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Nº.
voL. I. MAY 15, 1871. NO, 1.
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c 2 -º- ºn A TEIE O
MEDICAL COSMOS,
A MONTHLY ABSTRACT
OF MEDICAL SCIENCE AND ART.
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GEO. J. ZIEGLER, M. D.,
EDITOR AND PROPRIETOR.
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Devoted to a résumé of the latest developments in PRACTICAL
MEDICINE, representing the advanced ideas of the age from all
parts of the World. Will be compendious, demonstrative, practical,
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CONTENTS.
Brain Wasting.............................................................. “. ... ---------------...... 33
Phosphorus Pills..................................................................................... tº e º sº º ºs º e e e º e º is v e s e º a s tº e is a º 33
Phosphate of Lime in Sickness of Pregnancy, etc.. w ............ .34
Pressed Meat, and Concentrated Meat Juice................................................... : . . . . . . . . . . . . . 35
Vomiting of Pregnancy, and Uterine Hemorrhage checked by Morphia Injection... 36
Quinia as a Parturificient................ ‘e e s e e º sº a s a º e s ∈ e < * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ............... 36
Supporting the Perinteum.................................................................... .......................... 36
Delivery of Placenta by Pressure of Uterus.................................................... *7
Inunction of Newly-born Infants.................................................................................. 37
Turpentine in Uterine Hemorrhage.............................................................................. 37
Haemoptysis—Treatment by Atomizer & • - - - - - - - - - - - - - 38
Carbolic Acid in Phthisis................................................................................................. 38
Chloral Hydrate and Cod Liver Oil................................................................................. 39
Fistula in Ano in Phthisis............................................................................................... 39
Fistula in Ano cured without the Knife........................................................................ 40
Cholera–Treatment with Strychnia and Capsicum..................................................... . 40
Flatulence–Its Treatment............................................. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * s • * * * * * * * * * 40
Quinia by Hypodermic Injection.................................................................................. 41
Carbolic Acid in Intermittent Fever.............................................................................. 41
Hydrate of Chloral in Intermittent Fever................... & s = e s s e º e s , º, e a e s a tº e s º ºs & e º 'º e s s is s e < e < * is e a e e s a s s is e a e s 42
Bromide of Potassium in Intermittent Fever...............'• * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * 42
A Conite and Hydrocyanic Acid in Acute I&heumatism................................................ 42
Hydramyle as an Anaesthetic................................................................ tº tº e º e º 'º e º e s tº s & e < * * * * * * * * 43
Painless Extraction of Teeth................................................................................... ....... 43
Carbon Bisulphide Rhigolene and Oleum Menthae Piperitae, as Local Anaesthetics.. .44
Local Anaesthetics........................................................................... “........................ 44
- Chromic Acid in Urethral Stricture.......................... ..................................................... 45
Lactic Acid in Diabetes............................................ Tº e g º º º gº tº t e º ſº e g º 'º º ſº tº e º 'º e º & E & © e '• • * * * * * * * * * * * * * * * * * * * * * * * * 45
Drainage in Suppurating Glands.................................................................................... 45
Aspiration in Diagnosis and Treatment.................. - tº $ tº º º tº º e º 'º e g º ºs s sº * * * * * g e º 'º º q 46
Aspiration in the Removal of Pathological Fluids.................................................. ..... 46
Quinia in Small-Pox..................................................................................“.....------------- 46
Chloralum as an Antiseptic......................................"º e s see a • * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * 47
Qak: Bark Wash in Sumach Poisoning........................................................................... 47
Benign and Malignant Growths—Differential Diagnosis............ ......... 48
Quassia as a Dressing for Wounds and Ulcers............................................................... 48
Cancer Root as an Alterative........... .............................................................................. 48
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* Tºjº: C. E-
MEDICAL Cosmos,
A MONTHLY ABSTRACT
OF MEDICAL SCIENCE AND ART.
Entered according to Act of congress, in the year 1871, by Geo.J. Ziegler, M. D., in the
Office of the Librarian of Congress at Washington.) -
WOL. 1. PHILADELPHIA, AUGUST, 15, 1871. NO. 3,
BRAIN WASTING.
J. CRIGHTON BROWNE, M. D., Lecturer on Mental Diseases
to the Leeds School of Medicine; (British Med. Journal, Med.
Becord,) states that: “1st. Women recover from this disease
more frequently and rapidly than men. 2d. The earlier the
age at which brain-wasting occurs, the better is the prospect
of recovery. 3d. The more decided the paralytic symptoms,
the worse is the prospect of recovery. He also says we owe
a debt of gratitude to Dr. Radcliffe for pointing out the value
of cod-liver oil and the hypophosphites in debilitating nervous
diseases. They supply the essential elements of nerve nutri-
tion in an easily assimilable form, and are unmistakably ben-
eficial in cases of brain-wasting. A tablespoonful of cod-liver
oil, and 15 grs, of the hypophosphite of soda, given twice or
three times daily, at the outset of such a case, often arrest at
once the downward tendency, and induce restoration of mental
and muscular power. Sometimes, when these remedies seem
ineffectual, doses of from 5 to 15 drops of tincture of opium
and sulphuric ether, twice a day, expedite their action, besides
conferring independent benefits. The opium gives, as it were,
a fillip to cerebral nutrition, and thus diffuses a favorable in-
fluence through the whole economy.”
