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CARBOLIC ACID VERSUS MOSQUITOES.
633 is sure to remove the entire lesion. As a palliative the results which it affords may be more easily obtained by other means. (6) As to the conditions which the parts ought to present in order to warrant the operation, all surgeons are agreed that it is indispensable that the rectum be free and mobile in the pelvic space. The surgeon must make sure as exactly as possible that, in man, the genitourinary organs are absolutely healthy, as their participation in the disease would be a formal counter-indication. (7) This rule does not apply to females, in whom the recto-vaginal wall may be more or less extensively involved without any grave inconvenience resulting. (8) In cases of stricture, extirpation must be reserved as quite an exceptional procedure. It is only after numerous trials of treatment, and when the general condition is grave, that we are justified in using this extreme means. ACTION OF VALERIAN IN DIABETES.
Dr. Bouchard, of La Charite Hospital, has been making a trial of valerian in diabetes. In diabetes without sugar the medicament did not seem to diminish the quantity of urine, but azoturia was obviously amended. The quantity of urea discharged in the twenty-four hours was much diminished ; it decreased from forty-five grammes (about eleven drachms) to ten grammes (two drachms and a half). The same results were observed in diabetes mellitus. In these cases, when there existed azoturia together with glycosuria, the quantity of urea always diminished under the influence of valerian. In some cases there was less excretion of water and sugar ; but these effects seemed uncertain. But decrease in the production of urea was invariable. Valerian therefore prevents denutrition, and may be considered a saving medicament (médicament d’epargne). Dr. Bouchard, in respect to this latter quality, the customs of various Indian tribes, among whom the warriors, during a month previous to going out to fight, make use of valerian in every shape-in baths, in frictions, and internally. They ascribe to the substance the strength and courage which they feel in going through long marches, fatigue, and privation of food. This property of valerian has been observed in arsenic and bromide of potassium. Dr. Bouchard commenced with weak doses, which he gradually increased to one ounce of extract of valerian without noticing an inconvenience.
quotes
ASPIRATING PUNCTURE IN STRANGULATED
INGUINAL HERNIA.
Case recorded
by
Dr. Albanese in Gazetta
strangulation. Taxis was performed uselessly, signs came on: imperceptible pulse, faecal
worse
voruiting,
&c.
The tumour
was
the size of
a
lemon, trans-
parent, and sonorous on percussion. Taxis, after local and general anesthesia, was again vainly tried. The mesial and external part of the tumour was then punctured. About four drachms of an alkaline liquid, without any smell, came away. Some gas escaped; reduction was not possible. The instrument was then introduced about one inch higher. Five drachms of fluid were then aspirated, and more gas escaped. Taxis became possible, and the patient soon recovered. TREATMENT
OF
HEMORRHAGE
CASES OF CONGENITAL HaeMATOMA OF THE NECK. Dr. Luigi Monti, of Bologna, has recorded in Bulletino delle Scienze Mediche, a case of the above, which he discusses in connexion with four other cases quoted in La Revista di
Medicina e Chirurgica. The case was that of a male child on whose neck was seated a large tumour scarcely smaller than the head. It extended from the clavicular region to It presented a livid hue, and was the mastoid process. soft and elastic to the touch. In its lower half was to be felt a small, hard, mobile body, about the size of a small nut. The tumour moved when the child cried, and became harder. A puncture was made, and about three ounces of blood came away. The cyst then became inflamed, and it The child was then necessary to open the tumour largely. was perfectly cured at the end of two months. TREATMENT OF SALIVATION BY ATROPIA.
The patient, a woman of sixty-eight years, had had two attacks of apoplexy followed by hemiplegia of the left side. On being admitted into Dr. Ebstein’s wards (Breslau Hos-pital) profuse salivation was observed. According to the patient, it had begun a month previously. Atropia was administered internally without any effect. On the dose being increased the quantity of saliva diminished. Atropia (the sulphate) was then injected hypodermically, and after seven minutes the salivation was stopped. On doubling the dose the secretion was arrested for twelve hours. Dr. Ebstein explains the action of the drug through its influence on the permanent irritation of the secretory fibres of the salivary glands. HYPODERMIC INJECTIONS OF BINIODIDE OF MERCURY IN CONSTITUTIONAL SYPHILIS.
Dr. Ragazzoni has happily modified the formula advocated Gamberini by adding to the solution of biniodide of mercury a little iodide of potassium, which ensured the complete dissolution of the salt. His formula is : biniodide of mercury, half a grain ; iodide of potassium, sufficient quantity; distilled water, half a drachm. This liquid injected at once never produces an eschar, if it is introduced properly into the conjunctival subcutaneous tissue, and not the derm.-Giornale It. del Malattie del. Pelle.
by
Clinica di
Palermo.-Patient, thirty-seven, and suffering for three years from reducible inguinal hernia, suddenly presented
signs of and the
he must plug the alveola by means of a substance impervious to saliva, and make use of a contrivance for compressing the gum similar to the one described in this article.
rhage persist,
CONSECUTIVE
ON
EXTRACTION OF TEETH.
