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MEDICAL RECORD:

sicians to ascertain the facts of substitution the evil

might be found to be still more prevalent than has · been stated.

PUBLISHERS

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A Weekly Journal of Medicine and Surgery.

THE TREATMENT OF INSANITY BY INOC

ULATION. GEORGE F. SHRADY, A.M., M.D., EDITOR.

Some years ago Dr. Colin M. Campbell writing on the effect of typhoid fever said: "Perhaps at some future

time when the specific fevers have become more manWM. WOOD & CO., 43, 45, & 47 East Tenth Street. ageable, acute attacks of insanity may be cured by in

oculation." In connection with this he cited some

cases showing that typhoid fever sometimes cuts short New York, March 9, 1895.

an attack of insanity.

Guesinger states that the course of the psychoses is sometimes favorably influenced by intercurrent fevers,

such as pneumonia, typhoid, variola, etc. Willerding, THE SIN OF SUBSTITUTION.

in an article on this subject, reports a case of mania We have recently published under the above title sev

cured by an attack of pleurisy (Allg. Ztschr. f. Psych., eral of the numerous communications received in ref

1888, Bd. 20, h. 1). Schutze reports a case of cure erence to the dishonesty of certain druggists. Now, following diphtheria, and Dinter one following facial while we do not believe for one moment that the dis

erysipelas. penser is an untrustworthy man by nature, there seems

On the other hand, Dr. Granger, who has studied to be something in the nature of his business, as the effects of intercurrent diseases upon two thousand conducted in different places, that gradually perverts cases of insanity, concludes that upon the whole such his moral sense of rectitude and slowly leads to the

diseases have little effect. He seems to think that crime of which so much complaint has of late been

painful affections are more beneficial than febrile. Out made.

of 77 cases of insanity attacked by dysentery 4 only To one who has given much thought to the matter, were mentally improved, and these only temporarily. and followed the burden of these complaints, it is clear Granger attributes much more therapeutic potency to that the druggist does not begin dishonest, but that injuries than to disease. He cites six cases in which unless he exercises the greatest and most constant care

jumping from heights caused shock and injury, and in he gradually is led into an easy way of looking at the

all these marked improvement followed. physician's rights, until by a graduated course of

We recite the foregoing evidence in connection with counter-prescribing, playing the doctor, recommending certain reports telegraphed from Vienna to the effect something of his own as better than that prescribed, that Professor Wagner is successfully treating the inhis sense of right becomes so blunted that it is no longer

sane with injections of tuberculin. It will be seen that difficult for him to replace an expensive drug or one

the experience of alienists does not show that much not in stock with a substitute.

good comes from the induction of sever in the insane, While it may be possible that some of the talk has

and it is most unlikely that any permanent good can been instigated by unfriendly competitors, still there

come from such treatment. is unquestionably cause for much righteous indignation and bitter complaint. The suggestion of our California correspondent, pub

THE DANGER lished a fortnight since, is a good one from a theoreti

OF TRANSFERRING THE cal side, and might practically settle the question for a

CARE OF NEW YORK CITY'S INSANE TO limited community in which the evils were pronounced.

THE STATE. It is, however, not expedient for physicians to go gen- As will be seen elsewhere, a bill has been introduced erally into the drug business. There are serious objec- into the State Legislature providing for the transferring tions to it, and the two professions must of necessity of all the insane of New York to the care of the State. remain separated. The evils complained of must be This bill is said to emanate from the State Charities' remedied, and in time, no doubt, will be. In self-de

Aid Association and it presumably is carefully and fence the druggist must reform. The pressure brought wisely drawn. to bear upon him to cause this reformation will come

But we foresee many dangers ahead in this plan and first from us as physicians, but must be more directly it behooves those interested in our charities to go very applied through the schools and boards of pharmacy. slowly. They should take the initiative, and devise some strin

The transfer of the county insane to the State was a gent way of dealing with those who in disgracing them

measure theoretically wise and was very generally apselves bring discredit upon their calling. If examples proved. But man proposes and politics disposes. Our were made of some of the wrongdoers by legal pro- State institutions are threatened with an invasion by ceedings much substantial good would be accomplished. the machine. Already two of these institutions have It would, of course, entail some trouble in obtaining succumbed and become creatures of politicians. The evidence, but the desirable end would more than justify simple transfer of our city institutions from one party the means. Perhaps if more care were taken by phy- to the other would do no good to the insane,

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ence, or to the community at large. It would result in

do apply all that is valuable in the half-dozen inebriate filling the medical positions, so far as possible, with up- cures that have sprung up in the last few years. Strychcountry political doctors, and the subordinate positions nia, atropia, apomorphine, simple bitters, combined with out-of-town political heelers. If we must have with all possible measures to stimulate the will, arouse politicians in these places it is better, at least, to have self-respect, and improve the general health of the pathose who are known to the community and who are in tient, will do much for inebriates ; no special “cure sympathy with its interests.

can do any more. It would be quite possible to reform our present asylums while under the city's control. A State machine is no better, and is rather less intelligent, than one of city origin.

