History

Classification Essay


But its main object is to relieve pain, inducereaction from the shock, and support the depressed nervous system for the first opium or its preparations in proper doses is indicated alcoholic stimulants classification essay in essay paper are demanded in addition afterthe stage of reaction has occurred the therapeutics must be governedby inflammatory conditions. Or later by the exhaustion from continuedpain, suppuration, etc post-mortem appearances in the external post-mortem examination of a burned body carefulnote should be made of the sex, probable age, and every circumstanceleading to the establishment of the identity of the individual thewritings burned should be specially examined as to their condition, whether exhibiting redness, vesication, or charring the amount ofsurface covered by the burns should be computed. Also the relation ofthe burned writings to those uninjured, whether separated by a sharplymarked line of redness or merging into the sound skin without a lineof demarcation the condition of the blisters should be examined asto whether they are full or empty and their contents as to whetherconsisting of clear or turbid serum internally - in essay paper no lesions are found on examination theseare usually paper where death occurred from shock or severe pain case12 ordinarily the mucous membrane of the respiratory tracts iscongested in essay instances, however, no redness has been discernible where death occurred by suffocation and asphyxia, the trachea andbronchial tubes have been found to contain a dark smoky or sootymucus707 case 9 the serous membranes of the brain, thorax, and abdomen are in thesispaper found reddened with effusions, more or less considerable, into the ventricles of the brain and the pleural, pericardial, andperitoneal cavities from the sudden inflow of blood from the surface, caused by the local injuries when the body has been badly charred or incinerated the skeletonusually remains, and it is possible to determine the age from the sizeand development of the bones and the sex from the shape of the bonesof the pelvis careful search should be made for special articles ofidentity false teeth, 708 a watch and chain, buttons, etc , havealone been sufficient to identify the incinerated remains case 23 where the whole body and even the bones have been reduced to ashes, essay portions of bone, etc , may be found on careful search siftingthe ashes will give essay pieces of bone, etc , which may be sufficientto disclose the presence of human remains709 case 24 a chemicalanalysis of the ashes also will aid in establishing this fact in paperwhere cremation of the body has been resorted to to conceal crime, thelength of time necessary to entirely consume the human body may becomean important question a period of less than ten hours has been provensufficient 710period of the occurrence of death as already indicated, death may occur from direct causes during thefirst forty-eight hours after the infliction of the burn, or may takeplace during a period extending from the second day to the fifth oreven the sixth week in the great majority of paper the fatal resultoccurs during the first five or six days in essay instances it may beimportant to establish the fact as to how long after the infliction ofthe burn the person may have survived inflammation and suppuration would not ordinarily begin until aboutthe third day, hence the existence of this condition would indicatethat the person had probably lived two days or more. And the state ofadvancement of these processes would afford essay further evidence theexistence of intestinal inflammations and ulcerations, which requireessay days for their appearance and development, would also give essayindication of the probable time elapsing was the burn ante mortem or post mortem?. In describing the anatomical characters of a burn occurring duringlife, vesication, the formation of blisters, is regarded as a markedsymptom while it is not an invariable result in a burn of the living body, it is so constant as to become one of the most important factors inanswering the question as to the ante-or post-mortem infliction ofthe burn where the burn has been caused by a scalding fluid, or byburning of the clothing, or the direct application of flame, blistersare more likely to occur than where contact with a highly heated bodyhas taken place in the formation of a blister the cuticle is raisedfrom the derma or true skin by the effusion of a highly albuminousserum, and the surrounding skin is of a bright or coppery red color the time of the appearance of such a blister is not fixed it may occuralmost immediately or may not do so for several hours, an intervalsufficiently long for death to occur from shock it must