MEDICAL
LIBRARY
H613.9
B96
A 587328
THE PREVENTION OF
Congenital Malformations,
DEFECTS AND DISEASES

BOERICKE & RUNYON,
HOMOEOPATHIC
PHARMACISTS.
11 WEST 42D ST.,
NEAR 5TH AVENUE, NEW YORK.
ARTES
LIBRARY
1837
VERITAS
SCIENTIA
OF THE
UNIVERSITY OF MICHIGAN
E-PLURIBUS UNÜÏ
TURBOR
SQUAERIS PENINSULAM AMOENAM
CIRCUMSPICE
1.
}
1
THE PREVENTION
OF
CONGENITAL MALFORMATIONS
DEFECTS AND DISEASES
BY THE
MEDICINAL AND NUTRITIONAL TREATMENT
OF THE
MOTHER DURING PREGNANCY.
BY
JC. BURNETT, M.D., LONDON.
EDITOR HOMEOPATHIC WORLD.
EDITED WITH NOTES FROM GRAU VOGL
on Preventing Hydrocephalus, etc.,
BY TC. DUNCAN, M.D.,
Author of "Diseases of Infants and Children and their Homœopathic Treatment;"
How to be Plump," etc.
CHICAGO:
DUNCAN BBOTHERS.
COPYRIGHT.
1881.
PREFACE.
The following pages are compiled to diffuse information upon sub
jects of the deepest medical and philanthropic interest. The facts
here given throw light upon subjects of great maternal anxiety. To
prevent disease is the highest development of the medical art. To
prevent malformations and physical defects in the coming genera-
tion is an achievement that should arrest the attention of the civil-
ized world. "To do good and to communicate forget not.”
To further the study of this important topic I would adopt the
words of Dr. Burnett: "Feeling that the experience of one individ-
ual in this branch of Preventive Medicine can count for but very little,
I should be glad to receive from my readers any information bearing
on the subject, either as regards man or the lower animals.”
T. C. D.
THE PREVENTION
OF
CONGENITAL MALFORMATIONS.
Preventive medicine is a bold step.
It is about a century
since Jenner's attention was called to the fact that vaccina-
tion with cowpox would prevent an attack of small-pox, and
about the same time Hahnemann evolved the new idea that
Belladonna would prevent scarlet fever, as then prevailing.
He believed that the remedy that would cure a disease would
also prevent the same disease. This fact opened up a wide
field for experimentation.
The next most important fact in the line of preventive
medicine is given by Grauvogl, where medicines were ad-
ministered to correct
ANTENATAL PHYSIOLOGICAL DEFECTS.
He writes as follows:
A young married pair had, two years previously, lost a child
from hydrocephalus acutus; the second, then eight months
old, was committed to my charge, when the disease had
already reached the convulsive stage; it died after a few days.
It devolved now upon me, as the family physician to solve
the problem of protecting the next child from this disease,
and thus to remove the conditions under which both times,
4
THE PREVENTION OF CONGENITAL MALFORMATIONS.
the development of the fatal disease had been possible, a
problem which everybody knows the physiological school
is not able to solve.
Both parents were perfectly healthy, and never sick. Both
had blonde hair, thin skin, and blue eyes. The husband
spare; the wife of a full habit. Hence no positive point of
support could be gained from either. The wife, however,
had nursed both of the children, but without possessing suf-
ficient nourishment for them, as I learned on inquiry, for she
was obliged to give them milk, and sugar-water besides and
both children were taken sick when they began to cut their
teeth.
In hydrocephalus the nutrition of the bones is always
deficient, and hence, during the period of dentition, this nu-
trition must be carried on at the expense of other tissues. But
the conditions of this deficient nutrition of the osseous sys-
tem must have been given long before the period of den-
tition.
I hence stated to the wife that she must not nurse the next
child, and that she must, during her next pregnancy take Sul-
phur 6th one day, and Calcarea phosphoricum 6th, the next,
so that she could not lose a third child by this disease.
Sulphur I wished to exhibit as a nutritive remedy favor-
ing the formation of tissue, while Calcarea phosphoricum was
to favor that of the bones.
Five weeks later, the woman informed me that she was
again pregnant, and asked me for those remedies.
She was delivered at term, and this child, now five years
old, remained healthy, as well as a second, now three years
old, which was carried the regular term under this prophy-
lactic treatment.
These are not solitary cases, for I have pursued this method
THE PREVENTION OF CONGENITAL MALFORMATIONS.
5
LO
for six years, in all families in which there has even been a
hydrocephalic child, and with the same good result.
But where I have taken charge, in other families, of children
who had already suffered from hydrocephalus none have died
during the last seven years, in which time I have given such
children, every morning and evening, a powder of the second
trit. of Calcarea phosphoricum; and only such children as
I first see in the last stage, receive morning and evening, a
few drops of Argentum nittricum 6. and every two hours
the powder of Calcarea phosphoricum, and with the best
results. At the sametime, I have repeatedly convinced my-
self that, in such cases, one of these remedies alone affords
no such relief.
Dr. G. E. Shipman, Superintendent of the Chicago
Foundlings' Home, reports that he has proved the value of
Grauvogl's prophylactic treatment in several instances.
have also followed this plan with gratifying success.
6
THE PREVENTION OF CONGENITAL MALFORMATIONS.
CLEFT-
ON THE PREVENTION OF HARE-LIP,
PALATE, AND OTHER CONGENITAL DEFECTS;
AS ALSO OF HEREDITARY DISEASE AND CON-
STITUTIONAL TAINTS BY THE MEDICINAL
AND NUTRITIONAL TREATMENT OF THE
MOTHER DURING PREGNANCY.
[Perhaps the most interesting instance of preventive medi-
cine, to the profession and especially to mothers, is where
the medicine was given to prevent congenital malformations.
The experience of J. C. Burnett, M. D., of London, as
given in a paper read before the British Homœopathic Con-
gress, is especially valuable. It shows that what were sup-
posed to be" marks" are due simply to lack of proper nutri-
tion. The full text of the article is here given:]
MR. PRESIDENT AND GENTLEMEN:-I take the liberty this
morning of calling a little special attention to a subject
fraught with considerable interest to us as human beings,
as men of science, as biologists, and as practitioners of med-
icine and family advisers.
Should this paper set you a thinking, and call forth a dis-
cussion and an expression of opinion, and also elicit the ex-
perience of those grown grey in the service of scientific
therapeutics, I shall learn much therefrom.
I cannot hope to do more than just suggest a line of
thought, but in every exercise some one must start, and so I
beg leave to address you a few words on the above subject.
When a good gardener puts seed into the soil, he takes
care that it shall be supplied with whatever experience
THE PREVENTION OF CONGENITAL MALFORMATIONS.
