- '*£* •' Bulletin of T’w y fw r * f p 'i T ^ y APRIL, 1896. No. 5 * Medical Instruction .. PUBLISHED QUARTERLY ~ ro* tu Alumni Association Boston OniVergitg School of Medicine AMD THK New England Hahnemann Association. BOSTON, MASS. Subscription, 50 cts. a year. Single copies, 15 cents. Boston University School ot Medicine. TWENTY-THIRD YEAR, 1895-1896, BEGINS OCT. 10, 1895. FOUR FEARS’ COURSE. This Medical School, in 1878, was the first in this country to establish a four years* coarse of medical study prior to graduation. Many years’ experience and the gratifying success which attended it in producing well-trained, thoroughly educated physicians, lea the faculty to require this course from all students entering this school during and after the year 1890. THE FIRST YEAR. In addition to more thorough knowledge of Anatomy and Physiology this year affords Instruction in many subjects of essential importance to the physician, but which are often emitted in medical schools, and for which there is no time in a short term of six months. Success in these studies makes a firm foundation for the work of the succeeding years and cannot be as profitably secured outside the Medical School. THE INCREASED FACILITIES of the School add greatly to the value of its Instruction. THE MASSACHUSETTS HOMEOPATHIC HOSPITAL, Is the largest Homeopathic Hospital of its class in the world, and affords valuable din* ieal advantages, both surgical and medical. THE DISPENSARY Furnishes more than fifty thousand prescriptions a year, and its thirteen depart* meats offer daily clinics in which may be seen nearly every variety of disease. THE NEW GOLLEGE BUILDINGS Provide excellent accommodations for studies in tbe various laboratories. Its Chemical Laboratory eas one hundred and sixteen lockers and fifty-six tables, each fitred with water, gas and all the needed apparatus. Tbe Microscopical Laboratory is perhaps the best arranged in tbe country for light and ventilation, and is provided with forty-five Microscopes. Tbe Phy¬ siological and Pathological Laboratories are equally spacious and well arranged. Tbe Museum has been thoroughly refitted and is open daily for the Student. The Library contains ever three thousand medical volumes, newly catalogued and arranged, vith spacious reading rooms and the latest reference hooks for study. The equipments throughout are extensive ana of practical value. Tor further information apply to the Dean, L T. TALBOT, M. D., 685 Boylston St., Boston. Omton UrtivensiTT 1 School of aeronc- BULLETIN OF MEDICAL INSTRUCTION. iii. The Newton Nervine. • i Situated in West Newton, nine miles from Boston. Two departments, in buildings widely separated; one for patients with nervous troubles, such as nervous prostration, hysteria, spinal irritation, dys¬ pepsia, headache, insomnia, paralysis, etc. The other, the Hospital, is for mental diseases. \» \ Massage , baths , electricity , rest treatment , spacious grounds. • • ... ' J , . j !• .'.I • Regular rate fifty dollars a week; one room in each house thirty-five dollars. Price covers medical care, board, washing, baths, massage, carriage driving, and a skilled nurse for each patient. N. EMMONS PAINE, M. D., Jk West Newton, Mass. PLEASE MENTION THE BULLETIN OF MEDICAL INSTRUCTION. Boston University School of Medicine. PUBLISHED QUARTERLY FOR THE Alumni Association of Boston University School of Medicine. AND THE New England Hahnemann Association. Publication Committee: J. P. Sutherland, M.D., ’79. W. T. Talbot, M.D., ’90. C. H. Thomas, M.D. ’88. J. E. Briggs, M.D.. ’90. ANNUAL SUBSCRIPTION.FIFTY CENTS. Single Copies, Fifteen Cents. Advertisements, contributions of money and business communications, should be sent to C. H. Thomas, M.D., 427 Broadway, Cambridge, Mass. Subscriptions should be sent to J. E. Briggs, M D., Subscription Agent, 240 Massachu¬ setts Avenue, Boston. All literary matter should be forwarded to W. T. Talbot, M.D., 685 Boylston St., Boston. VOL. II. Boston, Apeil, 1896. No. 3. CONTENTS. Historical Sketch of Boston University School of Medicine, -.Page i Medical Schools are not Commercial Enterprises, by J. P. Sutherland,.5 The Teaching of Physiology, by John A. Rockwell,.7 Massachusetts Homoeopathic Hospital, - - - -.g Institute of Homoeopathy and Medical Education, by W. T. Talbot,.n Homoeopathic Medical Dispensary, . ... I4 Westboro Insane Hospital,. ------- 16 The N. E. Hahnemann Association, - -- -- -- -- -- - 19 Infinitesimals, a poem, by Mrs. Julia Ward Howe,.-21 The Hahnemann Centennial Festival, ----------- 22-32 HISTORICAL SKETCH OF BOSTON KNIFE RSI TV SCHOOL OF MEDICINE. BY I. TISDALE TALBOT, M.D- In 1869, Boston University was incorporated by the State of Massachusetts, and its charter conveyed the full powers of a University in the holding of property, granting of degrees, etc. Its College of Liberal Arts, its Divinity and Law Schools, a College of Oratory and one of Music were already established, and its Agricultural College had been associated with the State Agricultural Institution at Amherst, when, in 1873, the School of Medicine was organized. By an enabling act of the legislature, in 1874, the New Eng¬ land Female Medical College, which had been in existence more 2 BULLETIN OF MEDICAL INSTRUCTION. than twenty-five years, was united with it. Thus, at the very beginning, this medical school opened its doors under university protection with medical associations which had been accumu¬ lating for more than a quarter of a century, and was supported by a large branch of the profession whose members had long felt the importance of a school in New England, where their students might obtain a thorough education in medicine, and, at the same time, secure a knowledge of homoeopathy. Up to this time the methods of medical instruction in this country had been of a crude and doubtful character. Pupils began the study of medicine oftentimes without the slightest regard to preliminary education. Many, it is true, were well trained, and not a few were graduates of literary colleges, yet they entered the same class with those who had received not even the advantages of the grammar schools, but who had a de¬ sire to reach the status of “ doctor ” with the least possible ex¬ penditure of time and money. The method of instruction was such as would meet the capacity of such students. Five or more doctors elected themselves professors, established a medi¬ cal school, and prepared a course of lectures, which lectures all the students nominally were required to attend twice in suc¬ ceeding years. In fact, some thinking it a bore to attend the lectures a second time, relied upon their memory of the first course to carry them through such examination as might be held, while the enterprising faculties of some colleges thought it a great loss of time to wait a year for the second course, and by immediately repeating the series, which oftentimes occupied but three months, could turn out their full-fledged doctors in six months from the time they were graduated from the farm or the stable. For many years the homoeopathic physicians of New Eng¬ land had held a charter under which they could establish the New England Homoeopathic Medical College, but they had de¬ termined not to undertake such an institution until certain that they could do something to elevate the standard of medical education then existing. In order to provide proper instruc¬ tion, they felt it absolutely essential first, to secure a hospital and a dispensary, in which the students could have opportuni¬ ties for practical illustrations and clinical study. A dispensary had been permanently established in 1856, which could profita¬ bly be utilized. In 1855, a hospital had been chartered which had struggled along in the “fond illusions of hope” until, in 1871, it had opened its modest doors; these were not closed even by an unwise and hostile attack made upon its medical system. A public uprising in its favor, in 1872, placed in its treasury at one effort $80,000, and what was more, established BULLETIN OF MEDICAL INSTRUCTION. 3 an impregnable confidence in its permanence and success. With these two institutions and the friendly feeling of the public to¬ wards them, came the confidence of the founders and trustees of Boston University and a request for help from the trustees of another institution—the New England Female Medical Col- iege. The time seemed ripe for the long wished-for medical school. The Massachusetts Homoeopathic Medical Society assembled in special session, endorsed the project and recommended a full coterie of its members from which to form a faculty. This faculty realized the full importance of their mission. It was the exact reverse of the idea which had governed a large num¬ ber of the medical colleges of the country ; it was how to give to its students the most thorough instruction, rather than a mere semblance of it in the easiest possible manner. The first point determined was that no student should be allowed to enter the school who was not well prepared for medical study. The faculty decided, second, that no one should receive a diploma in less than three years of study, two of which must have been spent in a medical school. Third, instead of the rep¬ etition of a single yearly course, a graded course of three years was established, giving to each year distinct and successive branches of study. It was feared that it would be impractica¬ ble to compel all students to attend the three courses, and those who had already pursued study with a physician for one or more years were allowed to complete the course in two addi¬ tional years by passing required examinations. But in a short time even this method of lessening the time of systematic study was dropped, and the three annual courses, each lengthened from the usual term of five months to the university year of eight months, were required of every student.* The growing demands for knowledge in every department of medical science found even this time too short, and in advance of every other medical school in this country, in 1878, the Boston University School of Medicine established an optional four years’ course, which, in 1890, after a trial of twelve years, was made compul¬ sory. In all these pioneer steps for better medical education, it is a gratification to know that the example set by this school has been followed by some of the best medical colleges of this country. It required no little degree of courage, energy and persistency to carry these methods to success. The expenses were very largely increased in comparison with those for a sin¬ gle course of lectures ; the number of instructors required was more than trebled ; the amount of scientific apparatus and the number of working laboratories were largely multiplied and, while a few generous friends kindly assisted with contributions, •These requirements were fully enforced in 1876. 4 BULLETIN OF MEDICAL INSTRUCTION. the faculty have been obliged to a large extent, not only to con¬ tribute their time and personal seivices, but even to draw from their own pecuniary resources for the support of the school. From the first there has never been any hesitation or doubt as to the course which this school should pursue, and the faculty have been as a unit in deciding that the work done must be as thorough and complete as it was possible for them to make it under existing financial circumstances. There has never been a time when with greater resources the work could not have been enlarged and improved, and the faculty would have re¬ ceived with gratitude the pecuniary assistance which was greatly needed in order to give proper training and instruction to the students, and to develop in them the greatest amount of that knowledge and skill which, on the part of the physician, are of importance to human life and health and to the welfare of communities. With its work steadily increasing, the needs of the school are greater now than ever before, and its friends are earnestly asked to consider how they may best give it nec¬ essary support. THE FACULTY 1895 - 6 . WILLIAM F. WARREN, LL. D., PRESIDENT. I. TISDALE TALBOT, M.D., 685 Bovlston St., DEAN, Professor of Svrgery. CONRAD WESSELHOEFT, M.D., 661 Boylston St., Professor of Pathology and Thera¬ peutics. HENRY C. AHLBORN, M.C., 258 Marlborough St., Professor of Pathology and Patho¬ logical Anatomy. J. HEBER SMITH, M.D., 279 Dartmouth St Professor of Materia Meclica. WALTER WESSELHOEFT, M.D., Cambridge, Professor of Obstetrics. HERBERT C. CLAPP, M.D., 11 Columbus Square, Professor of Diseases of the Chest. EDWIN E. CALDER, A.M., Providence, R. I., Professor of Chemistry. HOWARD P. BELLOWS, M.D., 229 Berkeley St., Professor of Otology. JOHN P. SUTHERLAND, M.D., 295 Commonwealth Ave , Professor of Anatomy. EDWARD P. COLBY, M.D., 229 Berkeley St., Professor of Nen