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+<div style='text-align:center; font-size:1.2em; font-weight:bold'>The Project Gutenberg eBook of The People’s Common Sense Medical Adviser in Plain English, by R. V. Pierce</div>
+<div style='display:block; margin:1em 0'>
+This eBook is for the use of anyone anywhere in the United States and
+most other parts of the world at no cost and with almost no restrictions
+whatsoever. You may copy it, give it away or re-use it under the terms
+of the Project Gutenberg License included with this eBook or online
+at <a href="https://www.gutenberg.org">www.gutenberg.org</a>. If you
+are not located in the United States, you will have to check the laws of the
+country where you are located before using this eBook.
+</div>
+<div style='display:block; margin-top:1em; margin-bottom:1em; margin-left:2em; text-indent:-2em'>Title: The People’s Common Sense Medical Adviser in Plain English<br />
+  or, Medicine Simplified, 54th ed., One Million, Six Hundred and Fifty Thousand</div>
+<div style='display:block; margin-top:1em; margin-bottom:1em; margin-left:2em; text-indent:-2em'>Author: R. V. Pierce</div>
+<div style='display:block; margin:1em 0'>Release Date: May 28, 2006 [eBook #18467]<br />
+[Most recently updated: December 24, 2022]</div>
+<div style='display:block; margin:1em 0'>Language: English</div>
+<div style='display:block; margin:1em 0'>Character set encoding: UTF-8</div>
+<div style='display:block; margin-left:2em; text-indent:-2em'>Produced by: Kevin Handy, John Hagerson and the Online Distributed Proofreading Team</div>
+<div style='margin-top:2em; margin-bottom:4em'>*** START OF THE PROJECT GUTENBERG EBOOK THE PEOPLE’S COMMON SENSE MEDICAL ADVISER ***</div>
+
+<p class="figure"><a name="advise001"><img width="40%" alt="Illustration: "
+src="images/advise001.jpg" /></a><br /></p>
+
+<hr />
+
+<p><span class="pagenum"><a name="Page_1" id="Page_1"></a>[pg 1]</span></p><h2>THE
+PEOPLE'S</h2>
+
+<h2>COMMON SENSE</h2>
+<h1>MEDICAL ADVISER</h1>
+<h2>IN PLAIN ENGLISH:</h2>
+<h3>OR,</h3>
+<h2>MEDICINE SIMPLIFIED.</h2>
+<p><br />
+<br /></p>
+<h4>BY</h4>
+<h3>R.V. PIERCE, M.D.</h3>
+<p><br />
+<br /></p>
+<h4>ONE OF THE STAFF OF CONSULTING PHYSICIANS AND SURGEONS</h4>
+<h4>AT THE INVALIDS' HOTEL AND SURGICAL INSTITUTE, AND</h4>
+<h4>PRESIDENT OF THE WORLD'S DISPENSARY</h4>
+<h4>MEDICAL ASSOCIATION.</h4>
+<p><br />
+<br /></p>
+<h3>FIFTY-FOURTH EDITION.</h3>
+<p><br /></p>
+<h3>One Million, Six Hundred and Fifty Thousand.</h3>
+<p><br /></p>
+<p class="center">
+<i>Carefully Revised by the Author, assisted by his full Staff of
+Associate Specialists in Medicine and Surgery, the Faculty of the Invalids'
+Hotel and Surgical Institute.</i>
+</p>
+
+<hr />
+
+<p><span class="pagenum"><a name="Page_2" id="Page_2"></a>[pg 2]</span></p>
+<p class="center">
+Entered according to Act of Congress, in the year 1895,
+by the WORLD'S DISPENSARY MEDICAL ASSOCIATION, In the office of the
+Librarian of Congress, at Washington, D.C.
+</p>
+
+<hr />
+
+<p><span class="pagenum"><a name="Page_3" id="Page_3"></a>[pg 3]</span></p>
+<p class="center">
+TO<br />
+MY PATIENTS,<br />
+WHO HAVE SOLICITED MY PROFESSIONAL SERVICES,<br />
+FROM THEIR HOMES<br />
+IN EVERY STATE, CITY, TOWN, AND ALMOST EVERY HAMLET,<br />
+WITHIN THE AMERICAN UNION;<br />
+ALSO TO THOSE DWELLING IN EUROPE, MEXICO, SOUTH AMERICA,<br />
+THE EAST AND WEST INDIES, AND OTHER<br />
+FOREIGN LANDS,<br />
+I RESPECTFULLY DEDICATE<br />
+THIS WORK.
+</p>
+
+<p><span class="pagenum"><a name="Page_4" id="Page_4"></a>[pg 4]</span></p><hr />
+
+
+
+
+<p>TABLE OF CONTENTS</p>
+
+<p>
+<a href='#PREFACE_TO_THE_PRESENT_EDITION'>PREFACE TO THE PRESENT
+EDITION</a><br />
+<a href='#PREFACE_TO_THE_FIRST_EDITION'>PREFACE TO THE FIRST EDITION</a><br />
+<a href='#INTRODUCTORY_WORDS'>INTRODUCTORY WORDS</a><br />
+<br />
+<a href='#PART_I'>PART I</a><br />
+<br />
+<a href='#CHAPTER_I'>CHAPTER I.</a> BIOLOGY<br />
+<a href='#CHAPTER_II'>CHAPTER II.</a> PHYSIOLOGICAL ANATOMY. THE BONES.<br />
+<a href='#CHAPTER_III'>CHAPTER III.</a> PHYSIOLOGICAL ANATOMY. THE
+MUSCLES.<br />
+<a href='#CHAPTER_IV'>CHAPTER IV.</a> PHYSIOLOGICAL ANATOMY. THE DIGESTIVE
+ORGANS.<br />
+<a href='#CHAPTER_V'>CHAPTER V.</a> PHYSIOLOGICAL ANATOMY. ABSORPTION.<br />
+<a href='#CHAPTER_VI'>CHAPTER VI.</a> PHYSICAL AND VITAL PROPERTIES OF THE
+BLOOD.<br />
+<a href='#CHAPTER_VII'>CHAPTER VII.</a> PHYSIOLOGICAL ANATOMY. CIRCULATORY
+ORGANS.<br />
+<a href='#CHAPTER_VIII'>CHAPTER VIII.</a> PHYSIOLOGICAL ANATOMY. THE ORGANS
+OF RESPIRATION.<br />
+<a href='#CHAPTER_IX'>CHAPTER IX.</a> PHYSIOLOGICAL ANATOMY. THE SKIN.<br />
+<a href='#CHAPTER_X'>CHAPTER X.</a> PHYSIOLOGICAL ANATOMY. SECRETION.<br />
+<a href='#CHAPTER_XI'>CHAPTER XI.</a> PHYSIOLOGICAL ANATOMY. EXCRETION.<br />
+<a href='#CHAPTER_XII'>CHAPTER XII.</a> PHYSIOLOGICAL ANATOMY. THE NERVOUS
+SYSTEM.<br />
+<a href='#CHAPTER_XIII'>CHAPTER XIII.</a> THE SPECIAL SENSES. SIGHT.<br />
+<a href='#CHAPTER_XIV'>CHAPTER XIV.</a> CEREBRAL PHYSIOLOGY.<br />
+<a href='#CHAPTER_XV'>CHAPTER XV.</a> THE HUMAN TEMPERAMENTS.<br />
+<a href='#CHAPTER_XVI'>CHAPTER XVI.</a> MARRIAGE. LOVE.<br />
+<a href='#CHAPTER_XVII'>CHAPTER XVII.</a> REPRODUCTION.<br />
+<br />
+<a href='#PART_II'>PART II.</a> HYGIENE.<br />
+<br />
+<a href='#IICHAPTER_I'>CHAPTER I.</a> HYGIENE DEFINED.&mdash;PURE AIR.<br />
+<a href='#IICHAPTER_II'>CHAPTER II.</a> FOOD. BEVERAGES. ALCOHOLIC LIQUORS.
+CLOTHING.<br />
+<a href='#IICHAPTER_III'>CHAPTER III.</a> PHYSICAL EXERCISE. MENTAL
+CULTURE. SLEEP. CLEANLINESS.<br />
+<a href='#IICHAPTER_IV'>CHAPTER IV.</a> HYGIENE OF THE REPRODUCTIVE
+ORGANS.<br />
+<a href='#IICHAPTER_V'>CHAPTER V.</a> PRACTICAL SUMMARY OF HYGIENE.<br />
+<br />
+<a href='#PART_III'>PART III.</a> RATIONAL MEDICINE.<br />
+<br />
+<a href='#IIICHAPTER_I'>CHAPTER I.</a> THE PROGRESS OF MEDICINE.<br />
+<a href='#IIICHAPTER_II'>CHAPTER II.</a> REMEDIES FOR DISEASE.<br />
+<a href='#IIICHAPTER_III'>CHAPTER III.</a> BATHS AND MOTION AS REMEDIAL
+AGENTS.<br />
+<a href='#IIICHAPTER_IV'>CHAPTER IV.</a> HYGIENIC TREATMENT OF THE SICK.<br />
+<br />
+<a href='#PART_IV'>PART IV.</a> DISEASES AND THEIR REMEDIAL TREATMENT.<br />
+<br />
+<a href='#INDEX'>INDEX</a><br />
+<br />
+<a href='#Footnotes'>FOOTNOTES</a><br />
+</p>
+
+<p><span class="pagenum"><a name="Page_5" id="Page_5"></a>[pg 5]</span></p><hr />
+
+
+
+
+<h2><a name='PREFACE_TO_THE_PRESENT_EDITION'></a>PREFACE TO THE PRESENT
+EDITION</h2>
+
+<p>The popular favor with which former editions of this work have been
+received has required the production of such a vast number of copies, that
+the original electrotype plates from which it has heretofore been printed,
+have been completely worn out.</p>
+
+<p>The book has been re-produced in London, England, where six editions
+have already been necessary to supply the demand for it.</p>
+
+<p>In order to continue its publication to meet the demand which is still
+active in this country, it has been necessary, inasmuch as the original
+electrotype plates have become worn and useless, to re-set the work
+throughout. This has afforded the Author an opportunity to carefully revise
+the book and re-write many portions, that it may embody the latest
+discoveries and improvements in medicine and surgery. In performing this
+labor he has been greatly assisted by contributions and valuable aid kindly
+supplied by his staff of associate specialists in medicine and surgery who
+constitute the Faculty of the Invalids' Hotel and Surgical Institute.</p>
+
+<p>That part of the book treating of Diseases and Their Remedies will be
+found to be thoroughly reliable; the prescriptions recommended therein
+having all received the sanction and endorsement of medical gentlemen of
+rare professional attainments and mature experience.</p>
+
+<p>THE AUTHOR.</p>
+
+<p>BUFFALO, N.Y., January, 1895.</p>
+
+<p><span class="pagenum"><a name="Page_6" id="Page_6"></a>[pg 6]</span><span
+class="pagenum"><a name="Page_7" id="Page_7"></a>[pg 7]</span></p><hr />
+
+
+
+
+<h2><a name='PREFACE_TO_THE_FIRST_EDITION'></a>PREFACE TO THE FIRST
+EDITION.</h2>
+
+<p>Every family needs a COMMON SENSE MEDICAL ADVISER. The frequent
+inquiries from his numerous patients throughout the land, suggested to the
+Author the importance and popular demand for a reliable work of this kind.
+Consequently, he has been induced to prepare and publish an extensive
+dissertation on Physiology, Hygiene, Temperaments, Diseases and Domestic
+Remedies. It is for the interest and welfare of <i>every</i> person, not
+only to understand the means for the preservation of health, but also to
+know what remedies should be employed for the alleviation of the common
+ailments of life.</p>
+
+<p>The frequency of accidents of all kinds, injuries sustained by
+machinery, contusions, drowning, poisoning, fainting, etc., and also of
+sudden attacks of painful diseases, such as headache, affections of the
+heart and nerves, inflammation of the eye, ear and other organs, renders it
+necessary that non-professionals should possess sufficient knowledge to
+enable them to employ the proper means for speedy relief. To impart this
+important information is the aim of the author.</p>
+
+<p>Moreover, this volume treats of Human Temperaments, not only of their
+influence upon mental characteristics and bodily susceptibilities, but also
+of their vital and non-vital combinations, which transmit to the offspring
+either health, hardihood, and longevity, or feebleness, disease, and death.
+It clearly points out those temperaments which are compatible with each
+other and harmoniously blend, and also those which, when united in
+marriage, result in barrenness, or produce in the offspring imbecility,
+deformity, and idiocy. These matters are freely discussed from original
+investigations and clinical observations, thus rendering the work a true
+and scientific guide to marriage.</p>
+
+<p><span class="pagenum"><a name="Page_8" id="Page_8"></a>[pg
+8]</span>While instruction is imparted for the care of the body, those
+diseases (alas how prevalent!) are investigated which are sure to follow as
+a consequence of certain abuses, usually committed through ignorance. That
+these ills do exist is evident from the fact that the Author is consulted
+by multitudes of unfortunate young men and women, who are desirous of
+procuring relief from the weaknesses and derangements incurred by having
+unwittingly violated physiological laws.</p>
+
+<p>Although some of these subjects may seem out of place in a work designed
+for <i>every</i> member of the family, yet they are presented in a style
+which cannot offend the most fastidious, and with a studied avoidance of
+all language that can possibly displease the chaste, or disturb the
+delicate susceptibilities of persons of either sex.</p>
+
+<p>This book should not be excluded from the young, for it is eminently
+adapted to their wants, and imparts information without which millions will
+suffer untold misery. It is a <i>false</i> modesty which debars the youth
+of our land from obtaining such information.</p>
+
+<p>As its title indicates, the Author aims to make this book a useful and
+practical Medical Adviser. He proposes to express himself in plain and
+simple language, and, so far as possible, to avoid the employment of
+technical words, so that all his readers may readily comprehend the work,
+and profit by its perusal. Written as it is amid the many cares attendant
+upon a practice embracing the treatment of thousands of cases annually, and
+therefore containing the fruits of a rich and varied experience, some
+excuse exists for any literary imperfections which the critical reader may
+observe.</p>
+
+<p>THE AUTHOR.</p>
+
+<p>BUFFALO, N.Y., July, 1875.</p>
+
+<p><span class="pagenum"><a name="Page_9" id="Page_9"></a>[pg 9]</span></p><hr />
+
+
+
+
+<h2><a name='INTRODUCTORY_WORDS'></a>INTRODUCTORY WORDS.</h2>
+
+<p>Health and disease are physical conditions upon which pleasure and pain,
+success and failure, depend. Every <i>individual</i> gain increases public
+gain. Upon the health of its people is based the prosperity of a nation; by
+it every value is increased, every joy enhanced. Life is incomplete without
+the enjoyment of healthy organs and faculties, for these give rise to the
+delightful sensations of existence. Health is essential to the
+accomplishment of every purpose; while sickness thwarts the best intentions
+and loftiest aims. We are continually deciding upon those conditions which
+are either the source of joy and happiness or which occasion pain and
+disease. Prudence requires that we should meet the foes and obviate the
+dangers which threaten us, by turning all our philosophy, science, and art,
+into practical <i>common sense</i>.</p>
+
+<p>The profession of medicine is no <i>sinecure</i>; its labors are
+constant, its toils unremitting, its cares unceasing. The physician is
+expected to meet the grim monster, "break the jaws of death, and pluck the
+spoil out of his teeth." <i>His</i> ear is ever attentive to entreaty, and
+within his faithful breast are concealed the disclosures of the suffering.
+Success may elate him, as conquest flushes the victor. Honors are lavished
+upon the brave soldiers who, in the struggle with the foe, have covered
+themselves with glory, and returned victorious from the field of battle;
+but how much more brilliant is the achievement of those who overwhelm
+disease, that common enemy of mankind, whose victims are numbered by
+millions! Is it meritorious in the physician to modestly veil his
+discoveries, regardless of their importance? If he have light, why hide it
+from the world? Truth should be made as universal and health-giving as
+sunlight. We say, give light to all who are in darkness, and a remedy to
+the afflicted everywhere.</p>
+
+<p>We, as a people, are becoming idle, living in luxury and ease, and in
+the gratification of artificial wants. Some indulge in the <span
+class="pagenum"><a name="Page_10" id="Page_10"></a>[pg 10]</span>use of
+food rendered unwholesome by bad cookery, and think more of gratifying a
+morbid appetite than of supplying the body with proper nourishment. Others
+devote unnecessary attention to the display of dress and a genteel figure,
+yielding themselves completely to the sway of fashion. Such intemperance in
+diet and dress manifests itself in the general appearance of the
+unfortunate transgressor, and exposes his folly to the world, with little
+less precision than certain vices signify their presence by a
+tobacco-tainted breath, beer-bloated body, rum-emblazoned nose, and kindred
+manifestations. They coddle themselves instead of practicing self-denial,
+and appear to think that the chief end of life is gratification, rather
+than useful endeavor.</p>
+
+<p>I purpose to express myself candidly and earnestly on all topics
+relating to health, and appeal to the common sense of the reader for
+justification. Although it is my aim to simplify the work, and render it a
+practical common-sense guide to the farmer, mechanic, mariner, and
+day-laborer, yet I trust that it may not prove less acceptable to the
+scholar, in its discussion of the problems of Life. Not only does the
+method adopted in this volume of treating of the Functions of the Brain and
+Nervous System present many new suggestions, in its application to hygiene,
+the management of disease, generation and the development and improvement
+of man, but the conclusions correspond with the results of the latest
+investigations of the world's most distinguished <i>savants</i>. My object
+is to inculcate the facts of science rather than the theories of
+philosophy.</p>
+
+<p>Unto us are committed important health trusts, which we hold, not merely
+in our own behalf, but for the benefit of others. If we discharge the
+obligations of our trusteeship, we shall enjoy present strength,
+usefulness, and length of days; but if we fail in their performance, then
+inefficiency, incapacity, and sickness, will follow, the sequel of which is
+pain and death. Let us, then, prove worthy of this generous commission,
+that we may enjoy the sweetest of all pleasures, the delicious fruitage of
+honest toil and faithful obedience.</p>
+
+<p><span class="pagenum"><a name="Page_11" id="Page_11"></a>[pg 11]</span></p><hr />
+
+<h2><a name='PART_I'></a>PART I.</h2>
+
+<h1>PHYSIOLOGY.</h1>
+
+<h2><a name='CHAPTER_I'></a>CHAPTER I.</h2>
+
+<h1>BIOLOGY.</h1>
+
+
+<p>In this chapter we propose to consider Life in its primitive
+manifestations. <i>Biology</i> is the science of living bodies, or the
+science of life. Every organ of a living body has a function to perform,
+and <i>Physiology</i> treats of these functions.</p>
+
+<p><i>Function</i> means the peculiar action of some particular organ or
+part. There can be no vital action without change, and no change without
+organs. Every living thing has a structure, and <i>Anatomy</i> treats of
+the structures of organized bodies. Several chapters of this work are
+devoted to <i>Physiological Anatomy</i>, which treats of the human organism
+and its functions.</p>
+
+<p>The beginning of life is called <i>generation</i>; its perpetuation,
+<i>reproduction</i>. By the former function, individual life is insured; by
+the latter, it is maintained. Since nutrition sustains life, it has been
+pertinently termed <i>perpetual reproduction</i>.</p>
+
+<p><b>Latent Life</b> is contained in a small globule, a mere atom of
+matter, in the sperm-cell. This element is something which, under certain
+conditions, develops into a living organism. The entire realm of nature
+teems with these interesting phenomena, thus manifesting that admirable
+adjustment of internal to external relations, which claims our profound
+attention. We <span class="pagenum"><a name="Page_12" id="Page_12"></a>[pg
+12]</span>are simply humble scholars, waiting on the threshold of nature's
+glorious sanctuary, to receive the interpretation of her divine
+mysteries.</p>
+
+<p>Some have conjectured that chemical and physical forces account for all
+the phenomena of life, and that organization is not the result of vital
+forces. Physical science cannot inform us what the beginning was, or how
+vitality is the result of chemical forces; nor can it tell us what
+transmutations will occur at the end of organized existence. This
+mysterious life-principle eludes the grasp of the profoundest scientists,
+and its presence in the world will ever continue to be an astonishing and
+indubitable testimony of Divine Power.</p>
+
+<p>The physical act of generation is accomplished by the union of two
+cells; and as this conjugation is known to be so generally indispensable to
+the organization of life, we may fairly infer that it is a universal
+necessity. Investigations with the microscope have destroyed the hypothesis
+of "spontaneous generation." These show us that even the minutest living
+forms are derived from a parent organization.</p>
+
+<p><b>Generation</b>. So long as the vital principle remains in the
+sperm-cell, it lies dormant. That part of the cell which contains this
+principle is called the <i>spermatozo&ouml;n</i>, which consists of a
+flattened body, having a long appendage tapering to the finest point. If it
+be remembered that a line is the one-twelfth part of an inch in length,
+some idea may be formed of the extreme minuteness of the body of a human
+spermatozo&ouml;n, when we state that it is from 1/800 to 1/600 part of a
+line, and the filiform tail 1/50 of a line, in length. This life-atom,
+which can be discerned only with a powerful magnifying glass, is perfectly
+transparent, and moves about by executing a vibratile motion with its long
+appendage. Within this speck of matter are hidden the multifarious forces
+which, under certain favorable conditions, result in organization. Magnify
+this infinitesimal atom a thousand times, and no congeries of formative
+powers is perceived wherewith to work out the wonders of its existence. Yet
+it contains the principle, which is the contribution on the part of the
+male toward the generation of a new being.</p>
+
+<p>The <i>ovum</i> or germ-cell, is the special contribution on the <span
+class="pagenum"><a name="Page_13" id="Page_13"></a>[pg 13]</span>part of
+the female for the production of another being. The human ovum, though
+larger than the spermatozo&ouml;n, is also extremely small, measuring not
+more than from 1/20 to 1/10 of a line, or from 1/240 to 1/120 of an inch,
+in diameter.</p>
+
+
+
+<p class="figure"><a name="advise002"><img width="40%" alt="Illustration:
+Fig. 1." src="images/advise002.png" /></a><br />Fig. 1.  <i>A</i>. Human
+Spermatozo&ouml;n magnified about 3,800 diameters. <i>B</i>. Vertical and
+lateral views of spermatozoa of man. <i>C, D, E, F.</i> Development of
+spermatozoa within the vesicles of evolution. <i>G</i>. Cell of the sponge
+resembling a spermatozo&ouml;n. <i>H</i>. Vesicles of evolution from the
+seminal fluid of the dog in the parent cell <i>I</i>. Single vesicles of
+different sizes. <i>J</i>. Human spermatozo&ouml;n forming in its cell.
+<i>K</i>. Rupture of the cell and escape of the spermatozo&ouml;n. </p>
+
+<p>The sperm and the germ-cells contain the primary elements of all organic
+structures, and both possess the special qualities and conditions by which
+they may evolve organic beings. Every cell is composed of minute grains,
+within which vital action takes <span class="pagenum"><a name="Page_14"
+id="Page_14"></a>[pg 14]</span>place. The interior of a cell consists of
+growing matter; the exterior, of matter which has assumed its form and is
+less active.</p>
+
+<p>When the vital principle is communicated to it, the cell undergoes a
+rapid transformation. While this alteration takes place within the cell,
+deteriorating changes occur in the cell-wall. Although vital operations
+build up these structures, yet the animal and nervous functions are
+continually disintegrating, or wasting, them.</p>
+
+<p>Throughout the animal kingdom, germ-cells present the same external
+aspect when carefully examined with the microscope. No difference can be
+observed between the cells of the flowers of the oak and those of the
+apple, but the cells of the one always produce oak trees, while those of
+the other always produce apple trees. The same is true of the germs of
+animals, there being not the slightest apparent difference. We are unable
+to perceive how one cell should give origin to a dog, while another exactly
+like it becomes a man. For aught we know, the ultimate atoms of these cells
+are identical in physical character; at least we have no means of detecting
+any difference.</p>
+
+<p><b>Species</b>. The term species is generally used merely as a
+convenient name to designate certain assemblages of individuals having
+various striking points of resemblance. Scientific writers, as a rule, no
+longer hold that what are usually called <i>species</i> are constantly
+unvarying and unchangeable quantities. Recent researches point to the
+conclusion that <i>all species vary more or less</i>, and, in some
+instances, that the variation is so great that the limits of general
+specific distinctness are sometimes exceeded.</p>
+
+<p>Our space will not permit us to do more than merely indicate the two
+great fundamental ideas upon which the leading theories of the time
+respecting the origin of species are based. These are usually termed the
+doctrine of <i>Special Creation</i> and the doctrine of <i>Evolution</i>.
+According to the doctrine of Special Creation, it is thought that species
+are practically immutable productions, each species having a <i>specific
+centre</i> where it was originally created, and from which it spread over a
+certain area until its further progress was obstructed by unfavorable
+conditions. The advocates of the doctrine of Evolution hold, on the
+contrary, that species are not permanent and immutable, but that they are
+subject to modification, and that "the existing forms of life are <span
+class="pagenum"><a name="Page_15" id="Page_15"></a>[pg
+15]</span>descendants by true generation of pre-existing forms."<sup><a
+href="#fn1" name="rfn1">[1]</a></sup> Most naturalists are now inclined to
+admit the general truth of the theory of evolution, but they differ widely
+respecting the mode in which it occurred.</p>
+
+
+<h3>THE PROCESS OF GENERATION.</h3>
+
+<p>The vital <i>principle</i>, represented in the <i>sperm</i>-cell by a
+spermatozo&ouml;n, must be imparted to a <i>germ</i>-cell in order to
+effect impregnation. After touching each other, separate them immediately,
+and observe the result. If, with the aid of a powerful lens, we directly
+examine the spermatozo&ouml;n, it will be perceived that, for a short time,
+it preserves its dimensions and retains all its material aspects. But it
+does not long withstand the siege of decay, and, having fulfilled its
+destiny, loses its organic characteristics, and begins to shrink.</p>
+
+<p>If we examine the fertilized germ, we discover unusual activity, the
+result of impregnation. Organic processes succeed one another with
+wonderful regularity, as if wrought out by inexplicable intelligence. Here
+begin the functions which constitute human physiology.</p>
+
+<p>Generation requires that a spermatozo&ouml;n be brought into actual
+contact with a germ that fecundation may follow. If a spermatic cell, or
+spermatozo&ouml;n, together with several unimpregnated ova, no matter how
+near to one another, if not actually touching, be placed on the concave
+surface of a watch-crystal, and covered with another crystal, keeping them
+warm, and even though the vapor of the ova envelops it, no impregnation
+will occur. Place the spermatozo&ouml;n in contact with an ovum, and
+impregnation is instantly and perfectly accomplished. Should this
+vitalizing power be termed nerve-force, electricity, heat, or motion? It is
+known that these forces may be metamorphosed; for instance, nervous force
+may be converted into electricity, electricity into heat, and heat into
+motion, thus illustrating their affiliation and capability of
+transformation. But nothing is explained respecting the real nature of the
+vital principle, if we assert its identity with any of these forces; for
+who can reveal the true nature of any of these, or even of matter?</p>
+
+<p><span class="pagenum"><a name="Page_16" id="Page_16"></a>[pg
+16]</span></p><h3>ALTERNATE GENERATION.</h3>
+
+<p>In several insect families, the species is not wholly represented in the
+adult individuals of both sexes, or in their development, but, to complete
+this series, supplementary individuals, as it were, of one or of several
+preceding generations, are required. The son may not resemble the father,
+but the grandfather, and in some instances, the likeness re-appears only in
+latter generations. Agassiz states: "Alternate generation was first
+observed among the Salpæ. These are marine mollusks, without shells,
+belonging to the family Tunicata. They are distinguished by the curious
+peculiarity of being united together in considerable numbers so as to form
+long chains, which float in the sea, the mouth(<i>m</i>) however being free in
+each.</p>
+
+
+<p class="lfigure"><a name="advise003"><img width="90%" alt="Illustration:
+Fig. 2. " src="images/advise003.png" /></a><br />Fig. 2. </p>
+
+<p class="rfigure"><a name="advise004"><img width="90%" alt="Illustration:
+Fig. 3." src="images/advise004.png" /></a><br />Fig. 3.</p>
+
+<p>"Fig. 2. The individuals thus joined in floating colonies produce eggs;
+but in each animal there is generally but one egg formed, which is
+developed in the body of the parent, and from which is hatched a little
+mollusk.</p>
+
+<p>"Fig. 3, which remains solitary, and differs in many respects from the
+parent. This little animal, on the other hand, does not produce eggs, but
+propagates, by a kind of budding, which gives rise to chains already seen
+in the body of their parent(<i>a</i>), and these again bring forth solitary
+individuals, etc."</p>
+
+<p>It therefore follows that generation in some animals require? two
+different bodies with intermediate ones, by means of which and their
+different modes of reproduction, a return to the original stock is
+effected.</p>
+
+<p><b>Universality of Animalcular Life</b>.&mdash;Living organisms are
+universally diffused over every part of the globe. The gentle zephyr wafts
+from flower to flower invisible, fructifying atoms, which quicken beauty
+and fragrance, giving the promise of a golden fruitage, to gladden and
+nourish a dependent world. Nature's own sweet cunning invests all living
+things <span class="pagenum"><a name="Page_17" id="Page_17"></a>[pg
+17]</span>constraining into her service chemical affinities, arranging the
+elements and disposing them for her own benefit, in such numberless ways
+that we involuntarily exclaim,</p>
+
+<blockquote>
+<p>
+"The course of Nature is the art of God."<br />
+</p>
+</blockquote>
+
+<p>The microscope reveals the fact that matter measuring only 1/120000 of
+an inch diameter may be endowed with vitality, and that countless numbers
+of animalcules often inhabit a single drop of stagnant water. These monads
+do not vary in form, whether in motion or at rest. The life of one, even,
+is an inexplicable mystery to the philosopher. Ehrenberg writes: "Not only
+in the polar regions is there an uninterrupted development of active
+microscopic life, where larger animals cannot exist, but we find that those
+minute beings collected in the Antarctic expedition of Captain James Ross
+exhibit a remarkable abundance of unknown, and often most beautiful
+forms."</p>
+
+<p>Even the interior of animal bodies is inhabited by animalcules. They
+have been found in the blood of the frog and the salmon, and in the optic
+fluid of fishes. Organic beings are found in the interior of the earth,
+into which the industry of the miner has made extensive excavations, sunk
+deep shafts, and thus revealed their forms; likewise, the smallest fossil
+organisms form subterranean strata many fathoms deep. Not only do lakes and
+inland seas abound with life, but also, from unknown depths, in volcanic
+districts, arise thermal springs which contain living insects. Were we
+endowed with a microscopic eye, we might see myriads of ethereal voyagers
+wafted by on every breeze, as we now behold drifting clouds of aqueous
+vapor. While the continents of earth furnishes evidences of the
+universality of organic beings, recent observations prove that "animal life
+predominates amid the eternal night of the depths of the liquid ocean."</p>
+
+
+<h3>THE ORIGIN OF LIFE.</h3>
+
+<p>The ancients, rude in many of their ideas, referred the origin of life
+to divine determination. The thought was crudely expressed, but well
+represented, in the following verse:</p>
+
+<blockquote>
+<p>
+"Then God smites his hands together,<br />
+And strikes out a soul as a spark,<br />
+Into the organized glory of things.<br />
+From the deeps of the dark."<br />
+</p>
+</blockquote>
+
+<p><span class="pagenum"><a name="Page_18" id="Page_18"></a>[pg
+18]</span>According to a Greek myth, Prometheus formed a human image from
+the dust of the ground, and then, by fire stolen from heaven, animated it
+with a living soul. Spontaneous generation once held its sway, and now the
+idea of natural evolution is popular. Some believe that the inpenetrable
+mystery of life is evolved from the endowments of nature, and build their
+imperfect theory on observations of her concrete forms and their
+manifestations, to which all our investigations are restricted. But every
+function indicates purpose, every organism evinces intelligent design, and
+<i>all</i> proclaim a Divine Power. Something cannot come out of nothing.
+With reason and philosophy, <i>chance</i> is an impossibility. We,
+therefore, accept the display of wisdom in nature as indicative of the
+designs of God. Thus "has He written His claims for our profoundest
+admiration and homage all over every object that He has made." If you ask:
+Is there any advantage in considering the phenomena of nature as the result
+of DIVINE VOLITION? we answer, that this belief corresponds with the
+universally acknowledged ideas of accountability; for, with a wise, and
+efficient Cause, we infer there is an intelligent creation, and the desire
+to communicate, guide and bless, is responded to by man, who loves, obeys,
+and enjoys. Nothing is gained by attributing to nature vicegerent forces.
+Is it not preferable to say that she responds to intelligent, loving
+Omnipotence? Our finiteness is illustrated by our initiation into organized
+being. Emerging from a rayless atom, too diminutive for the sight, we
+gradually develop and advance to the maturity of those <i>conscious
+powers</i>, the exercise of which furnishes indubitable evidence of our
+immortality. We are pervaded with invisible influences, which, like the
+needle of the compass trembling on its pivot, point us to immortality as
+our ultimate goal, where in the sunny clime of Love, even in a spiritual
+realm of joy and happiness, we may eternally reign with Him who is all in
+all.</p>
+
+<p><span class="pagenum"><a name="Page_19" id="Page_19"></a>[pg 19]</span></p><hr />
+
+
+
+
+<h2><a name='CHAPTER_II'></a>CHAPTER II.</h2>
+
+<h1>PHYSIOLOGICAL ANATOMY.</h1>
+
+
+<h3>THE BONES.</h3>
+
+
+<p>All living bodies are made up of tissues. There is no part, no organ,
+however soft and yielding, or hard and resisting, which has not this
+peculiarity of structure. The <i>bones</i> of animals, as well as their
+flesh and fat, are composed of tissues, and all alike made up of cells.
+When viewed under a microscope, each cell is seen to consist of three
+distinct parts, a <i>nucleolus</i>, or dark spot, in the center of the
+cell, around which lies a mass of granules, called the <i>nucleus;</i> and
+this, in turn, is surrounded with a delicate, transparent membrane, termed
+the <i>envelope</i>. Each of the granules composing the nucleus assimilates
+nourishment, thereby growing into an independent cell, which possesses a
+triple organization similar to that of its parent, and in like manner
+reproduces other cells.</p>
+
+
+
+<p class="rfigure"><a name="advise005"><img width="90%" alt="Illustration:
+Fig. 4." src="images/advise005.png" /></a><br />Fig. 4. Nucleated cell.
+From Goeber. <i>1.</i> Periphery of the cell, or cell-wall. <i>2.</i> Nucleus. <i>3.</i>
+Nucleolus in the center.</p>
+
+<p>A variety of tissues enters into the composition of an animal structure,
+yet their differences are not always distinctly marked, since the
+characteristics of some are not unlike those of others. We shall notice,
+however, only the more important of the tissues.</p>
+
+<p>The <i>Areolar</i>, or <i>Connective Tissue</i>, is a complete network
+of delicate fibers, spread over the body, and serves to bind the various
+organs and parts together. The fibrous and serous tissues are modifications
+of the areolar.</p>
+
+<p><span class="pagenum"><a name="Page_20" id="Page_20"></a>[pg
+20]</span>The <i>Nervous Tissue</i> is of two kinds: The gray, which is
+pulpy and granulated, and the white fibrous tissue. The <i>Adipose
+Tissue</i> is an extremely thin membrane, composed of closed cells which
+contain fat. It is found principally just beneath the skin, giving it a
+smooth, plump appearance.</p>
+
+
+
+<p class="lfigure"><a name="advise006"><img width="90%" alt="Illustration:
+Fig. 5." src="images/advise006.png" /></a><br />Fig. 5. Arrangement of
+fibers in the Areolar Tissue. Magnified 135 diameters.</p>
+
+<p>The <i>Cartilaginous Tissue</i> consists of nucleated cells, and, with
+the exception of bone, is the hardest part of the animal frame. The
+<i>Osseous Tissue</i>, or bone, is more compact and solid than the
+cartilaginous, for it contains a greater quantity of lime. The <i>Muscular
+Tissue</i> is composed of bundles of fibers, which are enclosed in a
+cellular membrane.</p>
+
+
+
+<p class="rfigure"><a name="advise007"><img width="90%" alt="Illustration:
+Fig. 6." src="images/advise007.png" /></a><br />Fig. 6. Human Adipose
+Tissue.</p>
+
+<p>Various opinions have been entertained in regard to the formation, or
+growth, of bone. Some anatomists have supposed that all bone is formed in
+cartilage. But this is not true, for there is an <i>intra-membranous</i>,
+as well as an <i>intra-cartilaginous</i>, formation of bone, as may be seen
+in the development of the cranial bones, where the gradual calcification
+takes place upon the inner layers of the fibrous coverings.
+Intra-cartilaginous deposit is found in the vicinity of the blood-vessels,
+within the cartilaginous canals; also, there are certain points first
+observed in the shafts of long bones, called <i>centers of
+ossification</i>. These points are no sooner formed than the cartilage
+corpuscles arrange themselves in concentric zones, and, lying in contact
+with one another, become very compact. As ossification proceeds, the
+cup-shaped cavities are converted into closed interstices of bone, with
+extremely thin lamellæ, or layers. These, however, soon increase
+<span class="pagenum"><a name="Page_21" id="Page_21"></a>[pg 21]</span>in
+density, and no blood-vessels can be observed within them.</p>
+
+
+<p class="lfigure"><a name="advise008"><img width="90%" alt="Illustration:
+Fig. 7." src="images/advise008.png" /></a><br />Fig. 7. Vertical section of
+cartilage near the surface of ossification. <i>1</i>. Ordinary appearance
+of the temporary cartilage. <i>1</i>'. Portion of the same more highly
+magnified. <i>2</i>. The cells beginning to form into concentric zones.
+<i>2</i>'. Portion more magnified. <i>3</i>. The ossification is extending
+in the inter-cellular spaces, and the rows of cells are seen resting in the
+cavities so formed, the nuclei being more separated than above. <i>3</i>'.
+Portion of the same more highly magnified.</p>
+
+
+
+<p class="rfigure"><a name="advise009"><img width="90%" alt="Illustration:
+Fig. 8. Thigh-bone, sawn open lengthwise." src="images/advise009.png"
+/></a><br />Fig. 8. Thigh-bone, sawn open lengthwise.</p>
+
+
+
+<p class="lfigure"><a name="advise010"><img width="90%" alt="Illustration:
+Fig. 9. Lower end of the thigh-bone sawn across, showing its central
+cavity." src="images/advise010.png" /></a><br />Fig. 9. Lower end of the
+thigh-bone sawn across, showing its central cavity.</p>
+
+<p>The bony plates form the boundaries of the <i>Haversian</i>, or
+nutritive canals of the bones. In the <i>second stage of ossification</i>,
+the cartilage corpuscles are converted into bone. Becoming flattened
+against the osseous lamellæ already formed, they crowd upon one
+another so as to entirely obliterate the lines that distinguish them; and,
+simultaneously with these changes, a calcareous deposit takes place upon
+their interior. Bones grow by additions to their ends and surfaces. In the
+child, their extremities are <span class="pagenum"><a name="Page_22"
+id="Page_22"></a>[pg 22]</span>separated from the body of the bone by layer
+of cartilage, and the cancellated, or cellular structure, which remains for
+a time in the interior, represents the early condition of the ossifying
+substances.</p>
+
+<p>The bones contain more earthy matter in their composition than any other
+part of the human body, being firm, hard, and of a lime color. They compose
+the skeleton or frame work, and, when united by natural ligaments, form
+what is known as the <i>natural</i> skeleton; when they are wired together,
+they are called an <i>artificial</i> skeleton. The number of bones in the
+human body is variously estimated; for those regarded as single by some
+anatomists are considered by others to consist of several distinct pieces.
+There are two hundred distinct bones in the human skeleton besides the
+teeth. These may be divided into those of the Head, Trunk, Upper
+Extremities, and Lower Extremities.</p>
+
+
+
+<p class="lfigure"><a name="advise011"><img width="90%" alt="Illustration:
+Fig. 10. The bones of the skull separated. " src="images/advise011.png"
+/></a><br />Fig. 10. The bones of the skull separated. <i>1</i>. Frontal,
+only half is seen. <i>2</i>. Parietal. <i>3</i>. Occipital, only half is
+seen. <i>4</i>. Temporal. <i>5</i>. Nasal. <i>6</i>. Malar. <i>7</i>.
+Superior maxillary (upper jaw). <i>8</i>. Lachrymal. <i>9</i>. Inferior
+maxillary (lower jaw). Between <i>4</i> and <i>6</i> a part of the sphenoid
+or wedge-shaped bone, is seen. Another bone assisting to form the skull,
+but not here seen, is called the <i>ethmoid</i> (sieve-like, from being
+full of holes), and is situated between the sockets of the eyes, forming
+the roof of the nose.</p>
+
+<p><b>The Bones of the Head</b> are classed as follows: eight belonging to
+the Cranium, and fourteen to the Face. The bones of the Cranium are the
+<i>occipital</i>, two <i>parietal</i>, two <i>temporal, frontal,
+sphenoid</i>, and <i>ethmoid</i>. Those composing the face are, the two
+<i>nasal</i>, two <i>superior maxillary,</i> two <i>lachrymal</i>, two
+<i>malar</i> two <i>palate</i>, two <i>inferior turbinated, vomer</i>, and
+<i>inferior maxillary</i>. The cranial bones are composed of two dense
+plates, between which there is, in most places a cancellated or cellular
+tissue. The external <span class="pagenum"><a name="Page_23"
+id="Page_23"></a>[pg 23]</span>plate is fibrous, the internal, compact and
+vitreous. The skull is nearly oval in form, convex externally, the bone
+being much thicker at the base than elsewhere, and it is, in every respect
+admirably adapted to resist any injury to which it may be exposed, thus
+affording ample protection to the brain substance which it envelops. The
+internal surface of the cranium presents eminences and depressions for
+lodging the convolutions of the brain, and numerous furrows for the
+ramifications of the blood-vessels. The bones of the cranium are united to
+one another by ragged edges called <i>sutures</i>, which are quite distinct
+in the child but which in old age are nearly effaced. Some authorities
+suppose that by this arrangement the cranium is less liable to be fractured
+by blows; others think that the sutures allow the growth of these bones,
+which takes place by a gradual osseous enlargement at the margins. The
+bones of the <i>Face</i> are joined at the lower part and in front of the
+cranium, and serve for the attachment of powerful muscles which assist in
+the process of mastication. Although the soft parts of the face cover the
+bony structure, yet they do not conceal its principal features, or
+materially change its proportions. The form of the head and face presents
+some remarkable dissimilarities in different races.</p>
+
+<p class="lfigure"><a name="advise012"><img width="90%" alt="Illustration:
+Fig. 11." src="images/advise012.png" /></a><br />Fig. 11. <i>1</i>. The
+first bone of the sternum (breast-bone). <i>2</i>. The second bone of the
+sternum. <i>3</i>. The cartilage of the sternum. <i>4</i>. The first dorsal
+vertebra (a bone of the spinal column). <i>5</i>. The last dorsal vertebra.
+<i>6</i>. The first rib. <i>7</i>. Its head. <i>8</i>. Its neck. <i>9</i>.
+Its tubercle. <i>10</i>. The seventh or last true rib. <i>11</i>. The
+cartilage of the third rib. <i>12.</i> The floating ribs.</p>
+
+<p class="rfigure"><a name="advise013"><img width="90%" alt="Illustration:
+Fig. 12." src="images/advise013.png" /></a><br />Fig. 12. A vertebra of the
+neck. <i>1</i>. The body of the vertebra. <i>2</i>. The spinal canal.
+<i>4</i>. The spinous process cleft at its extremity. <i>5</i>. The
+transverse process. <i>7</i>. The interior articular process. <i>8</i>. The
+superior articular process.</p>
+
+<p><b>The Trunk</b> has fifty-four bones, which are as follows: The <i>Os
+Hyoides</i>, the <i>Sternum</i>, twenty-four Ribs, twenty-four
+<i>vertebræ</i> or bones of the Spinal Column, the <i>Sacrum</i>, the
+<i>Coccyx</i>, and two <i>Ossa Innominata</i>. The <i>Os Hyoides</i>,
+situated at the base of the tongue, is the most isolated bone of the
+skeleton, and serves for the attachment of <span class="pagenum"><a
+name="Page_24" id="Page_24"></a>[pg 24]</span>muscles. The <i>Sternum</i>,
+or breast-bone, in a child is composed of six pieces, in the adult of
+three, which in old age are consolidated into one bone. The <i>Ribs</i> are
+thin, curved bones, being convex externally. There are twelve on each side,
+and all are attached to the spinal column. The seven upper ribs, which are
+united in front of the sternum, are termed <i>true</i> ribs; the next
+three, which are not attached to the sternum, but to one another are called
+<i>false</i> ribs; and the last two, which are joined only to the
+vertebræ, are designated as <i>floating</i> ribs. The first rib is
+the shortest, and they increase in length as far as the eighth, after which
+this order is reversed.</p>
+
+
+
+<p class="lfigure"><a name="advise014"><img width="90%" alt="Illustration:
+Fig. 13." src="images/advise014.png" /></a><br />Fig. 13. <i>1</i>. The
+cartilaginous substance which connects the bodies of the vertebræ.
+<i>2</i>. The body of the vertebra. <i>3</i>. The spinous process.
+<i>4,4</i>. The transverse processes. <i>5,5</i>. The articular processes.
+<i>6,6</i>. A portion of the bony bridge which assists in forming the
+spinal canal (7).</p>
+
+
+
+<p class="rfigure"><a name="advise015"><img width="90%" alt="Illustration:
+Fig. 14." src="images/advise015.png" /></a><br />Fig. 14. Backbone, spinal
+column, or vertebral column. All animals possessing such a row of bones are
+called <i>vertebrates</i>. Above <i>b</i> are the cervical (neck)
+vertebræ; <i>b</i> to <i>c</i>, dorsal (back) or chest
+vertebræ; <i>c</i> to <i>d</i>, lumbar (loins) vertebræ;
+<i>d</i> to <i>e</i>, sacrum; <i>e</i> to <i>f</i>, coccyx.</p>
+
+<p>The <i>Spinal Column</i> or backbone, when viewed from the front
+presents a perpendicular appearance, but a side view shows four distinct
+curves. The bones composing it are called <i>vertebræ</i>. The body
+part of a vertebra is light and spongy in texture, having seven projections
+called <i>processes</i>, four of which are the <i>articular</i> processes,
+which furnish surfaces to join the different vertebræ of the spinal
+column. Two are called <i>transverse</i>, and the remaining one is termed
+the <i>spinous</i>. The transverse <span class="pagenum"><a name="Page_25"
+id="Page_25"></a>[pg 25]</span>and spinous processes serve for the
+attachment of the muscles belonging to the back. All these processes are
+more compact than the body of the vertebra, and, when naturally connected,
+are so arranged as to form a tube which contains the <i>medulla
+spinalis</i>, or spinal cord. Between the vertebræ is a
+highly-elastic, cartilaginous and cushion-like substance, which freely
+admits of motion, and allows the spine to bend as occasion requires. The
+natural curvatures of the spinal column diminish the shock produced by
+falling, running or leaping, which would otherwise be more directly
+transmitted to the brain. The ribs at the sides, the sternum in front, and
+the twelve dorsal bones of the spinal column behind, bound the thoracic
+cavity, which contains the lungs, heart, and large blood-vessels.</p>
+
+
+
+<p class="rfigure"><a name="advise016"><img width="90%" alt="Illustration:
+Fig. 15. A representation of the pelvic bones. " src="images/advise016.png"
+/></a><br />Fig. 15. A representation of the pelvic bones. <i>e.</i> The
+lumbo-sacral joint. <i>2.</i> The sacrum. <i>3</i>. Coccyx. <i>1, 1</i>. The
+innominata. <i>4,4</i>. Acetabula.</p>
+
+<p>The <i>Pelvis</i> is an open bony structure, consisting of the Os
+Innominata, one on either side, and the Sacrum and Coccyx behind. The
+<i>Sacrum</i>, during childhood, consists of five bones, which in later
+years unite to form one bone. It is light and spongy in texture, and the
+upper surface articulates with the lowest vertebra, while it is united at
+its inferior margin to the coccyx. The <i>Coccyx</i> is the terminal bone
+of the spinal column. In infancy it is cartilaginous and composed of
+several pieces, but in the adult these unite and form one bone. The
+<i>Innominata</i>, or nameless bones, during youth, consist of three
+separate pieces on each side; but as age advances they coalesce and form
+one bone. A deep socket, called the <i>acetabulum</i>, is found near their
+junction, which serves for the reception of the head of the thigh-bone.</p>
+
+
+
+<p class="lfigure"><a name="advise017"><img width="90%" alt="Illustration:
+Fig. 16." src="images/advise017.png" /></a><br />Fig. 16. <i>1.</i> Portions of
+the backbone. <i>2.</i> Cranial bones. <i>4</i>. Breast-bone. <i>5</i>. Ribs.
+<i>7</i>. Collar-bone. <i>8</i>. Arm-bone (humerus). <i>9</i>.
+Shoulder-joint. <i>10, 11</i>. Bones of the fore-arm (ulna and radius).
+<i>12</i>. Elbow-joint. <i>13</i>. Wrist-joint. <i>14</i>. Bones of the
+hand. <i>15, 16</i>. Pelvic bones. <i>17</i>. Hip-joint. <i>18</i>. Femur.
+<i>19, 20</i>. Bones of the knee-joint. <i>21, 22</i>. Fibula and tibia.
+<i>23</i>. Ankle bone. <i>24</i>. Bones of the foot.</p>
+
+<p><b>The Bones of the Upper Extremities</b> are sixty-four in number, and
+are classified as follows: The Scapula, <span class="pagenum"><a
+name="Page_26" id="Page_26"></a>[pg 26]</span>Clavicle, Humerus, Ulna,
+Radius, Carpus, Metacarpus, and Phalanges. The <i>Scapula</i>, or
+shoulder-blade, is an irregular, thin, triangular bone, situated at the
+posterior part of the shoulder, and attached to the upper and back part of
+the chest. The <i>Clavicle</i>, or collar-bone, is located at the upper
+part of the chest, between the sternum and scapula, and connects with both.
+Its form resembles that of the italic letter <i>f</i>, and it prevents the
+arms from sliding forward. The <i>Humerus</i>, the first bone of the arm,
+is long, cylindrical, and situated between the scapula and fore-arm. The
+<i>Ulna</i> is nearly parallel with the radius, and situated on the inner
+side of the fore-arm. It is the longer and larger of the two bones, and in
+its articulation with the humerus, forms a perfect hinge-joint. The
+<i>Radius</i>, so called from its resemblance to a spoke, is on the outer
+side of the fore-arm, and articulates with the bones of the wrist, forming
+a joint. The ulna and radius also articulate with each other at their
+extremities. The <i>Carpus</i>, or wrist, consists of eight bones, arranged
+in two rows. The <i>Metacarpus</i>, or palm of the hand, is composed of
+five bones <span class="pagenum"><a name="Page_27" id="Page_27"></a>[pg
+27]</span>situated between the carpus and fingers. The <i>Phalanges</i>,
+fourteen in number, are the bones of the fingers and thumb, the fingers
+each having three and the thumb two.</p>
+
+<p><b>The Bones of the Lower Extremities</b>, sixty in number, are classed
+as follows: The Femur, Patella, Tibia, Fibula, Tarsus, Metatarsus, and
+Phalanges. The <i>Femur</i>, or thigh-bone, is the longest bone in the
+body. It has a large round head, which is received into the acetabulum,
+thus affording a good illustration of a ball and socket joint. The
+<i>Patella,</i> or knee-pan, is the most complicated articulation of the
+body. It is of a round form, connects with the tibia by means of a strong
+ligament, and serves to protect the front of the joint, and to increase the
+leverage of the muscles attached to it, by causing them to act at a greater
+angle. The <i>Tibia</i>, or shin bone, is enlarged at each extremity and
+articulates with the femur above and the astragalus, the upper bone of the
+tarsus, below. The <i>Fibula</i>, the small bone of the leg, is situated on
+the outer side of the tibia, and is firmly bound to it at each extremity.
+The <i>Tarsus</i>, or instep, is composed of seven bones, and corresponds
+to the carpus of the upper extremities. The <i>Metatarsus</i>, the middle
+of the foot, bears a dose resemblance to the metacarpus, and consists of
+five bones situated between the tarsus and the phalanges. The tarsal and
+the metatarsal bones are so united as to give an arched appearance to the
+foot, thus imparting elasticity. The <i>Phalanges</i>, the toes, consist of
+fourteen bones, arranged in a manner similar to that of the fingers.</p>
+
+<p>We are not less interested in tracing the formation of bone through its
+several stages, than in considering other parts of the human system. The
+formation of the Haversian canals for the passage of blood-vessels to
+nourish the bones, the earlier construction of bony tissue by a
+metamorphosis of cartilaginous substance, and also the commencement of
+ossification at distinct points, called <i>centers of ossification</i>, are
+all important subjects, requiring the student's careful attention. The
+bones are protected by an external membranous envelope, which, from its
+situation is called the <i>periosteum</i>. The bones are divided into four
+classes, <i>long, short, flat</i> and <i>irregular</i>, being thus adapted
+to subserve a variety of purposes.</p>
+
+<p>The Long Bones are found in the limbs, where they act as <span
+class="pagenum"><a name="Page_28" id="Page_28"></a>[pg 28]</span>levers to
+sustain the body and aid in locomotion. Each<i>long</i> bone is composed of
+a cylinder, known as the <i>shaft</i>, and two <i>extremities</i>. The
+shaft is hollow, its wails being <i>thickest</i> in <b>the</b> middle and
+growing thinner toward the extremities. The <i>extremities</i> are usually
+considerably enlarged, for convenience of connection with other bones, and
+to afford a broad surface for the attachment of muscles. The clavical,
+humerus, radius, ulna, femur, tibia, fibula, the bones of the metacarpus,
+metatarsus and the phalanges, are classed as long bones.</p>
+
+<p>Where the principal object to be attained is strength, and the motion of
+the skeleton is limited, the individual bones are short and compressed, as
+the bones of the carpus and tarsus. The structure of these bones is spongy,
+except at the surface, where there is a thin crust of compact matter.</p>
+
+
+
+<p class="lfigure"><a name="advise018"><img width="90%" alt="Illustration:
+Fig. 17. Bones of a joint." src="images/advise018.png" /></a><br />Fig.
+17. Anatomy of a joint, <i>1, 1.</i> Bones of a joint. <i>2, 2</i>. Cartilage. <i>3, 3, 3, 3</i>. Synovial
+membrane.</p>
+
+
+
+<p class="rfigure"><a name="advise019"><img width="90%" alt="Illustration:
+Fig. 18." src="images/advise019.png" /></a><br />Fig. 18. Anatomy of knee joint. <i>1.</i> Lower
+end of thigh-bone. <i>3.</i> Knee-pan. <i>2, 4</i> Ligaments of the
+knee-pan. <i>5</i>. Upper end of the tibia, or shin-bone. <i>6, 12</i>.
+Cartilages.</p>
+
+<p>When protection is required for the organs of the body, or a broad flat
+surface for the attachment of the muscles, the bones are expanded into
+plates, as in the cranium and shoulder-blades.</p>
+
+<p>The <i>irregular</i> or <i>mixed</i> bones are those which, from their
+peculiar shape, cannot be classed among any of the foregoing divisions.
+Their structure is similar to the others, consisting of cancellar tissue,
+surrounded by a crust of compact matter.</p>
+
+<p>The vertebræ, sacrum, coccyx, temporal, sphenoid, ethmoid, malar,
+two maxillary, palate, inferior turbinated, and hyoid are known as
+irregular bones.</p>
+
+<p>The formation of the joints requires not only bones, but also <span
+class="pagenum"><a name="Page_29" id="Page_29"></a>[pg
+29]</span>cartilages, ligaments, and the synovial membrane, to complete the
+articulation. <i>Cartilage</i> is a smooth, elastic substance, softer than
+bone, and invested with a thin membrane, called <i>perichondrium</i>. When
+cartilage is placed upon convex surfaces, the reverse is true. The
+<i>Ligaments</i> are white, inelastic, tendinous substances, softer than
+cartilage, but harder than membrane. Their function is to bind together the
+bones. The <i>Synovial Membrane</i> covers the cartilages, and is then
+reflected upon the ligaments, thus forming a thin, closed sac, called the
+<i>synovial capsule.</i></p>
+
+<p>All the synovial membranes secrete a lubricating fluid, termed
+<i>synovia</i>, which enables the surfaces of the bones and ligaments to
+move freely upon one another. When this fluid is secreted in excessive
+quantities, it produces a disease known as "dropsy of the joints." There
+are numerous smaller sacs besides the synovial, called <i>bursæ
+mucosæ</i>, which in structure are analogous to them, and secrete a
+similar fluid. Some joints permit motion in every direction, as the
+shoulders, some in two directions only, as the elbows, while others do not
+admit of any movement. The bones, ligaments, cartilages, and synovial
+membrane, are supplied with nerves, arteries, and veins.</p>
+
+<p>When an animal is provided with an internal bony structure, it indicates
+a high rank in the scale of organization. An elaborate texture of bone is
+found in no class below the vertebrates. Even in the lower order of this
+sub-kingdom, which is the highest of animals, bone does not exist, as is
+the case in some tribes of fishes, such as sharks, etc., and in all classes
+below that of the cartilaginous fishes, the inflexible substance which
+sustains the soft parts is either shell or some modification of bone, and
+is usually found on the outside of the body. True bone, on the contrary, is
+found in the interior, and, therefore, in higher animals, the skeleton is
+always internal, while the soft parts are placed external to the bony
+frame. While many animals of the lowest species, being composed of soft
+gelatinous matter, are buoyant in water, the highest type of animals
+requires not only a bony skeleton, but also a flexible, muscular system,
+for locomotion in the water or upon the land. Each species of the animal
+kingdom is thus organically adapted to its condition and sphere of
+life.</p>
+
+<p><span class="pagenum"><a name="Page_30" id="Page_30"></a>[pg 30]</span></p><hr />
+
+
+
+
+<h2><a name='CHAPTER_III'></a>CHAPTER III.</h2>
+
+<h1>PHYSIOLOGICAL ANATOMY.</h1>
+
+<h3>THE MUSCLES.</h3>
+
+
+
+
+<p class="lfigure"><a name="advise020"><img width="90%" alt="Illustration:
+Fig. 19. Muscular fillers highly magnified." src="images/advise020.png"
+/></a><br />Fig. 19. Muscular fillers highly magnified.</p>
+
+<p>The <i>Muscles</i> are those organs of the body by which motion is
+produced, and are commonly known as <i>flesh</i>. A muscle is composed of
+<i>fascieuli</i>, or bundles of fibers, parallel to one another. They are
+soft, varying in size, of a reddish color, and inclosed in a cellular,
+membranous sheath. Each <i>fasciculus</i> contains a number of small
+fibers, which, when subjected to a microscopic examination, are found to
+consist of <i>fibrillæ</i>, or little fibers; each of these fibrillæ in
+turn being invested with a delicate sheath. The fibers terminate in a
+glistening, white <i>tendon</i>, or hard cord, which is attached to the
+bone. So firmly are they united, that the bone will break before the tendon
+can be released. When the tendon is spread out, so as to resemble a
+membrane, it is called <i>fascia</i>. Being of various extent and
+thickness, it is distributed over the body, as a covering and protection
+for the more delicate parts, and aids also in motion, by firmly uniting the
+muscular fibers. The spaces between the muscles are frequently filled with
+fat, which gives roundness and beauty to the limbs. The muscles are of
+various forms; some are longitudinal, each extremity terminating in a
+tendon, which gives them a <i>fusiform</i> or spindle-shaped appearance;
+others are either fan-shaped, flat, or cylindrical.</p>
+
+<p><span class="pagenum"><a name="Page_31" id="Page_31"></a>[pg 31]</span></p>
+
+
+<p class="lfigure"><a name="advise021"><img width="90%" alt="Illustration:
+Fig. 20." src="images/advise021.png" /></a><br />Fig. 20. <i>1.</i> A
+spindle-shaped muscle, with tendinous terminations. <i>2.</i> Fan-shaped muscle.
+<i>3.</i> Penniform muscle. <i>4.</i> Bipenniform muscle.</p>
+
+
+
+<p class="rfigure"><a name="advise022"><img width="90%" alt="Illustration:
+Fig. 21. Striped muscular fibre showing cleavage in opposite directions. "
+src="images/advise022.png" /></a><br />Fig. 21. Striped muscular fibre
+showing cleavage in opposite directions. <i>1.</i> Longitudinal cleavage. <i>2.</i>
+Transverse cleavage. <i>3.</i> Transverse section of disc. <i>4.</i> Disc nearly
+detached. <i>5.</i> Detached disc, showing the sarcous elements. <i>6.</i>
+Fibrillæ. <i>7, 8.</i> Separated fibrillæ highly magnified.</p>
+
+<p>Every muscle has an <i>origin</i> and an <i>insertion</i>. The term
+<i>origin</i> is applied to the more fixed or central attachment of a
+muscle, and the term <i>insertion</i> to the movable point to which the
+force of the muscle is directed; but the origin is not absolutely fixed,
+except in a small number of muscles, as those of the face, which are
+attached at one extremity to the bone, and at the other to the movable
+integument, or skin. In most instances, the muscles may act from either
+extremity. The muscles are divided into the Voluntary, or muscles of animal
+life, and the Involuntary, or muscles of organic life. There are, however,
+some muscles which cannot properly be classified with either, termed
+Intermediate. The <i>Voluntary Muscles</i> are chiefly controlled by the
+will, relaxing and contracting at its pleasure, as in the motion of the
+eyes, mouth, and limbs. The fibers are of a dark red color, and possess
+great strength. These fibers are parallel, seldom interlacing, but
+presenting a striped or striated appearance; and a microscopic examination
+of them shows that even the most minute consist of parallel filaments
+marked by longitudinal and transverse <i>striæ</i>, or minute channels.
+The fibers are nearly the same length as the muscles to which they belong.
+Each muscular fiber is capable of <span class="pagenum"><a name="Page_32"
+id="Page_32"></a>[pg 32]</span>contraction; it may act singly, though
+usually it acts in unison with others. By a close inspection, it has been
+found that fibers may be drawn apart longitudinally, in which case they are
+termed <i>fibrillæ</i>, or they may be separated transversely, forming a
+series of discs. The <i>Sarcolemma</i>, or investing sheath of the muscles,
+appears to be formed even before there are any visible traces of the muscle
+itself. It is a transparent and delicate membrane, but very elastic. The
+<i>Involuntary Muscles</i> are influenced by the sympathetic nervous
+system, and their action pertains to the nutritive functions of the body.
+They differ from the voluntary muscles in not being striated, having no
+tendons, and in the net-work arrangements of their fibers. The
+<i>Intermediate Muscles</i> are composed of striated and unstriated fibers;
+they are, therefore, both voluntary and involuntary in their functions. The
+muscles employed in respiration are of this class, for we can breathe
+rapidly or slowly, and, for a short time, even suspend their action; but
+soon, however, the organic muscles assert their instinctive control, and
+respiration is resumed.</p>
+
+
+
+<p class="lfigure"><a name="advise022b"><img width="90%" alt="Illustration:
+Fig. 22. Unstriated muscular fiber; " src="images/advise022b.png" /></a><br
+/>Fig. 22. Unstriated muscular fiber; at <i>b</i>, in its natural state; at
+<i>a</i>, showing the nuclei after the action of acetic acid. </p>
+
+
+
+<p class="rfigure"><a name="advise022c"><img width="90%" alt="Illustration:
+Fig. 23. A view of the under side of the diaphragm."
+src="images/advise022c.png" /></a><br />Fig. 23. A view of the under side
+of the diaphragm.</p>
+
+<p><b>The Diaphragm</b>, or midriff, is the muscular division between the
+thorax and the abdomen. It has been compared to an inverted basin, the
+concavity of which is <span class="pagenum"><a name="Page_33"
+id="Page_33"></a>[pg 33]</span><span class="pagenum"><a name="Page_34"
+id="Page_34"></a>[pg 34]</span>directed toward the abdomen. The muscles
+receive their nourishment from the numerous blood-vessels which penetrate
+their tissues. The voluntary muscles are abundantly supplied with nerves,
+while the involuntary are not so numerously furnished. The color of the
+muscles is chiefly due to the blood which they contain. They vary in size
+according to their respective functions. For example, the functions of the
+heart require large and powerful muscles, and those of the eye, small and
+delicate ones. There are between four hundred and sixty and five hundred
+muscles in the human body.</p>
+
+
+
+<p class="figure"><a name="advise023"><img width="40%" alt="Illustration:
+Fig. 24. A representation of the superficial layer of muscles on the
+anterior portion of the body." src="images/advise023.png" /></a><br />Fig.
+24. A representation of the superficial layer of muscles on the anterior
+portion of the body.</p>
+
+
+
+<p class="figure"><a name="advise024"><img width="40%" alt="Illustration:
+Fig. 25. A representation of the superficial layer of muscles on the
+posterior portion of the body." src="images/advise024.png" /></a><br />Fig.
+25. A representation of the superficial layer of muscles on the posterior
+portion of the body.</p>
+
+<p>Very rarely is motion produced by the action of a single muscle, but by
+the harmonious action of several. There is infinite variety in the
+arrangement of the muscles, each being adapted to its purpose, in strength,
+tenacity, or elasticity. While some involuntarily respond to the wants of
+organic life, others obey, with mechanical precision, the edicts of the
+will. The peculiar characteristic of the muscles is their contractility;
+for example, when the tip of the finger is placed in the ear, an incessant
+vibration, due to the contraction of the muscles of the ear, can be heard.
+When the muscles contract, they become shorter; but what is lost in length
+is gained in breadth and thickness, so that their actual volume remains the
+same. Muscles alternately contract and relax, and thus act upon the bones.
+The economy of muscular power thus displayed is truly remarkable. In easy
+and graceful walking, the forward motion of the limbs is not altogether due
+to the exercise of muscular power, but partly to the force of gravity, and
+only a slight assistance of the muscles is required to elevate the leg
+sufficiently to allow it to oscillate.</p>
+
+<p>Motion is a characteristic of living bodies. This is true, not only in
+animals, but also in plants. The oyster, although not possessing the power
+of locomotion, opens and closes its shell at pleasure. The coral insect
+appears at the door of its cell, and retreats at will. All the varied
+motions of animals are due to a peculiar property of the muscles, termed
+<i>contractility</i>. Although plants are influenced by external agents, as
+light, heat, electricity, etc., yet it is supposed that they may move in
+response to inward impulses. The sensitive stamens of the barberry, when
+touched at their base on the inner side, resent the intrusion, by making a
+sudden jerk forward. Venus's <span class="pagenum"><a name="Page_35"
+id="Page_35"></a>[pg 35]</span><span class="pagenum"><a name="Page_36"
+id="Page_36"></a>[pg 36]</span>fly-trap, a plant found in North Carolina,
+is remarkable for the sensitiveness of its leaves; which close suddenly and
+capture insects which chance to alight upon them. The muscles of the
+articulates are situated within the solid framework, unlike the
+vertebrates, whose muscles are external to the bony skeleton. All animals
+have the power of motion, from the lowest radiate to the highest
+vertebrate, from the most repulsive polyp to that type of organized life
+made in the very image of God.</p>
+
+<p>The muscles, then, subserve an endless variety of purposes. By their aid
+the farmer employs his implements of husbandry, the mechanic deftly wields
+his tools, the artist plies his brush, while the fervid orator gives
+utterance to thoughts glowing with heavenly emotions. It is by their agency
+that the sublimest spiritual conceptions can be brought to the sphere of
+the senses, and the noblest, loftiest aims of to-day can be made glorious
+realizations of the future.</p>
+
+<p><span class="pagenum"><a name="Page_37" id="Page_37"></a>[pg 37]</span></p><hr />
+
+
+
+
+<h2><a name='CHAPTER_IV'></a>CHAPTER IV.</h2>
+
+<h1>PHYSIOLOGICAL ANATOMY.</h1>
+
+<h3>THE DIGESTIVE ORGANS.</h3>
+
+
+<p><i>Digestion</i> signifies the act of separating or distributing, hence
+its application to the process by which food is made available for
+nutritive purposes. The organs of digestion are the Mouth, Teeth, Tongue,
+Salivary Glands, Pharynx, Esophagus, the Stomach and the Intestines, with
+their glands, the Liver, Pancreas, Lacteals, and the Thoracic Duct.</p>
+
+
+
+<p class="rfigure"><a name="advise025"><img width="90%" alt="Illustration:
+Fig. 26. A view of the lower jaw. " src="images/advise025.png" /></a><br
+/>Fig. 26. A view of the lower jaw. <i>1</i>. The body. <i>2, 2</i>. Rami,
+or branches. <i>3, 3</i>. Processes of the lower jaw. <i>m</i>. Molar
+teeth. <i>b</i>. Bicuspids, <i>c</i>. Cuspids. <i>i</i>. Incisors.</p>
+
+<p>The <i>Mouth</i> is an irregular cavity, situated between the upper and
+the lower jaw, and contains the organs of mastication. It is bounded by the
+lips in front, by the cheeks at the sides, by the roof of the mouth and
+teeth of the upper jaw above, and behind and beneath by the teeth of the
+lower jaw, soft parts, and palate. The soft palate is a sort of pendulum
+attached only at one of its extremities, while the other involuntarily
+opens and closes the passage from the mouth to the pharynx. The interior of
+the mouth, as well as other portions of the alimentary canal, is lined with
+a delicate tissue, called <i>mucous membrane</i>.</p>
+
+<p>The <i>Teeth</i> are firmly inserted in the alveoli or sockets, of the
+upper and the lower jaw. The first set, twenty in number, are temporary,
+and appear during infancy. They are replaced <span class="pagenum"><a
+name="Page_38" id="Page_38"></a>[pg 38]</span>by permanent teeth, of which
+there are sixteen in each jaw; four incisors, or front teeth, four cuspids,
+or eye teeth, four bicuspids, or grinders, and four molars, or large
+grinders. Each tooth is divided into the crown, body, and root. The
+<i>crown</i> is the grinding surface; the <i>body</i>, the part projecting
+from the jaw, is the seat of sensation and nutrition; the <i>root</i> is
+that portion of the tooth which is inserted in the alveolus. The teeth are
+composed of dentine, or ivory, and enamel. The ivory forms the greater
+portion of the body and root, while the enamel covers the exposed surface.
+The small white cords communicating with the teeth are the nerves.</p>
+
+<p>The <i>Tongue</i> is a flat oval organ, the base of which is attached to
+the os hyoides, while the apex, the most sensitive part of the body, is
+free. Its surface is covered with a membrane, which, at the sides and lower
+part, is continuous with the lining of the mouth. On the lower surface of
+the tongue, this membrane is thin and smooth, but on the upper side it is
+covered with numerous papillæ, which, in structure, are similar to the
+sensitive papillæ of the skin.</p>
+
+
+
+<p class="lfigure"><a name="advise026"><img width="90%" alt="Illustration:
+Fig. 27. The salivary glands. " src="images/advise026.png" /></a><br />Fig.
+27. The salivary glands. The largest one, near the ear, is the parotid
+gland. The next below it is the submaxillary gland. The one under the
+tongue is the sublingual gland.</p>
+
+<p>The <i>Salivary Glands</i> are six in number, three on each side of the
+mouth. Their function is to secrete a fluid called <i>saliva</i>, which
+aids in mastication. The largest of these glands, the <i>Parotid</i>, is
+situated in front and below the ear; its structure, like that of all the
+salivary glands, is cellular. The <i>Submaxillary</i> gland is circular in
+form, and situated midway between the <span class="pagenum"><a
+name="Page_39" id="Page_39"></a>[pg 39]</span>angle of the lower jaw and
+the middle of the chin. The <i>Sublingual</i> is a long flattened gland,
+and, as its name indicates, is located below the tongue, which when
+elevated, discloses the saliva issuing from its porous openings.</p>
+
+<p>The <i>Pharynx</i> is nearly four inches in length, formed of muscular
+and membranous cells, and situated between the base of the cranium and the
+esophagus, in front of the spinal column. It is narrow at the upper part,
+distended in the middle, contracting again at its junction with the
+esophagus. The pharynx communicates with the nose, mouth, larynx, and
+esophagus.</p>
+
+<p>The <i>Esophagus</i>, a cylindrical organ, is a continuation of the
+pharynx, and extends through the diaphragm to the stomach. It has three
+coats: first, the muscular, consisting of an exterior layer of fibers
+running longitudinally, and an interior layer of transverse fibers; second,
+the cellular, which is interposed between the muscular and the mucous coat;
+third, the mucous membrane, or internal coat, which is continuous with the
+mucous lining of the pharynx.</p>
+
+
+
+<p class="rfigure"><a name="advise027"><img width="90%" alt="Illustration:
+Fig. 28. A representation of the interior of the stomach."
+src="images/advise027.png" /></a><br />Fig. 28. A representation of the
+interior of the stomach. <i>1</i>. The esophagus. <i>2</i>. Cardiac orifice
+opening into the stomach. <i>6</i>. The middle or muscular coat. <i>7</i>.
+The interior or mucous coat. <i>10</i>. The beginning of the duodenum.
+<i>11</i>. The pyloric orifice.</p>
+
+<p>The <i>Stomach</i> is a musculo-membranous, conoidal sac, communicating
+with the esophagus by means of the cardiac orifice (see Fig. 28). It is
+situated obliquely with reference to the body, its base lying at the left
+side, while the apex is directed toward the right side. The stomach is
+between the liver and spleen, subjacent to the diaphragm, and communicates
+with the intestinal canal by the pyloric orifice. It has three coats. The
+peritoneal, or external coat is composed of compact, cellular tissue, woven
+into a thin, serous membrane, and assists in keeping the stomach in place.
+The middle coat is formed of three layers of muscular fibers: in the first,
+the fibres run <span class="pagenum"><a name="Page_40" id="Page_40"></a>[pg
+40]</span>longitudinally; in the second, in a circular direction; and in
+the third, they are placed obliquely to the others. The interior, or mucous
+coat, lines this organ. The stomach has a soft, spongy appearance, and,
+when not distended, lies in folds. During life, it is ordinarily of a
+pinkish color. It is provided with numerous small glands, which secrete the
+gastric fluid necessary for the digestion of food. The lining membrane,
+when divested of mucus, has a wrinkled appearance. The arteries, veins, and
+lymphatics, of the stomach are numerous.</p>
+
+
+
+<p class="lfigure"><a name="advise028"><img width="90%" alt="Illustration:
+Fig. 29. Small and large intestines. " src="images/advise028.png" /></a><br
+/>Fig. 29. Small and large intestines. <i>1, 1, 2, 2</i>. Small intestine.
+<i>3</i>. Its termination in the large intestine. <i>4</i>. Appendix
+vermiformis. <i>5</i>. Cæcum. <i>6</i>. Ascending colon. <i>7</i>.
+Transverse colon. <i>8</i>. Descending colon. <i>9</i>. Sigmoid flexure of
+colon. <i>10</i>. Rectum.</p>
+
+<p>The <i>Intestines</i> are those convoluted portions of the alimentary
+canal into which the food is received after being partially digested, and
+in which the separation and absorption of the nutritive materials and the
+removal of the residue take place. The coats of the intestines are
+analogous to those of the stomach, and are, in fact, only extensions of
+them. For convenience of description, the intestines may be divided into
+the <i>small</i> and the <i>large</i>. The small intestine is from twenty
+to twenty-five feet in length, and consists of the Duodenum, Jejunum, and
+Ileum. The <i>Duodenum</i>, so called because its length is equal to the
+breadth of twelve fingers, is the first division of the small intestine. If
+the mucous membrane of the duodenum be examined, it will be found thrown
+into numerous folds, which are called <i>valvulæ conniventes</i>, the
+chief function of which appears to be to retard the course of the
+alimentary matter, and afford a larger surface for the accommodation of the
+absorbent vessels. Numerous <i>villi</i>, minute thread-like projections,
+will be <span class="pagenum"><a name="Page_41" id="Page_41"></a>[pg
+41]</span>found scattered over the surface of these folds, set side by
+side, like the pile of velvet. Each <i>villus</i> contains a net-work of
+blood-vessels, and a lacteal tube, into which the ducts from the liver and
+pancreas open, and pour their secretions to assist in the conversion of the
+chyme into chyle. The <i>Jejunum</i>, so named because it is usually found
+empty after death, is a continuation of the duodenum, and is that portion
+of the alimentary canal in which the absorption of nutritive matter is
+chiefly effected. The <i>Ileum</i>, which signifies something rolled up, is
+the longest division of the small intestine. Although somewhat thinner in
+texture than the jejunum, yet the difference is scarcely perceptible. The
+large intestine is about five feet in length, and is divided into the
+Cæcum, Colon, and Rectum. The <i>Cæcum</i> is about three inches in
+length. Between the large and the small intestine is a valve, which
+prevents the return of excrementitious matter that has passed into the
+large intestine. There is attached to the cæcum an appendage about
+the size of a goose-quill, and three inches in length, termed the
+<i>appendix vermiformis</i>. The <i>Colon</i> is that part of the large
+intestine which extends from the cæcum to the rectum, and which is
+divided into three parts, distinguished as the ascending, the transverse,
+and the descending.</p>
+
+
+
+<p class="lfigure"><a name="advise029"><img width="90%" alt="Illustration:
+Fig. 30. Villi of the small intestine greatly magnified."
+src="images/advise029.png" /></a><br />Fig. 30. Villi of the small
+intestine greatly magnified.</p>
+
+
+
+<p class="rfigure"><a name="advise030"><img width="90%" alt="Illustration:
+Fig. 31. A section of the Ileum, turned inside out,"
+src="images/advise030.png" /></a><br />Fig. 31. A section of the Ileum,
+turned inside out, so as to show the appearance and arrangement of the
+villi on an extended surface.</p>
+
+<p><span class="pagenum"><a name="Page_42" id="Page_42"></a>[pg
+42]</span>The <i>Rectum</i> is the terminus of the large intestine. The
+intestines are abundantly supplied with blood-vessels. The arteries of the
+small intestine are from fifteen to twenty in number. The large intestine
+is furnished with three arteries, called the <i>colic arteries</i>. The
+<i>ileo-colic artery</i> sends branches to the lower part of the ileum, the
+head of the colon, and the appendix vermiformis. The <i>right colic
+artery</i> forms arches, from which branches are distributed to the
+ascending colon. The <i>colica media</i> separates into two branches, one
+of which is sent to the right portion of the transverse colon, the other to
+the left. In its course, the <i>superior hemorrhoidal artery</i> divides
+into two branches, which enter the intestine from behind, and embrace it on
+all sides, almost to the anus.</p>
+
+<p>The <i>Thoracic Duct</i> is the principal trunk of the absorbent system,
+and the canal through which much of the chyle and lymph is conveyed to the
+blood. It begins by a convergence and union of the lymphatics on the lumbar
+vertebræ, in front of the spinal column, then passes upward through
+the diaphragm to the lower part of the neck, thence curves forward and
+downward, opening into the subclavian vein near its junction with the left
+jugular vein, which leads to the heart.</p>
+
+
+
+<p class="lfigure"><a name="advise031"><img width="90%" alt="Illustration:
+Fig. 32." src="images/advise031.png" /></a><br />Fig. 32. <i>c, c</i>.
+Right and left subclavian veins. <i>b</i>. Inferior vena cava. <i>a</i>.
+Intestines. <i>d</i>. Entrance of the thoracic duct into the left
+subclavian vein. <i>4</i>. Mesenteric glands, through which the lacteals
+pass to the thoracic duct.</p>
+
+
+
+<p class="rfigure"><a name="advise032"><img width="90%" alt="Illustration:
+Fig. 33. The inferior surface of the liver." src="images/advise032.png"
+/></a><br />Fig. 33. The inferior surface of the liver. <i>1.</i> Right lobe. <i>2.</i>
+Left lobe. <i>3.</i> Gall-bladder.</p>
+
+<p>The <i>Liver</i>, which is the largest gland in the body, weighs <span
+class="pagenum"><a name="Page_43" id="Page_43"></a>[pg 43]</span>about four
+pounds in the adult, and is located chiefly on the right side, immediately
+below the diaphragm. It is a single organ, of a dark red color, its upper
+surface being convex, while the lower is concave. It has two large lobes,
+the right being nearly four times as large as the left. The liver has two
+coats, the <i>serous</i>, which is a complete investment, with the
+exception of the diaphragmatic border, and the depression for the
+gall-bladder, and which helps to suspend and retain the organ in position;
+and the <i>fibrous</i>, which is the inner coat of the liver, and forms
+sheaths for the blood-vessels and excretory ducts. The liver is abundantly
+supplied with arteries, veins, nerves, and lymphatics. Unlike the other
+glands of the human body, it receives two kinds of blood; the arterial for
+its nourishment, and the venous, from which it secretes the bile. In the
+lower surface of the liver is lodged the gall-bladder, a membranous sac, or
+reservoir, for the bile. This fluid is not absolutely necessary to the
+digestion of food, since this process is effected by other secretions, nor
+does bile exert any special action upon, starchy or oleaginous substances,
+when mixed with them at a temperature of 100&deg; F. Experiments also show
+that in some animals there is a constant flow of bile, even when no food
+has been taken, and there is consequently no digestion to be performed.
+Since the bile is formed from the venous blood, and taken from the waste
+and disintegration of animal tissue, it would appear that it is chiefly an
+excrementitious fluid. It does not seem to have accomplished its function
+when discharged from the liver and poured into the intestine, for there it
+undergoes various alterations previous to re-absorption, produced by its
+contact with the intestinal juices. Thus the bile, after being <span
+class="pagenum"><a name="Page_44" id="Page_44"></a>[pg
+44]</span>transformed in the intestines, re-enters the blood under a new
+form, and is carried to some other part of the system to perform its
+mission.</p>
+
+<p>The <i>Spleen</i> is oval, smooth, convex on its external, and
+irregularly concave on its internal, surface. It is situated on the left
+side, in contact with the diaphragm and stomach. It is of a dark red color,
+slightly tinged with blue at its edges. Some physiologists affirm that no
+organ receives a greater quantity of blood, according to its size, than the
+spleen. The structure of the spleen and that of the mesenteric glands are
+similar, although the former is provided with a scanty supply of lymphatic
+vessels, and the chyle does not pass through it, as through the mesenteric
+glands. The <i>Pancreas</i> lies behind the stomach, and extends
+transversely across the spinal column to the right of the spleen. It is of
+a pale, pinkish color, and its secretion is analogous to that of the
+salivary glands; hence it has been called the <i>Abdominal Salivary
+Gland</i>.</p>
+
+
+
+<p class="lfigure"><a name="advise033"><img width="90%" alt="Illustration:
+Fig. 34. Digestive organs. " src="images/advise033.png" /></a><br />Fig.
+34. Digestive organs. <i>3</i>. The tongue. <i>7</i>. Parotid gland.
+<i>8</i>. Sublingual gland. <i>5</i>. Esophagus. <i>9</i>. Stomach.
+<i>10</i>. Liver. <i>11</i>. Gall-bladder, <i>14</i>. Pancreas. <i>13,
+13</i>. The duodenum. The small and large intestines are represented below
+the stomach.</p>
+
+<p>Digestion is effected in those cavities which we have described <span
+class="pagenum"><a name="Page_45" id="Page_45"></a>[pg 45]</span>as parts
+of the alimentary canal. The food is first received into the mouth, where
+it is masticated by the teeth, and, after being mixed with mucus and
+saliva, is reduced to a mere pulp; it is then collected by the tongue,
+which, aided by the voluntary muscles of the throat, carries the food
+backward into the pharynx, and, by the action of the involuntary muscles of
+the pharynx and esophagus, is conveyed to the stomach. Here the food is
+subjected to a peculiar, churning movement, by the alternate relaxation and
+contraction of the fibers which compose the muscular wall of the stomach.
+As soon as the food comes in contact with the stomach, its pinkish color
+changes to a bright red; and from the numerous tubes upon its inner surface
+is discharged a colorless fluid, called the <i>gastric juice</i>, which
+mingles with the food and dissolves it. When the food is reduced to a
+liquid condition, it accumulates in the pyloric portion of the stomach.
+Some distinguished physiologists believe that the food is kept in a gentle,
+unceasing, but peculiar motion, called <i>peristaltic</i>, since the
+stomach contracts in successive circles. In the stomach the food is
+arranged in a methodical manner. The undigested portion is detained in the
+upper, or cardiac extremity, near the entrance of the esophagus, by
+contraction of the circular fibers of the muscular coat. Here it is
+gradually dissolved, and then carried into the pyloric portion of the
+stomach. From this, then, it appears, that the dissolved and undissolved
+portions of food occupy different parts of the stomach. After the food has
+been dissolved by the gastric fluid, it is converted into a homogeneous,
+semi-fluid mass, called <i>chyme</i>. This substance passes from the
+stomach through the pyloric orifice into the duodenum, in which, by mixing
+with the bile and pancreatic fluid, its chemical properties are again
+modified, and it is then termed <i>chyle</i>, which has been found to be
+composed of three distinct parts, a reddish-brown sediment at the bottom, a
+whey-colored fluid in the middle, and a creamy film at the top. Chyle is
+different from chyme in two respects: First, the alkali of the digestive
+fluids, poured into the duodenum, or upper part of the small intestine,
+neutralizes the acid of the chyme; secondly, both the bile and the
+pancreatic fluid seem to exert an influence over the fatty substances
+contained in the chyme, which assists the subdivision of these <span
+class="pagenum"><a name="Page_46" id="Page_46"></a>[pg 46]</span>fats into
+minute particles. While the chyle is propelled along the small intestine by
+the peristaltic action, the matter which it contains in solution is
+absorbed in the usual manner into the vessels of the villi by the process
+called <i>osmosis</i>. The fatty matters being subdivided into very minute
+particles, but not dissolved, and consequently incapable of being thus
+absorbed by osmosis, pass bodily through the epithelial lining of the
+intestine into the commencement of the lacteal tubes in the villi. The
+digested substances, as they are thrust along the small intestines,
+gradually lose their albuminoid, fatty, and soluble starchy and saccharine
+matters, and pass through the ileo-cæcal valve into the cæcum and
+large intestine. An acid reaction takes place here, and they acquire the
+usual fæcal smell and color, which increases as they approach the
+rectum. Some physiologists have supposed that a second digestion takes
+place in the upper portion of the large intestine. The lacteals, filled
+with chyle, pass into the mesenteric glands with which they freely unite,
+and afterward enter the <i>receptaculum chyli</i>, which is the
+commencement of the thoracic duct, a tube of the size of a goose-quill,
+which lies in front of the backbone. The lymphatics, the function of which
+is to secrete and elaborate lymph, also terminate in the <i>receptaculum
+chyli</i>, or receptacle for the chyle. From this reservoir the chyle and
+lymph flow into the thoracic duct, through which they are conveyed to the
+left subclavian vein, there to be mingled with venous blood. The blood,
+chyle, and lymph, are then transmitted directly to the lungs.</p>
+
+<p>The process of nutrition aids in the development and growth of the body;
+hence it has been aptly designated a "perpetual reproduction." It is the
+process by which every part of the body assimilates portions of the blood
+distributed to it. In return, the tissues yield a portion of the material
+which was once a component part of their organization. The body is
+constantly undergoing waste as well as repair. One of the most interesting
+facts in regard to the process of nutrition in animals and plants is, that
+all tissues originate in cells. In the higher types of animals, the blood
+is the source from which the cells derive their constituents. Although the
+alimentary canal is more or less complicated in different <span
+class="pagenum"><a name="Page_47" id="Page_47"></a>[pg 47]</span>classes of
+animals, yet there is no species, however low in the scale of organization,
+which does not possess it in some form.<sup><a href="#fn2"
+name="rfn2">[2]</a></sup> The little polyp has only one digestive cavity,
+which is a pouch in the interior of the body. In some animals circulation
+is not distinct from digestion, in others respiration and digestion are
+performed by the same organs; but as we rise in the scale of animal life,
+digestion and circulation are accomplished in separate cavities, and the
+functions of nutrition become more complex and distinct.</p>
+
+
+<p><span class="pagenum"><a name="Page_48" id="Page_48"></a>[pg 48]</span></p><hr />
+
+
+
+<h2><a name='CHAPTER_V'></a>CHAPTER V.</h2>
+
+<h1>PHYSIOLOGICAL ANATOMY.</h1>
+
+<h3>ABSORPTION.</h3>
+
+
+
+
+<p class="lfigure"><a name="advise034"><img width="90%" alt="Illustration:
+Fig. 35. Villi of the small intestine greatly magnified."
+src="images/advise034.png" /></a><br />Fig. 35. Villi of the small
+intestine greatly magnified.</p>
+
+<p><i>Absorption</i> is the vital function by which nutritive materials are
+selected and imbibed for the sustenance of the body. Absorption, like all
+other functional processes, employs agents to effect its purposes, and the
+<i>villi</i> of the small intestine, with their numberless projecting
+organs, are specially employed to imbibe fluid substances; this they do
+with a celerity commensurate to the importance and extent of their duties.
+They are little vascular prominences of the mucous membrane, arising from
+the interior surface of the small intestine. Each villus has two sets of
+vessels. (1.) The blood-vessels, which, by their frequent blending, form a
+complete net-work beneath the external epithelium; they unite at the base
+of the villus, forming a minute vein, which is one of the sources of the
+portal vein. (2.) In the center of the villus is another vessel, with
+thinner and more transparent walls, which is the commencement of a
+lacteal.</p>
+
+<p>The <i>Lacteals</i> originate in the walls of the alimentary canal,
+<span class="pagenum"><a name="Page_49" id="Page_49"></a>[pg 49]</span>are
+very numerous in the small intestine, and, passing between the laminæ of
+the mesentery, they terminate in the <i>receptaculum chyli</i>, or
+reservoir for the chyle. The mesentery consists of a double layer of
+cellular and adipose tissue. It incloses the blood-vessels, lacteals, and
+nerves of the small intestine, together with its accessory glands. It is
+joined to the posterior abdominal wall by a narrow <i>root</i>; anteriorly,
+it is attached to the whole length of the small intestine. The lacteals are
+known as the absorbents of the intestinal walls, and after digestion is
+accomplished, are found to contain a white, milky fluid, called
+<i>chyle</i>. The chyle does not represent the entire product of digestion,
+but only the fatty substances suspended in a serous fluid.</p>
+
+<p>Formerly, it was supposed that the lacteals were the only agents
+employed in absorption, but more recent investigations have shown that the
+blood-vessels participate equally in the process, and are frequently the
+more active and important of the two. Experiments upon living animals have
+proved that absorption of poisonous substances occurs, even when all
+communication by way of the lacteals and lymphatics is obstructed, the
+passage by the blood-vessels alone remaining. The absorbent power which the
+blood-vessels of the alimentary canal possess, is not limited to alimentary
+substances, but through them, soluble matters of almost every description
+are received into the circulation.</p>
+
+<p>The <i>Lymphatics</i> are not less important organs in the process of
+absorption. Nearly every part of the body is permeated by a second series
+of capillaries, closely interlaced with the blood-vessels, collectively
+termed the <i>Lymphatic System</i>. Their origin is not known, but they
+appear to form a <i>plexus</i> in the tissues, from which their converging
+trunks arise. They are composed of minute tubes of delicate membrane, and
+from their net-work arrangement they successively unite and finally
+terminate in two main trunks, called the <i>great lymphatic veins</i>. The
+lymphatics, instead of commencing on the intestinal walls, as do the
+lacteals, are distributed through most of the vascular tissues as well as
+the skin. The lymphatic circulation is not unlike that of the blood; its
+circulatory apparatus is, however, more delicate, and its functions are not
+so well understood.</p>
+
+<p><span class="pagenum"><a name="Page_50" id="Page_50"></a>[pg 50]</span></p>
+
+
+<p class="figure"><a name="advise035"><img width="40%" alt="Illustration:
+Fig. 36. A general view of the Lymphatic System."
+src="images/advise035.png" /></a><br />Fig. 36. A general view of the
+Lymphatic System.</p>
+
+<p><span class="pagenum"><a name="Page_51" id="Page_51"></a>[pg
+51]</span>The <i>lymph</i> which circulates through the lymphatic vessels
+is an alkaline fluid composed of a plasma and corpuscles. It may be
+considered as blood deprived of its red corpuscles and, diluted with water.
+Nothing very definite is known respecting the functions of this fluid. A
+large proportion of its constituents is derived from the blood, and the
+exact connection of these substances to nutrition is not properly
+understood. Some excrementitious matters are supposed to be taken from the
+tissues by the lymph and discharged into the blood, to be ultimately
+removed from the system. The lymph accordingly exerts an important function
+by removing a portion of the decayed tissues from the body.</p>
+
+
+
+<p class="rfigure"><a name="advise036"><img width="90%" alt="Illustration:
+Fig. 37." src="images/advise036.png" /></a><br />Fig. 37. <i>1.</i> A
+representation of a lymphatic vessel highly magnified. <i>2.</i> Lymphatic valves.
+<i>3.</i> A lymphatic gland and its vessels.</p>
+
+<p>In all animals which possess a lacteal system there is also a lymphatic
+system, the one being the complement of the other. The fact that lymph and
+chyle are both conveyed into the general current of circulation, leads to
+the inference that the lymph, as well as the chyle, aids in the process of
+nutrition. The body is continually undergoing change, and vital action
+implies waste of tissues, as well as their growth. Those organs which are
+the instruments of motion, as the muscles, cannot be employed without wear
+and waste of their component parts. Renovated tissues must replace those
+which are worn out, and it is a part of the function of the absorbents to
+convey nutritive material into the general circulation. Researches in
+microscopical anatomy have shown that the skin contains multitudes of
+lymphatic vessels and that it is a powerful absorbent.</p>
+
+<p>Absorption is one of the earliest and most essential functions of animal
+and vegetables tissues. The simpler plants consist of only a few cells, all
+of which are employed in absorption; but <span class="pagenum"><a
+name="Page_52" id="Page_52"></a>[pg 52]</span>in the flowering plants this
+function is performed by the roots. It is accomplished on the same general
+principles in animals, yet it presents more modifications and a greater
+number of organs than in vegetables. While animals receive their food into
+a sac, or bag called the <i>stomach</i>, and are provided with absorbent
+vessels such as nowhere exist in vegetables, plants plunge their absorbent
+organs into the earth, whence they derive nourishing substances. In the
+lower order of animals, as in sponges, this function is performed by
+contiguous cells, in a manner almost as elementary as in plants. In none of
+the invertebrate animals is there any <i>special</i> absorbent system.
+Internal absorption is classified by some authors as follows:
+<i>interstitial</i>, <i>recrementitial</i>, and <i>excrementitial</i>; by
+others as <i>accidental</i>, <i>venous</i>, and <i>cutaneous</i>. The
+general cutaneous and mucous surfaces exhale, as well as absorb; thus the
+skin, by means of its sudoriferous glands, exhales moisture, and is at the
+same time as before stated, a powerful absorbent. The mucous surface of the
+lungs is continually throwing off carbonic acid and absorbing oxygen; and
+through their surface poisons are sometimes taken into the blood. The
+continual wear and waste to which living tissues are subject, makes
+necessary the provision of such a system of vessels for conveying away the
+worn-out materials and supplying the body with new.</p>
+
+<p><span class="pagenum"><a name="Page_53" id="Page_53"></a>[pg 53]</span></p><hr />
+
+
+
+
+<h2><a name='CHAPTER_VI'></a>CHAPTER VI.</h2>
+
+<h1>PHYSICAL AND VITAL PROPERTIES OF THE BLOOD.</h1>
+
+
+
+
+<p class="rfigure"><a name="advise037"><img width="90%" alt="Illustration:
+Fig. 38. Red corpuscles of human blood, " src="images/advise037.png"
+/></a><br />Fig. 38. Red corpuscles of human blood, represented at
+<i>a</i>, as they are seen when rather <i>beyond</i> the focus of the
+microscope; and at <i>b</i> as they appear when, <i>within</i> the focus.
+Magnified 400 diameters.</p>
+
+
+
+<p class="lfigure"><a name="advise038"><img width="90%" alt="Illustration:
+Fig. 39. Development of human lymph and chyle-corpuscles into red
+corpuscles of blood. " src="images/advise038.png" /></a><br />Fig. 39.
+Development of human lymph and chyle-corpuscles into red corpuscles of
+blood. <i>A</i>. A lymph, or white blood-corpuscle. <i>B</i>. The same in
+process of conversion into a red corpuscle. <i>C</i>. A lymph-corpuscle
+with the cell-wall raised up around it by the action of water. <i>D</i>. A
+lymph-corpuscle, from which the granules have almost disappeared. <i>E</i>.
+A lymph-corpuscle, acquiring color; a single granule, like a nucleus,
+remains. <i>F</i>. A red corpuscle fully developed.</p>
+
+<p><i>Blood</i> is the animal fluid by which the tissues of the body are
+nourished. This pre-eminently vital fluid permeates every organ,
+distributes nutritive material to every texture, is essentially modified by
+respiration, and, finally, is the source of every secretion and excretion.
+Blood has four constituents: Fibrin, Albumen, Salts (which elements, in
+solution, form the <i>liquor sanguinis</i>), and the Corpuscles.
+Microscopical examination shows that the corpuscles are of two kinds, known
+as the <i>red</i> and the <i>white</i>, the former being by far the more
+abundant. They are circular in form and have a smooth exterior, and are on
+an average 1/3200 part of an inch in diameter, and are about one-fourth of
+that in thickness. Hence more than ten millions of them may lie on a space
+an inch square. If spread out in thin layers and subjected to transmitted
+light, they present a slightly yellowish color, but when crowded together
+and viewed by refracted light, exhibit a deep red color. These
+blood-corpuscles have been termed <i>discs</i>, and are not, as some have
+supposed, solid material, but are very nearly fluid. The red corpuscles
+although <span class="pagenum"><a name="Page_54" id="Page_54"></a>[pg
+54]</span>subjected to continual movement, have a tendency to approach one
+another, and when their flattened surfaces come in contact, so firmly do
+they adhere that they change their shape rather than submit to a
+separation. If separated, however, they return to their usual form. The
+colorless corpuscles are larger than the red and differ from them in being
+extremely irregular in their shape, and in their tendency to adhere to a
+smooth surface, while the red corpuscles float about and tumble over one
+another. They are chiefly remarkable for their continual variation in form.
+The shape of the red corpuscles is only altered by external influences, but
+the white are constantly undergoing alterations, the result of changes
+taking place within their own substance. When diluted with water and placed
+under the microscope they are found to consist of a spheroidal sac,
+containing a clear or granular fluid and a spheroidal vesicle, which is
+termed the <i>nucleus</i>. They have been regarded by some physiologists as
+identical with those of the lymph and chyle. Dr. Carpenter believes that
+the function of these cells is to convert albumen into fibrin, by the
+simple process of cell-growth. It is generally believed that the red
+corpuscles are derived in some way from the colorless. It is supposed that
+the red corpuscle is merely the nucleus of a colorless corpuscle enlarged,
+flattened, colored and liberated by the bursting of the wall of its cell.
+When blood is taken from an artery and allowed to remain at rest, it
+separates into two parts: a solid mass, called the clot, largely composed
+of fibrin; and a fluid known as the <i>serum</i>, in which <span
+class="pagenum"><a name="Page_55" id="Page_55"></a>[pg 55]</span>the clot
+is suspended. This process is termed <i>coagulation</i>. The serum, mostly
+composed of <i>albumen</i>, is a transparent, straw-colored fluid, having
+the odor and taste of blood. The whole quantity of blood in the body is
+estimated on an average to be about one-ninth of its entire weight. The
+distinctions between the arterial and the venous blood are marked, since in
+the arterial system the blood is uniformly bright red, and in the venous of
+a very dark red color The blood-corpuscles contain both oxygen and carbonic
+acid in solution. When carbonic acid predominates, the blood is dark red;
+when oxygen, scarlet. In the lungs, the corpuscles give up carbonic acid,
+and absorb a fresh supply of oxygen, while in the general circulation the
+oxygen disappears in the process of tissue transformation, and is replaced,
+in the venous blood, by carbonic acid. The nutritive portions of food are
+converted into a homogeneous fluid, which pervades every part of the body,
+is the basis of every tissue, and which is termed the <i>blood</i>. This
+varies in color and composition in different animals. In the polyp the
+nutritive fluid is known as <i>chyme</i>, in many mollusks, as well as
+articulates, it is called <i>chyle</i>, but in vertebrates, it is more
+highly organized and is called blood. In all the higher animal types it is
+of a red color, although redness is not one of its essential qualities.
+Some tribes of animals possess true blood, which is not red; thus the blood
+of the insect is colorless and transparent; that of the reptile yellowish;
+in the fish the principle part is without color, but the blood of the bird
+is deep red. The blood of the mammalia is of a bright scarlet hue. The
+temperature of the blood varies in different species, as well as in animals
+of the same species under different physiological conditions; for this
+reason, some animals are called <i>cold-blooded.</i> Disease also modifies
+the temperature of the blood; thus in fevers it is generally increased, but
+in cholera greatly diminished. <b>The</b> blood has been aptly termed the
+"vital fluid," since there is a constant flow from the heart to the tissues
+and organs of the body, and a continual return after it has circulated
+through these parts. Its presence in every part of the body is one of the
+essential conditions of animal life, and is effected by a special set of
+organs, called the <i>circulatory organs</i>.</p>
+
+<p><span class="pagenum"><a name="Page_56" id="Page_56"></a>[pg 56]</span></p><hr />
+
+
+
+
+<h2><a name='CHAPTER_VII'></a>CHAPTER VII.</h2>
+
+<h1>PHYSIOLOGICAL ANATOMY.</h1>
+
+<h3>CIRCULATORY ORGANS.</h3>
+
+
+<p>Having considered the formation of chyle, traced it through the
+digestive process, seen its transmission into the <i>vena cava</i>, and,
+finally, its conversion into blood, we shall now describe how it is
+distributed to every part of the system. This is accomplished   through
+organs which, from the round of duties they perform, are called
+<i>circulatory</i>. These are the Heart, Arteries, Veins, and Capillaries,
+which constitute the <i>vascular system</i>.</p>
+
+<p>Within the thorax or chest of the human body, and enclosed within a
+membranous sac, called the <i>pericardium</i>, is the great force-pump of
+the system, the heart. This organ, to which all the arteries and veins of
+the body may be either directly or indirectly traced, is roughly estimated
+to be equal in size to the closed fist of the individual to whom it
+belongs.</p>
+
+<p>It has a broad end turned upwards, and a little to the right side,
+termed its <i>base</i>; and a pointed end called its <i>apex</i>, turned
+downwards, forwards, and to the left side, and lying beneath a point about
+an inch to the right of, and below, the left nipple, or just below the
+fifth rib. Attached to the rest of the body only by the great blood-vessels
+which issue from and enter it at its base, the heart is the most mobile
+organ in the economy, being free to move in different directions.</p>
+
+<p>The heart is divided into two great cavities by a fixed partition, which
+extends from the base to the apex of the organ, and which prevents any
+direct communication between them. Each of these great cavities is further
+subdivided transversely <span class="pagenum"><a name="Page_57"
+id="Page_57"></a>[pg 57]</span>by a movable partition, the cavity above
+each transverse partition being called the <i>auricle</i>, and the cavity
+below, the <i>ventricle</i>, right or left, as the case may be.</p>
+
+
+
+<p class="rfigure"><a name="advise039"><img width="90%" alt="Illustration:
+Fig. 40. General view of the heart and lungs, " src="images/advise039.png"
+/></a><br />Fig. 40. General view of the heart and lungs, <i>t</i>.
+Trachea, or windpipe, <i>a</i>. Aorta, <i>p</i>. Pulmonary artery, 1,2.
+Branches of the pulmonary artery, one going to the right, the other to the
+left lung. <i>h.</i> The heart.</p>
+
+<p>The walls of the auricles are much thinner than those of the ventricles,
+and the wall of the right ventricle is much thinner than that of the left,
+from the fact that the ventricles have more work to perform than the
+auricles, and the left ventricle more than the right.</p>
+
+<p>In structure, the heart is composed almost entirely of muscular fibers,
+which are arranged in a very complex and wonderful manner. The outer
+surface of the heart is covered with the pericardium, which closely adheres
+to the muscular substance. Inside, the cavities are lined with a thin
+membrane, called the <i>endocardium</i>. At the junction between the
+auricles and ventricles, the apertures of communication between their
+cavities are strengthened by <i>fibrous rings</i>. Attached to these
+fibrous rings are the movable partitions or valves, between the auricles
+and the ventricles, the one on the right side of the heart being called the
+<i>tricuspid valve</i>, and the one on the left side the <i>mitral
+valve.</i> A number of fine, but strong, tendinous chords, called
+<i>chordæ tendineæ</i>, connect the edges and apices of these valves with
+column-like elevations of the fleshy substance of the walls of the
+ventricles, called <i>columnæ carneæ</i>.</p>
+
+<p><span class="pagenum"><a name="Page_58" id="Page_58"></a>[pg 58]</span></p>
+
+
+<p class="lfigure"><a name="advise040"><img width="90%" alt="Illustration:
+Fig. 41." src="images/advise040.png" /></a><br />Fig. 41. <i>1.</i> The descending
+vena cava. <i>2.</i> The ascending vena cava. <i>3.</i> The right auricle. <i>4.</i> The opening
+between the right auricle and the right ventricle. <i>5.</i> The right ventricle.
+<i>6.</i> The tricuspid valves. <i>7.</i> The pulmonary artery. <i>8, 8.</i> The branches of the
+pulmonary artery which pass to the right and the left lung. <i>9.</i> The
+semilunar valves of the pulmonary artery. <i>10.</i> The septum between the two
+ventricles of the heart. <i>11, 11.</i> The pulmonary veins. <i>12.</i> The left auricle.
+<i>13.</i> The opening between the left auricle and ventricle. <i>14.</i> The left
+ventricle. <i>15.</i> The mitral valves. <i>16, 16.</i> The aorta. <i>17.</i> The semilunar
+valves of the aorta.</p>
+
+<p>The valves are so arranged that they present no obstacle to the free
+flow of blood from the auricles into the ventricles, but if any is forced
+the other way, it gets between the valve and the wall of the heart, and
+drives the valve backwards and upwards, thus forming a transverse partition
+between the auricle and ventricle, through which no fluid can pass.</p>
+
+<p>At the base of the heart are given off two large arteries, one on the
+right side, which conveys the blood to the lungs, called the <i>pulmonary
+artery</i>, and one on the left side, which conveys the blood to the system
+in general, called the <i>aorta</i>. At the junction of each of these great
+vessels with its corresponding ventricle, is another valvular apparatus,
+consisting of three pouch-like valves, called the <i>semilunar valves</i>,
+from their resemblance, in shape, to a half-moon. Being placed on a level
+and meeting in the middle line, they entirely prevent the passage of any
+fluid which may be forced along the artery towards the heart, but, flapping
+back, they offer no obstruction to the free flow of blood from the
+ventricles into the arteries.</p>
+
+
+
+<p class="rfigure"><a name="advise041"><img width="90%" alt="Illustration:
+Fig. 42. A representation of the venous and arterial circulation of the
+blood." src="images/advise041.png" /></a><br />Fig. 42. A representation of
+the venous and arterial circulation of the blood.</p>
+
+<p>The <i>Arteries</i>, being always found empty after death, were supposed
+by the ancients, who were ignorant of the circulation of the blood, to be
+tubes containing air; hence their name, which is derived from a Greek word
+and signifies an <i>air-tube.</i> Arteries are the cylindrical tubes which
+carry blood to every part of the system. All the arteries, except the
+coronary <span class="pagenum"><a name="Page_59" id="Page_59"></a>[pg
+59]</span>which supply the substance of the heart, arise from the two main
+trunks, the pulmonary artery and the aorta. They are of a yellowish-white
+color, and their inner surface is smooth. The arteries have three coats.
+(1.) The external coat, which is destitute of fat, and composed chiefly of
+cellular tissue, is very firm and elastic, and can readily be dissected
+from the middle coat. (2.) The middle, or fibrous coat, is thicker than the
+external, and composed of yellowish fibers, its chief property is
+contractility. (3.) The internal coat consists of a colorless, thin,
+transparent membrane, yet so strong that it can, it is thought, better
+resist a powerful pressure than either of the others. Arteries are very
+elastic as well as extensible, and their chief extensibility is in length.
+If an artery of a dead body be divided, although empty, its cylindrical
+form will be preserved.</p>
+
+<p>The <i>Veins</i> are the vessels through which the venous blood returns
+to the auricles of the heart. They are more numerous than the arteries, and
+originate from numerous capillary tubes, while the arteries are given off
+from main trunks. In some parts of the body, the veins correspond in number
+to the arteries; while in <span class="pagenum"><a name="Page_60"
+id="Page_60"></a>[pg 60]</span>others, there are two veins to every artery.
+The veins commence by minute roots in the capillaries, which are everywhere
+distributed through the body, and gradually increase in size, until they
+unite and become large trunks, conveying the dark blood to the heart. The
+veins, like the arteries, have three coats. The external, or cellular coat,
+resembles that of the arteries; the middle is fibrous, but thinner than the
+corresponding one of the arteries; and the internal coat is serous, and
+analogous to that of those vessels. The veins belong to the three following
+classes: (1.) The systemic veins, which bring the blood from different
+parts of the body and discharge it into the vena cava, by means of which it
+is conveyed to the heart; (2), the pulmonary veins, which bring the
+arterial, or bright red blood from the lungs and carry it to the left
+auricle; (3), the veins of the portal system, which originate in the
+capillaries of the abdominal organs, then converge into trunks and enter
+the liver, to branch off again into divisions and subdivisions of the
+minutest character.</p>
+
+<p>The <i>Capillaries</i> form an extremely fine net-work, and are
+distributed to every part of the body. They vary in diameter from 1/3500 to
+1/2000 of an inch. They are so universally prevalent throughout the skin,
+that the puncture of a needle would wound a large number of them. These
+vessels receive the blood and bring it into intimate contact with the
+tissues, which take from it the principal part of its oxygen and other
+elements, and give up to it carbonic acid and the other waste products
+resulting from the transformation of the tissues, which are transmitted
+through the veins to the heart, and thence by the arteries to the lungs and
+various excretory organs.</p>
+
+<p>The blood from the system in general, except the lungs, is poured into
+the right auricle by two large veins, called the superior and the inferior
+<i>vena cava</i>,' and that returning from the lungs is poured into the
+left auricle by the <i>pulmonary veins.</i></p>
+
+<p>During life the heart contracts rhythmically, the contractions
+commencing at the base, in each auricle, and extending towards the
+apex.</p>
+
+<p>Now it follows, from the anatomical arrangement of this <span
+class="pagenum"><a name="Page_61" id="Page_61"></a>[pg 61]</span>organ,
+that when the auricles contract, the blood contained in them is forced
+through the auriculo-ventricular openings into the ventricles; the
+contractions then extending to the ventricles, in a wave-like manner, the
+great proportion of the blood, being prevented from re-entering the
+auricles by the tricuspid and mitral valves, is forced onward into the
+pulmonary artery from the right ventricle, and into the aorta from the left
+ventricle.</p>
+
+<p>When the contents of the ventricles are suddenly forced into these great
+blood-vessels, a shock is given to the entire mass of fluid which they
+contain, and this shock is speedily propagated along their branches, being
+known at the wrist as the <i>pulse</i>.</p>
+
+<p>On inspection, between the fifth and sixth ribs on the left side of the
+chest, a movement is perceptible, and, if the hand be applied, the impulse
+may be felt. This is known as the throbbing, or beating of the heart.</p>
+
+<p>If the ear is placed over the region of the heart, certain sounds are
+heard, which recur with great regularity. First is heard a comparatively
+long, dull sound, then a short, sharp sound, then a pause, and then the
+long, dull sound again. The first sound is caused mainly by the tricuspid
+and mitral valves, and the second is the result of sudden closure of the
+semilunar valves.</p>
+
+<p>No language can adequately describe the beauty of the circulatory
+system. The constant vital flow through the larger vessels, and the
+incessant activity of those so minute that they are almost imperceptible,
+fully illustrate the perfectness of the mechanism of the human body, and
+the wisdom and goodness of Him who is its author.</p>
+
+<p>Experiments have shown that the small arteries may be directly
+influenced through the nervous system, which regulates their caliber by
+controlling the state of contraction of their muscular walls. The effect of
+this influence of the nervous system enables it to control the circulation
+over certain areas; and, notwithstanding the force of the heart and the
+state of the blood-vessels in general, to materially modify the circulation
+in different spots. Blushing, which is simply a local modification of the
+circulation, is effected in this way. Some emotion takes possession of the
+mind, and the action of the nerves, which ordinarily keep up a moderate
+contraction of <span class="pagenum"><a name="Page_62" id="Page_62"></a>[pg
+62]</span>the muscular coats of the arteries, is lost, and the vessels
+relax and become distended with arterial blood, which is a warm and bright
+red fluid; thereupon a burning sensation is felt, and the skin grows red,
+the degree of the blush depending upon the intensity of the emotion.</p>
+
+<p>The pallor produced by fright and by extreme anxiety, is purely the
+result of a local modification of the circulation, brought about by an
+over-stimulation of the nerves which supply the small arteries, causing
+them to contract, and to thus cut off more or less completely the supply of
+blood.</p>
+
+<p><span class="pagenum"><a name="Page_63" id="Page_63"></a>[pg 63]</span></p><hr/>
+
+
+
+
+<h2><a name='CHAPTER_VIII'></a>CHAPTER VIII.</h2>
+
+<h1>PHYSIOLOGICAL ANATOMY.</h1>
+
+<h3>THE ORGANS OF RESPIRATION.</h3>
+
+
+<p><b>The Organs of Respiration</b> are the Trachea, or windpipe, the
+Bronchia, formed by the subdivision of the trachea, and the Lungs, with
+their air-cells. The <i>Trachea</i> is a vertical tube situated between the
+lungs below, and a short quadrangular cavity above, called the
+<i>larynx</i>, which is part of the windpipe, and used for the purpose of
+modulating the voice in speaking or singing. In the adult, the trachea, in
+its unextended state, is from four and one-half to five inches in length,
+about one inch in diameter, and, like the larynx, is more fully developed
+in the male than in the female. It is a fibro-cartilaginous structure, and
+is composed of flattened rings, or segments of circles. It permits the free
+passage of air to and from the lungs.</p>
+
+<p>The <i>Bronchia</i> are two tubes, or branches, one proceeding from the
+windpipe to each lung. Upon entering the lungs, they divide and subdivide
+until, finally, they terminate in small cells, called the <i>bronchial or
+air-cells,</i> which are of a membranous character.</p>
+
+<p class="lfigure"><a name="advise042"><img width="90%" alt="Illustration:
+Fig. 43. An ideal representation of the respiratory organs. "
+src="images/advise042.png" /></a><br />Fig. 43. An ideal representation of
+the respiratory organs. <i>3.</i> The larynx. <i>4.</i> The trachea. <i>5,
+6.</i> The bronchia. <i>9, 9, 9, 9.</i> Air-cells. <i>1, 1, 1, 2, 2, 2.</i>
+Outlines of the lungs.</p>
+
+<p>The <i>Lungs</i> are irregular conical organs rounded at the apex,
+situated within the chest, and filling the greater part of it, since the
+heart is the only other organ which occupies much space in the thoracic
+cavity. The lungs are convex externally, and conform to the cavity of the
+chest, while the internal surface is concave for the accommodation of the
+heart. The size of the lungs depends upon the capacity of the chest. Their
+<span class="pagenum"><a name="Page_64" id="Page_64"></a>[pg
+64]</span>color varies, being of a pinkish hue in childhood but of a gray,
+mottled appearance in the adult. They are termed the <i>right</i> and
+<i>left</i> lung. Each lung resembles a cone with its base resting upon the
+diaphragm, and its apex behind the collar-bone. The right lung is larger
+though shorter, than the left, not extending so low, and has three
+<i>lobes</i>, formed by deep fissures, or longitudinal divisions, while the
+left has but two lobes. Each lobe is also made up of numerous
+<i>lobules</i>, or small lobes, connected by cellular tissue, and these
+contain great numbers of cells. The lungs are abundantly supplied with
+blood-vessels, lymphatics, and nerves. The density of a lung depends upon
+the amount of air which it contains. Thus, experiment has shown that in a
+<i>foetus</i> which has never breathed, the lungs are compact and will sink
+in water; but as soon as they become inflated with air, they spread over a
+larger surface, and are therefore more buoyant. Each lung is invested, as
+far as its root, with a membrane, called the <i>pleura</i>, which is then
+continuously extended to the cavity of the chest, thus performing the
+double office of lining it, and constituting a partition between the lungs.
+The part <span class="pagenum"><a name="Page_65" id="Page_65"></a>[pg
+65]</span>of the membrane which forms this partition is termed the
+<i>mediastinum</i>. Inflammation of this membrane is called
+<i>pleurisy</i>. The lungs are held in position by the root, which is
+formed by the pulmonary arteries, veins, nerves, and the bronchial tubes.
+Respiration is the function by which the venous blood, conveyed to the
+lungs by the pulmonary artery, is converted into arterial blood. This is
+effected by the elimination of carbonic acid, which is expired or exhaled
+from the lungs, and by the absorption of oxygen from the air which is taken
+into the lungs, by the act of inspiration or inhalation. The act of
+expiration is performed chiefly by the elevation of the diaphragm and the
+descent of the ribs, and inspiration is principally effected by the descent
+of the diaphragm and the elevation of the ribs.</p>
+
+<p class="rfigure"><a name="advise042b"><img width="90%" alt="Illustration:
+Fig. 44. A representation of the heart and lungs."
+src="images/advise042b.png" /></a><br />Fig. 44. A representation of the
+heart and lungs. <i>4.</i> The heart. <i>5.</i> The pulmonary artery. <i>8.</i> Aorta. <i>9, 11.</i>
+Upper lobes of the lungs. <i>10, 13.</i> Lower lobes. <i>12.</i> Middle lobe of the right
+lung. <i>2.</i> Superior vena cava. <i>3.</i> Inferior vena cava.</p>
+
+<p>When the muscles of some portions of the air-passages are relaxed, a
+peculiar vibration follows, known as snoring. Coughing and sneezing are
+sudden and spasmodic expiratory efforts, and generally involuntary. Sighing
+is a prolonged deep inspiration, followed by a rapid, and generally audible
+expiration. It is remarkable that laughing and sobbing, although indicating
+opposite states of the mind, are produced in very nearly the same manner.
+In hiccough, the contraction is more sudden and spasmodic than in laughing
+or sobbing. The quantity of oxygen consumed during sleep is estimated to be
+considerably less than that consumed during wakefulness.</p>
+
+
+
+<p class="lfigure"><a name="advise043"><img width="90%" alt="Illustration:
+Fig. 45. View of the pulmonary circulation." src="images/advise043.png"
+/></a><br />Fig. 45. View of the pulmonary circulation.</p>
+
+<p>It is difficult to estimate the amount of air taken into the <span
+class="pagenum"><a name="Page_66" id="Page_66"></a>[pg 66]</span>lungs at
+each inspiration, as the quantity varies according to the condition, size,
+and expansibility of the chest, but in ordinary breathing it is supposed to
+be from twenty to thirty cubic inches. The consumption of oxygen is greater
+when the temperature is low, and during digestion. All the respiratory
+movements, so far as they are independent of the will of the individual,
+are controlled by that part of the brain called the <i>medulla
+oblongata</i>. The respiratory, or breathing process, is not instituted for
+the benefit of man alone, for we find it both in the lower order of animals
+and in plant life. Nature is very economical in the arrangement of her
+plans, since the carbonic acid, which is useless to man, is indispensable
+to the existence of plants, and the oxygen, rejected by them, is
+appropriated to his use. In the lower order of animals, the respiratory act
+is similar to that of the higher types, though not so complex; for there
+are no organs of respiration, as the lungs and gills are called. Thus, the
+higher the animal type, the more complex its organism. The effect of air
+upon the color of the blood is very noticeable. If a quantity be drawn from
+the body, thus being brought into contact with the air, its color gradually
+changes to a brighter hue. There is a marked difference between the
+properties of the venous and the arterial blood.</p>
+
+<p><span class="pagenum"><a name="Page_67" id="Page_67"></a>[pg
+67]</span>The venous blood is carried, as we have previously described, to
+the right side of the heart and to the lungs, where it is converted into
+arterial blood. It is now of uniform quality, ready to be distributed
+throughout the body, and capable of sustaining life and nourishing the
+tissues. Man breathes by means of lungs; but who can understand their
+wonderful mechanism, so perfect in all its parts? Though every organ is
+subservient to another, yet each has its own office to perform. The minute
+air-cells are for the aeration of the blood; the larger bronchial tubes
+ramify the lungs, and suffuse them with air; the trachea serves as a
+passage for the air to and from the lungs, while at its upper extremity is
+the larynx, which has been fitly called the organ of the human voice. At
+its extremity we find a sort of shield, called the <i>epiglottis</i>, the
+office of which is supposed to be to prevent the intrusion of foreign
+bodies.</p>
+
+<p><span class="pagenum"><a name="Page_68" id="Page_68"></a>[pg 68]</span></p><hr />
+
+
+
+
+<h2><a name='CHAPTER_IX'></a>CHAPTER IX.</h2>
+
+<h1>PHYSIOLOGICAL ANATOMY</h1>
+
+<h3>THE SKIN.</h3>
+
+
+<p>Through digestion and respiration, the blood is continually supplied
+with material for its renewal; and, while the nutritive constituents of the
+food are retained to promote the growth of the body, those which are
+useless or injurious are in various ways expelled. There are, perhaps, few
+parts of the body more actively concerned in this removal than the
+skin.</p>
+
+
+
+<p class="lfigure"><a name="advise044b"><img width="90%" alt="Illustration:
+Fig. 46: An ideal view of the papillæ. " src="images/advise044b.png"
+/></a><br />Fig. 46: An ideal view of the papillæ. <i>1, 1.</i> Cutis vera. <i>2, 2.</i>
+Papillary layer. <i>3, 3.</i> Arteries of the papillæ. <i>4, 4.</i> Nerves of the
+papillæ. <i>5, 5.</i> Veins of the papillæ.</p>
+
+<p>The skin is a membranous envelope covering the entire body. It consists
+of two layers, termed the Cutis Vera, or true skin, and the Epidermis, or
+cuticle. The <i>Cutis Vera</i> is composed of fibers similar to those of
+the cellular tissue. It consists of white and yellow fibers, which are more
+densely woven near the surface than deeper in the structure; the white give
+strength, the yellow <span class="pagenum"><a name="Page_69"
+id="Page_69"></a>[pg 69]</span>strength and elasticity combined. The true
+skin may be divided into two layers, differing in their characteristics,
+and termed respectively the superficial or papillary layer, and the deep or
+fibrous layer. Upon the external surface, are little conical prominences,
+known as <i>papillæ</i>. The papillæ are irregularly distributed over the
+body, in some parts being smaller and more numerous than in others, as on
+the finger-ends, where their summits are so intimately connected as to form
+a tolerably smooth surface. It is owing to their perfect development, that
+the finger-tips are adapted to receive the most delicate impressions of
+touch. Although every part of the skin is sensitive, yet the papillæ are
+extremely so, for they are the principal means through which the
+impressions of objects are communicated. Each papilla not only contains a
+minute vein and artery, but it also incloses a loop of sensitive nerves.
+When the body is exposed to cold, these papillæ can be more distinctly
+seen in the form of prominences, commonly known as "goose-pimples."</p>
+
+
+
+<p class="rfigure"><a name="advise044"><img width="90%" alt="Illustration:
+Fig. 47. A section of the skin, showing its arteries and veins."
+src="images/advise044.png" /></a><br />Fig. 47. A section of the skin,
+showing its arteries and veins. A, A. Arterial branches. B, B. Capillaries
+in which the branches terminate. C. The venous trunk into which the blood
+from the capillaries flows.</p>
+
+<p>The internal, or fibrous layer of the skin, contains numerous
+depressions, each of which furnishes a receptacle for fat. While the skin
+is supplied with a complete net-work of arteries, veins, and nerves, which
+make it sensitive to the slightest touch, it also contains numerous
+lymphatic vessels, so minute that they are invisible to the naked eye.</p>
+
+<p>Among the agents adapted for expelling the excretions from the system,
+few surpass the <i>Sudoriferous Glands</i>. These are minute organs which
+wind in and out over the whole extent of the true skin, and secrete the
+perspiration. Though much <span class="pagenum"><a name="Page_70"
+id="Page_70"></a>[pg 70]</span>of it passes off as insensible
+transpiration, yet it often accumulates in drops of sweat, during
+long-continued exercise or exposure to a high temperature. The office of
+the perspiration is two-fold. It removes noxious matter from the system,
+and diminishes animal heat, and thereby equalizes the temperature of the
+body. It also renders the skin soft and pliable, thus better adapting it to
+the movements of the muscles. The <i>Sebaceous Glands</i>, which are placed
+in the true skin, are less abundant where the sudoriferous glands are most
+numerous, and <i>vice versa</i>. Here, as elsewhere, nature acts with
+systematic and intelligent design. The perspiratory glands are distributed
+where they are most needed,&mdash;in the eyelids, serving as lubricators; in the
+ear passages, to produce the <i>cerumen</i>, or wax, which prevents the
+intrusion of small insects; and in the scalp, to supply the hair with its
+natural pomatum.</p>
+
+
+
+<p class="lfigure"><a name="advise045"><img width="90%" alt="Illustration:
+Fig. 48. A perspiratory gland, highly magnified."
+src="images/advise045.png" /></a><br />Fig. 48. A perspiratory gland,
+highly magnified. <i>1, 1.</i> The gland. <i>2, 2.</i> Excretory ducts uniting to form a
+tube which tortuously perforates the cuticle at 3, and opens obliquely on
+its surface at 4.</p>
+
+
+
+<p class="lfigure"><a name="advise045b"><img width="90%" alt="Illustration:
+Fig. 49. A representation of oil-tubes from the scalp and nose."
+src="images/advise045b.png" /></a><br />Fig. 49. A representation of
+oil-tubes from the scalp and nose.</p>
+
+
+
+<p class="rfigure"><a name="advise045c"><img width="90%" alt="Illustration:
+Fig. 50. Anatomy of the skin. " src="images/advise045c.png" /></a><br
+/>Fig. 50. Anatomy of the skin. <i>5, 5.</i> Cutis vera (true skin). <i>4, 4.</i> Nervous
+tissue. <i>3, 3.</i> Sensitive layer in which are seen the nerves. <i>2, 2.</i> The layer
+containing pigment cells. <i>1, 1.</i> Epidermis (cuticle).</p>
+
+<p>The <i>Epidermis</i>, or <i>Cuticle</i>, so called because it is
+<i>placed upon the skin,</i> is the outer layer of the skin. Since it is
+entirely destitute of nerves and blood-vessels, it is not sensitive. Like
+the cutis vera, it has two surfaces composed of layers. The internal, or
+<i>Rete Mucosum,</i> which is made up chiefly of pigment cells, is adapted
+to the irregularities of the cutis vera, and sends prolongations into all
+its glandular follicles. The external surface, or epidermis proper, is
+elastic, destitute of coloring matter, and consists of mere <span
+class="pagenum"><a name="Page_71" id="Page_71"></a>[pg 71]</span>horny
+scales. As soon as dry, they are removed in the form of scurf, and replaced
+by new ones from the cutis vera. These scales may be removed by a wet-sheet
+pack, or by friction. The cuticle is constantly undergoing renewal. This
+layer serves to cover and protect the nervous tissue of the true skin
+beneath. We may here observe that the cuticle contains the pigment for
+coloring the skin. In dark races, as the negro, the cuticle is very thick
+and filled with black pigment. The radiation of animal heat is dependent
+upon the thickness and color of this cuticle. Thus, in the dark races, the
+pigment cells are most numerous, and in proportion as the skin is dark or
+fair do we find these cells in greater or lesser abundance. The skin of the
+Albino is of pearly whiteness, devoid even of the pink or brown tint which
+that of the European always possesses. This peculiarity must be attributed
+to the absence of pigment cells <span class="pagenum"><a name="Page_72"
+id="Page_72"></a>[pg 72]</span>which, when present, always present a more
+or less dark color. The theory that <i>climate</i> alone is capable of
+producing all these diversities is simply absurd. The Esquimaux, who live
+in Greenland and the arctic regions of America, are remarkable for the
+darkness of their complexion. Humboldt remarks that the American tribes of
+the tropical regions have no darker skin than the mountaineers of the
+temperate zone. Climate may <i>modify</i> the complexion, but it cannot
+<i>make</i> it.</p>
+
+
+
+<p class="figure"><a name="advise046"><img width="40%" alt="Illustration:
+Fig. 51. Structure of the human hair. " src="images/advise046.png"
+/></a><br />Fig. 51. Structure of the human hair. <i>A</i>. External
+surface of the shaft, showing the transverse striæ and jagged boundary,
+caused by the imbrications of the scaly cortex. <i>B</i>. Longitudinal
+section of the shaft, showing the fibrous character of the medullary
+substance, and the arrangement of the pigmentary matter. <i>C</i>.
+Transverse sections, showing the distinction between the cortical and
+medullary substances, and the central collection of pigmentary matter,
+sometimes found in the latter. Magnified 310 diameters.</p>
+
+<p><i>Hairs</i> are horny appendages of the skin, and, with the exception
+of the hands, the soles of the feet, the backs of the fingers and toes,
+between the last joint and the nail, and the upper eyelids, are distributed
+more or less abundantly over every part of the surface of the body. Over
+the greater part of the surface the hairs are very minute, and in some
+places are not actually apparent above the level of the skin; but the hair
+of the head, when permitted to reach its full growth, attains a length of
+from twenty inches to a yard, and, in rare instances, even six feet. A hair
+may be divided into a middle portion, or <i>shaft</i>, and two extremities;
+a peripheral extremity, called the <i>point;</i> and a central extremity,
+inclosed within <span class="pagenum"><a name="Page_73"
+id="Page_73"></a>[pg 73]</span>the hair sac, or follicle, termed the
+<i>root</i>. The root is somewhat greater in diameter than the shaft, and
+cylindrical in form, while its lower part expands into an oval mass, called
+the <i>bulb</i>. The shaft of the hair is not often perfectly cylindrical,
+but is more or less flattened, which circumstance gives rise to waving and
+curling hair; and, when the flattening is spiral in direction, the curling
+will be very great. A hair is composed of three different layers of
+cell-tissues: a loose, cellulated substance, which occupies its center, and
+constitutes the <i>medulla</i>, or pith; the fibrous tissue, which incloses
+the medulla, and forms the chief bulk of the hair; and a thin layer, which
+envelops this fibrous structure, and forms the smooth surface of the hair.
+The medulla is absent in the downy hairs, but in the coarser class it is
+always present, especially in white hair. The color of hair is due partly
+to the granules and partly to an inter-granular substance, which occupies
+the interstices of the granules and the fibers. The quantity of hair varies
+according to the proximity and condition of the follicles. The average
+number of hairs of the head may be stated at 1,000 in a superficial square
+inch; and, as the surface of the scalp has an area of about one hundred and
+twenty superficial square inches, the average number of hairs on the entire
+head is 120,000. The hair possesses great durability, as is evinced by its
+endurance of chemical processes, and by its discovery, in the tombs of
+mummies more than two thousand years old. The hair is remarkable for its
+elasticity and strength. Hair is found to differ materially from horn in
+its chemical composition. According to Vauquelin, its constituents are
+animal matter, a greenish-black oil, a white, concrete oil, phosphate of
+lime, a trace of carbonate of lime, oxide of manganese, iron, sulphur, and
+silex. Red hair contains a reddish oil, a large proportion of sulphur, and
+a small quantity of iron. White hair contains a white oil, and phosphate of
+magnesia. It has been supposed that hair grows after death, but this theory
+was probably due to the lengthening of the hair by the absorption of
+moisture from the body or atmosphere.</p>
+
+<p>The <i>nails</i> constitute another class of appendages of the skin.
+They consist of thin plates of horny tissue, having a <span
+class="pagenum"><a name="Page_74" id="Page_74"></a>[pg 74]</span>root, a
+body, and a free extremity. The root, as well as the lateral portion, is
+implanted in the skin, and has a thin margin which is received into a
+groove of the true skin. The under surface is furrowed, while the upper is
+comparatively smooth. The nails grow in the same manner as the cuticle.</p>
+
+<p><span class="pagenum"><a name="Page_75" id="Page_75"></a>[pg 75]</span></p><hr />
+
+
+
+
+<h2><a name='CHAPTER_X'></a>CHAPTER X.</h2>
+
+<h1>PHYSIOLOGICAL ANATOMY.</h1>
+
+<h3>SECRETION.</h3>
+
+
+<p>The term <i>Secretion</i>, in its broadest sense, is applied to that
+process by which substances are separated from the blood, either for the
+reparation of the tissues or for excretion. In the animal kingdom this
+process is less complicated than in vegetables. In the former it is really
+a <i>separation</i> of nutritive material from the blood. The process, when
+effected for the removal of effete matter, is, in a measure, chemical, and
+accordingly the change is greater.</p>
+
+<p>Three elementary constituents are observed in secretory organs: the
+cells, a basement membrane, and the blood-vessels. Obviously, the most
+<i>essential</i> part is the <i>cell</i>.</p>
+
+<p>The physical condition necessary for the healthy action of the secretory
+organs is a copious supply of blood, in which the nutritive materials are
+abundant. The nervous system also influences the process of secretion to a
+great extent. Intense emotion will produce tears, and the sight of some
+favorite fruit will generally increase the flow of saliva.</p>
+
+<p>The process of secretion depends upon the anatomical and chemical
+constitution of the cell-tissues. The principal secretions are (1),
+Perspiration; (2), Tears; (3), Sebaceous matter; (4), Mucus; (5), Saliva;
+(6), Gastric juice; (7), Intestinal juice; (8), Pancreatic juice; (9),
+Bile; (10), Milk.</p>
+
+<p><b>Perspiration</b> is a watery fluid secreted in minute glands, which
+are situated in every part of the skin, but are more numerous on the
+anterior surfaces of the body. Long thread-like tubes, only 1/100th of an
+inch in diameter, lined with <span class="pagenum"><a name="Page_76"
+id="Page_76"></a>[pg 76]</span>epithelium, penetrate the skin, and
+terminate in rounded coils, enveloped by a net-work of capillaries, which
+supply the secretory glands with blood. It is estimated by Krause that the
+entire number of perspiratory glands is two million three hundred and
+eighty-one thousand two hundred and forty-eight, and the length of each
+glandular coil being 1/16 of an inch, we may estimate the length of tubing
+to be not less than two miles and a third. This secretion has a specific
+gravity of 1003.5, and, according to Dr. Dalton, is composed of</p>
+
+<table summary="" style="margin-left: auto; margin-right: auto">
+<tr><td align='left'>Water,</td><td align='right'>995.50</td></tr>
+<tr><td align='left'>Chloride of Sodium,</td><td align='right'>2.23</td></tr>
+<tr><td align='left'>Chloride of Potassium,</td><td
+align='right'>0.24</td></tr>
+<tr><td align='left'>Sulphate of Soda and Potassa,</td><td
+align='right'>0.01</td></tr>
+<tr><td align='left'>Salts of organic acids, with Soda and Potassa,</td><td
+align='right'>2.02</td></tr>
+<tr><td align='left'></td><td align='right'>&mdash;&mdash;&mdash;&mdash;</td></tr>
+<tr><td align='left'></td><td align='right'>1000.00</td></tr>
+</table>
+
+<p>Traces of organic matter, mingled with a free volatile acid, are also
+found in the perspiration. It is the acid which imparts to this secretion
+its peculiar odor, and acid reaction. The process of its secretion is
+continuous, but, like all bodily functions, it is subject to influences
+which augment or retard its activity. If, as is usually the case when the
+body is in a state of repose, evaporation prevents its appearance in the
+<i>liquid</i> form, it is called <i>invisible</i> or <i>insensible
+perspiration</i>. When there is unusual muscular activity, it collects upon
+the skin, and is known as <i>sensible perspiration</i>. This secretion
+performs an important office in the animal economy, by maintaining the
+internal temperature at about 100&deg; Fahr. Even in the Arctic regions,
+where the explorer has to adapt himself to a temperature of 40&deg; to
+80&deg; below zero, the generation of heat in the body prevents the
+internal temperature from falling below this standard. On the contrary, if
+the circulation is quickened by muscular exertion, the warmer blood flowing
+from the internal organs into the capillaries, raises the temperature of
+the skin, secretion is augmented, the moisture exudes from the pores, and
+perceptible evaporation begins. A large portion of the animal heat is
+thrown off in this process, and the temperature of the skin is reduced. A
+very warm, dry atmosphere can be borne with impunity but if moisture is
+<span class="pagenum"><a name="Page_77" id="Page_77"></a>[pg
+77]</span>introduced, evaporation ceases, and the life of the animal is
+endangered. Persons have been known to remain in a temperature of about
+300&deg; Fahr. for some minutes without unpleasant effects. Three
+conditions may be assigned as effective causes in retarding or augmenting
+this cutaneous secretion, variations in the temperature of the atmosphere,
+muscular activity, and influences which affect the nerves. The emotions
+exert a remarkable influence upon the action of the perspiratory glands.
+Intense fear causes great drops of perspiration to accumulate on the skin,
+while the salivary glands remain inactive.</p>
+
+<p><b>Tears</b>. The lachrymal glands are small lobular organs, situated at
+the outer and upper orbit of the eye, and have from six to eight ducts,
+which open upon the conjunctiva, between the eyelid and its inner fold.
+This secretion is an alkaline, watery fluid. According to Dr. Dalton, its
+composition is as follows:</p>
+
+<table summary="" style="margin-left: auto; margin-right: auto">
+<tr><td align='left'>Water,</td><td align='right'>882.0</td></tr>
+<tr><td align='left'>Albuminous matter,</td><td align='right'>5.0</td></tr>
+<tr><td align='left'>Chloride of Sodium,</td><td align='right'>13.0</td></tr>
+<tr><td align='left'>Mineral Salts, a trace,</td></tr>
+<tr><td align='left'></td><td align='right'>&mdash;&mdash;&mdash;&mdash;</td></tr>
+<tr><td align='left'></td><td align='right'>1000.0</td></tr>
+</table>
+
+<p>The function of this secretion is to preserve the brilliancy of the eye.
+The tears are spread over this organ by the reflex movement of the eyelid,
+called winking, and then collected in the <i>puncta lachrymalia</i> and
+discharged into the nasal passage. This process is constant during life.
+The effect of its repression is seen in the dim appearance of the eye after
+death. Grief or excessive laughter usually excite these glands until there
+is an overflow.</p>
+
+<p><b>Sebaceous Matter</b>. Three varieties of this secretion are found in
+the body. A product of the sebaceous glands of the skin is found in those
+parts of the body which are covered with hairs; also, on the face and the
+external surface of the organs of generation. The <i>sebaceous glands</i>
+consist of a group of flask-shaped cavities, opening into a common
+excretory duct. Their secretion serves to lubricate the hair and soften the
+skin. The <i>ceruminous glands</i> of the <i>external auditory meatus</i>,
+or <span class="pagenum"><a name="Page_78" id="Page_78"></a>[pg
+78]</span>outer opening of the ear, are long tubes terminating in a
+glandular coil, within which is secreted the glutinous matter of the ear.
+This secretion serves the double purpose of moistening the outer surface of
+the membrana tympani, or ear-drum, and, by its strong odor, of preventing
+the intrusion of insects. The <i>Meibomian glands</i> are arranged in the
+form of clusters along the excretory duct, which opens just behind the
+roots of the eyelashes. The oily nature of this secretion prevents the
+tears, when not stimulated by emotion, from overflowing the lachrymal
+canal.</p>
+
+<p><b>Mucus</b>. The mucous membranes are provided with minute glands which
+secrete a viscid, gelatinous matter, called <i>mucus</i>. The peculiar
+animal matter which it contains is termed <i>mucosin</i>. These glands are
+most numerous in the Pharynx, Esophagus, Trachea, Bronchia, Vagina and
+Urethra. They consist of a group of secreting sacs, terminating at one
+extremity in a closed tube, while the other opens into a common duct. The
+mucus varies in composition in different parts of the body; but in all, it
+contains a small portion of insoluble animal matter. Its functions are
+threefold. It lubricates the membranes, prevents their injury, and
+facilitates the passage of food through the alimentary canal.</p>
+
+<p><b>Saliva</b>. This term is given to the first of the digestive fluids,
+which is secreted in the glands of the mouth. It is a viscid, alkaline
+liquid, with a specific gravity of about 1005. If allowed to stand, a
+whitish precipitate is formed. Examinations with the microscope show it to
+be composed of minute, granular cells and oil globules, mingled with
+numerous scales of epithelium. According to Bidder and Schmidt, the
+composition of saliva is as follows:</p>
+
+<table summary="" style="margin-left: auto; margin-right: auto">
+<tr><td align='left'>Water,</td><td align='right'>995.16</td></tr>
+<tr><td align='left'>Organic matter,</td><td
+align='right'>1.34</td></tr>
+<tr><td align='left'>Sulpho-cyanide of Potassium,</td><td
+align='right'>0.06</td></tr>
+<tr><td align='left'>Phosphates of Sodium, Calcium and Magnesium,</td><td
+align='right'>.98</td></tr>
+<tr><td align='left'>Chlorides of Sodium and Potassium,</td><td
+align='right'>.84</td></tr>
+<tr><td align='left'>Mixture of Epithelium,</td><td
+align='right'>1.62</td></tr>
+<tr><td align='left'></td><td align='right'>1000.00</td></tr></table>
+
+<p>Two kinds of organic matter are present in the saliva; one, termed
+<i>ptyalin</i>, imparts to the saliva its viscidity, and it <span
+class="pagenum"><a name="Page_79" id="Page_79"></a>[pg 79]</span>obtained
+from the secretions of the parotid, submaxillary and sublingual glands;
+another, which is not glutinous, is distinguished by the property of
+coagulating when subjected to heat. The saliva is composed of four
+elementary secretions, derived respectively, from the mucous follicles of
+the mouth, and the parotid, the submaxillary, and the sublingual glands.
+The process of its secretion is constant, but is greatly augmented by the
+contact of food with the lining membrane. The saliva serves to moisten the
+triturated food, facilitate its passage, and has the property of converting
+starch into sugar; but the latter quality is counteracted by the action of
+the gastric juice of the stomach.</p>
+
+<p><b>Gastric Juice</b>. The minute tubes, or follicles, situated in the
+mucous membrane of the stomach, secrete a colorless, acid liquid, termed
+the gastric juice. This fluid appears to consist of little more than water,
+containing a few saline matters in solution, and a small quantity of free
+hydrochloric acid, which gives it an acid reaction. In addition to these,
+however, it contains a small quantity of a peculiar organic substance,
+termed <i>pepsin</i>, which in chemical composition, is very similar to
+ptyalin, although it is very different in its effects. When food is
+introduced into the stomach, the peristaltic contractions of that organ
+roll it about, and mingle it with the gastric juice, which disintegrates
+the connective tissue, and converts the albuminous portions into the
+substance called chyme, which is about the consistency of pea-soup, and
+which is readily absorbed through the animal membranes into the blood of
+the delicate and numerous vessels of the stomach, whence it is conveyed to
+the portal vein and to the liver. The secretion of the gastric juice is
+influenced by nervous conditions. Excess of joy or grief effectually retard
+or even arrest its flow.</p>
+
+<p><b>Intestinal Juice</b>. In the small intestine, a secretion is found
+which is termed the <i>intestinal juice</i>. It is the product of two
+classes of glands situated in the mucous membrane, and termed respectively,
+the <i>follicles of Lieberkuhn</i> and the <i>glands of Brunner</i>. The
+former consist of numerous small tubes, lined with epithelium, which
+secrete by far the greater portion of this fluid. The latter are clusters
+of round follicles <span class="pagenum"><a name="Page_80"
+id="Page_80"></a>[pg 80]</span>opening into a common excretory duct. These
+sacs are composed of delicate, membranous tissue, having numerous nuclei on
+their walls. The difficulty of obtaining this juice for experiment is
+obvious, and therefore its chemical composition and physical properties are
+not known. The intestinal juice resembles the secretion of the mucous
+follicles of the mouth, being colorless, vitreous in appearance, and having
+an alkaline reaction.</p>
+
+<p><b>Pancreatic Juice</b>. This is a colorless fluid, secreted in a
+lobular gland which is situated behind the stomach, and runs transversely
+from the spleen across the vertebral column to the duodenum. The most
+important constituent of the pancreatic juice is an organic substance,
+termed <i>pancreatin</i>.</p>
+
+<p><b>The Bile</b>. The blood which is collected by the veins of the
+stomach, pancreas, spleen, and intestines, is discharged into a large trunk
+called the portal vein, which enters the liver. This organ also receives
+arterial blood from a vessel called the <i>hepatic artery</i>, which is
+given off from the aorta below the diaphragm. If the branches of the portal
+vein and hepatic artery be traced into the substance of the liver, they
+will be found to accompany one another, and to subdivide, becoming smaller
+and smaller. Finally, the portal vein and hepatic artery will be found to
+terminate in capillaries which permeate the smallest perceptible
+subdivisions of the liver substance, which are polygonal masses of not more
+than one-tenth of an inch in diameter, called the <i>lobules</i>. Every
+lobule rests upon one of the ramifications of a great vessel termed the
+<i>hepatic vein</i>, which empties into the inferior vena cava. There is
+also a vessel termed the <i>hepatic duct</i> leading from the liver, the
+minute subdivisions of which penetrate every portion of the substance of
+that organ. Connected with the hepatic duct, is the duct of a large oval
+sac, called the <i>gall-bladder</i>.</p>
+
+<p>Each lobule of the liver is composed of minute cellular bodies known as
+the <i>hepatic cells</i>. It is supposed that in these cells the blood is
+deprived of certain materials which are converted into bile. This secretion
+is a glutinous fluid, varying in color from a dark golden brown to a bright
+yellow, has a specific gravity ranging from 1018 to 1036, and a <span
+class="pagenum"><a name="Page_81" id="Page_81"></a>[pg 81]</span>slightly
+alkaline reaction. When agitated, it has a frothy appearance. Physiologists
+have experienced much difficulty in studying the character of this
+secretion from the instability of its constituents when subjected to
+chemical examination.</p>
+
+<p class="rfigure"><a name="advise047"><img width="90%" alt="Illustration:
+Fig. 52. Section of the Liver, showing the ramifications of the portal vein. " src="images/advise047.png"
+/></a><br />Fig. 52. Section of the Liver, showing the ramifications of the portal vein. <i>1.</i> Twig of portal
+vein. <i>2, 2', 2", 2"'</i>. Interlobular vein. <i>3, 3', 3"</i>, Lobules.</p>
+
+<p><i>Biliverdin</i> is an organic substance peculiar to the bile, which
+imparts to that secretion its color. When this constituent is re-absorbed
+by the blood and circulates through the tissues, the skin assumes a bright
+yellow hue, causing what is known as the jaundice. <i>Cholesterin</i> is an
+inflammable crystallizable substance soluble in alcohol or ether. It is
+found in the spleen and all the nervous tissues. It is highly probable that
+it exists in the blood, in some state or combination, and assumes a
+crystalline form only when acted upon by other substances or elements. Two
+other constituents, more important than either of the above, are
+collectively termed <i>biliary salts</i>. These elements were discovered in
+1848, by Strecker, who termed them <i>glycocholate</i> and <i>taurocholate
+of soda</i>. Both are crystalline, resinous substances, and, although
+resembling each other in many respects, the chemist may distinguish them by
+their reaction, for both yield a precipitate if treated with subacetate of
+lead, but only the glycocholate will give a precipitate with acetate of
+lead. In testing for biliary substances, the most satisfactory method is
+the one proposed by Pettenkoffer. A solution of cane-sugar, one part of
+sugar to four parts of water, is mixed with the suspected substance. Dilute
+sulphuric acid is then added until a white precipitate falls, which is
+re-dissolved in an excess of the acid. On the addition of more sulphuric
+acid, it becomes opalescent, and passes through the successive hues of
+scarlet, lake, and a rich purple. Careful experiments have proved <span
+class="pagenum"><a name="Page_82" id="Page_82"></a>[pg 82]</span>that it is
+a <i>constant</i> secretion; but its flow is mere abundant during
+digestion. During the passage through the intestines it disappears. It is
+not eliminated, and Pettenkoffer's test has failed to detect its existence
+in the portal vein. These facts lead physiologists to the conclusion, that
+it undergoes some transformation in the intestines and is re-absorbed.</p>
+
+<p>After digestion has been going on in the stomach for some time, the
+semi-digested food, in the form of chyme, begins to pass through the
+<i>pyloric orifice</i> of the stomach into the duodenum, or upper portion
+of the small intestine. Here it encounters the intestinal juice, pancreatic
+juice, and the bile, the secretion of all of which is stimulated by the
+presence of food in the alimentary tract. These fluids, mingling with the
+chyme, give it an alkaline reaction, and convert it into chyle. The
+transformation of starch into sugar, which is almost, if not entirely,
+suspended while the food remains in the stomach, owing to the acidity of
+the chyme, is resumed in the duodenum, the acid of the chyme, being
+neutralized by the alkaline secretions there encountered.</p>
+
+<p>Late researches have demonstrated that the pancreatic juice exerts a
+powerful effect on albuminous matters, not unlike that of the gastric
+juice.</p>
+
+<p>Thus, it seems that while in the mouth only starchy, and while in the
+stomach only albuminous substances are digested, in the small intestine all
+kinds of food materials, starchy, albuminoid, fatty and mineral, are either
+completely dissolved, or minutely subdivided, and so prepared that they may
+be readily absorbed through the animal membranes into the vessels.</p>
+
+<p><b>Milk</b>. The milk is a white, opaque fluid, secreted in the lacteal
+glands of the female, in the mammalia. These glands consist of numerous
+follicles, grouped around an excretory duct, which unites with similar
+ducts coming from other lobules. By successive unions, they form large
+branches, termed the <i>lactiferous ducts</i>, which open by ten to
+fourteen minute orifices on the extremity of the nipple. The most important
+constituent of milk is <i>casein</i>; it also contains oily and saccharine
+substances. This secretion, more than any other, as influenced by nervous
+conditions. A mother's bosom will <span class="pagenum"><a name="Page_83"
+id="Page_83"></a>[pg 83]</span>fill with milk at the thought of her infant
+child. Milk is sometimes poisoned by a fit of ill-temper, and the infant
+made sick and occasionally thrown into convulsions, which in some instances
+prove fatal. Sir Astley Cooper mentions two cases in which terror
+instantaneously and permanently arrested this secretion. It is also
+affected by the food and drink. Malt liquors and other mild alcoholic
+beverages temporarily increase the amount of the secretion, and may, in
+rare instances, have a beneficial effect upon the mother. They sometimes
+affect the child, however, and their use is not to be recommended unless
+the mother is extremely debilitated, and there is a deficiency of milk.</p>
+
+<p><span class="pagenum"><a name="Page_84" id="Page_84"></a>[pg 84]</span></p><hr />
+
+
+
+
+<h2><a name='CHAPTER_XI'></a>CHAPTER XI.</h2>
+
+<h1>PHYSIOLOGICAL ANATOMY.</h1>
+
+<h3>EXCRETION.</h3>
+
+
+<p>The products resulting from the waste of the tissues are constantly
+being poured into the blood, and, as we have seen, the blood being
+everywhere full of corpuscles, which, like all living things, die and
+decay, the products of their decomposition accumulate in every part of the
+circulatory system. Hence, if the blood is to be kept pure, the waste
+materials incessantly poured into this fluid, or generated in it, must be
+as continually removed, or excreted. The principal sets of organs concerned
+in effecting the separation of excrementitious substances from the blood
+are the lungs, the skin, and the kidneys.</p>
+
+<p>The elimination of carbonic acid through the lungs has already been
+described on page 66, and the excretory function of the skin on page
+70.</p>
+
+
+
+<p class="figure"><a name="advise048"><img width="40%" alt="Illustration:
+Fig. 53. View of the kidneys, ureters, and bladder. "
+src="images/advise048.png" /></a><br />Fig. 53. View of the kidneys,
+ureters, and bladder. </p>
+
+<p>The kidneys are two bean-shaped organs, placed at the back of the
+abdominal cavity, in the region of the loins, one on each side of the
+spine. The convex side of each kidney is directed outwards, and the concave
+side is turned inwards towards the spine. From the middle of the concave
+side, which is termed the <i>hilus</i>, a long tube of small caliber,
+called the <i>ureter</i>, proceeds to the bladder. The latter organ is an
+oval bag, situated in the pelvic cavity. It is composed principally of
+elastic muscular fibers, and is lined internally with mucous membrane, and
+coated externally with a layer of the <i>peritoneum</i>, the serous
+membrane which lines the abdominal <span class="pagenum"><a name="Page_85"
+id="Page_85"></a>[pg 85]</span>and pelvic cavities. The ureters enter the
+bladder through its posterior and lower wall, at some little distance from
+each other. The openings through which the ureters enter the bladder are
+oblique, hence it is much easier for the secretion <span class="pagenum"><a
+name="Page_86" id="Page_86"></a>[pg 86]</span>of the kidneys to pass from
+the ureters into the bladder than for it to get the other way. Leading from
+the bladder to the exterior of the body is a tube, called the
+<i>urethra</i>, through which the urine is voided.</p>
+
+<p>The excretion of the kidneys, termed the <i>urine</i>, is an
+amber-colored or straw-colored fluid, naturally having a slightly acid
+reaction, and a specific gravity ranging from 1,015 to 1,025. Its principal
+constituents are <i>urea</i> and <i>uric acid</i>, together with various
+other animal matters of less importance, and saline substances, held in
+solution in a proportionately large amount of water. The composition of the
+urine and the quantity excreted vary considerably, being influenced by the
+moisture and temperature of the atmosphere, by the character of the food
+consumed, and by the empty or replete condition of the alimentary tract. On
+an average a healthy man secretes about fifty ounces of urine in the
+twenty-four hours. This quantity usually holds in solution about one ounce
+of urea, and ten or twelve grains of uric acid. In the amount of other
+animal matters, and saline substances, there is great variation, the
+quantity of these ranging from a quarter of an ounce to an ounce. The
+principal saline substances are common salt, the sulphates and phosphates
+of potassium, sodium, calcium, and magnesium. In addition to the animal and
+the saline matters, the urine also contains a small quantity of carbonic
+acid, oxygen and nitrogen.</p>
+
+<p><span class="pagenum"><a name="Page_87" id="Page_87"></a>[pg 87]</span></p><hr />
+
+
+
+
+<h2><a name='CHAPTER_XII'></a>CHAPTER XII.</h2>
+
+<h1>PHYSIOLOGICAL ANATOMY.</h1>
+
+<h3>THE NERVOUS SYSTEM.</h3>
+
+
+<p>Hitherto, we have only considered the anatomy and functions of the
+organs employed in Digestion, Absorption, Circulation, Respiration,
+Secretion and Excretion. We have found the vital process of nutrition to
+be, in all its essential features, a result of physical and chemical
+forces; in each instance we have presupposed the existence and activity of
+the nerves. There is not an inch of bodily tissue into which their delicate
+filaments do not penetrate, and form a multitude of conductors, over which
+are sent the impulses of motion and sensation.</p>
+
+
+
+<p class="figure"><a name="advise049"><img width="40%" alt="Illustration:
+Fig. 54. The Nervous System." src="images/advise049.png" /></a><br />Fig.
+54. The Nervous System.</p>
+
+<p>Two elements, <i>nerve-fibers</i> and <i>ganglionic corpuscles</i>,
+enter into the composition of nervous tissue. Ordinary nerve-fibers in the
+living subject, or when fresh, are cylindrical-shaped filaments of a clear,
+but somewhat oily appearance. But soon after death the matter contained in
+the fiber coagulates, and then the fiber is seen to consist of an extremely
+delicate, structureless, outer membrane, which forms a tube through the
+center of which runs the <i>axis-cylinder</i>. Interposed between the
+axis-cylinder and this tube, there is a fluid, containing a considerable
+quantity of fatty matter, from which is deposited a highly refracting
+substance which lines the tube. There are two sets of nerve-fibers, those
+which transmit sensory impulses, called <i>afferent</i> or <i>sensory</i>
+nerves, and those which transmit motor impulses, called <i>efferent</i> or
+<i>motor</i> nerves. The fibers when collected in bundles are termed nerve
+trunks. All the larger nerve-fibers lie side by side in the nerve-trunks,
+and are bound together by delicate <span class="pagenum"><a name="Page_88"
+id="Page_88"></a>[pg 88]</span><span class="pagenum"><a name="Page_89"
+id="Page_89"></a>[pg 89]</span>connective tissue, enclosed in a sheath of
+the same material, termed the <i>neurilemma</i>. The nerve-fibers in the
+trunks of the nerves remain perfectly distinct and disconnected from one
+another, and seldom, or never, divide throughout their entire length.
+However, where the nerves enter the nerve-centers, and near their outer
+terminations, the nerve-fibres often divide into branches, or at least
+gradually diminish in size, until, finally, the axis-cylinder, and the
+sheath with its fluid contents, are no longer distinguishable. The
+investing membrane is continuous from the origin to the termination of the
+nerve-trunk.</p>
+
+
+
+<p class="rfigure"><a name="advise049b"><img width="90%" alt="Illustration:
+Fig. 55. Division of a nerve, " src="images/advise049b.png" /></a><br
+/>Fig. 55. Division of a nerve, showing a portion of a nervous trunk (<i>a</i>)
+and separation of its filaments (<i>b, c, d, e</i>.)</p>
+
+<p>In the brain and spinal cord the nerve-fibers often terminate in minute
+masses of a gray or ash-colored granular substance, termed <i>ganglia</i>,
+or <i>ganglionic corpuscles</i>.</p>
+
+<p>The ganglia are cellular corpuscles of irregular form, and possess
+fibrous appendages, which serve to connect them with one another. These
+ganglia form the cortical covering of the brain, and are also found in the
+interior of the spinal cord. According to K&ouml;lliker, the larger of
+these nerve-cells measure only 1/200 of an inch in diameter. The brain is
+chiefly composed of nervous ganglia.</p>
+
+<p>Nerves are classified with reference to their origin, as
+<i>cerebral</i>&mdash;those originating in the brain, and <i>spinal</i>&mdash;those
+originating in the spinal cord.</p>
+
+<p>There are two sets of nerves and nerve-centers, which are intimately
+connected, but which can be more conveniently studied apart. These are the
+<i>cerebro-spinal</i> system, consisting of the cerebro-spinal axis, and
+the cerebral and spinal nerves; and the <i>sympathetic</i> system,
+consisting of the chain of sympathetic ganglia, the nerves which they give
+off, and the nervous trunks which connect them with one another and with
+the cerebro-spinal nerves.</p>
+
+
+<h4>THE CEREBRO-SPINAL SYSTEM.</h4>
+
+
+<p><b>The Cerebro-Spinal Axis</b> consists of the brain and spinal cord. It
+lies in the cavities of the cranium and <span class="pagenum"><a
+name="Page_90" id="Page_90"></a>[pg 90]</span>the spinal column. These
+cavities are lined with a very tough fibrous membrane, termed the <i>dura
+mater</i>, which serves as the periosteum of the bones which enter into the
+formation of these parts. The surface of the brain and spinal cord is
+closely invested with an extremely vascular, areolar tissue, called the
+<i>pia mater</i>. The numerous blood-vessels which supply these organs
+traverse the pia mater for some distance, and, where they pass into the
+substance of the brain or spinal cord, the fibrous tissue of this membrane
+accompanies them to a greater or less depth. The inner surface of the dura
+mater and the outer surface of the pia mater are covered with an extremely
+thin, serous membrane, which is termed the <i>arachnoid</i> membrane. Thus,
+one layer of the arachnoid envelopes the brain and spinal cord, and the
+other lines the dura mater. As the layers become continuous with each other
+at different points, the arachnoid, like the pericardium, forms a shut sac,
+and, like other serous membranes, it secretes a fluid, known as the
+<i>arachnoid fluid</i>. The space between the internal and the external
+layers of the arachnoid membrane of the brain is much smaller than that
+enclosed by the corresponding layers of the arachnoid membrane of the
+spinal column.</p>
+
+
+
+<p class="lfigure"><a name="advise050"><img width="90%" alt="Illustration:
+Fig. 56. Cross-section of spinal cord." src="images/advise050.png"
+/></a><br />Fig. 56. Cross-section of spinal cord.</p>
+
+<p><b>The Spinal Cord</b> is a column of soft, grayish-white substance,
+extending from the top of the spinal canal, where it is continuous with the
+brain, to about an inch below the small of the back, where it tapers off
+into a filament. From this nerve are distributed fibers and filaments to
+the muscles and integument of at least nine-tenths of the body.</p>
+
+<p>The spinal cord is divided in front through the middle nearly as far as
+its center, by a deep fissure, called the <i>anterior fissure</i>, and
+behind, in a similar manner, by the posterior <i>fissure</i>. Each of these
+fissures is lined with the pia mater, which also supports the blood-vessels
+which supply <span class="pagenum"><a name="Page_91" id="Page_91"></a>[pg
+91]</span>the spinal cord with blood. Consequently, the substance of the
+two halves of the cord is only connected by a narrow isthmus, or bridge,
+perforated by a minute tube, which is termed the <i>central canal</i> of
+the spinal cord.</p>
+
+<p>Each half of the spinal cord is divided lengthwise into three nearly
+equal parts, which are termed the anterior, lateral, and posterior columns,
+by the lines which join together two parallel series of bundles of nervous
+filaments, which compose the roots of the spinal nerves. The roots of those
+nerves, which are found along that line nearest the posterior surface of
+the cord, are termed the posterior roots; those which spring from the other
+line are known as the anterior roots.</p>
+
+<p>Several of these anterior and posterior roots, situated at about the
+same height on opposite sides of the spinal cord, converge and combine into
+what are called the <i>anterior</i> and <i>posterior bundles</i>; then two
+bundles, anterior and posterior, unite and form the trunk of a spinal
+nerve.</p>
+
+<p>The nerve trunks make their way out of the spinal canal through
+apertures between the vertebra, called the <i>inter-vertebral foramina</i>
+and then divide into numerous branches, their ramifications extending
+principally to the muscles and the skin. There are thirty-one pairs of
+spinal nerves, eight of which are termed cervical, twelve dorsal, five
+lumbar, and six sacral, with reference to that part of the cord from which
+they originate.</p>
+
+<p>When the cord is divided into transverse sections, it is found that each
+half is composed of two kinds of matter, a white substance on the outside,
+and a grayish substance in the interior. The <i>gray matter</i>, as it is
+termed, lies in the form of an irregular crescent, with one end
+considerably larger than the other, and having the concave side turned
+outwards. The ends of the crescent are termed the <i>horns</i>, or
+<i>cornua</i>, the one pointing forward being called the <i>anterior
+cornu</i>, the other one the <i>posterior cornu</i>. The convex sides of
+these cornua approach each other and are united by the bridge, which
+contains the central canal.</p>
+
+<p>There is a marked difference in the structure of the gray and the white
+matter. The white matter is composed entirely of nerve fibers, held
+together by a framework of connective <span class="pagenum"><a
+name="Page_92" id="Page_92"></a>[pg 92]</span>tissue. The gray matter
+contains a great number of ganglionic corpuscles, or nerve-cells, in
+addition to the nerve-fibers.</p>
+
+<p>When the nerve-trunks are irritated in any manner, whether by pinching,
+burning, or the application of electricity, all the muscles which are
+supplied with branches from this nerve-trunk immediately contract, and pain
+is experienced, the severity of which depends upon the degree of the
+irritation; and the pain is attributed to that portion of the body to which
+the filaments of the nerve-trunk are distributed. Thus, persons who have
+lost limbs often complain in cold weather of an uneasiness or pain, which
+they locate in the fingers or toes of the limb which has been amputated,
+and which is caused by the cold producing an irritation of the nerve-trunk,
+the filaments, or fibers of which, supplied the fingers or toes of the lost
+member.</p>
+
+<p>On the other hand, if the anterior bundle of nerve-fibers given off from
+the spinal cord is irritated in precisely the same way, only half of these
+effects is produced. All the muscles which are supplied with fibers from
+that trunk contract, but no pain is experienced. Conversely, if the
+posterior bundle of nerve-fibers is irritated, none of the muscles to which
+the filaments of the nerve are distributed contract, but pain is felt
+throughout the entire region to which these filaments are extended. It is
+evident, from these facts, that the fibers composing the posterior bundles
+of nerve-roots only transmit sensory impulses, and the filaments composing
+the anterior nerve-roots only transmit motor impulses; accordingly, they
+are termed respectively the <i>sensory</i> and the <i>motor</i>
+nerve-roots. This is illustrated by the fact that when the posterior root
+of a spinal nerve is divided, all sensation in the parts to which the
+filaments of that nerve are distributed is lost, but the power of voluntary
+movement of the muscles remains. On the other hand, if the anterior roots
+are severed, the power of voluntary motion of the muscles is lost, but
+sensation remains.</p>
+
+<p>It appears from these experiments, that, when a nerve is irritated, a
+change in the arrangement of its molecules takes place, which is
+transmitted along the nerve-fibers. But, if the nerve-trunks are divided,
+or compressed tightly at any point <span class="pagenum"><a name="Page_93"
+id="Page_93"></a>[pg 93]</span>between the portion irritated, and the
+muscle or nerve-centre, the effect ceases immediately, in a manner similar
+to that in which a message is stopped by the cutting of a telegraph wire.
+When the nerves distributed to a limb are subjected to a pressure
+sufficient to destroy the molecular continuity of their filaments, it "goes
+to sleep," as we term it. The power of transmitting sensory and motor
+impulses is lost, and only returns gradually, as the molecular continuity
+is restored.</p>
+
+<p>From what has been said, it is plain that a sensory nerve is one which
+conveys a sensory impulse from the peripheral or outer part of a nerve to
+the spinal cord or brain, and which is, therefore, termed <i>afferent</i>;
+and that a motor nerve is one which transmits an impulse from the nerve
+centre, or is <i>efferent</i>. So difference in structure, or in chemical
+or physical composition, can be discerned between the afferent and the
+<i>efferent</i> nerves. A certain period of time is required for the
+transmission of all impulses. The speed with which an impulse travels has
+been found to be comparatively slow, being even less than that of sound,
+which is 1,120 feet per second.</p>
+
+<p>The experiments heretofore related have been confined solely to the
+nerves. We may now proceed to the consideration of what takes place when
+the spinal cord is operated upon in a similar way. If the cord be divided
+with a knife or other instrument, all parts of the body supplied with
+nerves given off below the division will become paralyzed and insensible,
+while all parts of the body supplied with nerves from the spinal cord
+<i>above</i> the division will retain their sensibility and power of
+motion. If, however, only the posterior half of the spinal cord is divided,
+or destroyed, there is loss of sensation alone; and, if the anterior
+portion is cut in two, and the continuity of the posterior part is left
+undisturbed, there is loss of voluntary motion of the lower limbs, but
+sensation remains.</p>
+
+<p><b>Reflex Action of the Spinal Cord</b>. In relation to the brain, the
+spinal cord is a great mixed motor and sensory nerve, but, in addition to
+this, it is also a distinct nervous centre, in which originate and
+terminate all those involuntary impulses which exert so potent an influence
+in the preservation and economy of the body. That peculiar power of the
+cord by which it is enabled to convert sensory into motor impulse <span
+class="pagenum"><a name="Page_94" id="Page_94"></a>[pg 94]</span>is that
+which distinguishes it, as a central organ, from a nerve, and is called
+<i>reflex action</i>.</p>
+
+<p>The gray matter, and not the white, is the part of the cord which
+possesses this power. This reflex action is a special function of the
+spinal cord, and serves as a monitor to, and regulator of the organs of
+nutrition and circulation, by placing them, ordinarily, beyond the control
+of conscious volition.</p>
+
+
+
+<p class="lfigure"><a name="advise051"><img width="90%" alt="Illustration:
+Fig. 57." src="images/advise051.png" /></a><br />Fig. 57.</p>
+
+<p>If the foot of a decapitated frog is irritated, there is an instant
+contraction of the corresponding limb; if the irritation is intense the
+other limb also contracts. These motions indicate the existence, in some
+part of the spinal cord, of a distinct nerve-centre, capable of converting
+and reflecting impulses. It has been found by experiment, that the same
+movements will take place if the irritation be applied to any portion of
+the body to which the spinal nerves are distributed, thus giving undoubted
+evidence that the spinal cord in its entirety is capable of causing these
+reflections. Fig. 57 represents the course of the nervous impulses. The
+sensory impulse passes upward along the posterior root, <i>a</i>, until it
+reaches the imbedded gray matter, <i>b</i>, of the cord, by which it is
+reflected, as a motor impulse, downward along the anterior root, <i>c</i>,
+to the muscles whence the sensation was received. This is the reflex action
+of the spinal cord. There is no consciousness or sensation connected with
+this action, and the removal of the brain and the sympathetic system does
+not diminish its activity. Even after death it continues for some time,
+longer in cold-blooded than in warm-blooded animals, on account of the
+difference in temperature, thus showing this property of the spinal cord.
+By disease, or the use of certain poisons, this activity may be greatly
+augmented, as is frequently observed in the human subject. A sudden contact
+with a different atmosphere may induce these movements. The contraction of
+the muscles, or cramp, often experienced by all persons, in stepping into a
+cold bath, or emerging from the cozy sitting-room into a chilly December
+temperature, are familiar illustrations of <span class="pagenum"><a
+name="Page_95" id="Page_95"></a>[pg 95]</span>reflex movements. It has been
+demonstrated that the irritability of the nerves may be impaired or
+destroyed, while that of the muscles to which they are distributed remains
+unchanged; and that the motor and sensory classes of filaments may be
+paralyzed independently of each other.</p>
+
+<p>The reflex actions of the spinal cord have been admirably summed up by
+Dr. Dalton, as exerting a general, protective influence over the body,
+presiding over the involuntary action of the limbs and trunk, regulating
+the action of the sphincters, rectum, and bladder, and, at the same time,
+exercising an indirect influence upon the nutritive changes in all parts of
+the body to which the spinal filaments are distributed.</p>
+
+<p><b>The Brain</b>. The brain is a complex organ, which is divided into
+the <i>medulla oblongata</i>, the <i>cerebellum</i>, and the
+<i>cerebrum</i>.</p>
+
+<p>The <i>medulla oblongata</i> is situated just above the spinal cord, and
+is continuous with it below, and the brain above. It has distinct functions
+which are employed in the preservation and continuance of life. It has been
+termed the "vital knot," owing to the fact that the brain may be removed
+and the cord injured and still the heart and lungs will continue to perform
+their functions, until the medulla oblongata is destroyed.</p>
+
+<p>The arrangement of the white and gray matter of the medulla oblongata is
+similar to that of the spinal cord; that is to say, the white matter is
+external and the gray internal; whereas in the cerebellum and cerebrum this
+order is reversed. The fibres of the spinal cord, before entering this
+portion of the brain, decussate, those from the right side crossing to the
+left, and those from the left crossing to the right side. By some authors
+this crossing of the sensory and motor filaments has been supposed to take
+place near the medulla oblongata. Dr. Brown-Sequard shows, however, that it
+takes place at every part of the spinal cord. The medulla oblongata is
+traversed by a longitudinal fissure, continuous with that of the spinal
+cord. Each of the lateral columns thus formed are subdivided into sections,
+termed respectively the <i>Corpora Pyramidalia</i>, the <i>Corpora
+Olivaria</i>, the <i>Corpora Restiformia</i> and the <i>Posterior
+Pyramids</i>.</p>
+
+<p><span class="pagenum"><a name="Page_96" id="Page_96"></a>[pg
+96]</span>The <i>Corpora Pyramidalia</i> (see 1, 1, Fig. 58) are two small
+medullary eminences or cords, situated at the posterior surface of the
+medulla oblongata; approaching the Pons Varolii these become larger and
+rounded.</p>
+
+<p>The <i>Corpora Olivaria</i> (3, 3, Fig. 58) are two elliptical
+prominences, placed exterior to the corpora pyramidalia. By some
+physiologists these bodies are considered as the nuclei, or vital points,
+of the medulla oblongata. Being closely connected with the nerves of
+special sensation, Dr. Solly supposed that they presided over the movements
+of the larynx.</p>
+
+
+
+<p class="lfigure"><a name="advise051b"><img width="90%" alt="Illustration:
+Fig. 58." src="images/advise051b.png" /></a><br />Fig. 58.</p>
+
+
+
+<p class="rfigure"><a name="advise051c"><img width="90%" alt="Illustration:
+Fig. 59." src="images/advise051c.png" /></a><br />Fig. 59.</p>
+
+<p>The <i>Corpora Restiformia</i> (<i>5, 5</i>, Fig. 59) are lateral and posterior
+rounded projections of whitish medulla, which pass upward to the cerebellum
+and form the <i>crura cerebelli</i>, so called because they resemble a leg.
+The filaments of the pneumogastric nerve originate in the ganglia of these
+parts.</p>
+
+<p>The <i>Posterior Pyramids</i> are much smaller than the other columns of
+the medulla oblongata. They are situated (4, 4, Fig. 59) upon the margin of
+the posterior fissures in contact with each other.</p>
+
+<p>The functions of the medulla oblongata, which begin with the earliest
+manifestations of life, are of an instinctive <span class="pagenum"><a
+name="Page_97" id="Page_97"></a>[pg 97]</span>character. If the cerebellum
+and cerebrum of a dove be removed, the bird will make no effort to procure
+food, but if a crumb of bread be placed in its bill, it is swallowed
+naturally and without any special effort. So also in respiration the lungs
+continue to act after the intercostal muscles are paralyzed; if the
+diaphragm loses its power, suffocation is the result, but there is still a
+convulsive movement of the lungs for sometime, indicating the continued
+action of the medulla oblongata.</p>
+
+<p>The <i>Cerebellum</i>, or little brain, is situated in the posterior
+chamber of the skull, beneath the <i>tentorium</i>, a tent-like process of
+the dura mater which separates it from the cerebrum. It is convex, with a
+transverse diameter of between three and one-half and four inches, and is
+little more than two inches in thickness. It is divided on its upper and
+lower surfaces into two lateral hemispheres, by the superior and inferior
+vermiform processes, and behind by deep notches. The cerebellum is composed
+of gray and white matter, the former being darker than that of the
+cerebrum. From the beautiful arrangement of tissue, this organ has been
+termed the <i>arbor vitæ</i>.</p>
+
+<p>The <i>peduncles of the cerebellum</i>, the means by which it
+communicates with the other portions of the brain, are divided into three
+pairs, designated as the <i>superior</i>, <i>middle</i> and
+<i>inferior</i>. The first pass upward and forward until they are blended
+with the tubercles of the <i>corpora quadrigemina</i>. The second are the
+<i>crura cerebelli</i>, which unite in two large <i>fasciculi</i>, or
+pyramids, and are finally lost in the <i>pons varolii</i>. The inferior
+peduncles are the corpora restiformia, previously described, and consist of
+both sensory and motor filaments. Some physiologists suppose that the
+cerebellum is the source of that harmony or associative power which
+co-ordinates all voluntary movements, and effects that delicate adjustment
+of cause to effect, displayed in muscular action. This fact may be proved
+by removing the cerebellum of a bird and observing the results, which are
+an uncertainty in all its movements, and difficulty in standing, walking,
+or flying, the bird being unable to direct its course. In the animal
+kingdom we find an apparent correspondence between the size of the
+cerebellum and the variety and extent of the movements of the animal.
+Instances <span class="pagenum"><a name="Page_98" id="Page_98"></a>[pg
+98]</span>are cited, however, in which no such proportion exists, and so
+the matter is open to controversy. The general function of the cerebellum,
+therefore, cannot be explained, but the latest experiments in physiological
+and anatomical science seem to favor the theory that it is in some way
+connected with the harmony of the movements. This co-ordination, by which
+the adjustment of voluntary motion is supposed to be effected, is not in
+reality a <i>faculty</i> having its seat in the brain substance, but is the
+harmonious action of many forces through the cerebellum.</p>
+
+<p>The <i>Cerebrum</i> occupies five times the space of all the other
+portions of the brain together. It is of an ovoid form, and becomes larger
+as it approaches the posterior region of the skull. A longitudinal fissure
+covered by the dura mater separates the cerebrum into two hemispheres,
+which are connected at the base of the fissure, by a broad medullary band,
+termed the <i>corpus callosum</i>. Each hemisphere is subdivided into three
+lobes. The anterior gives form to the forehead, the middle rests in the
+cavity at the base of the skull, and the posterior lobe is supported by the
+tentorium, by which it is separated from the cerebellum beneath. One of the
+most prominent characteristics of the cerebrum is its many and varied
+<i>convolutions</i> These do not correspond in all brains, nor even on the
+opposite sides of the same brain, yet there are certain features of
+similarity in all; accordingly, anatomists enumerate four <i>orders of
+convolutions</i>. The first order begins at the <i>substantia perforata</i>
+and passes upward and around the corpus callosum toward the posterior
+margin of that body, thence descends to the base of the brain, and
+terminates near its origin. The second order originates from the first, and
+subdivides into two convolutions, one of which composes the exterior margin
+and superior part of the corresponding hemisphere, while the other forms
+the circumference of the <i>fissure of Sylvius</i>. The third order, from
+six to eight in number, is found in the interior portion of the brain, and
+inosculates between the first and second orders. The fourth is found on the
+outer surface of the hemisphere, in the space between the sub-orders of the
+second clasp. A peculiar fact relating to these convolutions is observed by
+all anatomists: mental <span class="pagenum"><a name="Page_99"
+id="Page_99"></a>[pg 99]</span>development is always accompanied by an
+increasing dissimilarity between their proportional size.</p>
+
+<p>The cerebral hemispheres may be injured or lacerated without any pain to
+the patient. The effect seems to be one of stupefaction without sensation
+or volition. A well-developed brain is a very good indication of
+intelligence and mental activity. That the cerebrum is the seat of the
+reasoning powers, and all the higher intellectual functions, is proved by
+three facts. (1.) If this portion of the brain is removed, it is followed
+by the loss of intelligence. (2.) If the human cerebrum is injured, there
+is an impairment of the intellectual powers. (3.) In the animal kingdom, as
+a rule, intelligence corresponds to the size of the cerebrum. This general
+law of development is modified by differences in the cerebral texture. Men
+possessing comparatively small brains may have a vast range of thought and
+acute reasoning powers. Anatomists have found these peculiarities to depend
+upon the quantity of gray matter which enters into the composition of the
+brain.</p>
+
+<p>In the cerebro-spinal system there are three different kinds of reflex
+actions. (1.) Those of the spinal cord and medulla oblongata are performed
+without any consciousness or sensation on the part of the subject. (2.) The
+second class embraces those of the tuber annulare, where the perception
+gives rise to motion without the interference of the intellectual
+faculties. These are denominated purely <i>instinctive</i> reflex actions,
+and include all those operations of animals which seem to display
+intelligent forethought; thus, the beaver builds his habitation over the
+water, but not a single apartment is different from the beaver homestead of
+a thousand years ago; there is no improvement, no retrogression. Trains of
+thought have been termed a third class of reflex actions. It is evident
+that the power of reasoning is, in a degree, possessed by some of the
+lower-animals: for instance, a tribe of monkeys on a foraging expedition
+will station guards at different parts of the field, to warn the plunderers
+of the approach of danger. A cry from the sentinel, and general confusion
+is followed by retreat. Reason only attains its highest development in man,
+in whom it passes the bounds of ordinary existence, and, with the magic
+wand of love, reaches outward into the <span class="pagenum"><a
+name="Page_100" id="Page_100"></a>[pg 100]</span>vast unknown, lifting him
+above corporeal being, into an atmosphere of spiritual and divine
+Truth.</p>
+
+
+
+<p class="lfigure"><a name="advise051d"><img width="90%" alt="Illustration:
+Fig. 60. Section of the brain and an ideal view of the pneumogastric nerve
+on one side, with its branches, " src="images/advise051d.png" /></a><br
+/>Fig. 60. Section of the brain and an ideal view of the pneumogastric
+nerve on one side, with its branches, <i>a</i>. Vertical section of the
+cerebrum. <i>b</i>. Section of the cerebellum, <i>c</i>. Corpus callosum.
+<i>d</i>. Lower section of medulla oblongata. Above <i>d</i>, origin of the
+pneumogastric nerve. <i>1.</i> Pharyngeal branch. <i>2.</i> Superior laryngeal. <i>5.</i>
+Branches to the lungs. <i>4.</i> Branches to the liver. <i>6.</i> Branches to the
+stomach.</p>
+
+<p><b>The Cranial Nerves</b>. From the brain, nerves are given off in
+pairs, which succeed one another from in front backwards to the number of
+twelve. The <i>first</i> pair, the <i>olfactory</i> nerves, are the nerves
+of the sense of smell. The <i>second</i> pair are the <i>optic</i>, or the
+nerves of the sense of sight. The <i>third</i> pair are called the
+<i>motores oculi</i>, the movers of the eye, from the fact that they are
+distributed to all the muscles of the eye with the exception of two. The
+<i>fourth</i> pair and the <i>sixth</i> pair each supply one of the muscles
+of the eye, on each side, the fourth extending to the superior oblique
+muscle, and the sixth to the external rectus muscle. The nerves of the
+<i>fifth</i> pair are very large; they are each composed of two bundles of
+filaments, one motor and the other sensory, and have, besides, an
+additional resemblance to a spinal nerve by having a ganglion on each of
+their sensory roots, and, from the fact that they have three chief
+divisions, are often called the <i>trigeminal</i>, or <i>trifacial</i>,
+nerves. They are nerves of special sense, of sensation, and of motion. They
+are the sensitive nerves which supply the cranium and face, the motor
+nerves of the muscles of mastication, the <i>buccinator</i> and the
+<i>masseter</i>, and their third branches, often called the
+<i>gustatory</i>, are distributed to the front portion of the tongue, and
+are two of the <span class="pagenum"><a name="Page_101"
+id="Page_101"></a>[pg 101]</span>nerves of the special sense of taste. The
+<i>seventh</i> pair, called also the <i>facial</i> nerves, are the motor
+nerves of the muscles of the face, and are also distributed to a few other
+muscles; the <i>eighth</i> pair, termed the auditory nerves, are the nerves
+of the special sense of hearing. As the <i>seventh</i> and <i>eighth</i>
+pairs of nerves emerge from the cavity of the skull together, they are
+frequently classed by anatomists as one, divided into the <i>facial</i>, or
+<i>portio dura</i>, as it is sometimes called, and the <i>auditory</i>, or
+<i>portio mollis</i>. The <i>ninth</i> pair, called the
+<i>glosso-pharyngeal,</i> are mixed nerves, supplying motor filaments to
+the <i>pharyngeal muscles</i> and filaments of the special sense of taste
+to the back portion of the tongue. The <i>tenth</i> pair, called the
+<i>pneumogastric</i>, or <i>par vagum</i>, are very important nerves, and
+are distributed to the larynx, the lungs, the heart, the stomach, and the
+liver, as shown in Fig. 60. This pair and the next are the only cerebral
+nerves which are distributed to parts of the body distant from the head.
+The <i>eleventh</i> pair, also called <i>spinal accessory</i>, arise from
+the sides of the spinal marrow, between the anterior and posterior roots of
+the dorsal nerves, and run up to the medulla oblongata, and leave the
+cranium by the same aperture as the pneumogastric and glosso-pharyngeal
+nerves. They supply certain muscles of the neck, and are purely motor. As
+the glosso-pharyngeal, pneumogastric, and spinal accessory nerves leave the
+cranium together, they are by some anatomists counted as the <i>eighth</i>
+pair. The <i>twelfth</i> pair, known as the <i>hypoglossal,</i> are
+distributed to the tongue, and are the motor nerves of that organ.</p>
+
+
+<h4>THE GREAT SYMPATHETIC.</h4>
+
+
+<p>A double chain of nervous ganglia extends from the superior to the
+inferior parts of the body, at the sides and in front of the spinal column,
+and is termed, collectively, the system of the <i>great sympathetic</i>.
+These ganglia are intimately connected by nervous filaments, and
+communicate with the cerebro-spinal system by means of the motor and
+sensory filaments which penetrate the sympathetic. The nerves of this
+system are distributed to those organs over which conscious volition has no
+direct control.</p>
+
+<p><span class="pagenum"><a name="Page_102" id="Page_102"></a>[pg 102]</span></p>
+
+
+<p class="figure"><a name="advise052"><img width="40%" alt="Illustration:
+Fig. 61. Course and distribution of the great Sympathetic Nerve"
+src="images/advise052.png" /></a><br />Fig. 61. Course and distribution of
+the great Sympathetic Nerve</p>
+
+<p><span class="pagenum"><a name="Page_103" id="Page_103"></a>[pg
+103]</span>Four of the sympathetic centers, situated in the front and lower
+portions of the head, are designated as the <i>ophthalmic, spheno-palatine,
+submaxillary</i> and <i>otic ganglia</i>. The first of these, as its name
+indicates, is distributed to the eye, penetrates the <i>sclerotic
+membrane</i> (the white, opaque portion of the eyeball, with its
+transparent covering), and influences the contraction and dilation of the
+iris. The second division is situated in the angle formed by the sphenoid
+and maxillary bone, or just below the ear. It sends motor and sensory
+filaments to the palate, and <i>velum palati</i>. Its filaments penetrate
+the carotid plexus, are joined by others from the motor roots of the facial
+nerve and the sensory fibres of the superior maxillary. The third division
+is located on the submaxillary gland. Its filaments are distributed to the
+sides of the tongue, the sublingual, and submaxillary glands. The otic
+ganglion is placed below the base of the skull, and also connects with the
+<i>carotid plexus</i>. Its filaments of distribution supply the internal
+muscles of the <i>malleus</i>, the largest bones of the <i>tympanum</i>,
+the membranous linings of the tympanum and the <i>eustachian tube.</i>
+Three ganglia, usually designated as the <i>superior, middle</i>, and
+<i>inferior</i>, connect with the cervical and spinal nerves. Their
+interlacing filaments are distributed to the muscular walls of the larynx,
+pharynx, trachea, and esophagus, and also penetrate the <i>thyroid
+gland</i>. The use of this gland is not accurately known. It is composed of
+a soft, brown tissue, and consists of lobules contained in lobes of larger
+size. It forms a spongy covering for the greater portion of the larynx, and
+the first section of the trachea. That it is an important organ, is evident
+from the fact that it receives four large arteries, and filaments from two
+pairs of nerves.</p>
+
+<p>The sympathetic ganglia of the chest correspond in number with the
+terminations of the ribs, over which they are situated. Each ganglion
+receives two filaments from the intercostal nerve, situated above it, thus
+forming a double connection. The thoracic ganglia supply with motor fibres
+that portion of the aorta which is above the diaphragm, the esophagus, and
+the lungs.</p>
+
+<p>In the abdomen the sympathetic centers are situated upon the
+<i>coeliac</i> artery, and are termed, collectively, the <i>semilunar <span
+class="pagenum"><a name="Page_104" id="Page_104"></a>[pg 104]</span>coeliac
+ganglion</i>. Numerous inosculating branches radiate from this center and
+are called, from the method of their distribution, the <i>solar plexus</i>.
+From this, also, originate other plexi which are distributed to the
+stomach, liver, kidneys, intestines, spleen, pancreas, supra-renal glands,
+and to the organs of generation. Four other pairs of abdominal ganglia
+connected with, the lumbar branches are united by filaments to form the
+semilunar ganglion.</p>
+
+<p>The sympathetic ganglia of the pelvis consist of five pairs, which are
+situated upon the surface of the sacrum. At the extremity of the spinal
+column this system terminates in a single knot, designated as the
+<i>ganglion impar</i>.</p>
+
+<p>Owing to the position of the sympathetic ganglia, deeply imbedded in the
+tissues of the chest and abdomen, it is exceedingly difficult to subject
+them to any satisfactory experiments. A few isolated facts form the basis
+of all our knowledge concerning their functions. They give off both motor
+and sensory filaments. The contraction of the <i>iris</i> is one of the
+most familiar examples of the action of the sympathetic system.</p>
+
+<p>In the reflex actions of the nerves of special sense, the sensation is
+transmitted through the cerebro-spinal system, and the motor impulse is
+sent to the deep-seated muscles by the sympathetic system. Physiologists
+enumerate three kinds of reflex actions, which are either purely
+sympathetic, or partially influenced by the cerebro-spinal system. Dr.
+Dalton describes them as follows:</p>
+
+<p><i>First</i>.&mdash;"Reflex actions taking place from the internal organs,
+through the sympathetic and cerebro-spinal systems, to the voluntary
+muscles and sensitive surfaces.&mdash;The convulsions of young children are
+often owing to the irritation of undigested food in the intestinal canal.
+Attacks of indigestion are also known to produce temporary amaurosis
+[blindness], double vision, strabismus, and even hemiplegia. Nausea, and a
+diminished or capricious appetite, are often prominent symptoms of early
+pregnancy, induced by the peculiar condition of the uterine mucous
+membrane."</p>
+
+<p><i>Second</i>.&mdash;"Reflex actions taking place from the sensitive
+surfaces, through the cerebro-spinal and sympathetic systems <span
+class="pagenum"><a name="Page_105" id="Page_105"></a>[pg 105]</span>to the
+involuntary muscles and secreting organs.&mdash;Imprudent exposure of the
+integument to cold and wet, will often bring on a diarrhea. Mental and
+moral impressions, conveyed through the special senses, will affect the
+motions of the heart, and disturb the processes of digestion and secretion.
+Terror, or an absorbing interest of any kind, will produce a dilatation of
+the pupil, and communicate in this way a peculiarly wild and unusual
+expression to the eye. Disagreeable sights or odors, or even unpleasant
+occurrences, are capable of hastening or arresting the menstrual discharge,
+or of inducing premature delivery."</p>
+
+<p><i>Third</i>.&mdash;"Reflex actions taking place through the sympathetic
+system from one part of the body to another.&mdash;The contact of food with the
+mucous membrane of the small intestine excites a peristaltic movement in
+the muscular coat. The mutual action of the digestive, urinary, and
+internal generative organs upon each other takes place entirely through the
+medium of the sympathetic ganglia and their nerves. The variation of the
+capillary circulation in different abdominal viscera, corresponding with
+the state of activity or repose of their associated organs, are to be
+referred to a similar nervous influence. These phenomena are not
+accompanied by any consciousness on the part of the individual, nor by any
+apparent intervention of the cerebro-spinal system."</p>
+
+<p><span class="pagenum"><a name="Page_106" id="Page_106"></a>[pg
+106]</span></p><hr />
+
+
+
+
+<h2><a name='CHAPTER_XIII'></a>CHAPTER XIII.</h2>
+
+<h1>THE SPECIAL SENSES.</h1>
+
+<h3>SIGHT.</h3>
+
+
+<p>The eye is the organ through which we perceive, by the agency of light,
+all the varied dimensions relations, positions, and visible qualities of
+external objects.</p>
+
+<p>The number, position, and perfection of the eyes, vary remarkably in
+different orders, in many instances corresponding to the mode of life,
+habitation, and food of the animal. A skillful anatomist may ascertain by
+the peculiar formation of the eye, without reference to the general
+physical structure, in what element the animal lives. Sight is one of the
+most perfect of the senses, and reveals to man the beauties of creation.
+The æsthetic sentiment is acknowledged to be the most refining element of
+civilized life. Painting, sculpture, architecture, and all the scenes of
+nature, from a tiny way-side flower to a Niagara, are subjects in which the
+poet's eye sees rare beauties to mirror forth in the rhythm of immortal
+verse.</p>
+
+<p>In the vertebrates, the organs of vision are supplied with filaments
+from the second pair of cranial nerves. In mammalia, the eyes are limited
+to two in number, which in man are placed in circular cavities of the
+skull, beneath the anterior lobes of the cerebrum. Three membranes form the
+lining of this inner sphere of the eye, called respectively the Sclerotic,
+Choroid, and Retina.</p>
+
+<p>The <i>Sclerotic</i>, or outer covering, is the white, firm membrane,
+which forms the larger visible portion of the eyeball. It is covered in
+front by a colorless, transparent segment, termed the <i>cornea</i>, which
+gives the eye its lustrous appearance. Within the sclerotic, and lining it
+throughout, is a thin, dark membrane <span class="pagenum"><a
+name="Page_107" id="Page_107"></a>[pg 107]</span>termed the <i>Choroid</i>.
+Behind the cornea it forms a curtain, called the <i>iris</i>, which gives
+to the eye its color. The muscles of the iris contract or relax according
+to the amount of light received, thus enlarging or diminishing the size of
+the circular opening called the <i>pupil</i>. The <i>Retina</i> is formed
+by the optic nerve, which penetrates the sclerotic and choroid and spreads
+out into a delicate, grayish, semi-transparent membrane. The retina is one
+of the most <i>essential</i> organs of vision, and consists of two layers.
+A spheroidal, transparent body, termed the <i>crystalline lens</i>, is
+situated directly behind the pupil. It varies in density, increasing from
+without inward, and forms a perfect refractor of the light received. The
+space in front of the crystalline lens is separated by the iris into two
+compartments called respectively the <i>anterior</i> and <i>posterior
+chambers</i>. The fluid contained within them, termed the <i>aqueous
+humor</i>, is secreted by the cornea, iris, and ciliary processes. The
+space behind the crystalline lens is occupied by a fluid, called the
+<i>vitreous humor</i>. This humor is denser than the other fluids and has
+the consistency of jelly, being perfectly transparent. "The function of the
+crystalline lens is to produce distinct perception of form and
+outline."<sup><a href="#fn3" name="rfn3">[3]</a></sup> The transparent
+humors of the eye also contribute to the same effect, but only act as
+auxiliaries to the lens.</p>
+
+
+
+<p class="rfigure"><a name="advise052b"><img width="90%" alt="Illustration:
+Fig. 62." src="images/advise052b.png" /></a><br />Fig. 62.</p>
+
+<p>The figure on the next page represents the course of the rays of light
+proceeding from an object <i>a b</i>, refracted by the lens, and forming
+the inverted image <i>x y</i> on the screen. All rays of light proceeding
+from <i>b</i> are concentrated at <i>y</i>, and those proceeding from
+<i>a</i> converge at <i>x</i>. Rays of light emanating from the center of
+the object <i>a b</i> pursue a parallel course, <span class="pagenum"><a
+name="Page_108" id="Page_108"></a>[pg 108]</span>and form the center of the
+image. Rays of light passing through a double convex lens converge at a
+point called the <i>focus</i>. In the organ of vision, if perfect, the
+focus is on the retina, which serves as a screen to receive the image or
+impression. We have a distinct perception of the outline of a distant hill,
+and also of a book lying before us. The rays of light we receive from these
+objects cannot have the same focus. How, then, can we account for the
+evident accommodation of the eye to the varying distances? Various theories
+have been advanced to explain this adjustment; such as changes in the
+curvature of the cornea and lens; a movement of the lens, or a general
+change in the form of the eyeball, by which the axis may be lengthened or
+shortened.</p>
+
+
+
+<p class="lfigure"><a name="advise053"><img width="90%" alt="Illustration:
+Fig. 63." src="images/advise053.png" /></a><br />Fig. 63.</p>
+
+<p>Two facts comprise all the positive knowledge which we possess on this
+subject. Every person is conscious of a muscular effort in directing the
+eye to a near object, as a book, and of fatigue, if the attention is
+prolonged. If, now, the eyes be directed to a distant object, there will
+result a sense of rest, or passiveness. By various experiments it has been
+proved that the accommodation or adjustment of the eye for near objects
+requires a muscular effort, but for distant objects the muscles are in an
+essentially passive condition. An increase in the convexity of the
+crystalline lens is now admitted to be necessary for a distinct perception
+of near objects. We may give two simple illustrations, cited by Dr. Dalton
+in his recent edition of Human Physiology. If a candle be held near the
+front of an eye which is directed to a distant object, three reflected
+images of the flame will be seen in the eye, one on each of the anterior
+surfaces of the cornea and lens, and a third on the posterior surface of
+the latter. If the eye is directed to a near object, the reflection on the
+cornea remains unchanged, while that on the anterior surface of the lens
+gradually diminishes and approximates in size the reflection on the cornea,
+thus giving conclusive evidence that, in viewing a near object, the
+anterior surface of the crystalline lens become <i>more convex</i>, and at
+<span class="pagenum"><a name="Page_109" id="Page_109"></a>[pg
+109]</span>the same time approaches the cornea. Five or six inches is the
+minimum limit of the muscular adjustment of the eye. From that point to all
+the boundless regions of space, to every star and nebulæ which send their
+rays to our planet, human vision can reach. It is the sense by which we
+receive knowledge of the myriads of worlds and suns which circle with
+unfailing precision through infinite space.</p>
+
+
+<h4>HEARING.</h4>
+
+
+
+
+<p class="rfigure"><a name="advise054"><img width="90%" alt="Illustration:
+Fig. 64. Internal and external ear." src="images/advise054.png" /></a><br
+/>Fig. 64. Internal and external ear. <i>1.</i> External ear. <i>2.</i> Internal auditory
+meatus. <i>3.</i> Tympanum. <i>4.</i> Labyrinth. <i>5.</i> Eustachian tube.</p>
+
+<p>Hearing depends upon the sonorous vibrations of the atmosphere. The
+waves of sound strike the sensitive portions of the ear, and their
+impressions upon the auditory nerves are termed the sensations of hearing.
+The ear is divided into three parts, called respectively the External,
+Middle, and Internal ear.</p>
+
+<p>The external organs of hearing are two in number, and placed on opposite
+sides of the head. In most of the higher order of vertebrates, they are so
+situated as to give expression and proportion to the facial organs, and, at
+the same time, to suit the requirements of actual life.</p>
+
+<p>The <i>External ear</i> is connected with the interior part by a
+prolongation of its orifice, termed the <i>external auditory meatus</i>. In
+man, this gristly portion of the auditory apparatus is about one inch in
+length, lined by a continuation of the integument of the ear, and has
+numerous hairs on its surface, to prevent the intrusion of foreign
+substances. Between the external <b>meatus</b> and the cavity of the middle
+ear is the <i>membrana <span class="pagenum"><a name="Page_110"
+id="Page_110"></a>[pg 110]</span>tympani</i>, which is stretched across the
+opening like the head of a drum. The <i>tympanum</i>, or ear-drum,
+communicates with the pharynx by the <i>eustachian tube</i>, which is a
+narrow passage lined with delicate, ciliated epithelium. On the posterior
+portion it is connected with the <i>mastoid cells</i>. Three small bones
+are stretched across the cavity of the tympanum, and called, from their
+form, the <i>malleus, incus</i> and <i>stapes</i>, or the hammer, anvil,
+and stirrup. Agassiz mentions a fourth, which he terms the <i>os
+orbiculare</i>. Each wave of sound falling upon the membrana tympani,
+throws its molecules into vibrations which are communicated to the chain of
+bones, which, in turn, transmits them to the membrane of the <i>foramen
+ovale</i>. The three muscles which regulate the tension of these membranes
+are termed the <i>tensor tympani, laxator tympani</i>, and <i>stapedium
+tympani.</i></p>
+
+<p>The <i>Labyrinth</i>, or <i>Internal</i> ear, is a complicated cavity,
+consisting of three portions termed the <i>vestibule, cochlea</i>, and
+<i>semi-circular canals</i>. The vestibule is the central portion and
+communicates with the other divisions. The labyrinth is filled with a
+transparent fluid, termed <i>perilymph</i>, in which are suspended, in the
+vestibules and canals, small membranous sacs, containing a fluid substance,
+termed <i>endolymph</i> (sometimes called <i>vitrine auditive</i> from its
+resemblance to the vitreous humor of the eye). The filaments of the
+auditory nerve penetrate the membranous tissues of these sacs, and also of
+those suspended at the commencement of the semi-circular canals. These
+little sacs are supposed to be the seat of hearing, and to determine, in
+some mysterious way, the quality, intensity and pitch of sounds.</p>
+
+<p>The determination of the <i>direction</i> of sound is a problem of
+acoustics. Some have contended that the arrangement of the semi-circular
+canals is in some way connected with this sensation. But this supposition,
+together with the theory of the transmission of sound through the various
+portions of the cranial bones, has been exploded.</p>
+
+<p>From the foregoing description, it will be seen that the labyrinth and
+tympanum are the most essential parts of the organs of hearing. In delicacy
+and refinement this sense ranks next to sight. The emotions of beauty and
+<span class="pagenum"><a name="Page_111" id="Page_111"></a>[pg
+111]</span>sublimity, excited by the warbling of birds and the roll of
+thunder, are scarcely distinguishable from the intense emotions arising
+from sight. It is a remarkable fact, that the refinement or cultivation of
+these senses is always found associated. Those nations which furnish the
+best artists, or have the highest appreciation of painting and sculpture,
+produce the most skillful musicians, those who reduce music to a
+science.</p>
+
+
+<h4>SMELL.</h4>
+
+
+
+
+<p class="rfigure"><a name="advise054b"><img width="90%" alt="Illustration:
+Fig. 65." src="images/advise054b.png" /></a><br />Fig. 65. <i>1.</i> Frontal
+sinus. <i>2.</i> Nasal bone. <i>3.</i> Olfactory ganglion and nerves. <i>4.</i> Nasal branch of
+the fifth pair. <i>5.</i> Spheno-palatine ganglion. <i>6.</i> Soft palate. <i>7.</i> Hard
+palate, <i>a</i>. Cerebrum, <i>b</i>. Anterior lobes, <i>c</i>. Corpus
+callosum. <i>d</i>. Septum lucidum. <i>f</i>. Fornix. <i>g</i>. Thalami
+optici. <i>h</i>. Corpora striata.</p>
+
+<p>Next in order of delicacy, and more closely allied with the physical
+functions, is the sense of smell. Delicate perfumes, or the fragrance of a
+flower, impart an exhilarating sensation of delight, while numerous odors
+excite a feeling of disgust. The organ of smell is far less complicated in
+its structure than the eye or the ear. It consists of two cavities having
+cartilaginous walls, and lined with a thick mucous coat, termed the
+<i>pituitary membrane</i>, over which are reflected the olfactory nerves.
+Particles of matter, too minute to be visible even through the microscope,
+are detached from the odorous body and come in contact with the nerves of
+smell, which transmit the impressions or impulses thus received to the
+brain. Fig. 65 shows the distribution of the olfactory nerves in the nasal
+passages. The nose is supplied with two kinds of <span class="pagenum"><a
+name="Page_112" id="Page_112"></a>[pg 112]</span>filaments which are termed
+respectively nerves of <i>special</i> and nerves of <i>general
+sensation</i>. Compared with the lower animals, especially with those
+belonging to the carnivorous species, the sense of smell in man is feeble.
+The sensation of smell is especially connected with the pleasures and
+necessities of animal life.</p>
+
+
+<h4>TASTE.</h4>
+
+
+<p>The sense of taste is directly connected with the preservation and
+nutrition of the body. A delicious flavor produces a desire to eat a savory
+substance. Some writers on hygiene have given this sense an instinctive
+character, by assuming that all articles having an agreeable taste are
+suitable for diet. The nerves of taste are distributed over the surface of
+the tongue and palate, and their minute extremities terminate in well
+developed <i>papillæ</i>. These <i>papillæ</i> are divided into three
+classes, termed, from their microscopic appearance, <i>filiform</i>,
+<i>fungiform</i> and <i>circumvallate</i>. The organ of taste is the mucous
+membrane which covers the back part of the tongue and the palate. The
+papillæ of the tongue are large and distinct, and covered with separate
+coats of epithelium. The filiform papillæ are generally long and pointed
+and are found over the entire surface of the tongue. The fungiform are
+longer, small at the base and broad at the end. The circumvallate are
+shaped like an inverted V and are found only near the root of the tongue;
+the largest of this class of papillæ have other very small papillæ upon
+their surfaces. It is now pretty satisfactorily established that the
+circumvallate, or fungiform papillæ are the only ones concerned in the
+special sense of taste.</p>
+
+<p>The conditions necessary to taste are, that the substance be in solution
+either by artificial means, or by the action of the saliva; and that it be
+brought in contact with the sensitive filaments imbedded in the mucous
+membrane. The nerves of taste are both <i>general</i> and <i>special</i> in
+their functions. If the general sensibility of the nerves of taste is
+unduly excited, the function of sensibility is lost for some time. If a
+peppermint lozenge is taken into the mouth, it strongly excites the general
+sensibilities of taste, and the power of distinguishing between special
+flavors is lost for a few moments. A <span class="pagenum"><a
+name="Page_113" id="Page_113"></a>[pg 113]</span>nauseous drug may then be
+swallowed without experiencing any disagreeable taste.</p>
+
+<p>Paralysis of the facial nerve often produces a marked effect in the
+sensibility of the tongue. Where this influence lies has not been fully
+explained; probably it is indirect, being produced by some alteration in
+the vascularity of the parts or a diminution of the salivary
+secretions.</p>
+
+
+<h4>TOUCH.</h4>
+
+
+<p>By the sense of touch, we mean the <i>general sensibility of the
+skin</i>. Sensations of heat and cold are familiar illustrations of this
+faculty. By the sense of touch, we obtain a knowledge of certain qualities
+of a body, such as form consistency, roughness, or smoothness of surface,
+etc. The tip of the tongue possesses the most acute sensibility of any
+portion of the body, and next in order are the tips of the fingers. The
+hands are the principal organs of tactile sensation. The nerves of general
+sensibility are distributed to every part of the cutaneous tissue. The
+contact of a foreign body with the back, will produce a similar
+<i>tactile</i> sensation, as with the tips of the fingers. The sensation,
+however, will differ in <i>degree</i> because the back is supplied with a
+much smaller number of sensitive filaments; in <i>quality</i> it is the
+same.</p>
+
+<p><span class="pagenum"><a name="Page_114" id="Page_114"></a>[pg
+114]</span></p><hr />
+
+
+
+
+<h2><a name='CHAPTER_XIV'></a>CHAPTER XIV.</h2>
+
+<h1>CEREBRAL PHYSIOLOGY.</h1>
+
+
+<p>By means of the nervous system, an intimate relation is maintained
+between mind and body, for nervous energy superintends the functions of
+both. The fibres of nervous matter are universally present in the
+organization, uniting the physical and spiritual elements of man's being.
+Even the minutest nerve-rootlets convey impressions to the dome of thought
+and influence the intellectual faculties. We recognize <i>muscular</i>
+force, the strength of the body, <i>molecular</i> force, molecules in
+motion, as heat, light, chemical force, electricity, and <i>nervous</i>
+force, a certain influence which reacts between the animal functions and
+the cerebrum, thus connecting the conditions of the body with those of the
+mind. We cannot speak of the effects of mind or body separately, but we
+must consider their action and reaction upon each other, for they are
+always associated. There are many difficulties in understanding this
+relationship, some of which may be obviated by a study of the development
+of nervous matter, and its functions in the lower orders of
+organization.</p>
+
+<p>Within the plant-cells is found a vital, vegetable substance termed
+bioplasm, or protoplasm; which furnishes the same nutritive power as the
+tissues of the polyp and jelly fish. Many families of animals have pulpy
+bodies, and slight instinctive motion and sensibility, and in proportion as
+the nervous system is developed, both of these powers are unfolded. Plants
+have a low degree of sensibility, limited motion, respiratory and
+circulatory organs. Animals possess quicker perceptions and sensibilities,
+the power of voluntary motion, and, likewise <span class="pagenum"><a
+name="Page_115" id="Page_115"></a>[pg 115]</span>a rudimental nervous
+system. Some articulates have no bony skeleton, their muscles being
+attached to the skin which constitutes a soft contracting envelope. One of
+the simplest forms of animal life in which a nervous system is found, is
+the five-rayed star-fish. In each ray there are filaments which connect
+with similar nerve-filaments from other rays, and form a circle around the
+digestive cavity. It probably has no conscious perception, and its
+movements do not necessarily indicate sensation or volition. In some worms
+a rudimentary nervous system is sparingly distributed to the cavities of
+the thorax and abdomen, and, as in the star-fish, the largest
+nerve-filament is found around the esophagus, presiding over nutrition.</p>
+
+
+
+<p class="lfigure"><a name="advise055"><img width="90%" alt="Illustration:
+Fig. 66." src="images/advise055.png" /></a><br />Fig. 66.</p>
+
+<p>A higher grade of organization requires a more complete arrangement of
+nervous substance. Stimulus applied to one organ is readily communicated
+to, and excites activity in another.</p>
+
+
+
+<p class="rfigure"><a name="advise056"><img width="90%" alt="Illustration:
+Fig. 67." src="images/advise056.png" /></a><br />Fig. 67. A. Nervous system
+of a Crab, showing its ganglia. B. The nervous system of a Caterpillar.</p>
+
+<p>The nervous system of some insects consists of two long, white cords,
+which run longitudinally through the abdomen, and are dilated at intervals
+into knots, consisting of collections of nerve-cells, called ganglia. They
+are really nerve-centers, which receive and transmit impulses, originate
+and impart nervous influence according to the nature of their organic
+surroundings. The ganglia situated over the esophagus of insects correspond
+to the medulla oblongata in man, in which originate the spinal <span
+class="pagenum"><a name="Page_116" id="Page_116"></a>[pg
+116]</span>accessory, glosso-pharyngeal, and pneumogastric nerves. The
+latter possess double endowments, and not only participate in the
+operations of deglutition, digestion, circulation, and respiration, but are
+also nerves of sensation and instinctive motion. The suspension of
+respiration produces suffocation. In insects, these ganglia are scarcely
+any larger than those distributed within the abdomen, with which they
+connect by means of minute, nervous filaments. Insects are nimble in their
+movements, and manifest instinct, corresponding to the perfection of their
+muscular and nervous systems. When we ascend to vertebrates, those animals
+having a backbone, the amount of the nervous substance is greater, the
+organic functions are more complex, and the actions begin to display
+intelligence.</p>
+
+<p>Man possesses not only a complete sympathetic system, the rudiments of
+which are found in worms and insects, and a complete spinal system, less
+perfectly displayed in fishes, birds, and quadrupeds, but, superadded to
+all these is a magnificent cerebrum, and, as we have seen, all parts of the
+body are connected by the nervous system. The subtle play of sensory and
+motor impulses, of sentient and spiritual forces, indicates a perfection of
+nervous endowments nowhere paralleled, and barely approached by inferior
+animals. This meager reference to brainless animals, whoso knots of ganglia
+throughout their bodies act automatically as little brains, shows that
+instinct arises simultaneously with the development of the functions over
+which it presides. Here begins rudimentary, unreasoning intelligence. It
+originates within the body as an inward, vital impulse, is manifested in an
+undeviating manner, and therefore displays no intention or discretion.
+While Dr. Carpenter likens the human organism "to a keyed instrument, from
+which any music it is capable of producing can be called forth at the will
+of the performer," he compares "a bee or any other insect to a barrel
+organ, which plays with the greatest exactness a certain number of tunes
+that are set upon it, but can do nothing else." Instinct cannot learn from
+experience, or improve by practice; but it seems to be the prophetic germ
+of a higher intelligence. It is nearly as difficult to draw the dividing
+line between instinct and a low grade of intelligence, as it is to
+distinguish <span class="pagenum"><a name="Page_117" id="Page_117"></a>[pg
+117]</span>between the psychical and psychological<sup><a href="#fn4"
+name="rfn4">[4]</a></sup> functions of the brain.</p>
+
+<p>The intimate relation of instinct to intelligence is admirably
+illustrated in the working honey-bee. With forethought it selects a
+habitation, constructs comb, collects honey, provides a cell for the ova,
+covers the chrysalis, for which it deposits special nourishment, and is
+disposed to defend its possessions. It is a social insect, lives in
+colonies, chastises trespassers, fights its enemies, and defends its home.
+It manifests a degree of intelligence, but its sagacity is instinctive.
+Reason, though not so acute as instinct, becomes, by education, discerning
+and keenly penetrative, and reveals the very secrets of profound thought.
+We recall the aptness of Prof. Agassiz's remark: <i>"There is even a
+certain antagonism between instinct and intelligence, so that instinct
+loses its force and peculiar characteristics, whenever intelligence becomes
+developed."</i> Animals having larger reasoning powers manifest less
+instinct, and some, as the leopard, exercise both in a limited degree. This
+double endowment with instinct and low reasoning intelligence, is indicated
+by his lying in ambush awaiting his prey, the hiding-place being selected
+near the haunt of other animals, where nature offers some allurement to
+gratify the appetite.</p>
+
+<p>Simple reflex action is an instinctive expression, manifesting an
+intuitive perception, almost intelligent, as shown by the contraction of
+the stomach upon the food, simply because it impinges upon the inner coats,
+and thus excites them to action. A better illustration, because it displays
+sympathy, is when the skin, disabled by cold, cannot act, and its duties
+are largely performed by the kidneys. Though reflex action is easily traced
+in the lower organic processes, some writers have placed it on a level with
+rational deliberation. Undoubtedly, all animals having perception have also
+what perception implies&mdash;consciousness&mdash;and this indicates the possession,
+in some <span class="pagenum"><a name="Page_118" id="Page_118"></a>[pg
+118]</span>degree, of reason. <i>Compound</i> reflex action extends into
+the domain of thought. <i>Simple</i> reflex action, or instinct, answers to
+the animal faculties, such as acquisitiveness, secretiveness, selfishness,
+reproductiveness, etc., and accomplishes two important purposes;
+self-preservation and the reproduction of the specie. With many persons,
+these appear to be the chief ends of life!</p>
+
+<p>The psychical functions connect, not only with animal propensities, but
+also with the highest psychological faculties. Instinct is the
+representative of animal conditions, just as the highest spiritual
+faculties are indicative of qualities and principles. The consistent mean
+of conduct is an equilibrium between these ultimate tendencies of our
+being. The psychological functions render the animal nature subservient to
+the rule of purity and holiness, and deeply influence it by the essential
+elements of spiritual existence. The psychical organs sustain an
+intermediate relation, receiving the impressions of the bodily
+propensities, and, likewise, of the highest emotions. Obviously, these
+extreme influences, the one growing out of animal conditions, the other,
+the result of spiritual relations, pass into the psychical medium and are
+refracted by it, or made equivalent to one force. The body requires the
+qualifying influences of mind. The tendencies of the animal faculties are
+selfish and limiting, those of the emotive, general, universal. The
+propensities, like gravity, expend their force upon matter; the emotions
+pour forth torrents of feeling, and produce rhapsodies of sentiment. The
+propensities naturally restrict their expression to a specific object of
+sense; the emotions respond to immaterial being. The tendencies of the
+former are acquisitive, selfish, gratifying; of the latter, bestowing,
+expanding, diffusing. The one class is restricted to the orbits of time and
+matter, the other flows on through the limitless cycles of infinity and
+immortality. The former is satiated in animal gratification, the latter in
+spiritual beatification. The one culminates in animal enjoyment, the other
+expands to its ultimate conceptions in the perfections of Divine Love.</p>
+
+<p>In the present life, mind and body are intimately connected by nervous
+matter. In this dual constitution, the spiritual mental, and animal
+functions are made inseparable, and modify <span class="pagenum"><a
+name="Page_119" id="Page_119"></a>[pg 119]</span>one another. The ultimate
+tendencies of each extreme exist, not absolutely for themselves, but for
+qualifying purposes, to establish a basis for the deeper economy of life.
+By the employment of reason, animal and spiritual experiences are mutually
+benefited, and the consciousness rendered accountable. The bodily and
+mental workings are in many senses one, and help to interpret each
+other.</p>
+
+<p>Every fact of mind has many aspects. A brain force, which results in
+thought, is simultaneously a physiological force, if it influences the
+bodily functions. Likewise, spiritual conceptions take their rise in the
+same blood that feeds the grosser tissues. This vital fluid is momentarily
+imparting and receiving elements from all the bodily organs, and these, in
+turn, must influence the process of thought, and, in a degree, determine
+its quality. The delicate outline, yea, even the substance of an idea, may
+depend upon the condition of the animal organs. Thought is subject to the
+laws of biology, and, therefore, is a symbol of health. Morbid conditions
+of the system hang out their signs in words and utterances. Words which
+express fear are as true symptoms of functional difficulty as is excessive
+palpitation. The organ representing fear sustains a special relation to the
+functions of the heart both in health and disease. Bright hopes
+characterize pulmonary complaints as certainly as cough. Exquisite
+susceptibility of mind indicates equally extreme sensibility of body, and
+those persons capable of fully expressing the highest emotions are
+especially susceptible to bodily sensations. Tears are physical emblems of
+grief, and fellow-feeling calls forth sympathetic tears. Excessive anxiety
+of mind produces general excitability of body, which soon results in
+chronic disease. Pleasurable emotions stimulate the processes of nutrition,
+and are restorative. This concomitance of mental and bodily states is very
+remarkable. Joy and Love, as well as jealousy and anger, flash in the eye
+and mould the features to their expression. Grief excites the lachrymal,
+and rage the salivary glands. Shame reddens the ears, drops the eyelids,
+and flushes the face; but profligacy destroys these expressions. The blush
+which suffuses the forehead of the bashful maiden betrays her love, and
+<i>maternal</i> love, stirred by the appeals of an idolized infant, excites
+the mammary gland <span class="pagenum"><a name="Page_120"
+id="Page_120"></a>[pg 120]</span>to the secretion of milk. The sigh of
+melancholia indicates hepatic torpor, thus showing a special relation
+between the liver and respiratory organs. These conditions of mind and body
+react upon one another. Even the thought of a luscious peach may cause the
+mouth to water. The thought of tasting a lemon fills the mouth with
+secretions, and a story with unsavory associations may completely turn the
+stomach.</p>
+
+<p>The relationship of mental and physical functions may be illustrated by
+entirely removing the spleen of an animal, as that of a dog. An invariable
+result of its extirpation is an unusual increase of the appetite, for at
+times the animal will eat voraciously any kind of food. The dog will
+devour, with avidity, the warm entrails of recently killed animals, and
+thrive in consequence of such an appetite. Another symptom, which usually
+follows the removal of the spleen, is an unnatural ferocity of disposition.
+Without any apparent provocation, the animal will attack others of its own,
+or of a different species. In some instances, these outbursts of
+irritability and violence are only occasional, but the experiments show
+quite conclusively that the spleen moderates combativeness, restrains the
+appetite, and co-operates with the will and judgment in controlling
+them.</p>
+
+<p>We shall briefly consider the practical question whether the elements of
+mind can be ideally arranged and presented, so as to more completely reveal
+their relations to, and disclose their effects upon the bodily functions.
+Modern philosophers conceive that mind consists of a triad of essentials;
+<i>Intellect, Emotion,</i> and <i>Volition</i>. Physiologists assign to the
+cerebrum its functions, and neurological, as well as phrenological writers,
+have located them as represented in Fig. 68. True, there is no structural
+division between the parts of the cerebrum to indicate this diversity of
+function, nor is there any perceptible limit between the sensory and motor
+filaments of the game nerve. As no one has any reason for denying that
+separate portions of the brain may manifest distinct functions of the mind,
+we shall assume it as a conceded proposition. The regions of the cerebrum,
+thus ideally represented, occupy but little more than half of the arc of a
+circle, whereas it is evident that the base of the nervous mass is not
+idle, and is equally entitled to our consideration. In the posterior
+chamber <span class="pagenum"><a name="Page_121" id="Page_121"></a>[pg
+121]</span>of the skull is the cerebellum, anterior to, and below which, is
+the medulla oblongata, connecting with the spinal cord and sympathetic
+system. These various parts are essential to the harmonious blending of
+mind and body. To this end, two conditions are necessary. (1.) All the
+nervous forces must be so related that action and reaction may be fully
+established. (2.) A complete nervous circuit is requisite for the
+reciprocal influence of mind and body.</p>
+
+
+
+<p class="lfigure"><a name="advise056b"><img width="90%" alt="Illustration:
+Fig. 68." src="images/advise056b.png" /></a><br />Fig. 68.</p>
+
+
+
+<p class="rfigure"><a name="advise056c"><img width="90%" alt="Illustration:
+Fig. 69. " src="images/advise056c.png" /></a><br />Fig. 69. </p>
+
+<p>Nature answers to mind in physical correspondences. The planetary system
+is fashioned after a circle. Life itself springs from a spherule of forces.
+The perfection of an idea, or the completeness of a conception may be
+expressed by a circle. The elements of Science, Astronomy, Geology, and
+Natural History, are pictorially represented in this manner. How
+appropriately and logically can a fragment of natural history, this epitome
+of all nature and science&mdash;<i>the mind</i>&mdash;be illustrated by a simple
+circle! Every element must act and react, and be equal and opposite. Thus
+may the existence of the opposing energies and functions of each faculty be
+equally represented. The contrast aids us in understanding their ultimate
+tendencies, and enables us to correctly value and define their nature.
+Faculties of kindred qualities may be grouped together, and their
+antagonisms represented in the opposite arc of the circle. Let us employ a
+circle to represent mind. The conception of the abstract <span
+class="pagenum"><a name="Page_122" id="Page_122"></a>[pg 122]</span>quality
+of <i>good</i>, requires contrast with one of a converse nature,
+<i>bad</i>, (see Fig. 69). Opposite faculties may be portrayed in the same
+manner. The functions of the cerebrum and spinal system may be symbolically
+represented as those of the highest and lowest organs, thus giving rise to
+the positive and negative extremes of feeling. The writer conceives of no
+other way in which the widely contrasted facts of human experience can be
+so perfectly symbolized. <i>Good</i> (Fig. 69) may represent moral
+faculties, and <i>bad</i>, their opposites. Undoubtedly, nature is not so
+arbitrary in her arrangements as we are in shadowing forth our imperfect
+conceptions, yet is not this a decided improvement in determining cerebral
+faculties and their relations? We observe how scholars and philosophers
+confound the noblest and most exalted emotions with the animal propensities
+instead of distinguishing between them. "<i>The emotions are a department
+of the feelings, formed by the intervention of intellectual processes.
+Several of them are so characteristic that they can be known only by
+individual experiences; as Wonder, Fear, Love, Anger</i>." See Logic:
+Deductive and Inductive, by Alexander Bain, LL. D., page 508, (1874).</p>
+
+<p>This is not an exceptional, but a common example of classifying Love,
+the highest and purest of the emotions, with Anger, an animal propensity.
+Is it not more practical and philosophical to group the emotional faculties
+together, and upon an opposite arc represent their antagonistic energies,
+the ultimate tendencies of which are criminal? Both groups are mutually
+modifying and restraining; the one relates instinctively to the bodily
+wants, the other to the requirements of mind, and each is essential to a
+consistent life. Accordingly, we deem it philosophical to consider words as
+symbols of mental faculties, and to classify together such spiritual
+unities as joy, hope, faith, and love, the tendencies of which are to
+quicken and transform the ultimates of carnal life into the rudiments of an
+immortal one, the beginning of heaven on earth. These restrain those
+opposites, which lead to crime and death. Love and Hate are as antagonistic
+as heat and cold, and the usefulness of both depends upon their
+<i>proper</i> temperament. Fig. 70 represents the antagonism of the
+Intellectual <span class="pagenum"><a name="Page_123" id="Page_123"></a>[pg
+123]</span>faculties to the Animal, the Emotional to the Criminal, the
+Volitive to the Enfeebling. It is not essential to discover in the
+nerve-substance the precise power from which an impulse originates. We may
+reasonably interpret the functions of the brain, and yet be unable to
+disclose the duties of any ganglionic corpuscle composing it. We may
+foretell what each season of the year will bring forth, when we cannot
+forecast the history of a blade of grass or a single grain of any kind. We
+may predict the amount of rain for a month, and be unable to prognosticate
+correctly, the character of any storm, or give the history of a special
+drop of water. Although we cannot follow the movements of individuals in a
+battle, yet we may predict the result of the combat; and thus, we judge of
+the functions of the brain without the ability to reveal the actions of one
+of the organic molecules of which it is composed. We aim to give a general,
+reasonable, and popular description of cerebral functions and their bearing
+upon health and disease.</p>
+
+
+
+<p class="rfigure"><a name="advise056d"><img width="90%" alt="Illustration:
+Fig. 70." src="images/advise056d.png" /></a><br />Fig. 70.</p>
+
+
+<h4>REGIONAL DIVISIONS.</h4>
+
+
+
+
+<p class="lfigure"><a name="advise057"><img width="90%" alt="Illustration:
+Fig. 71." src="images/advise057.png" /></a><br />Fig. 71.</p>
+
+<p>The anterior portion of the cerebrum is devoted to intellectual
+processes, which freely expend the vital energies. The Intellectual
+faculties are classified as represented in Fig. 71. The lower portion of
+the brain, bounded exteriorly by the superciliary ridge, corresponds to the
+Perceptive, the middle region to the Recollective, and the upper to the
+Reflective faculties. (See also Fig. 65, <i>b</i>.) If we divide the
+forehead by vertical lines, as shown in Fig. 71, the divisions thus formed
+represent respectively, the Active, Deliberative, and Contemplative
+departments of the intellect, all the processes of which are sustained by
+vital changes, the transformation of organized materials. No mental effort
+can be made without waste of <span class="pagenum"><a name="Page_124"
+id="Page_124"></a>[pg 124]</span>nervous matter. The gardener's hoe wears
+by use, and so does every part of the animal organism. Otherwise, nutrition
+would be unnecessary for the adult. The production of thought wears away
+the cerebral substance. In ordinary use, the brain requires one-fifth of
+the blood to support its growth and repair. Great mental efforts are
+attended by a corresponding expenditure of vital treasures, which are
+abstracted from the total forces available for the necessities of the
+system. To repair the losses thus occasioned, materials are appropriated
+from the blood, which furnishes supplies in proportion to the demands made
+by the mental activities. The production of thought wears away the gray
+matter of the cerebrum as surely as the digging of a canal wears away the
+iron particles of the spade. The brain would soon wear out did not the
+nutritive functions constantly make good the waste. The intellect, whether
+engaged in observation, generalization, or profound study consumes the
+brain and blood, hence intellectual activity implies VITAL EXPENDITURE.
+<i>Expenditure</i> is an emphatic word because all functions are essential
+to the production of this nerve-energy, which returns to the system no
+equivalent. Physical exercise, although attended by structural waste, is
+advantageous to the circulation of the blood, nutrition, secretion, and, in
+fact, beneficial to all the organic processes. This is not true of vigorous
+and prolonged mental labor, which is not attended by any of these
+incidental advantages. If a child attends a school in which mental
+development supersedes physical culture, an inordinate ambition sways the
+youthful mind, and <span class="pagenum"><a name="Page_125"
+id="Page_125"></a>[pg 125]</span>its baneful effects upon the health soon
+become manifest. Rigorous application of the intellectual faculties
+consumes the blood, exhausts the vital forces, weakens the organic
+functions, while pallor covers the face, and the eyes sparkle with a hectic
+radiance. The family physician pronounces the condition <i>Anæmia</i>
+(a deficiency of red corpuscles in the blood), and this change in the
+quality of the blood is owing to the undue appropriation by the brain.
+Conversely, if the blood be destroyed, or its vitality reduced, in the same
+proportion will the mental energies be weakened and all the functional
+powers of the physical system enfeebled. In brief, if the intellect be
+unduly exercised, the red corpuscles of the sanguine fluid will be
+gradually destroyed, and the serum allowed to predominate. The blood
+becomes weak and watery, the subject is nervous, dropsical, consumptive and
+derangement of the important functions follows almost invariably. Excessive
+intellectual activity often produces weak state of the system, and the
+person thus affected becomes languid, spiritless, and an easy prey to
+disease. This mental cause and its bodily results may be classified in the
+following order. Mental Cause: EXCESSIVE MENTAL EXERTION, which produces
+<i>waste of the brain substance and blood</i>.</p>
+
+<table summary="" style="margin-left: auto; margin-right: auto">
+<tr><td align='left'></td><td align='left' rowspan='3'
+valign='middle'><big><big><big><big><big><big><big>{</big></big></big></big></big></big></big></td><td align='left'>VITAL
+EXPENDITURE,</td></tr>
+<tr><td align='left'>Bodily results:</td><td
+align='left'>AN&AElig;MIA,</td></tr>
+<tr><td align='left'></td><td align='left'>A WEAK CONDITION.</td></tr>
+</table>
+
+<p>This kind of waste is best summed up in the words, VITAL EXPENDITURE.
+Upon the forehead, as represented in Fig. 72, we will therefore inscribe
+INTELLECT, ACTIVITY, and VITAL EXPENDITURE. Intellectual employment is
+usually accompanied by sedentary habits, neglect of healthful exercise, and
+a deprivation of pure air, to all of which ill health may be attributed.
+Were the intellectual expenditure arrested, and the forces turned into
+recuperative channels, many a person would become beautiful with the ruddy
+glow of health. Without health there is no use for thought; cultivation of
+the mind is just as natural and essential as the culture of the body, and
+the trained development of both is needed for mutual improvement.</p>
+
+
+<p><span class="pagenum"><a name="Page_126" id="Page_126"></a>[pg
+126]</span></p><h4>EMOTIVE FACULTIES.</h4>
+
+
+
+
+<p class="figure"><a name="advise058"><img width="40%" alt="Illustration:
+Fig. 72." src="images/advise058.png" /></a><br />Fig. 72.</p>
+
+<p>What results follow the <i>natural</i> and the <i>excessive</i> exercise
+of the EMOTIVE FACULTIES? AS distinct organs of the body have diverse
+functions, so, in like manner, different parts of the brain perform the
+separate operations of the mind. It is easier to discriminate between the
+products of these dissimilar endowments than to determine the location of
+the faculties. The intellect deals with concrete subjects, and the emotions
+with abstractions; the intellect is exercised with material things, the
+emotions dwell upon attributes; the intellect considers the forces of
+matter, the emotions, the powers of <span class="pagenum"><a
+name="Page_127" id="Page_127"></a>[pg 127]</span>the soul; the former
+deliberates upon the truths of science, the latter is concerned with
+duties, obligations, or moral responsibilities; the first is satisfied only
+with new truths, original ideas, and rational changes, the last rest
+securely on fundamental principles, moral certainties, and the absolute
+constancy of perfect love. The intellectual faculties are wakeful,
+questioning, mistrustful; the emotions are blind, hopeful, confiding; the
+one reasoning, exacting, demonstrating; the other, believing, inspiring,
+devout. The intellect sees, the emotions feel; and, though these functions
+may blend, the one can never supersede the other.</p>
+
+<p>The quality of the emotional faculties is represented by Benevolence,
+Sympathy, Joy, Hope, Confidence, Gratitude, Love, and Devotion, all of
+which are the very antitheses of the attributes of animal feeling,
+described as Melancholy, Fear, Anger, Hate, Malevolence, and Despair. To
+the emotions we refer the highest qualities of character, while their
+opposites represent the animal or baser impulses. True, the emotions modify
+the propensities, as sympathy softens grief. They may subdue and refine the
+animal feelings, and thus veil them with a delicacy characteristic of their
+own purity; but the unrestrained influences of grief find vent in loud
+lamentations, and the bitter disappointments of the selfish faculties are
+passionate and violent.</p>
+
+<p>The <i>Emotive Faculties</i>&mdash;the organs of spiritual perceptions&mdash;are
+impersonal, outflowing, bestowing. The function represented by Benevolence,
+is willing, giving. Devotion expresses dedication, consecration; Gratitude
+manifests a warm and friendly feeling toward a benefactor.</p>
+
+<blockquote>
+<p>
+"The depth immense of endless gratitude."&mdash;MILTON.<br />
+</p>
+</blockquote>
+
+<p>Love flames toward its object, is out-pouring, blessing; indeed, all the
+emotions are gushing, effusive, impetuous, and profusely flowing; grand,
+torrent-like, overwhelming; employing ideal, immaterial, spiritual
+expressions, developing principles and perfections while aspiring to
+happiness and immortality. Though beginning with humanity, they embody the
+Divine. They expand to their ultimate conceptions in the sublime
+attributes: the perfections of the God of Love; associating <span
+class="pagenum"><a name="Page_128" id="Page_128"></a>[pg 128]</span>with
+mortality a divine destiny commencing on earth, extending through time,
+pausing not at the portals of death, the gateway to eternity, but flowing
+onward into the realms of eternal day.</p>
+
+<p>We may consider their counteracting influences, for, without doubt, by
+checking the selfish tendencies and restraining the animal propensities,
+they assist in controlling the sensual passions, and thus balance the mind
+and body. Such an equilibrium we call <i>happiness</i>. If the emotions be
+acute and vehement, they will absorb all other impressions and revel in
+their culminating and delightful experiences. They exhaust all the bodily
+energies, and a functional suspension, termed <i>ecstasy</i>, follows. It
+is a swooning, or fainting, a temporary loss of sensation and volition,
+accompanied by involuntary movements of the arms, smiting of the hands,
+sighing, and short ejaculatory expressions of rapture. This condition,
+occasioned by excessive emotion, as in praying, singing, exhortations, and
+sympathetic appeals, is contagious, often spreading with mysterious
+rapidity. Its culmination, ecstasy, is popularly termed "<i>the power</i>."
+When gradually induced, it is called <i>trance</i>, and each state is
+regarded by many as supernatural, caused by the immediate influence of the
+Holy Spirit. The explanation is this: when the emotive faculties are
+suddenly and powerfully excited, they quickly expend the organic forces, so
+that the individual swoons from sheer exhaustion. Undue expenditure of this
+class of brain functions not only consumes the bodily powers, but exhausts
+and prevents other mental operations. The sudden collapse of all voluntary
+functions resembles the fainting produced by blood-letting. We may sum up
+this rapid expenditure of energy in one expressive word, EXHAUSTION, which
+results in <i>Ecstasy</i>, or trance, and which, if carried a degree
+further, terminates in death. Beginning with the natural exercise of the
+emotions, we may state the order of sequences thus:</p>
+
+<table summary="" style="margin-left: auto; margin-right: auto">
+<tr><td align='left'>Ordinary exercise leads to</td><td
+align='left'>CALMNESS.</td></tr>
+<tr><td align='left'>Proper exercise</td><td
+align='left'>HAPPINESS.</td></tr>
+<tr><td align='left'>Increased exercise</td><td
+align='left'>ECSTASY.</td></tr>
+<tr><td align='left'>Excessive exercise</td><td
+align='left'>SYNCOPE.</td></tr>
+<tr><td align='left'>Prolonged exercise</td><td
+align='left'>TRANCE.</td></tr>
+<tr><td align='left'>Fatal exercise</td><td
+align='left'>MORTALITY.</td></tr>
+<tr><td align='left'>Their tendencies are</td><td
+align='left'>EXHAUSTIVE.</td></tr>
+</table>
+
+<p><span class="pagenum"><a name="Page_129" id="Page_129"></a>[pg
+129]</span></p><h4>VOLITIVE FACULTIES.</h4>
+
+
+<p>What are the physiological and morbid results attending the ordinary and
+the immoderate exercise of the VOLITIVE FACULTIES?</p>
+
+<p>The generic term <i>will</i>, comprehends those faculties, the action of
+which is termed <i>volition</i>. The faculties of the will are
+Determination, Firmness, Decision, Ambition, Authority, and Vigilance, all
+of which indicate strength and continuity of purpose. Bordering upon the
+emotions are Patience and Perseverance, while adjoining the animal
+faculties are Power, Coarseness, and Love of Display. The former exhibit
+moral, the latter animal heroism. A sense of power urges forward, whether
+it be higher or lower, just as the sense of greatness makes a man
+<i>great</i> by inspiring him with confidence to put forth exertion. Nature
+is truthful in her aspirations. We know that courage, assurance, and
+conscious power are necessary for the fulfillment of purpose, because
+intention precedes action. Will-power is an indication of HEALTH, and the
+constant exercise of these mental faculties exerts a steady, regular, and
+strengthening influence over the bodily functions. We translate mental
+energies into physiological industry. These faculties impart tone to the
+system, sustain the processes of nutrition, circulation, assimilation,
+secretion and excretion, and their distinguishing characteristics are
+vigor, tension, and elasticity. They temper each element of character, as
+well as every vital act. They infuse the organism with a resisting power
+which renders it proof against the influence of miasma and malaria, and
+overcomes that passivity and impressionability so favorable to disease.
+Firmness expresses a physiological cohesiveness which strongly binds
+together the fibers of the tissues, and renders the organization compact
+and powerful. He, who can skillfully employ these energies, is already
+master of half of the diseases incident to mankind, and wields an
+indispensable adjunct to medicine, in the practice of the healing art. It
+is the key to success, for it unlocks difficulties and opens wide the door
+which leads to favorable results.</p>
+
+<p>Surplus energy sustains the circulation, increases capillary action, as
+if the excess of nerve-power were discharged from <span class="pagenum"><a
+name="Page_130" id="Page_130"></a>[pg 130]</span>the distant extremity of
+each nerve and pervaded every tissue. The voluntary muscles indicate their
+participation in this energy, and, indeed, the whole organism is exalted by
+the influence of the mental faculties. They oppose the tendencies of
+Feebleness, Relaxation, and Derangement, and modify their proclivities to
+Disease. The will is the servant of the intellect, emotions, and
+propensities, and the executive agent of all the faculties. When the
+volitive faculties are in excess, they may overdo the other functions,
+prematurely break down the bodily organs, and, by overtaxing the system,
+subject it to pain and disorder.</p>
+
+
+<h5>VOLITIVE FACULTIES.</h5>
+
+
+<p>The natural effect of FIRMNESS is physiological stability. The exercise
+of the volitive faculties displays both mental and bodily ENERGY.</p>
+
+<table summary="" style="margin-left: auto; margin-right: auto">
+<tr><td align='left'></td><td align='left' rowspan='3'
+valign='middle'><big><big><big><big><big><big><big>{</big></big></big></big></big></big></big></td><td
+align='left'>TEMPERANCE,</td></tr>
+<tr><td align='left'>Their tendencies are to</td><td
+align='left'>SANITY,</td></tr>
+<tr><td align='left'></td><td align='left'>HEALTH.</td></tr>
+</table>
+
+<h4>ANIMAL FACULTIES.</h4>
+
+<p class="lfigure"><a name="advise059"><img width="90%" alt="Illustration:
+Fig. 73. is a representation of the cranial conformation of Alexander VI.,
+" src="images/advise059.png" /></a><br />Fig. 73. is a representation of
+the cranial conformation of Alexander VI., exhibiting a full development of
+the conservative faculties. His character, according to history, brought
+reproach upon the papal chair.</p>
+
+<p class="rfigure"><a name="advise060"><img width="90%" alt="Illustration:
+Fig. 74. represents Zeno, a profound thinker and moral philosopher. "
+src="images/advise060.png" /></a><br />Fig. 74. represents Zeno, a profound
+thinker and moral philosopher. The contrast in their cranial developments
+was no greater than that of their lives.</p>
+
+<p>Under this generic term we will group those cerebral powers which are
+common to the inferior animals, and closely allied to
+bodily conditions and necessities. As denoting a group of animal
+faculties they relate not only to the organic functions and
+self-preservation, but combat the action of the intellect, <span
+class="pagenum"><a name="Page_131" id="Page_131"></a>[pg 131]</span>oppose
+the evolution of new ideas, resist investigation, and discredit the value
+of truth. Adhesiveness, being blindly conservative, clings to old ideas and
+traditionary opinions. The animal faculties tend to stifle investigation,
+and put authority above truth and science. Having a fixity of nature, a
+stationary attachment, they treat all intellectual developments as absurd.
+When these faculties predominate, thought is obscured, intolerance of
+disposition is manifested, and mental progress is arrested. Thus they
+evince their conservative nature, and, since they relate to individual
+interests, they represent the elements of instinct. Such are the functions
+of Acquisitiveness, Secretiveness, Selfishness, and Combativeness, as well
+as the Generative powers. If these faculties predominate, all intellectual
+advancements are treated as experiments or theoretical novelties, and
+rejected as evanescent and worthless. If the promptings of these be
+followed, there will be no innovation, and the orthodoxy of the dark ages
+will remain the standard for all time. The animal faculties coincide with
+Lethargy, Sleep, and Nutrition, thus favoring organic restoration. The
+intellectual faculties are wakeful, active, irrepressible, while the animal
+powers tend to repose, sleep, and renovation, and thus suspend the
+activities of thought, sense, and motion. The intellect expends the energy
+of the sensorial centers, induces fatigue and suffering, whereas the animal
+faculties overcome the vigils of thought, and produce refreshing slumber.
+Dr. Young styles sleep "tired nature's sweet restorer." Swedenborg declared
+that, "in sleep the brain folded itself up, and the soul journeyed through
+the body, repairing the wastes of the previous day." When sleep is natural,
+the insane are in a fair way to recovery, the sick become convalescent,
+ulcers granulate, and lesions are made whole.</p>
+
+<p>The animal faculties are skeptical, stubborn, and dogmatic, readily
+combining with those of the violent class, the ultimate tendencies of which
+are criminal. They are likewise conceited, assuming, and clannish. Any
+person distinguished by them, will cling to old associations, perpetuate
+the status of existing parties, be a stickler for creed, ceremonies, and
+stale opinions, and adhere to ancient orthodoxy in medicine and religion.
+The animal faculties, since they are staid and regular, are naturally <span
+class="pagenum"><a name="Page_132" id="Page_132"></a>[pg
+132]</span>antagonistic to genius, sensibility, and originality. Their
+mental tendencies have been fairly described and their physiological
+results may be represented as follows:</p>
+
+<table summary="" style="margin-left: auto; margin-right: auto">
+<tr><td align='left'></td><td align='left' rowspan='5'
+valign='middle'><big><big><big><big><big><big><big>{</big></big></big></big></big></big></big></td><td
+align='left'>RESTRAINT,</td></tr>
+<tr><td align='left'></td><td align='left'>SLEEP,</td></tr>
+<tr><td align='left'>The animal faculties produce</td><td
+align='left'>NUTRITION,</td></tr>
+<tr><td align='left'></td><td align='left'>RESTORATION,</td></tr>
+<tr><td align='left'></td><td align='left'>CONSERVATION.</td></tr>
+</table>
+
+<h4>BASILAR FACULTIES.</h4>
+
+
+<p>The ultimate tendencies of the faculties, represented by the posterior
+base of the cerebrum, are violent and criminal. Being contiguous to the
+junction of the cerebrum and spinal system, they are subject to the
+influence of animal experiences. A large development of these faculties is
+indicated by an unusual breadth and depth of the back part of the base of
+the brain, and a full, thick neck, both of which denote good alimentary and
+digestive powers. Active nutrition, plethora of the circulation, vigorous
+secretion, a well developed muscular system, a large heart and lungs, are
+accessory conditions. We do not associate corpulence or surplus of vitality
+with a long, slender neck. The character of cerebral manifestations is
+represented by the baser faculties of mind, such as Combativeness,
+Destructiveness, Desperation, Turbulence, Hatred, and Revenge. If
+unrestrained, these culminate in violent and criminal acts; if
+<i>regulated</i>, they are employed in personal defense. When <i>unduly
+excited</i>, they lead to dissipation, obscenity, swearing, rowdyism, and
+licentiousness; when <i>perverted</i>, they are the source of recklessness,
+quarrels, frauds, falsehoods, robberies, and homicides. They are unlike
+instinct, inasmuch as they are not self-limiting. The intimate relation
+which they sustain to the stomach and nutritive functions is strikingly
+displayed in the habit of alcoholic intoxication. Spirituous drinks deprave
+the appetite, derange and destroy the stomach, poison the blood, and
+pervert all the functions of mind and body; and their injurious influence
+upon the nerves and basilar faculties is equally remarkable. They excite
+combativeness, selfishness, irritability, and exaggerate the influence of
+the animal organs. Intemperance results in disputes, fights, brawls, <span
+class="pagenum"><a name="Page_133" id="Page_133"></a>[pg 133]</span>and
+murders&mdash;the legitimate consequences of which are misunderstandings, suits
+at law, criminal proceedings, imprisonment, and the gallows. It is,
+therefore, evident that the ultimate tendencies of these faculties are
+tyrannical, cruel, violent, and atrocious. They are opposed to the noble,
+moral faculties&mdash;Faith, Love, and Devotion&mdash;and, whenever temptation
+inordinately allures, the course of life is likely to be characterized by
+dishonorable, deceptive, and treacherous conduct.</p>
+
+<p>The pangs of hunger cause soldiers to act more like ravenous beasts,
+than rational beings. It is animal instinct which impels the soldier to
+seek first for the gratification of his appetite. Some persons, instigated
+by carnivorous desires, yearn for raw meat, and will not be satisfied
+unless their food is flavored with the flesh of animals. Their bodies
+increase and thrive, even to repletion. Contrast these individuals with
+pale, lean, anæmic people, who crave innutritious articles of diet,
+and eat soft stones, slate, chalk, blue clay, and soft coal. Such
+perversions of the appetite are manifested only when there is either a
+diminution in the volume of blood, deficient alimentation, defective
+assimilation, or a general depravity of the nutritive functions. Morbid
+conditions generate vitiating tendencies and destroy the natural
+appetite.</p>
+
+<p>While alcoholic stimulants affect the medulla oblongata principally,
+opium acts chiefly on the cerebrum, and excites reverie, dreamy ideality,
+optical delusions, and the creative powers of the imagination; some of
+these hallucinations are said to be grotesquely beautiful and enjoyable.
+The effects of this agent differ from those of alcoholic intoxication by
+not deadening the moral sensibilities, or arousing the animal propensities.
+Opium smokers are dreamy and abstracted, not quarrelsome or violent. Those
+who use ardent spirits lose their moral delicacy, their intellect becomes
+dull, the reason cloudy, and the judgment is overruled by appetite. It is
+conceded that the <i>trophic center</i> is principally in the medulla
+oblongata; the cerebellum and lower cerebral ganglia, however, favorably
+influence the nutritive functions, and, when these organs are large and
+active, a plethoric condition is the natural consequence. Redundancy of
+blood in the body indicates preponderance of the basilar organs. These
+faculties <span class="pagenum"><a name="Page_134" id="Page_134"></a>[pg
+134]</span>being vehement in character, an excess of animal characteristics
+produces those conditions which result in acute and inflammatory diseases.
+We may express these conditions of the system as follows:</p>
+
+<p>The <i>Animal Faculties</i> correspond to the lower instinctive
+manifestations.</p>
+
+<table summary="" style="margin-left: auto; margin-right: auto">
+<tr><td align='left'></td><td align='left' rowspan='3'
+valign='middle'><big><big><big><big><big><big><big>{</big></big></big></big></big></big></big></td><td
+align='left'>ACQUISITIVENESS,</td></tr>
+<tr><td align='left'>The elements of character are</td><td
+align='left'>SELFISHNESS,</td></tr>
+<tr><td align='left'></td><td align='left'>COMBATIVENESS</td></tr>
+<tr><td align='left'>They tend to</td><td align='left' rowspan='2'
+valign='middle'><big><big><big><big><big><big><big>{</big></big></big></big></big></big></big></td><td
+align='left'>TURBULENCE,</td></tr>
+<tr><td align='left'></td><td align='left'>CRIME.</td></tr>
+<tr><td align='left'></td><td align='left' rowspan='4'
+valign='middle'><big><big><big><big><big><big><big>{</big></big></big></big></big></big></big></td><td align='left'>ALIMENTATION,</td></tr>
+<tr><td align='left'>They relate especially to the</td><td align='left'>
+SECRETION,</td></tr>
+<tr><td align='left'>functions of</td><td align='left'>NUTRITION,</td></tr>
+<tr><td align='left'></td><td align='left'>REPRODUCTION.</td></tr>
+<tr><td align='left'></td><td align='left' rowspan='3'
+valign='middle'><big><big><big><big><big><big><big>{</big></big></big></big></big></big></big></td><td align='left'>VITALITY,</td></tr>
+<tr><td align='left'>A large development of them</td><td
+align='left'>PLETHORA,</td></tr>
+<tr><td align='left'>indicates</td><td align='left'>HYPER&AElig;MIA
+(congestion).</td></tr>
+</table>
+
+<p>These naturally give rise to the following diseases: Inflammation,
+Rheumatism, Gout, Convulsions, etc., which, in these conditions, pursue a
+violent course.</p>
+
+
+<h4>REGION OF FEEBLENESS.</h4>
+
+
+<p>Although the middle lobe of the cerebrum, at the base of the brain, does
+not denote decided force of character, or energy of constitution, yet it
+has a certain sphere of normal action which is essential to the harmony of
+mind and body. If this region is largely developed, the constitution is
+languid, inefficient, sensitive, and abnormally disposed. But if it be
+deficient, the volitive energies preponderate, and there is a lack of those
+susceptibilities of constitution, which prevent excessive waste. The
+cerebral faculties are Fear, Anxiety, Sensibility, Servility, Relaxation,
+and Melancholy, and their excessive predominance indicates a weak,
+vacillating, irresolute character, and the existence of those bodily
+conditions which produce <i>general excitability</i> and chronic
+derangement. A full development of this portion of the brain indicates that
+the person is naturally dependent, inferior, and subservient to stronger
+characters. Such a one is fearful, fretful, complaining, irritable,
+dejected, morose, <span class="pagenum"><a name="Page_135"
+id="Page_135"></a>[pg 135]</span>and, sooner or later, becomes a fit
+subject for chronic disease.<sup><a href="#fn5" name="rfn5">[5]</a></sup>
+The ultimate result of excessive fear, excitability, and irritability, is
+functional or organic derangement,&mdash;the morbid conditions represented by
+the word Disease. The medulla oblongata and portions of the middle lobe of
+the brain, the functions of which represent Excitability, Anxiety, Fear,
+and Irritability (symbols of physical profligacy), are located just between
+the ears (see Fig. 60). Inferior animals distinguished for breadth between
+the ears are not only cunning and treacherous, but very excitable and
+irritable. The head of the Fox is remarkable for its extreme width at the
+region of Fear. He is proverbially crafty and treacherous, always
+excitable, and so variable in temper that he can never be trusted. He is a
+very timid thief, exceedingly suspicious, irregular in habits, and
+frequently driven by hunger into mischievous depredations.</p>
+
+
+
+<p class="rfigure"><a name="advise061"><img width="90%" alt="Illustration:
+Fig. 75. Sly Reynard" src="images/advise061.png" /></a><br />Fig. 75. Sly
+Reynard</p>
+
+<p>The organ of alimentiveness, located directly in front of the ear,
+indicates the functional conditions of the stomach, which, when aroused by
+excessive hunger, exerts a debasing influence upon this and all of the
+adjacent organs, and is demoralizing to both body and mind. In obedience to
+the instinct of hunger, children will slyly plunder gardens and orchards,
+displaying profligate, if not reckless tendencies in the gratification of
+the appetite. In this regional division we include the medulla, the
+posterior and middle portions of which give rise to the pneumogastric
+nerve. This nerve receives branches from the spinal accessory, facial,
+hypoglossal, and the anterior trunks of the first and second cervical, and
+its filaments are distributed to the <span class="pagenum"><a
+name="Page_136" id="Page_136"></a>[pg 136]</span>lungs, stomach, liver,
+spleen, pancreas, and gall bladder (see Fig. 60, with explanation) Its
+agency is necessary to maintain the circulation, and the respiration,
+since, as the medium of communication, it conveys from the brain large
+supplies of nervous force to sustain these vital functions. It likewise
+instantly reports the impressions of these physiological processes to the
+brain, and especially to those parts which, by analogy of functions. It
+likewise instantly reports the impressions of these physiological processes
+of the brain, and especially to those parts which, by analogy of functions,
+are intimately related to the stomach. Hence, we observe that the
+conditions of the stomach give rise to reflex impulses, which involuntarily
+excite the animal faculties to the gratification of the appetite. That the
+stomach has an intimate connection with the rest of the organism is evident
+from the fact that when it is inflamed the body is completely
+prostrated.</p>
+
+<p>We have already alluded to the perverting tendencies of alcoholic
+stimulants. Their peculiar influence upon the cerebellum causes the subject
+to reel and stagger, as though a portion of that organ were removed; the
+group of energetic faculties is stupefied, and mental as well as corporeal
+lethargy is the result. The reaction, which inevitably follows, is almost
+unbearable, and relief is sought by repeating and increasing the poisonous
+draughts, the primary influence of which is stimulating, the ulterior,
+depressing. Alcoholic stimulants unduly excite the nervous centers, the
+heart, and the arteries, and, consequently, the blood is carried to the
+surface of the body, where it counteracts the influence of cold and
+exposure, the frequent attendants upon drunkenness. The use of alcoholic
+beverages perverts the appetite, interrupts habits of industry and destroys
+all force of character. Pecuniary, physical, and mental ruin, therefore,
+are sure to follow as the consequences of habitual, alcoholic
+intoxication.</p>
+
+<p>That ordinary alimentation, which includes the process of digestion, the
+subsequent vital changes involved in the conversion of food into blood, and
+its final transformation into tissue, causes mental languor and dullness,
+as well as bodily exhaustion, is attested by universal experience. A torpid
+condition of the liver, one of the most inveterate of chronic derangements,
+is <span class="pagenum"><a name="Page_137" id="Page_137"></a>[pg
+137]</span>indicated by sullenness, melancholy, despondency, loss of
+interest in the affairs of life, sluggishness, etc., and the ultimate
+tendency of this morbid state is towards <i>suicide</i>. A broad and deep
+development of the middle lobe of the brain, shown by a fullness under the
+chin, and of the adjacent portion of the neck, denotes tendencies to
+somnambulism, delirium, and insanity. If such characteristics of the
+organization do not culminate in mental derangement, they exhibit
+childishness, helplessness, and great dependence. Age abates the vigor of
+the executive faculties, and old people manifest not only bodily
+infirmities, but the relaxing and enfeebling influences proceeding from the
+lower portions of the brain. They totter about in their second childhood,
+mentally and physically enervated. Those who become dissipated by the use
+of intoxicating beverages are not only weak, trifling, and foolish, but
+walk with an unsteadiness which betrays their condition. These
+illustrations show that this part of the brain is destitute of energy.
+Diseases of the digestive organs also indicate it. Cholera, whether induced
+by invisible animalcules in the air, or in water, takes the route of the
+alimentary canal, opens the vital gates, and myriads of victims are swept
+down to death. It proves remarkably fatal to those having this cerebral
+conformation. Perhaps enough has been said to indicate the relaxing and
+enfeebling tendencies of this region of the brain. They may be classified
+as follows:</p>
+
+<table summary="" style="margin-left: auto; margin-right: auto">
+<caption><i>REGION OF FEEBLENESS.</i></caption>
+<tr><td align='left'></td><td align='left' rowspan='7'
+valign='middle'><big><big><big><big><big><big><big>{</big></big></big></big></big></big></big></td><td
+align='left'>SERVILITY,</td></tr>
+<tr><td align='left'></td><td align='left'>CAUTIOUSNESS,</td></tr>
+<tr><td align='left'></td><td align='left'>FEAR,</td></tr>
+<tr><td align='left'>Cerebral Functions:</td><td align='left'>ANXIETY,</td></tr>
+<tr><td align='left'></td><td align='left'>SENSIBILITY,</td></tr>
+<tr><td align='left'></td><td align='left'>CUNNING,</td></tr>
+<tr><td align='left'></td><td align='left'>PROFLIGACY.</td></tr>
+<tr><td align='left'></td><td align='left' rowspan='5'
+valign='middle'><big><big><big><big><big><big><big>{</big></big></big></big></big></big></big></td><td
+align='left'>ATONIC,</td></tr>
+<tr><td align='left'>Physiological conditions</td><td
+align='left'>EXCITABILITY,</td></tr>
+<tr><td align='left'>and tendencies:</td><td align='left'>RELAXATION,</td></tr>
+<tr><td align='left'></td><td align='left'>FEEBLENESS,</td></tr>
+<tr><td align='left'></td><td align='left'>DISEASE.</td></tr>
+</table>
+
+<p>This classification shows their tendencies to chronic disease,
+functional derangement, insanity, and suicide.</p>
+
+
+<p><span class="pagenum"><a name="Page_138" id="Page_138"></a>[pg
+138]</span></p><h4>GENERAL CONSIDERATIONS.</h4>
+
+
+<p>Before the structure of the brain was understood, Buffon spoke of it as
+a "mucous substance of no great importance." Its functional significance
+was so slightly appreciated that some people hardly suspected they had any
+brains, until an <i>accident</i> revealed their existence. Latterly,
+however, it is generally understood that the perfection of an animal
+depends upon the number and the development of the organs controlled by the
+nervous system, the sovereign power of which is symbolized by a grand
+cerebrum, the throne of Reason. That animal which is so low in the scale of
+organization as to resemble a vegetable, belongs to an ascending series
+ending in man. The lowest species have no conscious perception, and their
+movements do not necessarily indicate sensation or volition. Instinct
+culminates in the <i>Articulates</i>, especially in Insects; while created
+intelligence reaches its acme in man, the highest representative of the
+<i>Vertebrates</i>.</p>
+
+<blockquote>
+<p>
+"All things by regular degrees arise&mdash;<br />
+From mere existence unto life, from life<br />
+To intellectual power; and each degree<br />
+Has its peculiar necessary stamp,<br />
+Cognizable in forms distinct and lines."&mdash;<b>LAVATER</b>.<br />
+</p>
+</blockquote>
+
+
+
+<p class="lfigure"><a name="advise062"><img width="90%" alt="Illustration:
+Fig. 76. Outline of Skulls. " src="images/advise062.png" /></a><br />Fig.
+76. Outline of Skulls. <i>1.</i> European. <i>2.</i> Negro. <i>3.</i> Tiger. <i>4.</i> Hedge Hog. <i>5.</i>
+Sloth.</p>
+
+<p>Man, in the faculties of mind, possesses more than a complement for
+instinct; some of the lower animals, however, seem to share his rational
+nature, and to a certain degree become responsible to him. Finally, the
+manifestations of mind bear a relation to the development of cerebral
+substance, and to the bodily organization which supplies the brain with
+blood. Fig. 76 shows the relative amount of brain matter in the lower
+animals, compared with <span class="pagenum"><a name="Page_139"
+id="Page_139"></a>[pg 139]</span>that of man; the peculiarities of each
+agreeing with its cerebral conformation. It is easier to measure the
+capacity of skulls in different races than to procure and weigh their
+brains. The following table has been published.</p>
+
+<table summary="" style="margin-left: auto; margin-right: auto">
+<caption>CRANIAL CAPACITY OF HUMAN RACES.</caption>
+<tr><th align='left'>Race.</th><th align='left'>CUBIC INCHES.</th></tr>
+<tr><td align='left'>Swedes,</td><td align='right'>100.00</td></tr>
+<tr><td align='left'>Anglo-Saxons,</td><td align='right'>96.60</td></tr>
+<tr><td align='left'>Finns,</td><td align='right'>95.00</td></tr>
+<tr><td align='left'>Anglo-Americans,</td><td align='right'>94.30</td></tr>
+<tr><td align='left'>Esquimaux,</td><td align='right'>86.32</td></tr>
+<tr><td align='left'>North America Indians,</td><td
+align='right'>84.00</td></tr>
+<tr><td align='left'>Native Africans,</td><td align='right'>83.70</td></tr>
+<tr><td align='left'>Mexicans,</td><td align='right'>81.70</td></tr>
+<tr><td align='left'>American Negros,</td><td align='right'>80.80</td></tr>
+<tr><td align='left'>Peruvians and Hottentots,</td><td
+align='right'>75.30</td></tr>
+<tr><td align='left'>Australians,</td><td align='right'>75.00</td></tr>
+<tr><td align='left'>Gorilla, adult,</td><td align='right'>34.50</td></tr>
+<tr><td align='left'>Idiot,</td><td
+align='right'>22.57</td></tr>
+</table>
+
+<p>Mr. Davis, of England, having a collection of about eighteen hundred
+cranial specimens obtained from different quarters of the globe,
+ascertained the relative volume of brain in different races, by filling the
+skulls with dry sand. He found that the European averaged 92 cubic inches,
+the Oceanic 89, the Asiatic 88, the African 86, the Australian 81. Dr.
+Morton, of Philadelphia, had a collection of over one thousand skulls, and
+his conclusions were that the Caucasian brain is the largest, the Mongolian
+next in size, the Malay and American Indian smaller, and the Ethiopian
+smallest of all. The average weight of brain, in 278 Europeans, was 49.50
+oz., in 24 White American soldiers, 52.06 oz., indicating a greater
+<i>average</i> for the American brain.</p>
+
+<table summary="" style="margin-left: auto; margin-right: auto">
+<tr><th align='left'></th><th align='left'>OUNCES</th></tr>
+<tr><td align='left'>The brain of Cuvier, the celebrated naturalist,
+weighed</td><td align='left'>64.33</td></tr>
+<tr><td align='left'>Ruloff, the murderer and linguist,</td><td
+align='left'>59.00</td></tr>
+<tr><td align='left'>Dr. Spurzheim&mdash;phrenologist,</td><td
+align='left'>55.06</td></tr>
+<tr><td align='left'>Celebrated philologist,</td><td
+align='left'>47.90</td></tr>
+<tr><td align='left'>Celebrated mineralogist,</td><td
+align='left'>43.24</td></tr>
+<tr><td align='left'>Upholsterer,</td><td
+align='left'>40.91</td></tr>
+</table>
+
+<p>The weight of the human brain varies from 40 to 70 oz.; that of idiots
+from 12 to 36 40 oz. The average of 273 <span class="pagenum"><a
+name="Page_140" id="Page_140"></a>[pg 140]</span>male European brains was
+49½ oz., while that of 191 females was 44 oz. If we compare the weight
+of the female brain with that of the body, the ratio is found to be as
+1:36.46, while that of the male is as 1:36.50; showing that, relatively,
+the female brain is the larger. It appears that neither the absolute nor
+relative size of the cerebrum, but the amount of gray matter which it
+contains, is the criterion of mental power. Although a large cerebrum is
+generally indicative of more gray matter than a small one, yet it is
+ascertained that the grey substance depends upon the number, and depth of
+the convolutions of the brain, and the deeper its fissures, the more
+abundant is this tissue. It is this substance which is the source of
+thought, while the white portion only transmits impressions.</p>
+
+<p>We do not wish to underrate any attempt heretofore made to classify the
+functions of mind and assign to them an appropriate nomenclature. It is not
+unusual for scientists to give advice to phrenologists and point out the
+fallacies of their system; but it is hardly worth while to indulge in
+destructive criticism, unless something better is offered, as the day has
+passed for ridiculing endeavors to understand and interpret the physiology
+of the brain. The all important question is, not whether phrenologists have
+properly located and rightly earned all the faculties of mind, but have
+their expositions been useful in the development of truth. While
+endeavoring to connect each mental power with a local habitation in the
+brain, the system of phrenology may be chargeable with some incongruous
+classification of the faculties, and yet it has furnished an analysis of
+the mind which has been of incalculable service to writers upon mental
+philosophy. Phrenology, in popularizing its views, has interested thousands
+in their own organizations and powers, who would otherwise have remained
+indifferent. It has called attention to mental and bodily unities, has
+served as a guide to explain the physical and psychical characteristics of
+individuals, and has been instrumental in applying physiological and
+hygienic principles to the habits of life, thus rendering a service for
+which the world is greatly indebted. Samuel George Morton, M.D., whose
+eminent abilities and scholarship are unquestionable, employs the following
+language:</p>
+
+<p><span class="pagenum"><a name="Page_141" id="Page_141"></a>[pg
+141]</span>"The importance of the brain as the seat of the faculties of the
+mind, is pre-eminent in the animal economy. Hence, the avidity with which
+its structure and functions have been studied in our time; for, although
+much remains to be explained, much has certainly been accomplished. We have
+reason to believe, not only that the brain is the center of the whole
+series of mental manifestations, but that its several parts are so many
+organs, each one of which performs its peculiar and distinctive office. But
+the number, locality, and functions of these several organs are far from
+being determined; nor should this uncertainty surprise us, when we reflect
+on the slow and devious process by which mankind has arrived at some of the
+simplest physiological truths, and the difficulties that environ all
+inquiries into the nature of the organic functions."</p>
+
+
+
+<p class="rfigure"><a name="advise063"><img width="90%" alt="Illustration:
+Fig. 77. Side view of the brain of a Cat. " src="images/advise063.png"
+/></a><br />Fig. 77. Side view of the brain of a Cat. A. Crucial sulcus
+dividing anterior convolutions. B. Fissure of Sylvius. C. Olfactory
+bulb.</p>
+
+<p>We may here allude to the recent experimental researches with reference
+to the functions of various portions of the brain, prosecuted by Dr.
+Ferrier, of England. He applied the electric current to different parts of
+the cortical substance of the cerebrum in lower animals which had been
+rendered insensible by chloroform, and by it could call forth muscular
+actions expressive of ideas and emotions. Thus, in a cat, the application
+of the electrodes at point 2, Fig. 77, caused elevation of the shoulder and
+adduction of the limb, exactly as when a cat strikes a ball with its paw;
+at point 4, corrugation of the left eye-brow, and the drawing inward and
+downward of the left ear; when applied at point 5, the animal exhibited
+signs of pain, screamed, and kicked with both hind legs, especially the
+left, at the same time turned its head around and looked behind in an
+astonished manner; at point 6, clutching movement of the <span
+class="pagenum"><a name="Page_142" id="Page_142"></a>[pg 142]</span>left
+paw, with protrusion of the claws; at point 13, twitching backward of the
+left ear, and rotation of the head to the left and slightly upward, as if
+the animal were listening; at point 17, restlessness, opening of the mouth,
+and long-continued cries as if of rage or pain; at a point on the under
+side of the hemisphere, not shown in this figure, the animal started up,
+threw back its head, opened its eyes widely, lashed its tail, panted,
+screamed and spit as if in furious rage; and at point 20, sudden
+contraction of the muscles of the front of the chest and neck, and of the
+depressors (muscles) of the lower jaw, with panting movements. The
+movements of the paws were drawn inward by stimulating the region between
+points 1, 2, and 6; those of the eyelids and face were excited between 7
+and 8; the side movements of the head and ear in the region between points
+9 and 14; and the movements of the mouth, tongue and jaws, with certain
+associated movements of the neck, being localized in the convolutions
+bordering on the fissure of Sylvius (B), which marks the division between
+the anterior and middle lobes of the cerebrum. Dr. Ferrier made similar
+experiments on dogs, rabbits, and monkeys. The series of experiments made
+on the brain of the monkey is said to be the most remarkable and
+interesting, not only because of the variety of movements and distinctly
+expressive character of this animal, but on account of the close conformity
+which the simple arrangement of the convolutions of its brain bears to
+their more complex disposition in the human cerebrum. It is premature to
+say what import we shall attach to these experiments, but they have
+established the correctness of the doctrine, advanced on <a
+href='#Page_105'>page 105</a>, that thought, the product of cerebral
+functions, is a class of <i>reflex actions</i>. The cerebrum is not only
+the source of ideas but also of those co-ordinate movements which
+correspond to and accompany these ideas. Certain cerebral changes call
+forth mental states and muscular movements which are mutually responsive.
+They indicate that various functions are automatic, or dependent upon the
+will, and, as we have seen, experiments indicate that the electric current,
+when applied to the cerebrum, excites involuntary reflex action. We cannot
+say how far these experimental results justify the phrenological
+classification of the faculties of mind, by establishing a <i>causative</i>
+relation <span class="pagenum"><a name="Page_143" id="Page_143"></a>[pg
+143]</span>between the physical and psychical states. This short and
+unsatisfactory account furnishes one fact which seems to support the claim
+of such a relation: the apparent similarity between the motor center of the
+lips and tongue in lower animals, and that portion of the human cerebrum in
+which disease is so often found to be associated with <i>Aphasia</i>, or
+loss of voice. While these experiments are by no means conclusive in
+establishing a theory, yet they favor it.</p>
+
+<p>It is wonderful that nervous matter can be so arranged as not only to
+connect the various organs of the body, but at the same time to be the
+agent of sensation, thought, and emotion. It is amazing, that a ray of
+light, after traversing a distance of 91,000,000 miles, can, by falling
+upon the retina, and acting as a stimulus, not only produce a contraction
+of the pupil, but excite thoughts which analyze that ray, instantly
+spanning the infinitude of trackless space! The same penetrative faculties,
+with equal facility, can quickly and surely discern the morbid symptoms of
+body and mind, become familiar with the indications of disease, and
+classify them scientifically among the phenomena of nature. The symptoms of
+disease which follow certain conditions as regularly as do the signs of
+development, and mind itself is no exception to this uniformity of nature.
+Thoughts result from conditions, and manifest them as evidently as the
+falling of rain illustrates the effect of gravity. The perceptive and
+highest emotive faculties of man depend upon this simple, but marvelously
+endowed nervous substance, which blends the higher spiritual with the lower
+physical functions. The functions of the body are performed by separate
+organs, distinguished by peculiar characteristics. To elucidate the
+distinctions between dissimilar, mental faculties, we have assigned their
+functions, with characteristic names, to different regions of the head. As
+they unquestionably influence the bodily organs, we are sustained by
+physical analogy, in our classification. Our knowledge of the structure and
+functions of the nervous system is yet elementary, and we are patiently
+waiting for scientists to develop its facts, and verify them by
+experimental investigations and such researches as time alone can bring to
+perfection. While real progress moves with slow and measured <span
+class="pagenum"><a name="Page_144" id="Page_144"></a>[pg
+144]</span>foot-steps, the inspirations of consciousness and the inferences
+of logic prepare the popular mind for cerebral analysis. No true system can
+contradict the facts of our inner experience; it can only furnish a more
+complete explanation of their relation to the bodily organs. It should be
+expected that such careful and pains-taking experiments, as are necessary
+to establish a science, will be preceded by intuitive judgments and
+accredited observations, which may be, for a time, the substitutes of those
+more abstruse in detail.</p>
+
+<p>We have, in accordance with popular usage, treated the organs of thought
+as having anatomical relations. The views which we have presented in this
+chapter may seem speculative, but the facts suggesting the theory demand
+attention, and we have attempted to gather a few of the scattered fragments
+and arrange them in some order, rather than leave them to uncertainty and
+greater mystery. It is by method and classification that we are enabled to
+apply our knowledge to practical purposes. Possibly, to some, especially
+the non-professional, an allusion to the fact that cerebral physiology
+contributes to successful results in the practice of medicine, may seem to
+be an exaggerated pretension. None, however, who are conversant with the
+facts connected with the author's experience, will so regard this practical
+reference, for the statement might be greatly amplified without exceeding
+the bounds of truth. Physicians generally undervalue the nervous functions,
+and overlook the importance of the brain as an indicator of the conditions
+of the physical system, because they are not sufficiently familiar with its
+influence over the bodily functions. Pathological conditions are faithfully
+represented by the thoughts, and words, when used to describe symptoms,
+become the symbols of feelings which arise from disease. How few physicians
+there are who can interpret the thoughts, and glean, from the expressions
+and sentences of a letter, a correct idea of the morbid conditions which
+the writer wishes to portray! Each malady, as well as every temperament,
+has its characteristics, <i>and both require careful and critical
+analysis</i> before subjecting the patient to the influence of remedial
+agents.</p>
+
+<p>In a treatise by Dr. J.R. Buchanan, entitled "Outlines of Lectures on
+the Neurological System of Anthropology," are <span class="pagenum"><a
+name="Page_145" id="Page_145"></a>[pg 145]</span>presented original ideas
+pre-eminently useful to the physician. His researches, and those of later
+writers, together with our own investigations, have greatly increased our
+professional knowledge. It is by such studies and investigations that we
+have been prepared to interpret, with greater facility, the indications of
+disease, and diagnose accurately from symptoms, which have acquired a
+deeper significance by the light of cerebral physiology. We are enabled to
+adapt remedies to constitutions and their varying conditions, with a
+fidelity and scientific precision which has rendered our success in
+treatment widely known and generally acknowledged. We annually treat
+thousands of invalids whom we have never beheld, and relieve them of their
+ailments. This has been accomplished chiefly through correspondence. When
+patients have failed to delineate their symptoms currently, or have given
+an obscure account of their ailments, we have been materially assisted in
+ascertaining the character of the disease by photographs of the subjects.
+The cerebral conformation indicates the predisposition of the patient, and
+enables us to estimate the strength of his recuperative energies. Thus we
+have a valuable guide in the selection of remedies particularly suited to
+different constitutions. In the treatment of chronic diseases, the success
+attending our efforts has been widely appreciated, not only in this, but in
+other countries where civilization, refinement, luxurious habits, and
+effeminating customs, prevail. This fact is mentioned, not only as an
+illustration of the personal benefits actually derived from a thorough
+knowledge of the nervous system, but to show how generally and extensively
+these advantages have been shared by others.</p>
+
+<p>A careful study of cerebral physiology leads us deeper into the
+mysteries of the human constitution, and to the philosophical contemplation
+of the relations of mind and body. Self-culture implies not only a
+knowledge of the powers of the mind, but also how to direct and use them
+for its own improvement, and he who has the key to self-knowledge, can
+unlock the mysteries of human nature and be eminently serviceable to the
+worlds For centuries the mind has been spreading out its treasury of
+revelations, to be turned to practical account, in ascertaining the
+constitution, and determining better methods of treating <span
+class="pagenum"><a name="Page_146" id="Page_146"></a>[pg
+146]</span>disease. Since comparative anatomists and physiologists have
+revealed the structure of animals and the functions of their organs, from
+the lowest protozoan to the highest vertebrate, the physician may avail
+himself of this knowledge, and thus gain a deeper insight into the
+structure and physiology of man. An intimate acquaintance with the
+physical, is a necessary preparation for the study of the psychical life,
+for it leads to the understanding of their mutual relations and reactions,
+both in health and disease.</p>
+
+<p>Consciousness, or the knowledge of sensations and mental operations, has
+been variously defined. It is employed as a collective term to express all
+the psychical states, and is the power by which the soul knows its own
+existence. It is the immediate knowledge of any object whatever, and seems
+to comprise, in its broadest signification, both matter and mind, for all
+objects are inseparable from the cognizance of them. Hence, the
+significance of the terms, subjective-consciousness and
+objective-consciousness. People are better satisfied with their knowledge
+of matter than with their conceptions of the nature of mind.</p>
+
+
+<h4>THE NATURE OF MIND.</h4>
+
+
+<p>Since this subject is being discussed by our most distinguished
+scientists, we will conclude this chapter with an extract from a lecture
+delivered by Prof. Burt G. Wilder, at the American Institute:</p>
+
+<p>"There now remains to be disposed of, in some way, the question as to
+the nature and reality of mind, which was rather evaded at the commencement
+of the lecture. The reason was, that I am forced to differ widely from the
+two great physiologists whom I have so often quoted this evening. Most
+people, following in part early instruction, in part revelation, in part
+spiritual manifestations, and in part trusting to their own consciousness,
+hold that the human mind is a spiritual substance which is associated with
+the body during the life of the latter in this world, and which remains in
+existence after the death of the body, and forms the spiritual clothing or
+embodiment of the immortal soul; and that the individual, therefore, lives
+after death as a spirit in the human form; that of this spiritual man,
+<span class="pagenum"><a name="Page_147" id="Page_147"></a>[pg
+147]</span>the soul is the essential being, of which may be predicted a
+good or evil nature, while the mind, which clothes it as a body, consists
+of the spiritual substances, affections, and thoughts, which were cherished
+and formed during the natural life.</p>
+
+<p>Together with the above convictions respecting themselves, most people,
+when thinking independently of theological sublimations, feel willing to
+admit that animals have, in common with man, fewer or more natural
+affections and thoughts which make up their minds, but that the inner and
+immortal soul, which would retain them as part of an individual after death
+of the body, is not possessed by the beasts that perish. In short, the vast
+majority of mankind, when thinking quietly, and especially in seasons of
+bereavement, feel well assured of the real and substantial existence of the
+human mind, independently of its temporary association with the perishable
+body.</p>
+
+<p>But in antagonism to this simple and comforting faith, stand theological
+incomprehensibilities on the one hand, and scientific skepticism on the
+other. The former would have us believe that the soul is a mere vapor, a
+cloud of something ethereal, of which can be expected nothing more useful
+than 'loafing around the Throne,' while the latter asks us to recognize the
+existence of nothing which the eyes cannot see and fingers touch; to cease
+imagining that there is a soul, and to regard the mind as merely the
+product of the brain; secreted thereby as the liver secretes bile. Let us
+hear what the two leading nervous physiologists, of this country, have to
+say upon this point:</p>
+
+<p>'The brain is not, strictly speaking, the organ of the mind, for this
+statement would imply that the mind exists as a force, independent of the
+brain; but the mind is produced by the brain substance; and intellectual
+force, if we may term the intellect a force, can be produced only by the
+transmutation of a certain amount of matter; there can be no intelligence
+without brain substance.'&mdash;FLINT.</p>
+
+<p>'The mind may be regarded as a force, the result of nervous action, and
+characterized by the ability to perceive sensations, to be conscious, to
+understand, to experience emotions, and to will in accordance therewith. Of
+these qualities, consciousness resides exclusively in the brain, but the
+others, as is clearly shown by observation and experiment, cannot be
+restricted to <span class="pagenum"><a name="Page_148"
+id="Page_148"></a>[pg 148]</span>that organ, but are developed with more or
+less intensity, in other parts of the nervous system.'&mdash;HAMMOND.</p>
+
+<p>Thus do the two extremes of theology and science meet upon a common
+ground of dreamy emptiness, and we who confess our comparative ignorance
+are comforted by the thought that some other things have been 'hid from the
+wise and prudent and revealed unto babes.' Yet, while feeling thus, it must
+be admitted that the existence of spirit and of a Creator do not yet seem
+capable of logical demonstration. The denial of their existence is not
+incompatible with a profound acquaintance with material forms and their
+operations; and, on the other hand, the belief in their existence and
+substantial nature, and in their powers as first causes, have never
+interfered with the recognition of the so-called material forces, and of
+the organisms through which they are manifested. At present, at least,
+these are purely matters of faith; but although the Spiritualist (using the
+term in its broadest sense as indicating a belief in spirits), may feel
+that his faith discloses a beauty and perfection in the union, otherwise
+imperceptible by him, there is no reason why this difference in faith
+should make him despise or quarrel with his materialist co-worker, for the
+latter may do as good service to science, may be as true a man, and live as
+holy a life, although from other motives.</p>
+
+<p>The differences between religious sects are mainly of faith, not of
+works, and the wise of all denominations are gradually coming to the
+conviction that they will all do God more service by toleration and
+co-operation than by animosity and disunion. And so I hold that, until the
+spiritualist feels himself able to demonstrate to the unbeliever the
+existence of spirit and of God, as convincingly as a mathematical
+proposition, there should be no hard words or feelings upon these points.
+For the present they are immaterial in every sense of the word; and so long
+as he bows to the facts and the laws of Nature, and deals with his fellow
+men as he would be done by, so long will I work with him, side by side,
+knowing, even though I cannot tell him so, that whether or not he joins me
+in this world, we shall meet in the other world to come, where his eyes
+will be opened, and where his lips will at least acquit me of bigotry and
+intolerance."</p>
+
+<p><span class="pagenum"><a name="Page_149" id="Page_149"></a>[pg
+149]</span></p><hr />
+
+
+
+
+<h2><a name='CHAPTER_XV'></a>CHAPTER XV.</h2>
+
+<h1>THE HUMAN TEMPERAMENTS.</h1>
+
+
+<p>Organization implies vital energy, since there can be no organization
+without it. The sperm cell, as we have previously seen, exists before the
+initiation of the life of every individual organism. The early history of
+this fertilizing cell, which is composed of infinitesimal molecules which
+contain the embryo powers of life, is only partially written. It is a fact,
+authenticated by Faraday, that one drop of water contains, and may be made
+to evolve, as much electricity as, under a different mode of display, would
+suffice to produce a lightning-flash. Chemical force is of a higher order
+than physical, and vital force is of a still higher order. Within the
+microscopic compass of the sperm cell are a great number of forces acting
+simultaneously, which require the answering conditions of a germ cell, and
+are so blended as to occupy a minimum of space. The union of these subtle
+elements through the agency of their physical, chemical, and vital forces,
+constitutes the initiation of life. Elementary matter is transformed into
+chemical and organic compounds, by natural forces, upon the cessation of
+which, it is liberated by nature's great destroyer, and re-appears in the
+world of elements. Thus, man is formed out of the very dust by means of
+energies which reconstruct the crude, inert matter, and to dust he returns
+when those energies cease.</p>
+
+<p>When we enter upon the consideration of the temperaments, we should bear
+in mind one peculiarity of life: that it combines, in a small space, many
+complex powers. In the process of reproduction, there is a complex
+combination of organic elements. Structures differ as greatly as their
+functions. So <span class="pagenum"><a name="Page_150"
+id="Page_150"></a>[pg 150]</span>likewise do animals vary in their nature
+and organization, and individuals of the same species are, in some
+respects, dissimilar. Yet the characteristics which have distinguished the
+races of mankind, are fundamental and faithfully maintained. Time does not
+obliterate them. Within race-limits are found enduring peculiarities, and,
+although each individual is weaving out some definite pattern of
+organization, it follows the type of the race, as well as the more
+immediate, antecedent condition.</p>
+
+<p>What then is a <i>Temperament</i> but a <i>mixing together</i> of these
+determining forces, a certain blending manifested in the constitution by
+signs, or traits, which we denominate <i>character</i>. The different races
+of mankind must have their several standards of temperament, for the
+peculiarities of one are not fully descriptive of, and applicable to the
+other.</p>
+
+<p>The term temperament is defined by Dunglison, as being "a name given to
+the remarkable differences that exist between individuals, in consequence
+of the variety of relations and proportions between the constituent parts
+of the body.</p>
+
+<p>For its simplicity and scope, we prefer the following definition,
+suggested by our friend, Orin Davis, M.D.: A TEMPERAMENT IS A COMBINATION
+OF ORGANIC ELEMENTS SO ARRANGED AS TO CHARACTERIZE THE CONSTITUTION.</p>
+
+<p>This leads us to consider some of the elements, conditions and forces
+which give character to the organization. External circumstances supply
+necessary conditions to inward activity, for without air, food, or sunlight
+all living animals would perish. Everywhere, life is dependent upon
+conditions and circumstances; it is <i>not</i> self-generating. But the
+conditions of reproduction are very complex. External forces are
+transformed, and, in turn, become vital or formative powers. Development is
+a transmutation of physical and chemical forces into vital energy. Although
+unable to compute the ultimate factors of life, yet we may illustrate their
+reproductive possibilities and results by comparing them with those of a
+lower order.</p>
+
+<p>Animal structures are mainly composed of four elements: oxygen,
+hydrogen, nitrogen and carbon. Other constituents, such as phosphorus,
+sulphur, potassium, sodium, calcium, magnesium, and iron, enter into their
+composition, but are <span class="pagenum"><a name="Page_151"
+id="Page_151"></a>[pg 151]</span>found in much smaller quantities. From
+these elements is fabricated an organism which manifests peculiar
+properties and marvelous functions. If the proportion of these chemical
+elements be varied, the organic compound will be changed, or, the
+proportions remaining the same, if the <i>grouping</i> of the elements be
+altered, different compounds will be produced, showing that the properties
+of organized substances depend upon the <i>molecular</i> constitution of
+matter.</p>
+
+<p>Rising in the scale of organization, we observe that every variation of
+the physical and chemical processes implies a corresponding modification of
+the vital. This is verified by the peculiarities of the several races of
+mankind. Individual differences are likewise modifications of these
+processes. Dynamical or vital differentiation depends upon these
+modifications for the display of vital energy, and is always associated
+with molecular changes. But it should be borne in mind that an effect may
+not resemble its cause in <i>properties</i>, and the <i>qualities</i> of a
+chemical compound may be quite different from those of its individual
+constituents. Organic matter, although more complex, may exhibit
+properties, both like and unlike its constituent elements. Within certain
+boundaries, the elements seek to satisfy their affinities. We discover that
+there are limits between the genera of animals, as well as the races of
+mankind. Not less really, though perhaps not as absolutely, are there
+individual precincts within the sphere of the human temperaments, which
+cannot be passed.</p>
+
+<p>If we cannot satisfactorily explain, we can at least discover a reason
+for temperamental limitation. It is not designed to circumscribe healthful
+reproduction, but to serve as an effectual hindrance to abnormal
+deviations. We may state our belief in more positive terms: that the
+temperamental variations are essential to <i>genesis</i> and
+<i>fertility</i>, and indispensable to <i>health</i> and <i>normal
+development</i>.</p>
+
+<p>Every individual is susceptible to impressions which dispose to action.
+Impressions which excite or increase this disposition, are called
+<i>stimuli</i>. Vital change implies the existence of <i>stimuli</i> and
+<i>susceptibility</i> to stimulation. The stimulus may not be furnished
+because the conditions on which it depends are wanting; again,
+susceptibility may exist at one time and not <span class="pagenum"><a
+name="Page_152" id="Page_152"></a>[pg 152]</span>at another. Stimuli and
+susceptibility may be present in different degrees, but for the purpose of
+healthful reproduction they must not be impaired. No single class of foods,
+albuminous, starchy, saccharine, or mineral, is sufficient for the
+nutrition of the body, but the food must contain substances belonging to
+each of the different classes. If an animal be fed exclusively upon
+albumen, though this substance constitutes the largest part of the bodily
+mass, exhaustion will rapidly follow, since the food does not contain all
+the essential, nutritive elements. Again, when the solids of the body have
+been wasted, they lose their susceptibility to stimuli, and the food does
+no good. Thus patients become emaciated during acute attacks of disease,
+upon the cessation of which they are too feeble to recover, simply because
+they have lost the power to digest and assimilate their food.</p>
+
+<p>In inanimate bodies, as in crystals, forces come to rest, but the very
+idea of life implies action and continual change. Hence diversity of
+constitutions and different temperaments are essential in order that
+marriage may result in the reproduction of vigorous beings.</p>
+
+
+<h4>VITAL AND NON-VITAL TEMPERAMENTS.</h4>
+
+
+
+
+<p class="lfigure"><a name="advise064"><img width="90%" alt="Illustration:
+Fig. 78." src="images/advise064.png" /></a><br />Fig. 78.</p>
+
+<p>In the preceding chapter, we attempted to illustrate the unique blending
+of mind and body by means of the nervous system, and we now propose to
+exemplify the physical conditions of the organism by certain
+correspondences, observed in the development and conditions of that system.
+If nature answer to mind in physical correspondences, she will observe the
+same regularity in physical development. The simplest classification of the
+temperaments is represented in Fig. 78. Not only is mental activity
+dependent upon a vital activity in the brain, but the development of the
+cerebrum is dependent upon the supply of blood. The growth of the intellect
+requires the same conditions that aided in the <span class="pagenum"><a
+name="Page_153" id="Page_153"></a>[pg 153]</span>development of Vulcan's
+right arm: waste and supply; disintegration and reparation of tissue. Our
+modern iron forges produce many an artisan whose great right arm proclaims
+him to be a son of power as well as of fire. Thus the fervid intellect,
+while forging out its thoughts, increases in size and strength. The
+difference between the development of the two is this; that the exercise of
+the blacksmith's right arm quickens the activities of all the bodily
+functions, whereas the employment of the intellect does not offer any
+healthy equivalent. Physical exercise is a hygienic demand, but
+intellectual employment exerts no salutary influence on the body, while it
+is constantly expending the nutritive energies of the blood. The emotions,
+likewise, make exhaustive draughts upon nutrition to supply the waste of
+brain substance, just as certainly as physical labor causes muscular
+change, and demands reparation. One expends cerebral, the other, muscular
+substance. The one is healthful in its general tendencies, the other,
+comparatively wasteful and destructive.</p>
+
+<table summary="" style="margin-left: auto; margin-right: auto">
+<tr><td align='left'></td><td align='left' rowspan='3'
+valign='middle'><big><big><big><big><big><big><big>{</big></big></big></big></big></big></big></td><td
+align='left'>DISINTEGRATING,</td></tr>
+<tr><td align='left'>The intellectual faculties are</td><td
+align='left'>EXPENDING,</td></tr>
+<tr><td align='left'></td><td align='left'>DERIVING.</td></tr>
+<tr><td align='left'></td><td align='left' rowspan='3'
+valign='middle'><big><big><big><big><big><big><big>{</big></big></big></big></big></big></big></td><td
+align='left'>ENGROSSING,</td></tr>
+<tr><td align='left'>The emotive faculties are</td><td
+align='left'>EXHAUSTING,</td></tr>
+<tr><td align='left'></td><td align='left'>DEVITALIZING.</td></tr>
+</table>
+
+<p>These nervous forces are transformed into spiritual products.</p>
+
+<p>The base of the anterior lobes of the brain belong to the atonic
+region&mdash;the source of those languid, deranging influences which coincide
+with morbidity and disease. A disturbance of the corporeal organs, which
+especially influence this portion of the brain, naturally tends to the
+development of insanity or imbecility. Morel has traced, through four
+generations, the family history of a youth who was admitted to the asylum
+at Rouen while in a state of stupidity and semi-idiocy. The following
+summary of his investigations illustrates the natural course of degeneracy
+as it extends through successive generations: immorality, depravity,
+alcoholic excess, and moral degradation, in the great-grandfather, who was
+killed in a tavern brawl; hereditary drunkenness, maniacal attacks, ending
+in general paralysis, in the grandfather; <span class="pagenum"><a
+name="Page_154" id="Page_154"></a>[pg 154]</span>sobriety, but
+hypochondriacal tendencies, delusions of persecutions, and homicidal
+tendencies in the father; defective intelligence in the son. His first
+attack of mania occurred at sixteen, and was followed by stupidity, and
+finally ended in complete idiocy. Furthermore, there was probably an
+extinction of the family, for the son's reproductive organs were as little
+developed as those of a child of twelve years of age. He had two sisters
+who were both defective physically and morally, and were classed as
+imbeciles. To complete the proof of heredity in this case, Morel adds that
+the mother had a child while the father was confined in the asylum, and
+that this child exhibited no signs of degeneracy. Statistics show that
+multitudes of human beings are born with a destiny against which they have
+neither the will nor the power to contend; they groan under the worst of
+all tyrannies, the tyranny of a bad organization, which is theirs by
+inheritance. We may represent the tendencies of the anterior portion of the
+brain by Fig. 79. The functional exercise of the anterior and superior
+portions of the cerebrum is <i>disintegrating</i> and <i>devitalizing</i>,
+while the anterior and inferior portions coincide with mental and physical
+derangement, unless counteracted by opposing forces. It is therefore
+evident that in any organization, upon which is entailed a perverted or
+excessive action of this portion of the cerebrum, the tendencies are
+NON-VITAL, <i>i.e.</i>, unfavorable to fertility and physical health.</p>
+
+<p>If the antagonizing regions are well developed, the tendencies are
+favorable to life.</p>
+
+<table summary="" style="margin-left: auto; margin-right: auto">
+<tr><td align='left'></td><td align='left' rowspan='3'
+valign='middle'><big><big><big><big><big><big><big>{</big></big></big></big></big></big></big></td><td
+align='left'>SANITY,</td></tr>
+<tr><td align='left'>The volitive organs promote</td><td
+align='left'>TEMPERANCE,</td></tr>
+<tr><td align='left'></td><td align='left'>HARDIHOOD.</td></tr>
+<tr><td align='left'></td><td align='left' rowspan='3'
+valign='middle'><big><big><big><big><big><big><big>{</big></big></big></big></big></big></big></td><td
+align='left'>NUTRITION,</td></tr>
+<tr><td align='left'>The animal organs tend to</td><td
+align='left'>RESTORATION,</td></tr>
+<tr><td align='left'></td><td align='left'>CONSERVATION.</td></tr>
+<tr><td align='left'></td><td align='left' rowspan='3'
+valign='middle'><big><big><big><big><big><big><big>{</big></big></big></big></big></big></big></td><td
+align='left'>SECRETION,</td></tr>
+<tr><td align='left'>The basilar faculties instigate</td><td
+align='left'>CIRCULATION,</td></tr>
+<tr><td align='left'></td><td align='left'>VITALITY.</td></tr>
+<tr><td align='left'></td><td align='left' rowspan='3'
+valign='middle'><big><big><big><big><big><big><big>{</big></big></big></big></big></big></big></td><td
+align='left'>ENERGY,</td></tr>
+<tr><td align='left'>The combined action of these</td><td
+align='left'>HEALTH,</td></tr>
+<tr><td align='left'>faculties express</td><td
+align='left'>REPRODUCTION.</td></tr>
+</table>
+
+<p class="figure"><a name="advise065"><img width="40%" alt="Illustration:
+Fig. 79" src="images/advise065.png" /></a><br />Fig. 79</p>
+
+<p>If this portion of the brain indicates a full development, we <span
+class="pagenum"><a name="Page_155" id="Page_155"></a>[pg 155]</span>say of
+such a temperament that it is VITAL, because the functions of its
+nerve-centers are favorable to evolution. As degeneration observes
+conditions, so endurance and development conform to certain laws, and it is
+the duty of all truthful inquirers, who believe not only in the progress of
+human intelligence, but in physical improvement from generation to
+generation, to ascertain and comply with these essential conditions. When
+the anterior and middle lobes of the brain are fully developed at their
+inferior surfaces, it is regarded as an insane temperament, <i>i.e.</i>
+containing the germs of mental and bodily derangement.</p>
+
+<p><span class="pagenum"><a name="Page_156" id="Page_156"></a>[pg
+156]</span>How shall we distinguish the combination of organic elements, if
+not by the manner in which they characterize the constitution? Every human
+being is distinguished by natural peculiarities, both mental and physical.
+These are indicated not only by the color of the eyes, hair, and skin, and
+the mental expressions, but in the conformation and capabilities of the
+corporeal system. The color, form, size, and texture of a leaf indicate to
+the expert pomologist the nature of the fruit which the tree will bear, but
+how much more important is it to understand the harmonies of human
+development. If Prof. Agassiz could determine the form and size of a fish
+by seeing its scales, and Prof. Owen outline the skeleton of an unknown
+animal by viewing a portion of its fossil, why should not the physician
+understand the language of temperaments, since it opens to him the
+revelations of human development? The sculptor blends character with form,
+the artist endows the face with natural expression, the anatomist
+accurately traces the nerves and arteries, the physiognomist reads
+character, which the novelist delineates and the actor personates, because
+there are facts behind all these, the materials wherewith to construct a
+science. In organization there are permanent forces which operate
+uniformly, thus revealing the order of nature.</p>
+
+
+<h4>THE TEMPERAMENTS CLASSIFIED.</h4>
+
+
+
+
+<p class="lfigure"><a name="advise066"><img width="90%" alt="Illustration:
+Fig. 80" src="images/advise066.png" /></a><br />Fig. 80</p>
+
+<p>We propose to speak of four constitutional variations entitled to
+separate consideration; the lymphatic, the sanguine, the volitive, and the
+encephalic. The brain controls all the voluntary, and modifies the
+involuntary functions of the body. A particular cerebral development
+modifies the functions of all the bodily organs, and thus tempers the
+constitution. We shall, therefore, base our classification of temperaments
+upon the mental and physiological characteristics, which are portrayed by
+cerebral development. Such an arrangement is illustrated by Fig. 80.</p>
+
+
+<p><span class="pagenum"><a name="Page_157" id="Page_157"></a>[pg
+157]</span></p><h4>THE LYMPHATIC TEMPERAMENT.</h4>
+
+
+<p>The lymphatic temperament predominates when the anterior base of the
+brain and the middle lobe are developed so as to exert a preponderating
+influence over the bodily functions. The character of this influence we
+have described in cerebral physiology. It is difficult to state precisely
+the normal influences and nerve-forces which arise from these faculties,
+but it is evident that they are specially related to nutritive attraction,
+in opposition to volitive repulsion. It is only their excessive influence
+which produces worthless, miserable, morbid characters. A constitution
+marked by this development is indolent, relaxative, and an easy prey to
+epidemics. This treatment is also characterized by a low grade of vitality
+or resistance. When life is sustained by the volitive powers, it is
+distinguished by a softness of the bodily tissues, and the prevalence of
+lymph. The fact that all the organic functions are performed indolently,
+indicates lack of vital power. An excellent illustration of this
+temperament is found in Fig. 81, which represents a Chinese gentleman of
+distinction. In the lower order of animals, as in sponges, absorption is
+performed by contiguous cells, which are quite as effortless as in plants.
+Because of their organic indolence, sponges are often classed as
+vegetables. A body having an atonic or a lymphatic temperament is
+abundantly supplied with absorbent organs, which are very sluggish in their
+operations. In the lymphatic temperament, there seems to be less
+constructive energy, slower elaboration, and greater frugality. Lymph is a
+colorless or yellow fluid containing a large proportion of water. It is not
+so highly organized as the blood, but resembles it, when that fluid is
+deprived of its red corpuscles. In the sanguine temperament, circulation in
+the blood-vessels is the most active, in the lacteals next, and in the
+lymphatics the least so, but in the lymphatic temperament, this order is
+reversed.</p>
+
+
+
+<p class="figure"><a name="advise067"><img width="40%" alt="Illustration:
+Fig. 81." src="images/advise067.png" /></a><br />Fig. 81.</p>
+
+<p>Dr. W.B. Powell has observed that a lymphatic man has a large head,
+while a fat man has a small one, and also that fat and lymph, are
+convertible, one following the other, <i>i.e.,</i> "a repletion consisting
+of fat may be removed, and one of lymph may replace it, and <i>vice
+versa</i>." He could not account <span class="pagenum"><a name="Page_158"
+id="Page_158"></a>[pg 158]</span>for these alternations. The bear goes into
+his winter quarters sleek and fat, and comes forth in the spring just as
+plump with lymph, but he loses this fat appearance soon after obtaining
+food. This simply indicates that, during lymphatic activity, the digestive
+organs are comparatively quiescent. But when these are functionally
+employed again, lymphatic economy is not required. It is the duty of the
+lymphatics to slowly convert the fat by such transformation, that when it
+reaches the general circulation, it may there unite with other organic
+compounds, the process being aided by atmospheric nitrogen, introduced
+during the act of respiration. In this way it may become changed into those
+chemically indefinite, artificial products, called proteid compounds. This
+view is supported by the disappearance of fat as an organized product in
+the lymph of the lymphatic vessels, indicating that such transformation has
+occurred. In this way, by uniting with other organic compounds, <span
+class="pagenum"><a name="Page_159" id="Page_159"></a>[pg 159]</span>it
+appears that lymph may serve as a weak basis for blood; that atmospheric
+nitrogen is also employed in forming these artificial compounds, is
+indicated by the fact that there is sometimes less detected in arterial
+than in venous blood.</p>
+
+
+
+<p class="figure"><a name="advise068"><img width="40%" alt="Illustration:
+Fig. 82. Judge Green, of the United States Court. "
+src="images/advise068.png" /></a><br />Fig. 82. Judge Green, of the United
+States Court. </p>
+
+<p>This temperament is indicated by lymphatic repletion, soft flesh, pale
+complexion, watery blood, slow and soft pulse, oval head, and broad skull,
+showing breadth at its base. Fig. 82 illustrates this temperament combined
+with sanguine elements. In all good illustrations of this temperament,
+there is a breadth of the anterior base of the skull extending forward to
+the cheek bones. There is likewise a corresponding fullness of the face
+under the chin, and in the neck, denoting a large development of the
+anterior base of the cerebrum. The cerebral conformation of the Hon. Judge
+Green indicates mental activity, and we have no reason to suppose that
+lymph was particularly abundant in his brain.</p>
+
+
+
+<p class="lfigure"><a name="advise069"><img width="90%" alt="Illustration:
+Fig. 83." src="images/advise069.png" /></a><br />Fig. 83.</p>
+
+<p>While this description of the lymphatic temperament is correct, when
+illustrated by the civilized races of men who are <span class="pagenum"><a
+name="Page_160" id="Page_160"></a>[pg 160]</span>accustomed to luxury,
+ease, and an abundance of food, it does not apply with equal accuracy to
+the cerebral organization of the American Indian. His skull, though broad
+at its anterior base, and high and wide at the cheek bones, differs from
+the European in being broader and longer behind the ears. Fig. 83 is an
+excellent representation of a noted North American Indian. While a great
+breadth of the base of the brain indicates morbid susceptibilities, yet
+these, in the Indian, are opposed by a superior height of the posterior
+part of the skull. Consequently, he is restless, impulsive, excitable,
+passionate, a wanderer upon the earth. The basilar faculties, however, are
+large, and he is noted for instinctive intelligence. His habits alternate
+from laziness to heroic effort, from idleness and quiet to the fierce
+excitement of the chase, from vagabondism to war, sometimes indolent and at
+other times turbulent, but under all circumstances, irregular and
+unreliable. In this case, lacteal activity is greater than lymphatic, as
+his nomadic life indicates. Nevertheless, he manifests a morbid sensibility
+to epidemic diseases, especially those which engender nutritive disorders
+and corrupt the blood. Figs. 84 and 85 represent the brain of an American
+Indian, and that of a European, and show the remarkable difference in their
+anatomical configuration. Evidently it is a race-distinction. Observe the
+greater breadth of the brain of the Indian, which according to cerebral
+physiology indicates great alimentiveness, indolence, morbid sensibility,
+irritability, profligacy, but also note that it <i>differs materially in
+the proportion of all its parts</i>, from the European brain. Judging the
+character of the Indian from the aforesaid representation, we should say
+that he was cunning, excitable, treacherous, fitful, taciturn, or violently
+demonstrative. His constitution is very susceptible to diseases of the
+bowels and blood. His appetite is ungovernable, and his <span
+class="pagenum"><a name="Page_161" id="Page_161"></a>[pg 161]</span>love of
+stimulants is strong. Syphilitic poison, small-pox, and strong drink will
+annihilate all these tribes sooner than gunpowder. Their physical traits of
+constitution are no less contradictory than their extremes of habit and
+character, for while there is evidence of <i>lymphatic elements</i>, yet it
+is contradicted by the color of the hair, eyes, and skin. This peculiar
+organization will not blend in healthful harmony with that of the European,
+and this demonstrates that the race-temperaments require separate and
+careful analytical consideration.</p>
+
+
+
+<p class="lfigure"><a name="advise070"><img width="90%" alt="Illustration:
+Fig. 84. American Indian. " src="images/advise070.png" /></a><br />Fig. 84.
+American Indian. </p>
+
+
+
+<p class="rfigure"><a name="advise070b"><img width="90%" alt="Illustration:
+Fig 85. European." src="images/advise070b.png" /></a><br />Fig 85.
+European.  (FROM MORTON'S CRANIA AMERICANA.)  In the American Indian, the
+anterior lobe, lying between <i>AA</i>, and <i>BB</i>, is small, and in the
+European it is large, in proportion to the middle, lying between <i>BB</i>
+and <i>CC</i>. In the American Indian, the posterior lobe, lying between
+<i>C</i> and <i>D</i> Is much smaller than in the European. In the Indian,
+the cerebral convolutions on the anterior lobe and upper surface of the
+brain, are smaller than the European. If the anterior lobe manifests the
+intellectual faculties&mdash;the middle lobe the propensities common to man with
+the lower animals&mdash;and the posterior lobe, the conservative energies, the
+result seems to be, that the intellect of the American Indian is
+comparatively feeble&mdash;the European, strong; the animal propensities of the
+Indian will be great&mdash;in the European, more moderate; while reproduction,
+vital energy, and conservation of the species in the Indian is not as great
+as with the European. The relative proportions of the different parts of
+the brain differ very materially.</p>
+
+<p>By physical culture and regulation of the habits, the excessive
+tendencies of this temperament may be restrained. Solid food should be
+substituted for a watery diet. If it be limited <span class="pagenum"><a
+name="Page_162" id="Page_162"></a>[pg 162]</span>in quantity, this change
+will not only diminish the size, but increase the strength of the body. The
+body should be disciplined by daily percussion until the imperfectly
+constructed cells, which are too feeble to resist this treatment, are
+broken and replaced by those more hardy and enduring. Add to this treatment
+brisk, dry rubbing, calisthenic exercises, and daily walks, which should be
+gradually extended. Continue this treatment for three months, and its
+favorable effects upon the temperament will surprise the most skeptical; if
+continued for a year, a radical alteration will be effected, and the
+hardihood, health, and vigor of the constitution will be greatly
+increased.</p>
+
+<p>This temperament may be improved physiologically, by being blended with
+the sanguine and volitive. The offspring will be stronger, the structures
+firmer, the organization more dense. Nutrition, assimilation, and all the
+constructive functions will be more energetic in weaving together the
+cellular fabric of the body. The sanguine temperament will add a stimulus
+to the organic activities, while the volitive will communicate manly,
+brave, and enduring qualities. When this temperament is united with the
+encephalic, if such a union does not result in barrenness, it adds
+<i>expending</i> and <i>exhaustive</i> tendencies to the
+<i>enfeebling</i>'ones already existing, and, consequently, the offspring
+lacks both physical power and intellectual activity.</p>
+
+<p>The peculiarities of this temperament are observed in the diseases which
+characterize it. It is specially liable to derangements of digestion,
+nutrition, and blood-making. The blood is easily poisoned by morbid
+products formed within the body, as well as by those derived from the body
+of another. This is seen in pyæmia, produced by the introduction of
+decomposing pus, or "matter," into the blood. This condition is most likely
+to occur when the vital powers are low and the energies weak, for then the
+fibrin decreases, the red corpuscles diminish in number, the circulation
+becomes languid, the pulse grows fluttering and weak, and this increases
+until death ensues. An individual of this temperament is more easily
+destroyed than any other by the poison of syphilis, small-pox, and other
+contagious diseases. If the blood has received any hereditary taint, the
+lymphatic glands not only reproduce it but often increase the virulency of
+the original disease. This temperament indicates <span class="pagenum"><a
+name="Page_163" id="Page_163"></a>[pg 163]</span>a necessity for the
+employment of stimulating, alterative, and antiseptic medicines. The torpid
+functions need arousing, the blood needs depuration, <i>i.e.</i>, the elimination
+of corrupting matter, and the system requires alteratives to produce these
+salutary changes. The secretions need the correcting influence of cleansing
+remedies for the purification of the blood.</p>
+
+<p>Persons of this temperament are more liable to absorption of morbid
+products within the body, which are in a state of decomposition, producing
+an infection of the blood, technically termed <i>septicæmia</i>. The fatal
+results which so suddenly follow child-bed fever are thus produced. This
+kind of poisoning sometimes takes place from the absorption of decomposed
+exudation in diphtheria, and, though rarely, from decomposing organic
+products collected in the lungs. Whenever the absorption of poison does
+take place, fatal consequences usually follow.</p>
+
+<p>This passive temperament is more likely to sink under acute attacks of
+disease, especially alimentary disorders, such as diarrhea, dysentery, and
+cholera. It quickly succumbs to their prostrating effects, such as
+depression, congestion, and fatal collapse which rapidly succeed one
+another. Venesection and harsh purgatives are contra-indicated, and the
+physician who persists in their employment kills his patient. How grateful
+are warmth and stimulating medicines! The most powerful, diffusible, and
+nervous stimulants are required in cholera, when the system is devastated
+by the disease, as the plain is laid waste by the fierce tornado.</p>
+
+
+<h4>THE SANGUINE TEMPERAMENT.</h4>
+
+
+<p>Lymph is the characteristic of the lymphatic temperament, and its
+specific gravity, temperature, and standard of vitality are all lower than
+that of red blood. In the sanguine temperament all the vital functions are
+more active, the blood itself has a deeper hue, its corpuscles carry more
+oxygen, the complexion is quite florid, and the arterial currents impart to
+every faculty a more hopeful vigor. The blood-vessels are the most active
+absorbents, eagerly appropriating nutritive materials for the general
+circulation, while the respiration adds to it oxygen, that agent which
+makes vital manifestation possible. This temperament exhibits greater
+sensibility, the <span class="pagenum"><a name="Page_164"
+id="Page_164"></a>[pg 164]</span>conceptions are quicker, the imagination
+more vivid, the appetite stronger, the passions more violent, and there is
+found every display of animal life and enjoyment.</p>
+
+<p>A full development of the basilar faculties, indicated by an unusual
+breadth and depth of the base of the brain, accompanies this temperament.
+Its cerebral area includes the posterior and inferior portions of the
+cerebrum, the entire cerebellum, and that part of the medulla which
+connects with the spinal cord, all of which sustain intimate relations to
+vital conditions. Accordingly, such a development indicates good digestion,
+active nutrition, vigorous secretion, large heart and lungs, powerful
+muscles, and surplus vitality. The violent faculties, such as
+Combativeness, Destructiveness, and Hatred, are natural adjuncts, and their
+excess tends to sensuality and crime. They are not only secretive,
+appropriative, selfish, and self-defensive, but when redundant are
+aggressive and tend to destructiveness, the gratification of animal
+indulgence, intemperance, and debauchery. The correspondence between the
+cerebral conformation and the physical development is very obvious. Lower
+orders of animals possess these faculties, and their spontaneous exhibition
+is called instinct. They possess the acquisitive, destructive, and
+propagative propensities, which lead them to provide for their wants and
+secure to themselves a posterity. The exercise of their bodies causes a
+continual waste which demands incessant reparation, and they are governed
+measurably by these animal impulses.</p>
+
+<p>All of these lower psychical faculties have a physiological
+significance. Acquisitiveness functionally expresses assimilation,
+accretion, animal growth, and tends to bodily repletion. Secretiveness
+expresses concealing, separating, withdrawing, and functionally signifies
+secretive action. Secretion is the separating and withdrawing from the
+blood some of its constituents, as mucus, bile, saliva, etc. This latter
+process indicates complex conditions of organization, so that the higher
+and more complex the tissue, the greater the number of secretory organs.
+Unrestrained selfishness, while it naturally conserves the individual
+interests, in its ultimate tendencies, is the very essence of human
+depravity. Without qualification, clearly, it is crime, for blind devotion
+to the individual must be in <span class="pagenum"><a name="Page_165"
+id="Page_165"></a>[pg 165]</span>utter disregard for the good of others.
+The ultimate tendencies of these faculties are, therefore, criminal.</p>
+
+<p>Exaggerate the faculty of acquisitiveness, and it becomes
+avariciousness. Develop secretiveness and selfishness, and they become
+cunning and profligacy, desperation and crime. Their functional development
+tends to produce physical disorder and violent disease. All of these
+faculties are vehement, contentious, thriving by opposition. Life itself
+has been called a forced state, because it wars with the elements it
+appropriates, and transmutes their powers into vitality.</p>
+
+
+
+<p class="rfigure"><a name="advise071"><img width="90%" alt="Illustration:
+Fig. 86." src="images/advise071.png" /></a><br />Fig. 86.</p>
+
+<p>We find men and women of this temperament, who are models of character
+and organization. George Washington is an excellent illustration. The
+impression that his presence made upon the Marquis de Chastellux, is given
+in the following words: "I wish only to express the impression General
+Washington has left on my mind; the idea of a perfect whole, brave without
+temerity, laborious without ambition, generous without prodigality, noble
+without pride, virtuous without severity." Gen. Scott, Lord Cornwallis, Dr.
+Wistar, Bishop Soule John Bright, Jenny Lind Goldsmidt, and Dr. Gall are
+good representatives of this temperament. Fig. 86 is an excellent
+illustration of it, finely blended and well balanced, in the person of
+Madame de Stael. This temperament requires fewer tonics and stimulants than
+the lymphatic. This constitution is best able to restore vital losses. It
+is a vital temperament, in other words, it combines favorably with all the
+others, and better adapts itself to their various conditions. Some regard
+it as the best adjusted one in all its organs and tissues, and as the most
+satisfactory and serviceable.</p>
+
+<p><span class="pagenum"><a name="Page_166" id="Page_166"></a>[pg 166]</span></p>
+
+
+<p class="lfigure"><a name="advise072"><img width="90%" alt="Illustration:
+Fig. 87." src="images/advise072.png" /></a><br />Fig. 87.</p>
+
+<p>Excess of nutrition tends to plethora, to animal indulgence, and gross
+sensuality. Not only do the propensities rouse desire, but they excite the
+basilar faculties, and portray their wants in the outlines of the face,
+mould the features to their expression, and flash their significance from
+the eye. Who can mistake the picture of sensuality represented by Fig. 87?
+It is enough to shock the sensibility of a dumb animal, and to say that
+such a face has a beastly look, is an unkind reflection upon the brute
+creation. A large neck and corresponding development of the occipital half
+of the brain indicate nervous energy, yet nutrition is not absolutely
+dependent upon it, for the nutritive processes are active before a nervous
+system is formed. The lower faculties of the mind exert a remarkable
+influence over nutrition, secretion, and the molecular changes incident to
+life. Anger or fear may transmute the mother's nourishing milk into a
+virulent poison. The following incident, taken from Dr. Carpenter's
+Physiology, illustrates this statement: "A carpenter fell into a quarrel
+with a soldier billeted in his house, and was set-upon by the latter with
+his drawn sword. The wife of the carpenter at first trembled from fear and
+terror, and then suddenly threw herself between the combatants, wrested the
+sword from the soldier's hand, broke it in pieces, and threw it away.
+During the tumult, some neighbors came-in and separated the men. While in
+this state of strong excitement, the mother took up her child from the
+cradle, where it lay playing, and in the most perfect health, never having
+had a moment's illness; she gave it the breast, and in so doing sealed its
+fate. In a few minutes the infant left-off sucking, became restless, <span
+class="pagenum"><a name="Page_167" id="Page_167"></a>[pg 167]</span>panted,
+and sank dead upon the mother's bosom. The physician who was instantly
+called-in, found the child lying in the cradle, as if asleep, and with its
+features undisturbed; but all resources were fruitless. It was
+irrecoverably gone. In this interesting case, the milk must have undergone
+a change, which gave it a powerful sedative action upon the susceptible
+nervous system of the infant."</p>
+
+<p>Anxiety, irritation, hatred, all tend to the vitiation of the
+disposition and bodily functions, perverting the character and constitution
+at the same time. Depravity of thought and secretion go together.
+Degradation of mind and corruption of the body are concomitants. There is a
+very close affinity between mental and moral perversion and physical
+prostitution, of which fact too many are unconscious. Nervous influence
+preserves the fluidity of the blood and facilitates its circulation, for it
+appears that simple <i>arrestment</i> of this influence favors the
+coagulation of the blood in the vessels; clots being found in their trunks
+within a few minutes after the brain and spinal marrow are broken down.
+Habitual constipation is the source of many ills. Perversion of the
+functions of the stomach, and of the circulation of the blood, produce
+general disaster.</p>
+
+<p>Diseases which characterize this temperament are acute, violent, or
+inflammatory, indicating repletion and active congestion; intense
+inflammation, burning fevers, severe rheumatism, a quick, full pulse, great
+bodily heat, and functional excitement are its morbid accompaniments. These
+diseases will bear thorough depletion of the alimentary canal, active,
+hydragogue cathartics being indicated. Sedatives and anodynes are also
+essential to modify the circulatory forces, and to relieve pain. Violent
+disturbance must be quelled, and among the remedial agents required for
+this duty we may include Veratrum, Ipecac, Digitalis, Opium, Conium, and
+Asclepias. While equalizing the circulatory fluids, restoring the
+secretions, and thoroughly evacuating the system, and thus endeavoring to
+remove disturbing causes, we find that the conditions of this temperament
+are exceedingly favorable for restoration to health. True, many chronic
+diseases are obstinate, yet a course of restorative medication persistently
+followed, promises a fortunate issue in this tractile temperament.</p>
+
+<p><span class="pagenum"><a name="Page_168" id="Page_168"></a>[pg
+168]</span>Hygienic management of the lymphatic and sanguine temperaments
+consists in the vigorous toning of the former, while restraint of the
+latter will greatly exempt it from the anxieties, contentions, and
+vexations which excite the mind, disturb the bodily functions, and end in
+chronic disease. People of the latter organization love mental and physical
+stimulants, are easily inflamed by passion, and their excitability
+degenerates into irritability, succeeded by serious functional
+derangements, which prematurely break down the individual with inveterate,
+deep-seated disorder. Serenity, hope, faith, as well as firmness, are
+natural hygienic elements. It is a duty we owe ourselves to promptly
+relinquish a business which corrodes with its cares, and depresses with its
+increasing troubles. Constant solicitude, and the apprehension of financial
+disaster, frustrate the bodily functions, disconcert the organic processes,
+and lead to mental aberration as well as physical degeneracy. Melancholy is
+chronic, while despair is acute mania, whose impulses drive the victim
+desperately toward self-destruction. The chronic derangement of these
+organs exerts with less force the same morbid tendency. Hence the necessity
+for exercising those hygienic and countervailing influences born of
+resolution, assurance, and confident trust, and the belief which
+strengthens all of the vital operations.</p>
+
+<p>Doubtless, this temperament is the source of the reproductive powers. It
+is the corner-stone essential to the foundation of all other temperaments.
+It has been supposed by some that the cerebellum is the seat of sexual
+instinct. The fact appears that an ample development of the posterior base
+of the cerebrum and the cerebellum indicates nutritive activity, which is
+certainly a condition most favorable to the display of amativeness. In a
+double sense, then, this temperament is a vital one; both by nutritive
+repletion, and by reproduction. It is the blood-manufacturing,
+tissue-generating, and body-constructing temperament, causing growth to
+exceed waste, and promptly repairing the wear which follows continual
+labor.</p>
+
+<p>While the sleazy structures of the lymphatic temperament are favorable
+to the functions of transudation, exhalation, and mutual diffusion of
+liquids, the sanguine, as its name indicates, is adapted to promote the
+circulation of the blood, to favor <span class="pagenum"><a name="Page_169"
+id="Page_169"></a>[pg 169]</span>nutrition and reproduction. The former
+temperament does not move the world by its energies, or impress it vividly
+with its wisdom, and the latter is more enthusiastic, enjoyable, and
+quickening. Each temperament, however, possesses salient qualities and
+advantages.</p>
+
+
+<h4>THE LIFE LINE.</h4>
+
+
+<p>Dr. W.B. Powell, in his work on "The Human Temperaments," announces the
+discovery of a measurement which indicates the tenacity of life, and the
+vital possessions of the individual. He has observed that some persons of
+very feeble appearance possess remarkable powers of resistance to disease,
+and continue to live until the machinery of life literally wears out.
+Others, apparently stronger and more robust, die before the usual term of
+life is half completed. He also noticed that some families were remarkable
+for their longevity, while others reached only a certain age, less than the
+average term of life, and then died. He remarked also that some patients
+sank under attacks of disease, when, to all appearances, they should
+recover, and that others recovered, when, according to all reasonable
+calculations, they ought to die. He, therefore, not only believed that the
+duration of human life was more definitely fixed by the organization than
+is supposed, but he set himself to work to discover the line of life, and
+the measure of its duration. He made a distinction between vital vigor, and
+vital tenacity. <i>Vital vigor</i> he believed to be equivalent to the
+condition of vitality, which is indicated by the breadth of the brain found
+in the sanguine temperament; and <i>vital tenacity</i> to be measured by
+the <i>depth</i> of the base of the brain. Dr. Powell was an indefatigable
+student of nature, and followed his theory through years of observation,
+and measured hundreds of heads of living persons, in order to verify the
+correctness of the hypothesis. His method of measuring the head may be
+stated as follows: He drew a line from the occipital protuberance on the
+back of the head to the junction of the frontal and malar bones, extending
+it to a point above the center of the external orbit of the eye, near the
+termination of the brow. Then he measured the distance between this line
+and the orifice of the <span class="pagenum"><a name="Page_170"
+id="Page_170"></a>[pg 170]</span>ear and thus obtained the measure
+indicating the vital tenacity or duration of, life. Fig. 88 is a
+representation of the skull of Loper, who was executed for murder in
+Mississippi. He might have attained a great age, had not his violent and
+selfish faculties led him into the commission of crime. In this
+illustration, B represents the occipital protuberance, and A the junction
+of the frontal and malar bones at the external angle of the eye. The
+distance between this line (A B) and the external orifice of the ear, is
+the measure of the life-force of Loper at the time of his: execution.</p>
+
+
+
+<p class="lfigure"><a name="advise073"><img width="90%" alt="Illustration:
+Fig. 88." src="images/advise073.png" /></a><br />Fig. 88.</p>
+
+
+
+<p class="rfigure"><a name="advise074"><img width="90%" alt="Illustration:
+Fig. 89." src="images/advise074.png" /></a><br />Fig. 89.</p>
+
+<p>The tenacity of an individual's life, Dr. Powell determined by the
+following scale of measurements: three-fourths of an inch from the orifice
+of the ear to the life-line, is the average length in the adult, and
+indicates <i>ordinary</i> tenacity of life. As the distance decreases to
+five-eighths, one-half, or three-eighths of an inch, vital tenacity
+diminishes. If the distance is more than three-quarters of an inch, it
+denotes great vital endurance, excellent recuperative powers, and is
+indicative of longevity. If it measures less than half an inch, it shows
+that the constitution has a feeble, uncertain hold upon life, and an acute
+disease is very likely to sunder the vital relations. Dr. Powell contended
+that "life force and vital force are not equivalent terms, because much
+more vital force is expended upon our relations, than upon our organization
+in the preservation of life. Every muscular contraction, every thought,
+<span class="pagenum"><a name="Page_171" id="Page_171"></a>[pg
+171]</span>and every emotion requires an expenditure of vital force." He
+asserted that we <i>inherit</i> our life force or constitutional power, and
+that we can determine by this <i>life-line,</i> the amount which we so
+receive. And he believed that it could be increased by <i>intellectual</i>
+effort, just as we can increase vital force by <i>physical</i> exercise.
+Fig. 89 represents the skull of a man who died, at nearly the same age as
+Loper, of consumption, in the Charity Hospital, at New Orleans. The
+measurement of the skull in this case gives a space between the life-line
+and the orifice of the ear of one-sixteenth of an inch, showing that the
+consumptive had lived the full term of his life. Dr. Powell contended that
+the depth of a man's brain may be increased after maturity; muscular
+effort, mental activity, and a sense of responsibility being favorable to
+longevity, while idleness and dissipation are adverse to it. In justice to
+the Doctor, we have stated fully his theory and his method of determining
+the hardihood and endurance of the constitution, and we bespeak for it a
+candid examination. Without doubt it embodies a great deal of truth.
+Hereafter we shall endeavor to indicate by cerebral configuration, a better
+system of judging of the vital tenacity, hardihood, and constitutional
+energies, both inherited and acquired.</p>
+
+
+<h4>THE VOLITIVE TEMPERAMENT.</h4>
+
+
+<p>By reference to Figs. 72 and 80, the reader will be able to locate the
+region of the volitive faculties, previously described under the generic
+term <i>will</i>. This temperament is characterized by ambition, energy,
+industry, perseverance, decision, vigilance, self-control, arrogance, love
+of power, firmness, and hardihood. These faculties express concentration of
+purpose and their functional equivalents are power of elaboration,
+constructiveness, condensation, firmness of fiber, compactness of frame,
+and endurance of organization. The pulse is full, firm, and regular, the
+muscles are strong and well marked, the hair and skin dark, the temporal
+region is not broadly developed, the face is angular, its lines denoting
+both power of purpose and strength of constitution, with resolution and
+hardihood blended in the expression. The volitive temperament is
+distinguished by height of the posterior, superior occipital region, called
+the <span class="pagenum"><a name="Page_172" id="Page_172"></a>[pg
+172]</span>crown of the back head, and by corresponding breadth from side
+to side. The rule given by Dr. J.R. Buchanan applies not only to the
+convolutions, but to the general development of the brain; <i>length gives
+power, or range of action</i>, and <i>breadth gives copiousness, or
+activity of manifestation</i>. Thus a high, <i>narrow</i> back head
+indicates firmness and decision, but it is not as constant and copious in
+its manifestation as when it is associated with breadth. An individual
+having a narrow, high head, may determine readily enough upon a course of
+action, but he requires a longer period for its completion than one whose
+head is both high and broad. Such a cerebral conformation cannot accomplish
+its objects without enjoying regular rest, and maintaining the best of
+habits. Breadth of this region of the brain indicates ample resources of
+energy, both psychical and physical. It denotes greater vigor of
+constitution, one that continually generates volitive forces, and its
+persistency of purpose may be interpreted as functional tenacity.
