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engaged in their duties shall be allowed and paid out of the appropriation made for its support. They shall elect annually one member of the board to be president. They shall also elect, from among their own members or otherwise, a person of skill and experience in public health duties and sanitary science to be the secretary and executive officer of said board, who shall have all the powers and privileges of a member of the board, except in regard to voting upon matters relating to his own office and duties as secretary, and he shall hold said office for the term of three years, but he may be removed for cause, after a full hearing by the board, a majority of the members voting therefor.

SEC. 4. The State board of health may adopt bylaws regulating the transaction of its business, and provide therein for the appointment of committees, to whom it shall delegate authority and power for the work committed to them, and it may also adopt and use an official seal. Six members shall constitute a quorum for the transaction of business.

SEC. 5. The secretary shall keep a record of the acts and proceedings of the board, perform and superintend the work prescribed in this act, and such other duties as the board may order, and shall receive an annual salary of $3,000, which shall be paid him in the same manner as the salaries of other State officers are paid, and such necessary expenses shall be allowed him as the comptroller shall audit on the presentation of an itemized account having vouchers annexed, together with the certificate of the board.

matters or things found and certified by the State board of health to be nuisances, declare them to be public nuisances, and order them to be changed as he shall direct, or abated and removed.

Any violation of such an order shall he held and punished as a misdemeanor; and thereafter the gov ernor may, by his order in writing certified under his official seal, directed to officers of the county in which said nuisance shall be situated, require the district attorney, the sheriff, and the other officers of every such county, to take all the necessary measures to execute and to have obeyed the order of the governor.

SEC. 9. At any time at the request of the State board of health, or whenever the governor shall, as hereinbefore provided, have directed an examination and report to be made by the State board of health into any alleged nuisance, any board of health of any city of the State may appoint and select any one of its officers as its representative during such examination of any nuisance; and such representative officer shall have a seat at, and be entitled to take part in, all the deliberations of the State board of health, during such investigation, but without the right to vote.

SEC. 10. Said board may from time to time engage suitable persons to render sanitary service, and to make or supervise practical and scientific investigations and examinations requiring expert skill, and to prepare plans and report relative thereto; and it is hereby made the duty of all officers and agents having the control, charge, or custody, of any public structure, work, ground SEC. 6. Said board shall take cognizance of the in- or erection, or of any plan, description, outlines, drawings terests of health and life among the people of the or charts thereof, or relating thereto, made, kept, or conState; they shall make inquiries in respect to the trolled under any public authority, to permit and facilcauses of disease, and especially of epidemics, and in-itate the examination and inspection, and the making vestigate the sources of mortality, and the effects of localities, employments, and other conditions upon the public health. It shall be the duty of said board to obtain, collect, and preserve such information relating to deaths, diseases, and health as may be useful in the discharge of its duties and contribute to the promotion of health or the security of life in the State of New York. And it shall be the duty of all health officers and boards of health in the State to communicate to said State board of health copies of all their reports and publications; also such sanitary information as may be useful.

SEC. 7. It shall be the duty of the State board of health to have the general supervision of the State system of registration of births, marriages, and deaths. Said board shall prepare the necessary methods and forms for obtaining and preserving such records, and to insure the faithful registration of the same in the several counties and in the central bureau of vital statistics at the capital of the State the said board of health shall recommend such forms and amendments of law as shall be deemed to be necessary for the thorough organization and efficiency of the registration of vital statistics throughout the State. The secretary of said board of health shall be the superintendent of registration of vital statistics of the State. As supervised by the said board the clerical duties and safekeeping of the bureau of vital statistics thus created shall be provided for by the comptroller of the State, who shall also provide and furnish such apartments and stationery as said board shall require in the discharge of its duties,

SEC. 8. At any time the governor of the State may require the State board of health to examine into nuisances, or questions affecting the security of life and health in any locality; and in such case the said board shall have all necessary powers to make such examinations, and it shall report the results thereof to the governor within the limits of the time which he shall prescribe for such examination and report.

