Stephen D. (Stephen Denison) Peet.

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sorption when the hypopyon was mobile,
by making the patient lie alternately upon
the right and left side, and causing him
to change position every hour. — Med. &*
Surg. Reporter.

Sulphide of Calcium In Strumous Oph"

Is highly recommended by Mr. Simon
Snell, in The Practitioner. It is given
in doses of one-tenth of a grain to one-
fourth of a grain, three times a day, the
usual applications of atropine, poppy fo-
mentations, etc., being employed at the
same time. — Med. Record.


Prof. Wharton Jones {Canada Med.
Record) : In the course of practice you
will often be called upon to attend a case
of earache. This means, pathologically
speaking, acute inflammation of the
membrana tympani. Now, in such a
case, you may quickly subdue the in-
flammation, relieve the patient from the
excruciating pain he is suffering, and
save him, perhaps, from subsequent con-
firmed deafness. The treatment from
which such a desirable result may be ob-
tained is similar to that which you will
find so beneficial in analagous case;^ of
eye disease, viz., leeches behind the ear,
hydrag c. creta and belladonna powders,
with warm fomentations.

Amaurosis in Yellow Fever.
Dr. Juan Santos Fernandez {Ar-
chives of Ophthalmology,) reports three
cases in which complete amaurosis re-
sulted in the course of yellow fever ; in
one case an opthalmoscopic examination
was made, but as might have been ex-
pected no abnormal condition was de-
tected. He was also able to confirm the

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external changes reported to occur in
the cornea and conjunctiva, but the ex-
istence of temporary amaurosis has not
been previously reported. — Chic. Med,

Sulphate of Cadmium in Corneal Opacities.
Dr. Miguel of the Belgian army, uses
the following solution: Cadmii sulphatis,
.05 (gr. 3-4), mucil, acacise, 10 gram.
( 3 ijss.) With this solution the spot is
to be touched several times in twenty-
four hours. — Paris Medical. — Med. Rec.

Opiitlialmic Migraine-
Dr. Ytvit {Revue de Medecine) recent-
ly described a condition which he calls
ophthalmic migraine,and which he claims
is characterized by the appearance of a
luminous spectre sometimes colored,
sometimes not ; perhaps for this may be
substituted the disappearance of a part
of the visual field. Either of these vis-
ual phenomena is preceded by a head-
ache generally attacking a limited space
of the temporal region,whence it spread^
so as to involve nearly half the head on
the side on which the visual phenomena
are most marked. The cephalalgia ter-
minates by nausea, followed frequently
by vomiting. Certain vaso-motor phe-
nomena at times present themselves,
and Dr. F^re claims that at times even
cerebral symtoms, such as localized les-
ions of sensibility and motility, and
temporary impairment of speech are
present. It is probable that under this
term, opthalmic migraine, Y€t€ has con-
founded certain badly observed cases
of epilepsy. In the conclusion of his
article he hints at the possibility of such
an explanation. — Chic. Med. Review.

Of Foreign Bodies Remaining in tlie Eye.

Prof. Leber, of Gdttingen, claims that

inflammation and suppuration following

the accidental lodgment of foreign bodies

in the eye are not due to the foreign
body/^r se^ but either to septic matter
carried in with the foreign body and
undergoing decomposition, etc., or some
chemical change in the body itself. In
corroboration of these ideas he cites
instances from antiseptic animal experi-
mentation, where bits of clean glass,
gold, etc., have remained in the different
chambers of the eye for a longer or
shorter period, and yet caused no inflam-
mation, whereas similar but non-antisep-
tic experiments have resulted in suppu-
ration, atrophy of the retina, cloudi-
ness of the cornea, hemorrhages into
the anterior chamber, and finally total
loss of eyesight. He concludes that sim-
ilar results follow like experiments upon
the human eye, and instances one case
where a clean piece of iron penetrated
to the ciliary region through the cornea
and lens, the result being a corneal cica-
trix and traumatic cataract. But no
inflammation ensued until months had
elapsed, and chemical changes in the
iron initiated the morbid processes, re-
sulting in destruction of the organ.
Subsequently, >vhen enucleation was
performed, the iron was found in a
corroded condition, the cornea clouded,
the lens absorbed, the vitreous fluid all
gone, while the retina was detached and
atrophied. — British Medical Journal. —
Med. Record.

Fluid extract of ergot is recommend-
ed {Am. Specialist) for conjunctivitis
and pannus, used locally as eye drops.

