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or veterinary surgeon, the name and address of this Act for the treatment of or consumption by a the person to whom such written prescription is human being. issued, and, when given by a duly licensed veter- SECTION 6. SALES AT WHOLESALEinary surgeon, shall indicate, in addition, the kind UPON OFFICAL ORDER FORMS ONLY:of animal for the treatment of which such written That, except as provided in the preceding sections prescription is issued. No written prescription of this Act, it shall be unlawful for any person to containing more than four grains of morphin, sell, barter, exchange, distribute, give away or in thirty grains of opium, two grains of heroin, four any manner dispose of, within this State, the grains of codein, or two grains of cocain, shall be drugs mentioned in this Act, except in pursuance filled unless the due issuance and correctness of a written order, in the form defined in this secthereof be first verified. No written prescription tion, of the person to whom any such drug is sold, shall be filled, without sufficient verification, if, bartered, exchanged, distributed, given away or in for any reason, the proper issuance and presenta- any manner disposed of. Every person who shall tion thereof appears questionable. Such verifica- accept any such order, and in pursuance thereof tion may be made by telephone, or by some other shall sell, barter, exchange, distribute, give away sufficient method. Such written prescription shall or in any manner dispose of any of the aforesaid be exactly filled as soon as received, or as soon drugs, shall preserve such order for a period of thereafter as practicable, but no such written pre- two years in such a way as to be readily accessible scription shall be filled more than ten days sub- to inspection by the officers, agents, employees and sequent to the date on which it was signed. The officials mentioned in section 8 of this Act. Every person filling such written prescription shall write person who shall give an order, as in this section or indicate thereon the date of filling and the date provided, to any other person for any of the when and the name and address of the person to aforesaid drugs shall, at or before the time of whom he delivers the drugs so prescribed. Such giving such order, make or cause to be made a written prescription shall be filled but once and duplicate thereof, in the form defined in this secshall not be copied, except for the purpose of rec- tion, and in case of the acceptance of such order, ord by the duly licensed physician, dentist or shall preserve such duplicate for said period of veterinary surgeon issuing it or by the person fill- two years in such a way as to be readily accessible ing it, and shall be preserved on file, receiving a to inspection by the officers, agents, employees and consecutive file number, by the person filling it, officials mentioned in section 8 of this Act. The for a period of two years from the day on which official order forms and the duplicate copies such prescription is filled, in such a way as to be thereof issued by the Commissioner of Internal readily accessible to inspection by the officers, Revenue of the United States Treasury Departagents, employees, and officials mentioned in sec- ment under the Act of Congress approved Decemtion 8 of this Act.

ber 17th, 1914, entitled-“An Act to provide for SECTION 4. WRITTEN PRESCRIPTION TO the registration of, with collectors of internal BE ISSUED IN COURSE OF PROFES- revenue, and to impose a special tax upon all perSIONAL PRACTICE ONLY:-That it shall be sons who produce, import, manufacture, comunlawful for any duly licensed physician, dentist pound, deal in, dispense, sell, distribute, or give or veterinary surgeon to issue the written pre- away opium or coca leaves, their salts, derivatives, scription required by section 1 of this Act except or preparations, and for other purposes," shall be in good faith and in the course of his professional

the official order forms and duplicate copies practice for medicinal purposes only. It shall be thereof required by this section. It shall be ununlawful for any duly licensed veterinary surgeon lawful for any person to obtain by means of said to prescribe any of the drugs mentioned in this order forms any of the aforesaid drugs for any Act for the treatment of or consumption by a purpose other than the use, sale or distribution human being.

