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American Journal of Obstetrics and Diseases of Women and Children. This very valuable quarterly is now published by Wm. Baldwin & Co., Publishers, New York. Price $5 per annum.
Braithwaite's Retrospect of Practical Medicine and Surgery. Part LXIII. July. This well-known and valuable semi-annual publication is on our table with its usual punctuality, and filled with its usual valuable collection of materials from the Medical Periodical Literature of Eurone.
TREATMENT OF LUPUS EXEDENS. By E. ANDREWS, M.D. Prof, of Surgery in Chicago Medical College. The vagueness of diagnosis which hangs like a cloud about the subject of lupus, prevents the development of well-defined ideas of its treatment. The London Hospital for skin diseases the actual cautery in most cases, and many surgeons in private practice do the same with excellent effect. The horror of patients at the idea of the hot iron renders it, however, a rather inconvenient remedy in American practice. The surgeons also complain of the extent of the cicatrices produced in this way. Hebra prefers to gouge out all the tissue which can be reduced to a pulp by the action of the finger nails. R. Volhmann, of Halle, takes the following course: with an instrument like a small spoon, he first scoops away all the tissue which will yield to its scraping action, forcibly applied, then with a tenotome, or other small knife, he makes innumerable minute slashes and stabs into all the affected vascular tissue around, cutting until he reduces it to a sort of mince-meat, without, however, destroying the vitality of any of it. The ulcers then begin to heal, and the contraction of the small cicatrices reduces the affected surrounding tissue to a nearly natural condition. I have recently tried this plan with excellent effect in Mercy Hospital. The patient had lost the septum narium and part of the border of the nose, and of the upper lip. I removed all the diseased parts which would yield to a vigorous scraping action, and then slashed and stabbed all the red tissue in the vicinity. An immediate improvement began to take place, and in about four weeks the parts were healed. The tip of the nose, which had been drawn down, the orifice of the nares, and rendering respiration by that passage impossible, was supported by a gutta percha tube, and, as the cicatrix grew firmer, showed its power to maintain its position without further help. On the whole the results were so favorable as to give great encouragement to the further trial of Volhmann's method. * Chicago, 2Vo. 6, Sixteenth Street.
SUL. MORPHIA PARTURIENT. Prof. Davis. Dear Sir, In your April issue, Dr. Vance pretends a reply to my criticism on Dr. Robson's views of morphia as a parturifacient, and simply says, his experience coincides with the views expressed by Dr. Robson! I admit, that, in natural labor, sul. morphia will act as a parturient that it will hasten abortion, where it is inevitable; but the question is, how ? What is its modus operandi in such cases ? not, Will it do it ? Permit me to ask Dr. Vance 1st, What the modus operandi of secale cornutum is? 2d, What is the modus operandi of sul. morphia upon the parturient patient? These queries I propound, in order to elicit full discussion, and free interchange of views upon this interesting subject, and trust we may finally call out the views of the Ed.,Examiner on the subject. L. D. Robinson, M.D.
A Physician's Counsels to Woman in Health and Disease, by Walter C. Taylor, A.M., M.D., author of Gynaecological Notes, etc. Springfield: W. J. Holland & Co., publishers.
Correspondence. MORPHIA AND ERGOT AS PARTURIENTS. In answer to the queries of Dr. Robinson, in relation to the modus operandi of morphia and ergot, Dr. Vance writes as follows: 1st. What the modus operandi of secale cornutum is. In the first place, it is received in what is termed the part of the system as per orem or per anum; then it is taken up by the veinous absorbent and conducted into the interior system or general circulation, and thence is conveyed along and taken up by the ganglionic nerves especially the sacral plexus or rather the hypogastric plexus, which immediately on the fibres of the fundus interi, exciting in them strong and persistent efforts of contractility. Although secale cornutum has different properties applied to it, one thing is evident, i.e., its stimulating propensities, as exerted in the fibres of the womb, forwarding expulsion of foetus and secundines, through the agency of the great sympathetic nerves. 2d. What is the modus operandi of sulphate morphia upon the parturient patient? Sulphate morphia is received into the system not unlike the remedy spoken of, excepting hypodermically; but upon the uterine fibres it seems to impart two co-operating effects: the first of which is a stimulant, operating through the system, producing contractility of the fibres not unlike secale cornutum, favoring the expulsive efforts; and, secondly, that of an anodyne effect, through the spinal nerves, upon the circular fibres of the os uteri, thereby admirably facilitating dilatation, and, thankfully to patient and attendant, the item, deliverance. Geo. H. Vance.
Book Notices. A Treatise on Diseases of the Nervous System, by William A. Hammond, M.D., Professor of Diseases of the Mind and System, and of Clinical Medicine, in the Bellevue Medical College, etc. New York: D. Appleton & Co.; Chicago: S. C. Griggs & Co. This is a handsome volume of 750 pages, in substantial cloth binding. The author has endeavored, as he states in the , "to present a Treatise on Diseases of the Nervous System, which, without being superficial, would be concise and explicit, and which, while making no claim to be exhaustive, would be sufficiently complete for the instruction and of those who might be disposed to seek information from its pages." This volume, in connection with the fourth volume of Prof. Austin Flint, Jr.'s, Physiology of Man, which will be published during the coming season, is intended to constitute a complete work on the "Physiology and Pathology of the Nervous ." The author has views of his own on every disease , opinions founded to a great extent upon his own and experience. The name and reputation of Prof. Hammond is, of itself, a sufficient guarantee of the value and importance of these opinions. We shall endeavor to give a more extended review of the work in a subsequent number.
The Modern Operation for Cataract: A Lecture delivered at the Harvard Medical School, April 5, 1871, with an analysis of sixty-one operations, by Hasket Derby, M.D. Boston : 1871 a pamplet of 23 pages.
THE ANTISEPTIC LIGATURE, AS APPLIED IN THE OPERATION FOR VARICOCELE. By EMILE STEIGER, M.D., Prairie du Chien, Wis. The operation for varicocele and circocele was heretofore considered most dangerous, and was performed principally in three different methods: 1. 'Dissection of the spermatic bundle and ligature of the varicose veins. 2. Compression by Breschet's pincers. 3. Subcutaneous ligature, or the of " Gagnebe." Particularly the first method, but more or less also the second and third, were often followed by dangerous, even fatal phlebitis. Involuntary compression or ligation of the spermatic artery, and consecutive atrophy of the testicle, endangered the second and third method. I was called in consultation by my friend, Dr. Martin, of McGregor, in the case of L. S. (case of circocele), and I believed that ligation of spermatic artery and atrophy of the testicle could be avoided by free dissection, while phlebitis could be prevented through the antiseptic effect of carbolic acid. The operation was performed on the 3d of April, 1871, in the following manner: 1. Incision on the left side of the scrotum, about one inch long, so as to lay open the bundle formed by the. fascia of the cremaster. 2. Fixing of the bundle outside of the external wound, with help of a sonde passed under it, across and over the margins of the scrotal incision. 3. Dissection of the cord, and application of two antiseptic ligatures around the varicose vein, separated nearly one inch, and cut close to the knot. 4. Excision of that portion of the vein included between the two ligatures. 5. Careful cleansing of all parts with a solution of carbolic acid j., glycerine iv, aq. xij.., by sponge and syringe. 6. Closing of external wound with silk sutures, which had been prepared by being soaked for six hours in carbolated oil, and covering the scrotum with linen, also soaked in oil. Two weeks after the operation patient was well, happy, and attending to business. I owe to the kind suggestion of Dr. D. Mason my of antiseptic ligatures, consisting of violin strings, kept in a bottle of carbolated oil for at least 48 hours.
The American Journal of Obstetrics and Diseases of Women and Children, edited by B. F. Dawson, M.D., published in May, August, November, and February. With the present number (May, 1871), this journal enters upon its fourth volume, William Baldwin & Co., 21 Park Row, New York, have taken charge of its^ublication, and are issuing it in good form and style.
Book Notices. Chemistry General, Medical, and Pharmaceutical, including The Chemistry of the U. S. Pharmacopoeia. A Manual on the General Principles of the Science, and their Application to Medicine and Pharmacy. By John Attfield, Ph. D., F.C.S. From the second and enlarged English edition. Published by Henry C. Lea, Philadelphia. For sale by Cobb Bro., 81 and 83 Lake St., Chicago. This is a small work of 500 pages, intended especially to meet the wants of medical and pharmaceutical students and . It differs from other text-books, first, in the of matter relating to compounds, which at present are of interest principally to the scientific chemist; secondly, in the chemistry of every substance recognized officially, or in general practice, as a remedial agent; and thirdly, in the paragraphs being so cast that the volume may be used as a guide in studying the science experimentally. A index, containing five thousand references, renders the work a valuable one for consultation in the course of business or professional practice. The chemical notation of the work is in accordance with modern theories. The metric system of weights and measures is alone used in the sections on analysis.
PREPARING FOR THE PRESS. Medical and Surgical Memoirs. By Joseph Jones, M.D., Professor of Chemistry, Medical Department, University of Louisiana. This work will embrace the investigations of fifteen years into the Causes, Geographical Distribution, Natural History and Treatment of Intermittent, Remittent and Congestive Fevers, Yellow Fever, Typhoid and Typhus Fevers, Small-Pox, Spurious Vaccination, Measles, Pneumonia, Diarrhoea, Dysentery, Scurvy, Tetanus, Cerebro-, Diseases supervening upon Gun-Shot Wounds, Pyaemia, Hospital Gangrene, Erysipelas, etc. The results of the investigation of the Diseases of the Army, during the American Civil War, 1861-1865, will occupy a prominent portion of the Work. These investigations have been prosecuted unremittingly during the past 15 years; and the author proposes to lay the results before the Medical Profession, as soon as a sufficient number of subscribers have been obtained. Physicians and others desiring to become subscribers, will please forward their names to Joseph Jones, M.D., Glass Box 1542, New Orleans, La.
