tion to a professorial chair of medicine. we found, in place of the expected dose of medi"Chair!" flashed out the doctor. cine, a very attractive treatise on Norway, the Vikings, the Gothenburg System and its relation to the temperance question, besides graphic de

"You're mistaken, my dear sir. It isn't a chair of medicine that I occupy; it's a whole settee!" Another tale is also a medical one, and relates to a meet-scriptions of the Maelstrom, the Midnight Sun, ing of several of the leading physicians of a bygone generation. They were all, except Holmes, big men physically as well as mentally, and for some time the little doctor walked disconsolately about among his six-foot colleagues. Then, jingling the loose change in his pocket, he said, calmly: "Do you know, gentlemen, I feel like a three-cent piece among a lot of pennies." -British Medical Journal.

A NEW PERIODICAL.-El Internacional is the

title of a journal the first number of which, for May, 1895, is now before us. It is edited by Dr. José M. Peña. The business-manager is Dr. Frank C. Skinner. The first issue contains an interesting table of contents, among which we notice a clinical lecture by Professor Laplace, a paper by Dr. E. B. Gleason and Dr. Frank C. Skinner, and a number of well-selected abstracts, therapeutic notes, formulæ, etc. Each number is to contain a portion of a translation into Spanish by the editor, Dr. Peña, of KrafftEbing's work on "Psychopathia Sexualis." It is announced that an interesting teratological case will also appear in each issue. We wish

success to the new venture.

MULTIPLE Hard Chancres of the LoweR LIP AND TONGUE.-M. Enditz exhibited, at a meeting of the French Society of Dermatology and Syphilography, a patient having four hard chancres, three of which were seated on the lower lip and the fourth on the end of the tongue.

DR. THOMAS OLIVER, Professor of Physiology in the University of Durham, has been elected a Fellow of the Royal Society of Edinburgh.

BOOK REVIEWS.

Codliver Oil and Chemistry. By F. PEckel
MÖLLER, Ph.D. London: Peter Möller, 1895.
Large 8vo; pages cxxiii-508. Received from
W. H. Schieffelin & Co., New York.

This handsome volume, issued by the wellknown firm of P. Möller, of Christiania, affords a very agreeable surprise to the reader. In the first place, it is not a translation, but is written in the queen's English and by an experienced hand. Opening it with the memories of past experiences with codliver-oil involuntarily suggesting themselves to our nerves of smell and taste, presently we are beguiled by some interesting sentence to dip into the work, and, to our delight,

and of the way they catch fish at Lofoten. The process of making the pure codliver-oil is described in detail. Substitutes and so-called active principles are scientifically considered. Morrhuol is declared to be identical with ptomaines, and not in any sense a representative of the therapeutical value of the oil. The search for a substitute for codliver-oil is believed to be perpetually doomed to be fruitless, for the simple reason that the main constituents of the oil are

absolutely unique and that its active principle is the oil itself. Every one who is interested in codliver-oil should consult this monograph, which places the latest results of investigation before the reader in the most explicit and clearest language. The second part of the book consists of a very complete dissertation on Chemistry, especially of the hydrocarbons, in which, incidentally, the modern theories of valences, molecular and atomic grouping, and stereochemistry are set forth in the light of recent research, and especially in relation to the methane derivatives, beginning with the hydrocarbons. The author has adopted a method of explaining the graphic formula which is striking and original, and well devised for the purpose he has in view.

The History of the Pennsylvania Hospital, 1751– 1895. BY THOMAS G. MORTON, M.D., Fellow of the College of Physicians; President of the Medical Staff and Senior Surgeon of the Pennsylvania Hospital; President of the Philadelphia Academy of Surgery, etc. Assisted by FRANK WOODBURY, M.D., Fellow of the College of Physicians; Honorary Professor of Clinical Medicine in the Medico-Chirurgical Hospital, etc. Publication authorized by the Contributors at their annual meeting, May, 1893, and directed by the Board of Managers. Philadelphia: Times Printing. House, 1895.