7
teaches him is conducive to its development and growth;
he does so because he knows that the future plant can be
thus modified while still in Nature's earthly womb; indeed,
we may say the plant never gets beyond this stage of de-
pendency, as it lacks locomotive power.
We all know how chemistry has been successfully applied
to scientific agriculture; and any Hodge looking at a poor
crop of wheat in a field will be shrewd enough to surmise
that the manuring or tilling had been neglected. He knows
full well from what he sees in his own cottage plot that the
well-dunged carefully tended portions bear the best crops,
and that what grows in this plot is not so readily affected
by disease and drought by reason of its more sturdy growth.
Any country schoolboy knows that the poorest apples are
on the neglected trees of hedgerows and of neglected grazed
orchards, while the fine juicy ones are within the well kept
garden.
Who has not noticed the scraggy, stunted appearance of
the calves born of the kine that are turned out to common
or forest after they cease to give milk? The future mother-
cows lead a hard life, and get but poor sustenance, and their
offspring a e proportionately undersized and ill-conditioned,
and have an ancient, wizened appearance generally.
:
S milarly, in the human subject, the child of the well-ted,
well-worked, cheerful, happy woman, living in a sunlit airy
habitation, is at birth the finest specimen of its kind.
On the other hand, what a miserable sight do the new-
born babes of our courts and alleys, and of the pampered,
tight-laced, high-heeled, lazy, lounging, carriage-possessing
women of the higher classes present! The extremes meet;
the poor blanched creature, half-starved, over worked, shut
up in some close sunless dwelling, brings forth fruit very
8
THE PREVENTION OF CONGENITAL MALFORMATIONS.
like that of her pale-faced, over-ted, under-worked, sofa-
loving sister of the mansion and of the palace.
And nature is inexorable; look at our bills of infantile
mortality if you do not believe it. It is well so; God or-
dained in His undeviating laws that the fittest should sur-
vive, and they do.
Clearly, then, we may take it for granted that the develop-
ment of the fruit within the womb can be modified for good
and for ill.
We need not mince the matter; the future human being
is made up of four principal factors. First the maternal
ovum; secondly, the spermatozoon of the father, which
requires, thirdly, a suitable soil for its development and
growth. The womb is this suitable soil. These three fac-
tors being given, the blood of the mother supplies the
fourth.
In the entire plant and animal world, the choice of the
seed and soil lies more or less within ken and control, and
faulty specimens get a short shrift, while the more fit are
allowed to multiply; or in a wild state the weak are crowded
out by the strong, and thus the fittest survive.
In our stock-breeding, the bovine and ovine species are
well weeded of their faulty and diseased specimens by the
butcher. That innocent individual, called the butcher, pur-
chases the rickety or scrofulous calf of the honest farmer,
and John Bull enjoys his Kalb-fleisch through the Norman
medium of veal. Thus nature cares for the survival of the
fittest of the bovine species.
With the human species it is very different; faulty speci-
mens of man may not be annihilated for the bettering of the
race, and civilized life tends to the protection and fostering
of the physically faulty, and hence to the deterioration of
the race. This is one great reason why civilization tends to
THE PREVENTION OF CONGENITAL MALFORMATION“.
the destruction of society through a gradual deterioration
of the race by the preservation of the weak from destruc-
tion under the reign of law, and by the collateral power of
wealth.
In a savage state the weakling goes to the wall; in a civ-
ilized state he may be very rich, and of ancient lineage, and
then it becomes most important, from the particular stand-
point, that he should be married and beget offspring. This
ramifies all up and down the various social strata. So in
the end the barbarians are strong, and then numerous, and
then they break in upon a highly-civilized community, and
a reconstruction of society ensues.
It remains to be seen whether science and art will in the
future be able to save civilized society from being over-
whelmed by savage hordes.
The true source of national greatness is large families of
healthy children; these are the only true "fruits of philoso-
phy." Those other "fruits of philosophy" are rotten at
the core, and, like all rottennes, lead by the shortest road
to annihilation, having here, however, a preliminary stage
of bondage and servitude to the seed of the truly philosophi-
cally fruitful.
Surely it would be a strange philosophy that came in the
mouths of ranting demagogues; fruit is the means of repro-
duction; Dawn of Destruction is what they mean.
Mankind is moved to marriage from purely selfish mo-
tives; the pairing takes place for almost every reason except
for the physical bettering of the race. No doubt it is well
so; the production of the most massive members, or of the
biggest brains, can hardly be the chief end of man.
Still nature works wisely in making us all, more or less,
worshippers of physical beauty and strength; and when the
period of motherhood comes nigh, perhaps no greater fear is
Uor M
10
THE PREVENTION OF CONGENITAL MALFORMATIONS.
known than that of ill-formed offspring. It may not be
often expressed, but if you could look deep into the sacred
secrets of the expectant's heart, you would know that many
are the prayers that fly upwards for the great and blessed
gift of a perfect child.
Is it all right? Is it perfect?-is very common y the first
question one hears after the newling's entree au monde.
To what does all this beauty-worship conduce? To the
amelioration of the race. Many an important family has
been saved from dying out by a supposedly ignoble mesalli-
ance. The British aristocracy is recruited from the ranks of
the commoners in more ways than one.
To pretend to inaugurate marriages on racial or scientific
grounds is crooked; and although the good old institution
known as the family doctor may now and then be asked
about the physical desirability of a given projected union,
still this is very rare, and when it occurs it usually serves as
a cover for other and occult reasons. Therefore, the physic-
ians role begins later on. We all know what it usually is.
But to-day I propose directing attention to a subject that
has met with but comparatively little notice-certainly
with much less than it deserves. I mean the medicinal
treatment of the human fruit, while still within the womb,
for the cure of hereditary taints and for the prevention of
deformity.
My attention was more particularly directed to the subject
some six years since in the following manner:
At the end of the year 1874 I was consulted by a gentle-
man about his children, the youngest of whom had double
hare-lip. He had some confidence in Homœopathic treatment,
and was desirous of knowing whether there were any means
of getting the wound to heal well after the operation for
Maou
THE PREVENTION OF CONGENITAL MALFORMATIONS.
11
hare-lip that an able surgeon was on the point of undertak-
ing. I recommended the local application of Calendula
officinalis as an excellent and well-established vulnerary,
especially to clean wounds. The operation took place, the
gentleman used the Calendula as directed, and the surgeon,
a man of some experience, declared he had never before seen
such a rapid healing process or such a nicely-healed surface
in any of the cases of hare-lip on which he had operated.
The reputation of Calendula (the common marigold) as a
vulnerary is very old, but it survives almost exclusively in
the Homœopathic school, in which it is, as you all know, in
daily use.
