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STARR ON DISEASES OF THE DIGESTIVE ORGANS mouth. This may be associated with another line, the IN INFANCY AND CHILDHOOD.*

genal, which extends from its middle almost to the malar In addition to the diseases of children's digestive tract

, or other abdominal viscera. Third, the labial,

bone. These indicate disease of the gastro-intestinal organs this volume considers the investigation of chil

commencing at the angle of the mouth and running outdren's diseases, and the general management of chil

ward, to be lost in the lower part of the face. This furdren. It would seem as if it were superfluous to devote

row is more shallow than the others. It directs attennearly four hundred pages to this subject, but a careful

tion to the lungs." reading of these show us that every page contains material both important and relevant.

Again respecting the cry. “Incessant, unappeasing The medical care of children calls for thorough crying is due to one of two causes, namely, earache or knowledge of the disorders of the nervous tract, and the hunger, and the distinction may be readily made by relations thereto of food. The cases are numerous in

putting the child to the breast or offering a properly prewhich severe disease can be cured as well as prevented pared bottle.”

The latest suggestion of value concerning the subby the judicious application of the principles here indicated. Especially is it important that young practition- jects discussed are to be found in these pages. ers should have at their command the latest modern

We trust that the book may have a wide circulation methods for unraveling the mysteries of infantile digest among all who have the care of children, as both doctors ive disorders, and the best means for their relief.

and patients will be more likely to be satisfied with the The portion relating to the investigation of disease

results. does not necessarily belong to this work, as it equally fits the investigation of any other disease of childhood. PHILLIPS' MATERIA MEDICA AND THERAPEUTICS But it is important that it should be well understood by

-ORGANIC SUBSTANCES.* all medical men. None can read it without profit. It

In 1882 the author published a work on materia is a portion of the labor of every doctor to seek to un

medica treating exclusively of inorganic substances. The ravel the ailments of the little people, and not a few fail

present work is a very thorough revision of his work on because unfamiliar with the best methods. The author's

organic substances. It is scarcely too much to claim for style is attractive, so that the work will be read with

this the merit of being an entirely new work. pleasure, as well as profit.

The separate plants are considered under the heads We quote a few sentences almost at random as il

of their respective botanical families. Thus under the lustrative.

head of Ranunculaceæ we find the aconite family, pulsaSpeaking of the expression of the child's face at the

tilla, helleborus niger, podophyllum peltatum, hydrastis onset of illness he says: “ Pain most of all sets its

canadensis, delphinium staphisagria, actæa racemosa. mark upon the countenance, and by noting the feature

In a similar manner each plant is placed under its affected it is often possible to fix the seat of serious dis

botanical genus. The treatment of the separate articies ease. Thus contraction of the brows denotes pain in the

is as follows: First, we have a description of the plant,

: head; sharpness of the nostrils, pain in the chest, and a

then its active principles; then an account of its absorpdrawing of the upper lip, pain in the abdomen. As a

tion and elimination; then its physiological action, exrule the upper third of the face is modified in expression

ternal and internal; then its physiological allies; then its in affections of the brain, the middle third in diseases of

physiological antagonists; then its therapeutical action; the chest and the lower third in lesions of the abdominal

then its preparations and dose, and finally its adulteraviscera.

tions. “ There are three sets of furrows on the face indi

All these points are considered from the practical cative of the part of the body to be further examined.

physician's standpoint. First, the oculo-zygomatic, beginning at the inner canthus

Besides the vegetable substances the author disof the eye and passing outward beneath the lower lid,

cusses the organic compounds made from vegetable subto be lost a little below the most prominent portion of

stances, and used in medicine, as carbolic acid, alcohol, the cheek. This points to primary or secondary dis

ether, etc., a long list of more or less important medicinal order of the cerebro-nervous system. Second, the

agents. These also are discussed from the standpoint of nasal, starts above the ala of the nose, and, passing

one who desires to use them for the relief of suffering downward, forms a semi-circle around the angle of the


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Lastly, from the animal kingdom certain substances *DiseasES OF THE DIGESTIVE ORGANS OF INFANCY AND CHILD. By Louis Starr, M. D. Illustrated.

*MATERIA MEDICA AND THERAPEUTICS.—By Charles D. F. PhilPhiladelphia: P. Blakiston & Son. 1886. Cloth; pp. 335.

lips, M.D. Price, $2.50.

Philadelphia: P. Blakiston, Son & Co. 1886. Pp. 1081. For sale by John Macfarlane, Detroit, Mich.

