symptom. Several of the patients were suffering from pulmonary tuberculosis, all but two of these being in the early stage of the disease. Some of these were markedly relieved of painful cough by the remedy, but others experienced little if any benefit. One patient suffering an attack of spasmodic asthma was completely relieved by two doses of five grains each, taken half an hour apart, but subsequently the remedy did little if any. good. One man suffering from chronic endocarditis and myocarditis with pulmonary oedema, engorgement of the liver and kidneys and general anasarca found it the best remedy he had ever used for the relief of his cough, which at times. was exceedingly troublesome. He continued to use the remedy for several weeks with excellent effects. One patient with pulmonary tuberculosis had a persistent and very trying occipital headache for several days which was completely relieved after taking three or four doses of brometone; and in several other cases headache has soon yielded to its influence. These headaches appeared to me purely nervous. Three or four patients with severe paroxysmal cough due to acute inflammation of the upper air passages obtained very great benefit from this drug. I have obtained good results from this added to tonic and digestive agents for the purpose of preventing gastric fermentation and the collection of gas in the stomach. I have records of all the cases in which I have used this remedy but as they were not indexed with reference to this particular subject, I cannot find them all without an expenditure of too much time. I think it probable that I have included in this report most of the cases that were markedly affected by the drug, because they would naturally attract the attention of my assistants and myself and it is also probable that in most of the records that I have not found the results were nil. I am indebted to N. P. Colwell for tabulation of these cases and we give below all the records we can find, without any selection, so that the reader may form his own unbiased conclusions as to the value of the remedy.

Case I. Miss B. A. age 28. Pulmonary tuberculosis of 9 weeks duration involving right apex as low as second interspace.

Cough very troublesome frequently causing vomiting. Brometone given in 5 and 10 grain doses with no relief. It caused dizzi

ness.

Case II. Mr. H. L. a broker, age 27. Pulmonary tuberculosis of 14 months duration involving right apex as low as second rib. Cough severe. Tubercle bacilli very numerous in sputum, Brometone given in 5 grain doses with much relief from cough.

Case III. Mrs. I. J. age 36, pulmonary tuberculosis of 8 months duration involving right apex to third rib, there being also slight dullness over left apex. Cough troubleBacilli found in sputum. Rapid loss of weight. Pulse 120, temperature 99.2, Brometone in 5 grain doses helped cough a great deal.

some.

Case IV. Mr. M. L. a bartender, age 26, pulmonary tuberculosis of 14 months duration, bacilli found in sputum, headache and cough severe. Brometone in 5 grain doses taken every 3 hours greatly relieved cough, but made him dizzy. Later it seemed to relieve headache but not the cough. Still later patient said the brometone did not help him.

Case V. Mr. E. M., a clerk, age 37, pulmonary tuberculosis of about 2 years duration, night sweats and severe cough, with slight hemorrhages. Brometone in 5 grain doses every 3 hours made him very dizzy and brought on a headache with only a slight effect on the cough.

Case VI. Mrs. S. W. age 34, pulmonary tuberculosis involving left apex to about the second rib. Pulse 120, had severe hemorrhage, temperature 99. Sharp pain at intervals in stomach and back with headache. Brometone 5 grain doses three times a day gave great relief from the pain.

Case VII. Mr. W. J. a clerk, age 22, pulmonary tuberculosis of about 7 months standing involving upper half of right lung with troublesome cough. Brometone in 5 grain doses only slightly relieved cough but caused no disagreeable symptoms.

Case VIII. Mrs. B. S. age 35, chronic laryngo-tracheitis. Severe headache was greatly relieved by 5 grain doses of Brometone three times a day. No unpleasant symptoms.

Case X. Mr. F. J. a liquor dealer, age 62, suffering from acute laryngo-tracheitis with severe cough. Brometone relieved cough very much.

Case XI. Mr. H. F. a student, 20 years of age, a case of hypertrophic rhinitis with a very disagreeable sense of pressure in the head which persisted in spite of 5 grain doses of Brometone taken 4 or 5 times a day.

