CIVIALE'S EPITAPH. His body to this graveyard lone -New York Medical Journal. Rheumatism of the Nose.—Freudenthal describes a condition of inflammation of the turbinates in connection with rheumatic arthritis elsewhere, and reports several cases, a number of which he has seen. He thinks many cases of what are called simple coryza may be rheumatic, and sees no reason why the nose should not be affected just because the articulations there are not as typical as those in other parts of the body.-Journal of the American Medical Association. Meningeal Forms of Typhoid Fever.-Dr. Dabout, in a Thèse de Paris, from a careful investigation of 19 cases of meningeal forms of typhoid fever (including bacteriological examinations by various authorities in 6 instances) comes to the following conclusions: 1. The symptoms of meningeal involvement in typhoid fever are marked cephalalgia and irritability, sometimes the occurrence of epistaxis, muscular and cutaneous hyperkinesis and hyperæsthesia, and the presence of Kernig's sign. 2. Among the nervous phenomena usually present in typhoid fever the symptoms referable to "irritation of the meninges" may occur in three forms, namely: as mere epiphenomena in the course of typhoid fever, as marked symptoms at the onset of the disease, or as predominant and exclusive symptoms due to local meningeal inflammation from the action of Eberth's bacillus. 3. In 6 cases of the last class, collected from medical literature, bacteriological examination of the meninges and of the pus thereon (as well as cultures therefrom) proved the presence of Eberth's typhoid bacillus in every case. 4. Kernig's sign was an especially valuable guide to the presence or absence of meningeal irritation, and examination of the blood-serum helped in the diagnosis; lum bar puncture and study of the cerebrospinal fluid withdrawn was confirmatory; when the meninges were affected the prognosis was grave, owing to the presence of a suppurative (sero-purulent) meningitis. 5. There was a special connection between certain epidemics and the cerebral forms of meningitis in typhoid fever, and the prognosis was grave in proportion. 6. The treatment consisted of warm baths (sponging) at 37° to 38° C., and lumbar puncture to withdraw the cerebro-spinal fluid and relieve the increased intracranial pressure.— Post-graduate. Ulnar Paralysis as a Sequel to Typhoid Fever. Dr. K. Liepelt reports a case of ulnar paralysis arising during convalescence from a moderately severe typhoid fever. Pain in the affected region was the first symptom. Paralysis and atrophy of the affected muscles quickly followed. At the time of discharge the reaction of degeneration was still present. The prognosis of typhoid paralysis in general is doubtful.-New York Medical Journal. Gonorrhoeal Nervous Affections in Women. - Kalabine reviews the various cases that have been published and experimental researches in the line of injection of gonococcus-toxin. It causes marked alterations in the central nervous system in acute intoxication, while the peripheral nerves are also involved in the chronic, with other anatomical changes. Lesser differentiates a gonorrhoeal sciatica by its sudden onset and the fact that the pain usually attains its maximum at the start. Recovery is also more rapid than from an ordinary sciatica, and the subjects are usually younger, generally between 20 and 30. It is also accompanied by intermittent temperature. There is no recurrence unless from new infection. Eulenburg distinguishes: (1) gonorrheal neuralgia, sciatica most frequent; (2) neuritis and myelitis; (3) muscular atrophy and paralysis. He has personally observed 14 cases belonging to one of these groups and likewise 1 of a "taboid gonorrhoeal affection." Kalabine describes 1 case of gonorrheal sciatica in his practice and 1 of intercostal neuralgia. A tendency to hypochondria in the course of gonorrhoea may likewise be due to the action of the gonococcus-toxin on the brain-centers.-Journal of the American Medical Association. French Congress of Urology. The sixth annual meeting of the French Urological Society will be held at Paris, October 23d to 25th. The principal question to be discussed is "Indications and Results of Nephrectomy." For further particulars address Dr. E. Desnos, 31 rue de Rome, Paris. Book Reviews. International Clinics. A Quarterly of Illustrated Clinical Lectures and Especially-Prepared Articles on Medicine, Neurology, Surgery, Therapeutics, Obstetrics, Pædiatrics, Pathology, Dermatology; Diseases of the Eye, Ear, Nose, and Throat; and Other Topics of Interest to Students and Practitioners. By Leading Members of the Medical Profession throughout the World. Edited