diagnosis and the principles that underlie it, the object being to impress upon the profession the essential advantages to be derived from this method. That which was then a new story is now universally recognized, and in the present handsome edition the principles of diagnosis have yielded space for greater elaboration of the practical features. So many new and valuable methods have been developed, and so many new points of importance have arisen, that in spite of earnest efforts at condensation, the information presented has required increase of space. Laboratory methods, the application of the X rays, and the latest developments of physical diagnosis have been thoroughly and especially considered.

The work is divided in accordance with the natural employment of the methods, giving in sequence historical diagnosis, subjective, objective, physical, and laboratory diagnosis. By observing these methods closely, we reach not only the disease, but also the health value of the patient, upon which restorative efforts are to be based. Dr. Musser's great and varied experience as a teacher and consultant make this splendid work of more than usual value to both students and practitioners.

The illustrations, paper, press-work, and binding are a fitting entourage of so valuable a work.

MANUAL OF CLINICAL MICROSCOPY AND CHEMISTRY, prepared for the use of Students and Practitioners of Medicine. By Dr. Hermann Lenhartz, Professor of Medicine and Director of Hospital at Hamburg, etc. Authorized Translation from the Fourth and Last German Edition, with Notes and Additions, by Henry T. Brooks, M. D., Professor of Histology and Pathology at the New York Post-Graduate Medical School and Hospital; Member of the New York Academy of Medicine, etc. With 148 Illustrations in the text and 9 colored plates. Pages xxxii-412, octavo. Bound in extra cloth. Price, $3.00, net. F. A. Davis Company, Publishers, 1914-16 Cherry Street, Philadelphia, Pa.

This volume is the outcome of Prof. Lenharz' work as a teacher, and considers very fully and practically Clinical Microscopy and Chemistry.

Chemistry has received detailed consideration especially in conection with examination of the urine; in the study of the blood, gastric contents, etc., practical tests including forensic examination have been considered. In the first part of the book

the vegetable and animal parasites have been briefly dealt with, and the consideration of the sputum, urine, and other secretions and excretions have been handled in a comprehensive and thoroughly practical manner.

This edition has been very thoroughly revised, some additions made by the translator are included in brackets; and among the author's additions are cryoscopy, the bacillus dysenteriæ, the paratyphoid bacillus, a new method of staining the blood, and an addition to the section on Widal reaction. The work in its present shape represents the results of nearly a quarter of a century's work by one of the most able and competent German diagnosticians and teachers.

MANUAL OF Materia Medica aND PHARMACY. Specially designed for the use of Practitioners and Medical, Pharmaceutical, Dental, and Veterinary Students. By E. Stanton Muir, Ph. G., V. M. D. Instructor in Comparative Materia Medica and Pharmacy in the University of Pennsylvania. Third Edition, Revised and Enlarged. Crown Octavo, 192 pages, interleaved throughout. Bound in extra cloth, $2.00 net. F. A. Davis Company, Publishers, 1914-16 Cherry Street, Philadelphia, Pa. This work gives to students and practitioners in a clear and concise manner, those points which are of value in practical pharmacy, without going into the lengthy details usually found in text-books. Leaving out old, obsolete, and useless drugs and preparations, only those of recognized therapeutic value and every-day use are considered.

Part III, devoted to pharmacy, will familiarize the student with the processes used in pharmaceutical work, together with the preparations, especially those which are compound.

The drugs are arranged in alphabetical order, and the Metric System is used, primarily, because it is becoming more and more employed every day.

A GUIDE TO THE CLINICAL EXAMINATION OF THE BLOOD for Diagnostic Purposes, by Richard C. Cabot, M. D., of Boston. Fifth Revised Edition, 8vo. cloth, pp. 549; with colored plates and engravings. Wm. Wood & Co., Publishers, New York, 1904.

The usefulness of Hematology is now well settled, and it can claim for itself a special field of material value in the do

main of medical science. While there are but few diseases in which it alone will prove diagnostic, yet as an aid, as confirmatory to other clinical factors and laboratory procedures its value is now well established. While positive pathognomonic signs can be found by the most critical examination of the blood in but few instances, yet in many it furnishes some of the strongest links in the chain of evidence giving us a certain knowledge of various pathological conditions.

Dr. Cabot has given us a most valuable treatise on this subject, clear, practical, and reliable, with the latest developments and most improved and accepted technique. The many illustrations and plates greatly enhance its value.

In this fifth edition, we find about ninety pages added, with about twenty eliminated. The most important changes are due to the introduction of the Romanowsky staining method (Jenner, Leishman, and others), as applied to routine blood examination. A new set of colored plates has been prepared from specimens stained in this way.

Considerable additions will be found in the chapters on infectious diseases and blood parasites, with minor changes on nearly every page, for the revision has been thorough.

