the writer and others became affected with tape-worm, and he had good opportunities for observation, and was confirmed in the belief that the location of the head had much to do with the resistance of all obstinate cases, and that when the treatment was carefully directed by this consideration it was almost always successful, and that one parasiticide was about as good as another when well managed. Further experience at that time seemed to show that pumpkin seed and oleoresin of male fern were the best agents to use, and that there was but little choice between them. A plan of treatment was adopted which has been since given to so many physicians and patients with such general success that it may be worth while to publish it.

After a light dinner, near the middle of the day, the patient should take no food, but may drink freely of water. At bed-time a saline aperient should be taken in effective dose, and there is nothing better than one or two Seidlitz powders. This aperient should be a saline, because these cause a copious effusion of serous liquid from the whole mucous membrane of the canal, and this effusion taking place from the surface where the head of the worm lies protected by the dense mucus, detaches the mucus and washes it away, leaving the head bare for contact with the parasiticide, when otherwise it would pass over it without direct contact, and therefore, without effect.

Whether this aperient at bed-time operates or not, it should be repeated on the following morning, the patient still abstaining from food. After the second saline has operated freely, or say at about ten o'clock the medicine should be given.

Four ounces of pumpkin seeds are well beaten in a morter, half an ounce at a time, a few drops of water being added from time to time until they are made into a paste. The shells need not be rejected, as they are rather useful than hurtful. Water is then gradually added to the paste with trituration, until a tolerably uniform emulsion is made.

measuring about a pint. This may be flavored if desired and iced, and it is to be given in three doses at intervals of about two hours, beginning at about ten o'clock. During this time the patient should lie quietly in bed and avoid all causes of nausea or vomiting, and should correct these if they occur by a little ice taken into the mouth and stomach. The stomach in need of food will often digest the first dose, but a tendency to nausea will prevent the digestion of the others, and the third is often difficult to take without vomiting. By careful management and quiet the inverted peristaltic action may be generally avoided. But when it occurs early and is persistent the treatment is likely to fail, because the inverted action of the bowels prevents the emulsion from getting far enough down to come in contact with the head of the worm. Commonly, however, the peristaltic action will not be reversed, and about the time of the third dose or a little later there will be an alvine evacuation. But within an hour after the last dose, a half fluid ounce of castor oil should be given in a little ale or porter. The evacuations should be received in a vessel partly filled with water so that the worm can be easily examined from end to end of each portion without breaking, and when the part is reached where the links grow smaller, great care should be taken to find the head, for unless this be found the success of the treatment is by no means assured. And if the head be not found, detached links may be expected in the stools within three or four months, and the treatment will need to be repeated with larger perliminary fasting and greater care.

In a second trial, or when persistent vomiting has interfered with the first to invalidate it, the oleoresin of male fern may be substituted for the pumpkin seed. This is more easily taken than the large doses of emulsion, and is not so easily digested by the stomach, nor so liable to produce nausea, and from being an oleoresin, and therefore less soluble in the liquids it is with, it is more likely to reach the head of the worm in a condition sufficiently concentrated to

be a poison to the head, but it is probably a less active poison to the head than the pumpkin seed, and therefore less

sure.

The oleoresin may be given in emulsion made with sugar and gum arabic, or with glycogen, but is perhaps better given in capsules, containing about ten grains each. Two of these should be taken every quarter of an hour until twelve capsules have been taken, unless nausea occurs of sufficient severity to endanger their rejection. Under such circumstances eight or ten capsules may be used as being all that can be safely given.

The oleoresin has often, especially in cold weather and when of good quality, a thick granular sediment. This should be carefully stirred in before weighing, as it is a very important part of the drug.

Of course the same careful preparation of the patient is needed with this as with the pumpkin seed, and neither of them should be expected to succeed in obstinate cases without the careful preliminary treatment.-Squibb's Ephemeres.

COMPARISON OF EVIDENCE.

BY J. P. G., CINCINNATI, O.

It is quite comforting to find approving testimony in the writings of your opponents, even though there be conflicting statements bearing on the same point in issue, thus illustrating how different what is called by the same name is in different parts of creation.

At one time it was no less fruitful to look for a true appreciation of the work done by Hahnemann and those classed as his followers in the writings of allopathy than searching for a possessor of an understanding of the differ

ential and integral calculi in the civilized world before the time of Newton and Leibnitz. Although there existed a faint ideality of such truth, they were not known to be expressed. It would have taken a second Dionysius to have discovered persons appreciating the differential calculus before the seventeenth century, or a member of the allopathic school who publicly wrote anything strongly favorable to the labors of the new school before the last quarter of the nineteenth century. As the world grew in intelligence pertaining to mathematics and therapeutics, the work of faithful laborers was spoken of commendably.

"Tincture of aconite in doses of two to five minims every three hours, is sometimes very efficacious. This remedy, for which we are in a great measure indebted to homœopathy, has been highly recommended by Dr. Ringer, who advises that half a drop or a drop of the tincture, in a teaspoonful of water, should be given every ten minutes or quarter of an hour for two hours, and afterwards, hourly." Diseases of the Pharynx, Larynx and Trachea. By Morell Mackenzie, M. D., London: 1880. Wm. Wood & Co. N. Y.

"The monopoly by homœopathic practitioners of the use of aconite has aroused a prejudice against it, which has discouraged its employment. Aconite is, however, an antagonist to the fever process; it is not applicable in accordance with the so-called law of similars. It is used by these quacks because it is a powerful agent which will produce manifest effects in small doses, that may be easily disguised." Materia Medica and Therapeutics. Roberts Bartholow: Cincinnati, Ohio. June, 1876.

There may be some justifiable grounds for Dr. Bartholow writing as he did. The article on aconite was probably written prior to 1875, after practicing many years in Cincinnati, and is an expression of the experience and in conformity with the light the doctor had of things in general. The same expressions would not now emanate from him unless influenced by the organic cerebral structure due to earlier

conceptions. An experience in a representative centre of homœopathy must have a favorable influence upon him, and were he to write at this period, with his present environment, his statements might be as favorable to homœopathy as those made by Dr. Mackenzie, who lives in London, and must know homœopathy as it is there, i e., the progressive, liberal entity which includes men with cultivated intelligence. One's knowledge of anything must conform with presentations of it. If what is practiced as homœopathy causes an observing individual to designate its adherents quacks, there must be defects.

ADVICE TO YOUNG DOCTORS.

BY DR. CATHELL.

Avoid all such tricks as assuring a timid patient you will not lance his boil, merely wish to examine it, und then suddenly do what you assured him you would not do. Veracity should ever be your golden shield.

The white and the black, the rich and the poor, the courtezan, the outlaw, the swaggering rowdy, and the reprobate, will all be represented in your practice. Attend anybody if you must, but seek to avoid disreptuable places and persons; they are more likely to be a curse than a blessing. Remember always that such people respect no doctor who does not respect himself.

Endeavor to establish and maintain a complete professional influence over all patients you attend, for without their faith and respect you will have to contend, not only against the physical, but also the mental.

Be exceedingly cautious about taking patients to be visited clandestinely, or having married women or young females