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views of American obstetricians on puerperal fever; Professor Clark's treatment of puerperal fever; rupture of the uterus; causes of abortion, &c. The volume is well printed, and the engravings and woodcuts well executed and distinct, as well as numerous and valuable. Quarterly Summary of the Transactions of the College of Physicians of

Philadelphia. From November 1st, 1854, to February 7th, 1855, inclusive. Lippincott, Grambo & Co., 1855, pp. 36.

This last number of the “Summary" contains an interesting case, by Dr. Pepper, of death in a little girl, -aged eighteen months in August, 1847,—from a grain of coffee in the air-passages, about three years and five months from the time of the accident, with general remarks on the subject and allusions to other cases. Cases are also related of the successful treatment of uterine hæmorrhage by the essential oil of the Erigeron Philadelphicum, by Dr. Wilson; and a note by Dr. H. Hartshorne on the influence of ether on the nervous centers. The Trustees of the Building Fund report the sum of more than fifteen hundred dollars on hand, an example by which our Academy of Medicine should profit. This number also contains remarks by Dr. Wood, on the curability of intestinal perforation in typhoid fever, and on peritonitis in typhoid fever, without intestinal perforation, and cases of meningitis, by Dr. Hartshorne ; all of which are interesting and of practical value. Positive Medical Agents, being a treatise on the new alkaloid, resinoid,

and concentrated preparations of Indigenous and Foreign Medical Plants. By authority of the American Chemical Institute. New York: C. B. Norton, 71 Chambers street, Publisher. 1854. pp. 299.

The object of this work is to make known “the positive principles of medicinal value contained in our vegetable Materia Medica," with the wish that the profession would test their value. After five chapters of “ general considerations,” embracing a wide range of topics, we have a description of the active principles of thirty-four different vegetable articles, with their therapeutic properties accurately defined, with the doses, &c., followed by over a hundred formulas, arranged in groups of from two to seven different articles, and bracketed opposite different diseases, as though they were the sure eradicators of them. The book closes with “ Clinic Reports,” the first of which is that of a case of chronic diarrhea. The first prescription was one of six powders, made up of three different articles; three days afterwards, the patient took a powder containing four articles, all different from the first; and the following day he was ordered eighteen powders, consisting of seven different articles, of which five were entirely new. He then took some essential oils, which were followed by sixty pills, made up of four of those“ positive” agents, one to be taken morning and evening till all were used. No allusion is made to the subject of diet in the course of the report. The third case is one of “translated mumps and inflammation." "A dose of three different positive agents was first given in the morning, and the same evening a powder consisting of four entirely different articles; and

the next day, pills containing five different articles, one of which was in the second prescription. He was at work, cured, at the end of ten days.

We have always been in favor of the preparation of remedies in their most concentrated form, and we doubt not that the “American Chemical Institute” may have rendered essential service in this respect, in the case of some articles at least; but we regret to see the therapeutic properties of other articles of but trifling medicinal powers, brought forward in such a positive manner, and so, we fear, unduly praised for the cure of disease. We have, for instance, a combination of five of these articles, as one which will perhaps cure every case of puerperal fever, when given in full doses (p. 149). Then, again, each remedy cures diseases differing so much in their pathology as to prove rather too much. We shall be glad, however, if the work is successful in directing the attention of the profession to the extensive and varied resources of our indigenous medicinal plants. We acknowledge the receipt of the following Pamphlets :

“ Address before the Physico-Medical Society of New Orleans." By Dr. A. MERCIER. “ Introductory Address before the Vermont Medical College, Woodstock.” By WM. HENRY THAYER, M.D., Prof. of Theory and Practice. March, 1855. pp. 17.“ Letters in Reply to the Croonian Lectures, for 1854, of Chas. West.” By HENRY MILLER, M. D., Prof. of Obstetrics, Louisville University.- -"Annual Report of Massachusetts General Hospital, 1854.”- “Trial and Conviction of Dr. S. T. Beale.” Philadelphia, 1855.—“Sanitary Reports of City of Buffalo, 1854.” By J. N. NEWMAN, Health Physician. -"Medicine, a Science; or Disease a Unit.” By H. BACKUS. Selma, Ala. 1853.

-“Error of Position.” By Professor Milo, O. S. R., of Triune College, Hopewell, Nashville.- -“ Annual Report of Trustees of N. Y. Dispensary.”. January, 1855.- -"Report of a Trial for alleged Mal Practices against Dixi Crosby, M. D., Professor of Surgery in Darimouth Medical College.” -“* Report of the Inquest in case of Agnes La'timore.” 1854.-"Report of Trustees of the Demilt Dispensary." 1854. “Report on the Mineral Region of De Verregaz, wich iis Gold Mines." By J. KING MERRITT, M.D. 1854.-"Anniversary Ora, on before N. Y. Academy of Medicine." By John H. Gaiscom, M. D. 1854. “Report of Committee on Public Health and Legal Medicine of N. Y. Academy of Medicine, on Solidified Milk.” Dec., 1854.

