has been promoted to the Ordinary Professorship. | and continued for thirteen days, but appeared to -Lancet. occasion no discomfort nor any impairment of health." ANTITOXIN. In regard to the immunizing effects during epidemics of diphtheria in institutions some very interesting papers have been read before the American Pædiatric Society, at its seventh annual meeting at the Virginia Hot Springs, May 27, 1895, by Dr. L. Emmett Holt and Dr. A. Seibert, of New York, and Dr. F. Gordon Morrill, of Boston. These well-known specialists of children's diseases showed in their reports, which were published in the Archives of Pediatrics, July, 1895, that injections of antitoxin for immunizing purposes are of inestimable value. Dr. Morrill described the results obtained from 438 immunizing injections of antitoxin at the Children's Hospital in Boston, of which 109 were of Gibier's serum, 104 of Behring's, 74 of Aronson's, and 151 of the antitoxin prepared by the Massachusetts State Board of Health. As regards the urticaria, its frequency, severity, time of appearance, and duration varied greatly with the brand of serum employed. That of Gibier (Pasteur Institute of New York) produced it in 22 per cent. of the cases on the (average) seventh day, and lasting (average) two and a half days. Behring's caused it in but one case, appearing on the eighth day and lasting three days. Aronson's gave rise to no urticaria. The serum of the Massachusetts State Board of Health produced, in about 41⁄2 per cent. of the cases, an eruption appearing on the (average) second day and disappearing in a day and a half. As regards the efficacy in counteracting toxin, Professor Charteris, of Glasgow, reported at the late meeting of the British Medical Association : "I next proceeded to test their efficacy in counteracting toxin. The four samples were diluted to I to 4000 by weight. "The guinea-pigs experimented on weighed from 500 grm. to 700 grm.; 15 c.cm of the toxin in each case were injected with the diluted antitoxin solution in the following proportions:"a. 15 c.cm. toxin plus 9 c.cm. of Aronson's antitoxin. "b. 15 c.cm. toxin plus 18 c.cm. of Behring's. "c. 15 c cm. toxin plus 40 c.cm. of Burroughs & Wellcome's. On INDEX MEDICUS.-While efforts, which we hope will prove successful, are being made to revive this useful publication, we have received from M. Marcel Baudouin, an eminent French Physician and journalist, a circular in which he announces his intention of beginning the publication of a similar work. M. Baudouin asks assistance by means of exchanges from felloweditors and publishers. FORCEPS AND FACIAL PARALYSIS IN AN INFANT.-Laskine speaks of an instrumental labor where the mother was a primipara, aged 22. After she had been in labor for fifty-four hours the forceps was applied. A large child, weighing nearly 10 pounds 4 ounces, was delivered; the perineum was torn. The child had facial paralysis, which was treated by the interrupted current. At the end of two months the condition had disappeared. Laskine admitted that the child's father had syphilis. Altogether, however, he thought the evidence was in favor of the opinion that the paralysis was caused by injury with the forceps. This complication took, he thought, long to cure. Gaulard, in a discussion on the case, knew of another far more chronic instance of the same lesion, for one of his colleagues, about 40 years old, still suffered from facial palsy caused by the forceps when he was brought into the world. GAUZE DRESSINGS IN SURGERY.-This is the title of a monograph just issued by Johnson & Johnson. The following extracts from the preface explain the scope of the pamphlet: "The publishers of this volume have always held to the principle that the consumers of their products are entitled to full information as to the details of their manufacture. "They have issued (beginning in 1887) several monographs devoted to the preparation and application of modern wound-dressings. The present volume consists of a discussion of gauze dressings in surgery, and is intended to place in the hands of the surgeon the latest and best information upon this particular subject. Considerable attention having been given, of late, "d. 15 c.cm. toxin plus 40 c.cm. British Insti- to the proper standard and mode of manufacture tute of Preventive Medicine. of gauze dressings, we have herein given details "The larger dose of the two latter antitoxins of authoritative processes as well as those necessitated injections into both sides of the ab-employed in the preparation of Linton Moistdominal walls of the two pigs employed. Gauze Dressings. The rapid advance in the the following day all the pigs were huddled science of surgery has made necessary both a together and took no food. At the sites of the modification and amplification of the methods injections in the pigs c and d there was evidence of preparing surgical dressings. While the of infiltration, but in pigs a and b this was not details have been greatly simplified, the princi. observed. Hardening followed the infiltration ples first propounded still hold good." BOOK REVIEWS. Temptations, Habits, Character. By WILLIAM M. CAPP, M.D., Philadelphia. Issued by the Arena Publishing Company, Boston. 