486 also find the hair bulbs from which the cilia have fallen sending forth contorted and misdirected cilia. It is this chain of evil results which makes it a very important ailment, and should stimulate every physician who meets these cases to give them good attention, and in all possible instances to bring about a cure. Causes: Refractive errors, scrofula, tuberculosis, measles, anemia, etc. An obstruction of the lachrymal canal at any point, or any other condtion, whereby the tears are diverted from their natural course and are caused to flow over the eyelids. Locally smoke, dust, heat and other irritants. Fuchs says the condition sometimes runs in families. Treatment: Attend to any constitutional trouble and get the patient in an atmosphere free from dust and smoke. The scabs, if any exist, should be removed by a wash of some warm alkaline solution or by means of some antiseptic ointment. In case a wash is used the lids should be kept in contact with it for from twenty to thirty minutes. If the ointment be preferred it should be applied well over the edge of the closed lid at night and allowed to remain. On washing away the ointment in the morning the scabs will be removed without much trouble. The crusts removed, the underlying surface should be examined. In case the lid is not affected we are dealing with a conjunctival trouble and not a blepharitis. In cases where we find slight envolvement of the lids a mild mercurial ointment applied twice daily will usually produce a cure. Its use should be persisted in some time, however, after all signs of trouble are gone, as the disease is very liable to return. In cases where we find marked evidence of disease, the loose or distorted cilia should be removed, the others clipped close to the margin of the lid, small abscesses opened and the lid border painted with a strong solution of nitrate of silver or touched well with a mitigated stick. Of course care is to be used in making these applications. This may have to be repeated a great many times but it should be persisted in. patient in the mean time may use cleansing lotions, washes of boric acid and mercurial ointments himself. It is sometimes of benefit to use in the cases of the squamous variety an application of pix liquida and spirits vini applied by means of a brush along the edges of the closed lids. In particularly obstinate cases it is well to occasionally syringe out the lachrymal canal whether a stricture exists or not. In case a refractive error exists correct it. Unquestionably a far greater number of these cases are due to this trouble than was formerly supposed. Instances are not wanting to prove that a great many patients have suffered for years from this affection, tried almost all forms of treatment when, by having a small degree of astigmatism corrected, relief was almost immediately obtained. Some cases are very obstinate and very prone to recur. If such be the case it is well to alternate with the different ointments of mercury as one may work better than another in certain instances. Statistics show that up to 1839 one million leeches were supplied to the Parisian hospitals annually, which number twelve years later had decreased to 50,000 annually. Today we hardly hear of these creatures in medical practice, save among certain specialists and the French practitioners of Lower Canada and Louisiana.-Medical Age. 487 SURGICAL NOTES. BY EMORY LANPHEAR, M. D., PH. D., ST. LOUIS, MO. Syphilitic Pleuritis.-It should not be forgotten that syphilis may be e cause of pleuritis. There are three varieties of this kind of pleurisy, differentiated according to the mode of invasion, viz.: (1) Primary syphilitic pleuritis-the inflammatory process beginning primarily in the pleura; (2) Pleuritis from extension of a syphilitic periostitis costalis to the pleura (peripleuritis syphilitica); and (3) Pleuritis caused by the secondary involvement of the pleura in pulmonary syphilis (pleuro-pneumonia syphilitica). When in the course of a chronic pleurisy the usual remedies fail, antisyphilitic treatment should be tried. As the disease is a tertiary manifestation the iodides rather than mercurials are indicated. Quite often it will be found that the cough, friction murmur and severe pains will disappear quickly from 30 grain doses of sodium iodide. Treatment of Warts. Simple cutting off or severe cauterization of warts never cures or prevents their return, but the trouble may be readily relieved by internal medication in most instances. Good results have been obtained from taking ten drops of the tincture of iodine thrice daily. But as a rule we get the best effects from the arsenical treatment, beginning in adults with two drops of Fowler's solution thrice daily, in children with half a drop thrice daily, and slightly increasing the dose every week. The warts crumble to pieces and disappear, especially when washing and drying the hands, so that the skin looks normal after two or three weeks. Relapses have never been observed. A Good Injection for Gonorrhea.-The best injection recently advised for gonorrhea is a one per cent solution of creosote in borated decoction of witch-hazel. The following formula may be used: Decoction hamamelis.. Acidi borici.....q. s. ut ft. solut. sat. . 100 I Misce. Sig:-Inject four times daily. This solution will destroy the gonococcus in a few hours. Subcutaneous Treatment of Abscesses.-Abscesses frequently form at a point where the scar following free incision is very objectionable. With chronic or "cold" abscesses the method of aspirating and injecting an antiseptic solution has been practiced for long. Recently Dr. Riechaud, of Bordeaux, has adopted this procedure with success in acute abscess, Instead of the time-honored free incision of the most dependent part, the abscess is aspirated, after which a solution of carbolic acid, I to 20, or of 10 per cent iodoform emulsion is injected. This method has been practiced for several months with marked success. The advantages claimed are, that it is less painful, leads to a more rapid healing, and leaves no traces of scar. 488 A New Method of Treating Varicose Veins.