When the above is applied very soon after the infliction of the sting or bite, pain and irritation at once cease, and swelling of the surrounding skin rarely takes place. TONSILLITIS.-Dr. Hillary (Practitioner) gives the following as his method of treatment in this troublesome disease :-Open the bowels freely with Tincturæ aurantii corticis, . m x. ad. 3 j.-M. Sig. --Teaspoonful every two hours, for a child from three months to one year of age. HERPES ZOSTER.-Dr. Guibot says he (Med. Rec.) recommends flexible collodion as an applica tion in the treatment of herpes zoster. The advantages are that it has a local anaesthetic action, that that it forms an impermeable covering which pro it exerts a uniform pressure on the lesions, and tects them from the action of the air. HE MISSED THE MARK.-Young physician (to patient): "What you need is exercise, sir. You should walk more." Patient (reaching for his pocketbook): "How much, young man? I walked all last night with the baby." BRITISH MEDICAL ASSOCIATION.-The fifty-fifth meeting of this august body will be held at Glasgow, August 7th, 8th, 9th and 10th, 1888. THE practitioners of the United States are moving for reciprocity in medicine with Great Britain. Dr. Meany, of Chicago, who is now in London, says the Med. Rec., has written to an official representative of the United States as follows:-"We beg, sir, most respectfully to ask your aid and consideration for the purpose of having granted, to legally qualified practitioners of medicine in the United States, the same privileges for those who may desire to practise medicine in the United Kingdom." Registered practitioners in the United Kingdom are allowed to practise in the United States on equal footing with graduates of American schools and colleges. WM. R. WARNER & Co. have issued the following notice to physicians :-" We take this method of denouncing the circulation of certain erroneous reports as being the outcome of ignorance or inalice. We have no connection with the firm of H. H. Warner & Co., of Rochester, who make "Safe Remedies" and other patent medicines. Our advertising is to the medical profession and our pills and products (Warner & Co.'s) have been used and held in high esteem by the most eminent doctors, during the past thirty years, in the United States and in foreign countries. The therapeutic value of a remedy is ascertained by the medical practitioner, and it is the province of the manufac turing chemist to prepare the various medicinal preparations in the most correct, compatible, pal atable, and convenient manner by the aid of skill acquired by years of practice and experience. DR. D. C. ALLAN, of Amherst, U. S., writes concerning Papoma. Various kinds of food for invalids, and particularly for children, have received my closest attention for several years, and most all kinds have more or less merit; but since the first introduction of "Papoma," the manufacturers of which entitled the article to confidence, I have used this food only for infants, both in health and in a number of cases of various diseases, and can only say that, properly prepared, it perfectly fulfils all that can be asked, for it is superior to all others, and I shall employ no other preparation of the kind now in use. THOSE ladies (says the Maryland Med. Jour.) who desire to stand next on the list of Futures, MINERAL SPRINGS AT TILSONBURG, ONTARIO.Dr. Smith, of Tilsonburg, has lately expressed his views as to the therapeutic value of the springs of that place, and is elaborating a plan for the establishment of a thoroughly equipped sanitarium in connection with them. Dr. Croft's analysis of the water, showed the following salts in one gallon of the water-Sulphate of Lime, 5.75 grains; Chloride of Sodium, 5.62 grains; Chloride of Potassium, trace; Bi-Carbonate Lime as Carbonate, 2.37 grs.; Bi-Carbonate Magnesia, 4.11 grains. Total 17.85 grains. They will be seen to strongly resemble Bethesda water. We wish the Dr. every success. for his scheme. WE regret that an article on page 308, June number, describing "An apparatus for removal of pleuritic effusion," was not credited to the Med. & Surg. Reporter, from whose columns we took it. It is said (Obs. Gaz.) that inflammation of the vulvo-vaginal glands is much more frequent on the left side than on the right. THE owners of the London Lancet have been offered $400,000 for the journal, and have refused the offer. Books and Lamphlets. INTUBATION OF THE LARYYNX, by F. E. Waxam, Chicago. Published by Charles Truax & Co., 75 and 77 Nassau Ave., Chicago, Ill., 1888. In this very neat little monograph of about 100 pages, Dr. Waxam has presented to us all that is necessary to be noted in the operation of intubation, and as this new-old method of relieving sten a fashionable