PAMPHLETS RECEIVED. Observations on the Physiological and Therapeutical Effects of Galvanization of the Sympathetic. By A. D. Rockwell, A.M., M.D., and Geo. M. Beard, A.M., M.D. New York Printing Co., 81-83 Centre Street.
Uterine Catarrh, frequently the cause of Sterility New by H. E. G-antillon, M.D. J. Campbell, publisher, 18 Tremont Street, Boston.
Report of the Board of Health of the city of Chicago, for 1867, 1868, and 1869, and a Sanitary History of Chicago, from 1833 to 1870. Chicago: Lakeside Publishing and Printing Company. We acknowledge the receipt of a handsomely bound copy of this valuable Report.
The Journal of the Gynaecological Society of Boston, a Monthly Journal devoted to the Advancement of the Knowledge of the Diseases of Women. Edited by Winslow Lewis, M.D., Horatio R. Storer, M.D., and George IT. Bixby, M.D. Vol. Ill, July to January, 1870. For sale by Western News Co., Chicago. Price, $2.50. We have fully commended the preceeding volumes of this journal, and, in glancing over the present one, we find very much of great value to the practitioner. It is edited with much energy and spirit.
HYDRATE OF CHLORAL. Chicago, February 10, 1871. Dr. N. S. Davis, Sir, In noting your article on a "Large Dose of Hydrate of Chloral," and your suggestions in regard to the difference of quality of the chloral in our drug stores, and the great variations in the capacity of different patients to sustain life under its effects, induced me to make this , that it depends more on the alkaline state of the patient's system at the time of the administration, or the administration of an alkali soon after the chloral was taken; for, in either case, the chloroform will be more rapidly liberated from the chloral, and its effect more rapid and powerful. Such has been my observation. Your situation in Mercy Hospital will enable you to confirm or correct my suggestions. If correct, would it not go far in accounting for many of the unpleasant cases recorded against hydrate of chloral. If your investigations should prove that alkalies have that effect, I think it could not be too widely known. II. N. HURLBUT, M.D. Note, Is there not danger of a chemical change taking place where chloral is held in solution a few days? Do you find as marked an effect from a given dose on the third as on the first day of administration? I do not. II. N. II.
Proceedings of Societies. ALUMNI ASSOCIATION OF THE CHICAGO MEDICAL COLLEGE. The Fourth Anniversary Meeting of this Association was held at 10 A.M., March 14, in the College Hall. The usual number were present, and the exercises of a varied and interesting nature were conducted with despatch. Dr. Lyman Ware, of Chicago, class of 1866, obtained the prize of $100 for his essay on "Antagonism between Opium and Belladonna." The Association again offers a prize of $100, to be governed by the same rules as heretofore. Of the above sum Prof. N. S. Davis donates $50. The Committee on Prize Essays, Drs. N. S. Davis, E. , II. A. Johnson, and Walter Hay, were requested to serve another year. It was moved by Dr. Merriman, and carried, that the Prize Essay and the President's Address be published in The Medical Examiner, that 150 copies be printed in form, and a copy sent to each member of the Association. The officers for the ensuing year are: President, Dr. Norman Bridge, class '68, of Chicago. 1st Vice-President, Dr. Wm. Dougal, class '68, Lamont, Ill. 2d Vice-President, Dr. Geo. E. Lord, class '71. Secretary and Treasurer, Dr. S. A. McWilliams, class '66, Chicago.
Amputation at the Hip-Joint. Dr. Edwin Powell reports a case of this operation for chronic inflammation of the hip and , with recovery. The patient had been for two years a from the affection of the joints, which, with occasional periods of improvement, had grown steadily worse, so that at the time of he was much emaciated, and was compelled to take ten grains of morphine daily to get relief. The antero-posterior-flap operation was the one resorted to ; the shock was very great, yet after reaction the patient began to and went on to complete recovery, so far as the amputation was concerned. An attack from phthisis pulmonalis supervened, from which the patient died ten months after the operation. Transactions III. State Medical Society.
TEA-LEAVES AS AN APPLICATION TO BURNS AND SCALDS. By W. H. SEARLES, M.D., Warsaw, Wis. Some few years since, I accidentally found that a poultice of tea-leaves, applied to small burns and scalds, afforded relief, and I determined to give it a more extensive trial when opportunity should present, and which soon occurred. It was in a case of a child 14 months old. Upon , I found the entire anterior portion of the body, arms, and legs blistered and deeply burned from a kettle of hot water which the child had upset upon itself. The case, to say the least, was unfavorable for the success of any remedy. I prepared a large poultice, softening the leaves with hot, water, and, while yet quite warm, applied it upon cotton-wool, over the entire burned surface. Almost like magic, the sufferings abated, and, without the use of any other anodyne, the child soon fell into a quiet sleep. In a few hours I removed the application, and re-applied where it was necessary. I found the parts discolored and tanned. The acute sensibility and tenderness had nearly disappeared, and the little patient passed through the second and third stages under far more favorable circumstances (symptoms) than was at first anticipated, making a recovery in about two weeks. Since then, on several occasions, I have had reason to commend tea-leaves, till now I have come to prefer it above all other remedies in the first stage of burns and scalds. I think it must recommend itself to the profession, not only on account of its intrinsic worth, but also by reason of its great convenience, being so readily obtained. I am not aware that any mention has been made thus far of this article in this connection, and I hope that others will find it as useful in their hands as the writer has.
Inflammation of the Mastoid Process, complicating of the middle ear, Prof. Roosa does not think receives attention from the profession. Such an affection is a very serious disorder, and its early diagnosis becomes a matter of much moment; a delay in this allows the extension of the disease to the brain through the foramina that transmit the branches of the artery. He is in the habit, whenever there is deep-seated pain referred to the cavity of the tympanum, which is not relieved promptly by leeching and the warm douche, of regarding the case as an inflammation of the mastoid, and of making free incision into the parts, through the integument and periosteum. Experience shows that there is no danger in this procedure, while its neglect is often fatal. He resorts to the operation whenever there is pain, or tenderness, or swelling in the mastoid itself; especially when there is any reason to suspect caries of the bone, should an explorative incision be made. After such an incision, and the bone is found to be diseased, it should be perforated ; this should be done when there is good reason to think there is pus in the mastoid cells which cannot find exit elsewhere. The mastoid should be perforated in case of supuration of long standing with frequent and painful . Medical Record.
A Treatise on the Chronic Inflammations and Displacements of the Unimpregnated Uterus. By Wm. II. Byford, A.M., M.D. Second edition, revised and enlarged. Philadelphia: Lindsay & Blakiston, Publishers. S. C. Griggs & Co., . This little work comprises fifteen chapters, devoted to the consideration of the following subjects: Sympathetic of uterine disease, local symptoms, etiology, , complications of inflammation of cirvex, position of , progress and terminations, diagnosis, general treatment, local treatment, nitrate of silver and its substitutes, treatment of sub-mucous inflammation, displacements their philosophy and treatment. Reports of several interesting cases are given in an appendix. The first edition of the work received the commendation of the medical press, and its rapid sale is sufficient evidence of the approval of the profession generally. The present edition is much improved in matter and style.
Correspondence. MORPHIA AS A PARTURIENT. Swedona, Illinois, March 15, 1871. Prof. N. S. Davis, Dear Sir, In your last issue of The Examiner, I notice a communication from L. D. Robinson, M.D., on the "Action of Morphia Sulphatis as a Parturient," in which he quotes largely from an article of Dr. Robson, in the January number of the same journal. For another among many I can say, that so far as my practice has extended, my observations coincide with those of Dr. Robson, and I do believe the action of the sulphate of morphia to be to the secale cornutum, whether given in a state of natural or unnatural parturiency. After the last quotation from Dr. Robson, Dr. Robinson asserts, that in his field of observation, morph, sulph. would prevent all cases of threatened abortion, where correctly , that were preventable. But in all my cases where threatened abortion has occurred and I have administered this salt, the parturient throes were immediately increased, and delivery was the result. The same contractile efforts of the womb have been brought about in cases of natural labor, where *cessation of action had taken place. GEO. H. VANCE, M.D.
Book Notices. The Change of Life in Health and Disease. A Practical Treatise on the Nervous and Other Affections Incidental to Women at the Decline of Life. By Edward John Tilt, M.D. From the third London edition. Lindsay & Blakiston, Publishers, Philadelphia. For sale by S. C. Griggs & Co., Chicago. This is a volume of 287 pages, comprising twelve chapters. The first five are an introductory, one on the physiology of the change of life, one on its pathology, one on its therapeutics, and one on its hygienics. Then follow chapters which treat of the diseases of the digestive organs, and of the skin; the tenth treats of the diseases of the ganlionic nervous system, and the eleventh, of the cerebro-spinal affections; and the chapter is miscellaneous. Additional value is given to the volume by numerous tables, which exhibit various physiological and facts in a clear and definite manner. As a work containing a large amount of valuable practical information upon a subject not very generally understood, we cordially recommend it to the profession.
