ensemas had to be resorted to to procure an evacuation from the bowels. Since that time I have
treated several cases equally as bad, with same happy result, using same diet and
medicines, for of all agents for this disease, I consider the Rockbridge alum and iron water
THE FIRST. It is equally efficacious in chronic diarrhcea, as my records attest."
Dr. Todd, March 21, 1900, writes : I have for 16 years used these grand waters con-
stantly in my practice with increased and increasing satisfaction, I inclose you article written 3
years ago on opium. "In chronic diarrhoea and dysentery, the milk diet, Rockbridge Alum
Water, and small doses of opium given cautiously — very cautiously lest your patient acquire the
opium habit — has proved so invariably successful with me, that I have come to treat these
CASES with a CONFIDENCE BORN OF SUCCESS. "
Dr. Hunter McGuire, Virginia's great surgeon, says: As an astringent and tonic it is
one of the mosc valuable I have ever used.
Dr. S. Gaillard Thomas, Professor College of Physicians and Surgeons, N. C.:' Most effi-
cient astringent and tonic waters I have ever employed.
Write JAMES A. FRAZIER, Mgr. Receiver, Rockbridge Alum. Springs, for Pamphlet.
Nature's Needs.
A brief consideration of what may be
termed the physiology of disease will throw
much light on the subject of the needs of
nature in the period following the sub-
sidence of the symptoms.
Symptoms may be said to be intensified
physiological functions accentuated to such
extent as to constitute abnormalities. This
is true of fever, pain and the whole host of
symptoms ascribable to special organs and
tissues. Emaciation and nervous exhaus-
tion ensue because the processes of disease,
requiring as they do fuel for increased
oxidation, deplete the patient of nervous
force and tissue structure. Nature's method
of repairing waste — by food — is prevented,
because the digestive organs share in the
general enfeeblement consequent upon dis-
ease. The patient has neither the inclina-
tion to eat or the physical powers necessary
to digest and assimilate food.
It is in just this class of cases that the
restorative effects of Gray's Glycerine
Tonic Comp. are most pronounced. Be-
cause of its alterative, tonic action upon
the gastric mucous membrane, it takes hold
of Ae dormant, torpid nutritive functions
and stimulates them to normal physiologic
activity. Appetite is engendered, atonicity
of the digestive functions is abolished, and
the patient is able to eat, and assimilate a
sufficient amount of food to replace waste
of tissue, impoverishment of blood and de-
pletion of nervous force. It thus duplicatse
and reinforces Nature's recuperative
powers ; hence the value of Gray's Gly-
cerine Tonic Comp. iu convalesence from a
la grippe, typhoid fever, malaria, pneu-
monia, etc. It can always be relied upon
to eflfect the desired results in all forms of
anemia
The Dosage of Orphol.
Communications upon the subject receiv-
ed from physicians lead us to believe, that
Orphol is often exhibited in quantities too
small to produce the best results. — Bearing
in mind the innocuous nature of the drug,
the rapidity of peristalsis in most cases in
which it is indicated, and the amount of
material to be disinfected, the remedy
should be given in relatively large doses
(lo to 15 grains for adults) and frequently
repeated. In all instances in which the
faecal discharges are unduly offensive it
should be vigorously pushed until the
stools are completely deodorized.
Schering & Glatz.
58Maiden Lane, New York.
THE CHARLOTTE MEDICAL JOURNAL.
The Purity of Chloroform.
We have in these pages periodically
drawn attention to the great desirability —
nay, necessity — of a purer chloroform than
that which we are accustomed to in this
country, and if we do so again it is only
because it is a subject of no ordinary im-
portance, and one which is a matter of life
and death, and should, therefore, not be
ignored or reglected. If it was the fact
that chemistry could not bring forth a pro-
duct purer and more reliable than the so-
ciUed pure chloroform, made of alcohol and
chloride of lime, or else of aceton, we could
dismiss the question by simply regretting
that so important an ansesthetic could not
be had of greater purity and more free from
fatal result in medical practice ; but when
it is merely a question of economy, of either
using a product supplying so many fatal
issues as we are accustomed to meet with
in hospital or private practice, it is surpris-
ing that no more notice is being taken of
the purer form of chloroform known, in
science, as Schering's Chloral-Chloroform.
