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creases toward evening. Child sits stooping forward. Feet shuffled in walking with toes turned inward. Pressure over dorsal and lumbar vertebræ reveals places so tender as to elicit screaming. Diagnosis: Dr. Cranz, If it is a case of Potts Disease, the spine should be immobilized in a plaster cast, with parts cut out, and the patient kept quiet and treated medically.

Nervous twitching.—Girl 22 years. Tall, blonde, weight 140 pounds. Began to menstruate at II. Not well since. Periods irregular. While at school became so nervous as to require withdrawal from attendance. Has worn glasses past two years. Dreads going into a crowd. It causes a faint, confused feeling. Lately, while ironing, she fell fainting. Faint when stooping. Nervous twitching. Cannot write, hand will not stay in place. Dr. Smith would give her Gel. and Kali Phos.

Bloating. Dr. Cauffield asked what causes extreme abdominal bloating in a man aged 30, who some time ago was operated upon for appendicitis, difficulty arising in the healing of the wound. In last few weeks patient has bloated to great distension with pain, relieved by free eructations.

Exophthalmus.-Blonde man, aged 20, living

in a village. Former weight 175 to 185 pounds. November, 1901, pneumonia in right lung. I118 weeks. Regained his weight. Twice in the summer, while at work hard, out of doors, overcome by heat-called partial sunstroke. Rides bicycle, smokes cigarettes. In fall began to decline and came here for treatment. Lost 35 pounds in six weeks. When coming here, neck, face, hands cyanotic. Pulse 130. Temperature normal. Restless in sleep. Pressure in the head. Thyroid gland enlarged. Eyes protruding. Patient examined by a committee. Diagnosis: Exopthalmus. Dr. Murdoch would give Craetegus, 3 drop doses. Drs. Dixon and Kurt advised Lycopus. Dr. Smith thinks, in addition to rapid action of heart, the valves are diseased.

Dr. Smith related case of scarlet fever in child 10 years old, who died after illness of 24 hours. The slight eruption being peculiar because of pearl-like white spots mixed in.

A committee of three was chosen to arrange for the anniversary meeting in January next. Attendance: Drs. D. E. Cranz, C. A. Dixon, O. D. Childs, Wm. Wilson, Wm. Murdoch, J. W. Rockwell, F. D. Smith, Katherine Kurt, E. J. Cauffield. WM. WILSON, Pres. KATHERINE KURT, Sec'y.

Books of the Month

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CANCER AND OTHER TUMORS OF THE STOMACH. By Samuel Fenwick, M. D., F. R. C. P., Consulting Physician to the London Hospital, and W. Soltau Fenwick, M. D., Lond., M. R. C. P., Senior Physician to the London Hospital, Physician to the Evelina Hospital for Sick Children. Illustrated. Octavo. 362 pages. Cloth $3.00 net. P. Blakiston's Son & Co., Philadelphia. "ATLAS AND EPITOME OE HUMAN HISTOLOGY AND MICROSCOPIC ANATOMY." By Privatdocent Dr. J. Sobotta, of Wurzburg. Edited, with additions, by G. Carl Huber, M. D., Junior Professor of Anatomy and Histology, and Director of the Histological Laboratory, University of Michigan, Ann Arbor. With 214 colored figures on 80 plates, 68 text illustrations and 248 pages of text. Cloth $4.50 net. W. B. Saunders & Co., Phila.

"ATLAS AND EPITOME OF DISEASES OF THE MOUTH, PHARYNX AND NOSE," By Dr. L. Grunwald, of Munich. From the second revised and enlarged German edition. Edited, with additions, by James E. Newcomb, M. D., Instructor in Laryngology, Cornell University Medical School; Attending Laryngologist to the Roosevelt Hospital, Out-Patient Department. With 102 illustrations on 42 colored lithographic plates, 41 text-cuts and 219 pages of text. Cloth $3.00 net. W. B. Saunders & Co., Phila.