The next older child than the one operated on had, and
has, a slight insufficiency of the upper lip; if it were a
little worse it would be hare-lip.
Subsequently the gentleman consulted me in regard to his
own health, and after the consultation the conversation fell
upon his children, upon the excellent result of the opera-
tion, and the rapid healing of the wounded parts. Then re-
gret was expressed, especially as the child was a girl, as of
course the neatest scar can never constitute a perfect or
pretty lip. At the best it is only passable, and not particu-
larly unsightly.
Finally he said, "In case my wife should have another
child, what would you expect the next to be like?"
I answered, "That cannot be determined; but taking all
the circumstances into consideration, viz., that your first
child is perfect, that your second child has only a slight de-
fect in the upper lip, that your third child has double hare-
lip, and that your wife was in apparently good health with
these, all equally, I should expect the next to have hare-lip
also, a little worse than the last, and perhaps even cleft-
palate.”
12
THE PREVENTION OF CONGENITAL MALFORMATIONS.
He further in uired whether anything could be done to
prevent it? My answer was, that I knew of no special expe-
rience on the subject at all, but as the body fruit could cer-
tainly be affected medicinally, I should think hopefully of
properly directed medicinal treatment of the mother during
pregnancy. I promised to do my best, and he said he would
let me know if any further pregnancy should occur, and
place the mother under my treatment.
The subject took hold of my mind, and I often animad-
verted upon it. Many remedies suggested themselves, and
many plans of treatment; the one that found most favor
with me was to be based upon specificity of seat or local
drug affinity. I reasoned that any drug that would specific-
ally affect the upper lip and palate might act as a stimulus
to the part if coursing in the mother's blood, and thus bring
about complete union of the bilateral parts. But an insu-
perable difficulty here presented itself-viz., I knew of no
such drug with anything like a strongly-expressed affinity
for the part. Such remedies as Kali bichromicum, Aurum,
Iodine, Mercury, Natrum muriaticum, Mezereum, Phosphorus,
were thought of, but I did not feel the local affinity idea
was workable here.
I then thought of tissue affinity or specificity of histologi-
cal seat, as worked out in its fullest extent of late years by
Dr. Schussler, of Oldenburg, in regard to disease. I
thought that a formative element of the tissue might be
wanting, and thus condition imperfect development. If we
grow wheat, we must supply its elements, as manure, to the
soil, and if we grow tissue we must supply its elements in
the mother's blood which is the food of the foetus; if the
wheat just fail to finish the ear, we conclude formative ele-
ments are wanting; if the absolute concrescence of the bi-
lateral parts of the human foetus just fails of completion, we
THE PREVENTION OF CONGENITAL MALFORMATIONS.
13
may fairly assume that formative elements are lacking. So
I thought. And in order to try to find out what was likely
to be lacking, I went over embryology a little, and I will
ask you to go over exactly the same ground as myself pres-
ently, by giving a short resume of the development of the
involved parts first, and then show how, and what remedy I
diagnosed.
The surgeon who had operated on the little girl, and also
the family accoucheur who assisted at the operation, were
also consulted upon the hoped-for possibility of preventive
treatment in the then future; but these gentlemen laughed
at the idea, and said the only thing for it was operation, pre-
vention being out of the question.
But we may reflect upon the fact that it is not at all an
uncommon thing in our hospitals, and occasionally in general
practice, to treat a pregnant person suffering from syphilis
very actively with Mercury, and the results are on the whole
very encouraging indeed; still, as far as I am aware, it is
seldom that any physician attempts the intra-uterine treat-
ment of any other complaint, and even here the idea has
generally been to treat the mother only, or principally.
In thinking the matter over, and endeavouring to find
some sound reason to guide me in the to-be-attempted pre-
ventive treatment of hare-lip, I was encouraged to hope for
a good result from the recorded experience of a few Homœo-
pathic obstetricians who tell us of the successful medicinal
treatment of the uterus and of he expectant mother her-
self; for it seemed no great difficulty, theoretically, to mod-
ify the development of the foetus, which grows in the uterus
and is fed with the blood of the mother, seeing that both
the mother's blood and uterus can, demonstrably, be modified
therapeutically.
Now, although I felt the idea of trying to prevent hare-
14
THE PREVENTION OF CONGENITAL MALFORMATIONS.
lip with the help of specificity of seat in the ordinary Homœo-
pathic sense unworkable, still this lay in the nature of the
case rather than in the nature of the thing generally. Thus
in those liable to beget offspring with defects or deformities,
or displacements of organs, or parts to which we have ap
proved remedies with specific affinities for such organs or
parts, we might, and undoubtedly should, find it of eminent
service, and also of the careful application of the Homœo-
pathic law of similars; also of the tripartite pathology of
Hahnemann; and of the constitutional states of Grauvogl,
and perhaps, even of the Remedia universalia of Rademach-
er.1
But to return, let us examine the embryology of the parts
involved in hare-lip and cleft-palate.
Biologists tell us that the face is originally formed of a
middle portion proceeding from the forehead, or frontal
process, and of a lateral portion on each side, derived from
the superior extremity of the first visceral arch. These
parts are at first separate.
The lateral and the inferior parts, destined to form the
superior and inferior maxillary apparatus, are both derived
from the first visceral arch, in which an angular bend ap-
pears; the part above this bend being converted into the
superior maxillary mass, and that below it into the inferior
maxillary apparatus.
The superior maxillary mass, in its growth, approaches
the frontal process, and unites with it; a cavity being left
between that process and the two superior maxillary masses,
which becomes the nasal cavity. By the union of the supe-
rior maxillary masses (the superior maxilla and palate bone)
of opposite sides beneath this cavity, the separation of the
nose from the mouth by the palate is effected.
1 Remedium universale is not a would-be panacea or cure-all, but one that hypo-
thetically affects the universe of the microcosm, i. e., not an organ.
THE PREVENTION OF CONGENITAL MALFORMATIONS.
15
The mode of development of the face affords an explana-
tion of the abnormal cleft palate, and the congenital cleft
between the upper maxillary and the intermaxillary bones
and of those congenital fissures which pass between the in-
termaxillary and upper jaw, as far upwards as the orbital
cavity. Congenital clefts of this kind are thus the results of
an arrest of development occurring during the primitive condi-
tions of the parts.
We may, therefore, infer that cleft-palate is due to lack of
a due supply of formative material; the superior maxillary
masses ossify indeed, but fail to unite in the median lines.
If so it will follow that if the requisite amount of formative
matter be supplied soon enough to the maternal blood, it
will be given off to the foetus, and tissued osseous union will
take place, and deformity will be prevented.
But the skeleton may unite in the middle, and yet the soft
parts fail to do so; and when this occurs with those of the
superior maxilla, the deformity known as hare-lip is the re-
sult.
