The
World's

Best

Natural

Purgative

Water

CARABANA

Indicated

in all

Engorged

Conditions

of the

Alimentary and
Circulatory

Tracts

Sole Importer, GEO. J. WALLAU, 2 and 4 Stone St., New York

MEDICAL MEMORANDA.

I have prescribed resinol ointment for four cases of pruritus ani recently, and have obtained relief. I have completely cured one case of eczema with the ointment, and I have a number of families who keep it on hand as a family medicine. -G. W. Smith, M. D., Ft. Smith, Ark.

A Matter of Spelling.-A trolley collided with a milk wagon and sent the milk splashing on the pavement. Soon a crowd gathered. "Goodness!" exclaimed a man. "What an awful waste!" A very stout lady turned and glared at him. "Just mind your own business," she snapped.-October Lippincott.

A Fair Test of Calcalith.-From Dr. Toland down in Texas, comes the state

ment: "There's nothing surpasses calcalith (Abbott). I gave it a fair test two weeks ago in a patient who had cystitis, prostatitis, urethritis and gonorrheal rheumatism and was passing "matter" (pus and blood) with his urine. He surely was in a bad condition, but calcalith with other alkaloidal remedies (calcium sulphide and tonics) soon brought him around all right."

Constipation. As a rule the habitual use of purgative waters causes a constipated condition which may become chronic. This does not occur with carabana, which is tonic in its effects. It is consequently very useful for preventing not only the diseases directly attributable to constipation, but also for alleviating the remote reflex or sympathetic disturbances. It effects this result by removing the fecal matter, which not only acts as a local irritant and by its pressure interferes with the venous circulation, but also causes auto-infection by the elaboration of toxic alkaloids.

Fothergill, one of the highest English authorities on medicine, says that no treatment of respiratory affections is complete without appropriate tonic treatment. This explains why Gray's glycerine tonic comp. is so uniformly effective in both acute and chronic forms of bronchitis and laryngitis. It relieves the symptoms because of its local antiphlogistic properties and eradicates the disease because it antagonizes the ever-present element of systemic depression. The unique therapeutic value of Gray's glycerine tonic comp. can be best proven by a trial in those cases of general debility that have resisted all other tonic and reconstructive medication.

Coca Bases.-W. H. R., Chicago, Ill., writes to the editor of the Coca Leaf: "In the analysis of Vin Mariani I notice 'Coca bases.' If this means the alkaloid cocaine, why not say so plainly?" Coca bases means precisely what it designates, i.e., alkaloidal bases of the coca leaf, of which cocaine is but one among many. The several coca bases, while chemically analogous,differ markedly from each other in physiological action. Thus, while cocaine acts chiefly upon the central nervous system, other coca alkaloids, as ecgonine, benzoyl ecognine, hygrine, cinnamyl-cocaine, etc., act directly to stimulate muscle fibre while having little if any anesthetic action, direct or remote. The alkaloidal yield of coca varies with the quality as well as with the variety of leaf used. The large Bolivian leaf being rich in cocaine to the exclusion of the other alkaloids, is employed by chemists for the extraction of cocaine, while the small leaf varieties inversely being low in cocaine and rich in aromatic bodies and those alkaloids which act upon muscle, are employed medicinally for such physiological properties. A blending of these latter varieties of aromatic coca is employed in the preparation of Vin Mariani. It is the refinement of selection of appropriate coca from long years of experience, and skill in its preservation and manufacture, to which this unique tonic owes its restorative properties.-The Coca Leaf, March, 1905.

The Use of Glyco-Thymoline in Obstetrics.-(By Geo. H. Shelton, M. D., Detroit, Mich.)-I am so gratified and pleased with the action of glyco-thymoline in the various conditions in which it is indicated, and especially so in obstetrics, that I can not endorse it too highly. I have used glyco-thymoline in obstetrical practice wherever sepsis is present or threatened, and can say candidly that I have yet to meet with disappointment. The result in every instance has been simply charming. Did not time forbid I could recount numerous cases in which the happy climax was attributable to the use of glyco-thymoline. But for the purpose of this paper the report of two cases in obstetrics will illustrate typically its wide field of usefulness in this branch of practice. Case 1.-Mrs. J., age 28. Multipara, was delivered at full term of a still-born child. It had been dead about ten days and was foully decomposed. Condition of mother was very critical. Temperature 102.5 degrees. Pulse 120. All symptoms of septicemia present. Two tablespoonfuls of glyco-thymoline to one pint of hot water as a douche three times daily, brought about a wonderful recovery in a remarkably short space of time. Case 2.-Mrs. S., age 19. Primipara. Premature labor, followed by puerperal fever. In this case the septic condition was such as to be truly alarming, but glyco-thymoline, two tablespoonfuls to one pint of hot water, to be used as a douche three times daily, produced a rapid recovery. In conclusion, wish to state that I find such general use for glyco-thymoline in obstetrics that I would not consider that I was fully prepared for any and all emergencies which might arise while attending a case of labor unless I had a supply of the above mentioned remedy on hand.

