regularity; but two or three times during the day he would be seized with severe and unrestrainable muscular tremor, involving the head and all the muscles of the trunk and arms. At the same time there would be slight headache and vertigo, and an intense feeling of anxiety. There was no loss of consciousness, not even for an instant, nor inability to walk or to direct any muscle, and no confusion of thought. After the paroxysm had lasted fifteen or twenty minutes it gradually passed off, leaving him in a profuse perspiration. During his first interview with Dr. Hammond he was seized with a paroxysm which is thus described :-" He was seized with as much suddenness as though he were struck with an epileptic fit. His head shook violently, the muscles of his face were convulsed, his arms and hands trembled, and his gluteal muscles contracted so powerfully as to cause him to move convulsively up and down in the chair. His lower extremities were altogether free from spasm or convulsion. Upon putting my hand on his wrist, 1 found that every tendon was in action, and in the arm, hand, neck, and face, the vibration of the muscular fibres could be distinctly seen and felt. The thermometer applied to the axillæ marked 101° Fahr., and the æsthesiometer showed an increased sensibility of the skin of the face, neck, hands, and all the upper parts of the body examined. The respiration was quickened and the pulse was increased from 80 to 95 per minute. During the paroxysm he conversed rationally, but with some difficulty, owing to the action in the muscles of the neck, mouth, and chest.' In this case the attacks seem to have been brought on by venereal excesses, the first paroxysm having supervened during coitus. He rapidly improved under treatment, which consisted of a seton in the nape of the neck (to counteract supposed cerebellar irritation), thirty grains of bromide of potassium three times a day, and the application of the constant galvanic current. Two other cases of somewhat similar character are related, in which a similar treatment proved also of use.-New York Medical Journal, June, 1867.

On the Influence of Narrowing of the Pulmonary Orifice on the Formation of Pulmonary Tubercles. By M. LEBERT. Presented to the Academy of Sciences.-The author, in the course of his researches on mechanical influences in the etiology of tuberculous affections, has been struck by the frequency of the occurrence of pulmonary tubercle in cases of congenital narrowing, either of the cone or the orifice of the pulmonary artery. This coincidence has been observed, in isolated cases, by Favre, Travers, Gregory, Louis, and Creveld, and during the last twenty years it has been noticed in one third of the observed cases, often under circumstances in which no other etiological element of tuberculisation could be supposed to exist. The author has been able to collect twenty-four facts of this kind, a large number if the relative rarity of this affection be taken into account. The frequent development of tubercles in connection with this condition is the more striking, as nothing is more rare than to meet with pulmonary tubercles in alterations of the orifices of the left heart. Three forms of congenital narrowing of the pulmonary artery are to be distinguished-primitive

narrowness of the vessel, which is furnished only with two valves, narrowing of the pulmonary arterial cone, and narrowing of the orifice. The last two are the results of endocarditis or myocarditis, and as ordinarily the interventricular septum is deficient, this inflammation must take place before the end of the third month of intra-uterine life. The foramen ovale remains often also open, the arterial duct more rarely. Hence, the circulation through the lungs is irregular and incomplete. Dilatation of the bronchial, œsophagean and coronary arteries of the heart, also of the subclavian, furnishes only an incomplete collateral circulation, whence arises imperfect nutrition of the lungs, so that they are observed to be small and incompletely developed. This irregular, unequal, incomplete circulation in places, gives rise to pulmonary tubercle, whilst the most intense and extended pulmonary hyperemia from alteration of the bicuspid and tricuspid orifices does not conduce to its development. The author knows neither age nor disease which presents this proportion, i. e. of one third affected with pulmonary tubercle, and hence he can only refer it to pulmonary stenosis. The character of the tubercular attack is protracted, progressive, and fatal. Hæmoptysis is frequent, and it is ordinarily the left lung that is first attacked, and not the right, which the author thinks is the lung which ordinarily suffers first. The anatomical characters are the same as in other forms of tuberculisation.Gazette Médicale de Paris, July 27, 1867.

Rupture of the Tricuspid Valves of the Heart from Fright. By ALFRED HITCHCOCK, M.D.-M. H-, æt. 2 years and 9 months, of a sanguine and very nervous temperament, was frightened in the middle of the night of July 16th, 1865, by an alarm suddenly sounded by the steam fire-whistle in the immediate vicinity of the house where she was sleeping. She awoke in terror, screaming and panting for breath, with suffocating paroxysms. She died seventyeight hours after the fright. The symptoms present were vomiting, dyspnoea, lividity of skin, absence or great feebleness and irregularity of the radial pulse. The heart sounds were too feeble to be heard, or too tumultuous and irregular to be identified. There was loud moist bronchial and tracheal rattle.

Autopsy. "The right auriculo-ventricular valves were lacerated and broken in their substance; also several of the carnea columnæ and chorda tendinea; and the endocardiac serous membrane in the vicinity was ecchymosed and elevated by the infiltration of blood underneath and around the points of ruptured tissue. The right auricle and ventricle, by the destruction of the tricuspid valves, had become one continuous pouch, which contained a small quantity of coagula."-Boston Med. and Surg. Journ. New York Med. Journal, May, 1867.

