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of the terms used in medicine, anatomy, surgery, obstetrics, gynecology, therapeutics, materia medica, etc., etc., and the various sciences closely related to medicine,-bacteriology, microscopy, etc., etc. By GEORGE M. GOULD, A.M., M.D. Based upon recent scientific literature. Philadelphia: P. Blakiston, Son & Co., 1024 Walnut Street, 1894. This is a stout volume of upward of 1600 pages, and embraces a wonderful amount of information. The type is small, but beautifully clear. The illustrations leave nothing to be desired. The book may almost be styled a library in itself. Medical science has, during the-last two decades, advanced with such unprecedented celerity that hundreds, or even thousands, of new names have, within that period, been necessarily coined. In addition to the pure domain of medicine, numerous terms are drawn from the allied sciences. To keep up with this constant growth of our vocabulary is, in itself, quite a task, and for this reason the students of professional literature will welcome Gould's Dictionary as a valuable work of reference. The inclusion of biological terms is a very desirable feature, inasmuch as so much of special physiological knowledge is dependent upon a basis of general biology.

The definitions are as concise as is compatible with clearness. Obsolete terms have been dropped, or are dismissed in few words, while the names which belong to the progressive science of to-day are carefully explained. A praiseworthy feature of this book is the number and excellence of the elaborate tables which it contains. These are admirable condensations, and in themselves contain much information. The résumé of bacteriology, of tests, and of surgical operations especially demand mention. The various chemical and anatomical tables can also be commended. The table of stains and methods employed in biological investigation covers thirty-eight pages, and is a practical guide to the microscopical examination of the tissues. The table of tests is on a corresponding scale. We think that the author has adopted a serviceable method by introducing these various tables into the text in alphabetical order, instead of relegating them to an appendix. Many of the plates are original, and others are taken from works of the highest authority.

Weekly Abstract of Sanitary Reports, issued by the Supervising Surgeon-General, M. H.S., under the National Quarantine Act of April 29, 1878, and the act granting additional quarantine powers and imposing additional duties upon the Marine Hospital Service, approved February 15, 1893. Vol. viii (Nos. 1 to 52). Washington: Government Printing Office, 1894.

Much information regarding the management of epidemic and infectious diseases is contained in this volume. The measures taken by the government to prevent the importation and spread of cholera and yellow fever, and the work of inspection carried on abroad by official representatives of this country, can be learned from the original documents. These official reports are of decided value to the statistician. International Clinics: a Quarterly of Clinical Lectures on Medicine, Neurology, Pediatrics, Surgery, Genito-Urinary Surgery, etc. By Professors and Lecturers in the leading medical colleges of the United States, France, Great Britain, and Canada. Edited by JUDSON DALAND, M.D., of Philadelphia; J. MITCHELL BRUCE, M.D., F.R.C.P., London, Eng.; and DAVID W. FINDLAY, M.D., F.R.C.P., Aberdeen, Scotland. Vol. i. Fourth series, 1894. Philadelphia: J. B. Lippincott Company, 1894.

This issue of a well-known undertaking contains, as usual, much interesting and valuable The contributors to the Interreading matter. national Clinics are among the best-known members of the profession in their respective countries. Its arrangement and the periodical nature of its appearance render it of special acceptance to those whose daily duties curtail their hours for study, and yet who desire to keep in touch with the progress of clinical medicine. The leading specialties, as well as the general practice of medicine, are well represented in the different numbers of this publication.

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The present volume opens with an interesting memorial of Professor Charcot by Dr. M. Allen Starr. Among the lectures to which we may call attention are those upon "The Condition of the Heart in Mitral Insufficiency and in Chlorosis," by Prof. Carl von Noorden, of Berlin; "Acute Pleurisy and Pneumonia Asscciated with Pleurisy," by Prof. J. M. Anders, of Philadelphia; "Pernicious Anæmia," by W. Hale White, of London, Eng.; Amoebic Dysentery," by Charles G. Stockton, of Buffalo; "Myelitis," by Charles K. Mills; "Supra-pubic Cystotomy for the Formation of an Artificial Urethra," by Prof. Hunter McGuire. Other clinics in nervous diseases are by A. D. Rockwell; M. Allen Starr; Professor Déjerine, of Paris; Dr. Henry Dwight Chapin, and others. Surgical lectures are by Professor Lewis A. Sayre, Sir George Murray Humphrys, Dr. Joseph D. Bryant, J. McFadden Gaston, G. Frank Lydston, Henry T. Byford, William Easterly Ashton, and others.

