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modified it as to agree with that of Vaughan, it is only in the sense of supplying the nuclein to the seat of disease that the leucocytes are to be looked upon as warriors. The only personal encounter likely to take place would be when the delicate cell membrane, be- ing irritated by a bacterial cell, bursts and scatters its contents in the shape of nuclein into the very eyes, as it were, of the rapidly increasing enemy. By the per- sonal encounter of the elements of the opposing cells, various diseases may not unreasonably be accounted for; thus, when the toxin of the bacterial cell is of sufficient strength and quantity to neutralize the nu- clein of the leucocyte, disease sets in, viagra buy tablets and the place where the barriers give way and the line of defence is broken gives a name to the disease; e.g., should micro- organisms gain access viagra alternatives usa to the uterus after parturition, and the nuclein-carrying leucocytes guarding the aper- tures of the veins and lymphatics, laden with toxins. be viagra alternatives usa overpowered, we have puerperal viagra buy tablets septica-mia; and should the typhoid bacilli with their toxins be of suffi- cient strength and virulence to repulse the leucocytes colonizing in and around Peyer's patches, typhoid fever is the result, etc. The discovery of the past and present in etiology, pathology, and prophylaxis certainly gives a roseate hue to future medicine, and the time may come even in our own generation when Pasteur's prophecy shall be realized : " It is possible," said he, " for man to eradi- cate every contagious disease from off the face of the earth." Vet, methinks, the clay is still far distant when we shall be able to dispense with morphine in pleurisy and renal colic, to discard mercury and iodide of potassium in syphilis, to treat malarial trou- bles with anything else so successfully as with quin- ine, to viagra alternatives usa apply any remedy that will so relieve the painful symptoms of acute rheumatism as do the sali- cylates, or to find anything that will so modify arteiial pressure, and give to a panting, dying soul the breath of life, as does the subcutaneous injection of nitro- glycerin in the red hepatization stage of pneumonia. You will readily see by the foregoing that this sub- ject was not selected because I have lost faith in the iency of medicine. Nature does sometimes throw off disease, but how liable are we to have fibrous con- sumption as a result of an unassisted pneumonia and cardiac viagra alternatives usa affections follow in the wake of rheumatism and diphtheria! viagra alternatives usa There is no science in the "expec- tant" plan of treatment, except "Christian science." Looking at the various infectious and contagious diseases from an etiological standpoint, we get an en- couraging view of a scientific line of treatment bv the June 13, viagra buy tablets 1896] MEDICAL RECORD. viagra alternatives usa 847 exhibition of an artificially collected nuclein, the chief object being to reinforce deficiencies in the vis medi- catrix natures, and thus turn the battle from probable defeat to positive victory. The millennium, however, will not be ushered in by the discovery of scientific medication. But it will come. A faint illumination is observable on the east- ern horizon, viagra buy tablets and when the day finally breaks and we behold the gates of light unbarred," we shall see standing therein a maiden, dressed in spotless rai- ment, as old as " She,'' yet young and far more beauti- ful, and her name shall be the beautiful name, " Hy- giene." In the preparation of this paper I have derived much help from the perusal of articles written by Drs. Charles G. McClintock, of Ann Arbor; Roswell Park, of Buffalo; and Frank ('. Wilson, of Louisville. THE CLIMATE OF NEW MEXICO. By FRANCIS W. GALLAGHER, M.D., LAS CRUCBS, NEW viagra alternatives usa MEXICO. The conditions throughout the arid regions of the R.cky Mountains generally are such as to promote constructive metabolism, and for this reason are adapted to various debilitated states of the system, but it will probably be a long time before many physi- cians in the populous centres think of this section in relation to any except viagra buy tablets tuberculous cases and those ex- hibiting a tuberculous tendency. This article will, then, only consider the climate of the Rocky Moun- tains with reference to the amelioration or cureof con- sumption and conditions of ill-health favoring the de- velopment of this disease. Let us briefly consider, in the first place, what attributes of climate are by the best authorities considered essential in the climatic treatment of consumption; and, secondly, where are viagra alternatives usa these requisites best supplied. The climatic condi- tions which the experience of years has confirmed as giving the best results in the treatment of phthisis are atmospheric dryness, altitude, and sunshine. I will not undertake to more than state this proposition, as, so far as I know, no one of authority and observation attempts to dispute it. Where in the United States, then, are these essen- tials to be found in the greatest bounty? The obser- vation and experience of years have demonstrated that the great rainless plains and tablelands of the Rocky Mountains alone adequately fulfil the indications. Anywhere within this region the invalid is under infi- nitely viagra buy tablets better conditions than in the Mississippi Valley or the valley of the great lakes, but in this vast terri- tory an empire in extent some sections seem partic- ularly selected by nature for the rescue of organisms attacked by the bacillus, and I would like viagra alternatives usa briefly to direct attention to that land of perpetual sunshine. New Mexico, within whose boundaries is found almost every variation of climate which the taste viagra buy tablets and physi-