We may regard the basis of the upper lip structure as
already differentiated into connective tissue, which is indeed
the stroma of the whole body, and of all its organs. When,
therefore, the soft parts fail to unite in the median line of
the upper lip, and we get the ugly defect known as hare-lip,
we may conclude that the development became arrested from
a lack of one of its constituents in developmental or func-
tional power.
All things considered, I concluded it was, in this case, lack
of lime-life.
Then the next point was-which salt of lime? Here the
psoric constitution of the mother pointed to Sulphur.
My conception was not that there was an actual lack of
lime as such, but rather a lack of assimilative or develop-
16
THE PREVENTION OF CONGENITAL MALFORMATIONS.
mental power of the lime-function in the sense of Moleschott
and of Schussler, and that struma or psora (= morbid x)
was the hindering agent.
I therefore decided on Calcarea sulphurica, and believing
it was quality that was required, and not quantity, I deter-
mined on the sixth centesimal trituration.
This is how I diagnosed, theoretically, a remedy for this
case of presumptive defective formation, and this remedy I
made up my mind to give if the lady should come under my
care.
A little time elapsed, and the husband appeared to inform
me that his wife was believed to be enceinte. Calcarea sul-
phurica, 6th trituration, one grain night and morning, was
prescribed. The lady continued to take it till the end of the
seventh month of pregnancy, and during the last two months
she took Lithium carbonicum, and at full term she gave birth
to a healthy and perfect child.
In due course a second pregnancy took place. The same
course of treatment was adopted, and with the same happy
result-viz., a perfect child.
Since this time I have kept the subject of the intra-uter-
ine medicinal treatment of the human foetus before my mind;
but my experience here has since been for the purpose of
preventing, respectively eradicating, constitutional taints
and hereditary proclivities. Cases other than those two, for
the prevention of defect or deformity, have not hitherto
come under my observation.
But this further experience of mine I will refer to again,
as an interesting paper, published in the Practitioner for
December, 1878, by Dr. Thomas P. Tuckey, of County Cork,
Ireland, here claims attention. Dr. Tuckey is evidently an
original thinker. This paper is entitled, "On the Preven-
tive Treatment of Cleft-palate and Hare-lip, and some fur-
THE PREVENTION OF CONGENITAL MALFORMATIONS.
17
ther Remarks on the Relation of the Ovaries to the Sex of
the child."
Our author tells us that his attention was directed some
years ago to the remarkable success which has attended the
Dublin Zoological Society in the breeding of lions, and the
great immunity which animals born in their gardens, in the
Phoenix Gardens, enjoy from various disorders and deformi-
ties to which the lion bred in a state of subjection is liable.
The most remarkable of these diseases is cleft-palate, which
lions in a captive state are very apt to have. Dr. Tuckey,
believes it was the Rev. Professor Haughton, when speaking
before some public assembly, who drew attention to this fact
and stated that it was his opinion that the cause of the lions
in the Dublin Gardens being born so unblemished was giv-
ing the mothers bones which they could crush. This fact
very much impressed Dr. Tuckey, and as he happened to
have under his observation a family of several children who
were all, both male and female, subject to hare-lips, several
of which cases were complicated with cleft-palate, he deter-
mined to speak to the mother, who was in poor circumstan-
ces, and ask her to let him know the next time she was in
the family-way, that he might give her a medicine which
would prevent her next child having the same deformity as
the others. The poor woman was heart-broken, taking her
children here and there to be operated upon, and quite jumped
at the idea, and promised faithfully to come and report
herself the moment she bel eved herself to be enceinte.
This is the woman's family history:
Mrs. H., aged thirty-five, mother of six children. Every
one of her children have had hare-lips, two have also had
cleft-palate. The disease appeared not to be hereditary,
and she could not call to mind any of her family, or of her
#18
THE PREVENTION OF CONGENITAL MALFORMATIONS.
husband's family, who have had hare-lips. Is a fine strong
woman, but has fearfully crooked eyes; no other deformity.
Has always had good health. Her husband, small, but
strong and healthy, never has had any diseases while she
has been marrried to him. He and she have both lived all
their lives in the country. He is sober, and has always been
so. Her first child had simple hare-lip; no cleft in palate;
does not remember getting any frights when carrying her ·
hildren.
A pregnancy occurred; Mrs. H. presented herself, and
the doctor prescribed the following mixture:
R
Calcis phos. 3j. grs. 20.
Calcis carb. 3j.
Bicarb. magnes.
Chlorid. sodii.
Sodæ. phosph. a a ss. M.
To be added to an 8 oz. mixture composed of Gelatine, Gum
arabic, Syrup of ginger, and Cinnamon water; 1 drachm
three times daily.
As clefts in the palate and lip are said to be due to arrest
of development prior to the end of the third month, Mrs.
H. was at once put on this mixture, which is intended to
represent a very rough analysis of the constituents of bone.
In any future cases Dr. T. thinks he would grind up the
bones of the head of some animal, and give some of the
powder instead of the above elaborately constructed mix-
ture.
The essential parts of this mixture are clearly the Lime,
Phosphorus, and Magnesia. The little poly-pharmaceutical
performance of adding Gelatine, Gum arabic, Syrup of
ginger, and Cinnamon water is not a little amusing.
But to return. The woman took the mixture regularly
until the fourth month; she went her full time, and was
THE PREVENTION OF CONGENITAL MALFORMATIONF.
19
delivered of a girl, without a trace of deformity about her
lips or palate; the child was healthy and strong.
Hearing of this case, a Mrs. L. came to seek Dr. Tuckey's
advice. She was the mother of eight children, most of
whom had cleft-palate and hare-lips; in four of them the
hare-lip was double, and more shocking objects of deformity
he had never seen. One boy was perfectly repulsive. The
woman believed herself pregnant, and was at once put on
the mixture. She went her full time, bore a girl without
hare-lip, indeed, but who evidently had had one in utero, for
the lip, though united, was united crookedly, and one side
was puckered up, as if by a slight and narrow burn.
This is, truly, a most remarkable and interesting case.
I must demur to the statement that the arrest of devel-
opment occurring before a certain period necessarily in-
volves the conclusion that treatment in the latter months of
gestation would be useless. This is a pure assumption, and
based on normal observations. Here we have to do with
arrested and therefore retarded growth, and hence the nutri-
tional or medicinal treatment should not only be begun
early, but continued to the end; and one begun late would
still be hopeful of obtaining amelioration, if not of com-
plete normality.
Again, there is an objection to the use of the bone, sim-
ply as the lips have not the same constituents as the bones,
and in the same proportions; so if we are to give pulverized
heads we must give the lips too.
