. National Eclectic Medical Association quarterly. equently affected, and epidemics occur quiteconstantly during the fall and spring months. The influence oi season can be ex-plained, in a great measure, by the effect of heat and cold upon cutaneous elimina-tion. Those who iu the past considered uric acid as the causative agent of this ail-ment were influenced a great deal by this, and did not know that those retained toxicproducts lowered the protective aeents of the body, and thereby lessened its resistanceto infection. It i^ a well established therapeutic dictum that in toxic or infectiousp


. National Eclectic Medical Association quarterly. equently affected, and epidemics occur quiteconstantly during the fall and spring months. The influence oi season can be ex-plained, in a great measure, by the effect of heat and cold upon cutaneous elimina-tion. Those who iu the past considered uric acid as the causative agent of this ail-ment were influenced a great deal by this, and did not know that those retained toxicproducts lowered the protective aeents of the body, and thereby lessened its resistanceto infection. It i^ a well established therapeutic dictum that in toxic or infectiousprocesses eliminative measures should be employed to increase resisting ; and immunity bear a direct ratio, and when lowered invite disease. NTo elimination will give more prompt and satisfactory results that tongaline,which has been used so successfully for nearly thirty years in the treatment of rheu-matism, neuralgia, grippe, gout, nervous headache, malaria, sciatica, lumbago, tonsil-itis, heavy colds and excess of uric Lyman Watkins, ,Rorn May 1 1854; died January 21, 1912.(See page 258.) THE NATIONAL ECLECTIC MEDICAL ASSOCIATION QUARTERLY Volume III. CINCINNATI, MARCH, 1912. Number 3. SURGERY OF THE THYROID GLAND AND ADJACENT E. Russell, , , Cincinnati, O. On April 21, 1878, I performed the first successful goiter operation ivAmerica on Miss Hall, living nine miles in the country south of Springfield,Ohio. The operation was for the cure of advanced Graves disease, andwas performed with the ordinary instruments in a pocket case, consisting ofbistouries, the squirrel-tooth dissecting forcep and a grooved jaw forcep,similar to our hemostat. It was an instrument often used by the countryphysician in pinching out cherry-stones from the nose and ears, or smallpolypoids from the nasal cavity of the patients of those days. At this timeit was an improvised hemostat except the locking catch on handle, whichwas made to hold the instrume


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