Essentials of Nervous Diseases and Insanity: their Symptoms and Treatment. A Manual for Students and Practitioners. By JOHN C. SHAW, M.D., Second edition, Revised. Forty

eight original illustrations, mostly selected | and various constitutional affections. The names from the author's private practice. Philadel- | of Prof. Whittaker and Dr. E. S. McKee, of Cinphia: W. B. Saunders, 1894. Saunders's cinnati, guarantee that the excerpts in regard to Question-Compends, No. 21.

The author of this work is Professor of Diseases of the Mind and Nervous System at the Long Island College Hospital Medical School. The limits of the work demand condensation of the text, but the leading points are clearly presented. The sphere of such a work is, as the author expressly states, that of a primer for advanced students. The illustrations are useful in connection with the text.

A Primer of Psychology and Mental Disease.
By C. B. BURR, M. D., Medical Superintend-
ent of the Eastern Michigan Asylum, etc.
Detroit: George S. Davis, 1894.

diseases of the lungs and pleura are well selected. All the recent literature concerning tuberculosis has been collated and condensed. The section upon diseases of the heart and blood-vessels has been prepared by Drs. Whittier and Greene, of Boston, and leaves nothing to be desired. Dr. Solomon Solis-Cohen, assisted by Dr. David Riesman, of Philadelphia, is responsible for the part upon affections of the alimentary tract and related viscera. The latest methods of utilizing chemical tests in the diagnosis of diseases of the stomach are incorporated in this chapter, and will enable the reader to appreciate the revo lution as regards exactitude which has been brought into this important field of medical diagnosis. An exact diagnosis in these maladies will save much blind and ineffectual therapeutics. The advance which has been made in our knowledge of pancreatic disease, and the influ ence of the pancreas in the production of diabetes are also noted. The notes upon diseases of the intestines and peritoneum, including cholera, are contributed by Dr. J. P. Crozer Griffith. Genito-urinary affections and diabetes have been arranged under the supervision of Dr. Stewart is well known as a close observer Professor Lépine, of Lyons, France, and that and a good writer. He has chosen an important which relates to diabetes will be read with special subject, and has given us an excellent mono- interest, on account of the editor's valuable exgraph. The book is divided into four chapters.perimental work in connection with the pathoThe last, which deals with the treatment of special symptoms and complications, will attract particular attention.

This is another elementary work upon diseases affecting the intellect. Its author is able to base his observations upon an abundant experience. The book is written in an interesting style and is a good one for beginners.

Treatment of Typhoid Fever. By D. D. STEWART,
M.D., Lecturer on Clinical Medicine in the
Jefferson Medical College of Philadelphia, etc.
Detroit: George S. Davis, 1893.

Annual of the Universal Medical Sciences. A Yearly Report of the Progress of the General Sanitary Sciences throughout the world. Edited by CHARLES E. SAJOUS, M.D., and seventy Associate Editors, assisted by over two hundred Corresponding Editors, Collaborators, and Correspondents. Illustrated with Chromo-lithographs, Engravings, and Maps. The F. A. Davis Company. Philadelphia, New York, and Chicago: Volumes i, ii, iii, iv, v, 1894.

To commend the conception or the execution of the "Annual" is a work of supererogation, like carrying coals to Newcastle, painting the lily, or gilding refined gold. The work has become a necessity to the progressive physician. The volumes before us maintain the reputation which has been made by the collective labors of a large number of special students carried on for years. They furnish the reader, in an exceedingly convenient form, with a conspectus of recent domestic and foreign literature upon the subjects of which they treat. Volume i is devoted to information regarding diseases of the thoracic and abdominal viscera, animal parasites,

genesis of that disease. The chapter on fevers is illustrated and elucidated by some very beau. tiful illustrations.