PHOSPHORUS PILLs.
DR. RADCLIFFE, (Pharmaceutical Journal, Boston Med. & Sur.
34 THE MEDICAL COSMOS.
Journal) after having tried various means of administering
phosphorus, has adopted the form of pills, made according to
the following formula. “Take of phosphorus six grains, suet
six hundred grains, melt the suet in a stopped bottle, capable
of holding twice the quantity indicated; put in the phospho-
rus, and when liquid, agitate the mixture until it becomes solid;
roll into three grain pills, and cover with gelatine. Each pill
will contain one-thirty-third part of a grain of phosphorus.”
PHOSPHATE OF LIME IN. SICKNESS OF PREGNANCY, ETC.
METCALFE JoHNson, M.R.C.S.E., Lancaster, Eng., (Medical
Times & Gazette,) commends as a nutrient and nervine “the
simple hydrated phosphate of lime of the Pharmacopoeia in
doses of from three to ten grains each, three times a day, sus-
pended in water, and flavored according to the taste of the
patient. -
“A short time since, Mrs. A. B., aged 24, second pregnancy,
during the last month has had violent spasms all over the body,
with strabismus. Mouth and hands clenched. Says she has
pain all through the womb. Has great sensibility in the nip-
ples and the breast. Bowels generally confined. Has had
bleeding at the nose for the last few days. Her mother is a
very excitable, clever woman, and one other close relative a
somnambulist. The spasm was relieved by subcutaneous in-
jection of morphia. I emptied the bowels by an aloetic enema,
and gave her the phosphate of lime, which she took for three
weeks, after which she was delivered of a very small child, the
parietal bones of whose head consisted simply of two centres
of Ossification. Since her confinement she has been well.—
The spasm never returned after using the phosphates. I have
often had this proof of the efficacy of the phosphates in arrest-
ing the sickness: that patients have been sent to me for ‘some of
that medicine that relieves the sickness.’
“I had a patient a few weeks ago, who had been complainin
for some weeks of an irresistible vomiting after every meal,
who no sooner took the phosphates than all sickness ceased.
This of course might be the effect of expecting to be relieved;
but the cases have occurred too frequently for me to think
other than that relief has been most frequently the result of
the use of the phosphates. As such, I trust that some of your
readers will be induced to give the remedy a trial, for which I
now proceed to give a physiological reason or ratio medemdi.
“As we have seen, the altered shape of the uterus, the altered
nerve relations, the control of the ganglionic nerve to supply
the new arterial system to be established, make a demand upon
nervous influence which is very unusual. Nervous power can-
AIBSTRACT OF MEDICAL SCIENCE AND ART. 35
not be expended without harm, unless the supply of new
neuric elements makes up the deficiency. Neuric force derives
much of its nutrition and source from phosphates. Moreover,
the child in its formation requires more phosphates for its new
bones, and if these are supplied at the expense of brain and
ganglionic nerve, it follows, as a matter of course, that debility,
nervousness, and all the concurrent train of symptoms must
inevitably be brought about; and hence arise those feelings of
depression, peevishness and irritability so frequently associated
with the pregnant state. Nor is it to be wondered at, if we
consider that we take no steps to supply the new demand made
upon the blood.
“This view of the case is again supported by pathological
evidence, when we see how that fractures in pregnant females
are more frequently liable to non-union. These considera-
tions induce me to believe that the remedy is really the cause
of the relief so constantly expressed by the patient after its
use for a few days. I have also for some years been in the
habit of using this form of phosphates for the relief of rickety
children with great success, which further confirms me in the
belief that phosphates administered through the stomach do
become used by the blood. I have used for children the sac-
charated wheat phosphates supplied by the druggists, but in
the case of pregnant females I have not found those so useful,
and chiefly, I suspect, owing to the sugar which they contain.”
PRESSED MEAT, AND CONCENTRATED MEAT JUICE.
It is stated (Medical Times & Gazette) “that in the prepara-
tion of extract of meat by Liebig's process, the stimulating
and not the nutritive parts are preserved. A process has been
recently patented by Mr. T. F. Henley, an engineer of great
experience, the aim of which is to extract, by simple pressure,
a large portion of the juice from the fibres of meat, and to
leave the latter in an available condition as food if preserved
simply by moderate desiccation. Thus, there is a twofold pro-
duct—meat-juice and meat dried. The meat-juice, rich in ex-
tractive matters, and containing over 50 per cent. of albumen,
is evaporated in vacuum pans, so as to retain its solubility,
flavor, and unchanged alimentary process. The method of
preservation relied on is the oldest and the safest—that of ab-
stracting moisture at low temperatures—and the mechanical
means adopted do away with the use of water, much heat, and
the coagulation and separation of albuminoid matters, which,
in Liebig's process lead to unnecessary expense and wasteful-
ness.”