At a recent meeting of the Clinical So-
ciety of London {Lancet) Mr. W. H. Kes-
teven read the following notes of a case
of xanthopsis. On an exceptionally hot
day, last July, a married woman aged
twenty-three, having exposed herself to

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the full heat of the sun, was seized with
acute pain in the occiput, and found that
she saw all things red and green. As
the pain passed off, in the course of a
day or two, this intense coloration di-
minished. The ophthalmoscope revealed
the existence of a large patch of double
contoured nerve fibres at the upper part
of the disk of the right eye. This, when
first seen, was very prominent, and gave
evidence of the existence therein of some
neuritis. The left disk was normal. !
The color vision of the left eye was nor-
mal, but with the right eye she saw all '
things yellow. This condition con- ,
tinued for more than three months, and j
then gradually passed away. The au- ^
thor suggested that the condition might ^
be expUined by the violent impression
made by the rays of the sun impinging
directly on the retina. The case was
examined by two other gentlemen, who
confirmed the opthalmoscopic appear-
ances described. — Med, and Surg. Re-

Stretching the Optic Nerve.
Dr. Kummell, of Hamburg, has
stretched the optic nerve seven times in
fist cases. The eyesight had been part-
ly or completely lost from atrophy of
the optic nierves. The operation is done
by making a slit in the lower and outer
part of the conjunctiva near the cornea.
A curved hook is passed in and back,
the optic nerve is caught and stretched
" not too strongly." Very slight symp-
toms followed the operation. In those
cases where the blindness was not com-
plete, there was some improvement. —
Med, Record.

given where complete or partial blind-
ness occurred from unlimited sexual in-
dulgence, and cures were effected b> ab-
stinence. One case cited gives the fol-
lowing history: A young man, aet, 19,
had been living with two girls, and hav-
ing intercourse twice or more times each
day with both. He came to the doctor
with failing sight, intense neuralgic pain
and nausea. He was entirely cured by
a sea voyage to Lima. — Detroit Clinic.


The Eye and. Sexual Excess^
Under the above caption Dr. M. Lan-
DESBERG {^Medical Bulletin) writes an arti-
cle replete with facts which every physi-
cian should be acquainted with. Cases are

On the Use of Iodoform Spray.

M. Dujardin-Beaumetz {Journal
des Sciinces Mid.) recommends a new
method for the use of iodoform in the
case of syphilitic ulcerations, or those
attending vaginitis. By means of the
spray, he applies, on the affected parts,
a solution of iodoform in ether, of which
the following is the formula: 5. Iodo-
form, gr. XV.; ether sulph, | iij. M.

The spray supplies a regular tenuous
deposit of iodoform which reaches every
fissure. In this way it is possible to
reach these deep ulcerations of the
throat, which are otherwise so difficult to
get at. The cure of vaginitis is explain-
ed by the effects of iodoform on the
little ulcerations of the vulva, which
are almost always a determining cause
in all painful contractions of the ring.
Hence iodoform is of no service in any
form of vaginitis, other than that due to
ulcerations or fissures. The author has
made no experiments with his process
on anal fissures, for which he still be-
lieves that dilation is indicated, but he
advises its use in the treatment of vagi-
nitis. — Med. and Surg. Reporter.

Tertiary Syphilis and Strumous Skin Dis"

IJ. Pot. iodidi, grs. 3-5 ; glycerini, 3 2;

vini ferri, 3 4; olei morrhuae, 3 6. Mix

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and make a draught to be taken twice a
day. — Med. Gazette.

Potassium Bichromate in Syphilis.
Dr. J. E. GuNTZ, Dresden, Germany,
{^Med. Record)^ claims to have obtained
very good results in the treatment and
prophylaxis of syphilis by the use of
what he calls "chromwater;" that is po-
tassium bichromate dissolved in carbon-
ic acid water. He gives, per diem, three
and one-half grains of the salt, divided
into ^vt doses, dissolved in a pint and a
quarter of carbonic acid water. He
claims good results also from this chrom-
water in diptheria. The statistics by
which he justifies these claims contain
numerous possible elements of error in
addition to those produced by Dr.
Guntz's enthusiasm.

Iron with Merouryi
By giving iron along with mercury,
full doses of the latter may be given to
very broken-down subjects without fear.
My own individual experience has been
that while I use mercury very freely in
syphilis, no case of salivation or other
mercurial trouble has occurred since
iron has been systematically given with
the mercury. — Fothergill in Aids to Ra-
tional Therapeutics. — St: Louis Cour. of

Abortive Treatment of Buboes.

