A Successful Case of Loreta's Operation on the Stomach

opinion it did not give good results. As Musser, of Philadelphia. in his paper entitled " Oil of Eucalyptus in some Malarial Affections," seemed to show that the drug is useful in certain febrile states, I made a number of observations with the medicine in Malta fever. In the cases in which it was given it was always well borne, and as it is said to act as an antiseptic, carminative, and stimulating expectorant, further experience may prove it to be really beneficial. My own opinion is that it has no effect on the course of the fever. Aconite.-At the beginning of the fever, when the temperature was high and continuous, some observations were made on the action of this drug, which was usually given in five-minim doses for several consecutive hours. The drug did not seem to have any effect on the temperature or on the general febrile condition. Calomel.-Tommasi states that this drug seems to shorten the course of the fever when there is no diarrhcea. Gulia writes that it is the sovereign remedy and anchor of hope in some cases of this fever, and gives it as far as to induce slight irritation of the mouth. Marston thinks the occasional exhibition of a mercurial (ealomel), combined with ipecacuanha and rhubarb, or colocynth, is very useful. I have never made any observations on the action of this medicine in Malta fever. Salicylic Acid and the Salicylates.-Rummo states that he has tried salicylate of soda, but with negative results. Tomaselli is of opinion that salicylates used in cases of continuous high temperature tend to depress the heart, to weaken, to aggravate the sweating, and show no counterbalancing good effects. I think there is a temptation to exhibit this drug, especially in those cases in which the joints are painful and swollen; but as this condition is always associated with anEemia and depression of all the vital functions, this medicine ought to be avoided. Other Drugs.-Finally, in regard to other medicinal treatment, Veale writes as follows: "'Colchicum, with or without saline aperients, also in combination with aconite or quinine, arsenic, turpentine, salicylic acid, the hyposulphites, and many other drugs have been tried as freely as seemed to be safe, but no reliance can be placed on them, either to arrest the fever or even to diminish the night-sweats or the rheumatoid pains. Carbolic acid has been tried both by the mouth and subcutaneously. In no case did it do any good; in several it did very positive harm when injected under the skin. The solutions of carbolate of ammonia and of carbolic acid in combination with iodide of potassium, as recommended by D6clat and others, have also been used for hypodermic injection, but without any advantage. When the hoemorrhagic tendency has been a source of danger, the continued use of the tinctura ferri perchloridi has seemed to be beneficial. Ergot and ergotin have also been of service in arresting heemorrhage and checking bronchorrhoea when it has been profuse, but neither remedy has any influence in arresting the progress of the disease. The hypodermic injection of morphine, and the liniments of aconite, opium, and belladonna are useful in relieving the lumbar, sciatic, and articular pains; but blisters appear only to substitute temporarily one pain for another."