+Inflexibility of will and purpose impart their tenacious qualities to every
+bodily function. The <i>will</i> to recover is often far more potent than
+medicine. We have often witnessed its power in restraining the ravages of
+disease. The energetic faculties, located at the upper and posterior part
+of the head, are the invigorating, or <i>tonic</i> elements of the
+constitution, imparting hardy, firm, steady, and efficient influences,
+checking excess of secretion, repressing dissipation, and tending to
+maintain self-possession, as well as healthy conditions of life. Fig. 90 is
+a portrait of U.S. Grant, which shows a well-balanced organization, with
+sufficient volitive elements to characterize the constitution.</p>
+
+
+
+<p class="lfigure"><a name="advise075"><img width="90%" alt="Illustration:
+Fig. 90." src="images/advise075.png" /></a><br />Fig. 90.</p>
+
+<p>The old term <i>bilious temperament</i> might possibly be retained <span
+class="pagenum"><a name="Page_173" id="Page_173"></a>[pg 173]</span>in
+deference to long usage, did it not inculcate a radical error.
+<i>Bilious</i> is strictly a medical term, relating to bile, or to
+derangements produced by it, and it was used originally to distinguish a
+temperament supposed to be characterized by a predominance of the biliary
+secretion. In the volitive temperament, the firm, tenacious, toning, and
+restraining faculties <i>repress</i>, rather than <i>encourage</i> biliary
+secretion, and hence the necessity for administering large doses of
+cholagogues, remedies which stimulate the secretion of bile. When the
+system is surcharged with bile, from a congested condition of the liver, we
+use these agents in order to obtain necessary relief. In this temperament
+there is moderate hepatic development, lack of biliary activity, deficiency
+in the secretion of bile, and a sluggish portal circulation. Therefore, to
+apply the term bilious to this temperament is not only unreasonable, but it
+is calculated to mislead. The condition of the bowels is generally
+constipated, the skin dark and sometimes sallow. For these and other
+obvious reasons, we dismiss the word <i>bilious</i>, and substitute one
+which is more characteristic.</p>
+
+<p>We will not dwell upon the volitive as <i>psychical</i> organs, except
+to show that, when their influence is transmitted to the body, they act as
+<i>physiological</i> organs, and thus demonstrate that all parts of the
+brain have their physiological, as well as mental functions. When Andrew
+Jackson uttered with great emphasis the memorable words, "BY THE ETERNAL,"
+the effect was like a shock from a galvanic battery, thrilling the cells in
+his own body, and paralyzing with fear every one in Calhoun's organization.
+This is an illustration of the power or range of action of these faculties.
+Breadth or copiousness is illustrated in Gen. Grant's reply, "I PROPOSE TO
+FIGHT IT OUT ON THIS LINE, IF IT TAKES ALL SUMMER." Such a temperament has
+a profusion of constitutional power, great durability of the life-force,
+and, in our opinion, the combined height and breadth of this region
+correctly indicate the natural hardihood of the body and its
+<i>retentiveness of life</i>. No one need doubt its influence upon the
+sympathetic system, and, through that system, its power over absorption,
+circulation, assimilation, and secretion, as well as the voluntary
+processes. Mental hardihood seems wrought into concrete organization. It
+checks excess of glandular <span class="pagenum"><a name="Page_174"
+id="Page_174"></a>[pg 174]</span>absorption, restrains the impulses of
+tumultuous passion, tones and regulates the action of the heart, and helps
+to weave the strands of organization into a more compact fabric. The toning
+energies of the volitive faculties are better than quinine to fortify the
+system against <i>miasma</i> or <i>malaria</i>, and they co-operate with
+all tonic remedies in sustaining organic action. Fig. 91 is a portrait of
+Prof. Tyndall, the eminent chemist, <span class="pagenum"><a
+name="Page_175" id="Page_175"></a>[pg 175]</span>whose likeness indicates
+volitive innervation, showing great strength of character and of
+constitution; he is an earnest, thorough, and intense mental toiler;
+ambitious, but modest; brilliant, because persevering; diligent in
+scientific inquiry, and who follows the star of truth, whithersoever it may
+lead him. The expression of his countenance indicates his honest
+intentions, and displays strength of conscientious purpose; his physical
+constitution may be correctly interpreted in all of its general
+characteristics by the analysis of his energetic temperament, the great
+secret of his strength and success.</p>
+
+
+
+<p class="figure"><a name="advise076"><img width="40%" alt="Illustration:
+Fig. 91." src="images/advise076.png" /></a><br />Fig. 91.</p>
+
+
+
+<p class="rfigure"><a name="advise077"><img width="90%" alt="Illustration:
+Fig. 92." src="images/advise077.png" /></a><br />Fig. 92.</p>
+
+<p>We desire to offer one more illustration of a marvelous blending of this
+temperament with large mental and emotional faculties. Fig. 92 is a
+representation of the martyred President Abraham Lincoln. During an
+eventful career, his temperament and constitution experienced marked
+changes, and while always distinguished for strength of purpose and
+corresponding physical endurance, he was governed by noble, moral
+faculties, manifesting the deepest sympathy for the down-trodden and
+oppressed, blending tenderness and stateliness without weakness, exhibiting
+a human kindness, and displaying a genuine compassion, which endeared him
+to all hearts. He was hopeful, patriotic, <i>magnanimous</i> even, while
+upholding the majesty of the law and administering the complicated affairs
+of government. The balances of his temperament operated with wonderful
+delicacy, through all the perturbating influences of the rebellion, showing
+by their persistence that he was never for a moment turned aside from the
+great end he had in view; the protection and perpetuation of republican
+liberty. His life exhibited a sublime, moral heroism, elements of character
+which hallow his name, and keep it in everlasting remembrance.</p>
+
+<p>We have treated the brain, not as a mass of organs radiating from the
+medulla oblongata as their real center, but as two <span class="pagenum"><a
+name="Page_176" id="Page_176"></a>[pg 176]</span>cerebral masses, each of
+which is developed around the great ventricle. We have freely applied an
+easy psychical and physiological nomenclature to the functions of its
+organs, knowing that there is no arbitrary division of them by specific
+number, for the cerebrum, in an anatomical sense, is a single organ. The
+doctrine of cerebral unity is true, and the doctrine of its plurality of
+function is true also. Whatever effect an organ produces when acting in
+entire predominance, is regarded as the function of that organ and is
+expressed by that name. Although our names and divisions are arbitrary and
+designed for convenience, yet they facilitate our consideration of the
+psychical, and their corresponding physiological functions. Every cerebral
+manifestation denotes a <i>psychical</i> organ, and in proportion as these
+acts are transmitted to the body it becomes a <i>physiological</i> organ.
+We have ventured to repeat this proposition for the sake of the
+non-professional reader, that he may be able to distinguish between' the
+two results of the manifestation of one organ. The transmission of the
+influence of the brain into the body enables the former to act
+physiologically, whereas, if its action were confined within the cranium,
+it would only be psychical. In the language of Prof. J.R. Buchanan, "every
+organ, therefore, has its mental and corporeal, its psychological and
+physiological functions&mdash;both usually manifested together&mdash;<i>either
+capable of assuming the predominance</i>." We have already seen to what
+degree the <i>Will</i> operates upon the organism, or how "the soul imparts
+special energy to single organs, so that they perform their functions with
+more than usual efficiency," and thus resist the solicitations of morbific
+agents. Doubtless our best thoughts are deeply tinged by the healthful or
+diseased conditions of such organs as the stomach, the lungs, the heart, or
+even the muscular or circulatory systems, and these impressions, when
+carried to the sensorium, are reflected by the thoughts, for reflex action
+is the third class of functions, assigned to the cerebrum. These reflex
+actions are either hygienic and remedial, or morbid and pernicious. Hence,
+it is philosophical not only to interpret the thoughts as physiological and
+pathological indications, but to consider the cerebrum as exerting real
+hygienic and remedial forces, capable of producing salutary reparative, and
+restorative effects. When a boiler carries more <span class="pagenum"><a
+name="Page_177" id="Page_177"></a>[pg 177]</span>steam than can be
+advantageously employed, it is subjected to unnecessary and injurious
+strain, and is weakened thereby; so, when the body is overtasked by
+excessive pressure of the volitive faculties, it is prematurely enfeebled
+and broken down. There are many individuals who need to make use of some
+sort of safety valve to let off the surplus of their inordinate ambition;
+they need some kind of patent brake to slacken their speed of living; they
+should relieve the friction of their functional powers by a more frequent
+lubrication of the vital movements, and by stopping, for needed refreshment
+and rest, at some of the many way-stations of life.</p>
+
+
+<h4>THE ENCEPHALIC TEMPERAMENT.</h4>
+
+
+<p>The encephalic temperament is distinguished by prominence and breadth of
+the forehead, or by a full forehead associated with height and breadth at
+its coronal junction with the parietal bones, and extending toward the
+volitive region. (See Fig. 10, the space between 1 and 2 represents the
+coronal region, 1 indicating the frontal bone, and 2 the parietal).
+Prominence and great breadth of the forehead display <i>analytical,
+i.e.</i>, scientific powers applicable to concretes, whereas a fair
+intellect, associated with a preponderating development of the coronal
+region, indicates <i>analogical</i> powers, <i>i.e.</i>, faculties to
+perceive the relation and the agreement of principles. The former
+classifies and arranges facts, the latter invests them with moral and
+spiritual import. The one treats of matter, its physical properties, and
+chemical composition, the other of thoughts and intentions which involve
+right and wrong, relating to spiritual accountability. The intellect is
+employed upon an observable order of things, while the emotive faculties
+arrange the general laws of being into abstract science.</p>
+
+<p>Fig. 93, a portrait of Prof. Tholuck, is a remarkable example of an
+encephalic organization. Figs. 72 and 79 fairly indicate the effects of
+undue mental activity, the intellect causing vital expenditure resulting in
+the devitalization of the blood. While the intellect displays keen
+penetration, subtle discrimination, and profound discernment, the emotions
+exhibit intense sensitiveness, acute susceptibility, and inspirational
+impressibility. <span class="pagenum"><a name="Page_178"
+id="Page_178"></a>[pg 178]</span>The encephalic temperament is
+characterized by mental activity, great delicacy of organization, a high
+and broad forehead, expressive eyes, fine but not very abundant hair, great
+sensitiveness, refined feelings, vividness of conception, and intensity of
+emotion. If the brain is developed on the sides, there is manifested
+Ideality, Modesty, Hope, Sublimity, Imagination, and Spirituality. If the
+brain and forehead project, the Perceptive, Intuitive, and Reasoning
+faculties predominate. If it rises high, and nearly perpendicularly,
+Liberality, Sympathy, Truthfulness, and Sociability are manifested. When
+the emotive faculties are large, Faith, Hope, Love, Philanthropy, Religion,
+and Devotion characterize the individual. It is an artistic, creative, and
+aesthetic temperament, beautiful in conception and grand in expression, yet
+its sensitiveness is enfeebling, and its crowning excellence, when betrayed
+by the propensities, trails in defilement. Its purity is God-like, its
+debauchment, Perdition!</p>
+
+
+
+<p class="figure"><a name="advise078"><img width="40%" alt="Illustration:
+Fig. 93." src="images/advise078.png" /></a><br />Fig. 93.</p>
+
+<p>Fig. 94 is the likeness of Prof. George Bush. His forehead is amply
+developed in the region of Foresight, Liberality, Sympathy, Truthfulness,
+and Benevolence; his mouth expresses Amiability and Cheerfulness, and the
+whole face beams with <span class="pagenum"><a name="Page_179"
+id="Page_179"></a>[pg 179]</span>Kindness and Generosity. This
+philanthropist, who is both a preacher and an author, has published several
+works upon theology, which distinguish him for great research and
+originality.</p>
+
+
+
+<p class="figure"><a name="advise079"><img width="40%" alt="Illustration:
+Fig. 94." src="images/advise079.png" /></a><br />Fig. 94.</p>
+
+<p>Fig. 95 represents the sanguine-encephalic temperament, the two elements
+being most happily blended. The portrait is that of Emmanuel Swedenborg,
+the great scholar and spiritual divine. The reader will observe how high
+and symmetrical is the forehead, and how well balanced appears the entire
+organization. He was remarkable for vivid imagination, great scientific
+acquirements, and all his writings characterize him as a subtle
+reasoner.</p>
+
+<p>When the encephalic predominates, and the sanguine is deficient in its
+elements, we find conditions favorable to <i>waste</i> and
+<i>expenditure</i>, and adverse to a generous <i>supply</i> and
+<i>reformation</i> of the tissues. A child inheriting this cerebral
+development is already top-heavy, and supports, at an immense disadvantage,
+this disproportionate organization. The nutritive functions are
+overbalanced; consequently there is a <span class="pagenum"><a
+name="Page_180" id="Page_180"></a>[pg 180]</span>predisposition to
+scrofulous diseases and disorders of the blood, various degenerating
+changes taking place in its composition; loss of red corpuscles, signified
+by shortness of breath; morbid changes, manifested by cutaneous eruptions;
+exhaustion from lack of nourishment, etc., until, finally, consumption
+finishes the subject.</p>
+
+
+
+<p class="figure"><a name="advise080"><img width="40%" alt="Illustration:
+Fig. 95." src="images/advise080.png" /></a><br />Fig. 95.</p>
+
+<p>Harmony is the support of all institutions, and applies with special
+cogency to the maintenance of health. When the mind dwells on one subject
+to the exclusion of all others, we call such a condition monomania. If we
+have an excessive development of mind, and deficient support of body, the
+result is corporeal derangement. It is unfortunate for any child to inherit
+unusually large brain endowments, unless he is possessed of a vigorous,
+robust constitution. Such training <span class="pagenum"><a name="Page_181"
+id="Page_181"></a>[pg 181]</span>should be directed to that body as will
+encourage it to grow strong, hearty, and thrifty, and enable it to support
+the cerebral functions. The mental proclivities should be checked and the
+physical organization cultivated, to insure to such a child good health.
+Cut off all unnecessary brain-wastes, attend to muscular training and such
+invigorating games and exercises as encourage the circulation of the blood;
+keep the skin clean and its functions active, the body warm and well
+protected, the lungs supplied with pure air, the stomach furnished, with
+wholesome food, besides have the child take plenty of sleep to invigorate
+the system, and thus, by regular habits, maintain that equilibrium which
+tends to wholesome efficiency and healthful endurance.</p>
+
+
+<h4>TRANSMISSION OF LIFE.</h4>
+
+
+<p>As has been already stated in the chapter on Biology, reproduction of
+the species depends upon the union of a sperm-cell with a germ-cell, the
+male furnishing the former and the female the latter. It is a well-known
+fact that the marriage of persons having dissimilar temperaments is more
+likely to be fertile than the union of persons of the same temperaments;
+consanguineous marriages, or the union of persons nearly related by blood,
+diminish fertility and the vigor of the offspring. Upon this subject
+Francis Galton has given some very interesting historical illustrations in
+his well-known work, entitled "Hereditary Genius." The half-brother of
+Alexander the Great, Ptolemy I, King of Egypt, had twelve descendants, who
+successively became kings of that country, and who were also called
+Ptolemy. They were matched in and in, but in nearly every case these near
+marriages were unprolific and the inheritance generally passed through
+other wives. Ptolemy II married his niece, and afterwards his sister;
+Ptolemy IV married his sister. Ptolemy VI and VII were brothers, and they
+both consecutively married the same sister; Ptolemy VII also subsequently
+married his niece; Ptolemy VIII married two of his sisters in succession.
+Ptolemy XII and XIII were brothers, and both consecutively married their
+sister, Cleopatra. Mr. Galton and Sir Jas. Y. Simpson have shown that many
+peerages have become extinct through the evil results of inter-marriage.
+Heiresses are usually only children, the feeble product <span
+class="pagenum"><a name="Page_182" id="Page_182"></a>[pg 182]</span>of a
+run-out stock, and statistics have shown that one-fifth of them bear no
+children, and fully one-third never bear more than one child. Sir J.Y.
+Simpson ascertained that out of 495 marriages in the British Peerage, 81
+were unfruitful, or nearly one in every six; while out of 675 marriages
+among an agricultural and seafaring population, only 65 were sterile or
+barren, or a little less than one in ten.</p>
+
+<p>While the marriages of persons closely related, or of similar
+temperaments are frequently unfruitful, we would not have the reader
+understand that sterility, or barrenness, is usually the result of such
+unions. It is most frequently due to some deformity or diseased condition
+of the generative organs of the female. In the latter part of this work may
+be found a minute description of the conditions which cause barrenness,
+together with the methods of treatment, which have proved most effectual in
+the extensive practice at the Invalids' Hotel and Surgical Institute.</p>
+
+<p>The temperaments may be compared to a magnet, <i>the like poles of which
+repel, and the unlike poles of which attract each other.</i> Thus
+similarity of temperament results in barrenness while dissimilarity makes
+the vital magnetism all the more powerful. Marriageable persons moved by
+some unknown influence, have been drawn instinctively toward each other,
+have taken upon themselves the vows and obligations of wedlock, and have
+been fruitful and happy in this relation. Alliances founded upon position,
+money, or purely arbitrary considerations, mere contracts of convenience,
+are very apt to prove unhappy and unproductive.</p>
+
+<p>Men may unconsciously obey strong instinctive impulses without being
+conscious of their existence, and by doing so, avoid those ills, which
+otherwise might destroy their connubial happiness. The <i>philosophy</i> of
+marriage receives no consideration, because the mind is pre-occupied with
+newly awakened thoughts and feelings. Lovers are charmed by certain
+harmonies, feel interior persuasions, respond to a new magnetic influence
+and are lost in an excess of rapture.</p>
+
+<p>If the parties to a marriage are evenly balanced in organic elements,
+although both of them are vigorous, yet it is physiologically more suitable
+for them to form a nuptial alliance with <span class="pagenum"><a
+name="Page_183" id="Page_183"></a>[pg 183]</span>an unlike combination. The
+cause of the wretchedness attending many marriages may be traced to a too
+great similarity of organization, ideas, taste, education, pursuits, and
+association, which similarity almost invariably terminates in domestic
+unhappiness. The husband and wife should be as different as the positive
+and negative poles of a magnet. When life is begotten under these
+circumstances we may expect a development bright with intelligence.</p>
+
+<p><span class="pagenum"><a name="Page_184" id="Page_184"></a>[pg
+184]</span></p><hr />
+
+
+
+
+<h2><a name='CHAPTER_XVI'></a>CHAPTER XVI</h2>
+
+<h1>MARRIAGE.</h1>
+
+<h3>LOVE.</h3>
+
+
+<blockquote>
+<p>
+"Love is the root of creation; God's essence; worlds without number<br />
+Lie in his bosom like children; he made them for this purpose only.<br />
+Only to love and to be loved again, he breathed forth his spirit<br />
+Into the slumbering dust, and upright standing, it laid its<br />
+Hand on its heart, and felt it was warm with a flame out of heaven."<br />
+<br />
+&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&mdash;LONGFELLOW.<br />
+</p>
+</blockquote>
+
+<p>Love, that tender, inexplicable feeling which is the germinal essence of
+the human spirit, is the rudimental element of the human soul. It is,
+therefore, a Divine gift, a blessing which the Creator did not withdraw
+from his erring children, when they were driven from a paradise of
+innocence and loveliness into a world of desolation and strife. He left it
+as an invisible cord by which to draw the human heart ever upward, to a
+brighter home&mdash;the heavenly Eden. Love is the very essence of Divine law,
+the source of inspiration, even the fountain of life itself. It is
+spontaneous, generous, infinite. To its presence we are indebted for all
+that is good, true, and beautiful in Art and Nature. It endows humanity
+with countless virtues, and throws a mystic veil over our many faults. It
+is this feeling, this immutable law, which controls the destiny of the
+race. From its influence empires have fallen, scepters have been lost.
+Literature owes to Love its choicest gems. <span class="pagenum"><a
+name="Page_185" id="Page_185"></a>[pg 185]</span>The poet's lay is sweeter
+when Cupid tunes the lyre. The artist's brush is truer when guided by Love.
+Greece was the cradle of letters and art. Her daughters were queens of
+beauty, fitted to inspire the Love of her noblest sons.</p>
+
+
+
+<p class="rfigure"><a name="advise081"><img width="90%" alt="Illustration:
+Fig. 96." src="images/advise081.png" /></a><br />Fig. 96.</p>
+
+<p>The materialism of the nineteenth century has sought to degrade Love; to
+define it as purely physical. The result has been a corresponding
+degradation of art, and even literature has lost much of its lofty
+idealism. Nudity has become a synonym of vulgarity; Love, of lust. "Evil be
+to him who evil thinks." True Love never seeks to degrade its object; on
+the contrary, it magnifies every virtue, endows it with divinest
+attributes, and guards its chastity, or honor, at the sacrifice of its own
+life. It increases benevolence by opening the lover's heart to the wants of
+suffering humanity. Ideality is the canvas, and imagination the brush with
+which Love delineates the beauties of the adored. Love heightens
+spirituality, awakens hope, strengthens faith, and enhances devotion. It
+quickens the perceptions, intensifies the sensibilities, and redoubles the
+memory. It augments muscular activity, and imparts grace to every movement.
+The desire to love and to be loved is innate, and forms as much a part of
+our being as bone or reason. In fact, Love may be considered as the very
+foundation of our spiritual existence, as bone and reason are the essential
+bases of our physical and intellectual being. Every man or woman feels the
+influence of this emotion, sooner or later. It is the Kadesh-barnea of
+human existence; obedience to its intuitions insures the richest blessings
+of life, while neglect or perversion enkindles God's wrath, even as did the
+disobedience of the wandering Israelites.</p>
+
+<p>The one great fact which pervades the universe is <i>action</i>. The
+very existence of Love demands its activity, and, hence, the highest
+happiness is attained by a normal and legitimate development of this
+element of our being. The heart demands <span class="pagenum"><a
+name="Page_186" id="Page_186"></a>[pg 186]</span>an object upon which to
+lavish the largess of its affection. In the absence of all others, a star,
+a flower, or even a bird, will receive this homage. The bird warbles a gay
+answer to the well-known voice, the flower repays the careful cultivator by
+displaying its richest tints, the star twinkles a bright "good evening" to
+the lonely watcher, and yet withal there is an unsatisfied longing in the
+lover's heart, to which neither can respond; the desire to be loved! Hence,
+the perfect peace of reciprocated love. If its laws are violated, nature
+seeks revenge in the utter depression or prostration of the vital energies.
+Thus has the Divine Law-giver engraven His command on our very being. To
+love is, therefore, a duty, the fulfillment of which should engage our
+noblest powers.</p>
+
+<p>This emotion manifests itself in several phases, prominent among which
+is filial affection, the natural harmonizer of society. Paternal love
+includes a new element&mdash;protection. Greater than either, and second only in
+fortitude to maternal affection, is</p>
+
+<h4>CONJUGAL LOVE.</h4>
+
+<blockquote>
+<p>
+"He is blest in Love alone<br />
+Who loves for years and loves but one."&mdash;HUNT.<br />
+</p>
+</blockquote>
+
+<p>With Swedenborg, we may assert, "<i>that there is given love truly
+conjugal, which at this day is so rare, that it is not known what it is,
+and scarce that it is</i>." The same author has defined this relation to be
+a union of Love and Wisdom. The fundamental law of conjugal love is
+<i>fidelity to one love</i>. God created but one Eve, and the essential
+elements of paternal and maternal love pre-suppose and necessitate, for
+their normal development, the Love of <i>one</i> only. Again, Love is the
+sun of woman's existence. Only under its influence does she unfold the
+noblest powers of her being. Woman's intuitions should therefore be taken
+as the true love-gauge. If she desire a plurality of loves, it must be a
+law of her nature; but is communism the desire of our wives and daughters?
+No! Every act which renders woman dear to us, denounces such an idea and
+reveals the exclusive sacredness of her Love. As condemning promiscuity in
+this relation, we may cite the lovers' pledges and oaths of fidelity, the
+self-perpetuity of Love itself, <span class="pagenum"><a name="Page_187"
+id="Page_187"></a>[pg 187]</span>the common instincts of mankind, as
+embodied in public sentiment, and the inherent consciousness that first
+love should he kept inviolable forever. Again, Love is conservative. It
+clings tenaciously to all the memories connected with its first object. The
+scenes consecrated to "Love's young dream" are sacred to every heart. The
+woodland with its winding paths and arbors, the streamlet bordered with
+drooping violets and dreamy pimpernel, the clouds, and even "the very tones
+in which we spoke," are indelibly imprinted on the memory. There is also
+the "mine and thine" intuition of love. This sentiment is displayed in
+every thought and act of the lover. Every pleasure is insipid unless shared
+by the beloved; selfish and exacting to all others, yet always generous and
+forgiving to the adored. "Mine and thine, dearest," is the language of
+Conjugal Love.</p>
+
+<p>The consummation desired by all who experience this affection, is the
+union of souls in a true marriage. Whatever of beauty or romance there may
+be in the lover's dream, is enhanced and spiritualized in the intimate
+communion of married life. The crown of wifehood and maternity is purer,
+more divine, than that of the maiden. Passion is lost; the emotions
+predominate.</p>
+
+<p>The connubial relation is not an institution; it was born of the
+necessities and desires of our nature. "It is not good for man to be
+alone," was the Divine judgment, and so God created for him "an helpmate."
+Again, "Male and female created He them;" therefore, sex is as divine as
+the soul. It is often perverted, but so is reason, aye, so is devotion.</p>
+
+<p>The consummation of marriage involves the mightiest issues of life. It
+may be the source of infinite happiness or the seal of a living death.
+"Love is blind" is an old saying, verified by thousands of ill-assorted
+unions. Many unhappy marriages are traceable to one or both of two sources,
+Physical Weaknesses and Masquerading. Many are the candidates for marriage
+who are rendered unfit therefor from weaknesses of their sexual systems,
+induced by the violation of well-established physical laws.</p>
+
+<p>We cannot too strongly urge upon parents and guardians the imperative
+duty of teaching those youths who look to them for <span class="pagenum"><a
+name="Page_188" id="Page_188"></a>[pg 188]</span>instruction, in all
+matters which pertain to their future well-being such lessons as are
+embraced in the chapter of this book entitled, "Hygiene of the Reproductive
+Organs." By attending to such lessons as will give the child a knowledge of
+the physiology and hygiene of his whole system, the errors into which so
+many of the young fall, and much of the misery which is so often the dregs
+of the hymeneal cup, will be avoided.</p>
+
+<p>Masquerading is a modern accomplishment. Girls wear tight shoes,
+burdensome skirts, and corsets, all of which prove very injurious to their
+health. At the age of seventeen or eighteen, our young ladies are sorry
+specimens of womankind, and "palpitators," cosmetics, and all the modern
+paraphernalia of fashion are required to make them appear fresh and
+blooming. Man is equally to blame. A devotee to all the absurd devices of
+fashion, he practically asserts that "dress makes the man." But physical
+deformities are of far less importance than moral imperfections. Frankness
+is indispensable in love. Each should know the other's faults and virtues.
+Marriage will certainly disclose them; the idol falls and the deceived
+lover is transformed into a cold, unloving husband or wife. By far the
+greater number of unhappy marriages are attributable to this cause. In love
+especially, honesty is policy and truth will triumph.</p>
+
+
+<h4>HISTORY OF MARRIAGE.</h4>
+
+
+<p><b>Polygamy and Monogamy</b>. We propose to give only a brief
+dissertation on the principles and arguments of these systems, with special
+reference to their representatives in the nineteenth century. Polygamy has
+existed in all ages. It is, and always has been, the result of moral
+degradation or wantonness. The Garden of Eden was no harem. Primeval nature
+knew no community of love. There was only the union of two "and the twain
+were made one flesh." Time passed; "the sons of God saw the daughters of
+men that they were fair; and they took them wives of all which they chose."
+The propensities of men were in the ascendant, and "God repented Him that
+He had created man." He directed Noah to take into the ark, two of every
+sort, male and female. But "the imagination of man's heart is evil from his
+youth," and tradition points to Polygamy as the generally recognized form
+of marriage among the ancients. <span class="pagenum"><a name="Page_189"
+id="Page_189"></a>[pg 189]</span>The father of the Hebrew nation was
+unquestionably a polygamist, and the general history of patriarchal life
+shows that a plurality of wives and concubines were national customs. In
+the earlier part of Egyptian history, Menes is said to have founded a
+system of marriage, ostensibly monogamous, but in reality it was
+polygamous, because it allowed concubinage. As civilization advanced, the
+latter became unpopular, and "although lawful, was uncommon," while
+polygamy was expressly forbidden. Solomon, according to polygamous
+principles, with his thousand women, should have enjoyed a most felicitous
+condition. Strange that he exclaimed "A woman among all these have I not
+found." According to the distinguished Rabbi, Maimonides, polygamy was a
+Jewish custom as late as the thirteenth century. When Cecrops the Egyptian
+King, came to Athens (1550, B.C.) he introduced a new system, which proved
+to be another step toward the recognition of Monogamy. Under this code a
+man was permitted to have one wife and a concubine. Here dawned the era of
+Grecian civilization, the glory of which was reflected in the social and
+political principles of Western Europe. During the fourth and fifth
+centuries B.C., concubinage disappeared, but, under the new regime, the
+condition of the wife was degraded. She was regarded as simply an
+instrument of procreation and a mistress of the household, while a class of
+foreign women, who devoted themselves to learning and the fine arts, were
+the admired, and often the beloved companions of the husbands. These were
+the courtesans who played the same role in Athenian history, as did the
+chaste matron, in the annals of Rome. When Greece became subject to Rome
+and the national characteristics of these nations were blended, marriage
+became a loose form of monogamy. In Persia, during the reign of Cyrus,
+about 560 B.C., polygamy was sustained by custom, law, and religion. The
+Chinese marriage system was, and is, practically polygamous, for, from
+their earliest traditions, we learn that although a man could have but one
+wife, he was permitted to have as many concubines as he desired.</p>
+
+<p>In the Christian era the first religious system which incorporated
+polygamy as a principle was Mohammedanism. This system, which is so
+admirably adapted to the voluptuous <span class="pagenum"><a
+name="Page_190" id="Page_190"></a>[pg 190]</span>character of the
+Orientals, has penetrated Western Europe, Asia, and Africa. Hayward
+estimated the number of its adherents to be one hundred and forty millions.
+The heaven of the Mohammedan is replete with all the luxuries which appeal
+to the animal propensities. Ravishing Houris attend the faithful, who
+recline on downy couches, in pavilions of pearl. On the Western Continent a
+system of promiscuity was practiced by the Mexicans, Peruvians, Brazilians,
+and the barbarous tribes of North America.</p>
+
+<p>The Mormon Church was founded by Joseph Smith, and professes to be in
+harmony with the Bible and a special revelation to its leading Saint.
+According to the Mormon code, "Love is a yearning for a higher state of
+existence, and the passions, properly understood, are feeders of the
+spiritual life;" and again, "nature is dual; to complete his organization a
+man must marry." The leading error of Mormonism is that it mistakes a legal
+permission for a Divine command. The Mormon logic may be premised as
+follows: the Mosaic law allowed polygamy; the Bible records it; therefore,
+the Bible <i>teaches</i> polygamy.</p>
+
+<p>A Mormon Saint can have not less than three wives but as many more as he
+can conveniently support. The eight fundamental doctrines of the Mormon
+Church are stated as follows: 1. God is a person with the flesh and form of
+a man. 2. Man is a part of the substance of God and will himself become a
+god. 3. Man is not created by God but existed from all eternity. 4. Man is
+not born in sin, and is not accountable for offenses other than his own. 5.
+The earth is a colony of embodied spirits, one of many such settlements in
+space. 6. God is president of the immortals, having under Him four orders
+of beings: (1.) Gods&mdash;<i>i.e.</i>, immortal beings, possessed of a perfect
+organization of soul and body, being the final state of men who have lived
+on earth in perfect obedience to the law. (2.) Angels, immortal beings who
+have lived on earth in imperfect obedience to the law. (3.) Men, immortal
+beings in whom a living soul is united with a human body. (4.) Spirits,
+immortal beings, still waiting to receive their tabernacle of flesh. 7.
+Man, being one of the race of gods, became eligible, by means of marriage,
+for a celestial throne, and his household of <span class="pagenum"><a
+name="Page_191" id="Page_191"></a>[pg 191]</span>wives and children are his
+kingdom, not only on earth but in heaven. 8. The kingdom of God has been
+again founded on earth, and the time has now come for the saints to take
+possession of their own; but by virtue, not by violence; by industry, not
+by force. This sect has met with stern and bitter opposition. It was
+successively located in New York, Ohio, Missouri, and Illinois, from the
+last of which it was expelled by force of arms, and in 1848 established in
+Utah. Its adherents number, at the present time, more than two hundred
+thousand.</p>
+
+<p>Another organization, differing from the Mormons, in many of its radical
+principles, is that of the "Communists," popularly termed "Free Lovers." It
+is located at Lennox, Madison Co., N.Y. Its members advocate a system of
+"complex marriage" which they claim is instituted with a conscientious
+regard for the welfare of posterity. They disclaim "promiscuity," and
+assert that the tie which binds them together is as permanent and as sacred
+as that of marriage. Community of property is commensurate with freedom of
+Love. They define love to be "social appreciation," and this element in
+their code of civilization, which they deem superior to all others, is
+secondary to "bodily support." The principles upon which their social
+status is founded may be briefly summarized as follows: "Man offers woman
+support and love (unconditional). Woman enjoying freedom, self-respect,
+health, personal and mental competency, gives herself to man in the
+boundless sincerity of an unselfish union. State&mdash;, Communism." In this, as
+in all forms of polygamous marriages, love is made synonymous with
+sexuality, and its purely spiritual element is lost. In every instance this
+spiritual element should constitute the basis of marriage, which, without
+it, is nothing more than legal prostitution. Without it, the selfish,
+degrading, animal propensities run rampant, while the emotions with all
+their boundless sweetness lie dormant. Woman is regarded as only a
+plaything to gratify the animal caprice.</p>
+
+<p>That Monogamy is a law of nature is evident from the fact that it
+fulfills the three essential conditions which form the basis of true
+marriage: (1.) The development of the individual (2.) The welfare of
+society. (3.) The reproduction of the species.</p>
+
+
+<p><span class="pagenum"><a name="Page_192" id="Page_192"></a>[pg
+192]</span></p><h4>THE DEVELOPMENT OF THE INDIVIDUAL.</h4>
+
+
+<p>PHYSICALLY. Reciprocated love produces a general exhilaration of the
+system. The elasticity of the muscles is increased, the circulation is
+quickened, and every bodily function is stimulated. The duties of life are
+performed with a zest and alacrity never before experienced. "It is not
+possible for human beings to attain their full stature of humanity, except
+by loving long and perfectly. Behold that venerable man! He is mature in
+judgment, perfect in every action and expression, and saintly in goodness.
+You almost worship as you behold. What rendered him thus perfect? What
+rounded off his natural asperities, and moulded up his virtues? Love
+mainly. It permeated every pore, so to speak, and seasoned every fiber of
+his being, as could nothing else. Mark that matronly woman. In the bosom of
+her family, she is more than a queen and goddess combined. All her looks
+and actions express the outflowing of some or all of the human virtues. To
+know her is to love her. She became thus perfect, not in a day or a year,
+but by a long series of appropriate efforts. Then by what? Chiefly in and
+by love, which is specifically adapted thus to develope this maturity." But
+all this occurs only when there is a normal exercise of the sexual
+propensities. Excessive indulgence in marital pleasures deadens all the
+higher faculties, love included, and results in an utter prostration of the
+bodily powers. The Creator has endowed man and woman with passions, the
+suppression of which leads to pain, their gratification to pleasure, their
+satiety to disgust. Excessive marital indulgence produces abnormal
+conditions of the generative organs and not unfrequently leads to incurable
+disease. Many cases of uterine disease are traceable to this cause.</p>
+
+<p>MORALLY AND INTELLECTUALLY. In no country where the polygamous system
+prevails do we find a code of political and social ethics which recognizes
+the rights and claims of the individual. The condition of woman is that of
+the basest slave, a slave to the caprice and tyranny of her master.
+Communism raises her from the slough of slavery, but subjects her to the
+level of prostitution. An inevitable sequence of polygamy is a decline of
+literature and science. The natural tendency of <span class="pagenum"><a
+name="Page_193" id="Page_193"></a>[pg 193]</span>each system is to
+<i>sensualism.</i>, The blood is diverted from its normal channels and the
+result is a condition which may be appropriately termed <i>mental
+starvation</i>. Sensualism is in its very nature directly opposed to
+literary attainments or advancement. Happily there is a golden mean, an
+equalization of those elements which constitutes the acme of individual
+enjoyment.</p>
+
+
+<h4>THE WELFARE OF SOCIETY.</h4>
+
+
+<p>The general law of ethics, that "whatever is beneficial to the
+individual, contributed to the highest good of society and <i>vice
+versa</i>," applies with equal force to the hygienic conditions of
+marriage. Each family, like the ancient Roman household, is the prototype
+of the natural government under which it lives. Wherever the marriage
+relation is regarded as sacred, there you will find men of pure hearts and
+noble lives. Of all foreign nations the Germans are celebrated for their
+sacred regard of woman, and the duties of marriage, and all scholars from
+the age of Tacitus to the present day, have concurred in attributing the
+elevation of woman to the pure-minded Teutons. In America, the law
+recognizes only Monogamy; but domestic unhappiness is a prominent feature
+of our national life; therefore, argues the would-be free-lover, monogamy
+does not accord with the best interests of mankind. The fallacy lies in the
+first premise. Legally, our marriage system is monogamous but
+<i>socially</i> and <i>practically</i> it is <i>not!</i> Prostitution is
+the source of this domestic infelicity. The "mistress" sips the sweet
+nectar that is denied to the deceived wife. Legislators have battled with
+intemperance, but have done comparatively little to banish from our midst
+this necessary (?) evil. They recoil with disgust from this abyss of
+iniquity and disease. Within it is coiled a hydra-headed monster, which
+invades our hearthstones, contaminates our social atmosphere, and whose
+very breath is laden with poisonous vapors, the inexhaustible source of all
+evil.</p>
+
+<p>The perverted appetites of mankind are mistaken for the natural desires
+and necessities of our being; and, accordingly, various arguments have been
+advanced to prove that monogamy is not conducive to social developement. It
+is curious that no one of these arguments refers to the health and
+well-being of <span class="pagenum"><a name="Page_194"
+id="Page_194"></a>[pg 194]</span>the <i>individual</i>, thus overlooking,
+perhaps willfully, the great law of social economy. Even a few medical
+writers sometimes advocate the principles of this so-called liberalism. In
+a recently published work, there are enumerated only <i>two</i> demerits of
+polygamy and <i>six</i> of monogamy. These six demerits which the author is
+pleased to term a "bombshell," he introduces on account of his moral
+convictions no less than humanitarian considerations. The same author terms
+monogamy a "worm-eaten and rotten-rooted tree." The worm that is
+devastating the fairest tree of Eden and draining its richest juices is
+what our contemporary thinks, may be "<i>plausibly termed, a necessary
+evil</i>." It is claimed that monogamy begets narrow sympathies and leads
+to selfish idolatry. The fallacy of this argument lies in the
+misapprehension of the term <i>selfishness</i>. Self-preservation is
+literally selfishness, yet who will deny that it is a paramount duty of
+man. If perverted, it may be vicious, even criminal; but selfishness, in so
+far as it is generated by monogamy, is one of the chief elements of social
+economy; furthermore, it favors the observance of the laws of sexual
+hygiene. As we have said elsewhere, true love <i>increases benevolence</i>,
+and correspondingly expands and develops the sympathies. Selfish idolatry
+is preferable to social neglect. This argument will not bear a critical
+examination; for it is asserted that in a happy union, "love is so
+exclusive that there is hardly a liking for good neighbors, and scarcely
+any love at all for God." If the "good neighbors" were equally blessed,
+they would not suffer from this exclusiveness, and it is practically true
+that there is no higher incentive to love and obey our Maker than the
+blessing of a happy marriage.</p>
+
+
+<h4>THE PERPETUATION OF THE SPECIES.</h4>
+
+
+<p>The third essential object of marriage is the perpetuation of the
+species. The desire for offspring is innate in the heart of every true man
+or woman. It is thus a law of our nature, and, as such, must have its
+legitimate sphere. The essential features of reproduction proclaim monogamy
+to be the true method of procreation. Promiscuity would render the mother
+unable to designate the father of her children. Among lower animals,
+pairing is an instinctive law whenever the female is <span
+class="pagenum"><a name="Page_195" id="Page_195"></a>[pg
+195]</span>incapable of protecting and nourishing her offspring alone.
+During at least fifteen years, the child is dependent for food and clothing
+upon its parents, to say nothing of the requisite moral training and loving
+sympathy, which, in a great measure, mould its character. Fidelity to one
+promotes multiplication. It has been argued by the advocates of polygamy
+that such a system interferes with woman's natural right to maternity. Of
+the many marriages celebrated yearly, comparatively few are sterile. The
+statement that many single women are desirous of having children, would
+apply only to a very limited number, as it is seldom that they would be
+able to support children without the aid and assistance of a father.
+Promiscuity diminishes the number and <i>vitiates</i>, the quality of the
+human products. "Women of pleasure never give to the world sons of genius,
+or daughters of moral purity."</p>
+
+<p><span class="pagenum"><a name="Page_196" id="Page_196"></a>[pg
+196]</span></p><hr />
+
+
+
+
+<h2><a name='CHAPTER_XVII'></a>CHAPTER XVII.</h2>
+
+<h1>REPRODUCTION.</h1>
+
+
+<p>Every individual derives existence from a <i>parent</i>, which word
+literally means one who brings forth. We restrict the meaning of the term
+<i>reproduction</i>, ordinarily, to that function by which living bodies
+produce other living bodies similar to themselves. <i>Production</i> means
+to bring forth; <i>reproduction</i>, the producing again, or renewing. To
+protract individual existence, nutrition is necessary, because all vital
+changes are attended by <i>wear</i> and <i>waste</i>. Nutrition is always
+engaged in the work of reparation. Every organism that starts out upon its
+career of development depends upon nourishing materials for its growth, and
+upon this renewing process for its development. Nutrition is all the while
+necessary to prolong the life of the individual, but at length its vigor
+wanes, its functions languish, and, finally, the light of earthly life goes
+out. Although the single organization decays and passes away, nevertheless
+the species is uninterruptedly continued; the tidal wave of life surges
+higher on the shores of time, for reproduction is as constant and stable as
+the attractive forces of the planetary system.</p>
+
+<p>It is a fact, that many species of the lower order of animals which once
+existed are now extinct. It has been asserted and denied, that fossil
+remains of man have been found, indicating that races which once existed
+have disappeared from the face of the earth. The pyramids are unfolding a
+wonderful history, embracing a period of forty-five hundred years, which
+the world of science receives as literally authentic, and admits, also,
+that fifty-four hundred years are <i>probably</i> as correctly <span
+class="pagenum"><a name="Page_197" id="Page_197"></a>[pg
+197]</span>accounted for. The extinction of races is not at all improbable.
+At the present time, the aboriginal inhabitants of this continent seem to
+be surely undergoing gradual extinguishment! It, therefore, seems to be
+possible for a weaker race to deteriorate, and finally become extinct,
+unless the causes of their decadence can be discovered and remedied. All
+people are admonished to earnestly investigate the essential conditions
+necessary for their continuance, for the rise and fall of nations is in
+obedience to natural principles and operations. Viewed from this
+standpoint, it is possible that a careful study of the human temperaments
+and their relations to reproduction may be of greater moment than has
+hitherto been supposed, and a proper understanding of them may tend to
+avert that individual deterioration, which, if suffered to become general,
+would end in national disaster and the extinction of the race.</p>
+
+<p>Until recently, even naturalists believed that descendants were strictly
+like their parents in form and structure. Now it is known that the progeny
+may differ in both form and structure from the parent, and that these may
+produce others still more unlike their ancestry. But all these peculiar and
+incidental deviations finally return to the original form, showing that
+these changes have definite limits, and that the alterations observe a
+specific variableness, which is finally completed by its assuming again the
+original form. (See <a href='#Page_16'>page 16</a>, Figs. 2 and 3).</p>
+
+<p><i>Reproduction</i> may be <i>sexual</i> or <i>non-sexual.</i> In some
+plants and animals it is non-sexual. The propagation of species is
+accomplished by buds. Thus the gardener grafts a new variety of fruit upon
+an old stock. The florist understands how to produce new varieties of
+flowers, and make them radiantly beautiful in their bright and glowing
+colors. The bud personates the species and produces after its kind. Some of
+the <i>annelides</i>, a division of articulate animals, characterized by an
+elongated body, formed of numerous rings or annular segments, multiply by
+spontaneous division. A new head is formed at intervals in certain segments
+of the body. (See Fig. 97).</p>
+
+<p>Something similar to this process of budding, we find taking place in a
+low order of animal organization. Divide the fresh water polyp into several
+pieces, and each one will grow into <span class="pagenum"><a
+name="Page_198" id="Page_198"></a>[pg 198]</span>an entire animal. Each
+piece represents a polyp, and so each parent polyp is really a compound
+animal, an organized community of beings. Just as the buds of a tree, when
+separated and engrafted upon another tree, grow again, each preserving its
+original identity, so do the several parts of this animal, when divided,
+become individual polyps, capable of similar reproduction.</p>
+
+
+
+<p class="figure"><a name="advise082"><img width="40%" alt="Illustration:
+Fig. 97. An annelid dividing spontaneously, " src="images/advise082.png"
+/></a><br />Fig. 97. An annelid dividing spontaneously, a new head having
+been formed toward the hinder part of the body of the parent.</p>
+
+<p>The revolving volvox likewise increases by growth until it becomes a
+society of animals, a multiple system of individuals. There are apertures
+from the parent, by which water gains a free access to the interior of the
+whole miniature series. This monad was once supposed to be a single animal,
+but the microscope shows it to be a group of animals connected by means of
+six processes, and each little growing volvox exhibits his red-eye speck
+and two long spines, or horns. These animals also multiply by dividing, and
+thus liberate another series, which, in their turn, reproduce other
+groups.</p>
+
+<p>Generation requires the concurrence of <i>stimuli</i> and
+<i>susceptibility</i>, and, to perfect the process, two conditions are also
+necessary. The first is the sperm, which communicates the principle of
+action; the other is the germ, which receives the latent life and provides
+the conditions necessary to organic evolution. The vivifying function
+belongs to the male, that of nourishing and cherishing is possessed by the
+female; and these conditions are sexual distinctions. The former represents
+<i>will</i> and <i>understanding</i>; the latter, <i>vitality</i> and
+<i>emotion</i>. The father directs and controls, the mother fosters and
+encourages; <span class="pagenum"><a name="Page_199" id="Page_199"></a>[pg
+199]</span>the former counsels and admonishes, the latter persuades and
+caresses; and their union in holy matrimony represents one; that is, the
+blending of vitality and energy, of love and wisdom,&mdash;the elements
+indispensable to the initiation of life under the dual conditions of male
+and female,&mdash;<i>one in the functions of reproduction</i>.</p>
+
+<p>Let us consider the modes of Sexual Reproduction, which are
+<i>hermaphroditic</i> and <i>dioecious</i>.</p>
+
+
+<h4>HERMAPHRODITIC REPRODUCTION.</h4>
+
+
+<p>We have said that two kinds of cells represent reproduction, namely,
+sperm and germ-cells. These may be furnished by different individuals, or
+both may be found in one. When both are found in the same individual, the
+parent is said to be a <i>natural hermaphrodite</i>. A perfect
+hermaphrodite possesses the attributes of both male and female&mdash;uniting
+both sexes in one individual. Natural hermaphroditic reproduction occurs
+only among inferior classes of animals, and naturalists inform us that
+there are a greater number of these than of the more perfect varieties.
+These are found low in the scale of animal organization, and one individual
+is able to propagate the species. In the oyster and ascidians no organs can
+be detected in the male, but in the female they are developed. Polyps,
+sponges, and cystic entozoa, may also be included among hermaphrodites.</p>
+
+<p>It is only very low organisms indeed in which it is a matter of
+indifference whether the united sperm-cells and germ-cells are those of the
+same individual, or those of different individuals. In more elaborate
+structures and highly organized beings, the essential thing in
+fertilization is the union of these cells specially endowed by
+<i>different</i> bodies, the unlikeness of derivation in these united
+reproductive centers being the desideratum for perpetuating life and
+power.</p>
+
+<p>In other classes, as <i>entozoa</i>, there appear to be special
+provisions whereby the sperm-cells and germ-cells may be united;
+<i>i.e.</i>, the male organs are developed and so disposed as to fecundate
+the ova of the same individual. Sexual and non-sexual modes of reproduction
+are illustrated by that well-defined group of marine invertebrate animals,
+called <i>cirripedia</i> Fig. 98 represents one of this genus.</p>
+
+<p><span class="pagenum"><a name="Page_200" id="Page_200"></a>[pg 200]</span></p>
+
+
+<p class="lfigure"><a name="advise083"><img width="90%" alt="Illustration:
+Fig. 98. Pollicipes Mitella." src="images/advise083.png" /></a><br />Fig.
+98. Pollicipes Mitella.</p>
+
+<p>Some of these are not only capable of self-impregnation, but likewise
+have what are called <i>complemental males</i> attache to some of the
+hermaphrodites. In the whole animal kingdom, it may be doubted if there
+exists another such class of rudimentary creatures as the parasitic males,
+who possess neither mouth, stomach, thorax, nor abdomen. After exerting a
+peculiar sexual influence, they soon die and drop off; so that in this
+class of animals may be found the sexual distinctions of male, female, and
+perfect hermaphrodites.</p>
+
+
+
+<p class="rfigure"><a name="advise084"><img width="90%" alt="Illustration:
+Fig. 99. Rotiferia; Brachionus Urceolaris; largely magnified. "
+src="images/advise084.png" /></a><br />Fig. 99. Rotiferia; Brachionus
+Urceolaris; largely magnified. </p>
+
+<p>There is a class of wheel-animalcules termed <i>rotifera</i>, of which
+the revolving volvox is one example. They have acquired this name on
+account of the apparent rotation of the disc-like organs which surround
+their mouths and are covered with <i>cilia</i>, or little hairs. They are
+minute creatures, and can best be viewed with a microscope, although the
+larger forms may be seen without such assistance. They are widely diffused
+on the surface of the earth, inhabit lakes as well as the ocean, and are
+found in cold, temperate, and tropical climates. The rotifera were once
+supposed to be hermaphrodites, but the existence of sexes in one species
+has been clearly established. The male, however, is much smaller, and far
+less developed than the female. In some of these species, germ-cells, or
+eggs, are found, which do not require fecundation for reproduction or
+development, so that they belong to the non-sexual class.</p>
+
+<p>The third variety of hermaphrodites embraces those animals in which the
+male organs are so disposed as not to fecundate <span class="pagenum"><a
+name="Page_201" id="Page_201"></a>[pg 201]</span>the ova of the same body,
+but require the co-operation of two individuals, notwithstanding the
+co-existence in each of the organs of both sexes. Each in turn impregnates
+the other. The common leech, earth-worm, and snail, propagate in this
+manner.</p>
+
+<p><i>Unnatural hermaphrodism</i> is characteristic of insects and
+crustaceans, in which the whole body indicates a neutral character, tending
+to exhibit the peculiarities of male or female, in proportion to the kind
+of sexual organs which predominates. Half of the body may be occupied by
+male, the other half by female organs, and each half reflects its peculiar
+sexual characteristics. Some butterflies are dimidiate hermaphrodites;
+<i>i.e.</i> one side of the body has the form and color of the male, the
+other the form and color of the female. The wings show by their color and
+appearance these sexual distinctions. The stag-beetle is also an example.
+We have accounts of dimidiate hermaphrodite lobster, male in one half and
+female in the other half of the body.</p>
+
+<p>Among the numerous classes of higher animals, which have red blood, we
+have heard of no well-authenticated instance of hermaphrodism, or the
+complete union of <i>all</i> the reproductive organs in one individual.
+True, the term <i>hermaphrodite</i> is often applied to certain persons in
+whom there is some malformation, deficiency, or excess, of the genital
+organs. These congenital deformities consisting of combined increase or
+deficiency, supernumerary organs, or transposition of them, which usually
+render generation physically impossible, have been called <i>bisexual
+hermaphrodism</i> and classed as monstrosities. We have many published
+accounts of them, hence, further reference to them here is unnecessary. We
+would especially refer those readers who may desire to make themselves
+further acquainted with this interesting subject, to the standard
+physiological works of Flint, Foster, Carpenter, Bennett, Dalton, and
+others equally eminent in this particular branch of science.</p>
+
+<p>Certain theories have been advanced concerning conditions which may
+influence the sex of the offspring. One is that the right ovary furnishes
+the germs for males, the left for females that the right testicle furnishes
+sperm capable of fecundating the germs of males, and the left testicle, the
+germs of the left <span class="pagenum"><a name="Page_202"
+id="Page_202"></a>[pg 202]</span>ovary, for females. That fecundation
+sometimes takes place from right to left and thus produces these abnormal
+variations. We merely state the hypothesis, but do not regard it as
+accounting for the distinction of sex, or as causing monstrosities, though
+it is somewhat plausible as a theory, and is not easily disproved. In the
+lower order of animals, as sheep and swine, one of the testicles has been
+removed, and there resulted afterward both male and female progeny, so that
+the theory seems to lack facts for a foundation.</p>
+
+<p>We sometimes witness in the child excessive development, as five
+fingers, a large cranium, which results in dropsical effusion, or deficient
+brain, as in idiots; sometimes a hand or arm is lacking, or possibly there
+is a dual connection, as in the case of the Siamese twins; or, two heads
+united on one body. It is difficult to give any satisfactory explanation of
+these abnormal developments. From age to age, the type is <i>constant</i>,
+and preserves a race-unity. The crossings of the races are only transient
+deviations, not capable of perpetuation, and quickly return again to the
+original stock. This force is persistent, for inasmuch as the individual
+represents the race, so does his offspring represent the parental
+characteristics, in tastes, proclivities, and morals, as well as in organic
+resemblances. This constancy is unaccountable, and more mysterious than the
+occasional malformation of germs in the early period of foetal life. If to
+every deviation from that original form and structure, which gives
+character to the productions of nature, we apply the term <i>monster</i>,
+we shall find but very few, and from this whole class there will be a very
+small number indeed of <i>sexual</i> malformations. If the sexes be
+deprived of the generative organs, they approach each other in disposition
+and appearance. All those who are partly male and partly female in their
+organization, unite, to a certain extent, the characteristics of both
+sexes. When the female loses her prolific powers, many of her sexual
+peculiarities and attractions wane.</p>
+
+
+<h4>DIOECIOUS REPRODUCTION.</h4>
+
+
+<p><i>Dioecious</i> is a word derived from the Greek, and signifies <i>two
+households;</i> hence, <i>dioecious reproduction</i> is sexual generation
+by male and female individuals. Each is distinguished by sexual <span
+class="pagenum"><a name="Page_203" id="Page_203"></a>[pg
+203]</span>characteristics. The male sexual organs are complete in one
+individual, and all the female organs belong to a separate feminine
+organization. In some of the vertebrates, impregnation does not require
+sexual congress; in other words, fecundation may take place
+<i>externally</i>. The female fish of some species first deposits her ova,
+and afterwards the male swims to that locality and fertilizes them with
+sperm.</p>
+
+<p>In higher orders of animals, fecundation occurs <i>internally</i>, the
+conjunction of the sperm and germ cells requiring the conjugation of the
+male and female sexual organs. The sperm-cells of the male furnish the
+quickening principle, which sets in play all the generative energies, while
+the germ-cell, susceptible to its vivifying presence, responds with all the
+conditions necessary to evolution. The special laboratory which furnishes
+spermatic material is the <i>testes</i>, while the stroma of the
+<i>ovaries</i> contributes the germ-cell. Several different modes of
+reproducing are observed when fecundation occurs within the body, which
+vary according to the peculiarities and organization of the female.</p>
+
+<p><b>Modes of Dioecious Reproduction</b>.&mdash;A very familiar illustration of
+one mode is found in the common domestic fowl, the egg of which vivified
+within the ovarium, is afterward expelled and hatched by the simple agency
+of warmth. This mode of reproduction is called <i>oviparous
+generation</i>.</p>
+
+<p>The ovaries, as well as all their latent germs, are <i>remarkably</i>
+influenced by the first fecundation. It seems to indicate monogamy as the
+rule of higher sexual reproduction. The farmer understands that if he
+wishes to materially improve his cows, the first offspring must be begotten
+by a better, purer breed, and all that follow will be essentially
+benefited, even if not so well sired. Neither will the best blood exhibit
+its most desirable qualities in the calves whose mothers have previously
+carried inferior stock. So that there are sexual ante-natal influences
+which may deteriorate the quality of the progeny. The Jews understood this
+principle, in the raising up of sons and daughters unto a deceased brother.
+The fact that the sexual influence of a previous conception is not lost, is
+illustrated when, in a second marriage, the wife bears a son or daughter
+resembling bodily or mentally, or in both of these respects the former
+<span class="pagenum"><a name="Page_204" id="Page_204"></a>[pg
+204]</span>husband. This indicates a union for life by natural influences
+which never die out.</p>
+
+<p>With some species of fish and reptiles, the egg is impregnated
+internally, and the process of <i>laying</i> commences immediately, but it
+proceeds so slowly through the excretory passages, that it is hatched and
+born alive. This is called <i>ovo-viviparous generation</i>.</p>
+
+<p>As we rise in the scale of organization, animals are more completely
+developed, and greater economy is displayed in their preservation. The germ
+passes from the ovary into an organ prepared for its reception and growth,
+to which, after fecundation, it becomes attached, and where it remains
+until sufficiently developed to maintain respiratory life. This organ is
+called the <i>womb</i>, or <i>uterus</i>, and is peculiar to most mammalia.
+This mode of reproduction is termed <i>viviparous generation</i>.</p>
+
+<p>The kangaroo and oppossum are provided with a pouch attached to the
+abdomen, which receives the young born at an early stage of development.
+They remain in contact with the mammæ, from which they obtain their
+nourishment, until their growth is sufficiently completed to maintain an
+independent existence. This is called <i>marsupial generation</i>. The
+variety of reproduction which is most interesting, is that of the human
+species, and is called <i>viviparous generation</i>. It includes the
+functions of copulation, fecundation, gestation, parturition, and
+lactation.</p>
+
+<p>For the full and perfect development of mankind, both mental and
+physical chastity is necessary. The health demands abstinence from unlawful
+intercourse. Therefore children should not be allowed to read impure works
+of fiction, which tend to inflame the mind and excite the passions. Only in
+total abstinence from illicit pleasures is there moral safety and health,
+while integrity, peace, and happiness, are the conscious rewards of virtue.
+Impurity travels downward with intemperance, obscenity, and corrupting
+diseases, to degradation and death. A dissolute, licentious, free-and-easy
+life is filled with the dregs of human suffering, iniquity, and despair.
+The penalties which follow a violation of the law of chastity are found to
+be severe and swiftly retributive.</p>
+
+<p><span class="pagenum"><a name="Page_205" id="Page_205"></a>[pg 205]</span></p>
+
+
+<p class="lfigure"><a name="advise085"><img width="90%" alt="Illustration:
+Fig. 100. Male" src="images/advise085.png" /></a><br />Fig. 100. Male</p>
+
+
+
+<p class="rfigure"><a name="advise086"><img width="90%" alt="Illustration:
+Fig. 101. Female" src="images/advise086.png" /></a><br />Fig. 101.
+Female</p>
+
+<p><span class="pagenum"><a name="Page_206" id="Page_206"></a>[pg 206]</span></p>
+
+
+<p class="figure"><a name="advise087"><img width="40%" alt="Illustration:
+Fig. 102. Outline of the Female Urinary and Generative Organs."
+src="images/advise087.png" /></a><br />Fig. 102. Outline of the Female
+Urinary and Generative Organs.</p>
+
+<p>The union of the sexes in holy matrimony is a law of nature finding
+sanction in both morals and legislation. Even some of the lower animals
+unite in this union for life, and instinctively observe the law of conjugal
+fidelity with a consistency which might put to blush other animals more
+highly endowed. It is important to discuss this subject and understand our
+social evils, as well as the unnatural desires of the sexes, which must be
+controlled or they lead to ruin. Sexual propensities are possessed by all,
+and they must be held in abeyance, until they are exercised for legitimate
+purposes. Hence parents ought to understand the value of mental and
+physical labor to elevate and strengthen the intellectual and moral
+faculties of their children, to develop the muscular system and direct the
+energies of the blood into healthful channels. Vigorous employment <span
+class="pagenum"><a name="Page_207" id="Page_207"></a>[pg 207]</span>of mind
+and body engrosses the vital energies and diverts them from undue
+excitement of the sexual desires.</p>
+
+
+
+<p class="figure"><a name="advise088"><img width="40%" alt="Illustration:
+Fig. 103. Outline of the Male Reproductive Organs."
+src="images/advise088.png" /></a><br />Fig. 103. Outline of the Male
+Reproductive Organs.</p>
+
+<p>Sexual generation by pairing individuals is the most economical mode of
+propagating the species. The lower orders of animals possess wonderful
+multiplicative powers and their faculty for reproduction is offset by
+various destructive forces. The increased ability for self-maintenance
+implies diminished reproductive energy; hence the necessity for greater
+economy and safety in rearing the young. As certain larvæ and insects
+increase, the birds which feed upon them become more numerous. When this
+means of support becomes inadequate, these same birds diminish in number in
+proportion to the scarcity of their food. Many have remarked that very
+prolific seasons are followed by unusual mortality, just as periods of
+uncommon prosperity precede those of severe disaster.</p>
+
+<p>The increased mental and moral cultivation of mankind imposes upon them
+the necessity for greater physical culture. <span class="pagenum"><a
+name="Page_208" id="Page_208"></a>[pg 208]</span>"Wiser and weaker," is a
+trite saying, and means that the exercise of the higher nature discloses
+the equivalent necessity of culturing the body, in order to support the
+increasing expenditures of the former. Mental and moral discipline are
+essential for a proper understanding how to provide for the body, for
+physical training increases the capacity of the individual for
+self-preservation. Constant vigilance is the price of health as well as of
+liberty.</p>
+
+<p>It is an interesting physiological fact that, while the growth and
+development of the individual are rapidly progressing, the reproductive
+powers remain almost inactive, and that the commencement of reproduction
+not only indicates an arrest of growth, but, in a great measure,
+contributes toward it. From infancy to puberty, the body and its individual
+organs, structurally as well as functionally, are in a state of gradual and
+progressive evolution. Men and women generally increase in stature until
+the twenty-fifth year, and it is safe to assume that perfection of function
+is not established until maturity of bodily development is completed.
+Solidity and strength are represented in the organization of the male,
+grace, and beauty in that of the female. His broad shoulders represent
+physical power and the right of dominion, while her bosom is the symbol of
+love and nutrition. The father encounters hardships, struggles against
+difficulties, and braves dangers to provide for his household; the mother
+tenderly supplies the infant's wants, finding relief and pleasure in
+imparting nourishment, and surrounds helpless infancy with an affection
+which is unwearied in its countless ministering attentions. Her maternal
+functions are indicated by greater breadth of the hips. Physical
+differences so influence their mental natures, that, "before experience has
+opened their eyes, the dreams of the young man and maiden differ." The
+development of either is in close sympathy with their organs of
+reproduction. Any defect of the latter impairs our fair ideal, and detracts
+from those qualities which impart excellence, and crown the character with
+perfections. Plainly has Nature marked out, in the organization, very
+different offices to be performed by the sexes, and has made these
+distinctions fundamental.</p>
+
+<p>Likewise, Nature expresses the intention of reproduction <span
+class="pagenum"><a name="Page_209" id="Page_209"></a>[pg 209]</span>by
+giving to plants and animals distinctive organs for this purpose. These are
+endowed with exquisite sensibility, so that their proper exercise produces
+enjoyment beneficial to both. Excessive sexual indulgence not only
+prostrates the nervous system, enfeebles the body, and drains the blood of
+its vivifying elements, but is inconsistent with intellectual activity,
+morality, and spiritual development. The most entrancing delights and
+consummate enjoyments are of the emotive order, ideal, abstract, and pure,
+so inspiring that they overpower the grosser sensual pleasures and diffuse
+their own sweet chastity and refining influence over all the processes of
+life.</p>
+
+<p>Hence, the gratification of the sexual instincts should always be
+moderate. It should be regulated by the judgment and will, and kept within
+the bounds of health. No person has a moral right to carry this indulgence
+so far as to produce injurious consequences to either party, and he who
+cannot refrain from it is in no proper condition to propagate his species.
+In all culture there must be self-control, and the practice of self-denial
+at the command of love and justice is always a virtue. Self-government is
+the polity of our people, and we point with pride and laudable exultation
+to our political maxims, laws, and free institutions. The family is the
+prototype of society. If self-restraint be practiced in the marital
+relation, then the principle of self-control will carry health, strength,
+and morality into all parts of the commonwealth. The leading
+characteristics of any nation are but the reflection of the traits of its
+individual members, and thus the family truly typifies the practical
+morality and enduring character of a people.</p>
+
+
+<h4>OVULATION.</h4>
+
+
+<p>The <i>Ovaries</i> are those essential parts of the generative system of
+the human female in which the ova are matured. There are two ovaries, one
+on each side of the uterus, and connected with it by the Fallopian tubes;
+they are ovoidal bodies about an inch in diameter, and furnish the
+<i>germs</i> or ovules. These latter are very minute, seldom measuring
+1/120 of an inch in diameter, and frequently are not more than half that
+size. The ovaries develop with the growth of the female, so that, finally,
+at the pubescent period, they ripen and liberate <span class="pagenum"><a
+name="Page_210" id="Page_210"></a>[pg 210]</span>an ovum, or germ vesicle,
+which is carried into the uterine cavity through the Fallopian tubes. With
+the aid of the microscope, we find that these ova are composed of granular
+substance, in which is found a miniature yolk surrounded by a transparent
+membrane, called the <i>zona pellucida</i>. This yolk contains a germinal
+vesicle in which can be discovered a nucleus, called the <i>germinal
+spot</i>. The process of the growth of the ovaries is very gradual, and
+their function of ripening and discharging an ovum every month into the
+Fallopian tubes and uterus is not developed until between the twelfth and
+fifteenth years.</p>
+
+<p>This period, which indicates, by the feelings and ideas, the desires and
+will, that the subjects are capable of procreation, is called
+<i>puberty</i>. The mind acquires new and more delicate perceptions, the
+person becomes plumper, the mammæ enlarge, and there is grace and
+perfection in every movement, a conscious completeness for those relations
+of life for which this function prepares them. The period of puberty is
+also indicated by</p>
+
+
+<h4>MENSTRUATION.</h4>
+
+
+<p>The catamenial discharge naturally follows the ripening and liberation
+of an ovum, and as the ovaries furnish one of these each month, this
+monthly flow is termed the <i>menses</i> (the plural of the Latin word
+<i>mensis</i>, which signifies a month). The menstrual flow continues from
+three to five days, and is merely the exudation of ordinary venous blood
+through the mucous lining of the cavity of the uterus. At this time, the
+nervous system of females is much more sensitive, and from the fact that
+there is greater aptitude to conception immediately before and after this
+period, it is supposed that the sexual feeling is then the strongest. When
+impregnation occurs immediately before the appearance of the menses, their
+duration is generally shortened, but not sufficiently to establish the
+suspicion that conception has taken place. The germ is the contribution of
+the female, which provides the conditions which only require the vivifying
+principle of the sperm for the development of another being. The period of
+aptitude for conception terminates at the time both ovulation and
+menstruation cease, <span class="pagenum"><a name="Page_211"
+id="Page_211"></a>[pg 211]</span>which, unless brought about earlier by
+disease, usually occurs about the forty-fifth year of her age.</p>
+
+
+<h4>FECUNDATION.</h4>
+
+
+<p>Since in the beginning God created male and female, and said unto them,
+"Be fruitful, and multiply, and replenish the earth," it is evident that
+what was originated by creation must be continued by procreation. The
+process of generation the reader will find described on pages <a
+href="#Page_12">12</a> and <a href="#Page_13">13</a>. Then commences a
+wonderful series of transforming operations, rudimentary changes
+preliminary to the formation of tissues, structures and functions, which
+finally qualify the organism for independent existence. The ovum, when
+expelled from the ovary, enters the fimbriated, or fringe-like extremity of
+the Fallopian tube, to commence at once its descent to the uterus. The
+process of passing through this minute tube varies in different animals. In
+birds and reptiles, the bulk of the expelled ova is so great as to
+completely fill up the tube, and it is assisted in its downward course,
+partly by its own weight and partly by the peristaltic action of the
+muscular coat of the canal. In the human subject, however, the ova are so
+minute that nature has supplied a special agent for their direct
+transmission; otherwise they might be retained, and not reach their
+destination. Accordingly, the fimbriated, trumpet-shaped extremity of the
+Fallopian tubes, which is nearest to the ovaries, and, consequently from
+the ovary first receives the ovum when expelled; is provided with a series
+of small hairs, termed <i>cilia</i>, forming the lining or basement
+membrane of the tubes, and, the movements of these cilia being towards the
+uterus, transmit, by their vibrating motion, the ovum from the ovary,
+through the Fallopian tubes, to the uterus.</p>
+
+<p>The mature ovum, however, is not by itself capable of being converted
+into the embryo. It requires fecundation by the spermatic fluid of the
+male, and this may take place immediately on the expulsion of the ovum from
+the ovary, or during its passage through the Fallopian tube, or, according
+to Bischoff, Coste, and others, in the cavity of the uterus, or even upon
+the surface of the ovary. Should impregnation, however, fail, the ovum
+gradually loses its vitality, and is eventually <span class="pagenum"><a
+name="Page_212" id="Page_212"></a>[pg 212]</span>expelled by the uterine
+secretions. It occasionally happens that the descent of the impregnated
+ovum is arrested, and the formation of the embryo commences in the ovary.
+This is termed <i>ovarian pregnancy</i>. Or again, the ovum may be arrested
+in its passage through the Fallopian tube, causing what is termed <i>tubal
+pregnancy</i>; or, after it has been expelled from the ovary, it may fail
+to be received by the fimbriated extremity, and escape into the cavity of
+the abdomen, forming what has been termed <i>ventral pregnancy</i>. If the
+microscopic germ lodges in some slight interstice of fiber, during its
+passage through the walls of the uterus, it may be detained long enough to
+fix itself there, and when this occurs, it is termed <i>interstitial
+pregnancy</i>. All these instances of extra-uterine pregnancy may
+necessitate the employment of surgical skill, in order that they may
+terminate with safety to the mother. Their occurrence, however, is very
+rare.</p>
+
+<p>The intense nervous excitement produced by the act of coition is
+immediately followed by a corresponding degree of depression, and a too
+frequent repetition of it is necessarily injurious to health. The
+secretions of the seminal fluid being, like other secretions, chiefly under
+the influence of the nervous system, an expenditure of them requires a
+corresponding renewal. This renewal greatly taxes the corporeal powers,
+inducing lassitude, nervousness, and debility. It is a well known fact that
+the highest degree of mental and bodily vigor is inconsistent with more
+than a moderate indulgence in sexual intercourse.</p>
+
+<p>To ensure strength, symmetry, and high intellectual culture in the human
+race, requires considerable care. Consideration should be exercised in the
+choice of a companion for life. Constitutional as well as hereditary
+ailments demand our closest attention. Age has also its judicious barriers.
+As before stated, when reproduction commences, growth, as a rule, ceases,
+therefore, it is inexpedient that matrimony should be consummated before
+the parties have arrived at mature stature.</p>
+
+
+<h4>PREVENTION OF CONCEPTION.</h4>
+
+
+<p>Much has been written upon the question whether married people have a
+right to decline the responsibilities of wedlock. <span class="pagenum"><a
+name="Page_213" id="Page_213"></a>[pg 213]</span>The practice of inducing
+abortion is not only immoral but criminal, because it is destructive to
+both the health of the mother and the life of the embryo being. If both the
+parties to a marriage be feeble, or if they be not temperamentally adapted
+to each other, so that their children would be deformed, insane, or
+idiotic, then to beget offspring would be a flagrant wrong. If the mother
+is already delicate, possessing feeble constitutional powers, she is
+inadequate to the duties of maternity, <i>and it is not right to lay such
+burdens upon her</i>. Self-preservation is the first law of nature, which
+all ought to respect. The woman may be able to discharge the duties of a
+loving wife and companion, when she cannot fulfill those of child-bearing.
+If the husband love his wife as he ought, he will resign all the pleasure
+necessary to secure her exemption from the condition of maternity. It seems
+to us, that it is a great wickedness, unpardonable even, to be so reckless
+of consequences, and so devoid of all feeling, as to expose a frail,
+feeble, affectionate woman to those perils which almost insure her death.
+To enforce pregnancy under such circumstances is a crime. Every true man,
+therefore, should rather practice self-control and forbearance, than entail
+on his wife such certain misery, if not danger to life.</p>
+
+<p>Undoubtedly, the trial is great, but if a sacrifice be required, let the
+husband forbear the gratification of passions which will assuredly be the
+means of developing in his delicate wife symptoms that may speedily hurry
+her into a premature grave. Before she has recovered from the effects of
+bearing, nursing, and rearing one child, ere she has regained proper tone
+and vigor of body and mind, she is unexpectedly overtaken, <i>surprised</i>
+by the manifestation of symptoms which again indicate pregnancy. Children
+thus begotten are not apt to be hardy and long-lived. From the love that
+parents feel for their posterity, from their wishes for their success, from
+their hopes that they may be useful from every consideration for their
+future well-being, let them exercise precaution and forbearance, until the
+wife becomes sufficiently healthy and enduring to bequeath her own vital
+stamina to the child she bears.</p>
+
+<p>From what has been said on this subject, it behooves the prudent husband
+to weigh well the injurious, nay criminal <span class="pagenum"><a
+name="Page_214" id="Page_214"></a>[pg 214]</span>results which may follow
+his lust. Let him not endanger the health, and it may be the life, of his
+loving and confiding wife through a lack of self-denial. Let him altogether
+refrain, rather than be the means of untold misery and, perhaps, the
+destruction of the person demanding his most cherished love and protection.
+On so important a subject, we feel we should commit an unpardonable wrong
+were we not to speak thus plainly and openly. An opportunity has been
+afforded us, which it would be reprehensible to neglect. We shall indeed
+feel we have been amply rewarded, if these suggestive remarks of ours tend
+in any way to remove or alleviate the sufferings of an uncomplaining and
+loving wife. Our sympathies, always susceptible to the conditions of sorrow
+and suffering, have been enlisted to give faithfully, explicitly, and
+plainly, warnings of danger and exhortations to prudence and nothing
+remains for us but to maintain the principles of morality, and leave to the
+disposal of a wise and overruling Providence the mystery of all seemingly
+untoward events. In every condition of life, evils arise, and most of those
+which are encountered are avoidable. Humanity should be held accountable
+for those evils which it might, but does not shun.</p>
+
+<p>By a statute of the national government, prevention of pregnancy is
+considered a punishable offense; whereas every physician is instructed by
+our standard writers and lecturers on this subject, that not only
+prevention is necessary in many instances, but even abortion must sometimes
+be produced in order to save the mother's life. As we view the matter, the
+law of the national government asserts the ruling principle, and the
+exceptions to it must be well established by evidence, in order to fully
+justify such procedure. The family physician may, with the concurrence of
+other medical counselors, be justified, in rare cases, in advising means
+for the prevention of conception, but he should exercise this professional
+duty <i>only</i> when the responsibility is shared by other members of the
+profession, and the circumstances fully and clearly warrant such a
+practice.</p>
+
+<p>After fecundation, the length of time before conception takes place is
+variously estimated. Should impregnation occur at the ovary or within the
+Fallopian tubes, usually about a week <span class="pagenum"><a
+name="Page_215" id="Page_215"></a>[pg 215]</span>elapses before the
+fertilized germ enters the uterus, so that ordinarily the interval between
+the act of insemination and that of conception varies from eight to
+fourteen days.</p>
+
+
+<h4>DOUBLE CONCEPTION.</h4>
+
+
+<p>If two germs be evolved simultaneously, each may be impregnated by
+spermatozoa, and a twin pregnancy be the result. This is by no means a rare
+occurrence. It is very unusual, however, to have one birth followed by
+another after an interval of three or four months, and each babe present
+the evidences of full maturity. Perhaps such occurrences may be accounted
+for on the supposition that the same interval of time elapses between the
+impregnation of the two germs as there is difference observed in their
+birth; that after the act of insemination, sperm was carried to each ovary;
+that one had matured a germ ready for fecundation, then impregnation and
+conception immediately followed, and the decidua of the uterus hermetically
+sealed both Fallopian tubes, and thus securely retained the sperm within
+the other Fallopian canal. The stimulus of the sperm so pent up causes that
+ovary to mature a germ, although it may do so slowly, and after two or
+three months it is perfected, fertilized, and a second conception occurs
+within the uterus. If each embryo observe a regular period of growth and
+each be born at maturity, there must be an interval of two or three months
+between their births. But it is far more common for the parturition of the
+first, displaying signs of full maturity, to coincide with the birth of a
+second which is immature and which cannot sustain respiratory life. The
+birth of the latter is brought about prematurely, by the action of the
+uterus in expelling the matured child.</p>
+
+
+<h4>UTERINE PREGNANCY.</h4>
+
+
+<p>There are many who manifest a laudable desire to understand the
+physiology of conception, the changes which take place, and the order of
+their natural occurrence. When impregnation takes place at the ovaries or
+within the Fallopian tubes, there is exuded upon the inner surface of the
+womb a peculiar nutritious substance. It flows out of the minute porous
+openings surrounding the termination of the Fallopian tube within <span
+class="pagenum"><a name="Page_216" id="Page_216"></a>[pg 216]</span>the
+uterine cavity, and, thus, is in readiness to receive the germ, and retain
+it there until it becomes attached. Undoubtedly, the germ imbibes materials
+from this matter for its nurture and growth. This membranous substance is
+termed the <i>decidua</i>, and disappears after conception is insured. Two
+membranes form around the embryo; the inner one is called the
+<i>amnion</i>, the outer one the <i>chorion</i>. Both serve for the
+protection of the embryo, and the inner one contains the <i>liquor
+amnii,</i> in which it floats during intra-uterine life. Immediately after
+conception, the small glands in the neck of the uterus usually throw out a
+sticky secretion, filling the canal, or uniting its sides, so that nothing
+can enter or leave the uterine cavity.</p>
+
+<p>The fertilized ovum rapidly develops. After its conception it imbibes
+nourishment, and there is a disposition in fluids to pass into it, through
+its delicately-organized membranes. If this process is not involuntary, it
+is, at all events, at the convenience and use of the developing germ. After
+three months the embryo is termed the <i>foetus</i>. Its fluids are then so
+much more highly organized, that some of them are tinged with sanguine
+hues, and thenceforward acquire the characteristics of red blood. Out of
+red blood, blood-vessels are formed, and from the incipient development of
+the heart follow faint lines of arteries, and the engineers of nutrition
+survey a circulatory system, perfecting the vascular connections by
+supplementing the arteries with a complete net-work of veins and
+capillaries.</p>
+
+
+<h4>THE PLACENTA OR AFTERBIRTH.</h4>
+
+
+<p>Whenever conception occurs, a soft, spongy substance is formed between
+the uterus and the growing ovum, called the <i>placenta</i>. It is composed
+of membrane, cellular tissue, blood-vessels, and connecting filaments. The
+principal use of this organ seems to be to decarbonate the blood of the
+foetus, and to supply it with oxygen. It performs the same function for the
+foetus that the lungs do for the organism after birth. It allows the blood
+of the foetus to come into very close contact with that of the mother, from
+which it receives a supply of oxygen, and to which it gives up carbonic
+acid. This interchange of gases takes place in the placenta, or between it
+and the uterus, through the intervening membranes. This <span
+class="pagenum"><a name="Page_217" id="Page_217"></a>[pg
+217]</span>decarbonating function requires the agency of the maternal
+lungs, for the purpose of oxygenating the mother's blood.</p>
+
+<p>The placenta is attached to the uterus by simple adhesion. True, in some
+instances, morbid adhesion takes place, or a growing together in
+consequence of inflammation, but the natural junction is one merely of
+contact, the membranes of the placenta spreading out upon the cavity of the
+uterus, so that, finally, the former may be entirely removed without a
+particle of disturbance or injury to the latter. Formerly, it was supposed
+that the placental vessels penetrated into the substance of the uterus. We
+know now there is no such continuation of the vessels of the one into the
+other. The decarbonation of the blood requires the placental and uterine
+membranes to be in contact with each other.</p>
+
+<p>If the union were vascular, the mother's blood would circulate in the
+foetal body, and the impulses of the maternal heart might prove too strong
+for the delicate organism of the embryo. Besides, the separation of the
+placenta from the uterus might prove fatal to both parent and offspring.
+The placenta is only a temporary organ, and when its functions are no
+longer required, it is easily and safely removed.</p>
+
+
+<h4>THE UMBILICAL CORD.</h4>
+
+
+<p>The foetal blood is transmitted to and fro between the body of the child
+and the placenta, by a cord which contains two arteries and one vein. This
+is called the <i>umbilical cord</i>, because it enters the body at the
+middle of the abdominal region, or <i>umbilicus</i>. It is composed, also,
+of its own proper membranous sheath, or skin, and cellular tissues, besides
+the blood-vessels. Two months after pregnancy, this cord can be seen, when
+it commences to grow rapidly.</p>
+
+
+<h4>QUICKENING.</h4>
+
+
+<p>Not until the mother feels motion is she said to be quick with child.
+That is, the child must be old and strong enough to communicate a physical
+impulse, which the mother can distinctly perceive, before it is regarded as
+having received life. This is a fallacy, for the germ has to be endowed
+with life before organization can begin. The act of impregnation <span
+class="pagenum"><a name="Page_218" id="Page_218"></a>[pg
+218]</span>communicates the vital principle, and from that moment it starts
+upon its career of development. A long period elapses after this occurs
+before it can make the mother feel its motions. Before quickening, the
+attempt to destroy the foetus is not considered so grave a crime by our
+laws, but after this quickening takes place, it is deemed a felony.</p>
+
+
+<h4>THE RIGHT TO TERMINATE PREGNANCY.</h4>
+
+
+<p>The expediency and the moral right to prematurely terminate pregnancy
+must be admitted when weighty and sufficient reasons for it exist. Such a
+course should never be undertaken, however, without the advice and approval
+of the family physician, and, whenever it is possible, the counsel of
+another medical practitioner should be obtained. There may be so great a
+malformation of the pelvic bones as to preclude delivery at full term, or,
+as in some instances, the pregnant condition may endanger the life of the
+mother, because she is not able to retain nourishment upon the stomach. In
+such cases only, is interference warranted, and even then the advice of
+some well-informed physician should be first obtained, to make sure that
+the life of the mother is endangered before so extreme a measure is
+resorted to.</p>
+
+<p>Those who are qualified for maternal duties should not undertake to
+defeat the intentions of nature, simply because they love ease and dislike
+responsibility. Such persons may be considered genteel ladies, but,
+practically, they are indifferent to the claims of society and posterity.
+How such selfishness contrasts with the glorious, heroic, Spartan spirit of
+the young woman who consulted us in reference to the acceptance of a
+tempting offer of marriage! She was below medium size and delicately
+organized. She hesitated in her answer, because she was uncertain as to her
+duty to herself, and to her proposed husband, and on account of the
+prospective contingencies of matrimony. After she was told that it was
+doubtful whether she could discharge the obligations of maternity with
+safety to herself, and yet that she might prove to her intended husband a
+true and valuable wife, she quickly answered, her black eyes radiant with
+the high purpose of her soul: "If I assent to this offer, I shall accept
+the condition and its consequences <span class="pagenum"><a name="Page_219"
+id="Page_219"></a>[pg 219]</span>also, even if pregnancy be my lot and I
+know it will cost me my life!" She acceded to the proposal, and years found
+them one in happiness; then a daughter was born, but the bearing and
+nursing were too much for her delicate constitution, and she continued to
+sink until she found rest in the grave. Of all her beautiful and noble
+sayings, none reflect more moral grandeur of spirit than the one in which
+she expressed her purpose to prove true to posterity.</p>
+
+
+<h4>THE SIGNS OF PREGNANCY.</h4>
+
+
+<p>The symptoms which indicate pregnancy are cessation of the menses,
+enlargement of the mammæ, nausea, especially in the morning,
+distention of the abdomen, and movement of the foetus. A married woman has
+reason to suspect that she may have conceived, when, at the proper time,
+she fails to menstruate, especially when she knows that she is liable to
+become pregnant. A second menstrual failure strengthens this suspicion,
+although there are many other causes which might prevent the appearance of
+the menses, such as disease of the uterus, general debility, or taking
+cold, and all of these should be taken into account. In the absence of all
+apparent influences calculated to obstruct the menses, the presumption
+ordinarily is that pregnancy is the cause of their non-appearance. The
+evidence is still more conclusive when the mammæ and abdomen enlarge
+after experiencing morning sickness. Notwithstanding all these symptoms,
+the audible sound of the heart, or the movements of the foetus, are the
+only <i>infallible</i> signs of a pregnant condition.</p>
+
+
+<h4>THE DURATION OF PREGNANCY.</h4>
+
+
+<p>The ordinary duration of pregnancy is about forty weeks, or 280 days. It
+is difficult to foretell exactly when a pregnancy will be completed, for it
+cannot be known precisely when it began. Some gestations are more
+protracted than others, but the average duration is the time we have given.
+A very reasonable way to compute the term, is to reckon three months back
+from the day when the menses ceased and then add five days to that time,
+which will be the date of the expected time of confinement. It is
+customary, also, for women to <span class="pagenum"><a name="Page_220"
+id="Page_220"></a>[pg 220]</span>count from the middle of the month after
+the last appearance of the menses, and then allow ten <i>lunar</i> months
+for the term. This computation generally proves correct, except in those
+instances in which conception takes place immediately before the fast
+appearance of the catamenia. A few women can forecast the time of labor
+from the occurrence of quickening, by allowing eighteen weeks for the time
+which has elapsed since conception, and twenty-two more for the time yet to
+elapse before the confinement. With those in whom quickening occurs
+regularly in a certain week of pregnancy, this calculation may prove nearly
+correct.</p>
+
+<p>The English law fixes no precise limit for the legitimacy of the child.
+In France a child is regarded as lawfully begotten if born within three
+hundred days after the death or departure of the husband. There are a
+sufficient number of cases on record to show that gestation may be
+prolonged two, and even three, weeks beyond the ordinary, or average term.
+The variation of time may be thus accounted for: after insemination, a
+considerable interval elapses before fecundation takes place, and the
+passage of the fertilized germ from the ovary to the uterus is also liable
+to be retarded. There are many circumstances and conditions which might
+serve to diminish its ordinary rate of progress, and postpone the date of
+conception. This would materially lengthen the <i>apparent</i> time of
+gestation.</p>
+
+<p>It is likewise difficult to determine the shortest period at which
+gestation may terminate, and the child be able to survive. A child may be
+born and continue to live for some months, after twenty-four or twenty-five
+weeks of gestation; it was so decided, at least, in an ecclesiastical
+trial.</p>
+
+<p>We have not the space to describe minutely, or at length, the formation
+and growth of the foetal structures, and trace them separately from their
+origin to their completion at the birth of the child. The student of
+medicine must gain information by consulting large works and exhaustive
+treatises on this interesting subject.</p>
+
+<p>What trifling contingencies defeat vitality! Conception may be prevented
+by acrid secretions, the result of disease of the reproductive organs.
+Leucorrheal matter may destroy the vitalizing power of the sperm-cells.
+There are many ways, even <span class="pagenum"><a name="Page_221"
+id="Page_221"></a>[pg 221]</span>after impregnation, of compromising the
+existence of the frail embryo. Accidents, injuries, falls, blows, acute
+diseases, insufficient nutrition and development, in fact, a great variety
+of occurrences may destroy the life of the embryo, or foetus. After birth,
+numerous diseases menace the child. By what constant care must it ever be
+surrounded, and how often is it snatched from the very jaws of death!</p>
+
+<p>What, then, is man but simply a germ, evolving higher powers, and
+destined for a purer and nobler existence! His latent life secretly emerges
+from mysterious obscurity, is incarnated, and borne upon the flowing stream
+of time to a spiritual destination&mdash;to realms of immortality! As he nears
+those ever-blooming shores, the eye of faith, illuminated by the inspired
+word, dimly discerns the perennial glories. Quickened by Faith, Hope, and
+Love, his spirit is transplanted into the garden of paradise, the Eden of
+happiness, redeemed, perfected, and made glorious in the divine image of
+Him who hath said, "I am the Way, the <i>Truth</i>, and the LIFE."</p>
+
+<p><span class="pagenum"><a name="Page_222" id="Page_222"></a>[pg
+222]</span></p><hr />
+
+<h2><a name='PART_II'></a>PART II.</h2>
+
+<h1>HYGIENE.</h1>
+
+
+
+
+<h2><a name='IICHAPTER_I'></a>CHAPTER I.</h2>
+
+<h1>HYGIENE DEFINED.&mdash;PURE AIR.</h1>
+
+
+<p>The object of hygiene is the <i>preservation of health</i>. Hitherto, we
+have considered, at some length, the science of functions, or
+<i>Physiology</i>, and now, under the head of <i>Hygiene</i>, we will give
+an outline of the means of maintaining the functional integrity of the
+system. It is difficult to avoid including under this head Preventive
+Medicine, the special province of which is to abate, remove, or destroy the
+many causes of disease.</p>
+
+<p>The Greeks bestowed divine honors upon Aesculapius, because he remedied
+the evils of mankind and healed the sick. The word hygiene is derived from
+Hygeia, the name of the Greek goddess of health. As male and female are
+made one in wedlock, so Medicine and Hygiene, restoration and preservation,
+are inseparably united.</p>
+
+<p>Hygiene inculcates sanitary discipline, medicine, remedial discipline;
+hygiene prescribes healthful agencies, medical theory and practice,
+medicinal agencies; hygiene ministers with salubrious and salutary agents,
+medicine assuages with rectifying properties and qualities; hygiene upholds
+and sustains, medical practice corrects and heals; the one is preservative
+and conservative, the other curative and restorative. These discriminations
+are as radical as health and sickness, as distinct as physiology and
+pathology, and to confound them is as unnatural as to look for the beauties
+of health in the chamber of sickness.</p>
+
+<p><span class="pagenum"><a name="Page_223" id="Page_223"></a>[pg
+223]</span>The true physician brings to his aid Physiology, Hygiene, and
+Medicine, and combines the science of the former with the art of the
+latter, that restoration may be made permanent, and the health preserved by
+the aid of hygiene. But when any one makes Hygiene exclusively the
+physician, or deals wholly in hygienic regulations with little respect for
+physiology, or lavishly advertises with hygienic prefixes, we may at once
+consider it a display, not of genuine scientific knowledge, but only of the
+ignorance of a quack. Some of the modern twaddle about health is a
+conglomeration of the poorest kind of trash, expressing and inculcating
+more errors and whims than it does common sense. Many persons dilate upon
+these subjects with amazing flippancy, their mission seeming to be to
+traduce the profession rather than to act as help-mates and assistants. We
+do not believe that there is any real argument going on between the
+educated members of the medical profession but rather that the senseless
+clamor we occasionally hear comes only from the stampede of some routed,
+demoralized company of quacks.</p>
+
+<p>In the following pages we shall introduce to the reader's attention
+several important hygienic subjects, although there are many more that
+ought to receive special notice. Such as we do mention, demand universal
+attention, because a disregard of the conditions which we shall enumerate,
+is fraught with great danger. Our lives are lengthened or shortened by the
+observance or neglect of the rules of common sense, and these do not
+require any great personal sacrifice, or the practice of absurd
+precautions.</p>
+
+
+<h4>PURE AIR FOR RESPIRATION.</h4>
+
+
+<p>Ordinary atmospheric air contains nearly 2,100 parts of oxygen and 7,900
+of nitrogen, and about three parts of carbonic acid, in 10,000 parts;
+expired air contains about 470 parts of carbonic acid, and only between
+1500 and 1600 parts of oxygen, while the quantity of nitrogen undergoes
+little or no alteration. Thus air which has been breathed has lost about
+five per cent. of oxygen and has gained nearly five per cent. of carbonic
+acid. In addition the expired air contains <span class="pagenum"><a
+name="Page_224" id="Page_224"></a>[pg 224]</span>a greater or less quantity
+of highly decomposable animal matter, and, however dry the atmospheric air
+may be, the expired air is always saturated with watery vapor, and, no
+matter what the temperature of the external air may be, that of the exhaled
+air is always nearly as warm as the blood. An adult man on a average
+breathes about sixteen times in a minute and at every inspiration takes in
+about thirty cubic inches of air, and at every expiration exhales about the
+same amount. Hence, it follows that about 16-2/3 cubic feet of air are
+passed through the lungs of an adult man every hour, and deprived of oxygen
+and charged with carbonic acid to the amount of nearly five per cent. The
+more nearly the composition of the external air approaches that of the
+expired air, the slower will be the diffusion of carbonic acid outwards and
+of oxygen inwards, and the more charged with carbonic acid and deficient in
+oxygen will the blood in the lungs become. Asphyxia takes place whenever
+the proportion of carbonic acid in the external air reaches ten per cent.,
+providing the oxygen is diminished in like proportion, and it does not
+matter whether this condition of the external air is produced by shutting
+out fresh air from a room or by increasing the number of persons who are
+consuming the same air; or by permitting the air to be deprived of oxygen
+by combustion by a fire. A deficiency of oxygen and an accumulation of
+carbonic acid in the atmosphere, produce injurious effects, however, long
+before the asphyxiating point is attained. Headache, drowsiness, and
+uneasiness occur when less than one per cent. of the oxygen of the
+atmosphere is replaced by other matters, and the constant breathing of such
+an atmosphere lowers vitality and predisposes to disease.</p>
+
+<p>Therefore, every human being should be supplied, by proper ventilation,
+with a sufficient supply of fresh air. Every adult individual ought to have
+at least 800 cubic feet of air-space to himself, and this space ought to
+communicate freely with the external atmosphere by means of direct or
+indirect channels. Hence, a sleeping-room for one adult person should not
+be less than nine by ten feet in breadth and length and nine feet in
+height. What occurred in the Black Hole at Calcutta is an excellent
+illustration of the effect of vitiated air. One hundred and forty-six
+Englishmen were confined in a room eighteen <span class="pagenum"><a
+name="Page_225" id="Page_225"></a>[pg 225]</span>feet square, with two
+small windows on one side to admit air. Ten hours after their imprisonment,
+only twenty-three were alive.</p>
+
+<p><b>Ventilation of School Rooms</b>. The depression and faintness from
+which many students suffer, after being confined in a poorly ventilated
+school room, is clearly traceable to vitiated air, while the evil is often
+ascribed to excessive mental exertion. The effect of ventilation upon the
+health of students is a subject of universal interest to parents and
+educators, and at present is receiving the marked attention of school
+authorities. Dr. F. Windsor, of Winchester, Mass., made a few pertinent
+remarks upon this subject in the annual report of the State Board of
+Health, of Massachusetts, 1874. One of the institutions, which was spoken
+of in the report of 1873, as a <i>model</i>, in the warming and ventilation
+of which much care had been bestowed, was visited in December, 1873. He
+reports as follows: "I visited several of the rooms, and found the air in
+all, offensive to the smell, the odor being such as one would imagine old
+boots, dirty clothes, and perspiration would make if boiled down together;
+again, in the new <i>model</i> school-house the hot air enters at two
+registers in the floor on one side, and makes (or is supposed to make) its
+exit by a ventilator at the floor, on the other side of the room." The
+master said "<i>the air was supposed to have some degree of intelligence,
+and to know that the ventilator was its proper exit</i>." Thorough
+ventilation has been neglected by many school officials on account of the
+increased expense it causes. In our climate, during seven months at least,
+pure atmospheric air must be paid for. The construction of vertical ducts,
+the extra amount of fuel, and the attendant expenditures are the objections
+which, in the opinion of many persons, outweigh the health and happiness of
+the future generation. It is necessary for the proper ventilation of our
+school rooms that an adequate supply of fresh air should be admitted, which
+should be warmed before being admitted to the room, and which should be
+discharged as contaminated, after its expiration. The proper ventilation of
+the school room consists in the warming and introduction of fresh air from
+without, and the discharge of the expired and unwholesome air from within.
+This may be accomplished by <span class="pagenum"><a name="Page_226"
+id="Page_226"></a>[pg 226]</span>means of doors, windows, chimneys, and
+finally by ventilators placed, one near the level of the floor, and the
+other near the ceiling of the room. The ventilators ought to be arranged on
+the opposite sides of the room, in order to insure a current, and an
+abundant supply of air. When trustees and patrons realize that pure air is
+absolutely essential to health, and that their children are being slowly
+poisoned by the foul air of school rooms, then they will construct our
+halls of learning with a due regard for the laws of hygiene, and students
+will not droop under their tasks on account of the absence of Nature's most
+bountiful gift, <i>pure air</i>.</p>
+
+<p><b>Ventilation of Factories and Workshops</b>. This is a subject which
+demands the immediate attention of manufacturers and employers. The odors
+of oil, coal gas, and animal products, render the air foul and stagnant,
+and often give rise to violent diseases among the operatives. From two to
+four hundred persons are often confined in workshops six hundred feet long,
+with no means of ventilation except windows <i>on one side only</i>. The
+air is breathed and re-breathed, until the operatives complain of languor
+and headache, which they attribute to overwork. The <i>real</i> cause of
+the headache is the inhalation of foul air at every expansion of the lungs.
+If the proprietors would provide efficient means for ventilating their
+workshops, the cost of construction would be repaid with compound interest,
+in the better health of their operatives and the consequent increase of
+labor. Our manufacturers must learn and practice the great principle of
+political economy, namely, that the interests of the laborer and employer
+are mutual.</p>
+
+<p><b>Ventilation of our dwellings</b>. Not less important is the
+ventilation of our dwellings; each apartment should be provided with some
+channel for the escape of the noxious vapors constantly accumulating. Most
+of the tenements occupied by the poor of our cities are literally dens of
+poison. Their children inhale disease with their earliest breath. What
+wonder that our streets are filled with squalid, wan-visaged children!
+Charity, indeed, visits these miserable homes, bringing garments and food
+to their half-famished inmates; but she has been slow to learn that fresh
+air is just as essential to life as food or clothing. Care should be taken
+by the public <span class="pagenum"><a name="Page_227"
+id="Page_227"></a>[pg 227]</span>authorities of every city, that its
+tenement houses do not degenerate into foul hovels, like those of the poor
+English laborer, so graphically portrayed by Dickens. But ill-ventilated
+rooms are not found exclusively in the abodes of the poor. True, in the
+homes of luxury, the effect of vitiated air is modified by food, etc. Men
+of wealth give far more attention to the architecture and adornment of
+their houses, to costly decorations and expensive furniture, than to proper
+ventilation. Farmers, too, are careless in the construction of their
+cottages. Their dwellings are often built, for convenience, in too close
+proximity to the barn. Because they do not construct a suitable sewer or
+drain, the filth and refuse food is thrown out of the back door, where it
+accumulates and undergoes putrefaction; the vitiated air penetrates the
+interior of the house, and, there being no means of ventilation, it remains
+to be breathed by the occupants. The result is, that for the sake of saving
+a few dollars, which ought to be expended in the construction of necessary
+flues and sewers, the farmer often sees the child he prizes far more than
+his broad acres gradually decline, or suddenly fall a victim to fevers or
+malignant disease. Parents, make your homes healthy, let in the pure, fresh
+air and bright sunlight, so that your conscience may never upbraid you with
+being neglectful of the health and lives of your little ones.</p>
+
+
+<h4>SITE FOR HOMES.</h4>
+
+
+<p><b>Malaria</b>. When about to construct our residences, besides securing
+proper ventilation and adequate drainage, we ought to select the location
+for a home on dry soil. Low levels, damp surroundings, and marshy
+localities not only breed malaria and fevers, but are a prolific cause of
+colds, coughs, and consumption. Care should be taken not to locate a
+dwelling where the natural currents of air, or high winds, will be likely
+to bring the poison of decayed vegetable matter from low lands. Certain
+brooks, boggy land, ponds, foggy localities, too much shade, all these are
+favorable to the development of disease. Then the walls of a building
+should be so constructed as to admit air between the exterior and interior
+surfaces, otherwise the interior of the house will be damp and unwholesome.
+In the dead of winter in northern latitudes <span class="pagenum"><a
+name="Page_228" id="Page_228"></a>[pg 228]</span>the house ought to be kept
+slightly tempered with warmth, both night and day, a condition very
+favorable to the introduction and change of atmospheric currents. The
+invigorating tendencies of a dry, pure atmosphere are remarkably
+beneficial, while air charged with moisture and decay is exceedingly
+baneful, introducing diseases under various forms.</p>
+
+<p>Neither should the dwelling be shaded by dense foliage. The dampness of
+the leaves tends to attract malaria. Trees growing a little distance from
+the house, however, obstruct the transmission of unhealthy vapors arising
+beyond them. Malaria generally lurks near the surface of the earth, and
+seems to be more abundant in the night time. Persons sleeping in the upper
+story of a house may escape its morbid influence, while those occupying
+apartments on the lower floor, become affected.</p>
+
+
+<h4>DAMP CELLARS.</h4>
+
+
+<p>Damp cellars, under residences, are a fruitful cause of disease. Dr.
+Sanford B. Hunt, in an article in the <i>Newark Daily Advertiser</i>,
+speaking of the recent epidemic of diphtheria in New York City, says:</p>
+
+<p>"Pestilences that come bodily, like cholera, are faced and beaten by
+sanitary measures. Those which come more subtly need for their defeat only
+a higher detective ability and a closer study of causes, many of which are
+known, but hidden under the cellars of our houses, and which at last are
+only preventable by public authority and at public expense in letting out
+the imprisoned dampness which saturates the earth on which our dwellings
+are built. Where wood rots, men decay. This is clearly shown in the
+sanitary map printed in the <i>Times</i>. In the great district surrounding
+Central Park, and which participates in its drainage system, there are no
+cases. On the whole line of Fifth Avenue there are none. The exempt
+districts are clearly defined by the character of the soil, drainage, and
+sewerage, and by the topography, which either has natural or artificial
+drainage, but most of which is so dry that only surface-water and
+house-filth&mdash;which does not exist in those palaces&mdash;can affect the health
+of the residents. But in the tenement houses and on the made lands where
+running streams have been filled in and natural springs choked up by earth
+<span class="pagenum"><a name="Page_229" id="Page_229"></a>[pg
+229]</span>fillings, diphtheria finds a nidus in which to develop itself.
+The sanitary map coincides precisely with the topographic map made by Gen.
+Viele. Where he locates buried springs and water-courses, there we find the
+plague spots of diphtheria and in the same places, on previous maps
+prepared by the Board of Health, we find other low types and stealthy
+diseases, such as typhoid and irruptive fevers, and there we shall find
+them again when the summer and autumnal pestilences have yielded place to
+those which belong to the indoor poisoned air in the winter. The experience
+of other cities, notably London and Dublin, once plague spots and now as
+healthy as any spot on earth, proves that most of the causations of disease
+are within the control of the competent sanitary engineer, even in
+localities crowded beyond American knowledge, and houses built upon soil
+saturated for centuries with the offal of successive and uncleanly
+generations. Wet earth, kept wet by the boiling up of imprisoned springs,
+is a focus of disease. Dry earth is one of the most perfect deodorizers,
+the best of oxydizers and absorbents, destroying the germs of disease with
+wonderful certainty. On those two facts rests the theory of public
+hygiene."</p>
+
+
+<h4>DUST AND DISEASE.</h4>
+
+
+<p>The air we breathe is heavily loaded with minute particles of floating
+dust, their presence being revealed only by intense local illumination.
+Professor Tyndall says: "solar light, in passing through a dark room,
+reveals its track by illuminating the dust floating in the air. 'The sun,'
+says Daniel Culverwell, 'discovers atoms, though they be invisible by
+candle-light, and makes them dance naked in his beams.'"</p>
+
+<p>After giving the details and results of a series of experiments in which
+he attempted to extract the dust from the air of the Royal Institute by
+passing it through a tube containing fragments of glass wetted with
+concentrated sulphuric acid, and thence through a second tube containing
+fragments of marble wetted with a strong solution of caustic potash, which
+experiments were attended with perfect failure, the Professor continues, "I
+tried to intercept this floating matter in various ways; and on the day
+just mentioned, prior to sending the <span class="pagenum"><a
+name="Page_230" id="Page_230"></a>[pg 230]</span>air through the drying
+apparatus, I carefully permitted it to pass over the tip of a spirit-lamp
+flame. The floating matter no longer appeared, having been burnt up by the
+flame. It was, therefore, of <i>organic origin</i>. I was by no means
+prepared for this result; for I had thought that the dust of our air was,
+in great part, inorganic and non-combustile." In a foot note he says,
+"according to an analysis kindly furnished me by Dr. Percy, the dust
+collected <i>from the walls</i> of the British Museum contains fully fifty
+per cent of inorganic matter. I have every confidence in the results of
+this distinguished chemist; they show that the <i>floating</i> dust of our
+rooms is, as it were, winnowed from the heavier matter." Again he says:
+"the air of our London rooms is loaded with this organic dust, nor is the
+country air free from its presence. However ordinary daylight may permit it
+to disguise itself, a sufficiently powerful beam causes dust suspended in
+air to appear almost as a semi-solid. Nobody could, in the first instance,
+without repugnance, place the mouth at the illuminated focus of the
+electric beam and inhale the thickly-massed dust revealed there. Nor is the
+repugnance abolished by the reflection that, although we do not see the
+floating particles, we are taking them into our lungs every hour and minute
+of our lives." "The notion was expressed by Kircher and favored by
+Linnaeus, that epidemic diseases are due to germs which float in the
+atmosphere, enter the body, and produce disturbance by the development
+within the body of parasitic life. While it was struggling against great
+odds, this theory found an expounder and a defender in the President of
+this institution. At a time when most of his medical brethren considered it
+a wild dream, Sir Henry Holland contended that some form of the germ-theory
+was probably true." Professor Tyndall proposes means by the application of
+which air loaded with noxious particles may be freed from them before
+entering the air passages. The following embodies his suggestions on this
+point:</p>
+
+
+<h4>COTTON-WOOL RESPIRATOR.</h4>
+
+
+<p>"I now empty my lungs as perfectly as possible, and placing a handful of
+cotton-wool against my mouth and nostrils, inhale through it. There is no
+difficulty in thus filling the lungs <span class="pagenum"><a
+name="Page_231" id="Page_231"></a>[pg 231]</span>with air. On expiring this
+air through a glass tube, its freedom from floating matter is at once
+manifest. From the very beginning of the act of expiration the beam is
+pierced by a black aperture. The first puff from the lungs abolishes the
+illuminated dust, and puts a patch of darkness in its place; and the
+darkness continues throughout the entire course of the expiration. When the
+tube is placed below the beam and moved to and fro, the same smoke-like
+appearance as that obtained with a flame is observed. <i>In short, the
+cotton-wool, when used in sufficient quantity, and with due care,
+completely intercepts the floating matter on its way to the lungs</i>.</p>
+
+<p>The application of these experiments is obvious. If a physician wishes
+to hold back from the lungs of his patient, or from his own, the germs or
+virus by which contagious disease is propagated, he will employ a
+cotton-wool respirator. If perfectly filtered, attendants may breathe the
+air unharmed. In all probability the protection of the lungs and mouth will
+be the protection of the entire system. For it is exceedingly probable that
+the germs which lodge in the air-passages, or find their way with the
+saliva into the stomach with its absorbent system, are those which sow in
+the body epidemic disease. If this be so, then disease can be warded off by
+carefully prepared filters of cotton-wool. I should be most willing to test
+their efficacy in my own person. But apart from all doubtful applications,
+it is perfectly certain that various noxious trades in England may be
+rendered harmless by the use of such filters. I have had conclusive
+evidence of this from people engaged in such trades. A form of respirator
+devised by Mr. Garrick, a hotel proprietor in Glasgow, in which inhalation
+and exhalation occur through two different valves, the one permitting the
+air to enter through the cotton-wool, and the other permitting the exit of
+the air direct into the atmosphere, is well adapted for this purpose. But
+other forms might readily be devised."</p>
+
+
+<h4>LIGHT AND HEALTH.</h4>
+
+
+<p>Our dwellings ought freely to admit the sunlight. Diseases which have
+baffled the skill of physicians have been known to yield when the patients
+were removed from dark rooms to light and cheerful apartments. Lavoisier
+placed light, as an <span class="pagenum"><a name="Page_232"
+id="Page_232"></a>[pg 232]</span>agent of health, even before pure air.
+Plants which grow in the shade are slender and weak, and children brought
+up in dark rooms are pale, sallow, and rickety. It is a bad practice to
+avoid the sunlight through fear of spoiling the complexion, since the sun's
+rays are necessary to give to it the delicate tints of beauty and health.
+Air is necessary for the first inspiration and the last expiration of our
+lives, but the purity and healthfulness of the atmosphere depend upon the
+warming rays of the sun, while our bodies require light in order that their
+functions may be properly performed. We know that without solar light,
+there can be no proper vegetable growth, and it is equally necessary for
+the beauty and perfection of animal development. Our dwellings should
+therefore be well lighted and made as bright and cheerful as possible.
+Women who curtain the windows, soften the light, and tint the room with
+some mellow shade, may do so in order to hide their own faulty complexions.
+The skin of persons confined in dungeons or in deep mines becomes pale or
+sickly yellow, the blood grows watery, the skin blotches, and dropsy often
+intervenes. On the other hand, invalids carried out from darkened chambers
+into the bright sunlight are stimulated, the skin browns, nutrition becomes
+more active, the blood improves, and they become convalescent. Light is
+especially necessary for the healthy growth of children. There is nothing
+more beautiful and exhilarating than the glorious sunlight. Let its
+luminous, warming, and physiological forces come freely into our dwellings,
+enter into the chemistry of life, animate the spirits, and pervade our
+homes and our hearts with its joy-inspiring and health-imparting
+influences.</p>
+
+<p><span class="pagenum"><a name="Page_233" id="Page_233"></a>[pg
+233]</span></p><hr />
+
+
+
+
+<h2><a name='IICHAPTER_II'></a>CHAPTER II.</h2>
+
+<h1>FOOD. BEVERAGES. ALCOHOLIC LIQUORS. CLOTHING.</h1>
+
+
+<p>The human body is continually undergoing changes, which commence with
+the earliest dawn of existence and end only with death. The old and
+worn-out materials are constantly being removed to make room for the new.
+Growth and development, as well as the elimination of worn-out and useless
+matter, continually require new supplies, which are to be derived from our
+food. To fulfill these demands it is necessary that the nutriment should be
+of the proper quality, and of sufficient variety to furnish all the
+constituents of the healthy body. In order that food may be of utility,
+like other building materials, it must undergo preparation; the crude
+substance must be worked up into proper condition and shape for use, in
+other words, it must be <i>digested</i>. But this does not end the process
+of supply, each different substance must be taken by the different bands of
+workmen, after due preparation in the workshop, to its appropriate locality
+in the structure, and there fitted into its proper place; this is
+<i>assimilation</i>. In reality it becomes a portion of the body, and is
+advantageous in maintaining the symmetry and usefulness of the part to
+which it is assigned; this constitutes the ultimate object of food,
+<i>nutrition</i>.</p>
+
+<p><b>Eating</b> is the process of receiving the food into the mouth,
+<i>i.e., prehension; mastication and insalivation</i>&mdash;minutely dividing
+and mixing it with the saliva; <i>deglutition</i>&mdash;conveying it to the
+stomach. Plenty of time should be taken at meals to thoroughly masticate
+the food and mix it with the saliva, which, <span class="pagenum"><a
+name="Page_234" id="Page_234"></a>[pg 234]</span>being one of the natural
+solvents, favors its farther solution by the juices of the stomach; the
+healthy action of the digestive powers is favored by tranquility of mind,
+agreeable associations, and pleasant conversation while eating. It is
+proverbial of the American people that they bolt their food whole, washing
+it down with various fluids, thus forcing the stomach to perform not only
+its own duties, but also those of the teeth and salivary glands. This
+manner of dispatching food, which should go through the natural process
+above described, is not without its baleful consequences, for the Americans
+are called a nation of <i>dyspeptics</i>.</p>
+
+<p>Eating slowly, masticating the food thoroughly, and drinking but
+moderately during meals, will allow the juices of the stomach to fulfill
+their proper function, and healthy digestion and nutrition will result. If
+the food is swallowed nearly whole, not only will a longer time be required
+for its solution, but frequently it will ferment and begin to decay before
+nutritive transformation can be effected, even when the gastric juice is
+undiluted with the fluids which the hurried eater imbibes during his
+meal.</p>
+
+<p><b>Regularity of Meals</b> cannot be too strongly insisted upon. The
+stomach, as well as other parts of the body, must have intervals of rest or
+its energies are soon exhausted, its functions impaired, and
+<i>dyspepsia</i> is the result. Nothing of the character of food should
+ever be taken except at regular meal times. Some persons are munching
+cakes, apples, nuts, candies, etc., at all hours, and then wonder why they
+have weak stomachs. They take their meals regularly, and neither eat
+rapidly nor too much, and yet they are troubled with indigestion. The truth
+is they keep their stomachs almost constantly at work, and hence tired out,
+which is the occasion of the annoyance and distress they experience.</p>
+
+<p><b>Eating too much.</b> It should always be remembered that the
+nutrition of our bodies does not depend upon the amount eaten, but upon the
+amount that is digested. Eating too much is nearly as bad as swallowing the
+food whole. The stomach is unable to digest all of it, and it ferments and
+gives rise to unpleasant results. The unnatural distention of the stomach
+with food causes it to press upon the neighboring <span class="pagenum"><a
+name="Page_235" id="Page_235"></a>[pg 235]</span>organs, interfering with
+the proper performance of their functions, and, if frequently repeated,
+gives rise to serious disease. People more frequently eat too much than too
+little, and to omit a meal when the stomach is slightly deranged is
+frequently the best medicine. It is an excellent plan to rise from the
+table before the desire for food is quite satisfied.</p>
+
+<p><b>Late Suppers</b>. It is generally conceded that late suppers are
+injurious, and should never be indulged in. Persons who dine late have
+little need of food after their dinner, unless they are kept up until a
+late hour. In such cases a moderate meal may be allowed, but it should be
+eaten two or three hours before retiring. Those who dine in the middle of
+the day should have supper, but sufficiently early so that a proper length
+of time may elapse before going to bed, in order that active digestion may
+not be required during sleep. On the other hand, it is not advisable to go
+wholly without this meal, but the food eaten should be light, easily
+digestible, and moderate in quantity. Persons who indulge in hearty suppers
+at late hours, usually experience a poor night's rest, and wake the next
+morning unrefreshed, with a headache and a deranged stomach. Occasionally
+more serious consequences follow; gastric disorders result, apoplexy is
+induced; or, perhaps, the individual never wakes.</p>
+
+<p><b>Feeding Infants</b>. For at least six or seven months after birth,
+the most appropriate food for an infant is its mother's milk, which, when
+the parent is healthy, is rich in all the elements necessary for its growth
+and support. Next to the mother's milk, that of a healthy nurse should be
+preferred; in the absence of both, milk from a cow that has recently calved
+is the most natural substitute, in the proportion of one part water to two
+parts milk, slightly sweetened. The milk used should be from but one cow.
+All sorts of paps, gruels, panadas, cordials, laxatives, etc., should be
+strictly prohibited, for their employment as food cannot be too severely
+censured. Vomiting, diarrhea, colic, green stools, griping, etc., are the
+inevitable results of their continued use. The child should be fed at
+regular intervals, of about two hours, and be limited to a proper amount
+each time, which, during the first month, is about two ounces. From 11 P.M.
+to 5 A.M. the child <span class="pagenum"><a name="Page_236"
+id="Page_236"></a>[pg 236]</span>should be nursed but once. As the child
+grows older the intervals should be lengthened, and the amount taken at a
+time gradually increased. The plan of gorging the infant's stomach with
+food every time it cries, cannot be too emphatically condemned.</p>
+
+<p>After the sixth or seventh month, in addition to milk, bits of bread may
+be allowed, the quantity being slowly increased, thus permitting the diet
+to change gradually from fluid to solid food, so that, when the teeth are
+sufficiently developed for mastication, the child has become accustomed to
+various kinds of nourishment. Over-feeding, and continually dosing the
+child with cordial, soothing syrups, etc., are the most fruitful sources of
+infant mortality, and should receive the condemnation of every mother in
+the land.</p>
+
+<p><b>Preparation Of Food</b>. The production of pure blood requires that
+all the food selected should be rich in nutritious elements, and well
+cooked. To announce a standard by which all persons shall be guided in the
+selection and preparation of their food is impossible. Especially is this
+the case in a country the inhabitants of which represent almost every
+nation on the face of the globe. Travelers are aware that there is as much
+diversity in the articles of food and methods of cookery, among the various
+nationalities, as in the erection of their dwellings, and in their mental
+characteristics. In America we have a conglomeration of all these peoples;
+and for a native American to lay down rules of cookery for his German,
+French, English, Welsh, and Irish neighbors, or <i>vice versa</i>, is
+useless, for they will seldom read them, and, therefore, cannot profit by
+them. There are, however, certain conditions recognized by the hygienic
+writers of every nation. The adequate nutrition of the organic tissues
+demands a plentiful supply of pure blood, or the digestive apparatus will
+become impaired, the mental processes deranged, and the entire bony and
+muscular systems will lose their strength and elasticity, and be
+incapacitated for labor.</p>
+
+<p><b>Different Kinds of Food Required</b>. The different periods and
+circumstances of life require their appropriate food, and the welfare of
+mankind demands that it should supply both the inorganic and organic
+substances employed in the development of every tissue. The inorganic
+elements employed in our <span class="pagenum"><a name="Page_237"
+id="Page_237"></a>[pg 237]</span>construction, of which <i>Phosphorus,
+Sulphur, Soda, Iron, Lime,</i> and <i>Potash</i> are the most important,
+are not considered as aliments, but are found in the organic kingdom,
+variously arranged and combined with organic materials in sufficient
+quantities for ordinary purposes. When, however, from any cause, a lack of
+any of these occurs, so that their relative normal proportions are
+deranged, the system suffers, and restoration to a healthy condition can
+only be accomplished by supplying the deficiency; this may be done by
+selecting the article of food richest in the element which is wanting, or
+by introducing it as a medicine. It must be remembered that those
+substances which enter into the construction of the human fabric, are not
+promiscuously employed by nature, but that each and every one is destined
+to fulfill a definite indication.</p>
+
+<p><i>Lime</i> enters largely into the formation of bone, either as a
+<i>phosphate</i> or a <i>carbonate</i>, and is required in much greater
+quantities in early life, while the bone is undergoing development, than
+afterwards. In childhood the bones are composed largely of animal matter,
+being pliable and easily moulded. For this reason the limbs of young
+children bend under the weight of their bodies, and unless care is taken
+they become bow-legged and distorted. Whenever there is a continued
+deficiency of the earthy constituents, disease of the bones ensues.
+Therefore, during childhood, and particularly during the period of
+dentition, or teething, the food should be nutritious and at the same time
+contain a due proportion of lime, which is preferable in the form of a
+phosphate. When it cannot be furnished by the food, it should be supplied
+artificially. Delayed, prolonged, and tedious dentition generally arises
+from a deficiency of lime.</p>
+
+<p>With the advance of age it accumulates, and the bone becomes hard,
+inelastic, and capable of supporting heavy weights. Farther on, as in old
+age, the animal matter of bone becomes diminished, and lime takes its
+place, so that the bones become brittle and are easily broken. Lime exists
+largely in hard water, and to a greater or less extent in milk, and in
+nearly all foods except those of an acid character.</p>
+
+<p><i>Phosphorus</i> exists in various combinations in different parts of
+the body, particularly in the brain and nervous system. Persons who perform
+a large amount of mental labor require <span class="pagenum"><a
+name="Page_238" id="Page_238"></a>[pg 238]</span>more phosphorus than those
+engaged in other pursuits. It exists largely in the hulls of wheat, in
+fish, and in eggs. It should enter to a considerable extent into the diet
+of brain workers, and the bread consumed by them should be made of unbolted
+flour.</p>
+
+<p><i>Sulphur, Iron, Soda</i>, and <i>Potash</i> are all necessary in the
+various tissues of the body, and deficiency of any one of them, for any
+considerable length of time, results in disease. They are all supplied,
+variously arranged and combined, in both animal and vegetable food; in some
+articles they exist to a considerable extent, in others in much smaller
+quantities. <i>Sulphur</i> exists in eggs and in the flesh of animals, and
+often in water. <i>Iron</i> exists in the yolk of eggs, in flesh, and in
+several vegetables. <i>Soda</i> is supplied in nearly all food, and largely
+in common salt, which is a composition of sodium and hydrochloric acid, the
+latter entering into the gastric juice. <i>Potash</i> exists, in some form
+or other, in sufficient quantities for health, in both vegetable and animal
+food.</p>
+
+<p><b>Classes of Food</b>. All kinds of food substances may be divided into
+four classes. <i>Proteids, Fats, Amyloids</i>, and <i>Minerals</i>.
+Proteids are composed of the four elements, carbon, hydrogen, oxygen, and
+nitrogen, sometimes combined with sulphur and phosphorus. In this class are
+included the <i>gluten</i> of flour; the <i>albumen</i>, or white of eggs;
+and the <i>serum</i> of the blood; the <i>fibrin</i> of the blood;
+<i>syntonin</i>, the chief constituent of muscle and flesh, and
+<i>casein</i>, one of the chief constituents of cheese, and many other
+similar, but less frequent substances.</p>
+
+<p>Fats are composed of carbon, hydrogen, and oxygen only, and contain more
+hydrogen than would be required to form water if united with the oxygen
+which they contain. All vegetable and animal oils and fatty matters are
+included in this class.</p>
+
+<p>Amyloids consist of substances which are also composed of carbon,
+oxygen, and hydrogen only; but they contain just enough hydrogen to produce
+water when combined with their oxygen, or two parts of hydrogen to one of
+oxygen. This division includes <i>sugar, starch, dextrine</i>, and
+<i>gum</i>. The above three classes of food-stuffs are only obtained
+through the activity of living organisms, vegetable or animal, and have
+<span class="pagenum"><a name="Page_239" id="Page_239"></a>[pg
+239]</span>been, therefore, appropriately termed by Prof. Huxley, <i>vital
+food-stuffs.</i></p>
+
+<p>The mineral food-stuffs may, as we have seen, be procured from either
+the living or the non-living world. They include water and various earthy,
+metallic, and alkaline salts.</p>
+
+<p><b>Variety of Food Necessary</b>. No substance can serve permanently for
+food except it contains a certain quantity of proteid matter in the shape
+of albumen, fibrin, casein, etc., and, on the other hand, any substance
+containing proteid matter in a shape in which it can be readily
+assimilated, may serve as a permanent vital food-stuff. Every substance,
+which is to serve as a permanent food, must contain a sufficient quantity,
+ready-made, of this most important and complex constituent of the body. In
+addition, it must also contain a sufficient quantity of the mineral
+ingredients which enter into the composition of the body. Its power of
+supporting life and maintaining the weight and composition of the body
+remains unaltered, whether it contains fats or amyloids or not. The
+secretion of urea, and, consequently, the loss of nitrogen, goes on
+continually, and the body, therefore, must necessarily waste unless the
+supply of proteid matter is constantly renewed, since this is the only
+class of foods that contains nitrogen in any considerable quantity. There
+can be no absolute necessity for any other food-stuffs but those containing
+the proteid and mineral elements of the body. From what has been said, it
+will readily be seen that whether an animal be carnivorous or herbivorous,
+it begins to starve as soon as its vital food-stuffs consist only of
+amyloids, or fats, or both. It suffers from what has been termed
+<i>nitrogen starvation,</i> and if proteid matters are withheld entirely,
+it soon dies. In such a case, and still more in the case of an animal which
+is entirely deprived of vital food, the organism, as long as it continues
+to live, feeds upon itself, the waste products necessarily being formed at
+the expense of its own body.</p>
+
+<p>Although proteid matter is the essential element of food, and under
+certain circumstances may be sufficient of itself to support the body, it
+is a very uneconomical food. The white of an egg, which may be taken as a
+type of the proteids, contains about fifteen per cent. of nitrogen, and
+fifty-three per cent. of carbon; therefore, a man feeding upon this, would
+<span class="pagenum"><a name="Page_240" id="Page_240"></a>[pg
+240]</span>take in about three and a half times as much carbon as nitrogen.
+It has been proved that a healthy, adult man, taking a fair amount of
+exercise and maintaining his weight and body temperature, eliminates about
+thirteen times as much carbon as nitrogen. However, if he is to get his
+necessary quantity, about 4000 grains of carbon, out of albumen, he must
+eat 7,547 grains of that substance; but this quantity of albumen contains
+nearly four times as much nitrogen as he requires. In other words, it takes
+about four pounds of lean meat, free from fat, to furnish 4,000 grains of
+carbon, the quantity required, whereas one pound yields the requisite
+quantity of nitrogen. Thus a man restricted exclusively to a proteid diet,
+must take an enormous quantity of it. This would involve a large amount of
+unnecessary physiological labor, to comminute, dissolve, and absorb the
+food, and to excrete the superfluous nitrogenous matter. Unproductive labor
+should be avoided as much in physiological as in political economy. The
+universal practice of subsisting on a mixed diet, in which proteids are
+mixed with fats or amyloids, is therefore justifiable.</p>
+
+<p>Fats contain about 80 per cent. of carbon, and amyloids about 40 per
+cent. We have seen that there is sufficient nitrogen in a pound of meat
+free from fat, to supply a healthy adult man for twenty-four hours, but
+that it contains only one-fourth of the quantity of carbon required. About
+half a pound of fat, or one pound of sugar, will supply the quantity of
+carbon necessary. The fat, if properly subdivided, and the sugar, by reason
+of its solubility, pass with great ease into the circulation, the
+physiological labor, consequently, being reduced to a minimum.</p>
+
+<p>Several common articles of diet contain in themselves all the necessary
+elements. Thus, butchers' meat ordinarily contains from 30 to 50 per cent.
+of fat; and bread contains the proteid, gluten, and the amyloids, starch
+and sugar, together with minute quantities of fat. However, on account of
+the proportion in which these proteid and other components of the body
+exist in these substances, neither of them, by itself is such a
+physiologically economical food, as it is when combined with the other in
+the proportion of three to eight, or three quarters of a pound of meat to
+two pounds of bread a day.</p>
+
+<p><span class="pagenum"><a name="Page_241" id="Page_241"></a>[pg
+241]</span>It is evident that a variety of food is necessary for health.
+Animals fed exclusively upon one class, or upon a single article of diet,
+droop and die; and in the human family we know that the constant use of one
+kind of diet causes disgust, even when not very long continued.
+Consequently, we infer that the welfare of man demands that his food be of
+sufficient variety to supply his body with all of its component parts. If
+this is not done the appetite is deranged, and often craves the very
+article which is necessary to supply the deficiency. After the component
+parts of the organism have assimilated the nutritious elements of
+particular kinds of food for a certain length of time, they lose the power
+of effecting the necessary changes for proper nutrition, and a supply of
+other material is imperatively demanded. When the diet has been long
+restricted to proteids, consisting largely of salt meats, fresh vegetables
+and fruits containing the organic acids, become indispensable; otherwise,
+the scorbutic condition, or scurvy, is almost sure to be developed. Fresh
+vegetables and fruits should be eaten in considerable quantities at the
+proper seasons.</p>
+
+<p><b>Value Of Animal Food</b>. The principal animal food used in this
+country consists of <i>Pork, Mutton, Beef</i>, and <i>Fish</i>. Beef and
+mutton are rich in muscle-producing material. Although pork is extensively
+produced in some portions of this country, and enters largely into the diet
+of some classes, yet its use, except in winter, is not to be encouraged.
+The same amount of beef would give far greater returns in muscular
+power.</p>
+
+<p>In addition to the meats mentioned, <i>Wild Game</i> furnishes
+palatable, nutritious, and easily-digested food. <i>Domestic Fowls</i>,
+when young, are excellent, and with the exception of geese and ducks, are
+easily digested. <i>Wild Birds</i> are considered much healthier food than
+those which are domesticated. All of these contain more or less of the
+elements which enter into the composition of the four classes of foods.</p>
+
+<p><b>Vegetable Foods</b>. <i>Wheat</i> is rich in all the elements which
+compose the four classes, and, when the flour is unbolted, it is one of the
+best articles for supplying all the elements.</p>
+
+<p><i>Barley</i> stands next to wheat in nourishing qualities, but is not
+so palatable.</p>
+
+<p><span class="pagenum"><a name="Page_242" id="Page_242"></a>[pg
+242]</span><i>Oats</i> are rich in all the elements necessary for
+nutrition. Oatmeal is a favorite article of diet among the Scotch, and,
+judging from their hardy constitutions, their choice is well founded. In
+consequence of the large proportion of phosphorus which they contain, they
+are capable of furnishing a large amount of nourishment for the brain.</p>
+
+<p><i>Rye</i> is nutritious, but it is not so rich in tissue-forming
+material.</p>
+
+<p><i>Indian Corn</i> is an article well known and extensively used
+throughout the United States, and is a truly valuable one, capable of being
+prepared in a great variety of ways for food. It contains more carbon than
+wheat, and less nitrogen and phosphorus, though enough of both to be
+extremely valuable.</p>
+
+<p><i>Rice</i> is rather meagre in nutriment; it contains but little
+phosphorous matter, with less carbon than other cereals, and is best and
+most generally employed as a diet in tropical countries.</p>
+
+<p><i>Beans and Peas</i> are rich in nutritious matter, and furnish the
+manual laborer with a cheap and wholesome diet.</p>
+
+<p>The <i>Potato</i> is the most valuable of all fresh vegetables grown in
+temperate climates. Its flavor is very agreeable, and it contains very
+important nutritive and medicinal qualities, and is eaten almost daily by
+nearly every family in North America. Until very recently it, with the
+addition of a little butter-milk or skim-milk, constituted almost the sole
+diet of the Irish people. The average composition of the potato is stated
+by Dr. Smith to be as follows: Water 75 per cent., nitrogen 2.1, starch
+18.8, sugar 3.2, fat 0.2, salts 0.7. The relative values of different
+potatoes may be ascertained very correctly by weighing them in the hand,
+for the heavier the tuber the more starch it contains.</p>
+
+<p><i>Turnip and Cabbage</i> are 92.5 per cent. water, and, consequently,
+poor in nutrition, though they are very palatable. The solid portions of
+cabbage, however, are rich in albumen.</p>
+
+<p>It is evident that the quantity necessary to maintain the system in
+proper condition must be greatly modified by the habits of life, the
+condition of the organism, the age, the sex, and the climate. The daily
+loss of substance which must be <span class="pagenum"><a name="Page_243"
+id="Page_243"></a>[pg 243]</span>replaced by material from without, as we
+have seen, is very great. In addition to the loss of carbon and nitrogen,
+about four and a half pounds of water are removed from the system in
+twenty-four hours, and it is necessary that about this quantity should be
+introduced into the system in some form or other, however much it may be
+adulterated. Professor Dalton states: "From experiments performed while
+living on an exclusive diet of bread, fresh meat, and butter, with coffee
+and water for drink, we have found that the entire quantity of food
+required during twenty-four hours by a man in full health and taking free
+exercise in the open air is as follows:</p>
+
+<table summary="" style="margin-left: auto; margin-right: auto">
+<tr><td align='left'>Meat,</td><td align='left'>16 oz., or</td><td
+align='left'>11.03 lb. avoir.</td></tr>
+<tr><td align='left'>Bread,</td><td align='left'>19 "</td><td
+align='left'>1.19 "</td></tr>
+<tr><td align='left'>Butter or fat,</td><td align='left'>3½ "</td><td
+align='left'>0.22 "</td></tr>
+<tr><td align='left'>Water,</td><td align='left'>52 fluid oz.,</td><td
+align='left'>3.38 "</td></tr>
+</table>
+
+<p>That is to say, rather less than two and a half pounds of solid food,
+and rather over three pounds of liquid food."</p>
+
+<p><b>Climate</b> exerts an important influence on the quantity and quality
+of food required by the system. In northern latitudes the inhabitants are
+exposed to extreme cold and require an abundant supply of food, and
+especially that which contains a large amount of fat. On this account fat
+meat is taken in large quantities and with a relish. The quantity of food
+consumed by the natives of the Arctic zone is almost incredible. The
+Russian Admiral, Saritcheff, relates that one of the Esquimaux in his
+presence devoured a mass of boiled rice and butter which weighed
+twenty-eight pounds, at a single meal, and Dr. Hayes states that usually
+the daily ration of an Esquimau is from twelve to fifteen pounds of meat,
+one-third of which is fat, and on one occasion he saw a man eat ten pounds
+of walrus flesh at a single meal. The intense cold creates a constant
+craving for fatty articles of food, and some members of his own party were
+in the habit of drinking the contents of the oil-kettle with great apparent
+relish.</p>
+
+<p><b>Digestibility of Food</b>. Unless an article of diet can be digested
+it is of no value, no matter how rich it may be in nutriment. The quantity
+of food taken, will influence to a considerable extent, the time consumed
+in its digestion. The <span class="pagenum"><a name="Page_244"
+id="Page_244"></a>[pg 244]</span>stomachs of all are not alike in this
+respect, and the subject of time has been a difficult one to determine. The
+experiments of Dr. Beaumont with the Canadian, St. Martin, who accidentally
+discharged the contents of a loaded gun into his stomach, creating an
+external opening through which the process of digestion could be observed,
+have furnished us with the following table, which is correct enough to show
+relatively, if not absolutely, the time required for the digestion of
+various articles:</p>
+
+<table style="margin-left: auto; margin-right: auto" border='1' cellpadding='2' cellspacing='0' summary=''>
+<tr><th align='left'>ARTICLES OF DIET.</th><th align='left'>Mode of
+Preparation.</th><th align='left'>Hours. Min.</th></tr>
+<tr><td align='left'>Milk</td><td align='left'>Boiled</td><td
+align='left'>2 00</td></tr>
+<tr><td align='left'> "</td><td align='left'>Raw</td><td align='left'>2
+15</td></tr>
+<tr><td align='left'>Eggs, fresh</td><td align='left'>"</td><td
+align='left'>2 00</td></tr>
+<tr><td align='left'>" "</td><td align='left'>Whipped</td><td
+align='left'>1 30</td></tr>
+<tr><td align='left'>" "</td><td align='left'>Roasted</td><td
+align='left'>2 15</td></tr>
+<tr><td align='left'>" "</td><td align='left'>Soft boiled.</td><td
+align='left'>3 00</td></tr>
+<tr><td align='left'>" "</td><td align='left'>Hard boiled.</td><td
+align='left'>3 30</td></tr>
+<tr><td align='left'>" "</td><td align='left'>Fried</td><td align='left'>3
+30</td></tr>
+<tr><td align='left'>Custard</td><td align='left'>Baked</td><td
+align='left'>2 45</td></tr>
+<tr><td align='left'>Codfish, cured, dry</td><td
+align='left'>Boiled</td><td align='left'>2 00</td></tr>
+<tr><td align='left'>Trout, salmon, fresh</td><td align='left'>"</td><td
+align='left'>1 30</td></tr>
+<tr><td align='left'>Trout, salmon, fresh</td><td
+align='left'>Fried</td><td align='left'>1 30</td></tr>
+<tr><td align='left'>Bass, striped,</td><td align='left'>Broiled</td><td
+align='left'>3 00</td></tr>
+<tr><td align='left'>Flounder,</td><td align='left'>Fried</td><td
+align='left'>3 30</td></tr>
+<tr><td align='left'>Catfish,</td><td align='left'>"</td><td align='left'>3
+30</td></tr>
+<tr><td align='left'>Salmon, salted</td><td align='left'>Boiled</td><td
+align='left'>4 00</td></tr>
+<tr><td align='left'>Oysters, fresh</td><td align='left'>Raw</td><td
+align='left'>2 55</td></tr>
+<tr><td align='left'>"</td><td align='left'>Roasted</td><td align='left'>3
+15</td></tr>
+<tr><td align='left'>"</td><td align='left'>Stewed</td><td align='left'>3
+30</td></tr>
+<tr><td align='left'>Venison steak</td><td align='left'>Broiled</td><td
+align='left'>1 35</td></tr>
+<tr><td align='left'>Pig, sucking</td><td align='left'>Roasted</td><td
+align='left'>2 30</td></tr>
+<tr><td align='left'>Lamb, fresh</td><td align='left'>Broiled</td><td
+align='left'>2 30</td></tr>
+<tr><td align='left'>Beef, fresh, lean, dry</td><td
+align='left'>Roasted</td><td align='left'>3 30</td></tr>
+<tr><td align='left'>" with mustard, etc</td><td
+align='left'>Boiled</td><td align='left'>3 10</td></tr>
+<tr><td align='left'>"</td><td align='left'>salt only</td><td
+align='left'>3 36</td></tr>
+<tr><td align='left'>"</td><td align='left'>Fried</td><td align='left'>4
+00</td></tr>
+<tr><td align='left'>" fresh, lean, rare</td><td
+align='left'>Roasted</td><td align='left'>3 00</td></tr>
+<tr><td align='left'>Beefsteak</td><td align='left'>Broiled</td><td
+align='left'>3 00</td></tr>
+<tr><td align='left'>Mutton, fresh</td><td align='left'>"</td><td
+align='left'>3 00</td></tr>
+<tr><td align='left'>"</td><td align='left'>Boiled</td><td align='left'>3
+00</td></tr>
+<tr><td align='left'>"</td><td align='left'>Roasted</td><td align='left'>3
+15</td></tr>
+<tr><td align='left'>Veal, fresh</td><td align='left'>Broiled</td><td
+align='left'>4 00</td></tr>
+<tr><td align='left'>"</td><td align='left'>Fried</td><td align='left'>4
+30</td></tr>
+<tr><td align='left'>Porksteak</td><td align='left'>Broiled</td><td
+align='left'>3 15</td></tr>
+<tr><td align='left'>Pork, fat and lean</td><td
+align='left'>Roasted</td><td align='left'>5 15</td></tr>
+<tr><td align='left'>" recently salted</td><td align='left'>Raw</td><td
+align='left'>3 00</td></tr>
+<tr><td align='left'>"</td><td align='left'>Stewed</td><td align='left'>3
+00</td></tr>
+<tr><td align='left'>"</td><td align='left'>Broiled</td><td align='left'>3
+15</td></tr>
+</table>
+
+<p><span class="pagenum"><a name="Page_245" id="Page_245"></a>[pg 245]</span></p>
+
+<table style="margin-left: auto; margin-right: auto" border='1' cellpadding='2' cellspacing='0' summary=''>
+<tr><th align='left'>ARTICLES OF DIET.</th><th align='left'>Mode of
+Preparation.</th><th align='left'>Hours/Min.</th></tr>
+<tr><td align='left'>Pork, recently salted</td><td
+align='left'>Fried</td><td align='left'>4 15</td></tr>
+<tr><td align='left'>"</td><td align='left'>Boiled</td><td align='left'>4
+30</td></tr>
+<tr><td align='left'>Turkey, wild</td><td align='left'>Roasted</td><td
+align='left'>2 18</td></tr>
+<tr><td align='left'>" tame</td><td align='left'>"</td><td align='left'>2
+30</td></tr>
+<tr><td align='left'>"</td><td align='left'>Boiled</td><td align='left'>2
+25</td></tr>
+<tr><td align='left'>Goose, wild</td><td align='left'>Roasted</td><td
+align='left'>2 30</td></tr>
+<tr><td align='left'>Chickens, full-grown</td><td
+align='left'>Fricasseed</td><td align='left'>2 45</td></tr>
+<tr><td align='left'>Fowls, domestic</td><td align='left'>Boiled</td><td
+align='left'>4 00</td></tr>
+<tr><td align='left'>"</td><td align='left'>Roasted</td><td align='left'>4
+00</td></tr>
+<tr><td align='left'>Ducks, tame</td><td align='left'>"</td><td
+align='left'>4 00</td></tr>
+<tr><td align='left'>" wild</td><td align='left'>"</td><td align='left'>4
+30</td></tr>
+<tr><td align='left'>Soup, barley</td><td align='left'>Boiled</td><td
+align='left'>1 30</td></tr>
+<tr><td align='left'>" bean</td><td align='left'>"</td><td align='left'>3
+00</td></tr>
+<tr><td align='left'>" chicken</td><td align='left'>"</td><td
+align='left'>3 00</td></tr>
+<tr><td align='left'>" mutton</td><td align='left'>"</td><td align='left'>3
+30</td></tr>
+<tr><td align='left'>" oyster</td><td align='left'>"</td><td align='left'>3
+30</td></tr>
+<tr><td align='left'>" beef, vegetables,<br />
+and bread</td><td align='left'>"</td><td
+align='left'>4 00</td></tr>
+<tr><td align='left'>" marrow-bones</td><td align='left'>"</td><td
+align='left'>4 15</td></tr>
+<tr><td align='left'>Pig's feet, soused</td><td align='left'>"</td><td
+align='left'>1 00</td></tr>
+<tr><td align='left'>Tripe, soused</td><td align='left'>"</td><td
+align='left'>1 00</td></tr>
+<tr><td align='left'>Brains, animal</td><td align='left'>"</td><td
+align='left'>1 45</td></tr>
+<tr><td align='left'>Spinal marrow, animal</td><td align='left'>"</td><td
+align='left'>2 40</td></tr>
+<tr><td align='left'>Liver, beef, fresh</td><td
+align='left'>Broiled</td><td align='left'>2 00</td></tr>
+<tr><td align='left'>Heart, animal</td><td align='left'>Fried</td><td
+align='left'>4 00</td></tr>
+<tr><td align='left'>Cartilage</td><td align='left'>Boiled</td><td
+align='left'>4 15</td></tr>
+<tr><td align='left'>Tendon</td><td align='left'>"</td><td align='left'>5
+30</td></tr>
+<tr><td align='left'>Hash, meat, and vegetables</td><td
+align='left'>Warmed</td><td align='left'>2 30</td></tr>
+<tr><td align='left'>Sausage, fresh</td><td align='left'>Broiled</td><td
+align='left'>3 20</td></tr>
+<tr><td align='left'>Gelatine</td><td align='left'>Boiled</td><td
+align='left'>2 30</td></tr>
+<tr><td align='left'>Cheese, old, strong</td><td align='left'>Raw</td><td
+align='left'>3 30</td></tr>
+<tr><td align='left'>Green corn and beans</td><td
+align='left'>Boiled</td><td align='left'>3 45</td></tr>
+<tr><td align='left'>Beans, pod</td><td align='left'>"</td><td
+align='left'>2 30</td></tr>
+<tr><td align='left'>Parsnips</td><td align='left'>"</td><td align='left'>2
+30</td></tr>
+<tr><td align='left'>Potatoes</td><td align='left'>Roasted</td><td
+align='left'>2 30</td></tr>
+<tr><td align='left'>"</td><td align='left'>Baked</td><td align='left'>2
+30</td></tr>
+<tr><td align='left'>"</td><td align='left'>Boiled</td><td align='left'>2
+30</td></tr>
+<tr><td align='left'>Cabbage, head</td><td align='left'>Raw</td><td
+align='left'>2 30</td></tr>
+<tr><td align='left'>" " with vinegar</td><td align='left'>"</td><td
+align='left'>2 00</td></tr>
+<tr><td align='left'>"</td><td align='left'>Boiled</td><td align='left'>4
+30</td></tr>
+<tr><td align='left'>Carrot, orange</td><td align='left'>"</td><td
+align='left'>3 13</td></tr>
+<tr><td align='left'>Turnips, flat</td><td align='left'>"</td><td
+align='left'>3 30</td></tr>
+<tr><td align='left'>Beets</td><td align='left'>"</td><td align='left'>3
+45</td></tr>
+<tr><td align='left'>Bread, corn</td><td align='left'>Baked</td><td
+align='left'>3 15</td></tr>
+<tr><td align='left'>" wheat, fresh</td><td align='left'>"</td><td
+align='left'>3 30</td></tr>
+<tr><td align='left'>Apples, sweet, mellow</td><td align='left'>Raw</td><td
+align='left'>1 30</td></tr>
+<tr><td align='left'>" sour</td><td align='left'>"</td><td align='left'>2
+00</td></tr>
+<tr><td align='left'>" " hard</td><td align='left'>"</td><td align='left'>2
+50</td></tr>
+</table>
+
+
+<p>Milk is more easily digested than almost any other article of food. It
+is very nutritious, and, on account of the variety of the elements which it
+contains, it is extremely valuable an <span class="pagenum"><a
+name="Page_246" id="Page_246"></a>[pg 246]</span>article of diet,
+especially when the digestive powers are weakened, as in fevers, or during
+convalescence from any acute disease. Eggs are also very nutritious and
+easily digested. Whipped eggs are digested and assimilated with great ease.
+Fish, as a rule, are more speedily digested than is the flesh of
+warm-blooded animals. Oysters, especially when taken raw, are very easily
+digested. We have known dyspeptics who were unable to digest any other kind
+of animal food, to subsist for a considerable period upon raw oysters. The
+flesh of mammalia seems to be more easily digested than that of birds.
+Beef, mutton, lamb, and venison are easily digested, while fat roast pork
+and veal are digested with difficulty. According to the foregoing table
+vegetables were digested in about the same time as ordinary animal food,
+but it should be remembered that a great part of the digestion of these is
+effected in the small intestine. Soups are, as a rule, very quickly
+digested. The time required for the digestion of bread is about the same as
+that required for the digestion of ordinary meats. Boiled cabbage is one of
+the most difficult substances to digest.</p>
+
+<p><b>Cookery</b>. "Cookery," says Mrs. Owen, "Is the art of turning every
+morsel to the best use; it is the exercise of skill, thought, and ingenuity
+to make every particle of food yield the utmost nourishment and pleasure,
+of which it is capable." We are indebted to this practical woman for many
+valuable suggestions in this art; and some of our recommendations are drawn
+from her experience.</p>
+
+<p><b>Soups</b>. The nutritious properties, tone, and sweetness of soup
+depend in the first place upon the freshness and quality of the meat;
+secondly on the manner in which it is boiled. Soups should be nicely and
+delicately seasoned, according to the taste of the consumer, by using
+parsley, sage, savory, thyme, sweet marjoram, sweet basil, or any of the
+vegetable condiments. These may be raised in the garden, or obtained at the
+drug stores, sifted and prepared for use. In extracting the juices of
+meats, in order that soups may be most nutritious, it is important that the
+meat be put into <i>cold</i> water, or that which is not so hot as to
+coagulate the albumen (which would prevent it from being extracted), and
+then, by slow heat and <span class="pagenum"><a name="Page_247"
+id="Page_247"></a>[pg 247]</span>a simmering process, the most nutritious
+properties will be brought out.</p>
+
+<p><b>Beef Soup</b> may be made of any bone of the beef, by putting it into
+cold water, adding a little salt, and skimming it well just before it
+boils. If a vegetable flavor be desired, celery, carrots, onions, turnips,
+cabbage, or potatoes, may be added, in sufficient quantities to suit the
+taste.</p>
+
+<p><b>Mutton Soup</b> may be made from the fore-quarter, in the same manner
+as described above, thickened with pearl-barley or rice, and flavored to
+suit the taste.</p>
+
+<p><b>Boiled Fish.</b> Clean the fish nicely, then sprinkle flour on a
+cloth and wrap it around them; salt the water, and, when it boils, put in
+the fish; let them boil half an hour, then carefully remove them to a
+platter, adding egg sauce and parsley. To <i>bake fish</i>, prepare by
+cleaning, scaling, etc., and let them remain in salt water for a short
+time. Make a stuffing of the crumbs of light bread, and add to it a little
+salt, pepper, butter, and sweet herbs, and stir with a spoon. Then fill the
+fish with the stuffing and sew it up. Put on butter, salt, pepper, and
+flour, having enough water in the dish to keep it from burning, and baste
+often. A four pound fish will bake in fifty or sixty minutes.</p>
+
+<p><b>Broiled Steak.</b> Sirloin and porter-house steaks should be broiled
+quickly. Preserve them on ice for a day or two and their tenderness is much
+increased. Never broil them until the meal is ready to be served.</p>
+
+<p><b>Boiled Meat.</b> When meat is to be boiled for <i>eating,</i> put it
+into boiling water, by which its juices are coagulated and its richness
+preserved. The slower it boils, the more tender, plump, and white it will
+be. Meat should be removed as soon as done, or it will lose its flavor and
+become soggy.</p>
+
+<p><b>Pork Steaks.</b> The best steaks are cut off the shoulder&mdash;ham steaks
+being rather too dry. They should be well fried, in order to destroy the
+little living parasites, called Trichinæ which sometimes infest this kind
+of meat. They are introduced into the stomach by eating ham, pork, or
+sausages made from the flesh of hogs infested by them. Thorough cooking
+destroys them, and those who will persist in the use of swine's flesh can
+afford to have it "<i>done brown.</i>"</p>
+
+<p><span class="pagenum"><a name="Page_248" id="Page_248"></a>[pg
+248]</span><b>Baked Mutton.</b> To bake mutton well, a person should have a
+brisk, sharp fire, and keep the meat well basted. It requires two hours to
+bake a leg of mutton, weighing eight pounds.</p>
+
+<p><b>Bread.</b> The health and happiness of a family depend, to a certain
+extent, on good, well-baked bread. At all events, our enjoyment would be
+greater if it were only better prepared. We make the following extract from
+an article printed by the State Board of Health, concerning the food of the
+people of Massachusetts: "As an example of good bread we would mention that
+which is always to be had at the restaurant of Parker's Hotel, in Boston.
+It is not better than is found on the continent of Europe on all the great
+lines of travel, and in common use by millions of people in Germany and
+France; but with us, it is a rare example of what bread may be. It is made
+from a mixture of flour, such as is generally sold in our markets, water,
+salt, and yeast&mdash;nothing else. The yeast is made from malt, potatoes, and
+hops. <i>The dough is kneaded from one and a half to two hours, and is then
+thoroughly baked."</i> The truth seems to be that the kneading, which in
+this country takes the housewife's time and muscle, in Europe is done by
+the help of machinery. So here, in large villages and cities, people might
+furnish themselves with good bread, by means of co-operative associations,
+even at a less cost than at present.</p>
+
+
+<h4>BEVERAGES.</h4>
+
+
+<p><b>Water</b>. The importance of water in the economy of nature is
+obvious to all. It is the most abundant substance of which we have
+knowledge. It composes four-fifths of the weight of vegetables, and
+three-fourths of that of animals. It is essential to the continuance of
+organic life. Water is universally present in all of the tissues and fluids
+of the body. It is not only abundant in the blood and secretions, but it is
+also an ingredient of the solids of the body. According to the most
+accurate computations, water is found to constitute from two-thirds to
+three-fourths of the entire weight of the human body. The following table,
+compiled by Robin and Verdeil, shows the proportion of water per thousand
+parts in different solids and fluids:</p>
+
+<p><span class="pagenum"><a name="Page_249" id="Page_249"></a>[pg 249]</span></p>
+<table summary="" style="margin-left: auto; margin-right: auto">
+<caption>QUANTITY OF WATER IN 1,000 PARTS.</caption>
+<tr><td align='left'>Teeth,</td><td align='left'>100</td></tr>
+<tr><td align='left'>Bones,</td><td align='left'>130</td></tr>
+<tr><td align='left'>Cartilage,</td><td align='left'>550</td></tr>
+<tr><td align='left'>Muscles,</td><td align='left'>750</td></tr>
+<tr><td align='left'>Ligaments,</td><td align='left'>768</td></tr>
+<tr><td align='left'>Brain,</td><td align='left'>789</td></tr>
+<tr><td align='left'>Blood,</td><td align='left'>795</td></tr>
+<tr><td align='left'>Synovial fluid,</td><td align='left'>805</td></tr>
+<tr><td align='left'>Bile,</td><td align='left'>880</td></tr>
+<tr><td align='left'>Milk,</td><td align='left'>887</td></tr>
+<tr><td align='left'>Pancreatic juice,</td><td align='left'>900</td></tr>
+<tr><td align='left'>Urine,</td><td align='left'>936</td></tr>
+<tr><td align='left'>Lymph,</td><td align='left'>960</td></tr>
+<tr><td align='left'>Gastric juice,</td><td align='left'>975</td></tr>
+<tr><td align='left'>Perspiration,</td><td align='left'>986</td></tr>
+<tr><td align='left'>Saliva,</td><td align='left'>995</td></tr>
+</table>
+
+<p><b>The Natural Drink of Man.</b> Water constitutes the natural drink of
+man. No other liquid can supply its place. Its presence, however, in the
+body is not permanent. It is discharged from the body in different ways; by
+the urine, the feces, the breath, and the perspiration. In the first two,
+it is in a liquid form, in the others in a vaporous form. It is estimated
+that about forty-eight per cent. is discharged in the liquid, and fifty-two
+per cent. in the vaporous form; but the absolute as well as the relative
+amount discharged depends upon a variety of circumstances.</p>
+
+<p>Water is never found perfectly pure, since it holds in solution more or
+less of almost every substance with, which it comes in contact. Rain
+falling in the country remote from habitations is the purest water that
+nature furnishes, for it is then only charged with the natural gases of the
+atmosphere. In cities it absorbs organic and gaseous impurities, as it
+falls through the air, and flowing over roofs of houses carries with it
+soot and dust. Water from melted snow is purer than rain-water, since it
+descends in a solid form, and is therefore incapable of absorbing gases.
+Rain-water is not adapted to drinking purposes, unless well filtered. All
+water, except that which has been distilled, contains air, and it is due to
+this fact, that aquatic animals can live in it; for example, put a fish in
+distilled water and it will soon die.</p>
+
+<p><b>Mineral Impurities.</b> Rain-water, which has filtered through the
+soil and strata of the earth, dissolves the soluble materials, and carries
+them down to lower levels, until they finally collect in the sea. Common
+well, spring, and mineral waters contain from 5 to 60 grains to the gallon;
+sea-water contains 2,000 grains while in some parts of the Dead Sea there
+are <span class="pagenum"><a name="Page_250" id="Page_250"></a>[pg
+250]</span>20,000 grams to the gallon. The principal mineral impurities of
+well and spring water are lime, magnesia, soda, and oxide of iron, combined
+with carbonic and sulphuric acids, forming carbonates, sulphates, and
+chloride of sodium, or common salt. The most general, however, are
+carbonate and sulphate of lime.</p>
+
+<p>Mineral waters are usually obtained from springs which contain a
+considerable amount of saline matter. Those waters which abound in salts of
+iron are called <i>chalybeate</i> or <i>ferruginous</i>. Those containing
+salt are termed <i>saline</i>. Those in which contain sulphur are termed
+<i>sulphurous</i>. Water derives the quality of hardness from the salts of
+lime&mdash;chiefly the sulphates&mdash;which it contains. Hard water, being an
+imperfect solvent, is unsuitable for washing purposes. There are two
+varieties of hardness, one of which is temporary, being due to the presence
+of carbonic acid gas in the water which holds the salts in solution and may
+be removed by merely boiling the water and thus expelling the gas when the
+salts are deposited, while the other is permanent and can only be removed
+by the distillation of the water. It has been ascertained that twelve
+pounds of the best hard soap must be added to 10,000 gallons of water of
+one degree of hardness before a lather will remain and, consequently, 0.12
+lb. to 100 gallons of water is a measure of one degree of hardness. Since
+hard water is not so useful in cooking and other domestic purposes, as soft
+water, causing a great waste of labor and material, it is often highly
+desirable to soften it, which is effected by the addition of lime in what
+is known as <i>Clark's process</i>. One ounce of quicklime should be added
+to 1000 gallons of water for each degree of hardness. It should be first
+slacked and stirred up in a few gallons and then thoroughly mixed with the
+entire quantity. Then it should be allowed to remain, and will become clear
+in about three hours, but should not be drunk for twelve hours.</p>
+
+<p>The purity of drinking water is a matter of much importance. That which
+contains a minute quantity of lead will give rise to all the symptoms of
+lead poisoning, if the use of it be sufficiently prolonged. An account is
+given of the poisoning of the royal family of France, many of whom suffered
+from this cause when in exile at Claremont. The amount of <span
+class="pagenum"><a name="Page_251" id="Page_251"></a>[pg 251]</span>lead
+was only one grain in the gallon. Care should therefore be taken to avoid
+drinking the water which has been contained in leaden pipes. It should
+always be allowed to run a few minutes before being used.</p>
+
+<p>An excess of saline ingredients, which in small quantities are harmless,
+frequently produces marked disorders of the digestive organs. A small
+amount of putrescent matter habitually introduced into the system, as in
+the use of food, is productive of the most serious results, which can be
+traced to the direct action of the poison introduced. A case is recorded of
+a certain locality favorably situated with regard to the access of pure
+air, where an epidemic of fever broke out much to the astonishment of the
+inhabitants. Upon observation it was found that the attacks of fever were
+limited to those families who used water from a neighboring well. The
+disagreeable taste of the water which had been observed, was subsequently
+traced to the bursting of a sewer, which had discharged a part of its
+contents into the well. When the cause was removed, there was no recurrence
+of the evil effects.</p>
+
+<p><b>Organic Impurities.</b> "Water is liable to organic contamination
+from a multitude of causes, such as drainage from dwellings, dust, insects,
+the decaying of vegetable and animal matter. These impurities may be
+mechanically suspended or held in solution in the water. Although organic
+impurities, which are mechanically suspended in water, are poisonous, yet
+they are generally associated with animalculea, and these feed upon, and
+finally consume them. Good water never contains animalculæ. They are
+never found in freshly fallen rain-water, remote from dwellings, but
+abound, to a greater or less extent in cisterns, marshes, ponds, and
+rivers. These little workers serve a useful purpose since they consume the
+dead organic matter from the water, and, having fulfilled their mission,
+sink to the bottom and die. Water which contains organic matter is
+exceedingly dangerous to health, and its use should be carefully
+avoided.</p>
+
+<p>In low lands where the current of streams is sluggish, and shallow pools
+abound, the water is apt to be more or less infected with decaying
+vegetable substances. Many people living in such localities, and wishing to
+obtain water with as little <span class="pagenum"><a name="Page_252"
+id="Page_252"></a>[pg 252]</span>trouble as possible, dig a hole in the
+ground, a few feet in depth, and allow the stagnant surface water to
+accumulate. This water is used for drinking and cooking. The result is that
+ague prevails in such localities.</p>
+
+<p>Care should be taken that wells, from which the water is used for
+household purposes, are located at a distance from barn-yards, privies,
+sinks, vaults, and stagnant pools.</p>
+
+<p><b>Purification of Water.</b> There are various methods of purifying
+water. It may be accomplished by distillation, which is the most perfect
+method; by filtration through sand, crushed charcoal, and other porous
+substances, which deprives it of suspended impurities and living organisms;
+by boiling, which destroys the vitality of all animal and vegetable
+matters, drives out the gases and precipitates carbonate of lime, which
+composes the crust frequently seen upon the inside of tea-kettles or
+boilers; by the use of chemical agents, which may be employed to destroy or
+precipitate the deleterious substances. Alum is often used to cleanse roily
+water, two or three grains in solution, being sufficient for a quart. It
+causes the impurities to settle to the bottom, so that the clear water can
+be poured or dipped out for use. One or two grains of the permanganate of
+potassium will render wholesome a gallon of water containing animal
+impurities.</p>
+
+<p><b>How to Use Water</b>. Very little if any water should be taken at
+meal time, since the salivary glands furnish an abundance of watery fluid
+to assist in mastication. When these glands are aided with water to "wash
+down" the food, their functions become feeble and impaired. The gastric
+juice is diluted and digestion is weakened. Large draughts of cold water
+ought never to be indulged in, since they cause derangement of the stomach.
+When the body is overheated, the use of much water is injurious. It should
+only be taken in small quantities. Thirst may be partially allayed, without
+injury, by holding cold water in the mouth for a short time and then
+spitting it out, taking care to swallow but very little. Travelers
+frequently experience inconvenience from change of water. If the means are
+at hand, let them purify their drinking water, if not, they should drink as
+little as possible. Persons who visit the banks of the Ohio, Missouri, or
+Mississippi rivers and <span class="pagenum"><a name="Page_253"
+id="Page_253"></a>[pg 253]</span>similar localities, almost invariably
+suffer from some form of gastric or intestinal disease. Water standing in
+close rooms soon becomes unfit to drink and should not be used. A drink of
+cold water taken on going to bed, and another on rising are conducive to
+health, especially in the case of persons troubled with constipation.
+"<i>Drink water</i>" said the celebrated Dubois to the young persons who
+consulted him, "<i>drink water, I tell you!</i>" Du Moulin, the great
+medical authority of his time, wrote, just previous to his death, "<i>I
+leave two great physicians behind me&mdash;diet and water</i>."</p>
+
+<p><b>Tea and Coffee.</b> These substances are almost universally used as
+beverages, and when properly employed, serve a four-fold purpose: they
+quench thirst, excite an agreeable exhilaration, repress the waste of the
+system, and supply nourishment. In consequence of being generally used at
+meal times, their stimulant properties are employed to promote digestion,
+and consequently they are not so objectionable as they might otherwise be.
+The liquids introduced into the stomach at meal times should not be cold.
+Tea and coffee are drunk warm, while water, except in a few instances, is
+always drunk cold, the effects of which have already been shown. That their
+inordinate use may be injurious no body can deny, but this is equally true
+of other beverages, even pure, cold water. Scientific investigators inform
+us that the use of these agents as beverages, when judiciously employed, is
+not injurious. It has been urged that they are poisonous, but if they are,
+they are very slow in their operation.</p>
+
+<p>When properly prepared, they are very agreeable beverages, and as man
+will drink more or less at meals, they are allowable; for if their use were
+excluded, some other beverage would be sought after, and quite likely one
+of an alcoholic character employed, so of two evils, if this be an evil,
+let us choose the least. Unlike alcoholic stimulants, they exhilarate
+without a depressing reaction after their influence has passed off. But one
+cup should be drunk at a meal, and it should be of moderate strength. The
+use of large quantities of drink at meals retards digestion by diluting the
+digestive fluids. The excessive use of large quantities of strong tea or
+coffee stimulates the brain and causes wakefulness, and produces
+irritability <span class="pagenum"><a name="Page_254" id="Page_254"></a>[pg
+254]</span>of the nervous system. When they are productive of such effects,
+their use is injurious, and should be considerably moderated or wholly
+discontinued. No criterion can be given by which the amount the system will
+tolerate can be regulated. What one person may take with impunity, may be
+deleterious to an other. Individuals differ greatly in this respect. There
+are some who cannot tolerate them at all, either because of some
+peculiarity of constitution, or on account of disease. And sometimes when
+tea is agreeable and beneficial, coffee disagrees with the individual and
+<i>vice versa.</i> Persons of nervous habits whether natural or acquired,
+are apt to find their wakefulness and irritability increased by the use of
+tea, particularly if strong, while coffee will have a tranquilizing effect.
+Persons of a lymphatic or bilious temperament often find that coffee
+disagrees with them, aggravating their troubles and causing biliousness,
+constipation, and headache, while tea proves agreeable and beneficial.
+Whenever they disagree with the system, the best rule is to abandon their
+use. We find many persons who do not use either, and yet enjoy health, a
+fact which proves that they are not by any means indispensable, and, no
+doubt, were it customary to go without them, their absence would be but
+slightly missed.</p>
+
+<p>Tea and coffee are adulterated to a very great extent, and persons using
+them will be greatly imposed upon. This is an evil we cannot remedy. If
+people make use of them, their experience in selecting them must be their
+guide; however, it is believed that the Black and Japan varieties of tea
+are the least apt to be adulterated, and coffee, to insure purity, should
+be purchased in the berry, and ground by the purchaser.</p>
+
+<p>In preparing tea an infusion should be made by adding boiling water to
+the leaves, and permitting them to steep for a few minutes only, for a
+concentrated decoction, made by boiling for a long time, liberates the
+astringent and bitter principles and drives off the agreeable aroma which
+resides in a volatile oil.</p>
+
+<p>Coffee should be prepared by adding cold water to the ground berry, and
+raising it slowly to the boiling point. Long-continued boiling liberates
+the astringent and bitter principles upon which its stimulant effects to a
+great extent depend, and <span class="pagenum"><a name="Page_255"
+id="Page_255"></a>[pg 255]</span>drives off with the steam the aromatic oil
+from which the agreeable taste is derived.</p>
+
+
+<h4>ALCOHOLIC LIQUORS.</h4>
+
+
+<p>These are divided into three classes: malted, fermented, and distilled.
+They all contain more or less alcohol, and their effects are, therefore, in
+some respects similar, and, in the words of Dr. B.W. Richardson, the great
+English authority on hygiene: "To say this man only drinks ale, that man
+only drinks wine, while a third drinks spirits, is merely to say, when the
+apology is unclothed, that all drink the same danger. * * Alcohol is a
+universal intoxicant, and in the higher orders of animals is capable of
+inducing the most systematic phenomena of disease. But it is reserved for
+man himself to exhibit these phenomena in their purest form, and to
+present, through them, in the morbid conditions belonging to his age, a
+distinct pathology. Bad as this is, it might be worse; for if the evils of
+alcohol were made to extend equally to animals lower than man, we should
+soon have, none that were tameable, none that were workable, and none that
+were eatable." Researches have shown that the proportion of half a drachm
+of alcohol to the pound weight of the body, is the quantity which usually
+produces intoxication, and that an increase of this amount to one drachm
+immediately endangers the life of the individual. The first symptom which
+attracts attention, when alcohol commences to take effect upon the body, is
+an increase in the number of the pulsations of the heart. Dr. Parkes and
+Count Wolowicz conducted a series of interesting experiments on young adult
+men. They counted the pulsations of the heart, at regular intervals, during
+periods when the subject drank only water; and then they counted the beats
+of the heart in the same individual during successive periods in which
+alcohol was drunk in increasing quantities.</p>
+
+<p>The following details are taken from their report:</p>
+
+<p>"The highest of the daily means of the pulse observed during the first
+or water period was 77.5; but on this day two observations were deficient.
+The next highest daily mean was 77 beats.</p>
+
+<p>If instead of the mean of the eight days, or 73.57, we <span
+class="pagenum"><a name="Page_256" id="Page_256"></a>[pg 256]</span>compare
+the mean of this one day, viz., 77 beats per minute, with the alcoholic
+days, so as to be sure not to over-estimate the action of the alcohol, we
+find:</p>
+
+<blockquote>
+<p>
+On the ninth day, with one fluid ounce of alcohol,<br />
+&nbsp;&nbsp;&nbsp;&nbsp;the heart beat 430 times more.<br />
+On the tenth day, with two fluid ounces, 1,872 times more.<br />
+On the eleventh day, with four fluid ounces, 12,960 times more.<br />
+On the twelfth day, with six fluid ounces, 30,672 times more.<br />
+On the thirteenth day, with eight fluid ounces, 23,904 times more.<br />
+On the fourteenth day, with eight fluid ounces, 25,488 times more.<br />
+</p>
+</blockquote>
+
+<p>But as there was ephemeral fever on the twelfth day, it is right to make
+a deduction, and to estimate the number of beats in that day as midway
+between the twelfth and twenty-third days, or 18,432. Adopting this, the
+mean daily excess of beats during the alcoholic days was 14,492, or an
+increase of rather more than thirteen per cent.</p>
+
+<p>The first day of alcohol gave an excess of one per cent., and the last
+of twenty-three per cent.; and the mean of these two gives almost the same
+percentage of excess as the mean of the six days.</p>
+
+<p>Admitting that each beat of the heart was as strong during the alcoholic
+as in the water period (and it was really more powerful), the heart on the
+last two days of alcohol was doing one-fifth more work.</p>
+
+<p>Adopting the lowest estimate which has been given of the daily work done
+by the heart, viz., as equal to 122 tons lifted one foot, the heart, during
+the alcoholic period, did daily work in excess equal to lifting 15.8 tons
+one foot, and in the last two days did extra work to the amount of
+twenty-four tons lifted as far.</p>
+
+<p>The period of rest for the heart was shortened, though, perhaps, not to
+such an extent as would be inferred from the number of beats; for each
+contraction was sooner over. The beat on the fifth and sixth days after
+alcohol was left off, and apparently at the time when the last traces of
+alcohol were eliminated, showed, in the sphygmographic tracing, signs of
+unusual feebleness; and, perhaps, in consequence of this, when the brandy
+quickened the heart again, the tracing showed a more rapid contraction of
+the ventricles, but less power than <span class="pagenum"><a
+name="Page_257" id="Page_257"></a>[pg 257]</span>in the alcoholic period.
+The brandy acted, in fact, on a heart whose nutrition had not been
+perfectly restored."</p>
+
+<p>The flush often seen on the cheeks of those who are under the influence
+of alcoholic liquors, and which is produced by a relaxed and distended
+condition of the superficial blood vessels, is erroneously supposed by many
+to merely extend to the parts exposed to view. On this subject, Dr.
+Richardson says: "If the lungs could be seen, they, too, would be found
+with their vessels injected; if the brain and spinal cord could be laid
+open to view, they would be discovered in the same condition; if the
+stomach, the liver, the spleen, the kidneys, or any other vascular organs
+or parts could be laid open to the eye, the vascular engorgement would be
+equally manifest. In the lower animals I have been able to witness this
+extreme vascular condition in the lungs, and once I had the unusual, though
+unhappy opportunity of observing the same phenomenon in the brain of a man
+who, in a paroxysm of alcoholic delirium, cast himself under the wheels of
+a railway carriage. The brain, instantaneously thrown out from the skull by
+the crash, was before me within three minutes after the accident. It
+exhaled the odor of spirit most distinctly, and its membranes and minute
+structures were vascular in the extreme. It looked as if it had been
+recently injected with vermilion injection. The white matter of the
+cerebrum, studded with red points, could scarcely be distinguished when it
+was incised, it was so preternaturally red; and the pia mater, or internal
+vascular membrane covering the brain, resembled a delicate web of
+coagulated red blood, so tensely were its fine vessels engorged. This
+condition extended through both the larger and the smaller brain, cerebrum,
+and cerebellum, but was not so marked in the medulla, or commencing portion
+of the spinal cord, as in the other portions.</p>
+
+<p>In course of time, in persons accustomed to alcohol, the vascular
+changes, temporary only in the novitiate, become confirmed and permanent.
+The bloom on the nose which characterizes the genial toper is the
+established sign of alcoholic action on the vascular structure.</p>
+
+<p>Recently, physiological research has served to explain the reason why,
+under alcohol the heart at first beats so quickly, <span class="pagenum"><a
+name="Page_258" id="Page_258"></a>[pg 258]</span>why the pulse rises, and
+why the minute blood-vessels become so strongly injected.</p>
+
+<p>At one time it was imagined that alcohol acts immediately upon the heart
+by stimulating it to increased motion; and from this idea,&mdash;false idea, I
+should say,&mdash;of the primary action of alcohol, many erroneous conclusions
+have been drawn. We have now learned that there exist many chemical bodies
+which act in the same manner as alcohol, and that their effect is not to
+stimulate the heart, but to weaken the contractile force of the extreme and
+minute vessels which the heart fills with blood at each of its strokes.
+These bodies produce, in fact, a paralysis of the organic nervous supply of
+the vessels which constitute the minute vascular structures. The minute
+vessels when paralysed offer inefficient resistance to the force of the
+heart, and the pulsating organ thus liberated, like the main-spring of a
+clock from which the resistance has been removed, quickens in action,
+dilating the feebly resistant vessels, and giving evidence really not of
+increased, but of wasted power."</p>
+
+<p>The continued use of alcoholic liquors in any considerable quantity
+produces irritation and inflammation of the stomach, and structural disease
+of the liver. Dr. Hammond has shown that alcohol has a special affinity for
+nervous matter, and is, therefore, found in greater quantity in the brain
+and spinal cord than elsewhere in the body. The gray matter of the brain
+undergoes, to a certain extent, a fatty degeneration, and there is a
+shrinking of the whole cerebrum, with impairment of the intellectual
+faculties, muscular tremor, and a shambling gait.</p>
+
+<p>Large doses of alcohol cause a diminution of the temperature of the
+body, which in fevers is more marked than in the normal state.</p>
+
+<p>In addition to the organic diseases enumerated above, and delirium
+tremens, the following diseases are frequently the result of the excessive
+use of alcoholic liquors: epilepsy, paralysis, insanity, diabetes, gravel,
+and diseases of the heart and blood-vessels.</p>
+
+<p>The physiological deductions of Dr. Richardson are so much in accord
+with our own that we quote them in full:</p>
+
+<p>"In the first place we gather from the physiological reading of the
+action of alcohol that the agent is narcotic. I have <span
+class="pagenum"><a name="Page_259" id="Page_259"></a>[pg
+259]</span>compared it throughout to chloroform, and the comparison is good
+in all respects save one, viz.: that alcohol is less fatal than chloroform
+as an instant destroyer. It kills certainly in its own way, but its method
+of killing is slow, indirect, and by disease.</p>
+
+<p>The well-proven fact that alcohol, when it is taken into the body,
+reduces the animal temperature, is full of the most important suggestions.
+The fact shows that alcohol does not in any sense act as a supplier of
+vital heat as is commonly supposed, and that it does not prevent the loss
+of heat as those imagine 'who take just a drop to keep out the cold,' It
+shows, on the contrary, that cold and alcohol, in their effects on the
+body, run closely together, an opinion confirmed by the experience of those
+who live or travel in cold regions of the earth. The experiences of the
+Arctic voyagers, of the leaders of the great Napoleonic campaigns in
+Russia, of the good monks of St. Bernard, all testify that death from cold
+is accelerated by its ally alcohol. Experiments with alcohol in extreme
+cold tell the like story, while the chilliness of the body which succeeds
+upon even a moderate excess of alcoholic indulgence leads directly to the
+same indication of truth.</p>
+
+<p>The conclusive evidence now in our possession that alcohol taken into
+the animal body sets free the heart, so as to cause the excess of motion of
+which the record has been given above, is proof that the heart, under the
+frequent influence of alcohol, must undergo deleterious change of
+structure. It may, indeed, be admitted in proper fairness, that when the
+heart is passing through these rapid movements it is working under less
+pressure than when its movements are slow and natural; and this allowance
+must needs be made, or the inference would be that the organ ought to stop
+at once, in function, by the excess of strain put upon it. At the same time
+the excess of motion is injurious to the heart and to the body at large; it
+subjects the heart to irregularity of supply of blood, it subjects the body
+in all its parts to the same injurious influence; it weakens, and, as a
+necessary sequence, degrades both the heart and the body.</p>
+
+<p>Speaking honestly, I cannot, by any argument yet presented to me, admit
+the alcohols by any sign that should distinguish them from other chemical
+substances of the paralysing narcotic class. When it is physiologically
+understood that what is called <span class="pagenum"><a name="Page_260"
+id="Page_260"></a>[pg 260]</span>stimulation or excitement is, in absolute
+fact, a relaxation, a partial paralysis, of one of the most important
+mechanisms in the animal body, the minute, resisting, compensating
+circulation, we grasp quickly the error in respect to the action of
+stimulants in which we have been educated, and obtain a clear solution of
+the well-known experience that all excitement, all passion, leaves, after
+its departure, lowness of heart, depression of mind, sadness of spirit. We
+learn, then, in respect to alcohol, that the temporary excitement it
+produces is at the expense of the animal force, and that the ideas of its
+being necessary to resort to it, that it may lift up the forces of the
+animal body into true and firm and even activity, or that it may add
+something useful to the living tissues, are errors as solemn as they are
+widely disseminated. In the scientific education of the people no fact is
+more deserving of special comment than this fact, that excitement is wasted
+force, the running down of the animal mechanism before it has served out
+its time of motion.</p>
+
+<p>It will be said that alcohol cheers the weary, and that to take a little
+wine for the stomach's sake is one of the lessons that comes from the deep
+recesses of human nature. I am not so obstinate as to deny this argument,
+There are times in the life of man when the heart is oppressed, when the
+resistance to its motion is excessive, and when blood flows languidly to
+the centres of life, nervous and muscular. In these moments alcohol cheers.
+It lets loose the heart from its oppression; it lets flow a brisker current
+of blood into the failing organs; it aids nutritive changes, and altogether
+is of temporary service to man. So far, alcohol may be good, and if its use
+could be limited to this one action, this one purpose, it would be amongst
+the most excellent of the gifts of science to mankind. Unhappily, the
+border line between this use and the abuse of it, the temptation to extend
+beyond the use, the habit to apply the use when it is not wanted as readily
+as when it is wanted, overbalance, in the multitude of men, the temporary
+value that attaches truly to alcohol as a physiological agent. Hence
+alcohol becomes a dangerous instrument even in the hands of the strong and
+wise, a murderous instrument in the hands of the foolish and weak. Used too
+frequently, used too excessively, this agent, which in moderation cheers
+the failing body, relaxes its vessels too <span class="pagenum"><a
+name="Page_261" id="Page_261"></a>[pg 261]</span>extremely; spoils vital
+organs; makes the force of the circulation slow, imperfect, irregular;
+suggests the call for more stimulation; tempts to renewal of the evil, and
+ruins the mechanism of the healthy animal before its hour for ruin, by
+natural decay, should be at all near.</p>
+
+<p>It is assumed by most persons that alcohol gives strength, and we hear
+feeble persons saying daily that they are being 'kept up by stimulants.'
+This means actually that they are being kept down; but the sensation they
+derive from the immediate action of the stimulant deceives them and leads
+them to attribute passing good to what, in the large majority of cases, is
+persistent evil. The evidence is all-perfect that alcohol gives no
+potential power to brain or muscle. During the first stage of action it may
+enable a wearied or a feeble organism to do brisk work for a short time; it
+may make the mind briefly brilliant; it may excite muscle to quick action,
+but it does nothing substantially, and fills up nothing it has destroyed,
+as it leads to destruction. A fire makes a brilliant sight, but leaves a
+desolation. It is the same with alcohol.</p>
+
+<p>On the muscular force the very slightest excess of alcoholic influence
+is injurious. I find by measuring the power of muscle for contraction in
+the natural state and under alcohol, that so soon as there is a distinct
+indication of muscular disturbance, there is also indication of muscular
+failure, and if I wished by scientific experiment to spoil for work the
+most perfect specimen of a working animal, say a horse, without inflicting
+mechanical injury, I could choose no better agent for the purpose of the
+experiment than alcohol. But alas! the readiness with which strong,
+well-built men slip into general paralysis under the continued influence of
+this false support, attests how unnecessary it would be to subject a lower
+animal to the experiment. The experiment is a custom, and man is the
+subject.</p>
+
+<p>The true place of alcohol is clear; it is an agreeable temporary shroud.
+The savage, with the mansions of his soul unfurnished, buries his restless
+energy under its shadow. The civilized man overburdened with mental labor,
+or with engrossing care, seeks the same shade; but it is shade, after all,
+in which, in exact proportion as he seeks it, the seeker retires from
+perfect natural <span class="pagenum"><a name="Page_262"
+id="Page_262"></a>[pg 262]</span>life. To search for force in alcohol is,
+to my mind, equivalent to the act of seeking for the sun in subterranean
+gloom until all is night.</p>
+
+<p>It may be urged that men take alcohol, nevertheless, take it freely, and
+yet live; that the adult Swede drinks his average cup of twenty-five
+gallons of alcohol per year and remains on the face of the earth. I admit
+force even in this argument, for I know under the persistent use of alcohol
+there is a limited provision for the continuance of life. In the confirmed
+alcoholic the alcohol is, in a certain sense, so disposed of that it fits,
+as it were, the body for a long season, nay, becomes part of it; and yet it
+is silently doing its fatal work. The organs of the body may be slowly
+brought into a state of adaptation to receive it and to dispose of it. But
+in that very preparation they are themselves made to undergo physical
+changes tending to the destruction of their function, to perversion of
+their structure, and to all those varied modifications of organic parts
+which the dissector of the human subject learns to recognize,&mdash;almost
+without concern, and certainly without anything more than commonplace
+curiosity,&mdash;as the devastations incident to alcoholic indulgence."</p>
+
+<p>The statistics collected from the census of the United States for 1860,
+and given by Dr. De Marmon, in the <i>New York Medical Journal</i> for
+December, 1870, must carry conviction to all minds of the correctness of
+the foregoing deductions:</p>
+
+<p>"For the last ten years the use of spirits has, 1. Imposed on the nation
+a direct expense of 600,000,000 dollars. 2. Has caused an indirect expense
+of 600,000,000 dollars. 3. Has destroyed 300,000 lives. 4. Has sent 100,000
+children to the poorhouses. 5. Has committed at least 150,000 people into
+prisons and workhouses. 6. Has made at least 1,000 insane. 7. Has
+determined at least 2,000 suicides. 8. Has caused the loss by fire or
+violence, of at least 10,000,000 dollars' worth of property. 9. Has made
+200,000 widows and 1,000 orphans."</p>
+
+<p>If these were the statistics twenty-four years ago, with our greatly
+increased population, what must they be to-day? We will let the reader draw
+his own conclusions.</p>
+
+<p><b>Malted Liquors</b>. Under this head are included all those liquors
+into the composition of which malt enters, such as <span class="pagenum"><a
+name="Page_263" id="Page_263"></a>[pg 263]</span>beer, ale, and porter. The
+proportion of alcohol in these liquors varies greatly. In beer, it is from
+two to five per cent.; in Edinburgh ale, it amounts to six per cent.; in
+porter, it is usually from four to six per cent. In addition to alcohol and
+water, the malted liquors contain from five to fourteen per cent. of the
+extract of malt, and from 0.16 to 0.60 per cent. of carbonic acid. They
+possess, according to Pereira, three properties: they quench thirst; they
+stimulate, cheer, and, if taken in sufficient quantity, intoxicate; and
+they nourish or strengthen. The first of these qualities is due to the
+water entering into their composition; the second, to the alcohol; the
+third is attributed the nutritive principles of the malt.</p>
+
+<p><b>Objections to their use as Beverages.</b> These articles are either
+pure or adulterated. In their pure state the objection to their use for
+this purpose lies in the fact that they contain alcohol. This, as we have
+seen, is a poisonous substance, which the human system in a state of health
+does not need. Its use, when the body is in a normal condition, is uncalled
+for, and can only be deleterious. Beverages containing this poison are more
+or less deleterious to healthy persons, according to the amount of it which
+they contain.</p>
+
+<p>These liquors are frequently adulterated, and this increases their
+injurious effects. The ingenuity of man has been taxed to increase their
+intoxicating properties; to heighten the color and flavor, to create
+pungency and thirst; and to revive old beer. To increase the intoxicating
+power, tobacco or the seeds of the Cocculus indicus are added; to heighten
+the color and flavor, burnt sugar, liquorice, or treacle, quassia, or
+strychnine, coriander, and caraway seeds are employed; to increase the
+pungency, cayenne pepper or common salt is added; to revive old beer, or
+ale, it is shaken up with green vitriol or sulphate of iron, or with alum
+and common salt.</p>
+
+<p><b>Fermented Liquors.</b> These are cider and wine. Cider contains
+alcohol to the amount of from five to ten per cent., saccharine matter,
+lactic acid, and other substances. New cider may be drunk in large
+quantities without inducing intoxication, but old cider is quite as
+intoxicating as ale or porter.</p>
+
+<p>The composition of wine is very complex, the peculiar qualities which
+characterize the different varieties cannot be <span class="pagenum"><a
+name="Page_264" id="Page_264"></a>[pg 264]</span>ascertained by chemical
+analysis. Wine is a solution of alcohol in water, combined with various
+constituents of the grape. The amount of alcohol in wines ranges from six
+to forty per cent. As beverages, these are open to the same objections as
+those manufactured from malt. As a medicine, wine is a useful remedy.
+Concerning its use in this capacity, Prof. Liebig says: "Wine is a
+restorative. As a means of refreshment when the powers of life are
+exhausted&mdash;as a means of compensation where a misappropriation occurs in
+nutrition, and as a means of protection against transient organic
+disturbances, it is surpassed by no product of nature or art." That an
+article is useful in medicine, however, is no reason why it should be used
+as a beverage by those in health. It is rather an argument against such a
+practice. For it is generally true that the drugs used to restore the
+diseased system to health, are pernicious or poisonous to it when in a
+normal condition.</p>
+
+<p><b>Distilled Liquors.</b> These are whiskey, brandy, and the kindred
+productions of the still. Whiskey is a solution of alcohol in water, mixed
+with various other principles which impart to it peculiar physical
+properties. The amount of alcohol which it contains varies from forty-eight
+to fifty-six per cent. Old whiskey is more highly prized than the more
+recent product of the still, from the fact that when kept for some years
+certain volatile oils are generated which, impart to it a mellowness of
+flavor.</p>
+
+<p>Brandy is a solution of alcohol in water, together with various other
+substances. It contains from fifty to fifty-six per cent. of alcohol. Pure
+brandy is distilled from wine, 1,000 gallons of wine yielding from 100 to
+150 gallons of brandy, but a very large proportion of the brandy is made
+with little or no wine. It is made artificially from high wines by the
+addition of oil of Cognac, to give it flavor, burnt sugar to give it color,
+and logwood or catechu, to impart astringency and roughness of taste. The
+best brandy is obtained by distillation from the best quality of white
+wines, from the districts of Cognac and Armagnac in France.</p>
+
+
+<h4>THE CLOTHING.</h4>
+
+
+<p>There is no physical agent which exerts a more constant or more powerful
+influence upon health and life, than the <span class="pagenum"><a
+name="Page_265" id="Page_265"></a>[pg 265]</span>atmosphere. The climate in
+these latitudes is exceedingly variable, ranging all the way from 110&deg;
+Fahr. in summer to 40&deg; below zero in the winter season. The body of
+every individual should be so protected from cold, that it can maintain a
+mean temperature of 98&deg; Fahr.</p>
+
+<p>When the body is warm there is a free and equal circulation of the blood
+throughout all the structures. When the surface is subjected to cold, the
+numerous capillaries and minute vessels carrying the blood, contract and
+diminish in size, increasing the amount of this fluid in the internal
+organs, thus causing congestion. The blood must go somewhere, and if driven
+from the surface, it retreats to the cavities within. Hence this repletion
+of the vital organs causes pain from pressure and fullness of the distended
+blood-vessels, and the organic functions are embarrassed. Besides, cold
+upon the surface shuts up the pores of the skin, which are among the most
+active and important excretory ducts of the system. It is evident, then,
+that we require suitable clothing, not only for comfort, but to maintain
+the temperature and functions essential to health and life.</p>
+
+<p>The chief object to be attained by dress is the maintenance of a uniform
+temperature of the body. To attain this end, it is necessary that the
+exhalations of the system, which are continually escaping through the pores
+of the skin, should be absorbed or conducted away from the person. These
+exudations occur in the form of sensible or insensible perspiration, and
+the clothing, to be healthy, should be so porous as to allow them freely to
+escape into the air.</p>
+
+<p>A substance should also be chosen which is known to be a poor conductor
+of heat. That generated by the system will thus be retained where it is
+needed, instead of being dispersed into the atmosphere.</p>
+
+<p>We might add that the better the material for accomplishing these
+purposes, the less will be needed to be worn; for we do not wish to wear or
+carry about with us any more material than is necessary. It so happens that
+all of these qualities are found combined in <i>flannel</i>. The value of
+this article worn next to the skin cannot be over-rated, for while it
+affords protection from cold during the winter months, it is equally
+beneficial during the heat of summer, because it imbibes the perspiration,
+<span class="pagenum"><a name="Page_266" id="Page_266"></a>[pg
+266]</span>and being very porous, allows it to escape. The skin always
+feels soft, smooth, and pliable, when it is worn; but, when cotton takes
+its place, it soon becomes dry and harsh. Its natural adaptability to these
+purposes, shows that it is equally a comfort and a source of health. Where
+the skin is very delicate, flannel sometimes causes irritation. In such
+cases a thin fabric of linen, cotton, or silk, should be worn next the
+skin, with flannel immediately over it. Where there is a uniform and
+extreme degree of heat, cotton and linen are very conducive to comfort. But
+they are unsuitable in a climate or season liable to sudden fluctuations in
+temperature.</p>
+
+<p>The value of furs, where people are exposed to extreme cold, cannot be
+overestimated. They are much warmer than wool, and are chiefly used as
+wraps on going outdoors. They are too cumbrous and expensive for ordinary
+wear in this latitude, but in places near the poles they constitute the
+chief clothing of the inhabitants.</p>
+
+<p>The quantity of clothing worn is another important item. The least that
+is necessary to keep the body well protected and evenly tempered when
+employed is the rule of health. Some people, instead of wearing flannels
+next to the body, put on other material in greater abundance, thus
+confining the perspiration to the skin and making the body chilly. The
+amount of clothing is then increased, until they are so heavily clad that
+they cannot exercise. It is far better to wear one thickness of flannel
+next to the skin, and then cotton, or woolen, for outside garments, and be
+able to exercise, thus allowing the blood to circulate and to assist in the
+warming process.</p>
+
+<p>One great fault in dress consists in neglecting to properly clothe the
+upper extremities. Some people do not reflect upon the necessity, while
+others are too proud to be directed by plain common sense. In the winter
+season, the feet should be covered with woolen stockings. The next matter
+of importance, is to get a thick, broad-soled shoe, so large that it will
+not prevent the free circulation of the blood. Then for walking, and
+especially for riding, when the earth is wet and cold, or when there is
+snow on the ground, wear a flannel-lined rubber or "Arctic" over-shoe.
+<i>Be sure and keep the feet comfortable and warm at all times.</i></p>
+
+<p><span class="pagenum"><a name="Page_267" id="Page_267"></a>[pg
+267]</span>Our next advice is to keep the legs warm. We were called not
+long ago, to see a young lady who had contracted a severe cold. She had
+been to an entertainment where the apartments were nicely warmed, and from
+thence had walked home late in the evening. We inquired into the
+circumstances of the case, and ascertained that she wore flannel about her
+chest, and that she also wore rubbers over her shoes, but the other
+portions of the lower extremities were protected by cotton coverings. In
+short, her legs were not kept warm, and she took cold by going out from
+warm rooms into a chilly atmosphere. A good pair of woolen leggings might
+have saved her much suffering. The results of insufficient protection of
+the lower extremities are colds, coughs, consumption, headaches, pain in
+the side, menstrual derangements, uterine congestion and disorders, besides
+disablement for the ordinary and necessary duties of life. All these may be
+prevented by clothing the legs suitably, and wearing comfortable
+flannels.</p>
+
+<p>Young people can bear a low temperature of the body better than old
+people, because they possess greater power of endurance. But that is no
+reason for unnecessary exposure.</p>
+
+<p>The amount of clothing should be regulated according to the
+heat-generating power of the individual, and also according to the
+susceptibility to cold. No two persons are exactly alike in these respects.
+But it is never proper for young people to reject the counsels of
+experience, or treat lightly the advice to protect themselves thoroughly
+against the cold. Many a parent's heart has ached as he has followed the
+mortal remains of a darling child to the grave, knowing that if good advice
+had been heeded, in all human probability, the life would have been
+prolonged.</p>
+
+<p>The most deleterious mechanical errors in clothing are those which
+affect the chest and body. Tight lacing still plays too important a part in
+dress. It interferes with the free and healthy movements of the body, and
+effects a pressure which is alike injurious to the organs of respiration,
+circulation, and digestion. The great muscle of respiration, the diaphragm,
+is impeded in its motion, and is, therefore, unable to act freely. The
+large blood-vessels are compressed, and when the pressure is excessive the
+heart and lungs are also subjected to restraint <span class="pagenum"><a
+name="Page_268" id="Page_268"></a>[pg 268]</span>and thrown out of their
+proper positions. From the compression of the liver and stomach, the
+functions of digestion are impeded, a distaste for solid food, flatulency
+and pain after eating are the unmistakable proofs of the injury which is
+being inflicted.</p>
+
+<p>The evil effects of such pressure are not confined to actual periods of
+time during which this pressure is applied. They continue after it has been
+removed and when the chest and trunk of the body have thus been subjected
+to long-continued pressure they become permanently deformed. These
+deformities necessarily entail great suffering in child-bearing.</p>
+
+<p>The evil effects of mechanical pressure on other parts of the body are
+not uncommon. The leg is sometimes so indented by a tight garter that the
+returning flow of blood through the veins is prevented, and a varicose
+condition of these vessels is produced.</p>
+
+<p>Irregular and excessive pressure on the foot by imperfectly fitting
+shoes or boots produce deformities of the feet and cause much suffering.
+The high heels which are so common on the shoes of women and children
+inflict more than a local injury. Every time the body comes down upon the
+raised heel with its full weight a slight shock or vibration is
+communicated throughout the entire extent of the spinal column, and the
+nervous mechanism is thereby injured. Furthermore, displacements of the
+pelvic organs frequently result from these unnatural and absurd articles of
+dress. Women of fashion are subjected to much annoyance from wearing long,
+flowing skirts suspended from their waists to trail uselessly on the floor
+and gather dust. It is impossible for the wearers of these ridiculous
+garments to exercise their limbs properly or to breathe naturally.
+Indigestion, palpitation, shortness of breath, and physical degeneracy are
+the inevitable consequences of their folly. The skirts should always be
+suspended from the shoulders and not from the hips. It is especially
+important that the clothing of children should not fit too tightly.</p>
+
+<p>It is very important that the clothing should be kept clean. That which
+is worn for a long time becomes saturated with the excretions and
+exhalations of the body, which prevent free transpiration from the pores of
+the skin, and thereby induce mental inactivity and depression of the
+physical powers. Unclear clothing may be the means of conveying disease.
+Scarlet <span class="pagenum"><a name="Page_269" id="Page_269"></a>[pg
+269]</span>fever has been conveyed frequently by the clothing of a nurse
+into a healthy family. All of the contagious diseases have been
+communicated by clothing contaminated in laundries.</p>
+
+<p>Certain dyes which are largely used in the coloring of wearing apparel
+are poisonous, and give rise to local disease of the skin, accompanied in
+some instances, with constitutional symptoms. The principal poisonous dyes
+are the red and yellow aniline. A case of poisoning from wearing stockings
+colored with aniline dyes, in which there were severe constitutional
+symptoms, came under our observation at the Invalids' Hotel recently.</p>
+
+<p><span class="pagenum"><a name="Page_270" id="Page_270"></a>[pg
+270]</span></p><hr />
+
+
+
+
+<h2><a name='IICHAPTER_III'></a>CHAPTER III.</h2>
+
+<h1>PHYSICAL EXERCISE. MENTAL CULTURE. SLEEP. CLEANLINESS.</h1>
+
+
+<p>A well-developed physical organization is essential to perfect health.
+Among the Greeks, beauty ranked next to virtue, and an eminent author has
+said that "the nearer we approach Divinity, the more we reflect His eternal
+beauty." The perfect expression of thought requires the physical
+accompaniments of language, gesture, etc. The human form is pliable, and,
+with proper culture, can be made replete with expression, grace and beauty.
+The cultivation of the intellectual powers has been allowed to supplant
+physical training to a great extent. The results are abnormally developed
+brains, delicate forms, sensitive nerves and shortened lives. That the
+physical and mental systems should be collaterally developed, is a fact
+generally overlooked by educators. The fullness of a great intellect is
+generally impaired when united with a weak and frail body. We have sought
+perfection in animals and plants. To the former we have given all the
+degree of strength and grace requisite to their peculiar duties; to the
+latter we have imparted all the delicate tints and shadings that fancy
+could picture. We have studied the laws of their existence, until we are
+familiar with every phase of their production; yet it remains for man to
+learn those laws of his own being, by a knowledge of which he may promote
+and preserve the beauty of the human form, and thus render it, indeed, an
+image of its <span class="pagenum"><a name="Page_271" id="Page_271"></a>[pg
+271]</span>Maker. When the body is tenanted by a cultivated intellect, the
+result is a unity which is unique, commanding the respect of humanity, and
+insuring a successful life to the possessor. Students are as a rule pale
+and emaciated. Mental application is generally the cause assigned when, in
+reality, it is the result of insufficient exercise, impure air, and
+dietetic errors. An intelligent journalist has remarked that "many of our
+ministers weigh too little in the pulpit, because they weigh too little on
+the scales." The Greek Gymnasium and Olympian Games were the sure
+foundations of that education from which arose that subtle philosophy,
+poetry, and military skill which have won the admiration of nineteen
+centuries. The laurel crown of the Olympian victor was far more precious to
+the Grecian youth than the gilded prize is to our modern genius. A popular
+lecturer has truly remarked, that "we make brilliant mathematicians and
+miserable dyspeptics; fine linguists with bronchial throats; good writers
+with narrow chests and pale complexions; smart scholars, but not that
+union, which the ancients prized, of a sound mind in a sound body. The
+brain becomes the chief working muscle of the system. We refine and
+re-refine the intellectual powers down to a diamond point and brilliancy,
+as if they were the sole or reigning faculties, and we had not a physical
+nature binding us to earth, and a spiritual nature binding us to the great
+heavens and the greater God who inhabits them. Thus the university becomes
+a sort of splendid hospital with this difference, that the hospital
+<i>cures</i>, while the university <i>creates</i> disease. Most of them are
+indicted at the bar of public opinion for taking the finest young brain and
+blood of the country, and, after working upon them for four years,
+returning them to their homes skilled indeed to perform certain linguistic
+and mathematical dexterities, but very much below par in health and
+endurance, and, in short, seriously damaged and physically demoralized." We
+read with reverence the sublime teachings of Aristotle and Plato; we mark
+the grandeur of Homer and the delicate beauties of Virgil; but we do not
+seek to reproduce in our modern institutions the gymnasium, which was the
+real foundation of their genius. Colleges which are now entering upon their
+career, should make ample provision for those exercises <span
+class="pagenum"><a name="Page_272" id="Page_272"></a>[pg 272]</span>which
+develop the <i>physical man.</i> This lack of bodily training is common
+with all classes, and its effects are written in indelible characters on
+the faces and forms of old and young. Constrained positions in sitting
+restrict the movements of the diaphragm and ribs and often cause diseases
+of the spine, or unnatural curvatures, which prove disastrous to health and
+happiness. The head should be held erect and the shoulders thrown backward,
+so that at each inspiration the lungs may be fully expanded.</p>
+
+<p>Physical exercise should never be too violent or too prolonged. Severe
+physical labor, and athletic sports, if indulged in to an extreme degree,
+produce undue excitability of the heart, and sometimes cause it to become
+enlarged. There is a form of heart disease induced by undue exertion which
+may be called a wearing out or wasting away of that organ. It is common in
+those persons whose occupations expose them to excessive physical labor for
+too many hours together. This feebleness of heart is felt but little by
+vigorous persons under forty years of age, but in those who have passed
+this age it becomes manifest. However, when any person so affected is
+attacked by any acute disease, the heart is more liable to fail, and thus
+cause a fatal termination.</p>
+
+<p>Aneurism of the aorta or the large arteries branching off from it, which
+is a dilatation of the walls of these vessels, caused by the rupture of one
+or two of their coats, is generally induced by excessive physical strain,
+such as lifting heavy weights, or carrying weights up long flights of
+stairs, violent horseback exercise, or hurrying to catch a train or street
+car.</p>
+
+
+
+<p class="rfigure"><a name="advise089"><img width="90%" alt="Illustration:
+Fig. 104." src="images/advise089.png" /></a><br />Fig. 104.</p>
+
+<p><b>An Erect Carriage</b> is not only essential to health, but adds grace
+and beauty to every movement. Although man was made to stand erect, thus
+indicating his superiority over all other animals, yet custom has done much
+to curve that magnificent central column, upon the summit of which rests
+the "grand dome of thought." Many young persons unconsciously acquire the
+habit of throwing the shoulders forward. The spinal column is weakened by
+this unnatural posture, its vertebræ become so sensitive and
+distorted that they cannot easily support the weight of the body or sustain
+its equilibrium. It is generally believed that persons of sedentary habits
+are <span class="pagenum"><a name="Page_273" id="Page_273"></a>[pg
+273]</span>more liable to become round-shouldered than any other class of
+individuals. Observation shows, on the contrary, that the manual laborer,
+or even the idler, often acquires this stooping posture. It can be
+remedied, not by artificial braces, but by habitually throwing the
+shoulders backwards. Deformed trunks and crooked spines, although sometimes
+the effects of disease are more frequently the results of carelessness.
+Jacques has remarked that "one's standing among his fellow-men is quite as
+important a matter in a <i>physiological</i>, as in a <i>social</i> sense."
+<i>Walking</i> is one of the most efficient means of physical culture, as
+it calls all the muscles into action and produces the amount of tension
+requisite for their tonicity. Long walks or protracted physical exercise of
+any kind should never be undertaken immediately after meals. The first
+essential to a healthful walk is a pleasurable object. Beautiful scenery,
+rambles in meadows rich with fragrant grasses, or along the flowery banks
+of water-courses, affords an agreeable stimulus, which sends the blood
+through the vital channels with unwonted force, and imparts to the cheeks
+the ruddy glow of health. Our poets acknowledge the silent influence of
+nature. Wordsworth has expressed this thought in his own sublime way:</p>
+
+<blockquote>
+<p>
+"The floating clouds their state shall lend<br />
+To her: for her the willow bend;<br />
+Nor shall she fail to see,<br />
+E'en in the motions of the storm<br />
+Grace that shall mould the maiden's form<br />
+By silent sympathy.<br />
+The stars of midnight shall be dear<br />
+To her: and she shall lean her ear<br />
+In many a secret place,<br />
+Where rivulets dance their wayward round,<br />
+And beauty, born of murmuring sound,<br />
+Shall pass into her face."<br />
+</p>
+</blockquote>
+
+<p><b>Base Ball, Cricket, Boxing, and Fencing</b>, are all manly exercises
+when practiced solely with a view to their hygienic advantages and as such
+have our approval.</p>
+
+<p><span class="pagenum"><a name="Page_274" id="Page_274"></a>[pg 274]</span></p>
+
+
+<p class="lfigure"><a name="advise090"><img width="90%" alt="Illustration:
+Fig. 105." src="images/advise090.png" /></a><br />Fig. 105.</p>
+
+
+
+<p class="rfigure"><a name="advise091"><img width="90%" alt="Illustration:
+Fig. 109." src="images/advise091.png" /></a><br />Fig. 109.</p>
+
+<p><b>The Art of Swimming</b> was regarded by the Greeks as an important
+accomplishment. As a hygienic agency, it occupies a high place in physical
+culture. The varied movements impart strength and elasticity to the
+muscles. It is as charming a recreation for women and girls as for men and
+boys. Furthermore, it is not only a means of physical culture, but is often
+essential for self-preservation.</p>
+
+
+
+<p class="rfigure"><a name="advise092"><img width="90%" alt="Illustration:
+Fig. 110." src="images/advise092.png" /></a><br />Fig. 110.</p>
+
+<p><b>The Exercises of the Gymnasium</b> are especially productive of
+health and longevity. The most important of these are balancing, leaping,
+climbing, wrestling, and throwing, all of which are especially adapted to
+the development of the muscles. In conclusion, we offer the following
+suggestions, viz: all gymnastic exercises should be practiced in the
+morning, and in the open air; extremes should be avoided; and it should be
+always borne in mind, that their chief object is to combine, in a proper
+proportion, mental and physical development. In every relation of life we
+should cultivate all those faculties which pertain to our physical, moral,
+and mental natures, subdue our passions, and nature will bestow upon us her
+richest rewards of health, beauty, and happiness.</p>
+
+
+<p><span class="pagenum"><a name="Page_275" id="Page_275"></a>[pg
+275]</span></p><h4>CYCLING.</h4>
+
+
+
+
+<p class="lfigure"><a name="advise093"><img width="90%" alt="Illustration:
+" src="images/advise093.png" /></a><br /></p>
+
+<p>If one were asked what athletic exercise deserves to be the most popular
+in America to-day, the answer would of necessity be cycling. The bicycle is
+being used by people of all ages and conditions of health in daily life;
+its hygienic value as a means to healthy exercise cannot be overestimated.
+In this, as in everything else, immoderation is to be condemned,
+particularly where persons have not had sufficient training to take long
+"spins," or attempt racing. Beginners should ride only 10 or 12 minutes at
+a time&mdash;resting then to permit the circulation to become equalized. In all
+cyclists, at all ages, in veteran riders as well as those not practiced in
+the art, there is, in the beginning of each attempt, a quickened
+circulation; the pulse is full and bounding, and rarely falls under a
+hundred pulsations per minute. So long as the exercise is continued, an
+increase of cardiac motion is observable, and a vigorous circulation is
+kept up. This accounts for the astounding journeys a fully trained cyclist
+can accomplish, and also for his endurance without sleep. In spite of the
+quickened motion of the heart, rarely have riders been known to grow giddy
+or show symptoms of cardiac embarrassment. A good rider may climb a hill
+without trouble, yet be unable to climb a flight of stairs without
+breathlessness and palpitation. Bicycle riding as a means for acquiring
+strength and vigor, improving the circulation and developing the
+respiratory organs, is unexcelled. Fast riding, or "scorching," among those
+not used to physical exertion, and leaning over the handle-bars so as to
+ride in a stooping position, are to be heartily condemned. The latter
+prevents the lungs from getting their full expansion, and cultivates a
+tendency to round shoulders. Men or women suffering from diseases of the
+sexual organs should, before riding, consult the physician having their
+case in charge.</p>
+
+
+
+<p class="lfigure"><a name="advise094"><img width="90%" alt="Illustration:
+Fig. 112." src="images/advise094.png" /></a><br />Fig. 112.</p>
+
+<p><span class="pagenum"><a name="Page_276" id="Page_276"></a>[pg
+276]</span><b>Riding on Horseback</b> is a fine exercise for both sexes. It
+promotes digestion, improves the circulation, and expands and develops the
+respiratory organs. The pure, fresh air, pleasant scenery, and pleasurable
+excitement, impart renewed vigor to the equestrian. In the Southern States
+it is a universal accomplishment, and children are taught to ride as well
+as to walk.</p>
+
+<p><b>Dancing</b>. Notwithstanding the fact that dancing has been perverted
+to the basest purposes, has been made the fruitful source of dissipation,
+and has often laid the foundation for disease, it is yet capable of being
+made to minister to health and happiness. As a means of physical culture,
+it favors the development of the muscular system, and promotes health and
+cheerfulness. When practiced for this purpose, Jacques terms it "the best
+of all indoor exercises," as it brings to bear upon the physical system a
+great number of energizing and harmonious influences.</p>
+
+
+<h4>MENTAL CULTURE.</h4>
+
+
+<p>The brain, like all other organs of the body, requires alternate
+exercise and repose; and, in physical endurance, it is subject to general
+physiological laws. When exercised with moderation it acquires strength,
+vigor, and an accelerated activity. Excessive mental exertion is liable to
+result in softening of the brain, and various nervous diseases, sometimes
+culminating in insanity, and in many instances proving fatal to life. The
+mere votaries of pleasure who avoid all effort of the mind, fall into the
+opposite error. In all cases of intellectual activity, the exertions should
+be directed to some subject interesting to the student. In this manner duty
+will become a pleasure, which in turn will re-invigorate the mental
+functions.</p>
+
+<p>When the mind in confined to one subject for any considerable length of
+time together, it becomes fatigued, and requires relaxation, recreation,
+rest. This may be obtained by directing the attention to some other
+subject, either study or amusement, the latter of which is preferable. The
+amusement, however, <span class="pagenum"><a name="Page_277"
+id="Page_277"></a>[pg 277]</span>may be of an intellectual or physical
+character or both combined, and will, if properly conducted, restore vigor
+to both mind and body.</p>
+
+<p>Prominent among physical phenomena is the mutual relation between the
+brain and the organs of nutrition. Mental exertion should be avoided for at
+least one hour after a hearty meal, and all mental labor which requires
+concentration of thought ought to be accomplished in the earlier portion of
+the day, when the brain is refreshed and repaired by the night's repose.
+Mental, like physical endurance, is modified by age, health and
+development. A person accustomed to concentration of thought, can endure a
+longer mental strain than one inured to manual labor only. One of the most
+injurious customs, is the cultivation of the intellect at the expense of
+the physical powers.</p>
+
+<p><b>Mental Culture During Childhood.</b> One of the greatest mistakes
+which people make in the management of their children, is to overtask their
+mental faculties. Although it is exceedingly gratifying to see children
+acquire knowledge, and manifest an understanding far beyond their years,
+this gratification is often purchased too dearly, for precocious children
+are apt to die young. The tissue of the brain and nerves of children is
+very delicate; they have not yet acquired the powers of endurance which
+older persons possess. The greater portion of the nutriment assimilated, is
+required for growth and organic development, and they can ill afford its
+expenditure for mental manifestations. They receive impressions easier and
+learn much more readily than in after life, but it is at the expense of the
+physical organization. Their mental faculties continue to be developed by
+the expenditure of brain nutriment, while physical growth and the powers of
+endurance are arrested. It is much better to give physical development the
+precedence in order that the mental organism may be well supported and its
+operations carried into effect; for it must be apparent to all that an
+ordinary intellect in a healthy body, is capable of accomplishing
+infinitely more than a strong mind in a <i>weak</i> body. Regularity should
+be observed in exercising the mental functions. For this reason a fixed
+order in the pursuit of any literary occupation is very essential. The
+pursuit of the most abstruse studies will thus become habitual and
+comparatively <span class="pagenum"><a name="Page_278"
+id="Page_278"></a>[pg 278]</span>easy, a consequence of systematic
+application. Mental labor should always cease when the train of thought
+becomes confused, and there is the slightest sensation of depression. All
+distracting influences should be absent from the mind, in order to
+facilitate intense study, for the intellect cannot attend perfectly to two
+subjects at the same time. Painful sensations always have a tendency to
+paralyze mental exertion. Great care should be taken that the head is not
+subjected to injury of any kind, as it is almost invariably accompanied by
+some nervous derangement. Exposure to extreme heat should be carefully
+avoided. An attack of sun-stroke although it may not be immediately fatal,
+may occasion tumors in the brain, or some organic disease.</p>
+
+
+<h4>SLEEP.</h4>
+
+
+<p>For all animated beings sleep is an imperious necessity, as
+indispensable as food. The welfare of man requires alternate periods of
+activity and repose. It is a well-established physiological fact, that
+during the wakeful hours the vital energies are being expended, the powers
+of life diminished, and, if wakefulness is continued beyond a certain
+limit, the system becomes enfeebled and death is the result. During sleep
+there is a temporary cessation of vital expenditures, and a recuperation of
+all the forces. Under the influence of sleep "the blood is refreshed, the
+brain recruited, physical sufferings are extinguished, mental troubles are
+removed, the organism is relieved, and hope returns to the heart."</p>
+
+<p>The severest punishment which can be inflicted upon a person, is to
+entirely deprive him of sleep. In China, a few years since, three criminals
+were sentenced to be kept awake until they should die. To do this it was
+necessary to keep a guard over them. The sentinels were armed with sharp,
+pointed instruments, with which to goad the victims and thus prevent them
+from sleeping. Life soon became a burden, and, although they were well fed
+during the time, death occurred sooner than it would have done had
+starvation been the punishment.</p>
+
+<p><b>Sleeping Rooms.</b> The sleeping room should be large and well
+ventilated, and the air kept moderately cool. The necessity for a fire may
+be determined by the health of the <span class="pagenum"><a name="Page_279"
+id="Page_279"></a>[pg 279]</span>occupant. Besides maintaining a proper
+temperature in the room, a little fire is useful, especially if in a grate,
+for the purpose of securing good ventilation. The windows should not be so
+arranged as to allow a draught upon the body during the night, but yet so
+adjusted that the inmate may obtain plenty of fresh air.</p>
+
+<p><b>The Bed</b> should not be too soft, but rather hard. Feathers give
+off animal emanations of an injurious character, and impart a feeling of
+lassitude and debility to those sleeping on them. No more coverings should
+be used than are actually necessary for the comfort of the individual.
+Cotton sheets are warmer than linen, and answer equally as well.</p>
+
+<p><b>Sleeping Alone.</b> Certain effluvia are thrown off from our persons,
+and when two individuals sleep together each inhales from the other more or
+less of these emanations. There is little doubt that <i>consumption</i>,
+and many other diseases, not usually considered contagious, are sometimes
+communicated in this manner. When it is not practicable for individuals to
+occupy separate beds, the persons sleeping together should be of about the
+same age, and in good health. Numerous cases have occurred in which
+healthy, robust children have gradually declined and died within a few
+months, from the evil effects of sleeping with old people. Again, those in
+feeble health have been greatly benefited, and even restored, by sleeping
+with others who were young and healthy.</p>
+
+<p><b>Time for Sleep.</b> <i>Night</i> is the proper time for sleep. When
+day is substituted for night, the sleep obtained does not fully restore the
+exhausted energies of the system. Nature does not allow her laws to be
+broken with impunity.</p>
+
+<p>Children require more sleep than old persons. They are sometimes
+stupefied with "soothing syrups," and preparations of opium, in order to
+get them temporarily out of the way. Such narcotics are very injurious and
+dangerous. We have known a young child to be killed by a <i>single drop</i>
+of laudanum. This practice, therefore, cannot be too emphatically
+condemned.</p>
+
+<p><b>How to Put Children to Bed.</b> The following characteristic lines
+are from the pen of Fanny Fern, and contain such good advice that we cannot
+refrain from quoting them: <span class="pagenum"><a name="Page_280"
+id="Page_280"></a>[pg 280]</span>"Not with a reproof for any of the day's
+sins of omission or commission. Take any other time than bed-time for that.
+If you ever heard a little creature sighing or sobbing in its sleep, you
+could never do this. Seal their closing eyelids with a kiss and a blessing.
+The time will come, all too soon, when they will lay their heads upon their
+pillows lacking both. Let them at least have this sweet memory of happy
+childhood, of which no future sorrow or trouble can rob them. Give them
+their rosy youth. Nor need this involve wild license. The judicious parent
+will not so mistake my meaning. If you ever met the man or the woman, whose
+eyes have suddenly filled when a little child has crept trustingly to its
+mother's breast, you may have seen one in whose childhood's home 'dignity'
+and 'severity' stood where love and pity should have been. Too much
+indulgence has ruined thousands of children; too much love not one."</p>
+
+<p><b>Position in Sleep.</b> The proper position in sleep is upon the right
+side. The orifice leading from the stomach to the bowels being on this
+side, this position favors the passage of the contents into the duodenum.
+Lying on the back is injurious, since by so doing the spine becomes heated,
+especially if the person sleeps on feathers, the circulation is obstructed
+and local congestions are encouraged. The face should never be covered
+during sleep, since it necessitates the breathing of the same air over
+again, together with the emanations from the body.</p>
+
+<p><b>The Amount of Sleep.</b> The amount of sleep required varies with the
+age, habits, condition, and peculiarities of the individual. No definite
+rule can be given for the guidance of all. The average amount required,
+however, is eight or nine hours out of the twenty-four. Some persons need
+more than this, while others can do with less. Since both body and mind are
+recuperated by sleep, the more they are exhausted the more sleep is
+required. A person employed at mental labor should have more than one who
+is merely expending muscular strength. Six hours of unbroken sleep do more
+to refresh and revive than ten when frequently interrupted. If it is too
+prolonged it weakens and stupefies both body and mind. If an insufficient
+amount is taken the flagging energies are not <span class="pagenum"><a
+name="Page_281" id="Page_281"></a>[pg 281]</span>restored. Persons who eat
+much, or use stimulants generally require more than others. To sleep
+regularity is desirable. If a person goes to bed at a certain hour for
+several nights in succession, it will soon become a habit. The same holds
+true with regard to rising. If children are put to sleep at a stated hour
+for several days in succession, it will soon become a habit with them.</p>
+
+
+<h4>CLEANLINESS.</h4>
+
+
+<p>"Cleanliness is next to godliness," and is essential to the health and
+vigor of the system. Its importance cannot be overestimated, and it should
+be inculcated early on the minds of the young. "Even from the body's
+purity, the mind receives a secret sympathetic aid."</p>
+
+<p>When we consider the functions of the skin, with its myriads of minute
+glands, innumerable little tubes, employed in removing the worn-out,
+useless matter from the system, we cannot fail to appreciate the utility of
+frequent bathing with soap and water. Unless these excretions are removed,
+the glands become obstructed, their functions are arrested, and unpleasant
+odors arise. Many persons think because they daily bathe the face, neck,
+and hands, dress the hair becomingly and remove the dirt from their
+clothing that the height of cleanliness has been reached. From a hygienic
+point of view, bathing the <i>entire</i> body is of much greater
+importance.</p>
+
+<p>Notwithstanding the necessity for cleanliness of the body, we
+occasionally meet with persons who, although particular about their
+personal appearance, permit their bodies to be for weeks and even months
+without a bath. Such neglect should never exceed one week. Plenty of
+sunlight and at least one or two general baths every week are essential to
+perfect health. Cleanliness is necessary to health, beauty, attractiveness,
+and a cheerful disposition.</p>
+
+<p><span class="pagenum"><a name="Page_282" id="Page_282"></a>[pg
+282]</span></p><hr />
+
+
+
+
+<h2><a name='IICHAPTER_IV'></a>CHAPTER IV.</h2>
+
+<h1>HYGIENE OF THE REPRODUCTIVE ORGANS.</h1>
+
+
+<p>The structure and functions of organized bodies are subject to continual
+alteration. The changes of nutrition and growth, which are constantly
+taking place in the tissues render them at the same time the seat of repair
+and waste, of renovation and decomposition, of life and death. The plant
+germinates and blossoms, then withers and decays; animal life, in like
+manner, comes into being, grows to maturity, fades, and dies. It is,
+therefore, essential to the perpetuation of life, that new organisms be
+provided to take the place of those which are passing out of existence.
+There is no physiological process which presents more interesting phenomena
+than that of reproduction, which includes the formation, as well as the
+development of new beings.</p>
+
+<p>Since self-preservation is Nature's first law, the desire for food is a
+most powerful instinct in all living animals. Not inferior to this law is
+that for the perpetuation of the race; and for this purpose, throughout the
+animal and vegetable kingdoms, we find the Biblical statement literally
+illustrated: "Male and female created He them."</p>
+
+<p>Health is the gauge by which the prosperity of a people may be measured.
+Were we to trace the history of nations,&mdash;their rise and fall,&mdash;we would
+find that much of the barbarism and crime, degradation and vice, as well as
+their decline and final extinction, was due to licentiousness and sexual
+excesses. Since there is an intimate relation between mind and body, when
+the body is enfeebled the mind becomes enervated. Morbid <span
+class="pagenum"><a name="Page_283" id="Page_283"></a>[pg
+283]</span>conditions of the body prevent the highest mental development,
+and, on the other hand, when the mind is debilitated, general depravity,
+physical as well as mental, is the result. The highest development of the
+body results from the equal and harmonious cultivation of all the mental
+powers. The perfect development and health of the physical organs is
+therefore essential to the happiness of mankind. But, before health can be
+insured the nature and general functions of the physical system must be
+understood. This being done, the question naturally arises: <i>How can
+health be best maintained and longevity secured?</i></p>
+
+<p><b>Influence of Food.</b> We have previously noticed the effects which
+food, exercise, and other hygienic agencies, have upon digestion,
+circulation, and respiration; and we find that they exert a not less potent
+influence upon the health of the generative organs. Excessive stimulation
+excites the sexual passions. For this reason, children should not be
+immoderately indulged in highly seasoned foods. Those persons who have
+great muscular vigor are endowed with violent passions, and unless
+restrained by moral considerations, are very likely to be overcome by their
+animal propensities.</p>
+
+<p><i>Alcoholic stimulants</i> have a debasing influence upon the whole
+system, and especially upon the sexual organs; they excite the animal and
+debase the moral nature; they exhaust the vitality, and, after the
+excitement, which they temporarily induce, has passed away, the body is
+left in a prostrated condition.</p>
+
+<p><b>Physical Labor modifies the Passions.</b> Labor consumes the surplus
+vitality which a person may possess, and no better protective can be found
+against the gratification of the passions, unless it be high moral
+training, than daily toil extended to such a degree as to produce fatigue.
+Labor determines the blood to the surface and to other parts of the body,
+and prevents excitement and congestion of the sexual centers. If, by
+education or association, the passions of children be excited, they will be
+increased. If, on the contrary, they be taught to avoid these social or
+solitary evils, they will be abated. Let them be educated to work and the
+intellectual faculties will assert their sway, the moral powers will be
+strengthened, and the body better developed, for purity of mind is the
+result of the perfect development of man.</p>
+
+<p><span class="pagenum"><a name="Page_284" id="Page_284"></a>[pg
+284]</span><b>Influences Of Climate.</b> Individuals possess distinguishing
+peculiarities characteristic of the nation to which they belong. Climate
+exerts a powerful influence upon mankind. In tropical regions the
+inhabitants are enervated, effeminate, and sensual. The rich live in luxury
+and ease, vice is unrestrained and license unbridled. When the animal
+propensities are allowed to predominate, the mental faculties are kept in
+subjection. Hence races that inhabit those latitudes rarely produce
+scholars or philosophers. A warm climate hastens the development of the
+reproductive organs. Men and women become mature at a much earlier age in
+those regions, than in countries where the temperature is lower. In like
+manner there is a tendency to premature enfeeblement, for the earlier the
+system matures, the sooner it deteriorates.</p>
+
+<p><b>Man is a Social Being.</b> History demonstrates that when man is
+deprived of the society of women, he becomes reckless, vicious, depraved,
+and even barbarous in his habits, thus illustrating the maxim: "It is not
+good for man to be alone." Social intercourse promotes mental and physical
+development. The development of the individual implies the unfolding of
+every power, both physical and mental. Nothing so regulates and restrains
+passion as a healthy condition of the organs through which it finds
+expression. And every organ of the body is powerful in proportion to its
+soundness. The propensities play a prominent part in the education of the
+child. When properly disciplined and held in subordination to the higher
+faculties, they constitute an important factor in the economy of man. Boys
+are more liable to be morbidly excited when secluded from the society of
+girls, and vice versa. Again, when the sexes are accustomed to associate,
+the passions are not apt to be aroused, because of the natural antagonistic
+constitutional elements. The influence of the one refines, and ennobles the
+other. Let children be taught to understand their natures, and knowing
+them, they will learn self-government. "As man rises in education and moral
+feeling he proportionately rises in the power of self-restraint; and
+consequently as he becomes deprived of this wholesome law of discipline he
+sinks into self-indulgence and the brutality of savage life.</p>
+
+<p>The passions may be aroused by the language, appearance <span
+class="pagenum"><a name="Page_285" id="Page_285"></a>[pg 285]</span>or
+dress of the opposite sex. A word spoken without any impure intent is often
+construed in a very different sense by one whose passions color the
+thought, and is made to convey an impression entirely unlike that which was
+intended by the speaker. Also, the dress may be of such a character as to
+excite the sexual passion. The manner in which the apparel is worn is often
+so conspicuous as to become bawdy, thereby appealing to the libidinous
+desires, rather than awakening an admiration for the mental qualities.</p>
+
+<p><b>Obscene Literature.</b> Literature is a powerful agent either for
+good or evil. If we would improve the morals, <i>choice</i> literature must
+be selected, whether it be that which realizes the ideal, or idealizes the
+real. Obscene literature, or books written for the express purpose of
+exciting or intensifying sexual desires in the young, goads to an illicit
+gratification of the passions, and ruins the moral and physical nature.</p>
+
+<p>It not unfrequently happens that a child is born with a vigorous, mental
+organism which promises a brilliant future, but manhood finds him
+incompetent, debilitated, and totally incapacitated for mental or manual
+labor. This may be the result of youthful indiscretion, ignorantly
+committed, but not unfrequently it is the effect of a pernicious literature
+which inflames the imagination, tramples upon reason, and describes to the
+youth a realm where the passions are the ruling deities.</p>
+
+<p>Many persons are born into the world with disordered organizations for
+which they are not themselves responsible. Such individuals are entitled to
+the sympathy of humanity. Dyspepsia, scrofula, consumption, and a thousand
+ills to which mankind is heir, are inherited from parents, the results of
+ill-assorted marriages. Intoxicated parents often produce offspring utterly
+demented. Children of healthy parents, with good constitutions, are usually
+healthy and intelligent. There are marked varieties of character in
+children of the same parents. One manifests great precocity, another is
+below the average in mental attainments; one is amiable, another irritable
+in disposition; indeed, there are often as great differences between
+children of the same, as of different families. This is due to the physical
+and mental conditions of the parents, more especially the mother, not only
+at the time of the impregnation <span class="pagenum"><a name="Page_286"
+id="Page_286"></a>[pg 286]</span>but also during the period intervening
+between conception and the birth of the offspring. The ancients regarded
+courage as the principal virtue. By us, purity is so estimated. Moral
+purity is an essential requisite to the growth and perfection of the
+character.</p>
+
+<p><b>Self-Abuse.</b> Untold miseries arise from the pollution of the body.
+Self-pollution, or onanism, is one of the most prolific sources of evil,
+since it leads both to the degradation of body and mind. It is practiced
+more or less by members of both sexes, and the habit once established, is
+overcome with the greatest difficulty. It is the source of numerous
+diseases which derange the functional activity of the organs involved, and
+eventually impair the constitution. This vicious habit is often practiced
+by those who are ignorant of its dangerous results. Statistics show that
+insanity is frequently caused by masturbation.</p>
+
+<p>Immoderate indulgence in any practice is deleterious to the individual.
+Emphatically true is this with regard to sexual excesses. Not unfrequently
+does the marriage rite "cover a multitude of sins." The abuse of the
+conjugal relation produces the most serious results to both parties, and is
+a prolific source of some of the gravest forms of disease. Prostatorrhea,
+spermatorrhea, impotency, hypochondria, and general debility of the
+generative organs, arise from sexual excesses.</p>
+
+<p>The health of the reproductive organs can only be maintained by leading
+a <i>temperate</i> life. The food should be nourishing but not stimulating.
+Lascivious thoughts should be banished from the mind, and a taste
+cultivated for that literature which is elevating in its nature, and the
+associations should be refining and ennobling. Let these conditions and the
+rules of hygiene, be observed, and virtue will reward her subjects with a
+fine physique and a noble character.</p>
+
+<p>Woman, from the nature of her organization, has less strength and
+endurance than man. Much, however, of the suffering and misery which she
+experiences arises from insufficient attention to the sexual organs. The
+menstrual function is generally established between the ages of twelve and
+fourteen. For want of proper instruction, many a girl through ignorance
+<b>has</b> caused derangements which have enfeebled her womanhood <span
+class="pagenum"><a name="Page_287" id="Page_287"></a>[pg 287]</span>or
+terminated her life. At this critical period the mother cannot be too
+considerate of her daughter's health. Preceding the first appearance of the
+menses, girls usually feel an aching in the back, pains in the limbs,
+chilliness, and general languor. The establishment of this function
+relieves these symptoms. Every precaution should be taken during the period
+to keep the feet dry and warm, to freely maintain a general circulation of
+the blood, to avoid exertion, and to refrain from standing or walking too
+much. Menstrual derangements should never be neglected, for they predispose
+to affections of the brain, liver, heart, and stomach, induce consumption
+and frequently end in death. Young women should, therefore, properly
+protect themselves, and avoid extremes of heat and cold.</p>
+
+<p><span class="pagenum"><a name="Page_288" id="Page_288"></a>[pg
+288]</span></p><hr />
+
+
+
+
+<h2><a name='IICHAPTER_V'></a>CHAPTER V.</h2>
+
+<h1>PRACTICAL SUMMARY OF HYGIENE.</h1>
+
+
+<p>1. The first step which should be taken for the prevention of disease,
+is to make provision for the health of the unborn child. Greater care
+should be exercised with women who are in a way to become mothers. Those
+who are surrounded by all the luxuries which health can bestow, indulge too
+much in rich food, and take too little exercise; while the poor get too
+little nourishment, and work too hard and too long. A woman in this
+condition should avoid over-exertion, and all scenes which excite the
+passions or powerful emotions. She should take moderate exercise in the
+open air; eat moderately of wholesome food, and of meat not oftener than
+twice a day; take tea or coffee in limited quantities, and avoid the use of
+all alcoholic liquors; she should go to bed early and take not less than
+nine hours sleep; her clothing should be loose, light in weight, and warm.
+She should take every precaution against exposure to contagious or
+infectious diseases.</p>
+
+<p>2. There is no better method for preventing the spread of contagious
+diseases than perfect isolation of the infected, and thorough disinfection
+of all articles of clothing or bedding which have been in contact with the
+infected. Many persons erroneously believe that every child must
+necessarily have the measles, and other contagious diseases, and they,
+therefore, take no precautions against the exposure of their children. The
+liability to infection diminishes as age advances, and those individuals
+are, as a rule, the strongest and best developed who <span
+class="pagenum"><a name="Page_289" id="Page_289"></a>[pg 289]</span>have
+never suffered from any of the contagious diseases. Although, vaccination
+is the great safeguard against-pox, yet it should never prevent the
+immediate isolation of those who are suffering from this disease.</p>
+
+<p>3. To avoid the injurious effects of impure air, the following rules,
+should be carefully observed. The admission of air which contains anything
+that emits an unpleasant odor into closed rooms should be avoided. The
+temperature of every apartment should be kept as near 70&deg; Fahr. as
+possible, and the air should not be overcharged with watery vapor.
+Provisions should be made for the free admission into and escape of air
+from the room at all times. When an apartment is not in use, it should be
+thoroughly ventilated by opening the windows. Those who are compelled to
+remain in an atmosphere tilled with dust, should wear a cotton-wool
+respirator.</p>
+
+<p>4. To insure a healthy condition of the body, the diet of man ought to
+be varied, and all excesses should be avoided. The total amount of solid
+food taken in the twenty-four hours should not exceed two and a half
+pounds, and not more than one-third of this quantity should consist of
+animal food. Many persons do not require more than one pound and a half of
+mixed food. To avoid parasitic diseases, meat should not be eaten rare,
+especially pork. The amount of drink taken should not be more than three
+pints in twenty-four hours. The excessive use of tea and coffee should be
+avoided. Pickles, boiled cabbage, and other indigestible articles should
+never be eaten.</p>
+
+<p>5. To avoid the evil effects of alcoholic liquors, perfect abstinence is
+the only safe course to pursue. Although one may use spirituous liquors in
+moderation for a long period of time and possibly remain healthy, yet such
+an indulgence is unnecessary and exceedingly dangerous. A person who
+abstains entirely from their use is safe from their pernicious influence; a
+person who indulges ever so moderately is in danger; a person who relies on
+such stimulants for support in the hour of need is lost.</p>
+
+<p>6. While the use of tobacco is less pernicious than alcohol in its
+effects, et it exerts a profound disturbing influence upon the nervous
+system, and gives rise to various functional and organic diseases. This is
+the verdict of those who <span class="pagenum"><a name="Page_290"
+id="Page_290"></a>[pg 290]</span>have given the subject the most study, and
+who have had the best opportunities for extensive observation. Suddenly
+fatal results have followed excesses in the use of tobacco. Therefore, the
+habit should be avoided, or if already acquired, it should be immediately
+abandoned.</p>
+
+<p>7. The clothing should be light and porous, adapted in warmth to the
+season. It is especially important that persons in advanced life should be
+well protected against vicissitudes of heat and cold. Exposure is the cause
+of almost all those inflammatory diseases which occur during winter, and
+take off the feeble and the aged. The under-garments should be kept
+scrupulously clean by frequent changes. Corsets or bands which impede the
+flow of blood, compress the organs of the chest or abdomen, or restrict the
+movements of the body, are very injurious, and should not be worn. Articles
+of dress which are colored with irritating dye-stuffs, should be carefully
+avoided.</p>
+
+<p>8. It matters not how varied a person's vocation may be, change,
+recreation, and rest are required. It is an error to suppose that more work
+can be done by omitting these. No single occupation which requires special
+mental or physical work, should be followed for more than eight hours out
+of the twenty-four. The physical organism is not constructed to run its
+full cycle of years and labor under a heavier burden than this. Physical
+and mental exercise is conducive to health and longevity, if not carried
+too far. It is erroneous to suppose that excessive physical exertion
+promotes health. Man was never intended to be a running or a jumping
+machine. In mental work, variety should be introduced. New work calls into
+play fresh portions of the brain, and secures repose for those parts which
+have become exhausted. Idleness should be avoided by all. Men should never
+retire from business as long as they enjoy a fair degree of health.
+Idleness and inactivity are opposed to nature.</p>
+
+<p>9. The average length of time which a person ought to sleep is eight
+hours out of the twenty-four, and, as a rule, those who take this amount
+enjoy the best health. The most favorable time for sleep is between the
+hours of 10 P.M. and 6 A.M. All excitement, the use of stimulants, and
+excessive fatigue <span class="pagenum"><a name="Page_291"
+id="Page_291"></a>[pg 291]</span>tend to prevent sleep. Sleeping rooms
+should be well ventilated, and the air maintained at a equable temperature
+of as near 60&deg; Fahr. as possible. An inability to sleep at the proper
+time, or a regular inclination to sleep at other than the natural hours for
+it, is a certain indication of errors of habit, or of nervous
+derangement.</p>
+
+<p>10. Prominent among all other measures for the maintenance of Health, is
+personal cleanliness. Activity in the functions of the skin is essential to
+perfect health, and this can only be secured by thoroughly bathing the
+entire body. Strictly, a person should bathe once every twenty-four or
+forty-eight hours. The body should be habituated to contact with cold water
+at all season of the year, so that warm water may not become a necessity.
+The simplest and most convenient bath, is the ordinary sponge-bath. An
+occasional hot-air, or Turkish bath, exerts a very beneficial influence. It
+cleans out the pores of the skin and increases its activity.</p>
+
+<p>11. The emotions and the passions exert a powerful influence over the
+physical organism. It is important, therefore, that they be held under
+restraint by the reasoning faculties. This rule applies equally to joy,
+fear, and grief; to avarice, anger, and hatred; and, above all, to the
+sexual passion. They are a prolific source of disease of the nervous
+system, and have caused the dethronement of some of the most gifted
+intellects.</p>
+
+<p><span class="pagenum"><a name="Page_292" id="Page_292"></a>[pg
+292]</span></p><hr />
+
+<h2><a name='PART_III'></a>PART III.</h2>
+
+<h1>RATIONAL MEDICINE.</h1>
+
+
+
+
+<h2><a name='IIICHAPTER_I'></a>CHAPTER I.</h2>
+
+<h1>THE PROGRESS OF MEDICINE.</h1>
+
+
+<p>During the last half century a great change has taken place  in the
+treatment of disease. Medicine has advanced with rapid strides, from the
+narrow limits of mere empiricism, to the broader realm of rationalism,
+until to day it comprehends all the elements of an art and a science.
+Scientific researches and investigations have added many valuable truths to
+the general fund of medical learning, but much more has been effected by
+observation and empirical discovery. It is of little or no interest to the
+invalid to know whether the prescribed remedy is organic or inorganic,
+simple, compound, or complex. In his anxiety and distress of body, he seeks
+solely for relief, without regard to the character of the remedial agents
+employed. But this indifference on the part of the patient does not obviate
+the necessity for a thorough, scientific education on the part of the
+practitioner. Notwithstanding all the laws enacted to raise the standard of
+medicine, and thus protect the public from quackery, there yet exists a
+disposition among many to cling to all that savors of the miraculous, or
+supernatural. To insure the future advancement of the healing art,
+physicians must instruct mankind in Physiology, Hygiene, and Medicine. When
+the people understand the nature of diseases, their causes, methods of
+prevention and cure, they will not be easily deceived, and practitioners
+will be obliged to qualify themselves better for their labors. The practice
+of medicine is every year becoming <span class="pagenum"><a name="Page_293"
+id="Page_293"></a>[pg 293]</span>more successful. New and improved methods
+of treating disease are being discovered and developed, and the
+conscientious physician will avail himself of <i>all</i> the means, by a
+knowledge of which he may benefit his fellow-men. The medical profession is
+divided into three principal schools, or sects.</p>
+
+
+<h4>THE ALLOPATHIC, REGULAR, OR OLD SCHOOL OF MEDICINE.</h4>
+
+
+<p>This is the oldest existing branch of the profession. To it is due the
+credit of collecting and arranging the facts and discoveries which form the
+foundation of the healing art. It has done, and is doing, much to place the
+science of medicine on a firm basis. To the text-books of this school,
+every student who would qualify himself for medical practice must resort,
+to gain that knowledge upon which depends his future success. The early
+practice of this branch of the profession was necessarily crude and
+empirical. Conservative in its character, it has ever been slow to
+recognize new theories and methods of practice, and has failed to adopt
+them until they have been incontrovertibly established. This conservatism
+was manifested in the opposition to Harvey when he propounded the theory of
+the circulation of the blood, and to Jenner when he discovered and
+demonstrated the beneficial effects of vaccination. Thus has it ever
+defended its established opinions against innovation; yet out of this very
+conservatism has grown much real good, for, although it has wasted no time
+or energy in the investigation of theories, yet it has accepted them when
+established. In this manner it has added to its fund of knowledge only
+those truths which are of real and intrinsic value.</p>
+
+<p>The history of medicine may be divided into three eras. In the first,
+the practice of medicine was merely empiricism. Ignorant priests or
+astrologers administered drugs, concerning the properties of which they had
+no knowledge, to appease the wrath of mythological deities. In the second
+or heroic era, the lancet, mercury, antimony, opium, and the blister were
+employed indiscriminately as the <i>sine qua non</i> of medical practice.
+The present, with all its scientific knowledge of the human structure and
+functions, and its vast resources for remedying disease may be aptly termed
+the liberal era of medicine. The allopathic <span class="pagenum"><a
+name="Page_294" id="Page_294"></a>[pg 294]</span>differs from the other
+schools, mainly in the application of remedies. In its ranks are found men,
+indefatigable in their labors, delving deep into the mysteries of nature,
+and who, for their scientific attainments and humane principles are justly
+considered ornaments to society and to their profession.</p>
+
+
+<h4>HOMOEOPATHY.</h4>
+
+
+<p>Although this school is of comparatively recent origin, yet it has
+gained a powerful hold upon the public favor, and numbers among its patrons
+very many intelligent citizens. This fact alone would seem to indicate that
+it possesses some merit. The homeopathic differs from the allopathic school
+principally in its <i>"law of cure,"</i> which, according to Hahnemann, its
+founder, was the doctrine of <i>"similia similibus curantur"</i> or "like
+cures like." Its method of treatment is founded upon the assumption that if
+a drug be given to a healthy person, symptoms will occur which, if
+transpiring in disease, would be mitigated by the same drug. While it may
+be exceedingly difficult for a member of another school to accept this
+doctrine and comprehend the method founded upon it, yet no one can deny
+that it contains some elements of truth.</p>
+
+<p>Imbued with the spirit of progress, many of its most intelligent and
+successful practitioners have resorted to the use of appreciable quantities
+of medicine. This school associates hydropathy with its practice, and
+usually inculcates rigid dietetic and hygienic regulations. Many
+homoeopathic remedies are thoroughly triturated with sugar of milk, which
+renders them more palatable and efficacious. Whether we attribute their
+cures to the infinitesimal doses which many homoeopathists employ, to their
+"law of cure," to good nursing, or to the power of nature, it is
+nevertheless true that their practice is measurably successful. No doubt
+the homoeopathic practice has modified that of the other schools, by
+proving that diseases may be alleviated by smaller quantities of medicine
+than were formerly employed.</p>
+
+
+<h4>THE ECLECTIC SCHOOL.</h4>
+
+
+<p>This school, founded by Wooster Beach, instituted the most strenuous
+opposition to the employment of mercury, antimony, the blister, and the
+lancet. The members of this new school <span class="pagenum"><a
+name="Page_295" id="Page_295"></a>[pg 295]</span>proclaimed that the action
+of heroic and noxious medicines was opposed to the operation of the vital
+forces, and proposed to substitute in their place safer and more
+efficacious agents, derived exclusively from the vegetable kingdom. The
+eclectics have investigated the properties of indigenous plants and have
+discovered many valuable remedies, which a kind and bounteous nature has so
+generously supplied for the healing of her children. Marked success
+attended the employment of these agents. In 1852, a committee on
+"Indigenous Medical Botany," appointed by the "American Medical
+Association," acknowledged that the practitioners of the regular school had
+been extremely ignorant of the medical virtues of plants, even of those of
+their own neighborhoods. The employment of podophyllin and leptandrin as
+substitutes for mercurials has been so successful that they are now used by
+practitioners of all schools. Although claiming to have been founded upon
+liberal principles, it may be questioned whether its adherents have not
+been quite as exclusive and dogmatic as those whom they have opposed. It
+cannot be denied, however, that the eclectics have added many important
+remedies to the Materia Medica. Their writings are important and useful
+contributions to the physician's library.</p>
+
+
+<h4>THE LIBERAL AND INDEPENDENT PHYSICIAN.</h4>
+
+
+<p>After this brief review of the various medical sects, the reader may be
+curious to learn to what sect the physicians of the Invalids' Hotel and
+Surgical Institute belong. Among them are to be found graduates from the
+colleges of all the different schools. They are not restricted by the
+tenets of any one sect, but claim the right and privilege, nay, consider it
+a duty, to select from all, such remedies as careful investigation,
+scientific research, and an extensive experience, have proved valuable.
+They resort to any and every agent which has been proved efficacious,
+whether it be vegetable or mineral.</p>
+
+<p>And here arises a distinction between <i>sanative</i> remedial agents
+and those which are <i>noxious</i>. Many practitioners deplore the use of
+poisons, and advocate innocuous medicines which produce only curative
+results. We agree with them in one proposition, namely, that improper
+medicines not only poison, <span class="pagenum"><a name="Page_296"
+id="Page_296"></a>[pg 296]</span>but frequently utterly destroy the health
+and body of the patient. Every physician should keep steadily in view the
+final effects, as well as present relief, and never employ any agent
+without regard to its ulterior consequences. However, an agent which is
+noxious in <i>health</i>, may prove a valuable remedy in <i>disease</i>.
+When morbid changes have taken place in the blood and tissues, when a
+general diseased condition of the bodily organs has occurred, then an
+agent, which is poisonous in health, may prove curative. For instance it is
+admitted that alcohol is a poison; that it prevents healthful assimilation,
+solidifies pepsin, begets a morbid appetite; that it produces intoxication,
+and that its habitual use destroys the body. It is, therefore, neither a
+hygienic nor a sanative agent, but strictly a noxious one; yet, its very
+distinct antiseptic properties render it valuable for remedial purposes,
+since these qualities promptly arrest that fatal form of decomposition of
+the animal fluids which is occasioned by snake-venom, which produces its
+deadly effects in the same manner as a drop of yeast ferments the largest
+mash. Alcohol checks this poisonous and deadly process and neutralizes its
+effects. Thus, alcohol, although a noxious agent, possesses a special
+curative influence in a morbid state of the human system; but its general
+remedial effects do not entitle it to the rank of a hygienic agent. We
+believe that medicine is undergoing a gradual change from the darkness of
+the past, with its ignorance, superstition, and barbarism, to the light of
+a glorious future. At each successive step in the path of progress,
+medicine approaches one degree nearer the realm of an exact science. The
+common object of the practitioners of all medical schools is the
+alleviation of human suffering. The only difference between the schools is
+in the remedies employed, the size of dose administered, and the results
+attained. These are insufficient grounds for bitter sectarianism. We are
+all fellow laborers in the same field. Before us lies a boundless expanse
+for exploration. There are new conditions of disease to be learned, new
+remedies to be discovered, and new properties of old ones to be
+examined.</p>
+
+<p>We do not deplore the fact, that there are different schools in
+medicine, for this science has not reached perfection, and they tend to
+stimulate investigation. The remarks of Herbert <span class="pagenum"><a
+name="Page_297" id="Page_297"></a>[pg 297]</span>Spencer on the
+"Multiplication of Schemes of Juvenile Culture," may be pertinently applied
+to the different schools in medicine with increased force. He says: "It is
+clear that dissent in education results in facilitating inquiry by the
+division in labor. Were we in possession of the true method, divergence
+from it would, of course, be prejudicial; but the true method having to be
+found, the efforts of numerous independent seekers carrying out their
+researches in different directions, constitute a better agency for finding
+it than any that could be devised. Each of them struck by some new thought
+which probably contains more or less of basis in facts&mdash;each of them
+zealous on behalf of his plan, fertile in expedients to test its
+correctness, and untiring in its efforts to make known its success&mdash;each of
+them merciless in its criticism on the rest&mdash;there cannot fail, by
+composition of forces, to be a gradual approximation of all towards the
+right course. Whatever portion of the normal method any one of them has
+discovered, must, by the constant exhibition of its results, force itself
+into adoption; whatever wrong practices he has joined with it must, by
+repeated experiment and failure, be exploded. And by this aggregation of
+truths and elimination of errors, there must eventually be developed a
+correct and complete body of doctrine. Of the three phases through which
+human opinion passes&mdash;the unanimity of the ignorant, the disagreement of
+the inquiring, and the unanimity of the wise&mdash;it is manifest that the
+second is the parent of the third."</p>
+
+<p>We believe the time is coming when those maladies which are now
+considered fatal will be readily cured&mdash;when disease will be disarmed of
+its terrors. To be successful, a physician must be independent, free from
+all bigotry, having no narrow prejudice against his fellow-men, liberal,
+accepting new truths from whatever source they come, free from restrictions
+of societies, and an earnest laborer in the interests of the Great
+Physician.</p>
+
+<p><span class="pagenum"><a name="Page_298" id="Page_298"></a>[pg
+298]</span></p><hr />
+
+
+
+
+<h2><a name='IIICHAPTER_II'></a>CHAPTER II.</h2>
+
+<h1>REMEDIES FOR DISEASE.</h1>
+
+
+<p>It will be our aim, throughout this book, to prescribe such remedies as
+are within the easy reach of all, and which may be safely employed. Many of
+those of the vegetable class are indigenous to this country, and may be
+procured in their strength and purity, at the proper season, by those
+residing in the localities where they grow, while all others advised may be
+obtained at any good drug-store. We shall endeavor to recommend such as can
+be procured and prepared with the least trouble and expense to the patient,
+when it is believed that they will be equally as efficacious as more
+expensive medicines.</p>
+
+
+<h4>PROPRIETARY MEDICINES.</h4>
+
+
+<p>Having the invalid's best interests in view, it will often happen that
+we cannot prescribe better or cheaper remedies nor those which are more
+effective or easily obtained, than some of our standard preparations, which
+are sold by all druggists. We are aware that there is a popular, and not
+altogether unfounded prejudice against "patent medicines," owing to the
+small amount of merit which many of them possess. The term "Patent
+Medicine" does not apply to Dr. Pierce's remedies, as no patent has ever
+been asked or obtained for them, nor have they been urged upon the public
+as "cure alls." They are simply favorite prescriptions, which, in a very
+extensive practice, have proved their superior remedial virtues in the cure
+of the diseases for which they are recommended.</p>
+
+<p>From the time of Hippocrates down to the present day, <span
+class="pagenum"><a name="Page_299" id="Page_299"></a>[pg
+299]</span>physicians have classified diseases according to their causes,
+character or symptoms. It has been proved that diseases apparently
+different may often be cured by the same remedy. The reason for this
+singular fact is obvious. A single remedy may possess a variety of
+properties. Quinine, among other properties has a tonic which suggests its
+use in cases of debility; an antiperiodic, which renders it efficient in
+ague; and an anti-febrile property, which renders it efficacious in cases
+of fever. The result produced varies with the quantity given, the time of
+its administration, and the circumstances under which it is employed. Every
+practicing physician has his favorite remedies, which he oftenest
+recommends or uses, because he has the greatest confidence in their
+virtues. The patient does not know their composition. Even prescriptions
+are usually written in a language unintelligible to anybody but the
+druggist. As much secrecy is employed as in the preparation of proprietary
+medicines. Does the fact that an article is prepared by a process known
+only to the manufacturer render that article less valuable? How many
+physicians know the elementary composition of the remedies which they
+employ, some of which never have been analyzed? Few practitioners know how
+morphine, quinine, podophyllin, leptandrin, pepsin, or chloroform, are
+made, or how nauseous drugs are transformed into palatable elixirs; yet
+they do not hesitate to employ them. Is it not inconsistent to use a
+prescription the composition of which is unknown to us, and discard another
+preparation simply because it is accompanied by a printed statement of its
+properties with directions for its use?</p>
+
+<p>Various journals in this country, have at different times published
+absurd formulæ purporting to be receipts for the preparation of "Dr.
+Sage's Catarrh Remedy" and Dr. Pierce's standard medicines, which, in most
+instances, have not contained a single ingredient which enters into the
+composition of these celebrated remedies.</p>
+
+<p>In the manufacture of any pharmaceutical preparation, two conditions are
+essential to its perfection, viz: purity and strength of the materials, and
+appropriate machinery. The first is insured, by purchasing the materials in
+large quantities, whereby the exercise of greater care in selecting the
+ingredients can be <span class="pagenum"><a name="Page_300"
+id="Page_300"></a>[pg 300]</span>afforded; and the second can only be
+accomplished where the business is extensive enough to warrant a large
+outlay of capital in procuring proper chemical apparatus. These facts apply
+with especial force to the manufacture of our medicines, their quality
+having been vastly improved since the demand has become so great as to
+require their manufacture in very large quantities. Some persons, while
+admitting that our medicines are good pharmaceutical compounds, object to
+them on the ground that they are too often used with insufficient judgment.
+We propose to obviate that difficulty by enlightening the people as to the
+structure and functions of their bodies, the causes, character, and
+symptoms of disease, and by indicating the proper and judicious employment
+of our medicines, together with such auxiliary treatment as may be
+necessary. Such is one of the designs of this volume.</p>
+
+
+<h4>PROPERTIES OF MEDICINE.</h4>
+
+
+<p>It is generally conceded that the action of a remedy upon the human
+system depends upon properties peculiar to it. The effects produced suggest
+the naming of these qualities, which have been scientifically classified.
+We shall name the diseases from their characteristic symptoms, and then,
+without commenting upon all the properties of a remedy, recommend its
+employment. Our reference to the qualities of any remedy, when we do make a
+particular allusion to them, we shall endeavor to make as easy and familiar
+as possible.</p>
+
+<p><b>Dose</b>. All persons are not equally susceptible to the influence of
+medicines. As a rule, women require smaller doses than men, and children
+less than women. Infants are very susceptible to the effects of anodynes,
+even out of all relative proportion to other kinds of medicines. The
+circumstances and conditions of the system increase or diminish the effects
+of medicine, so that an aperient at one time may act as a cathartic at
+another, and a dose that will simply prove to be an anodyne when the
+patient is suffering great pain will act as a narcotic when he is not. This
+explains why the same dose often affects individuals differently. The
+following table is given to indicate the size of the dose, and is graduated
+to the age.</p>
+
+<p><span class="pagenum"><a name="Page_301" id="Page_301"></a>[pg 301]</span></p>
+<table style="margin-left: auto; margin-right: auto" border='1' cellpadding='2' cellspacing='0' summary=''>
+<tr><td align='left'>YEARS</td><td align='right'>DOSE</td></tr>
+<tr><td align='left'>21</td><td align='right'>full</td></tr>
+<tr><td align='left'>15</td><td align='right'>2-3</td></tr>
+<tr><td align='left'>12</td><td align='right'>1-2</td></tr>
+<tr><td align='left'>8</td><td align='right'>1-3</td></tr>
+<tr><td align='left'>6</td><td align='right'>1-4</td></tr>
+<tr><td align='left'>4</td><td align='right'>1-6</td></tr>
+<tr><td align='left'>2</td><td align='right'>1-8</td></tr>
+<tr><td align='left'>1</td><td align='right'>1-12</td></tr>
+<tr><td align='left'>½</td><td align='right'>1-20 to 1-30</td></tr>
+</table>
+
+<p>The doses mentioned in the following pages are those for adults, except
+when otherwise specified.</p>
+
+<p><b>The Preparation of Medicines.</b>  The remedies which we shall
+mention for domestic use are mostly vegetable. Infusions and decoctions of
+these will often be advised on account of the fact that they are more
+available than the tinctures, fluid extracts, and concentrated principles,
+which we prefer, and almost invariably employ in our practice. Most of
+these medical extracts are prepared in our chemical laboratory under the
+supervision of a careful and skilled pharmaceutist. No one, we presume,
+would expect, with only a dish of hot water and a stew-kettle, to equal in
+pharmaceutical skill the learned chemist with all his ingeniously devised
+and costly apparatus for extracting the active, remedial principles from
+medicinal plants. Yet infusions and decoctions are not without their value;
+and from the inferior quality of many of the fluid extracts and other
+pharmaceutical preparations in the market, it may be questioned whether the
+former are not frequently as valuable as the latter. So unreliable are a
+majority of the fluid extracts, tinctures, and concentrated, active
+principles found in the drug-stores, that we long since found it necessary
+to have prepared in our laboratory, most of those which we employ. To the
+reliability of the preparations which we secure in this way we largely
+attribute our great success in the treatment of disease. Tinctures and
+fluid extracts are often prepared from old and worthless roots, barks, and
+herbs which have wholly lost their medicinal properties. Yet they are sold
+at just as high prices as those which are good. We manufacture our
+tinctures, fluid extracts, and concentrated, active principles from roots,
+barks, and herbs which are fresh, and selected with the greatest care. Many
+of the crude roots, barks, and herbs found in the market are inactive
+because they have been gathered at the wrong season. These, together with
+those that have been kept on hand so long as to have lost all medicinal
+value, are often sold <span class="pagenum"><a name="Page_302"
+id="Page_302"></a>[pg 302]</span>in large quantities, and at reduced
+prices, to be manufactured into fluid extracts and tinctures. Of course,
+the preparations made from such materials are worthless. Whenever the dose
+of fluid extracts, tinctures, and concentrated, active principles, is
+mentioned in this chapter, the quantity advised is based upon our
+experience in the use of these preparations, as they are made in our
+laboratory, and the smallest quantity which will produce the desired effect
+is always given. When using most of the preparations found in the
+drug-stores, the doses have to be somewhat increased, and even then they
+will not always produce the desired effect, for reasons already given.</p>
+
+<p><b>The List of Medicines</b> which we shall introduce in this chapter
+will be quite limited, as we cannot hope, by making it extensive, that the
+non-professional reader would be able to prescribe with good judgment any
+other than the simpler remedies. Hence, we prefer, since we have not space
+in this volume to waste, to mention only a few of the most common remedies
+under each head or classification.</p>
+
+<p><b>Tinctures.</b> Very uniform and reliable tinctures may be made of
+most indigenous plants, by procuring the part to be employed, at the proper
+season, while it is green and fresh, bruising it well, and covering it with
+good strong whiskey, or with alcohol diluted with one part of water to
+three of alcohol, corking tightly, and letting it stand about fourteen
+days, when the tincture may be filtered or poured off from the drugs, and
+will be ready for use. Prepared in this imperfect manner, they rill be
+found to be much more reliable than any of the fluid extracts found in the
+drug-stores. An excess of the crude drug should be used in preparing the
+tincture to insure a perfect saturation of the alcohol with its active
+principles.</p>
+
+<p><b>Homoeopathic Tinctures.</b> The tinctures prepared by several of the
+German and French pharmaceutists, and called by them "Mother Tinctures," to
+distinguish them from the dilutions made therefrom, we have found to be
+very reliable, so much superior to any similar preparations made in this
+country that we purchase from them all we use of Pulsatilla, Staphisagria,
+Drosera and several others. They are prepared with great care from the
+green, crude material, and although high in price, when compared with other
+tinctures, yet the greater <span class="pagenum"><a name="Page_303"
+id="Page_303"></a>[pg 303]</span>certainty of action which we secure in our
+prescriptions by their employment more than repays for the expense and
+trouble in procuring them, for of what account is expense to the true
+physician when <i>life</i> may depend upon the virtue of the agent he
+employs?</p>
+
+<p><b>Infusions.</b> These are generally made by adding one-half ounce of
+the crude medicine to a pint of water, which should be closely covered,
+kept warm, and used as directed. Flowers, leaves, barks, and roots become
+impaired by age, and it is necessary to increase or diminish the dose
+according to the strength of the article employed.</p>
+
+<p><b>Decoctions.</b> The difference between a decoction and an infusion
+is, that the plant or substance is boiled in the production of the former,
+in order to obtain its soluble, medicinal qualities. Cover the vessel
+containing the ingredients, thus confining the vapor, and shutting out the
+atmospheric air which sometimes impairs the active principles and their
+medicinal qualities. The ordinary mode of preparing a decoction is to use
+one ounce of the plant, root, bark, flower, or substance to a pint of
+water. The dose internally varies from a tablespoonful to one ounce.</p>
+
+
+<h4>ALTERATIVES.</h4>
+
+
+<p>Alteratives are a class of medicines which in some inexplicable manner,
+gradually change certain morbid actions of the system, and establish a
+healthy condition instead. They stimulate the vital processes to renewed
+activity, and arouse the excretory organs to remove matter which ought to
+be eliminated. They facilitate the action of the secretory glands, tone
+them up, and give a new impulse to their operations, so that they can more
+expeditiously rid the system of worn-out and effete materials. In this way
+they alter, correct, and purify the fluids, tone up the organs, and
+re-establish their healthy functions. Alteratives may possess tonic,
+laxative, stimulant, or diuretic properties all combined in one agent. Or
+we may combine several alteratives, each having only one of these
+properties in one remedy. We propose to enumerate only a few alteratives,
+and give the doses which are usually prescribed; the list which we employ
+in our practice is very extensive, but it cannot be made available for
+domestic use.</p>
+
+<p><span class="pagenum"><a name="Page_304" id="Page_304"></a>[pg
+304]</span><b>Mandrake</b> (<i>Podophyllum Peltatum</i>), also called
+May-apple, is a most valuable alterative. The root is the part used.
+<i>Dose</i>&mdash;Of decoction, one to two teaspoonfuls; of tincture, six to
+eight drops; of fluid extract, three to five drops; of its active
+principle, Podophyllin, one-twelfth to one-eighth of a grain.</p>
+
+<p><b>Poke</b> (<i>Phytolacca Decandra</i>), also called Skoke, Garget, or
+Pigeon-berry, is a valuable alterative. The root is the part used.
+<i>Dose</i>&mdash;Of decoction, one to three teaspoonfuls; of fluid extract,
+three to ten drops; of concentrated principle, Phytolaccin, one-fourth to
+one grain.</p>
+
+<p><b>Yellow Dock</b> (<i>Rumex Crispus</i>), The part used is the root.
+<i>Dose</i>&mdash;Of the infusion, one to three fluid ounces three times daily;
+of fluid extract, ten to thirty drops; of tincture twenty to forty
+drops.</p>
+
+
+
+<p class="figure"><a name="advise095"><img width="40%" alt="Illustration:
+Fig. 113. Tag Alder. " src="images/advise095.png" /></a><br />Fig. 113. Tag
+Alder. </p>
+
+<p><b>Tag Alder</b> (<i>Alnus Rubra</i>), This is otherwise known as the
+Smooth, Common, or Swamp Alder. The bark is the part used. It is excellent
+in scrofula, syphilis, cutaneous and all blood diseases. <i>Dose</i>&mdash;Of
+decoction, one or two tablespoonfuls <span class="pagenum"><a
+name="Page_305" id="Page_305"></a>[pg 305]</span>from three to five times
+daily; of tincture, one or two teaspoonfuls; of fluid extract, one-half to
+one teaspoonful; of concentrated principle, Alnuin, one-half to one
+grain.</p>
+
+
+
+<p class="figure"><a name="advise096"><img width="40%" alt="Illustration:
+Fig. 114. Black Cohosh. " src="images/advise096.png" /></a><br />Fig. 114.
+Black Cohosh. </p>
+
+<p><b>Black Cohosh</b> (<i>Macrotys or Cimicifuga Racemosa</i>) The part
+used is the root. Its other common names are Black Snake-root, or
+Squaw-root. Black Cohosh is an alterative stimulant, nervine, diaphoretic,
+tonic, and a cerebro-spinal stimulant. It is a useful remedy.
+<i>Dose</i>&mdash;Of decoction, one-fourth to <span class="pagenum"><a
+name="Page_306" id="Page_306"></a>[pg 306]</span>one ounce; of tincture,
+ten to fifteen drops; of fluid extract, five to ten drops; of the
+concentrated principle, Macrotin, one-eighth to one-half grain.</p>
+
+
+
+<p class="figure"><a name="advise097"><img width="40%" alt="Illustration:
+Fig. 115. Blood-root. " src="images/advise097.png" /></a><br />Fig. 115.
+Blood-root. </p>
+
+<p><b>Blood-root</b> (<i>Sanguinaria Canadensis</i>), is also known as Red
+Puccoon. The part used is the root. In minute doses Blood-root is a
+valuable alterative, acting upon the biliary secretion and improving the
+circulation and digestion. <i>Dose</i>&mdash;Of powdered root, one-fourth to
+one-half grain; of tincture, one <span class="pagenum"><a name="Page_307"
+id="Page_307"></a>[pg 307]</span>to two drops; of the fluid extract,
+one-half to one drop. When given in a fluid form it should be well
+diluted.</p>
+
+<p><b>Burdock</b> (<i>Arctium Lappa</i>). The root is the part used.
+Burdock is a valuable alterative in diseases of the blood. <i>Dose</i>&mdash;Of
+tincture, from one teaspoonful to a tablespoonful twenty minutes before
+meals; of fluid extract, one to two teaspoonfuls.</p>
+
+<p><b>Blue Flag</b> (<i>Iris Versicolor</i>). The part used is the root.
+<i>Dose</i>&mdash;Of the tincture, five to ten drops; of fluid extract, three to
+ten drops; of concentrated principle, Iridin, one-half to two grains.</p>
+
+<p><b>Sweet Elder</b> (<i>Sambucus Canadensis</i>). Sweet Elder-flowers are
+a valuable alterative, diuretic, mucous and glandular stimulant, excellent
+in eruptive, cutaneous, and scrofulous diseases of children. An infusion,
+fluid extract, or syrup, may be used in connection with the "Golden Medical
+Discovery." Both will be found valuable for cleansing the blood and
+stimulating the functions to a healthy condition. <i>Dose</i>&mdash;Of the
+infusion of the flowers, from one-half to one ounce, if freely taken, will
+operate as a laxative; of fluid extract, one-fourth to one-half
+teaspoonful. The flowers, or inner bark of the root, simmered in fresh
+butter, make a good ointment for most cutaneous affections.</p>
+
+<p><b>Iodine.</b> This agent, in the several forms of Iodide of Potassium,
+Iodide of Ammonium, Iodide of Iron, and Iodide of Lime, is largely employed
+by physicians, and often with most happy results. But for domestic use we
+cannot advise its employment, as it is liable to injure the invalid, when
+its action is carried too far, which is apt to be the case, when not
+administered under the supervision of a competent physician.</p>
+
+<p><b>Mercury.</b> The various preparations of mercury have a profound,
+alterative effect upon the system. When taken for some time, they change
+the quality and composition of the blood; cause a diminution in the number
+of red blood-corpuscles, and an increase in the various effete materials.
+In the vast majority of cases we prefer the vegetable alteratives, but in
+rare instances they exert a beneficial influence, in small doses. None of
+the preparations of mercury should be taken internally without the advice
+of a skillful physician, therefore, we shall not give their doses.</p>
+
+
+<p><span class="pagenum"><a name="Page_308" id="Page_308"></a>[pg
+308]</span></p><h4>THE COMPOUNDING OF ALTERATIVES.</h4>
+
+
+<p>The efficacy of this class of remedies can be greatly increased by
+properly combining several of them into one compound.</p>
+
+<p>This requires a knowledge of Pharmaceutical Chemistry; <i>i.e.</i>, the
+preparation of compounds founded on the chemical relation and action of
+their several remedial, active principles. Many practitioners make
+combinations of remedies which neutralize each other's influence, instead
+of extending their efficacy and curative power.</p>
+
+<p><b>Dr. Pierce's "Golden Medical Discovery</b>," or Alterative Extract.
+This compound is a highly nutritive and tonic preparation, combining the
+remedial properties of the best vegetable alteratives at present known to
+the medical profession. In perfecting this alterative compound, and
+likewise other standard preparations of medicine, we have made an outlay of
+many thousand dollars for chemical apparatus, and special machinery by the
+aid of which these remedies have been brought to their present perfection.
+Great pains are taken to obtain the materials at the right season of the
+year, properly cured so that none of their remedial qualities may be
+impaired. We, therefore, can with great confidence recommend Dr. Pierce's
+"Golden Medical Discovery" as one of the best preparations of the
+alterative class. Like all others of this type, its action is insensible,
+producing gradual changes, arousing the excretory glands to remove morbid
+materials, and at the same time toning the secretory organs. The
+manufacture of this compound is under the special supervision of a
+competent chemist and pharmaceutist, and it is now put up in bottles
+wrapped with full directions for its use. We can confidently recommend this
+compound whenever an alterative is required to cleanse the blood, tone the
+system, increase its nutrition, and establish a healthy condition. For
+these reasons we shall often advise its employment.</p>
+
+<p><b>Dr. Pierce's Pleasant Purgative Pellets</b>. These pellets combine
+the pure, concentrated, active principles of several vegetable alteratives,
+and the result is, that within the small compass of a few grains he has
+most happily blended and chemically condensed these properties so that
+their action upon <span class="pagenum"><a name="Page_309"
+id="Page_309"></a>[pg 309]</span>the <b>animal economy</b> is sanative and
+universal. They awaken the latent powers, quicken the tardy functions,
+check morbid deposits, dissolve hard concretions, remove obstructions,
+promote depuration, harmonize and restore the functions, equalize the
+circulation, and encourage the action of the nervous system. They stimulate
+the glands, increase the peristaltic movement of the intestines, tone the
+nutritive processes, while aiding in evacuating the bowels. All this they
+accomplish without corroding the tissues or vitiating the fluids. Their
+assistance is genial, helping the system to expel worn out materials, which
+would become noxious if retained. Having expended their remedial powers
+upon the various functions of the body, they are themselves expelled along
+with other waste matter, leaving behind them no traces of irritation. This
+cannot be said of mercurials, or of other harsh, mineral alteratives. These
+Pellets may be safely employed when the system is feeble, frail, and
+delicate, by giving them in less quantities. <i>Dose</i>&mdash;As an alterative,
+only one or two Pellets should be taken daily.</p>
+
+
+<h4>ALKALIES.</h4>
+
+
+<p><b>Alkalies</b>. These constitute an important list of remedial agents,
+their administration being frequently indicated. The employment of other
+medicines frequently should be preceded by the administration of an agent
+of this class, to neutralize excessive acidity in the stomach and bowels.
+Unless this be done, many medicines will fail to produce their specific
+effects.</p>
+
+<p><b>Sulphite of Soda</b>  (<i>Sodæ Sulphis</i>). This salt, as well as
+the Hyposulphite of Soda, is not only generally preferable for
+administration on account of its unirritating character and the smallness
+of the dose required, but also because it is a valuable antiseptic agent.
+The <i>Sulphite</i> should not be confounded with the <i>Sulphate</i> of
+Soda (Glauber's Salt). <i>Dose</i>&mdash;This is from three to ten grains.</p>
+
+<p><b>Saleratus</b> (<i>Potassoe Bicarbonas</i>). This is a favorite
+domestic antacid. <i>Dose</i>&mdash;Five to fifteen grains is the amount.</p>
+
+
+<h4>ACIDS.</h4>
+
+
+<p>As alkalies are important and often indicated as remedial agents, acids,
+so their re-agents, acids, are also frequently <span class="pagenum"><a
+name="Page_310" id="Page_310"></a>[pg 310]</span>necessary to meet opposite
+conditions of the fluids of the system.</p>
+
+<p><b>Hydrochloric or Muriatic Acid.</b> This agent may be administered in
+doses of from five to ten drops, largely diluted in water or gruel.</p>
+
+<p><b>Aromatic Sulphuric Acid,</b> or Elixir of Vitriol, is the most
+agreeable form of Sulphuric Acid for administration, and may be given in
+doses of from five to fifteen drops, largely diluted with water.</p>
+
+<p>In taking acids, they should be sucked through a straw, and not allowed
+to come in contact with the teeth, as otherwise the latter organs will be
+injured by their effects; or should the acid come in contact with the
+teeth, the mouth should be immediately rinsed with a solution of saleratus
+or soda, to neutralize the acid.</p>
+
+
+<h4>ANODYNES.</h4>
+
+
+<p>Anodynes are those medicines which relieve pain by blunting the
+sensibility of the nerves, or of the brain, so that it does not appreciate
+the morbid sensation. An anodyne may be a stimulant in one dose, and a
+narcotic in a larger one. The properties of different anodyne agents vary,
+consequently they produce unlike effects. The size of the dose required,
+differs according to circumstances and condition. An adult, suffering acute
+pain, requires a much larger dose to produce an anodyne effect than one who
+is a chronic sufferer. An individual accustomed to the use of anodynes,
+requires a much larger dose to procure relief than one who is not. Doses
+may be repeated, until their characteristic effects are produced, after an
+interval of thirty or forty minutes. When the stomach is very sensitive and
+will not tolerate their internal administration, one-sixth of a grain of
+Morphia can be inserted beneath the skin, by means of a hypodermic syringe.
+Relief is more quickly experienced, and the anodyne effect is much more
+lasting than when taken into the stomach.</p>
+
+<p><b>Opium</b> (<i>Papaver Somniferum).</i> Opium is a stimulant, anodyne,
+or narcotic, according to the size of the dose administered.
+<i>Dose</i>&mdash;Of the dry powder, one-fourth to one grain; of tincture
+(Laudanum), five to fifteen drops; of camphorated tincture (Paregoric),
+one-half to one teaspoonful; of
+<span class="pagenum"><a name="Page_311" id="Page_311"></a>[pg
+311]</span>Morphine, one-eighth to one-fourth grain; of Dover's Powder
+three to five grains.</p>
+
+<p><b>Hyoscyamus</b> (<i>Hyoscyamus Niger</i>), commonly known as Henbane.
+The herb is used. It is a powerful narcotic, and unlike Opium, does not
+constipate the bowels, but possesses a laxative tendency. Therefore, it may
+be employed as an anodyne for allaying pain, calming the mind, inducing
+sleep and arresting spasms, when opiates are inadmissible. <i>Dose</i>&mdash;Of
+alcoholic extract, one-half to two grains; of fluid extract, five to ten
+drops; of the concentrated principle, Hyoscyamin, one-twelfth to one-fourth
+of a grain.</p>
+
+
+
+<p class="figure"><a name="advise098"><img width="40%" alt="Illustration:
+Fig. 116. Poison Hemlock. " src="images/advise098.png" /></a><br />Fig.
+116. Poison Hemlock. </p>
+
+<p><b>Poison Hemlock</b> (<i>Conium Maculatum</i>). The leaves are the
+parts used. Poison Parsley, as it is sometimes called, is an anodyne,
+narcotic, and an excellent alterative. <i>Dose</i>&mdash;Of fluid <span
+class="pagenum"><a name="Page_312" id="Page_312"></a>[pg
+312]</span>extract, two to six drops; of solid extract, one-fourth to
+one-half grain.</p>
+
+<p><b>Belladonna</b> (<i>Atropa Belladonna</i>) or Deadly Nightshade. The
+herb or leaves are a valuable agent. In overdoses, it is an energetic,
+narcotic poison. In medicinal doses it is anodyne, antispasmodic,
+diaphoretic, and diuretic. It is excellent in neuralgia, epilepsy, mania,
+amaurosis, whooping-cough, stricture, rigidity of the os uteri, and is
+supposed by some to be a prophylactic or preventive of Scarlet Fever. Its
+influence upon the nerve centers is remarkable. It relaxes the blood
+vessels on the surface of the body and induces capillary congestion,
+redness of the eye, scarlet appearance of the face, tongue, and body.
+<i>Dose</i>&mdash;Of fluid extract, one-half to one drop; of tincture, one to
+two drops; of concentrated principle, Atropin, one-thirtieth to
+one-sixteenth of a grain; of the <i>Alkaloid, Atropia</i>, one-sixtieth of
+a grain. Even the most skillful chemists are very cautious in compounding
+these latter active principles, and the danger of an overdose is great.</p>
+
+<p><b>Camphor</b>. This drug is an anodyne, stimulant, and diaphoretic,
+and, in large doses, a narcotic and an irritant. It is an excellent
+stimulant for liniments. <i>Dose</i>&mdash;Of the powder, one to five grains; of
+the tincture, ten to twenty drops, given in simple syrup.</p>
+
+<p><b>Hops</b> (<i>Humulus Lupulus</i>). This is an excellent remedy in
+wakefulness, and may be used when opium is contra-indicated. A bag of the
+leaves, moistened with whiskey and placed as a pillow under the head, acts
+as an anodyne. <i>Dose</i>&mdash;Of the infusion of the leaves, from one to four
+ounces; of the fluid extract, one-fourth to three-fourths of a teaspoonful;
+of the concentrated principle, Humulin, one to three grains.</p>
+
+<p><b>Dr. Pierce's Compound Extract of Smart-weed</b>. This anodyne
+compound is made by uniting several of the most valuable agents of this
+class, and its medicinal qualities are rendered still more efficacious by
+the addition of certain stimulating articles. It is free from narcotic
+properties which are liable to produce deleterious results, and has been
+found to be not only harmless in its action, but very genial and effectual
+withal, and most reliable as a stimulant and diaphoretic remedy.</p>
+
+
+<p><span class="pagenum"><a name="Page_313" id="Page_313"></a>[pg
+313]</span></p><h4>ANTHELMINTICS.</h4>
+
+
+<p>Anthelmintic means "against a worm," and is a term employed to designate
+those medicines which destroy or expel worms. It means the same as
+<i>Vermifuge</i>. Little is understood concerning the origin of worms.
+There are five distinct varieties described by authors as being more common
+than others. There is the long worm, the short, or pin-worm, the
+thread-worm, the tape-worm, and the broad tape-worm peculiar to some
+countries of Europe. Irritation of the alimentary canal, from whatever
+cause usually produces an abundant secretion of mucus, which is thought to
+be a condition favorable for their production. Therefore, those medicines
+which remove the cause of this irritation tend to diminish the number, if
+not to entirely destroy the worms. Some medicines kill the worms, others
+expel them alive. The remedies which successfully remove one kind of worm,
+have little effect upon another, and to meet these different conditions, we
+have a variety of worm-destroying medicines. The pin-worm, inhabits the
+rectum, and may be destroyed by injecting into it a strong solution of
+salt, or decoction of aloes, and when it is allowed to pass away, the
+rectum should be anointed with vaseline, butter, or lard. The eggs of this
+worm are developed around the orifice of the large intestine, and when this
+latter precaution is not practiced every time there is a passage from the
+bowels, they will multiply as rapidly as they can be destroyed. Generally,
+vermifuge remedies should be taken when the stomach is empty, and should be
+followed by the administration of a cathartic in two hours after the last
+dose is administered.</p>
+
+<p><b>Santonin</b>. This is decidedly the most reliable anthelmintic known
+to the medical profession. It is deservedly a popular remedy for worms, and
+when combined with Podophyllin, is very efficacious in removing the
+pin-worm. <i>Dose</i>&mdash;For an adult, two to three grains of the powdered
+Santonin, repeated every three hours until four or five doses are taken,
+when it should be followed by a cathartic.</p>
+
+<p><b>Sage</b> (<i>Salvia Officinalis</i>). Sage is a common and excellent
+domestic remedy for worms. Make an infusion of Sage and Senna leaves, and
+drink freely until it acts as a cathartic.</p>
+
+<p><span class="pagenum"><a name="Page_314" id="Page_314"></a>[pg 314]</span></p>
+
+
+<p class="figure"><a name="advise099"><img width="40%" alt="Illustration:
+Fig. 117. Pink Root." src="images/advise099.png" /></a><br />Fig. 117. Pink
+Root.</p>
+
+<p><b>Pink-root</b> (<i>Spigelia Marilandica</i>). Pink-root is one of the
+most active and certain anthelmintics for children. It is indigenous to the
+United States. When taken in too large quantities, it is apt to purge, give
+rise to vertigo, dimness of vision, and even to convulsions; therefore, it
+should be <span class="pagenum"><a name="Page_315" id="Page_315"></a>[pg
+315]</span>combined with some cathartic. <i>Dose</i>&mdash;Of the infusion, one
+ounce at night, followed by physic in the morning.</p>
+
+<p><b>Common Salt</b> (<i>Chloride of Sodium</i>). Common table salt is an
+anthelmintic, and may be used in an emergency. Salt water is a very common
+domestic remedy for worms. <i>Dose</i>&mdash;In solution, one-quarter to
+one-half teaspoonful.</p>
+
+<p><b>Balmony</b> (<i>Chelone Glabra</i>). This is also tonic and
+anthelmintic, and is valuable in debility, dyspepsia, jaundice, and hepatic
+affections. It also is known as Snake-head. <i>Dose</i>&mdash;Of the infusion,
+one to two ounces; of the concentrated principle, Chelonin, from half to
+one grain.</p>
+
+<p><b>Male Fern</b> (<i>Aspidium Filix Mas</i>). Male Fern is the
+anthelmintic which is considered especially effectual in removing the
+tape-worm. <i>Dose</i>&mdash;Of the powder, one to two drachms, given morning
+and evening in syrup, followed by a brisk cathartic. The dose of the
+tincture of the buds in ether is from eight to thirty drops.</p>
+
+
+
+<p class="rfigure"><a name="advise100"><img width="90%" alt="Illustration:
+Fig. 118. Aspen." src="images/advise100.png" /></a><br />Fig. 118.
+Aspen.</p>
+
+<p><b>Poplar</b> (<i>Populus Tremuloides</i>). The White or Aspen Poplar is
+a common tree, and contains active principles termed Populin and Salicin,
+both of which are tonic. An infusion of the bark is a remedy for worms.
+<i>Dose</i>&mdash;Of the tea made from the bark, one to four ounces; of Populin,
+from one-half to two grains.</p>
+
+
+<h4>ANTIPERIODICS.</h4>
+
+
+<p>It is well understood that malarial diseases are characterized by a
+periodicity which indicates their nature. Antiperiodics prevent the
+recurrence of the periodic manifestations, and hence their name.</p>
+
+<p><b>Quinine</b> (<i>Sulphate of Quinia</i>). Quinine is a tonic,
+febrifuge, and antiperiodic. It should generally be administered during the
+intervals between the febrile paroxysms. It is beneficial also in all
+diseases accompanied by debility. The dose varies from one to six grains
+according to indications. Frequently it is given in much <span
+class="pagenum"><a name="Page_316" id="Page_316"></a>[pg 316]</span>larger
+quantities, but we cannot advise such for domestic use.</p>
+
+<p><b>Prussian Blue</b> (<i>Ferri Ferrocyanidum</i>). Ferrocyanide of Iron
+is an excellent tonic and antiperiodic remedy, and often is combined with
+quinine. <i>Dose</i>&mdash;From two to five grains.</p>
+
+
+
+<p class="figure"><a name="advise101"><img width="40%" alt="Illustration:
+Fig. 119. Boneset. " src="images/advise101.png" /></a><br />Fig. 119.
+Boneset. </p>
+
+<p><b>Boneset</b> (<i>Eupatorium Perfoliatum</i>), or Thoroughwort. This is
+tonic, diaphoretic, aperient, and possesses some antiperiodic properties;
+the warm infusion is emetic. <i>Dose</i>&mdash;Of the infusion, one to four
+ounces; of the fluid extract, from half to one teaspoonful; of the active
+principle, Eupatorin, one to three grains.</p>
+
+<p><b>The "Golden Medical Discovery"</b> has gained an enviable reputation
+in malarial districts for the cure of ague. From observing its action in
+the cure of this and other miasmatic diseases, and knowing its composition,
+we are thoroughly <span class="pagenum"><a name="Page_317"
+id="Page_317"></a>[pg 317]</span>satisfied that it contains chemical
+properties which neutralize and destroy the miasmatic or ague poison which
+is in the system, and, at the same time, produces a rapid excretion of the
+neutralized poisons. One strong proof of this is found in the fact that
+persons who are cured with it are not so liable to relapse as those in whom
+the chills are broken with Quinine or other agents. No bad effects are
+experienced after an attack of ague which has been cured with the "Golden
+Medical Discovery." This cannot be said of Quinine, Peruvian Bark, Arsenic,
+and Mercurials, which comprise nearly the whole list of remedies usually
+resorted to by physicians for arresting ague. The "Golden Medical
+Discovery" not only has the merit of being a certain antidote for miasmatic
+diseases, but is pleasant to the taste, a matter of no small importance,
+especially when administered to children. To break the chills, this
+medicine should be taken in doses of four teaspoonfuls three times a day,
+and if this treatment pursued for three days, does not entirely arrest the
+chills, these doses may be repeated in alternation with five-grain doses of
+quinine for the three succeeding days. But in no case should more than this
+amount of the "Golden Medical Discovery" be given.</p>
+
+
+<h4>ANTISEPTICS AND DISINFECTANTS.</h4>
+
+
+<p>Antiseptics prevent, while disinfectants arrest putrefaction. Oxygen is
+a natural disinfectant, but a powerful inciter of change. Although this
+element is the cause of animal and vegetable decay, yet oxidation is the
+grand process by which the earth, air, and sea are purified. A few
+substances are both antiseptic and disinfectant. Heat up to a temperature
+of 140&deg; Fahr. promotes putrescence, but above that point, is a drier or
+disorganizer, and destroys the source of infection.</p>
+
+<p><b>Yeast</b> (<i>Cerevisiæ Fermentum</i>). Yeast is an antiseptic, and
+is effective in all diseases in which there is threatened putridity. Used
+externally, it is often combined with elm bark and charcoal, and applied to
+ulcers, in which there is a tendency to gangrene. <i>Dose</i>&mdash;One
+tablespoonful in wine or porter, once in two or three hours.</p>
+
+<p><b>Creasote</b>. This is a powerful antiseptic. It is used in a <span
+class="pagenum"><a name="Page_318" id="Page_318"></a>[pg
+318]</span>solution of glycerine, oil, water, or syrup. <i>Dose</i>&mdash;One to
+two drops, largely diluted.</p>
+
+<p><b>Carbolic Acid</b> is a crystalline substance resembling creasote in
+its properties. It is an antiseptic, and is used both internally and
+externally. <i>Dose</i>&mdash;One-fourth to one-half drop of the melted
+crystals, very largely diluted. Externally, in solution, one to five grains
+of the crystals to one ounce of the solvent.</p>
+
+<p><b>White Vitriol</b> (<i>Zinci Sulphas</i>). White vitriol is a valuable
+disinfectant, as it will arrest mortification. In solution it is employed
+in ulcers and cancers and also as a gargle in putrid sore throat.
+<i>Dose</i>&mdash;One-half to two grains in a pill; in solution, one to ten
+grains in an ounce of water.</p>
+
+<p><b>Permanganate of Potash</b> (<i>Potassoe Permanganas</i>). This
+substance is an energetic deodorizer and disinfectant. A solution
+containing from one to twenty grains in an ounce of water is used as a
+lotion for foul ulcers. <i>Dose</i>&mdash;One-eighth to one-fourth of a
+grain.</p>
+
+<p><b>Wild Indigo</b> (<i>Baptisia Tinctoria</i>). The root is the part
+used. This plant possesses valuable antiseptic properties. It is an
+excellent lotion for ill-conditioned ulcers, malignant sore throat, nursing
+sore-mouth, syphilitic ophthalmia, etc. It is sometimes administered in
+scarlet and typhus fevers, and in all diseases in which there is a tendency
+to putrescence. <i>Dose</i>&mdash;Of the infusion, one-fourth to one-half ounce;
+of the fluid extract, from three to ten drops, and of the concentrated,
+active principle of the plant, Baptisin, from one to two grains.</p>
+
+
+<h4>ANTISPASMODICS.</h4>
+
+
+<p>Antispasmodics are a class of remedies which relieve cramps,
+convulsions, and spasms, and are closely allied to nervines. Indeed some
+authors class them together. The following are a few of the most important
+antispasmodics:</p>
+
+<p><b>Assafetida</b> (<i>Assafetida Ferula</i>). This is a powerful
+antispasmodic. It is employed in hysteria, hypochondria, convulsions, and
+spasms, when unaccompanied by inflammation. <i>Dose</i>&mdash;Of the gum or
+powder, from three to ten grains, usually administered in the form of a
+pill; of the tincture, from one-half to one teaspoonful.</p>
+
+<p><span class="pagenum"><a name="Page_319" id="Page_319"></a>[pg 319]</span></p>
+
+
+<p class="figure"><a name="advise102"><img width="40%" alt="Illustration:
+Fig. 120. Yellow Jessamine." src="images/advise102.png" /></a><br />Fig.
+120. Yellow Jessamine.</p>
+
+<p><b>Yellow Jessamine</b> (<i>Gelseminum Sempervirens</i>). The root is
+the part used. This is a valuable remedy in various diseases when associated
+with restlessness and a determination of the
+blood to the brain; also in the neuralgia. <i>Dose</i>&mdash;Of the <span
+class="pagenum"><a name="Page_320" id="Page_320"></a>[pg 320]</span>fluid
+extract, three to eight drops; of the concentrated principle, Gelsemin,
+one-fourth to one grain. The use of this drug by non-professional persons
+should be attended with great caution.</p>
+
+<p><b>Valerian</b> (<i>Valeriana Officinalis</i>). The root is the part
+used. Valerian is an effective remedy in cases of nervousness and
+restlessness. <i>Dose</i>&mdash;Of the infusion, (one-half ounce to a pint of
+water) one-half ounce; of the tincture, one-half to two tablespoonfuls; of
+the ammoniated tincture of valerian, from one-half to two teaspoonfuls in
+sweetened water or milk; of the valerianate of ammonia, one-half to three
+grains.</p>
+
+<p><b>Yellow Lady's Slipper</b> (<i>Cypripedium Pubescens</i>). The root is
+the part used. This is a useful remedy in hysteria, chorea, and all cases
+of irritability. <i>Dose</i>&mdash;Of the powder, fifteen to thirty grains; of
+the infusion, one ounce; of the fluid extract, fifteen to thirty drops; of
+the concentrated principle, Cypripedin, one-half to two grains.</p>
+
+<p><b>Wild Yam</b> (<i>Dioscorea Villosa</i>). The root is the part used.
+This is a powerful antispasmodic, and has been successfully used in bilious
+colic, nausea, and spasm of the bowels. <i>Dose</i>&mdash;Of the infusion (two
+ounces to a pint of water), one to two ounces; of the fluid extract, five
+to fifteen drops; of the concentrated principle, Dioscorein, one-half to
+one grain.</p>
+
+<p><b>High Cranberry</b> (<i>Viburnum Opulus.</i>) The bark is the part
+used. It is also known as Cramp Bark. This is a powerful antispasmodic, and
+is effective in relaxing spasms of all kinds. It is a valuable agent in
+threatened abortion. <i>Dose</i>&mdash;Of the infusion, one-half to one ounce;
+of the fluid extract, one-half to one teaspoonful; of the concentrated
+principle, Viburnin, one-half to two grains. These doses may be increased
+if necessary.</p>
+
+
+<h4>ASTRINGENTS.</h4>
+
+
+<p>Astringents are medicines which condense and coagulate the tissues,
+thereby arresting discharges. When taken into the mouth, they produce the
+sensation known as puckering. They are used internally and locally. The
+term <i>styptic</i> is used as a synonym of astringent, but is generally
+employed to designate those astringents which arrest hemorrhage, or
+bleeding.</p>
+
+<p><span class="pagenum"><a name="Page_321" id="Page_321"></a>[pg
+321]</span><b>Logwood</b> (<i>Hoematoxylon Campechianum</i>). Logwood is a
+mild astringent, well adapted to remedy the relaxed condition of the bowels
+after cholera infantum. <i>Dose</i>&mdash;Of powdered extract, five to ten
+grains; of the decoction, one ounce; of the fluid extract, fifteen to
+thirty drops.</p>
+
+<p><b>Blackberry Root</b>  (<i>Rubus Villosus</i>). This astringent is a
+favorite, domestic remedy in affections of the bowels. <i>Dose</i>&mdash;Of the
+infusion (bruised root), one-half to one ounce, sweetened.</p>
+
+
+
+<p class="figure"><a name="advise103"><img width="40%" alt="Illustration:
+Fig. 121. Witch-hazel. " src="images/advise103.png" /></a><br />Fig. 121.
+Witch-hazel. </p>
+
+<p><b>Witch-hazel</b>  (<i>Hamamelis Virginica</i>). The parts used are the
+leaves and bark. This is a most valuable astringent and exerts a specific
+action upon the nervous system. It arrests many forms of uterine hemorrhage
+with great promptness, is a valuable agent in the treatment of piles, and
+is useful in <span class="pagenum"><a name="Page_322" id="Page_322"></a>[pg
+322]</span>many forms of chronic throat and bronchial affections.
+<i>Dose</i>-Of the infusion, one-fourth to one-half ounce; of the fluid
+extract, eight to fifteen grains; of the concentrated principle, Hamamelin,
+one fourth to one grain.</p>
+
+
+
+<p class="figure"><a name="advise104"><img width="40%" alt="Illustration:
+Fig. 122. Cranesbill. " src="images/advise104.png" /></a><br />Fig. 122.
+Cranesbill. </p>
+
+<p><b>Cranesbill</b> (<i>Geranium Maculatum</i>). The root is used. This
+plant is also known as Crow-foot, and Spotted Geranium. It is a pleasant,
+but powerful astringent. <i>Dose</i>&mdash;Of the fluid <span class="pagenum"><a
+name="Page_323" id="Page_323"></a>[pg 323]</span>extract, ten to thirty
+drops; of the concentrated principle, Geranin, one to two grains.</p>
+
+
+
+<p class="lfigure"><a name="advise105"><img width="90%" alt="Illustration:
+Fig. 123. Bugle-weed. " src="images/advise105.png" /></a><br />Fig. 123.
+Bugle-weed. </p>
+
+
+
+<p class="rfigure"><a name="advise106"><img width="90%" alt="Illustration:
+Fig. 124. Hardhack. " src="images/advise106.png" /></a><br />Fig. 124.
+Hardhack. </p>
+
+<p><b>Hardhack</b> (<i>Spirea Tomentosa</i>), Spirea, or Meadow Sweet. The
+stem and leaves are used. It is a tonic and an astringent, and is used in
+diarrhea and cholera-infantum. <i>Dose</i>&mdash;Of the infusion, one-half to
+one ounce; of the fluid extract, three to six drops.</p>
+
+<p><b>Bugle-weed</b> (<i>Lycopus Virginicus</i>). This is variously known
+as Water-hoarhound and Water-bugle. It is sedative and tonic, as well as
+astringent, and is employed in hemorrhages <span class="pagenum"><a
+name="Page_324" id="Page_324"></a>[pg 324]</span>and in incipient phthisis.
+<i>Dose</i>&mdash;Of the infusion, one to two ounces; of the fluid extract,
+fifteen to twenty-five drops; of the concentrated principle, Lycopin,
+one-half to one grain.</p>
+
+
+
+<p class="figure"><a name="advise107"><img width="40%" alt="Illustration:
+Fig. 125. Canada Fleabane. " src="images/advise107.png" /></a><br />Fig.
+125. Canada Fleabane. </p>
+
+<p><b>Canada Fleabane</b> (<i>Erigeron Canadense</i>). The leaves and
+flowers are used. This plant, sometimes known as Colt's-tail, Pride-weed,
+or Butter-weed, is astringent, and has been <span class="pagenum"><a
+name="Page_325" id="Page_325"></a>[pg 325]</span>efficiently employed in
+uterine hemorrhages. <i>Dose</i>&mdash;Of the infusion (two ounces of the herb
+to one pint of water), one to two ounces; of the oil, five to ten drops on
+sugar, repeated at intervals of from one to four hours.</p>
+
+<p><b>Catechu</b> (<i>Acacia Catechu</i>). A tincture of this plant is a
+pure, powerful astringent, and is especially useful in chronic diarrhea,
+chronic catarrh, and chronic dysentery. <i>Dose</i>&mdash;Of the powder, five to
+twenty grains; of the tincture, one-half to two teaspoonfuls.</p>
+
+<p><b>Tannin</b> (<i>Acidum, Tannicum</i>). This acid has a wide range of
+application. It is used as an astringent. <i>Dose</i>&mdash;One to five
+grains.</p>
+
+<p><b>Gallic Acid</b> (<i>Acidum Gallicum</i>). This remedy is used chiefly
+in hemorrhages. <i>Dose</i>&mdash;Three to five grains. In severe hemorrhages,
+this quantity should be administered every half hour, until the bleeding is
+checked.</p>
+
+
+<h4>CARMINATIVES.</h4>
+
+
+<p>Carminatives are medicines which allay intestinal pain, arrest or
+prevent griping caused by cathartics and exert a general soothing effect.
+They are aromatic, and to a certain extent, stimulant.</p>
+
+<p><b>Anise-seed</b> (<i>Pimpinella Anisum</i>). Anise is a pleasant,
+aromatic carminative, and is used in flatulent colic. <i>Dose</i>&mdash;Of the
+powdered seed, ten to fifteen grains; of the infusion (a teaspoonful of
+seed to a gill of water), sweetened, may be given freely; of the oil, five
+to ten drops on sugar.</p>
+
+<p><b>Fennel-seed</b> (<i>Anethum Foeniculum</i>). This is one of our most
+grateful aromatics, and is sometimes employed to modify the action of senna
+and rhubarb. <i>Dose</i>&mdash;Same as that of anise-seed.</p>
+
+<p><b>Ginger</b> (<i>Zingiber Officinale</i>). The root is the part used.
+This is a grateful stimulant and carminative. <i>Dose</i>&mdash;Of the powder,
+ten to twenty grains; of the infusion, one teaspoonful in a gill of water;
+of the tincture, twenty to thirty drops; of the essence, ten to fifteen
+drops; of the syrup, one teaspoonful.</p>
+
+<p><b>Wintergreen</b> (<i>Gaultheria Procumbens</i>). The leaves are used.
+This plant possesses stimulant, aromatic, and astringent properties. The
+essence of Wintergreen is carminative, and is <span class="pagenum"><a
+name="Page_326" id="Page_326"></a>[pg 326]</span>used in colics.
+<i>Dose</i>&mdash;Of the essence, one-half to one teaspoonful in sweetened
+water; of the oil, three to five drops on sugar.</p>
+
+<p><b>Peppermint</b> (<i>Mentha Piperita</i>). Peppermint is a powerful
+stimulant, carminative, and antispasmodic. It is used in the treatment of
+spasms, colic, and hysteria. <i>Dose</i>&mdash;The infusion may be used freely.
+The essence may be taken in doses of fifteen to thirty drops in sweetened
+warm water; of the oil, one to five drops on sugar.</p>
+
+<p><b>Spearmint</b> (<i>Mentha Viridis</i>). The carminative properties of
+spearmint are inferior to those of peppermint, and its chief employment is
+for its diuretic and febrifuge virtues. <i>Dose</i>&mdash;Same as that of
+peppermint.</p>
+
+<p><b>Compound Extract of Smart-weed.</b> Dr. Pierce's Extract of
+Smart-weed is a valuable carminative and aromatic stimulant, and has been
+employed with marked success in all diseases in which this class of
+remedies is required.</p>
+
+
+<h4>CATHARTICS.</h4>
+
+
+<p><i>Cathartics</i>, or <i>Purgatives</i> are medicines which act upon the
+bowels and increase the secretions and evacuations. In many parts of the
+country, these agents are known as purges, or physics. They have been
+variously divided and subdivided, usually with reference to the energy of
+their operations or the character of the evacuations produced.</p>
+
+<p><i>Laxatives</i>, or <i>Aperients</i>, are mild cathartics. Purgatives
+act with more energy and produce several discharges which are of a more
+liquid character and more copious than the former.</p>
+
+<p><i>Drastics</i> are those cathartics which produce numerous evacuations
+accompanied by more or less intestinal irritation.</p>
+
+<p><i>Hydragogues</i> are those purgatives which produce copious, watery
+discharges.</p>
+
+<p><i>Cholagogues</i> are those purgatives which act upon the liver,
+stimulating its functions. Cathartics constitute a class of remedies which
+are almost universally employed by families and physicians.</p>
+
+<p><b>Jalap</b> (<i>Ipomoea Jalapa</i>). The root is used. It is a drastic
+and a hydragogue cathartic. Formerly it was combined with equal parts of
+calomel. From this fact it received the name of "ten and ten."
+<i>Dose</i>&mdash;Of the powder, five to twenty grains; <span class="pagenum"><a
+name="Page_327" id="Page_327"></a>[pg 327]</span>of the fluid extract, ten
+to fifteen drops; of the solid extract, two to four grains; of the
+concentrated principle, Jalapin, one-half to two grains.</p>
+
+
+
+<p class="rfigure"><a name="advise108"><img width="90%" alt="Illustration:
+Fig. 126. Culver's-root. " src="images/advise108.png" /></a><br />Fig. 126.
+Culver's-root. </p>
+
+<p><b>Gamboge</b> (<i>Gambogia</i>). The gum is used. Gamboge is a powerful
+drastic, hydragogue cathartic, which is apt to produce nausea and vomiting.
+It is employed in dropsy. It should never be given alone, but combined with
+milder cathartics. It accelerates their action while they moderate its
+violence. <i>Dose</i>&mdash;Of the powder, one-half to two grains. This
+substance combined with aloes and sometimes with scammony, constitutes the
+basis of the numerous varieties of large, cathartic pills found in the
+market.</p>
+
+<p><b>Culver's-root.</b> (<i>Leptandra Virginica</i>). The root is used.
+This plant, known under the various names of Culver's Physic, Black-root,
+Tall Speedwell, and Indian Physic, is a certain cholagogue, laxative, and
+cathartic. <i>Dose</i>&mdash;Of decoction, one to two fluid ounces; of fluid
+extract, ten to twenty drops; of tincture, twenty to thirty drops; of the
+concentrated, active principle, Leptandrin, which is but feebly cathartic,
+as a laxative, two to five grains.</p>
+
+<p><b>Rhubarb</b> (<i>Rheum Palmatum</i>). This is much used as a domestic
+remedy, and by the profession, for its laxative, tonic, and astringent
+effects. It is employed in bowel complaints. <i>Dose</i>&mdash;Of the powder,
+ten to thirty grains; of the tincture, one-half to two teaspoonfuls; of the
+fluid extract, ten to thirty drops; of the solid extract, three to five
+grains; of the syrup, and aromatic <span class="pagenum"><a name="Page_328"
+id="Page_328"></a>[pg 328]</span>syrup, an excellent remedy for children,
+one-half to one teaspoonful.</p>
+
+<p><b>Cascara Sagrada</b> (<i>Rhamnus Purshiana</i>), is a very efficient
+remedy in chronic constipation. <i>Dose</i>&mdash;Of the fluid extract, from ten
+to twenty drops taken in a tablespoonful of water. The unpleasant taste may
+be disguised with the extract of liquorice.</p>
+
+<p><b>Castor Oil</b> (<i>Oleum Ricini</i>). <i>Dose</i>&mdash;From one to four
+teaspoonfuls. It may be disguised by rubbing it with an equal quantity of
+glycerine and adding one or two drops of oil of anise, cinnamon, or
+wintergreen.</p>
+
+<p><b>Butternut</b> (<i>Juglans Cinerea</i>). The bark is the part used.
+Butternut is a mild cathartic, which resembles rhubarb in its property of
+evacuating the bowels without irritating the alimentary canal.
+<i>Dose</i>&mdash;Of the extract, as a cathartic, five to ten grains; of the
+fluid extract, one-half to one teaspoonful; of the concentrated principle,
+Juglandin, one to three grains. As a laxative, one-half of these quantities
+is sufficient.</p>
+
+<p><b>Aloes</b> (<i>Aloe</i>). The gum is used. This cathartic acts upon
+the lower part of the bowels and sometimes causes piles; though some late
+authors claim that in small doses it is a valuable remedy for piles.
+<i>Dose</i>&mdash;In powder or pill, three to ten grains; as a laxative, one to
+three grains.</p>
+
+<p><b>Epsom Salts</b> (<i>Magnesia Sulphas</i>). Its common name is
+"Salts." Much used in domestic practice. <i>Dose</i>&mdash;One-fourth to
+one-half ounce.</p>
+
+<p><b>Dr. Pierce's Pleasant Pellets,</b> being entirely vegetable in their
+composition, operate without disturbance to the system, diet, or
+occupation. Put up in glass vials. Always fresh and reliable. As <i>a
+laxative, alterative,</i> or gently acting but searching <i>cathartic</i>,
+these little Pellets give the most perfect satisfaction. Sick Headache,
+Bilious Headache, Dizziness, Constipation, Indigestion, Bilious Attacks,
+and all derangements of the stomach and bowels, are promptly relieved and
+permanently cured by the use of Dr. Pierce's Pleasant Pellets. In
+explanation of the remedial power of these Pellets over so great a variety
+of diseases, it may truthfully be said that their action upon the system is
+universal, not a gland or tissue escaping their sanative influence.</p>
+
+<p><span class="pagenum"><a name="Page_329" id="Page_329"></a>[pg
+329]</span>Everybody, now and then, needs a gentle laxative to assist
+nature a little; or, a more searching and cleansing, yet gentle cathartic,
+to remove offending matter from the stomach and bowels and tone up and
+invigorate the liver and quicken its tardy action. Thereby the "Pleasant
+Pellets" cure biliousness, sick and bilious headache, costiveness, or
+constipation of the bowels, sour stomach, windy belchings, "heart-burn,"
+pain and distress after eating, and kindred derangements of the liver,
+stomach and bowels.</p>
+
+<p>Persons subject to any of these troubles should never be without a vial
+of the "Pleasant Pellets" at hand. In proof of their superior excellence it
+can be truthfully said that they are always adopted as a household remedy
+after the first trial.</p>
+
+<p>The "Pleasant Pellets" are far more effective in arousing the liver to
+action than "blue pills," the old-fashioned compound cathartic pills,
+calomel or other mercurial preparations, and have the further merit of
+being purely vegetable in their composition and perfectly harmless in any
+condition of the system. Furthermore, no particular care is required while
+using them.</p>
+
+<p>Being composed of the choicest, concentrated vegetable extracts, their
+cost of production is much more than that of most pills found in the
+market, yet from forty to forty-four of them are put up in each glass vial,
+as sold through druggists, and can be had at the price of the more ordinary
+and cheaper made pills. Once used, they are always in favor. Their
+secondary effect is to keep the bowels open and regular, not to further
+constipate, as is the case with other pills. Hence, their great popularity
+with sufferers from habitual constipation, piles and their attendant
+discomfort and manifold derangements.</p>
+
+<p>For all laxative and cathartic purposes the "Pleasant Pellets" are
+infinitely superior to all "mineral waters," sediltz powders, "salts,"
+castor oil, fruit syrups (so-called), laxative "teas," and the many other
+purgative compounds sold in various forms.</p>
+
+<p>If people generally, would pay more attention to properly regulating the
+action of their bowels, they would have less frequent occasion to call for
+their doctor's services to subdue attacks of dangerous diseases. Hence it
+is of great importance to know what safe, harmless agent best serves the
+purpose of producing the desired action.</p>
+
+
+<p><span class="pagenum"><a name="Page_330" id="Page_330"></a>[pg
+330]</span></p><h4>DIRECTIONS FOR USING DR. PIERCE'S PLEASANT PELLETS.</h4>
+
+
+<p>In all cases, the size of dose to be taken must be regulated somewhat by
+the known susceptibility of the individual to the action of laxative and
+cathartic medicines. Some persons' bowels are readily acted upon by small
+doses, while others require more. As a general rule, the smaller doses
+which we recommend, are quite sufficient, and produce the best results if
+persisted in for a reasonable length of time.</p>
+
+<p>FOR A GENTLE APERIENT, OR LAXATIVE, take one or not more than two and
+preferably in the morning, on an empty stomach.</p>
+
+<p>FOR A GENTLE CATHARTIC, two or three are generally sufficient, if taken
+in the morning, on an empty stomach.</p>
+
+<p>FOR A VERY ACTIVE, SEARCHING CATHARTIC, four to six may be taken in the
+morning, on an empty stomach.</p>
+
+<p>FOR A CHILD OF TWO TO FOUR YEARS, one-half of a Pellet given in a little
+sauce of some kind, or soft candy, will be sufficient for a laxative, or
+one for a mild cathartic.</p>
+
+<p>FOR A CHILD OF FOUR TO EIGHT YEARS, one for a laxative or two for a
+cathartic will act nicely, if given on an empty stomach.</p>
+
+<p>AS A DINNER PILL.&mdash;To promote digestion and increase the appetite, take
+only one Pellet each day after dinner.</p>
+
+<p><i>To overcome the disagreeable effects of a too hearty meal</i>, take
+two Pellets as soon as conscious of having overloaded the stomach.</p>
+
+<p>IN ALL CHRONIC DISEASES, it is of the utmost importance that the bowels
+be kept <i>regular</i>, yet thorough purgation should be avoided, as it
+tends to debilitate the system. Small laxative doses of one or at most two
+Pellets, taken daily and continued for a long time, is the plan that we
+would recommend to produce the best results.</p>
+
+<p>IN DROPSY, an occasional active cathartic dose of the Pellets of say 4
+to 6, taken once in a week or ten days, will do good, if, in the interval
+between these doses, Dr. Pierce's Golden Medical Discovery be taken to
+invigorate and regulate the system.</p>
+
+<p>TO BREAK UP SUDDEN ATTACKS OF COLDS, FEVERS, AND INFLAMMATIONS.&mdash;It is
+only in these sudden and severe attacks of <i>acute</i> diseases that we
+recommend the Pellets to be taken in <span class="pagenum"><a
+name="Page_331" id="Page_331"></a>[pg 331]</span>active purgative doses,
+and in these cases <i>only one</i> large or cathartic dose of say 5 or 6
+Pellets should be taken.</p>
+
+<p>In colds, fevers, and inflammatory attacks, warm sweating teas should be
+taken freely, and hot foot baths, or a hot general bath, employed to assist
+in equalizing the circulation of the blood and restoring the equilibrium of
+the system.</p>
+
+<p>SUPPRESSED MENSTRUATION.&mdash;This combined treatment of an active dose of
+Pellets, coupled with the use of a hot bath, foot bath, or, better still, a
+hot sitz-bath, will bring on <i>menstruation</i>, when suppressed from
+taking cold. In the latter case the effect will be insured if, in addition
+to the use of the Pellets and baths, a full dose of Dr. Pierce's Compound
+Extract of Smart-Weed, or Water Pepper, be also used.</p>
+
+
+<h4>CAUSTICS.</h4>
+
+
+<p><i>Caustics</i> are substances which have the power of destroying or
+disorganizing animal structures. By their action they destroy the tissue to
+which they are applied, and form a crust, which is thrown off by a
+separation from the parts beneath. Their caustic property may be destroyed
+by dilution with other substances, to such an extent that they will only
+irritate or stimulate, and not destroy. Much care is necessary in their
+employment, and it is not expected that the unprofessional reader will have
+much to do with them; hence, we have deemed it best not to give a list of
+these agents.</p>
+
+
+<h4>COUNTER-IRRITANTS.</h4>
+
+
+<p><i>Counter-irritants</i> are substances which produce irritation of the
+part to which they are applied, varying in degree from a slight redness to
+a blister or pustule. They are applied to the surface with a view of
+producing an irritation to relieve irritation or inflammation in some other
+or deeper seated part. They are a class of agents which we very seldom
+employ, and, hence, we shall notice only a couple of the most simple.</p>
+
+<p><b>Mustard</b> (<i>Sinapis</i>). The flour of mustard, which is best
+adapted for domestic use, is employed in the form of a paste spread on
+cloth. It takes effect in a few moments; the length of time it remains in
+contact with the skin and the strength of the mustard determine the effect
+produced.</p>
+
+<p><b>Horse-radish</b> (<i>Cochlearia Armoracia</i>). The leaves are <span
+class="pagenum"><a name="Page_332" id="Page_332"></a>[pg 332]</span>the
+parts used. Let them wilt and bind them on the part affected. They act
+nearly as energetically as mustard.</p>
+
+
+<h4>DIAPHORETICS.</h4>
+
+
+<p><i>Diaphoretics</i> are medicines which increase perspiration. Those
+which occasion profuse sweating are termed <i>Sudorifics</i>. The two terms
+indicate different degrees of the same operation. They constitute an
+important element in domestic practice, on account of the salutary effects
+which generally follow their action. Their operation is favored by warmth
+externally, and warm drinks, when they are not given in hot infusion.</p>
+
+
+
+<p class="figure"><a name="advise109"><img width="40%" alt="Illustration:
+Fig. 127. Pleurisy-root. " src="images/advise109.png" /></a><br />Fig. 127.
+Pleurisy-root. </p>
+
+<p><b>Pleurisy-root</b> (<i>Asclepias Tuberosa</i>), is also known as
+White-root, and Butterfly-weed. It is a valuable remedy, well adapted to
+break up inflammations and disease of the chest. <span class="pagenum"><a
+name="Page_333" id="Page_333"></a>[pg 333]</span><i>Dose</i>&mdash;Of infusion,
+one to two ounces; of fluid extract, one-fourth to one-half teaspoonful; of
+the concentrated principle, Asclepin, one to three grains.</p>
+
+<p><b>Saffron</b> (<i>Crocus Sativus</i>). Golden Saffron. <i>Dose</i>&mdash;Of
+infusion (one drachm to a pint of water), one to two ounces.</p>
+
+<p>Sage (<i>Salvia Officinalis</i>). The warm infusion drunk freely is a
+valuable, domestic diaphoretic.</p>
+
+
+
+<p class="figure"><a name="advise110"><img width="40%" alt="Illustration:
+Fig. 128. Virginia Snake-root. " src="images/advise110.png" /></a><br
+/>Fig. 128. Virginia Snake-root. </p>
+
+<p><b>Virginia Snake-root</b>  (<i>Aristolochia Serpentaria</i>), is an
+efficient agent. <i>Dose</i>&mdash;Of infusion, one to two ounces; of tincture,
+one-fourth to one teaspoonful; of fluid extract, one-fourth to one-half
+teaspoonful.</p>
+
+<p><span class="pagenum"><a name="Page_334" id="Page_334"></a>[pg
+334]</span><b>Jaborandi</b> (<i>Pilocarpus Pinnatus</i>). Jaborandi
+increases the flow of saliva, causes profuse perspiration, and lowers the
+temperature of the body. In doses of from twenty to sixty drops of the
+fluid extract, administered in a cup of warm water or herb-tea on going to
+bed, we have found it very effectual for breaking up recent colds. We have
+also found it valuable in whooping-cough, in doses of from three to ten
+drops, according to the age of the child, given three or four times a day.
+The fluid extract may be obtained at almost any drug-store.</p>
+
+
+
+<p class="figure"><a name="advise111"><img width="40%" alt="Illustration:
+Fig. 129. May-flower. " src="images/advise111.png" /></a><br />Fig. 129.
+May-flower. </p>
+
+<p><b>May-Weed</b> (<i>Maruta Cotula</i>), is also known as Wild Chamomile,
+and Dog-fennel. It is not much used, though it is a powerful diaphoretic.
+<i>Dose</i>&mdash;Of infusion, one to two ounces.</p>
+
+<p><b>Catnip</b> (<i>Nepeta Cataria</i>). A deservedly popular, domestic
+<span class="pagenum"><a name="Page_335" id="Page_335"></a>[pg
+335]</span>remedy, always acceptable, and certain in its action. The warm
+infusion is the best form for its administration. It may be drunk
+freely.</p>
+
+<p><b>Ginger</b> (<i>Zingiber Officinale</i>). The hot infusion may be
+sweetened and drunk as freely as the stomach will bear.</p>
+
+<p><b>Dr. Pierce's Compound Extract of Smart-weed.</b> This is unsurpassed
+as a diaphoretic agent, and is much more certain in its operation than any
+simple diaphoretic.</p>
+
+
+<h4>DILUENTS.</h4>
+
+
+<p>Any fluid which thins the blood or holds medicine in solution is called
+a diluent. Pure water is the principal agent of this class. It constitutes
+about four-fifths of the weight of the blood, and is the most abundant
+constituent of the bodily tissues. Water is necessary, not only for
+digestion, nutrition, and all functional processes of life, but it is
+indispensable as a menstruum for medicinal substances. It is a necessary
+agent in depuration, or the process of purifying the animal economy, for it
+dissolves and holds in solution deleterious matter, which in this state may
+be expelled from the body. In fevers, water is necessary to quench the
+thirst, promote absorption, and incite the skin and kidneys to action. Its
+temperature may be varied according to requirements. Diluents are the
+vehicles for introducing medicine into the system. We shall briefly mention
+some which prove to be very grateful to the sick.</p>
+
+<p><b>Various vegetable acids and jellies</b> may be dissolved in water, as
+apple, currant, quince, grape, or cranberry.</p>
+
+<p><b>The juice of lemons, oranges, pine-apples, and tamarinds,</b> is also
+found to be refreshing to fever patients.</p>
+
+<p><b>Sassafras-pith, slippery-elm bark, flax-seed, and gum arabic</b> make
+good mucilaginous drinks for soothing irritation of the bowels and other
+parts.</p>
+
+<p><b>Brewers' yeast</b> mixed with water in the proportion of from
+one-eighth to one-fourth is a stimulant and antiseptic.</p>
+
+<p><b>The white ashes of hickory or maple wood</b> dissolved in water make
+an excellent alkaline drink in fevers, or whenever the system seems
+surcharged with acidity.</p>
+
+
+<p><span class="pagenum"><a name="Page_336" id="Page_336"></a>[pg
+336]</span></p><h4>DIURETICS.</h4>
+
+
+<p><i>Diuretics</i> are medicines which, by their action on the kidneys,
+increase the flow of urine.</p>
+
+
+
+<p class="figure"><a name="advise112"><img width="40%" alt="Illustration:
+Fig. 130. Marsh-mallow. " src="images/advise112.png" /></a><br />Fig. 130.
+Marsh-mallow. </p>
+
+<p><b>Marsh-mallow</b> (<i>Althea Officinalis</i>) is used in irritable
+conditions of the urinary organs. The infusion may be drunk freely.</p>
+
+<p><b>Gravel-plant</b> (<i>Epigea Repens</i>), is also known as Water-pink,
+Trailing-arbutus, or Gravel-root. <i>Dose</i>&mdash;Of decoction of <span
+class="pagenum"><a name="Page_337" id="Page_337"></a>[pg 337]</span>the
+plant, one to three ounces; of fluid extract, one-fourth to one-half
+teaspoonful.</p>
+
+
+
+<p class="figure"><a name="advise113"><img width="40%" alt="Illustration:
+Fig. 131. Stone-root. " src="images/advise113.png" /></a><br />Fig. 131.
+Stone-root. </p>
+
+<p><b>Stone-root</b> (<i>Collinsonia Canadensis</i>), is also known as
+Knot-root, Horse-balm, Rich-weed, or Ox-balm. This is a mild diuretic, slow
+in action, yet effective in allaying irritation of the bladder.
+The root is the part used. _Dose_--If infusion, one to
+two ounces; of fluid extract, five to ten drops; of the concentrated
+principle, Collinsonin, one-half to one grain.
+</p>
+
+<p><b>Foxglove</b> (<i>Digitalis purpurea</i>) slows the action of the
+<span class="pagenum"><a name="Page_338" id="Page_338"></a>[pg
+338]</span>heart, lowers the temperature, and acts indirectly as a
+diuretic. It is especially valuable in the treatment of scarlet fever and
+in dropsy. <i>Dose</i>&mdash;Of infusion, one-half drachm to one-half ounce; of
+the fluid extract or strong tincture, from two to ten drops. It should be
+used with caution. A poultice made of the leaves and placed over the
+kidneys is an effectual method of employing the drug.</p>
+
+<p><b>Queen of the Meadow</b> (<i>Eupatorium Purpureum</i>), is also known
+as Gravel-weed, Gravel-root, or Trumpet-weed. This is a most valuable
+diuretic. <i>Dose</i>&mdash;Of the infusion, one to three ounces; of fluid
+extract, one-fourth to one-half teaspoonful; of the concentrated principle,
+Eupatorin (<i>Purpu</i>), one-half to two grains.</p>
+
+<p><b>Buchu</b> (<i>Barosma Crenata</i>). The leaves are used. This agent
+has been extensively employed, generally in compounds. <i>Dose</i>&mdash;Of
+infusion, (steeped for two hours or more) one to two ounces; of fluid
+extract, the same; of the concentrated principle, Barosmin, one to three
+grains.</p>
+
+<p><b>Pipsissewa</b> (<i>Chimaphila Umbellata</i>), or Prince's Pine. This
+is a tonic to the kidneys, as well as a diuretic and alterative, and is a
+mild, but very efficient remedy. <i>Dose</i>&mdash;Of decoction, one ounce from
+four to six times a day; of fluid extract, one-fourth to one-half
+teaspoonful; of the concentrated principle, Chimaphilin, one to two
+grains.</p>
+
+<p><b>Water-melon Seeds</b> (<i>Cucurbita Citrullus</i>). <i>Dose</i>&mdash;Of
+infusion, the patient may drink freely until the desired effect is
+secured.</p>
+
+<p><b>Pumpkin Seeds</b> (<i>Cucurbita Pepo</i>). They are mild,
+unirritating, yet effective diuretics. An infusion of these may be drunk
+freely.</p>
+
+<p><b>Sweet Spirit of Nitre</b> (<i>Spiritus &AElig;theris Nitros</i>), is
+diuretic and anodyne. <i>Dose</i>&mdash;One-fourth to one-half teaspoonful,
+diluted in water, every two or three hours.</p>
+
+<p><b>Saltpetre</b> (<i>Potassæ Nitras</i>). <i>Dose</i>&mdash;Powdered, five
+to ten grains.</p>
+
+<p><b>Acetate Of Potash</b> (<i>Potassæ Acetas</i>). <i>Dose</i>&mdash;Ten to
+fifteen grains, largely diluted in water. It is more frequently used for
+this purpose than the nitrate. It is a most valuable diuretic.</p>
+
+
+<p><span class="pagenum"><a name="Page_339" id="Page_339"></a>[pg
+339]</span></p><h4>EMETICS.</h4>
+
+
+<p>These are medicines which cause vomiting and evacuation of the stomach.
+Some of the agents of this class, termed irritant emetics, produce vomiting
+by a local action on the stomach, and do not affect this organ when
+introduced elsewhere. Others, which may be termed systemic emetics, produce
+their effects through the nervous system, and, therefore, must be absorbed
+into the circulation before they can produce vomiting. In cases of
+poisoning, it is desirable to empty the stomach as quickly as possible,
+hence irritant emetics should be employed, for they act more speedily.
+Draughts of warm water favor the action of emetics.</p>
+
+<p><b>Mustard</b> (<i>Sinapis</i>) acts promptly and efficiently as an
+emetic, and may be employed in poisoning. <i>Dose</i>&mdash;From one to two
+teaspoonfuls of powdered mustard, stirred up in a glass of tepid water. It
+should be quickly swallowed and diluents freely administered.</p>
+
+<p><b>Sulphate Of Copper</b> (<i>Cupri Sulphas</i>) is a prompt, irritant
+emetic. It should be given in doses of ten grains dissolved in half a glass
+of water, and its action assisted by the free use of diluents.</p>
+
+<p><b>Sulphate Of Zinc</b> (<i>Zinci Sulphas</i>) is similar in its effects
+to sulphate of copper, but less powerful, and may be taken in the same
+manner, and the dose repeated if necessary in fifteen minutes.</p>
+
+<p><b>Yellow Subsulphate of Mercury</b> (<i>Hydrargyri Sulphas flava</i>),
+commonly known as <i>Turpeth Mineral,</i> is an efficient and most
+desirable emetic in membranous croup. It is an active poison, but, as it is
+quickly thrown up with the contents of the stomach, there is no danger from
+its administration. <i>Dose</i>&mdash;It should be given to a child in doses of
+from three to five grains, in the form of powder, rubbed up with sugar of
+milk.</p>
+
+<p><b>Ipecac</b> (<i>Cephælis Ipecacuanha).</i>In large doses Ipecac is a
+systemic emetic. In small doses, it exerts a specific influence upon the
+mucous membranes, relieves nausea and irritation, and subdues inflammation.
+In cholera infantum it is an invaluable remedy, if given in very small
+doses. By allaying irritation of the stomach and restoring tone and
+functional activity to it and <span class="pagenum"><a name="Page_340"
+id="Page_340"></a>[pg 340]</span>the bowels, it gradually checks the
+discharges and brings about a healthy condition. It is also valuable in
+dysentery, and is borne in large doses. As an emetic the dose is, of
+powder, five to ten grains in warm water; of fluid extract, ten to twenty
+drops.</p>
+
+
+
+<p class="figure"><a name="advise114"><img width="40%" alt="Illustration:
+Fig. 132. Lobelia. " src="images/advise114.png" /></a><br />Fig. 132.
+Lobelia. </p>
+
+<p><b>Lobelia</b> (<i>Lobelia Inflata</i>), sometimes known as Indian
+Tobacco, or Emetic-weed. The herb and seeds are used. This is a powerful,
+systemic emetic, but very depressing. <i>Dose</i>&mdash;Of <span
+class="pagenum"><a name="Page_341" id="Page_341"></a>[pg 341]</span>the
+powdered leaves, fifteen to twenty grains; of the infusion, one to three
+ounces; of the fluid extract, ten to fifteen drops.</p>
+
+<p><b>Boneset</b> (<i>Eupatorium Perfoliatum).</i> <i>Dose</i>&mdash;Of the warm
+infusion or decoction, two to three ounces; of the fluid extract, one
+teaspoonful in hot water: of the concentrated principle, Eupatorin, two to
+five grains.</p>
+
+
+<h4>EMMENAGOGUES.</h4>
+
+
+<p>Emmenagogue is a term applied to a class of medicines which have the
+power of favoring the discharge of the menses. We shall mention only a few
+of those which are best adapted to domestic use.</p>
+
+
+
+<p class="rfigure"><a name="advise115"><img width="90%" alt="Illustration:
+Fig. 133. Pennyroyal. " src="images/advise115.png" /></a><br />Fig. 133.
