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hours, five pellets, and no other treatment except care as to diet. At the end of week reported gradual improvement. Second week same dose of the drug after meals and at bedtime. Reports no discomfort after food.-DR. W. B. BRECK, Brooklyn.

Rhus tox. 30.-T. L., male, æt. 55. Duration of illness two weeks. When first seen he had a hard, tight cough that seemed to come from the pit of the stomach, although it did not hurt chest or abdomen. Pathogenetic Symptoms: Cough spasmodic; occipital headache, worse at night, with great soreness of the occiput; sore to touch; aggravation after midnight; chills, fever and sweat; during the chill he is warm to another's touch; profuse sweats; in the morning great disinclination to get up; relief after he has moved around; loss of appetite; thirst during the day. Clinical Symptoms: Cough worse lying down day or night, and worse from cold air; the pain in the head may extend from the occiput to the forehead; the occiput feels as if he had been struck; the chills, fever and sweat occur several times during the night, and they are worse every other night; either chill, fever or sweat may come first, and he has several of each: the bed feels too hard. Remarks: Gave him rhus tox. 30 every two hours. In twenty-four hours the occipital region felt normal to the touch, and that night he had the last of his chills. On seeing him a month later he had had no further trouble.-DR. W. I. PIERCE, New York.

Pulsatilla -Mrs. W., æt. 45. Dark complexion; coffee drinker; generally healthy. Neuralgia in the right jaw, right side of face, going to the right supra-orbital region. Pathogenetic Symptoms: Pain sharp and excruciating in the jaw; better in the open air; worse with warm applications; better when holding a cold liquid in the mouth. Clinical Symptoms: Pains come. suddenly, lasting two and one-half to three minutes, and leave quickly, but not as suddenly as they come. Pains come on any time, day or night. Remarks: These pains had lasted for two months, and had not been relieved by allopathic drugs. This was the first time I had prescribed for her, and as she spoke of her great fondness for strong coffee and that I must not deny her the use of it, I thought that a high potency of coffea was what she needed, but not having the potency with me that I wished to use I gave her pulsatilla first, intending to give her the coffea the next day. On my return she said she had had no pain for twelve hours, and she has had no return of the trouble up to the present time, which is now over a year.—Ibid.

Phytolacca .--R W., æt. 22. Contracted diphtheria from his brother who died after taking Antitoxin three days. Pathogenetic Symptoms: High fever. Pains in the head and extremities, great thirst. Clinical Symptoms: Right side of throat covered with a grayish-white membrane. Remarks Phytolacca in water was administered, with no local treatment. The following day the membrane had extended to the left side, the fever was still high but the pains were less. Third day membrane disappeared from the right side. Fourth day throat entirely clear. Patient feels well. Health Board had examined culture and declared it was true diphtheria.-DR. A. R. MCMICHAEL, New York.

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DIRECT LARYNGOSCOPY.-Dr. Kirstein, of Berlin, has devised a new method of direct examination of the larynx and trachea without the intervention of a mirror. The patient is placed on the back, in the horizontal position, with the head hanging down, and an œsophagoscope introduced. A speculum, in the form of a metal tube ten inches long, is passed behind the epiglottis and illuminated by an electroscope (Caspar's), and through it the larynx, etc., are viewed with the naked eye. The idea does not seem of great practical value, though it may extend our methods of examination in some unusual cases.

FORCED DILATION OF THE LARYNX.-Dr. Louis Bois has devised a three-bladed, dilating canula, acting by a screw on the introducing handle, for forcible dilation of the larynx in diphtheria or croupous laryngitis, re establishing in a few moments the lumen of the larynx which is obstructed by false membrane, and incidentally detaching the membrane and causing its expectoration, or diminishing its thickness and vitality by the pressure of the canula. He claims the membrane so destroyed rarely re-occurs more than twice, and that repeated dilations, lasting a few minutes every three hours, for two or three days, will ultimately finish it. "The method is painless and harmless.'-N. Y. Med. Jour.

DOUBTFUL DIAGNOSIS IN LARYNGEAL DISEASE.-Dr. Clarence E. Rice Medical Record) lays great stress upon the importance of the administration of the iodide of potash in cases of laryngeal disease, ulceration, of doubtful origin. Claiming that the tendency of many cases of these diseases to be non-typical, the co-existence of tuberculosis and syphilis, of malignancy and syphilis, the close resemblance of syphilis at times to these other diseases, and of them to it, makes the administration of the iodide always a wise test. He believes many cases of tuberculosis and malignant disease of the larynx, "cured," were syphilitic and not as diagnosed.