The report of such examination, when approved by the governor, shall be filed in the office of the secretary of state; and the governor may, in relation to the

of copies of the same by any officer or person by said board authorized; and the members of said board, and such other officer of person as may at any time be by sald board authorized, may without fee or hinderance, enter, examine, and survey all grounds, erections, vehicles, structures, apartments, buildings, and places; but no more than $5,000 in any one year shall be expended. for such special sanitary service.

SEC. 11. It shall be the duty of said board, on or before the first Monday of December, in each year, to make a report in writing to the governor of this State, upon the vital statistics and sanitary condition and prospects of the State; and such report shall set forth the action of said board and of its officers and agents and the names thereof, for the past year, and may contain other useful information, and shall suggest any further legislative action or precautions deemed proper for the better protection of life and health. And the annual report of said board shall also contain a detailed statement of the comptroller of all money paid out by or on account of said board, and a detailed statement of the manner of its expenditure during the year last past, but its total expenditures shall not exceed the sum of $15.000 in any one year.

SEC. 12. The sum of $15,000 is hereby appropriated from the general fund for the purpose of this act, and the expenditures properly incurred by authority of said board, and verified by affidavit, subject, however, to the limitations hereinbefore imposed, and shall be paid by the treasurer upon the warrant of the comptroller. SEC. 13. This act shall take effect immediately.

DIABETES INSIPIDUS. --Diabetes insipidus occurs suddenly, is associated with polydipsia, polyuria, and polyphagia. Later in the course of the discase the teetli fall out and prostration and impotence occur. The disease then advances steadily without interruption, and continues 2--6 years, death following, almost without exception, from phthisis pulmonum. Postmortem section almost always reveals atrophy of the pancreas, and that this condition is the cause of diabetes insipidus is now scarcely to be doubted.—Med. Neuigk

CORRESPONdence.

Messrs. Editors:

As I am advised that the first volume of the "Index Catalogue of Library of the Surgeon-General's Office," now in the hands of the printer, will be out the last of December, 1880, to be distributed only to public libraries, institutions, and those who have contributed largely to the library, owing to the smallness of the edition, and as it will be but a little additional expense while in type to strike off a larger edition for more extended distribution among medical men, I would suggest that every physician immediately write their member asking Congress to make an additional ap propriation for a larger edition, under a hope that they may be fortunate enough to obtain a copy of this valuable publication, believing they can in no other way better further the objects of said distribution. Respectfully,

D. S. KIMBALL.

BIBLIOGRAPHICAL.

MATERIA MEDICA AND SPECIAL THERAPEUTICS OF THE NEW REMEDIES.-By Edwin M. Hale, M. D.. late Professor of Materia Medica and Therapeutics of the New Remedies in Hahnemann Medical College, Chicago; Professor of Materia Medica in the Chicago Homœopathic College; author of Lectures on Diseases of the Heart, Characteristics of New Remedies, Dis eases of Women, etc. Fifth edition; revised and enlarged (thirty-seven new remedies); in two volumes, pp. 901. Boericke & Tafel, New York and Phila delphia; 1880.

It is impossible in the space at our present command to take the notice of this volume which could be dignified by the term "review." The undertaking is too immense, and must be reserved for the future. From a cursory examination we can say that there is no work on the subject which can answer its purpose.

We would like to have seen a simple brief resume of characteristics at the conclusion of each subject, and we are glad that many of Dr. Farrington's valuable comparisons are included. Hale's Materia Medica work has been the most popular of any, and we have no doubt the present volume will have an extensive sale, as it surely ought. Messrs. Boericke & Tafel maintain their well known reputation in the physical part of the work.

A SYSTEM OF MEDICINE. Edited by J. Russel Reynolds, M. D., F. R. S., with numerous additions and illustrations by Henry Harishorn, A. M, M. D.; in three volumes. Volume I, General Diseases and Diseases of the Nervous System. E. R Pelton, 25 Bond street, New York, agent of Henry C. Lea, Philadelphia.