Case XII. Mrs. H. age 31, abscess of Antrum of Highmore with continuous severe occipital headache. Brometone 5 grain doses 4 times a day only temporarily relieved the headache, but made her very sick.

Case XIII. Mr. G. J. a bookkeeper age 58, hypertrophy and dilatation of heart. Had an annoying cough which was greatly relieved by 5 grain doses of Brometone.

Case XIV. Mrs. D. S. age 26, chronic endocarditis with mitral stenosis plus hypertrophy and dilatation. Also tracheitis. Severe frontal headaches and hard paroxysmal cough. The cough was much relieved by the Brometone, but it made her very dizzy.

Case XV. Mr. R. M. age 48, laryngotracheitis with a painful, hoarse cough. Brometone caused some dizziness and did not help the cough.

Case XVI. Miss R. J. age 23, a case of mild laryngo-tracheitis, pharyngitis and rhinitis intumescens. Had constant pains

in top of head. No results reported from the Brometone.

Case XVII. Mrs. S. W. age 43, a case of emphysema troubled with dizziness and cough. No results reported from the Brometone.

Case XVIII. Mrs. W. S. age 57, a case of chronic bronchitis of 9 weeks duration with severe cough and headache. Brometone in 5 grain doses greatly relieved the cough but caused dizziness.

Case XIX. Mr. S. H. an actor age 34, suffering from rhinitis and laryngitis accompanied by a severe cough. Cough was

much improved by the Brometone. No disagreeable effects.

Case XX. Mr. Z. M. a tailor, age 31, atrophic rhinitis and laryngo-tracheitis, accompanied by dry, hoarse cough. Cough only slightly if at all relieved by the Brome

tone.

Case XXI. Mrs. W. M. age 25, troubled with asthma and bronchitis. An asthmatic attack was quickly cut short by 10 grains of Brometone. Other attacks were, however, not so favorably affected.

Case XXII. Miss H. J. age 21, general malaise with occipital headaches. Brometone relieved the headaches promptly, and they did not return.

Case XXIII. Mrs. H. F. age 31, rhinitis and tracheo-bronchitis with severe cough. No report yet received as to the effects of Brometone.

Case XXIV. Mrs. M. C. age 31, a case of tonsilitis with much cough. Brometone seemed to give no relief.

The occupations were in all cases such as kept the patients much of the time indoors. Among these patients there were 7 cases of pulmonary tuberculosis, one of which was in the last stage and another well advanced, but 5 were in the early stages. Of these cases 4 including the two more advanced, obtained much relief from the severity of the cough by the use of the Brometone. The other 17 patients were cases of bronchitis, laryngitis, etc., including one asthma and one case of pulmonary emphysema, all of whom suffered from severe cough or headache. Eleven of these obtained relief, two did not and from four no word was received as to whether the medicine was helpful or not.

Two cases of early phthisis, one case of laryngo-tracheitis, and one case of tonsilitis said they obtained no relief whatever from the drug. Two of these stated that the medicine made them dizzy while the third spoke of "an astringent taste in the mouth." All of these very soon discontinued taking the medicine.

Four of those who were benefited by the drug spoke of dizziness. One of these patients took 5 grain capsules every three hours, the other three had been directed to repeat

the dose after from 2 to 5 hours. Two other patients obtained relief at times while at other times the medicine seemed to have no effect. The Brometone was usually given in 5 grain capsules to be taken as needed for cough or for headache, to be repeated in from 2 to 5 hours as needed. Of the 15 who were helped by the drug, in 9 the relief was from the cough, in 4 from headache; 1 had an asthmatic attack quickly checked and 1 obtained relief from severe pain in the back.

In conclusion I may state that Brometone in doses of 5 grains four or five times a day in adults, causes no unpleasant results excepting in rare instances, dizziness. It is an excellent sedative that excepting in very rare instances causes no disturbance of the digestive organs, and does not appreciably affect the secretions, therefore, when effective, it is much preferable to the older anodynes. Its action is prompt and its effect remains for several hours. I should expect good results from its administration in the prevention of gastric fermentation and in relieving painful digestive disorders.