But we, happily, need neither one nor the other; neither
do we need any bulky, cunningly-devised mixture, with
nasty or nice additions, to mystify, and obscure, and render
our own observations open to objections.
Pure clinical experiment must be with one remedy at a
time to be conclusive.
20
THE PREVENTION OF CONGENITAL MALFORMATIONS.
Thus, I may object to Dr. Tuckey's proposition that the
Phosphates did the work in his cases, on the ground that
the tincture of ginger acted as a stomachic, and strength-
ened his patient's digestions, so that they assimilated more
food, and thus were the defects prevented. Another might
attribute it to the Gelatine; a third to the Alcohol, a fourth ·
to the Cinnamon.
Then this polypharmacy prevents individualizing, which
is the soul of all true progress in scientific medicine.
I was once struck with the extreme beauty of a lady's
children, both parents being rather plain, and found that
she had been in the habit of using a mixture of Phosphorus,
Iron, and sherry during gestation to keep her strength up.
Her own health was seriously injured by it.
I think it will be conceded that it is at least highly proba-
ble that the preventive treatment of congenital deformities
and defects may be undertaken with good chances of success,
and I venture to submit that this corner of the field of
practical medicine is well worthy the attention and skill of
all physicians, and also of all well-wishers of the race, lay
as well as medical.
It will be of surpassing interest to the individuals and
families more immediately interested, through having unde-
sirable family proclivities.
There is here great scope for the tissue remedies, espec-
ially when dynamized, as it is likely to be qualitatively
changed nutritive building material that is required.
No doubt the various cases of congenital defect and de-
formity differ essentially in their natures, and will require
accordingly different remedial or preventive treatment.
This immense field lies fallow ready for the tilling talents
of willing workers.
THE PREVENTION OF CONGENITAL MALFORMATIONS.
21
As soon as this is undertaken, facts will multiply, and
reliable data will be at hand to guide us.
To draw a line of demarcation between the nutritional
and medicinal treatment is not now possible. Undoubtedly
some cases will require nutritional treatment solely; others
will require medicinal treatment directed to the mother's
constitutional crasis; in others, again, a debilitated genera-
tive sphere may claim attention. Or a presumable taint in
the marital product may call for the principal intra-uterine
therapeutic endeavours.
Here I may narrate the following observation. A lady
patient of mine was extremely fond of liver, during one of
her pregnancies; at least once a week she would partake
copiously of it-pregnancy fads are as old as the world.
This lady was delivered of a very fine child that had exten-
sive pigmentation of the forehead, such as we are wont to
see in some ladies during gestation. This brown discolora-
tion gradually disappeared from the baby's forehead in about
four weeks. The mother's skin was also in parts very deeply
pigmented, but not the forehead.
Hitherto we have referred more particularly to the pre-
ventive nutritional and medicinal treatment of defects and
deformities; it has, we opine, a certain future.
Perhaps it will now be profitable to consider the subject
of disease from the same standpoint.
To start with, we may not do amiss to realize the fact that
we get, so to speak, a capital leverage for our therapeutical
work, inasmuch as we have a number of months in which
to accomplish it. We know from daily experience that nu-
merous diseases can be cured by a course of treatment spread
over a considerable period of time, but which cannot be
modified to any great extent with any one given remedy.
22
THE PREVENTION OF CONGENITAL MALFORMATIONS.
The various remedies follow one another like steps in a stair-
case, and they are all needful to reach the top.
Then we have the most favorable physical conditions.
Our foetal patients are not exposed to change of tempera-
ture, but have a constant temperature in the best possible
medium, and they are pretty sure to take their physic regu-
larly.
Ever since my attention was arrested, as before stated, by
the observations of hare-lip, I have sought opportunities of
testing the truth of this theory-that the body fruit, while
still within the womb, can be nutritionally and medicinally
modified at will. Further cases of deformity have not pre-
sented themselves, but in general practice I have had some
opportunities of observing the beneficial effects of the med-
icinal treatment of pregnant women for the prevention of
various to-be-expected morbid states.
Thus, a lady patient of mine has a good many moles and
warts on her person, and her husband a great number of
warts, some very unsightly, on his. Considering the fre-
quent observations that warts will, at a more advanced pe-
riod of life, take on increased action, hypertrophy, and be-
come epitheliomatous, their presence in an individual is not
only æsthetically undesirable, but may become the source
of positive danger to life; at any rate, they are ugly things
at the best. Moreover, both of them are rheumatic and
constitutionally strumous. This lady has passed through
four pregnancies under my observation and professional care,
and during each one I subjected her to a course of treatment
with the most happy results. The four children were born
with unblemished skins-wartless, moleless, and spotlessly
pure.
It may be objected that the treatment had nothing to do
THE PREVENTION OF CONGENITAL MALFORMATIONS.
23-
with this purity of skin, as the interesting babes might have
been equally unblemished, without any treatment at all. Of
course, I cannot prove the contrary, still
"Like genders like, potatoes tatoes breed,
Uncostly ca bage springs from cabbage seed."
My belief is, and it is based on observation, that those
four children would in all probability have all been born
with unsightly warts on various parts of their persons had
the mother not been treated to prevent it.
The course of treatment followed was in this wise-a peu
pres.
Sulphur, generally in the sixth, twelfth, or thirtieth dilu-
tion (by preference the last-named), was given as the most
certain anti-psoric. This was granted time to act, and then
followed Thuja occidentalis as the anti-sycotic par excellence.
Lest any specific taint lay in its history, Mercurius was given.
The lady's teeth are very carious, and hence Acidum fluori-
cum was given for a while; the children have thus far sound
toothie-peggies, and teethed normally and without any
mediævally superstitious gum-lancing.
Apropos of gum-lancing, if those who still adhere to this
barbarous practice would just work up the indications of
Aconite, Belladonna, Ferrum phos., Kreasote, Calcarea carb.,
Calcarea fluorica, Silicea, Phosphorus, and the like, they
would soon have, as I have, a very rusty lancet, and a very
grateful heart, that they no longer need to pain the poor
bairns and constitute themselves dreaded objects. Moreover,
they would soon satisfy themselves, after a little careful ob-
servation, that the gums are not the offending parts, but the
unfinished, abnormally constituted teeth, and a morbid some-
thing lying behind and beyond in the constitutional crasis.
Sapientibus sat.
A lady, mother of several (five) children, was under my
24
THE PREVENTION OF CONGENITAL MALFORMATIONS.
treatment for a chronic internal skin affection; her husband.
had formerly been successfully treated by me, for psoriasis
of lower extremities, with Arsenicum.
The last baby I had treated for eczema while still at the
breast, and when it was vaccinated the arm became very se-
riously inflamed, and the object of anxious care and medi-
cinal treatment. All the five children had had, I was informed
something wrong with the skin, and every scratch with
them festered.