Cloth. Price $7.50. For sale by John Macfarlane, Detroit.




are derived which have a medicinal value. In this list L. Hamilton's monograph on the types of insanity which are musk, pepsin, pancreatine, cod-liver oil, etc. These we noticed some years ago. also are discussed in the same manner. Altogether the work is of great value, and will prove helpful to all who desire information concerning these several substances, BRAMWELL ON DISEASES OF THE SPINAL CORD.for use in the art of medicine.

SECOND EDITION.* The volume is handsomely printed in large type.

The second edition of this work was published in 1884. It, as well as the first edition, was received with

marked favor, being translated into German, French and EICHHORST ON DISEASES OF THE CIRCULATORY

Russian. Now it appears as the January number of AND RESPIRATORY APPARATUS. *

Wood's medical library. It does not appear that this This is volume one of Eichhorst's Handbook of issue is different from that of 1884. As such, it will Practical Medicine. It is well known as a standard work prove of interest to hundreds of physicians to whom the of unusual value, and as such will be cordially welcomed English edition was inaccessable. The author's plates by the subscribers to Wood's Library of Standard Med- are also reproduced, and in such shape as to be satisical Authors. The present volume contains over one factory. These are so numerous and so truthful as to hundred wood-cuts illustrative of the text. The author wonderfully enhance the value of the text. At this late having been for a period of years teacher of pathology date any full notice of the work is uncalled for. Unand therapeutics, and director of a medical clinic, it is questionably it has increased the sales of this series of clear that the results of such training would be made Wood's library. prominent in his writings. Hence we find running through this volume a rare combination of pathological

ADAMS' TRANSLATIONS OF THE WORKS OF HIPknowledge, therapeutical skill, and clinical good sense.

POCRATES. In short, his pathology and therapeutical knowledge is welded with his mastery of the objective and subjective

This was first issued by the Sydenham Society many phenomena of the diseases treated. As a result we have

years ago. It was gratefully received by the subscribers a definiteness and certainty in matters of diagnosis and

of that society, and has from that time been one of the treatment that is very satisfying to one seeking for light medical classics. Necessarily the edition was a limited and aid in his actual work in treating diseases.

one. To remedy this and place it among a larger number of readers, the Woods have begun its issue as a por

tion of their Library of Medical Authors. BLANDFORD'S LECTURES ON INSANITY.

None will question the desirability of medical men

and all medical students being acquainted with the beThese lectures were delivered many years ago, be

ginnings of scientific medicine as shown in the writings fore the students of St. George's hospital medical school.

of the father of medicine. True, the work has passed through three editions, and each has been changed more or less to meet the changes occurring in the author's mind, but they are still in form

HILL AND COOPER'S STUDENT'S MANUAL OF and spirit lectures for medical students, with all the ex

VENEREAL DISEASES-FOURTH cellencies and defects of such compositions. It is un

EDITION REVISED. necessary to point these out at the present time, as they

This edition has been so changed as to present a fair will be readily grasped by each reader. Certain it is,

statement of the principles upon which venereal diseases however, that they form very attractive reading, and impressively inculcate important principles relating to * DISEASES OF THE SPINAL CORD. By Byron Bramwell., M. D., insanity in its relations to the work of medical practi- F. R. C. P. (Edin.). Forty-three colored plates and one tioners. This being a reprint of the third edition, it is

hundred and two wood engravings. Second Edition. New

York: needless to attempt any analysis.

Wm. Wood & Co. 1886. Cloth, pp. 293.


only by subscription in sets of twelve volumes each year. To it the publishers have added a reprint of Dr. A.

+ THE GENUINE WORKS OF HIPPOCRATES, translated from the * HANDBOOK OF PRACTICAL MEDICINE. By Hermann Eichhorst. Greek by Francis Adams, LL. D. Surgeon, in two volumes.

Volume I. New York: William Wood & Co. 1886. The Vol. I. New York: William Wood & Co. 1886. Cloth; March number of Wood's Library of Standard Medical pp. 390. Sold only by subscription to Wood's Library of Authors. Sold only by subscription to the same.

Standard Medical Authors. + INSANITY AND ITS TREATMENT. Lectures on the Treatment, The Student's MANUAL OF VENEREAL DISEASES. By Berke.

Medical and Legal, of Insane Patients. By G. Fielding ley Hill, M. D. and Arthur Cooper, M. D. Fourth edition. Blandford, M. D., Oxon. Third Edition. New York: Wm.

Philadelphia: P. Blakiston, Son & Co. 1886. Pp. 102. Wood & Co. 1886. Pp. 379, Cloth. This forms the Feb. Cloth. Price $1.00. ruary issue of Wood's Library of Standard Medical Authors.