This is a book replete with interest. We have read it with great pleasure, and can recommend it as a faithful account of a noble institution. The Pennsylvania Hospital is an old foundation as age goes in this country. It has always been well managed, its staff has always been representative of distinguished skill, and it has been in various manners, for five generations, intimately connected with social life and medical education in Philadelphia. It possesses, moreover, not only a local interest, for many are the practitioners scattered through the country who have imbibed instruction from the medical and surgical clinics held within its walls. To phy.

sicians and patients alike the Pennsylvania Hospital has ever been an influence for good.

This history is based upon numerous original documents, many of which have never been published. Like many of the old institutions of the city, the Pennsylvania Hospital owes much to the sagacity and public spirit of Benjamin Franklin. It is to a physician, however, Dr. Thomas Bond, that the honor of originating the charity is due. During the Revolutionary War the work of the hospital was carried on with much difficulty, but every effort was made to

meet the additional burdens incidental to the times. From an early period of its existence, as its work extended and its wards were crowded, additional buildings have been constructed in order to meet the demands. An excellent medical library has gradually been accumulated within the hospital. During the Civil War the institution distinguished itself in the care of sick

and wounded soldiers and sailors. A succession

of devoted clerical and lay workers have ministered to the moral and religious needs of the patients, non-sectarian services being held in the library. A praiseworthy custom has long re quired notes of all interesting cases and surgical operations, a fact which renders the statistics of the Pennsylvania Hospital of peculiar value. A school for nurses is maintained in connection with the hospital, and a fine building to be used as a Nurses' Home has recently been erected by the liberality of the Misses Blanchard, of this city. It is pleasing to know that this institution was a pioneer in the treatment of insanity as a disease, and almost from the beginning took measures for the intelligent and humane treatment of lunatics. The fine Department for the Insane, erected in West Philadelphia, is a monument to the management of the Pennsylvania Hospital.

German Edition under the supervision of
JAMES C. JOHNSTON, M.D. New York:
William Wood & Company, 1895.

have a judicious exposition of the improvements
In the excellent work of Professor Kaposi we
which have of late years taken place in regard
to the intimate pathology of affections of the
skin and various methods and procedures which
have been introduced within the same period.
Based essentially upon the work of Hebra, Ka-
posi's writings are, nevertheless, original in the
sense of exact observation and the incorporation
of the results of advanced research; so that they
are representative of the present position of the
work the author follows Hebra's classification.
Vienna school. In the arrangement of this
The descriptions of clinical manifestations is all

his own and at once accurate and graphic. Though the author recognizes the influence of internal causes in producing cutaneous disorders, yet he scarcely attributes as much importance to such agencies as, in the judgment of some writers, they deserve. A conspicuous advantage of the treatise consists in its careful presentation of the pathology of the various dis

eases. In the discussion of eczema Professor

Kaposi has nothing to say regarding that form which Unna and, after him, other writers have

described as seborrhoeic eczema. The lectures

upon the acute exanthemata are interesting and instructive, compressing into moderate compass what is known to-day of the nature of these infections. The author expresses the opinion that erythema nodosum is properly distinguished as a special clinical type, but that it is, nevertheless, essentially identical with erythema multiforme and peliosis rheumatica. In his lecture upon diseases marked by anomalies of pigmentation he includes an account of Addison's disease, in Many noted names are found in the list of so far as it affects the skin. Leucoderma syphithose who have been connected as physicians liticum, so long overlooked, is also described in this connection. Concerning the interesting and surgeons with this hospital. The Bonds, William Shippen, John Morgan, Adam Kuhn, discussion which has arisen concerning the etiBenjamin Rush, Caspar Wistar, Philip Syngology of Paget's disease and its identity with Physick, John Redman Coxe, Thomas T. Hewson, John Rhea Barton, John K. Mitchell, Hugh L. Hodge, Joseph Pancoast, D. Hayes Agnew, Richard J. Levis, J. Forsythe Meigs, J. Aitken Meigs are among the illustrious men

who have served the Pennsylvania Hospital and who have passed from the scene of their labors, leaving to worthy successors the task of upholding the honor and usefulness of the hospital. Pathology and Treatment of Diseases of the Skin, for Practitioners and Students. By DR. MORIZ KAPOSI, Professor of Dermatology and Syphilis, and Chief of the Clinic and Division for Skin Diseases in the Vienna University. With 84 illustrations. Translation of the last

