time after the patient is up it is in a very sensitive state, and extreme care must be observed lest the inflammation be again aroused. So simple a thing as eating too much boiled rice has brought on a fatal relapse. A diet consisting exclusively of milk may be depended upon in this fever.

TYPHUS FEVER.

In this fever there is great and rapid destruction of tissue, and it is highly important that this loss should be met from the first by very nutritious food given regularly and persistently. If the prostration is great, give beef-tea and egg-nogg. If swallowing becomes impossible life may still be supported by nutriment enemata.

SCARLET FEVER.

While the general dietary already given will apply to this fever, yet, since here is usually some imflammation of the stomach attending it, the food must be especially bland and unirritating. Only a small quantity should be given at a time, and this will be better borne if it is cold. Iced milk, iced barley-water and the like will agree better than warm food. A milk diet fulfils all indications in this fever, and is especially useful in that its tendency is to act as a diuretic, and thus keep the kidneys acting freely.-[Med. Counselor, April, 1880.

FROM HOT SPRINGS.

LETTER FROM THE GREAT ARKANSAS HEALTH RESORT.

HOT SPRINGS, ARK., April, 1880. The European may seek his German Spa, or Baden-Baden, or better still, the sunny skies and salubrious softness of Southern France, happy in the thought that an almost exhausted vitality may possibly be restored; whereas the American, confident of a specific for so many of the ills that flesh is heir to, resorts to his native thermal waters (from a trinity of Greek words signifying to make hot)-the famous Hot Springs of Arkansas. Truly nowhere else on the American continent can so many grand restoratives to health

and strength be commanded at the self-same time and place.

It is no idle story of the dreamer or the enthusiast that ascribes to these waters the most miraculous of cures, for their medicinal virtues, world-renowned, have been attested by physicians and scientists of every clime.

Nestling coyly, quaintly, in the narrowest of valleys, or defiles, formed by a division of the Ozark mountain range, the village or town of Hot Springs offers a pre-eminently practical picturesqueness, in addition to its health-giving

attractions.

Tourists dwell enraptured upon the beauty of the scene, and weary seekers of health think their's a happy preroga tive indeed to be thus permitted in the midst of a charming luxuriant exuberance of nature to seek and renew their wasted vitality.

The houses seem bent upon a pilgrimage up the mountain-side, and, as if for a moment only, aweary of their climb, pause and pose in peculiar picturesqueness. The mountain stream comes plashing and purling down through the very heart of the town, and the different springs so varied in their properties the guide-books will tell you all about them spring out of the mountain-side here, there, almost everywhere. The larger bath-houses occupying positions over some of the most important springs. Fringing the mountain-tops are forest growths that seem peering into the blue beyond. Watching a wave of shadow and then a burst of brightness creeping over the mountain-sides, we have more than once recalled a pen-picture, painted by Dickens in one of his happiest moods: "There's a great blackness settled upon the face, as if the sun had died away from the heavens altogether, till when he comes around the corner o' the mountain, a glorious procession o' sunbeams and colors, takes its course across the whole length o' the sides, and all the hills give out a kind o' glow, and at last they seem on fire, and you can hardly look for the bright

ness."

And the nationalities represented are so varied and striking, ranging from the olive-brown Mexicano, with his shawl and sombrero, to the polished thoroughbred habitue of the American or European metropolis.

Here, indeed, the extremes of society meet, and the daily pictures presented are a truly cosmopolitan milange. But better than all the beauty nature lavishes, is the diviner alembic of health, here so surely to be found with proper, consistent wooing, and not for a season only but throughout the year, the worship of Hygeia goes continuously on; and this daughter of Esculapius vouchsafes to her devotees the boon, the blessing beatific of health. Freedom from many of the vapid sensationalisms of most modern watering places is one of the peculiar charms of Hot Springs, and constant indulgence in a frivolous round of gaiety is not a sine qua non of even the most ultra fashionable existence. Pensive valetudinarianism may don its hat and cloak for the quietest of strolls in suburban retreats, or, more ambitious still, seek the country's glorious beauty on the back of some mettlesome charger. One may enjoy one's self ad lib, nor pride nor gossip blab.

