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ether, and even hydrobromic ether, were all employed, with but slight improvement from the latter agent. When I placed her upon fifteen minims of hydrobromic acid, three times daily, as a lemonade, when the dose had been increased to thirty minims, and she was fully under its influence with the hydrobromic ether, all this noise disappeared. This was one of the cases in which Fothergill's acid was employed, and I am pleased to state that after one year the relief in this case was permanent, as she so reported in person.

ConcLUSIONS. 1st. Most of the cases of Ménière's symptoms of disease are of

a secondary nature, and are due to inflammatory processes

within the tympanum, or mastoid cells. 21. In the majority of the cases, the rotation, according to the

most recent investigations, is toward the affected side, the attack usually lasting from two to thirty minutes, but in

some cases from one to two days. 31. These attacks are often accompanied with tinnitus of a pain.

ful and pulsatory character, and are relieved by the use

of local measures and hydrobromic acid. 4th. The symptoms of tinnitus, giddiness, headache, etc., can

all be relieved without entire loss of hearing except in a

few rare cases. 5th. Local treatment is often successful if, according to Dr. A.

Guye,' the cases are not of too long standing. 6th. In 1874 M. Charcot, of Paris, recommended the dotted

actual cautery over the mastoid process, and sulphate of quinine in doses of ten to fifteen grains daily in inveterate cases of Ménière's disease.

I Paper read before the Otological Section of the International Medical Congress at Amsterdam, Sept. 9, 1879.







The Committee of Arrangements, by request of Dr. A JACOBI, of New York, and others, set aside a room for the subject of Diseases of Children, and appointed several papers to be real. On June 3, 1880, the Section met and organized by electing Dr. S. C. Busey, of the District of Columbia, Chairman; and Dr. Frank WOODBURY, of Pennsylvania, Secretary. An amendment to the by-laws creating a permanent section was ordered to be presented, and recommended by the chairman to the general session. This was done the next morning, June 4, 1880, when a resolution was unanimously adopted, establishing a permanent Section on Diseases of Children, to be known as Section VI.

The following papers were read before this Section:-
An address on The Claims of Pædiatric Medicine, by A. Jacobi.

Bright's Disease in Children caused by Malaria, by Dr. S. C. BUSEY.

Congenital Multiple Lymphectasia, by Dr. Jas. C. Green, of New Jersey.

On Congenital Atrophy of the Liver, by Dr. A. JACOBI.
A Case of Supra-Pubic Lithotomy, by Dr. A. JACOBI.

These papers were all of an interesting and practical character, and were discussed by Drs. E. W. SCHAUFFLER, of Missouri, J. B. REYNOLDS, of New York (by invitation), H. A. IIOPPER, of New Jersey, E. A. CAREY, of New Jersey, and the officers of the Section.



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