For Epilepsy. The prescription of Gilles de la Tourette, used most commonly at the famous La Salpetriere Hospital in Paris, consists of 10 drachms potassium bromide and 3 drachms each of the bromides of sodium and ammonium and the benzoate of sodium, in a quart of water. The dose at first is one tablesponful after breakfast and at bedtime. The dose should be so increased as to control the seizures. If the epileptic attack recurs at the same hour each day two-thirds of the daily amount should be given an hour before the time of the expected attack.

Waterproof Garments.-Ordinary garments, says Doty, can be transformed into fairly good waterproof material in one of the following ways: I. Moisten the cloth on the wrong side with a weak solution of isinglass, and when dry further moisten with an infusion of nutgall. 2. Moisten the cloth on the wrong side with a solution of soap, and when dry with a solution of alum. 3. Thoroughly rub the wrong side of the cloth with pure beeswax until it presents an even gray appearance; a hot iron is then to be passed over it, and the cloth brushed while still warm.

Urethral Hemorrhage in Gonorrhea. In the chronic stage, profuse hemorrhage may occur after coitus or any extra exertion. The source of the bleeding is usually some granular or papillary patch in the anterior urethra. In treatment, says J. F. Dobson (quoted in New York Medical Journal), the best results are obtained by the use of the urethroscope. The source of the hemorrhage can be detected and the bleeding controlled by direct applications of a solution of ferric chloride to the diseased area. By this treatment the amount and purulency of the discharge is increased, which may be checked by the use of protargol.

Diagnosis of Infantile Scurvy.-The differentiation of this condition from rheumatism, rhachitis, purpura and syphilis rests largely, according to Pierson (Progressive Medicine) on the following points: Absence of fever. Early, constant pain, first in legs, then in back and arms, increased on motion-child lies with head flexed and rigid. Swelling at lower end of diaphysis of femur, very tender to touch, but neither red nor hot. Later stomatitis, bleeding from gums, nose, bowels, etc. The pathology consists in the anemia and the superiosteal and other hemorrhages. Rheumatism, which is rare under two years, is accompanied by fever and sometimes a red, hot swelling of the joints. Rickets is manifested by chronic painless swelling of the epiphyses and the presence of a rosary and head deformities.

Green Tea. It was formerly the custom (Medical Standard) to preserve the green color of tea leaves by the use of two poisons. It has been discovered recently, in the National Department of Agriculture, that by heating the leaf to a high temperature the natural ferment is killed, oxygenation prevented and the green color retained.

Apioline.-Concerning this drug, Butler remarks that it seems to act upon the uterus and the adnexa by a vasomotor influence. It also exerts a remarkable action upon the genital center in the spinal cord, hence it is specially indicated in amenorrhea or dysmenorrhea due to genito-spinal atony. In dysmenorrhea due to tumor or obstruction apioline greatly alleviates the pain. It may be given in doses of two to four grains, beginning three or four days before the expected menses, and continuing for a day or two thereafter.

Acne in Women.—Regarding the condition as a local one of sebaceous glands infected and inflamed by the invasion from the surface of pyogenic bacteria, L. G. Langstaff (Brooklyn Medical Journal) employs a treatment based upon ordinary surgical principles. Using a lancet with a set screw, he incises and evacuates with the curette or by pressure all distinctly elevated papules or pustules. To prevent the eruption of fresh lesions, a local cleansing and antiseptic treatment should be instituted. The face should he cleansed and the sebaceous plugs dissolved out by the application of hot water and green soap tincture. A light application of naphtha quickly rubbed over the surface is. very efficient for this purpose. Alcoholic lotions of sulphur, resorcin or bichloride of mercury should then be used.

The Treatment of Carcinoma with Cancroin. The parasitic nature of cancer is upheld by the successful results obtained by A. Adamkiewicz (quoted in Medical Record) of five cases of carcinomata in various sites successfully treated by the daily inóculation of one-half gram of his serum (cancroin). L. Kugel adds another case of multiple carcinoma, which had been subjected to several operations, always with recurrence, and as a last resort cancroin was injected daily for three months, next for two months every other day, and then for seven months the intervals were increased to from eight to fourteen days. After the first twenty inoculations the pains and edema had entirely disappeared. Since the permanent discontinuance of the treatment last October there has been no recurrence, but a gradual improvement in both subjective and objective symptoms.

VOLUME XXII.

OCTOBER, 1902.

NUMBER 4.

PRESIDENT'S ADDRESS*

THE HYGIENIC AND COMMERCIAL IMPORTANCE OF PURE FOODS AND DRINKS.

By R. HARVEY REED, M.D.,

Rock Springs, Wyo.

