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J. A. (Joel Asaph) Allen.

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dress, by Dr. Theophilus Parvin, attracts attention from two
points of view. First, he paid a graceful compliment to the
American Association of Obstetricians and Gynecologists, admit-
ting it to be a formidable rival national association. He said:



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564 KEYIBWS.

<^That association numbers many able members, and has done very
creditable and useful work." Regarding the proposition of the
amalgamation of the two societies, he recorded himself as decidedly
against such a project, for, he continued, the country is too large,,
the number of the profession too great for the amalgamation of
the two organizations. Moreover, he spoke in decided opposition
to a duality of membership, because, he affirmed, proselyting is
neither pleasant nor promising, and there is work enough for each
organization. His words on this subject deserve to be pondered
by every member of both societies, and we here reproduce them
in part, as follows :

Nor do I believe that professional polygamy should be encouraged ;:
monogamy ought to be the rule, and even bigamy a rare exception.
Possibly doctors may sometimes want double honors, or triple, as a
bashaw is not content with one tail, but seeks two or three as symbols
of his power and importance. A doctor has at times been called to a
young child suffering with digestive disorder, and to his inquiry as to
its diet, he is told : Oh, it sits at the table and takes everything that
is going.

A divided is still too often a doubtful allegiance, and I believe that
a man ought to be satisfied to be a member of either organization.
Moreover, the American Gynecological Society — good members as it
has received from its rival, good men as it may now or in the future
have the opportunity of receiving — has not room for the reception of
such applicants without excluding equally qualified men who do not
belong to any similar organization.

After this eloquent and just rebube, it is to be hoped that no
further attempts will be made on the part of the older society to
subtract from the younger any of its members.

The second point in this address to which we would call atten-
tion, is Dr. Parvin's advocacy of a reamalgamation of the chairs of
obstetrics and gynecology in the medical schools. Impressed with
the importance of this subject, he wrote to Professor Winckel ask-
ing the reasons for the practice, universally prevalent in Germany,
of uniting obstetrics and diseases of women under one teacher.
WinckePs communication follows the president's address, and is an
elaborate setting forth of this view of the subject. It is in such
complete juxtaposition to American ideas and practice that we
commend it to the careful study of all interested. There is one
brilliant example in this country where a union of the practice of
the two departments in a single individual has given results of a



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60WEBS : MANUAL OF DISEASES OF THE NERVOUS SYSTEM. 565

most resplendant character. Dr. Joseph Price, of Philadelphia,
who is coQcededly the foremost American abdominal surgeon, has,
^8 physician in charge of the Preston Retreat during the past six
years, demonstrated his competency as an obstetrician, by present-
ing to the profession the most striking and satisfactory record
made by any maternity physician in the world — namely, more than
thirteen hundred consecutive confinements, including operative
-cases of the most serious character, without a death.

As we said at the outset, this book is full of interesting read-
ing, and will well repay a careful perusal.



A Manual of Diseases of the Nervous System. By W. R. Gowebs,
M. D,. F. R. C. P., F. R. S., Consulting Physician to University
College Hospital ; Physician to the National Hospital for the
Paralyzed and Epileptic. Second edition, revised and enlarged.
Volume II. Diseckses of the Brain and Cranial Nerves, General
and Functional Diseases of the Nervous System. With 182 illustra-
tions, including a large number of figures. Octavo, pp. xvi. — 1069.
Philadelphia : P. Blakiston, Son & Co., 1012 Walnut street. 1893.

The reputation of the author is such that a review of his work
is in reality a review of our present knowledge of nervous disease.
Whatever Professor Gowers treats he does so fully and from his
^wn experience. This volume, as its title indicates, considers the
diseases of the brain, cranial nerves and the functional diseases.
The first sixty pages deal purely with the structure and function
of the brain, considering in detail the cerebral cortex, its relation
to the skull and its functional regions of sight, speech, hearing,
smell and centers of motion. This is most clearly done and eluci-
dated by means of reports of cases, illustrated by nineteen plates.

