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severe pain in the region of the right nipple, op- should have little difficulty in using the drugs in pression in base of right lung and pleuritic pains place of the alkaloids. It must not be forgotten, in the right thoracic region as sequels. Tempera- however, that there may be several alkaloids in ture 104° when first seen, respiration 36.

No

a plant which may be synergistic or antagonistic; cough thruout attack. Fever fluctuating daily, in which event the crude extract does not proranging from 101° to 102'/2o. Respiration, pulse duce the effect of the single alkaloid, as it conand facial expression characteristic of ordinary tains all the alkaloids. It is really not a diferent pneumonia. Slight invasion of base of left lung

mode; it is prescribing the alkaloids, the activ noted on fourth day, but not progressiv or in the principles, in place of the crude extracts.-ED.] right lung, and on same date left cheek became a well-defined area as if painted a reddish-brown color, but this disappeared within a day and the

Cataract. end of nose assumed an erysipeloid appearance;

Editor MEDICAL WORLD:Will you kindly inanyway, erysipelas or erythema, it invaded the form me whether or not there is a serum or colforehead, and some parts under chin; no swelling lyrum or eyewash for removing cataract of the around eyes; in fact, there was no pruritus. crystalline lens? I am under the impression that

As evidence of its mildness, ichthyol effected I read of such recently in some journal. I conmuch relief; not forgetting to name zn. oxid un- cluded if there was such you would know of it guentum first used. Patient never delirious, no and where I could find it. typhoid symptoms, no epistaxis. Evidences well Zelienople, Pa. A. V. CUNNINGHAM, M.D. markt of rapid resolution on ninth day, respira- [The fresh juice of Senecio cineraria (Cinertion and fever lowered, appetite and sleep nearly aria maritima, L.), the common "dusty miller" of normal; and the erysipelas or erythema disap- our mother's garden, has the reputed virtue of pearing. Was this a “bastard" pneumonia (better "absorbing cataract," when instilled into the eye. classified pneumonitis), or what was it?

A proprietary medicin of the alleged juice of the Was not the facial inflammation erythema, or cineraria maritima is offered for sale, and can be was it a form of herpes or eczema, even if there procured thru any druggist. was only a slight exudation? If pneumonia, why Our best oculists deny that any medication is not the cough? Even if Flint said such a condi- of any avail in cases of cataract. Phosiorus, in tion can exist-we cannot so consider it unless oil, has likewise been reputed to have curativ conditionally.

VERITAS.

power.

It is rubbed on the forehead, and inCanada.

sti into the eye. We ave no personal expe(We see no reason whatever to doubt your diag- rience with either the juice of the dusty miller nosis. While we have never seen a pneumonia nor with the phosforus, and above information is without accompanying cough, we do not question merely given on your request and neither is the experiences reported by such observers as recommended.--Ed.] Flint, for he is not alone in such statements. The consensus of opinion is rapidly crystallizing into

Scopolamin for Twilight Sleep. the belief that pneumonia is always a microbic infection. It is quite possible that you had a

EDITOR MEDICAL WORLD :-Do you know anymixt infection, with autoinoculation of the parts

thing about scopolamin, which seems to be used at seeming to be infected with erysipelas.

Kansas City, Mo., in a maternity hospital as the There is no way, now, of settling the questions

twilight treatment? I got this out of the newsyou raise. We can only make the hypothesis and

papers.

J. PAUL JONES. theorize on the solution.-E..]

Carter, Okla.

(Scopolamin has been in common use for a number of years.

