Henry A Giroux.

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Moos relates two cases of mechani-

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cal injury to hearing. In the first the
patient had been thirty-six hours
under water, in a' diving bell. Emerg-
ing suddenly into the open air, he
was seized with dizziness, nausea and
vomiting ; he was deaf and suffered
from tinnitus. Both membranes were
sunken but no other cause could be
detected by examination. He was
put on a spare diet and given laxa-
tives and bromide of potash. After a
time an atrophic spot was found in
the left membrane. Bone conduc-
tion to the watch was absent and he
could not hear the tuning-fork in the
air. It was diagnosed Haemorrhage
in the Labyrinth. The left ear re-
mained totally deaf but the right im-.
proved, though he could not tolerate
the noise of the shop nor the heat of
the sun. The results of the treat-
ment do not to us seem to have been
happy, but whatever improvement
came, seems to have been wrought by

Another case resulted in labyrin-
thine trouble and paralysis of the
lower extremities, which went on to
gangrene and killed the patient.

Case II. — From the explosion of
chlorphthalic ether ruptured both
membranes. A purulent discharge
ran from the ears. This patient also
had labyrinthine disease, as evidenced
by his constant tinnitus.

Prof. Moos. — Three cases due to
syphilis :

In one is present a great difference
between bone and aerial conduction by
the fork. Scientists consider that
when bone conduction is wanting
there is also diminished serial conduc-
tion, due to labyrinthine disease and,
farther, that there is deafness. In
this case its interesting feature is that
with the ear closed there was wanting
bone conduction for the fork, but the
latter was heard in the air. If it were
a change in the auditory nerve beyond
the labyrinth it would not explain this
difference in conduction.

Another case — the patient was forty
years of age. Thirteen years before
had had an apoplectic attack, with
total permanent deafness of the left

side, followed by implication of the
right side ; tinnitus, but no dizziness.
Examination revealed only an injec-
tion over the manubrinne. Usual
treatment yielded no results. He
attributes it to syphilitic affection of
the vascular system producing blood
extravasation in the brain and laby-
rinth, since he had examined such
cases in the cadaver.

In the third case both labyrinths
were affected, bone conduction as well
as aerial conduction were nil. The
patient was operated for an existing
recto-vaginal fistula and the ears im-
proved. Here there was no anomoly
in the bone and aerial conduction.

Prof. Moos did not explain the
cause of the anomoly of conduction
in the first case, in fact he seemed at
a loss to account for it.

Permanent Deafness of One Ear
from Mumps — Dr, Kipp, Simultane-
ous with Metastatic Orchitis. — There
presented no evidence of disturbance
of the acousticus. He thinks that it
was due to embolism of cochlearis
arteriosus since he had had a case
similar in its presentation in which
there was such an embolism, though
the cause was scarlatina. With this
criterion he thinks himself justified
in attributing the cause of the deaf-
ness to the cause mentioned above.

Purulent Inflammation of the Mid-
dle Ear, — Dr. Bacon reports a case
where there was, in complication with
the purulent discharge and its con-
comitant symptoms, facial paralysis,
nausea and vomiting, as well as un-
steadiness of gait. After he had re-
moved the granulations present, giv-
ing a free exit to the discharge, the
patient's hearing improved. Very
likely the retained products of necrosis
pressed upon the nervous supply to
the organ of hearing and thus held
the function in abeyance. He men-
tions particularly the facial paralysis
since it is of rare occurrence in Oletis
Media Suppuratura Chronica. Politzer
believes that it occurs more often than
is generally supposed. Wilde and
Trolsch have showed it to occur
where there is no perforation. The

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facial has numerous connecting
branches as well as a widespread dis-
tribution. The prognosis as to ulti-
mate recovery from the paralysis in
the case recorded is unfavorable.

Dr, Fulton, — Case of Chronic Otitis
Media Supp, With Cerebral Disease, —
In this case optic neuritis developed
subsequently. He did not open the
mastoid because there was no pain,
but he followed a conservative course
and cured the patient.

Richard Brandeis gives an interest-
ing paper on the use of Boroglyceride
in otorrhoea. After having used
Boracic acid with indifferent success
he followed the suggestions of Prof.
Barff, who says that Boracic acid in
composition with something else acts
better than the pure powder. Prof.
Barff, in a paper before the London
Society of Arts, tells how to make a
'* new antiseptic compound." It is as
follows : Sixty-two parts of Boric
acid and ninety-two parts of Glycerine
are heated gently over a water bath,
the Boric acid having been gradually
added to the Glycerine until the fifty-
four parts have been driven off.
Formula :

Boric acid, BO,H„ 62 parts, -h Gly-
cerine, C,H,(OH,), 92 parts, = Boro-
glyceride, BO,C,H„ 100 parts, -h
Water, (H,0)„ 54 parts.

