pointing with his finger toward a person on one of the rear tiers of seats, he quietly said, "There is an insane man." At the instant a man, as if struck with a bullet, sprang from his seat and, wildly gesticulating and shouting a volley of oaths against any one who would call him insane, rushed down the aisle toward the bar. The judge rose hastily from his chair as if about to escape, the lawyers were panic-stricken and mingled with the crowd; but Doctor Brigham stood perfectly self-possessed, while the officers struggled with the lunatic in their efforts to remove him from the court-room.

The whole scene was intensely dramatic and the termination was a surprising ovation for the triumphant actor, Doctor Brigham. The prosecution was completely nonplused, and the witness was allowed to retire without further tests of his ability as an authority in the diagnosis of insanity at sight. The man who was pointed out as insane proved to be a harmless lunatic who had strayed into court from a neighboring livery stable. To break the force of Doctor Brigham's successful test, however, the prosecution circulated the report that Mr. Seward, in anticipation of this test being made, had caused the insane man to be placed in that seat, and that Dr. Brigham had previously seen him. This absurd story only heightened the effect of the favorable impression which Doctor Brigham's successful answer of the challenge of the Attorney-General made upon the court, jury, and the people.

The final issue of the case was the conviction of the criminal for murder in the first degree. Public feeling would admit of no other verdict. He was not executed, but died in prison, demented to idiocy. An autopsy confirmed the correctness of the defense-insanity.

We have given much space to this narrative because, first, it relates to an important historic cause that involved scientific facts, almost forgotten at the present day; and, second, it will, we trust, prove of interest to the younger portion of our readers who are not acquainted with the medico-legal points developed in this celebrated trial; and, finally, because it cannot but prove interesting reading to all who may be called as experts to the witness stand.

AMERICAN EDITION OF NOTH NAGEL'S PRACTICE. Diseases of the Intestines and Peritoneum. By Dr. HERMANN NOTHNAGEL, of Vienna. Edited, with additions, by Humphrey D. Rolleston, M. D., F. R. C. P., Physician to Saint George's Hospital, London, England. Octavo, 1032 pages, fully illustrated. Philadelphia, New York, London: W. B. Saunders & Company. 1904. (Cloth, $5.00 net; half-morocco, $6.00 net.)

American physicians are not slow to take advantage of the best foreign literature, even though the productions of their own countrymen are of the best. The name of Nothnagel has been associated always since his earliest contributions, with the best medical literature and passes among physicians as genuine coincurrent of recognised value.

Diseases of the intestines and peritoneum have possessed increased interest since surgery opened the way to the accurate diagnosis and successful treatment of many maladies formerly regarded as hopeless. It may be said, in general, that this treatise. considers with intelligence and skill every known disorder that may affect the intestinal tract or peritoneum with an accuracy of

detail that commends it to those who practise internal medicine, whether as family advisers or as consultants. The name of Humphrey D. Rolleston, which is attached as editor, is a guaranty of completeness from the English standpoint, while that of Alfred Stengel, as American editor, completes a trio of distinguished names that speak for the best work in the three principal countries of the world.

The editorial additions include sections on intestinal sand, sprue, ulcerative colitis, and idiopathic dilatation of the colon. Appendicitis and peritonitis have been given unusual space, treatment and diagnosis receiving exhaustive consideration. The section on intussusception has been greatly enlarged by the invaluable additions of D'Arcy Power, of England, who has made this subject particularly his own. There are twenty inserts of great merit.

RONTGEN RAY DIAGNOSIS AND THERAPY. BY CARL BECK, M. D., Professor of Surgery in the New York Post-Graduate Medical School and Hospital; Visiting Surgeon to Saint Mark's Hospital and the German Poliklinik. Octavo, pp. 479, with 322 illustrations. New York and London: D. Appleton & Co. 1904. (Price, $4.00.)

This is a well arranged and useful book professedly for beginners, and is designed to afford the means of acquiring the necessary training in r-ray diagnosis and therapeutics. It is divided into three sections.-the first is wholly technical in character-special attention being given to apparatus, Röntgen technic, fluoroscopy, skiography and examination of the patient.

The second is clinical in its contribution with special stress laid upon the importance of a thorough knowledge of the anatomy and pathology of the various regions of the body, so that the part examined ..y be properly placed and the result correctly interpreted, while the third section is devoted to the effects of the Röntgen rays, which is well worth perusal, as the author presents the numerous cases in detail, thus rendering his report more valuable. The book is well written and thoroughly illustrated. photographic reproductions are distinct and deserve consideration. E. W.

