Whole left arm swollen, covered with black blisters, which emit a foul, unendurable smell. Several spots have changed into a gelatinous, grayish white mass. Strength greatly reduced; pulse quick and small; dark green mucus with the stools. Arsen. 30 cured. (Dr. Schreter, Annal. 1, p. 183, quoted by Karl Hencke, in A. H. Z. 93, p. 156.)

Hospital; intercellular tissue affected. (Nussbaum, M. I., vol. III., p. 134, 1876.) Bloody Secretion from a wound may occur within the first five days without a very bad condition; after that time it points to gangrene, and must be amputated. (Nussbaum, M. I., vol. III, p. 135, '76.)

Hip-joint Disease. Extra capsular; adhe

sions broken up; abscess in region of hipjoint opened. Calcarea carb. 6-10 given and passive motion employed. A child 2 years old. Result, a very slight shortening of the limb, with, however, good motion. (Dr. Maylander, A. H. Z. 93, p. 141.)

Novel Operation for Varicose Veins. A complete removal of the varicose vessel. (A. O., 1876, p. 265.)

To Open an Abscess without Pain. A solution of Carbolic Acid two parts, Glycerine one part, applied to the skin over an abscess for five minutes enables it to be opened without pain. (A. O., 1876, p. 489.)

Psoas Abscess. Dilute Carbolic Acid injection, and Phos, internally, cured in six weeks. (P. W. Poulson, M. I., vol. IV., p. 496, 1876.)

Nævi.

-

Removed by Electrolysis. (A. O.,
1876, p. 265.)
Removed without scar. Subcutaneously
cutting through their bases. (A. O., 1878,
p. 46.)

Congenital, on cheek. Excision of. (W.
Danforth, M. I., vol. III, p. 544, '76.)

Ulcers. The earth treatment for. Twentyfive or thirty grafts are first inserted, and then the whole covered with dry clay and olive oil mixed in a paste, applied twice per day. (M. I., vol. III., p. 136, 1876.) Slippery Elm Bougies. Claimed to be superior to any others in treatment of urethral stricture. (J. D. Moncure, A. O., 1876, p. 48.)

Congenital Phimosis. Patient æt. 30, cured by operation of circumcision on Dr. Franklin's plan. (E. R. Smith, A. O., 1876, p. 262.)

On Sounding for Stone. Useful hints by Dr. Croly. (A. O., 1876, p. 45-46.)

Lithotomy. Operation: stone weighing 297 grains extracted; recovery. Patient a boy four years and three months of age. (H. C. Frost, O. M. and S. R., July, 1876, p. 214.)

Sarcocele of right testicle, a case of. Cured
by castration. (W. Danforth, M. I., vol.
III., p. 545, 1876.)
Hydrocele. Radical cure. (Nussbaum, M.
I., vol. III., p. 134, 1876.)

Encephaloid Cancer of left kidney.
History and autopsy. (C. H. Von Tagen,
M. 1., p. 46, 1876.)

Hernia. A radical cure for a reducible inguinal, by an operation. (H. F. Biggar, O. M. and S. R., May, 1876, p. 153.) Injection of air into the rectum for the relief of strangulated. (Ext. in N. E. M. G., vol. XI., p. 430.)

Right-sided inguinal or scrotal hernia, many cases, Lycopodium. Umbilical herniæ, Nux vomica. Costive, frequent ineffectual urging; bad feeling about stomach, as if clothes were too tight; worse mornings and after dinner; Cocculus follows. (H. M., July, 1876.)

Inguinal. Ignat. has cured several cases. P. W. Poulson, M. I., vol. IV., p. 496, 1876.) Aspiration in strangulated. To be tried in all cases after ordinary taxis has failed and before using the knife, unless epiplocele or adhesions exist. (A. O., 1876, p. 173.)

Medicinal treatment of strangulated. (Baumann, Brit. Jour. Hom., in Bib. Hom., vol. VIII., p. 207.)

Death of Queen Caroline from. (H. W., vol. XI., p. 576.)

Anal Fistula. A case cured in five weeks by rubber ligature. (Dr. Danforth, M. I., vol. III., p. 545, 1876.)

Hæmorrhoids. With a hæmorrhagic diathesis. Phos. (L. D. Morse, M. I., vol. IV., p. 492, 1876.)

