mammary secretion and the physiology of movement are especially full and valuable.

There is no branch of collateral science of higher importance to the physician than comparative physiology, and there is none which is less generally studied. This book will prove, therefore, a most desirable addition to the doctor's library, as well as of incalculable benefit to veterinaries wherever they may be found. The country physician, who is often called upon to attend sick animals as well as human beings, should get this work, and familiarize himself with the facts it contains.

The only unfavorable criticism we can offer is that the author uses throughout the French (metric) system of notation. The average

English speaking physician knows little about this system and cares less; and the labor of translating metres into inches, litres into pints, kilos into pounds, and Centigrade into Fahrenheit degrees, should have been performed by the author.

Inebriety: its Causes, its Results, its Remedy. By Franklin D. Clum, M. D., author of " Men and Women." Second edition, published by J. B. Lippincott Co., Philadelphia, 1889, containing 248 pages. Covered in cloth at $1.25.

This book is the most complete analysis of the cause, the effect and the remedy of inebriety ever published. All points made show careful study and thorough research, the whole work being based upon scientific principles. Dr. Clum's method of presenting the subject is fascinating, concise and instructive. He demonstrates clearly that drunkenness is a disease, and gives the scientific method of how to sober, how to treat, and how to cure the poor unfortunates.

The methods are practical, and the book is a valuable acquisition to any physician's library.

Book on The Physician Himself, and things that Concern his Reputation and Success. By D. W. Cathell, M. D., Baltimore, Maryland. Published by F. A. Davis, Philadelphia, Pa. 1889 8vo. ; pp. 283; cloth; price $2.00.

That this is the ninth edition of this work is sufficient evidence of its popularity. It is both readable and interesting, and we cordially commend it to all students and practitioners as a guide, both in ethics and deportment. The young practitioner who studies it, will acquire, in a few hours, a knowledge of the "little things" of professional every-day life, which would require ten years of practice to secure. Its suggestions will serve to put him on his guard in a thousand trying emergencies.

Wood's Medical and Surgical Monographs. Vol. III, Number 1, July, 1889. (1). Cancer and Cancerous Diseases. By Sir Spencer Wells, Bart., F. R. C. S. (2). Cardiac Dyspnea and Cardiac Asthma. By Dr. S. Von Basch. (3). Influence of Menstruation and of the Pathological Condition of the Uterus on Cutaneous Diseases. By Dr. L. Grellety. (4). Tension as met with in Surgical Practice; Inflammation of Bone; Cranial and Intra-cranial Injuries. By T. Bryant, F. R. C. S. (5). Antisepsis, and its Relation to Bacteriology. By Dr. J. Neudorfer, 8 vo. Pp. 254. Price: $1, or $10 per annum.

After so often commending the great value of these Monographs— one of which appears monthly-it seems unnecessary to more than mertion the contents of the July issue. The issue for June contains the index of Vol. 2, and also a very extensive and well illustrated paper on General Orthopedics, by Dr. August Schreiber.

Diphtheria: Its Nature and Treatment. By C. E. Billington, M. D., and Intubation in Croup and other Acute and Chronic forms of Stenosis of the Larynx, by Joseph O'Dwyer, M. D. Octavo, 326 pages. Price, muslin, $2.50. New York: William Wood & Company. Any work of a practical nature on this dread disease finds a multitude of anxious readers. The work before us is of this character. It is emphatically a dissertation on the subject of diphtheria from a practical clinical standpoint. The existing knowledge on the subject is well presented and considered, and the book is devoid of useless verbiage and reference. It is well illustrated with wood cuts and chromo-lithographs, is nicely printed and offered at a reasonable price. O'Dwyer's method of intubation is introduced and fully described, thus bringing the work well up to the present time.

A Guide to Therapeutics and Materia Medica. By Robert Farquarson, M. P., M. D., fourth American, from the fourth English edition. Enlarged so as to include all preparations officinal in the United States Pharmacopea, by Frank Woodbury, A. M., M. D., Fellow of the College of Physicians of Philadelphia. Published by Lea Brothers & Co., 1889: 598 pages; cloth, at $2.50.

The book contains no discussions of the various theories, nor gives the origin and history of the plant, but gives briefly the established physiological and therapeutical action of all the officinal drugs now in general use, and many new and non-officinal drugs that bid fair to be recog nized as standard drugs, also many valuable formulas with which the physician should be familiar. The book serves the useful purpose of

being a miniature dispensatory, and a handy and concise reference book on therapeutics and materia medica to the busy practitioner as well as to the medical student.

Digestive Ferments, a consideration of their nature, action, quality, dosage and incompatibilities, with notes of clinical cases, compiled from current literature, by the Scientific Department of Parke, Davis & Co. 12 mo.; paper; pp. 174.

We have in this little brochure an excellent description of the various digestive ferments, their properties and action, with clinical notes illustrative of the experience of those who have tested them. А сору

will be sent to anyone interested upon application to Messrs. Parke, Davis & Co., Detroit, Michigan.

