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tory in its nature and divides the appropriation precisely as I have the evidence in my hand to show both Houses intended that it should be divided originally as between the two works, namely, the statistics of the Provost Marshal General's Bureau, and the medical and surgical history of the war being separate things, and the purpose being to devote balf of the appropriation to one and the other half to the other; but the language of the bill left it, as it was supposed, obscure, and this is simply to draw the dividing line.
The amendment was agreed to.
The bill was reported to the Senate as amended, and the amendments were concurred in.
The amendments were ordered to be engrossed, and the bili to be read a third time. The bill was read the third time, and passed.
Annual Session of the Association of Medical Superintendents of
American Institutions for the Insane.
The Medical Superintendents of the American Institutions for the Insane commenced their twenty-second annual session at the American House in Boston, June 3d, at 10 o'clock.
The first subject taken up by the Association was “The project for a general law for determining the legal relations of the Insane,” and Dr. Ray was called upon to make some remarks in regard to the history and treatment of this question. Dr. Ray alluded to the necessity for having a general law which should be in force in every State. In order to facilitate the work in preparing such a law, a committee was some time ago appointed and the laws in the different States were considered and compared. This committee reported at the meeting at Washington in 1864. The points covered in the law were partially discussed at that meeting, and since that time the whole matter has been in abeyance. Experience is every year demonstrating more and more the necessity of such a law, and cases are constantly occurring which urge the subject upon the attention of all persons interested in the treatment and cure of the insane. The general sentiment of the community is that no one class of persons ought to have entire and absolute control in regard to cases of insanity. Such a law as is proposed need not cover all the points in question in regard to the treatment of insanity, and the principal thing to be considered is in regard to the committal of persons to the insane asylums. He would not advocate the relinquishment of the authority which has long been vested by common consent in the families and friends of insane persons, but some legal process is necessary for the care of those persons who have no families, or whose familres do not care to take such a step. For these and kindred cases it is very desirable that the matter should be attended to legally and properly. Such a law, too, is necessary for the pauper insane, for the authorities who have them in charge are generally likely to avoid the expense of committing them to asylums as long as possible. Such a law, too, necessary for the care of the vagrant insane, who have no regular residence, and whose confinement is an act of humanity to themselves and a means of safety for the community.
At the re-assembling of the Association in the afternoon, Prof. Charles A. Lee of New York, made an address of welcome as a delegate from the American Medical Association. He alluded in the strongest terms to the progress that has been made in recent years in the treatment of the insane, and congratulated the Association upon all that its members had been able to do for the advancement of one of the most important departments of medical science. The address was very cordial in its tone, and the Association manifested great pleasure at the interest taken in it and its work by the Association represented by Dr. Lee.
EVENING SESSION.—The consideration of the question of making provision for commitmeats of patients to Insane Asylums was resumed, when the Association re-assembled at 8 o'clock. Dr. Earle withdrew the motion for the postponement of the discussion until next year, and Drs. Chipley and Hills withdrew the substitutes for the first section of the proposed object of a general law, which had been offered by them. Dr. Hills then offered the following, which was adopted as a sense of the Association by a yea and nay vote, Dr. Harlow of Maine alone voting in the negative:
Insane persons may be placed in a hospital for the insane by their legal guardians, or by their relatives and friends, in case they have no guardians, but never without the certificate of one or more responsible physicians. after a personal examination made within one week of the date thereof; aad this certificate to be duly acknowledged before some magistrate or judicial officer, who shall certify to the genuineness of the signature and of the respectability of the signer.
The remaining sections of the proposed model for a law, as reported by Dr. Ray, were then successively considered and adopted, most of them with but little change of form and with little debate. The first section was the only one upon which there was any very decided diversity of opinion, and the substitute for that section finally adopted seemed to give general and almost unexpected satisfaction to all the members of the Association.
Stillè’s Therapeutics and Materia Medica. Third edition, revised and enlarged,
in two volumes. Philadelphia: Henry C. Lea, 1868.