For strangulated use heated extract of Prefers CollinHamamelis topically. sonia X. and Aloes to all other internal remedies. (R. J. McClatchey, H. M., June, '76.) Amputations. A description of the different

methods of forming the flap. (E. C. Buell, O. M. and S. R., July, "76, p. 216). Esmarch's Method. (O. M. and S. R., September, 1876, p. 296.)

Flaps transplanted. If they turn blue, apply leeches every five hours to restore circulation. (Nussbaum, M. I., vol. III., p. 135, 176.)

Periosteum Flaps in Amputation. (A. O., 76, p. 48.)

Amputation of Thigh at Dr. Biggar's Free

Clinic. (Reported by G. M. Kinsey, O. M. and S. R., January, 1876, p. 33.) Fracture of the Facial Bones. An original splint. (S. P. Dewey, C. M. A., p. 191.) of the Neck of the Scapula. (Frank M. Earle, Trans. N. Y. S., 1876-7, p. 253.)

- and Contusions. Three very severe cases successfully treated. Kali causticum was used locally at some time during the treatment; it diminishes the formation of pus, produces healthy granulations, cleanses the wounds, and favors the discharge of pus, and keeps the neighboring parts in a healthy condition, prevents and reduces inflammatory swellings. Carbolic acid retards the healing process, destroys granu lations, and does not prevent constitutional disturbances or complications. (F. Hiller, M. I., vol. IV., p. 475, '76.)

of cranium at junction of the occipito-pari-
etal and sagital sutures, with depression.
(M. I., 1876.)

Humerus, of. (W. Danforth, M. I., vol.
III., p. 543, '76.)

A rare case, of the facial bones. A frac-
ture literally severing the face from the
head. (E. C. Buell, O. M. and S. R.,
November, 1876, p. 344.)

Anchylosis of both elbow joints. Cured in one case by forcible extension, in the other by subcutaneous division of the humerus. (Ext. from Lancet in N. E. M. G., vol. XI., p. 379.)

Periosteum is not absolutely necessary for the nutrition of the bone, the arteria nutritiva doing it. (Nussbaum, M. I., vol. III., p. 135, 1876.)

Dislocation of sternal end of the clavicle. Cured in five weeks. (W. Danforth, M. I., vol. III., p. 545, '76.)

Shoulder-Joint Luxation.

How reduced. (Nussbaum, M. I., vol. III., p. 136, '76.)

Resection is preferred to anchylosis only at

the elbow. (Nussbaum, M. I., vol. III., p. 136, 1876.)

Fractured Bones. The healing process

is said to be hastened by the use of Erugo (Copper). (Dr. Lieb, Frank's Archiv, vol. III., p. 495, quoted by W. Sorge, A. H. Z. 92, p. 141.)

Fistulous Opening in the ball of the great toe, with burrowing of pus in several places toward the sole of the foot, arising from a gouty inflammation. A proper po

sition of the foot was maintained and Aqua silicata 3-10 and Sabina 2-10 were given in alternation. The foot was soon well, but the toe-joint remained stiff. (Dr. Jacoby, A. H. Z. 92, p. 95.)

Necrosis of the acromio-clavicular articulation, with complete anchylosis of the left shoulder-joint. Recovery without operation under administration of Silicea 200. (F. H. Krebs, Mass. Trans., vol. IV., p. 94.) Inflammation of bones. Symphytum of ficinale. (S. M. Cate, Mass. Trans., v. IV., p. 607.)

Necrosis of the clavicle. (Nussbaum, M. I., vol. III., p. 135, 1876.) Osteo-Sarcoma an Enchondroma

must be removed entire or let alone. (Nussbaum, M. I., vol. III., p. 135, '76.) Enchondroma in a little boy. Disease began in index finger, which became four times its natural size; this was amputated. Soon the other had the same history, and the toe became affected. Silicea 70,000 (Fincke's), three times a day, cured. (Dr. Knickerbocker, M. I., vol. IV., p. 193, 1876.)

Extravasated Blood may remain for months or years in a cystic cavity unchanged. (Nussbaum, M. I., vol. III., p. 134, 76.)

Pus within bones will give great pain until removed. (Nussbaum, M. I., vol. III., p. 135, '76.)

Removal of Os Coccygis for Coccyodynia. Pa

tient, unmarried seamstress, æt. 44, suffered from result of a fall at age of fifteen. Complete cure resulted from the operation. (A. O., '76, p 289.)