36 TEIIE IMEDICAL COSMOS.
WOMITING OF PREGNANCY AND UTERINE HEMORREIAGE,
CHECKED BY MORPHIA INJECTION. -
DR. F. R. IIogg, reports, (Med. Times & Gazette,) the follow-
ing case, “B, her second labor, through intense heat, was
followed by puerperal mania, hatred to husband, child and ac-
coucheur the prominent features. At Woolwich, in the
seventh month of next pregnancy, reduced to death's door
through morning sickness, at last seeks Medical advice. For
fifteen days every remedy tried in vain, but, before inducing
premature labor, a hypodermic injection of morphia was ap-
plied over the stomach. Not merely did the vomiting cease
immediately, but in six hours labor came on. She swallowed
quantities of brandy, and in an exhausted condition gave birth
to a weakly infant. Within two hours profuse hemorrhage
occurred, checked by another hypodermic injection of morphia
over the uterus. Soon after vaccination, infant contracted
variola. Result: Mother and child now well.”
QUINIA AS A PARTURIFACIENT
DR. ANGELo MonTEVERDI, (Giornale Veneto of Med. Sciences,
Medical Record,) “has found the Peruvian bark and its prepa-
rations to contain highly emmenagogue properties superior
to the ergot. The sulphate of quinia, at doses of five grains
every half hour, administered to pregnant women, will pro-
duce—first, the simple tension of the fibres of the uterus;
second, slight contractions; and lastly, strong and expulsive
contractions, so as to cause miscarriage and premature birth.
He has used the sulphate of quinia as above in cases of pro-
tracted labor without regular or long pains, and flaccidity of
the uterus, where the ergot should have been used, even where
rigidity of the os has existed, or where the placenta has not
been successfully expelled, and he has found the first dose of
quinia to revive the already inefficient pains and contractions,
and successfully carry to an end, in less than an hour, the
long-desired labor.”
SUPPORTING THE PERINEUM.
DR. GooDELL (Amer. Jour. of Med. Sci., R. B., British & Foreign
Med. Chir. Review) considers the following method the most
rational and useful : “Insert one or two fingers of the left
hand into the rectum, the woman lying on her left side, with
her knees well drawn up and separated by a pillow, and hook
up and pull forward the sphincter ani towards the pubes. The
thumb of the same hand is then to be placed on the foetal
head, scrupulously avoiding all contact with the fourchette.
AIBSTRACT OF MEDICAL SCIENCE AND ART. 37
The right hand assists the thumb in making the head hug the
pubes; after a pain it presses back the head from the peri-
naeum, and thus represses reflex uterine action. In this way,
Dr. Goodell says, the peringeum is drawn forwards. During a
pain the perinaeum is tense and inelastic, like the OS uteri; in
the interval it relaxes and becomes flaccid. Acting on this
hint, Dr. Goodell, in cases of rigidity, seizes the moment of
greatest relaxation; that is, immediately after a pain, to enu-
cleate the head by hooking the two fingers in the rectum over
the chin, and at the same time by gently sliding back the peri-
naeum over the parietal bosses.”
DELIVERY OF PLACENTA BY PRESSURE ON UTERUS.
DR. G. CHANTREUIL, of Paris, (Archives Generales de Medi-
cine,) gives his experience with the method by external com-
pression of the uterus, which he learned from Professor Crede,
of the Matermite at Leipzic. Success is more rapidly attained
in proportion as the attempt follows closely upon the birth of
the child, yet it may be achieved after the lapse of a quarter
of an hour, or half an hour. The proceeding should be prac.
tised during a pain, and not during an interval. At the time
of the maximum of the first uterine contraction, which natur-
ally takes place after the birth of the child, the fundus uteri is
to be embraced in the open hand, and steady pressure made
downwards and backwards.-Medical Gazette.
INUNCTION OF NEWLY-BORN INFANTS,
AT a recent meeting of the Lynn Medical Society, Mass.,
(Boston Medical and Surgical Journal,) “Dr. Nye spoke of the
management of the child after birth, and reported one case
which died of too long exposure in being washed, and another
that was chilled and livid, but was saved by the hot bath. He
recommends that the child be covered with lard and wiped, no
water being used.”
In two recent cases we have substituted inunction for wash-
ing of the infants, not only at the time of birth, but long
subsequently, with manifest advantage. Fresh lard was used,
and seemed to both protect and nourish the children, as
they were very healthy and grew finely.—ED.
TURPENTINE IN UTERINE HEMORREIAGE.
MR. BRADLEY, of Martley, (Georgia Medical Comp., Medical
Archives,) “a few years since, published some very valuable
records of the utility of turpentine in hemorrhages of all kinds.
38 TEIE MEDICAL COSMOS.
As a restorative in certain cases of prostration, especially such
as occasionally arise during the puerperal state, it is no less
serviceable. Sometimes, after a severe labor, accompanied or
not with hemorrhage, great debility.will ensue about the third
day, characterized by a rapid pulse, tympanitic abdomen, and
other symptoms not connected with peritoneal or other fever,
yet threatening the advent of a typhoid condition. Here tur-
pentine, both as an injection and by the mouth, is invaluable.
Mr. Yarraway, of Faversham, records (British Med. Journal)
a case of this character occurring in a primipara on the third
day after labor. One ounce of turpentine, diffused in muci-
lage, was injected as high as possible into the rectum ; the pa-
tient had been previously insensible, with cold and sweating
skin, and commencing shrivelling of the surface, but in four
or five minutes after the turpentine injection the respiration
became freer, she soon opened her eyes, deglutition became
possible; after which nourishment was administered with the
best effects.”