BOOK NOTICES. A Memorial of Midwifery, including the Signs and Symptoms of Pregnancy, Obstetric Operations, Diseases of the State, etc., etc. By Alfred Meadows, M. D. . First American, from the second London edition. Published by Lindsay & Blakiston, Philadelphia. For sale by S. C. Griggs, Chicago. This is a small octavo volume of 473 pages. In the first part the physiology of conception and gestation, with the of the ovum from the time it leaves the ovisae to its full maturity, together with the coincident changes occurring in the uterus, are considered. The second part embraces the whole subject of pregnancy : its signs and symptoms, its , and the various deviations from what may be called pregnancy, including the various forms of extra-uterine gestation and of displacements of the gravid uterus. The third part treats of natural parturition, the of labors, and the phenomena and management of natural labors. The fourth part brings under review the various operations which are necessitated by the different described and illustrated in Parts V. and VI, under the heads of unnatural and complex labor. Lastly, some of the principal diseases of the puerperal state are described in Part VII. This systematic arrangement of subjects, and the concise, practical style in which it is written, make the work especially valuable as a students' manual, while a very full table of and index render it easily accessible as a work of .
Climate of the North-West and Nervous Diseases. Dr. Staples in the Northwestern Medical and Surgical Journal, gives his views of the effects of the climate of upon the nervous system. As compared with New England climate, that of Minnesota is tonic and stimulating, while that of New England is simply tonic. The climate of Minnesota is dryer, and hence its heat conducting power is less. This lack of moisture modifies its electrical condition as well as the character of light. The dryer air contains more ozone or concentrated oxygen. The moisture refracts the light as it passes through the air. Its comparative absence permits the light to come more directly to the eye, and so renders light more intense and stimulating. This condition of things has done good in some cases of consumption and harm in others. Since neuralgia is an affection of general debility and irritability of the nervous system or special nerves, a constant stimulating influence to the nerve centres can only increase the irritability without increasing the power, and this may be sufficient to the nerve centre. Dr. Galloway says, " exaltation and depression are alike more marked here than at the east. is more active and waste of tissue more rapid. The very great absorbing power of our air tends to exhilaration of power, while sudden electrical change probably tends to disturb the nervous functions. Extremes are brought near, and as the intermediate grounds have to be traveled rapidly, and frequently, accidents are proportionately common. Our climate favors the production of most if not all the affections relating to the cerebro-spinal system. I think those persons whose nervous constitutions stand the climate stimqlus are irore robust, more powerful and more free from disease than they would be in a more humid climate. Nervous diseases are most frequent in the latter half of winter and in early spring. The different forms occur in order of frequency about as follows : sciatic, dorso-intercostal, lumbar-abdominal, cervico-occipital, trifacial, crural. The so-called irritable heart, I regard as a neuralgic affection of the pneuinogastic nerve." Quinine as a nerve tonic has often afforded relief. In anaemic cases iron is to be with the quinine. Opiates, etc., afford the means of temporary relief. But severe and obstinate cases can be cured only by removing to a less stimulating or moister climate."
Acute Synovitis Incision into the Joint. Mr. J. R. Jessop, F. R. C. S., in a lecture published by the British Medical Journal, states that he lately successfully followed Prof. Lister's plan, and incised into the knee joint of a patient aged twenty years, who suffered from acute synovitis, after the ordinary treatment adopted in such cases had been tried, i. e., rest, leeches, ice, evaporating lotions, salines, etc., etc. Mr. Jessop made an opening into the joint, and in the axis of the thigh, commencing one inch above the patella, the opening was an inch long, but had to be enlarged to one and a half inches to allow flakes of lymph to pass through, which were in from eight to ten ounces of clear fluid. From the time the incision was made the excruciating pain ceased, the fever disappeared, the swelling never returned, and the patient was sent from the Leeds Infirmary to a convalescent hospital with a movable painless joint within a month from the time of the operation. The Doctor.
Handy-Book of the Treatment of Women's and Children's Diseases, according to the Vienna Medical School, with Prescriptions. By Dr. Emil Dilluberger. Translated from the second German edition, by Patrick Nicol, M. B. : Lindsay & Blakiston. In this little volume we have presented, in a condensed form, a considerable number of valuable suggestions and in regard to the treatment of women's and children's diseases.
The Prussian Siege of Paris. The profession has been put in possession of a few particulars in regard to the bearings of the first or Prussian Sie^e of Paris, in hygiene and surgery, a paper by Dr. Gordon, C. B., on the subject having been read before the British Medical Association at Plymouth, a few weeks ago, and more recently published at length in the journal of that body. Dr. Gordon, alluding to the physique of the men who were drafted into the battalions formed in Paris, in the vain hope of resisting the approaching powerful enemy, remarks that they were in a great measure undeveloped lads, unsuited in bodily strength for the hardships of a campaign. The clothing supplied to them, although apparently of good quality, was insufficient in quantity ; food, scarce almost from the commencement of the siege, was altogether insufficient in quantitv long before the capitulation took place, while at the same time fuel became a thing almost unknown, and all this in a winter of unusual severity, so that the sufferings of the troops must at times have been very great. A new and question is raised in reference to preserved or tinned meats, the suitability of which as food is doubted by Dr. , whose remarks upon the subject almost seem to receive confirmation in the reports from the camps of the autumn manoeuvres supplied to the d^ilv press by correspondents. Dr. Gordon, aware of the importance of the question, writes in regard to it, but considering the suggestive bearing it has to long sea voyages and to future campaigns, it will it is hoped obtain further attention. It would seem that the male nurses in the Paris hospitals were neither well-informed in regard to their duties, nor attendants in other respects. There appeared to be some considerations however, which led Dr. Gordon, while writing in respectful terms of the female nurses, to suggest their unsuitableness for military hospitals, and he would have them replaced by well trained and respectable men. The great mortality among the wounded is alluded to, and mortality to which several conditions seem to have conduced, such as improper and insufficient accommodations, previous hardships, cold, and insufficient food, and inadequate support in hospitals, vin de Bordeaux and confiture taking the place of beefsteak and porter. The question of conservative is also glanced at, the impression evidently being that rules have yet to be laid down as to the conditions in which its practice should be adopted, as well as those for which its are unsuited. The Doctor.
The Functions and Disorders of the Reproductive Organs in Childhood, Youth, Adult Age, and Advanced Life, in their Physiological, Social, and Moral . By William Acton, M. R. C. S. Third American, from the fifth London edition. Philadelphia : Lindsay & Blakiston, Publishers. This standard work is already well and favorably known to the profession, through its former editions.
Varicella in San Francisco. Chicken-pox has been prevailing lately in San Francisco in an aggravated form, some cases so near to small-pox in character as to have been reported as such to the Board of Health. Among the notable deaths which have taken place within the last few months are those of Dr. Liegeois, Vice-Professor of the Paris Faculty, Dr. Thomas Hawkes Tanner, of , the well known author, Dr. George C. Blackman, of Surgery in the Medical College of Ohio, also well known as an eminent teacher and writer.
Ixcision of Elbow Joint to Relieve Anchylosis. Geo. E. Fenwick reports a very interesting case of partial anchylosis of the elbow joint, in the straight position the result of an unreduced dislocation, upon which he operated by with most excellent results. The case when first treated was mistaken by the attending surgeon for fracture, and was bandaged up in a straight position, and kept so for forty days. When she first came under Dr. Fenwick's care, reduction was impossible. Extension, flexion, supination and pronation are now nearly perfect. Canada Medical Journal.
Excision of the Lateral Half of the Tongue. Dr. George Buchanan reports three cases operated upon by him in the Glasgow Infirmary for chronic disease of the tongue simulating cancer. An incision in all three cases was made through the center of the lower lip down to the hyoid bone, then the lower jaw was sawn through; a piece of string was next passed around the divided sides to hold the jaw apart. The muscular attachments of the tongue were severed and the organ was drawn well forward. An incision was then made down the center of the tongue to the base, and then by a slight, curve of the knife, the remaining attachments of the affected side were severed and it was removed. Hemorrhage was promptly checked by tying the lingual artery. The wound was sponged with a solution of chloride of zinc, and the jaw was held in place by boring a hole through each side and passing through a silver wire and twisting it oft'. In all of the cases the speech was quite intelligible after recovery. Ed. Medical Journal.
Practical Therapeutics, considered chiefly with reference to Articles of the Materia Medica. By Edward John , M. D , F.L.S. Second American, from the third London edition. Lindsay & Blakiston, Publishers. Price, cloth, $5.00 ; sheep, $6.00. This valuable work has been thoroughly revised, and to a great extent re-written. The many new and important facts and discoveries which have been developed within the last few years, necessitated the addition of a amount of new matter. By a careful abridgement and consideration of certain portions of the work, however, space has been made for these additions, without any increase in the size of the volume. Among the new articles considered are chloral, bromide of mercury, iodide of methyl, protoxide of nitrogen, oil, etc. r Extended notices are also given of such articles as bromide potassium, Calabar bean, carbolic and sulphurous acids, of potash, and the alkaline hypophosphites and , which, although not strictly new, have only of late years had their claims, as valuable and important therapeutical agents, fully recognized.
A Practical Treatise on Fractures and Dislocations. By Frank Hastings Hamilton, A. M., M. D. Fourth edition. and improved. Philadelphia : Henry C. Lea, . This standard work of Prof. Hamilton's is, we believe, almost the only complete and exhaustive treatise on the subject in the English language. It is a volume that should be in the possession of ever}' medical practitioner who undertakes to deal with this troublesome branch of surgery. With it at hand for reference, and to fall back upon as authority in case of need, and with the exercise of a moderate degree of care and skill on the part of the physician, most of the troublesome and mal-practice suits, to which this class of injuries so frequently gives rise, might be avoided. No essential alterations appear to have been made since the former editions. The name of Henry C. Lea as publisher is of itself a guarantee of the excellence of the mechanical execution of the work. Clear, legible type, good paper, and substantial leather binding being the invariable accompaniments of all vol- * umes received from that house.