STAMMERING.-The treatment of individual cases must vary with the age, intelligence and environment of each case, but general rules, based on physiological processes in speech, may be applied in every instance. It must be understood that sudden cure is out of the question, that in patient perseverance lies the only hope of success. General treatment may be required if the patient is in any way out of health, but there is no drug having a specific effect. "The patient should be instructed to keep his chest full of air when speaking. If his chest is small and breathing shallow much good may be done by daily exercising with dumb-bells, or by practice in a regular gymnasium. When speaking he must endeavor to get into the habit of doing so in a clear resonant voice, and must not speak rapidly. This is usually extremely difficult for him, and severa

months of steady practice may be required before the end is obtained. He and his relations must be instructed in the processes concerned in articulation, and should be shown the position of the tongue, lips, etc., requisite for the production of each consonant. Exercises consisting of sentences containing as many as possible of the consonants with which he has difficulty should be given him to learn by heart and repeat frequently. He must remember that in ordinary speech vocalisation and articulation occur simultaneously, and when he comes to a difficulty he must try to vocalise and not concentrate his efforts fruitlessly on articulation. The patient should be instructed to read aloud for at least half an hour twice a day, practicing every difficult word in the way described above until its utterance becomes easy. A note should be made of each word which gives difficulty in order that it may be practiced subsequently. If there are any associated movements the reading practice should always be performed in front of a mirror, in order that he may become aware of and check any gestures."-W. S. COLMAN, M. D., M.R.C.P., The Lancet.

INJECTIONS OF SALICYLIC ACID IN THE TREATMENT OF UTERINE CANCERS.-The Province Medicale for May 18th contains an account of this mode of treatment, which has been employed successfully by M. F. A. Fafiousse in seven cases of uterine cancer. The author used a six per cent. solution of the acid in alcohol in the following manner: The patients received previously vaginal antiseptic injections from two to three times a day, one of these injections always preceding those of the salicylic acid. From one to four cubic centimetres of the solution were injected into the vaginal portion of the neck of the uterus in five or six places in the affected region. The vaginal portion was then dried and rubbed with tampons of cotton and dusted with iodoform powder, and the vagina was packed with two or three tampons of cotton saturated with a mixture of glycerin and iodoform. The patients were then put in bed and ordered to remain there during the day without moving; in the evening (or the following morning if there was abundant hæmorrhage) the tampons were withdrawn and a vaginal injection was given.

The first injections, says the writer, are usually followed by a rather profuse hæmorrhage, but the more frequent the injections the less abundant will be the hæmorrhage. The places subjected to many punctures give very little blood. In the majority of cases the injections are painful, but the pain disappears very rapidly, and there are no secondary unfavorable symptoms of any kind. The injections are repeated more or less often, according to the gravity of the case and to the intensity of the patient's suffering.

The results of these injections are the almost complete cessation of metrorrhagia, the disappearance of the leucorrhoea, the diminution of the pain, the amelioration of the general condition, and the arrest of the progress of the disease.

It will be seen then, says the writer, that the injections of salicylic acid are superior to all other means of treatment proposed for inoperable cancer. If it is true that the amelioration is partly due to the more favorable conditions in which the patients find themselves in the hospital, it can not be denied that the restorative action of the salicylic acid was prompt in the seven cases observed by the author.-N. Y. Med. Journal_

CONDUCTED BY

H. WORTHINGTON PAIGE, M.D.

DR. C. S. MACK has joined the faculty of the Hahnemann College of Chicago.

DR. B. F. BAILEY, of Lincoln, Neb., is a member of the State Board. of Health of Nebraska.

CHINA. Twenty five educated medical men in a population of 400,000,000. Ought to be a good place to start a "dispensary abuse."

ALL NEWS or other matter relating to ihis department should be addressed to The Rutland, 256 West Fifty-seventh Street, New York City.

DR. AND MRS. J. MONTFORT SCHLEY, of No. 1 East Forty-second Street, gave a dinner party on Tuesday evening, December 10th, for Captain Winfield Scott Schley, U.S.N.

GROSS & DELBRIDGE, the old and reliable Homœopathic Pharmacists and Book Publishers, have secured new and spacious quarters at 95 and 97 Wabash Avenue, corner Washington Street, into which they will move about January 15th, 1896

DR. S. F. WILCOX entertained the Executive Committee of the New York County Society at a most enjoyable little dinner on the evening of December 6th, it being the last committee meeting of Dr. Wilcox's term as president of the society.