Stille's Therapeutics and Materia Medica requires no general description from us; its character and standing are too well understood by all intelligent physicians to admit of it. The simple announcement of the appearance of a third edition will at once suggest the inquiry, wbat new subjects have been added ! About one hundred pages of new matter have been added, mainly upon the subjects of: Chromic Acid; Permanganate of Potassa; the Sulphites of Soda, etc.; Carbolic Acid; Nitrous Oxide: Rigoline, and Calabar Bean. There has also been added an article upon Bromine, and that on Electricity has been enlarged by an account of recent improvements in apparatus, and the application of this agent to the cure of diseases.
Speaking of the Sulphite of Soda, one of the new substances treated, he says: “Although the power possessed by the sulphites of controlling fermentation bad
long been known and usefully employed, it was not generally recognized or applied in medicine until attention was attracted to the subject by Dr. Polli of Milan.
Assuming as correct the hypothesis that in all contagious and infectious diseases their phenomena are due to a process of zimosis, or fermentation, and recognizing the power of sulphurous acid to cheek fermentation and putrefaction, he concluded that this acid or its salts, must be capable of curing radically the diseases in question. By experiment he found that the fatal symptoms occasioned by the introduction of putrid substances into the veins of animals were modified, suspended, or neutralized by the injection of solutions of the sulphites into the blood. It was also demonstrated that gangrenous and fetid suppurating surfaces, and all foul-smelling discharges were speedily rendered inodorous by the application of these salts in solution. But the clinical proof of their efficacy in disease, which would have gone far to justify the hypothesis of Polii, was not adduced by him, nor has it been conclusively adduced by later observers."
The author now proceeds to relate what a great number of physicians have published of the effects of these salts in erysipelas, in intermittent fever, typhoid fever, yellow fever, purulent infection or septicomia, and other similar diseases, but finally expresses incredulity in regard to the efficacy of a remedy which has hardly been sufficiently tested. The good sense and discrimination of the anthor is finely illustrated in this newly added chapter, as indeed is shown everywhere in the pages of the book. We regret that we cannot follow up the newly added pages and speak in detail of their contents, but must close, by assuring our readers, that the subjects are treated in a most masterly manner. Stille's Therapeutics and Materia Medica stands unrivaled in our language; it furnishes all the positive evidence for the materials of medicine required. The negative results of medication have never yet been collected; immortal honor to the author who shall collect and publish the opposite side. The arrangement and general plan of the work before us has contributed to its popularity. The happy combination of therapeutics with materia medica adds greatly to its value, and has established its reputation. It may very truly be regarded as a fountain of all knowledge in its department, and as presented in its third edition embodies what is known in therapeutics and materia medica.
The work of the publisher must not be omitted in this notice, when so many of our new books in medicine are bound in inferior manner. This work comes to us in two volumes, beautifully bound in leather of most enduring and permanent quality, while the typographical execution is unsurpassed. It is truly in all respects a model for imitation and admiration.
Chronic Diseases of the Larynx, with a special reference to Laryngoscopic Diag.
nosis and Therapeutics. By Dr. Adelbert Tobold. Translated from the German and edited by George M. Beard, A. M., M. D. New York: Wm. Wood & Co,, 1868.
Until quite recently the diagnosis of all diseases of the rested upon the greatest uncertainty, arising from the unsatisfactory manner in which the pathological changes occurring in this organ could be observed; since the introduction,
however, of the laryngoscope, the diagnosis of this class of diseases has attained to a degree of positiveness and cortainty.equal to that attained by the opthalmoscope in the diseases of the eye. The development of this science has been 80 rapid that our text-books treat this important agent (the laryngoscope) in the 6 local diagnosis” of laryngial affections in the most cursory manner, rendering a work which would fully treat this class of diseases an absolute necessity. This necessity appears to us to be fully supplied by the work of Dr. Tobold, and with the extensive and valuable additions by the editor to fully meet all requirements.
The first eleven chapters of the work have been devoted to a general consideration of laryngoscopy; the description and mode of application of the apparatus; the manner of conducting an examination; the laryngial image, and a chapter on rhinitis by the editor. The apparatus described is one of the author's own invention, in which a powerful artificial light for the purpose of illumination, replaces the solar, which latter is regarded as impracticable and unreliable on account of its variableness, the great desideratim in laryngoscopy being a powerfal and constant light.