+Pennyroyal. </p>
+
+<p><b>Pennyroyal</b> (<i>Hedeoma Pulegioides).</i> Pennyroyal, used freely
+in the form of a warm infusion, promotes perspiration and excites the
+menstrual discharge when recently checked. A large draught of the infusion
+should be taken at bed-time. The feet should be bathed in warm water
+previous to taking the infusion.</p>
+
+<p><b>Black Cohosh</b> (<i>Cimicifuga Racemosa).</i> Black Cohosh, known
+also as Black Snake-root, is an effective remedy in uterine difficulties.
+<i>Dose</i>&mdash;Of the tincture, twenty drops; of the fluid extract, ten
+drops.</p>
+
+<p><b>Tansy</b> (<i>Tanacetum Vulgare).</i> Tansy is beneficial in
+suppressed menstruation. <i>Dose</i>&mdash;Of the infusion, from one to four
+fluid ounces.</p>
+
+<p><b>Ergot</b> (<i>Secede Cornutum</i>) in very small doses acts as an
+emmenagogue, and in large doses it checks hemorrhage. The dose as an
+emmenagogue, of the fluid extract, is from two to five drops, and to arrest
+hemorrhage, from half a drachm to two drachms, repeated in from one to
+three hours.</p>
+
+<p><b>Life-root</b> (<i>Senecio Gracilis.</i>) Life-root exerts a peculiar
+influence upon the female reproductive organs, and for this reason has
+received the name of Female Regulator It is very <span class="pagenum"><a
+name="Page_342" id="Page_342"></a>[pg 342]</span>efficacious in promoting
+the menstrual flow, and is a valuable agent in the treatment of uterine
+diseases. <i>Dose</i>&mdash;Of the decoction, four fluid ounces three or four
+times a day; of the fluid extract, from one-fourth to one-half
+teaspoonful.</p>
+
+<p><b>Motherwort</b> (<i>Leonurus Cardiaca</i>). Motherwort is usually
+given in warm infusion, in suppression of the menses from cold.
+<i>Dose</i>&mdash;Of the decoction, from two to three fluid ounces every one or
+two hours.</p>
+
+<p><b>Dr. Pierce's Favorite Prescription</b> is an efficient remedy in
+cases requiring a medicine to regulate the menstrual function. Full
+directions accompany every bottle.</p>
+
+<p><b>Dr. Pierce's Compound Extract of Smart-weed</b> is an excellent
+emmenagogue. Dr. Eberle, a very celebrated medical writer, and author of a
+work on medicine which is very popular with the profession, says that he
+has used the "Extract of Smart-weed" in twenty cases of amenorrhea
+(suppressed menstruation), and affirms "with no other remedy or mode of
+treatment have I been so successful as with this." Full directions
+accompany every bottle. It is sold by all druggists.</p>
+
+
+<h4>EXPECTORANTS.</h4>
+
+
+<p>Expectorants are medicines which modify the character of the secretions
+of the bronchial tubes, and promote their discharge. Most of the agents of
+this class are depressing in their influence and thus interfere with
+digestion and healthy nutrition. Their application is very limited, hence
+we shall dismiss them without further consideration.</p>
+
+
+<h4>LINIMENTS.</h4>
+
+
+<p>Liniments are medicines designed for external application. The benefits
+arising from their use depend upon their derivative power, as well as upon
+the anodyne properties which many of them possess, rendering them
+efficacious for soothing pain. We cannot mention a more valuable agent of
+this class than</p>
+
+<p><b>Dr. Pierce's Compound Extract of Smart-weed.</b> As an external
+application this preparation subdues inflammation and relieves pain. For
+all wounds, bruises, sprains, bee-stings, insect and snake-bites,
+frost-bites, chilblains, caked breast, swollen glands, rheumatism, and, in
+short, for any and <span class="pagenum"><a name="Page_343"
+id="Page_343"></a>[pg 343]</span>all ailments, whether afflicting man or
+beast, requiring a direct external application, either to allay
+inflammation or soothe pain, the Extract of Smart-weed cannot be
+excelled.</p>
+
+
+<h4>NARCOTICS.</h4>
+
+
+<p>A narcotic is a remedy which, in <i>medicinal</i> doses, allays morbid
+sensibility, relieves pain, and produces sleep; but which, in overdoses,
+produces coma, convulsions, and death. The quantity necessary to produce
+these results varies in different individuals. We shall mention a few of
+those most frequently employed.</p>
+
+
+
+<p class="figure"><a name="advise116"><img width="40%" alt="Illustration:
+Fig. 134. Henbane." src="images/advise116.png" /></a><br />Fig. 134.
+Henbane.</p>
+
+<p><b>Henbane</b> (<i>Hyoscyamus Niger</i>). The leaves and seeds are used.
+Henbane, in large doses, is a powerful narcotic and dangerously poisonous.
+In medicinal doses, it is anodyne and antispasmodic; it allays pain,
+induces sleep, and arrests spasms. <span class="pagenum"><a name="Page_344"
+id="Page_344"></a>[pg 344]</span><i>Dose</i>&mdash;Of the fluid extract, five to
+ten drops; of the solid extract, from one-half to one grain; of the
+concentrated principle, Hyoscyamin, from one-twelfth to one-fourth of a
+grain.</p>
+
+<p><b>Indian Hemp</b> (<i>Cannabis Indica</i>). An East Indian plant.
+<i>Dose</i>&mdash;Of the extract, from one-fourth to one-half grain, of the
+tincture, from three to eight drops; of the fluid extract, from two to five
+drops. The plant known as Indian Hemp, growing in this country, possesses
+very different qualities.</p>
+
+
+
+<p class="figure"><a name="advise117"><img width="40%" alt="Illustration:
+Fig. 135. Stramonium. " src="images/advise117.png" /></a><br />Fig. 135.
+Stramonium. </p>
+
+<p><b>Stramonium</b> (<i>Datura Stramonium</i>). Stramonium, also known as
+Thorn-apple, in large doses is a powerful narcotic poison. In medicinal
+doses it acts as an anodyne and antispasmodic. <i>Dose</i>&mdash;Of extract
+of the leaves, from one-half to one grain; of
+the fluid extract, from three to six drops.</p>
+
+
+<p><span class="pagenum"><a name="Page_345" id="Page_345"></a>[pg
+345]</span></p><h4>NERVINES.</h4>
+
+
+<p>These are medicines which act on the nervous system, soothing excitement
+and quieting the condition known as "nervousness."</p>
+
+<p><b>Hops</b> (<i>Humulus Lupulus</i>). <i>Dose</i>&mdash;Of infusion, one to
+three ounces; of the fluid extract, one-fourth to one-half teaspoonful of
+the concentrated principle, Humulin, two to three grains.</p>
+
+
+
+<p class="figure"><a name="advise118"><img width="40%" alt="Illustration:
+Fig. 136. Scull-cap. " src="images/advise118.png" /></a><br />Fig. 136.
+Scull-cap. </p>
+
+<p><b>Scull-cap.</b> (<i>Scutellaria Lateriolia</i>). The herb is used. It
+is also known as Mad-dog Weed. This is a valuable remedy. <i>Dose</i>&mdash;Of
+infusion, one to two ounces, of the fluid extract, ten to twenty drops; of
+the concentrated principle, <i>Scutellarin</i>, one to two grains.</p>
+
+<p><b>Lady's Slipper</b> (<i>Cypripedium Pubescens</i>). The root is <span
+class="pagenum"><a name="Page_346" id="Page_346"></a>[pg 346]</span>used.
+<i>Dose</i>&mdash;Of the infusion, one-half to one-ounce; of <b>the</b> fluid
+extract, one-fourth to one-half teaspoonful; of the concentrated principle,
+Cypripedin, one to two grains.</p>
+
+<p><b>Pulsatilla</b> (<i>Pulsatilla Nigricans).</i> We employ the German
+tincture, prepared from the green herb. In many of the distressing nervous
+complications to which both males and females are subject in certain
+diseases of the generative organs, we have found it very effectual. The
+dose is from two to eight drops.</p>
+
+<p><b>Dr. Pierce's Favorite Prescription.</b> This is a tonic nervine of
+unsurpassed efficacy, combined in such a manner, that, while it quiets
+nervous irritation, it strengthens the enfeebled nervous system, restoring
+it to healthful vigor. In all diseases involving the female reproductive
+organs, with which there is usually associated an irritable condition of
+the nervous system, it is unsurpassed as a remedy. It is also a uterine and
+general tonic of great excellence. It is sold by all druggists.</p>
+
+
+<h4>SEDATIVES.</h4>
+
+
+<p>Sedatives are a class of agents which control excitation of the
+circulation, and diminish irritability of the nervous system.</p>
+
+<p><b>Aconite</b> (<i>Aconitum Napellus</i>), The parts used are the root
+and leaves. Aconite slows the pulse, diminishes arterial tension, and
+lowers the temperature of the body in fevers. It is an effectual remedy in
+acute inflammation of the tonsils and throat, in acute bronchitis, in
+inflammation of the lungs, and pleurisy, in the hot stage of intermittent
+and remittent fevers, in the eruptive fevers, in fever arising from a cold,
+and in some forms of neuralgia. Acute suppression of the menses from a
+cold, may be relieved by the tincture of aconite in drop doses every hour.
+<i>Dose</i>&mdash;Of the tincture of the root, from one-half of a drop to two
+drops, in a spoonful of water, in acute fevers and inflammations, from
+one-half drop to one drop should be administered every half hour or hour,
+according to the severity of the symptoms.</p>
+
+<p><b>Peach Tree</b> (<i>Amygdalus Persica</i>). Peach tree leaves and bark
+are slightly sedative, but the chief use which we have found for these
+articles is to control nausea and vomiting arising from irritability of the
+stomach. It also possesses mild, tonic properties. <i>Dose</i>&mdash;Of infusion
+at the <span class="pagenum"><a name="Page_347" id="Page_347"></a>[pg
+347]</span>bark of the small twigs or of the leaves, from two to six
+teaspoonfuls.</p>
+
+
+
+<p class="figure"><a name="advise119"><img width="40%" alt="Illustration:
+Fig. 137. American Hellebore. " src="images/advise119.png" /></a><br />Fig.
+137. American Hellebore. </p>
+
+<p><b>American Hellebore</b> (<i>Veratrum Viride</i>) is also known as
+White Hellebore, Indian Poke, or Swamp Hellebore. The root is the part
+used. It is a most valuable agent with which to <span class="pagenum"><a
+name="Page_348" id="Page_348"></a>[pg 348]</span>control the frequent,
+strong, bounding pulse common to many febrile and inflammatory diseases.
+When the pulse is hard, incompressible, and bounding, this remedy is more
+effectual than aconite. <i>Dose</i>&mdash;Of the tincture and fluid extract,
+from one to two drops, repeated every half hour to two hours, according to
+the severity of the symptoms. This remedy should be given in very small
+doses, frequently repeated, if we would secure its best effects. Our
+favorite mode of administering both veratrum and aconite is to add ten
+drops of the tincture to ten or fifteen teaspoonfuls of water, of which one
+teaspoonful may be administered every hour.</p>
+
+<p><b>Yellow Jessamine</b> (<i>Gelseminum Sempervirens</i>). The root is
+the part used. Through its controlling effect over the sympathetic nervous
+system, this agent exerts a marked influence in controlling morbid
+excitability of the circulatory organs. It allays irritation, and
+determination of blood to the brain, indicated by flushed face, contracted
+pupils, irritability, and restlessness, a frequent condition in diseases
+incident to childhood. Its concentrated principle, Gelsemin, is an
+efficient remedy in bloody-flux or dysentery. It should be administered in
+very small doses to secure the best results. Only one-sixteenth to
+one-eighth of a grain is required, repeated every two hours. It should be
+triturated with sugar of milk or with common white sugar, in the proportion
+of one grain to ten of sugar. <i>Dose</i>&mdash;Of tincture, from five to
+fifteen drops; of fluid extract, three to six drops; of Gelsemin, as a
+sedative, one-fourth to one-half grain.</p>
+
+
+<h4>STIMULANTS.</h4>
+
+
+<p>Stimulants are medicines which have the power of increasing the vital
+activity of the body. Some have a very transient action, while others are
+more permanent in effect.</p>
+
+<p><b>Cayenne Pepper</b> (<i>Capsicum Annuum</i>). Cayenne Pepper is a
+powerful stimulant. <i>Dose</i>&mdash;Of the powder, from one to six grains,
+administered in milk; of the tincture, from five to ten drops, largely
+diluted in milk or water.</p>
+
+<p><b>Black Pepper</b> (<i>Piper Nigrum</i>). Black Pepper is a warm,
+carminative stimulant. <i>Dose</i>&mdash;From five to fifteen grains; of the
+fluid extract, from ten to fifteen drops.</p>
+
+<p><span class="pagenum"><a name="Page_349" id="Page_349"></a>[pg 349]</span></p>
+
+
+<p class="rfigure"><a name="advise120"><img width="90%" alt="Illustration:
+Fig. 138. Prickly-ash. " src="images/advise120.png" /></a><br />Fig. 138.
+Prickly-ash. </p>
+
+<p><b>Prickly-ash</b> (<i>Xanthoxylum Fraxineum).</i> Prickly-ash bark is a
+stimulant and tonic. The parts used are the bark and leaves.
+<i>Dose</i>&mdash;Of the fluid extract, from five to fifteen drops; of the
+tincture, ten to twenty drops; of the active principle, Xanthoxylin, one to
+two grains.</p>
+
+<p><b>Alcohol</b> is a powerful stimulant. It is never used in its pure
+state in medicine, but when diluted forms a useful remedy in many diseases.
+It is generally employed in the form of whiskey, gin, rum, brandy, and
+wine.</p>
+
+<p><b>Ammonia</b> is an excellent stimulant. <i>Dose</i>&mdash;Of the carbonate,
+from three to five grains; of the sesquicarbonate, from five to ten grains;
+this is the same as the carbonate, which has been exposed to the air and
+slacked (powdered hartshorn); of the aromatic spirit, from one-half to one
+teaspoonful. The Aqua Ammonia and Liquor Ammonia are of such variable
+strength that they are seldom employed internally, but may be applied
+externally and taken by inhalation.</p>
+
+<p><b>Dr. Pierce's Compound Extract of Smart-Weed.</b> This quickly
+diffusible stimulant and genial anodyne we have spoken of under the head of
+Anodynes. But its medicinal properties equally entitle it to a place and
+mention under the class of stimulants. As a stimulant it spurs the nervous
+system and arouses the circulatory forces. Congestion of the lungs, liver,
+bowels, or uterus, embarrasses the functions <span class="pagenum"><a
+name="Page_350" id="Page_350"></a>[pg 350]</span>of these organs.
+Frequently this congestive difficulty may be entirely obviated, and the
+circulation of the blood restored to the surface of the body, by the
+administration of a few doses of this pleasant remedy. Thus it often acts
+like magic in giving relief, promoting the circulation, and restoring the
+organs to their accustomed functional activity. Full directions accompany
+every bottle.</p>
+
+
+<h4>TONICS.</h4>
+
+
+<p>Tonics are remedies which moderately exalt the energies of all parts of
+the body, without causing any deviation of healthy function. While
+stimulants are transient in their influence, tonics are comparatively
+permanent.</p>
+
+
+
+<p class="lfigure"><a name="advise121"><img width="90%" alt="Illustration:
+Fig. 139. White Poplar. " src="images/advise121.png" /></a><br />Fig. 139.
+White Poplar. </p>
+
+<p><b>White Poplar</b> (<i>Liriodendron Tulipfera</i>), called also
+American Poplar, or White Wood. The part used is the inner bark. This is a
+mild but valuable tonic for domestic use. <i>Dose</i>&mdash;Of the infusion,
+from one-half to one ounce; of tincture, from one to two teaspoonfuls.</p>
+
+<p><b>Chamomile</b> (<i>Anthemis Nobilis</i>). The part used is the
+flowers. This is a mild, unirritating tonic. <i>Dose</i>&mdash;Of infusion
+(one-fourth ounce of flowers to a pint of water) one-half to one ounce.</p>
+
+<p><b>Gentian</b> (<i>Gentiana Lutead</i>). The root is the part used. This
+is a favorite domestic tonic in many localities. <i>Dose</i>&mdash;Of powdered
+root, five to ten grains; of the tincture, ten to twenty drops; of the
+fluid extract, five to ten drops, four or five times a day.</p>
+
+<p><b>Nux Vomica</b> (<i>Strychnos Nux Vomica</i>), or Dog Button. This is
+a powerful tonic. It increases innervation and is particularly valuable in
+cases marked by feeble circulation and general impairment of muscular
+power. In overdoses it is poisonous, and hence must be employed with much
+caution. <i>Dose</i>&mdash;Of the tincture, three to five drops; of the fluid
+extract, <b>one to three drops.</b></p>
+
+<p><span class="pagenum"><a name="Page_351" id="Page_351"></a>[pg
+351]</span><b>Willow</b> (<i>Salix Alba</i>). Willow is a tonic and an
+astringent. <i>Dose</i>&mdash;Of the decoction, from one to two fluid ounces; of
+the concentrated principle, Salicin, from two to four grains.</p>
+
+
+
+<p class="figure"><a name="advise122"><img width="40%" alt="Illustration:
+Fig. 140. Dogwood." src="images/advise122.png" /></a><br />Fig. 140.
+Dogwood.</p>
+
+<p><b>Dogwood</b> (<i>Cornus Florida</i>). Dogwood, also known Boxwood, is
+tonic, astringent, and slightly stimulant. <i>Dose</i>&mdash;Of the solid
+extract, from three to five grains; of the infusion, from one to two
+ounces; of the fluid extract, from ten to twenty drops.</p>
+
+<p><b>Wafer-ash</b> (<i>Ptelea Trifoliata</i>), also called Swamp Dogwood.
+The bark is used. This is a pure, unirritating tonic. <i>Dose</i>&mdash;Of
+tincture, one-half to one teaspoonful; of fluid extract ten to twenty
+drops; of the infusion, one to two fluid ounces.</p>
+
+<p><span class="pagenum"><a name="Page_352" id="Page_352"></a>[pg 352]</span></p>
+
+
+<p class="figure"><a name="advise123"><img width="40%" alt="Illustration:
+Fig. 141. Golden Seal. " src="images/advise123.png" /></a><br />Fig. 141.
+Golden Seal. </p>
+
+<p><b>Golden Seal</b> (<i>Hydrastis Canadensis</i>). Golden Seal is a
+powerful and most valuable tonic. It is a valuable local remedy when used
+as a general injection in leucorrhea. <i>Dose</i>&mdash;Of the powder, from ten
+to thirty grains; of the tincture, from one-half to one fluid drachm; of
+the fluid extract, from ten to twenty drops; of the concentrated principle,
+Hydrastin, from two to three grains; of the muriate of hydrastia, from
+one-half to one grain.</p>
+
+<p><span class="pagenum"><a name="Page_353" id="Page_353"></a>[pg 353]</span></p>
+
+
+<p class="figure"><a name="advise124"><img width="40%" alt="Illustration:
+Fig. 142. American Colombo. " src="images/advise124.png" /></a><br />Fig.
+142. American Colombo. </p>
+
+<p><b>American Colombo</b> (<i>Frasera Carolinensis</i>). American Colombo
+is a simple tonic. <i>Dose</i>&mdash;Of the powdered root, from ten to fifteen
+grains; of the infusion one-half to one fluid ounce, three or four times a
+day; of the active principle, Fraserin, one to three grains.</p>
+
+<p><span class="pagenum"><a name="Page_354" id="Page_354"></a>[pg 354]</span></p>
+
+
+<p class="figure"><a name="advise125"><img width="40%" alt="Illustration:
+Fig. 143. Gold Thread. " src="images/advise125.png" /></a><br />Fig. 143.
+Gold Thread. </p>
+
+<p><b>Gold Thread</b> (<i>Coptis Trifolia</i>). Gold Thread is a pure and
+powerful, bitter tonic, and is also efficacious as a wash for sore mouth or
+as a gargle. <i>Dose</i>&mdash;Of the decoction, from two to six fluid drachms;
+of the tincture, from one-half to two teaspoonfuls; of fluid extract, from
+ten to twenty drops.</p>
+
+<p><b>Iron</b> (<i>Ferrum</i>). Different preparations of iron are
+frequently prescribed by physicians. They are particularly valuable in
+anæmic conditions of the system. The following are a few of the
+preparations of this metal most generally used:</p>
+
+<p><b>Iron by Hydrogen</b> (<i>Ferri Redactum</i>). <i>Dose</i>&mdash;One to two
+grains.</p>
+
+<p><b>Carbonate of Iron</b> (<i>Ferri Carbonas</i>). <i>Dose</i>&mdash;One to
+three grains.</p>
+
+<p><b>Citrate of Iron</b> (<i>Ferri Citras</i>). <i>Dose</i>&mdash;One to three
+grains.</p>
+
+<p><b>Pyrophosphate of Iron</b> (<i>Ferri Pyrophosphas</i>).
+<i>Dose</i>&mdash;One to three grains.</p>
+
+<p><span class="pagenum"><a name="Page_355" id="Page_355"></a>[pg
+355]</span><b>Tincture of Muriate of Iron</b> (<i>Tinctura Ferri
+Chloridi).</i> <i>Dose</i>&mdash;Three to twenty drops.</p>
+
+<p><b>Dr. Pierce's Favorite Prescription.</b> The Favorite Prescription, in
+addition to those properties already described, likewise combines tonic
+properties. In consequence of the never ceasing activities of the bodily
+organs, the system requires support, something to permanently exalt its
+actions. In all cases of debility, the Favorite Prescription tranquilizes
+the nerves, tones up the organs and increases their vigor, and strengthens
+the system. Directions for use accompany every bottle.</p>
+
+<p><b>Dr. Pierce's Golden Medical Discovery.</b> In addition to the
+alterative properties combined in this compound, it possesses important
+tonic qualities. While the Favorite Prescription exerts a tonic influence
+upon the digestive and nutritive functions, the Golden Medical Discovery
+acts upon the excretory glands. Besides, it tends to retard unusual waste
+and expenditure. This latter remedy tones, sustains, and, at the same time
+regulates the functions. While increasing the discharge of noxious elements
+accumulated in the system, it promptly arrests the wastes arising from
+debility, and the unusual breaking down of the cells incident to quick
+decline. It stimulates the liver to secrete, changes the sallow complexion,
+and transforms the listless invalid into a vigorous and healthy being. At
+the same time, it checks the rapid disorganization of the tissues and their
+putrescent change, while it sustains the vital processes. It is, therefore,
+and indispensable remedy in the treatment of many diseases.</p>
+
+<p><span class="pagenum"><a name="Page_356" id="Page_356"></a>[pg
+356]</span></p><hr />
+
+
+
+
+<h2><a name='IIICHAPTER_III'></a>CHAPTER III.</h2>
+
+<h1>BATHS AND MOTION AS REMEDIAL AGENTS.</h1>
+
+
+<p>The remedial effects of bathing are generally underrated. This want of
+appreciation is more often due to the improper manner in which it is
+performed than to an insufficiency of curative virtues. The term
+<i>bathing</i> not only implies a cleaning of the body or certain portions
+of it, but also the application of water in such a manner as to influence
+the nervous system, and regulate the functions of the secretory organs.
+Cleanliness, while it preserves health and promotes recovery, has reference
+only to the hygienic influences of water and not to its curative effects.
+There are several kinds of baths, the names of which indicate their
+character, manner of application, or the part of the body to which they are
+applied. Among others, we have Cold, Cool, Temperate, Tepid, Warm, Hot, Hot
+Air, Russian, Turkish, Vapor, Electric, Sea, Shower, Sponge, Douche, Foot,
+Sitz, Head, Medicated, Alkaline, Acid, Iodine, and Sulphur Baths.
+Temperature influences the properties of any bath; thus the sponge, sitz,
+and alkaline baths may be employed warm or cold, according to the effect
+desired.</p>
+
+<p><b>The Cold Bath</b>, used at a temperature of from 40&deg; to 60&deg;
+Fahr., is powerfully sedative, and is employed for its tonic effects. If
+the vital powers are low, or the individual remains in it too long (two or
+three minutes should be the limit), the reaction is slow and its effects
+injurious. While it is highly invigorating to robust persons, those who
+have a low standard of vitality should be cautions in its employment. A
+local bath <span class="pagenum"><a name="Page_357" id="Page_357"></a>[pg
+357]</span>may be followed by beneficial results, when a general bath would
+be inadmissible. For these reasons we advise the general use of the</p>
+
+<p><b>Cool Bath</b>, at a temperature of from 60&deg; to 75&deg; Fahr. If,
+in any instance, the <i>reaction</i> is <i>slow</i>, we recommend the</p>
+
+<p><b>Temperate Bath</b>, at a temperature of from 75&deg; to 80&deg; Fahr.
+The time of remaining in the bath should be regulated by the strength of
+the invalid. As a rule, it should not exceed three <i>minutes</i>, and the
+colder the water the less time should the patient be immersed. Immediately
+after emerging from any bath, the body should be thoroughly dried and
+rubbed with a moderately coarse towel until a glow is experienced and
+reaction is fully established. The attempt to toughen children by exposing
+them to low temperatures of either air or water, cannot be too emphatically
+condemned. This caution, however, does not apply to the employment of
+moderately cool water for ablutions. The cold or cool bath should be taken
+in the early part of the day, but <i>never during digestion</i>. Whenever
+reaction does not follow bathing, artificial means must be resorted to, as
+stimulating drinks, dry warmth, or exercise.</p>
+
+<p><b>The Tepid Bath</b>, the temperature of which is from 85&deg; to
+92&deg; Fahr., is generally used for cleansing the body. It is prescribed
+in fevers and inflammatory affections for its cooling effects. It is
+usually medicated with some acid or alkali. The latter unites with the oily
+secretion of the skin and forms a soapy compound easily removed by the
+water. The temperature should be regulated according to the vitality of the
+patient; and the bath may be repeated two or three times a day. It removes
+superfluous heat, and keeps the skin in a condition favorable for
+excretion.</p>
+
+<p><b>The Warm Bath</b>, at a temperature varying from 92&deg; to 98&deg;
+Fahr., is always agreeable and refreshing. It equalizes the circulation and
+softens the skin, by removing all impurities. It moderates pain and soothes
+the whole system. It does not weaken or debilitate the person, but is in
+every way beneficial. It is an efficient, remedial agent in many chronic
+diseases, convulsions, spasmodic affections of the bowels, rupture,
+rheumatism, and derangement of the urino-genital organs. It should be
+employed immediately before going to bed unless <span class="pagenum"><a
+name="Page_358" id="Page_358"></a>[pg 358]</span>urgent symptoms demand it
+at other times. It may be medicated or not, as circumstances require, but
+should always be taken in a warm room.</p>
+
+<p><b>The Hot Bath</b> at a temperature of from 98&deg; to 110&deg; Fahr.
+is a powerful stimulant. It excites the nerves, and through them the entire
+system. It causes a sense of heat and a constriction of the secretory
+organs; but perspiration, languor, and torpor soon follow. In the sudden
+retrocession of cutaneous diseases, it restores the eruptions to the
+surface and gives speedy relief. The hot bath may be applied locally when
+circumstances require.</p>
+
+<p><b>The Russian Bath</b> consists in the application of hot vapor, at a
+temperature varying from 112&deg; to 200&deg; Fahr. The patient is first
+subjected to a moderately warm temperature, which is gradually increased as
+he becomes inured to it, the head being surrounded with cloths wet in cold
+water. Upon emerging from it, the bather is plunged into cold water or
+receives a cool, shower bath. In rheumatic and cutaneous diseases, chronic
+inflammations, and nervous affections, the Russian bath is an effective
+remedy.</p>
+
+<p><b>The Turkish Bath</b> is a, dry, hot-air bath. The bather passes from
+one apartment to another, each one being of a higher temperature than the
+preceding. He undergoes a thorough shampooing, and, although the person may
+be scrupulously clean, he will be astonished at the amount of effete matter
+removed by this process. The bather then returns through the various
+apartments, and, upon emerging from that of the lowest temperature, he
+experiences a delightful sensation of vigor and elasticity.</p>
+
+<p>As a hygienic agent, the hot-air bath has been' constantly growing in
+favor. Its value is now recognized by all physicians throughout the world.
+The judicious use of the Turkish bath serves to secure perfect equalization
+of the circulation. Glandular activity is increased, elasticity and power
+given to the muscles, and a permanent, stimulating and tonic influence
+imparted to the system, a condition at once conducive to the enjoyment and
+prolongation of life. Dr. Erasmus Wilson, of England, says, in a paper read
+before the London Medical Association: "The inhabitant of a large city
+would live as <span class="pagenum"><a name="Page_359"
+id="Page_359"></a>[pg 359]</span>healthy, immured within city walls, as
+amid the fields and meadows of the country. His bath would be to him in the
+place of a country house or horse&mdash;it would give him air, exercise,
+freshness, health, and life."</p>
+
+<p>"The bath that cleanses the inward as well as the outward man; that is
+applicable to every age; that is adapted to make health healthier, and
+alleviate disease, whatever its stage or severity, deserves to be adopted
+as a national institution, and merits the advocacy of all medical men; of
+those whose especial duty it is to teach how health may be preserved, and
+how disease may be averted."</p>
+
+<p>The hot, <i>dry</i> atmosphere of the Turkish bath promotes rapid
+evaporation from the surface of the body, and it is well known that rapid
+evaporation from the surface is a cooling process. A person's finger may be
+frozen in one minute's time, by throwing upon it a constant, fine spray of
+rhigolene or sulphuric ether. The rapid evaporation of the light fluid
+congeals the liquids of the tissues and a film of ice is rapidly formed
+upon the part. In a less intense degree the same cooling process is carried
+on over the whole surface of a person, when in the hot room, or
+<i>sudatorium</i>, of the Turkish bath. The evaporation from the surface is
+so rapid that one can hardly appreciate the profuseness of the perspiration
+going on. The evaporation from the surface so rapidly carries off the heat
+from the body that one finds himself able, with little or no inconvenience,
+to remain in a room heated to from 180&deg; to 200&deg; or even 220&deg;
+Fahr.</p>
+
+<p>As a hygienic measure to be regularly or occasionally employed by
+persons in fair health, the Turkish or hot dry-air bath is far superior to
+the Russian or vapor-bath. (1.) It produces more profuse perspiration, and
+is therefore more depurating, or cleansing, in its effects. (2.) It does
+not relax the system, but rather produces a tonic effect, and fewer
+precautions are, therefore, necessary to guard against taking cold after
+employing it. (3.) The Turkish bath can be better ventilated than the
+Russian. While the air is heated to a high temperature, it can be readily
+kept pure by constant changes. In the Turkish hot-rooms, or
+<i>sudatorium</i>, of the Invalids' Hotel and Surgical Institute, provision
+is made for bringing underneath the floors a current of fresh air from
+without. This column of <span class="pagenum"><a name="Page_360"
+id="Page_360"></a>[pg 360]</span>fresh air is carried under the centre of
+each room where it escapes from the conductor, is warmed, and rises into
+the room, from which extraction of air is constantly going on through
+registers opening into tubes, communicating with large ventilated shafts
+which are kept hot, summer and winter, to insure a draught through them. In
+this manner, thorough ventilation of our Turkish hot-rooms is insured.</p>
+
+<p>The Turkish bath not only combines a most agreeable luxury with a
+decidedly invigorating and tonic influence, but also, by its stimulating
+power, induces proper glandular and cellular activity, producing a healthy
+condition.</p>
+
+<p>Sallowness, tan, and freckles, the result of local or general increase
+of the pigment granules of the skin, soon disappear under the stimulating
+influence and regular use of the Turkish bath, which causes rapid
+development of new and transparent cells. The colored granules are thus
+gradually replaced and the skin assumes a beautiful clearness and purity of
+appearance, which transcends immeasurably the unhealthy hue that follows
+the frequent employment of the various cosmetics.</p>
+
+<p>The value of an agent which thus improves the general health, insures
+immunity from coughs, colds, and other diseases, and at the same time
+produces a healthy and permanent beauty of complexion, is at once apparent.
+The purity of person, perfect circulation, increase of healthy nutrition
+and glandular activity produced by the Turkish bath, serve to make it of
+the most lasting utility.</p>
+
+<p>The eminent Dr. Madden has said, and his experience is confirmed by
+every regular patron of the bath, that, "Wherever the Turkish bath was a
+national institution the hair of the women was peculiarly luxurious and
+beautiful. I can vouch for it that the use of the bath rendered the
+complexion more delicate and brilliant; that the eyes became clearer and
+brighter; all the personal charms were enhanced. I can recommend no
+hygienic measure more beneficial or effectual in preserving the health and
+an attractive personal appearance."</p>
+
+<p>Pimples, blotches, eruptions, and other disfigurations of the skin are
+removed by the frequent use of the Turkish bath, leaving the integument
+smooth and soft.</p>
+
+
+
+<p class="rfigure"><a name="advise126"><img width="90%" alt="Illustration:
+Fig. 144. First Hot-room of the Turkish Bath. " src="images/advise126.png"
+/></a><br />Fig. 144. First Hot-room of the Turkish Bath. </p>
+
+<p><span class="pagenum"><a name="Page_361" id="Page_361"></a>[pg
+361]</span><b>How the Turkish Bath is Administered at the Invalid's Hotel
+and Surgical Institute</b>. The hot-rooms, of which there are two, are
+exactly similar in every respect except as regards temperature. The first
+room has a temperature of from 110&deg; to 120&deg; Fahr. The bather is
+supplied by the attendant every few minutes with copious draughts of cool
+water. Gradually the relaxing influence of the elevated temperature
+manifests itself. The capillaries slowly dilate, the veins enlarge under
+its gentle stimulus, and small points of perspiration appear upon the
+surface, which assumes a slight, rosy blush. A delightful calm, a feeling
+of perfect rest and luxurious ease is imparted to the senses. From this
+room, after an appropriate interval, the bather enters the second room, in
+which the atmosphere is higher by from 20&deg; to 30&deg;, and it may be
+made still higher, its regulation requiring but an instant.</p>
+
+
+
+<p class="lfigure"><a name="advise127"><img width="90%" alt="Illustration:
+Fig. 145. One of the Shampooing rooms." src="images/advise127.png"
+/></a><br />Fig. 145. One of the Shampooing rooms.</p>
+
+<p>A thorough sweating occurs while the subject remains in these rooms,
+during a period of from ten to forty minutes. The secretions of the skin,
+at first impure and loaded with the <i>d&eacute;bris</i> of dead cells and
+extraneous matter, gradually become purer, and clearer, until, finally, all
+trace of color disappears and the pearly drops of sweat come full and free.
+Soon the attendant appears and leads the <span class="pagenum"><a
+name="Page_362" id="Page_362"></a>[pg 362]</span>way to the
+shampooing-room, where, lying upon a warm marble slab, <i>massage</i> is
+applied most thoroughly to every portion of the body.</p>
+
+<p>By the <i>massage</i>, shampooing, or rubbing, the superficial veins are
+thoroughly emptied of their contents, the muscles are given elasticity and
+tone, and glandular activity is promoted. Innumerable dead epithelial
+cells, together with other impurities, are rolled off in flakes under the
+skillful manipulation of the attendant.</p>
+
+<p>After a thorough shampooing, the shower bath is applied, to secure a
+contraction of the capillaries and a diminution of the perspiration.</p>
+
+<p><b>The Spirit Vapor-bath</b> is very effective when employed in the
+earlier stages of acute, febrile, inflammatory, and painful diseases. In
+many forms of chronic diseases the administration of a spirit vapor-bath
+once in from three to fifteen days, is a valuable adjunct to the treatment
+of these affections. It exerts an exceedingly beneficial influence upon the
+entire system, and, when habitually employed, may ward off disease.</p>
+
+<p>The body should be moistened with an alkaline solution before the
+administration of a spirit vapor-bath. After the perspiration which it
+occasions has subsided, which will usually be in from three to four hours,
+sponge the body with a mixture of the following ingredients: water, three
+gills; alcohol, one gill; salt, one teaspoonful. By this method the patient
+experiences none of the unpleasant effects which generally follow the
+employment of diaphoretics. Various kinds of apparatus have been devised to
+facilitate the application of the spirit vapor-baths. Most of them are
+cumbersome and expensive, and, consequently, are seldom used except in
+hospitals or sanitariums.</p>
+
+<p>The following method described by Dr. J. King, may be advantageously
+employed.</p>
+
+<p>"The patient is undressed, ready for getting into bed, having removed
+the clothing worn through the day and put on a night shirt or other
+clothing to be worn while sweating, and during the night, if the bath is
+taken at bed-time. He is then seated on a high Windsor or wooden-bottomed
+chair, or instead thereof, a bench or board may be placed on a common
+open-bottomed chair, care being taken that the bottom is so covered <span
+class="pagenum"><a name="Page_363" id="Page_363"></a>[pg 363]</span>that
+the flame will not burn him. After seating himself, a large coverlet or
+blanket is thrown around him from behind, covering the back of his head and
+body, as well as the chair, and another must be passed around him in front,
+which last is to be pinned at the neck, loosely, so that he can raise it
+and cover his face, or remove it down from the face from time to time as
+occasion demands during the operation of the bath. The blankets must reach
+down to the floor, and cover each other at the side, so as to retain the
+vapor. This having been done, a saucer or tin vessel, into which is put one
+or two tablespoonfuls of whiskey, brandy, alcohol, or any liquor that will
+burn, is then placed upon the floor, directly under the centre of the
+bottom of the chair, raising a part of the blanket from behind to place it
+there; then light a piece of paper, apply the flame to the liquor, and as
+soon as it kindles let down the part of the blanket which has been raised,
+and allow the liquor to burn until it is consumed, watching it from time to
+time to see that the blankets are not burned. As soon as consumed, put more
+liquor into the saucer, about as much as before, and again set it on fire,
+being careful to put no liquor into the saucer while the flame exists, as
+there would be danger of setting fire to the blanket, and producing injury
+to the patient. Continue this until the patient perspires freely, which, in
+a majority of cases, will be in five or ten minutes."</p>
+
+<p>"If, during the operation the patient feels faint or thirsty, cold water
+must be sprinkled or dashed in his face, or he may drink one or two
+swallows of it,&mdash;and in some cases the head may be bathed with cold water.
+As soon as free perspiration is produced, wrap the blankets around him,
+place him in bed, and cover him up warm, giving him about a pint of either
+some good store tea, ginger, or some diaphoretic herb tea to drink, as warm
+as he can take it. After two or three hours, remove the covering, piece by
+piece, at intervals of twenty or twenty-five minutes each, that he may
+gradually cease perspiring."</p>
+
+<p>The above method may be improved by using an ordinary hoop skirt, ten to
+twelve inches below the bottom of which is suspended a larger and stronger
+hoop. The upper and smaller hoops should rest upon the patient's shoulders.
+A woolen blanket, large enough to reach and rest upon the floor, and <span
+class="pagenum"><a name="Page_364" id="Page_364"></a>[pg 364]</span>envelop
+the whole person, is thrown over the hoops. Unless the bath is employed to
+diminish the quantity of fluids in the body (as in dropsy), the patient may
+drink some simple, diaphoretic infusion, to hasten or facilitate
+perspiration. When he perspires freely, small quantities of cold water may
+be frequently given. "There is little or no danger of taking cold after
+this process, if ordinary precaution is observed, and it is easy,
+agreeable, safe, and effectual."</p>
+
+<p>"Occasionally we will meet with patients, upon whom it is almost
+impossible to produce the slightest moisture, much less perspiration. The
+skin of such persons is generally dry and harsh, communicating an
+unpleasant sensation to the touch. In most instances the skin may be
+restored to its normal condition, by adopting the following course: 1st.
+Anoint the whole surface of the body and limbs with olive oil every night
+upon retiring to bed. 2nd. Every morning wash the whole surface with a
+warm, weak, alkaline solution, employing considerable friction while
+drying. 3rd. Every two weeks administer a spirit vapor-bath. A perseverance
+in this course for a few months will accomplish the desired result."</p>
+
+<p>Frequent reference to spirit vapor-baths will be made by the author of
+this work, in speaking of those diseases in which its employment will prove
+beneficial.</p>
+
+<p><b>Sea Bathing</b> is an excellent, remedial agent in chronic disorders,
+particularly in those of an atonic character, such as nervous prostration,
+dyspepsia, and general debility.</p>
+
+<p>Much of the benefit attributed to this mode of bathing is undoubtedly
+due to other influences, such as pure air, exercise, change of scenery,
+diet, and associations which surround the patient during his sojourn at the
+sea-shore.</p>
+
+<p>At first, the duration of a sea-bath should not exceed three or five
+minutes, but it may be gradually prolonged to fifteen or twenty minutes. If
+the patient is very feeble, one or two baths a week are sufficient, and the
+most robust person should never take more than one a day. They should
+always be taken in the earlier portion of the day, before breakfast if
+possible, and <i>never during digestion</i>.</p>
+
+<p>Before entering this bath, a moderate degree of exercise should always
+be taken, enough to arouse the vital energies, but <span class="pagenum"><a
+name="Page_365" id="Page_365"></a>[pg 365]</span>not to produce fatigue.
+Suitably dressed, the patient plunges into the water, in which he remains
+during the prescribed time. Immediately after emerging from the bath, the
+patient should be thoroughly dried and dressed and then moderate exercise
+should be taken to induce reaction. If the reaction is slow, a mild
+stimulant may be taken and the duration of the bath must be diminished the
+next time. When sea-bathing is beneficial improvement is soon manifested.
+The blood becomes richer, the whole system is strengthened and the
+functions are performed with more regularity. To the rich, sea-bathing is a
+luxury, but it is a remedy beyond the reach of the poorer classes unless
+they live near the sea-shore.</p>
+
+<p><b>The Shower Bath</b> produces a shock to the nervous system by
+suddenly coming in contact with the skin. Numerous streams of cold water
+fall upon the neck, shoulders, and body of the patient who stands beneath
+the hose or reservoir. When the patient is plethoric, feeble, or nervous,
+or when some internal organ is diseased, the cold, shower bath should
+<i>not</i> be employed. In simple debility unaccompanied by inflammation or
+symptoms of internal congestion, its use proves advantageous. By moderating
+the force of the shower, and substituting tepid water, the most delicate
+persons can endure it and profit thereby. The usual means for inducing a
+good reaction, friction, and exercise, should be employed.</p>
+
+<p><b>The Douche Bath</b> consists of a stream of water, dashed or thrown
+upon the patient from a moderate height or distance, with considerable
+force. The size, temperature, and force of the stream may be modified to
+suit the exigencies of the case. It is locally employed as a remedy for
+sprains, weak or stiff joints, old swellings, etc. The cold, douche bath is
+more powerful than the shower bath and should be given with the same
+precautions which govern the application of the latter.</p>
+
+<p><b>The Sponge Bath</b> admits of extensive employment in both acute and
+chronic diseases, and its simplicity renders it of untold value. It
+consists in a general or local application of water (medicated or not) at
+any desired temperature. The quantity may be great or small to suit the
+requirements of the case. If it is applied in acute diseases at a
+temperature agreeable to the patient, it is exceedingly grateful and may be
+<span class="pagenum"><a name="Page_366" id="Page_366"></a>[pg
+366]</span>repeated as often as necessary. It may be rendered alkaline by
+the addition of some compound of soda, in the proportion of a teaspoonful
+to a quart of water. A portion of the body may be bathed at a time, and
+quickly dried, thus avoiding any exposure to cold. It removes excessive
+animal heat, relaxes the capillaries, equalizes the circulation, and
+produces comfort, tranquility, and sleep.</p>
+
+<p>Nothing is more conducive to the health and comfort of laboring men in
+summer than a daily bath, and it is a matter of regret that there are so
+few conveniences for the purpose in most homes, especially those in the
+country. Farmers in particular need bathing facilities, and yet in most
+cases they are almost entirely without them. For their benefit we will
+describe a device which we can recommend to all who want a cheap,
+convenient, and easily managed apparatus for sponge bathing in the
+bed-room.</p>
+
+<p>The articles required are a piece of rubber-cloth a yard and a quarter
+square, four slats, two inches wide and three feet long, notched at the
+ends so as to lock together in the form of a square, and a large sponge.
+The slats are placed upon the floor and the rubber cloth is spread over
+them (there is no need of fastening it to the slats), forming a shallow
+square vessel a yard wide. In this the bather stands and applies the water
+with a sponge from a basin or bowl on a stand placed conveniently near.
+There need be no danger of wetting the carpet, or spoiling the
+furniture.</p>
+
+<p>When the bath is finished, gather three corners of the rubber cloth in
+the left hand, take the fourth corner in the right in such a way as to form
+a spout when lifted or held over the slop-jar or bucket. The water may be
+poured out in a moment, when the cloth should be spread over the back of a
+chair to dry, and the slats unlocked and set away in a closet.</p>
+
+<p><b>The Foot Bath</b> is frequently employed, as a means of causing
+diaphoresis, in colds, attacks of acute diseases, and also to draw the
+blood from the head or some internal organ. It is a powerful auxiliary in
+the treatment of those chronic diseases in which inflammation, congestion,
+and a feeble circulation are prominent symptoms. The water should be as hot
+as it can be borne and the temperature kept up by additions of hot water.
+<span class="pagenum"><a name="Page_367" id="Page_367"></a>[pg
+367]</span>It may be made stimulating by the addition of salt, mustard,
+ginger, or cayenne pepper.</p>
+
+<p><b>The Sitz Bath</b>. A tub is so arranged that the patient can sit down
+in it while bathing. In this manner the lower part of the abdomen, hips,
+and upper part of the thighs, are immersed in whatever fluid the bath is
+composed of. It is applicable in diseases of the pelvic organs, and may be
+hot, warm, cool, cold, or medicated, according to the effect desired.</p>
+
+<p>The bath tub should be large enough to permit a thorough rubbing and
+kneading of the diseased parts, and the patient may remain in it from ten
+to thirty minutes. The clothing may be wholly or partially removed, as
+agreeable to the individual. A <i>warm</i>, sitz bath is an effective,
+remedial adjunct in menstrual suppression and in painful menstruation,
+gravel, spasmodic and acute inflammatory affections generally. The
+<i>cold</i>, sitz bath is used as a tonic in cases of relaxed tissues of
+the pelvis, in debility of the urino-genital organs, in piles, prolapsus of
+the rectum, and in constipation.</p>
+
+<p><b>The Head Bath</b>. A shallow basin contains the fluid for the bath;
+and the patient, assuming a recumbent position, immerses a portion of the
+head, generally the back part. The temperature may be warm, cool, or cold,
+as desired.</p>
+
+<p><b>Medicated Baths</b> are infusions of vegetable or other substances in
+water. They are sometimes applied with the sponge, though generally the
+patient is immersed. The temperature at which they are usually employed is
+that of the tepid bath. The nature and strength of the medication depends
+upon the character of the disease for which it is employed.</p>
+
+<p><b>The Alkaline Bath</b> is prepared by dissolving half a pound of
+carbonate of soda in sixty gallons of water. It is useful in those diseases
+in which the fluids of the body are abnormally acid, as in rheumatism.</p>
+
+<p><b>The Acid Bath</b> is prepared by adding two pounds of muriatic or
+hydrochloric acid to sixty gallons of water. A much smaller quantity of the
+acid is sometimes used, and in some instances vinegar is substituted.</p>
+
+<p><i>Scott's Acid Bath</i> is composed of nitro-muriatic acid (aqua regia)
+and water. It should be prepared in a wooden tub, and a sufficient quantity
+of acid used to give the water a sour taste. <span class="pagenum"><a
+name="Page_368" id="Page_368"></a>[pg 368]</span>It is extensively used in
+India as a remedy for disorders of the liver.</p>
+
+<p><b>The Iodine Bath</b> is composed of the following ingredients:
+tincture of iodine, two drachms; iodide of potassium, four drachms; water,
+forty gallons. It should be prepared in a wooden tub. It reddens the skin.
+For children, a much weaker solution must be employed. Its use is generally
+restricted to scrofulous and tubercular affections.</p>
+
+<p><b>The Sulphur Bath</b> is prepared by dissolving eight ounces of
+sulphuret of potassium and two ounces of dilute sulphuric acid in sixty
+gallons of water. The acid may be omitted.</p>
+
+<p><b>A Sulphur Vapor-bath</b> is often employed in cities where the
+necessary apparatus can be procured. It may be improvised by placing
+sulphur on a shovel over hot coals. The patient should be prepared as in
+the spirit vapor-bath, and burning sulphur substituted for the liquor. The
+patient is then enveloped in the fumes of sulphurous oxide. Heating a
+mixture of sulphur and sulphuric acid, produces the same result. If the gas
+is inhaled in large quantities it causes irritation of the respiratory
+passages, and suffocation. It is therefore necessary that the coverings
+should be securely fastened at the neck, and that the room be one which can
+be quickly filled with pure air This bath is used in cutaneous, rheumatic,
+and syphilitic disorders.</p>
+
+<p><b>Fomentations</b> consist of the general or local application of
+woolen cloths wrung out of hot water. They should not be so light as to be
+ineffectual, nor so heavy as to be burdensome. They should not be wet
+enough to drip, nor applied so as to expose the body to the surrounding
+air. A fresh cloth should be ready for application before the first one is
+removed, and the change quickly effected. Fomentations are effectual in
+relieving congestion and inflammation.</p>
+
+<p><b>The Wet Sheet Pack</b>. As this remedial appliance will be frequently
+recommended in the pages following, its mode of application is here
+described. Take a pail half filled with cold water, gather together one end
+of a common cotton sheet, and immerse it, allowing it to remain while
+preparing the bed, which may be done as follows: remove all the bed-clothes
+except a coverlet and the pillows, then spread upon it, in <span
+class="pagenum"><a name="Page_369" id="Page_369"></a>[pg 369]</span>the
+following order, two ordinary comforters, one woolen blanket, one woolen
+sheet, (or two woolen sheets if a woolen blanket is not at hand); then
+wring out one-half or two-thirds of the water from the wet sheet, spread it
+smoothly upon the blanket, and the patient being undressed, places himself
+on the sheet, with his arms extended, while an assistant wraps him closely
+and tightly with it, as quickly as possible. Each arm may be thus covered
+by the wet sheet, or may lie outside of it, and be covered by wet towels,
+prepared in the same manner as the sheet. Then quickly and tightly cover
+with the blankets and comforters, tucking snugly from head to foot. The
+head should also be covered with a wet towel, and a bottle of warm water
+placed to the feet, or near enough to keep them warm.</p>
+
+<p>After the first shock of the chill is over, the pack is very pleasant
+and refreshing, and the patient should go to sleep, if possible. The
+ordinary time for a patient to remain in a pack is about sixty minutes.
+Thirty or forty minutes is sufficient, if he is in a feeble condition.
+Never wring the sheet out of warm water, for one of its principal benefits
+comes from the vigorous reaction induced by its cold temperature. After
+remaining in the pack from thirty to sixty minutes, allow the patient to
+stand on his feet, if he is able, and have the whole surface of his body
+bathed. Rub briskly, and dry with towels, or by throwing over the body a
+dry sheet and then rubbing him. The dry sheet retains the bodily warmth and
+is more comfortable, but interferes with the completeness and vigor of the
+rubbing of the body. Be sure and establish full reaction, which may be
+known by the warmth of the surface. Frequently, when the patient is
+released from the pack, and is being bathed, rolls of scales, scurf, and
+<i>skin-debris</i> come off, thus giving palpable evidence of the utility
+of the pack in freeing the myriads of pores of the skin of effete matter.
+It is efficient in fevers, and for breaking up colds, and is a very
+valuable, remedial agent in most chronic diseases, assisting in removing
+causes which depress the bodily functions.</p>
+
+
+<h4>MOTION IS A REMEDIAL AGENT.</h4>
+
+
+<p>The stability of the planetary system depends upon the converted motion
+of its parts. So in the human system, motion <span class="pagenum"><a
+name="Page_370" id="Page_370"></a>[pg 370]</span>is a fundamental principle
+which underlies every vital process. Health consists in normal, functional
+activity. The human system is the arena of various kinds of motions, both
+of fluids and of solids, and life and health depend upon these
+physiological movements. There are the movements incident to
+<i>respiration</i>, the expansion and contraction of the walls of the
+chest, bringing the oxygen of the air into contact with the blood as it
+circulates through the lungs. Corresponding with the movements of the chest
+are the <i>motions of the abdominal walls</i>, which promote the functions
+of the organs of the abdominal cavity.</p>
+
+<p>There are <i>motions of the heart and arteries</i>, which urge the blood
+out to the extremities and diffuse it through every part of the system, and
+also <i>motion of the blood in the capillaries</i>, by which the blood is
+circulated through the tissues, that the latter may be built up from its
+nutritive constituents. Then there is the <i>motion of the vital
+current</i> in the veins returning towards the heart, and urged forward by
+the muscular and pump-like action of the chest and abdominal walls. The
+peristaltic <i>motions of the stomach and bowels</i> urge onward digesting
+materials, exposing them successively to different solvents and aiding the
+absorption of nutritive matter. No less essential to life and health are
+numerous other minute operations or <i>motions</i>, on which vital power in
+all its manifestations of muscular and nervous energy depends. Many other
+<i>motions</i> are consequent upon decay, growth, and repair. Oxygen,
+carbonic acid, watery vapors, and other gaseous matter are constantly being
+exchanged between the system and atmosphere. Then, the human system being a
+complex, chemical laboratory, there are <i>motions consequent upon chemical
+action</i>, constantly going on within it.</p>
+
+<p><i>Muscular motion</i>, under the direction of the will, is also
+absolutely necessary for the maintenance of good health.</p>
+
+<p>Animal heat and muscular and nervous power are dependent upon motions of
+the minutest particles composing the body. The body is composed of fluid
+and semi-fluid matter, permitting great freedom of motion. Health requires
+that there shall be <i>a constant change of place</i>, an active
+transmission of material to and from vital organs and parts, through the
+medium of <span class="pagenum"><a name="Page_371" id="Page_371"></a>[pg
+371]</span>blood-vessels, as well as outside such vessels; that is, motion
+of interstitial fluids.</p>
+
+<p><b>Nature's mode of Sustaining Health.</b> The act of transforming
+latent, non-vital force which exists pent-up in food, as heat is in coal,
+into vital energy, requires the simultaneous elimination from the system of
+a like amount of worn-out matter. Assimilation of nutritive materials is
+impossible, unless a like amount of matter be eliminated from the system.
+Muscular and nervous energy are dependent upon activities which cause
+waste. Not only is this true in a general way, but it is also true that the
+energy produced by the operations of the vital system has a strict relation
+to the wasting products&mdash;that <i>full</i> energy is only attained by
+<i>perfected</i> waste. Use, waste, and power, then, sustain definite and
+dependent or corresponding relations, since waste is as essential to health
+as is supply.</p>
+
+<p>Without waste, disturbance is at once produced in the system similar to
+that resulting from the introduction of foreign matter. These disturbances
+constitute disease. The more obvious effects of lack of waste and
+elimination are mechanical. The circulation is loaded with effete and
+useless matter, the vessels being thereby weakened and distended, and the
+circulation retarded. The capillaries become clogged and vital action is
+diminished. Local congestions, inflammations, effusions, morbid growths,
+and other pathological results follow.</p>
+
+<p>Deranged or suppressed action characterizes, and, indeed, constitutes
+all departures from health which we call disease. Suffering indicates
+action, but action which is perverted into wrong channels, or action in one
+part at the expense of motion in other parts, constituting a disturbance in
+the equilibrium of forces, from which the system suffers.</p>
+
+<p><b>Value or Mechanical Movements and manipulations for the Treatment of
+Chronic Diseases.</b> To correct and restore deranged movements, thereby
+producing normal, functional activity of every organ and part of the
+system, must therefore be the chief object of the physician. All remedies,
+of whatever school or nature, imply motion, and depend for their efficacy
+upon their ability to excite motion in some one or more elements, organs,
+or parts of the system.</p>
+
+<p><span class="pagenum"><a name="Page_372" id="Page_372"></a>[pg
+372]</span>While we do not wish to detract from the real merits of medicine
+as a curative agent, yet we must admit that the remedial power of motion,
+transmitted either manually or mechanically, is founded upon rational and
+physiological principles. All systems of medicine, however much they may
+differ superficially, propose, as the chief end to be attained by the
+administration of medicine, or by other treatment, that <i>motions</i>
+identical with physiological activity should be incited or promoted. How
+best to accomplish this result, and with least cost to vitality, is an
+important consideration. Bearing in mind the conservation of forces, that
+energy or power is as indestructible as matter, that it may be changed into
+other forms but never lost, it is plain that mechanical force may be
+applied to the living system and transformed into vital energy; that
+chemical action, animal heat, and magnetism may represent in the system the
+mechanical force transmitted to the body. Keeping in view the transformable
+nature of force, and the need that our systems have of auxiliary power in
+different departments, when normal activity is impaired by disease, we can
+readily understand how undoubted, curative effects result from either the
+manual or the mechanical administration of motion.</p>
+
+<p><b>Rubbing</b> is a process universally employed by physicians of every
+school for the relief of a great diversity of distressing symptoms, is
+instinctively resorted to by sympathizers and attendants upon the sick, and
+constitutes one of the chief duties of the nurse. Uncivilized people resort
+to this process as their principal remedy in all forms of disease.</p>
+
+<p>The difficulty in administering motion as a remedial agent by manual
+effort, such as rubbing, kneading, oscillating, flexing, and extending the
+limbs, lies in the impossibility of supplying the <i>amount, intensity</i>,
+and <i>variety</i> of movement required to make it most effective. The
+power of the arm and the strength of the operator are exhausted before the
+desired effect is produced. Inventive genius has at last overcome the
+obstacles to the successful and perfect administration of motion as a
+curative agent. We have now a series of machines propelled by mechanical
+power, by the use of which we rub, knead, manipulate, and apply in
+succession a great variety of movements to all parts of the body. These
+machines transmit motion to <span class="pagenum"><a name="Page_373"
+id="Page_373"></a>[pg 373]</span>the body from inexhaustible sources, never
+tire, but are ever ready for new, remedial conquests. The movements
+administered by their use, <i>while entirely under the control of the
+patient</i>, are never disagreeable, and are far more rapid and intense
+than can possibly be given by the hands. By the application of short, quick
+movements of from <i>twelve to fifteen hundred vibrations a minute</i>,
+deep-seated organs and parts are reached, to which motion is transmitted
+and in which vital energy is thereby generated. The hands have not the
+power, by kneading, manipulating, or rubbing to impress the system except
+in a very mild degree, and deep-seated organs and parts are scarcely
+influenced by the comparatively slow movements thus administered. Among the
+most important, mechanical inventions devised for administering motion as a
+remedial agent, is one which has received the name of the
+<i>manipulator</i>.</p>
+
+<p><b>The Manipulator</b>. With this machine motion can be applied to any
+organ or part of the system, and intensity of the application regulated to
+a nicety. The rapidity of motion necessary to produce active exhilaration
+of any part of the body is easily secured by the use of the manipulator,
+but is far beyond the power of the hands. The degree of circulation given
+to the fluids, both inside and outside of the vessels, and of energy
+imparted to the organs and parts operated upon by the manipulator, is also
+unapproachable by the application of manual power.</p>
+
+<p><b>Effects Upon the Circulation and Nutrition</b>. The influence of
+motion on these functions is as follows: The contents of the blood-vessels
+are moved onward by the pressure and motion transmitted by the manipulator,
+all backward movement of the blood being prevented by the valves of the
+veins and by the propelling power of the heart and arteries. Fluids outside
+these vessels pass through their walls, to take the place of the stagnant
+blood that has been moved onward. Other blood flows into the part, and thus
+active and healthy circulation is induced, and nutritive material, capable
+of affording vital support is also brought to refresh the local part.</p>
+
+<p>We have found mechanical movements especially effectual in paralysis,
+neuralgia, sleeplessness, and other nervous affections; in derangements of
+the liver, constipation, and dyspepsia; in <span class="pagenum"><a
+name="Page_374" id="Page_374"></a>[pg 374]</span>displacements of the
+uterus, and congestion, and inflammation of the pelvic organs.</p>
+
+<p>For a complete description of the mechanical movements and the machinery
+employed in the treatment of diseases at the Invalids' Hotel and Surgical
+Institute, the reader is referred to the appendix to this work.</p>
+
+<p><span class="pagenum"><a name="Page_375" id="Page_375"></a>[pg
+375]</span></p><hr />
+
+
+
+
+<h2><a name='IIICHAPTER_IV'></a>CHAPTER IV.</h2>
+
+<h1>HYGIENIC TREATMENT OF THE SICK.</h1>
+
+
+<p>There are two essentials requisite to the successful treatment of the
+sick: (1.) Medical skill; (2.) Good nursing. The former is necessary in
+order that the condition of the patient be fully understood, and the proper
+means be employed to effect his recovery. The latter is essential, in order
+that all influences favoring the production and development of disease may
+be removed, the tendencies to restoration be promoted by every possible
+means, and the directions of the physician be properly observed.</p>
+
+<p>Success in the treatment of the sick requires good nursing. Without it,
+the most skillful physicians fail to effect a cure; with it, the most
+unqualified may succeed. If certain hygienic agencies are essential to the
+maintenance of health, how much more necessary it is that they be employed
+in sickness! If certain conditions cause disease, how great the necessity
+is that such conditions be obviated and hygienic ones substituted!</p>
+
+<p>Notwithstanding the importance of good nursing, in the rural districts
+it is frequently difficult to find a professional nurse, or, if one can be
+obtained, it is often impossible for the invalid to procure such services,
+on account of the expense which must necessarily be incurred. Hence, this
+office usually devolves upon some relative who is considered to be the best
+qualified for the position; or, as is often the case, necessity demands
+that the patient be left to a change of nurses. A woman is generally
+selected for this important position. Her <span class="pagenum"><a
+name="Page_376" id="Page_376"></a>[pg 376]</span>soft hand and soothing
+voice, her kindly, sympathetic, and provident nature, together with her
+scrupulous cleanliness, render her man's equal, if not his superior, in the
+capacity of nurse. There are circumstances, however, in which the services
+of a man are indispensable; hence the necessity that all should be
+qualified to care for the sick.</p>
+
+<p>A nurse should be attentive to the requirements of physician and
+patient, for she sustains an intimate relation to both. She should observe
+the directions of the physician, and faithfully perform them. She should
+note all the symptoms of the patient, and do everything in her power to
+promote comfort and recovery. She should anticipate the wishes, and not
+cause the patient to ask for everything which is desired. So far as
+practicable, let the wishes be gratified. The senses of the sick often
+become morbidly acute, and those things which in health would pass
+unnoticed, in sickness are so magnified as to occasion annoyance and
+vexation. Sick persons are not all alike, and the peculiarities of each
+must be studied separately. The nurse must be <i>kind</i>, but <i>firm</i>,
+and not yield to such whims of the patient as may be detrimental to
+recovery; neither must she arouse dislike or anger by opposition, but
+endeavor to <i>win</i> the patient from all delusions. The feelings of the
+patient should never be trifled with, for idealities become realities.</p>
+
+<p>The nurse should possess an inexhaustible store of patience. Disease
+affects the mind of the patient and fills it with strange delusions. The
+sick are often querulous, fretful, and unreasonable, and should be treated
+with kindness, forbearance, and sympathy. The nurse should always be
+cheerful, look on the bright side of every circumstance, animate them with
+encouragement, and inspire them with hope. Hope is one of the best of
+tonics. It stimulates the flagging, vital energies, and imparts new life to
+the weak and exhausted forces. Gloom, sadness, and despondency depress the
+vital forces and lead to death. We have seen patients rapidly sinking, who
+had given up all hope, and were quietly awaiting the coming of death,
+snatched, as it were, from its grasp, and restored to health, by words of
+cheer and encouragement.</p>
+
+<p>The nurse should possess <i>moral principles</i>, which alone can <span
+class="pagenum"><a name="Page_377" id="Page_377"></a>[pg 377]</span>win the
+confidence of the patient. She should have judgment, circumspection,
+intelligence, forethought, alacrity, carefulness, and neatness. In a word
+she should exercise <i>common sense</i>.</p>
+
+<p>We deem it but justice to say a word in behalf of the nurse. She, too,
+is a human being, subject to disease, and, unless hygienic conditions be
+observed, will soon be stricken low by its presence. She must be relieved
+occasionally and get rest, or she cannot long withstand the combined
+influence of fatigue and disease. Her office is an arduous one at best, and
+the long, weary hours of night-watching should be compensated by exercise
+in the open air, as well as by sleep during the day. Unless this be done,
+the system will become exhausted, and sleep will intrude itself upon her at
+the time when the greatest diligence is required for the welfare of the
+patient, when the vital powers are at their lowest ebb. She should be
+supplied with plenty of suitable food during the night, to sustain her and
+to serve as a safeguard against the invasion of disease. She should be
+treated with kindness and respect, else her disposition may become morose
+and reflect itself upon the patient, causing peevishness and
+despondency.</p>
+
+<p><b>The Sick-room</b> should be as comfortable, cheerful, and pleasant,
+as circumstances will allow. Let the room be large and airy, and furnished
+with a stove, or better still, a fireplace. All articles of clothing and
+furniture, not necessary to the comfort of the patient, should be removed
+from the room, and in <i>malignant</i> or <i>contagious</i> diseases the
+carpets, even, should not be permitted to remain. The surroundings beget
+happiness or gloom, in proportion as they are pleasant or disagreeable. A
+tidy attendant, a few flowers and books, wonderfully enhance the
+cheerfulness of the room. Permit no unnecessary accumulation of bottles, or
+any thing that can in any way render the room unpleasant. Medicines, drink,
+or nourishment should never be left uncovered in the sick-room, since they
+quickly absorb the gaseous emanations from the patient, and become unfit
+for the purpose which they were intended to serve. Their presence gives the
+room an untidy appearance, suggestive of filth and slovenliness, and
+imparts to the patient a feeling of loathing and disgust for articles of
+diet.</p>
+
+<p><b>The Bed</b> should not be of feathers, on account of their <span
+class="pagenum"><a name="Page_378" id="Page_378"></a>[pg 378]</span>undue
+warmth, which causes a sensation of languor throughout the system. A husk
+or sea-grass mattress, or even a straw bed, covered with a cotton quilt, is
+far preferable. The bedding should be changed frequently. It is better that
+the bed should be away from the wall, so as to admit of greater freedom of
+movement about it.</p>
+
+<p><b>Pure Air</b>. The air in the sick-room should be kept as pure as
+possible. That which is so necessary in health, is indispensable in
+sickness. The importance, therefore, of a perfect and free ventilation of
+the sick-room cannot be too thoroughly impressed; and yet to properly
+secure this end, may call forth a considerable amount of ingenuity on the
+part of the nurse. A window should be open, but the current of air must not
+be allowed to blow directly upon the patient. One window may be raised from
+the bottom and another lowered from the top. This will permit the entrance
+of pure air from without, and the exit of the vitiated air from within. The
+patient, if sufficiently covered in bed, is not liable to take cold from a
+proper ventilation of the room. Especially is this true, when the bodily
+temperature is raised by febrile or inflammatory affections. The
+<i>temperature</i> of a room is no indication of the <i>purity</i> of the
+air. It is a prevalent, but mistaken notion, that when a room is cold, the
+air must be pure. Cold air is as readily contaminated with impurities as
+warm air, therefore, it is not sufficient that the room be kept cool, but
+the air should be frequently changed. During convalescence, great care is
+necessary to protect the patient from taking cold. Air which is admitted
+into the sick-room should not be contaminated by passing over foul drains,
+privies, or other sources of infection, since, instead of invigorating, it
+depresses the physical forces and generates disease.</p>
+
+<p><b>Light</b> is as necessary to health as is pure air. Banish either for
+any continuous period of time, and serious results follow. The strong,
+robust man, when deprived of light, soon degenerates into a feeble, sickly
+being, and finally dies.</p>
+
+<p>According to the investigations of the Massachusetts Medical Society, it
+was found that absence of sunlight, together with moisture, not only favor
+the development of tubercular consumption, but act as an exciting cause. It
+is well known that <span class="pagenum"><a name="Page_379"
+id="Page_379"></a>[pg 379]</span>persons living in shaded dwellings often
+suffer from forms of disease which resist all treatment until proper
+admission of light is secured.</p>
+
+<p>The physician to the Emperor of Russia found upon examination that
+patients confined in well lighted wards, were four times as liable to
+recover as were those in poorly lighted rooms. Children reared away from
+the sunlight are apt to be deformed and idiotic, while those partially
+deformed have been restored by being admitted to the light.</p>
+
+<p>Patients sometimes wish to have their rooms darkened, because the light
+is painful to their weak and sensitive eyes. It is far better to shade the
+eyes and admit the sunlight into the room, since its rays cause chemical
+changes to take place, which favor the return of health. Many invalids can
+ascribe their recovery to the influence of a sun bath. There are, however,
+conditions in which the patients should be screened from the light. In such
+cases a little arrangement of the curtains or shutters will accomplish all
+that is to be desired.</p>
+
+<p>Patients convalescing from acute, or suffering from chronic diseases,
+should receive the influence of light in the open air, and be in it several
+hours every day. Light and pure air stimulate a healthful development,
+induce cheerfulness, hope, and recovery, while darkness begets gloom,
+sadness, despondency, disease, and ultimately death.</p>
+
+<p><b>Warmth</b> is essential to the well-being of the patient, and it is
+necessary that a proper temperature be maintained in the room. Except in
+very warm weather, a little fire should be kept in the room, and at the
+same time fresh air should be admitted from without, and a uniform
+temperature thus preserved. This arrangement is especially necessary in
+localities where great variations in temperature are experienced during the
+day and night.</p>
+
+<p>The normal temperature of the body ranges from 98&deg; to 99&deg; Fahr.
+The minimum occurs from 2 to 6 A.M.; the maximum, from 1 to 6 P.M. The
+deviation of a few degrees from this standard indicates disease, and the
+greater the deviation, the greater is its severity. During the early stages
+of acute diseases, the animal heat is generally increased, and should be
+allayed by bathing, and cooling or acidulated drinks. In the <span
+class="pagenum"><a name="Page_380" id="Page_380"></a>[pg 380]</span>latter
+stages, the temperature becomes diminished and the condition of the system
+is favorable to congestions, which are most likely to occur between the
+hours of 2 and 6 A.M., when the vital powers are lowest. The patient then
+becomes feeble, his extremities grow cold, and he has what is termed a
+"sinking spell," and perhaps dies. It is during these hours that additional
+covering, the application of hot bricks to the feet, and bottles of hot
+water to the limbs and body, friction upon the surface, stimulating drinks,
+and increased vigilance on the part of the nurse will often save the
+patient's life. But, unfortunately, at these hours the nurse is apt to get
+sleepy and inattentive, the demands of the patient go unheeded, and a
+sacrifice of life is the result.</p>
+
+<p>Persons suffering from chronic diseases, or those in feeble health,
+should preserve their vital energies by dressing warmly, by wearing
+flannels next to the skin, and by carefully protecting the feet from cold
+and moisture.</p>
+
+<p><b>Cleanliness</b> cannot be too thoroughly impressed upon the minds of
+those who have the care of the sick. Filthiness is productive of disease
+and favorable to its development. Bathing at least once a day, with pure,
+soft water and toilet-soap, is strongly urged, and as this is designed for
+cleanliness, the temperature of the bath should be made agreeable to the
+patient.</p>
+
+<p><b>The Clothing and Bedding of the Patient</b> in acute diseases, should
+be changed frequently and thoroughly aired, if not washed. As soon as
+removed, these articles should be taken from the room, replaced by others
+<i>well aired and warmed.</i> The hands and face of the patient should be
+bathed frequently, the hair combed, the teeth brushed, the nails cleaned,
+the lips moistened, and everything about him kept clean and tidy. These
+observances, although in themselves trifling, promote comfort and
+cheerfulness, and contribute largely to the recovery of the sick. All
+excretions from the patient should be buried, and not committed to privies
+to communicate disease to those who frequent them.</p>
+
+<p><b>The Diet</b> contains a very important relation to health. During the
+process of acute disease, the appetite is generally much impaired, if not
+entirely absent. It should then be the study of the nurse to devise such
+articles of nourishment as will <span class="pagenum"><a name="Page_381"
+id="Page_381"></a>[pg 381]</span>be acceptable to the patient and suitable
+to the condition. The food should be light, nutritious, and easy of
+digestion.</p>
+
+<p>Each individual disease requires a diet adapted to its peculiarities.
+Those of an inflammatory character require an unstimulating diet, as gruel,
+barley-water, toast, etc. An exhausted or enfeebled condition of the brain,
+unattended by irritability, demands a stimulating diet, as beef, eggs,
+fish, Graham bread, oysters, etc. In wasting diseases, in which the
+temperature of the system is low, beef, fatty substances, rich milk, sweet
+cream, and other carbonaceous articles of diet are recommended. In the
+various forms of chronic ailments, the diet must be varied according to the
+nature of the disease and the peculiarities of the patient. Deranged
+digestion is generally an accompaniment of chronic disease. A return to
+normal digestion should be encouraged by selecting appropriate articles of
+food, paying due regard to its quantity and quality, as well as to the
+manner and time of eating. The appearance of food, and the manner in which
+it is offered, have much to do with its acceptance, or rejection by the
+patient. Let the nourishment be presented in a nice, clean dish, of a size
+and shape appropriate to the quantity. More food than can be eaten by the
+patient should not be placed before him at one time, since a great quantity
+excites disgust and loathing. In taking nourishment, drink, or medicine,
+the patient, if feeble, should not be obliged to change his position.</p>
+
+<p><b>Milk</b> is one of the most important foods in fevers and acute
+diseases attended with great prostration, and in which the digestive powers
+are enfeebled. It contains within itself all the elements of nutrition.</p>
+
+<p><b>Beef Tea</b> furnishes an excellent nourishment for the sick, but
+there are few, even among professional nurses who know how to properly
+prepare it. We give three good recipes. One method is to chip up lean beef,
+put it in a porcelain or tin saucepan, cover it with <i>cold</i> water, and
+bring it up to just below the boiling point, at which temperature <i>retain
+it</i> for ten minutes, then season and serve. Another method is similar to
+the foregoing, with this difference, that the juices of the meat are
+squeezed through a piece of muslin or crash, making the tea richer. Another
+way, which we consider preferable to <span class="pagenum"><a
+name="Page_382" id="Page_382"></a>[pg 382]</span>either of the above, is to
+take lean beef, cut it into fine bits, put them in a tightly covered
+vessel, which is placed in a kettle of water kept boiling. Thus the whole
+strength of the juice will be obtained from the meat without losing any of
+its properties. It can be seasoned to the taste, and reduced with water to
+suit the needs of the patient.</p>
+
+<p><b>Sleep</b> is "Nature's grand restorer, a balm to all mankind; the
+best comforter of that sad heart whom fortune's spite assails." It is
+necessary in health, and doubly so in sickness. During sleep, the vital
+energies recuperate, the forces are less rapidly expended, and the strength
+increases. It is the great source of rest and refreshment. Often a day's
+rest in bed, free from the cares and anxieties of an active life, is
+sufficient to ward off the approach of disease. If quiet and rest are
+essential to recuperation in health, their necessity in disease must be
+apparent. Life frequently depends on tranquility and repose, and the least
+noise or confusion disturbs the sufferer and diminishes the chances of
+recovery. Nothing annoys sick or nervous persons more than whispering and
+the rustling of newspapers. If conversation be necessary, let the tones be
+modified, but never whisper. In sickness, when the vital forces are low,
+the more natural rest and sleep the patient obtains, the greater is the
+prospect for recovery. As a rule, <i>a patient should never be awakened
+when sleeping quietly</i>, not even to take <i>medicine</i>, unless in
+<i>extreme cases</i>. If the patient does not sleep, the cause should be
+ascertained and the appropriate remedies employed; if it arise from rush of
+blood to the head, cooling lotions should be applied, and warmth to the
+feet; if, from restlessness or general irritability, a sponge bath,
+followed by friction should be administered; if the wakefulness is due to
+noise or confusion, quiet is the remedy. When these means fail, anodynes,
+or nervines, should be employed. Lying on the side instead of on the back
+should be practiced. Patients afflicted with chronic diseases, on rising,
+should take a cold bath, dry the surface quickly with a coarse towel,
+followed by friction with the hand. Great benefit may be derived by
+following these suggestions when the nature of the disease is not such as
+to forbid it.</p>
+
+<p><b>Exercise</b> and rest necessarily alternate with each other. <span
+class="pagenum"><a name="Page_383" id="Page_383"></a>[pg
+383]</span>Exercise, so necessary to health, in many forms of disease
+greatly contributes to recovery. It sends the sluggish blood coursing
+through the veins and arteries with increased force and rapidity, so that
+it reaches every part of the system, supplying it with nourishment. It
+increases the waste of old material and creates a demand for new.</p>
+
+<p>Convalescing patients, or those suffering from chronic diseases,
+whenever the weather will permit, should take exercise every day in the
+open air. This should be done with regularity. The amount of exercise must
+be regulated by the strength of the patient; never take so much as to
+produce fatigue, but, as the strength increases, the exercise may be
+increased proportionately. Some interesting employment, commensurate with
+the patient's strength, should be instituted, so that the mind may be
+agreeably occupied with the body.</p>
+
+<p>When unable to take active exercise, the invalid, properly protected by
+sufficient clothing, should ride in a carriage or boat, and each day a new
+route should be chosen, so that a change of scenery may be observed, thus
+arousing new trains of thought, which will be exhilarating and prove
+beneficial to him.</p>
+
+<p><b>Sexual Influences</b>. During the progress of disease or
+convalescence, entire continence must be observed. It is then necessary
+that all of the vital energies should be employed in effecting a recovery
+from disease, without having the additional tax imposed of overcoming the
+debilitating effects of sexual expenditure. This holds true with regard to
+all diseases, and especially those of the nervous system and genitourinary
+organs.</p>
+
+<p><b>Visiting the Sick</b> may be productive of good or evil results.
+Mental impressions made upon the sick exert a powerful influence upon the
+termination of disease. The chances of recovery are in proportion to the
+elevation or depression of spirits. Pleasant, cheerful associations animate
+the patient, inspire hope, arouse the vital energies, and aid in his
+recovery; while disagreeable and melancholy associations beget sadness and
+despondency, discourage the patient, depress the vital powers, enfeeble the
+body, and retard recovery.</p>
+
+<p>Unless persons who visit the sick can carry with them joy, <span
+class="pagenum"><a name="Page_384" id="Page_384"></a>[pg 384]</span>hope,
+mirth, and animation, they had better stay away. This applies equally in
+acute and chronic diseases. It does not matter what a visitor may
+<i>think</i> with regard to the patient's recovery, <i>an unfavorable
+opinion should never find expression in the sick-room</i>. Life hangs upon
+a brittle thread, and often that frail support is <i>hope</i>. Cheer the
+sick by words of encouragement, and the hold on life will be strengthened;
+discourage, by uttering such expressions as, "How bad you look!" "Why, how
+you have failed since I saw you last!" "I would have another doctor; one
+who knows something!" "You can't live long if you don't get help!" etc.,
+and the tie which binds them to earth is snapped asunder. The visitor
+becomes a <i>murderer!</i> Let all persons be guided by this rule: <i>Never
+go into the sick-room without carrying with you a few rays of
+sunshine!</i></p>
+
+<p>If the patient is very weak the visitor may injure him by staying too
+long. The length of the visit should be graduated according to the strength
+of the invalid. Never let the sufferer be wearied by too frequent or too
+lengthy visits, nor by having too many visitors at once. Above all things,
+do not confine your visitations to Sunday. Many do this and give themselves
+credit for an extra amount of piety on account of it, when, if they would
+scrutinize their motives more carefully, they would see that it was but a
+contemptible resort to save time. The sick are often grossly neglected
+during the week only to be visited to death upon Sunday.</p>
+
+<p><b>The use of Tobacco and Opium</b>. The recovery of the sick is often
+delayed, sometimes entirely prevented, by the habitual use of tobacco or
+opium. In acute diseases, the appetite for tobacco is usually destroyed by
+the force of the disease, and its use is, of necessity, discontinued; but
+in chronic ailments, the appetite remains unchanged, and the patient
+continues his indulgence greatly to the aggravation of the malady.</p>
+
+<p>The use of tobacco is a pernicious habit in whatever form it is
+introduced into the system. Its active principle, Nicotin, which is an
+energetic poison, exerts its specific effect on the nervous system, tending
+to stimulate it to an unnatural degree of activity, the final result of
+which is weakness, or even <span class="pagenum"><a name="Page_385"
+id="Page_385"></a>[pg 385]</span>paralysis. The horse, under the action of
+whip and spur, may exhibit great spirit and rapid movements, but urge him
+beyond his strength with these agents, and you inflict a lasting injury.
+Withhold the stimulants, and the drooping head and moping pace indicate the
+sad reaction which has taken place. This illustrates the evils of
+habitually exciting the nerves by the use of tobacco, opium, narcotic or
+other drugs. Under their action, the tone of the system is greatly
+impaired, and it responds more feebly to the influence of curative agents.
+Tobacco itself, when its use becomes habitual and excessive, gives rise to
+the most unpleasant and dangerous pathological conditions. Oppressive
+torpor, weakness or loss of intellect, softening of the brain, paralysis,
+nervous debility, dyspepsia, functional derangement of the heart, and
+diseases of the liver and kidneys are not uncommon consequences of the
+excessive employment of this plant. A sense of faintness, nausea,
+giddiness, dryness of the throat, tremblings, feelings of fear,
+disquietude, and general nervous prostration must frequently warn persons
+addicted to this habit that they are sapping the very foundation of health.
+Under the continued operation of a poison, inducing such symptoms as these,
+what chance is there for remedies to accomplish their specific action? With
+the system already thoroughly charged with an influence antagonistic to
+their own, and which is sure to neutralize their effect, what good can
+medicine do?</p>
+
+<p>Dr. King says, "A patient under treatment should give up the use of
+tobacco, or his physician should assume no responsibility in his case,
+further than to do the best he can for him." In our own extensive
+experience in the treatment of chronic diseases, we have often found it
+necessary to resort to the same restriction.</p>
+
+<p>The opium habit, to which allusion has also been made, is open to the
+same objections, and must be abandoned by all who would seek recovery.</p>
+
+<p><span class="pagenum"><a name="Page_386" id="Page_386"></a>[pg
+386]</span></p><hr />
+
+<h2><a name='PART_IV'></a>PART IV.</h2>
+
+
+<h1>DISEASES AND THEIR REMEDIAL TREATMENT.</h1>
+
+
+<h4>INTRODUCTION.</h4>
+
+
+<p>Knowledge which is conducive to self-preservation is of <i>primary</i>
+importance. That great educator, profound thinker, and vigorous writer,
+Herbert Spencer, has pertinently said that, "As vigorous health and its
+accompanying high spirits, are larger elements of happiness than any other
+things whatever, the teaching how to maintain them is a teaching that
+yields to no other whatever. And therefore we assert that such a course of
+physiology as is needful for the comprehension of its general truths and
+their bearings on daily conduct is an all-essential part of a rational
+education."</p>
+
+<p>Believing that the diffusion of knowledge for the prevention of disease
+is quite as noble a work as the alleviation of physical suffering by
+medical skill, we have devoted a large portion of this volume to the
+subjects of physiology and hygiene. These we have endeavored to present in
+as familiar a style as possible, that they may be understood by every
+reader. Freely as we have received light upon these subjects have we
+endeavored to reflect it again, in hopes that a popular presentation of
+these matters made plain and easy of comprehension to all people, may lead
+the masses into greater enjoyment of life&mdash;the result of a better
+preservation of health. This we do in part as a public acknowledgment of
+our obligations to society, to whom every professional man is a debtor. He
+belongs to it, is a part of its common stock, and should give as well as
+receive <span class="pagenum"><a name="Page_387" id="Page_387"></a>[pg
+387]</span>advantages, return as well as accept benefits. We know of no
+better way to signify our appreciation of the public confidence and
+patronage, so generously accorded to us, than to offer this volume to the
+people at a price less than the actual cost for an edition of ordinary
+size. This we do as a token of the cordial reciprocation of their good
+will. In giving to the people wholesome advice, by which they may be
+enabled to ward off disease and thus preserve the health of multitudes, we
+believe we shall receive their hearty approval, as well as the approbation
+of our own conscience, both of which are certainly munificent rewards. We
+believe that good deeds are always rewarded, and that the physician who
+prevents sickness manifests a genuine and earnest devotion to the common
+interests of humanity.</p>
+
+<p>We have no respect for the motives of those medical men who would
+withhold that information from the people which will direct the masses how
+to take care of themselves, and thereby prevent much sickness and
+suffering. Nor is the diffusion of such knowledge antagonistic to the best
+interests of the true and competent physician. The necessity for his
+invaluable services can no more be set aside by popularizing physiological,
+hygienic, and medical truths, than we can dispense with those of the
+minister and lawyer by the inculcation of the principles of morality in our
+public schools. The common schools do not lessen the necessity for colleges
+or universities, but rather contribute to their prosperity. Nor are we so
+presumptuous as to anticipate that we could possibly make this volume so
+instructive as to render "every man his own physician." No man can with
+advantage be his own lawyer, carpenter, tailor, and printer; much less can
+he hope to artfully repair his own constitution when shattered by grave
+maladies, which not only impair the physical functions, but weaken and
+derange the mental faculties. What physician presumes to prescribe for
+himself, when suddenly prostrated by serious illness? He very sensibly
+submits to the treatment of another, because he realizes that sickness
+impairs his judgment, and morbid sensations mislead and unfit him for the
+exercise of his skill. If this is true of the physician, with how much
+greater force does it apply to the unprofessional! If a sick sea-captain is
+unfit to stand at the helm and direct his ship, how utterly incompetent
+<span class="pagenum"><a name="Page_388" id="Page_388"></a>[pg
+388]</span>must the raw sailor be when similarly disqualified! Nor is the
+physician as competent to treat those near and dear to him, when they are
+suffering from dangerous illness, as another medical man not similarly
+situated, whose judgment is not liable to be misled by intense anxiety and
+affectionate sympathy.</p>
+
+<p>Notwithstanding all these facts, however, a knowledge on the part of the
+unprofessional, of something more than physiology and hygiene, and
+appertaining more closely to medicine proper, will many times prove
+valuable.</p>
+
+<p>In the first stage of many acute affections which, if unheeded,
+gradually assume a threatening aspect, endangering life and demanding the
+services of the most skilled physician to avert fatal results, the early
+administration of some common domestic remedy, such as a cathartic, or a
+diaphoretic herb, associated with a warm bath, a spirit vapor-bath, or a
+hot foot-bath, will very often obviate the necessity for calling a family
+physician, and frequently save days and weeks of sickness and
+suffering.</p>
+
+<p>So, likewise, are there numerous, acute diseases of a milder character
+which are easily and unmistakably recognized without the possession of
+great medical knowledge, and which readily yield to plain, simple, medical
+treatment which is within the ready reach of all who strive to acquaint
+themselves with the rudiments of medical science. But in sudden and painful
+attacks of acute disease, life may be suddenly and unexpectedly
+jeopardized, and immediate relief prove necessary. While under these
+circumstances the prompt application of such domestic treatment as good
+common-sense may dictate, guided by a knowledge of those first principles
+of medical learning which we shall hereafter endeavor to make plain, may
+result in speedy and happy relief, yet at the same time there should be no
+delay in summoning a competent physician to the bedside of the
+sufferer.</p>
+
+<p>Then, and not the least important, there are the various chronic or
+lingering diseases, from all of which few individuals indeed, who pass the
+meridian of life, entirely escape. In this class of ailments there is
+generally no immediate danger, and, therefore, time may be taken by the
+invalid for studying his disease and employing those remedies which are
+best suited for its removal. <span class="pagenum"><a name="Page_389"
+id="Page_389"></a>[pg 389]</span>Or, if of a dangerous or complicated
+character, and, therefore, not so readily understood, he may consult either
+personally or by letter, some learned and well-known physician, who makes a
+specialty of the treatment of such cases, and whose large experience
+enables him to excel therein.</p>
+
+<p>In consideration, therefore, of the foregoing facts, we deem it most
+profitable for our readers that Part Fourth of this volume should be
+arranged in the following manner:</p>
+
+<p>The milder forms of uncomplicated, acute diseases, which may be readily
+and unmistakably recognized, and successfully managed without professional
+aid, will receive that attention which is necessary to give the reader a
+correct idea of them, and their proper remedial treatment.</p>
+
+<p>We shall devote only such attention to the severe and hazardous forms of
+acute diseases as is necessary in order to consider their initial stage,
+with their proper treatment, not attempting to trace their numerous
+complications, or portray the many pathological conditions which are liable
+to be developed. For, even by devoting much space to the latter, we could
+not expect to qualify our unprofessional readers for successfully treating
+such obscure and dangerous conditions.</p>
+
+<p>We shall devote the largest amount of space to a careful and thorough
+consideration of those chronic diseases, which, by a little study, may be
+readily recognized and understood by the masses, and for the cure of which
+we shall suggest such hygienic treatment and domestic remedies as may be
+safely employed by all who are in quest of relief. In the more dangerous,
+obscure, or complicated forms of chronic diseases, the correct diagnosis
+and successful treatment of which tax all the skill possessed by the
+experienced specialist, the invalid will not be misled into the dangerous
+policy of relying upon his own judgment and treatment, but will be
+counseled not to postpone until too late, the employment of a skillful
+physician.</p>
+
+<p>The apportionment of space which is made in considering the various
+diseases and their different stages, as well as the course which the people
+are advised to pursue under the different circumstances of affliction, is
+not always in accordance with the plans and recommendations which have been
+made by others who have written works on domestic medicine. Most of these
+<span class="pagenum"><a name="Page_390" id="Page_390"></a>[pg
+390]</span>authors have attempted, by lengthy disquisitions, to teach their
+readers how to treat themselves without the services of a physician, even
+in the most hazardous forms of disease. In such dangerous maladies as
+typhoid, typhus, yellow, and scarlet fevers, typhoid pneumonia, and many
+others, in which life is imminently imperiled, such instruction and advice
+is decidedly reprehensible, as it may lead to the most serious
+consequences. We are confident, therefore, that the manner of disposing of
+the different subjects which are discussed in the succeeding chapters, and
+the course of action which is advised, will commend themselves to our
+readers as being such as are calculated to promote and subserve their best
+interests.</p>
+
+
+<h4>MEDICAL DIAGNOSIS.</h4>
+
+
+<p>Skill in the art of healing is indicated in three ways: (1.) by
+ascertaining the <i>symptoms, seat</i>, and <i>nature</i> of the disease,
+which is termed <i>diagnosis</i>; (2.) by foretelling the probable
+termination, which is termed <i>prognosis</i>; (3.) by the employment of
+efficacious and appropriate remedies, which is called <i>treatment</i>. Of
+these three requisites to a prosperous issue, nothing so distinguishes the
+expert and accomplished physician from the mere pretender as his ready
+ability to interpret correctly, the location, extent, and character of an
+affection from its symptoms. By medical diagnosis, then, is understood the
+discrimination between diseases by certain symptoms which are
+distinguishing signs. Every malady is accompanied by its characteristic
+indications, some of which are <i>diagnostic, i.e.</i>, they particularize
+the affection and distinguish it from all others.</p>
+
+<p>Medical diagnosis is both a <i>science</i> and an <i>art</i>; a science
+when the causes and symptoms of a disease are understood, and an art when
+this knowledge can be applied to determine its location and exact nature.
+Science presents the general principles of practice; art detects among the
+characteristic symptoms the differential signs, and applies the remedy. Da
+Costa aptly remarks: "No one aspiring to become a skillful observer can
+trust exclusively to the light reflected from the writings of others; he
+must carry the torch in his own hands, and himself look into every
+recess."</p>
+
+<p>The critical investigation of symptoms, with the view of <span
+class="pagenum"><a name="Page_391" id="Page_391"></a>[pg
+391]</span>ascertaining their signs, is essential to successful practice.
+Without closely observing them, we cannot accurately trace out the
+diagnosis, and a failure to detect the right disease is apt to be followed
+by the use of wrong medicines.</p>
+
+<p>General diagnosis considers the surroundings of the patient as well as
+the actual manifestations of the disease. It takes into account the
+diathesis, <i>i.e.</i>, the predisposition to certain diseases in
+consequence of peculiarities of constitution. We recognize constitutional
+tendencies, which may be indicated by the contour of the body, its growth,
+stature, and temperament, since all these facts greatly modify the
+treatment. Likewise the sex, age, climate, habits, occupation, previous
+diseases, as well as the present condition, must be taken into account.</p>
+
+<p>Auscultation, as practiced in detecting disease, consists in listening
+to the sounds which can be heard in the chest.</p>
+
+<p>Percussion consists in striking upon a part with the view of
+appreciating the sound which results. The part may be struck directly with
+the tips of the fingers, but more generally one or more fingers of the
+other hand are interposed between the points of the fingers and the part to
+be percussed, that they, instead of the naked chest, may receive the blow;
+or, instead of the fingers, a flat piece of bone or ivory, called a
+<i>pleximeter</i>, is placed upon the chest to receive the blow.</p>
+
+<p>Latterly, improved instruments greatly assist the practitioner of
+medicine in perfecting this art. The <i>microscope</i> assists the eye, and
+helps to reveal the appearance and character of the excretions, detecting
+morbid degenerations; <i>chemistry</i> discloses the composition of the
+urine, which also indicates the morbid alterations occurring in the system;
+by percussion we can determine the condition of an internal organ, from the
+sound given when the external surface is percussed; the ear, with the aid
+of the <i>stethoscope</i>, detects the strange murmurs of respiration, the
+fainter, more unnatural pulsations of life, and the obscurer workings of
+disease; with the <i>spirometer</i> we determine the breathing capacity of
+the lungs, and thus ascertain the extent of the inroads made by disease;
+the <i>dynamometer</i> records the lifting ability of the patient; the
+<i>thermometer</i> indicates the morbid variation in the bodily
+temperature; various instruments <span class="pagenum"><a name="Page_392"
+id="Page_392"></a>[pg 392]</span>inform us of the structural changes
+causing alterations in the specific gravity of fluids, <i>e.g</i>., the
+<i>urinometer</i> indicates those occurring in the urine; and thus, as the
+facilities for correct diagnosis increase, the art of distinguishing and
+classifying diseases becomes more perfect, and their treatment more
+certain. While physiology treats of all the natural functions, pathology
+treats of lesions and altered conditions.</p>
+
+
+
+<p class="lfigure"><a name="advise128"><img width="90%" alt="Illustration:
+Fig. 146. Dr. Brown's Spirometer." src="images/advise128.png" /></a><br
+/>Fig. 146. Dr. Brown's Spirometer.</p>
+
+<p>By the term <i>symptoms</i> we mean the evidence of some morbid effect
+or change occurring in the human body, and it requires close observation
+and well-instructed experience to convert these symptoms into diagnostic
+signs. Suppose "Old Probabilities" (as we commonly designate the invaluable
+Signal Department) hangs out his warning tokens all along our lake borders
+and ocean coasts; our sailors behold the fluttering symbols indicating an
+approaching storm, but if no one understood their meaning, a fearful
+disaster might follow. But if these signals are understood, a safe harbor
+is sought and the mariner is protected. So disease may hang out all her
+signals of distress, in order that they may be seen, but unless correctly
+interpreted, and a remedial harbor is sought, these symptoms are of little
+practical value.</p>
+
+<p>Undoubtedly the reason why so many symptom-doctors blunder is because
+they prescribe according to the apparent symptoms, without any real
+reference to the nature of the affection. They fail to discover how far a
+symptom points out the seat, and also the progress of a disease. They do
+not distinguish the relative importance of the different symptoms. The
+practical purpose of all science is to skillfully apply knowledge to
+salutary and profitable uses. The patient himself may carefully note the
+indications, but it is only the expert physician who can tell the import of
+each symptom.</p>
+
+<p><span class="pagenum"><a name="Page_393" id="Page_393"></a>[pg
+393]</span><i>Symptoms</i> are within every one's observation, but only the
+physician knows the nature and value of <i>signs</i>. We have read an
+anecdote of Galen, who was a distinguished physician in his day, which
+illustrates the distinction between sign and symptom. Once, when
+dangerously ill, he overheard two of his friends in attendance upon him
+recount his symptoms, such as "Redness of the face, a dejected, haggard,
+and inflamed appearance," etc. He cried out to them to adopt every
+necessary measure forthwith, as he was threatened with delirium. The two
+friends saw the <i>symptoms</i> well enough; but it was only Galen himself,
+though the <i>patient</i>, who was able to deduce the <i>sign</i> of
+delirium&mdash;that is, he alone was able to translate those symptoms into
+signs. To determine the value of symptoms, as signs of disease, requires
+close observation.</p>
+
+
+<h4>INTERPRETATION OF SYMPTOMS.</h4>
+
+
+<p>We shall refer to a few symptoms which any unprofessional reader may
+readily observe and understand.</p>
+
+<p><b>Position of Patient</b>. When a patient is disposed to lie upon his
+back continually during the progress of an acute disease, it is a sign of
+<i>muscular debility</i>. If he manifests no desire to change his position,
+or cannot do so, and becomes tremulous at the least effort, it indicates
+<i>general prostration</i>. When this position is assumed, during the
+progress of continued fever, and is accompanied by involuntary twitching of
+the muscles, picking of the bed-clothes, etc., then danger is imminent and
+<i>the patient is sinking</i>. Fever, resulting from local inflammation,
+does not produce muscular prostration, and the patient seldom or never
+assumes the supine position. If this inflammation is in the extremities,
+those parts are elevated, in order to lessen the pressure of the blood,
+which a dependent, position increases.</p>
+
+<p>For example, let us change the scene, and introduce a patient with head
+and shoulders elevated, who prefers to sit up, and who places his hands
+behind him and leans back, or leans forward resting his arms and head upon
+a chair. The next week he is worse, and no longer tries to lie in bed, but
+sits up all the time; note the anxious expression of countenance, the
+difficult or hurried breathing, the dry and hacking cough, and observe
+<span class="pagenum"><a name="Page_394" id="Page_394"></a>[pg
+394]</span>that the least exertion increases the difficulty of respiration
+and causes palpitation of the heart. These plain symptoms signify thoracic
+effusion, the collection of water about the lungs.</p>
+
+<p><b>The Countenance</b> displays diagnostic symptoms of disease. In
+simple, acute fevers, the eyes and face are red and the respiration is
+hurried; but in acute, sympathetic fever, these signs are wanting. We
+cannot forget the pale, sharp, contracted, and pinched features of those
+patients whose nostrils contract and expand alternately with the acts of
+respiration. How hard it was for them to breathe. The contraction and
+expansion of the nostrils indicate active congestion of the lungs.</p>
+
+<p>As a general rule, chronic inflammation of the stomach, duodenum, liver,
+and adjacent organs, imparts a gloomy expression to the countenance, at the
+same time the eye is dull, the skin dusky or yellow, and the motions are
+slow. But in lung diseases, the spirits are buoyant, the skin is fair, and
+the cheeks flushed with fever and distinctly circumscribed with white, for
+delicacy and contrast, almost exceed the hues of health in beauty. Note,
+too, the pearly lustre and sparkling light of the eye, the quivering motion
+of the lips and chin, all signs of pulmonary disease.</p>
+
+<p><b>The Story of Sexual Abuse</b> is plainly told by the downcast
+countenance, the inability to look a person fairly in the face, the
+peculiar lifting of the upper lip and the furtive glance of the eye. The
+state of the mind and of the nervous system corroborates this evidence, for
+there seems to be a desire to escape from conversation and to elude
+society. The mind seems engrossed and abstracted, the individual appears
+absorbed in a constant meditation, he is forgetful and loses nearly all
+interest in the ordinary affairs of life. The whole appearance of a
+patient, suffering from spermatorrhea, is perfectly understood by the
+experienced physician, for the facial expressions, state of mind, and
+movements of the body, all unconsciously betray, and unitedly proclaim his
+condition.</p>
+
+<p><b>Tongue</b>. Much may be learned from the appearance, color, and form
+of the tongue, and the manner of its protrusion. If pale, moist, and coated
+white, it indicates a mild, febrile condition of the system. If coated in
+the center, and the sides <span class="pagenum"><a name="Page_395"
+id="Page_395"></a>[pg 395]</span>look raw, it indicates gastric irritation.
+If red and raw, or dry and cracked, it is a sign of inflammation of the
+mucous membrane of the stomach. If the inflammation is in the large
+intestine, the tip of the tongue presents a deep red color, while the
+middle is loaded with a dark brown coating. When the tongue is elongated
+and pointed, quickly protruded and withdrawn, it indicates irritation of
+the nerve-centers, as well as of the stomach and bowels. If tremulous, it
+denotes congestion and lack of functional ability; this may be observed in
+congestive fevers.</p>
+
+<p><b>Pulse</b>. Usually the pulse beats four times during one respiration,
+but both in health and disease its frequency may be accelerated or
+retarded. In adults, there are from sixty-five to seventy-five beats in a
+minute, and yet in a few instances we have found, in health, only forty
+pulsations per minute. But when the heart beats from one hundred and twenty
+to one hundred and forty times a minute, there is reason to apprehend
+danger, and the case should receive the careful attention of a
+physician.</p>
+
+<p>Irregularity of the pulse may be caused by disease of the brain, heart,
+stomach, or liver; by the disordered condition of the nervous system; by
+lack of muscular nutrition, as in gout, rheumatism, or convulsions; by
+deficiency of the heart's effective power, when the pulse-wave does not
+reach the wrist, or when it intermits and then becomes more rapid in
+consequence of septic changes of the blood, as in diphtheria, erysipelas,
+and eruptive fevers.</p>
+
+<p><b>Pain</b>. The import of pain depends on its seat, intensity, nature,
+and duration. An acute, intense pain usually indicates inflammation of a
+nerve as well as the adjacent parts. Sharp, shooting, lancinating pains
+occur in inflammation of the serous tissues, as in pleurisy. A smarting,
+stinging pain attends inflammation of the mucous membrane. Acute pain is
+generally remittent and not fixed to one spot. Dull, heavy pain is more
+persistent, and is present in congestions, or when the substance of an
+organ is inflamed, and it often precedes hemorrhage. Burning pain
+characterizes violent inflammations involving the skin and subjacent
+cellular tissue, as in case of boils and carbuncles. Deep, perforating pain
+accompanies <span class="pagenum"><a name="Page_396" id="Page_396"></a>[pg
+396]</span>inflammation of the bones, or of their enveloping membranes.
+Gnawing, biting, lancinating pain attends cancers.</p>
+
+<p>The location of pain is not always at the seat of the disease. In
+hip-disease, the pain is not first felt in the hip, but in the knee-joint.
+In chronic inflammation of the liver, the pain is generally most severe in
+the right shoulder and arm. Disease of the kidneys occasionally produces
+numbness of the thigh and drawing up of the testicle, and commonly causes
+colicky pains. Inflammation of the meninges of the brain is often indicated
+by nausea and vomiting before attention is directed to the head. These
+illustrations are sufficient to show that pain often takes place in some
+part remote from the disease.</p>
+
+<p>In chronic, abdominal affections, rheumatic fevers, gout, and syphilis,
+the entire system is thrown into a morbid state, the nervous system is
+disturbed, and wandering pains manifest themselves in different parts of
+the body. Fixed pain, which is increased by pressure, indicates
+inflammation. If it be due only to irritation, pressure will not increase
+it. Some rheumatic affections and neuralgia not only bear pressure, but the
+pain diminishes under it. Permanent pain shows that the structures of an
+organ are inflamed, while intermittent pain is a sign of neuralgia, gout,
+or rheumatism. Absence of pain in any disease, where ordinarily it should
+be present, is an unfavorable sign. Internal pain, after a favorable
+crisis, is a bad omen. Or, if pains cease suddenly without the other
+symptoms abating, the import is bad. If, however, pain and fever remit
+simultaneously and the secretions continue, it is a favorable sign.</p>
+
+<p>A dull pain in the head indicates fullness of the blood-vessels from
+weakness, low blood, or general debility. It may be caused by taking cold,
+thus producing passive congestion of the brain. It may proceed from gastric
+disturbance, constipation of the bowels, or derangement of the liver.
+Heaviness of the head sometimes precedes inflammation of the brain, or
+chronic disease of its membranes. A dull, oppressive pain in the head
+indicates softening of the brain, and is generally accompanied by slowness
+of the pulse and of the speech. A pulsating pain of the head occurs in
+heart disease, hysteria, and frequently accompanies some forms of
+insanity.</p>
+
+<p><span class="pagenum"><a name="Page_397" id="Page_397"></a>[pg
+397]</span><b>The Eye</b> indicates morbid changes and furnishes
+unmistakable signs of disease. Sinking of the eye indicates waste, as in
+consumption, diarrhea, and cholera. In fevers it is regarded as a fatal
+symptom. A dark or leaden circle around the eye, seen after hard work,
+indicates fatigue and overdoing. If the mucous covering of the inner
+surface of the lids and the ball of the eye is congested and inflamed, it
+exhibits redness, and may indicate congestion or even inflammation of the
+brain.</p>
+
+<p>A dilated pupil is often observed in catarrhal consumption, congestion
+of the brain, low fevers, and chlorosis.</p>
+
+<p>The pupil contracts in inflammation of the meninges, when there is
+increased sensibility and intolerance of light, also in spinal complaints.
+In some diseases the lustre of the eye increases, as in consumption. But if
+it decreases with the attack of violent disease, it indicates great
+debility and prostration.</p>
+
+<p><b>Examination of the Urine</b>. All medical authors and physicians of
+education, freely admit and even insist upon the importance of critically
+examining the patient's urine, in all cases in which there is reason to
+suspect disease of the kidneys or bladder. In chronic affections it is
+particularly serviceable, especially in derangements of the liver, blood,
+kidneys, bladder, prostate gland, and nervous system. Many scholarly
+physicians have sadly neglected the proper inspection of the urine, because
+they were afraid of being classed with the illiterate "uroscopian" doctors,
+or fanatical enthusiasts, who ignorantly pretend to diagnose correctly
+<i>all</i> diseases in this manner, thus subjecting themselves and their
+claims to ridicule. Nothing should deter one from giving to this excretion
+the attention it deserves.</p>
+
+<p>The urine which is voided when the system is deranged or diseased is
+altered in its color and composition, showing that its ingredients vary
+greatly. So important an aid do examinations of the urine furnish in
+diagnosing many chronic ailments, that at the Invalids' Hotel and Surgical
+Institute, where many thousands of cases are annually treated, a chemical
+laboratory has been fitted up, and a skillful chemist is employed, who
+makes a specialty of examining the urine, both chemically and
+microscopically, and reporting the result to the attending physicians. His
+extended experience renders his services invaluable. With <span
+class="pagenum"><a name="Page_398" id="Page_398"></a>[pg 398]</span>his
+assistance, maladies which had hitherto baffled all efforts put forth to
+determine their true character, have frequently been quickly and
+unmistakably disclosed.</p>
+
+<p><b>Microscopical Examination</b>. This method of examination affords a
+quicker and more correct idea of a deposit or deposits than any other
+method. The expert, by simply looking at a specimen, can determine the
+character of the urine, whether blood, mucus, pus, uric acid, etc., are
+present or not. But when no deposit is present, then it is necessary to
+apply chemical tests, and in many cases the quantity of the suspected
+ingredient must be determined by analysis. As a detailed account, of the
+various modifications which the urine undergoes in different diseases,
+would be of no practical use to the masses, since they could not avail
+themselves of the advantages which it would afford for correct diagnosis,
+except by the employment of a physician who does not ignore this aid in
+examining his patients, we shall omit all further details upon the subject.
+For the same reason we shall not often, in treating of the different
+diseases in which examinations of the urine furnish such valuable aid in
+forming a diagnosis, make mention of the changes which are likely to have
+occurred.</p>
+
+
+<h4>INFLAMMATION.</h4>
+
+
+<p>The term <i>Inflammation</i> signifies a state in which the infected
+part is hotter, redder, more congested, and more painful than is natural.
+Inflammation is limited to certain parts, while fever influences the system
+generally. Inflammation gives rise to new formations, morbid products, and
+lesions, or alterations of structure. The morbid products of fever, and its
+modification of fluids are carried away by the secretions and
+excretions.</p>
+
+<p>The susceptibility of the body to inflammation maybe <i>natural</i> or
+<i>acquired</i>. It is natural when it is constitutional; that is, when
+there is an original tendency of the animal economy to manifest itself in
+some form of inflammation. We may notice that some children are far more
+subject to boils, croups, and erysipelatous diseases than others. This
+susceptibility, when innate, may be lessened by careful medication,
+although it may never be wholly eradicated. When acquired, it is the result
+of the influence of habits of life, climate, and the state of mind over the
+constitution</p>
+
+<p><span class="pagenum"><a name="Page_399" id="Page_399"></a>[pg
+399]</span>Phlegmonous inflammation is the active inflammation of the
+cellular membrane, one illustration of which is a common boil. The four
+principal symptoms are redness, swelling, heat, and pain; and then appears
+a conical, hard, circumscribed tumor, having its seat in the dermoid
+texture. At the end of an indefinite period, it becomes pointed, white or
+yellow, and discharges pus mixed with blood. When it breaks, a small,
+grayish, fibrous mass sometimes appears, which consists of dead, cellular
+tissue, and which is called the <i>core</i>.</p>
+
+<p>There are certain morbid states of the constitution which lead to local
+inflammation, subsequent upon slight injury; or, in some cases, without any
+such provocation, as in gout, rheumatism, and scrofula. One of the first
+results of the inflammation, in such cases, is a weakening of the forces
+which distribute the blood to the surface and extremities of the body. It
+is generally admitted that in scrofulous persons the vascular system is
+weak, the vessels are small, and because nutrition is faulty, the blood is
+<i>imperfectly organized</i>. The result is failure in the system, for if
+nutrition fails, there may be lacking earthy matter for the bones, or the
+unctious secretions of the skin; the sebaceous secretion is albuminous and
+liable to become dry, producing inflammation of the parts which it ought to
+protect.</p>
+
+<p>Disorder of the alimentary canal and other mucous surfaces are sometimes
+reflected upon the skin. We have occasionally observed cutaneous eruptions
+and erysipelas, when evidently they were distinct signs of internal
+disorder.</p>
+
+<p>Inflammation may be internal as well as external, as inflammation of the
+brain, lungs, or stomach, and it is frequently the result of what is called
+a <i>cold</i>. No matter how the body is chilled, the blood retreats from
+the surface, which becomes pale and shrunken, there is also nervous
+uneasiness, and frequently a rigor, accompanied with chattering of the
+teeth. After the cold stage, reaction takes place and fever follows. The
+sudden change from a dry and heated room to a cool and moist atmosphere is
+liable to induce a cold. Riding in a carriage until the body is shivering,
+or sitting in a draft of air when one has been previously heated, or
+breathing a very cold air during the night when the body is warm,
+especially when not accustomed to doing so, or exposing the body to a low
+temperature when <span class="pagenum"><a name="Page_400"
+id="Page_400"></a>[pg 400]</span>insufficiently clothed, are all different
+ways of producing inflammation.</p>
+
+<p>Inflammation may result in consequence of local injury, caused by a
+bruise, or by a sharp, cutting instrument, as a knife or an axe, or it may
+be caused by the puncture of a pin, pen-knife blade or a fork-tine, or from
+a lacerated wound, as from the bite of a dog, or from a very minute wound
+poisoned by the bite of a venomous reptile. Local inflammations may arise
+from scalds, burns, the application of caustics, arsenic, corrosive
+sublimate, cantharides, powerful acids, abrasions of the surface by
+injuries, and from the occurrence of accidents.</p>
+
+<p>The <i>swelling</i> of the part may be caused by an increase of the
+quantity of blood in the vessels, the effusion of serum and coagulating
+lymph, and the interruption of absorption by the injury, or by the altered
+condition of the inflamed part.</p>
+
+<p>The character of the <i>pain</i> depends upon the tissue involved, and
+upon the altered or unnatural state of the nerves. Ordinarily, tendon,
+ligament, cartilage, and bone are not very sensitive, but when inflamed
+they are exquisitely so.</p>
+
+<p>The heat of the inflamed part is not so great, when measured by the
+thermometer, as might be supposed from the patient's sensations.</p>
+
+<p><b>Termination of Inflammation</b>. Inflammation ends in one of six
+different ways. Inflammation may terminate in <i>resolution, i.e</i>.,
+spontaneous recovery; by <i>suppuration</i>, in the formation of matter; by
+<i>effusion</i>, as the inflammation caused by a blister-plaster terminates
+by effusion of water; by <i>adhesion</i>, the part inflamed forming an
+attachment to some other part; by <i>induration</i>, hardening of the
+organ; or by <i>gangrene</i>, that is, death of the part.</p>
+
+<p>Thus, inflammation of the lungs may terminate by recovery, that is, by
+resolution, by suppuration and raising of "matter," by hardening and
+solidification of the lung, or by gangrene. Inflammation of the
+endocardium, the lining membrane of the heart, may cause a thickening of
+it, and ossification of the valves of the heart, thus impairing its
+function. Inflammation of the pericardium may terminate in effusion, or
+dropsy, and inflammation of the liver may result in hardening and adhesion
+to adjacent parts.</p>
+
+
+<p><span class="pagenum"><a name="Page_401" id="Page_401"></a>[pg
+401]</span></p><h4>SEVERAL PRINCIPLES FOR TREATMENT OF INFLAMMATION.</h4>
+
+
+<p>Remove the exciting causes as far as practicable. If caused by a
+splinter or any foreign substance, it should be withdrawn, and if the
+injury is merely local, apply cold water to the parts to subdue the
+inflammation. If caused by a rabid animal, the wound should be enlarged and
+cupped, and the parts cleansed or destroyed by caustic. The patient should
+remain quiet and not be disturbed. The use of tincture of aconite
+internally, will be found excellent to prevent the rise of inflammation. A
+purgative is also advised, and four or five of Dr. Pierce's Pleasant
+Purgative Pellets will be sufficient to act upon the bowels. If there is
+pain, an anodyne and diaphoretic is proper. Dr. Pierce's Compound Extract
+of Smart-weed will fulfill this indication. In local inflammation cold
+water is a good remedy, yet sometimes hot water, or cloths wrung out of it,
+will be found to be the appropriate application. When the inflammation is
+located in an organ within a cavity, as the lungs, hot fomentations will be
+of great service. Bathing the surface with alkaline water must not be
+omitted. Whenever the inflammation is serious the family physician should
+be early summoned.</p>
+
+
+<h4>FEVER.</h4>
+
+
+<p>In fever all the functions are more or less deranged. In every
+considerable inflammation there is sympathetic fever, but in essential
+fevers there are generally fewer lesions of structure than in inflammation.
+Fever occasions great waste of the tissues of the body, and the refuse
+matter is carried away by the organs of secretion and excretion. The heat
+of the body in fever is generally diffused, the pulse is quicker, there is
+dullness, lassitude, chilliness, and disinclination to take food. We
+propose to give only a general outline of fevers, enough to indicate the
+principles which should be observed in domestic treatment.</p>
+
+<p>Most fevers are distinctly marked by four stages: 1st, the forming
+stage; 2d, the cold stage; 3d, the hot stage; 4th, the sweating or
+declining stage. During the first stage the individual is hardly conscious
+of being ill, for the attack is so slight that it is hardly perceptible.
+True, as it progresses, there is a <span class="pagenum"><a name="Page_402"
+id="Page_402"></a>[pg 402]</span>feeling of languor, an indisposition to
+make any bodily or mental effort, and also a sense of soreness of the
+muscles, aching of the bones, chilliness, and a disposition to get near the
+fire. There is restlessness, disturbed sleep, bad dreams, lowness of
+spirits, all of which are characteristic of the formative stage of
+fever.</p>
+
+<p>The next is the cold stage, when there is a decided manifestation of the
+disease, and the patient acknowledges that he is really sick. In typhus and
+typhoid fever the chills are slight; in other fevers they are more marked;
+while in ague they are often accompanied by uncontrollable shaking. When
+the chill is not so distinct the nails look blue and the skin appears
+shriveled, the eye is sunken and a dark circle circumscribes it, the lips
+are blue, and there is pain in the back. The pulse is frequent, small, and
+depressed, the capillary circulation feeble, the respiration increased, and
+there may be nausea and vomiting. These symptoms vary in duration from a
+few minutes to more than an hour. They gradually abate, reaction takes
+place, and the patient begins to throw off the bed-clothes.</p>
+
+<p>Then follows the hot stage, for with the return of the circulation of
+the blood to the surface of the body, there is greater warmth, freer
+breathing, and a more comfortable and quiet condition of the system. The
+veins fill with blood, the countenance brightens, the cheeks are flushed,
+the intellect is more sprightly, and if the pulse is frequent, it is a good
+sign; if it sinks, it indicates feeble, vital force, and is not a good
+symptom. If there is considerable determination of blood to the head it
+becomes hot, the arteries of the neck pulsate strongly, and delirium may be
+expected. During the hot stage, if the fever runs high, the patient becomes
+restless, frequently changes his position, is wakeful, uneasy, and
+complains of pain in his limbs. In low grades, the sensibility is blunted,
+smell, taste, and hearing are impaired.</p>
+
+<p>The patient in the hot stage is generally thirsty, and if he is allowed
+to drink much, it may result in nausea and vomiting. Moderate indulgence in
+water, however, is permissible. There is aversion to food, and if any is
+eaten, it remains undigested. The teeth are sometimes covered with dark
+<i>sordes</i> (foul accumulations) early in the fever, and the appearance
+of the tongue <span class="pagenum"><a name="Page_403"
+id="Page_403"></a>[pg 403]</span>varies, sometimes being coated a yellowish
+brown, sometimes red and dry, at other times thickly coated and white. The
+condition of the bowels varies from constipation to diarrhea, although
+sometimes they are quite regular. The urine is generally diminished in
+quantity, but shows higher color.</p>
+
+<p>The sweating stage in some fevers is very marked, while in others there
+is very little moisture, but an evident decline of the hot stage, the skin
+becoming more natural and soft. The pulse is more compressible and less
+frequent, the kidneys act freely, respiration is natural, the pains
+subside, although there remains languor, lassitude, and weariness, a
+preternatural sensibility to cold, an easily excited pulse, and a pale and
+sickly aspect of the countenance. The appetite has failed and the powers of
+digestion are still impaired.</p>
+
+<p><b>Domestic Management of Fevers</b>. It is proper to make a thorough
+study of the early, insidious symptoms of fever, in order to understand
+what ought to be done. If it arises in consequence of malaria, the
+treatment must be suited to the case. If from irritation of the bowels and
+improper articles of diet, then a mild cathartic is required. If there is
+much inflammation, a severe chill, and strong reaction, then the treatment
+should be active. If the fever is of the congestive variety and the
+constitution is feeble, the reaction imperfect, a small, weak pulse, a
+tendency to fainting, a pale countenance, and great pain in the head, apply
+heat and administer diaphoretics, and procure the services of a good
+physician.</p>
+
+<p>As a general rule, it is proper to administer a cathartic, unless in
+typhoid fever, and for this Dr. Pierce's Purgative Pellets answer the
+purpose, given in doses of from four to six, according to the state of the
+bowels. If these are not at hand, a tea of sage and senna may be drunk
+until it produces a purgative effect, or a dose of Rochelle salts taken. In
+nearly all fevers we have found that a weak, alkaline tea, made from the
+white ashes of hickory or maple wood, is useful, taken weak, three or four
+times daily, or if there be considerable thirst, more frequently. Some
+patients desire lemon juice, which enters the system as an alkali and
+answers all purposes.</p>
+
+<p>Diaphoretic medicines are also indicated, and the use of Dr. Pierce's
+Extract of Smart-weed will prove very serviceable. <span class="pagenum"><a
+name="Page_404" id="Page_404"></a>[pg 404]</span>Drinking freely of
+pleurisy-root tea, or of a strong decoction of boneset is frequently
+useful. After free sweating has been established, then it is proper to
+follow by the use of diuretic teas, such as that of spearmint and pumpkin
+seed combined, or sweet spirits of nitre, in doses of twenty to thirty
+drops, added to a teaspoonful of the Extract of Smart-weed, diluted with
+sweetened water.</p>
+
+<p>To lessen the frequency of the pulse, fluid extract or tincture of
+aconite or veratrum may be given in water, every hour. During the
+intermission of symptoms, tonic medicines and a sustaining course of
+treatment should be employed. If the tongue is loaded and the evacuations
+from the bowels are fetid, a solution of sulphite of soda is proper; or,
+take equal parts of brewer's yeast and water, mix, and when the yeast
+settles, give a tablespoonful of the water every hour, as an antiseptic.
+Administering a warm, alkaline hand-bath to a fever patient every day, is
+an excellent febrifuge remedy, being careful not to chill or induce
+fatigue. If there is pain in the head, apply mustard to the feet; if it is
+in the side, apply hot fomentations.</p>
+
+<p>The symptoms which indicate danger are a tumid and hard abdomen,
+difficult breathing, offensive and profuse diarrhea, bloody urine,
+delirium, or insensibility. Favorable symptoms are a natural and soft state
+of the skin, eruptions on the surface, a natural expression of the
+countenance, moist tongue, free action of the kidneys, and regular sleep.
+If the domestic treatment which we have advised does not break the force of
+the disease and mitigate the urgency of the symptoms, it will be safer to
+employ a good physician, who will prescribe such a coarse of treatment as
+the case specially requires. It is our aim to indicate what may be done
+before the physician is called, for frequently his services cannot be
+obtained when they are most needed. Besides, if these attacks are early and
+properly treated with domestic remedies, it will often obviate the
+necessity of calling upon a physician. If, on the other hand, fevers are
+neglected and no treatment instituted, they become more serious in
+character and are more difficult to cure.</p>
+
+<p>To recapitulate, our treatment recommends evacuation through nature's
+outlets, the skin, kidneys, and bowels, maintaining warmth, neutralizing
+acidity, using antiseptics, tonics, <span class="pagenum"><a
+name="Page_405" id="Page_405"></a>[pg 405]</span>and the hand-bath, and the
+fluid extract or tincture of aconite, or veratrum to moderate the pulse by
+controlling the accelerated and unequal circulation of the blood. It is a
+simple treatment, but if judiciously followed, it will often abort a fever,
+or materially modify its intensity and shorten its course.</p>
+
+
+<h4>FEVER AND AGUE. (INTERMITTENT FEVER.)</h4>
+
+
+<p>The description of fever already given applies well to this form of it,
+only the symptoms in the former stage are rather more distinct than in the
+other varieties. Weariness, lassitude, yawning, and stretching, a bitter
+taste in the mouth, nausea, less of appetite, the uneasy state of the
+stomach and bowels are more marked in the premonitory stages of
+intermittent fevers. The cold stage commences with a chilliness of the
+extremities and back, the skin looks pale and shriveled, the blood recedes
+from the surface, respiration is hurried, the urine is limpid and pale,
+sometimes there is nausea and vomiting, and towards the conclusion of the
+stage, the chilly sensations are varied with flushes of heat. The hot stage
+is distinguished by the heat and dryness of the surface of the body and the
+redness of the face; there is great thirst, strong, full, and hard pulse,
+free and hurried respiration and increased pain in the head and back. The
+sweating stage commences by perspiration appearing upon the forehead, which
+slowly extends over the whole body, and soon there is an evident
+intermission of all the symptoms. In the inflammatory variety of
+intermittent fever, all these symptoms are acute, short, and characterized
+by strong reaction. Gastric fever, the most frequent variety of
+intermittent fever, is marked by irritation of the stomach and bowels, and
+a yellow appearance of the white of the eye.</p>
+
+<p><b>Causes</b>. The cause of the malarial fevers, intermittent,
+remittent, and congestive, is supposed to be <i>miasm</i>, a poisonous,
+gaseous exhalation from decaying vegetation, which is generally most
+abundant in swamps and marshes, and which is absorbed into the system
+through the lungs.</p>
+
+<p><b>Treatment</b>. During the entire paroxysm the patient should be kept
+in bed, and in the cold stage, covered with blankets and surrounded with
+bottles of hot water. The Compound Extract of Smart-weed should be
+administered in <span class="pagenum"><a name="Page_406"
+id="Page_406"></a>[pg 406]</span>some diaphoretic herb-tea. During the hot
+stage, the extra clothing and the bottles of hot water should be gradually
+removed and cold drinks taken instead of warm. During the sweating stage
+the patient should be left alone, but as soon as the perspiration ceases,
+from two to four of the Purgative Pellets should be administered, as a
+gentle cathartic. A second paroxysm should, if possible, be prevented. To
+accomplish this, during the intermission of symptoms, the Golden Medical
+Discovery should be taken in doses of from two to three teaspoonfuls every
+four hours in alternation with three-grain doses of the sulphate of
+quinine. If the attack is very severe, and is not relieved by this
+treatment, a physician should be summoned to attend the case.</p>
+
+
+<h4>REMITTENT FEVER. (BILIOUS FEVER.)</h4>
+
+
+<p>The distinction between <i>intermittent</i> and <i>remittent</i> fever
+does not consist in a difference of origin. In the former disease there is
+a complete intermission of the symptoms, while in the latter there is only
+a remission.</p>
+
+<p><b>Treatment.</b> The treatment should consist in the employment of
+those remedial agents advised in intermittent fever, the Golden Medical
+Discovery and quinine being taken during the remission of symptoms. During
+the height of the fever, tincture of aconite maybe given and an alkaline
+sponge-bath administered with advantage. As in intermittent fever, should
+the course of treatment here advised not promptly arrest the disease, the
+family physician should be summoned.</p>
+
+
+<h4>CONGESTIVE FEVER. (PERNICIOUS FEVER.)</h4>
+
+
+<p>This is the most severe and dangerous form of malarial fever. It may be
+either intermittent or remittent in character. In some instances the first
+paroxysm is so violent as to destroy life in a few hours, while in others
+it comes on insidiously, the first one or two paroxysms being comparatively
+mild. It is frequently characterized by stupor, delirium, a marble-like
+coldness of the surface, vomiting and purging, jaundice, or hemorrhage from
+the nose and bowels. In America this fever is only met with in the
+Mississippi valley, and in other localities where the air contains a large
+quantity of malarial poison.</p>
+
+<p><span class="pagenum"><a name="Page_407" id="Page_407"></a>[pg
+407]</span><b>Treatment.</b> This fever is so dangerous that a physician
+should be summoned as soon as the disease is recognized. For the benefit of
+those who are unable to obtain medical attendance, we will say that the
+treatment should be much the same as in intermittent fever, but more
+energetic. Quinine should be taken in doses of from five to fifteen grains
+every two or three hours. If it be not retained by the stomach, the
+following mixture may be administered by injection: sulphate of quinine,
+one-half drachm; sulphuric acid, five drops; water, one ounce; dissolve,
+and then add two ounces of starch water.</p>
+
+
+<h4>CONTINUED FEVERS.</h4>
+
+
+<p>The symptoms of these fevers do not intermit and remit, but
+<i>continue</i> without any marked variation for a certain period. They are
+usually characterized by great prostration of the system, and are called
+<i>putrid</i> when they manifest septic changes in the fluids, and
+<i>malignant</i> when they speedily run to a fatal termination.
+<i>Typhoid</i> and <i>typhus</i> fevers belong to this class. We shall not
+advise treatment for these more grave disorders which should always, for
+the safety of the patient, be attended by the family physician, except to
+recommend some simple means which may be employed in the initial stage of
+the disease, or when a physician's services cannot be promptly secured.</p>
+
+
+<h4>TYPHOID FEVER. (ENTERIC FEVER.)</h4>
+
+
+<p>In typhoid fever there is ulceration of the intestines and mesenteric
+glands. This diseased condition of the bowels distinguishes this fever from
+all others, and is readily detected by sensitiveness to pressure,
+especially over the lower part of the abdomen on the right side. The early
+disposition to diarrhea is another characteristic symptom of it, and there
+is also no intermission of symptoms as in intermittent fever. The disease
+comes on insidiously, with loss of appetite, headache, chilliness, and
+languor. It is usually a week or more before the disease becomes fully
+developed.</p>
+
+<p><b>Cause.</b> Typhoid fever is a specific form of fever developed from
+the action of a specific germ upon a susceptible system. The poison of
+typhoid fever is eliminated mainly through the bowels. The germs of typhoid
+can maintain life for months in <span class="pagenum"><a name="Page_408"
+id="Page_408"></a>[pg 408]</span>water, and thus it happens that ponds,
+lakes, rivers and streams which receive sewage can spread the germs of
+typhoid fever. Well water often swarms with these poisonous germs. In some
+cases it has been found that privies, though twenty or forty feet away from
+a well, have yet drained into it&mdash;through a clay soil covered with
+gravel&mdash;and carried the germs to those drinking the water from the well.
+Next to water, milk is the most prominent carrier of contagion. Milk is apt
+to get infected with the germs if cooled in tanks of water which may
+receive drainage from outhouses and barns.</p>
+
+<p><b>Treatment.</b> Scientific support has been given the treatment by
+cold tub baths (70&deg; Fahrenheit) and it is advised by many physicians.
+Experience has proved that sponge baths and tub baths are of the utmost
+importance, when the temperature of the patient is at or above 102.5&deg;
+Fahrenheit. Every three hours the tub bath is given for twenty minutes at
+70&deg; Fahrenheit. These may be tepid at first, gradually cooling to
+70&deg;. Frictions are applied to patient in the bath, and he is wrapped in
+blankets when taken out to avoid danger of chill, and then given a warm
+drink or stimulant. Treatment should be directed by an experienced
+physician to suit the symptoms. The evacuations from the bowels should be
+thoroughly disinfected with chloride of lime or carbolic acid, that they
+may not convey the disease to others. All the sewerage and drain pipes in
+the house should likewise be disinfected.</p>
+
+
+<h4>SCARLET FEVER. (SCARLATINA.)</h4>
+
+
+<p>This fever takes its name from the scarlet color of the eruption on the
+surface of the body. Sometimes it is comparatively mild, and is then called
+<i>Scarlatina Simplex</i>; when it is accompanied by a sore throat, it is
+termed <i>Scarlatina Anginosa</i>; and when the disease is of a low, putrid
+type, it is called <i>Scarlatina Maligna.</i> This disease has three
+distinct stages: (1), the stage of invasion; (2), the stage of eruption;
+and (3), the stage of desquamation. In the first stage there is pain in the
+head, increased heat of the skin, redness and soreness of the throat, and
+sometimes nosebleed, diarrhea, or vomiting. The average duration of this
+stage is twenty-four hours. The eruptive stage <span class="pagenum"><a
+name="Page_409" id="Page_409"></a>[pg 409]</span>generally begins on the
+second day, though sometimes it is delayed longer, and the scarlet rash
+rapidly diffuses itself over the whole body. The redness is vivid and has
+been compared to the appearance of a boiled lobster. The stage of eruption
+reaches its maximum of intensity on the third day, and it is important that
+it does not recede. Redness of the tonsils and throat is one of the early
+symptoms which precedes any cutaneous eruption. The tongue also is finely
+spotted with numerous red points which mark its papillæ, presenting an
+appearance which has been compared to that of a strawberry.</p>
+
+<p>The thirst is urgent, there is no appetite, and vomiting and mild
+delirium are common. This stage continues from four to six days, and
+sometimes longer. Desquamation (scaling off of the skin) commences at the
+decline of the eruption, in the form of minute, branny scales. The duration
+of this stage is indefinite, and may end in five or six or may continue ten
+or twelve days.</p>
+
+<p>If the inflammation in the throat is very severe, it may terminate in an
+abscess, which may also occur in the glands of the neck, and sometimes the
+inflammation extends to the lips, cheeks, and eyelids. Gangrene within the
+throat occurs in rare instances. The disease is easily communicated, and
+usually develops in two to five days after exposure. It occurs most
+frequently in the third and fourth years of life. There is no other disease
+so simple, and yet so often liable to prove fatal, as scarlet fever; and
+for this reason we shall advise the attendance of the family physician.</p>
+
+<p>Domestic treatment may be given as follows, until a physician can be
+obtained: Catnip, pennyroyal, or pleurisy-root tea, containing one
+teaspoonful of the Extract of Smart-weed, may be given, to drive the rash
+to the surface. Cold drinks are suitable to allay the thirst, nausea, and
+fever. The sick-room should be kept at a temperature of about 65&deg;
+Fahr., and fresh air admitted freely. The patient ought not to be
+overloaded with bed-clothes; and the skin should be sponged over twice
+daily with tepid water, different parts being exposed successively, and
+carefully dried with soft cloths. Soda may be added to the water, but no
+soap should be used. The diet should consist of milk, extract of beef, and
+soups. Injections may be employed <span class="pagenum"><a name="Page_410"
+id="Page_410"></a>[pg 410]</span>to relieve constipation, but purgatives
+should be avoided. We repeat that this disease is one which requires the
+attendance of the family physician, and great care should be exercised
+during recovery, that no bad results may follow.</p>
+
+
+<h4>SMALL-POX. (VARIOLA.)</h4>
+
+
+<p>Small-pox is produced by a specific poison, which is reproduced and
+multiplied during the progress of the disease. It is contained in the
+pustules, and in the excretions and exhalations of affected individuals. It
+is established after a period of incubation varying from nine to thirteen
+days after infection.</p>
+
+<p>There are two varieties of this disease, known as <i>confluent</i> and
+<i>distinct</i> variola; in the former, the vesicles run together, in the
+latter, they are separate.</p>
+
+<p>This fever has three stages. The first is that of <i>invasion</i>,
+distinctly marked by a chill or a series of chills, which alternate with
+flushes of heat. In this stage the tongue becomes coated, there is also
+nausea and vomiting, pain in the limbs, back, and particularly in the
+loins, the latter symptom being of diagnostic importance. This stage
+continues about two days, and if the symptoms are light, it may be expected
+that the disease will be comparatively mild, and of the <i>distinct</i>
+variety.</p>
+
+<p><i>The stage of eruption.</i> The eruption begins to appear on the skin,
+generally on the third day following the attack, though in the throat and
+mouth may be discovered round, whitish, or ashy spots, several hours
+previous to the appearance of vesicles on the surface of the body. These
+are first seen on the face and neck, then on the trunk and upper
+extremities, and, lastly, on the lower extremities. The eruption at first
+appears in the form of small, red or purple spots, which change the texture
+of the skin by becoming more hard, pointed, and elevated. On the fifth day
+of the eruption they attain their full size, being softened and depressed
+in the center, and hence are called <i>umbilicated</i>. Now a change takes
+place, and the vesicles fill with "matter" and become pointed, and there is
+a rise in the fever.</p>
+
+<p><i>The stage of suppuration</i> commences thus: the pulse quickens, the
+skin becomes hotter, and in many cases of the confluent variety, swelling
+of the face, eyelids, and extremities occurs. Frequently there is passive
+delirium in this stage, and if diarrhea <span class="pagenum"><a
+name="Page_411" id="Page_411"></a>[pg 411]</span>sets in, it is an
+unfavorable sign. The duration of this stage of the eruption is four or
+five days.</p>
+
+<p><i>The stage of desication</i>, or of the drying of the pustules,
+commences between the twelfth and fourteenth day of the disease. In the
+confluent variety, patches of scab cover all the space occupied by the
+eruption, and the skin exhales a sickening odor.</p>
+
+<p><b>The Treatment</b> should have reference to the determination of the
+eruption to the surface. If there is thirst, allow cold drinks, ice-water,
+or lemonade. Bathing the surface with cold water, breathing plenty of fresh
+air, using disinfectants in the room, and taking antiseptic medicine
+internally, are proper. Add one part of carbolic acid to six parts of
+glycerine, mix from two to three drops of this with an ounce of water, and
+of this preparation administer teaspoonful doses frequently. A few drops of
+carbolic acid and glycerine may be rubbed up with vaseline, and the surface
+anointed with it to prevent pitting. The malady is so grave that it should
+be intrusted to the care of the family physician.</p>
+
+
+<h4>VARIOLOID. (MODIFIED SMALL-POX.)</h4>
+
+
+<p>Varioloid is a modified form of small-pox. There is less constitutional
+disturbance, and very little or no pitting of the skin. Varioloid generally
+occurs in persons who have not been fully protected by vaccination. A
+person suffering from this modification of the disease may, by contagion,
+communicate to another genuine small-pox. The <i>treatment</i> is the same
+as that recommended in variola.</p>
+
+
+<h4>VACCINIA. (COW-POX.)</h4>
+
+
+<p>The important discovery of vaccination is due to Dr. Jenner, who
+ascertained that when the cow was affected by this disease and it was then
+communicated to man, the affection was rendered very mild and devoid of
+danger, and at the same time it proved a very complete protection against
+small-pox. Like most other valuable discoveries introduced to the world, it
+encountered bitter prejudice and the most unfair opposition. Now its
+inestimable value is generally known and admitted.</p>
+
+<p>In a few cases, in which the quality of the vaccine virus was <span
+class="pagenum"><a name="Page_412" id="Page_412"></a>[pg
+412]</span>deteriorated, its effect is only to slightly-modify small-pox,
+and then the disease resembles that caused by inoculation. The operation of
+infecting the blood with the <i>kine virus</i> is called
+<i>vaccination</i>. All that we know is that when the cow becomes affected
+with this disease, and it is then transferred to man, it loses its severity
+and serves as a protection against small-pox. In a great majority of cases
+this protection is absolute, and only in a very few does it leave the
+subject susceptible to small-pox, materially modified. The protection it
+affords against small-pox is found to diminish after the lapse of an
+indefinite number of years, and hence it is important to be re-vaccinated
+once or twice, for instance, after an interval of five years. Between the
+second and third months of infancy is the best period for vaccination, and
+the place usually selected is the middle of the arm above the
+elbow-joint.</p>
+
+
+<h4>CHICKEN-POX. (VARICELLA.)</h4>
+
+
+<p>Chicken-pox is an eruptive disease, which affects children, and
+occasionally adults. It is attended with only slight constitutional
+disturbance, and is, therefore, neither a distressing nor dangerous
+affection. The eruption first appears on the body, afterwards on the neck,
+the scalp, and lastly on the face. It appears on the second or third day
+after the attack, and is succeeded by vesicles containing a transparent
+fluid. These begin to dry on the fifth, sixth, or seventh day. This disease
+may be distinguished from variola and varioloid by the shortness of the
+period of invasion, the mildness of the symptoms, and the absence of the
+deep, funnel-shaped depression of the vesicles, so noticeable in
+variola.</p>
+
+<p><b>Treatment</b>. Ordinarily very little treatment is required. It is
+best to use daily an alkaline bath, and, as a drink, the tea of
+pleurisy-root, catnip, or other diaphoretics, to which may be added from
+one-half to one teaspoonful of the Extract of Smart-weed. If the fever runs
+high, a few drops of aconite in water will control it.</p>
+
+
+<h4>MEASLES. (RUBEOLA.)</h4>
+
+
+<p>This is generally a disease of less severity and importance than the
+other eruptive fevers, but it is sometimes followed by <span
+class="pagenum"><a name="Page_413" id="Page_413"></a>[pg 413]</span>serious
+complications. The stage of invasion is marked by the symptoms of a common
+cold, sneezing, watery eyes, a discharge from the nostrils, a dry cough,
+chilliness, and headache. This stage may last four days. Then follows an
+eruption of red dots or specks, which momentarily disappear on pressure. On
+the fourth day of the eruption the redness of the skin fades, the fever
+diminishes, and the vesicles dry into scales or little flakes. The eyes may
+be inflamed and the bowels may be quite lax at this stage.</p>
+
+<p><b>Treatment.</b> The great object in the treatment is to bring out the
+eruption. To effect this, sweating teas are beneficial. The free use of the
+Extract of Smart-weed is recommended, and the skin should be bathed every
+day with tepid water. Sometimes when warm drinks fail to bring out the
+eruption, drinking freely of cold water and keeping warmly covered in bed,
+will accomplish the desired result.</p>
+
+<p><b>False Measles</b> (<i>Rose Rash</i>) is an affection of very little
+importance and may be treated similarly to a case of ordinary measles.</p>
+
+
+<h4>ERYSIPELAS.</h4>
+
+
+<p>There are few adult persons in this country who have not, by observation
+or experience, become somewhat familiar with this disease. Its
+manifestations are both constitutional and local, and their intensity
+varies exceedingly in different cases. The constitutional symptoms are
+usually the first to appear, and are of a febrile character. A distinct
+chill, attended by nausea and general derangement of the stomach is
+experienced, followed by febrile symptoms more or less severe. There are
+wandering pains in the body and sometimes a passive delirium exists.
+Simultaneously with these symptoms the local manifestations of the disease
+appear. A red spot develops on the face, the ear, or other part of the
+person. Its boundary is clearly marked and the affected portion slightly
+raised above the surrounding surface. It is characterized by a burning pain
+and is very sensitive to the touch. It is not necessary for the benefit of
+the popular reader that we should draw a distinction between the different
+varieties of this malady. The distinctions made are founded chiefly upon
+the <i>depth</i> to which the morbid condition attends, and not on any
+difference in the <i>nature of the affection</i>.</p>
+
+<p><span class="pagenum"><a name="Page_414" id="Page_414"></a>[pg
+414]</span>Suppuration of the tissues involved is common in the severer
+forms. Should the tongue become dark and diarrhea set in, attended with
+great prostration, the case is very serious, and energetic means must be
+employed to save life. A retrocession of the inflammation from the surface
+to a vital organ is an extremely dangerous symptom. The disease is not
+regarded as contagious, but has been known to become epidemic.</p>
+
+<p><b>Treatment</b>. The treatment during the initial stage of this disease
+should correspond with the general principles laid down for the treatment
+of fever. The spirit vapor-bath, with warm, diaphoretic teas, or the
+Compound Extract of Smart-Weed may be given to favor sweating. The whole
+person should be frequently bathed in warm water rendered alkaline by the
+addition of saleratus or soda. The bowels should be moved by a full dose of
+the Purgative Pellets. Fluid extract of aconite in small and frequent doses
+will best control the fever. The specific treatment, which should not be
+omitted, consists in administering doses of ten drops of the tincture of
+the muriate of iron in alternation with teaspoonful doses of the Golden
+Medical Discovery, every three hours. As a local application, the inflamed
+surface may be covered with cloths wet in the mucilage of slippery elm.
+Equal parts of sweet oil and spirits of turpentine, mixed and painted over
+the surface, is an application of unsurpassed efficacy.</p>
+
+
+<h4>DIPHTHERIA.</h4>
+
+
+<p>This is an exceedingly grave, constitutional disease characterized by a
+rapid breaking down of the powers of life, together with a peculiar
+affection of the throat, in which a disposition to the formation of false
+membranes is a prominent feature. The formation of these membranes,
+however, is not limited to the throat, but may occur on mucous surfaces
+elsewhere.</p>
+
+<p><b>Cause</b>. Infection with the specific germ of the disease by
+contagion or inoculation. It can be carried in milk or water, and the germs
+can attach themselves to furniture, walls, clothing, etc. A person with
+chronic diphtheretic sore throat can infect children or susceptible persons
+with the disease in its most acute type by kissing. All persons with sore
+throat should avoid kissing&mdash;as this disease is commonly spread in this
+way.</p>
+
+<p><span class="pagenum"><a name="Page_415" id="Page_415"></a>[pg
+415]</span><b>Symptoms</b>. The symptoms vary in different cases. In some
+the disease comes on gradually, while in others it is malignant from the
+first. The throat feels sore, the neck is stiff and a sense of languor,
+lassitude, and exhaustion pervades the system. Sometimes a chill is
+experienced at the outset. Febrile disturbance, generally of a low, typhoid
+character, soon manifests itself. The skin is hot; there is intense thirst;
+the pulse is quick and feeble, ranging from 120 to 150 per minute. The
+tongue is generally loaded with a dirty coat, or it may be bright red. The
+odor of the breath is characteristic, and peculiarly offensive, and there
+is difficulty in swallowing and sometimes in breathing. Vomiting is
+sometimes persistent. If we examine the throat, we find more or less
+swelling of the tonsils and surrounding parts, which are generally bright
+red, and shining, and covered with a profuse, glairy, tenacious secretion.
+Sometimes the parts are of a dusky, livid hue, and, in rare instances,
+pallid. The false membrane, a peculiar tough exudation, soon appears and
+may be seen in patches, large or small, or covering the entire surface from
+the gums back as far as can be seen, its color varying from a whitish
+yellow to a gray or dark ashen tint. When it is thrown off, it sometimes
+leaves a foul, ulcerating surface beneath. The prostration soon becomes
+extreme, and small, livid spots may appear on the surface of the body.
+There may be delirium, which is, in fatal cases, succeeded by stupor, or
+coma. The extremities become cold; diarrhea, and in some cases convulsions,
+indicate the approach of death. Sometimes the patient dies before the false
+membrane forms.</p>
+
+<p><b>Treatment</b>. The extremely dangerous character of this disease
+demands that the services of a skillful physician be obtained at once; and
+that his efforts should be aided by the most thorough hygienic precautions,
+good fresh air, bathing, and a supporting diet. Prior to the arrival of the
+physician, lose no time in using plenty of good brandy or whiskey to offset
+the extremely weakening effect of the disease. The employment of alcoholic
+stimulation in this disease is almost always used by physicians. Control
+the vomiting and allay the thirst by allowing the patient to suck small
+pieces of ice every five or ten minutes. Hot fomentations or spirits of
+turpentine should be <span class="pagenum"><a name="Page_416"
+id="Page_416"></a>[pg 416]</span>applied to the throat. If the physician
+does not take charge of the patient by this time, the use of permanganate
+of potash, triturated, in strength of one grain to the ounce, in a mixture
+of fine sugar of milk and gum acacia, and blown over the parts with an
+insufflater every few hours, brings the best results if thoroughly carried
+out; or the throat can be swabbed out with the following mixture: chlorate
+of potash, four drachms; tincture of muriate of iron, three drachms, syrup
+of orange, two ounces; water sufficient to make four ounces; administered
+every two or three hours. Inhaling steam or lime-water from a steam
+atomizer is especially good. The use of blisters, caustics, active purges,
+mercurials, or bleeding, should be condemned. Throughout the whole course
+of the disease the strength must be supported by the most nourishing diet,
+as well as by tonics and stimulants. Beef tea, milk, milk punch, and brandy
+should be freely administered. A competent physician should be called in as
+early as possible. The general results of the treatment with antitoxin, if
+given on the first, second or third day of the disease, are usually
+favorable. There are rarely any immediately bad results from the
+injections, and the published testimony of careful observers would tend to
+prove that recovery has followed its use in a larger percentage of cases
+than under former methods of treatment.</p>
+
+
+<h4>QUINSY. (TONSILLITIS.)</h4>
+
+
+<p>This is an acute inflammation of the tonsils, which generally extends
+to, and involves adjacent strictures, and is attended with general febrile
+disturbance. Its duration varies from four to twenty days. It sometimes
+terminates by a gradual return to health (resolution); or by the formation
+of "matter" within the gland (suppuration.) When this latter is the case,
+the swelling sometimes becomes so great before it breaks as to require
+lancing.</p>
+
+<p><b>Causes</b>. It most frequently results from a cold. In some persons
+there is a predisposition to it, and the individual is liable to recurring
+attacks. Persons of a scrofulous diathesis are more liable to it than
+others.</p>
+
+<p><b>Symptoms</b>. Difficulty of swallowing, soreness, and stiffness <span
+class="pagenum"><a name="Page_417" id="Page_417"></a>[pg 417]</span>of the
+throat, are the first monitions of its approach. There is fever, quick,
+full pulse, and dryness of the skin; the tongue is furred, and the breath
+offensive. The tonsils are intensely red, swollen, and painful, the pain
+often extending to the ear. Sometimes but one tonsil is affected, though
+generally both are involved. In severe cases the patient cannot lie down,
+in consequence of the difficulty of breathing.</p>
+
+<p><b>Treatment</b>. In the early stage of the disease, the spirit
+vapor-bath is invaluable. The sweating which it produces should be kept up
+by the use of the Compound Extract of Smart-weed in some diaphoretic
+infusion. Hot wet-packs to the throat, covered with dry cloths, are useful.
+The inhalation of the hot vapor of water or vinegar, or peppermint and
+water, is beneficial. A carthartic should be given at night. When the
+disease does not show a disposition to yield to this treatment, the
+services of a physician should be obtained. When pus, or "matter," is
+formed in the tonsil, which may be known by the increased swelling and the
+appearance of a yellowish spot, the services of a physician will be
+required to lance it.</p>
+
+
+<h3>ENLARGED TONSILS.</h3>
+
+
+
+
+<p class="rfigure"><a name="advise129"><img width="90%" alt="Illustration:
+Fig. 147." src="images/advise129.png" /></a><br />Fig. 147. <i>A
+A.</i>&mdash;Enlarged Tonsils. B.&mdash;Elongated Uvula.</p>
+
+<p>Chronic enlargement of the tonsils, as shown in Fig. 147, <i>A A</i>, is
+an exceedingly common affection. It is most common to those of a scrofulous
+habit. It rarely makes its appearance after the thirtieth year, unless it
+has existed in earlier life, and has been imperfectly cured. Both tonsils
+are generally, though unequally enlarged. A person affected with this
+disease is extremely liable to sore throat, and contracts it on the
+slightest exposure; the contraction of a cold, suppression of perspiration,
+or derangement of the digestive apparatus being sufficient to provoke
+inflammation.</p>
+
+<p><span class="pagenum"><a name="Page_418" id="Page_418"></a>[pg
+418]</span><b>Causes</b>. Repeated attacks of quinsy, scarlet fever,
+diphtheria, or scrofula, and general impairment of the system, predispose
+the individual to this disease.</p>
+
+<p><b>Symptoms</b>. The voice is often husky, nasal or guttural, and
+disagreeable. When the patient sleeps, a low moaning is heard, accompanied
+with snoring and stentorian breathing, and the head is thrown back so as to
+bring the mouth on a line with the windpipe, and thus facilitate the
+ingress of air into the lungs. When the affection becomes serious, it
+interferes with breathing and swallowing. The chest is liable to become
+flattened in front and arched behind, in consequence of the difficulty of
+respiration, thus predisposing the patient to pulmonary disease. On looking
+into the throat, the enlarged tonsils may be seen, as in the figure.
+Sometimes they are so greatly increased in size that they touch each
+other.</p>
+
+<p><b>Treatment</b>. The indications to be carried out in the cure of this
+malady are:</p>
+
+<p>(1.) To remedy the constitutional derangement.</p>
+
+<p>(2.) To remove the enlargement of the tonsil glands.</p>
+
+<p>The successful fulfillment of the first indication may be readily
+accomplished by attention to hygiene, diet, clothing, and the use of the
+Golden Medical Discovery, together with small daily doses of the Pleasant
+Purgative Pellets. This treatment should be persevered in for a
+considerable length of time after the enlargement has disappeared, to
+prevent a return.</p>
+
+<p>To fulfill the second indication, astringent gargles may be used.
+Infusions of witch-hazel or cranesbill should be used during the day. The
+following mixture is unsurpassed: iodine, one drachm; iodide of potash,
+four drachms; pure, soft water, two ounces. Apply this preparation to the
+enlarged tonsils twice a day, with a probang, or soft swab, being careful
+to paint them each time. A persevering use of these remedies, both internal
+and local, is necessary to reduce and restore the parts to a healthy
+condition.</p>
+
+<p>Sometimes the enlarged tonsils undergo calcareous degeneration; in this
+case, nothing but their removal by a surgical operation is effectual. This
+can be readily accomplished by any competent surgeon. We have operated in a
+large number of cases, and have never met with any unfavorable results.</p>
+
+
+<p><span class="pagenum"><a name="Page_419" id="Page_419"></a>[pg
+419]</span></p><h4>ELONGATION OF THE UVULA.</h4>
+
+
+<p>Chronic enlargement or elongation of the uvula, or palate, as shown at
+B, Fig. 147, may arise from the same causes as enlargement of the tonsils.
+It subjects the individual to a great deal of annoyance by dropping into
+and irritating the throat. It causes tickling and frequent desire to clear
+the throat, change, weakness, or entire loss of voice, and difficulty of
+breathing, frequently giving rise to the most persistent and aggravating
+cough.</p>
+
+<p><b>Treatment.</b> The treatment already laid down for enlarged tonsils,
+with which affection, elongation of the uvula is so often associated, is
+generally effectual. When it has existed for a long time and does not yield
+to this treatment, it may be removed by any competent surgeon.</p>
+
+
+<h4>AN&AElig;MIA.</h4>
+
+
+<p>When the blood contains less than the ordinary number of red corpuscles,
+the condition is known as <i>anæmia</i>, and is characterized by
+every sign of debility. A copious hemorrhage, in consequence of a cut, or
+other serious injury, will lessen the quantity of blood and may produce
+anæmia. After sudden blood-letting, the volume of the circulation is
+quickly restored by absorption of fluid, but the red corpuscles cannot be
+so readily replaced, so that the blood is poorer by being more watery. This
+is only one way in which the blood is impoverished.</p>
+
+<p>The blood may be exhausted by a drain upon the system, in consequence of
+hard and prolonged study. Severe mental employment consumes the red
+corpuscles, leaving the blood thin, the skin cool and pale, and the
+extremities moist and cold.</p>
+
+<p>Anæmia may arise from lack of exercise, or it may be occasioned by
+mental depression, anxiety, disappointment, trouble, acute excitement of
+the emotions or passions, spinal irritation; in fact, there are many
+special relations existing between the red corpuscles of the blood and the
+various states of the mind and the nervous system. The latter depends
+directly upon the health and quantity of these red corpuscles for its
+ability to execute its functions.</p>
+
+<p><span class="pagenum"><a name="Page_420" id="Page_420"></a>[pg
+420]</span>Anæmia may arise in consequence of low diet, or because
+the alimentary organs do not properly digest the food, or when there is not
+sufficient variety in the diet. No matter how anæmia is occasioned,
+whether by labor and expenditure, by hemorrhages, lead poisoning, prolonged
+exposure to miasmatic influences, deprivation of food, indigestion,
+imperfect assimilation, frequent child-bearing, or lactation, the number of
+the red corpuscles in the blood is materially diminished.</p>
+
+<p>The diagnostic symptoms of anæmia are pallor of the face, lips,
+tongue, and general surface, weakness of the vital organs, hurried
+respiration on slight exercise, swelling or puffiness of the eyes, and a
+murmur of the heart, resembling the sound of a bellows.</p>
+
+<p>This disorder of the blood tends to develop low inflammation, dropsical
+effusion, tubercular deposits, Bright's disease, derangements of the liver,
+diarrhea, leucorrhea, and is a precursor of low, protracted fevers. This
+condition of the blood predisposes to the development of other affections,
+providing they are in existence, and often it is found associated with
+Bright's disease, cancer, and lung difficulties.</p>
+
+<p><b>Treatment</b>. (1.) Prevent all unnecessary waste and vital
+expenditure.</p>
+
+<p>(2.) Place the patient under favorable circumstances for recovery, by
+regulating the exercise and clothing entertaining the mind, and furnishing
+plenty of pure air.</p>
+
+<p>(3.) Prescribe such a nutritious diet as will agree with the enfeebled
+condition of the patient.</p>
+
+<p>(4.) Regular habits should be established in regard to meals, exercise,
+recreation, rest, and sleep.</p>
+
+<p>(5.) The use of tonics and stimulants, as much as the stomach will bear,
+should be encouraged. Bathe the surface with a solution of a drachm of
+quinine in a pint of whiskey.</p>
+
+<p>(6.) Iron, in some form, is the special internal remedy in anæmia.
+Meantime, it is proper to treat the patient with gentle, manual friction,
+rubbing the surface of the body lightly and briskly with the warm, dry
+hand, which greatly stimulates the circulation of the blood. Anæmia
+occurs more frequently in the female than in the male, because her
+functions and duties are more likely to give rise to it.</p>
+
+
+<p><span class="pagenum"><a name="Page_421" id="Page_421"></a>[pg
+421]</span></p><h4>APNOEA.</h4>
+
+
+<p>Apnoea, or short, hurried, difficult respiration, is occasioned by
+certain conditions of the blood. When anything interferes with the
+absorption of oxygen, or the elimination of carbonic acid, the blood is not
+changed from venous to arterial, and becomes incapable of sustaining life.
+This morbid condition is termed <i>asphyxia</i>. We often read of persons
+going into wells where there are noxious gases, or remaining in a close
+room where there are live coals generating carbonic acid gas and thus
+becoming asphyxiated, dying for want of oxygen.</p>
+
+<p>Deficiency of oxygen is the cause of apnoea, and sometimes the red
+corpuscles themselves are so few, worn out, or destroyed, that they cannot
+carry sufficient oxygen, and the consequence is that the patient becomes
+short of breath, and when a fatal degeneration of the corpuscles ensues, he
+dies of asphyxia. Many a child grows thin and wan and continues to waste
+away, the parents little dreaming that the slow consumption of the red
+corpuscles of the blood is the cause which is undermining the health.
+Sometimes this disease is the result of starvation, irregular feeding,
+improper diet, want of care, and, at other times, want of fresh air, proper
+exercise, and sunlight.</p>
+
+<p><b>Treatment</b>. The first essential to success in the treatment of
+this disease, is the removal of the exciting cause. Exercise in the outdoor
+air and sunlight, with good, nutritious food, and well-ventilated sleeping
+apartments, are of the greatest importance. The bitter tonics, as
+hydrastin, with pyrophosphate of iron, should be employed to enrich the
+blood and build up the strength.</p>
+
+
+<h4>LEUCOCYTH&AElig;MIA.</h4>
+
+
+<p>This term is used to designate a condition in which there is an excess
+of colorless blood-corpuscles. In health, the colorless corpuscles should
+exist only in the proportion of one, to one or two hundred of the red
+corpuscles. These colorless corpuscles increase when there is disease of
+the lymphatic glands, but whether this is the cause of their increase or
+perversion is not known.</p>
+
+<p>They have been found abundant in the blood in diseases of the spleen and
+of the liver. Diarrhea usually attends this <span class="pagenum"><a
+name="Page_422" id="Page_422"></a>[pg 422]</span>complaint, together with
+difficult breathing, loss of strength, gradual decline, fever, diminution
+of vital forces, and finally death. The recovery of a well-marked case of
+this disease is very doubtful. Its average duration is about one year.</p>
+
+
+<h4>DROPSIES.</h4>
+
+
+<p><i>Transudation</i> is the passage of fluid through the tissue of any
+part of the body without changing its liquid state, while <i>exudation</i>
+means, medically, the passage of matter which coagulates and gives rise to
+solid deposits. When transudations are unhealthy, they may accumulate in
+serous cavities or in cellular structures, and constitute <i>dropsy</i>.
+Exudation is the result of inflammation, and the product effused coagulates
+and becomes the seat of a new growth of tissue. Exosmosis means the passage
+of fluid from within outward, and is a process constantly taking place in
+health; while transudation takes place because the blood is watery and the
+tissues are feeble and permeable, permitting the serum and watery elements
+of the blood to pass into certain cavities, where they accumulate.</p>
+
+<p>The cause of dropsies may be low diet, insufficient exercise,
+indigestion, hemorrhages, wasting diseases, in fact, any thing which
+impoverishes the blood and increases the relative amount of serum. The
+tardy circulation of blood in the veins, or its obstruction in any way, is
+a condition highly favorable to the development of dropsy.</p>
+
+<p>General dropsy is called <i>anasarca</i>, and is readily distinguished
+by bloating or puffiness of the skin all over the body. This condition is
+also called <i>oedema</i>. The skin is pale, yields under the finger
+without pain, and preserves the impression for some time. The oedema
+usually appears first in the lower extremities, next in the face, and from
+thence extends over the body.</p>
+
+<p>General dropsy is commonly due to an impoverished condition of the
+blood, and this may be the result of <i>albuminuria</i>, a disease of the
+kidneys. Albuminuria is frequently the sequel of scarlatina. Hence, the
+utmost care should be taken against exposure of a patient recovering from
+scarlatina, and the same caution should be exercised during convalescence
+from measles, erysipelas, and rheumatism. Dropsies may be general, as in
+anasarca, or local, as dropsy of the heart, called <i>cardiac</i> dropsy:
+<span class="pagenum"><a name="Page_423" id="Page_423"></a>[pg
+423]</span>dropsy of the peritoneum, the serous membrane which lines the
+abdominal cavity, called <i>ascites</i>; dropsy of the chest, called
+<i>hydrothorax</i>; dropsy of the head, called <i>hydrocephalus</i>; dropsy
+of the scrotum, called <i>hydrocele</i>.</p>
+
+<p>Dropsy is not, therefore, of itself a disease, but only the symptom of a
+morbid condition of the blood, kidneys, liver, or heart. Thus disease of
+the valves of the heart, may obstruct the free flow of blood and thus
+retard its circulution. In consequence the pulse grows small and weak, and
+the patient cannot exercise or labor as usual, and finally the lower limbs
+begin to swell, then the face and body, the skin looks dusky, the appetite
+is impaired, the kidneys become diseased, there is difficulty in breathing,
+and the patient, it is said, dies of dropsy, yet dropsy was the result of a
+disease of the heart, which retarded the circulation and enfeebled the
+system, and which was actually the primary cause of death.</p>
+
+<p><b>Treatment.</b> Dropsy being only a symptom of various morbid
+conditions existing in the system, any treatment to be radically beneficial
+must, therefore, have reference to the diseased conditions upon which the
+dropsical effusion, in each individual case, depends. These are so various,
+and frequently so obscure, as to require the best diagnostic skill
+possessed by the experienced specialist, to detect them. There are,
+however, a few general principles which are applicable to the treatment of
+nearly all cases of dropsy. Nutritious diet, frequent alkaline baths to
+keep the skin in good condition and favor excretion through its pores, and
+a general hygienic regulation of the daily habits, are of the greatest
+importance. There are also a few general remedies which may prove more or
+less beneficial in nearly all cases. We refer to diuretics and hydragogue
+cathartics. The object sought in the administration of these is the
+evacuation of the accumulated fluids through the kidneys and bowels, thus
+giving relief. Of the diuretics, queen of the meadow, buchu, and digitalis
+generally operate well. As a cathartic, the Purgative Pellets accompanied
+with a teaspoonful or two of cream of tartar, will prove serviceable.
+Beyond these general principles of treatment it would be useless for us to
+attempt to advise the invalid suffering from any one of the many forms of
+dropsy. The specialist skilled by large <span class="pagenum"><a
+name="Page_424" id="Page_424"></a>[pg 424]</span>experience in detecting
+the exact morbid condition which causes the watery effusion and
+accumulation, can select his remedies to meet the peculiar indications
+presented by each individual case. Sometimes the removal of the watery
+accumulation by tapping becomes necessary, in order to afford relief and
+give time for remedies to act. We have found it necessary to perform this
+operation very frequently in cases of <i>hydrocele</i>, and also quite
+often in cases of abdominal dropsy. The chest has also been tapped and
+considerable quantities of fluids drawn off, and this has been followed by
+prompt improvement and a final cure.</p>
+
+
+<h4>CASES TREATED.</h4>
+
+<blockquote>
+<p>
+<b>Case I.</b> A Canadian gentleman, aged 68, applied at the Invalids
+Hotel and Surgical Institute, for examination and treatment. He had
+been dropsical for over two years, and had become so badly affected as
+to be unable to lie down at night. His legs were so filled with water
+and enlarged as to render it almost impossible for him to walk, and
+there was a general anasarca. The least exertion was attended with
+the greatest difficulty of breathing. He had been under the treatment
+of several eminent general practitioners of medicine in Canada but
+found no relief. They were unable to discover the real cause of his
+ailment, but to the specialist who has charge of this class of diseases at
+our institution, and who annually examines and treats hundreds of
+such cases, it was at once apparent that the dropsy was caused from a
+weakened condition of the heart, which rendered it unable to perform
+its functions. He was put upon a tonic and alterative course of treatment,
+which also embraced the use of such medicines as have been
+found to exert a specific, tonic action upon the muscular tissues of the
+heart. He improved so rapidly that in less than two months he was
+able to lie down and sleep soundly all night. The bloating disappeared,
+his strength improved, and in three month's more he was
+discharged perfectly cured.
+</p>
+
+<p><b>Case II.</b> A man aged 42, consulted us by letter, stating that he
+was troubled with general bloating which had made its appearance gradually
+and was attended by general debility and other symptoms which
+have been enumerated as common to general dropsy. He had been
+under the treatment of several home physicians without receiving any
+benefit; he had steadily grown worse until he felt satisfied that if he
+did not soon get relief he could not live very long. He was requested
+to send a sample of his urine for examination, as we had suspicions,
+from the symptoms which he gave, that the cause of his dropsy was
+<i>albuminuria</i>, or Bright's disease of the kidneys. On examination of
+the urine, albumen in very perceptible quantities was found to be
+present. We had, about this time, come into possession of a remedy
+said by very good authority, to be a specific in degeneration of the
+kidneys when not too far advanced, and we determined to test it
+upon this well-marked case. We accordingly prescribed it, together
+with other proper tonics and alteratives, at the same time giving the
+patient important hygienic advice, which must be complied with if
+success is attained in the management of this very fatal malady. Our
+patient gradually improved, and in a few months' time was restored to
+perfect health, which he has continued to enjoy ever since. From our
+<span class="pagenum"><a name="Page_425" id="Page_425"></a>[pg
+425]</span>subsequent experience, embracing the treatment of quite a large
+number of cases of Bright's disease of the kidneys, we are satisfied
+that it is, in its early stage, quite amenable to treatment.
+</p>
+
+<p><b>Case III.</b> A man aged 35, single, consulted us for what he
+supposed
+to be enlargement of the testicles. The scrotum was as large as his
+head, and it was with difficulty that he could conceal the deformity
+from general observation. The disease was immediately recognized by
+the attending surgeon as hydrocele. The liquid was promptly drawn
+oft by tapping, and a stimulating injection was made into the scrotum
+to prevent re-accumulation. We mention this case only because it is
+one among a very large number who have consulted us supposing that
+they were suffering from enlargement of the testicles, cancer, or some
+other morbid growth within the scrotum, when a slight examination
+has shown the affection to be hydrocele, a disease which is speedily
+cured by tapping, with a little after treatment. The operation is
+perfectly safe and almost entirely painless.
+</p>
+
+<p><b>Case IV.</b> A lady, aged 24, consulted us by letter enumerating a
+long
+list of symptoms which clearly indicated abdominal dropsy, resulting
+from suppression of the menses. A well-regulated, hygienic treatment
+was advised, and medicines to restore the menstrual function by
+gradually toning up and regulating the whole system, were forwarded
+to her by express. After four months' treatment, perfect recovery
+resulted. Cases like this latter are very common and generally yield
+quite readily to proper management. No harsh or forcing treatment
+for restoring the menstrual function should be employed, as it will not
+only fail to accomplish the object sought, but it is also sure to seriously
+and irreparably injure the system. The most difficult cases which we
+have had to deal with, have been those which had been subjected by
+other physicians to the administration of strong emmenagogues in the
+vain effort to bring on the menses.
+</p>
+</blockquote>
+
+
+<h4>RHEUMATISM.</h4>
+
+
+<p>Prominent among constitutional diseases is the one known as
+<i>rheumatism</i>. It is characterized by certain local symptoms or
+manifestations in fibrous tissues. This term has been applied to neuralgic
+affections and to <i>gout</i>, but it differs from each in several
+essential particulars. Rheumatism may be divided into (1) <i>Acute</i>, (2)
+<i>Chronic</i>, (3) <i>Muscular</i>.</p>
+
+<p><b>Acute Articular Rheumatism</b>. Acute articular rheumatism implies an
+affection of the articulations or joints. It usually commences suddenly;
+sometimes pain or soreness in the joints precedes the disclosure of the
+disease. The symptoms are pain in the joints, tenderness, increased heat,
+swelling and redness of the skin. The pain varies in its intensity in
+different oases, and is increased by the movement of the affected parts.
+Swelling of the joints occurs, especially those of the knee, ankle, wrist,
+elbow, and the smaller joints of the hands and feet. The swelling and
+redness are generally in <span class="pagenum"><a name="Page_426"
+id="Page_426"></a>[pg 426]</span>proportion to the acuteness of the attack.
+Acute articular rheumatism is always accompanied with more or less fever.
+Sweating is generally a prominent symptom, being strongly acid and more
+profuse during the night. The appetite is impaired, the tongue is coated,
+the bowels are constipated, or there is diarrhea.</p>
+
+<p><b>The Duration of this Disease</b>. Unlike fevers, its course is marked
+by fluctuations; frequently after a few days the pain subsides, the fever
+disappears, and convalescence is apparently established, when, suddenly,
+all the symptoms are renewed with even greater intensity than before. This
+disease rarely proves fatal, unless the heart is involved.</p>
+
+<p><b>Causes</b>. Rheumatism is frequently supposed to be occasioned by a
+suppression of the functions of the skin, and is generally attributed to
+the action of cold upon the surface of the body. But this acts only as an
+exciting cause. It is a disease of the blood. This form of rheumatism
+usually occurs between the age of fifteen and thirty, and prevails most
+extensively in changeable climates. Acute articular rheumatism seldom
+terminates in the chronic form.</p>
+
+<p><b>Chronic Articular Rheumatism</b>. Articular rheumatism, in the
+subacute or chronic form, is frequently observed in medical practice. The
+symptoms are pain and more or less swelling of the joints, although not of
+as grave a character as in acute rheumatism. There is frequently an absence
+of increased heat and redness. As in the acute form, the different joints
+are liable to be affected successively and irregularly, until, after a
+time, the disease becomes fixed in a single joint, and the fibrous tissues
+entering into the ligaments and tendons are liable to be affected. The
+appetite, digestion, and nutrition are often good, and, in mild cases,
+patients are able to pursue their daily vocations. The disease is supposed
+to be the same as in the acute form, but milder, and, strange to say, more
+persistent. A diseased condition of the blood is supposed to be involved in
+both instances, but this morbid state is less extended, and, at the same
+time, more obstinate in the chronic than in the acute form. Sub-acute
+articular rheumatism is not always chronic, and may disappear in a shorter
+time than in the acute form. Chronic articular rheumatism is not generally
+fatal, but there is danger of permanent deformities.</p>
+
+<p><span class="pagenum"><a name="Page_427" id="Page_427"></a>[pg
+427]</span><b>Muscular Rheumatism</b>. This affection is closely allied to
+<i>neuralgia</i>, and may properly be called <i>myalgia</i>. It exists
+under two forms, acute and chronic. In acute muscular rheumatism, there is
+at first a dull pain in the muscles, which gradually increases. When the
+affected muscles are not used the pain is slight, and certain positions may
+be assumed without inducing it constantly; but in movements which involve
+contraction of the muscles the pain is very violent. In some cases, the
+disease is movable, changing from one muscle to another, but usually it
+remains fixed in the muscle first attacked. The appetite and digestion are
+not often impaired, and there is no fever. The duration of this form of
+rheumatism varies from a few hours to a week or more.</p>
+
+<p>In subacute or chronic muscular rheumatism, pain is excited only when
+the affected muscles are contracted with unusual force, and then it is
+similar to that experienced in the acute form. The chronic form is more apt
+to change its position than the acute. The duration of this form is
+indefinite. In both the acute and chronic forms some particular parts of
+the body are more subject to the affection than others.</p>
+
+<p>The muscles on the posterior part of the <i>neck</i> are subject to
+rheumatic affection. It is termed <i>torticollis</i> or <i>cervical</i>
+rheumatism in such cases, and should be distinguished from ordinary
+neuralgia. When the muscles of the loins are affected, it is commonly known
+as <i>lumbago</i>. In case the thoracic muscles are affected, it is known
+as <i>pleurodynia</i>. In coughing, sneezing, and the like, the pain
+produced is not unlike that in pleuritis and intercostal neuralgia.</p>
+
+<p>One of the most marked features of muscular rheumatism, is the
+cramp-like pain, induced by the movements of the affected muscles, whereas
+the pain is slight when those muscles are uncontracted. This feature is
+very serviceable in distinguishing muscular rheumatism, or myalgia, from
+neuralgic affections. Another trait which distinguishes muscular rheumatism
+from neuralgia, is that the former is characterized by great soreness,
+while the latter is not. There is also a distinction between inflammation
+of the muscles and muscular rheumatism. In the case of the former, there is
+continued pain, swelling of the parts, occasional redness, and the presence
+of <span class="pagenum"><a name="Page_428" id="Page_428"></a>[pg
+428]</span>more or less fever, which conditions do not exist in the latter.
+Persons subject to rheumatism of the muscles, are apt to suffer from an
+attack, after exposure of the body to a draught of air during sleep, or
+when in a state of perspiration.</p>
+
+<p><b>Treatment of Acute Rheumatism</b>. Administer the spirit vapor-bath
+to produce free perspiration, which should be maintained by full doses of
+the Compound Extract of Smart-weed. The anodyne properties of the latter
+also prove very valuable in allaying the pain. Tincture or fluid extract of
+aconite root may also be employed, to assist in equalizing the circulation,
+and also to secure its anodyne action. Black cohosh seems to exert a
+specific and salutary influence in this disease, and the tincture or fluid
+extract of the root of this plant may be advantageously combined with the
+aconite. Take fluid extract of aconite-root, thirty drops; fluid extract of
+black cohosh, one drachm; water, fifteen teaspoonfuls; mix. The dose is one
+teaspoonful every hour. The whole person should be frequently bathed with
+warm water, rendered alkaline by the addition of saleratus or soda. The
+painful joints may be packed with wool or with cloths wrung from the hot
+saleratus water, and the patient kept warm and quiet in bed. The acetate of
+potash taken in doses of five grains, well diluted with water, every three
+or four hours, is very valuable in acute rheumatism. Its alkaline qualities
+tend to neutralize the acid condition of the fluids of the system, and it
+also possesses diuretic properties which act upon the kidneys, removing the
+offending blood-poison from the system through these organs. If the joints
+are very painful, cloths wet with the Compound Extract of Smart-weed and
+applied to them, and covered with hot fomentations, very frequently relieve
+the suffering. The majority of cases yield quite promptly to the course of
+treatment already advised, if it is persevered in. The disease, however,
+sometimes proves obstinate and resists for many days the best treatment yet
+known to the medical profession.</p>
+
+<p><b>Treatment of Chronic Rheumatism</b>. The general alkaline baths
+recommended in the acute affection are also valuable in the chronic. The
+spirit vapor-bath, the Turkish, as well as the sulphur vapor-bath, are all
+worthy of a trial in this obstinate and painful disease. Alternatives are a
+very valuable <span class="pagenum"><a name="Page_429"
+id="Page_429"></a>[pg 429]</span>class of agents in chronic rheumatism. The
+following mixture, in teaspoonful doses three times a day, in alternation
+with the Golden Medical Discovery, has proved very successful in this
+disease: acetate of potash, one ounce; fluid extract of black cohosh, one
+ounce; fluid extract of poison hemlock, two drachms; simple syrup, six
+ounces. This thorough alterative course, if well persevered in, together
+with the use of alkaline and vapor-baths, will generally prove very
+successful. The specialist, however, dealing with chronic diseases
+exclusively, will occasionally meet with a case which has been the rounds
+of the home physicians without benefit, that will tax his skill and require
+the exercise of all his perceptive faculties to determine the exact
+condition of the patient's system, upon which the obstinacy of the disease
+depends. When this is ascertained, the remedies will naturally suggest
+themselves, and the malady will generally yield to them. But, although the
+treatment of this disease has entered largely into our practice at the
+Invalid's Hotel, and has been attended by the most happy results, yet the
+cases have presented so great a diversity of abnormal features, and have
+required so many variations in the course of treatment, to be met
+successfully, that we frankly acknowledge our inability to so instruct the
+unprofessional reader as to enable him to detect the various systemic
+faults common to this ever-varying disease, and adjust remedies to them, so
+as to make the treatment uniformly successful. If the several plans of
+treatment which we have given do not conquer the disease, we can not better
+advise the invalid than to recommend him to employ a physician of
+well-known skill in the treatment of chronic diseases. If such a one is not
+accessible for personal consultation, a careful statement of all the
+prominent symptoms, in writing, may be forwarded to a specialist of large
+experience in this disease, who will readily detect the real fault, in
+which the ailment has its foundation. Particularly easy will it be for him
+to do so, if he be an expert in the analysis of urine. A vial of that which
+is first passed in the morning, should be sent with the history of the
+case, as chronic rheumatism effects characteristic changes in this
+excretion, which clearly and unmistakably indicate the abnormal condition
+of the fluids of the body upon which the disease depends.</p>
+
+<p><span class="pagenum"><a name="Page_430" id="Page_430"></a>[pg
+430]</span></p><hr />
+
+
+
+
+<h1><a name='DISEASES_OF_THE_SKIN'></a>DISEASES OF THE SKIN.</h1>
+
+<h2>ECZEMATOUS AFFECTIONS.</h2>
+
+
+<p>Eczematous affections constitute a very important class of skin
+diseases, the prominent characteristics of which are <i>eruption</i> and
+<i>itching</i>. They are progressive in character, passing through all the
+successive stages of development, from mere redness of the skin to
+desquamation, or thickening of the cuticle. The affections belonging to
+this group are <i>eczema, psoriasis, pityriasis, lichen, impetigo, gutta
+rosacea,</i> and <i>scabies</i>, or <i>itch</i>. A careful examination of
+each of these diseases shows it to be a modified form of eczema, and,
+therefore, they demand similar treatment.</p>
+
+<p><b>Eczema</b>. (<i>Humid Tetter, Salt-rheum, Running Scall</i>, or
+<i>Heat Eruption</i>.) The term <i>eczema</i> is used to designate the
+commonest kind of skin diseases.</p>
+
+<p>In this disease, the minute blood-vessels are congested causing the skin
+to be more vascular and redder than in its natural state. There is an
+itching or smarting in the affected parts. The skin is raised in the form
+of little pimples or vesicles, and a watery lymph exudes. Sometimes the
+skin becomes detached and is replaced by a crust of hardened lymph, or it
+may be partially reproduced, forming <i>squamæ</i>, or scales. There are
+three stages of this disease; the inflammatory, accompanied by swelling,
+and the formation of pimples or vesicles; that of exudation, which is
+succeeded by incrustation; and that of desquamation, in which the skin
+separates in little scales and sometimes becomes thickened. Rarely, if
+ever, does the disease pass through these successive stages, but it is
+modified by its location and the temperament of the patient.</p>
+
+<p>The many varieties of eczema are designated according to their
+predominating characteristics. Thus, when pimples or vesicles are abundant,
+it is termed, respectively, <i>eczema papulosum</i> and <i>eczema
+vesiculosum,</i> a fine illustration of which may be seen in Colored Plate
+I, Fig. 1. Again, when characterized by the eruption of pustules, it is
+termed <i>eczema pustulosum</i>, a representation of which may be seen in
+Plate I, Fig. 2; and, when the prominent feature is the formation of
+scales, it is termed <i>eczema squamosum</i>.</p>
+
+<p>Eczema may be general or partial; in other words, the eruption may
+appear in patches or be distributed over the entire surface of the body.
+The latter form often appears in infants, but rarely occurs in adults. Two
+or more varieties of the eruption may be associated, or one form may
+gradually develop into another.</p>
+
+
+
+<p class="figure"><a name="advise130"><img width="40%" alt="Illustration:
+Plate I. Fig. 1. Fig. 2. Fig. 3. Fig. 4. Fig. 5."
+src="images/advise130.jpg" /></a><br />Plate I. Fig. 1. Fig. 2. Fig. 3.
+Fig. 4. Fig. 5.</p>
+
+<p>Infants and young children are peculiarly subject to this disorder, and,
+if the disease be not promptly arrested, it will assume the severest form
+and eventually become chronic. The muscles are soft, the eyes are dull and
+expressionless, and the little sufferer experiences the <span
+class="pagenum"><a name="Page_431" id="Page_431"></a>[pg 431]</span>most
+excruciating torments. Frequently the whole body is covered with patches of
+eczema, the secretions are arrested, and, where the scales fall off, the
+skin is left dry and feverish.</p>
+
+<p>Eczema has no symptoms proper, since the morbid feelings are due to
+constitutional debility, of which eczema is the result. The <i>signs</i> of
+eczema are redness, heat, an itching or smarting sensation, the formation
+of pimples or vesicles, exudation, incrustation, the separation of the
+cuticle into scales and a gradual thickening of the skin.</p>
+
+<p><b>Causes</b>. Three forms of constitutional derangement predispose the
+system to eczema; nutritive, assimilative, and nervous debility. In the
+former, there is a diminution of nutritive power, so that the patient
+becomes weak and emaciated. Assimilative debility is indicated by an
+impaired digestion and a consequent suppression, or an abnormal state of
+the secretions. Eczema occasioned by nervous debility, is accompanied by
+all the morbid conditions incident to irritation and exhaustion of the
+nervous system. Eczema may be excited by a violation of the rules of
+hygiene, as undue exposure, or sudden transition from heat to cold,
+deficient or excessive exercise, impure air, or improper clothing.</p>
+
+<p><b>Psoriasis</b>. Psoriasis may be defined as a <i>chronic form of
+eczema</i>. The transition of the last stage of eczema into psoriasis is
+indicated by a tendency of the inflamed, thickened, scaly skin to become
+moist when rubbed. It usually appears in patches on various portions of the
+body. The skin is parched and highly discolored. The hairs are harsh and
+scanty. The patient is constantly tormented by an unbearable itching
+sensation and, if the skin is rubbed, it exudes a viscous or sticky fluid.
+These are the characteristic signs of psoriasis. It generally appears on
+the flexures, folds and crooks of the joints, the backs and palms of the
+hands, the arms, and the lower portions of the legs.</p>
+
+<p><b>Pityriasis</b>. (<i>Branny Tetter</i>, or <i>Dandruff</i>.) This
+affection is a mild form of psoriasis, from which it may be distinguished
+by a more superficial congestion or inflammation of the affected parts, the
+absence of swelling, and the formation of smaller scales, having the form
+and appearance of <i>fine bran</i>. It generally appears on the scalp,
+sometimes extends over the face, and, in rare instances, affects the entire
+surface of the body. The signs peculiar to this disease are slight
+inflammation, itching, and the formation of minute scales.</p>
+
+<p><b>Causes</b>. Pityriasis is caused by nutritive debility, and is often
+associated with erysipelas, rheumatism, and bronchitis.</p>
+
+<p><b>Lichen</b>. (<i>Papular Rash</i>.) Lichen is a term used to designate
+an eruption of minute conical pimples, which are more or less transparent,
+red, and occasion great annoyance. The eruption is attended with a severe,
+hot, prickling sensation, as if the flesh were punctured with hot needles.
+The pimples contain no pus, but if opened, they exude a small quantity of
+blood and serum. This disease more frequently occurs between the ages of
+twelve and fifty, but occasionally appears <span class="pagenum"><a
+name="Page_432" id="Page_432"></a>[pg 432]</span>during dentition, when it
+is called "tooth rash." The lichen pimples are sometimes dispersed singly
+over the skin and gradually subside, forming a minute scale, corresponding
+in position with the summit of the pimple. When the pimples appear in
+clusters, there is a diffused redness in the affected part, and, if they
+are irritated, minute scabs will be formed. Lichen generally appears on the
+upper portion of the body, as on the face, arms, hands, back, and
+chest.</p>
+
+<p>The various forms of lichen are designated according to their causes,
+signs, location, manner of distribution, and the form of the pimples.</p>
+
+<p><i>Lichen Simplex</i> is the simplest form of this disorder, and is
+indicated by the appearance of minute pimples, which, when the distribution
+is general, are arranged like the blotches of measles. Sometimes the
+eruption is local and bounded by the limits of an article of clothing, as
+at the waist. In eight or ten days, the cuticle separates into minute
+scales, which are detached and thrown off; but a new crop of pimples soon
+appears and runs the same course, only to be succeeded by another, and thus
+the affection continues for months and even years.</p>
+
+<p><i>Lichen circumscriptus</i> is an aggravated form of <i>lichen
+simplex</i>, and is characterized by a circular arrangement of the pimples.
+The circumference which marks the limit of the patch is sharply defined.
+This form of lichen usually appears on the chest, hips, or limbs, and is
+not unfrequently mistaken for ringworm.</p>
+
+<p><i>Lichen strophulosus</i> is a variety peculiar to infants.
+Dermatologists recognize several subdivisions of this species, but the
+general characteristics are the same in all. The pimples are much larger
+than in the other forms of lichen, of a vivid red color and the duration of
+the eruption is limited to two or three weeks.</p>
+
+<p><i>Lichen urticatus</i> is also an infantile affection and begins with
+inflammation, which is soon succeeded by the eruption. In a few days the
+pimples shrink, the redness disappears, and the skin has a peculiar
+bleached appearance. The eruption is attended by an intense itching
+sensation and, if the skin is ruptured, a small quantity of blood is
+discharged and a black scab formed. This variety of lichen is very
+obstinate and of long duration.</p>
+
+<p><i>Lichen tropicus</i>, popularly known as <i>prickly heat</i>, is an
+affection which attacks Europeans in hot climates. It is characterized by
+the appearance of numerous red pimples of an irregular form, distributed
+over those portions of the body usually covered by the clothing. It is
+attended with a fierce, burning, itching sensation, which is aggravated by
+warm drinks, friction of the clothing, and the heat of the bed. The
+eruption indicates a healthy condition of the system; its suppression or
+retrocession is an unfavorable symptom, denoting some internal affection
+such as deranged nutrition.</p>
+
+
+
+<p class="figure"><a name="advise131"><img width="40%" alt="Illustration:
+Plate II. Fig. 6. Fig. 7. Fig. 8. Fig. 9. Fig. 10. Fig. 11. Fig. 12. Fig.
+13." src="images/advise131.jpg" /></a><br />Plate II. Fig. 6. Fig. 7. Fig.
+8. Fig. 9. Fig. 10. Fig. 11. Fig. 12. Fig. 13.</p>
+
+<p>In <i>lichen planus</i>, as the term indicates, the pimples are
+flattened. There is no sensation of itching or formation of scabs. The
+pimples are solitary and have an angular base, and the fresh pimples formed
+<span class="pagenum"><a name="Page_433" id="Page_433"></a>[pg
+433]</span>appear on the spaces between the former eruptions. This
+affection usually attacks some particular region, such as the abdomen,
+hips, or chest. Instances are recorded in which it has appeared on the
+tongue and the lining membrane of the mouth. Sometimes it appears in
+patches, but even then, the margin of each pimple can be discerned.</p>
+
+<p><i>Lichen pilaris</i> and <i>lividus</i> are modifications of lichen
+simplex, the former being so named to describe the location of the pimples,
+<i>i.e.</i>, surrounding the minute hairs which cover the body, especially
+the lower limbs. The term <i>lichen lividus</i> indicates the dark purplish
+hue caused by a torpid circulation and the consequent change of arterial
+into venous blood before leaving the pimples. <i>Lichen circinatus</i> is a
+modified form of <i>lichen circumspectus</i>. The pimples in the center of
+the circular patch subside and a ring is formed which gradually increases
+in size. When the rings become broken or extend in regular forms, the
+affection is termed <i>lichen gyratus</i>.</p>
+
+<p><b>Causes</b>. Constitutional debility predisposes the system to this
+eruption. The exciting causes are irritation of the skin, strumous
+diathesis, dentition, and any violation of hygienic rules. Although lichen
+is not a fatal disease, yet it tends to reduce the vitality of the
+system.</p>
+
+<p><b>Impetigo</b>. (<i>Crusted Tetter</i> or <i>Scall</i>.) Impetigo is a
+term applied to an inflammation of the skin, more severe and energetic in
+its character than the preceding affection. We have found the predominating
+characteristics of eczema and lichen to be the presence of exudation in the
+former, and the absence of it in the latter.</p>
+
+<p>Impetigo is marked by the formation of yellow pus, which raises the
+cuticle into pustules. There is a slight swelling, redness, and the pus
+gradually dries up, forming an amber-colored crust, a representation of
+which is given in Colored Plate I, Fig. 5. It soon falls, leaving the skin
+slightly inflammed, but with no scar. The pustules are sometimes surrounded
+by a cluster of smaller ones.</p>
+
+<p>The varieties of impetigo are designated according to the distribution
+of the pustules. <i>Impetigo figurata</i>, is characterized by the
+appearance of large clusters upon an inflamed and swollen surface,
+generally upon the face, but sometimes upon the scalp. This form is
+represented in Colored Plate I, Fig. 4. In <i>impetigo sparsa</i> the
+pustules are scattered over the whole body.</p>
+
+<p><b>Causes</b>. The predisposing cause of impetigo is nutritive debility,
+and the exciting causes are irritation, impure air, and errors of diet.</p>
+
+<p><b>Gutta Rosacea</b> is a <i>progressive</i> disease, and its successive
+stages of development mark the several varieties, such as <i>gutta rosacea,
+erythematosa, papulosa, tuberculosa, pustulosa</i>, according as they are
+characterized by redness, pimples, tubercles, or pustules. This affection
+is attended with heat, itching, and throbbing. The pustules contain serous
+lymph, which exudes if the cuticle be broken, and forms a crust at the
+summit of the pustule.</p>
+
+<p><span class="pagenum"><a name="Page_434" id="Page_434"></a>[pg
+434]</span>This eruption often appears on the face of persons addicted to
+intemperate habits, and has thus received the name of "<i>rum
+blossom</i>."</p>
+
+<p><b>Cause</b>. It is essentially a chronic affection, and depends upon
+constitutional causes.</p>
+
+<p><b>Scabies</b>. (<i>Itch</i>.) This disease is characterized by a
+profuse scaliness of the skin, by an eruption of pimples, vesicles, and, in
+rare instances, of pustules. Its prominent feature is an intense itching,
+so aggravating that, in many instances, the skin is torn by the nails.
+Unlike other diseases of the skin, it is not due to inflammation, but is
+caused by animalculæ, or little parasites, termed by naturalists the
+<i>acarus scabiei</i>. This minute animal burrows in the skin, irritating
+it, and thus producing the scaliness and itching. The vesicles are
+comparatively few in number, and contain a transparent fluid. The pustules
+are only present in the severest forms or when the skin is very thin and
+tender. It is then termed <i>pustular itch</i>.</p>
+
+<p>The parts usually affected are the hands, flexures of the joints, and
+the genital organs. Cases are recorded, in which scabies appeared upon the
+face and head, but they are of rare occurrence. The activity of the
+animalculæ, is modified by the vitality of the victim. In persons of
+a vigorous constitution, they will rapidly multiply, and, in a few days
+after their first appearance, will be found in almost every part of the
+body.</p>
+
+<p>Scabies is not confined to any age or sex, but chiefly affects persons
+of filthy habits. This disease can only be communicated by contact, or by
+articles of clothing worn by an infected person. There are certain
+indications which predispose the system to infection, such as robust
+health, a hot climate, and uncleanliness.</p>
+
+<p><b>Treatment</b>. In all the varieties of eczematous affections, except
+scabies, the treatment of which will hereafter be separately considered,
+remedies employed with a view to the removal of the constitutional fault
+are of the greatest importance. The eruption upon the skin is but a local
+manifestation of a functional fault, which must be overcome by alterative
+remedies. All the excretory organs should be kept active. To open the
+bowels, administer a full cathartic dose of Dr. Pierce's Pleasant Pellets.
+Afterwards they should be used in broken doses of one or two daily, in
+order to obtain their peculiar <i>alterative</i> effects. The use of Dr.
+Pierce's Golden Medical Discovery is also necessary to secure its
+constitutional remedial benefits. As a local corrective to relieve the
+itching and disagreeable dryness of the skin, add half an ounce of
+blood-root to half a pint of vinegar, steep moderately for two hours,
+strain and paint the affected parts once or twice daily with the liquid.
+Every night before retiring, apply glycerine freely to all the affected
+parts, or dissolve one drachm of oxalic acid in four ounces of glycerine
+and anoint the skin freely. The white precipitate ointment, obtainable at
+any drug store, is an excellent application is most forms of eczema. A tea,
+or infusion, of <span class="pagenum"><a name="Page_435"
+id="Page_435"></a>[pg 435]</span>black walnut leaves, applied as a lotion
+to the affected parts, has also proved beneficial. The surface of the body
+should be kept clean by frequent bathing, and thus stimulating its
+capillary vessels to healthy activity. The eczematous surfaces should not
+be bathed frequently, and never with harsh or irritating soaps. All
+varieties of eczematous affections, except scabies, are only temporarily
+relieved by external applications, while the <i>radical cure</i> depends
+upon a protracted use of alterative, or blood-cleansing medicines.
+Therefore, we would again remind the reader of the necessity of keeping the
+bowels regular, and removing all morbid taints of the blood and faults of
+the secretory organs by the persistent use of Dr. Pierce's Golden Medical
+Discovery. <i>The successful treatment of scabies</i>, or common itch,
+generally requires only local applications, for the object to be obtained
+is simply the destruction of the little insects which cause the eruption.
+Happily, we possess an <i>unfailing specific</i> for this purpose. Numerous
+agents have been employed with success, but <i>Sulphur</i> enjoys the
+greatest reputation for efficacy, and, since it is perfectly harmless, we
+advise it for this class of disease. Take a quantity of pulverized sulphur
+and mix with sufficient vaseline or lard to form an ointment. Having first
+divested the body of clothing, anoint it all over freely, and rub the
+ointment thoroughly into the pores of the skin while standing before a hot
+fire. The application should be made at night before retiring, and the
+patient should wear woolen night-clothes or lie between woolen blankets. In
+the morning after the application, the patient should take a warm bath,
+washing the skin thoroughly and using <i>plenty of soap</i>. This treatment
+should be repeated two or three times to be <i>certain</i> of a <i>perfect
+eradication</i> of the disease. After this course of treatment, the wearing
+apparel as well as the bed-clothes should be thoroughly cleansed, as a
+precaution against a return of the disease.</p>
+
+<p><span class="pagenum"><a name="Page_436" id="Page_436"></a>[pg
+436]</span></p><hr />
+
+
+
+
+<h1><a name='ERYTHEMATOUS_AFFECTIONS'></a>ERYTHEMATOUS AFFECTIONS.</h1>
+
+
+<p>The prominent features, eruption, and itching of <i>eczematous</i>
+affections are purely local. <i>Erythematous</i> affections are, however,
+remarkable for their symptoms of constitutional disorder. Each of these
+affections is preceded by intense febrile excitement and nervous debility.
+In brief, the local manifestations are simply signs of general internal
+disorders; hence, the treatment should be directed to the restoration of
+the system. This group includes <i>erythema, erysipelas</i>, and
+<i>urticaria</i>.</p>
+
+<p><b>Erythema.</b> A vivid and partial flushing of the face is produced by
+a superficial inflammation of the skin, termed <i>erythema</i>. There are
+many stages of this disease, from the instantaneous transient flush caused
+by emotional excitement, to the protracted inflammation and swelling of
+<i>erythema nodosum</i>.</p>
+
+<p>The affection is characterized by a flush which is at first a bright
+vivid scarlet, but which changes to a deep purplish tint. There is a slight
+elevation of the skin, sometimes accompanied by itching. In the second
+stage of development, the flush subsides, the skin has a yellowish or
+bruised appearance, and a few minute scales are formed. In <i>erythema
+papulosum</i>, a fine representation of which is given in Colored Plate
+III, Fig. 18, there is an eruption of red pimples or pustules. The
+prominent feature of <i>erythema nodosum</i>, a variety of erythema which
+affects those portions of the skin exposed to the sun, is the appearance of
+a large swelling, usually lasting four or five days and attended by
+constitutional symptoms, such as nausea, fever, languor, and despondency.
+The disease is associated with the symptoms incident to a disordered
+nervous system and sometimes results fatally, in other cases, it terminates
+in melancholy and mania.</p>
+
+<p><b>Causes.</b> The predisposing causes of erythema are constitutional
+debility, changes of climate and temperature, and irritating food or
+medicines. Locally, it may be produced by friction and the heat of the
+sun.</p>
+
+
+
+<p class="figure"><a name="advise132"><img width="40%" alt="Illustration:
+Plate III. Fig. 14. Fig. 15. Fig. 16. Fig. 20. Fig. 17. Fig. 19. Fig. 18."
+src="images/advise132.jpg" /></a><br />Plate III. Fig. 14. Fig. 15. Fig.
+16. Fig. 20. Fig. 17. Fig. 19. Fig. 18.</p>
+
+<p><b>Erysipelas.</b> There are few adult persons in this country who have
+not, by observation or experience, become somewhat familiar with this
+disease. Its manifestations are both constitutional and local, and their
+intensity varies exceedingly in different cases. The constitutional
+symptoms are usually the first to appear, and are of a febrile character. A
+distinct chill, attended by nausea and general derangement of the stomach
+is experienced, followed by febrile symptoms more or less severe. There are
+wandering pains in the body and sometimes a passive delirium exists.
+Simultaneously with these symptoms the local manifestations of the disease
+appear. A red spot develops on the face the ear, or other part of the
+person. Its boundary is clearly marked and the affected portion slightly
+raised above the surrounding surface. <span class="pagenum"><a
+name="Page_437" id="Page_437"></a>[pg 437]</span>It is characterized by a
+burning pain and is very sensitive to the touch. It is not necessary for
+the information of the general reader that we should draw a distinction
+between the different varieties of this malady. The distinctions made are
+founded chiefly upon the <i>depth</i> to which the morbid condition
+extends, and not on any difference in the <i>nature of the
+affection</i>.</p>
+
+<p>Suppuration of the tissues involved is common in the severer forms.
+Should the tongue become dark and diarrhea set in, attended with great
+prostration, the case is very serious, and energetic means should be
+employed to save life. A retrocession of the inflammation from the surface
+to a vital organ is an extremely dangerous symptom.</p>
+
+<p>The disease is not regarded as contagious, but has been known to become
+epidemic.</p>
+
+<p><b>Urticaria.</b> (<i>Hives, or Nettle-Rash.</i>) This word is derived
+from <i>urtica</i>, signifying a nettle; it is a transient affection of the
+skin, indicated by a fierce, burning, itching sensation and a development
+of pustules, or white blotches of various forms. A representation of this
+eruption is given in Colored Plate III, Fig. 17. It is appropriately named
+nettle-rash, from its resemblance to the irritation caused by the sting of
+a nettle. There is the same sharp, tingling sensation and a similar white
+wheal or blotch, caused by the muscular spasm of the corium, a layer of the
+skin.</p>
+
+<p>Urticaria may be either acute or chronic. Acute urticaria is always
+preceded by febrile symptoms and the attack is indicated by a sudden
+congestion of the skin, followed by a slight swelling or elevation of the
+affected part. When the congestion subsides, the skin has a bruised
+appearance. In chronic urticaria, the febrile symptoms are absent.</p>
+
+<p><b>Causes.</b> The exciting causes of urticaria are gastric disorder,
+irritation of the mucous membrane, or a sudden nervous shock. The
+predisposing causes are conceded to be assimilative and nervous debility.
+Hence, it frequently accompanies purpura or land scurvy and rheumatism. The
+skin in some persons is so susceptible to irritation that urticaria can be
+kindled at any moment by excitement, as an animated conversation, or by the
+simple pressure of the hand.</p>
+
+<p><b>Treatment.</b> The proper treatment for simple erythema consists in
+applying to the affected parts a little lime-water, or sweet-oil, or
+glycerine, with the use of warm baths and mild cathartics. This is
+generally sufficient to effect a cure, if followed up with the persistent
+use of Dr. Pierce's Golden Medical Discovery taken three times a day.</p>
+
+<p>In <i>erysipelas</i> a hot bath, with warm, sweating teas, or, better
+still. Dr. Pierce's Compound Extract of Smart-weed may be given to favor
+sweating. The whole person should be frequently bathed with warm water
+rendered alkaline by the addition of saleratus or soda. The whole should be
+moved by a full dose of the "Pleasant Pellets." Fluid extract of veratrum
+viride, in doses of a drop or two every hour will <span class="pagenum"><a
+name="Page_438" id="Page_438"></a>[pg 438]</span>best control the fever.
+The specific treatment, that which antidotes the poison in the blood,
+consists in administering fifteen-drop doses of the tincture of the muriate
+of iron in one teaspoonful of the "Golden Medical Discovery," every three
+hours. As a local application, the inflamed surface may be covered with
+cloths wet in the mucilage of slippery elm. A preparation of equal parts of
+sweet oil and spirits of turpentine, mixed and painted over the surface, is
+an application of great efficacy.</p>
+
+<p><i>For urticaria</i>, the "Pleasant Pellets" should be administered in
+sufficient doses to move the bowels, the skin bathed with warm water
+rendered alkaline by the addition of common baking soda or saleratus, and,
+if there be any febrile symptoms, a little tincture of aconite or veratrum
+may be administered in one drop doses once each hour. In the chronic form
+of the disease, the diet should be light, unstimulating, and easily
+digested, the skin kept clean by frequent bathing, and fresh air and
+outdoor exercises freely taken. The somewhat protracted use of Dr. Pierce's
+Golden Medical Discovery will result in the greatest benefit in this form
+of disease.</p>
+
+
+<h4>BULLOUS AFFECTIONS.</h4>
+
+
+<p>The distinguishing feature of this group of cutaneous affections is the
+formation of <i>bullæ</i>, or blebs, which are defined as "eminences
+of the cuticle, containing a fluid."</p>
+
+<p><b>Herpes</b> is an inflammation of the skin in which the eruption
+appears in patches of a circular form. On the second day, minute,
+transparent vesicles appear and gradually develop, becoming opalescent. On
+the succeeding days, they shrink and produce reddish brown scabs, which
+soon become hard and fall off, leaving deep, purplish pits. In adults,
+these vesicles sometimes terminate in painful ulcers, caused by an
+irritation of the eruption. By some practitioners, herpes is regarded as a
+purely nervous disorder, from the fact that it is frequently accompanied by
+severe neuralgic pains. These pains are not <i>constant</i>, but
+<i>occasional</i>, and do not appear at any definite stage of the disease.
+Sometimes they precede and accompany the eruption. Other instances are
+recorded in which they remained many years after the disease had
+disappeared. The local and constant pain of herpes is a severe burning,
+prickling, itching sensation, which remains after the scabs fall.</p>
+
+<p>The three <i>general</i> forms of this disease are <i>herpes zoster</i>,
+<i>phlyctoenodes</i> and <i>circinatus</i>.</p>
+
+<p>In <i>herpes zoster</i>, or <i>shingles</i>, the clusters of vesicles
+encircle one-half of the body, frequently at the waist; hence, it has
+received the name of <i>zona</i> or <i>girdle</i>. The vesicles often
+develop into bullæ, and sometimes ulcerate. In <i>herpes
+phlyctoenodes</i>, the vesicles are small, round, and irregularly
+distributed over the face, neck, arms, and breast. This form is accompanied
+by febrile symptoms and offensive excretions.</p>
+
+<p><span class="pagenum"><a name="Page_439" id="Page_439"></a>[pg
+439]</span>In <i>herpes circinatus</i>, or <i>ringworm</i>, the vesicles
+appear in circular patches, or rings. This is the mildest form of herpes,
+and is not attended by symptoms of constitutional disorder. The various
+forms of herpes are represented in Colored Plate I, Fig. 3.</p>
+
+<p><b>Causes</b>. Herpes is not contagious. It is caused by vicissitudes of
+heat and cold, violent emotions, excessive exertion, irritation of the
+skin, and a general atony of the system.</p>
+
+<p><b>Miliaria</b> is the name given to an eruption of vesicles which are
+larger than those of eczema, but smaller than the bullæ of herpes. At
+first, the serum contained in the vesicles is perfectly transparent, and
+reflects the red tint of the underlying skin, hence the name <i>miliaria
+rubra.</i> But gradually it becomes milky and opalescent, hence, the term
+<i>miliaria alba</i>. The vesicles of miliaria are generally solitary, and
+appear on those portions of the body most liable to become heated and to
+perspire. The eruption is preceded by chills, languor, slight fever,
+intense thirst, a sharp prickling sensation of the skin, and profuse
+perspiration. The vesicles soon desiccate and are replaced by a new
+crop.</p>
+
+<p><b>Causes</b>. Miliaria is almost universally an accompaniment of
+febrile disease, and all disorders in which there occurs a profuse
+perspiration. The causes to which it may be traced in each instance are
+improper diet, impure air, burdensome clothing, or strong emotions.</p>
+
+<p><b>Pemphigus</b> is a peculiar eruption which appears upon the limbs and
+abdomen. The affected part is of a bright red color, and, in a few hours,
+small vesicles appear containing a transparent fluid. The vesicles soon
+develop into bullæ, entirely covering the inflamed portion. The fluid
+becomes opaque and in a few hours escapes. The patch is then covered with a
+yellow scab. Pemphigus may be either acute or chronic. The acute form is
+subdivided according to the degree of inflammation, as <i>pemphigus
+pompholyx</i> in which it is severe, and <i>pemphigus benignus,</i> when it
+is mild. The bullæ of pemphigus are illustrated in Colored Plate III,
+Fig. 19.</p>
+
+<p><b>Cause</b>. Pemphigus is always caused by a vitiated state of the
+system.</p>
+
+<p><b>Rupia</b> is indicated by an eruption as large as a chestnut
+containing a watery fluid, which desiccates into a yellowish-brown crust. A
+fine representation of rupia vesicles in both stages of development, is
+given in Colored Plate II, Fig. 13.</p>
+
+<p><b>Treatment</b>. In all forms of herpes, the administration of a small
+dose of Dr. Pierce's Pleasant Pellets, with the use of his "Golden Medical
+Discovery" in one to two teaspoonful doses three times a day, will be
+followed by the happiest results. The skin should be kept clean by the use
+of the sponge-bath, rendered alkaline by the addition of common baking soda
+or saleratus. The portion of the body covered by the eruption, should be
+bathed with a solution of sulphate of zinc, one ounce to a pint of
+water.</p>
+
+<p><span class="pagenum"><a name="Page_440" id="Page_440"></a>[pg
+440]</span>Miliaria is generally associated with certain febrile diseases,
+and its proper treatment consists in overcoming the febrile and other
+constitutional symptoms which accompany the disease. A hot foot-bath and
+small doses of tincture of aconite, say one drop in water each hour, will
+suffice to remove the fever. If the stomach and bowels are in a vitiated
+condition, as they are apt to be, a mild cathartic dose of "Pellets" should
+be given.</p>
+
+<p><i>The treatment of pemphigus</i> should consist in frequent alkaline
+sponge-baths, and in covering the affected parts with poultices of slippery
+elm, which should be kept moist with vinegar, The constitutional treatment
+should embrace the persistent use of the "Golden Medical Discovery." When
+the disease occurs in children, it is most generally dependent upon
+deficient nutrition, and special attention should be given to the diet of
+the patient, which should be nutritious. Fresh air and outdoor exercise
+ought not to be neglected.</p>
+
+<p>The proper treatment of rupia does not differ from that suggested for
+pemphigus.</p>
+
+
+<h4>NERVOUS AFFECTIONS OF THE SKIN.</h4>
+
+
+<p>In nervous affections of the skin, the natural sensibility may be
+increased, diminished, or perverted. These morbid impressions arise from
+the nervous system. Although there are several varieties of these
+affections, yet, being of minor importance, we shall omit their
+consideration and only speak of one of them in this work.</p>
+
+<p><b>Prurigo</b> affects the entire surface of the body and imparts to the
+skin a parched, yellowish appearance. It is characterized by pimples, and
+an intense burning, itching sensation. Rubbing and scratching only irritate
+the skin, which becomes covered with thin black scabs. A good
+representation of <i>prurigo</i> may be seen in Colored Plate II, Fig. 6.
+The itching sensations are sometimes caused by chilling the body, by
+violent exercise, and heat; allowing the mind to dwell upon the affection
+aggravates it. Prurigo is recognized under two forms; <i>vulgaris,</i>
+which is a mild form, and <i>senilis</i>, which chiefly occurs in old age,
+and is more severe. The external genital parts of females are frequently
+affected with this disease, and it is aggravated by menstruation and
+uncleanliness.</p>
+
+<p>This affection may be due to a vitiated condition of the blood, and is
+common among those who are greatly debilitated. It is frequently occasioned
+by uncleanliness, intemperance, the use of unwholesome food, or by an
+impure atmosphere.</p>
+
+<p><b>Treatment</b>. To allay the itching, take glycerine, one ounce, add
+to it one drachm of <i>sulphite</i> of soda, and one ounce of rose-water,
+and apply this to the affected parts. A solution made with borax, two
+drachms, and morphine, fire grains, dissolved in six ounces of rose-water,
+makes an excellent lotion to allay the itching. If the disease <span
+class="pagenum"><a name="Page_441" id="Page_441"></a>[pg 441]</span>be
+severe, it will be necessary to correct the vitiated condition of the blood
+by a protracted use of Dr. Pierce's Golden Medical Discovery, and to aid
+its effects, give one "Pleasant Pellet" every day, not to operate as a
+cathartic, but only to exert an alterative influence.</p>
+
+
+<h4>ALPHOUS AFFECTIONS.</h4>
+
+<h5>(SCALY SKIN DISEASES.)</h5>
+
+
+<p>Differences of opinion exist with regard to the proper classification of
+these affections. We shall briefly consider <i>alphos</i>, which is
+sometimes confounded with <i>lepra</i>.</p>
+
+<p><b>Alphos</b>, which from its Greek derivation signifies <i>white</i>,
+is characterized by circular, slightly raised white spots. These eruptions
+vary in size from one line to two inches in diameter, and may be scattered
+over the entire surface of the body, although they most frequently appear
+upon the elbows and knees. Alphos may consist of a single tubercle, or of
+large clusters constituting patches. The scales vary in color and
+thickness. In Colored Plate III, Figs. 14 and 15, are fine illustrations of
+alphos. When a person begins to recover from this affection, the scales
+fall off, leaving a smooth red surface, which gradually returns to its
+natural color.</p>
+
+<p>This disease is more liable to occur in winter than in summer, although
+in some cases the reverse holds true. It may disappear for a time, only to
+return again with renewed vigor. It is not regarded as contagious.</p>
+
+<p><b>Treatment.</b> Thorough and protracted constitutional treatment is
+required to overcome this disease. Dr. Pierce's Golden Medical Discovery
+should be taken internally and also applied locally to the affected parts.
+To every other bottle of the "Discovery" which is taken, one-half ounce of
+the iodide of potash may be added. One or two of the "Pellets" taken daily
+will prove a useful adjunct to the "Discovery."</p>
+
+<p>Locally, we have sometimes applied a lotion made of oxide of zinc,
+one-half drachm; benzoic acid, two drachms; morphine, five grains;
+glycerine, two ounces. Tincture of the chloride of iron, one drachm in one
+ounce of glycerine, makes an excellent local application. Whatever the
+local treatment may be, however, we chiefly rely upon the <i>persistent</i>
+use of the best alteratives, or blood-cleansing medicines.</p>
+
+
+<h4>AFFECTIONS OF THE HAIR-FOLLICLES.</h4>
+
+
+<p><b>Favus</b> (<i>Scald Head</i>) is a disease peculiar to the
+hair-follicles, and is indicated by the formation of small yellow crusts,
+having the form of an inverted cup. The eruption has a very offensive odor.
+When it appears in isolated cups, it is termed <i>favus dispersus</i>, but
+it often occurs in large clusters, as represented in Colored Plate II, Fig.
+12. <span class="pagenum"><a name="Page_442" id="Page_442"></a>[pg
+442]</span>and is then termed <i>favus confertus</i>. It generally affects
+the scalp, but sometimes extends to the face and neck.</p>
+
+<p><b>Cause</b>. Favus is caused by nutritive debility, which results in a
+perverted cell-growth.</p>
+
+<p><b>Sycosis</b> (<i>Barber's Itch</i>) is an inflammatory affection of
+the hair follicles of the face. The prominent features of the disease are
+redness and the formation of scales. It is peculiar to males. It has
+received various names, according to its predominating characteristics,
+such as <i>sycosis papulosa, tuberculosa</i>, and <i>fungulosa</i>. Colored
+Plate II, Fig. 10, is a line illustration of sycosis as it appears on the
+cheek.</p>
+
+<p><b>Causes</b>. Various causes induce the appearance of sycosis. The
+general causes are nutritive debility, vicissitudes of heat and cold, and
+an exhausted state of the nervous system. It may also result from various
+chronic diseases, such as syphilis and dyspepsia.</p>
+
+<p><b>Comedones</b>, or <i>grubs</i>, are due to a retention of the
+sebaceous matter in the follicles. The sebaceous substance undergoes a
+change, becoming granular and somewhat hardened. It gradually extends to
+the mouth of the follicle, where it comes in contact with the atmosphere,
+and assumes a dark color, as represented in Plate II, Fig. 8. This fact,
+together with its peculiar form when squeezed out of the skin, has caused
+it to be termed <i>grub</i>. They often appear in great numbers on the face
+of persons whose circulation is not active, or those who are of a
+particularly nervous temperament. Stimulating baths and friction will prove
+very efficacious in removing these cylinders of sebaceous matter. If they
+are allowed to remain, they will produce an irritation of the skin causing
+an inflammatory disease known as acne, or stone-pock.</p>
+
+<p><b>Acne or Stone-pock.</b> In the earliest stage of congestion, acne is
+characterized by minute hardened elevations of the skin, as shown in Plate
+II, Fig. 9, and is termed <i>acne punctata</i>. As the affection
+progresses, a bright red pimple, Plate II, Fig. 11, appears, having a
+conical form, hence the name <i>acne coniformis</i>. The pimple develops
+into a pustule containing yellow "matter," and is then known as <i>acne
+pustulosa</i>. This is followed by a thickening of the tissues, termed
+<i>acne tuberculata</i>. When the thicker skin is removed, it leaves a deep
+scar, hence the term <i>acne indurata</i>.</p>
+
+<p><b>Causes</b>. The remote cause of acne is nutritive debility. The
+immediate causes are rapid growth, anæmia, improper food, errors of
+hygiene, mental exhaustion, and various chronic diseases.</p>
+
+<p><b>Treatment</b>. The treatment of favus or scald-head should be
+commenced by shaving the hair off close to the scalp and washing the head
+thoroughly with soap and water. In some severe cases, it may be necessary
+to soften the incrustations with poultices, following these with a free use
+of soap and water. Having thus exposed the scalp and thoroughly divested it
+of incrustations, apply to it the ointment of iodide of sulphur, which may
+be procured at any good drug store. It <span class="pagenum"><a
+name="Page_443" id="Page_443"></a>[pg 443]</span>should be gently rubbed
+over the parts night and morning. The scalp ought to be kept perfectly
+clean throughout the treatment. Instead of the foregoing, the following may
+be applied: Take oxalic acid, ten grains; creosote, twenty drops; water,
+two ounces; mix. Half an hour after using this lotion, anoint the head
+freely with butter or lard; it will add greatly to the efficacy of the
+treatment. But while local applications will relieve many skin diseases and
+mitigate suffering, we cannot too strongly impress upon the minds of our
+readers the importance, in this as in all other chronic diseases of the
+skin, of perseverance in the use of the best alteratives. In this class of
+agents Dr. Pierce's Golden Medical Discovery stands pre-eminent. Its
+efficacy may be increased in this disease by adding to each bottle one
+ounce of the acetate of potash, and, when thus modified, it may be
+administered in the same manner as if no addition had been made to it.</p>
+
+<p><i>The Treatment of Sycosis</i> should be essentially the same as that
+suggested for favus, and it will result in prompt relief and a permanent
+cure.</p>
+
+<p><i>Treatment of Acne.</i> In the treatment of this, as in that of other
+diseases, we should seek to ascertain the cause, and, when possible, remove
+it. Outdoor exercise, a spare, unstimulating diet, and perfect cleanliness
+are of the first importance. The affected parts should be bathed with warm
+water and Castile, or, what is better, carbolic soap. Washing the face in
+cold water generally aggravates the disease. As a local application to the
+pustules, we have used with good results the following lotion: Oxide of
+zinc, twenty grains; morphine, five grains; glycerine, two ounces: mix.
+First having washed the affected parts thoroughly, apply this compound. Our
+chief reliance, however, as in the preceding diseases, should be upon the
+persistent use of alteratives and mild cathartics or laxatives.</p>
+
+
+<h4>FURUNCULAR AFFECTIONS.</h4> <h5>(BOIL-LIKE AFFECTIONS.)</h5>
+
+
+<p>Under this head properly belong boils, carbuncles, and styes.</p>
+
+<p><b>Boils.</b> These annoying affections are hard, prominent,
+circumscribed, inflamed, suppurating tumors, having their seat in the
+cellular tissue beneath the skin. They vary in size from a pea to a hen's
+egg, and may occur on any part of the body. The color of a boil varies from
+deep red to mahogany. It is painful, tender, advances rapidly to maturity,
+becomes conical, and finally bursts and discharges bloody "matter." Through
+the opening, and filling the cavity, may be seen a piece of sloughing
+cellular tissue which is called the <i>core</i>. In from four to fifteen
+days, it is all expelled and the sore rapidly heals. The causes are an
+impure condition of the blood, which generally arises from imperfect action
+of the liver or kidneys.</p>
+
+<p><b>Treatment.</b> Spirits of turpentine applied to a boll <i>in its
+earliest <span class="pagenum"><a name="Page_444" id="Page_444"></a>[pg
+444]</span>stage</i> will almost always cause it to disappear; but when
+suppuration has commenced it should be favored by the application of
+poultices. Next purify the blood to prevent subsequent returns to other
+parts of the body. For this purpose take Dr. Pierce's Golden Medical
+Discovery. One or two "Pleasant Pellets" each day will aid in the cure.</p>
+
+
+<h4>CARBUNCLE. (ANTHRAX.)</h4>
+
+
+<p>These are more violent, larger, and more painful than boils, which they
+resemble. They may spring from several small pimples which extend deep into
+the tissues, and on the surface frequently several small vesicles appear
+and break. They may discharge, through one or several openings, a thin
+acrid, bloody, or dark-colored fluid. They most frequently appear upon the
+back of the neck, back, back part of the limbs, and under the arms. Their
+presence is evidence of a depressed condition of vitality. These tumors
+vary in size from one-half an inch to six inches in diameter, and rapidly
+proceed to a gangrenous condition, a grayish slough being detached from the
+healthy tissue.</p>
+
+<p><b>Treatment</b>. Invigorate the system by every possible means. The
+bitter tonics, such as Golden Seal, Gentian, or Willow, together with
+quinine and iron should be used. Nutritious diet, pure air, etc., are
+necessary. Purify the blood to remove the causes of the disease. For this
+purpose, give the "Golden Medical Discovery" in as large doses as can be
+borne without acting too freely on the bowels. Anodynes may be necessary to
+overcome the pain. Poultices are useful to encourage the separation of the
+dead from the living tissues. Antiseptic dressings are beneficial, of which
+carbolic acid is to be preferred; yeast, however, may be employed.</p>
+
+<p>Sometimes powerful caustics or free incisions are productive of
+gratifying results, if followed by appropriate dressings, but these extreme
+measures should only be resorted to by the direction of a physician.</p>
+
+<p>For a considerable time after the urgent symptoms have subsided, the
+"Golden Medical Discovery" should be used, to purify and enrich the blood,
+and the bitter tonics and iron may be alternated with it, or be used
+conjointly to good advantage.</p>
+
+<p><span class="pagenum"><a name="Page_445" id="Page_445"></a>[pg
+445]</span></p><hr />
+
+
+
+
+<h1><a name='SCROFULA'></a>SCROFULA.</h1>
+
+
+<p>It is estimated that about one fifth of the human family are afflicted
+with scrofula. A disease so prevalent and so destructive to life, should
+enlist universal attention and the best efforts of medical men in devising
+the most successful treatment for its cure. It varies in the intensity of
+its manifestation, from the slightest eruption upon the skin (scrofulous
+eczema), to that most fatal of maladies, pulmonary consumption.</p>
+
+<p><b>The Scrofulous Diathesis</b>. The existence of a certain disposition
+or habit of body designated as the <i>scrofulous</i> or <i>strumous
+diathesis</i>, is generally recognized by medical practitioners and writers
+as a constitutional condition predisposing many children to the development
+of this disease. Enlargement of the head and abdomen, fair, soft and
+transparent or dark, sallow, greasy or wax-looking skin, and precocious
+intellect are supposed to indicate this diathesis.</p>
+
+<p>The characteristic feature of this disease, in all the multifarious
+forms that it assumes, is the formation of tubercle, which, when the malady
+is fully developed, is an ever-present and distinguishing element.</p>
+
+<p><i>Tuberculous</i> is therefore almost synonymous with
+<i>scrofulous</i>, and to facilitate an acquaintance with a large list of
+very prevalent maladies, we may generalize, and classify them all under
+this generic term. As <i>tubercle</i> is frequently spoken of in works
+treating on medicine and surgery, playing, as it does, a conspicuous part
+in an important list of diseases, the reader may very naturally be led to
+inquire:</p>
+
+<p><b>What is Tubercle</b>? As employed in pathology, the term is usually
+applied to a species of degeneration, or morbid development of a pale
+yellow color, having, in its crude condition, a consistence analogous to
+that of pretty firm cheese. The physical properties of tubercle are not
+uniform, however. They vary with age and other circumstances. Some are hard
+and calcareous, while others are soft and pus-like. The color varies from a
+light yellow, or almost white, to a dark gray.</p>
+
+<p>It is almost wholly composed of albumen united with a small amount of
+earthy salts, as phosphate and carbonate of lime, with a trace of the
+soluble salts of soda.</p>
+
+<p>The existence of tubercular deposits in the tissues of the body, which
+characterizes scrofula, when fully developed, must not, however, be
+regarded as the primary affection. Its formation is the result of
+disordered nutrition. The products of digestion are not fully elaborated,
+and pass into the blood imperfected, in which condition they are unable to
+fulfill their normal destiny&mdash;the repair of the bodily tissues. Imperfectly
+formed albuminous matter oozes out from the blood, and infiltrates the
+tissues, but it has little tendency to take on cell-forms <span
+class="pagenum"><a name="Page_446" id="Page_446"></a>[pg 446]</span>or
+undergo the vital transformation essential to becoming a part of the
+tissues. Instead of nutritive energy, which by assimilation produces
+perfect bodily textures, this function, in the scrofulous diathesis, is
+deranged by debility, and there is left in the tissues an imperfectly
+organized particle, incapable of undergoing a complete vital change, around
+which cluster other particles of tubercular matter, forming little grains,
+like millet seed, or growing, by new accretions of like particles, to
+masses of more extensive size. As tubercle is but a semi-organized
+substance, of deficient vitality, it is very prone to disintegration and
+suppuration. Being foreign to the tissues in which it is embedded, like a
+thorn in the flesh, it excites a passive form of inflammation, and from
+lack of inherent vital energy it is apt to decompose and cause the
+formation of pus. Hence, infiltration of the muscles, glands, or other soft
+parts with tuberculous matter, when inflammation is aroused by its
+presence, and by an exciting cause, give rise to abscesses, as in lumbar or
+psoas abscesses. When occurring in the joints, tubercles may give rise to
+chronic suppurative inflammation, as in white swellings and hip-joint
+disease. Various skin diseases are regarded as local expressions of, or as
+being materially modified by, the scrofulous diathesis, as eczema,
+impetigo, and lupus. The disease popularly known as "<i>fever-sore</i>" is
+another form of scrofulous manifestation, affecting the shafts of the
+bones, and causing disorganization and decay of their structure. Discharges
+from the ear, bronchitis, chronic inflammation of the intestinal mucous
+membrane, and chronic diarrhea are frequently due to scrofula, while
+pulmonary consumption is unanimously regarded as a purely scrofulous
+affectation. Scrofula shows a strong disposition to manifest itself in the
+lymphatic glands, particularly in the superficial ones of the neck. The
+most distinguishing feature of this form of the disease is the appearance
+of little kernels or tumors about the neck. These often remain about the
+same size, neither increasing nor diminishing, until finally, without
+having caused much inconvenience, they disappear. After a time these glands
+may again enlarge, with more or less pain accompanying the process. As the
+disease progresses, the pain increases, and the parts become hot and
+swollen. At length the "matter" which has been forming beneath, finds its
+way to the surface and is discharged in the form of thin pus, frequently
+containing little particles or flakes of tubercular matter. During the
+inflammatory process there may be more or less febrile movement, paleness
+of the surface, languor, impaired appetite, night sweats, and general
+feebleness of the system. The resulting open ulcers show little disposition
+to heal.</p>
+
+<p><b>Symptoms</b>. There is a train of symptoms characteristic of all
+scrofulous disease. The appetite may be altogether lost or feeble, or in
+extreme cases, voracious. In some instances there is an unusual disposition
+to eat fatty substances. The general derangement of the alimentary
+functions is indicated by a red, glazed or furrowed appearance of <span
+class="pagenum"><a name="Page_447" id="Page_447"></a>[pg 447]</span>the
+tongue, flatulent condition of the stomach, and bloated state of the
+bowels, followed by diarrhea or manifesting obstinate constipation. Thirst
+and frequent acid eructations accompany the imperfect digestion. The foul
+breath, early decay of the teeth, the slimy, glairy stools, having the
+appearance of the white of eggs, and an intolerable fetor, all are
+indicative of the scrofulous tendencies of the system.</p>
+
+<p><b>Causes</b>. Scrofula may be attributed to various causes. Observation
+has shown that ill-assorted marriages are a prolific source of scrofula.
+Both parents may be not only healthy and free from hereditary taints, but
+robust, well-formed physically, perfectly developed, and yet not one of
+their children be free from this dire disease. It may present itself in the
+form of hip disease, white swelling, "fever-sore" suppurating glands,
+curvature of the spine, rickets, ulcers, pulmonary consumption, or some
+skin disease, in every case showing the original perversion of the
+constitution and functions. Scrofula is hereditary when the disease, or the
+diathesis which predisposes to its development, is transmitted from one or
+both parents who are affected by it, or who are deficient in constitutional
+energy, showing feeble nutrition, lack of circulatory force, and a
+diminished vitality. All these conditions indicate that a few exposures and
+severe colds are often sufficient to produce a train of symptoms, which
+terminate in pulmonary or other strumous affections. Whatever deranges the
+function of nutrition is favorable to the development of scrofula,
+therefore, irregularities and various excesses tend to inaugurate it.
+Depletion of the blood by drastic and poisonous medicines, such as antimony
+and mercurials, hemorrhages and blood-letting, syphilis, excessive mental
+or physical labor, as well as a too early use and abuse of the sexual
+organs, all tend to waste the blood, reduce the tone of the system, and
+develop scrofula.</p>
+
+
+
+<p class="lfigure"><a name="advise133"><img width="90%" alt="Illustration:
+Fig. 1. A Scrofulous Tumor" src="images/advise133.png" /></a><br />Fig. 1.
+A Scrofulous Tumor</p>
+
+<p>Scrofula may be the consequence of insufficient nourishment, resulting
+from subsisting upon poor food, or a too exclusively vegetable diet, with
+little or no animal food.</p>
+
+<p>Want of exercise and uncleanliness contribute to its production. It is
+much more prevalent in temperate latitudes, where the climate is variable,
+than in tropical or frigid regions. The season of the year also greatly
+influences this disease, for it frequently commences in the winter and
+spring, and disappears again in the summer and autumn months.</p>
+
+<p><b>Treatment</b>. The skin should be kept clean by means of frequent
+baths. These assist the functional changes which must take place on the
+surface of the body, permit the stimulating influence of the light <span
+class="pagenum"><a name="Page_448" id="Page_448"></a>[pg 448]</span>and air
+and facilitate the aeration of the blood, as well as the transpiration of
+fluids through the innumerable pores of the skin. All exposure to a low
+temperature, especially in damp weather, and the wearing of an insufficient
+amount of clothing should be avoided. Then the food should be generous and
+of the most nourishing character. Steady habits and regular hours for
+eating and sleep must be observed, if we would restore tone and regularity
+to the functions of nutrition. Moderate exercise in the open air is
+essential, in order that the blood may become well oxygenated, that the
+vital changes may take place. It is no doubt true that the occasion of the
+prevalence of scrofula among the lower classes may be ascribed to frequent
+and severe climatic exposures, irregular and poor diet, or want of due
+cleanliness. Every well-regulated family can avoid such causes and live
+with a due regard to the conditions of health. The proper treatment of
+scrofula is important, because we meet with its symptoms on every side,
+showing its slow actions upon different parts of the body and its influence
+upon all the organs. After this disease has been existing for an indefinite
+length of time, certain glands enlarge, slowly inflame, finally suppurate,
+and are very difficult to heal. These sores are very liable to degenerate
+into ulcers. All of these symptoms point to a peculiar taste of the blood,
+which continually feeds and strengthens this morbid outbreak. All authors
+agree that the blood is not rich in fibrinous elements, but tends to
+feebleness and slow inflammation, which ends in maturation. Thus we may
+trace back this low and morbid condition of the blood to debility of the
+nutritive organs, defective digestion, which may be induced by irregular
+habits, a lack of nourishing food, or by the acquirement of some venereal
+taint.</p>
+
+<p>The matter that is discharged from these glands is not healthy, but is
+thin, serous, and acrid; a whey-like fluid containing little fragments of
+tuberculous matter, which resembles curd. The affected glands ulcerate,
+look blue and indolent, and manifest no disposition to heal. We have thus
+traced this disorder back to weak, perverted and faulty nutrition, to
+disordered and vitiated blood, the products of which slowly inflame the
+glands, which strain out unhealthy, irritating, poisonous matter. The
+medicines to remedy this perverted condition of the blood and fluids must
+be alteratives which will act upon the digestive organs and tone the
+nutritive functions, thus enriching and purifying the blood. As this
+affection is frequently a complication in chronic diseases, it is eminently
+proper for us to refer to a few considerations involved in its general
+treatment.</p>
+
+<p>An alterative medicine belongs to a class which is considered capable of
+producing a salutary change in a disease without exciting any sensible
+evacuation. In scrofula, remedies should be employed which will improve
+digestion and also prevent certain morbid operations in the blood.</p>
+
+<p>It is well known to medical men that nearly all medicines belonging
+<span class="pagenum"><a name="Page_449" id="Page_449"></a>[pg
+449]</span>to the class of alteratives, are capable of solution in the
+gastric and intestinal secretions, and pass without material change, by the
+process of absorption, through the coats of the stomach and intestines, as
+do all liquids, and so gain an entrance into the general circulation; that
+these same alteratives act locally to tone and strengthen the mucous
+surfaces, and thus promote and rectify the process of digestion before
+being absorbed; that alterative medicines, when in the blood, must permeate
+the mass of the circulation, and thus reach the remote parts of the body
+and influence every function; that these medicines, while in the blood, may
+combine with it, reconstruct it, and arrest its morbid tendencies to
+decomposition.</p>
+
+<p>We should use those alteratives which give tone to the digestive and
+nutritive functions, in order to curtail the constant propagation of
+scrofula in the system; which alter and purify the blood through the
+natural functions, thus reconstructing it; and which check the septic,
+<i>disorganizing</i> changes which are evinced by the irritating and
+poisonous matter discharged from the ulcers.</p>
+
+<p>These are the three ways in which medicines operate upon the nutritive
+functions and the blood.</p>
+
+<p>Thus alteratives may be specifics, in so far as they are particularly
+useful in certain disorders, and the combination which has been made in Dr.
+Pierce's Golden Medical Discovery, excels all others with which we are
+acquainted, for scrofulous diseases, particularly in fulfilling the
+foregoing indications. It works out peculiar processes in the blood, not
+like food, by supplying merely a natural want, but by strengthening the
+nutritive functions and counteracting morbid action, after which operations
+it passes out of the system by excretion.</p>
+
+<p>From what has been said upon the importance of blood medicines and their
+modes of action, the reader must not infer that we account for all diseases
+by some fault of the humors of the body, for we do not. But that scrofula,
+in its varied forms, results from imperfect nutrition and disorders of the
+blood, is now universally conceded. It is for this reason that neither time
+nor pains have been spared in perfecting an alterative, tonic, nutritive,
+restorative, and antiseptic compound, to which Dr. Pierce has given the
+name of "Golden Medical Discovery." Not only is it an alterative and a
+nutritive restorative, acting upon the secretions, but it opposes
+putrefaction and degenerative decay of the fluids and solids. Hence its
+universal indication in all scrofulous diseases. It will intercept those
+thin, watery discharges which are the result of weakness, degeneration, and
+putrescent decay of the blood, perpetuated by a low grade of scrofulous
+inflammation. By an adult it can be taken in doses of from one to two
+teaspoonfuls three or four times per day.</p>
+
+<p>The bowels should be properly regulated. When constipation exists one or
+two of Dr. Pierce's Pleasant Pellets taken daily, will fulfill the
+indication. The patient ought not to neglect to carry out all the <span
+class="pagenum"><a name="Page_450" id="Page_450"></a>[pg
+450]</span>hygienic recommendations heretofore given. The treatment of
+running sores is very simple. Cleanse them every day with Castile-soap and
+water, being careful not to rub or touch the surface of the sores. Use a
+clean sponge or a piece of clean muslin and saturating it with the warm
+water, hold it a few inches above the affected part, and squeeze out the
+fluid, allowing the cleansing stream to fall gently upon the open sore.
+After thoroughly cleansing the sore, apply to it Dr. Pierce's All-Healing
+Salve. 25 cents in postage stamps sent to us will secure a box by return
+post if your druggist does not have it in stock.</p>
+
+
+<h4>HIP-JOINT DISEASE.</h4>
+
+<h5>(COXALGIA.)</h5>
+
+
+<p><i>Hip-joint disease</i>, also known as Coxalgia, is frequently a
+scrofulous affection of the hip-joint. It usually attacks children, but may
+occur at any period of life. The causes of this affection are imperfectly
+understood, yet all the indications point to a scrofulous state of the
+system. Dampness, cold, improper diet, severe injuries from blows or falls
+are all numbered among the exciting causes which are conducive to the
+establishment of this disease.</p>
+
+<p><b>The Symptoms</b> are usually developed gradually; at first there is
+severe pain in the knee, but finally it is located in the hip-joint.
+Occasionally it is noticed in the hip and knee at the same time. As the
+disease progresses, the general health becomes impaired, there is wasting
+of the muscles, wakefulness, disturbed sleep, high fever, profuse and
+offensive perspiration, the hair falls out, and there is an inability to
+move the limb without producing excruciating pain. Frequently pus will be
+formed and discharged at different points, and the limb will become greatly
+emaciated. Since pain in the knee-joint may mislead as to the location of
+the disease, to determine the seat of the affection, place the patient in a
+chair and percuss the knee lightly, by giving it a slight blow with the
+knuckle; if the hip be affected, the pain will be readily felt in that
+joint; if it be simply neuralgia of the knee-joint, it will excite no pain
+whatever. If the disease be allowed to progress and dislocation of the
+joint takes place, the affected limb becomes shortened.</p>
+
+<p><b>Treatment</b>. The treatment of this disease should consist in rest
+for the hip-joint, cleanliness of the person and plenty of fresh air and
+light, a nutritious diet and the use of tonics and sustaining alterative,
+or blood-cleansing medicines. Dr. Pierce's Golden Medical Discovery has,
+unaided by other medicines, cured many cases of this disease. This class of
+medicines should be persistently employed, in order to obtain their full
+effects. It is a disease which progresses slowly and which is not easily
+turned from its course, and its fatality should warn the afflicted to
+employ the best treatment.</p>
+
+<p><span class="pagenum"><a name="Page_451" id="Page_451"></a>[pg
+451]</span>Many poor, unfortunate victims know too well, from sad
+experience, that the course of treatment frequently recommended and
+employed by physicians and surgeons is ineffectual, and cruel; they deplete
+the system, apply locally liniments, lotions, iodine, and hot applications;
+confine the patient in bed and strap his hips down immovably, thus
+preventing all exercise; then they attach that cruel instrument of torture,
+the weight and pulley, to the diseased limb.</p>
+
+<p>After many years of practical experience in the treatment of hundreds of
+cases, we have developed a system of treatment for this terrible malady
+which is based upon common sense. Instead of depleting, we, by proper
+constitutional treatment, strengthen and fortify the system. We do not
+confine the patient in bed, but permit him to go around and take all
+necessary exercise. We adjust an ingeniously devised and perfectly fitting
+appliance or apparatus, by which a gentle extension of the limb is
+maintained, thereby relieving the tension of the muscles, and preventing
+the friction and wearing of the inflamed surfaces of the joint, which,
+without the use of our new and improved appliance, are a source of constant
+irritation. The appliances required in the successful treatment of this
+disease are numerous and varied in their construction, and require skill
+and experience on the part of the surgical mechanic as well as on the part
+of the surgeon, to take accurate and proper measurements of the diseased
+limb, and to construct the appliances so that they will be adapted to the
+various requirements of different cases. There are no definite rules for
+taking these measurements, and only a thorough examination of the case can
+indicate to the eye of the experienced surgeon what measurements are
+required, and what kind of an appliance is suitable for each individual
+case. At the Invalids' Hotel and Surgical Institute these measurements are
+all taken by the surgeon in person, and each appliance is constructed under
+his immediate supervision. It is utterly impossible for physicians who have
+but a limited experience in the treatment of such cases to take correct
+measurements and send off for an apparatus which fulfills the requirements
+of the case.</p>
+
+<p>In the light of our vast experience at the Invalids' Hotel and Surgical
+Institute, we feel that we cannot too strongly urge the employment of a
+suitable apparatus for supporting the hip-joint, giving it perfect rest,
+and enabling the patient to exercise and get the outdoor air. As much of
+the pain in this disease is due to the pressure of the head of the
+<i>femur</i>, or thigh-bone, in the <i>acetabulum</i>, or socket,
+steadily-applied mechanical extension, to relieve the inflamed and
+sensitive joint of the pressure, is of the greatest importance. By such
+application the patient is enabled to move about without pain, while the
+joint is kept perfectly at rest&mdash;a condition favorable to the reduction of
+inflammation within it. The surgeon specialist of the Invalids' Hotel and
+Surgical Institute is frequently sent for to visit cases of this disease
+hundreds of miles away and by the employment of suitable apparatus <span
+class="pagenum"><a name="Page_452" id="Page_452"></a>[pg 452]</span>he has
+been enabled, in scores of cases, to relieve the suffering at once. In
+cases in which the head of the thigh bone, or the bony socket of the joint
+has become so diseased as to cause it to ulcerate and break down, all
+portions of diseased bone should be <i>thoroughly removed</i> by a surgical
+operation. If this be neglected or delayed, a fatal termination of the
+disease may be expected. Parents should not put off the employment of a
+competent specialist in this terrible, distressing, and fatal disease. As
+treated by general practitioners, it very often proves fatal; or, after
+causing intense suffering for a series of years, if the active condition of
+the disease subsides, the patient is left with a ruined and broken
+constitution, a result which more prompt and earlier relief would have
+prevented.</p>
+
+<p>The records of practice at the Invalids' Hotel and Surgical Institute
+abound in reports of cases, demonstrating the fact, that by careful and
+judicious management, hip-joint disease in its earlier stages, may be
+promptly arrested, and that cures may be effected even when the bony
+structure of the joint is seriously diseased.</p>
+
+
+<h4>WHITE SWELLING</h4>
+
+
+<p>White Swelling, otherwise known as <i>Hydrarthrus</i>, or
+<i>Synovitis</i>, more frequently affects the knee-joint than any other
+part. The joints of the elbow, wrist, ankle, or toes, may, however, be
+affected with this disease, but we shall speak of it in this connection as
+affecting only the knee-joint. Synovitis may be acute or chronic. The
+latter form is sometimes induced by blows, sprains, falls, etc., or from
+exposure to cold; more frequently it is the result of rheumatism or
+scrofula.</p>
+
+<p><b>The Symptoms</b> of this affection are generally slow in their
+appearance, being sometimes months in manifesting themselves. The joint at
+first presents only a slight degree of swelling, which gradually increases.
+Pain is soon felt, mild at first, but augmenting until it becomes severe.
+The skin has a smooth, glistening appearance, and there is an increased
+amount of heat in the parts. The affected limb becomes wasted, and is
+sometimes permanently flexed. There is more or less fever about the body,
+impairment of the digestive organs, and sleeplessness. The pulse is low but
+quick, and night-sweats and diarrhea often appear. Under this irritation,
+the patient is liable to waste away and finally die.</p>
+
+<p>A <i>post-mortem</i> examination reveals the effects of the disease upon
+the parts attacked. The cartilages of the joint are soft, the synovial
+membrane is thickened, the ligaments are inflamed and often destroyed, the
+synovial fluid is increased in amount, sometimes normal in appearance, at
+others thick and viscous. If the bones be diseased, their articular
+extremities may be distended and fatty matter deposited in them. The
+conditions depend upon the form, severity, and duration of the disease.</p>
+
+<p><span class="pagenum"><a name="Page_453" id="Page_453"></a>[pg
+453]</span>Synovitis may be considered under three heads; Rheumatic,
+Scrofulous, and Syphilitic.</p>
+
+<p><i>Rheumatic Synovitis</i> may arise from exposure to cold, from some
+injury, or from intemperance in eating. The beginning of the disease may be
+distinctly marked, or it may come on so gradually that the time of its
+commencement cannot be noted. The pain is of a dull, steady character, and
+less severe in the night. This form of the disease sometimes terminates
+favorably, but in scrofulous systems it is liable to end in the destruction
+of the joint. It is more common in early life, rarely occurring after the
+thirtieth year.</p>
+
+<p><i>Scrofulous Synovitis</i>, or <i>Tuberculosis of the Knee-joint</i>,
+when of a chronic character, shows a wasting of the limb, and the swelling
+is of a pulpy consistence. This form of the disease is more liable to occur
+in children, though occasionally it is met with in adults. But little pain
+accompanies this form, although the limb is liable to become permanently
+affected. In its earlier stages this disease may be checked.</p>
+
+<p><i>Syphilitic Synovitis</i> is the result of syphilis. The pain is more
+severe during the night. It, however, generally terminates unfavorably,
+especially in scrofulous constitutions.</p>
+
+<p><b>The Treatment</b> of white swelling should be both constitutional and
+local. Alterative medicines are indicated to purify the blood. Doctor
+Pierce's Golden Medical Discovery is unequaled for this purpose.</p>
+
+<p>As local treatment, in the active stage of the disease, the knee-joint
+should be steamed, and hot fomentations applied. This should be followed by
+applications over the joint of solid extract of stramonium or belladonna,
+mixed with glycerine. The joint should be wrapped in cotton or wool to keep
+it uniformly warm. If there are openings about the joint, discharging pus,
+syringe them out once a day with Castile soap-suds, which may be improved
+by adding a little bicarbonate of potash (common saleratus). See that the
+bowels are kept regular, and that the diet is nourishing.</p>
+
+<p>Cases of this disease which have been treated at the Invalids' Hotel and
+Surgical Institute with uniform success might be cited to the extent of
+filling a very large number of pages like these. When treated by a skilled
+specialist, this otherwise formidable and dangerous disease is readily
+amenable to treatment, and good and serviceable limbs can be promised, even
+in the extreme cases in which amputation is usually advised by general
+practitioners and surgeons, who desire the glory that they imagine they
+will receive by performing a capital operation.</p>
+
+
+<h4>RICKETS. (RACHITIS.)</h4>
+
+
+<p>Rickets is a scrofulous disease, in which there is derangement of the
+entire system, and it finally manifests itself in disease of the bones. It
+is characterized by a softening of the bony tissue, due to a deficiency of
+earthy or calcareous matter in their composition. It appears to be <span
+class="pagenum"><a name="Page_454" id="Page_454"></a>[pg 454]</span>a
+disease incident to cold, damp places, ill-lighted and imperfectly
+ventilated rooms, and it especially attacks those who are uncleanly in
+their habits.</p>
+
+<p><b>The Symptoms</b> of rickets are severe pains in the bones, especially
+during the night, febrile excitement and profuse perspiration, paleness of
+the face, a sallow and wrinkled appearance of the skin, and derangement of
+the digestive organs. After a time the body becomes emaciated, the face
+pale, and the head unusually large. The bones become soft and unable to
+support the body; various distortions appear; the extremities of the long
+bones are enlarged, while the limbs between the joints are very slender.
+Rickets is a disease peculiar to childhood, though it may not be developed
+until a more advanced period of life. It rarely proves fatal, unless the
+lungs, heart, or other vital organs, become involved. In some instances the
+softening and other symptoms continue to increase until every function is
+affected, and death ensues.</p>
+
+<p><i>Post-mortem</i> examinations of those who have died of rickets have
+disclosed morbid changes in the brain, liver, and lymphatic glands. The
+lungs are often compressed or displaced, and the muscles of the body become
+pale and wasted. Sometimes the bones are so soft, on account of the
+deficiency of the calcareous deposit, that they can be easily cut with a
+knife.</p>
+
+<p><b>Treatment</b>. The use of Dr. Pierce's Golden Medical Discovery is
+indicated in this affection. It is a disease usually developed during
+childhood, in consequence of insufficient exercise, deprivation of the
+sunlight, low, innutritious diet, and lack of cleanliness. Therefore, it is
+essential to obviate all known causes, and, at the same time supply the
+patient with food rich in those elements which the system seems to demand.
+Under any plan of treatment the general directions given for the hygienic
+management of scrofula should be followed. We might cite many cases that
+have entirely recovered from this disease, under our advice and the use of
+"Golden Medical Discovery." We shall merely say, for the encouragement of
+the afflicted, that this form of scrofula yields readily to this
+medicine.</p>
+
+
+<h4>OLD SORES. (CHRONIC ULCERS.)</h4>
+
+
+<p>Under this head we may properly consider that class of affections known
+as Fever-sores, Running-sores, Ulcers, etc. These sores have common
+characteristics, yet each possesses certain peculiarities, which have led
+to their division into <i>irritable, indolent</i>, and <i>varicose</i>.
+These peculiarities are not constant, one form of ulcer often changing into
+another. One feature common to all, however, is their slowness in healing,
+which has sometimes led to the belief that they are incurable. Another
+popular notion is that their cure is detrimental to the health of the
+patient. With equal propriety we might say that it is dangerous to cure
+diarrhea, dysentery, consumption, or cancer. As a result of <span
+class="pagenum"><a name="Page_455" id="Page_455"></a>[pg 455]</span>these
+erroneous impressions, many people suffer from chronic ulcers for years,
+and even for a life-time, without attempting to obtain relief. Chronic
+ulcers usually appear upon the lower extremities. The depth and appearance
+of the ulcer depend upon its character and the thickness of the tissues
+where it is situated. Fig. 2 shows a chronic ulcer, or fever-sore, as it
+appears upon the ankle.</p>
+
+
+
+<p class="lfigure"><a name="advise134"><img width="90%" alt="Illustration:
+Fig. 2. A Chronic Ulcer." src="images/advise134.png" /></a><br />Fig. 2. A
+Chronic Ulcer.</p>
+
+<p><b>The Irritable Ulcer</b> is painful and tender, the slightest injury
+causing it to bleed. It is of a dark purplish hue, and filled with spongy,
+sensitive granulations. It discharges a thin, bloody matter which is
+sometimes very fetid and acrid, and excoriates the tissues if it comes in
+contact with them. The edges of this species of ulcer are shelf-like and
+ragged, and turn inward. The adjacent structures are red and swollen. Very
+often they are attended by severe constitutional disturbances, such as
+chills, fever, and great nervous prostration and irritability.</p>
+
+<p><b>In the Indolent Ulcer</b> the edges are not undermined, but turned
+outward, and are rounded, thick, glossy, and regular. The granulations are
+broad, flat, pale, insensible, and covered with a grayish, tenacious
+matter. The surrounding parts are not very sensitive, but the limb on which
+it is located is apt to be swollen. This is the commonest form of ulcer,
+and often remains for years.</p>
+
+<p><b>Varicose Ulcer.</b> This species of ulcer occasions a swollen or
+enlarged condition of the neighboring veins, which are very much enfeebled.
+It almost invariably appears below the knee, and may be either indolent or
+irritable. It is generally sensitive to the touch, and sometimes
+excessively painful. Knots of superficial veins may often be seen beneath
+the skin.</p>
+
+<p>As we have before remarked, these various species of ulcers are merely
+modifications of one form of chronic sore. The patient may assert that he
+enjoys excellent health, but if we question him closely, we find that the
+sore irritates him, and that there is sufficient constitutional disturbance
+to prevent the healing powers of nature from effecting a cure.</p>
+
+<p><b>Treatment.</b> The cure of these sores is necessarily slow, and who
+ever expects to obtain <i>immediate</i> relief will be disappointed.</p>
+
+<p>Constitutional treatment is of the utmost importance, and should,
+therefore, be thoroughly and persistently applied. The nutritive <span
+class="pagenum"><a name="Page_456" id="Page_456"></a>[pg 456]</span>system,
+especially the absorbents, should be kept active, as these are the channels
+by which the broken-down tissue surrounding the sore is replaced by that of
+a higher grade of vitality. For this purpose, the best alteratives or blood
+cleansing remedies are required. If secretion and excretion are not
+normally performed, the blood becomes poisoned by the absorption of
+unhealthy "matter" from the sore, and various constitutional disturbances
+occur. If, at any time during treatment, constitutional disturbances are
+manifested by fullness or disagreeable sensations in the head, nausea,
+pain, cough, chills, or fever, a thorough cathartic should be given. If the
+patient be robust, a repetition of the same once a week will be very
+beneficial. Dr. Pierce's Golden Medical Discovery, and "Pellets" will be
+productive of the best results.</p>
+
+<p>The local treatment should depend upon the character of the ulcer. If
+the sore be <i>irritable</i> or painful, soothing applications, such as
+warm poultices or steaming in a vapor of bitter herbs, as hops, boneset or
+smart-weed or water pepper, will be found highly beneficial. A poultice of
+powdered slippery elm is also very soothing, and hence well adapted to this
+purpose. If the ulcer be <i>indolent</i>, a stimulating application is
+necessary. The hardened, callous state of the edges should be removed by
+alkaline applications. A strong solution of saleratus, or even a caustic,
+prepared by boiling the lye from hard-wood ashes to the consistence of
+syrup, will prove of great utility. One or two applications of the latter
+are generally sufficient.</p>
+
+<p>The foregoing course of treatment is intended to put the open sore or
+ulcer in what is known to surgeons as a healthy condition&mdash;a condition most
+favorable for the healing process.</p>
+
+<p>But the open surface of the sore needs something more. It needs the
+cleansing or antiseptic and soothing influence of such a dressing as is
+found in Dr. Pierce's All-Healing Salve. If your dealer in medicines does
+not have this Salve in stock, 25 cents in stamps sent to World's Dispensary
+Medical Association, Buffalo, N.Y., will secure a box of this unequaled
+dressing. It will be sent to your address by return post. Therefore, do not
+allow the dealer to put you off with some inferior preparation. If he has
+not the All-Healing Salve in stock you can easily obtain it by sending to
+us as above directed.</p>
+
+<p>No matter how good the local dressing applied to the open sore, or
+ulcer, do not discontinue the internal use of the "Golden Medical
+Discovery" until the affected parts are completely healed.</p>
+
+
+<h4>FEVER-SORE. (NECROSIS.)</h4>
+
+
+<p>By the term <i>necrosis</i> we mean mortification, or the state of a
+bone when it is deprived of life. Dunglison says: "This condition is to the
+bone what <i>gangrene</i> is to the soft parts." It is popularly known as
+<i>fever-sore</i>, there being no distinction made between this species of
+sore and those ulcers which affect only the soft tissues of the body. When
+<span class="pagenum"><a name="Page_457" id="Page_457"></a>[pg
+457]</span>any part of a bone becomes <i>necrosed</i>, it is treated as a
+foreign body. Nature makes an effort for its removal, and at the same time
+attempts to replace it with new and healthy materials. In consequence of
+this process, the dead portion is often inclosed in a case of new, sound
+bone, termed the <i>involucrum</i>; when this is the case the dead portion
+is termed the <i>sequestrum</i>. If, however, it be superficial, and
+separate from the parts beneath, it is called an <i>exfoliation</i>. This
+healing process, by which the involucrum is formed, cannot be completed
+while the dead portion remains. Hence, numerous openings are made through
+the involucrum, to permit the escape of the sequestrum. When a surgical
+operation is performed for the removal of the necrosed bone it is called
+<i>sequestrotomy</i>. The instruments which our specialists usually employ
+for this practice are represented in Figs. 3, 4, and 5.</p>
+
+
+
+<p class="figure"><a name="advise135"><img width="40%" alt="Illustration:
+Fig. 3. Hand drill for boring bone. " src="images/advise135.png" /></a><br
+/>Fig. 3. Hand drill for boring bone. </p>
+
+
+
+<p class="figure"><a name="advise136"><img width="40%" alt="Illustration:
+Fig. 4. The osteotrite, for enlarging openings and cutting carious bone."
+src="images/advise136.png" /></a><br />Fig. 4. The osteotrite, for
+enlarging openings and cutting carious bone.</p>
+
+
+
+<p class="figure"><a name="advise137"><img width="40%" alt="Illustration:
+Fig. 5. Gouge forceps for excavating bone." src="images/advise137.png"
+/></a><br />Fig. 5. Gouge forceps for excavating bone.</p>
+
+<p><b>Causes.</b> Fever-sore may be due to inflammation, injuries, working
+in phosphorus, or from the inordinate and protracted use of mercury.</p>
+
+<p><b>Symptoms.</b> The pain frequently commences in the night, and all
+<span class="pagenum"><a name="Page_458" id="Page_458"></a>[pg
+458]</span>the different stages succeed, until, finally, the result is
+frequently mortification or death. The entire bone, or only a part of it,
+may be affected; the parts become swollen, "matter" forms, and unless it be
+artificially evacuated, it will in time work its way out through a
+fistulous opening. As the disease progresses, the adjacent tissues become
+thickened and numerous openings are formed, which communicate with the
+bone, and often with each other, so that a probe may be passed from one to
+another, as represented in Fig. 6, copied from a drawing by Dr. Howe. The
+discharge from fever-sores varies in character, and usually has a fetid
+odor. The surgeon can readily distinguish between healthy and unhealthy
+bone by the use of a probe. The pus discharged in necrosis contains minute
+particles of bone, which may be felt by rubbing it between the fingers.
+Sometimes large pieces present themselves at the openings. The general
+health is seriously impaired, and the patient becomes debilitated,
+anæmic, and hectic.</p>
+
+
+
+<p class="lfigure"><a name="advise138"><img width="90%" alt="Illustration:
+Fig. 6. Necrosis of the tibia. A common probe is passed through the
+sinuses, or openings." src="images/advise138.png" /></a><br />Fig. 6.
+Necrosis of the tibia. A common probe is passed through the sinuses, or
+openings.</p>
+
+<p><b>Treatment</b>. The process of repair is necessarily tedious, and
+nature should be assisted to remove the old bone and promote the formation
+of the new. An alterative course of treatment is indicated and must be
+persistently followed. Give Dr. Pierce's Golden Medical Discovery and
+Pleasant Pellets in sufficient doses to keep the bowels regular. However,
+all efforts to heal the sores, as long as dead bone remains, will prove
+fruitless. The sores should he throughly cleansed with injections of an
+alkaline solution, after which bandages, moistened with glycerine, may be
+applied. If they emit a fetid odor, add a few drops of carbolic acid to the
+glycerine. The dead bone can be but slowly removed by suppuration,
+therefore time, and, indeed, sometimes life itself, may be saved by
+removing it with surgical instruments. In the operation of sequestrotomy,
+the surgeon must exercise great judgment. Carelessness may prolong the
+disease and subsequently necessitate another operation, or, perhaps, an
+amputation.</p>
+
+<p>Usually the dead bone is easily removed by the skilled specialist
+surgeon, and, when thoroughly taken out, the parts readily heal and the
+patient rapidly recovers. The removal, therefore, of the dead bone which is
+a constant source of irritation, and the cause of protracted suffering,
+should not be delayed, for very rarely indeed can it be removed at all
+without the assistance of the surgeon. Besides, delay often results in the
+loss of the limb, and not unfrequently occasions <span class="pagenum"><a
+name="Page_459" id="Page_459"></a>[pg 459]</span>the death of the patient.
+Under the influence of a reliable local <i>anæsthetic</i>, carefully
+applied, the operation of removing the decayed and offensive bone is
+speedily and painlessly performed, the use of chloroform or ether not
+generally being required.</p>
+
+<hr />
+
+
+<h2>TESTIMONIALS.</h2>
+
+<p>If the following letters had been written by your best known and most
+esteemed neighbors they could be no more worthy of your confidence than
+they now are, coming, as they do, from well known, intelligent and
+trustworthy citizens, who, in their several neighborhoods, enjoy the
+fullest confidence and respect of all who know them.</p>
+
+<p>Out of thousands of similar letters received from former patrons, we
+have selected these few at random, and have to regret that we can find room
+only for this comparatively small number in this volume.</p>
+
+
+<h4>BLOOD DISEASE.</h4>
+
+<p><b>Raw Sores from Knee to Ankle.</b></p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise139"><img width="90%" alt="Illustration:
+Master Amasa Peck" src="images/advise139.png" /></a><br />Master Amasa
+Peck</p>
+
+<p><i>Dear Sirs</i>&mdash;My little boy, Amasa Claude Peck, was severely
+stricken with what the doctors called erysipelas. We had employed two
+doctors for months without any effect, until he commenced taking your Dr.
+Pierce's Golden Medical Discovery. Two bottles effected a cure. His leg was
+raw from his knee to his ankle; it has never broken since, which has been
+several years. The same medicine also did great things for my now deceased
+husband in a case of erysipelas of long standing. Respectfully yours,</p>
+
+<blockquote>
+<p>
+MRS. A.B. PECK,<br />
+Ranger, Eastland Co., Texas.<br />
+</p>
+</blockquote>
+
+<p>My daughter Mrs. Jennie Rice, was cured of catarrh in her head by using
+the "Discovery" with Dr. Sage's Catarrh Remedy. She derived great benefit
+from your medicines and gives the privilege of using her name.</p>
+
+<blockquote>
+<p>
+A.B.P.<br />
+</p>
+</blockquote>
+
+
+<h4>AN&AElig;MIA&mdash;IMPOVERISHED BLOOD.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, NO. 663 Main St.. Buffalo,
+N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise140"><img width="90%" alt="Illustration:
+Mrs. Knight." src="images/advise140.png" /></a><br />Mrs. Knight.</p>
+
+<p><i>Dear Sirs</i>&mdash;Ten or twelve years ago I had a combination of
+diseases. Our family physician said I was bloodless and there was no hopes
+of my recovering. My mother advised me to consult you, which I did. After
+one month's treatment I was on foot again; it was truly astonishing how
+speedily I found relief after taking your preparations. I have also used
+your "Favorite Prescription" and "Golden Medical Discovery," which proved
+very beneficial.</p>
+
+<blockquote>
+<p>
+MRS. ADDIE R. KNIGHT,<br />
+Carapeake, Gates Ce.,<br />
+North Carolina.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_460" id="Page_460"></a>[pg
+460]</span></p><h4>ERYSIPELAS.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise141"><img width="90%" alt="Illustration:
+J. Smith, Esq." src="images/advise141.png" /></a><br />J. Smith, Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I am glad to say that the use of your medicine has
+saved me many doctors' bills, as I have for the past eleven years been
+using it for the erysipelas and also for chronic diarrhea, and am glad to
+say that it has never failed. I have also recommended it to many of my
+neighbors, as it is a medicine worth recommending.</p>
+
+<p>I give you the privilege of using my name</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+JOSEPH SMITH<br />
+Mineral Point, Tuscarawas Co., O<br />
+</p>
+</blockquote>
+
+
+<h4>BLOOD AND KIDNEY DISEASE.</h4>
+
+<p>DR. R.V. PIERCE, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise142"><img width="90%" alt="Illustration:
+Mr. Edmundson." src="images/advise142.png" /></a><br />Mr. Edmundson.</p>
+
+<p><i>Dear Sir</i>&mdash;I had been an invalid for nineteen years and had all
+the doctors in our country prescribe for me, but they could not say just
+what ailed me. When I wrote you giving the history and symptoms, you
+diagnosed my case as disease of the blood and kidneys, and advised me to
+try your "Golden Medical Discovery" and "Pellets" and I feel confident your
+medicines <i>saved my life</i>, and I hope all sufferers from kidney and
+blood diseases will try your valuable medicine.</p>
+
+<blockquote>
+<p>
+Respectfully yours,<br />
+T.H. EDMUNDSON, Postmaster,<br />
+Home, Marshall Co., Kans.<br />
+</p>
+</blockquote>
+
+
+<h4>ECZEMA&mdash;SUFFERINGS INTENSE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, 663 Main St., Buffalo, N.Y.</p>
+
+
+
+<p class="lfigure"><a name="advise143"><img width="90%" alt="Illustration:
+J.P. Delano, Esq. " src="images/advise143.png" /></a><br />J.P. Delano,
+Esq. </p>
+
+<p><i>Gentlemen</i>&mdash;About five years ago I was taken with a discoloration
+of the skin on my legs and arms, which in a short time terminated in the
+most aggravated eczema. My sufferings were intense, and no relief did I
+experience, until I commenced the use of your preparations. I have taken
+five bottles of the "Golden Medical Discovery," and more than that number
+of the "Pellets," and believe that I am entirely cured. I never feel the
+least itching, or burning, which was at one time so unbearable. My appetite
+and digestion are splendid, and, although I will be seventy years old my
+next birthday, I am as hearty and strong as most men of fifty.</p>
+
+<blockquote>
+<p>
+Very truly yours,<br />
+JOSEPH P. DELANO,<br />
+Warsaw, Richmond Co., Va.<br />
+</p>
+</blockquote>
+
+
+<p>Mr. G. MILTON SYDNOR, Druggist, of <i>Warsaw, Richmond Co., Va.</i>,
+writes: "My friend, Mr. J.P. Delano, has requested me to write you in
+confirmation of his statement, which I cheerfully do. I know Mr. Delano
+well personally, and can testify to the correctness of his statement.</p>
+
+<p>His case of eczema was the worst that I had ever seen. I saw him often
+during the time he was afflicted, as he came to my store often after
+medicine. He purchased the "Discovery" and "Pellets" from me, and has been
+one of the strongest champions of your medicines, and thus aided me very
+much in their sale. I am quite sure that he has been the means of my
+selling several dozens of that preparation."</p>
+
+
+<p><span class="pagenum"><a name="Page_461" id="Page_461"></a>[pg
+461]</span></p><h4>BOILS CURED.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise144"><img width="90%" alt="Illustration:
+Wm. Ramich, Esq." src="images/advise144.png" /></a><br />Wm. Ramich,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I was troubled with boils for thirty years. Four years
+ago I was so afflicted with them that I could not walk. I bought Dr.
+Pierce's Pleasant Pellets, and took one "Pellet" after each meal. The boils
+soon disappeared and have had none since. I have also been troubled with
+sick headache. When I feel the headache coming on, I take one or two
+"Pellets," and am relieved of it.</p>
+
+<blockquote>
+<p>
+Respectfully yours,<br />
+WILLIAM RAMICH,<br />
+Minden, Kearney Co., Neb.<br />
+</p>
+</blockquote>
+
+
+<h4>A TERRIBLE SKIN DISEASE.</h4>
+
+<p>Jackson, N.C.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Dear Sirs</i>&mdash;I had been troubled with skin disease all my life. As
+I grew older the disease seemed to be taking a stronger hold upon me. I
+tried many advertised remedies with no benefit, until I was led to try your
+"Golden Medical Discovery." When I began taking it my health was very poor;
+in fact, several persons have since told me that they thought I had the
+consumption. I weighed only about 125 pounds. The eruption on my skin was
+accompanied by severe itching. It was first confined to my face, but
+afterwards spread over the neck and head, and the itching became <i>simply
+unbearable</i>. This was my condition when I began taking the "Discovery."
+When I would rub the parts affected a kind of branny scale would fall
+off.</p>
+
+<p>For a while I saw no change or benefit from taking the "Discovery," but
+I persisted in its use, keeping my bowels open by taking the "Pellets," and
+taking as much outdoor exercise as was possible, until I begun to gain in
+flesh, and gradually the disease released its hold. I took during the year
+somewhere from fifteen to eighteen bottles of the "Discovery." It has now
+been four years since I first used it, and though not using scarcely any
+since the first year, my health continues good. My average weight being 155
+to 160 pounds, instead of 125, as it was when I began the use of the
+"Discovery."</p>
+
+<p>Many persons have reminded me of my improved appearance. Some say I look
+younger than I did six years ago when I was married. I am now forty-eight
+(48) years old, and stronger, and enjoy better health than I have ever done
+before in my life. Yours truly,</p>
+
+<blockquote>
+<p>
+J.A. Buxton.<br />
+</p>
+</blockquote>
+
+
+<h4>BAD CASE OF ECZEMA OR SALT-RHEUM.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise145"><img width="90%" alt="Illustration:
+Mrs. Foster." src="images/advise145.png" /></a><br />Mrs. Foster.</p>
+
+<p><i>Gentlemen</i>&mdash;I was troubled with eczema, or salt-rheum, seven
+years. I doctored with a number of our home physicians and received no
+benefit whatever. I also took treatment from physicians in Rochester, New
+York, Philadelphia, Jersey City, Binghamton, and received no benefit from
+them. In fact I have paid out hundreds of dollars to the doctors without
+benefit. My brother came to visit us from the West and he told me to try
+Dr. Pierce's Golden Medical Discovery. He had taken it and it had cured
+him. I have taken ten bottles of the "Discovery" and am entirely cured and
+if there should be any one wishing any information I would gladly
+correspond with them. If they enclose return stamped envelope.</p>
+
+<blockquote>
+<p>
+Very truly yours,<br />
+MRS. JOHN G. FOSTER,<br />
+83 Chapia Street, Canandaigua, N.Y.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_462" id="Page_462"></a>[pg
+462]</span></p><h4>ERYSIPELAS AND WOMB DISEASE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, 663 Main St., Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise146"><img width="90%" alt="Illustration:
+Mrs. White." src="images/advise146.png" /></a><br />Mrs. White.</p>
+
+<p><i>Gentlemen</i>&mdash;I am forty-eight years old, and have had four
+children. Three years ago the doctor said I had womb trouble, which was
+accompanied with backache and a tired and miserable feeling all over; left
+side hurt me very much, and could not lie on that side, and the doctor said
+it came from affection of the spleen; had a great deal of headache; was
+costive, and suffered terribly from erysipelas; it nearly set me crazy, so
+great was the burning and itching; sometimes experienced severe burning in
+the stomach. I took twelve bottles of your medicines, six bottles of Dr.
+Pierce's Golden Medical Discovery and the same amount of his "Favorite
+Prescription." Was using them for about six months, and can say that they
+did their work well. I have ever since felt like another person, and do not
+think I can say enough in their praise. I have no more weakness, and all
+evidence of erysipelas has disappeared.</p>
+
+<blockquote>
+<p>
+Respectfully yours,<br />
+MRS. SARAH E. WHITE,<br />
+Kennon, Belmont Co., Ohio.<br />
+</p>
+</blockquote>
+
+
+<h4>ECZEMA.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise147"><img width="90%" alt="Illustration:
+Miss Harris. " src="images/advise147.png" /></a><br />Miss Harris. </p>
+
+<p><i>Gentlemen</i>&mdash;About four years ago my daughter, Helen G. Harris, was
+afflicted with Eczema in a distressing form. She tried medicines too
+numerous to mention, but they did no good. I told her that I would write to
+Dr. Pierce, which I did, and after a few months' use of his medicines she
+was entirely cured. I believe your medicines unequaled.</p>
+
+<p>MRS. JNO. H. RICHARDSON, a widow living near Wakefield, Va., a few years
+ago, was in extremely bad health, and used your proprietary medicines with
+entire success.</p>
+
+<blockquote>
+<p>
+Respectfully yours,<br />
+THOMAS HARRIS,<br />
+Wakefield Station, Sussex Co., Va.<br />
+</p>
+</blockquote>
+
+
+<h4>SALT-RHEUM&mdash;FLESH CRACKED OPEN AND BLED.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise148"><img width="90%" alt="Illustration:
+Miss Clark. " src="images/advise148.png" /></a><br />Miss Clark. </p>
+
+<p><i>Gentlemen</i>&mdash;It gives me pleasure to express my faith in the virtue
+of Dr. Pierce's Golden Medical Discovery. Having suffered for three years
+from salt-rheum and after having been unsuccessfully treated by a good
+physician, I began the use of the "Discovery." The humor was in my hands. I
+was obliged to keep a covering on them for months at a time, changing the
+covering morning and night. The stinging, burning and itching sensation
+would be so intense that at times it seemed as if I would go crazy. When I
+bent the fingers the flesh would crack open and bleed. It is impossible for
+me to describe the intense pain and suffering which I endured night and
+day. After taking six bottles of the "Discovery" I was entirely cured.</p>
+
+<blockquote>
+<p>
+Respectfully yours,<br />
+MISS LOTTIE CLARK,<br />
+River Falls, Pierce Co., Wis.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_463" id="Page_463"></a>[pg
+463]</span></p>
+
+<h4>INVETERATE SKIN DISEASE WORLD'S DISPENSARY MEDICAL
+ASSOCIATION, 663 Main St., Buffalo, N.Y.:</h4>
+
+<p class="lfigure"><a name="advise149"><img width="90%" alt="Illustration:
+M. Allen, Esq." src="images/advise149.png" /></a><br />M. Allen, Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I desire to state that I am perfectly well and very
+thankful to you for curing me. The medicines which I used for two months
+only have effected a perfect and permanent cure of my case. My face looks
+as well as ever.</p>
+
+<p>I was six weeks under treatment at the Invalids' Hotel and Surgical
+Institute, and I got first-class accommodation.</p>
+
+<p>The case was a strange one. The pimples did not break out on my chin
+where I had let my beard grow, they broke out on my cheeks, forehead and
+nose. A doctor in San Francisco told me it was blood poison and said it was
+very hard to cure it. I think if it were blood poison it would run all
+through my system. When I first felt the disease coming on in winter&mdash;my
+face used to be very cold. I worked under the sun fourteen years every
+summer. I wore no hat&mdash;nothing but a skull cap. I thought I was sun-proof.
+The doctor in San Francisco stopped the disease for one year but it came
+back again. I had it for five years. It came on from hard work and exposure
+in the sun.</p>
+
+<p>When my face would break out in the fall it got so itchy, and then
+little pimples would break out on my face, nose and forehead. I think
+parasites were in my face. If I would drink a glass of beer, I would feel
+the effects of it in my face, and tobacco would affect me just the same. My
+face, nose and forehead would be spotted all over like a "fiddler's note
+book," every fall for five years. I never saw a case like mine. The doctor
+said if I would get tanned with the sun I would be all right.</p>
+
+<p>In the kind of work I had to do, I could wear no hat.</p>
+
+<blockquote>
+<p>
+Respectfully yours,<br />
+MICHAEL ALLEN,<br />
+Oro Fino, Siskiyou Co., Cal.<br />
+</p>
+</blockquote>
+
+
+<h4>CURES BROWN SPOTS.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, NO. 663 Main St., Buffalo,
+N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise150"><img width="90%" alt="Illustration:
+Mrs. Johnson. " src="images/advise150.png" /></a><br />Mrs. Johnson. </p>
+
+<p><i>Gentlemen</i>&mdash;I can say that my health is better now than for the
+last fifteen years. I cannot say what my disease was, but I was as spotted
+as a leopard with brown spots; I was so miserable and nervous, and could
+not sleep. I took Dr. Pierce's Golden Medical Discovery one year, and the
+brown spots all disappeared and I am well. Have not taken any medicine in
+two years. I think the "Golden Medical Discovery" a splendid medicine for
+stomach, liver and skin disease. I got no help from the other doctors. I
+used only the "Golden Medical Discovery."</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+MRS. WILLIAM JOHNSON,<br />
+P.O. Box 188, Owosso, Shiawassee Co., Mich<br />
+</p>
+</blockquote>
+
+
+<h4>SCROFULOUS DISEASE.</h4>
+
+
+
+<p class="lfigure"><a name="advise151"><img width="90%" alt="Illustration:
+Mrs. Nichols. " src="images/advise151.png" /></a><br />Mrs. Nichols. </p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, No. 663 Main St., Buffalo,
+N.Y.:</p>
+
+<p><i>Dear Sirs</i>&mdash;I was sick eight long years with the scrofulous humor
+and I used Dr. Pierce's Golden Medical Discovery and it cured me. I used
+five bottles and I have used it since for other troubles. It has helped me
+wonderfully, in fact cured me, and I recommend it to all my friends.</p>
+
+<blockquote>
+<p>
+Yours most gratefully,<br />
+MRS. MARY E. NICHOLS<br />
+Bay Shore, Suffolk Co., N.Y.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_464" id="Page_464"></a>[pg
+464]</span></p><h4>"HEART-RENDING TO BEHOLD".</h4>
+
+<p>Terrible Suffering from Skin Disease.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise152"><img width="90%" alt="Illustration:
+" src="images/advise152.png" /></a><br /></p>
+
+<p><i>Gentlemen</i>&mdash;My baby when about three months old began to have
+little sores come out on his face; did not amount to much until six months
+old, then they began to spread all over his face and head until his face,
+head and ears were one solid sore. Our family physician was summoned at the
+early stages of the disease and tried everything he knew of for the cure of
+the same, but nothing did him any good. The disease baffled the skill of
+the doctor in every way, and I was advised by friends to try certain
+remedies, which I did, with very little effect. The child by this time was
+a heart-rendering sight to behold, and suffered unknown agonies with the
+torturing itching and burning of the sores, and so things ran on until my
+brother, who resides in Buffalo, visited me. As soon as he saw the child he
+advised me to have him treated at the Invalids' Hotel and Surgical
+Institute in Buffalo. I wrote to them stating my baby's case, asking them
+if they could help him, and they thought they could, so began their
+treatment at once by using salves externally and medicine internally and as
+soon as they began their treatment the child began to improve and continued
+so until he was entirely cured in six months' time. He is now two years and
+six months old and is as tough as any child you ever saw; weighs
+thirty-five pounds and is perfectly well, thanks to Dr. Pierce and his
+wonderful medicines.</p>
+
+<blockquote>
+<p>
+Yours truly, MRS. A.L. PAYNE,<br />
+Box 147; Oxbow, Jefferson Co., N.Y.<br />
+</p>
+</blockquote>
+
+
+<h4>SCROFULOUS ABSCESSES.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, 663 Main St., Buffalo, N.Y.</p>
+
+
+
+<p class="rfigure"><a name="advise153"><img width="90%" alt="Illustration:
+Mrs. Sweeney." src="images/advise153.png" /></a><br />Mrs. Sweeney.</p>
+
+<p><i>Gentlemen</i>&mdash;About four years ago I took scrofula, and did
+everything that doctors and others prescribed, but only got worse. Several
+abscesses formed about my neck and breast, discharging a quantity of
+matter. I got so weak I could scarcely walk about the house. I read all the
+medical works I could get hold of, and, among the rest, read some of your
+works. You described my case, and recommended Dr. Pierce's Golden Medical
+Discovery with his "Pleasant Pellets." So I procured some and commenced
+using them and soon began to mend. In six months my sores were all healed
+up, and in twelve months <i>I was entirely well</i>. I am forty-five years
+old and believe I am as stout as I ever was in my life. I used about one
+dozen bottles of the "Golden Medical Discovery" with the "Pellets," and
+used nothing else after I began using your medicines. So I must give your
+medicine all the praise for curing me, and I am bound to recommend it.</p>
+
+<blockquote>
+<p>
+Yours truly MRS. BELLE SWEENEY,<br />
+Flat Top, Mercer Co., W. Va.<br />
+</p>
+</blockquote>
+
+
+<h4>CROSS EYES.</h4>
+
+<p><b>Convergent Strabismus. Instant and Painless Cure.</b></p>
+
+
+
+<p class="lfigure"><a name="advise154"><img width="90%" alt="Illustration:
+D. Crane, Esq." src="images/advise154.png" /></a><br />D. Crane, Esq.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Gentlemen</i>&mdash;I am happy to certify to your skill. I had been
+afflicted with badly crossed eyes from my birth, and my sight was impaired,
+and I was badly disfigured. By a painless operation my eyes were
+instantaneously restored to a proper position and my sight much
+improved.</p>
+
+<p>Your Hotel and skillful surgery merit every recommendation.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+DAVID CRANE,<br />
+Spring Creek, Warren Co. Pa.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_465" id="Page_465"></a>[pg
+465]</span></p><h4>SCROFULOUS SORE EYES</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, 663 Main St., Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise155"><img width="90%" alt="Illustration:
+Miss Gardner." src="images/advise155.png" /></a><br />Miss Gardner.</p>
+
+<p><i>Gentlemen</i>&mdash;When I was two years old my eyes broke out in little
+white pimples and itching all the time in the mornings; when I awakened my
+eyes would have to be washed open; I could not see and when they were
+washed open the corruption would run down my face and drop off. I have
+tried all of our physicians and their medicine did me no good. A physician
+attended them from Ellicott City and did them no good. He said it was the
+running scrofula in the eyelids and could never be cured; it had continued
+fourteen years, and I had given up all hopes of ever being cured until I
+saw your advertisement of the "People's Common Sense Medical Adviser," and
+I sent and got one, and I saw a great deal in it about the eyes. I wrote to
+you about them and you prescribed for me. Now my eyes are quite well. Some
+advised me to wear glasses, but you said not. I have been a great sufferer
+but am glad to say you did me all the good that I have received.</p>
+
+<blockquote>
+<p>
+Respectfully yours,<br />
+MISS VIRGINIA M. GARDNER,<br />
+Mayo, Anne Arundel Co., Md.<br />
+</p>
+</blockquote>
+
+
+<h4>WEAK AND SORE EYES.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise156"><img width="90%" alt="Illustration:
+John Casserly. " src="images/advise156.png" /></a><br />John Casserly. </p>
+
+<p><i>Gentlemen</i>&mdash;After taking Dr. Pierce's Golden Medical Discovery for
+four weeks, at a cost of only $1.50, I am more than pleased to announce
+that my eyes are perfectly well and strong as ever. I doctored and fussed
+with quack medicines for about one year and a half and found no relief.
+Finally I consulted your "Medical Adviser" and found a case similar to mine
+so I wrote and got a speedy reply. I followed directions, which resulted in
+a speedy cure as above.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+JOHN CASSERLY, JR.,<br />
+Westline, Redwood Co., Minn.<br />
+</p>
+</blockquote>
+
+
+<h4>RUNNING SCROFULOUS SORES.</h4>
+
+
+
+<p class="lfigure"><a name="advise157"><img width="90%" alt="Illustration:
+H.M. Holleman, Esq." src="images/advise157.png" /></a><br />H.M. Holleman,
+Esq.</p>
+
+<p>DR. R.V. PIERCE: <i>Dear Sir</i>&mdash;When about three years old I was taken
+with mumps, also had fever, finally I had that dreaded disease Scrofula.
+The most eminent physicians in this section treated me to no avail. I had
+running scrofulous sores on left side of neck and face. I was small and
+weakly when eight or nine years old, and in fact was nearly a skeleton. Six
+bottles of Dr. Pierce's Golden Medical Discovery wrought marvelous changes.
+Although the sores were healed in eight months, I did not quit taking it
+until I was sure it had been entirely routed from my system. The only signs
+left of the dreadful disease are the scars which ever remind me of how near
+death's door I was until rescued by the "Discovery." I am now eighteen
+years old and weigh 148 pounds; and have not been sick in five years.</p>
+
+<blockquote>
+<p>
+Respectfully, HARVEY M. HOLLEMAN,<br />
+Wilmington, Newbern &amp; Norfolk Railway Co.,<br />
+Wilmington, New Hanover Co., N.C.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_466" id="Page_466"></a>[pg
+466]</span></p><h4>"FEVER SORES."</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise158"><img width="90%" alt="Illustration:
+" src="images/advise158.png" /></a><br /></p>
+
+<p><i>Gentlemen</i>&mdash;My daughter who is now 18 years of age was attacked
+with a severe pain and swelling in her ankle, which soon caused her to have
+high fever. We employed some of the best physicians in this locality who
+pronounced it rheumatism, did everything for her they could do, but she
+kept getting worse from day to day, and in about five weeks after she was
+first taken sick her ankles and legs came open and discharged a lot of
+yellow matter and finally slivers of bones came out of the openings in her
+ankles. All the doctors we consulted said that we would have to have an
+operation performed on her and have the dead bones taken out, or else she
+could not get well, with the exception of one of the doctors who said that
+if her health could be improved the dead bones would come out and be
+replaced with new ones, for the dead pieces would brake loose from the
+sound bone and come out through the opening with the matter; but he could
+not do anything to improve her health.</p>
+
+<p>After doctoring her three months she was reduced to a mere skeleton and
+had to be tended to like a mere baby and have her feet elevated, or else
+she would scream with pain. We commenced giving her Dr. Pierce's Golden
+Medical Discovery. After using it for one month we could see, for the first
+time, that she was getting no worse, and after using about five bottles her
+health began to improve a little; but she still suffered with pain and
+could not have her feet down until she had taken twelve bottles. When she
+had taken fifteen bottles&mdash;she began to walk on crutches, and later with a
+cane, for about two or three months, when she could walk without a crutch
+or cane. The diseased bones gradually came out in pieces, some of them an
+inch to two inches long and one-fourth of an inch thick; the sores healed
+as soon as the last dead bone was out. She is now a strong healthy young
+lady as her photograph plainly shows.</p>
+
+<blockquote>
+<p>
+Respectfully yours,<br />
+D.R. SCHROER.<br />
+Holstein, Warren Co., Mo.<br />
+</p>
+</blockquote>
+
+
+<h4>GENERAL DECLINE, RUNNING SORE ON LEG.</h4>
+
+<p>Fort Coulonge, Pontiac Co., Quebec.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Gentlemen</i>&mdash;Thanks be to God, and you, I have the best of health
+since I have taken your special medicine and one bottle of "Favorite
+Prescription." I was as weak as any person could be without dying, and I am
+as healthy as any person can be to-day, and I have gained ten pounds since,
+and a great many people remark to me how much better I look.</p>
+
+<p>Also, I can mention to you another person who was cured by your "Golden
+Medical Discovery." His name is John McCoy. For near two years he never
+walked. He suffered from a running sore on his leg, and after using twelve
+bottles, he could walk all right and is well to-day The doctors wanted to
+have it taken off. You say in your letter you would like to have a
+photograph. I have none and there is no photograph gallery in this village
+or I would have one taken.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+Mrs Isaac Brady<br />
+</p>
+</blockquote>
+
+
+<h4>ECZEMA.</h4>
+
+<p>DR. R.V. PIERCE, Buffalo, N.Y.:</p>
+
+<p><i>Dear Sir</i>&mdash;When I was married I weighed 125 pounds. I was taken
+sick with a disease which my doctor said was eczema. He failed to do me any
+good, and I fell away to 90 pounds. I had dyspepsia so bad that I could not
+eat anything. My husband got me "sarsaparillas" and "cures" and "bitters,"
+and nothing did me any good. Finally he got two bottles of Dr. Pierce's
+Golden Medical Discovery. I began using it, and, thank God and you, I
+improved; now I weigh 140 pounds, and my skin is as smooth as a baby's. My
+husband says I look younger than I did the first time he saw me. I have
+better health than ever, and I owe it all to you. It is a miracle that I am
+cured. I cannot say too much about the medicine.</p>
+
+<blockquote>
+<p>
+Very respectfully,<br />
+Rebecca F. Gardner<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_467" id="Page_467"></a>[pg
+467]</span></p><h4>"FEVER SORES" OR INDOLENT ULCERS&mdash;DROPSY AND TORPID
+LIVER.</h4>
+
+<p>Dr. R.V. PIERCE, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise161"><img width="90%" alt="Illustration:
+Mr Fred Pestline." src="images/advise161.png" /></a><br />Mr Fred
+Pestline.</p>
+
+<p><i>Dear Sir</i>&mdash;I write in regard to your great "Golden Medical
+Discovery." I cannot be thankful enough to you for what it has done for me.
+As a result of the grippe I had dropsy, and ulcers formed on my legs with a
+most intolerable itching at night after going to bed. My circulation was
+very poor and liver inactive. I feel perfectly well since I took the
+medicine. The old sores on my legs are all healed up, and I feel like a new
+man. I highly recommend your "Golden Medical Discovery" to any inquiring
+person, for it has saved my life.</p>
+
+<blockquote>
+<p>
+Yours very truly,<br />
+FRED. PESTLINE,<br />
+Alexander, Genesee Co., N.Y.<br />
+</p>
+</blockquote>
+
+
+<h4>RUNNING SORE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise162"><img width="90%" alt="Illustration:
+Mrs. Kuhn." src="images/advise162.png" /></a><br />Mrs. Kuhn.</p>
+
+<p><i>Gentlemen</i>&mdash;It pleases me to state that I had a running sore up on
+my neck, and had it operated upon three times, and still it was not cured.
+I was also run down very much. There was a decided change after using Dr.
+Pierce's Golden Medical Discovery. I took a few bottles and was soon cured
+Later my husband had a lump behind his ear; he tried your medicine, and one
+bottle cured him. I shall always recommend your medicines.</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+MRS. L. KOHN,<br />
+No. 618 E. 16th St.,<br />
+New York City.<br />
+</p>
+</blockquote>
+
+
+<h4>"OLD SORES" ON LEGS.</h4>
+
+<p>Alexander, N.C.</p>
+
+<p>DR. R.V. PIERCE, Buffalo, N.Y.:</p>
+
+<p><i>Dear Sir</i>&mdash;Your "Golden Medical Discovery" has proven a blessing
+to me. It was recommended to me by Rev. P.A. Kuykendall. I have been a
+sufferer with old sores on my legs for four years. I used three bottles of
+it, and my legs are sound and well and my health is better than it has been
+for some time. I had <b>the</b> best doctors of this country treat my case
+and they failed to effect a cure.</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+J.N. Kery Kendall<br />
+</p>
+</blockquote>
+
+
+<h4>HIP-JOINT DISEASE.</h4>
+
+<p><b>Physicians Fail to Benefit</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise164"><img width="90%" alt="Illustration:
+E.J. Rush." src="images/advise164.png" /></a><br />E.J. Rush.</p>
+
+<p><i>Gentlemen</i>&mdash;At the age of eight years I became afflicted with
+"Hip-joint Disease." For a year I suffered as much as it was possible for a
+human being to suffer. My physicians told me I would have to wait
+patiently, but my father procured me some of Doctor Pierce's Golden Medical
+Discovery, and I found my falling health restored.</p>
+
+<p>I can cheerfully say that I believe I owe my life to the use of that
+valuable medicine.</p>
+
+<blockquote>
+<p>
+Your true friend,<br />
+EDWARD J. RUSH,<br />
+Elizabeth, Harrison Co. Ind.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_468" id="Page_468"></a>[pg
+468]</span></p><h4>HIP-JOINT DISEASE CURED.</h4>
+
+
+
+<p class="lfigure"><a name="advise165"><img width="90%" alt="Illustration:
+Mrs. Ridgley." src="images/advise165.png" /></a><br />Mrs. Ridgley.</p>
+
+<p><b>Miss MARY E. RIDGLEY</b>, of <i>Gales Creek, Washington Co.,
+Oregon</i>, when only three years old, had lameness in one of her lower
+limbs but the use of liniment and Dr. Pierce's Pellets relieved her, and
+she got better. When six years old the trouble developed into hip-joint
+disease, so pronounced by her physician. She lost the use of the limb. Was
+three months under the doctors, but got no better. She complained of great
+pain in the limb, especially in the knee and hip. The limb wasted away,
+becoming small and short, and her back became crooked. She had no appetite;
+was very weak. Hip and knee were very tender to the touch. Physician's
+treatment not helping her, her mother began to give her "Golden Medical
+Discovery." Four months afterwards she wrote Dr. Pierce as follows: "She is
+growing fast, and never complains of any pain or ache. She sleeps well, and
+eats heartily. Her leg has filled up, and is as big as the other. She plays
+around all day with the other children. Everybody is astonished to see how
+she has improved."</p>
+
+<p>In the margin we print Miss Ridgley's picture as she appears twelve
+years after this treatment, at the age of eighteen. The young lady herself,
+writes Dr. Pierce as follows: "Your medicines are worth their weight in
+gold. I was cured of hip-joint disease by the "Golden Medical Discovery"
+and "Pellets," and I feel sure that they can cure the worst cases if given
+a chance."</p>
+
+
+<h4>HIP-JOINT DISEASE OF 11 YEARS' STANDING.</h4>
+
+<p>P.O. Box 128, Gagetown, Tuscola Co., Mich.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Gentlemen</i>&mdash;When I began taking your medicines I was in bed,
+nothing would relieve me, my hip being swelled seemingly ready to burst.
+When I began to take Dr. Pierce's Golden Medical Discovery and "Pellets,"
+the swelling gradually decreased; when I had taken one bottle I was able to
+be up. I don't know how long I will remain well, but I am satisfied that it
+is the medicine that did the work: I take it right along; as long as I can
+keep the way I am now, I am satisfied. I have recommended your remedies,
+and will continue to do so.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+H.F. Giron<br />
+</p>
+</blockquote>
+
+
+<h4>THICK NECK (GOITRE).</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, 663 Main St., Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise166"><img width="90%" alt="Illustration:
+Master Sumner." src="images/advise166.png" /></a><br />Master Sumner.</p>
+
+<p><i>Gentlemen</i>&mdash;I am willing and pleased to have you publish anything
+I have written in regard to the cure of my little son of Goitre (that a
+surgeon of N. Adams said could never be cured).</p>
+
+<p>I do hope that by so doing some little one may escape the misery my
+little one suffered for over a year until I began the use of the "Golden
+Medical Discovery." I followed your directions found in the little book
+around the bottles. Before the first bottle was gone, he could eat and
+sleep without that coughing and choking that, before the use of the
+"Discovery," was impossible.</p>
+
+<p>The tumor began to lessen in size, and after the third bottle I would
+never have known he ever had a tumor there. He is now hearty and healthy.
+Sleeps as good as any child and is full of life. He does not take anything
+to prevent a return, and has not for over a year.</p>
+
+<p>I have one of your Common Sense Medical Advisers, and found it worth
+five times what I gave for it; I have helped others to get it and the
+"Medical Discovery" and "Favorite Prescription" have brought relief to many
+through me I use the "Prescription" off and on; it has given me strength; I
+think I should have been an invalid long ago without it.</p>
+
+<p>Every one here knows the truth of this letter, and I would tell it to
+the world if I could. Respectfully,</p>
+
+<blockquote>
+<p>
+MRS. ANNIE SUMNER, Heartwellville, Bennington Co., Va.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_469" id="Page_469"></a>[pg
+469]</span></p><h4>THICK NECK (GOITRE),</h4>
+
+<p><b>Nervous Debility and Weakness Cured</b>.</p>
+
+
+
+<p class="lfigure"><a name="advise166b"><img width="90%" alt="Illustration:
+Miss Rachel Mann." src="images/advise166b.png" /></a><br />Miss Rachel
+Mann.</p>
+
+<p>Miss ELLA A. HOUGHTON, of <i>Theresa, Jefferson Co., N.Y.</i>, was cured
+of Thick Neck, Nervous Prostration, Weakness and a complication of ailments
+by Dr. Pierce's "Discovery" and "Favorite Prescription." She says: "My
+health is now as good as it was before I was sick. The swelling (goitre)
+has all gone from my neck. I don't have any bad feelings. My gratitude for
+the benefit I have received from your treatment has induced me to recommend
+you to all whom I know to be sick." "I have known of two or three middle
+aged ladies residing near here, who have been cured by your 'Favorite
+Prescription.'"</p>
+
+
+<h4>GOITRE CURED.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise166c"><img width="90%" alt="Illustration:
+Miss Rachel Mann." src="images/advise166c.png" /></a><br />Miss Rachel
+Mann.</p>
+
+<p><i>Dear Sirs</i>&mdash;I can say that your medicine has done its work well in
+the case of my sister, Miss Rachel Mann. She is entirely well of Goitre and
+throat trouble. I am glad to say that we can recommend your medicines very
+highly.</p>
+
+<blockquote>
+<p>
+Very truly yours,<br />
+MARY J. MANN,<br />
+for sister Rachel Mann,<br />
+Romola, Center Co., Pa.<br />
+</p>
+</blockquote>
+
+
+<h4>CARBUNCLES LARGE AS HEN'S EGGS!</h4>
+
+<p><b>Eight or Ten Years Afflicted. Two Bottles only, Cure</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise166d"><img width="90%" alt="Illustration:
+Col. T.U. Fogg." src="images/advise166d.png" /></a><br />Col. T.U.
+Fogg.</p>
+
+<p><i>Gentlemen</i>&mdash;For about eight or ten years my father was laid up
+with carbuncles, the worst that I ever saw. He tried everything he heard
+of, and his doctor did everything he could for him, but nothing did him any
+good. Had six or seven carbuncles at a time, as large as a hen's egg; he
+got so weak and suffered so much he could not walk a step. It was in the
+summer of '72 or '73 that he had his bed put in the middle of his chamber
+and got on it to die. No one expected him to get well. Looking over the
+newspapers, he saw your "Golden Medical Discovery" advertised, and the good
+it had done. There was not any sold then in the country, so he sent to
+Richmond&mdash;forty-five miles&mdash;and got a bottle. When he began to take it he
+was nearly covered with carbuncles&mdash;little and big together. Before he had
+taken half-a-bottle they began to go away. Before he had taken two bottles
+he was entirely cured, and he has never been bothered with them since.
+Every time he sees any sign of them, he gets a bottle of "Golden Medical
+Discovery" and it cures them. My father, Col. T.U. Fogg, lives in West
+Point, King William Co., Va. He is now seventy-eight years old, and enjoys
+good health.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+Mrs. NANNIE GOULDMAN,<br />
+Beulahville, King William Co., Va.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_470" id="Page_470"></a>[pg
+470]</span></p><hr />
+
+
+
+
+<h4>THICK NECK. (GOITRE.)</h4>
+
+<p>Thick neck, or goitre, also sometimes called bronchocele, consists of an
+enlargement of the thyroid gland, which lies over and on each side of the
+trachea, or windpipe, between the prominence known as "Adam's apple" and
+the breast bone. The tumor gradually increases in front and laterally,
+until it produces great deformity, and often interferes with respiration
+and the act of swallowing. From its pressure on the great blood-vessels
+running to and from the head, there is a constant liability to engorgement
+of blood in the brain, and to apoplexy, epilepsy, etc. When the enlargement
+once makes its appearance, it continues to increase in size as long as the
+person lives, unless appropriate treatment be resorted to. It never
+disappears spontaneously. These tumors are much larger than those not
+familiar with them would suppose from their outward appearance, as they
+extend under and are bound down by the muscles on each side of the neck, so
+that they become embedded in the cellular tissues underneath, while the
+sides of the neck retain, to a considerable extent, their round and even
+appearance, whereby the real magnitude of the tumor is not apparent. Figure
+7 represents the appearance of the neck of a person afflicted with this
+disease. The form of protuberance varies materially with different persons,
+that shown in the engraving being the shape which it ordinarily
+assumes.</p>
+
+
+
+<p class="lfigure"><a name="advise167"><img width="90%" alt="Illustration:
+Fig. 7." src="images/advise167.png" /></a><br />Fig. 7.</p>
+
+<p>The causes of the affection are not well understood. The use of
+snow-water, or water impregnated with some particular saline or calcareous
+matter, has been assigned as a cause. It has also been attributed to the
+use of water in which there is not a trace of iron, iodine, or bromine. A
+writer in a Swiss journal, <i>Feuilles d' Hygiene</i>, states that the
+disease is often due to an impeded circulation in the large veins of the
+neck, from pressure of the clothing, or from the head being bent forward, a
+position which is often seen in school children, when the muscles of the
+back of the neck have become fatigued.</p>
+
+<p><b>Treatment</b>. We have obtained wonderful results by a new method of
+treatment, which consists in the employment of electrolysis in conjunction
+with other therapeutic means. There is scarcely a case in which this
+treatment, properly carried out, will not effect a radical cure. It is
+attended with no danger whatever.</p>
+
+<p>Those who are afflicted with this disease and unable to avail themselves
+of special treatment, cannot do better than to take Dr. Pierce's Alterative
+Extract, or Golden Medical Discovery, and apply to the skin over and around
+the tumor, night and morning the following solution which may be prepared
+at any drug store: iodine, one <span class="pagenum"><a name="Page_471"
+id="Page_471"></a>[pg 471]</span>drachm; iodide of potassium, four drachms;
+dissolve in three ounces of soft water. Apply to the tumor twice a day,
+with a feather or hair pencil.</p>
+
+
+<h4>MUMPS. (PAROTITIS.)</h4>
+
+
+<p>This is an inflammation of the parotid glands and generally occurs in
+childhood. It is often epidemic, and is manifestly contagious. It usually,
+though not always, appears on both sides of the neck at the same time.</p>
+
+<p><b>Symptoms</b>. An external, movable swelling, just below and in front
+of the ear, near the angle of the jaw, is the prominent symptom. The
+enlargement is not circumscribed, but hard and painful, and attended with
+more or less fever, derangement of the secretions, and difficulty in
+swallowing. The swelling increases until the fourth and fifth day, when it
+gradually diminishes, and by the eighth or tenth is entirely gone.
+Sometimes the disease is accompanied by swelling of the breasts in the
+female, or the testicles in the male.</p>
+
+<p><b>Treatment</b>. Usually but little treatment is necessary. Exposure to
+cold should be avoided. If severe or painful, with febrile symptoms, a hot
+foot-bath and small doses of the "Compound Extract of Smart-Weed," in some
+diaphoretic infusion, to induce sweating, together with small doses of
+aconite, will produce good results. If swelling of the testicles threatens
+(which seldom happens except on taking cold), resort should be had to mild
+cathartics, the spirit vapor-bath, stimulating liniments to the neck, and
+warm fomentations to the part attacked If delirium occurs, a physician
+should be summoned.</p>
+
+
+<h4>INFLUENZA, OR LA GRIPPE.</h4>
+
+
+<p>This is an infectious disease, characterized by depression, and usually
+associated with a catarrhal condition of the mucous membrane. It may affect
+the respiratory organs or the intestinal canal. There is a marked liability
+to serious complications, of which pneumonia is the most dangerous. The
+disease is evidently due to a specific virus of great infectiveness, and is
+more active and contagious at certain seasons and under certain conditions
+of the atmosphere. By some it has been supposed that it is due to a miasma
+in the air, but the character of its infection indicates that the true
+virus is of a germinal nature.</p>
+
+<p>Uncomplicated cases recover, but in the aged and in the delicate we may
+see fatal results, due usually to the profound depression or the high
+temperature to which the individual is subjected. There is much redness and
+swelling of the mucous membranes of the nose and throat&mdash;a bronchitis&mdash;and
+a catarrhal state of the stomach and intestines. These may all be present,
+or the disease may center upon one particular portion of the animal
+economy, and manifest its ravages there alone.</p>
+
+<p><span class="pagenum"><a name="Page_472" id="Page_472"></a>[pg
+472]</span><b>Symptoms</b>. The attack usually resembles an ordinary
+catarrh of cold. In some cases the nasal catarrh is absent, or very mild,
+and the infection invades the general system, with much fever. A very
+striking manifestation of the disease is the severe nervous troubles which
+are present at the outset, consisting of headache, pain in the back and
+legs, and a general soreness of the muscles and bones as if bruised or
+beaten. The pulse is usually feeble and small&mdash;intermittent. The disease
+may center in the brain, producing delirium. Mental disorders are not
+uncommon, and there is usually following the disease more or less
+inaptitude for mental work and a tendency to depression of spirits. In many
+cases there is a severe diarrhea, and the individual suffers much from pain
+and discomfort in the abdomen. This is a gastro-intestinal irritation, and
+apparently favors an early recovery, and usually there are less severe
+sequels in such cases.</p>
+
+<p>The most dangerous complication is pneumonia. These cases may follow
+bronchitis, or the grip may begin with well-characterized symptoms of this
+disease, for which see the chapters upon this trouble. The sputa may not be
+rusty until after several days. The crisis is usually slow, and a
+considerable proportion recover, the disease frequently showing a sudden
+change for the better, and the patient being up and around in a few days.
+Cases complicated with pneumonia are the most indefinite in their symptoms,
+and require the closest attention.</p>
+
+<p><b>Treatment</b>. In every case the disease must be regarded as a
+dangerous one, and the patient be confined to bed and indoors until all
+fever has disappeared, otherwise sudden and serious manifestations are
+liable to appear at any time. The patient must be well fed and nourished
+from the outset. The bowels should be acted upon by mild laxatives, such as
+castor oil or Dr. Pierce's Pleasant Pellets, using from one to three. It is
+also of advantage afterward to move them twice each day, by the injection
+of warm water, to which has been added a teaspoonful of table salt to each
+pint. This injected into the rectum, using the water slightly tepid, or
+cool if the patient is feverish, will tend to soften the actions from the
+bowels and favor the escape of poisonous matter. The cool water has also a
+soothing effect upon the fever and nervous system. If the fever is high,
+and there is delirium, small doses of aconite, with water, should be used
+every half hour or hour, but all depressing agents of this kind must be
+used with caution, as profound prostration sometimes develops. Warm baths,
+repeated frequently, and followed by hot lemonade, are of the greatest
+benefit in reducing the feverish condition and quieting the patient. The
+bed should be warmed after these are administered and the patient given hot
+lemonade to bring on free action of the skin, kidneys, and bowels. Where
+the pulse is weak, the free use of stimulants, as wine, coffee, tea, and
+brandy or whiskey, are required, as the great danger of the disease is a
+depression of the heart. In severe bronchitis, pneumonia, and other
+complications, appropriate treatment should be applied.</p>
+
+
+<p><span class="pagenum"><a name="Page_473" id="Page_473"></a>[pg
+473]</span></p><h2>ACUTE NASAL CATARRH.</h2>
+
+
+<p>Acute Nasal Catarrh, or cold in the head, is an acute inflammation of
+the mucous membrane lining the nasal passage which may confine itself to
+these parts or extend to the pharynx, larynx, and air-passages below, or
+affect the auxiliary sinuses or cavities communicating with the nasal
+passages.</p>
+
+<p>The most frequent cause of cold in the head is exposure to sudden
+changes in temperature, or draughts of cool air, without taking proper
+precaution to protect the body so as to prevent the rapid radiation of
+animal heat. In most cases there is an inherited tendency or acquired
+weakness, which frequently may be associated with a scrofulous condition of
+the whole system, that render these points less resistant, and consequently
+invite the morbid changes which result from exposure and cold. Acute
+Catarrh also occurs during the initial stage of such eruptive diseases as
+measles, typhus, typhoid, erysipelas, etc.</p>
+
+<p>Seldom do we meet with an otherwise healthy individual, who is subjected
+to a frequent cold in the head. Impure blood, inherited scrofulous taints,
+enfeebled circulation, debility, either general or nervous, are all advance
+agents, inviting catarrhal disease, and preventing rapid recovery from an
+acute attack, so that a low grade of Chronic Catarrh is generally the
+sequence.</p>
+
+<p><b>Symptoms</b>. The attack is visually ushered in by a chill, or chilly
+sensation, feeling of lassitude, followed by a slight fever. These symptoms
+are not as distressing as the sense of fullness about the eyes and frontal
+region, and prickling dry heat, with more or less obstruction in the
+nostrils. A few hours later follows a copious, acrid watery discharge,
+which gradually becomes thick and yellow. Often the inflammatory action may
+extend to the orifice of the eustachian tube, causing obstruction with
+temporary deafness, or ringing in the ears. Severe facial neuralgia may be
+caused by the pressure from the swollen parts upon the branches of
+sensitive nerves.</p>
+
+<p><b>Treatment</b>. In the mild forms of acute catarrh, or coryza, only
+simple treatment is required. A hot foot-bath on retiring at night, with a
+full dose of Dr. Pierce's Compound Extract of Smart-weed, to produce free
+perspiration will generally break up the attack. Should the discharge from
+the nostrils continue, Dr. Sage's Catarrh Remedy should be freely used four
+to six times each day, until the symptoms are controlled. In case the
+bowels do not act, a full dose of Dr. Pierce's Pleasant Pellets may he
+taken at bed-time. Avoidance of exposure to cold, and light vegetable diet,
+are advisable. In the more severe attacks, especially when complicated by
+laryngeal or bronchial symptoms, the most decisive measures should be
+employed. The Compound Extract of Smart-weed should be taken freely,
+together with <span class="pagenum"><a name="Page_474"
+id="Page_474"></a>[pg 474]</span>hot drinks, or a hot general bath. The
+patient should be warmly covered in bed to encourage a continued
+perspiration, to equalize the circulation, and subdue the inflammation. Dr.
+Pierce's Golden Medical Discovery should be taken in teaspoonful doses four
+times each day in all cases that are complicated or protracted.</p>
+
+<p>Individuals suffering from frequent colds will do wisely to fortify
+their systems by taking a few bottles of the "Golden Medical Discovery" to
+improve nutrition, purify the blood, and thus aid nature in overcoming such
+inherited tendency or required weakness as may be their misfortune to
+possess. Remember frequent attacks of Acute Catarrh prepare fertile soil
+for the chronic form which oftentimes is so loathsome and destructive.</p>
+
+
+<h2>CHRONIC NASAL CATARRH.</h2>
+
+<h4>OZ&AElig;NA.</h4>
+
+
+<p>In consequence of repeated attacks of acute catarrh, or "cold in the
+head," as it is usually termed, the mucous membranes of the nose and the
+air-passages of the head become permanently thickened, the mucous follicles
+or glands diseased, and their functions either destroyed or very much
+deranged. Although chronic catarrh is most commonly brought on in the
+manner above stated, it sometimes makes its appearance as a sequel of
+typhoid fever, scarlet fever, measles, or other eruptive fevers, or shows
+itself as a local manifestation of scrofulous or syphilitic taints in the
+system.</p>
+
+<p>Injury to the nose may result in a displacement of one or more of the
+bony structures, setting up a chronic inflammation with catarrh at that
+point. In the early stages of the disease, the patient may be annoyed with
+"only a slight dropping into the throat," as many express it, the amount of
+the discharges from the air-passages of the head at this stage of the
+disease being only slightly in excess of health. In some cases the
+discharge is thick, ropy, and tough, requiring frequent and strong efforts
+in the way of blowing and spitting, to remove it from the throat, in which
+it frequently lodges. In other cases, or in other stages of the same case,
+the discharge is thin, watery, acrid, irritating, and profuse. The nose may
+be "stopped up" from the swollen and thickened condition of the lining
+mucous membrane, so as to necessitate respiration through the mouth, giving
+to the voice a disagreeable nasal twang. From the nature of the obstruction
+in this condition, it is useless for the sufferer to endeavor to clear the
+passage by blowing the nose; this only tends to render a bad matter worse,
+by increasing the irritation and swelling of the already thickened lining
+membrane. The swelling of the mucous membrane does not in all cases become
+so great as to cause obstruction to respiration through <span
+class="pagenum"><a name="Page_475" id="Page_475"></a>[pg 475]</span>the
+affected passages. In some cases, the patient suffers from head ache a
+great portion of the time, or experiences a dull, heavy, disagreeable
+fullness or pressure in the head, with a confusion of his ideas, which
+renders him quite unfit for business, especially such as requires deep
+thought and mental labor. Memory may be more or less affected, and the
+disposition of those who are otherwise amiable is often rendered irritable
+or morose and despondent. The mental faculties suffer to such an extent in
+some cases as to result in insanity. The sense of smell is in many cases
+impaired, and sometimes entirely lost, and the senses of taste and hearing
+are not unfrequently more or less affected.</p>
+
+<p><b>Ozæna</b>. The ulcerous or more aggravated stage of the disease,
+from the offensive odor that frequently attends it, is denominated
+<i>Ozæna</i>.</p>
+
+<p>The secretion which is thrown out in the more advanced stages of chronic
+catarrh becomes so acrid, unhealthy, and poisonous, that it produces severe
+irritation and inflammation, which are followed by excoriation and
+ulceration of the delicate membrane which lines the air-passages in the
+head. Although commencing in this membrane, the ulceration is not confined
+to it, but gradually extends in depth, until it frequently involves all the
+component structures of the nose&mdash;cartilage and bone, as well as fibrous
+tissues. As the ulceration extends up among the small bones, the discharge
+generally becomes profuse and often excessively fetid, requires the
+frequent use of the handkerchief, and renders the poor sufferer
+disagreeable to both himself and those with whom he associates. Thick,
+tough, brownish incrustations, or hardened lumps, are many times formed in
+the head, by the evaporation of the watery portion of the discharge. These
+lumps are sometimes so large and tough that it is with great difficulty
+that they can be removed. They are usually discharged every second, fourth,
+or fifth day, but only to be succeeded by another crop. Portions of
+cartilage and bone, or even entire bones, often die, slough away, and are
+discharged, either in large flakes, or blackened, half-decayed, and crumbly
+pieces; or, as is much more commonly the case, in the form of numerous
+minute particles, that escape with the discharge and are unobserved. It is
+painfully unpleasant to witness the ravages of this terrible disease, and
+observe the extent to which it sometimes progresses. Holes are eaten
+through the roof of the mouth, and great cavities excavated into the solid
+bones of the face; in such cases only the best and most through treatment
+will check the progress and fatal termination of the disease.</p>
+
+
+<h4>COMPLICATIONS.</h4>
+
+
+<p>Catarrh, or Ozæna, is liable to be complicated, not only by the system,
+blood, and fluids, suffering from scrofulous or other taints, as has
+already been pointed out, but also by an extension of the diseased
+conditions to other parts beyond the air-passages of the head.</p>
+
+<p>Occasionally deformities of the septum or other internal structures
+<span class="pagenum"><a name="Page_476" id="Page_476"></a>[pg
+476]</span>also polypi or tumors, are sources of constant irritation and
+accelerate catarrhal disease.</p>
+
+<p><b>Disease of the Throat</b>. The acrid, irritating and poisonous
+discharge, which, in some stages of disease, almost constantly runs down
+over the delicate lining membrane of the <i>pharynx</i> (throat), is liable
+to produce in this sensitive membrane a diseased condition similar to that
+existing in the air-passages of the head. The throat may feel dry, husky,
+and at times slightly sore or raw; or, from the muco-purulent discharge
+that is almost constantly dropping down over its surface, the patient may
+feel very little inconvenience from the disease of the throat until it is
+far advanced&mdash;the moistening and lubricating effect of the matter that
+drops on the surface tending to blunt the sensibility of the parts. (<i>See
+pharyngitis for symptoms and treatment</i>.)</p>
+
+<p><b>The Extension of the Disease to the Larynx</b>. The larynx, situated
+directly below the pharynx (throat), is subjected to the influence of the
+same irritation from acrid and poisonous discharges dropping into the
+throat from the head. More or less of it is removed by hawking and
+spitting, but some remains and is drawn into the larynx, or still lower
+into the trachea (windpipe), with the inspired air. Thus the disease creeps
+along the continuous mucous surfaces of the air-passages, the acrid
+poisonous discharge arousing in its track the irritation, inflammation,
+ulceration, and thickening of the lining membrane which characterize the
+disease in other portions of the air-passages. The symptoms and treatment
+of laryngitis will be found under its appropriate classification.</p>
+
+<p><b>Bronchitis and Consumption</b>. We have already detailed the manner
+in which the throat, larynx, and trachea, in succession, become affected
+from catarrh, or Ozæna. By the same process of extension, the bronchial
+tubes, and lastly, the <i>parenchyma</i>, or substance of the lungs, in
+their turn, become diseased, and bronchitis and consumption are firmly
+established. Tightness in the chest, with difficulty of breathing;
+soreness; darting, sharp, or dull, heavy pain, or a prickly, distressing
+sensation, accompanied with more or less cough and expectoration&mdash;are
+evidences that the bronchial tubes have become affected, and they should
+admonish the sufferer <i>that he is now standing on the stepping-stone
+to</i> CONSUMPTION, over which thousands annually tread, in their slow
+journey to the grave.</p>
+
+<p class="lfigure"><a name="advise168"><img width="90%" alt="Illustration:
+Fig. 8. Internal and external ear." src="images/advise168.png" /></a><br
+/>Fig. 8. Internal and external ear. <i>1</i>, External ear. <i>2</i>, Internal auditory
+meatus. <i>3</i>, Tympanum. <i>4</i>, Labyrinth. <i>5</i>, Eustachian tube.</p>
+
+<p><b>Deafness</b>. By means of a small canal, called the <i>eustachian
+tube</i>, an air-passage and communication between the throat and middle
+ear is formed. (See Fig. 8.) This passage is lined by a continuation of the
+mucous membrane which covers the throat and nasal passages. The catarrhal
+inflammatory process, by continuity of surface, follows the mucous
+membrane, thickening its structure, until the eustachian tube is closed,
+and the beautiful mechanism of the internal ear is rendered useless. While
+the thickening of the mucous membrane is going on, and the passage is
+gradually becoming closed (and <span class="pagenum"><a name="Page_477"
+id="Page_477"></a>[pg 477]</span>the process sometimes extends through
+several years), the patient will occasionally, while blowing the nose,
+experience a crackling in one or both ears, and hearing becomes dull, but
+returns suddenly, accompanied with a snapping sound. This may be repeated
+many times, until, finally, hearing does not return, but remains
+permanently injured. In other cases the hearing is lost so gradually that a
+considerable degree of deafness may exist before the person is really aware
+of the fact. Either condition is often accompanied with noises in the head
+of every conceivable description, increasing the distress of the sufferer.
+The delicate bones of the ear are sometimes detached from their
+articulations, the drum is ulcerated and perforated, and through the
+orifice thus made, the bones or small <i>spiculæ</i> may escape with
+the thick, purulent, and offensive discharge.</p>
+
+<p><b>Closure of the Tear Duct</b>. The lachrymal duct, or passage (tear
+duct), which, when in a healthy condition, serves to convey the tears from
+the eye into the nose, may be closed by the same inflammatory and
+thickening process which we have already explained. This condition is
+usually attended with watery and weak eyes, the tears escaping over the
+cheeks, and sometimes producing irritation and excoriation. The nasal
+branch of the ophthalmic nerve sometimes participates in the ulceration
+going on in the head, so that the eyes are sympathetically affected. They
+sometimes become congested or inflamed, and sharp pain in the eyeballs may
+be experienced.</p>
+
+<p><b>Indigestion, Dyspepsia, Etc</b>. A large portion of the acrid,
+poisonous, purulent discharge, which drops into the throat during sleep, is
+swallowed. This disturbs the functions of the stomach, causing weakness of
+that organ, and producing indigestion, dyspepsia, nausea, and loss of
+appetite. Many sufferers complain of a very distressing "gnawing sensation"
+in the stomach, or an "all gone," or "faint feelings," as they often
+express it.</p>
+
+<p><b>Symptoms</b>. Dull, heavy headaches through the temples and above
+<span class="pagenum"><a name="Page_478" id="Page_478"></a>[pg
+478]</span>the eyes; indisposition to exercise; difficulty of thinking or
+reasoning, or concentrating the mind upon any subject; lassitude;
+indifference respecting business, lack of ambition or energy; obstruction
+of nasal passages; discharges voluntarily falling into the throat,
+sometimes profuse, watery, acrid, thick and tenacious, mucous, purulent,
+muco-purulent, bloody, concrete blood and pus, putrid, offensive, etc. In
+others, a dryness of the nasal passages: dry, watery, weak, or inflamed
+eyes; ringing in the ears, deafness, discharge from the ears, hawking and
+coughing to clear the throat, ulcerations, death and decay of bones,
+expectoration of putrid matter, <i>spiculæ</i> of bones, scabs from
+ulcers leaving surface raw, constant desire to clear the nose and throat,
+voice altered, nasal twang, offensive breath, impairment or total
+deprivation of the sense of smell and taste, dizziness, mental depression,
+loss of appetite, nausea, indigestion, dyspepsia, enlarged tonsils, raw
+throat, tickling cough, difficulty in speaking plainly, general debility,
+idiocy, and insanity.</p>
+
+<p>All the above symptoms, as well as some others which have been
+previously given, and which it is not necessary here to repeat, are common
+to this disease in some of its stages or complications; yet thousands of
+cases annually terminate in consumption or chronic bronchitis, and end in
+the grave, without ever having manifested one-half of the symptoms
+enumerated.</p>
+
+<p><b>Varieties</b>. People often suppose that there are a great many
+varieties or species of catarrh. This is an error. The nature of the
+disease is the same in all cases, the symptoms only varying with the
+different stages of the disorder, and the various complicated conditions
+which are liable to arise, and which have already been pointed out.</p>
+
+<p><b>Causes</b>. Anything which debilitates the system, or diminishes its
+powers of evolving animal heat and withstanding cold or sudden changes of
+atmospheric temperature, and other disease-producing agencies, renders the
+individual thus enfeebled very liable to catarrh. Among the most common
+debilitating agencies are a scrofulous condition of the system, or other
+impurities of the blood, exhaustive fevers, and other prostrating acute
+diseases, or those badly treated; exhaustive and unnatural discharges,
+intemperance, excessive study, self-abuse, adversity, grief, want of sleep,
+syphilitic taints of the system, which may have been contracted
+unknowingly, or may have been inherited, having perhaps been handed down
+even unto the third or fourth generation, to an innocent posterity from
+infected progenitors; too sudden rest after great and fatiguing exercise,
+and living in poorly-ventilated apartments. These are among the most
+fruitful causes of those feeble, deranged, or impure conditions of the
+system to which catarrh so frequently owes its origin. Although the
+immediate or exciting cause is generally repeated attacks of "cold in the
+head," which, being neglected or improperly treated; "go on from bad to
+worse," yet the predisposing or real cause of the disease is in the
+majority of cases, <span class="pagenum"><a name="Page_479"
+id="Page_479"></a>[pg 479]</span>an enfeebled, impure, or otherwise faulty
+condition of the system, which invites the disease, and needs only the
+irritation produced in the nasal passages by an attack of cold, to kindle
+the flame and establish the loathsome malady. Some people are convinced
+with difficulty that there exists in their system a weakness, impurity, or
+derangement of any kind, which permitted the disease to fasten itself upon
+them. They may not feel any great weakness, may not have any pimples,
+blotches, eruptions, swellings, or ulcers, upon their whole person; in
+fact, nothing about them that would, except to the skilled eye of the
+practical and experienced physician, indicate that their system is weakened
+or deranged with bad humors; and yet such a fault may, and <b>generally
+does</b>, exist. As an ulcer upon the leg, or a "fever-sore," or an
+eruption upon the skin, may be the only outward sign of a fault in the
+system, so frequently chronic catarrh is the only sign by which a bad
+condition of the system manifests itself in a manner that is perceptible to
+the sufferer himself, or to the non-professional observer. The
+finely-skilled physician, whose constant practice makes his perceptive
+faculties perfect in this direction, would detect the constitutional fault,
+as an experienced banker detects a finely-executed and dangerous bank-note
+which the unpracticed eye would pronounce genuine.</p>
+
+
+
+<p class="figure"><a name="advise169"><img width="40%" alt="Illustration:
+Fig. 9. Examination of the Nasal Passages by means of the Rhinoscope and
+Head Mirror." src="images/advise169.png" /></a><br />Fig. 9. Examination of
+the Nasal Passages by means of the Rhinoscope and Head Mirror.</p>
+
+<p><b>Treatment</b>. If you would remove an evil <i>strike at its root</i>.
+As the predisposing or real cause of catarrh is, in the majority of cases,
+some weakness, impurity, or otherwise faulty condition of the system, in
+attempting to cure the disease our chief aim must be directed to the
+removal of that cause. The more we see of this odious disease, the more so
+we the importance of combining; with the use of a local, soothing <span
+class="pagenum"><a name="Page_480" id="Page_480"></a>[pg 480]</span>and
+healing application, a thorough and persistent internal use of
+blood-cleansing and tonic medicines.</p>
+
+<p>As a local application for healing the diseased condition in the head,
+Dr. Sage's Catarrh Remedy is beyond all comparison the best preparation
+ever invented. It is mild and pleasant to use, producing no smarting or
+pain, and containing no strong, irritating, or caustic drug, or other
+poison. Its ingredients are simple and harmless, yet when scientifically
+and skillfully combined, in just the right proportions, they form a most
+wonderful and valuable healing medicine. Like gunpowder, which is formed of
+a combination of saltpeter, sulphur, and charcoal, the ingredients are
+simple, but the product of their combination is wonderful in its effects.
+The Remedy is a powerful antiseptic, and speedily destroys all bad smell
+which accompanies so many cases of catarrh, thus affording great comfort to
+those who suffer from this disease.</p>
+
+<p>The reader's mind cannot be too strongly impressed with the importance
+of combining thorough constitutional with the local treatment of this
+disease. Not only will the cure be thus more surely, speedily, and
+permanently, effected, but you thereby guard against other forms of disease
+breaking out, as the result of humors in the blood or constitutional
+derangement or weakness.</p>
+
+<p>In curing catarrh and all the various diseases with which it is so
+frequently complicated, as throat, bronchial, and lung diseases, weak
+stomach, catarrhal deafness, weak or inflamed eyes, impure blood,
+scrofulous and syphilitic taints, the wonderful powers and virtues of the
+"Golden Medical Discovery" cannot be too strongly extolled. It has a
+specific effect upon the lining mucous membranes of the nasal and other air
+passages, promoting the natural secretion of their follicles and glands,
+thereby softening the diseased and thickened membrane, and restoring it to
+its natural, thin, delicate, moist, healthy condition. As a blood-purifier,
+it is unsurpassed. As those diseases which complicate catarrh are diseases
+of the lining mucous membranes, or of the blood, it will readily be seen
+why this medicine is so well calculated to cure them.</p>
+
+<p>The "Golden Medical Discovery" is the natural "helpmate" of Dr. Sage's
+Catarrh Remedy. It not only cleanses, purifies, regulates, and builds up
+the system to a healthy standard, and conquers throat, bronchial, and lung
+complications, when any such exist, but, from its specific effects upon the
+lining membrane of the nasal passages, it aids materially in restoring the
+diseased, thickened, or ulcerated membrane to a healthy condition, and thus
+eradicates the disease. When a cure is effected in this manner it is
+permanent. The system is so purified, regulated, and strengthened, as to be
+strongly fortified against the encroachments of catarrh and other diseases.
+The effects of the "Golden Medical Discovery" upon the system will be
+gradual, and the alterative changes of tissue and function generally
+somewhat slow. They are <span class="pagenum"><a name="Page_481"
+id="Page_481"></a>[pg 481]</span>with however, less complete, radical, and
+lasting; and this constitutes its great merit. Under its influence all the
+secretions are aroused to carry the blood-poisons out of the system, the
+nutrition is promoted, and the patient finds himself gradually improving in
+flesh; his strength is built up, his lingering ailments dwindle away, and
+by and by he finds his whole person has been entirely renovated and
+repaired he feels like a new man&mdash;a perfect being.</p>
+
+
+
+<p class="lfigure"><a name="advise170"><img width="90%" alt="Illustration:
+Fig. 10. Atomizer. " src="images/advise170.png" /></a><br />Fig. 10.
+Atomizer. </p>
+
+<p><b>The Clothing</b>. With most persons suffering from chronic nasal
+catarrh, there is a great disposition to take cold, even slight cause being
+sufficient to produce an acute attack, which greatly aggravates the chronic
+affection and operates to render it permanent. To obviate the bad effects
+that are liable to result from this predisposition, great attention should
+be paid to the clothing, that it thoroughly protects the person from sudden
+changes of temperature. For more particular and practical suggestions in
+regard to this matter, the reader is referred to the article on Clothing,
+in Part Two, Chapter II, of "The People's Common Sense Medical
+Adviser."</p>
+
+<p><b>The Diet</b> has an important influence with this disease, as with
+consumption and many other chronic ailments. It should be largely composed
+of those articles rich in the non-nitrogenized or carbonaceous elements.