Table of Urinary Deposits, by John King, M. D., Cincinnati, O.

Report of the Butler Hospital for the Insane, R. I.--Report of the Pennsylvania Lunatic Asylum, By Dr. Kirkbride.-Case of Penetrating Gunshot Wound of the Heart, &c. By J. M. CARNOCHAN, M.D., Surgeon in Chief to the State Hosp., Prof. Surg., &c., &c.

Extracts from

from Journals.

Case of Lacerated Wound of the Heart, by a fragment of Wood-heal

ing of the Wound— Death on Thirty-seventh Day. By Thomas Doris.

[Furnished by Dr. J. B. D. STILLMAN.] January 19th, 1833, I was summoned to attend William Mills, aged ten years, living at Boughton, two miles from Upton. His parents informed me that their son had shot himself with a gun, made out of the handle of a telescope toasting fork. To form the breech of the gun, he had driven a plug of wood, about three inches in length, into the handle of the fork. The touch-hole of the gun was made after the charge of powder had been deposited in the hollow part of the handle. The consequence was, that when the gunpowder exploded, it forced the artificial breech or stick from the barrel part of the gun with such violence, that it entered the thorax, on the right side, between the third and fourth ribs, and disappeared. Immediately after the accident, the boy walked home, a distance of about forty yards.

He had lost a considerable quantity of blood, and appeared very faint; when I turned him on his right side, a stream of venous blood issued from the orifice through which the stick had entered the thorax. Several hours elapsed before any degree of reaction took place; he did not complain of any pain.

For the first ten days or a fortnight after the accident, he appeared to be recovering, and once during that time walked into his garden and back, a distance of about eighty yards; and while there he amused himself with his flowers, and even stirred the mold. He always said he was well, and was often cheerful and even merry. There was no peculiar expression of countenance, excepting that his eyes were rather too bright; after the first fortnight he visibly emaciated, and had frequent rigors, which were always followed by faintness. Pulse was very quick; no cough nor spitting of blood. The secretions were healthy. He had no pain throughout his illness. He died on the evening of the 25th of February, exactly five weeks and two days after the accident.

Postmortem.—On opening the thorax, a small cicatrix was visible between the cartilages of the third and fourth ribs on the right side, about half an inch from the sternum. There was nô effusion of blood or of serum into the sac of the pleura. The lungs appeared quite healthy, excepting that there was a small tubercle in the right lung, and at its root, near to the pulmonary artery, a small blue mark in the cellular tissue, corresponding in size with the cicatrix on the parietes of the chest.

Pericardium and Heart.-When the pericardium was divided, about half an ounce of serum was found in it. The heart externally healthy. When an incision was made into the heart, so as to expose the right auricle and ventricle, we were astonished to find lodged in that ventricle the stick which the boy had used at the breech of the gun, the one end VOL. IV. NO. 8.

24

*

of it pressing against the extreme part of the ventricle, near the apex, and forcing itself between the columnæ carnece and the internal surface of the heart; the other end resting upon the auriculo-ventricular valve, tearing part of its delicate structure, and being itself encrusted with a thick coagulum, as large as a walnut. We searched in vain for any wound, either in the heart itself, or in the pericardium, by which the stick could have found its way into the ventricle. There was no wound, nor remnant of a wound, either in the pericardium or in the muscular structure of the heart. The stick seems to have entered the mediastinum, without wounding the anterior portion of the right lung, but to have wounded the posterior portion of the lung, near its root. What became of the stick afterwards, is uncertain, excepting that we know it fonnd its way into the heart.— Transactions of the Provincial Medical and Surgical Association, Vol. 2d.

Varia.

DOMESTIC.— Death from Chloric Ether.–At Lynn, Mass., in February last, a female about to have some dental operation performed, insisted upon inhaling chloric ether: the respiration soon became embarassed, and death ensued in from five to six minutes. On post mortem-cavities were found in the lungs. The case was at first incorrectly reported as a death from sulphuric ether, bnt concentrated chloric ether, (chloroform dissolved in alcohol) was used. No death from sulphuric ether has occurred within our knowledge.

-San Francisco Medical and Surgical Society. At its late anniversary, Dr. B. B. Coit, President, pronounced a oulogy upon the late Valentine Mott, Jr., M. D., one of the Vice-Presidents of the Society. Dr. Toland was appointed to prepare a memoir of the deceased.—Dr. W. L. Atlee has published a statement of thirty cases of ovariotomy, thirteen of which were followed by a fatal result, either from exhaustion, peritonitis or hæmorrhage.