A TEXT-BOOK OF CLINICAL MEDICINE. Principles of Diagnosis by Clarence Bartlett, M. D., Professor of Clinical Medicine and Associate Professor of Medicine in the Hahnemann Medical College of Philadelphia; Senior Neurologist to the Hahnemann Hospital, etc. With 245 illustrations, including six colored plates. Octavo, 976 pages. Price-Cloth $7.00 net, Half Morocco $8.00 net. Philadelphia. Boericke & Tafel.

The study of diseaes from a clinical standpoint is to us always most interesting. The synthetical grouping of symptoms is the natural method for the physician in his daily work. He does not or should not approach his patient with a

diagnosis already prepared. Until the examination is well under way the condition is simply one presenting certain symptoms or sets of symptoms-apparently perhaps not related one to the othersimply indications of something within the body-waiting to be built up into a definite shape in the examiner's mind so that one word or group of words may be used to designate the entire complex.

This, we say, is the natural way of approaching the patient and it is the natural way of approaching a study of diseasehence it is that Dr. Bartlett's work is one which is destined to be one of the greatest possible help to the student and physician. There are comparatively few books published which study disease from the standpoint of the clinician, and yet it is most important to be able to interpret individual symptoms, to tell its significance in disease.

Dr. Bartlett has taken up a study in minutiæ of the entire system, in fact his work is most exhaustive, taking up as it does practically all pathological conditions possible and noting the meaning of each. The chapter on methods of examination is very full and complete-in fact so complete as to be rather impracticable. In spite of what he says concerning the necessity for thorough examination and in spite of the fact that the writer is looking through the eyes of a specialist, it is not possible in

more than one case in a hundred to follow out the elaborate schema presented by the author. It is of course perfectly appropriate that this schema should be incorporated in a work on diagnosis, because it is very excellent and is worthy of permanent record. From it may be culled one which is practicable in every day work.

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Rather unique and unusual, though of great importance, is the chapter "Symptoms Relating to the External Surface Involving for the Most Part Alterations in Shape and Size." He takes up a study of emaciation, obesity, dropsy, oedema, myxodema, emphysema, acromegaly, the head, the face, the abdomen, the joints, etc., noting in detail the meaning of the alterations found. This will be found extremely interesting.

Taking it all in all the book is one which we take the greatest pleasure in commending, knowing that it will many times be the means of guiding the reader to a correct diagnosis. The thanks of the profession, particularly of the homeopathic portion, are due Dr. Bartlett for having placed on the market a volume so complete, exhaustive and reliable. It is to be hoped that the issuing of the companion volume on Treatment may not be long delayed.

The publishers deserve praise for the splendid mechanical execution displayed.

Our Foreign Exchanges.

Homeopathy has just won a brilliant victory at Barcelona. In one of the hospitals of that town, L'Hospital de L' Enfant-Dieu, all of the sick have been treated by the homeopathic method since the first of last January. We are glad to give credit to the zeal and activity of our Spanish confreres, for according to the journals, it is only after a sharp and earnest struggle that they have succeeded in dethroning the old school and introducing homeopathy into this establishment. This is the first time a homeopathic hospital has been in existence in Barcelona, and this fact alone amply demonstrates the great progress being realized for some time by the doctrine of Hahnemann in the second city of Spain. Barcelona numbers about fifty homeopathic doctors, two monthly

journals: La Revista Homeopatica de Barcelona and La Revista Homeopatica Catalana, also a flourishing society, L' Academie Medico-Homeopatique, whose numerous and important works have been appreciated by our readers.

The results obtained at the homeopathic hospital de L' Enfant-Dieu during the first three months of last year are encouraging Among thirty-nine cases there have been seventeen cures and two deaths. twenty cases remaining under treatment.

In the same establishment there is a homeopathic dispensary directed by six doctors. During the first three months the consultations reached the number of 1725.-Dr. Lambreghts.

On the 2d of June last, a free homeopathic polyclinic was opened at Amsterdam.

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One of the principal subjects for discussion at the General Sanitary Convention of American Republics held in Washington during November was quarantine, the chief object being to encourage friendly co-operation between the health organizations of the several republics of both North and South America in the matter of both sanitation and quarantine.

