works, the above and Gant's Diseases of the Rectum and Anus, have been issued within the past month upon this subject. This alone shows the general interest that there is in this subject. Either of these books is so far in advance of anything previously published that their simultaneous appearance marks an epoch in the literature.

The author of the above volume is well qualified in his specialty and the book shows throughout an intimate knowledge of the subject, based upon a large clinical experience. Much space has been devoted to examination, diagnosis and local treatment. The non-operative treatment of each disease is given, together with the class of cases in which it will probably be useful, but when measures are likely to prove futile the author does not hesitate to say so. The author states that he has written the work during an active practice and has put to the test almost every opinon he has expressed. Such practical works are what a physician wants. If an author tells what he himself knows from actual experience it is much better than telling what some other writer has said.

The publishers have given the book a fine appearance, 338 illustrations and eight colored plates adding greatly to its appearance as well as illustrating the text admirably. We predict a wide popularity for the work.

ALTAS AND EPITOME OF TRAUMATIC FRACTURES AND DISLOCATIONS. SAUNDERS' MEDICAL HAND-ATLASES.-By Prof Dr. H. Helferich, Professor of Surgery at the Royal University, Griefswald, Prussia. Edited, with additions, by Joseph C. Bloodgood, M. D., Associate in Surgery, Johns Hopkins University, Baltimore From the fifth revised and enlarged German edition. With 216 colored illustrations on 64 lithographic plates, 190 text-cuts, and 353 pages of text. Philadelphia and London: W. B. Saunders & Co., 1902. Cloth, $3.00 net.

As a means of study of the subject of fractures and dislocations we know of no work which compares with this. If the reader knows all about the anatomic and pathologic conditions of fracture we would not recommend this book to him as a necessity, but if he is still searching after more accurate knowledge of the subject it

will please him immensely and cannot fail to fill a gap in his library.

A most valuable feature of the book is the insertion of sixty-four lithographic plates which show the anatomic relations in the different fractures and dislocations. They are self-explanatory and will prove of inestimable value to students and teachers in the study of the subject. They are remarkable for their accuracy and clearness of portrayal of the conditions represented.

The work fills a long-felt want and fully sustains the high standard set by the preceding volumes of Saunders' series of Hand Atlases and we feel sure that the high estimate which we have set upon it will be borne out by others.

EAR. ESSENTIALS OF DISEASE OF THE.-By E. B. Gleason, S. B, M. D., Clinical Professor of Otology, Medico-Chirurgical College, Philadelphia; Surgeon in Charge of the Nose, Throat and Ear Department of the Northern Dispensary, Philadelphia, etc. Third edition, thoroughly Revised. 16 mo. volume of 214 pages, with 114 illustrations. Philadelphia and London; W. B. Saunders & Co., 1902. Cloth, $1.00 net.

This valuable little help, one of Saunders' Question-Compend Series, has reached its third edition. The book will be found of service, not alone as an aid to the student, but also to the physician who wishes to take a post-graduate course in Otology, enabling him, as it does, to acquire the rudimentary facts of the science with as little preliminary reading as possible.

The essentials of Otology have been stated concisely, without sacrificing accuracy to brevity. The diagnosis and treatment of diseases of the ear have been brought absolutely down to date by a thoroughly scrupulous revision; only such methods of treatment being included. however, as have personally proved efficacious in the majority of cases. Besides carefully revising the old text, many interpolations of new matter have been made, thus somewhat increasing the number of pages in the present edition.

The illustrations-many from original drawings-have been selected with the aims of the book constantly in view; and

they form a very commendable feature of the work. Indeed, the little volume before us will unquestionably continue to be one of the most popular of Saunders' unequalled Question-Compend Series.

A specialist in otology taking up this book from the office desk of the writer and looking it over, said right away, "I want that book. There are things in it which will help me in my work." He referred in particular to the illustrations, citing the illustration of the bony and membranous cochlea and the bony labyrinth on page 29 as being particularly good. He also called attention to the fact that the cuts of instruments shown are those of the best make and what would be most useful in following out the suggestions of the author.

Taking it all in all the book is one which would be a help not only to the student but as well to the general practitioner.

FRACTURES. THE TREATMENT OF.-By Chas. L. Scudder, M. D., Assistant in Clinical and Operative Surgery, Harvard Medical School. Third edition, revised and enlarged. Octavo, 480 pages, with 645 original illustrations. Philadelphia and London: W. B. Saunders & Co., 1902. Polished Buckram, $4.50 net; Half Morocco, $5.50 net.