Caries. Two cases of. Treated with Cal carea phosphorica and Silicea. Cured. (F. L. Radcliffe, N. E. M. G., vol. XI., p. 251.) An inflammation of the first joint of the big toe caused caries of the extremity of the metatarsal bone, with fistulous openings, in a middle-aged man. Two, allopathic surgeons wanted to amputate.

Sabina 2 in alternation with Aqua silicatæ 3, each three times a day, improved markedly in a fortnight. At last the joint became stiff, but was otherwise cured.

Sabina acts excellently in affections of the big toe, and proved highly useful in podagra. In chiragra, Ammon. phosph., 2d watery solution on sugar. (Jacobi, H. K., vol. 21, p. 31.)

of bones of wrist, with many fistulous openings; the bones were so softened that the probe could be pushed into them. The

internal and topical use of Cider brought
about a rapid and complete cure so that
there was perfect motion of the joint. (Dr.
Mayländer, A. H. Z. 93, p. 141.)
when small and in a healthy person may
be left to itself. (Nussbaum, M. I., vol.
III., p. 135, '76.)

of scapula, with profuse suppuration, treated with the topical use of diluted Cider, the patient drinking Cider at the same time. A rapid cure followed. (Dr. Träger, A. H. Z. 93, p. 141.) Enchondrosis. Large, hard swelling, but soft in some places, on a child's head, beginning above the ears and extending to the larynx; this had been treated with the various compounds of Iodine. At last the breathing had become whistling, and suffocative attacks occurred. Silicea was used for eight days; the whistling, crouplike respiration and difficult breathing ceased, and the child was after a time entirely cured. (Von Grauvogl, A. H. Z. 92., p. 29.)

Exostosis of Clavicle removed. (W. Danforth, M. I., vol. III., p. 544, 1876.) Epulis of the Sub-maxillary; operation. (E. Stevenson, M. I., vol. III., p. 112, 1876.) Fibrous Anchylosis; a clinical lecture upon. (A. G. Beebe, M. I., vol. III., p. 556, 1876.) Necrosis of Inferior Maxillary; a case of successful operation. (W. Danforth, M. I., vol. III., p. 546, 1876.)

Lipoma; a case of. (W. Danforth, M. I., vol III., p. 544, 1876.)

Bony Growth on palmar aspect of one finger. Phytolacca internally and externally for three months reduced its size one-half. (A. C. Clifton, M. I., vol. IV., p. 482, 1876.) House-maid's Knee. Rhus tox. cured five cases. (A. C. Clifton, M. I., vol. IV., p. 482,

1876.,

establish

3. A benign growth is a simple, tumorlike hypertrophy of a part, and will be found composed of normal tissue simply in excess-over production of normal cells.

4. Semi-malignant growths are composed of tissue normal in the body but abnormal in locality-over-production of normal cells and misplaced deposition.

5. Malignant growths are composed of tissue abnormal in every respect, and largely made up of incomplete cells in excessive quantity and misplaced.

6. When a semi-malignant tumor is removed and recurs more than once, each successive recurrence shows more and more carcinomatous characteristics, and may ultimately become true cancer. (J. G. Gilchrist, A. O., 1876, p 257.)

In thigh, lower third, bluish red, with two small blackish flebs in its centre. Tumor circumscribed; tissues about it swollen; whole leg somewhat swollen; all were very painful; great anxiety; she looked suffering and pale; skin dry; pulse weak and rapid; tongue coated with white great thirst. Arsen. 12 cured. (Dr. De Monestrol, Jour. de la Societe, G. de Med. Hom., 1 Oct., 1857, quoted by Karl Hencke, A. H. Z. 93, p. 53.)

Treatment of, and hypertrophied glands, by the hypodermic injections of Iodine. (W. E. Green, C. M. A., p. 339.)

;

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Of the breast; two malignant; pain relieved by Hydrastis and Scutellarea; three others in the first stage cured by Hydrastis and Phytolacca; five non-malignant cured by Hepar, Sil., Hydrastis, Arsen. (A. C. Clifton, M. I., vol. IV., p. 482, 1876.) On the inside of the lower eye-lid have disappeared soon after the single dose of Marum v. t. 200. (0. W. Smith, M. I., vol. IV., p. 266, 1876.)