This leaves one hundred of the
Boroglyceride. This cooling is an
amber-colored, vitreous mass, very
brittle ; soluble in glycerine, but less
so in hot or cold water (about 10 5^).
Boroglyceride acts as an astringent on
mucous membranes. He uses it in
solutions ranging from 10 ^ to 50 5^
generally beginning with the more
concentrated solutions. It is intro-
duced as all liquids by bending the
head after thoroughly cleansing the
parts. His success has equalled his
expectations, for he has found that
cases recovered much sooner than
by the old method.

Mastoid Troubles. — Dr. Hartmann
reports in detail fourteen cases of
Mastoiditis cured by operation.

These cases are taken from the
Polyclinic. The important feature is

the list of rules derived from these
cases. Commence at the line of at-
tachment of the auricle, or imme-
diately behind it, and do not carry
it too far back on account of the
transverse sinus which often makes a
sharp curve forward toward the audi-
tory canal. Hence in operating on
the mastoid do not use drills or tre-
phines, but use the chisel. Another
point of danger which may warn you
is that when the sinus projects thus
forward, the overlying bone is thin,
for it lies nearer the surface. Do not
go higher than the level of the upper
wall of the canal in commencing the
incision, because there is danger of
entering the middle craneal fossa.
After the operation, keep the incision
open for a few days by means of a
rubber drainage tube to be substi-
tuted later for lead tubes. All gran-
ulations must be removed and the
tube retained until you detect healthy
granulations filling the cavity. Iodo-
form is used freely , since it prevents
inflammatory reaction.

There are other rules given by
Dr. Knapp at the Ortological Society
meeting, to which I shall refer further

Drs. Moos and H. SteinbrUgge re-
port case of caries of petrous bone
and fatal haemorrhage from the caro-
tid. He remarks that where you
meet with difficulties in opening the
cells, even where there is caries, you
may find sclerosis of the bone. He
refers to a case in which there was no
hsemorrhage, but there was sclerosis,
and here relief may be obtained by
incising the peristeum, or removing a
portion of bone, since these cases
often result in the intra-cranial com-
plications which are fatal.

Dr. Cornelius Williams. — Case
where the involvement of the mas-
toid was primary. Here he used ice
with success.

Dr. T Y. Sutphen.—C&UQS of
temporal bone ; openings made
through roof of tympanum. Two
fatal cases, where inter-cranial ab-
scess formed, and he thinks had the
operation been performed sooner life

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might have been prolonged, if not
saved. He thinks that trephining the
mastoid would relieve the intra-cra-
nial pressure. Second case, the right
lateral and superior longitudinal
sinuses were occupied by an organ-
ized clot. Both of these cases were
secondary to chronic purulent inflam-
mation. When the cerebral abscess
formed, the size of the pupil
changed ; choked disc, extensive par-
aljTsis and coma resulted, and finally
death. With the thrombosis, in-
creased secretion, normal pupil,
swollen disc, slight paralysis. In
neither were nausea and vomiting
present, and the mastoid exhibited
no swelling or oedema. Nervous ap-

C /. Kipp, — Case exhibiting m^u-
r^r^ trani symptoms, preceded by a
chill and followed by neuralgia and
erysipeloid inflammation of the face.
Partial recovery of hearing. This
case had acute hearing in the left ear
prior to the chill, and afterwards was
deaf. There being no evidence of
middle ear disease he concluded that
the nervous apparatus was afifected.
The inflammation which followed
showed this had an inflammatory
origin, "starting pr6bably from the
cerebral meninges, thence to the gas-
serian ganglion." "The chill and
severe headache due to a circum-
scribed basilar meningitis." There
was no tinnitus in the right ear,
hence its nervous supply was un-
affected. He accounts this case rare
on account of the chill occurring be-
fore m^ni^r^s symptoms in an adult.
Case 2. — Symptoms of m^ni^re fol-
lowed by erysipeloid inflammation of
the face. Here there was middle ear
disease also, which had something to
do with the deafness in this case,
though the patient had not noticed it
before. Tinoritus here was followed
by total destfness.