oxis Diseases. JOHN L. COFFiN, M.D., 229 Berkeley St., Professor of Diseases of the Shin. JOHN H. PAYNE, M.D., Pierce’s Building, Copley Sq.. Professor of Ophthalmology. HORACE PACKARD, M.D., 362 Commonwealth Ave., Professof of Surgery. ALONZO BOOTHBY, M D.. 1 Worcester Square, Professor of Gynaecology. WILLIAM L. JACKSON, M.D., 86 Dudley St .. Professor of Electro-Therapeutics. N. EMMONS PAINE, M.D., West Newton, Professor of Mental Diseases. GEORGE R. SOUTH WICK, M.D., 31 Massachusetts A ve.. Associate Professor of Ohstet- r ics • FRED B. PERCY, M.D , Brookline, Associate Professor of Materia Medica. JOSEPH W. HAYWARD, M.D,, Taunton, Associate Professor of Surgery. In addition to the above, the following constitute the full faculty : JOHN A. ROCKWELL, M.D., East Concord St., Professor of Physiology. WINFIELD S. SMITH. M.D., 601 Boylston St., Associate Professor of Anatomy. NATHANIEL W. EMERSON. M.D., 601 Boylston St., Associate Professor of Surgery. WINTHROP T. TALBOT, M.D., 685 Boylston St., Associate Prof essor in Pathology and Director of the Pathological Laboratory. FREDERICK P. BATCHELDER. M.D , 232 Massachusetts Ave., Associate Professor of Physiology and Director of the Museum. A. HOWARD POWERS, M D., 352 Massachusetts Ave., Demonstrator of Anatomy and Instructor in Clinical Surgery and Surgical Diagnosis HELEN L. F. WRIGHT, M D., 201 Clarendon St., Lecturer on Gynaecology. EDWARD L. MELLUS, M D., Lecturer on Pathology. GEORGE B. RICE, M.D., 229 Berkeley St., Instructor in Diseases of the Throat and Nose. MARION COON. M D., 14 Warrenton St , Instructor in Comparative Anatomy. J. EMMONS BRIGGS M.D., 240 Massachusetts Ave., Instructor in Surgery. C1IA RLE4 L. NICHOLS, M.D., Worcester, Lecturer on the History and Methodology of Medicine. J. WILKINSON CLAPP, M.D., 10 Park Square, Lecturer on Pharmaceutics. FRANK C. RICHARDSON, M.D., 601 Boylston St., Lecturer on Nervous Diseases. BULLETIN OF MEDICAL INSTRUCTION. 5 FREDERICK W. HALSEY, M.D., 272 Newbury St., Lecturer on Diseases of the Rectum M\URICE W. TURNER, M.D., Brookline, Instructor in Pathology and Therapeutics. GEOROE H. EARL, M.D., 18 Huntington Ave., Instructor in Obstetrics. HERBERT D. BOYD, M.D., 669 Tremont St., Assistant in Anatomy. FRANK E. ALLARD, M.D., 33 Hancock St , Instructor in Physiology. FREDERICK D. STACKPOLE, M.D., 24 Kenilworth St., Librarian. EVERETT W. BURDETT, LL. B., Ames Building, Lecturer on Medical Jurisprudence. SARAH S. M INDSOR, M.D., 138 Marlborough St., Lecturer on Diseases of Children. WM. F. WESSELHOEFT, M.D., 176 Commonwealth Ave., Lnstructor in Clinical Sur¬ gery. CHa RLES H. THOMAS, M.D , Cambridge, Lecturer on Sanitary Science. PERCY G. BROWNE, M.D., 28 Saratoga St., Assistant in Chest Diseases. MEDICAL COLLEGES ARE NOT COMMERCIAL ENTERPRISES. BY J. B. SUTHERLAND, M.D. That is to say, medical colleges worthy the name, and earning the right to exist as such, are not commercial enterprises. In proportion as unkind circumstances force a medical college toward commercialism in its attitude toward the public, does that college decline from the dignity which should belong to its position, and from its highest possibilities of usefulness. It is as true of an institution as it is of an individual, that if money getting, in order to live, becomes the chief aim, absorbs the strength, demands the energy, the highest faculties go to waste, the nature sordidly degenerates. To save the college from this fate is the object of the permanent endowment which every medical college so earnestly desires, but the full need of which the philanthropic public so little recognizes. Emancipation from anxiety concerning material needs is the sole condition of free exercise of mental and spiritual powers. As has been said, this, being true of the individual, is true also of the institution. Medical colleges should exist solely for the purpose of thoroughly and ideally fitting students for the suc¬ cessful and honorable practice of the noblest of the professions. In proportion as the intelligence and generosity of the commu¬ nity make it possible for the college to do this, that community is ministering to its own welfare. The trained physician— soundly trained, ethically, as well as technically—is, it is no ex¬ aggeration to say, the most valued and appreciated—too often the most sorely needed worker in any community. It lies with a community to say whether or no such physicians shall be. Their training will not come of itself. It can only be acquired at colleges capable of bestowing it, and such colleges can exist only where the community, or certain of its rich and far-seeing citizens, are found willing so to endow it as to make its best work possible. No more erroneous idea can prevail than that a medical col¬ lege can or should be self-supporting. Such a notion is only paralleled in error by the idea that the fees a medical student pays to his Alma Mater are an equivalent for what he receives 6 BULLETIN OF MEDICAL INSTRUCTION. from her. The sooner a student disabuses himself of this latter idea, the sooner will he become fit to cross the threshold of the noble profession that only base souls drag down to the level of a trade. The fees paid by a medical student to his college are the merest honorarium , barely compensating for the few mate¬ rial comforts he enjoys while prosecuting his studies ; for the heating of the halls and laboratories in which he works ; the re¬ pairing and lighting of the college buildings ; the services of the janitors who keep them clean and. orderly; the wear and tear of the material apparatus by the aid of which he studies. For the magnificent gift of the inheritance of all the ages in medical lore, the revelations of medical science, ancient and modern, the teaching and example of the men, most of whose services are given, without price, to him and his fellows, for love of medical science and its continuance and upbuilding along worthy lines—for these things does the community, or does the student himself imagine his fees to stand as an equiv¬ alent ? A moment’s thought puts to rout such a fallacy. There are branches of teaching which demand the teacher’s whole time, or so great a share of it as to render remunerative work in other directions impossible for him. If these branches are to be thoroughly taught, a medical college must be prepared to offer such a teacher compensation sufficient to make it pos¬ sible for him to put the needed amount of time at its service. There are varieties of apparatus, of incalculable value—in these days of close scientific exactitude, of almost absolute necessity —to the thorough training of the medical student. Such appa¬ ratus is only to be secured by the medical college having a cer¬ tain and sufficient income at its disposal. As has been said, the fees received from students are, as a rule, barely sufficient to cover the lowest, most material needs of the college ; the erection and repair of suitable buildings; their heating, lighting and maintenance in fit order, and the like. The vital, highest necessities of the college, in the way of expert teaching and modern apparatus, are left practically unprovided for. The loss affects not only the student, but the community in which he is hereafter to practise, and which must profit or suffer according as he is well or ill equipped for his work. It is for that com¬ munity to protect itself in advance, by seeing to it that his equipment is only limited by the measure of his ability. Public opinion must be so educated that medical colleges shall be alto¬ gether freed from the inevitable temptation and the very seri¬ ous perils of the attempt to combine the functions of profes¬ sional instruction with commercial gain. It is the duty of every physician, every medical journalist, every loyal alumnus of a medical college to do his share toward educating public opinion to recognition of the necessity of endowments. BULLETIN OF MEDICAL INSTRUCTION'. 7 METHODS OF INSTRUCTION IN PHYSIO LOG Y. BY PROF. JOHN A. ROCKWELL, M.D There are three ways of teaching physiology and its allied sciences—by text-book, by lecture and by experimental work. The book gives fullness of view; the lecture may throw in the perspective, enforce certain shade lines and give color; but the experimental leads to a knowledge of its parts and their method of combination and action. In Boston University School of Medicine, these three methods of instruction have proved of the utmost practical value. The first-year students receive text-book drill and must pass examination thereon. In the second year there are added the lecture and the laboratory work. The latter includes tasks in physiological physics, phys¬ iological chemistry and experimental physiology. A proper equipment for such experimental work would include a good working knowledge of higher algebra, chemistry, physics and the microscope, and it should be preceded by a thorough, prac¬ tical course in elementary biology. In this direction the de¬ partment already requires much and is moving forward. The building of new laboratories and the expansion, in all directions, of facilities for practical work are the outcome of the modern spirit of exploration—the profound conviction that ob¬ servation and experiment mark the road to knowledge in applied science, and that no student is ready for life-work until he has had a thorough, elementary training in methods of research and measurement, of analysis and comparison—until his senses have become trained and willing servants of a disciplined mind. Physiology, especially, requires the application of these methods for the elucidation of some of the processes, constructive and destructive, synthetic and analytic, by which certain metabolic changes take place in the human body. To understand the chemistry and physics of livi«ng matter we must bring to the study the painstaking and exact methods pertaining to the study of those sciences. We must descend from the pedestal of spec¬ ulation to the firm base of demonstration. If our rate of prog¬ ress appears much slower, each step forward may mark real progress. Dealing with living matter—complex in its change¬ ful manifestations, sensitive to changed conditions—the way is long and fatiguing and progress is especially slow—many prob¬ lems of nutrition and of action remain unsolved. Every student should be brought into touch with the investi¬ gating spirit by becoming himself an investigator. He should be taught to observe accurately and record truthfully, to note the difference in reaction of living and lifeless matter, to set up and adjust apparatus, to improvise new methods or apparatus 8 BULLETIN OF MEDICAL INSTRUCTION. for new conditions, and to become somewhat familiar with the methods of systematic research. Beyond the technique he must advance to the exploration of regions known and unknown. With his microscope and other aids, chemical and physical, he should for himself not only count the blood-corpuscles, ob¬ serve the blood in circulation, note variations of heart action, record the pulse-beat, study relations of muscle and nerve, fol¬ low the different processes of digestion, and inquire into the maze of reflexes and cerebration, but also enter the borderland of the unknown and experience the joy of making a new contri¬ bution to the sum of human knowledge. The student should be taught to observe and to think for himself, to work upon and, if possible, to work out his own problems, to be modest yet self-reliant, and to have the courage of his own observations— in short, be trained for leading work in the forceful future open¬ ing to the educated young men and women of to-day. The place for such training is in the laboratories of our schools, especially the physiological and biological laboratories. But laboratories cost money, a great deal of money for equip¬ ment, and a great deal of money for maintenance. Yet, in what direction can money be more wisely expended ? THE MASSACHUSETTS HO MCE OP A THIC HOSPITAL. This hospital was chartered by special act of the Legislature of Massachusetts in 1855. The Dispensary was established in the following year, and the great success attending a fair for its permanent fund in 1859, ma de the friends of the hospital confident of the immediate establishment of the hospital. The war, however, broke out in the following year and the minds of people were diverted from this charity, and ten years elapsed before it was again taken up earnestly by a few of its friends. In January, 1871, a small hospital of fifteen beds was opened in a house hired for the purpose at 14 Burroughs Place, Boston, which soon drew to its aid many of the friends of homoeopathy in Boston and vicinity. An event occurred in November of 1871 which, while it was intended to destroy this hospital and the standing and position of homoeopathy, did more than anything else could have done for its progress and ultimate success. The Massachusetts Medical Society determined to brand its homoeopathic members as guilty of improper practice and, although they were unwill¬ ing to state in their charges what the character of that practice was, yet it was perfectly apparent to the community and finally acknowledged to be—because they practised without concealment homoeopathically. This attack was carried on in the most high- Massaschusetts Homoeopathic Hospital. Grant of Land for Nurses’ Home. BULLETIN OF MEDICAL INSTRUCTION. 