KOCH'S FLUID-PARATOLOID. In our selections in this number we give the views of several careful and earnest observers in regard to the above fluid, which has attracted so much attention during the past few months. P. A. Surgeon J. J. Kinyoun, of the M.ĮH. S.,'under detail from this Bureau to study the methods of Professor Koch in 'the Hygienic Institute of the Berlin University, transmits the following from Berlin, of date February 14th ult., which appeared in the Abstract of Sanitary Reports of the M. H. Bureau of March 6th. "So far no definite conclusion can be reached in regard to the curative properties of the Koch lymph, but certainly there has been a marked improvement in some of the cases. This has not been the rule in all. I think it safe to assert that the reason why so disastrous results have ensued in quite a number of cases has been rather the fault of the diagnostician than because of the remedy used. "So far I have not been convinced that death has been caused by the lymph injections when used in the first stage of the disease, but, at the same time, it cannot be denied that disastrous results have followed its use when administered in the second and third stages. In regard to the histological changes occurring as the result of the treatment, I hope to furnish you an account at an early date." A small supply of the fluid has been received in this city, and has been tried by Dr. Brower, Superintendent in the City Hospital, with the following results up to March 20th ult.: "The first case tried was Mary Bailey, a colored girl ten years of age, suffering with scrofula. She had a good physical constitution, but had inherited the disease from her father, who died three years ago of consumption. She was taken to the hospital February 28th with a scrofulous enlargement on the right side of the neck, with a hard tumor of decided resistance. An injection of lymph was made March 1st, of proper dilution, and one injection had been made daily since with no consequent headache, loss of appetite, or bad symptoms. The second injection caused the temperature to rise to 101°, and it reached the same height March 7th, when an increased quantity of lymph was injected, and at present 2 c. c. causes little or no reaction. The first change noted in the glandular enlargement was softening about the fifth injection. Para passu with softening absorption took place, until now the enlargement is not more than half its original "The second case was Willie Moss, colored, aged eighteen, one of a scrofulous family, suffering with scrofula. She entered the hospital February 6th, with numerous enlargements on both sides of the neck, some of which had broken. She was put on a mixture of equal parts of cod-liver oil and whisky and a tonic prescription. One c. c. of the properly diluted lymph was injected March 1st. She has had one injection a day since then without any bad symptoms resulting. The second injection caused the highest temperature, reaching 104 4-5°. March 7th, 2 c. c. were injected without any noticeable change in temperature. One notable feature of this case has been the subnormal temperature. Since March 7th the temperature has not been above normal, being, with wonderful regularity, 97° in the morning and 98 2-5° in the evening. Since the beginning of the use of the lymph the discharge from the glands has ceased. Softening of the glands has been noticed, and they have now almost entirely disappeared. Harriet Taylor came into the hospital February 23d with disseminated pulmonary tuberculosis; age, sixteen years; colored; family history not good. She was in an advanced stage of the disease when the use of the lymph was begun, and the case was pronounced hopeless. In all injections the second dilution of lymph was used, being one degree of pure lymph. Her temperature rose to 100° March 1st, and was at 103° in the evening. The fourth injection pushed the temperature to 105° in the evening. After the third injection her temperature dropped to 97°. After March 8th her temperature re mained very constant between normal and 101°. Her appetite has improved, also her assimilation. The night sweats have diminished, and she is in other respects much improved, including an increase in weight." In conclusion, Dr. Brower says: "The cases reported do not furnish a sufficient basis for broad generalization, yet, after the use of the lymph sixteen days, we are prepared to say that no immediately bad effects were observed in the three cases reported. It has benefited scrofulous enlargements, and has apparently benefited the case of pulmonary tuberculosis. Remote effects are yet to be determined." HYSTERICAL CONVULSIONS.--In a case of hysterical convulsions occurring two or three times daily, I gave Peacock's Bromides with perfect success. I consider it a fine preparation, and will continue to prescribe it when indicated.--R. M. Powers, M.D., Lundy's Lane, Pa. OBITUARY-B. A. MORTON, M.D. At a regular meeting of the Blount County Medical Society, which convened at the office of Dr. A. B. McTeer on the 2d day of March, 1891, a committee was appointed to express the sense of the Society relative to the death of Dr. B. A. Morton, who reported as follows: WHEREAS, It has pleased the Divine Ruler of the universe to remove from time to eternity our brother physician, whose death occurred on the 27th day of February, 1891; therefore, be it Resolved, That in the death of Dr. B. A. Morton this Society has lost one of its most highly esteemed members, a man of culture, and possessing a high sense of professional henor. Resolved, That the Society feel it to be their duty as well as pleasure to preserve and protect the life and character of those who were so near and dear to them. Resolved, That we extend to the family and relatives of our deceased brother our sympathy in their hour of bereavement. Resolved, That a memorial page be left in the Secretary's book, and a copy of these resolutions be put thereon. Resolved, That a copy of these resolutions be sent to the family of our deceased brother, and also to the SOUTHERN PEACTITIONER and the Nashville Journal of Medicine and Surgery. R. B. MCBATH, M.D., Ch'm'n, JNO. P. BLANKENSHIP, M.D., THOS. BROWN, M.D. POPULAR FAITH IN ALTERATIVES.