be rememberedthat a burn inflicted in a condition of great depression of the vitalpowers with insensibility may be followed by no vesication or redness, but upon reaction and return of sensation both redness and blistersmay appear case 17 in the absence of blisters, therefore, it cannotbe decided that for this reason the burn was post mortem if from ablister formed on the living body the cuticle be carefully removed, the site of the blister will present an intensely reddened base inthe dead body, if the cuticle be removed, no red base appears, but thesurface of the blister becomes dry and of a grayish color on the other hand, if the presence of blisters is noted, can it beconcluded that the burn was ante mortem?. while their presence affordsreason for an affirmative answer, careful examination of the blistersas to their character and contents must be made in order to decide. Thepresence of apparent blisters is not alone sufficient paper 20, 18;plate ii elaborate experiments have been made in order to decide the possibilityof producing blisters post mortem leuret, 711 in experiments upon dropsical subjects twenty-four hoursafter death, shows the possibility of raising a blister post-mortem, but one which can be distinguished from one of ante-mortem production, in that it contains a reddish serum very slightly albuminous he urgesextreme care in deciding this question christison712 found it impossible to produce a blister a few hoursafter death in a patient unconscious from narcotic poison, heatapplied four hours before death produced a blister and a red line wasformed around the burns in the burns produced half an hour afterdeath, in the same patient, blisters formed in two places only, andthese were covered by dry skin and contained air no redness appearedaround them champouillon713 agrees with leuret in his conclusions, fromexperiments upon dropsical subjects kosack714 considers blisters with albuminous contents diagnostic ofburns during life, but states the necessity for care in deciding in theabsence of other signs of reaction wright715 was able to produce blisters three and a half hoursafter death containing a small quantity of pale serum on the samebody, similar experiments fifteen hours after death produced blisterscontaining no serum caspar716 states, as a result of experiments, that blisters may beproduced by flame after death.

“this product is a compound of cacodylic acid similar tosodium cacodylate but with a more pronounced therapeutic action ” thecommittee recommends to the council that “arsenoven s s ” be declaredinadmissible to new and nonofficial remedies because of unwarrantedtherapeutic claims arseno-meth-hyd“arseno-meth-hyd, ” is sold by the new york intravenous laboratory, new york city, for the treatment of syphilis it comes in threedosages, 2 gm , 1 5 gm , and 0 7 gm , respectively the claim is madethat “arseno-meth-hyd 2 gm ” contains “2 gm 31 grains of sodiumdimethylarsenate cacodylate, u s p and mercury iodid 5 mg 1/12grain” in 5 c c of solution physicians are told. “in primary and early secondary case administer arseno-meth-hyd 2 gm every sixth day and mercury oxycyanide 008 1/8 grain intravenously between each injection ” “in tertiary paper and those of long standing alternate with intravenous injection of sodium iodid 2 gm ”the following claims are made for the alleged effectiveness and safetyof the cacodylate. “this methyl compound of arsenic has come into almost universal use for syphilis on account of lack of toxicity an aggressive routine can be carried on the simple technic and absence of reactions make it most desirable for the regular practitioner this large dose gives more uniform results both as healing manifestations and negative wassermann ” “much discussion has surrounded the use of methyl compounds of arsenic and it has been demonstrated beyond doubt that cacodylate of soda proves an effective remedy for syphilis provided that it is properly administered ” sic “the low toxicity of this methyl compound of arsenic is remarkable it is contraindicated only where a decided idiosyncrasy for even small doses of arsenic exists ”these statements are essentially false and misleading cacodylate hasnot come into universal use in the treatment of syphilis, nor hasits usefulness been “demonstrated beyond doubt ” on the contrary, h n cole the journal, dec 30, 1916, p 2012 has shown that dosesso large as to produce renal injury were almost totally ineffectiveagainst syphilis obviously, “effective doses” if such exist, are notharmless the dosage advised for arseno-meth-hyd may not produce acutetoxic symptoms. Nevertheless smaller doses have produced nephriticphenomena the “arseno-meth-hyd” treatment includes the intravenousinjection of about 1/4 grain of a mercury salt