It is unnecessary to enumerate the scientific quality and character of the different springs. Scientists have done the tale over and over again, and in more than one quantitative analysis made us familiar with their chemical properties.

But we would that we could to-day paint a picture so impressive that all suffering humanity, seeing might believe, and rush to this modern Bethesda for healing.

Hot Springs is easily accessible from all points north and south, via the St. Louis, Iron Mountain and Southern Railroad. This road connecting with the Hot Springs Narrow Gauge, at Malvern, a point some twenty-five miles distant from Hot Springs. We found on the St. Louis and Iron Mountain Railway the most commodious and comfortable of day coaches, and truly luxurious palace cars, leaving nothing to be desired in the way of comfortable transportation for the suffering public.

And we would, at the very last, whisper once more to the sick, suffering or ennuied to go for a month or two to Hot Springs and try the virtue of its famous thermal waters.

BOHEMIENNE.

SCARLET FEVER.

BY F. L. DAVIS, M. D., EVANSVILLE, IND.

We have had a very severe epidemic of scarlet fever in Evansville, during the year 1879. The city schools had to be closed by order of the Board of Health, for a portion of the time of its prevalence, and no child a member of a family in which a case of the disease occurred, was permitted to attend the public schools for fifteen days after the recovery or death of the patient.

Homœopathic treatment here as elsewhere proved its superiority in the treatment and management of persons attacked with this disease, and this resulted in making converts even among its most bitter opponents.

The prompt remedies used here by the physicians of our school were Bell. and Merc. proto-iodide during the first and second stages of the disease, and often during its whole

course.

These controlled the disease and at the same time prevented swelling of the glands, as well as the other symptoms indicating throat disease.

Whenever there were any symptoms of disturbance in the kidneys indicated by albumen or dropsical effusion, with or without rheumatic pains, Apis and Arsenicum sufficed to remove the symptoms quickly.

Lachesis also was used with very happy results when the skin presented a remarkably rough and raspy appearance. When diphtheritic complications occurred, they were soon overcome by a few drops of Merc. cyan.

Our opponents were surprised at the remarkable success and small death-rate that attended the Homœopathic treatment during the fearful epidemic through which we have passed.-Am. Homeopth, March, 1880.

CLINICAL CASES.

Read by T. J. Patchen, M. D., Leavenworth, Kansas, at Lawrence, May 6th, 1880, at the meeting of the Kansas State Homoopathic Medical Society.

MR. PRESIDENT:-Not having been a member of your Society I could not belong to any of its bureaux, yet I feel it to be the duty of every physician, whether he is appointed on one of the bureaux or not, to contribute something for the advancement of our cause whenever and wherever it is possible for him to do so. Consequently I have sketched a case or two of clinics that perhaps may be of interest to the members of this Society.

Case 1. Mrs. F., aged about 35, was about to be confined with her fifth child. She being robust and healthy, no one would be looking for anything to guard against. But when I was called for an engagement, she informed me that every other child she had had come alternate, head and foot, and the one she was about to have would be the feet, and wished me to be ready for any emergency, for it was with difficulty that the footlings were saved, therefore she wished me to take every precaution to save the child's life if it should come feet first. Well, the labor finally came on, and to her joy it was a head presentation.

Her labor was natural, of about three hours duration, and she was delivered of a fine plump baby. During her labor I discovered there was no membrane in front of the child's head, neither was there any fluid or moisture, except the mucus from the vaginal walls, but as labor progressed all right, I thought the sack had broken and the waters had passed off before I came.

After removing the child I proceeded to remove the after-birth, which came in five or ten minutes without a teaspoonful of the amniotic fluid or blood. All was dry. Then I began to make some inquiries of the mother and nurse to find if there had been any breaking of the sack allowing the escape of the waters. They said there had been none whatever. Well, that was a poser, and how to account for it was impossible.

The womb contracted rapidly and heathfully for all I could see, with a discharge of a heathful lochia.