izer. The reasons for caution are apparent to the most unthinking. With this in view I would advocate the following:

1. Establish a chair in every medical college for the imparting of knowledge concerning anesthetization.

2. Engage scientific physicians, and pay them well for fulfilling this most responsible position.

3. Certificates should be issued only to those who prove themselves qualified.

4. Always have the patient submitted to examination by an expert.

5. Never allow a narcotic to be given with an anesthetic.

6. More operations will be entrusted to the surgeon's care.

7. The great dread on the part of the patient would be one-half reduced.

We should not discard the use of anesthetics, and retrograde to the antique and barbarous surgical methods, as a great many are now doing, or even to resort to frequent hypnotic suggestion, but we should more conscientiously guard and care for the lives intrusted to our solicitude.

WILLIAM HOOKER VAIL, M.D. 3611 Palm St., St. Louis, Mo.

The large quantity of tinct. of cantharides may alarm you-dr. j to oz. viij being the quantity usually used in hair tonics. But in combination with the glycerin, it is perfectly safe, even when applied to mucus surfaces. I have prescribed above for many years with unfailing results.

In treatment of ringworm, p. 307, July WORLD, nothing is better than the oldfashioned "citrine ointment." (See Griffith's Formulary), or ung. cocculus indicus. Both are dead shots." Milwaukee, Wis.

T. W. WILLIAMS.

The Pasteur Cure for Hydrophobia. Editor MEDICAL WORLD:-In the Journal Le Médecine of Brussels, of the 12th inst., quoting the Journal de Médecin of Paris, is given an account of a policeman of that city having been badly bitten by a mad dog. The next day he went to the Pasteur Institute, where he was treated for 18 days, during all of which time he vigorously followed the prescribed treatment and was discharged cured. "Last week," says the Paris medical journal, "he felt certain pains which excited the

suspicions of the doctor whom he consulted. That gentleman telephoned to the director of the Pasteur Institute, who replied that his trouble must be attributed to some other cause than hydrophobia, because he had left their Institute completely cured. At the end of two or three days, doubt was no longer possible; the case was clearly one of hydrophobia. He was taken to the hospital where he died last Sunday morning in frightful convulsions."

This case is likely to appear in the annals of the Pasteur Institute as one of their cures.

New York, N. Y. E. C. TOWNSEND.

On the other hand, we frequently have consumptive cases come to us from mountain districts, who had not been benefited by a residence there. After being here a while they have improved in health and many have recovered entirely. Abstract theories sometimes look well in print, but results are what physicians are after. These we have in San Diego, in the restoration to health of many cases of consumption, who came here to get well, and were not disappointed. Is this "bosh?' If so, let us have more of it. P. S. LEISENRING, M.D.

San Diego, Cal.

Antiseptic Treatment for Typhoid. EDITOR MEDICAL WORLD:-I am glad to report another case of typhoid fever, convalescent in short order, under antiseptic

treatment. The temperature ran from 101° in the morning to 1031 in the evening, with tenderness in the right iliac region and liquid stools. I gave 1-16 grain calomel every two hours, alternated with two grains sulfo-carbolate of zinc in a dram of elixir of lactated pepsin. To control the temperature, I gave a few doses of phenacetin, five grains every four hours. Milk diet. Patient was turned off on the 16th day, with a diet of liquids for a week longer. W. S. CLINE, M.D.

Woodstock, Va.

Quiz Department.

Questions are solicited for this column. Communications not accompanied by the proper name and address of the writer (not necessarily for publication) will not be noticed.

The great number of requests for private answers, for the information and benefit of the writer, makes it necessary for us to charge a fee for the time required. This fee will be from one to five dollars, according to the amount of research and writing required.

Sinusoidal Opening Following Gluteal Abscess.

Editor MEDICAL WORLD:-J. G., aged twenty-six, last August suffered with gluteal abscess, which formed near the arch of the ischial bone. When opened, it discharged a quantity of dark and very offensive pus, and instead of healing, the tract became fistulous and refused to heal. This tract was then laid open its entire length, well curetted and kept packed with iodeform gauze for about three months. assumed a perfectly healthy appearance and the patient was in splendid health. yet it refused to heal.

It

In the meantime a second fistulous opening, connecting with the former wound, appeared on opposite side of anus. Finding that nothing I could suggest did any good, the young man placed himself under the care of Dr. W. B. Rogers, of Memphis, Tenn. He laid both tracts open and thoroly curetted; the second tract yielded promptly to the treatment, and soon healed, but the first still refused to heal. Dr. Rogers continued to treat patient for about six months, but without

success.