by Henry W. Cattell, A.M., M.D., Philadelphia, U. S. A.; with the Collaboration of John B. Murphy, M.D., Chicago; Alexander D. Blackader, M.D., Montreal; H. C. Wood, M.D., Philadelphia; T. M. Rotch, M.D., Boston; E. Landolt, M.D., Paris; Thomas G. Morton, M.D., Philadelphia; James J. Walsh, M.D., New York; J. W. Ballantyne, M.D., Edinburgh; and John Harold, M.D., London. With Regular Correspondents in Montreal, London, Paris, Leipzig, and Vienna. Volume ii. Twelfth Series, 1902. Philadelphia: J. B. Lippincott Company, 1902. We have frequently written in commendation of the plan of this series and the satisfactory manner in which that plan is executed. By means of the successive volumes the reader is brought into touch with. the best thought and practical teaching of the medical world. The present number deals with therapeutics, medicine, surgery, obstetrics, and gynæcology. It contains also. a biographical sketch of Dr. John B. Murphy, by Dr. Guy Hinsdale, and three special articles, the first being an outline of the organization and work of the medical department of the United States Army, by Dr. E. L. Munson, of the service; the second comprising some notes upon the management of a modern private hospital, by Dr. H. A. Kelly; the third being an account of the researches of Professor I. P. Pavlof and his pupils upon the function of the digestive glands, by Dr. Peter Borissof. In the main body of the work we have a lecture on the treatment of diabetes mellitus by Professor Lépine, of Lyons, who has distinguished himself by his original investigations concerning that disease; Dr. E. Romme, of Paris, explains the usefulness and applicability of Gersuny's method of correcting deformities by the subcutaneous and submucous injections of vaselin; Prof. Ernest Finger, of Vienna, discusses the treatment of acute urethritis; Professor Lucas-Championnière, of Paris, describes the use of passive movements and massage in the treatment of fractures; Dr. F. Legueu, of Paris, writes of two cases of immediate death caused by the spinal injection of cocaine; and the end of the section contains a number of pages of selected prescriptions. In medicine we find, among other articles, one upon hæmorrhagic pachymeningitis as a cause of drunkards' deaths, by Prof. Arnold Pick, of Prague; one upon pseudoleukæmia with chronic relapsing fever, by Dr. Herman F. Vickery, of Boston; one upon cirrhosis of the liver by Dr. Arthur R. Edwards, of Chicago; one upon aortic aneurism by Dr. Robert B. Preble, of Chicago; and one on gastro-intestinal autointoxication by Dr. John C. Hemmeter, of Baltimore. Surgery is represented by Professor Jonnesco, of Bucharest; Dr. William B. Coley, of New York; Charles Gibbs, of London; Dr. John B. Walker, of New York; and Professor Senn, of Chicago. The gynecological clinic is by Prof. H. A. Kelly, of Baltimore. This brief enumeration of subjects and authors, which is nevertheless incomplete, owing to the exigencies of space, will serve to convince the reader of the worth of the present number of a serviceable publication. The compression of the lectures and articles within practical limits is a feature which will doubtless be appreciated. A Text-book of Practical Therapeutics. With Especial Reference to the Application of Remedial Measures to Disease and their Employment upon a Rational Basis. By Hobart Amory Hare, M.D., Professor of Therapeutics and Materia Medica in the Jefferson Medical College of Philadelphia. With Special Chapters by Drs. G. E. de Schweinitz, Edward Martin, and Barton C. Hirst. New (Ninth) Edition. In One Octavo Volume of 851 pages, with 105 Engravings and 4 Colored Plates. Cloth, $4.00; Leather, $5.00; Half-morocco, $5.50, net. Lea Brothers & Co., Philadelphia and New York. In preparing a new edition of this wellknown work the author has incorporated an account of such new drugs and measures as seem to have proved themselves of benefit in the treatment of the sick. The text has been revised throughout and in many places has been rewritten. Plates have also been added in illustration of the mode of making many of the applications described in the text. The general plan of the work, however, remains unaltered. By the activity of the chemists and the introduction to notice from time to time of new vegetable remedies, and, in some instances, the revival of old drugs, the field of therapeutics is constantly enlarging or changing, and both authors and practitioners are compelled to review and revise their experience. their experience. In this manner zeal in therapeutics is quickened and rendered more exact. The present work has been influential in directing the studies of large classes of students