Conium has lessened the pain in cancer. Great relief has been had in the early stages by Asteras rubens. Local applications of Calendula have been of great service. (I. T. Talbot, M. I., vol. IV., p. 193, 1876.)

Fatty. Several cases dispersed by local application of Tinct. of Phytolacca berries and Glycerine. (Dr. Clifton, M. I., vol. IV., p 156, 1876.)

Conium, Calc. c., and Staph. have cured fibroids. Phos, cured a tumor of the breast in four months. Tumors that grow rapidly should be cut out. True scirrhus has been cured by Calc. c., Conium, and Iodide of Arsenic 30 trit. (W. Tod. Helmuth, M. I., vol. IV., p. 193, 1876.)

Bursitis has been cured and produced by Ruta grav. In a case where it was given for rheumatism it developed as the rheumatism disappeared; the ganglion disappeared soon after the medicine was stopped. (O. W. Smith, M. I., vol. IV., p. 266, 1876.) Tendenous Ganglions. Five cases cured by Benzoic acid. (L. Turell, Bib. Hom., vol. VII., p. 354.)

Ganglions of Wrist. Five cases cured with Benzoic acid. (A. C. Clifton, M. I., Vol.IV., p. 483, 1876.)

Abscess of Breast. Bruised Phytolacca root as a poultice will generally abort; if not, Hepar. sul. 3 will. (Homeo. World, M. I., vol. III., p. 531, 1876.)

Lister's Treatment of Wounds and Abscesses by the Antiseptic Method. The facts on which antiseptic treatment rests are as follows: 1st. That in the dust of the atmosphere, and on matters with which it is in contact, there are the germs of minute organisms, which, under favorable circumstances, induce putrefaction in fluids and solids capable of that change in the same manner as the yeast plant occasions the alcoholic fermentation in a saccharine solu. tion. 2d. That putrefaction is not occasioned by the chemical action of oxygen or any other gas, but by the fermentative agency of these organs. 3d That the vitality or potency of the germs can be

destroyed by heat and by various chemical substances, which we call in surgery "antiseptics." (Quoted from Lancet in O. M. and S. R., September, 1876, p. 287.) Salicylic acid in Surgery. In many respects preferable to Carbolic acid. (A. O., 1876, p. 47.)

As a dressing for wounds inferior to Carbolic acid. (H. W., vol. XI., p. 239.) Arnica acts better for wounds in a low potency (first decimal) taken internally, and applied on cloths externally. The suppuration is reduced in 24 hours to almost nothing. So also in the child-bed period; if the woman takes twice daily a few drops of Arnica 3 dec. for eight or twelve days before labor, and after the confinement takes the same preparation, and uses it besides as an injection into the vagina, puerperal fever and other consequences of purulent infection will (according to Von Grauvogl's experience) be prevented. (Von Grauvogl, A. H. Z. 92, p 28.)

On the Treatment of Wounds by the Open Method. The advantages claimed are the almost complete avoidance of suppurative fever, the promotion of abscesses, and the absence of erysipelas in the wound. (Ext. in N. E. M. G., vol. XI., p. 340.) Iodine. As an antiseptic. (Lancet, H. W., vol. XI., p. 341.)

Madder. Antiseptic properties of. (H. W. vol. XI., p. 243.)

Sulphite of Soda. As a dressing preferred to Carbolic or Salicylic acid. (Gaz. des Hos., H. W., vol. XI, p. 537.) Morphia Sulph. In lockjaw intramuscular injections, when the muscular contractions are most painful, gives relief, according to Dr. Dumasquay. (H. W., vol. XI., p. 287.) Camphorated Ether for erysipelas and burns of the 1st and 2d degree. Camphor and Tannin each one part, Ether eight parts. Applied every three hours. Recommended by Corzzaini. (H. W., vol. XI., p. 287.) Oil of Tar. An excellent deodorant; one dram to the pint for injection, dressings, and lotions. (T. Skinner, H. W., vol. XI., p. 21.)

Chloral. As a surgical and antiseptic dressing; one per cent. in water. (H. W., vol. XI., p. 86.)

Boracic Acid. As a dressing for wounds. (L. Crane, Lancet, H. W., vol. XI., p. 287.) Cotton- Wool for surgical dressings. (O. M. and S. R., January, 1876, p. 44.) Oakum Dressing. (A. O., 1876, p. 264.)

