Surgeon of the 27th Massachusetts Volunteers he served in Virginia, North and South Carolina, and was on special duty in charge of the Hospital Steamer "Cosmopolitan" in the Department of the South. Assigned to duty in this Office July 22, 1864, he was Curator of the Army Medical Museum, and in charge of the Division of Surgical Records until his death. He was editor of the Richmond Medical Journal for three years, member of the leading medical societies of America and corresponding member of various similar societies in Europe, and a contributor to prominent medical journals. Surgeon Otis, with his personal observations of the surgical collections abroad, brought indefatigable industry and untiring energy to the development of the surgical and anatomical collections of the Army Medical Museum, which he has made the most valuable of their kind in the world. The compilation of the Surgical Volumes of the Medical and Surgical History of the War has placed Surgeon Otis confessedly among the most prominent contributors to surgical history. 66 While on duty in this Office, Surgeon Otis wrote for publication no less than ten reports on subjects connected with Military Surgery, &c.; among which are his most valuable and exhaustive reports on "Excision of the head of the femur for gunshot injury.” and on Amputation of the hip joint in military surgery." great culture, retentive memory, and with a remarkable facility of expression, he was, as a compiler and writer, conscientions in his analyses, giving his deductions from the facts before him with modesty, but decision. With such a record it is needless to speak of his zeal, his ambition or his devotion to his profession and especially to the reputation of the Corps of which he was so bright an ornament. While devoting himself to the preparation of the Third and last Surgical Volume (now more than half completed) of the Medical and Surgical History of the War, he died in Washington, February 23, 1881. His untimely death will be deeply deplored, not only by the Medical Corps of the Army, but by the whole medical profession at home and abroad. Jos. K. BARNES, Surgeon General. Dr. S. B. Jones, of Wadesborough, calls our attention to the discrepancy in the graduation of hypodermic syringes. So wide is the difference, he finds that "10 minims of one syringe will fill another syringe to the 20 minim mark." This makes a great error when physicians use Magendie's solution. "He now measures his solution before filling the syringe. Bellevue College has found after a short experiment that the three term course worked to the disadvantage of the prosperity of the school, and the old plan has been reädopted. Circulars from the College to be issued in April will explain the changes filling the syringe. [Entered at the Post Office, Wilmington, N. C., as Second-Class Mail-Matter. Treatment of Typhoid Fever-Gastric Ulcer. By William Pepper, M. D. 189 198 Clinical Reports; Quinine and Veratrum Viride in Pneumonia. By Chas. K. Gardner, M. D.. 204 209 Fracture of the Right Femur and Left Patella. By W. J. H. Bellamy, M. .................. 210 Resorcine as a Derivative of Assafoetida (Paragraph).. 211 The North Carolina Pharmacy Act of 1881. Marine Hospital Service at Wilmington. Medical Education-Partial Report of the Board of Examiners, Communicability of Puerperal Fever by the Medical Attendant. REVIEWS AND BOOK NOTICES: Lectures Upon Diseases of the Rectum and the Surgery of the Lower Bowel. The Minerals and Mineral Localities of North Carolina. A Treatise on the Principles and Practice of Medicine. By Austin Flint, M. D... A Treatise on Bright's Disease and Diabetes. By James Tyson, M. D..... A Manual of the Practice of Medicine. Designed for the Use of Students. 219 224 226 227 228 229 231 232 By Oscar Oldberg, Phar. D. CURRENT LITERATUR“. Radical Cure of Hernia. Treatment of Asphyxia Neonatorum. Delirium following the Treatment of Acute Rheumatism by Salicylic Acid. THREE DOLLARS A YEAR. SINGLE COPIES THIRTY CENTS. JACKSON & BELL, PRINTERS AND BINDERS, WILMINGTON, N. C. 234 235 236 237 237 238 241 243 244 244 245 246 247 248 248 249 249 250 251 to See Advertisement of PARKE, DAVIS & CO., on Next Page. The Fijian Remedy for Neuralgia. -0 This remedy has been used for several centuries by the aborigines of the Fiji Islands, though introduced to the notice of the profession in England only about a year ago. The success attending its use in the hands of Drs. Sidney Ringer-and Wm. Murrell, of Lon ton, England, induced us to dispatch an agent to the Fiji Islands for the collection of a quantity of this valuable drug. Heretofore the secret of its source ha been jealously guarded by the Fiji chiefs, the knowledge of its composition being handed down as an heirloom from one generation to another. Through Mr. Ryder, a resident from Fiji, a specimen of the remedy was first brought to England, with the statement that he received it from a European who had married a chief's daughter and had learned the secret from his father-in-law. Tonga, as prepared by the Fijans is a compound of several plants, and occurs in the form of small loose bundles, the remedy being enveloped