Thompson; Malposition of the Uterus, by Grailey Hewitt: Insanity, by Henry Maudsly; Consumption, by J. Hughes Bennett; Diseases of the Spine, by Anstie; Affections of the Larynx, by Morrell Mackenzie, Charles Beard Radcliffe; Alcoholism, by Francis B. ect. All the medical schools in Great Britain have work. The original edition was published in five contributed their best men to enrich this magnificent volumes of five thousand pages. In this edition not smaller but perfectly clear type and double columns-only this large amount of matter--by the use of has been compressed into three volumes of three thousand pages, but the whole work has been thoroughly to bring it fully up to the present time. The book has revised, with the corrections and additions necessary been made more thoroughly American by giving marked prominence to those diseases more common in this country, which are elaborated with great fullness and care.

The completion of the entire work may be expected carly in March of the present year. The price has been so reduced in the American edition as to bring it within the reach of all, and we presume it will prove an important addition to the library of every student as he starts out on his professional career.

Expositor, which is published quarterly. It is a live
Dr. Morgan, of Ithaca, has enlarged his Homœopathic
Journal, thoroughly practical, and we are glad to hear
it is meeting with marked success.

THE URINE OF THE NEW BORN. Consisting of Prac-
tical Studies of the Urine of the New-Born, with
Applications to Physiology and the Clinique and
Clinical Studies of the Urine of the New-Born in
Athrepsia. By J. Parrot, professor of the medical fac-
ulty of Paris, physician of the Hospital of Enfants
Assistés; and Albert Robin, Interne of the Hospi-
tal, etc. Translated from the Archives Générales
de Médecin, 1878. By Geo. E. Shipman, M. D.
Chicago. Pp. 66. (C. T. Hurlburt, 15 E. 19th
St., N. Y.)

A most complete exposition of the subject. CLINICAL THERAPEUTICS. By Temple S. Hoyne, A. M., M.D., Professor of Materia Medica, etc. Vol. II., Part VIII Containing conclusion of Lachesis, Laurocerasus, Plumbum, Stannum, Cimicifuga, Esculus, thusa, Agaricus, Agnus, Ailanthus, Cepa, Aloes, Ambra, Ammonium muri. aticum, Anacardium, Angustura, Antimonium crudum, and Antimonium tartaricum.

We are glad to see this work so regularly and rapidly approaching completion. It is the best index to the typical in our clinique.

UTERINE FIBROIDS. By H. F. Biggar, M.D., professor of surgical diseases of women and clinical surgery. Cleveland.

A report of eleven cases cured by surgical aid, elec. trolysis, and by the use of Ergot. TRANSACTIONS OF THE HOMEOPATHIC MEDICAL SOCIETY OF THE STATE OF NEW YORK. Vol. XV., 1879.

There are no works upon medicine so thoroughly practical as those emanating from the English and American press. German thought leads to minute pathological investigation, upon which are founded theories which are not unfrequently swept away by the results of experience. We are given the philosophy of disease, with often scarcely a suggestion as it No better index of the advancement of the homoeoregards treatment. All this is of course most im-pathic profession in the State of New York exportant, and the English and American mind utilizes the facts thus produced in their comprehensive dis cussion of disease and the treatment. Reynolds' system of medicine was commenced many years ago, and since the issue of the first volume no work on medicine issued from the English or American press has been received with such marked and deserved favor. The object kept in view throughout has been to discuss thoroughly the treatment and cure of disease by men who were experts in each department. Thus we have: Diseases of the Bladder, by Sir Henry

ists than the annual report of the State Society. The volume before us contains more than the usual number of articles, and a careful comparison with former volumes indicates more than the usual care in their preparation. Some of the most celebrated practitioners and thorough scientists in our school are contribu. tors to this volume, gracing its pages with the results of years of study and extended observation; but we are pleased to notice that some of the finest essays in the volume are from the pens of hitherto unknown authors. While all the articles indicate careful study,

and many of them extended research in medical literature, still it is evident that the great incentive to their production has been a desire to assist others in their efforts to cure disease, and all the contributors seem to have felt that at the present day the great demand is for practical knowledge. In the report of the annual meeting of 1879 appear the extended remarks of Prof. Dowling upon the management of the New York Homœopathic Medical College. Under the report of the Bureau of Materia Medica, Dr. J. J. Mitch ell and others contribute valuable papers, and Dr. H. M. Paine gives his peculiar views, concerning dynamization and the minimum dose.