9 handed manner, the avowed object being to place the oppro¬ brium of expulsion upon all homoeopathic members. At the moment when tbe prosecutors supposed they were about to ac¬ complish their object, an injunction from the supreme court, forbidding such summary proceedings, so completely negatived their purposes that the attention and sympathies of the com¬ munity were directed to the subject. In the May following, a public fair in aid of the Homoeo¬ pathic Hospital was held in the Horticultural and Boston Music Halls. This continued for two weeks and produced the net sum of $76,000, to which was added $4,000 by subsequent sale. The immense success of this Fair, the number of friends and sup¬ porters it secured established the Homoeopathic Hospital for¬ ever. More than this, it established the first medical college to teach homoeopathy in New England. It diverted to this college the New England Female Medical College with such property as it had gained in the twenty-five years of its exist¬ ence, and the trustees of Boston University took these institu¬ tions— the new medical school and the Woman’s College — unitedly under its protecting care, forming Boston University School of Medicine. In 1876, land had been purchased from the City of Boston in close proximity to the College, and a beautiful building capable of containing fifty beds erected thereon was opened to the public. So rapidly was this hospital filled with patients and so great the demand upon it that it soon became necessary to en¬ large it. The City graciously granted to the hospital an addi¬ tional tract of land valued at $30,000, and the friends of the hospital, among whom must be mentioned with gratitude and warm regard the late Gibeon F. T. Reed, erected additional buildings for the hospital at a cost exceeding $100,000, which were completed and dedicated in 1884. This sufficed for a short time only, when additional room was called for and the trustees, in 1890, applied to the State Legis¬ lature for aid, which gave to them a most generous grant of $120,000 for the erection of additional buildings, coupled with the condition that the hospital should forever maintain at least twenty free beds and have four State trustees upon its board of management. These buildings were completed and opened to the public in 1892. The largest number of inmates of the hospital, including nurses and employees, is 200; the number of nurses in the present employ is 44; the number of patients treated in the past year has been 1,329. The mortality in the past year has been less than 2 \ per cent., and the average mortality for twenty-five years has been about 3^ per cent., a remarkably 10 BULLETIN OK MEDICAL INSTRUCTION. low rate for a general hospital of this character. The number of surgical operations of most serious character has been very great and attended with unusual success. Connected with the hospital there has been for the past ten years a training-school for nurses, from which have graduated a large number who are now doing efficient service in the com¬ munity. For lack of room in the hospital, nurses have had quar¬ ters outside which, though the best that could be provided, were not such as were desirable, and the City has recently given a lot of land containing nearly 12,000 ft., on which a suit¬ able home for nurses may be erected. Altogether the growth and present condition of this hospital are such as should gratify its friends and supporters. OFFICERS OF THE HOSPITAL, 1896. President. Charles R. Codman. Vice-Presidents. Henry S. Russell. W. H. Horton. John C. Haynes. Isaac Fenno. Trustees. E. W. Burdett. J. Wilkinson Clapp, M.D. B. Preston Clark. David B. Flint. J. Livingston Grandin. Rufus F. Greeley. John A. Higginson. George H. Leonard. Thomas Mack. Samuel P. Mandell. William L. Morse. William Pope. Alvin F. Sortwell. I. T. Talbot, M.D. Conrad Wesselhoeft, M.D. Mrs. Frank R. Allen. Miss Helen Collamore. Mrs. E. S. Converse. Mrs. Oliver Ditson. Mrs A. S. Foster. Mrs. Rufus S. Frost. Mrs. George W. Gregerson Mrs. John C. Haynes. Miss F. E. Horton. Miss Ida Hunneman. Mrs. M. P. KenNard. 1 Mrs. Rebecca T. Reed. Mrs. George D. Tyson. Mrs. Edward Whitney. Mrs. Alfreds. Woodworth State Trustees. J. Louis Rousmaniere. James H. Eaton. Oliver PI. Durrell. Erastus T. Colburn. Term expires 1896. “ “ 1896. “ 1897. “ 1898. Treasurer. Spencer W. Richardson, 40 Water Street. Secretary. George W. Jackson, 31 Milk Street. BULLETIN OF MEDICAL INSTRUCTION. 11 HOSPITAL STAFF. Physicians. Hency C. Ahlborn, M. D., Consulting. J. Heber Smith, M. D. Conrad Wesselhoeft, M. D. John P. Sutherland, M. D. W. P. Wesselhoeft, M. D. F. B. Percy, M. D. Walter Wesselhoeft, M. D. H. E. Spalding, M. D. Surgeons. I. T. Talbot, M. D., Constilting. Horace Packard, M. D. Alonzo Boothby, M. D., Consulting. N. W. Emerson, M. D. James B. Bell, M. D. W. J. Winn, M. D. Winfield S. Smith, M. D. A. Howard Powers, M. D. Specialists. Herbert C. Clapp, M. D., in Diseases of the Chest. John H. Payne, M. D., in Diseases of the Eye. Howard P. Bellows, M. D., in Diseases of the Ear. John L. Coffin, M. D., in Diseases of the Skin. Edward P. Colby, M. D., in Diseases of the Nprvous System. N. Emmons Paine, M. D., in Diseases af the Mind. William L. Jackson, M. D., in Electro-Therapeutics. Almena J. Baker-Flint, M. D., in Electro-Therapeutics. Assistant Physicians. Frederick P. Batchei.der, M. D. Winthrop T. Talbot, M. D. Assistant Surgeons. W. F. Wesselhoeft, M. D. J. Emmons Briggs, M. D. Pathologist and Curator. Winthrop T. Talbot, M. D. Pharmacist. J. Wilkinson Clapp, M- D. Resident Physician. T. Morris Strong, M. D. House Physicians and Surgeons. Grace Gardiner, M. D. Myron W. Smith, M. D. Julia M. Lombard, M. D. C. E. Montague, M. D. HOMCEOPA THY AND MEDICAL ED DC A TION. BY W. T. TALBOT, M.D. The homoeopathic practitioners of the United States are rep¬ resented by the American Institute of Homoeopathy, the oldest national medical association in America. It was founded in 1844, at a meeting held in New York at the invitation of the New York Homoeopathic Physicians’ Society, and, with the exception of four years during the war, 1861-64, has met annu¬ ally since its organization. Its growth has corresponded closely with the spread of homoeopathic practice and it now comprises 12 BULLETIN OF MEDICAL INSTRUCTION. a membership of 1586 physicians from 42 States and Territories. It thus may be considered as a representative body. Its atti¬ tude on public questions may be said to reflect the prevailing general sentiment of the men whom it represents. In 1849, when but one medical school was in existence in which homoeo¬ pathic practice was taught, action was taken by the Institute even at that early date in the appointment of a committee for the consideration of medical education. In 1858, it was “ Re¬ solved, that it is the duty of the American Institute of Homoe¬ opathy to extend a fostering care to the homoeopathic schools of the United States.” At the close of the war, after the interim of enforced inac¬ tivity, the committee on medical education was continued and was instructed to confer with representatives of the medical schools “ to devise a more thorough and efficient plan of medi¬ cal education than that now pursued by any.” The report was made and radical recommendations were offered to the effect that entrance examinations and a four vears’ course should be «/ demanded of all graduates in medicine from homoeopathic schools. This action, although not immediately effective, is noticeable because occurring at a time when few of the oldest and best schools in the country had gone so far as to require three years of study, while the great majority contented them¬ selves with two terms of lectures of three or four months each and not one even offered a four years’ course. The first man¬ datory step was taken in 1878, when it was resolved that “no college be recognized by this Institute either by the reception of its delegates or the admission of its graduates, which fails to make an annual report,” and that these reports should contain all essential facts relating to the length of time and character of studies demanded of each graduate. The colleges, moreover, were required to forward copies of their charters, by-laws, etc., in order to remove all shadow of doubt regarding their legal standing and corporate rights. In 1884, the Intercollegiate Committee, instituted ten years previously and consisting of two delegates from the faculty of each of the thirteen homoeopathic medical schools, reported as follows : “ Eleven colleges represented in the Institute have unani¬ mously voted to require, from and after the session of 1885-86, a thorough preliminary examination in the branches of a good English education, embracing mathematics and physics, or a diploma from a respectable literary institution.” This important action in formal recognition of the necessity of more thorough preliminary study, was the initiative step, as far as is known, of the present reform in medical requirements in either school of medical practice. BULLETIN OF MEDICAL INSTRUCTION. IS In 1888, in obedience to a resolution of the Institute looking to “ concerted and harmonious action in the further improve¬ ment of medical education,” the Intercollegiate Committee “Resolved, that after the college sessions of 1890-91, each and all of the homoeopathic schools of America will require of their candidates of graduation at least three years of medical study, including three full courses of didactic and clinical in¬ struction of at least six months each.” This action was upheld by the national body in a resolution “that this Institute will after 1891, require from all applicants graduating after that time, a full compliance with the above re¬ quirements for graduation.” In 1890, the Intercollegiate Committee voted that in all schools represented by the committee, “after the fall of 1892, the term of study required for graduation shall be at least four years , which shall include attendance upon not less than three terms of lectures of six months each.” When it is considered that the homoeopathic schools are the youngest and financially the least independent schools of the country, this insistence upon a standard of education higher than that adopted by their competitors, was to say the least, as rash as it was praiseworthy. Nor has this action been proved unwise, for the best sentiment of the community and the pro¬ fession is with them, and other schools have been forced now to the same procedure as is evidenced by the action in 1894, of the Association of Medical Colleges. Since 1879, when the medical schools were first required to furnish annual reports to the Institute, figures regarding their requirements are obtainable. In the series of years from 1879 to 1893, the average term has been lengthened from 23.5 to 26.6 weeks and the average number of courses required from less than 2.4 to 3.6 courses. On the other hand the proportion of the number of graduates to the whole number of students has been reduced from 1 in 3.26 to 1 in 3.29. That is to say while the length of the terms and the number of } r ears required for study has steadily increased, it has been made more difficult for a candidate to obtain his degree. 1879 1881 1883 1885 1887 1889 1891 1893 Medical Schools, 10 11 11 13 H *3 16 16 Average term, “ number courses, No “ “ students, “ “ graduates, 23-5 237 237 24 6 25.0 2 5-5 26.0 26.6 report. 