INTRODUCTORY.

Fellow Members, Ladies and Gentlemen:

Since our last meeting, the death angel has visited our association and swung from our sight almost simultaneously three of our brightest lights, Professors Eskridge and Parkhill of Denver, and within the last few days, Dr. Verbryck of Salt Lake City, President of the Wyoming State Medical Society, all of whom have been called upon to "rend the veil of the temple in twain" and pass into the great unexplored beyond. Such a sweeping decimation of our ranks, is well calculated to cast a gloom over the surviving members of our association who knew so well their worth and loved them, not only because of their social qualifications but for their long and untiring labors for the advancement of the medical and surgical sciences. I will not dwell on their merits longer, for they need no prasises from me, neither do they need the evergreen to keep their memory green in the hearts of their comrades, for their good works stand as monuments to their memory that will not be erased from the memories of those who knew and loved them, while their tapers continue to burn.

At the proper time and place, our necrologist will offer a suitable and fitting memorial of all those who have been called from labor to refreshment since our last annual meeting.

It affords me great pleasure to welcome you one and all to the beautiful "gem city" of the plateaus, the capital of the

1902.

*Read before the Rocky Mountain Interstate Medical Society, Cheyenne, Wyo., Sept.

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highest state of the Rocky Mountain system. Whilst it is small as compared with the capitals of the prosperous states covered by this association, yet I am sure you will find an enlargement of the hearts of its citizens which is altogether out of proportion with the size of the city, and that you will find them ready and willing, yea, anxious to thrice welcome you to their homes, and make your visit here not only one devoted to the science of our beloved profession, but flavored with social entertainments and pleasant memories that will not soon be forgotten.

STATE MEDICAL EXAMINING BOARDS.

I trust you will pardon me for diverting your attention from the real subject which I have chosen for this address, to one which I believe to be of such grave importance as to warrant me in speaking of it, particularly at this time.

To those of us who have lived through the two years epoch once required by the leading medical schools of this country for graduation, we can more fully, than any others, appreciate the advancement that has been made within the last score of years in the standard of the medical profession.

Twenty-five years ago, the student who attended two years of six months each, was believed by the best medical schools in this country, to be qualified for the practice of medicine, and those who spent three years at that time, were either looked upon as drones or wilful squanderers of their time and money. All that was believed to be necessary for the medical student to study in those days, was the seven so-called fundamental branches of medicine, anatomy, physiology, chemistry, materia medica, surgery, practice of medicine and obstetrics. The microscope, as a clinical factor, was a curiosity, and the laboratory was never dreamed of, except as a resort for cranks who had nothing else to do but to contrive how they could spend their time.

Well do I remember the first volunteer class that responded to Prof. Tyson's call for the special study of urinalysis, when out of a class of 500 students, but six responded. I was a member of Prof. Pepper's volunteer class on physical diagnosis the same year, which consisted of 12 members out of a graduating class of 124. That is not all; we were looked upon as fanatics and were accused of trying to "boot-black" the professors by

joining ourselves into a little class of a half dozen or a dozen for pursuing alleged advanced studies. Who of you today would expect to graduate in less than four years of hard study, of from seven to nine months each, during which time you had taken a thorough course in chemistry, bacteriology, pathology, microscopy, bed-side physical diagnosis, in addition to practical work in the hospital, in the operating room, and the lying-in chamber? I repeat it that no one appreciates the advancements that have been made during the last 25 years, more than those of us who have been deprived of the advantages offered to the modern student of medicine.

But we have lived and fought for legal recognition. There is not a progressive state in the Union, and not a progressive member of the profession in a single state in the Union, that has not favored the enactment of laws for the advancement of the medical profession and the corresponding protection of the people.

But my fellow practitioners, the time has come when it is necessary for us to consider further on these all-important questions, and from experience to ascertain that which will protect the unsuspecting public the best, and render the profession the greatest amount of good with the least amount of inconvenience.

This country, during the same decade, has advanced from a third or fourth rate power to a first-class nation among the firstclass powers of the world. With this advancement, it has been found necessary to frame and enact laws that are abreast with our advanced standing; that are broad, liberal and progressive. The time was, when the medical profession of a state felt highly honored when it succeeded in getting a State Law enacted that would protect the people as well as advance the profession of a single state of this great Union. It was considered not only a time for rejoicing, but our best journals commented on it as taking a tremendous stride in the fore-front of medical progress. Now there is not a state, and I don't believe a territory in the Union that has not some kind of a Medical Act for the advancement of the medical profession and the protection of its people.

It is true, it is but a few years since the last state in the Union joined the compact of states in enacting laws for the advancement of the medical profession. But gentlemen, with all