side of forty-eight hours, by the use of two sugar-coated pills, containing five (5) grains each, every hour for the first six hours, every two hours for the next eighteen hours, or until relieved.

I have had so much confidence in this treatment alone for such cases, when I have the clear red tongue, that I never voluntarily promise to make the second visit; but cases associated with a soft, white, flabby tongue are best treated with alkalies, bicarbonate of soda, or salicylate of soda. This salicylic acid treatment in my opinion is only adapted to acute cases in the early stage, and is totally worthless in any form of chronic rheumatism.

I have had a very large experience in treating acute rheumatism. I have had Mr. Gordon, druggist, of Cincinnati, to make me at one time over eight thousand (8,000) sugar-coated pills of the salicylic acid.

CORYZA.

This is a condition which is the result of a cold, usually from a sudden check of perspiration. The symptoms are frequent sneezing, fulness in the frontal region, often with a burning sensation in the nasal cavities, followed by a redness or watering of the eye, if not checked. Domestic treatment is about all that is required: Full inflation or drawing of hot water very frequently up the nose, keeping the bowels open, light diet, and withdrawing, as far as possible, from water or the use of fluids. However light this difficulty seems, it is well to overcome it in its beginning, as uncured cases will sometimes lay the foundation of a regular and troublesome catarrh. Catarrh uncured may produce laryngitis,-laryngitis uncured may produce bronchitis,―bronchitis neglected, as all the rest of the difficulties, may produce inflammation, and finally, pulmonary consumption. Thus you may see how much trouble may or could come from simply cold in the head, when there is no attention given for its relief. I do not say that this is an inevitable result of all cases of cold in the head if not treated, as very many such colds would be thrown off by nature, but only wish to say that it is dangerous to neglect disease in its primitive state, especially coryza or incipient catarrh.

The umbilical cord should always be tied tight at 2 to 3 inches from the child's abdomen. The second tying should be applied two inches from the first-the cord cut in the middle. Always watch the cord to see if you have tied it correctly, for fear of hemorrhage. From the third to the fifth day the cord sloughs off, after which the point of the previous attachment should be dressed daily, first by oiling, over which place a small compress, and over this the bandage, which should be tight enough to hold it there with a view of preventing protrusion of the bowels through the yet unclosed umbilical opening-forming, what so often follows from neglect to properly cover with a compress and tight enough bandaging," umbilical hernia." Especially is it likely to occur when the child cries much from colic. This matter is important, and is often neglected by ignorant midwives and careless practitioners. The curing of "umbilical hernia" from such neglect is often very troublesome and tedious, and in some instances remains unclosed through life. Though the infant's pad for this condition-umbilical trussis made with as much care as possible, it is often very difficult to keep it so perfectly adjusted as to make the proper pressure to meet the end, that is, causing adhesive inflammation and approximation of the surface surrounding the umbilical opening, though if the child does not cry too much it is generally caused by this truss.

CHRONIC ABSCESSES OF THE EAR, ATTENDED WITH A CONTINUOUS SUPPURATION.

This condition is generally associated with a scrofolous diathesis (condition or tendency), which indicates the use of anti-scrofulous treatment associated with tonics. I have often used with great success frequent small blisters just under and behind the ear. They seem to divert the internal inflammation upon which the suppuration depends. Internally to the ear I use two parts of sweet-oil and one part of laudanum, used milk warm, over which I apply raw cotton or wool to fill the ear, applied twice

per day. If the disease seems to depend upon a cold, I apply warm hop poultices. Bathing the patient's feet often in hot mustard water, and the free use of diaphoretics, and keeping the patient warm, quiet, and upon a low diet, is useful adjunct

treatment.

DIABETES.

This condition is one attended with an immoderate secretion of urine, resulting from a morbid irritability. This irritability, if unchecked, will run into inflammation; and this inflammation will result in the softening of the kidney, if it is not promptly relieved. I say this is the tendency. The quantity of water in some instances will be positively enormous.