Turpentine may also be administered freely with advantage
by direct inhalation when a speedy effect is required. Intro-
duced in this way its action, as a diuretic, haemostatic and
stimulant, is usually prompt and decided.—ED.
HAEMOPTYSIS-TREATMENT BY ATOMIZER.
DR. E. Holden, of Newark, New Jersey, (Medical Record,)
invites attention to a simple and efficacious method of check-
ing haemoptysis by “throwing the atomized vapor of a satu-
rated solution of gallic acid directly into the mouth and throat.
I have repeatedly found the most gratifying success follow at
once, even in cases of profuse haemorrhage. Unlike other
styptics thus administered, it quiets the spasmodic cough,
which seems the direct result of the presence of the blood,
requires but a moment to prepare, and aside from its efficacy,
it inspires immediatety the confidence of the patient. My
habit has been to have an atomizer and bottle of gallic acid
always at hand, and when summoned hastily to mix the acid
in a tumbler of cold water, and use even without waiting for
the excess of acid to snbside. It has proved successful in sev-
eral cases where the blood was streaming from the mouth
with every expiration.”
CARBOLIC ACID IN PHTHISIS,
DR. ARCHIBALD F. RICHMOND, M. D., writes, (Med. Times &
Gazette,) “as the cure of tubercles frequently takes place na-
turally, it occurred to me that nature might be aided by means
ABSTRACT OF MEDICAL SCIENCE AND ART. 39
of this curative agent, administered internally. Accordingly,
in the month of March last, in a case of phthisis where the
physical and functional derangements were of the most ad-
vanced kind, I prescribed two grains in syrup three times per
diem—the result being diminished expectoration, and the pulse
reduced from 135 to 116, with corresponding abatement of
hectic fever. The medicine has been continued without any
counteracting or injurious symptoms. From my experience
of this case, I would feel justified in using the medicine in
cases from the first to the latest stages of the disease; and I
think it is proper to bring it under the notice of the Profession,
in order to elicit observations on it, and to have the merits of
carbolic acid, as an internal medicine in cases of consumption,
brought to the test.”
We have frequently prescribed carbolic acid alone and in
combination with iodine and other remedies, both by the lungs
and alimentary canal, with marked benefit, in phthisical cases.
—ED.
CHLORAL HYDRATE AND COD LIVER OIL.
10 grim. crystalized pure chloral hydrate dissolved by diges-
tion in a sand bath, in 190 grn. cod-liver oil, renders the latter
more palatable; uséd by consumptives, the preparation dimin-
ishes the night sweats, produces sound sleep and improves the
appetite. The dose is six table-spoonfuls daily.—Pharm. Zeit.
from Gaz. farm. ital.-Amer. Jour. Pharmacy.
FISTULA IN ANO IN PHTHISIS,
IN a recent lecture at King's College Hospital, (Medical Press
and Circular,) Prof. Wood said “his own impression was that
the operation in the majority of instances was not injurious,
but, on the contrary, highly beneficial. Patients were relieved
of a painful and weakening disease, and their health rapidly
improved. . . He need, on this occasion, only allude to the old
exploded theory, that a fistula in phthisical patients carried off
a quantity of peccant matter connected with the disease. His
attention had lately been particularly drawn to this question,
in consequence of having been called into consultation to see
a gentleman suffering from fistula of ten year's standing, who
had phthisis. During the last ten years the coutinental phy-
sicians, both French and ltalian, had refused to operate. Mr.
Wood operated on the case, the patient perfectly recovered,
and this notwithstanding he had to spend the whole of the
winter in England, a thing he had not done for ten years pre-
viously.”
40 THE MEDICAL cosmós.
FISTULA IN ANO CURED WITHOUT THE KNIFE.
DR. E. C. HUSE, of Rockford, Illinois, (Medical Record, De-
troit Review of Medicine,) “has treated several cases of fistulain
ano successfully by the simple injection of a Saturated ethereal
tincture of iodine. This tincture is much stronger than the
alcoholic, as the ether rapidly evaporates, leaving a pure coat-
ing of iodine along the fistulous track. A speculum is
introduced into the rectum with the fenestrum opposite
the internal orifice of the fistula. The fistula is explored with
a very small probe to find out its course and extent, then the
canula of a hypodermic syringe is introduced, bent to the pro-
per shape, and a syringe filled with water is screwed on, and
the surface is cleansed from all extraneous matter. A piece of
cotton is placed against the internal orifice to absorb any of
the injection, and then the iodine is thrown in.”
CHOLERA –TREATMENT WITH STRYCHNIA AND CAPSICUMI.
THE Baltimore Medical Journal quotes the following remarks
from the U. S. Army report, by Acting Assistant Surgeon H. M.
Rirke, respecting cholera occurring on the ‘Arkansas river,
two miles below old Fort Lyon. “My belief that the extreme
prostration, nervous in character, which always accompanies a
violent invasion of the disease, indicated that its force was ex-
pended almost altogether on the spinal cord, suggested to me
the use of strychnia in large doses as a powerful and certain
excitant of the nervous system, combined, in the first instance,
with an aqueous solution of capsicum, to stimulate the stomach
and promote rapid absorption of the Strychnia. The treat-
ment, therefore, adopted, was a tablespoonful of the solution
and one-tenth of a grain of the strychnia; the strychnia to be
repeated in fifteen minutes. In all the four cases in which
this treatment was adopted, the improvement was so imme-
diate and marked, that in a few minutes after the second dose
the patient fell into a calm sleep, the cramps being perfectly
and the other symptoms very much relieved. The treatment
afterwards was expectant, and all recovered.”