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The report of the Bureau of Mental and Nervous Diseases is, perhaps, the most valuable part of the book. There are tive articles, by Drs. Talcott, Lilienthal, Butler, and Paine, each one of which is thor oughly practical, and all of which are largely the result of original investigation. If this bureau continues to make such annual reports as this to the State Society, the Transactions will contain the most valuable in sane literature" of the day.

dletown Asylum, with Results,' by Georgiana Horton,
indicates something of what is being done by local
treatment for the relief of insane females. These ex-
aminations and treatments are conducted, in the Mid-
dletown Asylum, entirely by lady physicians.
Dr. E. W. Rogers, in the discussion of "Uterine
Displacements, their Causes and Cure," convinces us
that he knows whereof he writes.
Dr. Rogers recom-
mends a suitable dress, properly worn; the observance
of hygienic laws; the abandonment of the pessary;
posture and suitable muscular exercises as the means
most likely to prevent and cure uterine displacements.
The volume contains 320 pages, but it is so much
more closely printed than any of the former volumes
that it contains the usual quantity of reading matter.
It may be obtained of the Treasurer, Dr. E. S. Coburn,
91 Fourth Street, Troy, N. Y., in paper cover for one
dollar or in cloth for one dollar and a half per copy.
H. L. W.

The Clinique: A Monthly Abstract of the Clincis and
of the Proceedings of the Clinical Society of the
Hahnemann Hospital of Chicago.

We have received the initial number of a thirty-two page periodical, intended as the clinical record of one of the best conducted hospitals in the country. It is a disgrace to our school that institutions of this kind do not furnish more reports of the results of their doings, and we are glad to see that a reform in this particular has really commenced. We sincerely hope that this effort may have the effect of inducing other similar institutions to allow reports of their works to go forth to the profession, which looks anxiously for them.

The report of the Bureau of Surgery comprises four papers, the last of which is "A Contribution to the Antiseptic Treatment of Wounds," by Dr. David Wark. In this article the doctor claims that the application our school in the United States, has recently passed THE Hahnemannian Monthly, the oldest magazine in of officinal dilute alcohol to wounds as effectually de- into the hands of the Hahnemann Club. In the varistroys septic germs as the cumbersome and complious editorial changes through which this magazine cated appliances and applications of Lister. The doctor thinks the free application of carbolic acid, as ite with the profession. has passed, it has always been ably edited and a favorWe wish it the success which required in Lister's method, likely to be followed by it richly merits. serious toxic effects upon the system.

The report of the Bureau of Obstetrics contains four articles, and the Bureau of Gynecology five.

The Bureau of Pædology contains five articles. The first, "Diseases of the Umbilicus," by Mrs. J. G. Brinkman, M.D., contains a great amount of information upon a subject not often as well considered in text books. Physicians should remember this article, and turn to it in case of trouble with the umbilicus in a new-born infant. The next article is a careful review of the subject of “ Syphilis in Children,” by Dr. Sarah J. White.

The Bureau of Ophthalmology, Otology, and Laryn. gology contains eight articles, all of them good, and all of them by meň entitled to speak with authority upon the subjects of which they treat.

The Bureaus of Histology, Climatology and Vaccination are each well sustained.

The report of the Bureau of Vital Statistics consists of an interesting article by its chairman, Dr. A. W. Holden, entitled "Longevity."

