ENTEROCLYSIS

In Robert Coleman Kemp's valuable manual upon "Enteroclysis, Hypodermoclysis and Infusion," there is a brief introductory chapter by William H. Thomson, M. D., LL. D., from which the following is a quotation:

"Lavage of the invisible cavities of the body in inflammatory states of their lining mucous membranes has justly taken rank among the most effective of modern remedial measures. In the case

of the rectum and lower bowel, however, the greater number of advantageous results follow from this procedure, not only by improvement in local conditions, but still more by effects obtainable through certain physiological relations upon the general circulation, as well as others secured through important nervous associations with contiguous organs.'

We merely quote the above in order to give the opinion of such an eminent. authority as Dr. Thomson upon the value of enteroclysis. Bearing upon this subject the following clinical report will Bearing upon this subject the following clinical report by S. Newmayer, M. D., of Philadelphia, Pa., will be of interest:

Among the varied causes of convulsions none play a more frequent and important part than autointoxication. They are more frequent in children, due generally to a possible overfeeding, improper food or constipation. The intestinal canal contains a variety of toxins derived from the ingesta, bile and putrid material. There is continuous absorption from the intestines, including the taking up of toxines.

In the acute infections, where convulsions are oftimes a forerunner, autointoxication from the intestinal tract undoubtedly is of no minor importancé. Infections are are result of microbes and we know these bacteria produce something injurious to the system-they elaborate poisonous ptomaines or toxic substances. Nature tries to rid the body

of this poison through its various channels of elimination, one of which is the intestinal canal.

It is here we can aid nature with our antiseptics. The value of internal intestinal antiseptics I believe is greatly over-rated. Many of these drugs are soluble and absorbable and those that are not are so often given in such small doses that in the long journey from the mouth through the intestinal tract they have spent of their value before they have proceeded far.

Not to employ internal antiseptics would be unwise. But I would urge a more liberal use of antiseptic solutions by means of the rectal tube. This enteroclysis has not only its antiseptic value, diminishing the toxicity of the intestinal tract, but oftimes an antipyretic action. This mode of treatment has not been very popular with the physician because of the unclean work, but I am confident the results well repay one for the labor.

In all cases of convulsions, immaterial of the cause, and in any other condition pointing to autointoxication, I flush the lower bowel with a solution of glyco-thymoline, one to two ounces to the quart of water.

Glyco-thymoline is always kept in my emergency grip.

When you prescribe Papayans Bell for indigestion, they remove the indigestion by digesting the food and resting, strengthening and sweetening the digestive tract.

Papayans Bell contain only papain, charcoal and sodium bicarbonate, palatably flavored. The dose is two or three tablets-dissolved in hot water for severe and acute attacks-taken as necessary.

They are stocked by druggists, in packages of one hundred tablets, or will be forwarded by us to physicians and druggists only, upon receipt of fifty cents. Bell & Company (Inc.), Orangeburg, New York.

AUGUST MAGAZINES

The World To-Day always contains a wealth of interesting and helpful articles on the progress of the world. Each number is profusely and beautifully ilulstrated. We consider the World ToDay the best magazine published on current events and for this reason we have arranged our very attractive club offer with this splendid magazine. Some of the leading articles in the number are: "The Illustrators of the Magazines," illustrated, by Gustavus C. Widney; "The Romance of Life Insurance; The Evolution of the Policy," illustrated, by William J. Graham; "Agricultural Extension Among the Negroes," illustrated, by Robert E. Park; "Reviving the Elizabethan Pageant," illustrated, by Paul Pinkerton Foster,

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'One who was not afraid, and who spoke the truth.” This is the summary that F. Hopkinson Smith makes of the character of Captain Thomas A. Scott, master diver, whose life he sketches in the August Everybody's. Ernest Poole contributes a fine, vigorous article, "The Ship Must Sail on Time." It is about that great army of longshoremen and dockers whose share of trans-oceanic commerce is heavy manual labor. Eugene Wood is at his best in one of those "familiar essays" that charm the reader with their gentle humor and pathos"The Album on the Center-Table." Anyone who has never been to Atlantic City, and everyone who has been there, will want to read Frank Ward O'Malley's refreshing description of the city by the sea, under the title "The BoardWalkers." Hamlin Garland, in the fifth chapter of his series, "The Shadow World," takes up, in some detail, the experiments of the great European scientists, and particularly those engaged in by the Italian physicists and the famous medium, Eusapia Paladino. It sets forth, too, in a clear and logical manner, the latest theories that have been

advanced for and against "spirit" forces.

There is always a pleasure of expectancy about the National Magazine each month as you cannot tell just where the editor may be from month to month, but you can depend upon it the great national themes will be taken up and treated in that exhaustive, happy and vivacious manner peculiarly characteristic of Joe Chapple. Last month there was a strong story about the Chicago convention that read like Macaulay's history; this month we find the editor in Denver, gazing pensively at Pike's Peak, and a veritable "chiel amang ye takin' notes." Joe Chapple gives an incisive and interesting series of glimpses of a great national event. To handle the stories of the conflicting political parties and be absolutely fair to all sides, may seem difficult, but the National appears to have the breadth and scope that does not permit of the least spark of partisanship, all events being treated with the broad, American spirit and so life-like that the reader feels that he is actually an onlooker at the Denver convention. The serial essays on "My Lord Hamlet" are worthy the thoughtful consideration of every student and lover of Shakespeare.

PSEUDOANEMIA

Do not forget that not every anemiclooking patient has anemia, a lack of red blood corpuscles. The diathetic state known as lithemia very often induces such a contraction of the peripheral circulation as to produce a condition of palor that may be mistaken for anemia. The condition, however, is one of ischemia instead of anemia, and does not call for iron. The therapeutic indications are to overcome the underlying lithemia, and for this purpose there is no remedy superior to alkalithia, made by the Keasbey & Mattison Co., Ambler, Pa.