obstetric nurse, will require to being endowed with an unusual amount of prescience, as she informs her patrons that her dates are full up to a year in advance. Truly the Americans a progressive and particularly wide-awake people. are Mathew Arnold had disease of both mitral and aortic valves. In his case the affection appears to have been hereditary, as his father, and two of his sons died from organic heart troubles. osis of the larynx has come to stay, it is well that the technique and all the important facts concernthe operation should be accessible to all. Chapter 1 gives the history of intubation, with its fierce struggle for existence, and the survival, shall we say, of the fittest. He also gives detailed accounts of and illustrates various modifications of instruments, and considers that the greatest improvement yet devised is that by himself, of an artificial automatic epiglottis upon the upper end of the tube. The difficulty of securing perfectly free action of this valve, surrounded as it generally must be by swollen tissue, tough adhesive mucus and exfoliated membrane, and the fatal issue that | gist will find indispensable, while the general practimust follow its obstruction, furnishes me with tioner will find it one of the most useful works in many doubts as to the value of this modification. his library. In Chapter 2, some practical points in the anat omy of the larynx are given, with illustrations. Chapter 3 is clear, concise and perspicuous in the delineation of the technique of the operation, and he who intends to intubate, should carefully note and practise every point here mentioned, unless I should except one of some little importance. On page 44, for the removal of the thread, he advises re-introducing the gag and the finger before drawing on the thread. This I have never found necessary. I cut one of the threads near the mouth and then by bringing the other nearly taut, give it a few gentle taps with the index finger; the short end will be seen to rapidly recede into the mouth and may be easily withdrawn. The after-treatment is finally considered in Chapter 4, together with the means of overcoming certain complications likely to arise, all of which should be carefully noted. The time for removal of the tube is discussed, but I should like to have seen some mention made of the indications and contra-indications for intub. ation, wherein lies a nice field for the discriminating and judicious physician's observations. In all, this monograph is to be commended to those who purpose intubating. It contains all that is important and nothing superfluous. THE APPLIED ANATOMY OF THE NERVOUS SYSTEM, by Ambrose L. Ranney, A.M., M.D., Professor of the Anatomy and Physiology of the Nervous System in the New York Post-Graduate Medical School and Hospital. Second Edition. Profusely illustrated. Price $5.00. W. J. Gage & Co., Toronto. HYSTERIA AND BRAIN TUMOUR; and some other cases of Nervous Disease. By Mary Putnam Jacobi, M.D. New York and London: G. P. Putnam & Sons. This is a collection of excellent essays on those diseases which are so often so closely similar in their clinical phenomena. Hysteria may be said to be the simulation of all nervous diseases, and the characters of it in its close simulation to many serious organic affections of the nervous system is well shown in this series of essays. AMERICAN SYSTEM OF OBSTETRICS BY AMERICAN AUTHORS. Edited by Barton Cooke Hirst, M. D., Associate Professor of Obstetrics in University of Pennsylvania, Obstetrician to the Philadelphia and Maternity Hospitals, etc. Vol. I. Lea Bros. & Co. The literature of obstetrics and gynecology is fast becoming so extensive that some reliable system is needed in which the practitioner may find everything practical and scientific without having to wade through innumerable pages in support of every new theory. This system is to hand in the work above mentioned, and if the subsequent voi umes compare favourably with this one, we are sure it will be a work well received and highly prized by the medical profession. commend it highly, it is an exhaustive treatise of the subject and clearly written. We can re THE LANGUAGE OF MEDICINE: A manual giving the Origin, Etymology, Pronunciation and Meaning of the Technical Terms found in Medical Literature. By F. R. Campbell, A.M., M.D., Prof. Materia Medica and Therapeutics, Medical Department of Niagara University. New York: D. Appleton & Co. Toronto: W. J. Gage & Co. Price, $3.00. This work is a useful dictionary, in which is traced the origin and use of all terms used in medicine. It is a valuable book for students. This is without exception one of the best treatises on Applied Anatomy of the Nervous System to be found in any language. It is clearly written, the