CONSTITUTION.

ARTICLE I.-NAME.

The name and title of this organization shall be the Illinois State Medical Society. ARTICLE II.-PURPOSES OF THE SOCIETY.

The purposes of this Society shall be to federate and bring into one compact organization the entire medical profession of the State of Illinois, and to unite with similar societies of other states to form the American Medical Association; 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 Society.

ARTICLE IV.-COMPOSITION OF THE SO-
CIETY.

SECTION 1. This Society shall consist of Members, Life Members, Honorary Members and Guests.

SEC. 2. MEMBERS. The Members of this Society shall be the members in good standing of the component societies.

SEC. 3. LIFE MEMBERS shall consist of those members who have already been elected life members by the Society.

SEC. 4. HONORARY MEMBERS shall consist of those physicians of other states, territories, island possessions or foreign countries who have risen to prominence in the profession of medicine who may be elected by a nine-tenths vote of the Members of the House of Delegates present at any annual meeting.

SEC. 5. GUESTS. Any distinguished physician not a resident of this State may become a guest during any Annual Session on invitation of the officers of this Association, and shall be accorded the privilege of participating in all of the scientific work for that Session.

ARTICLE V.-HOUSE OF DELEGATES.

The House of Delegates shall consist of (a) Delegates elected by the Component Societies; (b) the Councilors; and (c), ex-officio, the President and Secretary of this Society, and the Chairman of its Standing Committees. It shall be the legislative body of this Society, and shall conduct all business, except such as is otherwise provided for by the Constitution and By-Laws. All recommendations of the House of Delegates dealing with the acquisition or disposal of property of any kind, or with the appropriation or expenditure of funds in any way must be approved by the Council before the same shall become effective. Twenty Delegates shall constitute a quorum for the transaction of business.

ARTICLE VI.-COUNCIL.

SECTION 1. The Board of Trustees, or, as in this Constitution and By-Laws designated, the Council, shall consist of nine Councilors elected by the House of Delegates and the President and Secretary, ex-officio. Besides its duties mentioned in the By-Laws, it shall have charge of and control all the property of this Society of whatsoever nature and of all funds from whatsoever source.

SEC. 2. No person shall expend, or use for any purpose, money belonging to the Society without the approval of the Council.

SEC. 3. All acts of the House of Delegates involving the expenditure, appropriation or use in any manner, of money, or the acquisition or disposal in any manner of property of any kind belonging to the Society, must be approved by the Council.

SEC. 4. The Council shall formulate rules governing the expenditure of money to meet the necessary running expenses and fixed charges of the Society, as well as such other rules governing its actions, as it may deem necessary or desirable. Six members of the Board shall constitute a quorum for the transaction of business.

ARTICLE VII.-SECTIONS AND DISTRICT SOCIETIES.

The House of Delegates may provide for a division of the scientific work of the Society into appropriate Sections, and for the organization of such Councilor District Societies as will promote the best interests of the profession, such societies to be composed exclusively of members of component county societies. ARTICLE VIII.-SESSIONS AND MEETINGS. The Society shall hold an Annual Session, during which there shall be held daily General Meetings, which shall be open to all registered members.

ARTICLE IX.-OFFICERS.

SECTION 1. The officers of this Society shall be a President, Vice-Presidents, as hereinafter provided for, a Secretary, a Treasurer and nine Councilors.

SEC. 2. The President, Secretary and Treasurer shall be elected annually by the House of Delegates, to serve for a term of one year. The Presidents of the Councilor District Societies shall be the Vice-Presi

ARTICLE X.-FUNDS AND EXPENSES. Funds shall be raised by an equal per capita assessment on each component society. The amount of the assessment shall be fixed by the House of Delegates, but shall not exceed the sum of $2.00 per capita per annum, except on a four-fifths vote of the Delegates present. Funds may also be raised by voluntary contributions, from the Society's publications, and in any other manner approved by the House of Delegates.

ARTICLE XI.-REFERENDUM.