A SYSTEM OF PRACTICAL SURGERY. BY PROF. E. VON BERGMAN, M. D.. Berlin, Prof. P. von Bruns, M. D., Tübingen, and Prof. J. von Mikulicz, M. D., Breslau. Volume II Surgery of the Neck, Thorax and Spinal Column. Translated and edited by William T. Bull, M. D., Professor of Surgery. College of Physicians and Surgeons, New York, and Carlton P. Flint, M. D., Instructor in Minor Surgery. Royal Svo., pp. 820. Illustrated. Lea Brothers & Co., New York and Philadelphia. 1904. (Price: cloth, $6.00; leather, $7.00; half morocco, $8.50, net.)

The successful issue of a new work on surgery is an achievement deserving of praise. The prompt translation into Spanish, Italian and English bears testimony of the worth of this one. The second volume deals with the surgery of the neck, thorax, and

spinal column, under three general divisions of each topic,— malformation, injuries and diseases.

Particular interest will attach to the sections relating to malformations, diseases, and injuries of the thorax, mammary glands, spinal cord and vertebral column. Of late injuries to the spine, even to the extent of involving the cord, have become in many instances amenable to surgical skill. Professor Henle has contributed the section on this topic, hence it contains not only the latest observations pertaining to it, but the most authoritative surgery as well,-two considerations that serve to justify the praise which the article is receiving. Indeed, these remarks may well be applied to the other sections of the work, which everywhere evinces the careful preparation of experience. This second volume complements the first and proves the usefulness and propriety of this comprehensive surgical treatise.

A GUIDE TO THE CLINICAL EXAMINATION OF THE BLOOD FOR DIAGNOSTIC PURPOSES. BY RICHARD C. CABOT, M. D. Octavo, pp. 569. Illustrated. Fifth revised edition. New York: William Wood & Co. 1904. (Price, $3.50.)

It is almost three years since the fourth edition of this most useful diagnostic aid was presented to the profession. Hematology, like other topics that may claim kinship, has advanced as might be expected proportionately to the general science of medicine, and Cabot, as might be expected of so scientific an investigator, has kept abreast of this progress. He has made changes in this edition to meet the introduction of the "Romanowsky" staining method, as applied to the routine of blood examinations. The colored plates, illustrating this method, are artistic exhibitions of both the method of examination of the blood and the color lithographic engraving.

The additions to the chapters on infectious diseases and blood parasites are such as to keep Cabot's work abreast of the progress-making in this field, and to keep the reputation of the book up to the standard it established for itself in the beginning,

the best.

A PRACTICAL TREATISE ON MEDICAL DIAGNOSIS FOR STUDENTS AND PRAC TITIONERS. By JOHN H. MUSSER, M. D., Professor of Clinical Medicine in the University of Pennsylvania. Fifth edition, revised and enlarged. Octavo, pp. 1213; 595 engravings and 63 colored plates. Philadelphia and New York: Lea Bros. & Co. 1904. (Price, cloth, $6.50; leather, $7.50; half morocco, $8.00 net.)

From the first Musser's Medical Diagnosis has been an advocate of the clinical laboratory as an aid to accuracy, and the author enjoys the supreme satisfaction of seeing this method come into vogue both as to public and private practice.

The several sections of the book consider in their order of sequence, general considerations, including data, methods, objects, morbid processes and their symptomatology: historical, subjec

tive, objective, physical, laboratory, and special diagnosis. The teaching of the book all the way through is precision; only by observing accuracy of observation and method can this be obtained; hence, Musser counsels the most untiring effort and indefatigable energy in the direction of precision.

This edition represents a thorough revision of the entire topic, and brings the various methods of diagnosis in all their details forward to the immediate present. It is by far the best illustrated treatise on diagnosis excepting, perhaps, Glentworth R. Butler's, and is quite the largest yet issued. In spite of an attempt to keep the size of the book within the limits of former editions, so much of importance has developed in this field of late that Musser has felt compelled, however reluctantly, to increase the size of the book, until now it contains over 1,200 pages. Yet, in the face of this fact it does not seem unwieldly because, in part, it is so interesting, and in other part it does not contain a verbose sentence or an unnecessary phrase.

It is about as necessary for student and physician to possess Musser's treatise on diagnosis as to have in his library a standard work on human anatomy.

A REFERENCE HANDBOOK OF THE MEDICAL SCIENCES...Embracing the Entire Range of Scientific and Practical Medicine and Allied Science. By various writers. A new edition, completely revised and rewritten. Edited by ALBERT H. BUCK, M. D., New York City. Nine volumes, imperial octavo. Volume VIII. Illustrated by chromolithographs and 435 half-tone and wood engravings. New York: William Wood & Co. 1904. (Price, muslin, $6.00 per volume; leather, $7.00 per volume; half morocco, $8.00 per volume.)