The connecting tracts and ganglias, the cranial nerves and their
origins are next considered, and the subject matter is rendered
^asy of understanding by numerous illustrations.

In his discussion of the cerebellum, it is profitable to note that
in these days of exact localization of brain function, he is obliged
to say (page 59) : "The function of the cerebellum is still mys-
terious." " The simple loss of substance causes no definite and
recognizable loss of any function of the brain."

" The loss can apparently be compensated by other parts. Hence
it is possible that the old theory may be correct, that the cerebellar
hemispheres are in some way connected with psychical processes."

In his study of the cranial nerves and the clinical symptoms to
which each may give rise, one is impressed with the thoroughness



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566 REVIEWS.

of the work done, especially in his consideration of the ocular
nerves, which is more complete in detail than in any other work on
the subject.

The book everywhere shows a careful revision of the first edi-
tion. In his classification of causes of paralysis of the ocular
muscles, in addition to eight causes given in edition one, he men-
tions hemorrhage into the sheath of a nerve in Goldscheider's case^
in 1892. This is mentioned as an example of the minute aare in
this edition to bring it up to the latest knowledge.

In the article on meningitis, he mentions (page 328) serous.
pachymeningitis, which is not referred to in edition one.

The article on actinomycosis and also the one on astasia abasia,
is entirely new, no reference beihg made to them in edition one.

The recent advances in cerebral surgery have led the author to
advocate surgical measures in sinus thrombosis, which he did not
do previously. He refers to Ballance, who opened the sinus after
double ligature of the jugular vein and then cleared out the throm-
bus with satisfactory results, and without extension to the opposite
sinus.

Of acute cerebral palsies of children, he says that valuable
analyses of cases have been published since the first edition of this
work, and refers to Osier-Sachs and toVolkmann's VortrSge, 1892,.
Die Hirnlahmunger der Kinder.

In his first edition the subject of tetanus was fully up to the-
date of its writing. In the second edition the bacillus is men-
tioned, and the entire theory of the disease is changed.

In his treatment of diseases we notice that the author haa
accepted the new drugs antipyrin, acetanilide, exalgin and phe-
nacetin. In his first edition antipyrin was not recommended.

Concerning these drugs in his treatment of neuralgia, he says:
<< In some cases, marked relief is afforded by them ; they are some-
what uncertain in their influence, which is sometimes great at first
and afterward slight."

In his chapter on paralysis after acute diseases, he refers to-
typhoid fever, typhus fever, erysipelas, variola, measles, scarlet
fever, mumps, malarial fever, dysentery, simple diarrhea, acute
rheumatism, influenza and diphtheria. Of these, influenza as a
cause of paralysis was not mentioned in edition one. This is in-
teresting, because edition one was written in 1888. He says there-
is no acute malady with the "exception of diptheria, after which
the disturbance of the nervous system is so frequent as after in-



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HOLDBN : OUTLINE OP THE EMBRYOLOGY OF THE EYE. 567

flaenza. This effect has never been perceived so distinctly as in
the last four years, 1890-03.

Under the varieties of nervous disturbances we find definite
melancholia, mental dulness, mania hysteria, convulsions of epi-
leptic character, intercostal neuritis, multiple neuritis, meningitis,
hemorrhages, cerebritis and myelitis. Thus we see that the
sequelsB of influenza are extremely varied, and that they are far
more to be dreaded than the disease itself.

That the author is an Englishman accounts, perhaps, for the
fact that he does not mention the fact of eye strain in headaches,
migraine, epilepsy, or chorea. This is not because he has not
studied the subject, but evidently it is because he has not found
that eye strain is a cause of epilepsy, or chorea of headache, or
a migraine. We are not surprised at the fact that he does not
mention ocular errors in connection with the first named diseases,
but we would like to have had a definite opinion from him on the
relation of headache to eye strain.