Bandages when too tight will give signs at fingers or toes soon after. (Nussbaum, M. I., vol. III., p. 133, 1876.)

Leeches only promote venous circulation, and for the head are applied at root of the nose, behind the ear, and at foramen magnum. (Nussbaum, M. I, vol. III., p. 133, 1876.) Hypodermic Injections. A paper against it, with a fatal case. (H. R. Stout, M. I., vol. IV., p. 499, 1876.)

Pocket Forceps. A description of their peculiarities and sphere of usefulness, etc. (E. M. Hale, M. I., vol. III., p. 267, 1876.) Drainage used only in cases of profuse

icherous secretion or gangrenous shreds. (Nussbaum, M. I., vol. III., p. 134, 1876.) Electrical Currents. Do they, as usually applied to the living body, affect the spinal cord? (N. B. Delmater, M. I., vol. IV., p. 287, 1876.)

Painless Application of the Actual Cautery.

The pain of the actual cautery may be avoided by applying Carbolic acid to the parts to be cauterized. Apply a light compress for a short time, and then apply the cautery. (0. M. and S. R., September, 1876, p. 300.)

Horse Hair Sutures. From M. and S. Reporter. Well selected white hair from the horse's tail is the best. (A. O., 1876, p. 145)

Carbolized Catgut. Behavior of among the living tissues. (Ext. in N. E. M. G., vol. XI., p. 515.)

ANESTHETICS. Chloroform is exceedingly dangerous in persons with fatty degeneration of the heart, which may suddenly become paralyzed. The lips always look white when there is any real danger from it. Artificial breathing must be attempted at once, one hand on sternum and the other on the abdomen, with all possible force, for thirty minutes; when lips turn blue force open the mouth and seize the tongue and hold it out; action of the involuntary muscles is increased and the voluntary paralyzed by Chloroform (especially on uterus and bowels). (Nussbaum, M. I., vol. III, pp. 134-6, 1876.) Anaesthesia with, is prolonged by giving just before inhalation a subcutaneous injection of Morphine. (Nussbaum, M. I., vol. III., p. 134, 1876.)

Was administered until the eyes were set; the patient inhaled Amyl. nit. for not over half a minute, and in that time came com

-

pletely out from the influence of Chloroform. (J. F. Irvin, M. I., vol. IV., p. 308, 1876.)

Quick and short operations may be performed during its primary action. (Nussbaum, M. I., vol. III., p. 135, 1876.)

A stage in its administration when great care should be used, i. e., in the "struggling stage." If the residual air in lungs becomes saturated with Chloroform vapor, great danger will supervene. (Dr. Reeve, A. O., 1876, p. 381.)

Ether is in every way preferable. Rapid anæsthesia can be produced by use of Nitrous oxide until patient is well under its influence; then before patient has opportunity to respire atmospheric air Ether is substituted, and in from one to three minutes patient fully anæsthetised. (A. O., 1876, p. 152.)

Inversion method in an accident with. On July 7th, while performing Amussat's operation on a thin, delicate, and much exhausted patient, my attention was suddenly drawn to the fact that the respiration and carotid pulsation had ceased. I tried to feel the beat of the heart, but failing to do so, immediately seized the patient around the waist, inverted her, and kept her thighs bent over my arm and her head hanging downward. I then directed my colleague in the case to imitate respiration by compressing the chest at intervals of about five seconds. Looking back upon the case, it is probable that pulsa tions began to be felt at the root of the neck in about two minutes after she was inverted, but it seemed to me like a quarter of an hour; and it must certainly have been fully five minutes before she resumed respiration independent of assistance. (Lawson Tait, Hoм. TIMES, vol. IV., p. 163.)

Nitrate of amyl an antidote for. Two cases relieved at once of the bad effects of Ether by inhaling six drops of the relieving the nausea, cramps in the stomach, giddiness, and pain in the forehead extending back to the cerebro-spinal col umn; countenance deathly pale, pulse hardly perceptible. (R. W. Nelson, M. I., vol. III., p. 492, 1876.)

Nitrite of amyl suggested as an antidote, a little to be inhaled cautiously from time to time until respiration is restored. (J. C. Cummings, M. I., vol. III., p. 398, 1876.) Nitrite of amyl in poisoning. (H. W., vol. XI., p. 147.)

Ether. A case of death from its use in Bos

ton. No particulars. (A. O., 1876, p. 495.)