The Condition of the Blood after Death from Snake Bite. By Professor G. B. HALFORD, M.D.--In a case of poisoning by the bite of the cobra-di-capella, and in animals bitten by poisonous snakes, Dr. Halford has found that the blood contains a number of nucleated cells. In a dog killed by the injection of cobra poison under the skin, these cells were of a perfectly circular form, with a diameter on the

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average of of an inch. The nucleus was nearly round, and of an inch broad. On the second day, on applying magenta, a minute spot became visible at some part of the circumference of the cell. This was visible in all. Of these cells there were many millions; they were present in the blood of every part of the body, but in much greater quantity in the dark congested parts of the lungs. In the poison of the snake itself, Dr. Halford found, besides epithelium and much molecular matter, nucleated cells of the same size as those seen in the blood of the dog, but no spot or macula was seen in the circumference. Dr. Halford believes that when a person is mortally bitten by the cobra-di-capella, molecules of living germinal matter are thrown into the blood, and speedily grow into cells, and as rapidly multiply, so that in a few hours millions upon millions are produced at the expense, probably, of the oxygen absorbed into the blood during respiration; hence the gradual decrease and ultimate extinction of combustion, and chemical change in every other part of the body, followed by coldness, sleepiness, insensibility, slow breathing, and death. Dr. Halford suggests that cholera may be due to the presence of foreign cells in the blood, and refers to an observation by Dr. James Cowan, published in the "Edinburgh Monthly Review,' of some peculiar bodies in the blood of a cholera patient, and also to an observation by Virchow that the white corpuscles are increased in cholera, in support of the hypothesis. Pamphlet, Melbourne.

BOOKS, PAMPHLETS, &c.,

On the Formation of the so-called Cells in Animal Bodies. By E. Montgomery, M.D. London, Churchill and Sons. 1867. pp. 56.

Cholera, its Symptons, Clinical History,
&c. &c. By S. G. Chuckerbutty, M.D.
(Reprint from 'Indian Annals of Medical
Science.') Calcutta. pp. 178.

On the Elimination of Nitrogen by the
Kidneys and Intestines, &c. By É. A.
Parkes, M.D. (From Proceedings of
Royal Society,' Nos. 89 and 94.) 1867.

·

On a Lower Limit to the Power exerted
in the Function of Parturition. By J. M.
Duncan, M.D. (From "Transactions of
Edinurgh Royal Society.') 1867.

Clinical Lectures (Illustrated by Co-
loured Photographs from Life) on the
Diseases of the Skin. Nos. III and IV.
By Balmanno Squire, M.B. London,
Churchill and Sons.

The Nervous System. By Ludovic
Hirschfeld, M.D., Warsaw. Edited in
English by A. M. MacDougal, F.R.C.S.
With Illustrations by J. B. Léveillé.
London, Churchill and Sons.

Mental Pathology and Therapeutics.
By W. Griesinger, M.D. Translated by
Dr. Lockhart Robertson and Dr. Ruther-
ford for the New Sydenham Society.'
1867. pp. 530.

Physical and Medical Climate and Meteorology of the West Coast of Africa, &c.

RECEIVED FOR REVIEW.

By J. A. B. Horton, M.D. London,
Churchill and Sons. pp. 321.

Essentials of the Principles and Practice of Medicine. By H. Hartshorne, M.D. Philadelphia, Lea. 1867. pp. 417.

A Practical Treatise on Shock after Surgical Operations and Injuries, with special reference to Shock caused by Railway Accidents. By E. Morris, M.D. Hardwicke, London. 1867. pp. 88.

Lectures on Clinical Medicine. By A. Trousseau. Translated and Edited by P. V. Bazire, M.D. Hardwicke, London. PP. 712.

The Treatment of Aneurysm by Electrolysis. By Drs. J. Duncan and T. R. Fraser. (Pamphlet.) Edinburgh.

Unhealthy Skin: its Prevention and Management. A popular Treatise on Cutaneous Hygiene. By B. Squire, M.B. London, Longmans and Co.

On Dilatation of the Bronchi or Bronchiectasis. By T. G. Stewart, M.D. (Reprint from Edinburgh Med. Journal.') July, 1867.

On the Sublimation of the Alkaloïds. By W. Guy, M.D.

On the Mortality of the London Hospitals and on Deaths in Prisons, &c. By the same. (Reprint from Statistical Society's Journal.') June, 1867.

On the Diagnosis and Treatment of the varieties of Dyspepsia, considered in rela

562

Books, &c., received for Review.

tion to the Pathological Origin of the different Forms of Indigestion. By Wilson Fox, M.D., F.R.C.P., Professor of Pathological Anatomy, University College, London. London, Macmillan and Co. 1867. pp. 243.

Braithwaite's Retrospect of Medicine. January-June, 1867. London, Simpkin, Marshall, and Co.

The Medical and Legal Aspects of Sanitary Reform. By A. P. Stewart, M,D., and E. Jenkins, Barrister-at-Law. London, Hardwicke. (Pamphlet.)