News of the Week.

OUR MATERIA MEDICA.

European Bacteriologists very Busy.—The following The discussion upon the subject of materia medica note from a Berlin correspondent appears in The Sun: and therapeutics held before the Academy recently,

“This is no time for young bacteriologists to come to was one of great practical interest, and it will, we trust,

Europe for instruction. The men foremost in that be productive of good to the profession at large as well

field of science are too busy with their investigations as the student.

to give lectures. A young bacteriologist who has been

A The conclusion which one reaches from reading the hanging around the University of Berlin for a couple of remarks of the speakers is, that we have too many drugs, months, catching up any scraps of information that his too many preparations of drugs, and too much teaching professors might be good enough to let drop, and lookof materia medica. This leads to evils in many direc- ing through microscopes in the hope of discovering tions. The druggist is obliged to encumber himself something that he didn't know before, went off to Paris with much useless and expensive material ; the student

to see if he could find some one there who would stop has to load his already overburdened memory with a

his investigations long enough to give him instruction. mass of useless botanical or pharmaceutical facts, and

He found even a worse state of affairs there. The the practitioner is so embarrassed with his richness of

scientific men of to-day who are making investigations material that he speedily forgets a large part of his ma

in bacteriology are as feverish as were the prospectors teria medica, and settles down to certain routine reme

for gold in California half a century ago.” dies which chance successes rather than ripe experi- Manhattan State Hospital.-Assemblyman Conkence and good judgment select.

ling has introduced a bill for the transfer of the We hear, almost with amazement, of the countless dependent insane of New York County to the care preparations of iron, mercury, and cathartics which are of the State. This measure, which, it is understood, officinal, and the names of which are drilled into the stu- emanates from the State Charities Aid Association, dents during the “cram quizz.” The endless list of provides that the New York City asylums for the inantipyretics, analgesics, hypnotics, and antiseptics which sane, located on Ward's Island, New York City, and at modern chemistry supplies, makes the task of learning Central Islip, Suffolk County, shall be transferred to materia medica still greater.

the care and custody of the Manhattan State Hospital, The remedy is largely in the hands of the teachers, to be established by the act. Among the provisions of and those who provide our Pharmacopæia. One of the the bill are the following : The whole of Ward's Island, easiest and simplest measures is that of dropping many with its buildings and the equipment of the existing of the unnecessary preparations of drugs. Mercury or asylums, are to be leased to the State at a rental which iron can easily be given in half a dozen forms, and many is to be the equivalent of interest at the rate of three of the officinal cathartics are simply of legendary value. per cent, upon the sum of $2,500,000. It will be re

The dropping of special drugs from the list is a mat- membered that in 1892 the State sold to the city of ter of more difficulty, yet something can be done in New York one-half of Ward's Island for the sum of this direction. An analysis of prescriptions shows that $1,000,000. It is therefore assumed that the entire islthe number of drugs in actual use is not very great, and and is worth at least $2,000,000, and the value of the by a large and comprehensive examination of the drugs buildings which have been erected upon the island for in actual use, many superfluities can be eliminated. the purpose of asylums for the insane is estimated at

$500,000.

The Central Islip property is also to be leased to the LEGISLATING FOR THE KEELEY CURE. State at a rental which shall be the equivalent of the The Massachusetts Legislature has before it a bill com- interest at three per cent. upon $400,000, which is less pelling the use of the so-called Keeley cure in the Mas

than the actual amount which has been expended for sachusetts Hospital for Dipsomaniacs.

buildings on the property. It is provided that either If this law were amended so as to compel the careful of the leases may at any time be surrendered by the testing of this and similar “cures,” we doubt if oppo- State, or may be terminated by the city by five years' sition would be met, despite the repugnance of physi- written notice to the Comptroller of the State. In cians to dealing with secret remedies of possibly case either of the leases shall be terminated by the city dangerous character. But to enforce the use of such of New York, the State is to be reimbursed for builda method would be unjust and unwise. We have no ings which it may have erected and improvements doubt that the physicians of the hospital in question which it may have made, the amount to be determined