GRAVES' DISEASE, with and without Exophthalmic Goitre, by William Hanna Thompson, M. D., LL. D., Physician to the Roosevelt Hospital, New York; Consulting Physician to the Manhattan State Hospital for the Insane; formerly Professor of Practice of Medicine in the New York University Medical College, etc.,etc. 8vo., cloth, pp. 143. Wm. Wood & Co., Publishers., New York. 1904.

In this excellent Monograph Dr. Thompson claims that the constitutional and general derangements that characterize Graves' Disease, constitute the disease, and not the condition of the Thyroid gland or its accessories.

He gives the clinical histories of forty-two patients who did have Exopthalmic Goitre, and twenty-eight who did not have it, comparing them symptom by symptom. This comparison is made to demonstrate that there is no connection between this disease and a pathological condition of the Thyroid Gland. We can earnestly recommend the work to those interested in a study of this disease.

INTERNATIONAL CLINICS, A quarterly of Illustrated Clinical Lectures and especially prepared Original Articles on Treatment, Medicine, Surgery, Neurology, Obstetrics, Gynecology, etc., etc. By leading members of the Medical Profession throughout the World. Edited by A. O. J. Kelly, A. M., M. D., of Philadelphia. 8vo., cloth, pp. 304. Vol. I. Fourteenth Series. 1904. Price, $2.00, J. B. Lippencott Co., Publishers, Washington Square, Philadelphia, Pa.

This is a magnificent number of the International Clinic Series. It is indeed remarkable that the publishers can publish in such a handsome maner, so well bound, and beautifully illustrated, such a valuable amount of medical litrature for the small sum of only two dollars.

Among the especially attractive and valuable articles in this number may be mentioned "The Therapeutic Application of Colloid Silver," by Drs. Netter and Salomon; "The Early Diagnosis of Pulmonary Tuberculosis," by Jas. H. Walsh; "Intestional Anadtomosis," by Jno. G. Clark and Jno. W. Luther; "Gastric, Intestinal, and Liver Surgery in the German Clinics," by Chas. P. Noble; "Progress of Medicine During 1903," by David L. Edsall. These are but a few of the valuable contributions in this number, any one of which is worth more than the price of the volume.

Selections.

ON

SOME

BRIEF OBSERVATIONS CONDITIONS IN WOMEN THAT ARE OF MUCH CONCERN TO THE PRACTITIONER.—The conditions of which I wish to speak are dysmenorrhea, and the state following miscarraige or abortion, in which there are retained portions of the placenta and membranes that require removal or expulsion.

For lack of space, I shall devote myself, in the present paper, chiefly to dysmenorrhea, and will dismiss the condition following abortion with a few remarks, which may as well precede the other part of my article. I reserve for a future communication the detailed discussion of this important and interesting clinical condition.

The effects of retained placental or fetal tissue, in a partially successful miscarriage or abortion consist in hemorrhages, purulent discharge, enlargement of the uterus, subinvolution, metritis, endometritis and sepsis. The indications in these cases are, therefore, the thorough emptying of the uterus and the rendering of the womb-cavity aseptic.

In ordinary cases this must be done by surgical interference, including curetting and the removal of all decomposing and diseased tissue, followed by the application of antiseptics to the endometrium. There is a class of cases, however, in which for one reason or another curettage is refused by the patient, and in which it is incumbent upon the physician to give what relief he can by medical means. In such cases I have prescribed Ergoapiol (Smith), a combination of the active principles of ergot (ergotine) parsley (apiol) and certain other emmenagogues and uterine tonics. In one case of this kind which came under my observation some months ago, I used Ergoapiol (Smith) with such marked success, that I learned since then to rely upon this preparation in removing the retained fragments from the uterus, emptying the organ and reducing it to its normal size and functions. The remedy in question has proved so trustworthy in my hands in these cases, that when it disappoints, which it rarely does, I look about to ascertain wherein I myself have erred.

A discussion of the causes of dysmenorrhea would lead us too far in the present brief clinical paper, and it will suffice if I assume that the reader is acquainted sufficiently with this part of the subject to follow me in the remainder of the article. The clinical diagnosis of dysmenorrhea is in itself easy enough, while the diagnosis of the cause is not always so simple. In the cases presented here I paid especial attention to the causation of the menstrual pain, as I believe that in this manner I was better able to outline the indications for treatment. It goes without saying that dysmenorrhea from mechanical obstruction is not amenable to medical treatment. Fortunately, however, it has been in my experience at least, not frequent, as dysmenorrhea depending upon congestion. The specially disagreeable and intractable form of dysmenorrhea which is accompanied by a fetid discharge as a result of the decomposition of the retained menstrual blood, also comes under discussion here, as the use of douches with antiseptics