The Irritable Bladder: its Causes and Curative Treatment, including a Practical View of Urinary Pathology and Deposits. By F. J. Gant, F.R.C.S. Second Edition. London, Churchill and Sons. 1867. pp. 186.

On Masked Malarious Diseases. By W. J. Moore, Surgeon. (Pamphlet, reprint.).

An Essay on the Maintenance of Health. By H. Lowndes, Surgeon to the Liverpool Northern Hospital. pp. 70.

Injuries of the Spine, with an Analysis of nearly 400 cases. By J. Ashhurst, M.D. Philadelphia, Leflèmatt and Co. 1867. pp. 127.

Uterine Disorders; their Constitutional Influence and Treatment. By H. G. Wright, M.D., Physician to the Samaritan Hospital for Diseases of Women. London, Churchill and Sons. 1867. pp. 268.

Publications of the Massachusett's Medical Society. Vol. II. No. I. Spotted Fever, or Cerebro-Spinal Meningitis. Boston. 1867. pp. 150.

A Treatise on Human Physiology; for the use of Students and Practitioners of Medicine. By J. C. Dalton, M.D. Fourth Edition. Philadelphia, Lea. 1867. pp. 695. Transactions of the Epidemiological Society of London. Vol. II. Part II.

Récherches sur les Altérations des Artères a la Suite de la Ligature. Par F. Cocteau, M.D. Baillière. 1867. (Pamphlet.)

Giornale Italiano delle Malattie delle Pelle Diretto dal Dott Soresina. Milano. Fascic. 6°. Anno II.

Du Laryngoscope et son Emploi dans les Maladies de la Gorge, &c. Par Morell Mackenzie, M.D. Traduit par Dr. E. Nicolas. Baillière et Fils. 1867. pp. 156.

Etudes sur les Causes du Crétinisme et du Goitre Endémique. Par Dr. St. Lager. Baillière et Fils. pp. 488.

Arsenal de la Chirurgie Contemporaire, &c. Par G. Ganjot. Tome I.

Baillière et Fils. pp. 772.

1867.

Essai sur l'Emploie Thérapeutique de l'Alcool chez les Enfants, &c. Par le Dr. P. Gingeot. Paris, Delahaye. 1867. pp. 139.

NOTICE TO

[Oct., 1867.

Ematome Intra-periostei,-Oste porose Mania Epilettica, &c. Del Prof. C. Lombardo. (Pamphlet. Reprint.)

Le Pigmentazione, l'Erpetismo et Il Vagolo nelle Alienazrone Mentali. (Pamphlet.) By the same.

Studi per una Geografia Medica D'Italia. By the same. Milan.

Sulla Mortalita d. Ebrei in Italia, nel Decennio 1853-1864. (Pamphlet.) By the same.

Case Rari d'Anatomia Patologia. Pel
Dotter G. Bizzozero. Pavia. (Pamphlet.
Nouveau Dictionnaire de Médecine et
de Chirurgie Pratiques. Tome VII. Cham-
Clan. Baillière. 1867.
PP. 774.

Traité Expérimental et Clinique de la
Régénération des os et de la Production
Artificielle du Tissu Osseux. Par L.
Ollier. Tomes I and II. pp. 443 and
531. 1867. Masson, Paris.

Reports, Journals, Reviews, &c. Reports to the International Sanitary Conference on Cholera. Translated by S. L. Abbot, M.D. Boston. 1867.

Dublin Quarterly Journal of Medicine, August, 1867.

Edinburgh Medical Journal. July, August, September.

New York Medical Journal. Vol. V. No. 5. August.

Southern Journal of the Medical Sciences. Vol. II. No. 2. New Orleans. April, 1867.

Report of the Lothians Medical Association for 1867.

The Indian Annals of Medical Sciences. No. 22. Calcutta and London.

Report of the Sanitary Condition of the Parish of St. Mary's, Islington, for 1866. By E. Ballard, M.D.

Report of the City of London for quarter ending June, 1867. By H. Letheby, M.D. Report on the Cholera Epidemic of 1866, as treated in the Mater Misericordiæ Hospital, Dublin. By Drs. Haydon and Cruise.

Thirty-seventh Annual Report of the Belfast District Hospital for Insane. 1867. Report of the Pennsylvania Hospital for the Insane for 1866. By T. S. Kirkbride, M.D.

Medical Report of the Royal Lunatic Asylum of Aberdeen. 1867.

Twenty-first Report of the Commissioners in Lunacy. 1867.

Report of the Royal Lunatic Asylum of Montrose for 1867.

Journal of the Scotch Meteorological Society for the quarter ending March 31st, 1867.

The Royal London Ophthalmic Hospital Reports. Vol. VI. Part I. September. Journal of Cutaneous Medicine. Vol. i, No 3.

READERS.

THE Editor is particularly desirous of having all Reports of Hospitals, Asylums, Sanitary Boards, Scientific Societies, &c., forwarded to him, as also Inaugural Lectures, Dissertations for Theses. Medical and Scientific Addresses, &c.