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rational signs of functional derangement have dissappeared. Finally, we comprehend the cause of the following phenomena observed by Stokes: “I have frequently seen,” says he, "all the signs of solidification subside within two days, and have even observed great modifications in the course of a few hours. On this subject more extensive observation is wanting.”

We have tbus demonstrated how, by being composed of an aggregate of isolated portions, the lungs are protected from the extension of disease; and how, but for this safeguard of nature, organs so essential to existence would be more liable to permanent injury, when a portion of their tissue is incapable of performing its functions.

Editorial Department.

Books Reviewed.

Diseases of the Lungs and Air-Passages. By Heory Wm. Fuller, M. D. From

the second and revised London edition. Philadelphia: Henry C. Lea, 1867.

Commencing with the principles of physical diagnosis, and their application to the investigation of diseases of the lungs, the author proceeds to a complete discussion of all subjects pertaining to diseases of the respiratory organs and their proper treatment. He gives the topography of the walls, and describes and illustrates with wood cuts the contents of the various regions of the chest; shows the importance and value of inspection and physical examination of the chest, and describes the methods of making these examinations; points out most clesrly what is to be observed and the import and significance of symptoms elicited from tbe alterations which the various organs undergo in disease.

In part second we have the Pathology, Diagnosis, Symptoms and Treatment of Diseases of the Lungs. Pleurisy, Pneumonia, Bronchitis and Pulmonary Consumption are the diseases which have received principal attention. All the numerous questions concerning tubercular disease, not yet settled, are discussed, and the opinions of the author and the facts sustaining his opinions are introduced. Hereditary transmission of the disease, age at which consumption occurs, influence of cold and wet and the atmospheric changes in producing or predisposing to it, furnish favorite topics, upon which the author entertains opinions not wholly in harmony with the generally received doctrines of authors or the public. Upon one single point we quote our thor, because we can so heartily endorse most of his views, and have often presented and urged the same against strong opposition. “Fistula in ano is another symptom which must not he lightly dealt with. Ás long as the discharge is insignificant in amount, it is advisable to confine our efforts to treatment of the constitutional malady, and not to disturb the fistula. But I do not hold with those who maintain that a fistula in ano occurring in the course of phthisis ought never to be interfered with. In some instances the discharge is profuse, and constitutes an important source of waste; the patient is so distressed and alarmed at its continuance, that no treatment can be of avail until his nervous apprehensions are overcome. He can neither eat nor sleep for thinking of it, and his whole system is depressed in consequence. In such cases I have known the greatest benefit result from an operation, combined with an issue in the arm, the use of proper diet and administration of cod-liver oil, quinine, iron and other appropriate remedies. Not only has the fistula healed, but the general health has improved, the patient gained flesh, and the physical signs of pulmonary disease have greatly lessened.” If the statement of “combined with an issue in the arm” had been omitted, the sentiment would have been worthy a recent author. This part of it we believe the effect of routine in sentiment and practice, and such issue useless and injurious-injurious in proportion to its size and the irritation and ulceration it occasions.

Our new books are better than our old ones, our knowledge is greater and more definite, and our practice of medicine and views of disease are constantly growing more correct and satisfactory, but the mistakes and errors of the past, however clearly pointed out and well defined, are rejected and abandoned only by degrees. The author of this book has done his part faithfully, and furnished the medical public a clear, philosophical, correct and valuable work upon diseases of the lungs and air-passages. It has many attractions for the medical student,in its first part especially, while the practical portion of the work embodied in its second division, renders it a valuable guide in the treatment of all diseases of the lungs.

A Practical Treatise on the Diseases of Children. By D. Francis Condie, M. D.,

Fellow of the College of Physicians, Member of the American Medical Association, etc., etc. Sixth editioa, revised and enlarged. Philadelphia: Henry C. Lea, 1868.

Dr. Condie's Treatise on Diseases of Children is so favorably known and so highly appreciated by the profession, that any extended notice of it is altogether unnecessary, while declarations of approval could be only a repetition of commendations already many times expressed. The present edition has again been thoroughly revised and every important advance in the knowledge of infantile disease has been incorporated in the respective sections, so that as the work now appears it will continue to be an accurate and faithful guide in the treatment of children, and be regarded as one of the most complete works in this department of medicine. Much attention in the commencement of the work has been devoted to a consideration of the hygienic management of children, which embraces a discussion of the influence of light, temperament, cleanliness, bathing, clothing, food, sleep, exercise and moral treatment. It is remarkable that in the face of the acknowledged influence of hygienic regulations as a preventive of disease, and the neglect of which is the cause of nearly all the ails of childhood, physicians

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should fail to instruct and impress those in charge of infants with the importance of a strict compliance with sanitary laws, and not as is 'but too frequently the case, through carelessness and sometimes ignorance, allow mothers and nurses to subject these tender beings to the most pernicious influences.