46 pages, in attractive form. Price, 25 cents. This is a monograph upon subjects of a personal and private nature, scientifically and delicately treated. All physicians and many parents know to their sorrow how prevalent among youth and others are certain secret habits which pervert the sex instinct, and the consequences are only evil. The nature of the subject, however, is so difficult to broach and discuss, that even nearest friends fail to interpose timely advice and warning to avert impending damage to health and character. Conventional reticence is at times carried to too great an extreme, for the instigations of sex are a powerful factor and may become most dominating in the life of the individual. It may mislead the unwary, who, through ignorance, go astray. It is no easy matter, therefore, to put into words just what should be said upon these subjects. Dr. Capp treats his theme instructively and with interest, and its high moral tone is void of every word or thought which could offend. Overstrained or distorted truths find no place in the argument, which ap. peals alone to the intelligence and the noblest sentiments. Clinical Lectures on Diseases of the Nervous System. Delivered at the National Hospital for the Paralyzed and Epileptic, London. By W. R. GOWERS, M.D, F.R.S., Physician to the Hospital; Consulting Physician to University College Hospital; Formerly Professor of Clinical Medicine in University College. Philadelphia: P. Blakiston, Son & Co., 1895. In a volume of moderate size Dr. Gowers discusses in a clear, straightforward way various affections of the nervous system. The book is more particularly helpful to the general practitioner because, almost without exception, it deals with diseases and conditions which he must frequently encounter in his daily rounds. Syphilis of the nervous system, neuralgia, loco. motor ataxy, epilepsy, and paralysis of different forms and origin are the subjects to which most of these lectures are devoted. The distinctive value of the work is that, coming from a close observer and one whose experience in this special field is wide, the capital and impressive facts regarding diagnosis and symptomatology are given without an unnecessary attention to detail. Twenty lectures, each complete in itself, and each short enough to be read at a sitting by the busiest man, make up a book which is certainly instructive and should be popular. Annual of the Universal Medical Sciences. A Yearly Report of the Progress of the General Sanitary Sciences throughout the World. Edited by CHARLES E. SAJOUS, M.D., and Seventy Associate Editors, assisted by over Two Hundred Corresponding Editors, Collaborators, and Correspondents. Illustrated with Chromo-Lithographs, Engravings, and Maps. The F. A. Davis Company, Philadelphia, New York, and Chicago. London: F. J. Rebman. 1895. Volumes i, ii, iii, iv, and v. This great publication is a library in itself, comprehending, as it does, excerpts from the medical literature of the world, collected by editors and correspondents who are specially skilled in the departments which they severally represent. Thus, the reader is presented with a conspectus of the most advanced work, clinical, experimental, and practical, of our time. The work is, in every sense, cosmopolitan in its scope. In volume i we find a series of papers in which are collected the latest additions to our knowledge of diseases of the viscera and affections of the general system and blood. Tuberculosis, being a subject which must always attract attention, is ably presented in a résumé based upon the literature of the year. Diabetes mellitus, a disease which, though not uncommon, is still imperfectly understood as regards its pathogenesis, is commented upon by Professor Lépine, of Lyons. Professor Lépine has given much time to the study of diabetes, and his paper is replete with interest. Prof. J. Lewis Smith, of New York, presents a fair review of the influence of the serum treatment upon diphtheria. Rheumatism and gout are diseases upon which much is constantly being written, and the salient points of the most recent literature are presented by Prof. N. S. Davis, of Chicago. Volume ii contains reports on diseases of the nervous system, of the sexual organs in women, and diseases of the newborn. The section upon diseases of the brain is under the care of Drs. Landon Carter Gray, W. B. Pritchard, and R. C. Schultz, of New York. Diseases of the spinal