This

The diagnosis and treatment of fractures in the bete noir of many general practitioners and any book which is devoted to this subject is of interest to them. work is of an intensely practical character; theories regarding causes, etc., of fracture are not given at all but the methods of modern diagnosis and treatment are given with the minutest detail. In this respect the book is unrivalled. The best evidence of its practicability and worth is the fact that this is the third edition within two years.

The illustrations, of which there are six hundred and forty-five, are a feature of the book. Too many times illustrations are used for the purpose of padding and improving the appearance of the book, but these illustrate the text and are of the most practical value in every instance. The reader is not only told what to look for in diagnosis and how to apply bandages and apparatus but he is shown in well

executed pictures, actual cases showing deformity and he can follow step by step the application of the apparatus and dressings. In this respect alone the book is worthy of a place in every physician's library because it gives information which could not be obtained otherwise except by post-graduate hospital work.

In this edition several new fractures have been described, and an excellent chapter on Gunshot Fractures of the long bones has been added. The reports of surgeons in the field during the recent wars have been carefully digested, and the important facts regarding fractures produced by the small caliber bullet have here been concisely presented. In many instances photographs have been substituted for drawings, and the uses of plaster-of-Paris as a splint material have been more fully illustrated. In its new form, the work fully maintains the deserved reputation already won.

MATERIA MEDICA, THERAPEUTICS, AND PHARMACOLOGY. A TEXT BOOK OF By George F Butler, Ph G., M. D, Professor of Materia Medicine and Therapeutics in the College of Physicians and Surgeons, Chicago, Medical Department of the University of Illinois, etc. Fourth edition, thoroughly revised. Handsome octavo volume of 896 pages, illustrated Philadelphia and London: W. B. Saunders & Co, 1902. Cloth, $4.00 net; sheep or half-morocco, $5 00 net.

Homeopathic physicians as a rule do not study allopathic materia medica, but we believe that much good can be derived from such study. Pharmacology as taught to-day in the best allopathic schools is a scientific study by means of laboratory methods of observations of the action of drugs upon animals. It is true that this is at best only a guess as to whether this action is the same as in human beings, but until the homeopathic schools institute a better way of determining the physiological action of drugs we must appropriate the results of our allopathic confreres' work. This volume is one of the best allopathic materia medicas on the market, and as such we commend it to our readers.

The new edition is offered to the profession after a careful and complete revision. The pharmacology and therapeutics of

each drug have been thoroughly revised, incorporating all the recent advances made in pharmacodynamics.

In view of a larger experience, resulting in more definite conclusions, numerous modifications have been made in the expressions of opinion regarding the utility of certain drugs, notably the newer synthetics. The chapters on Organotherapy, Serum-therapy, and cognate subjects have been enlarged and carefully revised.

But perhaps the most important addition is the chapter on the newer theories of electrolytic dissociation and its relation to the topic of pharmacotherapy, and the relevant discussion added of the simpler relations of chemical structure to drugaction.

HISTOLOGY. ESSENTIALS OF-By Louis Lerry, B. S., M. D., Professor of Histology and Pathology, Vanderbilt University, Medical and Dental Departments; Pathologist to the Nashville City Hospital, etc. Second edition, thoroughly revised and greatly enlarged. 16mo volume of 263 pages, with 92 beautiful illustrations. Philadelphia and London: W. B. Saunders & Co., 1902. Cloth, $1.00 net. This valuable work has been designed not only as an aid to the beginner, but also to help the practitioner who, having graduated at a time when histology was not taught in all the colleges, desires to gain sufficient knowledge of the subject to facilitate his better understanding of pathology. Both these aims it admirably fulfils, as is evidenced by the demand for a second edition in so short a time.

In this edition a number of new original illustrations, mostly photo - micrographs, have been inserted to better elucidate the text. The chapter on Technic has been enlarged, a description of the appendix and rectal valves added, and the entire chapter, as, indeed, the entire book, thoroughly and carefully revised. As did the first edition, the work in its present form stands as a model of what a student's aid should be; and we unhesitatingly say that the practitioner as well would find a glance through the book of lasting benefit.

The fact that of these Question Compends more than 200,000 copies have been sold since the issue of the first volume is enough to stamp them as being valuable

aids to the student's comprehension of his work. We venture to say that there is scarcely a College in the country in whose freshman and sophomore classes are not found these text-books. All of them are good and all worthy of very high commendation.