Case 3. — Sudden, complete, perma-
nent deafness in one ear. No vertigo
was present, thus leaving the suppo-
sition that " the cochlea was dis-
eased ;" a haemorrhage or embolism
would account for it.

Report of the Twentieth Annual
Meeting of the American Otological
Society. — A detailed account is given
in No. 2 of Vol. XIII. of the Archives
of Otology. We shall refer you to
this for a more extended report, and
confine ourselves to a few rules re-
garding the opening of the mastoid
given by Dr. Ktiapp. From recent
observations he has deduced the fol-
lowing rules :

1. In acute purulent otitis media,
even if the post-aural region shows
nothing abnormal, when cerebral
symptoms continue unabated in spite
of an apparently free discharge.

2. In chronic purulent otitis media
when the size of the mastoid or a
hard bony prominence of the poste-
rior osseous wall of the auditory canal,
indicate sclerosing mastoiditis ; and
when, in spite of careful treatment of
the tympanic cavity, cerebral symp-
toms, especially headache, are either
constant or occur in frequent

3. In subacute or chronic scleros-
ing non-suppurating mastoiditis in-
terna with intact membrana tympani,
the mastoid may be opened when
cerebral symptoms, especially intense
and obstinate pain radiating from the
mastoid over the head incapacitating
the patient for work.

Solid Bromine. — The Fharm,
Jour, describes an article sold under
this name, said to be infusorial earth,
impregnated with 75 percent of pure
bromine and divided into cubes of
308 grains each. The cubes are used
for disinfecting, being placed in open
jars, the vapor thereby becoming dis-
engaged. A cube of the size de-
scribed, it is claimed, will disinfect
four cubic meters of air. — Ex.

Camphor in Cholera. — Doctor
Cigliano states that of the 50,000 per-
sons in Naples who took camphor, not
one died of cholera, and with few ex-
ceptions they escaped attack. It was
given in drop-doses thrice a day as a

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A Monthly Journal of Medicine^ Surgery
and Sanitary Science,

Geo. W. Wintbrburn, ph.d., m.o.

Rtgular Contributort :
Profs. W. Tod Helmuth, S. P. Burdick, E. M.
Hale, A. R. Thomas, Geo. S. Norton, J. G. Gilchrist,
T. F. Allen, Jno. C. Morgan, I. T. Talbot, C. H.
Vilas, F. H. Boynton, Mary A. Brinkman,
Drs. B. F. Underwood, G. N. Rrigham, Phil. Porter,
Geo. M. Ockfoid. Geo. H. Taylor, C. P. Hart, C. F-
Millspaugh, Mrs. Julia H. Smith.

Our columns will always be open to a courteous and
fair discussion on all subjects connected with our prac-
tice, as much as our space allows ; but we do not hold
ourselves responsible for the opinions of our contribu-
tors, unles* tndorstd in our editorial*.

Subscription, $2 per year, in advance. For ac-
commodation of subscribers, this journal is not dis-
continued until an order is received to that effect.

Remittances may be made by Pofit Office order,
check or inclosed in a Registered Letter, at our risk.

New York.


Noblesse oblige, our privilege compels us;
we pfofessional men must serve the worlds
not, like the handicraftsman, for a price
accurately representing the work done, but a s
those who deal with infinite values, and con-
fer benefits as freely and nobly as nature, —
Edward Everett Hale.

There is a medical bill before the
Legislature requiring all physicians
now in practice in the State to go be-
fore an Examining Board and tell all
they know about physic. The read-
ers of the HOMCEOPATHIST know our
repugnance to special medical legisla-
tion, but we would like to see this pet
Allopathic bolus enacted. It would
be fun to see the squirming*which
would result.

A tenant whose family was attacked
with diphtheria in Brooklyn has begun

a suit for damages against the owner
of the house. The plumbing was
defective, and the landlord failed
to have it repaired after being
asked to do so. The diphtheria is
said to have been caused by that
neglect, and damages are claimed as
a consequence. If landlords can be
held responsible for such neglect, as
they should be, there will be less
defective plumbing and a correspond-
ing decrease in the death-rate.

An incident related by a Boston
School Inspector is instructive. Upon
visiting a school-house he noticed the
inpurity of the air, but questioning
the janitor elicited no information as
to its cause. Proceeding to the cel-
lar he detected a strong odor of
chickens, which upon investigation
was found to proceed from the air-
chamber, which had been converted
into a chicken-coop, carefully fitted
up. The hens were very snug, but
the inspector thbught he had indeed
found foul air.