Headaches: Their Causes and their Cure. By Henry G. Wright, M. D., etc. From the fourth London edition. Lindsay & Blakiston, Philadelphia. This little work, which has been for some time out of print, is already well known to the profession, and requires nothing more than the mention of its re-issue to insure to it a favorable reception.
A Treatise on Localized Electrization and its Applications to Pathology and Therapeutics. By Dr. G. D. Duchenne. Translated from the third edition of the original, by Tibbets, M. D. With numerous illustrations, and notes, and additions, by the Translator. Philadelphia: Lindsay & Blakiston, Publishers. For sale by Cobb, & Co., Chicago. Price $3.00. To all readers of French medical literature, Duchenne's great work on Localized Electrization is already familiar. It is now, however, for the first time rendered accessible to the general profession by means of an English translation. The original work constitutes not only an exhaustive on the medical uses of electricity, but is also an elaborate exposition of the different diseases in which electricity has proved to be of value as a therapeutical and diagnostic agent. A third edition is now in process of passing through the press, and the volume before us includes all that part of it which had been printed at the time of the investment of Paris by the army. The additions by the translator have been made with reference to the requirements of English medical , and particularly with a view to facilitate the practice of medical electricity.
Diagnosis of Phantom Abdomimal Tumors. In an interesting clinical lecture published in the Medical Times, Dr. J. M. DeCaster states that the most efficient mode of phantom tumors of the abdomen is by the use of an anaesthetic. When under the influence of ether, a phantom tumor must disappear, and thus remove all doubt as to the nature of the case. He says, " not in a single instance have I found these apparent tumors remain when the patient is under the influence of ether or chloroform, though they reappear, and quickly, when he passes from under its influence." Thus, we can control the diagnosis not only of phantom tumors, but contractions of the abdomen, not unfrequently feigned, and which high authority declares a source of difficulty almost impossible to get over."
Small-Pox in Philadelphia and Elsewhere. Last weeks the deaths from small-pox, in this city, numbered -four nearly half of them adults. The public is alarmed, and with reason, for the ravages of this dreaded disease in Paris and London the last two years have been such as to , though somewhat faintly, the terrible pictures of its , which are contained in medical treatises, before the days of inoculation and vaccination. Active measures have been taken by the public authorities to extend the facilities of vaccination, and to impress upon the public mind the importance of this simple precautionary . Except among the lowest class of population there is no objection to its reception, and all that is needed is energetic action on the part of our Board of Health not a very body, we regret to say to secure the city entire from the scourge. At tn is time the importance of revaccination cannot too strongly be insisted upon. We have published, within the last few months, several able articles from foreign writers upon this point, foreseeing the approach of the disease. Through views upon it, we regret that some eminent medical men have committed themselves to the opinion that revaccination is needless, or indifferent. Such views are contrary to known facts, and fraught with injurious consequences to the . They are next in character to the folly of opposing because once in a million cases it conveys syphilis into the system. Phila. Med. Reporter.
The Pulse The pulse was first noticed by Galen. It is slower in the inhabitant of the country than in one of the city. In the West Indies it is 100; in Greenland as slow as 40; and is slowest in the cold climates. It is slower in the winter than in summer. Is slow in the morning, quick at noon, and more frequent at night. Medical and Surgical Reporter.
The Originator of Pathological Anatomy. About three centuries before the Chistian era, Herophilus, a native of , and Erasistratus, of lulis, a grandson of Aristotle, laid the foundation-stones of the science of human anatomy. , it has been said, resorted to human vivisections, more particularly of criminals. He was the originator of anatomy, and was the first to propose post mortem to learn the cause of death. Fallopius, centuries after, denominated him "the evangelist of anatomists'." Dr. Grouvr. M. Smith's Discourse
Sin the Supposed Cause of Disease. According to W. A. P. Martin, D.D., L.L.D., Professor of International Law in the University of Pekin, [American Practitioner}, disease is looked upon in China as a punishment for sin in this or a former life, and, therefore, the spirits who are supposed, by heaven's , to inflict these punishments by sending disease must be appeased. The remark is often made by the Chinese that they are expiating their sin in their disease; that is the just of heaven. They are thus ever anxious and ready to to the temples to burn incense, to discover the fates, or appease the gods, and evert or remove some malady. The have more faith in their gods than their doctors, for although they sometimes seek relief from their native physicians, (if such they deserve to be called), yet they quite as often resort first to the temples. If the patient recovers, it is attributed to the mercy of the god consulted; if he die, it is ascribed to fate. A large and increasing number from all classes, who find no relief from their idols and gods, come at last often, alas! too late to the foreign hospital.
Refracture of Bones. Dr. Skey, of Bartholomew's (Lancet) does not hesitate to refracture the bones in cases of deformity or shortening from imperfect dressing in the first instance. He finds no difficulty in doing so, and no risk of breaking the bone elsewhere than at the proper point. The he has broken at the expiration of eleven weeks, and the bones of the forearm in seventeen weeks after the original . In the femur, when great force is required, he places the limb on the edge of a table, which is covered by several folds of blanket, and brings the weight of his body to bear gradually on it anaesthesia having been first produced. Pacific Medical and Surgical Journal.
Mortality in Paris. A besieged city always affords one of the most striking exhibitions of the horrors of war. The in Paris during the month of November was four hundred a week in excess of the average, and it must have increased rather than diminished since that time. In the second week of November, the mortality of small-pox, which declined in , had risen to four hundred and nineteen. Ibid. >
Belladonna in Asthma. The action of belladonna in asthma is twofold. It acts upon the vessels of the spinal cord, and diminishes its sensibility. Secondly, it acts upon the large pulmonary vessels, causing them to contract, and so stimulating the pulmonary circulation. Belladonna seems to cause of the muscular fibres of all the large arteries, it also more rapid action of the heart. Medical Archives.
The American Journal of Obstetrics and Diseases of Women and Children. Edited by E. Naeggerath, M.D., and B. F. Dawson, M.D. Published by W. A. Townsend & Adams, New York. We have received from the publishers the first and second volumes of this journal, neatly bound in cloth. Each volume contains four of the quarterly numbers of the Journal, and together they embrace the issues for 1868 and 1869. These volumes contain a large amount of valuable matter relating to the diseases peculiar to females, and resulting from pregnancy and parturition. Many of the writers rank among the oldest in our country. It is a journal well worthy of a place on the table of every practitioner.
A Mechanical Anaestiietic. The Practitioner for contains an interesting article by the late Dr. A. Waller on the compression of the vagus nerve'as a means of producing . It is claimed that by vagal pressure the patient can be speedily and safely brought into a state of complete , and that several surgical operations have been performed with entire absence of pain. It appears'to produce a condition specially favorable to the reduction of dislocated bones. was directed to this subject by Dr. Waller, shortly his death, in the hope that it might be found of practical value in a large number of cases where ether is now required. This may be only the revival of an old fashion, as the are reported to have produced anaesthesia by compression of the cervical vessels during the performance of circumcision.
Satan in Society. By a Physician. C. F. Vent, Publisher, Cincinnati and New York: J. S. Goodman, Chicago. This is a small-sized volume of 421 pages. It is published in good style. The very startling title, "Satan in Society," is evidently chosen for the purpose of arresting public attention and curiosity. The work is really a popular treatise on the supposed errors in the training of boys and-girls; the formation of vicious habits in both; the mysteries and miseries of love, marriage, social tyranny, child-bearing, child-murder, infidelity, etc., etc. It covers much of the same ground as "Naphy's Physical Life of Woman." In glancing hastily over its pages, we should say that the work contains many good things, some bad, and some highly sensational exaggerations.
Scarlet Fever. During the twenty-one years from 1848 to 1868, inclusive, there were registered in England and Wales 415,982 deaths from scarlet fever and its allied disease . It is estimated that at least 40,000 deaths have occurred in England last year.
Cardiac Murmurs in Chorea. The murmur which is not unfrequently heard in choreic patients, Sir Wm. Jenner affirms is a mitral regurgitant murmur, due to irregular action of the papilary muscles, sometimes accompanied by irregular of the heart itself. Thus cases are met in which there is irregular aotion of the heart with an occasional murmur, or action with a constant murmur, or regular cardiac action either with a constant or inconstant murmur; and in all these cases the murmur, and irregular action when present, either shortly before or shortly after the cessation of the choreic movements of the voluntary muscles. Murmurs first detected during a choreic attack may remain after its , but in these cases there has been at some time of the endocardium.
Smallpox. A severe epidemic of this disease is now in London, and is increasing. During the fortnight preceding the -26th of November last, eighty-five deaths from it occurred, and the Registrar-General states that so many weekly deaths from it have not occurred since April, 1867. In the number of the Lancet for December 10th, it is stated that the deaths from it during the preceding week had risen to 60, the highest number returned in any week since June, 1863. It behooves the authorities in this country to take every precautionary means of preventing its introduction here, and should it reach us, to prevent izs spreading, by general and re-vaccination. The importance of this last be over-estimated.
