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with the ordinary and metric systems, and adequate space has been
allotted to the new synthetic compounds, as well as to the unofficial
preparations that are now so extensively used. The volume, too,
is rich in chemical and pharmaceutical information, with data,
formulas and tables gathered from all official sources. The latest
editions of foreign pharmacopeias have been summoned to pay
tribute to this wonderful work. Its descriptions of the materia
medica are clear, thorough and systematic, and these characteris-
tics apply equally to its explanations of chemical and pharmaceuti-
cal proceisses and tests.

We must not fail to make mention of the therapeutical portion
of the work, which challenges admiration for its completeness,
while the statements of the actions and uses of medicine, arranged
alphabetically in the text under the names of the drugs, are placed
most easily and suggestively at command by the recommendations
under the various diseases in the therapeutical index. There has
been also a free use of illustrations wherever they can be made
valuable in aiding the descripMon of drugs, or of the most approved
apparatus. The two indexes, general and therapeutical, cover
twenty-five thousand references, and the total number of pages
exceed nineteen hundred. A thumb index is added for the con-
venience of those who choose to pay the slight additional charge
of fifty cents.

This work will find its way into every pharmacy of the
land and to the book shelves of teachers of materia medica ; and
a large army of general practitioners cannot afford to do with-
out it. Orders should be placed promptly, as the demands for the
book will be very great.

Transactions of the Medical Association of Georgia. Forty-fourth
Annual Session. 1893. Octavo, pp. 426. Atlanta, Ga. : Published
by the Association. 1893.

This book furnishes ample evidence of the substantial pmgress
making by the medical profession in the Empire State of the
South. The papers contained in this volume are for the most part
of exceptional quality, and some of the discussions are of an exceed-



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martin: banders' question compends. 507

ingly interesting character. The contagiousness of consumption,
by Dr. J. G. Hopkins, Thomasville, is a paper of great practical
interest, and emphasizes the importance of strict attention to pre-
yentive measures. A paper entitled Impure and Pure Mineral
Waters, by Dr. T. S. Hopkins, of Thomasville, also contains many
points of interest. The Technique and After Treatment of Ovario-
tomy, by J. B. S. Holmes, of Rome, deserves to be carefully studied
by every abdominal surgeon. It is classified under sub-heads, and
together with the discussion covers thirty-four pages of the book.
There are also interesting papers by prominent authors, such as
Oaston, Westmoreland, McRae and others that we cannot give
the space they deserve in this brief notice. The book is printed
on heavy paper, handsomely bound, and will easily find its way
into the hands of every progressive physician in Georgia, as well
as many outside that commbnt^^alth.



Sanders' Question Compends, No. 12. Essentials of Minor Surgery,
Bandaging* and Venereal Diseases, arranged in the form of ques-
tions and answers, prepared especially for students of medicine.
By Edward Martin, A. M., M. D., Clinical Professor of Genito-
urinary Diseases ; Instructor In Operative Surgery and Lecturer on
Minor Surgery, University of Pennsylvania ; Surgeon to the Howard
Hospital; Assistant Surgeon to the University Hospital, etc., etc..
Second edition, revised and enlarged, seventy-eight illustrations.
PhUadelphia : W. B. Sanders. 1893.

The first edition of this number of the question compends was
so well received that it soon became exhausted. This second
edition, according to the author's preface, has been thoroughly
revised and brought up to the present standard of surgical prac-
tice. A considerable number of the illustrations have been redrawn
and engraved, and an entirely new set of bandaging cuts inserted.
These latter are to be especially commended, and Dr. Martin
acknowledges his indebtedness to the American Text-Book of Sur-
gery for them as well as for the descriptions given. If there is an
excuse for this kind of literature, it is readily to be found in such
a good work as this.



A Manual for Boards op Health and Health Officers. By
Lewis Balch. M. D., Ph. D., Secretary State Board of Health of
New York ; Health Oflficer of Albany ; Emeritus Professor of Anat-
omy and Professor of Medical Jurisprudence Albany Medical Col-
lege. Pp. 242. Albany. N. Y. : Banks & Bros. 1893.

The author of this manual has had a large experience in refer-
ence to the duties of health officers and of boards of health, there-



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608 BBVIBWS.

fore, is nnasually well equipped for the preparation of sach a book.
He announces that bis object has been to put into the hands of
health boards and health oflScers a short compact guide to follow
in the discharge of their duties. It is not written from a legal
standpoint, nor is it intended to instruct in hygiene, but is
simply a practical statement of the duties of health authorities and
how they may be performed under the public health law of the
State of New York. It was prepared to supply a demand on the
part of those engaged in the public health service, and admirably
fulfils the purposes for which it is published.