The first section of volume ii relates to dis

cases of the brain. The latest observations concerning localization are placed upon record, and tumors and inflammatory diseases of the brain, with epilepsy, constitute an important chapter, which is prepared under the direction of Dr. Landon Carter Gray. Under "Diseases of the Spinal Cord," by Dr. H. Obersteiner, of Vienna, we are given the last words in relation to syringomyelia and other rare pathological conditions of the cord. Dr. Paul Sollier, of Paris, treats of "Peripheral Nervous Disorders." In this chapter, also, we meet with several admirable illustrations. "Mental Diseases" are reviewed by Dr. George H. Rohé, of Catonsville, Md., and "Inebriety, Morphinism, and Kindred Diseases" by Dr. Norman Kerr, of London. The section on "Diseases of the Uterus and Adnexa" is from the pen of Professor Montgomery, of Philadelphia. This volume is completed by sections upon "Diseases of the Vagina and External Genitals," by Drs. J. M. Baldy and W. Frank Talley; Puerperal Diseases," by Dr. Lutaud, of Paris; "Obstetrics and Puerperal Diseases," by Drs. P. Budin and L. Merle, of

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Paris; "Diseases of the Newborn," by Dr. An- | this chapter a reliable guide to the practitioner.
drew F. Currier, of New York; "Dietetics and
Gastro-Intestinal Disorders of Infancy," by Dr.
W. A. Edwards, of San Diego, Cal.

Volume iii is a surgical number. The section upon "Surgery of the Brain, Spinal Cord, and Nerves" is contributed by Drs. Lewis S. Pilcher and Samuel Lloyd. Cerebral topography is illustrated by plates. In this and the following chapter, whatever has been accomplished in the surgery of the brain, spine, and thoracic cavity is duly recorded. The important topic of 'Abdominal Surgery" is under the supervision of Dr. John H. Packard, assisted by Dr. Robert G. Le Conte. A section upon "Hernia" has been prepared by Drs. William T. Bull and William B. Coley. Some excellent cuts exemplify the text of this chapter. Rectal surgery and genito-urinary surgery are reviewed under the care, respectively, of Drs. Charles B. Kelsey and E. L. Keyes and Eugene Fuller. The chapter on Syphilis" is by Drs. J. William White and William Henry Furness; that on "Orthopedic Surgery," by Dr. Lewis A. Sayre and Dr. Reginald H. Sayre; on Amputations, Excisions, and Plastic Surgery," by Drs. P. S. Conner and Leonard Freeman; on "Diseases of Arteries and Veins," by Dr. Christian Fenger; on "Oral and Facial Surgery," by Dr. Rudolph Matas; on "Surgical Mycoses," by Prof. Ernest Laplace; on Anæsthetics," by Dr. Dudley Buxton, of London, etc.

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Volume iv relates to the specialties. The recent advances in diseases of the skin are recorded by Dr. Van Harlingen. This section contains several excellent cuts; that, in particular, illustrating protozoid formations in tumors of the skin will be welcomed by the general surgeon, as well as the dermatologist. The very full section on "Ophthalmology" is the work of Drs. Charles A. Oliver and William Campbell Posey, and is excellently illustrated. The remaining sections of this volume are: "Diseases of the Nasal Cavities, Pharynx, Lar. ynx, Esophagus," etc., by Dr. Charles E. Sajous; "Otology," by Drs. Charles S. Turnbull and Arthur Ames Bliss; Intubation of the Larynx," by Dr. James O'Dwyer; "Diseases of the Thyroid Gland," by Dr. J. Payson Clark; "Legal Medicine and Toxicology," by Dr. Frank Winthrop Draper; "Medical Demography," by Dr. F. Levison, of Copenhagen; and "Bacteriology," by Dr. Harold C. Ernst.

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Volume v is principally devoted to therapeutics. The first section is an appreciative review of the most recent addition to our list of medicaments, and is contributed by Drs. Dujardin. Beaumetz and H. Dubief, of Paris. The fact that Dr. Dujardin. Beaumetz especially devotes himself to the study of therapeutics constitutes

Drs. Hobart A. Hare and David Cerna have charge of the chapter on " Experimental Therapeutics"; Drs. A. D. Rockwell and James E. Nichols, that of Electro-Therapeutics; Drs. G. Apostoli and Jules Grand, of Paris, that on "Gynaecological Electro-Therapeutics; " Drs. Simon Baruch and Frank H. Daniels, of that on "Climatology, Balneology, and Hydrotherapy"; Dr. Walter Wyman, Surgeon-General of the U. S. Marine-Hospital Service, and Dr. Charles E. Banks, that of "Hygiene and Epidemiology." This volume concludes with a section upon "Anatomy," by Dr. Paul Poirier, of Paris; one upon "Anomalies and Monstrosities," by Drs. W. Xavier Sudduth and E. B. Sangree; upon Physiology and Biology," by Drs. W. H. Howell and G. P. Dreyer; upon "Histology and Microscopical Technology," by Dr. Charles E. Sajous.