A System of Obstetrics by American Authors. Edited by Barton Cooke Hirst, M. D., Associate Professor of Obstetrics in the University of Pennsylvania; Obstetrician to the Philadelphia and Maternity Hospitals; Gynecologist to the Orthopedic Hospital, etc. Vol. II, 8vo., leather, pp. 854, with 221 engravings on wood. Lea Brothers & Co., Publishers, Philadelphia, 1889. Cloth, $5.00; leather, $6.00; half Russia, $7.00.

About a year ago we called the attention of the readers of this journal to the first volume of this magnificent exposition of American obstetrics, and the words of commendation then used we can only reiterate now on the appearance of the second volume.

The following embraces the articles considered in this volume, and their writers:

Diseases and Accidents of Labor, Theophilus Parvin, M. D., LL. D.; The Forceps and Embryotomy, Edward P. Davis, A. M., M. D.; the Premature Induction of Labor, by James C. Cameron, M. D.; Version, by the same; the Cesarean Operation, Symphysiotomy, LaparoElytrotomy, and Laparo Cystectomy, Robert P. Harris, A. M., M. D.; Puerperal Infection, Henry J. Garrigues, A. M., M. D.; Inflammation of the Breast and Allied Diseases, by the same; Etiology of Puerperal Fever, Harold C. Ernest, M. D.; Some Complications of the Puerperal State Independent of Septic Infection, Barton Cooke Hirst, M. D.; Insanity and Diseases of the Nervous System in the Child-bearing Woman, James Hendrie Lloyd, A. M., M. D.; the Management and the Diseases of the New-born Infant, J. Lewis Smith, M. D.; the Surgical Diseases of Infancy and Early Childhood, Stephen Smith, A. M., M. D.; and Congenital Anomalies of the Eye, G. E. DeSchweinitz, M. D.

American physicians cannot but feel proud of their System of Medi

cine, edited by Pepper; their System of Gynecology, edited by Mann, and their System of Obstetrics, edited by Hirst.

An Elementary Treatise on Human Anatomy. By Joseph Leidy, M. D., LL. D., Professor of Human and Comparative Anatomy and Zoology in University of Pennsylvania, etc. Second edition rewritten, with 495 illustrations. J. B Lippincott Company, 1889. Philadelphia: pp. XXIV-950. Price $6.00.

After a period of twenty-eight years, a new rewritten edition has made its appearance, which the author tells us is at the request of his numerous students, and it is to them that this work will be of special interest and use.

We may well pause to inquire the reason for a work on human anatomy, unless there is something new, or a better method of instruction not obtainable in other similar books. The author has been so long and favorably known in this country, as a writer and teacher of this branch of medical science, that anything he may write will be of real value; and so it will be found as regards the book before us.

The work differs in so many ways from other text-books that it ought to be in the hands of those who care to have more than one book on this subject. The subject of histology is largely taken up, and the latest views have been adopted; so that in this respect it is fully abreast with the times.

This was to be expected from the title of the book. Our author is also concise, yet sufficiently clear, when he comes to treat of descriptive anatomy. Among the illustrations we notice some old friends, but also a large number that are new and are well executed.

The book is divided into seventeen chapters. The first is devoted to a general introduction to the subject. Here we notice, too, that 214 distinct bones are given as composing the human skeleton, instead of 200 as usually stated. Then follows the special anatomy of the skeleton, in which a description of the different bones is given. The description of the soft parts is preceded by a chapter on the connective tissues, which is proper. And so through the whole book we find that the different subjects have been carefully treated, and become thereby instructive and reliable.

As a whole, we can only commend the work, and hope it will occupy a well earned place among other works of this character. The publisher's work has been very acceptably done; the type large and clear.

is

O. F.

COLUMBUS

MEDICAL JOURNAL:

A MONTHLY JOURNAL OF MEDICAL SCIENCE.

Vol. 8.

SEPTEMBER, 1889.

COMMUNICATIONS.

No. 3

A CASE Of enormOUS FIBRO-CYSTIC TUMOR OF THE UTERUS: LAPAROTOMY: RECOVERY.

DR. X. O. WERDER, PITTSBURGH.

June 14 last, I was consulted by Miss W. C., aged twenty-three, in regard to an abdominal tumor which had been growing for the last eight months. The abdomen was enlarged to the size of pregnancy at full term, and below the umbilicus there was a number of striæ, such as you find at the end of gestation. The right side of the abdomen was more rounded than the left, the tumor having apparently developed from that side. Dullness extended from the pubes to the ensiform cartilage, and to both hypochondriac regions, leaving a tympanitic area in both flanks. The tumor was uniform, soft and elastic, and distinctly fluctuating. The largest circumference of the abdomen was between the umbilicus and pubis. Digital examination per vaginam revealed a normal nulliparous cervix, high up in vagina; fundus uteri could not be felt; sound was not introduced. Vaginal examination very difficult and painful on account of a rather rigid hymen. Examination per rectum negative.

Miss C. first menstruated at thirteen years, always regular and painless, lasting five days. Has been more profuse since appearance of tumor than before. Had typhoid fever five years ago, then dyspepsia for