thereof by him in the conduct of a lawful busiSECTION 5. DISPENSING BY A PHYSI- ness in said drugs or in the legitimate practice of CIAN, DENTIST OR VETERINARY SUR- his profession, pursuant to the intendment of this GEON-RESTRICTED: – That a duly licensed Act. The provisions of this section requiring physician, dentist or veterinary surgeon may dis

official order forms shall not applypense, distribute or in any manner give, within this (a) To the sale, exportation, shipment or deState, to his patient any of the drugs mentioned livery of any of the aforesaid drugs by any perin this Act, provided such dispensing, distribution son within this State to any person in any foreign or giving is made in good faith and in the course country, regulating their entry in accordance with of his professional practice for medicinal pur- such regulations for importation thereof into such poses only: Provided, further, That such duly foreign country as are prescribed by the said licensed physician, dentist or veterinary surgeon country, pursuant to such regulations as are proshall keep a record of all such drugs so dispensed, mulgated from time to time by the Secretary of distributed or given, showing, in each instance, State of the United States. the amount so dispensed, distributed or given, the (b) To the sale, barter, exchange, or giving date when, and the name and address of the pa- away of any of the aforesaid drugs to any officer tient to whom such drugs are so dispensed, dis- of the United States Government or of any State, tributed or given, except such drugs as may be dis- territorial, district, county, or municipal or insular pensed, distributed or given to a patient upon government lawfully engaged in making purchases whom such duly licensed physician, dentist or thereof for the various departments of the Army veterinary surgeon shall personally attend; and and Navy, the Public Health Service, and for Govsuch record shall be kept for a period of two years ernment, State, territorial. district, county, or from the date of dispensing, distributing or giving municipal or insular hospitals or prisons. such drugs, subject to the inspection provided for Section 7. RECORD OF RECEIPTS:- That in section 8 of this Act. It shall be unlawful for any person who produces, manufactures. , 'comany duly licensed veterinary surgeon to dispense, pounds, deals in, dispenses, sells, distributes, gives distribute or give any of the drugs mentioned in away, or in any manner disposes of, within this

State, any of the drugs mentioned in this Act, shall, whenever required so to do by the Department of Health of this State, render to said Department a true and correct statement or return, verified by affidavit, setting forth the quantity of the aforesaid drugs received by him in this State during such period immediately preceding the demand of the said Department not exceeding three months, as the said Department may fix and deterniine; the names of the persons from whom said drugs were received; the quantity in each instance received from each of such persons and the date when received.

SECTION 8. INSPECTION OF RECORDS :That the order forms and duplicate copies thereof, the prescriptions, and other records required to be preserved under the provisions of sections 3, 5 and 6 of this Act, and the statements or returns filed with the Department of Health under the provisions of section 7 of this Act, shall be open to inspection by the Department of Health through its duly authorized officers, agents, and employees, and by such officers, agents or employees of any organized municipality within this State as shall be duly charged with the enforcement of any municipal ordinance or provision regulating the sale, prescribing, dispensing, dealing in, or distribution of the drugs mentioned in this Act, and, also, by the officers, agents and employees of the United States Treasury Department duly authorized to make similar inspections under the Act of Congress approved December 17th, 1914, hereinbefore mentioned. Any such officer, agent or employee who shall disclose or use the information contained in said statements or returns, or in said order forms or duplicate copies thereof, or in the other records mentioned in this section, except as herein expressly provided, and except for the purpose of enforcing the provisions of this Act or the Act of Congress approved December 17th, 1914, hereinbefore mentioned, and except for the purpose of enforcing any ordinance of any organized municipality within this State, regulating the sale, prescribing, dispensing, dealing in, or distribution of the aforesaid drugs, and except in the public interest, unless directed by a court, shall, on conviction, be fined or imprisoned as provided by section 19 of this Act.

SECTION 9. HABITUAL USERS - TREATMENT RECORDED:-That a duly licensed physician who, in the course of his professional practice, and not for the purpose of evading the provisions of this Act, prescribes for, dispenses or in any manner gives any of the drugs mentioned in this Act to a patient known to him as an habitual user of such drugs shall keep a record of all such drugs so prescribed, dispensed or given, showing, in each instance, the amount so prescribed, dispensed or given, the date when, and the name and address of the patient for or to whom such drugs are so prescribed, dispensed or given, which record shall be preserved for a period of two years from the date of such prescribing, dispensing or giving in such a manner as to be readily accessible to inspection by the Department of Health.