The Abbott Alkaloidal ComCandler's “Diseases of Children.”

pany have been advertising it for a long time, and EDITOR MEDICAL WORLD:-Looking over the will be glad to send you literature. It has been book reviews in January issue I was imprest ciscust in our pages in the past. See, for instance, with your opinion on Candler's book of “Diseases July, 1914, World, page 292; August, 1914, pages of Children," and sent for it; but was greatly dis- 318-321 : September, 1914, pages 366-368 ; and appointed when I examined it, as I found the November, 1914, page 451. -Ed.] author uses the alkaloidal method of therapy, which you did not mention. Such treatment is of no use to the general practician who after many

Removal of Powder Stains. years of practise is used to the general interna- DEAR DR. TAYLOR: I have a case in which I am tional therapy, as he cannot start anew a different very much interested and want your help and mode of drug therapy peculiar to a certain class advice: What will remove (if anything) gunof physicians. I think you should have men- powder stains from skin except mechanical tioned it.

Ś. SEILIKOVITCH, M.D. means? Is there any drug or medicin that I can 935 S. 3d St., Philadelphia,

apply, and if so, what is it, and how use it? Will (We agree with you that we should have stated give brief history of case. Boy, 12 years old (only in our review that the author uses the alkaloidal child of well-to-do parents, highly respectable) therapy in his methods. We endeavor to men- tried to celebrate Christmas morning by filling one tion such things in our reviews. However, there end of a gas pipe 112 inches in diameter and 12 is not an absolute difference between alkaloidal inches long with paper wad to keep powder from therapy and the commoner forms of plant drugs. running thru pipe when poured in. He then The ordinary extracts the same plants as the stuck the end with paper in it in the snow, alkaloids are derived from contain a portion of poured in about half pound powder (did not the alkaloid, and the only difficulty present is to tamp it), then proceeded to drop lighted match gauge the dose of the cruder extract to that given upon loose powder in the pipe, and caught the for the separated alkaloid. Being familiar with full flash of powder in face, burning both ears, the older remedies by many years' experience, you both eyes, nose, mouth, tongue and neck. I have

a

about all we can do in absence of specific details as to symptomatology.-ED.)

Pockmarks. DEAR DR. TAYLOR:-Kindly let me know what is now considered the best means of removing pockmarks. H. F. WRIGHT, M.D., D.O.

El Paso, Tex.

(There is no method of removal of the pits left following smallpox.-ED.)

succeeded to my satisfaction and to satisfaction of all in treating the burns. He will see to read with one eye and can see fairly well with other; will possibly see to read some with it. Have got excellent results so far as burns and scarification are concerned, but there are hundreds, possibly thousand, powder stains. Some grains of powder look to be almost whole, but rather deeply buried beneath epidermis. I commenced trying to help his appearance just as soon as possible. I have and am yet using glycerin and peroxid. Hope you will see fit to help me.

FRED. R. GOBBEL. English, Ind.

(We fear you will never be able to get satisfactory results where the imbedded grains are so numerous and so deeply bedded in the skin.

Variot's plan of treatment follows: A concentrated solution of tannin is tattooed into the skin over the stain; then a silver nitrate pencil is vigorously rubbed over the tattooing. Within a few days a closely adherent dark crust forms. After fourteen to sixteen days the crust separates spontaneously, the corium and epidermis underneath having been repaired, and the site of operation presents a faint pinkish scar, which gradually fades to the normal color of the skin. The operation may be repeated over the same site, if necessary.

Brault uses 30 grams of chlorid of zinc to 40 grams of water, and tattoos in the same manner.

Not over two square inches of skin should be treated by either method at one séance.

Ohmann-Dumesnil attempts removal of marks by digesting the encapsulating connectiv tissue so it can be carried away by the lymphatics. He uses glycerole of papoid or caroid, well tattooed in, followed by a dressing of the same, and covering with gauze, which is removed after three days. It is of doubtful superiority to the other methods.

Some of the larger and deeper marks will be best removed by electrolysis or by the epidermal punch, under local anesthesia. It will be readily appreciated that extreme patience will be required, both on the part of the patient and the operator, whatever method be selected, and you should be a little chary of promising much by any method, as results are frequently discouraging, even after repeated efforts.-ED.)