2.4 2.4 2.6 24 2.8 2.9 36 111 114 1 x 9 66 7 i 80 80 99 34 40 40 28 27 28 25 27 Whole number students, 1110 1250 1310 864 995 ii 75 1276 1580 “ “ graduates, 335 43 s 440 365 372 369 406 427 In common with other schools, a curious decrease in attend¬ ance began in 1884 in the homoeopathic schools, reaching its 14 BULLETIN OF MEDICAL INSTRUCTION. lowest point in 1885, and then gradually rising. In fourteen years, however, the number of yearly matriculants has risen from 1110 to 1580, and the number of students graduated an¬ nually from 335 to 427. The number of alumni in 1893 were 9868, as compared with 5825 ten years previously. With regard to the attitude of homoeopathic practitioners abroad toward medical education, suffice it to say that being debarred from representation in the teaching faculties, it has been impossible to express their views in a practical way, ex¬ cept through individual thoroughness, learning and industry. In one university alone, as far as is known, is there a chair de¬ voted to the teaching of homoeopathic practice. Under such conditions it is strange that homoeopathy has survived at all, and its spread under the circumstances has been extended far wider than would seem possible. It is plain that physicians of the liberal school in the United States have put themselves on record as being the first to urge by official utterance and to compel the schools to raise their standards and lengthen their courses. The example has proved infectious and the effect is widely felt, but the end is not yet; poverty-stricken though they be, the homoeopathic schools de¬ serve credit not only for having taken the initiative in this matter, but also for the fact that their progress is continuing from year to year none the less steadily because slowly. THE HOMCEOPATHIC MEDICAL DISPENSARY, BOSTON. The large numbers which flock to a dispensary for treatment, furnish a great variety of diseases for observation and study by students as well as by physicians. The patients are divided into three classes : First. The chronic, which includes a great mass of persons who, though for a long time sick, are able to visit the Dispen¬ sary. Second. A large number of acute affections, not sufficiently severe to house the patient, and Third. The beginning of severe acute disease. These latter may make a single visit to the Dispensary and subsequent treat¬ ment may require the domiciliary visits of the physician. In these cases the student has the opportunity of familiarizing himself with all the more common diseases which he will find in subsequent practice, and under the direction of the medical staff, he is able to give the careful attention and study which would rarely be accorded by the physician in extensive practice, however skillful he may be. Hence the Dispensary is a valu¬ able adjunct to the Medical School. BULLETIN OF MEDICAL INSTRUCTION. 15 The Homoeopathic Medical Dispensary was chartered by the State of Massachusetts in 1856, and was opened to the public in the following year. It is now, therefore, in its fortieth year of continuous work. Its growth has been steady. In its first year, it cared for 181 patients, while in the last year it treated upwards of 17,00c, administering over 53,000 prescriptions. The total work since it was established has been 293,322 patients, treated with 804,866 prescriptions. The Dispensary first opened with a small room in the old Tremont Temple and continued there until 1870, when it pur¬ chased a house, No. 14 Burroughs Place. Later it divided into three branches, the one remaining at Burroughs Place, another established in the Charity Building at the West End, and the third in the basement of the buildings of Boston University School of Medicine, East Concord Street. The last branch rapidly outgrew its quarters and now occupies the building erected for it at 750 Harrison Avenue. The financial history of the Dispensary is somewhat inter¬ esting. Established in 1856, it raised a small permanent fund and a small temporary fund for its support, but the fearful busi¬ ness crisis in 1857 came near sweeping away all its means of support and in the fall of 1858, it was seriously considered whether it would not be absolutely necessary to give up the un¬ dertaking. Money was scarce and nobody seemed inclined to give a dollar for the charity. A few of its warm friends, however, conceived the idea of a public fair for its benefit, and though it was begun with the greatest misgivings as to its suc¬ cess, yet it was finally decided upon and was held March 5th to 9th, 1859, m Boston Music Hall. The outpouring of its friends who sprang up on every side, made the effort a brilliant success and secured the net sum of $13,100, which has been so well managed from that time to the present, that it has been able thereby to keep the Institution, in all its increased growth, practically free from debt. In the spring of 1889, the Dispensary rooms being found en¬ tirely inadequate to its work, measures were taken to secure more commodious quarters. Application was made to the City of Boston for a lot of land on the corner of Harrison Avenue and Stoughton Street, containing about 10,600 square feet. On June 6th, 1889, this land was furnished by the city with a quit claim deed. A building was erected of spacious dimensions, the two lower stories of which were completed, and it was oc¬ cupied on Sept. 2nd, 1891. It cost in erection and furnishing, about $70,000. The Dispensary is largely indebted to the generosity of Mr. G. F. T. Reed, who made to its building fund a donation of 16 BULLETIN OF MEDICAL INSTRUCTION. $25,000, and to a fair held in Horticulural Hall in May, 1891, which realized $10,550. The building has a large central wait¬ ing room, 20 feet wide by 120 long, with consulting officers arranged around it for the following departments : Medical, Surgical, Women’s, Children’s, Eye and Ear, Skin, Throat, Chest, Nervous, Rectal, Genito-Urinary, Orthopaedic and Dental. About sixty physicians are in connection with this who give their services, and the students in the senior year of the School assist in the work of the Dispensary and also in the visiting of out-patients. The number visiting the Dispen¬ sary varies from 100 to 300 daily. Already the rooms are oftentimes uncomfortably crowded and all its friends look for¬ ward hopefully to the day when the building itself shall be completed and made one of the most extensive and convenient dispensary buildings in this country. OFFICERS FOR 1896. President, F. A. Dewson, Esq. ; vice-presidents, Lewis G. Lowe, M.D., Hon. Alden Speare; treasurer, J. Wilkinson Clapp, M.D. ; secretary, I. T. Talbot, M.D, ; trustees, Herbert C. Clapp, M.D., Russell S. Codman, Miss Alice Ahlborn, A. J. Baker-Flint, M.D., J. P. Sutherland, M.D., A. Howard Powers, M.D., Alonzo Boothby, M.D., Mrs. A. H. Allen, Mrs. J. H. Thorndike, A. L. Kennedy, M.D., S. H. Blodgett, M.D., N. H. Houghton, M.D. THE WESTBORO INSANE HOSPITAL. The Westboro Insane Hospital is one of the group of institu¬ tions in close relationship with Boston University School of Medicine. Its organization was due to the same causes which led to the establishment of the Medical School, and it has lain along the same broad lines of tolerance in the practice of medi¬ cine. Clinics for the instruction of students of Boston Univer¬ sity School of Medicine were established in 1887 and have been held annually since that time. The hospital is beautifully situ¬ ated upon a hill overlooking Lake Chauncy, and the buildings, although insufficient in size to meet the demands upon them, are spacious, well ventilated, clean and attractive. The Hospital was established by an act of the General Court approved June 3, 1884, for the treatment of patients “ upon the principles of medicine known as the homoeopathic,” and was opened Dec. 1, 1886. It is to be presumed that, as no State hospital was at that time under homoeopathic management, the Legislature may have desired not merely to recognize a school of medicine that had become well known and that had to a greater or less extent obtained public confidence, but also to Westboro Insane Asylum Boston Homoeopathic Dispensary, BULLETIN OF MEDICAL INSTRUCTION. 17 try the experiment of placing a State institution under its charge, with a view of ascertaining whether, by so doing, any improvement in the treatment of insanity would result. As the Westboro Hospital has now been in operation for the past ten years, it is proper to point out that the large percentage of re¬ coveries at this institution has demonstrated that its methods of treatment are an advance upon those heretofore practised at State lunatic hospitals. The hospital reports made to the Gov¬ ernor and council a year ago indicate that, of the curable cases which were admitted to this hospital in the year ending Sept. 30, 1894, 68 per cent, were cured, while the highest rate of cures of similar cases in any other State hospital, during the same year, was 36 per cent. In previous years—as will appear upon examination of the official reports—the Westboro Hospi¬ tal has led the others in the percentage of recoveries in about the same proportion. It is unnecessary to make any further comment upon this condition of affairs, but merely to present this bare statement of the facts. The Superintendent’s census for 1895 is as follows : Men. Women. Totals. Patients in the hospital Sept. 30, 1894, . 223 350 573 Admissions within the year, .... Whole number of cases within the year. 111 143 254 334 493 827 Discharged within the year. 125 135 260 Yiz.: as recovered,. 30 37 67 much improved,. 20 21 41 improved. 13 14 27 not improved. 20 19 39 not insane, ...... 4 6 10 Deaths, -. 38 38 76 Patients remaining Sept. 30, 1895, . Daily average number of patients, . 209 358 567 215.36 348.99 564.35 During the past year there were admitted to this hospital 62 cases of acute mania and melancholia, and in the same time there were discharged 47 cases of these forms recovered. Kit The large percentage of cures is a trustworthy indication of the unusual efforts that are here made for the relief of the sick, and whatever is possible within the limits of the means at com¬ mand is done for the comfort and cure of the sick and suffering. The remarkably good results are due to a number of causes, the first of which is the application of the principles of homoeopa¬ thy. From the opening of the hospital until the present time 18 BULLETIN OF MEDICAL INSTRUCTION. the medicines have been administered in accordance with the law of similars ; all acute cases receive medicine daily, and a very large proportion of the chronic patients also receive care¬ ful medical treatment. Constant effort has been made toward cure, even in those patients who seem to be incurable. This attitude toward the insane is not generally followed in public asylums for the insane, and the percentage of persons receiving medicine is larger here than in most hospitals. The results show not only the wisdom of the homoeopathic application of medicines, but also the necessity of prescribing for a large pro¬ portion of patients in a hospital. A second reason for success is the use, in certain cases, of mechanical restraint. Whenever a patient is restless, is unwil¬ ling to remain quiet and in bed, inasmuch as those symptoms are not the exuberance of health but the evidence of mental disease, the judicious use of a bed sheet or of other suitable device for keeping the patient quiet and preventing exhaustion is humane and an assistance to recovery. It is believed that what is termed chemical restraint, which is produced by chloral and other drugs, is harmful to the patient, and unnecessary. Such medicines have never been employed in this hospital. From properly applied restraint ill results have never been known ; by drugs, acute brain affections are often made incurable. A third reason for satisfactory results has been due to the very liberal use of the “rest treatment.” This method was adopted when this hospital opened, and it was one of the first State institutions in this country to use it extensively. This treatment requires that tired-out and exhausted patients shall be put in bed and treated like other invalids ; that they shall be fed at frequent intervals, and largely in order to repair the ex¬ hausted nervous system: and that massage should be given to take the place of violent exercise which is prohibited. This treatment, which originated with Dr. Mitchell, of Philadelphia, about twenty years ago, is probably used more than any other form of treatment by specialists in nervous troubles, and a few years ago was found to have been employed in more than thirty insane hospitals in the United States. It has the objection of expensiveness and of unusual attention and skill on the part of the attending physician ; it has materially contributed, however, to the cures in this hospital. Another reason why good results should be found here is due to the method of classification. In this institution an attempt is made to combine a hospital and an asylum under one roof. It would be far better if the present buildings should be used ex¬ clusively as an asylum, and other buildings more suitable could be built for hospital purposes, In the absence of such an ar- BULLETIN OF MEDICAL INSTRUCTION. 