Dr. M. K. Taylor {American Journal
of the Medical Sciences)^ claims good
results in the abortive treatment of
buboes by injections of carbolic acid.
He reports twenty cases in which
he obtained remarkable success, and
states that within the last seven years he
has treated nearly one hundred and fifty
cases of various forms of lymphadenitis,
arising from specific and non-specific
cause? ; and where he saw the cases be-

fore the formation of pus was well es-
tablished, he had not failed to arrest the
process immediately and allay the pain
in a few minutes. His method is to in-
ject from ten to forty minims of a solu-
tion of eight or ten grains to the ounce,
of carbolic acid directly into the interi-
or of the inflamed gland. — Chic. Med.

Injections of Bromide of Potassium in

In eighteen patients under observa-
tion there was noted in fifteen a rapid
diminution or complete suppression of
the erections. The injections are not
very painful. They are used ?ivt times
a day, the last injection being practiced
I just before retiring. They should be
! retained in the canal one or .two min-

The following is the formula: Water,
I 150 grammes ; glycerine, 10 grammes ;
bromide of potassium, 6 grammes; laud-
anum, 2 grammes. — Journal de Thera-
peutique. — Cincin. Med. News.

Sulphurous Acid in Qonorrhcaa.
Dr. L. C. Chisholm {Southern Practi-
tioner) claims that he has secured good
results in gonorrhoea by the use of the
solution recommended by Dr. Wilson
{Lancet). This solution consists of one
part of sulphurous acid and fifteen of
water. Recoveries under this treatment

I are quick and complete. — Chic. Med.

I RevieuK

The Microbi of Blennorrhagio Pus.
The Journal des Sciences Medicates^
I states that these microbi have already
I been noticed, but that Mr. Weiss
j contributes additional interesting data
I on the subject. The pus examined
j was taken from both men and wo-
men, and all necessary precautions

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observed. In every case, under the
microscope, in the midst of the pus
globules and epithelial elements, small
bodies could be seen, either alone, or
united in pairs, or forming more numer-
ous groups, and arranged after a special
manner. These corpuscles always have
a characteristic appearance. Mr. Weiss
examined pus from thirty-two patients,
and in each case he found similar para-
sitical forms. As a check, he examined
pus from simple urethritis, balanoposti-
tis, soft and syphilitic chancres, buboes
and leucorrhoea, but in no case could he
discover the special elements which he
considers characteristic of blennorrha-
gia. Experiments for the purpose of
propagation would now be interesting ;
but they have not, as yet, been underta-
ken. As regards treatment, Mr. Weiss
particularly recommends the parasitici-
dal qualities of hypermanganate of po-
tassium. In Dr. Spillman's service, in
all cases of vaginal blennorrhagia treat-
ed by injections with a solution of this
salt, in the proportion of 0.25 centigram
to the thousand, a rapid and extensive
decrease in the number of microbi was
noticed ; they were found to have lost
their coating and to have suffered chan-
ges indicating that they had been altered
or destroyed by the application of this
substance. — Med. and Surg. Reporter.

Blennorrhagia Treated by Chlorate of

The Paris Medicale, Dec. 3d, 1881,
reports that Zeitlin has treated fourteen
cases of blennorrhagia with chlorate of
potash, administered internally, in daily
doses of three grams (grs. xl.) according
to Dachman's method. The results have
always been satisfactory. After a few
days micturition becomes painless, erec-
tions cease, and the discharge is less
abundant and more serous.

The happy effects of this salt are due

to the rapidity with which it is excreted
by the kidneys, without any change in
its composition* and to its local action
on the urethral mucous membrane.

Good results have also been obtained
with chlorate of potash, prescribed as an
injection, and in cases of blennorrhagic
or other cystitis, its internal use has been
found beneficial. — Ibid.


Chrysophanic Acid in Psoriasis-
Chrysophanic acid has been used suc-
cessfully for some time as a remedy for
psoriasis. It is, perhaps, the best rem-
edy we possess for that affection. Where,
however, the skin affection is extensive,
or the remedy too strong, it sometimes
causes sickness and vomiting. It may
applied in combination with melted
lard, or what is better, with vaseline, in
the proportion of from 30 to 60 grains
to the ounce. Dr. M. Charteris, of
England, has been using the remedy, in
combination with vaseline, with com-
plete success in quite a number of cases.
In a case where the disease (psoriasis)
extended over the whole body, the usual
formula of i to 8 of vaseline, was found
too strong ; nausea and vomiting occur-
red, so that he was compelled to apply
it of a much weaker strength, viz : i to
16. During his experience he learned
one singular fact, that where the disease
was nearly equal on both sides, or was
symmetrical, the application of chryso-
phanic acid and vaseline to one side of
the body, acted equally on both sides.
He took patients, so afflicted, covered
the arm and leg with close-fitting flannel,
so that nothing could touch it, and made
the application to the arm and leg of
the opposite side. The covered limbs
recovered from the affection nearly, if
not altogether, as soon as those receiv-
ing the ointment.