+Fat meats, rich, sweet cream, good butter, and other similar articles of
+food, should comprise a large part of the diet. These elements, which are
+prolific in the production of animal heat counteract the predisposition to
+take cold, and thus become most valuable remedial agents&mdash;not less
+essential than the medical treatment that has been advised. The patient,
+suffering from chronic catarrh, should study well the hygienic teachings to
+be found in Part Two of "The People's Common Sense Medical Adviser," and
+govern himself accordingly.</p>
+
+<p><b>Treatment of Complications</b>. There are various complications of
+this disease that require modifications of the treatment to meet them
+successfully. The rules cannot be made that would enable non-professional
+readers to vary the treatment to suit peculiarities of constitution, or
+complications of the disease. When consulted, either the person or by
+letter, we have been able to so modify the treatment as to be adopt it to
+peculiar individuals which rejected the ordinary treatment, <span
+class="pagenum"><a name="Page_482" id="Page_482"></a>[pg 482]</span>and
+have thus cured hundreds who had otherwise failed to find relief.</p>
+
+
+
+<p class="figure"><a name="advise171"><img width="40%" alt="Illustration:
+Fig. 11. Steam Atomizer, illustrating position of head during treatment."
+src="images/advise171.png" /></a><br />Fig. 11. Steam Atomizer,
+illustrating position of head during treatment.</p>
+
+<p><b>Time Required in Effecting a Cure</b>. Reader, if you suffer from
+chronic nasal catarrh, do not expect to be very speedily cured, especially
+if your case is one of long standing. Unprincipled quacks and charlatans,
+who possess no knowledge of disease, or medicine either, and whose sole
+design is to palm off upon you a bottle or two of some worse than worthless
+strong, caustic solution, irritating snuff, or drying "fumigator," "dry
+up," "annihilator," "carbolated catarrh cure," "catarrh specific," or other
+strong preparation, will tell you that the worst cases can be
+<i>speedily</i> cured by these unreasonable means. It is true that such
+strong, irritating, and drying preparations will many times suddenly arrest
+the discharge from the nose, but the thickened or ulcerated condition of
+the lining mucous membrane, which really constitutes the disease, is not
+removed by such treatment, and the discharge soon comes on again. Besides,
+there is danger attending the employment of such strong, irritating, or
+drying preparations. The disease, by their use, is frequently driven to the
+throat, bronchial tubes, lungs, or brain, and thus a bad matter is made
+worse. Not less irrational and unsuccessful is the plan of treating the
+disease with inhalations of "carbolized iodine," and other drags,
+administered through variously-devised pocket and other inhalers. Such
+treatment may mask or cover up catarrh for a time; <span class="pagenum"><a
+name="Page_483" id="Page_483"></a>[pg 483]</span>but, by reason of the
+constitutional nature of the disease, it cannot effect a perfect and
+permanent cure. Dr. Sage's Catarrh Remedy, on the other hand, cures the
+disease on common-sense, rational, and scientific principles, by its mild,
+soothing, and healing properties, to which the disease gradually yields,
+when the system has been put in perfect order by the use of "Golden Medical
+Discovery." This is the only perfectly safe, scientific, and successful
+mode of acting upon and healing it. Without, we trust, being considered
+egotistical, we can say that this opinion is based upon a large experience
+and a perfect familiarity with the nature and curability of the disease.
+For many years our whole time and attention has been given to the study and
+cure of catarrh and other chronic diseases treated of in "The People's
+Common Sense Medical Adviser." Cases of catarrh have been treated by
+thousands, and our medicines for the cure of this loathsome disease, and of
+other chronic diseases, have met with an extensive sale in all parts of the
+United States, and have found their way into many foreign countries. The
+universal satisfaction with which their use has been attended, and the
+grateful manifestations received from the cured, have afforded one of the
+greatest pleasures of our lives. Scarcely a mail arrives that does not
+bring new testimony of cures effected by the treatment here
+recommended.</p>
+
+
+<h4>DIRECTIONS FOR USING DR. SAGE'S CATARRH REMEDY.</h4>
+
+
+<p>To prepare the medicine ready for use, put the whole quantity of powder
+contained in the package, as put up for sale, into a bottle; pour into it
+one pint of cool, soft water. Rain water or melted snow is good. Ordinary
+lake, river, well or spring water will do if only <i>slightly</i> hard.
+Cork the bottle tightly and shake it thoroughly, after which allow it to
+stand six or eight hours to settle. Two of the ingredients of which the
+remedy is composed do not entirely dissolve, but their medicinal properties
+are completely and speedily extracted and taken up by the water. These
+settlings have lost their medicinal properties and should not be allowed to
+enter the nasal cavity. It should be kept tightly corked, not allowing it
+to freeze in winter, or be kept where it is very warm in summer. This we
+term the "Catarrh Remedy Fluid."</p>
+
+<p>Use the fluid, prepared according to the above directions, not less than
+three or four times a day, the last time just before retiring, in the
+following manner: Without shaking the bottle to roll the fluid, pour out a
+teaspoonful or more into the hollow of the hand, hold it there until
+warmed; first gently, and afterwards forcibly, snuff the fluid up one
+nostril and then the other, until the nose is well filled and it passes
+back into the throat. No fears need be entertained that it will produce
+strangling or any unpleasant effect in thus using it, for, unlike any <span
+class="pagenum"><a name="Page_484" id="Page_484"></a>[pg 484]</span>other
+fluids (simple tepid water not excepted), it does not produce the slightest
+pain or disagreeable feeling, but, on the contrary, leaves such a cooling,
+pleasant sensation that its use soon becomes a pleasure rather than a task.
+In a few minutes after thus using the remedy, it should be blown out gently
+(never forcibly), to clear the nose and throat of all hardened crusts and
+offensive accumulations, if any such exist. Never blow the nose violently,
+as it irritates the passages and counteracts, to some extent, the curative
+effects of the remedy. This process should be repeated until the remedy has
+been thoroughly applied two or three times, not blowing it out the last
+time of using it, but retaining the medicine in contact with the affected
+parts for a considerable length of time. No harm can result if the fluid be
+swallowed, as it contains nothing poisonous or injurious.</p>
+
+<p><b>A Better Way</b>. The manner of using Dr. Sage's Catarrh Remedy,
+advised above, is somewhat imperfect and not nearly so thorough a mode as
+the one to which the reader's attention will now be directed.</p>
+
+<p>In a very large number of bad cases of catarrh, or those of long
+standing, the disease has crept along and extended high up in the nasal
+passages, and into the various sinuses or cavities, and tubes communicating
+therewith. The act of snuffing the fluid <i>carries it along the floor of
+the nose and into the throat</i>, but does not carry it <i>high enough</i>,
+or fill the passages <i>full enough</i>, to reach all the chambers, tubes,
+and surfaces, that are affected with the disease.</p>
+
+<p>The fluid may seem, from the sensation produced, to pass high up between
+the eyes, or even above them, but it does not. It is only a sensation
+transmitted to these parts by nerves, the filaments of which are
+distributed to that portion of the mucous membrane which the fluid does not
+reach, just as a sensation is transmitted to the little finger by a blow
+upon the elbow.</p>
+
+<p>Now, in order to be most successful in the treatment of catarrh, it is
+necessary that <i>the remedy should reach and be thoroughly applied to all
+the affected parts</i>. This can be accomplished in only one way, which is
+by <i>hydrostatic pressure</i>. The anatomy of the nasal passages, and the
+various chambers and tubes that communicate therewith, is such that they
+cannot be reached with fluid administered with any kind of syringe or
+inhaling tube, or with any instrument, except one constructed to apply it
+upon the principle above stated. Such an instrument is Dr. Pierce's Nasal
+Douche.</p>
+
+<p>By the use of this instrument, the fluid enters every portion of the
+air-passages of the head by its own weight, no snuffing being required.</p>
+
+
+<p><span class="pagenum"><a name="Page_485" id="Page_485"></a>[pg
+485]</span></p><h4>DIRECTIONS FOR USING DR. SAGE'S CATARRH REMEDY WITH THIS
+INSTRUMENT.</h4>
+
+
+
+
+<p class="figure"><a name="advise172"><img width="40%" alt="Illustration:
+Fig. 12. This cut illustrates the manner of using Dr. Pierce's Nasal
+Douche." src="images/advise172.png" /></a><br />Fig. 12. This cut
+illustrates the manner of using Dr. Pierce's Nasal Douche.</p>
+
+<p>To cleanse out the passages previous to applying the Catarrh Remedy
+fluid, take one quart of soft water, add to it two large tablespoonfuls of
+common salt, and shake it up occasionally until all is dissolved. Before
+use heat it until blood warm, or, in other words, until it gives a
+pleasant, mild warmth to the inserted finger. Put the reservoir on a shelf,
+or hang it up, so that it will be a little higher than the head: fill the
+reservoir with salt and water, pressing the tube between the thumb and
+finger so as to prevent the fluid from escaping through it; introduce the
+nozzle at the end of the tube into one nostril, pressing it in far enough
+to close the entrance of the passage so that no fluid can escape by the
+side of the tube, breathe through the mouth, avoid swallowing, and allow
+the fluid to flow. The soft palate, by the act of breathing through the
+mouth, is elevated so as to completely close the passage into the throat,
+and thus the fluid is made to flow up one nostril in a gentle stream, to
+pass into and thoroughly cleanse all the <span class="pagenum"><a
+name="Page_486" id="Page_486"></a>[pg 486]</span>sinuses, or cavities,
+connected with the nasal passages, and to flow out of the other nostril.
+The douche should not be employed unless both nostrils are open and the
+flow is free. If the head is "stopped up," snuff up the warm liquid from
+the hand occasionally, until the passages are open and you can breathe
+freely through both nostrils.</p>
+
+<p>Do not forget that the instrument will not work properly unless you
+<i>breathe through the mouth and avoid swallowing</i> while the fluid
+flows.</p>
+
+<p>Fill the reservoir a second time with the simple salt and water, and,
+inserting the nozzle into the nostril out of which the fluid flowed on
+using it the first time, pass the current through in the opposite
+direction; that is, so that it will flow out of the nostril into which it
+flowed the first time of using it.</p>
+
+<p>After having thus thoroughly cleansed the passages, fill the instrument
+half full or more with the "Catarrh Remedy Fluid," prepared as heretofore
+directed, and warmed to a moderate temperature, and pass this through the
+nose in the same manner as directed for the salt water. The salt water is
+not curative, but is milder than simple water, and is, therefore,
+preferable for cleansing the passages.</p>
+
+<p>On first commencing the use of the instrument, it is best to hang it
+only a very little higher than the forehead, but after using it a few
+times, put it up about as high as the length of the tube will admit.</p>
+
+<p>Let no one entertain any feeling of timidity on commencing the use of
+this instrument, as its operation is perfectly simple and harmless, and,
+with the fluids which we recommend, is never attended with any strangling,
+choking, pain, or other disagreeable sensations. The medicine should be
+applied with the Douche at least twice a day, in the morning and at night
+on retiring. There is no advantage in using the medicine oftener than three
+times a day, when used with the instrument, but a <i>sufficient</i>
+quantity should be used each time to medicate all the diseased parts. If
+any remains in the Douche it may be poured back into the stock solution for
+subsequent use, but a liquid that has once passed through the nasal cavity
+contains the germs of the disease and must not be used a second time.</p>
+
+
+<p><span class="pagenum"><a name="Page_487" id="Page_487"></a>[pg
+487]</span></p><h3>NASAL POLYPUS.</h3>
+
+
+<p>The term Nasal Polypus is usually given to a variety of growths which
+are met with in the nasal passages far more frequently than any other
+tumors. They are thus designated because of their fancied resemblance to
+the aquatic polypus. They occur singly, or in clusters, as illustrated in
+Fig. 13. In the early stages the mucous membrane is swollen and irregularly
+dilated, presenting a rough and mottled appearance not unlike chronic
+catarrh with which they are usually associated. Gradually these mound-like
+tumors enlarge, usually becoming pendulant, and presenting a grayish opaque
+glistening surface, similar to the pulp of a grape. Occasionally they
+become massive at the point of attachment, and assimilate a warty or
+cauliflower growth. The latter variety is better supplied with blood
+vessels and presents a red or dark pink surface and may bleed on slight
+irritation. The favorite location is beneath or behind the middle or
+superior turbinated bodies, oftentimes nearly or quite concealed. However,
+no portion of the mucous membrane lining the upper air passages is exempt.
+Sometimes they grow from the roof of the nostril and pharnyx in pendulous
+masses, assuming the shape of the cavities, filling the entire nostril and
+upper portion of pharnyx. The mucous membrane covering the turbinated
+bodies may become dilated and swollen, finally developing by catarrhal
+processes into a polypus at that point. (See <i>H</i>, Fig. 13.)</p>
+
+
+
+<p class="lfigure"><a name="advise173"><img width="90%" alt="Illustration:
+Fig. 13. NASAL POLYPI." src="images/advise173.png" /></a><br />Fig. 13.
+NASAL POLYPI.  <i>A</i>. Anterior opening of the nostril. <i>B</i>. Soft
+Palate, <i>C</i>. Orifice of the Eustachian tube. <i>D, D</i>. Superior and
+inferior turbinated bodies. <i>E</i>. Large Polypus. <i>F</i>. Several
+small Polypi. G. Throat. <i>H</i>. Polypoid growth on turbinated body.</p>
+
+<p><b>Causes</b>. Nothing definitely is known regarding their causation.
+They are generally supposed to originate in some constitutional
+derangement, impairing the nutrition of the mucous membranes. Other cases
+are closely associated with chronic nasal catarrh, and frequent attacks of
+cold in the head.</p>
+
+<p><b>Symptoms</b>. These may vary considerably in different cases due to
+the character and location of the polypus. In the early stages before the
+tumor is well developed, the symptoms may be those of nasal catarrh, and
+the diagnosis of polypus be possible only after a personal examination by a
+skillful specialist. Neither is the size of the polypus <span
+class="pagenum"><a name="Page_488" id="Page_488"></a>[pg 488]</span>always
+in proportion to the severity of the symptoms. The nasal discharge is
+generally increased and of a variable character. As the tumors enlarge they
+cause a sense of fullness and weight between and below the eyes, with more
+or less headache and facial neuralgia. There is partial or complete
+obstruction of one or both nostrils. In some cases the obstruction changes
+from one nostril to the other when lying down; the stoppage generally being
+on the side toward the pillow. A polypus located at the junction of the
+nasal passages and throat by force of gravity always causes obstruction to
+the lower nasal cavity when lying down. Polypi often attain considerable
+size and by pressure upon and displacement of the surrounding structures
+occasion hideous facial deformity. Changes in the weather often aggravate
+the symptoms. By blowing the nostril the tumor sometimes may be forced
+forward, so that it may be seen a short distance from the anterior opening
+of the nostril. The <i>voice</i> is often affected, being muffled or harsh
+in tone, similar to that which accompanies a cold in the head.
+<i>Respiration</i> may be considerably embarrassed, due to the obstruction
+in the nasal passages, and the patient necessarily resorts to mouth
+breathing. In advanced cases the Larnyx is usually much congested, being
+constantly irritated, not only reflexly through the nervous system, but
+directly by the inspired air, and excoriating discharges dropping in the
+throat from behind the palate. Thus it is plain to understand how chronic
+Pharyngitis, Laryngitis, Bronchitis, and Asthma may result from a small
+polypus in the nasal cavity.</p>
+
+<p><b>Treatment</b>. In mild cases correcting the constitutional
+derangement may check the morbid process in the nostrils and cause
+absorption of the polypus growth. For this purpose Dr. Pierce's Golden
+Medical Discovery is unequaled. The removal of the polypus may sometimes be
+accomplished by snuffing powdered blood-root. When these measures fail it
+is necessary to seek surgical assistance. After the removal of the polypus
+Dr. Sage's Catarrh Remedy should be used to prevent a recurrence.</p>
+
+
+<h4>OUR OPERATION FOR NASAL TUMORS.</h4>
+
+
+<p>Having operated with unvarying success upon a very large number and
+variety of nasal tumors at the Invalids' Hotel and Surgical Institute we
+are positively assured that the means and methods which we employ are
+neither severe or dangerous; <i>no pain</i>, consequently <i>no shock</i>;
+recovery rapid and permanent. Many forms of injection and local treatment
+are in use for the removal of nasal polypi, none of which have proven to be
+curative; recurrence of the tumor many times following such treatment. Many
+cases have presented themselves after having been treated by the heroic
+method of seizing the polypus with a pair of forceps and forcibly tearing
+it loose, bringing with it segments of healthy tissue, leaving bone
+exposed, and a ragged, uneven surface of diseased membrane. It is much
+easier to properly <span class="pagenum"><a name="Page_489"
+id="Page_489"></a>[pg 489]</span>treat a case from the beginning than to
+undertake it in such a rendition.</p>
+
+<p>Owing to the fact that these nasal tumors grow directly from the lining
+membranes it is necessary not only to thoroughly remove the tumor but to
+treat the diseased membrane at the point from which the polypus springs;
+otherwise another tumor may develop at the same point. The nasal passage
+having been thoroughly anæsthetized, or benumbed, by the use of cocaine,
+the nasal speculum is introduced, and by means of reflected light from the
+head mirror worn by the operator, the interior of the nostril is brought
+into view. (See Fig. 9, p. 479.)</p>
+
+<p>Often the attachment of the growth is entirely hidden behind the
+irregular bony structures of the nostril so that it requires the skill of
+an expert specialist, deft in the manipulation of these parts, to operate
+properly.</p>
+
+<p>Many styles and shapes of delicately devised instruments are necessary
+to completely remove the growth without doing injury to the adjacent
+structures. By our newly devised operation the tumor is at once removed,
+without pain, and with the loss of only a few drops of blood. Further,
+because the tumor is entirely removed and the base properly treated there
+is not the offensive discharge for a long time afterward and the danger
+from infection and blood-poison to which the patient is subjected in other
+forms of treatment.</p>
+
+<p>In conclusion we would say that we claim for our operation the following
+points that are worthy of the careful consideration of every one who may be
+so unfortunate as to require the services of a specialist for the removal
+of growths in the nasal or upper air passages.</p>
+
+<p>1st. Our operation is absolutely painless.</p>
+
+<p>2d. No chloroform or ether is required.</p>
+
+<p>3d. We insure perfect removal of growth.</p>
+
+<p>4th. There is no injury to other adjacent structures.</p>
+
+<p>5th. The operation is bloodless.</p>
+
+<p>6th. The recovery is rapid.</p>
+
+<p>7th. There is no slough to produce pus that may be absorbed and cause
+blood-poisoning.</p>
+
+
+<p><span class="pagenum"><a name="Page_490" id="Page_490"></a>[pg
+490]</span></p><h3>DEFORMITY OF THE NASAL SEPTUM.</h3>
+
+
+<p>In health the nasal septum is a bony or cartilaginous plate, as shown in
+<i>A</i>, Fig. 14, dividing the nasal passages into two cavities of the
+same size and shape. This plate or partition is also a support to which the
+flexible structures which form the tip of the nose are attached. In early
+life the septum is flexible and may be bent or doubled by injury to the
+nose; but owing to its elasticity usually resumes its natural position and
+shape. After maturity any dislocation or change in this bony plate usually
+remains permanent unless some means are employed for its correction. In a
+limited number of cases supposed to be chronic nasal catarrh, we have found
+upon examination that one or both nasal cavities were more or less
+obliterated and obstructed by the deformed and thickened septum. (See
+<i>A</i>, Fig. 15.) Many of these cases date from an injury to the external
+parts, causing only bleeding from the nose and a slight pain for a short
+time. Chronic inflammation develops at the point where the bone is bent or
+cracked, resulting in thickening, often producing nodules or spur-like
+projections which not only interfere with nasal breathing, but also act as
+irritants to the adjacent delicate membranes and produce many of the
+symptoms common to nasal catarrh.</p>
+
+
+
+<p class="rfigure"><a name="advise174"><img width="90%" alt="Illustration:
+Fig. 14. Anterior view of the healthy nasal passages as seen with the
+projecting portion of the nose removed." src="images/advise174.png"
+/></a><br />Fig. 14. Anterior view of the healthy nasal passages as seen
+with the projecting portion of the nose removed.  <i>A.</i> Vertical septum
+or bony plate separating nostrils. <i>B, B.</i> Turbinated bodies. <i>C,
+C.</i> Nasal passages.</p>
+
+<p>Among other common causes are unequal or imperfect development of the
+nasal bones, due to an inherited strumous tendency and local ulcerative
+disease, weakening or destroying the bone.</p>
+
+<p><b>Symptoms.</b> The location and extent of the deformity of the nasal
+septum necessarily gives opportunity for a variety of symptoms. In
+aggravated cases the nose appears to be bent toward one side. In the
+earlier stages there is an excess of mucous secretion, often dropping <span
+class="pagenum"><a name="Page_491" id="Page_491"></a>[pg 491]</span>into
+the throat from behind the palate. The discharge is variable as in nasal
+catarrh with more or less difficult nasal breathing, the stoppage changing
+from one nostril to the other. Sneezing and frequent attacks of nose bleed
+are often common symptoms. The tendency of the disease is to extend
+backward often causing headache, deafness, roaring in the ears and
+post-nasal disease which results in a chronic sore throat, the latter
+disease often being the one for which the patient seeks advice. If allowed
+to progress uninterruptedly the throat gradually becomes more irritable,
+associated with an annoying cough, and the voice becomes harsh and has a
+nasal tone. The general health is impaired, the nervous system excitable;
+laryngitis, asthma, and lung disease become complications, which render the
+existence of the individual miserable.</p>
+
+<p><b>Treatment</b>. In mild cases where the deformity is slight, and the
+obstruction is not a constant symptom, the nasal cavities should be
+cleansed (See treatment of nasal catarrh) after inhaling dust, and special
+attention given to the prompt treatment of cold in the head. Should there
+be irritability, sneezing, or a constant discharge, it is advisable to use
+Dr. Sage's Catarrh Remedy as directed on p. 483 to soothe the excitability
+and lessen the inflammatory action in and about the thickened and deformed
+septum. As an auxiliary to promote the absorption of the thickened tissues
+and restore them to a healthy activity, a number of bottles of the "Golden
+Medical Discovery" should be taken while using the local treatment. Any
+dormant condition of the liver or digestive tract may be corrected by
+taking Dr. Pierce's Pleasant Purgative Pellets. In advanced cases after the
+structures are so diseased and thickened that it renders local treatment
+hopeless, only surgical interference can prove curative.</p>
+
+
+<h4>OUR PAINLESS OPERATION.</h4>
+
+
+<p>By the application of a few drops of a solution of cocaine in the
+nostril, at the point to be treated, we are now able to produce such local
+anæsthesia as to render the operation entirely painless without the
+administration of either chloroform or ether. This is an important
+consideration as many are adverse to taking chloroform or ether, and now
+that we possess an agent that produces, locally, complete insensibility to
+pain, we are very glad to dispense with their use in all such minor
+operations. There is no pain caused even by the application of the cocaine
+to deaden the sensibility of the part. Many examinations of the upper
+air-passages heretofore very annoying and even painful to the patient and
+sometimes unsatisfactory, are rendered entirely painless, and carried out
+with a thoroughness that would be impossible without the use of this
+wonderful agent. Not only in surgery of the nose and throat, but alike in
+other departments, our surgeon-specialists employ the same local
+anæsthetic in all minor operations, none of which are attended with
+the least pain.</p>
+
+<p><span class="pagenum"><a name="Page_492" id="Page_492"></a>[pg
+492]</span>Our specialists were among the first surgeons in this country to
+employ this newly-discovered anæsthetic. We regard it as a great boon
+to our patients, and never withhold it in any case where it can be employed
+to prevent suffering. Its use is attended with no danger, nor is it
+followed by bad or disagreeable results.</p>
+
+
+<h4>OUR OPERATION.</h4>
+
+
+
+
+<p class="rfigure"><a name="advise175"><img width="90%" alt="Illustration:
+Fig. 15. Anterior view of deformed nasal passages as seem with the
+projecting portion of the nose removed." src="images/advise175.png"
+/></a><br />Fig. 15. Anterior view of deformed nasal passages as seem with
+the projecting portion of the nose removed. <i>A.</i> Deformed and
+thickened septum or bony plate separating nostrils. <i>B, B.</i> Irregular
+and obstructed nasal passages. <i>C.</i> Diseased and swollen turbinated
+body. <i>D, D.</i> Turbinated bodies crowded back by septum.</p>
+
+<p>The nostrils being the entrance to and the beginning of the air passages
+no dexterity and skill can be spared in treating and properly correcting
+any deformity that may exist. Mutilation of these sensitive structures is
+sure to be followed by serious reflex symptoms in adjacent parts.</p>
+
+<p>Consequently cases of this nature should only be entrusted to the care
+of a competent and experienced specialist. Our resources and appliances are
+unlimited and seldom do we use the surgeon's knife in a case of this
+nature.</p>
+
+<p>As in the treatment of other pathological growths in the upper air
+passages the rhinoscope is indispensable. The parts can only be brought
+into the view of the operator by means of this instrument and sets of
+mirrors to reflect light on all sides of the deformed and hidden parts.</p>
+
+<p>By our operation both nasal cavities are restored to their normal size
+and contour (compare Figs. 14, 15), unhealthy and diseased tissues are
+removed, and free nasal respiration established.</p>
+
+<p>All treatments are carried out under strict aseptic precautions, thus
+reducing the danger from absorption of poisonous secretions to the minimum.
+By our skillful and ingenious management of these cases we never have had a
+single patient manifest any serious symptoms after operation. In such cases
+we consider this the only safe, practical, and permanent cure. Every year
+hundreds pass out of existence <span class="pagenum"><a name="Page_493"
+id="Page_493"></a>[pg 493]</span>the victims of incurable disease of the
+air-passages resulting from morbid nasal conditions, who might be saved by
+proper and timely treatment.</p>
+
+
+<h4>PHARYNGITIS AND POST-NASAL CATARRH.</h4>
+
+
+
+
+<p class="figure"><a name="advise175b"><img width="40%" alt="Illustration:
+Fig. 16. Use of the Post-nasal Syringe in the treatment of Post-nasal
+Catarrh." src="images/advise175b.png" /></a><br />Fig. 16. Use of the
+Post-nasal Syringe in the treatment of Post-nasal Catarrh.
+<b><i>A</i>.</b> Tongue. <i>B</i>. Epiglottis. <i>C</i>. Soft palate.
+<i>D</i>. Anterior opening of the nostril. <i>E, E, E.</i> Turbinated bodies.
+<i>F</i>. Junction of the nasal passage and throat. <i>G</i>. Diseased and
+roughened mucous membrane. <i>H</i>. Throat or Pharynx. <i>I, I</i>.
+Interior of nasal passage.</p>
+
+<p>Simple chronic pharyngitis seldom exists alone and uncomplicated; most
+cases being the result of previous existing disease of the nasal or
+post-nasal passages. Many cases are associated with hypertrophy, or
+enlargement, of the tonsils. Usually the disease is located in the upper
+part of the pharynx, or throat, behind and above the uvula and soft palate,
+and is thus hidden from view when looking into the throat through the
+mouth. When not associated with nasal catarrh the common symptoms are
+dropping of tenacious mucous in the throat, causing a constant desire to
+hawk and spit; sense of dryness in this region; cough and expectoration on
+rising in the morning, which is due to the irritability of the throat, and
+may invade the lower air-passages. The throat may be studded with red and
+thickened patches of its mucous membrane. Respiration may be embarrassed,
+the voice affected and the general health gradually decline. The membrane
+above and behind the palate is angry, reddened, thickened and roughened, as
+represented in <i>G</i>, Fig. 16.</p>
+
+<p><b>Treatment</b> To rationally treat a disease, attack the cause.
+Therefore, in an uncomplicated case of post-nasal disease of the pharynx
+the medicine should be applied at this point. For this purpose we recommend
+<span class="pagenum"><a name="Page_494" id="Page_494"></a>[pg
+494]</span>the regular and continuous use of Dr. Sage's Catarrh Remedy
+administered preferably by means of the post-nasal syringe as illustrated
+in Fig. 16.</p>
+
+<p>The efficacy of Dr. Sage's Catarrh Remedy as a curative agent in catarrh
+of mucous membranes is unequaled if the medicine be properly and thoroughly
+applied. The Catarrh Remedy fluid should be prepared as directed in the
+pamphlet which accompanies the medicine. Warm enough of the medicine to
+fill the syringe twice. After the syringe is filled with the warm medicine,
+introduce the curved tip behind the soft palate, holding the syringe as
+seen in Fig. 16, then incline the head forward over a wash bowl and empty
+the syringe by pressing the plunger quickly. The medicine will immediately
+come in contact with the diseased surfaces and pass out through the
+nostrils, thoroughly medicating, disinfecting and cleansing the upper part
+of the throat and the posterior region of the nostrils. Two syringes of the
+medicine should be used for each treatment, and two or more applications
+made every day until a cure is effected.</p>
+
+<p>At the same time the local treatment is being used, Dr. Pierce's Golden
+Medical Discovery should be taken to act through the blood upon the
+diseased tissues.</p>
+
+<p>The Catarrh Remedy may be administered by means of the Nasal Douche, if
+the case is complicated by nasal catarrh. Should tumors or deformities
+exist, it is advisable to consult a specialist.</p>
+
+<hr />
+
+
+<h2>ENLARGED TONSILS.</h2>
+
+
+<p>Chronic enlargement of the tonsils, as shown in Fig. 17, <i>A A</i>, is
+an exceedingly common affection. It is most common to those of a scrofulous
+habit. It rarely makes its appearance after the thirtieth year, unless it
+has been imperfectly cured. Both tonsils are generally, though unequally
+enlarged. A person affected with this disease is extremely liable to sore
+throat, and contracts it on the slightest exposure; the contraction of a
+cold, suppression of perspiration, or derangement of the digestive
+apparatus being sufficient to provoke inflammation.</p>
+
+<p><b>Causes</b>. Repeated attacks of quinsy, scarlet fever, diphtheria, or
+scrofula, and general impairment of the system, predispose the individual
+to this disease.</p>
+
+<p><b>Symptoms</b>. The voice is often husky, nasal or guttural, and
+disagreeable. When the patient sleeps, a low moaning is heard, accompanied
+with snoring and stentorian breathing, and the head is thrown back so as to
+bring the mouth on a line with the windpipe, and thus facilitate the
+ingress of air into the lungs. When the affection becomes serious it
+interferes with breathing and swallowing. The <span class="pagenum"><a
+name="Page_495" id="Page_495"></a>[pg 495]</span>chest is liable to become
+flattened in front and arched behind, in consequence of the difficulty of
+respiration, thus predisposing the patient to pulmonary disease. On looking
+into the throat, the enlarged tonsils may be seen, as in the Fig. 17.
+Sometimes they are so greatly increased in size that they touch each
+other.</p>
+
+
+
+<p class="figure"><a name="advise175c"><img width="40%" alt="Illustration:
+Fig. 17." src="images/advise175c.png" /></a><br />Fig. 17. <i>A. A.</i>
+Enlarged Tonsils. <i>B</i>. Elongated Uvula.</p>
+
+<p><b>Treatment</b>. The indications to be carried out in the cure of this
+malady are:</p>
+
+<p>(1.) To remedy the constitutional derangement.</p>
+
+<p>(2.) To remove the enlargement of the tonsilar glands.</p>
+
+<p>The successful fulfillment of the first indication may be readily
+accomplished by attention to hygiene, diet, clothing, and the use of Dr.
+Pierce's Golden Medical Discovery, together with small daily doses of his
+"Pleasant Pellets." This treatment should be persevered in for a
+considerable length of time after the enlargement has disappeared, to
+prevent a return.</p>
+
+<p>To fulfill the second indication, astringent gargles may be used.
+Infusions of witch-hazel or cranesbill should be used during the day. The
+following mixture is unsurpassed: iodine, one drachm; iodide of potash,
+four drachms; pure, soft water, two ounces. Apply this preparation to the
+enlarged tonsils twice a day, with a probang, or soft swab, being careful
+to paint them each time. A persevering use of these remedies, both internal
+and local, is necessary to reduce and restore the parts to a healthy
+condition.</p>
+
+<p>Sometimes the enlarged tonsils undergo calcareous degeneration; in this
+case, nothing but their removal by a surgical operation is effectual. This
+can be readily accomplished by any competent surgeon. We have operated in a
+large number of cases, and have never met with my unfavorable results.</p>
+
+<p>The method we adopt at the Invalids' Hotel and Surgical Institute for
+the removal of diseased tonsils is, like other minor operations, painless.
+The patient is not required to take chloroform or ether. When the enlarged
+gland is once thoroughly removed the disease seldom returns.</p>
+
+
+<h4>ELONGATION OF THE UVULA.</h4>
+
+
+<p>Chronic enlargement, or elongation of the uvula or soft palate, as shown
+at <i>B</i> in Fig. 17, may arise from the same causes as enlargement of
+the tonsils. It subjects the individual to a great deal of annoyance <span
+class="pagenum"><a name="Page_496" id="Page_496"></a>[pg 496]</span>by
+dropping into or irritating the throat. It causes tickling and frequent
+desire to clear the throat, also change, weakness and loss of voice, and
+often gives rise to a very persistent and aggravating cough. Constriction
+of the throat, cough and difficult breathing are more prominent symptoms in
+complicated cases.</p>
+
+<p><b>Treatment</b>. The treatment already laid down for enlarged tonsils,
+with which affection, elongation of the uvula is so often associated, is
+generally effectual. When it has existed for a long time, and does not
+yield to this treatment it may be removed by any competent surgeon.</p>
+
+<hr />
+
+
+<h2>CHRONIC LARYNGITIS.</h2>
+
+
+<p>This is of much more frequent occurrence than the acute form, and is
+often associated with tubercular affections, and constitutional syphilis.
+It is characterized by an inflammatory condition, ulceration, or hardening
+of the mucous membrane of the larynx, most frequently the latter. There is
+also a chronic form, known as <i>follicular laryngitis</i>, or
+<i>clergymen's sore throat</i>, to which public speakers are subject.</p>
+
+<p><b>The Causes</b> of chronic laryngitis are various, as prolonged use of
+the vocal organs in reading or speaking; using them too long on one pitch
+or key, without regard to their modulation; improper treatment of acute
+diseases of the throat; neglected nasal catarrh; the inordinate use of
+mercury; syphilis; repeated colds which directly cause sore throat,
+injuries, etc. It is also frequently due to tubercular deposits, and in
+these cases it generally terminates in consumption.</p>
+
+<p><b>Symptoms</b>. The affection often comes on insidiously. There is
+soreness of the throat, noticeable particularly when speaking, and
+immediately thereafter; a "raw" and constricted feeling, leading to
+frequent attempts to clear the throat, in order to relieve the uneasy
+sensation. The voice becomes altered, hoarse, and husky, and there is a
+slight, peculiar cough, with but little expectoration. At first, the matter
+expectorated is mucus, but as the disease advances, and ulceration
+progresses, it becomes muco-purulent, perhaps lumpy, bloody, or is almost
+wholly pure pus. The voice becomes more and more impaired, and is finally
+lost. In the latter stages, it resembles consumption, being attended with
+hectic fever, night-sweats, emaciation, cough, profuse expectoration, and
+sometimes hemorrhage.</p>
+
+<p><b>Treatment</b>. The patient should avoid using his voice as much as
+possible. At the same time, attention should be paid to the diet, the
+bathing, and the clothing. Every thing should be done that is calculated to
+build up and improve the general health. Dr. Pierce's Golden Medical
+Discovery is well adapted to remove morbid states of the disease, in
+consequence of its direct action on the mucous membranes of the
+air-passages, and its efficacy in allaying irritation of the <span
+class="pagenum"><a name="Page_497" id="Page_497"></a>[pg
+497]</span>laryngeal, pharyngeal, and pneumogastric nerves. It should be
+perseveringly employed. Iodine inhalations, administered with the pocket
+inhaler, illustrated by Fig. 3, and the application of tincture of iodine
+to the forepart of the neck, are efficacious in many cases. Inhalations of
+chloride of ammonia, administered with a steam-atomizer, Fig. 11, in the
+form of spray, are frequently of great benefit. <i>Perseverance</i> is
+necessary, and the afflicted are cautioned against discontinuing the
+treatment too soon, for the disease is very liable to return.</p>
+
+<hr />
+
+
+<h2>CONSUMPTION.</h2>
+
+<h4>PHTHISIS PULMONALIS.</h4>
+
+
+<p>By this we understand a constitutional affection, characterized by a
+wasting away of the body, attended by the deposition of tubercular matter
+into the lung tissue. Hence the appellations, <i>Phthisis Pulmonalis;
+Pulmonary Tuberculosis; Tubercular Consumption</i>. Tubercles may form in
+other organs and result in a breaking down of their tissues, but the
+employment of the term <i>Consumption</i> in this article is restricted to
+the lungs. The general prevalence, the insidious attack, and the
+distressing fatality of this disease, demand the special attention and
+investigation of every thinking person. It preys upon all classes of
+society. Rich and poor alike furnish its victims.</p>
+
+<p>Some idea of its prevalence may be formed when we consider that, of the
+entire population of the globe, one in every three hundred and twenty-three
+persons annually dies of consumption. It may not be definitely known just
+what proportion of all the deaths in this country and Europe occurs from
+this one disease. Those who have gathered statistics differ somewhat, some
+claiming one-fourth, while others put the ratio at one-sixth, one-seventh,
+and even as low as one-ninth. A fair estimate, and one probably very near
+the truth, would be one-sixth or one-seventh of the whole number. In New
+York City, for five consecutive years, the proportion was three in twenty.
+In New England, about twenty thousand annually succumb to this destroyer,
+and in the State of New York as many more. These figures may appear to be
+exaggerations, but investigations of the subject prove them to be the
+simple truth. Epidemics of cholera, yellow fever, and other diseases of
+similar character, so terrible in their results, occasion wide-spread
+alarm, and receive the most careful considerations for their prevention and
+cure, while consumption receives scarcely a thought. Yet the number of
+their victims sinks into insignificance when compared with those of
+consumption. Like the thief in the night, it steals upon its victim
+unawares. In a large proportion of cases, its approach is so insidious that
+the early symptoms are almost wholly disregarded; indeed, they excite but
+little, if any, attention, and perhaps for a time <span class="pagenum"><a
+name="Page_498" id="Page_498"></a>[pg 498]</span>disappear altogether. Thus
+the patient's suspicions, if they have been aroused, are allayed and
+appropriate measures for his relief are discontinued. This may be the case
+until renewed attacks firmly establish the disease, and before the patient
+is fully aware of the fatal tendency of his malady, he is progressing
+rapidly towards that "bourne from which no traveler returns."</p>
+
+<p>As has already been stated, consumption is a constitutional disease,
+manifested by feeble vitality, loss of strength, emaciation&mdash;symptoms which
+are too often classed under the name of <i>general debility</i>, until
+local symptoms develop, as <i>cough, difficult breathing</i>, or
+<i>hemorrhage</i>, when examination of the chest reveals the startling fact
+that tubercular deposits have been formed in the lungs. Invalids are seldom
+willing to believe that they have consumption, until it is so far advanced
+that all medicine can do is to smooth the pathway to the grave. Another
+characteristic of this disease is <i>hope</i>, which remains active until
+the very last, flattering the patient into expectation of recovery. To the
+influence of this emotion, the prolongation of the patient's life may often
+be attributed.</p>
+
+<p><b>Nature of the Disease</b>. It is an error to suppose that the disease
+under consideration is confined to the lungs. "Pulmonary Consumption," as
+has been remarked, "is but a <i>fragment</i> of a great constitutional
+malady." The lungs are merely the stage where it plays its most conspicuous
+part. Every part of the system is more or less involved, every vital
+operation more or less deranged; especially is the <i>nutritive</i>
+function vitiated and imperfect. The circulation is also involved in the
+general morbid condition. Tubercles, which constitute a marked feature of
+the disease, are composed of unorganized matter, deposited from the blood
+in the tissue of the lungs. They are small globules of a yellow, opaque,
+friable substance, of about the consistency of cheese. After their
+deposition, they are increased in size by the accretion of fresh matter of
+the same kind. They are characteristic of all forms of scrofulous
+disease.</p>
+
+<p>The most plausible theory in regard to them is, that they are the result
+of imperfect nutrition. Such a substance cannot be produced in the blood
+when this fluid is perfectly formed. It is an unorganized particle of
+matter, resulting from the imperfect elaboration of the products of
+digestion, which is not, therefore, properly fitted for assimilation with
+the tissues. The system being unable to appropriate it, and powerless to
+cast in off through the excretory channels, deposits it in the lungs or
+other parts of the body. There it remains as a foreign substance, like a
+splinter or thorn in the flesh, until ejected by suppuration and sloughing
+of the surrounding parts. It might be supposed by some that when the
+offending matter was thus eliminated from the lungs, they would heal and
+the patient recover; but, unfortunately, the deposition of tubercular
+matter does no cease. Owing to the morbid action of the vital forces, it is
+formed and deposited as fast <span class="pagenum"><a name="Page_499"
+id="Page_499"></a>[pg 499]</span>or faster than it can be thrown off by
+expectoration. Hence arises the remarkable fatality of pulmonary
+consumption.</p>
+
+<p><b>Causes</b>. The causes of consumption are numerous and varied, but
+may all be classed under two heads, viz: <i>Constitutional</i>, or
+<i>predisposing</i>, and <i>local</i>, or <i>exciting</i>. Of just what
+tubercular matter consists, is still a subject of controversy, but that its
+existence depends upon certain conditions, either <i>congenital</i> or
+<i>acquired</i>, is generally conceded; and one of these conditions is
+impaired vitality. Constitutional predisposition must first give rise to
+conditions which will admit of the formation of tubercular matter, before
+any cause whatever can occasion its local deposition. It must modify the
+vitality of the whole system, when other causes may determine in the system
+thus impaired, the peculiar morbid action of which tubercular matter is the
+product. The general division of causes into predisposing and exciting,
+must ever be more or less arbitrary. Individuals subject to predisposing
+causes may live the natural term of life and finally die of other disease.
+Indeed, when predisposing causes are known to exist, they should constitute
+a warning for the avoidance of other causes. Again, among the so-called
+exciting causes, some may operate in such a manner, with some individuals,
+as to predispose them to consumption, and the result will be the same as if
+the disposition had been congenital. The causes which in one individual are
+<i>exciting</i>, under other circumstances and in other individuals, would
+be <i>predisposing</i>, because they act so as to depress the vitality and
+impair the nutritive processes.</p>
+
+<p><b>The Predisposing Causes</b>, then, are hereditary predisposition,
+scrofula, debility of the parents, climatic influences, sedentary habits,
+depressing emotions, in fact, <i>anything</i> which impairs the vital
+forces and interferes with the perfect elaboration of nutritive
+material.</p>
+
+<p><b>The Exciting Causes</b> are those which are capable of arousing the
+predisposing ones into activity, and which, in some instances, may
+themselves induce predisposition; as dyspepsia, nasal catarrh, colds,
+suppressed menstruation, bronchitis, retrocession of cutaneous affections,
+measles, scarlatina, malaria, whooping-cough, small-pox, continued fevers,
+pleurisy, pneumonia, long-continued influence of cold, sudden prolonged
+exposure to cold, sudden suspension of long-continued discharges,
+masturbation, excessive venery, wastes from excessive mental activity,
+insufficient diet, both as regards quantity and quality, exposure to impure
+air, atmospheric vicissitudes, dark dwellings, dampness, prolonged
+lactation, depressing mental emotions, insufficient clothing, improper
+treatment of other diseases, exhaustive discharges, tight lacing, fast life
+in fashionable society, and impurity and impoverishment of blood from any
+cause. This list might be greatly extended, but the other causes are
+generally in some manner allied to those already named.</p>
+
+<p><b>Symptoms</b>. The symptoms of consumption vary with the progress of
+the disease. Writers generally recognize three stages, which so <span
+class="pagenum"><a name="Page_500" id="Page_500"></a>[pg
+500]</span>gradually change from one to the other that a dividing line
+cannot be drawn. As the disease progresses, new conditions develop, which
+are manifested by new symptoms. Prior to the advent of pulmonary symptoms,
+is the latent period, which may extend over a variable length of time, from
+a few months to several years; and, indeed, may never be developed any
+farther. Until sufficient tubercular matter has been deposited in the lungs
+to alter the sounds observed on auscultation and percussion, a definite
+diagnosis of tubercular consumption cannot be made, even though there may
+have been hemorrhage. Nevertheless, when we find <i>paleness, emaciation,
+accelerated and difficult breathing, increased frequency of the pulse, an
+increase of temperature</i>, and <i>general debility</i> coming on
+gradually without any apparent cause, we have sufficient grounds for grave
+suspicions. These are increased if tenderness under the collar-bone, with a
+slight, hacking cough is present. These symptoms should be sufficient to
+warn any individual who has the slightest reason to believe that he is
+disposed to consumption, to lose no time in instituting the appropriate
+hygienic and medical treatment, for it is at this stage that remedies will
+be found most effective. Unfortunately, this period is too apt to pass
+unheeded, or receive but trifling attention; the patient finds some trivial
+excuse for his present condition, and believes that he will soon be well.
+But, alas for his anticipations! The disease goes onward and onward,
+gradually gaining ground, from which it will be with great difficulty
+dislodged.</p>
+
+<p>The cough now becomes sufficiently harassing to attract attention, and
+is generally worse in the morning. The expectoration is slight and frothy;
+the pulse varies from ninety to one hundred and twenty beats in a minute,
+and sometimes even exceeds this. Flushes of heat and a burning sensation on
+the soles of the feet and palms of the hands are experienced. A
+circumscribed redness of one or both cheeks is apparent. These symptoms
+increase in the afternoon, and in the evening are followed by a sense of
+chilliness more or less severe. The appetite may be good, even voracious;
+but the patient remarks that his food "does not seem to do him any good,"
+and, to use a popular expression, "he is going into a decline." As the
+strength wanes the cough becomes more and more severe, as if occasioned by
+a fresh cold, in which way the patient vainly tries to account for it.
+Expectoration increases, becomes more opaque, and, perhaps, yellow, with
+occasionally slight dots or streaks of blood. The fever increases, and
+there is more pain and oppression of the chest, particularly during deep
+respiration after exercise. Palpitation is more severe. There may now be
+night-sweats, tire patient waking in the morning to find himself drenched
+in perspiration, exhausted, and haggard. Bleeding from the lungs occurs,
+and creates alarm and astonishment, often coming on suddenly without
+warning. The hemorrhage usually ceases spontaneously, or on the
+administration of proper remedies, and in a few days the patient feels
+better than he has felt for some time previously. <span class="pagenum"><a
+name="Page_501" id="Page_501"></a>[pg 501]</span>The cough is less severe,
+and the breathing less difficult. Indeed, a complete remission sometimes
+occurs, and both patient and friends deceive themselves with the belief
+that the afflicted one is getting well.</p>
+
+<p>After an indefinite length of time, the symptoms return with greater
+severity. These remissions and aggravations may be repeated several times,
+each successive remission being less perfect, each recurrence more severe,
+carrying the patient further down the road toward the "dark valley." Now
+the cough increases, the paroxysms become more severe, the expectoration
+more copious and purulent, as the tubercular deposits soften and break
+down. The voice is hollow and reverberating, the chest is flattened, and
+loses its mobility; the collar-bones are prominent, with marked depression
+above and below. Auscultation reveals a bubbling, gurgling sound, as the
+air passes through the matter in the bronchi, with the click, to the air
+cells beyond. Percussion gives a dull sound or if there are large cavities,
+it is hollow, and auscultation elicits the amphoric sound, as of blowing
+into a bottle. Hectic fever is now fully established; the eye is unusually
+bright and pearly, with dilated pupils, which gives a peculiar expression;
+the paroxysms of coughing exhaust the patient, and he gasps and pants for
+breath. The tongue now becomes furred, the patient thirsty, the bowels
+constipated, and all the functions are irregularly performed. Another
+remission may now occur, and the patient be able to resume light
+employment, for an indefinite length of time, which we have known to extend
+over three or four years, when the symptoms again return.</p>
+
+<p>If the patient is a female, and deranged or suppressed menstruation has
+not marked the accession of pulmonary symptoms, the flow now becomes
+profuse and clotted, or is scanty and colorless, sometimes ceasing
+altogether. In the male, the sexual powers diminish, and copulation is
+followed by excessive and long-continued prostration. From this time
+onward, the progress of the disease is more rapid. The liver and kidneys
+are implicated. In addition to the pallor, the complexion becomes
+jaundiced, giving the patient, who is now wasting to a mere skeleton, a
+ghastly look. The urine is generally copious and limpid, though
+occasionally scanty and yellow. The pulse increases to one hundred and
+thirty or one hundred and forty beats in the minute, and is feeble and
+thread-like. The cough harasses the patient so that he does not sleep, or
+his rest is fitful and unrefreshing; whenever sleep does occur, the patient
+wakes to find himself drenched with a cold, clammy perspiration. The
+throat, mouth, and tongue now become tender, and occasionally ulcerate.
+Expectoration is profuse, purulent, and viscid, clinging tenaciously to the
+throat and mouth, and the patient no longer has strength to eject it. The
+hair now falls off, the nails become livid, and the breathing difficult and
+gasping; the patient has no longer strength to move himself in bed and has
+to be propped up <span class="pagenum"><a name="Page_502"
+id="Page_502"></a>[pg 502]</span>with pillows, and suffocates on assuming
+the recumbent position. Drinks are swallowed with difficulty. Diarrhea
+takes the place of constipation. The extremities are cold, swollen, and
+dropsical; the voice feeble, hollow, grating, husky, the patient gasping
+between each word; the respiration is short and quick. A slight remission
+of these symptoms occurs. The patient is more comfortable, lively,
+cheerful, and perhaps forms plans for the future. But it is the last effort
+of expiring vitality, the last flicker of the lamp of life, the candle
+burns brilliantly for a moment, and with one last effort goes out, and
+death closes the scene.</p>
+
+<p>The duration of the active stage of consumption varies from a few weeks
+to several years, the average time being about eighteen months.</p>
+
+<p><i>Cough</i> is always a prominent symptom throughout the entire course
+of the disease, varying with its progress.</p>
+
+<p><i>Expectoration</i>, at first scanty, then slightly increased,
+colorless, frothy, and mucous, is also a characteristic. After a time it
+becomes opaque, yellow, and more or less watery; then muco-purulent and
+finally purulent, copious, and viscid. When tubercular matter is freely
+expectorated, with but little mucus, it sinks in water. This symptom
+continues to the very last.</p>
+
+<p><i>Hæmoptysis</i> (bleeding from the lungs) may occur at any stage of
+the disease, often being the first pulmonary symptom noticed, again being
+delayed until late; and there are cases in which it does not happen at all.
+It seldom occurs in any other disease.</p>
+
+<p><i>Night-sweats</i> may occur at any stage, though they are rarely
+experienced until the disease is pretty well established, and are very
+exhausting.</p>
+
+<p><i>Hectic Fever</i> generally occurs soon after the pulmonary symptoms
+are developed, and increases in intensity with the progress of the disease.
+There are usually two paroxysms in twenty-four hours, one of which occurs
+towards evening and is followed by night-sweats.</p>
+
+<p><i>Dyspnoea</i> (difficult breathing) is at first slight, except after
+exertion, amounting to only a sense of oppression; but it becomes more and
+more severe as the disease advances, until the very last, when it is
+agonizing in the extreme.</p>
+
+<p><i>Aphthæ</i>, sometimes extending to the pharynx and larynx, generally
+occurs towards the last. The mouth and throat become so very sore and
+tender that nourishment and medicine are taken with difficulty.</p>
+
+<p><i>Emaciation and Debility</i> are characteristic of the disease. They
+fluctuate as the disease advances or is retarded, increasing to the very
+last.</p>
+
+<p><i>Auscultation and Percussion</i> constitute valuable means of
+diagnosis from the time tubercular matter begins to be deposited to the
+very last, and, when correctly practiced, reveal the extent and progress of
+the disease. As a knowledge of the sounds elicited can only be acquired by
+practical experience with proper instruments, they will not <span
+class="pagenum"><a name="Page_503" id="Page_503"></a>[pg 503]</span>be
+described here. The only diseases with which consumption is likely to be
+confounded are general debility in the early stage, bronchitis, chronic
+pleurisy, chronic pneumonia, and abscess in the lungs, after the advent of
+pulmonary symptoms.</p>
+
+<p><b>Curability</b>. Notwithstanding the prevailing opinion that
+consumption is incurable, there exists ample, incontrovertible evidence to
+the contrary. Its curability is established beyond the shadow of a doubt.
+Individuals have recovered in whom there was extensive destruction of
+pulmonary tissue, and, indeed, entire destruction of one lung. Numerous
+instances are on record in which persons have suffered from all the
+symptoms of confirmed consumption, and have regained their health and
+subsequently died of other diseases. The case of the late Dr. Joseph
+Parish, of Philadelphia, affords a striking example of this kind. In early
+life, he manifested all the symptoms of confirmed consumption, including
+frequent hemorrhages, yet he fully regained his health, and, after a very
+useful life, died at an advanced age of another disease. Post-mortem
+examination revealed the existence of cicatrices, or scars, in his lungs
+where tubercular matter had been deposited. Dr. Wood, in his Practice of
+Medicine, mentions another instance of a medical gentleman in Philadelphia,
+who in early life suffered from consumption with hæmoptysis, from which he
+recovered, and afterwards died, at an advanced age, of typhoid fever, when
+the knife revealed the presence of cicatrices. Post-mortem examinations of
+individuals who have died of other diseases, have revealed, in numerous
+instances, the presence of consumption at some period of their existence.
+In these cases the lungs were perfectly healed by cicatrization, or by the
+deposit of a chalky material. A French physician made post-mortem
+examinations of one hundred women, all of whom were over sixty years of
+age, and who had died of other diseases, and in fifty of them he found
+evidences of the previous existence of consumption.</p>
+
+<p>Professor Flint says that consumption sometimes terminates in recovery,
+and that his observations lead him to the conclusion that the prospect of
+recovery is more favorable in cases characterized by frequent hemorrhages.
+Drs. Ware and Walshe are also led to the same conclusion.</p>
+
+<p>Professor J. Hughes Bennett, of Edinburgh, has thoroughly investigated
+the subject, and adds his testimony to that of others, citing numerous
+cases that have resulted in perfect recovery. If such testimony is not
+sufficient, we may mention the following, whose names are well known and
+respected in professional circles, and all of whom declare that consumption
+is a curable disease. The list includes Laennec, Andral, Cruveilhier,
+Kingston, Presat, Rog&eacute;e, Boudet, and a host of others.</p>
+
+<p>No farther back than 1866, on page 145, of the proceedings of the
+Connecticut Medical Society, we find "Observations, Ante-mortem and
+Post-mortem, upon the case of the late President Day by Prof. S.G. <span
+class="pagenum"><a name="Page_504" id="Page_504"></a>[pg
+504]</span>Hubbard, M.D., New Haven," from which we learn that Jeremiah
+Day, LL. D., who was for twenty-nine years President of Yale College, was,
+while a mere youth, a victim of pulmonary consumption. During his infancy
+and boyhood his vitality was feeble. He entered Yale College as a student
+in 1789, "but was soon obliged to leave the institution on account of
+pulmonary difficulty, which was doubtless the incipient stage of the
+organic disease of the lungs which subsequently developed itself." He
+remained in feeble health for two years, but returned to college, and
+graduated in 1797. For the next six years his lung difficulties were quite
+severe, and he repeatedly bled in large quantities, but he had so far
+recovered in 1803, as to accept a Professorship. He was afterwards chosen
+President of the college, which office he held for many years, in the
+enjoyment of good health. He died from "old age," as we are told, in 1867,
+aged 94 years.</p>
+
+<p>Statistics show that under the improved methods of treating this
+disease, the mortality, as compared with previous years, has been greatly
+reduced. Clinical observation proves that injuries to the lungs are not so
+fatal as was once supposed.</p>
+
+<p><b>Treatment</b>. The earlier the treatment of this disease is
+undertaken, the greater is the probability of success. The reason of this
+is obvious; at first the disease is general or constitutional, but as it
+advances, by the deposit of <i>tubercular matter</i>, it becomes both
+constitutional and local. Hence the treatment must be both <i>general</i>
+and <i>local</i>. The occurrence of certain prominent and distressing
+symptoms, either from the natural progress of the disease, or from
+complications with other affections, often renders it difficult, even for
+physicians, to determine how far their treatment should be general and how
+far local.</p>
+
+<p>Treating the symptoms instead of the general disease, or treating the
+constitutional disease without regard to the symptoms which arise from it,
+is an error into which many physicians have fallen. The constitutional
+affection, the local manifestations and complications, and the
+circumstances and individual peculiarities of the patient, must all be
+carefully considered; bearing in mind all the while, that tubercular matter
+is the product of a morbid action, which, in every case, must exist before
+its deposition in the lungs, or any other tissue, can take place.</p>
+
+<p>In every case in which curative treatment is to be instituted, the
+hearty and persistent co-operation of both patient and friends is
+absolutely necessary; and the treatment, which is both hygienic and medical
+in character, should have in view the following aims:</p>
+
+<p>(1.) The avoidance of the causes concerned in the production and
+perpetuation of the disease.</p>
+
+<p>(2.) The restoration of healthy nutrition, in order to stop the
+formation of tuberculous matter.</p>
+
+<p>(3.) The arrest of the abnormal breaking down of the tissues, and the
+prevention of emaciation.</p>
+
+<p><span class="pagenum"><a name="Page_505" id="Page_505"></a>[pg
+505]</span>(4.) The relief of local symptoms, and the complications arising
+from other diseases.</p>
+
+<p>The fulfillment of the first indication, the avoidance of causes, is of
+the utmost importance, for if they have been sufficient to <i>produce</i>
+the disease, their continued operation must certainly be sufficient to
+<i>perpetuate</i> it. A single individual is very often subjected to the
+operation of several of the causes already enumerated, some of which, in
+consequence of circumstances and surroundings, are unavoidable. Of these,
+the one most difficult to overcome is climate; <i>i.e.</i> the frequent
+variations of temperature.</p>
+
+<p>Upon the subject of climate much has been written. But that which is
+best adapted to the cure of consumption, is that which will enable the
+patient to pass a certain number of hours every day in the pure open air,
+without exposure to sudden alterations of temperature. There are very few
+persons who change their place of residence, except as a last resort, when
+the disease is in the last stage. It is then productive of little or no
+good. This is one reason why so many people having consumption die in
+Florida, and other warm countries. If a change of climate is to be effected
+at all, it should be made early.</p>
+
+<p>The most powerful stimulant to health is well-regulated exercise. It
+assists the performance of every function, and is of paramount importance
+to promote good digestion and proper assimilation, conditions essential for
+recovery. It should not, however, be carried beyond the powers of endurance
+of the individual, so as to exhaust or fatigue. Everything that can
+invigorate should be adopted; everything that exhausts should be
+shunned.</p>
+
+<p>To fulfill the second indication, to restore healthy nutrition, requires
+not only a proper diet, both as regards quantity and quality, but demands
+that the integrity of the organs concerned in the process of digestion and
+assimilation, shall be maintained at the highest standard of perfection
+possible.</p>
+
+<p>That the diet be sufficient in quantity should be obvious to all. It is
+also necessary that it be nutritious, and that it should contain
+carbonaceous elements. Food of a starchy or saccharine character is apt to
+increase acidity, and interfere with the assimilation of other elements,
+therefore, articles, rich in fatty matters, should enter largely into the
+diet. The articles of food best adapted to the consumptive invalid are
+milk, rich cream, eggs, bread made from unbolted wheat-flour, and raised
+with yeast, cracked wheat, oatmeal, good butter, beef, game, and fowls.
+These contain the necessary elements for assimilation. Oily food is of
+great importance, and the beef eaten should contain a good proportion of
+fat. Plenty of salt should always be eaten with the food, and a desire for
+it is often experienced. Over-eating should be avoided, lest the stomach be
+induced to rebel against articles of diet rich in important elements.</p>
+
+<p>Derangement of the process of nutrition requires careful attention,
+<span class="pagenum"><a name="Page_506" id="Page_506"></a>[pg
+506]</span>and, if necessary, correction. For this purpose, nothing can
+excel Dr. Pierce's Golden Medical Discovery. It increases the appetite,
+favors the nutritive transformation of the food, enriches the blood, and
+thus retards the deposition of tubercular matter. It is so combined that,
+while it meets all these indications, it relieves or prevents the
+development of those distressing symptoms so common in this disease.</p>
+
+<p>The "Golden Medical Discovery" is adapted to fulfill the third
+indication in the management of this disease, which is to check the
+abnormal breaking down and waste of tissues, which constitute such a
+prominent feature in this malady. The antiseptic properties of the
+"Discovery" are unmistakably manifested in preventing such abnormal
+decomposition. The emaciation, excessive expectoration, profuse
+perspiration, diarrhea, and hectic fever, common to consumption, are all
+due to a too rapid disintegration and waste of the tissues. It is in this
+condition of the system that this medicine, by its powerful antiseptic
+properties, manifests its most wonderful curative ability. When, as in this
+disease, the vital forces of the system have, in a degree, lost their
+restraining influence over the processes of disintegration, waste, and
+decay, which goes on so rapidly that nutrition cannot compensate for the
+loss to the system, then it is that the "Golden Medical Discovery," by its
+antiseptic influence, checks this rapid waste of the tissues, and thus
+arrests the disease. To the lack of employment of such a remedy in the
+treatment of consumption, the unparalleled fatality of the disease is
+largely due. In their anxiety to improve digestion and nutrition, and thus
+build up the tissues, physicians often lose sight of the no less important
+indication of restraining the destructive waste going on in the system,
+which overbalances the supplies furnished by absorption. The gradually
+increasing emaciation and loss of strength render perpetuity of the
+organism impossible.</p>
+
+<p>The fulfillment of the fourth indication, to relieve local symptoms, and
+the complications with other diseases, is often attended with no little
+difficulty.</p>
+
+<p><i>The Cough</i> is a secondary symptom, arising from the irritation
+caused by the tubercular deposits. Medicated inhalations may give temporary
+relief, but cannot cure it. They strike at the branches of the disease,
+while the root is left to flourish and develop new branches.</p>
+
+<p>Expectorants have been employed to a great extent, and the theories,
+which have been advanced in favor of their use, are sometimes very
+ingenious. That they modify the cough, we do not attempt to deny; but it is
+usually at a great expense, for they derange the stomach and interfere with
+digestion and assimilation.</p>
+
+<p>Improvement of the general health is always attended with amelioration
+of the cough. If the patient did not cough at all, the lungs would soon
+fill up with broken-down tissue, and death from suffocation would result.
+Irritation of the nerves supplying the lungs sometimes occurs, and causes
+the patient to cough immoderately, when it is <span class="pagenum"><a
+name="Page_507" id="Page_507"></a>[pg 507]</span>not necessary for the
+purpose of expectoration. This condition is readily controlled by Dr.
+Pierce's Golden Medical Discovery, which exerts a decidedly quieting and
+tonic influence upon the pneumogastric nerve, which, with its
+ramifications, is the one involved. An infusion of the common red clover,
+in tablespoonful doses, will also be found a valuable adjunct in overcoming
+this condition.</p>
+
+<p><i>Hoemoptysis</i>. Hemorrhage from the lungs is generally sudden and
+unexpected in its attack, though sometimes preceded by difficulty of
+breathing, and a salty taste in the mouth. Although it <i>very rarely</i>
+destroys life, it often occasions alarm. Common table salt, given in
+one-fourth to one-half teaspoonful doses, repeated every ten or fifteen
+minutes, is generally sufficient to control it. Ligatures applied to the
+thighs and arms, sufficiently tight to arrest the circulation of blood in
+the veins, but not tight enough to impede it in the arteries, is a useful
+proceeding. Ergot, in teaspoonful doses of the fluid extract, hamamelis,
+and gallic acid, all are valuable for this purpose.</p>
+
+<p><i>Night-sweats</i> can only be regarded as a symptom of weakness, and
+are to be remedied by an improvement of the general health. Bathing in salt
+water is sometimes attended with good results. The practice of giving acids
+for this symptom can only be regarded as irrational. It may arrest the
+sweating, but it will do harm in other ways. Belladonna, given at bed-time,
+is an effectual remedy.</p>
+
+<p><i>Frequency of the pulse</i> is generally a prominent symptom in this
+disease. It sometimes points to a condition of sufficient importance to
+require a remedy. Although the "Golden Medical Discovery" is combined to
+meet this condition, its value may be greatly enhanced by adding one-half
+to one teaspoonful, according to the urgency of the case and the frequency
+of the pulse, of the fluid extract of <i>Veratrum Viride</i> to each
+bottle. The benefit of this, when persisted in, will be apparent in the
+amelioration of all the symptoms, and in the general improvement. This
+fluid extract can be had at any drug store.</p>
+
+<p><i>Diarrhea</i> is sometimes a troublesome symptom, and particularly so
+in the latter stages of the disease. It is generally due to acidity of the
+alimentary canal, to which the treatment must be directed. Great care
+should be taken in the selection of the diet to improve the quality and
+avoid everything which disagrees with the patient. Improve digestion by
+every possible means. Carbonate of soda and rhubarb, in the form of a
+syrup, are sometimes excellent. The Compound Extract of Smart-weed, in
+small doses, will generally diminish the frequency of the discharges.</p>
+
+<p><i>Derangement of the Liver</i> is often a complication requiring
+attention, and the timely relief of which goes very far in ameliorating the
+general condition of the patient. The "Golden Medical Discovery" is
+generally sufficient to relieve this complication. Its influence, however,
+may be considerably increased in this direction by the use of Dr. Pierce's
+Pleasant Pellets, according to the directions which accompany <span
+class="pagenum"><a name="Page_508" id="Page_508"></a>[pg 508]</span>them.
+They should only be taken in the smallest doses, one or two "Pellets" every
+day, just enough to produce a natural movement of the bowels each day.</p>
+
+<p><i>Uterine Derangements</i>. In the female, derangement of the menstrual
+function is generally an early complication of consumption, if indeed it
+does not occur at the outset. It deserves early attention, and, in addition
+to the remedies already advised, Dr. Pierce's Favorite Prescription is so
+compounded as to meet the requirements of this condition, and at the same
+time exert a favorable influence upon the constitutional disease.</p>
+
+<p>The numerous reports of cures of well-developed cases of Consumption to
+be found in the back portion of this little treatise must be sufficient, it
+seems to us, to convince the most skeptical of the wonderful power which
+Dr. Pierce's Golden Medical Discovery exercises over this terribly fatal
+malady. As will be noted, many of the cases there reported had long been
+unsuccessfully treated with cod liver oil emulsion and all the other usual
+remedies employed by the profession and were fast running down. "Golden
+Medical Discovery" aroused the stomach and liver, and started all the
+nutritive functions into action, whereby digestion and nutrition were
+promoted and both the strength and flesh steadily built up. The reader will
+bear in mind, that most of the cases hereinafter reported, were pronounced
+Consumption by their attending physicians as well as by us. It cannot be
+said, therefore, that we exaggerate the malady and that the cases were
+merely bad, lingering coughs. Thousands, whose maladies have been
+pronounced genuine Tubercular Pulmonary Consumption, (Phthisis Pulmonalis)
+by eminent physicians have been <i>perfectly</i> and <i>permanently</i>
+cured by the use of Dr. Pierce's Golden Medical Discovery. It can,
+therefore, no longer be doubted that this wonderful compound is far
+superior as a remedy for Consumption to cod liver oil, compound
+Hypophosphites, and the many other agents so highly extolled, and so
+generally prescribed for this fatal malady by even the more progressive and
+advanced of the medical profession of our day. Read the letters received
+from grateful patients who have been cured and note how many commend the
+use of "Golden Medical Discovery," as a "last resort," after their home
+physicians had exhausted all their skill and resources in vain.</p>
+
+<p><span class="pagenum"><a name="Page_509" id="Page_509"></a>[pg
+509]</span></p><hr />
+
+
+
+
+<h2>CHRONIC BRONCHITIS.</h2>
+
+
+<p>This is a subacute or chronic form of inflammation of the mucous
+membrane of the bronchial tubes, of a very persistent character and
+variable intensity. There are few diseases which manifest a greater variety
+of modifications than this.</p>
+
+<p><b>Symptoms</b>. The symptoms of this disease vary greatly with its
+violence and progress. Cough is always present, and is very often the first
+symptom to attract the patient's attention. It is usually increased by
+every slight cold, and with each fresh accession becomes more and more
+severe, and is arrested with greater difficulty. The cough is always
+persistent, sometimes short and hacking, at other times deep, prolonged,
+and harsh. Sometimes it is spasmodic and irritating and particularly so
+when it is associated with affections of the larynx, or with asthma,
+involving irritation of the branches or the filaments of the pneumogastric
+nerve.</p>
+
+<p>When the chronic follows the acute form of the disease, or follows
+inflammation of the lungs, the expectoration may be profuse from the first,
+and of a yellowish color and tenacious character. When the disease arises
+from other causes, the expectoration is generally slight at first, and the
+cough dry or hacking. This may continue some time before much expectoration
+occurs. The expectorated matter is at first whitish, opaque, and tenacious,
+mixed sometimes with a frothy mucus, requiring considerable coughing to
+loosen it and throw it off. As the disease progresses, it becomes thicker,
+more sticky, of a yellowish or greenish color, mixed with pus, and
+sometimes streaked with blood. In the latter stages, it becomes profuse and
+fetid, and severe hemorrhage may occur. Sometimes the cough and
+expectoration disappear when the weather becomes warm, to appear again with
+the return of winter, which has gained for it the appellation of <i>winter
+cough</i>. The sufferers feel as if something was bound tightly round them,
+rendering inhalation difficult. Soreness throughout the chest is often a
+persistent symptom, especially when the cough is dry and hard. Behind the
+breast-bone there is experienced a sense of uneasiness, in some cases
+amounting to pain, more or less severe.</p>
+
+<p>As the disease progresses, the loss of strength is more and more marked,
+the patient can no longer follow his usual employment, his spirits are
+depressed, and he gradually sinks, or tubercular matter is deposited in the
+lungs, and consumption is developed.</p>
+
+<p><b>Treatment</b>. Thorough attention to hygiene, with the avoidance of
+the causes concerned in the production and perpetuation of the disease, is
+necessary. The patient must be protected from the vicissitudes of the
+weather by plenty of clothing; flannel should be worn next to the <span
+class="pagenum"><a name="Page_510" id="Page_510"></a>[pg 510]</span>skin,
+with a pad of flannel or buckskin over the chest, and the feet should be
+kept warm and dry. Exercise in the open air is essential. When the weather
+is so cold as to excite coughing, something should be worn over the mouth,
+as a thin cloth, handkerchief, muffler, or anything which will modify the
+temperature of the atmosphere before it comes into contact with the mucous
+lining of the lungs. Good ventilation of sleeping-rooms is all-important;
+not that the air should be cold, but that it should be as pure as
+possible.</p>
+
+<p>The diet must be nutritious, cabonaceous, and of sufficient quantity.
+Beef, milk, rich cream, plenty of good butter, eggs, fish, wheat bread from
+unbolted flour, supply the appropriate alimentary substances for perfect
+nutrition and the maintenance of animal heat.</p>
+
+<p>To overcome the modified form of inflammation in the bronchial tubes,
+all sources of irritation should be avoided, as the inhalation of dust, or
+excessively cold air. It is in the cure of severe and obstinate cases of
+this disease that Dr. Pierce's Golden Medical Discovery has achieved
+unparalleled success, and won the highest praise from those who have used
+it. Its value will generally be enhanced in treating this complaint by
+adding one-half a teaspoonful of the fluid extract of <i>Veratrum
+Viride</i> to each bottle. This can be added by any respectable druggist.
+Especially should it be thus modified if the pulse be accelerated so as to
+beat ninety or a hundred times in a minute. The "Golden Medical Discovery"
+should be taken in teaspoonful doses, repeated every two hours. When the
+cough is dry and hard, with no expectoration, it arises from irritation of
+some of the branches of the pneumogastric nerve, which this remedy will
+relieve. It may, however, be aided by inhaling the hot vapor of vinegar and
+water, or vapor from a decoction of hops, to which vinegar has been
+added.</p>
+
+<p>The use of Dr. Pierce's Golden Medical Discovery should be
+<i>persisted</i> in, taking it in frequent doses, every two or three hours,
+and keeping up its use until the disease yields and is perfectly stamped
+out. Do not expect a formidable disease of perhaps weeks' or months'
+duration to be <i>speedily</i> cured. Chronic diseases are generally slow
+in their inception and development and can only be cured by gradual stages.
+Perseverance in treatment is required. Many invalids do not possess the
+strength of purpose&mdash;the will power&mdash;to continue the use of the "Golden
+Medical Discovery" long enough to receive its full benefits. It is worse
+than useless for such to commence its use, for without persistency it
+cannot be expected to cure such obstinate maladies as chronic
+bronchitis.</p>
+
+<p><span class="pagenum"><a name="Page_511" id="Page_511"></a>[pg
+511]</span></p><hr />
+
+
+
+
+<h2>ASTHMA.</h2>
+
+<h4>PHTHISIC.</h4>
+
+
+<p>One of the most distressing ailments with which the human family is
+afflicted is asthma. Its symptoms are not to be mistaken. Suddenly and
+without apparent provocation the patient experiences the greatest
+difficulty in breathing. When warning is given, there is usually a sense of
+fullness in the stomach, flatulence, languor, and general nervous
+irritability. The countenance is a picture of anxiety and horror. The
+difficulty of breathing increases and the struggle for air commences.
+Windows and doors are thrown open, fans used, and, utterly regardless of
+consequences, the sufferer passes the whole night in exposure and torture,
+even though the temperature be below zero. Fearing suffocation, the patient
+dare not lie down; he rushes to the window for air, rests his head upon a
+table or chair, or upon his hands, with the elbows upon the knees, jumps up
+suddenly and gasps and struggles for air. The eyes are prominent and the
+veins of the forehead distended with blood; sometimes the bowels are
+relaxed. The urine is colorless and is passed in copious quantities. This
+symptom indicates great excitement of the nervous system. The voice is
+hoarse, articulation difficult, breathing limited, noisy and wheezy. The
+<i>wheezing</i> is pathognomonic of the disease. It can only be confounded
+with croup, and then only in the young. In croup there is pain and
+difficulty in swallowing, fever and cough, which are usually absent in
+asthma. A severe paroxysm of asthma is very distressing to witness, and one
+unused to it might well suppose the sufferer to be in his last agonies. No
+definite limit can be assigned to the duration of the attack or of the
+disease. It may last but a few minutes, may endure for hours, or with
+slight remission continue for days. The condition of the patient may be for
+years as changeable as the pointings of the weather-vane. In fact, the
+atmosphere has much to do with the disease. With every approaching storm,
+with every cloud of dust, even the dust from sweeping a room, with every
+foul odor, and, in some more sensitive organizations, with even the perfume
+of flowers, a paroxysm is provoked. Truly he is a "child of circumstances,"
+a veritable football upon the toes of every atmospheric disturbance.</p>
+
+
+<h4>UNPARALLELED SUCCESS.</h4>
+
+
+<p>Persons affected with asthma or phthisic are numerous. With such an
+amount of suffering in our midst is it not a marvel, if not a disgrace,
+that the medical profession of to-day endorse the opinions of a half
+century ago and pronounce it incurable, rather than make stupendous and
+laudable efforts to discover plans of medication that will <span
+class="pagenum"><a name="Page_512" id="Page_512"></a>[pg 512]</span>result
+in certain and permanent cure? Almost single handed we undertook this field
+of investigation, and we take pleasure in reporting that our labors have
+been crowned with success. The large experience furnished us has led to the
+discovery of remedies for this distressing malady of more than ordinary
+efficacy. Through the agency of these means we have been enabled to cure
+hundreds, who had suffered untold tortures for twelve, fifteen, or
+twenty-five years. Some whom we have been successful in curing had suffered
+from childhood to middle and even old age. The treatment of asthma, or
+phthisic, still continues to be a prominent specialty at the Invalids'
+Hotel and Surgical Institute.</p>
+
+
+<h4>NATURE OF THE DISEASE.</h4>
+
+
+<p>As to the exact pathological condition in this malady, opinions differ.
+Some physicians consider it a disease of the nervous system, others, of the
+blood, others, of the bronchial tubes, while not a few believe it to be
+dependent upon some disease of the stomach, heart, liver, kidneys, or due
+to urinary affections, or "female weakness." Respecting all these diseases
+of special organs, it is evident that any complication, and particularly
+one that is debilitating or causes irritation of the nervous system will
+increase its severity. This important fact we keep constantly in view in
+our treatment, and prescribe remedies to remove all complications.</p>
+
+<p>In heart disease there is often dyspnoea, or difficult breathing, but
+this is not of the nature of asthma, or phthisic. The condition of the
+lungs is readily understood. There being an obstruction to the free passage
+of the blood through the heart, any excessive muscular exertion, or
+anything, in fact, which increases the action of the heart, is very apt to
+produce congestion of the lungs, and then the blood becomes surcharged with
+carbonic acid, which causes increased efforts to take more air into the
+lungs.</p>
+
+<p><b>A Nervous Disease</b>. A sudden fright, unfavorable news, grief, loss
+of property, etc., circumstances which affect the mind and nervous system,
+almost invariably throw the phthisical into a paroxysm. Nervines are
+demanded, particularly if the case be a chronic one, and we see that they
+are carefully and properly prepared and supplied, and in such a form as to
+be exactly fitted to the temperament and constitution.</p>
+
+
+<h4>POPULAR REMEDIES USED FOR SELF-TREATMENT OF ASTHMA.</h4>
+
+
+<p>There are numerous remedies that may be used to <i>relieve paroxysms</i>
+of asthma. Among them we will notice a few that are most frequently
+employed by the profession. They can be easily and inexpensively prepared
+by any patient or druggist:</p>
+
+<p>1. Equal parts of the tinctures of lobalis capsicum and skunk <span
+class="pagenum"><a name="Page_513" id="Page_513"></a>[pg 513]</span>cabbage
+root. <i>Dose</i>.&mdash;Take a half teaspoonful in a little water every ten or
+fifteen minutes until relieved.</p>
+
+<p>NOTE.&mdash;This is an antispasmodic and relaxant. In considerable quantities
+it will produce sickness at the stomach and perhaps vomiting. It should not
+be used when there is disease of the heart.</p>
+
+<p>2. Chloroform. <i>Dose</i>.&mdash;A small quantity (say thirty drops), may be
+poured upon a handkerchief or napkin, held about one inch from the nostrils
+and the vapor inhaled. It is quite unnecessary to use this until
+insensibility follows; in fact, such an effect would be hazardous to life
+in the hands of the inexperienced.</p>
+
+<p>3. Sulphuric ether. <i>Dose</i>.&mdash;The same as No. 2, and with the same
+precaution. Either of them should be used promptly upon the beginning of
+the paroxysm.</p>
+
+<p>4. Take four ounces of stramonium leaves and strip from the stems,
+rubbing between the hands to partly pulverize. To this add one ounce of
+saltpetre, finely powdered. <i>Dose</i>.&mdash;Place a half teaspoonful upon a
+very hot shovel. Inhale the rising smoke. If the first few inspirations
+cause coughing, the smoke should not be evaded as the coughing incites
+deeper inspiration.</p>
+
+<p>5. Stramonium and saltpetre as in No. 4. Dampen with water and make into
+balls or cones. These are more easily handled and are fired in the same way
+as the powder and used in the same way.</p>
+
+<p>6. Take of sunflower leaves, stramonium leaves, mullein leaves, one
+ounce each; of lobelia leaves, half an ounce; of powdered nitre, one ounce;
+and benzoic acid, two drams. Mix thoroughly. <i>Dose</i>.&mdash;A pipeful, to be
+smoked the same as tobacco.</p>
+
+<p>7. A cup of hot coffee or several of hot water. This is especially
+effective in cases arising from checked perspiration, from rheumatism,
+etc.</p>
+
+<p>These recipes are given to the public as being the principal agents
+employed by the medical profession throughout the world. It must be
+distinctly understood that they are not <i>curative</i> but merely
+<i>palliative</i>, and used to relieve paroxysms. We object to them wholly
+and unqualifiedly because they contain NARCOTICS. It is a fundamental
+principle in our treatment not to use this class of remedies. They stupefy
+the brain, debilitate the nervous system, and have, in not a few instances,
+formed an unfortunate appetite and habit, most difficult to overcome. We
+are of the opinion that one of the chief reasons why this malady has been
+considered incurable is the fact that physicians have almost universally
+relied upon narcotic drugs. With such medication a cure is the exception. A
+cure can only be effected under such circumstances when the <i>powers of
+nature are sufficient to overcome both the</i> NARCOTIC <i>and the</i>
+DISEASE. That they will <i>relieve</i> we do not deny, but <i>they will
+never cure</i>. It reminds us of an old country doctor who advised a lady
+to smoke tobacco to cure acid dyspepsia. She followed the prescription for
+over thirty years and at last accounts was not cured <span
+class="pagenum"><a name="Page_514" id="Page_514"></a>[pg 514]</span>yet. In
+all seriousness we ask would any other remedy except a narcotic or
+stimulant be used with such persistency for anything like this length of
+time? Is it not apparent that such agents form a habit which is often worse
+than the disease, and yet fail to effect a cure? We appreciate the
+necessity for relief, and do not blame sufferers for availing themselves of
+any means for this purpose. But they should not be satisfied with relief
+only, but should look about for such a system of medication as will rid
+them of the disease completely and permanently. If a week's or a month's
+exemption is a "foretaste of heaven," how incomparable are the comforts and
+happiness to be derived from a life-time immunity?</p>
+
+
+<h4>MILLIONS OF DOLLARS</h4>
+
+
+<p>are annually spent upon the advice of physicians, in traveling expenses,
+and hotel bills, by sufferers from asthma, or phthisic, in seeking a change
+of climate that will be advantageous. It is the last expedient of the
+doctor who is annoyed by the continued complaint of his unrelieved patient,
+and can only be made available by the wealthy. In some instances the change
+is beneficial, but to be effectually so a permanent change of residence is
+required. Most patients are unable or unwilling to do this. In some cases
+change only affords temporary relief, the attacks returning after a few
+months. Even the wealthy dislike to take such chances. The less opulent
+cannot think of such methods, and hence are compelled to bear their
+sufferings as best they can. In the majority of instances the "change of
+climate" is only an illusion, or only temporarily beneficial at best. We
+can tell them a better way, and if they are wise they will follow it.</p>
+
+<hr />
+
+
+<h3>HAY ASTHMA, OR HAY FEVER.</h3>
+
+
+<p>This affection, known also as Hay Catarrh, Hay Fever, or Rose Cold
+differs but little in its manifestations, from coryza, or cold in the head,
+save in its <i>inciting cause</i>, and in its element of periodicity. In
+this latitude there are persons who, during summer or early fall, are
+invariably attacked with acute congestion or inflammation of the upper
+air-passages, giving rise to sneezing, watery discharges from the nose and
+eyes, difficult respiration, fever, and general prostration. These symptoms
+are supposed to be induced by the inhalation of pollen or odors from
+grasses or flowers, which at that time are supposed to give off certain
+exhalations of an Irritating character. Unless arrested by medical
+treatment, the disease lasts until cool weather, or the occurrence of a
+hard frost rids the atmosphere of the exciting influence.</p>
+
+<p>Some feather beds give off an odor which excites all the aggravated
+symptoms of this disease. Thus it appears that certain emanations <span
+class="pagenum"><a name="Page_515" id="Page_515"></a>[pg 515]</span>have
+the power of inciting these inflammatory conditions in certain sensitive
+constitutions. In all individuals suffering from this disease there is an
+over sensitiveness of the nervous system which admits of the appearance of
+such sudden and severe manifestations. Many cases suffering only mild
+symptoms for the first few seasons, annually become aggravated until severe
+spasmodic asthma is a regular, and sometimes continuous complication. A
+case or two are on record in which the odor from the body of a horse so
+induced these symptoms that the individual could never ride or drive
+him.</p>
+
+<p><b>Treatment</b>. In mild cases, or when the attack first appears, the
+daily use of Dr. Sage's Catarrh Remedy fluid will neutralize and wash away
+the poisonous particles which have found lodgment in the nasal passages.
+The Remedy is best applied with Dr. Pierce's Nasal Douche. When the disease
+has existed the previous season it is necessary that the patient begin both
+constitutional and local treatment four or six weeks prior to an expected
+return of the disease. The nervous system should be strengthened, and the
+resistance of the patient to the irritating influence of these pollens and
+odors so increased, that even though he may be exposed, no severe symptoms
+will follow.</p>
+
+<p>Dr. Pierce's Golden Medical Discovery will be found invaluable as an
+alterative, blood purifier, and nerve tonic, and should be taken regularly
+while Dr. Sage's Catarrh Remedy is being used locally for its antiseptic
+and curative properties. The action of the "Discovery" is especially
+desired in cases that are so far advanced as to be attended with asthmatic
+symptoms, such as difficult breathing, headache, and a feeling of lassitude
+and prostration.</p>
+
+<p>In very obstinate or distressing cases our specialists have been able to
+prescribe and send, by mail or express, special courses of treatment which
+have proven so effective as to cure the disease <i>permanently</i>, so that
+it has not reappeared the following season. The treatment seems to have
+produced such an impression upon the system as to have fortified the
+individual against a return of the disease.</p>
+
+<p>In rare cases morbid growths in the upper air-passages are of such a
+nature as in themselves to be a source of sufficient excitement to
+unbalance the nervous equilibrium so that the individual is thus rendered
+more susceptible to this disease. In such, or exceedingly obstinate cases a
+personal examination by our specialist is desirable, and often results in
+the use of such measures as give permanent relief.</p>
+
+<p><span class="pagenum"><a name="Page_516" id="Page_516"></a>[pg
+516]</span></p><hr />
+
+
+<h2>TESTIMONIALS.</h2>
+
+
+<p>If the following letters had been written by your best known and most
+esteemed neighbors they could be no more worthy of your confidence than
+they now are, coming, as they do, from well known, intelligent, and
+trustworthy citizens, who, in their several neighborhoods, enjoy the
+fullest confidence and respect of all who know them.</p>
+
+<p>Out of thousands of similar letters received from former patrons, we
+have selected these few at random, and have to regret that we can find room
+only for this comparatively small number in this volume.</p>
+
+
+<h4>BLEEDING FROM LUNGS, CONSUMPTION</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise176"><img width="90%" alt="Illustration:
+(Before) C.H. HARRIS, ESQ." src="images/advise176.png" /></a><br />(Before)
+C.H. HARRIS, ESQ.</p>
+
+
+
+<p class="rfigure"><a name="advise176b"><img width="90%" alt="Illustration:
+(After) C.H. HARRIS, ESQ." src="images/advise176b.png" /></a><br />(After)
+C.H. HARRIS, ESQ.</p>
+
+<p><i>Gentlemen</i>&mdash;I wish to say to you that Doctor Pierce's Golden
+Medical Discovery saved my life and has made me a man; my home-physician
+says I am good for forty years yet. You will remember that my case was a
+case just between life and death, and all of my friends were sure it was a
+case of death, until I commenced taking a second bottle of "Golden Medical
+Discovery," when I was able to sit up and the cough was very much better,
+and the bleeding from my lungs stopped, and before I had taken six bottles
+of the "Golden Medical Discovery" my cough ceased and I was a new man and
+ready for business.</p>
+
+<p>And now I feel that it is a duty that I owe to my fellow-men to
+recommend to them the "Golden Medical Discovery" and Dr. Sage's Catarrh
+Remedy, which saved my life when doctors and all kinds of medicines failed
+to do me any good.</p>
+
+<p>I will send to you with this letter two of my photographs; one was taken
+a few weeks before I was taken down sick in bed, and the other was taken
+after I was well.</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+C.H. HARRIS,<br />
+No. 1622 Second Avenue, Rock Island, Ill.<br />
+</p>
+</blockquote>
+
+
+<h4>SEVERE CHRONIC COUGH.</h4>
+
+<p>Wilbar, Wilkes Co., N.C.</p>
+
+<p>DR. R.V. PIERCE, 663 Main Street, Buffalo, N.Y.:</p>
+
+<p><i>Dear Sir</i>&mdash;I cannot recommend your "Golden Medical Discovery" too
+highly. I had a severe chronic cough and I began to use that medicine and
+took only one bottle, and I have not been sick a day since. When I began to
+use your "Golden Medical Discovery" my weight was 104 pounds, and now I
+weigh 125 pounds.</p>
+
+<blockquote>
+<p>
+Yours very truly,<br />
+Mrs. Anna Parsons<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_517" id="Page_517"></a>[pg
+517]</span></p><h4>SPITTING OF BLOOD. LUNG DISEASE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise177"><img width="90%" alt="Illustration:
+J.M. Hite, Esq." src="images/advise177.png" /></a><br />J.M. Hite, Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I can gladly recommend Dr. Pierce's Golden Medical
+Discovery to all suffering from diseases for which you recommend it. In the
+summer of 1888 I took a severe cold, which settled on my lungs and chest,
+and I suffered intensely with it. I tried several of our best physicians
+here and they gave up all hopes of my recovery, and my friends thought I
+would have to die, and I thought so myself, as the doctors did not know
+what was the matter with me. In the morning, on rising, I would cough and
+spit blood for two hours, and I was pale and weak and not able to work any.
+I then ran across Dr. Pierce's advertisement and I came to the conclusion I
+would try the "Golden Medical Discovery," as it was so highly recommended.
+I was greatly discouraged when I began the use of the "Discovery," but
+after I had taken four or five bottles I then noticed I was getting better,
+and I could stand it to work some, and kept on taking it till I took about
+twenty or twenty-five bottles. It has been five years since I took it and
+have had no return of that trouble since. I gladly recommend your medicine
+for I know it saved my life.</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+JOHN M. HITE,<br />
+Audubon, Audubon Co., Iowa.<br />
+</p>
+</blockquote>
+
+
+<h4>LUNG DISEASE.</h4>
+
+
+
+<p class="rfigure"><a name="advise178"><img width="90%" alt="Illustration:
+Mrs. McGill." src="images/advise178.png" /></a><br />Mrs. McGill.</p>
+
+<p>Blue Rock, Muskingum Co., Ohio.</p>
+
+<p>DR. R.V. PIERCE, Buffalo, N.Y.:</p>
+
+<p><i>Dear Sir</i>&mdash;I feel like taking you by the hand and saying, "thank
+God, you have saved my wife," for we had given her up. We had sat by her,
+when the doctor said she could not live till morning; so bad was her lung
+disease. Dr. Pierce's Golden Medical Discovery cured her.</p>
+
+<blockquote>
+<p>
+MR. THOMAS McGILL.<br />
+</p>
+</blockquote>
+
+<p>When her case was reported to the specialist of the Invalids' Hotel,
+Mrs. McGill was suffering from pain in the chest, struggling for breath,
+hard dry cough; jarring hurt the chest; short breath, backache; uterine
+disease, leucorrhea, menstruation scanty and painful; feet and ankles
+swollen; was confined to house most of the time; was given up by her home
+physician. Her disease began six years before with "lung disease" which was
+followed by bleeding from lungs.</p>
+
+
+<p><b>CURES WHEN COD LIVER OIL FAILS.</b></p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Gentlemen</i>&mdash;My wife a few years ago had hemorrhages of the lungs,
+and we summoned our home physician. He checked the hemorrhage but failed to
+cure her. She had also a terrible cough and expectorated a great deal. She
+wanted to see another doctor so I called one and he examined her. She asked
+him whether she had consumption, and his answer was, "Madam, it is very
+near consumption." He advised her to use cod liver oil, but this gave but
+little relief. I happened to get hold of one of your little books that
+comes with each bottle of Dr. Pierce's medicines and I read some cases
+about like my wife's. I went to the drug store and procured a bottle of Dr.
+Pierce's Golden Medical Discovery and my wife commenced using it according
+to directions. She began to get better right away and her cough has left
+her. She used about ten bottles. She is in her fifty-fifth year and can
+walk ten or twelve miles without any trouble. We are satisfied that her
+life and health have been saved by the use of "Golden Medical Discovery."
+As soon as she takes any cold she insists upon having a bottle of her
+medicine, as she calls it, and that is the last we hear of her cold.</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+Joseph D. Wiles<br />
+West Point Street, Frederick, Md.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_518" id="Page_518"></a>[pg
+518]</span></p><h4>MALARIA, CHILLS, AND LUNG DISEASE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise179"><img width="90%" alt="Illustration:
+R. Williams, Esq. " src="images/advise179.png" /></a><br />R. Williams,
+Esq. </p>
+
+<p><i>Gentlemen</i>&mdash;It has been about eight months since I quit using Dr.
+Pierce's Golden Medical Discovery. When I commenced using it I only weighed
+130 pounds. I had been suffering with malarial fever, chills, and lung
+disease for four years. I took treatment from many doctors, and tried many
+different kinds of patent medicines and all seemed to do no good. Since I
+have used four bottles of "Golden Medical Discovery" and one bottle of Dr.
+Pierce's Pleasant Pellets I feel well in every respect <i>and weigh 160
+pounds instead of only 130</i>, my weight when I began its use.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+ROBERT WILLIAMS,<br />
+Hazelton, Barber Co., Kas.<br />
+</p>
+</blockquote>
+
+
+<h4>CONSUMPTION.</h4>
+
+<p><b>Almost Raised From the Grave</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise179b"><img width="90%" alt="Illustration:
+MRS. VANSICKLIN." src="images/advise179b.png" /></a><br />MRS.
+VANSICKLIN.</p>
+
+<p><i>Gentlemen</i>&mdash;I have long felt it my duty to acknowledge to you what
+your "Golden Medical Discovery" and "Pleasant Pellets" have done for me.
+They almost raised me from the grave. I had three brothers and one sister
+die of consumption, and I was speedily following after them. I had severe
+cough, pain, copious expectoration, and other alarming symptoms, and my
+friends all thought I had but a few months to live. At this time I was
+persuaded to try your "Discovery," and the first bottle acted like magic.
+Of course I continued on with the medicine, and as a result I gained
+rapidly in strength. My friends were astonished. When I commenced the use
+of your medicines, six years ago, I weighed but 120 and was sinking
+rapidly. I now weigh 135, and my health continues perfect. I have a copy of
+your "People's Common Sense Medical Adviser," and neither money nor friends
+could ever induce me to part with it.</p>
+
+<p>Twelve years later, Mrs. Vansicklin writes: "My health still continues
+<i>perfect</i>. I now weigh 148 pounds. Your book&mdash;the Common Sense Medical
+Adviser is a treasure in our home." Yours truly,</p>
+
+<blockquote>
+<p>
+MRS. H.H. VANSICKLIN,<br />
+Brighton, Ont.<br />
+</p>
+</blockquote>
+
+
+<h4>CONSUMPTION.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise180"><img width="90%" alt="Illustration:
+J.A. Henson, Esq. " src="images/advise180.png" /></a><br />J.A. Henson,
+Esq. </p>
+
+<p><i>Gentlemen</i>&mdash;Two years ago I thought I had consumption, and was
+continually coughing day and night, and not able to work. I bought six
+bottles of Dr. Pierce's Golden Medical Discovery and it did me more good
+than all the other medicine I ever took, and now I am feeling all O.K., and
+I weigh 165 pounds. Two years ago I weighed 145 pounds. I can fully
+recommend Dr. Pierce's Golden Medical Discovery to any person that has
+consumption. I remain, Yours truly,</p>
+
+<blockquote>
+<p>
+JOHN A. HENSON,<br />
+South Bosque,<br />
+McLennan Co., Texas.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_519" id="Page_519"></a>[pg
+519]</span></p><h4>IT "FILLS THE BILL." LUNG DISEASE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise181"><img width="90%" alt="Illustration:
+A.D. Simmons, Esq." src="images/advise181.png" /></a><br />A.D. Simmons,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;In 1872, when living in New York State, my health was
+very poor. I was clear "run down." Pain in my lungs, right side and in my
+bowels; had been ailing for nearly two years; my feet swelled during the
+day so I could hardly stand it till night, as I was on my feet the most of
+the time.</p>
+
+<p>I wrote you and you sent me special medicines, which brought me around
+all right. I have weak lungs, and when I get run down I usually take a few
+bottles of Dr. Pierce's Golden Medical Discovery, which always builds me
+up. We have used your "Discovery" in our family with the best results.</p>
+
+<p>When living at Blue Mound I was very sick with inflammation of the lungs
+from taking cold. When I took cold I was at Clinton, Missouri. Was confined
+to my bed for a few days. I said to the doctor that I must go home; he
+advised me to stay where I was, but I started for Blue Mound with my pulse
+at 140. When I arrived home I was glad to get in bed, and called in Dr.
+&mdash;&mdash;. He said my lungs were in a bad condition. Well, I was very sick for
+three weeks or more, and when I got around I was not well, and at that time
+Dr. &mdash;&mdash; came to Blue Mound, stopped there two weeks, gave free lectures
+and had lots of patients. He examined me and said I needed treatment, and
+he could cure me.</p>
+
+<p>I was suffering all the time with pain in my right lung. He wanted
+$50.00 for treatment, and would cure. So I let him pass along and wrote to
+your Association for advice, which was to take the "Discovery," and I took
+one-half dozen bottles which "filled the bill." Yours respectfully,</p>
+
+<blockquote>
+<p>
+A.D. SIMMONS,<br />
+Emporia, Lyon Co., Kansas.<br />
+</p>
+</blockquote>
+
+
+<h4>CONSUMPTION.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise182"><img width="90%" alt="Illustration:
+Mrs. Smith." src="images/advise182.png" /></a><br />Mrs. Smith.</p>
+
+<p><i>Gentlemen</i>&mdash;It is my pleasant duty to you and to suffering
+humanity to acknowledge the benefit I received from Dr. Pierce's Golden
+Medical Discovery. About seven years ago I became troubled with my
+lungs&mdash;consumption in its first stage. Some of my friends in Ontario had
+been using your medicine before I knew anything of it; and after coming to
+this country, I commenced taking it, and I think it has done wonders for
+me. I am positive, that if any one will persist in taking it, it will do
+all you say. It has done so much for me that I feel it my duty to testify
+to its wonderful curative properties. Respectfully,</p>
+
+<blockquote>
+<p>
+MRS. JESSE K. SMITH,<br />
+Baldur, Selkirk Co., Manitoba.<br />
+</p>
+</blockquote>
+
+
+<h4>DYSPEPSIA AND NASAL CATARRH.</h4>
+
+<p>DR. PIERCE, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise183"><img width="90%" alt="Illustration:
+J. Larson, Esq." src="images/advise183.png" /></a><br />J. Larson, Esq.</p>
+
+<p><i>Dear Sir</i>&mdash;I had been very badly troubled for many years with
+dyspepsia, also nasal catarrh, and got so bad and weak that I could not
+work. I could hardly eat anything without vomiting; had a pain in the
+stomach and a burning sensation coming into the throat. I took Dr. Pierce's
+Golden Medical Discovery and "Pleasant Pellets," and can truly say these
+medicines have helped me wonderfully. I improved right along from the very
+beginning. I stopped taking medicine in the latter part of May and then
+felt as well as ever in my life. I am pretty well now, for a man of
+sixty-three years. I can eat all kinds of food and it doesn't cause me any
+pain in the stomach as it always did before I took Dr. Pierce's medicines.
+I can cheerfully say to the public that they need not hesitate in taking
+Dr. Pierce's Golden Medical Discovery for dyspepsia; it will eradicate and
+cure the disease if anything will.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+JOHN LARSON, Ashby, Grant Co., Minn.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_520" id="Page_520"></a>[pg
+520]</span></p><h4>LUNG DISEASE.</h4>
+
+<p>Dr. R.V. PIERCE, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise184"><img width="90%" alt="Illustration:
+J.J. Hume, Esq." src="images/advise184.png" /></a><br />J.J. Hume, Esq.</p>
+
+<p><i>Dear Sir</i>&mdash;I cheerfully make the following statement: In February,
+1893, I was attacked with a severe illness. It came on very gradually, and
+was attended with a severe cough and expectoration; also had pain in the
+lungs; had chills and night-sweats; was much reduced in strength. After
+trying for relief in different directions without success, I was induced to
+apply to your eminent Staff of Physicians at 603 Main St., Buffalo, N.Y.,
+and I am happy to say that my improvement began as soon as I began the use
+of the medicines which were prescribed for me at that time. The improvement
+has been continuous, until I now feel my lungs are entirely cured; have no
+cough, no expectoration in the last month, and my usual weight of 183
+pounds has been restored. Have been able to do a fair day's work any time
+during the past two mouths without unusual fatigue. I can cheerfully
+recommend your Institution to persons similarly affected, and will
+authorize you to refer any one making inquiry to me.</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+J.J. HUME, Corfu, Genesee Co., N.Y.<br />
+</p>
+</blockquote>
+
+
+<h4>A BAD COUGH.</h4>
+
+<p>Vanburen, Kalkaska Co., Mich.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Gentlemen</i>&mdash;Your medicine is the best I have ever taken, I was not
+able to do hardly any work at all; had pain in my left side and back, and
+had headache all the time. I tried your medicine and it helped me. Last
+spring I had a bad cough; got so bad I had to be in bed all the time. My
+husband thought I had consumption. He wanted me to get a doctor, but I told
+him if it was consumption they could not help me. We thought we would try
+Dr. Pierce's Golden Medical Discovery and before I had taken one bottle the
+cough was stopped and I have had no more of it returning.</p>
+
+<blockquote>
+<p>
+Respectfully yours,<br />
+Jennie Dingman<br />
+</p>
+</blockquote>
+
+
+<h4>SEVERE COUGH.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise185"><img width="90%" alt="Illustration:
+Mrs. Jewell." src="images/advise185.png" /></a><br />Mrs. Jewell.</p>
+
+<p><i>Gentlemen</i>&mdash;I want to say a word in favor of your medicine. I can
+not do it justice by mere words.</p>
+
+<p>I was taken sick the 5th of July; I called a doctor but did not receive
+any benefit from him. I was going into quick consumption. Had a terrible
+cough, raised a great deal of phlegm; had pain through chest, was very weak
+and "all run-down." I told my husband to get a bottle of "Golden Medical
+Discovery;" he did so; I commenced taking it and I began to get better. I
+was not outside of the door yard, from July 5th, until August 22d. I only
+took two bottles, and the first of September I was able to do the work for
+boarders, and have had boarders ever since. It is the grandest medicine
+ever invented.</p>
+
+<blockquote>
+<p>
+Respectfully, Mrs. CHARLES JEWELL,<br />
+(P.O. Box 89), Rockford, Kent Co., Mich.<br />
+</p>
+</blockquote>
+
+
+<h4>SPITTING OF BLOOD.</h4>
+
+<p>Olanta, Clearfield Co., Pa.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Gentlemen</i>&mdash;I can truly say that your "Golden Medical Discovery"
+and "Pleasant Pellets" have been the means of saving my life. When I began
+taking your medicines I thought my time was short. I have not spit up blood
+now for about four months, and am feeling much better. Our home doctor says
+my temperature and pulse are all right now; and that I do not need further
+medicine, and that I will get all right again. I feel that your medicine
+has done wonders for me. I would have written sooner, but I was waiting to
+see if the improvement Would be permanent.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+D.Y. Rowles<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_521" id="Page_521"></a>[pg
+521]</span></p><h4>DESPONDENCY.</h4>
+
+<p><b>Nervous Prostration&mdash;Threatened with Consumption</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL, ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise188"><img width="90%" alt="Illustration:
+H. Cummins, Esq." src="images/advise188.png" /></a><br />H. Cummins,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I have felt inclined to say to you, and your whole
+staff of physicians, and now do convey to you, my heart-felt gratitude for
+your able and skillful assistance rendered me in my afflictions. I had been
+for years a sufferer, and at times nearly despondent. I had been treated by
+the most able and skillful physicians that this north-western country could
+provide. I had paid them large sums of money and was finally given to
+understand that there was no hope for my cure. Your advertisements fell
+into my hands, which treated upon my case. I read and compared my case with
+the insight you so ably explained, so I was satisfied you understood your
+profession well. I started full of hope and as I reached Buffalo, after
+three days' travel by rail, some 1,500 miles, there was something that
+cheered me on. I made my way to your Invalids' Hotel. I was examined and
+pronounced curable. I was operated upon for a local affection that caused
+much of my suffering, the same day I arrived, and in ten days was
+discharged permanently cured. I have felt perfectly well ever since. I was
+nicely treated by the able nurses and attendants who were always gentle and
+kind.</p>
+
+<p>I can cheerfully say to the public, that they need not hesitate in
+throwing themselves into your kind care in every case that is curable by
+the hand of man, and you will treat them honestly.</p>
+
+<p>Hoping this may be of some benefit to some afflicted persons who may
+feel some diffidence in trusting themselves in your hands.</p>
+
+<blockquote>
+<p>
+Yours respectfully, H. CUMMINS,<br />
+Eagle Lake, Blue Earth Co., Minn.<br />
+</p>
+</blockquote>
+
+
+<h4>LUNG DISEASE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise189"><img width="90%" alt="Illustration:
+Mrs. Fisher." src="images/advise189.png" /></a><br />Mrs. Fisher.</p>
+
+<p><i>Gentlemen</i>&mdash;I am much better, and believe it was through your
+medicine and advice that I am as well as I am. I might have been entirely
+well if I had been able to have kept the medicine to take as directed. I
+have taken only four bottles, and it would be four or five months from the
+time I would take one bottle till I could get another one. I can talk
+better, and feel almost like a new person to what I did two years ago. I
+weigh more and can do any kind of work. Dr. Pierce's Golden Medical
+Discovery is the only medicine that did me any good.</p>
+
+<blockquote>
+<p>
+Your friend,<br />
+MRS. RACHEL D. FISHER,<br />
+Silver Point,<br />
+Putnam Co., Tenn.<br />
+</p>
+</blockquote>
+
+
+<h4>CHILLS AND LINGERING COUGH</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise190"><img width="90%" alt="Illustration:
+H. Dietzel, P.M." src="images/advise190.png" /></a><br />H. Dietzel,
+P.M.</p>
+
+<p><i>Gentlemen</i>&mdash;In 1879 I wrote you after suffering eighteen months. I
+had tried three doctors&mdash;took over one dozen bottles of patent medicines,
+without relief.</p>
+
+<p>I had chills with hacking cough; my friends said I had consumption; was
+reduced in flesh and nerve till the least work or exercise would exhaust me
+completely.</p>
+
+<p>Thanks for the day I wrote you, for I sent you ten dollars, and received
+four bottles of medicine which I took, and have been able to do hard work.
+I have never had any symptoms of those dreaded chills since. My weight got
+as low as 135 pounds; now I weigh 175 pounds. I would advise any one
+affected with chronic disease to consult you, as your treatment is
+genuine.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+HENRY DIETZEL, P.M.<br />
+Ernst, Clark Co., Ill.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_522" id="Page_522"></a>[pg
+522]</span></p><h4>HEREDITARY CONSUMPTION.</h4>
+
+<p><b>Home Doctors Opposed His Coming to Us (they often do) Although Unable
+to Help Him Themselves</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise191"><img width="90%" alt="Illustration:
+J.F. Jones, Esq. " src="images/advise191.png" /></a><br />J.F. Jones, Esq.
+</p>
+
+<p><i>Gentlemen</i>&mdash;For the benefit of the afflicted, I wish to say, that
+I visited your Institution in 1889, completely broken down in health and
+suffering, as I thought, from heart disease and consumption. I had spent
+money with many of our home physicians, but they only gave me partial
+relief and I would soon be worse than ever. When I spoke of coming to you,
+the doctors here cried "humbug," but I told them I had been humbugged at
+home and if I staid I would surely die, and if I went could do no worse. I
+spent thirty days at your Invalids' Hotel and Surgical Institute, and came
+away like a new man, comparatively speaking. I found the Institution all it
+had been represented, and I may truthfully say, that the time spent there
+was to me as an oasis in a desert to a weary and thirsty traveler; for
+those were among the happiest days of my life. No pains were spared to make
+each patient comfortable and at home. I cannot recommend your Institution
+too highly, for I feel that to your treatment I owe my life. I have sold a
+great deal of your medicines, and recommend them with the same faith I
+would water to the thirsty. They, the "Pellets," "Golden Medical Discovery"
+and "Favorite Prescription," give universal satisfaction. You are at
+liberty to use this as you desire, for my only motive in writing is to
+benefit the afflicted, by pointing out to them a place of cure; for, no
+matter what their disease, I am confident that if medical skill can avail,
+they can be cured at the Invalids' Hotel and Surgical Institute.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+J.F. JONES,<br />
+Raleigh C.H., Raleigh Co., W. Va.<br />
+</p>
+</blockquote>
+
+
+<h4>ABSCESS OF LUNG. REDUCED ALMOST TO A SKELETON.</h4>
+
+<p>Bisbee, Cochise Co., Ariz.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Gentlemen</i>&mdash;I had been confined to my bed four months, had tried
+the skill of four doctors and all the patent medicines that were
+recommended for my case, which was an abscess on the lung. My physicians
+and friends had given me up to die; I was reduced to a perfect skeleton; my
+strength was gone; my eyesight was so dim I could scarcely see at all, and
+I had no appetite&mdash;could not eat anything at all when I commenced using
+Doctor Pierce's Family Medicines. I have taken sixteen bottles of the
+"Golden Medical Discovery," twelve bottles of "Pellets" and three bottles
+of "Favorite Prescription," and to-day I am well and strong and weigh 128
+pounds&mdash;two pounds more than I ever before weighed in my life.</p>
+
+<blockquote>
+<p>
+Your true friend,<br />
+Mrs. Sarah A. Kelly<br />
+</p>
+</blockquote>
+
+
+<h4>LUNG DISEASE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise192"><img width="90%" alt="Illustration:
+Mrs. Sickles." src="images/advise192.png" /></a><br />Mrs. Sickles.</p>
+
+<p><i>Gentlemen</i>&mdash;My daughter had pneumonia and it left her with a
+horrible cough and one lung was almost gone; our doctor seemed to think
+there could be nothing more done, and said to go South; but not having the
+means at that time, I began giving her Dr. Pierce's Golden Medical
+Discovery, which she took steadily for two years. During that time she
+gained rapidly in strength; the lungs became normal, the cough leaving her
+entirely. We are never without this medicine in the house, and have
+recommended it to all our friends, and I am positively certain that if Dr.
+Pierce's medicine is used in time, it will cure in other cases as well as
+in this one.</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+MRS. RUTH A. SICKLES,<br />
+Ocean Port, Monmouth Co., N.J. (Box 33.)<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_523" id="Page_523"></a>[pg
+523]</span></p><h4>REDUCED TO A SKELETON.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise193"><img width="90%" alt="Illustration:
+Mrs. Mills." src="images/advise193.png" /></a><br />Mrs. Mills.</p>
+
+<p><i>Gentlemen</i>&mdash;Having felt it a duty to write of the good I received
+by taking your medicine, I now would say, that one year ago I was given up
+by my family physician and friends; all said I must die. My lungs were
+badly affected, and body reduced to a skeleton. My people commenced to give
+me your "Medical Discovery" and I soon began to mend. It was not long
+before I became well enough to take charge of my household duties again. I
+owe my recovery to Dr. Pierce's Golden Medical Discovery.</p>
+
+<blockquote>
+<p>
+Respectfully yours,<br />
+MRS. MIRA MILLS,<br />
+Sardis, Big Stone Co., Minn.<br />
+</p>
+</blockquote>
+
+
+<h4>COUGH AND NIGHT SWEATS.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise194"><img width="90%" alt="Illustration:
+H.M. Detels and Wife." src="images/advise194.png" /></a><br />H.M. Detels
+and Wife.</p>
+
+<p><i>Gentlemen</i>&mdash;In regard to your medicines I will say that they are
+always in the house. I shall never forget those nights when I was down with
+pneumonia. Had it not been for Dr. Pierce's Golden Medical Discovery I
+would not be a well man to-day. One bottle stopped the cough and night
+sweats.</p>
+
+<p>My wife was troubled with leucorrhea so bad that we did not know what to
+do until Dr. Pierce's Favorite Prescription was brought into the house and
+gave her rest.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+H.M. DETELS,<br />
+Traver, Tulare Co., Cal.<br />
+</p>
+</blockquote>
+
+
+<h4>PULMONARY DISEASE. A WONDERFUL CURE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise195"><img width="90%" alt="Illustration:
+Chas. E. Lees, Esq. " src="images/advise195.png" /></a><br />Chas. E. Lees,
+Esq. </p>
+
+<p><i>Gentlemen</i>&mdash;I am 29 years old. During the winter of '84 I
+contracted a severe cold, which settled on my lungs. Each succeeding winter
+my cough grew worse, and in the winter of '85 I had chicken-pox, and taking
+cold, drove them in causing me a severe spell of sickness. The following
+summer I had congestion of the lungs and hemorrhage and a severe spell of
+fever. My physician advised me to go West in search of health. My friends
+thought I had consumption of the lungs, I coughed so much. In September,
+1889, I left Carthage, Mo. (where I then lived), for Phoenix, Ariz. After I
+had been there about four months I had a severe attack of "<i>La
+Grippe</i>" and with this I coughed myself almost (I thought), to death;
+and to add to my distress I had an almost intolerable attack of pleurisy. A
+doctor was summoned and after an examination said I had Empyemia, and said
+he could do me but very little good until he removed the pus. He and his
+partner came and by the use of an aspirator drew off nine pints of pus;
+after about a week he drew off two pints. After a few days I told my doctor
+I could hear the pus gurgle as I had before he drew it off. Strange to say,
+but nevertheless true, my heart was crowded over on the opposite side for
+three months. I knew it was there for I could feel the pulsations there,
+and I was so short of breath for a long time I could not stoop down to tie
+my shoes.</p>
+
+<p>The doctor told me it would be useless again to use the aspirator, but
+that he would be obliged to make an incision in my side and treat it till I
+got well. <span class="pagenum"><a name="Page_524" id="Page_524"></a>[pg
+524]</span>On the 28th day of March. 1890, my doctor and his partner and
+three other doctors undertook the operation, and, after removing about two
+inches of one of my ribs, withdrew 16 pints of pus. This came near being
+too much for me though I slowly recovered and in three months the doctors
+thought I was able to come home. I arrived home in June and was very poorly
+all summer, and did not sit up but <i>very little</i>, and had fever every
+day. In the latter part of the summer of '90 I commenced to take "Golden
+Medical Discovery" and although my side had been discharging for
+TWENTY-THREE MONTHS it healed up sound and well. I am now able to do
+considerable hard work. I would advise all who are afflicted as I was, to
+give your medicine a trial. I am glad I have out-lived my friends'
+expectations.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+CHARLES E. LEES,<br />
+P.O. Box 2, Winslow, Washington Co., Ark.<br />
+</p>
+</blockquote>
+
+
+<h4>THROAT AND LUNG DISEASE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise196"><img width="90%" alt="Illustration:
+Mrs. White. " src="images/advise196.png" /></a><br />Mrs. White. </p>
+
+<p><i>Gentlemen</i>&mdash;I was troubled with throat and lung disease for about
+two years and lost strength so that I was unable to do much work. I took
+four bottles of Dr. Pierce's Golden Medical Discovery, and can say that it
+did more good than any other medicine that I ever took. I am now able to do
+my work, and enjoy good health.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+MRS. JULIA WHITE,<br />
+Willow Creek,<br />
+Blue Earth Co., Minn.<br />
+</p>
+</blockquote>
+
+
+<h4>WEAK LUNGS, COUGH, PROFUSE EXPECTORATION AND CATARRH.</h4>
+
+
+
+<p class="rfigure"><a name="advise197"><img width="90%" alt="Illustration:
+A. Kratz, Esq. " src="images/advise197.png" /></a><br />A. Kratz, Esq. </p>
+
+<p>MR. ANTON KRATZ, of <i>Crawford, Dawes Co., Neb.</i>, had weak lungs,
+cough and catarrh, with profuse expectoration; difficult breathing, lasting
+from one to eight hours. He writes:</p>
+
+<p>"I took sick and went to the doctors. They gave me medicine, but it did
+not help me, so I got two or three bottles of "Golden Medical Discovery'
+and some 'Pellets.' After awhile I got better, until three winters ago I
+got sick again so I could not do anything, and I wrote to you giving my
+symptoms on one of your question blanks, and asked you about my case. You
+told me to take your 'Golden Medical Discovery.' I took four bottles and
+got well and have been well ever since."</p>
+
+
+
+<h4>LUNG DISEASE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION: Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise198"><img width="90%" alt="Illustration:
+Mrs. Lincoln. " src="images/advise198.png" /></a><br />Mrs. Lincoln. </p>
+
+<p><i>Gentlemen</i>&mdash;Before taking the "Discovery" I would have four or
+five bad coughing spells every day and would cough up mouthfuls of solid
+white froth, and before I took one bottle it stopped it. I could not walk
+across the room with the pain in my back and sides; but soon the pain was
+all gone, and I could sleep well at night. My general health is much better
+since I have taken the "Golden Medical Discovery" although I have been
+obliged to work hard on a farm.</p>
+
+<blockquote>
+<p>
+Respectfully yours,<br />
+MRS. JOHN LINCOLN,<br />
+Glen Annan, Huron Co., Ont.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_525" id="Page_525"></a>[pg
+525]</span></p><h4>CONSUMPTION AND GENERAL DEBILITY.</h4>
+
+<p><b>Cured by Special Home Treatment.</b></p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise199"><img width="90%" alt="Illustration:
+Mrs. F. Nienhuis. " src="images/advise199.png" /></a><br />Mrs. F.
+Nienhuis. </p>
+
+<p><i>Gentlemen</i>&mdash;I had pain in lungs and across the chest; had been
+spitting blood for the past six years. Menstruation was scant and caused
+great prostration. Suffered from constipation; cutting pains about the
+stomach and rumbling in the bowels; exceedingly nervous; indigestion. She
+writes as follows: "I wish to inform you that I am well. I never can praise
+you or your ways of treatment enough. I shall bring you all the patients
+that I can. I feel so rich to get my health back. I can eat well and sleep
+well, and work all day. I suppose you will think it took a long time to
+pull me up, but I was very low, much worse than I ever told you of at the
+time. I was not able even to feed myself any more. My husband had to
+undress me. I could not wash my own face, or stand alone. I did not lie
+down to sleep for eleven months; I always had to sit up, because I would
+choke if I laid my head down. <i>I have not raised a drop of blood since
+your treatment</i>, and I did it always for five years before. Our minister
+said this spring that he had never thought I could live, and says that he
+advises every one that is sick to go to you. He was so surprised to see how
+strong and well I was. My relatives all think that you ought to write my
+case up for the papers in Chicago. I can never repay you for what you have
+done for me. A thousand thanks is but empty words. My husband was telling a
+man just last week, "do not spend all your money in Chicago, as we did, and
+then write to Buffalo, but go and write now, and your wife will soon be
+well." My father was saying that he wished the doctors that gave me up
+could see me now. I think they could not believe their own eyes. I am
+astonished when I think back how I was six years ago; I could not walk
+across the room alone for three years, and after taking your treatment for
+eighteen months, I am <i>completely</i> well. I can hardly believe it
+myself when I read over those letters that I received from you. I work hard
+every day. There is never a day that you are not remembered. I hope that
+you may live many years to do for others what you have done for me. I had
+this taken so that you might have my picture as I am now; I wish you could
+have seen me as I was then, and I wish to thank you for those little notes
+of inquiry that you used to send to find out how I was getting along, which
+showed that I was remembered not only while the money lasted, but that you
+cared for me after that."</p>
+
+<blockquote>
+<p>
+Respectfully yours,<br />
+MRS. F. NIENHUIS, Crawford, Cook Co., Ill.<br />
+</p>
+</blockquote>
+
+
+<h4>"COMPLETELY WRECKED."</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise200"><img width="90%" alt="Illustration:
+Mrs. Lindsey. " src="images/advise200.png" /></a><br />Mrs. Lindsey. </p>
+
+<p><i>Gentlemen</i>&mdash;Last August I was taken sick of a fever and was
+confined to bed for nearly six months. I had four doctors to see me, but it
+just seemed to me that they could relieve me for only a short while. I had
+a bad cough and all thought I was going into consumption. After being sick
+for so long, my nerves were nearly exhausted and my stomach, liver and
+bowels refused to act, in fact, my whole system was completely wrecked. I
+could not rest nor sleep, unless influenced by some drug and at last,
+mother concluded to try your medicines on me. She had taken them about a
+year before and had been greatly benefited by their use, so she said I will
+try the last resort&mdash;for I had been given up to die.</p>
+
+<p>I began taking your "Golden Medical Discovery" and "Pleasant Pellets." I
+improved rapidly&mdash;was soon able to be up in my room, and to my surprise, I
+could eat a little of nearly everything I desired. Before I began the use
+of your medicines, I could eat nothing in peace; I would almost cramp to
+death, even when I took a little cold water.</p>
+
+<p>But after the use of four and a half bottles of your "Golden Medical
+Discovery," and two vials of "Pellets," with God's help, I have almost
+risen from the dead.</p>
+
+<p>I will cheerfully recommend your remedies to my afflicted friends, for I
+am to-day, well and strong as ever. You can use this among your
+testimonials, if you choose, with my greatest approval.</p>
+
+<blockquote>
+<p>
+Very Respectfully yours,<br />
+Miss LOULA LINDSEY, Ringgold, Pittsylvania Co., Va.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_526" id="Page_526"></a>[pg
+526]</span></p><h4>BRONCHITIS OF TWENTY YEARS' STANDING.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise201"><img width="90%" alt="Illustration:
+B.F. Wiley, Esq." src="images/advise201.png" /></a><br />B.F. Wiley,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I had bronchitis for twenty years and over, and I
+could not work without coughing so hard as to take all my strength away. I
+took five bottles of Dr. Pierce's Golden Medical Discovery, and give you my
+word and honor that I can do any work that there is to do on my "ranch"
+without coughing. Sometimes in the winter when exposed to the change in the
+weather, I have a slight attack of coughing. Remember, I have not taken any
+of the "Golden Medical Discovery" for a year.</p>
+
+<blockquote>
+<p>
+Yours,<br />
+B.F. WILEY,<br />
+Box Elder, Converse Co., Wyo.<br />
+</p>
+</blockquote>
+
+
+<h4>BRONCHITIS.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise202"><img width="90%" alt="Illustration:
+M.M. Alexander, Esq." src="images/advise202.png" /></a><br />M.M.
+Alexander, Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I was troubled with bronchitis for over two years, had
+severe cough and great difficulty in breathing; appetite was poor and
+suffered from indigestion, became very weak and despondent. My age (I am
+now 71) was against me. I was treated by two physicians but they did me no
+good. I then used four bottles of your "Golden Medical Discovery" and was
+entirely cured, for which I am very thankful.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+M.M. ALEXANDER,<br />
+Hedrick, Alexander Co., N.C.<br />
+</p>
+</blockquote>
+
+
+<h4>LUNG DISEASE.</h4>
+
+<p>Schuylersville, Saratoga Co., N.Y. (P.O. Box 396).</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Gentlemen</i>&mdash;Something over a year ago I wrote to you about my
+lungs. I used Dr. Pierce's Golden Medical Discovery besides using Iodine
+and mustard paste.</p>
+
+<p>That pain in my lung entirely left me, and I have not felt it at all
+since last August. The doctor who lives here and who has always treated me
+thinks it is a great cure. Words cannot express my gratitude to you. I am
+now able to do a good day's work.</p>
+
+<blockquote>
+<p>
+Yours gratefully,<br />
+Lulu E. Baugs<br />
+</p>
+</blockquote>
+
+
+<h4>CHRONIC SORE THROAT, COUGH HOARSENESS.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise203"><img width="90%" alt="Illustration:
+Mrs. Traphagen." src="images/advise203.png" /></a><br />Mrs. Traphagen.</p>
+
+<p><i>Gentlemen</i>&mdash;I am feeling well at the present time; I took fourteen
+bottles of Dr. Pierce's Golden Medical Discovery. I had chronic sore
+throat, hoarseness, sore chest, rheumatism in my arms, and was very much
+run down. The doctor here at home said one lung was affected and that I had
+symptoms of consumption. I know that your "Golden Medical Discovery" was
+the cause of regaining my health. I remain,</p>
+
+<blockquote>
+<p>
+Respectfully yours,<br />
+MRS. MARY TRAPHAGEN,<br />
+NO. 6 Front Street, Poughkeepsie, N.Y.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_527" id="Page_527"></a>[pg
+527]</span></p><h4>CONSUMPTION. BAD COUGH, SPIT UP BLOOD.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise204"><img width="90%" alt="Illustration:
+K.C. McLin, Esq." src="images/advise204.png" /></a><br />K.C. McLin,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;When I commenced taking your "Discovery" I was very
+low with a cough, and at times spit up much blood. I was not able to do the
+least work, but most of the time was in bed. I was all run-down, very weak,
+my head was dizzy, and I was extremely despondent. The first bottle I took
+did not seem to do me much good, but I had faith in it and continued using
+it until I had taken fifteen bottles, and now I do not look nor feel like
+the same man I was one year ago. People are astonished, and say, "well,
+last year this time I would not have thought that you would be living now."
+I can thankfully say I am entirely cured of a disease which, but for your
+wonderful "Discovery," would have resulted in my death.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+K.C. McLIN,<br />
+Kempsville, Princess Anne Co., Va.<br />
+</p>
+</blockquote>
+
+
+<h4>LUNG DISEASE.</h4>
+
+<p><b>Coughed Day and Night.</b></p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise205"><img width="90%" alt="Illustration:
+Mrs. Steinmann." src="images/advise205.png" /></a><br />Mrs. Steinmann.</p>
+
+<p><i>Gentlemen</i>&mdash;Three years ago I was so sick I could not eat, sleep
+or walk, for I coughed all day and night. My weight was reduced from 150 to
+127 pounds. The first night that I slept four hours at one time, was after
+I had taken three doses of Dr. Pierce's Golden Medical Discovery. The
+offensive matter expectorated grew less every day and when I had taken the
+whole of one bottle I could sleep all night without coughing, and have been
+well ever since and weigh 178 pounds.</p>
+
+<blockquote>
+<p>
+Respectfully yours,<br />
+MRS. LOUISA STEINMANN,<br />
+67th St., near 15th Ave., Lefferts Park, Brooklyn, N.Y.<br />
+</p>
+</blockquote>
+
+
+
+<h4>BILIOUSNESS, CONSTIPATION, BAD COUGH.</h4>
+
+
+
+<p class="lfigure"><a name="advise206"><img width="90%" alt="Illustration:
+G.I. Wilder, Esq." src="images/advise206.png" /></a><br />G.I. Wilder,
+Esq.</p>
+
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Gentlemen</i>&mdash;Some twenty-five years since I was feeling very
+miserable all summer; I was very bilious; sometimes my bowels would not
+move once in sixty or seventy hours, and then almost impossible. I would
+take some bitters, which would help to move the matter, but as soon as the
+bitters were gone, I had to buy more or I would be as bad as before, and
+sometimes worse; but none of them appeared to do me any good except to move
+the bowels, until thirty years since a druggist called my attention to Dr.
+Pierce's Golden Medical Discovery, and before I had taken half a bottle of
+the "Golden Medical Discovery" I felt much better and by the time I had
+taken all, I could eat three hearty meals per day and had not felt so well
+for a long time. Soon after I was called to do a job some miles from home,
+and one night the old lady there was speaking about her daughter, (Mrs.
+Brooks) who had been under the doctor's care for five months and did not
+get any better, and I learned by asking a few questions that she had no
+appetite, and no ambition to do anything. Then I told her what the "Golden
+Medical Discovery" had done for me. The next day the old lady drove down to
+her daughter's, and got Mr. Brooks to send to Rutland&mdash;ten miles away&mdash;for
+two bottles of the "Golden Medical Discovery," and the next day the doctor
+came, and when about to take leave, Mr. Brooks told the doctor he did not
+want him any more at present and would send for him if necessary. I saw the
+old lady about ten days later and her daughter was improving, and Mr.
+Brooks had great faith in the "Golden Medical <span class="pagenum"><a
+name="Page_528" id="Page_528"></a>[pg 528]</span>Discovery," and had not
+sent for the doctor, but had gone to Rutland for more of the "G.M.D."</p>
+
+<p>When I commenced taking the "Golden Medical Discovery." I thought I was
+going into consumption as had a cough for three years or more and my weight
+decreasing. My weight before taking the "G.M.D." was 133 pounds; last March
+it was 147 pounds, and I give the credit to the "Discovery."</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+GEORGE I. WILDER,<br />
+East Wallingford, Rutland Co., Vt.<br />
+</p>
+</blockquote>
+
+
+<h4>THROAT AND LUNG DISEASE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise207"><img width="90%" alt="Illustration:
+Mrs. Bringer. " src="images/advise207.png" /></a><br />Mrs. Bringer. </p>
+
+<p><i>Gentlemen</i>&mdash;I had complicated chronic disease for several
+years&mdash;throat and lung and other affections, which almost resulted in
+consumption. Our doctors could do me no good. I happened to get hold of
+some of Doctor Pierce's books, and was induced to try his treatment. To the
+surprise of myself and family, I was, in a short time, changed almost to a
+new person&mdash;from pale sallow complexion to the bloom of health again. Many
+thanks for restoring me from an untimely grave. I will say to the public it
+is not always necessary to go to the Institute; I was treated at home with
+success. I cannot speak in too high praise of Dr. Pierce's Golden Medical
+Discovery, "Pellets" and "Favorite Prescription." I think they will do all
+that is claimed for them.</p>
+
+<blockquote>
+<p>
+Respectfully,<br />
+MRS. ALMEDA BRIGNER,<br />
+Oxford, Furnas Co. Neb,.<br />
+</p>
+</blockquote>
+
+
+<h4>SEVERE LUNG AND BRONCHIAL DISEASE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise208"><img width="90%" alt="Illustration:
+E. Campbell, Esq. " src="images/advise208.png" /></a><br />E. Campbell,
+Esq. </p>
+
+<p><i>Gentlemen</i>&mdash;For some time I have been troubled with a severe lung
+and bronchial disease, following a severe attack of pneumonia. Was raising
+a great amount of pus, had severe night-sweats and was very much
+prostrated, when I was induced to visit Dr. Pierce's Invalid's Hotel and
+Surgical Institute for examination. After having a full statement of my
+case, I paid for one month's treatment in the Sanitarium and during that
+time was fully restored to health. I can not speak too highly of the
+physicians, and this famous Institution.</p>
+
+<p>I take great pleasure in making my cure public and in highly
+recommending this Institution to all afflicted. The Staff of Physicians and
+Surgeons is skillful and of large experience, and I feel confident that all
+the benefit that can possibly be obtained from medical treatment, can be
+obtained at the Invalids' Hotel and Surgical Institute.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+EUGENE CAMPBELL,<br />
+New Cumberland, Hancock Co., W. Va.<br />
+</p>
+</blockquote>
+
+
+<h4>DYSPEPSIA AND CONSUMPTION.</h4>
+
+<p>DR. R.V. PIERCE, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise209"><img width="90%" alt="Illustration:
+Mrs. Ferguson." src="images/advise209.png" /></a><br />Mrs. Ferguson.</p>
+
+<p><i>Dear Sir</i>&mdash;I was not able to do my work for nearly two years, and
+I tried four different doctors and grew worse all the time. Then I began on
+your medicine and took twelve bottles of "Golden Medical Discovery" and one
+of "Favorite Prescription," and am able to do my work and feel as well as I
+have felt in years. Physicians called my disease Dyspepsia and
+Consumption.</p>
+
+<blockquote>
+<p>
+Respectfully yours,<br />
+MRS. R. FERGUSON,<br />
+Ink, Shannon Co., Mo.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_529" id="Page_529"></a>[pg
+529]</span></p><h4>LUNG DISEASE CURED.</h4>
+
+
+
+<p class="rfigure"><a name="advise210"><img width="90%" alt="Illustration:
+Miss M.H. Snead." src="images/advise210.png" /></a><br />Miss M.H.
+Snead.</p>
+
+<p>Will you please accept a few lines from me thanking you for your skill
+in preparing your medicines and placing them within reach of the suffering.
+I have a daughter, Miss M.H. Snead, who has been very low, was almost given
+up by two physicians, who treated her with their best skill, and did not
+receive much benefit. She was first attacked with pneumonia and pleurisy in
+very bad form and was then taken with a very bad cough, which kept growing
+worse and worse, until finally it seemed as though she had consumption very
+bad. The physicians prescribed Cod liver oil, but to no benefit. Mrs.
+Miller, a neighbor of ours, recommended Dr. Pierce's Golden Medical
+Discovery to me with very strong faith, as she had been in the same
+condition and was cured by its use. I procured two bottles and she grew
+better. She hasn't felt any return of lung disease in over twelve months.
+She was nothing but a skeleton when she took the first dose, and to-day she
+weighs 135 pounds. I thought it my duty to write to you in regard to her
+case, as so many other medicines had failed, and it has acted like a
+charm.</p>
+
+<blockquote>
+<p>
+Respectfully yours,<br />
+MRS. SARAH E. SNEAD.<br />
+Clio, Iredell Co., N.C.<br />
+</p>
+</blockquote>
+
+
+<h4>DISEASE OF LUNGS AND STOMACH.</h4>
+
+<p>Locust Lane, Scott County, Va.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Gentlemen</i>&mdash;I am happy to inform you that after consulting you by
+letter and two months' trial of Dr. Pierce's Golden Medical Discovery, I am
+enjoying a better state of health than I have for some time. I have had
+weak lungs for several years&mdash;at times spit up blood. In January, 1893, I
+took a severe cold, which settled on my lungs&mdash;had a very bad cough, it
+seemed as if my lungs were swollen; could not expectorate much at a time,
+very hard to get up; suffered much with pains in my chest; was reduced in
+flesh and became very weak.</p>
+
+<p>Physicians prescribed for me but I found no relief until I consulted
+you. It seemed I was going into consumption very fast. I have as good
+health now as could be expected. I am fifty-seven years of age and able to
+work on my farm, and feel under many obligations for your kind advice. Also
+my stomach was out of order, suffered with burning in my stomach and chest.
+I have no burning nor pains in my stomach and chest now.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+Milton Ramry<br />
+</p>
+</blockquote>
+
+
+<h4>DOCTORS ENDORSE IT.</h4>
+
+<p><b>An Eminent Physician of Arkansas Tells of Some Remarkable Cures of
+Consumption.</b></p>
+
+
+
+<p class="rfigure"><a name="advise211"><img width="90%" alt="Illustration:
+Mrs. Rogers." src="images/advise211.png" /></a><br />Mrs. Rogers.</p>
+
+<p>Dr. PIERCE:&mdash;I will say this to you, that Consumption is hereditary in
+my wife's family; some have already died with the disease. My wife has a
+sister, Mrs. E.A. Cleary, that was taken with consumption. She used your
+"Golden Medical Discovery," and, to the surprise of her many friends, she
+got well. My wife has also had hemorrhages from the lungs, and her sister
+insisted on her using the 'Golden Medical Discovery." I consented to her
+using it, and it relieved her. She has had no symptoms of consumption for
+the past six years. People having this disease can take no better
+remedy.</p>
+
+<blockquote>
+<p>
+Yours truly.<br />
+W.C. Rogers, M.D.<br />
+Stamps, La Fayette Co., Ark.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_530" id="Page_530"></a>[pg
+530]</span></p><h4>CHRONIC BRONCHITIS AND DYSPEPSIA.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL, ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise212"><img width="90%" alt="Illustration:
+A. Rosenberger, Esq." src="images/advise212.png" /></a><br />A.
+Rosenberger, Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;Several years ago I spent many dollars for medicine,
+but in vain, and expected to die with consumption. But hearing of your
+Invalids' Hotel and Surgical Institute, I visited you.</p>
+
+<p>To your advice and treatment I owe my life and present good health.</p>
+
+<p>Hoping that you and your eminent faculty may be spared many years to
+cure the afflicted, I send you my best wishes.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+ALBERT ROSENBERGER,<br />
+Laotto, Noble Co., Ind.<br />
+</p>
+</blockquote>
+
+
+<h4>"SORE THROAT."</h4>
+
+<p>Palatka, Putnam Co., Florida.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Gentlemen</i>&mdash;About seven years ago I was taken with sore throat and
+tried some home remedies, and it grew worse; and then I went to a doctor
+here in town, and after trying his remedies for three or four months, which
+did me no good, then I tried Dr. &mdash;&mdash; remedies; and still I grew worse for
+two years when I wrote you about it. You advised me to take Dr. Pierce's
+Golden Medical Discovery and his "Pellets," according to directions, and
+they would cure me, and so they did after taking eight bottles of the
+"Discovery," and the "Pellets" to keep my bowels regular. We now take the
+"Discovery" and "Pellets" for all our aches and pains, and think there are
+no medicines half so good. We use no other.</p>
+
+<blockquote>
+<p>
+Yours Truly,<br />
+Mrs. Ellen Calvert<br />
+</p>
+</blockquote>
+
+<h4>LUNG AND WOMB DISEASE,</h4>
+
+<p><b>Dropsy, Sick Headache, Dyspepsia and Bloody Piles</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p class="rfigure"><a name="advise213"><img width="90%" alt="Illustration:
+Mrs. Knavel. " src="images/advise213.png" /></a><br />Mrs. Knavel. </p>
+
+<p><i>Gentlemen</i>&mdash;In the winter of 1881, I became irregular in my
+monthly courses. Of course at first I paid but little attention to it,
+hoping it would amount to nothing and probably wear away. But I slowly but
+surely grew worse, and at last resolved to apply to the doctors for help.
+My water came often, and in small quantities, and with great pain, and with
+red brick-dust deposit. I was attacked with severe womb trouble, bloody
+piles and dropsy of the ovary. I was treated by five different doctors. I
+was compelled to wear an inside support for a year, but it still seemed
+impossible for me to get well and I began to feel exceedingly alarmed and
+very uneasy, not knowing what course to pursue, or what the consequences
+might be. I had heard of Dr. Pierce, and concluded to make one more trial,
+so I sat down and wrote a letter to him, stating matters as near as I
+could, and in due time I received a favorable reply; then I commenced with
+his medicine. I commenced somewhere in February 1891 with the "Golden
+Medical Discovery" and "Favorite Prescription," in alternate doses. A
+strange occurrence followed. My limbs felt like what we call "asleep," and
+I felt as if I were in a strange land and wondered what was going to take
+place. I kept on till I took nine bottles. The first relief I felt was from
+sick headache, which I had been troubled with for many years; I was also
+cured of a very bad cough which I had been troubled with for many years,
+and of dyspepsia of long standing. I was entirely cured of a very singular
+and severe itching on my back, between my shoulders, which our doctor's
+called winter itch and which they pronounced incurable. I had suffered with
+this for twenty years; it would come in the winter and go away in the
+summer. I was also cured of the worst form of bloody piles and of womb
+disease. At present I feel like a new person.</p>
+
+<p>When I first commenced with Dr. Pierce's medicines, I could not walk
+half <span class="pagenum"><a name="Page_531" id="Page_531"></a>[pg
+531]</span>a mile without a pain. The other day I walked to Mercersburgh
+post-office, a distance of twelve miles, and the next day walked back
+again, and felt no bad results from the Journey. I am now 51 years old.</p>
+
+<p>Mrs. Knavel further writes, that "To any person desiring to know more
+concerning my case and its wonderful cure, and who will enclose to me a
+return self-addressed and stamped envelope for reply, I will be pleased to
+write further information."</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+SARAH A. KNAVEL,<br />
+Indian Springs, Washington Co. Md.<br />
+</p>
+</blockquote>
+
+
+<h4>BRONCHITIS AND LUNG DISEASE.</h4>
+
+
+
+<p class="lfigure"><a name="advise214"><img width="90%" alt="Illustration:
+Mrs. Neal." src="images/advise214.png" /></a><br />Mrs. Neal.</p>
+
+<p>Mrs. Neal, of Crockett Mills, Tenn., had an attack of measles, followed
+by <i>bronchitis</i> and <i>pneumonia</i>. Her husband writes: "I feel
+gratified with the effect of your wonderful medicine. I can recommend it to
+anybody, and feel I am doing them justice. My wife was not able to perform
+her household duties for six months. She has used two bottles of 'Golden
+Medical Discovery,' and is now able to do all her work. I think it the
+finest medicine in the world, and I am, gratefully,</p>
+
+<blockquote>
+<p>
+Your life-long friend,<br />
+J.B. NEAL."<br />
+</p>
+</blockquote>
+
+
+<h4>BLEEDING FROM LUNGS; CHRONIC CATARRH; VERY LOW.</h4>
+
+<p><b>Cured by Special Home-Treatment</b></p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION: Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise215"><img width="90%" alt="Illustration:
+G.R. Sprinkle." src="images/advise215.png" /></a><br />G.R. Sprinkle.</p>
+
+<p><i>Gentlemen</i>&mdash;I was very low&mdash;almost given up by two physicians who
+treated me with their very best skill and did not receive much benefit. I
+was attacked with "La Grippe" in December, 1891, and pleurisy, and was
+taken with a very bad cough, which kept growing worse. The physicians
+prescribed Emulsion of Cod Liver Oil, but no benefit. In June, 1892, I bled
+from the lungs; everybody thought I would die. A friend told me to try Dr.
+Pierce's medicines. I did so, and after taking six months' home-treatment I
+was cured. When I commenced taking his treatment I only weighed 130 pounds,
+now I weigh 175, and can do as good a day's work as I ever could. I can
+cheerfully say that I believe I owe my life to his valuable medicines.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+G. RILEY SPRINKLE,<br />
+California Creek, Madison Co., N.C.<br />
+</p>
+</blockquote>
+
+
+<h4>LUNG DISEASE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise216"><img width="90%" alt="Illustration:
+Mrs. Van Baskirk." src="images/advise216.png" /></a><br />Mrs. Van
+Baskirk.</p>
+
+<p><i>Gentlemen</i>&mdash;I was troubled with my lungs and stomach for five
+years. I could do no work hardly until I used Dr. Pierce's Golden Medical
+Discovery. After using five bottles of the "Golden Medical Discovery" and
+three vials of the "Pleasant Pellets" I was cured, and now I am doing the
+work for a family of nine. I tried other medicines and nothing would do me
+any good, and if I had not gotten your medicine I would have been in my
+grave. I could not recommend it too highly for the good it did me; it is
+the best medicine I ever got hold of.</p>
+
+<blockquote>
+<p>
+MRS. E.C. VAN BOSKIRK,<br />
+Selin's Grove, Snyder Co., Penn.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_532" id="Page_532"></a>[pg
+532]</span></p><h4>"COMPLETELY BROKEN DOWN"</h4>
+
+<p><b>From Dyspepsia, Catarrh, Spinal Disease&mdash;Nervous Prostration</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise217"><img width="90%" alt="Illustration:
+C.M. Niles, Esq." src="images/advise217.png" /></a><br />C.M. Niles,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I wish to express my heartfelt thanks to you for the
+wonderful cure that your special remedies performed in my case. In the
+Spring of 1891, I had a severe attack of La Grippe, which left me in bad
+shape. I consulted as good a physician as there was in the county, and he
+told me that I was suffering from enlargement of the heart and that I must
+be very careful about taking: any violent exercise, and I must not allow
+myself to get excited, as excitement of any kind might prove fatal. He gave
+me remedies for my trouble which made me feel some better; but being a
+farmer I was obliged to work hard and soon began to run down. I began to
+have spells of a terribly deathly sinking feeling at my stomach and a
+terrible pressure at the heart&mdash;in the region of the heart, and sometimes I
+would fall prostrate and although I was conscious all the time I could not
+speak aloud.</p>
+
+<p>The last of October, 1891, while doing my chores in the morning, I had
+one of those bad spells and upset my lantern, which resulted in my losing
+my buildings by fire.</p>
+
+<p>My wife was out of health at that time&mdash;she, too, was suffering from the
+effects of La Grippe. Having lost everything eatable for ourselves and
+stock, I was forced to work very hard to get through the winter. The next
+February, 1892, we had another attack of La Grippe, which resulted in the
+death of my beloved wife. The next May, this terrible affliction together
+with hard work completely broke me down and although I was doctoring all
+the time I kept steadily growing worse. I got so bad that I could not sleep
+more than two or three hours any night and very often I would go all night
+without closing my eyes at all.</p>
+
+<p>The last of September, I had to give up work almost entirely. I got so
+that I <i>could not walk one-fourth of a mile without being completely
+exhausted</i>. One physician whom I consulted said I was suffering with
+nervous prostration and gave me medicine for it, but I got no better. My
+food distressed me terribly and after eating, it would sour and I would
+have to vomit up the most that I had eaten. At last, I got so I had to live
+on bread made of wheat middlings and for about three months I could not eat
+anything else, although it seemed as though I should starve to death. I
+thought I would give anything if I could eat a hearty meal of anything that
+I wanted, but did not dare to because every kind of food distressed me so.
+My bowels became badly constipated and for three months I did not have a
+natural operation of the bowels; and I suffered very much with catarrh, and
+there was such a pressure across my forehead that it seemed sometimes as
+though it would burst. I became very despondent. I did not want to go
+anywhere, neither did I want to see any one, everything looked dark and
+gloomy to me. When well, I was naturally or a lively disposition and a
+great hand to joke with my friends, but no one could say anything funny
+enough to get a smile out of me then. I was always very fond of music too,
+but I could not bear to hear a bit of music, neither vocal nor
+instrumental. About the first of February, 1893, some of my friends
+prevailed upon me to consult a physician who made a specialty of treating
+chronic nervous troubles; he said I had no organic trouble of the heart and
+that it was caused by my stomach being out of order; he said that I had a
+bad kidney trouble and that my spine was affected, and that unless I got
+help it would end in "Locomotor Ataxia." He said he could help me but it
+would probably take a year to cure me. He let me have a month's treatment
+and gave me advice in regard to diet, etc. I thought for awhile that it was
+helping me but soon I began to go down hill again, and as a last resort I
+began to take some of the cure-alls (patent) with which the country is
+flooded; but I soon became disgusted with them and made up my mind there
+was no help for me. I had to use about all the strength I had to walk; I
+could not lift my left foot up to step over anything&mdash;had to draw it after
+me; I could hardly sleep; neither could I transact any business, in fact I
+did not take any interest in any of my affairs. It seemed to me as though I
+did not have a friend on earth, and I longed for death to come to put me
+out of my misery.</p>
+
+<p>My son, with whom I was living, had been trying for a long time to get
+me to send to you for treatment, but I had paid out so much money and
+received no benefit from it, that I did not believe there was any help for
+me.</p>
+
+<p>At last I thought I would write you what I could of my symptoms, and get
+your opinion of my case, but it took me about two days to write the letter.
+My head felt so bad that I could not collect myself enough to describe my
+feelings. You wrote me that my trouble was caused by indigestion,
+dyspepsia, catarrh, and spinal affection, and that you could cure me, and
+in fact, make a new man of me if I would send for your special treatment
+and follow your advice. My son sent for the medicine for me. I took it and
+followed your directions as near as I <span class="pagenum"><a
+name="Page_533" id="Page_533"></a>[pg 533]</span>could; the first week I
+could not see much of any change&mdash;the second week I could see that I was
+improving some, the third week I could look back and see that I had gained
+considerable. I could sleep better; the bloating in my bowels did not
+trouble me so bad; my stomach did not distress me so much and I could eat
+different kinds of food and my digestion seemed to be improving fast; and
+by using your Special Catarrh Remedy my nose began to run (it had been
+nearly six months that my nose was perfectly dry) and one day it felt as
+though something gave way in my head&mdash;it seemed to be back, in behind my
+eyes, and I blowed a large amount of filth out of my head that looked like
+the yolk of an egg, and it was nearly as thick as jelly; after that my head
+began to improve rapidly and I began to gain in flesh and strength, and the
+best of all is, I have kept right on gaining until at the present time <i>I
+feel as well as I ever did in my life</i>. Sleep well, can eat three hearty
+meals every day and digest them too, and eat anything I want, and seven
+days in a week.</p>
+
+<p>To look back now I don't see why I did not apply to you when I was first
+taken sick. For about ten years ago. I had treatment of you for catarrh,
+liver and kidney trouble, and you helped me then; also, about eight years
+ago my wife had two months' treatment from you which helped her of the
+troubles from which she was suffering at that time. All the reasons that I
+can give, is, that owing to financial troubles and having to pay out so
+much for sickness, I could not seem to get the money (that I could spare)
+to pay for the treatment.</p>
+
+<p>Gentlemen, I wish I could express my thanks to you for what you have
+done for me, but I cannot do it. I am a poor hand to express myself, but I
+consider my restoration to health almost a miracle, and I firmly believe
+that I owe my life to you, for I do not believe that I should have lived
+till the present time had it not been for your Special Treatment. Now, if
+there is any part of this letter that you would wish to publish, you are at
+liberty to do so: and if it would be the means of directing any suffering
+fellow being to a place where they can get relief, I shall be very
+thankful.</p>
+
+<blockquote>
+<p>
+Respectfully,<br />
+C.M. NILES,<br />
+East New Portland, Somerset Co., Maine.<br />
+</p>
+</blockquote>
+
+
+<h4>CATARRH, INDIGESTION, AND NERVOUSNESS.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise218"><img width="90%" alt="Illustration:
+E.A. Baldwin, Esq." src="images/advise218.png" /></a><br />E.A. Baldwin,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;For a long time I was suffering from indigestion,
+catarrh and nervousness. I was so run down that I could not go to school,
+and, as the various remedies I tried did me no good, I applied to you, and
+was advised to try a course of special treatment. After taking only two
+months' medicines from your noble institution, I feel perfectly restored to
+health. I have, moreover, recovered my lost flesh, and I am pleased to say
+need no further medicines.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+E.A. BALDWIN,<br />
+Proctorsville, Windsor Co., Vermont.<br />
+</p>
+</blockquote>
+
+
+<h4>NASAL CATARRH.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise219"><img width="90%" alt="Illustration:
+Miss Pollak." src="images/advise219.png" /></a><br />Miss Pollak.</p>
+
+<p><i>Gentlemen</i>&mdash;My daughter had for many months severe nasal catarrh
+with sores forming on the inside of nose; if not attended promptly the
+sores would come out on bridge of nose and also in the corner of nose and
+upper lip. We had several physicians attending her, but they gave her only
+temporary relief. We were advised by a friend who had used your remedies to
+try them. After using thirteen bottles of Doctor Sage's Catarrh Remedy, and
+at the same time two bottles of Doctor Pierce's Golden Medical Discovery my
+daughter was completely cured of the dreaded disease and in the past three
+years has had no symptoms of the disease ever coming back. I am satisfied
+the above medicines will cure any kind of catarrh.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+JOSEPH POLLAK,<br />
+McPherson, McPherson Co., Kan.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_534" id="Page_534"></a>[pg
+534]</span></p><h4>CHRONIC NASAL CATARRH</h4>
+
+<p><b>Resulted In lung Disease. Despaired of Obtaining Relief</b>.</p>
+
+<p>DR. R.V. PIERCE, 663 Main Street, Buffalo N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise220"><img width="90%" alt="Illustration:
+H.J. Converse, Esq." src="images/advise220.png" /></a><br />H.J. Converse,
+Esq.</p>
+
+<p><i>Dear Sir</i>&mdash;Without solicitation from you, I feel it my duty to
+suffering humanity, to make known the virtues of your medicine in curing
+catarrh. About ten years ago, I first began to realize that I was the
+victim of nasal catarrh; I tried every known remedy, but gradually grew
+worse. My ears would gather and break; nights of restlessness would succeed
+days of agony. The disease finally attacked my left lung, and I despaired
+of obtaining relief. About six years since I began the use of Dr. Sage's
+Catarrh Remedy, in connection with the "Golden Medical Discovery," and by
+the persistent use of the above remedies I feel that I am completely cured
+of this loathsome disease.</p>
+
+<p>For attacks of biliousness, coughs and colds, I think there is nothing
+equal to the "Discovery," and I bless the day that I first began the use of
+your remedies.</p>
+
+<blockquote>
+<p>
+Very respectfully,<br />
+HOWARD J. CONVERSE,<br />
+Civil Engineer,<br />
+Plain City, Madison Co., Ohio.<br />
+</p>
+</blockquote>
+
+
+<h4>A TERRIBLE CASE OF CATARRH.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise221"><img width="90%" alt="Illustration:
+Mrs. Lansing." src="images/advise221.png" /></a><br />Mrs. Lansing.</p>
+
+<p><i>Gentlemen</i>&mdash;I suffered for two years with catarrh in the head,
+having very severe pains in the top of my head. A hunch came on the side
+and back of my head&mdash;my whole head and face were so sore and sensitive that
+a pillow of down felt hard, and I was obliged to change my position often.
+I could not breathe through my nose at all and was obliged to keep my bed
+fully one half of the time, and could not collect my thoughts to think
+steadily on any subject&mdash;I was really afraid of losing my reason. I got all
+run-down and was "out of sorts" in general; then I commenced using Dr.
+Sage's Catarrh Remedy and Dr. Pierce's Golden Medical Discovery. To-day my
+health is good and I have no catarrh.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+MRS. JAMES LANSING,<br />
+Fort Edward, Washington Co., N.Y.<br />
+</p>
+</blockquote>
+
+
+<h4>CATARRH AND GENERAL DEBILITY.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise222"><img width="90%" alt="Illustration:
+Thos. Lewis, Esq." src="images/advise222.png" /></a><br />Thos. Lewis,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;Being an invalid for many years and trying home
+physicians without benefit, I went to the Invalids' Hotel and Surgical
+Institute, and can most highly recommend this place to all sufferers. I had
+a severe attack of catarrh and general debility, and after a short stay at
+this Institute, my whole system was toned up and I was soon enjoying
+perfect health.</p>
+
+<p>I can truthfully say that this institution fully merits all the praise
+that could be given it. I never lose an opportunity to recommend all my
+suffering friends to the Faculty of this Association, for I believe it is
+in advance of its kind in the world. The physicians and surgeons are
+skillful and of wide experience, the nurses kind and thoughtful, the rooms
+large and pleasant, and everything is done to make the visit of any one
+pleasant as well as beneficial in the highest degree.</p>
+
+<p>I do not hesitate to urge all invalids, no matter what their trouble, to
+place themselves under the care of the eminent physicians of this
+institution, being confident that they can give them all the relief that
+possibly can be obtained from medical treatment and skill.</p>
+
+<blockquote>
+<p>
+Truly yours,<br />
+THOMAS LEWIS,<br />
+Kamas, Summit County, Utah.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_535" id="Page_535"></a>[pg
+535]</span></p><h4>CATARRH AND LIVER COMPLAINT.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise223"><img width="90%" alt="Illustration:
+Wm. King, Esq." src="images/advise223.png" /></a><br />Wm. King, Esq.</p>
+
+<p><i>Dear Sirs</i>&mdash;After suffering for several years with nasal catarrh
+and liver complaint, and having become greatly reduced in health, as a last
+resort I placed myself in your hands for treatment My improvement began
+almost immediately after entering your institution. I was enabled to leave
+at the end of one month, having experienced great benefit. The treatment
+was continued at home for a few months, after which my cure was complete.
+At the present time, I am able for office work, and feel that I am
+completely cured of the catarrh and have but little if any trouble with my
+liver. I shall lose no opportunity to recommend your institution or your
+medicines to the afflicted. I do most unhesitatingly recommend chronic
+sufferers to visit your institution or take your remedies at home.</p>
+
+<blockquote>
+<p>
+Sincerely yours,<br />
+WILLIAM KING,<br />
+Rose Bud,<br />
+Pope Co., Ills.<br />
+</p>
+</blockquote>
+
+
+<h4>CATARRH, BRONCHITIS, LIVER COMPLAINT AND DYSPEPSIA.</h4>
+
+<p>Ely, White Pine Co., Nevada.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Gentlemen</i>&mdash;For ten years I was greatly afflicted with Catarrh,
+Bronchitis, Liver Complaint, and Dyspepsia. I tried many doctors and
+remedies to see if I could not obtain relief, but I grew constantly worse
+instead of better.</p>
+
+<p>I heard much concerning the Invalids' Hotel and Surgical Institute at
+Buffalo. I concluded to go there and try and obtain some benefit. I staid a
+month in this famous Institution, and during that time made fine
+improvement, and when I left felt like another man.</p>
+
+<p>I can truthfully recommend this world-renowned Institution to all the
+afflicted. The Institution itself, in all its appointments, is far in
+advance of the age. It is more like a home than a hospital; the rooms are
+large and pleasant; the table the very best; the nurses kind and
+considerate, and the doctors skillful and of wide experience. While there I
+saw and talked with a great number of people who had come to this
+Institution as a last resort, and they were all unanimous in their
+praise.</p>
+
+<p>I cannot say too much in favor of the World's Dispensary Medical
+Association and its Staff of skilled attendants, nor can I too strongly
+urge all sufferers to go there, being confident that all within the power
+of medical science and skill can be done for them there. Would send you my
+photograph as requested, but there is not a photograph gallery within a
+hundred miles of here. Yours truly,</p>
+
+<blockquote>
+<p>D.D. Phillips</p>
+</blockquote>
+
+
+<h4>BRONCHITIS; CATARRH.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, 663 Main St., Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise224"><img width="90%" alt="Illustration:
+Mrs. Osborne." src="images/advise224.png" /></a><br />Mrs. Osborne.</p>
+
+<p><i>Gentlemen</i>&mdash;I was troubled for several years with bronchial
+disease, having a severe cough a good share of the time. Some of my friends
+thought I had consumption; I got so weak I could scarcely walk across the
+floor, and raised a good deal. I commenced taking Dr. Pierce's Golden
+Medical Discovery and my cough soon got better, and I have not been
+troubled with it since. That was four years ago; I took only three bottles.
+I would recommend it to all having throat or lung trouble. I have also used
+Dr. Sage's Catarrh Remedy with equally good results. I believe that no one
+need suffer long with chronic catarrh who is within reach of this
+remedy.</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+MRS. LENA OSBORNE,<br />
+Ripley, Chautauqua Co., N.Y.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_536" id="Page_536"></a>[pg
+536]</span></p><h4>NASAL CATARRH, LUNG DISEASE, INDIGESTION, ETC.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise226"><img width="90%" alt="Illustration:
+H.A. Milne, Esq." src="images/advise226.png" /></a><br />H.A. Milne,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;Five years since my family physician pronounced my
+case Pulmonary Consumption. Since that time I nave taken various
+treatments, some of which have given relief. One treatment that was
+administered for nasal catarrh, from which I continued to be affected,
+caused erosion of the mucous membrane, and destruction of the bony septum
+which separates the two nostrils. Took cold quite easily, suffered from
+considerable nasal catarrh, with discharges passing posteriorly dropping
+into the throat; occasional cough with some shortness of breath on
+exertion. A deep inspiration caused a dizzy sensation in the head; eyesight
+was impaired as well as the memory. After sitting for a time, and then
+quickly rising I suffered from blindness as well as a dizzy feeling in the
+head. I never felt that I was entirely cured of my lung trouble, having
+many of the symptoms which are common to those in the incipient stage of
+consumption. I also suffered from indigestion, torpidity of the liver, and
+constipation of the bowels.</p>
+
+<p>Upon consulting at your Institution, was advised at once to begin the
+course of specially prepared medicines as indicated in my case. In all, I
+have only taken two months' special treatment, and it has now been six
+months since I have required any medicine; all symptoms of disease have
+entirely disappeared, and I desire to thank you for the interest you have
+taken in my case, and the treatment prescribed. I have no objection to your
+publishing my testimony, if by so doing others may be induced to place
+themselves under your care for treatment at your Institution, or have
+medicines sent to their homes.</p>
+
+<blockquote>
+<p>
+Respectfully yours, H.A. MILNE,<br />
+Mekinock, Grand Forks Co., North Dakota.<br />
+</p>
+</blockquote>
+
+
+<h4>CONSUMPTION.</h4>
+
+<p>Ashland, Middlesex Co., Mass., (Box 171).</p>
+
+<p>DR. E.V. PIERCE, Buffalo, N.Y.:</p>
+
+<p><i>Dear Sir</i>&mdash;It is now eight years since I took Dr. Pierce's Golden
+Medical Discovery. I had a very bad cough, also night-sweats, and was
+almost in my grave, as we thought, with consumption, when a friend of mine
+who died with consumption came to me in a dream and told me to take Dr.
+Pierce's Golden Medical Discovery, and, thank the Lord, I did so. By the
+time I had taken half of the first bottle I felt so much better, I kept on
+till I had taken three bottles, that was all I needed. I got well and
+strong again.</p>
+
+<blockquote>
+<p>
+Sincerely yours,<br />
+Clura McIntyre<br />
+</p>
+</blockquote>
+
+
+<h4>CHRONIC NASAL CATARRH.</h4>
+
+<p>DR. R.V. PIERCE, NO. 663 Main St., Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise228"><img width="90%" alt="Illustration:
+Mrs. Flemming." src="images/advise228.png" /></a><br />Mrs. Flemming.</p>
+
+<p><i>Dear Sir</i>&mdash;I had been troubled with chronic nasal catarrh for a
+year; could not sleep at night or rest in the day, because I could not
+breathe through my nose. I tried everything I was told of, and all failed
+to cure. I read about Dr. Pierce's remedies and thought I would try them. I
+used three bottles of Dr. Pierce's Golden Medical Discovery, four of Dr.
+Sage's Catarrh Remedy, and I was relieved within two weeks. I continued
+these medicines for four weeks, and am perfectly cured. I would advise any
+one who is troubled with catarrh to use Dr. Pierce's medicines. I am very
+thankful for the remedies.</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+MRS. M. FLEMMING,<br />
+698 17th Ave., Milwaukee, Wis.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_537" id="Page_537"></a>[pg
+537]</span></p><h4>NASAL CATARRH AND DYSPEPSIA.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise229"><img width="90%" alt="Illustration:
+Mrs. Nuckolls." src="images/advise229.png" /></a><br />Mrs. Nuckolls.</p>
+
+<p><i>Gentlemen</i>&mdash;Twenty years ago I was nearly dead with nasal catarrh.
+I had it several years before I knew what it was, then I read Dr. Pierce's
+description of catarrh. I felt as he described. No one else had ever been
+able to tell me anything of the symptoms he described. I simply concluded
+that if he could so minutely describe, he could also relieve, and I
+immediately placed myself under his treatment&mdash;by correspondence. In a few
+months I was entirely relieved and have not suffered from it since.</p>
+
+<p>At the time I placed myself under his care I could not breathe with my
+mouth closed. My friends thought I could live only a few months more. I
+have had no return of catarrh and enjoy good health. I believe Dr. Pierce's
+treatment will cure any case of catarrh.</p>
+
+<p>Nine years ago I was under Dr. Pierce's treatment (by correspondence)
+for dyspepsia. After a few months' treatment I was entirely cured of that
+terrible disease.</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+MRS. HENRY NUCKOLLS,<br />
+Rockville, Hanover County, Va.<br />
+</p>
+</blockquote>
+
+
+<h4>CATARRH OF TWENTY YEARS' STANDING.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise230"><img width="90%" alt="Illustration:
+J. Weaver, Esq." src="images/advise230.png" /></a><br />J. Weaver, Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;My catarrh was of about twenty years' standing; my
+left nostril closed, I could not breathe through it; had a constant pain
+above my left eye night and day. I commenced using Dr. Sage's Catarrh
+Remedy, at the same time using the "Golden Medical Discovery"; I used one
+package and one bottle of "Golden Medical Discovery" and I found great
+relief; after using the second I thought all was right, but I began to feel
+the effects of it again, so I got the third and fourth packages, and I am
+satisfied I am rid of it. Since I commenced using your medicines, I have
+taken six bottles of Dr. Pierce's Golden Medical Discovery.</p>
+
+<blockquote>
+<p>
+Yours respectfully, JOHN WEAVER,<br />
+West Carrollton,<br />
+Montgomery Co., Ohio.<br />
+</p>
+</blockquote>
+
+
+<h4>CHRONIC NASAL CATARRH CAUSES GREAT SUFFERING.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise231"><img width="90%" alt="Illustration:
+Mrs. Crocker." src="images/advise231.png" /></a><br />Mrs. Crocker.</p>
+
+<p><i>Gentlemen</i>&mdash;I had been a great sufferer from nasal catarrh for a
+number of years which greatly debilitated my system, and in consequence,
+have been in poor health for the last five years.</p>
+
+<p>Slight exposure would cause bronchial trouble, but kept up under it
+until a little more than two years ago when I was taken with "La Grippe,"
+which greatly aggravated my other troubles; and for more than six months
+before consulting you was scarcely able to do anything; <i>could not
+breathe through my nostrils</i> only a little while at a time either day or
+night; I suffered <i>dreadfully</i>, having at times <i>terrible pains in
+my head</i> being unable to sleep some nights more than two hours and then
+not without dreaming, and when I awoke my head felt worse then when I
+retired. Had indigestion, chronic constipation and stomach trouble.</p>
+
+<p>A little more than a year ago, while reading in one of your Memorandum
+Books I decided to try your Dr. Pierce's Golden Medical Discovery,
+"Favorite Prescription" and "Pellets;" and after using several bottles, I
+began to get better and to get some strength, but my catarrh remained about
+the same until I consulted you by letter and the remedy prescribed proved
+effectual; after three months' treatment, I am able to do most of my house
+work.</p>
+
+<blockquote>
+<p>
+Yours respectfully, MRS. SARA M. CROCKER.<br />
+P.O. Box 332. Niantic, New London Co., Ct.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_538" id="Page_538"></a>[pg
+538]</span></p><h4>CHRONIC NASAL CATARRH.</h4>
+
+<p><b>Thought His Case Hopeless&mdash;Two Bottles Care</b>.</p>
+
+<p>WORLD'S DISPENSARY-MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise232"><img width="90%" alt="Illustration:
+A.G. Meise, Esq. " src="images/advise232.png" /></a><br />A.G. Meise, Esq.
+</p>
+
+<p>It gives me great pleasure to testify to the merits of Dr. Sage's
+Catarrh Remedy. I can say honestly and candidly that it is the grandest
+medicine ever compounded for catarrh. I suffered terribly with that
+dreadful disease and thought my case a hopeless one. I have expended on my
+case about forty dollars for different remedies guaranteed to cure catarrh
+in its worst form, but received no benefit therefrom. I also received
+treatment from two physicians, but they did me no good. Having read a great
+deal about Dr. Sage's Catarrh Remedy, I concluded to try it. The first
+bottle gave the most pleasing results, and the second bottle completely
+cured my case, which I considered hopeless. I most heartily recommend Dr.
+Sage's Catarrh Remedy to all suffering from catarrh, with the assurance
+that it will surely cure. It is a great boon to suffering humanity. Hoping
+that this humble testimony may be the means of leading many sufferers to
+try your most valuable medicine with the same happy results as I
+experienced, and wishing you the best of success, I am,</p>
+
+<blockquote>
+<p>
+Yours sincerely, AUGUST G. MEISE,<br />
+Vincennes, Ind.<br />
+</p>
+</blockquote>
+
+
+<h4>NASAL CATARRH.</h4>
+
+<p>Naples, Uinta Co., Utah.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Gentlemen</i>&mdash;I have been using Dr. Sage's Catarrh Remedy and have
+been taking "Golden Medical Discovery" since I last wrote to you. I am well
+pleased with the result. I feel better than I have for years. The "Golden
+Medical Discovery" caused a very unpleasant sensation to pass through my
+body at first but I do not feel it much now. I have recommended it to
+others and the only complaint I hear now is that our druggist cannot keep a
+supply on hand.</p>
+
+<p>I take pleasure in reporting my case to you, and I feel that the
+interest you have taken in my case has been a blessing unto me.</p>
+
+<p>My mother has suffered with bad legs for over twenty years and last fall
+they got so bad she was unable to walk. She has taken "Golden Medical
+Discovery" all winter and is now able to walk a little. She says she feels
+better in body than she has for years. She has spent the most of her life
+among the sick and speaks very highly of your medicines.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+Geo A. Slough<br />
+</p>
+</blockquote>
+
+
+<h4>IMPURE BLOOD AND CATARRH.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, 663 Main St., Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise234"><img width="90%" alt="Illustration:
+Rev. J.H. Tate. " src="images/advise234.png" /></a><br />Rev. J.H. Tate.
+</p>
+
+<p><i>Gentlemen</i>&mdash;My health is better now than it has been in ten years.
+I used six bottles of "Golden Medical Discovery," and three bottles Doctor
+Sage's Catarrh Remedy, and since using your medicines I have been able to
+do more work than before. I have been teaching school since my health got
+better and last year I was able to travel and preach fifty-nine sermons,
+besides my work of teaching.</p>
+
+<p>For four years I suffered with catarrh in my head, and impure blood,
+until my health was very feeble. Dr. Pierce's Golden Medical Discovery I
+found to be the best blood-purifier I ever used. Had I not used your
+remedies I believe that I would have been dead to-day, or at least not able
+to say anything. But instead of that I am able to walk one and one-half
+miles and teach school every day.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+REV. J.H. TATE,<br />
+Wahoo, Sullivan Co., Tenn.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_539" id="Page_539"></a>[pg
+539]</span></p><h4>CATARRH AND DYSPEPSIA</h4>
+
+<p><b>Cured by Special Home-Treatment.</b></p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise235"><img width="90%" alt="Illustration:
+B. Eberhardt, Esq." src="images/advise235.png" /></a><br />B. Eberhardt,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I am happy to inform you that my catarrh and dyspeptic
+symptoms have all vanished. I am no longer troubled with headache and
+stoppage of the nose, my stomach is in good order, and I enjoy three hearty
+meals daily without any bad feelings.</p>
+
+<p>I have gained in almost every respect, particularly in weight and
+strength, since beginning the use of your specially prepared medicines. By
+continuing to follow your special hygienic rules, I believe no relapse will
+occur.</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+BERTHOLD EBERHARDT,<br />
+N.E. Cor. 10th and Callowhill Streets,<br />
+Philadelphia, Pa.<br />
+</p>
+</blockquote>
+
+<h4>NASAL CATARRH.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p class="rfigure"><a name="advise236"><img width="90%" alt="Illustration:
+M.D. Ingram, Esq. " src="images/advise236.png" /></a><br />M.D. Ingram,
+Esq. </p>
+
+<p><i>Gentlemen</i>&mdash;I have used your Dr. Sage's Catarrh Remedy and Dr.
+R.V. Pierce's Golden Medical Discovery and they cured me of a severe
+Catarrh in the Head. I can honestly recommend them to all who may suffer
+from that distressing disease.</p>
+
+<blockquote>
+<p>
+Yours truly.<br />
+M.D. INGRAM,<br />
+Ingram, Bell Co., Ky.<br />
+</p>
+</blockquote>
+
+<p>Mr. Ingram had suffered for many years from the most distressing
+symptoms, such as profuse offensive discharge from nose, stopping up of
+nose, sneezing, weak eyes and frequent headache.</p>
+
+
+<h4>CHRONIC NASAL CATARRH AND LUNG DISEASE.</h4>
+
+<p>Marlow, Baldwin Co., Ala.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Gentlemen</i>&mdash;I had catarrh in the head for years, and trouble with
+my left lung at the same time. You put so much faith in your remedies that
+I concluded to try one bottle or two, and I derived much benefit therefrom.
+I used up three bottles of Dr. Sage's Catarrh Remedy, five bottles of your
+"Golden Medical Discovery," and in four months I was myself again. I could
+not sleep on my left side, and now I can sleep and eat heartily. So long as
+I have your medicines on hand I have no need of a doctor; I do not think my
+house in order without them.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+A.H. Heard<br />
+</p>
+</blockquote>
+
+
+<h4>A DEBT OF GRATITUDE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise238"><img width="90%" alt="Illustration:
+Prof. W. Hausner, Famous Mesmerist." src="images/advise238.png" /></a><br
+/>Prof. W. Hausner, Famous Mesmerist.</p>
+
+<p><i>Gentlemen</i>&mdash;Some ten years ago I suffered untold agony from
+chronic nasal catarrh. My family physician gave me up as incurable, and
+said I must die. At this time I weighed 110 pounds. My case was such a bad
+one, that every day, towards sunset, my voice would become so hoarse I
+could barely speak above a whisper. In the morning my coughing and clearing
+of my throat would almost strangle me. By the use of Dr. Sage's Catarrh
+Remedy in three months I was a well man; the cure has been permanent, and I
+now weigh 148 pounds.</p>
+
+<blockquote>
+<p>
+Yours truly, PROF. W. HAUSNER,<br />
+Ithaca, Tompkins Co., N.Y.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_540" id="Page_540"></a>[pg
+540]</span></p><h4>CATARRH, DEAFNESS AND OTHER COMPLICATIONS.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise239"><img width="90%" alt="Illustration:
+M.C. Weaver, Esq." src="images/advise239.png" /></a><br />M.C. Weaver,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I take pleasure in announcing to you that I have been
+greatly benefited by your medicines; my trouble began with nasal catarrh
+and extended to my throat and ears; my bowels were inactive and my general
+health became impaired; my worst trouble, however, was dullness of hearing.
+I had an uncomfortable, bad feeling in my ears&mdash;akin to earache; I had a
+watery discharge from the nose; I had to hawk and spit a great deal at
+times; my mind was greatly affected also and had a great deal of pain in
+the head. Upon advice of friends to try your medicines I resolved to do so.
+Have used six bottles of your "Golden Medical Discovery" and two bottles of
+Sage's Catarrh Remedy. The pain in my head is gone and my health is greatly
+improved and am working every day, something I could not do before. My
+appetite is good.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+MORRIS C. WEAVER,<br />
+No. 171 E. Genesee St., Buffalo, N.Y.<br />
+</p>
+</blockquote>
+
+
+<h4>BRONCHIAL DISEASE.</h4>
+
+<p>Clifford, Susquehanna Co., Penna.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Gentlemen</i>&mdash;The doctors said I had bronchitis, and I doctored with
+five different physicians before taking your medicines. My throat would
+bleed from three to five times a day&mdash;half a dozen mouthfuls perhaps&mdash;as
+fresh as if you had cut your finger, and I was in a generally weakened
+state although able to be about the house, but the least exertion would
+make me tremble. Finally I purchased one of Dr. Pierce's Common Sense
+Medical Advisers, and read it a good deal, and so was induced to take your
+medicines. I took in all seven bottles of the "Golden Medical Discovery,"
+one of the "Favorite Prescription," and one bottle of Dr. Sage's Catarrh
+Remedy, and some of the "Pellets," and they did everything for me&mdash;more
+than anything else I ever tried. In about six months' time I was well. Now,
+my throat does not trouble me unless I take cold. It has been about six
+years since I took your medicines, and I think they cured me.</p>
+
+<p>I think there are no medicines equal to your medicines, and would
+recommend them to all suffering ones.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+Mrs. Lewis Johnson<br />
+</p>
+</blockquote>
+
+
+<h4>CATARRH.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise241"><img width="90%" alt="Illustration:
+D. Miner, Esq." src="images/advise241.png" /></a><br />D. Miner, Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I had the catarrh in the head for about fifteen years;
+my head was always stopped up and I had pains almost constantly. My nose
+would run, and stuff would fall into my throat whenever I would lie down,
+and at other times it seemed dry and crusty, and then my head would become
+stopped up and I would suffer again.</p>
+
+<p>I used cubebs and glycerine for a long time; they only relieved me while
+I was using them. I used several other kinds of stuff, but I received no
+benefit from them. I had nearly given up in despair. At last I came across
+one of your advertisements of Dr. Sage's Catarrh Remedy in one of your
+Memorandum Books, and I thought I would try it. It is the grandest thing on
+earth. I was thankful to God I found something at last to stop my
+suffering. May God bless you, dear friends, for saving my life.</p>
+
+<p>I used your medicine about eight weeks: it only took two bottles to cure
+me sound and well after all the rest had failed.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+DAVID MINER,<br />
+Bridgeport, Marion Co., Ind.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_541" id="Page_541"></a>[pg
+541]</span></p><h4>CHRONIC NASAL CATARRH.</h4>
+
+<p><b>Half a Dozen Bottles of Dr. Sage's Catarrh Remedy with Dr. Pierce's
+Golden Medical Discovery Cures Permanently a Bad Case of Chronic Nasal
+Catarrh</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, NO. 663 Main St., Buffalo,
+N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise242"><img width="90%" alt="Illustration:
+N.M. Hodges." src="images/advise242.png" /></a><br />N.M. Hodges.</p>
+
+<p><i>Gentlemen</i>&mdash;I was suffering from chronic catarrh, and bought a
+half-dozen bottles of your Dr. Sage's Catarrh Remedy, also some of Dr.
+Pierce's Golden Medical Discovery to purify my blood and I am happy to say
+I am permanently cured of that disease.</p>
+
+<p>Years after this letter was written Mr. Hodges informs us that his cure
+has remained permanent.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+N.M. HODGES,<br />
+Laketown, Rich Co., Utah.<br />
+</p>
+</blockquote>
+
+
+<h4>CHRONIC NASAL CATARRH. STARTED WITH LA GRIPPE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise243"><img width="90%" alt="Illustration:
+E.W. Thomas, Esq." src="images/advise243.png" /></a><br />E.W. Thomas,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I think it is time I reported my case to you, as it is
+five months since I began using your medicines. I have taken five bottles
+of Dr. Sage's Catarrh Remedy, and used it with Dr. Pierce's Golden Medical
+Discovery. I have no signs of catarrh now, and can say I never felt better
+in my life, then while taking your medicine. Two years later Mr. Thomas
+says: I nave not been troubled with catarrh since taking the "Catarrh
+Remedy." I am a tenor singer and my voice almost left me when I had the
+catarrh but now my voice has come back. Yours respectfully,</p>
+
+<blockquote>
+<p>
+E.W. THOMAS,<br />
+Box 18, Garden City, Miss.<br />
+</p>
+</blockquote>
+
+
+<h4>CATARRH AND OTHER COMPLICATIONS.</h4>
+
+<p>North Berne, Fairfield Co., Ohio.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Gentlemen</i>&mdash;My health is good. I am restored from weak eyes, weak
+stomach, catarrh, also female trouble. I took two bottles of Dr. Pierce's
+Golden Medical Discovery, one bottle of Dr. Sage's Catarrh Remedy. It took
+wonderful effect. I have recommended your medicines a great deal, and have
+done a great deal of work for you. I have been the cause of selling quite a
+quantity of medicine in this county, and I will do all I can for you.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+Sarah Campfield<br />
+</p>
+</blockquote>
+
+
+<h4>CATARRH OF EIGHT YEARS' STANDING.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise245"><img width="90%" alt="Illustration:
+E.M. Baily, Esq." src="images/advise245.png" /></a><br />E.M. Baily,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I write this to let you know that I am well of that
+disease called catarrh of the head. Three years ago this fall I had catarrh
+in its worst form, till from three gills to one and one-half pints of
+corruption would be expectorated in twenty-four hours.</p>
+
+<p>Then I noticed your advertisement. Six months after taking your
+medicines I thought it too soon to tell you, but I can now say that my
+money was well spent in buying your medicine, for it resulted in a
+permanent cure. The catarrh was of eight years' standing.</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+EDWARD M. BAILEY,<br />
+Taggart, Harrison Co., Mo.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_542" id="Page_542"></a>[pg
+542]</span></p><h4>DREADFUL COUGH. ABSCESS OF LUNG.</h4>
+
+<p>Brookeland, Sabine Co., Texas.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise246"><img width="90%" alt="Illustration:
+F. Berryman, Jr." src="images/advise246.png" /></a><br />F. Berryman,
+Jr.</p>
+
+<p><i>Gentlemen</i>&mdash;Seven years ago I was on the verge of the grave, with
+what the physician pronounced an abscess of the right lung. It lingered on
+for three years. During that time my side discharged large quantities of
+pus and I had a dreadful cough. I was so weak that I could not walk fifty
+yards without being completely exhausted. I had taken every kind of
+medicine that was recommended for similar maladies, such as cod liver oil,
+sarsaparillas, iron tonic and syrup of hypophosphites, without any relief.
+I was about discouraged when I commenced taking Dr. Pierce's Golden Medical
+Discovery. I took six bottles and it completely restored me to health. The
+discharge stopped from my side, and the cough has ceased. I am now able to
+follow my profession, which is a teacher of penmanship. I can walk ten
+miles any day without the least worry. If any one doubts this statement
+they can write me and I will verify the above statement.</p>
+
+<p>Trusting that this may be the means of assisting some one else who is
+suffering untold miseries, as I did before using the "G.M.D."</p>
+
+<blockquote>
+<p>
+I am, fraternally thine,<br />
+F. Berryman, Jr.<br />
+</p>
+</blockquote>
+
+
+<h4>CATARRHAL DEAFNESS.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise248"><img width="90%" alt="Illustration:
+S.P. Gray, Esq." src="images/advise248.png" /></a><br />S.P. Gray, Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I was nearly deaf on the right side of my head. I used
+three or four bottles of Dr. Pierce's Golden Medical Discovery and four
+bottles of Dr. Sage's Catarrh Remedy with the Nasal Douche, in the first
+trial. Cold weather coming on I had to stop, as I could not use the
+Injector in freezing weather, but I was greatly benefited. Along towards
+spring I found it was coming back, from taking cold, and, after several
+trials of other remedies, I again began the use of your medicines, taking
+two bottles of the "Golden Medical Discovery" and three bottles of Dr.
+Sage's Catarrh Remedy, and I feel safe in believing I am cured as I feel no
+signs of its return. My health is very good for a man of 74 years of age
+and I am satisfied that Dr. Pierce's Medicines did it. I recommend them
+whenever I have a chance.</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+S.P. GRAY,<br />
+Graham, Nodaway Co., Mo.<br />
+</p>
+</blockquote>
+
+
+<h4>BRONCHITIS. LIVER COMPLAINT.</h4>
+
+<p>318 E. 83rd St., New York City, N.Y.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Gentlemen</i>&mdash;I am extremely sorry not to have informed you sooner
+of the magnificent result I obtained from your most valuable medicines.
+When, sometime ago, I consulted you in regard to my affliction, bronchitis,
+I was indeed fearing the worst. But I had so much confidence in your
+medicines, which I had previously used for colds and liver complaint with
+good results, that I strictly followed your kind advice and continued
+taking it until I was assured of perfect health. I took five bottles of
+your Dr. Pierce's Golden Medical Discovery, using the "Pellets" combined as
+directed, and <i>the effect was magical</i>. I am now healthy and hearty.
+Heartily thanking you for your kind advice and assistance, I remain,
+gentlemen.</p>
+
+<blockquote>
+<p>
+Yours most respectfully,<br />
+Paolo Bedesing<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_543" id="Page_543"></a>[pg
+543]</span></p><h4>LINGERING COUGH.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.</p>
+
+<p><i>Gentlemen</i>&mdash;I contracted a cough during the winter of 1889 and
+tried many different kinds of cough medicines, but none did me any good. I
+at last became alarmed, and wrote to Dr. R.V. Pierce to know if he could
+prepare a medicine that would cure me, and I was advised to try his "Golden
+Medical Discovery," which I did, and am glad to say that only two bottles
+cured me after letting the cough run on from the winter of 1889 until the
+spring of 1893.</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+MORGAN. C. LILLY,<br />
+Holston, Washington Co., Va.<br />
+</p>
+</blockquote>
+
+
+<h4>NERVOUS DEBILITY AND CATARRH.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise250"><img width="90%" alt="Illustration:
+Mrs. Hoffman." src="images/advise250.png" /></a><br />Mrs. Hoffman.</p>
+
+<p><i>Gentlemen</i>&mdash;I have enjoyed good health since I took your
+treatment. I suffered intense agony for five months, and after taking one
+month's medicine I found very much relief&mdash;so much I was surprised.</p>
+
+<p>Many thanks for the good your medicines have done me, and my prayers are
+that God may help you in your good work, and that you may live long and
+prosper.</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+MRS. ALICE HOFFMAN,<br />
+Box 183, Clarksville, Butler Co., Iowa.<br />
+</p>
+</blockquote>
+
+
+<h4>NERVOUS DEBILITY AND CATARRH.</h4>
+
+<p>Big Piney, Pulaski Co., Mo.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Gentlemen</i>&mdash;I was treated by you eleven years ago for nervous
+debility and chronic catarrh of eight years' standing and of a very
+aggravated nature. I was considered near my grave by many of my friends
+when I commenced treatment.</p>
+
+<p>I used eight months' special treatment, after while I used some 12 or 15
+bottles of your Sage's Catarrh Remedy, and have had excellent health ever
+since.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+B.P. Dake.<br />
+</p>
+</blockquote>
+
+
+<h4>CURE OF DEAFNESS DUE TO CATARRH.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise252"><img width="90%" alt="Illustration:
+T.J. Williams, Esq." src="images/advise252.png" /></a><br />T.J. Williams,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;For several years I was troubled with catarrh and
+deafness of the right ear&mdash;the hearing becoming more and more defective
+until I could scarcely hear at all. There was a constant ringing, roaring
+noise in my ear, and finally the disease assumed a very painful form.</p>
+
+<p>The ear became very sensitive to the touch, and the pain and
+inflammation extended into the eustachian tube and down into the throat. I
+could scarcely sleep at night, and during the day I suffered
+constantly.</p>
+
+<p>I finally decided to consult Dr. Pierce, and acting under his advice, I
+began the use of "Golden Medical Discovery" and Sage's Catarrh Remedy by
+means of Dr. Pierce's Nasal Douche.</p>
+
+<p>I soon began to improve and after using three bottles each of the above
+named remedies the pain and soreness left my ear, my hearing returned and I
+considered myself completely cured, and indeed there has been no recurrence
+of the trouble since.</p>
+
+<blockquote>
+<p>
+Sincerely yours, T.J. WILLIAMS,<br />
+Byrneville, Harrison Co., Ind.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_544" id="Page_544"></a>[pg
+544]</span></p><h4>ASTHMA AND CATARRH.</h4>
+
+
+
+<p class="lfigure"><a name="advise253"><img width="90%" alt="Illustration:
+G. Berner, Esq." src="images/advise253.png" /></a><br />G. Berner, Esq.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Gentlemen</i>&mdash;For some months I suffered from a shortness of breath
+and dryness in the throat which usually came on at night, and these
+symptoms gradually became aggravated until it was impossible for me to
+procure enough sleep so that I could perform my daily duties about the
+farm. Deriving no relief from such treatment as I was taking I came to your
+Institution, was examined by your specialist, who pronounced my case
+asthma, complicated with nasal catarrh. After using the special medicines
+which he prepared for me for a few days I commenced to feel better, the
+shortness of breath gradually disappearing; the paroxysms of asthma were
+less frequent and not so severe.</p>
+
+<p>After taking only two months' treatment I was completely restored to my
+previous good health, and for five months it has not been necessary for me
+to use any medicine, and I feel that I am perfectly well. I give you this
+testimonial in order that others who are similarly afflicted may know of
+your skill in treating cases of this nature, and seek relief from your
+Institution.</p>
+
+<blockquote>
+<p>
+Respectfully,<br />
+GOTTLIEB BERNER,<br />
+Cheektowaga, Erie Co., N.Y.<br />
+</p>
+</blockquote>
+
+
+<h4>ASTHMA COMPLICATED WITH BRONCHITIS.</h4>
+
+
+
+<p class="rfigure"><a name="advise254"><img width="90%" alt="Illustration:
+T.E. Stanton, Esq." src="images/advise254.png" /></a><br />T.E. Stanton,
+Esq.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Gentlemen</i>&mdash;It is five weeks to-day since I was at your place for
+medical treatment for a bronchial and asthmatic difficulty; it had got so
+bad that it was hard work for me to breathe if I moved around any; I have
+sat up many a night for when I laid down I could not get my breath. I had
+six different doctors to aid me&mdash;all the good they did me was to get my
+money. Can say, of a truth, that you have done mo more good than all other
+doctors. One doctor said I would not live two years; that is four years ago
+and I am yet alive. I am sure I am now on the safe road to recovery with
+your treatment.</p>
+
+<blockquote>
+<p>
+Yours, etc.,<br />
+T.E. STANTON,<br />
+Manlius, Onondaga Co., N.Y.<br />
+</p>
+</blockquote>
+
+
+<h4>ASTHMA, OR PHTHISIC.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise255"><img width="90%" alt="Illustration:
+A.F. Buttles." src="images/advise255.png" /></a><br />A.F. Buttles.</p>
+
+<p><i>Gentlemen</i>&mdash;In gratitude to yourselves as well as to give my
+fellow sufferers the benefit of my experience I wish to say, that
+immediately after receiving your courteous reply to my letter, describing
+the difficulty in breathing after any extra exertion, I began taking Dr.
+Pierce's Golden Medical Discovery, and before I had finished the first
+bottle I was greatly relieved.</p>
+
+<p>I have taken less than one-half dozen bottles, and although the disease
+was of about three years' standing, I can now do as big a day's work as any
+of my neighbors and as many of them, for all of which I am indebted to the
+"Golden Medical Discovery."</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+AVERY F. BUTTLES.<br />
+Norden, Keyapaha County, Nebr.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_545" id="Page_545"></a>[pg
+545]</span></p><h4>NASAL POLYPI.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL, ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise256"><img width="90%" alt="Illustration:
+G.H. Bailey, Esq." src="images/advise256.png" /></a><br />G.H. Bailey,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;It is with pleasure that I can testify to your
+skillful operation in removing a number of nasal tumors.</p>
+
+<p>I had been a great sufferer from acute headaches, caused by the tumors,
+for years.</p>
+
+<p>I cannot speak too highly of the benefit I received at your Institution
+the two months I stayed with you. I feel sure of a permanent cure as I do
+not have the headaches as formerly.</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+GEORGE H. BAILEY,<br />
+Hinsdale, Cheshire Co., N.H.<br />
+</p>
+</blockquote>
+
+
+<h4>ASTHMA CURED.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise257"><img width="90%" alt="Illustration:
+Mrs. Kyker." src="images/advise257.png" /></a><br />Mrs. Kyker.</p>
+
+<p>Gentlemen&mdash;My wife was afflicted with asthma for twenty years: as she
+grew older she grew worse. Her case was treated by three eminent doctors,
+but all failed; they told me there was no cure for it. Discouraged as I
+was, I resolved to try Dr. Pierce's Golden Medical Discovery; she used five
+bottles and two vials of your "Pleasant Pellets," which has made a
+permanent cure. She has gained twenty pounds in weight since the cure was
+effected.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+D.R. KYKER,<br />
+English, Cocke Co., Tenn.<br />
+</p>
+</blockquote>
+
+
+<h4>COMPLICATION OF DISEASES.</h4>
+
+<p><b>A Grateful Patient's Words of Praise.</b></p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, 663 Main Street, Buffalo,
+N.Y.</p>
+
+
+
+<p class="lfigure"><a name="advise258"><img width="90%" alt="Illustration:
+W. Henkel, Esq. " src="images/advise258.png" /></a><br />W. Henkel, Esq.
+</p>
+
+<p><i>Gentlemen</i>&mdash;Having been in your Institution as a sufferer from two
+distinct chronic diseases of years' standing, and having been placed under
+the charge of your specialists, I was speedily relieved of my afflictions.
+The Invalids' Hotel is a place as much like home as it is possible for such
+an institution to be. The physicians and surgeons are all expert
+specialists and thoroughly efficient; the nurses are very competent,
+attentive and kind; and, in fact, the whole <i>personnel</i> of the
+Invalids' Hotel endeavor to do their best to make the patients feel like
+being at home. I always felt while there as if I was one of the family. I
+gladly recommend your Institution to all persons who are afflicted with any
+kind of chronic disease, for from my own experience I <i>know</i> the
+professional staff will do all which they promise to do. Please accept my
+thanks for the speedy benefits and perfect cure of my diseases, and I think
+your Institution is worthy of the highest endorsement.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+WILLIAM HENKEL,<br />
+No. 1917 Congress Street,<br />
+St. Louis, Mo.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_546" id="Page_546"></a>[pg
+546]</span></p><h4>LUNG TROUBLE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASS'N, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise259"><img width="90%" alt="Illustration:
+Mrs. Sunderland." src="images/advise259.png" /></a><br />Mrs.
+Sunderland.</p>
+
+<p><i>Gentlemen</i>&mdash;When I commenced taking your medicines, eighteen
+months ago, my health was completely broken down. At times I could not even
+walk across the room, without pains in my chest. The doctor who attended me
+said I had lung-trouble and that I would never be well again. At last I
+concluded to try Dr. Pierce's medicines. I bought a bottle of "Golden
+Medical Discovery," took it and soon commenced to feel a little better,
+then you directed me to take both the "Golden Medical Discovery" and the
+"Favorite Prescription," which I did. Altogether I have taken eighteen
+bottles of "Golden Medical Discovery," twelve of the "Favorite
+Prescription" and five vials of "Pellets." I am now almost entirely well
+and do all my work without any pain whatever, and can <i>run</i> with more
+ease than I could formerly <i>walk</i>.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+MRS. CORA L. SUNDERLAND,<br />
+Chaneyville, Calvert Co., Md.<br />
+</p>
+</blockquote>
+
+
+<h4>ASTHMA, OR PHTHISIC.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise260"><img width="90%" alt="Illustration:
+Mrs. Owen." src="images/advise260.png" /></a><br />Mrs. Owen.</p>
+
+<p><i>Gentlemen</i>&mdash;For six or seven years I have been a great sufferer
+from asthma, being for weeks so I had to sit in my chair night and day; and
+to all people suffering with the disease, I am glad to recommend your
+medicines of which I have taken only a few bottles. I now call myself
+cured, for I have not had asthma for a long time.</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+MRS. EMILY OWEN,<br />
+Hinsdale, Cheshire Co., N.H.<br />
+</p>
+</blockquote>
+
+
+<h4>NERVOUS PROSTRATION FOLLOWING GRIP.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise261"><img width="90%" alt="Illustration:
+W.S. Nicholson, Esq." src="images/advise261.png" /></a><br />W.S.
+Nicholson, Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;In January of '90 took the "grippe," went to work
+before I was well, was caught in a rain which gave me a very bad relapse,
+resulting in lung fever and complete prostration; was on my bed two months,
+and when I did get out, the strength to walk any more than just a few rods
+did not come back. My family doctor and two prominent physicians of Sioux
+City, did me no good. Late in the fall I got a bottle of Dr. Pierce's
+Golden Medical Discovery, which quieted my trembling nerves and gave me an
+appetite to eat. I then concluded to try the Doctor, personally. Up to this
+time I was in a pitiable condition. Sometimes I could not sleep until I
+felt almost wild, then sleep so much I would be stupefied. I could not
+digest any food and my whole system was wasting and failing fast. I doubt
+if any one who saw me expected me to get well. I took the treatment sent me
+by the World's Dispensary Medical Association for more than a year. The
+medicine never gave me any distress as other medicines had done before. I
+began to improve from the start, but the change from one extreme to the
+other was like the growth of a child.</p>
+
+<p>To any one suffering from nervous prostration I would say, "don't be
+impatient." It takes a long time for weakened nerves to grow strong. I have
+at last become strong and well, thanks to the Giver of all good and the
+grand Institution at Buffalo. I nave since married a noble-hearted young
+woman, and when I am playing with our sweet, healthy, baby girl, I give way
+to the thought that at last the long, Bad chapter of my life is ended; at
+such times her merry laugh sounds like a song of triumph of life over
+death.</p>
+
+<blockquote>
+<p>
+Gratefully yours,<br />
+W.S. NICHOLSON,<br />
+Willow Creek, Clay Co., Iowa.<br />
+</p>
+</blockquote>
+
+<p><span class="pagenum"><a name="Page_547" id="Page_547"></a>[pg
+547]</span></p><hr />
+
+<h2>DISEASES OF THE HEART.</h2>
+
+<p>Diseases of the heart are classified as either <i>functional</i> or
+<i>organic</i> We shall dwell only briefly upon purely <i>functional</i>
+derangements of the heart; as <i>increased</i>, or excited action,
+<i>defective</i>, or enfeebled action, and <i>irregular</i> action.</p>
+
+<p>Increased action of the heart, indicated by palpitation, or increased
+number of the beats, may be caused <i>mechanically</i>, as by distention of
+the stomach, which, by preventing the descent of the diaphragm, excites the
+action of this organ. Or it may be a <i>sympathetic</i> disturbance
+produced through the nervous system; thus the emotions and passions may
+suddenly arouse the heart to excessive action; or the presence of worms in
+the intestines, improper food, and masturbation, may be the cause. The use
+of tea, tobacco, and alcoholic drinks excites the heart. We have found that
+the excessive use of tobacco is very frequently the cause of functional
+derangement of this organ. Deficiency of the blood, as in anæmia, may
+be the cause of palpitation of the heart.</p>
+
+<p>Functional disturbance of the heart's action is manifested by
+palpitation, irregularity, intermissions, a rolling or tumbling movement,
+and a feeling as if the heart were in the throat. These symptoms often give
+rise to great apprehension, anxiety, fear, and depression of mind.</p>
+
+<p><b>Treatment</b>. The curative treatment of functional derangement of
+the heart must have reference to the causes producing it. If it is in
+consequence of indigestion, the appetite and digestion should be improved
+by observing regularity in the time of taking the meals, and eating very
+easily-digested food. The use of strong tea, coffee, tobacco, and spirits,
+should be interdicted, and regular exercise, rest, and sleep should be
+enjoined.</p>
+
+<p>In all cases, the domestic management should include daily bathing,
+exercise in the open air, regular habits, and the avoidance of all causes
+which tend to excite the heart's irregularity.</p>
+
+<p><i>The remedial treatment</i> of these functional affections ought to be
+confided to some experienced physician, as the remedies are not within the
+ordinary reach of all families, nor if they were, would they have
+sufficient experience and knowledge to select and properly administer
+them.</p>
+
+
+<h3>ORGANIC DISEASE OF THE HEART.</h3>
+
+<p>By organic disease we mean disease pertaining to the structure of the
+heart itself, in contradistinction to <i>functional</i> disease, which has
+reference merely to the <i>action</i> of the heart. The heart is subject to
+various organic diseases, but we have only space to consider, in the
+briefest manner, those which are the most common. It is essential that the
+reader should have some knowledge of the anatomy and functions of the
+various parts of the heart in order that its diseases and their effects may
+be comprehended; therefore the anatomy and physiology of this <span
+class="pagenum"><a name="Page_548" id="Page_548"></a>[pg 548]</span>organ,
+given in Part I, Chapter VII, of this work, should be carefully
+studied.</p>
+
+<p>It is very evident that any disease which affects the structure and
+function of any part of the heart must, necessarily, give rise to certain
+modifications of the pulse, sounds, etc. It is through the observation and
+study of these modifications and changes that we arrive at a correct
+diagnosis as to the precise location and character of the disease.</p>
+
+
+
+<p class="lfigure"><a name="advise262"><img width="90%" alt="Illustration:
+Fig. 1. Pond's Sphygmograph." src="images/advise262.png" /></a><br />Fig.
+1. Pond's Sphygmograph.</p>
+
+<p>Until within comparatively recent years, physicians were very much in
+the dark regarding diseases of the heart. Now, however, with a thorough
+knowledge of the anatomy, physiology, and pathology of the heart and the
+parts surrounding it, and with the aid of instruments which modern
+ingenuity has given us, we are able to diagnosticate with precision the
+slightest lesions of any part of this important organ, and, knowing their
+nature, to map out an appropriate course of treatment. With the aid of the
+stethoscope, invented by Laennec and improved upon by Camman, we are able
+to distinguish the slightest deviation from the normal sounds, and, by
+noting the character of the sound, the time when it occurs, the area over
+which It is heard most distinctly, and the direction in which it is
+transmitted, to locate the lesion which produces it. By the aid of the
+sphygmograph, first invented by Herrisson, and afterward improved upon by
+Ludwig, Vierordt, Marey, and lastly by Pond, of our own country, the
+pulsations at the wrist are registered, and thus made perceptible to the
+eye.</p>
+
+<p>We herewith give a cut, Fig. 1, of Pond's instrument, and two tracings
+made by it. The first is a healthy tracing, and the second indicates
+enlargement, technically called hypertrophy, of the heart</p>
+
+<p><b>Pericarditis</b>, or inflammation of the membranous sac which
+surrounds the heart, may be either acute or chronic. The symptoms in acute
+pericarditis are made up from co-existing affections, and are frequently
+associated with articular rheumatism, Bright's disease of the <span
+class="pagenum"><a name="Page_549" id="Page_549"></a>[pg
+549]</span>kidneys, or pleuritis The intensity of the pain varies in
+different individuals. The action of the heart is increased, the pulse is
+quick, and vomiting sometimes takes place. When this disease is developed
+in the course of rheumatism, it is known as rheumatic pericarditis, and is
+almost always associated with endocarditis. In some cases acute
+pericarditis is very distressing, in others it is mild. The fatality is not
+due so much to the disease itself, as to co-existing affections. When it
+does not prove fatal, it sometimes becomes chronic.</p>
+
+<p>In chronic pericarditis, pain is seldom present. The heart is generally
+more or less enlarged, its sounds are feeble, the first being weaker than
+the second.</p>
+
+<p><b>Endocarditis</b>, or inflammation of the membrane lining the cavities
+of the heart, is one of the most frequent forms of heart disease. It is
+almost invariably associated with acute rheumatism, or some of the eruptive
+fevers, as small-pox, scarlet fever, etc., and is due to the irritation of
+the unhealthy blood passing through the heart. The disease is generally
+attended with little or no pain, and, consequently, if the attending
+physician be not on the alert, it will escape his observation. When
+associated with acute rheumatism, the disease is only in rare instances
+directly fatal, but in the great majority of cases it leaves permanent
+organic changes, which sooner or later develop into valvular affections,
+and these may eventually destroy life. When the disease occurs, however, as
+the result of pyæmia (blood-poisoning produced by the absorption of
+decomposing pus or "matter") or of diphtheria, or when it is associated
+with any other septic conditions, it constitutes a very grave element.
+Collections of matter formed on the membrane lining the heart and covering
+its valves, are liable to be detached and carried by the circulation to the
+brain, spleen, or liver, where they plug up some artery, and thus cause
+death of the parts which it supplies with blood.</p>
+
+<p>Chronic endocarditis generally occurs in rheumatic subjects,
+unassociated with any acute disease, It may exist without any marked
+symptoms, except, perhaps, a sense of oppression and uneasiness in the
+chest, with palpitation. It produces a thickening and hardening of the
+membrane lining the heart, and generally causes a retraction, adhesion, and
+degeneration of some of the valves of the heart, thus bringing on valvular
+disease.</p>
+
+<p><b>Valvular Lesions</b> are, as we have seen, very frequently the result
+of endocarditis. They are of two kinds. First, those which prevent the
+valves from flapping back close to the walls of the ventricles, or
+arteries, thus diminishing, to a greater or lesser extent, the size of the
+valvular orifices, and offering an obstruction to the free flow of blood
+through them; and which consist of a thickening and retraction, or adhesion
+of the valves, chalky deposits, morbid growths, etc. Secondly, those which
+prevent complete closure of the valves, and thus permit a return of the
+blood into the cavity from which it has just <span class="pagenum"><a
+name="Page_550" id="Page_550"></a>[pg 550]</span>been expelled. These
+latter consist of retractions, perforations, and partial detachments of the
+valves, chalky deposits around the base of the valves and in them, and
+rupture of the chordæ tendineæ.</p>
+
+<p>These two forms of lesions are usually co-existent, one generally being
+more extensive than the other. Thus, the regurgitation may be slight, and
+the obstruction great, or <i>vice versa</i>. The symptoms and disturbance
+of the circulation are altogether dependent upon the location and form of
+the lesion, or lesions. Each valvular lesion has its characteristic sound,
+or murmur, which is heard at a particular period in the cycle of the
+heart's action, and it is, as before stated, from these sounds, from
+tracings of the pulse, and from the many other indications, that we arrive
+at a diagnosis. Thus, in obstruction of the orifice at the junction of the
+aorta with the left ventricle, one of the most frequent of valvular
+lesions, a murmur, generally harsh in character, is heard with the first
+sound of the heart, with greatest intensity directly over the normal
+position or the aortic semilunar valves. This is conveyed along the large
+arteries, and may be heard, less distinctly, over the carotids. In the
+sphygmographic tracing, the line of ascent is less abrupt than in the
+normal tracing (Fig. 2), and not nearly so high, and it is rounded at the
+top. In aortic regurgitation, the line of ascent is similar to that of the
+healthy tracing, but the line of descent is very sudden. The left side of
+the heart is almost invariably the primary seat of these affections, but in
+the latter stages of their course, the right side also is liable to become
+involved, and, as a consequence, there then exists great disturbance of the
+venous circulation, with a damming back of the blood in the veins, and
+passive congestion of the liver, kidneys and brain, followed by dropsy,
+albumen in the urine, etc.</p>
+
+
+
+<p class="lfigure"><a name="advise263"><img width="90%" alt="Illustration:
+Fig. 2. The above is a representation of a tracing of a healthy pulse as
+made with the Sphygmograph." src="images/advise263.png" /></a><br />Fig. 2.
+The above is a representation of a tracing of a healthy pulse as made with
+the Sphygmograph.</p>
+
+<p><b>Hypertrophy of the Heart</b> consists of a thickening of the muscular
+walls of this organ. It may be confined to one portion of the heart, or it
+may affect the entire organ. The affection has been divided into the
+following three forms: <i>Simple hypertrophy</i>, in which there is an
+increase in the thickness of the walls of the heart, without any
+augmentation in the capacity of the cavities, and which is usually the
+result of chronic Bright's disease, or great intemperance; <i>eccentric
+hypertrophy</i>, in which there is an increase in the thickness of the
+walls of the heart, together <span class="pagenum"><a name="Page_551"
+id="Page_551"></a>[pg 551]</span>with increase in the capacity of the
+cavities, and which is generally the result of some valvular lesion; and
+<i>concentric hypertrophy</i>, in which there is an increase in the
+thickness of the walls of the heart, with a decrease in the capacity of the
+cavities. Valvular lesions, obstructions in the large arteries, or, in
+fact, any thing which calls upon the heart to constantly perform an undue
+amount of labor must, necessarily, produce hypertrophy of its muscular
+walls, just as the undue amount of labor which the blacksmith's arm is
+called upon to perform produces hypertrophy of its muscles. With this
+condition, the pulse is hard and incompressible, and the line of ascent in
+the sphygmographic tracing (Fig. 3) is higher than in health.</p>
+
+
+
+<p class="rfigure"><a name="advise264"><img width="90%" alt="Illustration:
+Fig. 3." src="images/advise264.png" /></a><br />Fig. 3.</p>
+
+<p><b>Dilatation of the Heart</b> is a condition which is closely allied to
+hypertrophy of the heart, and which consists of an increase in the capacity
+of the cavities of the heart, with diminished contractile power. In simple
+dilatation, there is an increase in the capacities of the cavities, without
+any marked change in the walls of the organ. It is usually the result of
+some disease which has produced great muscular prostration, and which has
+interfered materially with nutrition. More frequently, however, dilatation
+is the result of valvular lesions, and is associated with hypertrophy,
+there being an increase in the thickness of the walls with a diminution of
+the contractile power. The hypertrophy from valvular lesions goes on
+increasing until it reaches a certain stage, when dilatation commences, the
+two conditions then being associated.</p>
+
+<p><b>Atrophy</b> of the heart is the opposite to hypertrophy, and
+signifies a wasting away of the muscular substance, and a diminution in the
+thickness of the walls of the heart. Its power is diminished in proportion
+to the degree of atrophy.</p>
+
+<p><b>Fatty Degeneration</b> of the heart consists in the deposition of
+particles of fat within the <i>sarcolemma</i> (the sheath which invests the
+fibrils), which are substituted for the proper muscular tissue. If the
+fatty degeneration exists to any extent the muscular walls present a
+yellowish color, and the heart is soft and flabby. This may be confined to
+one ventricle, or it may affect the inner layer of fibres, the outer layer
+remaining unchanged. Degeneration of the left ventricle occasions
+feebleness of the pulse. Difficulty in breathing is one symptom of this
+disease, especially when the right ventricle is affected. There is pallor,
+feeble circulation, cold extremities, and frequently dropsy. <span
+class="pagenum"><a name="Page_552" id="Page_552"></a>[pg 552]</span>Fatty
+degeneration is more liable to occur in corpulent persons, and between the
+ages of forty and fifty years.</p>
+
+<p><b>Angina Pectoris</b>, also termed <i>neuralgia of the heart</i>, might
+be included among the diseases of the nervous system, but as it is usually
+associated with a derangement in the action of the heart, it may be
+properly considered in this connection. The pain varies in intensity,
+sometimes being very acute, at others assuming a milder form. The action of
+the heart is more or less disturbed. The beats are irregular, at times
+being strong, while again they are feeble. A feeling of numbness is
+experienced in those parts to which the pain penetrates. These paroxysms
+<i>usually</i> continue but a few minutes, although they sometimes last
+several hours. Persons suffering from angina pectoris are liable to sudden
+death. It is connected with ossification, or other organic changes of the
+heart. Usually these paroxysms, if the life of the patient continues,
+become more and more frequent. The danger is not to be measured by the
+intensity of the pain, but by the co-existing organic disease. Although it
+is not absolutely certain that organic disease is present in all cases of
+angina pectoris, yet the exceptions are so rare that when the signs of
+organic disease cannot be detected, it may be inferred that angina is not
+the real affection, or that the existing lesions escape observation. Those
+who suffer from this disease are, in the great majority of cases, of the
+male sex, and rarely under the age of forty.</p>
+
+<p><b>Treatment</b>. In the foregoing consideration of organic diseases of
+the heart, we have omitted to speak of their remedial management, for the
+obvious reason that unprofessional readers are unable to correctly
+distinguish between the various diseases of this vital organ; and it would,
+therefore, be useless for us to attempt to instruct them as to the
+medicinal treatment of the different cardiac affections.</p>
+
+<p>In the vast majority of instances, diseases of the heart are not
+necessarily speedily fatal. Persons have been known to live twenty years or
+more with very extensive organic disease of this organ.</p>
+
+<p>It is <i>very important</i>, however, that a correct diagnosis be made
+in the early stages of these diseases, in order that an appropriate course
+of hygiene and treatment may be adopted, which will check their progress.
+While we cannot cure extensive organic diseases of the heart, we <i>can</i>
+check their progress, and prolong life, and render the condition of the
+subject comparatively comfortable. Since we are able to diagnosticate with
+the utmost precision the various affections of the heart, and since the
+discovery of certain specific medicines which exert most beneficial
+effects, we are enabled to treat this class of maladies with the most
+gratifying results. Thus we have seen a case in a very advanced stage of
+the disease, with the breathing so difficult that the subject had been
+compelled to remain almost constantly in the sitting posture, in the
+greatest agony, for so long a time that immense bed sores had formed on the
+seat; in which the dropsy had become so extensive that <span
+class="pagenum"><a name="Page_553" id="Page_553"></a>[pg 553]</span>the
+skin of the legs had burst open; and yet this patient, through the
+influence of a specific course of treatment, was speedily relieved, and
+enabled to live in a comparatively comfortable condition for many
+months.</p>
+
+<p>One afflicted with heart disease should abstain from the use of all
+kinds of stimulants, tobacco, and whatever tends to lower vitality. His
+life should be an even one, free from all excitement of any kind
+whatsoever. He should avoid severe physical exertion, and everything which
+causes the heart to beat with undue frequency.</p>
+
+<p>There are certain symptoms, the result of <i>chlorosis</i> (the green
+sickness), a deficiency of blood, dyspepsia, uterine disease, and certain
+nervous affections, which may simulate those of real organic disease, but
+the physician of education and experience, with a trained ear, is able to
+detect the difference speedily.</p>
+
+
+<h3>SORE MOUTH. (STOMATITIS.)</h3>
+
+
+<p>Stomatitis, or inflammation of the mucous membrane of the mouth, may
+include the entire surface of the gums, tongue, and cheeks, or appear only
+in spots. Vesicles are formed, having swollen edges and a white or yellow
+center, which finally ulcerate. When mild, the affection is confined to
+these parts.</p>
+
+<p>If the inflammation is acute, the mouth is dry and parched, or as is
+more frequently the case, the flow of saliva is abundant and acrid, and,
+when swallowed, irritates the stomach and bowels, producing fever,
+diarrhea, griping pains, and flatulency. The tongue is either coated white
+or red, and is glossy, and the sense of taste is considerably impaired.
+Digestion and nutrition are then disturbed, and the patient becomes rapidly
+emaciated.</p>
+
+<p><b>Thrush, or Canker</b>, is that form of stomatitis in which white
+ulcers locate on the inner side of the upper lip, the tongue, or roof of
+the mouth; the irritation which they cause not only interferes with eating,
+but produces fever, together with the symptoms previously mentioned.</p>
+
+<p><b>Apthæ</b>, or follicular inflammation, is distinguished by very
+painful little ulcers, single or in clusters, scattered over the surface of
+the tongue and lining of the mouth. Sometimes it is complicated with little
+lumps in the tongue. These form ulcers and denote scrofulous inflammation.
+Fissures and cracks in the tongue indicate derangement of the stomach.</p>
+
+<p><b>The Causes</b> of stomatitis, in nursing infants, are unhealthy milk,
+or effete matter, which, for lack of proper care and cleanliness,
+accumulates upon the nipple. In older children, improper diet, irritants,
+debility of the digestive functions, or hereditary syphilitic taint,
+disorder the blood and induce local inflammation.</p>
+
+<p><b>Treatment</b>. Locally, use a wash of golden seal or gold thread
+sweetened with maple-sugar, and rendered slightly alkaline with borax or
+saleratus. Also use a very weak, alkaline tea, or one of slippery-elm <span
+class="pagenum"><a name="Page_554" id="Page_554"></a>[pg 554]</span>flour,
+to obviate the acridity of the secretions. If the sores do not heal,
+constitutional treatment may be required, as the use of the Golden Medical
+Discovery. The family physician should be consulted if the sore mouth
+resists all these remedial measures.</p>
+
+
+<h3>NURSING SORE MOUTH. (STOMATITIS MATERNA.)</h3>
+
+
+<p>During the period of nursing, and sometimes in the latter months of
+pregnancy, women are liable to a peculiar variety of sore mouth. The
+soreness is sometimes so great that, although the appetite may be ravenous,
+the patient cannot eat. When this condition extends to the stomach and
+bowels, symptoms of a very grave character appear, and the disease, by
+interfering with the process of nutrition, causes emaciation and debility,
+and in extreme cases, death. It is a strange affection, nearly always
+disappearing upon weaning the child, though this course is not absolutely
+necessary. It appears to depend upon a hepatic, or gastric derangement, in
+connection with a vitiated condition of the blood, but how this is brought
+about is unknown.</p>
+
+<p><b>Symptoms</b>. The disease sometimes comes on suddenly, at others more
+slowly. The fact that the woman is either pregnant or nursing, is of
+importance in forming a diagnosis. At first there is a severe, scalding
+sensation of the tongue, mouth, and fauces, with pain, which is sometimes
+intense. The color of the tongue is often pink, or a light red, while the
+mouth is generally of a deeper hue. This stinging, biting sensation is
+accompanied by a profuse, watery discharge from the mouth, which seems
+extremely hot and acrid, causing excoriation whenever it comes in contract
+with the face or chin. The appetite is good, sometimes ravenous, but food
+or drinks, except of the blandest character, occasion such intense pain
+that the patient avoids their use. Ulceration occurs after a little time.
+The bowels are generally constipated, but when the disease extends to the
+stomach or intestines, diarrhea occurs. There is generally anæmia,
+debility, and impairment of the vital powers.</p>
+
+<p><b>Treatment</b>. The indications for treatment in this affection are to
+overcome the vitiated condition of the blood, and to sustain the vital
+powers. The remedies for this purpose are alteratives, antiseptics, and
+tonics. Give the Golden Medical Discovery, the value of which may be
+greatly enhanced by adding one-half ounce of the fluid extract of baptisia
+to each bottle, in doses of a teaspoonful four times a day. Chlorate of
+potash, half an ounce in a pint of water, used as a wash and gargle, is of
+great value. A teaspoonful of the same may be swallowed several times a
+day. This will not interfere with other medicines. As a tonic, the tincture
+of the muriate of iron, in five to ten-drop doses, diluted with water, may
+be taken three or four times daily. Quinine, in one or two-gram doses,
+should be given with the iron if the debility be extreme. When there is
+great acidity of the stomach, which may be known by heart burn, saleratus
+may be taken in water, to neutralize it, <span class="pagenum"><a
+name="Page_555" id="Page_555"></a>[pg 555]</span>but should not be drunk
+within an hour of the time for taking other medicines. If constipation
+exists, use the Pleasant Pellets. This course of treatment, thoroughly
+carried out, will seldom fail to effect a perfect cure, without weaning the
+child, yet this latter course may sometimes become advisable to promote the
+recovery of the patient. Should the treatment advised not produce the
+desired result, a skillful physician's services should be secured, as he
+may, in individual cases, distinguish other important indications which may
+enable him to modify the treatment to advantage.</p>
+
+
+<h3>DIARRHEA, CHOLERA INFANTUM, OR SUMMER COMPLAINT, AND DYSENTERY.</h3>
+
+
+<p>These diseases are usually considered separately by medical writers but,
+as they are closely related, a simple diarrhea not unfrequently running
+into a <i>cholera infantum</i> or a dysentery, we shall consider them
+together.</p>
+
+<p><b>Diarrhea</b> is an affection characterized by unnaturally frequent
+evacuations from the bowels of a liquid of morbidly soft consistency. It
+may be simple or inflammatory, and acute or chronic.</p>
+
+<p>A diarrhea is said to be bilious when the discharges are composed
+principally of serum, highly colored with yellow or green bile; catarrhal,
+when they are of a semi-transparent, mucous character; serous, when the
+dejections are thin and watery, sometimes mixed with blood, bile, or
+ingesta.</p>
+
+<p>The symptoms of the affection are usually at first those of indigestion,
+a fullness of the stomach, flatulency, and colicky pains. The pains, which
+precede each evacuation, are intermittent in character. There may be an
+unpleasant sinking sensation in the abdomen, and, with the discharge,
+exhaustion, a feeble pulse, and a cool skin. In the inflammatory variety,
+there is more or less fever.</p>
+
+<p><b>Cholera Infantum</b>, or summer complaint, is a disease peculiar to
+the warm season, and more prevalent in cities, and among those children who
+do not nurse at the breast. It is characterized by great irritability of
+the stomach, and persistent vomiting and purging, the discharges from the
+bowels being copious and watery, and sometimes containing specks of curd,
+yellowish-green matter, and mucus. The limbs of the little sufferer are
+usually drawn up, indicating pain in the bowels, and there is great
+prostration with cold extremities. The invasion may be so sudden, and the
+disease so violent as to destroy life in a few hours.</p>
+
+<p><b>Dysentery</b>, also known as <i>bloody-flux,</i> consists of an
+inflammation of the mucous membrane of the large intestine, with ulceration
+of the affected surfaces. The disease is accompanied with much nervous
+prostration, and is distinguished by severe pains in the abdomen of a
+griping nature, followed by frequent scanty and bloody stools, and <span
+class="pagenum"><a name="Page_556" id="Page_556"></a>[pg 556]</span>much
+straining. Occasionally the attack is ushered in with a chill and aching
+pains in various parts of the body, with copious fecal dejections. In other
+cases the attack is preceded by loss of appetite, a sense of uneasiness
+with dull pains in the abdomen, and weariness. The disease, like diarrhea,
+may be either acute or chronic.</p>
+
+<p><b>The Causes</b> of these affections of the bowels are many and varied.
+They may be brought on by exposure to cold and wet, or by improper and
+indigestible articles of food, such as unripe fruits, salads, pastries,
+and, in fact, anything which interferes with the normal operations of the
+digestive apparatus. One of the most fertile sources of diarrhea in
+infants, and of <i>cholera infantum</i>, is the administration of
+unsuitable food, the ill effects of which are greatly increased by exposure
+to heat or cold. Uncleanliness, and the inhalation of impure air, are
+prolific causes Of these diseases. Epidemics have been supposed to be due
+to some peculiarity in the condition of the atmosphere, or to some
+impalpable germ of a vegetable or animal nature.</p>
+
+<p><b>Treatment</b>. In the treatment of these diseases, one should first
+endeavor to ascertain the cause of the trouble, and then, if possible,
+effect its removal. Attention should be given to the hygienic surroundings
+of the individual afflicted; if he reside in a miasmatic district, or in a
+location in which the atmosphere is contaminated by the decomposition of
+animal or vegetable matter, or filled with noxious gases, his abode should
+be changed. A pure, dry air is most beneficial in these cases.</p>
+
+<p>Only the least irritating and most easily digestible articles of food
+should be taken. Healthy cow's milk is slightly alkaline, but that of cows
+fed on slops is usually acid, and unfit for infants. It is, therefore, well
+to test all milk with blue litmus paper before feeding it to young
+children. If found to be strongly acid, that is if it turns the paper red,
+it should be rejected, but if only slightly so, sufficient lime water may
+be added to render it slightly alkaline. For adults and older children, the
+diet should consist of such starchy foods as arrow-root, sago, corn starch,
+and rice, and of ripe grapes, freed from the skins and seeds, peaches, and
+boiled milk, or milk and lime water. In some cases the animal broths are
+beneficial, especially mutton broth. To quench the thirst, crust coffee,
+rice coffee, and lemonade, in small quantities, may be taken.</p>
+
+<p>Rest is important in these diseases. In severe cases, the patient should
+be kept in bed.</p>
+
+<p>At the onset of an attack of diarrhea or dysentery, if there be reason
+to believe that the intestinal tract contains irritating matter, a dose of
+castor oil, with a few drops of anise oil added to render it palatable,
+should be administered. After all irritating ingesta have been removed, Dr.
+Pierce's Compound Extract of Smart-weed should be given in doses
+proportionate to the age of the patient, and the severity of the case.
+Being composed of the extract of smart-weed, or water pepper, <span
+class="pagenum"><a name="Page_557" id="Page_557"></a>[pg 557]</span>Jamaica
+ginger, camphor, and genuine French grape brandy, it exerts a most
+wonderful effect not only in those diseases but in cholera morbus and
+intestinal colic. It allays the irritation and inflammation of the affected
+mucous surfaces, and soothes the nervous system. In the great majority of
+cases, the above course of treatment will be found sufficient, but in the
+more severe forms of these diseases additional remedies may be
+required.</p>
+
+<p>In dysentery, accompanied with severe pain and straining, injections of
+starch water and laudanum, from two to four ounces of the former to from
+twenty to fifty drops of the latter should be used.</p>
+
+<p>Hot fomentations applied to the abdomen are beneficial. If the
+discharges contain much blood, a flannel cloth moistened with the spirits
+of turpentine should be laid over the lower part of the abdomen, and kept
+there until slight irritation is produced.</p>
+
+<p>Lime water, bicarbonate of soda, bicarbonate of potash (saleratus),
+chalk, and the subnitrate of bismuth are valuable agents to correct the
+secretions, and allay irritation of the diseased mucous surface. The
+above-named preparations of soda, potash, and bismuth may be taken in doses
+of from five to twenty grains every few hours.</p>
+
+<p>Blackberry root and cranesbill (<i>Geranium Maculatum</i>), in the form
+of fluid extract or infusion, are beneficial in acute cases in which the
+discharges are profuse and watery, and in the chronic forms of these
+affections.</p>
+
+<p>In <i>cholera infantum</i> subnitrate of bismuth should be given in
+doses of from five to ten grains at intervals of from two to four hours. If
+the discharges are very profuse, the fluid extract of cranesbill may be
+administered in from two to ten-drop doses alternately with the bismuth.
+The camphorated tincture of opium (paregoric) is required in doses of from
+two to twenty drops, depending upon the age of the child and the severity
+of the case, if there is much pain, but great caution should be exercised
+in administering the preparations of opium to children. A single drop of
+laudanum given to a young infant has caused convulsions, coma, and death in
+more than one instance. To check the vomiting of <i>cholera infantum</i>,
+mild irritation over the stomach is sometimes effectual. For this purpose a
+weak mustard plaster, or a cloth moistened with turpentine, may be laid
+over the stomach for a few minutes at a time. If the child is old enough to
+suck pellets of ice, these are beneficial, or a piece can be wrapped in a
+cloth and sucked.</p>
+
+
+<h3>COLIC.</h3>
+
+
+<p><i>Colic</i> is a term applied to griping pains in the abdomen, which
+are sometimes accompanied with nausea and vomiting. The derangement is
+recognized in several forms, some of which we shall briefly describe.</p>
+
+<p><b>Bilious Colic</b>. This may be the result of a morbid condition of
+the liver.</p>
+
+<p><b>Symptoms</b>. It is characterized by severe pain occurring in
+paroxysms, <span class="pagenum"><a name="Page_558" id="Page_558"></a>[pg
+558]</span>which may be relieved by pressure upon the bowels. The pulse is
+quick, the tongue coated, and the skin harsh and dry; there is headache,
+impaired appetite, acrid taste in the mouth, thirst, nausea, attended with
+vomiting and general chilliness, followed by febrile symptoms.</p>
+
+<p><b>Cause</b>. It may be induced by exposure to cold, in consequence of
+which the circulation is impeded, the pores of the skin obstructed, and all
+of the vitiated matters having to be expelled through the liver, stomach,
+and intestines. It may also be due to malaria in the atmosphere. It most
+commonly occurs during the autumn, after a season of hot weather.</p>
+
+<p><b>Flatulent Colic</b>. Flatulent or "wind" colic is one of the results
+of indigestion.</p>
+
+<p><b>Symptoms</b>. A sense of fullness in the pit of the stomach, attended
+with pain, which is transferred from one part of the bowels to another.
+There is fever, a quick pulse, nausea, and the presence of gas; by the
+latter feature it may be detected from the other forms.</p>
+
+<p><b>Causes</b>. Cold or atmospheric changes, the eating of unripe fruits,
+uncooked vegetables and those articles of diet which ferment easily, are
+the principle causes.</p>
+
+<p><b>Painter's Colic</b>. This form is also known by various names, such
+as <i>colica pictonum, saturnine</i>, or <i>lead colic</i>. Those persons
+who are engaged in the manufacture of lead, and painters, are the most
+frequent victims of this affection.</p>
+
+<p><b>Symptoms</b>. Impaired appetite, fetid breath, thickly coated tongue,
+obstinate constipation, a dry skin, scanty urine, languor, severe pain in
+the umbilical region, and general derangement of the functions of the
+system.</p>
+
+<p><b>Causes</b>. From the term applied to this form, the cause may be
+inferred. It is induced by the absorption of lead through the lungs,
+stomach, and skin.</p>
+
+<p><b>Treatment</b>. The indication to be fulfilled in <i>bilious</i> colic
+is to relieve the intestinal spasm. This may be done by drinking freely of
+a decoction of yam-root, or <i>dioscorea villosa</i>, which is an effectual
+remedy in this affection. If this be not at hand, the spasm may be relieved
+by administering freely of Dr. Pierce's Extract of Smart-Weed. If the
+stomach be irritable, a tablespoonful of laudanum and one of tincture of
+lobelia, in four ounces of starch water, administered as an injection, is
+effectual. If simple means do not promptly arrest the attack, no time
+should be lost in summoning the family physician.</p>
+
+<p>In <i>flatulent</i> colic, the treatment should depend upon the cause.
+If it be occasioned by cold, a teaspoonful or two of the Extract of
+Smart-weed, in warm water or catnip tea, repeated a few times, will be
+sufficient. If it result from overloading the stomach, a dose of the
+Pleasant Pellets will answer the purpose. If the pain in the abdomen is
+severe, apply hot fomentations. Assist the action of physic, by giving an
+injection <span class="pagenum"><a name="Page_559" id="Page_559"></a>[pg
+559]</span>of senna and catnip tea, or if the stomach is very sour, take
+internally some mild alkali, such as common saleratus.</p>
+
+<p>In <i>painters'</i> colic, the following cathartic mixture is an
+effectual remedy: sulphate of magnesia (epsom salts), twelve ounces;
+nitrate of potassa (saltpeter), half an ounce; sulphuric acid, one drachm;
+boiling water, one quart. Of this remedy give a teaspoonful every thirty
+minutes or every hour, until the bowels move. An injection of some
+diaphoretic tea, or of alum water, is a good remedy. Castor oil and
+molasses, containing a teaspoonful of spirits of turpentine, will add to
+the efficiency of an injection. If the colic be not promptly relieved, a
+physician should be employed. To eliminate the lead from the system, and
+thus prevent a return of the colic, or other injurious effects, two drachms
+of iodide of potassium should be added to a bottle of the Golden Medical
+Discovery, and a teaspoonful of this taken four times a day.</p>
+
+
+<h3>JAUNDICE. (ICTERUS.)</h3>
+
+
+<p>This affection is generally regarded as a symptom of disordered liver,
+since it frequently occurs during the progress of diseases of that organ.
+When the disease imparts a greenish tinge to the skin, it is termed
+<i>green jaundice,</i> and, when it imparts a blackish color, it is known
+as <i>black jaundice.</i> Jaundice is undoubtedly due to the presence of
+biliary elements in the blood.</p>
+
+<p><b>Causes</b>. In consequence of the varied conditions from which it
+arises, Professor Da Costa has aptly remarked: "With the <i>recognition</i>
+of jaundice, the difficulty in diagnosis may be said to begin." He
+considers the causes of jaundice to be (1) diseases of the liver; (2)
+disease or the bile ducts; (3) diseases remote from the liver, or general
+disease leading to a disorder of that viscus; (4) certain causes acting
+upon the blood.</p>
+
+<p><b>Symptoms</b>. It is characterized by a yellowish color of the skin
+and of the white of the eyes. The skin is usually dry and harsh; if it be
+moist, the linen will be tinged yellow from the perspiration. The tongue is
+coated yellow, the mouth is dry, and the appetite impaired; there is
+headache, nausea, and sometimes vomiting; there is pain in the abdomen
+after eating, and in the region of the liver, and it is also felt in the
+right shoulder, and between the shoulder-blades. In severe cases, there is
+fever, accompanied with chills, despondency and loss of flesh. The stools
+are generally of a light clay color, and very offensive; the urine is thick
+and yellow. When the disease terminates fatally, there is delirium followed
+by stupor.</p>
+
+<p><b>Treatment</b>. The first step should be to eliminate from the system,
+as speedily as possible, all noxious materials. For this purpose, the
+spirit-vapor bath should be used. If the urine is scanty or voided with
+difficulty, take acetate of potash or queen of the meadow. These may <span
+class="pagenum"><a name="Page_560" id="Page_560"></a>[pg 560]</span>be
+taken in connection with the Golden Medical Discovery and Purgative
+Pellets, the efficacy of which has already been described in the treatment
+of chronic inflammation of the liver. They are indeed valuable agents in
+this disease, since they increase the action of all the excretory glands,
+and rapidly remove those matters, which, if retained, would poison the
+system.</p>
+
+<p>In some cases, acids are of great value; good hard cider or hydrochloric
+acid and the acid bath are frequently valuable agents.</p>
+
+<p>In other cases the employment, both internally and externally, of
+alkalies in addition to the Golden Medical Discovery answers the purpose
+much better.</p>
+
+<p>Again, there are persons who, in addition to alteratives and baths,
+require tonics. In the treatment or this affection, whatever may be the
+nature of the case, the use of <i>alteratives</i> must not be forgotten,
+for <i>without</i> them, the auxiliary treatment with acids, alkalies, and
+tonics, will not produce the desired effect.</p>
+
+<p>The employment of drastic remedies is sometimes resorted to; but,
+although they may give temporary relief, the patient soon relapses into his
+former condition, while if the treatment above given be adopted, the
+recovery will be permanent.</p>
+
+
+<h3>GALL-STONES. (BILIARY CALCULI.)</h3>
+
+
+<p>These are concretions found in the gall-bladder or bile duct, and vary
+from the size of a pea to that of a hen's egg. There may be no indication
+of their existence in the gall-bladder until they begin to pass through the
+duct.</p>
+
+<p><b>Causes</b>. The formation of gall-stones is undoubtedly due to an
+unhealthy condition of the bile. Corpulent persons, and those indulging in
+over-stimulating diet, or in the habitual use of fermented drinks, are most
+liable to be troubled by them.</p>
+
+<p><b>Symptoms</b>. The patient is suddenly seized with excruciating pain
+in the right side. After a time it subsides, but is again renewed with as
+great severity as before. There is nausea, with vomiting, which is often
+excessive and severe. The pulse is sometimes slower than is natural, the
+extremities are cold, there is great exhaustion, together with perspiration
+and spasmodic contraction of the abdominal muscles. As soon as one stone
+has passed through the duct into the intestine, immediate relief is
+experienced until another commences to pass, and the larger the concretion,
+the greater is the pain. If the stools be washed, the gall-stones may be
+seen floating on top of the water.</p>
+
+<p><b>Treatment</b>. This consists chiefly in relieving the patient of pain
+and vomiting during the passage of the gall-stones. Hot fomentations made
+with stramonium leaves and lobelia, and applied over the painful parts, are
+beneficial. Small doses of lobelia may be taken, but not in sufficient
+quantities to produce vomiting. Doses of opium should also <span
+class="pagenum"><a name="Page_561" id="Page_561"></a>[pg 561]</span>be
+taken; this anodyne must, however, be used with care. Gelseminum is often
+useful. Chloroform, ether, or the spirit vapor-bath generally allays the
+pain. Carbonate of soda, dissolved in water, often relieves the
+vomiting.</p>
+
+<p>These distressing symptoms are apt to recur until the removal of all the
+gall-stones is effected. To aid in removing them, take the Golden Medical
+Discovery rather freely for a day or two, and continue its use with
+lobelia, in doses sufficiently large to produce nausea, but not vomiting.
+From four to eight ounces of sweet oil may be given, and, if the bowels do
+not respond within three hours, repeat the dose, and the gall-stones will
+generally be evacuated. To prevent the formation of these concretions take
+the Golden Medical Discovery, together with alkaline drinks made with
+carbonate of soda. Tone and energy will thereby be imparted to the liver,
+the free flow of bile will be insured and the subsequent formation of
+gall-stones prevented.</p>
+
+
+<h3>INTESTINAL WORMS.</h3>
+
+
+<p>We have not the space to discuss the numerous theories which have been
+offered to account for the presence of these parasites in the human body.
+We shall enumerate the principal species, describe the symptoms indicating
+their presence, and indicate the proper remedies.</p>
+
+<p>There are five species of intestinal worms, sufficiently common to merit
+a description.</p>
+
+<p>(1.) The round worm, termed by naturalists, <i>ascaris lumbricoides</i>,
+varies from six inches to a foot in length, and resembles the common
+earth-worm. It infests the small intestines, and seldom migrates into the
+stomach or large bowel. Instances are recorded, however, in which it has
+crept upward in the esophagus, larynx, nostrils, and eustachian tube; but
+their presence in these parts is of comparatively rare occurrence, and is
+generally caused by some local irritation which compels their migration.
+The fact that they have been found in the peritoneal sac, gave rise to the
+opinion that they perforate the intestine; but careful observations have
+proved that they can only escape through openings made by ulcers.</p>
+
+<p>This species has been found in adults, but is more common in children
+from three to twelve years of age. The number of this species existing in a
+human body is variable. Sometimes only two or three are found. At other
+times a hundred, and even twice that number, are voided in a few days.</p>
+
+<p>(2.) The <i>ascaris vermicularis</i>, thread, pin, or seat-worm, is
+round, very slender, and about half an inch in length. The habitation of
+this species is the rectum, and they are often found matted together in the
+excrement. They are very active, even after ejection, and have been known
+to cause great local irritation by entering the vagina and urethra. Their
+presence is an occasional cause of masturbation. It <span
+class="pagenum"><a name="Page_562" id="Page_562"></a>[pg 562]</span>is
+impossible to estimate the number of these parasites that may exist in the
+human rectum. Great numbers, sometimes, are voided at a single
+evacuation.</p>
+
+<p>(3.) The <i>tricocephalus dispar</i> is a third variety of the round
+worm, and is said to infest the bodies of almost every species of mammalia.
+As its name indicates, the upper portion of its body is slender, hair-like,
+and terminates at the lower extremity in a thick, spiral portion. It is
+from one to two inches in length, and is found attached by its head to the
+mucous membrane of the cæcum, and, in rare instances, in the colon
+and small intestine. They are rarely numerous.</p>
+
+<p><i>Tæceniæ</i> or <i>tape-worms,</i> are hermaphrodites, of
+a flat, ribbon-like form, and are composed of numerous segments, each of
+which is provided with a complete set of generative organs, and contains
+ova for the production of thousands of individuals. Some authors have
+supposed that each segment, or joint, is a distinct individual, but the
+existence of one head for the whole precludes this theory. There are two
+species of <i>tæniæ</i> developed in the human intestine; the
+<i>tænia solium</i> and the <i>tænia lata</i>.</p>
+
+<p>(4.) The <i>tænia solium</i> is the species commonly found in
+America and all the countries of Europe, except France, Russia, and
+Switzerland. In France, both species are found, but the tænia lata
+seems to be indigenous to Russia and Switzerland.</p>
+
+<p>The <i>tænia solium</i> varies in length from four or five to
+thirty, thirty-five, or even forty feet. The head is hemispherical and
+armed with a double row of twenty or thirty hooklets. The genital organs
+are alternate and placed upon the outer edges of each segment. It inhabits
+the small intestine, and is usually solitary.</p>
+
+<p>(5.) The <i>tænia lata</i>, or broad tape-worm, is distinguished
+by the greater breadth of its segments, and the location of the genital
+organs, which are found in the centre of each segment. Its small elongated
+head is unarmed, and has a longitudinal fissure on each side. It usually
+attains a greater length than the <i>tænia solium</i>.</p>
+
+<p><b>Symptoms</b>. The symptoms which the long worms occasion, are
+frequently somewhat obscure. Thirst, irregular appetite, colicky pains,
+excessive flow of saliva, enlargement of the abdomen, itching of the nose,
+pallor of the face, offensive breath, disturbed sleep, and grinding of the
+teeth, all are common symptoms. Occasionally, convulsions and other nervous
+affections are produced by the presence of the <i>ascaris lumbricoides,</i>
+but generally they produce less constitutional disturbance than the other
+varieties. The passage of this species of worms from the bowels, or their
+ejection from the stomach, is the only positive evidence of their presence.
+The <i>ascaris vermicularis</i>, thread, pin, or seat-worm, gives rise to
+most of the symptoms produced by the long worms, but in addition produces
+intense itching at the anus, and, not unfrequently, an eruption upon that
+part. The itching is particularly distressing at night. When the little
+sufferer is well covered, the <span class="pagenum"><a name="Page_563"
+id="Page_563"></a>[pg 563]</span>warmth occasioned by the bed-clothes
+causes these little parasites to crawl out upon the anus, and produces such
+paroxysms of itching and pain as to cause the child to kick the covering
+oft and lie naked. The persistent manifestations of a disposition to lie
+naked, should excite the parents' suspicions of seat-worms, and lead them
+to investigate all the symptoms. By examining the child's stools the worms
+may he found adhering to the feces, and they may also be seen on the anus.
+Thousands of children suffer untold agony from these little seat-worms,
+which are left unmolested to torment them, because the parents are
+unfamiliar with the meaning of the symptoms manifested, and therefore pay
+no heed to them. We have been thus particular in describing the symptoms
+indicating the presence of these pestiferous parasites, in order that they
+may be readily detected.</p>
+
+<p><i>The Symptoms</i> produced by the tape-worm are dizziness, ringing in
+the ears, increased secretion of saliva, indigestion, ravenous appetite,
+sharp abdominal pains, and emaciation. The only positive sign of the
+presence of these parasites, is the passage of pieces of them in the feces.
+The nervous and other symptoms produced by the ordinary long worms are also
+caused by the tape-worm.</p>
+
+<p><b>Causes</b>. Careful observations have proved that there are certain
+causes which favor the generation or development of intestinal worms. Among
+others, we may mention fatty or farinaceous articles of food, gormandizing,
+constant exposure to a moist atmosphere, and sedentary habits.</p>
+
+<p>It is now generally conceded that the development of tape-worms is due
+to the swallowing of an egg or germ-cell, which is contained in many kinds
+of animal food, and which the process of cooking has failed to destroy.
+People living near low marshes, lakes, or the seacoast, are liable to
+<i>tæniæ</i>.</p>
+
+<p><b>Treatment</b>. The expulsion of the <i>ascaris lumbricoides</i> may
+be very easily and pleasantly effected. Santonin is an effectual remedy for
+this variety of worms. For a child three years old, take santonin, six
+grains; podophyllin, one grain; white sugar, thirty grains; mix, triturate,
+and divide into twelve powders, and give one every three or four hours,
+until they act upon the bowels; or take santonin, ten grains; white sugar,
+twenty grains; mix, triturate, and divide into ten powders, and give one
+every night at bed-time, and after giving two or three in this way,
+administer a mild cathartic. As santonin is almost entirely tasteless, if
+not combined with other medicines which are unpalatable, no difficulty will
+be experienced in administering it to children. By reference to the article
+on anthelmintics in this volume, other valuable vermifuges may be selected,
+and directions found for their employment.</p>
+
+<p>In the removal of thread or pin-worms, anthelmintic medicines taken into
+the stomach are of little or no value. An injection of a strong solution of
+salt, is a very efficient remedy. A teaspoonful of turpentine in half a
+pint of milk makes a good injection. Strong coffee has been <span
+class="pagenum"><a name="Page_564" id="Page_564"></a>[pg
+564]</span>recommended as an injection. The anus should be well anointed
+with vaseline, lard, oil, or fresh butter, after each movement of the
+bowels. Whatever injection or remedy is used, it should be followed by the
+application of some ointment to the anus, otherwise they will continue to
+deposit their eggs about that orifice and multiply there.</p>
+
+<p>Various remedies have been used to destroy tape-worms. Among others we
+may mention the old and time-honored remedy, which consists of two or three
+ounces of the oil of turpentine, taken in castor oil or some aromatic
+tincture.</p>
+
+<p>A decoction made by boiling two or three ounces of freshly powdered
+pomegranate bark in a pint of water was used by the ancients, and is now
+highly recommended as a remedy.</p>
+
+<p>Some American physicians have used an emulsion of pumpkin seeds with
+marked success.</p>
+
+<p>Twenty or thirty grains of the extract of male fern, followed by a
+cathartic is highly recommended for the destruction and removal of
+tæniæ.</p>
+
+
+<h3>TRICHINA SPIRALIS.</h3>
+
+
+<p>In 1835, Owen discovered a peculiar parasite, which sometimes infests
+the human body, and is termed the <i>trichina spiralis</i>. The presence of
+these parasites has given rise to morbid conditions of the system, followed
+by the most serious results. They are developed in the alimentary canal,
+and then perforate its tissues and enter the muscles. Twelve trichinæ
+have been found in a section of human muscle only one-twelfth of an inch
+square and one-fifth of an inch in thickness.</p>
+
+<p>The early symptoms of trichinæ are very uncertain, being the same
+as those of some other disease. The patient complains of severe pain in the
+abdomen and is troubled with diarrhea. When the trichinæ pass into
+the muscles, they occasion great suffering. There are sharp pains in the
+muscles, the perspiration is profuse, and the patient becomes
+exhausted.</p>
+
+<p><b>Cause</b>. Nearly every case of trichinæ, which has been
+brought to the notice of the profession, has been attributed to the eating
+of raw or improperly cooked pork. The parasites can only be detected with a
+microscope.</p>
+
+<p><b>Treatment</b>. The impossibility of removing the trichinæ after
+they have passed into the muscles is apparent; and, as yet, no special
+remedy has been recommended to remove them from the alimentary canal. The
+only safety lies in prevention. Hence raw or imperfectly cooked pork should
+never be eaten.</p>
+
+<p><span class="pagenum"><a name="Page_565" id="Page_565"></a>[pg
+565]</span></p><hr />
+
+
+
+
+<h2>DYSPEPSIA.</h2>
+
+
+<p>It is generally conceded that a multitude of human ailments arise from
+<i>indigestion</i>, and in its various forms it taxes the skill of the
+physician to prescribe the proper remedies. It is undeniable that the
+closest intimacy exists between happiness and good digestion. A healthy
+digestion aids materially in making a cheerful disposition, and the "feast
+of reason and flow of soul" is due as much to the functional integrity of
+the stomach as to a strong and generous mental organization. Dr. Johnson
+severely said: "<i>Every man is a rascal as soon as he is sick.</i>" We all
+know that a morbid condition irritates the individual and excites sarcastic
+and disagreeable remarks. And, likewise, an irritable temper and, suddenly
+aroused passions may not only turn and disturb the stomach, but even poison
+the secretions. Anxiety, excitability, fear, and irritability frequently
+cause the perversion of physiological processes.</p>
+
+<p>The slightest functional disturbance of the stomach deranges, more or
+less, all the succeeding operations of digestion and tends to the vitiation
+and impairment of the delicate processes of nutrition. Dyspepsia may
+commence and proceed so insidiously as not to excite the suspicion of
+friends, although the patient generally desires active treatment, such as
+cathartics, emetics, and medicines to act upon the liver. When the disease
+becomes confirmed, it presents some of the following symptoms: Weight,
+uneasiness, and fullness in the region of the stomach, attended by
+impatience, irritability, sluggishness, anxiety, and melancholy; there is
+impairment of the appetite and taste, also sourness, flatulency, and,
+perhaps, frequent attacks of colic, loss of hope, courage, and energy;
+apathy, drowsiness, and frightful dreams are also symptoms common in the
+different stages of this disease. There are, furthermore, the accompanying
+symptoms of a coated tongue, bitter taste in the mouth, unpleasant
+eructations, scalding of the throat from regurgitation, offensive breath,
+sick headache, giddiness, disturbed sleep, sallow countenance, heart-burn,
+morbid craving after food, constant anxiety and apprehension, fancied
+impotency, and fickleness. The subjects of dyspepsia frequently imagine
+that they require medicines to act upon the liver, desire active treatment,
+are endlessly experimenting in diet, daily rehearse their symptoms, and are
+morbidly sensitive.</p>
+
+<p><b>Causes</b>. Overtasking the body or mind, overloading the stomach,
+the use of improper food, such as stale vegetables and meat, unripe fruits,
+indigestible articles, improperly prepared food, irregular meals,
+disorderly habits, the use of alcoholic stimulants, loss of sleep,
+masturbation irritability of temper, anxiety, or grief may all give rise to
+indigestion. <span class="pagenum"><a name="Page_566" id="Page_566"></a>[pg
+566]</span>If the functions performed by the skin are embarrassed by cold,
+tight clothing, or lack of cleanliness, the nutritive changes cannot
+properly take place throughout the body, and consequently the digestive
+functions are embarrassed, as the revolutions of a water-wheel are impeded
+by the backset of the water. When food is not thoroughly masticated, it is
+not properly mixed with saliva of the glands of the mouth, and is not
+prepared for digestion by the acids of the stomach.</p>
+
+<p>Whatever diminishes the general strength, impairs the health, or
+encroaches upon the functions of life, also hinders the perfect solution of
+food and disturbs in a measure the function of digestion. Whatever
+diminishes the normal amount of the digestive secretions or perverts their
+quality, deteriorating their solvent properties, is a cause of dyspepsia.
+This should be borne in mind in selecting remedies.</p>
+
+<p><b>Treatment</b>. The hygienic treatment consists in the regulation of
+the daily habits, proper selection and preparation of the food, cultivation
+of cheerfulness, diversion of the mind, and cleanliness of person. We
+cannot give particular directions as to the kind of diet, as there are no
+established rules for guidance. Generally, a dyspeptic knows best, from
+experience, what articles of diet can be taken with the least injury. The
+directions applicable to the condition of one patient, are not suited to
+those of another. In dyspepsia, animal food is, as a rule, preferable.
+Foods rich in starchy matter often ferment and produce distress. Sometimes
+alkalies may be given with beneficial effect, when there seems to be an
+excess of acid in the gastric secretions.</p>
+
+<p>In some cases, the digestive fluids are weak and fermentation results,
+giving rise to flatulency and belching. An antiseptic, which may be
+prepared by mixing a teaspoonful of hydrochloric acid with four ounces of
+water, of which a teaspoonful may be taken after each meal, will prove
+beneficial to check the fermentation and aid digestion. The addition of one
+or two drops of a mixture of one part of carbolic acid and six of
+glycerine, to the above solution of hydrochloric acid improves its
+antiseptic properties. Or, Dr. Pierce's Golden Medical Discovery will stop
+undue fermentation, and from its tonic and invigorating effect upon the
+lining membranes of the stomach will generally overcome the indigestion.
+Some people are afraid to take it, when suffering from indigestion, because
+it has a sweet taste. But the sweet is not saccharine, or sugar sweet, but
+an entirely different sweet principle which prevents fermentation instead
+of promoting it.</p>
+
+<p>Acidity of the stomach and the attendant irritation may be allayed by
+the following mixture: Calcined magnesia, one drachm; refined sugar, one
+drachm; subnitrate of bismuth, one-half drachm; oil of cajeput, ten drops.
+The dose is half a teaspoonful an hour after every meal. Any dispensing
+druggist can put it up.</p>
+
+<p>It is frequently difficult to prevent the patient from over-distending
+the stomach, and thus impairing the tone of the muscular coats and
+prolonging the process of digestion.</p>
+
+<p><span class="pagenum"><a name="Page_567" id="Page_567"></a>[pg
+567]</span>In consequence of debility, over-exertion, anxiety, or chronic
+inflammation of the stomach, there is not a proper secretion, in quantity
+or quality, of digestive solvents, and it matters not whether it be a
+deficiency of the fluids of the stomach, or of the intestines, or of the
+pancreas and liver, the result is indigestion. The question of what
+important agent is lacking, naturally presents itself to the physician. Is
+it <i>pepsin</i>, the active principle of the gastric juice, which converts
+proteids into peptone, that is wanting, or is there a deficiency of
+<i>pancreatin</i>? Of course the principle which is lacking should be
+supplied; but has the physician the remedial agents properly prepared, and
+ready for prescribing? The specialist, having more cases of dyspepsia to
+treat than the general practitioner, is more likely to have the latest and
+most approved remedies applicable to loss of appetite, indigestion,
+impoverished blood, imperfect assimilation, and all diseases arising from
+faulty nutrition. In ordinary practice, the physician's time is divided in
+his consideration of acute, chronic, surgical, and obstetrical cases; in
+fact, much of it is occupied in riding to reach his patients. His attention
+is continually diverted from one class of cases to another, effectually
+preventing investigation in any particular direction. His patronage does
+not warrant him in the outlay of time required for the investigation of
+particular diseases, and the expense necessary to obtain the latest and
+best remedial agents for their treatment. In the multiplicity of his cares
+and arduous duties by night and by day, obstinate chronic cases become an
+annoyance to him, and whenever he can be otherwise professionally employed,
+he avoids them, disliking to undertake their treatment.</p>
+
+<p>With plenty of time for scientific investigation, ample facilities to
+meet the demands upon his skill, and each succeeding case presenting some
+new phase, the treatment becomes a matter of absorbing interest to the
+specialist, and each success inspires greater confidence. We not only use
+in the treatment of indigestion, solvent remedies, like pepsin, which act
+only upon proteids, but also other remedies of recent discovery, which
+exert a remarkable curative influence in diseases of the digestive
+organs.</p>
+
+<p>The chemistry of digestion and of life is becoming better understood.
+Any of the free acids may serve to dissolve a precipitated phosphate; but
+it is only the investigating therapeutist and experienced practitioner who
+understands which of them is the <i>most</i> and which is the <i>least</i>
+efficacious. Alkalies may dissolve lithic deposits, but who, unless he be
+an experienced physician, can detect the fault of nutrition which leads to
+their formation, or rightly interpret the symptoms indicating it? These
+simple illustrations of the complications which attend dyspepsia, are
+mentioned merely to show that they must be anticipated and taken into
+account in the treatment.</p>
+
+<p>The number of cases of dyspeptic invalids treated by the staff of the
+Invalids' Hotel and Surgical Institute within file past few years, is so
+large as scarcely to be credited by those unacquainted with the prevalence
+<span class="pagenum"><a name="Page_568" id="Page_568"></a>[pg
+568]</span>of this disease. For this reason we have taken unusual pains to
+investigate the causes of the disease, and have spared no expense to
+provide the most approved digestive solvents, and stomachic tonics, which
+invigorate the mucous membrane of the stomach, and materially assist in
+reducing the food to a liquid condition. Some of these, without being
+purgative, increase the activity of the liver, and stimulate the intestinal
+secretions, two very important indications which should be fulfilled by
+remedies which cause no real depression. The recent important discoveries
+made in obtaining the active principles from indigenous plants, has opened
+the way to the use of a few of the most important of these remedial agents,
+hitherto almost wholly unknown to the medical profession, and the
+encouraging results attending our practice have amply repaid us for the
+investigation and originality in our treatment of this affection.</p>
+
+<p>A careful chemical and microscopical examination of the urine often
+discloses the actual morbid conditions which perpetuate this functional
+disease.</p>
+
+
+<h3>CHRONIC DIARRHEA.</h3>
+
+
+<p>On account of the frequency and importance of chronic diarrhea, we deem
+it worthy of special consideration. It is frequently the sequel of the
+acute form of the affection. The urgent and severe symptoms of acute
+diarrhea are often abated, but the disease is not completely cured. The
+bowels are left in an irritable condition, perhaps in a state of chronic
+ulceration, which perpetuates morbid discharges.</p>
+
+<p>The most noticeable symptom is the tendency to frequent and unhealthy
+discharges from the intestines. The evacuated matter varies much in
+appearance and character in different cases. The precise location of the
+morbid conditions which give rise to the discharges, as well as to their
+extent, modifies the color, consistency, and ingredients of the stools.
+Most frequently they are dark colored and of very offensive odor. They are
+of a more liquid character than is natural, except when, as is sometimes
+the case, periods of constipation alternate with periods of unnatural
+looseness. Tormina, or griping, is usually present, but not so severe as in
+the acute affection. Tenesmus, or straining, often accompanies it. The
+appetite is impaired, there is general debility, and the patient is nervous
+and irritable. The complexion becomes sallow, the skin dry and rough, the
+tongue dark colored, and the body emaciated.</p>
+
+<p>The affection may be the sequel of neglected or badly treated acute
+diarrhea, may arise from the injudicious use of powerful purgative
+medicines, may result from dissipation, unwholesome food, bad air, absence
+of light, long continued exposure to dampness and cold, overwork, and
+extreme mental anxiety. Sometimes it is associated with other diseases,
+such as Bright's disease of the kidneys, scurvy, or some of the various
+forms of scrofulous disease.</p>
+
+<p><span class="pagenum"><a name="Page_569" id="Page_569"></a>[pg
+569]</span>The more prominent symptoms are so apparent and so
+characteristic that the most unskilled may be able to decide whether the
+patient has chronic diarrhea; but to determine in what portion of the
+intestinal canal the affection is chiefly seated, to decide upon the extent
+of its ravages, to ascertain what peculiar shade or type the affection has
+taken on, to investigate its complications and modifications, to ferret out
+its producing or aggravating causes, and above all, to nicely and
+skillfully adjust remedies to meet the depraved conditions, is by no means
+an easy task, even for the educated and experienced physician. It should be
+borne in mind that this is a dangerous malady, and one which should not be
+trifled with or neglected. Its tendency is to corrode and destroy the
+bowels, a process which if unchecked, must sooner or latter result in
+death. There is little tendency to spontaneous recovery, nor is a removal
+of the exciting cause often followed by recovery. The disease becomes so
+firmly seated, and the powers of life so debilitated, that nature cannot
+rally.</p>
+
+<p><b>Treatment</b>. A warm, salt bath, several times a week, taken at
+bed-time, is beneficial. Flannel should be worn next to the skin, and the
+sleeping-room should be warm and well ventilated.</p>
+
+<p>As will be seen from testimonials hereinafter inserted, Dr. Pierce's
+Golden Medical Discovery has achieved great success in curing chronic
+diarrhea. Its use should be persisted in for a considerable time to
+strengthen and tone up the bowels. To relieve the discharges, take Dr.
+Pierce's Compound Extract of Smart Weed, as needed from time to time.</p>
+
+
+<h3>CHRONIC INFLAMMATION OF THE LIVER.</h3>
+
+<h4>(CHRONIC HEPATITIS.)</h4>
+
+
+<p>This is what is ordinarily termed <i>liver complaint, torpid liver, and
+bilious disorder</i>.</p>
+
+<p>Under this head may be considered all those chronic affections known as
+congestion, induration, and enlargement of the liver, and which result in
+deficient action, functional derangement, morbid secretion of bile, and
+various chronic affections.</p>
+
+<p><b>Symptoms</b>. Owing to the liability of other organs to become
+diseased during the progress of chronic affections of the liver, great
+precision in diagnosis is required to determine, by the symptoms, the organ
+which is <i>primarily</i> diseased and those secondarily affected. This
+requires not only familiarity with the signs of a complicated disease, but
+also thorough anatomical knowledge of the diseased organ, of the morbid
+changes which occur in its structure, and their influence on its own
+functions, as well as on those of other organs.</p>
+
+<p>The symptoms may differ according to the circumstances, temperament,
+sex, age, or constitution of the individual, and the complications of the
+disease. The local indications are fullness of the right side, thus
+denoting congestion of the liver; a dull, heavy pain, which is increased
+<span class="pagenum"><a name="Page_570" id="Page_570"></a>[pg
+570]</span>by pressure or by lying on the left side; a sense of fullness,
+weight, and oppression about the stomach; an aching in the right
+shoulder-blade; a dull, disagreeable pain in the shoulder-joint, which may
+extend down the arm, and which is sometimes felt in the wrist and joints of
+the hand Not unfrequently the complexion becomes pale and sallow, and there
+is puffiness under the eye, headache, a bitter taste in the mouth, tongue
+coated white or covered with a brown fur, and hardness of the gums; there
+is frequent sighing, a hacking cough, fever, restlessness, and loss of
+sleep; sometimes an unnatural, greasy appearance of the skin, at others, it
+is dry and harsh, has scaly or branny eruptions, pimples, dark blotches,
+and troublesome itching. The urine is frequently scanty and high-colored,
+but variable as to quantity and appearance; it often produces a scalding
+sensation when voided, and, if allowed to stand, deposits a sediment which
+sometimes contains albumen. The pulse is very slow, particularly when the
+elements of the bile are not eliminated from the blood. The pulsations of
+the heart are easily quickened, and palpitation is excited if the subject
+be low and anæmic. There is depression of spirits, and a decided
+tendency to be discouraged and despondent. The functional powers of the
+stomach are impaired; there is loss of appetite, or it becomes capricious;
+uneasiness is felt in the region of the stomach, oppression, sometimes
+nausea and water-brash, or there is indigestion, flatulency, and acid
+eructations; the bowels become irregular, usually constipated, and
+occasionally subject to obstinate diarrhea attended with colicky pains; the
+stools are of a light clay color, sometimes hard and dark, again thin and
+very offensive, and occasionally green or black. As the disease progresses,
+during the day the circulation is sluggish, the feet and hands are cold,
+but at night the pulse is accelerated, and a burning sensation is felt in
+the palms of the hands and the soles of the feet.</p>
+
+<p>The foregoing symptoms are not all present in one case, nor are any two
+cases alike in every respect. They vary according to the organs most
+implicated in the hepatic derangement. Thus, when chronic inflammation of
+the liver is associated with <i>heart</i> disease, the subject may have
+palpitation, excessive or defective action of the heart, attended with more
+or less pain and shortness of breath. If the <i>lungs</i> be specially
+influenced, then, in addition to the ordinary hepatic symptoms, there may
+be a dry cough, asthma, hurried respiration, bronchitis, hoarseness, and
+pain in the chest. If the <i>stomach</i> be the sympathizing organ, the
+tongue is coated white or brown, there is nausea, loss of appetite,
+flatulency, acidity, dyspepsia, fullness, and oppression, amounting,
+sometimes, to pain in the stomach after taking food; the food ferments and
+gives rise to eructations and various other manifestations of disorder. If
+the <i>bowels</i> are morbidly influenced by this affection, there is
+constipation or diarrhea, griping pain, distension of the abdomen, piles,
+and pain just within the points of the hips, thus indicating irritation of
+The colon. If the <i>brain</i> or <i>nervous system</i> sensitively
+responds, there is <span class="pagenum"><a name="Page_571"
+id="Page_571"></a>[pg 571]</span>headache, dizziness, disturbed sleep,
+depression of spirits, peevishness, capriciousness, lack of energy,
+irritability, and congestive symptoms. When the <i>skin</i> is involved the
+surface is dry, harsh, and scaly, displaying dark "moth-spots," blotches,
+or numerous little sores, and the countenance has a dull, tawny look. If
+the <i>kidneys</i> be disturbed by it, there may be pain and a sensation of
+weight in the back, while the urine may be scanty and high-colored, or
+abundant, pale, and limpid, frequently charged with sedimentary products of
+disease, and voided with difficulty. If the <i>womb</i> be implicated in
+this chronic affection, the menstrual function may be deranged, and result
+in an excessive or a deficient monthly flow, and be followed by profuse
+leucorrhea.</p>
+
+<p>The preceding allusion to the complications of chronic inflammation of
+the liver shows the necessity of clearly distinguishing between the
+symptoms of this disorder and those reflected by the organs which
+sympathetically respond. To discriminate more effectually, and place the
+correctness of the diagnosis beyond doubt, we make a chemical and
+microscopical examination of the urine, and thereby detect the morbid
+products which it contains, and direct our attention to the diseased organs
+furnishing them. These examinations together with a complete history of the
+case, enable us to make a correct and definite diagnosis of the disease,
+and the extent to which it has affected the other organs.</p>
+
+<p>Before entering upon the consideration of treatment, let us briefly
+enumerate the functions of the liver: <i>First</i>, it removes matter,
+which, if allowed to remain in the blood, would become noxious and unfit it
+for the further support of the body. <i>Secondly</i>, by secreting bile, it
+furnishes to the digestive organs a fluid which assists in converting the
+food into chyle, stimulates the intestine to action, and then is itself
+transformed and absorbed with the chylous products, after which it
+circulates with the blood and assists in nutrition until, becoming
+injurious and pernicious, it is re-secreted and re-elaborated to serve
+again, as described.</p>
+
+<p>For its growth and nourishment, the liver is furnished with blood by the
+hepatic artery; but for the purpose of secretion and depuration, it is
+abundantly supplied with venous blood by the portal system, which is made
+up of veins from the spleen, stomach, pancreas, and intestines. This
+impure, venous blood, surcharged with biliary elements, which must be
+withdrawn from it, is freely poured into the minute network of this
+glandular organ. In a healthy condition of the liver, the carbonaceous
+elements of the blood are converted into sugar, and the constituents of the
+bile are liberated by the liver, and set apart for further duties. When it
+fails to eliminate these noxious elements from the blood, it is itself
+thoroughly vitiated by them.</p>
+
+<p><b>Treatment</b>. Food must be rich in carbon in order that it may build
+up the tissues and keep the body warm, but carbonic acid, the result of the
+combustion, must be removed from the blood, or death will ensue. So bile is
+necessary to digestion, nutrition, and life; yet, if it be not <span
+class="pagenum"><a name="Page_572" id="Page_572"></a>[pg
+572]</span>separated from the blood by the secreting action of the liver,
+it will as surely poison the system and destroy life as carbonic acid.
+Although the constituents of the bile exist in the blood, they must be
+removed in order that the blood may be rendered more fit to support the
+body, while the secreted bile is destined to assist in digestion, and the
+mysterious process of nutrition. Therefore, we should induce a secretion of
+bile, and restore the normal activity of the liver. This should be done,
+not by administering stimulants, but by relieving it of all contingent
+embarrassments as far as possible. Would any one think of giving to a weak,
+debilitated man large portions of brandy to enable him to work? Does not
+every one know that, when the unnatural stimulus is removed, he fails?
+Apply this principle in the treatment of the liver. When harsh, unnatural
+stimulants and "bile-driving" medicines are administered for a time and
+then withheld, the liver relapses into a more torpid and debilitated
+condition than before treatment was begun. Is not this true of nine-tenths
+of all who suffer from this malady, and have recourse to this class of
+remedies?</p>
+
+<p>Then how can we remedially fulfill the preceding indications? We answer
+in the language of a distinguished author and standard medical writer, "by
+using a class of agents which should never be overlooked in the treatment
+of long-standing liver diseases, chiefly addressed to the blood and
+denominated '<i>alteratives.</i>'"</p>
+
+<p><i>Alteratives, tonics</i>, and <i>restorative catalytics</i> are
+required not only in diseases of the liver, but in a large number of
+ailments in which the blood becomes charged with morbid materials. The
+active remedial properties of the most efficient agents of the above
+classes of medicine now known, are scientifically combined in the "Golden
+Medical Discovery," which acts <i>especially</i> upon the blood, and hence
+influences the system generally. It is also powerful in eliminating those
+morbid humors which are afterwards subjected to excretion through various
+organs.</p>
+
+<p>Its action is radically different from most medicines employed in
+chronic diseases, for the reason, that what is usually prescribed, is
+something corrosive. Unless the disease be temporary, it may return with
+increased violence.</p>
+
+<p>We have been very minute in the description of the remedial properties
+of the "Golden Medical Discovery," and have relied upon the reason and
+intelligence of our patrons, believing that they can, in a degree,
+understand why we deem it so applicable to the system. It does not
+debilitate the liver by over-stimulation, nor irritate the stomach and
+bowels by disturbing the delicate processes of digestion, neither does it
+act with severity upon the blood, but it operates so gently, insensibly,
+and yet with so much certainty, that it excites the surprise and admiration
+of the patient.</p>
+
+<p>From the careful detail of its various properties, there is abundant
+reason for its favorable action upon all of the excretory organs, which
+<span class="pagenum"><a name="Page_573" id="Page_573"></a>[pg
+573]</span>co-operate in the removal of morbid materials from the system.
+If, however, the bowels are unusually sluggish or obstinately constipated,
+it is advisable, in conjunction with the "Golden Medical Discovery," to use
+the "Pleasant Pellets," which are also powerfully alterative, besides being
+mild and unirritating in their operation. They are the natural assistants
+of the "Discovery," working harmoniously together. They should be taken in
+small doses, and their use perseveringly followed, until the bowels are
+properly regulated by the use of the "Discovery" alone.</p>
+
+<p>It has been customary to resort to powerful drastic cathartics, followed
+by bitters prepared in dilute alcohol. The habit is unscientific, for it is
+well known that alcohol deranges the functions of the digestive organs and
+depraves the blood, besides creating a morbid appetite. It has been
+repeatedly demonstrated that the use of such bitters has led to a life of
+drunkenness, with all the woe and untold misery which attend it.</p>
+
+<p>Medicines to be strictly remedial, should exert a tonic influence upon
+all the vital processes. Those organs which are contiguous to the liver, or
+connected by sympathy with it, should be assisted in the performance of
+their functions. Persons who are habitually subject to "bilious" attacks
+are pleased to find that the use of the "Discovery" and "Pellets" furnishes
+immunity from such onsets, and prevents their usual recurrence. Thus these
+remedies are <i>preventive</i> as well as <i>curative</i>.</p>
+
+<p>What we have thus far recommended for the treatment of this chronic
+affection is within the reach of every family. Patients laboring under this
+disease, when complicated with other affections, require special
+consideration and treatment, and all such are counseled to employ only
+those physicians whose experience and success entitle them to confidence.
+Health is one of the greatest of blessings, and how to restore it when
+lost, is a question of vital importance.</p>
+
+<p>Having successfully treated thousands of invalids who have suffered from
+this chronic affection, we possess abundant evidence of the curability of
+the disease, but we have only space to publish a few letters from persons
+who have been under our care, or who have used our medicines, purchased
+from druggists.</p>
+
+
+<h3>CONSTIPATION. (COSTIVENESS.)</h3>
+
+
+<p>Health depends very largely upon the regularity of the bowels. There
+should be proper alvine evacuations every day. There are few persons who
+have not suffered at some period of their lives from constipation of the
+bowels. Inattentive to the calls of nature, or a neglect to regularly
+attend to this important duty, sooner or later, produces disastrous
+results. Furthermore, it is essential to the comfort of every individual,
+for, when this function is not performed, there is derangement of the
+mental as well as of the bodily organs.</p>
+
+<p><span class="pagenum"><a name="Page_574" id="Page_574"></a>[pg
+574]</span>Constipation, or <i>costiveness</i>, as it is sometimes termed,
+is a functional derangement of the large intestine. This intestine is about
+five feet in length, and consists of the cæcum, colon, and rectum. It
+serves as a temporary reservoir for the excrementitial residue of
+alimentary matter, and for the effete materials excreted by the glands
+contained in its mucous coats. It is distinguished as the <i>large</i>
+intestine, because of its great size.</p>
+
+<p>Habitual constipation produces many derangements, resulting from
+<i>sympathy, irritation</i>, or <i>mechanical obstruction</i>. By referring
+to Figs. 4 and 9, the reader may observe the anatomical relations which the
+large intestine sustains to the other abdominal organs. The ascending colon
+arises in the cæcum (Fig. 4), at the lower part of the abdomen, and
+passes over the kidney on the right side, where it begins a circuitous
+route around the abdominal cavity, comes in contact with the inferior
+surface of the liver, proceeds behind and below the large curvature of the
+stomach, emerges on the left side, and passes downward in front of the left
+kidney, where it dips into the pelvic cavity, and ends in the rectum.</p>
+
+<p>If fecal matters are retained until they are decomposed, great injury
+follows, since the fluid portions are absorbed, conveyed into the blood,
+and, of necessity, corrupt it with their impurities. In this way,
+constipation may be the source of general derangement, but <i>such</i>
+disorder is seldom attributed to the torpid state of this intestine. There
+is little doubt but that it thereby imposes a great tax upon the functions
+of the liver, and, frequently, the fault is attributed to that organ
+instead of the large intestine. Sometimes the blood becomes so charged with
+fecal matter that its odor can be detected in the breath of the
+subject.</p>
+
+<p>An overloaded condition of the large intestine may cause inflammation of
+the liver or dropsy of the abdomen. When the colon is distended, it becomes
+a mechanical impediment to the free circulation of the blood in other
+organs, and causes congestion of the portal system, predisposing to chronic
+inflammation or cirrhosis of the liver. This latter is a structural
+affection, and may, in turn, give rise to abdominal dropsy. In a word, the
+accumulation of feces in the colon irritates both the large and small
+intestines, thus causing congestion of the bowels, liver, or stomach.</p>
+
+<p>The protracted presence of feculent matter deadens the sensibility of
+the intestine, so that great stimulation is required to provoke it to
+action. The contents become dry, solid, knotty, and hard, and very
+difficult to evacuate. If drastic, irritating physic be taken, only
+<i>temporary</i> relief is afforded, and it must be repeatedly resorted to,
+and the dose increased, to obtain the desired effect.</p>
+
+<p><b>Symptoms</b>. One diagnostic symptom of a loaded state of the colon,
+is an abundant secretion of urine, as limpid as water. The direct symptoms
+relate to the hardness of the feces and the great difficulty of voiding
+them. The influence of constipation upon the functions of the <span
+class="pagenum"><a name="Page_575" id="Page_575"></a>[pg 575]</span>liver,
+is indicated by the sympathy displayed between that organ and the mind. The
+patient manifests apprehension, mental depression, taciturnity, and
+melancholy, all indicative of hypochondriac dejection, induced by
+constipation.</p>
+
+<p>We have treated patients, who, from this cause, had renounced their
+bright hopes, lost their buoyant spirits, and, becoming subject to
+superstitious fears, had given themselves up, night and day, to devotions
+and penance. It often happens that the victims of this deep dejection and
+morbid feeling of self-abasement, are persons not only of good moral
+character, but of high religious attainments, and their painful exhibitions
+of fear, distrust, and gloom, originate in <i>physical</i> rather than in
+spiritual causes. It is interesting to witness this strange perversion of
+the imagination, this morbid debasement of the religious faculties, and
+dejection of mind, due to causes disturbing the functions of the liver and
+other vital organs.</p>
+
+<p>Young girls, as they approach the age of puberty, seem possessed with
+the idea that the unfrequent action of the bowels is a desirable habit.
+They do not associate with the duty a proper regard for health, but
+consider it as an inelegant and repugnant practice. The consequence is,
+that at this susceptible period, constipation, induced by neglect, arouses
+a latent hepatic or pulmonary disease which has been lurking in the
+system.</p>
+
+<p>How many girls illustrate the truth of this statement by their
+complaints of dizziness, throbbing pain in the forehead and temples,
+flushing of the face, transient flushes of heat over the body, while at the
+same time the extremities are cold. At other times, they manifest the evils
+of such a course by their stupor, drowsiness, and deep sleep, although upon
+arising in the morning, they are still tired and unrefreshed.</p>
+
+<p>The constipated condition of the bowels, often leads to congestion of
+the uterus and leucorrhea, followed by uterine debility, prolapsus,
+excessive menstruation, anteversion or retroversion of that organ. The
+infrequency of the habit, incorrectly supposed to be desirable by a young
+woman, becomes nearly, if not quite disastrous to all her desires and
+bright prospects. Complications arise, and neither the inexperienced girl
+nor her solicitous and afflicted parents know where to look for remedial
+aid. If they seek an asylum from these sufferings, they find many private
+institutions, where flattering expectations of speedy recovery are aroused.
+At such institutions, these uterine disorders are generally treated merely
+as local diseases, while the causes are overlooked, and, consequently, a
+permanent cure is not effected. Having spent nearly all the money at her
+command, the patient returns home utterly disheartened. After such
+failures, many of these unfortunate individuals have applied to us and
+received treatment, and by persistently following our directions, have in
+due time been restored to health, amid all the comforts of home, and among
+friends, who rejoiced with <span class="pagenum"><a name="Page_576"
+id="Page_576"></a>[pg 576]</span>them in the unexpectedly favorable turn of
+affairs, accomplished at a comparatively trifling expense.</p>
+
+<p>We have seen infants, and also young children, in whom constipation was
+obstinate. It therefore seems that it is often hereditary. In some persons,
+this affection continues from childhood, with but little variation, until
+bleeding pile tumors are developed. Habitual constipation of the bowels for
+a long period of years will generate a class of diseases, which are often
+very serious in their results.</p>
+
+<p><b>Causes</b>. We have already alluded to a sense of false modesty which
+prevents a response to the calls of nature, and we may mention other
+reasons, equally trifling, which deter many from fulfilling its demands.
+Some are in the habit of temporarily postponing their visits to the water
+closet, until, when they do go, they find themselves unable to evacuate the
+bowels. Sometimes the closet is a damp, uncomfortable out-house, situated
+at a distance from the dwelling, or the access is too public, and, hence,
+there is an unwillingness to visit it at the proper time. Some appear to be
+too indolent to attend to this duty. Others are too energetic, and think
+they cannot take the time, until they have finished some self-imposed task
+or attended to a pressing engagement.</p>
+
+<p>Inactive life and sedentary occupations are also causes of constipation.
+Active exercise promotes all the bodily functions, and helps to regulate
+the bowels. Those who are engaged in literary pursuits, find that mental
+occupation determines the blood to the brain, thus drawing it from the
+extremities; the temperature falls below the natural standard, and there is
+almost invariably congestion of the bowels. The inmates of
+boarding-schools, factory girls, seamstresses, milliners, employ&eacute;s
+in manufacturing establishments, and all who sit and toil almost
+unremittingly twelve hours in the day, do not get sufficient exercise of
+all the muscles of the body, and are often troubled with obstinate
+constipation.</p>
+
+<p>Food prepared according to the modern modes of cookery, is one of the
+causes which favors the developement of this derangement. People live too
+exclusively upon bolted wheat flour. The branny portion of a kernel of
+wheat consists of various nutritive elements, with more than five times the
+amount of phosphate of lime contained in fine bolted flour. Those who daily
+use boiled cracked wheat are not troubled by constipation. There is no
+dryness or hardness of the feces, and the bowels are evacuated without
+discomfort.</p>
+
+<p><b>Treatment</b>. Prevention is always better than cure; hence, a few
+hygienic directions may not be amiss. Do not disregard the intimations of
+nature, but promptly respond to her calls. If there is constipation,
+overcome it by establishing the habit of making daily efforts to effect a
+movement of the bowels. Taking regular exercise by walking, and lightly
+percussing or kneading the bowels for five minutes daily, help to increase
+their activity. The habit of early rising favors the natural action of the
+bowels. Drinking a glass of water on rising exerts a <span
+class="pagenum"><a name="Page_577" id="Page_577"></a>[pg
+577]</span>beneficial influence. The food should be such as will excite the
+mucous secretion of the large intestines, and arouse its muscles to action.
+For this purpose, there is no one article that excels coarsely-cracked
+boiled wheat. Graham bread, mush, cakes, gems, and all articles of diet
+made from unbolted wheat flour are valuable auxiliaries, and may be
+prepared to suit the taste. Take the meals at stated hours; be punctual in
+attendance, regular in eating, and thoroughly masticate your food.
+Irregularity in the intervals between eating, disturbs the functions of the
+intestine. The use of ripe fruits, such as apples, pears, grapes, figs, and
+prunes, in proper quantities, is sometimes very beneficial. Trivial or
+unimportant as these hygienic suggestions may appear, yet were they
+observed, constipation, as well as most of the diseases incident to it,
+would be obviated. A large proportion of the cases will yield to the
+foregoing hygienic treatment without the employment of medicines. Should it
+be necessary, however, to employ an aperient to relieve the constipation,
+Dr. Pierce's Golden Medical Discovery will act most congenially, and will
+be followed by no constipating reaction, which invariably occurs when
+drastic cathartics are employed. Its operation is mild, bringing about a
+healthy action by promoting the biliary and other secretions, thus aiding
+nature in establishing normal functional activity in the bowels. Recourse
+should be had to it before employing any thing more strongly cathartic.
+However, should it prove too mild in its aperient effects, small doses of
+Dr. Pierce's Pleasant Pellets may be employed daily to assist it. Unlike
+other cathartics, they produce a secondary tonic effect upon the bowels,
+which renders their influence more lasting than that of other purgatives.
+We cannot too strongly discourage the injurious custom which many people
+have of frequently <i>scouring</i> out their bowels with strong cathartics.
+It is a bad practice, and cannot fail to do injury. The greatest benefit is
+derived, not from cathartic doses, but from taking only one or two of the
+"Pellets" per day, or enough to keep the bowels regular, and continuing
+their use for several weeks, in connection with Dr. Pierce's Golden Medical
+Discovery, strictly carrying out the hygienic treatment heretofore
+advised.</p>
+
+<p>The medical treatment of individual cases sometimes involves many
+considerations relative to the particular circumstances and complications
+presented. The peculiar susceptibility of the constitution, as well as the
+diseases incident to constipation, must be taken into account. Symptomatic
+derangement should not be treated as primary, although it is by
+inexperienced physicians. If the patient be afflicted with uterine disease,
+piles, nervous affections, falling of the lower bowel, or fistula, they
+should be treated in connection with this disease. For these reasons, we
+would advise our readers to submit all complicated cases, or those that do
+not yield to the course heretofore advised, to a physician of large
+experience in the management of chronic diseases, and not assume the great
+responsibility and the dire consequences which are <span class="pagenum"><a
+name="Page_578" id="Page_578"></a>[pg 578]</span>very liable to arise from
+the improper treatment of such cases. We have been called upon to treat
+thousands of cases of this troublesome affection, and as a result of our
+vast experience, and in consequence of our original and improved methods of
+diagnosis, it is not generally necessary that we should see and examine the
+patient in person. We can almost always determine the exact nature of the
+patient's malady, and its stage of advancement, without seeing the subject
+in person.</p>
+
+
+<h3>PILES. (HEMORRHOIDS.)</h3>
+
+
+<p>There are few maladies more common than this, and few which are more
+annoying. Piles consist of tumors formed within the rectum and about the
+anus, by dilatation of the hemorrhoidal veins and thickening of their
+walls. Sometimes, when attended by considerable inflammation, or when the
+attacks are very frequent, there is thickening of the adjacent cellular and
+mucous tissues.</p>
+
+<p>There are two general forms of this disease, the external or blind
+piles, in which the tumors are outside the anus, and the internal or
+bleeding piles, in which the tumors are formed within the sphincters,
+although after their formation they may protrude. The external piles are
+commonly made up of thick tissues; upon one side, the skin forms the
+covering, while on the inner surface is the mucous membrane of the bowel.
+It is this surface which is most tender and irritable and liable to
+inflammation. The internal form of the disease is situated from a half an
+inch to two and a half inches above the sphincter muscle of the anus. The
+tumors are usually round, oval or cylindrical in form. They may be
+scattered over the surface of the bowel, or clustered together. The
+illustrations (Figs. 1 and 2) show the two forms of the disease. The two
+protruding tumors in Fig. 2, illustrate the usual form of prolapsing
+internal piles, whilst the one highest up in the bowel shows the form most
+commonly met with. It is seldom that one pile tumor is found alone, there
+usually being two or three, and sometimes as many as five or six, in a
+cluster. Fig. 3 shows the manner of distribution of the veins in the rectal
+region. The small venous loops, or bulb-like terminations of the veins H.
+<i>i</i>., are the points at which the piles most frequently occur.</p>
+
+
+
+<p class="lfigure"><a name="advise265"><img width="90%" alt="Illustration:
+Fig. 1. Swollen External Piles." src="images/advise265.png" /></a><br
+/>Fig. 1. Swollen External Piles.</p>
+
+<p><b>Causes</b>. Whatever tends to favor an undue accumulation of blood in
+the hemorrhoidal veins predisposes to piles. For this reason the affection
+is frequently a result of diseases of the heart and liver, which cause an
+obstruction in the circulation of the blood through the portal vein.
+Mechanical pressure from tumors in the abdomen, pregnancy, or an enlarged
+or misplaced uterus, is not infrequently a cause of the disease, <span
+class="pagenum"><a name="Page_579" id="Page_579"></a>[pg 579]</span>by
+keeping the hemorrhoidal veins over-distended. Those diseases which provoke
+much straining, as stricture, inflammation or enlargement of the prostate
+gland, and stone in the bladder are also active causative agents. The most
+common cause of all, however, is constipation; and persons of indolent,
+sedentary and luxurious habits of life are the ones most frequently
+affected with this derangement. The following are also prolific causes of
+piles, viz.: pelvic tumors, violent horseback exercise, indigestion,
+pregnancy, habitual use of drastic cathartics, diarrhea, dysentery, sitting
+on heated cushions, long-continued standing posture, diseases of the liver,
+worms, the wearing of tight corsets, eating highly seasoned or indigestible
+food, and the use of alcoholic stimulants. No age is exempt from piles, nor
+is the disease peculiar to either sex. Aside from the serious inconvenience
+and pain which are experienced with most forms of piles, there is a
+tendency to fistula, and to cancer in the rectal region. It is important,
+therefore, that the disease should not be allowed to run on unchecked.</p>
+
+
+
+<p class="rfigure"><a name="advise266"><img width="90%" alt="Illustration:
+Fig. 2. Piles: internal and protruding. " src="images/advise266.png"
+/></a><br />Fig. 2. Piles: internal and protruding. </p>
+
+<p><b>Symptoms</b>. The most common symptoms at first are slight
+uneasiness, such as a little soreness or itching at the verge of the anus,
+and at times lancinating pains. These sensations are more severe as a rule
+if the bowels are constipated. If the piles are external they frequently
+become inflamed, swollen and painful, and in some instances they suppurate,
+which usually results in relief. When internal piles have increased to any
+considerable extent, or have become inflamed, they produce not only itching
+at the extremity of the bowel, pain in the back, etc., but also a sensation
+of fullness in the rectum, as though some foreign body were present, and,
+on action of the bowels, there is a sensation as though a portion of the
+fæces had not been expelled. When the internal piles become large,
+they frequently come down with fæcal matter from the bowel, as
+illustrated in Fig. 2, and this prolapsus becomes more and more marked with
+the progress of the disease, until, in many cases, the tumors are forced
+down at each action of the bowels, causing excruciating pain until they are
+properly replaced. Usually, in the early stages, they recede spontaneously;
+however, after a time it becomes necessary for the sufferer to press them
+back, but in some instances this is impossible. Frequently during the
+protrusion one of the hemorrhoidal veins gives away, and this is followed
+by a free escape of blood, and ulceration may ensue. Not infrequently with
+this disease the patient loses strength and flesh, and the face becomes
+pale and puffy, assuming a waxy appearance. Many times there is nausea,
+with vertigo. Is consequence of the relaxation, the bowel may descend <span
+class="pagenum"><a name="Page_580" id="Page_580"></a>[pg 580]</span>when on
+the feet, or with some extra muscular effort, especially when stooping.
+These symptoms may not all be present in one person, and, indeed, sometimes
+are somewhat obscure; when such is the case, an examination by a competent
+physician will always determine the true character of the complaint at
+once.</p>
+
+
+
+<p class="lfigure"><a name="advise267"><img width="90%" alt="Illustration:
+Fig. 3." src="images/advise267.png" /></a><br />Fig. 3. H. <i>i.</i>
+Internal hemorrhoidal veins. H. <i>m.</i> Middle hemorrhoidal veins. H.
+<i>e.</i> External hemorrhoidal veins. S. <i>i.</i> Internal sphincter
+muscle, S. <i>e.</i> External sphincter muscle. </p>
+
+<p><b>Treatment</b>. Notwithstanding the well established fact that piles
+are readily cured by the appropriate treatment, hundreds of thousands of
+people suffer untold tortures from them because of the popular impression
+that they cannot be cured. All cases are not, however, amenable to the same
+form of treatment, for various unhealthy conditions of the system are often
+concerned in their production and perpetuation, and must, of necessity, be
+remedied by appropriate treatment, before a cure of the piles can be
+expected. It will, therefore, become apparent that the avoidance of causes
+is of paramount importance. Some of these causes are external, and wholly
+under the control of the patient, while others depend upon diseases that
+are curable; it frequently happens that while other diseases are being
+remedied, the piles disappear Without any special attention.</p>
+
+<p>Diseases of the urinary apparatus, as stricture of the urethra,
+enlargement of the prostate gland, and stone in the bladder, dysentery,
+diarrhea, and constipation,&mdash;all cause piles, by the irritation, and
+determination of blood, which they induce; these difficulties must be
+removed by appropriate treatment.</p>
+
+<p>Some years since, we ascertained that we were using in our practice
+remedies which, in addition to other virtues, possessed a direct specific
+influence upon the vessels concerned in the formation of piles. These
+agents enter into the composition of Dr. Pierce's Golden Medical Discovery,
+which, consequently, will be found exceedingly efficacious in the treatment
+of this disease. This remedy, therefore, in removing the disease upon which
+the piles depend, as a congested or torpid liver, constipation, etc., and
+in exciting a direct curative control over the piles themselves, exerts a
+double influence. It may be aided, when the bowels are badly constipated,
+by the use of Dr. Pierce's Pleasant Pellets, taken in <span
+class="pagenum"><a name="Page_581" id="Page_581"></a>[pg 581]</span>the
+morning, to secure a regular and easy evacuation of the bowels each day.
+All stimulating food and alcoholic drinks should be abstained from. The
+cold bath is beneficial in these cases, provided there is not great
+debility. The affected parts should be bathed frequently with cold water,
+and, if prolapsus exists, it is well to inject a little cool water into the
+rectum, and allow it to remain a few minutes. As a soothing, astringing and
+healing application to the affected parts we prepare an Ointment that has
+acquired great fame for the prompt relief which it affords in all ordinary
+cases. This we do not sell through druggists but can send by mail, on
+receipt of price, $1.00 per large box, postage prepaid. The persistent use
+of this Ointment, at the same time keeping the bowels regular by the use of
+"Golden Medical Discovery," with an occasional laxative dose of "Pellets,"
+will generally cure all ordinary cases of piles.</p>
+
+<p><b>The Radical Cure of Large Pile Tumors.</b> In cases in which the
+tumors have become indurated and very large it is impossible to effect
+cures by the foregoing or any other medical treatment. Various methods have
+been in use by the profession for the relief of the most severe cases. The
+most common is excision with the knife or scissors. Reference to the large
+vessels, shown in Fig. 3, which are affected in this disease, will at once
+show the sufferer the dangers of this method. The sudden removal of a
+tumor, which is connected with one or more of the large hemorrhoidal veins,
+is sure to be followed by severe hemorrhage, and many times painful
+ulceration, and a fatal result. To avoid this it has been the practice of
+many physicians to apply caustics or to burn off the base of the tumors
+with a red-hot iron. A more barbarous and painful method could not be
+devised. When it is considered that in many cases, this severe and painful
+treatment is followed by ulceration, and occasionally by the developement
+of cancer, the matter should be carefully weighed before any such dangerous
+procedure is attempted. Another common method of treatment is to crush the
+base of the pile with a clamp, and then cut off the tumors with scissors.
+After this it is also necessary to apply the hot iron to prevent
+hemorrhage. Formerly, applications of nitric acid were in common use by
+physicians as a means of cure, but it was found that while this treatment
+would give temporary relief, yet in no severe case would it effect a cure.
+By what we term palliative treatment alone more cures are effected than by
+the old process of treatment with nitric acid. Still another form of
+treatment is strangulation of the pile by means of a ligature, and this is
+often more painful than the application of hot irons, inasmuch as in
+cutting off the return flow of blood from the piles, a large tumor is left
+for days fully distended and extremely painful. It does not slough off for
+a considerable time, and we have seen the strongest men suffer intensely,
+to whom the use of scissors in removing the tumors was a positive relief in
+comparison with the torture of the ligature. A treatment that has been
+highly recommended by some physicians and condemned by others, is <span
+class="pagenum"><a name="Page_582" id="Page_582"></a>[pg 582]</span>the
+process of injection with carbolic acid. This method of treatment is not
+very painful but, unfortunately, it is dangerous. The injection of the
+tumors with a fluid which causes coagulation of the blood, and which does
+not completely shut off the return current of the circulation through the
+tumors, has proved fatal in a small percentage of cases. The clots which
+are formed by this treatment become detached and are carried into the
+general circulation and conveyed to the liver, lungs and even to the brain,
+where, by plugging up the vessels of those organs, they cause abscesses
+which terminate life. Serious inflammation of the veins is another accident
+which often follows the injection of carbolic acid. This treatment is,
+therefore, now seldom resorted to except by physicians who do not
+appreciate its dangers.</p>
+
+<p><b>A More Successful Method</b>. Fortunately for suffering humanity, a
+method of treatment has been perfected and thoroughly tested in our
+institution, in which all such trouble and danger as above described are
+avoided. This consists in bringing down the tumors, cleansing them and
+making application, of certain chemical preparations, that cause the tumors
+to speedily shrivel up, and in a very short time, say ten to fourteen days,
+disappear entirely. These treatments and applications cause <i>no pain
+whatever</i>, for by first applying a weak solution of cocaine to the parts
+they are speedily rendered entirely insensible, so that the most sensitive,
+nervous lady experiences not the slightest suffering from the application
+of our remedies.</p>
+
+<p>Having now at our command means so positively certain in their action
+upon pile tumors, we do not hesitate to say that the very worst cases, no
+matter of how long standing, can be promptly cured, if we can only have the
+patient for a few days under our personal care. Considering the very
+distressing character of pile tumors, it is a great boon that we have at
+last found safe, painless, and positively certain means for their cure. The
+news will be hailed with joy by a large class of sufferers.</p>
+
+<p>Probably no other discovery in modern science is destined to be the
+means of conferring greater blessings on a large class of sufferers than
+that of a painless and positive method of curing the largest pile tumors in
+the brief time required by our system of treating them.</p>
+
+<p>It seems to us that there is no longer an excuse for any one to endure
+the tortures inflicted by pile tumors, provided the afflicted one can
+command the little time and moderate amount of means necessary to secure
+the treatment indicated. Piles are not only in and of themselves very
+painful and annoying, but often greatly aggravate and even cause other
+grave and painful affections, and should, therefore, not be neglected. When
+large, they never get well without proper treatment. We have seen many
+cases in which the long train of diverse and distressing symptoms caused by
+piles led the sufferer, and even the family physician, to suppose that
+other diseases existed, but all of which annoying symptoms were speedily
+dispelled by the cure of the piles. We have no doubt that neglected piles,
+fistulæ, and other morbid conditions of the <span class="pagenum"><a
+name="Page_583" id="Page_583"></a>[pg 583]</span>lower bowels, frequently
+degenerate into cancerous disease. We have the eminent authority of J.
+Hughes Bennett, of Edinburg, and many other close observers, for saying
+that benign or ordinary tumors often degenerate into real cancerous
+disease, and our own extensive observation convinces us that this is not
+infrequently a result of neglected rectal disease, as piles, fistulæ
+and fissures. How important, then, to give prompt attention and skillful
+treatment to disease of these parts. When the ordinary palliative
+treatment, with ointments and with laxative agents to keep the bowels
+soluble, does not <i>completely and perfectly</i> subdue the malady, lose
+no time in securing the most skillful appliances, that every vestige of the
+affection may be promptly removed. We have treated many thousands of cases
+with uniform success, and our patients write to us expressing the greatest
+degree of satisfaction, and recommending our method most highly.</p>
+
+<p>Reports of a few cases, selected at random from the large number which
+we have cured, are given below to illustrate our success in curing
+them.</p>
+
+
+<h3>ANAL FISTULA. (FISTULA IN ANO.)</h3>
+
+
+<p>This disease is <i>more dangerous</i> than piles, though, after once
+formed, not so painful. It sometimes commences with intense itching about
+the anus, accompanied with a little discharge; or the first symptom may be
+a painful abscess, like a boil, which finally breaks. The soreness then in
+a measure subsides, leaving a fistulous opening, with a continuous
+discharge of matter. This unnatural opening, with its constant drain upon
+the system, sooner or later is certain to ruin the health or develop
+consumption or other maladies, and destroy life.</p>
+
+<p>Fistula in Ano may exist in three conditions: First, complete
+fistula&mdash;when the opening is continuous from the cavity of the rectum or
+bowel to the surface of the skin, so that liquids, gases, etc., escape;
+secondly, internal incomplete fistula, when the opening extends from the
+inside of the rectum into the tissues surrounding it, but not through the
+skin. A few cases of this kind exist, while the sufferers are unconscious
+of the nature of the difficulty, supposing it to be piles or some
+trouble&mdash;they know not what. Thirdly, external, incomplete fistula, when
+the opening extends through the skin into the tissues around the rectum,
+but does not enter the bowel.</p>
+
+<p>Other complications, such as pendulous tits or projections, from
+one-fourth to one and a half inches in length, are attendant upon fistula.
+Two or more openings may appear in the skin, all communicating with the
+same sinus, or opening into the rectum. Sometimes only a small external
+opening is seen, while a large abscess exists internally. In any case, the
+discharge is not only reducing to the system, but it is disgusting and
+offensive.</p>
+
+<p><b>Causes</b> The causes are a constitutional predisposition,
+constipation, piles, or the presence of foreign bodies in the rectum,
+causing an <span class="pagenum"><a name="Page_584" id="Page_584"></a>[pg
+584]</span>abscess or ulcer. Some authors have contended that fistula
+always originates from an ulcer in the rectum, which gradually makes its
+way through the cellular tissue to the surface. Others contend that the
+cause of this disease consists in an abscess, which burrows in the tissues
+and makes its exit into the rectum, or through the skin, or both. No doubt
+it may originate in both ways. It can readily be seen that when an internal
+opening is once established, the <i>foeces</i> which enter into it must
+sooner or later work their way to the surface, burrowing through those
+parts which offer the least resistance, until a place of exit is
+reached.</p>
+
+<p><b>Diagnosis</b>. The disease may be suspected, if there has been an
+abscess in the parts involved, or if the patient has been subject to pain
+in the rectum, and the parts are tender, tumid, or indurated. When the
+fistula opens externally, the linen will be moistened and soiled with pus,
+or a bloody fluid, and when the tract is large, the <i>foeces</i> may pass
+through it. A careful exploration with a probe, passed into the external
+opening while the finger is in the rectum, generally reveals the direction
+of the tract; but, sometimes, in consequence of the tortuous course of the
+canal, the probe cannot he made to follow it. When the fistula is
+incomplete, and opens internally, the probe is passed into the rectum and
+directed outwards, when it may be felt externally. In such cases, a tumor,
+caused by the contents of the fistula, may generally be seen protruding
+near the anus, and the pain will be considerably increased during
+defecation, by the <i>foeces</i> passing into it and disturbing its walls.
+The examination should be made with the greatest possible care, for it is
+attended with more or less pain.</p>
+
+<p><b>Treatment</b>. When constitutional derangement exists, it must be
+rectified, or any treatment will be liable to result in failure. The
+comfort of the patient may be greatly promoted by attention to the bowels,
+keeping their contents in a soluble condition, and the liver active, so as
+to prevent congestion of the rectum and adjacent structures. This can best
+be done by careful attention to hygiene, and the use of "Golden Medical
+Discovery" and "Pellets," in sufficient quantities to produce the above
+named effects.</p>
+
+<p>A <i>radical cure</i>, however, cannot be accomplished except by
+surgical means, for which we have the <i>knife, ligature, caustic,
+stimulating injections, etc.,</i> which may be varied to suit the
+emergency, but which should never be employed except by a competent
+surgeon. Constitutional conditions materially influence the cure, no matter
+what procedure is adopted; the greater the constitutional derangement and
+the poorer the general health, the longer is the cure delayed. The great
+secret of our success in treating this disease consists in applying
+appropriate constitutional treatment at the same time.</p>
+
+<p>The use of the knife is becoming obsolete, and has, to a great extent,
+given way to other measures which are equally successful. Indeed, other
+means will succeed in cases in which the knife fails or is for any reason
+inapplicable. One great objection to the knife is not only the <span
+class="pagenum"><a name="Page_585" id="Page_585"></a>[pg 585]</span>dread
+which patients entertain of it, but the great liability of its use to
+result in paralysis of the sphincters of the anus, the consequence of which
+is loss of control over the bowels; and another is that it sometimes
+entirely fails to result in cure. By the means which we employ, these
+objections are entirely overcome, and, while the general system is being
+renovated, the fistula is healed, without any complications.</p>
+
+<p>Fistula is much more common than has generally been supposed. It is apt
+to be associated with pulmonary diseases. Heretofore, it has been supposed
+that to heal the fistula, during the progress of the lung affection, would
+result in fatal consequences, and the patient has been left to suffer and
+die under the combined influence, of the <i>two</i> diseases. Observation,
+based upon an extensive experience in the management of such diseases, has
+proved that supposition to be fallacious in every respect, and we would
+urge all persons afflicted with fistula to have the affliction cured, no
+matter what complications may exist. The fact underlying this erroneous
+opinion is, that when grave constitutional troubles have co-existed the use
+of the knife has resulted in failure, and the fistula has refused to
+heal.</p>
+
+<p>Having had ample facilities for observing the relative merits of the
+various methods of treating this complaint, in hundreds of eases, in our
+own practice and that of others, we feel justified in saying that the plan
+which we have adopted is far superior to that in general use. The local
+treatment which we employ depends upon the nature of the fistula; in some
+instances the ligature is best, in others caustics, and again injection,
+etc., while still others require a combination of two or more methods, or a
+modification of them.</p>
+
+<p>In cases in which it is impossible for the patient to come to our hotel
+for a radical and speedy cure of the fistula, we employ constitutional
+treatment, with, the use of a medicated crayon, which is similar in shape
+to a small slate pencil. This crayon is made of gelatine with the remedial
+agents thoroughly incorporated through it, and in an easily soluble form.
+They are very flexible and readily used, and where the fistulous track is
+sufficiently large to admit of their insertion, the most decided
+improvement invariable follows their application. One is oiled and gently
+introduced into the track every two or three days, and by its solution the
+unhealthy tissues which line the track are removed. They are thrown off,
+and a healthy action is induced. With careful constitutional treatment,
+decided improvement soon follows, and the discharge is gradually lessened.
+The most satisfactory improvement occurs in the general health and strength
+of the patient, and gradually the fistula closes. Sometimes it is necessary
+to pursue this course of treatment for many months, but the result obtained
+is sufficient reward for the trouble. A large percentage of cures follow
+this treatment, and we recommend it when it is impossible for the patient
+to leave home, or when the general health is greatly reduced by severe
+constitutional disease.</p>
+
+<p><span class="pagenum"><a name="Page_586" id="Page_586"></a>[pg
+586]</span></p><hr />
+
+
+
+<h2>TESTIMONIALS.</h2>
+
+<p>While we have a great cloud of witnesses testifying to the efficacy of
+our treatment of the diseases described in this volume, yet for lack of
+space we can here introduce only the few following:</p>
+
+
+<h4>"LIVER COMPLAINT."</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise268"><img width="90%" alt="Illustration:
+J.H. May, Esq. " src="images/advise268.png" /></a><br />J.H. May, Esq. </p>
+
+<p><i>Gentlemen</i>&mdash;In the year 1889 I was taken with disease which the
+doctors called "liver complaint." I tried three different doctors. They did
+me no good. They tried about one year; I was not able to work for two
+years. At last I thought I would try Dr. Pierce's medicines, and I wrote to
+Dr. Pierce, and he wrote to me to take his "Golden Medical Discovery," and
+I bought two bottles, and when I took it, I saw it was improving me, and I
+got five more, and before I had taken all I was well, and I haven't felt
+the symptoms since. I had a continued hurting in my bowels for about two
+years. I feel as if the cure is worth thousands of dollars to me.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+J.H. MAY,<br />
+Potts' Station, Pope Co., Ark.<br />
+</p>
+</blockquote>
+
+
+<h4>DYSPEPSIA AND WOMB DISEASE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise268b"><img width="90%" alt="Illustration:
+Mrs. Ransom. " src="images/advise268b.png" /></a><br />Mrs. Ransom. </p>
+
+<p><i>Dear Sirs</i>&mdash;When first taking Dr. Pierce's Favorite Prescription I
+was nervous and would have sour stomach and distress after eating, and when
+I would rise after stooping over everything would turn dark before me and I
+would feel dizzy. I suffered a great deal of pain at each monthly period. I
+took one bottle and a half of the "Favorite Prescription," one teaspoonful
+three times a day, and the "Pellets" as directions called for. I gained in
+health and strength so rapidly that I have been able to work very hard the
+past summer, and my back never troubles me; and when I have my monthly
+periods I never feel the least bit of pain. In fact I consider myself in
+excellent health.</p>
+
+<blockquote>
+<p>
+Very truly yours,<br />
+MRS. INEZ V. CARR RANSOM,<br />
+Panama, Chaut. Co., N.Y.<br />
+</p>
+</blockquote>
+
+
+<h4>INFLAMMATION OF LIVER.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise269"><img width="90%" alt="Illustration:
+T.J. Bentley, Esq. " src="images/advise269.png" /></a><br />T.J. Bentley,
+Esq. </p>
+
+<p><i>Gentlemen</i>&mdash;I was taken sick with inflammation of the liver and
+could get no relief from the doctors of this place&mdash;Randolph, N.Y. I was
+induced to use Dr. Pierce's Golden Medical Discovery, and "Pleasant
+Pellets," and after using five bottles of the medicine, I regained my
+health, and now I am a well man. I weighed 185 pounds before taken sick,
+and I was reduced to 135 pounds in sixty days' time. I suffered greatly
+from headache, pain in my right shoulder, poor appetite, constipation and a
+sleepy feeling all the time. My health is now very good, and I weigh 170
+pounds, and I am able to do a good day's work without any trouble at all.
+Thanks to these valuable medicines.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+THOMAS J. BENTLEY,<br />
+Randolph, Catt. Co., N.Y.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_587" id="Page_587"></a>[pg
+587]</span><b>LIVER DISEASE AND DYSPEPSIA</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise270"><img width="90%" alt="Illustration:
+Mrs. Hart. " src="images/advise270.png" /></a><br />Mrs. Hart. </p>
+
+<p><i>Dear Sirs</i>&mdash;I am enjoying excellent health. After taking a bottle
+of Dr. Pierce's Golden Medical Discovery and several bottles of "Pellets,"
+I am a different person. Only weighed 119 pounds when I began taking your
+medicine, now weigh 160. My symptoms were pain under the left shoulder,
+distress after eating, headache, dizziness, constipation, and, in fact, my
+system was "out of sorts generally." I tell every one your medicine has
+done more for me than any other.</p>
+
+<blockquote>
+<p>
+I remain, yours truly,<br />
+MRS. CHARLES H. HART,<br />
+San Ardo, Monterey Co.,<br />
+California.<br />
+</p>
+</blockquote>
+
+
+<p><b>LIVER COMPLAINT AND CATARRH</b>.</p>
+
+
+
+<p class="rfigure"><a name="advise271"><img width="90%" alt="Illustration:
+Wm. King, Esq. " src="images/advise271.png" /></a><br />Wm. King, Esq. </p>
+
+<p><i>Dear Sirs</i>&mdash;After suffering for several years with nasal catarrh
+and liver complaint, and having become greatly reduced in health, as a last
+resort I placed myself in your hands for treatment. My improvement began
+almost immediately after entering your institution. I was enabled to leave
+at the end of one month, having experienced great benefit. The treatment
+was continued at home for a few months, after which my cure was complete.
+At the present time, I am able for office work, and feel that I am
+completely cured of the catarrh and have but little if any trouble with my
+liver. I shall lose no opportunity to recommend your institution or your
+medicines to the afflicted. I do most unhesitatingly recommend chronic
+sufferers to visit your institution or take your remedies at home.</p>
+
+<blockquote>
+<p>
+Sincerely yours,<br />
+WILLIAM KING,<br />
+Rose Bud,<br />
+Pope Co., Ills.<br />
+</p>
+</blockquote>
+
+
+<p><b>A COMPLICATED CASE OF STOMACH, LUNG, AND UTERINE DISEASE</b>.</p>
+
+
+
+<p class="lfigure"><a name="advise272"><img width="90%" alt="Illustration:
+Mrs. Rademaker. " src="images/advise272.png" /></a><br />Mrs. Rademaker.
+</p>
+
+<p><i>Dear Sirs</i>&mdash;Some six years ago I was taken sick with chills; I
+would have a very bad chill and then I would begin to sweat and vomit; I
+had no appetite; I had the catarrh very bad; I had inward troubles of
+different kinds; my back ached all the time; I had sores gather and break
+inside; I had a lung trouble; I was very bad off; I could sit up only long
+enough to have my bed made; my husband sent for our family doctor; he came
+three times a week for three months; I was not so well at the end of three
+months as when he first came, but kept growing worse; he gave me up to die,
+and said I had consumption. I had heard of Dr. Pierce's medicines doing a
+good deal of good, so I made up my mind to try them. I sent and got one
+bottle of "Favorite Prescription" and one bottle of "Golden Medical
+Discovery"; also one bottle of "Pellets," and commenced taking them. In a
+few days I commenced to gain, and In two weeks' time I could sit up most
+all day, and in five weeks' time I could do my work with the help of two
+small girls. After taking four bottles of "Favorite Prescription," six
+bottles of "Discovery," and three of "Pellets," I was well enough to get
+along without any medicine. I can do a good day's work, and I owe my life
+to Dr. Pierce. With God's will and the use of Dr. Pierce's medicine I am
+still alive and well.</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+Mrs. CLARA A. RADEMAKER,<br />
+Addison Point, Washington Co., Me.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_588" id="Page_588"></a>[pg
+588]</span></p><h4>LIVER COMPLAINT AND DROPSY.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION. Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise273"><img width="90%" alt="Illustration:
+Mrs. Dennis. " src="images/advise273.png" /></a><br />Mrs. Dennis. </p>
+
+<p><i>Gentlemen</i>&mdash;About two years ago I was confined to my bed for
+several weeks with liver complaint. I became dropsical, my limbs swelled to
+twice their usual size and I could scarcely move them. I commenced using
+Dr. Pierce's Golden Medical Discovery; one bottle helped me so I could sit
+up; two bottles gave me strength enough to be able to do part of my
+household work; six bottles cured me, and to-day I am enjoying good health.
+The "Medical Discovery" should be in every household, and in gratitude for
+what it has done for me I have recommended it to many friends. For nine
+years I have suffered from deafness, and while taking the "Discovery" my
+hearing became much improved.</p>
+
+<blockquote>
+<p>
+Very truly yours,<br />
+MRS. I.C. DENNIS,<br />
+Burson. Calaveras Co., Cal.<br />
+</p>
+</blockquote>
+
+
+<h4>INDIGESTION, CONSTIPATION, VARICOCELE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise274"><img width="90%" alt="Illustration:
+Mr. Hodges." src="images/advise274.png" /></a><br />Mr. Hodges.</p>
+
+<p><i>Dear Sirs</i>&mdash;In regard to my condition of health, will say,
+although I am not entirely well, yet I have received much and lasting good
+from your treatment. My digestion was improved greatly, so that little
+trouble is experienced after eating; my liver seems to act reasonable well,
+and my bowels are much better. My varicocele I consider entirely cured, as
+I have not used the bandage for one half day for more than six months, and
+do not experience any inconvenience from that source.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+HARLAN HODGES,<br />
+Keota, Keokuk Co., Is.<br />
+</p>
+</blockquote>
+
+
+<h4>CASE OF CHRONIC DIARRHEA CURED BY HOME TREATMENT.</h4>
+
+
+
+<p class="rfigure"><a name="advise275"><img width="90%" alt="Illustration:
+Mrs. Gwin. " src="images/advise275.png" /></a><br />Mrs. Gwin. </p>
+
+<p>At the time the case was first submitted to us the bowels were moving
+six or eight times a day. In addition to the diarrhea, the patient had
+suffered from indigestion and womb trouble for eight years. There was
+almost continual pain from the top of the head to the hips and through the
+shoulders. There was weakness, soreness and numbness in the arms, hands,
+back and hips; the bladder was irritable, urine being passed frequently, or
+occasionally scanty, dark, thick, with a brick-dust deposit. There was a
+dragging sensation in the region of the womb. Menstruation was irregular,
+and she had frequent trembling spells lasting for hours. There was
+difficulty in fixing the attention, even for a sufficient length of time to
+write a brief letter. In fact, she was so weak and nervous she could
+scarcely write at all. Sleeplessness was a prominent feature of the case.
+The principal diet consisted of light bread and hot milk; could not use
+Graham bread. A course of special treatment was supplied to her about the
+first of January, 1890, but soon after commencing the treatment she had an
+attack of pneumonia. In due time the treatment was resumed, and then
+followed an attack of the epidemic influenza, or grip, so that, although
+the treatment was carried on at intervals during a year, there were but few
+occasions when our specialist had what he considered full control of the
+case. A year after the case was discharged the following communication was
+received:</p>
+
+
+<p>February 15, 1893.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Gentlemen</i>&mdash;I should have written sooner, but I waited to see if
+there would be any return of my old disease. After suffering over eight
+years with severe chronic diarrhea, you have cured me; I have had no return
+of it for over a year. It is with gratitude I write to you to tell you the
+great good you have done me, for I <span class="pagenum"><a name="Page_589"
+id="Page_589"></a>[pg 589]</span>am sure I would have been in my grave
+before this had it not been for your treatment; My stomach troubles me very
+little any more. Occasionally I use a bottle of "Golden Medical Discovery"
+and a bottle of "Pellets." Hoping that the kind Father may spare your lives
+for many years to do good to suffering humanity,</p>
+
+<blockquote>
+<p>
+I am, Very gratefully yours,<br />
+MRS. R.S. GWIN,<br />
+Peck's Run, Upshur Co., W. Va.<br />
+</p>
+</blockquote>
+
+
+<h4>LIVER COMPLAINT, DYSPEPSIA, AND CONSTIPATION.</h4>
+
+<p><b>Cured by Home Treatment.</b></p>
+
+
+
+<p class="lfigure"><a name="advise276"><img width="90%" alt="Illustration:
+J. Fleener." src="images/advise276.png" /></a><br />J. Fleener.</p>
+
+<p>Received his first disability in the war; complains of getting very
+weak; bowels move only in three or tour days; stomach so painful that
+nothing passes through it digested; back so weak cannot sit up; had the
+first attack of dyspepsia fifteen years ago, and has spent hundreds of
+dollars trying to get well; kidneys badly affected, urine highly colored,
+and burns in passing; has pains around the heart and fluttering sensations
+at times, says: "I am not able to travel; all the doctors have given me up
+as beyond medical aid."</p>
+
+<p>Reports after two months' treatment: "I am happy to say that I am almost
+well; suffer with no pain in my stomach after eating; my appetite is good;
+my bowels move once a day and very often twice a day, and the urine is
+natural; do not have that dizziness in the head any more: rest well at
+night and feel rested in the morning. Have gained flesh all the time; weigh
+178 pounds, and work every day on the farm. Have taken no medicine from any
+other physician, and give you and your medicine all the credit for the
+health I now enjoy. My wife has taken your "Golden Medical Discovery" for
+goitre (thick neck). She has taken it for about six weeks and she is
+getting better."</p>
+
+<blockquote>
+<p>
+JOHN FLEENER, Brooklyn, Indiana.<br />
+</p>
+</blockquote>
+
+
+<h4>DYSPEPSIA.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise277"><img width="90%" alt="Illustration:
+G.R. Kenyon, Esq. " src="images/advise277.png" /></a><br />G.R. Kenyon,
+Esq. </p>
+
+<p><i>Gentlemen</i>&mdash;Your letter was received, and I am glad to say that I
+am perfectly well, and have been since I took your last medicine. I think I
+am better than I ever was, if such a thing could be. I am twenty pounds
+heavier than I ever was before, weighing 155 pounds. I have not had a pain
+or an ache since, for which fact I am thankful to you for looking after my
+case as promptly as you did, as, in looking over your catalogue of
+diseases, I thought that I had every thing ailing me that was in the book.
+I have told dozens if they were sick to call on you. With my best wishes,
+and hoping that all of your patients will receive as much benefit as I did,
+I remain,</p>
+
+<blockquote>
+<p>
+Very truly yours,<br />
+GEORGE R. KENYON<br />
+Batavia, Ill.<br />
+</p>
+</blockquote>
+
+
+<h4>DYSPEPSIA.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise278"><img width="90%" alt="Illustration:
+J.P. McAdams, Esq. " src="images/advise278.png" /></a><br />J.P. McAdams,
+Esq. </p>
+
+<p><i>Gentlemen</i>&mdash;"A few of my symptoms were: Heartburn and fullness
+after eating, sometimes pain in my bowels, headache, poor appetite and bad
+taste in my mouth. At night I was feverish, with hot flushes over skin.
+After taking Dr. Pierce's Golden Medical Discovery I was relieved of all
+these symptoms, and I feel perfectly well to-day."</p>
+
+<blockquote>
+<p>
+Very truly yours,<br />
+J.P. MCADAMS,<br />
+Elon College,<br />
+North Carolina.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_590" id="Page_590"></a>[pg
+590]</span></p><h4>OBSTINATE AND COMPLICATED DISEASE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise279"><img width="90%" alt="Illustration:
+John H. Smith, Esq. " src="images/advise279.png" /></a><br />John H. Smith,
+Esq. </p>
+
+<p><i>Gentlemen</i>&mdash;Yours of July 12th to hand. I am only too glad to
+comply with your request. Having suffered for many years with a
+complication of diseases and feeling conscious that they were rapidly
+making serious inroads upon my constitution, and that I was speedily
+becoming unable and incapacitated to attend to my ordinary business. I
+resolved, after reading a number of testimonials from your patients, to
+place myself under your treatment at the Invalids' Hotel and Surgical
+Institute. With heart-felt gratitude I can truthfully say I am relieved of
+my trouble. I most cheerfully and earnestly recommend this Institution to
+all who are afflicted with chronic and painful diseases, no matter of what
+nature. During my stay there I saw some wonderful cures and surgical
+operations.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+JOHN H. SMITH,<br />
+Deckertown, Sussex Co., N.J.<br />
+</p>
+</blockquote>
+
+
+<p><b>COMPLICATION OF DISEASES</b>.</p>
+
+
+
+<p class="lfigure"><a name="advise280"><img width="90%" alt="Illustration:
+Andrew Holes, Esq." src="images/advise280.png" /></a><br />Andrew Holes,
+Esq.</p>
+
+<p>Without solicitude or hope of pecuniary reward, with heart-felt
+gratitude and a desire to aid my fellow-man to health and happiness, allow
+me to state, that as an inmate for more than a month of the Invalids' Hotel
+and Surgical Institute at No. 663 Main Street, Buffalo, N.Y., I feel
+warranted in its highest recommendation. While there I saw and talked with
+a great number of people who came there as a last resort, to be cured of
+almost every chronic disease to which flesh is heir, and they were
+unanimous in their praise of the Institution and the skilled specialists
+who constitute its professional staff.</p>
+
+<blockquote>
+<p>
+ANDREW HOLES,<br />
+Moorhead, Minn.<br />
+</p>
+</blockquote>
+
+
+<h4>NERVOUS DEBILITY, DYSPEPSIA, KIDNEY AND LIVER DISEASE&mdash;CURED.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise281"><img width="90%" alt="Illustration:
+B.V. Wright, Esq. " src="images/advise281.png" /></a><br />B.V. Wright,
+Esq. </p>
+
+<p>Gentlemen&mdash;I take pleasure in informing you that the treatment you gave
+me for the relief of an affection of the spine and nervous system, disease
+of the digestive organs, kidneys and liver, has been entirely successful. I
+had feared that my health was gradually being undermined, prior to entering
+your institution, and I can testify to the perfect appointment that you
+have, the excellent apparatus for the administration of electrical and
+other massage treatment and baths. My relief was most satisfactory, and the
+cure has remained permanent.</p>
+
+<p>I take pleasure in recommending your institution to the afflicted,
+believing that you have the very best treatment for chronic diseases known,
+and I have had an opportunity to satisfy myself, from conversation with
+other invalids in your Institution, of the care and skillful treatment that
+you administer, and its excellent effects. I believe that it is fully
+abreast of the times, and equal to any institution in the world. With many
+good wishes and thanks for my cure, I remain,</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+B.V. WRIGHT,<br />
+Graniteville, Middlesex Co., Mass.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_591" id="Page_591"></a>[pg
+591]</span></p><h4>PROLAPSING PILES (Hemorrhoids), ASTHMA, TORPID LIVER AND
+CONSTIPATION.</h4>
+
+<p><b>Cured at the Age of 62&mdash;Now 73 Years of Age&mdash;and Continues in Good
+Health</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise282"><img width="90%" alt="Illustration:
+Mrs. Plummer. " src="images/advise282.png" /></a><br />Mrs. Plummer. </p>
+
+<p><i>Dear Doctors</i>&mdash;It is with the greatest pleasure that I add my own
+experience to that of the many that you have cured. I am now seventy-three
+years of age, and enjoy very good health for my years, and as you can see
+by the photograph I send you, time has dealt very considerately with me so
+far as my activity and enjoyment of life are concerned. To this I feel that
+in large measure my thanks are due to you, for eleven years ago when I was
+sixty-two years of age you treated the pile tumors so successfully. They
+had been the source of greatest discomfort. I think that they were caused
+first by chronic diarrhea, which had troubled me many years prior to their
+appearance. I was also afflicted with asthma, torpid liver and
+constipation. These conditions produced in time some pile tumors that were
+the source of much suffering, and seemed to continually annoy me. As is
+usual with such difficulties, I believe, I would be free from discomfort
+for a time, and then the piles would get sensitive and irritable, come down
+at stool, and gave rise to severe pain that seemed to affect my general
+health. The nervous symptoms that resulted from their presence were such as
+to lead me to fear that I would break down in health unless they were
+relieved. From information obtained from others who had been relieved at
+your hands, I applied to your institution, and can thankfully assert that
+the tumors were permanently cured, as it has been eleven years since your
+specialist treated me, and I have had no trouble of the kind, and for an
+old lady I am pretty well. I had such good treatment and nice care at your
+institution that I cannot express in my testimony the thanks that I owe
+you. Wishing you every success in the treatment of others, and that you may
+be able to relieve the sufferings of many hundreds as you have mine,</p>
+
+<blockquote>
+<p>
+I remain. Very respectfully and thankfully yours,<br />
+MRS. MOSES PLUMMER, Groton, Caledonia Co., Vt.<br />
+</p>
+</blockquote>
+
+
+<h4>BILIOUSNESS, CONSTIPATION, BAD COUGH.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL, ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise283"><img width="90%" alt="Illustration:
+George Wilder, Esq. " src="images/advise283.png" /></a><br />George Wilder,
+Esq. </p>
+
+<p><i>Gentlemen</i>&mdash;Some twenty-five years since I was feeling very
+miserable all summer; I was very bilious; sometimes my bowels would not
+move once in sixty to seventy hours, and then almost impossible. I would
+take some bitters, which would help to move the matter, but as soon as the
+bitters were gone, I had to buy more or I would be as bad as before, and
+sometimes worse; but none of them appeared to do me any good except to move
+the bowels, until thirty years since a druggist called my attention to your
+"Golden Medical Discovery," and before I had taken half a bottle of the
+"Golden Medical Discovery," I felt much better, and by the time I had taken
+all, I could eat three hearty meals per day and had not felt so well for a
+long time. Soon after I was called to do a job some miles from home, and
+one night the old lady there was speaking about her daughter (Mrs. Brooks)
+who had been under the doctor's care for about five months and did not get
+any better, and I learned by asking a few questions that she had no
+appetite and no ambition to do anything. Then I told her what the "Golden
+Medical Discovery" had done for me. The next day the old lady drove down to
+her daughter's and got Mr. Brooks to send to Rutland, ten miles away, for
+two bottles of the "Golden Medical Discovery," and the next day when the
+doctor came and was about to take his leave, Mr. Brooks told the doctor he
+did not want him any more at present, and would send for him, if necessary.
+I saw the old lady about ten days later and her daughter was improving, and
+Mr. Brooks had great faith in the "Golden Medical Discovery," and had not
+sent for the doctor, but had gone to Rutland for more of the "Golden
+Medical Discovery." When I commenced taking the "Golden Medical Discovery"
+I thought I was going into consumption, as I had a cough for three years or
+more and my weight decreasing. My weight before taking the "Golden Medical
+Discovery" was 133 pounds; last March it was 147 pounds, and I give the
+credit to the "Discovery,"</p>
+
+<blockquote>
+<p>
+GEORGE I. WILDER,<br />
+East Wallingford, Rutland Co., Vt,<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_592" id="Page_592"></a>[pg
+592]</span></p><h4>LIVER DISEASE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise284"><img width="90%" alt="Illustration:
+Mrs. Bosworth. " src="images/advise284.png" /></a><br />Mrs. Bosworth. </p>
+
+<p><i>Gentlemen</i>&mdash;I suffered greatly for thirteen years. Not one moment
+during that time had I rest from pain or weakness. I consulted six of our
+best physicians, taking medicines from each for a good long time. I became
+completely discouraged, as I had been many times before. A letter from the
+World's Dispensary Medical Association with questions to be answered, fell
+into my hands; these I carefully answered. As soon as a letter could go and
+come I received another saying I had the Liver Disease. I could hardly
+believe it, for it had never entered my mind that that was my trouble. I
+read the pamphlet sent me in the next mail, describing my feelings much
+better than I could myself. I accepted their advice, strictly followed it.