The final volume of this great work is a worthy companion of its predecessors. It embraces the titles from UMB to Z Y M inclusive. Included, of course, in this alphabetical limit is all the recent literatures on the urethra, urine and urinary bladder, uterus, vagina and vaccination. A most exhaustive contribution on the urine is from the pen of Alfred C. Croftan, Chicago; another, on the uterus is by Henry D. Beyers, Philadelphia; and still another on vaccination, is by Samuel W. Abbott, Boston. These three articles are well worth the price of the volume. About one third of this volume is given to an appendix con taining the advances and improvements that have taken place since the other volumes were issued. A copious index completes this most excellent number and is a fitting finale to one of the most comprehensive and useful reference works that has ever been. issued. The profession of medicine owes a debt of gratitude to the indefatigable editor, the accomplished Dr. Buck, and to the publishers, William Wood & Company,-to the one for his untiring labors in the interest of scientific medicine and the others for their willingness to engage in such an enterprise involving the investment and tying up of large capital before returns could come in.

INTERNATIONAL CLINICS. A Quarterly of Illustrated Clinical Lectures and especially prepared original articles on Treatment, Medicine, Surgery, Neurology, Pediatrics, Obstetrics, Gynecology, Orthopedics, Pathology, Dermatology, Ophthalmology, Otology, Rhinology, Laryngology, Hygiene and other topics of interest to students and practitioners. By leading members of the medical profession throughout the world. Edited by A. O. J. Kelly, A. M., M. D., Philadelphia. Volume II. Fourteenth series. 1904. Philadelphia: J. B. Lippincott Company. Cloth, $2.00.)

This number contains nine articles on the diseases of warm climates four articles on treatment; three articles on medicine; five articles on surgery; one article on pediatrics; and one on rhinology. Among the foreign contributors are James Cantlie, of Edinburgh; Andrew Duncan, of London; C. Jarvis, of Paris; and S. Kanellis, of Athens. The home contributors include Frank Billings, Charles Greene Cumston, Daniel Eisendrath, Eli H. Long, Miles F. Porter, and James Edwin Thompson. Many others of distinction have also contributed to the book.

It is a practical volume, well illustrated, and is worth considerably more than the small price placed upon it by the publishers.

BOOKS RECEIVED.

The Principles and Practice of Gynecology. For Students and Practitioners. By E. C. Dudley, A. M., M. D., President of the American Gynecological Society; Professor of Gynecology, Northwestern University Medical School, Chicago. Octavo, pp. 771. With 419 illustrations in colors and monochrome, of which 18 are full-page plates. Philadelphia and New York: Lea Brothers & Co. 1904. (Price, cloth, $5.00; leather, $6.00; half morocco, $6.50, net.)

The Theory and Practice of Infant Feeding. With Notes on Development. By Henry Dwight Chapin, A. M., M. D., Professor of Diseases of Children at the New York Post-Graduate Medical School; attending physician to the Post-Graduate, Willard Parker and Riverside Hospitals. Second edition, revised. Octavo, pp. 353. Illustrated. New York: William Wood & Go. 1904.

Radiotherapy and Phototherapy, including Radium and High Frequency Currents. Their Medical and Surgical Applications in Diagnosis and Treatment. By Charles Warrenne Allen, M. D., Professor of Dermatology in the New York Post-Graduate Medical School. Octavo, 618 pages, 131 engravings and 27 plates. Philadelphia and New York: Lea Brothers & Co. 1904. (Cloth, $4.50, net.)

Normal Histology. By Edward K. Dunham, Ph. B., M. D., Professor of General Pathology, Bacteriology and Hygiene in the University and Bellevue Hospital Medical College, New York. New (3d) edition, revised and enlarged. Octavo, 334 pages, with 260 illustrations. Philadelphia and New York: Lea Brothers & Co. 1904. (Cloth, $2.75, net.)

A Textbook of Pathology. By Joseph McFarland, M. D., Professor of Pathology and Bacteriology in the Medico-Chirurgical College of Philadelphia; Pathologist to the Medico-Chirurgical Hospital. Handsome 8vo volume of 818 pages, with 350 illustrations, a number in colors. Philadelphia, New York, London: W. B. Saunders & Co. 1904. (Cloth, $5.00 net; sheep or half morocco, $6.00 net.)

The Optical Dictionary. Edited by Charles Hyatt-Woolf, F. R. P. S., Editor of "The Optician and Photographic Trades Review." Philadelphia: P. Blakiston's Son & Co. 1904. (Price, $1.00.)