the patient quite as thoroughly devitalized and generally prostrated, as does a sharp attack of la grippe. For some reason the degree of prostration from grippal infection appears to be entirely out of proportion to the severity of the attack itself. This peculiarity renders it advisable and usually necessary to strengthen and support the general vitality of the patient during the period of convalescence. Complete rest, nourishing food, plenty of fresh air and stimulation according to indications are, of course, distinctly At the same time tonic and important measures. hematinic medication should not be neglected. Probably the most generally acceptable and efficient general tonic and hemic reconstituent for such patients is pepto-mangan (Gude), a bland, non-irritant and promptly absorbable combination of the organic peptonates of iron and manganese. This efficient blood-builder and reconstructive does not disturb digestion nor induce constipation, and is readily taken by patients of all ages,

An Ally Worthy of Confidence.-It is going on toward 20 years since Gray's glycerine tonic comp. was first placed at the service of the medical profession. During all this period Gray's glycerine tonic comp. has maintained the standard that first attracted attention and the busy practitioner has ever found in it an ally worthy of confidence. It never disappoints and in the treatment of the gastro-intestinal tract, it is often the one remedy that will produce tangible and satisfactory results. The physician who does not use it in his practice is denying his patient many benefits that can be obtained in no other way.

Constipation in infants is practically always a matter of diet. One may even go a step further and say that in ninety-nine cases out of a hundred it is due to one of two common errors in feeding, viz., either too much fat or too much starch. The first of these troubles is, of course, easily remedied in the bottle-fed baby by reducing the percentage of cream in the mixture. The second is adjusted by using an artificial foodmodifier which contains no starch, but the normal carbohydrates of maltose and dextrin, which supply energy to the intestinal walls without imposing any burden upon the infantile digestive functions. Babies that are fed upon Mellin's food rarely suffer from either constipation or diarrhea, and when they do, a little intelligent sdjustment of the relative proportions of fat in the milk and of carbohydrates in the modifier very quickly solves the difficulty. The Mellin's Food

CAUTION! Whenever the true merit of a preparation is authoritatively established, imitation is sure to make its pernicious appearance. To counteract the injurious results of another of these fraudulent proceedings-in this instance affecting firm name and reputation-Sander & Sons have been compelled to appeal to law, and in the action tried before the Supreme Court of Victoria, the testimony of a sworn witness revealed the fact that this witness suffered intense irritation from the application to an ulcer of the defendant's product, which was palmed off as "just as good as Sander's Eucalyptol." Sander & Sons had the satisfaction to obtain a verdict with costs against this imitator, who is perpetually restrained from continuing his malpractice. Dr. Owen, in a report to the Medical Society of Victoria, and Dr. J. Benjamin, in the Lancet, London, both denounced, as others did before, on the strength of negative results, the application of unspecified eucalyptus products.

This forms convincing proof that only an authoritatively sanctioned article can be relied on.

SANDER & SONS' EUCALYPTOL
(Ecalypti Extract)

1. Has stood the test of Government investigation.

2. It was proved at the Supreme Court
of Victoria by experts to be an absolutely
pure and scientifically standardized prep-
aration.

3. It is honored by royal patronage.
4. It always produces definite thera-
peutic results.

Therefore, to safegaurd the physicians' in-
terest and to protect their patients, we earn-
estly request you to specify "Sander's Eu-
calyptol" when prescribing eucalyptus.

The Meyer Bros. Drug Co., St. Louis, Mo., agents, will forward one original package (1 oz.) on receipt on One Dollar.

GRIFFIN, GA., Nov. 13, 1914.

J. RONDER ANTHONY.

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No. 2

SYMPTOMS OF GASTRO-INTESTINAL DISTURBANCE CAUSED BY DISEASE OF OTHER ORGANS.*

J. C. WATERMAN, M. D., Burke, S. D. The differential diagnosis of chronic gastric disturbances is one of the most difficult propositions the medical man has to meet as it is also the most common. So many patients present themselves complaining of some obscure digestive trouble that it is little wonder that many busy practitioners acquire the habit of accepting the ready-made diagnosis of dyspepsia and prescribing accordingly. There is no question as to the gastric pain but it is also certain that no matter how persistent or scientific the treatment for gastric ulcer may be there will be no permanent improvement if the symptoms are reflex and are due as is so often the case of disease of the gallbladder, chronic appendicitis or chronic pancreatitis. It is probable that disease of the gall-bladder is more often diagnosed as disease of the stomach than any other ex

*Read before the Medical Society of the Missouri Valley, at Colfax, Ia., September 18, 1914.

traneous condition. Typical hepatic colic is easily recognized, especially when followed by jaundice, but in the chronic infections with duct obstruction, absence of fever or chills, where the daily attacks of epigastric pain are irregular as to duration and severity where there is flatulency and regurgitation of sour bitter material, and all associated with the indigestion of food the question of differential diagnosis from gastric ulcer is not easy. This is also true in cases of chronic recurrent appendicitis in which we often have a complete clinical picture of peptic ulcer. This is particularly true in younger patients.

Chronic pancreatitis is another condition which often is treated as stomach trouble while the real disease is not recognized.

These conditions are essentially surgical and the welfare of the patient depends upon the institution of such measures at the earliest possible moment.

A carefully elicited history of these cases will often be of material assistance in clearing our diagnosis, the mode of onset of the attack, location and character of pain, duration of attack, and the measures found use