SECTION 10. HABITUAL USERS_COMMITMENT:

-That whenever a complaint shall be made to any magistrate that any person is addicted to the use of the drugs mentioned in this Act in a manner contrary to the public welfare, and such rise is not prescribed, directed or approved by a duly licensed physician acting in the course of his professional practice pursuant to the pro

visions of this Act, and such magistrate, after a fair hearing held upon a reasonable notice, is satisfied that the complaint is sufficiently founded, he may commit such person to a State, County or City hospital or institution. Whenever it shall appear to any magistrate that such person is no longer addicted to the use of the aforesaid drugs in a manner contrary to the public welfare, or in his discretion, he may order a discharge from such commitment. The provisions of this section shall not be construed to prohibit any person committed to any institution under its provisions from appealing to any court having jurisdiction for a review of the sufficiency of the evidence upon which the commitment was made.

Section 11. REVOCATION OF LICENSE OF HABITUAL USER:- That the board or officers of this State duly empowered to issue a license to a physician, dentist, veterinary surgeon, pharmacist or nurse, authorizing the practice of his profession in this State, may, at any time, and after a fair hearing held upon a reasonable notice, revoke such license upon the production of sufficient evidence that the licensee is addicted to the use of the drugs mentioned in this Act in a manner contrary to the public welfare. Whenever it shall appear to such board or officers that such physician, dentist, veterinary surgeon, pharmacist or nurse is no longer addicted to the use of the aforesaid drugs in a manner contrary to the public welfare they may reissue said license.

SECTION 12. REVOCATION OF LICENSE AFTER CONVICTION:--That a duly licensed physician, dentist, veterinary surgeon, pharmacist or nurse duly convicted of a substantial violation of this Act shall be liable to a revocation of his license by the board or officers of this State, duly empowered to issue such license, after a fair hearing held upon a reasonable notice, provided such revocation shall be in the public interest. Such board or officers may, in their discretion, reissue such license.

Section 13. UNLAWFUL DELIVERY PROHIBITED:-That it shall be unlawful for any person to send, ship, carry or deliver any of the aforesaid drugs within this State in a manner contrary to the provisions of this Act: Provided, That nothing contained in this section shall be construed to apply to the delivery of the aforesaid drugs to common carriers or warehousemen, provided the requirements of this Act are in all other respects complied with; or to the handling of the aforesaid drugs by any employee or agent, acting within the scope of his employment or agency, of any person dealing in such drugs pursuant to all the requirements of this Act; or to the delivery of the aforesaid drugs by a duly licensed physician. dentist or veterinary surgeon to a nurse for administration to his patient under the direction and supervision of such duly licensed physician, dentist or veterinary surgeon in the course of his professional practice.

SECTION 14. UNLAWFUL POSSESSION DEFINED:-That it shall be unlawful for any person to have in his possession or under his control any of the drugs mentioned in this Act, if such possession or control is obtained in a manner contrary to the provisions of this Act : and such possession or control shall be presumptiv evidence of a violation of this Act; Provided, That this section shall not apply to the possession or control of the aforesaid drugs by any employee or agent, acting within the scope of his employment or agency, of any

person dealing in such drugs pursuant to all the the work of autoserotherapeutists. A numrequirements of this Act, and such possession or

ber of physicians have made use of the cells' control does not operate to evade any of the provisions or the intendment of this Act; or to the

own enzyme as a curativ product and, we possession or control by a nurse, for medicinal are glad to say, with eminently satisfactory treatment only and not on his own account, acting results. A number of intractable diseases under the supervision and direction of a duly li

have yielded to the treatment. censed physician, dentist or veterinary surgeon engaged in the legitimate practice of his profession;

In pleurisy several physicians have found or to the possession or control of the aforesaid

excellent results follow the reinjection of drugs by any United States, State, County, Munic- the patients' own pleural effusion after havipal or other duly authorized public officer or off

ing aspirated amounts varying from 10 to cial who has such possession or control by reason of his official duties; or to the possession or con

