THE MICROSCOPE. 23 



MEMBRANOUS DYSMENORRHCEA. 



IN THE Archiv fur Gynakologie is an article by Dr. Colinstein on 

 this affection. He asserts that it is not due to local changes 

 but rather to the general conditions of the system. Of 62 cases 

 collected by him general disorders were found three times as fre- 

 quent as local ones. He gives his reasons for believing that this 

 disorder is connected with hysteria. His conclusions are hardly 

 correct ones, at least so it seems to us, and we are inclined to think 

 he has not established his point. 



DIABETES MELLITUS. 



PROFESSOR Flint has recently said that the treatment of this 

 affection must be emphatically dietic. The diet should receive 

 the most careful attention and a list of the articles which the patient 

 can eat as well as a list of things he positively must not eat should 

 be at hand. Bread will cause the most trouble and the patient will 

 soon feel that he cannot do without it. So-called diabetic flour, 

 consisting of bran finely ground, is without nourishment and the 

 patient soon tires of it. 



He especially recommends the gluten bread prepared by the 

 Health Food Company of New York, corner of loth St. and 4th 

 Avenue. This bread is not entirely without starch, yet it has but a 

 small amount of it and still retains the agreeable qualities of ordi- 

 nary bread. No medicine is prescribed at first and many times the 

 sugar in the urine may disappear altogether for a time, and certainly 

 permanently lessened. The only remedy mentioned is sulphide of 

 calcium in from ^ to ^ grain doses three times a day. In this 

 remedy, however, but little confidence is expressed. "This disease 

 I believe may be kept in abeyance indefinitely by appropriate 

 dietetic treatment, and yet I am extremely doubtful whether a 

 patient can ever properly consider that there is a permanent re- 

 covery." 