Hyperidrosis. DEAR DR. TAYLOR:-On a visit to the country this week I saw a case I will report and ask the fraternity to give some light on how to treat such a patient. A young lady of 16 years has sweating of both hands and feet all the year around. In summer time she leaves a track going barefoot on ground and over the floor. I felt both hands and they were sweating just up to wrist, palms moister than you would be in a hot day in July or August. Feet sweat same as hands so that stockings are wet all the time. In sewing the garment is so moist that she can hardly do a decent job of work on it.

Her general health is good as anybody's. No other trouble. This has been of long-standingover ten years. I have never treated her for it. The trouble is unique and hence I am reporting it for advice as to what sort of a course to adopt for a cure.

Lives on a farm and does lots of work and has no other complaint. This greatly annoys her all the time.

Any advice or suggestion as to a remedy or remedies will be very thankfully received. Lamar, Mo.

DR. W. L. GRIFFIN. (We think if you will have the hands and feet soakt in a solution of potassium permanganate for ten minutes twice daily you will be able to produce

Half a teaspoonful of the crystals to a large basin of water will be strong enuf. She should have two or more pairs of shoes, and wear them in alternation. Fresh stockings should be worn each day. A dusting powder made up of a dram of salicylic acid to 2 or 3 ounces of impalpably powdered boric acid should be used after the potassium permanganate bath, and it might be well to wear stockings thru the night, and to dust their inner surfaces freely with this powder. A dram of formaldehyde solution to a pint of water makes another very serviceable bath, but must not be used in the presence of any excoriation.

Agaricin may be given internally, 1/10 grain tablets being employed. Give one tablet every hour in the morning till three or four are taken. ED.)

a cure.

MEDICAL FRAUDS.

Numbness. EDITOR MEDICAL WORLD:--I would like to know what will relieve numbness in a railroad section hand 70 years old. Has always been hearty, but for last year the numbness has gotten so bad he had to quit work, and now can hardly get around, at times. The numbness is in hands, ankles and feet largely, but some in forearms and from hips down. Sometimes pricking-like sensations, like needles sticking him. Have had him on the iodids, also strychnia 1/60th, and given some salol. All to no avail. He eats and sleeps moderately well.

Conover, Ohio. L. R. EMERICK, M.D.

[You must first ascertain the cause of the “numbness." It is not rare to have rheumatism manifested in this form. Examin the heart and kidneys thoroly. You did not give enuf strychnin to test it. It is often necessary to give as high as 1/20 grain, every four hours, to produce an effect. If you have a sphygmomanometer, test his blood pressure. If you determin the cause of the sensation, we will be glad to suggest remedial measures, if the therapy is not then clear to you. This is

The Fulton Compounds. DEAR DR. TAYLOR:—Please explain to me the scientific basis of the “Bright's disease, diabetes and kidney disease," as per a booklet received from J. J. Fulton Co., San Francisco, Cal. 01 St. Miguel, Havana, Cuba. J. ANTIGA, M.D.

Questions very frequently askt us to give "scientific basis" of nostrums remind us of a series of illustrated jokes running in the Philadelphia Bulletin, a daily paper, entitled “It Can't Be Done.' One recent cartoon depicted a very slender man endeavoring to pull up a very steep hill a large

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sled on which was seated a buxom madam of great proportions. The legend quoted above explained the young man's predicament. It also very appropriately applies to efforts to find a scientific basis for fraud medicins, because they have none.

The action of many diabetes remedies is simply diuretic. The diluted urin is of lower specific gravity than that passed previously by the patient, and thus a fallacious condition is produced which the unobserving will consider an improvement, and he may be induced to write a testimonial on the strength of it.

The Fulton remedies have been referred to in June, 1914, WORLD, page 255, and August, 1912, page 358.-ED.)

claims made for this herbal tea can be substantiated by any person. Only recently have I had inquiries about it.

Robert DENNEY. Melbourne, Australia.

(We quote the following from “Nostrums and Quackery,” second edition, pages 236 and 237:

A sample of "Dye's mitchella compound" was examined botanically for us by Prof. Wm. Baker Day, of the University of Illinois. Professor Day writes as follows:

I have examined botanically a sample of "mitchella copound." The sample consists apparently of a mixture of vegetable material, chiefly fragments of leaves, roots and bark, among which I have been able to identify the following:

Mitchella repens-herb-commonly known as partridge berry or squaw-vine.