200 cubic centimeters (272 Auidrams to 63 trol of the aforesaid drugs by a warehouseman or Auidounces). Dr. Charles A. Pfender, of a common carrier holding such possession or con- Washington, D. C., has recently publisht a trol under the direction of a person who has re

report stating that autoserotherapy is a received such drugs pursuant to the requirements of

liable and safe method of treatment for all this Act: Provided, further, That it shall not be necessary to negative any of the aforesaid ex- forms of serofibrinous pleurisy and believes emptions in any complaint, information or indict- it should be employed in all cases with effument, or other writ or proceeding laid or brought

sion where germ infection is absent. Here, under this Act, and the burden of proof of any such exemption shall be upon the defendant.

of course, surgical intervention and drainage SECTION 15. RULES:-That the rules and are necessary and the use of bacterins is cerregulations made by the Commissioner of In- tainly advisable. Where, however, no infec

, ternal Revenue with the approval of the Secretary tion is present--that is, where the effusion is of the Treasury for carrying into effect the Act of Congress approved December 17th, 1914, here

1.0t purulent--aspiration and autoserotherinbefore mentioned, shall, so far as applicable, be apy is the procedure of choice. adopted for the enforcement of this Act.

În secondary pleurisies autoserotherapy SECTION 16. ENFORCEMENT:-That the

as described above may not exert any beneState Department of Health shall be charged with the duty of enforcing the provisions of this Act,

ficial effect on the primary cause of the disand such Department is hereby authorized to ap

ease. It will cause rapid absorption of the point such inspectors, agents or other assistants pleuritic fuid, however, and in incipient tuas may be necessary to enforce the provisions of bercular conditions has been known to this Act. SECTION 17.

This is APPROPRIATION:-That the

arrest the progress of the disease. sum of

Dollars, or so much thereof as a method of treatment worth knowing, for may be necessary, be, and hereby is, appropriated it has long been supposed that many tuberout of any money in the Treasury of the State not culous infections had their origin in an otherwise appropriated, for the purpose of carry- attack of pleurisy. in into effect the provisions of this Act.

SECTION 18. PERSON DEFINED:—That the After aspirating the effusion 30 to 45 word "person" as used in this Act shall be con- minims are injected hypodermically. The strued to mean and include a partnership, asso- result of such treatment will be immediate ciation, company or corporation, as well as

relief from subjectiv symptoms and more natural person. SECTION 19. PENALTY:-That any person

rapid absorption of the exudate. These inwho violates or fails to comply with any of the jections should be repeated every other day requirements of this Act shall, on conviction, be until decided improvement follows. punished by a fine of not more than one thousand dollars, or by imprisonment for not more than

Dr. Henry M. Fisher, in the New York three years, or by both such fine and imprisonment

Medical Journal, also notes similar improvein the discretion of the court.

ment in serofibrinous pleurisy. He states, , SECTION 20. REPEAL:- That all Acts and

however, that, inasmuch as 80% of such parts of Acts in conflict with this Act are hereby

effusions show a tendency to spontaneous repealed.

SECTION 21. DATE OF EFFECT:-That this recovery, this treatment might better be reAct shall go into full force and effect on and after served for cases that recur after tapping or the first day of March, 1915.

do not absorb readily. We should think

that if an effusion be tapt the hypodermic Practical Autoserotherapy.