After Operations.-After an operation, be it simple or severe, it is always good practice to reinforce a patient's vitality. Gray's glycerine tonic compound is eminently useful for this purpose.

John Drew on Drawing Power.-A fellow actor was the subject of discussion at The Players Club not long ago;

He is perfectly devoted to that blonde"-so Mr. Drew was informed. "His family think it a case of hypnotism."

"Seems more like chemical attraction," said the great actor thoughtfully.—November Lippincott's.

Just How to Manage Otorrhea.-(By F. E. Burgevin, M. D., of Spiro, I. T.)— Otorrhea, from the purulent middle-ear catarrh, the "running ears" of the laity, was at first my bete noire. I used the classic treatment of Pomeroy and others—syringing, insufflations of powdered boric acid, etc., sometimes with benefit, sometimes the reverse, but never by any chance curing any of them, until I dreaded to see a patient with cotton in his ears come into the office. Now I cure them in a few days .or weeks without difficulty, and really prefer this class of cases to any other. When

I was at the Manhattan Eye and Ear Hospital in 1890, Dr. Pomeroy said that one case had been under treatment nearly ten months and was slightly improved. He said that it required one or two years to cure this disease, and then it generally returned. My method of treatment is as simple as it is effectual, and any doctor after reading my description attentively can use it as well as I can and cure every case. Once daily I fill the ear with a warm solution of some good peroxide of hydrogen, beginning with a 35 per cent solution, and increasing the strength every day until the pure drug is used. Hydrozone is the same, only twice as strong, and I use it when I can get it simply from motives of economy. After cleansing the ear thoroughly, which at first may require twenty minutes to two hours, according to the foulness of the auditory canal, I then instill a few drops of glycozone (warmed) and close the canal securely with a bit of absorbent cotton. This is allowed to remain in situ until next treatment. The first cleansing should be very thorough, the peroxide being repeatedly instilled until all foaming ceases. In some cases it may require two, three or more treatments to cleanse the ear properly, especially if the lumen be occluded by a furuncle, or by swelling, or inspissated discharge. Do not be discouraged by any little difficulty like this, keep right on and you will finally succeed in getting the ear clean. After that it is plain sailing. Thenceforth the daily treatment need not consume more than ten to twenty minutes. It is better to treat the case every day, but I have had good success with patients who could not come oftener than once a week. Do not give the patient medicine to use at home and expect to cure him; and never tell him what you are using. In children who dread the procedure, I do not attempt much the first time or two, but strive to win their confidence, which is not ordinarily difficult, as the treatment is not at all painful and is always followed by a certain sense of relief, so that children who were in mortal terror of me at first will, after a few treatments, come to me of their own accord. Even babies of one or two years who would not suffer me to touch them at first, after experiencing the grateful relief afforded, will place the head on the chair in the proper position and gladly submit to the treatment.

When the diseased ear has once been thoroughly cleansed I consider my work as half done. Thenceforth improvement is usually very rapid, even old inveterate cases yielding in few weeks. Relapses occur, but are easily managed, and I have seldom had a second relapse. Of course, mastoid disease, necrosis, polyps, etc., must receive appropriate treatment; but I have no hesitation in saying that all simple, uncomplicated cases (which include the vast majority of all cases under one year's duration) may be cured by this treatment if it is properly and thoroughly carried out. Care must be taken to have the medicaments warm and not too hot100 F. is about right-and to always stop up the ear with a bit of aseptic cotton before permitting the patient to leave the office. Be careful to use a piece of cotton of just the right size to securely close up the meatus; if too large it will work out,allowing the solution to escape and leaving the ear unprotected; if too small it will slip back into the canal and so fail of its effect. Never syringe the ears in otorrhea; it is risky and useless. I usually drop a little warm solution of sodium borate-5 per cent-in the ear to prevent a slight stinging which sometimes ensues when active steps are taken. I also dry out the canal with cotton on an applicator, but this should be carefully done with speculum, and the canal well lighted. These points are non-essentials,merely refinements which render the treatment a trifle more pleasant, perhaps, that is about all. The general health will probably require overhauling, indications being met as they arise. It is a good idea to regulate and antisepticise the bowels as a routine measure, using salines and intestinal antiseptics-e. g., the sulphocarbolates are needed. In the South especially, malarial and other miasmatic affections will often need looking after; also any other existing disease may require attention, but it is presumed that the practician will know how to handle these. We all ought to try to help each other; not one of us has much to learn; and in these brief talks it is my principal aim to set an example for the rest, hoping my little crumbs may some day come back to me in the shape of seasonable aid from some brother who has a few pointers himself and, like me, is willing to "whack up."-Kansas City Med. Record.

ST. LOUIS, DECEMBER 10, 1906.