+I found complete relief in taking the "Golden Medical Discovery." For years
+I could not ride a mile nor walk to my nearest neighbor's without feeling
+worse for it, and most of the time could not go at all. The day this
+picture was taken I rode eighteen miles, walking up and down two long
+hills. To the afflicted and discouraged I would say consult the World's
+Dispensary Medical Association; accept their advice, strictly follow it,
+and if there be help for you I believe you will find it in so doing.</p>
+
+<blockquote>
+<p>
+Respectfully yours,<br />
+MRS. HELEN C. BOSWORTH,<br />
+Money Creek,<br />
+Houston Co., Minn.<br />
+</p>
+</blockquote>
+
+
+<h4>DYSPEPSIA,</h4>
+
+<p><b>And Other Complications.</b></p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise285"><img width="90%" alt="Illustration:
+Stephen Ogden, Esq." src="images/advise285.png" /></a><br />Stephen Ogden,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;In reply to yours of the 7th instant, I would say that
+I can cheerfully recommend your medicines, as I have tried them and found
+them just as represented. I am enjoying splendid health at the present
+time.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+STEPHEN OGDEN,<br />
+Twin Mound,<br />
+Douglas Co.,<br />
+Kansas.<br />
+</p>
+</blockquote>
+
+
+<h4>DYSPEPSIA AND CONSTIPATION.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise286"><img width="90%" alt="Illustration:
+Miss. Helfer. " src="images/advise286.png" /></a><br />Miss. Helfer. </p>
+
+<p><i>Gentlemen</i>&mdash;I have been troubled with dyspepsia and constipation
+for the last six years, and have tried all medicines that I could think of;
+and I got so low in health that I thought I would once more try the "Golden
+Medical Discovery" and Dr. Pierce's Pleasant Pellets. After taking it for
+three months I began to feel better, especially the gas and sour rising off
+my stomach at night. Formerly it was a terrible distressed feeling, could
+not rest nor sleep. I am very thankful to the World's Dispensary Medical
+Association, and thankful to God who put the great <i>power</i> in your
+medicine that cured me. I will say a good word for your medicines to all
+friends I meet. With many thanks, I remain,</p>
+
+<blockquote>
+<p>
+Respectfully.<br />
+Miss M.A. ELIZABETH HELFER,<br />
+Moreton Farm, Monroe Co., N.Y.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_593" id="Page_593"></a>[pg
+593]</span></p><h4>COMPLICATION OF DISEASES.</h4>
+
+<p><b>A Grateful Patient's Words of Praise</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise287"><img width="90%" alt="Illustration:
+William Henkel, Esq. " src="images/advise287.png" /></a><br />William
+Henkel, Esq. </p>
+
+<p><i>Gentlemen</i>&mdash;Having been in your Institution as a sufferer from two
+distinct chronic diseases of years' standing, and having been placed under
+the charge of your specialists, I was speedily relieved of my afflictions.
+The Invalids' Hotel is a place as much like home as it is possible for such
+an institution to be. The physicians and surgeons are all expert
+specialists and thoroughly efficient; the nurses are very competent,
+attentive and kind; and, in fact, the whole <i>personnel</i> of the
+Invalids' Hotel endeavor to do their best to make the patients feel like
+being at home. I always felt while there as if I was one of the family. I
+gladly recommend your Institution to all persons who are afflicted with any
+kind of chronic disease, for from my own experience I <i>know</i> the
+professional staff will do all which they promise to do. Please accept my
+thanks for the speedy benefits and perfect cure of my diseases, and I think
+your Institution is worthy of the highest endorsement.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+WILLIAM HENKEL,<br />
+No. 1917 Congress Street,<br />
+St. Louis, Mo.<br />
+</p>
+</blockquote>
+
+
+<h4>DYSPEPSIA AND GENERAL DEBILITY.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise288"><img width="90%" alt="Illustration:
+Rev. A.H. Mevs. " src="images/advise288.png" /></a><br />Rev. A.H. Mevs.
+</p>
+
+<p><i>Gentlemen</i>&mdash;Having suffered for a number of years with dyspepsia,
+torpid liver and general debility, and having tried several physicians with
+little or no benefit, I resolved, as a last resort, to consult your
+specialists at the World's Dispensary. Being advised by them to use Dr.
+Pierce's Golden Medical Discovery, I did so, and after using several
+bottles, I feel entirely restored to health. Now, I take great pleasure in
+recommending your medicines to suffering humanity everywhere.</p>
+
+<blockquote>
+<p>
+Yours very gratefully,<br />
+REV. A.H. MEVS,<br />
+Friar's Point,<br />
+Coahoma Co.,<br />
+Mississippi.<br />
+</p>
+</blockquote>
+
+
+<h4>"LIVER COMPLAINT."</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise289"><img width="90%" alt="Illustration:
+J. Gaughan, Esq. " src="images/advise289.png" /></a><br />J. Gaughan, Esq.
+</p>
+
+<p><i>Gentlemen</i>&mdash;When I commenced taking "Golden Medical Discovery," I
+was suffering badly from "Liver Complaint." I had been out of health for
+three years. I suffered terribly from "heart-burn," had bad coat on tongue,
+and was often troubled with diarrhea. Three bottles of the "Discovery"
+cured me. Had I not commenced taking it when I did, I should have been dead
+long ago. You have my heartfelt gratitude for my cure.</p>
+
+<blockquote>
+<p>
+Yours truly, JAMES GAUGHAN,<br />
+Braidwood, Will Co., Ill.<br />
+</p>
+</blockquote>
+
+<p>P.S.&mdash;There are lots of people here whom I have recommended to use your
+Golden Medical Discovery," and each and every one says it is a good
+medicine. One woman in particular, told me she was getting better every day
+by the use of your medicines.</p>
+
+<blockquote>
+<p>
+J.G.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_594" id="Page_594"></a>[pg
+594]</span></p><h4>NERVOUS DYSPEPSIA.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise290"><img width="90%" alt="Illustration:
+Mrs. Taylor." src="images/advise290.png" /></a><br />Mrs. Taylor.</p>
+
+<p><i>Gentlemen</i>&mdash;I had a dead aching in my head and down the back of my
+neck and in my left ear, and my tongue was so stiff at night and dry, and I
+had no taste, or appetite to eat anything. I also had such a dead aching in
+the small of my back; it just felt as if I would break, and such aching
+between my hips. I had been having the "change of life," and if I worked
+hard I got a pain between my shoulders and a kind of aching in the abdomen.
+I doctored a good deal and never got any relief. I was very nervous. I took
+two bottles of Dr. Pierce's Golden Medical Discovery and two of his
+"Favorite Prescription," and I am perfectly cured.</p>
+
+<blockquote>
+<p>
+MRS. ELLEN TAYLOR,<br />
+Clarion, Clarion Co.,<br />
+Pennsylvania.<br />
+</p>
+</blockquote>
+
+
+<h4>DYSPEPSIA.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise291"><img width="90%" alt="Illustration:
+Rev. Prosser." src="images/advise291.png" /></a><br />Rev. Prosser.</p>
+
+<p><i>Dear Sirs</i>&mdash;I was a great sufferer from dyspepsia, and I had
+suffered so long that I was a wreck; life was rendered undesirable and it
+seemed death was near! but I came in contact with Dr. Pierce's Golden
+Medical Discovery and "Pellets." I took twelve bottles of the "Discovery,"
+and several bottles of the "Pellets," and followed the hygienic advice of
+Dr. Pierce, and I am happy to say it was indeed a cure, for life is worth
+living now. A thousand thanks for your treatment. I enclose my photo.</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+REV. CHAS. PROSSER,<br />
+Mount Carmel,<br />
+Northumberland Co. Pa.<br />
+</p>
+</blockquote>
+
+
+<h4>LIVER DISEASE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise292"><img width="90%" alt="Illustration:
+Mrs. Winter." src="images/advise292.png" /></a><br />Mrs. Winter.</p>
+
+<p><i>Dear Sirs</i>&mdash;It is with pleasure that I tell you what your
+"Discovery" has done for my mother. She was in poor health for a long time,
+coughing and weak, and thought she had consumption; she had such
+palpitation of the heart and could not rest at night because of the
+palpitation sometimes, and then the right arm pained her so at times that
+she hardly knew what to do; If we would put on hot applications, it would
+drive it to the heart, and the doctor did her no good; so finally, as a
+last resort, we happened to get hold of some of Dr. Pierce's pamphlets and
+were constrained to write to him and send a small bottle of urine for
+examination. He immediately wrote back, saying it was liver trouble, and to
+take the "Golden Medical Discovery" according to directions. She took it
+for two months, when the pain in her arm gradually left her and she could
+comb her own hair, and began to be more cheerful, for she was melancholy
+before. The palpitation grew less and less, and she rested at night, and is
+now doing her own work for a family of five, and is sixty-one years
+old.</p>
+
+<p>I have taken delight in recommending to others this wonderful medicine
+for heart and liver trouble; she took a dozen bottles to effect the desired
+end.</p>
+
+<blockquote>
+<p>
+Respectfully yours,<br />
+Miss LU WINTER,<br />
+Dakota, Winona Co., Minn.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_595" id="Page_595"></a>[pg
+595]</span></p><h4>TORPID LIVER, SUPPRESSED MENSTRUATION.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise293"><img width="90%" alt="Illustration:
+Mrs. Fitzgerald. " src="images/advise293.png" /></a><br />Mrs. Fitzgerald.
+</p>
+
+<p><i>Gentlemen</i>&mdash;I had suffered so much for years from "Liver
+Complaint" that I did not care whether I got well or not, but my husband
+urged me to take your "Golden Medical Discovery." I had not had my courses
+for six months; after I had taken your medicine about two months, I was
+well.</p>
+
+<p>When one of my daughters with a baby two weeks old was in so much pain
+that she could not rest day or night, I went to her as quickly as I could,
+and commenced giving her your "Favorite Prescription." The next morning the
+pains were all gone. She said, "oh, mother, I would have died if you had
+not come. I do feel so good." Your medicine makes people feel like they
+wanted to live. There is a woman at Verdi who had several children who died
+with consumption of the bowels and <i>chronic diarrhea</i>. She had another
+one who was going the same way. The doctor said it was bound to die. I went
+there and gave it five drops of Dr. Pierce's Extract of Smart-Weed, and
+increased the dose every time its bowels moved, until I got to a half
+teaspoonful. The next morning the child was almost well. That woman says I
+saved her baby's life.</p>
+
+<p>I could write a week and not tell half the good your medicines have done
+through my hands. Two weeks ago, a young man at my house was taken with
+<i>cholera morbus</i>. He thought he was surely going to die, but as
+quickly as I could get some hot water, I put hot applications on his
+stomach and bowels, and gave him a few doses of your Extract of Smart-Weed.
+He got well immediately. MRS. MARY ISABELL FITZGERALD. Reno, Washoe Co.,
+Nev.</p>
+
+
+<h4>LIVER DISEASE AND NERVOUS DYSPEPSIA.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise294"><img width="90%" alt="Illustration:
+I. Rhue, Esq. " src="images/advise294.png" /></a><br />I. Rhue, Esq. </p>
+
+<p><i>Gentlemen</i>&mdash;I was weak, nervous, dizzy, with a fainting sensation
+when walking; could not walk any distance, always feeling hungry but always
+felt bad; after eating felt as though my victuals were sticking in my
+throat; could not rest well at night; I was not well all winter. In 1891
+took sick and quit work; in March doctored with three different doctors
+with very little benefit for a good deal over a year, then began taking
+your "Golden Medical Discovery." Took ten bottles of that, and one bottle
+of your "Pleasant Pellets," and steadily improved all the time I was taking
+your medicine and have worked all this summer; did not work for two
+years.</p>
+
+<p>My case was liver disease and nervous dyspepsia of which your medicine
+has cured me, for which receive my sincere thanks.</p>
+
+<blockquote>
+<p>
+Respectfully yours,<br />
+ISRAEL RHUE,<br />
+Morrisdale Mines, Clearfield Co., Pa.<br />
+</p>
+</blockquote>
+
+
+<h4>TORPID LIVER.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Gentlemen</i>&mdash;From early childhood I have suffered from a sluggish
+liver with all the disorders accompanying such a condition. Doctors'
+prescriptions and patent medicines I have used in abundance; they only
+afforded temporary relief. I was recommended to try Dr. Pierce's Pleasant
+Pellets. I did so, taking three at night and two after dinner every day for
+two weeks. I then reduced the dose to one 'Pellet' every day and continued
+this practice for two months. I have in six months increased in solid
+flesh, twenty-six pounds. I am in better health than I have been since
+childhood. Drowsiness and unpleasant feelings after meals have completely
+disappeared.</p>
+
+<blockquote>
+<p>
+Respectfully yours,<br />
+U.S. Inspector of Immigration, Buffalo, N.Y.<br />
+John H.M. Berry<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_596" id="Page_596"></a>[pg
+596]</span></p><h4>LIVER DISEASE, CONSTIPATION.</h4>
+
+<p>DR. R.V. PIERCE, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise295"><img width="90%" alt="Illustration:
+Mrs. McDaniel." src="images/advise295.png" /></a><br />Mrs. McDaniel.</p>
+
+<p><i>Dear Sir</i>&mdash;I enclose you my photograph as you requested; also,
+state that I have taken your "Pellets" and "Golden Medical Discovery" for
+chronic "liver complaint" attended with constipation of the bowels, and
+after using six bottles of "Discovery" and same of "Pellets," I am greatly
+benefited. You can use my name in advertising your medicines and I can
+warrant them to do all you claim for them.</p>
+
+<blockquote>
+<p>
+Respectfully yours,<br />
+Mrs. M.F. McDANIEL,<br />
+Bee Branch,<br />
+Van Buren Co., Ark.<br />
+</p>
+</blockquote>
+
+
+<h4>TORPID LIVER, DYSPEPSIA, NERVOUS AND GENERAL DEBILITY.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise296"><img width="90%" alt="Illustration:
+J.F. Hudson, Esq." src="images/advise296.png" /></a><br />J.F. Hudson,
+Esq.</p>
+
+<p><i>Dear Sirs</i>&mdash;Having suffered severely, for a long time, from a
+torpid liver, indigestion, constipation, nervousness and general debility,
+and finding no relief in my efforts to regain my health, I was induced to
+try your "Golden Medical Discovery" and "Pleasant Pellets."</p>
+
+<p>Under this treatment I improved very much, and in a few months was able
+to attend to my professional duties.</p>
+
+<p>I now feel very grateful for the benefits I have received from the use
+of your valuable medicines, and recommended them to many of my friends and
+neighbors.</p>
+
+<blockquote>
+<p>
+Respectfully yours,<br />
+J.F. HUDSON,<br />
+Witcherville, Sebastian Co., Ark.<br />
+</p>
+</blockquote>
+
+
+<h4>"TROUBLESOME COMPLAINTS."</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, NO. 683 Main Street, Buffalo,
+N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise297"><img width="90%" alt="Illustration:
+Miss Cheney." src="images/advise297.png" /></a><br />Miss Cheney.</p>
+
+<p><i>Gentlemen</i>&mdash;After using five bottles of Dr. Pierce's Golden
+Medical Discovery, four bottles of Dr. Pierce's Favorite Prescription, and
+about half-a-dozen packages of his "Pellets," I am convinced that I am
+thoroughly cured of that dread disease, known as dyspepsia, and other
+troublesome complaints.</p>
+
+<blockquote>
+<p>
+Very sincerely yours,<br />
+MISS HATTIE L. CHENEY,<br />
+Sac City,<br />
+Sac County, Iowa.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_597" id="Page_597"></a>[pg
+597]</span></p><h4>LIVER AND KIDNEY DISEASE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise298"><img width="90%" alt="Illustration:
+Mrs. Ray." src="images/advise298.png" /></a><br />Mrs. Ray.</p>
+
+<p><i>Gentlemen</i>&mdash;Your kindness to me I can never forget, I cannot
+express half my feelings of gratefulness to you. I had despaired of ever
+getting well.</p>
+
+<p>I had been in bad health twenty years&mdash;liver and kidneys, all out of
+order and aches all through me; numb hands and cold feet. Everything I ate
+distressed me, bowels constipated, was very nervous, depressed and
+despondent; in fact I can't express half my bad feelings to you. When I
+first wrote to you, I thought I would not live to get an answer from
+you.</p>
+
+<p>I have taken twenty bottles of "Golden Medical Discovery" and "Pellets."
+My health is now very good. You have my honest recommendations to all
+sufferers.</p>
+
+<blockquote>
+<p>
+Thankfully yours,<br />
+MRS. REBECCA RAY,<br />
+DeAnn, Hempstead Co., Ark.<br />
+</p>
+</blockquote>
+
+
+<h4>LIVER AND KIDNEY DISEASE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise299"><img width="90%" alt="Illustration:
+G.W. Sweeney, Esq." src="images/advise299.png" /></a><br />G.W. Sweeney,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I was for years hardly able to go about. I suffered
+from liver and kidney trouble, six different Doctors treated me during that
+time but could do me no good. I give your "Medical Discovery" the praise
+for my cure.</p>
+
+<p>Then, too, my wife had a bad case of Asthma which was cured by the use
+of that wonderful blood-purifier.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+GEO. W. SWEENEY,<br />
+Haydentown, Pa.<br />
+</p>
+</blockquote>
+
+
+<h4>TORPID LIVER.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise300"><img width="90%" alt="Illustration:
+Mrs. Bransford." src="images/advise300.png" /></a><br />Mrs. Bransford.</p>
+
+<p><i>Gentlemen</i>&mdash;I can truthfully say that I believe your "Golden
+Medical Discovery" saved my life. When I began your treatment two years
+ago, I had been given up by the Doctor, and my friends had lost all hope of
+my recovery. I had suffered for years with torpid liver; I had chronic
+pleurisy and catarrh in a very bad form, attended with hemorrhages&mdash;was
+confined to my bed two months. In a few days after beginning your medicine
+I could perceive a slight change for the better; in three months I felt
+almost like a new person.</p>
+
+<blockquote>
+<p>
+Yours very gratefully,<br />
+MRS. MAGGIE E. BRANSFORD,<br />
+Williamsburg, W. Va.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_598" id="Page_598"></a>[pg
+598]</span></p><h4>DYSPEPSIA, UTERINE DISEASE.</h4>
+
+
+
+<p class="lfigure"><a name="advise301"><img width="90%" alt="Illustration:
+Mrs. Martin. " src="images/advise301.png" /></a><br />Mrs. Martin. </p>
+
+<p>MRS. J.A. MARTIN, of <i>Cleburne, Texas</i>, had not had good health
+since the birth of her child, eight years before; had a headache with
+burning and throbbing sensations; and a hurting in her stomach; there was a
+dead aching and gnawing or drawing of the stomach as she described it;
+sharp pain in the stomach extending to her right breast and shoulder.
+Weighed in health 125 pounds, but was reduced to 95 pounds; was weak; could
+scarcely walk at all, was sick at stomach a great deal; when her monthly
+sickness came on had much pain and the sickness of the stomach remained
+until menstruation stopped. She writes:</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Gentlemen</i>&mdash;"I have taken about six bottles of your 'Golden
+Medical Discovery' and 'Favorite Prescription,' and am glad to say that I
+feel better and stouter than I have felt in a long time. I can work all day
+now and not be tired at night. My head don't trouble me now. When I
+commenced the use of the medicine I weighed 89 pounds, and to-day I weigh
+98 pounds. I feel better than I have for months."</p>
+
+
+<h4>DYSPEPSIA AND CONSUMPTION.</h4>
+
+<p>DR. R.V. PIERCE, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise302"><img width="90%" alt="Illustration:
+Mrs. Ferguson. " src="images/advise302.png" /></a><br />Mrs. Ferguson. </p>
+
+<p><i>Dear Sir</i>&mdash;I was not able to do my work for nearly two years, and
+I tried four different doctors and grew worse all the time. Then I began on
+your medicine and took twelve bottles of "Golden Medical Discovery" and one
+of "Favorite Prescription," and am able to do my work and feel as well as I
+have felt in years. Physicians called my disease Dyspepsia and
+Consumption.</p>
+
+<blockquote>
+<p>
+Respectfully yours,<br />
+MRS. R. FERGUSON,<br />
+Ink. Shannon Co., Mo.<br />
+</p>
+</blockquote>
+
+
+<h4>DYSPEPSIA, COSTIVENESS.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise303"><img width="90%" alt="Illustration:
+Mrs. Wickline. " src="images/advise303.png" /></a><br />Mrs. Wickline. </p>
+
+<p><i>Gentlemen</i>&mdash;I suffered a great deal with headache and dizziness in
+my head and costiveness. My food would sour on my stomach and I would spit
+it up. I also suffered with my back a great deal; in fact, I was entirely
+broken down. Had different doctors but none seemed to do me any good and I
+began to take your medicine&mdash;the "Golden Medical Discovery."</p>
+
+<p>I have been enjoying better health since I have taken your medicine than
+I had for years before. I have recommended it to my friends; I believe it
+to be the best medicine in the world. My sister has taken more of your
+medicine than I have; her husband has also taken it; she thinks there is no
+medicine in the world so good as Dr. Pierce's.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+MRS. MAGGIE WICKLINE,<br />
+Box 95, Pulaski City, Pulaski Co., Va.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_599" id="Page_599"></a>[pg
+599]</span></p><h4>DYSPEPSIA OF FIFTEEN YEARS.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise304"><img width="90%" alt="Illustration:
+Mrs. Strawderman. " src="images/advise304.png" /></a><br />Mrs.
+Strawderman. </p>
+
+<p><i>Gentlemen</i>&mdash;Dr. Pierce's Golden Medical Discovery and "Favorite
+Prescription" cured me of dyspepsia after fifteen years' suffering. I
+doctored a great deal without receiving any benefit. About four years ago
+my attention was called to Dr. Pierce's Favorite Prescription, which was
+highly recommended for dyspepsia and I used three bottles of "Prescription"
+and eight bottles of "Golden Medical Discovery," and they have done me more
+good than all other medicines I ever used.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+MRS. ANGELINE STRAWDERMAN,<br />
+Philippi, Barbour Co., W. Va.<br />
+</p>
+</blockquote>
+
+
+<h4>DYSPEPSIA, SHORTNESS OF BREATH.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise305"><img width="90%" alt="Illustration:
+W. Goodwin, Esq. " src="images/advise305.png" /></a><br />W. Goodwin, Esq.
+</p>
+
+<p><i>Gentlemen</i>&mdash;I was in bad health when I commenced your treatment; I
+was troubled with my stomach, and with shortness of breath. Everything I
+ate distressed me. I lost flesh and strength and became very nervous and
+despondent. I took eight bottles of "Golden Medical Discovery," and six
+bottles of "Pellets," and they cured me.</p>
+
+<p>I would advise all suffering people to go under your treatment.</p>
+
+<blockquote>
+<p>
+Respectfully yours,<br />
+WRIGHT GOODWIN,<br />
+Gaylord, Beaufort Co., N.C.<br />
+</p>
+</blockquote>
+
+
+<h4>DYSPEPSIA IN ITS WORST FORM.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise306"><img width="90%" alt="Illustration:
+E. Dieterly, Esq." src="images/advise306.png" /></a><br />E. Dieterly,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;Only those who have had dyspepsia in its worst forms
+know what it really can be. What such a case needs I have found in your
+kindly encouragement, and your "Golden Medical Discovery."</p>
+
+<p>Although I can now claim, if any one can, that I have a cast iron
+stomach, I always keep your "Golden Medical Discovery" and the "Pellets" on
+hand when settling down from an active summer's vacation, to quiet student
+life.</p>
+
+<p>I heartily recommend these medicines to every one whose suffering is of
+the nature that mine was.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+ERVIN DIETERLY,<br />
+Gettysburgh, Pa.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_600" id="Page_600"></a>[pg
+600]</span></p><h4>DYSPEPSIA AND "FEMALE WEAKNESS."</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise307"><img width="90%" alt="Illustration:
+Mrs. Hutchinson." src="images/advise307.png" /></a><br />Mrs.
+Hutchinson.</p>
+
+<p><i>Gentlemen</i>&mdash;Words fail to describe my sufferings before I took
+your "Golden Medical Discovery" and "Favorite Prescription." I could not
+walk across the room without great suffering, but now I am able to do my
+own work, thanks to your wonderful medicines, I am a well woman. I suffered
+all the time with a weight in the bottom of my stomach, and the most severe
+bearing-down pains, low down, across me, with every step I attempted to
+take. I also suffered intense pain in my back and right hip. At times I
+could not turn myself in bed. My complexion was yellow, my eyes blood-shot,
+and my whole system was a complete wreck. I suffered greatly from
+headaches, and the thought of food would sicken me. Now I can eat anything,
+and at anytime. My friends are all surprised at the great change in me.
+Every one thought I would not live through the month of August. Two of my
+neighbors are using your medicines, and say they feel like new beings.</p>
+
+<blockquote>
+<p>
+Truly yours,<br />
+MRS. ANNIE HUTCHINSON,<br />
+Cambridge, Dorchester Co, Md.<br />
+</p>
+</blockquote>
+
+
+<h4>INDIGESTION AND NERVOUSNESS.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise308"><img width="90%" alt="Illustration:
+Mrs. Livingston." src="images/advise308.png" /></a><br />Mrs.
+Livingston.</p>
+
+<p><i>Gentlemen</i>&mdash;I am a woman of fifty-six years of age. Had been
+troubled with Indigestion for three years, which, I think, resulted from
+"change of life" and overwork. An eminent physician informed me I had no
+organic disease. But I had distress after eating and was troubled with gas
+in parts affected, an unpleasant taste in my mouth in the morning. I was
+weak and nervous and had to live on a very light diet. After taking your
+"Golden Medical Discovery" I was relieved of these symptoms. I believe the
+results warrant me in recommending it to others.</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+MRS. CHARLES LIVINGSTON,<br />
+Livingston,<br />
+Grant Co., Wis.<br />
+</p>
+</blockquote>
+
+
+<h4>INDIGESTION AND TORPID LIVER.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise309"><img width="90%" alt="Illustration:
+E.M. Seavolt, Esq. " src="images/advise309.png" /></a><br />E.M. Seavolt,
+Esq. </p>
+
+<p><i>Gentlemen</i>&mdash;I can heartily recommend your "Golden Medical
+Discovery" to any one who is troubled with indigestion and torpid liver; I
+was that bad it was about chronic with me. All the other medicines could
+give me no relief; but at last, what came to my relief was that wonderful
+medicine, the "Golden Medical Discovery." I could scarcely eat anything&mdash;it
+would put me in terrible distress in my stomach; I had a dull aching and
+grinding pain in my stomach with pain in my right side and back, and
+headache, bad taste in my mouth; at night I was feverish and the soles of
+my feet burned.</p>
+
+<p>I took four bottles of the "Discovery" and two vials of the "Pellets." I
+am well and hearty and can eat as well as any body can,&mdash;thanks to your
+"Discovery."</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+E.M. SEAVOLT,<br />
+No. 427 Sandusky St.,<br />
+Mount Vernon, Knox Co., Ohio.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_601" id="Page_601"></a>[pg
+601]</span></p><h4>DISEASE OF STOMACH.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise310"><img width="90%" alt="Illustration:
+A. Lewis, Esq." src="images/advise310.png" /></a><br />A. Lewis, Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;Yours of the 4th instant was duly received. I take
+great pleasure in recommending to the public your system of home-treatment
+for chronic diseases. I am thankful to say I am in perfect health and have
+worked every day since I last wrote to you and have not taken a particle of
+medicine of any kind and am weighing about one hundred and eighty pounds. I
+have taken your "Golden Medical Discovery" with very satisfactory results,
+and "Pleasant Pellets" also.</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+ARTHUR LEWIS,<br />
+Schoharie, Schoharie Co., N.Y.<br />
+</p>
+</blockquote>
+
+
+<h4>RHEUMATISM.</h4>
+
+<p><b>What a Minister Says. Cured for $4.</b></p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise311"><img width="90%" alt="Illustration:
+Rev. W. Williams." src="images/advise311.png" /></a><br />Rev. W.
+Williams.</p>
+
+<p><i>Gentlemen</i>&mdash;In the fall of last year I suffered from rheumatism in
+my left shoulder and elbow. I tried a great many remedies, recommended to
+me by friends, but they all failed to afford relief. From that time I began
+Dr. Pierce's Golden Medical Discovery, until I felt that I was cured, was a
+period covering four or five months. While the attack lasted, I suffered a
+great deal, and could not dress or undress myself. Although I am 73 years
+old, I now regard my health as splendid. I had spent a great deal of money
+previously, in various kinds of medicine, but the "Discovery," from the day
+I commenced until I was well, cost only FOUR DOLLARS.</p>
+
+<p>Accept my gratitude, and I beg to subscribe myself,</p>
+
+<blockquote>
+<p>
+Sincerely yours,<br />
+Rev. WILSON WILLIAMS,<br />
+Trinity Station, Morgan Co., Ala.<br />
+</p>
+</blockquote>
+
+
+<h4>HEADACHE AND CONSTIPATION.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise312"><img width="90%" alt="Illustration:
+Miss Wolfe." src="images/advise312.png" /></a><br />Miss Wolfe.</p>
+
+<p><i>Gentlemen</i>&mdash;I suffered from loss of appetite, constipation,
+neuralgia, and great weakness, and had terrible attacks of sick headache
+very frequently; also nose bleed. My health was so poor that I was not able
+to go to school for two years. I took Doctor Pierce's Pleasant Pellets and
+"Golden Medical Discovery," and in a short time I was strong and well. Many
+friends are taking your medicines seeing what they have done for me.</p>
+
+<blockquote>
+<p>
+Respectfully yours,<br />
+Miss BERTHA WOLFE,<br />
+Markham, Cattaraugus Co., N.Y.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_602" id="Page_602"></a>[pg
+602]</span></p><h4>AS LIVER PILLS,</h4>
+
+<p><b>Nothing Can Compare with Dr. Pierce's Pleasant Pellets</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise313"><img width="90%" alt="Illustration:
+Mr. S. Baker, Sr." src="images/advise313.png" /></a><br />Mr. S. Baker,
+Sr.</p>
+
+<p>There is nothing that can compare with Dr. Pierce's Pleasant Pellets, as
+Liver Pills, They have done me more good than any other medicine I have
+ever taken.</p>
+
+<blockquote>
+<p>
+Respectfully yours,<br />
+SAMUEL BAKER,<br />
+No. 161 Summit Ave.,<br />
+Phillipsburg. N.J.<br />
+</p>
+</blockquote>
+
+
+<h4>ULCERATION OF BOWELS.</h4>
+
+<p><b>Severe Bleeding.</b></p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise314"><img width="90%" alt="Illustration:
+Aurelia Vanzile. " src="images/advise314.png" /></a><br />Aurelia Vanzile.
+</p>
+
+<p><i>Gentlemen</i>&mdash;My friends said I would never be any better, for I had
+ulceration of the bowels. By the time I had taken a bottle and a half of
+Dr. Pierce's Golden Medical Discovery, the bleeding had almost stopped. My
+appetite was good, nothing seemed to hurt me that I ate. My improvement was
+wonderful. Several years have passed and my cure is permanent.</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+Mrs. AURELIA VANZILE,<br />
+Hamilton, Ind.<br />
+</p>
+</blockquote>
+
+
+<h4>BILIOUS ATTACKS.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise315"><img width="90%" alt="Illustration:
+I.C. Seely, Esq." src="images/advise315.png" /></a><br />I.C. Seely,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;Nine years ago I was taken with severe pains in my
+stomach and bowels which the usual home remedies failed to relieve; after
+several days it passed off, leaving me very sore and weak but in the course
+of a few weeks it came on again. I called in a doctor&mdash;he treated me for
+biliousness; I occasionally went several months without any attack and then
+it would come more severe than ever; I could scarcely bear the weight of my
+clothes on my stomach and bowels. I grew thin, weak and despondent,&mdash;could
+do no work without bringing on terrible pain. Doctors treated me for
+catarrh of the head and stomach, indigestion, dyspepsia, but all was of no
+avail; the suffering gradually increased in severity and I despaired of any
+relief.</p>
+
+<p>In 1892 I had a spell that was so severe I cramped from feet to neck.
+The Doctor said I must die&mdash;he couldn't do any thing for me. After about
+five weeks in bed I could again sit up, but the pain had settled in my
+right groin and limb. Relatives persuaded me to try "Golden Medical
+Discovery." Two thirds of the bottle was gone when I felt a change for the
+better; I had one very light attack after the first bottle; that has been
+seventeen months ago and I have had no more trouble. I have taken ten
+bottles of Dr. Pierce's Golden Medical Discovery and I am now well and able
+to support my family.</p>
+
+<p>To any one with stomach and bowel trouble I will recommend Dr. Pierce's
+Medicine. I am never without it in the house.</p>
+
+<blockquote>
+<p>
+I remain, yours,<br />
+I.C. SEELY, Lindsborg,<br />
+McPherson Co., Kans.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_603" id="Page_603"></a>[pg
+603]</span></p><h4>DYSPEPSIA&mdash;CONSTIPATION.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, 653 Main St., Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise315b"><img width="90%" alt="Illustration:
+Mrs. A.L. Pierce." src="images/advise315b.png" /></a><br />Mrs. A.L.
+Pierce.</p>
+
+<p><i>Gentlemen</i>&mdash;Three years ago I was suffering from constipation,
+distress in the stomach, bowels, feet and ankles bloated, kidney and heart
+trouble, loss of appetite, bad taste in the mouth, sour risings in the
+stomach, and indigestion. I was under the treatment of three physicians
+seven months. One gave me up to die. This was my condition when I was
+prevailed upon to take Dr. Pierce's Golden Medical Discovery and "Pleasant
+Pellets." I am well, your medicines have cured me permanently. Had I the
+power and language to herald to the whole world the good qualities of your
+medicines, I would most gladly do so, as they have saved my life and
+brought health and happiness to me.</p>
+
+<blockquote>
+<p>
+Yours most sincerely,<br />
+MRS. A.L. PIERCE,<br />
+Stillwater, Penobscot Co., Me.<br />
+</p>
+</blockquote>
+
+
+<h4>SORES IN MOUTH DUE TO INDIGESTION.</h4>
+
+
+
+<p class="rfigure"><a name="advise316"><img width="90%" alt="Illustration:
+C.K. Turney, Esq." src="images/advise316.png" /></a><br />C.K. Turney,
+Esq.</p>
+
+<p>CHAS. KELLOGG TURNEY, ESQ., a prominent contractor and builder, also
+well known as one of the accomplished singers at the Chautauqua Assembly,
+and who does business at <i>Room 6, Bernard Block, Collinwood, Cuyahoga
+County, Ohio</i>, writes:</p>
+
+<p>"I was troubled with little watery blisters which would form on the
+under side of my tongue, and which proved very sore and troublesome.
+Becoming alarmed at the frequency of their appearance, and having much
+faith in Dr. Pierce and his associates, I wrote to them for advice. They
+recommended me to take Dr. Pierce's Golden Medical Discovery, which I did,
+and after using two bottles my trouble entirely disappeared."</p>
+
+
+<h4>GAINED THIRTEEN POUNDS; CATARRH OF STOMACH.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise317"><img width="90%" alt="Illustration:
+Mrs. Powell. " src="images/advise317.png" /></a><br />Mrs. Powell. </p>
+
+<p><i>Gentlemen</i>&mdash;Two years ago I was pale and emaciated, food fermented
+in my stomach. A physician pronounced my case "Catarrh of the Stomach," but
+he could not help me. I lived a month without solid food and when I tried
+to eat I would vomit. At this time I began taking Dr. Pierce's Pleasant
+Pellets, and in two weeks I was decidedly better. I am now in good health,
+and never felt better in my life. I have a better color, eat more, and have
+no distress after eating&mdash;having gained thirteen pounds since I began
+taking them.</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+MRS. MARY POWELL,<br />
+Glen Eaton, Marshall Co., W. Va.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_604" id="Page_604"></a>[pg
+604]</span></p><h4>CHRONIC DIARRHEA&mdash;DYSPEPSIA.</h4>
+
+
+
+<p class="lfigure"><a name="advise317b"><img width="90%" alt="Illustration:
+T.L. HALL, ESQ." src="images/advise317b.png" /></a><br />T.L. HALL,
+ESQ.</p>
+
+<p>THOMAS L. HALL, of <i>Creek, Westmoreland County, Pa.,</i> had chronic
+diarrhea, which his physician called dysentery. He had been troubled more
+or less for five years; had very severe attack fifteen months before
+writing us; had not been able to work steadily for twelve months. Food
+sometimes passed undigested; some days had three to six passages; had
+watery and sour risings from the stomach; backache; was drowsy upon rising
+in the morning; pain about the heart; itching all over body and limbs. He
+had three months' treatment at home&mdash;the special medicines being sent him
+by express. He writes that he "was greatly benefited by first week's
+treatment," but continued and "in three months was entirely well."</p>
+
+
+<h4>DYSPEPSIA&mdash;LOSS OF FLESH.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, NO. 663 Main Street, Buffalo,
+N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise317c"><img width="90%" alt="Illustration:
+B. MAKSON, ESQ." src="images/advise317c.png" /></a><br />B. MAKSON,
+ESQ.</p>
+
+<p><i>Gentlemen</i>&mdash;Three years ago I commenced taking Dr. Pierce's Golden
+Medical Discovery; I weighed 140 pounds, and now I weigh 175 pounds, so you
+see how I have gained in health and weight. Dr. Pierce's Pellets are the
+best pills I ever took for the liver. All my friends say they do them the
+most good.</p>
+
+<blockquote>
+<p>
+Respectfully yours, ROBERT MANSON,<br />
+West Rye, Rockingham Co., N.H.<br />
+</p>
+</blockquote>
+
+
+<h4>TERRIBLE DYSPEPSIA CURED.</h4>
+
+
+
+<p class="lfigure"><a name="advise317d"><img width="90%" alt="Illustration:
+MRS. LUKE COOK." src="images/advise317d.png" /></a><br />MRS. LUKE
+COOK.</p>
+
+<p>Mrs. LUKE COOK, of <i>Grove, Newaygo Co., Michigan</i>, writes:</p>
+
+<p>"I had been ill for five years. My symptoms were pain in the stomach and
+bowels; could eat nothing but stale bread and tea or coffee. Meat and
+vegetables passed through the bowels undigested in about two hours, causing
+great pain. I was all "run-down." Tongue looked like a piece of raw meat.
+One doctor pronounced my case cancer of the stomach. I took treatment from
+five different physicians with but very little benefit&mdash;only temporary
+relief. I got so weak I could scarcely walk around, and suffered terrible
+agony. After taking fifteen bottles of Dr. Pierce's Golden Medical
+Discovery, I am well and able to do my own work, and frequently walk two
+miles and back the same day. I am now sixty-eight years old."</p>
+
+
+<h4>INDIGESTION, CATARRH, AND NERVOUSNESS.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, NO. 663 Main St., Buffalo,
+N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise317e"><img width="90%" alt="Illustration:
+E.A. BALDWIN, ESQ." src="images/advise317e.png" /></a><br />E.A. BALDWIN,
+ESQ.</p>
+
+<p><i>Gentlemen</i>&mdash;For a long time I was suffering from indigestion,
+catarrh and nervousness. I was so run down that I could not go to school,
+and, as the various remedies I tried did me no good, I applied to you, and
+was advised to try a course of special treatment. After taking only two
+months' medicines from your noble institution, I feel perfectly restored to
+health. I have, moreover, recovered my lost flesh, and I am pleased to say
+need no further medicines.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+E.A. BALDWIN,<br />
+Proctorsville, Windsor Co., Vermont.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_605" id="Page_605"></a>[pg
+605]</span></p><h4>GENERAL DEBILITY, MALARIA, SICK HEADACHE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise318"><img width="90%" alt="Illustration:
+Mrs. J.H. Lansing" src="images/advise318.png" /></a><br />"Mrs. J.H. Lansing"
+</p>
+
+<p><i>Gentlemen</i>&mdash;I am happy to say that your valuable medicine has been
+a great benefit to me. I was suffering from general debility, malaria and
+nervous sick headaches, and after my third child was born (a beautiful baby
+boy of ten pounds) I only recovered after a long illness; I barely gained
+strength enough in two years' time so that I was able to crawl about to
+accomplish the little housework that I had, by lying down to read many
+times each day; had sick headaches very often; and many pains and aches,
+all the time complaining of getting no better. I finally asked my husband
+to get a bottle of Dr. Pierce's Favorite Prescription, which he promptly
+did. After I had taken one bottle I could see a great change in my
+strength, and fewer sick headaches.</p>
+
+<p>I continued taking the medicine until I had taken eight bottles&mdash;seven
+of the "Favorite Prescription" and one of the "Golden Medical Discovery."
+For some time past I have not used it, but I am now able to do the
+housework for myself, husband and two children (aged nine and five years).
+I also take in dressmaking, and enjoy walking a mile at a time, and I think
+it is all due to the medicine, for I know I was only failing fast before I
+commenced to take it. I take great pleasure in recommending the "Favorite
+Prescription" to all women who suffer from debility and sick headache.</p>
+
+<blockquote>
+<p>
+Respectfully yours, MRS. J.H. LANSING,<br />
+Fort Edward, Washington Co., N.Y.<br />
+</p>
+</blockquote>
+
+
+<h4>MALARIAL FEVER.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise319"><img width="90%" alt="Illustration:
+Miss McConell." src="images/advise319.png" /></a><br />Miss McConell.</p>
+
+<p><i>Gentlemen</i>&mdash;My little girl, eleven years old, took malarial fever
+and lay 22 days in fever. Our family doctor was tending her twice a day;
+she got no better; I sent unbeknown to the doctor and got one bottle of Dr.
+Pierce's Pellets, and one bottle of his "Golden Medical Discovery," and
+commenced to give them to her as directed; after taking the medicine three
+days, the fever began to go down, and the doctor came in and said: "what's
+the matter?" "Ida, you have no fever this morning," and laughed. Then I
+told him I had been giving Dr. Pierce's medicines. He didn't say a word&mdash;he
+was beaten. My oldest daughter is improving by taking Dr. Pierce's Favorite
+Prescription.</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+MRS. ELIZABETH McCONELL,<br />
+Payne, Paulding Co., O.<br />
+</p>
+</blockquote>
+
+
+<h4>GENERAL DROPSY.</h4>
+
+<p><b>Tapping and Medication Conquers the Disease after it had run 22
+Years</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise320"><img width="90%" alt="Illustration:
+E.L. Waters, Esq." src="images/advise320.png" /></a><br />E.L. Waters,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I wish to acknowledge that you have cured me of the
+worst dropsy that ever came within my knowledge, it having afflicted me
+twenty-two years. After I had suffered much from other surgeons without any
+cure being effected, and with only relief for a short time, you performed a
+not only painless but very scientific operation, and with medicine
+completed the cure. It is now five years since you treated me and no
+symptoms of the disease have shown themselves. I will also add that while
+with you at the Invalids' Hotel I received the best of care and attention
+from the well trained nurses in your employ, for all of which I feel
+grateful.</p>
+
+<blockquote>
+<p>
+With respect and best wishes,<br />
+<b>EDWIN L. WATERS, Athol Centre, Mass</b>.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_606" id="Page_606"></a>[pg
+606]</span></p><h4>REDUCED TO A SKELETON.</h4>
+
+<p><b>Chronic Diarrhea&mdash;Dyspepsia Cared by Two Months' Special
+Home-Treatment</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise321"><img width="90%" alt="Illustration:
+J.T. Yerby, Esq." src="images/advise321.png" /></a><br />J.T. Yerby,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;To all sufferers from chronic diseases I want to say
+that I suffered for six years, and was under fourteen different doctors in
+city and country. They could not reach my case; I was given up to die; my
+sufferings were <i>indescribable</i>; I could not retain food on my
+stomach; could not control my bowels at times; suffered great pain; could
+not sleep at night; I was reduced to a <i>skeleton</i>; in health I weighed
+180; then only 111; I now weigh as much as I did before I was sick. I am
+sixty years old, but feel young and active; I owe it to the medicines you
+sent to me. After taking it two months I was out of bed attending to my
+work; my friends could hardly believe it was I when they would meet me out
+away from home. I consider my cure as almost miraculous.</p>
+
+<blockquote>
+<p>
+Respectfully,<br />
+JOS. T. YERBY,<br />
+White Stone,<br />
+Lancaster Co., Va.<br />
+</p>
+</blockquote>
+
+
+<h4>CHRONIC DIARRHEA.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise322"><img width="90%" alt="Illustration:
+I.G. Hamilton, Esq." src="images/advise322.png" /></a><br />I.G. Hamilton,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;It is now nine years since I was afflicted with the
+above disease, which reduced me to a mere skeleton, and my friends had very
+little hope of my recovery. After trying different doctors, and many other
+remedies for a year, from which I received little or no benefit, I was
+advised to try Dr. Pierce's special treatment, which I did, and after two
+months I was a well, strong, healthy man, and have been ever since.</p>
+
+<blockquote>
+<p>
+Yours, etc.,<br />
+ISAAC G. HAMILTON,<br />
+Baie Verte,<br />
+Westmoreland Co., N.H.<br />
+</p>
+</blockquote>
+
+
+<h4>DYSPEPSIA OR INDIGESTION.</h4>
+
+<p><b>Kidney Disease and Rupture</b>.</p>
+
+
+
+<p class="lfigure"><a name="advise323"><img width="90%" alt="Illustration:
+A.N. Kingsley, Esq." src="images/advise323.png" /></a><br />A.N. Kingsley,
+Esq.</p>
+
+<p>The following is from the widely-known and popular proprietor of the
+Kingsley House at Ashuelot, N.H.: "It may seem useless to add testimony to
+the overwhelming mass already given of the many remarkable cures performed
+at your Institution, but I deem it a pleasure and a duty to add mine to
+your long list as <i>very remarkable</i>. I had a rupture of twenty-seven
+years' standing, with hemorrhage of the kidney for six months, preceding my
+visit to your Institute, and was also troubled badly with indigestion, all
+of which ailments had reduced me in strength and flesh to a mere skeleton.
+Had been treated by many local physicians, who failed to do me any good. I
+could walk but a very short distance when I left my home on the 8th of
+July, 1892, for treatment at your Institution, with but little faith or
+hope of ever being any better. But through your skillful treatment I was
+able to return to my home on the 9th of August, 1892, and consider myself
+permanently cured, having had to take no medicine since. Considering my
+case <i>almost a miracle</i>, I cannot speak too highly of your Institute
+and skillful treatment, to which I feel that I am indebted for my continued
+existence. You are at liberty to refer to me, and to use this as you see
+fit.</p>
+
+<blockquote>
+<p>
+Very respectfully, A.N. KINGSLEY,<br />
+Ashuelot, Cheshire Co., N.H."<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_607" id="Page_607"></a>[pg
+607]</span></p><h4>DYSPEPSIA, RHEUMATISM, NERVOUS PROSTRATION,
+SLEEPLESSNESS.</h4>
+
+
+
+<p class="lfigure"><a name="advise324"><img width="90%" alt="Illustration:
+J.T. Townsend, Esq. " src="images/advise324.png" /></a><br />J.T. Townsend,
+Esq. </p>
+
+<p>Mr. J.T. TOWNSEND, of <i>Noah, Coffee County, Tenn</i>., consulted us by
+letter. He was suffering from great nervous prostration; could not walk
+without tottering; was troubled greatly with inability to sleep; poor
+appetite; did not relish food; suffered much pain and stiffness in the
+joints; was overcome with neat working on a thresher, followed by
+persistent nausea, confusion of ideas, his memory being very defective.</p>
+
+<p>After taking a single course of treatment, the medicines being sent by
+express, he writes as follows: "The medicine you sent me lasted me five
+weeks, and proved very beneficial indeed. I believe it, under God, was the
+means of saving me from a premature grave. When I received the medicine, I
+had just gotten rid of an attack of bilious fever, which left me in a
+deplorable condition. I was very week and nervous, but my improvement
+commenced with the first dose of your medicine, so by the time my medicine
+was out I felt better than I had for years, and now have no indication of a
+return of my trouble." A month later he writes: "I continue to enjoy the
+most perfect health. Every organ of my body, and every faculty of my mind,
+is in splendid condition, which makes life worth living. I have gained
+twenty-one pounds since I have been able to attend to business. Please
+accept my profound thanks for your promptness in sending me my
+medicines."</p>
+
+
+<h4>NERVOUS DEBILITY.</h4>
+
+<p><b>Piles, Catarrh, Heart Symptoms</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise325"><img width="90%" alt="Illustration:
+J. Talbott, Esq. " src="images/advise325.png" /></a><br />J. Talbott, Esq.
+</p>
+
+<p><i>Gentlemen</i>&mdash;The effect of your remedies is little short of a
+miracle. My general make-up and appearance are astonishing; my cheeks rosy,
+eyes bright, circles nearly all gone from under eyes; am fleshier,
+stronger, more active, and an entirely different man. No piles, catarrh,
+heart trouble; no chills and fever; no despondency, no anything.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+JOHN TALBOTT,<br />
+Pennsylvania Agricultural Works,<br />
+York, York Co., Penn.<br />
+</p>
+</blockquote>
+
+
+<h4>DYSPEPSIA AND CATARRH</h4>
+
+<p><b>Cured by Special Home-Treatment.</b></p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise326"><img width="90%" alt="Illustration:
+B. Eberhardt, Esq. " src="images/advise326.png" /></a><br />B. Eberhardt,
+Esq. </p>
+
+<p><i>Gentlemen</i>&mdash;I am happy to inform you that my catarrh and dyspeptic
+symptoms have all vanished. I am no longer troubled with headache and
+stoppage of the nose, my stomach is in good order, and I enjoy three hearty
+meals daily without any bad feelings.</p>
+
+<p>I have gained in almost every respect, particularly in weight and
+strength, since beginning the use of your specially prepared medicines. By
+continuing to follow your special hygienic rules, I believe no relapse will
+occur.</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+BERTHOLD EBERHARDT,<br />
+N.E. Cor. 10th, and Callowhill Streets,<br />
+Philadelphia, Pa.<br />
+</p>
+</blockquote>
+
+<p><span class="pagenum"><a name="Page_608" id="Page_608"></a>[pg
+608]</span></p><h4>INDIGESTION, CONSTIPATION, AND UTERINE DISEASE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL, ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise327"><img width="90%" alt="Illustration:
+Miss Joslyn." src="images/advise327.png" /></a><br />Miss Joslyn.</p>
+
+<p><i>Gentlemen</i>&mdash;Some months ago I consulted your specialist concerning
+my health, which had at that time become very much impaired from the
+effects of uterine disease, indigestion and chronic constipation. I was
+also troubled with frequent attacks of nervous headache which rendered me
+very miserable.</p>
+
+<p>A line of treatment was outlined by your specialist, which I followed
+closely, and I immediately began to improve under the use of the medicine
+advised. The benefits wore so marked that within two or three months I was
+able to discontinue the use of the medicine, and have since that time been
+enjoying good health. I attribute my cure to the use of your medicines, and
+I heartily thank you for the benefits received, as well as for the kind
+attention given me by your specialist.</p>
+
+<blockquote>
+<p>
+Respectfully yours,<br />
+IDA M. JOSLYN, Groton, Conn.<br />
+</p>
+</blockquote>
+
+<h4>CHRONIC BRONCHITIS AND DYSPEPSIA.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL, ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p class="rfigure"><a name="advise328"><img width="90%" alt="Illustration:
+A. Rosenberger, Esq." src="images/advise328.png" /></a><br />A.
+Rosenberger, Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;Several years ago I spent many dollars for medicine,
+but in vain, and expected to die with consumption. But hearing of your
+Invalids' Hotel and Surgical Institute, I visited you.</p>
+
+<p>To your advice and treatment I owe my life and present good health.</p>
+
+<p>Hoping-that you and your eminent faculty may be spared many years to
+cure the afflicted, I send you my best wishes.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+ALBERT ROSENBERGER,<br />
+La Otto, Noble Co., Ind.<br />
+</p>
+</blockquote>
+
+<h4>A COMPLETE COLLAPSE.</h4>
+
+<p><b>From Stomach Troubles.</b></p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, 663 Main St., Buffalo, N.Y.:</p>
+
+<p class="lfigure"><a name="advise329"><img width="90%" alt="Illustration:
+J.L. Warner, Esq." src="images/advise329.png" /></a><br />J.L. Warner,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;Fifteen years ago I felt the first effect of a
+diseased stomach. It was very light at first, but as time went on it
+gradually grew worse. I did not suffer much at first&mdash;say for the first
+five years; but after that it was continual suffering all the time (and
+growing worse all the time), until just two years ago, when I completely
+collapsed, and had to give up all thoughts of work. I have not done a day's
+work since, but am now ready to go to work again. During the last five
+years I have been doctoring with as many as six different doctors here and
+in San Francisco. I was with one specialist here in my city five months,
+but none of the doctors gave me even temporary relief. The main symptoms of
+my disease were that my food would sour on my stomach and give me an awful
+heart-burn. I would bloat and have sour risings, and an awful burning
+sensation in my chest which would bring the tears. I have felt many times
+that I would like to leave this world. In looking over the ads. in the San
+Francisco Examiner, I ran across yours&mdash;stating that any one who would send
+twenty-one one-cent stamps to the address given would receive The People's
+Common Sense Medical Adviser I did as requested, and read a copy, and I now
+owe my life and present good health to Dr. Pierce and his noble staff of
+physicians. I have now taken fourteen bottles of the "Golden Medical
+Discovery" and four bottles of the "Pleasant Pellets," and will say that I
+am entirely well of all my stomach troubles. Can sleep nine hours every
+night.</p>
+
+<p><span class="pagenum"><a name="Page_609" id="Page_609"></a>[pg
+609]</span>A word to those who are taking or contemplating taking this
+grand remedy. Do not give up with one or two bottles, but continue on, and
+it will cure you as sure as the sun shines above.</p>
+
+<blockquote>
+<p>
+Gratefully yours, J.L. WARNER,<br />
+1005 Fourth Street, Sacramento, Cal.<br />
+</p>
+</blockquote>
+
+
+<p><b>NERVOUS DYSPEPSIA</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise330"><img width="90%" alt="Illustration:
+J. Smith, Esq." src="images/advise330.png" /></a><br />J. Smith, Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;For over twelve years I was a great sufferer from
+nervous indigestion and acidity of the stomach. I tried some of the best
+doctors, both in England and this country, but did not find permanent
+relief until I went to the Invalids' Hotel and Surgical Institute. The
+medicine prepared for me by the specialist at this famous institution was
+so effectual that I feel that I am perfectly cured.</p>
+
+<p>I cannot speak in too high praise of the Invalids' Hotel and Surgical
+Institute. The Staff of Physicians is skillful and of large experience, and
+the institution itself, in all its appointments, excellent and in advance
+of the age. I highly recommend it to all the afflicted, feeling confident
+that all the benefit to be derived from medical or surgical treatment can
+be had at that institution.</p>
+
+<blockquote>
+<p>
+JOSEPH SMITH,<br />
+No. 200 Eighth Street, Olean, N.Y.<br />
+</p>
+</blockquote>
+
+
+<p><b>BAD CASE OF DYSPEPSIA</b>,</p>
+
+<p><b>Cured by Special Home-Treatment.</b></p>
+
+
+
+<p class="rfigure"><a name="advise331"><img width="90%" alt="Illustration:
+Mrs. Johnson. " src="images/advise331.png" /></a><br />Mrs. Johnson. </p>
+
+<p>Mrs. JOHANNA JOHNSON, of <i>Big Springs, Union Co., South Dak</i>.,
+forty-six years old. A pain began in the stomach, a sort of cramp; extended
+to the chest, shoulders and arms, also affecting the spinal column opposite
+the location of pain; had a hard lump that felt like lead in the pit of her
+stomach. Pain was brought on sometimes by eating something that at other
+times she could eat with impunity. Attacks of pain lasted usually about
+three days. After the pain would leave, she was weak and sore. Sometimes
+attacks would come on every day.</p>
+
+<p>Had two months' special treatment.</p>
+
+<p>Reports five months afterwards as follows: "Since taking your medicine,
+I am a new person; at least I feel so. I have used only one-half of the
+last set of medicines, and think I will not need to continue. A lady
+similarly afflicted is trying some of my medicine, and will order from you
+direct. I am glad to know where to direct the sick, and where the most good
+can be had for one's money. I am feeling well, and can work as
+formerly."</p>
+
+
+<h4>INDIGESTION AND CONSTIPATION.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise332"><img width="90%" alt="Illustration:
+O.F. Sinigar, Esq." src="images/advise332.png" /></a><br />O.F. Sinigar,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I was troubled with chronic indigestion and
+constipation. Had to be constantly taking physic, and finally was compelled
+to resort to hot water injections regularly to move my bowels. This got to
+be a great drudge to me. I took treatment from the leading physicians of
+this part of the country for my stomach and bowel troubles, and spent over
+one hundred dollars in this way, but they did me no good whatever. I got so
+bad that I began to think my time on earth was short, and did not care if I
+lived or died. I had to stop work; everything was a burden to me, until at
+last I tried your Institution. I went there, and you said you could help
+me, and those words sounded so good to me, as I thought I never could get
+well again. After taking your special home-treatment for five months, I was
+in the enjoyment of perfect health. This was two years ago, and ever since
+my bowels have moved regularly, and I have not taken any medicine to make
+them move. I cannot find words in which to express my sincere thanks for
+the almost immediate relief. I received from your specialists, and will say
+I am now enjoying the very best of health.</p>
+
+<blockquote>
+<p>
+Yours with respect,<br />
+ORWIG F. SINIGAR, No. 71 Feather St., Canton, Ohio.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_610" id="Page_610"></a>[pg
+610]</span></p><h4>FISTULA IN ANO, PILES, PROLAPSE OF RECTUM.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise333"><img width="90%" alt="Illustration:
+N.T. Roberts, Esq." src="images/advise333.png" /></a><br />N.T. Roberts,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;For more than twelve years I have been a sufferer with
+a complication of rectal troubles; pile tumors, prolapsus and fistula in
+Ano. I have been under the treatment of our most skilled practitioners, by
+ligature, carbolic acid, constitutional treatment, change of climate and
+the celebrated Brinkerhoff treatment, and also tried all of the local
+guaranteed nostrums, from all of which I have been only temporarily
+relieved. The old troubles would in a short time return, and with seemingly
+renewed vigor. With fast failing health and terrible nerve prostration, I
+left home the 1st day of October last, to take a two weeks' trip, hoping
+for some temporary relief. On the trip I stopped over at Buffalo, and
+having several years before been in correspondence with the Infirmary,
+concluded to consult you. I did so with little hope of a beneficial result.
+From the manner in which I was received and the satisfactory diagnosis of
+my case, I placed myself under your treatment. On the 16th day of October
+you operated upon me with such complete and satisfactory success, that I am
+now a sound and happy man, and am confident that had I been treated by you
+ten years ago that I would now be twenty years younger in feeling and
+thousands of dollars better off. It affords me pleasure, doctors, to
+recommend the Invalids' Hotel and Surgical Institute to all of the
+afflicted, and to assure them of the most skillful treatment, honest and
+polite attention, and with the assurance of my kindest and most grateful
+remembrance,</p>
+
+<blockquote>
+<p>
+I am, Yours truly,<br />
+N.T. ROBERTS, Pine Bluff, Ark.<br />
+</p>
+</blockquote>
+
+
+<h4>RECTAL FISTULA.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise334"><img width="90%" alt="Illustration:
+Mrs. Lothrop. " src="images/advise334.png" /></a><br />Mrs. Lothrop. </p>
+
+<p><i>Gentlemen</i>&mdash;Having been a great sufferer for years and receiving
+little or no benefit from other physicians, I determined to try your
+Institution, and with grateful results.</p>
+
+<p>Having a successful operation for a fistula (of five years' standing)
+without the knife, while other home-physicians advised me there were no
+other means. And my troubles are yielding slowly but surely; my general
+health is better than for twelve years&mdash;all of which I owe to Dr. Pierce,
+and his skillful physicians and surgeons.</p>
+
+<p>Please accept my sincere thanks for the kindness shown me while an
+inmate by all connected with the Invalids' Hotel. I shall heartily
+recommend your Institution to all sufferers.</p>
+
+<blockquote>
+<p>
+Yours gratefully,<br />
+MRS. M.B. LOTHROP,<br />
+Villa Park,<br />
+Orange Co., Cal.<br />
+</p>
+</blockquote>
+
+
+<h4>UTERINE AND RECTAL DISEASE.</h4>
+
+<p><b>Home Physicians Failed</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise335"><img width="90%" alt="Illustration:
+Mrs. Clawson." src="images/advise335.png" /></a><br />Mrs. Clawson.</p>
+
+<p><i>To whom it may concern</i>&mdash;I was greatly afflicted with Uterine and
+Rectal disease. My disease was of very long standing and had baffled the
+skill of our home physicians. I went to the Invalids' Hotel and Surgical
+Institute, and received treatment of their specialist. Under his skillful
+care and kind attention I soon regained my strength and felt that my former
+life and ambition were again restored to me. I cannot speak in too high
+praise of this famous Institution; the rooms are large and cheerful, the
+food of the very best, the nurses kind and attentive, and the staff of
+physicians and surgeons skillful and of large experience.</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+MRS. CHAS. CLAWSON,<br />
+Middlesex, Yates Co, N.Y.<br />
+</p>
+</blockquote>
+
+<p><span class="pagenum"><a name="Page_611" id="Page_611"></a>[pg
+611]</span></p><h4>RECTAL FISTULA</h4>
+
+<p><b>With Blood-Poisoning, Cured by a Safe and Painless method. A
+Prominent Merchant Testifies to the Superior Methods Employed at the
+Invalids' Hotel and Surgical Institute</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise336"><img width="90%" alt="Illustration:
+J.F. Saton, Esq. " src="images/advise336.png" /></a><br />J.F. Saton, Esq.
+</p>
+
+<p>It is with pleasure that I testify to the cure of the Fistula, for which
+you treated me. I had suffered from it for a long time, and felt that it
+was likely to seriously undermine my health and poison my system. I had
+deterred having it treated from the fears of the cutting operation in
+common use by physicians in the large hospitals and by surgeons in general
+practice. My fears were grounded on the fatal results that had followed in
+cases in my knowledge. I am thankful that I placed my case in the hands of
+your experienced specialists for treatment. The result has been a perfect
+cure. The treatment of the blood-poison that you gave me was successful in
+eliminating it all from my system, and I have since enjoyed perfect health,
+and no recurrence whatever of the fistula. It has been now many years since
+I was cured, and I thank you most sincerely for the good results that were
+brought about in my case.</p>
+
+<p>I can recommend your institution as one in which all the requirements of
+an invalid are fully met.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+J.F. EATON,<br />
+Auburn, Mo., Box 806.<br />
+</p>
+</blockquote>
+
+
+<h4>RECTAL FISTULA and NERVOUS PROSTRATION-RUPTURE.</h4>
+
+
+
+<p class="rfigure"><a name="advise337"><img width="90%" alt="Illustration:
+M.L. Stigers, Esq." src="images/advise337.png" /></a><br />M.L. Stigers,
+Esq.</p>
+
+<p><i>To the afflicted public</i>:</p>
+
+<p>It becomes my pleasant duty to recommend the Invalids' Hotel, Buffalo,
+N.Y., as an Institution for the successful treatment of surgical cases and
+chronic ailments of every description. It is with especial pleasure that I
+recommend the surgeon-in-chief of the Hotel, who is a skilled surgeon, one
+who stands at the head of the profession. The appointments of the Hotel are
+excellent. I was afflicted with an Anal Fistula (a very bad one it proved
+to be). I went to the Invalids' Hotel for treatment. Was placed under the
+care of your surgeon, who treated my case with such skill, that the parts
+are healed soundly. I recommended a friend of mine, who had a rupture, to
+go to you for treatment. He did so and was soundly healed of his trouble. I
+will cheerfully answer all communications relative to my stay at the
+Invalids' Hotel, provided a stamp is enclosed for return postage.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+M.L. STIGERS,<br />
+Menlo, Iowa.<br />
+</p>
+</blockquote>
+
+
+<h4>ANAL FISTULA.</h4>
+
+<p><b>Complicated Case of Heart Disease</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, 663 Main St., Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise338"><img width="90%" alt="Illustration:
+N.S. Johnson, Esq. " src="images/advise338.png" /></a><br />N.S. Johnson,
+Esq. </p>
+
+<p><i>Gentlemen</i>&mdash;I feel that it is my duty to suffering humanity to let
+them know of your great success with me. I had a chronic disease that I had
+suffered with for sixteen years, and last November, owing to a fall, the
+disease doubled on me. I was confined to my bed for months, and the best
+surgeons of our city attended me daily. I continually grew worse. After
+consultation they decided that the knife must be used, which is attended
+with great pain and danger. I wrote you and stated my case; you said you
+could entirely cure me without pain, also without the use of the knife. I
+determined to go to Buffalo. Arrived there the 18th of March, and on the
+20th of April I was at home entirely cured, and have enjoyed better health
+than for years. You also treated my wife for heart trouble, and greatly
+benefited her. The thoroughness of your methods, preparing the system,
+etc., greatly adds to your success, as well as your skillful treatment. I
+shall ever hold the surgeons at the Invalids' Hotel and Surgical Institute
+as a green spot in my memory.</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+N.S. JOHNSON, Bloomfield, Iowa.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_612" id="Page_612"></a>[pg
+612]</span></p><h4>HERNIA AND PILES CURED WITHOUT PAIN.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise339"><img width="90%" alt="Illustration:
+J.J. App, Esq." src="images/advise339.png" /></a><br />J.J. App, Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I have been successfully treated at your institution
+for piles and also rupture of the left side.</p>
+
+<p>Your institution is all it claims to be, and the treatment of my case
+was accomplished without pain and apparently any risk. Your method of using
+locally cocaine as an anæsthetic is such a decided improvement. I did
+not have to take any dangerous ether or chloroform, but had a small
+quantity of medicine injected that made the operation as painless as though
+it was being done on some one else. At the same time I knew everything and
+could see what was being done.</p>
+
+<p>You have my kindest thanks for the good care and many attentions given
+me. Your nurses and physicians all give kind and skillful care.</p>
+
+<blockquote>
+<p>
+Yours very truly,<br />
+J.J. APP,<br />
+Bolivar, Tuscarawas Co., Ohio.<br />
+</p>
+</blockquote>
+
+
+<h4>LARGE PILE TUMORS.</h4>
+
+
+
+<p class="rfigure"><a name="advise340"><img width="90%" alt="Illustration:
+J.C. Bagley, Esq. " src="images/advise340.png" /></a><br />J.C. Bagley,
+Esq. </p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Gentlemen</i>&mdash;I was afflicted with piles for many years, brought on
+by heavy lifting during the war. My suffering was extreme, and the pile
+tumors gradually increased in size, notwithstanding the fact that I tried
+many different kinds of treatment. After becoming physically incapacitated
+and unable to do any work at all, and after much hesitation, I visited your
+institution as the last resort. I am happy to state that my visit there has
+resulted in a complete and permanent cure. A year or more has now elapsed
+since I placed myself under the care of your specialist, and I wish to
+thank you most heartily, for the attention which I received while there,
+and for the cure which has been accomplished in my case. I cannot say
+enough in favor of you and your staff of physicians who gave every
+attention, and whose treatment has been so successful. All suffering has
+entirely vanished, and I have gained about 35 pounds in flesh.</p>
+
+<blockquote>
+<p>
+Respectfully yours,<br />
+J.C. BAGLEY, Watts Flats, Chaut. Co., N.Y.<br />
+</p>
+</blockquote>
+
+
+<h4>LARGE PILE TUMORS; CHRONIC INFLAMMATION OF BLADDER.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise341"><img width="90%" alt="Illustration:
+P. Crump, Esq. " src="images/advise341.png" /></a><br />P. Crump, Esq. </p>
+
+<p>I was troubled with piles for thirty years. These were very mild at
+first but gradually increased in severity, and I was unable to get anything
+which would relieve them. They gradually increased in size, and for a good
+many years past have caused me a great amount of pain. The tumors became of
+large size and protruded whenever I lifted anything heavy or strained in
+the least; also bled copiously at times. This, together with chronic
+inflammation of the bladder, with which I have also suffered for some
+years, rendered my life miserable. Physicians at home gave up my case as
+hopeless, and said that they did not think I could be benefited, and
+certainly not cured. I visited your Institution, hoping to obtain relief,
+but with very little faith, and am happy to say that the treatment which I
+obtained there has resulted in a permanent cure of the piles, and the
+inflammation of the bladder has been so greatly relieved that at present I
+have no suffering of any kind. The cure is complete and I feel like a new
+person. In fact I have not experienced such comfort in many years. I shall
+always appreciate the kindness and attention shown me by your staff of
+physicians, and also by the nurses in your Institution, and shall advise my
+afflicted friends to make you a visit.</p>
+
+<blockquote>
+<p>
+Very respectfully,<br />
+PETER CRUMP, Dennison, Goodhue Co., Minn.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_613" id="Page_613"></a>[pg
+613]</span><b>PILE TUMORS.</b></p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise342"><img width="90%" alt="Illustration:
+S.H. Crosby, Esq. " src="images/advise342.png" /></a><br />S.H. Crosby,
+Esq. </p>
+
+<p>Since the spring of 1872, I have been troubled with pains in head, the
+result of sun-stroke while in the U.S. army, and pile tumor growth. For the
+last named disease I was treated at the Invalids' Hotel and Surgical
+Institute, in June of 1887, and the growth, as I believe, is killed, and
+the result has been a great benefit to my general health. I am quite
+comfortable and with strength to look after my little work and superintend
+the same, much better than before treatment, for which benefit please
+accept my thanks.</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+S.H. CROSBY,<br />
+Manito, Mason Co., Ill.<br />
+</p>
+</blockquote>
+
+
+<h4>BAD CASE OF PILES CURED BY HOME-TREATMENT.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Gentlemen</i>&mdash;I received a few days ago a communication from you
+requesting a photo, of myself. I will say that I am sorry, but I have had
+no photograph of myself taken since I was a child, but will gladly give you
+a testimonial and I will answer by letter any skeptical ones that you refer
+to me, provided they send a return addressed and stamped envelope for
+reply.</p>
+
+<p>Just one year ago, I was suffering untold agonies from internal piles
+and prolapsus of the rectum: my bodily pain was so great that the mental
+strain was almost more than I could stand. I was useless to myself and
+family and had about persuaded myself it would be better to take my life,
+and I think I should have done so had not a copy of the Common Sense
+Medical Adviser happened to fall into my hands. I was not certain just what
+my trouble was, at least what to call it. I began the Chapter treating on
+Pile Tumors, and then I realized just what my trouble was. I wrote you and
+received encouragement. I sent for a month's treatment and it was certainly
+the best investment I ever made. I received the medicines at noon&mdash;read the
+directions carefully and commenced at once to carry them out. I seemed
+better the next day. I suffered less, and in a few days there was a decided
+change for the better. I continued the medicine until I had taken all of
+it; I have not taken any since, except occasionally a few of Dr. Pierce's
+Pellets, just enough to act as a mild laxative. I am perfectly well. I was
+always more or less constipated all my life. I now understand that by
+keeping the bowels open and in good order, I could have avoided all of the
+suffering that I have gone through; my friends all think my recovery almost
+a miracle. I feel, Oh, so grateful to you, I shall never fail to speak a
+word in your favor to suffering humanity.</p>
+
+<blockquote>
+<p>
+Respectfully,<br />
+Mrs. J.W. Heist<br />
+Fayette, Howard Co., Mo.<br />
+</p>
+</blockquote>
+
+
+<h4>PILES AND CHRONIC DIARRHEA.</h4>
+
+<p>DR. R.V. PIERCE, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise343"><img width="90%" alt="Illustration:
+J.J. Bradford, Esq. " src="images/advise343.png" /></a><br />J.J. Bradford,
+Esq. </p>
+
+<p><i>Dear Sir</i>&mdash;I was a great sufferer for thirty years from piles, and
+take great pleasure in bearing testimony to the fact, that since you
+treated me, seven years since, I <i>have not had a symptom of
+piles</i>.</p>
+
+<p>At the above stated period I had also been a sufferer from diarrhea, in
+its most aggravating form, for three and a half years, and I was completely
+and radically cured of that, also.</p>
+
+<p>I beg to assure you, and your noble associates, of my lasting gratitude,
+and feel no hesitancy in expressing the opinion that but for your great
+skill in treating me, I should have been in my grave. I state for the
+benefit of all those who may be similarly afflicted that if they will place
+themselves in your hands, you will goon effect radical cures.</p>
+
+<blockquote>
+<p>
+JOHN J. BRADFORD,<br />
+Augusta, Perry Co., Miss.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_614" id="Page_614"></a>[pg
+614]</span><b>LARGE PILE TUMORS</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise344"><img width="90%" alt="Illustration:
+L.H. Esety, Esq." src="images/advise344.png" /></a><br />L.H. Esety,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;Allow me to thank you for the kind attention and
+skillful treatment I received while at your Institution for five weeks'
+treatment. I cannot speak too favorably of your Institution.</p>
+
+<p>You have my best wishes for your continued success.</p>
+
+<blockquote>
+<p>
+Respectfully yours,<br />
+L.H. ESTEY,<br />
+Hinsdale,<br />
+Cheshire Co., N.H.<br />
+</p>
+</blockquote>
+
+
+<h4>HEADACHE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise345"><img width="90%" alt="Illustration:
+E. Vargason, Esq. " src="images/advise345.png" /></a><br />E. Vargason,
+Esq. </p>
+
+<p><i>Gentlemen</i>&mdash;I have used your medicines for a number of years, and
+know that they do for me all that is claimed for them. I am employed mostly
+at my desk, and not infrequently have an attack of the headache. It usually
+comes on in the forenoon. At my dinner I eat my regular meal, and take one
+or two of Doctor Pierce's Pleasant Pellets immediately after, and in the
+course of an hour my headache is cured and no bad effects. I feel better
+every way for having taken them&mdash;not worse, as is usual after taking other
+kinds of pills. Your "Pleasant Pellets" are worth more than their weight in
+gold, if for nothing else than to cure headache.</p>
+
+<blockquote>
+<p>
+Very respectfully,<br />
+E. VARGASON,<br />
+Otter Lake, Lapeer Co., Mich.<br />
+</p>
+</blockquote>
+
+
+<p><b>DYSPEPSIA, NEURALGIA</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise346"><img width="90%" alt="Illustration:
+Miss Gwin." src="images/advise346.png" /></a><br />Miss Gwin.</p>
+
+<p><i>Gentlemen</i>&mdash;Before using your medicines, my food would not digest;
+then neuralgia set in, and I suffered severe pain through my sides,
+shoulders, breast and stomach. Bilious attacks were frequent; then my flesh
+began stinging and my heart began beating badly and making me so that I
+could not lift a chair, and all together threw me into a cramp and a
+numbness, and the family thought I was dying, and sent for another doctor
+who said it was hard to do anything for me; he visited me almost six years
+and did not help me; the pain was so great I had to scream; I said to my
+doctor, "can you give me something" and he said, "yes, but it will not do
+you any good." I told him he had not done me any good in six years, and I
+would quit him. I saw I was almost gone, very pale and weak and did not eat
+anything.</p>
+
+<p>I began your "Golden Medical Discovery," and one-half bottle helped me
+so much I began work and improved fast; it helped me so I got 10 bottles.
+While using them my friends said when I quit I would be just as bad as
+ever. It has been five years and no need of a doctor yet, and I will say
+that I think it cannot be beat, and I will still believe in it, for if it
+had not been for the "Golden Medical Discovery" I would have been in my
+grave. Your medicines have helped my brother, and father is using it now
+and it is helping him.</p>
+
+<blockquote>
+<p>
+I remain. Your true friend,<br />
+Miss C.B. GWIN, Cowardin, Bath Co., Va.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_615" id="Page_615"></a>[pg
+615]</span></p><h4>BLOATING OF BOWELS, CAUSED BY LIVER DISEASE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise346b"><img width="90%" alt="Illustration:
+MR. G.S. WATRING" src="images/advise346b.png" /></a><br />MR. G.S.
+WATRING</p>
+
+<p><i>Gentlemen</i>&mdash;My son, aged fourteen years, was taken with bloating
+of the abdomen; this would go down leaving the parts so sore he could
+scarcely stand. We had three different doctors to treat him, but he grew
+steadily worse. We then commenced giving him Dr. Pierre's Golden Medical
+Discovery, and after using it three days he commenced to improve. Last
+summer he had so fully recovered his health as to make a full hand in the
+harvest field. He took, in all, only six bottles of the "Golden Medical
+Discovery," and it saved his life.</p>
+
+<blockquote>
+<p>
+Respectfully yours,<br />
+J.B. WATRING,<br />
+Lead Mine, Tucker Co., W. Va.<br />
+</p>
+</blockquote>
+
+
+<h4>NERVOUS DYSPEPSIA; UTERINE AND SPINAL WEAKNESS.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo. N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise346c"><img width="90%" alt="Illustration:
+MRS. NAY." src="images/advise346c.png" /></a><br />MRS. NAY.</p>
+
+<p><i>Gentlemen</i>&mdash;I had nervous dyspepsia for twenty years, followed by
+uterine and spinal weakness with irritation of the same. In the Spring of
+1890 I became so exhausted that I was compelled to keep to my bed with
+symptoms of paralysis in the lower limbs, and many other distressing
+symptoms. I accidentally obtained one of Dr. Pierce's Medical Advisers from
+a friend, and finding my ailments so well described therein, I wrote to Dr.
+Pierce for his advice, which he sent by return mail. For my recovery he
+requested me to use his "Golden Medical Discovery," his "Favorite
+Prescription," and his "Pleasant Pellets." He also gave me some directions
+for every-day living. These means accomplished my complete cure. I am
+thankful that we can have such reliable medicines brought into our homes
+without great expense.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+MRS. AMERICA NAY,<br />
+Volga, Jefferson Co., Ind.<br />
+</p>
+</blockquote>
+
+
+<h4>DYSPEPSIA, TORPID LIVER&mdash;TERRIBLE SUFFERING.</h4>
+
+
+
+<p class="lfigure"><a name="advise346d"><img width="90%" alt="Illustration:
+MRS. O'BANNON" src="images/advise346d.png" /></a><br />MRS. O'BANNON</p>
+
+<p>DR. R.V. PIERCE: <i>Dear Sir</i>&mdash;When I commenced your medicines, had
+headache all the time, indigestion, pain in my back and loins, soreness and
+stiffness in my joints, my limbs ached so I could not sleep at night: I
+could not lie in bed more than two or three hours any night; when I would
+lie my head on the pillow I would have to rise immediately to get breath,
+sit up and walk the floor very near all night. I could not eat anything
+that would digest; I would do the cooking for the family, but I was in so
+much pain the tears were in my eyes all the time I would get a meal ready.
+I would take one mouthful of bread and then go off and sit down and cry
+with hunger, but dare not eat any more, and then would have to vomit from
+that one mouthful of bread&mdash;I would have such weak spells I could not stand
+on my feet.</p>
+
+<p>I had tried five doctors, they had done me no good; I had given
+up&mdash;never to take anything more, only to lull the pain. I had given up to
+die when I received a pamphlet and some papers from you. I decided to try
+once more and I have been improving ever since I commenced your treatment;
+my health is better than it has been for fifteen years; I weighed one
+hundred pounds when I began taking your medicines; now I weigh one hundred
+and thirty, as much as I ever weighed. I have taken ten bottles of
+"Favorite Prescription" and still more of "Golden Medical Discovery," and
+several vials of the "Pellets."</p>
+
+<blockquote>
+<p>
+Your sincere friend, MRS. M.H. O'BANNON,<br />
+Lameta, Leake Co., Miss.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_616" id="Page_616"></a>[pg
+616]</span></p><hr />
+
+
+
+
+<p class="figure"><a name="advise347"><img width="40%" alt="Illustration:
+Fig. 1. Nervous System." src="images/advise347.png" /></a><br />Fig. 1.
+Nervous System.</p>
+
+<p><span class="pagenum"><a name="Page_617" id="Page_617"></a>[pg
+617]</span></p><hr />
+
+
+<h1>THE NERVOUS SYSTEM.</h1>
+
+<p>The nerves of the human body are not unlike the vast telegraph system of
+this continent.</p>
+
+<p>The millions of nerve filaments are similar to the network of wires that
+keep all the cities in close sympathy and communion. The nerves have to
+deal with organs instead of villages, and with cells in place of
+individuals.</p>
+
+<p>Commerce is regulated and train loads of food supplies dispatched here
+and there by telegraph, while in the body the nerves send their analogue,
+increased blood and nourishment, where it is required.</p>
+
+
+
+<p class="figure"><a name="advise348"><img width="40%" alt="Illustration:
+View on roof of Western Union Telegraph Company's Central Station, Buffalo,
+N.Y., showing net-work of wires leading to all parts of the country."
+src="images/advise348.png" /></a><br /> View on roof of Western Union
+Telegraph Company's Central Station, Buffalo, N.Y., showing net-work of
+wires leading to all parts of the country.</p>
+
+<p>The various organs of sense receive manifold impressions of conditions
+to be met, food required and dangers to be avoided and the nerves transmit
+these impressions telegraphically to the brain.</p>
+
+<p>The structure of the brain, spinal cord and sympathetic nerves, is not
+unlike a gigantic and complicated galvanic battery. The number of cells in
+the brain and spine are more numerous, by many millions, than those
+supplying any telegraph system.</p>
+
+<p>As the blood supplies each cell with its necessary nourishment and <span
+class="pagenum"><a name="Page_618" id="Page_618"></a>[pg 618]</span>removes
+its used up or waste materials, so does the workman give each cell of his
+battery fresh chemicals from time to time, and removes the used up
+waste.</p>
+
+<p>The wires that lead from this battery to every part of the country are
+like the nerve filaments that go to each part of the human body and make
+them all&mdash;no matter how minute&mdash;perform their functions in a proper manner,
+and, when done, permit them to retire to rest.</p>
+
+<p>With the complicated human structure, when disease takes hold, we have
+the same troubles that would be presented were the telegraph operators
+suddenly to become ill. What confusion and discord would prevail! If the
+sickness is severe enough to cause delirium, it would be as though madmen
+were at the telegraph keys dispatching trains of passenger cars which could
+hardly fail to bring injury and destruction to unwary travelers.</p>
+
+<p>In health, we are unaware of the work of the nerves. The wheels of life
+move without noise. Few realize that the cavities of the heart (auricles
+and ventricles) are contracting steadily and alternately under the guidance
+of nerve cells. By this means the stream of blood, laden with nourishment,
+is sent to every part of the body.</p>
+
+<p>Silently the stomach pours out, under nerve influence, its juices that
+dissolve and change parts of the food, that it may pass into the blood in
+condition to nourish. In a similar way, the pancreas pours out a fluid that
+digests the fats.</p>
+
+<p>The muscular fibres of the intestines are caused to contract
+rhythmically and force along the bolus of digested food, so that its
+soluble parts may be taken up by the minute absorbent vessels to enrich the
+blood.</p>
+
+<p>All these things of most vital importance we know least about. They go
+on, from day to day, without our being aware of the work done.</p>
+
+<p>Let something interfere with the process, and how quickly is the
+sensation changed. Few there are who have not felt the agony of colic pain,
+due to stoppage of digestion. What suffering is greater than the sense of
+awful suffocation from a heart that is not acting well?</p>
+
+<p>These are only familiar illustrations of a thousand and one distressing
+derangements and symptoms that come from exhaustion and prostration of the
+nervous system.</p>
+
+<p><span class="pagenum"><a name="Page_619" id="Page_619"></a>[pg
+619]</span></p><hr />
+
+
+
+
+<h1>NERVOUS DEBILITY</h1> <h2>OR EXHAUSTION.</h2>
+
+<p>This affection, also popularly known as Nervous Prostration, or Nervous
+Weakness, and, to the medical profession, as Neurasthenia, or Nervous
+Asthenia, is becoming alarmingly prevalent.</p>
+
+<p>The wear, tear and strain of modern life are concentrated upon the
+nervous system. The care and consequent fret, worry and labor of this age
+are greater than ever before known.</p>
+
+<p>The result of this extreme activity, is exhaustion and weakness.
+Physical bankruptcy is the result of drawing incessantly upon the reserve
+capital of nerve force.</p>
+
+<p>We extract the following from an article which recently appeared In the
+New York <i>Tribune</i>:</p>
+
+<h3>AN AGE OF NERVOUSNESS.</h3>
+
+<blockquote>
+<p>
+The stone age, the bronze age and the iron age, we have heard of; likewise
+of the Dark Ages, and other self-marking eras in human history. As for
+the present, it might with fitness be known as the age of engineering, or
+of electricity, both of which proud titles it has won by its achievements. Yet
+there is also a less roseate view to be taken of it, and another title to be
+given to it, based upon its too-evident frailties; namely, that it is an age of
+nervousness.</p>
+
+<p>Such is the view taken by the famous psychologist, Dr. William Erb, of
+the University of Heidelberg. Nervousness, he says, meaning nervous excitement,
+nervous weakness, is the growing malady of the day, the physiological
+feature of the age. Hysteria, hypochondria and neurasthenia are increasing with
+fearful rapidity among both sexes. They begin in childhood, if not indeed
+inherited. Minds are overburdened in school, with too much teaching or misdirected
+teaching. The pleasures of social life follow, overexerting the already enfeebled
+nervous system. Business life is made up of hurry and worry and shocks and
+excitements. Society, science, business, art, literature, even religion,
+are all pervaded by a spirit of unrest, and by a competitive zeal which urges its
+victims on remorselessly. No man knows repose. The result is, wreckage. The
+pharmacopoeia is overcrowded with nerve tonics, nerve stimulants, nerve sedatives.
+The medical profession devotes its best energies to the treatment of
+neuropaths. And as a people we are, or are becoming, excitable, irritable, morbid,
+prone to sudden collapse through snapping of the overtense chord of the nervous
+vitality.</p>
+
+<p>Nowhere are the rush and hurry and overstrain of life more marked than
+in this much-achieving Nation. The comparative youth and freshness and vigor
+of the American people enable them to do and to endure what would be beyond
+the power of an older and more worn-out community. Yet there is no
+disguising the fact that the pace tells even here, and often tells to kill. True, all
+the tendencies of the age are in that direction. Inventions, discoveries,
+achievements of science, all add to the sum of that which is to be learned, and widen
+the field in which there is work to be done. What we need to learn is, however, that
+all these things are for man, not man for them. If knowledge has increased, we
+should take more time for acquiring it, knowing that, with the consequent
+increase of power, we shall be able to achieve as much afterward in the shorter
+time as our predecessors did in the longer time their briefer study
+afforded. <span class="pagenum"><a name="Page_620" id="Page_620"></a>[pg
+620]</span>Greater ability should mean not only greater results wrought,
+but fuller repose as well. For it would be a sorry ending of this splendid age of learning
+and of labor to be known as an age of unsettled brains and shattered nerves.
+</p>
+</blockquote>
+
+<p>A distinguished medical authority says:</p>
+
+<blockquote>
+<p>
+"It is proved beyond any dispute that nervousness is the characteristic
+malady of the American Nation, growing upon them in a frightfully accelerated
+ratio every year, and threatening them with disasters at no distant date which
+the mind shrinks from contemplating."</p>
+
+<p>He continues as follows: "The number of deaths from this cause is
+already appalling and is steadily and rapidly increasing. In some of the busy
+centres the tables of mortality show that the proportion of nerve deaths has
+multiplied more than twenty times in the last forty years, and that now the nerve
+deaths number more than one-fourth of all the deaths recorded. What is most
+shocking in these returns, this fearful loss of life occurs mainly among young
+people of both sexes."</p>
+
+<p>"This means that the Americans are fast becoming a very short-lived
+people; and that if they were shut in on themselves for only a few years, without
+any influx of vitality by immigration, the publication of the census would send
+a pang of horror and alarm throughout the land."
+</p>
+</blockquote>
+
+<p>The annual report of the State Board of Charities of the State of New
+York for 1894, shows that while the increase in the State's population from
+1880 to 1892 was 28 per cent., the increase of the insane in State
+institutions for the same period was 83 per cent.!</p>
+
+<p>The enjoyment of the fruits of fortune, earned at the expense of the
+nerve cells, is an impossibility. The quiet and harmony of the nerve
+centres and nervous system are gone. Rest is impossible, continuance of
+work only causes increased jarring and discord of that many stringed and
+wonderful mechanism.</p>
+
+
+<p><b>Symptoms</b>. It is well nigh impossible to give the symptoms of this
+disease in an orderly manner, as the affection gives rise to a thousand and
+one varying and ofttimes vague symptoms. The particular part of the nervous
+system affected, and also the cause and character of the attacks modify the
+symptoms. The eminent Dr. Wood says: "Nervous exhaustion may, in the
+beginning, affect the whole of the nervous system, or it may be at first
+purely local, and co-exist with lack of general nervous strength."</p>
+
+<p><b>Spermatorrhea</b> furnishes many examples of the local form of
+neurasthenia, or exhaustion, the sexual centres being primarily affected.
+In these cases, however, sooner or later, the whole nervous system becomes
+Involved. So in other forms of the disorder, the exhaustion at first local,
+finally, if neglected, implicates the whole organism. Often, in brain
+exhaustion, the symptoms are at first purely local. Almost always the cause
+of a local neurasthenia, or exhaustion, is excessive use of the part. Thus,
+cerebral or brain exhaustion, or debility, is usually the result of mental
+overwork, while sexual asthenia, or weakness is generally due to abuse of
+the sexual organs or to sexual <span class="pagenum"><a name="Page_621"
+id="Page_621"></a>[pg 621]</span>excesses. When to the brain fatigue, or
+exhaustion, are added the depressing effects of excessive anxiety, or
+allied emotions, the symptoms from the first are more general, and the
+exhaustion may effect chiefly a single function of the brain. In pure brain
+exhaustion, the loss of a disposition to work, is usually the first
+symptom, the sufferer finding that it constantly requires a more and more
+painful effort of the will to perform the allotted task. At first, there is
+loss of the power of fixing the attention, and this, by and by, is
+accompanied by a weakness of the memory; disturbances of sleep are
+frequent; various abnormal sensations in the head are complained of. In
+most cases there is not absolute headache, but a feeling of weight or
+fullness, or an indescribable distress, usually aggravated by mental
+effort. It is true that in some cases of very dangerous brain tire, mental
+labor is performed with extraordinary vigor and ease; the power of work,
+is, for the time, markedly increased, and even the quality of the product
+may be raised. The patient may glory in a wild intellectual exaltation, a
+sense of mental power, with an almost uncontrollable brain activity. It is
+probable, however, that these cases are not instances of pure neurasthenia,
+or brain exhaustion, but that there is active congestion of the gray matter
+of the brain. In these cases the disease is very prone to end in serious
+organic affection of the brain.</p>
+
+
+
+<p class="lfigure"><a name="advise349"><img width="90%" alt="Illustration:
+Melancholy. " src="images/advise349.png" /></a><br />Melancholy. </p>
+
+<p>Severe brain exhaustion may be associated with good spirits, but usually
+there is marked depression, and this perversion of function generally goes
+on, if the disease be not checked, to decided melancholy. The will power,
+like all the other functional activities of the brain, is prone to be
+weakened, morbid fears may finally develop, and at last, that which was at
+the beginning a single brain exhaustion, may end in persistent
+hypochondria, followed by insanity.</p>
+
+<p>Peculiar sensations are common in neurasthenia, such as chilliness,
+unnatural itching, a feeling as though ants or other insects were crawling
+on the skin. Eruptions are common. Attacks of neuralgia are often frequent
+and sometimes severe, being usually worse in those persons of nervous
+ancestry. In some cases there is a lack of proper sensation, in others an
+unnatural sensitiveness. There is also in many cases a peculiar tenderness
+over some portion of the spinal column, especially in women.</p>
+
+<p><b>In women,</b> with nervous disturbance of the sexual organs, there is
+frequently great pain felt during menstruation; in others, ovarian
+irritation and a so-called "irritable," or sensitive uterus, giving rise to
+manifold nervous and hysterical symptoms, sometimes culminating in
+convulsions or "fits." In not a small proportion of the uterine diseases
+<span class="pagenum"><a name="Page_622" id="Page_622"></a>[pg
+622]</span>which are generally only locally treated by physicians, the
+local disease is largely and sometimes solely the expression of a general
+weakness of nervous origin.</p>
+
+
+<h3>SELF-ABUSE AND EXCESSES.</h3>
+
+<p>It is well known that Onanism, or masturbation, as well as sexual
+excesses, produce an exhaustion of the nerve centres presiding over the
+sexual functions. This is the common history of spermatorrhea or loss of
+the virile fluid by nightly emissions, accompanied by lascivious
+dreams.</p>
+
+<p><b>General Neurasthenia</b>, or nervous exhaustion, may also produce a
+local weakness of the sexual centres of the brain and spinal cord, with
+symptoms at least resembling those of partial impotency and great
+irritability of the sexual organs, or a complete impotence, with premature
+seminal discharge whenever coition is attempted. Many times this condition
+results from excessive intellectual labor, even with no sexual excesses or
+abuses. Nocturnal, or nightly emissions, are not always experienced in
+these cases. When they do occur, the debilitating losses of vital fluid
+react upon the brain, robbing the victim of courage and manliness and
+exciting various phases of morbid fear and sensitiveness.</p>
+
+<p>Many cases of nervous debility, or exhaustion, are the result of long
+continued malarial poisoning, diarrhea, Bright's disease, exhausting fevers
+or other debilitating affections. Numerous are the cases in which the
+patient is able to trace the origin of the malady back to an attack of
+influenza, or grip. An epidemic of the latter disease is sure to be
+followed by numerous cases of nervous prostration, or exhaustion.</p>
+
+
+<h3>CARE SHOULD BE EXERCISED.</h3>
+
+<p>In all cases, it is necessary to make careful examinations in order to
+detect any obscure chronic disease which may exist. In women, nervous
+prostration often develops without perceptible cause at the age of puberty
+or at the "change of life." Overwork, especially overwork combined with
+worry, are fruitful causes of nervous exhaustion in both sexes.</p>
+
+
+<h3>AN OVERWORKED NERVOUS SYSTEM</h3>
+
+<p>is always an exhausted nervous system. The nerve cells have been robbed
+of their vital forces. All the nutritive organs of the body suffer from the
+lack of nerve control, and the blood-vessels that supply the nerve centres
+are not in proper tone. Hence the supply of blood and the action of the
+heart are greatly interfered with. Many times, the most troublesome
+symptom, early in the disease, is an excessive perspiration of the hands
+and feet.</p>
+
+
+<p><span class="pagenum"><a name="Page_623" id="Page_623"></a>[pg
+623]</span></p><h3>IMPOVERISHED OR POOR BLOOD.</h3>
+
+<p>A badly nourished nervous system is irritable. Many of the symptoms of
+weakness and lack of nutrition resemble those found in congestion, or
+stimulation from excess of blood. Then, too, we find sometimes that poor,
+thin, watery blood, not suitable for nourishment although sent in large
+amount to the brain, does not properly nourish that organ. There will still
+be brain exhaustion, as the nervous structures have lost their power of
+absorbing the nutrient materials from the blood which, being poor in
+quality, does not vitalize and strengthen the nerve centres as it should.
+In such cases thought is an effort and sustained mental exertion is
+impossible; the memory is uncertain, and the patient drowsy. Occasionally,
+after rest, there may be flashes of brilliancy, but generally they are
+brief.</p>
+
+
+<h3>DANGER OF CONTRACTING INTEMPERANCE.</h3>
+
+<p>The patient often learns that a small amount of wine or spirits is a
+temporary aid, and sometimes its habitual use is begun in this way.
+Stimulants only make a bad matter worse when their use is continued for any
+considerable length of time. The sufferer becomes more and more dependent
+upon them and the nervous exhaustion is much aggravated as large quantities
+are taken to satisfy the morbid craving that has been acquired.</p>
+
+<p><b>Wakefulness, or insomnia</b>, is present in many cases; in others,
+there is unusual drowsiness but sleep gives neither rest nor strength;
+often it is disturbed by dreams that exhaust the vitality and leave the
+patient more tired than when rest was sought.</p>
+
+<p><b>Headache</b> is one of the most annoying symptoms and sometimes is
+very persistent. It may incapacitate the patient for the ordinary duties of
+life. After laying down awhile and being quiet, the headache may be
+relieved, but recurs on attempting to go about.</p>
+
+<p><b>Fretfulness</b>. Sometimes, owing to the discomfort experienced,
+there is likely to be a change of disposition, irritability of temper,
+fretfulness and peevishness; a tendency to an irascibility all out of
+proportion to the real provocation. In many cases there is dizziness, and
+frequently noises in the head, ringing in the ears, spots before the eyes,
+twitching of the muscles, eyelids or eye muscles, and at times dimness of
+vision, or sudden spells when the sight is not satisfactory. At times there
+is a feeling of discomfort, as if the quantity of good air were not
+sufficient to aerate the blood, and there is sighing or a desire to sit in
+an open window, or a strong desire to be fanned. The pulse and temperature
+are usually normal, or a little below, but may rise if any local irritation
+exists. At times the face is flushed and at others pale. The skin may be
+dry, or in other cases bathed in perspiration on slight exertion or mental
+worry. When there is weakness of the nervous system, the disease manifests
+itself through <span class="pagenum"><a name="Page_624"
+id="Page_624"></a>[pg 624]</span>various organs. Hence, the palpitation of
+the heart, dyspepsia or acute attacks of indigestion, with colicky pains
+and heaviness after meals, with eructations or belchings of gas, or local
+discomfort and unnatural action affecting, at different times, almost every
+organ of the body. It is well known that insanity may result from the loss
+of sleep and constant brooding over the symptoms that the patient fails to
+properly understand.</p>
+
+
+<h3>TREATMENT.</h3>
+
+<p>In no class of diseases is greater care, scientific knowledge and skill
+more necessary than in the treatment of nervous affections. Almost every
+case is a law unto itself, and must receive careful consideration,
+pains-taking advice and specially prescribed treatment suited to the
+peculiarities of the individual. Hereditary influences, causes of the
+disease and constitutional peculiarities of the patient must all be taken
+into account.</p>
+
+
+<h3>VALUE OF EXPERIENCE.</h3>
+
+<p>Only through extensive experience can the medical practitioner become
+expert at detecting and successfully meeting, by rational scientific and
+carefully adapted treatment, the many phases and complications incident to
+the different forms and stages of this very prevalent malady.</p>
+
+<p>For more than a quarter of a century, the Specialists of the Invalids
+Hotel and Surgical Institute having charge of this department of practice,
+have been actively engaged battling with diseases of the nervous system. As
+a result of this long time and vast experience, they have naturally
+developed and thoroughly tested many valuable remedial agencies for the
+relief and cure of this class of sufferers. Many of these can be
+successfully prescribed and used at the patients' homes without a personal
+consultation; while others can only be brought into use at our
+Institution.</p>
+
+
+<h3>TREATMENT AT HOME.</h3>
+
+<p>Many cases, especially when the exciting cause of the malady can be
+easily ascertained, as in spermatorrhea from self-abuse, or sexual
+excesses, or in women when arising from uterine affections, can be very
+successfully managed and cured at home. This is also true when the disease
+is due to the excessive use of tobacco, opium and other narcotics.</p>
+
+
+<h3>CONSULTATION BY LETTER.</h3>
+
+<p>The patient has thought over his symptoms hundreds of times. The
+location of every discomfort has been carefully noted. These matters are
+stated with accuracy, common sense and good judgment when writing to us.
+The people are far more intelligent in these matters than physicians are
+generally willing to admit. A patient is often confused <span
+class="pagenum"><a name="Page_625" id="Page_625"></a>[pg 625]</span>while
+being personally examined by a physician and gives imperfect or incorrect
+answers. After he has left the presence of the physician, he finds that he
+has failed to enumerate many of the most important symptoms. In consulting
+by letter, the patient is not embarrassed, states the exact symptoms and
+carefully reads over the letter, to see if it is a complete and accurate
+description of his sufferings. In this way he often conveys a much better
+idea of the case than if present in person, and subject to the most
+thorough questioning and "cross-examination." The timid lady and nervous
+young man write just as they feel and one reason why we have had such
+success in treating intricate and delicate diseases, is because we have
+obtained such true and natural statements of the cases from these letters,
+many of which are perfect pen pictures of disease. As bank tellers and
+cashiers, who daily handle large quantities of currency, can unmistakably
+detect spurious money by a glance at the engraving or touch of the paper,
+so the experienced physician, by his great familiarity with disease,
+becomes equally skilled in detecting the nature and extent of a chronic
+malady, from a written description of its symptoms. To aid the patient in
+giving a clear and intelligible history of his case we send, when
+requested, a very complete question blank.</p>
+
+
+<h4>EXAMINATION OF THE URINE.</h4>
+
+<p>A careful, microscopical examination and chemical analysis of the urine
+is a valuable aid in determining the nature of these diseases of the
+nervous system. This important fact is not overlooked at the Invalids'
+Hotel and Surgical Institute, where experienced chemists are employed to
+make such examinations and report the result to the attending physicians.
+Persons consulting us and desiring to avail themselves of the advantages
+afforded by these examinations, can send a sample of their urine by
+express. The bottle should be thoroughly cleansed and should contain from
+two to four ounces of that first passed after arising in the morning. It
+should be carefully packed in saw-dust or paper and inclosed in a light
+wooden box. All express charges must be prepaid through and a complete
+history of the case, including the age and sex of the patient, should
+accompany every package, or it will receive no attention. This saves
+valuable time by directing the examination into the channels indicated and
+thus avoiding a lengthy series of experiments. As we are daily receiving
+numerous bottles of urine, every sample, to prevent confusion, should be
+labeled with the patient's name. By the postal regulations, all liquids are
+excluded from the mails, unless packed in accordance with our printed
+directions, which will be sent free on request being received for them.</p>
+
+
+<h3>WE AIM TO CURE,</h3>
+
+<p>not merely to palliate as is so often done by practitioners in dealing
+with these distressing maladies. We do not prescribe coca mixtures, <span
+class="pagenum"><a name="Page_626" id="Page_626"></a>[pg
+626]</span>whiskey, malt extracts, so-called celery compounds or other
+nerve stimulants, which only spur the already weakened nervous system on as
+a man would urge his jaded horse to renewed efforts when the animal should
+be refreshed by proper food and rest. Neither have we any faith, in lasting
+good resulting from prescribing such nerve sedatives as put the nerves to
+sleep and so, by simply blunting sensibility, delude the patient into the
+false belief that he is being benefited.</p>
+
+<p>To effect a radical cure of the weakness, the nerve centres must be
+restored to a normal condition by improving the nutrition of the nerve
+cells. To do this the causes of the difficulty must be understood and any
+local weakness or disease of any organ, be it the liver, kidneys, lungs,
+stomach, rectum, bladder, or generative organs, must be understood,
+properly treated and overcome. The desire for alcoholic stimulants is a
+most common and dangerous tendency of the disease. To gratify the morbid
+appetite for stimulants is to do the patient lasting injury.</p>
+
+
+<h4>IMPOVERISHED BLOOD.</h4>
+
+<p>In some cases the nervous affection is the result of an impure, or
+impoverished, condition of the blood. In such cases the use of Dr. Pierce's
+Golden Medical Discovery has, in the great majority of cases, resulted in
+an immediate benefit and gradually in a permanent restoration of the nerve
+centres to a normal condition. This remedy, particularly if assisted by the
+use of Dr. Pierce's Pleasant Pellets, when constipation is present, unloads
+the liver, and their combined action tends to remove from the blood the
+poisons which it is the function of the liver to take from that fluid. The
+cells of the brain, after performing their function, throw into the blood
+certain poisonous materials which it is the function of the liver to
+remove. If this is not done, the cells become clogged, and can only be
+restored to a natural and healthful condition by increasing the activity of
+the liver. This treatment gives rise to an immediate improvement, and a
+continuance of the remedies results in a gradual toning up of the nervous
+system and relief from the unpleasant symptoms.</p>
+
+
+<h3>"FEMALE WEAKNESS."</h3>
+
+<p>Many women suffer from nervous prostration, or exhaustion, owing to
+congestion of the uterus and ovaries, caused by over-indulgence; again by
+overwork, the strain of too many household cares, or too frequent
+childbirths. In these cases, the use of Dr. Pierce's Favorite Prescription
+is of the greatest benefit, tending to restore the uterus and ovaries to a
+normal condition. Its wonderful restorative effects, tonic and nerve
+invigorating properties, especially adapt it to the cure of these cases.
+Digestion and assimilation of food are promoted by its use. When the liver
+or blood is not in healthful condition, as previously referred to, the
+"Golden Medical Discovery" should be used in <span class="pagenum"><a
+name="Page_627" id="Page_627"></a>[pg 627]</span>conjunction with the
+"Prescription." If menstruation be scanty, Dr. Pierce's Pellets will have a
+beneficial influence in increasing the flow, and overcoming the headache
+and congestion of internal organs that is the result of scanty
+menstruation, especially if their use be accompanied with full doses of Dr.
+Pierce's Compound Extract of Smart-Weed.</p>
+
+
+<h3>LOCAL CAUSES.</h3>
+
+<p>In the great majority of cases, when nervous prostration has made its
+appearance at intervals, with periods of prolonged good health intervening,
+but in which, as a rule, slight excesses, over-exertion or the attacks of
+some acute disease, produces a nervous exhaustion, we have found that local
+derangement is the cause of the whole trouble. This cause may often be
+readily removed and a perfect and permanent restoration of the health will
+follow.</p>
+
+<p><b>In Men,</b> we have often found a varicocele to be the cause of
+nervous prostration. In others rupture, or urethral stricture, sometimes of
+a character so mild as hardly to give serious inconvenience, has been the
+cause.</p>
+
+<p><b>In Women,</b>, ulceration of the uterus, stricture of the cervix,
+congestion or other diseases of the ovaries, such as cysts, abscesses,
+etc., inflammation of the Fallopian tubes, characterized with more or less
+periodical discomfort and attacks of leucorrhea, or "whites," are common
+causes.</p>
+
+<p>In all cases in which the nervous disease depends upon local causes, we
+find that the relief of the local source of irritation, which tends to
+reduce the general health and interfere with perfect nervous tone, is all
+that is necessary to give the invalid a perfect restoration to health,
+vigor and activity. It is like removing the burden from a tired horse who
+has fallen prostrate under an excessive load. The removal of the burden
+puts the individual under a favorable condition for the immediate
+restoration to health and strength, and permanent relief is only a matter
+of a few days' or weeks' time, with appropriate nourishment and restorative
+nerve tonics.</p>
+
+
+<h3>ALCOHOL, OPIUM AND TOBACCO</h3>
+
+<p>affect different individuals according to their several
+susceptibilities. Some are able to withstand, with apparent impunity, an
+amount of these that can not be tolerated by others without great injury.
+No one, however, is wholly proof against these unwholesome agents which are
+in such common use. The sad results of their excessive use are seen in
+thousands of cases of shattered nerves and wasted vigor. The excessive use
+of tea and coffee is also a prolific cause of nervous affections.</p>
+
+<p>Happily, we have now at our command remedies which exercise a most
+potent controlling influence over the acquired, morbid appetite <span
+class="pagenum"><a name="Page_628" id="Page_628"></a>[pg 628]</span>for
+these narcotics and stimulants. Of course we have to depend, to some
+extent, upon the will power of the patient, but where this is not wholly
+lost, we have in all our later experience, been able to realize a degree of
+success which has been alike gratifying to both physician and patient.</p>
+
+
+<h3>THE INVALIDS' HOTEL AND SURGICAL INSTITUTE SPECIALLY EQUIPPED FOR THE
+CURE OF NERVOUS AFFECTIONS.</h3>
+
+<p>Private institutions, well supplied with the numerous and costly aids to
+the work of the specialist treating nervous diseases, are now a recognized
+necessity. Physicians and sufferers alike appreciate this fact.</p>
+
+<p><span class="pagenum"><a name="Page_629" id="Page_629"></a>[pg
+629]</span>Public hospitals do not answer this purpose, owing to the fact
+that they are more especially intended for the alleviation of the
+sufferings of the poor, and the greater part of the work done is in
+affording relief from acute diseases and emergencies requiring surgical
+aid. Attention is thus detracted from delicate nervous affections and is
+almost wholly engrossed in caring for sufferers from other diseases and
+injuries. Besides, association with the charity cases that abound in such
+places and the evidences of suffering present on every hand, are enough to
+prevent all improvement in sensitive and sympathetic invalids.</p>
+
+<p>Perfect equipment is an important part of the battle in the cure of
+nervous affections.</p>
+
+
+<p>ELECTRICITY IN NERVOUS AFFECTIONS.</p>
+
+
+
+<p class="figure"><a name="advise350"><img width="40%" alt="Illustration:
+Fig. 4. Our large 40 cell Galvano-Faradic Battery with Switch-board."
+src="images/advise350.png" /></a><br />Fig. 4. Our large 40 cell
+Galvano-Faradic Battery with Switch-board.</p>
+
+<p>Electrical applications, to be beneficial, require, on the part of the
+attendant, a technical knowledge of the highest character with costly
+apparatus and special appliances. There can be little doubt that
+electricity is convertible into nerve force.</p>
+
+
+
+<p class="figure"><a name="advise351"><img width="40%" alt="Illustration:
+Fig. 5. Our Franklin, or Static Electricity, Machine."
+src="images/advise351.png" /></a><br />Fig. 5. Our Franklin, or Static
+Electricity, Machine.</p>
+
+<p>In treating cases in the Invalids' Hotel, a large variety of batteries,
+dynamos and other electrical appliances are brought into use. These consist
+of cell batteries, such as is illustrated by Fig. 4, dynamos, operated by
+power, Franklin, or static electrical machines illustrated <span
+class="pagenum"><a name="Page_630" id="Page_630"></a>[pg 630]</span>in Fig.
+5, and other electrical apparatus, the choice of the particular machine or
+battery being determined by the nature of the case.</p>
+
+
+<h3>CARE AND SKILL REQUIRED.</h3>
+
+<p>Electricity, like other powerful agencies, in order to prove remedial
+must be used of proper strength and in proper quantity. The potential, or
+strength, as well as the volume, or amount, of current has to be carefully
+measured for that purpose. To accomplish this, we employ an instrument
+called a galvanometer, or amperemeter, illustrated in Fig. 6, which
+indicates the exact amount of current being applied. For the want of such
+instruments to measure the current, physicians often fail to get beneficial
+results, as they are not able to administer either the proper quantity or
+quality of current. Ofttimes, for like reasons, their hap-hazard way of
+employing this powerful agent does positive injury to the patient.</p>
+
+
+
+<p class="figure"><a name="advise352"><img width="40%" alt="Illustration:
+Fig. 6. The Galvanometer, or Amperemeter." src="images/advise352.png"
+/></a><br />Fig. 6. The Galvanometer, or Amperemeter.</p>
+
+<p>Of course, in treating cases at a distance, we cannot avail ourselves of
+all the great variety of apparatus brought into use at our Invalids Hotel,
+yet we have some forms of machines well adapted for home use, and so simple
+that, by sending plain printed directions with the machines, our patients
+are able to use them effectively without the aid of the physician.
+Especially is this true in the milder forms of nervous disease, and when
+great exactness and nicety of application is not so important. We show in
+Fig. 7 and Fig. 8, two forms of such batteries which are often furnished
+our patients for use at their homes. Many times, after cases are under
+treatment here for a while, we are able to educate them in the use of the
+battery so that by taking one of these home with them they can continue the
+treatment with good results after leaving the Institution.</p>
+
+
+<p><span class="pagenum"><a name="Page_631" id="Page_631"></a>[pg
+631]</span></p><h3>ORGANIC, OR ANIMAL, EXTRACTS AS REMEDIES.</h3>
+
+<p>The experience of Pasteur, Brown-Sequard, and our own specialists, in
+the use of extracts of nerve substance and of certain glands and organs by
+hypodermic or subcutaneous injection of these fluids, has, in a vast number
+of cases, been most gratifying to both physicians and patients. Many
+wonderful cures have thus been obtained. Injected subcutaneously these
+animal extracts are immediately assimilated and we are often able to stop,
+at once, the progress of disease and turn the tide towards recovery. Thus
+the cells receive the special stimulants upon which their life and activity
+depend.</p>
+
+
+
+<p class="figure"><a name="advise353"><img width="40%" alt="Illustration:
+Fig. 7. A small Battery for home use." src="images/advise353.png" /></a><br
+/>Fig. 7. A small Battery for home use.</p>
+
+<p>The animal extracts employed in our Institution are all scientifically
+and carefully produced in our chemical laboratory under the direct
+supervision of an experienced chemist, and are believed to be superior in
+quality. They are turned out fresh, as wanted, which is important, as all
+such preparations, no matter how carefully made and put up, deteriorate
+with age.</p>
+
+<p>These extracts are made from the glands and organs of the lower animals,
+as from the brain, spinal cord, heart, testicles, ovaries and some other
+organs and parts of bullocks, rabbits, guinea pigs and other animals. That
+they possess properties which exert most potent tonic, or invigorating,
+influences upon those organs and parts of the <span class="pagenum"><a
+name="Page_632" id="Page_632"></a>[pg 632]</span>human system corresponding
+to the organs and parts of the lower animals from which they have been
+extracted, no longer admits of doubt. In cases of partial and even complete
+impotency, especially in elderly men, attended with nervous exhaustion,
+most astonishingly favorable results are obtained by our specialists
+through the administration of our extracts obtained from the nerve tissue
+of the spinal cord, associated with the use of the expressed juices from
+animal testes. We do not, however, prescribe these extracts to the
+exclusion of other well tested remedial agents, but do regard them,
+especially in the more confirmed and obstinate cases, as among our most
+positive curative agents.</p>
+
+
+
+<p class="figure"><a name="advise354"><img width="40%" alt="Illustration:
+Fig. 8. A small Battery for home use." src="images/advise354.png" /></a><br
+/>Fig. 8. A small Battery for home use.</p>
+
+<p>We must confess that when first proclaimed by Brown-Sequard as Valuable
+remedial agents, we regarded the use of these extracts with good deal of
+skepticism, but experience is, after all, the best teacher and we were
+forced, after numerous successful tests, to admit their great efficacy. We
+have always endeavored to keep up with the vanguard of the army of medical
+reform, and so took early occasion to introduce these agents into our
+practice and made preparations to produce them in our laboratory.</p>
+
+<p>From an article written by an eminent specialist in nervous diseases,
+and recently published in the New York <i>Medical Journal</i>, we extract
+the following:</p>
+
+<blockquote>
+<p>
+"Organic beings possess the power of assimilating from the nutritious matters
+they absorb the peculiar pabulum which each organ of the body demands for the
+<span class="pagenum"><a name="Page_633" id="Page_633"></a>[pg
+633]</span>development and sustenance. The brain, for instance, selects that
+part which it requires, the heart the material necessary for its growth and
+preservation, and so on with the liver, the lungs, the muscles, and the various
+other organs of the body. No mistake is ever committed. The brain never takes
+liver nutriment, nor the liver brain nutriment; but each selects that which it
+requires. There are, however, diseased conditions of the various organs in
+which this power is lost or impaired, and, as a consequence, disturbance of
+function, or even death itself, is the result."
+</p>
+
+<p>
+"Now, if we can obtain the peculiar matter that an organ of the body requires
+and inject it directly into the blood, we do away with the performance of many
+vital processes which are accomplished only by the expenditure of a large
+amount of vital force."
+</p>
+
+<p>
+"Let us suppose a person suffering from an exhausted brain, the result of
+excessive brain-work. Three hearty meals are eaten every day, but, no matter
+how judiciously the food may be arranged, the condition continues. Now, if we
+inject into that person's blood a concentrated extract of the brain of a
+healthy animal, we supply at once the pabulum which the organ requires. Then,
+if under this treatment the morbid symptoms disappear, we are justified in
+concluding that we have successfully aided Nature in doing that which,
+unassisted, she could not accomplish."
+</p>
+
+<p>
+"That is the system. I believe it is applicable not only to the brain,
+but to all the other organs of the body."
+</p>
+</blockquote>
+
+<p>The writer of the above is, very probably, a little over sanguine in his
+opinion that the plan of treatment will prove efficacious in all organic
+diseases, but certainly, from our experience, we can endorse his belief as
+to its great efficacy in many forms of organic weakness, especially those
+of the generative organs, nervous system, heart and some other parts of the
+body. We believe that we are placing a conservative estimate upon the
+remedial value of these animal juices, or extracts, when we say that they
+are destined to fill an important place in the curative resources of the
+specialist in chronic diseases.</p>
+
+<p>Under the head of epilepsy, also in connection with our consideration of
+locomotor ataxia, we shall have occasion to refer to the use of these
+extracts as applicable to the cure of those maladies.</p>
+
+<p>Most cases of nervous diseases that come to us, for examination and
+treatment, do so after having tried, without success, treatment by baths,
+enforced seclusion, as well as unskillfully applied electrical treatment
+and massage. Prolonged medication has frequently aroused digestive
+disorders and made the patient hate the sight of the medicine bottle. In
+such cases our improved methods, as applied in the Institution and also
+prescribed for patients at a distance, enable our specialists to give
+relief and effect cures with a minimum of medicine. They also enable us to
+treat many cases of nervous diseases heretofore regarded as almost
+hopeless, such as locomotor ataxia, paralysis, epilepsy and spinal
+affections, with a degree of success which has been very gratifying alike
+to physicians and patients.</p>
+
+<p><span class="pagenum"><a name="Page_634" id="Page_634"></a>[pg
+634]</span></p><hr />
+
+
+
+
+<h1>HEADACHE AND NEURALGIA.</h1>
+
+<p>There is no ill to which flesh is heir that is the source of a greater
+degree of discomfort to the human race than headache. The farmer,
+housewife, banker, merchant and laborer seem to be equally prone to the
+affliction and all who suffer have a great number of days rendered
+uncomfortable and unhappy by the presence of this most unpleasant
+affection. Pain is the warning finger of disease&mdash;the threatening
+indication of coming trouble. In headache, we have an indication that the
+system is subjected to some strain or injurious impression. It may be that
+the eyes have been overworked or the brain unnaturally taxed; or that the
+nervous and physical systems have not been properly refreshed by sufficient
+sleep, and have used up the residue of reserve power. Many suffer from
+headache only after they have been subjected to sudden changes of
+temperature and have taken cold; others only when the bowels have become
+inactive, the liver torpid and the blood vitiated with retained
+poisons.</p>
+
+<p>All appreciate the discomfort that results from this malady and
+earnestly seek for permanent relief.</p>
+
+<p>Headaches may be divided in two classes: (1) those due to the presence
+of poisons in the blood, and (2) those due to irritation of various organs,
+as of the eyes, stomach, liver, and intestines.</p>
+
+<p>Of the first form, or variety, of headache, influenza, or grip, and
+acute "cold in the head," are the most common causes. These give rise to
+most excruciating pain. There is congestion, followed by inflammation in
+the nasal passages and cavities communicating therewith. The membranes of
+these passages throw out a thin, watery, irritating discharge, which
+gradually thickens and becomes pus-like and offensive in character, if the
+disease continues.</p>
+
+<p>Poisonous matters are absorbed from the affected surfaces into the
+blood. These poisons, circulating in the blood, produce great irritation of
+the nerve cells, so much so, that the severity of the attack is felt in the
+nervous centres, the brain and spinal cord, with pain varying from the most
+acute and sharp, to a dull, numb ache. The temples, eyes, neck and small of
+the back, are in their order, the usual locations of greatest pain. Such
+attacks vary in frequency and severity. One attack is usually followed by
+an early recurrence, which may be more or less severe, while the period of
+active pain varies from a few hours to several days. Such attacks leave an
+exhausted state of the nerve centres and general weakness of the system
+that often lasts for weeks and may permanently impair the system, except
+such results be prevented by appropriate treatment. Every recurrence of the
+attack leaves the system in a worse condition, until profound nervous
+prostration; ensues.</p>
+
+<p><span class="pagenum"><a name="Page_635" id="Page_635"></a>[pg
+635]</span>Malarial headache, sometimes termed "brow ague," is a common
+form of the malady with those residing in malarial regions. The pain
+rapidly develops, usually over one eye. It lasts from five to ten hours,
+and is often of frightful intensity.</p>
+
+<p>Other forms are rheumatic and gouty headache; usually a heavy aching
+pain appearing on the approach of storms, but at times almost continuous,
+made worse by improper diet.</p>
+
+<p>Uræmic headache is due to kidney disease, and alcoholic to direct
+irritation of the brain membranes from the use of alcoholic beverages. The
+latter is accompanied with much irritation of the stomach and
+intestines.</p>
+
+<p>Headaches of a similar character result from the presence in the blood
+of an excess of the active principles of coffee and tea.</p>
+
+<p>Overindulgence in these agents, as with alcohol, affects the nerve cells
+and membranes, often causing severe attacks of headache.</p>
+
+<p>Nervous headache is another common affliction. This seems to arise from
+several causes, such as impoverished blood and exhaustion from overwork of
+the brain. Hysterical headache is not uncommon. There is a severe kind of
+headache, the attacks of which appear first at early puberty and continue
+at intervals more or less frequent in women up to the change of life and in
+men to about the fortieth year.</p>
+
+<p>The periodical headache is usually preceded by yawning, chilliness,
+languid, exhausted feelings, in others by peculiar emotional or mental
+activity. This is followed by unusual drowsiness, in which the night's rest
+is broken by dreams, and from which the patient awakes tired. Gradually,
+during the day, the headache develops, beginning in the eyes or bones over
+them. It gets more and more severe, shooting into the jaws and neck or
+extending to the back of the head and spine. As the pains get most severe,
+nausea or vomiting, often repeated, follow, in which the contents of the
+stomach, with mucus and bile, is ejected. The whole paroxysm lasts from
+five hours to two or even three days.</p>
+
+<p><b>Neuralgic headache</b> is a common variety; often the pain is not
+confined to the head, in fact neuralgia may affect almost any part of the
+system.</p>
+
+
+<h3>NEURALGIA.</h3>
+
+<p>Neuralgia is an affection of the nerves, of which the chief symptom is
+pain. This is of variable intensity and character. It follows the course of
+the affected nerve and its branches, and occurs in paroxysms, of agonizing
+pain with periods of intermission during which the pain may be very slight,
+and cause but little discomfort.</p>
+
+<p>The severe pain is described as lancinating, cutting, tearing, burning,
+boring and pressing. Patients use different words in describing the
+attacks, and there is probably a difference in the character of the pain,
+though in a severe paroxysm one is scarcely able to make a very nice
+distinction. We have known cases in which the pain occurred suddenly and
+overwhelmed the patient's fortitude by its severity and unexpected <span
+class="pagenum"><a name="Page_636" id="Page_636"></a>[pg 636]</span>onset.
+Between the paroxysms there may be less severe pain, which is then more
+frequently of an aching, burning or pricking character. In some, paroxysm
+after paroxysm succeed each other with almost lightening-like rapidity, and
+even in the intervals the pain is very intense. At another time there is
+only one sharp sting of pain, which attacks recur several times an hour or
+day, or may be absent for days or months. An extended freedom from all pain
+is rare in a patient very much affected. The first attacks in all forms of
+neuralgia are often comparatively light, and the severity of the pain
+gradually increases as the attacks multiply. We have frequently had
+patients unacquainted with anatomy, map out the distribution of a nerve
+very perfectly, simply describing the portion of the body in which the pain
+was experienced. For convenience, the neuralgia has been named with
+reference to the nerve most seriously attacked; lumbago to the spasms of
+pain affecting the small of the back; tic-douloureux is a term applied to
+neuralgia of the fifth nerve, that supplying the side of the face, with
+branches to the eyes, jaw, and teeth. Neuralgia of the testicles, ovaries,
+stomach, heart, are frequently met with. That affecting the large nerve
+supplying the thigh and leg is termed sciatica. These nerve affections
+often prove a most grave disorder, rendering the life of the sufferer a
+burden.</p>
+
+<p><b>Treatment</b>. Contrary to opinions frequently expressed by members
+of the medical profession, we find that most cases present some removable,
+or remediable, cause for attacks of headache and neuralgia. The temporary
+relief that is obtained by the use of "headache powders," various bromide
+combinations, caffeine and other anodyne and narcotic medicines, is
+sometimes necessary in order that the excruciating sufferings may be borne
+for the time, but as a rule such remedies only react unfavorably by
+interfering still further with the natural restoration of the affected
+organs, or protract the removal of the cause of the disease. Hence, the
+next attack is usually earlier in its appearance and more severe and
+lasting when such agents are employed.</p>
+
+<p>The great majority of headaches and neuralgias are due to the presence
+of poisons in the blood. This may be due to affections of the blood-making,
+or blood-purifying organs.</p>
+
+<p>For the correction of inactive blood-making glands, or a lack of
+purification of the blood, due to such cause, the use of Dr. Pierce's
+Golden Medical Discovery is particularly beneficial. It has no equal in its
+direct effect upon the liver, the great purifying organ of the body.
+Through this natural gateway, it removes from the system poisonous
+materials which are the waste from the nerve cells. The accumulation of
+these waste materials irritates the cells and causes them to cry out with
+pain. The blood, being properly purified by the use of "Golden Medical
+Discovery" supplies to the nerves, and to the nerve cells, what they
+crave&mdash;a healthy and rich blood that furnishes <span class="pagenum"><a
+name="Page_637" id="Page_637"></a>[pg 637]</span>proper nourishment. Hence
+the headache disappears, and the neuralgic pains are overcome.</p>
+
+<p>When the liver is engorged and torpid, the intestines become overloaded
+with fecal matters that putrefy and give rise to gases and consequent
+distention. Deleterious poisons are formed and absorbed by the blood from
+such hardened and irritating lumps in the intestines. When the bowels are
+thus constipated, Dr. Pierce's Pleasant Pellets are necessary as an adjunct
+to the "Golden Medical Discovery." The "Pellets" remove from the intestinal
+canal all irritating materials and thus enhance the alterative, or
+blood-cleansing, action of the "Golden Medical Discovery."</p>
+
+<p>In women, when there is a nervous affection, dependent upon some
+unnatural state of the ovaries or uterus, and complicated with an imperfect
+or unnatural circulation in those parts, we have noted that most
+satisfactory results invariably follow the use of Dr. Pierce's Favorite
+Prescription. This agent improves the tone of the nervous system, and by
+its direct restorative tonic effects, lessens, or overcomes, any congestion
+of the womb or its appendages, regulates menstruation and promotes a
+condition of health and vigor.</p>
+
+<p>In a vast experience, our specialists have thoroughly tested a great
+many specific remedies which we prescribe for home-treatment, sending the
+necessary remedies to our patients by express or mail, carefully adapting
+them to each individual case. Many sufferers have been, by a brief course
+of our home-treatment, relieved permanently from excruciating sufferings
+that had been a source of annoyance and loss of time for many years prior
+to the use of our remedies.</p>
+
+<p>Our treatment is intended to effect permanent cures. We do not use those
+narcotics and compounds of antipyrine and other similar agents which are
+very depressing in their effects, and, like morphine and other preparations
+of opium, give only temporary relief, and interfere with the action of the
+heart, but we use treatment that builds up the system, removes the cause of
+the difficulty and restores the nervous system and all the organs of the
+body to a normal and healthful condition.</p>
+
+<p>In some cases we advise treatment in our Institution, where we have
+every facility in the way of electrical appliances and many other aids that
+can only be employed by the personal attention of a skillful physician.
+These aids are more fully described under the head of nervous exhaustion
+and a reference is also suggested to what we have to say under the heads of
+paralysis and locomotor ataxia.</p>
+
+<p>Headaches or neuralgic pains, due to local irritations, as uterine
+disease, stricture, neurotic or nerve tumors, pressure of trusses, eye
+strain from weakened eye muscles, or lenses that need the help of proper
+spectacles, require for a permanent cure the removal of the cause. Sciatic
+neuralgia, one of the most common and painful forms of nerve irritation, is
+particularly amenable to treatment by the modern means of cure used in our
+practice at the Invalids' Hotel.</p>
+
+<p><span class="pagenum"><a name="Page_638" id="Page_638"></a>[pg
+638]</span>We find, as a rule, that severe headaches and neuralgias are but
+the forerunners of more serious conditions, and are therefore deserving of
+special attention. They should be corrected as early as possible, before
+any organic changes have occurred.</p>
+
+<hr />
+
+
+
+<h1>PARALYSIS OR PALSY;</h1> <h2>LOCOMOTOR ATAXIA AND KINDRED
+AFFECTIONS.</h2>
+
+
+<p>Paralysis is an affection characterized by loss of muscular power or by
+the sense of touch, taste, sight or smell becoming impaired from injury to
+a nerve by accident or disease.</p>
+
+<p>The disease is sometimes due to simple lack of nerve force or power.
+This may come from interference with the blood supply of the nerve centres,
+as in hysterical palsy and reflex paralysis. Frequently the power of speech
+is affected in this way, ability to remember and difficulty in
+pronunciation of certain words being the most common. Certain affections of
+the womb and its appendages, in women, and, in men, stricture of the
+urethra, adherent prepuce, or foreskin, with wounds and injuries, many
+times of nerves and organs remote from the paralyzed points, cause the loss
+of power.</p>
+
+<p><b>The Causes of Paralysis</b> are very numerous. Whatever destroys, or
+impairs the natural structure of nervous matter, or whatever interferes
+materially with the conducting power of nerve-fibre, or the generating
+power of the nerve-centres, will produce a paralysis, the extent of which
+will depend upon the amount of nervous matter affected. Thus paralysis may
+be due to disease of the brain arising from apoplexy; to abscess,
+softening, syphilitic or other tumors, or epilepsy; to disease of the
+spinal cord, or marrow; to disease of the structures which surround the
+spinal cord, producing pressure upon it; to injury or compression of a
+nerve, by which its conducting power it impaired; to the effects of
+diphtheria, hysteria, or rheumatism. It may also be due to poisoning of
+nervous matter with opium, lead, arsenic, or mercury; or to the retention
+of poisonous substances which are generated in the living body and which
+should pass off through the excretory organs, as the elements of the urine
+and bile.</p>
+
+<p>Members of consumptive families are very prone to paralysis.</p>
+
+<p>We also find that the disease is often the result of some nervous
+strain, or over excitement The over indulgence of the passions is
+particularly a fruitful source of injury to the brain and spinal centres.
+An angry man or woman uses up more nerve energy in a few minutes than would
+be sufficient to serve the muscles with stimulus through hours of toil.</p>
+
+<p>The young, in unnatural indulgence of the sexual passions, waste the
+<span class="pagenum"><a name="Page_639" id="Page_639"></a>[pg
+639]</span>vigor and energy of maturity. Sexual excesses must be put down
+as among the most prolific causes of this terrible malady. Ignorance
+shields no one from the consequences of violations of the laws of
+health.</p>
+
+<p>The passion for wealth with its ceaseless toil, continuous strain, and
+rapid exhaustion of the nerve forces, usually brings its devotee into the
+same condition of discord as does the abuse of a stimulant. For a time the
+system will repair and bolster up the weakness, but the longer the day of
+reckoning is postponed, the more serious and terrible is the collapse.</p>
+
+<p>Such individuals need only an exposure to cold, or an over indulgence of
+some kind, to suddenly precipitate a paralysis.</p>
+
+<p><b>General Paralysis</b>. This term is applied to paralysis affecting
+the arms and legs. In this form of paralysis there is generally more loss
+of motion than of sensation, and the mind is usually more or less
+affected.</p>
+
+<p><b>Hemiplegia</b>, or paralysis of one side of the body, is generally
+spoken of as a "stroke of palsy." Sometimes only one extremity, the arm, is
+affected. Only occasionally is the face involved. In the majority of cases
+the mind is affected, the memory being poor, the sufferer becoming
+melancholy, peevish, and fretful.</p>
+
+<p>In paralysis of the right side, there is sometimes a curious
+forgetfulness or misplacement of language, the patient being unable to
+think of words to express his thoughts. This condition is called
+<i>aphasia</i>. It is usually the result of some injury or disease of the
+brain, almost invariably the side of the brain opposite the affected half
+of the body. In some cases it is due to a wasting, or softening, of the
+brain substance, on account of insufficient nourishment, a deficient supply
+of blood; whilst in others, it is due to just the opposite condition, an
+excess of blood, producing rupture of some blood-vessel, transudations, and
+pressure.</p>
+
+<p><b>Paraplegia</b>, or paralysis of the lower half of the body, is the
+result of disease of the spinal marrow. The paralysis may occur suddenly,
+but, in the majority of cases, it comes on slowly and insidiously, with
+weakness and numbness of the feet and legs, or with tingling and a
+sensation resembling that produced by ants creeping on the surface of the
+skin. By degrees the weakness increases, until there is complete loss of
+both motion and sensation in the feet and legs. The lower bowel and bladder
+are generally involved, and as a result, the patient suffers from
+constipation, and retention and dribbling of urine. Although completely
+paralyzed, the patient is often tormented with involuntary movements and
+cramps in the affected muscles.</p>
+
+<p>Paraplegia may be caused by various injuries of the spinal cord; by
+congestion, degeneration, or hemorrhage; by pressure from thickening of the
+sheath of the cord, or from tumors, or from disease of the bones and
+cartilages of the spinal column. Paraplegia may also be produced through
+reflex action, by an irritation, or injury to some organ or part <span
+class="pagenum"><a name="Page_640" id="Page_640"></a>[pg 640]</span>of the
+body distant from the spinal cord; thus, irritation of the skin, or of the
+bowels from the presence of worms, or disease of the bladder or of the
+womb, may produce paraplegia.</p>
+
+
+<h3>LOCOMOTOR ATAXIA.</h3>
+
+<p>Locomotor ataxia, or creeping palsy, is also called progressive
+paralysis. This affection consists of a disease of the nervous matter in
+the posterior columns of the spinal cord. It usually affects first the
+lower part of the cord, and those portions of the nerve matter that supply
+the muscles of the legs. In other cases it first affects the portions of
+the spinal cord that supply the arms. In most cases of this disease there
+is an early stage in which the patient suffers from "lightning pains," as
+they are called. These are of a severe, stabbing, boring character, very
+sudden in their onset, and at times so serious as to have induced suicide.
+These paroxysms, in the milder form of the disease, are not so severe, and
+are readily controlled by anodynes. They may affect the stomach, and be
+mistaken for dyspepsia, or the rectum, and be taken for fissure or piles.
+At times they affect the bladder, when the symptoms are not unlike those of
+stone or cancer. In many cases we find the patient has been treated for a
+long period of years for rheumatism, sciatica, or neuralgia, when the real
+disease has been this progressive paralysis in its earlier stage. Sometimes
+the disease takes the form of spermatorrhea or impotency; in other cases it
+is manifested in weak eyes, disturbances of vision, or cross-eyes. Sooner
+or later, there appears the peculiar paralysis of the disease, which
+consists of more or less numbness of the feet and legs, and, in the later
+stages, of the hands and arms, sometimes of the face. As a rule, however,
+the patient finds difficulty in properly maintaining his balance, and in
+walking his movements are tottering, like a man partially intoxicated. It
+is difficult for him to maintain his balance and walk with his eyes closed.
+If the arms are affected, their movements are uncertain. In guiding a
+needle or in buttoning or unbuttoning the clothing, there is an inability
+to move the hand with rapidity and certainty, or to any portion of the face
+or body if the eyes be closed. The eyes and attention must be constantly
+directed to the motion that is about to be performed, or it is imperfectly
+done. The brain centres in this case supply the weakened action of the
+spinal cord, and the stimulus to the muscles is directed by the
+intelligence instead of being automatic, as in health, and due to spinal
+action. Still later, the voluntary movements become spasmodic or jerking.
+The neuralgic pains often become very distressing; there is often a sense
+of constriction around the limbs or body, as if they were encircled with
+tight cords. In extreme cases locomotion becomes impossible, the patient is
+unable to bring the hand to the mouth, and the speech may become impaired,
+articulation being difficult and imperfect. In all cases there is more or
+less loss of sensation in the lower limbs, the patient generally being
+usable to distinguish between two points and one, even when the <span
+class="pagenum"><a name="Page_641" id="Page_641"></a>[pg 641]</span>two,
+are a considerable distance apart. The inability to feel the contact of the
+ground or floor with the feet occasions the difficulty in walking. <b>The
+causes</b> of this disease are somewhat obscure, but unquestionably
+exposure to cold and dampness, and over-mental work, are largely
+instrumental in its production. Scrofula and syphilis favor its
+development, while abuse of the nervous system, such as results from
+over-indulgence of the animal and reproductive instincts, are frequent
+sources of the nervous changes that lead to ataxia.</p>
+
+
+<h3>SHAKING PALSY.</h3>
+
+<p><i>Shaking Palsy, or Paralysis Agitans</i>, is an affection dependent
+upon degenerative changes in the nervous centres. It is characterized by a
+tremulous agitation, or continual shaking, beginning in the hands, arms or
+head, and gradually extending itself over the entire body. The disease
+progresses slowly, but when far advanced the agitation is violent, and the
+patient swallows and masticates his food with great difficulty. In an
+advanced stage of the disease, the body becomes bent forward, and the chin
+almost touches the breast-bone. The tremor, which early in the disease only
+occurred during the time the patient was awake, now continues during sleep,
+and not infrequently the agitation becomes so violent as to waken the
+sufferer.</p>
+
+
+<h3>GENERAL TREATMENT OF PARALYSIS.</h3>
+
+<p>The indications of treatment for the various forms of paralysis are to
+remove the causes, if these can be determined, and rouse the functions of
+the paralyzed parts. Measures should be adopted to remedy the morbid
+conditions upon which this affection depends. Keep the skin clean and
+healthy, promote the circulation of the blood, especially in the paralyzed
+limbs, and encourage healthy nutrition. These ends may be best attained by
+the daily employment of stimulating baths and frictions upon the surface.
+As much regular exercise as the patient can bear without fatigue should be
+taken in order to favor the preservation of the appetite and strength. Care
+should also be taken that the bowels are evacuated regularly every day. The
+circulation through, and consequently the nutrition of, the palsied muscles
+may be aided by having a strong healthy person knead and manipulate them.
+These manual movements upon the surface of the body will often excite
+muscular sensibility, similar to that awakened by a weak Faradic current.
+The internal medicines should be such as to regulate the general functions
+of the system. The use of these remedies must be directed by the skill and
+experience of those who are professionally qualified to administer hem.</p>
+
+<p>When the patient has been able to be under our personal care at the
+Invalids' Hotel, we have found the employment of mechanical movements and
+manipulations, applied by means of a variety of machinery, <span
+class="pagenum"><a name="Page_642" id="Page_642"></a>[pg
+642]</span>employed in this Institution, together with the use of the
+equalizer, or large dry cupping, or vacuum apparatus, to be of the greatest
+benefit. These several machines and apparatus furnish a perfect system of
+physical training, thus rendering valuable aid in the cure of many forms of
+obstinate chronic diseases. A few of these machines are shown in Figs. 9,
+10, 11, 12, 13, and 14; also see page 32 of Appendix.</p>
+
+
+
+<p class="lfigure"><a name="advise355"><img width="90%" alt="Illustration:
+Fig. 9. Manipulator Extended." src="images/advise355.png" /></a><br />Fig.
+9. Manipulator Extended.</p>
+
+
+
+<p class="rfigure"><a name="advise356"><img width="90%" alt="Illustration:
+Fig. 10. Manipulator Folded." src="images/advise356.png" /></a><br />Fig.
+10. Manipulator Folded.</p>
+
+<p>The general practitioner often endeavors to overcome the inertia of the
+nerve-centers and nerves by means of specific irritants, with the view of
+exciting the power-producing function, of compelling the weakened and
+disabled centers to evolve more power. By such stimulation and forcing, he
+places a burden on the weakest parts. The compulsory and ineffectual
+endeavor of the weak parts to act in response to such stimulation is very
+liable to make undue drafts upon the capacity to act, which only end in
+exhaustion of the little remaining power instead of its re-enforcement.
+Cases which were previously curable by direct and appropriate means, are
+thus forever placed beyond the reach of remedies. No powerful stimulating
+or depressing medicines are indicated in any of the various forms of the
+affection. In paralysis it should be our aim to improve local and general
+nutrition, to relieve local congestions and inflammations, to produce
+absorption of deposited matters, and to force an abundance of blood through
+palsied muscles, from which they may derive a proper supply of nutriment,
+and to which they may give up the products of waste. All this can be
+accomplished by massage, mechanical movements, regulation of the
+atmospheric pressure on the body, baths, and proper physical culture.</p>
+
+<p><span class="pagenum"><a name="Page_643" id="Page_643"></a>[pg
+643]</span>In paralysis, there is a diminution or total loss of the
+contractile property of the muscles to which the affected nerve fibers are
+distributed; consequently the capillaries and small veins are not
+compressed, as in health, and the blood is not forced on through them
+towards the heart; hence there is a backing-up of the circulation, passive
+congestion, and all the evils incident to that condition ensue.</p>
+
+
+
+<p class="lfigure"><a name="advise357"><img width="90%" alt="Illustration:
+Fig. 11. Oscillating the Arms and Chest." src="images/advise357.png"
+/></a><br />Fig. 11. Oscillating the Arms and Chest.</p>
+
+<p><i>Mechanical movements</i> properly applied to the affected limbs, or
+parts of the body, accomplish the same results as contraction of the
+muscles. They compress the capillaries and veins and thus force the blood
+on through these vessels towards the heart. There is a constant pressure in
+the arteries, hence the flow of blood in the capillaries is always towards
+the veins, and, when it gets into the veins, it is prevented from flowing
+back by the valves in those vessels.</p>
+
+<p>A proper circulation of the blood through the disordered parts is thus
+effected, and, as the result, they receive an abundance of nutriment, and
+their waste products are promptly carried away to the excretory organs, by
+which they are separated from the body; the deposits of fatty matter
+between the muscular fibers are absorbed, and the agglutinated fibers are
+separated.</p>
+
+
+
+<p class="rfigure"><a name="advise358"><img width="90%" alt="Illustration:
+Fig. 12. Rubbing the Legs." src="images/advise358.png" /></a><br />Fig. 12.
+Rubbing the Legs.</p>
+
+<p>As proof of these statements, it has been found by experiment and
+observation that there is an increase of temperature in the parts subjected
+to this action, which <i>must</i> be due mainly to an increase in the
+chemico-vital changes that are superinduced by the nutritious elements of
+the arterial blood, particularly that element which is supplied to it by
+the inspired air, oxygen. All the products of waste are increased. The skin
+becomes more soft and moist, showing that the amount of matter eliminated
+by it is increased. The urine becomes more abundant, and the relative
+amount of urea, its most important constituent, becomes greatly increased.
+The amount of carbonic acid gas exhaled is increased, and further evidence
+in the same direction is furnished by <span class="pagenum"><a
+name="Page_644" id="Page_644"></a>[pg 644]</span>the very marked increase
+in the inspiratory acts, necessitated by the increased demands for
+oxygen.</p>
+
+
+
+<p class="lfigure"><a name="advise359"><img width="90%" alt="Illustration:
+Fig. 13. Oscillating the Legs." src="images/advise359.png" /></a><br />Fig.
+13. Oscillating the Legs.</p>
+
+<p>The local increase of the circulation incident to properly applied
+mechanical movements, must produce a corresponding diminution of blood in
+other, even in remote, regions of the body. Thus this treatment, by its
+revulsive effects, is capable of relieving various disorders of the head,
+chest, digestive organs, and pelvis. Nowhere, however, is the effect more
+satisfactory than in affections of the brain and spinal cord, whether
+characterized by loss of power, of sensation, or by neuralgic pain. Any
+portion of these nerve centres suffering from congestion, will find prompt
+relief in mechanical vibratory movements.</p>
+
+<p><b>The Movement Cure</b> which we advocate is not a "Swedish Movement
+Cure," nor anything akin to it. It is the application of remedial forces by
+complex structures, which combine a variety of mechanical powers. The
+inventions are solely American.</p>
+
+
+
+<p class="figure"><a name="advise360"><img width="40%" alt="Illustration:
+Fig. 14. Apparatus for Rubbing in a Recumbent Position."
+src="images/advise360.png" /></a><br />Fig. 14. Apparatus for Rubbing in a
+Recumbent Position.</p>
+
+<p>By means of this machinery, which is driven by steam power with great
+velocity, we are able to apply <i>soft, pleasant, rapid vibrating
+movements</i> over the surface of the body, and thereby increase the
+circulation of blood through the parts, raise the temperature, and excite
+pleasant sensations. The movements can be applied by our
+ingeniously-devised machinery to any part of the body through the clothing
+and <i>without the least exposure of the person.</i> They can be
+administered in a great variety of ways, by light, quiet persuasions, by
+gentle frictions, by rubbing, <span class="pagenum"><a name="Page_645"
+id="Page_645"></a>[pg 645]</span>by oscillations, by kneadings, by circular
+movements, in fact, by an almost <i>endless variety</i> of reciprocating
+and alternating motions, which, if described, would convey to the mind of
+the reader but a faint conception of their remedial value.</p>
+
+<p><b>Vibratory Motion</b> not only establishes activity of the circulation
+through the skin and muscles, but it also affects profoundly the
+circulation in the important and vital organs of the body; it is thus
+capable of overcoming torpidity or congestion of the liver, spleen, and
+other deep-seated organs, without the depressing effects which sometimes
+follow the administration of powerful medicines.</p>
+
+<p>It has not been our purpose to literally explain, in detail, the methods
+of applying vibratory motion in the treatment of paralysis for popular
+experiment, since to be successful one should become an expert, not only in
+this mechanical treatment, but also in the diagnosis of the various forms
+of paralysis, as well as familiar with their causes, pathology, and
+remedial requirements. Thus, to be successful in the treatment of paralysis
+and other nervous diseases, by the application of motor forces with our
+ingeniously-contrived machinery, the cost of which is beyond the means of
+most invalids, one must exercise great discretion.</p>
+
+<p><b>Gratifying Success.</b> Not only is vibratory motion as a remedial
+agent rational and philosophical, but our experience has fully demonstrated
+its marvelous effects in the treatment of paralysis in its various forms,
+and also in the cure of other chronic diseases. We have cured cases of
+infantile paralysis which had resisted the skill of the most renowned
+physicians in our country. We have treated those who could not stand or
+bear the weight of the body, but who have been so far restored as to be
+able to walk and run without assistance. Writer's and telegraph operator's
+paralysis, or cramp, we have cured in a few weeks' time. Club-feet, spinal
+curvature, and other deformities resulting from paralysis, have been
+successfully treated in our Institution. In short, our success has been
+most flattering in all curable cases of paralysis, and it is such
+experience that induces us to hold out encouragement to those who are
+afflicted with paralysis and other nervous affections.</p>
+
+<p>Vibratory motion is a desideratum of priceless value to those who are
+afflicted with diseases of the nervous system, as well as to all others who
+need a gentle stimulus to call forth their latent energies and improve
+their physical condition.</p>
+
+
+<h3>RECAPITULATION.</h3>
+
+<p>Motion, properly transmitted to the human system by mechanical
+apparatus, is transformed into other forms of force identical with vital
+energy, by which the ordinary processes of the system are greatly
+promoted.</p>
+
+<p>It increases animal heat and nervous and muscular power to the normal
+standard.</p>
+
+<p>It removes engorgement or local impediments to the circulation.</p>
+
+<p><span class="pagenum"><a name="Page_646" id="Page_646"></a>[pg
+646]</span>The electrical induction produced, renders it a most efficacious
+remedy for paralysis of all kinds.</p>
+
+<p>It removes interstitial fluids and causes rapid absorption and
+disappearance of solid and fluid accumulations.</p>
+
+<p>It is a powerful alterative, or blood-purifier, increasing oxidation and
+stimulating excretion.</p>
+
+<p>It diminishes chronic nervous irritability and promotes sleep.</p>
+
+<p>It hardens the flesh by increasing muscular development and improves
+digestion and nutrition.</p>
+
+
+<h3>ANIMAL JUICES, OR EXTRACTS.</h3>
+
+<p>The use of animal, nerve and gland extracts has proven of surprising
+efficiency in the treatment of paralysis and locomotor ataxia. They furnish
+a pabulum in concentrated form for the nourishment and restoration of the
+weakened nerve cells and fibres.</p>
+
+<p>In the vast majority of cases, we have been able, by the use of these
+recently discovered curative agents, when assisted by other means at our
+command at the Invalids' Hotel and Surgical Institute, to arrest the
+progress of these nervous affections, hitherto so generally considered
+incurable, and bring about restoration of the paralysed functions and a
+renewal of lost power.</p>
+
+<p>These comparatively new remedial agents have been very thoroughly tested
+by us. Their merits are more fully considered in a preceding chapter of
+this treatise, under the head of treatment for Nervous Exhaustion, or
+Debility.</p>
+
+<p><span class="pagenum"><a name="Page_647" id="Page_647"></a>[pg
+647]</span></p><hr />
+
+
+
+
+<h1>EPILEPSY ("FITS").</h1>
+
+
+<p>Epilepsy, or falling sickness, is a disease which is characterized by
+attacks of sudden loss of consciousness, together with convulsive
+movements of the muscles. The paroxysms occur at irregular intervals, the
+periods between them, in some cases, being only a few minutes or hours,
+while in others, several months elapse.</p>
+
+<p>There are two classes of Epilepsy: 1st. The general form, with a
+convulsion that usually involves all the muscles of the body
+simultaneously. It begins suddenly with little or no warning, commonly with
+a cry or scream. The convulsion may last several minutes and is followed by
+a deep sleep for some hours.</p>
+
+<p>2nd. The local or Jacksonian form in which the attack begins with a
+peculiar sensation in some particular region of the body, either in one
+extremity or one half of the face. This sensation is followed by a
+twitching of the muscles of the part. The sensation and spasm extend or
+advance gradually to other parts. Consciousness is not usually lost, though
+it may be when the spasms culminate in a general convulsion.</p>
+
+<p>Great weakness generally follows in the parts convulsed, gradually
+passing away. When the attack begins on the right side of the face it is
+associated with an immediate inability to speak.</p>
+
+<p><b>Symptoms</b>. In the severe forms of the disease, the subject
+suddenly loses consciousness and falls; there is rigidity of the muscles,
+which causes a twitching of the face and limbs; the eyes are turned up, and
+there is foaming at the mouth. In the severe form of the disease, the
+respiration is arrested, while in the milder attacks, the breathing is
+difficult, slow, deep, and snoring. With the commencement of the spasm, the
+tongue is sometimes caught between the teeth and severely bitten. During
+the paroxysm, the countenance changes from a livid hue to dark purple. The
+convulsion continues from one to three minutes, and is followed by a deep,
+sighing inspiration; the subject then sinks into a deep sleep, which
+continues for half an hour or longer. When consciousness is first regained,
+the subject appears confused, stupid, and usually complains of headache. He
+has no recollection of what has occurred during the attack, he pronounces
+words indistinctly, and if he attempts to walk, he staggers like a drunken
+man. Sometimes, several attacks occur so closely together that there is no
+interval of consciousness between them.</p>
+
+<p>In some cases, there are premonitory symptoms, such as giddiness,
+drowsiness, headache, and irritability of temper, which warn the subject of
+an approaching paroxysm. Occasionally, a wave of cold commencing at the
+feet and proceeding to the head, is experienced. This is called an
+<i>aura</i>. When it reaches the brain, the subject becomes <span
+class="pagenum"><a name="Page_648" id="Page_648"></a>[pg
+648]</span>unconscious, falls, and the convulsion commences. If the disease
+be allowed to proceed unchecked, it almost invariably leads to great
+impairment of mind, insanity, or paralysis.</p>
+
+<p><b>Causes</b>. The <i>predisposing causes</i> are an hereditary tendency
+to the disease, and everything which impairs the constitution and produces
+nervous prostration and irritability. Syphilis, phimosis, sexual abuses,
+uterine disease, and the use of alcoholic liquors are prominent
+predisposing causes. Many of the causes treated by us have been brought on
+by masturbation. Others are the results of injury to the head. Often
+fracture of the skull is followed by epileptic attacks.</p>
+
+<p><i>The exciting causes</i> include everything which disturbs the
+equilibrium of the nervous system. Indigestible articles of food,
+intestinal worms, loss of sleep, great exhaustion, grief, anger,
+constipation of the bowels, piles, and uterine irritation may be enumerated
+among such causes. Convulsions of an epileptic character may also be
+induced by a poisoned condition of the blood, from malaria and disease of
+the kidneys or liver.</p>
+
+<p><b>Treatment</b>. When the time of an expected paroxysm approaches,
+great care should be exercised that the patient be not suddenly attacked
+while carrying a lighted lamp, or that he does not fall in some dangerous
+place, strike upon a heated stove, or in some similar way inflict great
+injury. If there be warning symptoms before the attack, the subject should
+carry a vial of the <i>nitrite of amyl</i> in the pocket, and, when the
+premonitory symptoms are felt, two or three drops should be poured on a
+handkerchief and held about an inch from the nose and inhaled, until
+flushing is produced, or a burning sensation is felt in the face.</p>
+
+<p>During the paroxysm, the subject should be laid on the back, with the
+head slightly elevated, and the clothing about the neck and waist, if
+tight, should be loosened. If there be sufficient warning, a folded napkin,
+or a soft pine stick covered with a handkerchief or cloth, should be placed
+between the double teeth, to prevent the tongue from being bitten. During
+the fit, the head may be bathed with cold water.</p>
+
+<p>A person who suffers from this disease should avoid everything which
+tends to excite the nervous system, or increase to any great extent the
+action of the heart. The sufferer should go to bed at regular hours, and
+take at least eight hours sleep. The sleeping-room should be large and well
+ventilated, and the patient should lie with the head elevated. All
+indigestible articles of food should be avoided and the diet should consist
+principally of bread, vegetables, milk, and fruits. Meat should be taken
+but once a day, and then in very small quantities. The use of alcoholic
+liquors and coffee should be avoided, and tea only taken in small
+quantities. The bowels should be regulated with Dr. Pierce's Pleasant
+Pellets and injections, if necessary. A thorough bath should be taken once
+or twice a week. If the attacks occur at night, the body should be sponged
+before going to bed with tepid <span class="pagenum"><a name="Page_649"
+id="Page_649"></a>[pg 649]</span>water, to which should be added sufficient
+tincture or infusion of capsicum, or red-pepper, to render it stimulating
+to the skin.</p>
+
+<p>The causes, if they can be determined, should be removed, and those
+remedies administered which relieve nervous irritability and cerebral
+congestion. If due to worms, the proper remedies should be given; if to
+phimosis, the subject should be circumcised; if to pressure on the brain,
+from fracture of the skull, trephining should be practiced, and the
+depressed bone raised. There are no <i>specifics</i> for this disease; each
+individual case must be treated according to the condition presented. The
+nostrums advertised extensively over the country as specifics for this
+disease, while they may, in some instances, prevent the attacks for a short
+time, irritate the stomach, impair digestion, lower vitality, and
+permanently injure the system, often rendering the disease incurable. They
+deceive the sufferer, leading him to think that his disease is being cured,
+until it progresses so far that he is beyond the reach of any treatment. As
+a rule, the longer the disease progresses, the more difficult it is to
+cure.</p>
+
+<p>Epilepsy has by many physicians been regarded as incurable, but our
+extensive experience has convinced us that by an appropriate course of
+treatment, the <i>vast majority</i> of cases can be cured. The animal
+extracts, or juices, herein more fully described under the head of
+treatment for Nervous Exhaustion, have proven curative in some cases that
+have resisted other remedies. This treatment requires the personal
+attention of a physician skilled in its employment. It is also of first
+importance that the extracts be properly made. We have discovered several
+new remedies, which undoubtedly exert a powerful curative influence over
+this disease, but it is necessary to vary the treatment so much in
+different cases, that it would be useless to enter further into details in
+this treatise.</p>
+
+<p><b>Surgical Treatment</b>. A considerable proportion of those cases of
+epilepsy, termed Jacksonian, have been found to be caused by new growth
+upon, or in, the substance of the brain. Sometimes cysts form as a result
+of small hemorrhages, or of spots of softening from clots in the cerebral
+arteries. Other cases are due to a small spot of hardened tissue or an
+inflamed centre of irritation in the outer gray matter of the brain.</p>
+
+<p>The majority of these forms of disease can be exactly localized in a
+small area of the brain, and may usually be traced to a blow or fall on the
+head, or to fracture of the skull without depression. The discovery of the
+fact that such results of injury will produce localized spasm has naturally
+lead to the conclusion that similar products anywhere in the brain may give
+rise to epilepsy. In these cases trephining of the skull and the removal of
+irritation from the brain has been followed by the most successful results.
+It is seldom a serious or dangerous operation, but very few deaths having
+resulted in the practice of good surgeons in many hundreds of cases, and
+these were individuals <span class="pagenum"><a name="Page_650"
+id="Page_650"></a>[pg 650]</span>who were not favorable for operation, and
+in whom it was undertaken as a last resort.</p>
+
+<p>In these cases of epilepsy, due to injury, the operation is fairly safe,
+and in carefully selected cases that have not been allowed to run so long
+as to bring upon the brain a general epileptic tendency, the results of
+operation are good and the procedure warrantable.</p>
+
+<p><b>See Testimonials from a few of the many cures effected by our
+Specialists</b>.</p>
+
+<hr />
+
+
+
+
+<h1>CHOREA (ST. VITUS'S DANCE).</h1>
+
+
+<p>This disease is an affection of the nervous system, which is
+characterized by spasmodic contractions of certain muscles. It may affect
+the entire body, although it is usually confined to the left side, or to a
+special group of muscles.</p>
+
+<p><b>Symptoms</b>. Twitchings of the muscles of the face are the most
+conspicuous symptoms. They are at first comparatively slight, but as the
+disease progresses, these spasms become more decided, and the face is
+twisted into various shapes and forms. The head, in some cases, is
+constantly jerking. It is with great difficulty that the tongue is thrust
+out of the mouth, and then, with a sudden jerk, it is quickly
+withdrawn.</p>
+
+<p>These spasms or contortions, may affect the extremities in a similar
+manner, the hands and arms cannot be kept quiet, the gait may be unsteady,
+and one foot is merely dragged after the other. If one limb be forcibly
+held, to keep it quiet, some other limb will involuntarily move. Strange as
+it may appear, these contractions, which cannot be controlled by the will
+during wakefulness, are very much lessened or arrested by sleep.</p>
+
+<p>Prior to the development of the spasmodic affection, there is usually a
+period in which the sufferer notes a want of appetite, languidness, with
+disinclination towards mental or bodily pursuits, headache, restlessness,
+pains in the limbs and joints, with irritable temper and weakness of
+memory. There are many other symptoms in special cases. As the disease
+develops, the patient gradually begins to exhibit an awkwardness of
+movement in the extremities, and objects frequently fall from the grasp.
+Children thus afflicted, spill their food while eating, and it becomes
+difficult for them to stand still. Attempts to write, sew, or draw are
+imperfectly performed. Such children are very often punished for supposed
+ill-behavior or careless habits. Later on the symptoms become more
+unmistakable, and the presence of the disease is readily recognized. The
+patient may become incapable of dressing, and the limbs and face are no
+longer under the control of the will. Uncontrollable movements of the
+fingers, hands, shrugging of the shoulders, dancing of the legs, grimaces
+of the face, and distortions of the body, become more or less constant.
+Speech and swallowing may be seriously embarrassed. Any unusual excitement
+of the mind or <span class="pagenum"><a name="Page_651"
+id="Page_651"></a>[pg 651]</span>body is apt to intensify the muscular
+twitchings. Severe mental application, the reading of exciting books, the
+witnessing of entertainments, and excessive indulgence in sports, have to
+be discontinued.</p>
+
+<p><b>The most common causes</b> seem to be exhaustion of the nerve
+centres, due to the appearance of the second teeth in children and the
+development common to the age of puberty. Other causes may be briefly
+mentioned as follows: rheumatic affections, constipation, a morbid state of
+the blood, suppression of the menstrual function, uterine difficulties,
+masturbation, or self-abuse, blows, injuries, or any cause which would give
+rise to nervous debility. Sometimes it is caused by obstruction in the
+alimentary canal, or by intestinal worms.</p>
+
+<p><b>Treatment</b>. The disease is one in which there is a debility of the
+nerve centres, complicated with a lack of assimilation and digestion. There
+is no affection more amenable to treatment in its early stages than this.
+We are daily in receipt of correspondence from sufferers, or their parents,
+or friends, in which the most gratifying relief and a cure has resulted
+from the use of Dr. Pierce's Favorite Prescription used in conjunction with
+Dr. Pierce's Golden Medical Discovery. These two remedies should be used
+alternately, the dose being suited to the age of the patient.</p>
+
+<p>A large majority of the cases of chorea occur in females and at the
+period of life when the nervous system is subjected to unusual
+requirements. In these cases the "Favorite Prescription" effects a gradual
+restoration of nervous energy, and improvement in the tone of the nerve
+centres, and by its direct effect upon the circulation in the ovarian
+region, eliminates the most potent causes of debility. In young people, we
+usually advise a dose of three drops for each year of the age. For
+instance, children of eight years of age should take twenty-four drops;
+those of twelve, thirty-six drops; those of fifteen, forty-five drops,
+which is about two-thirds of a teaspoonful. A similar dose of Dr. Pierce's
+Golden Medical Discovery should be administered, taking it before meals,
+and the "Prescription" after meals. Under their administration the patient
+will rapidly improve in health and strength; the circulation is materially
+bettered, the blood is purified, enriched, vitalized. The remedies effect a
+complete removal, from the blood, of the impurities that represent nerve
+waste, and as a consequence the nerve cells are properly nourished. The
+disease is gradually controlled, and when the favorable influences of
+quiet, nourishing food, with plenty of outdoor air, and not too active
+exercise is added, the progress is most gratifying. The patients, in a few
+weeks, are able to control much of the spasmodic movements, and gradually
+their restoration to a normal condition is accomplished.</p>
+
+<p>In occasional cases, where there is some complication, as rheumatism or
+other severe affection, complicating and preventing their recovery, special
+treatment is required. We are always ready to advise in regard to such
+cases when consulted either by mail or in person.</p>
+
+<p><span class="pagenum"><a name="Page_652" id="Page_652"></a>[pg 652]</span></p>
+
+
+
+
+<h1>TESTIMONIALS.</h1>
+
+<p>If the following letters had been written by your best known and most
+esteemed neighbors they could be no more worthy of your confidence than
+they are now, coming, as they do, from well known, intelligent and
+trustworthy citizens, who, in their several neighborhoods, enjoy the
+fullest confidence and respect of all who know them.</p>
+
+<p>Out of thousands of similar letters received from former patrons, we
+have selected these few at random, and have to regret that we can find room
+only for this comparatively small number in this volume.</p>
+
+
+<h4>NERVOUS AND GENERAL DEBILITY.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, 663 Main St., Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise361"><img width="90%" alt="Illustration:
+T.M. Carson, Esq." src="images/advise361.png" /></a><br />T.M. Carson,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I am thankful to-day that I can honestly say, that as
+a result of your few weeks' treatment, I feel better now in both body and
+mind than I have for fifteen years. Before I consulted you I felt more like
+taking my own life to end my miserable feelings than I felt like living; I
+had given up all hopes of ever being any good to myself or anybody else,
+but, thank God, your encouragement, and kind words, and skillful treatment
+have made a different man of me.</p>
+
+<p>Before I consulted you, I took no interest in business nor any thing
+else in the world, which the wise Creator has placed in this world for all
+mankind to enjoy; but now my mind is clear, and I take an interest in
+business and enjoy life better than I ever did before.</p>
+
+<p>Now, may God bless you for your good and skillful treatment of me; and,
+also, may this be the means of inducing others who are to-day suffering
+from the same complaint to at once consult you, as I can assure them that
+they will receive full benefit of your kind attention, for moderate
+charges.</p>
+
+<blockquote>
+<p>
+Yours respectfully, T.M. CARSON,<br />
+P.O. Box 145, Swissvale, Allegheny Co., Pa.<br />
+</p>
+</blockquote>
+
+
+<h4>NERVOUS DEBILITY.</h4>
+
+<p><b>Special Treatment, Followed by use of "Golden medical
+Discovery."</b></p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Ltd., 3, New Oxford Street,
+London, W.C.:</p>
+
+
+
+<p class="rfigure"><a name="advise362"><img width="90%" alt="Illustration:
+F. Macey, Esq. " src="images/advise362.png" /></a><br />F. Macey, Esq. </p>
+
+<p><i>Gentlemen</i>&mdash;I now write to describe the benefit which I have
+received from your treatment. For some time I had been suffering from
+nervous debility, and before placing myself under your treatment my trouble
+was very severe; and not understanding the nature of my disease, I did not
+know what to do until I saw a few testimonials of your wonderful cures,
+when I was led to at once communicate with you; and after two months'
+special treatment from you, I was greatly relieved, and was advised to then
+use Dr. Pierce's Golden Medical Discovery, which I did for a time, and am
+happy to say that I now feel like another man, and am troubled no longer
+with the old symptoms, and I thank God, and also the kind gentlemen that
+have been conducting my case, for the treatment and advice which I have
+received. I also think the "Golden Medical Discovery" is a most wonderful
+medicine, and I shall feel it my duty to speak well of your medicines and
+treatment to all fellow sufferers I may meet. I am,</p>
+
+<blockquote>
+<p>
+Yours truly, F. MACEY,<br />
+Faversham, Kent, England.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_653" id="Page_653"></a>[pg
+653]</span></p><h4>NERVOUS DEBILITY.</h4>
+
+
+
+<p class="lfigure"><a name="advise363"><img width="90%" alt="Illustration:
+A.E. Norcross, Esq." src="images/advise363.png" /></a><br />A.E. Norcross,
+Esq.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, 663 Main St., Buffalo, N.Y.:</p>
+
+<p><i>Gentlemen</i>&mdash;Two and a half years ago, after seeking in vain for
+health at the hands of local doctors, I began treatment with you for
+"Nervous Debility" of a complicated nature. As a result thereof I now give
+this testimonial, having been changed from a person of rapidly declining
+health&mdash;often despondent and with no inclination to work of any kind, to
+one of sound constitution who enjoys life and is once more able to battle
+his way to success in life; and it is now about two years since the change
+occurred, showing it to be permanent.</p>
+
+<p>I cannot say too much in praise of your methods, and careful, courteous
+attention which myself and others have enjoyed at your hands; and that the
+good work may go on to an unlimited extent is my earnest wish.</p>
+
+<blockquote>
+<p>
+Yours sincerely.<br />
+A.E. NORCROSS,<br />
+(General Delivery), Detroit, Mich.<br />
+</p>
+</blockquote>
+
+<p><b>NERVOUS DEBILITY, DYSPEPSIA, HEART DISEASE</b>.</p>
+
+
+
+<p class="rfigure"><a name="advise364"><img width="90%" alt="Illustration:
+Miss Greenwell. " src="images/advise364.png" /></a><br />Miss Greenwell.
+</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Gentlemen</i>&mdash;I feel very grateful to you, and to our all-wise
+Creator for restoring my health. When I first wrote to you I was a
+miserable sufferer with nervous debility, dyspepsia, heart disease, also
+female weakness. I was so nervous and low-spirited I could not sleep, in
+fact I was just about as weak and low as I could be, and could scarcely
+drag around; but, after persevering for about twelve months, occasionally
+with the help of your kind treatment and advice, I once more begin to feel
+like myself again. Words cannot tell how I do appreciate my health.</p>
+
+<p>Thank you, gentlemen! I shall never forget the kind business-like manner
+in which you have treated me. May God bless you, inasmuch as your heart's
+desire is to do good to suffering humanity.</p>
+
+<blockquote>
+<p>
+Very truly, Miss K. GREENWELL,<br />
+No. 253 Twenty-second St., Ogden, Utah.<br />
+</p>
+</blockquote>
+
+
+<h4>NERVOUS DEBILITY&mdash;RESULT OF INDISCRETION.</h4>
+
+
+
+<p class="lfigure"><a name="advise365"><img width="90%" alt="Illustration:
+C.H. Goodsell, Esq. " src="images/advise365.png" /></a><br />C.H. Goodsell,
+Esq. </p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Gentlemen</i>&mdash;For the last year and a half I was troubled with
+Nervous Debility. I tried some medicine that I bought from the druggist,
+which did me little or no good; so, hearing of the World's Dispensary
+Medical Association, of Buffalo, I wrote them about my case, and in reply,
+they said they were sure they could cure me. At that time I was weak in my
+arms and legs, had poor sight and, worst of all, I was very nervous and
+bashful. I could not sleep at night and feel refreshed in the morning. I
+could not look any one in the eye without feeling ashamed.</p>
+
+<p>I have now taken two months' treatment and I feel sound in mind and
+body; but to be sure I am going to take another month's treatment from
+these same doctors in Buffalo.</p>
+
+<p>I recommend all men who are afflicted with any disease similar to the
+one of which I have just been cured to apply to the World's Dispensary
+Medical Association, and if they take treatment from these doctors they
+will surely be cured. I cannot praise them too much for what they have done
+for me.</p>
+
+<blockquote>
+<p>
+Yours truly, C.H. GOODSELL,<br />
+No. 151 S.W. Temple St.<br />
+Salt Lake City, Utah.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_654" id="Page_654"></a>[pg
+654]</span></p><h4>NERVOUS AND GENERAL DEBILITY.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL, ASSOCIATION, 663 Main St., Buffalo,
+N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise366"><img width="90%" alt="Illustration:
+T.W. Knapp, Esq. " src="images/advise366.png" /></a><br />T.W. Knapp, Esq.
+</p>
+
+<p><i>Gentlemen</i>&mdash;I had been out of health for a period of about three
+years. Suffered with pains in the head, catarrh, chills, fever,
+nervousness, and general debility. Spent about all the money I had in order
+to obtain relief, but received little, if any good. I was scarcely able to
+work, when in July, 1887, I wrote to your Association, describing my case.
+You replied, advising me, and prescribing a course of treatment, which you
+sent to me. After taking but a part of these medicines I began to feel a
+great deal better; could sleep very much better and was able to resume work
+as usual, but still suffered some pain in head, and my buck was lame and
+weak. I continued treatment for some three or four months, until all
+remaining symptoms of distress and weakness had disappeared. At the end of
+about eight months I found I felt as well as I ever did. My weight had
+increased fully twenty pounds, and I could safely say that you had effected
+a perfect cure in my case.</p>
+
+<blockquote>
+<p>
+Respectfully yours,<br />
+THOMAS WESLEY KNAPP,<br />
+Myhart, Allen Co., Ind.<br />
+</p>
+</blockquote>
+
+
+<h4>NERVOUS AND UTERINE DISEASE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, 663 Main St., Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise367"><img width="90%" alt="Illustration:
+Mrs. Williams. " src="images/advise367.png" /></a><br />Mrs. Williams. </p>
+
+<p><i>Gentlemen</i>&mdash;I was sick for over three years with nervous
+complaint, with blind dizzy spells, palpitation of the heart, pain in the
+back and head, and at times would have such a weak tired feeling when I
+first got up in the morning, and at times nervous chills. At other times, I
+would feel as if there were a tight bandage around my forehead.</p>
+
+<p>The first physician I went to said I had nervous dyspepsia; the next one
+did not say what he thought ailed me; the third said I had dyspepsia, but
+none of them did me any good. As soon as I commenced taking Dr. Pierce's
+Favorite Prescription, I began to get better; could sleep well nights, and
+that bad nervous feeling and the pain in my back soon left me. I can walk
+several miles without getting tired. I took in all, three bottles of the
+"Favorite Prescription" and two of Dr. Pierce's Golden Medical
+Discovery.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+MRS. JENNIE WILLIAMS,<br />
+Mohawk, Lane Co., Oregon.<br />
+</p>
+</blockquote>
+
+
+<h4>NERVOUS AND GENERAL DEBILITY.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, NO. 663 Main St., Buffalo,
+N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise368"><img width="90%" alt="Illustration:
+W.C. Dillon, Esq." src="images/advise368.png" /></a><br />W.C. Dillon,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;When I applied to you for medical treatment I was in a
+very bad state. Your suggestion that I use Dr. Pierce's Golden Medical
+Discovery was followed with good results, and I can say I felt the effects
+of it before the first bottle was finished. The dull pains in my back were
+leaving me very fast. I used three bottles of the "Golden Medical
+Discovery." I had a dull pain in the back, restless sleep followed by very
+trying dreams, appetite poor, weakness, consequently very easily tired. Now
+I can go about my work, walk twelve or fifteen miles a day and not feel
+tired. When I commenced to use your "Golden Medical Discovery" I only
+weighed 125 pounds; now have increased to 150.</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+W.C. DILLON,<br />
+Box 63, Woburn, Middlesex Co., Mara.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_655" id="Page_655"></a>[pg
+655]</span></p><h4>NERVOUS DEBILITY.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, 663 Main St., Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise369"><img width="90%" alt="Illustration:
+M.H. Moore, Esq." src="images/advise369.png" /></a><br />M.H. Moore,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I had been ailing for months and did not know what was
+the matter. I had a heavy and languid feeling; dimness of sight, spots and
+flashes before my eyes; an "all gone" feeling in my stomach as if the
+bottom had fallen out; was nervous and irritable and felt like sinking down
+when at work. I could hardly get up in the morning; it seemed as if I were
+more tired then I was when I went to bed. My appetite at times was
+ravenous, and at other times the smell of food made me sick; I would often
+go from the dinner table and vomit. I would have spells when it seemed that
+every man was my foe and would be melancholy, and think that something was
+going to happen to me; was easily upset, could not get my mind to stay on
+anything long at a time. When I read about your remedies, I made up my mind
+to try them. After taking one month's treatment I felt better, and kept on
+until I had taken three months' treatment and was made a new man. I would
+advise any one who is in bad health to do the same, and will assure them
+that Dr. Pierce is a gentleman, and will do Just what he says, as he did in
+my case.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+MARIS H. MOORE,<br />
+Ocean City, Cape May Co., N.J.<br />
+</p>
+</blockquote>
+
+
+<h4>NERVOUS AND GENERAL DEBILITY.</h4>
+
+<p>Dr. R.V. PIERCE, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise370"><img width="90%" alt="Illustration:
+Mrs Linn." src="images/advise370.png" /></a><br />Mrs Linn.</p>
+
+<p><i>Dear Sir</i>&mdash;My case was a complication of diseases&mdash;a general
+break-down, lasting three years. I placed myself under the treatment of
+four different physicians. At last, giving up all hope of recovery at home,
+I was making arrangements to go to a Sanitarium in Michigan for special
+treatment. One of your small books with blank enclosed was handed to me; I
+filled out the blank, and thought I would try rather than leave home and
+little ones,&mdash;"Happy decision;" two months' special treatment and I was
+well and happy, and to-day, I have the very best of health.</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+MRS. LOMA LINN,<br />
+Ladoga, Montgomery Co., Ind.<br />
+</p>
+</blockquote>
+
+
+<h4>NERVOUS AND GENERAL DEBILITY.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise371"><img width="90%" alt="Illustration:
+J. Thomas, Esq. " src="images/advise371.png" /></a><br />J. Thomas, Esq.
+</p>
+
+<p><i>Gentlemen</i>&mdash;Had vertigo, or dizziness. Pain over right eye.
+Vomiting sometimes, severe pains in arms, from elbows to shoulders, pain in
+left side. Numbness of the fingers. His home physician said "will run into
+paralysis." Analysis of the urine shows phosphatic deposits. Began
+treatment with specialists of Invalids' Hotel and Surgical Institute, in
+August, '87; used the remedies interruptedly for about six months. Writes
+May 11th, '89, "have not had a dizzy spell for a year." In October,'90,
+writes, "the dizzy spells have gone for good, I hope." November 9th, '93,
+reports, "I most willingly recommend your medicines for they cured me of
+those dizzy spells of long standing, after four doctors in this county had
+treated my ease for three years, without benefit."</p>
+
+<blockquote>
+<p>
+Respectfully yours,<br />
+JASPER THOMAS,<br />
+Alamosa, Conejos Co., Col.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_656" id="Page_656"></a>[pg
+656]</span></p><h4>IRRITABILITY AND EXHAUSTION OF THE NERVOUS SYSTEM,
+RHEUMATISM AND HEART DISEASE.</h4>
+
+<p><b>Cured by Six Bottles of the "Golden Medical Discovery."</b></p>
+
+
+
+<p class="lfigure"><a name="advise372"><img width="90%" alt="Illustration:
+C.A. Roberts, Esq. " src="images/advise372.png" /></a><br />C.A. Roberts,
+Esq. </p>
+
+<p>Mr. C. Allison Roberts, of Cassville, White Co., Tenn., suffered a great
+deal from rheumatism, he says: "Legs ached more like toothache than
+anything I can think of, the thigh bones throbbing and paining; had pains
+in hips, back, arms and shoulders." His symptoms also showed that the heart
+was affected. Had chills, headache often and sometimes sick headache.
+Bowels were costive and irregular. Food distressed and could not eat meat;
+urine milky; coughed in early part of night, and feet and legs would become
+numb. Had difficulty in getting to sleep before midnight, and was restless
+through the night and dreamed much. Had sinking spells which lasted for
+thirty minutes. Turned pale, became trembly and sometimes vomited his
+food.</p>
+
+<p>Almost immediately after beginning the use of the "Golden Medical
+Discovery" the headache ceased. After using four bottles, reported that he
+had been benefited by the remedy. Later he reported: "I have been in
+reasonable health for some time. I took six bottles of the 'Golden Medical
+Discovery' and it cured the rheumatism entirely. I had suffered with it for
+several years and found no relief until I used your medicine. Have no weak
+nor nervous symptoms now, and no spells of turning sick at the stomach, or
+of bad action of the heart, palpitation, etc."</p>
+
+
+<h4>NERVOUSNESS, "FEMALE WEAKNESS," NASAL CATARRH.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise373"><img width="90%" alt="Illustration:
+Mrs. Sanderson. " src="images/advise373.png" /></a><br />Mrs. Sanderson.
+</p>
+
+<p><i>Gentlemen</i>&mdash;My health was utterly gone. Was suffering from
+nervousness, female troubles and nasal catarrh; life was almost a burden to
+me, but a glorious change came, due solely to Dr. Pierce's Favorite
+Prescription and Dr. Sage's Catarrh Remedy. I have suffered more than
+tongue can ever tell. I have been treated by good physicians but they only
+help me temporarily. I have taken a great many patent medicines with the
+same result. In 1890, I began taking Dr. Pierce's Favorite Prescription and
+Dr. Sage's Catarrh Remedy, which gave me immediate relief and a permanent
+cure.</p>
+
+<blockquote>
+<p>
+Respectfully,<br />
+MRS. BELLE SANDERSON,<br />
+Sprout, Nicholas Co., Ky.<br />
+</p>
+</blockquote>
+
+
+<h4>NERVOUS DEBILITY.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, 603 Main St., Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise374"><img width="90%" alt="Illustration:
+J.F. Ritter, Esq." src="images/advise374.png" /></a><br />J.F. Ritter,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;It is now about six months since I discontinued your
+treatment, and as I have had no return of the old symptoms, I consider it
+unnecessary to take more medicine. When I visited your Institution some two
+years ago, I had but faint hopes of ever being restored to health, as I was
+suffering from a complication of diseases. My case was an unusually
+obstinate one, yet I am satisfied that a cure could have been accomplished
+in half the time, had I been able to follow your directions in regard to
+diet more closely. I hereby tender you my sincerest thanks for the kind
+treatment received while at your Institution. Those days will always be the
+happiest in my memory. I will close by giving your faculty my sincere
+thanks, and hope success will crown your business.</p>
+
+<blockquote>
+<p>
+Yours very gratefully,<br />
+J.F. RITTER,<br />
+Medford, Jackson Co., Oreg.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_657" id="Page_657"></a>[pg
+657]</span></p><h4>NERVOUS DEBILITY. SPECIAL TREATMENT.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Ltd., 3, New Oxford Street,
+London, W.C.:</p>
+
+
+
+<p class="lfigure"><a name="advise375"><img width="90%" alt="Illustration:
+W. Trumbetta, Esq. " src="images/advise375.png" /></a><br />W. Trunbetta,
+Esq. </p>
+
+<p><i>Dear Sirs</i>&mdash;In reply to your kind inquiries regarding my health, I
+am only too glad to say that I am better than I ever was. Before taking
+your medicines, I experienced great nervousness, loss of appetite, restless
+nights, taking no interest in my work; had pale complexion, with hollow
+checks, sunken eyes and loss of memory. I only took your special treatment
+for about two months, and received great benefit from taking it, but still
+go on taking your "Pellets" when required. I am sorry to say that I have
+not got a photograph before taking your medicines, or I should have been
+glad to send it to let you have seen them both before taking your medicines
+and after. I remain</p>
+
+<blockquote>
+<p>
+Yours sincerely,<br />
+W. TRUMBETTA,<br />
+84, Essex Street, South Heigham, Norwich, Eng.<br />
+</p>
+</blockquote>
+
+
+<h4>NERVOUS PROSTRATION.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL, ASSOCIATION, 663 Main St., Buffalo,
+N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise376"><img width="90%" alt="Illustration:
+Mrs. E.A. Northrop." src="images/advise376.png" /></a><br />Mrs. E.A.
+Northrop.</p>
+
+<p><i>Gentlemen</i>&mdash;It is now sixteen years since I suffered from that
+terrible disease, nervous prostration. I suffered untold agony and thought
+I would go insane. Had a terrible burning sensation across my shoulders,
+and my head felt large as two, and as if there was a hole from one ear to
+the other and all sounds passed right through. I could not see, nor sleep,
+nor scarcely eat, and was that nervous the least thing made me angry. I was
+treated by our home physician and given up as incurable. At that time I saw
+your Memorandum Book and thought I would write you, and the result of it
+was you took my case.</p>
+
+<p>After one month of your valuable remedies I felt like a new person, and
+after six months was restored to good health again after suffering nearly
+one year of untold agony.</p>
+
+<p>I would heartily recommend all and every one suffering from any chronic
+disease to place their case in the hands of the World's Dispensary Medical
+Association, of Buffalo, N.Y., as I cannot praise your treatment too
+highly. Words are inadequate to express the gratitude I owe you in so
+successfully treating my case.</p>
+
+<blockquote>
+<p>
+Respectfully yours, MRS. E.A. NORTHROP,<br />
+South Main Street, Newark, Wayne Co., N.Y.<br />
+</p>
+</blockquote>
+
+
+<h4>GENERAL AND NERVOUS DEBILITY.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise377"><img width="90%" alt="Illustration:
+J.W. Stocking, Esq." src="images/advise377.png" /></a><br />J.W. Stocking,
+Esq.</p>
+
+<p><i>My Dear Sirs</i>&mdash;I believe that I am free from all the troubles that
+you have been treating me for. The pain in my back is gone&mdash;my digestion is
+good. In all truth I can say <i>I am a man again</i>!</p>
+
+<p>I can stoop without pain&mdash;can labor without that weak and tired feeling.
+I am truly grateful to you for the good that you have done me, and may you
+reap a rich reward for the good you have done for suffering humanity, is my
+sincere wish.</p>
+
+<blockquote>
+<p>
+Truly yours,<br />
+J.W. STOCKING,<br />
+Panama. Lancaster County, Nebr.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_658" id="Page_658"></a>[pg
+658]</span></p><h4>NERVOUS DEBILITY AND VARICOCELE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise378"><img width="90%" alt="Illustration:
+D.A. Walton, Esq." src="images/advise378.png" /></a><br />D.A. Walton,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I commenced treatment, I think, in July or August, of
+1888, and continued four months. My case was nervous debility of fifteen
+years' standing.</p>
+
+<p>I tried home doctors but found they were only aggravating my case. I
+also tried the Remedy Company, then of St. Louis, who claimed to perform
+wonderful cures with their "Pastiles," but they proved utterly worthless.
+Having come in possession of Dr. Pierce's little book and circulars, a
+perusal of the same convinced me that my health would not be trifled with
+at his Institution.</p>
+
+<p>I was a poor man and could not afford much experimenting. I ordered one
+month's treatment, and at the end of this first month, I found, to my
+surprise, that I was feeling different. The second month, still more
+surprised at my returning health. Third month thought I was cured, and
+engaged myself to a young lady, and wrote you to that effect, and you
+advised me with your congratulations to marry, and to order another month's
+treatment; and at the end of the fourth month I was a <i>man</i>, something
+I did not know what it would be like to be before.</p>
+
+<p>I have now been married five years, and have two healthy children&mdash;a boy
+and a girl. I would never have dared to marry had it not been for your
+medicines. I must add that during this treatment I was troubled with
+varicocele on left side. I wrote you this at third month of treatment, and
+you sent without extra charge, a Suspensory and Lotion, and two months'
+treatment cured me sound and well of this distressing malady; I have not
+felt the least symptoms of its return.</p>
+
+<p>I want the world to know what a competent and honorable firm the World's
+Dispensary Medical Association is. I would love to shake you by the hand.
+May God let you continue to be a help to mankind is my prayer.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+D.A. WALTON,<br />
+Marion, Grant County, Ind.<br />
+</p>
+</blockquote>
+
+
+<h4>NERVOUS DEBILITY AND VARICOCELE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise379"><img width="90%" alt="Illustration:
+J.L. Ridings, Esq." src="images/advise379.png" /></a><br />J.L. Ridings,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I can bear testimony to the removal of varicocele, for
+which you treated me. I had been in the habit of getting out with the boys
+and trying to see which could kick the highest with one foot on the ground,
+and it caused me to have varicocele. I went to my home doctor and he
+treated me with no success. It was getting worse all the time and I got out
+of shape all over. My health got bad and I thought my case hopeless. I had
+tried two doctors and received no benefit.</p>
+
+<p>I had one of your little Memorandum Books in my pocket, and one day,
+looking through it I saw you treated such cases, and wrote you and received
+word in a few days that you would treat me, so I sent off for one month's
+treatment; and in five months I had gained my weight back, and that was
+eight years ago and I feel sound and well and my health has been good ever
+since.</p>
+
+<p>You are at liberty to use my testimony in whatever way it may be of most
+benefit to you.</p>
+
+<p>I also enclose a photograph of myself that was taken soon after your
+treatment.</p>
+
+<p>With feelings of much gratefulness, I am.</p>
+
+<blockquote>
+<p>
+Very truly yours,<br />
+J.L. RIDINGS,<br />
+Clarence, Shelby County, Missouri.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_659" id="Page_659"></a>[pg
+659]</span></p><h4>NERVOUS DEBILITY. INDIGESTION.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION. Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise380"><img width="90%" alt="Illustration:
+R.M. Bascom, Esq." src="images/advise380.png" /></a><br />R,M. Bascom,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;It is now about thirteen months since I discontinued
+your treatment, and I have no return of the old symptoms, I consider it
+unnecessary to continue treatment. When I commenced taking your medicine I
+was suffering from nervous debility, indigestion, dyspepsia, etc. After
+using your medicine one month I am perfectly healthy, and cheerfully
+recommend your Institution to suffering humanity.</p>
+
+<blockquote>
+<p>
+Yours truly, R.M. BASCOM,<br />
+Sunfield, Eaton County, Mich.<br />
+</p>
+</blockquote>
+
+
+<h4>NERVOUS DEBILITY.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION. Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise381"><img width="90%" alt="Illustration:
+F. Zerbe, Esq." src="images/advise381.png" /></a><br />F. Zerbe, Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;It is now about five years since I received a two
+months' treatment for my case and I have had no return of the symptoms, I
+consider it unnecessary to take more medicines because I am gaining
+strength every day. I am healthier than I have been in fifteen years, and I
+thank you for the kind favor you have done me in my case, and I wish that
+all sufferers would send to you for treatment.</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+FRANKLIN ZERBE,<br />
+De Turksville, Schuylkill Co., Penna.<br />
+</p>
+</blockquote>
+
+
+
+<h4>NERVOUS DEBILITY, DYSPEPSIA, CONSTIPATION.</h4>
+
+<p>Blackstone, Nottoway Co., Va.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Gentlemen</i>&mdash;Dr. Pierce's Golden Medical Discovery and "Pleasant
+Pellets" made a perfect cure of me. I increased in weight from 120 pounds
+to 150 pounds and my strength increased in proportion. It improved me so
+rapidly that my friends inquired what produced such a change in my general
+appearance and health. Some accused me of dissipation. When I told them it
+was your medicine, the drug stores found a ready market for it, and
+continue to sell it with increased sales.</p>
+
+<blockquote>
+<p>
+Yours truly, R.E. Jones<br />
+</p>
+</blockquote>
+
+
+<h4>NERVOUS AND GENERAL DEBILITY.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise382"><img width="90%" alt="Illustration:
+O.A. Conklin, Esq." src="images/advise382.png" /></a><br />O.A. Conklin,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I was a great sufferer from nervous and general
+debility. I applied to you by letter for advice and received from you
+medical treatment for three months, which completely restored me to health;
+the course of treatment did not interfere with my usual vocation and was
+not difficult to follow. I am a well man to-day and take pleasure in
+advising all the afflicted to consult you at once, and feel sure they will,
+like myself, be well pleased with your treatment.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+O.A. CONKLIN,<br />
+Ravenna, Muskegon Co., Mich.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_660" id="Page_660"></a>[pg
+660]</span></p><h4>NERVOUS DEBILITY.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise383"><img width="90%" alt="Illustration:
+H. Culver, Esq." src="images/advise383.png" /></a><br />H. Culver, Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;After taking the two months' treatment which you sent
+me by mail for that broken-down condition, usually styled "Nervous
+Debility," attended by the usual symptoms such as headache, sleeplessness,
+confusion of ideas, etc., the above symptoms have so entirely disappeared
+that I do not consider it necessary to continue the treatment longer. I
+would say further that I am satisfied that you understand your business,
+and would advise anybody suffering from any chronic disease to avail
+themselves of your skill in preference to resorting to any other source
+known to me.</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+HERMAN CULVER,<br />
+Port Angeles, Clallam Co., Wash.<br />
+</p>
+</blockquote>
+
+
+<h4>GENERAL AND NERVOUS DEBILITY.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise384"><img width="90%" alt="Illustration:
+Wm. H. Coon, Esq." src="images/advise384.png" /></a><br />Wm. H. Coon,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I am very thankful for what you have done for me. The
+treatment which you furnished me a year ago gave me great relief. I had
+been suffering for many months with general and nervous debility, with
+headache, languor, sleeplessness, indigestion, constipation, etc., which
+were increasing upon me. One month's treatment gave me perfect relief, and
+I am now like a new person. I can heartily recommend all young men to
+consult your staff when in need of medical advice.</p>
+
+<blockquote>
+<p>
+Respectfully yours,<br />
+WM. H. COON, Medina, N.Y.<br />
+</p>
+</blockquote>
+
+
+<h4>NERVOUS DEBILITY AND CATARRH.</h4>
+
+<p>Big Piney, Pulaski Co., Mo.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Gentlemen</i>&mdash;I was treated by you eleven years ago for nervous
+debility and chronic catarrh of eight years' standing and of a very
+aggravated nature. I was considered near my grave by many of my friends
+when I commenced treatment.</p>
+
+<p>I used eight months' special treatment, after which I used some 13 or 15
+bottles of your Sage's Catarrh Remedy, and have had excellent health ever
+since.</p>
+
+<blockquote>
+<p>
+Yours truely<br />
+B.P. Dake.<br />
+</p>
+</blockquote>
+
+
+<h4>NERVOUS DEBILITY.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise385"><img width="90%" alt="Illustration:
+G. Rankin, Esq." src="images/advise385.png" /></a><br />G. Rankin, Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;For about five years I was troubled with Nervous
+Debility. I was weak and nervous, and my appetite poor. I saw your
+advertisement in a newspaper and concluded to write to you. I took your
+medicine for nine months, and at the end of that time, I had gained
+thirteen pounds, was much stronger, my nervousness had left me and I felt
+well and strong. I am sincerely thankful for the great help I received from
+you.</p>
+
+<blockquote>
+<p>
+Yours very truly,<br />
+GEORGE RANKIN,<br />
+New Castle, Lawrence Co., Pa.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_661" id="Page_661"></a>[pg 661]</span></p>
+
+<p><b>NERVOUS DEBILITY</b>.</p>
+
+<p>Richville, St. Lawrence Co., N.Y.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Gentlemen</i>&mdash;After two years of perfect health I write to you
+thanking you for your treatment.</p>
+
+<p>I had suffered several years from Nervous Debility, and had tried
+various remedies, and been treated by different physicians, but received no
+benefit from them. I ventured to write to you, and after taking a month's
+treatment and following your Hygienic rules, I am now fully recovered and
+never felt better in my life.</p>
+
+<p>May God spare you for many more years, for the sake of suffering
+humanity.</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+Evan P. Jones.<br />
+</p>
+</blockquote>
+
+
+<h4>NERVOUS DEBILITY.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise386"><img width="90%" alt="Illustration:
+Edw'd Uelbrick, Esq. " src="images/advise386.png" /></a><br />Edw'd
+Uelbrick, Esq. </p>
+
+<p><i>Gentlemen</i>&mdash;In 1887, I had occasion to visit your Invalids' Hotel
+and Surgical Institute for a course of treatment. I am happy to state that
+my case was cured to my entire satisfaction, and that I always think with
+gratitude of the kind treatment received from the hands of doctors and
+nurses. While there I became acquainted with many undergoing treatment for
+various chronic and surgical diseases, and all were unanimous in their
+praise of the Institution.</p>
+
+<blockquote>
+<p>
+Respectfully yours,<br />
+EDWARD UELBRICK,<br />
+White Oaks, N.M.<br />
+</p>
+</blockquote>
+
+
+<h4>NERVOUS PROSTRATION; RHEUMATISM; CONSTIPATION.</h4>
+
+<p>Colebrook, Litchneld Co., Ct.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Gentlemen</i>&mdash;I desire to express my heartfelt thanks for the great
+benefit you have done me. About ten years ago I contracted rheumatism, from
+which I suffered dreadfully at times. Was also troubled with chronic
+constipation; had been from boyhood. Had doctored more or less for years
+without any great benefit until I consulted you and commenced taking your
+Special Remedies. After taking three courses of your medicines I was so far
+improved in health and strength that I considered it unnecessary to
+continue it longer.</p>
+
+<p>Wishing you much success in your great work.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+W.H. LOVELAND<br />
+</p>
+</blockquote>
+
+
+<h4>NERVOUS DEBILITY.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise387"><img width="90%" alt="Illustration:
+L. Rakes, Esq." src="images/advise387.png" /></a><br />L. Rakes, Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;So much of my good health is due to the excellent
+treatment I received from the Invalids' Hotel and Surgical Institute, that
+I take the greatest pleasure in recommending all the afflicted to this
+famous Institution.</p>
+
+<p>I was run down and a great sufferer from nervous debility. The remedies
+put up by the specialist of this Institute so suited my case, and so
+improved my health, that I soon felt like a new man. My gratitude is so
+heartfelt that I cannot speak to my friends and to all the afflicted in too
+high praise of the skill of the physicians of the World's Dispensary
+Medical Association and of the great benefit to be derived from their
+treatment.</p>
+
+<blockquote>
+<p>
+Yours, truly,<br />
+LEVI RAKES,<br />
+Plattemouth, Cans Co., Neb.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_662" id="Page_662"></a>[pg
+662]</span></p><h4>NERVOUS DEBILITY.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise388"><img width="90%" alt="Illustration:
+T.J. Carder, Esq." src="images/advise388.png" /></a><br />T.J. Carder,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I was suffering with a very severe nervous debility
+and general weakness, and after using your splendid treatment for four
+months, I find myself perfectly cured.</p>
+
+<blockquote>
+<p>
+Respectfully yours,<br />
+T.J. CARDER,<br />
+Pacific Grove, Monterey Co., Cal.<br />
+</p>
+</blockquote>
+
+
+<h4>NERVOUS PROSTRATION.</h4>
+
+<p>Severe Palpitation of the Heart.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise389"><img width="90%" alt="Illustration:
+Mrs. Moore." src="images/advise389.png" /></a><br />Mrs. Moore.</p>
+
+<p><i>Gentlemen</i>&mdash;I am feeling quite well. I have taken Dr. Pierce's
+Golden Medical Discovery and "Pellets," and I can truly say they have done
+me more good than anything I have ever taken. I keep the "Pellets" in the
+house all the time.</p>
+
+<blockquote>
+<p>
+Respectfully,<br />
+MRS. LAURA E. MOORE,<br />
+Wolfborough, Carroll County, N.H.<br />
+</p>
+</blockquote>
+
+
+<h4>NERVOUS DEBILITY.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise390"><img width="90%" alt="Illustration:
+G. Posson. Esq." src="images/advise390.png" /></a><br />G. Posson. Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;My health had been gradually failing for years. I
+could not sleep nights and was very nervous, and I was depressed in spirits
+and was entirely unfit for business. The principal cause was over-work.
+Through the influence of friends I began your treatment and continued it
+three months, and at the end of that time I felt so much better that I did
+not continue it longer.</p>
+
+<p>And I can cheerfully recommend your mode of treatment to every
+sufferer.</p>
+
+<blockquote>
+<p>
+Sincerely yours,<br />
+GEORGE POSSON,<br />
+Middleburgh, Schobarie Co., N.Y.<br />
+</p>
+</blockquote>
+
+
+<h4>NERVOUS DEBILITY AND CATARRH.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise391"><img width="90%" alt="Illustration:
+Mrs. Hoffman." src="images/advise391.png" /></a><br />Mrs. Hoffman.</p>
+
+<p><i>Gentlemen</i>&mdash;I have enjoyed good health since I took your treatment
+I suffered intense agony for five months, and after taking one month's
+medicine I found very much relief&mdash;so much I was surprised.</p>
+
+<p>Many thanks for the good your medicines have done me, and my prayers are
+that God may help you in your good work, and that you may live long and
+prosper.</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+MRS. ALICE HOFFMAN,<br />
+Box 183, Clarksville, Butler Co., Iowa.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_663" id="Page_663"></a>[pg
+663]</span></p><h4>"A NERVOUS WRECK."</h4>
+
+<p><b>Nervous Debility, Exhaustion, Threatened Insanity.</b></p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise392"><img width="90%" alt="Illustration:
+F. Moffat, Esq." src="images/advise392.png" /></a><br />F. Moffat, Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;About six years ago, I had tried all the doctors in my
+part of the country with no satisfactory benefit. They did not understand
+my case.</p>
+
+<p>I was a nervous wreck&mdash;unable to sleep&mdash;could not eat, and underwent the
+usual horrors that one endures where there is loss of control of the
+nerves. A few months more would have made me insane.</p>
+
+<p>My cure has remained permanent. The relief was something that I cannot
+describe. It has enabled me to pursue my work steadily ever since, and I am
+more than happy to testify to the excellent skill and honorable dealings of
+your faculty and the fine appointments of your Institution.</p>
+
+<blockquote>
+<p>
+Respectfully yours,<br />
+FAYETTE MOFFATT,<br />
+Hendrum, Norman Co., Minn.<br />
+</p>
+</blockquote>
+
+
+<h4>NERVOUS DEBILITY,</h4>
+
+<p><b>Kidney Disease, Night-emissions, Severe Headaches, Indigestion,
+Rheumatism, Could not Sleep nor Rest. Found Relief after five or more years
+of Agony</b>.</p>
+
+<p>Elstonville, Lancaster Co., Pa.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL, ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Gentlemen</i>&mdash;I am not able to express my thanks to you for the
+benefit of your special treatment. I had no hope of ever being restored to
+health again, having tried several home physicians, and having found no
+relief. I had little faith of ever being relieved of the dizzy spells and
+black spots before my eyes. Some of my friends told me it was nothing but a
+fake and a humbug. Thank God I did not listen to them. The first month's
+special treatment gave me such relief that I continued five months, and
+to-day can do heavy work without that troublesome pain in my back, and can
+stoop down without dizziness in my head. I would advise any one that is
+afflicted with any of these diseases to at once consult the practical and
+skillful physicians at the World's Dispensary Medical Association, at
+Buffalo, N.Y. I cannot think of words that will half express my gratitude.
+Thanks to God that he has granted you such skill. I am.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+John M. Ellinger.<br />
+</p>
+</blockquote>
+
+
+<h4>GENERAL DEBILITY</h4>
+
+<p><b>Of Fifteen Years' Standing. Cured by Special Home-treatment.</b></p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Lt'd:</p>
+
+
+
+<p class="lfigure"><a name="advise393"><img width="90%" alt="Illustration:
+G.W. Whitrod, Esq." src="images/advise393.png" /></a><br />G.W. Whitrod,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;After being a sufferer from debility and general
+weakness for fifteen years, I found a radical cure in the treatment I
+received from you at my own home. The first supply of medicine seemed to
+start me on the road, and the wheel was kept turning till I reached the
+happy condition of health.</p>
+
+<p>I hope this will meet the eyes of some of my old comrades, who have been
+to the eastern countries, and there lost their health, as I did, and as
+many others do.</p>
+
+<p>Gentlemen, I wish again to thank you most kindly for your good treatment
+and thoughtful attention. I will enclose my photograph. I am,</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+G.W. WHITROD,<br />
+Rockland, St. Andrews, Attleboro, Norfolk, Eng.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_664" id="Page_664"></a>[pg
+664]</span></p><h4>NERVOUS DEBILITY.</h4>
+
+<p>WORLDS DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise394"><img width="90%" alt="Illustration:
+C.M. Gates, Esq." src="images/advise394.png" /></a><br />C.M. Gates,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;About a year ago I found myself a victim of Nervous
+Debility. For some time I hardly knew what course to pursue, nearly every
+paper I might pick up contained some advertisement that would cure me. But
+believing in the old adage, "never expect to get something for nothing," I
+decided to write to an Association that <i>I knew</i> was reliable.</p>
+
+<p>Acting accordingly, I took a course of four months' treatment, which I
+am pleased to state has given me in return a perfect cure. Thanks to the
+medical skill of your Faculty.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+C.M. GATES,<br />
+Girard, Macoupin Co., Ill.<br />
+</p>
+</blockquote>
+
+
+<h4>NERVOUS AND GENERAL DEBILITY.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise395"><img width="90%" alt="Illustration:
+A. Crowl, Esq." src="images/advise395.png" /></a><br />A. Crowl, Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;After taking your second months' treatment I feel as
+though I am entirely cured. The trouble with my back is entirely removed;
+have gained in strength right along and have been working hard for the last
+two months. I cannot fully express my appreciation of your kindness and
+beneficial treatment.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+A. CROWL,<br />
+Oneida Mills, Carroll Co., Ohio.<br />
+</p>
+</blockquote>
+
+
+<h4>NERVOUS DEBILITY.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise396"><img width="90%" alt="Illustration:
+T.M. Hutchison, Esq." src="images/advise396.png" /></a><br />T.M.
+Hutchison, Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;Your letter inquiring about my health, came duly to
+hand a few days ago. In answer permit me to say that the three months'
+course of treatment effected a cure. Now my general health is good, body
+strengthened, mind clear, memory revived, and energy to work restored;
+cheerfulness and bright hopes, once lost, are now fully regained. My case
+was a complicated one of Liver disease and general effects of bad habits
+and usage, yet I was not too far gone to be restored by your wonderful
+treatment. My prayer is that you will ever prove a blessing to mankind.</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+T.M. HUTCHISON,<br />
+Forest Hill, Summers Co., W. Va.<br />
+</p>
+</blockquote>
+
+
+<h4>NERVOUS DEBILITY.</h4>
+
+<p><b>Piles, Catarrh, Heart Symptoms</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise397"><img width="90%" alt="Illustration:
+J. Talbott, Esq." src="images/advise397.png" /></a><br />J. Talbott,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;The effect of your remedies is little short of a
+miracle. My general make-up and appearance are astonishing; my cheeks rosy,
+eyes bright, circles nearly all gone from under eyes; am fleshier,
+stronger, more active, and an entirely different man. No piles, catarrh,
+heart trouble; no chills and fever; no despondency, no anything.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+JOHN TALBOTT,<br />
+Pennsylvania Agricultural Works,<br />
+York, York Co., Pens.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_665" id="Page_665"></a>[pg
+665]</span></p><h4>NERVOUS DEBILITY</h4>
+
+<p><b>Resulting from Injury to Spine</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise398"><img width="90%" alt="Illustration:
+Geo. W. Benham, Esq." src="images/advise398.png" /></a><br />Geo. W.
+Benham, Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I take pleasure in saying that the Invalids' Hotel is
+the best institution in the world for the cure and treatment of all kinds
+of chronic diseases. I was afflicted for a long time before I went to your
+Institution for treatment, and I tried many doctors, but without avail.
+After being in your Institution two months, I was restored to health, and I
+am a well man to-day, and take pleasure in giving you many thanks. My
+difficulty was the result of injury received early in life, and it has been
+permanently and perfectly cured. With many good wishes and highest
+recommendations.</p>
+
+<blockquote>
+<p>
+Respectfully yours,<br />
+GEORGE W. BENHAM,<br />
+P.O. Box 227, Seymour, Conn.<br />
+</p>
+</blockquote>
+
+
+<h4>NERVOUS DEBILITY, DYSPEPSIA, AND OTHER COMPLICATIONS.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, No. 663 Main St., Buffalo,
+N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise399"><img width="90%" alt="Illustration:
+D.H. Poff, Esq." src="images/advise399.png" /></a><br />D.H. Poff, Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I am now through with your last month's treatment. I
+have taken in all three months' treatment. When I first wrote to you I
+thought I was gone beyond the reach of recovery, but, thanks to God, I am
+to-day a sound man, heartier than I have been for years, and your
+Institution deserves the credit of it. I will forever remember you, and
+want you to publish this testimonial for the benefit of others, as there
+are thousands in the same fix that I was in.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+D.H. POFF,<br />
+Raleigh, Raleigh Co., W. Va.<br />
+</p>
+</blockquote>
+
+
+<h4>NERVOUS PROSTRATION.</h4>
+
+<p>Everson, Whatcom Co., Wash.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Gentlemen</i>&mdash;As regards your medicines I can truthfully say that I
+consider them good. Three years ago, I was much run-down with indigestion
+and nervous prostration. I purchased about four bottles of "Golden Medical
+Discovery" and "Favorite Prescription," and after taking them along with
+the "Pellets", I felt much improved. Indeed, my friends told me I looked
+like another woman.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+Mrs. Rob't Burns<br />
+</p>
+</blockquote>
+
+
+<h4>NERVOUS DEBILITY.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise400"><img width="90%" alt="Illustration:
+W. Slattery, Esq." src="images/advise400.png" /></a><br />W. Slattery,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I am pleased to send you a testimonial regarding the
+perfect and permanent cure which you have effected in my case.</p>
+
+<p>I suffered from Nervous Debility. The symptoms were prostration,
+sleeplessness, exhaustion, over-fatigue from mental trouble, overstudy and
+anxiety, indigestion, dyspepsia, constipation, headache, inability to
+concentrate the mind, general lassitude, melancholia, backache and pains
+from the top of my head to the sole of my feet. You treated me about twelve
+months and effected a <i>perfect cure</i>.</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+WILLIAM SLATTERY,<br />
+Garden City, Finney Co., Kan.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_666" id="Page_666"></a>[pg
+666]</span></p><h4>HERNIA&mdash;LEFT INGUINAL&mdash;PRESENT EIGHT YEARS WITH NERVOUS
+PROSTRATION.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, 663 Main St., Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise401"><img width="90%" alt="Illustration:
+A.J. Kidder, Esq." src="images/advise401.png" /></a><br />A.J. Kidder,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I take greatest pleasure in making public the most
+wonderful cure I received at the Invalids' Hotel and Surgical Institute of
+Buffalo.</p>
+
+<p>I had suffered severely for eight years with a left inguinal hernia; had
+tried many physicians and medicines, but found only temporary relief. I was
+greatly run-down, and my nervous system considerably shattered. My friends
+persuaded me to go to the Invalids' Hotel and Surgical Institute. While
+there I was operated on by their specialist, and in a few weeks began to
+gain strength and energy so that I could return home, and have since felt
+entirely well.</p>
+
+<p>Words could not do justice to my feeling in regard to this institution.
+There is no place like it for medical aid, and I would urge all invalids to
+go there, feeling confident that they could no where receive more skillful
+treatment or more kind attention and care.</p>
+
+<blockquote>
+<p>
+Respectfully,<br />
+A.J. KIDDER,<br />
+North Yam Hill, Yamhill Co., Oreg.<br />
+</p>
+</blockquote>
+
+
+<h4>THICK NECK (GOITRE),</h4>
+
+<p><b>Nervous Debility and Weakness Cured</b>.</p>
+
+
+
+<p class="rfigure"><a name="advise402"><img width="90%" alt="Illustration:
+Mrs. Houghton." src="images/advise402.png" /></a><br />Mrs. Houghton.</p>
+
+<p>Miss ELLA A. HOUGHTON, of <i>Theresa, Jefferson Co., N.Y.</i>, was cured
+of Thick Neck, Nervous Prostration, Weakness and a complication of ailments
+by Dr. Pierce's '"Discovery" and "Favorite Prescription." She says: "My
+health is now as good as it was before I was sick. The swelling (goitre)
+has all gone from my neck. I don't have any bad feelings. My gratitude for
+the benefit I have received from your treatment has induced me to recommend
+you to all whom I know to be sick." "I have known of two or three middle
+aged ladies residing near here, who have been cured by your 'Favorite
+Prescription.'"</p>
+
+
+<h4>NERVOUS DEBILITY,</h4>
+
+<p><b>Cured by Special Home-treatment.</b></p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Lt'd, 3, New Oxford Street,
+London, W.C.:</p>
+
+
+
+<p class="lfigure"><a name="advise403"><img width="90%" alt="Illustration:
+G. Dancy, Esq." src="images/advise403.png" /></a><br />G. Dancy, Esq.</p>
+
+<p><i>Dear Sirs</i>&mdash;It is now over two years since I first began to feel
+something the matter with me. I gradually got worse, with a nervous and
+despondent feeling. I went to a doctor, who said I was suffering from
+debility and ordered me away. I got a little better and returned to work,
+but only to get worse again. I then had very restless nights with terrible
+dreams, and would wake up all in a perspiration. I often wished I was dead.
+At last, I had to give up work again, and thought that I should never
+return to it. I was then under several doctors, but they did me no good. I
+then came across a little book from your Association, and seeing cases like
+mine cured, I determined to come to London and see you. I was then under
+your treatment for three months at my home, taking your medicines and
+adhering to your rules. I felt a change the first week, and after three
+months' treatment I was restored to health. It is now four months since I
+took any of your medicine, and have not had any symptoms return. I am now
+at work again, and enjoying life the same as anyone else. I thank you very
+much for your kind attention. I remain,</p>
+
+<blockquote>
+<p>
+Yours truly, G. DANCY,<br />
+25, Merton Road, Stanford Road, Kensington, W. London.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_667" id="Page_667"></a>[pg
+667]</span></p><h4>"LIFE MISERABLE AT TIMES."</h4>
+
+<p><b>Nervous Exhaustion.</b></p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, 663 Main St., Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise404"><img width="90%" alt="Illustration:
+J.W. Durham, Esq." src="images/advise404.png" /></a><br />J.W. Durham,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;For several years I was a sufferer from some
+constitutional disease, or combination of diseases, which rendered life
+miserable at times. Dyspepsia, headache, dizziness, irritability and gloomy
+forebodings were among the symptoms I suffered. By chance, one of the
+pamphlets you publish fell into my hands, and I was induced to write you,
+describing my condition as best I could, and consequently I was treated by
+your Specialists.</p>
+
+<p>When I had been treated for two months I felt so well and the symptoms
+were so far gone that I felt I was cured and quit taking medicine. As this
+was more than two years ago time has proved that I was correct, for I am a
+healthy, robust man to-day&mdash;thanks to you and to your associates in the
+noble Institution which you have established for suffering humanity.</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+J.W. DURHAM,<br />
+Parkland, Jefferson County, Ky.<br />
+</p>
+</blockquote>
+
+
+<h4>NERVOUS AND GENERAL PROSTRATION.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise405"><img width="90%" alt="Illustration:
+Miss Morrison." src="images/advise405.png" /></a><br />Miss Morrison.</p>
+
+<p><i>Gentlemen</i>&mdash;It is with pleasure that I add my testimony to your
+list, hoping it may contribute to your success and induce others to avail
+themselves of the benefit of your invaluable medicines. In June, 1890, I
+took typhoid fever of malignant type; for two months I hovered between life
+and death; at length the fever left me in a prostrated condition. Then I
+was taken with a severe pain in my back and general nervous prostration;
+could not move myself in bed nor bear to be moved by the most careful
+nurses without experiencing excruciating pain. I had the best medical
+attention in the community, but they failed to give relief. My friends
+wrote to Dr. Pierce, stating my condition and requesting treatment for me.
+He treated me for two months; by that time I had so much improved that I
+did not think it worth while to continue the treatment longer, and my
+health has been such that I have not had occasion to lie in bed two days
+together since. I feel under lasting obligations to Dr. Pierce, and thank
+God for blessing the world with so able a physician.</p>
+
+<blockquote>
+<p>
+Very respectfully,<br />
+MISS MAGNOLIA MORRISON,<br />
+Abernethy, Iredell Co., N.C.<br />
+</p>
+</blockquote>
+
+
+<h4>NERVOUSNESS, CATARRH, AND INDIGESTION.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, NO. 683 Main St., Buffalo,
+N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise406"><img width="90%" alt="Illustration:
+R.A. Baldwin, Esq." src="images/advise406.png" /></a><br />R.A. Baldwin,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;For a long time I was suffering from indigestion,
+catarrh and nervousness. I was so run down that I could not go to school,
+and, as the various remedies I tried did me no good, I applied to you, and
+was advised to try a course of special treatment. After taking only two
+months' medicines from your noble institution, I feel perfectly restored to
+health. I have, moreover, recovered my lost flesh, and I am pleased to say
+need no further medicines.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+E.A. BALDWIN,<br />
+Proctorsville, Windsor Co., Vermont.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_668" id="Page_668"></a>[pg
+668]</span></p><h4>LOSS OF FLESH AND STRENGTH.</h4>
+
+<p><b>Nervous Prostration</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise407"><img width="90%" alt="Illustration:
+C. Holmstedt, Esq." src="images/advise407.png" /></a><br />C. Holmstedt,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I was run down entirely, losing my flesh and getting
+weak and nervous, and had hard work to draw a long breath; could hardly
+breathe at all, and came nearly dying once or twice. Had tried many kinds
+of patent medicines&mdash;many doctors, all in vain.</p>
+
+<p>One day I saw an advertisement in a newspaper, about "If you are run
+down and losing flesh, use 'Golden Medical Discovery.'" I, like a drowning
+man, would grab at anything on sight. So I went to my druggist and asked
+him for "Golden Medical Discovery," and he had it and I bought one bottle
+and followed the directions and it did me good at first start; so I bought
+two bottles every month until I had used about six bottles, then I had my
+strength back and could draw my breath and felt like a new man.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+CHARLES HOLMSTEDT,<br />
+Newtonville, Baraga County, Mich.<br />
+</p>
+</blockquote>
+
+
+<h4>NERVOUS EXHAUSTION.</h4>
+
+<p><b>A Prominent Nurse and Student in Diseases of Females</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise408"><img width="90%" alt="Illustration:
+Sarah Barnhardt." src="images/advise408.png" /></a><br />Sarah
+Barnhardt.</p>
+
+<p><i>Gentlemen</i>&mdash;One could scarcely discharge a more pleasant duty to a
+suffering fellow being than to direct them to a place of relief. Hence, I
+desire to state that a short time ago, life was almost a burden to mo until
+I began taking treatment for nervous exhaustion from Dr. Pierce of the
+Invalids' Hotel and Surgical Institute, at Buffalo, N.Y., and can
+conscientiously say at the end of six weeks, I feel like another being.</p>
+
+<p>I have also consulted Dr. Pierce on numerous occasions during the past
+eight years, and at no time whatever have I known his remedies to fail,
+more especially, his "Favorite Prescription," (which I have used in my
+practice), and the "Golden Medical Discovery," when taken according to
+directions.</p>
+
+<p>These remedies will in no event disappoint. I am now In the enjoyment of
+perfect health&mdash;a blessing which I attribute to the kind Providence which
+directed me to the World's Dispensary Medical Association.</p>
+
+<blockquote>
+<p>
+Yours gratefully,<br />
+SARAH BARNHARDT,<br />
+Grand Rapids, Mich.<br />
+</p>
+</blockquote>
+
+
+<h4>NERVOUS EXHAUSTION.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, 663 Main St., Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise409"><img width="90%" alt="Illustration:
+W.E. Dixon, Esq." src="images/advise409.png" /></a><br />W.E. Dixon,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;It is over a year now since I applied to you for help
+and it is more than six months since I reported myself as well. I have
+worked very hard since then, and still have continued well all the
+time.</p>
+
+<p>When I called upon you for treatment I was in a terrible condition. I
+was subject to severe headaches; was troubled with a tired, an almost
+lifeless feeling, and although I slept, <i>I could not get rest</i>. I was
+nervous and fretful, and could not do as much work as I wanted to do. To
+tell it all in a few words <i>I was all run down</i>. I had never wholly
+recovered from the grip, which left me in a very poor condition; and that,
+together with over-work and insufficient physical exercise, had put me in
+such a condition that I was almost unfit to teach my school.</p>
+
+<p>After five months' treatment (one month intervening in which I received
+none) I considered myself well, and I think that I was right. I feel very
+grateful to you for your treatment of me, and shall ever be willing to
+speak a good word for you.</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+WILLIAM E. DIXON,<br />
+Harwich Port, Barnstable County, Mass.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_669" id="Page_669"></a>[pg
+669]</span></p><h4>NERVOUS EXHAUSTION.</h4>
+
+<p>DR. R.V. PIERCE, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise410"><img width="90%" alt="Illustration:
+Geo. S. Wilson, Esq." src="images/advise410.png" /></a><br />Geo. S.
+Wilson, Esq.</p>
+
+<p><i>Dear Sir</i>&mdash;After being troubled with my head for two years and
+taking treatment with ten different doctors and getting no help, I started
+for your city, but allowed myself to be talked out of seeing you by a man
+on the train; stopped off at Lancaster and saw Dr. &mdash;&mdash;, took one month's
+treatment with no benefit&mdash;grew worse.</p>
+
+<p>After that, started once more, did not tell where I was going. I was a
+complete wreck&mdash;had to be helped on board of the cars. You looked me over
+carefully&mdash;you seemed to know just what the trouble was. Gave me medicine
+for a month's treatment. I came back homo and took the medicine. Well, I
+was surprised the first week and have been ever since&mdash;gained right along.
+Have been well ever since and all for one month's treatment, for which I
+thank you very much.</p>
+
+<blockquote>
+<p>
+Respectfully, GEO. S. WILSON,<br />
+Perry, Wyoming Co., N.Y.<br />
+</p>
+</blockquote>
+
+
+<h4>NERVOUS EXHAUSTION.</h4>
+
+<p>Cayuga, Vermilion Co., Ind.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Gentlemen</i>&mdash;It is now about eighteen months since I discontinued
+the use of your medicines. I can truly say I feel like a new man. I have
+none of that wakefulness at night, or the tired feeling when I get up of a
+morning. Now, I can work hard all day, go to bed at night tired, wake up
+the next morning rested and refreshed, though I took but two months'
+treatment; its value to me I am not able to estimate; before and during
+treatment I weighed about 160 pounds, and now I weigh 185 pounds. With many
+thanks and good wishes, I am,</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+Geo. F. Howard<br />
+</p>
+</blockquote>
+
+
+<p><b>SEVERE NERVOUS PROSTRATION</b>.</p>
+
+<p>"<b>Out of Darkness Into Light</b>."</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, 663 Main Street, Buffalo,
+N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise411"><img width="90%" alt="Illustration:
+Mrs. Austin." src="images/advise411.png" /></a><br />Mrs. Austin.</p>
+
+<p><i>Gentlemen</i>&mdash;About eighteen years ago, after the birth of one of my
+children I was left in a weak, run-down condition; it seemed to me that my
+nerves were unstrung very bad: I did not suffer much pain, but I think I
+suffered everything any one could suffer with nervousness; my life was a
+misery to me. I doctored with seven different doctors and got no relief;
+then I took almost all kinds of patent medicines and got no relief from
+them, but got worse all the time, when I chanced to get one of your little
+pamphlets.</p>
+
+<p>I thought I would write to you, and waited as I thought to hear that
+there was no help for me; when my answer came and you said you could cure
+me great was my joy. I had taken your medicine about a month when I began
+to improve and in a few months was entirely cured.</p>
+
+<p>My recovery was like coming out of the dark into the light, so great was
+the change. I will advise all sufferers to go to you for relief&mdash;I don't
+think they will be disappointed. When I commenced taking your medicine I
+weighed 94 pounds, now I weigh 125 pounds.</p>
+
+<p>I do not know how to thank you for all the good your remedies did me,
+With heart-felt thanks I am.</p>
+
+<blockquote>
+<p>
+Sincerely yours,<br />
+MRS. AMANDA C. AUSTIN,<br />
+Burden, Cowley Co., Kansas.<br />
+</p>
+</blockquote>
+
+<p>P.S.&mdash;I have a lady friend who is taking Dr. Pierce's Favorite
+Prescription now, and last summer every one thought she was going with
+consumption; four of her father's family had died with it in five years:
+she has taken one bottle of "Favorite Prescription," and now she is better
+in health than she has been in three years. Her address is Mrs. Laura
+Paugh, Burden, Cowley Co., Kas. A.C.A.</p>
+
+
+<p><span class="pagenum"><a name="Page_670" id="Page_670"></a>[pg
+670]</span></p><h4>NERVOUS EXHAUSTION.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, NO. 663 Main St., Buffalo,
+N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise412"><img width="90%" alt="Illustration:
+C. Gaul, Esq." src="images/advise412.png" /></a><br />C. Gaul, Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;For the last five years I have tried many leading
+doctors in this country but without avail. I gave up every hope. Your
+advertisement fell into my hands; at the time I did not know what to do
+because all my money had gone for medicine, but money was no object to me.
+I could not rest till I was cured.</p>
+
+<p>Your treatment, which I received, cured me in a short time, and I am
+just as good as ever. I come before the public to advise anyone in need of
+treatment to give you the first chance, and he will find relief for I
+believe that nowhere can one obtain more skillful care or more kindly
+attention. Hoping that success will crown your business, I am,</p>
+
+<blockquote>
+<p>
+Very truly yours,<br />
+CHARLES GAUL,<br />
+Muskegon, Muskegon Co., Mich,<br />
+care of "Warwick House."<br />
+</p>
+</blockquote>
+
+
+<h4>NERVOUS PROSTRATION, SLEEPLESSNESS, DYSPEPSIA, AND RHEUMATISM.</h4>
+
+
+
+<p class="rfigure"><a name="advise413"><img width="90%" alt="Illustration:
+T. TOWNSEND, ESQ." src="images/advise413.png" /></a><br />T. TOWNSEND,
+ESQ.</p>
+
+<p>Mr. J.T. TOWNSEND, of <i>Noah, Coffee County, Tenn</i>., consulted us by
+letter. He was suffering from great nervous prostration; could not walk
+without tottering: was troubled greatly with inability to sleep; poor
+appetite; did not relish food; suffered much pain and stiffness in the
+joints; was overcome with heat working on a thresher, followed by
+persistent nausea, confusion of ideas, his memory being very defective.</p>
+
+<p>After taking a single course of treatment, the medicines being sent by
+express, he writes as follows: "The medicine you sent me lasted me five
+weeks, and proved very beneficial indeed. I believe it, under God, was the
+means of saving me from a premature grave. When I received the medicine, I
+had just gotten rid of an attack of bilious fever, which left me in a
+deplorable condition. I was very week and nervous, but my improvement
+commenced with the first dose of your medicine, so by the time my medicine
+was out felt better than I had for years, and now have no indication of a
+return of my trouble." A month later he writes: "I continue to enjoy the
+most perfect health. Every organ of my body, and every faculty of my mind,
+is in splendid condition, which makes life worth living. I have gained
+twenty-one pounds since I have been able to attend to business. Please
+accept my profound thanks for your promptness in sending me my
+medicines."</p>
+
+
+<h4>NERVOUS PROSTRATION.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, NO. 663 Main St., Buffalo,
+N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise414"><img width="90%" alt="Illustration:
+G.W. Colquitt, Esq." src="images/advise414.png" /></a><br />G.W. Colquitt,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;It gives me pleasure to testify to your skill in the
+treatment of my case. When I applied to you last June, I was suffering all
+the horrors of nervous prostration, which was brought on by over-work and
+constant anxiety. I had no energy and no interest in business; rather an
+aversion to anything like work. My appetite was poor, indeed food seemed to
+distress rather than nourish. I felt tired and drowsy mornings; irritable
+and despondent; suspicious of every body and everything. After two months'
+treatment these unpleasant symptoms disappeared, and my health is better
+than it has been for twenty years.</p>
+
+<p>I can never express to you my gratitude for your kindness, and would
+cheerfully recommend your Institution to all sufferers.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+GEORGE W. COLQUITT,<br />
+Palmetto, Campbell Co., Ga.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_671" id="Page_671"></a>[pg
+671]</span></p><h4>BAD CASE OF UTERINE DISEASE AND NERVOUS PROSTRATION,</h4>
+
+<p><b>Cured by Home Treatment.</b></p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise415"><img width="90%" alt="Illustration:
+Mrs. Glass." src="images/advise415.png" /></a><br />Mrs. Glass.</p>
+
+<p><i>Gentlemen</i>&mdash;It is with pleasure that I write to let you know the
+great benefit I have received from your medicines and self-treatment at
+home, which you kindly sent me, advising me to take your Dr. Pierce's
+Favorite Prescription and "Pleasant Pellets" and "Golden Medical Discovery"
+for my troubles. I did take your advice as near as I could; when I wrote my
+first letter to you, I had been treated by different doctors for twelve
+months and received but very little or no benefit, but had spent one
+hundred dollars for treatment and medicines.</p>
+
+<p>My husband, and little boy twelve years old, did all the family sewing
+and washing and work in general, and I could not walk across the room
+without help or stand on my feet one minute at a time; at night I could not
+sleep, nor day time either; nothing I ate tasted well&mdash;I had no desire to
+eat anything; my bowels were costive all the time, and after following your
+advice and using about fourteen dollars worth of your medicines altogether,
+I now feel like a new person. I am not bothered with that nervousness,
+where it used to be that I could not stand a sudden rush of horses feet, or
+a quick halloo from one's boys, or a sudden sound of anything would cause
+me to take sudden nervous spells of some kind, as if I were smothering or
+dying, or something of the kind&mdash;I can't tell just how I did feel. Now I do
+all my washing, sewing and house work in general for a family of
+seven&mdash;five children, my husband and self, and help my husband in the field
+some besides. I can truthfully say, ii it had not been for Dr. Pierce's
+medicines and the kind advice to me, with self-treatment at home, I would
+have been dead long ago, and I never can feel that I can say enough for his
+skill and medicine nor thank him enough for the good he has done me.</p>
+
+<p>I use no other medicines in my family but these and never will, for they
+do all that is claimed for them and more too. I have one of the "Advisers,"
+and I would not be without it for fifty times its cost. May God be with you
+throughout your life is my prayer.</p>
+
+<blockquote>
+<p>
+Respectfully yours,<br />
+MRS. ADDIE GLASS,<br />
+Bandera, Bandera Co., Texas.<br />
+</p>
+</blockquote>
+
+
+<h4>NERVOUS PROSTRATION FOLLOWING GRIP.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise416"><img width="90%" alt="Illustration:
+W.S. Nicholson, Esq." src="images/advise416.png" /></a><br />W.S.
+Nicholson, Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;In January of '90 I took the "grippe," went to work
+before I was well, was caught in a rain which gave me a very bad relapse,
+resulting in lung fever and complete prostration; was on my bed two months,
+and when I did get out, the strength to walk any more than just a few rods
+did not come back. My family doctor and two prominent physicians of Sioux
+City, did me no good. Late in the fall I got a bottle of Dr. Pierce's
+Golden Medical Discovery, which quieted my trembling nerves and gave me an
+appetite to eat. I then concluded to try the Doctor, personally. Up to this
+time I was in a pitiable condition. Sometimes I could not sleep until I
+felt almost wild, then sleep so much I would be stupefied. I could not
+digest any food and my whole system was wasting and failing fast. I doubt
+if any one who saw me expected me to get well. I took the treatment sent me
+by the World's Dispensary Medical Association for more than a year. The
+medicine never gave me any distress as other medicines had done before. I
+began to improve from the start, but the change from one extreme to the
+other was like the growth of a child.</p>
+
+<p>To any one suffering from nervous prostration I would say, "don't be
+impatient." It takes a long time for weakened nerves to grow strong. I have
+at last become strong and well, thanks to the Giver of all good and the
+grand Institution at Buffalo. I have since married a noble-hearted young
+woman, and when I am playing with our sweet, healthy, baby girl, I give way
+to the thought that at last the long, sad chapter of my life is ended; at
+such times her merry laugh sounds like a song of triumph of life over
+death.</p>
+
+<blockquote>
+<p>
+Gratefully yours,<br />
+W.S. NICHOLSON,<br />
+Willow Creek, Clay Co., Iowa.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_672" id="Page_672"></a>[pg
+672]</span></p><h4>NERVOUS PROSTRATION COMPLICATED WITH KIDNEY AND BLADDER
+DISEASE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise417"><img width="90%" alt="Illustration:
+M. Manheim, Esq." src="images/advise417.png" /></a><br />M. Manheim,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;Having been a patient in your Invalids' Hotel for
+several weeks, I take great pleasure in telling other sufferers of my
+treatment which I received under your efficient staff of physicians,
+surgeons and nurses, and I will say with clear conscience that every care
+and comfort was given me that I wished for. I am sure that your Institution
+is far in advance of the age, and would wish that every invalid could avail
+himself of the treatment that I received in your most, excellently kept
+Invalids' Hotel. I cheerfully give this as my testimonial to individuals,
+friends and sufferers. My health is so fully restored that I look upon life
+with pleasure and comfort, whereas before I was a suffering nervous
+invalid, unable to sleep and much of the time in torment. Wishing you
+success I am your friend and well wisher,</p>
+
+<blockquote>
+<p>
+M. MANHEIM,<br />
+Georgetown, S.C.<br />
+</p>
+</blockquote>
+
+
+<h4>NERVOUS EXHAUSTION.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, NO. 663 Main St., Buffalo,
+N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise418"><img width="90%" alt="Illustration:
+A.D. Christie, Esq." src="images/advise418.png" /></a><br />A.D. Christie,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I was troubled with nervous exhaustion; my legs and
+back ached, and I could not sleep hardly any, and could not rest at night
+for about three months, and, reading in one of your Memorandum Books a case
+that suited mine and having taken medicines without any good results, I
+concluded to try your medicines. I explained my case carefully and got one
+month's medicines, of which I did not take all as I thought I did not need
+it, as I felt like another man&mdash;could sleep well and work without having
+that "all-gone feeling."</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+A.D. CHRISTIE,<br />
+Maple Creek, Forest Co., Penn.<br />
+</p>
+</blockquote>
+
+
+<h4>NERVOUS AND GENERAL PROSTRATION.</h4>
+
+<p>"<b>Life Is Now Sweet</b>."</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise419"><img width="90%" alt="Illustration:
+Miss Moyers." src="images/advise419.png" /></a><br />Miss Moyers.</p>
+
+<p><i>Gentlemen</i>&mdash;Six years ago I had an attack of measles, which left
+my health in a precarious condition. I was placed under the treatment of a
+good physician who did all in his power to restore my health, but all in
+vain. I had dyspepsia and could not eat meat, vegetables nor fruit of any
+kind. I suffered alternately from cold and heat. At times my feet and knees
+would feel like ice to the touch, and at other times I would suffer the
+most excruciating torture, seeming as though every nerve in my body was
+being seared with a hot iron. My left hip and knee would become so affected
+that I could scarcely walk across the room. I slept very little. On one
+occasion I remained awake four days and four nights, and then was put to
+sleep by repeated doses of morphine. My nervous system became so shattered
+that words spoken by any person in my room fell like pebbles on my brain;
+and nights I would often have to be raised in bed to prevent smothering to
+death. It is impossible for me to describe my sufferings at that time but I
+know that if it had not been for Dr. Pierce's Favorite Prescription I would
+to-day have been in my grave.</p>
+
+<p>I began the use of the "Favorite Prescription" in March&mdash;three years
+ago, as well as I can remember. Continued till summer when I wrote to
+you&mdash;received your advice and a few simple prescriptions which I had filled
+at the drug store. I also began the use of the "Golden Medical Discovery."
+<span class="pagenum"><a name="Page_673" id="Page_673"></a>[pg
+673]</span>My nerves became quiet: I slept well; my stomach began to heal;
+my strength returned and I began to feel like a new person. And, to-day,
+while I am not as strong as the strongest, I can do any kind of work that
+other women do, and each season I can say I am stronger than I was the
+last. I used thirty bottles of your medicines. Some may say that was a
+great deal, but I will never regret the money and patience it took to cure
+me. It has enabled me to once more enter school where I am trying to make
+up for those lost years of my life, and as I join the girls in their romps,
+I can say that "life is now sweet."</p>
+
+<p>Any one desiring particulars may address me.</p>
+
+<blockquote>
+<p>
+Respectfully,<br />
+MISS LUCY MOYERS,<br />
+Kelso, Lincoln Co., Tenn.<br />
+</p>
+</blockquote>
+
+
+<h4>NERVOUS EXHAUSTION.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise420"><img width="90%" alt="Illustration:
+W.H. Keesler, Esq." src="images/advise420.png" /></a><br />W.H. Keesler,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I was thought to be beyond all help and had but very
+little hope myself, but at the urgent entreaty of my wife I let her write
+to you for me and began taking special treatment from you. I could eat but
+very little and could keep nothing on my stomach, and was vomiting up bile
+once or twice every day; muscles all gone and too weak to get about. But
+to-day I think I am a sound healthy man. I owe it all to your treatment,
+and a loving Saviour who blessed the means in your hands to the healing of
+this body of mine. And I gladly recommend the sick and suffering to try Dr.
+Pierce, and pray God to bless you and your work.</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+W.H. KEESLER,<br />
+P.O. Box 185, Harriman, Roane Co., Tenn.<br />
+</p>
+</blockquote>
+
+
+<h4>NERVOUS EXHAUSTION.</h4>
+
+<p>Farina, Fayette Co., Ill.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Gentlemen</i>&mdash;It gives me great pleasure to add my testimony to that
+of many others in behalf of the great success of your Institution. I had
+been breaking in general health for years and had got so that I could not
+properly attend to my business. Was very forgetful and easily irritated and
+excited, and was unable to attend to my business a good part of my time. I
+doctored with country and city M.D.'s., and took patent medicine, but
+without any permanent good. I was induced to write to you, which resulted
+in my taking about one and one-half months' treatment from you, when I felt
+so much better that I discontinued the treatment. For the last six months I
+have felt like my old natural self again, and am able to attend strictly to
+business all the time for which I am very thankful.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+C.H. West.<br />
+</p>
+</blockquote>
+
+
+<h4>KIND WORDS.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise421"><img width="90%" alt="Illustration:
+J. Hurst, Esq." src="images/advise421.png" /></a><br />J. Hurst, Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;Having spent four weeks in your Institution, it gives
+me great pleasure to state that during that time I received the most
+courteous and faithful care and treatment, and I bear willing testimony to
+the skill and ability of the surgeons and the faithful care of the
+nurses.</p>
+
+<p>Wishing you continued success, I recommend all persons suffering from
+chronic diseases to give you a trial.</p>
+
+<blockquote>
+<p>
+Respectfully yours,<br />
+JOHN HURST,<br />
+Marquette, Bighorn Co., Wyo.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_674" id="Page_674"></a>[pg
+674]</span></p><h4>SICK HEADACHE, GENERAL DEBILITY, MALARIA.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise422"><img width="90%" alt="Illustration:
+Mrs. J.H. Lansing." src="images/advise422.png" /></a><br />Mrs. J.H.
+Lansing.</p>
+
+<p><i>Gentlemen</i>&mdash;I am happy to say that your valuable medicine has been
+a great benefit to me. I was suffering from general debility, malaria and
+nervous sick headaches, and after my third child was born (a beautiful baby
+boy of ten pounds) I only recovered after a long illness; I barely gained
+strength enough in two years time so that I was able to crawl about to
+accomplish the little housework that I had, by lying down to read many
+times each day; had sick headaches very often; and many pains and aches,
+all the time complaining of getting no better. I finally asked my husband
+to get a bottle of Dr. Pierce's Favorite Prescription, which he promptly
+did. After I had taken one bottle I could see a great change in my
+strength, and fewer sick headaches.</p>
+
+<p>I continued taking the medicine until I had taken eight bottles&mdash;seven
+of the "Favorite Prescription" and one of the "Golden Medical Discovery."
+For some time past I have not used it, but I am now able to do the
+housework for myself, husband and two children (aged nine and five years).
+I also take in dressmaking, and enjoy walking a mile at a time, and I think
+it Is all due to the medicine, for I know I was only failing fast before I
+commenced to take it. I take great pleasure in recommending the "Favorite
+Prescription" to all women who suffer from debility and sick headache.</p>
+
+<blockquote>
+<p>
+Respectfully yours,<br />
+MRS. J.H. LANSING,<br />
+Fort Edward, Washington Co., N.Y.<br />
+</p>
+</blockquote>
+
+
+<h4>HEADACHE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise423"><img width="90%" alt="Illustration:
+E. Vargason, Esq." src="images/advise423.png" /></a><br />E. Vargason,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I have used your medicines for a number of years, and
+know that they do for me all that is claimed for them. I am employed mostly
+at my desk, and not infrequently have an attack of the headache. It usually
+comes on in the forenoon. At my dinner I eat my regular meal, and take one
+or two of Doctor Pierce's Pleasant Pellets immediately after, and in the
+course of an hour my headache is cured and no bad effects. I feel better
+every way for having taken them&mdash;not worse, as is usual after taking other
+kinds of pills. Your "Pleasant Pellets" are worth more than their weight in
+gold, if for nothing else than to cure headache.</p>
+
+<blockquote>
+<p>
+Very respectfully,<br />
+E. VARGASON,<br />
+Otter Lake, Lapeer Co., Mich.<br />
+</p>
+</blockquote>
+
+
+<h4>HEADACHE AND CONSTIPATION.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise424"><img width="90%" alt="Illustration:
+Miss Wolfe." src="images/advise424.png" /></a><br />Miss Wolfe.</p>
+
+<p><i>Gentlemen</i>&mdash;I suffered from loss of appetite, constipation,
+neuralgia, and great weakness, and had terrible attacks of sick headache
+very frequently; also nose bleed. My health was so poor that I was not able
+to go to school for two years. I took Dr. Pierce's Pleasant Pellets and
+"Golden Medical Discovery," and in a short time I was strong and well. Many
+friends are taking your medicines seeing what they have done for me.</p>
+
+<blockquote>
+<p>
+Respectfully yours,<br />
+Miss BERTHA WOLFE,<br />
+Markham, Cattaraugus Co., N.Y.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_675" id="Page_675"></a>[pg
+675]</span></p><h4>TERRIBLE PAIN IN HEAD AND FAINTING SPELLS.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise425"><img width="90%" alt="Illustration:
+Mrs. Jacobs." src="images/advise425.png" /></a><br />Mrs. Jacobs.</p>
+
+<p><i>Gentlemen</i>&mdash;When I commenced taking your medicine I was very
+sickly. I had frequent spells of fainting, terrible pain in my head, and
+life was a burden to me. I was attended by one of the best physicians in
+our town, but with no good results. At last a neighbor advised me to try
+Dr. Pierce's Favorite Prescription, which I did, and after taking one
+bottle I felt greatly benefited. I would advise all ladies similarly
+afflicted to try "Favorite Prescription."</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+MRS. SAMUEL A. JACOBS,<br />
+Mechanicsburgh,<br />
+Cumberland Co., Penn.<br />
+</p>
+</blockquote>
+
+
+<h4>SICK HEADACHE, BOILS.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, NO. 663 Main St., Buffalo,
+N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise426"><img width="90%" alt="Illustration:
+Wm. Ramich, Esq." src="images/advise426.png" /></a><br />Wm. Ramich,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I was troubled with boils for thirty years. Four years
+ago I was so afflicted with them that I could not walk. I bought Dr.
+Pierce's Pleasant Pellets, and took one "Pellet" after each meal. The boils
+soon disappeared and have had none since. I have also been troubled with
+sick headache. When I feel the headache coming on, I take one or two
+"Pellets," and am relieved of it.</p>
+
+<blockquote>
+<p>
+Respectfully yours,<br />
+WILLIAM RAMICH,<br />
+Minden, Kearney Co., Neb.<br />
+</p>
+</blockquote>
+
+
+<h4>SICK HEADACHE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION. Lt'd:</p>
+
+
+
+<p class="lfigure"><a name="advise427"><img width="90%" alt="Illustration:
+Mrs. Baker." src="images/advise427.png" /></a><br />Mrs. Baker.</p>
+
+<p><i>Gentlemen</i>&mdash;Having suffered several years with very bad bilious
+attacks and all kinds of headaches, I tried different kinds of medicines
+but found nothing to cure me. Having read about Dr. Pierce's Pleasant
+Pellets, I commenced taking them. Before I had finished one phial I found
+benefit; they have done me great good. I have recommended them to all my
+friends and will continue to do so where I have the chance.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+MRS. JAMES BAKER,<br />
+Furneaux, Pelham, Nr. Buntingford, Herts.<br />
+</p>
+</blockquote>
+
+
+<h4>OBSTINATE NEURALGIA.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, NO. 663 Main St., Buffalo,
+N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise428"><img width="90%" alt="Illustration:
+A. Habenicht, Esq." src="images/advise428.png" /></a><br />A. Habenicht,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;This is to certify that I had the neuralgia several
+years, and was not able to perform labor nor attend to business. I was
+induced to try your medicines, which I took and they effected a permanent
+cure. I am now well and hearty, and able to do a good day's work, and weigh
+one hundred and eighty pounds,&mdash;and thanks to you for it. I used your
+medicines three months and was cured.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+AUGUST HABENICHT,<br />
+Fort Pierce, Brevard Co., Fla.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_676" id="Page_676"></a>[pg
+676]</span></p><h4>PARALYSIS AND UTERINE DISEASE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, 603 Main St., Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise429"><img width="90%" alt="Illustration:
+Mrs. Mann." src="images/advise429.png" /></a><br />Mrs. Mann.</p>
+
+<p><i>Gentlemen</i>&mdash;I will say that your Institute is all that you claim
+for it, and more too. The Doctors are courteous gentlemen and the best
+Physicians I have ever met with in my life. My treatment while at the
+Institute did me more good in one month than all the doctors everywhere
+else combined. My ailment was Paralysis and Female Weakness. Your treatment
+did me good while at the Institute, and I have also been greatly benefited
+by the home-treatment I have received from you since. I am much better than
+I was; I am able to do considerable work now. When I came to you I could
+not do anything.</p>
+
+<p>I herewith send you my heartfelt thanks for all you have done for me,
+and should I need more treatment I will write you as before. I would advise
+all people who have chronic diseases to go to the Invalids' Hotel and
+Surgical Institute for help, for it is a grand place and prices are
+reasonable. We use your Family Medicines&mdash;your "Pellets" and Golden Medical
+Discovery&mdash;and find they are all you claim for them.</p>
+
+<p>Again I thank you and remain, your friend,</p>
+
+<blockquote>
+<p>
+MRS. S.B. MANN,<br />
+Sutton, Clay Co., Neb.<br />
+</p>
+</blockquote>
+
+
+<h4>PARTIAL PARALYSIS FROM UTERINE DISEASE.</h4>
+
+<p>Buffalo, La Rue County, Ky.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Gentlemen</i>&mdash;I am still having very good health. I value Dr.
+Pierce's Golden Medical Discovery and his "Favorite Prescription" very
+highly and often recommend them to others. I do not think I would ever have
+got well if it had not been for your medicines. I was in a sad condition.
+My bowels and half of my body (the left side), was nearly paralyzed,
+besides nearly my whole system was out of order. I suffered all the time;
+but after taking six bottles of "Golden Medical Discovery" and the same of
+"Favorite Prescription," and using two bottles of Sage's Catarrh Remedy as
+an injection, I felt like a new person. I have never seen anyone suffering
+in the same way as I did. If anyone with female trouble of any kind will
+use your medicines I am satisfied they will help them.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+Mary A. Sallee.<br />
+</p>
+</blockquote>
+
+
+<h4>LOCOMOTOR ATAXIA. SPECIAL TREATMENT.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Ltd., No. 3 New Oxford Street,
+London, W.C.:</p>
+
+
+
+<p class="rfigure"><a name="advise430"><img width="90%" alt="Illustration:
+C.F.G. Castleman, Esq." src="images/advise430.png" /></a><br />C.F.G.
+Castleman, Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;In the latter part of 1890, I was struck down with
+that terrible&mdash;and by many members of the medical profession pronounced to
+be, incurable disease, locomotor ataxia. My family doctor declared that
+nothing could be done for me, but for the sake of satisfaction advised me
+to go to London, and see an expert, whom he named. I did so, with the
+result of being told as above. This was in November, 1890. The symptoms
+were first numbness in hands and feet, which soon extended as far as the
+thighs, joined with the most intense feeling of cold that it can be
+possible to imagine. For six months I felt as though I had stood in ice up
+to my thighs. I soon became unable to walk or to stand, and crawled up
+stairs on my hands and knees, I thought for the last time, as I then
+thought I should die. Stomach troubles then set in, and for more than three
+months, I endured the utmost agony. Night and day sweats absorbed my little
+remaining strength, and I became helpless. I had taken leave of my family,
+not expecting to last the day out, when I was seen by a young doctor, who
+is fast becoming an eminent man, who said he thought he could alleviate my
+sufferings&mdash;though he did not expect to cure me. He commenced to treat me,
+and in about one month I began to improve, though very slowly. This was in
+February, 1891, and before the end of the year I was able to walk down
+stairs again. It was in March, 1892, that I began taking Dr. Pierce's
+Golden Medical Discovery, and <span class="pagenum"><a name="Page_677"
+id="Page_677"></a>[pg 677]</span>on sending to you for a bottle in reply to
+your inquiry, I began your special treatment, with the happy result that I
+gradually improved in health and strength; and on the 26th of October,
+1892, I was able to call on you in London, and you advised me to continue
+your treatment, and use a battery as well, which I did until April, 1893,
+when I could walk about quite nicely, and I now enjoy better health than
+for the past eight years. I am thankful too, that my eldest daughter has
+derived the greatest benefit from Dr. Pierce's Favorite Prescription. She
+took it for painful menstruation, and is now well and healthy. I am</p>
+
+<blockquote>
+<p>
+Yours very truly,<br />
+C.F. GOODWIN CASTLEMAN,<br />
+Bursledon, Southampton, England.<br />
+</p>
+</blockquote>
+
+
+<h4>PARALYSIS, NERVOUS PROSTRATION, ETC.</h4>
+
+<p>From the records of the WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo,
+N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise431"><img width="90%" alt="Illustration:
+F.M. Brasher, Esq." src="images/advise431.png" /></a><br />F.M. Brasher,
+Esq.</p>
+
+<p>This gentlemen had a severe attack of grip in January, 1890. His health
+gradually declined until June, at which time he was taken very much worse.
+Had nervous shocks three or four times a day. Slight paralysis of lower
+limbs. Respiration and pulse slow and irregular. Bowels constipated and
+tongue coated. Indigestion. Ringing in the ears. Legs wasting. Dimness of
+vision. Lost flesh rapidly and reduced to "skin I and bones." Chills and
+sweats; dizzy. Had great distress in bowels. Pain about the heart. Had been
+confined to his bed 46 days, at the time the case was submitted to us. We
+sent only one month's course of special medicines. He writes us
+afterwards:</p>
+
+<p>"I am at regular farm work, after my doctor here having told me that I
+must die and that Dr. Pierce was a gigantic humbug."</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+F.M. BRASHER,<br />
+Homer, Logan Co., Ky.<br />
+</p>
+</blockquote>
+
+
+<h4>EPILEPTIC "FITS."</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, No. 663 Main St., Buffalo,
+N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise432"><img width="90%" alt="Illustration:
+Miss Swinehart." src="images/advise432.png" /></a><br />Miss Swinehart.</p>
+
+<p><i>Gentlemen</i>&mdash;My daughter, Sadie, is eighteen years old; has been
+afflicted with that dreaded disease, Epilepsy, for fourteen years. She
+received treatment from seven different doctors without any material
+benefit. She has only had one spasm after commencing with your treatment,
+now almost two years. Three boxes of epilepsy medicine, followed up with
+your "Favorite Prescription" cured her. She took about six months'
+treatment in all.</p>
+
+<p>This places us under a world of obligation to you as the instrument of
+our great relief under a kind Providence. Should there be any signs of it
+returning we would with unshaken faith send for more medicine. You can use
+her or my signature as you wish.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+GEORGE SWINEHART,<br />
+Lake, Stark Co., Ohio.<br />
+</p>
+</blockquote>
+
+
+<h4>EPILEPSY.</h4>
+
+<p><b>Cured by Special Treatment.</b></p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Ltd., No. 3 New Oxford St.,
+London.:</p>
+
+
+
+<p class="lfigure"><a name="advise433"><img width="90%" alt="Illustration:
+G.H. Plumbstead, Esq." src="images/advise433.png" /></a><br />G.H.
+Plumbstead, Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I have great pleasure in announcing to you my
+heartfelt thanks for the benefit derived from your treatment, having
+suffered from epileptic fits for six years. I have experienced as many as
+five and seven fits a day, some lasting two hours at a time. I am glad to
+say since trying your medicine which is now five months, I have not had
+one. Thanking you for your kindness.</p>
+
+<blockquote>
+<p>
+Gratefully yours,<br />
+GEO. HERBERT PLUMSTEAD,<br />
+67 Fishgate Street,<br />
+St. Edmunds, Norwich, England.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_678" id="Page_678"></a>[pg
+678]</span></p><h4>SPASMS OR FITS.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, 663 Main St., Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise434"><img width="90%" alt="Illustration:
+Master Johnnie Maxwell" src="images/advise434.png" /></a><br />Master
+Johnnie Maxwell</p>
+
+<p><i>Gentlemen</i>&mdash;I desire to express my gratitude for the wonderful
+results of your treatment with my little son John. He was very bad, as we
+thought, for the physician could do nothing for him any more, and I got
+discouraged and went to my daughter, Mrs. D.T. Knappenberger, of Jeannette,
+Pa., (who has been a terrible invalid and was cured at your Institute), for
+advice. 'Oh, father,' she said, 'don't doctor here, but go to Dr. Pierce.
+So the result was I gave her money and she sent for medicines. You sent two
+bottles of medicine and he never has taken a drop since and is perfectly
+well and never had a spell since. I do not know what you call the disease,
+but we called it spasms or fits. With my experience I can heartily
+recommend the Invalids' Hotel, and think if a case can be cured at all, you
+can cure it. And unless they can cure or greatly benefit the patient, they
+will not undertake it; this is my experience with the World's Dispensary.
+My daughter, Mrs. D.T. Knappenberger, and my son Johnnie, feel very
+grateful toward the Dispensary for their cure.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+D.A. MAXWELL,<br />
+Greensburgh, Westmorland Co., Pa.<br />
+</p>
+</blockquote>
+
+
+<h4>EPILEPSY, "FITS."</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise435"><img width="90%" alt="Illustration:
+Miss McCarty." src="images/advise435.png" /></a><br />Miss McCarty.</p>
+
+<p><i>Gentlemen</i>&mdash;My little girl was delicate from birth, nervous and
+irritable. When three and one-half years old we discovered she had that
+terrible disease "epilepsy," inherited from her father's family; she had
+spasms or fits once in two or three days, and grew worse so rapidly that in
+four months she had from four to eight fits in twenty-four hours. Home
+physicians did no good, and just then one of your little pamphlets came to
+me as they had come often before. As my need was great I wrote a
+description of her case, and though your answer did not seem very
+encouraging, I did not dare to lose any chance of saving my child, so I
+commenced the treatment. On November 6, 1891, she had seven fits; November
+7th gave her your medicines; she had four fits that day, and never one
+since. She took your medicines less than four months. She is nearly six
+years old, a strong, hearty, bright child, attending school every day.</p>
+
+<p>What more can I say than that I thank Dr. Pierce and the Faculty of the
+World's Dispensary Medical Association for having saved the life of my
+child, and I thank God that he gave them the knowledge and skill to do
+so.</p>
+
+<blockquote>
+<p>
+Respectfully yours,<br />
+MRS. J. MCCARTY,<br />
+Gouldsville, Washington Co., Vt.<br />
+</p>
+</blockquote>
+
+
+<h4>ST. VITUS'S DANCE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise436"><img width="90%" alt="Illustration:
+Master Ira D. Ponsler." src="images/advise436.png" /></a><br />Master Ira
+D. Ponsler.</p>
+
+<p><i>Gentlemen</i>&mdash;My boy had been in bad health for a long time. We
+called our home doctor, but he got no better. Finally he had the St.
+Vitus's Dance, and our doctor did not know what to do. So I wrote to you
+and did as you told me; I got two bottles of your "Favorite Prescription,"
+and one bottle and a half did the work all right. At that time, eighteen
+months ago, his weight was 85 pounds, now it is 135 to 140; he is fourteen
+years old.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+JEREMIAH PONSLER,<br />
+Zenas, Jennings County, Ind.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_679" id="Page_679"></a>[pg
+679]</span></p><h4>EPILEPSY.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise437"><img width="90%" alt="Illustration:
+Miss Thulin." src="images/advise437.png" /></a><br />Miss Thulin.</p>
+
+<p><i>Gentlemen</i>&mdash;My daughter, Josephine E. Thulin, is now six and a
+half years old. She had been afflicted with epilepsy for three and a half
+years, and received treatment from three different doctors, and from one
+especially, for the space of two years steady, without any benefit. Before
+taking your treatment she had as many as six or seven spells a day. The
+child could not have stood it much longer. After taking your treatment one
+month the spells stopped. With four months' special treatment from you, and
+two months' use of Dr. Pierce's Favorite Prescription she was entirely
+cured. In one year and three months she has not had a drop of medicine, and
+she is in the best of health and vigor.</p>
+
+<p>I would say to any sufferer from obstinate or chronic disease, and
+especially epilepsy, that we have a living witness. You can come and see
+for yourself that the doctors connected with the World's Dispensary Medical
+Association <i>do</i> understand how to prescribe.</p>
+
+<p>You can use this as a testimonial from me, of what you have done for us.
+I remain,</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+JOHN THULIN, (for daughter,)<br />
+Kearney, Buffalo Co., Nebr.<br />
+</p>
+</blockquote>
+
+
+<h4>A STRONG ENDORSEMENT.</h4>
+
+
+
+<p class="rfigure"><a name="advise438"><img width="90%" alt="Illustration:
+H.E. Bankston, Esq." src="images/advise438.png" /></a><br />H.E. Bankston,
+Esq.</p>
+
+<p><i>To whom it may concern</i>:</p>
+
+<p>This is to certify that I took treatment at the Invalids' Hotel and
+Surgical Institute, Buffalo, N.Y., and I was cured of a chronic trouble
+that had been maltreated by other physicians. While there I saw a man who
+had been cured by the specialists, who had before been given up to die by
+the best doctors in Troy, N.Y. Of course, the case must have been a very
+stubborn one. I afterwards saw a man here, in Georgia, die, who, if he had
+been in Pierce's Surgical Institute under the treatment and care of his
+skilled doctors and nurses, I know would have most assuredly got well. Why?
+Because it was only a case of <i>stone in the bladder</i>, and they are
+easily cured at Dr. Pierce's Surgical Institute. I think almost any chronic
+disease can be cured there, if taken in time, judging from my observations
+while an inmate of that Institution.</p>
+
+<blockquote>
+<p>
+H.E. BANKSTON,<br />
+Barnesville, Pike Co., Ga.<br />
+</p>
+</blockquote>
+
+
+<h4>COMPLICATION OF DISEASES.</h4>
+
+
+
+<p class="lfigure"><a name="advise439"><img width="90%" alt="Illustration:
+A. Holes, Esq." src="images/advise439.png" /></a><br />A. Holes, Esq.</p>
+
+<p>Without solicitude or hope of pecuniary reward, with heart-felt
+gratitude and a desire to aid my fellow-man to health and happiness, allow
+me to state, that as an inmate for more than a month of the Invalids' Hotel
+and Surgical Institute at No. 663 Main Street, Buffalo, N.Y., I feel
+warranted in its highest recommendation. While there I saw and talked with
+a groat number of people who came there as a last resort, to be cured of
+almost every chronic disease to which flesh is heir, and they were
+unanimous in their praise of the Institution and the skilled specialists
+who constitute its professional staff.</p>
+
+<blockquote>
+<p>
+ANDREW HOLES,<br />
+Moorhead, Minn.<br />
+</p>
+</blockquote>
+
+<p><span class="pagenum"><a name="Page_680" id="Page_680"></a>[pg
+680]</span></p><hr />
+
+
+
+
+
+
+<p class="figure"><a name="advise440"><img width="40%" alt="Illustration:
+OUTLINE OF THE FEMALE URINARY AND GENERATIVE ORGANS.  The above cut is
+introduced here to assist in conveying a correct idea of the Urinary and
+Generative Organs of Woman, their form and relative positions, together
+with the bones, muscles and other tissues forming the cavity of the pelvis
+in which the organs rest, and by which they are protected. By dividing that
+portion of the body directly through the middle from before backward, we
+first cut through the cushion of fat (mons veneris) covering the pubic
+bone, then in succession the bone, bladder, womb, vagina, rectum, front
+half of spine, spinal marrow, rear half of spine, and lastly the muscles
+and skin. Just underneath the bone in front is revealed that sensitive
+organ, the clitoris, a facsimile of the male organ in miniature, the head
+of which protrudes, while the body is covered with tissue, but is readily
+traced with the finger. Further back is the urethra, or water passage,
+which is one and a half inches long. Next is the vagina. When closed, its
+mucous lining is folded in upon itself, and requires dilating in order to
+be cleansed and to apply remedies. On the vagina rests the hollow,
+pear-shaped womb, the small end of which protrudes into the vagina, and in
+which is a small opening, leading through the neck into the cavity of the
+organ. On either side of the womb, near its top, are the Fallopian tubes
+leading to the ovaries, situated between the womb and hip bones. At every
+menstruation these organs throw off a germ-cell, which passes through the
+Fallopian tubes into the uterine cavity." src="images/advise440.png"
+/></a><br />  OUTLINE OF THE FEMALE URINARY AND GENERATIVE ORGANS.  The
+above cut is introduced here to assist in conveying a correct idea of the
+Urinary and Generative Organs of Woman, their form and relative positions,
+together with the bones, muscles and other tissues forming the cavity of
+the pelvis in which the organs rest, and by which they are protected. By
+dividing that portion of the body directly through the middle from before
+backward, we first cut through the cushion of fat (mons veneris) covering
+the pubic bone, then in succession the bone, bladder, womb, vagina, rectum,
+front half of spine, spinal marrow, rear half of spine, and lastly the
+muscles and skin. Just underneath the bone in front is revealed that
+sensitive organ, the clitoris, a facsimile of the male organ in miniature,
+the head of which protrudes, while the body is covered with tissue, but is
+readily traced with the finger. Further back is the urethra, or water
+passage, which is one and a half inches long. Next is the vagina. When
+closed, its mucous lining is folded in upon itself, and requires dilating
+in order to be cleansed and to apply remedies. On the vagina rests the
+hollow, pear-shaped womb, the small end of which protrudes into the vagina,
+and in which is a small opening, leading through the neck into the cavity
+of the organ. On either side of the womb, near its top, are the Fallopian
+tubes leading to the ovaries, situated between the womb and hip bones. At
+every menstruation these organs throw off a germ-cell, which passes through
+the Fallopian tubes into the uterine cavity.</p>
+
+<p><span class="pagenum"><a name="Page_681" id="Page_681"></a>[pg 681]</span></p>
+
+<p><b>The Door of Life</b>.</p>
+
+
+
+<p class="figure"><a name="advise441"><img width="40%" alt="Illustration: "
+src="images/advise441.png" /></a><br /></p>
+
+<p>The fear of pain and the dangers of childbirth fill many a woman's
+breast with dismay. In the olden days of leeches and witchcraft, it was
+considered sacrilegious to lessen the pains of labor. Latterly,
+anæsthetics have been used at the time of parturition, and now people
+are beginning to find out that pain and danger can be almost wholly
+avoided.</p>
+
+<p>Proper preparation during gestation will make both as rare as they used
+to be common. There is no reason why childbirth should be fraught with
+danger and distress. It is a perfectly natural function, and should be
+performed in a natural way without undue suffering. Nature never intended
+that women should be tortured when doing the one thing which makes them
+wholly womanly. The perversion of nature's laws has brought this suffering
+about, and a return to right living will stop it.</p>
+
+<p>Nine out of ten women are troubled more or less by weakness and diseases
+peculiar to their sex. It is so because they do not take proper care of
+themselves&mdash;because they neglect little ills and little precautions. A
+woman in perfectly hearty health goes through her time of trial with
+comparative ease. The thing to do then, is to make all pregnant women
+healthy&mdash;to strengthen them generally and locally. The medicine and tonic
+to do it with is Dr. Pierce's Favorite Prescription.</p>
+
+<p>It is a powerful invigorant and nervine. It soothes and strengthens the
+nerves and acts directly on the feminine organism in a way which fits it
+for the proper and regular performance of all its functions at ill
+times.</p>
+
+<p>Taken during gestation it robs childbirth of its dangers to both mother
+and child, by preparing the system for delivery, thereby shortening <span
+class="pagenum"><a name="Page_682" id="Page_682"></a>[pg 682]</span>labor,
+lessening pain and abbreviating the period of confinement. The Favorite
+Prescription also promotes the secretion of an abundance of nourishment for
+the child, if taken after confinement, besides building up the mother's
+strength and making her recovery more perfect.</p>
+
+
+<h3>ABORTION. (MISCARRIAGE.)</h3>
+
+<p>The term <i>abortion</i> is used to denote the premature expulsion of
+the foetus. If the expulsion takes place within four months after
+impregnation, it is termed <i>abortion</i>; if between the fourth and
+seventh month, <i>miscarriage</i>; if after the seventh month, but before
+the completion of the full period of gestation, <i>premature labor</i>.</p>
+
+<p>Abortion may be due to those agents which act directly upon the uterus
+and cause the expulsion of the foetus; to those which occasion the death of
+the foetus, thereby effecting its ejection; and it may be <i>criminal</i>,
+that is, produced intentionally by direct agencies intended for that
+purpose.</p>
+
+<p><b>Symptoms</b>. The premonitory symptoms are pain in the loins and
+lower part of the back, a dull pain in the abdomen and thighs, nausea,
+chills, and palpitation. The membranes and blood-vessels of the uterus
+become lacerated, causing profuse hemorrhage. The discharge of blood from
+the vagina is sometimes attended with excessive pain.</p>
+
+<p><b>The Causes</b> which act directly upon the uterus to produce abortion
+may be violent exercise, lifting, accidents, or injuries from blows or
+falls. Nervous susceptibilities, a plethoric condition of the system,
+anæmia, exhaustive discharges, use of improper food, uterine
+displacements, congestion caused by excessive sexual excitement, general
+debility or muscular irritability, which is sometimes so great as to
+produce contractility of the uterus before the term of pregnancy is
+completed, inflammation of the cervix, ulcerations of the uterus, or any
+previously existing disease may produce abortion. When it has once taken
+place, it is apt to recur at about the same time in subsequent
+pregnancies.</p>
+
+<p>The death of the foetus may be occasioned by a diseased condition of the
+embryo, amnion, or placenta, and also by convulsions or peritoneal
+inflammation.</p>
+
+<p><b>Criminal Abortion</b> is secretly practiced by women who desire to
+rid themselves of the evidence of immorality, and by those in wedlock who
+wish to avoid the care and responsibility of rearing offspring. Statistics
+show that it is very prevalent, undermining the health of women and
+corrupting the morals of society. We cannot pass over this subject in
+silence. Those who frustrate the processes of nature by violating the laws
+of life incur just penalties. All the functions of life and body are
+vitally concerned in reproduction. Any infraction of the Divine law, "Thou
+shalt not kill," is inevitably followed by punishment. The obligations to
+nature cannot be evaded without inevitable <span class="pagenum"><a
+name="Page_683" id="Page_683"></a>[pg 683]</span>penal effects.
+Furthermore, all such transgressors carry with them the consciousness of
+guilt and the feeling of secret woe.</p>
+
+<blockquote>
+<p>
+"O God! that horrid, horrid dream<br />
+&nbsp;&nbsp;&nbsp;&nbsp;Besets me now awake!<br />
+Again, again, with dizzy brain.<br />
+&nbsp;&nbsp;&nbsp;&nbsp;The human life I take,<br />
+And my red right hand grows raging hot,<br />
+&nbsp;&nbsp;&nbsp;&nbsp;Like Cranmer's at the stake."&mdash;HOOD.<br />
+</p>
+</blockquote>
+
+<p>What shall we say concerning abortionists, men and women who are willing
+to engage in the murder of innocents for pay? True, there may be
+circumstances in which it is not right to continue in the pregnant
+condition, such as when the children of an unfortunate marriage are idiots,
+or the pelvis of the woman is so deformed that she cannot bear a living
+child. All such cases should be submitted to the <i>family</i> physician,
+who ought to be made acquainted with all the circumstances and facts
+relating to the case, when he can summon other physicians for counsel, and
+their deliberations may determine the propriety or necessity of bringing on
+an abortion.</p>
+
+<p>Parties have written to us and others have made personal application
+under circumstances when it might have been right for their <i>family
+physician</i> to have induced abortion. We wish to have it distinctly
+understood that we will not under any circumstances prescribe medicines or
+perform any operation to relieve women of pregnancy.</p>
+
+<p>Mechanical means are resorted to by abortionists, and many women produce
+abortion upon themselves. It always terminates in lasting injury and
+sometimes in speedy death. Certain medicines will sometimes produce
+abortion but they are very unsafe. An opinion is very prevalent that if
+abortion be produced before the movements of the foetus are felt, there is
+no crime committed. It should be remembered that <i>life begins with
+conception</i>, and, at whatever period of pregnancy abortion is committed,
+<i>life is destroyed</i>. Whoever disobeys the Divine injunction cannot
+escape his own consciousness of the deed, and the anguish and bitter
+remorse which ever after disturb the soul.</p>
+
+<p><b>Treatment</b>. In threatened abortion, there is pain in the back or
+lower part of the abdomen, and later some flow of blood. The first object
+is to obtain perfect rest and quiet, and assume the recumbent position. By
+lying down, the blood will be more easily diverted to the surface of the
+body. Gallic acid, in doses of five grains every two or three hours, is
+often a valuable agent to arrest the hemorrhage, but opium in some form
+should be relied upon principally. A Dover's powder, ten grains, may be
+administered, to assist in determining the blood to the surface and
+extremities of the body and to allay irritation. The room should be cool,
+the patient should lie on a hard bed, and all company should be avoided,
+for excitement favors abortion. If the flow of blood equals a gill in
+amount, there is little hope of preventing abortion, and the treatment of
+the case should be entrusted to the family physician.</p>
+
+<p><span class="pagenum"><a name="Page_684" id="Page_684"></a>[pg
+684]</span></p><hr />
+
+
+
+
+<h2>WOMAN AND HER DISEASES.</h2>
+
+
+<p>An imaginative poet avers that woman is the link connecting Heaven and
+earth. True it is, we see in her the embodiment of purity and heavenly
+graces, the most perfect combination of modesty, devotion, patience,
+affection, gratitude and loveliness, and the perfection of physical beauty.
+We watch with deep interest the steady and gradual development from
+girlhood to womanhood, when the whole person improves in grace and
+elegance, the voice becomes more sonorous and melodious, and the angles and
+curvatures of her contour become more rounded and amplified, preparatory
+for her high and holy mission.</p>
+
+<p>The uterus, or womb, and ovaries, with which her whole system is in
+intimate sympathy, render her doubly susceptible to injurious influences
+and a resulting series of diseases, from which the other sex is entirely
+exempt. By their sympathetic connections they wield a modifying influence
+over all the other functions of the system. Physically and mentally, woman
+is man modified, perfected,&mdash;the last and crowning handiwork of God. When,
+therefore, this structure so wonderfully endowed, so exquisitely wrought,
+and performing the most delicate and sacred functions which God has ever
+entrusted to a created being, is disturbed by disease, when the
+nicely-adjusted balance of her complex nature deviates from its true and
+intended poise, the most efficient aid should be extended, in order that
+the normal equilibrium may be regained, her health restored, and her divine
+mission, on which human welfare so largely depends, be fulfilled. Its
+importance should elicit the best efforts of the highest type of mind, the
+ripe development of genius, and the most scientific administration of the
+choicest, rarest, and purest medicinal elements in the whole range of
+nature.</p>
+
+<p><b>A Vast Experience</b>. As the remedial management of diseases of
+women has, for many years, entered very largely into our practice at the
+Invalids' Hotel and Surgical Institute, located at 663 Main Street,
+Buffalo, N.Y., comprising the treatment of many thousands of cases
+annually, we have been afforded great experience in perfecting and adapting
+remedies for their cure, enabling us to meet their requirements with
+increased <i>certainty</i> and <i>exactness</i>.</p>
+
+<p><b>Treating the Wrong Disease</b>. Our improved and perfected system of
+diagnosing, or determining, the <i>exact</i> nature and extent of chronic
+affections, which, in most cases, we are able to do at a distance, and
+without a personal examination of the patient, as will be more particularly
+explained in the appendix, or latter part of this little book, has enabled
+us to avoid the blunders so often committed by the general practitioner,
+who not infrequently treats those afflicted with chronic ailments peculiar
+to women, for long weeks, and perhaps months, without ever discovering
+their real and true disease, or condition. <span class="pagenum"><a
+name="Page_685" id="Page_685"></a>[pg 685]</span>Thus, invalid women are
+often uselessly subjected to treatment for dyspepsia, heart disease, liver
+or kidney affections, sick headaches, and various aches and pains, as if
+they were <i>primary</i> diseases, when in reality, they are only so many
+local manifestations, or <i>symptoms</i>, of some overlooked derangement,
+or disease, of the womb. For, as we have already intimated, every organ of
+the system is in <i>intimate</i> sympathy with the uterus, or womb. Any
+disease, either functional or organic, of this organ, is at once manifest
+through several, if not all, the sympathizing organs of the system. When we
+receive a sharp blow upon the elbow, the pain is felt most keenly in our
+little finger. Just so in diseases of the womb; often the most distress is
+felt in organs or parts of the system quite distant from the real seat of
+disease. On this account, thoughtless, easy-going and ignorant physicians
+are misled, and very commonly mistake the invalid's disease for some
+affection of the stomach, heart, liver, kidneys, or other organ, when
+really it is located in the uterus. Cure the disease of the womb, and all
+these disagreeable manifestations, or symptoms, vanish. Their cause being
+removed, the various dependent derangements, and disagreeable nervous
+sensations and sufferings rapidly give way, and vigorous health is firmly
+re-established.</p>
+
+<p><b>Time and Perseverance in Treatment Required to Cure</b>. Most chronic
+diseases of women are slow in their inception, or development, and their
+removal or cure must necessarily be gradual. Disease that has been
+progressing and becoming more firmly established for months, or perhaps
+years, cannot, except in rare cases, be hastily dislodged, and the system
+restored to perfect health. The process of cure, like the development and
+progress of the disease, must be a gradual one, accomplished step by step.
+Often, too, the use of medicines that, if <i>persisted</i> in, will prove
+beneficial and curative, will, for a considerable time, arouse in the
+system very disagreeable sensations, and many times this leads unthinking
+persons to become frightened or discouraged, and to quit the treatment best
+adapted to their cases if only faithfully carried out. In many forms of
+womb disease, their are organic lesions or changes, that can be repaired
+only by a gradual process, just as an external wound would heal,&mdash;not
+suddenly, but by a constant, slow filling in and building up, or by the
+gradual development or growth of one cell upon another. Just as a great
+breach in a wall would be repaired by filling in brick upon brick, until
+the defect is effaced, so must these lesion's be removed by gradual
+processes. When fully repaired, the dependent, sympathetic derangements,
+disagreeable sensations, and all the long train of consequential symptoms
+are, one by one, abolished.</p>
+
+<p><b>Not Limited in Our Remedial Resources</b>. It should be borne in mind
+that, while we recommend, in this little volume, certain courses of
+treatment for ordinary cases, the remedies mentioned do not by any means
+embrace all our resources in the way of medicines and <span
+class="pagenum"><a name="Page_686" id="Page_686"></a>[pg 686]</span>other
+curative agencies, especially for complicated, difficult, or very obstinate
+cases. In many of the latter class we can send medicines that are exactly
+adapted to the case, if the invalid will fill out one of our "Applications
+for Treatment," which may be found folded in the latter part of this book,
+or which will be sent to any address, on application, by mail. In most womb
+diseases, the chemical and microscopical examination of the urine also
+furnishes valuable aid in determining the exact condition of the patient,
+as well as the precise stage of the local organic disease. Full directions
+for putting up and sending such samples may be found in the "Appendix" of
+this little volume. Every case submitted to us, either by letter or in
+person, receives the careful and deliberate consideration of a full Council
+of specialists before a decision as to the nature of the malady, or the
+proper course of treatment to be employed, is determined upon. The great
+advantage of this system of practice must be obvious to every intelligent,
+thoughtful person. No experimenting is ever resorted to. The treatment is
+<i>specially</i> and <i>exactly</i> adapted to each individual case, which
+requires such judgment, skill, and nicety of discrimination, as has only
+been acquired by our specialists through long and diligent study, and an
+experience embracing the treatment annually of many thousands of cases of
+those chronic diseases which are peculiar to women.</p>
+
+<blockquote>
+<p>
+WORLD'S DISPENSARY MEDICAL ASSOCIATION,<br />
+663 Main Street, Buffalo, N.Y.<br />
+</p>
+</blockquote>
+
+<hr />
+
+
+
+
+<h3>MENSTRUATION AND ITS DISORDERS.</h3>
+
+<p>The function of the ovaries is to furnish ova or germs, and the
+functions of the uterus or womb are to secrete mucus; to exude the menses;
+to secrete the decidua; to contain and nourish the foetus and to effect its
+expulsion.</p>
+
+<p>Menstruation, or the menses, monthly visitation, catamenia, menstrual
+flow, courses, or periods, usually makes its appearance in the female
+between the twelfth and fifteenth years, at which time the reproductive
+system undergoes remarkable changes. A marked characteristic of
+menstruation is its regular return about every twenty-eight days. The
+menstrual flow usually continues from three to six days, and the discharge
+seems to be ordinary blood, which, during its vaginal passage, becomes
+mixed with mucus, and is thereby deprived of the power of coagulation. The
+quantity exuded varies from two to eight ounces, but the amount consistent
+with the health of one person, may be excessive and weakening in another.
+This function is regarded as being regular when its effect upon the system
+is favorable, for whatever organic process directly contributes to the
+health should be considered as normal. It occurs at regular intervals for
+about thirty <span class="pagenum"><a name="Page_687" id="Page_687"></a>[pg
+687]</span>years, when menstruation and the aptitude for conception
+simultaneously cease.</p>
+
+<p>The departures from healthy menstruation are numerous. The most
+important of these are <i>amenorrhea, dysmenorrhea</i>, and
+<i>menorrhagia</i>.</p>
+
+
+<h3>AMENORRHEA.</h3>
+
+<p>The term <i>amenorrhea</i> signifies the absence of menstruation when it
+should occur. It may be considered under two general heads: when it fails
+to be established at the proper age, and when, after having made its
+appearance, it ceases to return at the usual periods. The term
+<i>retention</i> has been applied to the first, and that of
+<i>suppression</i> to the latter. Menstruation may fail to be established
+in consequence of organic defects, or from some abnormal condition of the
+blood and nervous system.</p>
+
+<p><b>Malformation of the Vagina.</b> Retention of the menses may result
+from malformation of the vaginal canal, which sometimes terminates before
+it reaches the womb, being simply a short, closed sac. If the uterus and
+ovaries are perfect, all the feminine characteristics are manifest, and a
+vaginal exploration discloses the nature of the difficulty. If, however,
+the sides of this passage adhere in consequence of previous inflammation,
+they may be carefully separated by a surgical operation, and this function
+restored.</p>
+
+<p><b>Absence or Malformation of the Womb.</b> The uterus may be deformed
+or entirely absent, and yet there be an inclination, or symptoms indicative
+of an effort, to establish this function. The individual may be delicate in
+organization, graceful in bearing, refined and attractive in all feminine
+ways, and yet this organ may be so defective as to preclude the
+establishment of the menstrual function. Sometimes there is merely an
+occlusion of the <i>mouth</i> of the uterus, the perforation of which
+removes all difficulty. In others, the <i>neck</i> of the womb is filled
+with a morbid growth, or the walls of its canal are adherent, as the result
+of inflammation, and may be separated by a small silver or ivory probe, and
+the menses be thus liberated.</p>
+
+<p><b>Imperforate Hymen.</b> The hymen is a circular, or semilunar
+membrane, which imperfectly closes the outer orifice of the vagina in the
+virgin. When of a semilunar shape, it usually occupies the lower or
+posterior portion of the canal, leaving an opening in the upper or anterior
+portion, varying from the size of a quill to that of a thimble, through
+which the menstrual fluid exudes. This membrane is usually ruptured and
+destroyed by the first sexual intercourse, and, hence, its presence has
+been considered evidence of virginity. Its absence, however, must not be
+considered a conclusive evidence of sexual intercourse, for, as Dr.
+Dunglison says, "many circumstances of an innocent character may occasion a
+rupture or destruction of this membrane. It is often absent in children
+soon after birth; while it may remain entire <span class="pagenum"><a
+name="Page_688" id="Page_688"></a>[pg 688]</span>after copulation. Hence,
+the presence of the hymen does not <i>absolutely</i> prove virginity; nor
+does its absence prove incontinence, although its presence would be
+<i>prima facie</i> evidence of continence."</p>
+
+<p>Sometimes this membrane, when not imperforate, is so thick and strong as
+to render sexual intercourse impossible, and requires a cutting operation
+to open the vagina. Several such cases have been operated upon at the
+Invalids' Hotel and Surgical Institute.</p>
+
+<p>It occasionally happens that the hymen is entire, or imperforate, at
+birth. This may not be discovered before puberty. But when this period
+arrives and the menstrual discharge takes place into the vagina, the female
+will suffer from the retention and accumulation of this secretion, and
+ultimately a tumor or a protrusion of the membrane which closes the vagina
+will occur, giving rise to severe pain and other serious symptoms. The
+retained menstrual fluid, increasing in quantity at every monthly period,
+dilates the womb as well as the vagina, and even the Fallopian tubes become
+distended, presenting at length an urgent necessity for relief.</p>
+
+<p><b>Treatment</b>. This condition admits of relief only by operative
+surgery. The operation consists in dividing the hymen by a crucial
+incision, thus allowing the accumulated fluid to be discharged, after which
+the vagina is cleansed by syringing it with warm water.</p>
+
+<p><b>Absence of the Ovaries</b>. Let us suppose the case of a young woman
+who has fully reached the period of puberty without having menstruated. All
+the organs which we have described, are manifestly developed, she is
+healthy, vigorous, robust, and able to exercise freely or to engage in
+laborious occupations. But we notice that her voice is not sweetly
+feminine, nor is her presence timid, tender, and winning; there is wanting
+that diffident sexual consciousness, which gently woos, and, at the same
+time, modestly repels, and tends to awaken interest, curiosity, and desire.
+Considering also that she has never manifested any inclination to
+menstruate, we are irresistibly led to the conclusion that the ovaries are
+wanting; the delicate mustache upon the upper lip, the undeveloped breasts,
+the coarse features, and her taste for masculine pursuits, all concur in
+this diagnosis. Thus we account for the harshness of the voice, fitted for
+command rather than to express the mellow, persuasive cadences of love.
+Such a malformation cannot be remedied.</p>
+
+<p><b>Retention and Suppression from Morbid Conditions of the Blood.</b>
+Non-appearance, as well as suppression of the menses, may result from an
+abnormal state of the blood. The first condition which demands our
+attention under this head is <i>plethora</i>. In robust, plethoric females
+the menses are sometimes very tardy in their appearance, and every month
+the attempt to establish this function is attended with pain in the head,
+loins, and back, chilliness, nausea, and bloating of the abdomen. Sometimes
+there is intolerance of light or sound, and cerebral congestion, amounting
+almost to apoplectic symptoms. The <span class="pagenum"><a name="Page_689"
+id="Page_689"></a>[pg 689]</span>pulse is full and strong, the blood
+abundant and surcharged with red corpuscles. Such persons may be accustomed
+to luxurious living, and there is evidently a predisposition to abnormal
+activity of the alimentary functions.</p>
+
+<p><b>Treatment</b>. We may briefly suggest that such subjects should
+engage in laborious physical exercise in order to expend the surplus of
+vitality, and should lessen the daily amount of food taken, and use that
+which is light and unstimulating. We should also prevent the determination
+of blood to the head, by keeping it cool and the feet warm, and by
+increasing the flow of blood to the extremities. The volume of the
+circulation may be diminished by acting upon the natural outlets, such as
+the skin, kidneys, and bowels. The proper means and appliances for
+quickening the circulation of the blood are indicated, and friction upon
+the surface, bathing, the daily use of such cathartics as Dr. Pierce's
+Pleasant Pellets, and, finally, the use of some general uterine stimulant,
+such as Dr. Pierce's Favorite Prescription, will generally prove successful
+in cases of amenorrhea resulting from plethora.</p>
+
+<p><b>Retention and Suppression from Anæmia</b>. To describe the
+condition of the patient whose blood is low and deprived of the richness,
+warmth, and bloom, it once possessed when it kindled admiration and
+enthusiasm in others, is but to give a picture of a numerous class of
+female invalids. It is sad to see beauty fading, vigor waning, and Bright's
+disease or consumption slowly wasting the blood and consuming the vital
+cells, until the spirit can no longer dwell in its earthly abode and death
+claims the skeleton for dust.</p>
+
+<p><b>Chronic Decline</b>, with its attendant anæmia, may be induced
+by bad habits, destitution, or constitutional depravity. Sickly forms,
+wrecks of health, address our senses on every side. All these subjects
+evidently once had a capital in life, sufficient, if properly and carefully
+husbanded, to comfortably afford them vital stamina and length of days.
+Alas! they have squandered their estate, perchance in idleness and
+luxurious living, or have wasted it in vanities or misdirected ambition.
+Having become bankrupts in health, there is necessarily a failure of the
+menstrual function, and then follows a <i>panic</i>. All the blame of the
+insolvency and general derangement, is unjustly attributed to the
+non-performance of the duties of the uterus. Thus, this organ is altogether
+<i>dependent</i> Upon the general health for its functional ability, yet
+frequently treatment is instituted to compel menstruation, regardless of
+the condition of the system. Thus the enfeebled uterus is wrongfully held
+responsible for general disorder, because it ceases to act, when <i>by
+acting</i> it would further deplete the blood and thus materially
+contribute to the already existing chronic decline.</p>
+
+<p>No matter what are the causes of this decline, whether they are the
+follies of fashion, the effect of indolence, debility in consequence of
+insufficient food, perversion of nutrition by irregular habits, lack of
+exercise, <span class="pagenum"><a name="Page_690" id="Page_690"></a>[pg
+690]</span>or the taking of drastic medicines, the result is anæmia
+and amenorrhea.</p>
+
+<p><b>Treatment</b>. We would suggest in such cases a nutritious diet,
+increased exercise, cleanliness, regular habits, hard beds, and useful
+employment. The diet may be improved by animal broths, roasted meats, fresh
+beef, mutton, chicken, or eggs, and the dress should be comfortable, warm,
+and permit freedom of motion. The patient should indulge in amusing
+exercises, walking, swinging, riding, games of croquet, traveling, singing,
+percussing the expanded chest, or engage in healthful calisthenic
+exercises. The hygienic treatment of this form of amenorrhea, then,
+consists in physical culture, regular bathing, and the regulation of the
+bowels, if constipated, as suggested in this volume under the head of
+constipation.</p>
+
+<p>The <i>medical treatment</i> should be directed to enriching the blood,
+improving nutrition, toning up the generative organs, and the health of the
+whole system. This requires the employment of uterine and general tonics,
+and Dr. Pierce's Favorite Prescription, which is sold by druggists, happily
+combines the properties required. It improves digestion, enriches the
+blood, exercises a tonic and gently stimulating effect upon the uterus and
+ovaries, and thus promotes the function of menstruation. It is not a strong
+emmenagogue, but operates slowly, yet surely, and in accordance with
+physiological laws, being eminently congenial in its effects upon the
+female system, and, hence, not liable to do harm. There is danger in
+employing active driving medicines, besides, no emmenagogue, however
+powerful, can establish the menstrual function so long as the system is in
+a debilitated condition and the blood reduced. The restorative effects of
+the "Favorite Prescription" should be secured by administering it
+regularly, in from one to two teaspoonful doses, three or four times a day,
+for several weeks, and as the system is built up and those symptoms appear
+which indicate a return of the menses, their visitation may be encouraged
+by the use of hot foot and sitz-baths, and free doses of Dr. Pierce's
+Compound Extract of Smart-weed. But the latter should only be used when
+symptoms of approaching menstruation are manifested. By following out this
+course of treatment, a soft flush will gradually take the place of the
+pallor of the cheeks, the appetite will return and the health will be
+restored.</p>
+
+<p><b>Acute Suppression of the Menses</b> may be caused by <i>strong
+emotions,</i> as excessive joy, or by violent <i>excitement</i> of the
+<i>propensities</i>, as intense anger, sudden fright, fear, or anxiety.
+Suppression may result from sudden exposure to cold, immersion of the hands
+or feet in cold water, drinking cold water when the body is heated, sitting
+on the cold ground or damp grass, or from a burn or wound. It is not
+uncommon for women to labor in the heated wash-room, pounding, rubbing, and
+wringing soiled linen, thereby overtaxing the delicate physical system.
+While feeling tired and jaded, all reeking in perspiration, <span
+class="pagenum"><a name="Page_691" id="Page_691"></a>[pg 691]</span>they
+rinse and wring the clothes out of cold water and hang them upon the line
+with arms bare, when the atmosphere is so freezing that the garments
+stiffen before they finish this part of the task. Is it any wonder that
+acute suppressions occur or that inflammations set in?</p>
+
+<p>The symptoms which naturally follow are a quick pulse, hot skin, thirst,
+fever, headache, and dizziness, and the inflammation may locate in the
+ovaries, uterus, lungs, bowels, brain, or other parts. No matter what
+organs are attacked the menses are suppressed. The suppression can
+generally be attributed to an adequate cause, resulting in constitutional
+disturbance. The severity and duration of the attack and the power of the
+constitution to resist it, must determine the gravity of the
+consequences.</p>
+
+<p><b>Treatment.</b> As acute suppression of the menses is due to
+derangement of the circulation of the blood, caused by taking cold, by
+violent excitement of the propensities or excessively strong emotional
+experience, the prominent indication is to secure its speedy equalization.
+Give a hot foot, a warm sitz, or the spirit vapor-bath and administer full
+doses of Dr. Pierce's Compound Extract of Smart-weed, to produce free
+perspiration. Dr. Eberle, a very celebrated medical author, says that he
+used the Extract of Smart-weed in twenty cases of amenorrhea, and affirms,
+"with no other remedy or mode of treatment have I been so successful as
+with this." Our experience in the use of the Extract has been equally
+satisfactory. Should this treatment not establish the function, Dr.
+Pierce's Favorite Prescription should be given three times a day until the
+system is invigorated, say for twenty-eight days, when the above course may
+be repeated, and generally with success. Should the case be complicated
+with inflammation of the lungs, brain, or other vital organs, manifesting
+alarming symptoms, the family physician should be called. The treatment
+should be active and suited to the indications of each particular case.
+When the disease becomes chronic, the active stage of symptoms having
+passed, and it continues to linger without making the desired improvement,
+all the means suggested for the treatment of suppression from anæmia
+should be employed. Their use will be followed by the most gratifying
+results. It should be borne in mind, however, that when we have suggested
+any treatment in this volume, it is generally such as the family may
+institute and apply, and does not, by any means, represent the variety or
+extent of the remedial resources which we employ when consulted in person
+or by letter. We refer our readers to only a few of the safe and reliable
+remedies which we have prepared and placed within their reach, and give
+them just such hygienic advice as we think will best serve their
+interests.</p>
+
+<p><span class="pagenum"><a name="Page_692" id="Page_692"></a>[pg
+692]</span></p><hr />
+
+
+
+
+<h2>DYSMENORRHEA.</h2>
+
+<h3>(PAINFUL MENSTRUATION.)</h3>
+
+<p><i>Dysmenorrhea</i>, from its Greek derivation, signifies a <i>difficult
+monthly flow,</i> and is applied to menstruation when that function becomes
+painful and difficult. Menstruation, like other healthy operations of the
+body, should be painless, but too frequently it is the case, that
+discomfort and distress commence twenty-four hours before the flow appears,
+and continue with increasing pain, sickness at the stomach, and vomiting,
+until the patient has to take to the bed. When the discharge does occur,
+speedy relief is sometimes obtained, and the patient suffers no more during
+that menstrual period. With others, the commencement of the function is
+painless, but from six to twenty-four hours after, the flow is arrested and
+the patient then experiences acute suffering. Pain may be felt in the back,
+loins, and down the thighs. Sometimes it is of a lancinating, neuralgic
+kind, at others, it is more like colic. Frequently the distress causes
+lassitude, fever, general uneasiness, and a sense of lethargy. There are
+those who suffer more or less during the entire period of the flow, while
+the distress of others terminates at the time when a membranous cast is
+expelled. For convenience of description, dysmenorrhea has been divided
+into the following varieties: <i>neuralgic, congestive, inflammatory,
+membranous</i>, and <i>obstructive</i>.</p>
+
+<p><i>The neuralgic variety</i> of dysmenorrhea, sometimes called
+<i>spasmodic</i> or <i>idiopathic</i>, occurs when there is excessive
+sensibility of the ovaries and uterine nerves, which sympathetically
+<i>respond</i>, especially to cutaneous, biliary, and sexual irritation,
+and when ovarian or uterine irritation is communicated to distant
+nerve-centres. In the first class, usually comprising lean persons of an
+encephalic temperament, whatever disorders the functions of the general
+system, instantaneously reflects upon the ovaries and uterine nerves, and
+the menstrual function Is correspondingly disturbed, and, instead of being
+painless, the flow becomes spasmodic, with paroxysms of distress. In the
+second class, which includes those persons who are plethoric, the ovarian
+and uterine nerves seem to be the origin and centre of irritation, which is
+sometimes so severe as to cause indescribable pain. We have known women who
+affirmed that the severity of labor pains was not so great as that from
+this cause. In one instance, the subject suffered thus for eleven years,
+and then became a mother, and has ever asserted that her periodic suffering
+was far more intense than the pain experienced during her confinement.
+These neuralgic pains fly along the tracks of nerves to different organs,
+and capriciously dart from point to point with marvelous celerity,
+producing nausea, headache, and sometimes delirium.</p>
+
+<p><span class="pagenum"><a name="Page_693" id="Page_693"></a>[pg
+693]</span><b>In the congestive variety</b> of dysmenorrhea, the menstrual
+period may be ushered in without pain; after a few hours, the pulse becomes
+stronger and more rapid, the skin grows hot and dry, the menses stop, there
+is uneasiness, restlessness, and severe pelvic pains. Evidently, the mucous
+membranes of the Fallopian tubes and uterus have become congested, and the
+pain results from the arrest of the functional process, the exudation of
+blood.</p>
+
+<p><b>The causes</b> are plethora, exposure to cold, excitement of the
+emotions or passions, and a morbid condition of the blood. Sometimes
+congestion arises in consequence of a displacement of the uterus.</p>
+
+<p><b>In the inflammatory variety</b>, the mucous membrane of the uterus is
+the seat of irritation. The blood flows into the capillary vessels in
+greater abundance than is natural, and those vessels become over-dilated
+and enfeebled and so altered in their sensibility as to produce local
+excitement and pain. It may be associated with inflammation of the ovaries,
+peritoneum, or bladder. Upon the return of the menses, there is a dull,
+heavy, fixed pain in the pelvis, which continues until the period is
+completed. There is generally tenderness of the uterus, and also leucorrhea
+during the intervals between each monthly flow.</p>
+
+<p><b>In the membranous variety</b> of dysmenorrhea, the entire mucous
+membrane which lines the cavity of the uterus, in consequence of some
+morbid process, is gradually detached and expelled at the menstrual
+period.</p>
+
+<p><b>Symptoms</b>. There are steady pains at the commencement of the
+menstrual flow, and they increase in violence and become decidedly
+expulsive. The mouth of the uterus gradually dilates, and finally, the
+membrane is forced out of the uterus, attended with a slight flow of blood
+and an entire subsidence of the pain.</p>
+
+<p><b>The treatment</b>, in all the preceding varieties of dysmenorrhea,
+should consist of measures to determine the circulation of the blood to the
+surface, and increase the perspiratory functions. Congestion and
+inflammation of the internal organs are generally induced by exposure to
+cold or from insufficient clothing. Sometimes they follow from neglect of
+the skin, which is not kept clean and its excretory function encouraged by
+warm clothing. The domestic treatment at the monthly crisis should be
+commenced by the administration of hot foot, and sitz-baths, after which
+the patient should be warmly covered in bed, and bottles of hot water
+applied to the extremities, back, and thighs. Dr. Pierce's Compound Extract
+of Smart-weed should be given in full doses, frequently repeated, to secure
+its diaphoretic, emmenagogue, and anodyne effects, which, for this painful
+affection, is unsurpassed. For the radical cure of this disease, whether of
+a congestive, inflammatory, or neuralgic character, Dr. Pierce's Favorite
+Prescription, which is sold by druggists, is a pleasant and specific
+remedy, which will most speedily correct the abnormal condition that
+produces the trouble, and thereby obviate the necessity of passing this
+terrible <span class="pagenum"><a name="Page_694" id="Page_694"></a>[pg
+694]</span>ordeal at every monthly period. The patient should take two
+teaspoonfuls of the medicine three times a day, and keep up its use in
+these doses for weeks. Frequently, one month will suffice to cure, but in
+most cases, a longer season is required. In the end, the suffering patient
+will not be disappointed, but will become a new being, ready for the
+enjoyment and duties of life. The bowels should be kept regular throughout
+the treatment by the use of Dr. Pierce's Pleasant Pellets, if necessary. A
+hand or sponge-bath should be used daily to keep the skin active, and be
+followed by a brisk rubbing of the surface with a rough towel or
+flesh-brush. A wet sheet pack will cleanse the pores of the skin and invite
+the blood into the minute capillaries of the surface, and thus prove of
+great benefit. It should be repeated after an interval of seven days, but
+ought to be omitted if near the approach of a menstrual period. The
+clothing should be warm, to protect the system against changes of
+temperature; especially should every precaution be taken to keep the feet
+dry and warm. The patient should walk in the open air, and the distance
+should be regularly lengthened at each succeeding walk. If the course of
+treatment which we have suggested be faithfully pursued, a permanent cure
+will be effected.</p>
+
+<p><b>In the obstructive variety</b> of dysmenorrhea, some organic
+impediment hinders the exit of the menstrual blood from the uterus, which,
+consequently, becomes distended and painful. The pain may be constant, but
+is most acute when the uterus makes spasmodic efforts to discharge the
+menstrual blood. If these efforts prove successful, there is an interval of
+relief. Flexion or version of the womb may produce partial occlusion of the
+canal of the neck of the uterus, thus preventing the free flow of the
+menstrual fluid through it. Tumors located in the body or neck of the
+uterus often cause obstruction to the free discharge of the menses.
+Imperforate hymen and vaginal stricture also sometimes cause obstruction
+and give rise to painful menstruation. As these several abnormal conditions
+and diseases will be treated of elsewhere in this volume, we omit their
+further consideration here.</p>
+
+<p>Partial adhesion of the walls of the neck of the womb may result from
+inflammation of the mucous lining, and prevent a free and easy exit of the
+menstrual fluid. In many cases, the contracted and narrowed condition of
+the canal of the cervix seems to be a congenital deformity, for we can
+trace it to no perceptible cause. It is also true that contraction and
+partial, or even complete, stricture of the cervix, or neck of the womb,
+often results from the improper application of strong caustics to this
+passage by incompetent and ignorant surgeons. Every person has observed the
+contraction of tissue caused by a severe burn, which often produces such a
+distortion of the injured part as to disfigure the body for life. A similar
+result is produced when the neck of the womb is burned with strong
+caustics. The tissues are destroyed, and, as the parts heal, the
+deeper-seated tissues firmly contract, forming a hard, unyielding cicatrix,
+thus constricting the <span class="pagenum"><a name="Page_695"
+id="Page_695"></a>[pg 695]</span>neck of the womb, through which the menses
+pass into the vagina.</p>
+
+
+
+<p class="lfigure"><a name="advise442"><img width="90%" alt="Illustration:
+Fig. 3.  THE UTERINE DILATOR.  This instrument is introduced into the canal
+of the uterine neck with its blades closed. By means of the thumb-screw the
+blades are then separated as shown in this illustration, the cervical canal
+being thereby dilated to the required extent." src="images/advise442.png"
+/></a><br />Fig. 3.  THE UTERINE DILATOR.  This instrument is introduced
+into the canal of the uterine neck with its blades closed. By means of the
+thumb-screw the blades are then separated as shown in this illustration,
+the cervical canal being thereby dilated to the required extent.</p>
+
+<p><b>Treatment</b>. From the nature of this malady, it will readily be
+seen that no medical treatment can effect a radical cure. We must therefore
+resort to surgery. In a small proportion of cases, the stricture may be
+cured by repeated dilations of the constricted part of the cervical canal.
+This may be accomplished by using a very smooth probe which is fine at the
+point, but increases in size, so that its introduction will widen and
+expand the orifice and canal. The stricture may be overcome in many cases
+by using different sized probes. In some instances, we have employed the
+uterine dilator, represented by Fig. 3. We have also introduced sea-tangle
+and sponge tents into the neck of the womb, and allowed them to remain
+until they expanded by absorbing moisture from the surrounding tissues. The
+latter process is simple, and in many cases preferable. By means of a
+speculum (see Figs. 15 and 16), the mouth of the womb is brought into view,
+and the surgeon seizes a small tent with a pair of forceps and gently
+presses it into the neck of the womb, where it is left to expand and thus
+dilate the passage. If there seems to be a persistent disposition of the
+circular fibers of the cervix to contract, and thus close the canal, a
+surgical operation will be necessary to insure permanent relief. In
+performing this operation, we use a cutting instrument called the
+hysterotome (see Figs. 4 and 5). By the use of this instrument, the
+cervical canal is enlarged by an incision on either side. The operation is
+but slightly painful, and, in the hands of a competent surgeon, is
+perfectly safe. We have operated in a very large number of cases and have
+never known any alarming or dangerous symptoms to result. After the
+incision, a small roll of cotton, thoroughly saturated with glycerine, is
+applied to the incised parts, and a larger roll is introduced into the
+vagina. The second day after the operation, the cotton is removed, the
+edges of the wound separated by a uterine sound or probe, and a cotton tent
+introduced into the cervix, and allowed to remain, so that it will expand
+and thus open the wound to its full extent. This treatment must be
+thoroughly applied, and repeated every alternate day, until the incised
+parts are perfectly healed.</p>
+
+<p><span class="pagenum"><a name="Page_696" id="Page_696"></a>[pg 696]</span></p>
+
+
+<p class="figure"><a name="advise443"><img width="40%" alt="Illustration:
+Fig. 4. WHITE'S HYSTEROTOME.  In operating, this instrument is introduced
+into the canal of the neck of the womb, when a thumb screw in the end of
+the handle is turned, by which a small blade is thrown out from each side,
+and as the instrument is withdrawn from the canal an incision is made on
+each side, thus enlarging the passage. The upper figure illustrates the
+instrument closed, ready for introduction; the lower one, with the blades
+projected for cutting." src="images/advise443.png" /></a><br />Fig. 4.
+WHITE'S HYSTEROTOME.  In operating, this instrument is introduced into the
+canal of the neck of the womb, when a thumb screw in the end of the handle
+is turned, by which a small blade is thrown out from each side, and as the
+instrument is withdrawn from the canal an incision is made on each side,
+thus enlarging the passage. The upper figure illustrates the instrument
+closed, ready for introduction; the lower one, with the blades projected
+for cutting.</p>
+
+<p>Many times patients cannot understand why it is that the operation of
+cutting the constricted cervix causes no pain; they often being entirely
+unconscious of the making of the incision. The explanation is easy. The
+cervix uteri, or neck of the womb, is supplied with but few nerves of
+sensation, and is almost as destitute of sensation as the finger or toe
+nails, the paring of which causes not the slightest pain. On this account
+we never find it necessary to administer chloroform or any other
+anæsthetic when undertaking this operation. If the patient be
+extremely sensitive the application to the cervix of a weak solution of
+cocaine is quite sufficient to completely benumb or anesthetize the parts
+so as to entirely avoid all pain from the operation.</p>
+
+
+
+<p class="figure"><a name="advise444"><img width="40%" alt="Illustration:
+Fig. 5.  STOHLMAN'S HYSTEROTOME.  This instrument has two cutting blades
+which shut past each other, as seen in the lower figure, so as not to cut
+when introduced into the canal of the uterine neck. After introduction, the
+cutting blades are separated, as shown in the upper figure, the extent of
+the incision being regulated by the thumb-screw attached to the handles, as
+represented in the lower figure." src="images/advise444.png" /></a><br
+/>Fig. 5.  STOHLMAN'S HYSTEROTOME.  This instrument has two cutting blades
+which shut past each other, as seen in the lower figure, so as not to cut
+when introduced into the canal of the uterine neck. After introduction, the
+cutting blades are separated, as shown in the upper figure, the extent of
+the incision being regulated by the thumb-screw attached to the handles, as
+represented in the lower figure.</p>
+
+<p><span class="pagenum"><a name="Page_697" id="Page_697"></a>[pg
+697]</span></p><hr />
+
+
+<h2>MENORRHAGIA.</h2>
+
+<h3>(PROFUSE MENSTRUATION.)</h3>
+
+
+<p>The word <i>Menorrhagia</i>, which is of Greek derivation, literally
+means <i>monthly breaking away</i>, and is employed to designate profuse
+menstruation. This disorder must not be confounded with those hemorrhages
+which are not periodical, and which are due to other causes. The term
+<i>menhorrhagia</i> is restricted to an immoderate monthly flow. The
+menstrual flow may occur too often, continue too long, or be too profuse.
+It induces a feeble pulse, cold extremities, weak respiration, general
+debility, and may occur in opposite states of the system, <i>i.e.</i>, in
+women who have a plethoric and robust habit, or in those of flaccid muscles
+and bloodless features. When the menstrual discharge is natural, it is so
+gradual that by mixing with the vaginal secretions it is prevented from
+coagulating, while in this disease, clots are often formed.</p>
+
+<p><b>Symptoms.</b> In women of a <i>plethoric</i> habit, it is ushered in
+by itching and heat in the vagina, pain and a feeling of weight in the
+loins and lower part of the abdomen, and, at times, the breasts become hot
+and painful. There is considerable thirst, headache, and giddiness. At
+last, the blood appears and flows profusely, and all the violent symptoms
+at once subside. The rest of the period is marked by an inordinate flow,
+leaving the system weak from the loss of blood. It oftener occurs, however,
+in persons who are naturally weak and delicate, in which case the periods
+are more frequent and continue longer, and after a time they are renewed by
+any bodily exertion or mental emotion, so that a constant drain exists. If
+the flow of blood is not continuous, leucorrhea intervenes. The patient
+gradually loses strength and becomes languid, her face is pale and usually
+bloated, livid circles appear around the eyes, the appetite is impaired,
+the bowels are constipated, and the feet and ankles swollen. Lack of blood
+in the brain is indicated by headache, ringing in the ears, and dizziness.
+The patient is nervous and irritable, being disturbed by the slightest
+noise, and the heart palpitates after the least exertion.</p>
+
+<p><b>Causes.</b> The <i>first</i> form is caused by eating too much rich
+and highly-seasoned food, drinking wine, porter, ale, or beer, want of
+exercise, in brief, whatever induces plethora; the <i>second</i> results
+from an insufficient or poor diet, leucorrhea, frequent abortions, want of
+ventilation, inherent feebleness, and whatever depresses the vital powers.
+Either form may be due to syphilitic taints, excessive sexual indulgence,
+accidents of pregnancy, or organic diseases of the womb. The morbid
+affections of the womb most likely to induce menorrhagia, are granular
+ulceration of its mouth and neck, fungous degeneration of its lining
+membrane, and tumors within that organ. As these subjects <span
+class="pagenum"><a name="Page_698" id="Page_698"></a>[pg 698]</span>will be
+severally considered hereafter, we shall here dismiss them with this brief
+notice.</p>
+
+<p>Profuse menstruation is very prone to occur in young women of a
+lymphatic temperament, whose organs are sleazy in texture.</p>
+
+<p><b>Treatment</b>. To control the excessive flow, the patient should
+remain in her bed, and assume the recumbent position until the period is
+passed. If circumstances prevent strict compliance with this rule, it
+should be observed as nearly as possible. Warmth should be applied to the
+feet, and cold cloths, which ought to be removed as soon as they become
+warm by the heat of the body, should be repeatedly placed upon the back and
+abdomen. A strong tea made from cinnamon bark, or witch-hazel leaves or
+bark, taken freely, will prove very efficacious in checking the flow. The
+fluid extract of ergot, in doses of from half a teaspoonful to a
+teaspoonful, in a little water or cinnamon tea, is one of the most
+effectual remedies in this affection. Another valuable remedy for arresting
+menorrhagia is an infusion of Canada fleabane; or the oil of this plant may
+be administered in doses of from five to ten drops on sugar. Gallic acid is
+also a good styptic to employ in these cases. If there is febrile
+excitement, a hard pulse, frequent and throbbing, and if there is headache,
+thirst, parched lips, hot and dry skin, as is sometimes the case, then
+menorrhagia is due to an augmented action of the heart and arteries, and
+the indication of treatment is to diminish vascular action. This may be
+temporarily accomplished by the use of veratrum viride, which should be
+continued until the flow is sufficiently diminished.</p>
+
+<p>The means already suggested will generally prove effective in
+controlling the inordinate flow at the time. Treatment that will produce
+permanent relief should then be adopted. The condition of the skin,
+kidneys, and bowels, requires attention for noxious elements should not be
+retained in the system. To give tone to weakened pelvic organs we know of
+nothing more specific in its effects than Dr. Pierce's Favorite
+Prescription, which is sold by druggists. It should be taken continuously
+for weeks, in order to fully correct the extremely weakened condition of
+that organ. It also aids nutrition, and thus tones up the general system,
+so that in the form of profuse menstruation, resulting from debility, the
+patient is strengthened, her blood enriched, and her nervousness quieted,
+which constitutes the necessary treatment to make the cure permanent.</p>
+
+<p>As women approach the critical age, and menstruation ceases, if they are
+anæmic, their condition is pitiable. This period is popularly
+denominated the <i>turn of life</i>. Under favorable circumstances, the
+vitality is decidedly enhanced, and the decline of this function is
+attended with a revival of the bodily powers. But when this crisis has been
+preceded by excessive labor, when intemperance or excesses of any kind have
+deranged the bodily functions and perverted nutrition, when the mind has
+been long and deeply depressed, or when the insidious <span
+class="pagenum"><a name="Page_699" id="Page_699"></a>[pg
+699]</span>progress of disease of the heart, liver, or other Important
+organs, occurs in consequence of irregularities of living, then there is
+danger of congestion of the uterus and a protracted and profuse menstrual
+flow, which favors a decline.</p>
+
+<p>The treatment of this form of menorrhagia does not differ from that
+already suggested. The diet should be light and nourishing, and daily
+exercise, such as walking, riding, change of air and scenery, all will
+contribute to restoration. Especial attention should be directed to the
+condition of the bowels and liver. If the latter be deranged, Dr. Pierce's
+Golden Medical Discovery will be a most efficacious remedy. When there is a
+diminution of vital force, resulting in impaired nutrition and disorders of
+blood, an alterative is required which will insensibly and gradually
+restore activity by removing the causes of derangement. Impairment of
+nutrition is very frequently associated with functional or organic disease
+of the liver, and curative measures consist of the use of alteratives,
+friction baths, exercise, nutritive diet, and diversion of the mind.
+Whenever innutrition depends upon deprivation of the blood or torpor of any
+of the secretory organs, the "Golden Medical Discovery" will prove to be an
+invaluable remedial agent, for it is an alterative and at the same time a
+blood restorative. If the bowels be costive small laxative doses of Dr.
+Pierce's Pleasant Pellets should be employed. The "Favorite Prescription"
+regulates the menstrual function by toning up the tissues of the uterus and
+restraining the escape of the menses from the orifices of the
+blood-vessels. While the diet should be nourishing, consisting of wild
+game, mutton, chicken, and wine, the patient ought not to debilitate the
+stomach by the use of strong tea or coffee. The circulation of the blood
+should be quickened by riding, walking, exposure to sunlight, and fresh
+air. The patient ought to engage in some light occupation, in which the
+mind will be constantly as well as agreeably employed, but not overtaxed.
+By pursuing the course of treatment, invalids suffering from menorrhagia
+may be permanently restored to health.</p>
+
+<p><span class="pagenum"><a name="Page_700" id="Page_700"></a>[pg
+700]</span></p><hr />
+
+
+
+
+<h2>THE TURN OF LIFE.</h2>
+
+<h3>(CESSATION OF THE MENSES.)</h3>
+
+
+<p>Menstruation commonly occurs at regular monthly intervals, during a
+period of about thirty years. The time for its cessation depends somewhat
+upon the date of its first appearance. In the temperate zones it commences
+at about the fifteenth year, and, consequently should terminate at the
+forty-fifth year. Instances are common, however, in which it has been
+prolonged until the fiftieth and even to the fifty-fifth year. In warm
+climates it commences and terminates at an earlier age.</p>
+
+<p>As women approach the critical period of life, if the general health and
+habits be good, the discharge may gradually diminish, and, at length,
+totally disappear, without producing any particular inconvenience, but this
+seldom happens. More frequently, the discharge is entirely absent for six
+or seven weeks, and when it does return, it is more copious than usual. In
+some cases, the flow is not only too profuse, but too frequent. Many months
+may elapse before the menses return, and, even then, they are apt to be
+very pale and deficient in quantity.</p>
+
+<p>The fluctuations of this function occasion irregularities and
+disturbances of the general health. When the flow of blood is diverted from
+the uterus, it is liable to be directed to the head or some other part of
+the body. In fact, there appears to be constitutional agitation, and
+disorders of all the organs. Perhaps one reason for calling this a critical
+period is, that if there is a morbid tendency in the system, a disposition
+to develop tumors of the breast or uterus, these are very liable to make
+rapid progress at this time, since they are not relieved by the customary,
+local exudation of blood. It is a time favorable to the awakening of latent
+disorder and morbid growths, for, at the decline of the menstrual function,
+the uterus is not so capable of resisting vitiating influences.</p>
+
+<p>There is greater liability to irritation of the bladder and rectum, and
+the menstrual flow may be superseded by a white, acrid discharge, caused by
+an inflammation of the mucous membrane of the vagina. Even if the system be
+not enfeebled by excessive losses of blood, debility may result from a
+continued irritation of the uterine organs, and cause the morbid discharge.
+The nervous system sympathetically responds, becoming exceedingly
+irritable, and thus implicating in this derangement every bodily organ. In
+some constitutions, the change of any habit is almost impossible,
+particularly if it is improperly acquired, or detrimental to health; and so
+we have sometimes thought respecting this function, that the more it has
+been abused and perverted <span class="pagenum"><a name="Page_701"
+id="Page_701"></a>[pg 701]</span>during the time of Its natural activity,
+the greater is the disturbance occasioned when it ceases.</p>
+
+<p><b>Treatment</b>. There should be regularity in all the habits of life.
+Women are too apt to approach this important period without due care and
+consideration. When the physical system is about to suspend a function, it
+is folly to endeavor to perform the labor or assume the responsibilities
+which were permissible when the constitution was more robust.</p>
+
+<p>How the duties of each day and hour weigh upon the energies of the
+mother! What intense solicitude and yearning she experiences! How unselfish
+is that mother who each day works steadily and faithfully for others, and
+who is conscious of the hidden dangers that lurk around her pathway! With
+confiding faith and love, she commends the interests of her children to Him
+who doeth all things well. She anticipates the wants of her family and
+strives to supply the desired comforts, thus wasting her strength in the
+labors prompted by her loving nature. Would it not be a greater comfort to
+those children to have the counsel of their dear mother in later years,
+than to have the bitter reflection that she sacrificed her health and life
+for their gratification?</p>
+
+<p>Unconsciously, perhaps, but none the less certainly, do women enter upon
+this period regardless of the care they ought to bestow upon themselves.
+Without sufficient forethought or an understanding of the functional
+changes taking place, they over-tax their strength, until, by continuous
+exertion, they break down under those labors which, to persons of their
+age, are excessive and injurious. Is it strange, when woman has thus
+exhausted her energies, when her body trembles with fatigue and her mind is
+agitated with responsibilities, that the menses capriciously return, or the
+uterus is unable to withstand congestion, and capillary hemorrhage becomes
+excessive? If the physical system had not been thus exhausted, it would
+have exercised its powers for the conservation of health and strength. It
+is better to be forewarned of the ills to which we are liable, and fortify
+ourselves against them, rather than squander the strength intended for
+personal preservation. Let every woman, and especially every <i>mother</i>,
+consider her situation and properly prepare for that grand climacteric,
+which so materially influences her future health and life.</p>
+
+<p>The general health should be carefully preserved by those exercises
+which will equalize the circulation of the blood, and the regular action of
+the bowels should be promoted by the use of those articles of diet which
+contribute to this end. Relieve the mind of responsibility, keep the skin
+clean, and enrich the blood with tonics and alteratives. For the latter
+purpose, use Dr. Pierce's Favorite Prescription and "Golden Medical
+Discovery." If these remedies fail, seek professional advice. A careful
+regulation of the habits, strict attention to the requirements of the
+system, and the use of tonic medicines, will very frequently render the
+employment of a physician unnecessary</p>
+
+<p><span class="pagenum"><a name="Page_702" id="Page_702"></a>[pg
+702]</span></p><hr />
+
+
+
+
+<h2>LEUCORRHEA.</h2>
+
+<h3>("WHITES.")</h3>
+
+
+<p>Leucorrhea is the symptomatic manifestation of some uterine or vaginal
+affection, vulgarly called "whites." We say <i>symptomatic</i>, for the
+white or yellowish discharge, which we term leucorrhea, is not a disease,
+but a symptom of some uterine or vaginal disorder. We call it a
+<i>white</i> discharge to distinguish it from the menses and uterine
+hemorrhages. It varies, however, in color and consistency from a white,
+glairy mucus to a yellow or greenish, purulent, fetid matter. Sometimes it
+has a curdled appearance, at others, it is of the consistency of cream.
+Leucorrhea is the most common symptom of uterine derangement, and there are
+few females who are not affected by it at some period of life. It may
+originate either in the vagina or uterus, and it is accordingly termed
+either vaginal or uterine leucorrhea. The nature of leucorrhea is analogous
+to that of nasal catarrh. In a healthy state, the lining membrane of the
+genital organs secretes sufficient mucus to moisten them; but, if the
+mucous membrane is temporarily congested or inflamed, the secretion becomes
+profuse, irritating, and offensive. Vaginal and uterine leucorrhea are
+essentially different in character, the former being an acid, and the
+latter an alkaline secretion, and, while the first is a creamy, purulent
+fluid, the latter is thick and ropy, like the white of an egg. In fact, the
+latter discharge is rich in albuminous matter and blood-corpuscles, hence,
+its great debilitating effect upon the system, and, if not promptly
+arrested it is likely to produce <i>vaginitis, pruritus vulvce</i>, or
+<i>vulvitis</i>.</p>
+
+<p><b>Vaginitis</b> is indicated by intense inflammation of the mucous
+membrane of the vagina. When this affection is present the patient
+experiences a sense of burning heat, aching and weight in the region of the
+vagina, violent and throbbing pains in the pelvis, and the discharge is
+profuse and very offensive. There is also a frequent desire to urinate, and
+the passage of the urine causes a sensation of scalding.</p>
+
+<p><b>Pruritus Vulvæ</b>. The discharge irritates the nerves of the
+external genital parts, thus producing an almost unendurable itching.
+Scratching or rubbing the parts only aggravates the affection. The patient
+is tormented night and day, is deprived of sleep, and naturally becomes
+despondent. Pruritus vulvæ, in its severest forms, is often developed when
+the discharge is scarcely noticeable. It is the most common result or
+accompaniment of leucorrhea.</p>
+
+<p><b>Vulvitis</b>. This term indicates an inflammation of the lining
+membrane of the external genital parts. Sometimes the inflammation extends
+to the deeper tissues, causing great pain, and even suppuration, resulting
+in the formation of an abscess. The attack is indicated by redness,
+swelling, and a feverish state of the affected parts, which <span
+class="pagenum"><a name="Page_703" id="Page_703"></a>[pg 703]</span>is
+quickly followed by a profuse flow of yellow pus, and, in some instances,
+small ulcers are formed on the affected parts.</p>
+
+<p><b>Symptoms</b>. The sufferer from leucorrhea becomes pale and
+emaciated, the eyes dull and heavy, the functions of the skin, stomach and
+bowels become deranged, more or less pain in the head is experienced,
+sometimes accompanied with dizziness, palpitation is common, and, as the
+disease progresses, the blood becomes impoverished, the feet and ankles are
+swollen, the mind is apprehensive and melancholy, and very frequently the
+function of generation is injured, resulting in complete sterility.
+Exercise produces pain in the small of the back and the lower portion of
+the spine, and, owing to a relation of the vaginal walls, the womb falls
+far below its natural position, or turns in various directions, according
+to the manner in which the weight above rests upon it. Ulcers are apt to
+appear upon the mouth of the womb, the matter from which tinges the
+discharge and stains the linen. Hysteria is often an attendant of this
+disease.</p>
+
+<p><b>Causes</b>. The immediate cause of leucorrhea is either congestion,
+or inflammation of the mucous membrane of the vagina or womb, or both. The
+exciting causes are numerous. Among others, deranged menstruation,
+prolonged nursing of children, pregnancy, abortions, excessive indulgence
+in sexual intercourse, uncleanliness, piles, uterine ulcers, and
+displacement of the womb, are the most common. In brief, it usually
+accompanies every uterine disorder which vitiates and reduces the system.
+During childhood, particularly in scrofulous children, discharges from the
+vagina are not unfrequent, owing to worms or other intestinal
+irritation.</p>
+
+<p>Among the organic causes of leucorrhea, are ulceration of the mouth or
+neck of the womb and tumors. These will be considered hereafter.</p>
+
+<p><b>Treatment</b>. We have dwelt upon leucorrhea because of its
+prevalence and in order to exhibit the various forms it may assume. These
+reasons long ago prompted us to investigate it; and, ascertaining the
+derangement to consist in a relaxation of the walls of the vagina,
+attendant upon depressed vitality, for many years we experimented with
+various medicines to find those that would exercise specific properties in
+restoring the tissues involved to a natural condition, thereby arresting
+the abnormal discharge. Our efforts in that direction have been very
+successful, and our expectations more than realized. The treatment which we
+shall recommend is rational, based upon the pathological conditions of the
+disease, and has been attended with the greatest success.</p>
+
+<p>It embraces the use of those general restoratives and specific uterine
+tonics, so harmoniously combined in Dr. Pierce's Favorite Prescription, a
+remedy which has achieved unparalleled success in the cure of this
+affection and won the highest praise from thousands of grateful women. It
+many cases, it is well to accompany its use with alterative treatment, for
+which the "Golden Medical Discovery" will be found <span class="pagenum"><a
+name="Page_704" id="Page_704"></a>[pg 704]</span>especially effective. It
+is an absurd practice to arrest the discharge with astringent injections
+<i>alone</i>. The weak and lax walls of the vagina, as well as the other
+tissues of the system, require strength, and this can be gained only by the
+use of general and special tonics. Appropriate injections as
+<i>auxiliary</i> treatment will very much <i>assist</i> in the cure. The
+"Favorite Prescription" is a special tonic for the affected parts, and the
+"Golden Medical Discovery" is the best general alterative of which we have
+any knowledge. They may be taken in alternate doses every day. If the
+patient is very pale and anæmic, one drachm of the carbonate, or two
+drachms of the citrate or pyrophosphate of iron, may be advantageously
+added to each bottle of the "Favorite Prescription." If the carbonate be
+employed, as it is insoluble, the bottle should be well shaken every time
+before using. The functions of the skin should be kept active by frequent
+baths, and the patient, if able, should walk or ride in the open air, and
+freely expose herself to the sunshine. If the invalid be too weak to
+exercise much, she should go out in warm weather and sit in the open air.
+Sunshine is no less important in maintaining animal, than in supporting
+vegetable growth and health. The human being, like the plant, sickens and
+grows pale, weak and tender, if secluded from the sunlight. The apartments
+occupied should be thoroughly ventilated. Many women are sickly and feeble
+because they live in badly ventilated rooms.</p>
+
+<p>We cannot too strongly urge in this, as in all other chronic diseases
+peculiar to women, that the bowels be kept regular. Frequent, but small
+doses of Dr. Pierce's Pleasant Pellets will prove most beneficial. If the
+vaginal passage is tender and irritable, an infusion, or tea of
+slippery-elm bark is very soothing, and may be used freely with a vaginal
+syringe. Whatever injection is employed, should be preceded by the free use
+of Castile soap and warm water, to thoroughly cleanse the parts. One part
+of glycerine to six parts of water is a soothing lotion when there is much
+tenderness, heat, and pain in the vagina. If there be no great tenderness
+in the vagina, or if the acute, inflammatory symptoms have yielded to the
+lotions already suggested, then a tonic and astringent injection should be
+employed.</p>
+
+<p>For this purpose a wash made by dissolving one of DR. PIERCE'S PURIFYING
+AND STRENGTHENING LOTION TABLETS, in one pint of hot water is a superior
+application and will not fail to be of great benefit in controlling the
+disagreeable drain. If your medicine dealer is not supplied with these,
+mail 25 cents in one-cent stamps to us and we will forward a box of the
+Lotion Tablets by return post.</p>
+
+<p>These Lotion Tablets have for many years been used in the treatment of
+obstinate cases of leucorrhea at the Invalids' Hotel and Surgical
+Institute, and their efficiency has been alike gratifying to both patient
+and physician.</p>
+
+<p>If <i>pruritus</i> or severe itching, be also a symptom, the itching
+will readily yield if the parts be cleansed with Castile or other fine soap
+<span class="pagenum"><a name="Page_705" id="Page_705"></a>[pg
+705]</span>and warm water, followed by the application of a compound
+composed of two ounces of glycerine, one ounce of rose-water, and one
+drachm of sulphite of soda; or, for the sulphite of soda, two drachms of
+borax may be substituted. The following lotion is a good one to relieve
+pruritus: sugar of lead, two drachms; carbolic acid, half a drachm;
+laudanum, four ounces; glycerine, four ounces; water, four pints; mix. This
+may be applied to the itching parts, and also injected into the vagina.</p>
+
+
+
+<p class="figure"><a name="advise445"><img width="40%" alt="Illustration:
+Fig. 6. FOUNTAIN SYRINGE." src="images/advise445.png" /></a><br />Fig. 6.