injection might as well be given at the same Biologic therapeutics is making some won- time, which can be accomplisht without enderful strides nowadays. Dr. Victor C. tirely withdrawing the needle after the effuVaughan, president of the American Med- sion has been evacuated. ical Association, made the statement at the Robert Abrahams, in the New York Medrecent meeting of the association in Atlan- ical Journal, reports the use of autoserum tic City that every cell produces its own en- injections in a case with endocarditis due to zyme, and this seems to be corroborated by an infection of the blood stream (bac

a

teremia) with streptococcus viridans. The emesis, and various skin eruptions. Mayer patient was a young woman who had been and Linser, therefore, sought to supply them sick for ten weeks with chills, fever, head- from another source. They first injected ache, and pains in the joints, which had blood serum from a non-pregnant woman, started with tonsillitis. Blood was with- however, as a test; but the herpes were not drawn and culture media inoculated with it. affected. They then injected the serum The culture media showed numerous green from the healthy pregnant woman, as above colonies. Three injections of the patient's stated, and the herpes disappeared. Others own blood serum were made intravenously also reported similar good results in toxic in 5-fluidram doses on three successiv days, dermatoses of pregnancy. by which time the pulse and temperature Linser then used autoserotherapy in urtiwere nearly normal and an uninterrupted caria and other skin diseases in the nonconvalescence followed, the patient having pregnant. Good results were reported in entirely recovered in three weeks. The stropulus, urticaria papulosa of children, laboratory tests showed that the germs were prurigo, pemphigus, and hemorrhagic disexterminated from the blood stream, the last eases of the skin and mucous membranes. culture test showing none whatever.

Heuck reported good results in pruritus Charles H. Duncan, of New York, has senilis. Dermatitis herpetiformis showed publisht several articles on injection of bac- decided improvements. Slight temporary terial substances to produce immunity and improvement occurred in neurodermatitis, cure disease. As long ago as 1911 Duncan but it failed in weeping eczema. publisht an article on the subject in the

Pemphigus yielded varying results to this Medical Record. According to him, the form of treatment in the hands of Praetorius tissues tend to eliminate the toxins of dis

and von Zumbusch. ease in the exudate. He withdraws the

Spiethoff secured a good result in psoriexudate and filters it thru a Berkefeld filter

asis. Gottheil and Satenstein stated that and 20 minims of the filtrate is then injected their results were uniform and extremely under aseptic precautions. He believes auto satisfactory in psoriasis. Hilario also used serotherapy is applicable to all localized

it successfully in conjunction with chrysaroand possibly non-localized infectious dis

bin. Fox treated twenty-eight cases of eases. We have herein given examples of psoriasis with autogenous serum. The difboth local and general infections yielding to

ferent forms of the disease, such as the gutthis treatment.

tate, nummular, and diffuse, were all repreDuncan has reported on its favorable ef

sented and included varying grades of severfect in gonorrhea, rheumatism; ear, nose,

ity. The duration of the eruption varied in throat and other respiratory organs; puru- the different cases from two to forty-five lent infections, genito-urinary diseases and

years. In all except one case at least three in gynecology and obstetrics.

injections were given, at an average interval Dermatologists also are using autoserotherapy in the seemingly irremediable skin diately followed by the local use of a 10%

of from three to five days. This was immediseases. Howard Fox, in the Journal of chrysarobin ointment, the action of which the American Medical Association,* reports his experience with autogenous serum in

was increast in certain cases by covering the

skin with rubber cloth. No internal medicapsoriasis. In reviewing the literature on the

tion was given and no particular stress was subject of autoserotherapy in skin diseases

laid on the diet. he mentions the report of Mayer and Linser,

The results of the treatment in general who successfully treated a pregnant woman afflicted with herpes gestationis by means of

were very satisfactory and in some instances

striking blood serum from a healthy pregnant wo

Fox's technic is as follows: At each sitman. These two authors believe that in pregnancy poisonous substances enter the ting draw off 50 cubic centimeters (13 maternal circulation from the placenta and

ounces) of blood from the cubital vein (Fox

uses a MacRae needle) into a steril cylindric act as antigens, which in the normal woman are neutralized by the formation of anti

glass bottle. The bottle and its contents are bodies. In such as do not form the anti

then properly balanced and placed in an bodies the patient suffers from auto-intoxi- electric centrifuge having a speed of 1,800 cation, manifested by eclampsia, hyper

or more revolutions a minute. When the

serum was entirely separated from the cor*Dec. 19, 1914.

puscles and fibrin it was drawn off into a

*

glass syringe and injected without delay, either intravenously or intramuscularly. The BUSINESS TALK TO DOCTORS amount of serum obtained thus and injected varied from 15 to 25 cubic centimeters (4 to 6 fluidrams).