Professor Kaposi is inclined to think that some Darier's "psorospermose folliculaire végétante," of the cases of Paget's disease are no more than others are truly carcinomatous. While not lookpeculiar and aggravated forms of eczema, while ing upon the psorosperm origin as a decided question, he admits that Darier's disease is clinkeratosis. Nevertheless, he is disposed to put ically and pathologically an interesting form of little faith in the theory that the bodies found in sections from the diseases named are in reality psorosperms. In lupus he is equally cautious and adheres to his formerly-expressed opinion that, notwithstanding the presence of a limited number of bacilli, the data are still insufficient to prove positively the tubercular character of lupus.

Though the work is stronger in pathology and | The Treatment of Gonorrhoea. By H. M. in the description of clinical features than in the important matter of treatment, the work is one which can be recommended to the student and

AS TO CACTINA.

In these days of rapid work and little rest we are all getting to be a bundle of worriment; and the men are drifting into "nerves" pretty much as their sisters have had a monopoly of for so long. In the way of quieting this condition a great variety of calmatives has been "elucidated" (as the farmer put it) from the coal-tar series of drugs. Now, these remedies are all good in some respects and bad in others; for, no matter how much the owners of any given production may boost them up as being not at all productive of sometimes prostrating effects on the heart, they are in very many instances; as for myself, I have long been afraid to use any of them without some added heart tonic, such as caffeine, for instance. For some time past I have frequently substituted the well-known preparation "Cactina" for the caffeine, and with good results, at a less cost, which is an item in the instance of poor folks.

Six months ago, one day a neat little woman came to see about a troublesome headache, and she told me that she could not take quinine, arsenic, morphia, nor antipyrin. These disagreed with her, they reduced her circulation too much. Now, without telling her what it was, I ordered her a small dose of acetanilid combined with caffeine, and, sure enough, it did drag down her circulation, but it laid the headache out cold. In the way of experiment, I again ordered the acetanilid with cactina (one pellet at a time with three grains of the coal-tar drug), and it not only did the work, but the prostration did not take place. Now, as caffeine is a good drug almost always, I use it very freely with the antipyretics of any kind; but, where idiosyncrasy prevails, just try cactina, and, as it won't do any harm, it may do good.

W. R. D. BLACKWOOD, M.D.

852 North Twenty-Third Street.

REMOVAL NOTICE.

The Law Battery Co., long and favorably known to our readers, have removed from their old quarters to elegant offices situate 39 to 41 Cortlandt Street, New York City, and have established a completely equipped factory at Cranford, N. J. All communications, however, should be addressed to the office in New York.

A NEW STERILIZER.

"Practical, unique," was the expression of one of our leading surgeons after a thorough examination of this addition to surgical conveniences. It is made of polished copper,

with folding legs, and has in it a perforated tray, with handles, for lifting instruments out of the water, and a metal rack for holding cutting instruments, and over it a cover fits snugly. The alcohol-lamp is a copper box filled with asbestos and having holes running through for the air. The asbestos is saturated with alcohol and set on fire. This makes a very hot, intense flame, and enables you to have boiling water in a very short time. The makers are offering our readers a special rate for a short time only. See their advertisement on page 21, and write them for descriptive circular of their Combination Aseptic Minor Operating and Trephining Case aud Sterilizer Combined. Wm. V. Willis & Co., 134 South Eleventh Street, Philadelphia, Pa.

REMOVED TO ACCOMMODATE A LARGELY-
INCREASED BUSINESS.

