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Turpentine, 5 to 10 drops, in milk or on sugar, taken on an empty stomach, 3 mornings in succession, is surg death to worms. Oil of turpentine, 3 teaspoonfuls, taken in milk and combined with a little castor oil, kills tape

worm.

For Corns. Before retiring to bed at night, bind cotton on the corn, and saturate the cotton with turpentine. Four or five applications will remove the corn, it is stated.

For Diseased Gums.-Dilute vinegar as a mouth wash; this heals the gums after diphtheria.

Chrysophanic acid salve 20 grains to the ounce of base; applied daily, and at the same time the acid taken internally, cures many skin affections, including ringworm, eczema, herpes, dry and humid eruptions, acute and chronic.

Rub the breasts with hamamelis unguent., 4 times a day. If it be desired to dry up the milk in one breast only, then only anoint the breast.

Gelsemium has been used with success for paralysis following diphtheria, drop doses of the tincture.

Zinc phosphate, in minute doses, is a valuable remedy for mental derangement, resulting from bodily disease, enfeeblement of mind and body from habitual inebriation.

Flannel cloths wrung out of hot water, and saturated with oil or spirits of turpentine and applied, directly relieve: deep-seated pain in the chest, stomach, abdomen or kidney.

Turpentine on sugar, 3-drop doses every onehalf hour taken; and topical applications made to the throat and chest by flannel cloths wrung

out of hot water and saturated with the turpentine; (the applied cloths covered with dry compresses) is considered a sovereign remedy in croup.

Hot water irrigation of the uterus with a weak disinfecting agent or common salt is frequently used with benefit in acute and chronic endometritis.

Do not forget the importance in all eye infections of thorough catharsis. Clean the gastrointestinal tract with calomel.-Dr. Atkinson.

In coryza, hay fever and allied conditions, James E. Talley considers cinchonine sulphate, in four to six-grain doses three or four times daily, a most useful drug.

Rectal and sigmoidal cancers are too often treated for "dysentery." An examination of the lower bowel, important in all doubtful cases, should never be omitted in patients with mucous or bloody discharges.—American Journal of Surgery.

Don't overfeed your pneumonia patients. Gaseous distension adds greatly to their distress.

Do not forget the value of camphor in oil injections in pneumonia.

Mammary extract is being used with good results in the treatment of ammenorrhea, dysmenorrhea and other genital ailments of

women.

Add half a grain of thyroid (three times a day) to the usual treatment of refractory cases of bedwetting. It has been recommended as a successful remedy with no other associated drug treatment.-American Medicine.

Turpentine, in small doses, frequently repeated, is regarded as the best remedy there is for Bright's Disease.

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TOIMEDICAL SUMMARY

PRACTICAL MEDICINE, NEW PREPARATIONS, ETC.

R. H. ANDREWS, M. D., Editor and Publisher, 2321 Park Ave., Phila., Pa.

One Dollar Per Annum in Advance. Single Copies, 10 Cents

Vol. XXXVIII

Philadelphia, April, 1916

No. 2

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We cannot always supply back numbers, but should a number fail to reach a subscriber, we will supply another, if notified within a month after issue.

"THE MEDICAL SUMMARY," 2321 Park Ave.

Philadelphia, Pa. Entered at Phila. Post Office as second-class matter.

IODINE

Iodine is the top-liner as a germicidal a germicidal remedy and for this purpose is used more extensively the world over than anything else. Its great virtue lies in its ready absorption and its deep penetration. No other agent or combination can be so efficacious in dirty or infected wounds. Iodine crystals must be finely dissolved in order to promote rapid absorption or much of its therapeutic action is lost. If it is not in a state of fine subdivision the pores and follicles do not permit ready absorption. Iodine vapor is produced with very little heat and this is a choice method of obtaining its germicidal action. The fumes

are resublimized as soon as they come in contact with a cooler surface. Fumigation with iodine is certainly an excellent method of disinfecting cavities and parts not otherwise easily reached. It is an effective way to treat or prevent sore throats, nasal catarrh, hay fever, bronchitis, tracheitis, otitis, vaginitis, and many other affections. Iodine vapor is always of value in the treatment of the bronchial troubles of young children.