19 rangement the physicians of the hospital have undertaken to apportion the patients in such a way as to use certain wards for hospital and other wards for asylum purposes. OFFICERS OF THE HOSPITAL. TRUSTEES. CHARLES R. CODMAN, Barnstable. BENJAMIN W. CHILDS, Worcester. EMILY TALBOT, Boston. ALDEN SPEARE, Newton. GEORGE B. RICHMOND, New Bedford. JOHN M. MERRIAM, So. Framingham. ELIZA C. DURFEE, Fall River. CONSULTING BOARD OF PHYSICIANS AND SURGEONS. I. T. TALBOT, M D. JOHN H. PAYNE, M.D. CHARLES L. NICHOLS, M.D. H. P. BELLOWS, M.D. CONRAD WESSELHOEFT, M.D. HORACE PACKARD, M.D. E. P. COLBY, M D. JOHN P. RAND, M.D. N. EMMONS PAINE, M-D. RESIDENT OFFICERS. GEORGE S. ADAMS, M.D., Superintendent. G. FRANCIS ADAMS, M.D., Assistant Physician. ELLEN L. KEITH, M.D.. Assistant Physician. DE ETTE BROWNELL, M.D., Assistant Physician. HENRY I. KLOPP, M.D., Assistant Physician. JOSEPH S. HUNT, Clerk and Steward. TREASURER. FRANK W. FORBES, Westboro. THE NEW ENGLAND HAHNEMANN ASSOC/AT/ON. (Incorporation, April, 1896.) The Association was founded in January, 1895, to aid in the support of Boston University School of Medicine and the in¬ stitutions intimately connected therewith, and essential to its work. Any person may become a member by the payment of $2.00 annually, or a life member by the payment of $25.00. A leading object of this Association is to increase the Perma¬ nent Endowment F'und, the interest of which only will be used to meet the needs of the schools; a small propor¬ tion of the income is appropriated for the purchase of books and instruments for the school and to meet the slight running expenses of the Association. Assurance is thus given that monies contributed to the Association will be of permanent service in educating thoroughly and well those men and women who in the future are to bear the responsibility for the health and well-being of families and whole communities. Within the past six or eight years, methods of medical in¬ struction have been radically changed. Instead of exclusively didactic lectures, as formerly, the students in our best schools are given laboratory work and clinical instruction to an extent scarcely dreamed of ten years ago, and which furnish practical and most valuable training. This change of method necessarily 20 BULLETIN OF MEDICAL INSTRUCTION. increases very greatly the cost of medical education ; and the fees of the students in medical schools to-day are wholly in¬ adequate to meet the expenses of instruction, a condition not uncommon and which has been provided for in most other technical schools and institutions of learning, save those of medicine. To-day the total endowment of theological schools is more than thirty million dollars, while that of all the medical schools in America is a scant five millions. The cause is not far to seek. Theology afid law have long been taught in con¬ nection with universities, but in this country, at least, the teaching of medicine took its start from the apprentice system, rather than from the academic method of instruction, and it has been chiefly through the self-sacrificing labor and gifts of phy¬ sicians themselves, that medicine, sanitary science, and public health are to-day in a more advanced state than heretofore. Thorough instruction in medicine can only become possible through fostering private and public interest in this matter, and through the proper equipment of medical schools. Boston University School of Medicine was established in 1873, on the broadest possible lines. It was among the earliest to establish a graded course of instruction, together with en¬ trance examinations. It led the way in establishing a four-years’ course in 1878, and in 1890 was the first school in this country to require four years of eight months each, of medical instruc¬ tion. It desires to extend its work and perfect its course ; this it can only do through aid from its friends. No effort has been spared by its Faculty in the past. Of the fifty physicians who give their time and thought to instruction within its walls, there are but eight who receive any renumeration whatever, and that insignificant — a guarantee of the most convincing kind of the earnestness of the work of this School. It is within the power of any persons who may ever have need of a thoroughly qualified physician, to do lasting good by contributing to the fund of this Association. Its officers are : President, Col. Henry S. Russell, Boston ; Vice-President, Elisha S. Converse, of Malden, Hon. Charles R. Codman, of Barnstable, Hon. Everett W. Burdett, of Boston, Samuel P. Mandell, of Boston, Hon. Charles H. Amsden, of Concord, N. H., Hon. Henry Howard, of Providence, R. I., and W. R. Burnham, Esq., of Norwich, Conn. ; Treasurer, R. H. Stearns, 140 Tremont St., Boston; Assistant Treasurer, F. W. Stearns, of Boston ; Corresponding Secretary, Dr. I. T. Talbot, 685 Boylston St., of Boston ; Recording Secretary, Dr. J. Heber Smith, of Boston ; Directors, J. Livingston Grandin, of Boston, Dr. N. Emmons Paine, of West Newton ; W. O. Kyle, Esq., of BULLETIN OF MEDICAL INSTRUCTION. 21 Boston, Dr. Conrad Wesselhoeft, of Boston, James M. Bugbee, Esq., of Boston, and Dr. A. J. Baker-Flint, of Boston. Subscriptions and donations will be cordially acknowledged by the Treasurer. March 27, 1896. THE INFINITESIMALS AND THEIR DISCOVERER. April 10 , 1895 . BY MRS. JULIA WARD HOWE. What are the little things ? we ask, Bending our thought to the Century’s task ; The mustard seed of a perfect faith, The pulse of valor defying death, The droplet wasted of midnight oil By one bestowing his time in toil, The clue of Wisdom in Error’s maze, The ray that glances on unsunned ways. O ! noble toiler, ’twas thy meed Like those to succor life’s direst need. As Alchemists smelted the precious ore To swell the rich man’s golden store, Thou from the mystical mine of health Did’st wring its secrets, the poor man’s wealth. Thou in return hadst sorrow and scorn, And many an evil hour outworn ; Yet did life’s sunset bring to thee The crimson flush of victory. Before the blazon of thy shield The fiery Fever-demoms yield, Yea, fell Disease his doom shall mee f , And pile his trophies at thy feet. Potent as are the spell of Ill, Thine was a weapon mightier still To us bequeathed, the diamond scale That turns the weight of human ail. So here thy bloodless flag we raise, And with the silver trump of praise Confirm our noble heritage, And to all men proclaim our pledge. Mind that forstalls the distant Day, O’er countless centuries has sway, And Love reserves her crowning grace For helpers of the human race. 22 BULLETIN OF MEDICAL INSTRUCTION EDITORIAL. The New England Hahnemann Association and the Alumni and Students of Boston University School of Medicine greet most cordially the friends of the School and of higher medical education, and welcome them heartily to this Centennial Fes¬ tival. A hundred years ago, in 1796, Christian Friedrich Samuel Hahnemann enunciated his rule or law of similars —similia similibus curentur —and initiated the reform which modified medical practice essentially and led the way to exactness in ob¬ servation, accuracy in diagnosis, simplicity and humaneness in treatment. Hahnemann made it possible for the layman to be intelligently informed regarding hygienic laws and the care of the body. The effort now being undertaken is to popularize an enlightened and deep interest in preventive medicine and sani¬ tary science, and thus raise the standard of living and of the public health. THE HAHNEMANN CENTENNIAL FESTIVAL. Six weeks ago the arrangements for a suitable celebration of the centennial anniversary of the birth of the idea embodied in homoeopathic practice, were entrusted by the Executive Com¬ mittee of the N. E. Hahnemann Association, to a special com¬ mittee consisting of Dr. John H. Payne, George B. Rice, Win- throp T. Talbot, and William F. Wesselhoeft. It was at once decided that festivities merely as such were unsuited to the occasion ; that some lasting impression should be made by which science, medical education, and as a consequence, the public welfare, should be the gainers in an enduring form. As a result, it was determined to carry out the fundamental purposes of the N. E. Hahnemann Association in establishing the nucleus for a Permanent Endowment Fund for Boston University School of Medicine, and the preparations for a Bazaar and Festival were immediately undertaken. The response from the friends of the School was most hearty on all sides; so much so that the Bazaar has grown far beyond the original modest plans. A Directory to the Festival is herewith appended. DIRECTORY TO THE FESTIVAL. OLD BUILDING. FIRST FLOOR. Room i. —Gentlemen’s Coat Room. Room 2 .— School Exhibit, Dr. Myron W. Smith; Micro¬ scopic Display, Physiological and Pathological Apparatus, Mr. W. T. Lee ; Materia Medica Cabinet, Mr. J. A. Smith ; BULLETIN OF MEDICAL INSTRUCTION. 23 Gymnasium Appliances ; Narragansett Machine Co. ; World’s Fair Exhibit. Rooms 3 and 4.—School Exhibit of X-Ray Apparatus, T. A. Griffith ; Projection Apparatus, F. F. Strong. Room 5.—Marshal’s Office. Room 6.—Amphitheatre [for Entertainments]. SECOND FLOOR. Room 7.—Ladies’ Dressing Room. Room 8.—Chemical Lecture Room [for Entertainments] Room 9.—Treasurer’s Office. ENTRANCE TO NEW BUILDING. The new or laboratory building is devoted more particularly to the Bazaar, Entrance to building is from the old building, up one flight. NEW BUILDING. THIRD FLOOR. Room A.—Sales Tables. No. 1.—Westboro Insane Hospital. No. 2.—Nurses of the Homoeopathic Hospital assisted by the Ladies’ Aid Society. No. 3.—Madame Wyrd. No. 4.—Dorchester Table. No. 5.—Dorchester Tea Table. No. 6.—Book Table, Dr. H. F. Mack, East Boston. Room B.—The Old Oaken Bucket, Dr. Helen S. Child and Ladies of Jamaica Plain. Room C.—No. 7.—Table Gregory Society, B. U. S. M. No. 8.—Soda Fountain. No. 9.—Grocery Table, Class of 1898. Up one flight will be found FOURTH FLOOR. No. 10.—Toy Table, Mrs. Spalding. * No. 11.—Candy Table. No. 12.—Pop Corn Booth. Rooms E., F. and G.—The Children’s Paradise, Dr. F. E. Allard. Descending two flights is the main sales floor. Room H.—Tables 13, 14 and 15.—Newton Tables, Mrs. N. E. Paine, Chairman. Room I.— Tables 16 and 17.—Brookline, Mrs. J. W. Clapp. Table 23.—Candy Table, Mrs. H. C. Clapp. Room J.—Table 24.—East Boston, Mrs. F. C. Richardson. Table 25.— Candy Table, Mrs, H. C. Clapp. Table 26.—Children’s Table. Table 27.—Natick, Mrs. Stone. 24 BULLETIN OF MEDICAL INSTRUCTION. Table 28.—Providence Table, Miss Alice Chaffee. Table 29.—Jamaica Plain, Mrs. Betton. Room K.—Domestic Science Exhibit, Miss Daniell. Table 29.—Flower Table, Cambridge. Room L.—Restaurant. Room M.—Dining-Room for Workers in Festival only. ENTERTAINMENTS , LECTURES AND EXHIBITIONS. Demonstration Fectures on cookery by Mrs. Mary J. Lincoln, author of the Boston Cook Book and culinary editor of the Amer¬ ican Kitchen Magazine , daily at 2.30 p. m., continuing until 4 o’clock. Tickets for the course, $1.00. Single tickets 50 cents. Talks and demonstrations on the preparation of food for the sick, and the diet for the child during its second, third and fourth years, Miss Maria Daniell of the New England Kitchen. The talks will begin promptly at 11 o’clock each morning, last¬ ing one hour with practical demonstration of the articles under discussion. Season tickets, $1.00. Single tickets, 50 cents. Monday, April 6, 8 p. m. — Magic. Mr. E. P. James. Tick¬ ets, $1.00. Tuesday, April 7, 8 p. m. — Lecture by Mrs. Mary A. Liver¬ more. Subject, “A Plea for the Unborn.” Tickets, $1.50. Wednesday, April 8, 8 p. m. — Stereopticon lecture, “The Other Side of the Hemisphere.” George H. Worthly. Tick¬ ets, 50 cents. Wednesday, April 8, 8 p. m., — Gymnasium lectures and demonstration. Dr. Dudley A. Sargent, Miss Mary E. Allen and Mr. Robert J. Roberts. Tickets, 50 cents. Thursday, April 9, 8 p. m. — Gymnasium lectures and dem¬ onstrations continued by Mrs. Chas. Wesley Emerson and Mr. German F. Hoffman ; also, a demonstration of the Swedish Method. Tickets, 50 cents. Thursday, April 9, 8 p. m. —Gibson Tableaux by the Brook¬ line Charity Club. Tickets, 50 cents. BOSTON UNITE RSI TV SCHOOL OF MEDICINE. SCIENTIFIC EXHIBIT. F. R. Griffith, F. F. Strong, J. A. Smith, W. T. Lee, Dr. M. W. Smith. This exhibit will be found upon the first floor, immediately upon entering the building. To the left is a lecture-room de¬ voted to the display of physiological and pathological apparatus, microscopes and microscopical preparations, and the materia medica cabinet. In this room space has been allotted to the gymnasium apparatus shown by the Narragansett Machine Company. Boston University School of Medicine. Microscopical Laboratory Physiological Laboratory.—South. Physiological Laboratory. - North BULLETIN OF MEDICAL INSTRUCTION. 