The sixth pregnancy occurred, and I treated the lady dur-
ing the greater portion of it. The principal remedies used
were Psorinum 30, Sulphur 30, Calc. sulph. 6, and Juglans
cinerea 1.
The child came in due course; everything was normal,
and the little mannikin was the finest of the lot, and remained
for two years with a pure skin, and the vaccination caused
no inconvenience. All the other children had had cutaneous
affections before they were a year old, and some of them
proved altogether intractable.
The child passed from my observation then, but I have
heard that it now has "something on its arm," but what I
do not know. Supposing it to be a cutaneous affection, the
result of the preventive treatment would be that it remained
free for the first two years of its life; and moreover, it is by
far the finest and handsomest of the six children.
Of course I cannot prove that it would have been other-
wise if the mother had had no treatment at all.
It was once my duty to treat a conjugal pair, each for the
morbus gallicus, that admittedly was a marital acquisition.
A pregnancy occurred while only too many unmistakable
symyptoms were objects of treatment. During almost the
whole of the pregnancy the lady was persistently treated
THE PREVENTION OF CONGENITAL MALFORMATIONS.
25
with Mercurius, Aurum, Stillingia sylvatica, and the like,
with an occasional pause. The usual term of utero-gesta-
tion resulted in the birth of an apparently perfectly healthy
spotless child, and, as long as I observed it, it remained so.
No doubt other practitioners are in the habit of treating
pregnant women for various ailments, and will be able,
from longer experience and greater opportunities than mine,
to give more striking examples of its efficacy in regard to
the mothers, and perhaps also quo ad the offspring.
Having thus gone rapidly over the subject of the preven-
tion of defect, deformity, and diseases by the intra-uterine
medicinal and nutritional treatment of the pregnant person
during gestation, it only remains for me to apologize for the
meagreness of the practical suggestions I am able to offer in
the few minutes allotted to me for this paper, and to express
a hope that you will freely add hereto in the discussion which
is to follow, so that it may be said that I merely give out the
text and you, gentlemen, preach the sermon.
[Before reading this paper of Dr. Burnett my attention
was called to the possible relations of cleft-palate in the child
and gastric disorders of the mother.
I was called one day last fall to see a mother who had been
del vered of an eight month's child about six weeks before.
She was suffering severely with gastralgia. I found the case
to be one of gastric catarrh and treated her accordingly
with the best results. The child was a small one and was
put upon milk as it had difficulty of nursing from the partial
cleft in the palate, besides the mother had only a little milk
and that I judged not of the best quality.
The general symptoms of this case recalled a similar one
Uor M
26
THE PREVENTION OF CONGENITAL MALFORMATIONS.
that I had treated about ten years before. In this instance
the child had not only complete cleft palate, but also double
hare-lip. The gastric catarrh of the mother was cured and a
subsequent child was born perfect. It might be of interest
to add that the first mother had morbus coxarius when
young, and that the second mother was of a tubercular dia-
thesis-the disease being now apparently held in check by
Homœopathic remedies.
That persistent gastric disorders in the early months of
pregnancy must seriously interfere with the nutrition of the
child is doubtless true, but whether gastric catarrh alone is
responsible for congenital malformations or defects, except
in a general way, is a problem worthy of farther attention.]
66
Doctor, What shall I eat?"
A
HAND BOOK
OF
DIET IN DISEASE.
BY C. GATCHELL, M. D.
This work is a very practical and timely volume not only for those who are
sick, but also for those who are not really well, and to whom the problem, “What
shall I eat," is of vital importance. It would not be possible to give a full idea of
the scope of the work here. As introductory, the various forms of animal, vege-
table and inorganic foods are considered and their relative merits carefully
pointed cut. The chapters that follow are devoted to such practical subjects as
How to feed Your Patients, Diet for Dyspepsia with aids to Digestion, Diet for
Constipation, Rectal Alimentation, etc.; Diet in Consumption, Diet in Diabetis,
Bright's Disease, Gravel, etc.; Fow to nurse the Baby, How to choose a Wet Nurse,
How to wean the Baby, How to feed the Baby, Diet for Cholera Infantum, Diet
for Travelers, Seasickness, the Corpulent Scrofula, Rickets, Scurvy, Chlorosis,
Collapse, Rheumatism, 3sthma, Heart Disease, Alcoholism, Diarrhoea. Dysentery,
Cholera, Diphtheria, Gastr tis, Biliousness, etc. Diet for convalescents is a valu-
able chapter. Then follows a long and carefully prepared list of recipes for the
preparation of Beverages, Meats Broths, Soups, Breads, Gruels, etc., etc.
The whole work is carefuliy arranged and the most practical and sensible ad-
vice is apparent on every page. An invalid or sick person needs nịt only a number
of diet recipes to select from, but also some one to do the selecting-they are in
no more condition to select a proper food than they are to select a proper remedy.
The nurse will find this work a safe guide; while the physician will meet sug-
gestions that will facilitate an answer to the all important question in each case:
What diet shall I prescribe?"
TESTIMONIALS OF ITS MERITS.
MILWAUKEE, Wis.
"I consider your work on "Diet in Disease" to be the most practical, and there-
fore the most useful, work on the subject with which I am acquainted. No phy-
sician should be without it; every mother should have it. It is in use in many of
the households in which I practice."
C. C. OLMSTED, M. D.,
President of the Wisconsin State Homeopathic Medical Society.
"This work is plain, practical and valuable. It is really a clinical guide on diet,
and one the profession will find reliable and correct.”—United States Medical In-
vestigator.
"By far the best work on the subject in our literature. I find it of use every
day. I want one in every household in which I practice."
Oak Park, IU.
E. G. FOLSOM. M. D.,
"Evidently much investigation, thought and carefulness have entered into the
production of this work, and we believe it to be worthy a place in every house-
hold."-- The Magnet.
* * * "Whave carefully examined the work and shall cheerfully recommend
it for family use. The directions as to what food and drinks, and modes of prep-
aration are very judicious." * * * * *
Resp. Yours,
Janesville, Wis.
Dr G. W. CHITTENDEN & SON.
"MILWAUKEE, Wis., Sept. 8, 1880.
Professor Charles Gatchell's Manual of 'DIET IN DISEASE' is the best book on
the subject for he peopie. It contains in 160 pages an astonishing amount of con-
den ?ed information on a subject of great importance. and one but little under-
sto. Its style is admirable, pithy and to the point. The book has no padding
about it, and deserves an immense sale.
SAM'L POTTER, M. D.,
President, Milwe ukee Academy of Medicine,
Author of Index of Comparative Therapeutics, etc., etc.