A suggestion has been made that
the government establish hospitals
for the treatment of consumption at
military posts in Texas, Colorado,
and Southern California, where the
conditions of altitude, mild tempera-
ture, and dryness of the air are favor-
able for pulmonic complaints. It is
supposed that if such hospitals were
erected under the supervision of the
National Board of Health, that valua-
ble discoveries regarding' the natural
history of this disorder would be
made. If anything can be done to
abate this scourge of humanity, a
scourge which destroys five thousand
lives every year in this city alone, no

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expense should be spared to accom-
plish that result. But what has the
National Board of Health ever done
to warrant the slightest hope that it
could cope with such a responsi-
bility ?


"Women, Plumbers and Doctors" is
the somewhat singular title of a book
in which the author, Mrs. Plunkitt,
endeavors to show that if women and
plumbers do their whole sanitary
duty, there will be comparatively lit-
tle necessity for doctors. We are
afraid if the coming of the millenium
depends upon perfect plumbing, it is
still a|long way off. The perfect
plumber, like the poet, is bom, not
made, and we can only hope for his
development through a long period
of natural selection.

While defective drainage undoubt-
edly adds to severity of the zygo-
motic diseases, and affords a soil in
which the germs of disease propagate,
it is only one of the many aids to the
spread of the contagious diseases. A
recent occurrence in Brooklyn will
illustrates how infection spreads. At
a children's party recently given,
there was a little girl who was not
very well, but who was able to join
in the various amusements of the
evening. The slight sore throat de-
veloped into diphtheria, and seven of
the children who were present con-
tracted the disease, of whom four

The perversity of mankind is illus-
trated in this same disease, for in
spite of the many specific remedies
for diphtheria, cyanide of mercury,
chloride of lime, sulphur, the single
dose of the two thousandth potency,
etc., etc., which in the hands of their
discoverers, cuts down the ratio of
the mortality from this disease to one
or two per cent, the larger number
of those attacked will persist in
dying, according to all official fig-

ures, the ratio continuing from fifty
to sixty per cent.

It is a wholesome sign of the times
when a minister can so vigorously de-
nounce the so called Faith cures, as
the Rev.Samuel H. Virgin does. "The
murder is no less a murder," he says,
" when the patient dies in the arms of
a matron who is praying for him,
when the proper remedies are in reach
and not made use of," and again, "the
law should be invoked to punish
those who stay the use of remedies.
Christianity should deny what has
become a stab in the church."

The question of State examination
of graduates in medicine still contin-
ues to haunt the sai disant regular
physician who hopes to find therein a
panacea for all the ills that afflict the
body medical. If a regularly-consti-
tuted college is unable to transform
the medical student into a physician,
how much more potent will a board
of State examiners prove ?

B. F. Underwood, M.D.


In view of the awakened interest
in the subject, and the universal feel-
ing that cholera is soon to pay us a
visit, the reproduction of the mono-
graph, by the late Dr. Joslin, on Epi-
demic Cholera, is timely and wel-
come.* The success of the elder
homoeopathists, in the treatment of
this disorder, can only be equalled
by those of the present, when they
bring to it the same painstaking dis-
crimination that characterized the
work of Dunham, Hering, and their
confreres. Cholera is no more to- be
treated by specifics or routine pre-
scriptions than any other disease, and
Joslin points out no royal road. It is

♦ The Homceopathic Treatment of Epidemic
ChdUra, By B. F. Joslin, M.D..L.L.P.,
with notes and additions by P. P. Wells, M.
D. Sm. i2mo. pp. 96. The Homoeopathic
Ppysician Snpplement, No. 6.

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SL work that can be read and re-read
by all of us, during the passing year,
with advantage to our patients and
our own good name. This edition is
made of greater value by the annota-
tions of the veteran Wells, and we
bespeak for it a wide circulation. It
may be had of the publishers of this

The January number of Wood's
Library may well be denominated
standard but is by no means new. It
is the sixth edition of the well-known
work on the human skeleton by Hol-
den.* Even as an edition it is not
new, having, we believe, been issued
in London several years since. How-
ever, it can never grow old, and to
those who have not already either of
the later editions it will be a welcome
beginning of the current series. It is
a handsome specimen of typographic
skill, as are all the publications of
this reliable house.