+FOUNTAIN SYRINGE.</p>
+
+<p><b>How to Use Vaginal Injections</b>. We usually recommend the Fountain
+Syringe illustrated in Fig. 6, as the most convenient instrument for
+administering vaginal injections. The fountains supplied by us are of soft
+rubber, and have extra nozzles, with which to make rectal, nasal or ear
+irrigations. There is also a large, long nozzle for vaginal injections.</p>
+
+
+
+<p class="figure"><a name="advise446"><img width="40%" alt="Illustration:
+Fig. 7. SOFT RUBBER-BULB SYRINGE" src="images/advise446.png" /></a><br
+/>Fig. 7. SOFT RUBBER-BULB SYRINGE</p>
+
+<p>It is channeled so is to permit the free clearing <span
+class="pagenum"><a name="Page_706" id="Page_706"></a>[pg 706]</span>away of
+the secretions as the Douche is employed. The Fountain Syringe can he used
+without assistance, the flow of fluid is gradual, and with a force that can
+be varied, by raising or lowering the reservoir, yet is never so great as
+to be liable to produce injurious effects.</p>
+
+<p>The syringes usually sold with small nozzles or pipes are of little or
+no value for vaginal injections. In many instances so small a tube will
+pass readily into the canal of the uterus, and hence there has frequently
+resulted an injection of a portion of the fluid into the uterus itself,
+producing severe pain. It is important, therefore, in using the Vaginal
+Douche to employ only a large tube that has grooves in its surface for the
+free clearing away of the fluid as it runs from the fountain.</p>
+
+<p>Where it is desired to obtain relief from a congested, inflamed or
+sensitive and irritable state of the mucous surface, the employment of a
+large quantity of water as hot as it can be borne, is of the greatest
+remedial value. It rapidly diminishes the size of the blood vessels, and
+aids in bringing about a normal circulation in the parts.</p>
+
+<p>As a rule, in taking the Douche with the Fountain Syringe the rubber bag
+is filled, and suspended from a nail or hook at a height of from two to
+five feet above the patient, and the fluid passes through the tube by force
+of gravity, thus requiring no muscular exercise. The force of the stream
+depends upon the height of the fountain above the outlet nozzle. It is only
+necessary that the patient should assume a comfortable position where the
+fluid which comes from the vaginal canal can flow into a water closet, or
+any convenient vessel.</p>
+
+<p>After a thorough cleansing of the vaginal surfaces of mucus, by means of
+the warm or hot water, it is sometimes advisable to inject remedial fluids.
+These injections may readily be made with the fountain or bulb syringe,
+introducing not less than from two to four ounces. This may be retained
+sufficiently long to exert its remedial effects upon the mucous surface,
+which usually takes from five to eight minutes. The hips should be
+elevated, and the nozzle of the syringe surrounded by a napkin or other
+similar material, upon which moderate compression can be made so as to
+retain the fluid in the vagina for the necessary period.</p>
+
+<p>When suffering from any uterine trouble, it is necessary to avoid severe
+fatigue. The amount and character of exercise should be suited to the
+condition of the patient; while, most important of all, the strictest
+abstinence from sexual intercourse should be observed.</p>
+
+<p>To those who are unable readily to obtain the Fountain Syringe above
+recommended we can send by mail, post-paid, one of these instruments on
+receipt of $2.00.</p>
+
+<p>A Soft Rubber-bulb, or Pump Syringe (illustrated in Fig. 7), not so good
+for making vaginal injections, can be sent by us, post-paid, for from
+75cts. to $1.50, the price varying with the quality and size.</p>
+
+<p><span class="pagenum"><a name="Page_707" id="Page_707"></a>[pg
+707]</span></p><hr />
+
+
+
+
+<h2>STERILITY.</h2>
+
+<h3>(BARRENNESS.)</h3>
+
+
+<p>Real sentiment and interest center in fecundity, since the desires and
+happiness of mankind are consummated in marriage and procreation. How
+dreary would life be without love, companionship, and the family! How
+precious are the ties that bind our hearts to father, mother, daughter, and
+son! The love of children is innate in the heart of every true man and
+woman. Each child born supplements the lives of its parents with new
+interest, awakens tender concern, and unites their sympathies with its
+young life.</p>
+
+<p>How dreary is the thought that one may attain a ripe old age with
+neither son nor daughter to smooth the decline of life, or sorrow for his
+or her departure! How many women desire a <i>first-born</i> of love, the
+idol of their waiting hearts, a soul, which shall be begotten within,
+clothed with their own nature, and yet immortal! It is a natural instinct,
+this yearning of the heart for offspring; and yet little is said upon this
+subject, in which so much is experienced. All that is beautiful and lovely
+in woman, finds its climax in motherhood. What earthly being do we love so
+devotedly as our mother?</p>
+
+
+
+<p class="lfigure"><a name="advise447"><img width="90%" alt="Illustration:
+Fig. 8." src="images/advise447.png" /></a><br />Fig. 8.</p>
+
+<p>Men and women exhibit but little concern, mere idle curiosity, perhaps,
+on this subject, unless, perchance, there is no evidence of their own
+reproductive powers. If, however, these appear to be deficient, then few
+topics are more deeply interesting or investigated with greater personal
+solicitude. Such persons will seldom submit their condition to the family
+physician, for it is a delicate subject, involving personal considerations,
+and, therefor, they prefer to consult with one who cannot connect their
+unfortunate situation with any of the incidents which enter into the
+history of their lives. This is very natural, and sometimes is the only way
+to keep private matters profoundly secret. Being widely known as
+specialists, devoting our undivided attention to chronic affections, and
+having unusual facilities for the investigation and management of such
+cases, we have been applied to in innumerable instances, to ascertain the
+causes of barrenness and effect its removal.</p>
+
+<p>It is admitted that the question of a woman's sterility is practically
+decided in the first three years of married life, for statistics show that
+less than ten out of a hundred women who do not indicate their fertility in
+the first three years of wedlock ever bear children. We have treated many
+who gave no evidence of fertility for a much longer period of married life,
+and who afterwards gave birth to children. <span class="pagenum"><a
+name="Page_708" id="Page_708"></a>[pg 708]</span>We are unable to state the
+proper ratio of the number of the married who are childless; much less have
+we the right to assume that all who decline the responsibilities of
+motherhood are necessarily barren.</p>
+
+<p><b>Causes</b>. The causes of barrenness may be obliteration of the canal
+of the neck of the womb, sealing up of its mouth, or inflammation resulting
+in adhesion of the walls of the vagina, thus obstructing the passage to the
+uterus. In the latter case, the vagina forms a short, closed sac. In some
+instances, the vaginal passage cannot be entered in consequence of an
+imperforate hymen. Again, the cause of barrenness may either be a diseased
+condition of the ovaries, preventing them from maturing healthy germs, or
+chronic inflammation of the mucous membrane of the neck of the uterus,
+which does not render conception impossible, but improbable. It is one of
+the most common causes of unfruitfulness, because the female seldom, if
+ever, recovers from it spontaneously. It has been known to exist for twenty
+or thirty years.</p>
+
+<p>Chronic inflammation of the vagina also gives rise to acrid secretions,
+which destroy the vitality of the spermatozoa. Suppression of the menses,
+or any disorder of the uterine functions, may disqualify the female for
+reproduction. Flexions of the uterus, displacements, congestions, and local
+debility, may likewise prevent fertility. Sterility may result from
+impaired ovarian innervation or undue excitement of the nerves, either of
+which deranges the process of ovulation. Even too frequent indulgence in
+marital pleasures sometimes defeats conception. Prostitutes who indulge in
+excessive and promiscuous sexual intercourse, seldom become pregnant. Any
+thing that enfeebles the functional powers of the system is liable to
+disqualify the female for reproduction.</p>
+
+<p><b>Treatment</b>. An extensive observation and experience in the
+treatment of sterility, convinces us that, in the majority of cases,
+barrenness is due to some form of disease which can be easily remedied. If
+the passages through the neck of the uterus be closed or contracted, and
+this is the most frequent cause of sterility, a very delicate surgical
+operation, which causes little if any pain or inconvenience to the patient,
+will remove the impediment to fertility. In many of these cases, we have
+succeeded in removing the contraction and stricture of the neck of the womb
+by dilatation. When the vaginal walls are so firmly united as to prevent
+copulation, a surgical operation may be necessary to overcome their
+adhesion. When the hymen obstructs the vaginal orifice, a similar operation
+may be necessary to divide it. Vaginismus, which will be treated elsewhere,
+sometimes causes sterility.</p>
+
+<p>It is proper that we should suggest to the barren, that if sexual
+intercourse be indulged in only very abstemiously, conception will be more
+likely to occur than if moderation be not exercised. We may also very
+properly allude to the fact that there is greater aptitude to <span
+class="pagenum"><a name="Page_709" id="Page_709"></a>[pg
+709]</span>fecundation immediately before and soon after the menstrual
+periods than at other times. In fact, many medical men believe that it is
+impossible for conception to occur from the twelfth day following
+menstruation up to within two or three days of the return of the
+menses.</p>
+
+<p><b>Elongation of the Neck of the Womb</b>. An elongated condition of the
+neck of the womb, illustrated by Fig. 9, is frequently a cause of
+sterility. If this part is elongated, slim and pointed, as shown in the
+illustration, it is apt to curve or bend upon itself, thus constricting the
+passage through it and preventing the transit of seminal fluid into the
+womb. An eminent author says, "Even a slight degree of elongation, in which
+the cervix, or neck, has a conical shape, has been observed to be
+frequently followed by that condition [sterility]." Our own observations,
+embracing the examination of hundreds of sterile women annually, lead us to
+believe that this condition is among the common causes of barrenness. But,
+fortunately, it is one of those most easily overcome.</p>
+
+
+
+<p class="rfigure"><a name="advise448"><img width="90%" alt="Illustration:
+Fig. 9. Conoid Neck." src="images/advise448.png" /></a><br />Fig. 9. Conoid
+Neck.</p>
+
+<p><b>Treatment</b>. If the neck is only slightly elongated, this consists
+in dividing the slim projecting part, by the use of the <i>hysterotome</i>,
+If it be a more aggravated case, a portion of the womb must be removed.
+This operation is perfectly safe and simple, and, strange as it may seem to
+those who are not familiar with operations upon the womb, is not painful.
+We have never seen any bad results follow it, but have known it to be the
+means of rendering numerous barren women fruitful.</p>
+
+
+
+<p class="lfigure"><a name="advise449"><img width="90%" alt="Illustration:
+Fig. 10. Flexion, u, Uterus, B, Bladder." src="images/advise449.png"
+/></a><br />Fig. 10. Flexion, u, Uterus, B, Bladder.</p>
+
+
+
+<p class="rfigure"><a name="advise450"><img width="90%" alt="Illustration:
+Fig. 11. Version, u, Uterus, B, Bladder." src="images/advise450.png"
+/></a><br />Fig. 11. Version, u, Uterus, B, Bladder.</p>
+
+<p><b>Flexions and Versions of the Womb</b>. Flexion of the uterus, in
+which it is bent upon itself, as illustrated in Fig. 10, produces a bending
+of the cervical canal, constricting or obliterating it, and thus preventing
+the passage of spermatozoa through it. Version of the uterus <span
+class="pagenum"><a name="Page_710" id="Page_710"></a>[pg 710]</span>in
+which its top, or <i>fundus</i>, falls either forward against the bladder
+(anteversion), as illustrated in Fig. 11, or backward against the rectum
+(retroversion), may close the mouth of the uterus by firmly pressing it
+against the wall of the vaginal canal, and thus prevent the passage of
+spermatozoa into the womb. 'The treatment of these several displacements
+will be considered hereafter. We may here remark, however, that they can be
+remedied by proper treatment. Our mechanical movements, manipulations, and
+kneadings are invaluable aids in correcting these displacements.</p>
+
+<p><b>Disease of the Ovaries</b>. Sterility may be due to disease of the
+ovaries. Chronic inflammation of the ovaries may result from uterine
+disorders or peritonitis, and is commonly attended with a sense of fullness
+and tenderness, and pain in the ovarian region. These symptoms are more
+apparent upon slight pressure, or during menstruation. This disease is
+curable, although it may require considerable time to perfectly restore the
+health. When this chronic affection is the result of other derangements,
+the indications are to restore health in the contiguous organs, and to
+relieve excessive congestion and nervous excitement in the ovaries. The
+patient should be very quiet during the menstrual period and avoid severe
+exercise or fatiguing occupations, not only at those periods, but during
+the intervals. All measures calculated to improve the general health should
+be adopted. Use injections of warm water, medicated with borax, soda, and
+glycerine, in the vagina every night and morning. The surface of the body
+should be kept clean by the daily employment of hand-baths, followed by
+brisk friction. The bowels, if constipated, should be regulated as
+suggested for constipation. The system should be strengthened by Dr.
+Pierce's Favorite Prescription, and, if the blood be disordered, no better
+alterative can be found for domestic use than Dr. Pierce's Golden Medical
+Discovery. If the patient does not in a few months improve under this
+treatment, the case should be placed under the immediate care of some
+physician well qualified by education and experience to critically examine
+and successfully treat this affection.</p>
+
+<p><b>Chronic Inflammation and Ulceration of the Uterus, a Cause of
+Sterility</b>. When enumerating the causes of barrenness we mentioned that
+chronic inflammation of the mucous membrane of the mouth and neck of the
+womb was the most common affection that defeats conception. Of all diseases
+of female organs, this is, without doubt, the most common, and, since it
+does not at first produce great inconvenience or immediately endanger life,
+it does not excite the attention which its importance demands. It is
+overlooked, and, when the attention is directed to the existence of this
+long-neglected disease it appears so trivial that it is not regarded as
+being the real cause of infertility in the patient.</p>
+
+<p>When this disease has existed for a long time, the very structure of the
+parts involved becomes changed. The glands of the cervical membrane <span
+class="pagenum"><a name="Page_711" id="Page_711"></a>[pg 711]</span>secrete
+a glairy mucus, resembling the white, or albuminous part of an egg. The
+secretion is thick and ropy, and fills the entire mouth and neck of the
+uterus, thus preventing the entrance of the spermatozoa. The mucous
+membrane becomes thickened, the inflammation extends to the deeper
+structures, and, on examination through the speculum, we find the mouth of
+the uterus inflamed, hardened, and enlarged, as represented in Fig. 22,
+Colored Plate IV, or in Fig. 23 of same plate. Fig. 25, Plate IV, shows the
+mucous follicles just as they are found all along the neck of the womb, in
+a state of inflammation and enlargement, and filled with a fluid resembling
+honey, giving rise to ulceration and a thick discharge, as illustrated in
+Fig. 23, Colored Plate IV.</p>
+
+<p>Feebleness of the constitution, impoverishment of the blood, a
+scrofulous diathesis, want of exercise, uncleanliness, tight lacing,
+disappointment, excessive excitement of the passions, the use of pessaries
+for displacement of the uterus, overwork, and taking cold, all predispose
+the cervical membrane to chronic ulceration.</p>
+
+<p>The inflammation may be so mild, and the discharge so trifling in
+quantity, as scarcely to attract attention. But after it obtains a firmer
+hold, and, in most cases, it is aggravated by exposure or neglect, the
+patient experiences dragging sensations about the pelvis, and pain in back
+and loins, accompanied with a bearing-down sensation and numbness or pain
+extending to the thighs.</p>
+
+<p>The discharge is thick, starch-like, and generally irritating. The
+patient becomes irascible, capricious, querulous, and sometimes moody and
+hysterical. She is easily discouraged, her appetite and digestion become
+impaired, and she grows thin and does not look or act as when in
+health.</p>
+
+<p><b>Treatment</b>. In offering a few hints for the domestic management of
+these abnormal conditions, we would at the same time remark, that, while
+health may be regained by skillful treatment, recovery will be gradual. We
+especially wish to guard the patient against entertaining too strong
+expectations of a speedy recovery. Although she may employ the best
+treatment known, yet from three to five months may elapse before a perfect
+cure can be effected. In persons of scrofulous diathesis, in whom the
+recuperative forces are weakened, it is very difficult to effect a radical
+cure. It is equally true, however, that under domestic management alone,
+thousands have been restored to perfect health and fruitfulness.</p>
+
+<p>Hygienic management consists in toning the functions of the skin by
+daily bathing the surface of the body, and quickening the circulation by
+brisk friction. The patient should rise early in the morning, and exercise
+in the fresh and invigorating air. Those who sleep in warm rooms, or spend
+much of their time in bed, will continue to have congestion of the uterus,
+and habitual discharges from this enfeebled organ. The patient should take
+daily walks, increasing the length of <span class="pagenum"><a
+name="Page_712" id="Page_712"></a>[pg 712]</span>the excursion from time to
+time, but not to the extent of producing fatigue. The bowels, if
+constipated, should be regulated. Strengthen the system by using Dr.
+Pierce's Favorite Prescription, to each bottle of which add two drachms of
+citrate or pyrophosphate of iron. The mouth and neck of the uterus should
+be thoroughly cleansed by the use of the syringe, as suggested for the
+treatment of leucorrhea. The use of the solution of Dr. Pierce's Purifying
+and Strengthening Lotion Tablets there advised will also be beneficial, if
+thoroughly applied.</p>
+
+<p>A most valuable course of local treatment, which may be adopted by any
+intelligent lady without the aid of a physician, and one that will result
+in the greatest benefit when there is morbid sensibility, congestion,
+inflammation, or ulceration about the mouth or neck of the womb, consists
+in applying to those parts a roll of medicated cotton or soft sponge,
+allowing it to remain there for twelve hours at a time. A piece of fine,
+soft, compressible sponge, as large as a hen's egg, or a roll of cotton
+batting of two-thirds that size, is thoroughly saturated with pure
+glycerine. Securely fasten to it a stout cord a few inches long. The vagina
+and affected parts having been thoroughly cleansed with warm water and
+Castile soap, as advised in the treatment of leucorrhea, the sponge or
+cotton should be passed up the vagina with the finger, and pressed rather
+firmly against the mouth and neck of the womb, which, being enlarged, and,
+consequently falling below its natural position, will generally be low down
+in the vagina, and so hardened as to be unmistakably distinguished from the
+surrounding parts by the sense of touch. The glycerine, having a very
+strong affinity for water, will absorb large quantities of the
+<i>serum</i>, which has been effused into the affected tissues in
+consequence of their congestion and inflammation, and thus reduce the
+inflammation and enlargement. This is the cause of the profuse, watery
+discharge which follows the application. In twelve hours after the sponge
+or cotton has been applied, it should be removed by means of the attached
+thread, one end of which has been purposely left hanging out of the vagina.
+Then thoroughly cleanse the vagina with warm water, use the solution of Dr.
+Pierce's Lotion Tablets as suggested for the treatment of leucorrhea, and
+repeat the glycerine application the following day or every other day.</p>
+
+<p>If there is no irritation or tenderness of the vagina, add one drachm of
+tincture of iodine to each ounce of the glycerine, alternating the use of
+this with that of pure glycerine; or, the iodine and glycerine may be used
+every third day, and the glycerine alone on the two intervening days. As
+the iodine will color the finger somewhat, it is well to know that this
+unpleasant effect may be almost or entirely avoided by coating that member
+with lard, sweet oil, or vaseline. The stain may be readily removed with a
+solution of iodide of potassium. The use of Dr. Pierce's Antiseptic and
+Healing Suppositories as advised on an other page under the head of
+Ulceration of the Uterus will aid greatly in effecting a cure.</p>
+
+<p><span class="pagenum"><a name="Page_713" id="Page_713"></a>[pg
+713]</span>If your medicine dealer does not have these Suppositories in
+stock, mail 25 cents in stamps to Dr. R.V. Pierce, Buffalo, N.Y., and a box
+will be sent you by return post.</p>
+
+<p>It is well to alternate Dr. Pierce's Golden Medical Discovery with Dr.
+Pierce's Favorite Prescription, taking of each three times a day. By
+persevering in this course of treatment, nine-tenths of those who are thus
+afflicted will improve and be fully restored to health, fruitfulness and
+happiness. If barrenness continue, the case should be unreservedly
+submitted, either in person or by letter, to a physician skilled in the
+diagnosis and treatment of these affections.</p>
+
+<p>From the foregoing remarks, the reader will perceive that there are a
+variety of diseased conditions, any one of which may produce sterility. It
+is equally true that nearly all these conditions may be easily cured by
+proper medical or surgical treatment. A frequent cause of barrenness is
+stricture of the neck of the uterus. No medicine that a woman can take or
+have applied will remove this unnatural condition. Fortunately, however,
+the means to be employed cause no pain, are perfectly safe, and the time
+required to effect a cure is short, rarely over twenty or thirty days.</p>
+
+
+
+<h3>DISPLACEMENTS OF THE WOMB.</h3>
+
+<p>The relative positions of the womb and surrounding organs, when in a
+state of health, are well illustrated by Fig. 1, <a href='#Page_680'>page
+680</a>. The womb is supported in its place by resting upon the vaginal
+walls, and by a broad ligament on either side, as well as by other
+connective tissues. By general debility of the system, the supports of the
+womb, like the other tissues of the body, become weakened and inadequate to
+perfectly perform their duty, thus permitting various displacements of that
+organ.</p>
+
+<p><b>Prolapsus, or Falling of the Uterus</b>, is a common form of
+displacement. It has been erroneously regarded as a local uterine disease,
+requiring only local treatment instead of being considered as a symptom of
+general derangement, and, therefore, requiring constitutional treatment.
+Hence, variously devised supporters have been invented to retain the womb
+in position after its replacement. It is a law of physiology, that the
+muscular system is strengthened by use, and that want of exercise weakens
+it. The blacksmith's arm is strengthened and developed by daily exercise.
+Support his arm in a sling, and the muscles will be greatly weakened and
+wasted. So when artificial supports are used to retain the womb in
+position, thereby relieving the supporting ligaments and tissues of their
+normal function, the <i>natural</i> supports of the uterus are still
+further weakened, and the prolapsus will be worse than before when the
+artificial support is removed. Besides, all these mechanical contrivances
+are irritating to <span class="pagenum"><a name="Page_714"
+id="Page_714"></a>[pg 714]</span>the tissues of the womb and vagina, and
+frequently produce congestion, inflammation, and even ulceration, thus
+rendering the patient's condition much worse than before their employment.
+These worse than useless appliances should never be resorted to for the
+temporary relief which they sometimes afford. Constitutional treatment
+together with appropriate applications is the only effectual method of
+remedying this morbid condition.</p>
+
+<p><b>Symptoms</b>. When the displacement is sufficient to cause any
+serious disturbance, the prominent symptoms are a sensation of dragging and
+weight in the region of the womb, pain in the back and loins, inability to
+lift weights, great fatigue from walking, leucorrhea, a frequent desire to
+urinate, irritation of the lower bowel, and derangement of the stomach. The
+womb may protrude from the vaginal orifice; in very rare cases, wholly
+protrudes, and may be inverted.</p>
+
+<p><b>Causes</b>. As we have already stated, general debility favors
+prolapsus of the womb, but various general and local circumstances and
+conditions also favor its occurrence. Wearing heavy garments supported only
+by the hips, compressing the waist and abdomen with tight clothing, thus
+forcing the abdominal organs down upon the womb, are fruitful causes of
+this affection. Excesses in sexual intercourse give rise to leucorrhea,
+producing a relaxed condition of the vagina, upon which the womb rests,
+and, in this way, one of its supports is weakened. Enlargement of the
+uterus from congestion, and inflammation or tumors also favor prolapsus.
+Abortion may leave the womb enlarged, its supports weakened, and result in
+this displacement.</p>
+
+
+
+<p class="lfigure"><a name="advise451"><img width="90%" alt="Illustration:
+Fig. 12. Retroflexion, U, Uterus (Womb), B, Bladder."
+src="images/advise451.png" /></a><br />Fig. 12. Retroflexion, U, Uterus
+(Womb), B, Bladder.</p>
+
+<p><b>Flexions and Versions</b>. Instead of sliding down into the vagina,
+as in prolapsus, the uterus is liable to fall or be forced into other
+unnatural positions. When the uterus is bent upon itself, it is called
+<i>flexion</i>. If the bending is backward, it is called
+<i>retroflexion</i>; if forward, <i>anteflexion.</i> Fig. 12, represents
+the former condition, the uterus being flexed backward so that the fundus,
+or upper part of the womb, is pressed against the rectum, while the neck of
+the uterus remains in its natural position. This is a common form of
+displacement, and generally occurs between the ages of fourteen and
+fifty.</p>
+
+<p><b>Symptoms</b>. The prominent symptoms of retroflexion of the uterus
+are a sense of weight in the region of the rectum, difficulty in evacuating
+the bowels, and, sometimes a retention of the feces. There may be
+suppression of the urine and the menses may be diminished in <span
+class="pagenum"><a name="Page_715" id="Page_715"></a>[pg
+715]</span>quantity. If retroflexion is due to a chronic enlargement of the
+uterus, caused by abortion or parturition, the patient suffers from an
+immoderate menstrual flow.</p>
+
+<p><b>Causes</b>. The principal causes of retroflexion are congestion,
+enlargement and tumors of the uterus. Congestion is liable to occur in
+women possessing an extremely active temperament, as well as in those of
+sedentary and indolent habits. Retroflexion is a common displacement in
+both married and unmarried women; it is a secondary affection, and, when it
+is caused by congestion, the menses are painful and reduced in quantity,
+and there is pain in the back and a sense of weight in the region of the
+rectum. In some instances, there is a reflex irritation of the mammary
+glands, and a consequent secretion of milk. There may also be nausea and
+vomiting, which often lead to the erroneous opinion that the patient is
+pregnant.</p>
+
+<p><i>Anteflexion</i> of the uterus denotes a bending forward of the body
+and fundus of the uterus, while the neck remains in its natural
+position.</p>
+
+<p>In versions of the uterus, neither the body nor the neck of the womb is
+bent upon itself, but the whole organ is completely turned backward or
+forward.</p>
+
+
+
+<p class="rfigure"><a name="advise452"><img width="90%" alt="Illustration:
+Fig. 13. Retroversion. B, Bladder. U, Uterus (Womb)."
+src="images/advise452.png" /></a><br />Fig. 13. Retroversion. B, Bladder.
+U, Uterus (Womb).</p>
+
+<p><i>Retroversion</i> of the uterus, illustrated by Fig. 13, signifies a
+change in the position of the womb, so that the upper, or fundal portion of
+the organ drops back toward the concavity of the sacrum, while the neck
+preserves a straight line in the opposite direction. The fundus presses
+forcibly against the rectum, while the upper part of the vagina bends
+abruptly and forms an acute angle near the mouth of the uterus.</p>
+
+<p><b>Symptoms</b>. Retroversion is indicated by bearing-down pains in the
+loins and difficulty in evacuating the bowels. The feces may accumulate in
+the rectum, because they cannot pass this obstruction.</p>
+
+<p><b>Causes</b>. Jumping, falling, or undue pressure from the contents of
+the abdomen, may suddenly cause retroversion of the uterus. Sometimes
+retroversion results from obstinate constipation.</p>
+
+<p><i>Anteversion</i>. This term designates another unnatural position of
+the uterus, in which the fundus, or upper part of the organ, falls forward,
+as illustrated by Fig. 14, while the neck points towards the hollow of the
+sacrum. This position of the womb is the reverse of that of retroversion.
+In its natural position, the fundus of the uterus is slightly inclined
+forward, and any pressure, or forward traction, is liable to cause it to
+fall still further in that direction.</p>
+
+<p><span class="pagenum"><a name="Page_716" id="Page_716"></a>[pg 716]</span></p>
+
+
+<p class="lfigure"><a name="advise453"><img width="90%" alt="Illustration:
+Fig. 14. Anteversion, U, Uterus, B, Bladder." src="images/advise453.png"
+/></a><br />Fig. 14. Anteversion, U, Uterus, B, Bladder.</p>
+
+<p><b>Symptoms</b>. One of the most common symptoms of anteversion is a
+frequent desire to urinate, in consequence of the pressure of the uterus
+upon the bladder. The free flow of the menses is sometimes obstructed.</p>
+
+<p><b>Causes</b>. The causes are tight lacing, prolapse of the abdominal
+organs, weakness of the supporting ligaments, and enervating habits.</p>
+
+<p><b>Treatment</b>. In treating all the various displacements of the
+uterus, the prominent indication is to tone up the general system, for by
+so doing we also strengthen the uterine supports.</p>
+
+<p>Digestion should be improved, the blood enriched, and nutrition
+increased, so that the muscles and ligaments which retain the womb in
+position may become firm and strong. The womb will thus be gradually drawn
+into position by their normal action and firmly supported. It is a great
+mistake, made by physicians as well as patients, to consider a displacement
+of the uterus a <i>local</i> disease, requiring only local treatment. A
+restoration of the general health will result in the cure of these
+displacements, the uterus will regain its tone and muscular power, and the
+local derangement, with its attendant pain and morbid symptoms, will
+disappear.</p>
+
+<p>It is true that displacements of the womb may be associated with
+inflammation and ulcers, which require local treatment, as elsewhere
+suggested; but simple displacement of the uterus may be remedied by
+pursuing the following course of sanitary and medical treatment. Sleep on a
+hard bed, rise early, bathe, and take a short walk before breakfast. Dress
+the body warmly and allow sufficient space for the easy and full expansion
+of the lungs. Eat moderately three meals a day, of those articles which are
+nutritious and readily digested. Keep the bowels regular by the use of
+proper food. If they are constipated, use Dr. Pierce's Pellets to keep them
+open and regular. Avoid retaining the standing position too long at a time,
+especially when the symptoms are aggravated by it. Many energetic women
+disregard their increasing pains, and keep upon their feet as long as
+possible. Such a course is extremely injurious and should be avoided.</p>
+
+<p>As a general restorative and uterine tonic, nothing surpasses Dr.
+Pierce's Favorite Prescription, which is sold by druggists and accompanied
+with full directions for use. If leucorrhea is an attendant symptom, the
+treatment suggested for that condition should be employed. The use of Dr.
+Pierce's Antiseptic and Healing Suppositories, applying one every third
+night After having first <span class="pagenum"><a name="Page_717"
+id="Page_717"></a>[pg 717]</span>cleansed the vagina and neck of the womb
+thoroughly by the use of warm water and soap as an injection, will prove of
+great benefit in giving strength to the supports of the womb and its
+appendages.</p>
+
+
+
+<p class="figure"><a name="advise454"><img width="40%" alt="Illustration:
+Fig. 22. Fig. 21. Fig. 23. Fig. 24. Fig. 25. Fig. 26."
+src="images/advise454.jpg" /></a><br /> Fig. 22. Fig. 21. Fig. 23. Fig. 24.
+Fig. 25. Fig. 26.</p>
+
+<p>By persevering in the rational treatment which we have suggested for the
+various displacements of the womb, nearly all who suffer from such
+derangements may be fully restored to health. The patient should not expect
+<i>speedy</i> relief. Considerable time will be necessary to bring the
+general system up to a perfect standard of health, and, until this is
+accomplished, no great improvement in the distressing symptoms can be
+expected. Mechanical movements are especially effective in this class of
+cases. We have successfully treated many obstinate cases in which the
+displacements were very serious.</p>
+
+<hr />
+
+
+
+
+<h2>ULCERATION OF THE UTERUS.</h2>
+
+<p>Ulceration is the process by which ulcers, or sores, are produced. It is
+characterized by the secretion of pus or some fetid discharge, and is
+continued as a local disease through the operation of constitutional
+causes. Ulcers are generally symptoms of other morbid conditions.</p>
+
+<p>Ulcers may form in the <i>mouth</i> or <i>neck</i> of the uterus, and,
+omitting cancerous ulcers and those of a syphilitic character, which are
+considered elsewhere, may be classified as <i>Granular</i> and
+<i>Follicular</i>.</p>
+
+
+
+<p class="figure"><a name="advise455"><img width="40%" alt="Illustration:
+Fig. 15. The Ferguson Speculum." src="images/advise455.png" /></a><br
+/>Fig. 15. The Ferguson Speculum.</p>
+
+<p><b>Granular Ulcer</b>. This variety of ulcerative degeneration is the
+most frequent, and may exist for some time without exciting any suspicion
+in the mind of the patient that she is afflicted with any such morbid
+condition. There is local inflammation, and the mouth of the uterus is
+uneven, rough, and granular. If an examination be made with the speculum,
+the mouth of the uterus is often found in the condition represented in Fig.
+22, Colored Plate IV.</p>
+
+<p>Figs 15 and 16 represent two different forms of specula. The one
+represented by Fig. 15 consists of a tube of glass coated with quicksilver
+and covered with India rubber, which is thoroughly varnished. <span
+class="pagenum"><a name="Page_718" id="Page_718"></a>[pg 718]</span>That
+represented by Fig. 18 is made of metal and plated. By using one of these
+instruments, the condition of the mouth of the womb can be distinctly
+seen.</p>
+
+
+
+<p class="figure"><a name="advise456"><img width="40%" alt="Illustration:
+Fig. 16. An Expanding Uterine Speculum." src="images/advise456.png"
+/></a><br />Fig. 16. An Expanding Uterine Speculum.</p>
+
+<p><b>Follicular Ulcer</b>. When the mucous follicles of the neck of the
+uterus are inflamed they enlarge and become filled with a fluid having the
+color and consistency of honey, presenting the appearance illustrated by
+Fig. 25, Colored Plato IV. This secretion, because of the presence of the
+Inflammation, is not discharged. The follicles, therefore, continue to
+enlarge until they burst, and we then see in their place the red, elevated,
+angry-looking eminence, which is called a <i>follicular ulcer</i>.</p>
+
+<p><b>Symptoms</b>. The severity of the symptoms depends upon the character
+of the ulceration. It may be simple or associated with purulent leucorrhea
+and hemorrhage. If ulceration be slight and local, few symptoms will be
+present; but if it be associated with uterine debility, congestion and
+inflammation of the mucous membrane of the uterus, the discharge will be
+profuse, and there will be fixed pain in the back and loins, a bearing-down
+sensation, and great difficulty in walking. The discharge is weakening, as
+it impoverishes the blood, and thus reduces the strength.</p>
+
+<p><b>Causes</b>. Ulceration may be induced by any thing that excites
+inflammation of the lining membrane of the mouth and neck of the uterus.
+The use of pessaries, excessive sexual indulgence, injuries occasioned by
+giving birth to children, congestions, enlargements and displacements, may
+all operate as causes.</p>
+
+<p><b>Treatment</b>. We cannot too strongly condemn the practice so popular
+at the present time with physicians generally, of indiscriminately burning
+all uterine ulcers with strong caustics, such as nitrate of <span
+class="pagenum"><a name="Page_719" id="Page_719"></a>[pg 719]</span>silver,
+chromate of potassium, and other similar escharotics, regardless of the
+condition of the general system. Ulcers of the womb must be healed in the
+same manner as those upon any other part of the body. It is an irrational
+practice to repeatedly cauterize them, expecting thereby to promote
+healing, while the system is vitiated and the vitality far below the
+standard of health. Enrich the blood, tone up the system, keep the ulcers
+cleansed by the frequent use of lotions, and they will generally heal.
+Caustics often aggravate the irritability and interfere with the healing
+processes of nature. Ladies should not unnecessarily submit to the exposure
+of their persons. If they perseveringly employ the treatment which we shall
+suggest, other local treatment will <i>very rarely</i> be found necessary.
+This modern warfare which physicians are waging upon the unoffending womb
+is a most irrational practice. Our grandmothers got along very well without
+exposing themselves to the humiliation and tortures of this new-born
+empiricism. We do not wish to be understood as undervaluing or denying the
+necessity, in rare cases, of examinations of the uterus, or as being
+unappreciative of the aid afforded in such investigations by the speculum,
+and the beneficial effects of local applications made directly to the womb
+through that instrument. What we affirm is, that such examinations and
+applications are, in the practice of most modern physicians, made
+unnecessarily frequent, resulting many times in lasting injury to the
+patient.</p>
+
+<p><b>General Means</b>. As has already been indicated, constitutional
+treatment should be principally relied upon to cure ulceration of the neck
+of the womb. Put the system in perfect order and the local ulceration
+cannot fail to heal. If you have a sore or ulcer upon the leg you very
+naturally reason that there is a fault in the system at large or in the
+blood. You do not apply caustics to the sore, but you go to work to restore
+the blood and system to a normal or healthy condition and as soon as this
+is accomplished the open and rebellious sore, or ulcer, heals of its own
+accord. All you have to do locally, to stimulate the ulcer to heal, is to
+keep it well cleansed by the use of Castile soap and warm water. Just so
+with ulceration of the womb. Thoroughly cleanse the vagina and neck of the
+womb once a day by the use of warm water and a little soap, applying this
+<i>thoroughly</i>, as directed on <a href='#Page_704'>page 704</a>, under
+the head of treatment for leucorrhea, and using a solution of Dr. Pierce's
+Purifying and Strengthening Lotion Tablets as there directed. After thus
+thoroughly cleansing and purifying the parts, a piece of soft sponge as
+large as a hen's egg, to which a bit of cord or strong thread is attached
+to facilitate removing it, may be thoroughly wet in pure glycerine and
+introduced into the vagina, pressed against the mouth of the womb, and
+allowed to remain there for twelve hours, when it should be gently removed
+by pulling on the attached string. The cleansing lotion of soap and warm
+water should be used daily and followed by the glycerine application.</p>
+
+<p><span class="pagenum"><a name="Page_720" id="Page_720"></a>[pg
+720]</span>Every third night instead of the glycerine tampon apply one of
+Dr. Pierce's Antiseptic and Healing Suppositories, pressing it well up
+against the mouth of the womb, and letting it remain there to slowly
+dissolve. This will give far better curative results than the application
+of nitrate of silver or other caustics so generally used by physicians.
+Besides it has the great advantage of being entirely harmless in any
+condition of the parts to which it is applied. These Suppositories are
+powerfully antiseptic, destroying all offensive odors and have a soothing
+and at the same time tonic or strengthening effect upon the neck of the
+womb and the vagina.</p>
+
+<p>In cases where there is prolapsus or falling of the womb, or Anteversion
+or Retroversion, or other displacements the use of the Antiseptic and
+Healing Suppositories will be found to be of great benefit in giving
+strength to the supports of the womb and its appendages.</p>
+
+<p>If your dealer is not supplied with the Suppositories, inclose 25 cents
+in one-cent stamps to us at Buffalo, N.Y., and a package will be sent you,
+post-paid.</p>
+
+<p>We are fully aware that this thorough and <i>systematic</i> course of
+treatment is slightly troublesome in its application, but what system of
+treatment that can promise similar success is not?</p>
+
+<p>This course of treatment must be <i>rigidly</i> adhered to for several
+weeks before we can expect a complete cure of the ulcers and the arrest of
+the consequent leucorrheal discharge.</p>
+
+<p><b>The Sheet Anchor of Hope</b>. Do not fail to bear in mind that no
+difference how good the lotions and other local applications may be, your
+<i>chief</i> reliance in all cases of ulceration of the womb, as well as in
+those of simple leucorrhea, must be upon <i>thorough constitutional</i>
+treatment. To this end Dr. Pierce's Golden Medical Discovery should be
+taken three times a day in doses of from one to one-and-a-half teaspoonfuls
+one hour before each meal, and in the middle of the forenoon, in the middle
+of the afternoon, and just before retiring for the night, a like amount of
+Dr. Pierce's Favorite Prescription should be taken. The use of these blood
+cleansing and invigorating tonic medicines should be kept up
+<i>persistently</i> for several weeks; for you must not expect a perfect
+cure too soon in a malady that has become chronic and seated. The disease
+does not become established hastily, but is slow in its inception and
+progress, and will only gradually and slowly yield to the best of
+treatment, which we believe we have already pointed out. Followed
+<i>earnestly, faithfully</i> and <i>persistently</i>, the use of the means
+which we have suggested will rarely, if ever, fail.</p>
+
+<p><span class="pagenum"><a name="Page_721" id="Page_721"></a>[pg
+721]</span></p><hr />
+
+
+
+
+<h2>URINARY FISTULA.</h2>
+
+
+<p>A fistula, or false passage, is sometimes formed between the bladder and
+the vagina, between the bladder and the uterus, or between the urethra and
+the vagina. This passage allows the urine to escape through it into the
+vagina, and is a source of great annoyance and suffering. This affection is
+most commonly due to sloughing, caused by severe and long-continued
+pressure upon the parts during child-labor. It is also sometimes produced
+by the unskillful use of forceps and other instruments employed by
+midwives. Syphilitic and other ulcerations may so destroy the tissues as to
+form a urinary fistula.</p>
+
+<p><b>Treatment</b>. The treatment is purely surgical, and consists in
+paring the edges of the opening so as to make them raw, bringing them
+together and holding the parts thus by means of stitches until they heal.
+By the aid of a speculum, properly curved scissors, needles with long
+handles, fine silver wire, and a few other instruments and appliances, the
+skillful surgeon can close a urinary fistula with almost as much ease as he
+can close a wound on the surface of the body.</p>
+
+<hr />
+
+
+<h2>DISORDERS INCIDENT TO PREGNANCY.</h2>
+
+<p>While some women pass through the whole period of pregnancy without
+inconvenience, others suffer from various sympathetic disturbances, as
+"morning sickness," impaired appetite, constipation, diarrhea, headache,
+"heart-burn," fainting fits, difficult breathing, and sometimes
+convulsions. A strong nervous sympathy exists between the uterus and every
+part of the system and this sympathy is greatly intensified by pregnancy,
+causing the distressing symptoms above mentioned.</p>
+
+<p><b>Treatment</b>. By proper treatment, most of these evils can be
+obviated and the patient made comfortable. By the moderate use of such a
+nervine and uterine tonic as Dr. Pierce's Favorite Prescription, this
+nervous irritability may be controlled or subdued, and the disagreeable
+symptoms thus avoided.</p>
+
+<p>While the female is pregnant, she should avoid all compression of the
+waist and abdomen. For this reason tight clothing, stays, or corsets must
+be discarded. She should also carefully regulate her diet, selecting that
+which is most nutritious and easily digested.</p>
+
+<p>The nausea which occurs in the morning may generally be avoided by
+partaking of a little light food and a cup of tea or coffee before leaving
+the bed. If vomiting occurs, and the ejected matter be very acid, carbonate
+of magnesia, taken in tablespoonful doses, or some alkali with aromatics,
+or pulverized charcoal, which can be obtained at <span class="pagenum"><a
+name="Page_722" id="Page_722"></a>[pg 722]</span>any drug store, will
+afford relief. If constipation or diarrhea be experienced, small doses of
+Dr. Pierce's Pellets should be employed&mdash;one or two only at a time. Want of
+appetite, headache, or a tendency to convulsions, can be generally overcome
+by a persistent use of Dr. Pierce's Favorite Prescription, which should be
+taken in teaspoonful doses three or four times each day. Indeed, this
+valuable medicine not only relieves the distressing symptoms which
+frequently attend the pregnant state, but also prepares the system for the
+ordeal of parturition (delivery). One or two bottles of this nervine and
+tonic used previous to confinement, will, in many cases, save hours of
+terrible suffering, besides regulating the system, and thus insuring a
+speedy recovery. We have received the heartfelt thanks of hundreds of
+grateful mothers for the inestimable benefit thus conferred. The Favorite
+Prescription is perfectly safe and harmless to use <i>at all times</i> and
+under all circumstances in the doses above prescribed.</p>
+
+<hr />
+
+
+
+
+<h2>OVARIAN AND UTERINE TUMORS.</h2>
+
+<p>We have space only to give a brief outline of the characteristics and
+treatment of the most frequent classes of tumors which affect the ovaries
+and uterus.</p>
+
+<p><b>Ovarian Tumors</b> generally consist of one or more cysts or sacs,
+developed within the ovary, and filled with a fluid, or semi-fluid matter,
+which is formed in their interior. The cysts vary in size, in some
+instances being not larger than a pea, while in others they are capable of
+containing many quarts of fluid. In one case operated upon at the Invalids'
+Hotel and Surgical Institute, thirty-five pints of fluid were taken from
+three cysts.</p>
+
+<p>The effect of ovarian tumors on the duration of life is shown by the
+statistics of Stafford Lee. Of 123 cases, nearly a third died within a
+year, more than one-half within two years from the first development of
+reliable symptoms, while only seventeen lived for nine years or
+upwards.</p>
+
+<p><b>Fibroid Tumors</b> of the uterus are composed of fibrous tissue,
+identical in structure with that of the uterine walls. They are met with in
+all sizes, from that of a small shot to that of a mass capable of filling
+the entire cavity of the abdomen. Cases are on record in which these tumors
+have attained the weight of seventy pounds.</p>
+
+<p>The manner in which fibroid tumors terminate life is generally by
+prostration and debility produced by pressure on, and consequently,
+interference with, the function of some one or more of the organs essential
+to life; or by anæmia and debility, produced by the severe
+hemorrhages, which the intra-uterine or sub-mucous form not infrequently
+induces.</p>
+
+<p><span class="pagenum"><a name="Page_723" id="Page_723"></a>[pg
+723]</span><b>Polypi or Polypoid Tumors</b> of the uterus are of three
+kinds, cystic, mucous and fibrous. They vary greatly in size, sometimes
+being as large as a tea-cup; and their point of attachment may be extensive
+or consist only of a small pedicle. The cystic and mucous varieties may
+spring from any portion of the mucous surface of the uterus, but they are
+more frequently met with growing from the mucous membrane lining the
+cervical canal, and pendent from the mouth of the womb, as represented in
+Fig. 21 and in Fig. 26, Colored Plate IV; while the fibrous variety
+generally grows from the sub-mucous tissue at or near the fundus, or upper
+portion, of the uterus.</p>
+
+<p>The most prominent symptoms of polypoid growths are hemorrhage, which is
+almost invariably present, leucorrhea, pain, backache, and a sense of
+weight and dragging in the pelvis.</p>
+
+<p>The best method of treatment, and, in fact, the only effectual one, is
+removal with the <i>&eacute;craseur</i>, polypus forceps, or
+galvano-cautery. The operation is usually attended with little or no
+pain.</p>
+
+<p><b>For more than twenty-five years</b> the physicians of the Invalids'
+Hotel and Surgical Institute, have been successfully treating tumors by
+means of electricity. More recently, the medical profession has quite
+generally adopted electrical applications in response to the advice of
+Apostoli, of Paris. The plan used however is crude. It does not compare in
+results with the successful and safe procedure that our surgeons have
+invented and pursued.</p>
+
+<p>Electrical treatment will destroy the life of ovarian and fibroid tumors
+if applied early and after the improved methods so long used at our
+Institution. The destructive effect of electricity is modified by the
+introduction of certain electro-chemical applications so that it attacks
+and kills only the cells of the tumor.</p>
+
+<p><b>The very large Ovarian Tumors</b>, however, are not amenable to
+treatment by this process. The walls of their cysts become so thin and
+weak, while the pressure of the fluid from within is so great, that sudden
+and spontaneous rupture is liable to occur at any time and produce death.
+Removal by a cutting operation is necessary in such cases. Fortunately this
+procedure, as skillfully modified and perfected by experience, has, in the
+hands of our surgeons, proven free from the dangers and hazard common to
+Ovariotomy. This is due to skillful operation and to the fact that in our
+Institution the sanitary arrangements are as perfect as it is possible to
+make them. Everything is at hand in the way of instruments and appliances
+likely to be required, and the entire procedure is conducted upon the
+principles of perfect cleanliness and antisepsis, which obviate the risk of
+inflammation and blood-poisoning.</p>
+
+<p>Furthermore, our nurses have had such fine training and such a vast
+experience in their attendance upon such cases, that wants are anticipated,
+and details, that would escape those not so well qualified, are <span
+class="pagenum"><a name="Page_724" id="Page_724"></a>[pg 724]</span>looked
+after so thoughtfully and vigilantly that the convalescence is rapid, as
+well as being in every way comfortable and safe. Under such conditions</p>
+
+<p><b>Our surgeons have completed a long list of removals of Ovarian Tumors
+without a single death!</b></p>
+
+<p>We are, therefore, <i>warranted</i> in stating that</p>
+
+<p><b>The dangers due to the presence of these tumors are far greater than
+the slight risks of removal by the skillful methods employed by our
+surgeons.</b></p>
+
+<p>Owing to a change made in the anæsthetic used, the painful and
+persistent vomiting that often follows abdominal operations is prevented.
+This does away with the greatest of all the dangers attendant upon the
+operation of Ovariotomy, and favors speedy recovery. Food, as administered
+in the form of artificially digested and concentrated nourishment, is
+readily retained. The strength is thus rapidly restored, and the healing
+process hastened.</p>
+
+<p>It is generally supposed that the size of the opening made through the
+abdominal walls is large, proportionate to the size of these tumors. This
+is an error. Even in the largest cystic tumors where the development is
+immense, a small incision only, is made&mdash;simply sufficient to bring the
+walls of the tumor in view and admit, perhaps, two or three fingers. The
+tumor is then rapidly emptied of its contents by means of a powerful
+suction apparatus. Adhesions, if any exist, are then carefully removed, and
+hemorrhage therefrom prevented; after which the large sac of the tumor,
+which when collapsed is like a thin bag, is readily drawn out through the
+small opening in the abdomen and removed. The small pedicle or cord-like
+mass of vessels that supplies the tumor, are then carefully treated after a
+plan invented by, and peculiar to, ourselves, which effectually prevents
+any bleeding, and, at the same time, does not leave any irritating
+substance, such as burned and charred flesh, rubber, silk, or any other
+unabsorbable material, within the abdomen. The parts are left unbruised and
+without any poisonous germs in contact.</p>
+
+<p>Our surgeons have met with phenomenal success in removing Ovarian
+Tumors, by the operation of Ovariotomy. Thus far, in a career extending
+over a long period of time and embracing the removal of a long list of
+these morbid growths, they have not had a single fatal case.</p>
+
+<p>The following cases illustrate our method of treatment in a few of the
+many cases that have been under our care. Each case is typical of a
+class:</p>
+
+<p><span class="pagenum"><a name="Page_725" id="Page_725"></a>[pg 725]</span></p>
+
+
+<p class="lfigure"><a name="advise457"><img width="90%" alt="Illustration:
+Fig. 17. The shape and position of the Tumor are shown by the dotted line."
+src="images/advise457.png" /></a><br />Fig. 17. The shape and position of
+the Tumor are shown by the dotted line.</p>
+
+<p><b>Case I</b> A married woman, aged 38. Had never given birth to a
+child. About four years before coming under our observation, she discovered
+a small bunch, as she expressed it, in the left ovarian region, which
+gradually increased in size until, when she consulted us, it caused
+considerable pain in the region of the liver from pressure, and interfered
+with respiration. Her general health was becoming much impaired. She stated
+that she had consulted a prominent gynecologist in this city, who had told
+her that the attachments of the tumor were so extensive that ovariotomy
+(removal with the knife) was out of the question, and that, therefore, he
+could only give her palliative treatment. This unfavorable prognosis only
+added mental anguish and despair to her physical suffering. On examination,
+we found a large multilocular cystic tumor, represented by Fig. 17, with
+very thick walls, extending from the left ovarian region obliquely upwards
+and to the right, so that it pressed more upon the short ribs on the right
+side than it did upon the left, but which filled the entire cavity of the
+abdomen. The attachments, as the doctor whom she had previously consulted
+had stated, were so extensive that its removal with the knife could not be
+thought of. We were not disposed, however, to give the case up as hopeless.
+We told her that we would do what we could for her, but as to what the
+result of our treatment would be, we could not definitely say. She placed
+her case in our hands, and we resorted to the above described treatment.
+She was treated two and three times per week for more than two months, at
+the end of which time, the tumor had decreased in size fully two-thirds. It
+has ever since remained stationary, and has given her no trouble or
+inconvenience whatever. It is now seven years since we treated her.</p>
+
+
+
+<p class="rfigure"><a name="advise458"><img width="90%" alt="Illustration:
+Fig. 18. U, Uterus. B, Bladder. R, Rectum. T, Tumor."
+src="images/advise458.png" /></a><br />Fig. 18. U, Uterus. B, Bladder. R,
+Rectum. T, Tumor.</p>
+
+<p><b>Case II</b>. A young lady of 23; unmarried. About six months previous
+to consulting us, she had discovered a tumor of about the size of an egg,
+In the region of the left ovary, which had been gradually increasing in
+size. On examination, we found the morbid growth to be about the size of a
+quart bowl, and evidently composed of several cysts with thick walls. She
+experienced no pain, and but slight inconvenience from its presence, but
+she was in great mental distress. She was an only daughter, and her mother
+had died a few years previously from the shock and hemorrhage resulting
+from an operation for the removal of a large ovarian tumor, performed by
+the late lamented Dr. Peaslee, of New York. The same course was pursued in
+this case, and at the end of six weeks' treatment, the tumor was reduced to
+the size of an egg, and has remained so ever since, now more than three
+years.</p>
+
+<p><b>Case III</b>. A woman,37 years of age; married six years; no
+children. She had suffered for eight years from profuse menstruation and
+dysmenorrhea, with a membranous discharge, and, for several months before
+consulting us, she had experienced severe pain and a soreness in the pelvic
+organs. Her bowels were obstinately constipated, it being next to
+impossible for her to have an evacuation, and she possessed a pale and
+careworn countenance. Upon examination, we discovered a hard,
+incompressible tumor, represented in Fig. 18, attached to the posterior
+wall of the uterus, which caused anteversion of the womb, and which pressed
+upon the rectum so as to produce great obstruction. She was treated by
+means of electrolysis, with injections into the substance of the growth,
+for one month, at the end of which she resumed home, with the tumor reduced
+from the <span class="pagenum"><a name="Page_726" id="Page_726"></a>[pg
+726]</span>size of a pint bowl to the size of an egg, and her health
+greatly improved. After going home the tumor continued to grow less until,
+at the end of a few months, her home physicians could detect no trace of
+it, and she has remained well since, for more than five years.</p>
+
+
+
+<p class="lfigure"><a name="advise459"><img width="90%" alt="Illustration:
+Fig. 19. U, Uterus. T, Tumor." src="images/advise459.png" /></a><br />Fig.
+19. U, Uterus. T, Tumor.</p>
+
+<p><b>Case IV</b>. A lady aged 36: married 13 years; no children. She
+complained of severe pain in the back and a frequent desire to urinate.
+Menstruation was profuse, and the bowels were constipated. On examination,
+we found an inter-mural fibroid tumor, represented in Figs. 19, developed
+in the anterior wall of the uterus, and pressing upon the bladder. The womb
+was enlarged, measuring three inches in depth, and was slightly
+anteflected. A month's treatment, with electrolysis and injections into the
+tumor, arrested the growth and diminished the size more than one-half, and
+caused the unpleasant symptoms to disappear.</p>
+
+
+
+<p class="lfigure"><a name="advise460"><img width="90%" alt="Illustration:
+Fig. 20. U, Uterus. T, Tumor." src="images/advise460.png" /></a><br />Fig.
+20. U, Uterus. T, Tumor.</p>
+
+<p><b>Case V</b>. A married lady, 26 years of age; had borne no children,
+but had had several abortions, brought about intentionally. Six months
+before consulting us, a tumor, about the size of an egg, was discovered by
+her home physician. It grew steadily from the time of its discovery until,
+when we made an examination, it was found to be about the size of an
+ordinary tea-cup. It was developed in the posterior wall of the womb, as
+represented in Fig. 20. Three weeks' treatment reduced the tumor two
+thirds.</p>
+
+
+
+<p class="rfigure"><a name="advise461"><img width="90%" alt="Illustration:
+Fig. 21. U, Uterus. P, Polypus." src="images/advise461.png" /></a><br
+/>Fig. 21. U, Uterus. P, Polypus.</p>
+
+<p><b>Case VI</b>. A widow lady, aged 52. She was examined ten years ago by
+two of the most distinguished physicians of New Haven, Conn., who
+pronounced her sufferings due to cancer of the uterus. She was then
+suffering from repeated hemorrhages, and other symptoms. They gave her
+palliative treatment, and told her that to interfere with the morbid growth
+would only shorten her life, and that by leaving it alone she might live
+several years. By and by the hemorrhages ceased and she passed the change
+of life, but she continued to be troubled with a sensation of fullness in
+the pelvis, pains in the back, and frequent headaches. On examination we
+found not a cancer, but a large polypus, as represented in Fig. 21, which
+had caused all the trouble. It was quickly removed, without pain, and her
+health restored. Thus, through an error of diagnosis, she was made to
+suffer physically and mentally for ten, long years of her life, in constant
+dread of a horrible death.</p>
+
+
+<p><span class="pagenum"><a name="Page_727" id="Page_727"></a>[pg
+727]</span></p><hr />
+
+
+
+<h2>TESTIMONIALS.</h2>
+
+
+<p>While we have a great cloud of witnesses testifying to the efficacy of
+our treatment of the diseases described in this volume, yet for lack of
+space we can here introduce only the following:</p>
+
+
+<h4>LARGE FIBRO-CYSTIC TUMOR.</h4>
+
+
+
+<p class="lfigure"><a name="advise462"><img width="90%" alt="Illustration:
+Miss Duke." src="images/advise462.png" /></a><br />Miss Duke.</p>
+
+<p><b>Pronounced Incurable by many Eminent Surgeons. Health Restored and
+Tumor Removed without Cutting.</b></p>
+
+<p>WORLD'S DISPENSARY MEDICAL, ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Gentlemen</i>&mdash;I cheerfully send you the following testimonial, and
+hope it may induce some sick person to seek relief where it is sure to be
+found.</p>
+
+<p>We never truly appreciate health until it forsakes us.</p>
+
+<p>For six years, I suffered all the tortures and fears attendant on the
+growth and development of a fibro-cystic tumor. I tried to have the tumor
+removed, but found it impossible. I had the very best medical advice the
+South affords, but every physician rendered the same verdict, 'incurable.'
+How that word, for months, rang in my ears&mdash;'INCURABLE.' It seemed stamped
+on my mind in letters of fire. What I suffered, both in mind and body,
+cannot be imagined. But for my unbounded faith in God's goodness and mercy,
+I doubt not, I would have given up and died. But I trusted in Him to direct
+me in the way to find relief. One hope stood out before me like a beacon
+light; and that was to find the means to go to Buffalo, N.Y., to Dr.
+Pierce's famous Invalids' Hotel and Surgical Institute. At last the
+opportunity came, and I bid my loved ones a sad farewell, (not one of them
+ever expected to see me again, alive) and with a sister to relieve me of
+every care on the journey, we started for the Institute.</p>
+
+<p>On arriving at the Invalids' Hotel, I was too sick and fatigued to treat
+with civility the sweet-faced, lady-like housekeeper who received me, or
+the gentle nurses who tried so patiently and kindly to minister to my
+wants.</p>
+
+<p>I had read a good deal about the Invalids' Hotel, and expected to see
+wonderful things; but like Sheba's Queen, I could truthfully say, 'the half
+had never been told.' The many ways, means, and appliances, for the relief
+of poor sufferers surpassed a thousand fold anything I had ever imagined
+could come within the scope of human skill. The skilled physicians were not
+only able and attentive, but on meeting one, if it were every day, they
+always had a ready smile, a warm hand clasp, and an encouraging word, which
+alone, would make one feel better and at home. The trained nurses were
+attentive and kind.</p>
+
+<p>Every department was cleanliness itself, and kept at such an even
+temperature, even to the halls, that during my four months' stay, I never
+had the slightest cold. Not only the comforts of life, but every luxury
+that the most exacting could demand, were fully supplied. I saw many poor
+sufferers, from various diseases, made well and happy, and I too, with the
+other happy ones, found relief, and that without the use of the knife or an
+anæsthetic of any kind. I would urge all poor chronic sufferers, it
+matters not what the trouble may be, to go to Dr. Pierce's Institute and be
+cured. If any one similarly afflicted cares to know more of my case, I will
+gladly answer any questions, if she will only write me, and enclose
+addressed and stamped envelope in which to reply. During my stay at the
+Invalids' Hotel I never lacked for anything that willing hands and warm
+hearts could supply, and I came away feeling that I was leaving a sweet,
+luxurious home and many warm friends, but with a new lease of life and
+perfect confidence in the ability of the physicians, for I know I could not
+possibly have lived two months longer, had I not found relief. To-day I am
+well, rosy and happy, with a heart full of lasting gratitude for the kind
+treatment and cure which I received at the Invalids' Hotel and Surgical
+Institute.</p>
+
+<blockquote>
+<p>
+Yours truly.<br />
+Miss DELAINE DUKE,<br />
+Clanton, Chilton Co., Ala.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_728" id="Page_728"></a>[pg
+728]</span></p><h4>POLYPOID TUMOR OF UTERUS WEIGHING OVER FIVE POUNDS.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise463"><img width="90%" alt="Illustration:
+Miss Bolin." src="images/advise463.png" /></a><br />Miss Bolin.</p>
+
+<p><i>Gentlemen</i>&mdash;After many trials my doctors here had given up all
+efforts to cure me. A tumor that had existed almost from my childhood was
+gradually killing me. From frequent hemorrhages, I had become as pale and
+bloodless as a ghost, and so weak as to be scarcely able to stand or walk.
+Frequently the loss of blood was so great as to cause such long fainting
+spells that my family thought me past mortal help. How I lived to get to
+your place is yet a matter of wonder.</p>
+
+<p>We appreciated the fact that in the skill of your surgeon lay my last
+and only hope. The result proved his abilities. The restoration of my
+health, when it was so generally and for so long despaired of, was
+miraculous, and I cannot sufficiently express my gratitude and thanks.</p>
+
+<p>The comfort that was given by the kindly attention of your nurses is one
+of the very agreeable memories of your home-like and pleasant Institution.
+With much gratitude, I am,</p>
+
+<blockquote>
+<p>
+Respectfully yours,<br />
+Miss ANNIE BOLIN, Leon, Kan.<br />
+</p>
+</blockquote>
+
+<p>NOTE&mdash;The above case had been pronounced cancer of the womb by home
+physicians.</p>
+
+
+<h4>FIBROID TUMOR. CURED WITHOUT CUTTING.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise464"><img width="90%" alt="Illustration:
+Mrs. Drennen." src="images/advise464.png" /></a><br />Mrs. Drennen.</p>
+
+<p><i>Gentlemen</i>&mdash;I cheerfully give a testimonial of my treatment at
+your Institution, hoping it may induce others to avail themselves of your
+skill. In December, 1890, I went to you, after suffering five years with
+two fibroid tumors of the uterus. The tumors had grown rapidly for six
+months prior to my going to you for treatment, and had become quite
+painful. Under your treatment they entirely disappeared and my health was
+entirely restored. The treatment I received from your able corps of
+physicians and nurses was all that could be desired, and I would further
+state that your Hotel and Surgical Institute possess all the requirements
+for making invalids comfortable and happy.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+VANIA E. DRENNEN,<br />
+Nelson, Portage Co., O.<br />
+</p>
+</blockquote>
+
+
+<h4>OVARIAN TUMOR OF 62 POUNDS WEIGHT REMOVED.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise465"><img width="90%" alt="Illustration:
+Mrs. Matson. " src="images/advise465.png" /></a><br />Mrs. Matson. </p>
+
+<p><i>Gentlemen</i>&mdash;I hereby certify that I had safely removed, without
+realizing any pain, a large cyst, or Multilocular Tumor (ovarian) weighing
+62 pounds, by your surgeons. Then, with kind and watchful treatment, the
+care of good and faithful nurses, and by the blessing of an all-wise
+Providence, I was sitting up in twelve days from that time; had no
+inflammation or fever, kept gaining, and in five weeks returned home. I am
+feeling better than I have for two or three years. I cheerfully and
+truthfully recommend the Invalids' Hotel and Surgical Institute to all
+afflicted as I was&mdash;with tumors, or any chronic disease. The rooms are
+large and pleasant, the best of food is served, and everything possible is
+done by the physicians, nurses, and attendants connected with the
+Institution, to render the visits of the afflicted pleasant and
+desirable.</p>
+
+<p>Accept the grateful thanks of my husband and myself for your good care
+and great kindness to me during my stay at your Hotel, and I wish you all
+great success.</p>
+
+<blockquote>
+<p>
+Very respectfully,<br />
+MRS. ELISHA MATSON,<br />
+Watte Flats, Chautauqua Co., N.Y.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_729" id="Page_729"></a>[pg
+729]</span></p><h4>UTERINE FIBROID TUMOR.</h4>
+
+<p><b>The following is from the Eminent Lady Physician and Popular
+Lecturer, Mrs. Jennie V.S. Wilcox, MD</b></p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise466"><img width="90%" alt="Illustration:
+Jennie V.S. Wilcox, M.D. " src="images/advise466.png" /></a><br />Jennie
+V.S. Wilcox, M.D. </p>
+
+<p><i>Gentlemen</i>&mdash;The <i>least</i> return one can render for an
+invaluable service, the saving of a life, is an acknowledgment of the same.
+Mine was a long-standing, stubborn, constitutional difficulty; chronic, and
+defying <i>all</i> previous treatment. Under the care of the doctors of the
+elegantly appointed Invalids' Hotel and Surgical Institute the disease
+yielded. Could I persuade some of my fashionable friends to spend a summer
+or winter at Dr. Pierce's rather than at "resorts" more or less unsuited to
+weary or sick people, there might rise up an improved generation. The
+electrical appliances at the Invalids' Hotel are probably the finest in the
+world. With them the administration of electricity for the absorption and
+removal of all abnormal growths, especially in my sex, is an <i>assured
+science</i>, and no experiment. I cordially commend all my fellow sufferers
+to the tender care of the Invalids' Hotel.</p>
+
+<blockquote>
+<p>
+Yours very respectfully,<br />
+JENNIE V.S. WILCOX, M.D.<br />
+Saratoga Springs, N.Y.<br />
+</p>
+</blockquote>
+
+
+<h4>OVARIAN ABSCESS.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise467"><img width="90%" alt="Illustration:
+Mrs. Keach." src="images/advise467.png" /></a><br />Mrs. Keach.</p>
+
+<p><i>Gentlemen</i>&mdash;It is with pleasure that I can testify to the skillful
+treatment received at the hands of your surgeon specialists. I had been
+given up to die, with an abdominal tumor and abscess. My case was not
+understood, before coming to you. Although operated upon twice
+unsuccessfully by others, my life was despaired of. I am happy to state
+that after a few weeks' stay in your Institution, with a skillful operation
+which owing to my extreme feebleness, was performed without any Chloroform
+or Ether (local anæsthesia only being employed), and which resulted
+in the removal of the tumor and abscess, I was perfectly cured, and have
+since enjoyed excellent health. I am now restored to my children and
+family, and have much to thank you for. The kindness and attention received
+from your physicians and nurses while in the hotel could not be better, and
+I wish to praise them all highly.</p>
+
+<blockquote>
+<p>
+Very truly yours, MRS. ANNA KEACH,<br />
+60 Bissell Ave., Buffalo.<br />
+</p>
+</blockquote>
+
+
+<h4>SUFFERED FOR 20 YEARS.</h4>
+
+<p><b>Ovarian Disease with Inflammation of Abdominal Organs and Great
+Nervous Prostration</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise468"><img width="90%" alt="Illustration:
+Mrs. Gibbons." src="images/advise468.png" /></a><br />Mrs. Gibbons.</p>
+
+<p><i>Gentlemen</i>&mdash;I most gladly express my appreciation of the treatment
+I received at the Invalids' Hotel and Surgical Institute at Buffalo. When I
+first applied to you for treatment I could sit up but a few minutes each
+day, and my physician had told me I never could be any better. I began to
+improve very soon after receiving and commencing to use your medicines. I
+continued to use them for some months, following the special instructions
+faithfully as I could, and steadily improved in health. My trouble was of
+such a nature that it was necessary for me to receive personal treatment,
+and I spent six weeks at your Institute. The kindness of physicians and
+attendants is everything that can be wished. It is now two years since I
+have had any of your medicines, and I have taken no others since, and my
+health is very good indeed. I can hardly realize that I am the same person
+that used to suffer so much for twenty years or more.</p>
+
+<blockquote>
+<p>
+Very respectfully,<br />
+MRS. M. GIBBONS, Franklin, Delaware Co., N.Y.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_730" id="Page_730"></a>[pg
+730]</span></p><h4>DISEASED OVARY.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, 683 Main St., Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise469"><img width="90%" alt="Illustration:
+Mrs. Tanner." src="images/advise469.png" /></a><br />Mrs. Tanner.</p>
+
+<p><i>Gentlemen</i>&mdash;In the Autumn of '88, I had an ovary removed at the
+Invalids' Hotel and Surgical Institute, Buffalo. The operation was
+performed with consummate skill. The Hotel is first-class in every respect,
+being at once a Christian Hospital and Home. The skill of man, as exercised
+there, seems all that God designed it to be.</p>
+
+<p>I cheerfully add my testimonial as I consider the Institution first
+class in every respect.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+MRS. ELLEN F. TANNER,<br />
+Leavenworth, Kans.<br />
+</p>
+</blockquote>
+
+
+<h4>FIBROID TUMOR OF UTERUS.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise470"><img width="90%" alt="Illustration:
+Mrs. Sleeper." src="images/advise470.png" /></a><br />Mrs. Sleeper.</p>
+
+<p><i>Gentlemen</i>&mdash;There is no endorsement that the faculty of your
+Institute could ask that I would not willingly give. I fully realize that I
+owe not only my good health, but my life to the wonderful treatment
+received at the Invalids' Hotel and Surgical Institute, and would earnestly
+recommend any person needing the best medical or surgical attention to go
+for relief and cure to your Institution at Buffalo, N.Y. Words are
+inadequate to express the gratitude I owe you in so successfully treating
+my case.</p>
+
+<blockquote>
+<p>
+Very truly yours, Mrs. C.B. SLEEPER.<br />
+Brainerd, Minn.<br />
+</p>
+</blockquote>
+
+
+<h4>OVARIAN TUMOR MADE UP OF SMALL CYSTS (MULTILOCULAR).</h4>
+
+
+
+<p class="lfigure"><a name="advise471"><img width="90%" alt="Illustration:
+Mrs. Crissman." src="images/advise471.png" /></a><br />Mrs. Crissman.</p>
+
+<p>It grew to enormous size in but five months. The patient, a young
+unmarried woman, left home expecting to die. She had several physicians.
+None of them could give her any definite information as to the nature of
+the growth or other than unfavorable expectations as to its probable
+effects.</p>
+
+<p>It was successfully removed. The patient being able to be up and around
+in about two weeks with no unfavorable symptoms. Cure perfect. WORLD'S
+DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>My Dear Doctors</i>&mdash;Many months have passed since I have written you
+concerning my health. I have remained perfectly well, and, in fact, my
+health was never better than since the tumor was removed.</p>
+
+<p>You will remember my case: The tumor had only grown about five months,
+but it was of immense size, and I had despaired of life, and my family
+thought that I would not return alive from your Institution. Your skillful
+operation and removal of the tumor, which weighed over thirty pounds, with
+the kind nursing and good attention given me afterwards, brought me through
+sound and well. To you I feel that I owe all thanks. My prayer is for the
+success of the World's Dispensary Medical Association. You saved my life
+after I had given up all hope. The kind care that all gave me was something
+that could not be paid for with money. It was like being at home. I send
+you my picture, which will give you some idea of the change for the better
+in my looks. I am now married and am very happy.</p>
+
+<blockquote>
+<p>
+Very respectfully, MRS. P.S. CRISSMAN.<br />
+Montrose, Henry Co., Mo.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_731" id="Page_731"></a>[pg
+731]</span></p><h4>OVARIAN TUMOR.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise472"><img width="90%" alt="Illustration:
+Mrs. Ortez." src="images/advise472.png" /></a><br />Mrs. Ortez.</p>
+
+<p><i>Gentlemen</i>&mdash;I am pleased to inform you that I have had no trouble
+since the removal of the tumor five years ago&mdash;that my general health is
+perfectly restored, and I grow stronger and stronger. And since that time I
+have two boys, healthy, and growing as strong as can be, and I feel very
+well satisfied with the care of the good and faithful nurses and
+physicians.</p>
+
+<p>I cheerfully and truthfully recommend the Invalids' Hotel and Surgical
+Institute to all afflicted as I was with tumors, or any chronic disease. I
+send you my picture which will give you some idea of the change for the
+better in my looks.</p>
+
+<p>Accept the grateful thanks of my husband and myself for your good care
+and great kindness to me during my stay at your hotel and our wishes for
+your best success. Respectfully,</p>
+
+<blockquote>
+<p>
+MRS. J. NESTOR ORTIZ,<br />
+Ortiz, Conejos Co., Colo.<br />
+</p>
+</blockquote>
+
+
+<h4>FIBROUS TUMOR.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise473"><img width="90%" alt="Illustration:
+Mrs. Dean." src="images/advise473.png" /></a><br />Mrs. Dean.</p>
+
+<p><i>My Dear Doctors</i>&mdash;My husband had to carry me into your place but
+in thirty days I walked out of the Invalids' Hotel sound and well. The
+tumor that caused my sufferings had gradually developed during a period of
+several years. The trouble induced an inflammation of the bladder and I had
+to endure that torment in addition. There were times when I could not touch
+my feet to the floor. Walking was an agony that I could hardly bear. I
+faithfully tried good physicians and the various remedies and treatments
+that were recommended to me without any satisfactory relief. So I made up
+my mind to go to your institution. I am now very thankful. Every one I met
+with in your place seemed to help me to get well.</p>
+
+<p>You have got not only the most skillful physicians and nurses but they
+are also the kindest and most agreeable that I have ever met. Your hotel is
+comfortable, home-like and perfectly clean.</p>
+
+<p>The treatment was wonderfully successful in my case. The removal of the
+tumor was accomplished without pain. I can highly endorse local anesthesia
+instead of using chloroform or ether. My recovery was rapid and I continue
+in good health and think of you all with thanks and good wishes.</p>
+
+<blockquote>
+<p>
+Very truly yours,<br />
+MRS. ADELAIDE DEAN,<br />
+246 Garden Street, Lockport, N.Y.<br />
+</p>
+</blockquote>
+
+
+<h4>FIBROID TUMOR OF THE UTERUS</h4>
+
+<p><b>Involving Both Body and Neck of the Womb.</b></p>
+
+
+
+<p class="lfigure"><a name="advise474"><img width="90%" alt="Illustration:
+Mrs. Johnson." src="images/advise474.png" /></a><br />Mrs. Johnson.</p>
+
+<p>The tumor was of many years' standing; had grown within a few months
+till it was about the size of a child's head.</p>
+
+<p>From anxiety and worry, the patient had grown nervous and generally
+miserable. It was successfully removed by electrolysis, no knife nor other
+cutting instrument being employed. In ten days the patient was able to be
+about and to return home.</p>
+
+<blockquote>
+<p>
+<i>Yanceyville, N.G</i>.<br />
+</p>
+</blockquote>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Gentlemen</i>&mdash;I have thought of you and prayed for your welfare ever
+since I left your Institution. I am perfectly well and enjoying as good
+health as ever I did. The treatment you so skillfully applied has
+completely restored my health, and I feel that I owe you a debt of
+gratitude that I can never repay. I am constantly sounding your praise
+among my friends, and know that I can never speak of you in too high terms.
+I once despaired of ever feeling well,&mdash;to-day, I am jolly and like another
+being. May you long be spared to minster to the afflicted.</p>
+
+<blockquote>
+<p>
+Very respectfully,<br />
+MRS. HANNAH JOHNSON.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_732" id="Page_732"></a>[pg
+732]</span></p><h4>NERVOUS PROSTRATION; DEBILITY; DYSPEPSIA; "FEMALE
+WEAKNESSES," CURED BY SPECIAL HOME-TREATMENT.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise475"><img width="90%" alt="Illustration:
+Mrs. Nicholson." src="images/advise475.png" /></a><br />Mrs. Nicholson.</p>
+
+<p><i>Gentlemen</i>&mdash;For a number of years I suffered with a complication
+of female troubles; I tried various remedies from physicians but nothing
+seemed to do me any permanent good.</p>
+
+<p>About three years ago, I suffered an attack of nervous prostration,
+being the result of repeated miscarriages; this was a severe shock to my
+nervous system, resulting in a complication of other troubles among which
+was nervous dyspepsia. Words fail to express what I endured at this time.
+Only those who have passed through a similar experience can imagine the
+distressing symptoms accompanying this disease; I could neither eat nor
+sleep, was growing very thin in flesh and life seemed a burden to me.</p>
+
+<p>This was my condition when I wrote to your Institution for help. I
+received a very encouraging letter and commenced treatment at once. I had
+not used their remedies a week before I began to feel better, and as I
+continued the treatment my health gradually improved. All the distressing
+symptoms have disappeared and my general health is restored. Accept my
+sincere thanks for the interest manifested in my case and the happy results
+obtained. I am now the mother of a fine baby girl, and I shall ever
+remember to whom I owe my present health and good fortune.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+MRS. J.D. NICHOLSON,<br />
+La Hoyt, Henry Co., Iowa.<br />
+</p>
+</blockquote>
+
+
+<h4>BED FAST FROM WOMB DISEASE AND URINARY TROUBLES.</h4>
+
+<p>DR. R.V. PIERCE, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise476"><img width="90%" alt="Illustration:
+Mrs. McClain." src="images/advise476.png" /></a><br />Mrs. McClain.</p>
+
+<p><i>Dear Sir</i>&mdash;When I began your treatment, I was unable to be up any
+at all, being troubled with womb and urinary diseases; but I can gladly say
+that had it not been for your medicine I could not have lived a great while
+longer.</p>
+
+<p>I hereby give your medicine a high recommendation for the marvelous work
+it has wrought.</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+MRS. PHEBE MCCLAIN,<br />
+Earnest, Jefferson Co., Ala.<br />
+</p>
+</blockquote>
+
+
+<h4>UTERINE AND RECTAL DISEASE.</h4>
+
+<p><b>Home Physicians Failed</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise477"><img width="90%" alt="Illustration:
+Mrs. Clawson." src="images/advise477.png" /></a><br />Mrs. Clawson.</p>
+
+<p><i>To whom it may concern</i>&mdash;I was greatly afflicted with Uterine and
+Rectal disease. My disease was of very long standing and had baffled the
+skill of our home physicians. I went to the Invalids' Hotel and Surgical
+Institute, and received treatment of their specialist. Under his skillful
+care and kind attention I soon regained my strength and felt that my former
+life and ambition were again restored to me. I cannot speak in too high
+praise of this famous Institution; the rooms are large and cheerful, the
+food of the very best, the nurses kind and attentive, and the staff of
+physicians and surgeons skillful and of large experience.</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+MRS. CHAS. CLAWSON,<br />
+Middlesex, Yates Co., N.Y.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_733" id="Page_733"></a>[pg
+733]</span></p><h4>FALLING OF THE WOMB, LEUCORRHEA.</h4>
+
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise478"><img width="90%" alt="Illustration:
+Mrs. Covell." src="images/advise478.png" /></a><br />Mrs. Covell.</p>
+
+<p><i>Gentlemen</i>&mdash;I was sick two years with "Falling of the Womb" and
+leucorrhoea or whites, previous to taking your medicines. I took six
+bottles of your "Favorite Prescription," and was entirely cured of both in
+six months; it is four years this month, since I was entirely well of both
+those diseases and have never had any signs of their appearance since, and
+I am satisfied the "Favorite Prescription" saved my life, for I could
+hardly walk around, when I commenced taking your medicine, and I think it
+is a God's blessing to me, and a great credit to you that I ever took your
+medicine, for had I not taken it, I think I would have been in the grave
+now, and I can highly recommend it to all who suffer from these two
+complaints.</p>
+
+<p>I was pronounced incurable by the best doctors here in the West. I gave
+up all hopes and made up my mind that I was to be taken away from my
+husband and baby of two years old. I was sick all of the time&mdash;could not
+eat anything at all. In one week, after beginning the use of your medicine,
+my stomach was so much better that I could eat anything; I could see that I
+was gaining all over, and my husband then went and got me six bottles: I
+took three of them and my stomach did not bother me any more.</p>
+
+<p>We sent to you and got the People's Common Sense Medical Adviser, and
+found my case described just as I was; we did what the book told us, in
+every way; in one month's time I could see I was much better than I had
+been; we still kept on just as the book told us, and in three months I
+stopped taking medicine, only three times a day, and continued for some
+time in that way, and to-day, I can proudly say I am a well woman. Yes, am
+well, strong and healthy. I am so glad and thankful to you, Doctor, for my
+good health, for well do I know you are the one that cured me.</p>
+
+<p>When I began to take your medicine my face was poor and eyes looked
+dead. I could not enjoy myself any where, I was tired and sick all the
+time. I could hardly do my housework, but now I do that and tend a big
+garden, help my husband and take in sewing.</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+MRS. MARY F. COVELL, Scotland, Bon Homme Co., So. Dak.<br />
+</p>
+</blockquote>
+
+
+<h4>SEVERE NERVOUS PROSTRATION.</h4>
+
+<p>"<b>Out of Darkness Into Light</b>."</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise479"><img width="90%" alt="Illustration:
+Mrs. Austin." src="images/advise479.png" /></a><br />Mrs. Austin.</p>
+
+<p><i>Gentlemen</i>&mdash;About eighteen years ago, after the birth of one of my
+children I was left in a weak, run-down condition; it seemed to me that my
+nerves were unstrung very bad: I did not suffer much pain, but I think I
+suffered everything any one could suffer with nervousness; my life was a
+misery to me. I doctored with seven different doctors and got no relief;
+then I took almost all kinds of patent medicines and got no relief from
+them, but got worse all the time, when I chanced to get one of your little
+pamphlets.</p>
+
+<p>I thought I would write to you, and waited as I thought to hear that
+there was no help for me; when my answer came and you said you could cure
+me great was my joy. I had taken your medicine about a month when I began
+to improve and in a few months was entirely cured.</p>
+
+<p>My recovery was like coming out of the dark into the light, so great was
+the change. I will advise all sufferers to go to you for relief&mdash;I don't
+think they will be disappointed. When I commenced taking your medicine I
+weighed 94 pounds, now I weigh 125 pounds.</p>
+
+<p>I do not know how to thank you for all the good your remedies did me,
+With heart-felt thanks I am,</p>
+
+<blockquote>
+<p>
+Sincerely yours, MRS. AMANDA C. AUSTIN,<br />
+Burden, Cowley Co., Kansas.<br />
+</p>
+</blockquote>
+
+<p>P.S.&mdash;I have a lady friend who is taking Dr. Pierce's Favorite
+Prescription now, and last summer every one thought she was going with
+consumption; four of her father's family had died with it in five years:
+she has taken one bottle of "Favorite Prescription," and now she is better
+in health than she has been in three years. Her address is Mrs. Laura
+Paugh, Burden, Cowley Co., Kas. A.C.A.</p>
+
+
+<p><span class="pagenum"><a name="Page_734" id="Page_734"></a>[pg
+734]</span></p><h4>MONTHS OF SUFFERING AND TORTURE.</h4>
+
+<p>"<b>Left to Die a Hopeless Wreck</b>."</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise480"><img width="90%" alt="Illustration:
+Mrs. Moody." src="images/advise480.png" /></a><br />Mrs. Moody.</p>
+
+<p><i>Gentlemen</i>&mdash;A grateful heart and an appreciation of your medical
+skill prompts me to make a statement of my case.</p>
+
+<p>At the birth of my last baby (a boy weighing 14 pounds at his birth), I
+contracted womb disease. And for three years previous to treatment, I had
+been a great sufferer from prolapsus. Owing to a more serious injury than
+prolapsus, received at childbirth, my physicians told me that "I could
+never hope for recovery."</p>
+
+<p>After delivery, I kept my bed for seven weeks. At the expiration of that
+time I tried to walk. I found that I could not even stand straight; there
+seemed to be a "tight cord" or "drawing" from my left side extending down
+into my groin, accompanied by great soreness.</p>
+
+<p>After repeated attempts, with my body inclined to that side and yielding
+to the drawing, I finally succeeded in walking&mdash;a violent trembling all the
+while in the parts affected.</p>
+
+<p>Three months after the birth of my baby, I tried to take hold of my
+household duties&mdash;then my troubles increased, and with them came a series
+of "Doctors' bills."</p>
+
+<p>I consulted two of the best physicians, besides trying all the medicines
+I heard tell of, that were recommended for such diseases; but failed in
+obtaining a cure from any of them; my relief was only temporary. My
+condition was growing worse each day; the womb was so low and the "bearing
+down" weight so great that I could scarcely stand on my feet at all. I was
+irritable and nervous with a dull headache and constipation; hands and feet
+cold and clammy, except the palms and soles; a burning on top of my head.
+At this stage of my disease my bladder was badly affected&mdash;the "neck"
+becoming enlarged and the water collecting there caused a protrusion to
+over half the size of a tea cup, leaving it so dry and harsh, that it was
+with the greatest difficulty I could walk at all; a sudden jar, sneeze, or
+even the slightest pressure, would force the water out, leaving me in a
+spasm of pain. At this stage (22 months after confinement) menstruation
+returned for the first time since the birth of my baby. I had already
+suffered as much as I thought it possible to bear, and live, but my
+sufferings were even greater after this; my womb was ulcerated and
+inflamed; nervousness increased to violent shaking, over which I had no
+control; circulation so feeble that the extremities were scarcely supplied
+with blood, they were constantly cold and clammy. My sleep broken and
+disturbed, life was fast becoming a burden to me, For months, however, I
+endured this torture; I had <span class="pagenum"><a name="Page_735"
+id="Page_735"></a>[pg 735]</span>abandoned work altogether; I could be up
+but a few moments at a time and could not walk across the floor without
+excruciating pain. There was no sleep, no rest, and after a week and even
+more, would pass during which I would never close my eyes in sleep, even
+when morphine, opium and chloral, were administered. My body seemed a dead
+weight, while my mind was alive to all my sufferings. There seemed to be a
+burning pressure about my head all the while.</p>
+
+<p>I would have shaking spells frequently, leaving me perfectly exhausted,
+my heart the while beating so rapidly, I could not count the pulsations; it
+seemed to cease altogether after that, with a sinking, fainting feeling
+over me, making it difficult to breathe at all. During my menstrual periods
+I suffered a "thousand deaths." My appetite was gone, mind and sight
+impaired, strength and flesh all gone. I was a pitiable object to look at,
+divested of all that made life endurable for me. I had baffled the skill of
+two physicians, and was left, after three years of agony, to die, a
+"hopeless wreck," worse than death.</p>
+
+<p>Such was my condition when I applied to you for treatment. After using
+medicines only six days I began to improve; my nerves were steadier;
+circulation better, hands and feet warm. Nine days after taking your
+medicines they restored the function again. I will confess I expected to
+suffer death again&mdash;I did not think the medicines had had time to effect a
+change within so short a time. Imagine my joy and surprise upon waking next
+morning to find it had "stolen like a thief upon me in the night," I knew
+not when. I spent the day in grateful tears&mdash;how could I help it? It passed
+off as quietly as it came, leaving my head clear of that <i>dreadful,
+burning pressure</i>! My nerves were steady; indeed, my improvement was so
+remarkable, that it seemed almost a delusion. My appetite had returned, and
+I was hungry for the first time in over a year. I slept well&mdash;awoke
+refreshed and feeling stronger. After two weeks, I was able to walk around
+the house and yard without support; a day or two after that I walked a
+hundred yards, visiting and spent the day. In three weeks time I went home
+(I had gone to my mother's before treatment, as I and many others thought,
+to die).</p>
+
+<p>At the end of one month there was no symptom, nor sign, of the old
+disease. I was able to be up all day, resting a short time at noon. To be
+sure of permanent results I continued treatment for one month longer, and
+have never had a return of the disease nor any symptom of it since. Before
+the end of the second month, I was able to be about the house, helping the
+children with the cooking, and milking. My weight increased fourteen pounds
+in five months after treatment. I have taken no medicine since except one
+bottle of Dr. Pierce's Favorite Prescription, four years ago. At this time
+(nine years after treatment), I find my health still good, having no aches
+nor pains, a splendid appetite, sleep well, no headache, no backache and no
+womb trouble. I am able to do my house work and everything; can do a day's
+work with less fatigue than I have for years before treatment. I feel sure
+that I would have been in the grave years ago if it had not been for your
+medicines. I advise all other ladies who are troubled with the same disease
+to apply to you for treatment.</p>
+
+<p>Be assured, that whenever I have it in my power I shall recommend your
+invaluable remedies. I thank you a thousand times for what you have done
+for me, and for the kindness which you have extended to me throughout.</p>
+
+<p>Wishing you long life and continued success, I am, with much
+gratitude,</p>
+
+<blockquote>
+<p>
+Very truly yours, Mrs. JENNIE S. MOODY,<br />
+Isney, Choctaw Co., Ala.<br />
+</p>
+</blockquote>
+
+
+<h4>COMPLICATED CASE OF WOMB DISEASE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise481"><img width="90%" alt="Illustration:
+Mrs. Knappenberger." src="images/advise481.png" /></a><br />Mrs.
+Knappenberger.</p>
+
+<p><i>Gentlemen</i>&mdash;When I went to the Invalids' Hotel for treatment I was
+in a very critical condition. I could scarcely walk for inward
+troubles&mdash;but I cannot stop to speak of one disease, for I had such a
+complication of diseases. Now I am doing my own housework and in the past
+four weeks I have entertained forty-seven people, and I think I certainly
+am doing well. It is with the greatest pleasure that I recommend all who
+are afflicted to go to the Invalids' Hotel and Surgical Institute. The
+Surgeons are honorable, trustworthy gentlemen, who will do all they
+promise; and, being men of large experience, they know just what course of
+treatment to pursue from first to last, so that an invalid can rest assured
+that no experimenting will be done.</p>
+
+<p>For seventeen years I was an invalid and never had better health than at
+the present day, for which I am grateful to your Institute.</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+Mrs. D.T. KNAPPENBERGER,<br />
+Jeannette, Westmoreland Co., Pa.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_736" id="Page_736"></a>[pg
+736]</span></p><h4>UTERINE DISEASE.</h4>
+
+
+
+<p class="lfigure"><a name="advise482"><img width="90%" alt="Illustration:
+Mrs. Reel and Daughters." src="images/advise482.png" /></a><br />Mrs. Reel
+and Daughters.</p>
+
+<p><i>Gentlemen</i>&mdash;For eight years I was a sufferer from female
+derangements. I have been permanently cured by your specialist, and with
+only thirty days' treatment. I am happy to say there is no return of the
+old trouble, and all my friends were so surprised to see me so well after
+being an invalid so long. I shall never regret the day I went to the
+Invalids' Hotel. You ought to see me now&mdash;I am so healthy, I shall never
+forget your kind treatment of me, and the nurses too were so kind and
+attentive&mdash;I cannot say too much in their praise.</p>
+
+<blockquote>
+<p>
+Respectfully,<br />
+MRS. J.W. REEL,<br />
+Idaho City, Boise Co., Idaho.<br />
+</p>
+</blockquote>
+
+
+<h4>PAINFUL MENSTRUATION AND CONSTIPATION.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise483"><img width="90%" alt="Illustration:
+Miss Doran." src="images/advise483.png" /></a><br />Miss Doran.</p>
+
+<p><i>Gentlemen</i>&mdash;In April, 1891 I came to your Invalids' Hotel for
+examination and treatment. I was at that time suffering from profuse and
+painful menstruation, complicated with obstinate constipation, from which I
+had suffered many years. I cannot speak too highly of your treatment of my
+case, as it was both prompt and thorough and resulted in a radical cure of
+the above named diseases, and I desire to recommend all who are thus
+afflicted to apply to your eminent staff of physicians for relief, as they
+cure when others fail. My advice to all who are afflicted is, if you wish
+to get well, go where they make such diseases a specialty. I hope that many
+others may be as thoroughly cured as I have been.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+Miss ELLA DORAN,<br />
+Tiffin, Seneca Co., O.<br />
+</p>
+</blockquote>
+
+
+<h4>COMPLICATION OF DISEASES CURED BY SPECIAL HOME-TREATMENT.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise484"><img width="90%" alt="Illustration:
+Mrs. Sheen." src="images/advise484.png" /></a><br />Mrs. Sheen.</p>
+
+<p><i>Gentlemen</i>&mdash;I suffered from female complaint; my kidneys, stomach
+and nerves were also affected. My physician told me I had Bright's Disease
+of the Kidneys. I suffered a great deal in various ways, at times. I felt
+as if life were a burden to me; about that time Dr. Pierce's Common Sense
+Medical Adviser came into my possession. I read it carefully, and I thought
+if Dr. Pierce can not cure me perhaps he can give me some relief. I wrote
+to him, describing my symptoms and feelings as well as I could, and asked
+him if he could cure me. He said he thought he could, but it would take a
+long time for my disease was deep seated. He sent me a box of medicines
+enough to last one month, especially prepared for my case.</p>
+
+<p>I continued taking his medicines for about thirteen months, and at the
+end of that time I felt like a new woman; that has been almost seven years
+now and my health is still good.</p>
+
+<p>The benefits derived from Dr. Pierce's Medicines are lasting, and I
+advise all women suffering as I did, to give his medicines a fair
+trial.</p>
+
+<blockquote>
+<p>
+Gratefully yours,<br />
+MRS. MARY SHEEN, Council Bluffs, Iowa.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_737" id="Page_737"></a>[pg
+737]</span></p><h4>PARALYSIS AND UTERINE DISEASE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise485"><img width="90%" alt="Illustration:
+Mrs. Mann." src="images/advise485.png" /></a><br />Mrs. Mann.</p>
+
+<p><i>Gentlemen</i>&mdash;I will say that your Institute is all that you claim
+for it, and more to. The Doctors are courteous gentlemen and the best
+Physicians I have ever met with in my life. My treatment while at the
+Institute did me more good in one month than all the doctors everywhere
+else combined. My ailment was Paralysis and Female Weakness. Your treatment
+did me good while at the Institute, and I have also been greatly benefited
+by the home-treatment I have received from you since. I am much better than
+I was; I am able to do considerable work now. When I came to you I could
+not do anything.</p>
+
+<p>I herewith send you my heartfelt thanks for all you have done for me,
+and should I need more treatment I will write you as before. I would advise
+all people who have chronic diseases to go to the Invalids' Hotel and
+Surgical Institute for help, for it is a grand place and prices are
+reasonable. We use your Family Medicines&mdash;your "Pellets" and "Golden
+Medical Discovery"&mdash;and find they are all you claim for them.</p>
+
+<p>Again I thank you and remain, your friend,</p>
+
+<blockquote>
+<p>
+MRS. S.B. MANN,<br />
+Sutton, Clay Co., Neb.<br />
+</p>
+</blockquote>
+
+
+<h4>BARRENNESS CURED.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise486"><img width="90%" alt="Illustration:
+A.H. Bain, Wife and Child." src="images/advise486.png" /></a><br />A.H.
+Bain, Wife and Child.</p>
+
+<p><i>Gentlemen</i>&mdash;With pleasure I can recommend your medicines and
+treatment. At the time of my treatment I was barren, and had no signs of
+ever having any children until after the time of your treatment.</p>
+
+<p>We now have two little boys, and we are happy. This picture shows my
+husband, myself and our eldest child.</p>
+
+<p>I pray for your continued success, and thank you for your skill.</p>
+
+<blockquote>
+<p>
+Very truly yours,<br />
+MRS. A.H. BAIN,<br />
+Cozad, Dawson Co., Neb.<br />
+</p>
+</blockquote>
+
+
+<h4>INDIGESTION, CONSTIPATION, AND UTERINE DISEASE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise487"><img width="90%" alt="Illustration:
+Miss Joslyn." src="images/advise487.png" /></a><br />Miss Joslyn.</p>
+
+<p><i>Gentlemen</i>&mdash;Some months ago I consulted your specialist concerning
+my health, which had at that time become very much impaired from the
+effects of uterine disease, indigestion and chronic constipation. I was
+also troubled with frequent attacks of nervous headache which rendered me
+very miserable.</p>
+
+<p>A line of treatment was outlined by your specialist, which I followed
+closely, and I immediately began to improve under the use of the medicine
+advised. The benefits were so marked that within two or three months I was
+able to discontinue the use of the medicine, and have since that time been
+enjoying good health. I attribute my cure to the use of your medicines, and
+I heartily thank you for the benefits received, as well as for the kind
+attention given me by your specialist.</p>
+
+<blockquote>
+<p>
+Respectfully yours,<br />
+IDA M. JOSLYN, Groton, Conn.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_738" id="Page_738"></a>[pg
+738]</span></p><h4>NERVOUS AND GENERAL PROSTRATION.</h4>
+
+<p><b>WORLD'S</b> DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise488"><img width="90%" alt="Illustration:
+Miss Morrison." src="images/advise488.png" /></a><br />Miss Morrison.</p>
+
+<p><i>Gentlemen</i>&mdash;It is with pleasure that I add my testimony to your
+list, hoping it may contribute to your success and induce others to avail
+themselves of the benefit of your invaluable medicines. In June, 1890, I
+took typhoid fever of malignant type; for two months I hovered between life
+and death; at length the fever left me in a prostrated condition. Then I
+was taken with a severe pain in my back and general nervous prostration;
+could not move myself in bed nor bear to be moved by the most careful
+nurses without experiencing excruciating pain. I had the best medical
+attention in the community, but they failed to give relief. My friends
+wrote to Dr. Pierce, stating my condition and requesting treatment for me.
+He treated me for two months; by that time I had so much improved that I
+did not think it worth while to continue the treatment longer, and my
+health has been such that I have not had occasion to lie in bed two days
+together since. I feel under lasting obligations to Dr. Pierce, and thank
+God for blessing the world with so able a physician.</p>
+
+<blockquote>
+<p>
+Very respectfully.<br />
+MISS MAGNOLIA MORRISON,<br />
+Abernethy, Iredell Co. N.C.<br />
+</p>
+</blockquote>
+
+
+<h4>GENERAL DECLINE.</h4>
+
+<p><b>"Female Weakness," Heart Disease and Rheumatism</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise489"><img width="90%" alt="Illustration:
+Mrs. Ashman." src="images/advise489.png" /></a><br />Mrs. Ashman.</p>
+
+<p><i>Gentlemen</i>&mdash;For years I had been a great sufferer from general
+declining health&mdash;female weakness, heart disease and rheumatism&mdash;and
+despaired of ever getting well. Physicians afforded me only temporary
+relief. It was not until I commenced doctoring with Dr. R.V. Pierce that I
+experienced any decided benefit. My health has gradually improved until now
+I feel like a new being. Language fails to express my gratitude for this
+cure, which is due wholly to your life-saving and life-giving
+medicines.</p>
+
+<blockquote>
+<p>
+Respectfully,<br />
+MRS. CALEB ASHMAN,<br />
+Du Bois, Clearfield Co., Pa.<br />
+</p>
+</blockquote>
+
+
+<h4>NERVOUS AND GENERAL DEBILITY.</h4>
+
+<p>DR. R.V. PIERCE, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise490"><img width="90%" alt="Illustration:
+Mrs. Linn." src="images/advise490.png" /></a><br />Mrs. Linn.</p>
+
+<p><i>Dear Sir</i>&mdash;My case was a complication of diseases&mdash;a general
+break-down, lasting three years. I placed myself under the treatment of
+four different physicians. At last, giving up all hope of recovery at home,
+I was making arrangements to go to a Sanitarium in Michigan for special
+treatment. One of your small books with blank enclosed was handed to me; I
+filled out the blank, and thought I would try rather than leave home and
+little ones,&mdash;"Happy decision;" two months' special treatment and I was
+well and happy, and to-day, I have the very best of health.</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+MRS. LOMA LINN,<br />
+Ladoga, Montgomery Co., Ind<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_739" id="Page_739"></a>[pg
+739]</span><b>FEMALE WEAKNESS; LEUCORRHEA</b>.</p>
+
+<p>DR. R.V. PIERCE, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise491"><img width="90%" alt="Illustration:
+Mrs. McClure." src="images/advise491.png" /></a><br />Mrs. McClure.</p>
+
+<p><i>Dear Sir</i>&mdash;I was troubled with "female weakness" and leucorrhea
+for three years before I applied to you. I had tried several doctors but
+they did me no good, and I grew worse all the time. Finally I wrote to you
+for special treatment, and thanks to Dr. Pierce for being the means of my
+recovery. I am forty-five years old and do all my housework.</p>
+
+<blockquote>
+<p>
+I remain,<br />
+MRS. MARTIN J. MCCLURE,<br />
+Thomasville, Oregon Co., Mo.<br />
+</p>
+</blockquote>
+
+
+<h4>"FEMALE WEAKNESS."</h4>
+
+<p>Dr. R.V. PIERCE, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise492"><img width="90%" alt="Illustration:
+Mrs. Moses." src="images/advise492.png" /></a><br />Mrs. Moses.</p>
+
+<p><i>Dear Sir</i>&mdash;Having been treated by one of your associate
+physicians, at the Invalids' Hotel and Surgical Institute, and greatly
+benefited, I do not hesitate to recommend you and your Faculty to all who
+may need the services of honest and skillful physicians.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+MRS. D.S. MOSES,<br />
+Fremont, Ohio.<br />
+</p>
+</blockquote>
+
+
+<p>"<b>FEMALE WEAKNESS</b>."</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise493"><img width="90%" alt="Illustration:
+Mrs. Fitch." src="images/advise493.png" /></a><br />Mrs. Fitch.</p>
+
+<p><i>Gentlemen</i>&mdash;I have been taking Dr. Pierce's Favorite
+Prescription&mdash;three bottles of it and am getting well fast; I can do my own
+work, which I have not done for almost two years; I do my own washing and
+all of my house work; I have gained about six pounds taking your remedy.
+You cannot know how glad I am that I tried your "Favorite
+Prescription."</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+MRS. ANNIE B. FITCH,<br />
+Johnstown, Cambria Co., Pa.<br />
+</p>
+</blockquote>
+
+
+<h4>WOMB DISEASE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise494"><img width="90%" alt="Illustration:
+Mrs. Ulrich." src="images/advise494.png" /></a><br />Mrs. Ulrich.</p>
+
+<p><i>Gentlemen</i>&mdash;I enjoy good health thanks to Dr. Pierce's Favorite
+Prescription and "Golden Medical Discovery." I was under doctors' care for
+two years with womb disease, and gradually wasting in strength all the
+time. I was so weak that I could sit up in bed only a few moments, for two
+years. I commenced taking Dr. Pierce's Favorite Prescription and his
+"Golden Medical Discovery," and by the time I had taken one-half dozen
+bottles I was up and going wherever I pleased, and have had good health and
+been very strong ever since&mdash;that was two years and a half ago.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+MRS. ANNA ULRICH,<br />
+Elm Creek, Buffalo Co., Neb.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_740" id="Page_740"></a>[pg
+740]</span></p><h4>A MOST WONDERFUL CURE.</h4>
+
+<p><b>Terrible Ulceration and Falling of Womb. Dropsy and other
+Complications</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise495"><img width="90%" alt="Illustration:
+Mrs. Smith." src="images/advise495.png" /></a><br />Mrs. Smith.</p>
+
+<p><i>Gentlemen</i>&mdash;I am a farmer's wife. My husband hired hands to work
+on his farm&mdash;I had them to cook for&mdash;to wait upon, and my family to care
+for. I worked very hard till my health and strength gave way. Six years ago
+the "turn-of-life" began in the worst form with other disease which I knew
+not; I had a severe misery in my back, pain in my head; the monthly flow
+became so excessive&mdash;came on too often; lasted eleven days. When the flow
+would stop then there would be yellow discharge of thick mattery
+appearance. I had bearing down in the lower portion of the womb&mdash;great pain
+all through my body: the pain in my womb was more like "labor-pain" than
+anything I can compare it to; I had palpitation of the heart, light chills,
+hay fever; had pain in my stomach like colic. My womb was very low down;
+the mouth was a large hard knot&mdash;was so sore I was compelled to have a soft
+seat to sit on; severe pains in my thighs; pain down the sides of the
+abdomen; pain in my breast, pain between my shoulders; my bowels costive;
+my nervous system prostrated; my digestion impaired; I had a desire to
+urinate all the time, could not pass only a few drops at a time; on
+standing a few hours, it would form a crust on the chamber&mdash;red, grainy
+substance; I was bloated all over my body. My feet and legs were swelled
+tight, and I was in so much pain day and night I could not sleep; I could
+not eat any food only a little sweet milk and a little corn-bread; I lived
+in this way for four years; I could not walk across the room. I was treated
+by four of the best doctors in the land; the first three gave me no
+relief&mdash;the fourth built up my health to some extent; none of them could
+cure me&mdash;none of the four could regulate the menstrual flow, they could not
+cure those offensive discharges. I was given up to die by all four of them;
+my family and friends expected every day I would die.</p>
+
+<p>I got one of your Memorandum Books; I read it carefully, and I was
+hoping all this time for some relief&mdash;I hoped all the time for relief. My
+husband decided to write to you&mdash;ask your advice, believing you could give
+me relief; though I felt ashamed to tell a gentleman, a doctor I never saw,
+those things concerning my afflictions; but I was suffering terribly. I
+hoped for relief and I found it. I am happy to tell you I am well. I was
+spared to be cured by your good advice and good medicine and to spread your
+fame.</p>
+
+<p>When I received the book you sent me and a letter telling me what to
+take, and what it would do for me, I was very feeble; I had just got up
+from one of those bad spells&mdash;so weak that I could not sit up for more than
+an hour at a time. My husband went and got the medicine and a syringe. I
+began its use, as you advised, and took the medicine as you directed; I
+have taken your medicine seven months; the first month my improvement was
+slow; I began to have strength; my pain began to banish; my appetite began
+to come; I commenced to sleep sound and the bloating began to go down; the
+pain in my head was gone; palpitation of the heart, also the misery in my
+back disappeared; the pain in my womb began to banish; the first time the
+monthly flow appeared, it was controlled&mdash;it was regulated&mdash;it went so
+light with me that I could go all the time without a cane. I have not had
+one spell to confine me to bed in seven months; I have done all the cooking
+for my family all the year; the pain in my stomach disappeared; the yellow
+discharge also&mdash;the bearing down banished. I have no pain, no aches, no bad
+feelings. I feel better to day, than I have in ten years. I now enjoy life,
+enjoy my family, enjoy my friends. I enjoy the pleasure of telling my
+friends who cured me, and what medicine it was that cured me; he should
+have the honor. It is Dr. Pierce!</p>
+
+<p>I was at death's door when I began to take his medicine, and followed
+his advice. It was his "Favorite Prescription," "Golden Medical Discovery"
+and the "Pleasant Pellets" that cured me. I also used the lotion, or wash
+advised, with a syringe.</p>
+
+<p>Now, I wish you to accept my best wishes, and hearty thanks for what you
+have done for me.</p>
+
+<p>Last winter I gave my sick friends the pamphlets which were around the
+bottles of medicine; some of them are going to take it; it gives great
+satisfaction here; I will take no other myself; it will come the nearest to
+raising the dead of any medicine I ever saw in my life; it saved my life,
+when four doctors gave me up to die. My God bless you in your work, as He
+has done in my case.</p>
+
+<blockquote>
+<p>
+Yours truly, MRS. MARY SMITH,<br />
+Oakfuskee, Cleburne Co., Ala<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_741" id="Page_741"></a>[pg
+741]</span></p><h4>SEVERE FLOWING.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise496"><img width="90%" alt="Illustration:
+Mrs Clark." src="images/advise496.png" /></a><br />Mrs Clark.</p>
+
+<p><i>Gentlemen</i>&mdash;I suffered terribly with leucorrhea, my monthlies
+would nearly always send me to bed; I would lose from two to four quarts of
+blood. I had womb trouble pretty bad and my bladder would trouble me nearly
+all the time, by continually wanting to urinate, with smarting, burning
+pains. My husband got me a bottle of Dr. Pierce's Favorite Prescription. I
+took nineteen bottles and now feel very well indeed.</p>
+
+<blockquote>
+<p>
+Your friend, MRS. LULU CLARK,<br />
+No. 208 West 3d Street, Sioux City, Ia.<br />
+</p>
+</blockquote>
+
+<p>Mr. Homer Clark, the husband, writes: "My wife was troubled with
+leucorrhea and female weakness, and ulcers of the womb. She has been
+doctoring with every doctor of any good reputation, and has spent lots of
+money in hospitals, but to no purpose. She continued to get worse. She was
+greatly prejudiced against patent medicines, but as a last resort we tried
+a bottle of Dr. Pierce's Favorite Prescription. We had seen some of your
+advertisements, and Mr. Cummings, a west-side druggist, advised us to try a
+bottle. We tried it with the following results: The first bottle did her so
+much good that we bought another, and have continued until she has been
+cured."</p>
+
+
+<p><b>INFLAMMATION AND "FALLING OF WOMB."</b></p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise497"><img width="90%" alt="Illustration:
+Mrs. Camfield." src="images/advise497.png" /></a><br />Mrs. Camfield.</p>
+
+<p><i>Gentlemen</i>&mdash;I deem it my duty to express my deep, heart-felt
+gratitude to you for having been the means, under Providence, of restoring
+me to health, for I have been by spells unable to walk. My troubles were of
+the womb&mdash;inflammatory and bearing down sensations and the doctors all said
+they could not cure me.</p>
+
+<p>Twelve bottles of Dr. Pierce's wonderful Favorite Prescription has cured
+me.</p>
+
+<blockquote>
+<p>
+Yours,<br />
+MRS. FRANK CAMFIELD,<br />
+East Dickinson, Franklin Co., N.Y.<br />
+</p>
+</blockquote>
+
+
+<p><b>GENERAL DECLINE.</b></p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise498"><img width="90%" alt="Illustration:
+Mrs. Duncan." src="images/advise498.png" /></a><br />Mrs. Duncan.</p>
+
+<p><i>Gentlemen</i>&mdash;I believe I owe my life to Doctor Pierce's remedies.
+Six or seven years ago, my health began to gradually fail; some of my
+friends as well as myself thought I was going into consumption. I began
+taking Dr. Pierce's Favorite Prescription, "Golden Medical Discovery" and
+his "Pellets," and was greatly benefited; took half a dozen bottles at that
+time, did not take any more for several years, when I began to go down
+again. I was married November, 1889. The next September had a miscarriage.
+The summer following my health was very bad; I then got one dozen bottles
+and took as directed. My health was much improved and am now the proud
+mother of a healthy boy 22 months old. My health is now much better than I
+thought it ever would be.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+MRS. ALICE V. DUNCAN,<br />
+Rees Tannery, Mineral Co., W. Va.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_742" id="Page_742"></a>[pg
+742]</span></p><h4>ERYSIPELAS AND WOMB DISEASE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise499"><img width="90%" alt="Illustration:
+Mrs. White." src="images/advise499.png" /></a><br />Mrs. White.</p>
+
+<p><i>Gentlemen</i> I am forty-eight years old, and have had four children.
+Three years ago the doctor said I had womb trouble, which was accompanied
+with backache and a tired and miserable feeling all over; left side hurt me
+very much, and could not lie on that side, and the doctor said it came from
+affection of the spleen; had a great deal of headache; was costive, and
+suffered terribly from erysipelas; it nearly set me crazy, so great was the
+burning and itching; sometimes experienced severe burning in the stomach. I
+took twelve bottles of your medicines, six bottles of Dr. Pierce's Golden
+Medical Discovery and the same amount of his "Favorite Prescription." was
+using them for about six months, and can say that they did their work well.
+I have ever since felt like another person, and do not think I can say
+enough in their praise. I have no more weakness, and all evidence or
+erysipelas has disappeared.</p>
+
+<blockquote>
+<p>
+Respectfully yours,<br />
+MRS. SARAH E. WHITE,<br />
+Kennon, Belmont Co., O.<br />
+</p>
+</blockquote>
+
+
+<h4>FALLING OF WOMB.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise500"><img width="90%" alt="Illustration:
+Mrs. Givens." src="images/advise500.png" /></a><br />Mrs. Givens.</p>
+
+<p><i>Gentlemen</i>&mdash;Having suffered for years with what my doctor called
+"Falling of the Womb" I was advised to try Dr. Pierce's Favorite
+Prescription. The effect has been simply marvelous; a single bottle
+relieved me of all pain and enabled me to sleep at night, which I had not
+been able to do for a long time. For three months I have not had any return
+of the complaint above named. I feel as well as I ever did. I shall
+heartily recommend "Favorite Prescription" to all afflicted as I was. Yours
+truly,</p>
+
+<blockquote>
+<p>
+MRS. SAMUEL GIVENS.<br />
+Leesburg, Harrison Co., Ky.<br />
+</p>
+</blockquote>
+
+
+<h4>DYSPEPSIA, UTERINE DISEASE.</h4>
+
+
+
+<p class="lfigure"><a name="advise501"><img width="90%" alt="Illustration:
+Mrs. Martin." src="images/advise501.png" /></a><br />Mrs. Martin.</p>
+
+<p>MRS. J.A.MARTIN, of <i>Cleburne, Texas</i>, had not had good health
+since the birth of her child, eight years before; had a headache with
+burning and throbbing sensations; and a hurting in her stomach; there was a
+dead aching and gnawing or drawing of the stomach as she described it;
+sharp pain in the stomach extending to her right breast and shoulder.
+Weighed in health 135 pounds, but was reduced to 95 pounds; was weak; could
+scarcely walk at all, was sick at stomach a great deal; when her monthly
+sickness came on had much pain and the sickness of the stomach remained
+until menstruation stopped. She writes:</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION Buffalo, N.Y.:</p>
+
+<p><i>Gentlemen</i>&mdash;"I have taken about six bottles of your 'Golden
+Medical Discovery' and 'Favorite Prescription,' and am glad to say that I
+feel better and stouter than I have felt in a long time. I can work all day
+now and not be tired at night. My head don't trouble me now. When I
+commenced the use of the medicine I weighed 89 pounds, and to-day I weigh
+98 pounds. I feel better than I have for months."</p>
+
+<p><span class="pagenum"><a name="Page_743" id="Page_743"></a>[pg
+743]</span><b>COUGH AND NIGHT SWEATS</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise502"><img width="90%" alt="Illustration:
+H.M. Detels and Wife. " src="images/advise502.png" /></a><br />H.M. Detels
+and Wife. </p>
+
+<p><i>Gentlemen</i>&mdash;In regard to your medicines I will say that they are
+always in the house. I shall never forget those nights when I was down with
+pneumonia. Had it not been for Dr. Pierce's Golden Medical Discovery I
+would not be a well man to-day. One bottle stopped the cough and night
+sweats.</p>
+
+<p>My wife was troubled with leucorrhea so bad that we did not know what to
+do until Dr. Pierce's Favorite Prescription was brought into the house and
+gave her rest.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+H.M. DETELS,<br />
+Travor, Tulare Co., Cal.<br />
+</p>
+</blockquote>
+
+
+<p>"CHANGE OF LIFE."</p>
+
+<p>WORLD'S DISPENSARY MEDICAL, ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise503"><img width="90%" alt="Illustration:
+Mrs. M.E.E. Prichard." src="images/advise503.png" /></a><br />Mrs. M.E.E.
+Prichard.</p>
+
+<p><i>Gentlemen</i>&mdash;It was four years ago that I applied to you for
+treatment. My family physician did me no good. When I began your treatment
+I was nearly bed-fast; my life was a misery to me. I have taken eight
+bottles of your medicine and it has cured me. If I could tell the whole
+world of your medicine I would do it. If any woman undergoing the "change
+of life" will take Dr. Pierce's Golden Medical Discovery and his "Favorite
+Prescription," according to directions, they will cure her. When I began
+taking them I could scarcely do anything and now I can do all my housework
+and pick two hundred pounds of cotton a day.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+MRS. M.E.E. PRICHARD,<br />
+Thornton, Limestone Co., Texas.<br />
+</p>
+</blockquote>
+
+
+<h4>COMPLICATION OF DISEASES.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise504"><img width="90%" alt="Illustration:
+Mrs. Robertson." src="images/advise504.png" /></a><br />Mrs. Robertson.</p>
+
+<p><i>Gentlemen</i>&mdash;For twenty years, I suffered with womb disease and
+most of the time I was in constant pain which rendered life a great burden.
+I cannot express what I suffered. I had eight doctors and all the medicine
+I had from them failed&mdash;the one after the other.</p>
+
+<p>I was nervous, cold hands, feet, palpitation, headache, backache,
+constipation, leucorrhoea and no appetite, with bearing down pains. I got
+so weak I could not walk around. I had to keep my bed, thinking I would
+never get any better.</p>
+
+<p>One day my husband got one of your little books and read it to me. He
+said there was nothing doing me any good. I said I would try Dr. Pierce's
+Favorite Prescription. I did try it. After the first few weeks my appetite
+was better; I was able to sit up in bed. I wrote to the World's Dispensary
+Medical Association, at Buffalo, N.Y., and described my case; they sent me
+a book on woman's diseases. I read carefully and followed the directions as
+near as I could, and took the medicine for two years, With the blessing of
+God and your medicines I am entirely cured. That was three years ago:</p>
+
+<blockquote>
+<p>
+Yours most respectfully,<br />
+MRS. ALEX. ROBERTSON,<br />
+Half Rock, Mercer Co., Mo.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_744" id="Page_744"></a>[pg
+744]</span></p><h4>VAGINITIS&mdash;IRREGULAR MENSTRUATION.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise505"><img width="90%" alt="Illustration:
+Mrs. Parker." src="images/advise505.png" /></a><br />Mrs. Parker.</p>
+
+<p><i>Gentlemen</i>&mdash;I was married in April, 1893. Soon after I discovered
+that I was a sufferer from a very painful condition of the vagina and from
+irregular menstruation. In fact the latter was true from its first
+appearance. I consulted our family physician but he gave me no relief. At
+last I applied to Dr. Pierce for aid: he advised me to take his "Favorite
+Prescription," which I did faithfully. I bought seven bottles of it and one
+of the "Golden Medical Discovery." After I had taken two bottles of the
+"Favorite Prescription," my menses began to be more regular and I was also
+relieved of the other diseases. Before I began taking the medicine, I felt
+great lassitude and weakness at times, but I now feel quite strong.</p>
+
+<p>I can confidently recommend Dr. Pierce's Favorite Prescription to any
+one suffering as I did.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+MRS. MARIA L. PARKER,<br />
+Aten, Cedar Co., Neb.<br />
+</p>
+</blockquote>
+
+
+<h4>CONSUMPTION.</h4>
+
+<p>DR. R.V. PIERCE, Buffalo, N.Y.: New London, Union Co., Ark.</p>
+
+<p><i>Dear Sir</i>&mdash;Some five or six years ago I had a bad cough and got so
+low with it that I could not sit up long at a time. We called our family
+physician, and he said I had consumption. All our neighbors thought so too.
+I had pains through my chest and spit up blood. I commenced with your
+"Golden Medical Discovery" and had only taken it two or three days when I
+felt like a different person. I took four bottles of the medicine and it
+cured my cough. Have not been bothered since, until a short time ago I took
+cold and commenced to cough again; I got a bottle of the "Discovery" and it
+relieved me at once. I think it is the best medicine in the world. It saved
+my life. I don't think any one would die of consumption if they would take
+Dr. Pierce's Golden Medical Discovery. I recommend it to all my friends,
+and tell them what it did for me. Yours respectfully,</p>
+
+<blockquote>
+<p>Mittie Gray</p>
+</blockquote>
+
+<p><b>LEUCORRHEA, "FEMALE WEAKNESS</b>."</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p class="lfigure"><a name="advise506"><img width="90%" alt="Illustration:
+Mrs. Jones." src="images/advise506.png" /></a><br />Mrs. Jones.</p>
+
+<p><i>Gentlemen</i>&mdash;I have used your "Favorite Prescription" and must
+acknowledge to you and the public also, the benefits I received from the
+use of a half dozen bottles of it. My condition was pitiful before I was
+persuaded to use it. I had leucorrhea, no appetite, cold feet, weakness,
+fainting spells, melancholy. I felt that I would soon leave my children
+motherless. I fell off in flesh to a pitiful looking object. My friends
+around said I must be consumptive. My family doctor gave me nearly all
+kinds of blood medicine for over a year&mdash;all kinds of tonics to build up
+flesh, but nothing seemed to benefit me.</p>
+
+<p>Last September one year ago, I began using Dr. Pierce's Favorite
+Prescription, being convinced that my disease was female weakness. I had
+only used it three days when I began to feel better and, after using three
+bottles accompanied by the "Discovery," I felt as though I was well, and
+continued its use until I had used half a dozen bottles for fear of a
+relapse.</p>
+
+<p>Was a living picture of surprise to my friends. They had all expected my
+death. I have given birth two months ago to a baby and no return of my old
+disease. I hope that all females, dragging about with pain and weakness,
+dyspepsia, melancholy feelings, restlessness at night, and not feeling like
+getting up in the morning, may commence the use of Dr. Pierce's Favorite
+Prescription, and be well again. Yours respectfully,</p>
+
+<blockquote>
+<p>
+MRS. ANNIE H. JONES,<br />
+No. 316 Effingham Street,<br />
+Portsmouth, Norfolk Co., Vt.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_745" id="Page_745"></a>[pg
+745]</span></p><h4>FEMALE WEAKNESS, ASTHMA, SEVERE COUGH.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise508"><img width="90%" alt="Illustration:
+Mrs. Monroe." src="images/advise508.png" /></a><br />Mrs. Monroe.</p>
+
+<p><i>Gentlemen</i>&mdash;I had been ailing for a year or more, being troubled
+with "Female Weakness" and leucorrhoea, when I took a severe cold which
+settled on my lungs, and I had a very severe attack of asthma, which was so
+bad that for three weeks I could not lie down in bed at all. I had a
+terrible cough, in fact, every one thought I had consumption and nothing
+gave me relief until I took your medicines, using two bottles of "Favorite
+Prescription" and two of "Golden Medical Discovery." They cured me and I
+have had no return of the dreadful cough since, and that has been two years
+now and I have had good health ever since.</p>
+
+<p>I am in possession of a copy of the Common Sense Medical Adviser, which
+I would not part with for anything.</p>
+
+<blockquote>
+<p>
+Respectfully yours,<br />
+MRS. S.A. MONROE,<br />
+315 S. Regester Street,<br />
+Baltimore, Md.<br />
+</p>
+</blockquote>
+
+
+<p><b>LEUCORRHEA</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise509"><img width="90%" alt="Illustration:
+Mrs. Chapel." src="images/advise509.png" /></a><br />Mrs. Chapel.</p>
+
+<p><i>Gentlemen</i>&mdash;I have been troubled with falling of the womb for
+years, and was hardly able to drag around. The doctors said I had ovarian
+tumors and leucorrhea; the treatment they gave me only produced temporary
+relief. I grew worse with leucorrhea all the time until I chanced to see
+your remedies.</p>
+
+<p>I consulted you; you pronounced my trouble leucorrhea, and advised Dr.
+Pierce's Favorite Prescription. You sent me some prescriptions to have
+filled here, which I used with great success. I am entirely free from my
+old trouble&mdash;leucorrhea. I only used three bottles of "Favorite
+Prescription."</p>
+
+<p>I could not thank you enough for the cure. When I commenced with your
+remedies I weighed one hundred and nine pounds; I now weigh one hundred and
+forty-six.</p>
+
+<blockquote>
+<p>
+Respectfully,<br />
+MRS. MATTIE L. CHAPEL,<br />
+Dawson, Hopkins County, Ky.<br />
+</p>
+</blockquote>
+
+
+<h4>"FEMALE WEAKNESS," THE RESULT OF GRIP.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.</p>
+
+
+
+<p class="lfigure"><a name="advise510"><img width="90%" alt="Illustration:
+Mrs. Speer." src="images/advise510.png" /></a><br />Mrs. Speer.</p>
+
+<p><i>Gentlemen</i>&mdash;I was taken sick with the grip on the first day of
+January, 1892. I employed a doctor, until in May I was some better, but
+could not do any work. The Grip left me with a weakness, my head felt very
+badly and I would get so discouraged and despondent. It affected my back,
+hips, and legs, and made me miserable indeed. My stomach was very bad; it
+soured and burned after eating. My heart, also, gave me much distress by
+beating so fast and loud at times.</p>
+
+<p>In May I commenced using Dr. Pierce's Favorite Prescription; took seven
+bottles of that, and then, by your advice, began taking Dr. Pierce's Golden
+Medical Discovery. I took five bottles of that, making twelve bottles in
+all.</p>
+
+<p>My niece lives with me, and she, also, took the "Favorite Prescription,"
+which did her a great deal of good.</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+MRS. E.J. SPEER,<br />
+North Barton,<br />
+Tioga Co., N.Y.<br />
+</p>
+</blockquote>
+
+<p><span class="pagenum"><a name="Page_746" id="Page_746"></a>[pg
+746]</span></p><h4>"FEMALE WEAKNESS" PERMANENTLY CURED.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise511"><img width="90%" alt="Illustration:
+Mrs. Ramsey." src="images/advise511.png" /></a><br />Mrs. Ramsey.</p>
+
+<p><i>Gentlemen</i>&mdash;My trouble was "female weakness" and womb disease. I
+suffered greatly for twelve years. Four years ago my health became so poor
+I was confined to my bed most of the time from May until September. I was
+treated by our family physician but received no benefit; I then consulted
+Dr. R.V. Pierce, of Buffalo. Through his good advice I began using his
+"Favorite Prescription," having taken in all eight bottles of
+"Prescription" and two of his "Golden Medical Discovery." I am at present
+enjoying better health than I have for twelve years. As it is now three
+years since I quit using those medicines and I have no return of my old
+trouble. I consider myself permanently cured.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+MRS. MOLLIE L. RAMSEY,<br />
+Liberal, Barton County, Mo.<br />
+</p>
+</blockquote>
+
+
+<h4>TORPID LIVER, SUPPRESSED MENSTRUATION.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise512"><img width="90%" alt="Illustration:
+Mrs Fotzgerald." src="images/advise512.png" /></a><br />Mrs Fotzgerald.</p>
+
+<p><i>Gentlemen</i>&mdash;I had suffered so much for years from "Liver
+Complaint" that I did not care whether I got well or not, but my husband
+urged me to take your "Golden Medical Discovery." I had not had my courses
+for six months; after I had taken your medicine about two months, I was
+well.</p>
+
+<p>When one of my daughters with a baby two weeks old was in so much pain
+that she could not rest day or night, I went to her as quickly as I could,
+and commenced giving her your "Favorite Prescription." The next morning the
+pains were all gone. She said, "oh, mother, I would have died if you had
+not come. I do feel so good." Your medicine makes people feel like they
+wanted to live. There is a woman at Verdi who had several children who died
+with consumption of the bowels and <i>chronic diarrhea</i>. She had another
+one who was going the same way. The doctor said it was bound to die. I went
+there and gave it five drops of Dr. Pierce's Extract of Smart-Weed, and
+increased the dose every time its bowels moved, until I got to a half
+teaspoonful. The next morning the child was almost well. That woman says I
+saved her baby's life.</p>
+
+<p>I could write a week and not tell half the good your medicines have done
+through my hands. Two weeks ago, a young man at my house was taken with
+<i>cholera morbus</i>. He thought he was surely going to die, but as
+quickly as I could get some hot water, I put hot applications on his
+stomach and bowels, and gave him a few doses of your Extract of Smart-Weed.
+He got well immediately.</p>
+
+<blockquote>
+<p>
+MRS. MARY ISABELL FITZGERALD,<br />
+Reno, Washoe Co., Nev.<br />
+</p>
+</blockquote>
+
+
+<h4>SUPPRESSED MENSTRUATION AND NERVOUS DEBILITY.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise513"><img width="90%" alt="Illustration:
+Mrs. Clark." src="images/advise513.png" /></a><br />Mrs. Clark.</p>
+
+<p><i>Dear Sirs</i>&mdash;My health is quite good, so I have been able to do all
+my own work, and I know Dr. Pierce's Favorite Prescription is what helped
+me.</p>
+
+<p>We never think of doing without Dr. Pierce's Pleasant Pellets in the
+house. I give them to my children when they need anything of the kind, and
+they never fail to do good. Gratefully yours,</p>
+
+<blockquote>
+<p>
+MRS. WARREN CLARK,<br />
+Mount Pleasant, Isabella Co., Mich.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_747" id="Page_747"></a>[pg
+747]</span></p><h4>DISEASE OF WOMB.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise514"><img width="90%" alt="Illustration:
+Mrs. Wilson." src="images/advise514.png" /></a><br />Mrs. Wilson.</p>
+
+<p><i>Gentlemen</i>&mdash;I cannot say too much for Dr. Pierce's Favorite
+Prescription. I feel it my duty to say to all women who are suffering from
+any disease of the womb that it is the best medicine on earth for them to
+use; I cannot praise it too highly for the good it did me. If any one
+doubts this, give them my name and address.</p>
+
+<blockquote>
+<p>
+Respectfully,<br />
+MRS. CORA S. WILSON,<br />
+Carlisle, Sullivan Co., Ind.<br />
+</p>
+</blockquote>
+
+
+<h4>"HER FAVORITE".</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y. :</p>
+
+
+
+<p class="rfigure"><a name="advise515"><img width="90%" alt="Illustration:
+Mrs. Collines." src="images/advise515.png" /></a><br />Mrs. Collines.</p>
+
+<p><i>Gentlemen</i>&mdash;Dr. Pierce's Favorite Prescription is my favorite
+medicine. I recommend it highly to my friends. Mrs. James Grant of Fort
+Fairfield, Maine, one year ago was a very sick woman. I told her what your
+medicine had done for me and others whom I know, and I think it raised her
+from the death-bed; her husband thinks it a miracle that she got better. My
+health at present is good.</p>
+
+<blockquote>
+<p>
+Respectfully yours,<br />
+MRS. GEORGE A. COLLINES,<br />
+Maysville Centre, Aroostook Co., Maine.<br />
+</p>
+</blockquote>
+
+
+<h4>WORDS OF PRAISE. UTERINE DISEASE.</h4>
+
+<p>DR. PIERCE, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise516"><img width="90%" alt="Illustration:
+Mrs. Pierce." src="images/advise516.png" /></a><br />Mrs. Pierce.</p>
+
+<p><i>Dear Sir</i>&mdash;Years ago you sent a box of medicine to my sister, Mrs.
+Cynthia P. Freer in New Albion, N.Y., which did so much for her that after
+I was married I used them in my own family. Two different times I have used
+the "Discovery" when physicians told me they could only patch me up&mdash;I was
+so bad and getting steadily worse. I sat down and wrote to you; even after
+the letter was written I felt so worthless it seemed foolish to try, so
+kept my letter for some time thinking it better not to trouble you with it,
+but finally mailed it little thinking your advice and the "Discovery" could
+so speedily restore me to my usual health.</p>
+
+<p>A near neighbor used it for a cough occasioned by a sudden cold, and
+less than one bottle stopped the cough. We use the "Pellets" for malaria
+and the numberless ills and epidemics that go the rounds, always with happy
+results; it saves us physicians' bills and much suffering. We consult your
+Common Sense Medical Adviser as our family physician. It saves much anxiety
+and fruitless journeyings after a physician, perhaps to find them gone or
+unwilling to breast the storm or heat, to say nothing of the delay and
+danger of being too late.</p>
+
+<p>Both my sister and myself have used your "Favorite Prescription" and
+know it to be what it is represented by you to be. I can conscientiously
+recommend those of your remedies we have used. I am willing to answer
+letters of inquiry, if stamps are enclosed for reply.</p>
+
+<blockquote>
+<p>
+Respectfully.<br />
+MRS. ABBIE J. PIERCE,<br />
+Box 22, Waterbury, Dixon Co., Nebraska.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_748" id="Page_748"></a>[pg
+748]</span></p><h4>"FEMALE WEAKNESS".</h4>
+
+<p>DR. R.V. PIERCE, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise517"><img width="90%" alt="Illustration:
+Mrs. Hoover." src="images/advise517.png" /></a><br />Mrs. Hoover.</p>
+
+<p><i>Dear Sir</i>&mdash;I had been a great sufferer from "female weakness;" I
+tried three doctors; they did me no good; I thought I was an invalid
+forever. But I heard of Dr. Pierce's Golden Medical Discovery and his
+"Favorite Prescription," and then I wrote to him and he told me just how to
+take them. I commenced last Christmas and took eight bottles. I now feel
+entirely well. I could stand on my feet only a short time, and now I do all
+my work for my family of five. My little girl had a very bad cough for a
+long time. She took your "Golden Medical Discovery" and is now well and
+happy.</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+MRS. WILLIAM HOOVER,<br />
+Bellville, Richland Co., Ohio.<br />
+</p>
+</blockquote>
+
+
+<h4>STERILITY CURED</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL. ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise518"><img width="90%" alt="Illustration:
+Mrs. King." src="images/advise518.png" /></a><br />Mrs. King.</p>
+
+<p><i>Gentlemen</i>&mdash;I will always recommend Dr. Pierce's Favorite
+Prescription, it cured me when all 'other' medicines failed. For ten years
+I suffered untold misery. I commenced taking your medicines and found
+relief before finishing one bottle. After using your medicine eleven
+months, I made my husband the present of a twelve pound boy. I think it is
+the best medicine in the world.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+MRS. CAROLINE KING,<br />
+New Boston, Scioto Co., O.<br />
+</p>
+</blockquote>
+
+
+<h4>"WOMB TROUBLE."</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise519"><img width="90%" alt="Illustration:
+Mrs. Demby." src="images/advise519.png" /></a><br />Mrs. Demby.</p>
+
+<p><i>Gentlemen</i>&mdash;For three years I suffered from what my doctor called
+womb trouble. I cannot find language to describe the tortures I
+suffered.</p>
+
+<p>Sixteen weeks ago I began to use your medicine and now feel better and
+stronger than I have felt for years, in fact my health is thoroughly
+restored and there are no signs of any return of my former trouble. I owe
+it all to your wonderful "Favorite Prescription" which I shall always
+praise wherever I go.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+MRS. MAMIE DEMBY,<br />
+1503 Saratoga St., Baltimore, Md.<br />
+</p>
+</blockquote>
+
+
+<h4>UTERINE DEBILITY CURED</h4>
+
+<p><b>After Sixteen Years of Suffering</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise520"><img width="90%" alt="Illustration:
+Mrs. Hards." src="images/advise520.png" /></a><br />Mrs. Hards.</p>
+
+<p><i>Gentlemen</i>&mdash;I must tell you that I have enjoyed better health
+since I began treatment with Dr. Pierce's Favorite Prescription, for
+Leucorrhea and Uterine Debility than I have for sixteen years. I am cured
+of my trouble and now weigh one hundred and sixty-six pounds, whereas my
+weight for many years stood at one hundred and twenty-five pounds. With
+pleasure, I remain,</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+HARRIET HARDS,<br />
+Montpelier, Idaho.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_749" id="Page_749"></a>[pg
+749]</span></p><h4>FEMALE WEAKNESS, NERVOUSNESS AND DYSPEPSIA.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise520b"><img width="90%" alt="Illustration:
+Mrs. Ross" src="images/advise520b.png" /></a><br />Mrs. Ross</p>
+
+<p><i>Gentlemen</i>&mdash;I suffered everything from bearing-down sensations,
+headaches, cold feet and hands, leucorrhea, backache, and general weakness.
+Was exceedingly nervous and very gloomy and despondent; had poor appetite,
+constipation, distress in stomach after eating, and could not sleep well.
+Began using "Favorite Prescription" alternately with "Golden Medical
+Discovery" in April, and by July was cured.</p>
+
+<blockquote>
+<p>
+Respectfully,<br />
+MRS. S.F. ROSS,<br />
+No. 200 Market Street,<br />
+Amesbury, Mass.<br />
+</p>
+</blockquote>
+
+
+<h4>THREATENED MISCARRIAGE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise521"><img width="90%" alt="Illustration:
+Mrs. Miller." src="images/advise521.png" /></a><br />Mrs. Miller.</p>
+
+<p><i>Gentlemen</i>&mdash;I cannot say enough in praise of Dr. Pierce's Favorite
+Prescription, as it has done me a world of good and undoubtedly saved my
+baby's life, as I came near losing him twice before the proper time.</p>
+
+<blockquote>
+<p>
+Respectfully,<br />
+MRS. C.P. MILLER,<br />
+No. 1638 Frederick Ave.,<br />
+St. Joseph, Mo.<br />
+</p>
+</blockquote>
+
+
+<h4>WAS A GREAT SUFFERER.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise522"><img width="90%" alt="Illustration:
+Mrs. Kempson." src="images/advise522.png" /></a><br />Mrs. Kempson.</p>
+
+<p><i>Gentlemen</i>&mdash;When I began to take your medicine I could not do any
+work to speak of. I was in such misery that many times, as I lay down for
+the night, have I prayed that I might never see the rising of another sun.
+It was almost death to me to stand on my feet.</p>
+
+<p>When I began using your medicines, I weighed 103 pounds. I have taken in
+all, ten bottles of your Dr. Pierce's Favorite Prescription, six of "Golden
+Medical Discovery," and some of your "Extract of Smart-Weed." To-day I am
+well, and weigh 148½ pounds, and am doing the work for my family of
+nine.</p>
+
+<blockquote>
+<p>
+Respectfully, MRS. FRED KEMPSON,<br />
+Cambria, Hillsdale Co., Mich.<br />
+</p>
+</blockquote>
+
+
+<h4>TROUBLES INCIDENT TO "CHANGE OF LIFE."</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise523"><img width="90%" alt="Illustration:
+Mrs. Carpenter." src="images/advise523.png" /></a><br />Mrs. Carpenter.</p>
+
+<p><i>Gentlemen</i>&mdash;I can testify to the efficacy of Dr. Pierce's
+medicines. I have been using his "Golden Medical Discovery," "Favorite
+Prescription," and "Pellets" for several years, for troubles incident to
+the "turn of life." I have found them to be of very great benefit to me,
+and cheerfully recommend them to all similarly afflicted.</p>
+
+<blockquote>
+<p>
+Respectfully,<br />
+Mrs. M.C. CARPENTER,<br />
+Berlin, Sangamon Co., ID<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_750" id="Page_750"></a>[pg
+750]</span></p><h4>DYSPEPSIA AND "FEMALE WEAKNESS."</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise524"><img width="90%" alt="Illustration:
+Mrs. Hutchinson." src="images/advise524.png" /></a><br />Mrs.
+Hutchinson.</p>
+
+<p><i>Gentlemen</i>&mdash;Words fail to describe my sufferings before I took
+your "Golden Medical Discovery" and "Favorite Prescription." I could not
+walk across the room without great suffering, but now I am able to do my
+own work, thanks to your wonderful medicines, I am a well woman. I suffered
+all the time with a weight in the bottom of my stomach, and the most severe
+bearing-down pains, low down, across me, with every step I attempted to
+take. I also suffered intense pain in my back and right hip. At times I
+could not turn myself in bed. My complexion was yellow, my eyes blood-shot,
+and my whole system was a complete wreck. I suffered greatly from
+headaches, and the thought of food would sicken me. Now I can eat anything,
+and at any time. My friends are all surprised at the great change in me.
+Every one thought I would not live through the month of August. Two of my
+neighbors are using your medicines, and say they feel like new beings.</p>
+
+<blockquote>
+<p>
+Truly yours,<br />
+MRS. ANNIE HUTCHINSON,<br />
+Cambridge, Dorchester Co, Md.<br />
+</p>
+</blockquote>
+
+
+<h4>WOMB DISEASE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.</p>
+
+
+
+<p class="rfigure"><a name="advise525"><img width="90%" alt="Illustration:
+Mrs. Cummings." src="images/advise525.png" /></a><br />Mrs. Cummings.</p>
+
+<p><i>Gentlemen</i>&mdash;I am now entirely cured by the use of your medicines.
+I think, and so do my relations, that if it had not been for your medicines
+that I could never have lived. I had many physicians before but got no
+relief until I began to take Dr. Pierce's Favorite Prescription and his
+"Golden Medical Discovery." I then commenced to get better right away. I
+kept getting better and am now entirely cured. They are the best remedies
+for women and all their ailments.</p>
+
+<p>I suffered from severe pain in back and region of womb, frequent
+headache, was pale and sallow, with dark circles around eyes, was very
+nervous, cross, fretful, had spells of crying, and was out of sorts
+generally.</p>
+
+<blockquote>
+<p>
+Respectfully,<br />
+MRS. SUSAN CUMMINGS,<br />
+Shawano, Shawano Co., Wis.<br />
+</p>
+</blockquote>
+
+
+<h4>"FEMALE WEAKNESS." PERIODICAL PAINS.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise526"><img width="90%" alt="Illustration:
+Mrs. Tanner." src="images/advise526.png" /></a><br />Mrs. Tanner.</p>
+
+<p><i>Gentlemen</i>&mdash;I was sick for four years. For two years I could do no
+work. I had five different physicians, who pronounced my case a poor or
+impoverished condition of the blood, and uterine trouble. I suffered a
+great deal with pain in both sides, and much tenderness on pressing over
+the womb. I bloated at times in my bowels and limbs. Was troubled with
+leucorrhea. I could not sleep, and was troubled with palpitation of the
+heart. Suffered a great deal of pain in my head, temples, forehead and
+eyes. I had a troublesome cough, and raised a great deal, and at times
+experienced a good deal of pain in my chest and lungs. My voice at times
+was very weak. I suffered excruciating monthly, periodical pains. Since
+taking seven bottles of your "Favorite Prescription" some time ago, I have
+enjoyed better health than I have for more than four years previously; in
+fact, for several months past I have been able to work at sewing. I have
+gained in weight thirty-nine pounds since taking your medicines; the
+soreness and pain, of which I formerly complained so much, have
+disappeared. Yours truly.</p>
+
+<blockquote>
+<p>
+Miss MARY TANNER,<br />
+North Lawrence, St. Lawrence Co., N.Y.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_751" id="Page_751"></a>[pg
+751]</span></p><h4>FALLING OF WOMB.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION. Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise527"><img width="90%" alt="Illustration:
+Mrs. Lewis." src="images/advise527.png" /></a><br />Mrs. Lewis.</p>
+
+<p><i>Gentlemen</i>&mdash;I cannot tell you how my wife has improved since she
+began the use of your "Favorite Prescription," coupled with "Golden Medical
+Discovery." She has no more trouble with falling of the womb, and she never
+feels any pain unless she stands too long. She has no bearing-down pains
+since she began the use of your remedies. She does nearly all of her own
+housework now, but before she commenced taking your remedies, she could
+hardly walk across the room.</p>
+
+<p>I do not know now to thank you for all the good your remedies have done
+her, for the best doctors had given her case up as incurable.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+ALFRED LEWIS,<br />
+Fairport Harbor, Lake Co., Ohio.<br />
+</p>
+</blockquote>
+
+
+<h4>UTERINE DEBILITY.</h4>
+
+<p><b>Permanently Cared, After Taking Five Bottles of
+"Prescription."</b></p>
+
+<p><i>Dep't of Photography, U.S. Artillery School</i>, Fortress Monroe,
+Va.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION:</p>
+
+
+
+<p class="rfigure"><a name="advise528"><img width="90%" alt="Illustration:
+Mrs. Sargent." src="images/advise528.png" /></a><br />Mrs. Sargent.</p>
+
+<p><i>Gentlemen</i>&mdash;My wife cannot speak too highly of your Dr. Pierce's
+Favorite Prescription, it having completely cured her of a serious womb
+trouble of long standing. She took five bottles altogether, and she has
+borne a large, healthy child since. There has been no return of the
+complaint.</p>
+
+<p>She only wishes every poor, suffering woman should know of the
+inestimable value your "Favorite Prescription" would be to them, and thanks
+you, gentlemen, from the bottom of her heart, for the benefit she has
+received.</p>
+
+<blockquote>
+<p>
+Yours very truly,<br />
+EDWARD F.F. SARGENT.<br />
+</p>
+</blockquote>
+
+
+<h4>"FEMALE WEAKNESS."</h4>
+
+<p>DR. R.V. PIERCE, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise529"><img width="90%" alt="Illustration:
+Mrs. Davis." src="images/advise529.png" /></a><br />Mrs. Davis.</p>
+
+<p><i>Dear Sir</i>&mdash;I am enjoying good health, and I deem it my duty to
+send you my testimonial. I can conscientiously recommend your medicines to
+any suffering woman. I think they are indeed the best medicines for "female
+complaint" that has ever been invented. Had it not been for them I surely
+would have died.</p>
+
+<p>I tried numbers of remedies from doctors but without getting any relief;
+I then took Dr. Pierce's Golden Medical Discovery and his "Favorite
+Prescription" and I feel confident that I am permanently cured.</p>
+
+<p>I told my mother to try it; she has taken four bottles&mdash;two of the
+"Golden Medical Discovery" and two of the "Prescription." She says it is
+the best medicine she has ever tried for her case; she is in better health
+than she has been for fifteen years. Mrs. Shelton also used it, says it has
+done her more good than all the doctors' medicine ever did; she has "female
+complaint."</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+MRS. NORA DAVIS,<br />
+Noble, Ozark County, Missouri.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_752" id="Page_752"></a>[pg
+752]</span></p><h4>UTERINE DISEASE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise530"><img width="90%" alt="Illustration:
+Mrs. Coventry." src="images/advise530.png" /></a><br />Mrs. Coventry.</p>
+
+<p><i>Gentlemen</i>&mdash;I had "Female Weakness" very bad&mdash;in bed most of the
+time, dragging down pains through my back and hips; no appetite; no energy.
+The family physician was treating me for liver complaint. I did not get any
+better under that treatment so I thought I would try Dr. Pierce's Favorite
+Prescription and "Golden Medical Discovery." I felt better before I used
+one bottle of each. I continued their use until I took six bottles of each.
+In three months' time I felt so well I did not think it necessary to take
+any more. In childbirth it does what Dr. Pierce recommends it to do. I
+would like to recommend Dr. Pierce's Extract of Smart-weed to those who
+have never tried it; it surely is the best thing for cholera morbus, or
+pain in the stomach I ever used; it <b>works</b> like a charm. I try never
+to be without it.</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+MRS. IDA COVENTRY,<br />
+Huntsville, Logan Co., O.<br />
+</p>
+</blockquote>
+
+
+<h4>LEUCORRHEA, IRREGULAR MENSTRUATION.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise531"><img width="90%" alt="Illustration:
+Mrs. Kenison." src="images/advise531.png" /></a><br />Mrs. Kenison.</p>
+
+<p><i>Gentlemen</i>&mdash;After years of suffering I have been cured by your
+wonderful medicine, when I commenced your medicines I could neither eat nor
+sleep; my hands and feet were constantly cold. I had leucorrhea for twenty
+years and my monthly periods were never regular, occurring about once in
+three weeks. I used three bottles of Dr. Pierce's Prescription and two of
+his "Golden Medical Discovery," and am a well, hearty woman to-day&mdash;thanks
+to your kind advice and excellent medicine. Our family doctor said to-day,
+"I can't beat Dr. Pierce's Favorite Prescription; it is a wonderful
+medicine."</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+MRS. MARY KENISON,<br />
+Catlin, Otero County,<br />
+Colorado.<br />
+</p>
+</blockquote>
+
+
+<h4>"CHANGE OF LIFE," ORGANIC HEART DISEASE, WOMB TROUBLE.</h4>
+
+<p>Dr. R.V. PIERCE, Buffalo, N.Y.:</p>
+
+<p><i>Dear Sir</i>&mdash;I feel that I would be doing an injustice to you and to
+suffering humanity if I did not write you a statement of my case.</p>
+
+<p>I have been a constant sufferer all my life, and for the past five years
+have been under the care of many good physicians, who, I must say, have
+only given me relief for a short time. I cannot describe the constant pain
+and torment to which I was subjected every moment of my life, and I was so
+reduced in flesh and strength that I could scarcely walk across the floor
+and had little hope of ever being any better.</p>
+
+<p>I was induced, by the advice of a friend, to take your "Favorite
+Prescription," as she had been cured after taking several bottles of it. My
+physicians said I was suffering from the effects of "change of life,"
+organic heart disease and womb trouble.</p>
+
+<p>I sent for your Common Sense Medical Adviser and then wrote to you. You
+advised me to take six bottles more of the "Favorite Prescription," which I
+did, and in a reasonable length of time after taking it, I felt very
+grateful for the happy relief I obtained. I do not suffer near so much with
+my heart as I did before taking the "Favorite Prescription." I had not been
+able to do any kind of work at all for two years, and I am now able to
+attend to my household duties without suffering any pain.</p>
+
+<p>I have two daughters&mdash;17 and 19 years old, that have been in very bad
+health for twelve months or more. I gave them each several bottles of the
+"Favorite Prescription," and it entirely cured them.</p>
+
+<p>I would send you my photo., as you request, but have none, and there is
+no <span class="pagenum"><a name="Page_753" id="Page_753"></a>[pg
+753]</span>place nearer than Natchez, Miss., thirty miles distant, where I
+could have one taken.</p>
+
+<p>I now thank you most kindly for the happy relief and cure which myself
+and daughters received from taking your "Favorite Prescription."</p>
+
+<p>With many thanks and wishing you success, I am.</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+Mrs N.E. Reily,<br />
+Bougere, Concordia Parish, La.<br />
+</p>
+</blockquote>
+
+
+<h4>ULCERATION OF THE WOMB.</h4>
+
+
+
+<p class="lfigure"><a name="advise532"><img width="90%" alt="Illustration:
+Mrs. McAllister." src="images/advise532.png" /></a><br />Mrs.
+McAllister.</p>
+
+<p><i>Gentlemen</i>&mdash;This is to let you knew what your medicine is doing
+here. I was In bad health; age was working upon me, and had ulceration of
+the womb; I could not get about; I took Dr. Pierce's Favorite Prescription
+and it cured me; I felt ten years younger. I have not had any return of my
+trouble. I am the mother of thirteen children and I am fifty-three years
+old, have never seen a better woman's friend than your medicine. I have
+recommended it to my friends here, and it has never failed in any case, so
+let me thank you for the good it did me.</p>
+
+<blockquote>
+<p>
+Yours,<br />
+MRS. M.A. MCALLISTER,<br />
+Lim Rock, Jackson County, Ala.<br />
+</p>
+</blockquote>
+
+
+<h4>REV. W.J. WALKER'S PRAYER.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise533"><img width="90%" alt="Illustration:
+Rev. W.J. Walker." src="images/advise533.png" /></a><br />Rev. W.J.
+Walker.</p>
+
+<p><i>Gentlemen</i>&mdash;I wish to inform you of the benefit my wife has
+received from the use of your medicines. I must say that your "Favorite
+Prescription" is the best female regulator on earth; my wife has been cured
+by the timely use of it. I have been using the "Golden Medical Discovery"
+and "Pleasant Pellets," and I am fully satisfied they are all you claim
+them to be; so I wish you abundant success, and hope that the Almighty God
+will continue His blessings toward you in your noble work.</p>
+
+<blockquote>
+<p>
+Respectfully,<br />
+REV. W.J. WALKER,<br />
+Vancleave; Jackson Co., Miss.<br />
+</p>
+</blockquote>
+
+
+<h4>TERRIBLE PAIN AND FAINTING SPELLS.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise534"><img width="90%" alt="Illustration:
+Mrs. Jacobs." src="images/advise534.png" /></a><br />Mrs. Jacobs.</p>
+
+<p><i>Gentlemen</i>&mdash;When I commenced taking your medicine I was very
+sickly. I had frequent spells of fainting, terrible pain in my head, and
+life was a burden to me. I was attended by one of the best physicians in
+our town, but with no good results. At last a neighbor advised me to try
+Dr. Pierce's Favorite Prescription, which I did, and after taking one
+bottle I felt greatly benefited. I would advise all ladies similarly
+afflicted to try "Favorite Prescription."</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+Mrs. SAMUEL A. JACOBS,<br />
+Mechanicsburgh,<br />
+Cumberland County,<br />
+Pennsylvania<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_754" id="Page_754"></a>[pg
+754]</span></p><h4>"WAS THE PICTURE OF DEATH."</h4>
+
+<p><b>Physicians Failed.</b></p>
+
+
+
+<p class="lfigure"><a name="advise535"><img width="90%" alt="Illustration:
+Mrs. Loyd." src="images/advise535.png" /></a><br />Mrs. Loyd.</p>
+
+<p>DR. R.V. PIERCE: <i>Dear Sir</i>&mdash;My daughter has been sick all her
+life, and the older she grew, the worse she was until she was the picture
+of death: the physicians could not do her any good.</p>
+
+<p>I heard of your "Favorite Prescription," for women, and I gave her three
+bottles, and now she is a perfectly healthy girl.</p>
+
+<p>Have recommended it to a great many sufferers from "female complaints,"
+and it has cured them.</p>
+
+<p>I think it is the greatest medicine in the world, and I have never found
+anything to compare with it.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+MRS. M.J. LOYD,<br />
+Wesson, Copiah Co., Miss.<br />
+</p>
+</blockquote>
+
+
+<h4>UTERINE DISEASE OF YEARS' STANDING.</h4>
+
+<p><b>Suffered for Twelve Years.</b></p>
+
+
+
+<p class="rfigure"><a name="advise536"><img width="90%" alt="Illustration:
+Mrs. Wilson and Child" src="images/advise536.png" /></a><br />Mrs. Wilson
+and Child</p>
+
+<p><i>Oreide, (formerly Enterprise,) Taylor County, W. Va.</i></p>
+
+<p><i>Gentlemen</i>&mdash;A heart overflowing with gratitude prompts me to write
+you. Twelve long weary years I suffered greatly from Uterine derangement
+and at last was given up by my physician to die, besides spending almost
+all we had. After five months' treatment with your Doctor Pierce's Favorite
+Prescription, I now enjoy most excellent health. I would, to-day, have been
+in my grave, and my little children motherless, had it not been for you and
+your medicine. I will recommend your medicine as long as I live. If any one
+doubts this, give my name and address.</p>
+
+<blockquote>
+<p>
+Yours sincerely,<br />
+MRS. MALVINA WILSON.<br />
+</p>
+</blockquote>
+
+
+<h4>ST. VITUS'S DANCE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise537"><img width="90%" alt="Illustration:
+St. Vitus's Dance." src="images/advise537.png" /></a><br />St. Vitus's
+Dance.</p>
+
+<p><i>Gentlemen</i>&mdash;My boy had been in bad health for a long time. We
+called our home doctor, but he got no better. Finally he had the St.
+Vitus's Dance, and our doctor did not know what to do. So I wrote to you
+and did as you told me: I got two bottles of your "Favorite Prescription,"
+and one bottle and a half did the work all right. At that time, eighteen
+months ago, his weight was 85 pounds, now it is 135 to 140; he is fourteen
+years old.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+JEREMIAH PONSLER,<br />
+Zenas, Jennings County, Ind.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_755" id="Page_755"></a>[pg
+755]</span></p><h4>"FALLING OF WOMB."</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise538"><img width="90%" alt="Illustration:
+Mrs. Sharrard and Son." src="images/advise538.png" /></a><br />Mrs.
+Sharrard and Son.</p>
+
+<p><i>Gentlemen</i>&mdash;I take great pleasure in recommending Doctor Pierce's
+Favorite Prescription for "Falling of the Womb." I was troubled with
+bearing down pains and pains in my back whenever I would be on my feet any
+length of time. I was recommended to try Dr. Pierce's Favorite
+Prescription, which I did with happy results. I feel like a new person
+after taking three bottles of it.</p>
+
+<blockquote>
+<p>
+Respectfully,<br />
+MRS. ALLEN SHARRARD,<br />
+Hartney, Selkirk Co., Man.<br />
+</p>
+</blockquote>
+
+
+<h4>UTERINE DISEASE, "CHANGE OF LIFE."</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise539"><img width="90%" alt="Illustration:
+Mrs. Fletcher." src="images/advise539.png" /></a><br />Mrs. Fletcher.</p>
+
+<p><i>Gentlemen</i>&mdash;I am happy to say that my health remains good since my
+sickness four years ago. I took several bottles of "Pellets," one of
+"Golden Medical Discovery," and two of "Favorite Prescription" and gained
+right along after I had been taking them. I am at a loss to give my
+sickness a name, as my physician called it a "Complication of Diseases,"
+resulting from change of life and over-work. I take great pleasure in
+recommending your remedies to suffering women. May you live many years to
+administer to the suffering and afflicted is the wish of your sincere
+friend.</p>
+
+<blockquote>
+<p>
+Yours, etc.,<br />
+MRS. J.T. FLETCHER,<br />
+Pony, Madison Co., Montana.<br />
+</p>
+</blockquote>
+
+
+<h4>MAKES CHILDBIRTH EASY.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise540"><img width="90%" alt="Illustration:
+Mrs. Guthrie." src="images/advise540.png" /></a><br />Mrs. Guthrie.</p>
+
+<p><i>Gentlemen</i>&mdash;I never can thank you enough for what your treatment
+has done for me; I am stronger now than I have been for six years. When I
+began your treatment I was not able to do anything. I could not stand on my
+feet long enough to wash my dishes without suffering almost death; now I do
+all my housework, washing, cooking, sewing and everything for my family of
+eight.</p>
+
+<p>Your "Favorite Prescription" is the best medicine to take before
+confinement that can be found; or at least it proved so with me. I never
+suffered as little with any of my children as I did with my last, and she
+is the healthiest we have. I recommend your medicines to all of my
+neighbors, and especially "Favorite Prescription" to all women who are
+suffering. Have induced several to try it, and it has proved good for
+them.</p>
+
+<blockquote>
+<p>
+Very respectfully,<br />
+MRS. DORA A. GUTHRIE,<br />
+Oakley, Overton Co., Tenn.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_756" id="Page_756"></a>[pg
+756]</span></p><h4>SHORTENS LABOR.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise541"><img width="90%" alt="Illustration:
+Mrs. Baker." src="images/advise541.png" /></a><br />Mrs. Baker.</p>
+
+<p><i>Gentlemen</i>&mdash;I began taking your "Favorite Prescription" the first
+month of pregnancy, and have continued taking it since confinement. I did
+not experience the nausea or any of the ailments due to pregnancy, after I
+began taking your "Prescription." I was only in labor a short time, and the
+physician said I got along unusually well.</p>
+
+<p>We think it saved me a great deal of suffering. I was troubled a great
+deal with leucorrhea also, and it has done a world of good for me.</p>
+
+<blockquote>
+<p>
+Yours truly, MRS. W.C.BAKER,<br />
+South Bend, Pacific Co., Wash.<br />
+</p>
+</blockquote>
+
+
+<h4>"FEMALE WEAKNESS."</h4>
+
+<p>DR. B.V. PIERCE, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise542"><img width="90%" alt="Illustration:
+Mrs. Shepherd." src="images/advise542.png" /></a><br />Mrs. Shepherd.</p>
+
+<p><i>Dear Sir</i>&mdash;My wife was hardly able to walk about the house when
+she began using Dr. Pierce's Favorite Prescription, and by the time she had
+used one bottle of it and one bottle of his "Pellets," she could walk a
+half a mile with more ease than she could walk across the house before she
+began to take it; she says she thinks it is just what all weakly women
+ought to have.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+GEORGE W. SHEPHERD,<br />
+Sigman, Putnam Co., W. Va.<br />
+</p>
+</blockquote>
+
+
+<h4>"FEMALE WEAKNESS."</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise543"><img width="90%" alt="Illustration:
+Mrs. Inman." src="images/advise543.png" /></a><br />Mrs. Inman.</p>
+
+<p><i>Gentlemen</i>&mdash;I began taking "Favorite Prescription" about a year
+ago. For years I have suffered with falling and ulceration of the womb, but
+to-day, I am enjoying perfect health.</p>
+
+<p>I took four bottles of the "Prescription" and two of the "Golden Medical
+Discovery." Every lady suffering from female weakness should try the
+"Prescription" and "Golden Medical Discovery."</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+Mrs. F.L. INMAN,<br />
+Manton, Wexford Co., Mich.<br />
+</p>
+</blockquote>
+
+
+<h4>"FEMALE WEAKNESS".</h4>
+
+<p><b>"Could Scarcely Drag Around."</b></p>
+
+
+
+<p class="rfigure"><a name="advise544"><img width="90%" alt="Illustration:
+Mrs. Baker." src="images/advise544.png" /></a><br />Mrs. Baker.</p>
+
+<p>DR. R.V. PIERCE: <i>Dear Sir</i>&mdash;Several years ago I took your "Favorite
+Prescription." At that time, I was so miserable (and had been so for many
+years) that I could scarcely drag myself around. Concluded to try your
+medicine. I took half a dozen bottles and I have not had a return of my old
+trouble.</p>
+
+<p>Hoping others will be benefited as I have been, I remain,</p>
+
+<blockquote>
+<p>
+Sincerely,<br />
+MRS. C.H. BAKER,<br />
+Freytown, Lackawanna Co., Pa.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_757" id="Page_757"></a>[pg
+757]</span></p><h4>OBSTINATE CHRONIC DISEASE CURED.</h4>
+
+<p><b>Ministers Endorse It.</b></p>
+
+
+
+<p class="lfigure"><a name="advise545"><img width="90%" alt="Illustration:
+Mrs. Stimpson." src="images/advise545.png" /></a><br />Mrs. Stimpson.</p>
+
+<p>DR. R.V. PIERCE: <i>Dear Sir</i>&mdash;For some six or seven years my wife
+had been an invalid. Becoming convinced that it was her only hope, we
+bought six bottles of Dr. Pierce's Favorite Prescription and "Golden
+Medical Discovery." To the surprise of the community and the joy of myself
+and family, in one week my wife commenced to improve, and long before she
+had taken the last bottle she was able to do her own work (she had not been
+able to do it before for seven years), and when she had taken the last of
+the medicine she was soundly cured.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+REV. T.H. STIMPSON,<br />
+Donnoha, Forsyth Co., N.C.<br />
+</p>
+</blockquote>
+
+
+<h4>NERVOUS DYSPEPSIA; UTERINE AND SPINAL WEAKNESS.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise546"><img width="90%" alt="Illustration:
+Mrs. Nay." src="images/advise546.png" /></a><br />Mrs. Nay.</p>
+
+<p><i>Gentlemen</i>&mdash;I had nervous dyspepsia for twenty years, followed by
+uterine and spinal weakness with irritation of the same. In the Spring of
+1890 I became so exhausted that I was compelled to keep to my bed with
+symptoms of paralysis in the lower limbs, and many other distressing
+symptoms. I accidentally obtained one of Dr. Pierce's Medical Advisers from
+a friend, and finding my ailments so well described therein, I wrote to Dr.
+Pierce for his advice, which he sent by return mail. For my recovery he
+requested me to use his "Golden Medical Discovery," his "Favorite
+Prescription," and his "Pleasant Pellets." He also gave me some directions
+for every-day living. These means accomplished my complete cure. I am
+thankful that we can have such reliable medicines brought into our homes
+without great expense.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+MRS. AMERICA NAY,<br />
+Volga, Jefferson Co., Ind.<br />
+</p>
+</blockquote>
+
+
+<h4>THICK NECK (GOITRE),</h4>
+
+<p><b>Nervous Debility and Weakness Cured</b>.</p>
+
+
+
+<p class="lfigure"><a name="advise547"><img width="90%" alt="Illustration:
+Miss Houghton." src="images/advise547.png" /></a><br />Miss Houghton.</p>
+
+<p>MISS ELLA A. HOUGHTON, of <i>Theresa, Jefferson Co., N.Y.</i>, was cured
+of Thick Neck, Nervous Prostration, Weakness and a complication of ailments
+by Dr. Pierce's "Discovery" and "Favorite Prescription." She says: "My
+health is now as good as it was before I was sick. The swelling (goitre)
+has all gone from my neck. I don't have any bad feelings. My gratitude for
+the benefit I have received from your treatment has induced me to recommend
+you to all whom I know to be sick." "I have known of two or three middle
+aged ladies residing near here, who have been cured by your 'Favorite
+Prescription.'"</p>
+
+
+<h4>SUPPRESSED MENSTRUATION.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Gentlemen</i>&mdash;It is almost two years ago that my little girl was
+taken with a spasm which frightened me so that my menses became suppressed.
+I suffered severely with pressure on the brain so that I often thought I
+should go insane. I also had <span class="pagenum"><a name="Page_758"
+id="Page_758"></a>[pg 758]</span>severe pain in the ovaries, and bearing
+down pain. I consulted a physician, who treated me for awhile till I began
+to feel worse, and consulted another physician whom I knew had treated
+several women for like ailments. He gave me medicine which did me no more
+good than that prescribed by the first physician.</p>
+
+<p>Finally, after an examination, the doctor said that he should have to
+operate on me in order to have my health restored.</p>
+
+<p>As my husband and I had heard and read so much about Dr. Pierce's
+medicines we decided to try them. We had Dr. Pierce's Common Sense Medical
+Adviser. I took three or four bottles of Dr. Pierce's Favorite Prescription
+and one bottle of "Golden Medical Discovery" and one vial of "Pellets."
+After using these I felt perfectly cured. As I am always troubled more or
+less with biliousness, I keep your little "Pellets" on hand and find relief
+by using them. One of them taken after meals acts splendidly for
+indigestion.</p>
+
+<blockquote>
+<p>
+Respectfully, MRS. B.H. KAMFERBECK,<br />
+Holland, Ottawa County, Michigan.<br />
+</p>
+</blockquote>
+
+
+<h4>THICK NECK (GOITRE).</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, 663 Main St., Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise548"><img width="90%" alt="Illustration:
+Master Sumner." src="images/advise548.png" /></a><br />Master Sumner.</p>
+
+<p><i>Gentlemen</i>&mdash;I am willing and pleased to have you publish anything
+I have written in regard to the cure of my little son of Goitre (that a
+surgeon of N. Adams said could never be cured).</p>
+
+<p>I do hope that by so doing some little one may escape the misery my
+little one suffered for over a year until I began the use of the "Golden
+Medical Discovery." I followed your directions found in the little book
+around the bottles. Before the first bottle was gone, he could eat and
+sleep without that coughing and choking that, before the use of the
+"Discovery," was impossible.</p>
+
+<p>The tumor began to lessen in size, and after the third bottle I would
+never have known he ever had a tumor there. He is now hearty and healthy.
+Sleeps as good as any child and is full of life. He does not take anything
+to prevent a return, and has not for over a year.</p>
+
+<p>I have one of your Common Sense Medical Advisers, and found it worth
+five times what I gave for it; I have helped others to get it and the
+"Medical Discovery" and "Favorite Prescription" have brought relief to many
+through me. I use the "Prescription" off and on; it has given me strength;
+I think I should have been an invalid long ago without it.</p>
+
+<p>Every one here knows the truth of this letter, and I would tell it to
+the world if I could.</p>
+
+<blockquote>
+<p>
+Respectfully,<br />
+MRS. ANNIE SUMNER, Heartwellville, Bennington Co., Vt.<br />
+</p>
+</blockquote>
+
+
+<h4>DROPSY, SICK HEADACHE, DYSPEPSIA AND BLOODY PILES.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise549"><img width="90%" alt="Illustration:
+Mrs. Knavel." src="images/advise549.png" /></a><br />Mrs. Knavel.</p>
+
+<p><i>Gentlemen</i>&mdash;In the winter of 1881, I became irregular in my
+monthly courses. Of course at first I paid but little attention to it,
+hoping it would amount to nothing and probably wear away. But I slowly but
+surely grew worse, and at last resolved to apply to the doctors for help.
+My water came often, and in small quantities, and with great pain, and with
+red brick-dust deposit. I was attacked with severe womb trouble, bloody
+piles and dropsy of the ovary. I was treated by five different doctors. I
+was compelled to wear an inside support for a year, but it still seemed
+impossible for me to get well and I began to feel exceedingly alarmed and
+very uneasy, not knowing what course to pursue, or what the consequences
+might be. I had heard of Dr. Pierce, and concluded to make one more trial,
+so I sat down and wrote a letter to him, stating matters as near as I
+could, and in due time I received a favorable reply; then I commenced with
+his medicine. I commenced somewhere in February 1891 with the "Golden
+Medical Discovery" and "Favorite Prescription," in alternate doses. A
+strange occurrence followed. My limbs felt like what we call "asleep," and
+I felt as if I were in a strange land and wondered what was going to take
+place. I kept on till I took nine bottles. The first relief I felt was from
+sick headache, which I had been troubled with for many years; I was also
+cured <span class="pagenum"><a name="Page_759" id="Page_759"></a>[pg
+759]</span>of a very bad cough which I had been troubled with for many
+years, and of dyspepsia of long standing. I was entirely cured of a very
+singular and severe itching on my back, between my shoulders, which our
+doctors called winter itch and which they pronounced incurable. I had
+suffered with this for twenty years; it would come in the winter and go
+away in the summer. I was also cured of the worst form of bloody piles and
+of womb disease. At present I feel like a new person.</p>
+
+<p>When I first commenced with Dr. Pierce's medicines, I could not walk
+half a mile without a pain. The other day I walked to Mercersburgh
+post-office, a distance of twelve miles, and the next day walked back
+again, and felt no bad results from the journey. I am now 51 years old.</p>
+
+<p>Mrs. Knavel further writes, that "To any person desiring to know more
+concerning my case and its wonderful cure, and who will enclose to me a
+return self-addressed and stamped envelope for reply, I will be pleased to
+write further information."</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+SARAH A. KNAVEL,<br />
+Indian Springs, Washington Co. Md.<br />
+</p>
+</blockquote>
+
+
+<h4>WOMB DISEASE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise549b"><img width="90%" alt="Illustration:
+MRS. GUNEKEL." src="images/advise549b.png" /></a><br />MRS. GUNEKEL.</p>
+
+<p><i>Gentlemen</i>&mdash;I have been a sufferer from womb trouble for eight
+years, having doctored with the most skillful physicians, but finding only
+temporary relief from medicines prescribed by them. I was advised by a
+friend to take the "Favorite Prescription," which I did, and found, in
+taking six bottles of the "Prescription" and two of the "Discovery," that
+it has effected a positive cure, for which words cannot express my
+gratitude for the relief from the great suffering that I so long
+endured.</p>
+
+<blockquote>
+<p>
+Respectfully,<br />
+MRS. W.O. GUNEKEL,<br />
+No. 1461 South 7th St.,<br />
+Terre Haute, Ind.<br />
+</p>
+</blockquote>
+
+
+<h4>GENERAL DEBILITY. "FEMALE WEAKNESS."</h4>
+
+<p>DR. R.V. PIERCE, Buffalo, N.Y.: Hardy, Cascade Co., Mont.</p>
+
+<p><i>Dear Sir</i>&mdash;I have enjoyed pretty good health for the past three
+years. Before I took your "Golden Medical Discovery" and your "Favorite
+Prescription" I was so weak that I could hardly do my housework. I took
+seven bottles in all of the two medicines; they did me a world of good; I
+do not think I should have been here to-day were it not for your
+medicines.</p>
+
+<p>I would send you my photograph, but I have none, and live sixty miles
+from a photographer.</p>
+
+<blockquote>
+<p>
+Gratefully yours,<br />
+Mr. Thomas Prewett<br />
+</p>
+</blockquote>
+
+
+<h4>TUMOR OF BREAST AND WOMB DISEASE.</h4>
+
+
+
+<p class="rfigure"><a name="advise549c"><img width="90%" alt="Illustration:
+MRS. GOLDEN. " src="images/advise549c.png" /></a><br />MRS. GOLDEN. </p>
+
+<p>Mrs. Jane Golden, of Durand, Pepin Co., Wis., writes Dr. R.V. Pierce,
+Chief Consulting Physician, at the Invalids' Hotel and Surgical Institute
+at Buffalo, N.Y., as follows: "It is my heart's desire to write to you of
+what your medicines have done for me. I was in a very bad state when I
+wrote to you, and you prescribed for me and I took your medicines according
+to directions and am a well woman again. I had uterine disease and tumor in
+the breast. The doctors said they could do nothing for me any more and must
+resort to the knife. I would not consent and so wrote to you, and followed
+your advice. I took two dozen bottles of your 'Favorite Prescription,'
+seven bottles of your 'Golden Medical Discovery' and my health is now
+better than it had been in twenty years; my neighbors said I could not live
+three months, and I know that your treatment and medicine cured."</p>
+
+
+<p><span class="pagenum"><a name="Page_760" id="Page_760"></a>[pg
+760]</span></p><h4>ULCERATION OF WOMB. IRREGULAR MENSTRUATION.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise550"><img width="90%" alt="Illustration:
+Mrs. Spicer." src="images/advise550.png" /></a><br />Mrs. Spicer.</p>
+
+<p><i>Gentlemen</i>&mdash;Please accept my heartfelt thanks for your medicines,
+which I have every reason to believe have cured me. I was afflicted for
+more than five years with falling of the womb and ulceration of the same,
+connected with very painful and irregular menstruation with chills during
+the same. Rush of blood to the head, sometimes falling down in
+insensibility and remaining so for several hours; and part of the time
+could not bear my weight on my limbs to stand up or walk at all for several
+days at a time. I was a burden to myself when I commenced taking Dr.
+Pierce's Favorite Prescription and "Golden Medical Discovery," and his
+"Pleasant Pellets" and "Smart-weed;" I used the glycerine and iodine as you
+prescribed for me also. I think I used one dozen bottles of "Prescription,"
+half a dozen "Discovery" one dozen "Pills," one-half dozen "Smart-weed," at
+first and some more afterwards, only a few bottles, I don't remember how
+many.</p>
+
+<p>I am now well, doing my own work, and do not suffer any more pain, and
+don't need any more medicine.</p>
+
+<blockquote>
+<p>
+Respectfully,<br />
+MRS. MARY J. SPICER,<br />
+Boulder, Boulder Co., Colo.<br />
+</p>
+</blockquote>
+
+
+<h4>SAVE DOCTORS' BILLS.</h4>
+
+<p>DR. R.V. PIERCE, Buffalo, N.Y.: Arcadia, Manistee Co., Mich.</p>
+
+<p><i>Dear Sir</i>&mdash;We received your kind letter, with the "Pellets," and
+are very much obliged for the same. We know they are just what you
+recommend them to be. We have used your medicines for about seven years and
+have depended almost entirely on them for five years. Before we began the
+use of your medicines, we used to have to employ a doctor every little
+while; now we do not have to. We have four children. We give them Dr.
+Pierce's Golden Medical Discovery when they take cold and I think it is far
+better than most cough medicines, for the "Discovery" helps the appetite
+and the cough medicines make one sick. I like your idea of keeping the
+blood pure and the "Discovery" is the medicine for that. I take a bottle
+twice a year, in the spring and fall, and I have recommended it to several
+other ladies who have tried it and they all think highly of it. I have
+bought thirteen bottles of the "Discovery" and three bottles of Dr.
+Pierce's Favorite Prescription and nine bottles of the "Pellets" in five
+years, so you see our doctor-bill has not been very large. Our oldest boy
+hurt himself, lifting, and I depended upon Dr. Pierce's Compound Extract of
+Smart-weed for external application, and it cured him. I bought two bottles
+of that.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+Mrs. S. Keillor<br />
+</p>
+</blockquote>
+
+
+<h4>"FEMALE WEAKNESS."</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise551"><img width="90%" alt="Illustration:
+Mrs. Cummings." src="images/advise551.png" /></a><br />Mrs. Cummings.</p>
+
+<p><i>Gentlemen</i>&mdash;I took your Dr. Pierce's Favorite Prescription when I
+was run-down and through the warm weather. It worked like a charm on my
+system and I am a good deal heavier in flesh now. It is the best medicine
+in the world for "female troubles," for I took almost all kinds of Patent
+Medicines, and doctors' prescriptions without benefit. There is hardly a
+day passes but that I recommend it to some of my lady friends.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+Mrs. CORA CUMMINGS,<br />
+No. 74 E. Yates St., Ithaca, N.Y.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_761" id="Page_761"></a>[pg
+761]</span><b>CHILDBIRTH MADE EASY</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise552"><img width="90%" alt="Illustration:
+Mrs. Johnson." src="images/advise552.png" /></a><br />Mrs. Johnson.</p>
+
+<p><i>Gentlemen</i>&mdash;Your medicines have my greatest praise as they did me
+a great deal of good. I was sick for nearly three years. Sometimes I
+thought I would go crazy I was so weak, nervous, and down hearted, and sour
+in spirits, that I was afraid I would die every day, and such mean feelings
+I could not describe to any one. I remained in this stage for nearly three
+years, doctoring with every home doctor and trying every medicine that I
+thought would help me, and I could get no relief. I could not sleep at
+times and had palpitation of the heart so that I would have to get up, for
+my heart would beat so fast I thought every minute I would die. The misery
+I went through no one could describe.</p>
+
+<p>A lady friend handed me Dr. Pierce's Common Sense Medical Adviser, and I
+wrote to you about myself, and you told me to take "Favorite Prescription"
+and "Golden Medical Discovery." I commenced in the spring and took three
+bottles of each of your medicines, and I felt so much better I thought that
+was enough, and ever since I have had my health. I grew stronger, and could
+run and skip about like a child, and was happy all day long. I felt so well
+I could hardly believe it was myself. I just used the two kinds of
+medicines&mdash;"Golden Medical Discovery" and "Favorite Prescription," and
+followed the "Common Sense Medical Adviser," took regular baths, and dieted
+for about a year, and the result was a bright baby boy which brightens our
+home. I took the "Favorite Prescription" before, and the result was a few
+hours' labor and got along splendidly; my baby weighed twenty-four pounds
+at seven months&mdash;a brighter, healthier baby than he is there never was.</p>
+
+<blockquote>
+<p>
+Respectfully yours,<br />
+MRS. MINA JOHNSON,<br />
+Riverside, Ravalli Co., Mont.<br />
+</p>
+</blockquote>
+
+
+<h4>PARTIAL PARALYSIS FROM UTERINE DISEASE.</h4>
+
+<p>Buffalo, Larue County, Ky.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Gentlemen</i>&mdash;I am still having very good health. I value Dr.
+Pierce's Golden Medical Discovery and his "Favorite Prescription" very
+highly and often recommend them to others. I do not think I would ever have
+got well if it had not been for your medicines. I was in a sad condition.
+My bowels and half of my body (the left side), was nearly paralyzed,
+besides nearly my whole system was out of order. I suffered all the time;
+but after taking six bottles of "Golden Medical Discovery" and the same of
+"Favorite Prescription," and using two bottles of Sage's Catarrh Remedy as
+an injection, I felt like a new person. I have never seen anyone suffering
+in the same way as I did. If anyone with female trouble of any kind will
+use your medicines I am satisfied they will help them.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+Mary A. Sallee<br />
+</p>
+</blockquote>
+
+
+<h4>IRREGULARITY AND UTERINE DEBILITY.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise553"><img width="90%" alt="Illustration:
+Miss Henderson." src="images/advise553.png" /></a><br />Miss Henderson.</p>
+
+<p><i>Gentlemen</i>&mdash;I cannot say enough for your Dr. Pierce's Favorite
+Prescription. For years I suffered from irregularity and uterine debility,
+but now I feel as well as I ever did in my life. Thanks to you for your
+"Favorite Prescription," for it has performed a permanent cure of me. With
+gratitude, I remain,</p>
+
+<blockquote>
+<p>
+Yours,<br />
+L.M. HENDERSON,<br />
+Springfield, South Dakota.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_762" id="Page_762"></a>[pg
+762]</span></p><h4>WOMB DISEASE.</h4>
+
+<p>DR. R.V. PIERCE, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise554"><img width="90%" alt="Illustration:
+Mrs. Sprigs." src="images/advise554.png" /></a><br />Mrs. Sprigs.</p>
+
+<p><i>Dear Sir</i>&mdash;I think your "Favorite Prescription" was the
+preservation of my life. I was under the doctor's care for three months
+with womb disease and a gradual wasting all the time. I was so weak that I
+could not be raised in bed when I commenced taking the "Prescription," and
+by the time I had taken three bottles I was up and going wherever I
+pleased, and have had good health and been very strong ever since. That was
+four years ago. I have recommended it to a good many of my friends, and
+they have taken it and are highly pleased.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+G.A. SPRIGGS,<br />
+Long Savannah, James Co.. Tenn.<br />
+</p>
+</blockquote>
+
+
+<h4>ULCERATION OF WOMB.</h4>
+
+<p>St. John, Whitman Co., Wash.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Gentlemen</i>&mdash;For three months I was almost prostrated with
+ulceration of the womb. I began the use of Dr. Pierce's Favorite
+Prescription and his "Golden Medical Discovery," and other remedies that
+are prescribed in his treatise on womb diseases. After three months' use of
+same I was cured. I have implicit faith in their medicines and can
+recommend them to others who are similarly afflicted.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+Mrs. Geo. Thornton.<br />
+</p>
+</blockquote>
+
+
+<h4>LESSENS MISERY.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise555"><img width="90%" alt="Illustration:
+Mrs. Lindsey." src="images/advise555.png" /></a><br />Mrs. Lindsey.</p>
+
+<p><i>Dear Sirs</i>&mdash;I think Dr. Pierce's Favorite Prescription the best
+medicine in the world for females; I consider myself entirely well. I can
+do as much work as any woman. I gave birth to a healthy girl; your medicine
+is the best in the world for pregnant ladies&mdash;<i>it lessens the misery of
+that critical period</i>. I cannot praise it too much. I have gained ten
+pounds since I began using your valuable remedy.</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+MRS. MARY LINDSEY,<br />
+Williams Station, Escambia Co., Ala.<br />
+</p>
+</blockquote>
+
+
+<h4>OVARIAN DISEASE.</h4>
+
+<p>Bridgeport, Putnam Co., Fla.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Gentlemen</i>&mdash;I received the Common Sense Medical Adviser and I am
+well pleased with it. I return many thanks to you for your kindness. My
+complaint was pain in my back, and in my side, that moved from the right
+side to the left; shortness of breath and pain in the lower part of the
+stomach, and my doctor said I had ovaritis and I took two bottles of the
+"Favorite Prescription" and one bottle of the "Golden Medical Discovery,"
+and I am relieved of all pains in the back and sides, and of womb
+complaint. I shall always speak good words for you. I suffered with those
+pains for five years.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+Mrs Nancy Brooks<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_763" id="Page_763"></a>[pg
+763]</span></p><h4>LEUCORRHEA.</h4>
+
+<p>Brooklyn, Jackson Co., Mich.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise555b"><img width="90%" alt="Illustration:
+Mrs. Parker" src="images/advise555b.png" /></a><br />Mrs. Parker</p>
+
+<p><i>Gentlemen</i>&mdash;I am more than willing to say your most valuable
+medicine has cured me of a very disagreeable complaint, leucorrhea. I
+suffered for years with pain in my back, never a night was I free. At your
+request I commenced a course of Dr. Pierce's Favorite Prescription and
+"Golden Medical Discovery." I could not sleep on a mattress; it seemed as
+though it would kill me. Since taking the medicine I can sleep anywhere; I
+am perfectly well. I would not be placed in my former condition for any
+money. I bought six bottles, or $5.00 worth. I took but four, my husband
+took the "Golden Medical Discovery." At this time I had a servant girl who
+suffered badly from pain at the time of her monthly periods; she took the
+other bottle of "Favorite Prescription," which was a great help to her.</p>
+
+<blockquote>
+<p>
+Gratefully yours,<br />
+Mrs. J.H. Parker<br />
+</p>
+</blockquote>
+
+
+<h4>SEVERE FLOWING (MENORRHAGIA.)</h4>
+
+<p>Lewistown, Mifflin Co., Penn's.</p>
+
+<p><i>Gentlemen</i>&mdash;Seven years ago this month, I was taken sick&mdash;was
+bed-fast six months, and during that time, many times, was not able to eat
+alone. I had the best doctor that could be got. I would have sinking
+spells. My nerves were prostrated and I had female weakness and ulceration
+of the womb, which caused such excessive flowing that they thought I would
+die; then I would take sinking spells. My stomach was too weak, the
+medicine could not do its part as it should have done. I had torpid liver
+and right side of lungs affected; catarrh of the throat and piles;
+palpitation of the heart, and kidneys were somewhat affected. My doctor got
+me up and able to walk through the house, but the flowing would still be so
+bad that I would have to take the bed; then would be able to be up again
+and learn to walk a little again till the time would come again.</p>
+
+<p>My doctor treated me for the ulcers. A lady came to see me. She told me
+to try Dr. Pierce's Favorite Prescription. I got it but did not tell my
+doctor. He soon remarked the improvement and I then told him what I was
+using; he told me to use it, that it would be good for me. I used eleven
+bottles of the "Favorite Prescription," and two of the "Golden Medical
+Discovery." The flowing was not so bad. I got so I could sit up and be
+about at all times, and walk about in the house. I am still improving, and
+can do light house work. I am able to walk out to church every Sunday.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />Mrs Abner Knepp
+</p>
+</blockquote>
+
+
+<h4>"FEMALE WEAKNESS."</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise556"><img width="90%" alt="Illustration:
+Mrs. Danard." src="images/advise556.png" /></a><br />Mrs. Danard.</p>
+
+<p><i>Gentlemen</i>&mdash;A few years ago my health failed. I was troubled with
+female disease in its worst form having been afflicted about fifteen years.
+I was also troubled with constipation, loss of appetite, dizziness and
+ringing in my head, nervous prostration, hysteria, loss of memory,
+palpitation of the heart together with "that tired feeling" all the time. I
+consulted several physicians&mdash;no one could clearly diagnose my case and
+their medicine failed to give relief. After much persuasion I commenced
+taking Dr. Pierce's Favorite Prescription&mdash;have taken five bottles and am a
+well woman doing all my housework; from a run down condition I have been
+restored to health. I feel it my duty to recommend your "Favorite
+Prescription" for ladies afflicted with female diseases as I have been.</p>
+
+<blockquote>
+<p>
+Gratefully yours,<br />
+MRS. BYRON DANARD,<br />
+Milford, Prince Edward Co., Ont., Canada.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_764" id="Page_764"></a>[pg
+764]</span></p><h4>INDIGESTION, IMPOVERISHED BLOOD.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise557"><img width="90%" alt="Illustration:
+Miss Sampson." src="images/advise557.png" /></a><br />Miss Sampson.</p>
+
+<p><i>Gentlemen</i>&mdash;After suffering for over a year with indigestion and
+low condition of the blood I was advised to try Dr. Pierce's Favorite
+Prescription. I had hardly finished the first bottle when I felt a great
+change, so I continued on until I had taken three bottles, and at the end
+of that time I was completely cured. My health was so much impaired that I
+feel I owe a great deal to your wonderful medicine. Thanking you for the
+advice which you so kindly gave me while taking your medicine, I am,</p>
+
+<blockquote>
+<p>
+Most gratefully.<br />
+Miss CASSIE SAMPSON,<br />
+No. 347 McHaren Street,<br />
+Ottawa, Ottawa County, Ontario.<br />
+</p>
+</blockquote>
+
+
+<h4>"FEMALE WEAKNESS."</h4>
+
+<p>DR. R.V. PIERCE, Buffalo, N.Y.: Nixon, Hardin Co., Tenn.</p>
+
+<p><i>Dear Sir</i>&mdash;I am in very good health now. I think your "Favorite
+Prescription" is wonderful. I brought forth a fine son the first day of
+December&mdash;the fattest baby I ever saw, and that is why I think your
+medicine is such a fine one for poor sickly females. I know I never would
+have become pregnant, if I had not got in better health. I feel it my duty
+to do all that I can to praise you and your wonderful "Favorite
+Prescription." I can highly recommend it to all females who are suffering
+with leucorrhea, for I don't think any one suffered any worse than I did
+when I made my case known to you. May God bless you, and your great
+medicine&mdash;the "Favorite Prescription."</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+<i>Sallie L. Howard</i><br />
+</p>
+</blockquote>
+
+
+<h4>ULCERATION AND FALLING OF WOMB.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise558"><img width="90%" alt="Illustration:
+Mrs. Lyon." src="images/advise558.png" /></a><br />Mrs. Lyon.</p>
+
+<p><i>Gentlemen</i>&mdash;I had been suffering from ulceration and abscess in
+the womb, and falling of the womb, for several years or since the birth of
+my youngest child. I consulted all the physicians around here and they gave
+me up and said there was no help for me.</p>
+
+<p>At last, almost discouraged, I found in a little book your medicines
+advertised. I did not have any faith in them&mdash;I had tried so much and
+failed to get relief. But I began taking Dr. Pierce's Golden Medical
+Discovery and his "Favorite Prescription," and took five bottles of each,
+and used two bottles of your Sage's Catarrh Remedy for vaginal injections.
+It is three years since and I have not had any return of the trouble. I
+feel very grateful, and in fact, owe you my life, for I do not think I
+should have been alive now if I had not taken your remedies.</p>
+
+<blockquote>
+<p>
+Respectfully,<br />
+Mrs. ABRAM LYON,<br />
+Lorraine, Jefferson County, N.Y.<br />
+</p>
+</blockquote>
+
+
+<h4>BARRENNESS, DYSPEPSIA, "LIVER COMPLAINT."</h4>
+
+<p>Basin, Cassia Co., Idaho.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Gentlemen</i>&mdash;I first had dyspepsia and "liver complaint" for five
+years, and I took six bottles of Dr. Pierce's Golden Medical Discovery and
+his "Pleasant Pellets," which Entirely cured me of that complaint. I also
+had painful menstruation, and took about eight bottles of Dr. Pierce's
+Favorite Prescription and two bottles of his Compound Extract of
+Smart-weed, which cured me. The symptoms of this disease were very severe,
+pain in the region of the womb, back and thighs, Chilliness and nausea;
+this disease was so severe that I was barren for two years of married life,
+and after taking the "Favorite Prescription," I became the mother of a
+boy.</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+Mrs Eonma Mcintosh<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_765" id="Page_765"></a>[pg
+765]</span></p><h4>GENERAL DEBILITY, MALARIA, SICK HEADACHE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise559"><img width="90%" alt="Illustration:
+Mrs. J.H. Lansing." src="images/advise559.png" /></a><br />Mrs. J.H.
+Lansing.</p>
+
+<p><i>Gentlemen</i>&mdash;I am happy to say that your valuable medicine has been
+a great benefit to me. I was suffering from general debility, malaria and
+nervous sick headaches, and after my third child was born (a beautiful baby
+boy of ten pounds) I only recovered after a long illness; I barely gained
+strength enough in two years' time so that I was able to crawl about to
+accomplish the little housework that I had, by lying down to read many
+times each day; had sick headaches very often; and many pains and aches,
+all the time complaining of getting no better. I finally asked my husband
+to get a bottle of Dr. Pierce's Favorite Prescription, which he promptly
+did. After I had taken one bottle I could see a great change in my
+strength, and fewer sick headaches.</p>
+
+<p>I continued taking the medicine until I had taken eight bottles&mdash;seven
+of the "Favorite Prescription" and one of the "Golden Medical Discovery."
+For some time past I have not used it but I am now able to do the housework
+for myself, husband and two children (aged nine and five years). I also
+take in dressmaking, and enjoy walking a mile at a time, and I think it is
+all due to the medicine, for I know I was only failing fast before I
+commenced to take it. I take great pleasure in recommending the "Favorite
+Prescription" to all women who suffer from debility and sick headache.</p>
+
+<blockquote>
+<p>
+Respectfully yours, MRS. J.H.LANSING,<br />
+Fort Edward, Washington Co., N.Y.<br />
+</p>
+</blockquote>
+
+
+<h4>OVARIAN PAINS.</h4>
+
+<p>Ligonier, Westmoreland Co., Pa.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Gentlemen</i>&mdash;The doctors never gave any name for my disease except
+that one doctor said it was severe pain in the ovaries. His medicine did me
+no good; but whatever ailed me I was in such misery I could not describe
+what I suffered. The first thing that gave me any relief was Dr. Pierce's
+Favorite Prescription. The first half bottle made me feel much better. I
+used two or three bottles and thought I was cured, but it came back in
+three or four months, and as soon as I began to take the medicine again I
+got better. I took two or three bottles again, and never felt anything of
+it since; and that is nearly four years ago, and I give all thanks to Dr.
+Pierce's Favorite Prescription. I use no other medicine at all for stomach
+trouble but Dr. Pierce's Golden Medical Discovery. I have been troubled
+some with rheumatism, when nothing else would do any good, "Golden Medical
+Discovery" cured me; I had not taken more than one-half bottle when I felt
+like another woman, and I would advise any who has any trouble with his
+stomach, or who has rheumatism, to try it as there is not its equal to be
+found.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+Mrs S.A. Beatty<br />
+</p>
+</blockquote>
+
+
+<h4>"GIVES A NEW LEASE OF LIFE."</h4>
+
+<p>Jamestown, Chautauqua Co., N.Y.</p>
+
+<p>DR. R.V. PIERCE, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise560"><img width="90%" alt="Illustration:
+Miss Crowley." src="images/advise560.png" /></a><br />Miss Crowley.</p>
+
+<p><i>Dear Sir</i>&mdash;Both your communications have been received. I have
+neglected to answer them. I am glad to say in this letter that my sister is
+very much improved in health, and says she feels as if she had a new lease
+of life. She feels so much better since she commenced taking your medicine.
+I think it was just the medicine she needed, and am more than thankful to
+you for the kindly interest you have taken, and hope that others will find
+the same benefit from your valuable books and medicines, that my sister
+has. I will close with gratitude to you.</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+Miss MOLLIE M. CROWLEY,<br />
+(for sister) care Sherman House, Jamestown, N.Y.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_766" id="Page_766"></a>[pg
+766]</span></p><h4>MOTHERS' RELIEF.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise561"><img width="90%" alt="Illustration:
+Mrs. Simmons." src="images/advise561.png" /></a><br />Mrs. Simmons.</p>
+
+<p><i>Gentlemen</i>&mdash;Doctor Pierce's Medicines have been our family
+medicines for twenty years. They are all they have been represented to be,
+and untold benefits have been derived from them.</p>
+
+<p>Have been treated by you with your Special Remedies, and cured of
+difficulties that our family doctor failed to cure; and when ailing, by the
+use of a few bottles of "Golden Medical Discovery," have been always
+benefited.</p>
+
+<p>I recommend Dr. Pierce's Favorite Prescription to every one who is
+having a family&mdash;taken as directed, it works like a charm in
+confinement.</p>
+
+<blockquote>
+<p>
+Respectfully,<br />
+MRS. A.D. SIMMONS,<br />
+Emporia, Lyon Co., Kas.<br />
+</p>
+</blockquote>
+
+
+<h4>"FALLING OF WOMB."</h4>
+
+<p>Clover Hill, Coahoma Co., Miss.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Gentlemen</i>&mdash;I cannot tell you how I have improved since I have
+used Dr. R.V. Pierce's Favorite Prescription and his "Golden Medical
+Discovery." I had been suffering for four years and I began to get worse
+and worse until I commenced using these medicines, and then I began to get
+better, and now I feel like a new woman.</p>
+
+<p>I suffered much from "falling of the womb," and headache, and pains in
+my back, and I thank you kindly for the good your medicines done me. I can
+do my housework now and not feel bad from it. I hope others will find the
+same benefit from your valuable books and medicines that I have.</p>
+
+<blockquote>
+<p>
+Gratefully yours,<br />
+Eliza Allen.<br />
+</p>
+</blockquote>
+
+
+<h4>"WOMAN'S ILLS."</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise562"><img width="90%" alt="Illustration:
+Mrs. Bates." src="images/advise562.png" /></a><br />Mrs. Bates.</p>
+
+<p><i>Gentlemen</i>&mdash;A few years ago I took Dr. Pierce's Favorite
+Prescription, which has been a great benefit to me. I am in excellent
+health now. I hope that every woman, who is troubled with "women's ills,"
+will try the "Prescription" and be benefited as I have been.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+MRS. W..R. BATES,<br />
+Dilworth, Trumbull Co., Ohio.<br />
+</p>
+</blockquote>
+
+
+<h4>AN OLD LADY'S TRIBUTE. BETTER THAN CALOMEL.</h4>
+
+<p>Clinton, Hinds Co., Miss.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Gentlemen</i>&mdash;It gives me much pleasure to say that I have been
+greatly benefited by Dr. Pierce's Pleasant Pellets. They act on the stomach
+and liver, and clear the complexion better than calomel, and you are
+relieved of that awful sickness and constipation which other medicines
+produce.</p>
+
+<p>Dr. Pierce's Golden Medical Discovery is the greatest tonic in the
+world, to build up the broken-down constitution. I am an elderly lady,
+sixty-six years old. I feel that my days are of short duration and would
+not give a word of recommendation if I did not feel it my duty to suffering
+humanity.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+Mrs. N.A. Watts.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_767" id="Page_767"></a>[pg
+767]</span></p><h4>A YOUNG LADY'S ADVICE TO INVALIDS.</h4>
+
+<p><b>"A Sure and Certain Cure."</b></p>
+
+<p>DR. R.V. PIERCE, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise563"><img width="90%" alt="Illustration:
+Miss Fugate." src="images/advise563.png" /></a><br />Miss Fugate.</p>
+
+<p><i>Dear Sir</i>&mdash;Please accept my thanks for the good your medicines
+have done me. I truly believe the "Favorite Prescription" saved my life; it
+is a sure and certain cure. I am having perfect health; I am stout and can
+do all my housework.</p>
+
+<p>Every invalid lady should take Dr. Pierce's Favorite Prescription and
+"Golden Medical Discovery."</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+ROZZIE FUGATE,<br />
+Madisonville, Hopkins Co., Ky.<br />
+</p>
+</blockquote>
+
+
+<h4>BETTER THAN "SUPPORTERS."</h4>
+
+<p>Leesville Cross Roads, Crawford Co., Ohio.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Gentlemen</i>&mdash;Four years ago, I became afflicted with womb
+trouble&mdash;knew nothing but pain and suffering. Began doctoring right away
+with our home doctor. He not doing me any good, I went to another doctor
+who advised me to wear an inside supporter, <i>which really did me more
+harm than good</i>. Last spring was taken down sick and laid on my back for
+ten weeks; when I heard of Dr. Pierce's wonderful Favorite Prescription.
+The first bottle helped me. I have now taken four bottles and feel
+perfectly cured. I cannot find language to express my gratitude for being
+restored to perfect health from a condition worse than death.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+Mrs F. Holmes.<br />
+</p>
+</blockquote>
+
+
+<h4>SUPPRESSED MENSTRUATION.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise564"><img width="90%" alt="Illustration:
+Miss Burk." src="images/advise564.png" /></a><br />Miss Burk.</p>
+
+<p><i>Gentlemen</i>&mdash;When I was fourteen years old I took a bad cold and
+there resulted internal troubles. I was a great sufferer for four years. I
+had tried two physicians but neither gave me any relief. After taking Dr.
+Pierce's Favorite Prescription I can't say enough for it. It cured me so I
+have no more pains. I am now nineteen years of age.</p>
+
+<blockquote>
+<p>
+Respectfully,<br />
+Miss MAMIE BURK,<br />
+Everett, Bedford Co., Pa.<br />
+</p>
+</blockquote>
+
+
+<h4>HOW TRAVELING INVALIDS MAY BE IMPOSED UPON.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Gentlemen</i>&mdash;It is now about five years since I spent eight days at
+the Invalids' Hotel and Surgical Institute, under treatment for a chronic
+disease of eighteen years' standing. I had given up to die. Going to your
+Dispensary was a last resort with me; I had undergone a surgical operation
+at the hands of my family physician from which I grew worse every day for
+eight months, so that I very despondently started for your institution; and
+when I had traveled eleven hundred miles I was made more despondent by
+inquiring of a man how far I had to travel to reach Buffalo, N.Y.: He
+answered, "Just one hundred miles." I then inquired of him if he had ever
+been in Buffalo, N.Y. He replied, "Many a time." I then asked him, what
+about Dr. Pierce's world-famed Surgical Institute? "Oh, it's a humbug. They
+have some drawings or pictures taken from some government buildings, that's
+where they get that fine building you see pictured in their books and
+pamphlets."</p>
+
+<p>I don't suppose there ever was a sadder heart entered the door of the
+Invalids' <span class="pagenum"><a name="Page_768" id="Page_768"></a>[pg
+768]</span>Hotel than that heart of mine; but it was soon made glad to be
+glad ever since. During the first night in the Invalids' Hotel I met and
+talked with patients afflicted as I was. Many of them were cured and
+talking of going home next day, and sure enough, they went; but I never
+missed them in number for others kept coming.</p>
+
+<p>I can honestly and truthfully say that the World's Dispensary Medical
+Association of Buffalo, N.Y., is anything else than a humbug. The reason
+why they are not humbugs is plain. They continue to perform wonderful cures
+and treat their patients with unsurpassed nursing, and a kinder lot of
+physicians, surgeons and nurses I don't believe can be found in the
+world.</p>
+
+<p>I cheerfully advise all persons suffering from chronic diseases not to
+stop to count the distance from where they live to Buffalo, N.Y., but go
+straight to the Invalids' Hotel and Surgical Institute without delay, for
+it is by the will of God and their skill that I am living to-day.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+L.M. McPhail,<br />
+Autun, Anderson County, S.C.<br />
+</p>
+</blockquote>
+
+
+<h4>NERVOUSNESS, "FEMALE WEAKNESS," NASAL CATARRH.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise565"><img width="90%" alt="Illustration:
+Mrs. Sanderson." src="images/advise565.png" /></a><br />Mrs. Sanderson.</p>
+
+<p><i>Gentlemen</i>&mdash;My health was utterly gone. Was suffering from
+nervousness, female troubles and nasal catarrh; life was almost a burden to
+me, but a glorious change came, due solely to Dr. Pierce's Favorite
+Prescription and Dr. Sage's Catarrh Remedy. I have suffered more than
+tongue can ever tell. I have been treated by good physicians but they only
+help me temporarily. I have taken a great many patent medicines with the
+same result. In 1890, I began taking Dr. Pierce's Favorite Prescription and
+Dr. Sage's Catarrh Remedy, which gave me immediate relief and a permanent
+cure.</p>
+
+<blockquote>
+<p>
+Respectfully,<br />
+MRS. BELLE SANDERSON,<br />
+Sprout, Nicholas Co., Ky.<br />
+</p>
+</blockquote>
+
+
+<h4>MADE HER "STRONG AND WELL."</h4>
+
+<p>DR. R.V. PIERCE, Buffalo, N.Y.:</p>
+
+<p>West Liberty, Ohio.</p>
+
+<p><i>Dear Sir</i>&mdash;I can cheerfully recommend your valuable medicine, the
+"Favorite Prescription," to suffering females. Three years ago my health
+became so poor that I was scarcely able to help with the household duties.
+I was persuaded to try your medicine, and purchased six bottles. That, with
+the local treatment you advised, made me strong and well. My sister has
+used it in the family with like results.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+L.E. Johnson<br />
+</p>
+</blockquote>
+
+
+<h4>MADE LIFE A BURDEN.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise566"><img width="90%" alt="Illustration:
+Miss Crawford." src="images/advise566.png" /></a><br />Miss Crawford.</p>
+
+<p><i>Gentlemen</i>&mdash;For years I suffered monthly from periodic pains which
+at times were so acute as to render life a burden. I began using Dr.
+Pierce's Favorite Prescription. I used seven bottles in as many months and
+derived so much benefit from it and the home-treatment recommended in his
+Treatise on Diseases of Women, that I wish every women throughout our land,
+suffering in the same way, may be induced to give your medicines and
+treatment a fair trial.</p>
+
+<blockquote>
+<p>
+Gratefully yours,<br />
+Miss G.F. CRAWFORD,<br />
+Limestone, Me.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_769" id="Page_769"></a>[pg
+769]</span></p><h4>"FEMALE WEAKNESS," LEUCORRHEA.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise567"><img width="40%" alt="Illustration: "
+src="images/advise567.png" /></a><br /></p>
+
+<p><i>Gentlemen</i>&mdash;I will write you a few lines to-day and feel thankful
+that I can say I enjoy good health most all the time. When I first
+commenced using your medicine I was suffering from female weakness,
+leucorrhea, bearing-down pains and a soreness across me that at times I
+could hardly stand up straight when I would get up off of my chair to walk
+across the room. I got a bottle of your "Favorite Prescription" and by the
+time I had used half of it, the soreness began to get better. I used three
+bottles altogether, and since that, you might say I am enjoying the best of
+health most of the time. I have had two baby boys since&mdash;both healthy,
+although the baby is only three weeks old, and I am doing all of my own
+work since he was two and one-half weeks old.</p>
+
+<p>I always speak highly and recommend your medicine because I know it
+deserves a good name; and I feel certain it will cure female diseases if
+they give it a fair trial.</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+MRS. RICHARD REED,<br />
+Springfield, Kings Co., N.B.<br />
+</p>
+</blockquote>
+
+
+<h4>FEMALE IRREGULARITIES.</h4>
+
+<p>Cuscowilla, Mecklenburg Co., Va.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Gentlemen</i>&mdash;I take pleasure in adding my testimonial to the great
+list, and hope that it will be of interest to suffering humanity. I tried
+three doctors and none of them seemed to do me any good. When at last I
+almost despaired of health any more, I saw in a paper one of your
+advertisements, and I sent for and got two bottles of Dr. Pierce's Golden
+Medical Discovery, and I improved so rapidly that I sent for and got three
+bottles of your "Favorite Prescription," and now I am as well as I have
+been since I was a child.</p>
+
+<p>I had been a sufferer for three years when I commenced taking Dr.
+Pierce's medicines. When I commenced taking it, I was not able to walk
+across my room without help, or rise from my chair. I suffered from
+nervousness very much, and with the least excitement I would faint; and I
+think, in short, I suffered with female irregularities and that your
+medicine has brought me through. I don't think I can say enough for it. I
+have used five bottles of your medicine in all.</p>
+
+<p>If any one wishes to know what I have to say, they can address me in
+person, enclosing stamps. With respect, I am,</p>
+
+<blockquote>
+<p>
+Yours,<br />
+Sarah E. Ineker<br />
+</p>
+</blockquote>
+
+
+<h4>"JUST A MERE SKELETON."</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise568"><img width="90%" alt="Illustration:
+Mrs. Roberts. " src="images/advise568.png" /></a><br />Mrs. Roberts. </p>
+
+<p><i>Gentlemen</i>&mdash;If I had not taken your medicine I would not be here
+now. The doctors did me no good, I was just a mere skeleton, could not eat.
+I would have awful pain in my stomach&mdash;pain in my side, bowels and chest;
+soreness in my back and womb; was weak, nervous and could not sleep.</p>
+
+<p>After I took your "Favorite Proscription" and "Golden Medical
+Discovery," I commenced to improve. In two weeks could walk about the
+house&mdash;could eat&mdash;did not have any more pain in my stomach&mdash;threw away my
+morphine powders. When I first commenced taking the medicine it made me
+feel worse. I was hoarse, could not speak aloud for three days; as I got
+better my pains and bad feelings left me and I could sleep good; my nerves
+got better. Before I took your medicine I kept my bed four months&mdash;got
+worse all the while. I am now quite fleshy and can work all day.</p>
+
+<blockquote>
+<p>
+Respectfully,<br />
+MRS. WILLIAM ROBERTS,<br />
+Bridgeport, N.Y.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_770" id="Page_770"></a>[pg
+770]</span></p><h4>CONSTANT SUFFERER FOR MANY YEARS.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise569"><img width="90%" alt="Illustration:
+Mrs. Scott." src="images/advise569.png" /></a><br />Mrs. Scott.</p>
+
+<p><i>Gentlemen</i>&mdash;For many years my wife has been a constant sufferer
+from indigestion, sick headache, nervous prostration and all other
+complaints that the female sex is heir to, and, after trying many remedies
+and doctors with but little or no relief, I persuaded her to try Dr.
+Pierce's Favorite Prescription and "Golden Medical Discovery." She was so
+out of heart, she returned the answer that it would be like all the
+rest&mdash;of no good; but on my account, she said she would try it, so I got
+one bottle each; and before she had used half of a bottle she felt that it
+was benefiting her, and she has continued to improve ever since, and now
+thinks it the most wonderful remedy on earth for her sex, and recommends it
+to all suffering females. She has not been so well in ten years.</p>
+
+<p>I write this without any solicitation and with a free, good will, so
+that you may let all who may suffer know what it has done for her.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+M.W. SCOTT,<br />
+U.S. Marshall's Office,<br />
+Atlanta, Ga.<br />
+</p>
+</blockquote>
+
+
+<h4>A MOTHERS' FRIEND.</h4>
+
+<p>Tanks, Cottle Co., Texas.</p>
+
+<p>DR. R.V. PIERCE, Buffalo, N.Y.:</p>
+
+<p><i>Dear Sir</i>&mdash;I took your "Favorite Prescription" previous to
+confinement and never did so well in my life. It is only two weeks since my
+confinement and I am able to do my work. I feel stronger than I ever did in
+six weeks before.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+Corda Culpepper<br />
+</p>
+</blockquote>
+
+
+<h4>BED FAST.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, 663 Main St., Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise570"><img width="90%" alt="Illustration:
+Mrs. Tappan." src="images/advise570.png" /></a><br />Mrs. Tappan.</p>
+
+<p><i>Gentlemen</i>&mdash;For about two years I was a constant sufferer from
+diseases peculiar to my sex. I had to be carried from my bed, had horrible
+dreams, sinking sensations, was very nervous and had little or no appetite.
+In short, my whole body was racked with pain. I had frequent attacks of
+hysteria, and was completely discouraged, for I found no medicine did me
+any good. At last I determined to give your "Favorite Prescription" a
+trial. I had taken but two bottles before I felt so much better! I took
+eleven bottles. To-day I am well. I have never felt the least trace of my
+old complaint in the last six years. We use the "Golden Medical Discovery"
+whenever we need a blood-purifier. By its use, eruptions of all kinds
+vanish and the skin is rendered clear and soft, almost as an infants.</p>
+
+<blockquote>
+<p>
+Respectfully,<br />
+MRS. HARRY TAPPAN,<br />
+Reynolds, Neb.<br />
+</p>
+</blockquote>
+
+
+<h4>AT DEATH'S DOOR.</h4>
+
+<p>Abita Springs, La.</p>
+
+<p>DR. R.V. PIERCE, Buffalo, N.Y.:</p>
+
+<p><i>Dear Sir</i>&mdash;My wife suffered from laceration of the womb and
+inflammation&mdash;she was completely bed-ridden and lingered about one year at
+death's door. Local applications were given her and Dr. Pierce's Favorite
+Prescription; she gradually regained strength and continued to do so until
+she recovered. I am convinced that any case of womb disease can be
+certainly and permanently cured by the use of your remedies.</p>
+
+<blockquote>
+<p>
+M. Green<br />
+Agt. Southern Exp. Co.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_771" id="Page_771"></a>[pg
+771]</span></p><h4>HEART, LIVER, AND STOMACH DISEASE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise571"><img width="90%" alt="Illustration:
+Mrs. Landrum." src="images/advise571.png" /></a><br />Mrs. Landrum.</p>
+
+<p><i>Gentlemen</i>&mdash;About nine years ago my health began to fail; had a
+continual pain and aching under my right shoulder and in or under my right
+breast; I could not eat anything but a little milk or bread, and even that
+made my stomach pain and hurt me so I could not rest; I kept getting weaker
+all the time and I could no longer sit up; I sent for our family physician;
+he said I had dyspepsia and inflammation of the liver, and gave me medicine
+two or three months, but I kept getting weaker all the time; it seemed to
+me that I was diseased all over; thought I had heart disease; had the
+doctor examine my heart several times. I became so discouraged that I gave
+up all hope of ever getting well, but consented to send to Dr. Pierce for
+medicine. I commenced taking it and in a short time I was able to sit up;
+continued to take his medicine three months and felt like a new
+person&mdash;didn't need any more medicine and have not yet. I can eat anything
+I wish; am sixty-three years old; can walk a mile without any trouble, and
+I can truly say that I believe it was Dr. Pierce's medicines that saved my
+life.</p>
+
+<blockquote>
+<p>
+Respectfully yours,<br />
+MRS. VIRGINIA LANDRUM,<br />
+Merino, Logan Co.. Col.<br />
+</p>
+</blockquote>
+
+
+<h4>UTERINE DISEASE.</h4>
+
+<p>Creston, Iowa.</p>
+
+<p>DR. R.V. PIERCE, Buffalo, N.Y.:</p>
+
+<p><i>Sir</i>&mdash;My wife improved in health gradually from the time she
+commenced taking "Favorite Prescription" until now. She has been doing her
+own housework for the past four months. When she began taking it, she was
+scarcely able to be on her feet, she suffered so from uterine debility. I
+can heartily recommend it for such cases.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+H.H. Snyder<br />
+</p>
+</blockquote>
+
+
+<h4>THE PICTURE OF HEALTH.</h4>
+
+<p>DR. R.V. PIERCE, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise572"><img width="90%" alt="Illustration:
+Mrs. Meeker." src="images/advise572.png" /></a><br />Mrs. Meeker.</p>
+
+<p><i>Dear Sir</i>&mdash;My daughter, Miss MEEKER, was sick and we called in one
+of the best doctors here. She got so weak that I had to help her out of bed
+and draw her in a chair. She then tried some of Dr. Pierce's Favorite
+Prescription. In less than a week she was out of bed and has been working
+about five weeks now, and looks the picture of health. As for myself I am
+much better of my female complaint. Before taking the "Favorite
+Prescription," I suffered most of the time from catarrhal inflammation.</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+MRS. NANCY MEEKER,<br />
+Dunraven, Delaware Co., N.Y.<br />
+</p>
+</blockquote>
+
+
+<h4>LIFTED THE BURDEN.</h4>
+
+<p>Nye, Putnam Co., W. Va.</p>
+
+<p>DR. R.V. PIERCE, Buffalo, N.Y.:</p>
+
+<p><i>Dear Sir</i>&mdash;Mine is a case of eleven years' standing, which baffled
+the skill of the best medical aid procurable. I obtained no good effect,
+until I began the use of the "Favorite Prescription," which lifted the
+burden which was seeking my life. My gratitude I owe to the "Prescription."
+I hope that all suffering humanity (as in my case) may profit by the result
+of my experience.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+Evoline Neil<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_772" id="Page_772"></a>[pg
+772]</span></p><hr />
+
+
+<h2>SPERMATORRHEA</h2>
+
+<h3>(SEMINAL WEAKNESS),</h3>
+
+<p>or emission of semen without copulation, is generally induced by the
+early habit of masturbation. It is one of the evidences that passion,
+instead of prudence, has held sway. Passion may aptly be termed the voice
+of the body, by which, if we listen, we are enchanted and led astray.
+Conscience is the voice of the soul, which remonstrates, and if we obey, we
+shall be guided aright. We cannot reconcile these conflicting voices, and
+if we indulge the passions when conscience forbids gratification, the
+remembrance of the wrong remains forever, and constant fear is an
+everlasting punishment.</p>
+
+<p><b>Wrecked Manhood</b>. Man possesses few powers which are more highly
+prized than those of virility, which is the very essence of manhood. "He is
+but the counterfeit of a man, who hath not the life of a man."</p>
+
+<p><b>The Semen</b> is a milky fluid of the consistency of mucus. It is
+secreted by the testicles and is intermixed with the fluids secreted by the
+prostate and by Cowper's glands. Its fertilizing property depends on the
+presence of minute bodies, termed <i>spermatozoa</i>. These consist of
+little polliwig-shaped bodies (Fig. 3), having large heads and long
+filaments or tails. Under the microscope these little bodies are seen to
+describe movements not unlike those of polliwigs.</p>
+
+<p><b>Why Emissions of the Vital Fluid Debilitate</b>. The seminal fluid
+consists of the most vital elements in the human body. It not only assists
+in maintaining the life of the individual, but communicates the essential,
+transforming principle which generates another mortal having an
+imperishable existence. Its waste is a wanton expenditure, which robs the
+blood of its richness and exhausts the body of its animating powers. No
+wonder that its loss enfeebles the constitution, and results in impotency,
+premature decline, St. Vitus's dance, paralysis, epilepsy, consumption,
+softening of the brain, and insanity. No wonder that conscience and fear
+become tormenting inquisitors, and that the symptoms are changed into
+imaginary specters of stealthily approaching disease.</p>
+
+<blockquote>
+<p>
+"There is no future pang<br />
+Can deal that justice on the self-condemned<br />
+He deals on his own soul."<br />
+</p>
+</blockquote>
+
+<p><b>The Practice of Onanism</b> squanders the vitality and bankrupts the
+constitution. Indigestion, innutrition, emaciation, shortness of breath,
+palpitation, nervous debility, are all symptoms of this exhaustion.
+Subsequently, the yellow skin reveals the bones, the sunken eyes are
+surrounded by a leaden circle, the vivacious imagination becomes dull, the
+active mind grows insipid&mdash;in short, the spring, or vital force, having
+lost its tension, every function wanes in consequence. Excessive <span
+class="pagenum"><a name="Page_773" id="Page_773"></a>[pg 773]</span>lustful
+enjoyment produces feebleness, and finally terminates in disease and
+impotency.</p>
+
+<p><b>Seminal Weakness</b> may be the result of marital excesses. A
+<i>proper</i> sexual gratification contributes to the health and happiness
+of both parties. On the other hand, intemperate indulgence not only
+prevents fruitfulness, but ultimately, if persisted in, renders the husband
+entirely impotent, and undermines and destroys the constitution of the
+wife. Spermatorrhea may be induced by spinal irritation, intestinal worms,
+or piles. It may also result from inherited, as well as acquired,
+constitutional weakness.</p>
+
+<p><b>Nocturnal or Night Emissions</b>. Involuntary emissions of semen most
+frequently occur during amorous dreams at night, and are therefore termed
+<i>nocturnal emissions</i>. Although they are at first occasioned by
+lascivious dreams, attended by erections and pleasurable sensations, yet,
+as the disease progresses, the erections become less perfect and the losses
+are only revealed by the depression of spirits experienced the following
+morning, and by the stiffened and stained spots on the linen. At first,
+these emissions may occur but once in two or three weeks, unless the
+patient be excited by company, stimulation, food, drinks, or other causes;
+but, at a later stage of the disease, they sometimes take place every
+night. In aggravated cases, the seminal sacs are so weakened that the
+warmth of the bed, friction of the clothing, reading obscene literature,
+viewing indecent pictures, indulging in lewd conversation, or even being in
+the presence of women, produces a waste of semen&mdash;many times unattended by
+erections. When there is great weakness, seminal discharges may be induced
+by lifting heavy weights, pressure upon the genital organs, horseback
+riding, straining at stool, or even upon urinating, as observed when
+muscular efforts are made to expel the last drops, which appear thick and
+viscid. If the urine be allowed to stand for a few hours, the seminal
+discharge will be precipitated, and will form a light-colored deposit at
+the bottom of the vessel. If the sediment be examined with a microscope,
+spermatozoa can readily be detected in it.</p>
+
+<p><b>Wasting Away of the Testicles</b>. Masturbation not only occasions
+loss of semen, but frequently the testicles and other generative organs
+waste and become reduced in size as a result of the abuse. Fig. 1 shows the
+testicle in a healthy condition, while Fig. 2 represents one much reduced,
+as a result of self-abuse.</p>
+
+<p>The celebrated Dr. Drewery, of London, speaking of the reason why
+masturbation is so extremely injurious in its effects upon both body and
+mind, says:</p>
+
+<p>"This is a question which I have often been asked by patients, and it is
+one which is rather difficult to explain to any one not acquainted with the
+phenomena of reflex nervous action.</p>
+
+<p>"Perhaps the simplest mode of putting it is to say that the effects
+produced by the excitement of the parts are not the direct result of <span
+class="pagenum"><a name="Page_774" id="Page_774"></a>[pg 774]</span>the
+stimulation, but that the excitement of the extremities of the nerves is
+conveyed through them to the spinal cord and brain, and that the emission
+which occurs, when sufficient stimulus has been applied, is the result of
+nervous force reacting upon the parts from the spinal cord back again. This
+action is termed reflex, and is similar to that of vomiting, which is only
+produced through the medium of the great nervous centres; so that if the
+nervous communication between the stomach and spinal cord and brain is cut
+off, nothing in the stomach could possibly cause vomiting, whereas if the
+communication remains intact, this action can be immediately produced by
+irritation of nerves far away from the stomach, viz., by tickling the
+fauces, as every drunkard is well aware who has ever put his finger down
+his throat for the purpose of emptying his stomach of the contents which
+are poisoning him, but which without the additional stimulus he is unable
+to expel. It will be seen, therefore, from this that the act of emission is
+only produced through the agency of the spinal cord, and not by any direct
+nervous action between the parts which are stimulated, and those which are
+concerned in the emission.</p>
+
+
+
+<p class="lfigure"><a name="advise573"><img width="90%" alt="Illustration:
+Fig. 1. The Testicle in a healthy condition." src="images/advise573.png"
+/></a><br />Fig. 1. The Testicle in a healthy condition.</p>
+
+
+
+<p class="rfigure"><a name="advise574"><img width="90%" alt="Illustration:
+Fig. 2. A Testicle wasted by Masturbation." src="images/advise574.png"
+/></a><br />Fig. 2. A Testicle wasted by Masturbation.</p>
+
+<p>"The brain is also concerned to the fullest extent in the production of
+these phenomena, as are all the senses of the body; this is proved by the
+fact that emissions occur during sleep, without any excitement <span
+class="pagenum"><a name="Page_775" id="Page_775"></a>[pg 775]</span>beyond
+the engorgement of the parts with blood, produced by the cerebellar
+congestion of the brain, usually found to follow lying upon the back during
+sleep. This, however, is unnatural and unhealthy, and is usually the
+result, as before pointed out, of masturbation. But these two important
+points must be remembered&mdash;that emission may be produced by friction merely
+as a purely spinal reflex action, and it may be caused by the action of the
+brain without any friction whatever. Both these results are unhealthy and
+injurious. A true natural and healthy act of sexual intercourse demands the
+excitement of brain, spinal cord, and every nerve in the body
+simultaneously, and resembles the lightning flash which restores the
+equilibrium of electric force disturbed during a thunderstorm.</p>
+
+<p>"It is useless to endeavor to describe the marvelous actions of nervous
+force, but from what has been said it is not difficult to comprehend that
+if a convulsive action is produced in any part of the body by the sole
+excitement of the spinal cord, when it is necessary for its healthy and
+natural production that the brain and senses generally should be equally
+excited, the balance of nerve power is destroyed, which fact alone is
+proved by the effects upon the nervous system always following
+masturbation, which is the irritation of the spinal cord without the
+assistance of the brain."</p>
+
+<p><b>Various Complications</b> are likely to arise in the progress of this
+malady.</p>
+
+<p><b>Stricture</b> of <b>the Urethra</b>, or water passage, is a very
+common complication and, even when quite slight, generally interferes very
+seriously with the cure of the spermatorrhea when overlooked by the
+attending physician, as is very commonly done, especially when the
+constriction of the water passage is only slight. Very often it occurs in
+our practice that on examining a case of this disease that has been the
+rounds of the doctors, we find a stricture, which had been entirely
+overlooked by other practitioners, being so slight as not to occasion
+serious obstruction to the flow of urine but yet sufficient to interfere
+very much with the cure of the spermatorrhea. The size of the urethra, or
+water passage, should bear an exact and proportionate relation to that of
+the penis, and when from any cause the urethra is contracted below this
+normal size, it should receive attention, as otherwise the stricture is
+likely to increase and the passage becomes so constricted as to produce
+serious disease of the bladder, and not fail to perpetuate spermatorrhea,
+when this disease exists.</p>
+
+<p><b>Hydrocele</b> (<i>Dropsy of the Scrotum</i>) consists of an undue
+secretion of the fluid which moistens the <i>tunica vaginalis</i>, and may
+arise from an irritation of the testicle, produced by masturbation. This
+subject is fully considered in the Medical Adviser.</p>
+
+<p><b>Varicocele</b> is a dilatation of the veins of the spermatic cord and
+scrotum, and is frequently a result of masturbation. It is readily
+distinguished under the form of a soft, doughy, compressible, knotty, <span
+class="pagenum"><a name="Page_776" id="Page_776"></a>[pg 776]</span>and
+unequal enlargement of the veins, and a tumid condition of the adjacent
+parts. One writer, speaking of the enlargement of the spermatic vessels,
+describes them as "feeling like a coiled up bundle of worms."</p>
+
+<p><b>Disease of the Prostate Gland</b> is frequently caused by solitary
+indulgence. Venereal excesses produce congestion and the gland is
+overnourished. It becomes greatly enlarged, a condition called
+<i>hypertrophy</i>. This affection gives rise to a heavy feeling or
+pressure in the region below the bladder, and often interferes seriously
+with urination, and gives great pain and uneasiness, and often results in
+grave and dangerous complications.</p>
+
+<p><b>Prostatorrhea</b> consists of an unnatural flowing or wasting of the
+prostatic secretion, which may be known by its mucous-like appearance, and,
+when placed within the field of the microscope, by the absence of
+<i>spermatozoa</i> or fecundating germs. It is often mistaken for
+spermatorrhea, or for gleet, by inexperienced and careless physicians. For
+a full consideration of diseases of the prostate gland, see Part IX of our
+Dime Series of pamphlets, which will be sent on receipt of ten cents in
+postage stamps.</p>
+
+<p>Again, the habit of self-pollution weakens all the structures of the
+genital organs, and induces seminal waste, which may lead to a morbid
+diminution in the size of the prostate gland. This condition, which is
+exactly the opposite of the one above described, is <i>atrophy</i>. Any
+disease which renders the circulation in the prostate gland languid and
+feeble interferes with the nutrition of that organ and impairs its
+function.</p>
+
+<p><b>Impotency</b> (<i>Loss of Sexual Power</i>). Masturbation prevents
+the excitability of the nervous system and sexual organs and causes
+debility, which is indicated by the premature discharge of semen during
+sexual intercourse. These premature emissions indicate not only partial
+impotency, but also that the nerve-centres have become morbidly sensitive
+by the practice of solitary vice, or marital excesses. At length the powers
+of the erectile tissues are diminished, and there is weakness which
+prevents the act of copulation, or the erection may be slow and not last
+long enough, on account of a faulty functional condition of the spinal
+cord.</p>
+
+<p><b>A Peculiar Form of Impotency</b> is associated with certain abnormal
+nutritive changes which give rise to a lymphatic or fat condition of the
+system. Not that the temperament in all these cases is originally
+lymphatic, but the system degenerates in consequence of nutritive
+perversion. With the loss of sexual ardor, there is also apathy of mind,
+loss of manliness, and the victim becomes cold, dispassionate, and
+treacherous, devoid of any admiration or love for the opposite sex. He
+acquires rotundity of person, the face is fat, smooth, often beardless, and
+the voice is feminine.</p>
+
+<p>The victims of this disease represent two distinct classes, viz.: (1)
+those who are fearfully tormented by the consciousness that they <span
+class="pagenum"><a name="Page_777" id="Page_777"></a>[pg 777]</span>are
+losing their virile powers, and become irritable, jealous and often
+desperate; and (2) those who are completely indifferent to this
+deprivation.</p>
+
+<p>(1.) Patients of the former class are readily restored to health by
+proper treatment, for they are willing to make an effort for the recovery
+of their manly powers. There is not complete loss of sexual desire, yet
+their disappointment is so great that they may entertain suicidal thoughts.
+They are moody, fickle, discontented, excitable, and remarkably impulsive.
+With proper treatment, they regain tone of body, vigor of mind, an increase
+of sexual desire, and become more attentive to business affairs, and less
+indifferent to the gentler sex. With the restoration of the general health
+and the sexual functions, remarkable constitutional changes occur. It is
+often the case that their intimate friends hardly recognize them by looks
+or acts.</p>
+
+<p>(2.) It is equally true that those who are wholly indifferent to the
+loss of virile power, uninterested in the evidences of their manhood, are
+sometimes incurable. In fact, it is useless to treat the latter class,
+because they will neither co-operate with the physician, nor persist in the
+treatment necessary to effect a radical and constitutional change.</p>
+
+<p>Masturbation perverts and finally destroys the secretory functions of
+the testicles. It sometimes causes chronic inflammation, which may result
+in obliteration of the minute seminal canals, or obstruction of the
+conveying ducts. The sperm is imperfectly elaborated and totally unfit for
+procreative purposes. Sometimes the spermatozoa are entirely absent, and,
+when present, are very few in number, incomplete in structure, diseased,
+and deficient in power as well as in organization. Fig. 3 represents the
+spermatozoa in a healthy condition, and Fig. 4, when they are sickly,
+deficient and inanimate. The husband may appear to be healthy, and
+<i>his</i> inability to procreate may be erroneously considered a defect in
+his wife.</p>
+
+<p><b>Symptoms of Spermatorrhea</b>. The indications of abuse of the sexual
+organs are loss of nervous energy, dullness of the mental faculties, and
+delight in obscene stories. The expression of the face becomes coarse, and
+the movements slow; the eye is sunken, the face bloated and pale, and the
+disposition is fretful and irritable; the appetite is capricious, the
+throat irritated, and the patient makes frequent attempts to clear it, in
+order to speak distinctly. There are pains in the chest, wakefulness, and
+during the night lascivious thoughts and desires. The relish for play or
+labor is gone, and a growing distaste for business is apparent; there is a
+determination of blood to the head, headache, noises and roaring sounds in
+the ears, the eyes may be blood-shot and watery, weak or painful, the
+patient imagines bright spots or flashes passing before them, and there may
+be partial blindness. There is increasing stolidity of expression, the eye
+is without sparkle, and the face becomes blotched and animal-like in its
+expression. The victim is careless of his personal appearance, not <span
+class="pagenum"><a name="Page_778" id="Page_778"></a>[pg
+778]</span>unscrupulously neat, and not unfrequently a rank odor exhales
+from the body.</p>
+
+<p>There are troublesome sensations, as of itching and crawling, in and
+about the scrotum. Subsequently, there is obstinate constipation, and all
+the symptoms of dyspepsia follow. Gradually the pallor deepens, the patient
+becomes emaciated. There is a shortness of breath, palpitation after even
+moderate exercise, trembling of the knees, and eruptions on the skin. There
+may also be cough, hoarseness, stitch in the side, loss of voice. The sleep
+is not refreshing, the patient has frequent nightmare, or the dreams are
+lascivious, and the involuntary emissions of semen become more frequent.
+The weakness increasing, the sufferer experiences a weakness in his legs
+and staggers like a drunken man, his hands tremble and he stammers.</p>
+
+
+
+<p class="figure"><a name="advise575"><img width="40%" alt="Illustration:
+Fig. 3. Microscopic appearance of healthy semen."
+src="images/advise575.png" /></a><br />Fig. 3. Microscopic appearance of
+healthy semen.</p>
+
+
+
+<p class="figure"><a name="advise576"><img width="40%" alt="Illustration:
+Fig. 4. Microscopic appearance of semen which will not fecundate."
+src="images/advise576.png" /></a><br />Fig. 4. Microscopic appearance of
+semen which will not fecundate.</p>
+
+<p>The victim is unable to concentrate his thoughts, cannot remember what
+he reads, and is mentally indolent. He begins to be suspicious of his
+friends, has less confidence in others, and desires to be alone, is
+despondent and has suicidal thoughts. He has pain in the back, does not
+like to walk, and is inclined to lie down. The semen is prematurely
+discharged upon attempting coition, and if there be offspring, it is apt to
+be feeble or subject to scrofula, consumption, or convulsions. The genital
+organs, especially the penis and testicles, diminish in size, as the
+disease progresses, lose their energy, and the glands of the penis become
+cold and flaccid. There is frequent desire to urinate, chronic irritation
+in the neck of the bladder, and pain in the spermatic cord and testicle,
+and sometimes in the end of the penis. The microscope shows that semen
+involuntarily discharged may be devoid of spermatozoa, or if present, they
+are defective, their heads being without tails. The urine is loaded with
+mucus or bears up a filmy, membranous, transparent matter, or it may be
+covered with a thin fluid having an oily appearance, but in rare cases is
+clear. Again, it may <span class="pagenum"><a name="Page_779"
+id="Page_779"></a>[pg 779]</span>hold substances in solution, which are
+deposited in crystals or incrust the urine, or it may precipitate a
+material having the appearance of brick-dust, and sometimes semen tinged
+with blood. The dyspeptic symptoms when present are followed by diarrhea.
+The limbs are cramped and rigid, the feet bloated, and the patient becomes
+melancholy and relinquishes all hope of recovery. As the disease
+progresses, the patient lacks firmness and is absent-minded.</p>
+
+<p>When the erections are imperfect and the semen is prematurely
+discharged, or when a lengthy coition is required before the sperm can be
+ejected, it is evident that the patient is rapidly becoming impotent; the
+virile powers are vanishing and manhood is surrendering sway to a merciless
+foe. We frequently witness this condition in men, even at the age of
+thirty-five, when the summit of vigor and strength should only have been
+reached. How often are we solicited to restore these lost hopes and powers!
+To what tales of ignorance and recklessness, or submission and remorse, do
+we repeatedly listen from these unfortunate sufferers! In patients of this
+class, sexual intercourse prevents spontaneous emissions, but it does not
+remove the functional and organic derangements of the nerve-centres; hence,
+at a time when the victims of this disease should be in the prime of life,
+they are impotent, and epilepsy, apoplexy, paralysis, softening of the
+brain, or insanity, frequently results.</p>
+
+<p><b>Epilepsy</b> (OR FITS). This dread disease is one of the most common
+and serious complications of the more advanced stages of spermatorrhea. The
+injury done to the nerve-centres by the practice of masturbation is
+manifested in epileptic convulsions, more or less frequent. If proper
+treatment be early adopted, and faithfully pursued, the case is not yet
+hopeless; though, in the majority of cases, the patient never recovers
+after the disease assumes this phase.</p>
+
+<p><b>Paralysis</b>. Paralysis, or Palsy, when occurring as a complication
+of spermatorrhea, may be preceded by an attack of apoplexy, in which the
+patient loses consciousness, and lays in a condition of profound stupor for
+a time, and on recovery from his unconscious state, finds himself unable to
+use one or more of his limbs, or the disability and loss of power, which
+may also be accompanied by more or less loss of sensation, may come on
+gradually, without any premonition or marked manifestation of its approach.
+In either case, its appearance is to be regarded as a matter of serious
+importance. Paralysis, when occurring as a consequence of masturbation or
+sexual excesses, is usually difficult of cure; yet, now and then, cases are
+cured at our Institutions even after this grave malady has appeared as a
+complication.</p>
+
+<p><b>Softening of the Brain</b>. This malady, although less common as a
+result of masturbation than the complications mentioned in the preceding
+paragraphs, is of sufficiently frequent occurrence to entitle it to a
+passing notice here. This condition usually results ultimately in complete
+dementia, or loss of reason. It is an incurable disease.</p>
+
+<p><span class="pagenum"><a name="Page_780" id="Page_780"></a>[pg
+780]</span><b>Insanity</b>. This deplorable malady is not a very uncommon
+result of masturbation and its various resultant morbid conditions, as the
+records of the many institutions for the unfortunate class of sufferers
+from this disease bear abundant witness. Sometimes it manifests itself in
+the milder forms of hallucination, or monomania, but in the majority of
+cases, the patient sinks into a despondent hypochondria, which is many
+times followed, sooner or later, by a raving mania.</p>
+
+<p>In cases of monomania resulting from masturbation, the mental
+derangement is often so slight as to escape detection by the patient's
+friends, the peculiar freaks of disposition being regarded rather as
+eccentricities of character than as symptoms of serious disease. Fits of
+despondency are usually common with such sufferers. The mental derangement
+is not always accompanied or preceded by spermatorrhea or frequent seminal
+emissions, the injury done to the nervous system by the practice of
+self-abuse, or sexual excesses, being first noticeable in various phantasms
+or imaginings on the part of the patient. These are, in different cases, so
+various, both in character and degree, as not to admit of any
+classification, each case presenting phases peculiar to itself. In many
+cases, the patient imagines that his best friends are conspiring to injure
+him, or that some great calamity is about to befall him. In most cases
+there is danger of the patient's committing suicide, if not closely
+watched. Especially is this true of those who suffer from fits of
+hypochondria.</p>
+
+<p>Except in its milder forms, insanity resulting from masturbation and
+sexual excesses, is rarely curable.</p>
+
+<p><b>Don't be Alarmed.</b> A nocturnal seminal emission now and then, or
+at long intervals is not, in and of itself, evidence of the existence of
+spermatorrhea or other serious disease. A full blooded, strong, passionate
+man, in vigorous health, and who has never abused himself, may now and
+then, at long intervals, if his sexual passions be not gratified naturally,
+or if he permit his mind to run much upon lascivious subjects, experience
+an emission while asleep and dreaming. As to whether such occurrences are
+evidence of disease or not, in any given case, depends upon their
+frequency, and as to whether they are the result of a weakness of the
+organs and are followed by more or less depression and debility, or are
+merely the overflow of a robust system, or the outburst of restrained,
+pent-up, and ungratified passions. In the latter case, and when only
+occurring at long intervals, the emissions are not followed by any
+perceptible enervating or weakening effects.</p>
+
+<p><b>Quackery Rampant</b>. This country is flooded with cheap circulars
+and pamphlets, circulated openly and broadcast, wherein ignorant,
+pretentious, blatant quacks endeavor to frighten young men who may never
+have practiced self-abuse, or been guilty of excesses in any way, and yet
+who experience, now and then at long intervals, nocturnal seminal
+emissions. In such cases, it is the <span class="pagenum"><a
+name="Page_781" id="Page_781"></a>[pg 781]</span>duty of the conscientious,
+honest, and sympathetic practitioner of the healing art to give assurance,
+and not to unnecessarily alarm those who experience nothing inconsistent
+with a state of fairly good health. To frighten such young men into
+believing themselves diseased, when in reality they experience nothing but
+what may occasionally occur in the experiences of any robust, healthy man,
+is the most detestable, downright quackery.</p>
+
+<p><b>Treating the Wrong Disease.</b> Not only are many men subjected to
+useless treatment by general practitioners who overlook the real disease,
+caused by pernicious youthful habits pursued in solitude, or later excesses
+in venery, but the female sex are also quite as often subjected to
+treatment for diseases which do not exist, the real trouble being nervous
+debility and other weaknesses that have resulted from the youthful
+pernicious practices common to both sexes, or later excesses in marital
+pleasures.</p>
+
+<p><b>Moral Considerations</b>. Masturbation is a habit which tyrannizes
+over the mind, perverts the imagination, and forces upon the victim
+venereal desires, even while he is forming the strongest resolutions to
+reform. It constrains into its service the higher faculties, such as
+friendship, confidence, love, reason, and imagination, to make its ideal
+graceful and beautiful.</p>
+
+<p><b>Sensual Lust</b>. The fancy creates an attractive partner, possessed
+of girlish beauty, a perfect type of goodness, blended with sexuality, and
+whom the subject worships with all the ardor of passion. Around this
+<i>beau ideal</i> all his affections are clustered; to her the purest of
+his blood is offered in sacrifice, and it is no wonder that female
+associates seem tame and unattractive when such imaginary and consummate
+divinity is courted. In the sensual delirium is conceived an elysium of
+carnal bliss, where half-nude nymphs display their charms and invite to
+sensual enjoyments. Thus we see how this habit makes the spiritual
+faculties subservient to morbid passion, and by what means elevating
+influences are prostituted to vulgar and base-born creations.</p>
+
+<p><b>Symptoms Vary in Different Cases</b>. We can only partially delineate
+the terrible effects resulting from the abuse of the sexual organs. The
+symptoms are multitudinous, but, as we have before stated, no two persons
+are similarly influenced by this disease. The symptoms will vary according
+to the severity of the affection, the age of the patient, and his
+constitutional peculiarities. The presence of only a few of the symptoms
+which we have enumerated is evidence of abnormal weakness, which demands
+treatment.</p>
+
+<p>Montaigne says: "We must see and get acquainted with our sins if we
+expect to correct them." Virtue presupposes trials just as much as victory
+implies warfare. The triumph of virtue is to defeat morbid or excessive
+passion, for virtue is only realized when it is a conquering force.
+Innocence is passive but virtue is an active quality, <span
+class="pagenum"><a name="Page_782" id="Page_782"></a>[pg
+782]</span>purified in the fiery furnace of temptation. As men have in all
+ages been influenced by passions, so temptation has ever found its victims.
+It is an obligation that one owes to himself to overcome every evil passion
+or weakness to which he is subject, and the discharge of this personal duty
+requires moral courage.</p>
+
+<p><b>The Reward of Virtue</b>. Our Saviour invited all erring mortals to
+enter upon a higher life when He said, "Come unto Me, all ye that labor and
+are heavy laden, and I will give you rest." The invitation is accompanied
+with a promise. To all who are weary of excess and bowed down by passion,
+rest and restoration are promised, if they will but reform and employ
+proper means to that end.</p>
+
+<p><b>The Sufferers Must Reform</b>. Just as there is no spiritual
+restoration without obeying the Saviour, so there can be no physical
+restoration unless we fulfill nature's imposed conditions. There can be no
+salvation unless sin be discarded, and so there can be no redemption from
+the bad effects of a practice, so long as it is continued. It is no easy
+task to master a despotic passion. Appetite is often stronger than the
+will. The treatment must begin with moral reformation. Every manly impulse,
+and all the higher qualities of the patient's nature, must be enlisted in
+the struggle for virtue and health.</p>
+
+<p>If the passions are restrained, then the capital of health increases,
+for the saving of the vital secretions is equal to compound interest. This
+illustrates the truth of the Latin proverb: "<i>No gain is so certain as
+that which proceeds from the economical use of what you have"!</i> The
+patient actually acquires confidence and manly courage by the retention of
+the seminal fluid, which directly increases his virile powers.</p>
+
+<p><b>Hygienic Advice to Patients</b>. Daily physical exercise and regular
+habits must be established. It is important that the mind, as well as the
+physical powers, be directed into active and wholesome channels. There must
+be restraint and discipline. It is useless to begin medical treatment while
+the patient continues to read exciting, amorous stories and obscene books,
+which are suggestive of lewd thoughts. Something practical ought to occupy
+the thoughts and engage the hands.</p>
+
+<p>Regular and vigorous physical exercise is necessary to assist the
+circulation of the blood, and compel its determination into the minute and
+extreme parts of the vascular system. When the blood is thus directed,
+nutrition is more vigorous and the activity of all the functions is
+augmented.</p>
+
+<p>Not only should there be regularity in eating, but sound discretion
+should be exercised in selecting a plain, wholesome diet, consisting of
+such articles of food as best favor a daily and free evacuation of the
+bowels. Avoid the use of those articles of food which produce excessive
+acidity of the stomach. Hearty or late suppers are not allowable. <span
+class="pagenum"><a name="Page_783" id="Page_783"></a>[pg 783]</span>The
+patient should use no alcoholic beverages, and should abstain from such
+stimulants as tea, coffee, beer, wine, and tobacco. We cannot even
+recommend their <i>moderate</i> use, for total abstinence is the better
+plan.</p>
+
+<p>The patient should sleep in a well-ventilated room, on a hard bed, and
+have only sufficient covering for warmth and comfort. He should not lie
+upon the back, because in this position nightly emissions are more likely
+to occur. The patient should go to bed when he feels sleepy, and not resist
+the inclination until wakefulness is induced.</p>
+
+<p>He should rise early in the morning and immediately take a cold hand
+bath. For this purpose a quart or two of water and a common hand towel only
+are required. After bathing, rub the surface of the body with the dry hand
+or a crash towel, and continue the friction until the skin is red and a
+reaction is established. Do not excuse yourself from following these
+hygienic suggestions. A refreshing bath changes the morbid sensibilities to
+a more healthful state by the reaction of the nervous system.</p>
+
+<p>It is beneficial to apply a towel saturated with cold water to the
+genital organs fifteen minutes before leaving the bed. Douching, or
+showering the genital organs with cold water once or twice a day will also
+be beneficial. It should not be practiced, however, just before going to
+bed. It is well to bathe the head with cold water, and this can be done
+much better if the hair be kept closely cut.</p>
+
+<p>Horseback riding, climbing, and all exercises which rub, chafe, or
+excite the genital organs, should be avoided. Even the clothing should be
+loose, so that walking will not produce friction or cause any excitement of
+these organs. The calls of nature should receive prompt attention, and the
+urine be voided at any time (especially during the night) when there is an
+inclination. If there be irritation of the bladder and lower bowels, the
+patient will receive decided benefit from the daily use of an injection of
+cold water into the bowels. From a half pint to a pint of cold water may be
+used at one time, and the injection should be retained for a few minutes
+before going to bed. The bowels will thus be relieved, the heat and
+irritation subdued, and the liability to seminal emissions lessened.</p>
+
+<p>Patients afflicted with spermatorrhea should not allow their thoughts to
+dwell upon their ailments, for they are apt to become moody, self-deceived,
+and even insane upon this subject. To avoid this, harmless amusements
+should be indulged in, and good moral company cultivated. They become
+suspicious, skeptical, and believe that they are victims of imposture. When
+they lose self-reliance, their faith and trust in others begins to waver,
+especially if their health does not improve so rapidly as they had
+anticipated: As much depends upon the faithful observance of the hygienic
+rules as upon the constant and proper use of medicines. The rapidity of
+recovery depends upon the constitutional energies and the vigor of the
+vital resources. If the <span class="pagenum"><a name="Page_784"
+id="Page_784"></a>[pg 784]</span>blood be greatly impoverished, or the
+nervous system much impaired, recovery will be necessarily slow. Time,
+patience, and perseverance, are just as essential to a recovery from the
+effects of these abuses as the best medical treatment that can be
+employed.</p>
+
+<p><b>The Medical Treatment of Spermatorrhea and Impotency.</b> Few
+diseases require so many modifications of treatment, to suit the
+peculiarities of individual cases as spermatorrhea, because it is attended
+with so many complications and morbid functional and structural changes.
+Every complication must be considered, and great judgment exercised in the
+selection of remedies. As this selection must depend upon the peculiarities
+of the case involved, it is impossible to impart to the non-professional
+readers sufficient medical knowledge to enable them to choose the
+appropriate remedies for these intricate disorders. Hence it would be
+useless to specify the various medicines which our specialists employ in
+treating them. It would only lead to many fruitless experiments, which
+might result in great harm to the afflicted. For remedies powerful enough
+to effect cures of spermatorrhea and impotency are capable, when improperly
+employed, of doing great harm. Especially should all ready-made,
+proprietary or put-up medicines, such as are sold in drug stores and
+chemists' shops, be avoided, for reasons already mentioned. Great harm,
+also, often results from the employment of "galvanic belts," "galvanic
+batteries and pads," and other catch-penny devices, with which the too
+confiding are not only duped and swindled, but terribly injured. They are
+all worse than useless, and often render the mildest case very difficult to
+cure by inducing serious complications. It is better to take no medical
+treatment, but rely solely on the hygienic advice we have given, rather
+than to resort to any of the so-called "<i>specifics"</i> found in the drug
+shops, or to any such silly, good-for-nothing trash as the various
+"Pastilles," "Boluses," "Curative Rings," "Voltaic Belts," or other
+quackish medicines and contrivances.</p>
+
+<p><b>Importance of Hygienic Discipline</b>. The invalid should restrict
+his attention to hygiene, and learn that patient endurance and heroic
+perseverance are necessary, even when taking the most efficient remedies.
+His entire system having gradually become deranged, corrective medicines
+must necessarily be <i>chronic</i> in their operations; in other words,
+they must act insensibly, slowly, and progressively. Some of the symptoms
+of sexual weakness will, under proper hygienic and medical treatment,
+generally begin to disappear within a month. If the nervous system be very
+much impaired, however, a longer time will elapse before the restorative
+effects of treatment will be observed. Neither the physician nor the
+patient should expect that a broken-down constitution can be immediately
+repaired. The day of miracles is past. The most rational method of treating
+the sick promises nothing supernatural, nothing <span class="pagenum"><a
+name="Page_785" id="Page_785"></a>[pg 785]</span>which is not in accordance
+with science. Diseases of this character are always slow in their
+inception, or development and progress, and must be cured in like manner,
+step by step. Nature never hurries; atom by atom, little by little, she
+achieves her work.</p>
+
+<p><b>Our Improved Treatment</b>. Tears ago our specialists resolved to pay
+particular attention to the investigation and treatment of these diseases,
+which are not only alarmingly prevalent, but sadly neglected and mistreated
+by the general practitioner of medicine.</p>
+
+<p><b>Unfailing Remedies</b>. Having successfully treated many thousands of
+cases, we can safely say of our remedies that they are very positive in
+their remedial effects. The great success which has attended the employment
+of these remedies has led us to rely upon them with implicit faith. By
+their persistent use, spermatorrhea and threatened impotency can be cured
+as readily as other chronic or lingering diseases. We particularly solicit
+those cases which have heretofore been regarded as incurable. The patient
+is subjected to no surgical operation, and he can safely and accurately
+follow the directions given, while the treatment does not interfere with
+any ordinary occupation in which he may be engaged. These delicate diseases
+should not be intrusted to physicians who advertise under fictitious names,
+or to those of ordinary qualifications. The general practitioner may be
+thoroughly read in these diseases, but he cannot acquire the skill of a
+specialist who annually treats thousands of cases, while the former seldom,
+if ever, has occasion to prescribe for them.</p>
+
+<p><b>Signs of Improvement When Under Treatment.</b> Under our peculiar and
+improved system of treatment, gradual improvement in the patient's
+condition will be manifested. The eye becomes more brilliant and sparkling,
+the patient is less morose, his digestion improves, he is less listless and
+despondent, takes more interest in business and other affairs, his sleep is
+less disturbed and more refreshing, the strength improves, and, if the
+sexual organs had become wasted in size, weak in function, and flaccid and
+soft, they begin, by and by, to have more tone and firmness, and to
+develope and increase in size, as their nutrition is restored, by the
+checking of the exhausting drain which they have sustained. If nocturnal
+emissions occur occasionally, the discharge will, under the microscope, be
+found to be less watery, and to contain increased numbers of
+<i>spermatozoa</i>, with heads and filaments perfect. The patient now
+begins to gain in self-confidence, courage, and other manly attributes,
+and, instead of the bashful, retiring, nervous, languid hypochondriac, we
+see a man of ambition and energy, competent to battle with the adversities
+of life. Who can estimate the value of such a transformation from
+nervousness and despondency to vigorous manhood? Who would begrudge all
+their earthly goods and treasures when thus afflicted, to be so restored to
+health and enjoyment for of <span class="pagenum"><a name="Page_786"
+id="Page_786"></a>[pg 786]</span>what avail are the greatest riches when
+health and manhood itself are lost?</p>
+
+<p><b>Our Terms Business-like and Fair</b>. Occasionally persona solicit us
+to undertake the cure of these ailments, and, in case of failure, receive
+no compensation. They write: "If you will <i>warrant</i> that your
+prescriptions will result in a <i>perfect restoration to health</i>, we
+will gladly pay the fees that you ask." The absurdity of such a request is
+apparent, and therefore we answer: "We cannot <i>warrant</i> that you will
+live even for the next twenty-four hours. We do not bet, play for stakes,
+or wager our skill for money. Personal responsibility cannot be shifted or
+evaded, and life and health, with all their momentous considerations, are
+necessarily individual affairs. Therefore a proposal to make the conditions
+of health a subject of speculation is a challenge to gamble." The patient
+may not comply with the specified conditions, and the physician's success
+depends upon a faithful application of the prescribed treatment. For these
+reasons only a quack will be a party to any such transaction. Ours is not a
+trading, hazardously speculative profession. Besides, thousands of our
+patients reside long distances away and we cannot know of their
+responsibility or honesty, nor spend time inquiring after their financial
+standing.</p>
+
+<p><b>Evidences of the Curability of Spermatorrhea and Impotency.</b> Many
+individuals afflicted with spermatorrhea and impotency, particularly those
+who have been swindled by some of the many charlatans who are to be found
+in nearly every city, are incredulous, and doubt our ability to cure these
+maladies. Others are skeptical, because their physician, who may be a very
+skillful general practitioner, but who has had very little or no experience
+in treating these delicate maladies, has failed to relieve them, and,
+perhaps, has told them the disease is incurable.</p>
+
+<p>We therefore beg the indulgence of our readers for here offering some
+indisputable evidence of the extraordinary success which we have achieved,
+by our peculiar methods of treating these affections, as pursued at the
+World's Dispensary and Invalids' Hotel and Surgical Institute.</p>
+
+<p>This evidence is introduced for the encouragement of an unfortunate
+class of invalids, for many of whom existence has ceased to possess any
+charms. The grateful manifestations which we have received from this class
+of sufferers have afforded us one of the greatest pleasures of our lives,
+and have alone been a rich remuneration for the diligent study and arduous
+labors devoted to the investigation of these diseases and to the perfecting
+of our peculiar and successful methods of treating them.</p>
+
+<p><b>Sacredly Confidential</b>. In introducing the following extracts from
+our extensive files of letters, the names of the writers will be omitted,
+as we regard all such correspondence, as well as facts communicated to us
+in personal consultations, as <i>sacredly confidential.</i></p>
+
+<p><span class="pagenum"><a name="Page_787" id="Page_787"></a>[pg
+787]</span>Lack of space and fear of wearying the reader, prevent us from
+introducing more than a few extracts; but these are only fair samples of
+<i>thousands</i> that have been received. Those given, present cases in
+almost every stage of treatment, some soon after commencing, others further
+advanced, and still others which are cured. If we could devote the space,
+and had we time to select them, we could insert an almost unlimited number
+of those received from patients who have been perfectly cured; but we think
+the reader will be more interested in expressions coming from patients in
+all stages of treatment, as they are daily received. Therefore, without
+regard for literary excellence, we append a number chosen miscellaneously,
+and given <i>verbatim</i>. They express the sentiments of persons in all
+stages of life, and illustrate the views and feelings generally entertained
+by those whom we have been called upon to treat.</p>
+
+<p>The following extracts are spontaneous acknowledgments, and are,
+therefore, more valuable and truthful than if obtained by solicitation, a
+practice contrary to our sense of propriety, and, hence, one in which we
+never indulge. Although ofttimes less expressive of satisfaction and
+gratitude than if the communication were presented in full, yet only
+sufficient space can be spared for a brief quotation from each letter.</p>
+
+
+<hr />
+
+
+<h2>TESTIMONIALS</h2>
+
+
+<p><b>CASE 175,827. Impotency, Constipation, and Seminal Loss at Stool and
+with the Urine</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION: <i>Gentlemen</i>&mdash;Since I have
+taken the remainder of a third month's treatment that you gave me I have
+been relieved of my trouble. The emissions have ceased and the losses at
+stool and in the water have left me. Eighteen months ago I was almost a
+complete wreck; now I take an Interest in business and am in excellent
+health.</p>
+
+<p>Respectfully, S., Waveland, Ind.</p>
+
+
+
+<p><b>CASE 177,068. Spermatorrhea. Loss of vital strength. Cared with seven
+months' treatment</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION: <i>Gentlemen</i>&mdash;You have
+undoubtedly wondered at my long silence. Since last I wrote you there has
+been a marked change in my life (of which I will speak further on), under
+your skillful treatment. I improved so rapidly, notwithstanding the many
+interruptions which misfortune on my part occasioned, that six months ago I
+considered myself cured. I have been married three months and a half to a
+worthy woman, who should have gained for herself a husband who never
+deviated from a virtuous path as much as I; but the attachment formed was
+so strong that no misfortune seemed powerful enough to sever it. The
+barrier which seemed insurmountable, and which I had erected myself by
+early indiscretions and excesses, has given way, thanks to your superior
+medical knowledge and skillful treatment. Again I can hold up my head and
+say, "I am a man. I never fail to call the attention of my friends to your
+Institution as the best in the world, for I have reason to know that it is
+truly so. I have recommended two friends of mine to you, who are under your
+treatment, and are getting well. One has tried all the local physicians,
+and many firms, but with no success. May God bless you, and may your
+Institution meet with all the success it so richly deserves, is the prayer
+and wish of one you have caved. J., Leadville, Colo.</p>
+
+
+<p><span class="pagenum"><a name="Page_788" id="Page_788"></a>[pg
+788]</span><b>CASE 178,666. Emissions, and Loss of Weight and
+Strength.</b></p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION: <i>Gentlemen</i>&mdash;I have had no
+emissions now for some time, and feel well in every way. I am gaining in
+strength and weight, and find I shall not need further medical treatment.
+The four months' medicines that you have sent me have effected a radical
+regeneration in my health, and I thank you for it. M., Hartford, Conn.</p>
+
+
+<p><b>CASE 111,477. Spermatorrhea and Irritable Bladder; cured by two
+months' treatment.</b></p>
+
+<p>This was a badly complicated case of spermatorrhea, the patient being
+also troubled with frequent urination, partial impotency, mucous discharges
+from the urethra, and a burning sensation in the testicle and groin.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:
+<i>Gentlemen</i>&mdash;I took the two months' treatment sent me by you as
+directed. After taking the first month's treatment the emissions ceased
+entirely, my appetite increased, and I slept much better. Eight months ago
+I finished the second month's treatment and have since been in perfect
+health. I am fully convinced that you do every thing that you promise. I
+am, gentlemen, yours respectfully,</p>
+
+<blockquote>
+<p>
+R., Fort Totten, Dakota.<br />
+</p>
+</blockquote>
+
+
+<p><b>CASE 266,080. Spermatorrhea. Threatened Impotency. A severe case,
+cured by six months' treatment.</b></p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION: <i>Gentlemen</i>&mdash;I have
+received the last medicine sent me, and have taken all with the best
+results. I have so improved in health that I think it unnecessary for me to
+take any more medicine. It is now several days since I took the last of the
+medicine, and have not had any return of the disease. The desire to
+masturbate seems to have left me, and I feel well, happy and strong. When I
+look back to the time before I commenced to take your medicine, the change
+that has taken place seems wonderful. I had lost all hope of being restored
+from the ruinous habit I had practiced for many years without knowing how
+fatal it was to health. I tried hard to stop the practice, but it had grown
+so strong on me that I would always practice it again, and was fast
+becoming impotent. Had emissions at night; was nervous, downhearted; and I
+lost flesh, and felt miserable in many ways too numerous to mention. But
+now I feel healthy and well. If I had been more careful, and had not
+stopped treatment so soon before, I might have been cured in four or five
+months. Nevertheless, I am well satisfied, and thankful that I am restored
+to health in six months; and I wish to express my sincere thanks to you and
+your Institution, for I owe my restoration to health and happiness to you.
+If in the future I need any medical skill, I shall always apply to your
+Institution, being certain of receiving the best attention. Yours
+thankfully, S., Pittsburgh, Pa.</p>
+
+
+<p><b>CASE 62,365. Very Bad Case of Spermatorrhea and Impotency. Cured with
+six months' treatment.</b></p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION: <i>Gentlemen</i>&mdash;It has now
+been nine months since I stopped your treatment, and as there has been no
+return of former symptoms, I judge there can be no doubt as to my cure
+being permanent. I must confess that, having been duped and swindled by so
+many previous to visiting you, I had not much confidence when I went to
+Buffalo to see you. But your specialists, and your Manager, seemed to talk
+so straightforwardly and without making any of those extravagant promises
+that I have become so used to, that I became convinced of your skill before
+I had been long in your wonderful Institution. I think almost any invalid
+who will visit your Hotel, and see for themselves the wonderful appliances
+that you have accumulated for the cure of disease, must soon become
+convinced that if there can be any hope of relief it can be secured there,
+if anywhere. There I saw those who told me they had been brought there on
+beds or couches for hundreds of miles, and that they had not been able to
+walk for two to four years, and yet with two or three months' treatment
+were able to go about everywhere, and were about ready to return home. Such
+experiences as these established my confidence, and to-day I bless the day
+I first visited the Invalids' Hotel. True, it took six months to cure me,
+but I presume you seldom have cases to equal in severity the condition I
+was in when I applied to you. I was so bad, as you will remember, though I
+do not suppose you rely upon any thing but your records in referring to
+cases, having so many under treatment at all times, at all events, if you
+will turn to the record of my case, which is "File No. 62,365," you will
+see that I had discharges of semen every time my bowels moved and without
+erections. In fact, I was completely impotent. I am now as strong and
+vigorous as any man. You told me it would probably take a year to cure me,
+but as you accomplished it in five months, though I continued to take
+medicine a month longer to insure against a relapse, I think myself very
+fortunate. Should any of your staff have occasion to come this way, I
+should be only to glad to do any thing I can to entertain them.</p>
+
+<blockquote>
+<p>
+Gratefully yours,<br />
+C., St. Louis, Mo.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_789" id="Page_789"></a>[pg
+789]</span><b>CASE 183,998. General Debility. Emissions and Loss of Energy.
+Urinary Irritation.</b></p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION: <i>Gentlemen</i>&mdash;The reason for
+my not continuing treatment further than the fourth month, is the fact that
+my health is so much improved that I do not need it. I feel like a new
+being. All of my bad symptoms are gone, and I feel that I am cured. For
+eight months my health has continued to improve all the time. I owe you and
+your staff a debt of gratitude that I can never pay.</p>
+
+<p>Yours with thanks, H., Johnson's Bayou, La.</p>
+
+
+<p><b>CASE 152,504. Spermatorrhea.</b></p>
+
+<p>Mr. S., of Bagwell, Texas, writes as follows: "language fails to express
+my gratitude for what your treatment has done for me. I have gained
+forty-two pounds since coming under your care. My cure is perfect."</p>
+
+
+<p><b>CASE 174,628. Spermatorrhea. Extremely bad case. Loss of voice;
+threatened with Consumption.</b></p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION: <i>Gentlemen</i>&mdash;I am thankful
+to say that as a result of eight months' treatment you have given me, the
+symptoms of my disease have been entirely removed. My voice has got strong
+and clear, and my breathing is easy and natural. My weight is increased,
+and in every way I am feeling well. I cannot refrain from penning a few
+lines.</p>
+
+<p>H., Port Hope, Ont.</p>
+
+
+<p><b>CASE 113,274. Spermatorrhea.</b></p>
+
+<p>Mr. K., of Kalamazoo, Mich., writes: "I feel that you have proven to be
+the best friend I have on earth. It is about three weeks now since I
+finished the last month's medicines, and I feel as strong as I ever did in
+my life. When I commenced taking your medicines I only weighed 155 pounds,
+but now I weigh 170 pounds. I feel strong and rugged; my step is firm and
+bold; and I feel altogether a new man, for which I return you my sincere
+thanks."</p>
+
+
+<p><b>CASE 173,399. Emissions. Loss of Weight and Appetite;
+Dyspepsia.</b></p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION: <i>Dear Sirs</i>&mdash;I write to let
+you know that my health is improved, and to thank you for the same. The
+emissions occur only at intervals of several months, and I do not have any
+more polluting dreams. I am better in every way. My appetite is improved,
+and my digestion is perfect. Have gained in weight, and sleep well. I have
+not required all of the last supply of medicine, the sixth month, and I
+think I will pull through all right. Please accept my thanks for the
+benefit effected.</p>
+
+<p>D., Valparaiso, Ind.</p>
+
+
+<p><b>CASE 45,757. Spermatorrhea.</b></p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION: <i>Gentlemen</i>&mdash;Received yours
+dated Oct. 27th, and am happy to say that I have so far recovered as to
+believe further treatment unnecessary. I feel like a new man; am able to do
+a full day's work without pain or laziness. I am very thankful for the
+benefits I have received through your skill, and should I think it
+necessary at any time for me to renew the treatment, I will be glad to call
+on you.</p>
+
+<p>Yours with great respect. A., Zanesville, O.</p>
+
+
+<p><b>CASE 175,315. Spermatorrhea; Dizziness and Biliousness;
+Dyspepsia.</b></p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION: <i>Gentlemen</i>&mdash;I am in good
+health, and can say that I am cured. The emissions have stopped, and I have
+no unnatural discharges, nor dizziness in the head. My health is good in
+general, and I work hard every day. Physically, I have a good appetite and
+digestion, which is a great change from what it was when you first treated
+me. Although I continued the treatment for eight months, owing to the
+complications and severity of my case, yet I am thankful for the great
+relief.</p>
+
+<p>D., Newport, Ark.</p>
+
+
+<p><b>CASE 39,625. Seminal and Nervous Debility.</b></p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION: <i>Gentlemen</i>&mdash;My case was
+one of long standing, and had brought me to think and meditate more of
+dying a consumptive's death, than living. The ill success I had met in
+trying to recover my lost manhood, had put me in such a constantly
+low-spirited condition, that nothing was interesting or pleasurable. I am
+highly pleased to report the improvement in my condition. My voice, weak
+and hoarse when I commenced treatment, is now strong and masculine. Hope
+and self-confidence have returned, and my countenance is firm and resolute.
+The dull, heavy, pressing pain under my left shoulder, is entirely gone,
+long ago. The pain and weakness in hips, back, and side, are never felt. I
+am in every way fully restored to perfect health and manhood.</p>
+
+<p>Yours sincerely, O. Sheboygan, Mich.</p>
+
+
+<p><span class="pagenum"><a name="Page_790" id="Page_790"></a>[pg
+790]</span><b>CASE 67,546. Spermatorrhea. Cured In four months.</b></p>
+
+<p>[EXTRACT FROM LETTER.]</p>
+
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION: <i>Gentlemen</i>&mdash;It is with
+great pleasure that I write you. I have taken but one month's treatment
+from you, and if I should just give you a full history of my case before
+and since I have taken your medicine, you would not believe the improvement
+could be true. I feel better every way. I am without language to express my
+thanks to you for the great work you have done for me.</p>
+
+<blockquote>
+<p>
+Your ever true friend,<br />
+B., Blountville, Sullivan Co., Tenn.<br />
+</p>
+</blockquote>
+
+
+<p><b>CASE 22,511. Impotency.</b></p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION: <i>Dear Sirs</i>&mdash;Accept my
+thanks for the great benefit received from your treatment. I never thought
+I could be so fully restored.</p>
+
+<p>G., Peru, Ind.</p>
+
+
+<p><b>CASE 450,422. Spermatorrhea, Seminal Debility, Muscular Rheumatism.
+Cured with six months' treatment</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION: <i>Gentlemen</i>&mdash;I am thankful
+to say that, as the result of the six months' treatment you have given me,
+that I am cured of my trouble. Since the beginning of the treatment the
+losses became less and less frequent, and now I am entirely relieved, and
+desire to return my sincerest thanks to you for the good you have done and
+the kind attention that you gave me.</p>
+
+<p>Sincerely yours, G., Milverton, Ont.</p>
+
+
+<p><b>CASE 48,927. Nervous Debility and Impotency</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION: <i>Dear Sirs</i>&mdash;My head is
+clear and I feel like myself again, and now only wish that the money I
+spent for useless medicines and experimenting doctors, had at once found
+its way to you. By recommending you to others suffering as I did, I hope to
+assist in your honorable work. For my restoration to health and manhood, I
+am deeply grateful.</p>
+
+<p>Truly yours, B., Philadelphia, Pa.</p>
+
+
+<p><b>CASE 154,136. Seminal Weakness</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:
+<i>Gentlemen</i>&mdash;I see no further use in continuing your medicines, as I
+now feel perfectly well and the emissions have stopped entirely. I used to
+feel dizzy, exhausted, and irritable on arising in the morning, but now I
+feel nothing of the kind.</p>
+
+<p>Respectfully, K., Johnstown, Pa.</p>
+
+
+<p><b>CASE 175,391. Spermatorrhea, with symptoms of Bright's Disease and
+Torpid Liver</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION: <i>Gentlemen</i>&mdash;When I applied
+to you for treatment, although a man of apparently perfect health, yet I
+was subject to an exhausting drain, and felt myself gradually declining in
+vigor of intellect and constitution. The five months' treatment that you
+have sent me has effected a very remarkable change in my health. My kidneys
+(which had troubled me so that I feared Bright's disease) and torpid liver
+have become natural, and I feel like a new man. The only precaution I now
+take is not to sleep on my back; and I feel that I am cured. I send you the
+names of some other patients, and close by saying that I thank you
+sincerely for the cure, and the great benefit in my health that has
+resulted from your treatment.</p>
+
+<p>M., Manhattan, Kans.</p>
+
+
+<p><b>CASE 110,837, Stricture and Spermatorrhea</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION: <i>Gentlemen</i>&mdash;My seminal
+trouble was cured long since, and I had forgotten it. Your medicines
+relieved me of that in a short time, and I am satisfied that it will cure
+the worst cases in a few weeks. I am also satisfied that you and your
+faculty accomplish more in the healing art than any other in the country,
+and I cannot say too much in recommendation of your institution. I have
+tried your institution, and have found your words true in every sense, and
+take pleasure in authorizing you to use my name in any way to suit
+yourself. My appetite is good, and I have no pain or trouble whatever. The
+neuralgia in the lungs, the tough phlegm, weakness, etc., have all
+disappeared.</p>
+
+<p>A.</p>
+
+
+<p><b>CASE 111,571. Spermatorrhea</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:
+<i>Gentlemen</i>&mdash;Under the influence of your last course of medicine my
+health has improved so greatly that I feel any further treatment to be
+unnecessary. My health is better now than at any other period for years.
+The night emissions have ceased entirely, I not having had one now for many
+months. I feel better in every way.</p>
+
+<blockquote>
+<p>
+Respectfully,<br />
+P. Pittsburgh, Pa.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_791" id="Page_791"></a>[pg
+791]</span><b>CASE 57,757. Lost Sexual Power Regained</b>.</p>
+
+<p>[EXTRACT FROM LETTER.]</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION: <i>Gentlemen</i>&mdash;While taking
+your medicine I labored physically. I am cheerful, hopeful, joyous, glad,
+and grateful for my restoration to sound and vigorous health. My friends
+daily express surprise at the great change in my personal appearance, and
+declare that I appear younger than I did fifteen years ago. I always reply
+that I obtained my new lease of life from the World's Dispensary Medical
+Association, Buffalo, N.Y.</p>
+
+<p>With sincere gratitude and great respect, I subscribe myself W., Canyon
+City, Grant Co., Oregon.</p>
+
+
+<p><b>CASE 3,508. Seminal and Nervous Debility of thirty years' standing.
+Cured in two mouths</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION: <i>My kind
+Benefactors</i>&mdash;Inclosed find the case of my daughter-in-law, whom I
+desire you to treat, believing that you can cure her. I feel assured that
+if you fail in the cure of her case, now so chronic, that no human skill
+will be of benefit.</p>
+
+<p>Some four or five years ago you treated me for general debility and
+premature decay, with severe attacks of vertigo. The first month's
+medicines, which were sent by express, effected a relief of my case. Owing
+to the long standing of my trouble (twenty-five or thirty years), I
+concluded to continue the treatment another month. My order was promptly
+filled by mail. By these two months' treatment I was perfectly cured, my
+whole system renovated and invigorated. I have been repeatedly asked what I
+had been doing to cause such an improvement in my personal appearance, and
+activity, for an old man. With profound gratitude, adding love,</p>
+
+<blockquote>
+<p>
+I am your obedient servant,<br />
+W., Rusk, Texas.<br />
+</p>
+</blockquote>
+
+
+<p><b>CASE 250,336. Spermatorrhea; loss of Strength and Weakness of Memory.
+Cured with seven months' treatment.</b></p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION: <i>Gentlemen</i>&mdash;I have not
+taken any medicine since last December, at which time I had closed the
+seventh months' treatment. I am happy to say that, as a result, my mind is
+clear and easy. I am steadily gaining in strength, and feel better than I
+have for many years, and owe it all to your treatment and advice. I hope
+you will live long and prosper, and continue to dispense a balm for
+suffering humanity. I will close by giving your faculty my greatest
+devotion and sincere thanks, and hope success will crown your business.</p>
+
+<p>W., Pickens, Miss.</p>
+
+
+<p><b>CASE 82,127. Spermatorrhea</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:
+<i>Gentlemen</i>&mdash;Your last month's treatment has entirely cured me. I have
+been married three weeks and am happy, thanks to your unexampled skill.</p>
+
+<p>B., Blackberry, Kane Co., Ill.</p>
+
+
+<p><b>CASE 88,736. Spermatorrhea</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:
+<i>Gentlemen</i>&mdash;Sure enough I am well, and I desire to thank you for your
+medical skill. My strength is very greatly increased, my digestion and
+appetite are perfect. I sleep well and awake refreshed, and, in fact, feel
+better every way. My eyesight, which was weak, is wonderfully improved, and
+my physical condition is now perfect in every way. All the emissions have
+ceased.</p>
+
+<blockquote>
+<p>
+Respectfully,<br />
+B., Fayette, Howard Co., Mo.<br />
+</p>
+</blockquote>
+
+
+<p><b>CASE 144,241. Seminal Debility. Cured with four months'
+treatment</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION: <i>Gentlemen</i>&mdash;I am happy to
+say that your treatment, which I have taken four months, has effected a
+radical cure of my trouble, and you are at liberty to use my name and
+address as a reference. Your treatment has effected a cure in my case.</p>
+
+<blockquote>
+<p>
+Very truly yours,<br />
+M., Trout Creek, N.Y.<br />
+</p>
+</blockquote>
+
+
+<p><b>CASE 71,250. Spermatorrhea of thirteen years' standing</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:
+<i>Gentlemen</i>&mdash;I can honestly say, as the result of your treatment, that
+I feel better now than at any time previous for years. My disease is under
+complete control, and I have no fear of any further trouble in that
+direction. In a word, I feel that I am cured and well; and you may rest
+assured that I shall take great pains to avoid in the future the cause that
+brought me to my former condition. I am, indeed, thankful to you, as your
+treatment has made it possible for me to lead a better life, and
+effectually to resist those passions which so long dominated over me.</p>
+
+<blockquote>
+<p>
+I remain, very respectfully yours,<br />
+H, Council Bluffs, Iowa<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_792" id="Page_792"></a>[pg
+792]</span><b>CASE 142,842. Spermatorrhea cured.</b></p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:
+<i>Gentlemen</i>&mdash;it is with great thankfulness to you that I pen these few
+lines. I am to-day a strong and healthy man, which I never would have been
+but for your kind and skillful attention. My health was completely broken
+down by the effects of self-abuse, and I doctored with other physicians for
+two years, but with no success. However, after a few months of your
+treatment I find my health fully restored. I am now in a condition to enjoy
+the world and take comfort wherever I am; in a word, I am "a man among
+men." I most cordially invite all persons requiring skillful medical
+treatment to apply to the World's Dispensary.</p>
+
+<p>M., Fredericville, Mich.</p>
+
+
+<p><b>CASE 174,937. Spermatozoa. Threatened with Impotency.</b></p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION: <i>Gentlemen</i>&mdash;I finished
+your three months' course of treatment some weeks ago, and am glad to say
+that I am a well man. A thousand thanks to you.</p>
+
+<p>K., Warm Springs, Mont. Ter.</p>
+
+
+<p><b>CASE 52,272. Seminal Debility. Loss of Manhood. General weakness from
+excesses.</b></p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION: <i>Dear Sirs</i>&mdash;I took your
+medicines according to directions, and I feel that I am fully restored to
+health and the enjoyment of my manly powers. My health is better than it
+has been for years, and is improving all the time. The headache and
+dizziness have entirely left me. You have my honest recommendations to all
+sufferers.</p>
+
+<p>Thankfully yours, M., Hudson, N.Y.</p>
+
+
+<p><b>CASE 44,573. Impotency.</b></p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION: <i>Dear Sirs</i>&mdash;As a result of
+your three months' treatment, I am feeling better than I have for twenty
+years,&mdash;more of a man in every way.</p>
+
+<p>S., Prairie Star, Neb.</p>
+
+
+<p><b>CASE 56,811. Nervous Debility. Affection of several years' standing,
+permanently cured by one month's treatment.</b></p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION: <i>Dear Sirs</i>&mdash;Five years
+have elapsed since my case was cured by you with one month's treatment.
+Since that time I have not had the first symptom of the disease. I know I
+am cured.</p>
+
+<p>Yours with thanks, C., Kalamazoo, Mich.</p>
+
+
+<p><b>CASE 175,579. Emissions, Yellow Complexion, Black Heads and Eruptions
+on the face.</b></p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION:, <i>Gentlemen</i>&mdash;I am happy to
+say that I have not used all of the last month's medicine. The five months'
+treatment that I have had from you has effected my entire cure. I have had
+no losses for many weeks, and my complexion is restored to its natural
+clearness and purity. The black heads and pimples have all disappeared.</p>
+
+<p>K., Neillsville, Wis.</p>
+
+
+<p><b>CASE 21,437. Impotency.</b></p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION: <i>Dear Sirs</i>&mdash;I have, as a
+result of your treatment, been more of a man than before in six years. I
+have felt, worked, and eaten better than ever before. My strength is in
+every way fully restored.</p>
+
+<p>C., Jordanville, N.Y.</p>
+
+
+<p><b>CASE 38,005. Impotency.</b></p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION: <i>Dear Sirs</i>&mdash;When I first
+wrote you I had given up all hope of ever getting well. I had not worked
+for two years. I had not been under your treatment three months before I
+went to work, and have been at it ever since. I gain every day.</p>
+
+<p>C., Hinsdale, N.H.</p>
+
+
+<p><b>CASE 53,578. Spermatorrhea. Great loss of strength and flesh,
+appetite regular, sometimes ravenous and then very poor. Intellect and
+memory much enfeebled, the result of losses through the urine.</b></p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION: <i>Gentlemen</i>&mdash;The condition
+of my health is highly satisfactory, thank Heaven and you as the
+instrument. It has often been a cause of astonishment to me, to think now
+admirably your medicines controlled my cage; it seems wonderful even now. I
+say, with all my heart, God bless your noble work, for the cure of my
+disease and perfect restoration of my health and strength.</p>
+
+<p>A., Shongo, Allegany Co., N.Y.</p>
+
+
+<p><span class="pagenum"><a name="Page_793" id="Page_793"></a>[pg
+793]</span><b>CASE 52,920. Spermatorrhea, resulting in Dyspepsia and Heart
+Disease</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION: <i>Gentlemen</i>&mdash;I am gratified
+to be able to report my cure. My case was a severe one, the insidious drain
+upon my system producing general debility, attacks of severe palpitation of
+the heart, and obstinate dyspepsia. Since using your medicines, I have been
+cured of these troubles. I have no palpitation, digestion good, not easily
+worried, able to work hard without undue fatigue, strength greatly
+increased. My weight is now 163. I am thankful to God and to you for the
+evidence of my final cure.</p>
+
+<blockquote>
+<p>
+Yours devotedly,<br />
+R.<br />
+</p>
+</blockquote>
+
+
+<p><b>CASE 51,002. Spermatorrhea. Rheumatic pains, general loss of memory,
+strength, manliness, and intellectual power</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION: <i>Dear Sirs</i>&mdash;When I sent to
+you for medicines, I little expected the remarkable benefit that has
+resulted. The rheumatic pains that have so long troubled me, ceased within
+a week. I am now able to attend to my business with my former ability and
+energy. You have my gratitude for the cure effected in my case.</p>
+
+<blockquote>
+<p>
+Very respectfully,<br />
+P., Bloomington, Ill.<br />
+</p>
+</blockquote>
+
+
+<p><b>CASE 146,406. Spermatorrhea, with Dyspepsia, Catarrh, and
+Backache.</b></p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION: <i>Gentlemen</i>&mdash;I am happy to
+say that as a result of five months' treatment, the weakness of my urinary
+and generative organs has been entirely relieved. My catarrh is so much
+better. The difficulty in the head is now gone, and I have no discomfort.
+The weakness in the back, and pain in the kidneys, has all left me, and I
+rest well at night. There are now no unnatural discharges, and I am happy
+to say that your medicines have effected such a change in my condition that
+now I continue to improve all the time.</p>
+
+<blockquote>
+<p>
+D.,<br />
+Medusa, N.Y.<br />
+</p>
+</blockquote>
+
+
+<p><b>CASE 52,121. Spermatorrhea. Symptoms: Diurnal and nocturnal
+emissions, loss of sexual power and wasting of the organs, general
+depression and emaciation. Most severe form of the disease. Cure with three
+months' treatment</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION: <i>Dear Sirs</i>&mdash;I have waited
+several months and find my cure perfect and permanent. Thanks to you my
+health and manhood have been perfectly restored, and I am as fat as a
+bullock.</p>
+
+<blockquote>
+<p>
+S.,<br />
+Millbrook, Ont.<br />
+</p>
+</blockquote>
+
+
+<p><b>CASE 4,100. Spermatorrhea. Entirely broken down</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION: <i>Gentlemen</i>&mdash;Over eight
+years ago I visited you at your office this present month, very melancholy
+and thinking perhaps that in six months I would be lying in my cold and
+silent grave, and now I am strong and healthy. I never was so healthy in my
+life. Am married, and we have two of the nicest children you ever saw. I am
+the happiest man in town, and hope to ever be so. My sickness was
+contracted through ignorance and self-abuse. I am glad to say that I have
+had a permanent cure, and thank God. I feel grateful to you and thank you
+kindly.</p>
+
+<blockquote>
+<p>
+Yours very truly,<br />
+L., Barnes' Corners, N.Y.<br />
+</p>
+</blockquote>
+
+
+<p><b>CASE 52,004. Emissions. Loss of weight, strength, and mental
+power.</b></p>
+
+<p>WORLD'S DISPENSARY MEDICAL, ASSOCIATION: <i>Dear Sirs</i>&mdash;I received
+the month's treatment sent for, and took it. It worked like a charm. I have
+no more emissions, and my weight, energy and strength, are fully
+restored.</p>
+
+<blockquote>
+<p>
+R.,<br />
+Fort Collins, Colo.<br />
+</p>
+</blockquote>
+
+
+<p><b>CASE 53,859. Spermatorrhea. Five years' standing. Symptoms: Frequent
+nocturnal emissions, loss of memory, nervous, no energy or
+strength</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION: <i>Dear Sirs</i>&mdash;Pardon me for
+not sending you a report of my condition before this. Have been waiting to
+see if there would be any relapse. I am assured that my cure is complete
+and perfect. None of the symptoms of the disease remain. Your medicines I
+can recommend as the most powerful and direct to accomplish good I have
+ever taken. I feel it my duty now to give you my heart-felt acknowledgment
+for the good done me.</p>
+
+<blockquote>
+<p>
+Respectfully,<br />
+H. Goshen N.Y.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_794" id="Page_794"></a>[pg
+794]</span><b>CASE 38,973. Spermatorrhea. Extremely bad case</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION: <i>Gentlemen</i>&mdash;You have cured
+me sound and well of the terrible effects of early indiscretion. My case
+was worse than any I have ever read, and I never expected to get well. With
+eight months treatment taken at my home, I have been fully restored. You
+have my sincere and hearty thanks. C., Halifax, N.S.</p>
+
+
+<p><b>CASE 70,648. Spermatorrhea and Threatened Impotency</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION: <i>My Dear
+Benefactors</i>&mdash;Please accept my sincere thanks. Words at my command are
+inadequate to express my feelings when I realize the great beneficial
+features of your most excellent remedy. I have spoken to several of my most
+intimate friends who are similarly affected, and after I took the first
+dose I was completely relieved, and the flesh I gained was in such
+abundance that I was scarcely identified by them. I gave part of your
+<i>par excellence</i> medicine to a bosom companion of mine, named &mdash;&mdash;. He
+became convalescent, but desires another bottle. Write to him at once. Your
+name will be held in the highest esteem by these invalids, and by</p>
+
+<blockquote>
+<p>
+Yours respectfully, H., Cincinnati, Ohio.<br />
+</p>
+</blockquote>
+
+
+<p><b>CASE 143,838. Spermatorrhea, with Paralysis and Dyspepsia</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION: <i>Sirs</i>&mdash;Your treatment
+worked like a charm with me. Before I sent to you I consulted my family
+doctor, and asked him what he thought of my case. To give you his own
+words, he said. "J., I think you will be an entire cripple." I then thought
+I would write to you. I had not taken more than three months' medicine when
+I was out in the harvest field. I sleep all night, have a good appetite, my
+back has got well, and I can lay all night. My limbs are stronger, and my
+nerves are again all right. Upon the whole I am a new man, and my mental
+powers are much relieved. In eighteen months from the time I placed my case
+under your treatment, I was better than I had been in ten years, and feel
+like myself.</p>
+
+<blockquote>
+<p>
+Yours truly, J., Peru Mills, Pa.<br />
+</p>
+</blockquote>
+
+
+<p><b>CASE 93,264. Seminal Weakness</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:
+<i>Gentlemen</i>&mdash;Allow me most sincerely to thank you for the great
+benefit I have derived from your two months' treatment. When I first wrote
+to you I felt as if my life on earth was short, indeed; but, thank God,
+through His help and yours, I have been saved from filling an early grave
+as the results of self-abuse. Before I began treatment I was pale and
+sickly; I had palpitation of the heart so bad that I often expected to drop
+dead in the street; I had loss of voice; always felt tired; I had
+involuntary emissions of semen in the night, which always made me feel weak
+through the next day; whilst quite often my mind was filled with suicidal
+thoughts. Such was the price I was compelled to pay for violating the laws
+of God and nature. Now every thing is changed. I thank you a thousand
+times, Doctor, for the great good you nave done me. May God bless you. I
+shall always be pleased to recommend your treatment to everybody, and I
+will cheerfully answer any communication that I may receive in relation to
+this. W., Lynn, Mass.</p>
+
+
+<p><b>CASE 140,948. Spermatorrhea</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.: <i>Dear
+Sirs</i>&mdash;I believe myself to be free of the trouble for which you have
+been treating me. It seems too good to be true, yet I feel satisfied that I
+am more of a man than ever before in my life. I have not the time nor
+ability to thank you in the high-flown language peculiar to testimonial
+writers, but suffice it to say that I am.</p>
+
+<blockquote>
+<p>
+Most gratefully yours, S.<br />
+</p>
+</blockquote>
+
+
+<p><b>CASE 44,464. Nervous Prostration</b>.</p>
+
+<p>This gentleman, engaged as the head of a large academy, suffered
+severely from mental depression, weakened memory, nervous exhaustion, and
+lack of intellectual power, the result of the delicate drain upon the
+nervous system and his severe labors. We append his letter after four
+months' treatment:</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION: <i>Gentlemen</i>&mdash;My friends all
+notice and speak of my decided improvement. My health and faculties are
+again as they were years ago. Yours, H., Philadelphia, Penn'a.</p>
+
+
+<p><b>CASE 33,928. Spermatorrhea, resulting in Consumption</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION: <i>Dear Sirs</i>&mdash;I would have
+been beyond the reach of aid now but for your treatment. I am now enjoying
+perfect health. Yours gratefully. H., Gillie's Hill Ont.</p>
+
+
+<p><span class="pagenum"><a name="Page_795" id="Page_795"></a>[pg
+795]</span><b>CASE 42,921. Spermatorrhea, resulting in Dyspepsia and
+decided loss of strength</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION: <i>Gentlemen</i>&mdash;I am deeply
+indebted to you. The disagreeable head symptoms, dyspepsia and weakness are
+all gone. I can now eat and digest as hearty a meal as any one, and feel
+well, healthful and energetic. Never have any losses. I was very sick when
+I commenced treatment, but was speedily relieved.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+S., Charles River Village, Mass.<br />
+</p>
+</blockquote>
+
+
+<p><b>CASE 44,866. Spermatorrhea, with marked loss of memory, health, and
+tone of system</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION: <i>Gentlemen</i>&mdash;I took
+treatment of you last summer. The improvement was marked, and I have
+continued to grow healthier and stronger, notwithstanding I have been busy
+all the time and nave studied very hard. Do not get fatigued as before. I
+read six orations of CICERO in seven weeks and passed with honor a very
+close examination. My limbs are solid and strong, whereas before I was
+weak, and my flesh cold, soft, and clammy. I am in college working hard.
+Truly, P.</p>
+
+
+<p><b>CASE 147,411. Approaching Impotency. Renewed health after five
+months' treatment</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION: <i>Gentlemen</i>&mdash;I can
+gratefully say I am feeling like a new man since taking your prescription
+for seminal weakness. While I was in the West two months, my wife received
+two months' treatment from you, and on my return home, to my greatest
+satisfaction, her cheeks were as red as roses and her health greatly
+improved, for which accept our profound thanks. May your honored President
+live long and do good unto the sons and daughters of afflicted humanity, is
+our prayer. W., Aral, Va.</p>
+
+
+<p><b>CASE 44,198. Nervous Prostration, caused by Self-abuse.</b></p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION: <i>Gentlemen</i>&mdash;Your kindness
+to me I can never forget. I cannot express half my feelings of gratefulness
+to you. I had despaired of ever getting well. Thanks to your skill I am now
+a new being. Yours very truly, B., Steuben County, N.Y.</p>
+
+
+<p><b>CASE 53,816. Nervous Debility, caused by Self-abuse.</b></p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION: <i>Gentlemen</i>&mdash;My health has
+improved so that I no longer need treatment. You have my heart-felt thanks
+for the good you have done me, and may you have as good success in treating
+the hundreds of others as you have had in mine. I remain yours very truly,
+K., Hartford, Conn.</p>
+
+
+<p><b>CASE 53,913. Nervous Debility and Impotency</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION: <i>Gentlemen</i>&mdash;I shall ever
+remember you with gratitude. My relief is perfect and permanent. I feel
+<i>so</i> much better. I remain yours truly, J., Jacksonville, Ill.</p>
+
+
+<p><b>CASE 254,484. Spermatorrhea; General Debility</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION: <i>Gentlemen</i>&mdash;I am happy to
+say that your medicines and treatment are always ahead of what they are
+represented, and I hope you will accept my deep and sincere thanks for the
+good you have done me. My weakness and debility have entirely disappeared,
+and I can say that the expense of the six months' treatment I received from
+you, has been repaid a hundredfold, by the benefits it has effected in my
+condition. F., Starkey, N.Y.</p>
+
+
+<p><b>CASE 54,803. Nervous Debility and Impotency</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION: <i>Gentlemen</i>&mdash;I have taken
+the last of the medicine which you sent me, and feel satisfied it has
+entirely cured me. I return my thanks to you for the good you have done me.
+F., East Liverpool, Ohio.</p>
+
+
+<p><b>CASE 69,116. Seminal Weakness, with Cancerous Testicle</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION: <i>Gentlemen</i>&mdash;It has now
+been over two years since you treated me and found it necessary to remove
+one testicle on account of cancerous disease, that must soon have destroyed
+life had the operation not been performed. T feel myself a strong, healthy
+man, having had no symptoms of the seminal weakness for months past. Yours,
+P., Pittsburgh. Penn's.</p>
+
+
+<p><span class="pagenum"><a name="Page_796" id="Page_796"></a>[pg
+796]</span><b>CASE 51,417. Impotency</b>.</p>
+
+<p>I am getting along so well with the medicine that I am a standing wonder
+to my friends, and I shall not cease, while life lasts, to praise the skill
+that has brought about such miraculous results.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+K., Chillicothe, Ohio.<br />
+</p>
+</blockquote>
+
+
+<p><b>CASE 67,004. Impotency</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION: <i>Gentlemen</i>&mdash;I am only too
+happy to say that I have fully recovered my powers in every particular
+since placing myself under your treatment. I would not take $5,000 for the
+good you have done me. I am only sorry that I did not go to you before
+wasting time and money on the quacks connected with that "Museum of
+Anatomy" in New York.</p>
+
+<blockquote>
+<p>
+T., Philadelphia, Penn'a.<br />
+</p>
+</blockquote>
+
+
+<p><b>CASE 67,208. Spermatorrhea</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION: <i>Gentlemen</i>&mdash;When placing
+myself under your treatment, I was told that my case being an exceedingly
+bad one, it would probably require six months in which to effect a perfect
+cure. After taking your remedies four months I found myself in perfect
+health, and have remained so ever since. I cannot express the gratitude I
+feel for you, and can never half repay the debt of gratitude I owe you. I
+have given your pamphlet,-"Abuse of the Male Generative Organs and the
+Diseases to which it Gives Rise," to quite a number of young men whom I had
+reason to suspect it might benefit.</p>
+
+<blockquote>
+<p>
+Gratefully yours, T., Norfolk, Virginia.<br />
+</p>
+</blockquote>
+
+
+<p><b>CASE 67,070. Spermatorrhea</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION: <i>Gentlemen</i>&mdash;I have now
+returned home a now man, after four months' treatment from you. I need no
+more medicines now. I would urge all suffering to go to you for help.
+Thanking you for your services,</p>
+
+<blockquote>
+<p>
+I remain yours truly,<br />
+R., Bunch, Iowa.<br />
+</p>
+</blockquote>
+
+
+<p><b>CASE 431,637. Impotency, with Nervous Debility and Liver
+Disease.</b></p>
+
+<p>This gentleman applied for the relief of the following symptoms:
+Exhausting and frequent seminal emissions, losses in the urine, want of
+manly strength, nervous prostration, indigestion, torpid condition of the
+liver, headache, nausea, and constipation. After a course of five months'
+treatment he writes:</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION: <i>Gentlemen</i>&mdash;I am very
+grateful to you for the good you have done me, and I feel like a man now.
+It is sometime since I left off medicine. I have continued to improve, and
+I feel better than I have for years before treatment. I am happy at the
+restoration of my health and vigor. I shall recommend you to all sufferers.
+Hoping you will continue to be successful.</p>
+
+<blockquote>
+<p>
+I remain,<br />
+Yours truly,<br />
+P., Canaan, Conn.<br />
+</p>
+</blockquote>
+
+
+<p><b>CASE 111,489. Seminal Emissions, Loss of Memory and General
+Decline.</b></p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:
+<i>Gentlemen</i>&mdash;Inclosed please find money for my last supply of
+medicines. You seem to understand my condition thoroughly. My color,
+appetite, and strength have improved wonderfully, and my sleep is sound,
+undisturbed and refreshing. Under the influence of your medicines I have
+completely recovered my mental and physical powers, and I feel that I am
+able to discontinue further treatment. The emissions have become less and
+less frequent until now they do not trouble me at all.</p>
+
+<blockquote>
+<p>
+I remain, yours truly, H., Eagle Springs, Coryell Co., Tex.<br />
+</p>
+</blockquote>
+
+
+<p><b>CASE 51,203. Spermatorrhea. Perfect Cure. His letter before
+treatment, and after</b>.</p>
+
+<p>(First letter.)</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION: <i>Dear Sirs</i>&mdash;It was my
+pleasant privilege to read concerning your skill in the treatment of all
+kinds of diseases, and concerning your reputation, which is most justly
+merited. Encouraged by these facts to place explicit confidence in you. I
+beg leave to state my own case as clearly as I may be able. It is as sad as
+it is fatal if no thorough cure can be effected. I have from my twelfth
+year onward been practicing, though not excessively, the evil,
+<i>self-abuse.</i> Although I have been led to abandon the pernicious habit
+for several years, my age being twenty-four, the horrible effects have not
+disappeared. The serious result is that I am suffering from spermatorrhea.
+An involuntary discharge of the seminal fluid occurs invariably once, not
+infrequently twice, every week during sleep. The genital organs have become
+diminished in <span class="pagenum"><a name="Page_797"
+id="Page_797"></a>[pg 797]</span>size. I will proceed to state the symptoms
+which I have been able to observe. They are&mdash;disposition to solitude,
+inaptitude for study, indolence, forgetfulness, melancholy, weakness in the
+back (especially perceptible after standing), a lack of confidence in my
+own ability, want of energy, sometimes pain in the chest, elbow, arm,
+knees, and loins. Uneasy nights, disturbed and highly disagreeable dreams
+becoming more and more irritating as the time for the discharge of the
+seminal fluid draws nearer, also a desire to lie longer in bed in the
+morning.</p>
+
+<p>Now, dear Doctors, permit me to ask your kind advice as to what means
+are to be taken. I have tried numerous remedies for more than a year, but
+to no effect. My suffering grows severer. Please reply as speedily as you
+may be able. If you be so kind as to honor me with an answer, please state
+the amount of money needed for your services, which shall be forwarded at
+once. Please find inclosed one dollar, remuneration for your kind
+services.</p>
+
+<blockquote>
+<p>
+Very respectfully,<br />
+M., Wheeling, Cook Co., Ill.<br />
+</p>
+</blockquote>
+
+<p>(At the close of treatment.)</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION: <i>Gentlemen</i>&mdash;I have
+finished the eight months' treatment; had I been able to follow the
+directions more closely, three months' treatment would have effected a
+permanent cure of my case. Now I am well, body strengthened, mind
+invigorated, memory revived, energy to work restored, cheerfulness and
+bright hopes, once altogether lost, are now fully regained. Indeed, I feel
+like a new being. And now, dear Doctors, in closing our important
+correspondence, permit me to render my heart-felt thanks for your kindness
+to me, and for the benefit received from your invaluable treatment. Adieu;
+may God grant you a long life, that you may benefit many an afflicted
+one.</p>
+
+<blockquote>
+<p>
+Very truly yours, M., Wheeling, Cook Co., Ill<br />
+</p>
+</blockquote>
+
+
+<p><b>CASE 464,255. Masturbation. Loss of flesh and mental power.</b></p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION: <i>Gentlemen</i>&mdash;After three
+months of your treatment, I find myself cured of one of the worst habits
+that it has ever been the lot of man to fall into. My whole system is
+invigorated; I have no more weak back nor legs; no more emissions; my
+strength is greatly increased, and my weight is more than it has ever been
+before. The dull, heavy feeling in my head is entirely past, and I can
+truly say that I feel like a new man. Hoping you will do as much good in
+the future as you have in the past, is the wish of, Yours truly, B.,
+Holyoke, Mass.</p>
+
+
+<p><b>CASE 91,656. Spermatorrhea. Obstinate case of eight years'
+standing.</b></p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:
+<i>Gentlemen</i>&mdash;I have taken seven months' treatment from you, and to-day
+I am a well man. My friends are surprised at the great change which has
+taken place in me. The emissions have ceased entirely, and I am strong and
+well. I am a thousand times obliged to you for the good your treatment has
+done for me.</p>
+
+<blockquote>
+<p>
+Respectfully yours, U., Topeka, Kansas.<br />
+</p>
+</blockquote>
+
+
+<p><b>CASE 461,306. Onanism. Melancholia; contemplated suicide.</b></p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION: <i>Gentlemen</i>&mdash;Having waited
+several weeks after finishing the last medicine, to see if there would be
+any relapse, I now send you a report of treatment. I believe I am
+thoroughly cured, not only of poor health, but of all desire to abuse
+myself. I have regained health, spirits, and confidence. Am married,
+something I have long desired, but never before dared to attempt. Please
+accept my sincere thanks, gentlemen. Your medicine has saved me from a
+suicide's grave.</p>
+
+<blockquote>
+<p>
+H., Denver, Col.<br />
+</p>
+</blockquote>
+
+
+<p><b>CASE 110,838. Seminal Weakness and Fistula in Ano.</b></p>
+
+<p>A case of anal fistula that had been unsuccessfully treated by
+Prof. &mdash;&mdash;, of Nashville, who had operated with the knife. He had also been
+unsuccessfully treated by several home physicians who stated that his
+symptoms of spermatorrhea were all that could be described, and more too.
+The sensations of crawling and itching in the rectum were very severe, and
+as a result of weakness there was a serious palpitation of the heart, and
+general debility. The generative organs were unduly excitable and weak. He
+complained of weakness in the rectum and loins, with irregularity of the
+bowels, trembling and weakness of the entire system. There was profuse
+discharge from the fistula and also from the urethra. We undertook his case
+without making any promises of a radical cure, as it seemed that the
+disease had progressed so that it would be impossible to effect more than
+satisfactory improvement in his general condition, and a palliation of the
+symptoms of disease. At the end of seven months' treatment he writes as
+follows:</p>
+
+
+<p><b>WORLD'S DISPENSARY MEDICAL ASSOCIATION:</b> <i>Gentlemen</i>&mdash;The
+result of the <span class="pagenum"><a name="Page_798"
+id="Page_798"></a>[pg 798]</span>treatment you have sent me is a permanent
+cure of the fistula beyond a doubt, and in a magical manner. My heart is
+very much improved, so that it does not trouble me in the least. My health
+is perfect in every way. It is unnecessary for me to order any more
+medicines, but should I think at any time that a little is required to keep
+me in good health, I will order at once. I think that I am entirely through
+with the fistula and sympathetic weakness, and I can truly say that your
+remedies delivered me from the jaws of death. With sincere thanks to you, I
+am, yours for ever. D.</p>
+
+
+<p><b>CASE 140,056. Spermatorrhea</b>.</p>
+
+<p>The following long-standing and aggravated case of seminal debility
+began to yield at once under the specific influence of our medicines.
+Frequent nocturnal emissions were present, and the semen also passed off,
+unobserved and unsuspected, in the urine; of course a ceaseless vital drain
+of this character began quickly and profoundly to impress the constitution,
+so that when the patient under consideration applied to us for relief, the
+most unmistakable symptoms of commencing organic disease of the heart and
+lungs had plainly declared themselves to be present. Like many hundreds, of
+similar cases which we cure annually, the disease yielded promptly and
+perfectly to the well-directed efforts of our specialist in this important
+branch of practice; indeed, so easy, swift and perfect was the cure that
+the patient failed to realize the necessity of continuing the treatment a
+few weeks in order to insure himself against the possibility of a relapse,
+and discontinued his correspondence with us, whereas it is in precisely
+such cases that we recommend the treatment to be not too abruptly
+discontinued.</p>
+
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:
+<i>Gentlemen</i>&mdash;Your kind favor, thoughtfully inquiring after my health,
+came duly to hand. In answer, permit me to say that it was not my intention
+to take further treatment as I considered my cure to be perfect, all local
+and general symptoms having wholly subsided before I had finished the
+month's course, and thus far manifesting no disposition to return. However,
+in the light of your wisdom and experience, I have reconsidered the matter
+and now believe with you that another month's course of treatment is
+advisable, in order effectually to guard against the possibility of a
+relapse. I accordingly inclose you the price of the additional month's
+course. The second morning after commencing the use of your medicines I
+awoke refreshed in body and mind, and this experience has been repeated
+every morning since. The emissions were arrested at once, and I have not
+had a single unnatural discharge since, except once when I experienced a
+slight nocturnal emission, which, however, was followed by no depressing
+after-effects, but altogether the reverse. I feel so much stronger and
+better in all respects that It is a positive pleasure for me to do a hard
+day's work now.</p>
+
+<blockquote>
+<p>
+Respectfully, B., Crystal Lake, Wis.<br />
+</p>
+</blockquote>
+
+
+<p><b>CASE 86,291.</b></p>
+
+<p>This gentleman had suffered during eleven years from seminal weakness as
+the result of indiscretions in youth; nocturnal emissions were present, and
+there was also a seminal loss with the urine, and at stool; the patient's
+memory was greatly impaired and his mind otherwise affected from the vital
+drain; he was dyspeptic, his bowels were costive, and threatening symptoms
+of consumption had already begun to manifest themselves when he came under
+our care. Two months of our special treatment, at the patient's home,
+effected a perfect and permanent cure, and completely arrested all abnormal
+seminal losses. The following grateful letter is from the gentleman in
+question:</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:
+<i>Gentlemen</i>&mdash;Permit me to say that, six months after having
+discontinued your treatment, my cure remains perfect. This great permanent
+and enduring benefit was secured to me through only two months of your
+skillful treatment and careful management of my case. Your medicines had a
+wonderful control over my disease, driving away its terrible symptoms as if
+by magic; they imparted to me a new power, filled my body and mind with
+unusual vigor, and transformed me from one racked with pain and living
+death or worse, to a full measure of health and happiness. I feel that if I
+had not been opportunely and successfully treated by you, that my life
+would have been permanently blighted, and that the happy and contented mind
+that now inspires these lines would ere this have been dethroned of reason.
+I feel that you have been my savior. I have not had a single nocturnal
+emission since leaving your treatment, six months ago. Thanking you,
+gentlemen, from the depths of a grateful heart, I remain.</p>
+
+<blockquote>
+<p>
+Your obedient servant, G., Cayuta, Schuyler Co., N.Y.<br />
+</p>
+</blockquote>
+
+<hr />
+
+<p>Did the interest of our readers demand it, we could add to the preceding
+list an almost endless number of extracts from letters written by grateful
+patients, expressing their heart-felt thanks for having been <span
+class="pagenum"><a name="Page_799" id="Page_799"></a>[pg 799]</span>cured
+of spermatorrhea and impotency by our treatment. But we have we trust given
+sufficient to illustrate our great success in dealing with these
+maladies.</p>
+
+<p><b>A Caution to the Afflicted</b>. We are daily consulted by persons
+suffering from spermatorrhea and impotency who have been victimized by
+ignorant charlatans. Some seek to dupe and swindle the unwary by claiming
+to have themselves been cured of spermatorrhea or impotency by some
+prescription, which they offer to send free to any sufferer. When the
+prescription is obtained it is found to consist of a few articles
+well-known to every druggist, coupled with certain arbitrary and fictitious
+terms, unknown to everybody and not to be found in any medical work extant.
+Following the prescription is a modest suggestion that if it cannot be
+filled by the home druggist, the benevolently-disposed party furnishing the
+prescription will be pleased to send the medicine, already prepared, for
+from three to five dollars. Of course, the whole scheme from beginning to
+end being a swindle, when the "medicine" is obtained and taken it proves
+entirely useless. Skill and genuine merit do not go begging. Men who spend
+hundreds of dollars for the publication of advertisements offering to give
+away valuable information can always be safely set down as swindlers.</p>
+
+<p>In the public prints will be found advertised various ready prepared,
+"put-up," or proprietary, so-called "remedies," "Specifics," "Boluses,"
+"Pastiles," "Rectal Pearls," "Urethral Crayons," "Voltaic Belts," "Galvanic
+Belts," "Batteries," and "Pads," all recommended as infallible remedies for
+spermatorrhea and impotency.</p>
+
+<p>A vast experience in the treatment of these affections has satisfied us
+that each case must be studied and treated according to the symptoms
+manifested, and that medicines that are adapted to one stage of the disease
+are entirely unsuited to other stages of the same case. No "Pad" or
+"Battery and Pad," "Galvanic" or "Voltaic Belts," "Battery," "Bolus," or
+"Soluble Crayon," ever did or can help a case of this disease, except it be
+in the imagination. Although the proprietors of the most popular
+proprietary medicines in the market, medicines carefully adapted to the
+cure of the diseases for which they are recommended, yet, should we attempt
+to get up a general remedy to cure spermatorrhea and kindred maladies, we
+are certain it would be an utter failure, and this is entirely true of all
+such preparations now and heretofore offered for sale, and, from the very
+nature of the diseases they are recommended to cure, ever must be. Each
+case must have medicines carefully prepared to meet the conditions present,
+and when these conditions, from the effects of treatment or other causes,
+change, the treatment must be varied accordingly.</p>
+
+<p><b>Positive Injury</b> instead of benefit often results from the
+employment of some of the nostrums advertised for the cure of
+spermatorrhea, impotency and kindred affections. Especially have we found
+that the use of "Soluble Urethral Crayons," "Boluses," "Pastiles", <span
+class="pagenum"><a name="Page_800" id="Page_800"></a>[pg 800]</span>and
+kindred contrivances, which are so extensively advertised, are exceedingly
+injurious, and often render otherwise moderate and simple cases,
+complicated and incurable.</p>
+
+<p>Although of pretended French origin, they are evidently the invention of
+an ignoramus, who knows nothing of the delicate anatomy of the generative
+organs or of the proper treatment of the diseases incident thereto, for
+none other would have thought of such a preposterous plan of treatment. No
+man should insert such absurdly devised and mischief breeding contrivances
+into his urethra (urinary canal), for thereby he is almost sure to do
+himself a permanent injury. So far from having been invented by an eminent
+French surgeon, as claimed, such treatment is entirely unknown in France,
+and ever has been, as the writer well knows from personal observation and
+enquiry while sojourning in that country and visiting its most noted
+hospitals and medical institutions.</p>
+
+<p>All the various "Troches," "Boluses," "Wafers," "Suppositories,"
+"Pearls," "Rectal Pearls," "Rectal Capsules," and other contrivances which
+are recommended for the cure of Spermatorrhea and kindred weaknesses, and
+which are designed to be employed by inserting them into the lower bowel
+(rectum), and there permitting them to dissolve, are only so many
+irrational and filthy devices for duping the ignorant and innocent
+sufferers from these maladies.</p>
+
+<p><b>An Alluring Swindle</b>. A still more enticing, and hence more
+dangerous, device for swindling unfortunate sufferers, is the widely
+advertised "Vacuum Treatment" or "appliance" so loudly and plausibly
+recommended for "Developing weak and wasted organs." A simple, little,
+brass air pump, connected with a glass tube, or cylinder, fitted with a
+valve at one end, which costs not to exceed one dollar and a half, is the
+worthless device palmed off on the confiding ones <i>at from fifteen to
+thirty dollars</i>. This is done under the <i>false pretense</i> that its
+daily use to pump blood into the weak or wasted organs, will cause their
+development and growth.</p>
+
+<p>Thousands have invested their hard earned cash in this worse than
+worthless, injurious, contrivance. In fact the head of the concern putting
+out this alluring device is said to have amassed a fortune out of the
+nefarious business.</p>
+
+<p>So far from benefiting any one, out of several hundreds of cases that
+have come under our personal observation, in which this apparatus has been
+faithfully used for a long period of time, we have never met with a single
+case that had derived the slightest benefit therefrom. On the contrary, we
+have been called upon to examine many who had been <i>seriously injured</i>
+by its use.</p>
+
+<p>The sudden congestion or filling and over-distention of the delicate
+blood-vessels of the organ operated upon, caused by placing it in a vacuum,
+is liable to rupture these minute vessels, causing the infiltration of
+blood into the tissues and giving rise to inflammation, and in some cases,
+to <i>suppuration, mortification, sloughing</i> and <i>death</i>.</p>
+
+<p><span class="pagenum"><a name="Page_801" id="Page_801"></a>[pg
+801]</span>In other cases, the blood-vessels of the organ and adjacent
+parts are so weakened by the <i>strain</i> put upon them as to induce
+varicocele and other diseased conditions. In spermatorrhea, it is the worst
+possible thing that can be applied, for by forcing an undue amount of blood
+into the part the sensitiveness of the organ is increased, irritation is
+set up in the deep urethra, and the emissions are increased in frequency.
+In this, and other ways, hundreds of men but slightly out of health have
+been permanently injured.</p>
+
+<p>But this is only a small part of the story connected with the
+reprehensible business of palming off "The Vacuum Developing and
+Strengthening Appliance." The precious rascals, not content with making
+from a thousand to fifteen hundred per cent. profit on the miserable device
+furnished, while advertising fifteen dollars ($15.00) as the price of the
+"appliance" and "accompanying preparations," for "<i>ordinary cases</i>,"
+make a general practice, when they have secured the fifteen dollars
+($15.00), of sending it by express <i>with a bill to be collected on
+delivery</i> FOR FIFTEEN DOLLARS ($15.00) MORE. With this bill they send an
+explanation, that "on re-examining the case" they "found it necessary, or
+thought it advisable, to send their stronger and more expensive
+preparations and appliances <i>for the worst cases</i> AND SO HAVE CHARGED
+FIFTEEN DOLLARS ($15.00) MORE TO COVER THE EXTRA EXPENSE."</p>
+
+<p>It is astonishing that there are those who can be induced to part with
+their money for such claptrap devices, and still more so that having been
+duped and swindled out of their hard earned money through false pretenses
+and promises of benefit held out to them, they should submit quietly to
+such extortion and not have the swindlers arrested and prosecuted for
+obtaining money under false pretenses as they richly deserve. For what
+crime can be more deserving of punishment than the holding out of false
+hopes and pretenses to the unfortunate? Employing the United States mails
+for swindling is a pretty dangerous business, and sooner or later these
+rascals will, we predict, find it out to their sorrow. They are pretty sure
+to get hold of some men, ere long, who will invoke the aid of the United
+States District Attorney to bring them to justice.</p>
+
+<p><b>Young Man</b>, if you have, through ignorance, fallen into practices
+that have arrested your physical growth and development in any of your
+organs or parts, shun all such unscientific and worse than worthless
+contrivances as you would shun a pestilence. No matter how plausible the
+web of arguments woven to entrap you, be assured, they are the utterance of
+knaves who care not what false hopes they encourage so they secure your
+money.</p>
+
+<p>Consult only those whose well known skill, experience and integrity will
+insure honest dealings and the most scientific treatment known to the
+"healing art," and who supply the latter at reasonable cost.</p>
+
+<p>Be assured also, that when, through proper treatment, your weakness and
+functional derangements are overcome, the parts that have suffered <span
+class="pagenum"><a name="Page_802" id="Page_802"></a>[pg
+802]</span>therefrom, will regain all the strength and development possible
+to impart to them through the aid of the physician's skill. Nature often
+accomplishes wonders in this direction, when aided by the skillful
+practitioner.</p>
+
+<p><span class="pagenum"><a name="Page_803" id="Page_803"></a>[pg
+803]</span></p><hr />
+
+
+
+
+<h2>VARICOCELE;</h2>
+
+<h3><i>OR, ENLARGED VEINS OF THE SCROTUM SOMETIMES CALLED FALSE
+RUPTURE</i></h3>
+
+
+<p>Probably no affection of the generative organs has been given more
+attention by surgeons than this. Its great frequency, being present in
+about one-third of all cases of spermatorrhea, and its disposition to
+result in impotency and wasting away of the testicles, bring it constantly
+before the profession.</p>
+
+
+
+<p class="lfigure"><a name="advise577"><img width="90%" alt="Illustration:
+Fig. 1. A healthy testicle." src="images/advise577.png" /></a><br />Fig. 1.
+A healthy testicle.</p>
+
+
+
+<p class="rfigure"><a name="advise578"><img width="90%" alt="Illustration:
+Fig. 2. Testicle wasted from Varicocele. The enlarged and torturous veins
+are shown to be about as large as the testicle." src="images/advise578.png"
+/></a><br />Fig. 2. Testicle wasted from Varicocele. The enlarged and
+torturous veins are shown to be about as large as the testicle.</p>
+
+<p><b>Causes</b>.&mdash;Varicocele commonly results from long continued
+fatiguing exercise, in the upright position, heavy lifting, jumping,
+straining, severe constipation, injuries from horseback riding, bicycle
+riding, especially the latter, or any obstruction or obstacle to the free
+return of blood through the spermatic veins. Self abuse and excessive
+sexual indulgence are also prolific causes of varicocele.</p>
+
+<p>When the spermatic veins are over-distended to such an extent that their
+tonicity is impaired, they gradually lose their capacity for transmitting
+the blood, and a slowly increasing enlargement and tortuously of veins
+results. This goes on, becoming steadily more marked, until the pressure of
+the engorged vessels upon the spermatic cord impedes the full circulation
+of blood in the testicle and causes a wasting and softening of this gland.
+A loss of sexual power and increasing weakness of the generative organs
+generally follow this gradual destruction of the testicle, and sometimes
+total and incurable impotency results.</p>
+
+<p>This affection is also designated by the terms <i>circocele</i> and
+<i>spermatocele</i>. It consists of an enlargement or varicose condition of
+the veins of the scrotum or spermatic cord, and affects the left side more
+frequently than the right. This is due to the fact that the spermatic veins
+of that side are longer, more dependent and tortuous, and, consequently,
+support a greater column of blood than the other side. The enlarged veins
+feel like a bundle of earth-worms. The knotty and <span class="pagenum"><a
+name="Page_804" id="Page_804"></a>[pg 804]</span>tortuous vessels sometimes
+form quite a large tumor, which is, now ever, but rarely sensitive to the
+touch, yet sometimes causes a feeling of weight in the scrotum and loins,
+and sometimes produces a sensation of numbness in the thighs.</p>
+
+
+
+<p class="figure"><a name="advise579"><img width="40%" alt="Illustration:
+Fig. 3. Well developed Varicocele." src="images/advise579.png" /></a><br
+/>Fig. 3. Well developed Varicocele.</p>
+
+<p>When varicocele of an aggravated or largely developed type is present,
+associated with any weakness of the generative organs, as spermatorrhea or
+impotency, it must be cured before the organs can regain a healthy
+condition, as by the constant pressure of the abnormal quantity of blood
+and enlarged veins upon the spermatic cord, arteries, and testicles, the
+irritability, weakness, and wasting, are increased. The use of suspensory
+bandages, with strongly astringent lotions, will, in mild cases, produce
+relief and many times cure. Except in the worst cases, it is well to try
+these means before resort is had to operative surgical treatment, unless
+the patient is anxious to be cured in a more speedy manner. The treatment
+by suspensory bandage and lotions is necessarily somewhat slow in producing
+remedial results; yet, many quite well marked cases have, in our
+experience, been cured by such means perseveringly applied. Although many
+who have been unable to come to us for an operation, have been cured by
+suspensory bandages and our improved lotions applied to the affected parts,
+in all cases in which the veins are very much enlarged, we recommend the
+sufferers to come here and undergo our surgical treatment, which is
+painless in its execution and radical in its results.</p>
+
+<p>It has been recognized by physicians and surgeons for over a century,
+that in bad cases of varicocele a cure can only be certainly and
+permanently effected by operation. Many have been the methods of operation
+advanced by the prominent surgeons of every age, but all have met with such
+an alarming mortality, that they have been one by one abandoned, except as
+a last resort in extremely bad cases. A late author gives the percentage of
+deaths from the various old operations, now in general use throughout this
+country and Europe, as varying from seven to fifteen per cent. of all
+cases. In contrast to this, we point with pride to our records, by which we
+are shown to have operated upon over a thousand cases by our original
+method, obtaining in each and every instance a perfect cure, without a
+single alarming symptom or a death ensuing. This we think is sufficient
+evidence of <span class="pagenum"><a name="Page_805" id="Page_805"></a>[pg
+805]</span>the perfect safety of the operation and its superiority over
+every other method. So every sufferer with the disease, we would recommend
+it as a positive means of securing a permanent cure. Various worse than
+useless devices are advertised by quacks, who, as a class, are afraid to
+undertake surgical treatment for the cure of varicocele. One has what he
+calls a "varix clamp," or "clasp," to be worn upon the enlarged veins. Many
+"compressors" and other equally useless devices are advertised and sold for
+the same purpose. These are not only perfectly worthless, but positively
+dangerous in their application. The pressure they make upon the spermatic
+cord, nerves, and artery, is very apt to result in impotency and a rapid
+wasting away of the testicles. Patients should avoid all the catch-penny
+devices recommended for varicocele, as none of them are worth a moment's
+consideration.</p>
+
+<p>Even a moderate degree of morbid enlargement of the spermatic veins will
+sometimes cause such engorgement and obstruction to the free circulation of
+the blood in the testicle, as to cause gradual wasting or shriveling of
+that organ. In some cases the morbid condition will give rise to seminal
+weakness, or spermatorrhea. Many of these cases that can only be cured by
+surgery, are trifled with by quacks, who attribute the spermatorrhea, or
+loss of semen, to everything else than its true cause&mdash;varicocele.</p>
+
+<p>To illustrate, Mr. B., of Colorado, applied at the Invalids' Hotel and
+Surgical Institute, a few years ago, and said he had for five years been
+troubled with nightly emissions of semen and his testicles were gradually
+wasting away. He had been under the treatment of men making great
+pretensions as specialists, to whom he had paid several hundred dollars in
+the vain hope of getting cured of spermatorrhea. They treated him with
+medicines only, and did him no good whatever. On examination, we found a
+very varicose or enlarged condition of the left spermatic veins, and gave
+it as our opinion that the seminal loss was wholly due to this abnormal
+condition and could only be cured by an operation that would remove the
+varicocele. The operation was promptly performed. In two days he was able
+to leave his bed, and in a week started home to Colorado. Some months
+thereafter we received a letter from him wherein he said: "The enlarged
+veins continued to absorb and grow less and less, until, in a few weeks'
+time, all unnatural enlargement had disappeared. With a steady improvement
+in the condition of the veins, I experienced corresponding improvement in
+my general health, and the seminal losses grew less and less, and finally,
+long ago, disappeared entirely. I feel that my manhood, with all the powers
+that should belong thereto, are mine to enjoy. In other words, my
+restoration to health is complete. Had I saved the large amount of money
+that I fooled away on those quacks, and given it all to you, I feel that
+you would then have been only fairly paid for the great good you have done
+me."</p>
+
+<p>The foregoing is but a fair sample of letters that we are almost
+constantly <span class="pagenum"><a name="Page_806" id="Page_806"></a>[pg
+806]</span>receiving from those who have pursued useless treatment for
+spermatorrhea, dependent upon varicocele, and have been speedily cured by
+our never-failing operation for this malady. Among the great variety of
+operations in surgery for various diseased conditions, performed by our
+surgeons, none have been attended with more uniform satisfaction, and
+perfect success, than has our operation for varicocele.</p>
+
+
+<h3>A PAINLESS OPERATION.</h3>
+
+<p>By the injection of a few drops of a medicated solution under the skin,
+at the point where the incision is to be made, we are now able to produce
+such complete local anæsthesia as to render the operation <i>entirely
+painless</i> without the administration of either chloroform or ether. This
+is an important consideration, as many are averse to taking chloroform or
+ether, and now that we are possessed of an agent that produces, locally,
+<i>complete insensibility to pain</i>, we are very glad to be able to
+dispense with their use in all such minor operations. Many examinations
+heretofore very painful, as of the bladder for stone, and of the deep
+urethra for strictures, are now rendered <i>entirely painless</i> by the
+use of this wonderful agent.</p>
+
+<p>A great variety of surgical operations are now performed by our surgeon
+specialists, without any suffering on the part of our patients, by the
+local use of an anæsthetic solution injected into the parts to be
+operated upon. Formerly we were obliged either to administer chloroform or
+ether, or subject our patients to a great deal of suffering. Our
+specialists were among the first surgeons in this country to employ local
+anæsthesia successfully. We regard it as a great boon to our
+patients, and never withhold it in any case where it can be employed to
+prevent suffering, its use being attended with no danger and followed by no
+bad or disagreeable results.</p>
+
+
+<h3>OUR PAINLESS OPERATION.</h3>
+
+<p>Having operated with unvarying success, during the past twenty-five
+years, upon several thousand cases of varicocele, at the Invalids' Hotel
+and Surgical Institute, we now invite special attention to the results of
+our peculiar operation, which is neither severe nor dangerous, and from
+which the patient makes a much more rapid, and in every respect more
+satisfactory, recovery than from other operations in use by surgeons
+generally. In our practice we have never failed to secure the happiest
+results from our operation. The saving of time is also of importance to the
+laboring man as well as to the millionaire. Instead of being confined to
+his bed for ten to twenty days, and to his room for a month or more, as is
+the case following other operations, the patient is not confined to bed at
+all, and can generally return home in a week or ten days at the longest.