We grant that it is a far more expensive
product than the purest chloroform we are
accustomed to in this country, where also
the Excrse makes itself 'felt to the disad-
vantage of the cost ; but notwithstanding
this, it seems wrong that, more especially
in critical operations, the cost of that little
quantity required can possibly be made an
excuse for not administering the purest of
the pure chloroform.
Let us again consider what claim Chloral-
Chloroform has on that high degree of
purity which we recommend as preferable
and indicated in so many cases where the
hitherto reputed pure chloroform fails. To
understand this, we must remember that
the chloral-hydrate of the British Pharma-
copoeia dissolves quite bright and clear in
water, and has, moreover, the characteristic
that when boiled in sulphuric acid it re-
mains undecomposed, while all other chlor-
inated products would thereby be decom-
posed. We have, therefore, here an initial
product of unique chemical purity and
characteristics, which, when treated with
lime water, must also supply an absolutely
pure and far preferable chloroform.
It is totally different in the case of the
chloroform with which we are accustomed
to in this country. In the manufacture of
chloroform from chloride of lime and
alcohol it is impossible to avoid the chlorin-
ation of the impurities present in the raw
materials, and these foreign chlorine-com-
binations are extremely difficult to remove.
The shaking up of such impure chlorofrom
with sulphuric acid is not sufficient to re-
move these foreign chlorinated products ;
they are only destroyed by heating with
sulphuric acid, but this, however, equally
affects the chloroform. Chloroform thus
treated reacts acid even after the most care-
ful washing, and has the peculiar odour of
the dangerous phosgen gas.
If it is intended to purify chloroform by
distillation (fractionally) at a certain degree
of temperaiure, it is necessary to make use
of a very accurately working fractionizing
apparatus, as otherwise it is quite impos-
sible to remove the products of impurity
from the chloroform, and comparatively
large quantities of liquids, possessing
lower or higher boiling points, are obtain-
ed, for which a suitable employment in
chemistry is not always easily found.
Chloral-Chloroform evaporates rapidly,
though constantly, and without trace of
odour or oily residue. Covered with sul-
phuric acid, it will remain for hours with-
out showing, at the zone of contact, the
least discoloration, ana shaken up with
water, the latter will not react acid, nor
will it opalize with nitrate of silver solu-
tion.
The great advantage of Chloral-Chloro-
form is that it may be kept for several years,
more especially if mixed with i to i per
cent, pure alcohol, and lodged in a glass.
Even sunlight will not alter it.
The only drawback of Chloral-Chloro-
form is, that the cost of the dearer inter-
mediate product, and Her Majesty's Excise,
make it rather expensive (the duty into
this country alone being 3s. 3d. per lb.)
Yet no practical medical man, and more
especially the operating surgeon, will fail
to appreciate the advantages of a reliably
pure chloroform over the ordinary product,
in the use of which we have so many fatal
records.
It is notorious that, in consequence of
the inferior quality of the more generally
used chloroforms, many medical practi-
tioners are falling back upon the long-dis-
carded anaesthesia by ether. The use of
Chloral-Chloroform has, therefore, a well-
substantiated claim for not"ce ; and, further-
more, one feels inclined to think that if
more time and energy had been utilized for
advocating the use of purer chloroform,
rather than to invent new apparatus for
administering the impurer product, less
would be heard of the dangers of chloro-
form as a general ansesthetic — The London
Therapist.
A girl went into the shop of a Brisbane
chemist and wanted a toothbrush, and
"would he please give her a hard (Mie as
there were six in the family?" — Che??iist
and Druggist.