There is one ever-present thought in my Fox is of the opinion, as a result of his

mind, and this thought should begin this experience with these cases, that autogenous

Talk; it is, how fortunate we are to live serum used alone does not cure psoriasis;

in this land of peace as well as of plenty. yet Spiethoff reported a cure by it. Fox be- Nearly the whole civilized world is now lieves it is of decided value when used in

at war! The like was never known be

fore. conjunction with chrysarobin; that they are

But we are at peace, and 3,000 entirely devoid of danger when properlying cannon. We can pursue our daily yo

miles of ocean separates us from the boomgiven and that the technic is simple. Such a method of making serums for the

cation of usefulness in safety and serenity.

Von Hindenburg has an army of one treatment of disease from and for each indi

million vidual patient will make the care of the sick

men fighting the

fighting the Russians in an expensiv matter, but it is well worth

Poland. Just think of it! One million while in intractable diseases where more

men in snow and trenches, in a Russian

winter. easily applied methods are inadequate.

And there are perhaps as many men on the other side. And there are

fully as many men on each side in Belgium Legal Provision for Physicians' Pay. and northern France. Then there are The Haskell County Medical Society of nearly as many men on each side in northOklahoma has petitioned the legislature of

ern Austria. İtaly has 2,000,000 men ready that state for a law "setting apart and mak- for the field, and Roumania 600,000, if ing exempt from mortgage and so forth a these countries should be involved, and certain amount of property, with a value

Greece and Bulgaria may also be involved. ranging from $25 or more, to provide for

The Germans say they have 3,000,000 remedical and surgical aid for each home.” serve men that can be called when needed, Their reason for this request is that the loss and Kitchener says the war will not begin of the market for cotton places the farmers

till next May-then look out. of that state in financial difficulties, and What has all this to do with business? mortgage foreclosures may render them Well, there is a difference between living homeless as well as penniless, in which event in trenches, wet most of the time, uncertain they will have no money for medical atten- food and death threatening all the time, and tion in case of sickness.

living in a comfortable home, with three So far as we know, North Dakota is the warm meals per day, and safety. Think of only state that provides for the physician in business conditions in the warring counthis manner. It is time that all legislatures tries. There is no business-rather, every took cognizance of the claims of physicians business has been changed into the business for necessary services to health, for such of killing, while your business continues to services are always urgent and of the high- be the work of curing and saving. est importance to humanity and to the com- We are in a land of peace, safety and munity. These claims should constitute a plenty. These things make a good basis for first lien, anteceding all mortgages, personal

business. Think of the doctors in the warnotes, etc., issued for any other purpose. ring nations. Their business has been The health of the state and nation is a sacrificed to the war god. Families must greater asset than is anything else, and the take care of themselves the best they can. guardians of health should be given first Doctors must go to the war in some consideration in foreclosure proceedings. capacity unless they are too old. But here

we have normal conditions. Doctors have DEAR DR. TAYLOR :-Please find inclosed my check their normal amount of work to do, and for advance subscription to THE WORLD. passed my 830 birthday, but still in the medical their patrons are able to pay for the docharness, but feel now at my age I will give up my heavy work to younger men. Up to this year I

tor's services. In the cotton districts of have taken five medical journals, but have cut out the South things are pretty bad just now all but THE MEDICAL WORLD for the next year. have been a subscriber to it for so many years it

on account of the closing of foreign marmember of my home. I attribute my kets to cotton. But this is only temporary. good health very much to my habits. I have never used liquors, tobacco or any of the opiates, and kept The price will come back again. On the a clear conscience. Wish you a Happy New Year. West Paris, Me.

other hand, wheat, corn, hay, pork, beef,

0. K. YATES, M.D.

I have now

1

seems like a

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