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The report of the Bureau of Medical Education con. sists of an article by Dr. J. C. Minor, entitled Competition in Teaching as a Factor in the Reform of Medical Education." The doctor thinks that in each medical college there should be several professors in each subject taught. This would create a rivalry, and the best teacher would be sure of the most students. He would allow "medical colleges to confer degrees in medicine, but would not allow the titled candidates to practice till they had passed an examination before the State Board of Examiners." It appears to us that Dr. Minor is sound in his doctrine on this point. Under the heading. "Additional Papers," are in cluded seven interesting papers. The first, "Uterine Examinations of Female Insane Patients at the Mid

ANOTHER ORGAN." The faculty of the College of Physicians and Surgeons, of Buffalo, N. Y.," have issued the first number of " a monthly journal, devoted to the best interests of the profession"-which means, we presume, the best interests of the college which it rep resents in a handsome dress, and apparently with considerable editorial ability.

OBITUARY.

Frederick Houston Bradner, M.D., died at Middletown, N. Y., aged 31. He graduated at the N. Y. Hom. Med. College in the class of 73, at the time of his death was engaged in a lucrative practice, and was President of the local Board of Health.

The Orange Co. Hom. Med. society adopted the following resolutions:

Since God in His wisdom has removed our esteemed friend and brother, therefore

Resolved, That in the death of Dr. Fred. H. Bradner we recognize the chastening hand of Him who hath set a bound and limit to every life, and who in His infinite wisdom doeth all things well. We bow, therefore, in reverent submission to this mysterious decree, knowing that from the source of affliction comes also the balm of consolation.

Resolved, That we cherish in pleasant memory the virtues of our deceased brother, and seek, by earne-t emulation of those virtues, to perpetuate the name and continue the influence of our departed friend.

Resolved, That, while we would not intrude upon the sacred grief of the home circle, we yet tender our warmest sympathies to the immediate friends of the deceased.

Resolved, That these resolutions be engrossed upon the records of the Society; that a copy be sent to the relatives; and that the local press and HOMEOPATHIC TIMES, of New York, be also furnished with copies of SELDEN H. TALCOTT, Committee. WM. M. BUTLER,

the same.

Dr. Harrison V. Miller, of Syracuse, N. Y., died Nov. 26, 1879, of apoplexy. He was for many years the efficient Secretary of the Central New York Homoeopathic Medical Society.

TRANCHAND.-Dr. Jean Francois Regis Tranchand, a well known physician of this city, died on Nov. 15, of apoplexy. He was born at Lille, France, on the 5th of December, 1809. He was one of the veterans of the French democracy and a follower of Fourier. When the coup d'etat of 1851 occurred his sturdy republicanism aroused the anger of the Bonapartists, and he was obliged to go into exile. He went first to London, and after remaining there a few years, came to this city, where he established a practice, especially among the French residents. Although a man of varied tal ents and great learning, he was noted for his modest and retiring demeanor. He made many friends, and never lost the good will of any.

BUMSTEAD.-Dr. Freeman I. Bumstead died at his residence in this city, Nov. 28, of disease of the liver. He was principally known to the profession from his very excellent treatise upon venereal diseases, and from his skill as a specialist in the treatment of venereal troubles.

REPORTS OF SOCIETIES, ETC.

REPORT OF THE MEDICAL BOARD, HO-
MEOPATHIC HOSPITAL, W. I.

JANUARY 1, 1879.
Hon. Townsend Cox, President Department of Public
Charities and Correction:

The second improvement is ventilation, so that this object may be attained without the danger of exposing patients to the drafts of open windows.

The Medical Board refers with pleasure and pride to the small amount of alcoholic stimulants which has been prescribed during the year, the aggregate reaching the small sum of $124.32, while the expenses for drugs has only amounted to $2,365.05.

The clinical advantages have been considerably augmented during the year, and the attendance of students largely increased.

Owing to the distance of this institution from the city, we have been compelled to call upon your honorable board for increased facilities for conveyance, and we gratefully acknowledge in this manner your uniform courteous acquiescence in all reasonable requests, for the general benefit of all concerned.

The house staff has done excellent service during

the year, and by the adoption of our proposed graded service we confidently expect still greater efficiency in the year to come.

Owing to declining health, Chief of Staff Austin W. Holden resigned on the first of November.