+The only precaution necessary is <span class="pagenum"><a name="Page_807"
+id="Page_807"></a>[pg 807]</span>that he should, for a reasonable time
+after the operation, wear a well-fitting suspensory bandage. This can, in a
+little time, be entirely dispensed with. When we contrast these results
+with those obtained from ligation, graduated pressure by "clamps," suture
+pins, or the slicing off of a part of the scrotum, and suturing, or
+stitching, the wide gaping wound so caused, as is practiced to-day by other
+surgeons, the marked superiority of the results obtained, through our
+superior method of operating on this affection, must be apparent.</p>
+
+<p>A very large part of those cured by our treatment have previously spent
+far more money for worthless "electric suspensories," "equable scrotal
+compressors," "scrotal clamps," various "rings," and other "jim cracks,"
+than was paid us <i>for a radical and permanent cure</i>. Some of these
+instruments are so formidable as to suggest the racks and thumbscrews of
+the middle ages. Such useless appliances often weaken the scrotal muscles
+by the unnatural compression which they produce and make the discomfort far
+worse when they are discontinued than before their use.</p>
+
+<p>For such cases as cannot come to us at once for an immediate and
+<i>perfect cure</i>, we have a common sense method of treatment,
+comparatively inexpensive, that gives relief and comfort in all cases, and
+in mild cases often effects a complete cure. This treatment leaves the
+scrotum and its contents in an improved, strengthened and more healthful
+state.</p>
+
+<hr />
+
+
+<p>TESTIMONIALS.</p>
+
+
+<p>If the following letters had been written by your nearest, most
+respected and trustworthy neighbors, they could not be entitled to more
+confidence than they now are, coming, as they do, from intelligent
+citizens, each one of whom, in his own neighborhood, enjoys the full
+confidence of all his acquaintances. These letters are taken at random from
+among hundreds of similar ones, received from former patients of ours,
+residing in all parts of the United States and Canada, and if it would add
+anything to the endorsement in the way of giving greater confidence in our
+ability to treat successfully the malady under consideration, we could
+multiply the letters which we here introduce many times over. To publish
+more, however, would seem to be tedious repetition, for there necessarily
+must be a sameness in all such letters testifying to our skill, and we
+must, therefore, be content to rest our case with the limited number of
+endorsements which we have room for only in this volume.</p>
+
+
+<p><span class="pagenum"><a name="Page_808" id="Page_808"></a>[pg
+808]</span></p><h4>VARICOCELE.</h4>
+
+<p><b>A Perfectly Painless Operation. Patient Smokes a Cigar and Talks with
+the Surgeons While Operation is Being Performed.</b></p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise580"><img width="90%" alt="Illustration:
+A.J. Seth, Esq." src="images/advise580.png" /></a><br />A.J. Seth, Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I suffered with varicocele at the age of nine years,
+caused by a fall, and doctored for same about fifteen years, and obtained
+no relief. Renowned surgeons of Pittsburgh, New York, and other cities
+pronounced my case incurable.</p>
+
+<p>I heard of the Invalids' Hotel, No. 663 Main Street, Buffalo, N.Y., and
+entered it as a last resource. On the third day after entering the
+Institution I was treated, and during the operation (which was a painless
+one), I smoked a cigar and talked with the operating surgeons, feeling
+<i>no pain whatever</i>. I remained in the Hotel one week, and during that
+time I never once was unable to walk to the elevator and have my meals in
+the dining room. The tables were laden with the best the country can
+produce. It is truly "The Invalids' Hotel" (or rather <i>home</i>), as the
+clerks and nurses are very kind, attentive and social.</p>
+
+<p>Will add, that I am permanently cured, and advise any person thus
+afflicted not to hesitate entering the Invalids' Hotel for treatment.</p>
+
+<blockquote>
+<p>
+Respectfully, A.J. SETH,<br />
+Lucinda, Clarion Co., Penna.<br />
+</p>
+</blockquote>
+
+
+<p>VARICOCELE.</p>
+
+<p>Fair View, Sanpete Co., Utah.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise581"><img width="90%" alt="Illustration:
+W.F. Petts, Esq." src="images/advise581.png" /></a><br />W.F. Petts,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I feel it my duty to thank you for the benefit I
+received at your Institution during the month of December, 1892.</p>
+
+<p>I was afflicted with varicocele on the left side, which caused me a
+great deal of trouble and almost made me feel at times that I did not want
+to live any longer if I could not be restored to soundness again. Hearing
+of your skill in the treatment of varicocele I determined to give you a
+trial, which I accordingly did, and with gratifying results for now I am as
+sound and well as a gold dollar.</p>
+
+<p>The operation which was performed on me at your Institution for the
+permanent cure of varicocele was, to my great surprise, entirely painless
+and performed in a much briefer time than I expected. I only remained at
+your noble Institution ten days after the operation, at the end of which
+time I returned to my home at Chatham Hill, Smyth Co., Va. When I got home
+I experienced very little soreness from the operation and I felt that I
+could enjoy life fully. About six months after, I got married and came to
+Utah where I now reside, and I am very much pleased to say that I am now as
+sound and well as ever, and very happy in my married state.</p>
+
+<p>When I went to your Institution I was surprised to see such a great
+number of young men from almost every State in the Union, who had come
+there to be operated upon for varicocele; and they all told me that the
+operation was painless to them, as it also was to me, and they said they
+were fast improving and were glad they had come there for treatment. I
+never experienced such great and unprecedented kindness as I did during the
+ten days I was at the "Invalids' Hotel." I had an excellent room&mdash;well
+furnished, plenty to eat, and was treated with the kindness of a mother by
+the nurses and attending physician.</p>
+
+<p>I advise all who are afflicted with varicocele to go to your Institution
+at once for an operation, which I assure them they will never regret.
+Trusting that those who require an operation of any kind, or who are
+afflicted in any way, may go to your Institution and be restored to health,
+and again thanking you for my restoration to health and <b>your</b> great
+kindness and good treatment of me while I was with you, I remain,</p>
+
+<blockquote>
+<p>
+Yours very truly,<br />
+William F. Petts<br />
+</p>
+</blockquote>
+
+<p>P.S.&mdash;My sister's life was saved by your "Favorite Prescription,"
+W.F.P.</p>
+
+
+<p><span class="pagenum"><a name="Page_809" id="Page_809"></a>[pg
+809]</span></p><h4>VARICOCELE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise582"><img width="90%" alt="Illustration:
+A. Ebsary, Esq." src="images/advise582.png" /></a><br />A. Ebsary, Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;It is with great pleasure I recommend those suffering
+from varicocele to your skillful hands. I suffered with varicocele for
+seven years, caused by standing behind the counter at business from seven
+in the morning until ten and twelve o'clock at night.</p>
+
+<p>In 1888 a friend gave me a copy of your Common Sense Medical Adviser.
+After perusing its pages I was convinced of the genuineness of its
+doctrine. I immediately started for Buffalo&mdash;a distance of 1,900 miles.
+During my stay of ten days at your Institution I was treated with the
+utmost kindness by the nurses and surgeons, all of whom are expert
+specialists.</p>
+
+<p>The equipment of the Institution is something immense. I often think of
+the appetite those healthy exercises in the treatment room gave me when
+dinner time came.</p>
+
+<p>After being in the Institution three days I underwent an operation for
+varicocele&mdash;an injection of medicine locally making the operation
+<i>absolutely free from pain</i>. The operation was performed in about
+thirty minutes, immediately after which I could walk to my room, and, after
+resting an hour, descended to the dining room and took my dinner as
+usual.</p>
+
+<p>While at the Institution I met numerous persons suffering from
+varicocele, and it was quite pleasing to contrast their happy looks as they
+wished you "goodbye" with the haggard appearance they had upon
+entering.</p>
+
+<p>After leaving the Institution I traveled about 1,400 miles by rail and
+500 miles by water without the least inconvenience, which I consider a fair
+test of the operation.</p>
+
+<p>Five years have passed since that time, and I now feel as sound as it is
+possible to feel.</p>
+
+<p>In conclusion, let me say to those suffering from varicocele that it is
+impossible for them to do better than follow my example.</p>
+
+<blockquote>
+<p>
+Respectfully yours, ARTHUR EBSARY,<br />
+(Care of Hon. Jas. Baird.) Water Street, St. John's, Newfoundland.<br />
+</p>
+</blockquote>
+
+
+<h4>VARICOCELE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise583"><img width="90%" alt="Illustration:
+F.H. Jenkins, Esq." src="images/advise583.png" /></a><br />F.H. Jenkins,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I am a carpenter and some years ago, I fell from a
+scaffold which in time almost killed me. I wasn't hurt very much at the
+time, but a dull aching pain seemed to take me in the left side of the
+scrotum, and after I could stand it no longer, I went to my doctor. He said
+that I had a rupture of the blood veins of the left testicle, and it was
+incurable. I gave up in despair; but at last, a friend handed me some of
+your advertising papers, and I saw the Common Sense Medical Adviser
+advertised and sent for the book and studied its contents carefully, and
+came to the conclusion that I was suffering from varicocele. I found on
+consulting you that my suspicions were right. I at once wrote you for
+particulars, and in less than a week I was at the Invalids' Hotel for
+treatment. At that time no one knows how I suffered; but I hadn't long to
+suffer. In ten days after <i>an entirely painless operation</i> I was a
+well man and returned home.</p>
+
+<p>I cannot say too much in regard to the treatment and care from both
+Surgeons and Nurses. Nothing was left undone to promote comfort and good
+care. It is the only place on earth that I would feel safe to trust my life
+for a severe operation. There were, I think, over 100 patients at the
+Invalids' Hotel and Surgical Institute, at the time I was there, and as I
+had a good chance to be with them, I found that they were all doing
+remarkably well.</p>
+
+<p>At the date of my operation which was the 7th of March, 1893, I weighed
+just 165 pounds; to-day I weigh 189. I have gained in health, strength and
+vigor every day, I believe.</p>
+
+<p>I would just say, in conclusion, that I can give my word as an honest
+man to any sufferer that I believe he can be cured of almost any chronic
+malady at the Invalids' Hotel and Surgical Institute.</p>
+
+<blockquote>
+<p>
+Respectfully yours,<br />
+F.H. JENKINS,<br />
+(Box 13), Ascot Corner, Sherbrooke Co., P.Q., Canada.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_810" id="Page_810"></a>[pg
+810]</span></p><h4>VARICOCELE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise584"><img width="90%" alt="Illustration:
+R.C. Martin, Esq." src="images/advise584.png" /></a><br />R.C. Martin,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;Having been operated upon at the Invalids' Hotel and
+Surgical Institute. Buffalo, N.Y., for the radical cure of a varicocele of
+the left side from which I had suffered for four years, I take pleasure in
+certifying to the speedy and certain relief afforded me, and the painless
+nature of the operation, as performed by the surgeons of the World's
+Dispensary Medical Association. Fourteen days from the time of the
+operation I returned home cured, and went to work. I desire to express my
+thanks to the Medical Staff for their skill and attention. I met several
+patients while at the Sanitarium, and they all reported as getting along
+favorably and well. Respectfully,</p>
+
+<blockquote>
+<p>
+R.C. MARTIN,<br />
+Gambril, Scott Co., Iowa.<br />
+</p>
+</blockquote>
+
+
+<h4>VARICOCELE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise585"><img width="90%" alt="Illustration:
+Chas. Dove, Esq." src="images/advise585.png" /></a><br />Chas. Dove,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I can heartily say that the operation was a great
+success. I had rupture of the veins, or Varicocele, ten years. I never
+thought that I could be cured so easily. The operation was entirely
+painless, and I was only nine days away from home. I am now as well as ever
+and I recommend the Invalids' Hotel and Surgical Institute to any one who
+is suffering from any chronic disease. Yours,</p>
+
+<blockquote>
+<p>
+CHARLES DOVE,<br />
+33 John St., Wilkes Barre, Pa.<br />
+</p>
+</blockquote>
+
+
+<h4>VARICOCELE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise586"><img width="90%" alt="Illustration:
+J.F. Singrey, Esq." src="images/advise586.png" /></a><br />J.F. Singrey,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I was successfully treated for varicocele at the
+Invalids' Hotel. The operation was made painless by local application,
+previously applied, which made the parts insensible, and I returned home
+the ninth day. While there I met with patients from all parts of the
+country, and all spoke in the highest terms of the treatment received from
+the surgeons and nurses and all connected with the Institution.</p>
+
+<blockquote>
+<p>
+Yours respectfully, J.F. SINGREY,<br />
+Maryville, Nodaway Co., Mo.<br />
+</p>
+</blockquote>
+
+
+<h4>VARICOCELE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise587"><img width="90%" alt="Illustration:
+H.P. SMITH, ESQ." src="images/advise587.png" /></a><br />H.P. SMITH,
+ESQ.</p>
+
+<p><i>Gentlemen</i>&mdash;I feel very thankful to the Association for the
+benefit received&mdash;due to an operation performed for the cure of a
+varicocele of many years' standing. All traces of the disease have
+disappeared. I was surprised to know that so little pain was connected with
+the operation.</p>
+
+<p>Will say to those who think of visiting the Invalids' Hotel, that they
+will be treated well, and their visit will be made as pleasant as possible
+during their stay.</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+HENRY P. SMITH,<br />
+Warren, Huntington Co., Ind.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_811" id="Page_811"></a>[pg
+811]</span></p><h4>VARICOCELE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise588"><img width="90%" alt="Illustration:
+G.R. Southern, Esq." src="images/advise588.png" /></a><br />G.R. Southern,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;Having been operated upon at the Invalids' Hotel and
+Surgical Institute, Buffalo, N.Y., for varicocele of ten years' standing, I
+take pleasure in certifying to a speedy and perfect cure. The operation was
+made painless by local applications previously applied, which made the
+parts insensible to such a degree that the operation was performed without
+any suffering on my part. Time of stay, after operation, was ten days. I
+cannot speak too highly of the care and attention I received from the
+surgeons and nurses while there; everything that was provided was of the
+best&mdash;the best of food, clean apartments and pleasant rooms.</p>
+
+<p>I would recommend your Institution to any one suffering from any kind of
+chronic or surgical disease; and if they will only go to your Institution,
+they will meet with patients cured and others on the way to recovery from
+the same difficulty they have themselves&mdash;no matter what it is, if curable
+at all. I wish you success,</p>
+
+<blockquote>
+<p>
+Yours truly, GEORGE R. SOUTHERN,<br />
+Morris, Otsego Co., N.Y.<br />
+</p>
+</blockquote>
+
+
+<h4>VARICOCELE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.</p>
+
+
+
+<p class="rfigure"><a name="advise589"><img width="90%" alt="Illustration:
+B.T. Stone, Esq." src="images/advise589.png" /></a><br />B.T. Stone,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;It is with pleasure that I certify to the success of
+the operation performed upon me for varicocele at your Institution some
+months ago. This operation was performed by one of your specialists in a
+skillful and painless manner.</p>
+
+<p>I found the Invalids' Hotel just what it is represented to be, and all
+patients who were there were well satisfied with the treatment.</p>
+
+<p>I was not confined to bed at all after the operation, and was able to
+leave at the end of ten days in an excellent condition.</p>
+
+<p>I am unable to express the great relief which your treatment has given
+me and I cannot say too much in praise of your Institution.</p>
+
+<p>I take great pleasure in recommending you whenever I get a chance, and
+cannot thank you enough for what you have done for me. With kindest
+regards,</p>
+
+<blockquote>
+<p>
+I am sincerely yours,<br />
+B.T. STONE,<br />
+Fellowsville, Preston Co., W. Va.<br />
+</p>
+</blockquote>
+
+
+<h4>LARGE VARICOCELE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise590"><img width="90%" alt="Illustration:
+C.W. Kelly, Esq." src="images/advise590.png" /></a><br />C.W. Kelly,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;It gives me much pleasure to state that during my stay
+at your Sanitarium I was treated with the utmost kindness, and found
+everything there just as represented in your pamphlet, if not indeed
+better. Your Institution is the best of the kind that I have ever seen and
+if it is possible for a person to be cured your specialists will accomplish
+it. A visit there convinced me that you do not make promises which you do
+not fulfill. After being there and having a surgical operation successfully
+performed, I heartily recommend all invalids to give your place a trial.
+Much to my surprise the operation which was performed was perfectly
+painless, no anæsthetic was given, and I was not confined to my bed
+for an hour. I was able to leave your Institution at the end of ten days
+completely cured. I can heartily commend your efforts in the cause of
+suffering humanity, and shall be pleased to offer my personal testimony at
+any time. With best wishes to the World's Dispensary Medical Association, I
+am,</p>
+
+<blockquote>
+<p>
+Sincerely yours,<br />
+C.W. KELLY,<br />
+Riverside, Riverside Co., Cal.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_812" id="Page_812"></a>[pg
+812]</span></p><h4>VARICOCELE. THE RESULT OF INJURY.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise591"><img width="90%" alt="Illustration:
+C.F.L. DeHaven, Esq." src="images/advise591.png" /></a><br />C.F.L.
+DeHaven, Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;Nine years ago I was struck with a springing pole,
+causing the spermatic cord to swell badly. I applied for medical aid and
+was told that no harm would result. But I grew worse, and spent over one
+hundred dollars with quacks and received no help.</p>
+
+<p>Four years ago while reading a chapter in Dr. Pierce's Common Sense
+Medical Adviser, I noticed that no hesitation was made in stating that a
+permanent and radical cure of varicocele could be made at the Invalids'
+Hotel and Surgical Institute. I went to the Hotel and the result was I
+returned home in eleven days permanently cured. I cannot speak in too high
+praise of the surgeon, and his delicacy and kindness in performing a
+painless operation; or of the nurses, who almost hourly visit the invalids
+and minister to their comfort. The Institution is fully equipped and
+nothing is left undone that can relieve suffering. I conversed with a great
+many patients while at the Invalids' Hotel and language could not express
+their delight at their treatment there.</p>
+
+<p>I earnestly urge all invalids to save time and suffering by being
+treated at the Invalids' Hotel and Surgical Institute where the latest and
+most improved methods are used, and operations are made painless and where
+everything is delightful and comfortable. I owe my life to the tenderness
+and skill of the surgeon and nurses at the Invalids' Hotel and Surgical
+Institute.</p>
+
+<blockquote>
+<p>
+Very truly yours, CLARENCE F.L. DEHAVEN,<br />
+Haynes, Hocking Co., Ohio.<br />
+</p>
+</blockquote>
+
+
+<h4>VARICOCELE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise592"><img width="90%" alt="Illustration:
+F. Brooks, Esq." src="images/advise592.png" /></a><br />F. Brooks, Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I can say that while in your Institution I received
+the best of care and attention both by doctors and nurses; that your
+operation was almost entirely without pain; that my virility has increased
+since then as well as the tone of my general health; that your Institution
+is as commodious and cheerful as one could wish. Your patients with whom I
+became acquainted while there nearly all seemed to be well pleased with the
+ease and comfort of their surroundings as well as the manner in which they
+were treated for varicocele.</p>
+
+<blockquote>
+<p>
+Respectfully,<br />
+FLAVIUS BROOKS,<br />
+Sinnamahoning, Cameron Co., Pa.<br />
+</p>
+</blockquote>
+
+
+<h4>BAD VARICOCELE OF MANY YEARS' STANDING.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise593"><img width="90%" alt="Illustration:
+D.E. Moorefield, Esq." src="images/advise593.png" /></a><br />D.E.
+Moorefield, Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I take pleasure in recommending your Invalids' Hotel
+and Surgical Institute as first-class in every respect. Some four years ago
+I was there and had an operation performed on me for a very bad varicocele
+with which I had been troubled some 15 or 20 years. The operation was made
+painless by the use of local applications. After staying at your place
+about twenty days (longer than is generally necessary) I was able to make
+my long trip home. The operation was a very successful one, considering the
+long time my trouble had been neglected, as I have suffered little or no
+inconvenience since. I saw a very large number of patients at the Invalids'
+Hotel from all parts of the United States and Canada, and all of them
+seemed to have a very high opinion of the treatment they were receiving
+from your Specialists, and I know personally, of several remarkably
+successful operations performed by your skillful surgeons while I was
+there.</p>
+
+<blockquote>
+<p>
+Respectfully, D.E. MOOREFIEID,<br />
+Nathalie, Halifax Co., Va.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_813" id="Page_813"></a>[pg
+813]</span></p><h4>VARICOCELE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise594"><img width="90%" alt="Illustration:
+D.H. Miller, Esq." src="images/advise594.png" /></a><br />D.H. Miller,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;Having been operated upon at the Invalids' Hotel and
+Surgical Institute for the cure of Varicocele, which was caused from heavy
+lifting, I take pleasure in informing you that it is entirely cured; it was
+a varicocele of a number of years' standing and a bad case. It has been
+three years since I was operated upon and I have not experienced any
+trouble from it since; in fact, I feel that I am now entirely cured. <i>The
+operation is painless</i> and gives entire satisfaction in every
+respect.</p>
+
+<p>I advise all who are suffering from this or any other chronic disease to
+take treatment at the Invalids' Hotel and Surgical Institute and they will
+be well rewarded by so doing.</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+DAVID H. MILLER,<br />
+Markle, Huntington Co., Ind.<br />
+</p>
+</blockquote>
+
+
+<h4>VARICOCELE OR FALSE RUPTURE&mdash;DUE TO STRAINING AND OVERWORK.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo. N.Y.:</p>
+
+
+
+<p class="figure"><a name="advise595"><img width="40%" alt="Illustration: W. McGowan, Esq."
+src="images/advise595.png" /></a><br />W. McGowan, Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I can bear testimony to the removal of the difficulty
+for which you treated me, for I had been to experts in Philadelphia and
+they did not know how to perform the operation, and said I could not be
+cured. I was treated by experts in Albany and other cities, but all for no
+use. I went to the Invalids' Hotel and Surgical Institute and was operated
+upon and find I am cured. The treatment in every other respect was good;
+everything was done to make patients happy and pleasant; the best of care
+and attention was paid to all.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+W. McGOWAN,<br />
+Orbisonia, Huntingdon Co., Pa.<br />
+</p>
+</blockquote>
+
+
+<h4>VARICOCELE OR FALSE RUPTURE&mdash;TWELVE YEARS' STANDING&mdash;CURED IN TEN
+DAYS.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise596"><img width="90%" alt="Illustration:
+N.H. Sharitz, Esq." src="images/advise596.png" /></a><br />N.H. Sharitz,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;Having been operated upon at the Invalids' Hotel and
+Surgical Institute, Buffalo, N.Y., for the radical cure of a Varicocele of
+the left side, from which I had suffered for twelve years, I take pleasure
+in certifying to the speedy and certain relief afforded, and the painless
+nature of the operation as performed by the surgeon of the World's
+Dispensary Medical Association. Ten days from the time of the operation, I
+returned home radically and permanently cured. I desire to express my
+thanks to the medical staff for their skill and attention.</p>
+
+<blockquote>
+<p>
+Gratefully yours,<br />
+N.H. SHARITZ,<br />
+Box 22. Rural Retreat, Wythae Co., Va.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_814" id="Page_814"></a>[pg
+814]</span></p><h4>VARICOCELE AND RESULTANT WEAKNESSES.</h4>
+
+<p><b>Wasting of Strength and Manly Vigor&mdash;Now Strong and Well</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise597"><img width="90%" alt="Illustration:
+Robert B. Wills, Esq." src="images/advise597.png" /></a><br />Robert B.
+Wills, Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I am unable to find words to express my feelings of
+gratefulness and gratitude that I owe to your Institution, for the able and
+gentlemanly treatment that I was favored with during my stay with you, by
+officials and attendants in their respective capacities, in every
+department. Nothing was left undone that could possibly be of benefit to me
+or add to my comfort, and to your Institution, your treatment, which in my
+own experience I have found to be marvelously wonderful, I feel to-day as
+if I owe my health, my strength, my life; for I firmly believe if it had
+not been for your timely and painless treatment, instead of writing to you
+at this time, being in the enjoyment of health and strength, I would be
+filling a place in an insane asylum or an invalid's grave. And it may not
+be more than just to your wonderful treatment to say that the Varicocele
+and resultant weaknesses was of about fifteen years' standing, during which
+time I had spent time and money with both physicians and quacks, without
+any result for the better, and when my life blood was daily wasting away,
+and the powers of manly strength and vigor were completely gone, by an act
+of Providence I went to your Institution as a last resort, for life or
+death. I was painlessly operated upon by you for my complaint, from which
+time I have steadily improved in health, strength, weight and vigor, until
+I have gone from 135 pounds, my weight when operated upon, to 174, at which
+I tip the balance as I write to you to-day. If the afflicted everywhere
+could only realize that so many lives may be spared by your wonderful
+treatment, none would stay away.</p>
+
+<p>You are at liberty to give my testimony to the world in whatever way it
+may be of most benefit to you. I also enclose a photograph of myself that
+has been taken since the effects of your treatment have been shown. With
+feelings of much gratefulness, I am,</p>
+
+<blockquote>
+<p>
+Very truly yours,<br />
+ROBERT B. WILLS,<br />
+No. 23 Elizabeth St., Hagerstown, Md.<br />
+</p>
+</blockquote>
+
+
+<h4>RUPTURE OF SPERMATIC VEINS.</h4>
+
+<p><b>Varicocele (false rupture)&mdash;Previous Operator Left Part of Surgeon's
+Needle in Flesh; Successfully Extracted at Invalids' Hotel.</b></p>
+
+
+
+<p class="rfigure"><a name="advise598"><img width="90%" alt="Illustration:
+Chas. P. Morse, Esq." src="images/advise598.png" /></a><br />Chas. P.
+Morse, Esq.</p>
+
+<p>"WHAT I THINK OF THE INVALIDS' HOTEL AND SURGICAL INSTITUTE:"</p>
+
+<p>The Invalids' Hotel and Surgical Institute is an Institution first-class
+in every respect, presided over by a capable, honest and pleasant lot of
+medical experts who certainly know their business. I cannot speak of it too
+highly.</p>
+
+<p>I was treated there in the summer of 1887, for Rupture of the Spermatic
+Veins, previous to which I had been operated on two different times, with
+no relief, by a doctor here in this place cracked up to be one of the best
+in Northern Illinois, and an officer of the Chicago Eye and Ear Infirmary.
+The operation at the Invalids' Hotel was perfectly painless, did not have
+to take any anæsthetic, neither was I confined to my bed at all, and
+the result a perfect success; while in the two previous operations I had
+here at home, I was confined to my bed a week each time and another week
+scarcely able to move about, be sides getting worse each time with pain
+enough to drive one crazy. But the half has not been told. About two and a
+half years after I had been cured of my difficulty at Buffalo, I commenced
+having terrible pains in my leg and abdomen, for which I could not account,
+and after standing it until it seemed as though I would be glad to die, I
+again consulted the Invalids' Hotel; after a thorough investigation they
+operated on me where my pain seemed the most apparent, and dug out a piece
+of a surgeon's needle something over half an inch in length, that had been
+broken off in the first operation I had by the doctor here at home, and so
+admitted by him when confronted with it. I have spent lots of money and
+nearly six years of the worst pain man ever stood getting relief, while had
+I known of this place on <span class="pagenum"><a name="Page_815"
+id="Page_815"></a>[pg 815]</span>the start, an operation with no pain
+whatever and scarcely more discomfort than a sore mouth after having a
+tooth removed, would have ended it all.</p>
+
+<p>In conclusion, I will say to any poor sufferer, don't do as I did and
+put your trust in the would-be greatest doctor you have at home, but go to
+this place at Buffalo, where you will have proof of their ability, and
+where you will surely meet patients about to leave, cured; others on their
+way to recovery for the same difficulty you may have yourself, no matter
+what it is, if curable at all; a place where you will have the kindest of
+attention, the best of medical and surgical skill, and where you can see
+sufferers going away every day with hearts full of gratitude and happy.</p>
+
+<blockquote>
+<p>
+Respectfully, CHAS. P. MORSE,<br />
+311 North Avon St., Rockford, Ills.<br />
+</p>
+</blockquote>
+
+
+<h4>VARICOCELE-FALSE RUPTURE CAUSED BY INJURY.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise599"><img width="90%" alt="Illustration:
+G.W. McCollom, Esq." src="images/advise599.png" /></a><br />G.W. McCollom,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;In the year 1866, sometime in July, I jumped from a
+load of lumber to the ground, and at once felt a sharp severe pain along
+the spermatic cord of left side of scrotum, preventing my walking to the
+house without help. The veins near the cord filled to such extent that they
+seemed solid, and could not be reduced for some time. I went to a good
+doctor and by him was advised to "pay no attention to it, it will not
+amount to much." From that time I suffered continually, and will not try to
+describe what I endured until I was relieved by a surgical operation
+performed on me by the surgeon-specialist of the Invalids' Hotel and
+Surgical Institute, of Buffalo, N.Y. After working-hard for several years
+my suffering increased and I was advised to consult Prof. L., of Chicago
+Hahnemann College (of Homeopathic School) and by him was informed an
+operation of tieing the veins (choking them off) could be performed but 90
+per cent (if I remember rightly) of the operations proved fatal. I decided
+not to try it. By accident I learned of your great skill, and though my
+case was of twenty-one years' time, and my health and strength gone, I
+considered the method plausible and reasonably safe. I had the operation
+performed, and now after six years have passed, I can say with
+satisfaction, there is little to be noticed or remind me of the past years
+of misery. The parts are of healthy-color. Urine has assumed a natural
+appearance, both sides of scrotum seem in size alike. No bandage is worn
+and for two years has been discarded. My weight increased and for two years
+prior to the taking of my photo, I did the work of handling a third-class
+post office, doing a money order business of $50,000, not losing a day in
+that time, and at the present time in this hot climate, I have been doing
+outdoor work, some of it hard, and with mercury at 100 degrees. I have
+worked and found no need of a bandage; and no unnatural relaxation of the
+scrotum or veins is noticed.</p>
+
+<p>If anyone wishes to write me, they are at liberty to do so. If my
+experience can be of benefit to any, I will answer all enquiries, and in a
+general way will now say no one should delay attending to such difficulty,
+for if the blood is in a reasonably healthy condition your surgeon will
+operate in such a way that the result will be all right in time. I send
+photo taken in 1891.</p>
+
+<blockquote>
+<p>
+Respectfully, GEORGE W. McCOLLOM,<br />
+Monrovia, Los Angeles Co., Cal.<br />
+</p>
+</blockquote>
+
+
+<h4>VARICOCELE.</h4>
+
+<p>Sanborn, Barnes Co., N. Dak., Aug. 9th, 1895.</p>
+
+<p>PROPRIETOR INVALIDS' HOTEL AND SURGICAL INSTITUTE, Buffalo, N.Y.:</p>
+
+<p><i>Dear Sir</i>&mdash;Having been afflicted with varicocele and loss of
+manhood and having heard so much of the cure for these troubles at the
+Invalids' Hotel. Buffalo. N.Y., I went there and was operated upon. The
+operation itself is nothing to bear. It is painless and the result is a
+radical cure. For this you have my sincere thanks. I take pleasure in
+recommending your Institution to all sufferers and know that it is in every
+respect just as claimed to be. I would say to all who suffer from this
+trouble: go to the Invalids' Hotel and Surgical Institute, at Buffalo,
+N.Y., and you will get relief. You will receive kind attention from
+all.</p>
+
+<blockquote>
+<p>
+Very truly yours,<br />
+George Bignall.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_816" id="Page_816"></a>[pg
+816]</span></p><h4>VARICOCELE AND GENERAL DEBILITY.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise600"><img width="90%" alt="Illustration:
+J.L. Ridings, Esq." src="images/advise600.png" /></a><br />J.L. Ridings,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I can bear testimony to the removal of varicocele, for
+which you treated me. I had been in the habit of getting out with the boys
+and trying to see which could kick the highest with one foot on the ground,
+and it caused me to have varicocele. I went to my home doctor and he
+treated me with no success. It was getting worse all the time and I got out
+of shape all over. My health got bad and I thought my case hopeless. I had
+tried two doctors and received no benefit.</p>
+
+<p>I had one of your little Memorandum Books in my pocket, and one day,
+looking through it I saw you treated such cases, and wrote you and received
+word in a few days that you would treat me, so I sent off for one month's
+treatment; and in five months I had gained my weight back, and that was
+eight years ago and I feel sound and well and my health has been good ever
+since.</p>
+
+<p>You are at liberty to use my testimony in whatever way if may be of most
+benefit to you.</p>
+
+<p>I also enclose a photograph of myself that was taken soon after your
+treatment.</p>
+
+<p>With feelings of much gratefulness, I am,</p>
+
+<blockquote>
+<p>
+Very truly yours,<br />
+J.L. RIDINGS,<br />
+Clarence, Shelby County, Missouri.<br />
+</p>
+</blockquote>
+
+
+<h4>VARICOCELE AND NERVOUS DEBILITY.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise601"><img width="90%" alt="Illustration:
+D.A. Walton, Esq." src="images/advise601.png" /></a><br />D.A. Walton,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I commenced treatment, I think, in July or August, of
+1888, and continued four months. My case was nervous debility of fifteen
+years' standing.</p>
+
+<p>I tried home doctors but found they were only aggravating my case. I
+also tried the Remedy Company, then of St. Louis, who claimed to perform
+wonderful cures with their "Pastiles," but they proved utterly worthless.
+Having come in possession of Dr. Pierce's little book and circulars, a
+perusal of the same convinced me that my health would not be trifled with
+at his Institution.</p>
+
+<p>I was a poor man and could not afford much experimenting. I ordered one
+month's treatment, and at the end of this first month, I found, to my
+surprise, that I was feeling different. The second month, still more
+surprised at my returning health. Third month thought I was cured, and
+engaged myself to a young lady, and wrote you to that effect, and you
+advised me with your congratulations to marry, and to order another month's
+treatment; and at the end of the fourth month I was a <i>man</i>, something
+I did not know what it would be like to be before.</p>
+
+<p>I have now been married five years, and have two healthy children&mdash;a boy
+and a girl. I would never have dared to marry had it not been for your
+medicines. I must add that during this treatment I was troubled with
+varicocele on left side. I wrote you this at third month of treatment, and
+you sent without extra charge, a Suspensory and Lotion, and two months'
+treatment cured me sound and well of this distressing malady; I have not
+felt the least symptoms of its return.</p>
+
+<p>I want the world to know what a competent and honorable firm the World's
+Dispensary Medical Association is. I would love to shake you by the hand.
+May God let you continue to be a help to mankind is my prayer.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+D.A. WALTON,<br />
+Marion, Grant County, Ind.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_817" id="Page_817"></a>[pg
+817]</span></p><h4>BAD VARICOCELE OF LONG STANDING.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise602"><img width="90%" alt="Illustration:
+J.M. Elam, Esq." src="images/advise602.png" /></a><br />J.M. Elam, Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I feel many obligations to your noble skill, as
+physicians. I was treated with much kindness by physicians and nurses. I
+was surprised to find such a speedy cure of such a bad case of varicocele
+of long standing; the operation was entirely painless and I felt a great
+change in myself, as a result of it. Am so glad to tell any sufferer of
+that terrible disease to apply to you at once and be cured, for I am sure I
+could not have lived long as the pressure and burden was so great <i>I
+could scarcely be on my feet at all</i>; any work in an upright position
+was impossible.</p>
+
+<p>Now it has been five years since I was operated upon and I feel well of
+that disease&mdash;varicocele attended with impotency or weakness of the
+generative organs, caused by varicocele.</p>
+
+<p>Thanks to the good physician who relieved me&mdash;hope he may live long and
+be able to relieve all that submit themselves to him for treatment, as I
+did. I found everything that had been described to be just so in regard to
+the Staff and Institution.</p>
+
+<blockquote>
+<p>
+Gratefully yours, J.M. ELAM,<br />
+Flat Rock, Scott Co., Va.<br />
+</p>
+</blockquote>
+
+
+<h4>DOUBLE VARICOCELE AND STRICTURE OF URETHRA.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise603"><img width="90%" alt="Illustration:
+C. Hanson, Esq." src="images/advise603.png" /></a><br />C. Hanson, Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I have taken treatment from you for several months for
+nervous debility, and although I am not quite fully cured as yet, I have
+been greatly benefited, and believe, if I had come to you before I was
+duped and swindled by different quacks and was more dead than alive, I
+would to-day be a thoroughly well man.</p>
+
+<p>I have also been to your Institute twice for surgical operations, and
+cannot too highly praise the Hotel, or the skill and care of the attending
+surgeons and nurses. They are gentlemen in every way and the Invalids'
+Hotel is just as represented.</p>
+
+<p>I shall advise all suffering from chronic diseases to go to you for
+relief, as I have never seen any one there who was not cured or greatly
+benefited.</p>
+
+<blockquote>
+<p>
+Very truly yours,<br />
+CHRISTIAN HANSON,<br />
+Austin, Mower Co., Minn.<br />
+</p>
+</blockquote>
+
+
+<h4>INDIGESTION, CONSTIPATION, VARICOCELE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise604"><img width="90%" alt="Illustration:
+Mr. Hodges." src="images/advise604.png" /></a><br />Mr. Hodges.</p>
+
+<p><i>Dear Sirs</i>&mdash;In regard to my condition of health, will say,
+although I am not entirely well, yet I have received much and lasting good
+from your treatment. My digestion was improved greatly, so that little
+trouble is experienced after eating; my liver seems to act reasonably well,
+and my bowels are much better. My varicocele I consider entirely cured, as
+I have not used the bandage for one half day for more than six months, and
+do not experience any inconvenience from that source.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+HARLAN HODGES,<br />
+Keota, Keokuk Co., Ia.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_818" id="Page_818"></a>[pg
+818]</span></p><h4>BAD VARICOCELE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise605"><img width="90%" alt="Illustration:
+W.H. Dellinger, Esq." src="images/advise605.png" /></a><br />W.H.
+Dellinger, Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;Having been operated upon at the Invalids' Hotel and
+Surgical Institute for the radical cure of a bad varicocele, from which I
+had suffered for eight years, I desire to express my thanks to you for your
+kindness and skill. And I would advise all persons, needing surgical or
+medical treatment, to go to the World's Dispensary Medical Association.</p>
+
+<blockquote>
+<p>
+Respectfully yours,<br />
+WILLIAM H. DELLINGER,<br />
+Vincennes, Knox Co., Ind.<br />
+</p>
+</blockquote>
+
+
+<h4>VARICOCELE.</h4>
+
+<p>Cambridge, Furnas Co., Nebr.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Gentlemen</i>&mdash;With great gratitude toward your most valuable
+Institute, I feel indebted to you for the cure of varicocele. I was
+troubled ten years with this annoying disease, caused, I think, by being
+thrown from a horse. My case was of a very obstinate character. I was
+treated by a leading specialist of Omaha, Nebr., without success and
+without being in the least benefited. I expended the neat little sum of
+$500, and then sank back in despair, losing all hopes of a cure. I had
+previous to my treatment in Omaha noticed a little hand or Memorandum Book
+of the World's Dispensary, and again one came to my notice. I mustered up
+courage to write to you, and in June, 1892, I visited your Institute for
+treatment. I was treated by the best skilled surgeons and given best
+attention by experienced nurses. I met a number of patients while under
+treatment troubled with various and complex diseases, who expressed their
+gratitude to the Faculty of the Invalids' Hotel and Surgical Institute. The
+operation performed was rendered painless, owing to local applications
+previously applied. After the operation, which was about 11 o'clock, A.M.,
+I rested until 12, noon, and responded to the dinner call as usual. I was
+required to remain but ten days, then returned home, a distance of some
+twelve hundred miles. I wore a neat fitting support for about six months,
+and then abandoned it and have gone as nature created me. Oh, what a
+relief. I had worn a "suspensory" for about six years. I have had no return
+of former trouble, it being now about two years since the operation.</p>
+
+<p>To any suffering with varicocele I must say, "don't delay, but place
+yourself under treatment at the Invalids' Hotel and Surgical Institute,
+Buffalo, N.Y., and you will say as I do, 'The half has never been told.'"
+With earnest wishes for your future success, I am,</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+E.L. Brown<br />
+</p>
+</blockquote>
+
+
+<h4>VARICOCELE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise606"><img width="90%" alt="Illustration:
+D.E. Righetti, Esq." src="images/advise606.png" /></a><br />D.E. Righetti,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I wish to inform you of the success of your treatment
+of me for varicocele on the left side and its attendant weakness, etc. I am
+now happy to say that through the agency of your surgical skill and the
+efficacy of your medicine, I am healthy, strong, and a perfect man. I
+suffered for about two years previous to the operation with acute pain in
+the parts, and continued mental anxiety. I desire to express my entire
+satisfaction that, during the ten days that I remained in the Invalids'
+Hotel, I never experienced such uniform kindness and attention as I did
+from the attending surgeon and from all the attachees, and that I recommend
+all persons similarly afflicted to consult you, and they can be sure to
+find the way to happiness.</p>
+
+<blockquote>
+<p>
+Respectfully yours,<br />
+D.E. RIGHETTI,<br />
+Cayucos, San Luis Obispo Co., Cal.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_819" id="Page_819"></a>[pg
+819]</span></p><h4>VARICOCELE</h4>
+
+<p><b>Of Twenty Years' Standing&mdash;Cured "Without Pain.</b></p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise607"><img width="90%" alt="Illustration:
+C.H. Boyle, Esq." src="images/advise607.png" /></a><br />C.H. Boyle,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I take great pleasure in recommending the Invalids'
+Hotel and Surgical Institute. After trying my home physicians without
+obtaining any permanent relief, and growing constantly worse, I went to
+this famous Institution and submitted to an operation for varicocele. This
+was a perfect success, and soon I felt like a new man, and as strong as I
+ever did. I feel that nothing I could say would do justice to this renowned
+Institution. In every way, it is kept in advance of the age. The staff of
+physicians and nurses spare no pains to make the visit of every one
+pleasant as well as beneficial in the highest degree. I would urge all
+sufferers afflicted as I was, or with any chronic disease, to avail
+themselves, without delay, of the skillful treatment to be obtained of the
+specialists of the World's Dispensary Medical Association, for I am
+confident that they will receive all the benefit that can be obtained from
+medical or surgical treatment and care.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+CHAS. H. BOYLE,<br />
+Fort Benton, Choteau Co., Montana.<br />
+</p>
+</blockquote>
+
+
+<h4>VARICOCELE.</h4>
+
+<p><b>Spent $500 With Other Doctors to no Purpose</b>.</p>
+
+<p>Bryson, Jack Co., Texas.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Gentlemen</i>&mdash;I had been troubled with varicocele for nine years,
+and had given up ever being cured. After spending $500.00, with medical
+quacks I then went to the World's Dispensary Medical Association as a last
+resort. One of their skillful surgeons performed an operation upon me which
+was entirely painless. I conversed with several other patients, who had the
+same disease. They seemed happy to know that there was such an Institution
+that could relieve suffering humanity. The surgeons and nurses were so good
+and kind to us and gave us the best of attention and even the patients had
+a very fraternal feeling toward each other.</p>
+
+<p>Your Institution is finely equipped and has the best of accommodations.
+Accept my thanks.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+A.D. Bryson<br />
+</p>
+</blockquote>
+
+
+<h4>A BAD CASE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, 663 Main St., Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise608"><img width="90%" alt="Illustration:
+H.C. Decker, Esq." src="images/advise608.png" /></a><br />H.C. Decker,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I have been cured of an almost life-long difficulty by
+the skill of your specialist, and heartily thank you for the successful
+manner in which the operation was performed in my case. The result is
+complete and perfect relief, and as time advances I can each day more fully
+appreciate the value of your Institution. The time spent there I shall
+never forget, as it was a time of extreme pleasure to me. The operation was
+<i>perfectly painless</i> and did not confine me to my bed, and this taken
+with the extreme kindness of every one connected with the Institution, made
+the time pass in a very happy manner.</p>
+
+<p>I consider your Hotel first-class in every respect, and would heartily
+advise all sufferers from chronic ailments to visit you before giving up
+their cases as hopeless.</p>
+
+<blockquote>
+<p>
+Respectfully yours,<br />
+H.C. DECKER,<br />
+Dresbach, Winona Co., Minn.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_820" id="Page_820"></a>[pg
+820]</span></p><h4>VARICOCELE-CAUSED FROM STRAIN.</h4>
+
+<p>Montague, Sussex Co., N.J.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Gentlemen</i>&mdash;In reply to your inquiry concerning my treatment, I
+cheerfully give you the following testimonial: "I was troubled for many
+years with a very bad varicocele, which I received when a boy while
+jumping. The complaint troubled me exceedingly. I tried almost every known
+means to effect a cure, but with no avail, for the more I doctored the more
+aggravated became the disease. After thus suffering for many years and
+knowing of the fame your Institution had attained in curing such diseases,
+I at last consulted your specialist in that class of diseases&mdash;was operated
+upon and returned home in ten days, a sound and well man. I can recommend
+your Institution to all suffering humanity as the most home-like, your
+nurses the most attentive and specialists the most skillful the world can
+offer. May you long be the benefactors of mankind."</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+F.L. Van Etten<br />
+</p>
+</blockquote>
+
+
+<h4>VARICOCELE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise608b"><img width="90%" alt="Illustration:
+E.H. MAHNKEN, ESQ." src="images/advise608b.png" /></a><br />E.H. MAHNKEN,
+ESQ.</p>
+
+<p><i>Gentlemen</i>&mdash;The result of your operation, performed one year and a
+half ago for a case of varicocele of twelve years' standing, and which had
+troubled me very much, has cured me entirely. I am thankful to God that He
+put it into my mind to visit your Surgical Institute. I cannot recommend
+your skill too highly.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+ED. H. MAHNKEN,<br />
+Smithton, Pettis Co., Mo.<br />
+</p>
+</blockquote>
+
+
+<h4>VARICOCELE.</h4>
+
+<p>Medora, Billings Co., N. Dak.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Gentlemen</i>&mdash;Having been operated upon at the Invalids' Hotel and
+Surgical Institute, Buffalo, N.Y., for the radical cure of a varicocele on
+the left side from which I suffered four years, I take pleasure in
+certifying to the speedy and certain relief afforded, and the painless
+operation, as performed by the surgeon of the World's Dispensary Medical
+Association. Ten days from the time of the operation I returned home
+permanently cured.</p>
+
+<p>I desire to express my thanks to the Medical Staff for their skill and
+attention.</p>
+
+<blockquote>
+<p>
+Gratefully yours,<br />
+Geo. O. Reid<br />
+</p>
+</blockquote>
+
+
+<h4>A STRONG ENDORSEMENT.</h4>
+
+<p><i>To whom it may concern</i>:</p>
+
+
+
+<p class="rfigure"><a name="advise609"><img width="90%" alt="Illustration:
+H.E. Bankston" src="images/advise609.png" /></a><br />H.E. Bankston</p>
+
+<p>This is to certify that I took treatment at the Invalids' Hotel and
+Surgical Institute, Buffalo, N.Y., and I was cured of a chronic trouble
+that had been maltreated by other physicians. While there I saw a man who
+had been cured by the specialists, who had before been given up to die by
+the best doctors in Troy, N.Y. Of course, the case must have been a very
+stubborn one. I afterwards saw a man here, in Georgia, die, who, if he had
+been in Pierce's Surgical Institute under the treatment and care of his
+skilled doctors and nurses, I know would have most assuredly got well. Why?
+Because it was only a case of <i>stone in the bladder</i>, and they are
+easily cured at Dr. Pierce's Surgical Institute. I think almost any chronic
+disease can be cured there, if taken in time, judging from my observations
+while an inmate of that Institution.</p>
+
+<blockquote>
+<p>
+H.E. BANKSTON,<br />
+Barnesville, Pike Co., Ga.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_821" id="Page_821"></a>[pg
+821]</span></p><hr />
+
+
+
+
+<h1>HYDROCELE,</h1>
+
+<h3>OR DROPSY OF THE SCROTUM.</h3>
+
+
+<p>This malady consists of a collection of water in the <i>tunica
+vaginalis</i>, or membranous sac which contains the testicles. It may
+affect either one or both sides. In health the sac-like covering, or
+investing membrane, of the testicle secretes a limpid fluid which
+lubricates its inner surface. When secreted in excess, it accumulates and
+constitutes <i>hydrocele</i>.</p>
+
+<p>The tumor commences at the bottom of the scrotum and grows very
+gradually, while hernia, or rupture, with which it is often confounded,
+progresses from above downwards and makes its appearance suddenly.</p>
+
+<p>We were recently consulted by an aged gentlemen, whose disease a
+distinguished surgeon had pronounced <i>double hernia</i>. On examining the
+enlargement, we found the disease to be dropsy of the scrotum, complicated
+with varicocele.</p>
+
+<p><b>Causes</b>. Injuries from blows or bruises are among the most common
+causes of this disease. It may also result from inflammation of the
+testicle or from excited action in those parts. It has been known to result
+from stricture of the urethra, or water-passage, and also from local
+irritation along that passage.</p>
+
+
+<h4>HYDROCELE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise610"><img width="90%" alt="Illustration:
+H.H. Williams, Esq." src="images/advise610.png" /></a><br />H.H. Williams,
+Esq.</p>
+
+<p><i>Dear Sirs</i>&mdash;In answer to inquiries will say, that any person
+afflicted as I was, I would advise them not to listen to any ordinary
+doctor, but leave at once for the Invalids' Hotel and Surgical Institute,
+Buffalo, N.Y., where he could get the best of treatment and attendance that
+money could procure. The table also is loaded with the best of fruits,
+vegetables, and the finest meats of the markets.</p>
+
+<blockquote>
+<p>
+Respectfully,<br />
+H.H. WILLIAMS,<br />
+St. Augustine, Florida.<br />
+</p>
+</blockquote>
+
+
+<h4>HYDROCELE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise611"><img width="90%" alt="Illustration:
+D. Flynn, Esq." src="images/advise611.png" /></a><br />D. Flynn, Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;Without solicitation, but simply to aid suffering
+humanity, I take pleasure in recommending your place to any suffering from
+Hydrocele.</p>
+
+<p>I was cured in a short time, after having the Hydrocele for eighteen
+years. Your new process is painless, no knife being used and is certain,
+sure and safe. With many good wishes of success, I am,</p>
+
+<blockquote>
+<p>
+Yours truly, DAVID FLYNN,<br />
+(Engineer, S.F. &amp; W. Ry.,)<br />
+Way Cross, Ware Co., Ga.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_822" id="Page_822"></a>[pg
+822]</span></p><h4>HEMATOCELE OR RUPTURED VEINS.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise612"><img width="90%" alt="Illustration:
+D. Parker, Esq." src="images/advise612.png" /></a><br />D. Parker, Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I was afflicted with Hematocele of large size, caused
+by an injury, for which home-treatment gave me no relief.</p>
+
+<p>Hearing of your Invalids' Hotel I went there and had an operation
+performed for its cure. I have the greatest confidence in your Specialists,
+as the operation was a perfect success. It was perfectly painless, and I
+was able to go home in less than two weeks with the cure complete. I take
+pleasure in certifying to the good work you are doing.</p>
+
+<p>With the best of feeling toward the Invalids' Hotel, I am,</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+DON PARKER,<br />
+P.O. Box 155, Oakfield, Genesee Co., N.T.<br />
+</p>
+</blockquote>
+
+
+<h4>HYDROCELE WITH VARICOCELE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise613"><img width="90%" alt="Illustration:
+D. Huntington, Esq." src="images/advise613.png" /></a><br />D. Huntington,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;About five years ago, having been a patient at, the
+Invalids' Hotel and Surgical Institute and undergone a painless operation
+for the cure of hydrocele and varicocele&mdash;which was performed to my entire
+satisfaction. I desire to express my thanks to the Medical Stuff for their
+skillful treatment of my case. Two weeks from the time of the operation I
+returned home, radically and permanently cured.</p>
+
+<p>I recommend all similarly afflicted to consult the World's Dispensary
+Medical Association.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+DANIEL HUNTINGTON,<br />
+Huron, Beadle Co., So. Dak.<br />
+</p>
+</blockquote>
+
+
+<h4>TWENTY-TWO YEARS' STANDING&mdash;UNSUCCESSFULLY TREATED BY OTHERS.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise614"><img width="90%" alt="Illustration:
+E.L. Waters, Esq." src="images/advise614.png" /></a><br />E.L. Waters,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I wish to acknowledge that you have cured me of the
+worst case that ever came within my knowledge, it having afflicted me
+twenty-two years. After I had suffered much from other surgeons without any
+cure being effected, and with only relief for a short time, you performed a
+not only painless but very scientific operation, and with medicine
+completed the cure. It is now five years since you treated me and no
+symptoms of the disease have shown themselves. I will also add that while
+with you at the Invalids' Hotel I received the best of care and attention
+from the well trained nurses in your employ, for all of which I feel
+grateful.</p>
+
+<blockquote>
+<p>
+With respect and best wishes,<br />
+EDWIN L. WATERS,<br />
+Athol Centre, Mass.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_823" id="Page_823"></a>[pg
+823]</span></p><hr />
+
+
+
+
+<h1>THE URINARY ORGANS:</h1>
+
+<h2>THEIR ANATOMY, PHYSIOLOGY AND PATHOLOGY.</h2>
+
+
+<p>By reference to Fig. 1 the reader will get a good understanding of the
+relative positions of the kidneys, bladder, and adjacent organs.</p>
+
+
+<h3>THE KIDNEYS.</h3>
+
+<p>It is hardly necessary to discuss the minute structure of these organs
+in a book intended for the non-professional reader.</p>
+
+<p>The function of the kidneys is to remove certain waste materials from
+the blood. As fast as excreted by the kidneys, the urine passes through the
+ureters, of which there are two,&mdash;one leading from each kidney, into the
+bladder. The ureters are lined with a continuation of the mucous membrane,
+reflected from the bladder upwards, and this lining also extends to the
+cavities of the kidneys.</p>
+
+<p>Calculi or gravel, and stones, forming, as they sometimes do, in the
+kidneys, and passing down through these delicate and sensitive canals,
+cause excruciating pain. The symptoms of renal calculi passing from a
+kidney to the bladder are, as already indicated, severe cutting pain in the
+loins, and along the ureter, attended with considerable fever. A very rough
+stone, such, for instance, as a mulberry calculus, passes with considerable
+difficulty, and the patient is often suddenly seized with excruciating
+agony in the loins and in the groin, the pain also shooting down into the
+testicle of the corresponding side, often causing it to retract. There is
+usually, also, sympathetic pain shooting down the thigh. We have seen
+patients roll on the floor in the greatest agony, cold sweat meanwhile
+pouring down their faces, when thus suffering. The patient may also vomit
+violently, through nervous sympathy. The urine is apt to be bloody, and
+there is a constant desire to pass it. There is pain in the end of the
+penis, and also in the lower portion of the abdomen.</p>
+
+
+<h3>THE BLADDER.</h3>
+
+<p>This is a sac, or reservoir, to receive and hold the urine as it comes
+from the kidneys through the ureters. Its walls are partly composed of
+muscle, and partly of a lining mucous membrane. The muscular coating is
+external, and it is by its contraction that the urine is expelled. When
+empty, the bladder shrinks down to a small size, as compared with its
+distended condition. When filled, it is capable of holding about one pint.
+If it is distended by the retention of urine much beyond <span
+class="pagenum"><a name="Page_824" id="Page_824"></a>[pg 824]</span>this
+capacity, the muscular coats lose their force, and often the urine cannot
+be passed naturally. In health, when the bladder becomes filled and
+distended, there is a consequent desire to empty it by passing water.</p>
+
+
+
+<p class="figure"><a name="advise615"><img width="40%" alt="Illustration:
+Fig. 1." src="images/advise615.png" /></a><br />Fig. 1.</p>
+
+<p>The voiding of the urine should not be attended with the slightest pain
+or disagreeable sensations, and the desire to pass it should not be
+frequent. When there is frequent desire to pass it, or when its passage is
+attended with pain, there is irritation, or inflammation, in <span
+class="pagenum"><a name="Page_825" id="Page_825"></a>[pg 825]</span>the
+coats of the bladder, or in the urethra. This may arise from an excessively
+acid or irritating condition of the urine, as well as from various other
+causes. Gonorrhea, or clap; stricture of the urethra, which impedes the
+free flow of the urine; enlargement or inflammation of the prostate gland;
+gravel, and stone in the bladder, are all capable of creating a frequent
+desire to pass water. Whatever the unhealthy condition may be which gives
+rise to this troublesome symptom, it calls for prompt and skillful
+treatment, for the most trivial affections of these organs often pass into
+those that are exceedingly intractable, if not incurable.</p>
+
+<p><b>The Examination of the Urine</b>. The urine itself, when subjected to
+microscopical or chemical examination, as we shall hereafter more fully
+explain, offers the best means of determining the exact nature of these
+distressing affections. When normal, the urine is of a pale straw-color,
+and throws down no deposits on cooling. In passing it no difficulty or pain
+should be experienced, and it should spurt from the urethra in a full,
+round, and regular stream, until the bladder is entirely emptied. If the
+stream is forked, checked, or interrupted in any way before the bladder is
+completely emptied, it is evidence that something is wrong. Stricture of
+the urethra, prostatic disease, and gravel, or stone in the bladder, are
+all capable of producing obstruction to the free flow of the urine.</p>
+
+<p><b>How Slight Ailments become Dangerous Diseases</b>. As we have before
+stated, the mucous membrane lining the bladder is reflected upwards into
+the ureters, lining these canals. By reason of this continuity of mucous
+surfaces, patients suffering from urethral, prostatic, and bladder
+affections, often die from disease of the kidneys. It must not be supposed
+that because stricture of the urethra does not co-exist with <i>Brights</i>
+disease, that the latter may not have been caused by the obstruction in the
+urethra due to stricture. Pulmonary consumption, for instance, often begins
+in the form of nasal catarrh, but, by the continuity of the mucous
+membrane, it travels, so to speak, into the throat, or pharnyx; from the
+pharnyx into the larnyx, and then into the lung structure itself. The
+disease is transferred from the nose into the lung tissue. What occurs in
+the nasal, laryngeal, and pulmonary tract of mucous membrane, happens,
+also, in the urinary tract. A gonorrhea, which is a specific acute
+inflammation of the urethral canal, leaves behind it a slight gleet, or
+chronic inflammation of the mucous membrane of the urethra. This may give
+little inconvenience for a number of years, but gradually it culminates in
+a stricture, or, implicating the prostatic portion of the urethra,
+occasions inflammation of the prostate gland, and, perhaps, enlargement of
+this organ. This gradually gives rise to cystitis, or inflammation of the
+bladder. From the bladder, the disease travels up the ureters into the
+kidneys, and finally <i>Brights</i> disease is established in these
+organs.</p>
+
+<p>The mucous membrane lining the bladder also extends through the <span
+class="pagenum"><a name="Page_826" id="Page_826"></a>[pg
+826]</span>urethra. Throughout the interior of the body, whether it be in
+the stomach, lungs, or other parts, this lining mucous membrane serves as a
+protection to the parts beneath, just as the skin on the exterior of the
+body serves as a protection to the sensitive true skin and the tissues
+underneath it.</p>
+
+<p><b>The Cause of Certain Distressing Symptoms</b>. Close to the neck of
+the bladder is a triangular space, on which the mucous membrane is
+smoother, and devoid of folds, or rugæ, and which is far more sensitive
+and vascular than other portions of the mucous membrane lining this organ.
+It is called the <i>trigone vesical</i>. This <i>trigone</i> is the most
+depending part of the bladder. If there be stone in the bladder, it
+naturally gravitates and rests on this sensitive space, so that, when the
+bladder is empty, the foreign body occasions inconvenience, until the
+urine, trickling down through the ureters, and intervening between the
+mucous membrane and the stone, serves as a temporary protection to the
+mucous surface. Hence the pain becomes less as the urine is secreted, until
+the water is again passed, and the intervening fluid thereby removed, when
+the stone again presses upon, and irritates, the sensitive <i>trigone</i>,
+by coming into more immediate contact with it. The greater ease with
+patients afflicted with stone experience in a recumbent position in bed, or
+on a sofa, compared with being in an erect posture, is easily explained.
+The foreign body, when the patient is standing, walking, or riding, falls
+by its own gravity on this sensitive spot; when in a recumbent position, it
+rolls away from this sensitive <i>trigone</i> into the back part of the
+bladder, where the mucous membrane is less sensitive; consequently, the
+patient suffering from stone in the bladder is more easy at night, whereas,
+one suffering from prostatic disease, whether it be inflammation of the
+prostate gland, or enlargement of that organ, is usually worse in bed.</p>
+
+<p><b>How Bladder Diseases come to be Confounded with other Diseases.</b>
+The bladder is largely supplied with blood-vessels, lymphatics, and nerves,
+given off from the same systems that supply the rectum or lower bowel, and
+in females the uterus or womb, and the ovaries. This accounts, in a great
+measure, for the symptoms of bladder disease in those afflicted with piles,
+or other diseases of the lower bowel, or of diseases of the uterus or womb
+in the female. We have frequently been consulted by patients who had
+erroneously supposed themselves to be suffering from disease of the
+bladder, or of the prostate gland, but whom we found, on examination, to be
+suffering from hemorrhoids, or piles. In these cases, by removal of the
+pile tumors, the frequent desire to urinate, and all pain in the region of
+the bladder, are promptly relieved. Sometimes, ulcers located in the
+rectum, give very little unpleasant sensation in the bowel, but produce
+pain in the bladder, with frequent desire to urinate. Enlargement of the
+uterus, the womb, or displacements of that organ, as prolapsus, or
+anteversion, and all capable of producing symptoms of bladder disease. A
+frequent <span class="pagenum"><a name="Page_827" id="Page_827"></a>[pg
+827]</span>desire to urinate and more or less sharp pain in the region of
+the bladder are usually experienced in these cases. Disease of the bladder,
+in like manner, often produces an apparent disease of other organs through
+sympathy, and without great care in diagnosticating each case, the
+<i>effect</i> may be taken for the <i>cause</i>, and the patient treated
+for a disease which does not really exist.</p>
+
+
+<h3>THE URETHRA.</h3>
+
+<p>The urethra, in the male, is the canal extending from the bladder to the
+end of the penis, through which the urine is passed. This canal starts from
+the base of the bladder, passes through the prostate gland, and, entering
+the penis, continues of about uniform size along the under part of the
+penis until it reaches the glans, or head of that organ, where it expands
+somewhat into a bulb-like fossa, or cavity, and becomes reduced again at
+the orifice. At a short distance from the bladder it receives the outlets
+of the seminal ducts. The urethra is a most delicate and sensitive canal,
+and is surrounded by tissues of like delicacy, and is lined with a mucous
+membrane which is highly vascular, and filled with sensitive nerves. The
+introduction of any instrument into this canal is to be undertaken only
+when absolutely required, and when necessary. It should be so skillfully
+and carefully effected that no pain or irritation can result. The slightest
+awkwardness is liable to cause an unnoticeable injury, which may result in
+a false passage, or an effusion of plastic lymph around the canal, which,
+organizing, forms the most troublesome kind of organic structure. By proper
+and early treatment all danger and pain is avoided, and a cure effected in
+a very short time. In an extensive practice, in which we yearly treat
+thousands of cases, we have never yet failed to give perfect and permanent
+relief from stricture, or disease of the prostrate gland, without the
+necessity of using cutting instruments of any kind, when we have been
+consulted before injury to the urethra has been produced by the improper
+use of instruments. Having specialists who devote their entire time and
+attention to the study of these diseases, we are able to relieve and cure a
+large number painlessly and speedily, in which the awkward manipulations of
+physicians or surgeons, whose hands, untrained by constant and skillful
+use, not only fail to effect any benefit, but set up new, or aggravate
+existing, disease.</p>
+
+<p>This subject will receive a more full and complete consideration in
+another part of this treatise.</p>
+
+
+<h3>THE PROSTATE GLAND</h3>
+
+<p>The prostate is a gland of about the size and shape of a large chestnut,
+lying just in front of the bladder, and surrounding the urethra. The size
+of the prostate gland varies considerably with the age of the person. In
+early life it weighs but a few grains. As puberty approaches it becomes
+larger, and in the adult weighs from half an ounce to an ounce. In old age
+it enlarges considerably, and sometimes presses upon <span
+class="pagenum"><a name="Page_828" id="Page_828"></a>[pg 828]</span>the
+bladder so as to impede the flow of urine. This condition is often
+confounded with stricture, gravel, or stone in the bladder, by
+inexperienced physicians. Hypertrophy, or enlargement of the prostate
+gland, is not an unfrequent disease in the adult or middle-aged man. Being
+in close contact with the bladder, when it enlarges it encroaches on the
+bladder, pressing on it, and it has the effect of interfering with the
+function of urination. As before indicated, enlargement or hypertrophy of
+the prostate gland, is often confounded with stricture, gravel, and stone
+in the bladder, by inexperienced physicians, and treated accordingly. The
+true condition of this gland is readily determined by an examination
+through the rectum or lower bowel, the finger of the expert surgeon being
+able to determine at once whether it is enlarged or not.</p>
+
+<p><b>The Danger of Bad Treatment</b>. In disease of the prostate gland, as
+well as in inflammation of the kidneys and bladder, stricture of the
+urethra, and many other forms of urinary disease, the use of stimulating
+diuretics, and the much-advertised "kidney cures," "buchus," and similar
+preparations, which largely increase the flow of urine, simply aggravate,
+and do positive harm. In fact, the most difficult cases that we have had to
+deal with have been those that, through such treatment, either taken on
+their own account or prescribed by inexperienced physicians, have been
+rendered so much worse as to make their cases very intractable, and tedious
+to relieve and cure.</p>
+
+<p><b>Require Nicely Adapted Treatment</b>. As we have heretofore
+indicated, there is no class of diseases that require nicer adaptation of
+medicines to each individual case, than those of the urinary organs.
+Medicines which, in one stage of these diseases are beneficial and
+curative, in another stage are often exceedingly injurious. Hence it is
+that we claim it to be impossible for any one to put up any set
+prescription, or proprietary medicine, that will meet the wants of a large
+percentage of this class of cases. The only rational course to be pursued
+is to examine carefully each case as it is presented; find out the exact
+condition and stage of the disease with which the patient is afflicted, and
+then prescribe for it such special medicines as are nicely and exactly
+adapted to the patient's condition. These, in many cases, will have to be
+changed from time to time, to suit the ever-changing condition of the
+disease, as it is modified by the treatment. Not only have the
+manufacturers of "buchus," "kidney cures," etc., committed grave errors by
+prescribing stimulating diuretics for almost all kidney and bladder
+diseases, under the impression that, as the patient passes only a small
+quantity of urine at a time, the kidneys should be stimulated to secrete
+more, but physicians in general practice have been very prone to commit the
+same error in their practices. When the bladder and kidneys are in a weak
+and diseased condition, incapable of efficient action, the bladder being
+already unable to dispose of the diminished quantity of urine secreted, it
+is simply outrageous practice to administer medicines calculated to <span
+class="pagenum"><a name="Page_829" id="Page_829"></a>[pg
+829]</span>stimulate the kidneys to perform more work. By being thus
+forced, these organs become seriously diseased. It would appear most
+unreasonable to whip and spur a horse already jaded from overwork. Common
+sense would dictate rest, which always does good; but, as the bladder is
+weak, the doctor whips up the kidneys with drugs, thus endeavoring to force
+them to secrete more urine, and thereby the poor, crippled bladder, which
+is incapable of disposing of even the diminished quantity secreted, is
+actually made to do more work in a diseased and feeble condition, than it
+would perform in a sound, strong, and healthy state. The results of this
+pernicious practice are <i>Bright's</i> disease of the kidneys, cystitis or
+inflammation of the bladder, and numerous other grave maladies.</p>
+
+<hr />
+
+
+
+
+<h2>KIDNEY DISEASE.</h2>
+
+
+<p>Diseases of the kidneys are generally very slow in their inception,
+coming on gradually and manifesting no special symptoms of their presence
+until they have assumed a formidable character. For this reason they are
+the more dangerous. Simple derangement of the urinary secretion is no
+evidence of disease of these organs, as changes in the color, quantity and
+specific gravity of the urine are often produced by changes of temperature,
+active or sedentary habits, mental emotion, and sometimes by articles of
+diet, or drink, as well as by the use of different drugs.</p>
+
+<p>The existence of disease of the kidneys in the early stages can only be
+positively determined by a microscopical and chemical examination of the
+urine, which reveals to us the presence of casts, epithelia, blood, pus,
+etc. The microscope informs us not only of the presence of disease, but
+very often of the particular portion of the kidney in which it is located,
+as well as of the stage which the disease has reached. We are also aided by
+chemistry in determining the exact abnormal condition of the kidneys by the
+detection of albumen, sugar, etc. These examinations, by aid of the
+microscope and chemical re-agents, should never be neglected by the
+physician. Without them his diagnosis, or judgment of the patient's
+condition, is simply guess-work. With them he is enabled to base his
+treatment upon certain and positive knowledge of the patient's real and
+true condition.</p>
+
+<p>The usual symptoms of chronic disease of the kidneys, but which vary
+materially with the age, constitutional peculiarities and temperament, are
+weakness in the small of the back, pains in the region of the loins and
+groins, numbness of the thigh on the side of the affected kidney (for often
+only one organ is affected), high-colored and often scalding urine, many
+times depositing a sediment, sometimes white or milky urine, bloody urine,
+frequent desire to pass the urine, partial impotency, pains in the
+testicles and shooting into the loins, suppression or inability to pass the
+urine, gravel, stone in the bladder, dropsical swellings, <span
+class="pagenum"><a name="Page_830" id="Page_830"></a>[pg
+830]</span>swelling of the testicles, irritability and pain in the bladder,
+mucous and sometimes seminal discharges oozing from the urethra.</p>
+
+<p><b>When the Bladder is affected</b> the prominent symptoms usually
+complained of are irritability of the bladder, accompanied by a frequent
+desire to urinate, inability to retain more than a small quantity of urine,
+and this for a short time only, pain in the region of the bladder,
+extending into the back, thighs, etc., hot scalding sensations in passing
+the urine, sediment in the urine, and sometimes bloody urine. The appetite
+is usually diminished, there is a depression of spirits, the urine is often
+passed only by drops, and is irregular in quantity and quality, frequent
+inability to pass the urine at all, in males partial impotency, with dull
+disagreeable pain in the testicles and irritation of the urethra, attended
+with mucous and sometimes seminal discharges oozing from the urethra. Some
+of these symptoms may be present as the result of functional or organic
+disease of other organs than the kidneys or bladder, and to distinguish
+them with positive certainty is impossible without the aid of a
+microscopical and chemical examination of the urine.</p>
+
+<hr />
+
+
+
+
+<h2>BRIGHT'S DISEASE.</h2>
+
+
+<p>This affection may appear in either an acute or chronic form. The acute
+form is frequently a complication, or sequel of scarlet fever, diphtheria,
+cholera, typhoid fever, erysipelas or measles, and is frequently developed
+by intemperance. The acute form of the disease is very rapid in its
+progress, often destroying life by uræmic poisoning&mdash;the retention of urea
+in the system.</p>
+
+<p>The symptoms of the acute form are diminution or suppression of urine,
+dry skin, chills, thirst, pains in the loins, and a general dropsical,
+puffy condition of the system, especially manifesting itself in the earlier
+stages under the eyes, but gradually showing itself in the oedema, or
+swelling of the feet, and lower extremities generally. Unless promptly
+relieved, the patient dies of coma (stupor), or from convulsions. No person
+should be so rash as to attempt the treatment of this dangerous affection
+without the aid of the best medical skill that can be procured.</p>
+
+<p><b>It is the Chronic Form of Bright's Disease</b> that we propose
+principally to discuss in this article. True Bright's disease of the
+kidneys is an insidious and most fatal form of organic disease.</p>
+
+<p>We venture to assert that less than one per cent. of those who imagine
+they have "Bright's," have this disease at all. We find that most of those
+who, as one of our Faculty puts it, <i>insist upon having</i> Bright's
+disease, base their "diagnosis" upon the ever-changing condition of the
+urinary secretion, and especially upon the copiousness of the deposit;
+whereas, in true Bright's, deposits of any kind are rarely met with.
+Perhaps the form of deposit most commonly mistaken for Bright's disease, is
+that known to medical men as the <i>urates</i>. When the urates <span
+class="pagenum"><a name="Page_831" id="Page_831"></a>[pg 831]</span>are in
+excess they form a heavy pinkish deposit of a flocculent nature within from
+five to thirty minutes after the urine has been passed&mdash;that is, after it
+has been passed sufficiently long to cool. To prove that the deposit is
+urates, heat the specimen to the temperature of the blood, when the deposit
+in question will disappear. Excess of urates has now been definitely
+traced, in the majority of instances, to functional torpidity of the
+liver.</p>
+
+<p>Another common form of deposit is that in which the reaction of the
+urine, instead of being acid, as in health, is either neutral or alkaline,
+and in which the earthy phosphates are precipitated for this reason. The
+earthy phosphates, when thrown down by a neutral or an alkaline condition
+of the urine, appear as a heavy white deposit, which, though usually devoid
+of clinical significance, is certainly calculated to frighten timid
+patients who read of the "terrible ravages of Bright's" in the
+advertisements of various popular "kidney cures." To prove that the
+precipitate is phosphatic in its nature, add a few drops of vinegar and it
+will disappear; whilst, if, after the vinegar has been added, the specimen
+be brought to the boiling point, not only both the urates and phosphates
+remain in solution, but there is only one single substance known to
+pathological chemistry that can form a deposit under these conditions&mdash;and
+that substance is albumen, which, if present in quantity, is always
+indicative of serious disease.</p>
+
+<p>The papers are filled with the plausible but unwarranted statements of
+the manufacturers of various "kidney cures," who anxiously desire that
+every one should be impressed with the idea that all their troubles arise
+from kidney disease in order to sell large quantities of their medicines.
+In many cases the unfortunate patient is rendered much worse by the use of
+remedies that are not suited to his condition, and which will not cure the
+real trouble with which he is affected.</p>
+
+<p>Daily we are consulted by persons in whose cases these errors have been
+made. In reality, true Bright's disease is not a common affection, and nine
+out often individuals who think that they suffer from it, or the early
+stages of the trouble, in fact have something more curable. In some cases
+it is an affection of the liver, which forces an excretion of unnatural
+salts by the kidneys, and thus renders the urine acrid and irritating, or
+they may be suffering from some other disease, such as a deformity or
+enlargement of certain glands, as the prostate; unnatural position of the
+organs, as with women who suffer from weakness, the uterus pressing forward
+on the bladder and urethra, and thus showing every evidence of disease in
+the urinary canal. It is as common for persons to suffer from deformity of
+the urinary canal as from misshapen limbs, or from noses and ears not of
+proper size and proportion.</p>
+
+<p>The urinary canal, from the bladder outward, is narrow and delicate. Any
+disease or injury therein is liable to result in gradual contraction, which
+may be manifested long years after the cause has been forgotten, or has
+disappeared. These affections, to the inexperienced, or the physician <span
+class="pagenum"><a name="Page_832" id="Page_832"></a>[pg 832]</span>who is
+not particularly alert and cautious in his diagnosis, are liable to cause
+error, and he will pronounce a given case Bright's disease, when in reality
+there is some simple cause for the irritation of the urinary canal, and the
+pains in the kidneys, etc., all of which frequently result from a slight
+damming up of the flow of water, and the prevention of free expulsion from
+the system of the salts of which the body is relieved by the kidneys. They
+cannot work under pressure. When, from any cause, the flow of water is
+checked, and, as it were, dammed up so that a slight pressure is put upon
+the kidneys below, their secretion is most materially interfered with, and
+the many trains of symptoms that usher in disease of the kidneys,
+appear.</p>
+
+<p>The true, and only sure way to relieve these conditions, as can be
+understood by any one, is to remove the real cause. The use of any medicine
+that stimulates the kidneys to an irritable action, under such pressure, is
+to be avoided, as it only makes the trouble worse, increases the amount of
+water that is dammed up, and results in more serious manifestations of
+constitutional disease; whereas, by merely relieving the choked outlet, the
+flow of water becomes free, and the kidneys are speedily restored to their
+natural condition. This is well illustrated by the following:</p>
+
+
+<p>Case 113,396.</p>
+
+<blockquote>
+<p>
+As recorded at the Invalids' Hotel. L.C.K., farmer, age 41, married. For a
+period of nearly ten years, as a result of slight injury, he had suffered
+from cloudy
+and unhealthy-looking water, with some burning on passing it; frequent
+calls to
+urinate; swelling of the limbs, loss of energy and strength; headache,
+etc.; gradually
+there appeared severe pain in the back, at times recurring with a sense of
+fullness
+in the abdomen. For a period of nearly eight years he had been constantly
+treated by physicians at his home, all of whom had investigated his case.
+He had
+made several long journeys to consult the manufacturers of a
+much-advertised
+"kidney cure," who, after pretending to examine his urine, scientifically
+(none of
+the proprietors are physicians), assured him that, without the shadow of a
+doubt,
+his disease was Bright's, and that he might be cured by their "kidney
+cure," which
+was for sale at all drug stores. For a period of eighteen months he
+steadily took
+this "cure," which, he states, he is sure aggravated his disease, as,
+although his
+sufferings at times were less, he felt that he was not improving in the
+least, and
+that his disorder was not being properly controlled. His home physician
+went
+with him on several occasions, consulted with the owner of the proprietary
+medicine,
+and was equally mistaken in his diagnosis. After consulting many doctors,
+all of whom assured him they could give him treatment that would prolong
+his
+life somewhat, and make his condition comfortable, but that no treatment
+would
+affect his cure, he was induced, by reading our article, heretofore
+referred to, to
+consult us. A very thorough examination of the case was made, which
+resulted
+in finding two contractions of the urethra, which admitted only the
+smallest sized
+probe, and which, necessarily, prevented the free flow of the urine. These
+were
+speedily removed, when, much to the surprise of his family physician, who
+accompanied
+him, over thirty-seven ounces of fluid were drawn from the bladder. This
+gave him immediate and perfect relief. The pains and aches in the region of
+the
+kidneys, the weakness and tenderness, and the many other uncomfortable
+symptoms
+with which he was troubled, all disappeared. From a feeble and irritable
+invalid,
+in a few weeks he was converted into a happy and cheerful man. The symptoms
+of congestion and irritability of the kidneys gradually disappeared, and in
+thirty days after visiting us he writes that he feels himself entirely
+sound and well.
+This gentleman states that he will be pleased to correspond with any one
+who
+wishes to learn the particulars of his case, and his full name and address
+will be
+furnished to any inquirer.
+</p>
+</blockquote>
+
+<p>Bright's disease when fully established is characterized by degeneration
+of the kidneys. Submitted to examination, after death by this disease,
+these organs present various appearances. Hence, the degeneration <span
+class="pagenum"><a name="Page_833" id="Page_833"></a>[pg 833]</span>that
+characterizes the disease has been designated as waxy degeneration. Some
+pathologists contend that the disease consists of several different renal
+maladies, all of which, however, agree in the one ever-present symptom of a
+more or less albuminous condition of the urine.</p>
+
+<p>As to the causes of kidney disease, it may be said that any thing which
+will give rise to a greater or less degree of congestion of the kidney will
+induce either a temporary albuminous condition of the urine, or a true
+Bright's disease of the kidneys. Suppression of perspiration, by exposure
+to cold and wet, want of cleanliness, deficiency of nutritious diet, liver
+disease, certain poisons in the system, as of scarlet fever, measles,
+erysipelas or diphtheria, taken in conjunction with sedentary habits, bad
+air, excessive mental labor or worry, may each occasion an albuminous
+urine, and finally result in Bright's disease, but of all causes that
+appear to produce this disease, none are so prolific as intemperance. A
+scrofulous diathesis, or habit of body, may strongly predispose to the
+disease, and chronic kidney disease frequently follows acute rheumatism and
+the practice of masturbation. In some instances the chronic form of
+Bright's disease follows an acute attack, but is more often developed
+slowly and insidiously without any known cause.</p>
+
+<p><b>The Symptoms</b> of this fatal malady generally appear so gradually
+that they excite but little or no concern until it has reached its more
+advanced and dangerous stages. Frequently, a puffy, watery or flabby
+condition of the face, particularly under the eyes, is the first symptom
+noticed, and the patient may observe that his urine is diminished in
+quantity. The urine is sometimes abundant, but generally more scanty than
+in health, is acid in its reaction, and generally of a low specific
+gravity. The countenance is generally somewhat pale and bloodless, which,
+taken with the dropsical condition of the system, and the constant
+albuminous condition of the urine, points the expert specialist to Bright's
+disease of the kidneys. Various circumstances and conditions may give rise
+to the temporary presence of albumen in the urine, and, although albumen
+may be temporarily absent from the urine even when Bright's disease exists,
+yet this is not common. There are certain indirect symptoms which point
+clearly and almost unmistakably to the presence of this disease. These are
+deep-seated pain or weakness in the back, gradual loss of flesh, red,
+brown, or dingy urine, more or less drowsiness, and as the disease
+advances, a smothering sensation, or difficulty in breathing, with
+dropsical puffiness or swelling. Occasional attacks of nausea and vomiting
+are common; pains in the limbs and loins, which are often mistaken for
+rheumatism. Irregularity of the bowels is also common. The skin becomes
+harsh and dry, not perspiring even under active exercise. Sometimes these
+symptoms are years in their development, being very obscure at first, and
+in some cases the disease has been known to prove fatal without the patient
+having experienced any extraordinary symptoms. With those whose systems are
+enfeebled by want, intemperance, exposures or disease, as scrofula or <span
+class="pagenum"><a name="Page_834" id="Page_834"></a>[pg
+834]</span>syphilis, the first symptoms usually observed will be a frequent
+desire to urinate, occasional attacks of diarrhea, flatulency, dropsical
+swelling of the face, especially under the eyes, and afterwards of the
+extremities, paleness and increasing debility. Stupor, apoplexy and
+convulsions are the forerunners of a fatal termination.</p>
+
+<p>Microscopical and chemical examinations of the urine are the only
+reliable means of diagnosis, and should be often repeated. (See Urinary
+Signs, in Appendix.) As albumen is often present in the urine without the
+existence of Bright's disease, it is impossible, except by the aid of the
+microscope, to distinguish true Bright's from other affections of the
+kidneys. In both purulent urine, and that containing blood, albumen will be
+found by the usual tests, but in smaller quantity than in Bright's disease.
+Albumen, with disintegrated epithelia, hyaline, and large granular casts,
+as well as waxy casts, are peculiar to, and characteristic of, this
+disease.</p>
+
+<p>In the treatment of this malady, our specialist's experience has been
+very great, and attended with marvelous success. Of course, after the
+substance of the kidney has degenerated and broken down, and become
+destroyed to any great extent, a cure is impossible. But that we now
+possess remedies of great value, and specific power over this terrible
+disease, we have the most positive evidence in the remarkable success
+attended in its treatment. Most cases that are curable can be managed
+successfully at a distance, the necessary medicines being sent either by
+mail or express. Our specialists have cured many in this way who were so
+bloated from dropsical effusion as to weigh twenty-five to forty pounds
+more than usual. In our Sanitarium, where we have had the advantage of our
+Turkish baths and other appliances, we have cured some cases in which the
+removal of the dropsical effusion reduced the patient's weight sixty
+pounds.</p>
+
+<p>We cannot, In conclusion, too strongly condemn the general resort to
+strong diuretics so often prescribed by physicians for all forms of renal
+maladies, but which, by over-stimulating the already weak and delicate
+kidneys, only aggravate and render incurable thousands of cases annually.
+Not less harmful are the many advertised "kidney cures," "kidney remedies,"
+"buchus," and kindred preparations. They all contain powerful, stimulating
+diuretics, and, while they may appear for a short time to do good,
+invariably render the case worse and far more difficult to cure. The cases
+of Bright's disease reported cured by these preparations are cases of far
+less dangerous maladies, made to appear, by exaggerated accounts of them,
+as true Bright's disease. The use of these general, ready-made or
+proprietary remedies in any case of true Bright's disease is hazardous in
+the extreme. In no disease is there greater necessity for treatment nicely
+adapted to the exact condition of the patient (which should always be
+carefully ascertained by microscopical and chemical examinations of the
+urine) than in this. As it is a disease that runs a slow course, there is
+always time to send samples of <span class="pagenum"><a name="Page_835"
+id="Page_835"></a>[pg 835]</span>the urine for examination by expert
+specialists, and no other physician than a specialist of large experience
+should be entrusted with the treatment of a malady so dangerous in its
+character, and in the diagnosis and treatment of which general
+practitioners commit such frequent, and often fatal, errors. <b>(See
+Testimonials</b>.)</p>
+
+
+<h3>DIABETES. (POLYURIA AND GLYCOSURIA.)</h3>
+
+
+<p>There are two essentially different varieties of this disease, one of
+which is called <i>Diabetes Insipidus</i>, or <i>Polyuria</i>, and the
+other <i>Diabetes Mellitus</i>, or <i>Glycosuria</i>. The first is
+characterized by an increase in the amount of urine excreted, and yields
+readily to proper treatment. The second is characterized by the presence of
+sugar in the urine, and under ordinary treatment often proves fatal.</p>
+
+<p>The <i>causes</i> are obscure, and are therefore not very well
+understood by the profession.</p>
+
+<p><b>Symptoms</b>. A notable increase of the quantity of urine excreted is
+the first symptom which attracts the patient's attention. Frequently,
+several quarts, or even gallons, of urine are daily excreted, and it is
+paler than natural. The patient experiences extraordinary thirst, and has
+an almost insatiable appetite, though at the same time he loses flesh and
+strength. The tongue may be either clammy and furred or unnaturally clean
+and red. The bowels become constipated, and a peculiar odor is observed in
+the patient's breath and exhales from his body. The skin becomes harsh,
+dry, and scurfy. There are dizziness, headache, dejection, lassitude, and
+not unfrequently blindness, caused by cataract, is developed in one or both
+eyes. The intellect is blunted, and, as the disease progresses, the
+emaciation and debility increase, and pulmonary diseases develop; or,
+perhaps, an uncontrollable diarrhea sets in, and the patient dies from
+exhaustion.</p>
+
+<p>In this disease, as in Bright's, we have many medicines that produce
+specific curative effects, enabling our specialists to treat it with
+greatly increased success. The disease is readily diagnosticated, or
+determined, by chemical examination of the urine, so that we have been
+enabled to treat this class of cases very successfully at a distance, and
+without personal examinations. Great attention should be paid to the diet
+in these cases. It should be highly nutritious, but anything of a sweet or
+starchy nature must be avoided.</p>
+
+<p>The following articles are wholesome and afford sufficient variety,
+viz.: of animal food&mdash;beefsteak, game, poultry, fish, eggs, cheese, cream,
+butter; of vegetables&mdash;spinach, dandelion greens, turnip tops,
+watercresses, lettuce, celery, and radishes; of drinks&mdash;tea, coffee,
+claret, water, brandy and water, beef-tea, mutton-broth, or water
+acidulated with tartaric, nitric, citric, muriatic, or phosphoric acid. The
+<i>forbidden</i> articles are oysters, crabs, lobsters, sugar, wheat, rye,
+corn or oatmeal cakes, rice, potatoes, carrots, bests, peas, beans, pastry,
+puddings, <span class="pagenum"><a name="Page_836" id="Page_836"></a>[pg
+836]</span>sweetened custards, apples, pears, peaches, strawberries,
+currants, etc., also beer, sweet wines, port, rum, gin, and cider. (<b>See
+Testimonials</b>.)</p>
+
+
+<h3>CHRONIC INFLAMMATION OF THE BLADDER.</h3> <h3>(CHRONIC CYSTITIS.)</h3>
+
+
+<p>This affection, also called <i>catarrh of the bladder</i>, is an
+inflammation of the mucous lining of this organ. It may occur at any period
+of life, but it oftenest appears in the aged, and is usually associated
+with some obstruction to the flow of urine.</p>
+
+<p><b>Causes</b>. It may be due to colds, injuries, irritating diuretics,
+injections, extension of disease from the kidneys or adjacent organs,
+intemperance, severe horseback riding, recession of cutaneous affections,
+gout, rheumatism, etc.; but it more frequently results from stricture of
+the urethra, enlarged prostate gland, gravel, and gonorrhea. It is also
+caused by an habitual retention of the urine, and sometimes results from
+masturbation or self-abuse.</p>
+
+<p><b>Symptoms</b>. There is an uneasy sensation in the bladder, and
+heaviness and sometimes pain and weakness in the back and loins. The urine
+is scanty, and, although there is a desire to void it frequently, it is
+passed with difficulty. If allowed to stand, it deposits more or less
+mucus, which is sometimes mistaken for semen. As the disease progresses,
+the quantity of the mucus increases. It is very viscid, and adheres to the
+sides of the vessels, so that if an attempt be made to pour it out, it
+forms long, tenacious, ropy threads. Sometimes the quantity of mucus is so
+great that on exposure to cold the whole mass becomes semi-solid, and
+resembles the white of an egg. The excreted urine is alkaline, acrid,
+exhales a strong odor of ammonia, and soon becomes exceedingly fetid.
+Sometimes the urine becomes so thick that great difficulty is experienced
+in expelling it from the bladder. Nocturnal emissions, impotency, and loss
+of sexual desire are apt to ensue. Occasionally there will be a spasmodic
+contraction of the bladder, with straining and a sensation of scalding in
+the urethra, and sometimes the patient is unable to urinate.</p>
+
+<p>When ulceration occurs in the progress of the disease, as it is apt to
+in its advanced stages, blood will occasionally be seen in the urine. In
+the advanced stages of the disease the system becomes greatly debilitated,
+emaciation supervenes, with hectic fever, nervous irritability and,
+finally, death.</p>
+
+<p><b>Treatment</b>. A strict observance of the rules of hygiene is
+essential to a cure. We must ascertain the cause if possible, remove it,
+and thus prevent it from perpetuating the disease. The various causes and
+conditions involved in different cases demand corresponding modifications
+of treatment; hence, it is useless for us to attempt to teach the
+non-professional how to treat this complex disease. We have succeeded in
+curing many severe cases without seeing the patient, being guided in
+prescribing by indications furnished by microscopical and chemical
+examinations <span class="pagenum"><a name="Page_837" id="Page_837"></a>[pg
+837]</span>of the urine. (See Urinary Signs in Appendix.) In fact, nearly
+all cases can be cured at their homes, and without a personal examination
+being made. In the worst cases, we have found it best to have our patients
+at our institution, where we can wash out the bladder with soothing,
+healing lotions, and thus make direct applications to the diseased parts.
+(<b>See Testimonials</b>.)</p>
+
+
+<h3>GRAVEL.</h3>
+
+
+<p>When the solid constituents of the urine are increased to such an extent
+that they cannot be held in solution, or when abnormal substances are
+secreted, they are precipitated in small crystals, which, if minute, are
+called <i>gravel</i>. Another cause of the precipitation of these salts is
+a stricture of the urinary canal which, by interfering with the free
+expulsion of all the fluid from the bladder, results in the retention of a
+portion, which gradually undergoes decomposition. Salts from the urine are
+thus precipitated in the same way that they are thrown down in urine which
+is allowed to stand in a vessel. Any one can illustrate this, by allowing a
+small quantity of the urinary secretion to stand for a few days either in
+an open or a closed bottle. Soon a white, flaky deposit will be observed,
+which will become more and more dense, and finally fine grains will be seen
+precipitated at the bottom of the bottle. Similar grains, lodging in the
+folds of the bladder, gradually increase in size, by the precipitation of
+more salts around them, and ultimately become a source of much irritation.
+When of large size, they are termed <i>calculi</i> or stones. When these
+formations occur in the kidneys they are termed <i>renal calculi</i>; when
+in the bladder, <i>vesical calculi</i>. There are several varieties of
+gravel, each depending upon different conditions of the system for its
+formation. The two prominent varieties are the red, containing uric acid,
+and the white, or phosphatic, gravel.</p>
+
+<p><b>Symptoms</b>. When the deposits are in the kidneys, there is pain in
+the back and loins, occasionally cutting and severe; sometimes it darts
+down the course of the ureter to the bladder, and extends even to the
+thighs. When the deposits are in the bladder, there is a frequent desire to
+urinate, with a bearing-down, straining pain; also a cutting or scratching
+sensation in the urethra during micturition. In the male, intense pain is
+often experienced at the end of the penis. When the urine is voided in a
+vessel and allowed to settle, a gravelly deposit is seen, generally of a
+red or a white color, and the particles varying in size.</p>
+
+<p><b>Treatment</b>. These urinary deposits indicate a general derangement
+of the system, as well as a local disease. Nutrition is imperfect and some
+of the excretory organs are not properly performing their functions, or,
+perhaps, some portion of the body is being too rapidly wasted. Very
+frequently we find these gravelly formations as the result of a rheumatic
+or a gouty diathesis. It is also a well-known fact that torpidity of the
+liver throws an excessive amount of work on the kidneys. These organs then,
+in part, perform the function of the liver, and hence <span
+class="pagenum"><a name="Page_838" id="Page_838"></a>[pg
+838]</span>unnatural activity is required of them, and the secreting of
+such substances as uric acid, which precipitates readily and gives rise to
+severe irritation of the urinary canal.</p>
+
+<p>In order to treat these cases rationally and successfully, it is first
+necessary to ascertain by microscopical and perhaps chemical examinations,
+the character of the deposit. By such an examination, the exact condition
+of the system which gives rise to these abnormal products may be definitely
+determined, and the remedies to be employed indicated. As the
+non-professional are not qualified to make such examinations, it would be
+useless for us to suggest specific treatment for the various forms of this
+affection.</p>
+
+<p>Samples of the urine may be sent to us with a brief description of the
+symptoms experienced, and the proper medicines to cure can be returned by
+mail or express. Our specialists are treating, with uniform success, large
+numbers of cases in this way. (<b>See Testimonials</b>.)</p>
+
+
+<h3>STONE IN THE BLADDER.</h3>
+
+
+<p>Few affections to which the human flesh is heir are more painful than
+this terrible affliction. The cutting operation heretofore required to
+remove it, is considered one of the most dangerous operations that the
+surgeon is ever called upon to perform.</p>
+
+<p>The death of the Emperor Louis Napoleon, of France, from an operation
+for the removal of a stone, at the hands of surgeons renowned for their
+skill, gave new impetus to the efforts of surgeons to invent some method
+that would be less dangerous than that which has been heretofore commonly
+employed. The cutting operations have been the rule. Of these the operation
+by median-section is the safest, and is most commonly employed for the
+removal of stones that are not too large, while the lateral operation is
+used where the stone is more than about one inch in its smallest
+diameter.</p>
+
+<p>As will be seen by the consultation of any hospital record, the deaths
+in these various operations have been, in adults, from one in three to one
+in every four cases&mdash;a very large percentage, and sufficient to deter any
+sufferer from undergoing an operation except for the relief of a condition
+which is in itself worse than death. Even when this alarming death-rate is
+explained to sufferers, they willingly undergo the operation, feeling that
+they would rather die than longer continue in their pain and anguish.</p>
+
+<p>Our specialists, not satisfied with the results of these operative
+measures, in their studies of the disease endeavored to perfect some other
+means by which these foreign bodies could be removed from the bladder
+without such great danger and pain. The operation by crushing, and removal
+without cutting, appeared to them to present the most practicable
+advantages, and they therefore devote their entire time to the improvement
+of this method for the removal of stone.</p>
+
+<p>The method of crushing was first invented by a French surgeon many <span
+class="pagenum"><a name="Page_839" id="Page_839"></a>[pg 839]</span>years
+ago; but, owing to his crude instruments, and the difficulty that was
+experienced in expelling the pieces of stone, the operation was seldom
+employed by surgeons. The improvements in these methods at the hands of
+Bigelow and Sir Henry Thompson, with those that have been made by our
+specialists, have resulted in our being able to present to sufferers with
+this disease, a means of cure which is, we are assured, the most successful
+known to modern medical science.</p>
+
+<p>There have been so far in the history of the treatment of this malady by
+the new method of cure, one hundred and twenty-odd cases operated upon at
+the hands of prominent surgeons, all of which were with less perfect
+methods than that of our specialists, and there were but four deaths in
+this large number. By the advantages which are the result of further
+improvements by our specialists, we can assure you that this mortality is
+even less in our hands; in fact, approaches, as near as possible, to a
+perfect method of cure.</p>
+
+<p>We think that in a moderately healthy subject, one in which the kidneys
+are not badly diseased as the result of irritation from the calculus, the
+operation is almost absolutely safe. The method consists in the crushing of
+the stone, and its removal from the bladder by means of small silver
+catheters attached to an apparatus which gently and perfectly removes, by
+suction, all the pieces which are thrown to the bottom of the bladder. This
+operation has now been performed in our institution in a very large number
+of cases with uniform success, and the cures have been effected in from six
+to eight weeks without a single unpleasant symptom arising during their
+progress. By this method it is not necessary to remove the entire calculus
+at one operation, if it is a large one. By the old cutting operation this
+was required, as the bleeding was great, and what was to be done had to be
+done immediately, or the patient would die from the <i>hemorrhage</i>. With
+the new method a part of the large calculus, or when several exist, one or
+two of them, may be removed at a time, after which the patient can rest and
+gain strength for the second; or, if necessary, for the third
+operation.</p>
+
+<p>The largest stone removed by us in this way was one weighing between
+seven and eight hundred grains, for which three operations were required.
+It is necessarily performed under a mild anæsthetic, which prevents
+suffering and secures the perfect relaxation of the patient. In the case in
+which this large amount of stone was removed we feel certain that a cure
+could not possibly have resulted from a cutting operation, as the heart was
+seriously affected, and the physical condition of the patient so low, as
+the result of years of suffering, that death would have occurred while
+undergoing the operation. By carefully pursuing the new method, and not
+prolonging the sittings more than a few minutes each time, the entire stone
+was evacuated. The health of the patient constantly improved during the
+interval of three operations, which covered a space of seven weeks. This
+stone was as large as a hen's egg.</p>
+
+<p>Small calculi or gravel are readily removed in a few moments' time <span
+class="pagenum"><a name="Page_840" id="Page_840"></a>[pg 840]</span>by the
+new method. In no case is there any bleeding. Instead of a large, gaping
+wound being left after the operation, from which secondary hemorrhage may
+take place, or poisoning result from the irritation of decomposing urine,
+the parts are left in a healthy state with the surface unbroken. The stone,
+a constant source of irritation, is removed, and the health is speedily
+restored.</p>
+
+<p>When it is impossible for the patient to visit us, a careful examination
+of the urine is made, and if gravel have been passed, these are carefully
+examined also. An idea of the composition of the stone is arrived at by
+this means, and treatment is directed to dissolve it. Success has commonly
+followed this method of treatment, when the stone has not been very large.
+With the gradual reduction of the size of the stone the irritation
+subsides, and the general health of the patient improves. (<b>See
+Testimonials.</b>)</p>
+
+
+<h3>CHRONIC ENLARGEMENT OF THE PROSTATE GLAND.</h3> <h3>(HYPERTROPHY.)</h3>
+
+<p>The prostate gland lies just in front of the base of the bladder, and
+surrounding the urethra, or urinary canal. Enlargement, therefore, of this
+body, if it be of considerable extent, causes it to encroach and press upon
+the base of the bladder, and to more or less constrict the urinary canal
+near the base or outlet of the bladder. The enlargement may be only slight,
+or the dimensions of the gland may be increased from the size of a large
+chestnut, its normal dimension, to the volume of a pullet's egg, or even to
+the size of an orange.</p>
+
+<p>Hypertrophy of the prostate generally arises from causes which operate
+in a slow and permanent manner. Whatever has a tendency to produce a
+determination of blood to, and an engorgement of, this organ, is capable of
+producing the affection, an augmented flow of blood to the the part having
+the effect to increase the nutrition. Among the most frequent causes of
+this affection, are excessive venery, masturbation, disease of the bladder,
+stricture of the urethra, horseback exercise, gonorrhea, and the employment
+of strong, stimulating diuretics. Some of the worst cases that we have had
+to deal with have occurred in old men, and, in fact, the malady is more
+common to those advanced in life; but it is frequently produced in those of
+middle age by the causes enumerated.</p>
+
+<p>Among the earliest symptoms of the disease is an uneasy feeling in the
+region of the base of the bladder. There is a more frequent desire to
+urinate than usual, and, in the course of time, this frequency becomes more
+urgent; still no particular notice may be taken of it, it being considered
+as "only a slight inconvenience." After several months, or it may be years,
+the discomfort increases, and nightly calls to empty the bladder become
+habitual. By and by the patient begins to find the discomfort of getting
+out of his warm bed very troublesome; still no notice to taken of it. He
+does not consider it worth his while to consult <span class="pagenum"><a
+name="Page_841" id="Page_841"></a>[pg 841]</span>a doctor for "such a
+trifle." In the course of time the patient is obliged to get out of bed
+twice during the night instead of once. Afterwards, the calls become still
+more frequent and urgent; the inconvenience more evident; finally, pain is
+substituted for inconvenience, and then the doctor is consulted. Unless a
+specialist of experience be consulted, the bladder will most probably be
+examined, and medicine will be prescribed only to excite the kidneys to
+secrete more urine, which does harm instead of good; the disease slowly,
+but surely progressing. Patients often write us that they have had
+something wrong with the bladder for a number of years, having to urinate
+more frequently than they ought; sometimes having to do so three and four
+times during the night; in extreme cases even every half hour or so, and
+that they are not able to pass it freely, but only in small quantities, and
+attended with much pain. These symptoms are not always constant, but let up
+for a few weeks and then appear again. Things go on in this way for a year
+or two, perhaps, when the passage of the urine is completely shut off for
+several hours, and the patient is in great agony until the bladder is
+relieved by the use of the catheter. After such instrumental relief, for a
+day or two the urine may be natural again, coming at first, perhaps, in
+very small quantities, but by and by more freely. Then, after a week or two
+intervening, there may be another complete stoppage, attended, as before,
+with intense suffering, which will have to be again relieved by the use of
+an instrument.</p>
+
+<p>The foregoing is a fair account of the usual progress of the disease and
+its symptoms. As the prostate gland becomes more irritated and inflamed
+from the natural progress of the disease, or from the irritation caused by
+the passage of instruments, or the employment of strong, harsh, stimulating
+diuretics, the urine becomes cloudy, and still later is found to have
+deposited during the night in the chamber utensil a quantity of thick,
+tenacious, and usually offensive mucus. There is apt to be more or less
+discomfort in the rectum, or lower bowel, produced by the pressure of the
+enlarged prostate upon it. Rarely, the first intimation of a large prostate
+occurs through a sudden retention of the urine, and the patient being under
+the impression that there was nothing wrong with the organ previously.
+Closely questioned, however, the information is elicited that there has
+been a long train of mild symptoms, similar to those that we have
+described, preceding the attack of retention of the urine. This shows the
+importance of early attention and proper treatment when such symptoms are
+manifested. However slight the inconvenience experienced, it should not be
+neglected. The disease should be brought under control at the outset by
+skillful and nicely-adapted treatment. Usually before a person suffers from
+toothache, the decay occasioning it has been gradually progressing without
+pain for from five to eight years. Just as the decay of the tooth may be
+arrested by the early attention of the dentist, so may prostatic disease by
+early attention be not only promptly relieved, but permanently cured.</p>
+
+<p><span class="pagenum"><a name="Page_842" id="Page_842"></a>[pg
+842]</span>Disease of the prostate being slow in its inception and
+progress, is also slow to yield even to the most skillful treatment. Being
+slow to develop, patients rarely seek assistance until the organ has become
+so large as to be seldom restorable to a size where mechanical means can be
+wholly dispensed with for relieving the bladder. Most surgeons are too much
+in the habit of depending on the catheter for the relief of the patient,
+and usually instruct the sufferer how to use it, telling them that this,
+the catheter, is to be their only doctor for life. Great as is the relief
+afforded by the catheter, which has often saved life, yet it is a fact that
+its frequent and prolonged use often renders disease of the prostate very
+intractable and often wholly incurable. Frequent use of the catheter,
+without any treatment to prevent the further enlargement of the diseased
+gland, or to reduce its size, permits the part to go on enlarging, and,
+besides, the constant use of the catheter irritates the prostatic portion
+of the urethra, causing thickening of the lining membrane, and sooner or
+later a more or less complete organic stricture of this canal, depending
+upon thickening of the lining mucous membrane, as well as upon the
+encroachment of the gland itself upon this canal. Besides, when the use of
+the catheter is once commenced, even when the enlargement is not very
+great, it is with the utmost difficulty that we have been able to induce
+patients to leave off its use. The bladder, becoming accustomed to its use,
+refuses to obey the will without this help. The irritation set up in the
+parts by the friction of the catheter causes inflammation and exudation in
+the lining membrane. This extends to the structure of the prostate itself
+and increases the hypertrophy or enlargement. It will, therefore, be seen
+how important it is to early resort to treatment to relieve the first
+manifestations of this affection. A disease of so delicate a nature, and
+one so often confounded with other maladies by inexperienced physicians,
+should only be intrusted for treatment to expert specialists of large
+experience in the management of this and kindred maladies.</p>
+
+<p><span class="pagenum"><a name="Page_843" id="Page_843"></a>[pg
+843]</span></p><hr />
+
+
+
+
+<h1>STRICTURE OF THE URETHRA.</h1>
+
+
+<p>Stricture of the urethra generally results from some specific disease of
+the urethra, but may be caused by sexual excesses, exposure, or strain, or
+by the practice of masturbation or self-abuse. It runs a course varying in
+time from a few days to many weeks or months, during which time the patient
+is often unaware of the real cause of his sufferings.</p>
+
+<p>Commonly, the attention is first called to a stricture by a slight
+discharge, or smarting sensation, or the appearance of an undue amount of
+mucous deposit in the urine. Occasionally, some difficulty in starting the
+water, or a diminution in the size and force, or a twisting of the stream
+as it flows, is the first symptom. This passive stage is of variable
+duration. When skillful treatment is instituted at this stage of the
+disease, a speedy cure is easily effected without pain or danger. Any
+exposure, improper use of instruments, or irritating cause, may speedily
+give rise to the alarming symptoms due to closure of the urethra, from
+which fatal consequences may suddenly ensue.</p>
+
+
+
+<p class="figure"><a name="advise616"><img width="40%" alt="Illustration:
+Fig. 2. A Single Stricture of the Urethra." src="images/advise616.png"
+/></a><br />Fig. 2. A Single Stricture of the Urethra.</p>
+
+<p>This condition is illustrated in Fig. 2, which shows the hard and tough
+stricture which surrounds the soft mucous membrane that lines the urinary
+canal. When irritated or inflamed, as the result of a cold or other cause,
+the mucous membrane becomes swollen and thickened, and, as the stricture
+will not yield and enlarge, the result is that the urethra is almost
+completely closed, and it becomes impossible to pass the urine. Great pain
+is experienced, and the surgeon has to be called to draw off the urine with
+a catheter, which, at best, is a very difficult and painful operation, when
+the urethra is so irritable and constricted.</p>
+
+<p><b>Treatment</b>. In the earlier stages of the malady, relief is given
+by the skillful use of instruments for dilating the canal, or, where this
+fails by the operation of urethrotomy, for which we employ an improved
+<span class="pagenum"><a name="Page_844" id="Page_844"></a>[pg
+844]</span>and ingenious instrument, by which the stricture is readily and
+almost painlessly divided.</p>
+
+<p><b>Improved Methods</b>. Our surgeons have operated upon many hundreds
+of bad cases by a very ingenious and almost painless method, that requires
+no use of bougies in the after-treatment. This saves the patient an immense
+amount of pain and annoyance, and enables him to go home almost immediately
+after the operation.</p>
+
+<p>The ordinary after-treatment, by dilatation with bougies, is very
+tedious, and often more painful than the operation itself, so that our
+peculiar method of treatment has been hailed with joy by those familiar
+with the old and unnecessarily-painful systems of treatment. Besides, our
+more improved method has been followed by far more perfect cures in every
+case operated upon.</p>
+
+<p>In many of the cases coming under our observation and treatment, there
+have been several strictures, as illustrated in Fig. 3, which shows the
+urethra constricted at three different points, besides a congenital
+contraction at its mouth or meatus.</p>
+
+
+
+<p class="figure"><a name="advise617"><img width="40%" alt="Illustration:
+Fig. 3. Condition of the Urethra with three Strictures and a congenital
+contraction at the meatus or outlet." src="images/advise617.png" /></a><br
+/>Fig. 3. Condition of the Urethra with three Strictures and a congenital
+contraction at the meatus or outlet.</p>
+
+<p><b>Spermatorrhea</b> not infrequently results from stricture of the
+urethra, even when the affection is quite slight. Our attention was first
+called to this subject by the consideration of the numerous cases in which
+epileptic convulsions or "fits," and other serious diseases of the nervous
+system in children, have resulted from an unnatural contraction of the
+prepuce or foreskin, constituting what is termed <i>phimosis</i>.</p>
+
+<p>Every surgeon of experience has met with many of these cases of reflex
+irritation. It occurred to us, that, inasmuch as these contractions of the
+foreskin give rise to nervous diseases of an alarming nature, may not an
+unnatural narrowing of the urethral canal, which must have exactly the same
+effect in retarding the flow of the urine, give rise to irritable nervous
+affections in adults. May not unnatural irritation and excitement of the
+sexual organs, so set up, cause loss of semen to occur during sleep, and
+consequent nervous and general debility?</p>
+
+<p>It is a well recognized fact that the urethral canal should bear a
+certain <span class="pagenum"><a name="Page_845" id="Page_845"></a>[pg
+845]</span>definite and proportionate size to that of the penis, just as
+the length of the arm should naturally bear a certain proportion to the
+length of the body. In the case of some parts of the body, disproportionate
+development of the part may not give rise to anything further than
+unsightliness; but when we find the small size of the urethra retarding the
+free passage of the urine, then we may expect, if this condition is long
+continued, to find more or less irritation of the urethra and, perhaps, of
+the bladder, also. When there is a contraction of the urethra at its
+external orifice, or at any point along its course, unnatural pressure is
+put upon the urinary canal behind the constricted portion, and these parts
+must bear an undue strain during the passage of the urine.</p>
+
+<p>It is a well established fact that improper diet, cold, exposure, and
+over-work exert a very powerful modifying influence upon the urinary
+secretion, frequently causing an acrid and irritating condition of this
+fluid. This condition, when associated with a contracted urethra, must
+result in irritation of the mucous membrane lining this canal back of the
+stricture, if long continued or frequently repeated. As an illustration, we
+have a hose pipe from which, by means of a small nozzle, water is expelled
+a considerable distance, but a great tension is put upon the hose behind
+the nozzle. If the pressure is increased greatly the hose will burst; but,
+if the small nozzle be replaced with a larger one, the projection of the
+stream will be quite as great, but all undue tension of the pipe is
+overcome and the danger of bursting is done away with. We have, in an
+unnaturally contracted urethra, a favorable condition for the development
+of disease in the urinary canal and adjacent parts of the generative
+organs. Irritation is set up in the urethra behind the stricture by undue
+strain in passing water, and the frequent reoccurrence of acrid urine, as
+the result of any of the causes we have already mentioned, this irritation
+keeps gradually increasing. It will be felt more during the periods when
+the urine is acrid, but may pass unnoticed even at such times. The seminal
+sacs and the prostate and Cowper's glands communicate with the deeper
+portions of the urethra by means of canals or ducts, lined with mucous
+membrane which is continuous with the urethral mucous membrane. Hence we
+can readily see that not only by reflex nervous irritation are those parts
+debilitated, through the contraction of the urethra, but the affection is
+apt to extend by continuity of the mucous membrane, and thus become more
+and more manifest, through symptoms of disease of the testicles, prostate
+gland and seminal vesicles, and these disorders become more and more seated
+the longer the morbid condition of the urethra is allowed to run on, until
+there may be an entire loss of the sexual functions, occurring at an age
+when there should be present the most vigorous manhood. From no other cause
+can we explain the common prevalence of disease of the deeper portions of
+the urethral canal and bladder, many times confounded with other diseases
+of the urinary and generative organs.</p>
+
+<p><span class="pagenum"><a name="Page_846" id="Page_846"></a>[pg
+846]</span>The following is the history of a case that fully illustrates
+the foregoing statements:</p>
+
+
+<p><b>Case 112,289. Mr. O.C.E., single, 32 years of age</b>.</p>
+
+
+
+<p class="figure"><a name="advise618"><img width="40%" alt="Illustration:
+Fig. 4. Condition of the urethra in Case 112,289; permanently cured at the
+Invalids' Hotel and Surgical Institute." src="images/advise618.png"
+/></a><br />Fig. 4. Condition of the urethra in Case 112,289; permanently
+cured at the Invalids' Hotel and Surgical Institute.</p>
+
+<blockquote>
+<p>
+He applied to us suffering from entire loss of the sexual function, with
+great
+nervous debility, and there was a thin slimy discharge from the urethra,
+and the
+usual symptoms of melancholia and weakness. He had lost all taste for
+business,
+and was extremely nervous, from the fact that he was engaged to be married,
+and
+felt that his condition would not permit it. On examination a contraction
+of the
+urethra was found at the point shown in Fig. 4, which had probably been
+present
+for years. He stated that he never had been just right in those parts, but
+had lived
+a virtuous life, had never had any venereal disease, and, hence, the true
+nature of
+his trouble had not been suspected. With the removal of the stricture there
+was
+an immediate improvement in his condition, which became more and more
+rapid,
+as his system gained strength and reaction became manifest. At the end of
+two
+months he wrote that he felt sound and well, and that he had experienced
+the most
+wonderful improvement in every way. His vital strength was fully restored,
+and
+he was most profoundly grateful.
+</p>
+</blockquote>
+
+
+<p>Chronic inflammation of the bladder, sometimes called catarrh of the
+bladder, an affection that is elsewhere herein fully treated of, and
+chronic inflammation of the kidneys, and true Bright's disease, as well as
+prostatic disease, are all liable to result from strictures of the urethra.
+Hence, it behooves one suffering from this malady to have it promptly and
+skillfully treated.</p>
+
+<p><b>False Passages</b>. In very rare cases of impassable stricture, or in
+which fistulous openings, or false passages, have formed, through which the
+urine flows or dribbles away, we have resorted to the operation of perineal
+section with the most gratifying results. The cases requiring this
+operation are rare ones, in which death must generally result but for the
+relief afforded by the operation.</p>
+
+<p><b>Dangerous Use of Instruments</b>. The worst and most dangerous cases
+of stricture with which we have met, in a long and extensive experience,
+were rendered thus by the careless or unskillful use of bougies, catheters,
+or sounds. Many surgeons and physicians are most recklessly careless or
+unskilled in the use of these most dangerous instruments, as the many cases
+of false passage or stricture of the most painful <span class="pagenum"><a
+name="Page_847" id="Page_847"></a>[pg 847]</span>and dangerous kind, caused
+or aggravated by their ignorant or improper use, sorrowfully testify.</p>
+
+<p><b>Delay Dangerous.</b> By proper treatment of stricture in its early
+stages, all danger and pain are avoided, and a cure is effected in a very
+short time. In an extensive practice, in which we yearly treat hundreds of
+cases, we have never yet failed to give perfect and permanent relief from
+stricture, or diseased prostate or urethra, without the necessity of
+cutting instruments of any kind, when we have been consulted before injury
+of the urethra has been produced by improper use of instruments. Having
+specialists who devote their entire time to the study and cure of these
+diseases, we are thereby enabled to attain the highest degree of skill in
+the management of these cases.</p>
+
+<p><b>Great Skill Required</b>. The urethra is a sensitive and delicate
+canal, and is surrounded by tissues the most delicate, and lined with
+mucous membrane which is highly vascular and filled with sensitive nerves.
+The introduction of any instrument is to be undertaken only when absolutely
+required, and, when necessary, it should be so skillfully and carefully
+effected that no pain or irritation can result. The slightest awkwardness
+is liable to cause an unnoticeable injury, which results in false passage
+or an effusion of plastic lymph around the canal, and as it organizes, the
+formation of the most troublesome organic stricture. The attention not only
+of sufferers, but also of the profession, is called to the remarkable
+success of our operation, perineal section, by which a cure of extremely
+bad cases of impassable stricture and false passages, or urinary fistulas,
+is effected in from thirty to forty days, and with very little suffering.
+That we have been successful in such cases must be considered as conclusive
+evidence that no case of stricture, false passage, or urinary fistula, is
+beyond the reach of our skill.</p>
+
+<p><span class="pagenum"><a name="Page_848" id="Page_848"></a>[pg
+848]</span></p><hr />
+
+
+
+
+<h1>TESTIMONIALS.</h1>
+
+<p>In a practice embracing the treatment of a vast number of cases of
+diseases of the Urinary Organs, it has been our good fortune to effect many
+remarkable cures. The experience gained in this field of practice has made
+our specialists skilled experts, and hence hundreds consult them as a last
+resort. In fact we seldom get a case, in this line, that has not been the
+rounds of the home physicians before applying to us for relief and cure.
+The cures, therefore, which we shall introduce here are the more remarkable
+because of the failure, in nearly every case, of other medical men to
+benefit or cure. They are not the every-day, ordinary cases met with in the
+general practitioner's rounds, but complicated, obstinate ones, which had
+generally been given up as hopeless before coming to us.</p>
+
+
+<p><b>Case 4A-3431.</b> "WASTED TO A SHADOW." BLEEDING FROM KIDNEYS. A
+SEVERE CASE.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p class="lfigure"><a name="advise619"><img width="90%" alt="Illustration:
+T.S. Bailey, Esq." src="images/advise619.png" /></a><br />T.S. Bailey,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I think it my duty to write to you concerning my case.
+In the year 1886 I was seized with inflammation of the bladder and passed
+nothing but thick blood, owing to heavy work, and I consulted a doctor and
+he said there was no cure for such a bad case; but he gave me medicine and
+it relieved me at the time I used it; and I took 16 bottles and I got worse
+and wasted to a shadow. I quit taking the medicine, and other complaints
+came, as rupture in the spermatic cord, for which I applied to you and soon
+got relief. And in 1891 the bladder disease made its appearance, and I
+wrote to the Invalids' Hotel and Surgical Institute and got no reply as our
+mails were stopped on account of snow drifts. I sent for the best doctor in
+Listowell and I still got worse, and he said I might live three or four
+weeks, but there was no stoppage of the disease. And I got so weak that I
+had to support myself by the furniture in my room; and I wasted down to 100
+lbs. in two weeks; and I applied to your Institute and I received my
+medicine in a few days, and in two weeks I began to gather strength and now
+I am hearty and well and my weight is 145 lbs. I feel so thankful to the
+Medical Association and its Staff of skilled men. It is 15 months since I
+quit taking your medicines and no signs of the disease returning.</p>
+
+<blockquote>
+<p>
+Yours gratefully,<br />
+THOMAS S. BAILEY,<br />
+Dorking, Wellington Co., Ont.<br />
+</p>
+</blockquote>
+
+
+<p><b>Case 23A-877.</b> INFLAMMATION OF THE BLADDER, WITH OTHER
+COMPLICATIONS. SUFFERED EXCRUCIATING PAIN IN URINATING.</p>
+
+<p class="rfigure"><a name="advise620"><img width="90%" alt="Illustration:
+G.W. Heffner, Esq." src="images/advise620.png" /></a><br />G.W. Heffner,
+Esq.</p>
+
+<p>For many years I suffered with inflammation of the Prostrate Gland and
+Bladder. It became gradually worse and I endured extreme pain, so much so
+that I was laid up for weeks at a time, and almost gave up in despair. I
+was persuaded to go to the Invalids' Hotel and Surgical Institute. I have
+never regretted following this advice. While there I submitted to an
+operation by their specialist. This was entirely painless and the result
+perfectly satisfactory. I left in a short time delighted, and have since
+been strong and well. I cannot speak in too high praise of this famous
+Institution; the rooms are large and pleasant, the food the very best, the
+attendants kind and attentive and the staff of physicians skillful and of
+large experience. I highly recommend all invalids to the World's Dispensary
+Medical Association. I feel confident that all the benefit to be derived
+from medical treatment is to be received at this Institution.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+GEO. W. HEFFNER,<br />
+Chicago, Ills.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_849" id="Page_849"></a>[pg
+849]</span><b>Case 2A-103.</b> INFLAMMATION OF BLADDER, COMPLICATED WITH
+KIDNEY DISEASE.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise621"><img width="90%" alt="Illustration:
+M. Manheim, Esq." src="images/advise621.png" /></a><br />M. Manheim,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;Having been a patient in your Invalids' Hotel for
+several weeks, I take great pleasure in telling other sufferers of my
+treatment which I received under your efficient staff of physicians,
+surgeons and nurses, and I will say with clear conscience that every care
+and comfort was given me that could be wished for. I am sure that your
+Institution is far in advance of the age, and would wish that every invalid
+could avail himself of the treatment that I received in your most
+excellently kept Invalids' Hotel. I cheerfully give this as my testimonial
+to individuals, friends and sufferers. My health is so fully restored that
+I look upon life with pleasure and comfort, whereas before I was a
+suffering, nervous invalid, unable to sleep and much of the time in
+torment. Wishing you success,</p>
+
+<blockquote>
+<p>
+I am your friend and well wisher,<br />
+M. MANHEIM,<br />
+Georgetown, S.C.<br />
+</p>
+</blockquote>
+
+
+<p><b>Case 859,143.</b> BLADDER, RECTAL, KIDNEY AND LIVER DISEASE. "ENTIRE
+URINARY ORGANS ONE MASS OF SORES." "DESPAIRED OF CURE."</p>
+
+
+
+<p class="rfigure"><a name="advise622"><img width="90%" alt="Illustration:
+S.C. Tracy, Esq." src="images/advise622.png" /></a><br />S.C. Tracy,
+Esq.</p>
+
+<p>My disease was caused by the roughness and exposure incidental to the
+life of a miner, working in the gold mines of California and Montana. I had
+much of the time to work in water, with my clothes wet, which finally
+brought on a severe pain In my kidney, which ere long completely prostrated
+me. I employed and was treated by six different physicians, the best I
+could obtain in my section of country, and who while seeming to understand
+the nature of my disease, yet gave me no remedy that afforded me any real
+relief. I grew worse under the treatment of them all. The pain in the
+kidney left me, but immediately located in the bladder. My bladder became
+very painful and commenced to ulcerate and fill up. It seemed from the
+excruciating agony I suffered, that there must have been an abscess in
+either the kidney or bladder, and from the large amount of pus discharged
+at one time, it appeared to me that my kidneys, bladder and the entire
+urinary organs were one mass of sores and pus mixed with blood. I had to
+use injections of laudanum daily in the lower bowels to ease the pain and
+live. Was reduced by long suffering, looking for each day to be my last. I
+felt that no human power on earth could help me. No language can describe,
+and God only knows, the agony I suffered. From what I have already written,
+you may form some faint conception of my physical condition at the end of
+six years' treatment by the best medical aid I could get in the section
+where I was living. I also used for some time (with no benefit), "Warner's
+Safe Cure," and in fact, tried every means that I could hear of, but to no
+permanent relief. Such was my condition when I was led finally to consult
+and be treated by your Association, though I had but faint hope of
+obtaining any relief from any one. With the very best description I could
+give in writing of my case, and all the information you got from me, you
+would not undertake the case until you were further informed, and for which
+caution I sincerely thank you. You wrote me&mdash;"we are at a loss to
+definitely determine your condition. We have an opinion based upon the
+facts before us, but we feel that we must have a personal examination." In
+the condition I was then in, I could not have been kept alive to reach the
+first railroad station, which was only six miles from my house, and much
+less to travel to Buffalo. Indeed I wrote you, that if you would cure me
+for nothing, I was unable to go to you. In reply, you then advised me to
+take your "Special Remedies" until I could improve sufficiently to go to
+Buffalo for examination. Now this frank answer of yours, removed every
+doubt from my mind, and convinced me that you were <i>honorable
+physicians</i>. On March 10th, 1883, I began taking your "Special
+Remedies," as you prescribed them, and at the end of three years' constant
+treatment, I was improved sufficiently to go to Buffalo to your Institute,
+<span class="pagenum"><a name="Page_850" id="Page_850"></a>[pg
+850]</span>where I was examined as you required of me. When I reached your
+Institute, I was there carefully examined and received a month's treatment.
+When I reflect on my condition and my suffering when I first began to use
+your specifics, and see what I am now, I feel that no words can too
+glowingly express my gratitude to your Association for the physical
+benefits you have conferred upon me by your treatment of my despaired-of
+case.</p>
+
+<blockquote>
+<p>
+SAMUEL C. TRACY<br />
+Platteville, Wis.<br />
+</p>
+</blockquote>
+
+
+<h4>DOUBLE VARICOCELE AND STRICTURE OF THE URETHRA.</h4>
+
+
+
+<p class="lfigure"><a name="advise623"><img width="90%" alt="Illustration:
+C. Hanson, Esq." src="images/advise623.png" /></a><br />C. Hanson, Esq.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, 663 Main St., Buffalo, N.Y.:</p>
+
+<p><i>Gentlemen</i>&mdash;I have taken treatment from you for several months for
+nervous debility, and although I am not quite fully cured as yet, I have
+been greatly benefited, and believe, if I had come to you before I was
+duped and swindled by different quacks and was more dead than alive, I
+would to-day be a thoroughly well man.</p>
+
+<p>I have also been to your Institute twice for surgical operations, and
+cannot too highly praise the Hotel, or the skill and care of the attending
+surgeons and nurses. They are gentlemen in every way and the Invalids'
+Hotel is just as represented.</p>
+
+<p>I shall advise all suffering from chronic diseases to go to you for
+relief, as I have never seen any one there who was not cured or greatly
+benefited.</p>
+
+<blockquote>
+<p>
+Very truly yours,<br />
+CHRISTIAN HANSON, Esq.<br />
+Austin, Mower Co., Minn.<br />
+</p>
+</blockquote>
+
+
+<p><b>Case 23A-890.</b> DISEASE OF THE URINARY ORGANS.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise624"><img width="90%" alt="Illustration:
+F.A. Empsall, Esq." src="images/advise624.png" /></a><br />F.A. Empsall,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I feel it my duty to give my testimonial in behalf of
+your grand Institution. I had an operation performed at your place two
+years ago for the relief of a very painful disease of urinary passage, and,
+thanks to your skill, I was cured, and have enjoyed the best of health
+since. I earnestly recommend your Institution to all who are suffering, and
+still further let me thank you for the kindness I received at the hands of
+everybody connected with the Institution. I am,</p>
+
+<blockquote>
+<p>
+Respectfully yours,<br />
+FRANK A. EMPSALL,<br />
+P.O. Box 980, Pittsfield, Berkshire Co., Mass.<br />
+</p>
+</blockquote>
+
+
+<p><b>Case 2A-208.</b> RETENTION OF URINE. SUFFERED INTENSE PAIN.</p>
+
+
+
+<p class="lfigure"><a name="advise625"><img width="90%" alt="Illustration:
+P.J. Hamill, Esq." src="images/advise625.png" /></a><br />P.J. Hamill,
+Esq.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Dear Sirs</i>&mdash;To your favor of the 20th ult., would say that I can
+only speak in the highest terms of your Institution. After suffering for
+ten or twelve years with retention of the urine, and bladder difficulties,
+I can say that I found immediate relief at your hands. When going to your
+place, about six years ago, I was suffering with intense pain, loss of
+appetite, and unable to eat a good meal. I now weigh 170 lbs., do a good
+day's work and feel well in every respect. I am only too glad that I am
+able to praise your Institution, and can highly recommend it to any one who
+is suffering as I was. With great respect, I remain.</p>
+
+<blockquote>
+<p>
+Yours very truly,<br />
+P.J. HAMILL,<br />
+Utica, N.Y.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_851" id="Page_851"></a>[pg
+851]</span><b>Case 80,115.</b> ENLARGED PROSTATE AND CHRONIC CATARRHAL
+INFLAMMATION OF BLADDER.</p>
+
+
+
+<p class="rfigure"><a name="advise626"><img width="90%" alt="Illustration:
+Abraham Schell, Esq." src="images/advise626.png" /></a><br />Abraham
+Schell, Esq.</p>
+
+<p>Several years ago I had occasion to become an inmate of the Invalids'
+Hotel and Surgical Institute, No. 683 Main Street, Buffalo, N.Y. I was
+afflicted with an enlarged prostate and chronic Inflammation, or catarrhal
+condition of the bladder. I was largely benefited by the treatment I
+received there, and had I remained a little longer, as I was advised to do
+by the doctor who attended me, I should have fully recovered. I was so
+nearly cured that I did not think it necessary to remain longer, as I
+supposed nature would do for me what remained to be done, to effect a
+perfect cure. My business was urgent. I could not well remain longer. In
+this I made a mistake, I should have remained longer. I was seventy-two
+years old at the time. I bear willing testimony to the ability of the
+medical staff and the interest the doctors take in the welfare of their
+patients. The nurses and all the subordinates were very kind and seemed to
+vie with each other to contribute to the pleasure and happiness of the
+inmates of the Institute. One will find the Institute equipped with all the
+improvements known to modern science, for the promotion and restoration of
+health. It is impossible to do justice to its merits in a short article of
+this kind. Persons must go there and see and judge for themselves, of the
+wonders of this extraordinary medical establishment. If they cannot recover
+their health there, in my Judgment, it is of no use to go elsewhere.</p>
+
+<blockquote>
+<p>
+ABRAHAM SCHELL,<br />
+Knight's Ferry, Cal.<br />
+</p>
+</blockquote>
+
+
+<p><b>Case 820,804.</b> OBSTINATE AND COMPLICATED DISEASE.</p>
+
+
+
+<p class="lfigure"><a name="advise627"><img width="90%" alt="Illustration:
+John H. Smith, Esq." src="images/advise627.png" /></a><br />John H. Smith,
+Esq.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION:</p>
+
+<p><i>Gentlemen</i>&mdash;Yours of July 12th to hand. I am only too glad to
+comply with your request. Having suffered for many years with a
+complication of diseases and feeling conscious that they were rapidly
+making serious inroads upon my constitution, and that I was speedily
+becoming unable and incapacitated to attend to my ordinary business. I
+resolved, after reading a number of testimonials from your patients, to
+place myself under your treatment at the Invalids' Hotel and Surgical
+Institute. With heart-felt gratitude I can truthfully say I am relieved of
+my trouble. I most cheerfully and earnestly recommend this Institution to
+all who are afflicted with chronic and painful diseases, no matter of what
+nature. During my stay there I saw some wonderful cures and surgical
+operations.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+JOHN H. SMITH,<br />
+Deckertown, Sussex Co., N.J.<br />
+</p>
+</blockquote>
+
+
+<p><b>Case 520,425.</b> COMPLICATION OF DISEASES.</p>
+
+
+
+<p class="rfigure"><a name="advise628"><img width="90%" alt="Illustration:
+Andrew Holes, Esq." src="images/advise628.png" /></a><br />Andrew Holes,
+Esq.</p>
+
+<p>Without solicitude or hope of pecuniary reward, with heart-felt
+gratitude and a desire to aid my fellow-man to health and happiness, allow
+me to state, that as an inmate for more than a month of the Invalids' Hotel
+and Surgical Institute at No. 663 Main Street, Buffalo, N.Y., I feel
+warranted in its highest recommendation. While there I saw and talked with
+a great number of people who came there as a last resort, to be cured of
+almost every chronic disease to which flesh is heir, and they were
+unanimous in their praise of the Institution and the skilled specialists
+who constitute its professional staff.</p>
+
+<blockquote>
+<p>
+ANDREW HOLES,<br />
+Moorhead, Minn.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_852" id="Page_852"></a>[pg
+852]</span><b>Case 654,500.</b> DISEASE OF KIDNEYS AND OTHER COMPLICATIONS
+CAUSED BY EXPOSURE AND MALARIA.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise629"><img width="90%" alt="Illustration:
+J.W. Dean, Esq." src="images/advise629.png" /></a><br />J.W. Dean, Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;Having spent a short period of time at the Invalids'
+Hotel and Surgical Institute, No. 663 Main Street, Buffalo, N.Y., I must
+say I found it fully equal in every respect to the claims made for it by
+the proprietors. It was filled with invalids who were under the care of a
+corps of physicians and surgeons and the fact that all the sick people
+appeared to be improving, and that they were both cheerful and hopeful, and
+that they all spoke well of the Institution and of its doctors, was
+calculated to inspire confidence in one who went there himself to be
+treated. The greater number of these cases, as far as I was able to learn,
+were chronic and of a complicated character. They represented a wide range
+of the States and Territories of the Union, and had in each exhausted the
+resources of the home physicians. Having myself been treated by your
+Faculty for a complication of troubles induced by exposure and malaria, I
+feel that I owe my restoration to health to your skill and devotion, at a
+time when I was unable to perform labor and was much discouraged, and had
+failed to obtain relief elsewhere. You are at liberty to make any use you
+may desire of this communication.</p>
+
+<blockquote>
+<p>
+Very respectfully yours, J.W. DEAN,<br />
+Chariton, Putnam Co., Mo.<br />
+</p>
+</blockquote>
+
+
+<p><b>Case 620,230.</b> DIABETES AND INFLAMMATION OF BLADDER, GIVEN UP BY
+HIS HOME DOCTORS AS SURE TO DIE IN A FEW WEEKS. RESTORED TO ACTIVE WORK ON
+HIS FARM.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise630"><img width="90%" alt="Illustration:
+J.D. Parks, Esq." src="images/advise630.png" /></a><br />J.D. Parks,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I received your kind letter the 12th, and was glad to
+hear from you and have no objection to your making use of my name in any
+way to help the sick and suffering, for I know what it is to be sick. I was
+sick for seven years; could not do anything; was visited by seven doctors
+and was treated by four, and was given up to die by one of the best doctors
+of Russellville. He said I could not live longer than fall. He treated me
+for Sugar Diabetes, while the rest said I had inflammation of the bladder.
+After giving up all hopes of being cured at home, a friend got me to write
+to Dr. Pierce's Institution and after corresponding: awhile I decided to go
+and be treated. I was there one month and I never was cared for or treated
+more kindly by any one. No parents could have been better to their sick
+children. I cannot speak too highly of the Institution, and I believe I
+would have been in my grave to-day if I had not gone and been treated.</p>
+
+<p>I feel great pleasure in expressing to you my sincere thanks for the
+cure that has been effected in my case, by your very skillful treatment,
+whereby I am now entirely and I trust permanently cured from a dangerous
+disease, which had defied the utmost skill of all former medical attendants
+for the past five years, and from which I had despaired of being: relieved.
+I am happy to state that my health is so good since taking the month's
+course of treatment at your Institute, and, the home treatment since my
+return, that I am now able to carry on the work of my farm.</p>
+
+<p>I would cheerfully recommend all persons requiring medical or surgical
+aid to consult you at the earliest possible opportunity, as I know by
+personal experience that the facilities cannot be surpassed for treatment
+of all classes of chronic diseases.</p>
+
+<blockquote>
+<p>
+Most gratefully yours,<br />
+J.D. PARKS,<br />
+Homer, Logan Co., Ky.<br />
+</p>
+</blockquote>
+
+<p>P.S.&mdash;I have always recommended my neighbors to your Institution and was
+the cause of F.M. Brasher taking treatment, who was cured after two doctors
+gave him up. J.D.P.</p>
+
+
+<p><span class="pagenum"><a name="Page_853" id="Page_853"></a>[pg
+853]</span><b>Case 820,426.</b> COMPLICATION OF DISEASES. A GRATEFUL
+PATIENT'S WORDS OF PRAISE.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise631"><img width="90%" alt="Illustration:
+William Henkel, Esq." src="images/advise631.png" /></a><br />William
+Henkel, Esq.</p>
+
+<p>Gentlemen&mdash;Having been in your Institution as a sufferer from two
+distinct chronic diseases of years' standing, and having been placed under
+the charge of your specialists, I was speedily relieved of my afflictions.
+The Invalids' Hotel is a place as much like home as it is possible for such
+an institution to be. The physicians and surgeons are all expert
+specialists and thoroughly efficient; the nurses are very competent,
+attentive and kind; and, in fact, the whole <i>personnel</i> of the
+Invalids' Hotel endeavor to do their best to make the patients feel like
+being at home. I always felt while there as if I was one of the family. I
+gladly recommend your Institution to all persons who are afflicted with any
+kind of chronic disease, for from my own experience I <i>know</i> the
+professional staff will do all which they promise to do. Please accept my
+thanks for the speedy benefits and perfect cure of my diseases, and I think
+your Institution is worthy of the highest endorsement.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+WILLIAM HENKEL,<br />
+No. 1917 Congress Street, St. Louis, Mo.<br />
+</p>
+</blockquote>
+
+
+<p>"<i>A question of life or death!</i>"</p>
+
+<p><b>Case 2A-107.</b> STONE IN BLADDER. CASE SIMILAR TO THAT OF COL.
+ELLIOTT F. SHEPARD, WHO DIED IN NEW YORK WHILE UNDERGOING AN OPERATION.</p>
+
+
+
+<p class="rfigure"><a name="advise632"><img width="90%" alt="Illustration:
+David S. Clark, Esq." src="images/advise632.png" /></a><br />David S.
+Clark, Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I am seventy-seven years of age and have resided in
+Erie for sixty-two years, and for thirty-six years have been an elder in
+the First Presbyterian Church. During four or five years I suffered from a
+painful affection of the bladder; the severity permitted neither freedom
+from pain by day nor calm repose by night. Meanwhile, I consulted leading
+physicians and visited numerous health resorts. Neither time, means nor
+effort were spared that I might be free from pain. Relief came
+unexpectedly. A signal act of Providence, that should be acknowledged
+daily, brought your Institution to my notice, though I had then no
+acquaintance with any one connected with it. With me it was a question of
+life or death. Up to last March I was in a condition of unendurable
+torture. I knew that at my age, after the months of pain already borne,
+that any operation would be serious, perhaps fatal. Accordingly, I arranged
+my temporal affairs and carefully "set my house in order." On the 13th of
+March last, I started for Buffalo to your Institution. Still uninformed as
+to the cause of my trouble, I submitted to a searching examination, as to
+my habits, constitution, parentage, the age and cause of death of my
+parents, and other facts, from which a tolerable biography could have been
+prepared. All was kindly intended. Their aim was to locate my ailment and
+then to determine my ability to undergo an operation. Having found a stone
+in the bladder, they advised that it be crushed and extracted. By a strange
+coincidence as this was announced, I learned of Col. Elliott F. Shepard's
+death under an operation for the same disease. He was many years my junior,
+and seemingly far better able to undergo the operation. Still, in my
+desperation, I determined to go on. During five days, I was under treatment
+for the coming operation. On the 18th of March the stone was crushed and
+extracted. It was a complete success. Of the consideration, tenderness and
+skill of the surgeon and his assistants, I cannot too strongly speak. Of
+the gentle and assiduous nurses, the system and completeness of the whole
+establishment, as it moved along as one harmonious whole, in all its
+departments, I cannot sufficiently express my admiration. I am now relieved
+of a state of torture, and restored to health and happiness equal to any
+period of my life. This I say with sincerity and emphasis. Since then I
+have gained twenty-two pounds in flesh. I wish my words could reach the ear
+of every one similarly affected, throughout our land, to banish all doubts
+and take advantage of the science, skill and pleasant surroundings so
+happily blended in your Institution, for the removal of pain and the
+mitigation of distress.</p>
+
+<blockquote>
+<p>
+DAVID S. CLARK, Erie, Pa.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_854" id="Page_854"></a>[pg
+854]</span><b>Case 520,123.</b> STONE IN BLADDER. 1200 GRAINS OF STONE
+REMOVED WITHOUT CUTTING. PASSED BLOOD IN GREAT QUANTITIES FROM THE BLADDER.
+DOCTORS AT HOME (AS USUAL) DISCOURAGED HIM FROM COMING TO US.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION:</p>
+
+
+
+<p class="lfigure"><a name="advise633"><img width="90%" alt="Illustration:
+James Vine, Esq." src="images/advise633.png" /></a><br />James Vine,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I am glad to make public the wonderful cure that you
+accomplished in my case. For ten years I was a sick man, and during three
+years I suffered so much that life was a burden. My business had to be
+given up and the torments were something that could not be described. Every
+little while I had to urinate, and each time suffered a spasm of pain, like
+a knife thrust; the use of a catheter was painful and often it took long
+and painful trials before the water could be drawn off. I passed blood, in
+quantities at times. When I went to your place we had given up hope of a
+cure, and relief was all that I looked for. My doctors at home discouraged
+me. I spent four weeks in your Invalids' Hotel, and now at the age of
+sixty-seven years am sound and hearty as any one, work from five in the
+morning until seven at night. I manage a large and active business and
+enjoy life. I cannot express my high praise of your Institution. Your
+doctors are skillful and the nurses all kind and good. All understand their
+business and attend to it. I came home a new man and cannot say enough for
+your praise, and to express my thanks for the wonderful cure and comfort I
+have enjoyed.</p>
+
+<blockquote>
+<p>
+Yours,<br />
+JAMBS VINE, SR.<br />
+</p>
+</blockquote>
+
+<p>P.S.&mdash;You removed a stone that weighed over 1200 grains from my bladder,
+without cutting. The operation gave me complete relief. While there and
+since, I have seen a great many skillful cures done by you.</p>
+
+<blockquote>
+<p>
+J.V., SR., St. Catherines, Out.<br />
+</p>
+</blockquote>
+
+
+<p><b>Case 620,610.</b> STONE IN BLADDER&mdash;WEIGHT 530 GRAINS&mdash;SUCCESSFULLY
+REMOVED WITHOUT CUTTING. NEIGHBORS TOLD HIM HE WOULD BE "BROUGHT HOME IN A
+BOX."</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION:</p>
+
+
+
+<p class="lfigure"><a name="advise633b"><img width="90%" alt="Illustration:
+C.A. CHURCH, ESQ." src="images/advise633b.png" /></a><br />C.A. CHURCH,
+ESQ.</p>
+
+<p><i>Gentlemen</i>&mdash;Seeing the picture of the Invalids' Hotel and Surgical
+Institute in our local newspapers, called to my mind the treatment I
+received there in 1887. I had been suffering for ten or twelve years with
+bladder trouble, and our home physicians did not seem to understand the
+cause or the trouble, and I finally corresponded with your faculty, and
+their advice was to come and have an examination. I had been a great
+sufferer and was so weak that I could hardly walk from the hotel to the
+depot, and those who saw me start said that I would be brought home in a
+box. Soon after my arrival an examination revealed a stone in my bladder.
+After a few days' treatment to strengthen up the system, the stone was
+taken out, weighing 530 grains. Four or five others were afterwards taken
+out of smaller size, and I am still alive. Will soon be seventy-six years
+old, and I cannot speak too highly of the care and attention I received
+from the physicians and nurses while there. Everything that was provided
+was of the best; good food, glean apartments; and no better place can be
+found for treatment of the many diseases they advertise to cure.</p>
+
+<p>Anyone suffering from bladder or kindred trouble can find relief at the
+Invalids' Hotel, Buffalo, N.Y.</p>
+
+<blockquote>
+<p>
+Respectfully,<br />
+C.A. CHURCH,<br />
+New Berlin, N.Y.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_855" id="Page_855"></a>[pg
+855]</span><b>Case 620,258.</b> STONE IN THE BLADDER&mdash;GREAT SUFFERING FOR
+YEARS&mdash;HEART-FELT GRATITUDE.</p>
+
+
+
+<p class="lfigure"><a name="advise634"><img width="90%" alt="Illustration:
+Wm. H. Miller, Esq." src="images/advise634.png" /></a><br />Wm. H. Miller,
+Esq.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p>I would not be a true man If I did not acknowledge at this time (as I
+should have done long ago), with words of gratitude, the wonderful relief I
+received at your Institution five years ago. It affords me the greatest
+pleasure to say to you and to the world at large, that the treatment and
+operation I received at your Institution was an entire success and a
+miraculous cure. After twenty-five long years of suffering such as few
+people endure, caused from exposure while in the military service of the
+United States, I contracted kidney and bladder disease, which shortly
+afterwards resulted in the formation of a calculus or stone. I experimented
+with medicines. Special Prescriptions, etc., from some of the most eminent
+physicians in the world, in fact everything that promised relief and help
+for my kidneys was used, but received no relief, until the bladder
+discomfort became unendurable. As a last resort, knowing full well that
+life with me would be very short unless I could receive immediate relief, I
+went to your famous Institute, where I was treated and operated upon and a
+large stone was removed from the bladder. The old method of cutting, which
+is so dangerous, was not employed, but the new and painless process of
+crushing; this process was an agreeable surprise to me, no pain and no
+risk, as in the old method of cutting. From the day of the operation I
+began to improve, and in a few weeks thereafter I returned home to my wife,
+family and friends, a well and happy man, and I have spent the last five
+years with ease, comfort and pleasure&mdash;a living, walking testimonial for
+your renowned Institute. Believe me, when I say that words fail me to
+express to you my sincere gratitude for your marvelous and almost
+miraculous cure effected in my case. I feel sure no invalid could receive
+more skillful and kindly attention anywhere in the world. I would urge
+every sufferer to take treatment at the Invalids' Hotel and Surgical
+Institute, believing it to be the most skillful, and feel sure that it is
+the most advanced of the age.</p>
+
+<blockquote>
+<p>
+Sincerely and gratefully yours,<br />
+WM. H. MILLER,<br />
+Stoyestown, Somerset Co., Penna.<br />
+</p>
+</blockquote>
+
+
+<p><b>Case 720,402.</b> STONE IN BLADDER ONE AND A HALF INCHES IN DIAMETER
+SUCCESSFULLY REMOVED WITHOUT CUTTING OR PAIN.</p>
+
+
+
+<p class="rfigure"><a name="advise635"><img width="90%" alt="Illustration:
+Thos. Daltry, Esq." src="images/advise635.png" /></a><br />Thos. Daltry,
+Esq.</p>
+
+<p>From severe exposure when in the army, I brought upon myself an acute
+attack of rheumatism, from which I suffered terrible pain. Following this I
+began to be troubled with my bladder and kidneys. For three years I
+experienced considerable discomfort. There was severe burning and scalding,
+and urination caused much pain. I passed two pieces of gravel and became
+convinced that I had stone in the bladder. Was examined by my home
+physician, who said there was no stone. I was not satisfied, however, and
+went to the Invalids' Hotel and Surgical Institute. I was examined by their
+specialist. After an injection of cocaine and carefully cleansing out the
+bladder, a stone was found about one inch and a half in diameter, probably
+similar in its composition to the pieces already passed. I was advised to
+have it operated upon and removed, which I arranged to do. The process used
+was their new and painless one of crushing, no knife or other cutting
+instrument being employed. The stone was readily grasped by the crusher and
+reduced to small fragments. The evacuator was then introduced and the stone
+entirely removed. After a few weeks' careful attention my health was
+entirely restored and I was able to leave for home. I take great pleasure
+in making public my wonderful cure. I could not speak in too high praise of
+those who took charge of my case, nor recommend too highly this famous
+Institution. It is about three years since I was operated on, and pave not
+felt any bad effects since.</p>
+
+<blockquote>
+<p>
+THOS. DALTRY,<br />
+Huntington, Huntington, Co., Ind.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_856" id="Page_856"></a>[pg
+856]</span><b>Case 820,539.</b> GRAVEL OR STONE WITH CHRONIC KIDNEY AND
+BLADDER DISEASE. CURED NINE YEARS AGO AFTER BEING GIVEN UP TO DIE.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise636"><img width="90%" alt="Illustration:
+Mr. O. Thompson." src="images/advise636.png" /></a><br />Mr. O.
+Thompson.</p>
+
+<p>In 1884, at the age of fifty-four years. I was prostrated with Kidney
+and Bladder complaint and told by the best physicians that I was but ten
+days out of the grave. I applied to your Institute for help and received
+treatment, and now after nearly nine years am in comparatively good health.
+All this time I have been able to do much work and to oversee my farm. Two
+stones or gravel were passed while under home treatment. No further
+formations have developed. The many cases I have recommended to you have
+all been more than satisfied with the results of their treatment. I wish to
+thank you for the great benefit and care I received at your hands.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+ORVILLE THOMPSON,<br />
+Avoca, Steuben Co., N.Y.<br />
+</p>
+</blockquote>
+
+
+<p><b>Case 859,612.</b> A STRONG ENDORSEMENT.</p>
+
+
+
+<p class="rfigure"><a name="advise637"><img width="90%" alt="Illustration:
+H.E. Bankston, Esq." src="images/advise637.png" /></a><br />H.E. Bankston,
+Esq.</p>
+
+<p><i>To whom it may concern:</i></p>
+
+<p>This is to certify that I took treatment at the Invalids' Hotel and
+Surgical Institute, Buffalo, N.Y., and I was cured of a chronic trouble
+that had been maltreated by other physicians. While there I saw a man who
+had been cured by the specialists, who had before been given up to die by
+the best doctors in Troy, N.Y. Of course, the case must have been a very
+stubborn one. I afterwards saw a man here, in Georgia, die, who, if he had
+been in Pierce's Surgical Institute under the treatment and care of his
+skilled doctors and nurses, I know would have most assuredly got well. Why?
+Because it was only a case of <i>stone in the bladder</i>, and they are
+easily cured at Dr. Pierce's Surgical Institute. I think almost any chronic
+disease can be cured there, if taken in time, judging from my observations
+while an inmate of that Institution.</p>
+
+<blockquote>
+<p>
+H.E. BANKSTON,<br />
+Barnesville. Pike Co., Ga.<br />
+</p>
+</blockquote>
+
+
+<p><b>Case 820,260.</b> COMPLICATION OF DISEASES.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION:</p>
+
+
+
+<p class="lfigure"><a name="advise638"><img width="90%" alt="Illustration:
+J.F. Ritter, Esq." src="images/advise638.png" /></a><br />J.F. Ritter,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;It is now about six months since I discontinued your
+treatment, and as I have had no return of the old symptoms, I consider it
+unnecessary to take more medicine. When I visited your Institution some two
+years ago, I had but faint hopes of ever being restored to health, as I was
+suffering from a complication of diseases. My case was an unusually
+obstinate one, yet I am satisfied that a cure could have been accomplished
+in half the time, had I been able to follow your directions in regard to
+diet more closely. I hereby tender you my sincerest thanks for the kind
+treatment received while at your Institution. Those days will always be the
+happiest in my memory. I will close by giving your faculty my sincere
+thanks, and hope success will crown your business.</p>
+
+<blockquote>
+<p>
+Yours very gratefully,<br />
+J.F. RITTER,<br />
+Medford, Jackson Co., Oreg.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_857" id="Page_857"></a>[pg
+857]</span>Stricture, the result of injury from falls and accidents, is
+particularly difficult of permanent cure. The following gratuitous
+recommendations are from cases belonging to this class who entirely approve
+of the publication, with full name, photo-gravure and address.</p>
+
+
+<p><b>Case 820,507.</b> STRICTURE CURED AFTER MANY OPERATIONS BY OTHER
+SURGEONS HAD PROVEN TO BE FAILURES.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION:</p>
+
+
+
+<p class="lfigure"><a name="advise639"><img width="90%" alt="Illustration:
+Archie Ritchie, Esq." src="images/advise639.png" /></a><br />Archie
+Ritchie, Esq.</p>
+
+<p>I would state that I am an architect, fifty-two years of age, that about
+seventeen years ago I fell from a scaffold, a distance of eighteen feet,
+across a beam, striking upon the perineum. A physician was immediately
+called and I was treated by him for about eight or ten weeks. A catheter
+was introduced into the bladder, but caused such intense pain and anguish
+that it had to be withdrawn. It was tried again but could not be introduced
+on account of the lacerations in the urethra, caused by the violence used.
+A consultation was held and an operation recommended. An anæsthetic
+was used and a cut made through the perineum from the outside into the
+bladder. A catheter was inserted into the bladder, tied in place and left
+in position for about eight weeks. After eight or nine weeks the catheter
+was removed, but it was four or five weeks before the wound in the perineum
+healed. After a few months I began to have a urinary difficulty, and
+symptoms of urethral stricture. This condition continued until the urethra
+was entirely closed, and it was impossible to make water. A physician
+attempted to pass a catheter, but could not do so. He continued to treat me
+by the process of dilation for five or six months. I began to feel more
+comfortable, but the symptoms of stricture would manifest themselves again.
+I then went to a hospital at Toronto. There I was treated also by the
+dilating method. The treatment was continued for about four weeks, but
+became so very painful, and there was so much irritation in the urethra,
+that it was impossible to endure it longer. They then called an electrical
+specialist and he began treatment by electrolysis. In about three weeks I
+went home, but in a short time the stricture again manifested itself; the
+contraction was very marked, and micturition very difficult. It grew
+gradually worse and I could not receive any comfort or benefit. I returned
+to Toronto to take further treatment from the electrical specialist. During
+the operations of dilation of the urethra, I passed some gravel. After four
+weeks treatment I returned home, but in about two months was as bad as
+ever, and last October went back to Toronto and was again treated by the
+electrical method. The doctor had much difficulty in inserting the smallest
+catheter, and it caused intense pain and suffering. The last time he
+attempted to insert a catheter, there seemed to be something give way, and
+a large amount of pus and fluid passed from the rectum. The physician told
+me an abscess had formed. I returned home and tried to keep as comfortable
+as possible, but could not micturate with any degree of satisfaction or
+comfort. I gradually began to grow worse and there was a return of the
+stricture with inflammation of the bladder. In March, 1892, there began to
+be formed gravel in the bladder. They would at times obstruct the flow of
+urine entirely. I kept going from bad to worse, until the urethra appeared
+to be entirely closed. The physician I called found it impossible to pass a
+catheter Into the bladder, and advised me to go to some hospital where I
+could receive proper treatment, and where proper appliances for this class
+of cases were used, as he felt satisfied nothing could be accomplished for
+me at home. I then came to the Invalids' Hotel and Surgical Institute in
+Buffalo to receive treatment, and the treatment has been so successful that
+the urethral stricture as well as the gravel have been removed. After I
+returned home I felt as if a great load had been lifted from my shoulders.
+I have no irritation at all as I used to have, and I can keep my water for
+six or seven hours without any trouble, and the water seems to be clear and
+free from sediment of any sort, and in general I feel as I never expected
+to again. The doctors here were dumb-founded at the short time I was in
+getting fixed at your Institution, and feel ashamed to ask any questions as
+to treatment. Many months have passed and I continue well and active in my
+profession. Any one I can send the way of your Institution you may be sure
+I shall do so, and thanking you personally for your kind and successful
+treatment of my case,</p>
+
+<blockquote>
+<p>
+I remain ever your well-wisher,<br />
+ARCHIE RITCHIE, Architect,<br />
+Mount Forest, Ont.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_858" id="Page_858"></a>[pg
+858]</span>GRATEFUL LETTER FROM A PROMINENT ARCHITECT.</p>
+
+<p>TO THE WORLD'S DISPENSARY MEDICAL ASSOCIATION:</p>
+
+<p><i>Gentlemen</i>&mdash;It is again with the greatest of pleasure that I write
+you after twelve months since I was treated in your Institution, to add to
+my former testimonial. With the blessing of good health I have been able to
+attend to my business as well as ever, and have the greatest of comfort in
+every respect, and feel about ten years younger than I was when I came to
+your Institution for treatment, and I have still again to thank you,
+gentlemen, for the kind and courteous attention I received from every one I
+came in contact with in your Institution, while under treatment, and shall
+ever remember my visit to your Hotel with pleasure, and shall advise any
+one suffering under the same trouble, with whom I may come in contact, to
+come to your valuable Institute for treatment, where they can have the best
+of attention and skill. Again thanking you, gentlemen, for what you have
+done for me, I hope that your Institute may long be kept up to minister to
+suffering humanity. God bless your staff of physicians, and may success
+attend you, is the wish and prayer of ever your well-wisher and grateful
+patient,</p>
+
+<blockquote>
+<p>
+ARCHIBALD RITCHIE,<br />
+Mt. Forest, P.O., Ont.<br />
+</p>
+</blockquote>
+
+<p>[<i>See Mr. Ritchie's former communication, on <a href='#Page_857'>page
+857</a>.</i>]</p>
+
+
+
+<p><b>Case 2A-126.</b> PAINFUL IMPEDIMENT TO THE ACTION OF URINARY
+ORGANS.</p>
+
+
+
+<p class="rfigure"><a name="advise640"><img width="90%" alt="Illustration:
+Edward Compton, Esq." src="images/advise640.png" /></a><br />Edward
+Compton, Esq.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION:</p>
+
+<p>This is to certify that I have been to the Invalids' Hotel and Surgical
+Institute, at Buffalo, N.Y., for treatment, and cannot speak in too high
+terms of the staff of physicians and surgeons, or of the treatment which I
+received. I consider the Hotel one of the best in the country, the table
+being excellent, and the treatment the very best to be found in the land.
+It is a most pleasant place to stay. The attention which is given by the
+nurses could not be better. As surgeons I think your specialists possess
+the finest skill that can be found. Any person suffering should not delay,
+but go at once and be treated and get well. You are at liberty to use this
+endorsement in any way that will do the most good.</p>
+
+<blockquote>
+<p>
+With gratitude, I remain,<br />
+EDWARD COMPTON,<br />
+Chillicothe, Ill.<br />
+</p>
+</blockquote>
+
+
+<p><b>Case 620,380.</b> STRICTURE, THE RESULT OF INJURY&mdash;CURE
+PERMANENT.</p>
+
+
+
+<p class="lfigure"><a name="advise641"><img width="90%" alt="Illustration:
+Mr. Fay Sawdy." src="images/advise641.png" /></a><br />Mr. Fay Sawdy.</p>
+
+<p>The stricture, which resulted from an injury, had been greatly
+aggravated by uric acid crystals which were continually forming in the
+urine. Patient had rheumatism, causing this acid state of the system. He
+had been a great sufferer for many years, continually experiencing the
+nervousness, smarting, pain and burning, with occasional attacks of
+urethritis, common to the malady in this form. This made the stricture
+almost unbearable, and he was practically incapacitated for his labor at
+the time that treatment was undertaken in our Institution. He had been to
+the Hot Springs and in the care of other physicians with no satisfactory
+results. The relief of the stricture by our new and painless method was
+followed by very great improvement in his condition, after which
+appropriate remedies for the rheumatism were administered, and the result
+was a very gratifying and satisfactory relief from his difficulty. Patient
+afterwards embarked in business as a proprietor of a hotel of his own, and
+has been ever since very active in carrying on the business, and extremely
+successful. The stricture showed no tendency to recur, as is commonly the
+case where it is cured by other methods than employed by us. Many years
+elapsed from the time that it was treated before the testimonial appended
+was written.</p>
+
+
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Dear Doctors</i>&mdash;I want to thank you, but words cannot express my
+gratitude, for <span class="pagenum"><a name="Page_859"
+id="Page_859"></a>[pg 859]</span>your treatment white at your Institution,
+but I will say for the benefit of persons afflicted with stricture, that I
+was entirely cured by you, and after several years have not seen any signs
+of its returning.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+FAY SAWDY, Proprietor Hotel Sawdy,<br />
+Earlville, Madison Co., N.Y.<br />
+</p>
+</blockquote>
+
+
+<p><b>Case 551,864,</b> URETHRAL STRICTURE&mdash;NASAL CATARRH&mdash;CURED IN TWENTY
+DAYS&mdash;A PREVIOUS OPERATION BY A NASHVILLE (TENN.) SURGEON UTTERLY
+FAILED.</p>
+
+
+
+<p class="rfigure"><a name="advise642"><img width="90%" alt="Illustration:
+S.A.D. Smith, Esq." src="images/advise642.png" /></a><br />S.A.D. Smith,
+Esq.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL, ASSOCIATION. Buffalo, N.Y.:</p>
+
+<p>In September, 1886, I was examined by one of your able staff of
+physicians and was found to be suffering with a bad form of nasal catarrh
+and with two strictures in the urethra (water passage). After a few days'
+general treatment, I was operated upon and turned over to be cared for by
+the nurse, from whom I received all the attention that was necessary. To my
+utter astonishment I was dismissed in twenty days from the Surgical
+Institute, cured of the stricture. I had been operated on by one able
+surgeon of Nashville, Tenn., and was worse after the operation than before.
+I have never had a symptom of the stricture since I was dismissed from the
+Invalids' Hotel and Surgical Institute, and have been in better health than
+ever before in my life.</p>
+
+<blockquote>
+<p>
+Very truly,<br />
+S.A.D. SMITH,<br />
+Laurel Hill, Tenn.<br />
+</p>
+</blockquote>
+
+
+<p><b>Case 820,201.</b> STRICTURE OF THE URETHRA OF THREE YEARS'
+STANDING&mdash;COULD PASS URINE ONLY IN DROPS AND WITH GREAT PAIN.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION:</p>
+
+
+
+<p class="lfigure"><a name="advise643"><img width="90%" alt="Illustration:
+Frank Brendell, Esq." src="images/advise643.png" /></a><br />Frank
+Brendell, Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;Wishing to add my testimony as to your great skill in
+surgery, I will say that I suffered with stricture of the urethra, due to
+an injury, for about three years. It became so bad that at times I could
+pass water only in drops and with great pain. I went to a doctor here, who
+used sounds which helped me for a time, but in less than six weeks I was
+worse than ever. Hearing of your place, I came to you and had a painless
+operation performed, and have ever since been thoroughly cured. I
+experience no trouble or pain. It is three years since I had the operation,
+and the cure has proved permanent. You have my deepest gratitude.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+FRANK BRENDELL,<br />
+Olean, Catt. Co., N.Y.<br />
+</p>
+</blockquote>
+
+
+<p><b>Case 820,472.</b> COMPLICATED AFFECTION OF NERVOUS SYSTEM AND URINARY
+ORGANS.</p>
+
+
+
+<p class="rfigure"><a name="advise644"><img width="90%" alt="Illustration:
+E.J. Archer, Esq." src="images/advise644.png" /></a><br />E.J. Archer,
+Esq.</p>
+
+<p><i>To the afflicted with chronic Diseases:</i></p>
+
+<p>It is with great pleasure that I refer to the successful treatment,
+together with the kind care and attention received at the hands of the
+professional staff, both physicians and nurses, of the world-renowned
+Invalids' Hotel and Surgical Institute. In every way It verifies their
+statement&mdash;"Not a hospital but a pleasant remedial home," and as such I add
+my name to the thousands who know and recommend it to the afflicted. Not
+only was this true in my own case, but in many which came under my
+observation while there, so I say to the afflicted&mdash;visit them if you can
+and if your case (no matter of what character) is Within human skill, you
+will never have to regret it.</p>
+
+<blockquote>
+<p>
+Very sincerely yours,<br />
+EDWARD J. ARCHER,<br />
+Plainwell, Mich.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_860" id="Page_860"></a>[pg
+860]</span><b>Case 520,408.</b> STONE IN THE BLADDER.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION:</p>
+
+
+
+<p class="lfigure"><a name="advise645"><img width="90%" alt="Illustration:
+Rob't Worthington, Esq." src="images/advise645.png" /></a><br />Rob't
+Worthington, Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;For six years I had been a great sufferer from stone
+in the bladder. The discomfort increased, until it almost became
+unbearable. Hearing of the universal success of the specialist at the
+Invalids' Hotel and Surgical Institute, in similar cases, I went there and
+submitted to an operation. The method employed was their new and painless
+one of crushing, no knife or cutting instrument being used. I felt no pain
+afterward, there was no fever, and I could have gone home the day after.
+The operation was witnessed by one of my friends, who says it was very
+artistic and done with skill. It was a complete success, for I have not
+been troubled in the least, although nearly seven years have passed.</p>
+
+<p>I feel that I cannot speak in too high praise of this renowned
+Institution and its staff of skilled physicians. No invalid need fear to
+place himself under the skillful treatment and kindly care to be received
+there, for I am confident that all the benefit known to medical science,
+can be obtained at the Invalids' Hotel and Surgical Institute.</p>
+
+<blockquote>
+<p>
+ROBERT WORTHINGTON,<br />
+Staunton, Fayette Co., Ohio.<br />
+</p>
+</blockquote>
+
+
+<p><b>Case 114,747.</b> NERVOUS DEBILITY, DYSPEPSIA, KIDNEY AND LIVER
+DISEASE&mdash;CURED.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION:</p>
+
+
+
+<p class="rfigure"><a name="advise646"><img width="90%" alt="Illustration:
+B.V. Wright, Esq." src="images/advise646.png" /></a><br />B.V. Wright,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I take pleasure in informing you that the treatment
+you gave me for the relief of an affection of the spine and nervous system,
+disease of the digestive organs, kidneys and liver, has been entirely
+successful. I had feared that my health was gradually being undermined,
+prior to entering your institution, and I can testify to the perfect
+appointment that you have, the excellent apparatus for the administration
+of electrical and other massage treatment and baths. My relief was most
+satisfactory, and the cure has remained permanent.</p>
+
+<p>I take pleasure in recommending your institution to the afflicted,
+believing that you have the very best treatment for chronic diseases known,
+and I have had an opportunity to satisfy myself, from conversation with
+other invalids in your Institution, of the care and skillful treatment that
+you administer, and its excellent effects. I believe that it is fully
+abreast of the times, and equal to any institution in the world.</p>
+
+<p>With many good wishes and thanks for my cure,</p>
+
+<blockquote>
+<p>
+I remain, Yours truly,<br />
+B.V. WRIGHT,<br />
+Graniteville, Middlesex Co., Mass.<br />
+</p>
+</blockquote>
+
+
+<p><b>Case 790,698.</b> DIABETES CURED BY HOME TREATMENT.</p>
+
+
+
+<p class="lfigure"><a name="advise647"><img width="90%" alt="Illustration:
+Mrs. Woodruff." src="images/advise647.png" /></a><br />Mrs. Woodruff.</p>
+
+<p><i>To whom it may concern</i>:</p>
+
+<p>This is to certify that for a number of years I was a constant sufferer,
+and what was many times termed a hopeless victim of that terrible disease,
+diabetes. The symptoms were indeed alarming; my strength being so
+completely exhausted that my walking from room to room was attended with
+difficulty. My nerves were in a constant tremor, and in fact no other words
+than that, "I was completely out of fix all over," will express my
+condition. Having purchased a bottle of Dr. Pierce's Favorite Prescription
+for my daughter, and in looking over the directions of the accompanying
+circular and finding my own case so thoroughly described, I decided at once
+to give his special home treatment a trial, which I did during the three
+months that followed. This proved to be all that was required for the
+restoration of my usual health, and during the four years which have since
+elapsed I have had not the slightest reason for believing otherwise than
+that a perfect cure has been effected, and can most heartily <span
+class="pagenum"><a name="Page_861" id="Page_861"></a>[pg
+861]</span>recommend Dr. Pierce's medicines and treatment to any or all who
+may be suffering with kidney complaint in any form.</p>
+
+<blockquote>
+<p>
+Very sincerely yours,<br />
+MRS. MARY A. WOODRUFF,<br />
+Columbus Junct., Louisa Co., Ia.<br />
+</p>
+</blockquote>
+
+
+<p><b>Case 795,590.</b> INCONTINENCE OF URINE&mdash;CURED BY SPECIAL HOME
+TREATMENT.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise648"><img width="90%" alt="Illustration:
+Miss Richman." src="images/advise648.png" /></a><br />Miss Richman.</p>
+
+<p><i>Dear Sir</i>&mdash;I consider myself duty-bound to you and suffering
+humanity to acknowledge the benefit that I have received from your
+treatments. From babyhood till I was twenty years old I was continually
+bothered with a weakness of the muscles of the bladder, that gave me much
+trouble, both by night as well as day. I doctored with several physicians
+and tried all patent medicines, but could not get any relief until I took
+your medicine about six months, and now I am sound and well. It has been
+over two years since I quit taking your medicine, and have had no symptoms
+of the disease returning.</p>
+
+<blockquote>
+<p>
+Yours most gratefully.<br />
+Miss MOLLIE RICHMAN.<br />
+North Cove,<br />
+Pacific Co., Wash.<br />
+</p>
+</blockquote>
+
+
+<p><b>Case 4A-2,226.</b> BRIGHT'S DISEASE AND GRAVEL CURED BY SPECIAL HOME
+TREATMENT.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise649"><img width="90%" alt="Illustration:
+J.W. Thompson, Esq." src="images/advise649.png" /></a><br />J.W. Thompson,
+Esq.</p>
+
+<p><i>Dear Sir</i>&mdash;You have my thanks and best wishes for your success, as
+you cured me of what the doctors here called Bright's Disease and Stone in
+the Bladder. They did me no good, so I concluded to write to you, which I
+did, and am happy to say your medicine worked like a charm. God and myself
+only know how I suffered. I lost fifty-six pounds of flesh in six weeks and
+I thought my time had come, but when I commenced taking your medicine, in
+three days I saw a change for the better was taking place, and in one month
+I considered myself cured. I am still in good health and can do as hard a
+day's work as any man. Again I thank you. Your charges were reasonable and
+any one suffering as I was should write you at once.</p>
+
+<p>Any person writing to me must send stamped addressed envelope if wanting
+an answer.</p>
+
+<blockquote>
+<p>
+J.W. THOMPSON,<br />
+St. John, Whitman Co., Wash.<br />
+</p>
+</blockquote>
+
+
+<p><b>Case 2A-223.</b> INFLAMMATION OF THE BLADDER. RETENTION OF URINE.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise650"><img width="90%" alt="Illustration:
+E.A. Brown, Esq." src="images/advise650.png" /></a><br />E.A. Brown,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I had been a terrible sufferer for many years with
+Bladder trouble. I had experienced the greatest discomfort, and tried in
+vain to find relief. I was persuaded to go to the Invalids' Hotel and
+Surgical Institute, I went and while there submitted to a course of
+treatment that gave me relief, and was entirely satisfactory. Three years
+have elapsed and I continue well. I take the greatest pleasure in making
+public my cure. No sufferer going there can fail to receive all the benefit
+to be derived from medical treatment. The staff of physicians are skillful
+and of large experience; the attendants kind and attentive, and the
+Institution, in all its appointments, not to be excelled in the country. I
+had been told by other physicians, Jealous at your success, not to go to
+your place, but I am now more than pleased that I disregarded their
+advice.</p>
+
+<blockquote>
+<p>
+E.A. BROWN,<br />
+Corfu, N.Y.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_862" id="Page_862"></a>[pg
+862]</span></p><hr />
+
+
+
+
+<h1>RUPTURE.</h1> <h2>(BREACH OR HERNIA.)</h2>
+
+
+<p>By the term <i>Hernia</i>, we mean a tumor, which is formed by the
+displacement of the intestines, the omentum (covering of the bowels), or
+both, and which protrudes from the abdominal cavity. The most common
+varieties are <i>umbilical, inguinal</i> and <i>femoral</i> hernia.
+Children are most subject to umbilical, males to inguinal, and females to
+femoral, hernia.</p>
+
+
+
+<p class="lfigure"><a name="advise651"><img width="90%" alt="Illustration:
+Fig. 1. Indirect Inguinal Hernia." src="images/advise651.png" /></a><br
+/>Fig. 1. Indirect Inguinal Hernia.  Sketched from a case subsequently
+cured by our improved method of treatment. </p>
+
+<p><b>Causes</b>. These are either <i>predisposing</i> or <i>exciting</i>.
+Any thing which occasions general or local muscular debility, as dropsy,
+pregnancy, abscesses, wounds, obstructions to natural evacuations, etc., is
+a predisposing cause of hernia. The exciting cause is pressure applied to
+the contents of the abdomen, as straining in evacuating the bowels and
+bladder, lifting heavy weights, or violent physical exertion.</p>
+
+<p><b>Symptoms</b>. The only characteristic symptom of hernia is the
+presentation of an elastic, or doughy tumor of variable size, which either
+gradually or suddenly makes its appearance. There is flatulence,
+uneasiness, and sometimes pain in the abdomen.</p>
+
+<p>Sharp and dull pains frequently recurring and confined to the locations
+where ruptures appear should receive attention. Examination will not
+infrequently reveal a small enlargement. If a hernia, this will usually
+disappear after a night's rest and may not be again noticed until the next
+day, or for several days. On <span class="pagenum"><a name="Page_863"
+id="Page_863"></a>[pg 863]</span>coughing, with the finger applied to the
+enlargement, a sensation of an impulse (succussion), or slight additional
+protrusion will be felt</p>
+
+<p>The trouble appears at any time of life, an analysis of seventy thousand
+cases indicating that it is most common in debilitated persons, and that
+there is a constant decrease in the frequency of the affection from the
+first to the thirteenth year, after which rupture is more and more
+frequently met with as age advances.</p>
+
+
+
+<p class="lfigure"><a name="advise652"><img width="90%" alt="Illustration:
+Fig. 2.  This figure illustrates a case of Femoral Hernia "
+src="images/advise652.png" /></a><br />Fig. 2.  This figure illustrates a
+case of Femoral Hernia which was radically cured by our improved method.
+This tumor is a little lower on the thigh than in cases of inguinal hernia.
+Femoral Hernia is most common to females, and inguinal in males.</p>
+
+<p><b>Inguinal Hernia</b> (see Fig. 1) is more common than all other forms
+of rupture. It is more frequently met with in men, and when severe there is
+usually a mass of intestine which falls into the scrotum and has an evil
+effect, by pressing upon the testicle. The protrusion follows the spermatic
+vessels and hence it usually appears low down in the abdomen and on one or
+both sides of the pubic bone.</p>
+
+<p><b>Femoral Hernia</b> (see Fig. 2), most common in women of mature life,
+is felt as a lump below the strong ligament in the groin which forms the
+line of separation between the thigh and the abdomen. On its outer side and
+close to it can be felt the beating or pulsation of the large artery of the
+thigh.</p>
+
+<p><b>Umbilical Hernia</b> (see Fig. 3) appears at or near the navel and is
+most common in children. It may be present from birth, or it may result
+from fretting and crying at any period of childhood.</p>
+
+
+
+<p class="rfigure"><a name="advise653"><img width="90%" alt="Illustration:
+Fig. 3.  UMBILICAL HERNIA." src="images/advise653.png" /></a><br />Fig. 3.
+UMBILICAL HERNIA.  Sketched from a case subsequently cured by our new
+method.</p>
+
+<p>Sufferers from any form of rupture are constantly subject to <span
+class="pagenum"><a name="Page_864" id="Page_864"></a>[pg 864]</span>the
+danger of strangulation. This occurs when, from any cause the free return
+of the contents of the protruded part of the intestine is prevented. It is
+an accident of a serious nature, inasmuch as nearly fifty per cent. die if
+not carefully operated upon, and with the most skillful treatment, one in
+four cases terminates in death.</p>
+
+<p>Every individual should guard against rupture by maintaining, by proper
+exercise, diet, and rest, a condition of vigor and tonicity of the muscular
+system.</p>
+
+<p>When debilitated, all strains and exertions should be care fully avoided
+until the health is built up, and the relaxation overcome.</p>
+
+<p><b>Treatment</b>. The palliative treatment of hernia is by
+<i>reduction</i> and <i>retention</i>. Reduction consists in returning the
+protruding intestine to its proper place through the opening by which it
+escaped. This is accomplished either by manipulation or by a surgical
+operation. Retention is effected by wearing a mechanical appliance called a
+<i>truss</i>.</p>
+
+<p>As soon as the tumor protrudes, or the "bowel comes down," the patient
+should assume the recumbent posture, with his shoulders and feet elevated.
+The patient or an attendant should grasp the hernia, and with gentle, but
+gradually increasing pressure upon the tumor attempt to replace it. At the
+same time let the patient knead the bowels upward by pressing upon the
+integument, so that the intestine may, as far as possible, be pushed away
+from the point of protrusion. Sometimes the contraction of the muscular
+fibres at a point where the hernia makes its exit is so great that the
+tumor cannot be replaced. In this case the system should be relaxed with
+lobelia (not given in doses <span class="pagenum"><a name="Page_865"
+id="Page_865"></a>[pg 865]</span>to produce vomiting), and as soon as the
+patient is thoroughly under its influence, the manipulations may be
+resumed. When there is any difficulty experienced in putting back the
+"breach," or rupture, professional assistance should be promptly summoned.
+After the reduction of the rupture, a truss should be properly adapted,
+applied, and constantly worn, to prevent the protrusion of the
+intestine.</p>
+
+
+
+<p class="lfigure"><a name="advise654"><img width="90%" alt="Illustration:
+Fig. 4. The above cut fairly illustrates a case of Double Inguinal Hernia,
+complicated with Hydrocele, cured at the Invalids' Hotel and Surgical
+Institute." src="images/advise654.png" /></a><br />Fig. 4. The above cut
+fairly illustrates a case of Double Inguinal Hernia, complicated with
+Hydrocele, cured at the Invalids' Hotel and Surgical Institute.</p>
+
+<p>Of the latter instruments there are several hundred varieties for sale
+throughout the country. With the exception of about one-half dozen forms,
+which embody the true principles of a proper truss, they are, without
+exception, harmful. Unless proper support be given to the walls of the
+abdomen, and that without constant pressure, a truss does harm; then, too,
+the shape of the pad must be such as to avoid pressure where it is not
+required; otherwise, as in the case where a small ring is worn upon a
+finger, there is a gradual loss of strength and a depression formed in the
+healthy tissue, which can be plainly seen and felt. In this way trusses do
+harm, and such evil consequences may follow the <i>improper</i> application
+of a <i>good</i> truss.</p>
+
+<p><b>Surgical Treatment</b>. When the hernia has become strangulated and
+cannot be returned by manipulation, a surgical operation is necessary.
+Whenever the necessity for such a procedure is apparent, it should be
+performed <i>immediately</i>, <span class="pagenum"><a name="Page_866"
+id="Page_866"></a>[pg 866]</span>for the greater the delay the greater the
+liability to fatal results. The operation consists in cutting down upon the
+strangulated bowel, thus relieving it of its constriction and facilitating
+its replacement. It is a delicate operation, and must be skillfully
+performed. After the operation, the patient requires appropriate hygienic
+treatment.</p>
+
+
+
+<p class="rfigure"><a name="advise655"><img width="90%" alt="Illustration:
+Fig. 5.  This figure illustrates a Double Inguinal Hernia"
+src="images/advise655.png" /></a><br />Fig. 5.  This figure illustrates a
+Double Inguinal Hernia, of large size, which was permanently cured by our
+improved method of treatment. The left side (<i>b</i>) shows the
+<i>direct</i> descent of the bowel into (<i>c</i>) the scrotum, while on
+the right side (<i>a</i>) the rupture is indirect, the bowel descending
+through the internal ring and inguinal canal.</p>
+
+<p><b>The Radical Cure</b>. A small percentage of cures will follow the
+proper use of a good truss, and the advertisements of the so-called rupture
+cures are founded upon such cases. These impostors pretend that the use of
+some vaunted salve, ointment, or styptic lotion, applied on the outside,
+will heal and cure the deep-seated separation of the muscular fibres. The
+truss in these cases is the curative means in the small number that are
+relieved, and for it but few dollars should be charged instead of the
+exorbitant prices demanded by these impostors.</p>
+
+<p>Improvements in surgery in this age of wonders, have kept apace with the
+advances in electricity and other branches of science. Diseases and
+deformities which only a few years ago were considered incurable are now
+overcome and cured with certainty and without risk or suffering. Especially
+is this true with reference to hernia or rupture.</p>
+
+<p>Our specialists have devoted much attention to the radical cure of
+rupture, or breach, with the most gratifying results. Formerly we employed
+and advocated the use of the injection treatment only. This method was
+tested and brought to a most efficient and practical stage, so that we now
+apply it in the treatment of over eighty per cent. of the cases that are
+presented at our Institution. This plan of cure, as used by us, <span
+class="pagenum"><a name="Page_867" id="Page_867"></a>[pg 867]</span>is a
+great advance over that of any similar one in use, throughout the country.
+Our fluid is much more safe in its effects, never gives rise to the
+troublesome abscesses and inflammation that is common to the use of the
+injection fluids that have been advised on the Heatonian method. The fluid
+we use is a bland and healing agent, which produces an exudation behind the
+cords that surround the inguinal rings, and forms a well defined truss pad
+of moderate size in such position that the rupture cannot pass by it and
+appear externally. It causes also an adhesive inflammation limited to the
+hernial sac, that completely closes it.</p>
+
+<p>This treatment is rendered <i>entirely painless</i> by the use of a
+solution which is injected underneath the skin with a fine hollow needle
+attached to a small syringe, and which tends to produce complete local
+anæsthesia, or loss of feeling so that the procedure is thoroughly
+and carefully carried out without any risk or discomfort.</p>
+
+<p>The needle used by us for the treatment of the hernia is so perfected
+that any possible injection of the fluid into the abdominal cavity, or upon
+the coating of the intestine, is an impossibility, and in no way can an
+injection be made into a blood vessel or nerve so as to produce any
+discomfort or trouble. We thus avoid all the risks that pertain to the
+usual plan of injection.</p>
+
+<p>There is a small percentage of cases, as before stated, in which this
+form of treatment is not likely to give a permanent cure, from the fact
+that the omentum or intestine has become adherent externally, to the sac,
+or in the scrotum, to the coverings of the testicle. This makes the
+complete replacement of the rupture without cutting an impossibility, and
+in such cases even where the hernial opening is closed, treatment by
+injection only would not result in a permanent cure.</p>
+
+<p>Our aim is to treat all cases of rupture that we undertake in such a
+manner that <i>by no possibility can the deformity return</i>. We therefore
+have for the cure of these cases another method, by which with our local
+anæsthetic fluid, we are able to perform a surgical operation without
+any distress whatever to the patient. The greatest risk of the old
+operation for rupture was the danger of general anæsthesia with
+chloroform or ether, or <span class="pagenum"><a name="Page_868"
+id="Page_868"></a>[pg 868]</span>some similar agent. The great majority of
+individuals cannot bear the inhalation of the large quantities of these
+anæsthetics necessary to secure loss of feeling without consequent
+nausea, and at times an effect upon the heart that often results seriously.
+The risk from the anæsthetic is much greater than from the surgical
+procedure. By our method, this risk is entirely done away with. The pain
+dispelling fluid enables our operator to pursue his method <b>without
+giving the patient any pain or discomfort whatever</b>. During the
+operation he is in full possession of all his faculties, and can assist in
+any way desired by coughing, or straining, in order, at any time, to
+complete the protrusion of the rupture and show its entire extent of
+surface when the sac is laid bare. We then replace the rupture completely;
+suture the sac so that the rupture will have no pocket into which to
+descend, and then firmly unite the rings by a plan that we have invented,
+and <b>by which they are made more strong and firm than in their original
+state</b>.</p>
+
+<p>Early in our experience, and while using the plan of treatment that is
+usually employed for the radical cure of rupture, we had occasional
+relapses of the difficulty, but since using our improved method we have had
+no such trouble. We can assure our patients that there is less risk of the
+appearance of the rupture at the point where the operation is performed
+than there is of a new breach forming. The success of this treatment has
+been invariable. None of the plans of treatment that we pursue for the cure
+of rupture tend to keep the patient in bed more than a few hours. There is
+little or no pain, after either of our plans of treatment, and out of the
+many hundreds which we have treated and perfectly cured, in no instance
+have we had any inflammation or serious manifestation&mdash;there being no fever
+or general reaction. It is a matter of great surprise to our patients, who
+undergo our treatment for the radical cure of rupture, that by our varied
+methods, the object is accomplished with so little discomfort and with no
+pain whatever.</p>
+
+<p>From two to three weeks' personal attention of our specialist, is
+usually all that is required even in the worst cases.</p>
+
+<p><span class="pagenum"><a name="Page_869" id="Page_869"></a>[pg
+869]</span><b>No truss is needed after our treatment. We consider a case
+cured only when the patient is able to do without a truss or support in all
+the usual walks and vocations of life</b>.</p>
+
+<hr />
+
+<h1>TESTIMONIALS.</h1>
+
+<p>The testimonials that we append are but a small number out of the great
+mass that we have received. A very large percentage of individuals who have
+been treated by us for rupture desire that their disability be held a
+matter of sacred confidence and with all such we take pleasure in guarding
+their confidence with the greatest care. Others are quite willing that
+their experience may be made public in this manner for the benefit of
+similar sufferers.</p>
+
+<p>If the following letters had been written by your best known and most
+esteemed neighbors they could be no more worthy of your confidence than
+they now are, coming, as they do, from well known, intelligent and
+trustworthy citizens, who, in their several neighborhoods, enjoy the
+fullest confidence and respect of all who know them.</p>
+
+
+<h4>A LOCOMOTIVE ENGINEER</h4>
+
+<p><b>Testifies to His Cure of Rupture. The Constant jar of a Locomotive is
+one of the Severest Tests that can be Applied to a Recently Cured
+Case</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise656"><img width="90%" alt="Illustration:
+F.W. Frost, Esq." src="images/advise656.png" /></a><br />F.W. Frost,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;After suffering a number of years from a painful
+Rupture, I went to the Invalids' Hotel and Surgical Institute, at Buffalo.
+While there, I submitted to an operation which was not painful. It was done
+without chloroform, ether or any dangerous anæsthetic. Under the
+skillful treatment of your specialists and the very close and kind
+attention of your nurses, in less than a month, I left the Institution
+feeling like a new man. I have every reason to believe that the Hernia will
+never return, and that I am permanently cured. It it a great relief to go
+without a truss.</p>
+
+<blockquote>
+<p>
+Very respectfully,<br />
+F.W. FROST,<br />
+Rotterdam June, Schenectady Co., N.Y.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_870" id="Page_870"></a>[pg
+870]</span></p><h4>A LOCOMOTIVE ENGINEER'S</h4>
+
+<p><b>Advice to Sufferers from Rupture. The Constant jar of a Locomotive is
+one of the Severest Tests that can be Applied to a Recently Cured Case.
+Throw away Trusses</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise657"><img width="90%" alt="Illustration:
+F.S. Auchenpaugh, Esq." src="images/advise657.png" /></a><br />F.S.
+Auchenpaugh, Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I am an engineer&mdash;running an engine on the Western
+Division of the Fitchburg Railroad. I had a severe case of double Hernia;
+still, have always worked along with them until this winter. One side was
+of twenty-five years' standing&mdash;the other of about eight years. This winter
+I was laid up sick with pneumonia; in coughing so much, which of course was
+made necessary by that terrible disease, I strained myself so that after
+getting up from my sick-bed, I was not able to go to work, as I could get
+no truss that would hold the rupture. I was talking with Brother Stagg one
+day. He asked me "why I did not go to the Invalids' Hotel and Surgical
+Institute, at Buffalo, N.Y., and get cured?" I went, and in three weeks was
+cured, so that I could dispose of my truss entirely.</p>
+
+<p>I wish to say this comes from me direct; it was my own proposition that
+this letter be made public.</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+F.S. AUCHENPAUGH,<br />
+Rotterdam, N.Y.<br />
+</p>
+</blockquote>
+
+
+<h4>RUPTURE FROM BOYHOOD.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise658"><img width="90%" alt="Illustration:
+A. Sauvain, Esq." src="images/advise658.png" /></a><br />A. Sauvain,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I am glad to say that I was cured at the World's
+Dispensary Medical Association after suffering from boyhood until the age
+of twenty-five from a hernia, or rupture, by a treatment of twenty days. It
+is now five years since I was cured, and can say that I was permanently
+cured. You have my most sincere gratitude for your skillful operation and
+the good care received in your Institution while there. I can recommend
+your nurses and physicians most highly, and I think your Institution
+unequaled in this country.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+ALBERT SAUVAIN,<br />
+Silverton, Marion Co., Oreg.<br />
+</p>
+</blockquote>
+
+
+<h4>HERNIA&mdash;LEFT INGUINAL&mdash;PRESENT EIGHT YEARS WITH NERVOUS
+PROSTRATION.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise659"><img width="90%" alt="Illustration:
+A.J. Kidder, Esq." src="images/advise659.png" /></a><br />A.J. Kidder,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I take greatest pleasure in making public the most
+wonderful cure I received at the Invalids' Hotel and Surgical Institute of
+Buffalo.</p>
+
+<p>I had suffered severely for eight years with a left inguinal hernia; had
+tried many physicians and medicines, but found only temporary relief. I was
+greatly run-down, and my nervous system considerably shattered. My friends
+persuaded me to go to the Invalids' Hotel and Surgical Institute. While
+there I was operated on by their specialist, and in a few weeks began to
+gain strength and energy so that I could return home, and have since felt
+entirely well.</p>
+
+<p>Words could not do justice to my feeling in regard to this institution.
+There is no place like it for medical aid, and I would urge all invalids to
+go there, feeling confident that they could no where receive more skillful
+treatment or more kind attention and care.</p>
+
+<blockquote>
+<p>
+Respectfully,<br />
+A.J. KIDDER,<br />
+North Yam Hill, Yam Hill Co., Oreg.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_871" id="Page_871"></a>[pg
+871]</span></p><h4>HERNIA. CURED SEVERE PAIN.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise660"><img width="90%" alt="Illustration:
+J.H. Riemer, Esq." src="images/advise660.png" /></a><br />J.H. Riemer,
+Esq.</p>
+
+<p><i>Dear Sirs</i>&mdash;Your favor received and found that you would like to
+have me give you a testimony of my case I will say in reply that I was
+treated at the Invalids' Hotel and Surgical Institute, for Hernia on the
+left side. It was not large but it gave me severe pain while working. I
+wore a truss but it did not relieve the pain very much. I read in the paper
+one night your advertisement and a week after I started for the Invalids'
+Hotel, and took the treatment for rupture and went home sound and happy,
+like a new man, and I can work harder than ever and can assure anyone
+interested that it is no humbug.</p>
+
+<blockquote>
+<p>
+With the best wishes,<br />
+JOHN H. RIEMER,<br />
+Zion, Wis.<br />
+</p>
+</blockquote>
+
+<p>P.S.&mdash;If any one would like to inquire about my case give them my full
+address and I will inform them about it, if they enclose return stamped and
+addressed envelope for reply. J.H.R.</p>
+
+
+<h4>"SOUND AS A DOLLAR."</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise661"><img width="90%" alt="Illustration:
+B.F. Hook, Esq." src="images/advise661.png" /></a><br />B.F. Hook, Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;Am greatly pleased to report that the operation for
+the radical cure for rupture received at your Institution in May, 1889, has
+proved entirely successful. I am sound as a dollar. My case was an
+extremely troublesome and dangerous one. Many times I required the
+assistance of a surgeon to reduce it. No truss would hold it a whole day.
+My two weeks' stay with you was worth thousands of dollars to me. Will
+gladly answer any inquiry and would advise any one suffering from hernia to
+take the radical cure.</p>
+
+<blockquote>
+<p>
+Very truly yours,<br />
+B.F. HOOK,<br />
+Holmesville, Holmes Co., Ohio.<br />
+</p>
+</blockquote>
+
+
+<h4>RUPTURE, DYSPEPSIA OR INDIGESTION, AND KIDNEY DISEASE.</h4>
+
+
+
+<p class="lfigure"><a name="advise662"><img width="90%" alt="Illustration:
+A.N. Kingsley, Esq." src="images/advise662.png" /></a><br />A.N. Kingsley,
+Esq.</p>
+
+<p>The following is from the widely-known and popular proprietor of the
+Kingsley House at Ashuelot, N.H.: "It may seem useless to add testimony to
+the overwhelming mass already given of the many remarkable cures performed
+at your Institution, but I deem it a pleasure and a duty to add mine to
+your long list as <i>very remarkable</i>. I had a rupture of twenty-seven
+years' standing, with hemorrhage of the kidney for six months, preceding my
+visit to your Institute, and was also troubled badly with indigestion, all
+of which ailments had reduced me in strength and flesh to a mere skeleton.
+Had been treated by many local physicians, who failed to do me any good. I
+could walk but a very short distance when I left my home on the 8th of
+July, 1892, for treatment at your Institution, with but little faith or
+hope of ever being any better. But through your skillful treatment I was
+able to return to my home on the 9th of August, 1892, and consider myself
+permanently cured, having had to take no medicine since. Considering my
+case <i>almost a miracle</i>, I cannot speak too highly of your Institute
+and skillful treatment, to which I feel that I am indebted for my continued
+existence. You are at liberty to refer to me, and to use this as you see
+fit.</p>
+
+<blockquote>
+<p>
+Very respectfully,<br />
+A.N. KINGSLEY,<br />
+Ashuelot, Cheshire Co., N.H.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_872" id="Page_872"></a>[pg
+872]</span></p><h4>RUPTURE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise663"><img width="90%" alt="Illustration:
+H. Keifer, Esq." src="images/advise663.png" /></a><br />H. Keifer, Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;About four years ago, when working on a scaffold it
+gave way, and I fell a few feet and the strain and jar caused a rupture in
+the right side. I did not pay very much attention to this until I noticed
+that it was enlarging. It finally grew so that I could not work. I used
+several kinds of trusses that did me no good.</p>
+
+<p>I went to the Invalids' Hotel and Surgical Institute, and submitted to
+an operation which was entirely painless and proved most satisfactory in
+every respect. Since then I have been well and able to do hard work for a
+man of my age (72). I feel no inconvenience from the rupture.</p>
+
+<p>I take pleasure in recommending the Institute to all who are in need of
+help. I can highly recommend the physicians and nurses and the kind
+attention I received while there. I am now well and sound as ever.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+HENRY KEIFER,<br />
+Spring Green, Sauk Co., Wis.<br />
+</p>
+</blockquote>
+
+
+<h4>HERNIA AND PILES CURED WITHOUT PAIN.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise664"><img width="90%" alt="Illustration:
+J.J. App, Esq." src="images/advise664.png" /></a><br />J.J. App, Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I have been successfully treated at your institution
+for piles and also rupture of the left side.</p>
+
+<p>Your institution is all it claims to be, and the treatment of my case
+was accomplished without pain and apparently any risk. Your method of using
+locally cocaine as an anæsthetic is such a decided improvement. I did
+not have to take any dangerous ether or chloroform, but had a small
+quantity of medicine injected that made the operation as painless as though
+it was being done on some one else. At the same time I knew everything and
+could see what was being done.</p>
+
+<p>You have my kindest thanks for the good care and many attentions given
+me. Your nurses and physicians all give kind and skillful care.</p>
+
+<blockquote>
+<p>
+Yours very truly,<br />
+J.J. APP,<br />
+Bolivar, Tuscarawas Co., Ohio.<br />
+</p>
+</blockquote>
+
+
+<h4>HERNIA OR RUPTURE.</h4>
+
+<p><b>Large Protrusion of Sixteen Years' Standing</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise665"><img width="90%" alt="Illustration:
+M.G. Hartzell, Esq." src="images/advise665.png" /></a><br />M.G. Hartzell,
+Esq.</p>
+
+<p><i>To the afflicted</i>: For sixteen years I was troubled with Hernia,
+caused by heavy lifting. It was on the right side and the protrusion
+sufficient to extend into the scrotum. I purchased trusses, but none of
+them could be worn with comfort, and I suffered very much. I concluded to
+go to the Invalids' Hotel and Surgical Institute and see if I could not
+obtain relief. While there I submitted to an operation. The result was
+entirely satisfactory. The pain in my back subsided; my general health
+began to tone up, and in a short time, thanks to the skill of their
+specialist and the kind attention of their nurses, I felt like a new man. I
+take pleasure in highly recommending the Institution to all the afflicted.
+I feel confident that all the benefit to be derived from medical or
+surgical treatment is to be received at the Invalids' Hotel and Surgical
+Institute.</p>
+
+<blockquote>
+<p>
+Yours respectfully,<br />
+M.G. HARTZELL,<br />
+Deadwood, So. Dakota.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_873" id="Page_873"></a>[pg
+873]</span></p><h4>DOUBLE RUPTURE.</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Gentlemen</i>&mdash;It is with much pleasure that I write you this
+testimonial of the wonderful cures you have performed for me.</p>
+
+
+
+<p class="lfigure"><a name="advise666"><img width="90%" alt="Illustration:
+D. Hartley, Esq." src="images/advise666.png" /></a><br />D. Hartley,
+Esq.</p>
+
+<p>In the year 1883, I became ruptured on the <i>left</i> side. I
+immediately wrote you (having heard of your fame in curing all kinds of
+diseases) for your terms of treatment which I received by return mail, you
+also stating you were positive you could cure me. Through unavoidable
+circumstances I was unable to come to your Institution until December,
+1886. During this time I had tried wearing a truss, which only made it
+worse, and very much aggravated my complaint as it was impossible to hold
+the rupture in its place. However I arrived at the Invalids' Hotel on
+December 8th, 1886. On being examined by one of your staff, I was
+pronounced a bad case, but by your mode of treatment you could cure it. I
+was therefore, operated upon by one of your specialists, without any
+cutting however and comparatively little pain, by your scientific method,
+and in thirty days returned home cured. The time I had to remain there, I
+believe, was much longer than most persons treated for the same
+complaint.</p>
+
+<p>Since then I have worked very hard sometimes (my occupation being that
+of a farmer,) so much so that I became ruptured on the <i>right</i> side
+three years ago,&mdash;the other side remaining perfectly sound without any
+protection. I considered myself very unfortunate in being in this position
+again, fortunate in knowing where to go for relief, and very soon was back
+in your Institution where I was successfully treated and perfectly cured
+and am to-day a sound man and able to do any kind of work on my farm.</p>
+
+<p>I write this testimonial for the sake of suffering humanity, and wish
+you to use it in any way that the greatest number of persons may read it.
+As for myself, I would not be in the condition I once was and not know of
+your Institution for all I could see. I not only recommend your Institution
+for the complaint of which I was cured but for all chronic diseases or
+anything requiring a skillful surgical operation, believing your Staff of
+Physicians and Surgeons to be second to none anywhere. Your nurses and
+attendants, and every accommodation, also, being all that is necessary to
+make your Institution everything that its name implies&mdash;a complete Invalids
+Hotel and Surgical Institute.</p>
+
+<blockquote>
+<p>
+Respectfully yours,<br />
+DAVID HARTLEY,<br />
+P.O. Box 84, Wyoming, Out.<br />
+</p>
+</blockquote>
+
+<p>P.S.&mdash;I have also received much benefit from taking your "Golden Medical
+Discovery" for dyspepsia and liver complaint, and being broken down
+generally. A few bottles worked wonders, and I have been well ever since,
+and that was quite a number of years ago.</p>
+
+<blockquote>
+<p>
+D.H.<br />
+</p>
+</blockquote>
+
+
+<h4>RUPTURE.</h4>
+
+<p><b>A Grateful Patient's Words of Praise.</b></p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, 663 Main Street, Buffalo,
+N.Y.:</p>
+
+
+
+<p class="rfigure"><a name="advise667"><img width="90%" alt="Illustration:
+W. Henkel, Esq." src="images/advise667.png" /></a><br />W. Henkel, Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;Having been in your Institution as a sufferer from two
+distinct chronic diseases of years' standing, and having been placed under
+the charge of your specialists, I was speedily relieved of my afflictions.
+The Invalids' Hotel is a place as much like home as it is possible for such
+an institution to be. The physicians and surgeons are all expert
+specialists and thoroughly efficient; the nurses are very competent,
+attentive and kind; and, in fact, the whole <i>personnel</i> of the
+Invalids' Hotel endeavor to do their best to make the patients feel like
+being at home. I always felt while there as if I was one of the family. I
+gladly recommend your Institution to all persons who are afflicted with any
+kind of chronic disease, for from my own experience I <i>know</i> the
+professional staff will do all which they promise to do. Please accept my
+thanks for the speedy benefits and perfect cure of my diseases, and I think
+your Institution is worthy of the highest endorsement.</p>
+
+<blockquote>
+<p>
+Yours truly,<br />
+WILLIAM HENKEL,<br />
+No. 1917 Congress Street,<br />
+St. Louis, Mo.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_874" id="Page_874"></a>[pg
+874]</span></p><h4>STRANGULATED RUPTURE OR BREACH</h4>
+
+<p><b>In a Child Two Years Old, Cured.</b></p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, 663 Main St., Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise668"><img width="90%" alt="Illustration:
+Rev. R. Krause, Esq." src="images/advise668.png" /></a><br />Rev. R.
+Krause, Esq.</p>
+
+<p><i>Dear Sirs</i>&mdash;Our boy is, since the operation, quite well and
+healthier than ever before, so that I presume, the rupture, or a part of
+it, may have existed since his birth. Even that small lump in the groin
+has, as much as I can feel by touching, completely disappeared. I take this
+opportunity of expressing my heart-felt thanks for the kind and
+christian-like treatment my wife and boy experienced from you and the
+nurses. God bless you and let you live long for the welfare of suffering
+men. Dr. Pierce's Invalids' Hotel of Buffalo, N.Y., deserves to be
+recommended to every sufferer of whatever disease. Eight years ago I
+underwent a successful operation, saving my body a member. The dangerous
+outgrowth, which made the operation a necessity, never returned. In regard
+to your specialist, I wish to remark, that his skillful way of performing
+operations reminded me very much of Bernard von Langenbeck, professor of
+surgery in the University of Berlin, where I was a student. He is just as
+tender and sympathetic with his patients as that famous director of the
+Prussian Royal Clinical Hospital has been. As to the medicines of Dr.
+Pierce, I recommended them to members of my congregation, who told me that
+they did them good. Dr. Bastian, of Dansville, N.Y., a druggist, told me
+that your medicines are bought by the same persons again and again. I
+consider this to be the best recommendation. A medicine which is of no
+effect will not be bought a second time by the same person.</p>
+
+<blockquote>
+<p>
+Yours, REV. RICHARD KRAUSE, Portway, N.Y.<br />
+</p>
+</blockquote>
+
+
+
+<p class="lfigure"><a name="advise669"><img width="90%" alt="Illustration:
+Mrs. Krause." src="images/advise669.png" /></a><br />Mrs. Krause.</p>
+
+
+
+<p class="rfigure"><a name="advise670"><img width="90%" alt="Illustration:
+Master H. Krause." src="images/advise670.png" /></a><br />Master H.
+Krause.</p>
+
+<p>Mrs. Mary Krause, the mother of the little boy whose case is above
+reported, writes: "In respect to your medicines I can only say that they
+have done me and others much good, especially when I suffered with chronic
+catarrh and doctored with your physicians. I shall never forget the kind
+treatment I received from your physicians and nurses during the time I had
+to stay in your house, while our Herman had to go through that dangerous
+operation which was necessary to cure his strangulated rupture. I can
+recommend your Institute and medicines to all suffering people."</p>
+
+
+<h4>HERNIA OR RUPTURE</h4>
+
+
+
+<p class="lfigure"><a name="advise671"><img width="90%" alt="Illustration:
+B. Galland, Esq." src="images/advise671.png" /></a><br />B. Galland,
+Esq.</p>
+
+<p><b>Of Fourteen Years Cured "Sound as a Dollar."</b></p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Dear Sirs</i>&mdash;In reply to yours of the 29th ult., in which you
+kindly make inquiry in regard to my physical condition, I would say, that I
+am now, I think, as sound as a dollar, and consider that after I had bad
+fourteen years of suffering with Hernia, and being cured as I was last
+winter at your Institute, makes me under great obligations to the science
+and skill of the World's Dispensary Medical Association.</p>
+
+<blockquote>
+<p>
+Very respectfully yours,<br />
+ROBERT GALLAND,<br />
+Orangeville Mills, Barry Co., Mich.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_875" id="Page_875"></a>[pg
+875]</span></p><h4>IRREDUCIBLE HERNIA.</h4>
+
+<p><b>Present from Boyhood&mdash;Protrusion of Enormous Size</b>.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise672"><img width="90%" alt="Illustration:
+D. Nitschke, Esq." src="images/advise672.png" /></a><br />D. Nitschke,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;I take pleasure in reporting that I have not worn the
+truss for a long period, and that I have been at work steadily at my
+business of binding and printing, running a large establishment, for over
+four years, without any trouble whatever from the rupture. It has remained
+permanently and perfectly cured. You will remember my case as a most severe
+one. I am a man of sixty years of age, and the disease had been the source
+of serious discomfort to me since childhood. The protrusion was the size of
+a man's head, and could not be replaced. I was forced to give up all
+exercise, and suffered much at my daily work from inconvenience and pain.
+Any injury upon the protrusion, which could not always be protected, was
+followed with much discomfort, and my general health was seriously
+affected. The passage of the food through the confined intestines was a
+painful process often times, and kept me in great misery. I am thankful to
+state that since your operation the rupture has remained sound and well,
+and I have been relieved of all difficulty of the kind. I now enjoy
+excellent health, and am at my business daily from twelve to sixteen hours,
+and on my feet constantly, yet without any manifestations whatever of the
+re-appearance of the rupture. You have my most sincere gratitude for the
+skillful operation and the good care received in your Institution while
+there. I can recommend your nurses and physicians most highly, and think
+your Institution is unequaled in this country.</p>
+
+<blockquote>
+<p>
+With many good wishes, I am,<br />
+Very truly yours, DANIEL NITSCHKE,<br />
+2067 Franklin Ave., Toledo, Ohio.<br />
+</p>
+</blockquote>
+
+
+<h4>COMPLICATION OF DISEASES.</h4>
+
+
+
+<p class="rfigure"><a name="advise673"><img width="90%" alt="Illustration:
+A. Holes, Esq." src="images/advise673.png" /></a><br />A. Holes, Esq.</p>
+
+<p>Without solicitude or hope of pecuniary reward, with heart-felt
+gratitude and a desire to aid my fellow-man to health and happiness, allow
+me to state, that as an inmate for more than a month of the Invalids' Hotel
+and Surgical Institute at No. 663 Main Street, Buffalo, N.Y., I feel
+warranted in its highest recommendation. While there I saw and talked with
+a great number of people who came there as a last resort, to be cured of
+almost every chronic disease to which flesh is heir, and they were
+unanimous in their praise of the Institution and the skilled specialists
+who constitute its professional staff.</p>
+
+<blockquote>
+<p>
+ANDREW HOLES,<br />
+Moorhead, Minn.<br />
+</p>
+</blockquote>
+
+
+<h4>HERNIA OR RUPTURE OF 11 YEARS' STANDING.</h4>
+
+
+
+<p class="lfigure"><a name="advise674"><img width="90%" alt="Illustration:
+L. Crist, Esq." src="images/advise674.png" /></a><br />L. Crist, Esq.</p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:</p>
+
+<p><i>Gentlemen</i>&mdash;Allow me to express my thanks to you for the attention
+and benefits received at the hands of your skillful staff of surgeons and
+nurses. I had been a sufferer from Hernia for eleven years and tried
+everything, but was no better. I finally went to the Invalids' Hotel and
+Surgical Institute, and am now entirely cured and enjoy splendid health. I
+heartily recommend yours to be the most skillful treatment of the age.</p>
+
+<blockquote>
+<p>
+With best wishes,<br />
+LEWIS CRIST,<br />
+No. 67 Frankston Ave., Pittsburgh, Pa.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_876" id="Page_876"></a>[pg
+876]</span></p><h4>RUPTURE,</h4>
+
+<p><b>Aggravated by Occupation as a Locomotive Engineer&mdash;Could not be Held
+in Place&mdash;After Treatment Subjected to the Trying Test of the Constant jar
+of the Locomotive yet Proves Reliable.</b></p>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, NO. 663 Main Street, Buffalo,
+N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise675"><img width="90%" alt="Illustration:
+J.M. Keach, Esq." src="images/advise675.png" /></a><br />J.M. Keach,
+Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;It has long been my desire to make a statement of my
+cure for the benefit of all those persons who have suffered in like manner.
+I had a rupture that was very large and difficult to hold in place. Trusses
+of all kinds were tried. They were painful and would not hold it. The
+rupture would come down constantly when at my engine and give me fearful
+pain. I was cured at the Invalids' Hotel and Surgical Institute, Buffalo,
+N.Y., by a treatment that is safe and certain. My cure has been permanent,
+although I have worked steadily.</p>
+
+<blockquote>
+<p>
+Yours sincerely, JAMES M. KEACH.<br />
+No. 68 Bissell Ave., Buffalo, N.Y.<br />
+</p>
+</blockquote>
+
+
+<h4>FEMORAL HERNIA.</h4>
+
+
+
+<p class="rfigure"><a name="advise676"><img width="90%" alt="Illustration:
+Miss M.V. Thomas." src="images/advise676.png" /></a><br />Miss M.V.
+Thomas.</p>
+
+<p>This patient, aged thirty-four years, was always delicate; suffered from
+malarial fever each year for ten years past. The hernia was caused by
+lifting her father, who was on his sick-bed, during five different times,
+causing terrible suffering. The hernia was treated by our Specialist, and
+in eighteen days the lady was able to return home.</p>
+
+<p>She reports:</p>
+
+<p><i>Gentlemen</i>&mdash;I am grateful to you for a permanent cure of the
+hernia, and happy to inform you that I have felt no signs of rupture since
+I was at your Institution.</p>
+
+<blockquote>
+<p>
+Respectfully yours,<br />
+Miss MATTIE V. THOMAS,<br />
+Albion, Noble Co., Ind.<br />
+</p>
+</blockquote>
+
+
+<h4>"A LIVING DEATH FOR YEARS."</h4>
+
+<p>WORLD'S DISPENSARY MEDICAL ASSOCIATION, 663 Main St., Buffalo, N.Y.:</p>
+
+
+
+<p class="lfigure"><a name="advise677"><img width="90%" alt="Illustration:
+H. Wood, Esq." src="images/advise677.png" /></a><br />H. Wood, Esq.</p>
+
+<p><i>Gentlemen</i>&mdash;In the hope that some sufferer from hernia may be
+induced to take your treatment for that disease, I send you this
+certificate, containing a synopsis of my case and cure of the same. My life
+was a living death for years. I had almost lost all hope of ever being
+cured, and was plunged in despair, as I had tried so many trusses,
+appliances and remedies, each one in successive repetition, a failure. In
+January and February of the year '89, I entered your Institution for
+treatment, my malady being an inguinal hernia on the right side, of twenty
+years' standing&mdash;from childhood. I was then impressed with the feeling that
+it was my last chance, and that it would be my last effort, and to be
+candid I had very little hope that a cure would be effected. To me my
+condition seemed appalling, as I dare not eat, drink, laugh, exercise or
+perform any of the functions of life without having to reduce my rupture,
+frequently as often as forty or fifty times <i>per diem</i>, while on
+occasions the reduction would occupy hours of untold agony. No truss or
+appliance that I could get would retain the rupture, and I had tried all
+sorts as fast as they came to my knowledge. Marvelous as it may appear to
+all sufferers from this distressing affliction, I was discharged from your
+Institute in thirty days, a well and sound man, and only from memory and
+the record do I know that I was ever ruptured. I have at times since
+performed some of the hardest kinds of work for long periods, but no sign
+of weakness has ever appeared. I do not consider the necessary operation
+performed as attended with <span class="pagenum"><a name="Page_877"
+id="Page_877"></a>[pg 877]</span>any danger; it is no comparison to the
+chances a person takes who in the daily walks of life is tortured with a
+rupture.</p>
+
+<p>While an inmate of your Institution, I was accorded the kindest and most
+considerate treatment from all members of your staff and employees with
+whom I came in contact. I consider the appointments and cuisine of the
+establishment as perfection. You are at liberty to make the fullest and
+freest use of this testimonial you may see fit in your judgment, and I will
+cheerfully answer any communication from any sufferer referred to me for
+more explicit testimony.</p>
+
+<blockquote>
+<p>
+I am, Sincerely yours, HENRY WOOD.<br />
+Mason Valley, Nev.<br />
+</p>
+</blockquote>
+
+
+<p><span class="pagenum"><a name="Page_878" id="Page_878"></a>[pg
+878]</span></p><hr />
+
+
+
+
+<h2>CROUP, MEMBRANOUS AND SPASMODIC.</h2>
+
+
+
+<p class="lfigure"><a name="advise678"><img width="90%" alt="Illustration:
+Fig. 1. False Membrane in Croup. From a specimen in Dr. Gross' cabinet."
+src="images/advise678.png" /></a><br />Fig. 1. False Membrane in Croup.
+From a specimen in Dr. Gross' cabinet.</p>
+
+<p>Every family should be made acquainted with the symptoms and treatment
+of this disease. Especially is this true in the case of those living remote
+from a physician. From the lack of this knowledge on the part of parents,
+many a little one has perished before medical assistance could be obtained.
+In some of its forms its progress is very rapid, and, unless relief is
+obtained in a few moments, or hours at the most, death ensues.</p>
+
+<p>There are several quite distinct pathological conditions of the vocal
+and respiratory organs which have, in popular parlance, been designated as
+croup. But two of these are worthy of consideration here. These are
+<i>true</i> or <i>membranous</i> croup, in which a false, semi-organized
+membrane is formed, and <i>spasmodic croup</i>. Both may result fatally,
+but the former is much the more dangerous.</p>
+
+<p><b>Membranous Croup</b> is supposed to originate in the trachea, from
+which, as it progresses, it often extends upward to the larynx, and
+downward to the bronchial tubes. It is the result of severe inflammation of
+the mucous membrane, and is characterized by the formation of a false
+membrane, which covers or lines the inner surface of the true structure
+(see Fig. 1). It is formed of a coagulable, semi-fluid exudation from the
+mucous membrane. On being brought to the surface and into contact with the
+inspired air, this substance grows thick and tough, or leathery, as we find
+it. It is the obstruction in the respiratory canal which this foreign
+matter causes that gives rise to the labored breathing, and the ringing,
+brassy cough, together with the crowing or whistling inspiration
+characteristic of croup. Before recovery can take place this membrane must
+be detached and expelled. The cough is nature's effort to accomplish this
+work.</p>
+
+<p>The formation of this adventitious membrane in the larynx is attended
+with more danger than when it is confined to the trachea. In most cases in
+which the disease has had a very speedily fatal termination, an examination
+has shown that the larynx was its chief seat.</p>
+
+<p><b>Symptoms</b>. True croup is generally preceded by what is known as "a
+cold." The child coughs, sneezes, and is hoarse. It is the hoarseness and
+the peculiar <i>character</i> of the cough which indicate the tendency to
+croup. This has been already described. In addition, the <span
+class="pagenum"><a name="Page_879" id="Page_879"></a>[pg 879]</span>child
+is restless, fretful and feverish. The disease makes rapid strides. Finally
+the cough ceases to be loud and barking, and is very much suppressed; the
+voice is almost gone; the face is very pale; the head thrown back; the
+nostrils dilated and in perpetual motion, the pulse at the wrist very
+feeble, great exhaustion, more or less delirium, and, finally, death comes
+to the relief of the little sufferer. Convulsions sometimes occur in the
+last stages, and soon terminate fatally.</p>
+
+<p><b>Treatment</b>. No time should be lost in commencing treatment. Hot
+fomentations should be applied to the throat and upper portions of the
+chest. The free inhalation of steam should be employed early. The following
+treatment has been found very effectual in membranous croup, and is
+recommended by the highest authorities: Yellow subsulphate of mercury, or
+turpeth mineral, three to five grains, depending upon the age of the child,
+for one dose. If it does not cause vomiting in fifteen minutes, give a
+second dose. This, however, is seldom necessary. If the turpeth mineral
+cannot be obtained, sulphate of copper or sulphate of zinc may be given
+instead, as directed under the head of Emetics, in Part III, Chapter II. If
+there be a quick pulse, hot skin, a hurried breathing, and an occasional
+ringing cough, the child should be kept in bed, comfortably covered, but
+not overloaded with clothes, and the tincture or fluid extract of veratrum
+viride administered as follows: Take fluid extract of veratrum, five drops;
+sweet spirits of nitre, one teaspoonful; pure water, twenty teaspoonfuls;
+mix, sweeten with white sugar, and give a teaspoonful of the mixture every
+half-hour to two hours, according to the age of the child and the severity
+of the case. If there be great prostration, with cold extremities, the
+carbonate of ammonia should be administered, in doses of from one to two
+grains, every second hour, in gum arabic mucilage. Quinine is a valuable
+remedy, and is tolerated in large doses. The patient's body should be
+frequently sponged with warm water in which a sufficient quantity of
+saleratus or ordinary baking-soda has been dissolved to render it quite
+strongly alkaline. If the bowels be constipated they should be moved by an
+injection of starch-water. Beef tea and other concentrated, supporting diet
+should be administrated. In those cases in which there is a tendency to
+croup, the Golden Medical Discovery, together with iron and the bitter
+tonics, should be given to build up the system and counteract such
+tendency. The treatment which we have advised has been put to the severest
+tests in the most severe forms of the disease, and has resulted most
+successfully. If, however, in any case it does not give prompt relief, our
+advice is to lose no time in summoning a physician who is known to be
+skilled in the treatment of diseases of children.</p>
+
+<p><b>Spasmodic Croup</b>. In this affection no false membrane is formed.
+It seems to have a nervous origin. Most frequently the child is awakened in
+the night by a sense of suffocation. He may cry out that he is choking. The
+countenance is livid, the breathing is hurried <span class="pagenum"><a
+name="Page_880" id="Page_880"></a>[pg 880]</span>and each respiration is
+attended by a crowing sound. The child has fits of coughing or crying, and
+makes vehement struggles to recover his breath. This complaint, unlike
+croup, is unattended by fever, it being of a purely spasmodic character
+with no inflammation.</p>
+
+<p>Apply hot fomentations to the throat, and give frequent small doses of
+tincture or fluid extract or syrup of lobelia, to produce slight nausea;
+or, better still, an acetic syrup of blood-root, made by adding one
+teaspoonful of the crushed or powdered root to one gill of vinegar and four
+teaspoonfuls of white sugar. Heat this mixture to the boiling point,
+strain, and administer from one-fourth to one teaspoonful every half-hour
+or hour. Slight nausea should be kept up, but it is unnecessary to produce
+vomiting. This is usually all the treatment that is required.</p>
+
+
+<h3>WHOOPING-COUGH. (PERTUSSIS.)</h3>
+
+<p>This is primarily a disease of the nervous system, involving the
+respiratory organs through the medium of the pneumogastric nerve. It is
+considered a disease of childhood, though we have met with it in <i>old
+age</i>. It is eminently a contagious affection, and occurs generally but
+once during life.</p>
+
+<p><b>Symptoms</b>. It is at first manifested by a catarrhal cough,
+gradually developed. After a while it becomes paroxysmal, generally worse
+at night. The cough is severe, and long-continued; when a prolonged
+inspiration occurs, it is accompanied by a peculiar shrill sound, the
+characteristic <i>whoop</i>, which, when once heard, is never forgotten.
+The cough is attended by a copious secretion of glairy mucus, which is
+brought up at the latter part of the paroxysm. During, or at the end of the
+paroxysm, vomiting frequently occurs, and sometimes nosebleed. The cough is
+so severe at times, that the patient turns purple, gasps for breath, and
+presents all the symptoms of suffocation. Bronchitis sometimes is a
+troublesome complication. Immediately preceding a paroxysm of coughing a
+sense of impending danger appears to seize the child, and it runs to its
+mother, or grasps some support, as if for protection. Until the paroxysmal
+character and peculiar <i>whoop</i> is developed, the disease is diagnosed
+with difficulty.</p>
+
+<p><b>Treatment</b>. We have found the Golden Medical Discovery to modify
+the disease and cut it short. The philosophy of its action can be readily
+understood by its effect on the pneumogastric nerve, as explained under
+consumption and bronchitis. Jaborandi, described under the head of
+diaphoretics, often speedily arrests this disease. The employment of an
+infusion of red clover blossoms, in small doses, is of undoubted value in
+modifying the irritation of the air-passages, and may be used to good
+advantage with, or in alternation with the Golden Medical Discovery.
+Exposure to cold and wet should be avoided.</p>
+
+
+<p><span class="pagenum"><a name="Page_881" id="Page_881"></a>[pg
+881]</span></p><h3>NOSEBLEED.</h3>
+
+
+<p>Hemorrhage from the nose is commonly the result either of a catarrhal or
+an inflammatory condition of the nasal mucous membrane. Individuals are
+susceptible to it who are oppressed by fever or constitutional diseases
+that reduce the strength. There is also a condition of the nervous system
+in which there is congestion of the nerve centres which favors
+manifestations of this somewhat troublesome difficulty.</p>
+
+<p><b>Causes</b>. In some instances an examination of the nose will reveal
+the presence of a small point of congested vessels, usually about the size
+of a split pea. Upon this portion of the mucous membrane small scabs form,
+and at any time when they may be dislodged, by accident or otherwise, a
+hemorrhage will ensue.</p>
+
+<p>The constitutional conditions that produce the tendency to hemorrhage
+are most important. In individuals of a debilitated condition, it results
+from the lack of a proper amount of fibrin in the blood. Where the blood
+becomes thin, or loses a large share of its red corpuscles, the individual
+is pale, and hemorrhages are frequent from the mucous surfaces of any
+portion of the body, the nasal mucous surface being especially liable to
+such attacks.</p>
+
+<p><b>Treatment</b>. This is local and constitutional. Where there is
+constitutional imperfection, it should be remedied. Usually in young women
+there is some difficulty with the ovarian or uterine circulation, and the
+attack of hemorrhage from the nose is reflex in its character, appearing
+just before or at the time of the menstrual flow, accompanied with
+troublesome headache. The correction of this form is by the use of the
+"Favorite Prescription" and "Golden Medical Discovery," using of each a
+teaspoonful three times a day, taking the "Prescription" before meals and
+the "Discovery" after meals. If the bowels are constipated, the "Pellets"
+should be employed, in order to overcome any congestion of the liver which
+favors the manifestation of nosebleed. In children there is usually a
+debilitated state of the system, which is best remedied by the use of a
+half teaspoonful dose of the "Discovery," taken three times a day, after
+meals, with sweetened water. This treatment should be continued for a month
+or six weeks. By this means the blood-making organs rapidly improve in
+their activity and functions, the blood becomes rich in corpuscles and
+fibrin, thus strengthening the walls of the blood-vessels and tending to
+prevent a hemorrhage following undue excitement or injury. With men the use
+of laxatives is of great importance. One or more of the "Pellets," taken on
+retiring at night, are most beneficial. Where the blood is not up to the
+standard of purity, even though the individual be fleshy, the "Discovery"
+should be used, a teaspoonful or two, three times a day, after meals, in
+conjunction with plenty of outdoor exercise and the best of food. Where the
+hemorrhages occur in those having too much blood, the diet must be
+corrected by the use of vegetables and fruit, <span class="pagenum"><a
+name="Page_882" id="Page_882"></a>[pg 882]</span>diminishing the amount of
+meat and pastries to a minimum. The amount of fibrin should also be
+increased by the use of the "Golden Medical Discovery."</p>
+
+<p><b>Local Treatment</b>. Of those applied directly to the membrane, Dr.
+Sage's Catarrh Remedy, used according to the directions which wrap the
+bottle, is excellent in bringing about a normal condition of the mucous
+surfaces. Following this, a small amount of Subnitrate of Bismuth may be
+snuffed into each nostril. Usually the amount required to cover a
+three-cent silver piece is sufficient. The powder dries the surface and
+favors the speedy formation of a coagulum, or clotted covering, which
+effectually checks any further hemorrhage. The application of a firm
+compress to the upper lip will also diminish the flow of blood through the
+arteries that run to the anterior portion of the mucous surface. Good
+effects often follow the use of a small piece of ice applied to the nape of
+the neck. This, with a reclining posture, will cause contraction of the
+blood-vessels. If the Subnitrate of Bismuth is not to be readily obtained,
+the use of any other powder such as starch, finely divided and baked so as
+to be free from a tendency to form starch paste when applied to a mucous
+surface, is equally good. Well-browned flour is also serviceable. The use
+of the contents of a puff-ball, which contains many millions of fine
+spores, has been employed from time immemorial. The use of such drying
+powders tends to favor the speedy formation of clots. Where the small
+points of engorged vessels are to be readily reached, use a solution of the
+Tincture of Chloride of Iron, one part in four of water, applying with a
+small pledget of soft cotton wrapped about, or fastened to, the end of a
+pencil or stick. In this way the solution may be applied in very small
+amount to the spot where the hemorrhage appears, and will give immunity
+from future attacks. Any of the styptics (see pages <a
+href="#Page_320">320</a>-<a href="#Page_325">325</a>) can be called into
+service. Those who have the advantage of the city drug store may use a
+solution of basic ferric sulphate (Monsell's solution), or the spray of a
+three or four per cent. solution of cocaine. The latter is one of the most
+pleasant and effective remedies in these emergencies. Before its
+administration the nasal cavity should be cleansed by snuffing up the
+nostrils salt and warm water. When washed, immediately apply the spray. If
+the constitutional condition which led to the hemorrhage continues, the
+general remedies&mdash;of which the "Golden Medical Discovery" is the most
+efficacious&mdash;should be administered. This agent increases the number of red
+blood corpuscles, and enriches the blood in fibrin, so that the relief
+obtained is absolutely permanent.</p>
+
+
+<h3>INFLAMMATION OF THE STOMACH. (GASTRITIS.)</h3>
+
+<p>Gastritis is generally defined as an inflammation of the mucous membrane
+of the stomach. However, the cellular, muscular, and serous tissues are all
+liable to be more or less affected. Gastritis may be <span
+class="pagenum"><a name="Page_883" id="Page_883"></a>[pg 883]</span>either
+<i>acute</i> or <i>chronic</i>. Either form is a distinct modification of
+disease, manifesting peculiar symptoms and requiring special remedies.</p>
+
+<p><i>Acute Gastritis</i> generally occurs as a result or complication of
+other diseases. It is an occasional feature In scarlatina, serious cases of
+bilious fever, and in cutaneous affections of every description. The mucous
+membrane of the stomach is placed in intimate communication with all the
+vital organs, by means of the nerves of the solar-plexus, hence the
+sympathy between the stomach and skin, and the morbid condition of the
+stomach occasioned by disease of other organs.</p>
+
+<p><b>The Early Symptoms</b> of acute gastritis are a burning sensation in
+the stomach, accompanied by nausea and frequent vomiting. The respiratory
+movements are rapid and shallow, the pulse is hard and short, and as the
+disease progresses, becomes small, frequent, and thready. The tongue
+usually retains its natural appearance, but it is sometimes dry and tinged
+with a vivid scarlet at the tip and edges. Intense thirst and hiccough are
+occasional symptoms. The facial expression is haggard, and indicative of
+the most intense suffering. The stomach will not retain the mildest
+liquids. In the early stages of the disease, the ejections consist of chyme
+and mucus, streaked with blood. As it progresses, the vomiting becomes a
+sort of regurgitation, the contents of the stomach being ejected without
+any apparent nausea or effort. The ejections then consist of a dark-colored
+granular matter, resembling what is known in yellow fever as
+<i>black-vomit</i>.</p>
+
+<p><b>Causes</b>. Formerly it was supposed that this was a very common
+disorder, and the term <i>acute gastritis</i> was applied to every
+development of symptomatic fever. But late clinical and pathological
+investigations clearly indicate that acute gastritis is of rare occurrence.
+It may be caused by the excessive and habitual use of alcoholic drinks,
+especially if taken without food, by copious draughts of cold water, or by
+intense emotions. But its <i>general</i> cause is the ingestion of
+irritating and corrosive poisons.</p>
+
+<p>Where the former causes are known not to exist, the presence of poison
+should always be suspected. As the cause sometimes becomes a matter of
+legal investigation, it is very important that the practitioner should be
+able to determine the <i>real</i> origin. If caused by poison, the disease
+is very suddenly developed, the patient complaining of a very intense
+burning sensation in the throat and the lining membrane of the mouth, which
+will generally show the action of the poison. A diarrhea is also more apt
+to accompany the disease. If inorganic or vegetable poisons are known or
+suspected irritants, the appropriate antidotes should be promptly
+administered. For a list of the principal poisons and their antidotes, with
+practical suggestions for treatment, the reader is referred to the article
+in this volume, on Accidents and Emergencies.</p>
+
+<p><b>Treatment</b>. The inflammation should be allayed, and a tea made of
+peach-tree leaves is very serviceable. Small pieces of ice, swallowed,
+<span class="pagenum"><a name="Page_884" id="Page_884"></a>[pg
+884]</span>will generally allay the thirst and vomiting, and a mucilage of
+slippery-elm is very soothing to the inflamed mucous membrane. This is an
+important disease, and its management should be entrusted to a skillful
+physician.</p>
+
+
+<h3>CHRONIC INFLAMMATION OF THE STOMACH.</h3>
+
+
+<p><i>Chronic Gastritis</i> is sometimes mistaken for dyspepsia or
+gastralgia. It is very necessary to discriminate between these diseases, as
+the appropriate remedies of the latter will often only aggravate and
+augment the former.</p>
+
+<p>A chronic inflammation of the stomach is a very common affection and has
+many phases, but the term chronic gastritis is applied only to that species
+of inflammation occasioned and accompanied by irritation. It is seldom a
+result of the <i>acute</i> form.</p>
+
+<p><b>The Symptoms</b> of chronic gastritis are various and sometimes
+vague. Among those which are prominent we may mention an irregular
+appetite. At times it is voracious and the patient will consume every
+available article of diet, while at others he will experience nausea and
+disgust at the sight of food. Even when very hungry, one mouthful of food
+will sometimes produce satiety and cause vomiting. The appearance of the
+tongue is variable, sometimes natural, at others thickly coated. The desire
+for drink is capricious, varying from intense thirst to indifference.
+Another prominent symptom is a sense of heaviness and heat in the
+epigastric region, after partaking of food. Often a small quantity, as a
+teaspoonful of milk, will produce a sensation of weight, as a heavy ball
+lying at the pit of the stomach. This symptom is frequently accompanied by
+a frontal headache, and a small and wiry pulse. Dull or shooting pains are
+experienced in the stomach and between the shoulders, and the patient
+becomes weary, melancholy, and emaciated.</p>
+
+<p><b>Causes</b>. The general cause of chronic gastritis is excess in
+eating or drinking, and the use of alcoholic liquors. We have known it to
+be produced by drinking <i>hard</i> cider. Great mental excitement
+predisposes the system to this affection. Occasionally it is a result of
+febrile diseases, as scarlatina, typhoid fever, etc. In some families there
+is a constitutional tendency to its development.</p>
+
+<p><b>Treatment</b>. All medicines which tend to irritate the stomach,
+should be studiously avoided. The bowels should be kept regular, and the
+skin clean by frequent bathing. Stimulants of all kinds must be avoided. As
+a principle article of diet, we would recommend milk and farinaceous
+articles. If these precautions be observed, nature will sometimes effect a
+cure. Lime water and the subnitrate of bismuth, in twenty-grain doses three
+or four times a day, are useful to allay irritation. Other suggestions
+applicable to its domestic management, <span class="pagenum"><a
+name="Page_885" id="Page_885"></a>[pg 885]</span>maybe found under the
+hygienic and medicinal treatment of dyspepsia, to which we refer the
+reader.</p>
+
+
+<h3>NEURALGIA OF THE STOMACH. (GASTRALGIA.)</h3>
+
+
+<p>Gastralgia is a neuralgic affection of the stomach, unaccompanied by
+inflammation. It is sometimes mistaken for chronic gastritis, although
+there is a marked difference in the symptoms.</p>
+
+<p><b>A Prominent Symptom of Gastralgia</b> is a <i>paroxysmal</i> pain
+radiating from the epigastric region, to all parts of the thoracic cavity.
+The pain is sometimes lessened by walking, lying on left side, or by gentle
+pressure, and usually abates after eating, but is renewed in a few hours.
+The patient occasionally experiences a sense of heaviness at the pit of the
+stomach, nausea, and frequent salty eructations. The tongue is white, the
+appetite variable, and there is no desire for liquids. The sleep is usually
+refreshing, and when not suffering from acute pain, the patient is
+apparently well.</p>
+
+<p>The <i>distinguishing</i> symptom of this disease is a feeling of
+intense despondency, and, sometimes, a morbid fear of death.</p>
+
+<p>An effectual method of distinguishing between gastralgia and chronic
+gastritis is by the administration of an alcoholic stimulant. If gastritis
+be the affection the pain will be augmented; whereas, if it be gastralgia,
+it will be relieved.</p>
+
+<p><b>Cause</b>. The cause of gastralgia is a local or sympathetic
+irritation of the nerves distributed to the stomach.</p>
+
+<p><b>Treatment</b>. The pain of gastralgia is sometimes allayed by using
+half a teaspoonful of subcarbonate of bismuth, and repeating the dose, if
+the attack is not relieved. The following is a very effectual remedy: take
+twenty grains of quinine, combined with one drachm of prussiate of iron,
+and divide it into ten powders, and administer a powder every three hours
+until the pain is completely arrested. Temporary relief may be given by
+administering one-quarter of a grain of morphine, or ten to twenty drops of
+chloroform in a teaspoonful of glycerine, slightly diluted, taken in one
+dose. One of the most effective remedies for preventing a return of the
+attacks is that invigorating tonic and alterative, the "Golden Medical
+Discovery." The patient should be careful in diet, and not eat too much
+food, which should not only be of a nutritious kind, but easy of digestion.
+Cleanliness, suitable clothing, bodily warmth, exercise, and rest must not
+be neglected. Sometimes it is lingering and requires long persistence in
+hygienic and medicinal treatment. Everything tending to promote the tone of
+the digestive organs, and improve the functions of the system generally may
+be considered advantageous in this neuralgic affection.</p>
+
+
+<p><span class="pagenum"><a name="Page_886" id="Page_886"></a>[pg
+886]</span></p><h3>PERITONITIS.</h3>
+
+
+<p>The <i>peritoneum</i>, or serous membrane which lines the abdominal
+cavity and invests the intestines, is liable to become inflamed. When this
+occurs, the affection is termed peritonitis, and may be divided into the
+<i>acute</i> and <i>chronic</i> forms.</p>
+
+<p><b>Acute Peritonitis</b>. This form may be circumscribed; that is,
+confined to one spot, or it may extend over the entire surface of the
+peritoneum, when it is known as <i>general</i>.</p>
+
+<p><b>Symptoms</b>. There is headache, quick pulse, tongue coated white,
+countenance pallid, features pinched, respiration difficult, nausea and
+vomiting, severe pain in the abdomen, which is extremely sensitive to
+pressure and becomes very much distended. There is also pain in the limbs,
+the bowels are constipated, and, in exceptional cases, diarrhea is a
+prominent symptom. The urine is deficient in quantity, and there is
+sleeplessness, chilliness, and great general prostration. Vomiting and
+coughing or sneezing increase the pain. An erect position occasions intense
+suffering. The patient is compelled to assume a recumbent posture and is
+inclined to lie on the back, for in that position the sufferer experiences
+the least pressure of the vital organs against the peritoneum. There is
+also an inclination to draw up the lower limbs and retain them in a flexed
+position.</p>
+
+<p><b>Causes</b>. Prominent among these are injuries which have been
+inflicted upon the intestines, compression of the colon, or rectum,
+perforation of the stomach or bowels, either by violence or some
+pre-existing disease, thus allowing the discharge of blood, urine, bile, or
+fecal matter into the abdominal cavity; also abortion, over-exertion, and
+exposure to wet or cold. As acute peritonitis is always a grave disease,
+involving more or less danger to life, it is the wisest course to employ a
+physician and trust the case to his management. The same remark is equally
+applicable to the chronic form of the disease.</p>
+
+<p><b>Chronic Peritonitis</b>. Like the acute, it may be either
+<i>circumscribed</i> or <i>general</i>. This form is sometimes, though
+rarely, a sequel of the acute. When it appears independently of the acute,
+it is generally associated with some cutaneous affection pertaining to the
+abdominal cavity, and the inflammation is induced by the tumor. If chronic
+peritonitis be connected with the <i>tubercular</i> diathesis, tubercles
+may be discovered upon the surface of the stomach and alimentary canal, and
+may also be found in the lungs and brain.</p>
+
+<p>When the affection is not tubercular there will appear in the abdominal
+cavity an effusion of serous fluid of greater or less quantity, mingled
+with blood and pus. When such an effusion takes place, the abdomen
+gradually increases in size, or becomes smaller than is natural. There is
+pain, attended by soreness upon pressure, and the patient becomes
+emaciated.</p>
+
+<p>Inflammation of the peritoneum is frequently an accompaniment of <span
+class="pagenum"><a name="Page_887" id="Page_887"></a>[pg
+887]</span><i>puerperal fever</i>, which is a disease peculiar to
+childbirth, and which may arise from cold, or be communicated from one
+parturient patient to another by midwives.</p>
+
+<p><b>Treatment</b>. In the remedial management of acute peritonitis, it is
+obviously necessary to use some agent which will at once influence and
+change the congested state and inflammatory condition. One of the best
+agents employed to make a decided impression upon the vascular system,
+subdue inflammation, and modify its action, is the fluid extract of
+veratrum viride, administered in full doses, and repeated until the system
+shows its effects in a decided manner. Warm fomentations applied to the
+abdomen are sometimes very serviceable, and are objectionable only because
+of their liability to dampen the bed-clothes. When the abdomen will bear a
+thick, warm poultice, apply it, and then cover the entire surface with
+oiled silk. The tincture of opium, in doses sufficient to relieve pain and
+quiet the peristaltic action of the intestines, is generally necessary.</p>
+
+
+<h3>EPIDEMIC CHOLERA.</h3>
+
+
+<p>This is an epidemic disease, supposed to be due to an impalpable
+specific poison, but as to the exact nature of this poisonous matter
+nothing definite is known.</p>
+
+<p>This plague first made its appearance on our continent in 1834. Owing to
+its great fatality, it is a disease much to be dreaded.</p>
+
+<p><b>Symptoms</b>. These are well defined. It is characterized in its
+earlier stages by pain in the stomach and bowels, especially in the
+umbilical region, nausea, vomiting, diarrhea; later, the purging is
+excessive, and the matter dejected resembles rice-water, and contains
+white, solid, curd-like matter. The patient loses strength, and sinks
+rapidly. The secretory organs fail to perform their functions normally, the
+skin is sometimes moist, but oftener cold and dry; but little if any bile
+is found in the excretions, and the urine voided is very scanty. There is
+general nervous derangement, as indicated by the spasmodic contraction or
+cramping of the muscles. This first attacks the extremities, but soon
+affects the entire body, and gives rise to excruciating pains. The head is
+affected by singing, roaring, disagreeable noises in the ears, the pulse is
+feeble, but quick, the nails are of a bluish color, the tongue is coated
+white, the eyes are sunken, and the patient has a corpse-like appearance;
+the temperature of the body rapidly falls, the surface becomes deathly
+cold, and, unless the disease is promptly arrested in its course, speedy
+dissolution follows. The disease is rarely prolonged beyond twenty-four
+hours, and sometimes terminates within three or four hours after its first
+attack.</p>
+
+<p><b>Treatment</b>. The kind of medicine required depends upon the
+severity of the attack and stage of the disease. In all cholera epidemics,
+there are premonitory symptoms, such, as an uneasy sensation <span
+class="pagenum"><a name="Page_888" id="Page_888"></a>[pg 888]</span>at the
+pit of the stomach, and a rumbling of the bowels. This is apt to be
+followed by a painless diarrhea, which occasions no alarm, and the patient
+pays but little attention to it. Herein is the great and dangerous mistake.
+The patient is already in the stage of <i>invasion</i>, which must be
+promptly arrested, or he will suddenly be precipitated into the stage of
+<i>collapse</i>. The patient should lie down, and have placed about him
+bottles filled with hot water, thereby exciting warmth upon the surface of
+the body. At the same time, administer two teaspoonfuls of the Extract of
+Smart-weed. If the symptoms are urgent, repeat the dose every fifteen
+minutes. Brandy, thickened with sugar, may also be given. In either the
+stage of <i>invasion</i> or <i>collapse</i>, the leading indication is to
+establish <i>reaction</i> by promoting perspiration. Bathe the feet in
+water as hot as can be borne, give the Extract of Swart-weed freely, and
+thus endeavor to excite profuse diaphoresis. No time should be lost, for
+delays are dangerous. When the reaction is established, the patient should
+remain quiet, and not attempt to exert himself.</p>
+
+<p>After reaction has taken place, the sweating should be maintained for
+twelve hours, and the patient should drink slippery-elm tea and
+toast-water, and partake sparingly of soft toasted bread and chicken broth.
+The food should be fluid and nutritious, but taken in small quantities. Do
+not disturb the bowels with laxatives until the third day after the patient
+begins to improve, and then they may be moved by an injection of warm
+water. Great care should be taken that the patient does not indulge too
+soon or too freely in the use of food. When a skillful physician can be
+had, no time should be lost in securing his services, but since in
+epidemics of this nature, medical men are generally overworked, and not
+always easily and promptly to be had, we have been quite explicit in giving
+full directions for treatment.</p>
+
+<p><b>Cholera Morbus</b>, also known as <i>sporadic cholera</i> and
+<i>simple cholera</i>, usually occurs during the summer months. The attack
+may be sudden, although it is usually preceded by a sensation of uneasiness
+and colicky pains in the stomach.</p>
+
+<p><b>Symptoms</b>. Nausea, vomiting and purging are the most prominent
+symptoms. The discharge from the bowels is at first of a thin, yellow
+appearance, but finally it becomes almost colorless. Sometimes, after the
+contents proper of the bowels have been evacuated, the dejections have a
+bilious appearance. Severe cramps and pain accompany the vomiting. The
+vomiting and purging usually occur in paroxysms, but finally become less
+frequent, a reaction takes place, the extremities grow warm, and the
+patient gradually recovers. It may be accompanied by intense thirst and a
+quick pulse, yet the surface may be cool.</p>
+
+<p><b>Causes</b>. Cholera morbus is most prevalent in warm climates, and
+especially in malarial districts. It is generally the result of eating
+indigestible articles of food, such as unripe fruit or uncooked vegetables.
+<span class="pagenum"><a name="Page_889" id="Page_889"></a>[pg
+889]</span>Stimulating drinks, or those articles which furnish the elements
+for fermentation, also favor the production of this disease.</p>
+
+<p><b>Treatment</b>. If the attack be superinduced by eating unripe or
+stale fruit, it may be proper to give an emetic or a cathartic, but
+ordinarily first give a full dose of the Extract of Smart-weed, and, if the
+vomited matter is very sour, give the patient a weak, alkaline drink, which
+may be made by dropping a few live, hard-wood coals into a tumbler of
+water. This will not only assist in neutralizing the acidity of the
+stomach, but will help to allay the thirst and accompanying fever. If the
+patient throw up the first dose of the Extract of Smart-weed, a second
+should be given. Do not allow the patient to drink cold water, and give
+only tablespoonful doses of the alkaline solution every thirty minutes. If
+the thirst is great, occasionally give a tablespoonful of a tea made from
+scorched Indian meal, which not only allays the desire to drink, but also
+the irritation of the stomach. If to be obtained, give a tea of the leaves
+or bark of the peach tree. The patient should be well covered in bed and
+kept warm. Laudanum by the stomach, or by enema, may he necessary in severe
+cases to relieve the pain and check the purging. Hot fomentations applied
+to the bowels are very valuable. A mustard plaster applied over the abdomen
+will assist materially in relieving the nausea and vomiting. It should not
+be left on sufficiently long to blister. When the affection is promptly
+treated as we have suggested, the patient generally quickly recovers. If,
+however, it does not yield to these measures, the family physician should
+be called in.</p>
+
+
+<h3>ACCIDENTS AND EMERGENCIES.</h3>
+
+
+<p>Accidents and emergencies which require immediate attention frequently
+occur. Professional aid cannot always be quickly obtained and hence fatal
+results often follow. It is, therefore, important that all persons should
+not only know how to proceed under such circumstances, but that they should
+be able to exercise that deliberation and self-control so necessary in
+emergencies of all kinds. Most persons are more or less affected by the
+sight of blood or severe wounds, and it requires an effort to maintain
+self-possession. One should act resolutely; otherwise he will find himself
+overcome and unable to render any assistance.</p>
+
+
+<h3>WOUNDS.</h3>
+
+
+<p>Wounds may be classified as <i>incised, punctured, contused,
+lacerated</i>, or <i>poisoned</i>.</p>
+
+<p><i>Incised</i> wounds are those which are made with a sharp, cutting
+instrument, and are characterized by their extent of surface.</p>
+
+<p><i>Punctured</i> wounds are made with a pointed instrument, and
+distinguished for their depth rather than breadth.</p>
+
+<p><i>Contused</i> wounds are those produced by bruises.</p>
+
+<p><span class="pagenum"><a name="Page_890" id="Page_890"></a>[pg
+890]</span><i>Lacerated</i> wounds are those in which the flesh is torn and
+mangled.</p>
+
+<p><i>Poisoned</i> wounds are made with a poisoned instrument, or by some
+poisonous reptile or insect or rabid animal.</p>
+
+
+
+<p class="lfigure"><a name="advise679"><img width="90%" alt="Illustration:
+Fig. 1. The field Tourniquet as applied. " src="images/advise679.png"
+/></a><br />Fig. 1. The field Tourniquet as applied. </p>
+
+<p>In all cases of wounds, the immediate danger is in the <i>shock</i>
+produced upon the nervous system, and in the liability to
+<i>hemorrhage</i>.</p>
+
+<p><b>Shock</b>. If severe, the shock is attended with symptoms of extreme
+prostration, such as a feeble pulse, shivering, partial unconsciousness,
+fainting, hiccough, vomiting, and involuntary discharges of the urine and
+feces.</p>
+
+
+
+<p class="figure"><a name="advise680"><img width="40%" alt="Illustration:
+Fig. 2. Mode of employing flexion for the arrest of hemorrhage from a wound
+located below the elbow. " src="images/advise680.png" /></a><br />Fig. 2.
+Mode of employing flexion for the arrest of hemorrhage from a wound located
+below the elbow. </p>
+
+<p><b>Treatment of Shock</b>. The clothing should be loosened immediately
+after the accident, so that the blood may have free circulation, and the
+patient should be kept in a recumbent position. He should have plenty of
+fresh air. Camphor or ammonia may be inhaled. If he can swallow, stimulants
+may be given, as whiskey or brandy, but with care that they do not run into
+the trachea, or windpipe. If he be unable to swallow, they may be
+administered as injections, but should gradually be discontinued as
+reaction takes place. A warm pillow placed at the back and the use of
+electricity may be beneficial.</p>
+
+<p><b>Hemorrhage</b>, or bleeding, may generally be controlled by a
+<i>compress, tourniquet, flexion of the joint</i>, or <i>styptics.</i> A
+<i>compress</i> consists of several folds of cloth laid upon a wound, the
+edges of which have been brought together, and made secure by a moderately
+tight bandage.</p>
+
+
+
+<p class="figure"><a name="advise681"><img width="40%" alt="Illustration:
+Fig. 3. Mode of employing flexion for the arrest of hemorrhage from a wound
+below the knee." src="images/advise681.png" /></a><br />Fig. 3. Mode of
+employing flexion for the arrest of hemorrhage from a wound below the
+knee.</p>
+
+<p><i>A tourniquet</i> may be extemporized by rolling a handkerchief into a
+cord and tying it around the limb, over a compress, between the wound and
+the heart. A stick should then be thrust between the handkerchief and skin
+and twisted around several times, until the <span class="pagenum"><a
+name="Page_891" id="Page_891"></a>[pg 891]</span><span class="pagenum"><a
+name="Page_892" id="Page_892"></a>[pg 892]</span>pressure is sufficiently
+great to arrest the circulation of the blood in the wounded part. A
+representation of this operation may be seen in Fig. 1.</p>
+
+
+
+<p class="figure"><a name="advise682"><img width="40%" alt="Illustration:
+Mode of employing flexion for the arrest of hemorrhage from a wound located
+between the thigh and knee." src="images/advise682.png" /></a><br /> Mode
+of employing flexion for the arrest of hemorrhage from a wound located
+between the thigh and knee.</p>
+
+<p><i>Flexion of the joint</i>, as represented in Figs. 2, 3, and 4, is
+adapted to many cases of hemorrhage. As water cannot flow through a rubber
+tube bent at a sharp angle, so the acute flexion of a limb prevents the
+free flow of blood through the arterial tubes.</p>
+
+<p>In some cases, <i>styptics</i> may be directly applied to the wounded
+tissues. Cold acts as a powerful styptic, and may generally be made
+available for arresting hemorrhage.</p>
+
+<p><b>Poisoned Wounds.</b> The treatment of these should chiefly consist in
+the prevention of the spread of the poison. This may be done by tightly
+applying bandages above the wound and scarifying or sucking the parts.
+Nitrate of silver may then be used and the ligatures removed. Alcohol, in
+any form, is an antidote to snake poison. For the stings of insects, apply
+aqua ammonia, fresh earth, raw onion, plantain, or spirits of
+turpentine.</p>
+
+
+<h3>FRACTURES AND DISLOCATIONS.</h3>
+
+
+<p>The treatment of injuries received from the fracture of bones and the
+dislocation of joints should never be attempted by the inexperienced, nor
+should the management be left to incompetent physicians but <i>skillful</i>
+surgical aid should at once be summoned.</p>
+
+
+<h3>SPRAINS.</h3>
+
+
+<p>A sprain consists of a sudden and forcible stretching of the ligaments
+and tendons connected with a joint, without there being any dislocation. It
+is attended with severe pain and is followed by rapid swelling.</p>
+
+<p>The treatment should consist of measures to prevent inflammation,
+promote absorption, and restore a healthy action. The affected part should
+be kept at rest in an elevated position, and hot or cold water applied
+frequently. If there is much inflammation, fomentations of hops may be
+used. The Compound Extract of Smart-weed is an excellent application.</p>
+
+<p>When the acute symptoms have disappeared, absorption should be favored
+by systematic rubbing and the application of stimulating liniments, or by
+the use of a well-adjusted bandage. Passive motion may be resorted to
+gradually and the subject may use the joint moderately. Should any
+stiffness remain, warm salt water douches should be employed and the
+Extract of Smart-weed applied once a day.</p>
+
+
+<h3>BRUISES.</h3>
+
+
+<p>Bruises or contusions are caused by falls, wrenches, or blows from blunt
+instruments, without breaking the skin. The soft tissues are lacerated and
+blood is poured out into them, constituting <i>ecchymosis</i>. <span
+class="pagenum"><a name="Page_893" id="Page_893"></a>[pg 893]</span>The
+discoloration passes through various shades from a bluish-black to a
+violet, a green, and finally, a yellow.</p>
+
+<p>If the bruise is severe, the affected part should be kept at rest and
+frequently bathed with the Compound Extract of Smart-weed or the tincture
+of arnica. If inflammatory symptoms supervene, fomentations and poultices
+should be applied.</p>
+
+
+<h3>FOREIGN BODIES IN THE NOSE.</h3>
+
+
+<p>Foreign bodies, such as beads, peas, coffee-grains, and small
+gravel-stones are occasionally introduced into the nostrils of children,
+becoming fastened there, and causing great anxiety and alarm. If allowed to
+remain, they generally cause inflammation and suffering.</p>
+
+<p>Such bodies may generally be washed out by gently injecting a stream of
+tepid salt water with a syringe or Dr. Pierce's Nasal Douche. In no case
+should force be used. If these means fail, a competent surgeon should be
+consulted.</p>
+
+
+<h3>FOREIGN BODIES IN THE THROAT AND AIR-PASSAGES.</h3>
+
+
+<p>Foreign bodies are generally arrested so high up that they may be seen
+by simply depressing the tongue, and removed with the finger or a pair of
+forceps. The head should be thrown back in such a position as to cause the
+chin to project as little as possible beyond the prominence known as Adam's
+apple, in order that the finger or forceps may be readily introduced and
+the body released and ejected. When the foreign bodies are so small as to
+pass out of sight in the larynx, windpipe, or esophagus, it is generally
+difficult to extract them, and the services of a surgeon are required.
+Fortunately, however, there is not much immediate danger from suffocation
+in such cases.</p>
+
+
+<h3>DROWNING.</h3>
+
+
+<p>Recovery from drowning sometimes occurs when life is apparently extinct.
+The treatment, however, should be immediate and energetic, and should be
+given in the open air, unless the weather be too cold.</p>
+
+<p><b>Treatment.</b> The patient should be gently placed upon the face with
+his wrists under his forehead. The tongue will then fall forward and the
+water run out of his mouth and throat, while the windpipe, or air-passage,
+will be free. To restore respiration, he should be instantly turned upon
+his right side, his nostrils excited with snuff or ammonia, and cold water
+dashed upon his face and chest. If this operation prove unsuccessful,
+replace the patient upon his face, care being taken to raise and support
+his chest, turn the body gently on the side and quickly again upon the
+face. Alternate these movements about every four seconds, and occasionally
+change sides. When the body is turned <span class="pagenum"><a
+name="Page_894" id="Page_894"></a>[pg 894]</span>on the face, gentle but
+efficient pressure should be made along the back, between the shoulder
+blades, to assist in forcing the air out of the lungs, but this pressure
+ought to be removed before the patient is turned back on his side.
+Persistently repeat this operation, and success will often be the reward.
+As soon as respiration is established, warmth may be promoted by the
+application of warm flannels to the body and bottles of hot water to the
+stomach, armpits, thighs, and feet. During the entire process of
+restoration, the body should be thoroughly rubbed <i>upwards</i>. Turning
+the body upon the back or handling it roughly should be avoided. The person
+should not be held up by his feet, or be rubbed with salt or spirits.
+Rolling the body on a cask is improper, and injections of the smoke
+infusion of tobacco are injurious. Avoid the constant application of the
+warm bath, and do not allow a crowd to surround the body.</p>
+
+
+<h3>FAINTING.</h3>
+
+
+<p>When a person faints, <i>he should be allowed to remain or be placed in
+a recumbent posture</i>, and his clothing immediately loosened. The
+extremities should be rubbed, the patient permitted to have plenty of fresh
+air, and, if at hand, ammonia or camphor should be applied to the
+nostrils.</p>
+
+
+<h3>BURNS AND SCALDS.</h3>
+
+
+<p>The danger arising from burns and scalds depends not only upon the
+extent of surface involved, but also upon the depth of the injury. Burns
+are most dangerous when occurring upon the head, chest, or abdomen.</p>
+
+<p><b>Treatment.</b> Soothing applications, and those which will exclude
+the air, should be made. Grated potato, poultices of slippery-elm, sweet
+oil, cotton saturated in a mixture composed of two or three grains of
+carbolic acid and two ounces of glycerine, and linseed oil and white lead,
+are all beneficial for the treatment of burns. If internal treatment be
+necessary, it should be given under the direction of a competent
+physician.</p>
+
+
+<h3>SUN-STROKE.</h3>
+
+
+<p>In cases of sun-stroke, the patient should be at once removed into the
+shade. If the face is <i>flushed</i>, apply cold water to the head and
+neck, and mustard to the feet. The body should be bathed in tepid water and
+the head slightly elevated. If the countenance is pale, the symptoms denote
+exhaustion, and the patient should be kept in a recumbent position, the
+extremities rubbed, camphor and ammonia inhaled, mustard applied to the
+spine, and stimulants, such as brandy or whiskey, should be
+administered.</p>
+
+<p><span class="pagenum"><a name="Page_895" id="Page_895"></a>[pg 895]</span></p>
+<table style="margin-left: auto; margin-right: auto" border='1' cellpadding='2' cellspacing='0' summary=''>
+<caption>POISONS AND THEIR ANTIDOTES.</caption>
+<tr><th align='left'>POISONS.</th><th align='left'>ANTIDOTES.</th></tr>
+<tr><td align='left'><b>ACIDS.</b></td><td align='left'></td></tr>
+<tr><td align='left'>Acetic Acid.<br />
+Citric Acid.<br />
+Muriatic Acid.<br />
+Tartaric Acid.</td>
+<td align='left'>Alkalies&mdash;carbonate of soda and potash&mdash;also
+lime and magnesia are antidotes to these
+poisons. As soon as the acid is neutralized,
+mucilaginous teas, such as flax-seed, gum
+arabic, or slippery-elm, may be given.</td></tr>
+<tr><td align='left'>Sulphuric Acid<br />
+(Oil of Vitriol).</td><td align='left'>Soap, in solution, or magnesia will
+counteract
+its influence. Water should <i>not</i> be given
+as it causes great heat when mixed with this
+acid.</td></tr>
+<tr><td align='left'>Nitric Acid<br />
+(Aqua Fortis).<br />
+Oxalic Acid.</td><td align='left'>Lime-water, carbonates of lime and magnesia
+in solution, are the only antidotes. Give
+mucilaginous drinks.</td></tr>
+<tr><td align='left'>Carbolic Acid.</td><td align='left'>There is no
+special antidote. Oil, glycerine,
+milk, flour and water, white of eggs,
+magnesia, and flax-seed tea may be used.</td></tr>
+<tr><td align='left'>Prussic Acid.<br />
+Laurel Water.<br />
+Oil of Bitter Almonds.</td><td align='left'>Ammonia, by inhalation or in
+solution, may
+be used. Apply a cold <i>douche</i> to the head.</td></tr>
+<tr><td align='left'>These agents are<br />
+speedily fatal.</td><td align='left'></td></tr>
+<tr><td align='left'><b>ALKALIES.</b></td><td align='left'></td></tr>
+<tr><td align='left'>Liquor of Ammonia.<br />
+Water of Ammonia.<br />
+Muriate of Ammonia.</td><td align='left'>Vegetable acids, such as vinegar,
+lemon-juice,
+citric and tartaric acids, neutralize this
+poison.</td></tr>
+<tr><td align='left'>Liquor of Potassa.<br />
+Nitrate of Potassa<br />
+(Saltpetre).<br />
+Carbonate of Potassa<br />
+(Pearlash).<br />
+Salts of Tartar.</td><td align='left'>All the fixed oils, such as linseed,
+castor
+and sweet oil, also almonds and melted lard
+destroy the caustic effects of these poisons
+Mucilaginous drinks may be given.</td></tr>
+<tr><td align='left'><a name="Page_896" id="Page_896"></a>
+<b>IODINE.<br />
+In its different forms.</b></td><td align='left'>Starch, wheat flour mixed
+with water,
+whites of eggs, milk, and mucilaginous
+drinks are excellent antidotes.</td></tr>
+<tr><td align='left'><b>VOLATILE OILS AND<br />
+AGENTS.</b></td><td align='left'></td></tr>
+<tr><td align='left'>Creosote<br />
+(Oil of Smoke).<br />
+Oil of Tar.<br />
+Oil of Turpentine.</td><td align='left'>The same antidotes as in case of poisoning
+with iodine may be used in this, or the
+stomach may be evacuated with an emetic or a
+stomach-pump.</td></tr>
+<tr><td align='left'><b>ALCOHOL.</b></td><td align='left'>A powerful emetic
+of white vitriol or mustard
+should be given at once, cold should be
+applied to the head, and the extremities
+vigorously rubbed.</td></tr>
+<tr><td align='left'><b>ANTIMONY AND ITS<br />
+COMPOUNDS.</b></td><td align='left'></td></tr>
+<tr><td align='left'>Tartar Emetic.<br />
+Butter of Antimony.<br />
+Oxide of Antimony.</td><td align='left'>If vomiting has not occurred,
+induce it by
+tickling the throat and giving large draughts
+of warm water, after which administer
+astringents, such as infusions of galls, oak bark,
+Peruvian bark, or strong green tea.</td></tr>
+<tr><td align='left'><b>ARSENIC AND ITS<br />
+COMPOUNDS.</b></td><td align='left'></td></tr>
+<tr><td align='left'>White Arsenic.<br />
+Yellow Sulphuret of Arsenic<br />
+Red Sulphuret of Arsenic<br />
+King's Yellow.<br />
+Fly Powder.<br />
+Arsenical Paste.<br />
+Arsenical Soap.<br />
+Scheele's Green.<br />
+Paris Green.</td><td align='left'>Oils, or fats lard, melted butter, or milk
+should be given, then induce vomiting with
+sulphate of zinc, sulphate of copper or
+mustard; fine powdered iron rust or magnesia
+may be given every five or ten minutes.
+Mucilaginous drinks should be given as soon
+as the stomach is evacuated.</td></tr>
+<tr><td align='left'><b>COPPER AND ITS<br />
+COMPOUNDS.</b></td><td align='left'></td></tr>
+<tr><td align='left'>Blue Vitriol<br />
+Verdigris.</td><td align='left'>Avoid the <b>use</b> of vinegar. Give albuminous
+substances, such as milk, whites of eggs, wheat
+flour in water, or magnesia; yellow prussiate
+of potash in solution may also be given freely.</td></tr>
+<tr><td align='left'><a name="Page_897" id="Page_897"></a><b>LEAD AND ITS<br />
+COMPOUNDS.</b></td><td align='left'></td></tr>
+<tr><td align='left'>Acetate of Lead<br />
+(Sugar of Lead)<br />
+White Lead.<br />
+Red Lead.<br />
+Litharge.</td><td align='left'>In lead, or painters' colic purgatives
+and anodynes may be given, together
+with large doses of iodide of
+potassium.</td></tr>
+<tr><td align='left'><b>MERCURY AND ITS<br />
+COMPOUNDS.</b></td><td align='left'></td></tr>
+<tr><td align='left'>Corrosive Sublimate.<br />
+White Precipitate.<br />
+Red Precipitate.<br />
+Calomel.</td><td align='left'>Albumen in some form should be
+given; if the poison is not
+absorbed, follow with a mustard
+or lobelia emetic.</td></tr>
+<tr><td align='left'><b>ACRONARCOTICS.</b></td><td align='left'></td></tr>
+<tr><td align='left'>Ergot.<br />
+Black Hellebore.<br />
+Veratrum Viride<br />
+(American Hellebore).<br />
+Aconite.<br />
+Foxglove.<br />
+Gelseminum.</td><td align='left'>The general treatment indicated for
+this class of poisons, is to
+evacuate the stomach with a
+stomach-pump or an emetic composed
+of fifteen or twenty grains of
+sulphate of zinc or copper, or large
+doses of mustard, repeated every
+quarter of an hour until the full
+effect is produced.</td></tr>
+<tr><td align='left'>Belladonna.<br />
+Stramonium.</td><td align='left'>Morphine, sassafras, iodine, and
+stimulants.</td></tr>
+<tr><td align='left'>Nux Vomica.i<br />
+Strychnia.</td><td align='left'>Large doses of camphor, chloroform,
+and tobacco, may all be beneficial.</td></tr>
+<tr><td align='left'>Poison Oak.<br />
+Poison Vine.</td><td align='left'>Muriate of ammonia, in solution, may
+be applied externally, and from ten
+to fifteen grains given internally;
+soda is also useful.</td></tr>
+<tr><td align='left'><b>NARCOTICS</b></td><td align='left'></td></tr>
+<tr><td align='left'>White Henbane.<br />
+Opium.</td><td align='left'>Sassafras may be used as an antidote
+for henbane. Belladonna is an
+antidote of opium; cold water should
+also be applied to the head
+of the patient, and the extremities
+should be well rubbed.</td></tr>
+<tr><td align='left'><b>ANIMAL POISONS.</b></td><td align='left'></td></tr>
+<tr><td align='left'>Spanish Fly.<br />
+Potato Fly.</td><td align='left'>Excite vomiting by drinking sweet
+oil. Sugar and water, milk, or
+linseed tea in large quantities, and
+emollient injections are valuable.</td></tr>
+</table>
+
+<p><span class="pagenum"><a name="Page_898" id="Page_898"></a>[pg 898]</span></p>
+<h2>POSTERIOR SPINAL CURVATURE.</h2>
+
+<h3>(HUMPBACK.)</h3>
+
+
+<p>Posterior curvature of the spine, sometimes known as Pott's Disease,
+occurs most frequently in children, and is generally developed before the
+seventh year. Children of a scrofulous diathesis are especially liable to
+this affection. It is generally due to disease of the inter-vertebral
+cartilages and bodies of the vertebræ. It comes on in a slow,
+insidious manner, hence, it often makes serious inroads upon the spine and
+system before its character is even suspected.</p>
+
+
+
+<p class="lfigure"><a name="advise683"><img width="90%" alt="Illustration:
+Fig. 1.  The above portion of the spinal column shows the manner of the
+breaking down of the vertebræ from caries, and the absorption of
+their bony structure." src="images/advise683.png" /></a><br />Fig. 1.  The
+above portion of the spinal column shows the manner of the breaking down of
+the vertebræ from caries, and the absorption of their bony
+structure.</p>
+
+<p>Generally the first point of invasion is the cartilaginous substances
+between the bodies of the vertebræ, beginning with inflammation, and
+finally resulting in ulceration and a breaking-down of the cartilages. It
+next invades the vertebræ themselves, and producing caries, or death
+and decay of the bony substance, which softens and wastes away, as shown in
+Fig. 1. The vertebræ become softened and broken down, and weight of
+the body pressing them together produces the deformity known as "humpback."
+(See Fig. 2 and Fig. 3.)</p>
+
+<p><b>Symptoms</b>. Among the various symptoms present in the earlier
+stages of the disease, and during its progress, we deem it necessary to
+mention only a few of the more prominent ones. While the patient is yet
+able to go around, the disease manifests itself by occasional pain in the
+bowels, stomach, and chest. Often there is a hacking cough, nervousness,
+lassitude, and a generally enfeebled condition of the whole system. The
+patient is easily fatigued; there is apparent loss of vitality, impaired
+appetite, a feeling of tightness across the stomach and chest, gradually
+declining health, and loss of flesh and strength, torpidity of the liver,
+deficient secretions, constipation, and morbid excretions from the kidneys.
+The victim, in passing chairs, tables, and other objects, instinctively
+places his hands upon them, and, as the disease progresses, when standing,
+leans upon some support whenever possible. In walking, he moves very
+carefully and cautiously, with elbows thrown back and chest forward, to
+assist the body in keeping its equilibrium. The body being kept in an <span
+class="pagenum"><a name="Page_899" id="Page_899"></a>[pg 899]</span>upright
+position, the patient bends the knees rather than the back in stooping, as
+illustrated in Fig. 5, and the body is frequently supported by the hands
+being placed upon the thighs or knees. Sudden movements or shocks cause
+more or less pain.</p>
+
+<p>The development of the disease then becomes rapid; suffering increases,
+and pain about the joints and lower extremities and muscles of the
+posterior part of the pelvis is experienced; numbness and coldness of the
+extremities are felt; locomotion becomes more difficult, and a slight
+projection is observed upon the back. Even in this somewhat advanced stage
+of the disease, when the symptoms are so apparent, many cases are
+shamefully neglected because an ignorant adviser says it is nothing serious
+and that the patient will outgrow it. The pain and tenderness not always
+being in the back, the inexperienced are very often misled as to the true
+character of the trouble. This distortion or deformity of the back now
+becomes painfully prominent; the diseased vertebræ quickly soften and
+waste away; the pressure upon the spinal cord increases, and paralysis of
+the limbs supervenes; the power of locomotion is lost, and, at last, the
+danger is realized and the struggle for life begins.</p>
+
+
+
+<p class="lfigure"><a name="advise684"><img width="90%" alt="Illustration:
+Fig. 2." src="images/advise684.png" /></a><br />Fig. 2.</p>
+
+
+
+<p class="rfigure"><a name="advise685"><img width="90%" alt="Illustration:
+Fig. 3." src="images/advise685.png" /></a><br />Fig. 3.</p>
+
+<p>Thus, through ignorance, neglect, and improper treatment, the poor,
+helpless victim is doomed to a life of hideous deformity and suffering. We
+would, therefore, urge upon parents whose children are afflicted with this
+terrible disease, the great importance of placing them under the care of
+surgeons who have for many years made the treatment of such cases a
+specialty, and who have every facility and all necessary surgical
+appliances for insuring success in every case undertaken.</p>
+
+
+
+<p class="lfigure"><a name="advise686"><img width="90%" alt="Illustration:
+Fig. 4. Appearance of a child suffering from Pott's disease of the spine."
+src="images/advise686.png" /></a><br />Fig. 4. Appearance of a child
+suffering from Pott's disease of the spine.</p>
+
+
+
+<p class="figure"><a name="advise687"><img width="40%" alt="Illustration:
+Fig. 5. Mode of stooping adopted by a child suffering from spinal disease."
+src="images/advise687.png" /></a><br />Fig. 5. Mode of stooping adopted by
+a child suffering from spinal disease.</p>
+
+<p><b>Treatment</b>. The great essentials for the successful treatment of
+disease and deformities of the spine are first, a thorough knowledge of the
+structure and parts involved by the disease; secondly, the <span
+class="pagenum"><a name="Page_900" id="Page_900"></a>[pg
+900]</span>adjustment of mechanical appliances perfectly adapted to the
+requirements and necessities of each individual case, and the proper use of
+our system of "vitalization," applied to the spinal muscles to strengthen
+the weaker and relieve the undue contraction of the stronger. For many
+years our specialists have experimented, and have given the various
+appliances in common use in these cases most thorough and practical tests,
+and have found them very defective, being generally constructed upon wrong
+principles. The physician who sends to a mechanic for an appliance, such as
+are now made in the shops of most instrument makers, and uses the same, is
+doing himself an injustice, and barbarously torturing his patient by
+forcing him to wear an apparatus which is heavy, clumsy, and inevitably
+injurious, instead of being beneficial in its results. In the treatment of
+diseases and deformities of the spine, there should be no compromising; the
+appliance that fails to give complete support should not be worn. In our
+treatment of these maladies we employ only appliances which are constructed
+<span class="pagenum"><a name="Page_901" id="Page_901"></a>[pg
+901]</span>under the personal supervision of our specialists, upon
+principles dictated by common sense and the actual necessities of the case.
+We do not confine the body in an iron jacket. Our apparatus is light, yet
+durable, and is worn by the most delicate children without pain or
+inconvenience. It gives proper support to all parts, and is so nicely
+adjusted as to produce pressure only upon those points which should receive
+support, leaving the muscles of the spine freedom of action, thereby
+assisting in their development. In many hundreds of cases treated by our
+specialists, the disease has been entirely cured and the deformity removed.
+After seeing the patients and adjusting the appliances, they can generally
+be treated at their homes.</p>
+
+
+<h2>LATERAL CURVATURE OF THE SPINE.</h2>
+
+<h3>(CROOKED BACK.)</h3>
+
+
+
+
+<p class="lfigure"><a name="advise688"><img width="90%" alt="Illustration:
+Fig. 6. Lateral curvature of the spine. E to F, the primary curve."
+src="images/advise688.png" /></a><br />Fig. 6. Lateral curvature of the
+spine. E to F, the primary curve.</p>
+
+
+
+<p class="figure"><a name="advise689"><img width="40%" alt="Illustration:
+Fig. 7. A mild case of lateral curvature of the spine."
+src="images/advise689.png" /></a><br />Fig. 7. A mild case of lateral
+curvature of the spine.</p>
+
+<p>This deformity appears more frequently in anæmic persons, in whom
+the flexibility and elasticity of the muscles are weakened, than in those
+of a plethoric habit. It is generally contracted during youth, between the
+ages of twelve and eighteen. Persons of sedentary and indolent habits are
+especially liable to this deformity, hence, girls are most frequently its
+victims. It is never seen among the natives of tropical countries who
+habitually live in the open air, and seldom among the <span
+class="pagenum"><a name="Page_902" id="Page_902"></a>[pg
+902]</span>barbarous races of northern latitudes. A distinguishing feature
+of the American Indian is his erect carriage. The <i>primary</i> curvature
+is generally toward the right side, as represented in Figs. 6 and 7. Figs.
+8 and 9 show the disease in a more advanced stage. The ribs are thus forced
+into an unnatural position, and the vital organs contained in the cavity of
+the chest are compressed or displaced, thus distorting the form of the
+whole upper portion of the body.</p>
+
+
+
+<p class="lfigure"><a name="advise690"><img width="90%" alt="Illustration:
+Fig. 8. Lateral curvature in an advanced stage. "
+src="images/advise690.png" /></a><br />Fig. 8. Lateral curvature in an
+advanced stage. </p>
+
+
+
+<p class="rfigure"><a name="advise691"><img width="90%" alt="Illustration:
+Fig. 9. Lateral curvature in an advanced stage. "
+src="images/advise691.png" /></a><br />Fig. 9. Lateral curvature in an
+advanced stage. </p>
+
+<p><b>Symptoms</b>. The first indication of lateral curvature of the spine
+is a marked projection of the right scapula, or shoulder-blade. It is
+sometimes first observed by the dressmaker, or, accidentally, while
+bathing. The right shoulder is slightly elevated, while the left hip is
+depressed and projects upward. If not corrected while in its earlier
+stages, it progresses very rapidly, and a second curvature is developed.
+The symptoms vary in different cases, and in the early stages are somewhat
+obscure and undefined, but generally the patient feels a sense of
+uneasiness, languor, stupor, and nervousness, loss of energy and ambition,
+general debility, poor appetite, gradually declining health, loss of
+strength and flesh, and, as the disease progresses, a slight elevation of
+one of the shoulder-blades is noticed, as well as the deviation of the
+spine to one side. The curve, or distortion, of the spine increases more
+rapidly as the body becomes heavier, the spine often assuming the shape of
+the letter S, and, from compression by torsion of the vertebræ and
+distortion of the ribs, the vital organs are <span class="pagenum"><a
+name="Page_903" id="Page_903"></a>[pg 903]</span>encroached upon, causing
+serious functional derangement of the heart, lungs, liver, and stomach,
+producing, as its inevitable consequence a list of maladies fearful to
+contemplate.</p>
+
+<p><b>Causes</b>. In rare instances, the lateral curvature of the spine is
+due to defects of certain bones of the pelvis or limbs. Cases are recorded
+in which this deformity was caused by diseases of the abdominal organs,
+but, as we have intimated, it is generally due to a lack of tonicity of the
+muscles, or, as a late writer has expressed it, "Want of correspondence in
+the antagonism of those muscles which control the motions of the spinal
+column." Habitual sitting or standing in a leaning posture, or standing
+upon one foot, thus constantly using one set of the muscles of the back,
+while the other becomes enfeebled by the lack of exercise, is a common
+cause of this deformity. The habit which so many school-girls contract of
+drawing up one foot under the body while sitting, often produces a lateral
+curvature of the spine.</p>
+
+<p><b>Treatment</b>. No disease or deformity of the spine is so easily
+cured and perfectly corrected, if the proper plan of treatment is pursued.
+To correct this deformity, many ingenious forms of apparatus have been
+devised and invented by our specialists, which should be carefully adjusted
+to each individual case. In addition to this, our method of treatment by
+"vitalization," and by mechanical movements and manipulations, is almost
+indispensable in these cases. It never fails to give relief, and, if
+properly pursued, invariably results in a permanent cure.</p>
+
+
+<h3>DEFORMED FEET, HANDS AND LIMBS.</h3>
+
+
+<p>There are thousands whose feet, hands, and limbs are almost entirely
+useless, besides having an unsightly appearance. Their condition has been
+helpless so long, their treatment so varied, and their hopes of relief or
+cure have been so often disappointed, that few can believe the truth of our
+statement, when we positively assert that we can correct and cure nearly
+all cases of talipes, club, or crooked feet and deformed hands, and make
+them as perfect in appearance, and as useful in action, as feet and hands
+which have never been deformed. While this may seem miraculous, or even
+impossible, to those who are unacquainted with the wonderful improvements
+and rapid progress made in this department of surgical science, it is
+attested and verified by living witnesses whose feet and hands were once
+deformed and useless, but which have been made perfect by our new and
+improved method of treatment. We do not make these statements in a spirit
+of vain boastfulness, but having devoted many years to improving and
+perfecting surgical appliances and apparatus, and having had practical
+experience in the successful treatment of thousands of cases, we do say
+that our manner of treatment is original and employed only by us. We
+entirely ignore the ineffectual methods usually employed in such cases. Our
+treatment causes no pain, and little inconvenience, yet the <span
+class="pagenum"><a name="Page_904" id="Page_904"></a>[pg
+904]</span>curative results are speedy and certain, and a hundredfold more
+satisfactory than those obtained by any other course.</p>
+
+
+
+<p class="lfigure"><a name="advise692"><img width="90%" alt="Illustration:
+Fig. 10. Talipes Equinus." src="images/advise692.png" /></a><br />Fig. 10.
+Talipes Equinus.</p>
+
+
+
+<p class="rfigure"><a name="advise693"><img width="90%" alt="Illustration:
+Fig. 11. Talipes Calcaneus." src="images/advise693.png" /></a><br />Fig.
+11. Talipes Calcaneus.</p>
+
+<p>We have most thoroughly tested all the best forms of treatment
+heretofore devised and employed in this class of diseases, and have adopted
+the best features of all the various methods heretofore pursued. We have
+combined these with our own improvements and, as the result, we have
+perfected a thorough and efficient system of treatment, based upon
+scientific principles.</p>
+
+
+
+<p class="lfigure"><a name="advise694"><img width="90%" alt="Illustration:
+Fig. 12. Talipes Valgus." src="images/advise694.png" /></a><br />Fig. 12.
+Talipes Valgus.</p>
+
+
+
+<p class="rfigure"><a name="advise695"><img width="90%" alt="Illustration:
+Fig. 13. Double Club-foot." src="images/advise695.png" /></a><br />Fig. 13.
+Double Club-foot.</p>
+
+<p><span class="pagenum"><a name="Page_905" id="Page_905"></a>[pg 905]</span></p>
+
+
+
+<p class="lfigure"><a name="advise696"><img width="90%" alt="Illustration:
+Fig. 14. Bow-legs." src="images/advise696.png" /></a><br />Fig. 14.
+Bow-legs.</p>
+
+
+
+<p class="rfigure"><a name="advise697"><img width="90%" alt="Illustration:
+Fig. 15. Knock-knees." src="images/advise697.png" /></a><br />Fig. 15.
+Knock-knees.</p>
+
+
+
+<p class="lfigure"><a name="advise698"><img width="90%" alt="Illustration:
+Fig. 16." src="images/advise698.png" /></a><br />Fig. 16.</p>
+
+
+
+<p class="lfigure"><a name="advise699"><img width="90%" alt="Illustration:
+Fig. 17." src="images/advise699.png" /></a><br />Fig. 17.</p>
+
+
+
+<p class="rfigure"><a name="advise700"><img width="90%" alt="Illustration:
+Fig. 18." src="images/advise700.png" /></a><br />Fig. 18.</p>
+
+
+
+<p class="rfigure"><a name="advise701"><img width="90%" alt="Illustration:
+Fig. 19." src="images/advise701.png" /></a><br />Fig. 19.</p>
+
+
+
+<p class="rfigure"><a name="advise701b"><img width="90%" alt="Illustration:
+Fig. 20." src="images/advise701b.png" /></a><br />Fig. 20.</p>
+
+
+
+<p class="rfigure"><a name="advise701c"><img width="90%" alt="Illustration:
+Fig. 21." src="images/advise701c.png" /></a><br />Fig. 21.</p>
+
+
+
+<p class="lfigure"><a name="advise702"><img width="90%" alt="Illustration:
+Fig. 22. The above illustrations represent various Deformities cured by our
+Specialists at the Invalids' Hotel and Surgical Institute."
+src="images/advise702.png" /></a><br />Fig. 22. The above illustrations
+represent various Deformities cured by our Specialists at the Invalids'
+Hotel and Surgical Institute.</p>
+
+<p><span class="pagenum"><a name="Page_906" id="Page_906"></a>[pg
+906]</span></p><hr />
+
+<h2>MECHANICAL AIDS</h2>
+
+<h3>IN THE TREATMENTS OF</h3>
+
+<h1>CHRONIC DISEASES.</h1>
+
+
+<p>We have, in different parts of this work, referred to a large variety of
+ingeniously devised machinery and apparatus employed at the Invalids' Hotel
+and Surgical Institute, in the treatment of chronic diseases. Although we
+can, on paper, give but a meagre idea of the variety and adaptability of
+these valuable mechanical appliances, yet we will endeavor to illustrate
+and explain a few of our machines for the application of transmitted
+motion.</p>
+
+
+
+<p class="figure"><a name="advise703"><img width="40%" alt="Illustration:
+Fig. 1. The Manipulator. " src="images/advise703.png" /></a><br />Fig. 1.
+The Manipulator. </p>
+
+<p>Fig. 1 represents a machine, called the Manipulator, which transmits
+motion through suitable attachments, which are adjustable by means of the
+ratchet <i>G</i>, so as to reach all parts of the body. It is equally
+available for applying motion to the head, feet, or any intermediate part
+of the body.</p>
+
+<p><span class="pagenum"><a name="Page_907" id="Page_907"></a>[pg
+907]</span><i>B, B</i> are rubbing attachments, with two opposing elastic,
+adherent surfaces, between which an arm or a leg may be included. These
+have alternate reciprocating action from the rock-shaft <i>H</i>, and are
+made to approach each other, and press the included part at the will of the
+patient. This is sometimes called the double-rubber, and is made detachable
+if desired.</p>
+
+<p><i>A</i> is the lever, by which the two parts of the double-rubber are
+made to compress the arm or leg.</p>
+
+
+
+<p class="lfigure"><a name="advise704"><img width="90%" alt="Illustration:
+Fig. 2. Manipulator Extended." src="images/advise704.png" /></a><br />Fig.
+2. Manipulator Extended.</p>
+
+
+
+<p class="figure"><a name="advise705"><img width="40%" alt="Illustration:
+Fig. 3. Manipulator Folded." src="images/advise705.png" /></a><br />Fig. 3.
+Manipulator Folded.</p>
+
+<p><i>D</i> is a single attachment for rubbing. It may be connected at
+either side of the machine, so as to present the rubbing surface in four
+different directions, as may be most convenient. It will act
+perpendicularly, horizontally, or diagonally, and from below or from above
+the part receiving the action, according to requirements. The shank of the
+rubber may have any special form to suit special cases.</p>
+
+<p><i>C</i> is the <i>foot holder.</i> It communicates to the leg the
+semi-rotary or oscillating motion of the rock-shaft. It may be attached to
+either end of the rock-shaft.</p>
+
+<p><i>E</i> is the <i>hand holder,</i> which, grasped by the hand,
+communicates motion to the arm, shoulder, and chest; or the hand <span
+class="pagenum"><a name="Page_908" id="Page_908"></a>[pg 908]</span>may be
+inserted passively, when the effect of motion is more confined to the hand
+and fore-arm.</p>
+
+<p>In the position shown in Fig. 2, by means of the single rubber
+attachment, the manipulator acts upon the upper portion of the trunk, neck,
+head, and arms; by means of the hand-holder, upon the arms; by means of the
+double-rubber, upon the arms, shoulders, and scalp.</p>
+
+
+
+<p class="lfigure"><a name="advise706"><img width="90%" alt="Illustration:
+Fig. 4. Rubbing the Arms." src="images/advise706.png" /></a><br />Fig. 4.
+Rubbing the Arms.</p>
+
+<p>When the acting part or head is lowered to its extreme limit, the
+machine occupies the least space. In this position, by means of the
+foot-holder it communicates oscillation to the legs; by means of the
+single-rubber, it acts upon the feet, ankles, and lower leg; by means of
+the double-rubber, it acts upon the legs, including the feet, the patient
+either sitting or lying.</p>
+
+<p>In all of these applications of motion, energy travels from inanimate to
+animate matter; non-vital contributes to vital energy: and the various
+processes through which vital power is developed are promoted and carried
+forward in a degree till the point which constitutes health is
+attained.</p>
+
+
+
+<p class="rfigure"><a name="advise707"><img width="90%" alt="Illustration:
+Fig. 5. Rubbing the Legs." src="images/advise707.png" /></a><br />Fig. 5.
+Rubbing the Legs.</p>
+
+<p>The name, <i>Manipulator</i>, is very naturally applied to the
+instrument, the action of which resembles so much that of the living
+operator. It is, however, impossible for the unaided hand to impart the
+degree of rapidity necessary to secure the effects easily attained by this
+machine; and, <span class="pagenum"><a name="Page_909"
+id="Page_909"></a>[pg 909]</span>practically, restoration is often secured
+in cases in which it is quite unattainable by any other remedial agent.</p>
+
+
+
+<p class="lfigure"><a name="advise708"><img width="90%" alt="Illustration:
+Fig. 6. Rubbing the Chest and Abdomen." src="images/advise708.png"
+/></a><br />Fig. 6. Rubbing the Chest and Abdomen.</p>
+
+<p>Motion, transmitted by the manipulator, exerts a curative effect in
+<i>all</i> chronic affections, and is not limited, as is sometimes
+supposed, to paralytic affections and deformities. In these latter
+affections it is a great assistance in effecting a cure; while, in chronic
+affections, whatever the local symptoms, it supplies the additional energy
+which is indispensable for recovery in all diseases of long standing.</p>
+
+
+
+<p class="rfigure"><a name="advise709"><img width="90%" alt="Illustration:
+Fig. 7. Rubbing the Back." src="images/advise709.png" /></a><br />Fig. 7.
+Rubbing the Back.</p>
+
+<p><i>Mode of Operation</i>.&mdash;Fig. 4 represents the manipulator in
+operation. The machine is propelled by steam power at the Invalids' Hotel
+and Surgical Institute, but may be worked by hand, as here represented. One
+arm is inserted between the double-rubbing pads, which are raised to about
+the height of the shoulders, the patient being seated at the side of the
+machine; the other hand is placed on the lever, and as much pressure is
+applied as is perfectly agreeable, care being taken to diminish the
+pressure at any part which is unusually sensitive. All portions of the arm
+from the shoulder down are successively included in the rubbers, while a
+suitable degree of reciprocating or rubbing action is obtained by giving
+motion to the wheel.</p>
+
+<p>To apply the same operation to the other arm, the patient <span
+class="pagenum"><a name="Page_910" id="Page_910"></a>[pg 910]</span>may
+either turn in his seat or change his position to the opposite side of the
+machine.</p>
+
+<p>If any portion of the extremity is affected with inflammation or
+swelling, it is necessary to apply the action described to the whole of the
+unaffected portion first; after this the affected part may be beneficially
+operated on, provided that the sensations are strictly heeded, and that it
+is so managed that only a comfortable feeling is produced.</p>
+
+
+
+<p class="lfigure"><a name="advise710"><img width="90%" alt="Illustration:
+Fig. 8. Oscillating the Arms and Chest." src="images/advise710.png"
+/></a><br />Fig. 8. Oscillating the Arms and Chest.</p>
+
+<p>In Fig. 5, the patient is so seated beside the machine that he can
+insert one thigh between the pads of the rubber, and also control the lever
+with the hand. It is sometimes more convenient to suspend a movable weight
+from the lever. While the machine is running, he can withdraw the leg
+gradually, as each portion receives its proper amount of action, till the
+whole, including the foot, becomes glowing with the effect. The boot or
+shoe affords no impediment to the effect, and should remain on.</p>
+
+
+
+<p class="rfigure"><a name="advise711"><img width="90%" alt="Illustration:
+Fig. 9. Oscillating the Legs." src="images/advise711.png" /></a><br />Fig.
+9. Oscillating the Legs.</p>
+
+<p>Sometimes, especially in the beginning, or when the feet are habitually
+cold, it is better to apply the action only from the knees down.</p>
+
+<p>The rubbing-pad (d) may be attached to either side of the <span
+class="pagenum"><a name="Page_911" id="Page_911"></a>[pg
+911]</span>machine, according to convenience or effect sought. The action
+derived from the right end of the rock-shaft is much less severe than that
+from the left, on account of the shape of the rubber appendage, and at the
+beginning should be used in preference. In Fig. 6, the patient sits on an
+ordinary stool, or, if feeble, in a chair, and presents any portion of the
+chest or abdomen to the action of the rubber. The instrument is raised or
+lowered to suit convenience, while the patient gently presses portions of
+the trunk successively upon the rubbing-pad. The degree of the effect is
+thus always under the absolute control of the one receiving the action.
+This operation, like the preceding, produces great heat, reddens the skin,
+relieves pain, and greatly stimulates the functions, not only of the skin,
+but of the organs contained in the cavities of the chest and the
+abdomen.</p>
+
+
+
+<p class="figure"><a name="advise712"><img width="40%" alt="Illustration:
+Fig. 10. Vibrator operated by Manipulator." src="images/advise712.png"
+/></a><br />Fig. 10. Vibrator operated by Manipulator.</p>
+
+<p>The same operation may be applied also to the legs while the patient is
+standing.</p>
+
+<p>In Fig. 7, the back is presented to the action of the rubbing-pad. The
+action will, if desired, be made to reach from the neck to the hips, and
+even to the thighs. All sensitive portions of the back should at first be
+omitted, in order that they may be benefited by the counter-irritation or
+drawing away of the blood. This is easily produced by those familiar with
+the use of the machine. The rubbing of the back should be deferred till the
+close of each application, in order that the spinal centers may be relieved
+of hyperæmia, or excess of blood.</p>
+
+<p><span class="pagenum"><a name="Page_912" id="Page_912"></a>[pg
+912]</span>The machine, as represented by Fig. 8, is brought to the desired
+elevation, about as high as the shoulders, and the hand-holder is attached.
+One arm is extended horizontally, and the hand grasps the hand-holder,
+while rapid motion is given by turning the wheel. An alternate twisting
+motion is communicated to the arm, which causes corresponding pressure and
+relaxation of all the soft tissues of the limb, combined with slight
+rubbing or attrition. The action is increased by contracting the muscles,
+and also by grasping at greater distance from the center. Both hands may
+grasp at the same time, or the two sides may receive the motion in turn.
+The effect is similar to that of the rubbing before described, but it is
+less limited; by grasping firmly, it may extend to the whole chest.</p>
+
+
+
+<p class="figure"><a name="advise713"><img width="40%" alt="Illustration:
+Fig. 11. Vibrating Kneader." src="images/advise713.png" /></a><br />Fig.
+11. Vibrating Kneader.</p>
+
+<p>The foot-holder is attached, as shown in Fig. 9, and brought by the
+means before described to a position to receive one foot at a comfortable
+elevation, the leg being extended, while the patient is seated in an
+ordinary chair in an easy position. The action is precisely like that above
+described as applied to the arm, and extends to the thigh and pelvis. If
+the knee is slightly flexed, the action is almost entirely confined to the
+lower leg. Each leg may be operated on in turn.</p>
+
+<p><i>Mode of Applying Mechanical Movements to Very Feeble
+Invalids</i>.&mdash;Experience demonstrates that no degree of feebleness
+excludes the beneficial use of these operations. Invalids <span
+class="pagenum"><a name="Page_913" id="Page_913"></a>[pg 913]</span>too
+weak to stand, or able to help themselves in the least degree are often
+treated with perfect success. A judicious use of the Manipulator
+<i>always</i> increases nutrition and strength without any fatigue or
+exhaustion, however feeble the patient may be. It is only necessary to
+provide for these cases additional conveniences, so that the applications
+can be made in the recumbent position, and also that proper intervals of
+rest be allowed between successive operations. For this purpose couches are
+provided, each containing a certain portion of the Manipulator. These are
+operated by means of a short connecting-rod, joining the rock-shafts of the
+two pieces of mechanism, as shown in Fig. 10. The Vibrator has two small
+discs, or heads acting through an opening in the couch on which the invalid
+rests. These impinge with a rapid, direct stroke upon the portion of the
+body exposed to the action. The top of the couch is adjustable, and is
+quickly placed at the elevation which secures the proper force of the
+instrument, as shown in Fig 11. By simply turning and moving the body, the
+patient brings any part in contact with the vibrating discs. The cut
+represents the Vibrator, in which the force impinges at right angles with
+the surface of the body, sending waves of motion through its substance.</p>
+
+
+
+<p class="figure"><a name="advise714"><img width="40%" alt="Illustration:
+Fig. 12. Apparatus for the Rubbing in a Recumbent Position."
+src="images/advise714.png" /></a><br />Fig. 12. Apparatus for the Rubbing
+in a Recumbent Position.</p>
+
+<p>The rubbing which is shown in Figs. 4 and 5 may be applied to all parts
+of the body in a recumbent position. A couch is required of similar
+construction to the vibrating couch, but with a rubbing-pad instead of
+vibrating heads acting through the <span class="pagenum"><a name="Page_914"
+id="Page_914"></a>[pg 914]</span>opening and operated by appropriate
+connections, as shown in Fig. 12. The top is adjustable, and the degree of
+effect desired is capable of easy regulation. The patient turns different
+portions of the body to the action of the rubber as required.</p>
+
+<p><b>Kneading</b>. Kneading is a process applied chiefly to the abdomen.
+The purpose of this operation is to increase nutrition, the muscular power
+and action of the abdominal walls, and the function of the organs which
+they contain. Three modes of applying this operation by the mechanical
+apparatus are in use, effected by the Direct, the Rotary, and the Revolving
+Kneader.</p>
+
+
+
+<p class="figure"><a name="advise715"><img width="40%" alt="Illustration:
+Fig. 13. Apparatus for Rotary Kneading." src="images/advise715.png"
+/></a><br />Fig. 13. Apparatus for Rotary Kneading.</p>
+
+<p><b>The Direct Kneader</b>. This resembles in form and action the
+vibrating instrument shown in Fig. 11. The impinging heads, however, are
+made broader, the motion greater in extent, and the rate of motion less
+than one-tenth of that employed for the purpose of vibrating. This slowness
+of motion seems to increase the action of the muscles.</p>
+
+<p><b>The Rotary Kneader</b>. The action of the kneading heads in this form
+of apparatus, as shown in Fig. 13, is <i>inward</i> and <i>upward</i>
+alternately, and it is eminently well calculated to stimulate the action of
+the abdominal organs.</p>
+
+<p><b>The Revolving Kneader</b>. In the form of kneading apparatus, shown
+in Fig. 14, two thick rollers, which move freely on axes at the extremities
+of arms, projecting on either <span class="pagenum"><a name="Page_915"
+id="Page_915"></a>[pg 915]</span>side of a shaft turned by a crank or belt,
+are made to act alternately upon each side of the abdomen.</p>
+
+<p>In the methods of kneading above described, the degree of force acting
+on the body is governed by an arrangement for elevating or depressing the
+upholstered top of the couch upon which the patient rests, and through
+which the action is transmitted to the body.</p>
+
+<p>If this form of apparatus is driven at a rate ten times more rapidly
+than is desired for kneading, the effect is vibratory, and it is, in fact,
+used for that purpose.</p>
+
+
+
+<p class="figure"><a name="advise716"><img width="40%" alt="Illustration:
+Fig. 14. Apparatus for Kneading with Rollers." src="images/advise716.png"
+/></a><br />Fig. 14. Apparatus for Kneading with Rollers.</p>
+
+
+<h3>THE CURE OF SWELLINGS AND TUMORS.</h3>
+
+
+<p>The application of motion through the Manipulator promotes absorption,
+and thus all kinds of <i>swellings</i> and non-malignant <i>tumors</i> are
+made to diminish under its use. In these cases the vessels of the affected
+part are distended with stagnant blood, and a portion of the fluid passes
+through their walls, distending the surrounding tissues, which become more
+or less hardened. By the transmission of active motion to the affected
+parts, the contents of the vessels are urged forward; the outside fluids
+are thus permitted to return to the general circulation and become subject
+to the energetic vital action of the general system, local deficiencies of
+oxidation being increased to the normal degree, causing destruction of
+morbid matter and giving place for new <span class="pagenum"><a
+name="Page_916" id="Page_916"></a>[pg 916]</span>and wholesome nutritive
+materials for vital use. In short, normal functional activity is
+established, both locally and generally. Scrofulous, dropsical, rheumatic,
+and other local accumulations disappear, and even tumors are dispersed, by
+the use of the Manipulator, in cases in which the knife would otherwise be
+required.</p>
+
+
+<h3>COUNTER-IRRITATION AND REVULSION.</h3>
+
+
+<p>Artificial means have always been employed to produce an energetic flow
+of blood in different parts of the body, thereby relieving morbid
+distention of the vessels, and consequent irritation and pain in
+neighboring parts. Cupping, hot applications, mustard, capsicum, blisters,
+and other irritants, are resorted to, but their effects, while generally
+very good in acute cases, are too transient to be of material aid in
+chronic affections. By the use of the Manipulator, we can produce the most
+thorough revulsive effects, operating upon large surfaces, and causing
+large masses of muscle to receive an increased amount of blood, thus
+drawing it away from parts oppressed by too great a supply, constituting
+engorgement. No injury is done to the parts acted upon; on the contrary,
+they are strengthened by the application, which can be repeated as often as
+necessary till relief is permanent. Thus, the head, heart, digestive
+organs, liver, chest, or whatever part is oppressed by excess of blood, may
+be speedily and permanently relieved. By means of this ability to relieve
+any part of the system from engorgement, and consequent inflammation and
+its results, are we enabled to permanently cure a large variety of chronic
+inflammatory, ulcerative, and nervous affections.</p>
+
+<p>Local inflammations by this method of treatment may be speedily
+cured.</p>
+
+
+<h3>CURE OF NEURALGIA.</h3>
+
+
+<p>By the transmission of motion through the Manipulator and other
+ingeniously devised apparatus and machinery, we increase the functional
+power and activity of the muscles, and thereby diminish morbid sensibility
+of the nerves, which is present in neuralgia. Prolonged and excessive
+nervous action is attended with too great a rush of blood to the
+nerve-centers, which can <span class="pagenum"><a name="Page_917"
+id="Page_917"></a>[pg 917]</span>only be relieved by increasing the flow in
+the muscles. Congestion, or hyperæmia, in the spinal cord or brain, or
+both, is a condition ever present in neuralgia. The application of motion
+through the manipulator causes the blood to flow to the muscles, thus
+relieving nervous congestion and consequent neuralgia.</p>
+
+
+<h3>CURE OF PARALYSIS.</h3>
+
+
+<p>In no single disease has the transmission of motion through the
+Manipulator proved more thoroughly efficacious than in <i>paralysis</i>.
+The most prominent requirements in these cases seem to be the
+following:</p>
+
+<p>Excess of blood in the brain and spinal cord needs to be removed and
+diverted to parts in which it will be useful instead of obstructive.</p>
+
+<p>The contractile power of the capillaries should be improved.</p>
+
+<p>The quality of nutritive fluids should be improved by the promotion of
+oxidation through increased circulation.</p>
+
+<p>These and many more wants of disordered nerves, are readily supplied by
+transmitted motion.</p>
+
+<p>The Manipulator combines, in a single ingenious mechanical contrivance,
+the several movements best adapted for the promotion of healthy functional
+activity.</p>
+
+
+<h3>CURE OF DEFORMITIES.</h3>
+
+
+<p>"Deformities arising from <i>paralysis and contractions of muscles and
+tendons</i>, producing stiffened joints and distorted limbs, are of common
+occurrence. A rational explanation of the wonderful curative results which
+follow the employment of transmitted motion in these cases may not be
+without interest to the reader. The muscles are composed of <i>bundles</i>
+of little fibers which glide upon one another in every movement. Another
+set of fibers called <i>connective tissue</i>, holds the fibers together in
+bundles or separate muscles, and interlaces and crosses them in every
+direction. Now, if these fibers remain long in a fixed position, or are
+involved in inflammation, there is danger of adhesions forming between
+them, producing permanent immobility; gliding movements are interfered
+with, and the muscle ceases to perform its function. Inflammation <span
+class="pagenum"><a name="Page_918" id="Page_918"></a>[pg 918]</span>gives
+rise to effusion, or the formation of a kind of cement which binds together
+the muscular fibers and prevents motion.</p>
+
+<p>Rubbing, kneading, and actively manipulating the affected parts with
+that intensity of administration secured by the manipulator, rends asunder
+and breaks up these minute adhesions, re-establishing gliding motions,
+causes absorption of effused materials, and restores the affected part to a
+normal condition.</p>
+
+
+
+<p class="figure"><a name="advise717"><img width="40%" alt="Illustration:
+Fig. 15. Muscular fibre highly magnified." src="images/advise717.png"
+/></a><br />Fig. 15. Muscular fibre highly magnified.</p>
+
+<p>The deformed limb is straightened by the filling out of the
+muscle-cells, and increasing the length and also the nutrition of the
+affected muscles. No pulling or <i>forced extension</i> is required.
+Deformity ceases when the conditions upon which it depends are removed by
+rational appliances, which are always agreeable. No brace, splints, or
+other confining appliances are necessary, except in rare cases in which the
+bones are very badly distorted.</p>
+
+<p>In withered and deformed limbs, resulting from infantile paralysis, the
+manipulator furnishes the most agreeable, direct, and certain remedy. It
+restores nutrition, sensation, and power, and dispenses almost wholly with
+mechanical supports. Club-feet, wry neck, spinal curvature, hip-joint
+disease, white swellings, and stiffened joints, are all readily amendable
+to the curative effects of motion administered by the manipulator and other
+machinery.</p>
+
+<p>Contracted and shortened muscles are gradually lengthened by vigorous,
+long-continued, and frequently repeated rubbing with the manipulator across
+their longitudinal fibers; bound-down and confined tendons are liberated
+and normal movements established.</p>
+
+
+<h3>DISEASES OF WOMEN.</h3>
+
+
+<p>Uterine and ovarian congestion, chronic inflammation, discharges, morbid
+enlargement, prolapsus, anteversion and retroversion, anteflexion and
+retroflexion, and other derangements of the womb and its appendages, are
+radically cured by the vibratory, rubbing, kneading, and other movements,
+administered <span class="pagenum"><a name="Page_919" id="Page_919"></a>[pg
+919]</span>through the manipulator and other mechanical appliances employed
+at the Invalids' Hotel and Surgical Institute.</p>
+
+<p>To those who are tired of taking medicine, this mode of treatment
+commends itself as being both agreeable and efficient. There is no case too
+weak, nervous, or helpless for the use of this curative agent. It is
+entirely devoid of objectionable features, being <i>always applied outside
+the clothing</i>.</p>
+
+<p><b>Cause of Female Weakness</b>. The true relations of cause and effect
+are very liable to be misunderstood, when considering the various diseases
+incident to the organs contained in the female pelvis. Treatment intended
+to be remedial is therefore very often misdirected and fails to afford
+relief, positive injury frequently resulting instead. When the nature of
+these diseases is properly understood, their cure can be effected with
+comparative ease.</p>
+
+<p>These diseases are always attended with weakness, which is often very
+great, of the muscles that hold the diseased organs in position. The
+muscles forming the walls of the abdomen, and the diaphragm, or midriff,
+all of which are concerned in the act of respiration, become feeble and
+only partially perform their functions. In health, they act constantly,
+even during sleep, producing a rhythmical movement, which is communicated
+to the contents of the abdominal and pelvic cavities. This motion promotes
+a healthy circulation in the parts. In almost all affections of the pelvic
+organs, this normal condition is greatly diminished.</p>
+
+<p>Diminution of the motions of respiration is attended with an increase of
+the amount of the blood in the pelvic organs, constituting an engorgement
+of the parts, called congestion, or inflammation. This gives rise to
+enlargement of the womb, ulcerations, tumors, and a multitude of kindred
+secondary effects, usually considered as the primary disease and treated as
+such. The contents of the cavity of the trunk, weighing several pounds, are
+allowed to gravitate down and rest upon the contents of the pelvis, forcing
+the congested uterus and ovaries down out of their natural positions, and
+often bending or tipping the womb in various directions. A long list of
+symptoms follows as the natural consequence of these abnormal
+conditions.</p>
+
+<p><b>Rational Treatment</b>. Ovarian congestion and inflammation, <span
+class="pagenum"><a name="Page_920" id="Page_920"></a>[pg
+920]</span>inflammation of the uterus, ulceration of this organ, deranged
+menstruation, leucorrhea with the attendant pain, nervousness, and other
+derangements depending upon loss of supporting power in the abdominal
+muscles, all result from loss of the <i>natural</i> motions of respiration,
+and consequent deranged circulation. These several conditions can be cured
+by removing their cause. When the power of the parts involved in the
+weakness is restored, all these morbid conditions disappear. Judicious
+cultivation of power in the weakened supports is attended with certain
+curative results. This is best accomplished by mechanical motion, by which
+the normal circulation is restored, inflammations and congestions are
+subdued, displacements corrected, ulcers healed, and functional activity is
+re-established.</p>
+
+
+<h3>RECAPITULATION.</h3>
+
+
+<p>Motion properly transmitted to the human system by mechanical apparatus
+is transformed into other forms of force identical with vital energy, by
+which the ordinary processes of the system are greatly promoted.</p>
+
+<p>It increases animal heat and nervous and muscular power to the normal
+standard.</p>
+
+<p>It removes engorgement or local impediments to the circulation.</p>
+
+<p>The electrical induction produced renders it a most efficacious remedy
+for paralysis of all kinds.</p>
+
+<p>It removes interstitial fluids and causes rapid absorption and
+disappearance of solid and fluid accumulations.</p>
+
+<p>It is a powerful alterative, or blood-purifier, increasing oxidation and
+stimulating excretion.</p>
+
+<p>It diminishes chronic nervous irritability and promotes sleep.</p>
+
+<p>Deformities are easily cured without the cutting of tendons, or use of
+mechanical supports.</p>
+
+<p>It hardens the flesh by increasing muscular development and improves
+digestion and nutrition.</p>
+
+<p><span class="pagenum"><a name="Page_921" id="Page_921"></a>[pg
+921]</span></p><hr />
+
+
+
+
+<h1>World's Dispensary Medical Association</h1>
+
+<h3>Incorporated under Statute Enacted by the Legislature of New York.</h3>
+
+
+
+
+<p class="figure"><a name="advise718"><img width="40%" alt="Illustration: "
+src="images/advise718.png" /></a><br /></p>
+
+<p>Dr. R.V. PIERCE, having acquired a world-wide reputation in the treatment
+of Chronic Diseases, resulting in a professional business far exceeding his
+individual ability to conduct, some years ago induced several medical
+gentlemen of high professional standing to associate themselves with him,
+as the Faculty of the World's Dispensary and Surgical Institute, the
+Consulting Department of which has since been merged into the Invalids'
+Hotel. The organization is duly incorporated under a statute enacted by the
+Legislature of the State of New York, and under the name and style of the
+"WORLD'S DISPENSARY MEDICAL ASSOCIATION," of which Dr. PIERCE is President,
+and in the affairs of which he will, as heretofore, take an active and
+constant part.</p>
+
+<hr />
+
+<p>
+<b>EUROPEAN BRANCH, No. 3 New Oxford Street, LONDON, Eng.</b>
+</p>
+
+<hr />
+
+<h3>IMPORTANT ANNOUNCEMENT.</h3>
+
+<p>Dr. R.V.PIERCE, having in the Fall of 1880 resigned his seat in
+Congress, has since been able to devote his whole time and attention to the
+interests of the Association, and those consulting our Medical and Surgical
+Faculty have the full benefits of his council and professional services.
+That he should prefer to give up a high and honorable position in the
+councils of the nation, to serve the sick, is conclusive evidence of his
+devotion to their interests and of love for his profession.</p>
+
+<p><span class="pagenum"><a name="Page_922" id="Page_922"></a>[pg
+922]</span></p><hr />
+
+
+
+<p class="figure"><a name="advise719"><img width="40%" alt="Illustration:
+Invalids' Hotel and Surgical Institute, 663 Main Street, Buffalo, N.Y."
+src="images/advise719.png" /></a><br /> Invalids' Hotel and Surgical
+Institute, 663 Main Street, Buffalo, N.Y.</p>
+
+<p><span class="pagenum"><a name="Page_923" id="Page_923"></a>[pg 923]</span></p>
+
+<h1>INVALIDS' HOTEL</h1>
+
+<h2>A MODEL SANITARIUM AND SURGICAL INSTITUTE.</h2>
+
+<h2>NOT A HOSPITAL, BUT A PLEASANT REMEDIAL HOME,</h2>
+
+<h3>ORGANIZED WITH</h3>
+
+<h2>A FULL STAFF OF EIGHTEEN PHYSICIANS AND SURGEONS</h2>
+
+<h3>AND EXCLUSIVELY DEVOTED TO THE</h3>
+
+<h2>TREATMENT OF ALL CHRONIC DISEASES.</h2>
+
+
+<p>This imposing Establishment was designed and erected to accommodate the
+large number of invalids who visit Buffalo from every State and Territory,
+as well as from many foreign lands, that they may avail themselves of the
+professional services of the Staff of Skilled Specialists in Medicine and
+Surgery that compose the Faculty of this widely-celebrated institution.</p>
+
+
+<h3>DESTROYED BY FIRE</h3>
+
+
+<p>On the sixteenth of February 1881, the original Invalids' Hotel was
+totally destroyed by fire. Although occupied at the time by a large number
+of invalids, yet, through the extraordinary exertions of the Faculty and
+employees, all were safely removed from the building without injury to any
+one. The Board of Trustees took prompt steps to rebuild, for the
+accommodation of the many sufferers who apply, to avail themselves of the
+skill, facilities and advantages of treatment which such a perfectly
+equipped establishment affords. Profiting by the experience afforded by
+several years' occupancy of the original Invalids' Hotel building, which at
+the date of its erection was the largest and most complete establishment of
+its kind in the world, we believe we have, in the building of the elegant
+structure illustrated herein, made great improvements over the original
+Invalids' Hotel, for the accommodation of our patients. Although our new
+building has only been occupied about two years, yet almost immediately our
+business required the erection of a very large addition thereto, to
+accommodate our growing practice. This large <i>Annex</i>, which is about
+the size of the original <span class="pagenum"><a name="Page_924"
+id="Page_924"></a>[pg 924]</span>building, has ever since been kept well
+filled with patients, hailing from every State and Territory of the United
+States, Canada and occasionally from a foreign country,</p>
+
+<p>THE INVALIDS' HOTEL AND SURGICAL INSTITUTE IS PLEASANTLY SITUATED AT
+No. 663 MAIN STREET,</p>
+
+<p class="figure"><a name="advise720"><img width="40%" alt="Illustration:
+Grand Entrance." src="images/advise720.png" /></a><br />Grand Entrance.</p>
+
+<p>in the city of Buffalo, just above and outside the business and bustle
+of this Queen City of the Lakes. It is easily reached from the railroad
+depots by the Exchange and Main Street car lines (see map on last page of
+this book). It is a substantially built brick building, trimmed with
+sandstone, well lighted and provided with a patent hydraulic elevator, so
+that its upper stories are quite as desirable as any, being more <span
+class="pagenum"><a name="Page_925" id="Page_925"></a>[pg 925]</span>quiet
+than those lower down. It is well provided with fire escapes, and, in fact,
+nothing has been neglected that can add to the comfort and home-like
+make-up of this popular national resort for the invalid and afflicted.
+Great pains and expense have been assumed in providing perfect ventilation
+for every room and part of the building.</p>
+
+
+<p class="figure"><a name="advise721"><img width="40%" alt="Illustration:
+Ante-room.&mdash;Invalids' Hotel and Surgical Institute."
+src="images/advise721.png" /></a><br /> Ante-room.&mdash;Invalids' Hotel and
+Surgical Institute.</p>
+
+<p>The surroundings of the Hotel are very pleasant, it being located in the
+finest built part of the city, among the most elegant residences.</p>
+
+
+<h3>STAFF OF PHYSICIANS AND SURGEONS.</h3>
+
+
+<p>Only men who are, by thorough education and experience, especially
+fitted to fill their respective positions, have been chosen to serve as
+physicians and surgeons in this institution. After having spent a very
+large sum of money in erecting and furnishing this national resort for
+invalids with every requirement and facility for the successful treatment
+of all classes of chronic diseases, it is the determination of the Board of
+Directors that the Faculty of Physicians and Surgeons shall be superior in
+culture, experience and skill.</p>
+
+<p>We have not the space to speak, individually, of the eighteen
+professional gentlemen composing the Faculty, but will say that among them
+are those whose long connection with the World's Dispensary and Surgical
+Institute has given them great experience and rendered them <i>experts</i>
+in their specialties. Several of them had previously distinguished
+themselves in both private and hospital practice, had held important chairs
+as lecturers and teachers in Medical Colleges, and had filled <span
+class="pagenum"><a name="Page_926" id="Page_926"></a>[pg
+926]</span>responsible positions in military and civil hospitals; also in
+some of the most noted Asylums, Dispensaries, and Sanitary Institutions in
+the land.</p>
+
+<p>With such a staff of Physicians and Surgeons, efficient and trained
+nurses, and with all the most approved sanitary, medical and surgical
+appliances which study, experience, invention and the most liberal
+expenditure of money, can produce and bring together in one institution,
+the Invalids' Hotel and Surgical Institute affords the afflicted unusual
+opportunities for relief.</p>
+
+
+<h3>THE GRAND ENTRANCE.</h3>
+
+
+<p>The entrance to the Invalids' Hotel and Surgical Institute is covered by
+a lofty porch of beautiful design, the roof of which is supported upon
+heavy iron columns. Above the massive double doors, through which the
+visitor enters, are large, heavy panels of beautifully wrought stained
+glass, on which the words "Invalids' Hotel and Surgical Institute" stand
+out conspicuously.</p>
+
+
+
+<p class="figure"><a name="advise722"><img width="40%" alt="Illustration:
+Gentlemen's Reception-room, Invalids' Hotel and Surgical Institute."
+src="images/advise722.png" /></a><br /> Gentlemen's Reception-room,
+Invalids' Hotel and Surgical Institute.</p>
+
+
+<h3>FIRST FLOOR.</h3>
+
+
+<p>The first floor of the building is reached through a beautifully
+finished vestibule, by a short flight of broad, easy stairs, and once
+inside the visitor is struck by the beauty of design as well as by the
+home-like <span class="pagenum"><a name="Page_927" id="Page_927"></a>[pg
+927]</span>appearance of the surroundings. The wood-work is mainly of hard
+woods, oak and cherry predominating. In a large part of the house the
+floors are of oak, with a cherry border, neatly finished in oil and
+shellac, and covered with rich rugs and elegant carpets of the very best
+quality.</p>
+
+
+
+<p class="figure"><a name="advise723"><img width="40%" alt="Illustration:
+Ladies' Parlor.&mdash;Invalids' Hotel and Surgical Institute."
+src="images/advise723.png" /></a><br />Ladies' Parlor.&mdash;Invalids' Hotel and
+Surgical Institute.</p>
+
+<p>On the first floor is the gentlemen's reception-room, which is thronged
+with patients from early in the morning until late in the afternoon. It is
+entirely distinct from the large reception-room and parlors for lady
+patients, and the utmost privacy is secured throughout the whole
+arrangement of the Institution. On this floor are the suites of offices,
+parlors, and private consultation-rooms, some fifteen in all; also a well
+furnished reading-room and circulating library, for the use of the inmates
+of the Institution. On all sides are beautifully frescoed walls adorned
+with numerous choice engravings and other pictures. All the rooms
+throughout the house are furnished in the best of style, and in a manner to
+afford the utmost comfort and cheerfulness of surroundings <span
+class="pagenum"><a name="Page_928" id="Page_928"></a>[pg 928]</span>for the
+sick and afflicted who seek this remedial resort. The Turkish and other
+baths are elegantly fitted up on the first floor, opposite the
+reading-room.</p>
+
+
+<h3>THE UPPER FLOORS.</h3>
+
+
+<p>Above the first, or main floor, the building is divided into separate
+rooms and suites of rooms for the accommodation of patients. All are well
+lighted, have high ceilings, and are cheerful and well ventilated
+apartments. On the second floor is the large medical library and medical
+council-room, for the exclusive use of the Faculty, also the museum-room,
+which contains a large and valuable collection of anatomical and morbid
+specimens, many of them being obtained from cases treated in this
+Institution. On this floor are also suites of rooms, occupied by the Bureau
+of Medical Correspondence, wherein from ten to twelve physicians, each
+supplied with the improved graphophone, are constantly employed in
+attending to the vast correspondence received from invalids residing in all
+parts of the United States and Canada. Every important case receives the
+careful consideration of a council composed of from three to five of these
+expert specialists, before being finally passed upon and prescribed
+for.</p>
+
+
+
+<p class="figure"><a name="advise724"><img width="40%" alt="Illustration:
+Library and Reading-room&mdash;Invalids' Hotel and Surgical Institute."
+src="images/advise724.png" /></a><br />Library and Reading-room&mdash;Invalids'
+Hotel and Surgical Institute.</p>
+
+
+<p><span class="pagenum"><a name="Page_929" id="Page_929"></a>[pg
+929]</span></p><h3>ON THE THIRD FLOOR</h3>
+
+
+<p>are the large treatment-rooms, supplied with all the apparatus and
+appliances for the successful management of every chronic malady incident
+to humanity. Electrical apparatus of the latest and most approved kinds,
+some of it driven and operated by steam-power, dry cupping and
+equalizing-treatment apparatus, "vitalization" apparatus, numerous and most
+ingenious rubbing and manipulating apparatus and machinery, driven by
+steam-power, are among the almost innumerable curative agencies that are
+here brought into use as aids in the cure of human ailments. Our</p>
+
+<h3>ELECTRICAL OUTFIT</h3>
+
+
+
+<p class="figure"><a name="advise725"><img width="40%" alt="Illustration:
+President Pierce's Business Office" src="images/advise725.png" /></a><br
+/>President Pierce's Business Office&mdash;Invalids' Hotel and Surgical
+Institute.</p>
+
+<p>is the finest to be found in any sanitarium in the United States and, we
+believe, in the world. There are two forty-cell galvanic batteries with
+switch boards for controlling the voltage, or force, from the whole power
+to one-fortieth of this amount, at the will of the physician. Safe-guards
+in the shape of milli-ampere meters continually indicate to the operator
+the force of the current. There is a dynamo for charging the storage
+batteries, which may be used in a patient's room when this method is found
+more convenient or more comfortable for the invalid. There are <span
+class="pagenum"><a name="Page_930" id="Page_930"></a>[pg 930]</span>two
+static or Franklin machines. These are used when the milder current is
+desired, and for spraying, sparking, etc. One of the instruments is of high
+voltage and furnishes us with the X rays for examining the interior parts
+of the body. The largest treatment room also contains a powerful ozone
+generator, operated by a dynamo. This supplies the room with allotropic
+oxygen and is invaluable in treating diseases of the lungs and air
+passages. This supplies the patient with vitalized air, equal to the most
+salubrious atmosphere in any part of the globe.</p>
+
+<p>Beyond this and separated by a court, across which is an iron bridge,
+are the large dispensing-rooms, stocked with drugs and medical compounds of
+almost endless variety, and representing every branch of the <i>materia
+medica</i>. Here all medicines prescribed are most carefully and specially
+prepared for each individual case. Those to be sent away by mail or
+express, to patients being treated at a distance, are placed in trays, with
+full directions for use, and sent to another large room, where they are
+carefully packed, and shipped thence to their destination.</p>
+
+
+<h3>FOURTH FLOOR.</h3>
+
+
+<p>On the fourth floor are located the surgical operating-rooms and
+surgical ward. There are also a large number of nice, large, well furnished
+separate rooms on this floor, used principally for the accommodation of
+surgical cases. Strong, broad, iron staircases connect all the upper floors
+with the ground, so that in case of fire, patients need have no fear of
+being unable to get out safely. In fact, the building has been constructed
+so as to render the rapid spread of fire through it impossible, all the
+floors being laid on cement.</p>
+
+
+<h3>A STEAM PASSENGER ELEVATOR</h3>
+
+
+<p>is provided, so that the upper floors are quite as desirable as those
+lower down. The dining-rooms for gentlemen, as well as those for ladies,
+are located in the basement, which is reached either by stairways or by the
+elevator. The kitchen, store-rooms, chill-rooms, pantries, and all culinary
+arrangements are also in the basement.</p>
+
+
+<h3>FIRE-PROOF VAULTS.</h3>
+
+
+<p>Six large fire-proof vaults are provided in this building in which to
+preserve, secure from observation, as well as from fire, all records of
+cases examined and treated by the Faculty.</p>
+
+<p>Throughout all this vast building the visitor is struck with the
+wonderful order and system with which every detail is carried out.</p>
+
+
+<h3>THE BATH DEPARTMENT.</h3>
+
+
+
+
+<p class="figure"><a name="advise726"><img width="40%" alt="Illustration: A
+glimpse at the Turkish Bath Department." src="images/advise726.png"
+/></a><br />A glimpse at the Turkish Bath Department.</p>
+
+<p>The Invalids' Hotel and Surgical Institute, as hereinbefore indicated,
+is provided with Turkish, and other approved baths, with a <span
+class="pagenum"><a name="Page_931" id="Page_931"></a>[pg
+931]</span>treatment-room, fitted up with vacuum and movement-treatment
+apparatus of the most modern and approved style. These and much more
+ingeniously devised apparatus and appliances are brought into use in a
+great variety of chronic affections with marvelously successful results. A
+perfect system of physical training, especially adapted to the wants of the
+invalid and weak, and most skillfully conducted and applied, is not the
+least important among the many advantages that the chronic sufferers here
+find.</p>
+
+
+<h3>THE SURGICAL DEPARTMENT.</h3>
+
+
+<p>In the Surgical Department, every instrument and appliance approved by
+the modern operator is provided, and many and ingenious are the instruments
+and devices that the Faculty of this institution have invented and
+perfected to meet the wants of their numerous cases.</p>
+
+
+<h3>OUR REMEDIES.</h3>
+
+
+<p>In the prescribing of remedies for disease, the Staff resort to the
+whole broad field of <i>materia medica</i>, allowing themselves to be
+hampered by no school, <i>ism, pathy</i>, or sect. The medicines employed
+are all prepared by skilled chemists and pharmacists, and the greatest care
+is exercised to have them manufactured from the freshest and purest
+ingredients. Our Faculty probably employ a greater number and variety of
+extracts from native roots, barks and herbs in their practice than are used
+in any other invalids' resort in the land. All of the vegetable extracts
+employed in our practice are prepared in our own Laboratory.</p>
+
+
+<h3>REGULATION OF DIET.</h3>
+
+
+<p>The table is supplied with an abundance of wholesome and nutritious
+food, especially adapted and prepared to suit the invalid, it being varied
+to suit each particular case. The Faculty recognize the importance of
+proper food as one of the greatest factors in the treatment of chronic
+diseases. While properly regulating and restricting the food of the <span
+class="pagenum"><a name="Page_932" id="Page_932"></a>[pg 932]</span>invalid
+when necessary, they also recognize the fact that many are benefited by a
+liberal diet of the most substantial food, as steaks, eggs, oysters, milk,
+and other very nutritious articles of diet, which are always provided in
+abundance for those for whom they are suited.</p>
+
+
+
+<p class="figure"><a name="advise727"><img width="40%" alt="Illustration:
+View of Lake and Boat-house.&mdash;Buffalo Park." src="images/advise727.png"
+/></a><br />View of Lake and Boat-house.&mdash;Buffalo Park.</p>
+
+<p>From previous experience somewhere, some people get the impression that
+they are to be half starved at such an institution as this. If this is the
+case anywhere it is not so here, as any one who has ever resided at our
+sanitarium will attest.</p>
+
+
+<h3>TRAINED ATTENDANTS.</h3>
+
+
+<p>A sufficient number of trained and experienced nurses are employed, that
+those requiring attendance may have the very best of care.</p>
+
+
+<h3>GOOD ORDER.</h3>
+
+
+<p>The institution is conducted in an orderly manner, that the utmost quiet
+may be secured. The Faculty insist, upon the part of the invalid, while
+under treatment, on the observance of habits of regularity in eating,
+sleeping, bathing and exercise. Only by such observance of hygienic laws
+can they succeed in their course of remedial training, and make the
+treatment curative.</p>
+
+
+<h3>AMUSEMENTS.</h3>
+
+
+<p>While insisting upon strict observance of rules established for the good
+of the patient, they do not make their requirements so rigid as to
+interfere with the comfort and enjoyment of their patients, but, on the
+contrary, endeavor, in every manner possible, to provide innocent and
+entertaining amusements for all, recognizing the great importance of <span
+class="pagenum"><a name="Page_933" id="Page_933"></a>[pg
+933]</span>pleasant occupation of the mind, as an essential part of the
+treatment. Hence the introduction of music, amusing games, light reading,
+and kindred agencies for pleasant entertainment, is not neglected.</p>
+
+
+<h3>UNPARALLELED SUCCESS.</h3>
+
+
+
+
+<p class="figure"><a name="advise728"><img width="40%" alt="Illustration:
+One of the Private Consultation-rooms, Ladies' Department."