In treating of congenital malformations and accidents, the author entertains a not commonly received view of the pathological cause giving rise to the nondevelopment of the lateral processes of the vertebræ in spina bifida. The disease he considers as a true congenital dropsy either of the spine or of the spine and brain; “the deficiency in the vertebræ,' as well as the exterual tumor, being the result of the acuumulation and pressure of the fluid within the spinal or cranial cavity, and that when the tumor in the spine is not formed, death usually occurs within a month, with symptoms of hydrocephalus.


Pennsylvania Hospital Reports, Vol. 1, 1868. Philadelphia: Lindsay & Blakiston.

The inauguration of publishing annual volumes of Hospital Reports, thus placing the acquired experience of hospital practice upon a permanent record, and making it possible for the profession at large to avail itself of the same, cannot fail to meet with universal approbation and support. Works of this character have been issued by the principal hospitals of England and upon the continent with great success. This is the first effort of the kind in this country, so far as we are informed, but we are assured that reports from some others may soon be axpected.

The present volume embraces twenty-three articles, prepared by the hospital staff, arranged by Drs. J. M. Da Costa and William Hunt.

The introductory paper prepared by Dr. Charles D. Meigs, is a brief sketch of the bistory of the Pennsylvania hospital and reminiscences of the physicians and surgeons who served in the same. Dr. H, Agnew follows with a careful and well-considered paper on the history and treatment of laceration of the female perineum. The other members of the staff have equally well discharged their tasks, presenting in an exact statement the experience of the past years in their respective departments. The action of Narcine has been made the subject of a monograph by Dr. J. M. Da Costa, from whose paper we make the following extract:

“On the skin it produces but little effect, far less perspiration than morphia or the other ingredients of opium.

It does not, as a rule, give rise to headache, or to nausea and vomiting and loss of appetite; but it is an exaggeration to say that these effects do not accur. Moreover they seem to happen more constantly or markedly in women than in

It does not constipate, may even relax the bowels. It is not an excitant; yet the face is not uncommonly flushed after its use in decided doses. Scarcely any action on the pupils is observable.

No marked influence on the temperature, respiration and pulse is perceptiblo subsequent to its employment. So far as noticed it somewhat lowered the temperature, and slightly lessened the pulse; the latter, however, not constantly.

No such decided effect as has been ascribed to it on the urinary functions, was met with. In so far as it was seen to have any action, it seemed to diminish the tendency to frequent urination, rather than to suppress the amount of secretion.


And with reference to its soporific anodyne properties, it appeared in doses in which morphia is prescribed, totally destitute of either; and in larger doses uncertain and often palpably inert. It dous not allay irritation.”

What will the French physicians say to this, with whom Narcine is fashionable? Di. Eulenberry prefers it to any other narcotic, and gives it in neuralgia, iritis, cystitis, orchitis, and all painful diseases, stating that it prodnces sleep. and is preferable to morphia, acting pleasantly when morphia fails.

Books and Pamphlets Received.

The Diagnosis, Pathology and Treatment of Diseases of Women, including the

Diagnosis of Pregnancy. By Graily Hewitt, M. D., London, F. R. C. P., etc. First American from the second London edition, revised and enlarged, with one hundred and sixteen illustrations. Philadelphia: Lindsay & Blakiston, 1868.

For sale by Theodore Butler. A Practical Treatise on the Diseases of Women. By T. Gaillard Thomas, M. D.,

Professor of Obstetrics and Diseases of Women and Children in the College of Physicians and Surgeons, New York, etc., with two hundred and nineteen illustrations. Philadelphia: Henry C. Lea, 1868. For sale by Breed, Lent

& Co. Ihe Principies and Practice of Obstetrics. By Gunning S. Bedford, A. M., M.D., Professor of Obstetrics, the Diseases of Women and Children,' and Clinical Obstetrics in the University of New York, etc., illustrated by four colored lithographic plates and ninety-one wood engravings. Fourth edition, carefully revised throughout and enlarged. New York: Wm. Wood & Co., 1868. From

the autbor. Atlas of Venereal Diseases. By A. Cullerier, Surgeon to the Hospital du Midi,

Translated from the French, with notes and additions, by Freeman J. Bumstead, M. D., Professor of Venereal Diseases in the College of Physicians and Surgeons, New York, etc., with about one hundred and fifty beautifully colored figures on twenty-six plates. Part 1, to be completed in five parts.

