Dr. Shepherd had also, several years ago, used bone-drains, but had abandoned them because of their uncertainty, some absorbing too rapidly and others not at all. He preferred rubber drains. His plan was to change the dressing twenty-four hours after operation, remove and shorten tubes to less than half an inch, and then not make the second dressing for a week or ten days, according as the case progressed. The reason he examines the wound and removes the tube at the end of twenty-four hours, is because the oozing from the wound is greatest during the first day, and also because the tube not infrequently becomes plugged with blood-clots, and this, of course, renders it useless. He had had remarkably good results in his amputations by this method, and mentioned a case of amputation of the thigh performed in a very old man, for senile gangrene, which healed by two dressings in three weeks. Neuber, who introduced bone-drains, now never employs any drain at all, but stuffs the wound with iodoform gauze for two or three days, and then makes use of secondary suture. His results, according to his published cases, were excellent. Dr. Armstrong inquired whether any of the surgeons had used Levis' solid rubber drains. They consist of a number of pieces of solid rubber rods placed like catgut in the wound, and are better than hollow tubes, as they never get plugged with blood-clot.-Med. News, Nov. 12, 1887. Périer on Excision of a Lumbar Spina Bifida in a Child of Two Months. A transverse incision was made through the skin and the sac was freely opened. From the interior surface of the sac a large soft band, seemingly a prolongation of the cord, was detached and returned to the spinal canal. The lining membrane of the sac was dissected away and the opening into the lumbar canal closed. The external wound was then simply brought together and stitched. Healing was perfect on the eighth day. On the thirty-fourth day, when the case was reported, no nervous symptoms had appeared.-Gaz. hebd., etc., Oct. 28, 1887. R. W. A. Gars on Cancer of the Breast in a Man of Sixty-five.—The patient had always had very well-developed breasts, and stated that for twenty years he had had pricking sensations such as pregnant women have when their breasts begin to swell. Seventeen months before the operation he fell down stairs and received a severe blow upon the right breast, in which, from that time, he began to have sharp, shooting pain. The region of pain spread and finally involved all that side of the chest and the inner aspect of the right arm. The nipple was retracted, and underlying it was a small, indurated mass, which was not tender. In the corresponding axilla was a distinctly enlarged gland. The tumor was removed and found to be an epithelioma.-Four. des Sci. Med. de Lille, Oct. 28, 1887. R. W. A. Bulkley (L. D.) on the Treatment of Felon without Incision.-Unless it is contra-indicated I generally begin the treatment with a mild cathartic, the following being that commonly employed: Ex. colocynth. comp. Mass. hydrarg. Pulv. ipecacuan. aa gr. x gr. ii and two on the second night after. A tonic is administered from the first, one containing iron being preferred. The formula of this is as follows, the proportions being omewhat altered to suit individual cases: B Magnesii sulphatis Ferri sulphatis Acidi sulphurici dil. Syr. zingiberis Aquæ Zi .3 iv Zi ad iv m. SIG.-Teaspoonful in water, through a tube, after eating. In addition to this it is my custom to administer the sulphide of calcium from the beginning to the end of the treatment. I usually give it in the form of grain gelatincoated pills, one being given every two hours irrespective of food or other medicine. In order to have any good effect from this latter drug, it is essential that it should be fresh and pure. It is well to test the pills by biting them, when the characteristic odor of sulphuretted hydrogen becomes at once noticeable if the article is good. Alcohol in all forms should be absolutely interdicted, and the malted liquors appear to be also very harmful. The diet should be full and nourishing, but not stimulating. Milk is often given, sometimes in the form of punch and egg-nog between meals. Tea and coffee may be taken in moderation, but unnecessary and indigestible articles should be avoided. The local treatment of felon consists simply in the constant and very thorough envelopment of the affected part in the diachylon ointment of Hebra, which, when properly prepared, forms a most agreeable and soothing dressing. The author does not pretend to abort all cases, as he confesses that in many he gets suppuration and in some necrosis.Four. Am. Med. Ass'n, July 30, 1887. R. W. A. Hewlett (W. W.) on Herniotomy under Cocaine Anæsthesia.