THE CHARLOTTE MEDICAL JOURNAL. 527
LISTERINE
The word Listerine assures to the Medical Profession a non-poisonous
antiseptic of well proven efficacy; uniform and definite in preparation, and
having a wide field of usefulness.
On account of its absolute safety, Listerine is well adapted to internal
use and to the treatment of Catarrhal Conditions of the mucous surfaces.
LITERATURE OESCRIBINQ THE BEST METHODS FOR USING
Listerine in tlie Treatment of Diseases of the Respiratory System
WILL BE MAILED TO YOUR 'ADDRESS, UPON APPLICATION.
We beg to announce that, in addition to the 14 oz. bottle, in which
Listerine is ofifered to the trade, the pharmacist can now supply a smaller
package, containing 3 fluid ounces, which is put up for the convenience of
practitioners who prefer, upon certain occasions, to prescribe articles of es-
tablished merit in the Original Package, under the seal and guarantee of the
manufacturer.
FOR DISEASES OF THE URIC ACID DIATHESIS:
Lambert's Lithiated Hydrangea
RENAL ALTERATIVE==ANTILITHIC.
The ascertained value of Hydrangea in Calculous Complaints and Ab-
normal Conditions of the Kidneys, through the earlier reports of Drs. Atlee,
Horsley, Monkur, Butler and others, and the well-known utility of Lithia in
diseases of the uric acid diathesis, at once justified the therapeutic claims of
LAMBERT'S LITHIATED HYDRANGEA when first announced to the
medical profession, whilst subsequent use and close clinical observation has
caused it to be regarded by physicians generally as a very valuable Kidney
Alterative and Antilithic agent in the treatment of
Urinary Calculus, Gout, Riieuraatisra, Cystitis, Diabetes, Hematuria, Bright's
Disease, Albuminuria, and Vesical Irritations Generally.
Realizing that in many of the diseases in which LAMBERT'S LITHI-
ATED HYDRANGEA has been found to possess great therapeutic value,
it is of the highest importance that suitable diet be employed, we have had
prepared for the convenience of physicians,
DIETETIC NOTES.
suggesting the articles of food to be allowed or prohibited in several of these
diseases. A book of these Dietetic Notes, each note perforated and conve-
nient for the physician to detach and distribute to patients, supplied upon
request, together with literature fully descriptive of LAMBERT'S LITHI-
ATED HYDRANGEA.
LAMBERT PHARMACAL CO., ST. LOUIS.
528
THE CHARLOTTE MEDICAL JOURNAL.
The Physiology of Osteopathy.
Some time ago Major G. W. H. Stouch
slipped and fell on the icy pavement in
front of St. Mary's church in Denver. Not
having much faith in treatment at the hands
of regular practitioners, he called in an
osteopath. The final result not being too
good, he sued the church and the city for
damages. The defence was that the per-
menent injuries were due to treatment
rather than the original lesion and the jury
brought in a verdict for $i damages.
The Denver Evening Post of February
23 said :
Speaking on this point, VV. L. Harlan,
doctor of osteopathy, said to-day :
"Some errors have crept into the case of
Major Stouch. He had only one broken
bone in the arm, the humerus, and certain
of his ribs were dislocated. Then it was
understood that the osteopath sought a cure
by simply manipulating the patient's fin-
gers, whereas the opposite fact was true.
"The parts were adjusted by manipula-
tion with the fingers. The circulation is
what we are after, as perfect circulation
through the parts affected will work the
cure desired. These parts will take from
the blood all the building up of the parts
that is necessary, and this is how in the
case of a fractured bone the bone is knit
together. We pursue the same course in
the case of broken ribs ; we set them with-
out medicine. We look upon the human
system as a machine which, if properly ad-
justed, will keep in perfect working order.
In that way we eradicate disease from the
system.