25 To the right of the main entrance, the inner room is devoted to demonstrations of the Rontgen “ X-Ray ” phenomena, re¬ cent discoveries of Tesla and other electrical experiments as enumerated below. In the outer room, by means of a pecu¬ liarly powerful oxyhydrogen light, various microscopic objects are projected upon a ground glass screen three feet in diameter, the magnification being about 15,000 diameters; in addition to this, other optical demonstrations will be given as stated in the list appended. Owing to the nature of the exhibit and the limited space at its disposal, it has been deemed advisable to adopt the following system to control the number of visitors in the rooms at a given time. No charge is made for admission to the exhibit, but those desiring to attend should procure tickets at the ticket office. Thirty tickets will be issued for each exhibition. The demon¬ strations will be given four times each day as follows : 11 a. m., 3.30 p. m., 7.30 p. m., 9 P. M. The programme will be varied from day to day, and will be posted each morning upon a bulletin-board outside the door of the room in which the exhibit is held. Special demonstrations of the method employed in the manufacture of Crookes’ tubes and practical demonstration of the preparation of photo-micro¬ graphs, will be given during the week. The apparatus em¬ ployed has been constructed by students of the school. A few of the features to be given during the week will be found in the following list: OPTICAL. Organisms found in water, microscopic vegetation, bacteria, infusoria animalculae, etc. Circulation of the blood in the web of the frog’s foot. Corpuscles of the blood in man and animals. Medico-legal tests for blood, spectrum of the blood pigments, microscopic formation of blood crystals. Entomological specimens. Organs and appendages of insects Structure of vegetable organisms. Microscopic botany. Micro-crystalography. Projection of polariscopic effects, pro¬ jection of spectroscopic effects. Microscopic electrical effects. Autograph of the electric s P ar k- ELECTRICAL. Franklin’s experiments, experiments with Geissler tubes, ex¬ periments with Crookes’ tubes, tubes showing phenomena of cathode and X-rays. PHYSIOLOGICAL AND PATHOLOGICAL APPARATUS. Sphygmograyh, kymograph, myograph, spectroscope, polari- scope, Dubois-Raymond inductorium, manometer, electrical centrifugal machine. 26 BULLETIN OF MEDICAL INSTRUCTION. MATERIA MEDICA. Specimens of organic and inorganic drugs included in the materia medica. Plates and preparations. PHYSICAL TRAINING. (A unique exhibtion by famous instructors.) An attractive exhibition of scientific and artistic gymnastics will be given on Wednesday and Thursday evenings, April 8 and 9, at Boston University School of Medicine, East Concord Street, Boston, as a feature of the Hahnemann Centennial Festival to be held from April 6 to 11 inclusive. The exhibitions will consist of addresses, of class drills and squad demonstrations with introductory and explanatory re¬ marks, of individual performances, with and without apparatus, and similar practical illustrations of the different methods of physical training advocated by enthusiastic, experienced and successful exponents of physical culture. At the present time no branch of hygiene is as popular as gymnastics which tend strongly to intelligent cultivation of alertness, adroitness, self-control, symmetry and coordination, and of flexibility and grace of figure combined with certainty of action. It is being widely recognized that physical training under wise supervision, while promoting primarily physical welfare, is not without a positive and desirable psychic influence. An op¬ portunity, such as is hereby announced, to judge of the syste¬ matic, scientific and recreative character and value of the vari¬ ous methods of physical training for which Boston is noted should be embraced by members of the medical profession es¬ pecially. The programme which has been arranged through the kind and courteous cooperation of leading instructors in this impor¬ tant branch of education is as follows : WEDNESDAY, APRIL 8TH, 8 O’CLOCK P. M. I. Dudley A. Sargent, M.D., Director of the Hemenway Gymnasium, Harvard University. Address on “Physical Training for the Strong and the Weak,” with practical illus¬ trations. II. Miss Mary E. Allen. Subject, “ Gymnastic Training for Women and Children. Departments for Health in the Allen Gymnasium, with Methods in Use in the Gymnasium Proper.” Class Illustrations : (a) Simple Series of Free Movements. (b) Advanced Dumb-bell Drill. \c) Hoop Drill. BULLETIN OE MEDICAL INSTRUCTION. 27 ILL Mr. Robert J. Roberts, Director of the B.Y.M.C.A. Gym¬ nasium. Demonstration of the Roberts’ system as taught in the leading Y. M. C. A. Gymnasiums throughout the country. {a) A Roberts’ Dumb-bell Drill without Dumb-bells. (b) Medicine Ball Drill. (c) Jumping Exercises. THURSDAY, APRIL 9TH, 8 O’CLOCK P. M. I. Mrs. Charles Wesley Emerson. Class demonstration of the method of physical culture taught at the Emerson College of Oratory, Boston. II. Exposition of the Swedish Method of Physical Training. III. Mr. German F. Hoffman, Superintendent of the B. Y. M. C. U. Gymnasium, and class. (a) Double Club Juggling. (b) Parallel bar exercises. (c) Pyramids and Tumbling. The Narragansett Machine Company, of Providence, R. I., will have a special exhibition during the entire week, April 6 to ii, of the most approved and scientific apparatus now in use in aid of physical culture. The Gymnastic exhibitions will be given in the Amphitheatre of B. U. S. M. Tickets, admitting also to the Bazaar, 50 cents. Land for a Nurses Home, a Gift of the City. The gov¬ erning bodies of the City of Boston, have confirmed the gift of a piece of land embracing 11,600 feet on Stoughton Street, in close proximity to the Massachusetts Homoeopathic Hospital as the site of a suitable building for a Nurses’ Home. At present the Hospital pays rent for two private houses which are ill adapted for the accomodation of a large number of nurses, three or four occupying a single room and sometimes in a Box and Cox fashion. The proposed building will afford ample space to give to each nurse a separate and pleasant room with library, reception room and all other essential comforts to in¬ crease the effectiveness of the arduous labor. The building will accommodate sixty-five nurses and will cost $75,000. Talks and Demonstrations on the Preparation of Food for the Sick and the Diet of the Child during its Second, Third and Fourth Years, by Miss Maria Daniell, of the “New England Kitchen.”—I. Tuesday, April 7, cooking of broths; II. Wednesday, April 8, cooking of starch : gruels, puddings, etc.; III. Thursday, April 9, preparation of nutritious and ap- 28 BULLETIN OF MEDICAL INSTRUCTION. petizing drinks; IV. Friday, April io, preparation of nutritious jellies; V. Saturday, April 11, cooking of meats and solid diet. The talks will begin promptly at 11 o’clock each morning, last¬ ing one hour, with practical demonstrations of the articles under discussion. The first four talks will treat of the diet for fever patients especially ; the fifth of that suitable for convalescents and young children. Season tickets $2.00; single tickets, for one lecture, 50 cents. Seats limited in number. All tickets admit also to the bazaar. Demonstration Lectures on Cookery, by Mrs. Mary J. Lincoln, author of “Boston Cook Book,” and culinary editor of the “American Kitchen Magazine.”—Monday, April 6, consom¬ me of oysters, broiled shad, carmel salad, rhubarb sauce, creamed eggs; Tuesday, April 7, cream of onions, halibut a la conant, string beans, shad roe salad, apples a la coronado, fon¬ due ; Wednesday, April 8, cream of' clams, sweetbreads, spring salad, banana a la citrona, sardines a la sterneau ; Thursday, April 9, cream of rice, lamb chops with peas, scallop salad, strawberry souffle, creighton oysters ; Friday, April 10, cream of maize, twin soles, oyster salad, lemon meringue, quick pastry, lyonnaise potatoes. These lectures will begin promptly at 2.30 p. m., and continue until 4 o’clock. The cooking of meat or fish, of soups and fruit, of vegetables, or the making of salads, and cooking on the chafing dish, will be illustrated at each lecture. Tickets for the course, $2.00; single tickets, for one lecture, 50 cents. It is suggested that notebook and pencil, teaspoon and napkin, will be found useful. All tickets admit also to the bazaar. Magic. —Monday, April 6, at 8 p.m.—Magic, Mr. E. P. James, assisted by Mr. J. S. Wiley; violinist, Miss Bessie Collier; so¬ loist, Mr. Clarence Ashenden; accompanist, Mrs. E. James, Jr.; quartette, Mr. James, Mr. Trainer, Mr. James, Mr. Ashenden. Quartette, selected. Magic—1. Bewitched cards and spirit hand ; 2. Spiritualism at a glance ; 3. The mystic Count. Violin solo, Miss Collier. Magic—4. Flying glass of water; 5. The mysterious handkerchief; 6. Vanishing cage and balls. Song, Mr. Ashenden. Intermission. Quartette, selected. Magic—1. Coins in air ; 2. Second sight ; 3. Diminishing cards. Song, Mr. Ashenden. Violin solo, Miss Collier. Magic—4. The enchanted rings ; 5. Cone of flowers ; 6. Mysterious hat. BULLETIN OF MEDICAL INSTRUCTION. 29 GIBSON TABLEAUX, from drawings by Charles Dana Gibson, Thursday, April 9, by the Brookline Charity Club. 1. All’s Well that Ends Well. — (a) It’s a love song, and sung with deep feeling, as her thoughts are with Tom in a far away land. ( b ) Tom ! 2. Social Pastimes. 3. The Trials of a Bud. —Running the gauntlet among her rivals. 4 Why Not ? 5. Puzzle. —Find the wife of the man who is telling the story. 6. Anticipation. 7. A Story by a Sleeve. 8. Not a Ghost.— It is only poor Jim, who happened to marry the wrong girl; and sometimes when she is particularly unendurable, he remembers the other one. Intermission. Violin Solo, by Miss Wesselhoeft. 9. That Delicious Moment.— When you find you are to take in to dinner the girl who yesterday refused you. 10. Poor Girl. —She has had a long vacation, and is more ex¬ hausted than when she left the city. Sometimes there is hard work in these summer vacations, don’t you know, and one finds too late that the game is not worth the candle. 11. The Old Tune. 12. Puzzle. —Find the girl who has been kissed within ten minutes. 13. Puzzle —Find the Heiress. 14. Their Presence of Mind. —They had been in their room but a moment when they were startled by a knock. 15. Men Must Work. —Perhaps, after all, these places distant from the cities, are the safest for girls who have a tendency to flirt. “ ON THE TRAIL." THURSDAY, APRIL 9, 4.3O P. M. TICKETS, FIFTY CENTS. Capt. S. E. Howard, of West Newton, will give a lecture on Thursday, April 9, at 4.30 p. m., at the Hahnemann Festival, entitled “ On the Trail,” being personal experiences of many years in driving large herds of cattle from Texas to Montana. He will describe the method of handling great herds on the trail, the crossing of swollen rivers by the wagons and by the cattle, putting the cattle to bed at night, the fidelity and daring of the cow-boys, terrific storms and stampedes, etc. The lec¬ ture abounds in interesting and startling situations and is given by one entirely familiar with his subject. Mrs. H. P. Perkins, Jr., of West Newton, has kindly offered to contribute a number of vocal selections to the afternoon’s en¬ tertainment. 30 BULLETIN OF MEDICAL INSTRUCTION. Gregory Table.— The Gregory Society composed of the Women of the Boston University School of Medicine, met to see what they could do toward assisting at the Bazaar. They determined, after due consideration, to have a table and a soda fountain in the college room, which was at their disposal. A general committee composed of one woman from each class, Miss M. R. Mulliner, ’96, Miss Effie Perkins, ’97, Miss Esther Barnard, ’99, and Miss L. H. Diemar, ’98, Chairman. The Committee on Soda Fountain was Miss A. Z. Patterson, ’96, and Miss S. L. Slagle, ’98. The women of the college solicited their friends for contributions to the table which met with most generous response. Some contributed articles personally, and a meeting was held, one evening, when each woman present made one article for the table. The result is apparent in the generous and beautiful display. The soda committee solicited syrups and various supplies and many thanks are due to J. W. Tufts, who furnished the fountain, B. Beach & Claridge and J. L. Bowker for syrup, C. S. Gove & Co. and Parker & Co. for soda water, and various others for ice cream, cream, etc. Nurses’ Table. — Mrs. T. M Strong, in charge. The table will be under the supervision of the following Head Nurses, Miss Marston, Mrs. Wragg and the Misses Edgerton, Tisdale, Stamers and Theobald, assisted by the graduates and the pupil nurses of the Training-School for Nurses of the Massachusetts Homoeopathic Hospital. Miss Griswold, Superintendent of Nurses, has had charge of the selling of tickets and reports a sale of over $75. The total cash donations towards the table amount to $80, and range from gifts of $1.00 to $25. Fancy and useful articles for the invalid have been received from the Ladies’ Aid Association of the Hospital, merchant friends, members of the medical board and their families, internes of the hospital, nurses and their friends, together with patients who have been, or are now, in the hospital. Among the arti¬ cles for sale are pictures by well known artists, hand-painted china, needlework, dolls dressed in the nurses’ costume, toilet articles, a large assortment of fancy articles, together with inva¬ lid trays, nightingales, knitted slippers, etc. Newton. —The friends of the School in Newton have done much to add to the success of the Festival. The Newton Room is under the direction of a large general committee, Mrs. N. Emmons Paine, Chairman. Each division of Newton is represented by a sub-committee, of whom the following ladies are Chairmen : Newton, Mrs. E. M. Springer ; Newtonville, Mrs. E. P. Hatch ; Auburndale and Wellesley Hills, Mrs. M. L. Clarke ; Newton Highlands, Upper Falls and Waban, Mrs. BULLETIN OF MEDICAL INSTRUCTION. 