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Transactions of the Indiana State Medical Society, 1893. Forty-fourth annual session, held in Indianapolis, Ind., May 11 and 12, 1893. Indianapolis, 1893.

This neatly-published volume of about 400 pages contains the transactions of the Indiana State Medical Society, together with its by-laws, lists of members, officers, etc. The book contains a number of interesting papers and discussions, among which we may instance one upon "Auto-Infection from the Intestinal Canal," by J. E. Virden, of Indianapolis; upon "The Chemistry of Disease," by Dr. C. S. Bond, of Richmond, Ind. ; on "Fractures of the Skull with Injuries to the Brain,” by Dr. C. S. Arthur, of Portland, Ind.,

etc.

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Saunders's Question-Compends, No. 14. Part I.

Essentials of Refraction and the Diseases of the Eye, by EDWARD JACKSON, A.M., M.D. Part II. Essentials of Diseases of the Nose and Throat, by E. B. GLEASON, S. B., M.D. Philadelphia: W. B. Saunders, 1894.

In the second edition of this work, reviewed in these columns at the time of its first publication, it has not been found necessary to make many changes in the original text. Considerable new matter has, however, been interpolated by Dr. Gleason.

Nurses' Dictionary of Medical Terms and Nursing Treatment. Compiled for the use of nurses, etc. By HONNOR MORTEN. Philadelphia: W. B. Saunders. London: The Scientific Press, Limited.

This little book is intended for use at the bedside, as a temporary reference-book, and contains definitions of all the terms which are likely to be used in the sick-room.

COMMERCIAL NEWS.

ERYTHROXYLON COCA.

"I have employed fluid extract Erythroxylon Coca with success in several cases of gastric disturbance arising from excessive indulgence in beer and alcoholic drink,-a condition called 'biliousness' by drinking men. I have also found it useful in cases of dyspepsia accompanied by eructation of gas after eating. It seems to possess decided tonic powers in arousing the functions of the stomach to activity."-DR. EDWARD P. VOLLUM, U.S.A., in Therapeutic Gazette.

HABITUAL MISCARRIAGE.

R. Reece, M.R.C.S.Eng. (1851), L.S.A. (1832), Walton-on-Thames, England, says: “I used Aletris Cordial in a case of painful menstruation. It was most valuable. The wife of a minister suffered much and had had three miscarriages. Prescribed Aletris Cordial. She has, for the first time, gone her full time, and was safely confined with a male child. I also prescribed it to a relative, suffering with leucorrhoea for years. Great relief from pain, and the discharge much less. In the first case related it was truly a God-send to her."

A VALUABLE PRESCRIPTION

for eczema, lichens, herpes, itch, and other skin affections:

B Pineoline,.

Sig. Apply twice daily.

2 ozs.

|

power, and the celerity with which it acts. As an antipyretic in fevers, it acts more slowly than antipyrin, but it is not attended with depression of the cardiac system and cyanosis. Whenever a sedative and an analgesic together is indicated, this remedy meets the demand. In severe headaches it is the remedy par excel lence."

HAYDEN'S VIBURNUM COMPOUND.

NEW YORK CITY, N. Y., , December 7, 1893. DR. W. R. HAYDEN.

My Dear Doctor,-Since my service began on the staff of the hospital dispensary, I have prescribed "Hayden's Viburnum Compound" in two cases of dysmenorrhoea with most astonishing results. In one of these cases insomnia was an accompanying symptom. Patient could not sleep more than three or four hours through the night. On the second night after beginning use of "H. V. C." she slept six hours, and now she says, “I sleep all night as sweetly as an infant." didn't anticipate quite such good results from "H. V. C." convert of me. the remedy, but this experience has made an

I

To be frank,

A supply of the "H. V. C." has been put in stock at the dispensary, and other attending physicians are prescribing it every day. Yours very truly,

FERDINAND KING, M.D.