Strychnia with phosphoric acid and other stimulants might
be still more rapidly introduced into the system by hypoder-
mic injection.—ED.
FLATULENCE—ITS TREATMENT.
DR. JoHN CHAPMAN states, (Med. Press & Circular,) “There
are, fortunately, two plans, both often remarkably successful,
of relieving the distress caused by gaseous distension, without
AñsTRACT of MEDICAL scIENCE AND ART. 41
resorting to drugs at all, and therefore without submitting to
the evils sometimes inseparable from their employment: either
the prolonged use of the warm bath, at 100°Fahr., or the ju-
dicious application of the spinal ice bag often operates like a
charm in respect to both the rapidity and the completeness
with which the gaseous swelling is made to subside; and, in
my opinion, experience will prove to every physician who
gives these methods an adequate trial, that very few cases will
be met with in which effectual relief will not be given by re-
sorting either to one of these experiments or to both of them
in Succession.”
QUINLA BY HYPODERMIC INJECTION.
IN an instructive paper on “Hypodermic Medication,” (Chi-
cago Medical Journal.) Dr. T. Curtis Smith says that “Dr. R. B.
Maurey, of Port Gibson, Miss., gives a report of twenty-five
cases of the various forms of malarious fevers treated with
quinia by the hypodermic method. He states that “in most
of the cases six grains was the entire quantity of quinia used
during an intermission or remission; in the severer cases eight
grains was the quantity used. Cinchonism was fully produced
in from forty to sixty minutes.’ He thinks that life can often
be saved by this method in congestive intermittents, when it
could not be done by the stomachic method, for the reason
that absorption by the stomach is too slow in cases where the
chill is near or already at hand, or that it may be so irritable
as not to retain the remedy long enough to affect the system.”
Dr. Smith adds, “Of quinia sulph. a proper solution is: B.
Quinia Sulph, grs. xx; Acid Sulph. Arom, gtt. xx; Aqua
Dest. 5 iii: M, and filter. Of this, 9 minims equal 1 grain.”
It is probable that the phosphate of quinia and phosphoric
acid will prove less irritant locally, and more stimulant to the
nervous system. We habitually use this acid with strychnia
in hypodermic medication with the best results.-ED.
CARBOLIC ACID IN INTERMITTENT FEVER.
DR. H. Tuck (Boston Medical and Surgical Journal,) states
that Dr. Treulich reports (Wied. Med. Presse,) eight cases of
intermittent fever promptly cured by carbolic acid. His for-
mula is:—
B. Acidi carbolici, gr. iij. ;
Inf, gent., 5v.;
Syr. simpl., 5i.
M. Dose, 5i. ter die.
His article closes thus: 1. Carbolic acid is an admirable
42 THE MEDICAL COSMOS.
remedy for intermittent fever, even for obstinate cases which
have resisted quinine. 2. Its action is speedy and certain, and
it requires such a small amount that it cannot possibly have
any injurious effect on the system. 3. The average amount
required was four and one-eighth grains. 4. It costs only
one-thirty-fifth of what quinine does, and so is to be preferred
for the poor. 5. This successful use of carbolic acid proves
that the action of quinine in intermittent fever is antiparasitic.
6. It also favors the opinion that intermittent fever is the re-
sult of of a blood poison.”
HYDRATE OF CHORAL IN INTERMITTENT FEVER.
DR. F. A. DUZAN, of Zionsville, Indiana, claims (Indiana
Journal of Medicine) to have employed the hydrate of chloral
successfully in the treatment of intermittent fever where quinia,
arsenic, and other antiperiodics had failed. He gave fifteen
grains five hours before the expected cold stage, and repeated
the dose every hour until five doses had been taken. In one
case narrated he repeated the doses on the day of the expected
return, and after that there was no recurrence of the disease.
—Medical News.
BROMIDE OF POTASSIUM IN INTERMITTENT FEVER,
REPEATED trials in Guy’s Hospital have shown the very great
value of the bromide of potassium in ague. The following
formula is recommended:
B. Bromide potassium 5v :
Tr. cinchonae, yellow, 5iijss;
Spts. ammonia aromat 5ss.
M. S. A teaspoonful in half a wine-glassful of
water, three times a day.
Geo. Med. Comp., Med Archives.
ACONITE AND HYDROCYANIC ACID IN ACUTE RHEUMATISM.
DR. W. M. WELLs, of Atlanta, Ga., writes (Atlanta Med. }
Surg. Journal), to allay arterial and nervous excitement in
rheumatism “I have found nothing equal to Tr. of Aconite and
Hydrocyanic Acid blended, the Aconite being decidedly se-
dative to the heart's action, while the Prussic Acid is mainly
sedative to the nerve centres, (and thereby a powerful anaesthe-
tic) the specific action of both may be had at once. One an
arterial, the other a nervous sedative, the mutual action of
both almost prevents pain and fever, (and thereby prevents, to
a very great degree, cardiac complitations,) until sufficient
ABSTRACT OF MEDICAL SCIENCE AND ART. 43
time can be had to successfully depurate any excess of lithic
acid, the prime cause in perpetuating the attack. I have rarely
found it necessary to use any other anodyne than the sedative
mixture just mentioned. I have in one case used fifteen
rains Hydrate Chloral to the dose, given with the Aconite.
he result was entirely satisfactory. In that combination the
acid was, of course, left out.”