RECTUM AND ANUS. DISEASES OF THE.-Designed for Students and Practitioners of Medicine. By Samuel Goodwin Grant, M. D., LL.D., Professor of Rectal and Anal Surgery at the New York Post-graduate Medical School and Hospital; formerly Professor of Gastro-intestinal Surgery at the University and Woman's Medical Colleges, Kansas City, Mo.; Attending Surgeon for Rectal and Anal Diseases to the New York Post-graduate Hospital, St. Mark's Hospital, Hebrew Sheltering Guardian Orphan Asylum, and New York Infant Asylum; member of the American Proctologic Society, American Medical Association, Mississippi Valley Medical Association, and New York Post-graduate Hospital Alumni Association, New York Academy of Medicine, County and Greater New York Medical Societies, and honorary member of the Missouri, Kansas, and Nebraska State Medical Associations, Kansas City Academy of Medicine, etc. Second edition, rewritten and enlarged with 37 full-paged plates, 20 of which are in colors, and 212 smaller engravings and half-tones. Pages xxiv-687; Royal octavo. Extra cloth, $5.00 net; sheep or half-russia, $6.00. F. A Davis Company, Philadelphia

The second edition of this work is practically a new book. Much of the text has been re-written and three new chapters have been added upon Diseases, Injuries and Tumors of the Coccyx, the Venereal Diseases of the Ano-Rectal Region, the Recto-Colonic Enteroliths and Concretions. Many new, original illustrations have been added to the already large number of the first edition. These additions comprise five full-page colored plates, seventeen fullpage, black and white plates and over one hundred smaller illustrations. It is in its present form a far more satisfactory volume than the preceding edition and shows that the author has evidently improved the opportunities that his present wide clinical field in New York has given him. Mechanically the book is a fine product of the book-maker's art.

It is interesting to note the opinions of Tuttle. See above for review of his new book on the Rectum, and the author of this work, upon valvotomy, a term given

by Martin, of Cleveland, to the cutting of Houston's valves. Gant states that whenever one or more of the rectal valves becomes so hypertrophied as to obstruct the passage of fæces valvotomy is indicated. He states that he has performed the operation sixty times and in each instance complete cure has resulted. He further states, however, that he is not prepared to say that the good results were due entirely to the division of the valves, believing that dilatation of the sphincter, the establishing of regular habits and the probable reflex peristalsis set up by the irritation of the parts may have constituted a large factor in the cure. Tuttle is still more sceptical and says that if, as advised by Martin, the patient's diet and habits are regulated, and his environments and methods of life be so changed as to be conducive to the regular action of the bowels, increased peristalsis will be maintained after the operation of cutting the valves, but he says that these methods alone will eventually cure constipation and especially is this true when bougies, rectal tubes and instruments for the treatment and examination of the operative field and introduction of ointments, sprays and antiseptic washings have been used. Tuttle believes that the benefits which have followed valvotomy have been due in many cases more to the after-treatment than to the mere section of the valves and he calls attention to the fact that the permanency of the results of the operation depends largely upon the maintenance of the habits established during the immediate postoperative period.

SURGERY. A MANUAL OF.-For Students and Practitioners. By William Rose, M D., B. S., Lond., F. R. C. S.; Professor of Clinical Surgery in King's College, London, and Senior to King's College Hospital, etc.; and Albert Carless, M. S., Lond., F. R. C. S., Surgeon to King's College Hospital, and teacher of Operative Surgery in King's College, London; Examiner in Surgery to Glasgow University, etc. Fifth edition, 29 plates, 439 illustrations; pages, 1213. Wood & Co., New York, Cloth.

This is the fifth edition of this work since 1898. The work has been prepared with the idea of presenting in a concise

and succinct form all of the facts of the art and science of surgery so as to satisfy the wants of the medical student. While this feature appeals particularly to students in their use of the book as a textbook, it also meets the requirements of the general practitioner who wants the latest information upon a surgical subject. It is no small matter for an author to compress into a small space all of the essential parts of present day surgical knowledge but in this respect the authors have been most successful.