type good, and the plates are all that could be desired. In reading the ordinary works on the Physiology of the Nervous System, one finds many contradictions, and many confused ideas naturally result. In this work every part is, so far as possible, dealt with separately, carefully, and thoroughly These leaflets are interesting, containing as they explained so as to leave its teachings clear in the do such matter as 'The Declaration of Independmind of the student. We especially recom-ence,' 'Franklin's Plan of Union,' 'The Constitumend this treatise, for it is a work of great ex- tion of the United States. They are published for cellence, and we are sure one which the neurolo- schools and for the trade by the above firm. OLD SOUTH LEAFLETS. D. C. Heath & Co., Boston, Mass. Knowing full well that your election for this post of honor is not so much due to my own merit, as to the fortunate association with my beloved master, Lawson Tait, also having heard of your deep interest, not only in the practical, but in the abstruse sides of our science, I have decided to bring you a part of the work in which he and I were interested, but which to many societies of general practitioners would prove an insufferable bore; so that if any of you become fatigued with these physiological studies of the uterus, he must lay their infliction at the door of madame rumor, and not charge them up to me, as a sample of deliberate pedantry. The subject, of which I wish to give only the natural history, is that of the "Soft Myoma," but please remember that I exclude all forms of sarcoma and carcinoma, and speak only of the soft benign growth of the uterus. Those of you who have kept up with the history of this subject, know that until a few years ago this form of uterine tumor was thought to be merely one of the secondary changes of the hard myoma, and that it was believed to be due entirely to a degeneration of the newly-formed muscular fabric which composes the ordinary fibroid so familiar to us all. A few years ago, however, this began to be doubted by some authorities, and what I will now attempt, is to bring forward proof, that from its very inception, it is an entirely distinct tumor, springing from a very different source, having separate histological and clinical histories through out its course and widely differing terminations. *Read before the meeting of the Ontario Medical Association, Toronto, June, 1888. As has been proved, long ago, the hard myoma is an homologous tumor of the uterine wall; the soft myoma being considered a totally heterologous condition; but what I now expect to prove is, that it is not a foreign tissue to the uterine body, but merely an homologous growth of the uterine lining. That you may understand more thoroughly what my idea of this uterine lining is, I must refer somewhat at length to some papers, all of which form links in a chain, of which this article is only a part. In August, 1881, I published a paper in the New York Archives of Medicine, on the "Origin of the Blood Globules." It was the result of a series of studies of the spleen, the tonsil, thymus and lymphatic glands, as well as the other adenoid structures, which are located along the alimentary canal. In making these studies, I believe I was the first to use the high power immersion glass in studying a development, which I then, for the first time, found going on in the ultimate fibres which compose these tissues. Throughout them all, I found a new method of cell production-that is, by a process of growth of the minute clots within the fibre. The forming corpuscle bulges out from the thread-like matrix, increases its bulk and richness of granulation, until it finally separates from the parent thread, a fully grown lymph corpuscle. Though I sought carefully for months at that time, and I can now say the same as to years, I have never seen a lymph corpuscle bifurcate, except in an inflamed organ. By this means I sought to establish the fact, that in the adenoid tissues with this special method of development, was stored up material, from which corpuscular supply was constantly replenished, and that on their exhaustion, as is found in extreme old age, depends the senile atrophies, and many of the other wasting conditions of the aged. Two years and a half ago, while doing Mr. Tait's pathological work, I saw for the first time a healthy specimen of the corporeal endometrium. You can imagine my surprise when I found it to be very closely related to my old friends of the adenoid group. Studying it faithfully, I tried hard to reconcile its condition to the then recognised theories about menstruation. Like all the rest of the world, I had been carried away by the doctrines in regard to the variations in blood pressure, and while I had