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Read the long list of "Good Things to Come" on another page, and renew your subscription to the Medical Herald. A premium art picture with each renewal. These pictures would be worth at least a dollar if they could be obtained at the art stores.

Antiphlogistine acts, through the cutaneous nerves upon the inflamed area, as a powerful stimulant to the blood-vessels and lymphatics, promoting elimination of morbific products. It supplies, by natural, physiological processes, regenerative material to the parts already suffering from that condition of perverted nutrition, which is a part of the inflammatory process.

Speaking of Colic.-The best thing for the colic of intestinal indigestion in children is mineral oil, taken every day. This is not absorbed, is sedative to the bowel, not at all irritant, and acts purely as a lubricant. Given in Abbott's petrochondrin it tastes like honey flavored with cinnamon. The baby will love it, and it will do the work. According to Pritchard, there is no single remedy so valuable for the correction of bowel disturbances in children as mineral oil. Good for pin-worms, too.

Carabana Water, on account of the chlorides of sodium and magnesium which it contains, has a well marked depurative action. This depurative action is neither violent nor excessive, as is often the case with iodides. On the contrary, carabana, owing to the large amount of salts that it contains, acts as a reconstituent, re-establishing nutrition by supplying in abundance, mineral elements essential to the organism. As a consequence it gives most excellent results in herpetic diatheses, and in cases of skin disease that often resist all other forms of treatment. Fuller information will be supplied by the importers, George J. Wallau, Inc., 6 Cliff street, New York.

Reduction of Nerve Tension.-One of the most positive therapeutic powers possessed by pasadyne (Daniel), the concentrated tincture of passiflora incarnata, manifests itself in states of a high nervous tension. As a rule, the sufferers, are poorly equipped with moral resistance and consequently it is of the highest importance in choosing remedial measures to guard against agents which might establish a habit. In using pasadyne (Daniel) the physician need not give this possibility any heed, for it is quite free from such disadvantage. In a wide variety of nervous affections pasadyne (Daniel) is of the utmost value, which is further enhanced by its freedom from evil consequences. A sample bottle may be had by addressing the laboratory of John B. Daniel, Atlanta, Georgia.

Hemorrhoids. In cases of hemorrhoids campho-phenique can be used with success by the hypodermic administration of three to five drops into each hemorrhoid. It has a tendency to abort and cleanse the wound of all foreign matter, and to aid the healing process.

Intestinal Toxemia. The investigations of Metchnikoff and Schmidt, together with the late studies of Lane, Jordan and many others have lain such emphasis on the evils resulting from intestinal stasis that it is at last recognized that no small proportion of the diseases afflicting the human family are directly attributable to faulty elimination of the intestinal accumulations in the lower bowel. For a long time, to be sure, the evils of chronic constipation have been realized, but it is doubtful if, until Lane began to speak of the large intestine as the "cesspool of the human body," the dangers of intestinal putrefaction were fully appreciated. It is hardly probable that Lane's radical treatment of "short circuiting" the bowel-the removal of three to eight feet of intestine-will ever be popular and simpler measures will unquestionably hold a definite place in the management of intestinal stasis for some time to come. Many and various are the remedies that have been employed with more or less success, but among recent remedies brought forward for accomplishing intestinal elimination, and, what is often of even greater importance, the removal of certain local intestinal conditions contributory to, or the result of the bowel stasis, prunoids unquestionably stands first. This unique combination of phenolphthalein and other carefully selected drugs has been found an evacuant of exceptional value Its effect is prompt and certain, with none of the iniquities of the commonly used laxatives and cathartics. Prunoids do not gripe nor occasion the slightest discomfort, although they produce very copious movements. Most important of all, however, is the physiologic effect on the intestinal glands and muscular tissue that follows their systematic use. Unlike most cathartics, the reactionary effect never tends to increase the constipation One effective dose is often followed by regular movements for several successive days, and used routinely, in the absence of organic causes, gradual diminution and at last complete cessation of the remedy is always possible; in other words, a more or less permanent correction of the constitution is an almost invariable result. Such a preparation, with its broad field of satisfactory application, cannot fail to appeal to the zealous physician. Any medical man who is not familiar with the exceptional clinical value of prunoids, is urged to write for samples to the Sultan Drug Company, Saint Louis, Mo.

