Post-Diphtheretic Paralysis. Patient gave the following history: Age, eighteen years. Always been as well as children usually are until the previous January, when she had a severe attack of diphtheria from which recovery had been slow. When she began to see signs of improvement in some respects, she noticed a weakness of the lower extremities which gradually increased, until, at the time she was brought to my office, in a coach, she had to be assisted up the steps. At times could not walk across the room without much effort, and at the next attempt, perhaps, her knees would give way without warning, and she would fall to the floor if not caught. Was particularly troubled in attempting to go up or down stairs.

She was looking well, and said her health was in its normal condition.

Diagnosis-Post-diphtheretic paralysis. Treatment-One-half ounce of specific tincture of gelsemium with directions to take two drops in water every three hours. She received no other medicine. I heard nothing more from her until about six months after, when I met her father, and

inquired after his daughter. He was earnest in his thanks, and said the drops had worked like magic, and by the time the little bottle was empty, his daughter could walk as well as ever.-Ec. Med. Review.

Puffed Eyelids.

Chapman calls attention to a diagnostic sign in myxedema which has often proved useful. As is well known puffness of the eyelids is a sign of Bright's disease. So, too, is it a symptom of myxedema due to the collection of mucin. So that when the urine is normal and puffiness of the lid is a symptom the possibility of myxedema being the cause should be kept in mind.

Amenorrhea in Tuberculous Subject.

Dr. T. C. Wensil, Canaan, Ohio, prescribed Aletris Cordial for amenorrhea, a stubborn case which had resisted treatment for over five months. The patient is of a tubercular diathesis. After using Aletris Cordial, in teaspoonful doses, three times per day, for fifteen days, the menses were established.

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Dysentery.

Sulphur successfully used in the treatment of dysentery. Twenty grains of sublimed sulphur are combined with five grains of Dover's powder, to be given fourhourly. In all of the cases that have been treated with sulphur the recovery has been rapid, and the patient has seemed to derive relief more speedily from his pain and straining than with other methods of treatment. The cure with sulphur seems to be more certain and stable, as chronic conditions and relapses have not occurred. Blood and mucus are easily stopped and the motions quickly become fecal. In some cases the number of motions per diem did not at once diminish, but the pain and straining were lessened and the character of the motions became more fecal and contained little or no blood. As soon as the diarrhea becomes less it is advisable to give the powders less frequently. -G. E. RICHMOND, in Lancet.

In the more characteristic cases of irregular gout, the articular symptoms are apt to alternate with those of visceral origin, and the latter incline to conform to a special type. In some instances the extent of the poisoning is so slight that the case does not progress to produce articular symptoms. In others, the joint changes do not appear for many years, and then the visceral conditions disappear. In very many of these cases a history of gouty heredity may be discovered if the investigation is thorough. But in many of these cases of irregular or abortive gout, the condition of comparative health is maintained only by careful living.

Among the organs more frequently invaded in irregular gout, the digestive tract leads the list. Pharyngeal and tonsillar inflammation is not uncommon in the goutily disposed. Duckworth describes it as follows: "The gouty throat is like no other. The pillars of the fauces, espe cially the posterior pair, the velum, and the uvula, are very red and glazed. The uvula is greatly enlarged and elongated, sometimes seeming to fill up the gap between the pillars. It has often an edema

tous border and tip. The surface of the pharynx is not so smooth as that of the fauces. It is coarse, with red, glairy prominences upon it, and depressions here and there, covered with grayish, slightly adherent patches of mucus, and it has some times enlarged venules upon it. In elderly people the redness is less marked."

As to the stomach itself, the most frequently observed condition is indigestion, with sour risings, the so-called "acid dyspepsia of the gouty." The paroxysms of this condition are not infrequently associated with the phenomena of auto-intoxication. Sensations of constriction, and weight about the epigastrium, drowsiness after meals, gastralgic attacks, and nausea, with vomiting of glairy mucus complete the clinical picture.-Dr. BARTLETT, in Medical Era.

Gelatin as a Foodstuff.

No matter how much gelatin be fed the tissue, proteid continues to be largely destroyed. A small quantity of gelatin has almost as great an effect as a large quantity.

There are records in the literature of cases where the feeding of commercial gelatin, which contains about ten per cent of proteid, will protect two-thirds of the waste of the body's proteid.

It seems that gelatin foods, like calf's foot jelly and other jellies and gelatin containing broths, can be used to advantage as accessory foodstuffs in diseases where there is high tissue waste.

In typhoid fever, for example, there may come a time when milk is repugnant to the patient, and in this case gelatin food, which may easily be prepared sterile, has a beneficial action as an accessory foodstuff, and is at first eagerly taken, although as a constant diet it grows wearisome. It is well to remember that small quantities are nearly as beneficial as large quantities, and that gelatin can never be entirely substituted for proteid food.GRAHAM LUSK, in New York Univ. Bull. of Med. Sciences.