Abbott, W: American Journal of Clinical Medicine, Vol. 24

Excerpt from The American Journal of Clinical Medicine, Vol. 24: Dependable Therapeutic Fact for Daily Use; March, 1917

We need not expect very much from our journalistic gleanings - therapeutic pessimism (which, being translated, signifies ignorance) is as yet too generally prevalent and only the crudest mechanical applications are fashion able. Still. Some knowledge of the real activities of medical agencies is escaping from the alkaloidal arsenals and making itself manifest.

Bush (n. Y. Med. Four.) has nothing to suggest for the pain and tenesmus of cystitis except morphine, and he rightly objects to its application in suppositories. Morphine ex erts its narcotic effects chie¿y upon the brain centers and has scarcely any action upon the peripheral terminations of the sensory nerves. H. Earnest Goodman used to say that the treatment of cystitis comprised three A's - attitude, alkalis, and anodynes. In acute cases, hyoscine adds greatly to the relief afforded by morphine, while in chronic forms the remedy above all is arbutin. The last, like many of our most valuable plant agents, is so slow in manifesting its activity that it wholly escapes the many who do not have time to wait for the curative processes of Dame Nature to manifest themselves.

Speaking of the treatment of in¿uenza (n. Y. Med. Jamal Wilcox mentions quinine with or without monobromated camphor, as very speedily relieving the muscular pains in this condition.

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