81 J F. Heckman; Newton Centre, Mrs. S. A. Sylvester; West Newton, Mrs. C. R. English. Entertainments have been held as follows: Newton, March 12 and 26, Drive Whist and Card Parties; West Newton, a Progressive Card Party netted $50; West Newton, a Musicale, $30; Newtonville, Drive Whist, $42. In addition to the sales tables, tea, lemonade and Welsh rarebits were daintily served to the guests of the Festival. The Children’s Table is under the charge of the following ladies : Monday, Mrs. Geo. R. Southwick and Mrs. Geo. B. Rice; Tuesday, Mrs. O. B. Sanders, Mrs. Toby and Mrs. Hal¬ sey; Wednesday, Mrs. C. Wesselhoeft, Mrs. J. Heber Smith, Mrs. J. Emmons Briggs ; Thursday, Mrs. H. E. Spalding, Mrs. H. A. Houghton ; Friday, Mrs. W. F. Wesselhoeft ; Saturday, Mrs. J. H. Payne. The attractive Pop-Corn Booth in connec¬ tion with the Children’s Table is under the charge of Mrs. A. H. Powers. The work devoted by the ladies in charge of this table to the success of the Festival and the generous contribu¬ tions of their many friends are apparent in the beautiful and articles offered to patrons of the Bazaar. The Dorchester Table includes 1, Housekeeper Table; 2, Tea Table; 3, Booth for Palmistry. The table has received through a tea and two whist parties and contributions, $135. The committee in charge of the whole comprise Mrs. N. L. Damon, of Dorchester, as chairman, with the following com¬ mittee : Mrs. J. T. Sherman, Mrs. L. M. Lee, Dr. M. S. Hornby, Miss Minna Wesselhoeft, Miss Katharine Sewall, assisted by the following ladies : Tea Table in charge of Miss Minna Wes¬ selhoeft, Chairman, Miss Martha Barry, Miss Katharine Sewall, Miss Florence Bean, Miss Edith Glidden ; adjunct to table, Mrs. E..S Batchelder. East Boston: —The ladies of East Boston have in charge a Linen Table, which they have furnished with all kinds of household linen, embroideries, fancy articles and travelling cases. The officers of this table are: President, Mrs. Frank C. Richardson; Vice President, Mrs. F. W, Coy, Mrs. Brown, Mrs. Dr. Dunn Carey and Mrs. W. S. Pratt; Secretary, Mrs. J. M. Robinson; Treasurer, Mrs. E. P. Robinson. Monday the table will be in charge of Mrs. J. F. I 7 ay, Chairman. Tuesday, Mrs. Wm. G. Smith, Chairman ; Wednesday, Mrs. F. P. Anthony, Chairman ; Thursday, Mrs. C. K. Jewett, Chairman. Friday, Mrs. F. {.Dicker, Chairman; Saturday, Mrs. FI. J. Cook, Chairman. Melrose. —Through the efforts of Dr. Annie M. Selee and others, a large number of tickets of admission were sold and new members were added to the Association. A donation of fancy articles were also made to the tables. 32 BULLETIN OF MEDICAL INSTRUCTION. Dr. Bruce’s Table.— Visitors from Roxbury will be partic¬ ularly interested in this table which is under the charge of Dr. Emily A. Bruce, and a number of Roxbury ladies. Grocery Department.—Class of ’98.—Committee as fol¬ lows : Mr. Lee as Chairman; Mr. Steele, Mr. Streeter, Mr. Coring, Mr. Marden, Mr. McNeil, Mr. Plummer, Mr. Schub- mehl. This department was one of the last to come in the field, but the efforts of the men of the class will undoubtedly make it one of the attractions. The scales in the department were kindly loaned by the Fairbanks Scale Co. The Cash Register, which adds greatly to the business appearance of the department, was kindly loaned by the National Cash Register Co. Westboro Insane Hospital Table.— The patients have been much interested in the success of the Festival for some weeks and with the co-operation of the resident physicians and nurses have contributed the articles on this table. It has been found that in certain cases the interest excited seems to be contributing markedly toward eventual recovery. Flower Table. —The table is representative of Cambridge and is under the direction of a committee of ladies, among whom are Mrs. W. J. Winn, Chairman, Mrs. Walter Wessel- hoeft, Mrs. S. H. Blodgett and Mrs. C. H. Thomas. Cut flowers, plants and seeds are contributed from many sources. The Brookline Table is under the chairmanship of Mrs. J. W. Clapp, and the East Indian corner will refresh and interest many friends. Two very successful whist parties have been held in aid of the table, adding more than a hundred dollars to the sum which will be donated from Brookline. Madam Wyrd, a pupil of the celebrated Cheiro, “Your fate is in your hands.” Be sure to submit your hands to her inspec¬ tion and thereby learn to know thyself. Hours 3-6 p. M. Terms, 50 cents. Photo-impressions of the hands, 50 cents. Book Table.— Under the leadership of Dr. Helen G. F. Mack, this attractive and novel table will arouse much interest. A chance is here afforded for Yankee ability in guessing. An attractive booth has been contributed by the firm of Waiter Baker & Co., where chocolate will be dispensed for the benefit of the Fund. The spring water used in the restaurant is kindly contributed by the Nobscot Spring Co. BULLETIN OF MEDICAL INSTRUCTION. v. How shall I feed my baby? Cow’s Milk Does Not Agree. unhappy, and Cow’s milk does not agree with your baby; would you like to know why it does not? Of course you would, because you yourself are experiencing this difficulty to-day in your own household. The milk looks and tastes nearly the same as mother’s milk but why is it that the baby is worried and has the colic when he takes the cow’s milk ? There are three reasons why cow’s milk does not agree, and we can ^ ® asons make them perfectly plain to you. When we speak of the composition of milk, we must use figures, but we will do so as simply as possible. Suppose you have ioo lbs. of cow’s milk: what does it contain? It contains 86 lbs. of water, 5 lbs. of sugar, 4 lbs. of cheese, 4 lbs. of butter, and 1 lb. of salts. These quantities are in round numbers, and will answer for the present explanation. This is the com¬ position of 100 lbs. of cow’s milk. In order that you may intelligently compare the com¬ position of these two substances (mother’s milk and cow’s milk) we will arrange them in tabular form, thus : Water. Sugar . Cheese Butter. Salts . 100 lbs. Cow’s Milk. ... 86 lbs. - 5 lbs. . 4 lbs. . 4 lbs. - 1 lb. 100 lbs. Mother’s Milk. 87 lbs. 6 lbs. 2 lbs. 4 lbs. 1 lb. 100 lbs. 100 lbs. You observe that the cow’s milk contains less sugar than the mother’s milk. Reason ^ ou °^ serve » a l so » that the cow’s milk contains double the quantity of cheese that mother’s milk contains. This is the first reason. Now, cheese is a substance that is excellent for calves, and babies too; it exists in large quantities in cow’s milk, which is the calf’s natural food, and the proportion of cheese, in cow’s milk is correctly adapted to the requirement’s of the calf’s stomach; but the baby cannot take so large a quantity of cheese, and that is what disturbs him. PLEASE MENTION THE BULLETIN OF MEDICAL INSTRUCTION. VI. BULLETIN OF MEDICAL INSTRUCTION. Second seconc ^ reason is that the cheese in cow’s milk is of a different quality Reason from the clieese in mother’s milk, and it forms a different substance in the baby’s stomach. In the stomach the cheesy portion becomes coagulated and forms a clot; the clots of cheese from mother’s milk are soft and flocculent, and make no disturbance in the baby’s stomach. The coagulated clot from the cow’s milk is hard and tough, and the baby cannot digest it. The third reason is that cow’s milk is acid and mother’s milk alkaline. If you Reason obtain a piece of litmus paper, you can readily try this for yourself. If you dip blue litmus paper into cow’s milk, the litmus paper will become red; this shows that cow’s milk is acid. If you dip red litmus paper into mother’s milk, the paper will turn blue ; this shows that mother’s milk is alkaline. These are the three rea¬ sons why cow’s milk differs from mother’s milk, and therefore disagrees with the baby. Now, in order to reduce the proportion of cheese, suppose you dilute ioo lbs. of cow’s milk with ioo lbs. of water ; you will have then, in the 200 lbs., 186 lbs. of water, 5 lbs. of sugar, 4 lbs. cheese, 4 lbs. of butter and 1 lb. of salts. Let us now compare this diluted cow’s milk with the mother’s milk, and see what the difference is, taking one-half of the 200 lbs. of diluted cow’s milk, in order to compare equal quantities; we shall then have : 100 lbs. Cow’s Milk, Diluted. 100 lbs. Mother’s Milk. Water. . 93 lbs. 87 lbs. Sugar . 2 lbs. 6 lbs. Cheese. lbs. 2 lbs. Butter. lbs. 4 lbs. Salts. . V. \ lb. 1 lb. 100 lbs. 100 lbs. Now you will observe that in the diluted cow’s milk the cheese is in about the same proportion that it is in the mother’s milk, but you have reduced also the most important element in it, namely, the sugar; having less sugar to start with than the mother’s milk, the cow’s milk diluted contains only 2)^ lbs. of sugar in 100 lbs., while the mother’s milk contains 6 lbs. of sugar in 100 lbs. Simple Dilution. Useless. The Real Remedy. Now for a Remedy for these three objections to cow’s milk for the baby. It is found by adding Mellin’s Food to the diluted cow’s milk. The Mellin’s Food contains the sugar and salts necessary to bring up the proportions in the diluted cow’s milk nearly as they are in the mother’s milk. Mellin’s Food is alkaline, and it is sufficiently so to neutralize the acidity of the cow’s milk. Another important thing that Mellin’s Food does is to act upon the cheese of the cow’s milk so that when the baby is fed with it the cheese no longer forms in a large, solid clot, but forms in soft flocculent masses, which are readily absorbed by the stomach. Would you like to know. The above explanation will sufficiently show how Mellin’s Food renders rpi p * L 1 J cow's milk digestible for the baby and makes it so closely resemble mother’s milk. Now we have told you the secret of successful hand-feeding for your baby. the particular use of the sugar, the butter, the cheese, and the salts, and just what part they play in building up the child’s body? You will find it in a little book called “ The Care and Feeding of Infants,” which contains much of interest to mothers in regard to the feeding of their children. It is published by the Doliber-Goodale Co., of Boston, who will send you a copy, free, by mail, if you write for it. To those who have not tried Mellin’s Food they will send, free, by mail, a sample bottle sufficient for trial. PLEASE MENTION THE BULLETIN OF MEDICAL INSTRUCTION. BULLETIN OF MEDICAL INS1 RUCTION. vii. The New England Hahnemann Association Is organized for the purpose of assisting in the improvement of med¬ ical instruction, and of aiding Boston University School of Medi¬ cine in this work. It holds an annual meeting on the second Monday of January, and a social meeting on Hahnemann’s birthday. Annual membership, $2.00; Life membership, $25.00. R. H. STEARNS, Treasurer, 140 Tremont St., Boston, Mass. The Bulletin of Medical Instruction Is published quarterly for the Alumni Association of Boston Uni¬ versity School of Medicine, and the New England Hahnemann Association. It is sent gratuitously to members of this Association. Subscription Price. One copy per year, 50 cents; three copies per year to different addresses, $1.00. J. EMMONS BRIGGS, M. D., Subscription Agent, 240 Massachusetts Ave., Boston, Mass. To R. H. STEARNS, Treasurer New England Hahnemann Association, 140 Tremont St., Boston. Life membership , 25.00. Annual membership , $2.00. I enclose $ . for A pff al membership of the New England Hahnemann Association. Name .. P. 0 . Address ,.. To f EMMONS BRIGGS , M. D., Subscription Agent Bulletin of Medical Instruction , 240 Massachusetts Ave., Boston , Mass. Enclosed I send you $ . for . copies of the Bulletin of Medical Instruction , to be addressed as follows: Name. Address. vm BULLETIN OF MEDICAL INSTRUCTION. Advertisements. A LIMITED NUMBER WILL BE INSERTED IN THE BULLE¬ TIN, AND ONLY SUCH AS CAN BE COMMENDED BY THE PUBLISHERS. Our friends may render us effective service, i st. By securing advertisements of unquestionable quality. 