Sent free on receipt of price, $1.00.
DUNCAN BROTHERS,
131 & 133 S. Clark St..
CHICAGO.
HOW TO SEE
WITH
THE MICROSCOPE:
BEING
USEFUL HINTS CONNECTED WITH THE SELECTION AND USE OF THE
INSTRUMENT; ALSO SOME DISCUSSION OF THE CLAIMS AND CA-
PACITY OF THE MODERN HIGH ANGLED OBJECTIVES, AS COM-
PARED WITH THOSE OF MEDIUM APERTURE; WITH IN-
STRUCTIONS AS TO THE SELECTION AND USE OF
AMERICAN OBJECT-GLASSES OF WIDE APERTURES.
BY
J. EDWARDS SMITH, M. D.,
PROFESSOR OF HISTOLOGY AND MICROSCOPY IN THE CLEVELAND (0.), HOMOEOPATHIC
HOSPITAL COLLEGE; CORRESPONDING MEMBER OF THE SAN FRAN-
CISCO, THE DUNKIRK, AND ILLINOIS STATE MI-
CROSCOPICAL SOCIETIES. ETC., ETC.
ILLUSTRATED.
[From Prof. Tuttle of the Ohio State University.]
I have had the pleasure of examining a portion of the MS. of Prof. Smith's
forthcoming book, and believe that it will prove a valuable addition to the liter-
ture of microscopy. We have many books that tell us what the microscope is
and many that tell us about the preparation of microscopic objects. But few tell
us anything of value about the use of the instrument itself. This is what Dr.
Smith's book un lertakes to do, in a clear and logical, but familiar and practical
way.
One of the most important features of the book is a systematic course of lessons
on the use of modern high-angled objectives; a thing which has, I believe, never
been attempted in any book before. Prof. Smith was one of the earliest and most
persistent advocates of the use of such objectives, and his exper.ence with them
is excelled by that of few.
The book abounds in pratical hints that will be most highly appreciated by
those of us who have had to work out for ourselves a great amount of experience
at a great expense of precious time (and often more precious eye-sight), an who
know how serviceable a stray hint, or a word or two of suggestion has often
proved.
ALBERT H. TUTTLE.
Ohio State Unive sity, February, 1880.
Prof. Smith is well known as the most expert manipu[ator in this country, as re-
gards objectives of wide aperture, and in this volume he gives, in a clear and prac-
tical manner all the directions necessary to attain the surprising results which he
has achieved. No microscopist who uses anything better than French triplets can
afford to be without it. From John Phin, Esq., Editor Monthly Journal of Micro-
scopy.
There is a present no work in the English language which gives instruction in
the best methods of handling the most modern microscopes and objectives. Prof.
Smith's work will, therefore, fill a long felt hiatus in our microscopical literature.
We shall duly announce it when ready.-Monthl ournal of Microscopy.
[From Prof. Charles E. West, the well own Educator.]
Of your prolonged study and experience a modern objectives-your well
known dexterity in their management-the ease and facility with which you dis-
play the most difficult known test, I can cheerfully bear testimony. Doubtless
your book will be welcomed by American Microscopists generally.
Very sincerely. yours,
CHARLES E. WEST.
From Prof. Wesselhoeft of Boston Unirersity.[
BOSTON, February 6, 1880.
DUNCAN BROTHERS:-I know of no one who has the ability to instruct more
clearly and practically "How to See with the Microscope," than Dr. J. Edwards
Smith. I wait eagerly the publication of his book.
Yours, truly,
Sent free by Mail. Price, bound in Cloth, $2-00.
C. WESSELHOEFT, M. D.
DUNCAN BROS.,
131 & 133 S. Clark Street,
CHICAGO.
SPECTACLES;

AND HOW TO CHOOSE THEM.
BY C. H. VILAS, A.M., M.D.,
Professor of Diseases of the Eye and Ear in the Hahnemann Medical College,
and Ophthalinic and Aural Surgeon to Hahnemann
Hospital, Chicago, etc. etc.
This book, is full of interest and instruction to readers of all classes.
Designed inore especially for the profession, it nevertheless does not
deal in technicalities or obscure terms and will doubtless find a large
demand among non-professional people.
In a clear and comprehensive manner, it treats of a most important
subject; a subject concerning which, far too many errors and danger-
ous notions prevail. Its aim is to disseminate knowledge, and to pre-
vent the common haphazard custom of choosing Spectacles, a custom
so often disastrous to vision or fruitful in discomfort. The author
points out how, within a comparatively recent period, what was once
veiled in mystery, has at last attained a sure place among the sciences;
how the knowledge of the proper construction, adaptation, and uses
of Spectacles has grown to great proportions, and has led toja revo-
luton in the treatment of eye affections. Many popular delusions
will be dispelled by reading this book. It is valuable alike to the phy-
sician and the layman. The former may utilize it in practicing his
profession; the latter will prepare himself to avoid errors to vision.
All the new and useful cases of trial lenses are described and illus-
trated and their respective merits and demerits are pointed out. It is
clearly shown how the low price, at which a good set of trial lenses
can be obtained, will enable physicians in general practice to give
attention to the fitting of Spectacles and to treating ordinary defects
of the vision, thus preventing the frauds so often practiced by irre-
sponsible itinerant venders.
The Author's well known accomplishments in this department of
science, have eminently prepared him to skillfully treat so important
a subject. The work is finely illustrated and full of practical hints.
Price, bound in Cloth, $1.00.
DUNCAN BROS., Publishers,
131 & 133 S. Clark St..
CHICAGO.

HOW TO BE PLUMP.
OR
TALKS ON PHYSIOLOGICAL FEEDING.
By T. C. DUNCAN, M. D.,
EDITOR OF THE UNITED STATES MEDICAL INVESTIGATOR, AUTHOR
DISEASES OF INFANTS AND CHILDREN, WITH THEIR
HOMEOPATHIC TREATMENT, ETC.
A million or two will buy if they have faith in it.-Chicago Post.
If you want to know" How to be Plump" buy Dr. Duncan's new
book on that subject. It is full of valuable information.-Amsterdam
Democrat.
66
The man or woman who is thin as a rail” will find this little book
abundant encouragement of becoming “as plump as a partridge.".
Chicago Evening Jonrnal.
The author believes that many are wearing themselves out for lack
of fat. He states that when he saw how plump Mr. Moody had be-
come, he could understand his great physical endurance.- Y. M. C.
A. Watchman.
This book is the only sensible book on the subject of physiological
feeding that we have ever perused, and the ideas are so plainly ex-
pressed that any person can follow the directions given and grow
"plump and alltogether lovely."-Grand Rapids Journal.
It gives full directions for attaining any given degree of plumpness.
