THREE KALI CARBONICUM CASES. BY THOMAS M. STEWART, M. D., CINCINNATI, OHIO. CASE I.—Patient, a tall thin woman; dark hair and eyes. Badly nourished as a result of mal-assimilation of food. Troubled with frequent attacks of styes on the upper right eyelid. Patient anæmic. Complained of frequent chilliness; chilly on least exposure. Physically and mentally patient was exhausted. Some improvement was secured by correcting an eye trouble with glasses. Nux vomica, psorinum, and hepar of course acted indifferently. On a later visit the case was cleared up by the mention of the chilly sensation and the exhaustion. Kali carbonicum began an improvement and carried the case on to a point where diet did the rest. The woman’s means were limited, but she was able to carry out the diet direction, because her principal articles of diet had been meat and eggs. She was getting too much nitrogen. A generous supply of the carbo-hydrates; a direction to drink plenty of water, but not at meal times; and more exercise in the open air changed the conditions to healthful ones. CASE II.—A young woman, well nourished, but not muscularly strong. Catches cold easily and is readily exhausted by muscular exertion. Sensation of a lump in the throat, with stitching sensation at each cold. With each cold has some cough, due largely to an elongated uvula. With each cold must “hawk” a great deal in the mornings to “clear the throat.” The patient was a vocalist and suffered frequently from these acute colds and hoarseness. The case had been prescribed for by several physicians. A study of the case brought out the kali carbonicum picture of “coryza with hoarseness; catches cold at least exposure to fresh air, and with each cold there is a stitching pain in the pharynx,” and kali carbonicum 6x trituration cured the case, including the relaxed uvula. The patient has frequently presented this picture and each time kali carb. did the work. Some additional benefit, in lessening the liability to these attacks, has been secured by the cold sponge bath each morning. Deep inhalation of fresh air three times a day, to aid in the oxidation of the food stuffs; and by inculcating the habit of daily attending to Nature’s demands, whether there is any desire or urging in that direction or not. CASE III.—Patient a nervous woman. Suffering from mixed astigmatism and pronounced insufficiency of the internal recti muscles, which we oculists denominate an exophoria. Patient suffered terribly from headaches, almost daily in their occurrence, frequently with nausea. The muscular trouble was cured by the use of prisms, the mixed astigmatism corrected by a glass, and there remained a severe backache. It was located in the small of the back as if there were a heavy weight pressing there; worse during menses, with bearing-down pain; patient was obliged to sit down frequently, on account of the ache. Her physician had prescribed sepia, cimicifuga, and natrum muriaticum—and in response to a question, “Could the eye treatment have had anything to do with apparently aggravating the backache?” I replied, “No; I think the relief of the headache has simply allowed the attention to be drawn to the backache.” I asked for other symptoms and one day received a little line stating that the “backache was worse after eating, and the patient could not walk much on account of the backache, was obliged to sit down frequently,” and kali carbonicum was advised. It cured the case. ATROPHIC RHINITIS. BY C. R. ARMSTRONG, M. D., THORNTOWN, IND. Atrophic rhinitis is that chronic disease in which there is a wasting away of more or less of the mucous membrane, glands, and turbinated bones, and is generally accompanied by some abnormal conditions of pharynx and all the sinuses connected with the nasal cavities. This is no new disease, but one physicians have had to deal with these many years; one we meet in practice every little while, and one which we cannot study too carefully, because the treatment for the disease in many cases ends in failure to cure. I do not know that I will be able to say anything new of this morbid condition of nose, but will state a few things as I see them in practice day by day. There is always a favorable point about having a patient with this disease, along with the unfavorable ones. That is—the physician always has plenty of time to study his case and see every minute change in the recovery ere the patient is pronounced cured. This is more commonly known as ozena, or fetid catarrh, from the odor which accompanies the trouble. However, there is a form of the disease in which the atrophy is present, but has no fetor accompanying it. The latter is a much drier form with no secretions at all. The ætiology of this disease has been discussed pretty thoroughly. It has been a question as to just what the initial symptoms and changes really are. In a majority of cases it is a secondary disease. That is, it follows other forms of rhinitis. Some authors claim that atrophic rhinitis follows the hypertrophic rhinitis. Others claim that there may be some shrinking in hypertrophic rhinitis, but that it does not end in atrophy, but comes from the