In this book we also look in vain for articles on myxedema
and acromegaly. Perhaps he does not consider them as nervous
in origin, and therefore should have no place in a treatise strictly
on diseases of the nervous system. They are, however, treated in
the American books on nervous diseases.

Taken as a whole, the work of Prof. Gowers is a most com-
prehensive and judicial one. His opinion on doubtful points is
always given and with it his reasons for it.

The treatment is perhaps the least satisfactory, but perhaps
that is because of 'his extreme honesty. No better book on the
subject has appeared in any language, and as we have shown it is
thoroughly revised up to date.

The illustrations are numerous, but in many instances are poor.

The type and paper are good. J. W. P.



An Outline of the Embryology of the Eye, with illustrations from %
original pen-drawings by the author. By Ward A. Holden. A. M..
M. D., assistant surgeon New York Ophthalmic and Aurallnstitute,
Clinical Assistant Vanderbilt Clinic. The Cartwright Prize Essay
for 1893, pp. 69. 12mo. G. P. Putnam's Sons, New York and Lon-
don. 1893.

This is a clear and concise exposition of the embryological
development of the eye. The author has studied the subject
experimentally, and his excellent descriptions are illustrated by a



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568 REVIEWS.

connected series of equally excellent engravings, mostly from
drawings by himself. The work is to be highly commended.

A. A. H.



International Clinics. A Quarterly of Clinical Lectures on Medi-
cine, Neurology. Pediatrics, Surgery, Genito-Urinary Surgery.
Gynecology, Ophthalmology, Laryngology, Otology and Dermatol-
ogy. By professors and lecturers in the leading medical colleges
of the United States, Great Britain and Canada. Edited by John
M. Keating. M. D., LL. D., Colorado Springs, Col. ; Fellow of Col-
lege of Physicians. Philadelphia ; formerly Consulting Physician
for Diseases of Women to St. Agnes^ Hospital ; Gynecologist to St.
Joseph^s Hospital ; Visiting Obstetrician to the Philadelphia Hos-
pital, and Lecturer on Diseases of Women and Children, Philadel-
phia ; Editor Cyclopedia of the Diseases of Children. Judson
Daland, M. D., Philadelphia, Instructor in Clinical Medicine, and
Lecturer on Physical Diagnosis and Symptomatology, in the Uni-
versity of Pennsylvania ; Assistant Physician to the University
Hospital ; Physician to the Philadelphia Hospital and to the Rush
Hospital for Consumption. J. Mitchell Bruce, M. D.. F. R. C. P.,
London, England. Physician and Lecturer on Therapeutics at the
Charing Cross Hospital. David W. Finlay, M. D., F. R. C. P.,
Aberdeen, Scotland, Professor of Practice of Medicine in the Uni-
versi^by of Aberdeen ; Physician to, and Lecturer on, Clinical Medi-
cine in the Aberdeen Royal Infirmary ; Consulting Physician to the
Royal Hospital for Diseases of the Chest, London. Volume II.
Third series, 1893. Royal octavo, pp. xii. — 363. Philadelphia :
J. B. Lippincott Co. 1893.

In this volnme is continued the valuable series of clinical
lectures that have been issued by the Lippincott Company during
several years past. This volume is no exception to the rule in
interesting and instructive clinical teaching. Buffalo, too, is well
represented in this volnme. Dr. Charles Gary presents a lecture
on Gonorrheal Iritis and another on Impetigo Contagiosum ; Dr. M.
D. Mann one on Retained Menstrual Blood ; Dr. Roswell Park
one on Trephining for the Psychopathic Equivalent of Epilepsy
— Craniotomy for Idiocy ; there is one by Dr. W. C. Phelps on
Stenosis of the Pharynx ; one by Dr. James Wright Putnam on
Hysteria in the Male ; and one by Dr. Charles G. Stockton on
Hepatic Cirrhosis. Other lectures of interest are delivered by
Dr. E. E. Montgomery, of Philadelphia, Dr. Emory Lanpbear, of
Kansas City, Dr. Stephen Smith, of New York, Dr. E. Fletcher
Ingals, of Chicago, Dr. John B. Hamilton, of Chicago, as well as
many others whom we have not space to mention. It is a satis-
factory companion to the numbers that have preceded it.



