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travel in the air as far as the scent of the effluvia goes, and but little further, if any. Hence they find their way into the system through all the inlets, but mainly by the air passages and esophagus, or by either. When by the lungs, they are soon to be seen in that notable rash on the breast, and when by the esophagus, tympanites of the bowels is significant, followed by all the various mishaps. so constantly seen. And when by the lungs, we often have pneumonic complications.

The microbe of typhus soon finds its way into the blood, and is carried the rounds, consuming the vitality and the carbon of the blood, producing fever, penetrating the glands, where they have a safe lurking-place, because of the less blood circulation, as is demonstrated by the abscesses, etc., often seen. The absorbent glands especially are one of their main resorts. Besides, they prey upon the inner coats of the intestines, devastating large patches, even penetrating at times by perforation, which is demonstrated by autopsy.

The impure condition of the blood may account for this stupor and cerebral disturbances, whether it be from the brain or its peripheries.

From the foregoing, my treatment may be anticipated. The cause being settled (if settled at all), of course the remedial measures should conform to the facts in the

case.

The main thing in the treatment is to know right early what you have on hand-"be sure you are right, then go ahead"; mistakes in diagnosis may lead to disaster. Antiseptics is the treatment early and late. I know nothing better than calomel to begin with, in very small doses, so that it can be absorbed and reach every part of the system. One-sixteenth to one-fourth grain doses every three hours while awake, for two or three days, may do to begin with, to be repeated later on should it be indicated.

Woodbridge's treatment comes in well after the calomel or any other efficient antiseptic.

I mean that the patient must be backed up by antiseptics, as the fight is between vitality and bacillus; the benefit must be for vitality, or the battle is lost. As the carbon and vitality of the blood is being constantly consumed by the fever or its causes, this carbon must be substituted, and I know of nothing better or half so good as whiskey or brandy judiciously managed, just enough to supply waste and no more, which, in my experience, is a half teaspoonful every three hours, straight along and never let up until the fever entirely subsides. It reduces the temperature and pulse in a day or so, keeping them down as long as given. It would seem that such small doses as a half teaspoonful could not produce the effect that I ascribe to it, but years of constant tests make it a settled fact with me; we only want enough to constantly supply the carbon consumed. More than that would prove a stimulant and elevate the temperature and pulse, a mistake too often made by excessive doses. Any one not experienced with the remedy would be astounded at the results. Even ten drops, when given every two hours, will do the work claimed for it.

I believe that calomel and brandy, when handled as before indicated, will, if tested at the beginning of fever, abort it. I back my convictions upon tests often made. A patient whose pulse is 120, and temperature 1031⁄2, by the use of whiskey or brandy as directed, will, in twentyfour to thirty-six hours have a pulse and temperature both below 100, and remain down as long as the remedy is given, but if the whiskey be left off too soon the fever will return.

It is to be lamented that typhoid fever is so insidious

in its advent that the main time for action has passed before a correct diagnosis is found. Some deleterious treatment is given, causing many fatal cases as well as perplexity to the doctor.

This disease seems to be always on the lookout for any weak point, and is sure to strike the most vulnerable part, producing complications. Nature has provided abundantly with antiseptics. Listerine is a good one, made of thymol, eucalyptus, baptisia, gaultheria, menthol, ammonia and benzo-boracic acid. There is no lack of therapy. I only insist on saturating the system to its capacity with these remedies outside of toxemia.

The side issues are worthy of tests such as enemata, once a day, in lieu of cathartics and for riddance of deleterious deposits. And ablution of the skin, as St. James directs, or with sterilized water with boracic acid, enough to keep the skin healthy, to prevent blebs and boils as also to serve as an antiseptic.

In treating this disease good practical common sense is more to be depended on than books, because the books only give an outline and differ radically, according to special views of the author. To prevent infection, a daily change of raiment and good ventilation must be had. Unless care is taken the attendants are likely to be infected, and thus whole families will take it. With good sanitation this disease would be a stranger. In fact, I believe it can be driven from any community by sanitation. Typhoid bacilli, one of the toxemia order, was first discovered by Eberth, and afterwards in 1868 was more fully explained by Gaffky. These toxines are evidently the cause of typhoid fever. Dr. Mouser, of San Francisco, has demonstrated that bacilli typhosa succumbs to borolyptol in two minutes, a safe, effectual and non-toxic remedy.

CONSTITUTION AND BY-LAWS

OF THE

Medical Association of
of Georgia.

CONSTITUTION.

ARTICLE I.-NAME OF THE ASSOCIATION.

The name and title of this organization shall be The Medical Association of Georgia.

ARTICLE II.-PURPOSES OF THE ASSOCIATION.

The purposes of this Association shall be to federate and bring into one compact organization the entire medical profession of the State of Georgia; to extend medical knowledge and advance medical science; to elevate the standard of medical education, and to secure the enactment and enforcement of just medical laws; to promote friendly intercourse among physicians; to guard and foster the material interests of its members and to protect them against imposition; and to enlighten and direct public opinion in regard to the great problems of State medicine, so that the profession shall become more capable and honorable within itself, and more useful to the public, in the prevention and cure of disease, and in prolonging and adding comfort to life.

ARTICLE III.-COMPONENT SOCIETIES.

Component Societies shall consist of those county medical societies which hold charters from this Association.

ARTICLE IV.-COMPOSITION OF THE ASSOCIATION.

SECTION I. This Association shall consist of Members and Delegates.

SEC. 2. MEMBERS. The members of this Association shall be the members of the component county medical societies, to which only white physicians shall be eligible.

SEC. 3. DELEGATES. Delegates shall be those members who are elected in accordance with this Constitution and By-Laws to represent their respective component societies in the House of Delegates of this Association.

ARTICLE V.-HOUSE OF Delegates.

The House of Delegates shall be the business body of the Association, and shall consist of (1) Delegates elected by the component county societies, (2) the Councilors, and (3), ex officio, the President and Secretary of this Association.

ARTICLE VI.-COUNCIL.

The Council shall consist of the Councilors, and the President and Secretary, er officio. Besides its duties mentioned in the By-Laws, it shall constitute the Finance Committee of the House of Delegates. Five Councilors shall constitute a quorum.

ARTICLE VII.-SECTIONS AND DISTRICT SOCIETIES.

The House of Delegates may provide for a division of the scientific work of the Association into appropriate sections, and for the organization of such Councilor Dis

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