+src="images/advise728.png" /></a><br />One of the Private
+Consultation-rooms, Ladies' Department.</p>
+
+<p>The founder of this institution commenced, many years ago, with little
+capital, to build up a business in the treatment of chronic diseases and
+devoted himself diligently to that end. His reputation for skill in his
+chosen field of practice gradually extended until, to-day, his fame and
+that of the World's Dispensary and Invalids' Hotel and Surgical Institute,
+are simply world-wide. As the business increased those eminent for skill
+have been induced to join the Faculty, until eighteen professional
+gentlemen, each devoting his <span class="pagenum"><a name="Page_934"
+id="Page_934"></a>[pg 934]</span>attention to a special branch of practice,
+constitute the Medical and Surgical Staff.</p>
+
+
+
+<p class="figure"><a name="advise729"><img width="40%" alt="Illustration:
+Soldiers' Monument.&mdash;Lafayette Park, Buffalo." src="images/advise729.png"
+/></a><br />Soldiers' Monument.&mdash;Lafayette Park, Buffalo.</p>
+
+<p>One reason why we excel in the treatment of <i>chronic diseases</i> is
+the fact that we are supplied with all the modern improvements in the way
+of instruments, appliances and remedial agents used in the healing art, the
+expense of which deters the local physician in general practice from
+procuring, for the treatment of the limited number of cases that come
+within the circuit of his practice. The treatment of such cases requires
+special attention and special study to be successful.</p>
+
+
+<h3>A COMMON SENSE VIEW.</h3>
+
+
+<p>It is a well-known fact, that appeals to the judgment of every thinking
+person, that a physician who devotes his whole time to the study and
+investigation of a certain class of diseases, must become better qualified
+to treat them than he who attempts to treat every ill to which flesh is
+heir, without giving special attention to any particular class of diseases.
+Men, in all ages of the world, who have <i>made their marks</i>, or who
+have become famous, have devoted their lives to some special branch of
+science, art or literature.</p>
+
+
+<h3>LIBERALITY.</h3>
+
+
+<p>We wage no war against any physician, no matter what school of medicine
+he may represent; but, on the other hand, we invite the <span
+class="pagenum"><a name="Page_935" id="Page_935"></a>[pg
+935]</span>co-operation of all regular physicians. We are always ready and
+willing to impart to them any information or render any assistance that
+will be of mutual benefit to them and their patients.</p>
+
+
+<h3>OUR PHYSICIANS AND SURGEONS</h3>
+
+
+<p>do not travel to solicit practice, having all the business that they can
+attend to at our institution, nor do we employ any agents to travel and
+peddle or otherwise sell our medicines. If any one engaged in such
+business, represents himself as in any way connected with our institutions,
+he is a swindler and should be apprehended and prosecuted as such. And any
+one who will give us such information as will lead to the arrest and
+conviction of any person so misrepresenting will be liberally rewarded.</p>
+
+
+
+<p class="figure"><a name="advise730"><img width="40%" alt="Illustration:
+Undergoing Examination of the Lungs" src="images/advise730.png" /></a><br
+/>Undergoing Examination of the Lungs at the Invalids' Hotel and Surgical
+Institute.</p>
+
+<p>While not permitting any member of our professional staff to travel and
+solicit practice, yet we are always willing to accommodate and send a
+specialist to visit important or critical cases in consultation, or
+otherwise, or to perform important surgical operations as explained on <a
+href='#Page_971'>page 971</a> of this book.</p>
+
+<p>Let none deceive you by representing that they have heretofore <span
+class="pagenum"><a name="Page_936" id="Page_936"></a>[pg 936]</span>been
+connected with our institution and have thereby learned our original and
+improved methods of treatment. We have a large and competent Staff of
+Specialists and while we have sometimes found it necessary to make changes,
+yet we always manage to retain the most expert and skillful, as we cannot
+afford to part with the services of those who excel.</p>
+
+
+
+<p class="figure"><a name="advise731"><img width="40%" alt="Illustration:
+Chemists' Department." src="images/advise731.png" /></a><br />Chemists'
+Department.&mdash;Invalids' Hotel and Surgical Institute.</p>
+
+<p>By adopting similar names to those which have long designated our
+world-famed institutions, some have endeavored to deceive and mislead
+invalids who were seeking relief. Others have named so-called "Electric"
+Trusses, "Liver Pads," and other contrivances after our President, thereby
+expecting to reap benefits from Dr. Pierce's well-known professional
+standing. Neither the Doctor nor this Association have any interest in any
+such articles.</p>
+
+<p>NO BRANCHES.&mdash;Remember we have no branches except the one at No. 3 New
+Oxford Street, London, England.</p>
+
+<p>Those desiring to consult us by letter, should address all
+communications plainly to</p>
+
+<blockquote>
+<p>
+<b>World's Dispensary Medical Association,<br />
+<i>No. 663 MAIN STREET,</i><br />
+BUFFALO, N.Y.</b><br />
+</p>
+</blockquote>
+
+<p><span class="pagenum"><a name="Page_937" id="Page_937"></a>[pg
+937]</span></p><hr />
+
+
+
+
+<h1>WORLD'S DISPENSARY.</h1>
+
+
+<p>The immense building erected and occupied by the World's Dispensary
+Medical Association as a Laboratory, wherein are manufactured our Dr.
+Pierce's Standard Family Medicines, as well as all the various Tinctures,
+Fluid Extracts and other pharmaceutical preparations used by the Staff of
+Physicians and Surgeons of the Invalids' Hotel and Surgical Institute in
+their practice, is not inappropriately called the <i>World's
+Dispensary</i>, for within its walls is prepared a series of remedies of
+such exceeding merit that they have acquired world-wide fame, and are sold
+in vast quantities in nearly every civilized country.</p>
+
+
+
+<p class="figure"><a name="advise732"><img width="40%" alt="Illustration:
+World's Dispensary." src="images/advise732.png" /></a><br />World's
+Dispensary.&mdash;New Laboratory Building.</p>
+
+<p>The structure, located at 660 to 670 Washington Street, immediately in
+the rear of the Invalids' Hotel and Surgical Institute, is of brick, with
+sandstone trimmings, six stories high, and 100 feet square. Its most
+striking architectural features exteriorly are massiveness, combined with
+grace and beauty of outline, and great strength.</p>
+
+
+<h3>THE BASEMENT.</h3>
+
+
+<p>The basement or first story opens on a level with the Washington Street
+sidewalk, and is occupied by a plant of two large boilers, which supply the
+steam to run a huge American engine, of 100 horse-power, <span
+class="pagenum"><a name="Page_938" id="Page_938"></a>[pg 938]</span>built
+by the American Engine Co., Bound Brook, N.J. It drives all the machinery
+of the establishment, including drug mills, pill machines, packing
+machinery, a large number of printing presses, folding machines, stitching,
+trimming, and many other machines, located on the different floors, and
+used in the manufacture of medicines, books, pamphlets, circulars, posters,
+and other printed matter. On this floor is located steam bottle-washing
+machinery, and also the shipping department. Here may be seen huge piles of
+medicine, boxed, marked, and ready for shipment to all parts of the
+civilized world. A large steam freight elevator leads from this to the
+floors above.</p>
+
+
+<h3>MACHINERY.</h3>
+
+
+
+
+<p class="figure"><a name="advise733"><img width="40%" alt="Illustration:
+Postal, Advertising, Wrapping and Mailing Departments."
+src="images/advise733.png" /></a><br />Postal, Advertising, Wrapping and
+Mailing Departments.</p>
+
+<p>In addition to the power engine just mentioned is a 25 horse-power
+upright engine for running the dynamo for electric lighting, with a
+capacity of three hundred (300) lights. This engine and dynamo were also
+manufactured for us by the American Engine Company of Bound Brook, N.J.
+There is a small dynamo with a capacity of one hundred (100) lights used
+during the day to light safes, vaults, dark closets and hallways. All the
+offices and rooms of patients are supplied with electric light, as well as
+illuminating gas. An automatic Worthington <span class="pagenum"><a
+name="Page_939" id="Page_939"></a>[pg 939]</span>pump is also located in
+the basement. This supplies the elevator and sprinkling system. The
+sprinklers come into play only in case of fire, when they are self-acting.
+This pump at its best is capable of forcing nearly two hundred gallons of
+water a minute. There is no place in which pure water is more desirable
+than in the manufacture of medicines. Our New York filter could, if such a
+large quantity were ever required, furnish the Dispensary with one hundred
+(100) barrels of pure water a day. Just beyond the south wall and buried
+several feet under ground is a boiler-shaped tank capable of storing ten
+thousand (10,000) gallons of medicine.</p>
+
+
+<h3>MAIN FLOOR.</h3>
+
+
+<p>The main or second floor of the Dispensary is entered from Main Street,
+through a hall leading from the Invalids' Hotel and Surgical Institute. On
+this floor are located business offices, counting-room, the advertising
+department and mailing rooms. Large, fire-proof vaults are provided for the
+safe keeping of books, papers, and valuables, whilst the counting-room and
+offices are elegantly finished in hard woods, and present a beautiful and
+grand appearance.</p>
+
+
+<h3>THIRD FLOOR.</h3>
+
+
+<p>On this floor are the Association's extensive printing and binding
+works. Fourteen large presses, driven by power, with numerous folding
+machines, trimming, cutting, and stitching machinery, are constantly
+running in this department. Here is printed and bound Dr. Pierce's popular
+work of over a thousand pages, denominated "The People's Common Sense
+Medical Adviser," over 1,200,000 copies of which have been sold. Millions
+of pocket memorandum books, pamphlets, circulars and cards are also issued
+from this department and scattered broadcast to every quarter of the
+globe.</p>
+
+
+<h3>FOURTH FLOOR.</h3>
+
+
+<p>Large mills for crushing, grinding and pulverizing roots, barks, herbs,
+and other drugs occupy a considerable part of this floor. Extensive
+drying-rooms, in which articles to be ground in the drug mills are properly
+dried, are also located upon this floor, as are also thousands of reams of
+paper ready for printing the different books, pamphlets, labels, etc. In
+large rooms set aside for that purpose, are stored vast quantities of
+labels and wrappers, for use in putting up medicines.</p>
+
+
+<h3>FIFTH FLOOR.</h3>
+
+
+<p>On this floor is located ingeniously devised filling and bottling
+machinery, also rooms for labeling, wrapping, and packing medicines; others
+are occupied for the storage of crude drugs, glass, corks, and supplies for
+use in the general business.</p>
+
+
+<h3>SIXTH FLOOR.</h3>
+
+
+<p>This entire floor is occupied with mixing, percolating, distilling,
+<span class="pagenum"><a name="Page_940" id="Page_940"></a>[pg
+940]</span>filtering, and other processes employed in the manufacturing of
+medicines. Every process is conducted under the watchful care of an
+experienced chemist and pharmacist, and in the most perfect and orderly
+manner; the apparatus employed being of the most approved character. Here
+are manufactured all the various medicinal preparations and compounds
+prescribed by the Faculty, in the treatment of special cases.</p>
+
+
+<h3>GENERAL CONSIDERATIONS.</h3>
+
+
+
+
+<p class="figure"><a name="advise734"><img width="40%" alt="Illustration:
+Section of Chemical Laboratory." src="images/advise734.png" /></a><br
+/>Section of Chemical Laboratory.&mdash;World's Dispensary.</p>
+
+<p>In all departments of this vast business establishment, the visitor is
+struck with the perfect system which everywhere prevails, and the wonderful
+accuracy with which every process and transaction is carried on and
+consummated; hence the uniformity of purity and strength for which the
+medicines here manufactured have so long been celebrated. To this, also, is
+due much of the marvelous success attained in the department established
+for the special treatment of chronic and obstinate cases of disease. In
+this department the Faculty are not at all limited or hampered in
+prescribing, and do not confine themselves in the least to the proprietary
+or standard medicines manufactured for general sale through druggists, but
+employ a series of curative agents unsurpassed in variety and range of
+application. They aim to carefully adapt their prescriptions to each
+individual case.</p>
+
+<p><span class="pagenum"><a name="Page_941" id="Page_941"></a>[pg
+941]</span></p><hr />
+
+
+
+
+<h2>THE</h2>
+
+<h1>Invalids' Hotel and Surgical Institute</h1>
+
+<h3><i>SOME OF THE CAUSES THAT LED TO ITS ERECTION, AND THE ADVANTAGES
+WHICH IT AFFORDS.</i></h3>
+
+
+
+
+<p class="figure"><a name="advise735"><img width="40%" alt="Illustration:
+One of the Private Consultation-rooms, Gentlemen's Department."
+src="images/advise735.png" /></a><br />One of the Private
+Consultation-rooms, Gentlemen's Department.</p>
+
+<p>The destinies of institutions, like those of men, are often determined
+by pre-existing causes. The destinies of some men are like those of
+way-side plants, springing up without other apparent cause than the caprice
+of nature, developing without any apparent aim, yielding no perfected
+fruit, and finally, dying, leaving scarcely a trace of their existence.
+Thus it is with institutions which have their origin only in man's caprice.
+To be enduring, they must be founded upon the needs and necessities of
+humanity. Many of the great men of the world owe their greatness more to
+surrounding circumstances than to the genius <span class="pagenum"><a
+name="Page_942" id="Page_942"></a>[pg 942]</span>within them. The highest
+genius can be dwarfed or deformed by the force of adverse circumstances;
+hence the poetic truth of Gray in those exquisite lines:</p>
+
+<blockquote>
+<p>
+"Some mute inglorious Milton here may lie,<br />
+Some Cromwell guiltless of his country's blood."<br />
+</p>
+</blockquote>
+
+<p>Opportunity is the guiding star of genius. Without it, genius would
+drift hither and thither upon the restless, ever-changing waves of
+circumstance, never casting anchor in a secure haven. Upon opportunity,
+too, depends the success of institutions. By opportunity we mean a real and
+acknowledged public want. Whoever undertakes to supply this want finds
+himself upon the crest-wave of prosperity. It was to supply such a want
+that this institution was erected.</p>
+
+
+<h3>A REMEDIAL HOME.</h3>
+
+
+<p>Of the seventy millions of people living in the United States to-day, it
+is estimated that nearly twelve millions are sufferers from chronic
+disease. Think for a moment! Twelve millions of people slowly but surely
+dying by the insidious and fatal development of chronic diseases! This is
+an appalling fact. And yet this is the very class of diseases with which
+the general practitioner is least familiar.</p>
+
+<p>As a general practitioner of the healing art, fresh from
+<i>curriculum</i>, the founder of this institution early realized that the
+grand unpardonable sin of the medical profession was the neglect to more
+thoroughly study and investigate this class of diseases.</p>
+
+<p>The profession is diligently cauterizing and poulticing the sores which
+now and then appear on the surface, but the internal chronic disease, of
+which these are merely the external signs, is too often overlooked or
+neglected.</p>
+
+<p>Some years ago we devised and put into practical operation a method
+of</p>
+
+
+<h3>TREATING PATIENTS AT THEIR HOMES,</h3>
+
+
+<p>without requiring them to undergo personal examinations. We reasoned
+that the physician has abundant opportunity to accurately determine the
+nature of most chronic diseases without ever seeing the patient. In
+substantiating that proposition, we cited the perfect <i>accuracy</i> with
+which scientists are enabled to deduce the most minute particulars in their
+several departments, which appears almost miraculous, if we view the
+subject in the light of the early ages. Take, for example, the
+electro-magnetic telegraph, the greatest invention of the age. Is it not a
+marvelous degree of accuracy which enables an operator to <i>exactly</i>
+locate a fracture in a sub-marine cable nearly three thousand miles long?
+Our venerable "clerk of the weather" has become so thoroughly familiar with
+the most wayward elements of nature that he can accurately predict their
+movements. He can sit in Washington and foretell what the weather will be
+in Florida or New York, as well as if hundreds of miles did not intervene
+between him <span class="pagenum"><a name="Page_943" id="Page_943"></a>[pg
+943]</span>and the places named. And so in all departments of modern
+science, what is required is the knowledge of certain <i>signs</i>. From
+these, scientists deduce accurate conclusions regardless of distance. A few
+fossils sent to the expert geologist enables him to accurately determine
+the rock-formation from which they were taken. He can describe it to you as
+perfectly as if a cleft of it were lying on his table. So also the chemist
+can determine the constitution of the sun as accurately as if that luminary
+were not ninety-five million miles from his laboratory. The sun sends
+certain <i>signs</i> over the "infinitude of space," which the chemist
+classifies by passing them through the spectroscope. Only the presence of
+certain substances could produce these solar signs.</p>
+
+
+
+<p class="figure"><a name="advise736"><img width="40%" alt="Illustration:
+Medical Library and Council-room." src="images/advise736.png" /></a><br
+/>Medical Library and Council-room.&mdash;Invalids' Hotel and Surgical
+Institute.</p>
+
+<p>So, also, in medical science,</p>
+
+
+<h3>DISEASE HAS CERTAIN UNMISTAKABLE SIGNS,</h3>
+
+
+<p>or symptoms, and, by reason of this fact, we have been enabled to
+originate and perfect a system of determining with the greatest accuracy
+the nature of chronic diseases without seeing and personally examining our
+patients. In recognizing diseases without a personal examination of the
+patient, we claim to possess no miraculous powers. We obtain our knowledge
+of the patient's disease by the practical application of well-established
+principles of modern science to the practice of medicine. <span
+class="pagenum"><a name="Page_944" id="Page_944"></a>[pg 944]</span>And it
+is to the accuracy with which this system has endowed us that we owe our
+almost world-wide reputation for the skillful treatment of all lingering,
+or chronic, affections. This system of practice, with the marvelous success
+which has been attained through it, demonstrates the fact that diseases
+display certain phenomena, which, being subjected to scientific analysis,
+furnish abundant and unmistakable data to guide the judgment of the
+skillful practitioner aright in determining the nature of diseased
+conditions.</p>
+
+<p>So successful has been this method of treating patients at a distance
+that there is scarcely a city or a village in the United States that is not
+represented by one or more cases upon the "Records of Practice" at the
+Invalids' Hotel and Surgical Institute. In all chronic diseases that are
+curable by medical treatment, it is only in very rare cases that we cannot
+do as well for the patient while he or she remains at home, as if here in
+person to be examined. But we annually treat hundreds of cases requiring
+surgical operations and careful after-treatment, and in these cases our
+Invalids' Hotel, or home, is indispensable. Here the patient has the
+services not only of the most skillful surgeons, but also, what is quite as
+necessary in the after treatment, of thoroughly trained and skilled
+nurses.</p>
+
+<p>What should be the essential characteristics of an Invalids' Home?</p>
+
+
+<h3>CLIMATE.</h3>
+
+
+<p>Obviously, the most important of these characteristics is
+<i>climate</i>. Climatology, from being a mere speculative theory, has
+arisen to the deserved rank of a science. The influence of the climate of a
+country on the national character has long been observed and acknowledged.
+The languid but passionate temperaments of the South are like its
+volcanoes, now quiet and silent, anon bursting forth with terrible
+activity, flooding entire cities with molten fire; or, like its skies, now
+sunny, cloudless, an hour hence convulsed with lightnings and deluging the
+earth with passionate rain; or like its winds, to-day soft, balmy, with
+healing on their wings, to-night the wind fiend, the destroying simoom,
+rushing through the land, withering and scorching every flower and blade of
+herbage on its way. On the other hand, the calm, phlegmatic temperament of
+the North accords well with her silent mountains, her serener skies, and
+her less vehement, but chilling winds. The South, too, is the native home
+of the most violent acute diseases, such as yellow fever and cholera. But,
+aside from this general climatic influence, there is the yet more
+restricted one of locality. It has often been observed that certain classes
+of diseases are most prevalent in certain localities, the prevalence in
+every instance being due to peculiarities of climate.</p>
+
+
+<h3>EXTREME HEALTHFULNESS OF BUFFALO.</h3>
+
+
+<p>In the published records of the examination for military service in the
+army, during our late civil war, this fact was clearly and definitely <span
+class="pagenum"><a name="Page_945" id="Page_945"></a>[pg 945]</span>stated,
+and maps were prepared and presented showing the comparative prevalence of
+certain diseases in the several States and districts represented. The maps
+are prepared by a graduation of color, the lighter shades indicating the
+localities where the special disease under consideration is least
+prevalent; and it is a very significant and important fact that in all
+chronic diseases not due to occupation or accident, Buffalo and its
+immediate vicinity is marked by the lighter shades. Thus, in epilepsy,
+paralysis, scrofula, rheumatism, and consumption, our city is little more
+than tinted with the several colors used to denote these diseases.</p>
+
+
+
+<p class="figure"><a name="advise737"><img width="40%" alt="Illustration: A
+Patient's Room." src="images/advise737.png" /></a><br />A Patient's
+Room.&mdash;Invalids' Hotel and Surgical Institute.</p>
+
+<p>There is a popular, but unfounded, belief that Buffalo is a hot-bed for
+pulmonary diseases. This idea could have originated only in an ignorant
+disregard of facts; for medical statistics prove that in her freedom from
+this class of diseases she is unrivaled by any city in America, not
+excepting those on the seaboard.</p>
+
+
+<h3>EVIDENCE OF HEALTH STATISTICS.</h3>
+
+
+<p>Compare, if you please, the statistics of Buffalo with those of the
+great Eastern cities in this respect. In Boston and New York the death-rate
+from consumption shows a ratio of about 1 to 5 of the whole number of
+deaths. In Baltimore and Philadelphia the ratio is 1 to 6, while in Buffalo
+the death rate from consumption is only 1 to 10&mdash;very <span
+class="pagenum"><a name="Page_946" id="Page_946"></a>[pg
+946]</span>remarkable difference in favor of our city. Only last summer a
+gentleman residing in the eastern part of our State collected and compared
+the health statistics for 1876 of all the prominent cities in the United
+States. The result showed that</p>
+
+
+<h3>BUFFALO OUTRANKS ALL IN HEALTHFULNESS.</h3>
+
+
+<p>A great deal of precious breath has been expended in blustering about
+"Buffalo zephyrs," as our delightful lake breezes are sometimes ironically
+termed. It seems to be a popular belief among our sister cities that old
+Boreas has chosen Buffalo for his headquarters. When we hear a person
+dilating upon "Buffalo's terrific winds," we are reminded of one of our
+lady acquaintances who recently returned from a European tour. She was
+asked how she enjoyed her sea voyage, and she replied, "Oh, it was
+delightful, really charming! There is something so grand about the sea!" We
+were not a little surprised at this enthusiastic outburst, as we had been
+told by a member of her party that the lady had industriously vomited her
+way to Hamburg and back again. But the lady's enthusiasm was easily
+explained. It is fashionable to characterize sea voyages as delightful,
+charming, etc. Now, we suspect this popular notion about our "trying winds"
+is traceable to the same source. It has become customary to call Buffalo a
+"windy place," and so, when the traveler feels a slight lake breeze, he
+imagines it to be a terrific gale. Whatever may have originated this
+notion, certain it is that it is utterly, undeniably false; and, in making
+this denial, we are not alone dependent upon observation, but upon the</p>
+
+
+<h3>FACTS OF SCIENCE.</h3>
+
+
+<p>The issue of July 18, 1874, of the Buffalo <i>Commercial Advertiser</i>,
+contained a series of tables, furnished by the Signal Service Bureau,
+showing the velocity of the wind at eleven prominent cities for the year
+1873. An examination of the table shows that the total velocity for the
+year was the <i>lowest in Buffalo</i> of any of the lake ports; while
+Philadelphia and New York showed far higher aggregates of velocity than our
+city. On this subject, in the issue of August 21st of the same year, the
+editor pleasantly remarks: "Only the interior and southern seaboard cities,
+and not many of them, show a lower total velocity of wind than is marked
+against this city; and as for those places, heaven help their unfortunate
+inhabitants in the sultry nights of the summer season, when they are
+gasping in vain for a breath of that pure, cool lake air, which brings
+refreshing slumbers to the people of blessed, breezy Buffalo."</p>
+
+
+<h3>EQUABILITY OF CLIMATE.</h3>
+
+
+
+
+<p class="figure"><a name="advise738"><img width="40%" alt="Illustration:
+One of our Physician's Rooms" src="images/advise738.png" /></a><br /> One
+of our Physician's Rooms&mdash;Bureau of Correspondence&mdash;Invalids' Hotel and
+Surgical Institute.</p>
+
+<p>Then, in regard to <i>equability of climate</i>, the great desideratum
+for invalids in any locality, here again sentiment and science are greatly
+at variance. An examination of the official records of the Signal Service
+Bureau, and the statistics of the Smithsonian Institute, showed that out of
+a list of forty cities on the continent Buffalo ranked highest <span
+class="pagenum"><a name="Page_947" id="Page_947"></a>[pg 947]</span>for
+equability of climate. Thus we quote from an editorial in the
+<i>Advertiser</i> of the same issue: "While the aggregate of change for
+Buffalo stood at 67 for the year, that of Philadelphia reached 204,
+Washington was 224, Cincinnati 205, St. Louis 171. Winchester, in one of
+the healthiest parts of Virginia, reached as high as 201. Aiken, in South
+Carolina, a famous resort for invalids, touched 220. St. Augustine, one of
+the lowest in the list, showed a much less equable climate than that of
+Buffalo, being 94 to our 67." The transition from summer to winter, and
+<i>vice versa</i>, is exceedingly gradual, and, consequently, Buffalonians
+are seldom afflicted with those epidemic diseases which generally appear in
+other localities during the spring and summer months. Thus the thermometric
+readings of the Signal Service Bureau for 1873, show that the average
+temperature for July and August was 74&deg;. For September it was about
+64&deg;, which was again reduced by about 10&deg; for October. The monthly
+average for November was 73&deg;, <span class="pagenum"><a name="Page_948"
+id="Page_948"></a>[pg 948]</span>and for December 25&deg;, which was also
+the average for January. Then the readings for February showed an average
+of 26&deg;, for March 32&deg;, and 43&deg; for April. A more equable and
+gradual transition from midsummer heat to midwinter cold cannot be shown by
+any locality on this continent. Seldom does the mercury rise above ninety
+during our warmest summers, or fall below zero in our most severe winters.
+In J. Disturnal's work, entitled "The Influence of Climate in North and
+South America," published by Van Nostrand, in 1867, the climate of Buffalo
+is thus characterized: "From certain natural causes, no doubt produced by
+the waters of Lake Erie, the winters are less severe, the summers less hot,
+the temperature night and day more equable, and the transition from heat to
+cold less rapid, in Buffalo than in any other locality within the temperate
+zone of the United States, as will be seen by the following table." The
+table referred to shows that, "during the summer months, the temperature of
+Buffalo is from 10&deg; to 20&deg; cooler than that of any other point
+east, south, or west of the ports on Lake Erie; while the refreshing and
+invigorating lake breeze is felt night and day." The author further adds
+that "during the winter months the thermometer rarely indicates zero, and
+the mean temperature for January, 1858, was 20&deg; above."</p>
+
+<p>A careful investigation into the comparative climatology of the several
+great social and commercial centers, proved <i>Buffalo to be superior to
+all others in the climatic requirements for the invalid</i>. Besides, it
+has the important advantage of being a central point of traffic and travel
+between the West and the East.</p>
+
+
+<h3>ADVANTAGES OF LOCATION.</h3>
+
+
+<p>The second important consideration in projecting this home for invalids
+was <i>location</i>. It has generally been customary to locate institutions
+of this character in rural districts, removed from the advantages of city
+life, on the plea of escaping the confusion and excitement so detrimental
+to recovery. The result is well known. Invalids have regarded them more as
+pleasure resorts than health resorts, spending the summer months there, but
+fleeing to their homes at the fall of the first snow-flake. The good that
+was done in the summer is undone by carelessness and exposure in the
+winter. A location that would combine both city advantages and rural
+pleasures, seemed to us, upon reflection, to be the desirable one.
+Fortunately, Buffalo afforded the happy mean. Our extensive parks, our
+unsurpassed facilities for yachting, fishing, and all aquatic sports, our
+many sylvan lake and river retreats, our world-famed Niagara,&mdash;certainly a
+more desirable selection of rural scenes and pleasures cannot be found in
+another locality in America.</p>
+
+
+<h3>A GENUINE HOME.</h3>
+
+
+<p>In erecting the Invalids' Hotel and Surgical Institute, our paramount
+design was to make it a genuine home&mdash;<i>not a hospital</i>&mdash;a home where
+<span class="pagenum"><a name="Page_949" id="Page_949"></a>[pg
+949]</span>the child of fortune would miss none of the comforts of her
+palatial home, while the poor man would find not only health but his
+pleasures multiplied a thousand fold.</p>
+
+
+<h3>OUR TERMS MODERATE.</h3>
+
+
+<p>The wholesale merchant's prices are far less than those of the retail
+dealer. He can afford it, his sales are so much larger. It is on precisely
+the same principle that we are able to make the rates at the Invalids'
+Hotel and Surgical Institute comparatively low. If we had only a limited
+number of patients, we should be obliged to make the charges commensurate
+with our expenses; but our practice having become very extensive, and the
+income being correspondingly large, we are enabled to make the rates at the
+Invalids' Hotel and Surgical Institute so moderate that all who desire can
+avail themselves of its medical, surgical, and hygienic advantages.</p>
+
+
+
+<p class="figure"><a name="advise739"><img width="40%" alt="Illustration:
+Prescription Department" src="images/advise739.png" /></a><br
+/>Prescription Department&mdash;Invalids' Hotel and Surgical Institute.</p>
+
+
+<h3>FACILITIES FOR TREATMENT.</h3>
+
+
+<p>Of the many advantages afforded by the Invalids' Hotel and Surgical
+Institute, in treating disease, we can make only brief mention of a few of
+the more prominent.</p>
+
+
+<h3>DIVISION OF LABOR.</h3>
+
+
+<p>In the examination and treatment of patients, our practice is divided
+into specialties. Each member of the Faculty, although educated to practice
+in <i>all</i> departments of medicine and surgery, is here assigned <span
+class="pagenum"><a name="Page_950" id="Page_950"></a>[pg 950]</span>to a
+special department only, to which he devotes his entire time, study and
+attention.</p>
+
+
+<h3>ADVANTAGES OF SPECIALTIES.</h3>
+
+
+<p>The division-of-labor system proves as effectual in the exercise of the
+professions as in manufactures. In the legal profession this has long been
+a recognized fact. One lawyer devotes his attention specially to criminal
+law, and distinguishes himself in that department. Another develops a
+special faculty for unraveling knotty questions in matters of real estate,
+and, if a title is to be proved, or a deed annulled, he is the preferred
+counselor. In a certain manner, too, this has long been practiced by the
+medical profession. Thus some physicians (and we may add physicians who
+call themselves "regular," and are specially caustic in their denunciation
+of "advertising doctors") are accustomed to distribute cards among their
+patrons, certifying that they give special attention to diseases of women
+and children. In this institution each physician and surgeon is assigned a
+special department of medicine or surgery. By constant study and attention
+to his department, each has become a skillful specialist, readily detecting
+every phase and complication of the diseases referred to him. Not only is
+superior skill thus attained, but also <i>rapidity</i> and <i>accuracy</i>
+in diagnosis.</p>
+
+<p>Thoroughness and efficiency in any branch of learning can be secured
+only by devoting to it special study and attention. When the faculty of a
+university is to be chosen, how are its members selected? For instance, how
+is the chair of astronomy filled? Do they choose the man who is celebrated
+for his general scholastic attainments, or do they not rather confer it
+upon one who is known to have devoted special attention and study to the
+science of astronomy, and is, therefore, especially qualified to explain
+its theories and principles? Thus all the several chairs are filled by
+gentlemen whose general scholarship not only is known to be of the highest
+standard, but who devote special attention to the departments assigned
+them, thus becoming proficient specialists therein. The same system of
+specialties is observed in the departments of a medical college. The
+professor who would assume to lecture in all the departments with equal
+ease and proficiency would be severely ridiculed by his colleagues; and yet
+it is just as absurd to suppose that the general practitioner can keep
+himself informed of the many new methods of treatment that are being
+constantly devised and adopted in the several departments of medicine and
+surgery.</p>
+
+
+<h3>PROGRESS IN MEDICINE.</h3>
+
+
+<p>In no other science is more rapid and real progress being made at the
+present time than in that of medicine. Even the specialist must be studious
+and earnest in his work to keep himself well and accurately informed of the
+progress made in his department. <span class="pagenum"><a name="Page_951"
+id="Page_951"></a>[pg 951]</span>Thus it so often happens that the general
+practitioner pursues old methods of treatment which science has long since
+replaced with others, acknowledged to be superior. The specialist, on the
+contrary, by confining his studies and researches to one class of diseases
+only, is enabled to inform himself thoroughly and accurately on all the
+improvements made in the methods and means of practice in his special
+department.</p>
+
+<p>The difference between the practice of specialists and that of general
+practitioners is aptly illustrated by the difference between the
+old-fashioned district school, in which the school-master taught all the
+branches, from a-b-abs to the solution of unknown quantities and the
+charmed mysteries of philosophy, and the modern seminary, with its
+efficient corps of teachers, each devoting his or her whole attention to
+the study and teaching of one special department of learning.</p>
+
+<p>We attribute the success which has attended the practice at the
+Invalids' Hotel and Surgical Institute, in a great measure, to a wise
+adoption of this system of specialties.</p>
+
+
+<h3>ADVANTAGES OFFERED TO INVALIDS.</h3>
+
+
+<p>Obviously, the most important of these advantages is <i>facility of
+treatment</i>. Of the thousands whom we have cured of chronic diseases, we
+have probably not seen one in five hundred, having accomplished the desired
+result through remedies sent either by mail or express, and advice given by
+letter. Yet in some obstinate forms of disease, we can here bring to bear
+remedial means not to be found or applied elsewhere.</p>
+
+<p>That thousands of cases of chronic disease, pronounced incurable, have,
+by our rational and scientific treatment, been restored to perfect health,
+is conclusively proved by the records of practice at the Invalids' Hotel
+and Surgical Institute. Here, in obstinate cases, are brought to bear all
+the most scientific remedial appliances and methods of treatment.</p>
+
+<p>A system of mechanical movements, passive exercises, manipulations,
+kneadings and rubbings, administered by a large variety of
+ingeniously-contrived machinery, driven by stream-power, has been found
+especially efficacious and valuable, as an aid to medical and surgical
+treatment, in the cure of obstinate cases of nervous and sick headache,
+constipation, paralysis, or palsy, stiffened joints, crooked and withered
+limbs, spinal curvature, tumors, diseases of women, especially
+displacements of the uterus, or womb, such as prolapsus, retroversion and
+anteversion, chronic inflammation, enlargement and ulceration of the
+uterus, and kindred affections; also in nervous debility, sleeplessness,
+and other chronic diseases. Mechanical power, or force, is by these
+machines transmitted to the system, in which it is transformed into vital
+energy and physical power or strength. This mechanical, passive exercise,
+or movement-cure treatment, differs widely from, and should not be
+confounded with, "Swedish movements," <span class="pagenum"><a
+name="Page_952" id="Page_952"></a>[pg 952]</span>to which it is far
+superior in efficacy. Coupled with our improved and wonderful system of
+"Vitalization" treatment, it affords the most perfect system of physical
+training and development ever devised. For the restoration of power to
+wasted, undeveloped, or weakened organs or parts, for their enlargement,
+this combined movement and "Vitalization" treatment is unequaled. It can be
+applied to strengthen or enlarge any organ or part. We also employ both
+Dynamic and Static electricity, "Franklinism" and Electrolysis, and
+chemical, Turkish and other baths, in all cases in which they are
+indicated. Inhalations, administered by means of the most approved
+apparatus, are employed with advantage in many obstinate lung, bronchial,
+and throat affections. We have no <span class="pagenum"><a name="Page_953"
+id="Page_953"></a>[pg 953]</span>hobby or one-idea system of treatment, no
+good remedial means being overlooked or neglected.</p>
+
+
+
+<p class="figure"><a name="advise740"><img width="40%" alt="Illustration: A
+glimpse of some of the rooms for the application of Electricity,"
+src="images/advise740.png" /></a><br />A glimpse of some of the rooms for
+the application of Electricity, Mechanical Massage, "Vitalization"
+treatment, and other agencies prescribed by our Staff; furnishing a perfect
+system of physical and remedial training, carefully adapted to the wants of
+the most delicate and feeble, as well as to the more robust.</p>
+
+
+<h3>A FAIR AND BUSINESS-LIKE OFFER TO THE AFFLICTED.</h3>
+
+
+<p>Reader, are you accustomed to think and act for yourself? Do you consult
+your own reason and best interests? If so, then do not heed the counsel of
+skeptical and prejudiced friends, or jealous physicians, but listen to what
+we have to say.</p>
+
+<p>You perhaps know nothing of us, or our systems of treatment, or of the
+business methods we employ. You may <i>imagine</i>, but you <i>know
+nothing</i>, perhaps, of our facilities and advantages for performing cures
+in cases beyond the reach or aid of the general practitioner. Knowing
+nothing, then, of all these advantages, you still know as much as the
+would-be friend or physician who never loses an opportunity to traduce and
+misrepresent us, and prejudice the afflicted against us.</p>
+
+<p>Now to the point&mdash;are you listening? Then permit us to state that we
+have the largest, the best, and the finest buildings of any like
+Association, company, or firm in this country. We employ <i>more</i> and
+<i>better</i> Medical and Surgical Specialists in our Invalids' Hotel and
+Surgical Institute than any similar Association, company, or individual,
+and actually have more capital invested. We have a thoroughly qualified and
+eminent Specialist for every disease that we treat. We treat more cases,
+<i>and absolutely cure more patients</i> than any similar institution in
+America. In addition to those we treat medically, we perform all the most
+difficult surgical operations known to the most eminent Surgeons, and so
+frequently do many of these operations occur with us that some of our
+Specialists have become the most expert and skillful Surgeons on this
+continent.</p>
+
+<p>We wish to add further that we are responsible to <i>you</i> for what we
+represent; we therefore ask you to come and visit our institutions; and, if
+you find on investigation that we have misstated or misrepresented <i>in
+any particular</i> our institutions, our advantages, or our success in
+curing Chronic Diseases, <i>we will gladly and promptly refund to you all
+the expenses of your trip</i>. We court honest, sincere investigation, and
+are glad and anxious to show interested people what we can do and are daily
+doing for suffering humanity. Can a proposition be plainer? Can an offer be
+more fair and business-like? If, therefore, you are afflicted, and are
+seeking relief, come where genuine ability is a ruling feature, where
+<i>success</i> is our watchword and the alleviation of human suffering our
+mission.</p>
+
+<p>Whether arriving in our city by day or night, <i>come directly to the
+Invalids' Hotel and Surgical Institute, 663 Main Street</i>, where you will
+be hospitably received and well cared for.</p>
+
+<p>Address all correspondence to</p>
+
+<blockquote>
+<p>
+<b>WORLD'S DISPENSARY MEDICAL ASSOCIATION,</b><br />
+<i>663 Main Street, BUFFALO, N.Y.</i><br />
+</p>
+</blockquote>
+
+<p><span class="pagenum"><a name="Page_954" id="Page_954"></a>[pg
+954]</span></p><hr />
+
+
+
+
+<h2>SUCCESSFUL TREATMENT</h2> <h3>OF</h3> <h1>CHRONIC OR LINGERING
+DISEASES.</h1>
+
+
+
+
+<p class="lfigure"><a name="advise741"><img width="90%" alt="Illustration:
+" src="images/advise741.png" /></a><br /></p>
+
+<p>For many years the founder of the Invalids' Hotel and Surgical Institute
+and World's Dispensary has devoted himself very closely to the
+investigation and treatment of chronic diseases. Some few specifics have,
+during this time, been developed for certain forms of chronic ailments, and
+given to the public, but they have not been lauded as "cure-alls," or
+panaceas, but only recommended as remedies for certain well-defined and
+easily recognized forms of disease. These medicines are sold through
+druggists very largely, and have earned great celebrity for their many
+cures. So far from claiming that these proprietary medicines will cure all
+diseases, their manufacturers advise the afflicted that, in many
+complicated and delicate chronic affections, they are not sufficient to
+meet the wants of the case. These must have special consideration and
+treatment by a competent physician and surgeon, the medicines and other
+remedial means required being selected and prepared with reference to each
+particular case.</p>
+
+<p>In order to be able to offer those afflicted with chronic ailments the
+most skillful medical and surgical services, Dr. Pierce, many years ago,
+associated with himself several eminent physicians and surgeons, as the
+Faculty of the old and renowned World's Dispensary, the consulting
+Department of which is now merged with the Invalids' Hotel and Surgical
+Institute.</p>
+
+
+<h3>DIVISION OF LABOR.</h3>
+
+
+<p>In the organization of the medical and surgical staff of the Invalids'
+Hotel and Surgical Institute, several years ago, we assigned to one
+physician the examination and treatment of diseases of the nervous system;
+to another, surgical operations and the treatment of surgical diseases; a
+third had charge of catarrhal and pulmonary diseases and affections of the
+heart; a fourth attended to diseases peculiar to women; a fifth, to
+diseases of the eye and ear; a sixth, to diseases of the digestive organs;
+a seventh, to special surgical cases; to another we entrusted diseases of
+the urogenital organs; and to others, various <span class="pagenum"><a
+name="Page_955" id="Page_955"></a>[pg 955]</span>other specialties. Now
+that our practice has become so very extensive as to require for its
+conduct a greatly increased number of physicians and surgeons. Thus four
+physicians and surgeons devote their undivided attention to the examination
+and treatment of diseases of the urinary and generative organs of men.
+Three physicians give their sole attention to diseases peculiar to women
+and three to those of the nasal organs, throat and chest, embracing all
+chronic diseases of the respiratory organs. Thus we have a full council of
+three and four physicians in these several specialties. In several other
+divisions we have two specialists. No case is slighted either in the
+examination or in the treatment. All doubtful, obscure or difficult cases
+are submitted to a council composed of several physicians and surgeons.
+Skilled pharmaceutists are employed to compound the medicines prescribed.
+For the purpose of enabling us to conduct our extensive correspondence (for
+we have an extensive practice en every part of the United States and
+Canada, as well as in Great Britain from our London branch), graphophones
+are employed, to which replies are dictated, recording the words of the
+speaker. Afterwards the letters are written <span class="pagenum"><a
+name="Page_956" id="Page_956"></a>[pg 956]</span> out in full, generally on
+a type-writing machine, which prints them in a plain, legible style. These
+machines are operated as rapidly as a person can think of the letters which
+compose a word, each operator thus accomplishing the work of several
+copyists. This system, by which we are enabled to correspond with our
+patients as rapidly as we can talk, has been rendered necessary by the
+growth of our business, which has attained immense proportions, giving rise
+to so large a correspondence that a dozen physicians cannot possibly
+conduct it all and give each patient's case careful attention, without the
+employment of graphophones and all other facilities which modern invention
+has given us. By the adoption of these various means, we are enabled to
+fully meet the demands of the afflicted, and give every case the most
+careful attention.</p>
+
+
+
+<p class="figure"><a name="advise742"><img width="40%" alt="Illustration:
+Faculty" src="images/advise742.png" /></a><br />Faculty of Invalids' Hotel
+and Surgical Institute in Session.&mdash;Council-room.</p>
+
+<p>As many persons, particularly young ladies and gentlemen, having catarrh
+or almost any other chronic disease, especially if of the urogenital
+organs, are very sensitive and fearful that somebody will know that they
+are afflicted and employing medical treatment, precautions are taken that
+none who consult us may incur the least risk of exposure. Although none but
+the most honorable and trustworthy gentlemen are employed as assistants,
+yet as a <i>guarantee</i> of perfect security to our patients, that every
+communication, whether made in person or by letter, will be treated as
+<i>sacredly confidential</i>, each professional associate, clerk, or
+assistant, is required to take a solemn oath of secrecy. Great care is also
+taken to send all letters and medicines carefully sealed in plain envelopes
+and packages, so that no one can even <i>suspect</i> the contents or by
+whom they are sent.</p>
+
+
+<h3>ADVANTAGES OF SPECIALTIES.</h3>
+
+
+<p>By thorough organization and a perfect system of subdividing the
+practice of medicine and surgery in this institution, every invalid
+consulting us is treated by a specialist&mdash;one who devotes his undivided
+attention to the particular class of diseases to which his or her case
+belongs. The advantage of this arrangement must be obvious. Medical science
+offers a vast field for investigation, and no physician can, within the
+limit of a single life-time, achieve the highest degree of success in the
+treatment of <i>every</i> malady incident to humanity. A distinguished
+professor in the medical department of one of our universities, in an
+address to the graduating class, recently said: "Some professional men seem
+to be ashamed unless they have the character of universal knowledge. He who
+falls into the error of studying everything will be certain to know nothing
+well. Every man must have a good foundation. He must, in the first place,
+be a good general practitioner. But the field has become too large to be
+cultivated in its entirety by any individual; hence the advantage of
+cultivating special studies in large towns, which admit of the subdivision
+of professional pursuits. It is no longer possible to know everything;
+<span class="pagenum"><a name="Page_957" id="Page_957"></a>[pg
+957]</span>something must be wisely left unknown. Indeed, a physician, if
+he would know anything well must be content to be profoundly ignorant of
+many things. He must select something for special study, and pursue it with
+devotion and diligence. This course will lead to success, while the attempt
+to do everything eventuates unavoidably in failure. Let there be single
+hands for special duties." Our institution is the only one in this country
+in which these common-sense-ideas are <i>thoroughly</i> carried out. The
+diversified tastes and talents of physicians cause each to excel in
+treating some one class of diseases, to which he devotes more attention and
+study than to others. One medical student manifests great interest in the
+anatomy, physiology, pathology, and treatment of diseases of the eye. He
+becomes thoroughly familiar with all the minutest details relative to that
+organ and its diseases, and so thoroughly qualifies himself in this branch
+of knowledge that he is able to cure an inflammation or other affection of
+the eye in a very short time. Another student is more interested in some
+other class of diseases, for the study of which he has a liking, and
+neglects to inform himself in the ophthalmic branch of medical and surgical
+science. If after engaging in the practice of his chosen profession, he is
+consulted by persons suffering from diseases of the eye, he tortures them
+with unnecessary and oftimes injurious applications, clumsily and
+carelessly made, and, as the result of such unskillful treatment, the
+inestimable blessing of sight may be sacrificed.</p>
+
+
+
+<p class="figure"><a name="advise743"><img width="40%" alt="Illustration: A
+Corner in Printing Department." src="images/advise743.png" /></a><br />A
+Corner in Printing Department.&mdash;World's Dispensary.</p>
+
+<p>The great majority of physicians allow acute maladies, diseases of
+children, and the practice of midwifery, to engross most of their time and
+attention. They manifest an absorbing interest in everything that <span
+class="pagenum"><a name="Page_958" id="Page_958"></a>[pg 958]</span>relates
+to these subjects, and devote little or no time to acquiring an intimate
+knowledge of the great variety of chronic maladies which afflict mankind.
+They acquire skill and reputation in their favorite line of practice, but
+are annoyed if consulted by one suffering from some obscure chronic
+affection, usually turn the invalid off with a very superficial
+examination, and, perhaps, only prescribe some placebo,<sup><a href="#fn6"
+name="rfn6">[6]</a></sup> apparently indifferent as to the result, but
+really desiring thus to conceal their lack of familiarity with such
+diseases. The specialist, the treatment of chronic diseases being his
+vocation, is equally annoyed if consulted by those suffering from acute
+diseases, but does not pursue the inconsistent course of assuming to treat
+them. He refers them to those of his medical brethren whose daily dealings
+with such cases make them, in his way of thinking, more competent than
+himself to render valuable service to such sufferers. He recognizes the
+fact that no man is likely to succeed in any line of study or business for
+which he possesses no talent or relish, nor does he believe in being a
+"jack-at-all-trades and master of none."</p>
+
+
+<h3>ADVERTISING.</h3>
+
+
+<p>Having thoroughly qualified himself for the practice of some particular
+branch of the healing art, the specialist sees no impropriety in
+acquainting the public with his ability to relieve certain forms of
+suffering. He believes that medical men should possess equal rights with
+other business men, and that any code of medical ethics which would deprive
+him of any of the sacred rights guaranteed to all by the liberal laws of
+the country, is professional <i>tyranny</i>, and merits only his
+contemptuous disregard. Nor does he display any false modesty in the
+<i>manner</i> of making known his skill. He maintains that he has an
+undoubted right to place his claim to patronage before the public by every
+fair and honorable means. He recognizes the display of goods in the
+merchant's show-windows as no less an advertisement and in no better taste
+than the publication of a card in the newspaper. So, likewise, he regards
+the various devices by which the extremely <i>ethical</i> physician seeks
+to place himself conspicuously before the public, as but so many ways of
+advertising, and as not more modest than the publication of cures actually
+performed, or than his announcement through the public press of his
+professional resources for treating certain maladies.</p>
+
+
+<p>The physician who expresses a "holy horror" of the "<i>advertising
+doctor</i>," liberally bestowing upon him the epithet of "quack," announces
+<i>himself</i> a graduate, talks learnedly and gives notice to the public
+in <i>some</i> way that he is ready to serve them. He endeavors to impress
+upon the mind of the patient and family his skill, frequently exaggerates
+as to the extent of his practice, rides furiously about when he has no
+professional calls, keeps up business appearances by driving <span
+class="pagenum"><a name="Page_959" id="Page_959"></a>[pg 959]</span>several
+horses, or joins influential societies. He may make a great display in
+style, manner, dress, pretensions, writing for the newspapers, exhibiting
+literary pedantry, referring to the superior facilities afforded by some
+particular school or society to which he belongs; or by editing and
+publishing a medical journal, ostensibly for the advancement of medical
+science, but practically to display titles or professorships, to publish
+reports which flatteringly allude to cases he has treated, the number of
+capital surgical operations he has performed, or the distinguished families
+he is treating. All these are but <i>modes of advertising</i> professional
+wares; in short, are artful, though not refined, tricks, resorted to for
+private announcement. We say to all such adventurers in modern advertising
+diplomacy, that these indirect, clandestine methods are not half so candid
+and honorable as a direct public statement of the intentions and proposals
+of a medical practitioner, who thereby incurs an individual responsibility
+before the law and his fellow-men.</p>
+
+<p>No good reason has ever been assigned why any well educated physician,
+trained in the school of experience until he becomes proficient in medical
+skill, may not publish facts and evidence to disclose it, especially when
+these are abundant and conclusive. The following extracts from an able
+article by the Rev. THOMAS K. BEECHER embodies a sound view of the subject
+of medical advertising. He says:</p>
+
+<p>* * "I am glad that the doctor cured him; I am glad that the doctor put
+it in the paper that he could cure him. And if any doctor is certain that
+he can cure such diseases and don't put it in the paper, I am sorry. What a
+pity it would have been had this doctor come to town with his wealth of
+science and experience and gone away leaving him uncured! What a pity it
+would have been if he had been so prejudiced against advertising as to read
+the responsible certificate of the doctor and give him the go-by as a
+quack! What are newspapers for, if not to circulate information? What more
+valuable information can a newspaper give than to tell a sick man where he
+can be cured? If a man has devoted his life and labor to the study of a
+special class of diseases, the necessity of his saying so becomes all the
+more pressing. His <i>duty</i> to advertise becomes imperative.</p>
+
+<p>"When I was in England, I found on all the dead walls of London,
+placards, declaring that Dean Stanley, Chaplain to the Prince of Wales,
+would preach at such a place; that his grace the Archbishop (I think) of
+Canterbury would preach at another time and place; again, that an Oxford
+professor would preach. In short, religious notices were sprinkled in among
+the theater bills, and the highest church dignitaries were advertised side
+by side with actors, singers, and clowns. Of course, I was shocked by it,
+but in a moment I bethought me&mdash;if it be all right and dignified to hire a
+sexton to ring a bell when the minister is going to preach, it is all the
+same to silence the bell and hire a bill-sticker to tell the same news, the
+essential thing being to tell the truth every time. The remedy for the
+lying advertisements is for honest men to tell the truth. 'When iniquity
+cometh in like a flood, then the spirit of the Lord lifts up the standard.'
+A really able man, whatever be his gifts, makes a great mistake if he fail
+to use those gifts through want of advertising."</p>
+
+<p><span class="pagenum"><a name="Page_960" id="Page_960"></a>[pg
+960]</span>If a physician possesses knowledge that enables him to remedy
+diseases heretofore regarded as incurable, what virtue or modesty is there
+to "hide his light under a bushel"? In this free country the people think
+and act for themselves, and hence all have a deep concern in the subject of
+health. The strong popular prejudice against the doctors who advertise is
+due to the fact, that by this method so many ignorant charlatans are
+enabled to palm off their worthless services upon the uneducated and
+credulous; but the practice of such imposition should not cause a
+presumption against the public announcement of real skill, for the baser
+metal bears conclusive evidence that the pure also exists.</p>
+
+<p>Every step in scientific investigation, every proposition which relates
+to the interest and happiness of man, every statement and appeal involving
+a valuable consideration, must be submitted to the scrutiny and judgment of
+individual reason; for every person has the right to form his own
+conclusions, and justify them by experience. Those claims which are only
+supported by empty assertion are very doubtful. Misty theories vanish
+before the sun of truth. He who renders professional services cannot be
+successful, unless he be sustained by real merit.</p>
+
+
+<h3>TREATING PATIENTS WHO RESIDE AT A DISTANCE.</h3>
+
+
+<p>We can treat many chronic diseases as successfully without as with a
+personal consultation, as our vast experience enables us to correctly
+determine the malady from which the patient is suffering, from a history of
+the symptoms, and answers to questions furnished. We have not seen one
+person in five hundred of those whom we have cured.</p>
+
+<p>Some may suppose that a physician cannot obtain, through correspondence,
+a sufficiently accurate idea of the condition of a patient to enable him to
+treat the case successfully; but a large experience in this practice has
+proved the contrary to be true, for some of the most remarkable cures have
+been effected through the medium of correspondence. In most long-continued
+cases, the patient has thought over his symptoms hundreds of times. The
+location of every pain, whether acute or mild, constant or occasional, and
+the circumstances under which it occurs, have been carefully noted. He has
+observed whether he had a rush of blood to the head, was feverish or
+chilly, whether troubled with cold hands and feet, whether full of blood,
+or pale and bloodless; and he states these matters with accuracy and common
+sense when writing to us, for he has a very good, if not a professional,
+knowledge of the relative importance of these symptoms. So in regard to
+digestion, he states what kinds of food agree with him, or whether he is
+troubled with excessive acidity or a flatulent condition of the stomach. He
+also informs us whether his tongue is coated and bilious, or clean and
+healthy, and gives many other particulars too various to enumerate, <span
+class="pagenum"><a name="Page_961" id="Page_961"></a>[pg 961]</span>by
+which we are enabled to gain a perfect understanding of the case. If his
+description be not sufficiently complete to enable us to obtain a definite
+understanding of the case, he is requested to answer a list of important
+questions which are sent him. The people are far more intelligent in these
+matters than physicians are generally willing to admit. A patient is often
+confused while being personally examined by a physician, and gives
+imperfect or incorrect answers. After he has left the presence of the
+physician, he finds that he has failed to enumerate many of the most
+important symptoms. In consulting by letter, the patient is not
+embarrassed, he states the exact symptoms, and carefully reads over the
+letter to see if it is a complete and accurate description of his
+sufferings. In this way he conveys a much better idea of the case than if
+present in person, and subjected to the most thorough questioning and
+cross-examination. The timid lady and nervous young man write just as they
+feel; and one important reason why we have had such superior success in
+treating intricate and delicate diseases, is because we have obtained such
+true and natural statements of the cases from these letters, many of which
+are perfect pen-pictures of disease. As bank-tellers and cashiers, who
+daily handle large quantities of currency, can infallibly detect spurious
+money by a glance at the engraving or a touch of the paper, so the
+experienced physician, by his great familiarity with disease, becomes
+equally skilled in detecting the nature and extent of a chronic malady from
+a written description of its symptoms.</p>
+
+
+<h3>URINARY SIGNS.</h3>
+
+
+<p>A careful microscopical examination and chemical analysis of the urine
+is a valuable aid in determining the nature of many chronic diseases,
+particularly those of the nervous system, blood, liver, kidneys, bladder,
+prostate gland and generative organs. This important fact is not overlooked
+at the Invalids' Hotel and Surgical Institute, where an experienced chemist
+is employed to make such examinations and report the result to the
+attending physicians. Medical authors, professors, and practitioners of all
+schools, admit and even insist upon the importance of such examinations in
+diagnosticating diseases. Many practitioners neglect to take advantage of
+this invaluable aid, while others fear that if they attach much importance
+to such examinations they will be ranked with "uroscopian" or "water"
+doctors, a class of enthusiasts who claim to be able to correctly
+diagnosticate every disease by an examination of the urine. Persons
+consulting us and wishing to avail themselves of the advantages afforded by
+these examinations can send small vials of their urine by express. The
+vials should be carefully packed in saw-dust or paper and enclosed in a
+light wooden box. All charges for transportation must be prepaid, and a
+complete history of the case including the age and sex of the patient, must
+accompany each package, or it will receive no attention. This saves
+valuable time by directing the examination into the channels indicated,
+thus avoiding a lengthy series <span class="pagenum"><a name="Page_962"
+id="Page_962"></a>[pg 962]</span>of experiments. As we are daily receiving
+numerous vials of urine, every sample should, to prevent confusion, be
+labeled with the patient's name.</p>
+
+
+
+<p class="figure"><a name="advise744"><img width="40%" alt="Illustration:
+Binocular Microscope" src="images/advise744.png" /></a><br />Binocular
+Microscope used at the Invalids' Hotel and Surgical Institute.</p>
+
+
+
+<p class="lfigure"><a name="advise745"><img width="90%" alt="Illustration:
+Fig. 1." src="images/advise745.png" /></a><br />Fig. 1.</p>
+
+<p>There is a natural, definite proportion of the component elements of
+every solid and fluid of the human body. These proportions have been
+reduced to definite standards, a deviation from which affords evidence of
+disease. Thus, there being a fixed standard in a normal proportion of the
+elements of the blood, any deviation from it, as in anæmia,
+leucocythæmia, etc., indicates disease. So also the <span
+class="pagenum"><a name="Page_963" id="Page_963"></a>[pg
+963]</span>standard proportion of the urinary elements being known, any
+considerable change, either in quantity or quality of its parts, bears
+unmistakable evidence of disease. The invention of the microscope has
+provided increased facilities for detecting diseases by examination of the
+urine. By the aid of this wonderful instrument, we are enabled to discover
+with absolute certainty the various urinary deposits characteristic of
+different maladies; thus in Fig. 1, A represents in a general way the
+sediment of abnormal urine as seen under the microscope. In division B is
+represented oxalate of urea upon precipitation by oxalic acid. Nitrate of
+urea is represented in division C. A deficiency of urea in the urine, with
+albumen and casts present, is a most important guide in the diagnosis of
+Bright's disease. The average quantity of urea present during health is
+21.57 parts in 1,000. The microscopic examination of the urine,
+notwithstanding the distaste, and even contempt, which many physicians
+manifest for such investigations, is pursued at the Invalids' Hotel and
+Surgical Institute, with inestimable benefit to our patients. It has
+revealed the existence of many serious affections, which, with all our
+other modes of investigation, we might have been unable to detect. It has
+also thrown light upon many obscure chronic diseases.</p>
+
+
+
+<p class="rfigure"><a name="advise746"><img width="90%" alt="Illustration:
+Fig. 2." src="images/advise746.png" /></a><br />Fig. 2.</p>
+
+<p>We have already spoken of the marked changes effected in the urine by a
+derangement of the digestive functions. It is a matter of surprise that
+physicians generally pay so little attention to the urine when dyspepsia is
+suspected, since all admit that an examination of that excretion furnishes
+unmistakable evidence of the nature and complications of the disease. In
+this way we are many times enabled to determine whether the indigestion is
+caused by <span class="pagenum"><a name="Page_964" id="Page_964"></a>[pg
+964]</span>congestion or functional disease of the liver or kidneys or by
+nervous debility. And when such cases are treated in accordance with the
+indications furnished, increased success attends our practice. In Fig. 2
+highly magnified urinary deposits, which indicate impairment of the
+digestive functions, are represented. The crystals are composed of oxalate
+of lime and appear in the different forms shown in the five sections, of
+octahedral, decahedral, round and dumb bell shapes. The latter are formed
+in the kidneys, and are sometimes discovered adhering to casts.</p>
+
+
+
+<p class="lfigure"><a name="advise747"><img width="90%" alt="Illustration:
+Fig. 3." src="images/advise747.png" /></a><br />Fig. 3.</p>
+
+
+<h3>INVALUABLE AIDS IN DETERMINING DISEASES OF THE KIDNEYS AND
+BLADDER.</h3>
+
+
+
+
+<p class="rfigure"><a name="advise748"><img width="90%" alt="Illustration:
+Fig. 4." src="images/advise748.png" /></a><br />Fig. 4.</p>
+
+<p>The various forms of gravel, Bright's disease of the kidneys,
+hæmaturia, inflammation of the kidneys and bladder, diabetes, and other
+functional and organic diseases of the urinary organs effect characteristic
+changes in the urine, thus enabling us to distinguish them with certainty
+and exactness. Some of the various microscopical appearances of the urinary
+deposits in diseases of the kidneys and bladder, are represented in Fig. 3.
+In division A is represented pus and mucus, with decomposition, indicating
+suppuration somewhere along the urinary tract. In B pus globules are alone
+represented. In the division marked C are shown blood corpuscles as they
+are arranged in blood drawn from a vein or artery. D represents the same
+separated, as they always are when present in the urine. In E highly
+magnified oil globules are represented. If present in the urine, they
+indicate disease of the kidneys. In F are represented epithelial cells, the
+presence of which in large numbers is indicative of diseases of the mucous
+lining of the urinary organs.</p>
+
+<p><span class="pagenum"><a name="Page_965" id="Page_965"></a>[pg
+965]</span>Fig. 4 represents the microscopic appearance of phosphates in
+the urine. These are present in great quantity in cases of nervous debility
+and kindred affections. By attaching the <i>camera lucida</i> to the
+microscope we can throw an image of these urinary deposits upon paper. By
+the art of the engraver this may be faithfully traced, and thus we are
+enabled to produce an accurate representation of them. Some of the
+beautiful crystalline deposits shown in Fig. 4 represent less than a
+millionth part of a grain, yet their forms are delineated with geometrical
+precision. Earthy phosphates are often mistaken for pus and also seminal
+fluid. Phosphates are always found in decomposed urine, otherwise they
+indicate brain affections, acute cystitis, etc. Experience has taught us
+that the voiding of urine loaded with phosphates is a forerunner of
+cystitis, or enlargement of the prostate gland, or both. In fact, persons
+so affected are "prone to serious consequences from mild attacks of almost
+any and every acute disease."</p>
+
+
+
+<p class="lfigure"><a name="advise749"><img width="90%" alt="Illustration:
+Fig. 5." src="images/advise749.png" /></a><br />Fig. 5.</p>
+
+<p>Fig. 5 represents the microscopic appearance of mixed urinary deposits.
+In division A is represented fermentation spores as they appear in diabetic
+urine. Pasteur asserts that the germs of this fungus get into the urine
+after it has been passed. Urates appear in division B. These indicate waste
+of flesh, as in fevers, consumption, prolonged physical efforts, etc.
+Division C pictures urates of ammonia. These appear in alkaline
+decomposition of the urine; it is isomeric with uric acid in acid urine. In
+division D is represented urate of soda, which is present in the tissues of
+persons suffering from gout. The crystals shown in division E consist of
+the same salt.</p>
+
+
+
+<p class="rfigure"><a name="advise750"><img width="90%" alt="Illustration:
+Fig. 6." src="images/advise750.png" /></a><br />Fig. 6.</p>
+
+<p>In Fig. 6, division A, is represented purulent matter as it appears in
+the urine. The formation of pus in different parts of the genitourinary
+<span class="pagenum"><a name="Page_966" id="Page_966"></a>[pg
+966]</span>system is accompanied by the appearance of pus corpuscles in the
+urine. When fat globules, represented in division B, are found in the
+urine, they indicate fatty degeneration. In division C are representations
+of the cells found in the urine of persons suffering from cystitis or other
+inflammatory diseases.</p>
+
+
+
+<p class="lfigure"><a name="advise751"><img width="90%" alt="Illustration:
+Fig. 7." src="images/advise751.png" /></a><br />Fig. 7.</p>
+
+<p>Fig. 7, divisions A and B, represent different forms of cystine.
+Fortunately this substance is rarely found in the urine. When present
+however it indicates liability to, or the actual presence of, a calculus or
+stone in the bladder. In division C is a representation of the deposits
+seen in the urine of those who are greatly debilitated. In division D are
+seen epithelial cells mixed with mucus.</p>
+
+
+
+<p class="rfigure"><a name="advise752"><img width="90%" alt="Illustration:
+Fig. 8." src="images/advise752.png" /></a><br />Fig. 8.</p>
+
+<p>In Fig. 8, division A, are represented the caudated cells from the deep
+structure of the bladder. The cells represented in division B are amyloid
+concretions, found where there is an enlarged prostate gland.</p>
+
+<p>Fig. 9 represents the appearance of spermatozoa as seen in the urine.
+When present, they afford indisputable evidence of the escape of semen in
+the renal excretions.</p>
+
+<p>We might add many other illustrations of urinary deposits and state
+their several indications, but a sufficient number has been introduced to
+show the importance and practical value of microscopic examinations of the
+urine in revealing obscure diseases.</p>
+
+<p>Although the microscope is of inestimable value in examining the renal
+excretion, it does not entirely supersede other valuable instruments and
+chemical re-agents in determining constitutional changes. By the urinometer
+we determine the specific gravity of the urine; by the use of litmus its
+acid or alkaline reaction, is ascertained; while various chemicals, when
+added to it, produce certain specific changes, according to the morbid
+alterations which it has <span class="pagenum"><a name="Page_967"
+id="Page_967"></a>[pg 967]</span>undergone by reason of disease. By the
+application of heat, or the addition of a few drops of nitric acid, the
+albumen, which is invariably present in Bright's disease of the kidneys, is
+coagulated. By the employment of other re-agents we may determine the
+presence of sugar&mdash;a characteristic of diabetic urine. And thus we might
+mention almost innumerable chemical tests by which the several changed
+conditions of the urine, <i>characteristic</i> of different diseases, may
+be ascertained with <i>absolute certainty</i>.</p>
+
+
+<h3>THE MOST EMINENT MEDICAL AUTHORITIES ENDORSE IT.</h3>
+
+<p>Dr. Eberle, a distinguished allopathic author, thus writes: "Whatever
+may be the disease, the urine seldom fails in furnishing us with a clue to
+the principles upon which it is to be treated."</p>
+
+<p>Dr. Braithwaite also says: "We can arrive at a more accurate knowledge
+respecting the nature of diseases from examining the urine than from any
+other symptom."</p>
+
+<p>Golding Bird, whose writings are regarded as sound and practical by the
+most learned of the medical profession, says: "The examination of the urine
+in disease is now regarded as one of the most important aids in diagnosis,
+and which it would be injurious alike to the welfare of the patient and the
+credit of the practitioner to avoid."</p>
+
+
+
+<p class="figure"><a name="advise753"><img width="40%" alt="Illustration:
+Fig. 9." src="images/advise753.png" /></a><br />Fig. 9.</p>
+
+<p>The eminent Dr. F. Simon writes as follows: "From the physical and
+chemical state of the urine, the attentive and observing physician may
+obtain a great quantity of information for ascertaining and establishing a
+diagnosis. More than all other signs, the correct examination of the
+sediment is of importance to the physician. * * * For the medical man it is
+the compass which guides him in the unlimited chaos of disease and its
+treatment; for the patient it is the thermometer of his condition, the
+premonitory indication of the decrease or aggravation of his malady; and
+for the healthy man it is the regulator of his diet and his life. Every one
+is aware of the variations of the barometer, and we know that the
+fluctuations of the column of mercury are closely associated with the
+variable conditions of the atmosphere; so, to the practical observer,
+variations of the urine, as well as the elements composing it, point out
+with certainty the changes in health, and the condition of the organs."</p>
+
+<p>While we recognize the importance of examining the urine as an aid in
+distinguishing diseases, and have made this old German method of <span
+class="pagenum"><a name="Page_968" id="Page_968"></a>[pg
+968]</span>diagnosis a special study, yet we do not claim that <i>all</i>
+diseases can be unmistakably distinguished by such examinations
+<i>alone</i>. We take a conservative position and have no confidence in
+that class of ignorant fanatics whose pet hobby is "uroscopy."</p>
+
+<p>From every person who solicits our professional services, we require
+explicit answers to numerous important questions, that we may know the age,
+sex, vocation, etc., as well as the prominent symptoms manifested.</p>
+
+
+<h3>CONSULTATIONS BY LETTER.</h3>
+
+
+<p>Formerly, we published in this book a very extensive list of questions
+to be answered by those consulting us, but a large experience has convinced
+us that beyond requiring answers to a few leading questions, which we still
+retain, it is better to let the patient describe the malady in his or her
+own way and language. After receiving and considering such a history, if we
+do not fully understand the patient's malady, we will ask such further
+questions as may be necessary. The patient should, however, in addition to
+writing name, post-office, county, and state, <i>plainly</i>, state the
+name of the town containing the nearest express office. Next give age, sex,
+whether married or single, complexion, height, present and former weight,
+if known, and occupation. State also if you have been a hard worker, and
+whether it is necessary for you to labor hard now, how long you have been
+out of health, and from what particular symptoms you suffer most. Follow
+this with a history of your case in your own language. If you find in this
+volume an accurate description of your disease, state the page and
+paragraph where it occurs.</p>
+
+
+<h3>FREE CONSULTATION.</h3>
+
+
+<p>We now make no charge for consultation by letter, but, instead of the
+one dollar formerly charged by us as a consultation fee, as we are desirous
+of making our facilities for treatment known to invalids far and near, we
+request that all persons writing to us for advice send us the names of all
+those within the circle of their acquaintance who are in any way in need of
+medical or surgical treatment for chronic diseases. If convenient, send the
+list on a separate piece of paper.</p>
+
+
+<h3>CHARGES MUST BE PREPAID.</h3>
+
+
+<p>Should you send a vial of urine for analysis, about a cupful will do,
+and <i>all express charges on it must be prepaid</i>. All liquids are
+excluded from the mails, when discovered, and yet we have received hundreds
+of samples through the mails safely when put in homoeopathic or other
+<i>very small</i> vials, well corked and carefully packed in a light tin
+can or <i>wooden</i> box, or in a light pine stick bored out hollow, the
+vial being carefully packed in sufficient saw-dust or blotting paper to
+absorb all liquid should the vial get broken. Letter postage, that is, two
+cents for each one ounce or fraction thereof, must be paid upon these
+sealed packages. Send the first urine that is passed after rising in the
+morning.</p>
+
+
+<p><span class="pagenum"><a name="Page_969" id="Page_969"></a>[pg
+969]</span></p><h3>RELIABLE MEDICINES.</h3>
+
+
+<p>Next in importance to a correct understanding of the patient's disease,
+is the possession of reliable remedies for its treatment. Many of the
+medicines employed by physicians engaged in general practice are prepared
+from old drugs that have lost all their medicinal virtues, and hence are
+utterly useless and ineffectual. Many vegetable extracts are inert, because
+the plants from which they are produced were not gathered at the proper
+time. To give the reader an idea of the great care which we exercise in the
+selection and preparation of our medicines, he is requested to read under
+the head of "The Preparation of Medicines," in "The People's Common Sense
+Medical Adviser."</p>
+
+
+<h3>OUR TERMS FOR TREATMENT</h3>
+
+
+<p>require the payment of monthly fees, in advance, which entitles the
+patient to medicines specially prepared for and adapted to his or her
+particular case, and to all necessary attention and advice. Our fees for
+treatment are moderate, varying according to the nature and requirements of
+each particular case, and will be made known at the time of
+consultation.</p>
+
+
+<h3>WHY OUR FEES ARE REQUIRED IN ADVANCE.</h3>
+
+
+<p>We receive applications from strangers residing in all parts of America,
+and even in foreign countries, and it is not reasonable to suppose that
+credit could be dispensed so indiscriminately. It would not be a correct
+business transaction for a merchant to send a barrel of sugar or a roll of
+cloth to a stranger living hundreds of miles away, to be paid for when
+used. Our knowledge and medicines constitute our capital in business, and
+an order upon that capital should be accompanied with an equivalent. Some
+applicants refer us to their neighbors for a testimonial of their
+integrity. We cannot spare the time or employ assistants to make such
+inquiries for the sake of trusting any one. Should credit be thus
+indiscriminately given, there would necessarily be losses, and, to
+compensate for these, and the extra expense incurred by the employment of
+assistants, our fees would have to be much larger, thereby imposing the
+burden upon those who <i>do</i> pay. Instead of following this method of
+procedure, we place professional services within the reach of all, so that
+a greater number may be benefited. Many invalids say that they have paid
+large sums of money to medical men for treatment without obtaining relief.
+Unfortunately our land is cursed with quacks and unprincipled
+practitioners, who seek no one's good but their own, and it is a defect in
+our law that it permits such swindlers to go unpunished. Not so
+reprehensible is the family physician who fails, because his limited and
+varied practice does not permit him to become proficient in treating
+chronic diseases.</p>
+
+<p><span class="pagenum"><a name="Page_970" id="Page_970"></a>[pg
+970]</span>The following beautiful sentiment of Hood truthfully expresses
+the sacredness of the physician's trust:</p>
+
+<blockquote>
+<p>
+&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;"Above all price of
+wealth<br />
+The body's jewel. Not for minds or hands profane<br />
+To tamper with in practice vain.<br />
+Like to a woman's virtue is man's health;<br />
+A heavenly gift within a holy shrine!<br />
+To be approached and touched with serious fear,<br />
+By hands made pure and hearts of faith severe,<br />
+E'en as the priesthood of the One Divine."<br />
+</p>
+</blockquote>
+
+<p>We are in regular practice, responsible for what we say and do, and
+cordially invite those who desire further evidence of our success in curing
+chronic diseases to come to the Invalids' Hotel and Surgical Institute and
+satisfy themselves of the truthfulness of our statements.</p>
+
+<p>We are warranted in saying that our responsibility and disposition for
+fair dealing are known to many of the principal mercantile houses, as well
+as to all prominent American editors. We also refer to our present and
+former patients, one or more of whom may be found in almost every hamlet of
+America. To all who are under our treatment we devote our highest energies
+and skill, fully realizing that an untold blessing is conferred upon every
+person whom we cure, and that such cures insure the permanency of our
+business. On the contrary, we realize how unfortunate it is for us to fail
+in restoring to health any person whom we have encouraged to hope for
+relief. We are careful, therefore, not to assume the treatment of incurable
+cases, except when desired to do so for the purpose of mitigating suffering
+or prolonging life; for we never wish to encourage false hopes of
+recovery.</p>
+
+
+<h3>TERMS FOR BOARD AND TREATMENT AT THE INVALIDS' HOTEL AND SURGICAL
+INSTITUTE</h3>
+
+<p>are moderate, varying with the nature of the case and the apartments
+occupied. At times so great is the number applying to avail themselves of
+the skill of our Faculty, and the advantages which our institution affords,
+that we are unable to receive all applicants. To be sure of securing good
+apartments, it is well to engage them sometime ahead, and make an advance
+payment of fifty dollars or more upon them, which will be refunded in case
+acute sickness or any similar cause should prevent the patient from
+occupying them at the time specified. Complete terms for treatment and
+board can be arranged only when personal application for entrance to the
+institution is made, and the nature and extent of the disease and the
+necessary treatment fully determined by personal examination of the case.
+If satisfactory terms and arrangements cannot at that time be agreed upon,
+or if the case be deemed incurable, any advance payments that have been
+made to secure good apartments will be promptly refunded.</p>
+
+
+<p><span class="pagenum"><a name="Page_971" id="Page_971"></a>[pg
+971]</span></p><h3>SPECIAL ADVICE.</h3>
+
+
+<p>Those coming here to consult us personally, should bring the money to
+pay for our services and for board and care while remaining here, in the
+form of drafts on New York City, Boston or Chicago, and <i>not</i> in the
+form of checks on a local or home bank. Such drafts can be purchased in the
+home bank by paying a small amount for the exchange. If more convenient,
+post office orders payable at Buffalo post office will do.</p>
+
+
+<h3>VISITING PATIENTS WHO RESIDE AT A DISTANCE.</h3>
+
+
+<p>We are frequently asked to visit patients residing hundreds of miles
+away, that we may personally examine their cases, or perform difficult
+surgical operations. We can seldom comply with such requests as the time of
+our professional Staff is generally very fully occupied.</p>
+
+
+<h3>TO PHYSICIANS</h3>
+
+<p>wishing to consult us in intricate cases of chronic diseases under their
+treatment, we desire to say that we shall, as in the past, take pleasure in
+responding to their solicitations. We have all the necessary instruments
+and appliances required in executing the most difficult surgical
+operations, and, as we have had much experience in this department, we are
+always ready and able to assist physicians who do not practice operative
+surgery. In this age of railways and telegraphs medical and surgical aid
+can be summoned from a distance and promptly obtained.</p>
+
+
+<h3>OUR MEDICINES</h3>
+
+
+<p>as put up for sale through druggists, are not recommended as
+"cure-alls," or panaceas, but only as superior remedies for certain common
+and easily-recognized diseases. They are our favorite prescriptions,
+improved and perfected by long study and a vast experience in the treatment
+of chronic diseases, and have gained world-wide celebrity and sale. We are
+well aware that there are many chronic diseases that can only be
+successfully treated and cured by careful adaptation of remedies to each
+individual case. This is especially true of the ever-varying and delicate
+diseases of the kidneys and bladder. It is not less so with reference to
+nervous debility, involuntary vital losses, with which so many young and
+middle-aged men are afflicted; and we may also include in this list
+epilepsy or fits, paralysis or palsy, obstinate gleety discharges, and many
+other chronic and delicate ailments of which our staff of physicians and
+surgeons cure annually many thousands of cases, but <i>for which we do not
+recommend</i> any of our put-up, ready-made, or proprietary medicines.</p>
+
+
+<h3>NO RELATIONSHIP WITH HUMBUGS.</h3>
+
+
+<p>Had our put-up or proprietary medicines, as sold by druggists the world
+over, been adapted to all classes and forms of chronic diseases, <span
+class="pagenum"><a name="Page_972" id="Page_972"></a>[pg 972]</span>there
+would have been no necessity for our organizing a competent staff of
+physicians and surgeons to act as experts in the treatment of difficult,
+obscure, and complicated cases of chronic diseases. That we keep constantly
+employed, in our Buffalo and London institutions, eighteen medical
+gentlemen, with such helpers as chemists, clerks, etc., is indisputable
+proof that the medicines we offer for sale through druggists should not be
+classed with the humbug nostrums recommended to cure everything. They are
+the outgrowth of our vast and extended practice in the treatment of chronic
+diseases; are well-tried, world-famed, and <i>honest medicines</i>. They
+are not unduly puffed and lauded, but simply recommended for such diseases
+as are easily recognized and which they are <i>known to cure.</i></p>
+
+
+<h3>NOT CONFINED IN PRESCRIBING</h3>
+
+
+<p>Our physicians, in the treatment of cases consulting us, prescribe just
+such medicines as are adapted to each particular case. <i>They are not
+confined in the least</i> to our list of a few put-up or proprietary
+medicines (valuable as they are when applicable to the case) but resort to
+the whole broad range of the <i>materia medica</i>, employed by the most
+advanced physicians of the age. They are not hampered by any school,
+<i>ism</i> or "<i>pathy</i>."</p>
+
+
+<h3>OUR MEDICINES PREPARED WITH THE GREATEST CARE.</h3>
+
+
+<p>The medicines employed are all prepared in our own Laboratory by skilled
+chemists and pharmacists, and the greatest care is exercised to have them
+manufactured from the freshest and purest ingredients. Our Faculty probably
+employ a greater number and variety of native roots, barks, and herbs, in
+their practice then are used in any other invalids' resort in the land.
+Using vast quantities of these indigenous medicines, we can afford and do
+not neglect to have them gathered with great care, at the proper seasons of
+the year, so that their medicinal properties may be most reliable. Too
+little attention is generally paid to this matter, and many failures result
+from the prescribing of worthless medicines by physicians who have to
+depend for their supplies upon manufacturers who are careless or
+indifferent in obtaining the crude plants and roots from which to
+manufacture their medicines for the market. While depending largely upon
+solid and fluid extracts of native plants, roots, barks, and herbs, in
+prescribing for disease, yet we do not use them to the exclusion of other
+valuable curative drugs and chemicals. We aim to be unprejudiced and
+independent in our selection of remedies, adopting at all times a rational
+system of therapeutics. This liberal course of action has, in a vast
+experience, proved most successful.</p>
+
+
+<blockquote>
+<p>
+WORLD'S DISPENSARY MEDICAL ASSOCIATION,<br />
+663 MAIN STREET, BUFFALO, N.Y.<br />
+</p>
+</blockquote>
+
+<p><span class="pagenum"><a name="Page_973" id="Page_973"></a>[pg
+973]</span></p><hr />
+
+<h2>PRESIDENT GARFIELD'S</h2>
+
+<h3>ENDORSEMENT OF THE</h3>
+
+<h1>Invalids' Hotel and Surgical Institute</h1>
+
+<h2><i>AND ITS FOUNDER.</i></h2>
+
+
+<p>The following letter from an eminent lawyer of Tennessee, is noteworthy,
+inasmuch as it shows the estimation in which Dr. Pierce and the
+institutions which he has founded were held by the lamented Garfield, who
+was one of the Doctor's intimate friends and colleagues while he was
+serving as a member of Congress:</p>
+
+<blockquote>
+<p>
+OFFICE OF H.F. COLEMAN,<br />
+ATTORNEY AT LAW,<br />
+SNEEDVILLE, TENN., Aug. 11, 1884<br />
+</p>
+</blockquote>
+
+<p><i>World's Dispensary Medical Association, 663 Main St., Buffalo,
+N.Y.</i></p>
+
+<p>GENTLEMEN:&mdash;Your letter of the 31st ult. just received and contents
+noted. I am perfectly satisfied with the explanation, and ask pardon for
+the sharp letter written you some days since. The mails are very irregular,
+as you know, and we are too apt to be impatient and attribute our mishaps
+to the wrong cause. Your honesty, integrity and ability are not doubted in
+the least by me.</p>
+
+<p>I have, perhaps, a higher endorsement of you than any other patient
+under your care, and for your gratification I will give it to you.</p>
+
+<p>Some time since I was in conversation with Congressman Pettibone, of
+this State, when the following conversation took place: "You say," said the
+Major, "that you have visited Dr. Pierce's medical establishment in
+Buffalo, New York?" "Yes, sir, I did." "You found everything as
+represented?" "Yes, sir, as was represented, and which I assure you was
+quite encouraging to a man who had traveled as far as I had to visit an
+institution of that kind." "That man, Dr. Pierce," said the Major, "is one
+of the best men of the times. While at Washington, during my first term,"
+he continued, "one day I was in President Garfield's room and a
+fine-looking, broad-foreheaded gentleman came in, and President Garfield
+arose and took him by the hand and said, 'Good morning, Doctor, I am so
+glad to see you,' and then turned and introduced him to me as Dr. Pierce,
+of Buffalo, New York. Knowing the Doctor by reputation, and having seen his
+pictures, I at once recognized him. He, in a short time, left the room, and
+Garfield said to me, 'Major, that is one of the best men in the world, and
+he is at the head of one of the best medical institutions in the
+world.'"</p>
+
+<p>With this high endorsement, I have unbounded confidence in your
+integrity and ability.</p>
+
+<blockquote>
+<p>
+Very truly yours,<br />
+H.F. COLEMAN.<br />
+</p>
+</blockquote>
+
+<p><span class="pagenum"><a name="Page_974" id="Page_974"></a>[pg
+974]</span><b>NOTICES OF THE PRESS.</b></p>
+
+<hr />
+
+
+<h3><b>OUR PROFESSIONAL STAFF.</b></h3>
+
+
+<p>The Buffalo <i>Evening News</i> says: "Each and every member of the
+medical and surgical staff of the Invalids' Hotel and Surgical Institute is
+a graduate in medicine and surgery from one or more legally chartered
+medical colleges, and several of the members have had many years of
+experience as army surgeons, and in hospital and general as well as in
+special practice. One is a licentiate of the Royal College of Physicians,
+Edinburgh; licentiate of the Faculty of Physicians and Surgeons, Glasgow;
+licentiate of midwifery, Glasgow; member of the Royal College of Surgeons,
+London, England; extraordinary member of the Royal Medical Society,
+Edinburgh, etc. Another is a graduate of the University of Pennsylvania, at
+Philadelphia; another of the New York Medical College; another of the
+Buffalo Medical College, and of the College of Physicians and Surgeons, New
+York; another of Cincinnati Medical College, and of the University of New
+York; another from Buffalo Medical College, and diplomas from all these
+institutions, as well as from many others equally noted, can be seen at the
+offices of this institution, if any one feels any interest in them."</p>
+
+<hr />
+
+
+<h4><i>From the "Roman Citizen," (Rome, N.Y.).</i></h4>
+
+<h3><b>THE INVALIDS' HOTEL AND SURGICAL INSTITUTE.</b></h3>
+
+
+<p>One of the most extensive institutions in this country for the treatment
+of chronic ailments is the Invalids' Hotel and Surgical Institute at
+Buffalo, under the control of the World's Dispensary Medical Association,
+of which Dr. R.V. PIERCE is President. The hotel itself is a wonderful
+affair, combining all the comforts and conveniences of a luxurious home
+with the most complete facilities for the successful treatment of all
+chronic diseases incident to humanity. Dr. PIERCE has a world-wide fame as
+a skillful practitioner, and his corps of assistants comprises many
+physicians and surgeons of great ability and large experience in the
+treatment of chronic and surgical diseases. Those who have been treated by
+the Association are loud in their praises, and we understand that the
+number of its patients increases with each succeeding year. The country is
+full of people who have been "doctoring" year after year without successful
+results, and the probabilities are that in a majority of such cases a few
+months spent at the Invalids' Hotel and Surgical Institute in the care of
+its medical experts, would result in material and permanent benefit.</p>
+
+<hr />
+
+
+<h4><i>From the Washington (D.C.) Chronicle.</i></h4>
+
+<h3><b>ONE OF THE ATTRACTIONS AT BUFFALO.</b></h3>
+
+
+<p>In the enterprising city of Buffalo some eminent and capable
+professional people have established an "Invalids' Hotel and Surgical
+Institute," under the comprehensive direction and control of the "World's
+Dispensary Medical Association" at 663 Main Street, in that beautiful city.
+This Institute is organized with a full staff of eighteen physicians and
+surgeons, and the hotel is exclusively devoted to treatment of chronic
+diseases. This corps of doctors make a specialty of chronic <span
+class="pagenum"><a name="Page_975" id="Page_975"></a>[pg
+975]</span>maladies, and the Institute is reputed to have abundant skill,
+facilities and apparatus for the successful treatment of every form of
+chronic ailment, whether requiring for its cure medical or surgical
+means.</p>
+
+<p>The building occupied is a massive one of five stories.</p>
+
+<hr />
+
+
+<h4><i>From the Missouri Republican</i> (<i>St. Louis</i>).</h4>
+
+<h3><b>A REMARKABLE PROFESSIONAL SUCCESS.</b></h3>
+
+
+<p>Among the notable professional men of this country who have achieved
+extraordinary success is Dr. R.V. PIERCE, of Buffalo, N.Y. The prominence
+which he has attained has been reached through strictly legitimate means,
+and so far, therefore, he deserves the enviable reputation which he enjoys.
+This large measure of success is the result of a thorough and careful
+preparation for his calling, and extensive reading during a long and
+unusually large practice, which has enabled him to gain high commendation,
+even from his professional brethren. Devoting his attention to certain
+specialties of the science he has so carefully investigated, he has been
+rewarded in a remarkable degree. In these specialties he has become a
+recognized leader. Not a few of the remedies prescribed by him have, it is
+said, been adopted and prescribed by physicians in their private practice.
+His pamphlets and larger works have been received as useful contributions
+to medical knowledge. He has recently added another, and perhaps more
+important work, because of more general application, to the list of his
+published writings. This book, entitled "The People's Common Sense Medical
+Adviser," is designed to enter into general circulation. For his labors in
+this direction, Dr. PIERCE has received acknowledgments and honors from
+many sources, and especially scientific degrees from two of the first
+medical institutions in the land. His works have been translated into the
+German, Spanish, French, and other foreign languages.</p>
+
+<hr />
+
+
+<h4><i>From the Toledo Blade</i>.</h4>
+
+
+<p>Dr. PIERCE has now been before the general public long enough to enable
+the formation of a careful estimate of the efficiency of his treatment and
+his medicines, and the verdict, we are glad to know, has been universally
+favorable to both.</p>
+
+<hr />
+
+
+<h4><i>From the St. Louis Globe</i>.</h4>
+
+<h3><b>THE SUCCESSFUL PHYSICIAN.</b></h3>
+
+
+<p>Dr. PIERCE is a type of a class of men who obtain success by careful and
+well-directed effort, not attempting too much, nor creating false ideas as
+to ability. The only reliable physician, in these days of complicated
+disorders and high-pressure living, is the "Specialist," the man who
+understands his own branch of the business. Such, in his line, is Dr.
+Pierce. He has written a "Common Sense Medical Adviser," which is well
+worth reading. With strict business honor, high professional skill,
+reasonable fees, and a large corps of competent assistants Dr. Pierce has
+made his name as familiar as "household words."</p>
+
+<hr />
+
+
+<p>From <i>the Rocky Mountain Herald</i>.</p>
+
+
+<p>Dr. R.V. PIERCE, the greatest American specialist, and proprietor of the
+World's Dispensary, Buffalo, N.Y., has sent us his new book entitled "The
+People's Common Sense Medical Adviser," which is a handsome, large volume,
+elegantly got up, with hundreds of wood-cuts <span class="pagenum"><a
+name="Page_976" id="Page_976"></a>[pg 976]</span>and colored plates, and a
+complete cyclopedia of medical teachings for old and young of both sexes.
+<i>It has every thing in it,</i> according to the latest scientific
+discoveries, and withal is wonderfully <i>commomensical</i> in its style
+and teachings.</p>
+
+<hr />
+
+
+<p><i>From the Lafayette Daily Courier.</i></p>
+
+
+<p>Dr. R.V. PIERCE, of Buffalo, distinguished in surgery, and the general
+practice of the profession he honors, has made a valuable contribution to
+the medical literature of the day, in a comprehensive work entitled "The
+People's Common Sense Medical Adviser." While scientific throughout, it is
+singularly free from technical and stilted terms. It comes right down to
+the common-sense of every-day life, and, to quote from the author himself,
+seeks to "inculcate the facts of science rather than the theories of
+philosophy." This entertaining and really instructive work seems to be in
+harmony with the enlarged sphere of thought, as touching the open polar sea
+of evolution. He considers man in every phase of his existence, from the
+rayless atom to the grand upbuilding of the noblest work of God. Dr. PIERCE
+is a noble specimen of American manhood. He has sprung from the people, and
+with many sympathies in common with the masses, has sought to render them a
+substantial service in this the great work of his life.</p>
+
+<hr />
+
+
+<h4><i>From, the New York Independent.</i></h4>
+
+<h3><b>LAURELS FOR TRUE WORTH.</b></h3>
+
+
+<blockquote>
+<p>
+"A wise physician, skill'd our wounds to heal,<br />
+Is more than armies to the public weal."<br />
+</p>
+</blockquote>
+
+<p>To be honored in his own land is the crowning blessing of the man who
+has been "the architect of his own fortune"&mdash;the man who has made for
+himself, with his own hands and brain, a princely fortune and an enduring
+fame. From COMLEY'S History of New York State, containing biographical
+sketches of the men who "have given wealth, stamina, and character" to the
+Empire State, we clip the following brief sketch of the distinguished
+physician, Dr. R.V. PIERCE, of Buffalo: "Every nation owes its peculiar
+character, its prosperity&mdash;in brief, every thing that distinguishes it as
+an individual nation,&mdash;to the few men belonging to it who have the courage
+to step beyond the boundaries prescribed by partisanship, professional
+tradition, or social customs. In professional no less than in political
+life there occasionally arise men who burst the fetters of conventionalism,
+indignantly rejecting the arbitrary limits imposed upon their activity, and
+step boldly forward into new fields of enterprise. We call these men
+<i>self-made.</i> The nation claims them as her proudest ornaments&mdash;the men
+upon whom she can rely, in peace for her glory, in war for her succor. Of
+this class of men the medical profession has furnished a distinguished
+example in the successful and justly-celebrated physician, Dr. R.V. PIERCE,
+of Buffalo, N.Y., and any history treating of the industries of the Empire
+State would be incomplete without a sketch of his useful and earnest work.
+* * * Specially educated for the profession which he so eminently adorns,
+he early supplemented his studies by extensive and original research in its
+several departments. He brought to his chosen work acute perceptive and
+reflective powers, and that indomitable energy that neither shrinks at
+obstacles nor yields to circumstances. In physique, Dr. PIERCE is an ideal
+type of American manhood. Of medium stature, robust, his appearance is
+characterized by a healthful, vigorous vitality, while the full, lofty brow
+and handsomely cut <span class="pagenum"><a name="Page_977"
+id="Page_977"></a>[pg 977]</span>features are indicative of that
+comprehensive mental power and remarkable business sagacity which have
+combined to place him among the distinguished men of the age. * * * As an
+earnest worker for the welfare of his fellow-men, Dr. PIERCE has won their
+warmest sympathy and esteem. While seeking to be their servant only, he has
+become a prince among them. Yet the immense fortune lavished upon him by a
+generous people he hoards not, but invests in the erection and
+establishment of institutions directly contributive to the public good, the
+people thus realizing, in their liberal patronage, a new meaning of the
+beautiful Oriental custom of casting bread upon the waters. Noted in both
+public and private life for his unswerving integrity and all those sterling
+virtues that ennoble manhood, Dr. PIERCE ranks high among those few men
+whose names the Empire State is justly proud to inscribe upon her roll of
+honor." Dr. PIERCE has lately erected a palatial Invalids' Hotel for the
+reception of his patients, at a cost of over half a million dollars.</p>
+
+<hr />
+
+
+<h3><b>A MAN OF THE TIME.</b></h3>
+
+
+<p>Speaking of Dr. R.V. PIERCE, the <i>Buffalo</i> (N.Y.) <i>Commercial</i>
+says: "He came here an unknown man, almost friendless, with no capital
+except his own manhood, which, however, included plenty of brains and
+pluck, indomitable perseverance, and inborn uprightness, capital enough for
+any man in this progressive country, if only he has good health and habits
+as well. He had all these great natural advantages, and one thing more, an
+excellent education. He had studied medicine and been regularly licensed to
+practice as a physician. But he was still a student, fond of investigation
+and experiment. He discovered, or invented, important remedial agencies or
+compounds. Not choosing to wait wearily for the sick and suffering to find
+out (without any body to tell them) that he could do them good, he
+advertised his medicines and invited the whole profession of every school,
+to examine and pronounce judgment on his formulas. He advertised liberally,
+profusely, but with extraordinary shrewdness, and with a method which is in
+itself a lesson to all who seek business by that perfectly legitimate
+means. His success has been something marvelous&mdash;so great, indeed, that it
+must be due to intrinsic merit in the articles he sells, more even than to
+his unparalleled skill in the use of printer's ink. The present writer once
+asked a distinguished dispensing druggist to explain the secret of the
+almost universal demand for Dr. PIERCE'S medicines. He said they were in
+fact genuine medicines&mdash;such compounds as every good physician would
+prescribe for the diseases which they were advertised to cure. Of course,
+they cost less than any druggist would charge for the same article,
+supplied on a physician's prescription, and, besides, there was the
+doctor's fee saved. Moreover, buying the drugs in such enormous quantities,
+having perfect apparatus for purifying and compounding the mixture, he
+could not only get better articles in the first place, but present the
+medicine in better form and cheaper than the same mixture could possibly be
+obtained from any other source.</p>
+
+<hr />
+
+
+<h4><i>Extracts from Biographical Sketches of New York Senators.</i></h4>
+
+
+<p>At the age of eighteen, he (Dr. PIERCE) entered a medical school, and
+proved a devoted student, graduating at twenty-three with the highest
+honors. A simple knowledge of the routine of practice as then in vogue, was
+not enough. He sought new means of healing, and explored "schools" of
+practice that were prohibited by his sect. He denounced <span
+class="pagenum"><a name="Page_978" id="Page_978"></a>[pg 978]</span>errors
+in the prevailing "schools" and accepted truths belonging to those
+prohibited. Every one knows how such daring and destructive innovations are
+regarded by the medical profession generally. Dr. PIERCE was no exception
+to the rule. But he paid no attention to detraction, pursuing his own way
+with that energy which proves now to be a most excellent ally of his
+medical instincts.</p>
+
+<p>The World's Dispensary is to-day the greatest institution of its kind in
+the world. More than two hundred persons are employed, eighteen being
+skillful physicians and surgeons, each devoting himself to a special branch
+of the profession, all acting together when required, as a council. The
+printing department of the Dispensary is larger than the similar department
+of any paper outside of the <i>New York Herald.</i></p>
+
+<hr />
+
+
+<h4><i>From the New York Times.</i></h4>
+
+<h3><b>WELL-MERITED SUCCESS.</b></h3>
+
+
+<p>The author of "The People's Medical Adviser" is well-known to the
+American public as a physician of fine attainments, and his Family
+Medicines are favorite remedies in thousands of our households. As a
+counselor and friend, Dr. PIERCE is a cultured, courteous gentleman. He has
+devoted all his energies to the alleviation of human suffering. With this
+end in view and his whole heart in his labors, he has achieved marked and
+merited success. There can be no real success without true merit. That his
+success is <i>real</i>, is evidenced by the fact that his reputation, as a
+man and physician, does not deteriorate; and the fact that there is a
+steadily increasing demand for his medicines, proves that they are not
+nostrums, but reliable remedies for disease. The various departments of the
+World's Dispensary in which his Family Medicines are compounded and his
+special prescriptions prepared, are provided with all modern
+facilities.</p>
+
+<hr />
+
+
+<h4><i>The New York Tribune says:</i></h4>
+
+
+<p>"The American mind is active. It has given us books of fiction for the
+sentimentalist, learned books for the scholar and professional student, but
+<i>few books for the people</i>. A book <i>for the people</i> must relate
+to a subject of universal interest. Such a subject is the physical man, and
+such a book 'The People's Common Sense Medical Adviser,' a copy of which
+has been recently laid on our table. The high professional attainments of
+its author,&mdash;Dr. R.V. PIERCE, of Buffalo, N.Y.,&mdash;and the advantages derived
+by him from an extensive practice, should alone insure for his work a
+cordial reception." Price $1.50, post-paid. Address, WORLD'S DISPENSARY
+MEDICAL ASSOCIATION, Buffalo, N.Y.</p>
+
+<hr />
+
+
+<h4><i>From, the Boston Daily Globe.</i></h4>
+
+<h3><b>A CURE FOR MANY EVILS.</b></h3>
+
+<p>What can be accomplished by judicious enterprise, when backed up by
+ability and professional skill, is shown by the magnificent buildings of
+the World's Dispensary and the Invalids' Hotel and Surgical Institute, at
+Buffalo. While models of architectural beauty and completeness, their real
+worth and usefulness consist rather in the humanitarian objects they are
+made to serve. They stand superior to all institutions of their kind, not
+only in material proportions but as well in the medical knowledge and
+practical experience of those connected with them. In each department are
+those and those only who by natural bent and training are specially adapted
+to combating their particular class of "the ills which flesh is heir
+to."</p>
+
+<p><span class="pagenum"><a name="Page_979" id="Page_979"></a>[pg 979]</span></p>
+
+<h1>VOCABULARY</h1>
+
+<h2>OF THE</h2>
+
+<h1>COMMON SENSE MEDICAL ADVISER,</h1>
+
+
+<h3><i>GIVING EACH TECHNICAL WORD EMPLOYED, REFERRING TO ITS images/advise
+WHEN POSSIBLE, AND IN CASE THE WORD WILL NOT PERMIT OF A SHORT DEFINITION,
+REFERRING TO THE PAGE WHERE A FULL DESCRIPTION OF ITS MEANING MAY BE
+FOUND.</i></h3>
+
+
+<p><b>A</b></p>
+
+
+<p><b>Abdomen</b>. The part of the body between the diaphragm and pelvis,
+containing the stomach, intestines, etc. The belly.</p>
+
+<p><b>Abdominal</b>. Belonging to the Abdomen.</p>
+
+<p><b>Abortion</b>. Expulsion of the foetus before the seventh month of
+pregnancy.</p>
+
+<p><b>Absorption</b>. The function of taking up substances from within or
+without the body.</p>
+
+<p><b>Acetabulum</b>. The bone socket which receives the head of the thigh
+bone.</p>
+
+<p><b>Acne</b>. Pimples upon the face, more common at the age of
+puberty.</p>
+
+<p><b>Adipose Tissue</b>. A thin membrane composed of cells which contain
+fat.</p>
+
+<p><b>Adventitious</b>. Acquired.</p>
+
+<p><b>Albumen in urine</b>in chemical composition resembles the white of an
+egg, and is detected by the application of heat, nitric acid, etc.</p>
+
+<p><b>Albuminoid</b>. Of the nature of albumen.</p>
+
+<p><b>Albuminuria</b>. A condition or disease in which the urine contains
+albumen. (See above.)</p>
+
+<p><b>Alimentary Canal</b>. The canal extending from the mouth to the anus,
+through which the food passes.</p>
+
+<p><b>Allopathy</b>. Allopathic school. Defined on <a href='#Page_293'>page
+293</a>.</p>
+
+<p><b>Alterative</b>. A medicine which gradually changes the constitution,
+restoring healthy functions.</p>
+
+<p><b>Alveolar process</b>. The bony structure which contains the sockets
+of the teeth.</p>
+
+<p><b>Amaurosis</b>. Loss or decay of sight from disease of the optic
+nerve.</p>
+
+<p><b>Amenorrhea</b>. Suppression of the menses.</p>
+
+<p><b>Amnion</b>. A membrane enveloping the foetus and the liquid.</p>
+
+<p><b>Amputation</b>. The operation of cutting off a limb.</p>
+
+<p><b>Amyloid degeneration</b>. Alteration in the texture of organs, which
+resembles wax or lard.</p>
+
+<p><b>Amyloids</b>. Foods composed of carbon and hydrogen; as sugar,
+starch, etc.</p>
+
+<p><b>Anæmia</b>. Privation of blood. Lack of red corpuscles in the
+blood.</p>
+
+<p><b>Anasarca</b>. Dropsy attended with bloating all over the body.</p>
+
+<p><b>Anatomy</b>. The science of the structure of the body.</p>
+
+<p><b>Anesthetic</b>. An agent that prevents feeling in surgical
+operations, and in some diseases of a painful nature.</p>
+
+<p><b>Angina (pectoris)</b>. Violent pain about the heart, attended with
+anxiety and difficult breathing.</p>
+
+<p><b>Animalcula, Animalcule</b>. An animal so small as to be invisible, or
+nearly so, to the naked eye.</p>
+
+<p><b>Anodynes</b>. Medicines which relieve pain.</p>
+
+<p><b>Anteversion</b>. The womb falling forward upon the bladder. Illus. p.
+716.</p>
+
+<p><b>Anthelmintics</b>. Medicines which destroy or expel worms from the
+stomach and intestines.</p>
+
+<p><b>Antidote</b>. A remedy to counteract the effect of poison.</p>
+
+<p><b>Antifebrile</b>. A remedy which abates fever.</p>
+
+<p><b>Antiperiodic</b>. A remedy which prevents the regular appearance of
+similar symptoms in the course of a disease.</p>
+
+<p><b>Antiseptic</b>. Medicines which prevent putrefaction.</p>
+
+<p><b>Antispasmodics</b>. Medicines which relieve spasm.</p>
+
+<p><b>Anus</b>. The circular opening at the end of the bowel, through which
+the excrement leaves the body.</p>
+
+<p><b>Aorta</b>. The great artery of the body arising from the heart.
+Illus. <a href='#Page_58'>page 58</a>.</p>
+
+<p><b>Aperient</b>. A medicine which moves the bowels gently.</p>
+
+<p><b>Aphthæ</b>. Sore mouth, beginning in pimples and ending in white
+ulcers.</p>
+
+<p><b>Aphthous</b>. Complicated with aphthæ.</p>
+
+<p><b>Apnoea</b>. Short, hurried breathing.</p>
+
+<p><b>Apoplexy</b>. The effects of a sudden rush of blood to an organ; as
+the brain, lungs, etc. Brain pressure, from rupture of a blood-vessel.</p>
+
+<p><b>Aqueous humor</b>. The clear fluid contained in the front chambers of
+the eye.</p>
+
+<p><b>Arachnoid</b>. A thin, spider-web like membrane covering the
+brain.</p>
+
+<p><b>Areolar Tissue</b>. The network of delicate fibres spread over the
+body, binding the various organs and parts together.</p>
+
+<p><b>Artery</b>. A vessel carrying blood from the heart to the various
+parts of the body; usually red in color.</p>
+
+<p><span class="pagenum"><a name="Page_980" id="Page_980"></a>[pg 980]</span></p>
+
+<p><b>Articular</b>. Relating to the joints.</p>
+
+<p><b>Articulated</b>. Jointed.</p>
+
+<p><b>Articulations</b>. The union of one bone with another. A Joint.</p>
+
+<p><b>Ascites</b>. Accumulation of fluid in the abdominal cavity.</p>
+
+<p><b>Asphyxia</b>. A condition of apparent death owing to the supply of
+air being cut off; as in drowning, inhalation of gases, sun-stroke,
+etc.</p>
+
+<p><b>Aspirator</b>. An instrument for the evacuation of fluids from the
+cavities of the body, as water in abdominal dropsy, the contents of tumors,
+etc.</p>
+
+<p><b>Assimilation</b>. Appropriating and transforming into its own
+substance, matters foreign to the body.</p>
+
+<p><b>Astringents</b>. Medicines which contract the flesh.</p>
+
+<p><b>Atonic, Atony</b>. Wanting tone.</p>
+
+<p><b>Atrophied</b>. Wasted; lessened in bulk.</p>
+
+<p><b>Atrophy</b>. Wasting away; diminution in size.</p>
+
+<p><b>Auditory nerves</b>. The nerves connecting the brain with the ears
+and employed in exercising the sense of hearing.</p>
+
+<p><b>Auscultation</b>. Diagnosing diseases by listening, either with or
+without instruments.</p>
+
+
+<p><b>B</b></p>
+
+
+<p><b>Balanitis</b>. Gonorrhea of the mucous surface of the head of the
+penis.</p>
+
+<p><b>Benign</b>. Harmless; a term applied to tumors.</p>
+
+<p><b>Beverage</b>. A liquor for drinking.</p>
+
+<p><b>Bile</b>. A yellow bitter fluid secreted by the liver. Defined on <a
+href='#Page_80'>page 80</a>.</p>
+
+<p><b>Bilious</b>. Disordered in respect to bile. Relating to bile.</p>
+
+<p><b>Bilious temperament, Volitive temperament</b>. See <a
+href='#Page_173'>page 173</a>.</p>
+
+<p><b>Biology</b>. The science of life.</p>
+
+<p><b>Bistoury</b>. A small cutting knife.</p>
+
+<p><b>Bladder (urinary)</b>. The organ, situated behind the pubic bone,
+which holds the urine until its expulsion. Illus. pages <a
+href="#Page_206">206</a> and <a href="#Page_207">207</a>.</p>
+
+<p><b>Blebs</b>. Eminences of the skin containing a watery fluid.</p>
+
+<p><b>Bloody-flux</b>. A disease characterized by frequent, scanty, and
+<i>bloody</i> stools.</p>
+
+<p><b>Boil</b>. An inflamed tumor which comes to a head and discharges
+matter and a core. See <a href='#Page_443'>page 443</a>.</p>
+
+<p><b>Bolus</b>. A large pill.</p>
+
+<p><b>Bougie</b>. A long, flexible instrument used for dilating contracted
+canals and passages.</p>
+
+<p><b>Breach</b>. Some form of hernia of the abdomen. See <a
+href='#Page_862'>page 862</a>.</p>
+
+<p><b>Broad ligaments of the uterus</b>. Folds of the peritoneum which
+support the womb and contain the Fallopian tubes and ovaries. Illus. p.
+206.</p>
+
+<p><b>Bronchea</b>. Tubes formed by the division of the windpipe. Illus. <a
+href='#Page_64'>page 64</a>.</p>
+
+<p><b>Bronchocele</b>. Thick neck, goitre.</p>
+
+<p><b>Bubo</b>. An inflammatory tumor in the groin.</p>
+
+<p><b>Bulla</b>. A bleb or large pimple containing transparent fluid.</p>
+
+
+<p><b>C</b></p>
+
+
+<p><b>Cachexia</b>. A depraved condition of the system; as from poor food,
+syphilis, etc.</p>
+
+<p><b>Calcareous</b>. Containing lime.</p>
+
+<p><b>Calcification</b>. The process of forming of, or converting into,
+chalk.</p>
+
+<p><b>Calculus, calculi</b>. Stones or similar concretions formed by the
+deposit of solid matter; of lime, soda, uric acid, urates, oxalates,
+etc.</p>
+
+<p><b>Calisthenics</b>. Healthful exercise of the body and limbs, for
+purposes of strength and agility.</p>
+
+<p><b>Cancellated structure</b>. Cells communicating with each other
+forming a structure resembling "lattice-work."</p>
+
+<p><b>Canker</b>. Ulcers in the mouth.</p>
+
+<p><b>Capillaries</b>. Very small blood-vessels. Defined on <a
+href='#Page_60'>page 60</a>.</p>
+
+<p><b>Carbonic Acid</b>. A heavy, poisonous gas. Choke damp.</p>
+
+<p><b>Cardiac</b>. Pertaining to the heart. Near or towards the heart.</p>
+
+<p><b>Carminatives</b>. Medicines which allay pain in the stomach and
+intestines by expelling the gas.</p>
+
+<p><b>Carotids</b>. The great arteries at the sides of the neck.</p>
+
+<p><b>Cartilage</b>. A solid part of the body found in the joints, ends of
+the ribs, etc. It is softer than bone but harder than ligament.</p>
+
+<p><b>Cartilaginous tissue</b>. Parts of the body of the nature of
+cartilage.</p>
+
+<p><b>Carunculæ</b>. Fleshy growths.</p>
+
+<p><b>Casein</b>. The part of milk which contains nitrogen. Cheese
+curd.</p>
+
+<p><b>Catalytics</b>. Medicines which destroy morbid agencies in the blood.
+Alteratives.</p>
+
+<p><b>Catamenia</b>. Monthly flow of the female.</p>
+
+<p><b>Cataract</b>. Opacity of the lens of the eye, or its covering, or
+both.</p>
+
+<p><b>Cathartics</b>. Medicines which cause evacuation of the bowels.</p>
+
+<p><b>Catheter</b>. A hollow tube introduced into the bladder through the
+urethra for the purpose of drawing off the urine.</p>
+
+<p><b>Caustics</b>. Substances which destroy animal tissue.</p>
+
+<p><b>Cauterization</b>. Burning or searing by a hot iron, or caustic
+medicines.</p>
+
+<p><b>Cauterize</b>. To burn or sear by a hot iron, or by medicines which
+destroy.</p>
+
+<p><b>Cell</b>. A little vessel having a membranous wall and containing
+fluid. The whole body may be considered as formed of different kinds of
+cells.</p>
+
+<p><b>Cellular structure</b>. See <b>Cancellated structure</b>.</p>
+
+<p><b>Cerebellum</b>. Little brain. Base brain. Illus. <a
+href='#Page_100'>page 100</a>.</p>
+
+<p><b>Cerebrum</b>. The upper or large brain. Illus. <a
+href='#Page_100'>page 100</a>.</p>
+
+<p><b>Cervix</b>. Neck; neck of the womb. Illus. <a href='#Page_206'>page
+206</a>.</p>
+
+<p><b>Chalybeate</b>. Mineral waters which contain iron.</p>
+
+<p><b>Chancre</b>. A virulent, syphilitic ulcer. Figs. 27 and 28, Plate V.,
+Pamphlet X.</p>
+
+<p><b>Chancroid</b>. Resembling infectious chancre. Soft chancre.</p>
+
+<p><span class="pagenum"><a name="Page_981" id="Page_981"></a>[pg 981]</span></p>
+
+<p><b>Chlorosis</b>. Green sickness. A disease of young women attended with
+a greenish hue of the skin, debility, etc.</p>
+
+<p><b>Cholagogues</b>. Cathartics which stimulate the liver.</p>
+
+<p><b>Chordæ tendineæ</b>. Cord-like substances about the valves of the
+heart. See <a href='#Page_57'>page 57</a>.</p>
+
+<p><b>Cordee</b>.</p>
+
+<p><b>Choroid</b>. The dark colored lining membrane of the eye.</p>
+
+<p><b>Chyle</b>. Food digested and ready for absorption. See pages <a
+href="#Page_45">45</a> and <a href="#Page_49">49</a>.</p>
+
+<p><b>Chylous products</b>. See <b>Chyle</b>.</p>
+
+<p><b>Chyme</b>. Food after being subjected to the action of the gastric
+fluids.</p>
+
+<p><b>Cicatrix</b>. The scar or place where parts which have been cut or
+divided, are united.</p>
+
+<p><b>Cilia</b>. Small hairs.</p>
+
+<p><b>Circumcision</b>. An operation for removing superfluous foreskin.</p>
+
+<p><b>Circumvallate</b>. Arranged in oblique lines, as the prominences on
+the back of the tongue.</p>
+
+<p><b>Clap</b>. Gonorrhea. A venereal disease of the urethra.</p>
+
+<p><b>Clavicle</b>. See <b>Collar-bone.</b></p>
+
+<p><b>Clinical medicine.</b> Investigation of disease at the bedside.</p>
+
+<p><b>Coagulate</b>. To thicken or harden, as heat hardens the white of an
+egg.</p>
+
+<p><b>Coition</b>. Sexual intercourse. The act of generation.</p>
+
+<p><b>Collar-bone (Clavicle).</b> A bone at the front and top of chest,
+attached by one end to the breast-bone and by the other to the
+shoulder-blade.</p>
+
+<p><b>Colon</b>. Part of the large intestines. Illus. <a
+href='#Page_40'>page 40</a>.</p>
+
+<p><b>Coma</b>. A condition of profound sleep from which it is difficult to
+arouse the patient.</p>
+
+<p><b>Comedones</b>. Pimples on the face. See <a href='#Page_412'>page
+412</a>, and Fig. 8. Plate II.</p>
+
+<p><b>Compress</b>. A soft cloth folded to several thicknesses, so that
+with a bandage pressure can be applied, or by wetting in hot water, a part
+can be subjected to the influences of heat and moisture.</p>
+
+<p><b>Conception</b>. Impregnation of the ovum; the beginning of a new
+being.</p>
+
+<p><b>Congenital</b>. Applied to a disease born with one; from birth.</p>
+
+<p><b>Congestion</b>. An abnormal amount of blood in a part or organ.</p>
+
+<p><b>Conjunctiva</b>. The membrane which covers the external surface of
+the eyeball.</p>
+
+<p><b>Conjunctivitis</b>. Inflammation of the eye.</p>
+
+<p><b>Contagion</b>. The transmission of disease from one to another by
+contact, as hydrophobia, syphilis; or otherwise, as measles, scarlet fever,
+etc.</p>
+
+<p><b>Contagious</b>. Capable of being transmitted from one person to
+another.</p>
+
+<p><b>Continence</b>. Abstinence from sexual intercourse or excitement.</p>
+
+<p><b>Convalescence</b>. The recovery of health after sickness.</p>
+
+<p><b>Convoluted</b>. Curved or rolled together.</p>
+
+<p><b>Copulation</b>. Sexual intercourse.</p>
+
+<p><b>Corlum</b>. A layer of the akin.</p>
+
+<p><b>Cornea</b>. A transparent covering of the front of the eye.</p>
+
+<p><b>Corpuscles of the blood.</b>  Defined and illustrated on <a
+href='#Page_53'>page 53</a>.</p>
+
+<p><b>Counter-irritants.</b> Defined on <a href='#Page_331'>page
+331</a>.</p>
+
+<p><b>Cowper's glands of the male.</b> Glands situated in front of the
+prostate gland. Illus. <a href='#Page_207'>page 207</a>.</p>
+
+<p><b>Coxalgia</b>. Hip-joint disease. See <a href='#Page_451'>page
+451</a>.</p>
+
+<p><b>Cranium</b>. The skull. The bones of the head.</p>
+
+<p><b>Crayons</b>. Sticks or cylinders made of Cocoa butter and
+medicated.</p>
+
+<p><b>Cross-eye.</b> One or both eyes drawn towards the nose. Squint.</p>
+
+<p><b>Crustaceous</b>. Belonging to the class of animals covered by a
+crust-like shell.</p>
+
+<p><b>Cutaneous</b>. Belonging to, or affecting, the skin.</p>
+
+<p><b>Cuticle</b>. The outer layer of the skin, consisting of small bony
+scales.</p>
+
+<p><b>Cystitis</b>. Inflammation of the bladder. In chronic form, Catarrh
+of the bladder.</p>
+
+
+<p><b>D</b></p>
+
+
+<p><b>Debris</b>. Broken-down tissue. Waste material.</p>
+
+<p><b>Decoction</b>. Defined on <a href='#Page_303'>page 303</a>.</p>
+
+<p><b>Defecation</b>. Voiding excrement from the body.</p>
+
+<p><b>Degeneration, fatty.</b> The deposit of particles of fat instead of
+the proper muscular tissue.</p>
+
+<p><b>Deglutition</b>. Swallowing. Conveying food to the stomach.</p>
+
+<p><b>Dejection of mind.</b> Despondency. Low spirits.</p>
+
+<p><b>Dejections</b>. The matter voided from the bowels.</p>
+
+<p><b>Deleterious</b>. Destructive. Poisonous.</p>
+
+<p><b>Dentition</b>. Cutting of the teeth in infancy.</p>
+
+<p><b>Deodorizer</b>. A substance that destroys a bad smell.</p>
+
+<p><b>Depletion</b>. To empty the blood-vessels by lancing a vein or by
+medicines.</p>
+
+<p><b>Depravation</b>. Corruption.</p>
+
+<p><b>Depurating</b>. Cleansing.</p>
+
+<p><b>Dermatologist</b>. One who makes diseases of the skin a
+specialty.</p>
+
+<p><b>Desiccate</b>. To dry up.</p>
+
+<p><b>Desquamation</b>. Scaling off of the skin, after fevers.</p>
+
+<p><b>Desquamative nephritis,</b> Bright's Disease, in which epithelial
+cells escape with the urine.</p>
+
+<p><b>Diabetes</b>. Defined on <a href='#Page_835'>page 835</a>.</p>
+
+<p><b>Diagnosis</b>. The determination of a disease by its symptoms or
+characteristics.</p>
+
+<p><b>Diagnostic.</b> The symptoms by which a disease is distinguished from
+others.</p>
+
+<p><b>Diaphoretic</b>. Medicines which increase perspiration.</p>
+
+<p><b>Diaphragm</b>. Defined on <a href='#Page_32'>page 32</a>.</p>
+
+<p><b>Diathesis</b>. Peculiarity of constitution. Predisposition to certain
+diseases.</p>
+
+<p><b>Digestion</b>. The function by which food passing along the
+alimentary canal is prepared for nutrition.</p>
+
+<p><span class="pagenum"><a name="Page_982" id="Page_982"></a>[pg
+982]</span><b>Dilatation.</b> Increasing in size by Instruments or other
+agencies.</p>
+
+<p><b>Diluents.</b> Fluids which thin the blood or hold medicines in
+solution.</p>
+
+<p><b>Director.</b> An instrument having a groove which directs the knife
+and protects underlying parts from injury.</p>
+
+<p><b>Disinfectants.</b> Substances which arrest putrefaction.</p>
+
+<p><b>Dislocation.</b> The act of or state of, being forced from its proper
+situation.</p>
+
+<p><b>Distilled.</b> Separated by heat from other substances and collected
+by condensation.</p>
+
+<p><b>Diuretics.</b> Medicines which increase the flow of urine.</p>
+
+<p><b>Douche.</b> Dashes of water. An instrument for washing the nasal
+membrane.</p>
+
+<p><b>Drastics.</b> Medicines which move the bowels harshly or
+frequently.</p>
+
+<p><b>Dropsy.</b> The accumulation of fluid In the cavities or cellular
+tissue of the body.</p>
+
+<p><b>Duodenum.</b> The first portion of the intestines. Illus. <a
+href='#Page_44'>page 44</a>.</p>
+
+<p><b>Dura mater.</b> A thick, fibrous membrane lining the skull.</p>
+
+<p><b>Dyscrasia.</b> A bad condition of body.</p>
+
+<p><b>Dysentery.</b> A disease characterized by frequent, scanty and
+<i>bloody</i> stools.</p>
+
+<p><b>Dysmenorrhea.</b> Difficult or painful menstruation.</p>
+
+<p><b>Dyspnoea.</b> Difficult breathing.</p>
+
+
+<p><b>E</b></p>
+
+
+<p><b>Ear, Internal.</b> Defined on <a href='#Page_110'>page 110</a>.
+Illus. <a href='#Page_109'>page 109</a>.</p>
+
+<p><b>Earthy phosphates.</b> The white deposit in urine, composed of
+phosphoric acid and a base.</p>
+
+<p><b>Ecchymosis.</b> Black or yellow spots produced by effused blood.
+Black eye Is an example.</p>
+
+<p><b>Eclectic School.</b> See <a href='#Page_294'>page 294</a>.</p>
+
+<p><b>Ecraseur.</b> An instrument which amputates by a loop of wire.</p>
+
+<p><b>Eczematous.</b> Of the nature of Eczema. See <a href='#Page_430'>page
+430</a>.</p>
+
+<p><b>Edema (&OElig;dema).</b> Puffiness of the skin from the accumulation of
+fluid. General dropsy.</p>
+
+<p><b>Effluvia.</b> Unpleasant odors or exhalations.</p>
+
+<p><b>Effusion.</b> The pouring out of blood or other fluid.</p>
+
+<p><b>Electrolysis.</b> Decomposing or modifying by the application of
+electricity.</p>
+
+<p><b>Eliminated.</b> Discharged, expelled.</p>
+
+<p><b>Emaciation.</b> Leanness in flesh.</p>
+
+<p><b>Embryo.</b> The young of an animal at the beginning of its
+development in the womb.</p>
+
+<p><b>Emetics.</b> Medicines which empty the stomach upwards.</p>
+
+<p><b>Emmenagogues.</b> Medicines which favor or cause menstruation.</p>
+
+<p><b>Empiricism.</b> Practicing medicine upon results of experience,
+generally by a person without a medical education.</p>
+
+<p><b>Encephalic Temperament.</b> Defined on <a href='#Page_177'>page
+177</a>.</p>
+
+<p><b>Endocarditis.</b> Inflammation of the lining membrane of the
+heart.</p>
+
+<p><b>Endocardium.</b> The lining membrane of the heart</p>
+
+<p><b>Endometrltls.</b> Disease of the lining membrane of the womb.</p>
+
+<p><b>Enteric.</b> Intestinal.</p>
+
+<p><b>Enteritis.</b> Inflammation of the mucous lining of the small
+intestines.</p>
+
+<p><b>Epidemics.</b> Diseases which attack a number of persons at the name
+time: as yellow fever, small-pox, etc.</p>
+
+<p><b>Epiglottis.</b> A cap over the windpipe, allowing the admission of
+air, but preventing the introduction of foreign bodies.</p>
+
+<p><b>Epithelial cells.</b> Cells belonging to the epithelium.</p>
+
+<p><b>Epithelium.</b> The thin covering upon the lips, nipple, mucous and
+serous membranes and lining the ducts, blood-vessels and other canals.</p>
+
+<p><b>Esophagus (OEsophagus).</b> The food-pipe. Illus. <a
+href='#Page_44'>page 44</a>.</p>
+
+<p><b>Eustachlan Tube.</b> The tube leading from the throat to the inner
+ear. Illus, <a href='#Page_109'>page 109</a>.</p>
+
+<p><b>Evacuaut.</b> Cathartic.</p>
+
+<p><b>Evolution.</b> Defined on <a href='#Page_14'>page 14</a>.</p>
+
+<p><b>Excoriates.</b> Removes the skin in part.</p>
+
+<p><b>Excoriation.</b> A wound which removes some of the skin.</p>
+
+<p><b>Excrementitious.</b> Pertaining to the matter evacuated from the
+body.</p>
+
+<p><b>Excrescences.</b> Surface tumors; as warts, piles, polypi, etc.</p>
+
+<p><b>Excretion.</b> The process by which waste materials are removed from
+the blood, performed particularly by the lungs, skin and kidneys.</p>
+
+<p><b>Excretory ducts.</b> Minute vessels which transmit fluid from
+glands.</p>
+
+<p><b>Exhalations.</b> That which is thrown off by the body, as vapor,
+gases, etc.</p>
+
+<p><b>Expectorants.</b> Medicines which promote discharges from the
+lungs.</p>
+
+<p><b>Expiration.</b> Expelling the breath.</p>
+
+<p><b>Extraneous matter.</b> Any substance which finds a place in the body
+and does not belong there. Foreign substances.</p>
+
+<p><b>Extra-uterine.</b> Outside of the womb, but in its vicinity.</p>
+
+<p><b>Extravasated.</b> Escaped into surrounding tissues.</p>
+
+<p><b>Extremities.</b> Legs or arms.</p>
+
+<p><b>Exudation.</b> Substances discharged through the pores.</p>
+
+<p><b>Exude.</b> To sweat; to pass through a membrane.</p>
+
+
+<p><b>F</b></p>
+
+
+<p><b>Fallopian Tube.</b> The canal through which the ovum passes from the
+ovary to the womb.</p>
+
+<p><b>Faradization.</b> The application of electricity by inductive
+currents.</p>
+
+<p><b>Fascia.</b> The white fibrous expansion of a muscle which binds parts
+together.</p>
+
+<p><b>Fatty degeneration.</b> The deposit of particles of fat instead of
+proper muscular tissue.</p>
+
+<p><b>Febrifuge.</b> A medicine which abates or cures fevers.</p>
+
+<p><b>Febrile.</b> Relating to fever.</p>
+
+<p><span class="pagenum"><a name="Page_983" id="Page_983"></a>[pg
+983]</span><b>Fecundation</b>. The ovum uniting with the male germ.
+Impregnation.</p>
+
+<p><b>Femoral Hernia</b>. Thigh hernia. Illus. <a href='#Page_863'>page
+863</a>.</p>
+
+<p><b>Fermented</b>. Changed by a process of decomposition.</p>
+
+<p><b>Ferruginous</b>. Containing iron.</p>
+
+<p><b>Fetid</b>. Having an offensive smell. Stinking.</p>
+
+<p><b>Fetor</b>. Offensive smell. Stench.</p>
+
+<p><b>Fibrous</b>. Composed of fibres.</p>
+
+<p><b>Fibrous Tissue</b>. The texture which unites every part of the
+body.</p>
+
+<p><b>Filaments</b>. Fibre; the basis of texture.</p>
+
+<p><b>Fimbriated</b>. Finger-like.</p>
+
+<p><b>First intention, Healing by</b>. Healing without suppuration or the
+formation of pus.</p>
+
+<p><b>Fissure</b>. A crack.</p>
+
+<p><b>Fistula: Fistulæ.</b> Small canals or tubes which carry pus or other
+liquids through the flesh.</p>
+
+<p><b>Fistula, Urinary</b>. The abnormal communication between the urinary
+passages and the external surface.</p>
+
+<p><b>Fistulous openings</b>. The outer end of canals or tubes which carry
+pus to the surface.</p>
+
+<p><b>Flatulency</b>. Wind gathered in the stomach or bowels.</p>
+
+<p><b>Flexion of the Womb</b>. A partial misplacement in which the womb is
+bent upon itself.</p>
+
+<p><b>Flexures</b>. Bending. Motion of a joint.</p>
+
+<p><b>Flocculent</b>. Combining or adhering in flocks or flakes.</p>
+
+<p><b>Fluid Extracts</b>. The active principles of medicines in fluid
+form.</p>
+
+<p><b>Foetus</b>. The unborn child.</p>
+
+<p><b>Follicles (of hair)</b>. Small depressions in the skin.</p>
+
+<p><b>Follicular</b>. Relating to or affecting follicles.</p>
+
+<p><b>Fomentations</b>. Local application of cloths wrung out of hot
+water.</p>
+
+<p><b>Forceps</b>. An instrument having a motion and use like the thumb and
+fore-finger. Pincers. Obstetrical forceps embrace the head of the
+foetus.</p>
+
+<p><b>Foreskin</b>. That part of the skin of the penis which is prolonged
+over the head of the organ.</p>
+
+<p><b>Formication</b>. A sensation like a number of ants creeping on a
+part.</p>
+
+<p><b>Fracture</b>. Broken bone. <i>In compound fracture</i> the end of the
+bone projects through the skin.</p>
+
+<p><b>Function</b>. The peculiar action of an organ, or part of the
+body.</p>
+
+<p><b>Functional</b>. Pertaining to the specific action of an organ or
+part.</p>
+
+<p><b>Fundus</b>. The bottom or base of an organ. The fundus of the womb is
+its upper part, when in its natural position.</p>
+
+<p><b>Fungiform</b>. Mushroom-shaped.</p>
+
+
+<p><b>G</b></p>
+
+
+<p><b>Galvanism.</b> Electricity.</p>
+
+<p><b>Galvano-cautery</b>. Burning or scarring by galvanic electricity.</p>
+
+<p><b>Ganglion</b>. A nerve center which forms and distributes
+nerve-power.</p>
+
+<p><b>Gangrene</b>. Death of a part.</p>
+
+<p><b>Gastric</b>. Pertaining to the stomach.</p>
+
+<p><b>Gastric Juice</b>. The digestive fluid supplied by the mucous
+membrane of the stomach.</p>
+
+<p><b>Gelatinous</b>. Jelly-like.</p>
+
+<p><b>Generation</b>. The functions which are active in reproduction.</p>
+
+<p><b>Genitals</b>. The sexual organs.</p>
+
+<p><b>Gestation</b>. Carrying the embryo in the uterus.</p>
+
+<p><b>Glans</b>. Head of the penis.</p>
+
+<p><b>Gonorrhea</b>. A discharge of mucous from inflammation of the urethra
+or vagina, caused by impure connection. Clap.</p>
+
+<p><b>Granular casts</b>. Moulds of epithelium found by the microscope in
+chronic Bright's Disease.</p>
+
+<p><b>Granular lids</b>. Roughness on the inner surface of the eyelids.</p>
+
+<p><b>Granulations Heal by</b>. See <b>Granulations.</b></p>
+
+<p><b>Granulations</b>. Flesh-like shoots, which appear in a wound and form
+its scar.</p>
+
+<p><b>Granules</b>. Small grains.</p>
+
+<p><b>Gravel</b>. Substances precipitated in the urine resembling sand.</p>
+
+<p><b>Groin</b>. The oblique depression between the belly and thigh.</p>
+
+<p><b>Grubs</b>. Pimples on the face. See <a href='#Page_442'>page
+442</a>.</p>
+
+<p><b>Gynecologist</b>. One who makes the Diseases of Women a
+specialty.</p>
+
+
+<p><b>H</b></p>
+
+
+<p><b>Hair bulbs</b>. The expansion or root of the hair.</p>
+
+<p><b>Hallucinations</b>. Perception or sensation of objects which do not
+exist; as in Tremens.</p>
+
+<p><b>Hectic</b>. Constitutional; as hectic fever, in which all parts of
+the body become emaciated.</p>
+
+<p><b>Hemiplegia</b>. Paralysis affecting only one side of the body.</p>
+
+<p><b>Hemorrhoidal veins.</b> The veins about the rectum which enlarge and
+form piles.</p>
+
+<p><b>Hepatic</b>. Relating or belonging to the liver.</p>
+
+<p><b>Hereditary</b>. A disease transmitted from parent to child.</p>
+
+<p><b>Hernia</b>. Defined on <a href='#Page_862'>page 862</a>.</p>
+
+<p><b>Hollow of the Sacrum</b>. The concave portion of the lower part of
+the spinal column within the pelvis.</p>
+
+<p><b>Homeopathy</b>. Defined on <a href='#Page_294'>page 294</a>.</p>
+
+<p><b>Hyaline casts</b>. Glassy appearing substances found by the
+microscope in urine in chronic Bright's Disease.</p>
+
+<p><b>Hydragogues</b>. Cathartics which produce copious watery
+discharges.</p>
+
+<p><b>Hydrocele</b>. Accumulation of fluid in the scrotum.</p>
+
+<p><b>Hydrocephalus</b>. Accumulation of fluid in the membranes about the
+brain.</p>
+
+<p><b>Hydrothorax</b>. Accumulation of fluid in the chest cavities.</p>
+
+<p><b>Hygiene</b>. The principles or rules for the promotion or
+preservation of health.</p>
+
+<p><b>Hymen</b>. Described on <a href='#Page_687'>page 687</a>. <span
+class="pagenum"><a name="Page_984" id="Page_984"></a>[pg
+984]</span><b>Hypersemia</b>. Full of blood. Congestion.</p>
+
+<p><b>Hypertrophy</b>. Enlargement, thickening.</p>
+
+<p><b>Hypochondriac</b>. A person, usually dyspeptic, who is unreasonably
+gloomy, particularly about his health.</p>
+
+<p><b>Hypodermic Syringe</b>. An instrument having a very fine tube and
+needle-like point, by which medicines are lodged immediately under the
+skin.</p>
+
+<p><b>Hysterotome</b>. An instrument described and illustrated on <a
+href='#Page_696'>page 696</a>.</p>
+
+
+<p><b>I</b></p>
+
+
+<p><b>Idiopathic</b>. Primary: not depending on another disease.</p>
+
+<p><b>Illicit</b>. Not permitted; unlawful.</p>
+
+<p><b>Illusions</b>. See <b>Hallucinations</b>.</p>
+
+<p><b>Impacted</b>. Wedged. Applied to feces which have remained in the
+rectum a long time.</p>
+
+<p><b>Imperforate</b>. Without a natural opening.</p>
+
+<p><b>Impotency</b>. Loss of sexual power.</p>
+
+<p><b>Impregnation</b>. Imparting the vital principle of the sperm-cell to
+the germ-cell, by which a new being is created.</p>
+
+<p><b>Incipient</b>. Commencement; first stage.</p>
+
+<p><b>Independent Physician</b>. Defined on <a href='#Page_295'>page
+295</a>.</p>
+
+<p><b>Indigenous</b>. Native. Grows in a country.</p>
+
+<p><b>Indolent</b>. Painless; a term applied to tumors.</p>
+
+<p><b>Induration</b>. Hardening of a part or organ.</p>
+
+<p><b>Infection</b>. A prevailing disease. A disease spread only by
+contact, as itch, syphilis, etc.</p>
+
+<p><b>Infiltration</b>. The passage of fluid into the cellular tissue; as
+in General Dropsy.</p>
+
+<p><b>Inflammation</b>. Defined on <a href='#Page_398'>page 398</a>.</p>
+
+<p><b>Infusion</b>. Defined on <a href='#Page_303'>page 303</a>.</p>
+
+<p><b>Inguinal Canal</b>. A canal situated in the groin, through which the
+spermatic cord passes. The common seat of Hernia. Illus. <a
+href='#Page_862'>page 862</a>.</p>
+
+<p><b>Inoculate</b>. To communicate a disease by inserting matter in the
+flesh; as by vaccination.</p>
+
+<p><b>Inorganic</b>. Mineral. Bodies without organs.</p>
+
+<p><b>Insalivation</b>. Mixed with the saliva of the mouth, as food.</p>
+
+<p><b>Insemination</b>. The emission of sperm in coition.</p>
+
+<p><b>Inspiration</b>. Drawing in the breath.</p>
+
+<p><b>Integument</b>. The skin.</p>
+
+<p><b>Intention, Healing by first</b>. Healing without the formation of
+pus.</p>
+
+<p><b>Intercostal</b>. Between the ribs.</p>
+
+<p><b>Intermittent</b>. Having paroxysms or intervals.</p>
+
+<p><b>Internal ear</b>. Described on <a href='#Page_110'>page 110</a>;
+Illus. <a href='#Page_109'>page 109</a>.</p>
+
+<p><b>Intussusception</b>. One part of the intestines forced into another
+part.</p>
+
+<p><b>Invagination</b>. See <b>Intussusception</b></p>
+
+<p><b>Iridectomy</b>. A surgical operation for the removal of the Iris.</p>
+
+<p><b>Iris</b>. A curtain which gives the eye its color.</p>
+
+<p><b>Isolation</b>. Separation from others.</p>
+
+
+<p><b>K</b>.</p>
+
+
+<p><b>Kadesh-barnea</b>. The holy place in the desert of wandering; the
+headquarters of the Israelites for 37 years.</p>
+
+
+<p><b>L</b></p>
+
+
+<p><b>Laboratory</b>. The work-room of a chemist or pharmacist.</p>
+
+<p><b>Laceration</b>. A wound made by tearing.</p>
+
+<p><b>Lachrymal</b>. Belonging to the tears.</p>
+
+<p><b>Lachrymal Glands</b>. Minute organs about the eyes which secrete
+tears.</p>
+
+<p><b>Lactation</b>. The act of giving suck.</p>
+
+<p><b>Lacteals</b>. The vessels of the breast which convey milk.</p>
+
+<p><b>Lamella</b>. Layer.</p>
+
+<p><b>Laminæ</b>. Thin bones, or the thin parts of a bone.</p>
+
+<p><b>Lancinating</b>. Acute, shooting pains fancifully compared to the
+pierce of a lance.</p>
+
+<p><b>Larynx</b>. That portion of the air-passage indicated in the male by
+"Adam's Apple."</p>
+
+<p><b>Lascivious</b>. Lustful; producing unchaste emotions.</p>
+
+<p><b>Lateral operation</b>. Cutting through the perinæum into the
+bladder.</p>
+
+<p><b>Laxatives</b>. Medicines which move the bowels gently.</p>
+
+<p><b>Lesion</b>. Derangement. Tearing or other division of parts,
+previously continuous.</p>
+
+<p><b>Leucorrhea</b>. Described on <a href='#Page_702'>page 702</a>.</p>
+
+<p><b>Liberal Physician</b>. Defined on <a href='#Page_295'>page
+295</a>.</p>
+
+<p><b>Ligament</b>. A white inelastic tendon binding bones together.</p>
+
+<p><b>Ligation</b>. See <b>Ligature</b>.</p>
+
+<p><b>Ligature</b>. A cord or catgut tied around a blood-vessel to arrest
+hemorrhage.</p>
+
+<p><b>Line</b>. One-twelfth part of an inch.</p>
+
+<p><b>Lithic deposits</b>. Sediment or stone formed in the urine by uric
+acid.</p>
+
+<p><b>Lobes</b>. Bound projecting parts of an organ; as lobes of the lungs,
+of the liver, etc.</p>
+
+<p><b>Loin</b>. The side of the body between the hip-bone and ribs.</p>
+
+<p><b>Lotion</b>. A wash.</p>
+
+<p><b>Lumbago</b>. Rheumatism in the small of the back and loins.</p>
+
+<p><b>Lumbar vertebræ</b>. That part of the backbone in the vicinity
+of the loins.</p>
+
+<p><b>Lymph</b>. A transparent fluid, resembling blood, found in lymphatic
+vessels. It contains corpuscles and coagulates.</p>
+
+<p><b>Lymphatics</b>. Defined on <a href='#Page_49'>page 49</a>.</p>
+
+<p><b>Lymphatic Temperament</b>. Described on <a href='#Page_157'>page
+157</a>.</p>
+
+
+<p><span class="pagenum"><a name="Page_985" id="Page_985"></a>[pg
+985]</span><b>M</b></p>
+
+
+<p><b>Malaria</b>. See <b>Miasm</b>.</p>
+
+<p><b>Malformation</b>. Irregularity in structure.</p>
+
+<p><b>Malignant</b>. Applied to diseases which threaten life.</p>
+
+<p><b>Mammæ</b>. See <b>Mammary Glands</b>.</p>
+
+<p><b>Mammalia</b>. Animals that suckle their young.</p>
+
+<p><b>Mammary Glands</b>. The breasts or organs which secrete milk.</p>
+
+<p><b>Manipulations</b>. Examination and treatment by the hand.</p>
+
+<p><b>Massage</b>. Kneading, rubbing and stroking the surface to improve
+circulation and nutrition and to remove effete material.</p>
+
+<p><b>Mastication</b>. Chewing.</p>
+
+<p><b>Masturbation</b>. Excitement of the sexual organs by the hand.</p>
+
+<p><b>Meatus</b>. Canal or passage. External opening of a canal.</p>
+
+<p><b>Median section</b>. An operation for stone in the bladder in which
+the perineum and part of the urethra are cut; the prostatic portion of the
+urethra is dilated to introduce forceps and withdraw the stone.</p>
+
+<p><b>Medulla Oblongata</b>. Described on <a href='#Page_90'>page 90</a>;
+illus. <a href='#Page_96'>page 96</a>.</p>
+
+<p><b>Melancholia</b>. A mild form of insanity attended with great gloom
+and mental depression.</p>
+
+<p><b>Membranous</b>. Of the nature or construction of membrane.</p>
+
+<p><b>Meninges</b>. Membranes covering the brain.</p>
+
+<p><b>Menorrhagia</b>. Immoderate monthly flow.</p>
+
+<p><b>Menses</b>. Monthly flow of the female. See <a href='#Page_686'>page
+686</a>.</p>
+
+<p><b>Menstruation</b>. The bloody evacuation from the womb.</p>
+
+<p><b>Menstruum</b>. A solvent; as water, alcohol, etc.</p>
+
+<p><b>Mesenteric Glands</b>. Glands about the peritoneum which secrete
+lymph.</p>
+
+<p><b>Mesentery</b>. Described on <a href='#Page_49'>page 49</a>.</p>
+
+<p><b>Miasm, Miasma</b>. A poisonous, gaseous exhalation from decaying
+vegetation, or from the earth.</p>
+
+<p><b>Midwives</b>. Females who attend women at childbirth.</p>
+
+<p><b>Miscarriage</b>. Defined on <a href='#Page_682'>page 682</a>.</p>
+
+<p><b>Molecule</b>. A minute portion of any body.</p>
+
+<p><b>Monads</b>. The smallest of all visible animalcules.</p>
+
+<p><b>Monomania</b>. Insanity on one subject.</p>
+
+<p><b>Muco-purulent</b>. Composed of mucus and pus.</p>
+
+<p><b>Mucous Membrane</b>. The thin, web-like lining to the canals and
+cavities which secretes a fluid by which it is constantly lubricated.</p>
+
+<p><b>Mucus</b>. A mucilaginous fluid found on the surface of certain
+membranes which keeps them soft and pliable. See <b>Mucous
+Membrane</b>.</p>
+
+<p><b>Muscle</b>. The structures of the body which execute movements.</p>
+
+<p><b>Muscular Tissue</b>. The flesh forming the muscles of the body.</p>
+
+<p><b>Myalgia</b>. Muscular rheumatism.</p>
+
+
+<p><b>N</b></p>
+
+
+<p><b>Narcotics</b>. Medicines which stupefy.</p>
+
+<p><b>Necrosis</b>. Mortification or death of bone.</p>
+
+<p><b>Nervines</b>. Defined on <a href='#Page_345'>page 345</a>.</p>
+
+<p><b>Nervous Tissue</b>. That part of the body composed of
+nerve-fibres.</p>
+
+<p><b>Neuralgia</b>. Described on <a href='#Page_635'>page 635</a>.</p>
+
+<p><b>Nicotin</b>. A poisonous principle of tobacco.</p>
+
+<p><b>Nitrogen</b>. One of the gases in the atmosphere.</p>
+
+<p><b>Nodes</b>. Hard lumps, principally found upon the bones in
+syphilis.</p>
+
+<p><b>Noxious</b>. Injurious.</p>
+
+<p><b>Nymphomania</b>. Extreme desire for sexual intercourse in the
+female.</p>
+
+
+<p><b>O</b></p>
+
+
+<p><b>Obstetrical</b>. Relating or appertaining to childbirth.</p>
+
+<p><b>Occlusion</b>. Approximation or closure.</p>
+
+<p><b>Oedema</b>. See <b>Edema</b>.</p>
+
+<p><b>Olfactory Nerve</b>. The nerve employed in the sense of smell. Illus.
+<a href='#Page_111'>page 111</a>.</p>
+
+<p><b>Onanism</b>. See <b>Masturbation</b></p>
+
+<p><b>Opacity</b>. Opaque condition of parts of the eye, causing
+blindness.</p>
+
+<p><b>Opalescent</b>. Reflecting a milky light.</p>
+
+<p><b>Opaque</b>. See <b>Opacity</b>.</p>
+
+<p><b>Ophthalmia</b>. Inflammation of the eye.</p>
+
+<p><b>Ophthalmic</b>. Belonging to the eye.</p>
+
+<p><b>Ophthalmoscope</b>. An instrument for examining the inside of the
+eye, for diagnostic purposes.</p>
+
+<p><b>Optic Nerve</b>. The nerve connecting the brain and eye, and employed
+in the sense of sight.</p>
+
+<p><b>Organic</b>. Pertaining to the structure of an organ.</p>
+
+<p><b>Orifice</b>. Opening or mouth.</p>
+
+<p><b>Osseous Tissue</b>. Bony structure.</p>
+
+<p><b>Ossification, Ossifying</b>. Made into bone by the deposit of
+phosphate of lime.</p>
+
+<p><b>Os uteri</b>. Mouth of womb. Illus. <a href='#Page_206'>page
+206</a>.</p>
+
+<p><b>Ova</b>. Plural of ovum.</p>
+
+<p><b>Ovaries</b>. Two ovoid bodies situated either side of the womb.
+Illus. <a href='#Page_206'>page 206</a>.</p>
+
+<p><b>Ovary</b>. The female organ in which the ovum, or germ-cell, is
+formed. Illus, <a href='#Page_206'>page 206</a>.</p>
+
+<p><b>Ovulation</b>. The formation of the germ-cell in the ovary and its
+release from that organ.</p>
+
+<p><b>Ovum</b>. Defined and illustrated on pages <a href="#Page_12">12</a>
+and <a href="#Page_13">13</a>.</p>
+
+<p><b>Oxygen</b>. The vital gas of the atmospheric air.</p>
+
+<p><b>Ozæna</b>. Described on <a href='#Page_474'>page 474</a>.</p>
+
+
+<p><b>P</b></p>
+
+
+<p><b>Palliative</b>. A remedy or treatment which relieves, but does not
+cure.</p>
+
+<p><b>Papilla, Papillæ</b>. Small, nipple-shaped prominences found on the
+tongue, the skin, etc.</p>
+
+<p><span class="pagenum"><a name="Page_986" id="Page_986"></a>[pg
+986]</span><b>Paraplegia.</b> Paralysis affecting the upper or lower
+extremities of the body</p>
+
+<p><b>Parasites.</b> Animals which live in the bodies of other animals; as
+the tape-worm itch insect, etc.</p>
+
+<p><b>Parenchyma.</b> The texture of an organ; as the liver, kidneys,
+etc.</p>
+
+<p><b>Parotid Glands.</b> These are situated under the ear, just at the
+angle of the lower jaw, and secrete saliva.</p>
+
+<p><b>Paroxysms.</b> The periodical attack, fit or aggravation in the
+course of a disease.</p>
+
+<p><b>Parturient.</b> Bringing forth or having recently brought forth.</p>
+
+<p><b>Parturition.</b> Labor; the delivery of the foetus.</p>
+
+<p><b>Pastiles.</b> Small medicated lozenges.</p>
+
+<p><b>Pathognomonic.</b> A <i>characteristic</i> symptom of a disease.</p>
+
+<p><b>Pathology.</b> That part of the Science of Medicine the object of
+which is the knowledge of disease.</p>
+
+<p><b>Pedicle.</b> The stalk or narrow part of a tumor by which it is
+attached and supported.</p>
+
+<p><b>Pelvic.</b> Belonging to and relating to the pelvis.</p>
+
+<p><b>Pelvis.</b> The lower part of the abdomen or trunk, composed of bone,
+containing the genital and urinary organs; supports the backbone and is
+supported by the legs.</p>
+
+<p><b>Penis.</b> The male organ of generation. Illus. <a
+href='#Page_207'>page 207</a>.</p>
+
+<p><b>Pepsin.</b> The digestive solvent secreted by the stomach.</p>
+
+<p><b>Peptic.</b> Pertaining to the stomach.</p>
+
+<p><b>Percusslon.</b> Striking the surface and by the sound produced
+judging of the condition of the internal organs.</p>
+
+<p><b>Pericarditis.</b> Described on <a href='#Page_548'>page 548</a>.</p>
+
+<p><b>Pericardium.</b> The membranous sac enclosing the heart.</p>
+
+<p><b>Perineal section.</b> An operation by division of the perineum.</p>
+
+<p><b>Perineum.</b> The space bounded by the end of the spine, sexual
+organs and the bony prominences on which one sits.</p>
+
+<p><b>Periostium.</b> The membranous covering to all bones.</p>
+
+<p><b>Peristaltic motion.</b> A worm-like movement of the bowels by which
+the food is moved forward.</p>
+
+<p><b>Peritoneum.</b> The membrane (serous) which lines the abdominal
+cavities and surrounds the intestines.</p>
+
+<p><b>Peritonitis.</b> Inflammation of serous membrane lining abdominal and
+pelvic cavities.</p>
+
+<p><b>Pessaries, Pessary.</b> An instrument for holding the womb in its
+place.</p>
+
+<p><b>Pestilence.</b> A malignant, spreading disease. A plague.</p>
+
+<p><b>Phagadenic.</b> That which corrodes or eats away rapidly.</p>
+
+<p><b>Pharmaceutical.</b> Anything belonging to pharmacy.</p>
+
+<p><b>Pharynx.</b> The cavity back of the mouth and palate through which
+the air passes when breathing and the food when swallowing.</p>
+
+<p><b>Phimosis.</b> Elongated prepuce</p>
+
+<p><b>Phlegmonous.</b> Affecting the cellular membrane. The common boil is
+an example.</p>
+
+<p><b>Phosphate.</b> A substance containing phosphorus.</p>
+
+<p><b>Phosphates, earthy.</b> The white deposit in urine composed of
+phosphoric acid and a base.</p>
+
+<p><b>Phthisic.</b> Consumption. By some the word is used for Asthma, or
+difficulty in breathing.</p>
+
+<p><b>Phthisis.</b> Consumption. See p. 497.</p>
+
+<p><b>Physiological Anatomy.</b> The branch of medicine that defines the
+organs of the body and their particular actions.</p>
+
+<p><b>Physiology.</b> The science which treats of the phenomena and
+functions of animal life.</p>
+
+<p><b>Pia Mater.</b> The internal vascular membrane covering the brain.</p>
+
+<p><b>Pimples on the face.</b> Defined on <a href='#Page_443'>page
+443</a>.</p>
+
+<p><b>Placenta.</b> Afterbirth.</p>
+
+<p><b>Plague.</b> A malignant epidemic; begins in Asia Minor.</p>
+
+<p><b>Plethora, Plethoric.</b> Full of blood; maybe general or confined to
+a part.</p>
+
+<p><b>Pleura.</b> Defined on <a href='#Page_64'>page 64</a>.</p>
+
+<p><b>Pleurodynia.</b> Spasmodic or rheumatic pain in the chest
+muscles.</p>
+
+<p><b>Pleuro-pneumonia.</b> Inflammation of both the pleura and lungs.</p>
+
+<p><b>Pollution (self).</b> Excitement of the sexual organs by the hand or
+other unnatural method.</p>
+
+<p><b>Polyp.</b> An aquatic animal, as the coral builders.</p>
+
+<p><b>Polypi.</b> More than one polypus.</p>
+
+<p><b>Polypoid.</b> Like a polypus in shape or construction.</p>
+
+<p><b>Polypus.</b> Tumors which grow from mucous membranes, commonly found
+in the nasal and vaginal cavities.</p>
+
+<p><b>Portal vessels.</b> The cluster of veins which join and enter the
+liver.</p>
+
+<p><b>Pott's Disease.</b> Described on <a href='#Page_898'>page 898</a>;
+illus. <a href='#Page_898'>pages 898</a> and <a
+href='#Page_899'>899</a>.</p>
+
+<p><b>Poultice.</b> A mixture of bread or meal, etc., and hot water, spread
+on a cloth and applied to the surface.</p>
+
+<p><b>Pox.</b> Syphilis.</p>
+
+<p><b>Precocity.</b> Prematurely developed.</p>
+
+<p><b>Prehension.</b> Carrying food to the mouth.</p>
+
+<p><b>Prepuce.</b> Foreskin.</p>
+
+<p><b>Probang.</b> Soft swab.</p>
+
+<p><b>Probe.</b> An instrument for examining wounds and cavities. A piece
+of wire with a blunt point is a probe.</p>
+
+<p><b>Procreation.</b> Production or generation of offspring.</p>
+
+<p><b>Prognosis.</b> Opinion of the future course of a disease.</p>
+
+<p><b>Prolapsus.</b> A falling down of an organ through an orifice, as the
+womb, bowel, etc.</p>
+
+<p><b>Prophylactic.</b> Preventive.</p>
+
+<p><b>Proprietary Medicines.</b> Described on <a href='#Page_298'>page
+298</a>.</p>
+
+<p><b>Prostate Gland.</b> Described on <a href='#Page_778'>page 778</a> and
+illus. on <a href='#Page_207'>page 207</a>.</p>
+
+<p><b>Proteids.</b> goods composed Of carbon, hydrogen, oxygen and
+nitrogen: as the white of an egg.</p>
+
+<p><span class="pagenum"><a name="Page_987" id="Page_987"></a>[pg
+987]</span><b>Protozoon</b>. First life; life in the lowest scale; as
+sponges.</p>
+
+<p><b>Proud-flesh</b>. Abnormal growths which arise in wounds or
+ulcers.</p>
+
+<p><b>Pruritic</b>. Itching.</p>
+
+<p><b>Pruritus vulvæ</b>. A nervous disease attended with excessive
+itching of the external genital parts of the female.</p>
+
+<p><b>Psoas or Lumbar Abscess</b>. An abscess discharging at the groin.</p>
+
+<p><b>Psychical</b>. The relation of the soul to animal experiences and
+being.</p>
+
+<p><b>Psychological</b>. The spiritual potencies of the soul.</p>
+
+<p><b>Ptyalin</b>. The ferment of the saliva which converts starch into
+sugar.</p>
+
+<p><b>Puberty</b>. The age at which the subject is capable of
+procreation.</p>
+
+<p><b>Pubic</b>. Relating to the pubes, a part above the genital organs,
+covered with hair at puberty.</p>
+
+<p><b>Puerperal Fever</b>. Child-bed fever.</p>
+
+<p><b>Pulmonary</b>. Relating to the lungs.</p>
+
+<p><b>Pupil</b>. The circular opening in the colored curtain within the
+eye.</p>
+
+<p><b>Purgatives</b>. Medicines which cause evacuation of the bowels.</p>
+
+<p><b>Purulent</b>. Discharging pus; as an ulcer.</p>
+
+<p><b>Pus</b>. A yellowish, inodorous, creamy secretion from inflamed
+parts; contained in abscesses or discharging from ulcers.</p>
+
+<p><b>Pustular</b>. Belonging to or affected by pustules.</p>
+
+<p><b>Pustule</b>. An elevation on the skin, containing pus or "matter,"
+and having an inflamed base.</p>
+
+<p><b>Putrescence</b>. Decomposition, rottenness.</p>
+
+<p><b>Putrescent</b>. Decomposing offensively.</p>
+
+<p><b>Putridity</b>. Corruption.</p>
+
+<p><b>Pyræmia</b>. Blood-poisoning from the absorption of decomposing pus
+or "matter."</p>
+
+<p><b>Pyloric orifice</b>. The lower opening of the stomach; illus. <a
+href='#Page_39'>page 39</a>.</p>
+
+<p><b>Pyriform</b>. Shaped like a pear.</p>
+
+
+<p><b>Q</b></p>
+
+
+<p><b>Quickening</b>. The time when the motion of the foetus within the
+womb is first perceptible; between the fourth and fifth months of
+pregnancy.</p>
+
+
+<p><b>R</b></p>
+
+
+<p><b>Radical cure</b>. A cure in which the disease is entirely removed,
+root and branch.</p>
+
+<p><b>Rales</b>. Noises produced by air passing through mucus in the
+lungs.</p>
+
+<p><b>Rectal</b>. Pertaining to the rectum.</p>
+
+<p><b>Rectum</b>. The lower portion of the intestines terminating in the
+anus.</p>
+
+<p><b>Recumbent</b>. Reclining.</p>
+
+<p><b>Reflex action</b>. See pages <a href="#Page_93">93</a> and <a
+href="#Page_99">99</a>.</p>
+
+<p><b>Regurgitation</b>. The act by which blood is forced backwards in an
+unnatural manner.</p>
+
+<p><b>Remission</b>. A temporary diminution of the symptoms of fever.</p>
+
+<p><b>Reproduction</b>. Producing living bodies similar to the parents.</p>
+
+<p><b>Resolution</b>. The disappearance of inflammation without
+suppuration.</p>
+
+<p><b>Respiration</b>. The function by which the blue blood is converted
+into red blood in the lungs.</p>
+
+<p><b>Respirator</b>. Described on <a href='#Page_230'>page 230</a>.</p>
+
+<p><b>Retina</b>. Defined on <a href='#Page_107'>page 107</a>.</p>
+
+<p><b>Retrocedent</b>. Moving from one part of the body to another; as
+gout.</p>
+
+<p><b>Retrocession</b>. Change of an eruption from the surface to the inner
+parts.</p>
+
+<p><b>Retroversion</b>. A change in the position of the womb in which the
+top falls back against the rectum.</p>
+
+<p><b>Revulsion, Revulsive</b>. Calling the blood away from the diseased
+part.</p>
+
+<p><b>Rickets</b>. A disease in children characterized by crookedness of
+the spine and long bones resulting from scrofula or poor and insufficient
+food.</p>
+
+<p><b>Rickety</b>. Affected with rickets.</p>
+
+<p><b>Rings (Hernial)</b>. Circular openings with muscular edges through
+which a vessel or part passes.</p>
+
+<p><b>Rubefacients</b>. Medicines which produce redness of the skin.</p>
+
+<p><b>Rupture</b>. Bursting. Hernia.</p>
+
+
+<p><b>S</b></p>
+
+
+<p><b>Saccharine</b>. Like or containing sugar.</p>
+
+<p><b>Saliva</b>. The secretion of the glands of the mouth.</p>
+
+<p><b>Salpæ</b>. Little sack-like shaped, soft, fleshy bodies, found in
+the open ocean, and sometimes phosphorescent.</p>
+
+<p><b>Sanative</b>. Curative. Tending to restore lost health.</p>
+
+<p><b>Sanguine Temperament.</b> Described on <a href='#Page_163'>page
+163</a>.</p>
+
+<p><b>Sanitarium</b>. An institution for the treatment of the sick. A
+healthy retreat.</p>
+
+<p><b>Scales</b>. The epidermis or outer part of the skin consists of
+minute scales. See Fig. 50, <a href='#Page_71'>page 71</a>.</p>
+
+<p><b>Scalp</b>. The skin covering the head.</p>
+
+<p><b>Scapula</b>. Shoulder blade.</p>
+
+<p><b>Sciatic nerve</b>. The great nerve of the thigh.</p>
+
+<p><b>Scirrhus</b>. Stony hardness, characteristic of cancer.</p>
+
+<p><b>Sclerotic coat</b>. The hard, pearly white covering of the eye.</p>
+
+<p><b>Scorbutic</b>. Producing scurvy, a disease caused by improper or
+insufficient food.</p>
+
+<p><b>Scorbutus</b>. Scurvy.</p>
+
+<p><b>Scrofulous</b>. Suffering from a condition of the system
+characterized by enlargement of the glands, eruptions, etc., with great
+susceptibility to contagion.</p>
+
+<p><b>Scrotum</b>. The bag of skin which covers the testicles.</p>
+
+<p><b>Scurvy</b>. A disease due to impaired nutrition.</p>
+
+<p><b>Sea Tangle</b>. A water-plant, which in its dried state is introduced
+into a canal and dilates the canal as it expands by the absorption of
+moisture.</p>
+
+<p><b>Sebaceous Glands</b>. The oil-tubes of the skin. Illus. <a
+href='#Page_71'>page 71</a>.</p>
+
+<p><span class="pagenum"><a name="Page_988" id="Page_988"></a>[pg 988]</span>
+<b>Secretion</b>. The process by which substances are separated from the
+blood.</p>
+
+<p><b>Sedatives</b>. Medicines which allay irritation or irritability of
+the nervous system.</p>
+
+<p><b>Sedentary</b>. Requiring much sitting.</p>
+
+<p><b>Self-pollution</b>. See <b>Self-abuse</b>.</p>
+
+<p><b>Semen</b>. The secretion of the testicles which is thrown out during
+sexual intercourse and contains the principle of generation.</p>
+
+<p><b>Semi-fluid</b>. Half fluid.</p>
+
+<p><b>Semilunar Valves</b>. Valves in the heart. See 9 and 17, Fig. 41, <a
+href='#Page_58'>page 58</a>.</p>
+
+<p><b>Seminal vesicles</b>. Reservoirs for the sperm. See Seminal Sac, on
+<a href='#Page_207'>page 207</a>.</p>
+
+<p><b>Septic</b>. That which corrodes or produces putrefaction.</p>
+
+<p><b>Septicæmia</b>. Blood-poisoning; usually by absorption.</p>
+
+<p><b>Sequel</b>. That which follows; the condition or malady which follows
+a disease.</p>
+
+<p><b>Serous</b>. Watery. Pertaining to the serous membrane.</p>
+
+<p><b>Serous Tissue</b>. The membranes lining the closed cavities of the
+body, which secrete a watery, lubricating fluid.</p>
+
+<p><b>Shock</b>. Sudden depression of vitality occasioned by injury.</p>
+
+<p><b>Sitz Bath</b>. See <a href='#Page_367'>page 367</a>.</p>
+
+<p><b>Sloughing</b>. The process of separating a mortified part from a
+healthy part, through the agency of pus.</p>
+
+<p><b>Smell, Nerves of</b>. Illus. <a href='#Page_111'>page 111</a>.</p>
+
+<p><b>Solar Plexus</b>. Described on <a href='#Page_104'>page 104</a>.</p>
+
+<p><b>Solvents</b>. Those chemicals which break up or dissolve
+substances.</p>
+
+<p><b>Sordes</b>. Foul accumulation on the teeth, noticed in fevers.</p>
+
+<p><b>Sound</b>. An instrument for exploring cavities or canals for
+diagnosis or treatment.</p>
+
+<p><b>Specialty</b>. That to which special attention is given.</p>
+
+<p><b>Specific gravity</b>. Comparative weight; as between urine and
+water.</p>
+
+<p><b>Speculum</b>. An instrument for examining cavities. Illus. pages <a
+href="#Page_717">717</a> and <a href="#Page_718">718</a>.</p>
+
+<p><b>Sperm</b>. See <b>Semen</b>.</p>
+
+<p><b>Spermatic Cord</b>. The mass of arteries, veins, nerves, absorbents
+and their coverings, which passes along the groin and over the pubic bone,
+to the testicle.</p>
+
+<p><b>Spermatorrhea</b>. Described on <a href='#Page_772'>page 772</a>.</p>
+
+<p><b>Spermatozoa</b>. More than one Spermatozo&ouml;n.</p>
+
+<p><b>Spermatozo&ouml;n</b>. Defined on <a href='#Page_12'>page 12</a>;
+Illus. <a href='#Page_13'>page 13</a>.</p>
+
+<p><b>Sphincters</b>. Bound muscles which close natural openings.</p>
+
+<p><b>Sphygmograph</b>. An instrument for examining the heart. Illus. <a
+href='#Page_548'>page 548</a>.</p>
+
+<p><b>Spicula</b>. A small pointed piece of bone.</p>
+
+<p><b>Spinal Column</b>. The twenty-four bones, which, situated one above
+the other, form the backbone.</p>
+
+<p><b>Spinal Cord</b>. Described on <a href='#Page_90'>page 90</a>.</p>
+
+<p><b>Spirometer</b>. A gauge of chest capacity. Illus. <a
+href='#Page_392'>page 392.</a></p>
+
+<p><b>Sponge tent</b>. Compressed, dried sponge previously treated with Gum
+Arabic, used for dilating the uterine canal.</p>
+
+<p><b>Sporadic, Sporadically</b>. A term for diseases which appear
+frequently, independent of epidemic or contagious influences.</p>
+
+<p><b>Sprain</b>. A straining or rupture of the fibrous parts of a
+joint.</p>
+
+<p><b>Staphyloma</b>. Protrusion of the eye, sometimes with loss of
+sight.</p>
+
+<p><b>Sterility</b>. Barrenness. Inability to bear children.</p>
+
+<p><b>Sternum</b>. The breast-bone.</p>
+
+<p><b>Stethoscope</b>. An instrument for examining the heart and lungs.</p>
+
+<p><b>Stimulants</b>. Medicines which increase the vital activity of the
+body.</p>
+
+<p><b>Stool</b>. Evacuations of the bowels. Dung.</p>
+
+<p><b>Strabismus</b>. Cross-eyes.</p>
+
+<p><b>Strangulated</b>. Caught or fastened in the hernial canal.</p>
+
+<p><b>Striated</b>. Grooved or striped.</p>
+
+<p><b>Stricture</b>. A contracted condition of a canal or passage; of the
+food-pipe, rectum, urethra, etc.</p>
+
+<p><b>Structural</b>. Belonging to the arrangements of tissues or
+organs.</p>
+
+<p><b>Strumous</b>. Scrofulous.</p>
+
+<p><b>Stupor</b>. Great diminution of sensibility.</p>
+
+<p><b>Stye</b>. A little boil on the eyelid.</p>
+
+<p><b>Styptic</b>. An external astringent wash.</p>
+
+<p><b>Sub-acute</b>. A moderate form of acute.</p>
+
+<p><b>Sudoriferous Glands</b>. Minute organs in the skin, which secrete the
+perspiration. Illus. <a href='#Page_70'>page 70</a>.</p>
+
+<p><b>Supporters (Uterine)</b>. Instruments intended to hold the womb in
+its natural position.</p>
+
+<p><b>Suppression</b>. Stoppage or obstruction of discharges; as urine,
+menses, etc.</p>
+
+<p><b>Suppuration</b>. A gathering. Formation of pus, as in an abscess or
+ulcer.</p>
+
+<p><b>Suture pins</b>. Pins or needles, which are passed through the edges
+of wounds to bring them together. Thread is then wound around the pin to
+hold the edges in place.</p>
+
+<p><b>Sutures</b>. The ragged edges of bones by which they are joined to
+each other. Stitches of thread to bring the edges of a wound together for
+their union.</p>
+
+<p><b>Sympathetic Nerve</b>. Defined on <a href='#Page_101'>page
+101</a>.</p>
+
+<p><b>Symptom</b>. A change in the body or in its functions which indicates
+disease.</p>
+
+<p><b>Symptomatic</b>. Pertaining to symptoms.</p>
+
+<p><b>Synovial Membrane</b>. The lining of a joint, which from its oily
+secretion allows the bones to move freely upon each other.</p>
+
+<p><b>Synovitis</b>. Described on <a href='#Page_452'>page 452</a>.</p>
+
+
+<p><b>T</b></p>
+
+
+<p><b>Tapping</b>. Removing collected fluid by introducing a hollow tube
+through the flesh.</p>
+
+<p><b>Temperament</b>. Peculiarities of the constitution manifested by
+traits which we denominate character.</p>
+
+<p><span class="pagenum"><a name="Page_989" id="Page_989"></a>[pg
+989]</span><b>Tenesmus.</b> Straining at stool.</p>
+
+<p><b>Tent.</b> A compressed, dried cylinder of sponge, previously treated
+with Gum Arabic, which enlarges the canal in which it is placed by
+expansion from the absorption of moisture.</p>
+
+<p><b>Testicles.</b> Described on <a href='#Page_773'>page 773</a>; Illus.
+<a href='#Page_207'>page 207</a>.</p>
+
+<p><b>Thermometer.</b> An instrument for determining temperature.</p>
+
+<p><b>Thoracic Duct</b>. A canal which carries the chyle from its
+repository in the abdomen to the large vein in the chest, near the
+heart.</p>
+
+<p><b>Thorax.</b> Chest.</p>
+
+<p><b>Tinctures.</b> Medicines held in solution by alcohol.</p>
+
+<p><b>Tonic.</b> Defined on <a href='#Page_350'>page 350</a>.</p>
+
+<p><b>Topical.</b> Local.</p>
+
+<p><b>Topography.</b> Description in detail of a place; in hygiene, to
+determine its adaptability to residence.</p>
+
+<p><b>Tormina.</b> Griping of the bowels.</p>
+
+<p><b>Torticollis.</b> Stiffness or contraction of the muscles of the neck.
+Wryneck.</p>
+
+<p><b>Tourniquet.</b> An instrument to stop bleeding. Illus. Fig. 252, <a
+href='#Page_890'>page 890</a>.</p>
+
+<p><b>Trachea.</b> Windpipe. See <a href='#Page_63'>page 63</a>.</p>
+
+<p><b>Translucent.</b> Transmitting light, but not permitting objects to be
+seen distinctly.</p>
+
+<p><b>Transudation.</b> Passage of liquid through the tissues of the
+body.</p>
+
+<p><b>Traumatic.</b> Relating to a wound or injury.</p>
+
+<p><b>Trephining.</b> Removing a piece of bone by a cylindrical saw.</p>
+
+<p><b>Triturate.</b> To pulverize.</p>
+
+<p><b>Trocar.</b> An instrument for removing fluids from cavities. It
+consists of a perforator within a cylinder.</p>
+
+<p><b>Truncated.</b> Shaped like a pyramid with its top cut off.</p>
+
+<p><b>Truss.</b> A mechanical appliance for preventing protrusion or
+strangulation. Hernial support.</p>
+
+<p><b>Tubercle.</b> See pages <a href="#Page_431">431</a> and <a
+href="#Page_498">498</a>.</p>
+
+<p><b>Turn of life.</b> The change of life when menstruation ceases.</p>
+
+<p><b>Tympanum.</b> Ear-drum. Illus. p. 109.</p>
+
+
+<p><b>U</b></p>
+
+
+<p><b>Umbilical.</b> Of the navel; as umbilical hernia. Illus. <a
+href='#Page_883'>page 883</a>.</p>
+
+<p><b>Umbilical Cord.</b> A cord-like substance which conveys the blood to
+the foetus from the placenta or afterbirth.</p>
+
+<p><b>Umbilicus.</b> The Navel.</p>
+
+<p><b>Unstriated.</b> Not grooved or striped.</p>
+
+<p><b>Uræmic.</b> Pertaining to blood-poisoning from the presence of
+urea in the circulation.</p>
+
+<p><b>Urates.</b> The pinkish deposit found in urine.</p>
+
+<p><b>Urea.</b> A constituent of the urine.</p>
+
+<p><b>Ureters.</b> The canals leading from the kidneys to the bladder.
+Illus. pages <a href="#Page_85">85</a> and <a href="#Page_207">207</a>.</p>
+
+<p><b>Urethra.</b> The canal leading from the bladder outwards, by which
+the urine is voided. Illus. <a href='#Page_207'>page 207</a>.</p>
+
+<p><b>Urethrotomy.</b> The operation for opening the urethra for the
+removal of stricture.</p>
+
+<p><b>Uric Acid.</b> A constituent of the urine.</p>
+
+<p><b>Urinary Fistula.</b> Abnormal communication between the urinary
+passages and the surface.</p>
+
+<p><b>Urino-genital organs.</b> Pertaining to the urinary and sexual
+organs.</p>
+
+<p><b>Uterine.</b> Belonging or relating to the womb.</p>
+
+<p><b>Uterine Cavity or Canal.</b> From the month of the womb to a
+constriction called the internal orifice, is a cylindrical space called the
+canal. Above this to the fundus or base is a triangular and flat space
+called the cavity.</p>
+
+
+<p><b>V</b></p>
+
+
+<p><b>Vagina.</b> A canal, five or six inches long, situated between the
+vulva and womb.</p>
+
+<p><b>Vaginal.</b> Pertaining to the vagina.</p>
+
+<p><b>Vaginismus.</b> Irritable vagina.</p>
+
+<p><b>Valves of the Heart.</b> See <a href='#Page_58'>page 58</a>.</p>
+
+<p><b>Varicocele.</b> Described on <a href='#Page_803'>page 803</a>.</p>
+
+<p><b>Varicose.</b> Veins that are twisted or dilated.</p>
+
+<p><b>Vascular.</b> Belonging or relating to vessels.</p>
+
+<p><b>Vascular System.</b> The heart and blood-vessels.</p>
+
+<p><b>Veins.</b> The vessels which return the blue blood to the heart.</p>
+
+<p><b>Venereal.</b> Syphilitic.</p>
+
+<p><b>Ventricles.</b> Chambers in the heart. See 5 and 14, Fig. 41, <a
+href='#Page_58'>page 58</a>.</p>
+
+<p><b>Vermifuge.</b> A medicine which destroys or expels worms.</p>
+
+<p><b>Version.</b> Displacement of the womb forwards or backwards.</p>
+
+<p><b>Vertebræ.</b> The twenty-four bones which joined together form
+the backbone.</p>
+
+<p><b>Vertebrates.</b> Animals having the jointed skeleton within;
+distinguishes between these and insects, worms, oysters, jelly fish,
+etc.</p>
+
+<p><b>Vertigo.</b> Dizziness Or swimming of the head.</p>
+
+<p><b>Vesicles.</b> Small bladders or sacs. Pimples.</p>
+
+<p><b>Vesicular.</b> Belonging to or containing cells.</p>
+
+<p><b>Villi.</b> Minute thread-like projections.</p>
+
+<p><b>Virile power.</b> Masculine vigor. Sexual vigor.</p>
+
+<p><b>Virus.</b> Poison. The agent which transmits infectious disease.</p>
+
+<p><b>Viscera.</b> (Plural of Viscus.) More than one internal organ.</p>
+
+<p><b>Viscous.</b> Sticky. Tenacious.</p>
+
+<p><b>Viscus.</b> Any internal organ.</p>
+
+<p><b>Vitreous Humor.</b> The fluid in the eye behind the lens. Illus. <a
+href='#Page_107'>page 107</a>.</p>
+
+<p><b>Volitive Temperament.</b> See <a href='#Page_171'>page 171</a>.</p>
+
+<p><b>Vulva.</b> The external organs of generation in the female, or the
+opening between these projecting parts.</p>
+
+
+<p><b>W</b></p>
+
+
+<p><b>Walls.</b> The sides of an enclosure, as the walls of the vagina,
+which to soma extent support the womb.</p>
+
+<p><b>Whites.</b> Described on <a href='#Page_702'>page 702</a>.</p>
+
+<p><span class="pagenum"><a name="Page_990" id="Page_990"></a>[pg
+990]</span></p><hr />
+
+
+
+
+<h1><b>HOW TO AVOID SWINDLERS</b></h1>
+
+<h3><b>Who Sometimes Infest the Cars and Depots in and Near this
+City.</b></h3>
+
+<hr />
+
+<p><b>We warn all those who contemplate visiting us</b>, that we have the
+most <i>positive proofs</i> that a gang of confidence men have at different
+times made it their business to watch for sick and infirm people on the way
+to our institutions, and divert them into the hands of "sharpers,"
+confidence men and swindlers. These men have watched for the coming of
+invalids on the cars, in and around the depots, in the offices of the
+hotels located near the depots, and if inquiry was made for our
+institutions, or if the object of the visit to the city was made known or
+suspected from the invalid appearance of the traveler, they at once
+commenced weaving their skillfully-wrought web to catch a victim.</p>
+
+
+<h2><b>WE, THEREFORE,</b></h2>
+
+<h1><b>Advise all those Desiring to Visit Us,</b></h1>
+
+<p><b>FIRST.&mdash;To ask for no information from policemen, or those appearing
+to be policemen, in or about our depots. Confidence men often assume a
+style of dress similar to that worn by policemen.</b></p>
+
+<p><b>SECOND.&mdash;Let the object of your visit to the city be known to no one
+whom you meet on the cars, or in the depots or near them.</b></p>
+
+<p><b>THIRD.&mdash;If you have a check for baggage, when the baggage-man comes
+through the cars, as one does on every train before it reaches the city,
+asking if you will have your baggage delivered anywhere in the city, or, if
+you will have a carriage; if you have a trunk, give him the check for it,
+pay him 25 cents only and he will have it delivered at the INVALIDS' HOTEL
+AND SURGICAL INSTITUTE. 663 Main Street.</b> (Do not forget the number).
+You had <span class="pagenum"><a name="Page_991" id="Page_991"></a>[pg
+991]</span>better, also, procure a ticket from this baggage-man, or agent,
+for a <i>coupe</i> or carriage to our place, for which you will have to pay
+only fifty cents. (Outside prices are higher.) This saves all trouble and
+anxiety, as the agent will look carefully after both yourself and baggage,
+and you are sure of reaching our place promptly and safely. If you have
+only hand-baggage, such as bundles, traveling-bags, or similar luggage, you
+can take it with you in the carriage without extra cost.</p>
+
+<p>Mr. C.W. Miller, whose agents solicit on all the in-coming trains for
+the delivery of passengers and baggage, has an office in every passenger
+depot in this city, to which you can apply if, by any chance, you miss his
+agent on the train.</p>
+
+<p><b>THE INVALIDS' HOTEL AND SURGICAL INSTITUTE IS OPEN DAY AND NIGHT, and
+you will be cordially received and well taken care of</b>.</p>
+
+<p><b>The table is provided with the best of food</b>.</p>
+
+<p><b>No hotel in the city has better rooms or beds than the Invalids'
+Hotel</b>.</p>
+
+<p><b>This institution is not a hospital, but a commodious and comfortable
+invalids' home</b>.</p>
+
+<p>If all we say of our institutions, and our advantages and facilities for
+the successful treatment of disease is not found, on your arrival and
+investigation, to be just as we have represented them, <b>we will pay all
+the expenses of your trip and you can return home at once</b>.</p>
+
+
+<h1>"<b>A Word to the Wise</b>,"</h1>
+
+
+<p>in the nature of advice, to those about to visit us, in conclusion, may
+not be out of place.</p>
+
+<p><b>Keep your business to yourself while on the road here, also when
+about the depots, and ask no questions of ANYBODY</b>.</p>
+
+<p><b>Make no traveling acquaintances. They are dangerous</b>.</p>
+
+<p>Observe the foregoing directions, and any child of twelve years,
+possessed of ordinary intelligence, can reach our conspicuous place, <b>663
+Main Street</b>, Buffalo, N.Y., without fail.</p>
+
+<p><b>WORLD'S DISPENSARY MEDICAL ASSOCIATION</b>.</p>
+
+<p><span class="pagenum"><a name="Page_992" id="Page_992"></a>[pg
+992]</span></p><hr />
+
+
+
+
+
+
+<p class="figure"><a name="advise754"><img width="40%" alt="Illustration: "
+src="images/advise754.png" /></a><br /></p>
+
+<p><span class="pagenum"><a name="Page_993" id="Page_993"></a>[pg
+993]</span></p><hr />
+
+
+
+
+<h1><a name='INDEX'></a>INDEX.</h1>
+
+<blockquote>
+<p>
+<b>A</b><br />
+<br />
+<br />
+Abortion, <a href="#Page_682">682</a><br />
+Abscess, Lumbar, <a href="#Page_446">446</a><br />
+Abscess, Psoas, <a href="#Page_448">448</a><br />
+Absence of the Ovaries, <a href="#Page_688">688</a><br />
+Absence of the Womb, <a href="#Page_689">689</a><br />
+Absolutely Painless Operation, <a href="#Page_491">491</a><br />
+Absorption, <a href="#Page_48">48</a><br />
+Acacia Catechu, <a href="#Page_325">325</a><br />
+Accidents, <a href="#Page_889">889</a><br />
+Acetabulum, <a href="#Page_25">25</a><br />
+Acetate of Potato, <a href="#Page_338">338</a><br />
+Acid, Aromatic Sulphuric, <a href="#Page_310">310</a><br />
+Acid Bath, <a href="#Page_367">367</a><br />
+Acid, Carbolic, <a href="#Page_318">318</a><br />
+Acid, Gallic, <a href="#Page_325">325</a><br />
+Acid, Hydrochloric, <a href="#Page_310">310</a><br />
+Acid, Muriatic, <a href="#Page_310">310</a><br />
+Acid, Tannic, <a href="#Page_325">325</a><br />
+Acid, Uric, <a href="#Page_86">86</a><br />
+Acids, <a href="#Page_309">309</a>, <a href="#Page_895">895</a><br />
+Acidum Gallicum, <a href="#Page_325">325</a><br />
+Acidum Tannicum, <a href="#Page_325">325</a><br />
+Acne, <a href="#Page_442">442</a><br />
+Aconite, <a href="#Page_346">346</a><br />
+Acute Articular Rheumatism, <a href="#Page_425">425</a><br />
+Acute Bright's Disease, <a href="#Page_830">830</a><br />
+Acute Bronchitis, <a href="#Page_509">509</a><br />
+Acute Catarrh, <a href="#Page_473">473</a><br />
+Acute Gastritis, <a href="#Page_883">883</a><br />
+Acute Inflammation of the Bladder, <a href="#Page_824">824</a><br />
+Acute Inflammation of the Bowels, <a href="#Page_655">655</a><br />
+Acute Inflammation of the Kidneys, <a href="#Page_823">823</a><br />
+Acute Inflammation of the Liver, <a href="#Page_569">569</a><br />
+Acute Inflammation of the Stomach, <a href="#Page_565">565</a><br />
+Acute Laryngitis, <a href="#Page_496">496</a><br />
+Acute Nephritis, <a href="#Page_829">829</a><br />
+Acute Peritonitis, <a href="#Page_886">886</a><br />
+Adhesion, <a href="#Page_400">400</a><br />
+Adipose Tissue, <a href="#Page_20">20</a><br />
+Affections, Alphous, <a href="#Page_441">441</a><br />
+Affections, Boil-like, <a href="#Page_443">443</a><br />
+Affections, Bullous, <a href="#Page_438">438</a><br />
+Affections, Eczematous, <a href="#Page_430">430</a><br />
+Affections, Erythematous, <a href="#Page_436">436</a><br />
+Affections, Furuncular, <a href="#Page_443">443</a><br />
+Affections, Nervous, of the Skin, <a href="#Page_440">440</a><br />
+Affections of the Hair-follicles, <a href="#Page_441">441</a><br />
+Affections of the Male Generative Organs, <a href="#Page_773">773</a><br />
+Affections of the Urinary Organs, <a href="#Page_825">825</a><br />
+Affections of the Urinary Organs, Sympathetic, <a
+href="#Page_826">826</a><br />
+Afferent Nerves, <a href="#Page_87">87</a>,<a href="#Page_93">93</a><br />
+Afterbirth, <a href="#Page_216">216</a><br />
+Age of Nervousness, the, <a href="#Page_619">619</a><br />
+Ague, <a href="#Page_405">405</a><br />
+Air-cells, <a href="#Page_63">63</a><br />
+Air-passages, Foreign Bodies in the, <a href="#Page_893">893</a><br />
+Air, Pure, <a href="#Page_822">822</a>, <a href="#Page_223">223</a>, <a
+href="#Page_378">378</a><br />
+Albumen, <a href="#Page_53">53</a>, <a href="#Page_238">238</a><br />
+Albuminuria, <a href="#Page_422">422</a><br />
+Alcohol, <a href="#Page_849">849</a>, <a href="#Page_627">627</a>, <a
+href="#Page_896">896</a><br />
+Alcohol Habit, <a href="#Page_627">627</a><br />
+Alcoholic Liquors, <a href="#Page_255">255</a><br />
+Alder, <a href="#Page_304">304</a><br />
+Alkalies, <a href="#Page_809">809</a>, <a href="#Page_895">895</a><br />
+Alkaline Bath, <a href="#Page_367">367</a><br />
+Allopathic School of Medicine, <a href="#Page_293">293</a><br />
+Alnuin, <a href="#Page_305">305</a><br />
+Alnus Eubra, <a href="#Page_304">304</a><br />
+Aloes, <a href="#Page_328">328</a><br />
+Alphos, <a href="#Page_441">441</a><br />
+Alphous Affections, <a href="#Page_441">441</a><br />
+Alteratives, <a href="#Page_303">303</a><br />
+Alteratives, Compounding of, <a href="#Page_303">303</a><br />
+Alternate Generation, <a href="#Page_16">16</a><br />
+Althea Officinalis, <a href="#Page_336">336</a><br />
+Amenorrhea, <a href="#Page_687">687</a><br />
+American Colombo, <a href="#Page_353">353</a><br />
+American Hellebore, <a href="#Page_347">347</a><br />
+American Poplar, <a href="#Page_350">350</a><br />
+Ammonia, <a href="#Page_349">349</a><br />
+Amnion, <a href="#Page_216">216</a><br />
+Amperemeter, <a href="#Page_630">630</a><br />
+Amygdalus Persica, <a href="#Page_346">346</a><br />
+Amyloid Degeneration of the Kidneys, <a href="#Page_830">830</a><br />
+Amyloids, <a href="#Page_238">238</a><br />
+Anæmia, <a href="#Page_419">419</a><br />
+Anæsthesia, Local, <a href="#Page_806">806</a><br />
+Anæsthetics, <a href="#Page_806">806</a><br />
+Anal Fistula, <a href="#Page_583">583</a><br />
+Anasarca, <a href="#Page_422">422</a><br />
+Anatomy, <a href="#Page_11">11</a><br />
+Anatomy, Physiological, <a href="#Page_11">11</a>, <a
+href="#Page_19">19</a>, <a href="#Page_30">30</a>, <a
+href="#Page_37">37</a>, <a href="#Page_48">48</a>, <a
+href="#Page_56">56</a>, <a href="#Page_63">63</a>, <a
+href="#Page_68">68</a>, <a href="#Page_75">75</a>, <a
+href="#Page_84">84</a>, <a href="#Page_87">87</a><br />
+Anatomy, Physiological, of the Testes, <a href="#Page_774">774</a><br />
+Anatomy, Physiological, of the Urinary Organs, <a
+href="#Page_823">823</a><br />
+Angina Pectoris, <a href="#Page_552">552</a><br />
+Ammalcular Lite, Universality of, <a href="#Page_16">16</a><br />
+Animal Extracts as Remedies, <a href="#Page_631">631</a><br />
+Animal Faculties, <a href="#Page_130">130</a><br />
+Animal Food, Value of, <a href="#Page_241">241</a><br />
+Animals, Cold-blooded, <a href="#Page_55">55</a><br />
+Anise-seed, <a href="#Page_325">325</a><br />
+Anodynes, <a href="#Page_310">310</a><br />
+Anteflexions of the Uterus, <a href="#Page_714">714</a><br />
+Anterior view of Deformed Nasal Cavity, <a href="#Page_492">492</a><br />
+Anterior view of Nasal Cavity, <a href="#Page_490">490</a><br />
+Anthelmintics, <a href="#Page_319">319</a><br />
+Anthrax, <a href="#Page_475">475</a><br />
+Antidotes for Poisons, <a href="#Page_895">895</a><br />
+Antiperiodics, <a href="#Page_316">316</a><br />
+Antiseptics, <a href="#Page_317">317</a><br />
+Antispasmodics, <a href="#Page_318">318</a><br />
+Anus, Fistula of the, <a href="#Page_583">583</a><br />
+Aorta, <a href="#Page_58">58</a><br />
+<span class="pagenum"><a name="Page_994" id="Page_994"></a>[pg
+994]</span>Aperients, <a href="#Page_326">326</a><br />
+Aphasia, <a href="#Page_639">639</a><br />
+Apnoea, <a href="#Page_421">421</a><br />
+Appendix Vermiformis, <a href="#Page_41">41</a><br />
+Apthæ, <a href="#Page_553">553</a><br />
+Aqueous Humor, <a href="#Page_107">107</a><br />
+Arachnoid Fluid, <a href="#Page_90">90</a><br />
+Arachnoid Membrane, <a href="#Page_90">90</a><br />
+Arbutus, Trailing, <a href="#Page_336">336</a><br />
+Arctium Lappa, <a href="#Page_307">307</a><br />
+Areolar Tissue, <a href="#Page_19">19</a><br />
+Aristolochia Serpentaria, <a href="#Page_333">333</a><br />
+Aromatic Sulphuric Acid, <a href="#Page_310">310</a><br />
+Arteries, <a href="#Page_58">58</a><br />
+Artery, Pulmonary, <a href="#Page_58">58</a><br />
+Art of Swimming, <a href="#Page_274">274</a><br />
+Ascaris Lumbricoides, <a href="#Page_561">561</a><br />
+Ascaris Vermioularis, <a href="#Page_561">561</a><br />
+Ascites, <a href="#Page_423">423</a><br />
+Asclepias Tuberosa, <a href="#Page_332">332</a><br />
+Asclepin, <a href="#Page_333">333</a><br />
+Aseptic Precautions in Operations, <a href="#Page_492">492</a><br />
+Ashes, <a href="#Page_335">335</a><br />
+Ash, Prickly, <a href="#Page_349">349</a><br />
+Aspen Poplar, <a href="#Page_315">315</a><br />
+Asphyxia, <a href="#Page_421">421</a><br />
+Aspidium Filix Mas., <a href="#Page_315">315</a><br />
+Assafetida Ferula, <a href="#Page_318">318</a><br />
+Assimilation, <a href="#Page_233">233</a><br />
+Asthma, <a href="#Page_511">511</a><br />
+Asthma, Hay, <a href="#Page_514">514</a><br />
+Astringents, <a href="#Page_320">320</a><br />
+Ataxia, Locomotor, <a href="#Page_640">640</a><br />
+Atomizer, <a href="#Page_481">481</a><br />
+Atomizer, Steam, <a href="#Page_482">482</a><br />
+Atropa Belladonna, <a href="#Page_312">312</a><br />
+Atrophy of the Heart, <a href="#Page_551">551</a><br />
+Atrophy of the Testicles, <a href="#Page_773">773</a><br />
+Atropia, <a href="#Page_312">312</a><br />
+Atropin, <a href="#Page_312">312</a><br />
+Auricle, <a href="#Page_57">57</a><br />
+Auscultation, <a href="#Page_391">391</a><br />
+Axis, Cerebro-spinal, <a href="#Page_89">89</a><br />
+Axis-cylinder, <a href="#Page_87">87</a><br />
+<br />
+<br />
+<b>B</b><br />
+<br />
+<br />
+Back, Crooked, <a href="#Page_901">901</a><br />
+Baked Mutton, <a href="#Page_248">248</a><br />
+Balmony, <a href="#Page_315">315</a><br />
+Baptisia Tinctoria, <a href="#Page_318">318</a><br />
+Baptisin, <a href="#Page_318">318</a><br />
+Barber's Itch, <a href="#Page_442">442</a><br />
+Bark, Cramp, <a href="#Page_320">320</a><br />
+Bark, Slippery-elm, <a href="#Page_335">335</a><br />
+Barosma Crenata, <a href="#Page_338">338</a><br />
+Barosmin, <a href="#Page_338">338</a><br />
+Barrenness, <a href="#Page_707">707</a><br />
+Base Ball, <a href="#Page_273">273</a><br />
+Basilar Faculties, <a href="#Page_132">132</a><br />
+Battery for home use, <a href="#Page_631">631</a>, <a
+href="#Page_632">632</a><br />
+Bath, Acid, <a href="#Page_367">367</a><br />
+Bath, Alkaline, <a href="#Page_367">367</a><br />
+Bath, Cold, <a href="#Page_356">356</a><br />
+Bath, Cool, <a href="#Page_357">357</a><br />
+Bath, Douche, <a href="#Page_365">365</a><br />
+Bath, Foot, <a href="#Page_366">366</a><br />
+Bath, Head, <a href="#Page_367">367</a><br />
+Bath, Hot, <a href="#Page_358">358</a><br />
+Bath, Iodine, <a href="#Page_368">368</a><br />
+Bath, Russian, <a href="#Page_358">358</a><br />
+Bath, Scott's Acid, <a href="#Page_367">367</a><br />
+Bath, Shower, <a href="#Page_365">365</a><br />
+Bath Sitz, <a href="#Page_367">367</a><br />
+Bath, Spirit Vapor, <a href="#Page_382">382</a><br />
+Bath, Sponge, <a href="#Page_365">365</a><br />
+Bath, Sulphur, <a href="#Page_368">368</a><br />
+Bath, Temperate, <a href="#Page_357">357</a><br />
+Bath, Tepid, <a href="#Page_357">357</a><br />
+Bath, Turkish, <a href="#Page_358">358</a><br />
+Bath, Warm, <a href="#Page_357">357</a><br />
+Bathing, <a href="#Page_353">353</a><br />
+Bathing, Sea, <a href="#Page_364">364</a><br />
+Baths, Medicated, <a href="#Page_367">367</a><br />
+Bed, <a href="#Page_279">279</a>, <a href="#Page_377">377</a><br />
+Bedding, <a href="#Page_380">380</a><br />
+Beef Soup, <a href="#Page_247">247</a><br />
+Beef Tea, <a href="#Page_381">381</a><br />
+Belladonna, <a href="#Page_312">312</a><br />
+Beverages, <a href="#Page_248">248</a><br />
+Bicarbonate of Potash, <a href="#Page_309">309</a><br />
+Bile, <a href="#Page_80">80</a><br />
+Biliary Calculi, <a href="#Page_560">560</a><br />
+Biliary Salts, <a href="#Page_81">81</a><br />
+Bilious Colic, <a href="#Page_557">557</a><br />
+Bilious Disorder, <a href="#Page_569">569</a><br />
+Bilious Fever, <a href="#Page_408">408</a><br />
+Biliverdin, <a href="#Page_81">81</a><br />
+Biology, <a href="#Page_11">11</a><br />
+Blackberry-root, <a href="#Page_321">321</a><br />
+Black Cohosh, <a href="#Page_305">305</a>, <a href="#Page_341">341</a><br
+/>
+Black Pepper, <a href="#Page_348">348</a><br />
+Black-root, <a href="#Page_327">327</a><br />
+Black Snake-root, <a href="#Page_305">305</a>, <a
+href="#Page_341">341</a><br />
+Black Vomit, <a href="#Page_883">883</a><br />
+Bladder, <a href="#Page_823">823</a><br />
+Bladder, Chronic Inflammation of the, <a href="#Page_836">836</a><br />
+Bladder, Stone in the, <a href="#Page_838">838</a><br />
+Blood, <a href="#Page_53">53</a><br />
+Blood Corpuscles, <a href="#Page_53">53</a><br />
+Blood, Physical Properties of the, <a href="#Page_53">53</a><br />
+Blood-root, <a href="#Page_306">306</a><br />
+Blood, Vital Properties of the, <a href="#Page_53">53</a><br />
+Bloody-flux, <a href="#Page_888">888</a><br />
+Blue Flag, <a href="#Page_307">307</a><br />
+Blushing, <a href="#Page_62">62</a><br />
+Boiled Fish, <a href="#Page_247">247</a><br />
+Boiled Meat, <a href="#Page_247">247</a><br />
+Boil-like Affections, <a href="#Page_443">443</a><br />
+Boils, <a href="#Page_443">443</a><br />
+Bones, <a href="#Page_19">19</a><br />
+Bones of the Head, <a href="#Page_22">22</a><br />
+Bones of the Lower Extremities, <a href="#Page_27">27</a><br />
+Bones of the Upper Extremities, <a href="#Page_25">25</a><br />
+Boneset, <a href="#Page_316">316</a>, <a href="#Page_341">341</a><br />
+Boxing, <a href="#Page_273">273</a><br />
+Boxwood, <a href="#Page_351">351</a><br />
+Brain, <a href="#Page_95">95</a><br />
+Brain Fatigue, <a href="#Page_621">621</a><br />
+Branny Tetter, <a href="#Page_431">431</a><br />
+Breach, <a href="#Page_864">864</a><br />
+Bread, <a href="#Page_248">248</a><br />
+Bright's Disease, Acute, <a href="#Page_830">830</a><br />
+Broiled Steak, <a href="#Page_247">247</a><br />
+Bronchia, <a href="#Page_63">63</a><br />
+Bronchial Cells, <a href="#Page_63">63</a><br />
+Bronchitis, <a href="#Page_476">476</a><br />
+Bronchitis, Chronic, <a href="#Page_509">509</a><br />
+Bruises, <a href="#Page_892">892</a><br />
+Buchu, <a href="#Page_338">338</a><br />
+Bugle-weed, <a href="#Page_383">383</a><br />
+Bullous Affections, <a href="#Page_438">438</a><br />
+Burdock, <a href="#Page_307">307</a><br />
+Burns, <a href="#Page_894">894</a><br />
+Bursæ Mucosæ, <a href="#Page_29">29</a><br />
+Butterfly-weed, <a href="#Page_333">333</a><br />
+Butternut, <a href="#Page_328">328</a><br />
+Butter-weed, <a href="#Page_324">324</a><br />
+<br />
+<br />
+<b>C</b><br />
+<br />
+<br />
+<span class="pagenum"><a name="Page_995" id="Page_995"></a>[pg
+995]</span>Chachexia, <a href="#Page_431">431</a><br />
+Cæcum, <a href="#Page_41">41</a><br />
+Caliculi, <a href="#Page_837">837</a><br />
+Camp Fever, <a href="#Page_408">408</a><br />
+Camphor, <a href="#Page_312">312</a><br />
+Canada Fleabane, <a href="#Page_324">324</a><br />
+Canals, Haversian, <a href="#Page_21">21</a><br />
+Canals, Semi-circular, <a href="#Page_110">110</a><br />
+Canker, <a href="#Page_553">553</a><br />
+Cannabis Indica, <a href="#Page_334">334</a><br />
+Capacity, Cranial, <a href="#Page_139">139</a><br />
+Capillaries, <a href="#Page_60">60</a><br />
+Capsicum Annuum, <a href="#Page_348">348</a><br />
+Capsule, Synovial, <a href="#Page_29">29</a><br />
+Carbolic Acid, <a href="#Page_318">318</a><br />
+Carbonate of Iron, <a href="#Page_354">354</a><br />
+Carbuncle, <a href="#Page_444">444</a><br />
+Carminatives, <a href="#Page_325">325</a><br />
+Carpus, <a href="#Page_26">26</a><br />
+Cartilage, <a href="#Page_29">29</a><br />
+Cartilaginous Tissue, <a href="#Page_20">20</a><br />
+Cascara Sagrada, <a href="#Page_328">328</a><br />
+Casein, <a href="#Page_82">82</a>, <a href="#Page_338">338</a><br />
+Castor Oil, <a href="#Page_328">328</a><br />
+Catarrh, Acute, <a href="#Page_473">473</a><br />
+Catarrh, Chronic Nasal, <a href="#Page_474">474</a><br />
+Catarrh, Hay, <a href="#Page_514">514</a><br />
+Catechu, <a href="#Page_325">325</a><br />
+Cathartics, <a href="#Page_326">326</a><br />
+Catnip, <a href="#Page_334">334</a><br />
+Caustics, <a href="#Page_331">331</a><br />
+Cayenne Pepper, <a href="#Page_348">348</a><br />
+Cellars, Damp, <a href="#Page_228">228</a><br />
+Cells, Bronchial, <a href="#Page_66">66</a><br />
+Centres of Ossification, <a href="#Page_20">20</a>, <a
+href="#Page_27">27</a><br />
+Centre, Specific, <a href="#Page_14">14</a><br />
+Cephælis Ipecacuanha, <a href="#Page_339">339</a><br />
+Cerebellum, <a href="#Page_95">95</a>, <a href="#Page_97">97</a><br />
+Cerebral Nerves, <a href="#Page_89">89</a><br />
+Cerebral Physiology, <a href="#Page_114">114</a><br />
+Cerebro-spinal Axis, <a href="#Page_89">89</a><br />
+Cerebro-spinal System, <a href="#Page_89">89</a><br />
+Cerebrum, <a href="#Page_95">95</a>, <a href="#Page_98">98</a><br />
+Cerevisiæ Fermentum, <a href="#Page_317">317</a><br />
+Ceruminous Glands, <a href="#Page_77">77</a><br />
+Cervical Rheumatism, <a href="#Page_427">427</a><br />
+Cessation of the Menses, <a href="#Page_700">700</a><br />
+Chalybeate Waters, <a href="#Page_250">250</a><br />
+Chamomile, <a href="#Page_350">350</a><br />
+Chamomile, Wild, <a href="#Page_834">834</a><br />
+Chelone Glabra, <a href="#Page_315">315</a><br />
+Chelonin, <a href="#Page_315">315</a><br />
+Chicken-pox, <a href="#Page_412">412</a><br />
+Chimaphila Umbellate, <a href="#Page_338">338</a><br />
+Chimaphilin, <a href="#Page_338">338</a><br />
+Chloride of Iron, Tincture of, <a href="#Page_355">355</a><br />
+Chloride of Sodium, <a href="#Page_815">815</a><br />
+Cholagogues, <a href="#Page_326">326</a><br />
+Cholera, Epidemic, <a href="#Page_887">887</a><br />
+Cholera Infantum, <a href="#Page_555">555</a><br />
+Cholera Morbus, <a href="#Page_888">888</a><br />
+Cholesterin, <a href="#Page_81">81</a><br />
+Chordæ Tendineæ, <a href="#Page_57">57</a><br />
+Chorea, <a href="#Page_650">650</a><br />
+Chorion, <a href="#Page_216">216</a><br />
+Choroid, <a href="#Page_107">107</a><br />
+Chronic Articular Rheumatism, <a href="#Page_426">426</a><br />
+Chronic Bright's Disease, <a href="#Page_830">830</a><br />
+Chronic Bronchitis, <a href="#Page_509">509</a><br />
+Chronic Cystitis, <a href="#Page_836">836</a><br />
+Chronic Diarrhea, <a href="#Page_568">568</a><br />
+Chronic Gastritis, <a href="#Page_884">884</a><br />
+Chronic Gout, <a href="#Page_430">430</a><br />
+Chronic Hepatitis, <a href="#Page_569">569</a><br />
+Chronic Inflammation of the Bladder, <a href="#Page_836">836</a><br />
+Chronic Inflammation of the Bowels, <a href="#Page_549">549</a><br />
+Chronic Inflammation of the Liver, <a href="#Page_569">569</a><br />
+Chronic Inflammation of the Stomach, <a href="#Page_884">884</a><br />
+Chronic Laryngitis, <a href="#Page_496">496</a><br />
+Chronic Nasal Catarrh, <a href="#Page_474">474</a><br />
+Chronic Peritonitis, <a href="#Page_886">886</a><br />
+Chronic Ulcers, <a href="#Page_454">454</a><br />
+Chyle, <a href="#Page_45">45</a>, <a href="#Page_49">49</a><br />
+Chyme, <a href="#Page_45">45</a><br />
+Cimicifuga Racemosa, <a href="#Page_305">305</a>, <a
+href="#Page_341">341</a><br />
+Circulatory Organs, <a href="#Page_56">56</a><br />
+Citrate of Iron, <a href="#Page_354">354</a><br />
+Classes of Food, <a href="#Page_238">238</a><br />
+Clavicle, <a href="#Page_26">26</a><br />
+Cleanliness of Body, <a href="#Page_281">281</a>, <a
+href="#Page_380">380</a><br />
+Clergymen's Sore Throat, <a href="#Page_496">496</a><br />
+Climate, <a href="#Page_243">243</a><br />
+Closure of the Tear-duct, <a href="#Page_477">477</a><br />
+Clot, <a href="#Page_54">54</a><br />
+Clothing, <a href="#Page_264">264</a>, <a href="#Page_380">380</a><br />
+Coagulation, <a href="#Page_55">55</a><br />
+Coccyx, <a href="#Page_23">23</a>, <a href="#Page_25">25</a><br />
+Cochlea, <a href="#Page_110">110</a><br />
+Cochlearia Armoracia, <a href="#Page_331">331</a><br />
+Coffee, <a href="#Page_258">258</a><br />
+Cohosh, Black, <a href="#Page_305">305</a>, <a href="#Page_341">341</a><br
+/>
+Cold-blooded Animals, <a href="#Page_55">55</a><br />
+Colic, <a href="#Page_557">557</a><br />
+Colic, Bilious, <a href="#Page_557">557</a><br />
+Colic, Flatulent, <a href="#Page_558">558</a><br />
+Colic, Lead, <a href="#Page_558">558</a><br />
+Colic, Painters', <a href="#Page_558">558</a><br />
+Coliea Pietonum, <a href="#Page_558">558</a><br />
+Collinsonia Canadensis, <a href="#Page_337">337</a><br />
+Colombo, American, <a href="#Page_358">358</a><br />
+Colon, <a href="#Page_41">41</a><br />
+Colts-tail, <a href="#Page_324">324</a><br />
+Columnæ Carneæ, <a href="#Page_57">57</a><br />
+Column, Spinal, <a href="#Page_24">24</a><br />
+Comedones, <a href="#Page_442">442</a><br />
+Compound Extract of Smart-weed, <a href="#Page_312">312</a>, <a
+href="#Page_326">326</a>, <a href="#Page_335">335</a>, <a
+href="#Page_342">342</a>, <a href="#Page_349">349</a><br />
+Compounding of Alteratives, <a href="#Page_308">308</a><br />
+Conception, Double, <a href="#Page_215">215</a><br />
+Conception, Prevention of, <a href="#Page_212">212</a><br />
+Congestive Fever, <a href="#Page_406">406</a><br />
+Conium Maculatum, <a href="#Page_311">311</a><br />
+Conjugal Love, <a href="#Page_186">186</a><br />
+Connective Tissue, <a href="#Page_19">19</a><br />
+Constipation, <a href="#Page_573">573</a><br />
+Consumption, <a href="#Page_476">476</a>, <a href="#Page_497">497</a><br />
+Consumption, Curability of, <a href="#Page_503">503</a><br />
+Consumption, Tubercular, <a href="#Page_497">497</a><br />
+Continued Fevers, <a href="#Page_407">407</a><br />
+Contractility, <a href="#Page_34">34</a><br />
+Contused Wounds, <a href="#Page_889">889</a><br />
+Convolutions, <a href="#Page_98">98</a><br />
+Cookery, <a href="#Page_246">246</a><br />
+Copper, Sulphate of, <a href="#Page_339">339</a><br />
+Coptis Trifolia, <a href="#Page_354">354</a><br />
+Cord, Spinal, <a href="#Page_90">90</a><br />
+Cord, Umbilical, <a href="#Page_217">217</a><br />
+Core, <a href="#Page_399">399</a><br />
+Cornea, <a href="#Page_106">106</a><br />
+Cornus Florida, <a href="#Page_351">351</a><br />
+Corpora Olivaria, <a href="#Page_95">95</a>, <a href="#Page_96">96</a><br
+/>
+Corpora Pyramidalia, <a href="#Page_95">95</a><br />
+Corpora Quadrigemina, <a href="#Page_95">95</a>, <a
+href="#Page_97">97</a><br />
+Corpora Restiformia, <a href="#Page_95">95</a>, <a
+href="#Page_96">96</a><br />
+Corpus Callosum, <a href="#Page_98">98</a><br />
+Corpuscles, Blood, <a href="#Page_53">53</a><br />
+Corpuscles, Ganglionic, <a href="#Page_87">87</a>, <a
+href="#Page_88">88</a><br />
+Costiveness, <a href="#Page_573">573</a><br />
+Cotton-wool Respirator, <a href="#Page_230">230</a><br />
+<span class="pagenum"><a name="Page_996" id="Page_996"></a>[pg
+996]</span><br />
+Cough, <a href="#Page_502">502</a>, <a href="#Page_506">506</a><br />
+Countenance, <a href="#Page_394">394</a><br />
+Counter-irritants, <a href="#Page_331">331</a><br />
+Cow-pox, <a href="#Page_411">411</a><br />
+Coxalgia, <a href="#Page_450">450</a><br />
+Cramp Bark, <a href="#Page_450">450</a><br />
+Cranberry, High, <a href="#Page_320">320</a><br />
+Cranesbill, <a href="#Page_322">322</a><br />
+Cranial Capacity, <a href="#Page_139">139</a><br />
+Cranial Nerves, <a href="#Page_100">100</a><br />
+Cranium, <a href="#Page_22">22</a><br />
+Creasote, <a href="#Page_317">317</a><br />
+Creation, Special, <a href="#Page_14">14</a><br />
+Creeping Palsy, <a href="#Page_640">640</a><br />
+Cricket, <a href="#Page_273">273</a><br />
+Criminal Abortion, <a href="#Page_682">682</a><br />
+Crocus Sativus, <a href="#Page_333">333</a><br />
+Crooked Back, <a href="#Page_901">901</a><br />
+Croup, Membranous, <a href="#Page_878">878</a><br />
+Croup, Spasmodic, <a href="#Page_878">878</a><br />
+Crow-foot, <a href="#Page_332">332</a><br />
+Crura Cerebelli, <a href="#Page_97">97</a><br />
+Crusted Tetter, <a href="#Page_433">433</a><br />
+Crystalline Lens, <a href="#Page_107">107</a><br />
+Cueurbita Chrullus, <a href="#Page_338">338</a><br />
+Cucurbita Pepo, <a href="#Page_338">338</a><br />
+Culture, Mental, <a href="#Page_276">276</a><br />
+Culver's-root, <a href="#Page_327">327</a><br />
+Cupri Sulphas, <a href="#Page_339">339</a><br />
+Curability of Consumption, <a href="#Page_503">503</a><br />
+Cure, Radical, for Hernia, <a href="#Page_892">892</a><br />
+Curvature of the Spine, Lateral, <a href="#Page_901">901</a><br />
+Curvature, Posterior Spinal, <a href="#Page_898">898</a><br />
+Cuticle, <a href="#Page_68">68</a>, <a href="#Page_70">70</a><br />
+Cutis Vera, <a href="#Page_68">68</a><br />
+Cypripedin, <a href="#Page_320">320</a>, <a href="#Page_345">345</a><br />
+Cypripedium Pubescens, <a href="#Page_320">320</a>, <a
+href="#Page_345">345</a><br />
+Cystitis, Chronic, <a href="#Page_836">836</a><br />
+<br />
+<br />
+<b>D</b><br />
+<br />
+<br />
+Damp Cellars, <a href="#Page_228">228</a><br />
+Dancing, <a href="#Page_276">276</a><br />
+Dandruff, <a href="#Page_431">431</a><br />
+Danger in the use of Instruments, <a href="#Page_846">846</a><br />
+Datura Stramonium, <a href="#Page_344">344</a><br />
+Deadly Nightshade, <a href="#Page_312">312</a><br />
+Deafness, <a href="#Page_476">476</a><br />
+Debility, Sexual, Symptoms of, <a href="#Page_777">777</a><br />
+Decidua, <a href="#Page_216">216</a><br />
+Decoctions, <a href="#Page_303">303</a><br />
+Deformed Feet, <a href="#Page_903">903</a><br />
+Deformed Hands, <a href="#Page_903">903</a><br />
+Deformed Limbs, <a href="#Page_903">903</a><br />
+Deformity of the Nasal Septum, <a href="#Page_490">490</a><br />
+Degeneration of the Heart, Fatty, <a href="#Page_551">551</a><br />
+Degeneration of the Kidneys, <a href="#Page_832">832</a><br />
+Deglutition, <a href="#Page_233">233</a><br />
+Desquamative Nephritis, <a href="#Page_833">833</a><br />
+Development of the Individual, <a href="#Page_192">192</a><br />
+Diabetes, <a href="#Page_835">835</a><br />
+Diagnosis, <a href="#Page_390">390</a><br />
+Diagnostic Symptoms, <a href="#Page_390">390</a><br />
+Diaphoretics, <a href="#Page_332">332</a><br />
+Diaphragm, <a href="#Page_32">32</a><br />
+Diarrhea, <a href="#Page_502">502</a>, <a href="#Page_555">555</a><br />
+Diarrhea, Chronic, <a href="#Page_568">568</a><br />
+Diathesis, <a href="#Page_391">391</a><br />
+Diathesis, Scrofulous, <a href="#Page_445">445</a><br />
+Diathesis, Strumous, <a href="#Page_445">445</a><br />
+Diet, <a href="#Page_380">380</a><br />
+Digestibility of Food, <a href="#Page_248">248</a><br />
+Digestion, <a href="#Page_37">37</a><br />
+Digestive Organs, <a href="#Page_37">37</a><br />
+Digitalis Purpurea, <a href="#Page_387">387</a><br />
+Dilatation of the Heart, <a href="#Page_551">551</a><br />
+Diluents, <a href="#Page_335">335</a><br />
+Dioecious Reproduction, <a href="#Page_202">202</a><br />
+Dioscorea Villosa, <a href="#Page_320">320</a><br />
+Dioscorein, <a href="#Page_320">320</a><br />
+Diptheria, <a href="#Page_414">414</a><br />
+Discovery, Golden Medical, <a href="#Page_308">308</a>, <a
+href="#Page_316">316</a>, <a href="#Page_355">355</a><br />
+Disease, Bright's, <a href="#Page_830">830</a><br />
+Disease, Dust and, <a href="#Page_229">229</a><br />
+Disease, Hip-joint, <a href="#Page_450">450</a><br />
+Disease, Remedies for, <a href="#Page_298">298</a><br />
+Disease of the Throat, <a href="#Page_476">476</a><br />
+Diseases and their Remedial Treatment, <a href="#Page_386">386</a><br />
+Diseases of the Heart, <a href="#Page_547">547</a><br />
+Diseases of the Kidneys, <a href="#Page_829">829</a><br />
+Disease of the Larynx, <a href="#Page_476">476</a><br />
+Diseases of the Liver, <a href="#Page_559">559</a>, <a
+href="#Page_569">569</a><br />
+Diseases of the Skin, <a href="#Page_430">430</a><br />
+Diseases of the Stomach, <a href="#Page_430">430</a><br />
+Diseases of the Urinary Organs, <a href="#Page_823">823</a><br />
+Diseases of Women, <a href="#Page_684">684</a><br />
+Disinfectants, <a href="#Page_317">317</a><br />
+Dislocations, <a href="#Page_892">892</a><br />
+Displacements of the Womb, <a href="#Page_713">713</a><br />
+Distilled Liquors, <a href="#Page_264">264</a><br />
+Diuretics, <a href="#Page_336">336</a><br />
+Dock, Yellow, <a href="#Page_304">304</a><br />
+Dog-button, <a href="#Page_350">350</a><br />
+Dogwood, <a href="#Page_351">351</a><br />
+Domestic Management of Fevers, <a href="#Page_403">403</a><br />
+Door of Life, the, <a href="#Page_681">681</a><br />
+Dose, <a href="#Page_300">300</a><br />
+Double Conception, <a href="#Page_215">215</a><br />
+Douche Bath, <a href="#Page_365">365</a><br />
+Douche, Dr. Pierce's Nasal, <a href="#Page_486">486</a><br />
+Dover's Powder, <a href="#Page_311">311</a><br />
+Drastics, <a href="#Page_326">326</a><br />
+Dropsies, <a href="#Page_422">422</a><br />
+Dropsy of the Scrotum, <a href="#Page_821">821</a><br />
+Drowning, <a href="#Page_893">893</a><br />
+Ducts, Lactiferous, <a href="#Page_82">82</a><br />
+Duodenum, <a href="#Page_40">40</a><br />
+Dura Mater, <a href="#Page_90">90</a><br />
+Duration of Pregnancy, <a href="#Page_219">219</a><br />
+Dust and Disease, <a href="#Page_229">229</a><br />
+Dwellings, Ventilation of, <a href="#Page_226">226</a><br />
+Dynamometer, <a href="#Page_391">391</a><br />
+Dysentery, <a href="#Page_588">588</a><br />
+Dysmenorrhea, <a href="#Page_692">692</a><br />
+Dyspepsia, <a href="#Page_565">565</a><br />
+Dyspnoea, <a href="#Page_502">502</a><br />
+<br />
+<br />
+<b>E</b><br />
+<br />
+<br />
+Ear, Catarrh of the, <a href="#Page_477">477</a><br />
+Eating, <a href="#Page_233">233</a><br />
+Eclectic School of Medicine, <a href="#Page_294">294</a><br />
+Eczema, <a href="#Page_430">430</a><br />
+Eczema, Infantile, <a href="#Page_430">430</a><br />
+Eczematous Affections, <a href="#Page_430">430</a><br />
+Efferent Nerves, <a href="#Page_87">87</a>, <a href="#Page_98">98</a><br />
+Effusion, <a href="#Page_400">400</a><br />
+Electricity in Nervous Affections, <a href="#Page_629">629</a><br />
+Elixir of Vitriol, <a href="#Page_310">310</a><br />
+Elongation of the Uvula, <a href="#Page_419">419</a>, <a
+href="#Page_495">495</a><br />
+Emergencies, <a href="#Page_889">889</a><br />
+Emetics, <a href="#Page_339">339</a><br />
+Emetic-weed, <a href="#Page_340">340</a><br />
+Emissions, Involuntary Seminal, <a href="#Page_773">773</a><br />
+<span class="pagenum"><a name="Page_997" id="Page_997"></a>[pg
+997]</span>Emissions, Nocturnal <a href="#Page_773">773</a><br />
+Emmenagogues <a href="#Page_341">341</a><br />
+Emotive Faculties <a href="#Page_126">126</a><br />
+Encephalic Temperament <a href="#Page_177">177</a><br />
+Endocarditis <a href="#Page_549">549</a><br />
+Endocardium <a href="#Page_57">57</a><br />
+Endolymph <a href="#Page_110">110</a><br />
+Enlarged Spermatic Veins <a href="#Page_803">803</a><br />
+Enlarged Tonsils <a href="#Page_417">417</a>, <a
+href="#Page_494">494</a><br />
+Enlargement of the Prostate Gland <a href="#Page_840">840</a><br />
+Enteric Fever <a href="#Page_407">407</a><br />
+Envelope <a href="#Page_9">9</a><br />
+Epidemic Cholera <a href="#Page_887">887</a><br />
+Epidermis <a href="#Page_68">68</a>, <a href="#Page_70">70</a><br />
+Epigea Repens <a href="#Page_336">336</a><br />
+Epiglottis <a href="#Page_67">67</a><br />
+Epilepsy <a href="#Page_647">647</a><br />
+Epsom Salts <a href="#Page_328">328</a><br />
+Erect Carriage <a href="#Page_272">272</a><br />
+Ergot <a href="#Page_341">341</a><br />
+Erigeron Canadense <a href="#Page_324">324</a><br />
+Eruption, Heat <a href="#Page_430">430</a><br />
+Eruptive Fevers <a href="#Page_408">408</a><br />
+Erysipelas <a href="#Page_413">413</a><br />
+Erythema <a href="#Page_436">436</a><br />
+Erythemaious Affections <a href="#Page_436">436</a><br />
+Esophagus <a href="#Page_39">39</a><br />
+Ethmoid Bone <a href="#Page_22">22</a><br />
+Eupatorin <a href="#Page_316">316</a>, <a href="#Page_341">341</a><br />
+Eupatorin (Purpu) <a href="#Page_338">338</a><br />
+Eupatorium Perfoliatum <a href="#Page_316">316</a>, <a
+href="#Page_341">341</a><br />
+Eupatorium Purpureum <a href="#Page_338">338</a><br />
+Eustachian Tube <a href="#Page_110">110</a><br />
+Evolution <a href="#Page_14">14</a><br />
+Examination, Microscopical <a href="#Page_398">398</a>, <a
+href="#Page_825">825</a><br />
+Examination of the Urine <a href="#Page_397">397</a>, <a
+href="#Page_625">625</a>, <a href="#Page_825">825</a><br />
+Excretion <a href="#Page_84">84</a><br />
+Exercise <a href="#Page_382">382</a><br />
+Exercise, Horseback <a href="#Page_276">276</a><br />
+Exercise, Physical <a href="#Page_270">270</a><br />
+Exercises of the Gymnasium <a href="#Page_275">275</a><br />
+Expanding Uterine Speculum <a href="#Page_718">718</a><br />
+Expectorants <a href="#Page_342">342</a><br />
+Expectoration <a href="#Page_502">502</a><br />
+External Auditory Meatus <a href="#Page_77">77</a>, <a
+href="#Page_109">109</a><br />
+Extract of Smart-weed <a href="#Page_312">312</a>, <a
+href="#Page_326">326</a>, <a href="#Page_335">335</a>, <a
+href="#Page_342">342</a>, <a href="#Page_349">349</a><br />
+Exudation <a href="#Page_422">422</a><br />
+Eye <a href="#Page_397">397</a><br />
+<br />
+<br />
+<b>F</b><br />
+<br />
+<br />
+Face, Bones of the <a href="#Page_23">23</a><br />
+Factories, Ventilation of <a href="#Page_226">226</a><br />
+Faculties, Animal <a href="#Page_130">130</a><br />
+Faculties, Basilar <a href="#Page_132">132</a><br />
+Faculties, Emotive <a href="#Page_126">126</a><br />
+Faculties, Volitive <a href="#Page_129">129</a><br />
+Fainting <a href="#Page_894">894</a><br />
+Falling of the Uterus <a href="#Page_713">713</a><br />
+Fallopian Tubes <a href="#Page_209">209</a><br />
+False Measles <a href="#Page_413">413</a><br />
+False Membrane <a href="#Page_878">878</a><br />
+False Passages <a href="#Page_846">846</a><br />
+Fascia <a href="#Page_30">30</a><br />
+Fasciculus <a href="#Page_30">30</a><br />
+Fats <a href="#Page_238">238</a><br />
+Fatty Degeneration of the Heart <a href="#Page_551">551</a><br />
+Fatty Degeneration of the Kidneys <a href="#Page_832">832</a><br />
+Favorite Prescription, Pierce's <a href="#Page_342">342</a>, <a
+href="#Page_346">346</a>, <a href="#Page_355">355</a><br />
+Favus <a href="#Page_441">441</a><br />
+Fecundation <a href="#Page_211">211</a><br />
+Feebleness, Region of <a href="#Page_134">134</a><br />
+Feeding Infants <a href="#Page_235">235</a><br />
+Feet, Deformed <a href="#Page_903">903</a><br />
+Female Generative Organs <a href="#Page_206">206</a><br />
+Female Regulator <a href="#Page_341">341</a><br />
+Female Urinary Organs <a href="#Page_206">206</a><br />
+Femoral Hernia <a href="#Page_863">863</a><br />
+Femur <a href="#Page_27">27</a><br />
+Fencing <a href="#Page_273">273</a><br />
+Fennel-seed <a href="#Page_325">325</a><br />
+Fergusson Speculum <a href="#Page_717">717</a><br />
+Fermented Liquors <a href="#Page_263">263</a><br />
+Fern, Male <a href="#Page_315">315</a><br />
+Ferri Carbonas <a href="#Page_354">354</a><br />
+Ferri Citras <a href="#Page_354">354</a><br />
+Ferri Ferrocyanidum <a href="#Page_316">316</a><br />
+Ferri Pyrophosphas <a href="#Page_354">354</a><br />
+Ferri Redactum <a href="#Page_354">354</a><br />
+Ferrocyanide of Iron <a href="#Page_316">316</a><br />
+Ferrum <a href="#Page_354">354</a><br />
+Fever <a href="#Page_401">401</a><br />
+Fever and Ague <a href="#Page_405">405</a><br />
+Fever, Bilious <a href="#Page_406">406</a><br />
+Fever, Camp <a href="#Page_408">408</a><br />
+Fever, Congestive <a href="#Page_406">406</a><br />
+Fever, Enteric <a href="#Page_407">407</a><br />
+Fever, Gastric <a href="#Page_405">405</a><br />
+Fever, Hay <a href="#Page_514">514</a><br />
+Fever, Hectic <a href="#Page_502">502</a><br />
+Fever, Hospital <a href="#Page_408">408</a><br />
+Fever, Intermittent <a href="#Page_405">405</a><br />
+Fever, Jail <a href="#Page_408">408</a><br />
+Fever, Pernicious <a href="#Page_406">406</a><br />
+Fever, Remittent <a href="#Page_406">406</a><br />
+Fever, Scarlet <a href="#Page_408">408</a><br />
+Fever, Ship <a href="#Page_408">408</a><br />
+Fever, Typhoid <a href="#Page_407">407</a><br />
+Fever, Typhus <a href="#Page_408">408</a><br />
+Fever-sore <a href="#Page_446">446</a>, <a href="#Page_454">454</a>, <a
+href="#Page_456">456</a><br />
+Fevers, Continued <a href="#Page_407">407</a><br />
+Fevers, Domestic Management of <a href="#Page_403">403</a><br />
+Fevers, Eruptive <a href="#Page_408">408</a><br />
+Fevers, Malignant <a href="#Page_407">407</a><br />
+Fevers, Putrid <a href="#Page_407">407</a><br />
+Fibrillæ <a href="#Page_30">30</a>, <a href="#Page_32">32</a><br />
+Fibrin <a href="#Page_53">53</a>, <a href="#Page_238">238</a><br />
+Fibroid Polypus <a href="#Page_487">487</a><br />
+Fibroid Tumors <a href="#Page_722">722</a><br />
+Fibula <a href="#Page_27">27</a><br />
+Fish <a href="#Page_247">247</a><br />
+Fissure of Sylvius <a href="#Page_98">98</a><br />
+Fistula in Ano <a href="#Page_583">583</a><br />
+Fits <a href="#Page_647">647</a><br />
+Flag, Blue <a href="#Page_307">307</a><br />
+Flatulent Colic <a href="#Page_558">558</a><br />
+Flax-seed <a href="#Page_335">335</a><br />
+Fleabane, Canada <a href="#Page_324">324</a><br />
+Flesh <a href="#Page_30">30</a><br />
+Flexions of the Uterus or Womb <a href="#Page_709">709</a>, <a
+href="#Page_714">714</a><br />
+Fluid Arachnoid <a href="#Page_90">90</a><br />
+Focus <a href="#Page_108">108</a><br />
+Foetus <a href="#Page_216">216</a><br />
+Follicles of Lieberkuhn <a href="#Page_79">79</a><br />
+Follicular Laryngitis <a href="#Page_496">496</a><br />
+Follicular Ulcer <a href="#Page_718">718</a><br />
+Fomentations <a href="#Page_386">386</a><br />
+Food <a href="#Page_233">233</a><br />
+Food, Classes of <a href="#Page_238">238</a><br />
+Food, Digestibility of <a href="#Page_243">243</a><br />
+Food, Preparation of <a href="#Page_236">236</a><br />
+Food, Value of Animal <a href="#Page_241">241</a><br />
+Food, Variety of, Necessary <a href="#Page_236">236</a>, <a
+href="#Page_239">239</a><br />
+Foot-bath <a href="#Page_366">366</a><br />
+Foreign Bodies in the Nose <a href="#Page_893">893</a><br />
+Foreign Bodies In the Throat and Air-passages <a
+href="#Page_893">893</a><br />
+<span class="pagenum"><a name="Page_998" id="Page_998"></a>[pg
+998]</span>Fountain Syringe <a href="#Page_705">705</a><br />
+Foxglove <a href="#Page_867">867</a><br />
+Fractures <a href="#Page_892">892</a><br />
+Franklin Electric Machine <a href="#Page_629">629</a><br />
+Frasera Carolinensis <a href="#Page_353">353</a><br />
+Fraserin <a href="#Page_353">353</a><br />
+Fretfulness <a href="#Page_623">623</a><br />
+Frontal Bone <a href="#Page_22">22</a><br />
+Function <a href="#Page_11">11</a><br />
+Furuncular Affections <a href="#Page_443">443</a><br />
+Furunculus <a href="#Page_443">443</a><br />
+<br />
+<br />
+<b>G</b><br />
+<br />
+<br />
+Gall-bladder <a href="#Page_80">80</a><br />
+Gallic Acid <a href="#Page_325">325</a><br />
+Gall-stones <a href="#Page_56">56</a>O<br />
+Galvano-Faradic Battery <a href="#Page_628">628</a><br />
+Galvanometer <a href="#Page_630">630</a><br />
+Gamboge <a href="#Page_327">327</a><br />
+Ganglia <a href="#Page_89">89</a>, <a href="#Page_103">103</a>, <a
+href="#Page_115">115</a><br />
+Ganglionic Corpuscles <a href="#Page_87">87</a>, <a
+href="#Page_89">89</a><br />
+Gangrene <a href="#Page_400">400</a><br />
+Garget <a href="#Page_304">304</a><br />
+Gastralgia <a href="#Page_885">885</a><br />
+Gastric Fever <a href="#Page_405">405</a><br />
+Gastric Juice <a href="#Page_45">45</a>, <a href="#Page_79">79</a><br />
+Gastritis, Acute <a href="#Page_883">883</a><br />
+Gastritis, Chronic <a href="#Page_884">884</a><br />
+Gaultheria Procumbens <a href="#Page_325">325</a><br />
+Gelatinoid Polypus <a href="#Page_487">487</a><br />
+Gelsemin <a href="#Page_320">320</a>, <a href="#Page_348">348</a><br />
+Gelseminum Sempervirens <a href="#Page_319">319</a>, <a
+href="#Page_348">348</a><br />
+General Paralysis <a href="#Page_639">639</a><br />
+General Treatment of Paralysis <a href="#Page_641">641</a><br />
+Generation <a href="#Page_11">11</a>, <a href="#Page_12">12</a><br />
+Generation, Alternate <a href="#Page_16">16</a><br />
+Generation, The Process of <a href="#Page_15">15</a><br />
+Generative Organs, Hygiene of the <a href="#Page_282">282</a><br />
+Generative Organs, Male, Affections of the <a href="#Page_772">772</a><br
+/>
+Gentian <a href="#Page_350">350</a><br />
+Geranin <a href="#Page_323">323</a><br />
+Geranium Maculatum <a href="#Page_322">322</a><br />
+Geranium, Spotted <a href="#Page_322">322</a><br />
+Germ-cell <a href="#Page_12">12</a>, <a href="#Page_15">15</a><br />
+Ginger <a href="#Page_325">325</a>, <a href="#Page_335">335</a><br />
+Gland, Prostate <a href="#Page_827">827</a><br />
+Gland, Prostate, Enlargement of the <a href="#Page_840">840</a><br />
+Gland, Sublingual <a href="#Page_38">38</a><br />
+Gland, Submaxillary <a href="#Page_39">39</a><br />
+Glands, Ceruminous <a href="#Page_77">77</a><br />
+Glands, Meibomian <a href="#Page_78">78</a><br />
+Glands of Brunner <a href="#Page_79">79</a><br />
+Glands, Parotid <a href="#Page_38">38</a><br />
+Glands, Salivary <a href="#Page_38">38</a><br />
+Glands, Sebaceous <a href="#Page_70">70</a>, <a href="#Page_77">77</a><br
+/>
+Glands, Sudoriferous <a href="#Page_69">69</a><br />
+Glycocholate of Soda <a href="#Page_81">81</a><br />
+Goitre <a href="#Page_470">470</a><br />
+Golden Medical Discovery <a href="#Page_308">308</a>, <a
+href="#Page_316">316</a>, <a href="#Page_355">355</a><br />
+Golden Saffron <a href="#Page_333">333</a><br />
+Golden-seal <a href="#Page_352">352</a><br />
+Gold-thread <a href="#Page_354">354</a><br />
+Gouty Headache <a href="#Page_635">635</a><br />
+Granular Ulcer <a href="#Page_717">717</a><br />
+Gravel <a href="#Page_837">837</a><br />
+Gravel-plant <a href="#Page_336">336</a><br />
+Gravel-root <a href="#Page_336">336</a>, <a href="#Page_338">338</a><br />
+Gravel-weed <a href="#Page_338">338</a><br />
+Gray Matter <a href="#Page_91">91</a><br />
+Great Sympathetic System <a href="#Page_101">101</a><br />
+Grip, The <a href="#Page_471">471</a><br />
+Gum Arabia <a href="#Page_335">335</a><br />
+Gutta Rosacea <a href="#Page_433">433</a><br />
+Gymnasium, Exercises of the <a href="#Page_275">275</a><br />
+<br />
+<br />
+<b>H</b><br />
+<br />
+<br />
+Habit, Alcohol <a href="#Page_627">627</a><br />
+Habit, Opium <a href="#Page_627">627</a><br />
+Habit, Tobacco <a href="#Page_627">627</a><br />
+Hæmatoxylon Campeachianum <a href="#Page_321">321</a><br />
+Hæmoptysis <a href="#Page_502">502</a>, <a href="#Page_507">507</a><br />
+Hair-follicles, Affections of the <a href="#Page_441">441</a><br />
+Hairs <a href="#Page_72">72</a><br />
+Hamamelin <a href="#Page_322">322</a><br />
+Hamamelis Virginica <a href="#Page_321">321</a><br />
+Hands, Deformed <a href="#Page_903">903</a><br />
+Hardhack <a href="#Page_323">323</a><br />
+Haversian Canals <a href="#Page_21">21</a><br />
+Hay Asthma <a href="#Page_514">514</a><br />
+Hay Catarrh <a href="#Page_514">514</a><br />
+Hay Fever <a href="#Page_514">514</a><br />
+Headache <a href="#Page_634">634</a><br />
+Headache, Malarial <a href="#Page_635">635</a><br />
+Headache, Nervous <a href="#Page_635">635</a><br />
+Headache, Neuralgic <a href="#Page_635">635</a><br />
+Headache, Periodical <a href="#Page_635">635</a><br />
+Headache, Rheumatic <a href="#Page_635">635</a><br />
+Head Bath <a href="#Page_358">358</a><br />
+Head, Scald <a href="#Page_441">441</a><br />
+Head, The Bones of the <a href="#Page_22">22</a><br />
+Health, Light and <a href="#Page_231">231</a><br />
+Hearing <a href="#Page_109">109</a><br />
+Heart <a href="#Page_56">56</a><br />
+Heart, Atrophy of the <a href="#Page_551">551</a><br />
+Heart, Dilatation of the <a href="#Page_551">551</a><br />
+Heart, Diseases of the <a href="#Page_547">547</a><br />
+Heart, Fatty Degeneration of the <a href="#Page_651">651</a><br />
+Heart, Hypertrophy of the <a href="#Page_550">550</a><br />
+Heart, Neuralgia of the <a href="#Page_552">552</a><br />
+Heart, Organic Disease of the <a href="#Page_547">547</a><br />
+Heat Eruption <a href="#Page_430">430</a><br />
+Heat, Prickly <a href="#Page_432">432</a><br />
+Hectic Fever <a href="#Page_502">502</a><br />
+Hedeoma Pulegioides <a href="#Page_341">341</a><br />
+Hellebore, American <a href="#Page_347">347</a><br />
+Hellebore, Swamp <a href="#Page_347">347</a><br />
+Hellebore, White <a href="#Page_347">347</a><br />
+Hemiplegia <a href="#Page_639">639</a><br />
+Hemlock, Poison <a href="#Page_311">311</a><br />
+Hemorrhage <a href="#Page_578">578</a>, <a href="#Page_890">890</a><br />
+Hemorrhoids <a href="#Page_578">578</a><br />
+Hemp, Indian <a href="#Page_344">344</a><br />
+Henbane <a href="#Page_311">311</a>, <a href="#Page_343">343</a><br />
+Hepatitis, Chronic <a href="#Page_569">569</a><br />
+Hermaphrodite <a href="#Page_199">199</a><br />
+Hermaphroditic Reproduction <a href="#Page_199">199</a><br />
+Hernia <a href="#Page_862">862</a><br />
+Hernia, Radical Cure for <a href="#Page_866">866</a><br />
+Herpes <a href="#Page_438">438</a><br />
+High Cranberry <a href="#Page_320">320</a><br />
+Hitus <a href="#Page_84">84</a><br />
+Hip joint Disease <a href="#Page_450">450</a><br />
+History of Marriage <a href="#Page_188">188</a><br />
+Hives <a href="#Page_437">437</a><br />
+Homes, Site for <a href="#Page_227">227</a><br />
+Homoeopathy <a href="#Page_294">294</a><br />
+Hops <a href="#Page_312">312</a>, <a href="#Page_345">345</a><br />
+Horseback Exercise <a href="#Page_276">276</a><br />
+Horse-balm <a href="#Page_337">337</a><br />
+Horse-radish <a href="#Page_331">331</a><br />
+Hospital Fever <a href="#Page_408">408</a><br />
+Hot Bath <a href="#Page_358">358</a><br />
+How to use Vaginal Injections <a href="#Page_705">705</a><br />
+How to use Water <a href="#Page_252">252</a><br />
+Human Temperaments <a href="#Page_148">148</a><br />
+<span class="pagenum"><a name="Page_999" id="Page_999"></a>[pg
+999]</span>Humerus, <a href="#Page_26">26</a><br />
+Humid Tetter, <a href="#Page_430">430</a><br />
+Humor, Aqueous, <a href="#Page_107">107</a><br />
+Humor, Vitreous, <a href="#Page_107">107</a><br />
+Humpback, <a href="#Page_898">898</a><br />
+Humulin, <a href="#Page_312">312</a>, <a href="#Page_345">345</a><br />
+Humulus Lupulus, <a href="#Page_312">312</a>, <a
+href="#Page_345">345</a><br />
+Hydragogues, <a href="#Page_326">326</a><br />
+Hydrargyri Sulphas Flava, <a href="#Page_339">339</a><br />
+Hydrarthrus, <a href="#Page_452">452</a><br />
+Hydrastia, Muriate of, <a href="#Page_352">352</a><br />
+Hydrastin, <a href="#Page_352">352</a><br />
+Hydrastis Canadensis, <a href="#Page_352">352</a><br />
+Hydrocele, <a href="#Page_423">423</a>, <a href="#Page_821">821</a><br />
+Hydrocephalus, <a href="#Page_433">433</a><br />
+Hydrochloric Acid, <a href="#Page_310">310</a><br />
+Hydrothorax, <a href="#Page_423">423</a><br />
+Hygiene ,<a href="#Page_222">222</a><br />
+Hygiene of the Reproductive Organs, <a href="#Page_282">282</a><br />
+Hygiene, Practical Summary of, <a href="#Page_288">288</a><br />
+Hygienic Treatment of the Sick, <a href="#Page_375">375</a><br />
+Hymen, Imperforate, <a href="#Page_687">687</a><br />
+Hyoscyamin, <a href="#Page_311">311</a>, <a href="#Page_344">344</a><br />
+Hyoscyamus Niger, <a href="#Page_311">311</a>, <a
+href="#Page_343">343</a><br />
+Hypertrophy of the Heart, <a href="#Page_550">550</a><br />
+Hysterical Headache, <a href="#Page_635">635</a><br />
+<br />
+<br />
+<b>I</b><br />
+<br />
+<br />
+Icterus, <a href="#Page_559">559</a><br />
+Ileum, <a href="#Page_40">40</a>, <a href="#Page_41">41</a><br />
+Imperforate Hymen, <a href="#Page_687">687</a><br />
+Impetigo, <a href="#Page_433">433</a><br />
+Impotency, <a href="#Page_776">776</a><br />
+Impoverished Blood, <a href="#Page_626">626</a><br />
+Impurities, Mineral, <a href="#Page_249">249</a><br />
+Incised Wounds, <a href="#Page_889">889</a><br />
+Incus, <a href="#Page_110">110</a><br />
+Independent Physician, <a href="#Page_295">295</a><br />
+Indian Hemp, <a href="#Page_344">344</a><br />
+Indian Physic, <a href="#Page_327">327</a><br />
+Indian Poke, <a href="#Page_347">347</a><br />
+Indian Tobacco, <a href="#Page_340">340</a><br />
+Indigestion, <a href="#Page_565">565</a><br />
+Indigo, Wild, <a href="#Page_318">318</a><br />
+Individual, Development of the, <a href="#Page_192">192</a><br />
+Indolent Ulcer, <a href="#Page_455">455</a><br />
+Indulgence, Solitary, <a href="#Page_772">772</a><br />
+Induration, <a href="#Page_400">400</a><br />
+Infantile Eczema, <a href="#Page_430">430</a><br />
+Infants, Feeding of, <a href="#Page_235">235</a><br />
+Inferior Maxillary Bone, <a href="#Page_22">22</a><br />
+Inferior Turbinated Bones, <a href="#Page_22">22</a><br />
+Inflammation, <a href="#Page_398">398</a><br />
+Inflammation of the Bladder, Chronic, <a href="#Page_836">836</a><br />
+Inflammation of the Bones, <a href="#Page_458">458</a><br />
+Inflammation of the Liver, <a href="#Page_569">569</a>, <a
+href="#Page_570">570</a><br />
+Inflammation of the Stomach, Acute, <a href="#Page_882">882</a><br />
+Inflammation of the Stomach, Chronic, <a href="#Page_884">884</a><br />
+Inflammation of the Vagina, <a href="#Page_702">702</a><br />
+Inflammation, Phlegmonous, <a href="#Page_399">399</a><br />
+Inflammation, Termination of, <a href="#Page_400">400</a><br />
+Inflammation, Treatment of, <a href="#Page_401">401</a><br />
+Influenza, <a href="#Page_471">471</a><br />
+Infusions, <a href="#Page_303">303</a><br />
+Inguinal Hernia, <a href="#Page_863">863</a><br />
+Insalivation, <a href="#Page_233">233</a><br />
+Insertion, <a href="#Page_31">31</a><br />
+Insomnia, <a href="#Page_623">623</a><br />
+Instruments, Danger in the use of, <a href="#Page_846">846</a><br />
+Intermediate Muscles, <a href="#Page_32">32</a><br />
+Intermittent Fever, <a href="#Page_405">405</a><br />
+Interpretation of Symptoms, <a href="#Page_893">893</a><br />
+Intestinal Juice, <a href="#Page_79">79</a><br />
+Intestinal Worms, <a href="#Page_561">561</a><br />
+Intestines, <a href="#Page_49">49</a><br />
+Introductory Words, <a href="#Page_9">9</a><br />
+Involuntary Muscles, <a href="#Page_32">32</a><br />
+Involuntary Seminal Emissions, <a href="#Page_773">773</a><br />
+Iodine, <a href="#Page_307">307</a>, <a href="#Page_896">896</a><br />
+Iodine Bath, <a href="#Page_368">368</a><br />
+Ipecac, <a href="#Page_339">339</a><br />
+Ipomoea Jalapa, <a href="#Page_326">326</a><br />
+Iris, <a href="#Page_107">107</a><br />
+Iris Versicolor, <a href="#Page_307">307</a><br />
+Iron, <a href="#Page_354">354</a><br />
+Iron by Hydrogen, <a href="#Page_354">354</a><br />
+Iron, Carbonate of, <a href="#Page_354">354</a><br />
+Iron, Citrate of, <a href="#Page_354">354</a><br />
+Iron, Ferrocyanide of, <a href="#Page_316">316</a><br />
+Iron, Pyrophosphate of, <a href="#Page_354">354</a><br />
+Iron, Tincture of Muriate of, <a href="#Page_355">355</a><br />
+Irritable Ulcer, <a href="#Page_455">455</a><br />
+Itch, <a href="#Page_434">434</a><br />
+Itch, Barber's, <a href="#Page_442">442</a><br />
+Itching of the Vulva, <a href="#Page_702">702</a><br />
+<br />
+<br />
+<b>J</b><br />
+<br />
+<br />
+Jaborandi, <a href="#Page_334">334</a><br />
+Jail Fever, <a href="#Page_408">408</a><br />
+Jalap, <a href="#Page_326">326</a><br />
+Jalapin, <a href="#Page_327">327</a><br />
+Jaundice, <a href="#Page_559">559</a><br />
+Jejunum, <a href="#Page_40">40</a>, <a href="#Page_41">41</a><br />
+Jessamine, Yellow, <a href="#Page_319">319</a>, <a
+href="#Page_348">348</a><br />
+Juglandin, <a href="#Page_328">328</a><br />
+Juglans Cinerea, <a href="#Page_328">328</a><br />
+Juice, Gastric, <a href="#Page_45">45</a>, <a href="#Page_79">79</a><br />
+Juice, Intestinal, <a href="#Page_79">79</a><br />
+Juice, Lemon, <a href="#Page_335">335</a><br />
+Juice, Orange, <a href="#Page_335">335</a><br />
+Juice, Pancreatic, <a href="#Page_89">89</a><br />
+Juice, Tamarind, <a href="#Page_335">335</a><br />
+<br />
+<br />
+<b>K</b><br />
+<br />
+<br />
+Kidneys, <a href="#Page_823">823</a><br />
+Kidneys, Diseases of the, <a href="#Page_829">829</a><br />
+Knee-joint, Tuberculosis of the, <a href="#Page_453">453</a><br />
+Knot-root, <a href="#Page_337">337</a><br />
+<br />
+<br />
+<b>L</b><br />
+<br />
+<br />
+Labyrinth, <a href="#Page_110">110</a><br />
+Lacerated Wounds, <a href="#Page_890">890</a><br />
+Lachrymal Bones, <a href="#Page_22">22</a><br />
+Lacteals, <a href="#Page_48">48</a><br />
+Lactiferous Ducts, <a href="#Page_82">82</a><br />
+Lady's-slipper, Yellow, <a href="#Page_320">320</a>, <a
+href="#Page_345">345</a><br />
+Laryngitis, Chronic, <a href="#Page_496">496</a><br />
+Laryngitis, Follicular, <a href="#Page_496">496</a><br />
+Larynx, <a href="#Page_63">63</a><br />
+Larynx, Disease of the, <a href="#Page_476">476</a><br />
+Latent Life, <a href="#Page_11">11</a><br />
+Lateral Curvature of the Spine, <a href="#Page_901">901</a><br />
+Late Suppers, <a href="#Page_235">235</a><br />
+Laudanum, <a href="#Page_310">310</a><br />
+Laxatives, <a href="#Page_326">326</a><br />
+Lead Colic, <a href="#Page_558">558</a><br />
+Lemons, <a href="#Page_335">335</a><br />
+Lens Crystalline, <a href="#Page_107">107</a><br />
+Leptandra Virginica, <a href="#Page_327">327</a><br />
+Leptandrin, <a href="#Page_327">327</a><br />
+Lesions, Valvular, <a href="#Page_549">549</a><br />
+Leucocythæmia, <a href="#Page_491">491</a><br />
+<span class="pagenum"><a name="Page_1000" id="Page_1000"></a>[pg
+1000]</span><br />
+Leucorrhea <a href="#Page_702">702</a><br />
+Liberal Physician <a href="#Page_295">295</a><br />
+Lichen <a href="#Page_431">431</a><br />
+Lids, Granular <a href="#Page_649">649</a><br />
+Life, Latent <a href="#Page_11">11</a><br />
+Life Line <a href="#Page_169">169</a><br />
+Life, Origin of <a href="#Page_17">17</a><br />
+Life-root <a href="#Page_341">341</a><br />
+Life, Transmission of <a href="#Page_181">181</a><br />
+Life, Turn of <a href="#Page_700">700</a><br />
+Ligaments <a href="#Page_29">29</a><br />
+Light and Health <a href="#Page_231">231</a>, <a
+href="#Page_378">378</a><br />
+Limbs, Deformed <a href="#Page_903">903</a><br />
+Liniments <a href="#Page_342">342</a><br />
+Liquor Amnii <a href="#Page_216">216</a><br />
+Liquor Sanguinis <a href="#Page_53">53</a><br />
+Liquors, Alcoholic <a href="#Page_255">255</a><br />
+Liquors, Distilled <a href="#Page_264">264</a><br />
+Liquors, Fermented <a href="#Page_263">263</a><br />
+Liquors, Malted <a href="#Page_262">262</a><br />
+Liriodendron Tulipfera <a href="#Page_350">350</a><br />
+Literature, Obscene <a href="#Page_285">285</a><br />
+Liver <a href="#Page_42">42</a><br />
+Liver, Chronic Inflammation of the <a href="#Page_569">569</a><br />
+Liver Complaint <a href="#Page_569">569</a><br />
+Liver, Diseases of the <a href="#Page_569">569</a><br />
+Lobelia Inflata <a href="#Page_340">340</a><br />
+Lobes <a href="#Page_64">64</a>, <a href="#Page_80">80</a><br />
+Lobules <a href="#Page_64">64</a>, <a href="#Page_80">80</a><br />
+Locomotor Ataxia <a href="#Page_640">640</a><br />
+Logwood <a href="#Page_321">321</a><br />
+Loss of Sexual Power <a href="#Page_776">776</a><br />
+Love <a href="#Page_184">184</a><br />
+Love, Conjugal <a href="#Page_186">186</a><br />
+Lower Extremities, the Bones of the <a href="#Page_27">27</a><br />
+Lumbago <a href="#Page_427">427</a><br />
+Lungs <a href="#Page_63">63</a><br />
+Lycopin <a href="#Page_324">324</a><br />
+Lycopus Virginicus <a href="#Page_323">323</a><br />
+Lymph <a href="#Page_51">51</a><br />
+Lymphatics <a href="#Page_49">49</a><br />
+Lymphatic System <a href="#Page_49">49</a><br />
+Lymphatic Temperament <a href="#Page_157">157</a><br />
+<br />
+<br />
+<b>M</b><br />
+<br />
+<br />
+Machines, Electrical <a href="#Page_629">629</a><br />
+Macrotin <a href="#Page_306">306</a><br />
+Macrotys <a href="#Page_305">305</a><br />
+Mad-dog Weed <a href="#Page_345">345</a><br />
+Magnesia Sulphas <a href="#Page_328">328</a><br />
+Malar Bones <a href="#Page_22">22</a><br />
+Malaria <a href="#Page_227">227</a><br />
+Malarial Headache <a href="#Page_635">635</a><br />
+Male Fern <a href="#Page_315">315</a><br />
+Male Generative Organs <a href="#Page_207">207</a><br />
+Male Generative Organs, Affections of the <a href="#Page_772">772</a><br />
+Male Generative Organs, Physiology of the <a href="#Page_772">772</a><br />
+Malformation of the Vagina <a href="#Page_687">687</a><br />
+Malformation of the Womb <a href="#Page_687">687</a><br />
+Malignant Fevers <a href="#Page_407">407</a><br />
+Malleus <a href="#Page_110">110</a><br />
+Malted Liquors <a href="#Page_262">262</a><br />
+Management, Domestic, of Fevers <a href="#Page_403">403</a><br />
+Mandrake <a href="#Page_304">304</a><br />
+Manipulator <a href="#Page_373">373</a><br />
+Marriage <a href="#Page_184">184</a><br />
+Marriage, History of <a href="#Page_188">188</a><br />
+Marsh-mallow <a href="#Page_336">336</a><br />
+Maruta Cotula <a href="#Page_334">334</a><br />
+Massage <a href="#Page_362">362</a><br />
+Mastication <a href="#Page_233">233</a><br />
+Masturbation <a href="#Page_286">286</a>, <a href="#Page_772">772</a><br />
+Matter, Gray <a href="#Page_91">91</a><br />
+Matter, Sebaceous <a href="#Page_77">77</a><br />
+Maxillary Bones <a href="#Page_22">22</a><br />
+May-apple <a href="#Page_304">304</a><br />
+May-weed <a href="#Page_334">334</a><br />
+Meadow Sweet <a href="#Page_323">323</a><br />
+Meals, Regularity of <a href="#Page_234">234</a><br />
+Measles <a href="#Page_412">412</a><br />
+Measles, False <a href="#Page_413">413</a><br />
+Meatus External Auditory <a href="#Page_77">77</a>, <a
+href="#Page_109">109</a><br />
+Mechanical Movements in the Treatment of Paralysis <a
+href="#Page_641">641</a><br />
+Mechanical Movements, Value of <a href="#Page_371">371</a><br />
+Mediastinum <a href="#Page_65">65</a><br />
+Medical Diagnosis <a href="#Page_390">390</a><br />
+Medicated Bath <a href="#Page_367">367</a><br />
+Medicine, Allopathic School of <a href="#Page_293">293</a><br />
+Medicine, Eclectic School of <a href="#Page_294">294</a><br />
+Medicine, Homoeopathic School of <a href="#Page_294">294</a><br />
+Medicine, Preparation of <a href="#Page_301">301</a><br />
+Medicine, Progress of <a href="#Page_292">292</a><br />
+Medicine, Properties of <a href="#Page_300">300</a><br />
+Medicine, Rational <a href="#Page_292">292</a><br />
+Medicines, Proprietary <a href="#Page_298">298</a><br />
+Medulla Oblongata <a href="#Page_95">95</a><br />
+Medulla Spinalis <a href="#Page_25">25</a><br />
+Meibomian Glands <a href="#Page_78">78</a><br />
+Melancholy <a href="#Page_621">621</a><br />
+Membrane, Arachnoid <a href="#Page_90">90</a><br />
+Membrane, False <a href="#Page_878">878</a><br />
+Membrane, Mucous <a href="#Page_37">37</a><br />
+Membrane, Pituitary <a href="#Page_111">111</a><br />
+Membrane, Synovial <a href="#Page_29">29</a><br />
+Membranous Croup <a href="#Page_878">878</a><br />
+Menorrhagia <a href="#Page_697">697</a><br />
+Menses <a href="#Page_210">210</a><br />
+Menses, Cessation of the <a href="#Page_700">700</a><br />
+Menses, Retention of the <a href="#Page_687">687</a>, <a
+href="#Page_688">688</a>, <a href="#Page_689">689</a>, <a
+href="#Page_690">690</a><br />
+Menses, Suppression of the <a href="#Page_687">687</a>, <a
+href="#Page_688">688</a>, <a href="#Page_689">689</a>, <a
+href="#Page_690">690</a><br />
+Menstruation <a href="#Page_210">210</a>, <a href="#Page_686">686</a><br />
+Menstruation, Painful <a href="#Page_692">692</a><br />
+Menstruation, Profuse <a href="#Page_697">697</a><br />
+Mental Culture <a href="#Page_276">276</a><br />
+Mentha Piperita <a href="#Page_326">326</a><br />
+Mentha Viridis <a href="#Page_326">326</a><br />
+Mercury <a href="#Page_307">307</a><br />
+Mercury, Yellow Subsulphate of <a href="#Page_339">339</a><br />
+Metacarpus <a href="#Page_26">26</a><br />
+Metatarsus <a href="#Page_27">27</a><br />
+Miasm <a href="#Page_405">405</a><br />
+Microscopical Examination <a href="#Page_398">398</a><br />
+Miliaria <a href="#Page_439">439</a><br />
+Milk <a href="#Page_381">381</a><br />
+Mind, Nature of <a href="#Page_146">146</a><br />
+Mineral Foods <a href="#Page_238">238</a><br />
+Mineral Impurities <a href="#Page_249">249</a><br />
+Mitral Valve <a href="#Page_57">57</a><br />
+Miscarriage <a href="#Page_682">682</a><br />
+Modified Small-pox <a href="#Page_411">411</a><br />
+Monogamy <a href="#Page_188">188</a><br />
+Morphine <a href="#Page_311">311</a><br />
+Motherwort <a href="#Page_342">342</a><br />
+Motion as a Remedial Agent <a href="#Page_369">369</a><br />
+Motion, Peristalic <a href="#Page_49">49</a><br />
+Motor Nerves <a href="#Page_87">87</a>, <a href="#Page_93">93</a><br />
+Mouth <a href="#Page_37">37</a><br />
+Mouth, Nursing Sore <a href="#Page_554">554</a><br />
+Mouth, Sore <a href="#Page_553">553</a><br />
+Movements, Mechanical, in the Treatment of Paralysis <a
+href="#Page_661">661</a><br />
+Mucosin <a href="#Page_78">78</a><br />
+Mucous Membrane <a href="#Page_37">37</a><br />
+Mucus <a href="#Page_78">78</a><br />
+<span class="pagenum"><a name="Page_1001" id="Page_1001"></a>[pg
+1001]</span><br />
+Mumps, <a href="#Page_471">471</a><br />
+Muriate of Hydrastia, <a href="#Page_352">352</a><br />
+Muriate of Iron, Tincture of, <a href="#Page_355">355</a><br />
+Muriatic Acid, <a href="#Page_310">310</a><br />
+Muscles, <a href="#Page_30">30</a><br />
+Muscles, Intermediate, <a href="#Page_32">32</a><br />
+Muscles, Involuntary, <a href="#Page_32">32</a><br />
+Muscles, Voluntary, <a href="#Page_31">31</a><br />
+Muscular Tissue, <a href="#Page_20">20</a><br />
+Mustard, <a href="#Page_331">331</a>, <a href="#Page_339">339</a><br />
+Mutton Soup, <a href="#Page_247">247</a><br />
+Myalgia, <a href="#Page_427">427</a><br />
+<br />
+<br />
+<b>N</b><br />
+<br />
+<br />
+Nails, <a href="#Page_73">73</a><br />
+Narcotics, <a href="#Page_343">343</a>, <a href="#Page_897">897</a><br />
+Nasal Bones, <a href="#Page_22">22</a><br />
+Nasal Catarrh, Chronic, <a href="#Page_474">474</a><br />
+Nasal Cavity, anterior view of, <a href="#Page_490">490</a><br />
+Nasal Cavity, view of deformed, <a href="#Page_492">492</a><br />
+Nasal Douche, Dr. Pierce's, <a href="#Page_485">485</a><br />
+Nasal Polypus, <a href="#Page_487">487</a><br />
+Nasal Tumors, <a href="#Page_489">489</a><br />
+Nasal Septum, deformed, <a href="#Page_490">490</a><br />
+Nature of Asthma, <a href="#Page_512">512</a><br />
+Nature of Disease, <a href="#Page_390">390</a>, <a
+href="#Page_512">512</a><br />
+Nature of Mind, <a href="#Page_146">146</a><br />
+Nature's Mode of Sustaining Health <a href="#Page_371">371</a><br />
+Neck, Thick, <a href="#Page_470">470</a><br />
+Necrosis, <a href="#Page_456">456</a><br />
+Nepeta Cataria, <a href="#Page_334">334</a><br />
+Nerve-fibers, <a href="#Page_87">87</a><br />
+Nerve, Pneumogastric, <a href="#Page_101">101</a><br />
+Nerves, Afferent, <a href="#Page_87">87</a>, <a href="#Page_93">93</a><br
+/>
+Nerves, Cerebral, <a href="#Page_89">89</a><br />
+Nerves, Cranial, <a href="#Page_100">100</a><br />
+Nerves, Efferent, <a href="#Page_87">87</a>, <a href="#Page_93">93</a><br
+/>
+Nerves, Motor, <a href="#Page_87">87</a>, <a href="#Page_93">93</a><br />
+Nerves, Olfactory, <a href="#Page_100">100</a>, <a
+href="#Page_111">111</a><br />
+Nerves, Sensory, <a href="#Page_87">87</a>, <a href="#Page_93">93</a><br />
+Nerves, Spinal, <a href="#Page_89">89</a><br />
+Nerves, Sympathetic, <a href="#Page_101">101</a><br />
+Nervines, <a href="#Page_345">345</a><br />
+Nervous Affections of the Skin, <a href="#Page_440">440</a><br />
+Nervous Debility, <a href="#Page_619">619</a><br />
+Nervous Exhaustion, <a href="#Page_619">619</a><br />
+Nervous Headache, <a href="#Page_635">635</a><br />
+Nervous System, <a href="#Page_87">87</a>, <a href="#Page_617">617</a><br
+/>
+Nervous System, overworked, <a href="#Page_622">622</a><br />
+Nervous Tissue, <a href="#Page_20">20</a><br />
+Nettle-rash, <a href="#Page_437">437</a><br />
+Neuralgia, <a href="#Page_635">635</a><br />
+Neuralgia of the Heart, <a href="#Page_552">552</a><br />
+Neuralgia of the Stomach, <a href="#Page_885">885</a><br />
+Neuralgic Headache, <a href="#Page_635">635</a><br />
+Neurasthenia, <a href="#Page_620">620</a>, <a href="#Page_622">622</a><br
+/>
+Neurilemma, <a href="#Page_89">89</a><br />
+Nightshade, Deadly, <a href="#Page_312">312</a><br />
+Nitre, Sweet Spirits of, <a href="#Page_338">338</a><br />
+Nocturnal Emissions, <a href="#Page_773">773</a><br />
+Nosebleed, <a href="#Page_881">881</a><br />
+Nose, Foreign Bodies in the, <a href="#Page_893">893</a><br />
+Nucleolus, <a href="#Page_19">19</a><br />
+Nucleus, <a href="#Page_19">19</a>,<a href="#Page_64">64</a><br />
+Nurse, <a href="#Page_375">375</a>, <a href="#Page_376">376</a><br />
+Nursing Sore Mouth, <a href="#Page_554">554</a><br />
+Nux Vomica, <a href="#Page_350">350</a><br />
+<br />
+<br />
+<b>O</b><br />
+<br />
+<br />
+Obscene Literature, <a href="#Page_285">285</a><br />
+Occipital Bone, <a href="#Page_22">22</a><br />
+&OElig;dema, <a href="#Page_422">422</a><br />
+Old School of Medicine, <a href="#Page_293">293</a><br />
+Old Sores, <a href="#Page_454">454</a><br />
+Oleum Ricini, <a href="#Page_328">328</a><br />
+Olfactory Nerves, <a href="#Page_100">100</a>, <a
+href="#Page_111">111</a><br />
+Onanism, <a href="#Page_286">286</a>, <a href="#Page_772">772</a><br />
+Opium, <a href="#Page_310">310</a><br />
+Opium Habit, <a href="#Page_627">627</a><br />
+Opium, Use of, <a href="#Page_384">384</a><br />
+Oranges, <a href="#Page_335">335</a><br />
+Organic Disease of the Heart, <a href="#Page_547">547</a><br />
+Organic Extracts as remedies, <a href="#Page_631">631</a><br />
+Organic Impurities in Water, <a href="#Page_251">251</a><br />
+Organs, Circulatory, <a href="#Page_56">56</a><br />
+Organs, Digestive, <a href="#Page_37">37</a><br />
+Organs, Generative, <a href="#Page_206">206</a>, <a
+href="#Page_207">207</a><br />
+Organs of Respiration, <a href="#Page_63">63</a><br />
+Organs, Urinary, <a href="#Page_206">206</a>, <a
+href="#Page_207">207</a><br />
+Orifice, Pyloric, <a href="#Page_82">82</a><br />
+Origin, <a href="#Page_31">31</a><br />
+Origin of Life, <a href="#Page_17">17</a><br />
+Os Hyoides, <a href="#Page_23">23</a><br />
+Osmosis, <a href="#Page_46">46</a><br />
+Os Orbiculare, <a href="#Page_110">110</a><br />
+Ossa Innominata, <a href="#Page_23">23</a>, <a href="#Page_25">25</a><br />
+Osscous Tissue, <a href="#Page_20">20</a><br />
+Ossification, <a href="#Page_20">20</a><br />
+Ossification, Centers of, <a href="#Page_20">20</a>, <a
+href="#Page_27">27</a><br />
+Ovarian Tumors, <a href="#Page_722">722</a><br />
+Ovaries, <a href="#Page_209">209</a><br />
+Ovaries, Absence of the, <a href="#Page_688">688</a><br />
+Ovaries, Disease of the, <a href="#Page_710">710</a><br />
+Ovulation, <a href="#Page_209">209</a><br />
+Ovum, <a href="#Page_12">12</a>, <a href="#Page_209">209</a><br />
+Ozæna, <a href="#Page_474">474</a>, <a href="#Page_475">475</a><br />
+<br />
+<br />
+<b>P</b><br />
+<br />
+<br />
+Pack, Wet Sheet, <a href="#Page_368">368</a><br />
+Pain, <a href="#Page_395">395</a><br />
+Painful Menstruation, <a href="#Page_692">692</a><br />
+Painters' Colic, <a href="#Page_558">558</a><br />
+Palate Bones, <a href="#Page_22">22</a><br />
+Pallor, <a href="#Page_62">62</a><br />
+Palsy, <a href="#Page_638">638</a><br />
+Palsy, Creeping, <a href="#Page_640">640</a><br />
+Palsy, Shaking, <a href="#Page_641">641</a><br />
+Pancreas, <a href="#Page_44">44</a><br />
+Pancreatic Juice, <a href="#Page_80">80</a><br />
+Pancreatin, <a href="#Page_80">80</a><br />
+Papaver Somniferum, <a href="#Page_310">310</a><br />
+Papillæ, <a href="#Page_69">69</a>, <a href="#Page_112">112</a><br />
+Paralysis, <a href="#Page_638">638</a><br />
+Paralysis Agitans, <a href="#Page_641">641</a><br />
+Paralysis, General, <a href="#Page_639">639</a><br />
+Paralysis, General Treatment of, <a href="#Page_641">641</a><br />
+Paralysis, Progressive, <a href="#Page_640">640</a><br />
+Paraplegia, <a href="#Page_639">639</a><br />
+Paregoric, <a href="#Page_310">310</a><br />
+Parietal Bones, <a href="#Page_22">22</a><br />
+Parotid Glands, <a href="#Page_38">38</a><br />
+Parotitis, <a href="#Page_471">471</a><br />
+Parsley, Poison, <a href="#Page_311">311</a><br />
+Passages, False, <a href="#Page_846">846</a><br />
+Passions, Influence of Physical Labor on, <a href="#Page_283">283</a><br />
+Patella, <a href="#Page_27">27</a><br />
+Patient, Clothing and Bedding of, <a href="#Page_380">380</a><br />
+Peach Tree, <a href="#Page_346">346</a><br />
+Peduncles of the Cerebellum, <a href="#Page_97">97</a><br />
+Pelvis, <a href="#Page_25">25</a><br />
+Pelvis, Bones of the, <a href="#Page_85">85</a><br />
+Pemphigus, <a href="#Page_139">139</a><br />
+Pennyroyal, <a href="#Page_341">341</a><br />
+<span class="pagenum"><a name="Page_1002" id="Page_1002"></a>[pg
+1002]</span><br />
+Pepper, Black <a href="#Page_348">348</a><br />
+Peppermint <a href="#Page_326">326</a><br />
+Pepsin <a href="#Page_79">79</a><br />
+Percussion <a href="#Page_391">391</a><br />
+Pericarditis <a href="#Page_548">548</a><br />
+Pericardium <a href="#Page_56">56</a><br />
+Perichondrium <a href="#Page_29">29</a><br />
+Perilymph <a href="#Page_110">110</a><br />
+Periodical Headache <a href="#Page_635">635</a><br />
+Periosteum <a href="#Page_27">27</a><br />
+Peristaltic Motion <a href="#Page_45">45</a><br />
+Peritoneum <a href="#Page_84">84</a><br />
+Peritonitis <a href="#Page_886">886</a><br />
+Permanganate of Potash <a href="#Page_318">318</a><br />
+Pernicious Fever <a href="#Page_406">406</a><br />
+Perpetual Reproduction <a href="#Page_11">11</a><br />
+Perpetuation of the Species <a href="#Page_194">194</a><br />
+Perspiration <a href="#Page_75">75</a><br />
+Pertussis <a href="#Page_880">880</a><br />
+Pettenkoffer's Test <a href="#Page_81">81</a><br />
+Phalanges <a href="#Page_27">27</a><br />
+Pharyngitis and Post-nasal Catarrh <a href="#Page_493">493</a><br />
+Pharynx <a href="#Page_39">39</a><br />
+Phthisic <a href="#Page_511">511</a><br />
+Phthisis Pulmonalis <a href="#Page_497">497</a><br />
+Physical Exercise <a href="#Page_270">270</a><br />
+Physical Properties of the Blood <a href="#Page_53">53</a><br />
+Physician, Independent <a href="#Page_295">295</a><br />
+Physiological Anatomy <a href="#Page_11">11</a>, <a href="#Page_19">19</a>,
+<a href="#Page_30">30</a>, <a href="#Page_37">37</a>, <a
+href="#Page_48">48</a>, <a href="#Page_56">56</a>, <a
+href="#Page_63">63</a>, <a href="#Page_68">68</a>, <a
+href="#Page_75">75</a>, <a href="#Page_84">84</a>, <a
+href="#Page_87">87</a><br />
+Physiological Anatomy of the Urinary Organs <a href="#Page_823">823</a><br
+/>
+Physiology <a href="#Page_11">11</a><br />
+Physiology, Cerebral <a href="#Page_114">114</a><br />
+Physiology of the Male Generative Organs <a href="#Page_772">772</a><br />
+Phytolacca Decandra <a href="#Page_304">304</a><br />
+Phytolaccin <a href="#Page_304">304</a><br />
+Pia Mater <a href="#Page_90">90</a><br />
+Pierce's Comp Extract of Smart-weed <a href="#Page_312">312</a>, <a
+href="#Page_326">326</a>, <a href="#Page_335">335</a>, <a
+href="#Page_342">342</a>, <a href="#Page_349">349</a><br />
+Pierce's Favorite Prescription <a href="#Page_342">342</a>, <a
+href="#Page_346">346</a>, <a href="#Page_355">355</a><br />
+Pierce's Golden Medical Discovery <a href="#Page_308">308</a>, <a
+href="#Page_316">316</a>, <a href="#Page_355">355</a><br />
+Pierce's Nasal Douche <a href="#Page_485">485</a><br />
+Pierce's Purgative Pellets <a href="#Page_308">308</a>, <a
+href="#Page_328">328</a><br />
+Pigeon-berry <a href="#Page_304">304</a><br />
+Piles <a href="#Page_578">578</a><br />
+Pile Tumors, Radical Cure of <a href="#Page_581">581</a><br />
+Pine-apples <a href="#Page_335">335</a><br />
+Pink-root <a href="#Page_314">314</a><br />
+Pin-worm <a href="#Page_561">561</a><br />
+Pipsissewa <a href="#Page_338">338</a><br />
+Pituitary Membrane <a href="#Page_111">111</a><br />
+Pityriasis <a href="#Page_431">431</a><br />
+Placenta <a href="#Page_216">216</a><br />
+Pleura <a href="#Page_64">64</a><br />
+Pleurisy-root <a href="#Page_332">332</a><br />
+Pleurodynia <a href="#Page_427">427</a><br />
+Pleximeter <a href="#Page_391">391</a><br />
+Pneumogastric Nerve <a href="#Page_101">101</a><br />
+Podophyllin <a href="#Page_304">304</a><br />
+Podophyllum Peltatum <a href="#Page_304">304</a><br />
+Poison Hemlock <a href="#Page_311">311</a><br />
+Poison Parsley <a href="#Page_311">311</a><br />
+Poisoned Wounds <a href="#Page_890">890</a><br />
+Poisons and their Antidotes <a href="#Page_895">895</a><br />
+Poke <a href="#Page_304">304</a><br />
+Poke, Indian <a href="#Page_347">347</a><br />
+Pollution, Voluntary <a href="#Page_772">772</a><br />
+Polygamy <a href="#Page_188">188</a><br />
+Polypi <a href="#Page_723">723</a><br />
+Polypoid Tumors <a href="#Page_723">723</a><br />
+Polypus, Nasal <a href="#Page_487">487</a><br />
+Polyuria <a href="#Page_835">835</a><br />
+Pond's Sphygmograph <a href="#Page_548">548</a><br />
+Pons Varolii <a href="#Page_97">97</a><br />
+Poplar <a href="#Page_315">315</a>, <a href="#Page_350">350</a><br />
+Populin <a href="#Page_315">315</a><br />
+Pork Steaks <a href="#Page_247">247</a><br />
+Portal System, Veins of the <a href="#Page_60">60</a><br />
+Position in Sleep <a href="#Page_280">280</a><br />
+Position of Patient <a href="#Page_393">393</a><br />
+Posterior Pyramids <a href="#Page_95">95</a>, <a href="#Page_96">96</a><br
+/>
+Posterior Spinal Curvature <a href="#Page_898">898</a><br />
+Post-nasal Catarrh <a href="#Page_493">493</a><br />
+Post-nasal Syringe <a href="#Page_493">493</a><br />
+Potash, Acetate of <a href="#Page_338">338</a><br />
+Potash, Bicarbonate of <a href="#Page_309">309</a><br />
+Potash, Nitrate of <a href="#Page_338">338</a><br />
+Potash, Permanganate of <a href="#Page_318">318</a><br />
+Pott's Disease <a href="#Page_898">898</a><br />
+Powder, Dover's <a href="#Page_311">311</a><br />
+Practical Summary of Hygiene <a href="#Page_288">288</a><br />
+Preface <a href="#Page_5">5</a>, <a href="#Page_7">7</a><br />
+Pregnancy <a href="#Page_212">212</a><br />
+Pregnancy, Derangements Incident to <a href="#Page_721">721</a><br />
+Pregnancy, Duration of <a href="#Page_219">219</a><br />
+Pregnancy, Signs of <a href="#Page_219">219</a><br />
+Prehension <a href="#Page_233">233</a><br />
+Premature Labor <a href="#Page_682">682</a><br />
+Preparation of Food <a href="#Page_236">236</a><br />
+Preparation of Medicines <a href="#Page_301">301</a><br />
+Prescription, Pierce's Favorite <a href="#Page_342">342</a>,<a
+href="#Page_346">346</a>,<a href="#Page_355">355</a><br />
+Prevention of Conception <a href="#Page_212">212</a><br />
+Prickly-ash <a href="#Page_349">349</a><br />
+Prickly Heat <a href="#Page_437">437</a><br />
+Pride-weed <a href="#Page_324">324</a><br />
+Prince's Pine <a href="#Page_338">338</a><br />
+Principle, Vital <a href="#Page_15">15</a><br />
+Processes, Articular <a href="#Page_24">24</a><br />
+Processes, Spinous <a href="#Page_24">24</a><br />
+Processes, Transverse <a href="#Page_24">24</a><br />
+Process of Generation <a href="#Page_15">15</a><br />
+Profuse Menstruation <a href="#Page_697">697</a><br />
+Prognosis <a href="#Page_390">390</a><br />
+Progress of Medicine <a href="#Page_292">292</a><br />
+Progressive Paralysis <a href="#Page_640">640</a><br />
+Prolapsus of the Uterus <a href="#Page_713">713</a><br />
+Properties of Medicine <a href="#Page_300">300</a><br />
+Proprietary Medicines <a href="#Page_298">298</a><br />
+Prostate Gland <a href="#Page_827">827</a><br />
+Prostate Gland, Enlargement of the <a href="#Page_840">840</a><br />
+Proteids <a href="#Page_238">238</a><br />
+Prurigo <a href="#Page_440">440</a><br />
+Pruritus Vulvæ <a href="#Page_702">702</a><br />
+Prussian Blue <a href="#Page_316">316</a><br />
+Psoriasis <a href="#Page_431">431</a><br />
+Ptyalin <a href="#Page_78">78</a><br />
+Puberty <a href="#Page_210">210</a><br />
+Puccoon, Red <a href="#Page_306">306</a><br />
+Pulmonary Artery <a href="#Page_58">58</a><br />
+Pulmonary Tuberculosis <a href="#Page_497">497</a><br />
+Pulmonary Veins <a href="#Page_60">60</a><br />
+Pulsatilla Nigricans <a href="#Page_346">346</a><br />
+Pulse <a href="#Page_61">61</a>, <a href="#Page_395">395</a><br />
+Pumpkin Seeds <a href="#Page_338">338</a><br />
+Puncta Lachrymalia <a href="#Page_77">77</a><br />
+Punctured Wounds <a href="#Page_889">889</a><br />
+Pupil <a href="#Page_107">107</a><br />
+Pure Air <a href="#Page_222">222</a>, <a href="#Page_223">223</a>, <a
+href="#Page_378">378</a><br />
+Purgatives <a href="#Page_326">326</a><br />
+Purification of Water <a href="#Page_252">252</a><br />
+Putrid Fevers <a href="#Page_407">407</a><br />
+Pyloric Orifice <a href="#Page_83">83</a><br />
+Pyrophosphate of Iron <a href="#Page_354">354</a><br />
+<span class="pagenum"><a name="Page_1003" id="Page_1003"></a>[pg
+1003]</span><br />
+<br />
+<br />
+<b>Q</b><br />
+<br />
+<br />
+Quackery Exposed, <a href="#Page_780">780</a><br />
+Queen of the Meadow, <a href="#Page_338">338</a><br />
+Quickening, <a href="#Page_217">217</a><br />
+Quinine, <a href="#Page_315">315</a><br />
+Quinsy, <a href="#Page_416">416</a><br />
+<br />
+<br />
+<b>R</b><br />
+<br />
+<br />
+Rachitis, <a href="#Page_453">453</a><br />
+Radical Cure for Hernia, <a href="#Page_866">866</a><br />
+Radical Cure for Pile Tumors, <a href="#Page_581">581</a><br />
+Radius, <a href="#Page_26">26</a><br />
+Rash, <a href="#Page_436">436</a><br />
+Rash, Papular, <a href="#Page_431">431</a><br />
+Rash, Rose, <a href="#Page_413">413</a><br />
+Rational Medicine, <a href="#Page_292">292</a><br />
+Receptaculum Chyli, <a href="#Page_46">46</a><br />
+Rectum, <a href="#Page_42">42</a><br />
+Red Puccoon, <a href="#Page_306">306</a><br />
+Reflex Action of the Spinal Cord, <a href="#Page_93">93</a><br />
+Region of Feebleness, <a href="#Page_134">134</a><br />
+Regularity of Meals, <a href="#Page_234">234</a><br />
+Regular School of Medicine, <a href="#Page_293">293</a><br />
+Remedial Agent, Motion as a, <a href="#Page_369">369</a><br />
+Remedial Treatment of Diseases, <a href="#Page_386">386</a><br />
+Remedies for Disease, <a href="#Page_298">298</a><br />
+Remittent Fever, <a href="#Page_406">406</a><br />
+Renal Calculi, <a href="#Page_837">837</a><br />
+Reproduction, <a href="#Page_11">11</a>, <a href="#Page_196">196</a><br />
+Reproduction, Dioecious, <a href="#Page_202">202</a><br />
+Reproduction, Hermaphroditic, <a href="#Page_199">199</a><br />
+Reproductive Organs, Hygiene of the, <a href="#Page_282">282</a><br />
+Resolution, <a href="#Page_400">400</a><br />
+Respiration, Organs of, <a href="#Page_63">63</a><br />
+Respiration, Pure Air for, <a href="#Page_223">223</a><br />
+Respirator, Cotton-wool, <a href="#Page_230">230</a><br />
+Rete Mucosum, <a href="#Page_70">70</a><br />
+Retention of the Menses, <a href="#Page_687">687</a>, <a
+href="#Page_688">688</a>, <a href="#Page_689">689</a>, <a
+href="#Page_691">691</a><br />
+Retina, <a href="#Page_106">106</a>, <a href="#Page_107">107</a><br />
+Retroflexion of the Uterus, <a href="#Page_709">709</a>, <a
+href="#Page_714">714</a><br />
+Rheumatic Headache, <a href="#Page_635">635</a><br />
+Rheumatism, Acute Articular, <a href="#Page_425">425</a><br />
+Rheumatism, Cervical, <a href="#Page_427">427</a><br />
+Rheumatism, Chronic Articular, <a href="#Page_426">426</a><br />
+Rheumatism, Muscular, <a href="#Page_127">127</a><br />
+Rhubarb, <a href="#Page_327">327</a><br />
+Ribs, <a href="#Page_24">24</a><br />
+Rickets, <a href="#Page_453">453</a><br />
+Right to Terminate Pregnancy, <a href="#Page_218">218</a><br />
+Rooms, Sleeping, <a href="#Page_278">278</a><br />
+Rose Rash, <a href="#Page_413">413</a><br />
+Rosy Drop, <a href="#Page_433">433</a><br />
+Rubbing, <a href="#Page_372">372</a><br />
+Rubeola, <a href="#Page_412">412</a><br />
+Running Scall, <a href="#Page_430">430</a><br />
+Running-sores, <a href="#Page_454">454</a><br />
+Rupia, <a href="#Page_439">439</a><br />
+Rupture, <a href="#Page_862">862</a><br />
+Russian Bath, <a href="#Page_358">358</a><br />
+<br />
+<br />
+<b>S</b><br />
+<br />
+<br />
+Sacrum, <a href="#Page_23">23</a>, <a href="#Page_25">25</a><br />
+Sage, <a href="#Page_313">313</a>, <a href="#Page_333">333</a><br />
+Saleratus, <a href="#Page_309">309</a><br />
+Salicin, <a href="#Page_315">315</a>, <a href="#Page_351">351</a><br />
+Saliva, <a href="#Page_38">38</a>, <a href="#Page_78">78</a><br />
+Salivary Glands, <a href="#Page_38">38</a><br />
+Salt, <a href="#Page_315">315</a><br />
+Saltpetre, <a href="#Page_333">333</a><br />
+Salt-rheum, <a href="#Page_430">430</a><br />
+Salts, <a href="#Page_53">53</a><br />
+Salts, Biliary, <a href="#Page_81">81</a><br />
+Salvia Officinalis, <a href="#Page_313">313</a>, <a
+href="#Page_333">333</a><br />
+Sanguinaria Canadensis, <a href="#Page_308">308</a><br />
+Sanguine Temperament, <a href="#Page_163">163</a><br />
+Santonin, <a href="#Page_313">313</a><br />
+Sarcolemma, <a href="#Page_32">32</a><br />
+Saturnine Colic, <a href="#Page_558">558</a><br />
+Scabies, <a href="#Page_434">434</a><br />
+Scalds, <a href="#Page_894">894</a><br />
+Scall, <a href="#Page_433">433</a><br />
+Scall, Running, <a href="#Page_430">430</a><br />
+Scaly Skin Diseases, <a href="#Page_441">441</a><br />
+Scapula, <a href="#Page_26">26</a><br />
+Scarlatina, <a href="#Page_408">408</a><br />
+Scarlet Fever, <a href="#Page_408">408</a><br />
+School-rooms, Ventilation of, <a href="#Page_225">225</a><br />
+Sclerotic, <a href="#Page_106">106</a><br />
+Scott's Acid Bath, <a href="#Page_367">367</a><br />
+Scrofula, <a href="#Page_445">445</a><br />
+Scrotum, Dropsy of the, <a href="#Page_821">821</a><br />
+Scull-cap, <a href="#Page_345">345</a><br />
+Sea Bathing, <a href="#Page_364">364</a><br />
+Seat, <a href="#Page_390">390</a><br />
+Seat-worm, <a href="#Page_561">561</a><br />
+Sebaceous Glands, <a href="#Page_70">70</a>, <a href="#Page_77">77</a><br
+/>
+Sebaceous Matter, <a href="#Page_77">77</a><br />
+Secretion, <a href="#Page_75">75</a><br />
+Sedatives, <a href="#Page_346">346</a><br />
+Self-abuse, <a href="#Page_286">286</a>, <a href="#Page_622">622</a><br />
+Self-pollution, <a href="#Page_772">772</a><br />
+Semen, <a href="#Page_772">772</a><br />
+Semi-circular Canals, <a href="#Page_110">110</a><br />
+Semilunar Valves, <a href="#Page_58">58</a><br />
+Seminal Emissions, Involuntary, <a href="#Page_773">773</a><br />
+Sense of Hearing, <a href="#Page_109">109</a><br />
+Sense of Sight, <a href="#Page_106">106</a><br />
+Sense of Smell, <a href="#Page_111">111</a><br />
+Sense of Taste, <a href="#Page_112">112</a><br />
+Sense of Touch, <a href="#Page_113">113</a><br />
+Senses, Special, <a href="#Page_106">106</a><br />
+Sensory Nerves, <a href="#Page_87">87</a>, <a href="#Page_93">93</a><br />
+Septum, Deformed Nasal, <a href="#Page_490">490</a><br />
+Serum, <a href="#Page_54">54</a>, <a href="#Page_55">55</a>, <a
+href="#Page_238">238</a><br />
+Sexual Abuse, Story of, <a href="#Page_394">394</a><br />
+Sexual Debility, Symptoms of, <a href="#Page_776">776</a><br />
+Sexual Influences, <a href="#Page_383">383</a><br />
+Sexual Power, Loss of, <a href="#Page_776">776</a><br />
+Shaking Palsy, <a href="#Page_641">641</a><br />
+Shingles, <a href="#Page_438">438</a><br />
+Shock, <a href="#Page_890">890</a><br />
+Shower Bath, <a href="#Page_365">365</a><br />
+Sick, Hygienic Treatment of the, <a href="#Page_375">375</a><br />
+Sick-room, <a href="#Page_377">377</a><br />
+Sick, Visiting the, <a href="#Page_383">383</a><br />
+Sight, <a href="#Page_106">106</a><br />
+Signs of Pregnancy, <a href="#Page_219">219</a><br />
+Site for Homes, <a href="#Page_227">227</a><br />
+Sitz Bath, <a href="#Page_367">367</a><br />
+Skeleton, <a href="#Page_22">22</a><br />
+Skin, <a href="#Page_68">68</a><br />
+Skin, Diseases of the, <a href="#Page_430">430</a><br />
+Skin Diseases, Scaly, <a href="#Page_441">441</a><br />
+Skin, Nervous Affections of the, <a href="#Page_440">440</a><br />
+Skoke, <a href="#Page_304">304</a><br />
+Sleep, <a href="#Page_278">278</a>, <a href="#Page_382">382</a><br />
+Small-pox, <a href="#Page_410">410</a><br />
+Smart-weed, Compound Extract of, <a href="#Page_312">312</a>, <a
+href="#Page_326">326</a>, <a href="#Page_335">335</a>, <a
+href="#Page_342">342</a>, <a href="#Page_349">349</a><br />
+Smell, <a href="#Page_111">111</a><br />
+Snake-head, <a href="#Page_315">315</a><br />
+Snake-root, Black, <a href="#Page_306">306</a><br />
+Society, Welfare of, <a href="#Page_193">193</a><br />
+Soda, Glycocholate of, <a href="#Page_81">81</a><br />
+<span class="pagenum"><a name="Page_1004" id="Page_1004"></a>[pg
+1004]</span><br />
+Soda, Sulphite of <a href="#Page_309">309</a><br />
+Soda, Taurocholate of <a href="#Page_81">81</a><br />
+Sodium, Chloride of <a href="#Page_315">315</a><br />
+Soft Rubber Bulb Syringe <a href="#Page_705">705</a><br />
+Solitary Indulgence <a href="#Page_772">772</a><br />
+Sore Mouth <a href="#Page_553">553</a><br />
+Sore Mouth, Nursing <a href="#Page_554">554</a><br />
+Sore Throat, Clergymen's <a href="#Page_496">496</a><br />
+Soups <a href="#Page_246">246</a><br />
+Spasmodic Croup <a href="#Page_878">878</a>, <a href="#Page_879">879</a><br
+/>
+Spearmint <a href="#Page_326">326</a><br />
+Special Creation <a href="#Page_14">14</a><br />
+Special Senses <a href="#Page_106">106</a><br />
+Species <a href="#Page_14">14</a><br />
+Species, Perpetuation of the <a href="#Page_194">194</a><br />
+Specific Center <a href="#Page_14">14</a><br />
+Speculum <a href="#Page_717">717</a><br />
+Spermatic Veins, Enlarged <a href="#Page_803">803</a><br />
+Spermatocele <a href="#Page_803">803</a><br />
+Spermatorrhea <a href="#Page_620">620</a>, <a href="#Page_772">772</a>, <a
+href="#Page_844">844</a><br />
+Spermatozo&ouml;n <a href="#Page_12">12</a><br />
+Sperm-cell <a href="#Page_15">15</a><br />
+Sphenoid Bone <a href="#Page_22">22</a><br />
+Sphygmograph, Pond's <a href="#Page_548">548</a><br />
+Spigelia Marilandica <a href="#Page_314">314</a><br />
+Spinal Column <a href="#Page_24">24</a><br />
+Spinal Cord <a href="#Page_25">25</a>, <a href="#Page_90">90</a><br />
+Spinal Cord, Reflex Action of the <a href="#Page_93">93</a><br />
+Spinal Curvature, Posterior <a href="#Page_898">898</a><br />
+Spinal Nerves <a href="#Page_89">89</a><br />
+Spirit Vapor-bath <a href="#Page_362">362</a><br />
+Spirometer <a href="#Page_391">391</a>, <a href="#Page_392">392</a><br />
+Spleen <a href="#Page_44">44</a><br />
+Sponge Bath <a href="#Page_365">365</a><br />
+Sprains <a href="#Page_892">892</a><br />
+Squaw-root <a href="#Page_305">305</a><br />
+Stapes <a href="#Page_110">110</a><br />
+Static Electrical Machine <a href="#Page_629">629</a><br />
+Sterility <a href="#Page_707">707</a><br />
+Sternum <a href="#Page_23">23</a><br />
+Stethoscope <a href="#Page_391">391</a><br />
+Stimulants <a href="#Page_348">348</a><br />
+Stomach <a href="#Page_39">39</a>, <a href="#Page_52">52</a><br />
+Stomach, Inflammation of the <a href="#Page_882">882</a>, <a
+href="#Page_884">884</a><br />
+Stomach, Neuralgia of the <a href="#Page_885">885</a><br />
+Stomatitis <a href="#Page_553">553</a><br />
+Stomatitis Materna <a href="#Page_554">554</a><br />
+Stone in the Bladder <a href="#Page_838">838</a><br />
+Stone-pock <a href="#Page_442">442</a><br />
+Stone-root <a href="#Page_337">337</a><br />
+Story of Sexual Abuse <a href="#Page_394">394</a><br />
+Stramonium <a href="#Page_344">344</a><br />
+Striæ <a href="#Page_31">31</a><br />
+Stricture of the Urethra <a href="#Page_775">775</a>, <a
+href="#Page_843">843</a><br />
+Strumous Diathesis <a href="#Page_445">445</a><br />
+Strumous Synovius <a href="#Page_453">453</a><br />
+St. Vitus's Dance <a href="#Page_650">650</a><br />
+Styptics <a href="#Page_320">320</a>, <a href="#Page_890">890</a><br />
+Sublingual Gland <a href="#Page_39">39</a><br />
+Submaxillary Gland <a href="#Page_38">38</a><br />
+Sudatorium <a href="#Page_359">359</a><br />
+Sudoriferous Glands <a href="#Page_69">69</a><br />
+Sudorifics <a href="#Page_332">332</a><br />
+Sulphate of Copper <a href="#Page_339">339</a><br />
+Sulphate of Quinia <a href="#Page_315">315</a>, <a
+href="#Page_339">339</a><br />
+Sulphate of Zinc <a href="#Page_318">318</a><br />
+Sulphite of Soda <a href="#Page_309">309</a><br />
+Sulphur Bath <a href="#Page_368">368</a><br />
+Sulphuric Acid, Aromatic <a href="#Page_310">310</a><br />
+Sulphur Vapor-bath <a href="#Page_368">368</a><br />
+Summer Complaint <a href="#Page_555">555</a><br />
+Sun-stroke <a href="#Page_894">894</a><br />
+Superior Maxillary Bones <a href="#Page_22">22</a><br />
+Suppers, Late <a href="#Page_235">235</a><br />
+Suppression of the Menses <a href="#Page_687">687</a>, <a
+href="#Page_688">688</a>, <a href="#Page_689">689</a>, <a
+href="#Page_691">691</a><br />
+Suppuration <a href="#Page_400">400</a><br />
+Surgical Treatment of Epilepsy <a href="#Page_649">649</a><br />
+Sutures <a href="#Page_23">23</a><br />
+Swamp Alder <a href="#Page_304">304</a><br />
+Swamp Dogwood <a href="#Page_351">351</a><br />
+Sweet Elder <a href="#Page_307">307</a><br />
+Sweet Spirits of Nitre <a href="#Page_338">338</a><br />
+Swelling <a href="#Page_400">400</a><br />
+Swelling, White <a href="#Page_452">452</a><br />
+Swimming <a href="#Page_274">274</a><br />
+Sycosis <a href="#Page_442">442</a><br />
+Sylvius, Fissure of <a href="#Page_98">98</a><br />
+Sympathetic Nerve <a href="#Page_101">101</a><br />
+Symptoms <a href="#Page_390">390</a>, <a href="#Page_392">392</a>, <a
+href="#Page_393">393</a><br />
+Symptoms, Interpretation of <a href="#Page_393">393</a><br />
+Symptoms <a href="#Page_1">01</a> Sexual Debility <a
+href="#Page_776">776</a><br />
+Synovia <a href="#Page_29">29</a><br />
+Synovial Capsule <a href="#Page_29">29</a><br />
+Synovial Membrane <a href="#Page_29">29</a><br />
+Synovitis <a href="#Page_453">453</a><br />
+Synovitis, Rheumatic <a href="#Page_453">453</a><br />
+Synovitis, Strumous <a href="#Page_453">453</a><br />
+Synovitis, Syphilitic <a href="#Page_453">453</a><br />
+Syphilitic Synovitis <a href="#Page_453">453</a><br />
+Syringe, Post-nasal <a href="#Page_493">493</a><br />
+Syringe, Soft Rubber Bulb <a href="#Page_705">705</a><br />
+System, Cerebro-Spinal <a href="#Page_89">89</a><br />
+Systemic Veins <a href="#Page_60">60</a><br />
+System, Lymphatic <a href="#Page_49">49</a><br />
+System, Nervous <a href="#Page_87">87</a>, <a href="#Page_617">617</a><br
+/>
+System, the Great Sympathetic <a href="#Page_101">101</a><br />
+System, Vascular <a href="#Page_56">56</a><br />
+<br />
+<br />
+<b>T</b><br />
+<br />
+<br />
+Tænia <a href="#Page_562">562</a><br />
+Tag Alder <a href="#Page_304">304</a><br />
+Tall Speedwell <a href="#Page_327">327</a><br />
+Tamarind <a href="#Page_335">335</a><br />
+Tanacetum Vulgare <a href="#Page_341">341</a><br />
+Tannin <a href="#Page_325">325</a><br />
+Tansy <a href="#Page_341">341</a><br />
+Tape-worms <a href="#Page_562">562</a><br />
+Tarsus <a href="#Page_27">27</a><br />
+Taste, Sense of <a href="#Page_112">112</a><br />
+Taurocholate of Soda <a href="#Page_81">81</a><br />
+Tea <a href="#Page_253">253</a><br />
+Tear-duct, Closure of the <a href="#Page_477">477</a><br />
+Tear-duct, Obstruction of the <a href="#Page_477">477</a><br />
+Tears <a href="#Page_77">77</a><br />
+Teeth <a href="#Page_37">37</a><br />
+Temperaments, Classified <a href="#Page_156">156</a><br />
+Temperaments, Human <a href="#Page_149">149</a><br />
+Temperate Bath <a href="#Page_357">357</a><br />
+Temporal Bones <a href="#Page_22">22</a><br />
+Tentorium <a href="#Page_97">97</a><br />
+Tepid Bath <a href="#Page_357">357</a><br />
+Termination of Inflammation <a href="#Page_400">400</a><br />
+Test, Pettenkoffer's <a href="#Page_81">81</a><br />
+Tetter, Branny <a href="#Page_431">431</a><br />
+Tetter, Crusted <a href="#Page_433">433</a><br />
+Tetter, Humid <a href="#Page_430">430</a><br />
+Thick Neck <a href="#Page_470">470</a><br />
+Thoracic Duct <a href="#Page_42">42</a><br />
+Thorn-apple <a href="#Page_344">344</a><br />
+Thoroughwort <a href="#Page_316">316</a><br />
+Thread-worm <a href="#Page_561">561</a><br />
+Throat, Disease of the <a href="#Page_476">476</a><br />
+Throat, Foreign Bodies in the <a href="#Page_893">893</a><br />
+Throat, Ulceration of the <a href="#Page_496">496</a><br />
+Thrush <a href="#Page_553">553</a><br />
+<span class="pagenum"><a name="Page_1005" id="Page_1005"></a>[pg
+1005]</span><br />
+Tibia, <a href="#Page_27">27</a><br />
+Time for Sleep, <a href="#Page_279">279</a><br />
+Tinctura Ferri Chloridi, <a href="#Page_355">355</a><br />
+Tincture of the Chloride of Iron, <a href="#Page_355">355</a><br />
+Tincture of the Muriate of Iron, <a href="#Page_355">355</a><br />
+Tinctures, <a href="#Page_302">302</a><br />
+Tissue, Adipose, <a href="#Page_20">20</a><br />
+Tissue, Areolar, <a href="#Page_19">19</a><br />
+Tissue, Cartilaginous, <a href="#Page_20">20</a><br />
+Tissue, Connective, <a href="#Page_19">19</a><br />
+Tissue, Muscular, <a href="#Page_20">20</a><br />
+Tissue, Nervous, <a href="#Page_20">20</a><br />
+Tissue, Osseous, <a href="#Page_20">20</a><br />
+Tobacco Habit, <a href="#Page_627">627</a><br />
+Tobacco, Indian, <a href="#Page_340">340</a><br />
+Tobacco, Use of, <a href="#Page_384">384</a><br />
+Tongue, <a href="#Page_3">3</a>, <a href="#Page_394">394</a><br />
+Tonics, <a href="#Page_350">350</a><br />
+Tonsilitis, <a href="#Page_416">416</a><br />
+Tonsils, Enlarged, <a href="#Page_417">417</a>, <a
+href="#Page_494">494</a><br />
+Torpid Liver, <a href="#Page_569">569</a><br />
+Torticollis, <a href="#Page_427">427</a><br />
+Touch, Sense of, <a href="#Page_113">113</a><br />
+Tourniquet, <a href="#Page_890">890</a><br />
+Trachea, <a href="#Page_63">63</a><br />
+Trailing Arbutus, <a href="#Page_336">336</a><br />
+Transmission of Life, <a href="#Page_181">181</a><br />
+Transudation, <a href="#Page_422">422</a><br />
+Treatment, <a href="#Page_390">390</a><br />
+Treatment of Diseases, Remedial, <a href="#Page_386">386</a><br />
+Treatment of Epilepsy, Surgical, <a href="#Page_649">649</a><br />
+Treatment of Inflammation, <a href="#Page_401">401</a><br />
+Treatment of Paralysis, <a href="#Page_641">641</a><br />
+Treatment of the Sick, Hygienic, <a href="#Page_375">375</a><br />
+Trichina Spiralis, <a href="#Page_564">564</a><br />
+Tricocephalus Dispar, <a href="#Page_562">562</a><br />
+Tricuspid Valve, <a href="#Page_57">57</a><br />
+True Skin, <a href="#Page_68">68</a><br />
+Trumpet-weed, <a href="#Page_338">338</a><br />
+Trunk, <a href="#Page_23">23</a><br />
+Tube, Eustachian, <a href="#Page_110">110</a><br />
+Tube, Eustachian, Obstruction of the, <a href="#Page_477">477</a><br />
+Tubercle, <a href="#Page_445">445</a><br />
+Tubercular Consumption, <a href="#Page_497">497</a><br />
+Tuberculosis of the Knee-joint, <a href="#Page_453">453</a><br />
+Tuberculosis, Pulmonary, <a href="#Page_497">497</a><br />
+Tumors, Fibroid, <a href="#Page_722">722</a><br />
+Tumors, Ovarian, <a href="#Page_722">722</a><br />
+Tumors, Polypoid, <a href="#Page_723">723</a><br />
+Tumors, Uterine, <a href="#Page_122">122</a><br />
+Turkish Bath, <a href="#Page_358">358</a><br />
+Turn of Life, <a href="#Page_700">700</a><br />
+Turpeth Mineral, <a href="#Page_339">339</a><br />
+Tympanum, <a href="#Page_110">110</a><br />
+Typhoid Fever, <a href="#Page_407">407</a><br />
+Typhus Fever, <a href="#Page_407">407</a><br />
+<br />
+<br />
+<b>U</b><br />
+<br />
+<br />
+Ulceration of the Throat, <a href="#Page_496">496</a><br />
+Ulceration of the Uterus, <a href="#Page_717">717</a><br />
+Ulcer; Follicular, <a href="#Page_718">718</a><br />
+Ulcer, Granular, <a href="#Page_717">717</a><br />
+Ulcer, Indolent, <a href="#Page_455">455</a><br />
+Ulcer, Irritable, <a href="#Page_455">455</a><br />
+Ulcer, Varicose, <a href="#Page_455">455</a><br />
+Ulcers, Chronic, <a href="#Page_454">454</a><br />
+Ulna, <a href="#Page_26">26</a><br />
+Umbilical Cord, <a href="#Page_217">217</a><br />
+Umbilical Hernia, <a href="#Page_863">863</a><br />
+Umbilicus, <a href="#Page_217">217</a><br />
+Universality of Animalcular Life, <a href="#Page_16">16</a><br />
+Upper Extremities, the Bones of the, <a href="#Page_25">25</a><br />
+Uræmic Headache, <a href="#Page_635">635</a><br />
+Urea, <a href="#Page_86">86</a><br />
+Ureters, <a href="#Page_84">84</a><br />
+Urethra, <a href="#Page_86">86</a>, <a href="#Page_827">827</a><br />
+Urethra, Stricture of the, <a href="#Page_843">843</a><br />
+Uric Acid, <a href="#Page_86">86</a><br />
+Urinary Fistula, <a href="#Page_721">721</a><br />
+Urinary Organs, Diseases of the, <a href="#Page_823">823</a><br />
+Urinary Organs, Physiological Anatomy of the, <a
+href="#Page_823">823</a><br />
+Urine, <a href="#Page_86">86</a><br />
+Urine, Examination of the, <a href="#Page_397">397</a>, <a
+href="#Page_825">825</a><br />
+Urinometer, <a href="#Page_392">392</a><br />
+Urticaria, <a href="#Page_437">437</a><br />
+Use of Tobacco and Opium, <a href="#Page_384">384</a><br />
+Uterine Pregnancy, <a href="#Page_215">215</a><br />
+Uterine Speculum <a href="#Page_717">717</a>, <a
+href="#Page_718">718</a><br />
+Uterine Tumors, <a href="#Page_722">722</a><br />
+Uterus, Falling of the, <a href="#Page_713">713</a><br />
+Uterus, Prolapsus of the, <a href="#Page_713">713</a><br />
+Uvula, Elongation of the, <a href="#Page_495">495</a><br />
+<br />
+<br />
+<b>V</b><br />
+<br />
+<br />
+Vaccinia, <a href="#Page_411">411</a><br />
+Vagina, Inflammation of the, <a href="#Page_702">702</a><br />
+Vagina, Irritable, <a href="#Page_702">702</a><br />
+Vagina, Malformation of the, <a href="#Page_687">687</a><br />
+Vaginal Injections, How to Use, <a href="#Page_705">705</a><br />
+Vaginitis, <a href="#Page_702">702</a><br />
+Valerian, <a href="#Page_320">320</a><br />
+Valeriana Officinalis, <a href="#Page_320">320</a><br />
+Value of Animal Food, <a href="#Page_241">241</a><br />
+Value of Mechanical Movements, <a href="#Page_371">371</a><br />
+Valve, Mitral, <a href="#Page_57">57</a><br />
+Valve, Tricuspid, <a href="#Page_57">57</a><br />
+Valves, Semilunar, <a href="#Page_58">58</a><br />
+Valvulæ Conniventes, <a href="#Page_40">40</a><br />
+Valvular Lesions, <a href="#Page_549">549</a><br />
+Vapor-Bath, <a href="#Page_358">358</a><br />
+Vapor-Bath, Spirit <a href="#Page_362">362</a><br />
+Vapor-Bath, Sulphur <a href="#Page_368">368</a><br />
+Varicella, <a href="#Page_412">412</a><br />
+Varicocele, <a href="#Page_803">803</a><br />
+Varicose Ulcer, <a href="#Page_455">455</a><br />
+Variety of Food necessary, <a href="#Page_239">239</a><br />
+Variola, <a href="#Page_410">410</a><br />
+Varioloid, <a href="#Page_411">411</a><br />
+Vascular System, <a href="#Page_56">56</a><br />
+Veins, <a href="#Page_59">59</a><br />
+Veins, Enlarged Spermatic, <a href="#Page_803">803</a><br />
+Veins of the Portal System, <a href="#Page_60">60</a><br />
+Veins, Pulmonary, <a href="#Page_60">60</a><br />
+Veins, Systemic, <a href="#Page_60">60</a><br />
+Vena Cava, <a href="#Page_56">56</a>,<a href="#Page_60">60</a><br />
+Ventilation of Dwellings, <a href="#Page_226">226</a><br />
+Ventilation of Factories, <a href="#Page_226">226</a><br />
+Ventilation of School Rooms, <a href="#Page_225">225</a><br />
+Ventilation of Workshops, <a href="#Page_226">226</a><br />
+Ventricle, <a href="#Page_57">57</a><br />
+Veratrum Viride, <a href="#Page_347">347</a><br />
+Vermifuge, <a href="#Page_313">313</a><br />
+Versions of the Uterus or Womb, <a href="#Page_709">709</a>, <a
+href="#Page_714">714</a><br />
+Vertebræ, <a href="#Page_23">23</a><br />
+Vesical Calculi, <a href="#Page_838">838</a><br />
+Vestibule, <a href="#Page_110">110</a><br />
+Viburnin, <a href="#Page_320">320</a><br />
+Viburnum Opulus, <a href="#Page_320">320</a><br />
+Villus, <a href="#Page_41">41</a>,<a href="#Page_48">48</a><br />
+Virginia Snake-root, <a href="#Page_333">333</a><br />
+Visiting the Sick, <a href="#Page_383">383</a><br />
+Vital Principle, <a href="#Page_15">15</a><br />
+Vital Properties of the Blood, <a href="#Page_53">53</a><br />
+Vitreous Humor, <a href="#Page_107">107</a><br />
+Vitriol, Elixir of, <a href="#Page_310">310</a><br />
+<span class="pagenum"><a name="Page_1006" id="Page_1006"></a>[pg
+1006]</span><br />
+Vitriol, White <a href="#Page_818">818</a><br />
+Volitive Faculties <a href="#Page_129">129</a><br />
+Volitive Temperament <a href="#Page_171">171</a><br />
+Voluntary Muscles <a href="#Page_31">31</a><br />
+Voluntary Pollution <a href="#Page_772">772</a><br />
+Vomer <a href="#Page_22">22</a><br />
+Vomit, Black <a href="#Page_883">883</a><br />
+Vulvitis <a href="#Page_702">702</a><br />
+<br />
+<br />
+<b>W</b><br />
+<br />
+<br />
+Wafer-ash <a href="#Page_351">351</a><br />
+Wakefulness <a href="#Page_623">623</a><br />
+Warm Bath <a href="#Page_357">357</a><br />
+Warmth <a href="#Page_379">379</a><br />
+Water <a href="#Page_248">248</a><br />
+Water-bugle <a href="#Page_323">323</a><br />
+Water-hoarhound <a href="#Page_323">323</a><br />
+Water, How to use <a href="#Page_252">252</a><br />
+Water-melon Seeds <a href="#Page_338">338</a><br />
+Water, Organic Impurities in <a href="#Page_251">251</a><br />
+Water-pink <a href="#Page_336">336</a><br />
+Water, Purification of <a href="#Page_252">252</a><br />
+Waters, Chalybeate <a href="#Page_250">250</a><br />
+Waters, Saline <a href="#Page_250">250</a><br />
+Waters, Sulphurous <a href="#Page_250">250</a><br />
+Welfare of Society <a href="#Page_193">193</a><br />
+Wet Sheet Pack <a href="#Page_368">368</a><br />
+White Hellebore <a href="#Page_347">347</a><br />
+White Poplar <a href="#Page_350">350</a><br />
+White Swelling <a href="#Page_452">452</a><br />
+White Vitriol <a href="#Page_318">318</a><br />
+White-root <a href="#Page_332">332</a><br />
+Whitewood <a href="#Page_350">350</a><br />
+Whites <a href="#Page_702">702</a><br />
+Whooping-cough <a href="#Page_880">880</a><br />
+Wild Chamomile <a href="#Page_334">334</a><br />
+Wild Indigo <a href="#Page_318">318</a><br />
+Wild Yam <a href="#Page_320">320</a><br />
+Willow <a href="#Page_351">351</a><br />
+Windpipe <a href="#Page_63">63</a><br />
+Wintergreen <a href="#Page_325">325</a><br />
+Witch-hazel <a href="#Page_321">321</a><br />
+Woman and her Diseases <a href="#Page_684">684</a><br />
+Womb, Absence of the <a href="#Page_687">687</a><br />
+Womb, Displacements of the <a href="#Page_713">713</a><br />
+Womb, Elongation of the Neck of the <a href="#Page_709">709</a><br />
+Womb, Flexions of the <a href="#Page_709">709</a>, <a
+href="#Page_714">714</a><br />
+Womb, Malformation of the <a href="#Page_687">687</a><br />
+Womb, Versions of the <a href="#Page_709">709</a>, <a
+href="#Page_714">714</a><br />
+Workshops, Ventilation of <a href="#Page_226">226</a><br />
+Worms, Intestinal <a href="#Page_561">561</a><br />
+Wounds <a href="#Page_889">889</a><br />
+<br />
+<br />
+<b>X</b><br />
+<br />
+<br />
+Xanthoxylin <a href="#Page_349">349</a><br />
+Xanthoxylum Fraxineum <a href="#Page_349">349</a><br />
+<br />
+<br />
+<b>Y</b><br />
+<br />
+<br />
+Yam, Wild <a href="#Page_320">320</a><br />
+Yeast <a href="#Page_317">317</a>, <a href="#Page_335">335</a><br />
+Yellow Dock <a href="#Page_304">304</a><br />
+Yellow Jessamine <a href="#Page_319">319</a>, <a
+href="#Page_348">348</a><br />
+Yellow Lady's-slipper <a href="#Page_320">320</a>, <a
+href="#Page_345">345</a><br />
+Yellow Subsulphate of Mercury <a href="#Page_339">339</a><br />
+<br />
+<br />
+<b>Z</b><br />
+<br />
+<br />
+Zinci Sulphas <a href="#Page_318">318</a>, <a href="#Page_339">339</a><br
+/>
+Zinc, Sulphate of <a href="#Page_318">318</a>, <a
+href="#Page_339">339</a><br />
+Zingiber Officinalis <a href="#Page_325">325</a>, <a
+href="#Page_335">335</a><br />
+</p>
+</blockquote>
+
+<p><span class="pagenum"><a name="Page_1007" id="Page_1007"></a>[pg
+1007]</span></p><hr />
+
+
+
+
+<h1>INDEX TO APPENDIX</h1>
+
+
+<blockquote>
+<p>
+<b>A</b><br />
+<br />
+<br />
+Advantages Offered to Invalids <a href="#Page_951">951</a><br />
+Advantages of Location <a href="#Page_948">948</a><br />
+Advantages of Specialties <a href="#Page_950">950</a>, <a
+href="#Page_956">956</a><br />
+Advertising <a href="#Page_958">958</a><br />
+Affidavit <a href="#Page_905">905</a><br />
+Aids, In valuable, in Urinary Diseases <a href="#Page_964">964</a><br />
+Amusements <a href="#Page_932">932</a><br />
+Analysis of Urine <a href="#Page_962">962</a>, <a
+href="#Page_967">967</a><br />
+Appendix <a href="#Page_905">905</a><br />
+<br />
+<br />
+<b>B</b><br />
+<br />
+<br />
+Bath Department <a href="#Page_931">931</a><br />
+Beecher on Advertising <a href="#Page_959">959</a><br />
+Board and Treatment, Terms for <a href="#Page_970">970</a><br />
+Buffalo Outranks all in Healthfulness <a href="#Page_946">946</a><br />
+<br />
+<br />
+<b>C</b><br />
+<br />
+<br />
+Cause of Female Weakness <a href="#Page_919">919</a><br />
+Caution <a href="#Page_936">936</a><br />
+Charges Must be Prepaid <a href="#Page_968">968</a><br />
+Chemical Laboratory <a href="#Page_940">940</a><br />
+Chronic Diseases, Mechanical Aids in the Cure of <a
+href="#Page_906">906</a><br />
+Chronic Diseases, Treatment of <a href="#Page_954">954</a><br />
+Climate <a href="#Page_944">944</a><br />
+Common Sense View, A <a href="#Page_934">934</a><br />
+Consultation, Free <a href="#Page_968">968</a><br />
+Consultations by Letter <a href="#Page_968">968</a><br />
+Consultations with Physicians <a href="#Page_971">971</a><br />
+Counter-Irritation <a href="#Page_916">916</a><br />
+Cure of Deformities <a href="#Page_917">917</a><br />
+Cure of Neuralgia <a href="#Page_916">916</a><br />
+Cure of Paralysis <a href="#Page_917">917</a><br />
+Cure of Swellings <a href="#Page_915">915</a><br />
+Cure of Tumors <a href="#Page_917">917</a><br />
+<br />
+<br />
+<b>D</b><br />
+<br />
+<br />
+Deformities, Cure of <a href="#Page_917">917</a><br />
+Disease Has Certain Unmistakable Signs <a href="#Page_943">943</a><br />
+Diseases of Women <a href="#Page_918">918</a><br />
+Division of Labor <a href="#Page_949">949</a>, <a
+href="#Page_954">954</a><br />
+<br />
+<br />
+<b>E</b><br />
+<br />
+<br />
+Eminent Medical Authorities <a href="#Page_967">967</a><br />
+Endorsement, President Garfield's <a href="#Page_973">973</a><br />
+Equability of Climate <a href="#Page_945">945</a>, <a
+href="#Page_947">947</a><br />
+Evidence of Health Statistics <a href="#Page_945">945</a><br />
+Extreme Healthfulness of Buffalo <a href="#Page_944">944</a><br />
+<br />
+<br />
+<b>F</b><br />
+<br />
+<br />
+Facilities of Treatment <a href="#Page_949">949</a><br />
+Facts of Science <a href="#Page_946">946</a><br />
+Fair and Business-like Offer <a href="#Page_953">953</a><br />
+Fees, Why Required in Advance <a href="#Page_969">969</a><br />
+Female Weakness, Cause of <a href="#Page_919">919</a><br />
+Fire-Proof Vaults <a href="#Page_930">930</a><br />
+Free Consultation <a href="#Page_968">968</a><br />
+<br />
+<br />
+<b>G</b><br />
+<br />
+<br />
+General Considerations <a href="#Page_940">940</a><br />
+Genuine Home, A <a href="#Page_948">948</a><br />
+Good Order <a href="#Page_932">932</a><br />
+<br />
+<br />
+<b>H</b><br />
+<br />
+<br />
+Home, A Genuine <a href="#Page_948">948</a><br />
+Home, Remedial <a href="#Page_942">942</a><br />
+How to Avoid Swindlers <a href="#Page_990">990</a><br />
+<br />
+<br />
+<b>I</b><br />
+<br />
+<br />
+Important Announcement <a href="#Page_921">921</a><br />
+Invalids, Advantages Offered to <a href="#Page_951">951</a><br />
+Invalids' Hotel and Surgical Institute <a href="#Page_922">922</a>, <a
+href="#Page_924">924</a>, <a href="#Page_941">941</a><br />
+Invaluable Aids in Urinary Diseases <a href="#Page_964">964</a><br />
+<br />
+<br />
+<b>J</b><br />
+<br />
+<br />
+Joints, Stiffened <a href="#Page_951">951</a><br />
+<br />
+<br />
+<b>K</b><br />
+<br />
+<br />
+Kneader <a href="#Page_914">914</a><br />
+<br />
+<br />
+<b>L</b><br />
+<br />
+<br />
+Liberality <a href="#Page_934">934</a><br />
+Location, Advantages of <a href="#Page_948">948</a><br />
+<br />
+<br />
+<b>M</b><br />
+<br />
+<br />
+Manipulator <a href="#Page_908">908</a><br />
+Map of Buffalo <a href="#Page_992">992</a><br />
+Mechanical Aids in the Cure of Chronic Diseases <a
+href="#Page_906">906</a><br />
+Medical Authorities, Eminent <a href="#Page_967">967</a><br />
+Medicine, Progress of <a href="#Page_950">950</a><br />
+Medicines, Our <a href="#Page_971">971</a><br />
+Moderate, Terms <a href="#Page_949">949</a><br />
+<br />
+<br />
+<span class="pagenum"><a name="Page_1008" id="Page_1008"></a>[pg
+1008]</span><br />
+<b>N</b><br />
+<br />
+<br />
+Neuralgia, Cure of <a href="#Page_916">916</a><br />
+Not Confined in Prescribing <a href="#Page_972">972</a><br />
+Notices of the Press <a href="#Page_974">974</a><br />
+<br />
+<br />
+<b>O</b><br />
+<br />
+<br />
+Offer, Fair and Business-like <a href="#Page_953">953</a><br />
+Our Medicines Prepared with the Greatest Care <a
+href="#Page_972">972</a><br />
+Our Physicians and Surgeons <a href="#Page_935">935</a><br />
+Our Remedies <a href="#Page_931">931</a><br />
+<br />
+<br />
+<b>P</b><br />
+<br />
+<br />
+Paralysis, Cure of <a href="#Page_917">917</a><br />
+Patient's Room <a href="#Page_945">945</a><br />
+Patients, Treating at a Distance <a href="#Page_960">960</a>, <a
+href="#Page_971">971</a><br />
+Physicians and Surgeons, Staff of <a href="#Page_925">925</a><br />
+Physicians, Consultation with <a href="#Page_971">971</a><br />
+President Garfield's Endorsement <a href="#Page_973">973</a><br />
+Press Notices <a href="#Page_974">974</a><br />
+Printing Department <a href="#Page_939">939</a><br />
+Progress in Medicine <a href="#Page_950">950</a><br />
+<br />
+<br />
+<b>R</b><br />
+<br />
+<br />
+Rational Treatment <a href="#Page_919">919</a><br />
+Recapitulation <a href="#Page_920">920</a><br />
+Regulation of Diet <a href="#Page_931">931</a><br />
+Reliable Medicines <a href="#Page_969">969</a><br />
+Remedial Home, <a href="#Page_942">942</a><br />
+Revulsion <a href="#Page_916">916</a><br />
+<br />
+<br />
+<b>S</b><br />
+<br />
+<br />
+Signs, Urinary <a href="#Page_962">962</a><br />
+Specialties, Advantages of <a href="#Page_950">950</a>, <a
+href="#Page_956">956</a><br />
+Staff of Physicians and Surgeons <a href="#Page_925">925</a><br />
+Statistics, Evidence of Health <a href="#Page_945">945</a><br />
+Steam Passenger Elevator <a href="#Page_930">930</a><br />
+Surgical Department <a href="#Page_931">931</a><br />
+Swellings, Cure of <a href="#Page_915">915</a><br />
+Swindlers, How to Avoid <a href="#Page_935">935</a>, <a
+href="#Page_990">990</a><br />
+<br />
+<br />
+<b>T</b><br />
+<br />
+<br />
+Terms for Board and Treatment <a href="#Page_970">970</a><br />
+Terms for Treatment <a href="#Page_969">969</a><br />
+Trained Attendants <a href="#Page_932">932</a><br />
+Treating Patients at their Homes <a href="#Page_942">942</a><br />
+Treatment, Facilities of <a href="#Page_949">949</a><br />
+Treatment of Chronic Diseases <a href="#Page_954">954</a><br />
+Tumors, Cure of <a href="#Page_915">915</a><br />
+Turkish Bath <a href="#Page_931">931</a><br />
+<br />
+<br />
+<b>U</b><br />
+<br />
+<br />
+Unparalleled Success <a href="#Page_933">933</a><br />
+Urinary Signs <a href="#Page_962">962</a><br />
+<br />
+<br />
+<b>V</b><br />
+<br />
+<br />
+Vibrator <a href="#Page_911">911</a><br />
+Visiting Patients who Reside at a Distance <a href="#Page_971">971</a><br
+/>
+Vocabulary <a href="#Page_979">979</a><br />
+<br />
+<br />
+<b>W</b><br />
+<br />
+<br />
+World's Dispensary <a href="#Page_937">937</a><br />
+World's Dispensary Medical Association <a href="#Page_921">921</a><br />
+</p>
+</blockquote>
+
+<hr />
+
+
+
+
+<h1><a name='Footnotes'></a>Footnotes</h1>
+
+
+
+
+
+
+
+
+<p><a href="#rfn1" name="fn1">1.</a>   Darwin.</p>
+
+<p><a href="#rfn2" name="fn2">2.</a>   The males of Cryptophialus and
+Alcippe, species of marine animals, are apparent exceptions to this rule.
+They are parasitic, possess neither mouth, stomach, thorax, nor abdomen,
+and are, necessarily, short-lived.</p>
+
+<p><a href="#rfn3" name="fn3">3.</a>   Dalton&mdash;Human Physiology.</p>
+
+<p><a href="#rfn4" name="fn4">4.</a>   In the use of the terms psychical
+and psychological, we have observed the distinction which metaphysicians
+have recently made. They employ the term psychical to indicate the relation
+of the human soul to sense, appetite, propensity, etc., and psychological,
+as indicating the ultimates of spiritual being. In this manner we use the
+word psychical as describing the relationship of the soul to animal
+experiences and being, and psychological as referring to the spiritual
+potencies of the soul. The distinction being introduced, we continue its
+use rather then coin new words.</p>
+
+<p><a href="#rfn5" name="fn5">5.</a>   Certain disturbances of the bodily
+organs excite fear. The apprehension of danger, or simply mental
+excitement, does not explain what is called "water fright," "stage fright,"
+terror excited by the raging of a storm, or the rocking of a boat. In such
+instances the heart may beat heavily, the respiration be irregular and
+attended by precordial oppression, giddiness, weakness, and physical
+inability to articulate a word or recall a thought These bodily conditions
+are not subject to the control of the will, but arise when individuals are
+perfectly assured that no danger threatens. At other times, as in a fearful
+tempest upon the sea, although the danger be imminent, if the bodily
+functions are not disturbed, there is not the least manifestation of fear.
+</p>
+
+<p><a href="#rfn6" name="fn6">6.</a>   A <i>placebo</i> is a harmless and
+valueless prescription, which physicians sometimes make merely to gratify
+the patient, as a dose of "bread pills," etc.</p>
+
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author	Roger Frank <rfrank@pglaf.org>	2025-10-15 04:53:28 -0700
committer	Roger Frank <rfrank@pglaf.org>	2025-10-15 04:53:28 -0700
commit	e4963afe672d68db1be8cdcbca4dc7dc83910975 (patch)
tree	7e45c8faad94df5183b4222c6660541cc1169b22 /18467-h