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by appraisement by a commission of five citizens, two dent, Dr. J. C. Bierwirth ; Vice-President, Dr. N. W. of whom are to be appointed by the Governor, two by Leighton ; Recording Secretary, Dr. F. C. Raynor ; the Mayor of New York City, and a fifth by these four. Corresponding Secretary, Dr. H. C. Riggs ; Treasurer, The Manhattan State Hospital is to be governed by a Dr. E. H. Squibb. board of seven managers, appointed by the Governor

The Mississippi State Medical Association meets in and confirmed by the Senate, and their powers and

Jackson on Wednesday, April 10th. duties shall be the same as those of the managers of

Appointments at Jefferson Medical College.—Dr. the other State hospitals. Subject to the civil service laws of the State, the managers are to appoint the gen

William Thomson, who has been Honorary Professor eral superintendent, who in turn appoints all subordi

of Ophthalmology, has been given the full professornate officers. The Commissioners of Charities and

ship. Dr. Howard Forde Hansell, who has been Chief Correction of New York City are to surrender the lands

Clinical Assistant, has been made Clinical Professor of and buildings of the existing asylum, with their furni- Ophthalmology. ture, fixtures, stock, and supplies then on hand, to the The Regulation of Doctors' Fees.-A member of the newly created State Hospital on October 1, 1895. An Illinois State Senate, whom we may term O'Dwyer, has appropriation of $25,000 is made for the lease or pur- introduced a bill into the Senate regulating the fees of chase of a dock and for the purchase of a steam ferry- physicians and surgeons. The Journal has not been boat. The present officers of the asylums are con- favored with a copy of this bill, but we learn by the tinued in office during the pleasure of the managers, daily press that the bill proposes to fix the maximum fee subject to the civil service rules applicable to the other for any surgical operation at $100. Senator O'Dwyer State hospitals. On and after October 1, 1895, the is given credit by the veracious chronicler of the press Manhattan State Hospital will come under the pro- for being the first to bring this subject to the attention visions of the State Care Maintenance Act, and will of the law.- Journal of American Medical Association. be organized and maintained as are the other State

The Death of M. Alphonse Guerin, of Paris, is anhospitals for the insane.

nounced as having taken place on Thursday, February Convicted for Grave-robbing.— Three who 21st. He was seventy-eight years of age. robbed a grave near Franklin, Ind., have been con

A Statue of Dr. Gross.—The House passed the Senvicted and sentenced to six years' imprisonment. The

ate bill granting permission to the American Surgical body was found in the dissecting-room of the Indiana

Association and the Alumni Association of the JefferMedical College.

son Medical College to erect a statue to the memory of Treatment of Influenza in London.—Influenza con- Samuel D. Gross in this city. The bill appropriates tinues to be extremely prevalent in London. A mem- $1,500 for a pedestal. ber of Parliament who is just recovering from his fifth

The Congress of German Surgeons.—The Twentyserious attack, has written to the papers advising the

fourth Congress of German Surgeons will be held at sufferers to mix fifteen grains of citrate of potash in a

Berlin from April 17th to 20th. Professor Gussentumbler of hot water with the juice of one lemon, and

bauer will preside. to sip this mixture day and night. The idea that fifteen grains of citrate of potash will do any good in in

A Monument to Billroth.-A monument to the memfluenza, will surprise medical men at least.

ory of Professor Billroth will soon be erected in the Exit Pithecanthropus Erectus.—Dr. Harrison Allen

court of honor of the University of Vienna. The Coun

cil of the Faculty has also decided to erect a monu(Science) says that the molar tooth of Dr. Dubois's

ment to Skoda and Rokitansky. Missing Link ” is human and not at all simian ; the skull is also human and so is the femur. The bones How should the Surgeon Clean his Hands ?-In Gerfound, in fact, are all human and not simian. This

many the usual method for surgeons to clean their view is also taken by Lydekker in Nature.

hands is that of Fürbinger. It consists in brushing the Medical Society of the Missouri Valley.--The Medi- hands and nails with soap and hot water, then dipping cal Society of the Missouri Valley will meet at Sioux them in an eighty per cent. alcohol solution, and finally City, Ia., March 21st.