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Treatment of Eczema of the Hand.
Dr. A. W. Foot (Dublin Medical
Journal \.

The patient was twenty-two years old.
The disease was confined to the back of
the hand and the clefts between the
fingers, where were many fissures, the
viscid secretions issuing from which
formed crusts with a pustular aspect.
The pruritus was very severe.

Each finger and the entire hand were
wrapped round with strips of old linen
soaked in a mixture of lead lotion and
glycerine, and the whole then sealed up
in gutta-percha paper. As the itching
had quite broken her sleep at night, she
had, for two or three nights, draughts
with potassium bromide 3 ss. and chlo-
ral 15 grs., in chloroform water, and she
was ordered five minims of Fowler's
solution in tincture of bark three times
a day aftermeals. As there was no reason
to starve her, she was given meat and
porter every day.

The inflammatory action was soon
moderated by the lotion, which was ap-
plied fresh every day, and the hand
sealed up again after having had a jug
of cold water poured over it. It was
kept in a sling; the perfect rest ob-
tained by slinging the hand, and the
exclusion of the air by the careful seal-
ing up of the gutta-percha cover, are
points to be attended to. Whenever
the hand was let hang or rest in her
lap, it got hot, heavy and swollen, and
began to throb. After three days of
this treatment, the heat, redness and
itching had abated; then a thirty-grain
solution of nitrate of silver was carefully
painted all over the back of the hand
and fingers, from the wrist to the mar-
gin of the nails, avoiding the latter, and
sealing up and slinging continued. In
a few days she got a strong lotion of
iodide of potassium to remove the black- effects of the nitrate of silver'
which it is quickly doing, and the seal-
ing up was discontinued. The arsenic
had to be omitted for a few days in
consequence of gastric irritation. From
this time she improved rapidly to re-
covery. — Med, and Surg. Reporter,

Iodoform in Impetigo and Eczema.
Dr. Sequin {Brit. Med, Jour.)^ uses
iodoform either pure or mixed with an
equal quantity of powdered claret ; the
latter he is inclined to believe lessens
the irritating action of the iodoforms.
He first softens the scales by bathing
them with soap and warm water, and
then completely removes them ; the
new surface is then dried very gently.
The iodoform being thenVery thorough-
ly powdered is dusted on, after which
glycerine is lightly painted over with a
camels hair pencil, which process is re-
peated during every two hours there-
after. — Quar. Epitom.

Palmar and Plantar Eczema.
In some cases the use of cod-liver oil,
on the hard, thickened, and fissured
epidermis, has had the power of soften-
ing and healing the parts. In others
the addition of a slight stimulating oil,
such as the oil of cade, in the propor-
tion of one drachm of the latter to four
ounces of cod-liver oil, applied night
and morning, will often by its soothing
and slightly astringent action relieve all
irratability of the cutaneous muscles
and vascularity of the parts. — Med,

Eczema of the Scalp.

For the obstinate scurf following ec
zema capitis, Startin {Med, Press and
Circular^ recommends the following:

Red oxide of mercury, gr. v. — 0.30
gm.; creosote, TTlij. — 0.12 gm.; saxcera

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(a colorless hydro-carbon from petro-
leum), q. s. M. Apply night and
morning. Wash the scalp with wann
water and oatmeal or yelk of egg, or
gh cerine soap, and dry before using the
ointment. The creosote may be left
out after the first week's treatment.

Vesico-Papular Eczema-
Prof. DuHRiNG {Med. and Surg, Re-
porter) : This young man has a history
of a chronic disease of the skin, which,
when first seen, was diagnosed as chronic
eczema. It occupied the thighs, legs,
feet, back, forearms and hands. As you
see, he is pale and anaemic. To-day all
the lesions are so improved that the
former disease is scarcely to be recog-
nized. On the back, however, we ob-
serve broken down vesicles in the form
of a patch. On the shoulders the dis-
ease is more marked, and in the form of
vesico-papules. Accompanying the dis-
ease there is a great deal of itching.
Three or four days ago various sized
pustules, now scarcely to be observed,
were present. The case is both an in-
teresting and a serious one. The dis-
ease first appeared three years ago, in
the same form, on the arms. Some
weeks afterward the disease repeated
itself on the hands, since which time it
has been getting "better and worse."
^or the last six months it has been get-
ting steadily worse, and last month it
was very bad, the itching being intense,
not allowing him to sleep.