-A. D., aged seventy-nine years and eight months, has long been afflicted with double inguinal hernia; the right developed over forty years ago, the left appeared twenty years after. ance. gaze, he said: "Are you going to tear me all to pieces ?" There was no shock. Free spontaneous dejections occurred during the night. The wound closed by primary union, and his progress toward recovery has been uninterrupted. One week after the operation he sat up on the side of his bed and shaved himself.-N. Y. Med. Record, Sept. 24, 1887. DISEASES OF THE EAR Reid (J.) on Xeroderma Pigmentosa.—A boy, aged 9, suffered from epithelioma of the eyeball at the junction of the cornea, which he had removed a fortnight ago. The tumor was flat, of a pale, reddishwhite color, and extended inwards from about the centre of the cornea to the equator of the eyeball. When first seen, two months ago, the tumor was about the size of a pea, and situated at the corneo-scleral He has a weak heart and an intermittent and irregular pulse. He often suffers with oedema of the feet and distressed dyspnoea, for which he is obliged to resort to digitalis. Owing to an ill-fitting truss, the hernia of the right side frequently descends, but he is generally able to reduce it without assistOn August 13th it descended into the scrotum, and he was unable to put it back. On the 15th he summoned medical aid, but repeated taxis in various positions of the patient's body, with applications of ice, etc., utterly failed. Stercoraceous vom-junction. iting and strangulation of the gut ensued, and it soon became apparent that death must speedily follow unless resort was had to surgical means. The advanced age of the patient and the serions condition of his circulatory system rendered it extremely hazardous to administer ether and chloroform. It was decided therefore to perform the operation with the aid of cocaine. On August 19th I injected two drachms of a four per cent. solution of cocaine in sixteen different places, seven subcutaneously on either side of a line where the incision was to be made, and two deeper and near the neck of the sac. After fifteen minutes the operation was performed, under antiseptic precautions, in the usual manner, with the assistance of Dr. E. C. Wendt, of New York; Dr. S. R. Corwith, of Islip; and Dr. A. B. Leggatt, of Babylon. The stricture being in the neck of the sac, the latter was opened and the intestine, though deeply congested and purple in color, was returned into the abdominal cavity. The patient was perfectly conscious and a very interested observer during the entire operation. He declared. that he felt no pain from the knife, and that we did not hurt him except when the tumor was pushed backward. When he saw the distended intestine rising before his There is also a freckled condition of the skin of the face and hands, with here and there little nodules, depressed in the centre, and with hard, elevated margins. There was not much difficulty in removing the tumor, which was only slightly adherent to the sclerotic, but was firmly incorporated with the superficial layers of the cornea. After hardening in chromic acid, microscopic sections of the tumor showed "pearly nodes," with the columnar arrangement of the epithelium characteristic of ordinary epithelioma. were also made of one of the nodules excised from the skin of the face, and these exhibited hardening of the epithelium, and in the condensed cutaneous tissues hair follicles and glands were embedded, with here and there a typical pearly node. Regarding this condition of the skin, the parents state that it began when the boy was two years old-little nodules, the centre of each being cast off like "the core of a corn," so as to leave a depression. None of the other members of the family suffer from any affection of the skin.-Glasgow Med. Jour., Oct., 1887. Rampoldi (R.) on a New Cause of Mydriasis. One of the less known causes of sympathetic mydriasis is that occurring in certain persons suffering from chronic broncho-alveolar inflammation, (probably specific). The phenomena are presented at intervals, of a transitory nature, sometimes bi-lateral, more often uni-lateral. This mydriasis is especially noted on a patient passing a night without sleep, tormented by a cough. And when the mydriasis is unilateral I have noticed that the patient complained of pain in the shoulder, and more particularly in the corresponding fossæ of the clavicle and sternum of the same side. This sympathy is due to an irritation of the upper digestive tract, and through this of the upper cervical ganglion of the sympathetic system.-Recueil d'Ophthal., Paris, March, 1887. Tiffany (F. B.) on Ametropia.