American Medical Association.-Delegates will meet at Musical Fund Hall, Locust street, between 8th and 9th streets, on Tuesday, May 1st, at 11, A. M. The Committee of Arrangements will attend at the College of Physicians, Spruce street, on Saturday and Monday, day and evening, and on Tuesday, at the Musical Fund Hall. A very large attendance is expected. — Superintendents of the Associations of the Insane.-Annual meeting at Boston, on the 4th Tuesday in May, at 10, A. M- -The Government Hospital for the Insane, under the charge of C. H. Nichols, M. D., (late of Bloomingdale) is now open for the Insane of the army and navy and of the District of Columbia; it is situated two miles south of the Capital on the eastern branch of the Potomac; accommodations for 50 patients are now completed, and the erection of buildings is still going on. Bellevue Hospital.—The following appointments have recently been made.- Senior Assistant Surgeons.—Dr. H. H. Draper, C. L. Ives, J. D. Galt, W. Frothingham, H. B. Sands. Junior Assistanis.-Dr. J. Hulls, G. K. Amerman, J. Hitchcock, W. Jones.

House Physicians.-T. B. Norcom, R. K. Isam. House Surgeons.—Drs. Oswald, Haines and S. J. Sawyer.Deputy Health Officer and Marine Physician.-Dr. Martendale of Staten Island has been appointed; Dr. Elisha Harris, Physician to the Marine Hospital, Quarantine.Dr. Brown-Sequard has resigned as Professor of Physiology in Richmond Medical College: he sailed for Havre on 21st April. A Noble Example.—Miss Elizabeth Pratt has bequeathed $20.000 to the Massachusetts General Hospital. —Dr. Asa Fitch, of Northern New York, has been elected corresponding member of the Entomological Society of Paris, being the only American ever appointed. —The Naval Medical Board are in session at Naval Asylum, Philadelphia-Surgeon T. Dillard, President, Surgeons J. M. Green and J. M. Foltz, Members; Passed-Assistant Surgeon, J. A. Henderson, Recorder. To be in session two months for examination of candidates.Death from the Absorption of Washing Soda.-A washerwoman, having received a slight cut on one of her fingers, engaged in washing some linen in water containing “washing soda." Next day she felt much pain in the part, which also began to swell. The swelling continued to increase and to extend up the arm, attended with much pain and constitutional disturbance. Active antiphlogistic treatment was resorted to, but she rapidly grew worse, and finally sank. A few weeks since, a case in some respects similar happened in this city: A woman, whilst splitting a piece of wood ran a small splinter into the fore finger of her right hand. Soon afterwards she engaged in washing—the water containing some sal soda. In a day or two the finger began to swell and give pain ; a deep-seated abscess formed in it, and on the back

[graphic]

of the hand—both were freely laid open, and recovery ensued after about four weeks of suffering. The eulogy upon Professor Swett, delivered before the Medical and Surgical Society, in January last, has been published for distribution by the members of that Society. - Dr. La Roche, of Philadelphia, has been appointed to the chair of Pathological Anatomy and Physiology in Memphis Medical College, to fill the vacancy occasioned by the resignation of Professor C. T. Quintard, who is about to take orders in the Episcopal Church.—The Institute for the Treatment of Chronic Diseases of Females, at Great Barrington, Mass., established some years since by Clarkson C. Collins, M. D., late of this city, is in successful operation, and there no longer remains a doubt of the great utility of such an establishment.

New Works in Preparation.—Dr. Stephen Smith, one of the editors of the New York Journal of Medicine, is preparing for press a work on " Medical Jurisprudence, in its application to the practice of Medicine, Surgery, and Midwifery in the United States," and is desirous of having members of the profession communicate to him reports of trials for mal-practice, or any facts relating to cases where suits have been threatened, or instituted, or quashed, or in which mal-practice has been alleged in the practice of Medicine, Surgery, or Midwifery. Professor Draper is about to publish a Treatise on Physiology; it will be issued in August next. Professor Bedford has completed his work on Obstetrics and the Diseases of Women and Children, to be issued by the Messrs. Wood. Schroeder, 12 Bible House, is about to publish a second edition of Professor Mott's “ Tour in the East.”

Weekly Mortality. CITY.-For the week ending April 7th, 1855, 441Consumption, 47; apoplexy, 7; congestion of brain, 9; dysentery, 3; diarrhea, 4; bronchitis, 10; pneumonia, 31; croup, 5; scarlet fever, 24; measles, 11; typhus fever, 12. For the week ending April 14th, 479:-Consumption, 64; apoplexy, 4; congestion of brain, 8; dysentery, 5; diarrhea, 5; bronchitis, 7; pneumonia, 32; croup, 12; scarlet fever, 30 ; measles, 14; typhus fever (including " typhoid"), 9. For the week ending April 21st, 479 Consumption, 18; apoplexy, 7; congestion of brain, 7; dysentery, 8; diarrhea, 8; bronchitis, 50; pneumonia, 35; croup, 17; scarlet fever, 33; measles, 12; small pox, 6; whooping cough, 10; typhus fever, 12.

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