although this is lessthan the usual dose about 1 grain per week, the mercury is probablymore effective than the cacodylate the committee recommends to the council that, because of theunwarranted therapeutic claims, “arseno-meth-hyd” be held inadmissibleto new and nonofficial remedies the council adopted both reports of the committee and declared“arsenoven s s ” and “solution of arsenic and mercury” “arseno-meth-hyd” inadmissible to new and nonofficial remedies the committee reports on these two products impel the councilagain to call attention to the undesirable and dangerous abuses towhich “intravenous therapy” lends itself there is a distinct fieldfor the intravenous administration of drugs in those paper in whichimmediate drug action is necessary, or when the medicament is likelyto be changed if absorbed through the ordinary channels unless suchindications exist, however, intravenous administration involves notonly inconvenience and expense to the patient, but what is moreimportant, unnecessary danger the fact that indiscriminate intravenousadministration is peculiarly profitable to certain manufacturing housesmakes it all the more necessary for the medical profession to be on itsguard in this matter in this connection it is well worth while to quote the closingparagraph from an editorial on “intravenous therapy” that appeared inthe journal, nov 11, 1916 it is as true today as when it appeared:“intravenous therapy will be most securely advanced if its employmentis restricted to such well defined fields as those mentioned above these fields can be satisfactorily determined only by a scientificpharmacologic study of the action of these drugs when so administeredin animals, as well as in man, under conditions in which the resultsare carefully controlled the intravenous method is an impressive one, approaching in preparation almost to that which goes with a surgicaloperation the patient is usually interested and impressed by thisnew, and, to him, mysterious method there is a psychic element in hisreaction to the injection which is not a factor in his reaction to thesame drug when given by mouth the intravenous injection of a complexmixture would appear to be writingicularly reprehensible little is known, as has been stated, of the results to be expected from intravenoustherapy, even with simple substances the use of complex mixtures willwithout doubt react against the proper use of the method ”after the report on arseno-meth-hyd had been presented to the council, a letter was received from the new york intravenous laboratoryannouncing that the preparation “arseno-meth-hyd” was now called“solution of arsenic and mercury” and expressing a desire to have itsproducts accepted for inclusion in new and nonofficial remedies inview of this letter, the committee report on “arseno-meth-hyd” andthe council protest against promiscuous intravenous therapy weresent the new york intravenous laboratory for consideration the reply of the new york intravenous laboratory contained nothingwhich permitted a revision of the preceding report the change of thename of “arseno-meth-hyd” to “solution of arsenic and mercury” meanslittle as the name still does not disclose the important fact that thearsenic is present as sodium cacodylate, nor does it tell the characterof the mercury compound the council voted that “solution of arsenicand mercury” and “arsenoven s s ” be declared inadmissible to new andnonofficial remedies because the therapeutic claims advanced for themare unwarranted rule 6 and because the names of these pharmaceuticalpreparations are not descriptive of their composition rule 8 in filing its reply with the council, the new york intravenouslaboratory announced that that document would be circulated to themedical profession this is of course the firm privilege the councilnotes, however, with interest, that the reply is devoted almostentirely to points which were not raised by the council and that itfails to discuss the objections which were actually made the reply constantly confuses the efficiency of cacodylate in anemiaand in syphilis the council report on “arseno-meth-hyd” does notdiscuss or even touch on the question of cacodylates in anemia itis confined to a discussion of the disappointing results obtainedwith cacodylates as such i e , without mercury in the treatmentof syphilis this attempt on the writing of the new york intravenouslaboratory to confuse the issue and to attribute to the councilan opinion that it has never stated or held is an inexcusablemisrepresentation the company in its reply said. “we believe that you have previously stated that a solution cacodylate of soda possesses no more action than so much water in other words, it was inert now you try to show that it produces renal injury ”the council has never declared that cacodylates are inert in thereport it is merely stated “that doses so large as to produce renalinjury were almost totally ineffective against syphilis ” neitherhas the council stated that cacodylate is “peculiarly dangerous ” infact the absolute toxicity of cacodylates is low but cole resultswere quoted as a caution that “effective” doses are not harmless agreat portion of the remainder of the reply is devoted to disparagingarsphenamin-- a product that is not involved in this action of thecouncil, and one about which the physician is amply informed amongst other wholly extraneous matters, the firm “reply” tried toresurrect the pepsin pancreatin controversy this also has nothingto do with the efficiency or harmlessness of sodium cacodylate inorder to dispose of the matter, however, it may be pointed out thatthe implications are entirely misleading the work which is quotedagainst the council was undertaken by the council itself, to clarifyobscurities in the older data the outcome of these new investigationsshowed the essential correctness of the deductions from the older work, namely, that pancreatin is destroyed by pepsin-hydrochloric acid dr long work to which the firm reply evidently refers, showed thatunder favorable conditions, namely, when protected by an excess ofprotein, essay trypsin may escape destruction in the stomach. But itfully confirmed the original conclusion that pepsin and pancreatinmixtures as ordinarily administered are practically worthless j h long, jour amer pharmaco assoc , sept 19, 1917 as regards the editorial on intravenous therapy, a concession may bemade the new york intravenous laboratory. Intravenous injections are nolonger quite as “impressive” as in 1916, but that does not alter thefact that they should be used only when a distinct advantage is to begained -- from the journal a m a , aug 2, 1919 hormotone and hormotone without post-pituitary report of the council on pharmacy and chemistry “hormotone, ” of the g w carnrick company, is advertised as “apluriglandular tonic for asthenic conditions ” “hormotone withoutpost-pituitary” is recommended for use “in neurasthenic conditionsassociated with high blood pressure ” these preparations are sold inthe form of tablets for oral administration the council declares thesepreparations inadmissible to new and nonofficial remedies because. 1their composition is semisecret rule 1. 2 the therapeutic claimsare unwarranted rule 6. 3 they are sold under names not descriptiveof their composition but suggestive of indiscriminate use as “tonics” rule 8. 4 in the light of our present knowledge the routineadministration of polyglandular mixtures is irrational rule 10 inexplanation of this action, the council authorized publication of thereport which appears below w a puckner, secretary each tablet of “hormotone” g w carnrick co , new york city is saidto contain 1/10 grain of desiccated thyroid and 1/20 grain of entirepituitary, together with the hormones of the ovary and testes-- theamounts and the form in which the latter are supposed to be present arenot given from this it will be seen that the only definite informationgiven to the medical profession regarding the composition of hormotoneis that it is a weak thyroid and a still weaker pituitary preparation what results can be anticipated from one or two tablets three timesdaily the recommended dose of hormotone each containing 1/10 grainof thyroid and 1/20 grain entire pituitary?. such doses of thyroidmay, of course, have a beneficial action in a limited number of paperof myxedema and cretinism an extract of the posterior lobe of thepituitary liquor hypophysis, u s p , for example will, wheninjected subcutaneously or intramuscularly, have a pronounced effecton the writingurient uterus. Its action on certain other forms of smoothmuscle will be much less certain but the oral administration forwhich hormotone is recommended of the posterior lobe of the pituitaryhas not been shown to have any such effect the use of the anteriorlobe in doses of 1 to 4 grains doses very thesis times larger than thoserecommended for the entire gland in hormotone is in the experimentalstage and its only probable value seems to be in those paper of knowngland deficiency as to the other alleged ingredients of hormotone-- hormones of the ovaryand testes, amounts not stated. All physicians know the uncertaintiesattending the use of ovarian preparations and the serious question asto whether testicular extracts have any therapeutic value whatever maybe the physicians views as to the probable therapeutic value of theseorgans, the first thing he desires to know is how much of the substancehe is giving and from what writing of the gland it is obtained so much for the facts.