—Having examined 2,040 pupils in the twelve schools of Kansas City and vicinity, found 458 ametropic, or a percentage of 22.4; There were seven nationalities represented among them: the English had the smallest percent, and the Irish the largest percent. of ametropia, Americans being fourth in the size of percentage. Another interesting point was that hazel eyes were found more frequently affected than the other colors, and blue eyes least frequently. The form of ametropia most frequently found was hypermetropia with 9.9 percent., which with spasm of accommodation and latent hypermetropia was increased to 17.8 percent; while myopia affected 4.6 per cent. of the scholars. Another conclusion from the examinations was that the girls suffered more.-Kansas City Med. Index, Sept., 1887. Post (M. H.) on Antipyrine as an Analgesic in Inflammations of the Eye. In a case of iritis where morphine could not be employed, antipyrine was used with complete success in allaying pain. The pain returned when for sake of proof the medicine was omitted. Dose used was 25 grains at night. Both in specific and non-specific cases it proves serviceable, and it relieves the pain in ulceration of the cornea and slowly progressing panophthalmitis. The method of employment is to use three doses of 20 grains each and 2 hours' interval until the pain is relieved, which requires seldom over the three and many times only one.-Amer. Four. Ophthal., St. Louis, Aug., 1887. ures have serious drawbacks. The author finds that the treatment which endangers the organ least of all, consists in the daily use of myotic remedies, and the application of pressure, constant if possible.-Thèse de Paris, Bull. Gén. de Thérap., Sept. 15, 1887. BOOK NOTICES. Lessons in Gynecology.-By William Goodell, A.M., M.D., Professor of Clinical Gynecology Third in the University of Pennsylvania, etc. edition, thoroughly revised and greatly enlarged. Philadelphia: D. G. Brinton. 1887. The third edition of Dr. Goodell's work has made its appearance in a greatly amplified form. The author has made no attempt to produce a complete respond with its title-literally lessons in Gynæcoltreatise on the subject, but has made the work corogy. These lessons are eminently practical, dealing with theory as little as possible, and presenting the essential points in diagnosis and treatment in clear, concise, and positive language. Dr. Goodell has drawn his conclusions from a large personal experience, and whatever may be his differences with other authorities, his own opinions are logical deductions from the results of his own work. inflammation, the author takes an almost non-comOn the vexed question of the pathology of pelvic mittal ground, and treats the subject in the safest manner-from a purely clinical standpoint. would be inferred from his recently published papers, the author is an ardent advocate of rapid dilaviews by his remarkably good results. With all due tation of the cervix, and is certainly justified in his respect to his opinions, the criticism may be fairly made that he places a rather dangerous method of treatment in the hands of inexperienced practitioners, whose tendency to abuse the operation will be increased on account of the lightness with which its dangers are treated. As The present volume contains the proceedings of the second annual session of the association, including the seventeen papers read and the discussion of the same. Several of the papers have been abstracted and presented to the readers of the ANALECTIC already. Among these are, "Sewer-Gas Poisoning," by Henry Pétresco on Keratoconus and its Hun, M.D. Atrophy of the Gastric Tubules,' Treatment by Myotics and Com- by F. P. Kinnicutt, M.D., and "The Frequency pression. The author considers kerato- with Which Lead is Found in the Urine, etc.," by James J. Putnam, M.D. Bergeon's treatment of conus, rachitis of the cornea. Mechanical phthisis received more than its share of attention by treatment does no good, operative proced-inspiring three papers, while hemorrhagic infarc tion formed the text for two. This volume, like the first, is the embodiment of good, sound work, and is a credit to the association publishing it. PUBLISHERS' NOTES. CHICAGO, ILL., Sept. 10, 1886. HENRY RHORER, Esq., Treas. Provident Chemical Works, St. Louis, Mo. Dear Sir-I received the sample of Crystalline Phosphate a few weeks since, and was well pleased with the results obtained from it, and would not hesitate to recommend it in preference to any preparation of the kind which I have seen or used. Very truly yours, ALVIN S. BUTLER, M.D. 4306 Maplewood Ave. PORT OF BALTIMORE, JA. 16, 1875.