cord form the subject of a comprehensive review by Prof. H. Obersteiner, of Vienna. The third is a surgical volume. In it we find reviewed the latest contributions to the surgery of the brain, spinal cord, and nerves; of the thorax and abdomen, orthopedic surgery, amputations, fractures and dislocations, tumors, syphilis, etc. Volume iv summarizes the literature of the specialties. Dermatology, ophthalmology, otol ogy, laryngology and rhinology, legal medicine, The Anti Opium Treatment of Intestinal Ob- etc., are represented by various editors and re- CURRENT MEDICAL LITERATURE. porters, who have selected the contributions of value which have appeared upon those subjects. Volume v contains a contribution upon "General Therapeutics and Pharmaceutical Chemistry," by the late lamented Dujardin-Beaumetz, of Paris. This paper, which is a model of its kind, reviews the various drugs which have recently been added to our armamentarium. An important paper in this volume is by Dr. Apostoli, of Paris, upon "Gynecological ElectroTherapeutics." Hydrotherapy and Clima tology," by Drs. Simon Baruch and Frank H. Daniels, of New York, and "Hygiene and Epi. demiology," by Drs. Walter Wyman and Charles E. Banks, are important features of this volume. Recent papers on anatomy and physiology are also analyzed in this volume. Index Catalogue of the Library of the Surgeon. General's Office, United States Army. Authors and Subjects. Vol. xvi. W to Zythus. Washington: Government Printing-Office, 1895. This volume completes the first series of the Index-Catalogue. This great work is a reflex in miniature and guide to the contents of a rich collection, embracing at the present time 116,847 books and 191,598 pamphlets. A work of this kind, however, is never at an end: and we are informed that the manuscript of a second series, including all the titles of books and articles re. ceived too late for insertion in the first series, has been prepared and will probably make five printed volumes of the same size and style as those constituting the first series. Bichromate of Potassium as a Remedy in Gastric Affections. Bone Marrow in the Treatment of Pernicious Anæmia. Serpents' Venom: Artificial and Natural Immunity; Antidotal Properties of the Blood-Serum of Immunized Animals and of Venomous Serpents. The above are titles of reprints received from the author, Prof. Thomas B. Fraser, of Edinburgh. Of the first two papers abstracts have already appeared in the pages of the MEDICAL BULLETIN. In the third communication Professor Fraser details the results of a series of experiments made with serpents' venom. He has succeeded in rendering animals immune to ser. pent-bites by administering to them a succession of gradually-increasing non-lethal doses. He furthermore found that the serum of immunized animals possesses an antidotal power, and to this serum he has applied the name "antivenine." The probable practical value of these demonstrations is obvious. Report on Typhoid Fever in the District of New Instruments. By Seth Scott Bishop, M.D., The Conduct of the Medical Student. An Ad- Report of the Surgeon-General of the Army to Muscular Asthenopia and its Treatment by Thomas, M.D., of Philadelphia; Fellow of the College of Physicians of Philadelphia, etc. Three Cases of Strabismus with Anomalous Diplopia. An Original and Acquired FixationSpot in the Same Eye. By Charles Hermon Thomas, M.D., Fellow of the College of Physicians of Philadelphia, etc. A Vesical Detrusor Centre in the Cerebral Cerebral Syphilis. By Henry Alfred Robbins, Syphilis in the Innocent. By A. H. Cleveland, Carcinoma of the Right Maxillary Antrum. By Reports of Friends' Asylum for the Insane, 1895. AMMONOL SALICYLATE. The salicylates are everywhere recognized as valuable in the treatment of rheumatic and gouty affections, but their usefulness is often interfered with by the great tendency which they have to derange digestion. Ammonol Salicylate, given in doses of 10 to 20 grains, stimulates the eliminative process and at the same time removes the pain, thus avoiding the use of morphia. The addition of ammonol to the salicylate exerts a synergistic effect over the entire range of the salicylic acid, and the compound resulting from the combination of the two is far more effective than the sodium salicylate or ammonium sali. cylate. At the same time the Ammonol Salicylate is tolerated by the most delicate stomach and can be given when the other salicylates cannot be borne. It is a freely-soluble salt which is rapidly absorbed and promptly produces, when given in sufficient amount, the cinchonism that marks the salicylic action. The Ammonol Salicylate is sold only in bottles containing either one ounce of the powder or one ounce of five-grain oval tablets. To avoid substitution please notice the letters "Ammonol Chemical Co." blown in the shoulder of each bottle. LAMBERT'S LITHIATED HYDRANGEA. Acute Cystitis.