—Since the nature of the action of this class of remedies is to some extent as yet undetermined and obscure, they are necessarily prescribed empirically. To this fact is perhaps due the promiscuous use by the public, not infrequently with the endorsement of physicians, of a host of nostrums of no real medicinal value. Many of these have had an enormous sale, indicative not so much of their worth as of the general belief in the necessity for the use of what are popularly termed "blood purifiers." Spring is the season when these are most generally resorted to. When we con sider that there is no condition of disease at some stage of which tonic alteratives are not indicated, it will be appreciated that next to agents such as opium and quinine, the action of which is specific, no class of remedies are more frequently demanded. Messrs. Parke, Davis & Co. supply, under the name of Syrup Trifolium Compound, an alterative formula containing red clover, stillingia, cascara, amarga, burdock root, poke root, prickly ash bark, berries aquifolium, all valuable vegetable alteratives, either with or without potassium iodide. This has been used by physicians with much success in all conditions requiring alterative treatment. LISTERINE.--While Listerine is the beau ideal of many of our most eminent surgeons as an antiseptic, not irritating or possessing toxic properties, and has alike been commended by the obstetrician and the dentist, it has also proven a valuable remedy in the wide field of practical medicine. In fermentative disorders of the alimentary canal in the young, middle-aged or old it has given most satisfactory results. In the summer diarrhoea of children, Dr. I. N. Love, of St. Louis, speaks very highly of it, given in combination with glycerine and simple syrup. A formula that I have time and again used—in fact, it has almost become routine with me of late years R Bismuth Sub. Nit... Tr. Opii....... Syr. Ipecac... is as follows: Syr. Rhei Arom.. Listerine........ Mist, Creta........ ......na zij M. Sig. Teaspoonful as often as necessary, but not more frequently than every three or four hours. This for children about ten or twelve months old. For older children increasing the amount of Tr. Opii, and for younger ones decreasing it, THE COSMOPOLITAN MAGAZINE.-No more completely illustrated copy of the Cosmopolitan has gone out than that for April. Miss Elizabeth Bisland, always a bright and attractive writer, is fairly fascinating in her description of dancing, the eldest of the arts, and the illustrations charmingly interpret the article itself. The Executive mansion, the "White House," always an object of interest to the people of the United States, and one of the first points to be visited by those who go to Washington, is described by Mr. George Grantham Bain, the Washington correspondent, while the interior is illustrated with many views taken specially for the Cosmopolitan by permission of the President. The frontispiece is a portrait of General Sherman, drawn by Gribayedoff, and Sherman and Bismarck come in for the major part of Murat Halstead's Review of Current Events. (Price 25 cents. Cosmopolitan Publishing Co., Madison Square, New York.) ANDREW BOYD, M.Ð, Vice-president of the Tri-State Medical Association, Scottsboro, Ala., says: "It gives me pleasure to say that for two years I have prescribed S. H. Kennedy's Extract of Pinus Canadensis, both alone and in combination, in many acute and subacute inflammations of the mucous membrane. As a disinfectant and astringent I do not know its superior. It forms the base of my prescriptions for phlyctenular pharyngitis used as a spray. Have used it undiluted in ulcerated sore throat and ulcers of rectum. I use it daily almost in common sore throat, diluted with aqua carbolic. It has given me good results, and I am very glad you have given us a prep aration we can rely upon." A PLAIN STATEMENT.-HAVERHILL, MASS., March 7, 1891.-An. tikamnia Chemical Co., St. Louis, Mo.-Gentlemen: The Antikamnia sent me found a suitable case at once.. My patient had long been a sufferer from hemicrania, and the pain was never more than partially relieved by caffeine, acetanilid, etc. Upon the recurring attack, I prescribed Antikamnia, three grains, every two hours. The first dose gave instant relief, to the great satisfaction of both myself and patient, and complete recovery was secured. I shall hereafter use Antikamnia in preference to all other preparations, for the relief of migraine, sciatica, and other nervous diseases. Very respectfully CHAS. F. FOye, M.D. yours, WE have received a sample bottle of Morgan's Liquid Hypophosphites, and are very glad to direct the attention of our readers to the preparation. A glance at the formula, which is published in our advertising pages, will at once suggest its value, not only in the cases in which the hypophosphites have been most used, in which it appears to us admirable, but also in ali conditions dependent upon mal-nutrition and atonicity, and manifesting themselves in so many forms of nervous and tegumentary disorders. The manufacturers have a reputation for reliable products, their hypodermic and other tablets being very favorably known. MEETING OF THE NATIONAL ASSOCIATION OF RAILWAY SURGEONS. -At the Kansas City meeting of the National Association of Railway Surgeons last year, it was decided to hold the next meeting at Buffalo, |