At a meeting of the Medical Board, held November 14, the following resolution was adopted:

"Resolved, That, while in compliance with his request we accept the resignation of Dr. Austin W. Holden as chief of staff of the Homœopathic Hospital, W. I., we cheerfully recognize his claims to our regard and respect as a physician and a gentleman, and bear grateful testimony to his unremitting and conscientious efforts during his entire administration to maintain the discipline and efficiency of the institution over which he has presided."

Dr. E. Cook Webb, nominated by the Medical Board, was duly confirmed by your honorable board as chief of staff, under whose administration the institution still continues to prosper.

To your honorable board we ever confidently turn. for the seconding of all measures which tend to the relief of those suffering unfortunates who seek our

SIR: As secretary of the Medical Board, I respect-protecting care, and in behalf of the Medical Board I fully submit the following report for the year ending

Dec 31, 1878:

Number of patients in hospital, January 1, 1878

Admissions during the year..

390

3,129

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We are happy to report that the institution has been free from any contagious disease, and erysipelas has not prevailed to any considerable extent.

There are some improvements, which would add greatly to the comfort and safety of patients, which We hope your honorable board will feel justified in authorizing before very long.

resulted largely from the manifest desire upon your

beg to assure you that our harmonious efforts have

parts to maintain the motto "Pro bono publico your constant guide. Respectfully submitted. ALFRED K. HILLS, Secretary

BUREAU OF PÆDOLOGY.

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The Bureau of Pædology of the American Institute of Homœopathy has selected the "Diseases of the Digestive Apparatus for papers and discussions at the meeting of the Institute to be held in Milwaukee next June. The following order will be observed in the presentation of papers, viz:

W. H. Jenney, M. D., of Kansas City, ChairmanAcute Gastritis, causes, anatomical characteristics and diagnosis. W. Edmonds, M. D.-Prevention and treatment of same.

J. C. Sanders, M. D-Stomatitis, causes, diagnosis, and anatomical characteristics. A. M. Cushing, M. D. Treatment and prevention of same.

R. J. McClatchey, M. D.-Gastromalacia, anatomical characteristics, diagnosis, and causes. W., Danforth, M. D.—Prevention and treatment of same.

T. C. Duncan, M. D.-Thrush, anatomical characteristics, causes, diagnosis, and treatment.

S. P. Hedges, M. D.-Gangrene of the mouth, anatomical characteristics, causes, diagnosis, prevention, and treatment.

Mary A. B. Wood, M. D.-Dietetic rules to be observed in the treatment of diseases of the digestive

organs.

The first is the erection of water-closets outside the walls of the institution proper-an undertaking which the hygienic care of our wards imperatively demands. Partz. Please accept congratulations.

MARRIED.-Dr. Claude R. Norton to Constanza L.

THE

HOMEOPATHIC TIMES.

A MONTHLY JOURNAL

Of Medicine, Surgery, and the Collateral Sciences.

VOL. VII.

NEW YORK, MARCH, 1880.

SURGICAL CLINIC AT THE HOMEOPATHIC
HOSPITAL ON WARD'S ISLAND.

BY PROF. WM. TOD HELMUTH, M.D.-Reported by
SIDNEY F. WILCOX, M.D.

Ulcers - Radical Cure of Hernia by the Heatonian Method--Secord Operation for Cheiloplasty-Stretch ing the Sciatic Nerve.

GENTLEMEN: The first patients whom I shall have the pleasure of bringing before you to day, are some of those upon whom I tried the different methods of treatment for ulcers at one of my former clinics. All of the cases have been benefited, and five of them have been discharged cured. Time enough has not clapsed since I first brought the cases before you to effect a cure of all the sores, for, in the treatment of such torpid conditions, prolonged rest is an important factor; and in patients of this class it cannot, as a rule, be obtained for any consecutive length of time. Ulceration is a solution of continuity in a part, the result of molecular death, and there is nothing within the province of the surgeon which requires more patience, perseverance, and pertinacity, than the management of this abnormal condition, especially when it has become chronic, and the patient's constitution

is in a vitiated condition.