-When the patient will not permit operative measures it is well to try the treatment advised by Landerer, of Leipsic: A special truss is applied like a garter, and by its permanent pressure on the saphena vein effects a cure. Pressure was obtained by an india rubber pad situated on the inner surface of the truss and filled with water. The pressure was kept up constantly until the wall of the dilated vein was ulcerated through. But if consent can be obtained for operative procedures the treatment known as Schede's is being tried with much favor. At a point just above the worst part of the variocosities the leg is encircled by an incision extending down to, but not into, the muscular tissue. Large veins are ligated and the wound sewed up. When healing occurs all the blood is forced to return through the deep veins, the superficial veins being obliterated. Dr. Meisenbach, of St. Louis, is very enthusiastic over the Schede method. Obesity in Its Relation to Menstruation and Conception. Most obese women suffer from sterility, amenorrhea, scanty, and painful menstruation, and atrophy of the uterus. Obesity of long standing is almost invariably accompanied by anemic condition of the blood. This anemic condition of the blood is probably the cause of the amenorrhea and scanty menstruation. There are two classes of obese women. The first class includes those who have borne and nursed several children in quick succession. The second includes young women who have become obese from whatever cause. In the first class the climateric is premature, and the prognosis for future childbearing is very bad. In the second, the prognosis is good if certain directions, given with a view to improve the general health, are strictly followed. The sterility may be due to undeveloped or atrophied generative organs, to displacements resulting sometimes from the large deposits of fat, or a catarrhal condition of the endometrium. The generative organs of both sexes become atrophied as obesity progresses. The return of the blood from the pelvis is so restricted that bleeding results, causing abortion whenever conception occurs, or, failing that, impaired vitality of the child if carried to term. The treatment consists of a rigid diet, exercise, gymnastics, massage, and electricity.-Dr. E. S. McKee, of Cincinnati, Ohio, in the Amer. Jour. of Obstetrics. Women are in demand in Chicago. The seventeenth ward, with a population of thirty thousand, has 3,200 more males than females. By a recent decision of the Supreme Court of Michigan, in the case of Goodman vs. Shipley, a married woman, though living with her husband, is personally liable for medical services and medicines furnished to her, or to her daughter by a previous marriage, when the service was rendered at her request and her promise of payment given. Although Pepsin in its various forms will, beyond all question, digest proteids, and is therefore to be relied upon in its particular sphere, PEPSIN IS OF NO VALUE IN THE DIGESTION OF STARCHY FOODS. Taka - Diastase The Diastatic Ferment Par-Excellence AMYLACEOUS DYSPEPSIA (Amylolytic Power, 1 to 1500) Is capable, under conditions specified by Junck's malt test, of converting fully 1500 times its weight of dry starch into sugar, in three hours. Or, under the same conditions, Taka-Diastase will in ten minutes (and this rapid test should invariably be employed) convert 100 times its weight of dry starch into sugar. SUPERIOR TO MALT EXTRACT 1. TAKA-DIASTASE will convert at least 100 times its weight of dry starch. The best malt extract will not convert more than five times its weight under same conditions. 2. TAKA-DIASTASE is absolutely permanent. All malt extracts deteri orate with age. 3. TAKA-DIASTASE is in powdered form, dose from 1 to 5 grains. Malt extracts contain a preponderance of foreign inert matters, necessitating large doses. 4. TAKA-DIASTASE is free from sugar. Malt extracts are heavily loaded with sugar and apt to exaggerate already present pathological conditions. 5. TAKA-DIASTASE is perfectly soluble, and is compatible with other medicaments in neutral or slightly alkaline media. Malt extracts, owing to their viscosity, are difficult to handle and to incorporate with other ingredients in prescriptions. 6. TAKA-DIASTASE is economical, owing to its small dosage. Necessarily large dosage renders malt extracts expensive in comparison. Correspondence upon this subject respectfully solicited. Parke, Davis & Co. DETROIT, NEW YORK, KANSAS CITY, U.S.A. LONDON, ENG. WALKERVILLE, ONT. THE DITTRICH OZONE PREPARATIONS are Genuine. Volume per cent of Ozone established by analysis of high chemical authority and warranted. Safe, and easy of administration and application to both children and adults. AQUZON. ozonized, distilled, and sterilized water, containing 3 vols. per cent of Ozone KODOZONOL ozonized cod-liver oil, 6 vols. per. cent of Ozone. THERAPOL. Ozonized vegetable oil, 8 vols. per cent of Ozone. KREOZONAL ozonized oil of tar, 10 vols. per cent of Ozone. The Ozone preparations and machines are referred to in the following publications: "The Internal Administration of Ozone in the treatment of Phthisis," by Dr. H.S. Norris, New York. "Ozone in Diphtheria," by Dr. Irving S. Haynes, New York. "Ozone in Atrophic Catarrh." by Dr. Clarence C. Rice, New York. "Ozone and its Uses in Medicine," by Dr. W. J. Morton, New York. "The Therapeutic Value of Inhalations of Ozone," by Dr. August Caille, New York. Clinical reports upon application. THE OZONE COMPANY, Suite 1115, Masonic Temple, CHICAGO, ILL. Beaumont Hospital Medical College Cor. Jefferson Ave. and Pine St. FOUR BLOCKS FROM THE ST. LOUIS, MO. NEW UNION STATION. The Regular Winter Session begins Tuesday, September 17th, 1895, and continues six months. The course is a graded one and covers a period of three years, in conformity with the requirements of the State Boards of Health. Didactic teaching is not entirely dispensed with, but prominence is given to Laboratory Work, Dissections and Clinical Instruction. The Laboratory teaching and facilities in Chemistry, Physiology, Histology, Pathological Anatomy and Bacteriology are unsurpassed, and the CLINICAL facilities of this College are unequaled. The College Dispensary, the Missouri Pacific Railroad Hospital, the Alexian Brothers' Hospital, St. Mary's Infirmary, the City Hospital, the Female Hospital, St. Louis Insane Asylum and Poor House furnish an abundance of clinical material. Members of the Faculty are connected with other hospitals, where frequent opportunity is offered for clinical instruction. For the Annual Catalogue and further particulars address Dr. W. B. OUTTEN, Dean. or Dr. J. T. LAREW, Secretary. |