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The work is written in the terse, clarified style, characteristic of Dr. Jenks' extensive contributions to medical literature. The numerous formulæ and illustrations scattered throughout its pages will enhance its value from the practical stand-point, and we heartily commend its perusal by the busy practitioner.

TEXT-BOOK OF THERAPEUTICS AND MATERIA MEDICA..

Intended for the Use of Students and Practitioners. By Robert T. Edes, A. B., M. D., Fellow of the Massachusetts Medical Society, of the American Academy of Arts and Sciences; Member of the Medical Association of the District of Colunbia, of the Association of American Physicians and Pathologists, of the American Neurological Association; Correspondent Member of the Boston Society for Medical Improvement; Formerly Passed Assistant Surgeon United States Navy; Professor of Materia Medica and Jackson Professor of Clinical Medicine in Harvard University; one of the Visiting Physician to the Boston City Hospital. 8vo: five hundred and fiftytwo pages. Cloth,00; Leather, 00. Philadelphia: Lea Brothers & Company, 1888.

When one considers the great number of works recently written and revised, on the subjects of materia medica and therapeutics, the question is suggested: “Is there any need for another work on these subjects?” The negative would be quite potent, if no further thought were taken of the matter. Every physician who prescribes drugs, with the expectation of obtaining well marked evidence of their action as determined by laboratory investigation, knows how greviously disappointed he is at times. The author had this fact in view in writing this work, and remarks in his introduction that “It is of quite as much importance to realize what drugs cannot do, as what they can, and the young practitioner who starts with a moderate estimate of these powers, which estimate he is prepared in the presentation of proper evidence to enlarge, has laid for his future usefulness and his own mental comfort a much sounder and more satisfactory basis and provided a much more effective protection against disappointment, skepticism, and disgust, than he who cherishes an indiscriminate belief in the unlimited, mysterious, and almost magical power of medicines, which can require but little experience to destroy in any candid mind.”

In this work the author gives those facts which the physician should know, and to state the chemical and physiological data as are reasonably well estabished and have a bearing on the theory of the action of the drug, or on its practical application, and gives briefly and clearly something of the chemical results. Theories are not discussed, but conclusions have been given, which the writer believes are more likely to be drawn correctly by him, than by those who are beginning their studies.

The author's classification of drugs is based chiefly on therapeutic action. Thus, the class Irritants, is devided into cutaneous and mucous. Of the former are considered rubefacients, epispastics, escharotics; and of the latter, errhines, sialagogues and jiquarity. Under these are considered drugs and therapeutic measures which produce that particular action, but which have other and more important actions, which in turn are again taken up in connection with these properties. This causes the repeated mention of the same remedy, as: chloroform being classed as an irritant, anæsthetic and local anæsthetic; carbolic acid as irritant, anesthetic, and local anesthetic.

This mode of classification, while it may be criticised, has a practical convenience and value to the practitioner that is highly desirable. No detailed physical description is given, but in each class, the mode of action, the therapeutic applications, the method of administration and dose, are concisely stated. Both the student and practitioner will find the work a valuable aid in obtaining an accurate chemical knowledge of therapeutic measures.

THE RULES OF ASEPTIC AND ANTISEPTIC SURGERY. A

Practical Treatise for the use of Students and General Practitioners. By Arpad G. Gerster, M. D., Professor of Surgery at the New York Polyclinic; Visiting Surgeon to Mount Sinai Hospital and the German Hospital, New York. Illustrated with two hundred and fortyeight engravings, and three chromo-lithographic plates. 8vo: three hundred and thirty-two pages. Cloth,00. Sheep, 00. New York: D. Appleton & Company, 1888.

In this most excellent work the author gives a systematic yet practical presentation of aseptic and antiseptic surgery. It is arranged in five parts: asepsis; antisepsis; tuberculosis, its aseptic and antiseptic treatment; gonorrhoea, its antiseptic treatment; syphilis, aseptic and antiseptic treatment of its external lesions.

The practitioner who has only a limited surgical practice in which he has met with so many difficulties and disappointments, from his vague ideas and imperfect attempts at aseptic and antiseptic methods, will find in this work the information he so much deserves. The author has been eminently successful in his endeavors to give a clear knowledge of the changes brought about in the practice of surgery since the adoption of aseptic and antiseptic methods.

The author has wisely abstained from stating the contradictory details of other writers and discussing their relative merits, the practical directions, and details of manipulations that he recommends are those used by himself, and are explained by typical cases and examples taken from his own personal experience. The description of these cases are profusely illustrated by photographic plates made from negatives taken of patients at the time of operation and after treatment. In this way he is able to show what otherwise would require a tedious description.

The general rules and principles of aseptic operations are first given. The application of these are then illustrated in special cases. The admirable arrangement and the conciseness of language, with the great number of plates, enable the author to give a great mass of information in a very small space. With this work as a guide the most exact aseptic methods can be comprehended and carried out by the intelligent student and practitioner.

LITERARY MENTION.

Books. “Premature Baldness." The Customary Treatment of the Hair, Considered in Relation to the Remarkable Prevalence of Premature Baldness in the United States. By A. R. Deacon. Saint Louis: Arthur R. Deacon, 1888.