had no reason for opposing the views of the leading histologists of the past decade, like Dr. John Williams, and all others who had worked in my line in physiology, I had put one of the effects for the cause, and accepted their dogma, that the blood vessel itself, instead of being merely the means by which nutrition is brought to a rapidly growing tissue, is in reality the source from which that tissue springs. I was peculiarly fortunate in my material, for I was frequently able to freeze and cut a specimen that Mr. Tait had removed from a living subject, before there was any possible chance for postmortem changes to take place. Among these specimens, I obtained several menstruating uteri, whose conditions I could in no way harmonize with the views of menstruation, as taught by Dr. John Williams. Not satisfied with these specimens which, as some might have said, had already had pathological changes; through the kindness of the staff of the General Hospital in Birmingham, I was given free access to the immense mass of material which its dead house afforded, and for several months spent my leisure time studying the life history of the human endometrium. From this work I was convinced, that not only was Dr. John Williams wrong in his idea of the shedding of the endometrium, but that the endometrium itself, like the lymphatic gland, is another mass of adenoid tissue, whose function is to form the placenta. Like some other organs in the body, the hair follicles and the like it lies dormant for the first few years of extra-uterine existence, and like the thymus gland, finishes its course long before the rest of the economy is exhausted. By a strange coincidence, just about two years ago, when I gave the results of this work to the British Gynecological Society (without either of us having the slightest idea of the contents of the other's paper), Mr. Bland Sutton read a paper on "Menstruation in Monkeys," which, so far as it went, fully confirmed every idea which I had advanced in regard to the errors of Dr. John Williams, and all those who claim that menstruation destroys instead of purifying the endometrium. Being satisfied from its integral elements that I had a permanent adenoid tissue to deal with, the question at once came up, Where is its emergent stream which washes away its ripened products common to all other adenoid structures? The answer came at once-It is the menstrual discharge, and it is the spleen, and not the axillary gland to which it is most closely allied. In the herbivora, however, whose comparative anatomy I at once began studying, I found not only the same adenoid tissue, but a lymphatic apparatus which was capable of disposing of any possible amount of corpuscular growth which the cotyledons, under any circumstances, could produce. Thus showing at once that it is the erect position which necessitates menstruation; for with loose lymphatic network, necessary to the passage of a lymph stream, the erect position of the uterus could not possibly be maintained. The lack of this lymph stream also shows the necessity for the maternal placenta, being passed in-toto, and not being left to be ab sorbed, as is the case with the diffuse and multiple, and some forms of the single placentæ. After these studies of the herbivora, I went more deeply into the comparative histology of the endometrium, the results of which were given to the British Gynecological Society last June. It would occupy too much of your time to follow out at length the reasonings in that paper, but those of you who wish to see it will find it in the November number for 1887, of that Society's journal. The deductions which I draw from it are that all endometria are adenoid, but as there are great variations in the different forms of the placenta of the lower animals, there necessarily must be great differences in the structures of the organs which make them, and, further, that the same endometrium, particularly of the dog, goes through very radical changes, during the cycle of the rut, and that the causes for the widely different descriptions with which the world has been presented by different observers, of the same endometrium, is due to their examining it in different stages of the cycle of the æstrus. But for our present purpose, the principal thing that is necessary to know is, that from the ultimate fibres of the endometrium, no matter to what animal it may belong, there is a greater or less cell development constantly going on. Last September, before the American Gynæco logical Society, I reported a paper, which shows what the arrested development of this organ may accomplish, and what I now wish to give to you, is the picture which its one development produces. The first idea I ever had of the real nature of the |