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No. 12.

2. Maria Giligan. Irritable ulcer, which is very much inflamed. Treatment: Strapping every day, and Nitric acid 3 internally.

3. Anna Clark. Sloughing ulcer of right leg; has suffered from it for three years; periosteum involved and line of demarkation formed; has a great deal of pain at night. Treatment: Poulticed once in four hours, and every fourth day painted with a solution of Nitric acid and water; a little Carbolic acid is used in the poultice, and internally Iodide of Potassium, grs. v., three times a day. Was grafted with skin grafts, and had also Merc. sol. 1st. Is doing better than at any time previously.

4. Mary Karney. Sloughing ulcer; has had it for sixteen years. Treatment: Touched around the edge with Nitrate of silver, poulticed for two days, and then packed with dry earth, the crust to be removed the next morning. Internally, Ars. 2x three times a day. rapidly; not very deep; edges overhang and jagged. 5. Mary Jennings. Sloughing ulcer; extending Treatment: Poultice the edges and cauterize the ulcer with Nitric acid; skin grafting.

6. Mary Kelly, aged 50. Indolent ulcer, with shining, lardaceous base; has no granulations; has had it about a year. Treatment: Relieved the tension by a deep incision in each side. This case is about cured. tissue exceedingly painful; ulcer irritable, with larda7. Anna Casey. Irritable ulcer; all the surrounding ceous base. Treatment: Strapping and Nitric acid. bands of cicatricial tissue divide the original sore into 8. Ann Burns. At first, one large ulcer; at present, several smaller ones. Treatment: Skin grafting; pack with Merc. dule. 1st dec.

before the class; but so soon as they become better I hope at a future time to bring these patients again they are generally anxious to avoid the restraint of a hospital and leave of their own accord, or perhaps are discharged for disobedience.

THE RADICAL CURE OF HERNIA BY THE HEATONIAN

METHOD OF INJECTION.

One of the difficulties is found in the fact that the patients who usually suffer from chronic sores are those of the poorer classes, who are not able to take the necessary rest; or, as too frequently happens, are slaves to intemperance and dissipation of all kinds, and would rather suffer, than abandon their vicious proclivities. A physician becomes weary of such cases, and is glad to turn them over to some one else. soon as the leg is taken from its horizontal position and the weight of the body borne upon it, immediately the curative process is arrested, the circulation is not carried on with sufficient alacrity, and the sore spreads. Some of these patients suffer from ulcers for fifteen I shall next show you the radical cure for hernia by or twenty years, and go from doctor to doctor and injection. The method which I propose trying to-day from hospital to hospital without being cured. Re- is called "the Heatonian," after Dr. Heaton, of Bosmember that I am not speaking of acute ulcers arising from traumatism, but of old, indolent, callous sores. As I have already said, these indolent ulcers may be cured, but the process takes a long time. The physician must exercise great patience, and, as a rule, need not expect much pecuniary compensation; if he does, judging from my own experience, he will be doomed to a severe disappointment. This, however, is rather beneficial than otherwise to a self-opinionated graduate. [The remaining patients were then brought into the theatre.]

1. Ann Fatten, aged 41. Simple ulcer, which is liable to return after healing. Granulates under poultice. Treatment: Flax seed poultice twice a day and Sulph. 30 every three hours. It is now almost well,

ton, who first introduced it to the profession. It will not be necessary for me to enter upon the anatomy of hernia, because I have done so frequently at the college; but there are a few points which I wish to recall to your recollection. You see by this plate, that the external abdominal ring is not a ring, but simply a slit in the aponeurosis of the external oblique muscle, running downward and inward with the fibres of the muscle, thus rendering the external pillar of the ring the inferior, and the internal pillar the superior. Bear this in mind, for upon this knowledge depends the success of the operation. Hernia may be either congenital or acquired. As the testicle descends in early life it pushes a pouch of the peritoneum before it into the scrotum. This is called the tubular vaginal pro

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