Treatment of Ganglions. Dr. Skey, of Bartholomew's Hospital, in a clinical lecture reported to the London Lancet, condemns the ordinary treatment of ganglionic swellings, which consists in giving a smart blow with a book or other body, and adds: "I advice you to adopt in great preference to this coarse and old-fashioned treatment the following, which rarely fails to obtain an early, if not immediate, cure. Its object is to the entire contents of the cyst, and to bring its opposite surfaces into perfect opposition with each other. It is a small operation; but on the delicacy of its operation its success depends. Bending the hand forwards, in order to tighten the skin over the cyst, pass vertically into the centre of the a broad-shouldered lancet. By a lateral movement of the instrument the orifice will be dilated, and the contents will freely escape. Now, it is indispensable to the obliteration of the cyst that the whole of its contents should be evacuated every drop and every fraction of a drop; to effect which the sac must be compressed and kneaded in every direction. Then apply a well-made, thick compress of lint, and strap it down tightly with good plaster, and, lastly, a roller may be applied. In 48 hours the wound has healed, and the ganglion is seen no more." Ibid.
Pneumonitis. So far as published statistics can be relied on, the mortality of pneumonitis varies, under different modes of treatment, from one in two and a-half (by Rasori's) to one in thirty-two (by Bennett's). In England seventeen per cent, of the deaths are said to be caused by pneumonia, and in this country its death-rate is thought to be still higher..
In the Canada Medical Journal for October, four eases of acute dysentery are reported, which were* treated with large doses of ipe- * cacuanha. They occurred in hospital, under the care of Dr. . In every case the success of the treatment was most marked and flattering. Twenty grains was the maximum dose given, and it always a dose of tinct. opii m. xv., given one hour before, and with express instructions that no more than a teaspoonful of fluid was to be given at a time; by this means the tendency to vomit was .
Iodide of Lead Ointment. Dr. Purdon thinks this is not fully appreciated by dermatologists. He esteems it very useful in some varieties of psoriasis, in tinea circinata, and in scrofulous affections.
Extreme Contagiousness of Scarlet Fever. A British physician, writing in the London Lancet, and advocating the contagiousness of scarlet fever, mentions the case of a man who was seized with the disease after opening and reading a letter from a friend affected with it, and who wrote: "Even while I write you, my hands are skinning." It is not stated positively that the disease came in the letter, but such is the inference. We in California have heard of still more astonishing results from letters written by men on this coast to their wives in the Atlantic States. Ibid.
Case of Variola ten days after Successful Vaccination. An infant, 27 days old, having every appearance of health, was brought to the Hospice des Enfants-Assistes on February 28, and vaccinated next day. On March 8, on account of the perfection of the pustules and the vigor of the child, twenty nuns, fifteen nurses, and a ladies' boarding school were all from it. The next day an eruption appeared, which proved to be variola, of which the child died on March 13. None of those vaccinated from it took smallpox. In several the revaccination succeeded. Revue Med., Sept. 3.
First Medical and Surgical Report of the Boston City Hospital; edited by J. Nelson Borland, M.D. and David W. Cheever, M.D. Boston: Little, Brown & Co.; for sale by S. C. Griggs & Co., Chicago. This is a large volume of 688 pages, comprising an history and description of the City Hospital, and a number of valuable articles by the different members of the Hospital Staff. These articles are illustrated by ten fine lithographic plates and two photographs. The following is the table of : History and Description of the Hospital; Perinephritic Abscess, by Henry I. Bowditch, M.D.; Excisions of Joints, by David W. Cheever, M.D.; Cases of Pneumonia, by J. Nelson Borland, M.D.; Displacement of the Upper Jaw, by David W. Cheever, M.D.; Treatment of Acute Rheumatism, ly John G. Blake, M.D.; Treatment of Skin Diseases, by Howard F. , M.D.; Typhoid and Typhus Fevers, by J. B. Upham, M. D.; Reproduction of the Tibia, by David W. Cheever, M.D.; Ophthalmic Reports, by Henry W. Williams, M.D.; Aural , by J. 0. Green, M.D.; Encepholoid Tumor of Tonsil; Occlusion of the Vagina, by David W. Cheever, M.D.; Inflammation, by Alex. D. Sinclair, M.D.; Surgical Abstract, by D. W. Cheever, M.D.; General Medical and Tables. The publication of permanent, well-considered reports from the medical and surgical staff of some of the best hospitals in this country, has been commenced within the last few years, and marks an important era in our medical literature. We hope these reports will receive sufficient patronage to make the practice permanent and universal.
Rupture of the Uterus Gastrotomy. D. J. H. records (Lancet, Nov. 5, 1870) a case of rupture of the uterus. The child escaped into the abdominal cavity ; was performed, and a still-born child removed. The mother recovered.
AlaTid.gments from our ^schanges. Recovery from a Scalp Wound. Dr. R. C. Moore reports a case of a man who lost, by the scalping knife, all the tissues above the pericranium, and a part of this membrane, over a space of 9 by 7 inches. When presented for treatment, the remaining was dried to the bone; this was two days after the scalping. The only dressing applied was pure olive oil, on surgeon's lint. In about three weeks the external table of the skull began to esfoliate. As this process progressed, granulation sprung up-from the diploe, and in there the entire surface presented the appearance of a healthy wound. The suppuration was not profuse, but the patient being naturally strong, bore it well, and in about three months from the time of injury, nearly the whole surface was covered with a cicatrix. Medical and Surgical Reporter.
Selections. Influence of Diet on the Composition of Bone. M. Papillon has communicated to the French Academy some made on pigeons and rats. These animals were fed daily for months with food containing small quantities of the phosphates of strontia, of magnesia, and alumina. No visible effect was produced in their health. On analysis of the bones these substances were found in them. If these substances can be made to enter into the composition of bones by an diet, there seems some grounds for hoping that we may be able to modify animal tissues by means of medicine, and this is a subject well worthy of further experimentation. American Journal of Medical Sciences.
Permanganate of Potassa. Prof. B. H. Rand tells us, in the Medical Times, that we are constantly laboring under a delusion when we use this drug Next to chromic or chloro chromic acid, it is the most active oxidizing agent known; in contact with organic matters it is decomposed and becomes black oxide of manganese and caustic potassa, oxygen being given off. When it is administered internally, the dose is not usually over half a grain, and this is by two and one-half grains of organic matters. Then, considering the organic contents of the stomach, it must be for any of the permanganate to ever enter the circulation, there to give up its oxygen. The caustic potassa and black oxide of manganese may do the patients good, but this is less probably than is supposed to be the case. In surgical diessing it should not be applied to the bandages, or by a sponge, as it is at once decomposed by the organic matter of these materials, and the effect in disinfecting the wound, an office which it performs most admirably, is not secured. The great facility with which organic matter decomposes this salt is shown by its change in impure water, a solution so weak that only a faint pink tinge is perceived losing its color on addition to water containing the slightest organic impurity.
Errors. Dr. McElroy, of Zanesville, Ohio, writes to us a letter, pointing out the formidable list of eighteen typographical errors in his article published in the December number of the Examiner. A careful examination of the original manuscript in the hands of the printers shows, that six of the errors claimed exist in the manuscript; nine others are so slight as not to alter the meaning of the writer; and the remaining three are as follows: Page 736, 29th line from the top, for anterior read exterior; page 741, 16th line from the top, for Deilriech read Liebriech; page 741, 26th line from the top, for anagonlistic read antagonized.
Hemiphlegia from Cerebral Hemorrhage in Cases WHERE THERE IS VALVULAR DISEASE OF THE HEART. The mere fact that hemiphlegia has occurred in a person, even a young person, the subject of valvular disease of the heart, must not alone lead one to the diagnosis of embolism. The mode of onset is the important matter in the diagnosis of the nature of the lesion in all cases of hemiphlegia. If we learn that the patient had been deeply insensible for many hours, or, more generally, if he had been for some time in the "apoplectic ," the diagnosis of cerebral hemorrhage is at least as likely as that of plugging, notwithstanding that there is disease. The bleeding is from an aneurism of the middle cerebral artery, or from a branch of it. It is true that, as a rule, such aneurisms burst outside of the brain, and do not hemiphlegia, but now and then they imitate, so to speak, ordinary cerebral hemorrhage, and break up the motor track. Dr. Hughlins Jackson's observations confirm the opinion of Dr. John W. Ogle and Dr. Church as to the association of of the larger cerebral arteries with vegetations on the heart's valves. Dr. Hughlins Jackson thinks that the kind of defect of speech which sometimes accompanies hemiplegia is useful evidence as to the pathological nature of the lesion. Loss of speech loss excepting the patient's stock word or phrase is in favor of hemorrhage. Still, plugging will produce and permanent loss of speech. If the patient recover, and if during the recovery he make frequent mistakes in words the so-called loss of memory for words articulating them clearly, Dr. Hughlins Jackson thinks the diagnosis of plugging more warrantable than that of clot. British Medical Journal, Oct. 29, 1870.
Rapid Cure of Buboes. Dr. J. Grunfeld, assistant to Sigmond of Vienna, has had much success in extracting the pus by means of a hypodermic needle, India-rubber tube, and syringe. Where the cavity fills again, a second operation of the same kind should bo undertaken; and when the pus is , weak solutions, either of carbolic acid or chlorate of potash, should be injected, and pumped out again by the same syringe. Such patients as were so treated left the hospital much sooner than those whose buboes had been freely laid open. Lancet, Nov. 12, 1870.