Messrs. Wm. R. Warner & Co. have removed their New York Branch to the more commodious and convenient quarters, No. 52 Maiden Lane. This change became imperative, the space at their former salesrooms having at last become inadequate to admit of the proper conduction of their largely-increased business. There will constantly be on file a complete list of the leading medical and pharmaceutical journals of the United States, and a cordial invitation is extended to the profession to consult them at any time.

MALARIAL CONDITIONS.

For all malarial conditions quinine is the best remedy we have. But associated with this condition there is always more or less pain, which often renders the life of the individual uncomfortable, if not positively miserable. Antikamnia will remove these unpleasant symptoms and place the system in the best condition for the quinine to do its work. There are a number of ailments, not closely defined, which are due to the presence of the malarial poison. All such conditions are greatly benefited by the use of antikamnia and quinine. In headache (hemicrania), in the neuralgias occurring in anæmic patients who have malarial cachexia, and in a large number of affections more or less dependent upon this cachetic condition the regular administration of this combination will produce the most happy results. In cases of malarial fever it should be given as a prophylactic and cure.

"Antikamnia and Quinine" are put up in tablet form, each tablet containing 22 grains of antikamnia and 2% grains of quinine, and is the most satisfactory mode of exhibition. (Continued on advertising page 18)

CLINICAL LECTURE.

No. 7

means of our hydrostatic eye-douche. Atropia was again instilled and both eyes sealed with sterilized vaselin; over this came the eyepads, all held securely in place by adhesive strips. The patient was not disturbed during the night, and we now, in TRAUMATIC INJURIES TO EYES another examination. I find, upon removing your presence, make

BURNS OF THE CORNEA; ELEC-
TRIC LIGHT EXPLOSION CAUS-
ING TEMPORARY BLINDNESS;

-HYPOPYON*

By L. WEBSTER FOX, M.D.,

Professor of Ophthalmology, Medico-Chirurgical College,
Philadelphia, Penna.

BURNS OF THE CORNEA.

GENTLEMEN :

the pads, that the eyelids are somewhat swollen, red, and showing distinctly the effects of the burns. Upon elevating the upper lid of the right eye the conjunctiva is pink, and on the cornea a few imbedded particles of foreign matter still remain; these we shall wash away

HE boy whom I bring before you first this with water as hot as can be borne by our pa

reservoir is held to a certain height, to give the water at the nozzle of the pipette greater force. I find that we have succeeded in washing away the particles, and the surface of the cornea appears perfectly clean. The left eye is in a more critical condition, the upper third of the cornea showing the effects of the burn, being quite opalescent and with a decidedly lacerated surface, as if the particles of foreign

last evening. While standing on the sidewalk watching a civic parade he accidentally had a Roman candle explode in his face; he received the full discharge, burning his lashes and eyebrows and scorching the skin about his eyes. The left one received the greater part of the flame, and, in consequence, is the more severely injured. The accident happened about 8 o'clock, and he was brought to the hospital a few minutes later. The house-matter had torn away the epithelium and desurgeon, Dr. Pfromm, immediately instilled atropia and bathed the eyes with a boric solution. I was called to see the case and made an examination about two hours after the accident. Upon elevating the eyelids I found both eyes more or less sprinkled with grains of powder and fine particles of clay, notwithstanding the treatment. Both eyes were again thoroughly irrigated with filtered water so as to wash away the fine particles of foreign matter remaining in both cornea and conjunctiva Plenty of water was applied by

* Clinical lecture delivered at the Medico-Chirurgical College, March 9, 1895.

stroyed part of the cornea propria. I shall irrigate this eye with the warm water even more carefully than was done in the other eye, so as to be sure to wash away all the foreign matter and, possibly, remove the lacerated tissues hanging on by shreds. The atropia is again dropped into the eyes and both eyes again sealed by a thick coating of sterilized vaselin and eye-pads. The eyes will be dressed again in twelve hours and continued until all danger is past. The prognosis in the right eye promises well. In the left we must reserve our opinion for forty-eight hours. Burns from fire, alkalies, or acids are always