We notice that instruction in detail is given with reference to
tuberculosis in cattle, with full directions regarding the care and
destruction of animals so diseased, but we think that an additional
precaution should be taken by compelling the cremation of all
tuberculous carcasses.



Mineral Springs and Health Resorts of California, with a com-
plete Chemical Analysis of every Important Mineral Water in the
World. Illustrated. A Prize Essay. Annual Prize of the Medical
Society of the State of California, awarded April 20, 1889. By
WiNSLOW Anderson, M. D., M. R. C. P., Lond., M. R. C.S.. Eng.,
etc.; Joint Editor and Publisher of the Pacific Medical Journal, etc.,
etc. San Francisco : The Bancroft Co. 1892.
An examination of this book impresses the reader with the fact
that California is wonderfully equipped in the number and quality
of its mineral springs. To collect information on the subject and
put it into book-form must have been an interesting occupation for
the author of this book. Within its pages information can be
obtained as to the relative value, medicinally speaking, of the
several springs in the golden state. These have been carefully
analyzed for the most part by the author, and tables of the analysis
are published. In the majority of instances, health resorts have
been erected contiguous to the springs, and illustrations thereof
are published in the book. Those who desire information on the
subject will readily find it by consulting this volume.



Bureau of Education, (Whole number, 196) Circular of Informa-
tion, No. IV., 1893. Abnormal Man: being Essays on Education
and Crime and Related Subjects, with Digests of Literature and a
Bibliography. By Arthur MacDonald, Specialist in the Bureau
of Education. Washington : Government Printing Office. 1893.

This volume is made up of two sections. The first, consisting

of 204 pages, divided into eight chapters. Chapter I. considers

education in its relation to crime, including comparative statistics



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BOOKS RECEIVED. 509

of crime and edncation in France, Italy, Germany, Aastria, Japan
and the United States. Chapter II. deals with practical criminol-
ogy, including discipline and instraction. Chapter III. treats of
the Ma6a in a most instructive way. Chapter lY. discusses alco-
holism and crime. Chapter Y. is very instructive and entertain-
ing, dealing, as it does, in the foibles and eccentricities of the
great geniitlses. Chapter YI. is sociological and ethical in charac-
ter. The remainder of the book is composed of 200 pages of care-
fully compiled bibliography. Altogether, the Bureau presents us
a most valuable rSsumS of the subject to date, and Mr. McDonald
is to be congratulated on the excellence of the work and its admir-«
able arrangement. J. W. P.



BOOKS RECEIVED.

Venereal Memoranda. A Manual for the Student and Practitioner.
By P. A. Morrow, A. M., M. D. Clinical Professor of Venereal Diseases in
the University of the City of New York ; Surgeon to Charity Hospital ;
Attending Surgeon to the Bellevue Hospital Out- Door Relief, Depart-
ment of Skin Diseases ; Member of the American Dermatological Associa-
tion ; Member of the New York Dermatological Society, etc.. etc.
Double duodecimal, pp. Iv.— 832. New York : William Wood & Co.
1894.

The Johns Hopkins Hospital Reports. Report in Gynecology, 11.
Volume III.; Nos. 7, 8, 9. Imperial octavo, pp. 461. Baltimore: The
Johns Hopkins Press. 1894. '

The Physician's Wife, and the Things that Pertain to Her Life.
By Ellen M. Firebaugh. With portrait of author and 44 photo-engrav-
ings of original sketches. In one crown octavo volume of 200 pages.
Extra cloth, $1.25 net. Special limited edition, first 500 copies, num-
bered, and printed in photogravure ink. on extra fine enameled paper ;
bound in half-leather and Vellum cloth, $3.00 net. Philadelphia : v
The F. A. Davis Co., Publishers, 1914 and 1916 Cherry street. ^

The Modern Climatic Treatment of Invalids with Pulmonary Con-
sumption in Southern California. By P. C. Remondino, M. D. Member
of the American Medical Association, American Public Health Associa-
tion, etc.. etc. Physicians' Leisure Library. Detroit, Mich.: George S.
Davis. 1893. Price, paper, 25 cents ; cloth, 50 cents,

A Practical Treatise on the Diseases of the Hair and Scalp. By
Greorge Thomas Jackson. M. D. Professor of Dermatology, Woman's
Medical College. New York Infirmary ; Chief of Clinic and Instructor
in Dermatology. College of Physicians and Surgeons ; Consulting
Dermatologist, Presbyterian Hospital ; Visiting Dermatologist. Ran-
dall's Island Hospital ; Member of the American Dermatological Asso-
ciation, etc. New revised and enlarged edition. Small 8vo. pp. 414.
New York : E. B. Treat, 5 Cooper Union. 1893. Price, $2.75.