By following the instructions given, a lean female can prepare herself
for "
a fat woman" in time for the coming fairs. Women thus have
the means at their disposal of becoming as fat as they desire.-Chicago
Times.
Lean people who desire to be fleshy, and want to know how to
become so, are advised to procure this manual of “ Plumpness," The
author argues that a sufficient amount of fat is not only necessary to
physical beauty, but that it is essential to good health.-The Gospel
Banner and Family Visitant.
How to be Plump," is the title of a neat little volume from the
pen of Dr. T. C. Duncan. It contains some sensible talks on physio-
logical feeding, treating of leanness as a cause of disease, and giving
the importance of water and the value of fat, as well as the necessity
for starchy foods and sweets, in a very clear and distinct manner. It
gives some valuable tables concerning the composition of food, and
makes, on the whole, a little book which can be of great interest to
everybody desiring health and happiness.-Inter-Ocean.
Bound in Cloth, 50 cts.
Sent free on receipt of price.
131 & 133 S. Clark Street,
DUNCAN BROS.,
CHICAGO.
THE NURSE:
OR,
HINTS ON THE CARE OF THE SICK.
INCLUDING MOTHERS AND INFANTS AND A DIGEST OF Do-
MESTIC MEDICINE.
BY CHARLES T. HARRIS, A. M., M. D.,
"Every Nurse should have a copy!”
"Every mother should possess this useful work!”
"It will not hurt a physician even to glance over the pages devoted to mothers
and nurses, and this little treatise ought to become one of the tracts domiciled in
every household."-North Am. Journal of Homœopathy.
I cheerfully bear testimony to the value of your work on "Nursing.” I have
examined it, and feel confiden that nurses will find it just what they need, and
medical men will find it to their interest 10 further its sale and distribution.
J. GILCHRIST, M. D.
Such a work is very much needed. It is simply and clearly written, giving hints
on all the points, which a nurse ought to know. We cordially recommend this
little work to the attention of mothers and sisters. who will find it a valuable vade
mecum.-Monthly Homœopathic Review, London.
This is a valuable volume to professional nurses and mothers-the natural
mothers. The author strongly advocates the importance of intelligent, self-sacri-
ficing nurses. The instruction the book contains is clearly and conscientiously
given.-Boston Inventors and Manufacturers Gazette.
It is written in simple and concise style and free from all technical ties, and
abounds in valuable facts and directions to those who have health as well as to
those who are called to nurse in the sick-room. It is a hook every mother could
read with profit. Skilled and trained nurses are not always in reach, and the lives
of those dear to the family are often imperiled by simple ignorance of what every
intelligent person should know. Good nursing, every intelligent physician will
say, is of more value than drugs. The handsome little volume should find its way
into many homes, and, by the intelligent observance of its rules, blessings alone
will result.-The News.
I think the vein of homely, every day sense, which pervades it, will win for it a
welcome from many a mother, who, while feeling her need for some instruction
in nursing, shrinks from the recondite "science" of an out and our "doctor's
book."
To be sure the exquisite felicity that makes the real nurse is nascitur non
fit, but your little book will reinforce the divine instinct of true motherhood, and
a better nurse will be the outcome. And what a boon is a good nurse! Let us
frankly confess that very often our laurels belong to the unassuming nurse, for
we know that our best endeavors are often frustrated by God-Cursed Sairy Gamps
and Betsy Priggs. Very truly yours,
SAM'L A. JONES, M. D.
I have read The Nurse with pleasure, and I may add with profit also, and am glad
to know that you give the profession, even directly, the benefit of your experience
derived from years of o servation in the sick room. Those only who have seen
practice know the advantage and aid derived from skillful and trained nurses;
and they also know the increased anxiety to which they are subjected by careless,
uneducatec and unskillful nursing. How often have our best efforts miscarried
by incompetent nursing? And how often, too, has skillful and careful nursing
helped a doubtful case out of danger, wile the doctor received the credit of re-
storing a very sick patient. Its style is forcible and clear, admirably adapted to
the non-professional reader for whom it is intended, an i to "Mothers, the Natu-
ral Nurses," to whom it is addre sed. I predict for it great usefulness in its own
peculiar sphere, and wish you abundant success in your efforts to cultivate the
hitherto uncultivated fiel i.
H. C. ALLEN, M. D.
Sent free on receipt of price, 60 cents.
131 & 133 S. Clark St.,
DUNCAN
BROS.,
CHICAGO.

MISCELLANEOUS.
PHYSICIAN'S MEMORANDUM AND ACCOUNT-BOOK.
A compact and convenient book, having blanks arranged for month, date, name
visit, prescription, dr., cr., and remarks. Good for any date or year. It gives.
excellent satisfaction. Sent free on receipt of price; 75 cents.
SUN-STROKE AND ITS HOMOPATHIC TREATMENT. By C. B. Knerr, M. D.
A practical well written brochure. Price, 15 cent.
THEHOMEOPATHIC TREATMENT OF PROLAPSUS UTERI. By W. Eg-
gert, M. D.
Has had a large sale. Price, 25 cents.
OVARIAN THERAPEUTICS. By W. Eggert, M. D.
The power of homoeopathic remedies in curing ovarian diseases, tumors, etc., is
here well set forth. Price, 25 cents.
LAW OF CURE. By T. M. Triplett, M. D.
This is a stirring pamphlet that awakens and arouses enthusiasm for Homœo-
pathy. "It brings me business." Per hundred, $2.00. Two hundred with card
printed upon them, $4.00.
DIET RULES FOR CHILDREN OF DIFFERENT AGES. Extracted from
"How to Feed Children."
Thousands of these have been distributed by subscribers of the UNITED STATES
MEDICAL INVESTIGATOR with good effect. Price, 50 cts. per 100 copies.
THE PROGRESS IN MEDICINE AS INFLUENCED BY HOMEOPATHY. By
A. J. Clark, M. D.
This is a new tract that is destined to have a large run. Price, $1.00 per hun-
dred. If two hundred are taken card printed on back, $2.00; five hundred for $4.00
with card.
HOW TO FEED CHILDREN. By T. C. Duncan, M. D., author of “ How
to be Plump," etc. Second edition Price: Cloth, 25 cts., paper, 10 cts.
This little book contains much that the experience of every observing physician
will attest to. The one point of persistent nursing of children when they are
starving at the breast, calls attention to a thing often overlooked. Breast milk is
not always the best. The book contains specific directions for feeding, from birth
to thirty months, and we commend this subject to all physicians.-Homeopathic
News.
Will be sent free on receipt of price.
DUNCAN
BROTHERS,
131 & 133 S. Clark St.
CHICAGO.

UNIVERSITY OF MICHIGAN
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