ALCOHOL AND PNEUMONIA

The United States Public Health Service brands strong drink as the most efficient ally of pneumonia. It declares that alcohol is the handmaiden of the disease which produces ten per cent. of the deaths in the United States. This is no exaggeration. We have known for a long time that indulgence in alcoholic liquors lowers the individual vitality, and that the man who drinks is peculiarly susceptible to pneumonia. The United States Public Health Service is a conservative body. It does not engage in alarmist propaganda. In following out the line of its official duties it has brought forcefully to the general public a fact which will bear endless repetition. The liberal and continuous user of alcoholic drinks will do well to heed this warning, particularly at this season of the year when the gruesome death toll from pneumonia is being doubled.

QUININE: HOW AND WHEN TO USE IT

After all we have much to learn from the old remedies which we employ every day. We are all prone to use standard and well-recognized remedies in a routine manner instead of giving them diligent research and endeavoring to learn new ways of using them. Under the above caption Dr. C. A. West in Ellingwood's Therapeutics gives some ideas from a personal viewpoint on quinine. The article is too long for reproduction in full here but we give a few paragraphs below excerpted from the essay.

A single dose of sixty grains of quinine sulphate given to an adult male caused extreme depression with feeble circulation, coldness of the surface and extremities, respiration slow and sighing, pulse slow and almost imperceptible, pupils widely dilated, sight and hearing almost extinct, voice very feeble, thirst great, tongue pale and moist, breath cold. While in some cases blindness from quinine has continued for some time, in no case has it been permanent. Quinine has produced deafness also, which in many cases has been per

manent.

In small doses it is tonic, in large doses stimulant, and in still larger doses sedative.

Quinine will act favorably upon the system if the skin be soft, if the mucous membranes of the mouth be moist, and if the tongue is moist and inclined to clear, if the pulse is full and soft and the temperature declining or at normal.

Quinine is specifically an antiperiodic. It also has specific oxytoxic powers over the parturient uterus.

Quinine destroys the plasmodium malariæ really, even in the minute quantity of one part to twenty thousand of water.

Quinine will cause hemorrhage from brain, lungs, bowels, kidneys. The writer states that he has never known a case of hematuria in which quinine had not been used to abort malaria.

Where continued fever exists quinine is of no benefit if there is no marked remission or other evidence of malaria. It is thus of no use during the progress of typhus, typhoid and other protracted fevers. In such cases it causes nerve irritation and increased temperature, especially if there is deficient secretion.

When the fever is broken and there is a tendency toward a restoration of secretion, and the temperature is normal or subnormai,

then this agent is a vitally important one. Here the bisulphate, being readily absorbed, produces the happiest results.

The writer points out that the absorption of quinine takes place slowly and a period of four to six hours is required, under favorable circumstances, to develop the full effect of the remedy. In malaria a dose of from three to five grains, given five hours before the expected paroxysm, will exercise its full influence upon the paroxysm when it should appear.

If another dose of two and one-half grains be given two hours after the first dose, and a third dose of the same size be administered after another period of two hours, or one hour before the chill will occur, the effect of the agent will be uniformly continued during the time in which both the chill and the fever would have reached their highest point. The repetition of this course on the second and third days will usually be sufficient to overcome the most severe cases. It is well to adopt the same course on the seventh, fourteenth and twenty-first days following the attack.

PROTECT THE CHILDREN FROM

CONTAGION

The erratic belief still obtains among many mothers that it is just as well that their children have the more common contagious diseases while they are young and thus "have them over and done with." The physician should strive to his utmost to convince the public that such a practice is criminal. It is often pointed out that measles is a disease much more fatal in later life than in early childhood, yet we are told that nine-tenths of all deaths from measles occur in children under five years of age. Whooping-cough is lightly considered by many parents, although this disease is one of the most fatal among young children, taking a toll of ten thousand young lives annually in the United States. Whooping-cough rarely proves fatal after the fifth year. The older and stronger the child grows the greater is his immunity to infections of all kinds and when he does acquire them his bodily resistance is in much better condition to cope with them. It should be pointed out to mothers that many of the diseases and defects, mental as well as physical, are often

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