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it. To prevent such mistakes in the future, let me suggest that the sender always enclose his card. Respectfully, J. P. RAND, M. D., Worcester, Mass.

For Sale. — A large-size McIntosh Storage Battery, Type B., 75-ampere, 4volt., with a lamp-resistance suitable for charging the battery from a 500-volt. circuit wire. These are in perfect order and have never been used. Will be sold low for cash. Apply to

OTIS CLAPP & Son, 317 Westminster Street, Providence, R. I. For Sale. — The library, medicines, instruments, batteries, etc., of a physician lately deceased, who has been located in same place for twenty-eight years. The good-will and an introduction to his former families will be included for the price that the goods have been inventoried at. A splendid opening for a physician desirous of locating in a city. Very little capital required. Apply to

OTIS CLAPP & Son, 317 Westminster Street, Providence, R. I. J. B. GREGG Custis, M.D., Zeno B. BABBITT, M.D., and JESSE H. HOLMES, Ph. D. (J. H. U.), all of Washington, D. C., have been elected members of the Faculty of the Southern Homeopathic Medical College. Dr. Custis will fill the chair of Professor of Practice of Obstetrics, dividing that chair with Professor Drane, who will continue, and lecture on the Principles of Obstetrics. Dr. Babbitt will lecture on General Pathology and Pathological Anatomy, and Dr. Holmes will serve as Demonstrator of Chemistry.

The homeopathic physicians of Worcester, have organized for semi-monthly meetings to be held at different offices during the coming season. Each physician pledges himself to furnish at least one paper, and provide a place for meeting once a year. The first meeting was held, Oct. 21st, at the office of Dr. E. D. Fitch, who read a paper on “Diphtheria,” which evoked an interesting discussion. There were present thirteen physicians. The next meeting will be held at the office of Dr. J. P. Rand, who will read a paper entitled Specialties in Medicine." It is proposed to conclude the meetings with a social banquet at the end of the season.

WORLD'S CONGRESS NOTES. As some of the profession may not fully understand the authority of the Congress, the following extracts from public documents will make the matter plain.

“ DEPARTMENT OF STATE, WASHINGTON, May 23rd, 1892. One of the accompaniments with the President's invitation to the several foreign governments, issued in accordance with the Act approved April 25th, 1890, was the World's Congress Auxiliary to the World's Columbian Exposition. The purpose of its organization was fúlly stated, and among them it was proposed that a series of World's Congresses, to promote the objects in view, was to be held in connection with the World's Columbian Exposition, in 1893. "The World's Congress Auxiliary,' it added, "has been duly authorized and organized to promote the holding and success of such Congresses.' I observe in conclusion, that a representative of the World's Congress Auxiliary, a few days ago, called at the department to learn whether it would be possible to send their pamphlets to all foreign governments, with a suitable instruction to our minister to present them to the Governments to which they were respectively accredited, as supplementary to the original invitation. Assurance was given that the department would gladly do so upon the receipt of a formal written request to that effect. I have the honor to be, sir, your obedient servant, JAMES G. BLAINE. Hon. JOHN SHERMAN,

Chairman Committee on Foreign Relations, United States Senate.” THE OFFICIAL INVITATION TO FOREIGN GOVERNMENTS TO APPOINT DELEGATES TO ALL OR ANY OF THE WORLD'S CONGRESSES TO BE HELD AT

CHICAGO, IN 1893. (CIRCULAR.)

" DEPARTMENT OF STATE, WASHINGTON, June 13th, 1892. To the Diplomatic and Consular Officers of the United States :

Gentlemen :- The department is in receipt of a letter from Mr. Charles C. Bonney, President of the World's Congress Auxiliary, dated Chicago, the third inst. It states that in pursuance of the course indicated in the original announce

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ment of the World's Congress Auxiliary, which was transmitted with the Act of Congress approved April 25th, 1890, and the President's invitation of Jan. 14th, 1891, extending to all foreign governments a cordial invitation to participate in the World's Columbian Exposition, to be held in Chicago, in 1893, the work of the World's Congress Auxiliary has been organized.

