever. As to the possibility of this measure being carried out on so large a scale as would be necessary, as to the risk of disabling the army thereby and hampering its operations, and, moreover, as to the chances of success, grave doubts must be expressed. Unquestionably the subject will be taken into consideration by the Surgeon General and his advisers, and we may be assured that whatever decision they may come to, will be the wisest. According to the newspapers, it is the intention of the military authorities to avail themselves of the services of a large number of physicians, and it is said that the offers of medical assistance on file in the War and Navy Departments are sufficiently numerous to do away with any apprehension of failure to secure the number of medical officers needed. It is not only against yellow fever, however, that medical and surgical skill will be required. The discussions before surgical societies here and abroad, concerning the effect of the new bullets and other recent changes in weapons, show that much is to be learned concerning the best means of helping the wounded; while naval warfare under modern conditions is almost an unknown problem. It is thus probable that the medical corps of the United States Army and Navy will have to occupy a very prominent place in the contest. If war comes, as now seems inevitable, we must desire it to be sharp and short, tho this is not to be anticipated; and, short or long, we cannot doubt that the United States will triumph, tho at the cost of many lives and much suffering. Let us hope, however, that the unexpected will happen; that, by mediation of a friendly power, or otherwise, both Spain and America may be spared the dangers, the disasters, and the brutalizing influences of war.-Phila. Polyclinic. Love's Logic. "The greatest thing in the world," says Drummond, "is Love," but the most valuable intrinsically is work, and the one essential for proper and successful work is rest— proper rest at the proper time. Surely there is no word that can fall upon the ear of the worn and weary one, so sweet as rest. Holy Writ has presented an attractive thought for the "after life" in "Where the wicked cease from troubling and the weary are at rest." All animate nature is an epitome of work, but the corollary of work in every instance is rest. But let it be remembered that in every case too much work means wastewreck, too much rest means rust-death. Hilton, a great medical authority, wrote a valuable volume on "Rest," as a remedial agent for surgical injuries and diseases. As an illustration, we "set" the broken bone, apply the immobile splint with bandage to hold the same; in brief, we place the bones at rest, and nature does the rest. So, too, in the injured or inflamed joint, the plaster paris and bandage immobilizes, rests the part, and nature does the healing. Thus in the entire domain of disease nature furnishes the cue to the doctor, and if he be wise, he reads easily the lines which follow after. The best work is work which is most congenial to the worker, that which can be done with the greatest amount of enthusiasm; and the best rest is that which is most agreeable, other things being equal. It will be admitted without argument, I think, that there is nowhere on earth to-day among the intelligent classes a more prevalent spirit of "unrest" than in America, certainly a condition which some one has termed, very appropriately, "Americanitis." There is surely here developing to an enormous degree that misdirection and demoralization of nerve energy which might almost be called "nervous prostitution," rather than "nervous prostration," dependent largely upon a thirst for notoriety, gold, power and place rather than a desire for character building. The three A's are in the saddle, as it were -Ambition, Anxiety, Avarice. We must come down from the mountain into the peaceful valley, call a halt, get off our high horse, throw aside our money bags and again hug more closely nature and take lessons from her, pursuing the paths of peace, philosophy and the gentle Nazarene, realize that worth is more than wealth, manhood more than money, love more than luxury, charity more than coupons, brotherly kindness more than bonds. After all, what does it profit a man if he gain the whole world, or a good part of it, if he loses health, peace of mind and life, not to speak of his soul. Let us be in sympathy with the thought of Elbert Hubbard, "At the last nothing is very serious. Mortals give things an importance quite beyond their gravity. We shall slide out of this life into another, and the day of our death, like the day of our birth, will be shrouded in forgetfulness. And if we do remember any of our trials and troubles it will be only to smile that they should ever have caused us a pang." Rest, then, is absolutely necessary for all, and the first query is, How shall we rest? I answer, by sleeping eight full hours out of the twenty-four under the most favorable conditions as to fresh air, etc. 2. Proper rest does not mean necessarily absolute inaction, but a certain amount of change of mental and physical occupation. We rest from work often by playing to good advantage. When shall we rest? 1. As near as may be, one day out of seven. 2. An annual vacation, with complete change of climate and scene, from ten to thirty days. 3. Always when weary, unless we happen. to be "born tired." Where shall we rest? 1. In a comfortable bed on a firm hair mattress, at least eight hours out of the twenty-four. 2. In our library reading good books one or two hours a day; in places indoors and out taking a reasonable amount of exercise (unless our regular work be muscular) preferably walking in park or field, or on the back of a horse, remembering that a most excellent thing for the inside of a man, woman or child is the outside of a horse. 3. Complete change of climate, scene, environment, companionship at least once a year. On general principles the one living on the coast should go to the mountains and vice versa. For tired worn-out nerves a sea voyage is best, the rarefied air of the mountains being too stimulating. The one who most appreciates the thought. that the best tonic is hard work and the best life preserver is a quiet and contented mind, devoid of envy, sympathetic and kind, unacquainted with unrest, quainted with unrest, will live longest this side the beautiful hills of eternity, his final place of rest.