Pilewort made into an oil, ointment, or plaister, classification essay readilycures both the piles, or hæmorrhoids, and the king evil. The veryherb borne about one body next the skin helps in such diseases, though it never touch the place grieved. Let poor people make much ofit for those uses. With this i cured my own daughter of the kingevil, broke the sore, drew out a quarter of a pint of corruption, curedwithout any scar at all in one week time the ordinary small centaury descript this grows up most usually but with one round and essaywhatcrusted stalk, about a foot high or better, branching forth at the topinto thesis sprigs, and essay also from the joints of the stalks below;the flowers thus stand at the tops as it were in one umbel or tuft, are of a pale red, tending to carnation colour, consisting of five, essaytimes six small leaves, very like those of st john wort, openingthemselves in the day time and closing at night, after which come seedsin little short husk, in forms like unto wheat corn the leaves aresmall and essaywhat round. The root small and hard, perishing everyyear the whole plant is of an exceeding bitter taste there is another sort in all things like the former, save only it bearswhite flowers place they grow ordinarily in fields, pastures, and woods, but thatwith the white flowers not so frequently as the other time they flower in july or thereabouts, and seeds within a monthafter government and virtues they are under the dominion of the sun, asappears in that their flowers open and shut as the sun, either shewsor hides his face this herb, boiled and drank, purges choleric andgross humours, and helps the sciatica. It opens obstructions of theliver, gall, and spleen, helps the jaundice, and eases the pains in thesides and hardness of the spleen, used outwardly, and is given withvery good effect in agues it helps those that have the dropsy, or thegreen-sickness, being much used by the italians in powder for thatpurpose it kill the worms in the belly, as is found by experience the decoction thereof, viz the tops of the stalks, with the leavesand flowers, is good against the cholic, and to bring down womencourses, helps to avoid the dead birth, and eases pains of the mother, and is very effectual in all pains of the joints, as the gout, cramps, or convulsions a dram of the powder taken in wine is a wonderful goodhelp against the biting and poison of an adder the juice of the herbwith a little honey put to it, is good to clear the eyes from dimness, mists and clouds that offend or hinder sight it is singularly goodboth for green and fresh wounds, as also for old ulcers and sores, toclose up the one and cleanse the other, and perfectly to cure themboth, although they are hollow or fistulous. The green herb especially, being bruised and laid thereto the decoction thereof dropped into theears, cleanses them from worms, cleanses the foul ulcers and spreadingscabs of the head, and takes away all freckles, spots, and marks in theskin, being washed with it. The herb is so safe you cannot fail in theusing of it, only giving it inwardly for inward diseases it is verywholeessay, but not very toothessay there is beside these, another small centaury, which bears a yellowflower.

Then they made it up in rolls, which whenthey needed for use, they could melt by the fire again 2 the arabians made up theirs with oil and fat, which needed not solong boiling 3 the greeks emplaisters consisted of these ingredients, metals, stones, divers classification essay sorts of earth, feces, juices, liquors, seeds, roots, herbs, excrements of creatures, wax, rosin, gums chapter xii of poultices 1 poultices are those kind of things which the latins callcataplasmata, and our learned fellows, that if they can read english, that all, call them cataplasms, because ’tis a crabbed word fewunderstand. It is indeed a very fine kind of medicine to ripen sores 2 they are made of herbs and roots, fitted for the disease, andmembers afflicted, being chopped small, and boiled in water almost toa jelly. Then by adding a little barleymeal, or meal of lupins, and alittle oil, or rough sweet suet, which i hold to be better, spread upona cloth and apply to the grieved places 3 their use is to ease pain, to break sores, to cool inflammations, to dissolve hardness, to ease the spleen, to concoct humours, anddissipate swellings 4 i beseech you take this caution along with you. Use no poultices ifyou can help it that are of an healing nature, before you have firstcleansed the body, because they are subject to draw the humours to themfrom every writing of the body chapter xiii of troches 1 the latins call them placentula, or little cakes, and the greeksprochikois, kukliscoi, and artiscoi. They are usually littleround flat cakes, or you may make them square if you will 2 their first invention was, that powders being so kept might resistthe intermission of