It is particularly requested that a convenient number of the most eminent representatives of the various departments of human progress be selected as delegates to attend the respective Congresses. On receipt of the names of such delegates, suitable communications will be forwarded to them. I am, gentlemen, your obedient servant,

William F. WHARTON, Acting Secretary." Under this authority, Hon. C. C. Bonney, President of the World's Congress Auxiliary, appointed J. S. Mitchell, M.D., Chairman, R. Ludlam, M.D., ViceChairman, Committee on a Congress of Homeopathic Physicians and Surgeons ; Julia Holmes Smith, M. D., Chairman, Elizabeth McCracken, M.D., vice-chairman, Woman's Committee on a Congress of Homæopathic Physicians and Surgeons,

P. C. MAJUMDAR, L.M.S., of Calcutta, India, editor of the Indian Homeopathic Review, who wrote the “* History of Homeopathy in India," for the Atlantic City Congress, will personally attend the Chicago Congress, and hopes to be able to give a very cheerful account of the progress and advancement of homæopathy in India."

Dr. E. T. ADAMS, a prominent member of our school at Toronto, Canada, will attend the Congress, and is taking an active interest in its success.

D. N. Banerjee, who also sent a very interesting account of “ Homeopathy in India” to the last Congress, writes that he will be present at the World's Congress in Chicago. Both Dr. Majumdar and Dr. Banerjee are good English scholars, and will add greatly to the interest of the sessions.

Engagements for rooms at the hotel already made indicate that the profession will be well represented at the Congress. Rooms will be furnished during the week of the Congress at regular rates. Address, Great Northern Hotel, Chicago, Illinois.

ADDRESSES ALREADY PROMISED. “ The Homeopathic School and Public Health." R. Ludlam, M.D., Chicago.

“ Historic Development of Homeopathy in Germany." A. Von Villers, M.D., Germany.

“ The Further Improvement of our Materia Medica." Richard Hughes, M.D., England.

** Homeopathy and Prophylaxis.” P. Jousset, M.D., Paris. “The Value of Specialties in Medicine." F. Park Lewis, M.D., New York. “ Bacteriology." A. Haupt, M.D., Germany. ** The Value of Efforts to Enlighten the Public on Homeopathy." A. C. Pope, M.D., England.

"The Relation of Adjuvants to Therapeutics." J. D. Buck, M.D., Cincinnati.

“Medical Education in the Homæopathic Colleges and Hospitals of the United States." I. T. Talbot, M.D., Boston.

“ The Future of Homeopathy." J. P. Dake, M.D., Nashville. “ The Selection of the Homeopathic Remedy." T. F. Allen, M.D., New York.

“ The Development of Medical Science through Homeopathy." Martha A. Canfield, M.D, Cleveland.

SECTIONS.
Gynecology-0. S. Runnells, Chairman, Indianapolis.
Materia Medica – A. C. Cowperthwaite, Chairman, Chicago.
Clinical Medicine - Chas. Gatchell, Chairman, Ann Arbor.
Obstetrics -- T. G. Comstock, Chairman, St. Louis, Mo.
Surgery - H. C. Van Lennep, Chairman, Philadelphia.
Ophthalmology and Otology – A. B. Norton, Chairman, New York.
Pædology - Emily V. Pardee, Chairman, Hartford.
Mental and Nervous Diseases - Selden H. Talcott, Chairman, New York.
Laryngology and Rhinology - H. F. Ivins, Chairman, Philadelphia.

THE

NEW-ENGLAND MEDICAL GAZETTE.

No. 12.

DECEMBER, 1892.

VOL. XXVII.

Contributions of original articles, correspondence, personal items, etc., should be sent to the publishers,

Boston, Mass.

EDITORIAL

-:0:

A MATTER OF PROPHYLAXIS

He may

There is a show of justice in the phrase which speaks of neurasthenia as the “American Disease.” The general practitioner — to say nothing of the specialist — who casts a statistical eye over his case-book at the end of the twelve-month, cannot fail to be deeply impressed, perhaps shocked, to note how large a proportion of the patients he has treated have had diseases originating in outworn and outraged nerves. well ask himself, and ask the statesman and the hygienist and the sociologist, what is the future of a generation so many of whose fathers and mothers drift or abruptly fall into a state of semi-invalidism, before what should be their years of active and happy usefulness are nearly sped.