Chamælirium luteum-rhizome and roots (Helonias dioica). commonly known as starwort or false unicorn root.

Cornus florida-bark of the root---commonly known flowering dogwood.

Cypripedium pubescens or Cypripedium parrifiorum, monly known as ladies' slipper.

All of these drugs have been used at some time as medicinal agents, but, with the exception of ladies' slipper, have long been practically discarded as useless. Cypripedium, while official, is so little employed as a remedy that few text-books even mention it. Mitchella compound is, in short, but one more of the innumerable cure-alls on the market in which discarded, unrecognized or useless drugs are prest into service and invested with miraculous virtues.

Dyesells this mitchella compound at $1 per box. -Ed.)

com

Viavi. EDITOR MEDICAL WORLD:- I would like to ask you what you know about the "Viavi" treatment sent out by The Viavi Co., of New York. Are they regular practicians or frauds? Corning, N. Y.

A. F. SMITH. (Viavi was discust in The World for October, 1912, pages 452-454.-ED.)

More Lucky Stones. Editor MEDICAL WORLD :-Inclosed you will find circular of a fake now doing business at Natchez, Miss. I inclose this, hoping it will give our Mississippi brethren some chance to look into the matter.

A World READER: Ark. [The following is a reproduction in small type of the circular.-En.]

When all other doctors fail call on Miss Hattie Jackson, the world's renown doctor. Years in the medium business. 4 William St., Natchez, Miss. LADIES AND GENTLEMEN:

Take notice that I have the best Lucky Pieces and Lucky Powder that will cause Speedy Marriages and bring Lovers together without fail. The only iinporters in America of White and Black Lode Stone that bring luck to the owner. My St. Denies Powder and Candles are the very best articles for all kinds of Family troubles, Court affairs and against your enemies. Use the home Powders which keep peace and happiness all around. It prevent all kinds of Conjuration or Hoodoo trouble.

Do not let yourself get fooled by imitators, but get the right goods for your money. Write for circulars of proof, and inclose two-cent stamp for answer. Consultation letters must be accompanied by $1 to be attended to, or no answer will be returned.

I have all kinds of instruments for locating Hidden Treasures and lost Property, also Indian Root, Herbs, Barks, etc. Also the best Indian Oils. Salves and Rubbing Liniments to cure all kinds of Blood Poisoning, Rheumatism, Pains, Swellings, Sores and all kinds of Conjured Sickness of many years past. My goods are all first-class quality and will give satisfaition if used according to direction.

Goods delivered true and safe in or out of the city. Orders and correspondence letters promptly attended to as will be directed.

My Medicine is $5, $10, $15 and $20 a treatment, depending on how long you have been sick. My Luck Pieces are $7.50, $10, $20 and $25. The more you pay for one the stronger it is and the longer it lasts you. My Love Powders a all $1.10 a package. Lode Stone, $1.10 a package. Give me a trial and be convinced.

Respectfully,

Miss Hattie JACKSON. [This "renown doctor" must be a rival to Capt. Rand, mentioned in February World, page 77. She calls herself a "doctor" in the circular, and may be amenable to the medical practise act of her state. -Ed.)

Mitchella Compound. Editor MEDICAL WORLD:~I would be obliged to you if you could tell me the formula for the herbs employed in the “painless motherhood" remedy of Dr. J. H. Dye Medical Institute, Lewis Block, Buffalo, N. Y. It has been on the market for the last thirty years. I am curious to ascertain if the

CURRENT MEDICAL THOUGHT.

Gleanings from Current Literature. Woolens held over from last winter should be washt before wearing. They may induce a herpetic affection otherwise. This has been called herpes tonsurans, herpes tonsurans maculosus, herpes squamosus, and pityriasis rosea. It is easily cured by ointments of sulfur or pyrogallol.-ISAAC, Berlin klin. Woch.

