gained by the most patient and intelligent study of disease and drug-action at the bedside, and in the study.

As an example of Dr. Brigham's method of presenting remedies and illustrative cases we may quote the following (italics the author's):

"CALCAREA CARBONICA."

"Lung and thorax.-Sore pains in the lungs, felt more by deep inspirations and stitches when moving. Stitches in both sides of chest aggravated by leaning forward. Sharp slow stitches in left side of chest, in a line horizontal with the pit of the stomach. Stitches in the left chest from the left to the right side with sense of constriction. Stitches mostly begin on left side.

"Sharp stitches in right thorax, from within outward, not affected by breathing as most calcarea pains are.

"Cough. The cough is dry, especially at night, often violent, and when expectoration follows, the feeling is as if something had been torn loose. Cough is provoked by air carried down by full inspirations; and by tickling in the throat as from feather down; also by eating, and playing on the piano.

"Aggravations.-Morning and evening.

"Accompaniments.-Morning exhaustion; dozing even after getting upon the feet. Intense melancholy. Very forgetful. If patient be a woman still menstruating, menses too early, too profuse, too long lasting.

"Face chalky coloured, pale, may be bloated or may be thin; if thin skin inclines to shrivel.

"Flesh often flabby and soft. Lips swollen. Eyes surrounded with blue rings.

"Neck is slender and head seems too heavy for the small size of the muscles.

"Derangements of the stomach, such as a sense of weight soon after eating; pressure at the pit which is distended; eructations, which are tasteless or sour; spitting up of food or vomiting of ingesta; rapid loss of flesh (iodine). Abdomen bloated; mesenteric glands swollen, and various peculiarities in the excreta, such as, hard at first then thin,

offensive, and clay-like, or chalky stools with inclination to prolapsus recti.

"We have painless morning hoarseness; aphonia, desire for deep inspirations, and shortness of breath with vertigo, especially when ascending stairs or going uphill. Stitches in left mamma when coughing. Stitches in Calc. carb. about as marked as in Kali carb."

Here is a case of the author's own.

"Mrs. B—, of a scrofulous constitution through paternal side, of sanguine nervous temperament, auburn hair and dark eyes. Grandmother, father, and two sisters had goitre; one sister died of tubercular phthisis of the lungs, showing no sign of goitre, nor did the present subject. Grandmother always troubled with a cough, though she lived to old age; consumption still more common in other branches of father's family; patient had whooping.cough when a child from which she recovered with difficulty, and was always subject to a harassing cough of a dry provoking character; after her marriage was somewhat better, but after bearing her second child she showed evident signs of decline, losing strength and flesh for six weeks with cough growing steadily worse. At this time she took Arsenicum 30, being led to it by peculiar numb sensations in the upper extremities, soreness and pain in apex of right lung, the cough being worse immediately after lying down, accompanied with titillation in the larynx. She soon improved and got on very well till the next spring, when she was taken down again; this time she was tried on her old remedy, but to no purpose, but Calcarea did arrest the cough and other symptoms, which were, as will be seen, more conformable to its pathogenesis.

"Cough was very dry and harrassing morning and evening, especially with tickling, as from feather dust, in the throat; if any sputum was thrown off it seemed as if it had to be torn from the larynx; tongue would often protrude from the mouth so violent was the cough, and with such difficulty was anything detached. Calcarea carb. had the effect to finally control the worst of these symptoms and restore patient to her usual health.

"The old cough, however, never quite left her for any considerable time, and was always worse from a little exposure. This lady, however, managed to live and raise a family of three children besides losing two in infancy. When she reached her climaxis she died of a tubercular affection of the left lung. Her three children showed signs at puberty of having enlargement of the thyroid."

We quote the following for the dietetic hint which we have often found of great value in phthisical cases, and have italicised.

"KALI MURIATICUM.

