tinually, and my results have been such that I want nothing else, because when people get quinsy every two or three weeks from the beginning of fall to the Fourth of July, and do that year after year, and you give Baryta carb., you then have the law of probability The law of probability is the only thing you have anyhow in these cases. Dr. Mohr may have given people Belladonna and they did not get scarlet fever and the Belladonna had nothing to do with it. The law of probability is that Belladonna had an inhibitive influence. on the germ, or whatever the infective principle is that causes the disease, and the result was that the people did not get it.

DR. C. S. MIDDLETON: I am much pleased with Dr. Guernsey's paper, and can confirm many of his statements, especially in regard to the prophylactic virtues of Belladonna in scarlet fever. I have regarded three remedies as prophylactic against scarlet fever, Belladonna for the old-fashioned Sydenham, smooth, shining variety; Rhus tox. and Anacardium for the miliary forms where there is excessive itching and roughness of the skin-just as red as the other variety, but of a different character. I also have another remedy for tonsillitis. Many people who are getting sore throat will come to you promptly, even though accustomed to have quinsy from time to time when there is a sticking sensation and a fishy taste. I have recommended a good many of my patients who are predisposed to quinsy to take a little piece of saltpeter about the size of a grain of chicken corn, put in the mouth and let it trickle down the throat. That has proved apparently, "with the law of probability" in my favor, a prophylactic against quinsy.

DR. T. H. CARMICHAEL: I would like to add two remedies, one in colds. Somebody has said if you get a patient thoroughly chilled, at the very beginning of a cold, give them Camphor mono-bromide in the first decimal trituration. I tried that and found it very efficacious. giving about five or seven grains. Another remedy is Cocculus indicus for car sickness. I made a little reputation by using that in the third decimal dilution.

DR. LONGWELL: There is one remedy I want to add for the prevention of quinsy, that is cold water. If anyone subject to quinsy will bathe the neck and chest as far as exposed to the weather every morning with cold water, he will never suffer from quinsy. That is from my own personal experience, because I had it about four times. a year. and simply used cold water every morning, applied to the neck and chest, and have not had quinsy in six years.

REPORT OF THE

SECTION OF OPHTHALMOLOGY, OTOLOGY AND LARYNGOLOGY.

A Few Remedies Rarely Prescribed in Diseases of the Eye, With Their Indications, by D. W. Harner, M. D.

Eye-Strain; Its Consequences and Treatment, by G. H. Haas, M. D.

A Few Points on Nasal Diseases, by Henry F. Schantz, M. D.

Some Reflexes from Eye-Strain, by J. W. Stitzel, M. D.

Report of Cases, by H. B. Ware, M. D.

Nasal Obstruction; Its Causes and Results, by H. S. Weaver, M. D.

A FEW REMEDIES RARELY PRESCRIBED IN DISEASES OF THE EYE WITH THEIR INDICATIONS.

D. W. HARNER, M. D., PHILADELPHIA.

While there is no doubt that the condition of the eye is a most important factor in the selection of the remdy, still we must not lose sight of the fact that the eye symptoms are very often the expression of a general constitutional cachexia, the remedy for which can only be found by a close examination of the individual.

The first remedy that I have selected is a very old one, and yet seldom prescribed, namely:

Ambra Grisea.-Under this remedy we find the following

symptoms:

Pressure as if the eyes had been closed too tightly, or as if they were lying deep in the orbits, especially early in the morning. Lacerating in the eyes, a feeling as if dust were in them, with pressure. With or without lachrymation.

Burning, especially in the right eye and about the lids, itching of the lids as if a stye would form; around the eyes violent titillating. Inflammatory redness of the white of the eye, injected condition of the blood-vessels, dimness of the sight, as if looking through a fog

or mist.

This remedy acts best on the so-called bilious or nervous bilious temperament.

Mephitis Putorius.-Pain in the eyes on turning them in certain directions, as if some foreign body had lodged in them; pain in eyes as from over exertion, pricking, stinging, and itching in eyes, heat and burning, a burning pressure, particularly morning and evening, stitches in the eyes as from needles. Redness of the conjunctiva, as if suffused with blood. Inability to read small print. The weakness of sight is generally accompanied with pain in the head and eyes. Letters become blurred and run together. Inflammation of eyes and lids, especially the right one.

Heat and burning of eyes, pressing on lids with burning of margins as if styes would form.

Asarum Europæum (Hazelwertz).—Introduced and proven by Hahnemann. Dry burning in eyelids and inner canthi, especially the left eye, with continual lachrymation.

Obscuration of sight. When reading sensation in eyes as if they would be pressed asunder.

Patient cannot read on account of aggravation from light. The eyes are inflamed, blear eyedness, redness of conjunctiva, with stinging and burning in canthi. Cold air is pleasant to eyes.

Sunshine, light and wind are intolerable. Painful feeling of dryness in eyes. Thickening of cornea. Sharp pain over left eye with running of tears: sensitiveness of sight.