Salvarsan is retained in the body longer than atoxyl, arsazetin or neosalvarsan. The amido group may be demonstrated in the muscle after ten weeks, and traces of arsenic appear in the urin for months.--Ricbes.

Iodism is most intense when 0.25 gram of potassium iodid is administered every four hours, and disappears if this dose is doubled.-Brunton.

The simultaneous administration of iodid and chlorin increases the free iodin in the blood, by oxidizing the potash salt.-Curle.

The trend of professional opinion is toward the staphylococcus origin of pruritus ani; and, in accordance with universal custom, all other causes are ignored.

Try scarlet red ointment for anal pruritusbut don't get the ointment too strong.

Cocoa.

Bloch treats gonorrheal arthritis by intramus- hearing following the application of cantharidal cular injections of antityphoid vaccine, believing collodion to the drum and external meatus.that the intense reaction is the curativ agency. Ellingwood's Therap.

Eggers treated five cases of lupus with copper salts, getting fine results. Of course, he did not

Nephritic Diet. use anything so common as the pharmaceutic salts, This diet is low in most extractivs, since these but new ones made in Germany—the cinnamic- substances are high in purin bodies, which are acid copper-lecithin, zykloform and

copper

eliminated poorly by the kidneys. It is also properly chlorid-lecithin.-Derm. Woch., No. 42.

low in salt, since salt is eliminated poorly by the

kidneys and the edema of nephritis is largely deAcne.-McCoy says the causes must be removed; galvanism is useful in uterin disorders;

pendent on this condition. The fruit acids, being vaccine is sometimes essential; and the use of the

also undesirable to inflamed kidneys, are either left

out if they contain high amounts of the acids, or X-ray is based on a misconception.-Urol, and

the fruit is cookt, which, in a measure, overcomes Cutan, Review'.

that undesirable feature: The glamour attaching to study under the

Milk in any form, and foods made from milkgreat Professor Heisseluft has blinded the

in limited quantity; buttermilk; kumyss; American public to the fact that much of the spe- whey; junket; peptonized milk; cream; cial training in Europe is a joke. Vienna has been aptly described as the medical lunch counter. Cream soups of all kinds, except cream of beans -Urol. and Cutan, Review.

and cream of peas. Phenol is a dangerous dressing for the penis. Fruits of all kinds, stewed, except lemons and A navy surgeon once reported a case of complete grapefruit. erosion of the organ following such applications. Vegetables-Potatoes, squash, carrots, beets, cabInfection is no longer regarded as a punishment

bage, , cauliflower, brussels sprouts, lettuce, for sin, but as due to natural causes that may be

celery, artichokes, tomatoes, spinach, sauercontrolled by man.-ROSENAU, Medical Herald.

kraut, asparagus, onions.

Fats of all kinds-Butter, cream, oliv oil (in salad Eberth's bacillus typhosus will kill in 1914 in dressing). the United States more than will German shrapnel Sugar in abundance. and bullets in France and Russia.--Osler.

White. bread and cereals in moderate amounts; Goiter.—The only drug that is of advantage in

toast; zwieback, crackers.The Modern Hoshyperthyroidism is atropin.--HAGGARD, Southern

pital. Practitioner.

[We would add large quantities of pure water.Tetanus.-French journals speak of tetanus as

ED. one of the principal dangers to be met in military surgery. Knowing the part too often played by

Saratoga and Its Mineral Waters. prejudice in testing new methods, we would sug

Dr. A. W. Ferris, in Albany Medical Annals, gest that Baccelli's method, the injection of phenol

says that the plateau on which Saratoga stands, subcutaneously, receive further trials. The fact

between the foothills of the Adirondack Mountains that some adverse reports were made on it should

on the west and the Hudson River on the east, not influence us unduly, in view of the paucity

was the Kayaderosseras, the hunting ground of of success in treating developt cases. However,

the Iroquois Indians, and the present county of the antitoxin serum treatment is preferable.