The following are the conclusions of a very complete essay published on the above by Dr. Joseph Moreau, in the last number of the Archives MEdicales :-(1) Haemorrhage in such cases is an accident ordinarily benign, but which should always engage the attention of the surgeon through the exceptional gravity which it sometimes presents. (2) As it takes its intensity from individual conditions or constitutional affections, the surgeon must consult the history of the patient and be mindful of the signs of haemophilia. (3) When this predisposition to haemorrhage exists, he must absolutely refuse to perform the extraction. (4) In cases where the haemorrhage does occur, the surgeon must empty the alveola of any foreign bodies, reduce the displaced osseous parts, resect any loose flaps of gum, or put them back into their places according to their extent, cause the patient to wash the mouth gently and repeatedly, and forbid all movements of suction. (5) Should the haamor-
CARBOLIC ACID
VERSUS
MOSQUITOES.
To the Editor of THE LANCET. SIR, It occurs to me that the evils arising from mosquitobites, not to mention sundry others, might be avoided by anointing the face, arms, and other exposed parts with a mixture of carbolic acid and sweet oil, in the proportion of Carbolic acid is to the insect tribe what the one to twenty. colour of carnation was to Sir John Falstaff, a thing henever could abide; and when we read that strong, healthy sailors have been worried almost to death by the inflictions of those insects in a single night, surely this or some such simple means would be more than valuable to those engaged the expedition against the Ashantees. in ’ Surely also the nations of the East have not been in the habit of anointing themselves to no purpose for centuries past. " There is reason," observes Sir Henry Holland, 11 as well as scope, for making larger use of this as a curative means in disease," and it appears to me for prevention also. I am, Sir, vours obediently, D. DE BERDT HOVELL. Five Houses, Clapton, Middlesex, E., Sept. 29th, 1873.
SALISBURY
MEDICAL
SOCIETY.
-
The
following
gentlemen have been elected to hold office for the year ending June, 1874 :-President: Mr. F. R. P. Darke, Salisbury. Vice-presidents : Mr. W. G. Davis, Heytesbury, and Mr. W. M. Coates, Salisbury. Committee: Mr. F. C. Bennett, Salisbury, Mr. C. R. Straton, Wilton, and Mr. M. Biggs, Salisbury. Treasurer : Mr. J. Good, Wilton. Secretary : Mr. H. J. Manning, Laverstock.
Dr. Bouchard, of La Charite Hospital, has been making a trial of valerian in diabetes. In diabetes without sugar the medicament did not seem to diminish the quantity of urine, but azoturia was obviously amended. The quantity of urea discharged in the twenty-four hours was much diminished ; it decreased from forty-five grammes (about eleven drachms) to ten grammes (two drachms and a half). The same results were observed in diabetes mellitus. In these cases, when there existed azoturia together with glycosuria, the quantity of urea always diminished under the influence of valerian. In some cases there was less excretion of water and sugar ; but these effects seemed uncertain. But decrease in the production of urea was invariable. Valerian therefore prevents denutrition, and may be considered a saving medicament (médicament d’epargne). Dr. Bouchard, in respect to this latter quality, the customs of various Indian tribes, among whom the warriors, during a month previous to going out to fight, make use of valerian in every shape-in baths, in frictions, and internally. They ascribe to the substance the strength and courage which they feel in going through long marches, fatigue, and privation of food. This property of valerian has been observed in arsenic and bromide of potassium. Dr. Bouchard commenced with weak doses, which he gradually increased to one ounce of extract of valerian without noticing an inconvenience.
quotes
ASPIRATING PUNCTURE IN STRANGULATED
INGUINAL HERNIA.
Case recorded
by
Dr. Albanese in Gazetta
strangulation. Taxis was performed uselessly, signs came on: imperceptible pulse, faecal
worse
voruiting,
&c.