A Treatise on Headache and Neuralgia, including Spinal Irritation
and a Disquisition on Normal and Morbid Sleep. By J. Leonard Corn-
ing, M. A., M. D. Consultant in Nervous Diseases to St. Francis' Hos-
pital ; Fellow of the New York Academy of Medicine ; Member of the



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510 BOOKS BBCEIYED.

New York Neurological Society, etc. With an Appendix. Eye Strain,
Cause of Headache. By David Webster. M. D., Professor of Ophthal-
mology in the New York Polyclinic ; Surgeon to the Manhattan Eye
andEar Hospital, etc.. etc. Illustrated. Third edition. Small 8vo.
pp. 276. New York : E. B. Treat, 5 CJooper Union. London : H. K.
Lewis. 136 Grower street. 1894. Price, $2.75.

Treatment of the Diseases of the Stomach and Intestines. By A*
Mathieu. Physician to the Paris Hospitals. (Medical Practitioners^
Library.) Octavo, 285 pages. Parchment muslin, price, $2.50 ; flexible
leather, gilt top, price, $3.25. New York : William Wood and Com-
pany. 1894.

Operative Surgery. By Th. Kocher, M. D., Professor at the Uni-
versity and Director of the Surgical Clinic at the Berne University.
Octavo, 288 padres, 163 illustrations. Extra muslin, price, $3.00. New
York : William Wood and Company. 1894.

Proceedings of the Philadelphia Coimty Medical Society. Volume
XIV. Session of 1893. Lewis H. Adler. Jr., M. D., Editor. Octavo,
pp. xxviii.— 484. Philadelphia : William J. Dornan. 1893.

Holden^s Anatomy. A Manual of the Dissections of the Human
Body. By John Langton. F. R. C. S., Surgeon to. and Lecturer on.
Anatomy at St. Bartholomew's Hospital. Carefully revised by A. Hew-
son. M. D.. Demonstrator of Anatomy, Jefferson Medical College ; Chief
of Surgical Clinic. Jefferson Hospital ; Member Association Americaa
Anatomists, etc. 311 illustrations. Small 8vo. pp. xx — ^03. Phila^
delphia: P. Blakiston, Son & Co., 1012 Walnut street. 1894. Price.
$3.00.

Antiseptic Therapeutics. By Dr. £. L. Trouessant, Paris. France.
Translated by E. P. Hurd. M. D. In two volumes. Physicians' Leisure
Library. Detroit. Mich. : George S. Davis. 1893. Price, paper, 25
cents each ; cloth, 50 cents each.

A Text-Book of the Theory and Practice of Medicine. By American
teachers. Edited by William Pepper. M. D.. LL. D.. Provost and Pro-
fessor of the Theory and Practice of Medicine and of Clinical Medicine
in the University of Pennsylvania. In two volumes ; illustrated. Vol.
II. Large octavo, pp. xil.— 1046. Philadelphia : W. B. Saunders, 9ia
Walnut street. 1894. Price per volume, cloth, $5.00 ; leather, $6.00 ;
half Russia, $7.00. For sale by subscription only. ■

An Illustrated Encyclopedic Medical Dictionary. Being a diction-
ary of technical terms used by writers on medicine and the collateral
sciences, in the Latin. English. French, and German languages. By
Frank P. Foster, M. D.. editor of the New York Medical Journal,
assisted by eleven collaborators. Vol. IV. Minn-Zyth. With illus-
trations. Quarto, pp. 776. D. Appleton & Co. 1894.

Lectures on Auto-Intoxication in Disease, or Self-Poisoning of the
Individual. By Ch. Bouchard, Professor of Pathology and Therapeu-
tics. Member of the Academy of Medicine, and Physician to the Hos-
pitals, Paris. Translated, with a preface, by Thomas Oliver, M. A.,
M. D., F. R. C. P.. Professor of Physiology, University of Durham ;
Physician to the Royal Infirmary. Newcastle-upon-Tyne ; and Examiner
in Physiology. Conjoint Board of England. In one octavo volume ; 302:
pages. Extra cloth. $1.75 net. Philadelphia: The F. A. Davis Co.,
Publishers, 1914 and 1916 Cherry street.



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LITBBABT NOTES. 611

Itiferar^ Flofe/i.