2d. By mentioning the Bulletin on making purchases of advertisers. Address, C. H. Thomas, M. D., Business Manager, 427 Broadway, Cambridge, Mass. Bulletin of Medical Instruction. Published Quarterly. l'copy per year,.$ .50 3 copies per year, to different addresses,. 1.00 J. EMMONS BRIGGS, M, D., Subscription Agent, 210 Massachusetts Are., Boston, Mass . BULLETIN OF MEDICAL INSTRUCTION. IX. Massachusetts Homeopathic Hospital. EAST CONCORD, CftR. ALBANY ST., BOSTON. The Hospital treats all forms of medical and surgical dis¬ eases, except infectious, incurable and maternity cases. Pa¬ tients of either sex, whether children or adults, are received at any time when necessary, but if possible, a card of admis¬ sion should be obtained in advance. A limited number of free beds are under the control of the Hospital, there are others belonging to private individ¬ uals. Beds and rooms for paying patients vary in price from $7.00 to $50.00 per week. A directory for Nurses is connected with the Hospital. This institution, which is doing a large amount of work, is in need of pecuniary assistance which may be sent to the Treasurer, S. W. Richardson, Esq., 40 Water St., Boston. All information, especially in relation to the admission of patients, may be obtained at the Hospital of THOMAS M. STRONG, M. D., RESIDENT PHYSICIAN. HOMEOPATHIC MEDICAL DISPENSARY. 750 HARRISON AVENUE, E0ST0N. The Dispensary has been established thirty-eight years, and in that time it ha® steadily increased its work. Up to January, 1895, it Lad treated 375,302 patients and ad¬ ministered 750,979 prescriptions. During the last year it has treated 18,183 patients who received 53,506 prescriptions. It has two branches, one at 14 Burroughs Place, and one in Charity Building, Cliardon Street, but the greater amount of its work is done in its large and commodious building on Harrison Avenue, between Stoughton and East Newton Streets, where every day, Sunday excepted, the Dispensary is open from 10 to 12 Its service is divided into thirteen departments, namely, Medical, Surgical, Women’s Children’s, Eye and Ear, Skin, Throat, Chest, Nervous, Rectal, Genito-Urinary, Ortho¬ pedic, and Dental. PATIENTS ARE TREATED FREE, and a trifling sum only is charged to cover the expense of medicine when furnished. The large building erected four years ago, but not fully completed, is already over¬ crowded, and the usefulness of the institution could be greatly increased and a MA¬ TERNITY added to it, if it had the funds to finish it. Contributions for this purpose or for the support of the Dispensary, may be sent to the treasurer, ♦T. WILKINSON CLAPP, M. I>., IO Park Square, Boston. PLEASE MENTION THE BULLETIN OF MEDICAL INSTRUCTION. X. BULLETIN OF MEDICAL INSTRUCTION. 1830 * QWfreb QTtubge & ^on, (printers, 24 § tttn&ftn cBoston. PLEASE MENTION THE BULLETIN OF MEDICAL INSTRUCTION. BULLETIN OF MEDICAL INSTRUCTION. XI. R. C. Stearns & Co. “BEDROOM BELONGINGS; We mean that our store shall be the best place in New England to buy all such “ Bedroom Belongings ” as Blankets, Counterpanes. Down Puffs, Mattresses, Feather Pillows, Cotton Sheets, Linen Sheets, Pillow Cases, Towels, Brass Bedsteads, Iron Bed¬ steads, etc. SPECIAL TERMS TO HOSPITALS._. CORRESPONDENCE SOLICITED. Send 2 cent stamp for Catalogue of “BEDROOM BELONGINGS" Special Cover by “Prang.” R. H. STEARNS & CO. Cor. Tremont Street and Temple Place, Boston. 21 RUE MARTEL, PARIS. PLEASE MENTION THE BULLETIN OF MEDICAL INSTRUCTION. Xll. BULLETIN OF MEDICAL INSTRUCTION. THEODORE METCALF CO. 39 Tremont Street, and Copley Square, <££3* s«. BOSTON. Syrup Raspberry. For the preparation of Cooling: Drinks. To be mixed with ICE WATER, SODA WATER, or any AERATED or SPRING WATER. One tablespoonful to each gflass of water. Fruit Syrups. Coffee, extra size, Per doz. $6.00 Per doz. Raspberry Shrub, ex.size, 6.00 Ginger Ale, 6.00 Raspberry Vinegar, “ 6.00 Ginger, 6.00 Red Orange, “ 6.00 Lemon, 6.00 Sarsaparilla, “ 6.00 Orgeat, 6.00 Strawberry, “ 6.00 Pineapple, 6.00 Vanilla, “ 6.00 Raspberry, 6.00 Concentrated Extracts FOR THE HANDKERCHIEF. White Rose. Tea Rose. Musk. Heliotrope. Ess. Bouquet. Jasmine. Tuberose. Frangipanni. Violette. Ylang Ylang. Patchouly. Stephanotis. Orange Blossom. Lily of the Valley. Jockey Club. Cherry Blossom. Breoni. Marie Stuart. Rose Geranium. Bon Silene Rose. Wood Violet. Brisa de las Pampas. One-ounce Bottles, per dozen,.$4.00 Four-ounce glass stop Bottles, per dozen,. 12.00 Pint glass stop Bottles,. 3.50 PLEASE MENTION THE BULLETIN OF MEDICAL INSTRUCTION. BULLETIN OF MEDICAL INSTRUCTION. XIII. / C. F. HOVEY & CO. Importers, Retailers and Jobbers of DRY GOODS, SUMMER, AVON and CHAUNCY STS., BOSTON. PLEASE MENTION THE BULLETIN OF MEDICAL INSTRUCTION. Xiv. BULLETIN OF MEDICAL INSTRUCTION. In CAKES FOR GENERAL BLACKING APPLIED AND POLISHED WITH A BRUSH SUN PASTE- FOR A QUICK AFTER-DINNER SHINE APPLIED AND POLISHED WITH A CLOTH’' Morse Bros. Props..Canton,Mass.,U.S.A. J. FRANK GEAR, Dealer in SURGICAL, ELECTRICAL, VETERINARY INSTRUMENTS. All the latest and improved patterns of Surgical Instruments constantly kept in stock. Med¬ ical Batteries and Electrical Appliances of every description. Trusses, Shoulder Braces, Suspensory Bandages, Elastic Stockings, Abdominal Supporters Etc. Articles for Invalids’ use, such as Bed Pans, Urinals, and Crutches. No. 41 TREMONT STREET. BOSTON. W. A. TWOMBLY, FIaOKIST 161 Tremont Street, TELEPHONE SIB. Boston. PLEASE MENTION THE BULLETIN OF MEDICAL INSTRUCTION, BULLETIN OF MEDICAL INSTRUCTION. XV- THE FRENCH CARRIAGE COMPANY. FERDINAND F. FRENCH, Manager. The Latest in Pleasure Carriages The Most Correct in Sporting Traps. The Most Approved Designs. The Most Careful Construction, 83 and 85 SUMMER STREET, Cor. of Kingston Street, Only. It is our intention always to have the NEWEST SUGGES¬ TIONS from the most RELIABLE and INTEL¬ LIGENT experiences. KINDLY NOTE LOCATION. NOBSCOT- MOUNTAIN SPRING -WATER. ANALYZED AND ENDORSED BY MASS. STATE BOARD OF HEALTH. Office, 62 CONGRESS STREET. Telephone, Boston, 3596. PLEASE MENTION THE BULLETIN OF MEDICAL INSTRUCTION. XVI. BULLETIN OF MEDICAL INSTRUCTION. THE FINEST LIGHT BUGGY EVER MADE BY ANYBODY ANYWHERE AT ANY PRICE. Made in two sizes, on end-springs or side-bar, with panel or stick-seat, with or without stop. Send for Steel Engravings. S. R. BAILEY & CO. AMESBURY, MASS. TOP SLEIGHS FOR DOCTORS. PLEASE MENTION THF. BULLETIN OF MEDICAL INSTRUCTION. BULLETIN OF MEDICAL INSTRUCTION. XVU. DERBY DESKS. Medical men as well as Business men realize the value of good t appliances. THE DERBY IS THE Recognized Standard Business Desk. The DERBY DESK is ELEGANT in FINISH, RELIABLE and CHAIRS, TABLES, Etc. DURABLE. Special Furniture built to Order. Just the thing for a Physician’s office, an aid to business, a time saver, a first-class appli¬ ance, a source of constant satisfaction, ft^^Send for cuts and prices, and if possible visit our warerooms. DERBY, KILMER & POND DESK CO. 93 CAUSEWAY ST., 19 BEEKMAN ST., BOSTON. NEW YORK. Established 32 years under one continuous Management. THE HENRY F. MILLER GRAND k UPRIGHT PIANO FORTES. Special Features are: th. TONE Which is MUSICAL as well as POWERFUL, also having that Sweet Singing Quality so desirable for instrumental work in accompanying the Voice. rh. ACTION Perfected in all points, which enables the PIANIST to produce extremes of Musical Sentiment and Orchestral Effects. The Cl C I Q various woods, from new and original designs, correct in style VClav49 and fine examples of Artistic thought. th. DURABILITY and lasting qualities obtained through a most careful selection of materials and the best of workmanship. Through our method of stringing, the MILLER pianos are noted for keeping in tune. For more than 24 years the CITY OF BOSTON has purchased HENRY F. MILLER pianos for its public schools, and their use in the State Normal Schools, the leading Conservatories of Music and Public Institutions throughout the country, prove their durability. Write us for special catalogue and prices. We lease a piano with privilege of purchase and take an old instrument in part payment. HENRY F. MILLER & SONS PIANO CO. 88 Boylston St., Boston. Near Tremont St. 1428 Chestnut St., Phil. PLEASE MENTION THE BULLETIN OF MEDICAL INSTRUCTION. XV111. BULLETIN OF MEDICAL INSTRUCTION. S. S. PIERCE CO. Sole Agents for Veuve Chaffard Pure Olive Oil. 'b& Bottle. Doz. Case. Full Quart Bottles, $1.25 $13.00 $13.00 Full Pint Bottles, .70 7.00 7.00 Full Half-Pint Bottles, .40 4.25 4.25 (!) (I) PIERCE CO. Importers and Grocers. SCOLLAY SQUARE. ) COPLEY SQUARE, BOSTON. COOLIDGE’S CORNER, CENTRAL WHARF, ) BROOKLINE. THE BOSTON MAILING COMPANY, (INCORPORATED.) ' 93 FEDERAL STREET. R. W. WATERS, Pres. J. H. GERRISH, Treas. ADDRESSING of Envelopes, Society and Club notices, Professional and Business Cards. ..... BINDING Of CATALOGUES, PAMPHLETS, MAGAZINES, etc., MAILING of CARDS, CIRCULARS, CATALOGUES, NEWSPAPERS, MAGAZINES, and all mail- able matter. Lists of Trades, Professions, etc., on hand to address from. The largest Establishment of its kind in New England. Send for Estimates. ESTABLISHED 1869. JAMES FORCIE & SON, Manufacturers of -Dealers in- Horse Furnisbiugs and Track Specialties. Importers of London Saddlery. 8 & 10 MERCHANTS ROW, Rear Entrance - w siate st - BOSTON, MASS. PLEASE MENTION THE BULLETIN OF MEDICAL INSTRUCTION. BULLETIN OF MEDICAL INSTRUCTION. XIX. ADAMS & GILBERT, OPTICIANS, 165 Tremont Street, — — BOSTON, MASS. Manufacturers of SPECTACLES and EYEGLASSES, Importers of Opera, Field and Marine Glasses of superior power. We make a specialty of Grinding com- Caution about theUse and Selections of Spectacles plicated Lenses from Oculists’ Prescrip- „ p „, ons haTin? nonnal ?i9ion will able t0 read this rint at a diatanca tions. of 14 inches from the eyes with eaee and comfort; also will be able to read it with each eje separately If unable to do so your eyes are dtfcctive and We also make a special feature of Axis should have immediate attention. When the eyes become tired from reading or sewing, or if the letters look blurred and run together, it is a sure indica- Cut Brazilian Pebbles. tion thatglasses are needed. The lenses sold in the cheap goods are of un¬ equal density and have imperfectly formed surfaces. Continued use of these poorer lenses will result in positive injury from the constant strain upon the -niseles of accomodation .o'snoitlv the defects in the alasa.” The Pasteur Germ Proof Filter IS FOR SALE BY A. J. WILKINSON & CO. 180 to 188 Washington St., BOSTON, Mass. HENRY C. DIMOND & CO. Manufacturers and Dealers in Self- Inkin g Stamps, NUMBERING AND CANCELLING MACHINES. Rubber and Metal Stamps of all kinds. Ribbon Stamps, Check Protectors, r JL'ype Seals, Sec. No. 22 Milk Street, Boston. REPAIRING A SPECIALTY. SEND FOR CATALOGUE. PLEASE MENTION THE BULLETIN OK MEDICAL INSTRUCTION. XX. BULLETIN OF MEDICAL INSTRUCTION. Noitli German Lloyd S. S. Co. Short Route to Southampton, London, Havre, Paris, Bremen, UNSURPASSED COMFORTS. Time to London, 7 days and less. Time to Bremen, 8 1-2 days. THROUGH TICKETS TO ALL THE PRINCIPAL CITIES OF THE CONTINENT. Between NEW YORK, GIBRALTAR, GENOA. Most direct route to. SPAIN, NORTHERN FRANCE, ITALY and SWITZERLAND. Number passengers limited to seating capacity. Return tickets at reduced rates. OELRICHS & CO., General Agents, 2 Bowling Green, . . New York. C. THEO. GUETHING, Sole Agent, 19 DOANE STREET, BOSTON. PLEASE MENTION THE BULLETIN OF MEDICAL INSTRUCTION. BULLETIN OF MEDICAL INSTRUCTION. XXI. Japanese PIAZZA CURTAINS Keep out the hot sun; Admit of a free passage of air; Complete with blocks, cords and hooks; Best quality only; Lowest prices. WALTER M. HATCH & CO. 54 Summer Street., Boston. ISAAC N. TUCKER, Plumber & Sanitary Engineer 479 TREMONT ST., BOSTON. Order Box 196, No. 166 Devonshire Street, TELEPHONE, TREMONT 51-2. PLEASE MENTION THE BULLETIN OF MEDICAL INSTRUCTION. 112105736901 xxii. BULLETIN OF MEDICAL INSTRUCTION. The Place To Buy Have 1\)Z Largest As sort 7 \ment of L/JMPS apd * WFlXTURESbN^^g - c Jaratelogw^^ga MASSASOITS. Models A and B. $75.00 Models C and Z>, $60.00 Models E and E, 26-in. wheels 9 50.00 Models G~ and H , 24-in. 66 40.00 MOHAWKS.—Models M and L, 50.00 Many of our agents are practising physicians, who appreciate the value of a wheel from a hygenic as well as mechanical stand point. We are sole Eastern Massachusetts and Rhode Island distributing agents for the world-renown Wolff-American High Art Cycles. Wolff-American Duplex, $200. Wolff-American Tandem, $150. Wolff-American Single Models, $100. Call and see our line. Send for catalogues. All kinds of Athletic Goods. THE HORACE PARTRIDGE COMPANY, Manufacturers and Jobbers, 335 Washington St. 9 Boston. PLEASE MENTION THE BULLETIN OF MEDICAL INSTRUCTION.