air, and so endure pure the longer 3 besides, they are easier carried in the pockets of such as travel;as thesis a man for example is forced to travel whose stomach is toocold, or at least not so hot as it should be, which is most proper, for the stomach is never cold till a man be dead. In such a case, itis better to carry troches of wormwood, or galangal, in a paper in hispocket, than to lay a gallipot along with him 4 they are made thus. At night when you go to bed, take two drams offine gum tragacanth. Put it into a gallipot, and put half a quarter ofa pint of any distilled water fitting for the purpose you would makeyour troches for to cover it, and the next morning you shall find it insuch a jelly as the physicians call mucilage. With this you may witha little pains taken make a powder into a paste, and that paste intocakes called troches 5 having made them, dry them in the shade, and keep them in a pot foryour use chapter xiv of pills 1 they are called pilulæ, because they resemble little balls. Thegreeks call them catapotia 2 it is the opinion of modern physicians, that this way of makingmedicines, was invented only to deceive the palate, that so byswallowing them down whole, the bitterness of the medicine might not beperceived, or at least it might not be unsufferable. And indeed most oftheir pills, though not all, are very bitter 3 i am of a clean contrary opinion to this i rather think theywere done up in this hard form, that so they might be the longer indigesting. And my opinion is grounded upon reason too, not upon fancy, or hearsay the first invention of pills was to purge the head, now, asi told you before, such infirmities as lie near the passages were bestremoved by decoctions, because they pass to the grieved writing soonest;so here, if the infirmity lies in the head, or any other remote writing, the best way is to use pills, because they are longer in digestion, and therefore the better able to call the offending humour to them 4 if i should tell you here a long tale of medicine working bysympathy and antipathy, you would not understand a word of it. Theythat are set to make physicians may find it in the treatise all modernphysicians know not what belongs to a sympathetical cure, no more thana cuckow what belongs to flats and sharps in music, but follow thevulgar road, and call it a hidden quality, because ’tis hidden from theeyes of dunces, and indeed none but astrologers can give a reason forit. And physic without reason is like a pudding without fat 5 the way to make pills is very easy, for with the help of a pestleand mortar, and a little diligence, you may make any powder into pills, either with syrup, or the jelly i told you before chapter xv the way of mixing medicines according to the cause of the disease, and writings of the body afflicted this being indeed the key of the work, i shall be essaywhat the morediligent in it i shall deliver myself thus;1 to the vulgar 2 to such as study astrology.

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3 the name “toxicide” is therapeuticallysuggestive, and classification essay 4 the therapeutic claims, being unsubstantiated byevidence, are unwarranted illustration. Photographic reproduction greatly reduced of anadvertising circular used essay time ago describing the marvels alleged of toxicide editorial comment -- it seems rather preposterous that a scientificbody, such as the council on pharmacy and chemistry, should have towaste its time in investigating and reporting on such an obviouslyunscientific product as “toxicide ” so long, however, as there arephysicians who will take preparations of this sort seriously, thecouncil feels that it is its duty to report on such products theproblem, in fact, was well stated in a letter addressed to theeditor essay months ago by the secretary of a county medical societywho had just received a visit from a representative of the toxicidelaboratories and who sent to the journal essay of the advertising matterthat he had received from the same source this physician wrote. “i do not wish to trouble you with this kind of material, usually deposited safely in my waste paper basket, but the enclosed was handed to me today by a ‘bird’ who is calling on all the doctors and making strong statements when he claimed that ‘toxicide’ is being used in the presbyterian hospital, chicago, and that the council on pharmacy and chemistry is considering it seriously, etc , etc , i wish to know whether i am missing any real good thing if it has any real virtue, i would like to know about it, but if it has not, it seems to me that essaything ought to be done to head him off as essay doctors are sure to fall for essay of it ”the toxicide laboratories is, apparently, merely a trade name used bythe alleged originator of “toxicide, ” j f ruckel, m d according toour records, ruckel was born in 1860 and was graduated by the chicagohomeopathic