As a substitute for Prussic Acid and a very efficient arterial
and nervous sedative, we have long used cherry-laurel water,
both alone and as a menstruum for other remedies of a simi-
lar character.—ED.
HYDRAMYLE AS AN ANAESTHETIC.
THE Medical Times and Gazette says this new anaesthetic
“has been again administered during the present week by Dr.
Richardson for short operations, and with continued fovorable
results. The Vapor is so rapid in its action that, in a case of
extraction of a molar tooth, by Mr. Peter Matthews, on Mon-
day, the patient was rendered insensible, the operation was
performed, and recovery was completed in fifty seconds. For
tooth-extraction, Dr. Richardson let the patient inhale for
twenty or twenty-five seconds, and then, although there is still
consciousness, he withdraws the vapor. After this, a deep
but brief stage of unconsciousness comes on, during which the
operation is carried out. The delay in the production of
anaethesia is due to the insolubility of the hydramyle—that is
to say, after the lungs are charged with the vapor, time is re-
quired for the blood to take up the narcotic and carry it to the
nervous centres, The same phenomena may be observed, in
a lesser degree, from bichloride of methylene and from methy-
lic ether. For short operations, such as tooth-extraction, the
occurrence of deeper insensibility after the inhalation has been
stopped is an advantage, and the fact that the insensibility in-
tensifies for a short time, as stated, will have to be speedily re-
membered by administrators.”
PAINLESS EXTRACTION OF TEETH.
DR. A. C. CASTLE, of N. Y., (Dental Cosmos,) states he has
for thirty years adopted the plan of “obtunding or benumbing
the extremities of the temporal nerves for painless extraction
of teeth from their sockets with complete success, never hav-
ing used or countenanced the exhibition of chloroform, ether,
or nitrous oxide gas for this minor surgical operation. The
benumbing, or mechanical anaesthesia, of the temporal branches
of nerves obtunds the whole nerve to a sufficient extent to
44 THE MEDICAL COSMOS.
allow the teeth to be removed with sensation so slight, which,
if not attending a special surgical operation, would scarcely be
noticed by the patient. One of two modes may be adopted.
Application of ice to the temples, which is somewhat distress-
ing, the sensation of cold striking deeply. The other, to
which I give the preference, is done by an assistant, with each
of his middle fingers pressing their points (of the fingers) with
persistent firmness and force into the fossa or hollow behind
the ridge of the temporal bone, which forms the external bone
circle orbit of the eye. Pressure for one minute is all that is
necessary. The practice is as simple as it is harmless, and
leaves no after unpleasant sensation to annoy the patient.
It is an instinctive method often adopted by people themselves,
who press their temples with their fingers to relieve them-
selves temporarily of the acute paroxysms of nervous head-
ache. This temporary pressure, with sufficient force, is all that
is required to remove teeth painlessly.”
CARBON BISULPHIDE, RHIGOLENE AND OLEUM MENTHE
PIPERITHE, AS L00AL ANESTHETICS.
DR. S. R. NISSLEY, of Pemberton, Ohio, writes (Jour. Mat.
Med.): “I have been in the habit of using the Bisulphide of
carbon as a local anaesthetic for several years. I have tested
its efficacy and potency in facial neuralgia, hemicrania, odon-
talgia, and lumbago, and the speedy relief it afforded to the
sufferer was almost instantaneous. My mode of application
was this: place a pledget of cotton into a salt mouth bottle,
saturate it well with the Bisulphide and apply it to the painful
part, and as soon as the patient complains of Smarting sensa-
tion, change the bottle, carefully following the course of the
principal nerve that seems to be involved in the difficulty.
I have used a combination of Rhigolene and the Oil of Pepper-
mint as a local anaesthetic in a number of neuralgia cases, that
presented themselves at my office for relief, and thus far my
success in those cases has been far beyond my most sanguine
expectations. After several applications they express them-
selves cured. ... I have recently been in the habit of adding an
etheral collodion to the compound, and I am gratified to say
that in the combination, I have a specific, which will under
almost any circumstance, when the part is accessible, relieve
the patient instantaneously; its effects are magical. In a se-
vere case of tic douloureux this compound was tried, and in
several minutes the patient was relieved.”
- L00AL ANESTHESIA.
DR. SPESSA, (Lancel,) “states, in the Bulletin des Se. Med.
ABSTRACT OF MEDICAL SCIENCE AND ART. 45
(Italy) that he has succeeded in preventing pain, during the
slitting of a fistulous tract, by injecting a solution of morphine
into the tract before the use of the knife. The same author
had occasion to touch the vulvar vegetations of a girl with but-
ter of antimony: the pain was very acute, but disappeared
on the part being brushed over with a solution of morphia.