Thb Antikamnia Chemical Co., of St. Louis, has issued a visitiog
list, which is a compact and useful part of a physician's equipment.
It has a neat morocco cover with pocket that can be unshipped
from the visiting list if desired, or used to protect additional
books as they are filled one after another. It is distributed gratis
to the profession on application to the publishers.



The WommC^ Medical Journal^ published in Toledo, Ohio, entered
upon its second year in January, and signaled the success of its
enterprise by donning a new dress (we had almost said gown),
increasing its number of reading pages, and by announcing a new
staff of associate editors. This journal appears to be ably edited
and managed, and deserves the conspicuous success that it is
attaining.



Messrs. William Wood & Co., New York, announce that the first
volume of a new system of Medical Jurisprudence, Forensic Medi-
cine and Toxicology will be published on or about March 1st. In
the November issue of the Joubnal we published a notice in con-
siderable detail of the prospectus of this remarkable work. It will
be sold only by subscription, and orders should be placed promptly.



The McArthur Hypopfaosphite Co., of Boston, has issued a most
'useful calendar for the year 1894, of a size convenient for the
waistcoat pocket. It contains, among other things, a table for
calculating the period of utero-gestation, help in case of accidents,
antidotes for poisons, important incompatibles, table of weights
and measures and the metric system, valuable information on busi-
ness matters, doses of chemical and pharmaceutical preparations
and a diary arranged for every day in the year. It can be obtained
upon application to the publishers and sending twenty cents.



Geobgb Kbil, 1715 Willington street, Philadelphia, announces
the early publication (third edition) of the " Medical and Dental
Register-Directory and Intelligencer,^' for the States of Pennsyl-
vania, New York, New Jersey, Maryland and Delaware. It will
present not only a complete list of all medical and dental prac-
titioners in the States named, with place and date of graduation,



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512 LITBBABT NOTES.

but also lists of professional educational institutions^ hospitals,
societies, etc., etc., and will be of much practical value to all mem-
bers of these professions.

Fbbdbrick Stbarns & Co., of Detroit, have sent out a calendar
for 1894, that is a unique and beautiful specimen of the applica-
tion of photography in original colors. The details which attend
the process are referred to at length in a circular which accompanies
the calendar. The feature of expense in the production of such
work is considerable, and while every customer of the firm will
receive one of these calendars, duplicates can only be obtained
upon payment of twenty-five cents to cover actual cost of produc-
tion, postage and packing.

Civil Sbbvicb Examinations fob Supbbintbndents, Fibst and
JuNioB Assistant Physicians in the Statb Hospital Sbbvicb. —
An open competitive examination of candidates for positions as
Superintendents, and First and Junior Assistant Physicians in the
State Hospital service, will be held at the rooms of the New York
Civil Service Commission, Albany, N. Y., on Thursday ,*March 15,
1894, commencing at 9 o'clock a. m.

A candidate for the position of Superintendent must be not
less than thirty years of age, and have had five years' actual
experience as physician in a hospital for the insane. A candidate
for the position of First Assistant Physician must be not less than
twenty-five years of age, and have had three years' actual experi*
ence in a hospital for the insane. A candidate for the position of
Junior Assistant Physician must be at least twenty-one years of
age, and have had at least one year's actual experience on the
medical staff of a public general hospital. All candidates must be
graduates of a legally chartered medical college and citizens and
residents of the State of New York.

Application blanks may be had by addressing the Secretary of
the New York Civil Service Commission, Albany, N. Y.

THOMAS CARMODY, Chief Examiner.

Notice to Contributors. — We are glad to receive contributions
from every one who knows anything of interest to the profession. Arti-
cles designed for publication in the Journal should be handed in before
the first day of the month. The Editors are not responsible for the
views or opinions of contributors. All communications should be
addressed to the Managing Editor, 284 Franklin St., Buffalo. N. T.



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Buffalo Medical ^ Surgical Journal



Vol. XXXIII. APRIL, 1894. No. 9.



^riginaf (^ommunicatiortA.



NEURASTHENIA, FROM THE STANDPOINT OF THE
GENERAL PRACTITIONER.^

Bt I. N. LOVE, M. D.,

Professor Cllnioal Medicine and Diseases of Children, Marion-Sims College of Medioine,
St. Louis ; Vice-President American Medical Association.