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“For a lady patient, very nervous, with a constipated tendency and some kidney trouble, who had a severe attack of rheumatism, I prescribed tongaline liquid and tongaline and lithia tablets, with the result that she was thoroughly relieved."

Autumnal Ailments.-The autumn months constitute the season during which the average practising physician is called upon to treat the following conditions: 1. Typhoid fever, which is, more often than not, contracted at some unhygienic summer resort. The patient may return home during the first week or so, with headache, malaise, etc., or the premonitory or primary symptoms may appear after reaching home. 2. Malarial infection, in certain sections, which is more than usually rife in the spring and fall seasons. 3. The after results of the gastro-intestinal disorders of infants and young children, due to improper feeding, etc., during the heated term. In almost every instance, when the acute symptoms have subsided, a condition of anemia and general devitalization is the final result that constitutes the essential indication for treatment. In convalescence from all forms of illness resulting in general debility, pepto-mangan (Gude) is the one ideal tonic and reconstructive. It not only revitalizes the blood, but also tones up every physiologic function. It stimulates the appetite, improves the absorptive capacity, increases energy and ambition and restores the blood to its normal condition. It is, thus, a general tonic and reconstituent of marked and certain value.

The discovery that ipecac alkaloids are efficient endamebicides in the treatment of amebic dysentery and pyorrhea and that it is possible by means of alcresta tablets of ipecac, to admiuister the drug orally without causing nausea, has attracted nation-wide attention among physicians and dentists. While the treatment of pyorrhea, which is much more common in this country than amebic dysentery, is essentially the dentist's field, the fact that many patients of the physician are observed to be sufferers from this very common malady and that many systemic disorders yield to pyorrhea treatment, makes the subject one of practical interest to the physician. The properties of ipecac are so well known that many practitioners have expressed a desire to know just how it is possible to administer the alkaloids of ten grains of ipecac orally without causing nausea. In alcresta tablets of ipecac the alkaloids are held as absorption compounds with a form of hydrated aluminum silicate. In the stomach where the juice is acid the tablets disintegrate but the alkaloids of ipecac are not liberated. In the intestines where the secretions are alkaline, emetine and the other ipecac alkaloids are quickly released and subsequently enter the circulation. As a rule headaches and digestive disorders, associated with pyorrhea, are ameliorated or relieved after taking alcresta tablets of ipecac, and good authorities aver that it has shown marked beneficial results in many other

Telephone No. Main 1173

3154

1635

6326

5267

ailments. Literature and further information on alcresta tablets of ipecac, Lilly, may be had by addressing the company at Indianapolis.

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Amusements in Kansas City

Auditorium Theatre

Kansas City, Missouri

HOME OF AMERICA'S FOREMOST STOCK COMPANY PRESENTING BROADWAY PRODUCTIONS At Popular Prices

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Presenting Standard Drama.

1000 seats at 10 cts. Others at 25 cts. Bargain matinees Wednesday.

Regular matinees Sunday and Saturday. Any seat in the house may be reserved by phone -Bell, Grand 90; Home, Main 532.

Willis Wood Theatre

11th and Baltimore
HIGH CLASS MOTION PICTURES
Symphony Orchestra. $20,000 Pipe Organ

Schedule of Shows: 11 a m., 1, 3, 5, 7, 9 p. m.
Admission-10c, 20c. Boxes and Loges, 25c.

New GLOBE Theatre

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The principal carbohydrate in Mellin's Food is maltose, which seems to be particularly well adapted in the feeding of poorly nourished infants. Marked benefit may be expected by beginning with the above formula and gradually increasing the Mellin's Food until a gain in weight is observed. Relatively large amounts of Mellin's Food may be given, as maltose is immediately available nutrition. The limit of assimilation for maltose is much higher than other sugars, and the reason for increasing this energy-giving carbohydrate is the minimum amount of fat in the diet made necessary from the wellknown inability of marasmic infants to digest enough fat to satisfy their nutritive needs.