A feature of the present fifth edition is that the subject of inflammation and its treatment is given a secondary place in its consideration to that of the principles of Bacteriology, Asepsis and Antisepsis. We heartily approve of this arrangement because the student cannot get the idea too firmly fixed in his mind that Inflammation is always a result of germ invasion and that if Asepsis and Antisepsis are given proper attention in surgical technique there will be an absence of Inflammation. We think, however, that the authors should have gone a step further and followed the teaching of Park and Senn in limiting the term inflammation to those proceses due to germ invasion. changes taking place in a non-infected wound are not those of Inflammation; they are perfectly normal processes incident to tissue repair. This is only an individual criticism and the idea advanced is not held by most of the writers of the day. The work as a whole is a most valuable one and the fact that it is used as a textbook in so many of the colleges of the country is a sufficient endorsement of its worth.

The

SURGICAL PRINCIPLES AND SURGICAL DISEASES OF THE FACE, MOUTH AND JAWS. A TEXT BOOK OF THE.--For Dental Students. By H. Horace Grant, A M., M.D., Professor of Surgery and of Clinical Surgery, Hospital College of Medicine; Professor of Oral Surgery, Louisville College of Surgery, Louisville. Octavo volume of 231 pages, with 68 illustrations. Philadelphia and London: W. B. Saunders & Co., 1902. Cloth, 2.50 net.

This text-book, designed for the student of dentistry, succinctly explains the priuciples of dental surgery applicable to all

operative procedures, and also discusses such surgical lesions as are likely to require diagnosis and perhaps treatment by the dentist.

The arrangement and subject matter cover the needs of the dental student withont encumbering him with any details foreign to the course of instruction usually followed in dental colleges at the present time. The work includes, moreover, such emergency procedures as not alone the dentist and physician, but also the layman, may be called upon to perform. These, like the other subjects in the book, have been described in clear, concise language, admitting of no equivocalness. Whenever necessary, for the better elucidation of the text, well-selected illustrations have been employed. For the dental student the work will be found an invaluable text-book; and, indeed, the medical beginner, also, will find its perusal of more than passing benefit. By the latter indeed it might well be read preparatory to taking up his general medical

course.

The first chapter deals with bacteriology and gives a very distinctive and interesting description of that important branch of the work usually done by the freshman of the medical course. Something unique in the preparation of the book is the summary which is found at the end of each chapter. This gives in two or three paragraphs a resume of what has been explained more fully in the pages preceding and will serve to enable the student to impress upon his mind the facts which have been set forth. We do not think this book should be at all confined to the dentist. It is a book which would be valuable to the general practitioner and, in many instances be a distinct aid to him in his work. It is a handy volume, well bound and well printed.

SURGERY. THE INTERNATIONAL TEXT BOOK OF. In two volumes. By American and British Authors. Edited by J. Collins Warren, M. D., LL.D., F. R. C. S. (Hon.), Professor of Surgery, Harvard Medical School; and A. Pearce Gould, M. S., F. R. C. S., of London, England. Second edition, thoroughly revised and enlarged. Vol. I,

General and Operative Surgery. Royal octavo of 965 pages, with 461 illustrations, and 9 full-paged colored lithographic plates. Vol. II. Special or Regional Surgery. Royal octavo of 1122 pages, with 499 illustrations, and 8 full-paged colored lithographic plates. Philadelphia and London: W. B. Saunders & Co., 1902. Cloth, $5.00 net; Sheep or Half Morocco, $6.00 net.

In planning this work the editors and co-workers have kept constantly in mind the needs of both student and practitioner. The result a masterly exposition of the art and science of surgery, untrammeled by antiquated traditions. In its realization they have given to medical literature an invaluable text-book, embodying a clear but succinct statement of our present knowledge of surgical pathology, symp tomatology, and diagnosis, and such a detailed account of treatment as to form a reliable guide to modern practice.

One of the best evidences of progress in medical knowledge is the frequency with which books of merit require revision. This is shown by the fact that scarcely two years have passed since this work on Surgery was given to the profession. Within these two years Surgery has advanced so much in every direction that it has become necessary, in order to bring the work up to date, to revise the entire work. This has been carefully and thoroughly done both by the individual collaborators and editors. Several chapters have been entirely rewritten, notably that upon Military and Naval Surgery, and Diseases of the Lymphatic System.

In its present form the work fully sustains all that has been said of it heretofore and more. The additions in the way of illustrations and lithographic plates are numerous and the entire work is one that should find in a place in a physician's lib

rary.

Dr. Ch. Gatchell has accepted a pro fessorship on the faculty of the Hahne mann Medical College of Chicago. We congratulate the College, at the same time congratulating the doctor, because we feel that when one has such talents for teaching as are possessed by this man he should not be permitted to have them unemployed.