SECTION 1. A General Meeting of the Society may, by a two-thirds vote of the members present, order a general referendum on any question pending before the House of Delegates, and when so ordered the House of Delegates shall submit such question to the members of the Society, who may vote by mail or in person, and, if the members voting shall comprise a majority of all the members. of the Society, a majority of such vote shall determine the question and be binding on the House of Delegates.

SEC. 2. The House of Delegates may, by a two-thirds vote of its own members, submit any question before it to a general referendum, as provided in the preceding section, and the result shall be binding on the House of Delegates.

ARTICLE XII. THE SEAL.

The Society shall have a common seal, with power to break, change or renew the same at pleasure.

ARTICLE XIII.-AMENDMENTS.

The House of Delegates may amend any article of this Constitution by a two-thirds vote of the Delegates present at any Annual Session, provided that such amendment shall not be acted on until the day following that on which it was introduced.

BY-LAWS.

CHAPTER I.-MEMBERSHIP. SECTION 1. The name of a physician on the properly certified roster of members of a component society, which has paid its annual assessment, shall be prima facie evidence of membership in this Society and all the rights and privileges pertaining thereto.

SEC. 2. Any person who is under sentence of suspension or expulsion from a component society, or whose name has been dropped from its roll of members, shall not be entitled to any of the rights or benefits of this Society, nor shall he be permitted to take part in any of its proceedings until he has been relieved of such disability.

SEC. 3. Each member in attendance at the Annual Session shall enter his name on the registration book, indicating the component society of which he is a member. When his right to membership has been verified, by reference to the roster of his society, he shall receive a badge, which shall be evidence of his right to all the privileges of membership at that Session. No member shall take part in any of the proceedings of an Annual Session until he has complied with the provisions of this section.

CHAPTER II.-ANNUAL AND SPECIAL SES

SIONS OF THE SOCIETY.

SECTION 1. The Annual Session shall convene on the third Tuesday of May, but the President, the Council concurring, may change this time in order that the Society may convene before the date set for the meeting of the American Medical Association, or for any other good and sufficient reason. The place of holding the Annual Session shall be determined by the House of Delegates.

SEC. 2. Special meetings of either the Society or the House of Delegates shall be called by the President on petition of twenty Delegates or fifty members.

CHAPTER III.-GENERAL MEETINGS. SECTION 1. All registered members may attend and participate in the proceedings and discussions of the General Meetings and of the Sections. The General Meetings shall be presided over by the President or by one of the Vice-Presidents, and before them shall

be delivered the address of the President and the orations.

SEC. 2. The General Meeting may recommend to the House of Delegates the appointment of committees or commissions for scientific investigation of sepcial interest and importance to the profession and public.

CHAPTER IV.-SECTIONS.

For the transaction of scientific business there shall be, at present, Two Sections, viz.:

SECTION 1. Including the practice of Medicine, Medical Specialties, Materia Medica and Therapeutics, Etiology, Pathology, Hygiene, State Medicine, and Medican Jurisprudence.

SEC. 2. Surgery, Surgical Specialties and Obstetrics.

Each Section shall elect its own Chairman and Secretary.

CHAPTER V.-HOUSE OF DELEGATES. SECTION 1. The House of Delegates shall meet annually at the time and place of the Annual Session of the Society, and shall fix its hours of meeting so that they shall not conflict with the General Meetings of the Society. But if the interests of the Society and profession require, the House of Delegates may meet in advance of the General Meeting.

SEC. 2. Each component society shall be entitled to send to the House of Delegates each year one delegate for each 75 members, and one for each major fraction thereof; but each component society which has made its annual report and paid its assessment as provided for in this Constitution and By-Laws shall be entitled to one delegate.

SEC. 3. Twenty delegates shall constitute a quorum.

SEC. 4. It shall, through its officers, Council and otherwise, give diligent attention to and foster the scientific work and

spirit of the Society, and shall constantly study and strive to make each Annual Session a stepping stone to future ones of higher interest.

SEC. 5. It shall consider and advise as to the material interests of the profession, and of the public in those important matters wherein it is dependent on the profession, and shall use its influence to secure and en