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PBFPBR : THE THBOBY AND PBACTICB OF MBDICINB. 569

A Text-Book or the Theory and Practice of Medicine. By Ameri-
can teachers. Edited by William Pepper. M. D., LL. D., Provost
and Professor of the Theory and Practice of Medicine and of Clini-
cal Medicine in the University of Pennsylvania. In two volumes ;
illustrated. Vol. II. Large octavo, pp. xii. —1046. Philadelphia :
W. B. Saunders, 913 Walnut street. 1894. Price per volume,
cloth, $5.00 ; leather, $6.00; half Russia, $7.00. For sale by sub-
scription oi^y.

This volume coDtains contributions from Dr. W. H. Welch, Dr.
Henry M. Lyman, Dr. William Osier, Dr. William Pepper, Dr.
James C. Wilson, Dr. Francis Delafield, Dr. James W. Holland
and Dr. Reginald H. Fitz.

The first article by Dr. Welch upon the biology of bacteria,
infection and immunity, is one of very great value, and presents
in a concise manner a close, thorough and elaborate study of these
subjects. This article alone makes the volume desirable. The
biology of bacteria is treated under the headings morphology
itnd classification ; food, vital manifestations — distribution ;
agencies injurious to bacteria ; modifications of characters ; atten-
tion of virulence ; marks of differentiation. The data of these
subjects are given up to February, 1894.

Dr. Lyman has prepared a series of articles, among which
those upon saccharine diabetes and acute articular rheumatism
deserve special mention. Dr. Osler^s contribution upon diseases
of the blood is very complete. We know of nothing that more
forcibly illustrates the change that has been wrought in our
methods of medical diagnosis during the past few years than does
this masterly article by Dr. Osier, in which the latest devices for
the examination of the blood are illustrated. Dr. Osier attaches
considerable importance to the Blitz-hedin hematokrit, and thinks
it will be more generally adopted as soon as a few suggested
improvements have been made in it. Any instrument of precision
that will furnish the busy clinician with scientific data for diagnosis
is always welcome and valuable.

Dr. Pepper's prolific pen gives to this volume a large number
of good contributions. Wide experience and knowledge of medi-
cine pervade whatever Dr. Pepper writes, and we are espe-
cially fortunate in being favored by the busy editor of the
volume.

Dr. Wilson contributes the sections upon diseases of the nose,
larynx, bronchi and pleura. Dr. Delafield has M^ritten the chapter
<ipon diseases of the lungs and kidneys; while good articles upon



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570 BEVIXW8.

diseases of the peritoneum, liver aod pancreas are from the pen of
Dr. Fitz.

This volume, as a whole, is a good book for students as well aa
for practitioners. A. A. J.



Manual of Physical Diagnosis, for the Use of Students and Physi-
cians. By James TrsoN, M. D., Professor of Clinical Medicine in
the University of Pennsylvania, and Physician to the University
Hospital ; Physician to the Rush Hospital for Consumption and
Allied Diseases ; Fellow of the College of Physicians of Philadelphia ;
Member of the Association of American Physicians, etc. Second
edition, revised and enlarged. Duodecimo, pp. 241. Philadelphia :
P. Blakiston, Son & Co., 1012 Walnut street. 1893. Price, $1.60.

The appearance of a second edition of this manual so soon
after the issuance of the first bespeaks not only the popularity of
the book but the importance of the subject, an appreciation of
which is gradually growing wider and wider as medical science^
advances. We can only reiterate what we have said heretofore^
that it is of paramount importance for the student of medicine to
be well drilled in physical diagnosis, in order that be may properly
interpret the phenomena of disease, and intelligently apply
methods of treatment. Tyson^s work is concise, instructive and
valuable, and deserves to be carefully studied both by medical
students and physicians.