-Resulting from gonorrhoea and presenting symptoms of distress and pain over pubes, frequent and urgent inclination to micturate, urine cloudy and depositing slight amount of mucus on standing. Chronic Cystitis.-Resulting from enlarged prostate, retained or altered urine, or from gout or nervous derangement,-mucus or muco-pus rendering the urine more or less cloudy or opaque. Treatment. In addition to the mechanical treatment, usually essential in the management of disorders of this class, the administration of Lambert's Lithiated Hydrangea is often of the greatest service. A practitioner of wide experience says: "I have used Lambert's Lithiated Hydrangea on various persons affected with diverse and painful manifestations of chronic rheumatism, gout, lithiasis urica, nephritic calculus, and functional disturbances of the renal system, with excellent results, and I consider it a valuable remedy for normalizing the renal function, for promoting the active elimination of uric acid, and to calm the congestive conditions of the kidneys and of the urinary mucous membrane." WEIGHT CHARTS. While we have been familiar with fever charts, food charts, and diet charts, yet for the first time have we seen a "weight chart for infants." This is a new chart published by the Just's Food Company, by which the weight of an infant, from birth to 2 years of age, may be recorded from time to time. Such a record is not only valuable to the physician, showing at a glance whether the child is properly gaining in weight, but it will also be an interesting souvenir to the mother. On the chart is a model line as a guide for an average child. By referring to our advertising pages it will be seen that this chart will be sent free to any address. It is certainly something novel, and we believe will prove of great value. INDORSEMENTS FROM MEDICAL JOURNALS. Horatio R. Bigelow, M.D., in a communication to Medical and Surgical Reporter, October 16, 1880, under the title of "The Columbia Hospital for Women," etc. : "In dyspepsia, especially that form of it which is attended with vomiting in pregnant women, Dr. Sowers has used, with the greatest success, 10-grain doses, every two hours, of Warner's Ingluvin.' The most severe cases seem to yield under its administration." (Continued on advertising page 18.) they should be looked upon as nothing more than a little index toward facilitating our work, but by no means should it be permitted to THOROUGH PHYSICAL EXAMINA take the place of the more important physical TION VERSUS THE PATIENT'S STATEMENT. Q BY HERMAN D. MARCUS, M.D. UITE often we find that patients will present themselves to us for treatment, and in giving a history of their case will describe a range of symptoms which, to all appearances, will indicate the presence of some simple disease, and, without going into anything more than a cursory physical examination, we shall be apt to make the greatest of all mistakes of treating the effect rather than the cause. Of course, it must be acknowledged that to the busy practitioner, more intent upon the shekels than the good of his patient, routine examinations of all cases presenting to him may prove irksome and tedious, but to the conscientious physician such practice will prove very unsatisfactory. This examination. Our routine work at the dis- 2. Physical examinations. This includes inspection, palpation, percussion, and auscultation. No patient-man, woman, or child— In our dispensary at the Medico Chirurgical is examined through clothes. They must disHospital, routine practice has taught the phy-robe, and especially no corset is permitted to sicians connected with it to place only partial reliance on a patient's description of his case, and to rely entirely on physical diagnosis. Quite often, when such a course is practiced, we shall find lesions which would, from the history given by the patient, be never suspected. We may, after eliciting such a history as "sick at the stomach, headache, constipation," and, the greatest of all symptoms, "don't feel right," find, by physical examination, some heartlesion, nephritis, or other serious disease. While the objective symptoms given to us by the patient are of the greatest importance, still interfere with the examination. In reference to this last I should like to say that, as yet, I have not found one patient, be it male or female, who objected to disrobing, providing, of course, the physician permitted them to undress behind a screen, and if he possessed sufficient tact and discretion in making the examination. Physical examinations are made as follows: Inspection. The patient is placed in a good light and requested to breathe deep and slow. The movement of the chest and shoulderblades is carefully noted. At the same time |