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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 fæcal 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.
ROYAL MEDICAL AND CHIRURGICAL SOCIETY,
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 Col
lege of Surgeons in London, 1843. BAILLIERE, H.
Bulletin Bibliographique des Sciences Médicales 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.
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 Pharmacopæia of the United States of America.
*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. Hauniæ,
1839. DUBLIN JOURNAL OF Medical SCIENCE.
May, July, September, 1842. (The Publishers.) Evans, G. F.D., M.D.
Etudes Chimiques sur le Sang Humain. Thèse presentée et Soutenue à la Faculté de Médecine de Paris, par Louis René Le Canu, D.M. Paris,
1837. Fergusson, 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, brd. A. Gailuo. MD.IVBoston
1839. FRANCIS, J.W., M.D.
*A Discourse, delivered to tie Opening ce se
Hall of the New York LEGIII. FRANCOIS, VICTOR, D.M.P.
*Essai sur les Gangtenes Scentaneen Park, 1932. Gavix, HECTOR, M.D., St.
*On Feigned and Fictitious Diseases, criety of Sot
diers and Seamen, co the Means used to simulate or produce then, drI rol. STO. London,
1843. GREGORY, GEORGE, M.D.
*Lectures on the Eruptive Peters, delivered at St.
Thomas's Hospital, in Jan. 1843, I vol. 8vo. Guy, William ACGC TTS, M.B.
*An Attempt to determine the Influence of the Sea
sons and Weather on Sickness and Mortality. Lon
don, 1843. Hall, MARSHALL, M.D., F.R.S.
Recherches sur le Développment des Os et des Dents,
par P. Flourens, Membre de l'Academie Française,
&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,
HAWKINS, BISSETT, M.D.
Die Krankheiten und Missbildungen des Menschli
chen Auges und deren Heilung, Von Dr. Karl
Himly. (5 Nos.) Berlin, 1843. HOSKINS, ELLIOTT, M.D.
On the Chemical Discrimination of Vesical Cal
culi, by E. A. Scharling, A.A., L.L.M., translated from the Latin, with an Appendix, by