Since Beard's time, the well-versed physician, whether in the gen-
eral field or a special line, has recognized neurasthenia << as a
legitimate and well circumscribed morbid entity." Our own Dr.
G. H. Hughes, of St. Louis, recognized the world over as a high
authority upon neurological subjects, in a paper read before the
Missouri State Medical Association fully twelve years ago, sug-
gested as a name for the disease, general functional neuratrophia,
as preferable to neurasthenia. He expressed the thought at the
time, that the disease was a more or less general failure of the
normal nutrition appropriating power in the higher nerve centers,
especially the psychical, leading to consequences short of appreci-
able structural change — a pure neuratrophia — which is only func-
tional in its effects and confined, in expression, to an altered and
lowered functionation in the nervous system itself.

A synonym for the disease is nervous prostration, and the name
which Beard himself gave to it was nervous exhaustion, but all
these names are objectionable, for they suggest symptoms rather
than a definite pathological condition.

The causes of this disease, like all others, may be hereditary or
acquired. The medical man who is brought in close relations to
the family as family physician, should be fully impressed with the
thought that his advice will be of value in the securing of nerve



L Bead before St. Louis Medical Society, January 20, 1894.



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514 LOTS : HEXTBASTIlBXrLL.

capital and a good general equipment for at leaet the riaing gen-
eration of the family. Trnly, many indiyidnals are pnt into the
world and have crowded npon them the battles of life when they
are so poorly equipped with nerve force as to be almost considered
nervoas bankrupts.

The child which has a tubercular inheritance can be built up
and away from it ; so, too, if heredity is against it from the stand-
point of the nervous system, the child may be fed up and out
of it.

In these modern days of specialism, while admitting that the
expansion of knowledge in every department of life has largely
put an end to that ideal of << knowing something about everything,
and everything about something," the members of the medical pro-
fession should yet guard themselves strenuously against the danger
of automatic specialism ; for, as was recently remarked by the
Medical Record^ " the glory of modern specialism is that it has
unraveled difficult questions in the etiology of disease, and its
crowning work must lie in its ability to meet the demands which
this new pathological inquiry makes with adequate therapeutic
measures. To do this, requires mental expansion in every direc-
tion, and not alone in any one."

Ar was well said by Dr. Hughes in his recent essay before this
society upon this subject, << physicians may become specialists
in practice, but they should never cease to be generalists as
students."

The family physician, other things being equal, is well equipped
for coping with the disease under consideration, within certain lim-
its, on account of his personal knowledge of the habits, manner
of life, and general physical make-up of the patient, as well as his
temperament Hutchinson defines temperament as the sum of the
physical peculiarities of the man, exclusive of his tendency to
disease, and it has tersely been expressed as being "the peculiar
way in which the individual reacts to the stimuli of his environ-
ment." Temperament has been too much neglected in these latter
days. There was a time, in professional and institutional circles,
when much more stress was laid npon this subject, and an ability
to recognize and know temperament used to be considered part of
a sound medical training. There are many things in man which
the test-tube and the microscope cannot discover, and in our work
as bacteriological delvers, as well as in our desires to be super-
latively scientific, we should not lose sight of this fact.



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loyje: nburastuenia. 515

While by no means maintaining that leisure and wealth are the
onlj condHioiis; fayorable to iienrasthenia, so-called, I still urge,
with Beard, that it is seldom found among those who live below
the nndercrast of the social world ; that its habitat is rather in
Fifth avenae than the Five Points. The manual laborers of the
world, however little they may know, generally know enough to
rest when they are tired, and they have the advantage of fewer
superheated and poorly ventilated homes, besides their muscular
development holds down their emotional centers to a safe level.
Neither are they, as a rule, disturbed by the trinity of A's which
confront a large proportion of those in the higher walks of life—
namely, Ambition, Avarice and Anxiety, and the trio of L^s which
environ the rest — namely. Laziness, Luxury and Lust.

The writer desires to be placed upon record in favor of the
position that, in spite of the fact that cases of neurasthenia are
overlooked by the family physician, yet the number that are
labeled nervous exhaustion by neurologists, which do not properly
come under that head, is very greatly in excess ; in other words,
to a certain degree, it has become the fad on the part of the Amer-
ican public to elect to be placed under the head of neurasthenics,
and neurasthenia is the chief hobby ridden by the nerve specialist
of today. I take the position that ninety per cent, of the so-called
cases of nervous exhaustion are spurious. That they are the vic-
tims of nervous weariness may be admitted, but weariness and
exhaustion are two different things. Physical weariness may occur
in three ways : the muscles may be affected, the nerves may
become fatigued, the brain may become weary ; all or any of the



Online LibraryJ. A. (Joel Asaph) AllenBuffalo medical journal → online text (page 51 of 78)