The treatment should be used on the hypothesis, that, as all secretory glands secrete double and treble their usual quantity in proportion to the amount of irritation of the gland present, and to relieve the patient of the excessive secretion, the cause which leads to it must be removed. After you have removed all morbid accumulation of the system, you will commence to use the remedies most likely to remove the irritation present by counter-irritants over the kidneys, with bland mucilaginous diuretics internally. After the irritability has been removed, I have succeeded with tonics as the leading basis of treatment.

I have lately treated a case thus: Mrs. S., age 45, passing through the change of life; voided about double the quantity of water natural. I gave her medicines first to act upon her liver and kidneys, then gave her:

Painted over the kidneys and over the line of the ureters and bladder with tr. iodine once per day, and withdrew all kinds of food which created thirst, including all saccharine matter. Her

appetite and health generally became improved, and the quantity of water also continued to lessen until relieved.

These are very difficult cases to treat successfully, and very much will depend upon the period when you are first called to treat such a case. I have found that in old chronic case there is likely to be such a diseased condition of the kidneys as to prevent a cure being effected. Persons of advanced years are especially liable to this disease.

CONVULSIONS.

If I have before me a case of this kind, I seek for its cause; if it be from worms, I give anthelmintics:

Put in a pint and a half of boiling water, boil down slowly to a half pint, and strain, and sweeten to the consistency of a thin syrup; of this give one to two tablespoonfuls every hour or two, as the age may indicate, until it operates on the bowels; to be repeated every other day, until I am satisfied all the worms have passed away.

If from teething, I remove the cause by lancing the oppressed gum. Many children will often be relieved, especially where the gums of the eye-teeth (cuspids) are a cause of convulsions, by swiftly passing over the swollen gum a lancet, and loosening, as it were, the tight cord. A child will often smile while this is being done, showing that nature tells me what to do in such a Hysteria as a cause I treat with a view of relieving nervous irritability.

case.

BEEF TEA.

I have frequently been called upon to give directions how to prepare as well as how to use beef-tea. My usual directions are : Take of the round of beef-free of fat-one-half pound; cut into fine pieces; place in one pint of cold water, and bring to a

slow boil. Simmer very slowly, until reduced to a teacupful; add just enough fine salt and pepper to season. This given in such quantities as the condition of the patient may require. I have patients who in twenty-four hours have used two to four pounds of beef prepared in this way. It is generally very nutritious, and is specially indicated in recovering from typhoid fever.

MELANCHOLIA, OR DEPRESSION OF SPIRITS.

This is one of those forms of monomania which may lead to a settled insanity, and hence one should be on his guard against such a state of mind. Every effort should be made to ascertain the cause. It is said by pathologists that in all such cases there is supposed to be a morbid matter in the blood, the result of an abnormal condition of the liver. This morbid influence of the liver is often connected with some other form of either organic or inorganic disease. In cases affecting females, look closely if there be any uterine difficulty, as a very large proportion of females sent to lunatic asylums are the victims of some neglected uterine trouble. As melancholy is the forerunner of insanity, you must meet the case to the best of your ability. If it is from a loss of family, recommend a change of association; if from loss of money, see that their friends give them a kind word and assistance to help them bridge over that terrible crisis which nearly all such persons have to pass. There could be nothing better, where there is a torpid action of the liver as a cause, than to assist your liver treatment by the use of Turkish baths, having your patients well rubbed, that all the secretions may be thoroughly aroused, associated with plenty of exercise and pleasant associations with the world.

The Turkish bath is usually taken thus: The patient is disrobed, a pair of slippers placed upon the feet, around his shoulders is wrapped a sheet or mantle; then he enters a room containing hot air, the temperature of which is 145° to 150° F. When free and thorough sweating is produced, he changes his and the shampooer, or bather, places him on a marble slab ; he is then lathered with soap; severe friction is made use of with a coarse brush; his muscular system is thoroughly rubbed from

room,