phrenologist is armed at all points,—not only master of his own science, but able, as he ought to be, readily to compare it with any of the numerous systems of mind and morals which have neutralized each other from Plato's downwards,--while he knows more of the brain than ninety-nine in every hundred of the medical profession itself, his antagonist, vith a smile of contempt, for the poor egare, funded in the same sort of superiority which the Chinese possesses over the European, commences his extinguishment of the "cranologist."

But we must not conclude without a word of expostulation with men of real scientific habits, who know what induction is, and can appreciate a system built upon that basis. The sooner they cease to scorn, and begin to learn, the better for themselves. We tell them that they do neither well nor wisely to neglect phrenology-that they act absurdly to pre judge it. We tell them-disdain us as they may-that it is to be disgracefully behind the science of the age, to live in Chinese-like contempt of an inquiry which deeply engages a number of men in no way their inferiors, eithe in philosophical acuteness, or powers or habit of just reasoning. The inquiry is too far acvanced to make this insolence of office longer safe. The system is greatly too near its certain destination of being deemed the most important discovery of modern times, to leave it prudent for even the greatest philosopher to entrench himself against it in his imagined strong- hold, where, if he remain, he must soon make a very ridiculous figure, and run the risk of being a by-word to every school-boy, as one of those who, in the nine

teenth century, opposed the progress of the

true science of mind.

One sign of the times is worth the regard of the most securely established philosopher. The doctrine, which he unwisely despises, is rapidly taking hold of the reason, and delighting the imaginations of the rising generation. They have no exclusive theories which they love better than truth; no philosophic dignities and reputations in jeopardy; no pride to be offended by the success of a system which they have not committed themselves by contemning. Phrenology is rife among the young men. They discuss it in their friendships, study it practically in themselves and in each other, debate it in their societies, and evince their opinion of the truth of its principles by their votes. Let their philosophical instructors remember, that these vouths will soon be men, who will look back

on Alma Mater with a contempt for her doting metaphysics, which will turn their sons from her gates to the schools of the phrenologists.

EXTIRPATION OF THE UTERUS.

Dr. Sauter, a physician of Constance, on the 28th of January, removed the uterus from a woman aged 50 years. There was considerable difficulty in the operation, but not more than a pint and a half of blood lost. It was 2 1-2 inches long, and 2 inches broad; and the fungus that protruded from it was still larger. She was pronounced cured and well, March 16 she left the hospital May 9, to pursue her usual avocations; she returned May 19, with a pulmonary affection; and on the first of June, she died.

LITHOTOMY.

M. Graefe lately extracted from a man 38 years old, a stone, weighing 21 ounces and 4 drachms. Its length was 4 inches, 3 lines; its breadth 3 inches, 9 lines; thickness 2 inches, 10 lines. Its longest circumference was 11 inches, 9 lines; its shortest 9 inches, 10 lines-all Paris measure. The patient died on the 11th day. The ureters were as large bags, to contain the urine, as high as the kidneys.

The operation of tapping the liver was lately performed in Kent, (Eng.) and 5 pints of diseased matter evacuated. A tube was left in the orifice, through which about a pint of the same flowed daily for a week. The man is doing well.

NOTICE TO SUBSCRIBERS. Having continued the Register now through more than the fourth part of the year, subscribers are respectfully informed, that at the expiration of the 20th number, none will be forwarded to those who have not complied with the terms of subscription. It is impossi ble to pursue a work of this kind, in which constant expense is involved, unless that part of the contract which is connected with the subscribers, is punctually fulfilled.-The trouble of collecting such small amounts more than equals any advantage which the publisher realizes-and for this reason, it is again repeated, that after the 20th number, none will be transmitted to those who have not complied with their engagements.

last Erdrisite.

Theodore Archbishop 936 Otho 1st, Emperor of Theophanes or Nonus.— of Canterbury. Masardschawaih.---Ser

Germany.

970 Addad Eddaulah, Emir

of Irak.

978

The Hippiatriques are collected.

Izhak ben Soliman.

Birth of Avicenna.

980 Mostansor, Caliph of Aladdin al Karschi.

Bagdad. The Aca

demy of Cordova is founded by Alman

Maine.-The White Mountains are already covered with snow.

Northampton.-Frost here, Sept. 29. Albany.-Snow fell, Sept. 23, between Boston and this place, nearer the latter. Utica. An infirmary for the diseases of the eye has been lately established here.

New York.-69 deaths for the week ending Oct. 2.-Consumption 14, Croup 5, Dropsies 7, Fevers 7, Inflammation 8, Tabes Mesenterica 5.

Dr. Mott, Oct. 7, amputated the thigh of a boy 12 years old, at the hip, in the New York Hospital! The disease for which the operation was performed, for the first time it is said in America, was necrosis. The boy is doing well. We hope to be able to give further particulars hereafter.

Baltimore.-33 deaths for the week ending Oct. 4.-Consumption 4, Bilious 6, Small Pox 1.

Washington.-33 deaths during the month of September.-Bilious fever 6, other fevers 8, Cholera 4, Consumption 4.

Average height of the thermometer for the month of August, 75o, Maximum 84°, Minimum 63°, 4o less than the mean height in July. In Aug. 1823, the average heat was 2o less. Rain in Aug. 1824=-2.43 inches; in 1823-4.16.-More healthy this year.