"If the' brain has power to instruct the
blood to build up a bone, a tooth, a finger
nail, is it not reasonable to suppose that it
has power to build up any part of the body
that is affected with some malady.''
"The brain may be termed the drug store
of the body, and all the chemicals introduc-
ed into the system which are not natural to
it, such as arsenic, opium and so on, only
serve to clog and stupify the workings of
the body. If the osteopath understands
what to do, and how to do it, he can adjust
any part of the body so as to cause a broken
bone to knit, or any part of the body which
is affected by disease to build itself up.
Therefore drugs are not necessary. We
assist nature to cure without them."
This is about on a par with their path-
ology, which teaches (according to some of
their Denver representatives) that people
do not have consumption, but they suffer
simply from a dislocated rib pressing on
the lungs. Of course they always locate
the dislocated rib, reduce the luxation, and
their tubercular patients never die. It is
also about on a par with a statement of one
of their local bright lights, perhaps the
above quoted D. O. may recognize it while
taking a course in anatomy in one of the
local regukr medical colleges (!!). The
said "bright light," in response to a ques-
tion by the instructor as to the course the of
ribs, replied, "Oh, well, they run 'slaunch-
wise." It is not known whether or not
his brain instructed his blood to direct his
muscles not to move his skeleton to ths
college any more, but his attendance ceased
thereafter. — The Colorado Medical Jour-
nal.
To Keep the Hands Soft and White.
In these days of asepsis the hands of the
physician, and especially of the surgeon,
suffer greatly from frequent scrubbings and
immersions in antiseptic solutions. A
preparation that will keep the hands soft
and white and that will not at the same
time be inelegant to use is always in de-
mand. The following formula will be
found to be one of the very best ever pro-
posed for the purpose.
Ijl 01 rosEe gtt XV
Glycerin 3i
Spts. myrciae 3iii
01. cajuput gtt. XX
M. Apply at night before retiring, first
washing the hands thoroughly in hot water.
In cold weather this can also be applied to
the hands before going out. — California
Medical yournal.
Vagaries of a Somnambulist.
George Ritterbrand, a young somnambu-
list, whose habit or sleepwalking- is said to
have been due to deep grief over the death
of his father, recently disappeared, and
four days after walked into a police station-
house declaring that he had lost all recol-
lection of his identity. During this period
he had kept an account of his wanderings,
which were confined to Manhattan and
Brooklyn, in a note-book. The writing
was entirely different from his ordinary
penmanship, and, though he was a graduate
of the college of the City of New York,
the spelling and construction were those of
an illiterate person. — Boston Medical and
SurSical yournal.
If you can help it, don't
man who is drunk, especially
to be an habitual drunkard,
certainly seems to favor the
sepsis, owing to diminished
the tissues, and shock occurs
Besides this, delirium tremens
to complicate matters.
operate on a
if he appears
Drunkenness
occurrence of
resistance of
very readily,
may come on
THE CHARLOTTE MEDICAL JOURNAL.
529
STANDARD PREPARATIONS
Made for and Highly Endorsed by Medical Men Everywhere
Antipruritic,
Unguentum Resinol
Elixir Cascanata
Resinol Soap
Antiphlogistic,
Nut'tient and Plerottc
Alterative, Laxative,
Antacid and Secernent.
Prophylactic,
Germicidal, Etc.
"Resinol is the best remedy I have ever used in Pruritus Ani.
GEO. H. SMITH, M. D.. Brooklyn, N. Y."
I ha e, requested our druggists to carry Ungubntum Resinol and Resinol Soap. They are all right.—
A. E. EARLY, M. D., Kingman, Arizona.
Rbbinaol has given me entire satisfaction. Its wide range of usefulness especially recommends it
LOUIS A. BOOKING, M. D., Louisville, Ky.
Am prescribing Unguentum Resinol wi<^»h great satisfaction.— J. S. BEAUDRY, M. D., Chicago, III.