Saratoga was probably the special resort of the Traumatic aneurisms are excised and the vessels

Mohawk tribe. The word Saraghtoghie is said sewn together, quite successfully in the present

to signify “place of salt," and it is supposed that war.-OREDSON, Journal-Lancet.

deer-licks, existing at certain points where the

mineral waters reached the surface, attracted the So long as true grain alcohol is known as

game animals in the olden time. Cologne spirits and wood alcohol as Colonial

It was probably densely wooded with a growth spirits it is little wonder that mistakes occur. of white pines, and the Kayaderosseras River as Both names are unnecessary and inexcusable.

well as Fish Creek and the lake undoubtedly Fourteen deaths in Vermont were caused by the teemed with fish. addition of wood alcohol to whiskey by a drug- In 1684 Peter Philip Schuyler and other Albany gist.

citizens purchast from the Indians their "HillLeprosy increases in Texas and Louisiana, and side Country of the Great River," finally deeded affects more than half the States of the Union.- to the white man over the signatures of the DYER, Texas State Journal.

sachems of several tribes, in 1704. This transfer Evans and Middleton call attention to the fre- was ratified in 1708 by Queen Anne, who granted quency of arthritis deformans complicating enda- a patent of land to the white purchasers. In mebic pyorrhea. They applied emetin subcutane

1772 the patents of Saraghtoga and Kayaderosously in the latter with distinguisht success, the

seras were united into one district to which the daily doses being 1/8 to 14 grain.-). A. M. A. name Saratoga was given. In transfusing blood Weil advises the addition

The first white man to visit a Saratoga spring of sodium citrate to prevent clotting.–J. A. M. A.

was Sir William Johnson, Baronet, who bore a

commission from his Majesty, George II, of The stomach and intestins are frequently affected reflexly, the symptoms masking the origi

England, and who inflicted a severe defeat upon

the French army under Baron Dieskau, at the nal affection.-WATERMAN, Medical Herald.

battle of Lake George, in 1755. Tuberculosis will kill ten times as many this Ill and disabled by an old gunshot wound, Sir year in Great Britain as will die abroad for their

William was conveyed in 1767 by friendly Indians, country.-Osler.

partly by boat, partly on a litter placed on Indian Thornton reports decided improvement of the shoulders, from Johnstown to Schenectady, thence

to Ballston, and thence thru the forest to the Kayaderosseras River, and finally to the High Rock spring, the “Medicin Waters of the Great Spirit.” Obeisance was made to the Manitou of the pring, and then "Warraghiyaghy," the White Brother of the Mohawks, partook of the water of the healing stream as it spouted thru the orifice of the High Rock cone, and bathed in its waters. The old cone stands to-day where Sir William saw it, now in the little High Rock Park, protected by a pavilion, and against the background of the limestone scarp of the geologic "fault.” Military duty called him away before his recovery, but he was so much benefited as to be able to walk part of the way thru the forest to Schenectady, after taking the Saratoga Cure. Sir William shortly wrote to General Philip Schuyler concerning the healing waters of the High Rock Spring, and this report is supposed to have actuated General Schuyler to cut a roadway to the spring thru twelve miles of forest in 1783, and to erect a shelter for himself and his family while for several weeks they used the water. Ten years earlier a clearing had been made and a cabin built by a hardy adventurer, whose camp had long since been destroyed. But from the time of General Schuyler's trip thither the locality was visited by many celebrated people, including George Washington, Alexander Hamilton, George Clinton, Colonel Humphrey, Colonel Fish and others. From that day to this Saratoga has been a resort more or less popular, reaching the position of perhaps the best known and most fashionable spot in America, about a hundred years after Sir William set the fashion.

