VENEBEAL ISOliDERS.—I/1 the ame mia of syphilis the use of the iodide of iron is indicated.
In sloughing phagedena or chancroid, the amemia incident to those affections is best treated by the iodide of iron, though many prefer the tartrate of iron and potash.
Twenty-five cases of spermatorrhoca treated with ferric bromide. Of this number 19 were completely cured, 2 only being unrelieved. The dose is 3 to 5 grains given either in solution or in the form of a lozenge. The ferric bromide to he preferred to the corresponding fer • u. tut cuud I I cequot (Tiler. Gaz., I a), '91 , i t-ti t I tstf. — Titfit);:h not very often tin.d. in nettle rheumatism the tincture of the L111;1.111, do..-is of to 30 minims, l‘ (11 (hinted. eNery four hours, will di the pain, fever, and sweating and the danger of cardiac mischief. It %i ill linsten convalescence ancl may, t.•vt.r. be used as a prophylactic against atute rheumatism in weak and cachectic subjects (Anstic). but not in the robust or full-blooded (11artholowl.
The succinate (hydrated) of iron is the most palatable preparation of iron. The tasteless succinate, in combination with an elixir, is permanent under all circum stances, Combined with syrup trifoliiim compound, the succinate of iron will Ile found without a rival in the treatment of rheumatism and the various forms of syphilis. It is similarly useful for the ana-rnia of chronic malarial poisoning, and is indicated in the treatment of ery sipelas. pulmonary limmorrhage, lixmor rhage of the bowels, and other intestinal disorders. It should be given in small quantities at the beginning, gradually increasing the dose. William Thornton Parker (Med. Age, Dee. 2G, '91).
ERYSIPELAS.—The treatment by iron is not new, but it is for that reason none the less satisfactory. Large doses-10 to GO minims—of the tincture of the chlo ride, well diluted, may be given every four hours with advantage.
Iron takes into the blood the oxygen required, which, coming in direct contact with the streptococci of erysipelas, causes their destruction. If iron be given all the time in this disease, and tbe patient I laced in an aUratcd chamber where oxy gen may be generated. the records would show a considerable decrease in mortality from erysipelas and kindred affections. J. A. Crisler (l1leraphis Med, 'Monthly, Apr., '901.
Bromide of iron believed to be one of the best preparations for internal admin istration. as it is easily and quickly as =imilated. It is especially valuable as a topical epplication, in foetid discharges aud gangrenous ulcers. In erysipelas it acts as a specific. In such cases it must be freely used, painted over and beyond the infected integument. Gillespie (Pa cific Record of Mcd. and Surg., July 15, '90).
DiritTitERIA.— The tincture of the chloride is given internally to support the organism, either alone or combined with chlorate of potash, quinine, or nine. The use of the chlorate of potash
in this disease is, however, objected to on the ground that it induces destructive changes in the renal tissue. lIonsers solution (lig. ferri subsulphatis) may be used locally upon the tonsils and phar ynx, either pure or diluted with two or three parts of glycerin. It constringes the tissues and appears to limit the extension of the exudate. This latter application may be used in the same manner in follicular tonsillitis with ad vantage.
Value of perchloride of iron in prevent ing the spread of diphtheria from the pharynx to the larynx. The 2-per-cent. perchloride in glycerin is given hourly, night and day, in teaspoonful or dessert spoonful doses. N. Rosenthal (Then Monats., Dec., '92).
Application of perchloride of iron in diphtheria made twice daily if the cases be light, and three times daily if they he serious. The drug is used either in a pure state or in one-half or one-fifth solu tion. The healthy adjoining tissue is not injured by the treatment. T. Huebner (Ther. Monats., Dec., '92).
Applications of pure perehloride of iron recommended in pharyngeal diphtheria. The suffering which the applications cause is most intense, but three or four are sufficient to vanquish the disease. Of thirty-six eases personally treated there was but one death: from enormous ganglionic tumefaction. Feige (Ther. Monats., July, '94).
SCROPULOSIS.—In scrofulous adenitis and rachitis the syrup of the iodide is beneficial. It is best to begin with small dos_es, gradually increasing the same as tolerance is established. The combina tion of the phosphates of iron and lime are preferred by some in rachitis. Cod liver-oil given with iron increases the efficiency of the former in these cases.
NEUROSES.—Neuralgia due to anmmia is greatly benefited by large doses (30 to 40 minims) of the tincture of the chlo ride or by 20 grains of the saccharated carbonate, given three times daily. Fer ropyrin, one of the newer preparations, may be given in doses of 4 to 8 grains in these cases.
In the anaamie forms of mental dis eases Bucknill and Tuke advised the ad ministration of the tincture of the chlo ride of iron.
In hysteria associated with amemia the valerianate of iron may be given in pill in doses of 1 to 5 grains, three times daily. Amenorrhcca and other derange ments of the menstrual function depend ent upon anaemia are benefited by the citrate of iron alone or combined with strychnine.
A great many cases of dysmenorrlicea occur in anmmic young women, and full doses of iron will cure the annlia and A\ Rh it the dysmenorrlicca. I. Parsons (Brit. 11Ied. Jour., Oct. 24, '96).
In epilepsy and chorea in weak and anmic pupils the use of the bromide of iron is recommended by Da Costa, the bromide in doses of 5 to 20 grains or, preferably, the syrup of the bromide in doses of 1/0 to 1 teaspoonful.