Have used Resinol in many cases and am exceedingly pleased with its action.— G. E. WILDER, M. D.,
Sandusky, Ohio.
I cannot find anything that can take the place of Resinol.— A. AGEE, II. D., Holbrook. Ky.
I have found Resinol to be a remarkable cure for almost any type of Sore. — G. D. BOUDOUSQUIE, M.D.
Tuscaloosa, Ala.
I have prescribed Resinol in many cases and am very much pleased with it.— SAM'L G. gEWALL, M. D.,
1 K. 121st St., New Y'ork.
I have prescribed Unguentum Resinol with great success in Eczema, Pruritis Ani and Pruritis Vulva;. —
WM. LAMBERT, M. D., Kansas City. ^'-*,
I am more than pleased with Unguentum Resinol. — C. B. WALRAD, M. D., Johnstown N. Y.
All Leading Druggists carry these Goods.
RESINOL CHEfllCAL COflPANY,
^r^amples sent on request.
BALTIMORE, MD.
FHARMACEUTICA.I> PRODUCTS
ro N I C, R E 5TO R ATI VE
i^ACio
SOPIATOXE.
SOnATOSEi
FOR SAMPLES
AND LITERATURE
OF ABOVE PRODUCT*'
appl^ to
ELBERFBLD CO.
530
THE CHARLOTTE MEDICAK JOURNAL.
Celerina.
After the removal of
alcohol,
CELERINA
given in doses of from one-
half to one
ounce every four hours
is speedily
followed hy the most char-
acteristic symptoms
of improvement.
RIO CHEHICAL CO.,
5t. Louis, no., U. 5. A.
Mercurol iii the Treatment of Gonorrhea.
At a meeting of the Genito-Urinary Sec-
tion of tiie New York Academy of Medi-
cine, lield on the 3ist of March, Dr. Ferd.
C. Valentine reported a case of acute
gonorrhea treated by Mercurol irrigations.
The patient was an American, aged 32,
married, the secretary of a corporation ;
and was unusually anxious to get well with
as little loss of time as possible. He had
had several previous gonorrheas, resulting
in stricture. On January 21 last while
inebriated he had coitus extra domum
Three days afterwards he found a free
yellowish discharge, with the usual pain on
urination. He at once put himself under
treatment, and for ten days was irrigated
regularly with mercurol, for a part of the
time twice a day. Discharge was reduced
from a free yellow flow to a slight pinhead
drop by the first irrigation of mercurol, 5
per cent, and the urine became clear.
Microscopic examination of a specimen of
the discharge, which was taken on the first
day, showed numerous gonococci character-
istically grouped in pus cells. Two days
latter, after the fifth irrigation, the gono-
cocci were found to have disappeared. A
burning sensation was experienced after
the irrigations, but the strength of the
solutions being reduced, the pair gradually
became less, and ultimately ceased. While
he did not present the case as absolute
to 1
proof of the applicability of mercurol as a
gonococcicide, he thought the results ob-
tained were sufficiently satisfactory to war-
rant further tests. The preparation, he
added, was a new one prepared by Dr.
Karl Schwickerath of Detroit.
Dr. Ramon Guiteras said mercurol was
being used at the New York Post-Graduate
Hospital. The treatment was less drastic
than that described by the reader of the
paper, the custom at the instution referred
to being to commence with small dosages
and gradually increase their strength,
especially when new preparations were
being experimented with. In the case of
mercurol they had commenced with as
mild a solution as one-half per cent, and
finding favorable though rather slow re-
sults, they had gradually increased it, until
now a solution of 2 per cent, was given to
all patients who presented themselves at a
clinic devoted exclusively to this mode of
treatment, of which Dr. Otis K. Newell
has special charge. He (Dr. Guiteras)
was not sanguine about the discovery of a
germicide which would cure gonorrhea
the brief time their unprofessional brethren
with their remedies claimed to be able
do, but on the other hand he did not wish
to be regarded as a pessimist, and if mer-
curol proved to be as much of an improve-
ment on protargol and argonin as they had
done on permanganate and nitrate of silver,
it proved at all events that they were pro-
gressing along tlie correct lines.