toward that branch which is or should be the goal of every practicing physician. The terse and direct. style in which it is written is well adapted to impress its statements. The author has been a worker in the physiological laboratory, and the basis of the scientific study of drugs is, in this work, presented concisely, but in such a manner as to furnish a rational explanation of the clinical application of the substances described. Text-book of Physiological and Patholog ical Chemistry. By G. Bunge, Professor of Physiological Chemistry at Bâle. Second English Edition. Translated from the Fourth German Edition by Florence A. Starling and Edited by Ernest H. Starling, M.D., F.R.S., Professor of Physiology in University College, London. Philadelphia: P. Blakiston's Son & Co., 1902. Price, $3.00, net. This is a valuable and suggestive work. The author, thoroughly imbued with his subject, proceeds upon the most scientific and rational principles. His foundations. are firmly laid in the facts of chemistry and physics as involved in the constitution and activity of the animal body. To the physician it is most particularly the latter part of the subject that is of the most direct interest. The work consists of a series of lectures. After the preliminary consideration of chemical substances and the conservation of energy the author goes on to the study of foodstuffs, the digestive fluids, the paths of absorption, the tissues of the body, the products of metabolism, the source of muscular energy, and the functions of fat in the animal body. The investigation of metabolism is closely connected with the origin and nature of certain great diseases, and this association can only be understood and appreciated by a knowledge of the principles of physiological chemistry. The aim of the author has been to give a connected account of vital processes in so far as they can be explained by the present state of knowledge, rather than to describe processes and methods of analysis which can be found in treatises specially devoted to such subjects. As this is precisely the kind of information which practicing physicians most require and value, it follows that for their purposes the work before us is an excellent guide. A System of Physiologic Therapeutics. A Practical Exposition of the Methods, Other than Drug-giving, Useful in the Prevention of Disease and in the Treatment of the Sick. Edited by Solomon Solis-Cohen, Professor of Medicine and Therapeutics in the Philadelphia Polyclinic; Lecturer on Clinical Medicine. at Jefferson Medical College, etc. Volume ix. Hydrotherapy, Thermotherapy, Heliotherapy, and Phototherapy. By Dr. Wilhelm Winternitz, Professor of Clinical Medicine in the University of Vienna, Director of the General Polyclinic in Vienna. Assisted by Dr. Alois Strasser. Instructor in Clinical Medicine at the University of Vienna; and Dr. B. Buxbaum, Chief Physician of the Hydrotherapeutic Institute in Vienna. Balneology and Crounotherapy. By Dr. E. Heinrich Kisch, Professor in the University of Prague; Physician at Marienbad Spa. Translated by Augustus A. Eshner, M.D., Professor of Clinical Medicine in the Philadelphia Polyclinic, etc. Illustrated. Philadelphia: P. Blakiston's Son & Co., 1902. And This volume deals with important subjects. The value of these powerful natural agencies in the treatment of a wide range of diseases is by no means so generally utilized as it deserves. Professor Winternitz has made particular studies in the application of hydrotherapy, and brings to the composition of his part of the work a knowledge and experience unsurpassed. Readers may feel confident that in these pages they will be introduced to the principles upon which the beneficial influence of water is based. They will also, in the section devoted to the practical uses and methods of employing water in the various diseases, be made acquainted with preferable modes of obtaining its effects. The usefulness of heat and light in many morbid conditions is likewise thoroughly discussed. The numerous illustrations by which the text is accompanied add much to the practical utility of the book. The work of translation has been well performed, and the reader will be in possession of an excellent description of the assistance which he may obtain from natural powers in his combat with disease. Water, heat, and light are everywhere accessible, and many of the most serviceable methods of directing their energies into a therapeutical channel demand nothing more than some time, ingenuity, and patience. Whatever trouble is involved in the procedures will be most amply repaid. Much information is given concerning mineral springs at home and abroad. Directions