where there is marked atony with morbid irritability, phosphorus ranks first among remedies.

Nux Vomica.-Nux as well as phosphorus are among the earliest recognized aphrodisiacs. It is one of the best nerve tonics and stimulants in the Materia Medica. Its action is principally on the great sympathetic nervous system and spinal cord. It also has a specific action on the pneumogastric. After having studied carefully the nerve supply of the generative organs, one can readily see the great use of this drug as an aphrodisiac. Nux is then indicated in those cases where there is pallid, skin, pallid tongue, loss of appetite, marked atony of the nervous system, relaxation of scrotal tissue, penis cold and flabby. In seminal emissions where the seminal vesicles have lost their tonicity, nux is one of our best remedies. I usually combine it with phosphorus, as they act admirably together.

Belladonna.-While this remedy is not generally thought of as an aphrodisiac, when indicated it is a very valuable one.

Its alkaloid, atropia, is generally used instead of the belladonna, as its action is more definite. Professor Gross says atropia is indicated where the penis is cold and rigid. It overcomes the contraction of the muscular fibers of the trabeculæ of the erectile bodies, induces dilatation of the arterioles, and increases the flow of blood through the organ. It many times prevents the nocturnal discharges, or at least diminishes them, and lessens the prostatic discharges which accompany this condition. Atropia should be given in from 1/60 to 1/200 grain doses at bedtime.

Damiana. This drug has been highly lauded by some writers for its aphrodisiac properties. I have tried it in nearly all conditions for which I have seen it recommended, and in my hands it has been an utter failure.

Staphisagria. This remedy exerts a specific influence upon the reproductive organs. It also acts as a nerve stimulant in small doses; but in large doses it is an acrid poison. I always use specific staphisagria. It is especially adapted to those patients that are very nervous and sensitive, have gloomy forebodings, etc., such as we find among masturbators and those indulging in excessive venery. In small doses it is slightly laxative. It allays irritation of the prostate gland, seminal vesicles, and testes. In its action it somewhat resembles pulsatilla. In prostatorrhoea and spermatorrhoea it is an excellent remedy.

Ergot. When indicated, ergot occupies an important place. It is a stimulant to the muscular as well as the nervous structures of the generative organs. It therefore is indicated where there is atony with dilatation of the blood-vessels, varicocele, with a sluggish circulation. In small doses it acts on the circular fibers of the vessels, causing them to contract to their normal caliber. Where the impotency is due to varicocele, Locke says good re

sults are obtained by rubbing up one grain of ergotine with ten drops each of water and glycerine, and inject near the enlarged veins. Also give small doses of ergot internally for a length of time, carefully watching its action.

Pulsatilla. Pulsatilla has a wide range in the treatment of these diseases. There is no other remedy in the Materia Medica indicated so often as this one, and when indicated, its action is very positive. I usually prescribe it in connection with the other needed aphrodisiac, and have gotten the most gratifying results.

Where the sexual power is diminished, owing to some morbid excitement of the nervous system, it lessens the over-sexual excitement, and thus increases its power. In spermatorrhoea and prostatorrhoea, due to a hyperesthesia of the nerves, it is the sheet-anchor of the treatment.

It is specifically indicated where the patient is nervous, restless, has gloomy forebodings or a disposition to look on the dark side, dizziness, inability to control the voluntary muscles; patient's mind constantly dwells upon his condition, tremulous condition of tongue when protruded, etc. With the last indication given, I find that specific gelsemium combined with pulsatilla acts admirably.

Monobromated Camphor.-This remedy is usually not classified among aphrodisiacs; but I consider it an indispensable drug in the treatment of these diseases. It is a nerve sedative, and has a tendency to produce sleep. I use it when the patient is nervous, irritable, and restless. When he goes to bed at night he allows his mind to dwell upon his condition and can't sleep, or when he does, he has lewd dreams, erections, and nightly emissions.

From two to five grain doses given at bedtime will generally produce sleep, and prevent these unpleasant symptoms.

Given in connection with the properly indicated aphrodisiac, it proves a valuable adjuvant.

Thuja Occidentalis.-Arbor vitæ or thuja is one of the remedies with which our great and illustrious Profesor Howe experimented very much, and it is due to his teaching and the numerous articles he wrote on this subject that the drug gained such great prominence in the medical profession.

He recommended it in the treatment of hydrocele, epitheliomatous growths, and as an application on nævus maternus. Undoubtedly had he lived he would have given us more valuable information regarding its use. Thuja is a valuable aphrodisiac. It is indicated in cases of sexual debility, and where the patient has frequent seminal emissions due to weakness of the seminal vesicles, or where the testicles are congested (after inflammatory stage has passed). It specifically influences the glandular sys

tem. It should also be used where impotency follows hydrocele. Give your patient from 5 to 10 drops before meals and at bedtime, and the result will be gratifying to yourself and patient.

I have outlined some of the principal causes that tend to produce impotency, also briefly given the treatment of same, and in connection have given the action of some of the principal aphrodisiacs.

If I have said or written anything that will tend to assist the busy practitioner or to relieve suffering humanity, I will have accomplished my object.

FEVERS OF CHILDHOOD.

A. P. TAYLOR, M. D., COLUMBUS.

The subject assigned me is almost an inexhaustible one. Fevers of childhood as described by most authors will cover about one hundred pages of reading matter. Now, for me to enter into this subject and write out the different causes and treatment, would consume your valuable time and weary all who are present.

Fevers of childhood are, viz.: Febricula, intermittent fevers, remittent fevers, congestive fever, continued fever, cerebro-spinal meningitis, diphtheria, tonsillitis, pneumonia, eruptive fevers, such as variola, rubeola, scarlatina, roseola, and glandular fever, or the new disease as some writers have lately described it, although it is one that I have met with quite frequently for the last past twenty-five years. The last named disease is the only one I shall attempt to treat of.

Inflammation of the lymphatic glands usually is the result of an injury, either directly or in some distant part, and conveyed through the lymphatic vessels to the gland.

It may be acute or chronic, as well as à specific inflammation. Examples of acute nature are furnished by the inflammation of the axillary glands which follows an injury, or a suppuration on the hand, arm, or breast.

Of the inguinal region in case of chancre, gonorrhoea, severe injury to the leg, or the formation of an abscess in the lower extremity.

Of the cervical region, from disease or irritation of the mouth or throat, or from disease or inflammation of the breast.

Inflammation of lymphatic glands is frequently due to absorption of some infectious substance, as in cases of diphtheria, scarlet fever, erysipelas, etc.

These cases terminate by resolution or suppuration. Upon