For sale by John Macfarlane, Detroit, Mich.


are to be treated, and the details by which these princi- of an extraordinary death-rate, which has in a degree ples are made useful in the actual treatment of disease. been lifted in an elaborate paper by Dr. S. E. Post, which It may serve as an introduction to the study of larger appears in the January number of the American Journal works. As such it may prove useful to many students. of the Medical Sciences. The article ably presents a brief

history of the operation, the fact of a recently diminished

mortality, with an analysis of its concomitants, and STEVENS ON THE BEST PRELIMINARY EDUCA- among them possibly its cause. The author shows: TION FOR THE STUDY OF MEDICINE.*

1. The results of kolpohysterectomy for cancer This little work constituted the Boylston Prize Essay

have progressively improved with increase of the num

ber of operations. for 1885. It is written from the American standpoint.

The total number of operations done up to the In the main the positions taken will commend themselves to the well educated medical man. We could hope that

present time is approximately 341, with a total mortality it might be widely read and studied by all classes in and

of 27 per cent. Two hundred and twenty-two cases were out of the profession.

treated with the open peritoneal wound, with a mortality of 22 per cent. Of the 222, 93 had the supravaginal

wound covered by peritoneum, with a mortality of 18 Abstracts from Erchanges.

per cent.; and of 93, 50 were operated upon during the past three years, with a mortalıty of 10 per cent.

3. Of 97 cases who survived operations done prePrepared by A. B. Lyons, M. D., Walter P. Manton, M. D., and W. R. vious to 1883, 18, or 20 per cent., are known to have been Chittick, M. D.

well at the end of 18 months or two years. DISEASES OF CHILDREN.

4. The latest results of kolpohysterectomy for canRenal CALCULUS FROM AN INFANT.-Dr. Partridge

cer contrast not unfavorably with those of the total exrecently exhibited before the New York Obstetrical tirpation of other organs for malignant disease. Society a stone as large as a hazel-nut which had been

5. The tendency of medical literature is to regard removed post-mortem from the left kidney of an infant

kolpohysterectomy for cancer as a legitimate operation, 20 months old. The child had been admitted to the

subject only to the restrictions common to other extirpa

tions for malignant disease. hospital, suffering from mild inflammatory diarrhæa. Subsequently she had whooping-cough, and two weeks later developed a croupous pneumonia of the right upper

THE TREATMENT OF HYSTERIA.—Dr. Chas. K. and middle lobes, to which she succumbed. At the

Mill recently read a paper before the Philadelphia Mediautopsy, besides the usual pulmonary appearances found

cal Society (Polyclinic), in which he considers chiefly the in this pneumonia, etc., the calculus was found encap

following points: 1. The moral treatment of hysteria. suled, but not adherent, in the pelvis of the kidney.

2. The value of operative procedures. 3. The treatment Stone of such size in so young a child is among the

of grave convulsive attacks. rarities.— Am. Jour. Obstetrics, Feb., 1886.

Under the head of moral treatment he discussed M.

chiefly the best methods of applying this treatment; he discountenanced harsh methods, except in special cases,

and believes that they should only be used after due GYNÆCOLOGY.

consideration and by a well digested plan. KOLPOHYSTERECTOMY FOR CANCER, WITH TABLES With reference to oöphorectomy for hysteria he conCOMPARING ITS METHODS AND RESULTS.—The an- cluded: 1. It is only rarely justifiable. 2. It is not nouncement of but an eight per cent. mortality in 24 justifiable in the case of girls who have not menstruated. consecutive cases by Fritsch, of but nine per cent. mor- 3. When disease of the ovaries can be clearly made out tality in 55 consecutive cases by Martin, and of 16 cases by local objective signs, it is sometimes justifiable. 4. by Staude, without one death, has revived a somewhat It is justifiable in some cases with violent nymphomania. abated interest in this operation. Sänger's mortality of 5. The operation is sometimes performed without due 28 per cent. obtained in 1883, had to the end of 1884 re- consideration, and the statistics of the operation are mained unaltered, not withstanding the increased num- peculiarly unreliable. bers of Mundé's, Doche's, and Duncan's list. The limits The treatment of spasmodic seizures, he said, of success had been apparently reached, and the opera- should differ according as they were purposive or involtion, even by its friends, abandoned to the opprobrium untary. For the purposive or voluntary attacks, such

measures as threats, holding of the nose, inhalation of * The Best PRELIMINARY EDUCATION FOR THE STUDY OF MEDI.

ammonia, etc., might answer. Nerve pressure, inhalaCINE. By Edward S. Stevens, M. D., Lebanon, O. Cloth;

tions of nitrite of amyl, and electrical currents to the pp. 45. For sale by John Macfarlane, Detroit, Mich.

limbs, feet, and, in well chosen cases, to the head were




advised. It was insisted that electricity should never be suffering; it destroys, and does not save, life.