Coming now to treatment : At first we
used the "liquor carbonis detergens," a
solution of coal tar in alcohol, used in
the strength of a f 3 j. to f § ij. of water.
This was applied to relieve the itching.
After ablution with this, he was anoint-
ed with oxide of zinc and petroleum
ointment, equal parts. ' Internally he
took tr. ferri chlor., gtt. x., and quinia
sulph., gr. ij., three times a day. Later,

as he was not much better, he was or-
dered ung. picis et ung. petrolei, equal
parts. The next day, as he was mark-
edly worse, it seemed evident that the
ointment did not suit him, when he re-
turned to the first line of treatment, and
he has since improved considerably. In
order to procure sleep, we have been
using chloral, gr.xv., et potass, brom., gr.

Heat Eruptions.

Dr. Geo. H. Rohe, of Baltimore (At-
lanta Medical Register) sums up the
treatment of heat eruptions, as follows:

The treatment of the heat eruptions
is simple. Cleanliness, light clothing
and not loo frequent cold bathing re-
lieves the discomfort materially. The
boils should be freely scarified, to re-
lieve the hyperaemia, and give exit to
any pus or slough they may contain.
After bathing, the surface should
be lightly dried by a soft towel, and
dusted Avith a simple drying po\vder of
starch or precipitated chalk. Poultices
should be religiously abstained from.
If any of the furuncular swellings
should be very painful and tense, a hot
fomentation after incision, continued for
about an hour, will be as effective and
much more cleanly than a poultice. In-
ternally, the tincture of chloride of iron
will, in most cases, be indicated. — Med,
and Surg. Reporter.

Dr. Unna, Hamburg {Berliner Klin-
ische Wochenschrift)y claims good results
from the following procedure in chloas-
ma. The skin is first sponged off with
alcohol or cologne, and a mercurial plas-
ter made from white precipitate oint-
ment is applied oyer the pigmented spots
in narrow strips and allowed to remain
during the night. The following pom-
ade is used during the next day :

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5. Bismuth subnit., 3iss.; kaolin,
3iss.; vaselinae, 3 vi. to 5 iss. M.

This is applied over the spots and in
conjunction with the other treatment is
said to effect a rapid cure. — Chic, Med,

Treatment of Herpes Zoster.

John Boardman, M.D., reports the
following in the Buffalo Med. and Surg*
Journal :

Case. — M. D. came into my office with
an interrupted band of herpes zoster,
extending on the right side of the verte-
brae to near the pubis, which he discov-
ered two days previous. I ordered him
to use the following prescription :

g. Carbolic acid, 3ii.; ol. oliv., ^ i-
Sig. — Rub well on the parts two or three
times daily.

I did not see him for a week, when
the eruption had disappeared, only a few
dry crusts remaining. He stated that
after the second application the burning
of the parts was relieved.

My purpose in this brief report is to
direct the attention of the profession to
the use of carbolic acid in the treatment
of " shingles," as it has been very suc-
cessful in my hands. — Cincin, Med.



If constipation exist, saline or vege-
table laxatives should be prescribed in
sufficient quantity to open the bowels
once or twice a day. An occasional
dose of blue pill or of calomel will in
some cases prove beneficial. Where
there is a furred tongue and disorder of
the stomach and bowels, excellent re-
sults may be obtained from the follow-
ing :

3. Magnesiae sulph., §iss.; ferri

sulph., gr. xvj.; acidi sulphurici dil.,
3 ii.; aquae, 5 viij. M. Sig. — Table-
spoonful to a gobletful of water.


5 . Sulphur, praecipitati, 3 j. ; glyce-
rinae, 3ss.; adipis benz., 5j.; ol. rosae,
gtt. iij. M. Ft. ungt. Sig.— To be thor-
oughly rubbed into Jthe skin at night. —


Or, Sulphuris loti, 3j.; aetheris. 3vj.;
alcoholis, ^ ii.-jss. M. Sig. — Apply as
a lotion. Shake the bottle before
using. — BuLKLEV. — Quarterly Epitome.

French Treatment of Itchi
At present itch is cured in one hour
and a half (at St. Louis Hospital). The
first half-hour, the patient, absolutely
nude, rubs himself from head, or rather
neck, to foot, with soft soap. The
second half-hour he is put into a tepid
bath, where he continues the soft soap

Online LibraryStephen D. (Stephen Denison) PeetAmerican medical digest → online text (page 38 of 83)