Experiments on nursing-mothers, and on the lower animals, confirm this opinion.

NEW TEST FOR SUGAR.-Mr. Marson gives (Med. Press. and Circ.) the following :-One and a half grains of the pure salt is dissolved in about 120 minims of urine by the aid of warmth, then add five grains of caustic potash and boil. If sugar be present a dark green precipitate will form, the superjacent liquid being reddish-brown or black, according to the amount of sugar. If no sugar be present the precipitate is greenish-brown in color, and the liquid is colorless.

PHYSIOLOGY

(6 AS SHE IS TAUGHT."--The following (Ind. Med. Jour.) is from the pen of a school boy taught in one of our public schools. "The human body is made up of the head, the thorax, and the abdomen.. The head contains the brains, when there is any. The thorax contains the heart, lungs and diaphragm. The abdomen contains the bowels, of which there are five – A, E, I, O, U, and sometimes W, and Y."

Bright's Disease.-Dr. Semmola recommends (N. Y. Med. Rec.) the following in the treatment of any form of albuminuria dependent on nephritis. Fifteen grains of iodide of sodium, thirty of phosphate of sodium, ninety of chloride of sodium, dissolved in water, and given in the twenty-four hours, alone or with milk.

TO CURE HICCOUGH.-Dr. Dresch (Bulletin

Gen. de Therap.) says, instant relief from hiccough may be had by causing the sufferer to close the ex

ternal auditory meatus with the tips of his fingers, making firm pressure, while at the same time he is given water to drink in small swallows.

At New Glasgow, N.S., Dr. George Murray, aged 63.

By Dr. Murray's death Picton County loses one of her most clever physicians and surgeons. He was strictly honorable in his intercourse with his professional brethren, kind to the poor, and courteous to all.

BRIEGER says he has demonstrated that the bacillus of typhoid secretes a ptomaine which he has named typhotoxine. The injection of this into animals produces lesions similar to those caused by typhoid in man.

Books and Lamphlets.

DISEASES OF THE HEART AND CIRCULATION IN INFANCY AND ADOLESCENCE. By John M. Keating, M.D., Obstetrician to the Philadelphia Hospital, etc., etc.; and William A. Edwards, M.D., Physician to St. Joseph's Hospital, etc., etc. Illustrated with photographs and wood engravings. Philadelphia: P. Blakiston, Son & Co. Toronto: Carveth & Co. pp. 207. $1.50. 1888.

This work takes up in an able and scientific manner diseases of the heart in children. This is a part of the field of medical science which has not been cultivated to the extent that the importance of the subject deserves. Most of us have been disappointed at the small amount of information which is to be gained from works on diseases of children, in this particular line. The matter has been collected chiefly from medical journals, clinical lectures, theses, and reports of societies. It is a fairly complete presentation of the whole subject, as applied to young persons, and will be of interest to every practitioner. question whether the photographs, showing mitral disease, give the reader any clearer conception of the lesion than he could gain from the letter-press.

:

It is a

THE

THE CONCISE IMPERIAL DICTIONARY OF ENGLISH LANGUAGE, LITERARY, SCIENTIFIC, ETYMOLOGICAL AND PRONOUNCING. By Charles Annandale, M.A., LL.D., Editor of the Imperial Dictionary, etc. Edinburgh Blackie & Son. Toronto J. E. Bryant & Co. $4.50. 1887. We can heartily recommend the work as the best one volume English Dictionary we have seen. It fulfils all the requirements of a dictionary for ordinary use, and is up to the latest date as regards vocabulary, etymology and definition. The printing and binding are excellent, and altogether it is one of the most complete and perfect

books in the market.

A MANUAL OF PHYSIOLOGY; a Text-Book for students of medicine. By Gerald F. Yeo, M.D., Dublin, F.R.C.S.; Professor of Phyisology in King's College, London. Third American from the second English edition with three hundred and twenty-one illustrations. Philadelphia: P. Blakiston, Son & Co ; Toronto: J A. Carveth & Co. $3.00.

This book has now become so well and favorably known to students of physiology that a new edition will be of special interest. The arrange

This is not a work on medical jurisprudence, in the ordinary sense of the term. Its contents are as follows: Insanity, Insanity in its Medico-legal as pects, Hysteroid conditions and feigned diseases, Epilepsy, Suicide, Cranial Injuries, Spinal Injuries.

Thus it will be seen that it does not cover the

ground usually included in works on medical jurisprudence.

The book is well written and the points made are illustrated by numerous cases. It seems to be a book more for the lawyer than for the doctor but will be useful as an elementary book of reference for either.

THE PASSAGE OF AIR AND FECES FROM THE URETHRA. By Harrison Cripps, F.R.C.S., Assistant Surgeon to St. Bartholomew's Hospital, etc., etc. London: J. & A. Churchill. Toronto: Williamson & Co. 1888.

An interesting account of this rare lesion, containing a short history of sixty-three recorded cases. The pathology, symptoms, prognosis and diagnosis are concisely and clearly given. As to operative treatment the author suggests three methods as theoretically possible, viz.: Colotomy, supra-pubic cystotomy and abdominal section.

THE TREATMENT OF HEMORRHOIDS BY INJECTIONS OF CARBOLIC ACID AND OTHER SUBSTANCES. By Silas T. Yount, M.D., Physician to St. Elizabeth's Hospital, etc.; 2nd edition. Lafayette, Indiana: The Echo Musical Co. $1.00.

In this little work of one hundred and two pages, a modern treatment for hemorrhoids is very ably handled; it is a practical work and will be well received by many practitioners.