medical college in 1886 he claims to have originatedtoxicide about twenty years ago and to have prescribed it “in over3, 000 paper ” in addition to toxicide, the toxicide laboratories alsoput out “dianasiac for nymphomania and satyriasis” and “somnosine forinsomnia ”-- from the journal a m a , oct 8, 1921 pil mixed treatment chichester report of the council on pharmacy and chemistrythe council has authorized publication of the following report. W a puckner, secretary “pil mixed treatment chichester” is a proprietary preparation ofthe hillside chemical co , newburgh, n y it is sold in the form ofpills, each said to contain 1/20 grain of mercuric iodid and 5 grainsof potassium iodid in 1907 the council examined the therapeutic claims advanced for thispreparation and found that they were unwarranted, exaggerated andmisleading it found, also, thesis misleading statements in regard to theproduct itself furthermore, the a m a chemical laboratory found thepills to be “short weight” in potassium iodid content at the time that the council examined pil mixed treatment chichester, a dermatologist of recognized standing, to whom the“literature” for this product had been submitted for an opinion, madethe following report:“assuming that this pill contains what is claimed for it, one-twentieth 1/20 of a grain of biniodid of mercury and five 5 grains ofpotassium iodid, it presents neither an original nor a very usefulformula “the literature furnished by the company abounds in suggestions thatthe mixture, as they prepare it, represents essay unusual potency whichis not possessed by the ordinary mixture of these same drugs in thesame proportion these suggestions may of course be dismissed withoutconsideration there is nothing mysterious in a mixture of potassiumiodid and biniodid of mercury and this formula is no more entitledto special consideration than any other pill or tablet of the samecomposition prepared by any reputable pharmaceutical firm “the formula of this pill, however, does not represent a goodcombination it is offered for use both during the active secondaryperiod of syphilis and for tertiary lesions the pill does not containenough mercury to be an efficient remedy for secondary syphilis and notenough potassium iodid to be satisfactory in the treatment of tertiarylesions it is neither fish, flesh, fowl, nor good red herring apatient with secondary syphilis should not be dosed all the time withpotassium iodid and for the treatment of tertiary lesions he shouldhave a very much larger quantity of potassium iodid than can be givenin these pills without giving toxic doses of mercury “the statement that this pill ‘does not impair the appetite nor disturbdigestion and is well borne by patients who cannot tolerate iodidsotherwise administered’ is a bald claim which cannot be justified byexperience the most unsatisfactory way of administering potassiumiodid is in solid form a patient who can stand potassium iodid in pillform, as it is furnished in this preparation, can stand it in any formin which it is ever administered “in short this preparation is neither agreeable nor efficient thegreatest objection to it is its inefficiency, for it is offered asan adequate preparation for the treatment of syphilis in all of itsstages, whereas it is neither satisfactory for the treatment ofsecondary syphilis nor of tertiary lesions ”during the fourteen years which have elapsed since the council firstexamination of pil mixed treatment chichester, arsphenamin hasbeen added to the syphilographer armamentarium and much has beenlearned about syphilis and its treatment while there exist differencesof opinion as to the exact value of arsphenamin in the treatment ofsyphilis and there are even essay who desist from the use of arseniccompounds of any kind, no syphilographer of standing countenances theroutine treatment of syphilis with a fixed combination of mercuriciodid and potassium iodid the use of pil mixed treatment chichesteris on a par with the use of certain “blood purifiers” which wereadvocated at a time when the treatment of syphilis was a bafflingproblem present day claimsthe present advertising, which reads as if it had been written in theheyday of proprietary license, is, in effect, an invitation to treatsyphilis in its various stages and manifestations with pil mixedtreatment chichester if heeded by those who read the advertising ofthe hillside chemical co , it will result in much harm to the publicand the profession for this reason, the present report of the councilis published as a protest against any advertising propaganda advocatingthe routine treatment of a disease which requires that each case bestudied carefully so that prompt and efficient measures may be appliedto the various manifestations of the disease the following advertisement appeared recently in several medicaljournals. “medicine is an exact science-- on paper only!.