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Respecting the morbid appearances which the abdominal viscera exhibited on dissection, the instances of diseased alteration of structure in any of the patients were so few, as scarcely to admit of many remarks. However, it is right to state, that the liver was found to be affected in 5 cases; dropsical effusion had taken place in three patients; and in 3 other cases, there appeared decided marks of recent and violent inflammation of the contents of the abdomen; in two of which examples, the intestines had actually given way, so as to allow faecal matter to escape into the peritoneal cavity; and a similar result would have likely supervened in the other case of intestinal inflammation, had the patient lived for a longer time.

Considering the present communication to have already much exceeded the limits originally proposed, I will not attempt to discuss cursorily the important question which now occupies many pathologists, regarding the rationale of the diseased appearances usually met with in the brains of lunatics on dissection after death, namely, whether the morbid alterations of structure, then observed, be the cause, or only the consequence of the patient's previous mental malady. In short, whether the opinions promulgated by the section of pathological physicians, denominated " the Anatomists," or the views entertained by the other party, " the Vitalists," be the true doctrine. The former considering that the diseased alterations of structure observed in the brain produce the attacks of insanity: whilst the latter confidently assert the contrary. I therefore shall leave the decision of such important questions to others more competent than myself to give an opinion; although I must confess, the numerous illustrations now detailed, the facts recorded in medical works, as well as the reasoning of authors upon insanity, greatly preponderate in favour of the Anatomists ; whose conclusions, in my judgment at least, appear to be the most rational, and quite consistent with the present state of our pathological knowledge respecting mental diseases.






*,• Those works which have been presented by their respective Authors are distinguished by an Asterisk.

Arnott, J. M., Esq.

*The Hunterian Oration, delivered at the Royal College of Surgeons in London, 1843. Bailli'ere, H.

Bulletin Bibliographique des Sciences Medicales et des Sciences qui s'y rapportent. Nos. 1 & 2. 1843. Bell, Jacob, Esq.

*A Concise Historical Sketch of the Progress of Pharmacy in Great Britain, &c. London, 1843. Bell, Thomas, F.R.S.

*The Anatomy, Physiology and Diseases of the Teeth. Second edition. 1835. Bernard, C. A., D.M.

*Les Bains de Brousse en Bithynie (Turquie d'Asie) avec une vue des Bains et un Plan des Environs de Brousse. Child, Geo. Chaplin, M.D. .

Marienbad et ses differens moyens curatifs dans les Maladies Chroniques, par Chas. Jos. Heidler. Prague. 1828. VOL. XXVI. 2 E

Clay, Charles, Esq.

*Cases of Peritoneal Section for the extirpation of diseased Ovaria, by the large Incision from Sternum to Pubis. College Of Physicians Of Philadelphia.

The Pharmacopoeia of the United States of America. Philadelphia, 1842. Cooper, Bransby B., Esq., F.R.S.

*The Life of Sir Astley Cooper, Bart., interspersed with Sketches from his Note Books, by B.B.Cooper, Esq. 2 vols. 1843. Cooper, William White, Esq.

*An Introductory Lecture, delivered at the North

London Ophthalmic Institution, May 8, 1843. Owen's Lectures on Comparative Anatomy, 1 vol. London, 1843. Coulson, William, Esq.

De Chemicis Calculorum Vesicariorum Rationibus, scripsit Edvard. Aug. Scharling. Hauniae, 1839. Dublin Journal Of Medical Science.

May, July, September, 1842. (The Publishers.) Evans, G.F.D., M.D.

Etudes Chimiques sur le Sang Humain. These presentee et Soutenue a la Faculte de Medecine de Paris, par Louis Rene Le Canu, D.M. Paris, 1837Fergusson, William, Esq., F.R.S. E.

*A System of Practical Surgery. London, 1842. Flood, Valentine, M.D.

*The Anatomy and Operative Surgery of Inguinal and Femoral Hernia, folio. London, 1840. Francis, J.W., M.D.

Outlines of the Institutes of Medicine founded on the Philosophy of the Human Economy in Health and Disease, by J. A. Gallup, M.D. 2 vols. Boston, 1839. Francis, J. W., M.D.

*A Discourse, delivered upon the Opening of the Hall of the New York Lyceum. Francois, Victor, D.M.P.

*Essai sur les Gangrenes Spontanees. Paris, 1832. Gavin, Hector, M.D., &c.

*On Feigned and Fictitious Diseases, chiefly of Soldiers and Seamen, on the Means used to simulate or produce them, &c. 1 vol. 8vo. London, 1843. Gregory, George, M.D.

* Lectures on the Eruptive Fevers, delivered at St. Thomas's Hospital, in Jan. 1843, 1 vol. 8vo. Guy, William Augustus, M.B.

*An Attempt to determine the Influence of the Seasons and Weather on Sickness and Mortality. London, 1843. Hall, Marshall, M.D., F.R.S.

Recherches sur le Developpment des Os et des Dents, par P. Flourens, Membre de l'Academie Francaise, &c. &c. Paris, 1842. Histoire Physique, Politique et Naturelle de l'Isle de Cuba, par M. Ramon de la Sagra, directeur du Jardin Botanique de la Havane, 2 vols. 8vo. Paris, 1842. Hawkins, Bissett, M.D.

Die Krankheiten und Missbildungen des Menschlichen Auges und deren Heilung, Von Dr. Karl Himly. (5 Nos.) Berlin, 1843. Hoskins, Elliott, M.D.

On the Chemical Discrimination of Vesical Calculi, by E. A. Scharling, A.A., L.L.M., translated from the Latin, with an Appendix, by

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