“Lesions of the Vagina and Pelvic Floor, with Special Reference to Uterine and Vaginal Prolapse." By B. E. Hadra, M. D., Austin, Texas. With eighty-three illustrations. 12mo: Three hundred and twenty-nine pages. Philadelphia Record: McMullin & Company (Limited), 1888.

“Pathology and Treatment of the Infectious Diseases,” Part I. The Miasmatic and Miasmatic Contagious Diseases, Intermittent Fever, Typhoid Fever. By Professor Karl Liebermeister, Professor of Clinical Medicine, in Tubingen, Germany. Translated by E. P. Hurd, M. D., Newburyport, Massacheusetts. With Notes and Appendices. The Physician's Leisure Library. Number VIII. $2.50 a year; single copies, twenty-five cents. Detroit: George S. Davis, 1888.

“A Practical Treatise on the Medical and Surgical Uses of Electricity, Including Localized and General Faradization; Localized and General Galvanization; Franklinization; Electrolyses and Galvano-Cautery.” By George M. Beard, A. M., M. D., Fellow of the New York Academy of Medicine; Member of the American Academy of Medicine; Member of the American Neurological Society, etc. A. D. Rockwell, A. M., M. D., Pro

R

fessor of Electro-Therapeutic in the New York Post-Graduate Medical School and Hospital. Fellow of the New York Academy of Medicine; Member of the American Neurological Association; Formerly Electro-Therapeutist to the Woman's Hospital of the State of New York, etc. Sixth edition. Revised by A. D. Rockwell, M. D. Nearly two hundred illustrations. Svo: seven hundred and fifty-eight pages. Cloth, 00. Sheep, 00. New York: William Wood & Company, 1888.

PAMPHLETS. “Shall the Forceps be Applied to the After-Coming Head?” By W. P. Manton, M. D., Visiting Physician to the Woman's Hospital and Foundlings Home; Secretary of the Detroit Gynæcological Society; Fellow of the British Gynecological Society. Reprint from the American Lancet, April, 1888.

“The Southern Cattle Plague (Texas Fever) of the United States, with Especial Relation to its Resemblance to the Yellow Fever.” An Etiological Study. First report from the PathoBiological Laboratory, University of Nebraska. By Frank S. Billings, Director. Lincolo, Nebraska: Journal Company, State Printers, 1888.

« The Intra-Uterine Stem in the Treatment of Flexions." By A. Reeves, Jackson, A. M., M. D., Professor of Gynæcology in the College of Physicians and Surgeons, of Chicago; Fellow of the American Gynecological Society; British Gynæcological Society; Chicago Gynæcological Society, etc. Reprint from Volume XII “Gynæcological Transactions,” 1887.

MEDICAL PROGRESS.

OBSTETRICS AND GYNECOLOGY.

THE ETIOLOGY AND CLASSIFICATION OF THE ANEMIA

OF PUBERTY.

A large number of girls suffer during puberty from a condition of ill health characterized by a very constant train of symptoms, and to which the names anæmia and chlorosis are applied. Although the disease is so common, its symptoms so plain, and the treatment, as a rule, so successful, the etiology is by no means well established, various theories being put forth by different writers.

Trousseau considered it a neurosis, the blood changes being secondary. Niemeyer appears to consider it as a result of premature sexual activity. He writes: “According to my observation, obstinate chlorosis attacks all young girls, without exception, in whom the menses have appeared in the twelfth or thirteenth year, before the development of the breasts and pubes.” Mitchell Bruce says the origin of the disease lies in a peculiar condition of the blood and blood-vessels, which is believed to be congenital and perhaps hereditary. Aitken considers chlorosis as one of the “functional diseases of the female organs of generation in the unimpregnated state.” Sir Andrew Clark considers “ feculent retention and its consequences as the cause. Sée looks upon the inability of the organism to meet the demands made upon it by the simultaneous advent of menstruation and of rapid growth of the tissues as the cause.

A great many predisposing and exciting causes have been described by various authors; most of these seem to be not so much causes as merely coincident with the time of life at which the disease begins, but, generally speaking, all things are causes which lessen metabolism and the power of the system to meet the demands made upon it, such, for instance, as want of exercise, improper food, and vitiated air, and the variety of the disease caused will depend greatly upon the force and direction of these causes.

The distribution of the disease bears this out. It is not confined to any class, but is more often met with in large towns than in the country, and is much more common among girls who sit at their work than among others. When it does occur among servants, defective drainage is often an exciting cause. In Dublin the disease is very common; yet in Huddersfield, where the great majority of the girls work from an early age in mills, it does not seem to be common, as, on looking over the notes of more than six hundred cases treated there consecutively, I find only three examples of the disease, and one of these girls is specially noted as having a “sitting job” in a mill. The chief differences between the girls in Yorkshire towns and those in Dublin are, that the former are better fed and have more exercise both at their work and after it.

But, although these causes are generally met with, sometimes they are absent, and the disease occurs in girls of good physique, living in country air, warmly clad, and well fed.

In Sir Andrew Clark's paper the graphic description of the patients only dealt with one variety of the disease-that gener

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