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testimonial were cut from the paper, and sent to the countess, asking if she had so spoken of this medicine, and, if so, did she, a strong total abstinence woman, know that this mixture contains a large percentage of alcohol.

She responded as follows:—

“Thank you for asking me about the enclosed. A white-ribbon lady came and asked me if I would do her the great kindness to recommend —— compound (made up of the juice of celery). I said I could not personally recommend it as I neither use, nor want, medicine. But some very reliable friends of mine (temperance people, and true Christians) told me I would do a good thing in recommending it as they used it, and found it excellent. Then I wrote the following: ‘I myself cannot recommend —— compound as I do not suffer from any of the ailments it is said to be good for, but reliable friends of mine tell me that it is excellent, and I would do a good thing in recommending it to my friends. Adeline, Countess Schimmelmann.’

“I will only consent to the publishing of this letter if you publish the whole letter, and no extract from it, as the white-ribbon lady did for the —— compound.”

If a white-ribboner played this mean trick upon this distinguished Christian worker she is unworthy of membership in the Woman’s Christian Temperance Union. It is more than likely that the “white-ribbon lady,” was a paid advertising agent of the patent medicine manufacturer, and wore a white-ribbon to gain the confidence of the Countess.

Whether patent medicine manufacturers know how to doctor all ills to which human flesh is heir may be doubted, but that their advertising agents are skilful “doctors” of testimonials is very evident to any one acquainted with the facts.

The Department of Public Charities of New York city in a “Report on the use of so-called Proprietary Medicines as Therapeutic Agents,” says:—

“In connection with this subject it might be mentioned that, for years past, the name of Bellevue Hospital has been taken in vain by a number of persons and firms, without any authority whatever. It is a common occurrence that samples of proprietary medicines, foods, mineral waters, plasters, etc., etc. are sent to the hospital, or to members of the house-staff for ‘trial,’ whereupon the subsequent advertisements of the articles in question often assert that the latter are ‘used in Bellevue Hospital,’ leaving the impression upon the mind of the reader that the article, or articles, have been used with the sanction of some member of the Medical Board. It is probably impossible to find a remedy for this evil, from which many other institutions of repute likewise suffer. To publish a denial of such false assertions would only aggravate the evil. The utmost that can be done appears to be, to caution the medical staff against any entanglements with, or encouragement of, the agents of the interested parties.”

This report, which was adopted by the Medical Board of Bellevue Hospital, classifies proprietary preparations as “Objectionable” or “Unobjectionable” according to the following rules:—

“Unobjectionable preparations are those, the origin and composition of which is not kept secret, and which are known to serve a useful and legitimate purpose. Malted Milk is an example. Objectionable proprietary preparations, by far the largest group of the whole class, comprise all those which are aimed at under the medical code of ethics under the term ’secret nostrum,’ which term may be more closely defined thus:

“A secret nostrum is a preparation, the origin or composition of which is kept secret, the therapeutic claims for which are unreasonable or unscientific, or which is not intended for a legitimate purpose.

“Examples: The various ‘Soothing Syrups,’ ‘Female Regulators,’ ‘Blood Purifiers,’ and thousands of others.”

Dr. A. Emil Hiss, Ph. G., says of the secrecy of these preparations:—

“A secret compound with a meaningless title is presumptively a fraud. Why a secret if not to permit extravagant, or fraudulent, claims as to therapeutic merit? * * * * * The ruling motive of the secret being essentially false and dishonest, its employment in the interest of any remedy is clearly a sufficient cause for its condemnation and ostracism.”

Mothers sometimes wonder why their boys take so readily to cigarettes, or their daughters to cocaine, never thinking that the soothing syrup, or cough mixture given freely by themselves to their children developed a craving for something stronger later on. Mrs. Winslow’s Soothing Syrup, advertised for years in church as well as secular papers as “invaluable for children,” is cited in the report for 1888 of the Massachusetts State Board of Health as containing opium; also Ayer’s Cherry Pectoral, Dr. Bull’s Cough Syrup, Jayne’s Expectorant, Hooker’s Cough and Croup Syrup, Moore’s Essence of Life, Mother Bailey’s Quieting Syrup, and others too numerous to mention. The report says:—

“The sale of soothing syrups, and all medicines designed for the use of children, which contain opium and its preparations should be prohibited. Many would be deterred from using a preparation known to contain opium, who would use without question a soothing syrup recommended for teething children.”

Again, on page 149 the following is quoted from a prominent physician:—

“Among infants, and in the early years of life, soothing syrups are the cause of untold misery; for seeds are doubtlessly sown in infancy only to bear the most pernicious fruit in adult life. It is said that one of the best known soothing syrups contains from one to three grains of morphia to the ounce of syrup. I believe that stringent legal measures should immediately be taken to stop the sale of so-called soothing syrups containing opium, morphia or codeine.”

The writer has known mothers so ignorant of the nature of these soothing syrups as to deliberately put the baby to sleep upon them in order to insure relief from care for some hours.