Philadelphia: Henry C. Lea, 1868. For sale by Theodore Butler. Address before the Philadelphia County Medical Society, delivered January 23,

1867, agreeable to a provision of the Constitution. By Wm. Mayburry, M. D., at the close of his official term as President. Published by order of the Society.


Cæsarian Section.-Prof. Wm. Warren Green reports in the Boston Medical and Surgical Journal for February, a successful case, in which mother and child were saved. The details of the case are interesting, and if possibie, we shall republish it in our next journal.

Ophthalmic Dispensary in Toronto.—This institution was opened last May, and during the first six months there was an average daily attendance of fifteen patients. It is simply a dispensary, no beds or hospital accommodations are yet provided. It is organized under a board of directors, chosen by the benevolent wbo have contributed to its support. The medical staff under its present organization is as follows:-Surgeon, A. M. Rosebrugh, M. D.; Assistant Snrgeon, R. A. Reeve, M. D.; Consulting Surgeon, W. H. Cumming, M. D. The success of its first year's operation shows the beneficence of the design and the faithfulness and fidelity of those to whom its interests have been entrusted.

A New Property of Bromide of Potassium,

Dr. Alexander J. Stone of Boston, announces a new property in Bromide of Potassium—the power of checking the Reflex Nausea indueed by the adminis

ration of Anästhetics. He claims that nausea is the almost universal effects of other, and then relates thirty cases where it was either prevented or relieved by the administration of thirty or forty grains of this drug.

His cases appear to sustain bis conclusions, and still it remains for more extensive trial to prove them correct. His observations were made by the advice and partially under the direction of Prof. H. R. Storer, and his cases are well related.

Bromide of potassium is having its benefit,” and must yet suffer the reputation of doing a great many very remarkable things, and after having attained a desirable reputation, possibly, will sink into almost complete forgetfulness, something like its countless predecessors.

It is not well to be too skeptical in the effects of remedies, neither is it wise to accept as wholly true, what may appear true of their medicinal properties. There is hardly a single drug in the whole materia medica really having the properties they are represented to possess, and this fact should place us ou guard in all our experiments to determine the effects of medicines. Ether dues not in our experience “invariably" produce nausea and vomiting. If given, as in Doctor Stone's cases, after fasting, it more rarely produces this effect, and if patients vomit and thus empty the stomach, nausea and vomiting often cease from that time without the bromide of potassium. We most heartily thank Dr. Stone for the suggestion, and accept it, subject however to future trial. Before writing down as one of the reliable effects of this remedy, “a power to check reflex nausea after anæsthesia,” indeed before positively saying that it possesses many of the properties now attributed to it, we would respectfully suggest that its effects be carefully noted in greater number of cases. It is said to have worked wonderful cures on all the diseases of the nervous system, both functional and organic. It is prescribed with as little discrimination as any drug was ever given, and properties attributed to it as varying and unreal as were ever attributed to any medicine. We believe it has some valuable remedial properties, but we do not believe that it has half as many as some suppose.

New Medical Journals, “Half-Yearly Compendium of Medical Sciences.”—This journal is designed to embrace a digest of the whole field of medical literature with a view to that conciseness and practicability which best suits the general practitioner. Edited by Drs. S. W. Butler and D. G. Brinton, Philadelphia. Price $3 per annum, in advance.

“New Orleans Journal of Medicine.”—This medical periodical is a consolidation of the two medical journals, lately published in New Orleans. It is to be published quarterly, and to be under the editorial charge of Dr. W. S. Mitchell, M. D. and W. H. Lewis, M. D. Price $6 in advance.

“L'Evénement Médical.”—This weekly journal is under the editorship of Prof. Piorry, France. The numbers are regularly received by us in exchange. Prof. Piorry has recently been elected member of the Academy of Medicine.

"The Medical Repertory.”The first number of this journal has been received Each number is to contain thirty-two pages. It is designed to make this journal the exponent of the medical profession of the West. Prof. J. A. Thacker has the editorial management.

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