The tumour
was
the size of
a
lemon, trans-
parent, and sonorous on percussion. Taxis, after local and general anesthesia, was again vainly tried. The mesial and external part of the tumour was then punctured. About four drachms of an alkaline liquid, without any smell, came away. Some gas escaped; reduction was not possible. The instrument was then introduced about one inch higher. Five drachms of fluid were then aspirated, and more gas escaped. Taxis became possible, and the patient soon recovered. TREATMENT
OF
HEMORRHAGE
CASES OF CONGENITAL HaeMATOMA OF THE NECK. Dr. Luigi Monti, of Bologna, has recorded in Bulletino delle Scienze Mediche, a case of the above, which he discusses in connexion with four other cases quoted in La Revista di
Medicina e Chirurgica. The case was that of a male child on whose neck was seated a large tumour scarcely smaller than the head. It extended from the clavicular region to It presented a livid hue, and was the mastoid process. soft and elastic to the touch. In its lower half was to be felt a small, hard, mobile body, about the size of a small nut. The tumour moved when the child cried, and became harder. A puncture was made, and about three ounces of blood came away. The cyst then became inflamed, and it The child was then necessary to open the tumour largely. was perfectly cured at the end of two months. TREATMENT OF SALIVATION BY ATROPIA.
The patient, a woman of sixty-eight years, had had two attacks of apoplexy followed by hemiplegia of the left side. On being admitted into Dr. Ebstein’s wards (Breslau Hos-pital) profuse salivation was observed. According to the patient, it had begun a month previously. Atropia was administered internally without any effect. On the dose being increased the quantity of saliva diminished. Atropia (the sulphate) was then injected hypodermically, and after seven minutes the salivation was stopped. On doubling the dose the secretion was arrested for twelve hours. Dr. Ebstein explains the action of the drug through its influence on the permanent irritation of the secretory fibres of the salivary glands. HYPODERMIC INJECTIONS OF BINIODIDE OF MERCURY IN CONSTITUTIONAL SYPHILIS.
Dr. Ragazzoni has happily modified the formula advocated Gamberini by adding to the solution of biniodide of mercury a little iodide of potassium, which ensured the complete dissolution of the salt. His formula is : biniodide of mercury, half a grain ; iodide of potassium, sufficient quantity; distilled water, half a drachm. This liquid injected at once never produces an eschar, if it is introduced properly into the conjunctival subcutaneous tissue, and not the derm.-Giornale It. del Malattie del. Pelle.
by
Clinica di
Palermo.-Patient, thirty-seven, and suffering for three years from reducible inguinal hernia, suddenly presented
signs of and the
he must plug the alveola by means of a substance impervious to saliva, and make use of a contrivance for compressing the gum similar to the one described in this article.
rhage persist,
CONSECUTIVE
ON
EXTRACTION OF TEETH.
The following are the conclusions of a very complete essay published on the above by Dr. Joseph Moreau, in the last number of the Archives MEdicales :-(1) Haemorrhage in such cases is an accident ordinarily benign, but which should always engage the attention of the surgeon through the exceptional gravity which it sometimes presents. (2) As it takes its intensity from individual conditions or constitutional affections, the surgeon must consult the history of the patient and be mindful of the signs of haemophilia. (3) When this predisposition to haemorrhage exists, he must absolutely refuse to perform the extraction. (4) In cases where the haemorrhage does occur, the surgeon must empty the alveola of any foreign bodies, reduce the displaced osseous parts, resect any loose flaps of gum, or put them back into their places according to their extent, cause the patient to wash the mouth gently and repeatedly, and forbid all movements of suction. (5) Should the haamor-
CARBOLIC ACID
VERSUS
MOSQUITOES.
To the Editor of THE LANCET. SIR, It occurs to me that the evils arising from mosquitobites, not to mention sundry others, might be avoided by anointing the face, arms, and other exposed parts with a mixture of carbolic acid and sweet oil, in the proportion of Carbolic acid is to the insect tribe what the one to twenty. colour of carnation was to Sir John Falstaff, a thing henever could abide; and when we read that strong, healthy sailors have been worried almost to death by the inflictions of those insects in a single night, surely this or some such simple means would be more than valuable to those engaged the expedition against the Ashantees. in ’ Surely also the nations of the East have not been in the habit of anointing themselves to no purpose for centuries past. " There is reason," observes Sir Henry Holland, 11 as well as scope, for making larger use of this as a curative means in disease," and it appears to me for prevention also. I am, Sir, vours obediently, D. DE BERDT HOVELL. Five Houses, Clapton, Middlesex, E., Sept. 29th, 1873.
SALISBURY
MEDICAL
SOCIETY.
-
The
following
gentlemen have been elected to hold office for the year ending June, 1874 :-President: Mr. F. R. P. Darke, Salisbury. Vice-presidents : Mr. W. G. Davis, Heytesbury, and Mr. W. M. Coates, Salisbury. Committee: Mr. F. C. Bennett, Salisbury, Mr. C. R. Straton, Wilton, and Mr. M. Biggs, Salisbury. Treasurer : Mr. J. Good, Wilton. Secretary : Mr. H. J. Manning, Laverstock.