Paralysis. Parotitis. Peliosis rheumatica. Pericarditis. Perimetritis. Perihepatitis. Perichondritis. Peritonitis. Pertussis. Petit mal. Pharyngitis. Phthisis. Pleurisy. Pneumonia. Post-epilepsy. Prolapsed uterus. Pseudo angina pectoris. Purpura. Rabies. Rheumatic fever. Salpingitis. Sarcoma. Scarlet fever. Smallpox. Spasms. Stomach. Stomatitis. Sunstroke. Tenesmus. Tetanus. Tonsillitis. Trauma. Trismus. Typhoid fever. Typhus fever. Ulcers. Urticaria. Varicella. Vomiting. Vulvitis. Yellow fever. SUCCUS ALTERANS Report of the Council on Pharmacy and Chemistry The following report was adopted by the Council: It is, believed that unwarranted and exaggerated therapeutic claims are made for Succus Alterans by its manufacturers, Eli Lilly & Co., Indianapolis. In view of the disastrous results which may follow, if, from the statements made, physicians should be led to rely on the product as a treatment for syphilis, it is recommended that Succus Alterans be refused recognition and that this fact be published with comments. W. A. Puckner, Secretary. Comment: Succus Alterans is a preparation which has been put on the market for some years by Eli Lilly & Co., as a remedy for syphilis. The serious character of this disease and especially the deplorable results that ensue from its improper or insufficient treatment, should make a firm hesitate to advise any treatment for it which experience has not demonstrated to be at least as efficacious as that which is generally accepted and well proved. Succus Alterans is the result of a combination of circumstances; no one person is responsible for it. It was probably the natural desire for a remedy free from the occasional injurious results of mercury that led Dr. J. Marion Sims to advocate the use of a collection of indigenous American plant drugs, sarsaparilla, stillingia, xanthoxylum, etc., which had a local reputation for the cure of syphilis. These drugs are supposed to be inert when the dried plants were used, and this gave an opportunity for the development of a nostrum. The ingredients are well known, but as their virtues are supposed to be lost in drying, the physician can not have his druggist compound them, but must, perforce, prescribe the proprietary combination. Those who consented to experiment with the new remedy soon found that the claims to curative properties were unfounded, but the strong commercial interests backing it have prolonged its life to the present time. Authorities on syphilis either say nothing about the preparation or mention it merely to condemn; but the proprietors of the nostrum continue to assert that it is not only practically a specific in syphilis, but now recommend it for various derangements of the blood and all sorts of skin diseases.