Transactions of the Medical and Chiruroical Faculty of the
State of Maryland. Ninety-fourth annual session, held at Balti-
more, Maryland, April, 1892 ; also semi-annual session, held at
Rockville. Md. , November, 1891. Paper octavo, pp. 124. Baltimore:
Griffin, Curley & Co., Printers, 202 E. Baltimore street. 1892.

Transactions of the Medical and Chiruroical Faculty of the.
State of Maryland. Ninety-fifth annual session, held at Balti-
more, Md., April. 1893 ; also semi-annual session, held at Easton,
Md,, November, 1892, Paper, octavo, pp. 111. Baltimore: Griffin,
Curley & Co., Printers, 202 E. Baltimore street. 1893.

These two volumes include the minutes, reports of committees
and the president's annual address for the years 1892 and 1893,.
and the address of the annual orator for 1893, Dr. Reginald H.
Fitz, of Boston, who chose for his subject. Intraperitoneal Hemorr-
hage. The observations of Dr. Fitz are always entertaining and
instructive and he was as much so on this occasion as ever. In
the course of his paper. Dr. Fitz remarked that "the prevailing
idea that intraperitoneal hemorrhage is always a disease of womea



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BOOKS BBCBIVED. 571

and is the resalt of ectopic gestation, has a certain practical valae>
but is not true. Mild and fatal cases occur in men, though in far
less proportions than in women. That the hemorrhage may take
place it is essential that blood-vessels rupture. The rupture
demands a weakened vascular wall. This weakening is the result
of causes which may occur in either sex alike, or may be limited
to the female sex." While this statement is an admitted truth, it
is none the less true that by far the most frequent cause of
intraperitoneal hemorrhage is the rupture of an ectopic gestation
sac.

In an explanatory note it is stated that on account of the scar-
city of funds, the faculty directed the publication committee to
omit the publication of all papers read before the society except
the address of the president and the annual oration.



Twelfth Annual Report of the State Board of Health of New York.
Transmitted to the Legislature, February, 1892. Octavo, pp. 658.
Albany : James B. Lyon, State Printer, 1892.

Thirteenth Annual Report of the State Board of Health of New
York. Transmitted to the Legislature, March 9, 1893. Octavo,
pp. 736, with maps. Albany : James B. Lyon, State Printer. 1893.

Whatever may be said in criticism of the office methods of the
State Board of Health, lately under investigation by the legisla-
ture, it must be confessed that its official work is well done, as in-
dicated by the volumes before us. We have been at a loss to un-
derstand why these reports have appeared at so late a date, but we
presume that it is no fault of the board, but rather of the public
printer. The work done by the New York State Board of Health
will compare favorably with that of other states. These volumes
will possess interest to all who are identified with preventive
medicine either officially or as a matter of preference.



BOOKS RECEIVED.

A Practical Treatise on Medical Diagnosis, for Students and Physi-
cians. By. John H. Musser, M. D., Assistant Professor of Clinical Med-
icine in the University of Pennsylvania. Philadelphia ; President of the
Pathological Society of Philadelphia. Octavo, 873 pages, 162 engrav-
ings and two colored plates. Cloth, (5.00 ; leather, $6.00. Philadel-
phia : Lea Brothers & Co. 1894.

Medical Jurisprudence, Forensic Medicine aud Toxicology. By R.
A. Witthaus, A.M., M. D., Professor of Chemistry, Physics and Hygiene
in the University of the City of New York, etc., and Tracy C. Becker,



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612 BOOKS BBCEIVED.

A. B., LL. B., Counselor-at-Law and Professor of Criminal Law and
Medical Jurisprudence in the University of Buffalo. In four volumes.
Volume I. Large 8vo, 845 pag^es, illustrated with wood-cuts and two
lithographic plates in colors. Price, in muslin, $5.00 ; in hrown sheep
and in law style, $6.00 per volume. Sold by subscription only. New
York : William Wood & Company. 1894.