A boy of fifteen, suffering from hip-joint disease, required an
issue over and behind the great trochanter. An injection of
morphine was first made over the region, and Vienna paste
applied, which latter remained about eight minutes. The
paste did not give any pain.”
CHROMIC ACID IN URETHRAL STRICTURE.
AT the late meeting of the Illinois State Medical Society,
(Chicago Medical Ecaminer,) “Dr. J. Murphy, of Peoria, for all
old and indurated strictures recommended the use of chro-
mic acid, applied directly to the stricture. He introduces
a large-sized bougie, with several holes in the end, presses it
down upon the stricture and injects through it the solution of
chromic acid, repeating the application at first twice a day.
When the tissue of the stricture has been softened by the ap-
plication, a small-sized bougie, with holes in the sides, is used
and pressed through the stricture, and the acid injected as be-
fore. He continues this once a day, with increased size of the
instrument, until a No. 8 passes readily. He commences the
use of a solution of chromic acid, 40 grs., water, 5.j., but in-
creases the strength gradually to 60 grs. to the ounce of water.”
LACTIC ACID IN DIABETES.
DR. JoHN MURRAY, Middlesex Hospital, (Lancet,) “has several
patients, suffering from diabetes, whom he is treating with
lactic acid, as recommended by Professor Cantani of Naples.
They have all greatly improved, but, as the diet has been re-
stricted in the meantime, he is unable to say as yet to what
extent the lactic acid deserves the credit. When the sugar
entirely disappears, the patients will be gradually allowed to
resume their diet, when the practical value of lactic acid will
be tested.” -
DRAINAGE IN SUPPURATING GLANDS,
Two children (Ibid.) with scrofula and enlarged cervical
glands. “In both patients one of the glands had suppurated.
Instead of making an incision, Dr. Murray had passed a cat-
gut ligature through the abscess, the contents of which were
then allowed to drain away. The glands had quite recovered
46 TEIIR MEDICAL COSMOS.
in one case, and nearly so in the other. No scar was left in
either case—a matter of considerable importance, especially in
the case of females.”
ASPIRATION IN DIAGNOSIS AND TREATMENT,
DR. JoHN ROSE (Lancet) reports the case of a delicate boy,
thirteen years of age, an out-patient of the Chesterfield Hos-
pital, with scrofulous abscess under the right ear, which he
treated successfully by the above method, using the instrument
invented by Dr. Georges Dieulafoy, of Paris. “In females,
where it is especially desirable to avoid cicatrices, the instru-
ment will be found extremely valuable. By its use the intro-
duction of air into abscesses—a frequent source of serious
mischief—is avoided. It is said that Dr. Marion Sims has
used this method in New York in cases of pelvic abscess and
periuterine cellulitis with the best effects, and that the bladder,
in cases of retention of urine, has been emptied by the aspira-
tor without risk by introducing a small needle above the pubes.
It has also been used with great advantage in cases of hydro-
cephalus and in pleuritic effusions.”
ASPIRATION IN THE REMOVAL OF PATHOLOGICAL FLUIDS.
IN (Schmidt's Jahrb.,) there is a summary of recent litera-
ture on this subject. In some cases the ordinary hypodermic
syringe is used, whilst others used a valved apparatus like a
pump, or an elastic bag attached to the perforated needle.
The method in its various modifications has been made use of
in every variety of fluid accumulation; in hydrocele; abscesses,
especially buboes; hydrothorax; hydropericardium; fluid in
joints; and even in hydrocephalus and abscess of the brain.
The method may often be found useful for diagnostic purposes.
The great advantages are the safety and almost painless cha-
racter of the operation, and in some cases the prevention of
any scar, whilst as regards diagnosis the fluid removed is quite
pure.—Medical Press and Circular.
,-w
QUINIA IN SMALL-POX.
“DR. CozE (Gaz Med. de Strasbourg, N. Y. Med. Journal) re-
commends, as almost equal to vaccination, the administration
of s. Quinia from the moment the patient feels the first prodro-
mata of small-pox. The patient must be immediately put to
bed, and at half-hour intervals take three to four doses of 25
ctgr. quinia. ... If the illness has not disappeared the next morn-
ing, the medicine is to be repeated in the same manner. It
AIBSTRACT OF MEDICAL SCIENCE AND ART. 47
generally, then, either fails to come to the eruption, or at most
a few scattered pocks appear, which do not hinder the patient
from attending to his trade.”
CHLORALUM AS AN ANTISEPTIC.
MB. JoHN GAMGEE, (Med. Times and Gaz.) considers “chlo-
ralum a safer, better, more economical and available antiseptic
than carbolic acid. Chloralum, as proved conclusively by many
experiments of my own, and quite recently by Professor
Haughton's attacks, and destroys offensively odorous matter
and secretions which are simply masked by carbolic acid.
Chloralum is a better antiseptic agent for the dressing of
wounds and inflamed mucous membranes than carbolic acid.
Mr. Lund noticed irritating effects from the use of an im-
properly prepared specimen of chloralum which smelt strongly
of chlorine. My brother, J. Sampson Gamgee, of Birming-
ham, has fully demonstrated that I was justified in recom-
mending the aluminic chloride as a dressing after surgical
operations, and he has drawn special attention to this fact in
his recent pamphlet on ovariotomy.