It is, applied to the head except by a physician entirely therefore, not a useful, but an injurious operation; and

; familiar with its properties and powers.

being such, it is unjustifiable, and ought to be aband

oned. (Jour. Amer. Med. Ass., Aug., 1885.) ENCEPHALOID SARCOMA OF THE RIGHT OVARY.Gallozzi reports the following case (Gazetta degli Ospi- A REMARKABLE Case. -Under the above title Dr. tail; Medical News.)

Aveling relates, in the London Lancet (Aug., 1885), the A girl, 13 years old, came to him suffering from following history: general malaise, and the history of a pain in the right The patient, a lady thirty-eight years of age, was iliac fossa, which had existed for two years. There was struck in the left eye by the head of one of her children, no disturbance of respiration or digestion, or history of in October, 1884. Six weeks later she experienced hereditary tendency to this disease. The abdomen was noises in the ears, tenderness of the nose, and pain at enlarged, but there was no marked prominence nor alter- the back of the head when she stooped or had the bowation in color, or venous engorgement. The circumfer- els moved. Speech was also affected-she hesitated and ence at the umbilicus was 31.6 inches. An ovoid tumor, stammered when she spoke. The symptoms continued, of uneven surface and moderately elastic, was discovered gradually getting worse until March, 1885. During this

, extending from the left costal arch into the basin of the period she had been seen by seven distinguished medical pelvis. Vaginal examination was impossible. Twenty- men, besides her attending physician. two days after the patient entered the hospital laparot- March 22, she complained of having a constant omy was undertaken. It was found that the tumor was feeling of weight in the pelvis—as if somthing was comso adherent that total removal could not be accomplished ing down—and that she could only pass a small quantity

— except with immediately fatal results, and accordingly of water at a time, and with great effort. Examination the abdomen was closed, portions of the tumor being revealed extreme anteversion of the uterus, with a full left in the cavity in two localities-one, the size of a fist, bladder, the fundus of the uterus resting on, and making,

— on the left hand side of the spinal column; another, as it were, a bed for itself in the bladder. The uterus somewhat smaller, in the cavity of the pelvis. Antiseptic was replaced, and later a cradle pessary adjusted, when dressings were applied, and the patient during the fol- all the head symptoms disappeared. lowing day and night was in a satisfactory condition, with only a slight rise of temperature. Febrile symp- HysterectomY FOR UTERINE FIBROIDS.—Dec. 16, toms, however, developed, and death from peritonitis 1884, Dr. Lusk exhibited a large fibroid tumor together ensued a day later.

with a number of smaller ones, before the New York

Obstetrical Society (Amer. Jour. Obstetrics, Aug., 1885). VAGINAL HYSTERECTOMY FOR CANCER.—Dr. Reeves There had been much ascites, the patient was reduced in Jackson, of Chicago, concludes his paper on the above flesh and general health, and when first seen was passing subject with the following remarks:

from one to five ounces of urine, which contained albu1. Any operation for cancer which does not com- min, daily. This latter increased under the use of pletely remove the disease will be followed by recur- acetate of potassium and digitalis; but on the withdrawal

of the remedy, again diminished in amount. After waitDuring life, the diagnosis of the extent of can- ing several months, the deplorable condition of the pacerous disease originating in any part of the uterus is at tient demanded more active treatment, and accordingly present impossible; hence, no operative procedure can the abdomen was opened, allowing about a gallon of afford a guarantee of complete removal.

ascitic Auid to escape, and the uterus with the fibroids 3. In view of this necessary doubt, no operation is was removed. The patient made a good recovery. justifiable which greatly endangers life, provided other The point of interest in this case is the fact that as and safer methods of treatment are available.

soon as the uterine tumor was removed the urine was 4. Vaginal hysterectomy has sacrificed the lives of secreted in normal quantity, and no longer contained more than one-third of those who have been subjected to albumin. it, the mortality of the operation when done by those of This is noteworthy, because it is stated in obstetrical greatest skill and experience being over 36 per cent. works that inefficient action of the kidneys in puerperal

5. Other methods of treatment, attended by not eclampsia is not due to pressure of the gravid uterus. more than one-sixth to one-fourth the mortality of vaginal extirpation, are equally as efficient in ameliorat- A DRAINAGE TUBE LEFT IN THE PERITONEAL ing the symptoms and retarding the progress of the dis- CAVITY.–At a late meeting of the Berlin Obstetrical ease; and they have been followed by as good or better and Gynecological Society, Dr. Veit showed a drainage ultimate results. Hence, they should be preferred. tube of the length and size of the little finger, which had

6. Vaginal hysterectomy does not avert or lessen been left in the peritoneal cavity by mistake during an





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operation for total extirpation of the uterus. Four and appear to hear normally both the acumeter or watch and a half months later it was discharged per rectum.

whispered words. The author refers such lesions to the A similar accident happened in his early practice, cochlea. the drainage tube in this case perforating the bladder. 7. Adhesive processes which diminish the percep

tion of whispered words, also impair the hearing for high notes.