THE OPENING RECEPTION of the Memorial Hospital for Women and Children, was held at the new hospital building, corner of Classon and St. Mark's Avenues, Brooklyn, on Tuesday and Wednesday, November 26th and 27th, 1895.

DR. E. E. KEELER, of Syracuse, recently delivered a paper upon "The Cure of Cataract by Medicine," before the Oswego County Medical Society. In compliment to the value of the paper the society has elected him an honorary member.

The American Homeopathist recently published an article discussing the Homœopathic colleges of Chicago, and in it told too much of truth to suit some of the colleges aforementioned. The Medical Current has inverted its oil-can and is endeavoring to still the troubled waters.

We regret TO RECORD the death of Dr. Emma C. Geisse, who died at the Mary Thompson Hospital, Chicago, on November 25th, 1895. She was Professor of Sanitary Science at the National Medical College, a progressive and successful practitioner and a staunch Homoeopath.

"STRIKE WHILE THE IRON'S HOT." Governor Werts, of New Jersey, in his last annual message, dwelt upon the overcrowding and inadequacy of the State Insane Asylums. The Committee on Legislation of the State Society, of which Dr. Charles H. Hubbard, of Camden, is chairman, are actively pushing, by petition and otherwise, to secure an asylum for the homœopathic school. May success crown the effort.

WHISPER IT SOFTLY. No new medical college reported in Chicago this week, but then it's only Friday, and

BOTH SIDES HONORED. Dr. R. E. Dudgeon, London; Dr. Reuben Ludlam, Chicago; Dr. I. Tisdale Talbot, Boston, were elected to honorary membership in the New York Homœopathic County Society at its annual meeting, December 12th, 1895.

OFFICERS ELECTED. The following officers were elected for 1896 at the annual meeting of the New York County Society, held December. 12th, 1895: President, Dr. Charles Deady; Vice President, Dr. Loomis L. Danforth; Secretary, Dr. H. Worthington Paige; Treasurer, Dr. Charles S. Macy; Librarian, Dr. Willard I. Pierce; Censors, Drs. F. E. Doughty, M. Deschere, S. F. Wilcox, A. B. Norton and G. W. Roberts.

NEW YORK MEDICAL COLLEGE AND HOSPITAL FOR WOMEN. In an informal report for the year ending October 1st, 1895, treated a total of 232 patients. Discharged-cured, 157; improved, 53; unimproved, 6. Died, 6; stillborn, 2; transferred, 1. Obstetrical cases, 50; surgical, 61; medical, 40; gynæcological, 32.

THE METROPOLITAN HOSPITAL, Blackwell's Island, is doing good work. For the year ending October 1st, 1895, there were 6,818 cases admitted and 10 births, making (with those already in the institution) a total of 7,249 cases treated. Discharged, 6,223; transferred to Almshouse, 236; deaths, 410. There were 30 nurses in the Training School, 12 graduating during the year. Male nurses, 12; paid help, 19; convalescent help, 13. Phthisis during the year, 876; epileptics, 9. Dr. G.. T. Stewart is chief of staff.

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THE ORIFICIAL INOCULATION IS WORKING." Yes, that curious individual who goes about just now suggesting orificial methods for every ailment, "took" the recent course. He is one of those unfortunate dilating habitues. Don't laugh at him. He is riding the hobby pretty hard at present, but then it's only a few weeks since the course. The poor beast will get the heaves bye and bye (for which stretch all sphincters), and then our enthusiastic friend will have a chance to reflect that humanity's terminal facilities are not all there is in life, and that while a paralyzed sphincter ani, or a widely dilated os may be all very well in its place, neither can be safely stretched to encompass all there is of valuein therapeutics.

CHILDREN'S AID SOCIETY. There were during the past year in six lodging houses 5,701 different boys and girls; 231,120 meals and 167,733 lodgings were supplied. In the 21 day and 12 evening schools were 13,724 children, who were taught and partly fed and partly clothed, 807,939 meals being supplied; 2,059 were sent to homes and employment, and restored to friends both in the East and the West; 4,358 were aided with food, medicine, etc., through the "Sick Children's Mission ;" 5.769 children enjoyed the benefits of the "Summer Home" at Bath, L. I. (averaging 577 per week); 6,156 mothers and sick infants were sent to the "Health Home" at Coney Island; 78 girls have been instructed in the use of the sewing machine in the Girls' Temporary Home and in the Industrial Schools; 23 were taught typewriting and 212 boys were trained at the Farm School. Three thousand four hundred and four dollars and fifty-seven cents have been deposited in the Penny Savings Banks. Total number under charge of the society during the year, 37,979.

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