Prof. J. Redding, M. D., says on this point:—

“While it may be true that an adult, of his own free will, and without incentive, or predisposing causes, does occasionally become a drunkard, I am convinced that nine hundred and ninety-nine out of every one thousand individuals who become drunkards are made so in embryo, infancy, or childhood, by the use of alcoholic decoctions, soothing syrups, opiates, calomel, etc. which are given as medicines to allay pain, obtund nerve sensibility, to cure the little sufferer of his vital manifestations, of his mental discomforts, but leave the actual disease and its, perhaps, putrid causation to time and debilitated vitality to remove.”

Of the danger and harmfulness of patent cough mixtures The American Therapist says:—

“Cough mixtures as a rule, do more harm than good. Nine times out of ten the principal ingredient is opium. It is true that opium may lessen the tendency to cough, but it does great damage by arresting the normal secretions, and the system becomes affected by the poisons from the kidneys, skin, stomach, intestines and the mucous membrane lining the upper air passages. Not only do these mixtures arrest every secretion in the body, but they also show their deteriorating and degrading effect through the stomach. They contain substances which tend to disorder and derange digestion.”

Several years ago the Post-Office Department at Washington was led to take an interest in the question of fraudulent “patent” medicines, and an examination of many of these nostrums was undertaken by government chemists. Fraud orders were issued against some of the most flagrant offenders, forbidding them the use of the mails. This has not done away with the evil, however, for they usually move to another city, and begin business again under another name.

The examinations made for the Post Office Department revealed the fact that a great many of the so-called medicines on the market were intoxicating beverages in disguise. The Internal Revenue Department then took up the matter and a long list of these beverage medicines was sent out to internal revenue agents with instructions that these must not be sold henceforth unless by persons paying a special tax for the sale of alcoholic beverages.

Some of the manufacturers of these nostrums availed themselves of opportunity given to add a recognized medicinal agent to their flavored alcohol and water and such preparations were stricken from the list of those requiring a whisky license for their sale. Peruna and Hostetter’s Bitters were the best-known of these. Peruna had been up to this time what government chemists called “a cheap cocktail.” The report of the pure food commissioner of North Dakota for 1906 gives on page 157 an analysis of it as now upon the market: “Alcohol by volume, 21.25 per cent.; total solids, 3.846 per cent.; ash, .158 per cent.” The report says:—

“The only thing of a medicinal nature that we could find in this preparation appeared to be a small amount of senna combined with a bitters of some kind.”

Proprietary “Foods” have not escaped attention from chemists. Dr. Charles Harrington, for several years secretary of Massachusetts Board of Health, was the first to publish an analysis of these preparations showing their alcoholic strength and their small nutritive content. He lists “foods” examined by him as follows:—

“Liquid Peptonoids 23.03 alcohol; maximum amount recommended will yield less than one ounce of nutriment per day, and the equivalent of 3.50 oz. of whisky. Hemapeptone 10.60 alcohol; Hemaboloids 15.81 alcohol; the maximum dose recommended yields about ¼ oz. of nutriment, and the equivalent of about 1½ oz. of whisky daily. Tonic Beef 15.58 alcohol; doses recommended yield about ½ oz. nutriment daily, and the equivalent of one ounce of whiskey. Mulford’s Predigested Beef 19.72 alcohol; doses recommended yield about 1¼ oz. nutriment daily, and the alcoholic equivalent of about 6 oz. of whisky. There were “Foods” for the sick examined which were non-alcoholic, but their nutritive value was about nothing in comparison to their cost.”

The Committee on Pharmacy of the American Medical Association reports on the following foods thus:—

Carpanutrine 17.3 alcohol; Liquid Peptones (Lilly & Co.) 22.0; Nutrient Wine of Beef Peptone (Armour) 21.5; Nutritive Liquid Peptone 23.0; Panopepton 18.5; Peptonic Elixir 18.8; Tonic Beef 16.1. The report on these says: “There are no fatty substances present in these products; their food value from this point of view is, therefore, nil.”

A prominent physician of Philadelphia said of these “Foods” in the Journal of the A. M. A.:—

“I have long been convinced that many a patient has suffered severely when preparations such as these were being used, and that not a few of them have died, chiefly of starvation. * * * A very important disadvantage of these foods is their alcoholic content. Even in the small doses customarily used, the quantity of alcohol is often irritating to the stomach, and may be disadvantageous in other ways.”

The Committee on Pharmacy also reported on cod-liver oil preparations. They said: “A preparation claiming to represent cod-liver oil which does not contain oil in some form is fraudulent. Waterbury’s Metabolized Cod-Liver Oil and Hagee’s Cordial of Cod-Liver Oil are cited as examples. It is claimed by the manufacturers that the latter represents 33 per cent. of pure Norwegian cod-liver oil, but in neither of these preparations did the tests made by the committee show any oil. Analysis revealed sugar, alcohol, and glycerine, none of which is contained in cod-liver oil.”

Vinol is advertised as Wine of Cod-Liver Oil, but is admittedly without oil, and according to analysis contains 18.8 per cent. alcohol. Wampole’s Tasteless Preparation of Cod-Liver Oil showed 20.05 per cent. of alcohol.

Cod-Liver Oil is considerably out of date now as a prescribed remedy because physicians have found that it impairs appetite. Cream and fresh butter and olive oil are advised instead.

Australia has been such a harvest field for patent medicine manufacturers that a government commission was appointed to study the subject. This commission presented a voluminous report to the parlia

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