8. When in those who are very hard of hearing OTOLOGY.

there exists an abnormally acute hearing for high notes DIFFERENT Modes of Testing HEARING_Com- there is every probability that there is anchylosis of the PARATIVE RESULTS.— Prof. Burckhardt-Merian (Archiv. stapes. f. Ohrenheilk; Amer. Jour. Med. Sciences) employs four 9.

An equal reduction of hearing for the acumeter, modes of testing hearing. First, with Politzer's acu- whispers, metallic rods, and Galton's pipes, may be conmeter. Second, the use of whispered words. Six meters

sidered as an evidence of disease of the internal ear, he regards as the maximum for the normal hearing of

Relatively good perception for high notes with such spoken words. Third, high notes by König's rods. simultaneous deafness for low notes, sometimes accomFourth, the perception of Galton's pipes.

panies the most intense forms of deafness. The results of applying these tests he gives as fol- 11. Galtor's pipes are indispensable in the discovery lows:

of lacunæ in the scale of perception of notes. 1. In a series of cases it is shown that in persons of

Deaf mutes and very deaf subjects may still reall ages affected in hearing, bone conduction is so power- tain relatively good hearing for high notes. ful that the finest closure of both auditory canals cannot effect a weakening of König's rods nor of Galton's pipes. 2. Generally, especially in children, a collection of

OPHTHALMOLOGY. cerumen does not reduce the hearing for the test rods or Galton's pipes, yet the reverse is not infrequently the case, PRIMARY GLAUCOMA IN RELATION TO AGE.- Mr. so that when the collection of wax is combined with deaf- Priestly Smith (Brit. Med. Jour., March 20,) gives the ness for high notes, it is impossible to inake a conclusion results of a study of one thousand cases of glaucoma. as to possible farther affection of the auditory apparatus. By a careful study of these he reached the following conIn cases of obstruction of the ear by collections of ceru- clusions: men, the perception of whispers is chiefly interfered with 1. Primary glaucoma is extremely rare in childwhile that for the acumeter is less so.

hood and youth. 3. Exudation in the tympanic cavity interferes in 2. Its frequency increases slowly at first, then more the greatest degree with the perception of whispering, rapidly up to the sixth decade; between sixty and seventy and often also that of the acumeter, but only in rare it is about as frequent as between fifty and sixty; after instances with the hearing of high notes, and then per- seventy its frequency declines. haps it is due to the pressure upon the round window. 3. Cases beginning after fifty are about twice as

4. Perforations in the membrana tympani, even numerous as cases beginning before fifty. when the malleus and anvil are destroyed, increase the 4. Females suffer in rather larger numbers than perception of high notes, but disturb chiefly the hearing males. for whispers, less than for the acumeter. Conversely 5. The non-congestive form is commoner in males there occurs especially in the loss of the anvil a delicacy than in females. of hearing whispers, while loud words are heard with 6. The congestive forms are mnch commoner in difficulty.

females than in males. 5. Excessive hydrostatic pressure in the labyrinth 7. The liability is extremely slight in childhood diminishes in the highest degree the perception of high and youth. notes, and also nullifies in general the hearing powers. 8. The liability continually increases up to the If, however, in such cases the hearing remains normal or seventh decade; between sixty and seventy it is at least not markedly diminished it is to be referred to the regu- twice as great as between forty and fifty. lation of the entotic pressure effected by the aqueducts. 9. After seventy years of age the liability seems to

6. If with relatively normal hearing for whispers diminish. and the acumeter high notes are not perceived, or only

The liability of females is greater than of males. imperfectly so, it indicates an affection of the cochlea.

The extra liability of females pertains to the Thus, after exposure to explosions, discharge of firearms, whole life, except perhaps to the periods before thirty loud locomotive whistles, etc., in addition to the uncom- and after seventy, concerning which the data are insuffortable feeling in the ear, it is found that those thus ex- ficient for generalization. posed do not perceive accurately high notes, while they

The extra liability of females relates to the



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