The second part of the work is devoted to a consideration of the chronic diseases of the larynx, and it is here that we would wish to present some of the views of the author upon the interesting subject of tuberculosis laryngitis. The teachings of Trousseau and Belloe have been that phthisis laryngealsis may be of spontaneous development. The author's observations are decidedly opposed to this statement, he regarding tuberculosis laryngitis only as the effect of general tuberculosis ;" and furthermore, he says: “I hold that tuberculosis of the larynx as exclusively a product of tuberculosis of the lung.” The theory that the breaking up of the cavernous secretion should favor the formation of laryngeal tuberculosis, according to the view of Louis is also opposed by the author, since he says there are very numerous cases where an affection of the larynx has already far advanced before cavities have been formed in the lungs. Just as little could tuberculous bronchial sputa through contact with yet healthy laryngeal mem brane excite analogous processes unless ulceration of any other kind already existing in the larynx, favors the absorption of tuberculous matter."
We should be happy to place further extracts upon this aud other subjects before our readers, would space permit our so doing. The work highly commends itself to the attention of physicians, since it is the only one in our language fully discussing diseases of the larynx, diagnosed and treated by means of the laryngoscope.
DEATH OF Dr. Thomas C. BRINSMADE OF Troy, N. Y.-We are pained to learn of the death of Dr. Thomas C. Bringmade, one of the most widely known and highly esteemed meinbers of the profession. He died suddenly June 22d, aged 65 years, of disease of the heart, while presiding at a public moeting called in aid of the Rensselaer Institute. He has held many offices of trust and honor; was Vice President of the American Medical Association, President of the State Medical Society in 1857, and was one of the delegates to the Paris Scientific Congress in 1867. He was held in highest respect by the profession and the community in which he lived and labored, and his death will be widely felt and deeply mourned by all who knew him.
Books and Pamphlets Received. Circular No. 1-War Department, Surgeon General's Office, Washington, D. C.,
June 10, 1868. Report on Epidemic Cholera and Yellow Fever in the U. S. Army, in 1867. Lessons in Physical Diagnosis. By Alfred L. Loomis, M. D., Professor of the Institutes and Practice of Medicine, in the Medical Department of the University of New York, etc. Now York: Robert M. De Witt,
Publisher, No. 13 Frankfort street.
Edition, Revised. New York: Harper & Brothers, Publishers. 1867.
the year 1867.
New Sydenham Society's Publications.
Having made arrangements with the Hon. Local Secretary, Richard J. Dunglison, M. D., by and with the approval of the Society's Agent in London, to act as Agents in the United States for the publications of the New Sydenham Society, announce that they are now prepared to receive subscriptions for the year 1868, at Ten Dollars, payable in currency and invariably in advance, and to furnish any of the previous years at the same rate and on the same terms.
The Practical Character and Permanent Value of these publications and the very low price at which they are furnished, commend them to the favorable attention of the Medical Profession in the United States.
Four Volumes will be issued for 1868. The following works are now in preparation:
A Collected Edition of the Works of Dr. Addison; with Preface, Notes, Portrait and numerous Lithographs.
A Descriptive Catalogue of the Portraits already issued in the Atlas of Skin Diseases.
The Eighth Fasciculus of the Atlas of Skin Diseases.
Subscribers at a distance can have the Volumes as they appear, forwarded to them by mail, upon remitting to Lindsay Blakiston, Medical Publishers and Booksellers, No. 25 South Sixth street, Philadelphia, in addition to the subscription, 50 cents per volume for the postage, which must be paid in advance.
To SUBSCRIBERS OF THE LONDON LANCET.-The subscriber begs to inform his patrons, that he has entered into an arrangement with the London publishers, for the advanced sheets of The Lancet. The work will appear on the first of the month hereafter,
All subscriptions should be sent in at once, so as to enable the Agent to meet his enhanced home and foreign expenses.
WILLIAM O. HERALD,
Agent for the London Lancet.