is diminished, and hence its apparent stimulating power is deceptive.
Dr. C. W. Chapman, of the National Hospital for Diseases of the Heart, wrote in the Lancet:—
"The very thing (alcohol) which they supposed had kept their heart going was responsible for many of its difficulties."
Of cases of palpitation and irregularity caused by business anxieties or indigestion, he said:—
"To give alcohol is only to add fuel to the fire."
Heart Failure:—"In cases of cardiac weakness, the thing needed is not simply an increased rate of movement of the heart, or an increased volume of the pulse, but an increased movement of the blood current throughout the entire system. In the application of any agent for the purpose of affording relief in a condition of this kind, the peripheral heart as well as the central organ must be taken into consideration. In fact, the whole circulatory system must be regarded as one. The heart and the arteries are composed of essentially the same kind of tissue, and have practically the same functions. The arteries as well as the heart are capable of contracting.
"Both the heart and the arteries are controlled by excitory and inhibitory nerves. These two classes of nerves are kindred in structure and in origin, the vagus and the vasodilators being medullated, while the accelerators of the heart and the vasoconstrictors of the arteries are non-medullated and pass through the sympathetic ganglia on the way to their distribution.
"Winternitz and other therapeutists have frequently called attention to the value of cold as a cardiac stimulant or tonic. The tonic effect of this agent is greater than that of any medicinal agent which can be administered. The cold compress applied over the cardiac area of the chest may well