No resort in this country has entertained so many distinguisht literary, scientific. military or diplomatic celebrities or statesmen. Of the presidents, Harrison, Madison, Tyler, Van Buren, Fillmore, Buchanan may be mentioned of the ante bellum guests, while Daniel Webster, Stephen A. Douglas, Gen. Winfield Scott, Daniel D. Tompkins, DeWitt Clinton, Silas Wright, Wm. L. Marcy, Chancellor Kent, Washington Irving, Fenimore Cooper, Gerritt Smith, Gottschalk, Joseph Bonaparte (ex-king of Spain), and many other illustrious people were among the guests at the spa a generation ago, when its tide of gayety reached the high-water mark.

The history of its gayety, its gambling and its racing is well known. The desultory and unscientific use of the waters led to nothing further, and a level of mediocrity was reacht, judging the matter from a physician's standpoint. During the years the springs were most visited, their waters were employed more because of certain establisht fashions than with an intelligent idea of the proper use of specially selected waters to meet definit diseases or conditions.

Action of the Saratogians resulted in an act of legislature in 1909 which provided for the purchase by the state of lands, mineral rights and mineral springs. Thus began the state control, comparable with the method of conservation of mineral waters in European countries for generations. Our old-world cousins having developt similar properties years ago, by invoking governmental ownership for the enlargement of public health.

While the underlying aim and incentiv of the development of this health resort are the prevertion of disease and the relief of the sick and suffering, it is an undoubted fact that a properly

constructed bathhouse and drink hall well equipt and conducted' will result in a large and constant income to the state.

Our Saratoga waters resemble in many respects the fewer springs at Kissingen, and the range of application of these mineral agencies is very similar in the two resorts.

The amount of spring water available may be appreciated from a consideration of the fact that the Champion Spring No. 3 spouted 142 gallons a minute, or 202,480 gallons a day, when its neighbor, Champion No. 2, was sealed. The gas (carbonic oxid) has always been present in very large quantities. From the Adams Spring alone a total of about 1,200 pounds a day was extracted by the General Gas Company and sold for $5,000 a year. The Island Spring produced a revenue of $3,000 a year for a long period. All the waters are supersaturated with carbonic oxid.

The mineral waters may be classified as follows: Saline-laxativ, alkaline-saline and ferruginous or chalybeate. Others are also mildly chalybeate, and many waters fall into two of these classes. Of special value are the table waters, Geyser and Minno-nebe. The latter resembles the Grande Grille of Vichy, and since it contains about one-half as many bicarbonates, it is suitable for free use during meals.

Prescribed as chosen for individual cases the waters are variously indicated for use in gastrointestinal disorders, gout, rheumatism, arthritis and anemia. Some are admirably adapted for use in incipient kidney disorders, in neurasthenia, general fermentation from increase of acidity in the digestiv tract, certain skin diseases, and in the elimination of various poisons from the body and the removal of certain exudations due to dis

ease.

Saratoga has also a spring which resembles the Spring No. 12 at Nauheim, Germany, since it contains the same calcic and magnesic salts. It is, therefore, suitable for use in giving the Nauheim system of baths for incipient arteriosclerosis, certain other circulatory disorders and especially for some forms of heart disease. The chief field of activity, however, will be in the domain of disorders of the digestiv tract and in diseases producing tissue change, and in the reduction of obesity.

All Saratoga springs are radio-activ. The radio-activity is due to dissolved radium salts, and not merely to absorbed radium emanations. Therefore they contain a permanent agent which will produce activ emanations indefinitly.

The reservation commission obtained the presence of Dr. Paul Haertl, the director of the chemical and balneologic laboratory at BadKissingen, Germany, who studied the Saratoga Springs situation thoroly, and said that the springs at Saratoga are unexcelled in the world.

EXAMINATION QUESTIONS.

Kentucky, December 11-13, 1913.

OBSTETRICS AND GYNECOLOGY.

1. What is the hygiene of pregnancy, and what advice would you give a pregnant woman from a hygienic standpoint?

2. How would you differentiate between pregnancy and ovarian tumor?

3. (a) Describe an eclamptic attack, (b) give premonitory symptoins.

4. (a) How would you manage inevitable abortion? (6) Give some of the dangers of an abortion.

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