Tumors, Innocent and Malignant. Their Clinical Features and
Appropriate Treatment. By J. Bland Sutton, F. R. C. S., Assistant
Surgeon to the Middlesex Hospital, London. In one very handsome
octavo volume of 526 pages, with 250 engravings and nine full-page
plates. Cloth, $4.50. Philadelphia: Lea Brothers & Co., Publishers.
1894.

The Year-Book of Treatment for 1894. A Comprehensive and Criti-
cal Review, for Practitioners of Medicine and Surgery. In a series of
twenty- four chapters, by eminent specialists. In one 12mo volume of
497 pages. Cloth, $1.50. Philadelphia : Lea Brothers & Co. 1894.

A Text-book on Diseases of the Eye. By Henry D. Noyes, A. M.,
M. D. Complete in one octavo volume of 816 pages, profusely illus-
trated with 269 wood engravings in the text, five chromo-lithographic
plates, and ten plates in black and colors. Second revised ediUon.
Price, in cloth, $6.00; leather, $7.00. New York : William Wood &
Company. 1894.

An American Text-book of the Diseases of Children, including
special chapters on Essential Surgical Subjects ; Diseases of the Eye,
Ear, Nose and Throat ; Diseases of the Skin ; and on the Diet, Hygiene
and General Management of Children. By American teachers. Edited
by Louis Starr, M. D., Physician to the Children's Hospital, and Con-
sulting Podiatrist to the Maternity Hospital, Philadelphia ; Late Clini-
cal Professor of Diseases of Children in the Hospital of the University
of Pennsylvania ; Member of the Association of American Physicians,
and of the American Pediatric Society ; Fellow of the College of Phy-
sicians of Philadelphia, etc. Assisted by Thompson S. Westcott, M. D.,
Attending Physician to the Dispensary for Diseases of Children, Hospi-
tal of the University of Pennsylvania ; Physician to Out-Patient
Department, Episcopal Hospital ; Fellow of the College of Physicians
of Philadelphia., Royal 8vo, pp. xiv.— 1,190. Illustrated with wood-
cuts and twenty-eight half-tone and colored plates. Sold by subscrip-
tion only. Price, cloth, $7.00; sheep. $8.00; half Russia. $9.00.
Philadelphia : W. B. Saunders, 925 Walnut street. 1894.

A Manual of Therapeutics. By A. A, Stevens, M. D., Lecturer on
Terminology and Instructor in Physical Diagnosis in the University of
Pennsylvania ; Demonstrator of Pathology in the Woman's Medical
College, Philadelphia, etc., etc. Small 8vo, pp. 435. Price. $2.25.
Philadelphia : W. B. Saunders, 925 Walnut street. 1894.

Syllabus of the Obstetrical Lectures in the Medical Department of
the University of Pennsylvania. By Richard C. Norris, M. D., Demon-
strator of Obstetrics, University of Pennsylvania ; Assistant Obstetri-
cian, University Maternity, etc., etc. Third edition. Duodecimo, pp.
xviii.— 222. Price, $2.00 net. Philadelphia: W. B. Saunders, 925
Walnut street. 1894.

Essentials of Physics. Arranged in the form of questions and
answers. Prepared especially for students of medicine. By Fred. J.



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LITERAKY NOTES. 673

Brockway, M. D., Assistant Demonstrator of Anatomy at the College
of Physicians and Surgeons, New York. Saunders^ Question-Compends,
No. 22. Second edition, revised. With 166 illustrations. Duo-
decimo, pp. 330. Price, $1.00 net. Philadelphia : W. B. Saunders,
926 Walnut street. 1894.



Online LibraryJ. A. (Joel Asaph) AllenBuffalo medical journal → online text (page 57 of 78)