Prof. Lefferts, of this citjr, gives in
a pleasant way instruction m the best
manner of making nasal examina-
tions, and in diagnosing the more
common rhinal difficulties.! While
these may be reached by their " symp-
toms," and cured by homoeopathic
medication, without accurate diagno-
sis of pathological condition, and have
withcut doubt frequently, both by
laymen and doctors, been so cured,
yet there can be no valid excuse, on
the part of the practitioner, for such lax
conduct of business now that the means
of accuracy are brought so conven-
iently within his reach. Prof. LefiF-

^ Human Osteology, Comprising a De-
scription of the Bones, with Delineations of
the Attachments of the Muscles, the General
and Microscopic Structure of Bone, and its
Developments, by Luther Holden. F.R.C.S.,
etc., Assisted by Jas. Shuter, M.A., M.B.,
etc., with 6i Plates, Sixth Edition, 8vo, pp.
276. New York : William Wood & Co.

f Th£ Diagnosis and Treatment of Chronic
Nasal Catarrh. Three Clinical Lectures
Delivered at the College of Physicians and
Surgeons, New York. By George Morewood
Lefferts. A.M., M.D. Sq. i2mo, pp. 49.
St. Louis : Lambert & Co.

erts depends exclusively upon local
means in treatmer t. Here we can do
better. So we take in his book what
is instructive to us, and pass along.
Some day we hope he too may know
the value of potentization in thera-

Dr. Graham, of Boston, is the
author of a monograph on massage
which we have read with consider-
able interest and approval.* The
value of this form of treatment is
acknowledged, not only by eminent
neurologists, but, we believe, by all
who have given the subject careful
attention. Dr. Graham indulges in no
hysterical panegyrics on this method
of cure. He is not blind to its neces-
sary limitations. Nor does he re-
commend it as a sort of general cure-
all for those who have failed of relief
from drug medication. But he does
show that massage is a very different
thing from the ordinary art of the
professed rubber or ipanipulator ;
that it has a sound basis in physiol-
ogical processes ; that it is an art
worthy of the time and attention of
the physician himself, and not to be
relegated to ignorant and irrespon-
sible persons ; that so used it is cap-
able of doing much, not only for
patients suffering from nervous disor-
ders, neurasthemia, sleeplessness,
headache, and the like, or in abnor*
malties of function in the vegetative
system, anaemia, constipation, and
kindred torpidities, but that it is fur-
ther capable of extension into disor-
ders with organic changes, tumors,
locomotor ataxy, joint affections, and
paresis. Massage has met with the
approval of the renowned in medicine
in all the ages. Hippocrates, Her-
odicus, Galen, Asclepiades, Oriba-
sius, Paracelsus, Ambroise Par^, Mer-
curialis, Fabricius, Hoffman, Syden-

♦ A Practical Treatise on Massage, Its
History, Mode of Application, and Effects ;
Indications and Contra- Indications ; with
Results in over 1400 cases. By Douglas
Graham, M.D. 8vo, pp. 286. New York .
William Wood & Co.

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ham, Tissot, Balfour, Weir Mitchell,
and Professor Playfair are but a few
of the long line of noted men who
have practiced and enforced the value
of a properly conducted massage
treatment To those who are anx-
ious to avail themselves of all helps
in therapeutics, which do not inter-
fere with homoeopathic drug-action,
and who desire to know what massage
is not, as well as what it is, we can
emphatically recommend this work.


The Test of Death. — The prize of
forty-thousand francs offered by the
French Academy for some certain
test of death, to prevent people from
being buried alive, was given to a
physician who announced that on
holding the hand of the supposed
dead person to a strong light, if living
a scarlet tinge is seen where the fin-
gers touch, showing a continuous cir-
culation of the blood — no scarlet be-
ing seen if dead. Doctor Max Busch
also announces that on contracting a
muscle by electricity, its temperature
will rise, and be shown by any small
surface thermometer, if the person is
living ; if it does not rise, life is ex-

"Consumption in the Family."
— ^There is no more common observa-
tion than that *' comsumption runs in
the family," or in a side of a family.
Some other features of the disease in
this direction have been also noted,
but the significance of them has been
disputed. Dr. Rush, in his treatise,
says the disease was unknown among
the American Indians ; it was not
among their legends and traditions
until a comparatively recent period.
Now they die as freely as the whites.
There is an interesting fact of pecu-
liar significance to be here noted,
namely the inoculation, some years

Online LibraryHenry A GirouxAmerican homoeopathist → online text (page 14 of 123)