washing with a two per cent. sublimate of mercury, A Doctor Shot.—Dr. A. S. Bickel, of Florid, Ill., re

each part of this proceeding to last one minute. Recently called on a farmer's wife who was seriously ill.

cently Reinecke, of Leipzig, has asserted that a sure While the doctor was warming himself by the fire, the

disinfection of the hands may be obtained by rubbing husband came to him and ordered him out of the

them with alcohol only and washing afterward with house, saying his services were not needed, at the same

pure sterilized water. The alcohol owes its power to time brandishing a shotgun. As the doctor was making

its action in dissolving the sebaceous substance on the a hasty exit, the farmer shot at him, the entire charge

surface of the skin, and enabling the bacteria which entering his right side. Medical aid was summoned,

adhere to it to be easily washed away. Instead of but it is supposed the shot is fatal. The patient had

brushes, which are difficult to clean and which irritate ordered the doctor, contrary to her husband's wishes,

the hands, he recommends loofah sponges. Another and this enraged him. Wives will consult their hus

reformer in this matter is Dr. Schleich, who rejects all bands in Illinois hereafter before sending for a doctor.

brushing, and only washes the hands with a soap in

vented by himself, which consists of domestic soap Kings County Medical Association. — The following (one part), marble powder (three parts), and lysol (four officers have been elected for the year 1895 : Presi

per cent. of the whole). This soap is said to clean less

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by chemical than by mechanical means, the fine marble for some time upon the blood-serum of the horse as a powder penetrating into all the folds of the skin and

remedy for tuberculosis. Demonstration satisfactory rubbing away all dirt and detritus.Berlin Correspond- to himself having justified faith, and acting upon his ent of Lancet.

belief that the horse is naturally immune against tuber. Average Duration of Life among Physicians.-A culosis, he has been using for some months the bloodcurious statistical record has been compiled by Dr.

serum of selected horses, carefully injecting the serum Salzmann, of Essling, Wurtemberg, on the average du

underneath the skin of the victim of tuberculosis. He ration of life among physicians. He found, in going claims that the horse being naturally immune against over the ancient records of the kingdom, that, in the consumption, the blood does not require artificial imsixteenth century the average duration of life among

munization, but can be used direct. About fifty cases that class was but 36.5 years ; in the seventeenth cen

have been experimented upon with almost universally tury, 45.8; in the eighteenth, 49.8; and at the present

satisfactory results. Dr. Paquin has presented a detime they reach the favorable average of 56.7. It ap

tailed report of his work to the St. Louis Medical Sopears from the foot-notes to the above that this very

ciety.—Medical Mirror. great increase in longevity is due to the disappearance A Man with a Big Heart.—Mr. A. J. Salmon died of the Black Pest," the introduction of vaccination, suddenly at Battersea, London, from a pudding indigesand the great diminution in the number of typhus epi- tion. Autopsy showed that his heart weighed 21 pounds! demics, three classes of diseases formerly the especial (Temps.) This must surely be a mistake. The heart scourges of medical practitioners.

weighs ordinarily about 10 ounces. It may hyperJournalistic Amenities.—At the banquet of the Mis

trophy up to 20 or even 40 ounces—but 20 pounds! sissippi Valley Medical Association we note among Public Hospitals.—The fancy on the part of physithe toasts the following:

cians to erect public hospitals is one that seems to be "The MEDICAL JOURNALIST ”—Thou liar of the growing. Dr. Lane, of San Francisco, has indulged first magnitude.-Congreve.

himself in this way, and M. Henri Schneider has built Response-Dr. Frank P. Foster, Editor New York and presented to the town of Creuzot, France, a hospiMedical Journal

tal with accommodation for fifty beds. There is a kind of grewsome humor to this, which

An Anti-cigarette League, representing twenty-five the distinguished editor evidently accepted with his

thousand public school boys in this city, has been orusual good-nature. He described in his remarks with

ganized. much eloquence the greatness of the Mississippi Valley and its Medical Association.