THE CANADA LANCET.

BY DR. INGERSOLL OLMSTED, Superintendent of the Philadelphia German Hospital.

CASE.-N. W., æt. 36, married. Patient having been in hospital for a week; the bowels were thoroughly emptied two or three times by salines; appetite improved by tonics, and skin brought into heal thy action by baths and friction. On 23rd Jan., '88, the day preceding the operation, the patient was given a saline cathartic, and had hair on abdomen and part of pubes shaved off.

Jan. 24. In a.m. patient was given an enema, and had abdomen and genitals washed with soap and warm water, the creases around umbilicus being thoroughly cleansed; this was followed by a boracic acid bath. The abdomen and pubes were then washed with the following solutions, in order named linimentum saponis co., spts. turpentine, sulphuric ether, and solution of corrosive sublimate (1 in 2000). Towels wet with the last solution were then placed upon the parts until time of operation, four hours later. Some beeftea, and milk and lime water were also administered.

The patient having been anesthetized with ether, was carried into operating room and placed on a narrow, short table, with buttocks resting close to the lower end, over which the legs projected, supported by an assistant.

The operator and assistant were arranged as follows: the operator on patient's right side, chief assistant on left, behind whom was a third who took charge of instruments, etc., the fourth administered the anæsthetic, and the fifth supported the patient's legs.

An incision about two inches long in median line, was made, midway between the umbilicus and pubes, dividing skin, superficial and deep fasciæ. The small divided vessels were immediately caught up with hæmostatic forceps, a point which was particularly noticeable, and the surfaces of the wound sponged. The incision was then continued through the linea alba down to peritoneum. The operator and chief assistant now washed their hands in hot boiled water. The peritoneum was now caught up with forceps, incised with knife, and slit up to extent of 1 inches, using finger as director. The operator again dipped his hands in hot water and then passed the index and middle fingers of left hand into abdominal cavity, hugged the under surface of abdominal wall, displaced

a a' and bb', two halves of ligature which has been divided at loop.

c. The dotted lines show how the two ends of each ligature are brought together and tied.

r. Round ligament. f. Fallopian tube. u. Uterus.

upwards the great omentum, and located the fundus uteri. He then placed the index finger in front and middle finger behind the left Fallopian tube, by which means he was able to grasp the left ovary. It was bound down to the floor of the pelvis by adhesions, which having been carefully separated by fingers, it could be brought to the opening in abdomen, when its pedicle was transfixed, close to the cornu of the uterus, by an ordinary aneurism needle threaded with strong twisted Chinese silk. The loop of silk was then grasped and needle withdrawn. The loop was then divided,

and each half of ligature was tied tightly around the corresponding half of the pedicle; the one ligature thus encircling the Fallopian tube close to cornu of uterus, the ovarian ligament and part of broad ligament; the other half, the remainder of broad ligament; the whole pedicle was then tied with the remaining part of one of the ligatures. The pedicle was then divided with scissors close to the point of ligation, sufficient only being left to prevent the ligatures from slipping off. The stump was sponged off carefully and held up for a short time, when, no hemorrhage occurring, it was allowed to drop back into the abdominal cavity. The right ovary was now grasped and found enlarged, and bound down in Douglas's pouch by adhesions, being closely adherent to the rectum, about one inch above the internal sphinc ter. In order to get more room, the superficial part of the wound was enlarged three-quarters of an inch. The adhesions were separated, the ovary brought to the abdominal opening, and the pedicle treated in the same manner as its fellow.

The abdominal cavity was then carefully wiped out with soft sponges, wrung out of hot boiled

water to sip. She also had morph. sulph. gr. 1, pot. brom. gr. xxx, the first night. This was the only narcotic given during treatment. The next twenty-four hours she received a teaspoonful of magnes. sulph., every four hours, in soda water, till bowels moved; also barley water and some beef tea. On the third day some milk and lime water was administered. Soft food and anima] broths were given her on the fourth day, and the bowels were regulated with salines as before. During the second and third days the patient suffered from pains in the lumbar region. On the third day she had the usual bloody discharge from the wound, which lasted more or less for five days.

The temperature ranged from 98°-993° F., and never rose higher than the latter figure; pulse between 80-100. On the ninth day, the patient being in good condition, the dressings were removed for the first time, when the wound was found to be perfectly united. The stitches were then removed, the parts washed and dried, and strips of adhesive plaster and the many tailed flannel bandage applied to support the abdominal wall.

The patient was allowed to sit up on the sixteenth day, and left the hospital on the twentythird day after operation. Since leaving the hospital, the patient has greatly improved, and gained flesh, with no return of her former symptoms.

The unique element in the above description of the operation, is the entire setting aside, during the operation, by one of the first gynecologists of the day, of all antiseptic measures, except boiled water, and assured perfect cleanliness. The result, as shown by the patient's rapid and uninterrupted recovery, warrants my placing it before your readers.

The thread was prepared by being first placed in boiling water for a few minutes and then wound on glass spools, enclosed in a glass box having small holes in the top (one over each spool), through which the thread could be drawn. Previous to the thread being used, it was drawn through a towel wrung out of boiling water.

AFTER-TREATMENT.-During the first twentyfour hours the patient received only a little soda

THE BRAIN IN A GIRL ET. 16.

BY G. A. BINGHAM, M.D.
Pathologist to Toronto General Hospital.

Mr. Auld, who attended her prior to her admission to the General Hospital, kindly furnished me with the following history of this rather interesting

case:

Nellie S., æt. 16, has always been in good health, except seven years ago, when she had typhoid