are likewise formulated in regard to the methods of employing water in home treatment, and various devices used in the treatment of special affections are described and figured. The Gouty at Aix-les-Bains; Diet and Treatment. By Leon Blanc, M.D., Paris, Consulting Physician at Aix-les-Bains, etc. London: J. & A. Churchill, 1902. In this brochure the author describes the beneficial results obtained in gout by the use of the waters of Aix combined with a selected diet. The waters are used externally, chiefly by douche-massage, and they are also taken as a beverage. There are most excellent appliances at Aix for the use of the springs, and the methods have been highly elaborated. The dietetic regulations include decrease of flesh diet, absolute avoidance of heavy meals, and light suppers, the principal repast being taken in the middle of the day. The refinements of cookery must be abandoned. Acid fruits are recommended, and most vegetables are of advantage. Preference is given to an acidulated diet, for the reason that acids decrease the production of uric acid and increase the alkalinity of the urine. A number of clinical cases are adduced by the author in support of his opinions. Le Traitement Médical des Inflammations du Cœcum, Typhlite, Perityphlite, Appendicite. Par le Dr. Bourget, Professeur de Clinique Médicale à la faculté de médecine de Lausanne (Suisse). Ch. Eggiman et Cie., Éditeurs, Genève. The author of this essay is a strong advocate of a medical course of treatment in appendicitis. His method consists in the use of a 1 to 20 solution of salacetol in castoroil, and, if gastric disorder predominates, he irrigates the large intestine with water impregnated with 1 per cent. of sodium bicarbonate. On the second or third day of treatment he replaces the oil by saline purgatives. The intestinal lavage is kept up for eight or ten days. The above is his method for acute attacks. He does not oppose operation during intervals. The author adduces a series of cases in support of his views and claims very satisfactory results. Atlas and Epitome of Abdominal Hernias. By Privatdocent Dr. Georg Sultan, of Göttingen. Edited, with Additions, by William B. Coley, M.D., Clinical Lecturer on Surgery in the Columbia University (College of Physicians and Surgeons). With 119 Illustrations, 36 of them in Colors, and 277 Pages of Text. Philadelphia and London: W. B. Saunders & Co., 1902. Cloth, $3.00, net. This is one of Saunders's series of handatlases, and is an excellent book. main points of anatomy are clearly described and the illustrations convey to the eye an exact representation of the parts involved. All the forms of hernia are portrayed in a most serviceable and practical manner. The The author has collected impor tant statistics bearing on the question of radical operation and its ultimate results. From these figures the conclusion is drawn that the operation is not a dangerous one, and that we are justified in performing it not only in patients who suffer from irreducible or strangulated hernia or in whom a truss cannot be properly applied, but also regarding as a sufficient indication the wish of the patient to be emancipated from his truss and the danger of eventual strangulation. Since no small number of the hernias of childhood are spontaneously cured with advancing age, the operation is indicated only in cases in which treatment cannot be carried out by means of a truss. In patients over sixty years of age radical operation is contra-indicated unless the symptoms are aggravated. Operation upon unusually large hernias is associated with no small danger to life, the danger being proportionate to the size of the hernia. A person with a very voluminous hernia should be subjected to a most thorough examination before the operation is attempted. The accidents of hernia are carefully discussed by the author. The work is commendable as a faithful presentation of an exceedingly important subject. Gibson and Russels's Physical Diagnosis. Third Edition, Revised and Rewritten. By Francis D. Boyd, C.M.G., M.D., F.R.C.P.Ed., Assistant Physician to the Edinburgh Royal Infirmary, etc. With 144 Illustrations. New York: D. Appleton & Co., 1902. The original issue of this manual was well prepared and proved exceedingly acceptable to the class for whom it was intended. As time progresses, however, improvements have been made in the art of physical diag nosis, and valuable procedures have been devised, by aid of which increased accuracy is now possible. The sum-total of knowl edge concerning pathogenic micro-organisms, for instance, has been notably enlarged. The examination of the blood and the gastric contents has also been developed |