The Communion-cup and the Homeopaths. At the

Forty-fourth Annual Meeting of the Homeopathic Further Medical Journalistic Amenities.—“ To the

Medical Society of the State of New York, held in pismire, whose weakness can arouse naught but a

Albany, February 12th and 13th, it was sneer, to the pale gray ass, whose offensive sounds

Resolved, This society is in full accord with the loudly reverberate from his rear, to the gadily buzzing

statement that the prevention of disease is preferable around our editorial ear, we simply respond, Shoo fly,

to its cure, and, believing that the adoption of sanitary don't bother me.”—Medical Mirror.

methods tends to the prolongation of life and the pre“ Etis” or “ Itis."— An unfortunate uncertainty ob

vention of disease, desires emphatically to place itself tains among the profession of this country as to the

on record as being in perfect sympathy with the moveproper pronunciation of the large class of words whose ment, now becoming widely spread, to dispense with termination is -itis. Many prefer the continental vo

the usual method of distributing the communion wine, calizing of i, giving it the sound of English e. The

and urges the speedy adoption of the individual-cup English profession and a very respectable portion of

system, thereby avoiding the possibility of contracting the American profession use the vowel i with its long

many forms of infectious disease. English phonation. There can be little doubt of

Barred Out of the Massachusetts Medical Society.the correctness of the usage of the latter group, so long The Massachusetts Medical Society has voted to deas it is English we speak and not German or French.

bar from its membership all graduates from the College There is absolutely no authority for a continental vo- of Physicians and Surgeons of Boston. calization of i in English speech, for if custom is pleaded in its favor, it is easily shown that custom is widely at variance, and that “—ītishas more users than “—ētis." Neither is there any uncertainty among

Reviews and Notices. the lexicons, whether medical or general, for with quite remarkable unanimity they give the English phonation.

ATLAS UND GRUNDRISS DER OPHTHALMOSKOPIE UND Expressing our sympathy for the adherents of the con

OPHTHALMOSKOPISCHEN DIAGNOSTIK. Mit 5 texttinental sound, we must needs leave them to their fate.

und 102 farbigen Abbildungen auf 64 Tafeln. Von - Western Reserve Medical Journal.

DR. O, HAAB, Professor an der Universität und DiTreatment of Tuberculosis with the Blood-Serum of

rektor der Augenklinik in Zürich. München : Ver

lag von J. F. Lehmann. 1895. the Horse.—Dr. Paul Paquin, for many years Profes

In this small volume, one of a series of medical handsor of Bacteriology in the State University at Colum

atlases, we have a contribution to ophthalmoscopic bia

, Mo., and more recently member of the State diagnosis and pathology not less valuable than the Board of Health of Missouri, has been experimenting large works of Jaeger and Liebreich. Being small, its

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pictures cannot be judged by the same standard of fine A MANUAL OF DISEASES OF THE EAR, FOR THE USE quality which belongs to them. But their execution is OF STUDENTS AND PRACTITIONERS. By ALBERT really admirable, and the illustrations representing con- H. BUCK, M.D., Clinical Professor of Diseases of the ditions nowhere else portrayed are not few. To the Ear, College of Physicians and Surgeons. Second beginner as well as to the expert in ophthalmoscopy, edition. Pp. 457. New York : William Wood & the book will be most useful. Sixty-nine pages are

Co. 1895 devoted to description of the technique of the ophthalmoscope and its use, and to the appearances of the

In the present edition the distinguishing features of normal fundus oculi. The shadow test is adequately

excellence are a new chapter on the analysis of sympexplained, not only in its method of use, but as to

toms, a desirable elaboration of the chapter on chronic both its merits and its deficiencies.

purulent inflammation of the middle ear, while the sec

tion devoted to the description of operation on the The various appearances of the normal fundus are given in seven pictures, and if, in Fig. 3 a, the glitter- profusely illustrated. All of which enhances its value

mastoid process has been rewritten, elaborated, and ing reflex from the retina seems overdrawn, the at

as a text-book and maintains its well-won reputation as tempt to show what sometimes is met with, will suggest the true explanation of an appearance which might be

an authoritative treatise. supposed to be a severe type of inflammation of the

A MANUAL OF ORGANIC MATERIA MEDICA AND The congenital anomalies are figured in eight

PHARMACOGNOSY. By Lucius E. SAYRE, Dean of pictures. It is proper to speak of seven sketches in

the School of Pharmacy, Professor of Materia MedFig. 37, showing the senile alterations at the macula,

ica and Pharmacy in the University of Kansas, etc. which are by no means infrequent and are liable to be

Pp. xx., 555. Philadelphia : P. Blakiston, Son & overlooked, leaving unexplained a serious loss of vis