} Dear Sir-In compliance with your request to give you my opinion of "Colden's Liquid Beef Tonic," I take pleasure in recommending it as a most excellent stimulant, tonic, and invigorator of the system, which can be used whenever a stimulant and tonic combined is not contra-indicated. I have tested it in many cases since its introduction into our market, with universal success. Very respectfully yours, etc., WM. F. STEUART, M.D. Celerina.-H. O. Mackres, M.D., Corry, Pa., says I gave Celerina to a lady aged about forty-two years, who has been an invalid for many years, suffering from functional disease of the stomach, heart, and head, atonic dyspepsia, vertigo, palpitation of the heart, intercostal neuralgia, hysteria, and in fact nearly all the symptoms arising from cerebro-spinal exhaustion has been her bane for a long time. From the recommendation of Celerina and my knowledge of the properties of the remedies of which it is said to be compounded, I thought this would be a proper case to test its virtues. I accordingly prescribed it in teaspoonful doses four times a day, and a mild laxative pill at night, when necessary to keep the bowels soluble, and was happy to hear her say, before the bottle was all used, that she believed I had found the antidote for her ills. Another lady of about middle age suffered from atonic dyspepsia and insomnia. I prescribed a proper diet and nearly all the hypnotics I could think of, but nothing except preparations containing chloral and bromides seemed to procure sleep. I gave her Celerina, and since she has been taking the second bottle I have heard no complaint for want of sleep. Phillips' Emulsion of Cod-Liver Oil.-Physicians not acquainted with this preparation will find it deserving on examination. Like all the productions of this house, it is manufactured from the very best materials, and with the greatest possible care. It presents many superior features, which have given it a prominent place among the pharmaceutical preparations of the U. S. Its claims are substantiated by trustworthy professional testimony as well for palatability, miscibility, and minute division, as for ease of assimilation-the great desiderata in all cod-liver oil preparations. Bromida, Papine, and Iodia.-Send for samples of the above preparations to Messrs. Battle & Co., St. Louis, Mo., mentioning the ANALECTIC. Colleges.-Send to the deans of the different medical colleges advertised in this number, for new catalogues. Seven Springs Iron-Alum Mass.Special attention is called to the advertisement of the above preparation in this number of the ANALECTIC. Retreats, Sanitariums, etc. - The attention of our readers is called to the different institutions advertised in this number of the ANALECTIC. Horsford's Acid Phosphate.-Send to Rumford Chemical Works, Providence, R. I., for sample of Horsford's Acid Phosphate, provided you mention the MEDICAL ANALECTIC, and are willing to pay express charges; also for the Horsford Almanac and Cook Book, mailed free if ANALECTIC is mentioned. Aletris Cordial.-Ovarian Irritation: -I have tried Aletris Cordial in a case of Ovarian Irritation, complicating pregnancy. I am well pleased with its action. J. I. HIGGS, M.D. Swanwick, Ill. Lactopeptine.-Send address for our new Medical Almanac, containing valuable information, and mention the MEDICAL ANALECTIC. See our ad. on page 12. The New York Pharmacal Association, New York. P. O. Box 1574. Uterine Supporter.-Send to Messrs. Halsey Bros. for descriptive catalogue of their Uterine Supporters, mentioning the MEDICAL ANALECTIC. GENERAL INDEX. Lumbar, exploration and drain- age of, 208 Pelvic, in male, 19 Psoas, when and how to evacu- ate it, 423 of brain, traumatic, 122 of larynx, 525 of liver in child, 412 of œsophagus, 14 Subpectoral, evacuated by bron- Absorption of medicaments by the Acetanilide and antipyrine in Dilute hydrochloric, for removal in ulcer of larynx, 73 Phenic, in phthisis, 499 Picric, in phthisis, 445 Sulphurous, hypodermic use of, Tannic, as a surgical dressing, 259 Acne, acute, 139 Treatment of, III Aconite poisoning, 333, 407, 430 Acrobats and science, 93 Actual cautery in hemorrhoids, 440 in surgery, 340 Alimentary canal, foreign bodies in, 334 Alimentation, artificial, 152 Alkaline injections in gonorrhoea,6 Alveolar abscess followed by ab- Salicylate in typhoid and septic fevers, etc., etc., 6 Valerianate action of, on nerves, 256 Amputation, of hip-joint, 464 for aneurism, 188 General principles involved in, of inverted uterus, 89 Anæmia, inadequate treatment of, Atrophy of gastric tubules in, Anæsthetics, in labor, do they in- Time of day to give, 495 Analysis of urine in abdominal Anatomy, incorrect wood-cut in of temporo-maxillary joint, 123 Gluteal and sciatic, laparotomy New method of treating, 260 Angina pectoris, 314 Antipyrine in, 349 from compression of abdomi- etc., treated by a new method, Angioma of the pharynx, 417 Peculiar effect of, 494 Antipyretic action of nitrogenized |