"A lady, æt. 35, and married, consulted me for catarrhal phthisis affecting a small space in the upper left lung, with a crackling respiration, audible even to patient when recumbent. Expectoration greenish; dulness on percussion; paleness; emaciation; fever inconsiderable; cough was of some months' standing. Patient had taken cod-liver oil ad nauseam. Prescribed Kali Mur. 30, three times a day, and gave her freely a preparation made of one-fourth pound of finely-cut suet, simmered in two pints of milk down to one pint, fat rising on cooling to be skimmed off. Patient steadily improved for months, when an aggravation of cough took place, which I attributed to my remedy. Gave remedy only every third day subsequently. The green colour of sputa soon diminished under treatment and the crackling sounds in the bronchi. Two months from commencement of treatment patient's weight was nearly normal and she was steadily gaining; slight dulness, however, remained. She went to her friends in another state. She relished her suet and milk well."-J. C. Morgan.

In his presentment of medicines we have found our author generally trustworthy as regards the symptoms he gives. He makes, however, no distinction between those from provings on the healthy and those from the "Chronic Diseases." He also fails to distinguish between symptoms which have been found to indicate a remedy by clinical observation and pure pathogenetic defects. These are defects which should be rectified. We do not say these clinical symptoms should be rejected,

but readers should be apprised of their source and left to judge for themselves of their value.

Before leaving Dr. Brigham there are two points we must mention. One is his peculiar ideas of the English language and the way it should be put together. He treats us to several new words, as "immure," which is twice used (pp. 29 and 30) in the sense of possessed of immunity; "canification," the meaning of which we are quite unable to discover (p. 37); "depreciated corpuscles," probably meaning deteriorated corpuscles, is a new use of an old word (p. 77). "Know as" for "know that" is not English

at all (p. 138).

The second point is a graver one. We can forgive offences against the living better than against the dead, and dead languages are particularly sacred. But Dr. Brigham does not spare the one any more than the other. We say nothing of spelling the anglified word "hæmorrhage" with the "e" instead of the diphthong, that may be conceded to American love of economy. But when it comes to spelling simillimum with a single "1" we must protest. At first we thought our author was actuated by economical motives here, but we came across the word spelt rightly once out of a score of times, and once-Shade of Cicero !-similissimum ! We would respectfully recommend this word to the Internationals. After this" Kali Carbonica " for Kali Carbonicum, "ad" initio for ab initio, and "Silesia " for Silicea, are trifles scarce worth mention.

If Dr. Brigham will confine himself to observing, and collecting the observations of others, he may yet gather together much that the world will thank him for; but we entreat of him before he next writes a book to take lessons in the language he writes in, and the art of composing in it, from some competent professor; to study diligently the art of arrangement, to eschew theories, original and borrowed, and to get some friend who knows Latin to promise to look over the proof-sheets. If he will do this he will save his reviewers and his readers much trouble and loss of temper, and give them a chance, "if he has something to say," of knowing without difficulty what the something is.

Journal of Cutaneous and Venereal Diseases, Vol. I, No. 1. Edited by HENRY G. PIFFARD, A.M., M.D., and PRINCE A. MORROW, A.B., M.D. New York: William Wood and Co.

WE welcome the appearance of this new journal, which has made a good start with its first number. The original matter is valuable, interesting, and well presented. The first article on "Trichophytosis cruris" is very well illustrated by a coloured plate representing a case of that disease. Papers read before dermatological societies, with discussions, are given, also selections from other journals and reviews. One of the discussions was on the report of two cases of acute psoriasis following vaccination, in one of which cure was brought about by Arsenic. In the discussion Dr. Piffard made the following remarks, which have an interest for us:

"With regard to the use of Arsenic in psoriasis, Dr. Piffard had seen remarkable results; he had seen the skin almost entirely clear off, and the redness disappear before the patient took the second dose. But the patient took a large dose-a teaspoonful of Fowler's solution-by mistake. The patient was bloated up, and had a bad time, but the eruption disappeared. He believed such an effect could be often produced if the patients could stand the large doses of Arsenic. ." "Experiments made in England by Ringer and Murrell show that the giving of large doses of Arsenic to frogs would cause them to shed their entire epidermis." There is life in the first number of this journal; we wish it-what it promises to have a long, vigorous, and useful one.

The American Homœopathic Pharmacopœia, compiled and published by Boericke and Tafel, New York, 1882.

THE union of the double function of authors and publishers is, of course, not unknown in general literature,