Heterochylia. This term was invented by Hemmeter to classify those cases in which there are sudden changes in the gastric secretion, as from anacidity to hyperacidity due to nervous influences. To avoid false conclusions, frequent examinations of the gastric contents should be made in all doubtful cases.

Spasmodic Os Uteri.-Chloral hydrate, given in large doses, 15 grains every quarter hour up to a dram, is recommended by Marx (Medical Critic) as being of decided use in these cases. Morphine hypodermically is of great service in cases in which there is spasm of the os plus marked maternal exhaustion.

Local Application for Pleuritic Pains.-W. J. Robinson (Merck's Archives) prescribes the following combination: Onehalf dram of menthol, a dram each of guaiacol, camphor-chloral and methyl salicylate, and enough lanoline to make one ounce. A small quantity of the ointment is to be rubbed in well and the surface covered with cotton and oiled silk.

Officers of the Interstate Medical Association.-President, R. Harvey Reed, Rock Springs, Wyo. ; first vice president, Donald Campbell, Butte, Mont.; second vice president, Walter R. Pike, Provo, Utah; treasurer, E. S. Wright, Salt Lake City, Utah; recording secretary, Geo. P. Johnston, Cheyenne, Wyo.; corresponding secretary, S. D. Hopkins, Denver, Colo.

Code of Ethics.-A committee was appointed at the last meeting of the American Medical Association to revise the code and report one year later. There are many physicians in different States of the Union who are not eligible to membership in the American Medical Association, and it is to be hoped that the committee, in presenting their report, will rectify matters.

Malaria and Mosquitoes.-The Japanese authorities (St. Louis Medical Review) have been experimenting extensively to determine the influence of mosquitoes on malaria. A battalion completely protected from mosquitoes for 161 days during the malarial season entirely escaped the disease, while an unprotected battalion at the same place developed 259 cases of malaria.

Glucose as an Adulterant.-According to Leach, the presence of commercial glucose may usually be qualitatively detected by submitting the sample to a test for dextrin, one of the chief ingredients of glucose. A solution of the honey or other suspected product is treated with an excess of strong alcohol. Pure honey should give no precipitate, which, if obtained, indicates dextrin.

Misleading Significance of Ovarian Pain.-Ovarian pain is often a genuine uterine reflex, according to C. Lester Hall. He reports three cases in the Medical News, exemplifying this frequently overlooked fact. "Pain in the pelvic and abdominal cavities from defective elimination by kidneys and bowels, and autoinfection produced thereby, is recognized by every careful observer."

Cytologic Diagnosis.-Cellular contents are absent or almost exclusively endothelial (Medical News) in very chronic extravasations or those of a purely mechanical origin. Those exudates yielding a majority of lymphocytes are due chiefly to tubercular infection. Those in which polynuclear cells predominate are due either to acute conditions or to severe exacerbations of chronic cases.

Meat and Fish Poisoning. In many cases, according to Arthur P. Luff, in Quain's Dictionary of Medicine, the following prescription for adults is a useful one, administered every three or four hours until the effects of the poison have passed away: Solution of the perchloride of mercury, m x x; iodide of potassium, gr. v; chloral hydrate, gr. v; carbolic acid, gr. i; aromatic spirit of ammonia, m x x; chloroform water, ad oz. i; one dose.

Succinic Acid in Stomach Contents.-Knapp declares that many of the disagreeable symptoms connected with indigestion are due to the volatile fatty acids, including succinic acid. The presence of this acid is readily determined by extracting with ether, removing the latter and floating it above a very dilute solution of the two fluids. The green color of stomach ejections is sometimes due to the mold which produces this acid.

Infant Feeding.-Cow's milk diluted with the proper amount of water, says Henry Dessau (Medical News), is the best food for daily use. The top milk, removed after standing in a cool place for four to six hours, is sometimes preferable. A pinch of common salt or sodium phosphate and a heaping teaspoonful of cane sugar should be added to each quart of milk. The mixture is placed in a double boiler, containing cold water in the outer vessel, and is left over the fire for ten minutes after the water has begun to boil. Equal parts of water and milk is the right proportion for babies under three months; older babies may be given one part of water to three of milk. When barley or oatmeal gruel is added, it should first be cooked for at least one hour and then dextrinized with diotase.

For Tape Worm.-Slippery elm bark in powder, two ounces to the pint of water, is recommended (Medical Summary) as a specific in tenia. The patient should fast two days, and on the evening of the second day take a purgative dose of castor oil, and the following morning, while still fasting, take one-half of the above mixture, taking the remainder in half an hour, with a full dose of oil.

Hysteria in Animals.-M. Lepinay, a French veterinary surgeon, (quoted in Philadelphia Medical Journal) relates several interesting cases of this nature. One of these referred to a canary bird, which, while singing in its cage, was frightened by a prowling cat. Complete aphonia resulted and lasted for six weeks. This hysterical stigma then disappeared suddenly, just as in the human subject, and the bird resumed its singing.

Tuberculosis of the Pharyngeal Tonsil.-A. J. Lartigan and Matthias Nicoll, Jr. (American Journal of the Medical Sciences) tested 75 consecutive specimens of adenoids for tuberculosis, with positive results in twelve instances. In every case when the inoculation test was affirmative, tubercle bacilli were found in the excised tissues, though sometimes only after the most painstaking search.