Epidemic of Chorea Minor. Dr. Roger, one of the most strenuous advocates of the relationship between and chorea (see Gaz. .des Hop., 1870, Nos. 65, 66), relates a case of chorea combined with slight articular rheumatism and defect of mitral valve, in which the chronic movements were confined in great measure to the muscles of the right side, while it was on the left side that the rheumatic symptoms were chiefly observed. Dr. Steiner, (Jhrb.f. Kinderheilk. N. F., Ill, 1870) witnessed during the first two months of the year 1870, he tells us, a slight epidemic, nineteen cases, of chorea, the production of which could in no case be referred to imitation, inasmuch as no intercourse between the patients had taken place. As the common cause of the disease, in all the cases, Dr. S. adduces the abnormal condition of the weather at the time the epidemic occurred; its general unusual severity, and the unusually sudden and frequently recurring changes in its temperature; in consequence of which any disorder under which children happened to labor, passed over into , the result,'as Dr. S. supposes, of an irritation set up in the spine. In only five out of the nineteen cases was it possible to detect with certainty rheumatic symptoms partly articular and partly endocardiac. The remaining fourteen cases, , must be received as those of a rheumatic affection of the spinal meninges, unassociated with any rheumatic inflammation of the muscles of the joints, or of the heart. In the treatment of the nineteen cases referred to. Dr. S. found the bromide of potassium to be without effect. Fowler's solution in combination with opium proved, as heretofore, beneficial in its effects, whether in cases attended with great restlessness or with a state of entire quietu le. f. d. Med. Wissenschftn., July 9, 1870. D. F. C.
Chloral in Midwifery. Dr. Lambert, late House-Surgeon to the Edinburgh Maternity Hospital (Edinburgh Medical ), arrives at the subjoined conclusion, in regard to the of chloral in cases of labor: Chloral is an agent of great value in relief of pain during parturition. It is demonstrated that a labor can be conducted from its commencement to its termination, without any on the part of the patient under the sole influence of chloral. The exhibition of chloral in nowise interferes with the exhibition of chloroform. The proper mode of chloral is in fractional doses of 15 grains every quarter of an hour until some effect is produced; and according to the nature of that effect, the further administration is to be . Some patients will require doses of one drachm; and it is better to produce an anaesthetic effect by three drachms given in the space of two hours, than by one drachm given singly. This agent rather promotes uterine contraction, by all reflex actions which tend to counteract the incitability of the centres of organic motion. Labors under chloral will probably be found to be of shorter duration than when natural. The general conditions under which chloral is to be administered are the same as those which regulate the administration of chloroform, and the rules laid down by the late Sir James Y. Simpson, M.D., in connection with this subject must be rigidly adhered to.
Treatment of Inflamed Testicle by Puncture. At a late meeting of the Medical Society of ondon (The Lancet, Nov. 12, 1870), Mr. Henry Smith made some observations on the excellent results he had obtained from puncture as a means of giving relief to an inflamed testicle. The plan had served him well in about 500 cases. The relief obtained was and permanent, and he believed arose from division to a small extent of the tense and unyielding tunica albuginea. The small amount of blood lost had nothing to do with it.
Pathology of Angina Pectoris. MM. A. Eulenburg and P. Guttman discuss (Archiv fur Psychiatric, t. ii 1869) all the facts known and the theories advanced in regard to this , and they conclude that it is a neurosis both of motion and sensation. The symptoms to which it gives rise may be excited by causes of a different nature, even extraneous to the heart. All the cardiac nerves are probably more or less affected in this disease, and the variation in the phenomena observed in individuals results doubtless from the more or less active part taken by the nerves which unite together in the cardiac plexus in the production of these phenomena. It is probable that the great sympathetic performs the most important part, inasmuch as it constitutes the larger portion of the cardiac plexus. Archives Grenerales, Sept., 1870.
On Diseases of the Spine and of the Nerves. By Charles B. Radcliffe, M.D., F.R.C.P., London; John N. Radcliffe, J. W. Begbie, M.D., F.R.C.P., Edinburgh; Francis E. Ainstee, M.D., F.R.C.P. and Jno. R. Reynolds, M.D., F.R.S. C. Lea, Publisher, Philadelphia; for sale by Cobb, & Co., 81-3 Lake Street, Chicago. This is a small volume of 196 pages, comprising a series of essays extracted from the "System of Medicine," edited by J. Russell Reynolds, M.D., on a group of diseases of great , and many of them of frequent occurrence. The subjects treated of comprise Meningitis, Myelitis, Spinal Congestion, Tetanus, Spinal irritation, General Spinal Paralysis, Hysterical Paraplegia, Reflex Paraplegia, Infantile Paralysis, Spinal Hemorrhage, Induration of the Spinal Cord, Atrophy and Hypertrophy of the Spinal Cord, Tumor of the Spinal Cord, Concussion of the Spine, Compression of the Cord, Caries of the Vertebral Column, Spina Bifida, Epidemic Cerebro-Spinal Meningitis, Neuritis and Neuroma, Neuralgia, Local Paralysis from Nerve Disease, Local Spasms, Torticollis, and Local Anaesthesia. The book presents the latest advances in the knowlege of these several subjects.
Influence of Digitalis on Nutrition. M. M. A. has reported (Gaze'te, Hebdom, 1'2 Aug. 1870) a number of experiments instituted with a view of ascertaining the of digitalis on nutrition. He concludes frcrn these that digitaline, and especially digitalis, notably diminishes the urea, and this diminution he considers to be closely connected with the slowing of the pulse of which it is the corollary, and, further, that it explains the antiphlogistic effects of the drug. Ibid.
Caesarean Operation Performed four times in the same Subject. Dr. Oettler reports a curious case of this. The of it had a narrow pelvis, resulting from rickets, with which she had been affected from infancy. The first labor was in 1853, when she was 23 years of age, and her subsequent ones in 1857, 1858, 1859, and 1863. Each time she was delivered by section of a living and viable child, rapidly recovered from each operation, and at the date of the report was in good health. Revue de Therapeutique, Sept. 15, 1870.
Artificial Fecundation. Dr. Girault, of Paris, has made 27 attempts at impregnating women in whom conception in the natural way was impossible, by injecting into the uterus, at the proper time, some of the husband's semen. Ten of the cases resulted in , and others would, he thinks, had the parties persisted in their efforts and allowed him to continue his endeavors. A uterine catheter is the only instrument he uses. He places the sperm within this, inserts its point into the uterine canal, and blows the fluid into the womb cavity. Medical and Surgical Reporter.
Book Notices. Spermatorrhoea: Its Causes, Symptoms, Results, and . By Roberts Bartholow, A.M., M.D. William Wood & Co., Publishers, New York; for sale by W. B. Keen & Cooke, Chicago. This little work is too well-known to the profession to require any extended notice. In this third edition the material has been rearranged, and in large part rewritten, and an appendix of formulae added.
Heart Disease and Sea Winds. In a lecture by Alfred Haviland, on the Geographical Distribution of Diseases in England and Wales, the lecturer stated as the result of careful investigation, that whenever the prevailing sea winds have access, there is a low mortality from diseases of the heart, and that the opposite condition occurs where the tidal wave has not free access. The law may hold in England, but it certainly does not apply to San Francisco.
Air in Wounds Innocuous. Dr. >>key, or bt.'s (Lancet), repudiates the common view that the presence of air is injurious in wounds: "I remember hearing an eminent surgeon, when commenting on this commonly received opinion of the deleterious action of atmospheric air in wounds, assert that, had he undergone the operation for psoas abscess, he would have had the cavity of the abscess distended with air by a pair of bellows! In operations for empyema and hydrothorax, of which I have had a full share, I have never made any attempt to exclude air from the cavity of the chest; and I have elsewhere one interesting case in which, in conjunction with the late Dr. Todd, wre wilfully admitted sufficient air to fill a space previously occupied by six pints of serous fluid. This gentleman had not a bad symptom. In the largest example of emphysema from a broken rib I ever witnessed, the air the areolar tissue from the temple to the soles of the feet. It was all gradually removed I suppose I must say absorbed in the course of about ten days, except that contained in an enormously distended scrotum, -which underwent no change in size, and exhibited no sign of mischief, lhis 1 punctured at the expiration of three weeks. A sudden gush of air, having no offensive character, escaped through the canula, and the scrotum fell flaccid; and in two or three days had recovered its ordinary aspect and sensibility."
Book Notices. The American Practioner: A Monthly Journal of Medicine and Surgery. Edited by David W. Yandell, M.D., and Parvin, M.D. Published by J. P. Morton & Co., Louisville, Kv. We have received from the publishers, the first and second volumes of this journal, neatly bound in cloth. Each volume contains six monthly numbers of the Practitioner, and together embrace the issues for 1870. It is one of the best and most practical medical periodicals in this country.
Death from Chloroform. 0. K. Grant, of Brunswick, Me., about 40 years of age, and of late a clerk in the Census Bureau in Washington, died suddenly Monday, from the effects of chloroform, which had been administered by Dr.-, one of the ablest surgeons in that town, preparatory to an .