Company. 1895. ion. A very interesting series of pictures, Figs. 38 to 45, shows the lesions due to blows upon the globe and In this substantial volume we find described the botanto the entrance of foreign bodies. The white patches ical and physical characteristics, source, constituents, on the retina of only a few hours' duration, -Figs. 39, and pharmacopeial preparation of the official, as well 40, caused by direct blows (Berlin), have never before, as of a large number of unofficial, drugs. The drugs the writer thinks, been depicted in color. That the derived from members of the animal kingdom also represence of a small bit of iron adhering to the retina ceive attention. The subject of pharmacal botany is should occasion a lesion at the macula, when this lo- discussed in the chapters devoted to morphology and cality has not been touched, is an observation not less to structural botany. In order that the student may important than novel. See Fig. 41.

understand the proper relationship of drugs, a two-fold In brief, this little atlas is a compact and admirable classification is employed : 1, That of prominent charstore of information. It is creditable to both author acteristics, rhizomes, barks, cellular drugs, extractive

. and publisher, and it is most agreeable to recognize substances, etc.; and 2, that of natural orders. In both that the high standard of ophthalmological teaching, classification to each drug is assigned the same numwhich was so famous in Zürich during the lifetime of ber. This double classification is ingenious and facilithe lamented Horner, is being sustained by his succes- tates reference. While an attempt to treat the subject sor.

of pharmacal botany in eighty-five pages necessarily Festigkeit der Menschlichen GELENKE, mit beson

results in a somewhat sketchy presentation, the author

has accomplished his purpose of laying before the studere Berücksightigung des Bandapparates. Habilita

dent the essential facts of botany. In the second part, tionsschrift für die Universität München. Von Dr. med. J. Fessler. München : M. Rieger'sche Buch- lowed, they are concise and, in general, excellent.

although the pharmacopeial definitions are not folFESSLER handlung. 1894.

The illustrations, nearly five hundred and fifty in This work contains the report of a series of experiments number, are mostly from original drawings, and add to test the strength of the human joints, that is, the greatly to the value of the book. Of especial interest power of resistance offered by their ligamentous struct- are the appendices treating of insects injurious to drugs ures. The values were obtained by means of three ma- and of organic remedies formed by synthesis. In the chines, one used for testing the traction-strength of latter appendix we recognize many old friends, and, as wire, the other two being powerful levers. In the col- well, the newer acquisitions to materia medica. Their laboration of a surgeon with a professor of physics we classification, as of the paraffin series, halogen derivahave a guarantee of the correctness of the results, which tives, alcohols, ethers, esters, derived ureas, oxybenzoic is but too often wanting in works of this kind.

acids, etc., is especially helpful, and tends to reduce to

orderly precision the chaos which exists in the average The PhysiolOGY OF THE CARBOHYDRATES: Their Application as Food and Relation to Diabetes. By of the numerous synthetic compounds. A third ap

mind when it attempts to understand the relationship F. W. PAVY, M.D., LL.D., FR.S., Fellow of the

pendix is devoted to pharmacal microscopy, quite too Royal College of Physicians ; Consulting Physician brief, we believe it to be, and to a very satisfactory to, and formerly Lecturer on Physiology and on the

We

glossary of botanical and therapeutical terms. Practice of Medicine, at Guy's Hospital. London:

have read this book critically, and we believe that the J. & A. Churchill. 1894.

presentation of these subjects is a very satisfactory one There seems to have been recently a revival of interest and a faithful representation of the present existing in the subject of glycosuria and of the whole question knowledge which obtains in these closing years of the of carbohydrate metabolism, and this work by Dr. Pavy nineteenth century. is therefore most timely. The author's views are known to all students of this subject through his former

THE ESSENTIALS OF HOMEOPATHIC THERAPEUTICS. writings and utterances, and especially through the By W. S. DEWEY, M.D., Late Professor of Materia doctrines promulgated in his Croonian Lectures deliv- Medica, Hahnemann Hospital College of San Franered last June. In this book the arguments in support cisco, Cal., etc. Pp. vi., 266. Philadelphia : Boericke of his theory are stated at length and the experiments

& Tafel. 1895. from which they were deduced are described in detail This little book is a quiz-compend upon the applicaand freely illustrated by micro-photographs. Dr. Pavytion of homeopathic remedies to diseased states, and is known as the strongest opponent of the theory built under chapter headings of diseases and symptoms are up by Claude Bernard in his experiments, and he has

found the various symptoms and indication for the use here set forth most convincingly and interestingly the of drugs. Doubtless the homeopathic practitioner will grounds for the faith that is in him.

find this a very convenient book for reference.

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