een prescribed in the beginning
of the disease, to reduce fever, and relieve the often intense
suffering, lowers the heart's action, which is already
sufficiently incapacitated by the toxic agent producing the
disease.

'The intention is usually to stimulate later, but later is in
many cases unfortunately too late. The heart being overwhelmed
by the poison, and by the added depression of all coal tar
preparations, cannot keep up the pulmonary circulation. The
swelling of the lungs increases, and the result is fatal.

'I am aware of the weight of authority for their administration
and of the relief they afford, but am just as well assured that
were their use discontinued, the greatly increased death-rate
from _la grippe_ would cease to appear.

'These coal tar remedies are being used everywhere, and the
medical journals recommend them despite the fatal results. They
are being used every hour in the day in Syracuse, and, as a
result, are knocking out good people. Among the most popular
coal tar derivatives I might mention anti-kamnia,
salol-phenacetine, anti-pyrine and salicylate of soda.

'Prognosis is favorable at all ages. Patients should be kept
warm, and perfectly quiet in bed, and supplied with such
nutritious and easily digested food, at frequent intervals, as
the partially paralyzed stomach can take care of. All
nourishment must be fluid and warm rather than cold.'"

The _Journal of Inebriety_ for April, 1889, says:--

"The present epidemic of influenza has proved to be very fatal
in cases of moderate and excessive alcoholic drinkers.

"Pneumonia is the most common sequel, breaking out suddenly, and
terminating fatally in a few days. Heart failure and profound
exhaustion, is another fatal termination. One case was reported
to me of an inebriate, who, after a full outbreak of all the
usual symptoms, drank freely of whisky and became stupid and
died. It was uncertain whether cerebral hemorrhage had taken
place, or the narcotism of the alcohol had combined with the
disease and caused death.

"A physician appeared to have unusual fatality in the cases of
this class under his care.

"It was found that he gave some form of alcohol freely, on the
old theory of stimulation. Another physician gave all drinking
cases with this disease alcohol, on the same the