Asthenopia accompanied by congestive headaches; eyes aggravated morning and evening when out doors in the heat and sunlight.

Relieved in middle of the day and by bathing in cold water. This remedy acts well on plethoric young people and on persons of nervous, excitable moods and on alcoholics.

Medorrhinum.--Feeling when eyes are closed as if they were being pulled out of head either to one side or other; when open, all things seem to flicker. A blur over objects. Numberless black or brown spots danceing on page while reading, sees objects double, things look very small, sees imaginary objects. If eyes are fixed on one object have a feeling as if they protruded, aching in eyeballs with pressure and heat in vertex with tendency to close eyes; neuralgic pain in eyes when closing them tightly. Continuous watering of eyes, great heat and sensation of sand under lids. Feeling of pain and irritation and sensation of sticks in eyes, lids and inner canthi; redness and dryness of lids. Congestion of sclerotic and sensation of a

cool wind blowing in eyes, especially the inner canthi. Ptosis of outer end of both upper lids, requiring an effort to open them. Swelling of upper lids, with soreness and smarting of edges. Marked tendency to irritation of edges of lids. A hardness of upper lids as if it had a cartilage in it. Itching of eyebrows, with falling of brows and lashes. Swelling under eyes.

Ammonium Muriaticum.-Sensation of a hammering or pushing over the margin of right orbit. Lacerating in the upper border of the right eye, in the external canthus of the eye, in the eyeballs. Burning of the eyes. especially of the canthus after rising, with intolerance of light. The eyes burn at night with profuse lachrymation. Eyes gum together in the morning with twitching of the lids of the eyes. Lachrymation soon after rising, redness of the whites of the eyes and itching. Small vesicles on the whites of the eyes. Mist before the eyes, worse in the open air. Yellow spots before the eyes when reading or looking into the open. Optical illusions in dark colors, flying spots and points before the eyes, muscæ volitantes during day and by artificial light; eyes look dull and have a peculiar glassy or watery shine, even eyes are yellow; useful in capsular cataract. The remedy seems best suited to people who are fat and sluggish, or if you see a person with a fat body and thin legs always think of Ammo. mur.

Antimonium Tartaricum.-The eyes have a tired, weary feeling, want to be closed, bruised feeling of the eyeballs, particularly on touching them. Tearing pain in the eyes. Burning, especially in the evening the eyes are turgid with blood. Passing and frequently recurring scintillations; mistiness and vertigo; vanishing of sight; over-sensitive retina; eyes fill with tears when yawning; vertigo on closing eyes; gonorrhoeal ophthalmia.

Ophthalmia rheumatica or arthritica.

Opium. This remedy has been but little used in diseases of the eye. Although probably better known than many others, frequently prescribed. The eye symptoms under this remedy are obscuration of sight; amblyopia, scintillations before eyes. Dim sight as if looking through gauze. Dilated pupil. Sensation as though eyes were too large for orbits. Eyes glassy, protruded, immovable, staring look, half open, turned upward, red, half closed, burning, hot and dry, red, glistening and prominent. Sensation of sand or dust in eyes with burning sensation. Swelling of lower lids; lids hanging down as if paralyzed. Total paralysis of accommodation, with impaired sensi

Arteries

bility of retina. Embolism of central artery of retina. bloodless, veins engorged and stagnant with hæmorrhagic spots on disk.

Menyanthes Trifoliata.-When reading everything becomes black before the eyes. Frequent obscuration of sight while reflecting when reading. Flickering before the eyes as if everything were jumping. Contraction of pupils, then dilation. Pressure in eye with sensation of vertigo or of vanishing of sight, dull stitches in eyeballs, sensation as if eyelids were swollen. Burning over left eyebrow. Dimness of eyes only in open air.

Eyelids feel stiff as from tonic spasm.

EYE-STRAIN; ITS CONSEQUENCES AND TREATMENT.

G. H. HAAS, M. D., ALLENTOWN.

The object of this paper is to direct attention to the eye as a frequent and often unrecognized source of nervous strain, resulting in varied forms of neuroses. Many exhaustive papers are written, but to my mind not too much can be said, particularly in regard to the practical side of the subject. If oculists would publish their asthenopic cases with their treatment and results, it would doubtless serve a most useful purpose to the profession in general.

Errors of refraction and irregularities of the ocular muscles are so common and the ensuing consequences of so serious a nature that they deserve the most careful consideration. There is probably no branch of medicine offering more brilliant results to the conscientious student than the painstaking correction of these anomalies.

Every oculist of some experience can cite cases, ad infinitum, in which not only are severe headaches caused by eye-strain but distant organs of the body are affected.

If we agree that defects in the refraction of the eye or anomalies of the extrinsic muscular apparatus are liable to become the cause of impaired nervous energy, and more particularly in a subject of a neuropathic predisposition, we can readily realize that the sooner the source of the depression is removed the better the prospects for the individual so relieved of escaping diseases that impaired nervous energy tends to develop.

If we reflect but for a moment and recall the fact that of all our