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Subscription, $1.00 a year, in advance, including postage to any part of the United States, Mexico and Canada. Postage to foreign countries in the Universal Postal Union, including Newfoundland, 50 cents a year additional.

The Medical Herald aims to reflect the progress in me sciences of medicine and surgery, especially throughout the Missouri Valley and Southwest, the territory of its greatest distribution.

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Address all remittances, correspondence, articles for publication, books for review and exchanges to the Managing Editor.

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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 preparation.

3. It is honored by royal patronage. 4. It always produces definite therapeutic results.

Therefore, to safegaurd the physicians' interest and to protect their patients, we earnestly request you to specify "Sander's Eucalyptol" when prescribing eucalyptus.

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

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SOME FUNDAMENTAL CONSIDERATIONS
OF THE PROBLEM OF NARCOTIC DRUG
ADDICTION; THE MEDICAL EDITORS'
RESPONSIBILITY.*

ERNEST S. BISHOP, M. D., New York City.
Professor Clinical Medicine, New York Polyclinic.

I am addressing the American Medical Editors' Association, not as a man who specializes in the treatment of narcotic addiction. I distinctly do not specialize in the treatment of this class of cases. I am an internist, a medical practitioner who has been for a number of years interested in narcotic drug addiction because it offered interesting and important disease problems worthy of serious clinical consideration among other morbid body processes. associated with no hospital or institution which is devoted to the care of these cases and which reaps any pecuniary benefit from such activity. I am the exponent, or mouthpiece, or backer of no specific treatment. I am advancing no special method. I have

I am

no axe to grind. A very small part of my private practice is occupied with the care of the narcotic addict. And that part as a rule has been without financial recompense, and often carried on at my personal expense.

It is peculiarly fitting that a man in the position above outlined shall address to the medical editors the statements which I am

about to make. This fitness consists especially in the fact that in being a medical practitioner and not a "drug specialist" I am a representative of, and belong to that class of our profession in whose hands lies the solution of the narcotic drug problem and the salvation of the narcotic drug ad

dict.

The neurologist, the alienist, the penologist, the lawmaker, the moralist and the sociologist have worked in the field of narcotic addiction in the lines of their special interests and in the lights of their special

*Read before the 46th annual meeting of the American Medical Editors' Association, at New York City, October 18, 1915.

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experiences. Each has reported results as he saw them and advised remedies in accordance with his understanding. With very few exceptions we have heard nothing as yet from the domain of clinical medicine and from the observations of the internist. It is only here and there that the practitioner of internal medicine has been inspired by scientific interest to seriously consider narcotic drug addiction and to make clinical study of its actual physical manifestations and phenomena. Dr. George E. Pettey, of Memphis, stated recently that my work entitled me to "the credit of being one of three men who during the past thirty-five years have made material contributions to the study of narcotic addiction." Another of the three is Dr. Pettey himself, a most notable pioneer in this field; and the third is Dr. Oscar Jennings, of Paris, France. Dr. Pettey's statement of three men in thirty-five years who have made material contributions to the study of narcotic addiction tells its own story.

That narcotic drug addiction should be accorded a basis of weakness of will-neurotic or otherwise-inherent or acquiredand should be classed as a morbid appetite, a vice, a depraved indulgence, a habit, has been generally unquestioned dogma for many years. It is very unfortunate that we have paid so little attention to material facts and have made so little effort to ex

plain evident and constant physical symptomatology on the basis of physical cause, and that there has not been a wider recognition and more general application of the work which has been done.

In spite of generations of attempt at handling the narcotic addict on the basis of weakness of will and perverted appetite of inferiority and neurotic tendencies, and -in spite of exhortation, investigation, lawmaking and criminal prosecution, in spite of the various cures and treatments

-narcotic addiction has increased and spread in our country until it has become a menace demanding stringent legislation

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