Whenever we have used chloralum mixed with specific con-
tagious matter, such as that of the foot-and-mouth disease in-
cattle, the poison has been rendered harmless. It is un-
doubtedly disinfectant in every sense in which a medical man
uses this word, and from the readiness with which it has found
its way into general use by recommendation on the part of the
most distinguished sanitary authorities in this country and
abroad, it is quite certain that carbolic acid, chloride of zinc,
chloride of lime, and other agents used as deodorisers and dis-
infectants, will be, to a large extent, supplanted by it in every-
day life.”
OAK-BARK WASH IN SUMACH POIsoNING.
DR. J. B. A. RISK, Morgan, Ky., writes, (Cincinnati Med.
Repertory): “In my experience in the treatment of the erysipe-
latoid affection of the skin and subjacent tissue induced by any
one of the family of the rhus, whether the radicares, toxico-
dendron, vermix, etc., nothing has been so satisfactory in its
curative effects as the decoctio querci albæ: indeed I regard
it as a specific; for if the parts diseased are bathed in the
warm decoction sufficiently, the soothing effects, the speedy
subsidence of the pain, and tumefaction and redness soon fol.
low, announcing to the sufferer the sanative influence of this
agent. The subsidence of the inflammation and the corruga-
tion of the skin will not perhaps always take place at the first
bathing, but, if followed up a few times, will be sure to occur,
48 TEIIR, MIEDICAL COSMOS.
ending in a permanent cure, without the use of constitutional
remedies. In order to effect these results the parts diseased
should be in contact with the decoction, either by immersion
or by application with a sponge for the space of thirty or forty
minutes, or even longer, when there is much inflammation,
and repeated every four hours.”
BENIGN AND MALIGNANT GROWTHS——DIFFERENTIAL
DIAGNOSIS,
DR. J. N. DANFORTH, of Chicago, concludes an interesting
paper on the “microscopic appearances of cancer cells,” in the
Chicago Medical Journal, with “the following simple rules for
drawing the distinction between innocent and morbid growths;
whenever a description of one of the cells of a microscopic spe-
cimen is a description of all of its cells, the chances are as ten
to one that it is not cancer;-whenever, on the other hand, the
cells of such a specimen are so varied in form and size that
philology and ingenuity and imagination, and the most un-
flinching resolution combined, utterly fail to accomplish the
task of describing them, the chances are as ten to one that the
specimen is from a malignant growth, whatever may be its
name or location.”
QUASSIA ASA DRESSING FOR WOUNDS AND ULCERS.
MR. CHARLES C. MITCHINSON, Assistant-Surgeon R. N. (Lan-
cet,) “calls attention to the use of infusion of quassia as a
dressing for open wounds and ulcers in hot climates or during
the prevalence of hot weather. Flies cannot, he says, bear
the smell of the wood. Maggots are therefore entirely avoided.
Our correspondent's attention was first called to the subject by
a friend in the medical department of the United States Army,
who had 500 wounded men under his care at one time after
one of the James River engagements.”
CANCER. R.00T AS AN ALTERATIVE.
DR. BATWELL (Michigan Univ. Med. Jour) reports favorably of
an infusion of the plantago cordata or cancer root in the treat-
ment of cancerous affections. “This plant,” he says, “has
been long celebrated among the Indians for its curative pro-
perties in cancers, and all who have tried it seem thoroughly
convinced of its powerful alterative effects. Many cases through
this section testify to the beneficial results arising from its use,
and in the above case I saw that just as soon as this remedy
was exhibited so soon did the tumors cease to develop, and
those that had presented did not increase in size; and that
just as soon as my patient became intolerant of its exhibition
they rapidly increased both in number and magnitude.”—In-
diana Jour. Med.
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PENNSYLVANIA COLLEGE OF DENTAL SURGERY.
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F A c U L T Y.
T. L. BUCKINGHAM, D. D. S., Professor of Chemistry.
E. WILD MAN, M. D., D. D. S., Professor of Mechanical Dentistry and Metallurgy.
G. T. BARRIER, D. D. S., Professor of Dental Pathology and Therapeutics.
JAMES TRUMAN, D. D. S., Professor of Dental Histology and Operative Dentistry.
JAMES TYSON, M. D., Professor of Physiology and Microscopic Anatomy.
J. E.WING MEARS, M. D., Professor of Anatomy and Surgery.
J. M. BARSTOW. D. D. S., Demonstrator of Mechanical Dentistry.
ELIHU R. PETTIT, D. D. S., Demonstrator of Operative Dentistry.
THE REGULAR SESSION will commence on Wednesday the first of November,
and continue until the first of March ensuing. The course is so arranged that about
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College. The Dispensary and Laboratory of the College will be opened on the first
of September, and preliminary Lectures will be delivered during October, one each
day. A Clinical Lecture every Saturday by one of the Professors. The most ample?
facilities are furnished for a thorough course of practical instruction. During last
session operations were performed for 3,210 patients. - -
Tickets for the Course, Demonstrator’s Tickets included, $1 oo. Matriculation
Fee (paid but once) $5. Diploma Fee, $30. For further information, address
E. WILDMAN, Dean,
1205 Arch St., Philadelphia.
The Dental Times, published by the Faculty, Publication Office, 1221 Spruce Street.



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