Charleston.-On the 25th of Sept. there was no new case of yellow fever reported;-4 deaths that day. Two new cases on the 26th; same day 6 deaths. Five deaths on the 27th; no new case. Seven deaths on the 28th; one new case. Six deaths on the 29th; no new case. Three deaths on the 30th; one new case. From Sept. 19, to 26, there were 50 deaths-32 of yellow fever! 8 of Diarrhoea. Thermometer, (3 P. M.)--Sept. 19=76°: 20 74°: 21=76°: 22=770: 23-75°: 24= 70°: 25 70°:

Oct. 1.-4 deaths; no new case. Georgia.-Nearly 100 lives were lost by the late hurricane-mostly negroes.

Savannah.-7 deaths for the week ending Sept. 28. Fevers 3.

New Orleans.-31 deaths from the 4th to the 5th of Sept. ; 23 of yellow fever! 15 on the 6th; 15 on the 7th; 12 on the 8th.-Several new cases daily reported.-8 interments on the 9th; 17 on the 10th.

The papers remark that the yellow fever is more malignant this year, than the oldest inhabitants ever recollect it to have been before.

Paris.--A fossil skeleton of a human being is here exhibited, and two literary characters are employed in drawing up an account of this astonishing petrifaction.

On the 31st of Dec. 1823, there were 2240 insane in the establishments of Bicétre and Salpetriére-764 men-1476 women.

Calcutta.-351 natives of India died here of Cholera, in February.

Hamburgh.-The Small Pox made considerable ravages here last summer.

Practice of Medicine among the Poor

and among the RICH.

That there exists an essential difference in many respects, between these two cases, and that difficulties and embarrassments exist in the one, which are but partially felt in the other, is too evident to all who are at all acquainted with these matters, to be doubted or denied nay, it is so clear, that it requires but a little reflection even from the uninitiated to be sensible of the fact. This arises from divers causes, some of which we will proceed to consider, stating the case as familiarly as possible, that we may not be misunderstood.

We will imagine then, in the first place, two individuals attacked by the same disease, who differ from each other only in fortune,a nd the necessary concomitants attendant upon their situations. The one has all the comforts, luxuries, and attention, that wealth can bestow-the other earns his daily bread

No. 19.

by the sweat of his brow. The one sends instantly for his physician, and has the best advice, nursing, and attendance of all kinds, that the occasion demands; the disease is not permitted by delay, to take a fast hold of the system, and gain strength with impunity;-the remedies are of the best kind, and promptly administered-the directions of the physician minute, particular, and carefully attended to-the sick chamber is kept quiet-the relatives and friends are ever upon the watch to discover and administer to all his wants and wishes, provided they do not interfere with the previous directions; (and here, officious kindness is not so hurtful as in the other case, being guided and restrained by judgment and good sense; which qualities, if possessed at all by the friends of the poor, are commonly lost sight of at this time;) and, in short, by the concurrence of all these favourable circumstances, the dis

ease is often nipped in the bud.

Let us now view the other side of the picture. After neglecting himself for some days, or what is perhaps worse, after allowing all the old women in the neighbourhood to try their skill upon him, the poor and ignorant invalid at length sends for a doctor. We will suppose that the medical man promptly obeys the call, and that now by the bedside of the patient, he is making his inquiries and observations. Each of his senses finds some cause of offence: his ears are assailed, not only by the noise of the children, but by the eagerness of each one of the family to "tell the doctor all about it:" his eyes discover a small room, perhaps serving as chamber, kitchen, &c. to all the family; and his nose confirms him in what his eyes have suggested, with full evidence of scanty ventilation. In the midst of all this, he finds his patient very bad, from the disease, delay, and bad treatment; his fever increased, his rest disturbed, and his brain bewildered by the causes already mentioned. When satisfied that his directions are fully understood by the friends, he gives them the prescription and retires, and finds, at his next visit, that the medicines were administered irregularly; that something had been given to the patient, wholly improper; or that finding himself a little better, he had risen and stirred about.

In addition to these drawbacks, he is often deprived of such means of relief as the rich alone can conveniently command-as leeches, (far too little used in this country,) warm, or vapour baths; many medicines, for which no good substitute can be procured, injections, &c. If the disease should be of such a nature, as not wholly to destroy appetite, but which, nevertheless, requires abstinence and low diet, how seldom is it that we can control the patient, and how much easier to convince the educated than the ignorant.

Were we to enter into all the details of which this subject admits, and treat of every circumstance connected therewith, we might easily make a small vo

lume. This to physicians, however, is unnecessary, as they must all, in some parts of their life, have experienced most of those difficulties we have here laid down, and perhaps others that do not at present occur to us; and to all others, we have said enough to convince them that our duties are not so easy in these cases as they may have supposed. The life of a physician, under the best circumstances, is pretty much that of a slave; his time is never at his own command-his rest is broken-he has to brave all weathers, and at all times-his meals are interrupted-his recreations or amusements interfered with,—and he cannot, if he is so inclined, always enjoy the privilege, open to all others, of worshipping his God in the temples dedicated to him. But when, in addition to all this, he is harrassed by the extra vexations attendant upon the practice among the poor, who, (though it should be directly the reverse,) worry him more, give him more trouble, and have less consideration for him, his conveniences and comforts than his most profitable patient, who is there to envy him?

We intended under this head, to have said something of Dispensaries, but we find that this article is already sufficiently long, and must, therefore, reserve our remarks for some future occasion. Useful as these institutions unquestionably are, they admit of being rendered still more so by attention to some minor circumstances, which we will hereafter endeavour to point out.