Further reports of experiments in pro-
gress with mercurol are to be given at
future meetings.
Organization of Genito-Urinary Speci-
alists.
A new medical society has been formed
under the name of the New York Genito-
Urinary Society. The office-bearers are : —
President, Dr. Ramon Guiteras, professor
of genito-urinary diseases at the New York
Post-Graduate Hospital; first vice-president
Dr. Winfield Ayers ; second vice-president.
Dr. Otis K. Newell ; treasurer Dr. George
W. Blanchard ; secretary. Dr. A. D. Mabie ;
corresponding secretary and stenographer
Samuel Bennett, 161 Garfield Place Brook-
lyn. It is intended to confine the member-
ship to medical men engaged in active
clinical work in connection with one
branch or another of the specialty. Meet-
ings will be held once a month, when cases
will be reported, and at least one paper
read. Correspondence is invited with
specialists in other parts of the country
and abroad. The corresponding secretary
will furnish information as to terms of
membership, etc.
THE CHARLOTTE MEDICAL JOURNAL. 531
LOOK FOR THF GREEN LABEL.
"Green Drug
99
Fluid Extracts
THE HIGHEST TYPE OF FLUID MEDICINES.
A Novelty—In What?
In the recognition of the fact that certain drugs, containing volatile constituents
upon which their therapeutic value depends, lose their medicinal properties in the
process of drying, or through long or imperfect storage.
In all such cases
We use the green or fresh root, bark or plant, gathered especially for
us when in their prime.
Some kinds are prepared fresh, Others partially or wholly dried
But all are gathered especially for our Laboratory ; carefully handled and immedi-
ately prepared into Fluid Extracts. The menstruum employed is Alcohol selected for
streng-th and purity, whereby the non-medicinal elements are rejected and the liability
to deterioration avoided.
Fluid Extracts thus prepared are perfect representatives of the drugs from
which they are made.
THEY ARE CLEAN. THEY ARE EASILY DISPENSED.
THEY ARE SIGHTLY. THEY ARE THERAPEUTICALLY RELIABLE.
Old, shop- worn or worm-eaten drugs, however carefully manipulated, wi not
yield a satisfactory product when made with weak alcohol and water, or with wood
spirit as a menstruum. Is it any wonder that commercial Fluid Extracts, as a class,
are termed by a leading medical writer — the "Great American Fraud?"
Watch your fluid extracts.
Merrell's Fluid Extracts from fresh, choice drugs are powerful instruments for
good in the hands of the observant physician.
All wholesals druggists will supply them.
Please write "Merrell's" on your orders.
THE Wm. S. MERRELL CHEMICAL CO.
Manufacturing Chemists,
SOIvE? J3kt^2VJVXJP5" A. Cr UREMIC «,
Cineinnati. Sew York. New Orleans. San Franeiseo. London, England
ESTABLISHED 69 YEARS-
532
THE CHARLOTTE MEDICAL JOURNAL.
Causes, Diagnosis and Treatment of Cys-
titis.
In the Medical News of April 17th, 1900
appears a complete and comprehensive arti-
cle with above title by Dr. Ramon Guiteras,
a recognized authority on diseases of the
genito-urinary tract. We reprint herewith
portion of this paper on "Treatment of
Cystitis Due to Tuberculosis."
"In the treatment of tubercular cystitis,
the practitioner encounters a condition that
taxes all the resources at his command and
he errs, as a rule, on the side of too much,
rather than too little treatment. In other
words, it often happens that the more you
treat the patient locally for his cystitis, the
worse the condition becomes. It is, there-
fore, necessary to proceed cautiously in the
treatment of this form of bladder inflamma-
tion, and, above all, is it important to im-