-DR. I. N. LOVE, in Medical Mirror. ++ Treatment of Rectal Diseases. (Continued from page 179 of April issue.) Hypodermic Injection of Carbolic Acid.This method of treatment I have been much interested in, being a pioneer in its use. I have had many good results from it. I prepare my patients in the same way as I do for the ligature or the clamp and cautery. I now produce atony of the sphincter muscle before operating upon hemorrhoids. I have patient strain the tumors down by sitting over a commode or water-closet. Have them lie down on my table on either side with knees drawn up to abdomen. The combina tion I use is as follows: B Carbolic acid (Calvert's). Zi 3iij M. by putting bottle in hot water. There are many other combinations, but the carbolic acid is the effective ingredient in them all. I suppose it makes but little difference what the carbolic acid is mixed with. I inject each tumor with the above. About as good a rule to govern the quantity used as I know of is to inject sufficient into each tumor to turn it white. This takes drops. Large piles I from three to fifte two or three places. I frequently inject in now oil the tumors well with vaseline containing boracic acid and press them into rectum. I apply iodoform gauze and cotton outside, and fasten with a bandage. One part of carbolic acid to three of olive oil generally produces sloughing. In order to have a permanent cure we necessarily must have sloughing. I never have been able to eradicate piles with this method of treatment without sloughing. I know temporary relief may be given by using a weak solution of the acid, but in a few months' time the piles return. Patients that I cured twenty-five years ago, where sloughing took place, have had no return. Objections to the Treatment.-Sometimes we have severe pain for several days. This can be controlled by the free use of sulphate of morphine. Occasionally, but seldom, the catheter has to be used. We may have more extensive sloughing than we desire. This hardly ever occur if the pile only is injected. I have seen a few cases of marginal abscesses and fistula result from the treatment. I have seen one case of stricture. I do not believe there is any more danger of septicemia than there is from any other method of treatment. I do not believe there is carbolic acid enough used to affect the kidneys. I have never seen a case of heart clot. I have had a few cases of secondary hemorrhage, but so I have had from the ligature. There are other methods of treatment of hemorrhoids, but he three given are the only ones really worthy of mention. I do not believe any others are used to any extent in this country. Whitehead's method for a time was used, but it is so difficult to perform and is no better, and in my estimation not as good as the methods I have given, and it has been almost entirely discarded. FISTULA. In the treatment of fistula of ano and rectum I prepare my patient in the same manner as I do in piles. There are only two methods of treatment of fistula worthy of mention, to wit, the knife and ligature. Complete fistula I treat as follows with the knife I pass a grooved director through the fistula from the outside; I introduce the forefinger, catch the point of the director, and withdraw it from the anus; now cut all of the intervening tissue between director and restum; search for side-tracks, and if found lay them open; if any large arteries are found ligate them. If the fistula is incomplete make it complete and treat in the same way. If of the horseshoe variety, pass your grooved director as far as you can, and lay open; now pass your director farther and again cut. Continue this process until you have reached the limit of the sinus. It is hardly necessary to curette; I seldom ever do it any more. I now syringe with bichloride of mercury, 1:5,000, or the hydrogen dioxide, 1:10, does equally as well, if not better. Both seem to have the effect of controlling hemorrhage. I now pack the wound rather tightly with iodoform gauze; over this I place absorbent cotton and fasten with a T-bandage. I give one-fourth grain of sulphate of morphine to control pain and to keep the bowels from acting. The third or fourth day I remove the dressing, wash with bichloride of mercury or hydrogen dioxide, and lightly press the gauze into cut, cover with cotton and fasten. About the fifth day I dress again, and aim to have an action of the bowels. Every second day re-dress. It takes from two weeks to six or eight for a fistula to heal. This depends upon the extent of fistula and operation, as well as upon the recuperative power of the patient. The Ligature.-Prepare the patient in same way as for knife. I use the rubber ligature. I apply it as follows: Thread a common silver probe with the ligature; oil it well with vaseline; pass it through fistula from outside; pass finger into bowel and draw out the end of the probe; the probe will bend, allowing this to be easily done. I now catch the end of the probe with a tooth-forceps and withdraw it; this draws the ligature into fistula. I now pass both ends of ligature through a perforated lead-shot. Draw the ligature down with considerable force, slipping the shot up. When you have used all the tension you think the ligature will bear, compress the shot with tooth-forceps ber ligatures we cannot tie. In long fistulas I sometimes put on two shot; compress the outside one, and if necessary after a few days to tighten the ligature, press the upper one up farther upon the ligature and compress it. The ligature will cut through in from three to ten days, depending upon the amount of tissue to be cut. Rub It is necessary to keep the parts clean in using the ligature. This may be done with hydrogen dioxide or a saturated solution of boracic acid. I keep the indoform gauze and cotton applied. The ligature is painful for the first day or two. We cannot reach sidetracks or sinuses with it. In consumptive cases we have, I think, better results from the ligature than we do from the knife. I do not think it is a good idea to keep fistulous patients very long in bed. I try |