That neurasthenia should obtain, as a national scourge, far more on this side of the Atlantic than on the other, is not very greatly to be wondered at. Many reasons combine for its explanation. For one, our American climate, or certainly that of the Northern States, has in it a stimulating quality that drives one mercilessly to work and work and work again. Americans, like the thoroughbred of the old proverb, have a spur in the blood. Howells as truly as cleverly says that when the European climate braces a man up, it stands by to see him through ; while the American climate braces him up, and leaves him to take the consequences. Add to climate, social conditions which are in themselves a spur, and the impulse to speed without rest is

VOL. XXVII.- No. 12.

549

indefinitely strengthened. In the old countries, broadly speaking, a man is born where he expects to remain. The son of a butler looks forward to being a butler; the son of the operative to labor at the loom ; the daughter of the housekeeper to being a lady's maid. The unlikelihood of great social promotion spares to ninety out of the hundred the wearing and wearying struggle for social promotion. The amount of nerve-waste and nerve-strain thus saved is something incalculable. In America, speaking again broadly, every boy born with the certainty that he may be President, looks upon himself as not wholly a success if he fail to be President. The restless impulse to rise is the inevitable sequence of the open chance to rise. Add to these factors in nerve-strain, the Puritan conscience that has been educated to look upon wilful idleness, however brief, as an invi. tation to Satan to come a-visiting, and the American proclivity to nerve-wreck needs little further accounting for.

Few things are more hopeless of sound cure — nothing more hopeless of speedy cure — than neurasthenia. The physician called to its treatment must struggle with it as he can, finding, on the whole, hygiene, dietetics and mental therapeutics his most hopeful stand-bys. But so far as the very real national danger is concerned, the physician can hopefully labor, and is bound to earnestly labor in the field of prophylaxis. Specialists have not yet wholly driven that good old-fashioned institution, the family doctor, from the field; and it is the family doctor, to whom is committed a responsible measure of the care of Young America from birth to adult years, who can make himself a powerful influence toward crushing out the “American disease." Knowing the certain and inevitable strain that is to be borne by virtue of being born an American, the doctor can see to it from the first that the nervous organism is fed to healthy growth, and spared all superfluous stimulation. He will teach the parent that to set at the child's plate, or within his reach, the coffee-cup or the tea-cup is only less a crime than to thus set the whiskeyglass. He will see to it that the children are, as long as possible, kept children; that instead of tackling the questions of sixty before they are turned sixteen, as, by sharing the talk and reading the books of their elders, they are too often permitted to

do, they should be furnished with the literature suited to their age, and so interested in the sports and duties befitting their age as to have little time for attacking the problems of the universe. They should from babyhood be taught and held to physical and mental self-control, until the learned lesson passes into a sane and blessed instinct, and hysterical outbursts of any sort take rank as the disgrace they are. They should be helped to form the habit of relaxing to entire passivity at will; and of taking voluntarily, many minutes a day of such relaxation ; if the relaxation of nerve and muscle pass naturally into brief sleep, so much the better. From earliest life, diet should be adapted to meet, as far as possible, the nerve-strain of American life; fats of all wholesome sorts should be insisted on; the habits acquired of using much butter; of stinting the table of pie to supply it with cream; of having confectionery take the form of butterscotch ; in a word, of having the supply of fats in daily food maintained at the maximum. As — and this will be the case, even in school life - unusual weariness calls for unusual stimulation, fix early in mind the truth that in such cases a bowl of hot milk is worth, for strengthening and steadying the nerves, all the coffee or beer ever brewed; and that there is no better investment, in view of hard work, than breakfasts of bacon and nightcaps of cod-liver oil.

Above all, seek to educate youth into that most tranquilizing of mental and spiritual attitudes, in which a man troubles himself only about the quality of his work, and not at all about its effects or its rewards.

In all these matters, the family doctor may vastly help to shape the growing American generation. And in proportion as these matters are wisely handled, the generation, when grown, will laugh at neurasthenia.

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MARRIAGE-REGULATION BY Law is interestingly commented upon, editorially, in a recent issue of our esteemed contemporary, the North American Journal of Homeopathy, apropos of Dr. Fiske's address on the subject, before the State Society of

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