in a wrapper of the inner bark of the cocoanut tree. The natives administer it in the form of an infusion, but it has been found that alcohol much more thoroughly extracts its active principles. Drs. Ringer and Murrell base their report of the use of the drug on a sufficient number of cases and C. Bader, ophthalmic urgeon to Guy's Hospital says; "The results obtained by Drs. Ringer and Murrell fully coincide with mine. I have uotes of cures of brain and kidney disease in which Tonga alone succeeded in removing pain. All eases of neuralgia (supra and infra-orbital branches of the fifth nerve) with swelling of the temporal veins during the attack were benefitted." Reports from Sidney, Australia, show that Tonga has also been successfully employed as a remedy for neuralgia by the profession of that country. THE FLUID EXTRACT CAN BE OBTAINED FROM PARKE, DAVIS & CO, DETROIT, MANFACTURING CHEMISTS AND PHARMACISTS. LIPPIA MEXICANA. A NEW EXPECTORANT. This new Mexican remedy is introduced to the medical profession of this country on the authority of Dr. A. H. Saxton, Baltimore, Md., who has communicated the results of his experience in its use in an article in the January, 1881, number of the THERAPEUTIC GAZETTE. The demulcent and expectorant properties claimed for the drug by Dr. Saxton, are such as must commend it to the careful attention of the profession, and especially so during the season of catarrhal affections of the espiratory passages. A remedy which combines demulcent with expectorant properties, and at the same time does seem to show the drug to be possessed of an alterative influence in the respiratory mucous membrane which must enhance its value in those chronic affections so often rebellious to treatment. We prepare a tincture of Lippia Mexicana and will be pleased to furnish a reprint of Dr. Saxton's article, on application. PARKE, DAVIS & CO., Manufacturing Chemists & Pharmacists, Detroit, Mich. Eastern Depot. NEW YORK BRANCH .60 Cedar Street.. TREATMENT OF TYPHOID FEVER-GASTRIC ULCER. A Clinical Lecture Delivered at the Hospital of the University of Pennsylvania, May 15, 1880. By WILLIAM P.PPER, M. D. Professor of Clinical Medicine in the University of Pennsylvania. Reported by WM. II. MORRISON, M. D., for the NORTH CAROLINA MEDICAL JOURNAL. TREATMENT OF TYPHOID FEVER. GENTLEMEN-I have again brought this typhoid fever patient before you to show you the further progress of the case. He has been here since the 3d of May, twelve days ago. He came in on about the fourth day of his disease. This is, therefore, about the sixteenth. I showed him to you about ten days ago, at which time. his temperature was still high. I pointed out to you the characteristic features of the disease, discussing them at great length. I also told you what the treatment would be. Since that time the progress of the symptoms has been as follows: The nervous symptoms never became worse. There has been a slow return to a brighter condition and for several days the intelligence has been nearly normal. The flush on his face still remains though less marked than at first. I commented upon the absence of epistaxis. There has been none at all. Bleeding of the nose is a frequent sign in typhoid fever, yet as you well know there are many severe cases which run their whole course without epistaxis occurring. On the other hand, there are other forms of fever in which it may occur. It may occur in malarial fever, typhus, in relapsing fever, and, in fact, it may occur in any of the continued fevers. All we can say that it is much more common in typhoid fever than in one of the others. I spoke also of the comparative slight degree of bronchial irritation; only an occasional bronchial cough and a few scattered râles throughout the chest. The bronchial element in typhoid fever varies greatly. In some cases it is very severe and often a patient by the end of the first week will present marked evidence of bronchial irritation requiring our most careful treatment. Sometimes the condition passes into one of actual pneumonia, owing to the excessive irritation of the bronchial membrane We may call it a localization of the disease on this part. On the other hand there may be no evidence of an irritation. This is comparatively rare. In this case the digestive symptoms were marked, and they are the most constantly marked of any of the symptoms of typhoid fever. I pointed out to you carefully the condition of the tongue. It now has a whitish fur over the dorsum; the tip is less red. It is still a little marked by the teeth but is contracting and is disposed to be dryish. The distension of the belly never became marked and now it has ntirely or almost entirely subsided so that the belly may be called flat. The bowels immediately became quiet when the patient was put to bed, the diet carefully regulated, and he was put upon the simple treatment I mentioned. There has been no loose stool since then. Four days ago we brought away some ochre colored fæces by an enema. The bowels were allowed to again go four days without being opened, we again employed an enema and brought away fæces of the same character but more consisten*. |