The Cause of Dr. Simpson's Death. Long a martyr to rheumatism, Sir James was, about two months ago, laid aside from active duty by a severe attack of angina pectoris, which recurred at uncertain intervals, and was accompanied by , and latterly by some degree of dropsy. Though great danger was apprehended from the first, the issue was long and doubtful, and, up to a few days before his death, it was hoped that his valuable life might still be spared for some time, though a restoration to perfect health could not be expected. The end was, however, nearer than was supposed; and, after a few days of unconsciousness, he quietly breathed his last at ten minutes to eight, on the evening of Friday, the 6th of May. At the necropsy, the source of his sufferings and the cause of his death was found to be a large, dilated, fatty heart, globular in shape, and weighing eighteen ounces. At the apex of the left , the wall of which was thinned, an aneurism about the size of a pigeon's egg was discovered; all the other organs of the body were fatty. The arteries of the brain were atheromatous in a high degree. The brain itself, that imperial source of all his restless mental activity, was found to be by no means large; it weighed only fifty-four ounces, and was consequently but above the average of forty-nine and a-half ounces. It may be remembered that the brain of Cuvier weighed above ounces, and that of Abercrombie sixty-three, so that 's brain forms rather an exception to the rule, that mental power depends upon size of brain. On the other hand it formed a remarkable example of the more incontrovertible fact, that mental vigor depends upon the number of convolutions and the quantity of grey matter : for, on being exposed, the brain an appearance not soon to be forgotten by those who were privileged to see it, in the apparently increased number of the convolutions and their great size and development. Edin burgh Medical Journal.
Transactions of the Twentieth Anniversary Meeting of the Illinois State Medical Society, held in Dixon, May 17-18, 1870. The Transactions, though late in distribution to members, have been published in good style, and make a volume of 141 pages. The volume contains a pretty full record of the of the Anniversary Meeting, with the following reports and papers: Report on Practical Medicine, a paper by James S. Whitmire, M.D., of Metamora, and one on Blood-letting Not Necessary in Pneumonia, by D. W. Young, M.D., of ; Report on Surgery, by Moses Gunn, M.D., of Chicago; On'Drugs and Medicines, by Chas. Hunt, M.D., of Dixon; On Ophthalmology, by E. L. Holmes, M.D., of Chicago; On , by S. J. Jones, M.D., of Chicago ; On Statistics of of the Ear, by E. L. Holmes, M.D., of Chicago; On the Use of Plaster of Paris in Fractures, by R. E. Bogue, M.D., of Chicago; Amputation at the Hip-joint, for Disease of the Hip and Knee-joints, by E. Powell, M.D., of Chicago; On the Communication from the American Medical Association, in Relation to Licenses to Practice, by N. S. Davis and D. Prince, Special Committee; List of Members; Constitution and of the Society; and Code of Ethics. Several of the reports have been published in the Examiner, but any reader will find enough new matter to fully remunerate him for a copy of the Transactions in full. Any information concerning the volume may be obtained by addressing the Permanent-Secretary, Dr. T. D. Fitch, M.D., of Chicago.
Minnesota as a Resort for Consumptives, is the caption of a brief article by Dr. Adams, of Waltham, in which he shows, from meterological and other statistics, that the winters of Minnesota are about equal in temperature to those of northern New England, while its summers are as warm as in Central Pennsylvania, the mean of the former being 16 deg., and of the latter 70 deg., F. But in winter there is very little rainfall, (snow being measured as rain in the proportion of 12 to 1); hence the atmosphere is very dry, and with the low temperature, has very little conducting power of heat. To this dryness of atmosphere Minnesota owes its reputation as a *resort for consumptives, and it is not wise to send such patients there until the late autumn, for its rainfall in summer is equal to that of New England, while its temperature is higher. It is during the cold and dry season that phthisis is there most benefited; and it is benefited mainly because of the invigoration the climate is likely to give to the digestion and nutrition. In those cases of phthisis, however, in which acute inflammatory symptoms are of frequent oc # currence, or in which bronchitis exists out of proportion to the local lesion, the dry, bracing quality of the air is too stimulating, and acts as an irritant. He quotes from Dr. Flagg, of St. Paul, who says that in his the patients most likely to be benefited are the purely tuberculous, in whom cuchemia is early developed, and the processes are mostly absent; those who have hemoptysis early, and who are described as "relaxed," and wanting in "tone1' of mucous surfaces. "Those in advanced stages of phthisis" "often derive positive harm." "The existence of a cavity of any extent, with pus-producing surface, should prevent a patient coming here; " patients in whose lungs there is a large deposit of tubercle rapidly undergoing softening, should not be sent." Those who are subject to inter-current attacks of bronchitis, or who suffer from a sense of " constriction, ' to use a patient's term, during cold, dry winds, are not very suitable cases. Boston Medical and Surgical Journal.
A labular History and Analysis of all the Undoubted Cases of Typhoid and Typhus Fevers, Presented at the Boston City Hospital, from June 1, 1864 to June 1, 1869. By J. Upham, A.M., M.D., Late Visiting-Physician to the Hospital. Reprinted from the First Quinquennial Volume of the Hospital Reports. Boston: 1870. This is an elegantly printed monograph of 93 pages, into 4 which are condensed all the important points concerning the history and treatment of 152 cases of typhoid, and 48 cases of typhus fevers. The author is one of the most industrious and careful in the profession, and the present report is a valuable to the literature of continued fevers. Being mostly and statistical, it is not easy to give a resume, but advise our readers to peruse the report itself.
Tincture of Iron in Acute Rheumatism. Dr. J. Russell Reynolds reports in the British Medical Journal eight cases of acute rheumatism successfully treated by the tine, ferri . The pain was relieved very rapidily and convalesence speedily established. In some of the cases the heart was . The quantity given was 50 or 60 drops every six hours.
Urea is Found in the Liver. The latest researches on the origin of urea have demonstrated that the kidneys do not secrete, but merely excrete urea, and that the liver is in part, at least, the source of it. Lancet.
Liquid Glass for Stiff Bandages in Fractures. Dr. John Darby, of South Carolina, lauds very highly liquid silicates for an immovable dressing; he regards it as superior to any of the heretofore in use, on account of its neatness, durability, strength, and ease of application. He first envelopes the limb in wadding or cotton, putting a larger bandage over it; this is then saturated with the silicate, it being applied with a painter's brush. Another bandage is applied over this, and the liquid glass painted on again. Strips of muslin, , felt, or veneering wood, soaked in the liquid, may be applied on different parts of the dressing, making the whole of any and strength desirable. After the dressing is completed, the limb must be kept perfectly motionless until the material hardens, which will require at least as many hours as there are layers of the bandage, and perhaps many more; from eight to twelve hours usually suffices. In removing, the scissors or knife is used. Whenever a limb is required to be kept in a position of absolute immobility, he regards this a very superior dressing. Author's Pamphlet, Etc.
Stramonium Poisoning Antidotal Power of Opium. A case of poisoning by stramonium, in which opium appears to have been useful as an antidote, is reported by Dr. Cheney in another portion of the Journal. The value of opium and as antidotes one to another, is not yet determined. Stramonium is so nearly allied to the latter, as to leave little room for doubt that it holds the same relation to opium. are rather fond of eating the seeds of stramonium, but the effects are rarely fatal. Many cases are reported in of the mutual antidotal power of opium and belladonna; but the difficulty is to determine whether death would have without the antidote. Persons recover from enormous doses of either narcotic, under ordinary treatment, or in some instances without interference. The nearest approach to death that we have ever known to be followed by recovery, was in a case of poisoning from laudanum, in which the patient a who contemplated suicide continued to sink after the free use of the stomach pump, cold affusions, and other means. For several hours she lay in a hopeless condition, the heart and lungs scarcely exhibiting any perceptible movement. But she revived after all this. Had belladonna been administered, we should undoubtedly have ascribed the result to its antidotal . The subject is one of great interest, and is open to investigation. Pacific Medical and Surgical Journal.
Detection of the Adulteration of Quinine with . Dr. Solendn, says the American Chemical News, has comparatively tested the degree of accuracy and sensitiveness of the different tests in use for the detection of the presence of salicine in quinine, which, if made with the view of fraudulent adulteration, will always be at least at the rate of one per cent, of salicine or more, because less will not pay. The author three kinds of sulphuric acid, viz., the fuming, pure acid, free from arsenic and nitric acid; ordinary concentrated sulphuric acid of commerce, containing a trace of nitric acid; and, lastly, sulphuric acid, to which, purposely, acid had been added. A watch-glass having been placed on a sheet of white paper, and a drop or two of the acids above referred to (each in a separate glass) having been poured , a few crystals of the alkaloid (sulphate of quinine) were put on the acid; if pure, there is no coloration, but even with of salicine, the two first-named acids caused a red coloration, which did not ensue with the acid nitric acid. This latter acid wras not even colored by pure salacine. Medical and Surgical Reporter.
Correction. Two of the abridged articles in our last failed to get to the author for proof reading, and, as a , they present several ridiculous errors. In the article, " Apomorphia," this name is put Opomorphia ; "in its clinical reaction," should be in its chemical reaction; "cholera," should be chorea. In the article on, "A peculiar inflammation of the lower lip," the types make us say, "undiscovered," for undescribed; " masses," for nodular masses; and, "permuculous," for .
Death by Chloroform Prevented by Electricity. On the 22d of November, 1866, Dr. Danzel administered for the removal of a cancer. After ths operation the patient ceased to breathe, and opening the windows, artificial respiration, and all other agencies proved of no avail, when recourse was had to electricity. One pole of the battery was applied to the neck, the other to the epigastrium. There was soon a movement of the muscles, and by degrees the respiration was restored. There is no doubt that death would have ensued without the application of electricity, and as this remedy has been applied with success in several other cases, it is worthy of note on the part of physicians generally. Journal of Applied Chemistry.