EXTRACT FROM AN ARTICLE IN THE "NEws." "I saw, not long since, an article in the 'News,' asking for short articles on some of

This prescription can be filled by any retail our new remedies. Phytoline being one of druggist in the United States.

THE REMEDY PAR EXCELLENCE. In the April (1894) number of the Universal Medical Journal, the companion publication to the "Annual of the Universal Medical Sciences," a magazine covering the progress of every branch of medicine in all parts of the world, and both edited by Charles E. Sajous, M.D., Paris, France, we find the following notice of Antikamnia, extracted from an article by Julian, which originally appeared in the North Carolina Medical Journal:

"The importance attached to this drug, I think, is due to its anodyne and analgesic

them, I will give our experience with it as an anti-fat: :

"Patient, lady aged 28, fair complexion; has in past five years gained considerably more adipose than was convenient to carry about. Applied to us for help about the middle of December last. We gave her Phytoline (Walker) in 10-drop doses, and wished for a report in two weeks. On returning, reported no improvement. Remedy was continued. Has now taken about four weeks' treatment, and measures five inches less around the waist. States that she has felt no ill effects from the use of the remedy. Patient was sick with an old, chronic trouble for about ten days, during which time she did not use the remedy. One

(Continued on advertising page 18.)

THE

MEDICAL BULLETIN

VOL. XVI.

A MONTHLY JOURNAL OF

MEDICINE AND
AND SURGERY

ADDRESS.

PHILADELPHIA, AUGUST, 1894.

A CLINICAL DEMONSTRATION OF PSORIASIS, WITH SPECIAL REMARKS UPON ETIOLOGY.*

G

BY JOHN V. SHOEMAKER, A.M., M.D. ·ENTLEMEN: I am fortunately able to bring before you to-day, from my clinical service at the Medico-Chirurgical Hospital, a series of five cases which admirably illustrate different phases and stages of psoriasis. Upon these different patients and, generally, upon different portions of the body of the same patient you may perceive the characteristic eruption in all forms of development. In certain spots you will see the earliest manifestation of the disease in small red papules covered with a fine whitish or grayish scale. In other situations the papules have enlarged and appear as patches of various sizes and shapes. The patches are more or less completely surmounted by scales. When these are detached a deep-red, rough, dry, slightly-elevated and infiltrated surface is exposed to view. In several situations desquamation has occurred in the centre, leaving a scaly border inclosing a reddened area. In some places the lesions are rather sparsely scattered and separated by tracks of healthy integument. Upon other parts of the body they are numerous and coalesce to form large patches. They are particularly marked upon extensor surfaces. The scales differ somewhat in accordance with the size and stage of development of the lesions. Upon the large patches they are of a darker color and larger, adhering to each other and

* Delivered before the Pennsylvania State, Medical Society in session at Philadelphia, May 15, 1894.

No. 8.

being detached in the form of flakes. The stiffened skin readily cracks, and here and there you will observe the occurrence of distinct fissures. These are produced especially upon parts most subject to motion.

Some slight variations in the appearance of the eruption may be detected upon a careful inspection of the cases before you, but such trifling differences serve but to emphasize the essential unity of a complete clinical picture. In each individual case there cannot be the slightest doubt as to the nature of the disease. Yet these five cases, so strictly alike as regards a characteristic and typical cutaneous lesion, afford us a good example of the varying etiology of the affection. We could have no more convincing object-lesson of the value of careful inquiry, in every case, concerning the cause of the disease. If we are able to trace the origin of a case of psoriasis we have obtained the most important clue as regards its treatment.

I. The first patient is a man, 30 years of age, a clerk by occupation. He has been afflicted with psoriasis for fifteen years. The disease began upon his scalp. There was an abundant formation of scales. The next regions attacked were the elbows and knees. In these situations the eruption began at about the same time. In the beginning the disease was very mild. The lesions give rise to some itching, especially in warm weather. In other respects the condition of the skin is improved by warm weather. Until the last two years the disease of the skin entirely disappeared every summer. For two summers there was marked amelioration, but not a complete freedom from lesions. Relapses usually took place in October.

At the present time numerous dry patches

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