The channel passes up near bowel, and is about four inches in depth, its upper half not larger than a lead pencil, and its external opening about three-fourths of an inch in diameter. It continues to discharge freely, and the pus is very offensive. The granulations seem to be healthy and every organ is in a healthy condition, with the exception of a sealding sensation in glans penis when urinating. There is no hereditary taint of any kind in the family, nor has patient ever contracted gonorrhea or syphilis.

Now, why does it not heal, and what will cause it to do so? Replies anxiously

awaited.

D. C. MCCAMPBELL, M.D.

Mt. Pleasant, Miss.

[A point you do not seem to have investigated is the possibility of tuberculosis. This might possibly have been the original cause of the abscess, as well as causing the remarkable delay in healing. Try another thoro curetting, and follow with daily washing of the sinus with mild solution of

The present symptoms are swelling, heat and pain, apparently deep seated. Also, during the night, cramps occur, until she becomes wild with pain.

The swelling increases until the skin becomes so tense that it assumes a glistening appearance. Redness is also present, and blue spots in places, but there is no open sore. She has been prescribed for by a good many physicians, but as yet has received no benefit.

Whitewater, Kan. J. P. REES, M. D.

[Dr. John B. Deaver thinks the case is one of phlebitis, and advises alterative doses of potassium iodid, and an elastic stocking support reaching up to the body. This support can be removed at night and put on again in the morning. He doesn't think this case will entirely recover (many of them do not), but he hopes that this course will give comfort, at least.-ED.]

A Remarkable Nervous Condition. Editor MEDICAL WORLD:-I am desirous of submitting for your consideration a most unique case which has recently been causing me much mental trouble and perturbation. M. McD., a bright, intelligent lad of seventeen summers, began three years ago to have spasmodic actions in his sleep, consisting of difficult breathing, some twitching and incoherent muttering. These attacks occurred about once a fortnight and were followed by general

malaise and some headache of short duration. They occur now during waking hours, and are becoming more frequent. They come on without any premonition.

He suddenly begins to talk loudly and incoherently and to act in a boisterous man

ner.

Several times while in this uncontrollable state he walked aimlessly around from one room to another. On one or two occasions he left his bed-room partly undressed and went into other rooms before he could be restrained. Recently he became very demonstrative in church, talking aloud and incoherently and resisting efforts to put him out. After a few minutes he became submissive and obedient as a child. He is unconscious during these spells and has no premonition of them, but afterwards realizes that something has occurred which he cannot describe.

His physical health is excellent. He is growing fairly well and is quite active for a boy of his age. A peculiar feature of his condition is that his temperature ranges from 99.2 to 100.3 and the pulse is generally about 100.

In the way of treatment I put him on the bromids, arsenic and alkaloidals. One year ago, suspecting that the trouble might be of reflex origin, I performed circumcision on him. Of all modes of treatment the bromids appear to be the most effective in prolonging the periods between the attacks.

I trust that some of your numerous readers, especially Dr. Waugh, will give an opinion as to diagnosis and most appropriate treatment. VERITAS.

Treatment Wanted for Vertigo. Editor MEDICAL WORLD: Mrs. R., aged 50, mother of four children, all about grown. About every three or four days she becomes very dizzy early in the morning, sometimes before she gets up from bed. She will be dizzy perhaps a half or one hour, then she will turn sick at stomach and vomit a few mouthfuls of slimy froth. She will continue in this condition sometimes one and at other times three hours. No pain, only sometimes a little headache. She will feel as well as ever after a few hours, until the next attack, three or four days after, when she will have the same trouble. She has been afflicted this way since the first of January, '98. I have treated her for indigestion, torpid liver and constipation; also have given her medicine for the kidneys, but nothing appears to reach her case or relieve her, only a very little.

Kindly diagnose and give me a line of treatment that will give relief or cure my

case. She is a blonde and quite fleshy; weight about 145 or 150 pounds.

Harbine, Neb. E. E. REYNOLDS, M.D. [This patient seems to be suffering from myasthenia gastrica, or weakness of the muscle-fiber of the stomach. The trouble was locally and colloquially known as water-brash. Careful dieting is necessary, an excess of sweets and fats being avoided, and the food in general consisting of a combination of finely-divided, tender, lean meats, the more nutritious and easilydigested cereals, a small quantity of vegetables which do not possess a great quantity of waste matter, fresh butter and some sweets. Preparations of eggs without the yolks are often well borne. Strychnin should be given three times daily in 1-60 grain doses. Very small doses of ipecac and also quinin have had excellent results.-ED.]

Removal of Superfluous Hair. Editor MEDICAL WORLD:-Can you give me a formula how to remove superfluous hair from a woman's face, and oblige Yours fraternally,

Fulda, Ohio. DR. JOHN G. ALBERS. [There is nothing to give permanent relief save electrolysis. Depilatories but eventually increase the trouble. Still, of these, calcium sulphide made into a paste with magnesia in the proportion of 1 to 4 has proven best. Let it dry on the skin and brush off. Apply almond oil for the resulting irritation.-ED.]