Large Doses of Ipecacuanha in Acute Dysentery. Dr. John Stephens believes in the virtue of the ipecac, in inflammation of the lower bowel, in much larger doses than were formerly given. In an average dose of two scruples, its curative power, he says, is sure and complete; so enthusiastic is he in this that he regards it as much of a specific in acute dysentery as quinine is in intermittent fever. To cases in all degrees of severity, in patients of all ages and conditions, and to any stage of the disease, it is equally . The severe tormina and tenesmus, the frequent bloody often repeated, are symptoms that rapidly abate, and, after two or three doses of the drug, usually are nearly gone. He gives (as his reported cases indicate) but one dose of the . each day, preceding it by a dose of opium or laudanum, given a half hour before. In many cases there occurred no vomiting, and often nothing but nausea. In no case in Dr. S.'s experience has vomiting occurred until the ipecac, had effected its purpose in allaying the disease. In a part of his cases he painted the abdomen with tincture of iodine or applied sinapisms, but in no case did this lessen the to vomit. He gives the ipecacuanha in a little sweetened water. Medical and Surgical Reporter.
Partial Paralysis from Reflex Irritation. Dr L. A. Sayre read a paper at the last meeting of the American Association, giving his observation on the production of partial paralysis of muscles of the lower limbs by irritation of the glans penis from congenital pliymosis. He abbreviates the history of six cases in which he found this condition to exist. The patients were all afflicted with a variety of nervous symptoms beside the paralysis, and all, on circumcision, were relieved. He says he is satisfied "that many of the cases of irritable children, with restless sleep and bad digestion, which is often attributed to worms, is solely due to the irritation of the nervous system, caused by an adherent or constricted prepuce. ' The first case he had was a boy of five years, who had such of the quadriceps that the legs were flexed at an angle of 45 degrees. The doctor, in applying electricity to the paralyzed , discovered the irritation of the penis. This organ was very sore, and the slightest irritation, as of the clothing, or even a of the body, caused an erection. Circumcision was performed, and the child began immediately to improve in general health, slept well at night, and improved in appetite. In five weeks he could walk alone, with his limbs quite straight. The second case was of a lad of 14, whom he had treated for months for slight paralysis of his legs, when it was found he had phymosis and constant irritation of the glans. He had nocturnal emissions and erection on the most trivial irritation. He was , and in six weeks had entirely recovered. The third case was of a boy of 15, who had nervousness and "fainting fits;" he had "falling fits" because "his legs would not hold him up." He had every night painful erection and very emissions; the prepuce was enormously redundant, and all the parts excessively irritable. In six weeks after circumcision, he was nearly well. The other three cases had hip disease, which was found to have been lighted up by repeated falls due to the partially paralyzed of rhe legs from irritation of the penis. The patients were excessively nervous. On circumcision, they were relieved of all the symptoms, save those caused by the lesion of the hip. Transactions of the Association.
Investigations as to the Cause of the Great Gravity of Anthrax and Furuncles of the Face. The numbers of the Archives G-enerales de Medecine for June, July, and August last, contain an elaborate article on this subject, by J. L. , Interne Laurdat des Hopitaux. The following are his conclusions: 1. Anthrax and furuncle of the face are very grave affections. 2. This gravity is owing to their being prone to be complicated with phlebitis. 3. Facial phlebitis tends to a fatal termination, either by its extending to the sinus of the dura mater, or by becoming the source of purulent infection. 4. Anthrax in the lips is complicated more frequently than when situated in other parts of the face with phlebitis, which fact is to be accounted for by the particular structure of the lips. 5. Anthrax of the lips is entirely different from pustule. 6. The extension of phlebitis to the orbit, shown by the presence of exopthalmia, shows almost positively that the sinus has become affected. 7. Incision, made as rapidly and as largely as possible, appears to be the best means of and sometimes of arresting the complication of phlebitis.
The Action of Urine on the Tissues. Prof. Gr. Simon (Deutsche Klinilc) has made experiments on this subject. He remarks that it has been a dogma in surgery, that urine, may be its reaction, has a destructive action on tissues not protected by an epithelial covering. He injected subcutaneously in rabbits pure acid urine. It was absorbed without any bad effect. Operation wounds moistened with fresh urine healed by primary intention. When ammonical urine was , even though it had been filtered, abscesses were formed, and the skin over them became gangrenous. In view of these results, the gangrene which appears so rapidly in cases of of urine, must be ascribed to the mechanical action of the fluid driven forcibly among the tissues, so as to tear or compress the bloodvessels. In plastic operations on the or sexual organs therefore, it is unnecessary to leave a catheter in the bladder so long as the urine is acid, whilst such operations should not be performed, if possible, when the is alkaline.
A Case of Buccal Chancre. E. Burke Haywood, M.D., Raleigh, N. C. (Transactions North Carolina Medical Society) recently saw a young lady suffering from buccal chancre, caused by a kiss given her on the lips by her engaged lover, who was at that time suffering from secondary syphilis. The contagion was communicated by the secretion from a mucous patch on the upper lip of the lover. He was ignorant of the danger of his lady-love by this manifestation of his affection. He had been under treatment several weeks before for primary syphilis, and thought that he was cured. The young lady, when first seen, had a well-marked chancre on her upper lip, which had existed for more than ten days, and was thought by her to have been caused by a chapped lip. There was much induration of the upper lip, and the parotid and submaxillary glands were much enlarged and very painful. The induration continued for several weeks, and was followed by well-marked secondary symptoms. Medical Record.
Styptic Colloid, for promoting the healing of wounds by the first intention, or for treating open and foetid wounds, and for arresting hemorrhage, is well known to the profession. We have found the colloid a very good application for herpes zoster. Mr. Browne (Liverpool Hospital Reports, vol. iv) recommends us to paint a patch of eczema, complicated with varicose veins, freely with Richardson's styptic colloid, allowed to evaporate ta half its bulk before being used; the film left by the colloid dries and contracts; it is then to be covered with a sheet of thin india-rubber, and bandaged. Thus pressure is applied, and the atmosphere excluded. Journal of Cutaneous Medicine.
Cure of Old Ulcers by a Recently Devised Operation. Dr. Howard, of Brooklyn, presented a case of eight years' standing, which had been the result of a gun-shot wound, and was at present undergoing a rapid cure from treatment. The operation was first suggested and performed by an interne in a Paris Hospital, and for the past six or eight months had been practiced at the Charity Hospital, Blackwell's Island, by Dr. Frank H. Hamilton. Dr. Howard said, that in the case he presented no tendency to heal occurred for years, but after implanting in it two small shreds of skin, the entire circumference of the wound showed signs of activity. In four days two other pieces were imbedded in the ulcer, where they adhered. The first portions of skin were very small and soon sloughed out; the second were larger, and instead of sloughing grew more vascular. In this operation a piece of skin may be snipped off any part of the body, and differs from the old method first, that there is no continuity required in the replanted portion; secondly, that one or several very minute pieces may be imbedded, to the size of the ulcer. The only precaution that is in operating being to cover the transplanted tissue with transparent adhesive plaster. Medical and Surgical Reporter.
Novel Mode of Controlling Hemorrhage. Dr. J. H. II. Burge (2V. K Med. Jour.} contributes the history of a case of Placenta Prsevia attended with profuse hemorrhage. He found a small margin of the placenta presenting. The liquor amnii had completely drained away, so that the outline of the child could be made out through the abdominal walls. The excited some pain and caused considerable hemorrhage. Observing that during the pain the pressure of the child's head upon the placenta controlled the flow, he in the intermission grasped the uterine tumor and pressed steadily in the direction of the os. This was continued with perfect success for two and a half hours, when a living child was born, and the placenta followed without loss of time. During all this time, if the pressure was relaxed while the uterus was inactive, hemorrhage was sure to follow. Medical Record.
Bromide of Potassum in Uterine Fibroids. In the Gynaecological Society a case of fibroid tumor of the uterus, which had been as large as a "small child," was reported cured by the steady employment of bromide of potassium for eighteen months. Dr. Storer had used both this salt and the chloride of ammonium the latter in some cases with benefit, though he seemed to think that the occasional shrinkage and of such tumors, previous to the passage of the climacteric, were rather coincidences than the effects of treatment. Dr. preferred the bromide to iodide, because it "produced a more profound effect on the nervous system, and hastened metamorphosis." Pacific Medical Journal.
Treatment of Scarlet Fever and Scarlatinous Dropsy by Baths. In twelve cases of scarlet fever, complicated with diphtheria, the cold-water bath was employed whenever the temperature of the child reached from 38-5deg C. to 39*5deg C. The temperature of the bath was 25deg C., and the time of immersion varied from eight to ten minutes, the bath being repeated, m some cases, every hour. Of these cases five died, while seven recovered; while in no case did dropsy supervene. Cases of scarlatinous dropsy were treated according to Liebermeister's suggestion, by warm baths, the temperature of which was gradually raised from 38deg to 40deg C. The child was kept in the bath half-an-hour, and copious diaphoresis kept up for two hours. The result was very satisfactory, the transudation being gradually and progressively absorbed without other medication. Jahrb fur Kinder sheilkunde.
The Internal Administration of Carbolic Acid in and Prurigo. Prof. Binz agrees with Hebra that and prurigo may be relieved by the internal administration of carbolic acid. The subject was lately discussed at Bonn, and a report given in the Berliner Klinische Wochenschrift. We should think the sulpho-carbolates, as given by Dr. Sansom, might be tried. We gave in our last number an epitome of Dr. Sansom's investigations, which have been detailed more fully in his paper read before the Medico-Chirurgical Society, and in vol. lii of their "Transactions;" and also in his paper read before the British Medical Association at the last annual meeting, and published in a recent number of the journal. The Doctor.

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