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An invitation was received to the wedding of Dr. Henry B. Bryson, '93, to Miss Nancy Cowan McClung, of Pittsburg. They are at home to their friends at 1125 N. St. Clair St., Pittsburg, where they will be glad to meet their friends. We congratulate the Doctor and wish for himself and Mrs. Bryson a long and happy life.

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Announcements were received of the marriage on the 25th of December of Dr. Homer Dawson Wallace, 1901, to Miss Alice Belle Wible, of Allegheny City, Pa. Dr. Wallace and his bride are at home at the Doctor's residence -214 E. Lacock St., Allegheny. They have the most sincere wishes from the editorial sanctum for their happiness.

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The troublesome affair at St. Luke's Homeopathic Hospital, Philadelphia, has been settled by the election and installation of two new resident physicians-Drs. J. D. Heysinger and F. M. Mount, who took the places of those who resigned several weeks ago rather than submit to what they considered the harsh discipline of the superintendent.

The State Board of Medical Registration and Examination at their annual meeting January 6th, 1903, very deservedly honored our good friend-Dr. Henry E. Beebe, of Sidney, with the presidency. They elected as remaining officers Dr. S. B. McGavran, of Cadiz, vice-president, Dr. S. M. Sherman, Columbus, treasurer, and reelected Dr. Frank Winders as secretary.

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We note the death in Baltimore of Dr. Bartus Trew. Dr. Trew was a graduate from Hahnemann of Philadelphia, class of

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On December 11th was organized at Grand Rapids, Mich., the Homeopathic Medical Society of Western Michigan, embracing the counties of Kent, Ionia, Ottawa, and Muskegon. The officers are as follows:

President, Dr. M. C. Sinclair, Grand Rapids; vice president, Dr. L. R. Marvin, Muskegon; second vice president, Dr. J. N. Reynolds, Grand Haven; third vice president, Dr. O. R. Long, Ionia; secretary, Dr. F. D. Harter, Grand Rapids; treasurer, Dr. S. Sinclair, Grand Rapids.

The organization was preceded by a banquet at the Pantlind Hotel, at which were present a very large assemblage of physicians from Grand Rapids and surrounding towns.

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A clipping from a current paper gives an account of a very happy time at the State Homeopathic Hospital for the Insane at Middletown. Nearly five hundred patients were present at the Christmas dance and they enjoyed every moment of the festivities. Amusement Hall was transformed into a bower of beauty with evergreens. There was a large Christmas tree billiantly illuminated with colored electric lights, with an electric fountain of

colored water playing in front of it. Taking it all in all the event was one of happiness and enjoyment. Much credit is due the supervisor, Mr. W. C. Cook, who with the consent of the very able and efficient superintendent, Dr. M. C. Ashley, perfected the plans for the enjoyment of the patients.

A considerable degree of interest is being manifested in western Massachusetts on the subject of a State hospital for tubercular patients. At the recent quarterly meeting of the Western Massachusetts Homeopathic Medical Society, held at Springfield, December 17th, a very interesting paper was read by Dr. H. C. Clapp, of Boston. Dr. Clapp took this subject "The Rutland Sanitarium," and illustrated it with nearly one hundred stereopticon views, showing the sanitarium, its surroundings and facilities for treatment. Other papers were those read by Dr. T. M. Strong, of Boston, on "Tubercular Laryngitis," Dr. D. P. Butler, of Rutland, on "The Therapeutics of Pulmonary Tuberculosis, "and Dr. G. P. Rand, of Monson, on "The Home Treatment of Consumption."

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Dr. N. M. Bremen, of Roxbury, Kan., in accepting one of our propositions says that "at the end of 1903 if the teachings of the Reporter are not pure homeopathy" he will surely call upon us to refund the price paid for the subscription. This is the kind of talk we like because it shows that the writer has decided views of the necessity for close adherence to homeopathic principles in our prescribing. the same time we may be pardoned for expressing the hope that Dr. Bremen, and others who think as he does, will aid us in making our journal a homeopathic journal by giving us the results of their experience with homeopathic remedies, and thus enable us to make the journal what we want to make it-a true exponent of the principles of our school. So, gentlemen, come along with your papers and we will be glad to publish them.

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