Is this Traumatic Epilepsy? Editor MEDICAL WORLD:-I wish advice from yourself and readers on the following case:

Mrs. N., age 43, married when she was 27. Her first child, a daughter, was born August, 1885. Four boys were born February, 1888, December, 1890, March, 1894, and May, 1896. I attended her in the last two labors, both of which were normal and uneventful. All five children are living and robust.

The cervix uteri was torn in the first labor. This the most celebrated gynecologist of this city repaired by operation, April, 1887.

Between the time of the operation and the birth of the second child "fainty spells" occurred, which proved to be attacks of epilepsy. They occur at intervals of two or three months, invariably in the night. There may be one explosive seizure, or a series of mild ones. There is a

history of piles from 1888. For these she was treated in 1893, with some improvement but not wholly cured. Otherwise the health is good.

Inasmuch as the seizures developed after the operation on the cervix, the husband is fixed in the belief that they are due to the manner in which that operation was performed. His opinion is that cicatricial tissue holding nerve filaments in its grasp. and which ought to have been removed. was covered up. He is in favor of another operation for the purpose of dissecting out the scar.

I have thus far hesitated to advise them to incur the attending expense, as, to my mind, there is no certainty that she would be benefited by the operation. She has not been treated for the epileptic condition.

Please give counsel in regard to the case in general, and particularly concerning the advisability of a second operation.

J. S. DODDS, M.D. 6229 Station St., Pittsburg, Pa. [We are loth to advise another operation until other means have been exhausted, and it seems these have not even been tried. Give the usual treatment, bromids, etc., and look carefully for some brain lesion.-ED.]

Neuralgia, Either Anemic or Reflex. Editor MEDICAL WORLD:-Mrs. F., aged about 40, has had chronic neuralgia about 18 years, the location varying in her head, back or stomach. She menstruates regularly, is the mother of several healthy children. She had a slight laceration of cervix years ago. She has some leucorrhea and at times some constipation and dyspepsia. She is very anemic, thin and emaciated, but not more so than she has been for a long while. She is able to be up and helps about the house work.

We take the following formula for compound oxygen from the Druggists' Circular :

A

1. "Compound oxygen. Keep dark." colorless aqueous solution of nitrate of ammonia and nitrate of lead, the two salts being in nearly equal proportions, and together forming about three per cent. of the solution.

2.Oxygen aquæ, for digestion. Keep cool." One of the grades of compound oxygen, a colorless, odorless and tasteless liquid, found to be water of a commendable degree of purity, quite free from sophistications; probably this is the original compound oxygen.

3. 66 Compound oxygen." Dr. Green's, 1880. An aqueous solution of nitrate of ammonium with a very little nitrate of lead.

4. "Compound oxygen." A white crystalline solid, obtained for analysis about five years ago,

and then found to be nitrate of ammonia alone. "Contains all the vitalizing elements of the atmosphere, but combined in a different way." 5. Compound oxygen." Sent out from Boston. A colored, fragrant liquid, consisting of alcohol, chloroform and balsam of tolu.

6. "Compound oxygen." Dr. O'Leary. Contained alcohol, ehloroform, bitter almond, balsam of tolu and red coloring matter.

The first two samples were sent to Prof. Prescott for analysis, by the editor of Good Health, who remarked as follows: "It should be remembered that this solution is to be used by inhalation, a teaspoonful being added to a small quantity of warm water, thru which air is drawn by means of a glass tube. Neither of the substances contained in the solution is volatile at the temperature at which the solution is used, so that it is impossible for any medicinal property whatever to be imparted by this boasted remedy, except what comes from the warm water, which is itself very healing when used in this way, as we have demonstrated in hundreds of cases. Prof. Prescott also tested the vapor given off from the pure solution when it was boiled, but found nothing more than the vapor of water."

The 66 compound oxygen" is usually accompanied by what the manufacturers are pleased to call "oxygen aquæ," which they recommend their patients to take as an aid to digestion. The analysis of this showed it to contain nothing more than water. The most careful tests revealed nothing else. -- Secret Nostrums and Systems.

ELEPIZONE.

Below we give a formula which, according to an analysis made by our chemist, fairly represents this "wonderful curative agent." They say that "Our purpose will be served if we can be the means of rescuing the unwary and unfortunate from the unprincipled hands of quacks, charlatans, empirics, and vendors of poisonous patent medicines which ruin thousands annually and which makes it the duty of some educated person to check their wholesale slaughter." This wonderful curative agent" costs the consumer only $4.00 per pint:

66