Compression Cough.—The cough of bronchial stenosis produced by the pressure of tumors, enlarged lymphatic glands, aneurysms and the like, is thus described by J. Garel (quoted in Medical News): It is a whooping cough with reverbrating, brazen and deep-toned quality and cavernous timbre, alarming to those who hear it. It has been called dog-cough, nervous cough, hysterical cough, etc. The author has had the cough registered on phonograph cylinders, because of the comparative rarity of such cases clinically.

Leisons of Puerperal Eclampsia.—In women who have died of puerperal eclampsia, says the editor of the New York Medical Journal, quoting M. Charrin, there are almost invariably found profound and extensive changes in the liver, plainly resulting in its functional insufficiency. These changes consist most commonly of hemorrhages, multiple and often considerable in amount, into the parenchyma or beneath the capsule of Glisson. In other parts the organ is pale and sometimes greasy to the touch, with fatty degeneration and diffuse infiltration. The primary trouble, however, is intestinal torpor, resulting in coprostasis and the absorption of toxic substances.

Localization of the Mental Faculties.-After analyzing a number of cases of cerebral injuries and tumors, Charles Phelps (quoted in St. Louis Courier of Medicine), concludes: 1. The more absolutely the lesion is limited to the left prefrontal lobe the more positive and distinctive are the symptoms of mental default. 2. The integrity of the mental faculties remains unimpaired in right frontal lesions, no matter how extensive, except as obscured by stupor or delirium.

Simple Feebleness of the Heart.-This condition is met with particularly in older people whose powers are beginning to fail, says Louis F. Bishop in the Medical Critic. The heart responds fairly to the stimulus of exercise, and the heart sounds are normal, but when at rest the pulse is feeble and often somewhat irregular. This irregularity is ascribed by the writer to interference of feeble pulse waves, in a low-toned and badly filled channel. Cardiac drugs are contraindicated. Rest, good food, pleasant occupation and a general tonic will bring about complete restoration.

Dry Pharyngitis and Bright's Disease. The dry, brown taste of diabetes mellitus is familiar to all by report or experience. Joal (quoted in Medical Bulletin) calls attention to the not infrequent occurrence of a dry atrophy, following moist hyperemia of the throat in chronic Bright's disease. This sign may appear quite early, even before the onset of albuminuria. The author recommends an immediate examination of the urine and search for the minor symptoms of Bright's disease whenever we meet with dry angina, which is not dependent upon a lesion of the nose or nasopharynx.

Syphillizing the Philippines.—In the May number of the American Journal of Dermatology and Genito-Urinary Diseases appears an article by W. D. Shelby, Captain and Assistant Surgeon, U. S. V., on "Venereal Diseases in Our Foreign Possessions." Among other interesting facts, he tells us that in a garrison of 1,200 there were at one time 150 cases of venereal disease under treatment in the hospital. Not long ago he examined a troop of cavalry and found 25 per cent. of the command suffering from venereal affections. "Our foreign associations of the last three or four years have given the disease (syphilis) an impetus in our country that will require generations to eradicate." We thus observe that this "world-power" business is a sort of combination of swelled heads and swollen testicles.

American Gynecology.-This is to be the title of a new journal which is announced to begin publication in July. It will be devoted to gynecology, abdominal surgery and obstetrics. The journal will be owned and controlled by a stock company consisting solely of members of the profession interested in its special field. It will be conducted under the editorial management of J. Wesley Bovee, M. D., of Washington, D. C.; Charles Jewett, M. D., of New York; Charles P. Noble, M. D., of Philadelphia; Reuben Peterson, M. D., of Ann Arbor, Mich.; and J. Whitridge Williams, M. D., of Baltimore. Mr. E. W. Reynolds will be the business manager. The office of publication will be No. 1 Madison avenue, New York, N. Y.

Medical Treatment of Tuberculous Peritonitis.-Yeo, (Progressive Medicine), believes that at the present time over 50 per cent. of these cases recover, and that the best results are obtained in the early stages, when there is ascites, but not yet matting of the intestines. A chief factor in successful treatment he considers perseverance in the local application of equal parts of iodoform ointment and cod-liver oil, to be rubbed freely over the abdominal surface twice daily. For allaying the pain and catarrhal irritation of the bowels, he recommends a mixture of 15 grains of bismuth salicylate, 15 minims of spirit of chloroform and 1⁄2 dram of compound tincture of cardamom, with mucilage and water; also a milk diet for a short time. A good pill for internal treatment contains 4 grain of iodoform and 1⁄2 minim of creosote, to be taken three times a day.

Internal Organs Which May Be Influenced Reflexly by Applications to Definite Areas of Skin.-The Dietetic and Hygienic Gazette furnishes the following handy list: The brain, by applications to head, neck, face, hands and feet. The nasal mucous membrane, by applications to the neck, upper dorsal spine, hands and feet, The stomach by applications to the lower dorsal spine and the epigastrium. The kidneys, by applications to the lumbar region, the lower portion of the sternum and the feet. The bowels, by applications to the feet and abdomen. The bladder, by applications to the feet and lower abdomen. The liver, by applications to the lower right chest. The spleen, by applications to the lower left chest. The lungs, by applications to the chest, thighs and upper dorsal region. The uterus, by applications to the lumbar region, the abdomen, the breasts, the inner surfaces of the thighs, the feet, and to the cervix uteri through the vagina.