J. A. (Joel Asaph) Allen.

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is called to the insanities of the different physiological epochs of
life, — pubescent, adolescent, climacteric, — and the degree of
involvement of perception, memory and judgment, in the differ-
ent forms of mental disease are scientifically and systematically

Part III. is full of valuable suggestions, derived from yeara
of experience in the management of the insane, and, well studied,,
cannot help proving beneficial to nurses and to patients under their

We believe the little volume will be of great assistance to those
whose duty it is to teach classes in training-schools, and also to
nurses in their daily work. We do not think the preface any addi-

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tion to the book. To the beginner we fear it must be somewhat
depressing, for he must needs study of *' concepts " further on, in
order to read it intelligently. For him, the preface should be
placed at the end of the book rather than at the beginning.

The work of the publisher is good and in keeping with the lit-
erary and scientific character of the book. A. W. H.

How TO Use the Forceps, with an Introductory Account of the Female
Pelvis and of the Mechanism of Delivery. By Henrt G. Lamdis,
A. M., M. D., Professor of Obstetrics and Diseases of Women and
Children in Starling Medical College, Columbus, O. Revised and
enlarged by Charles H. Bu^hong, M. D., Assistant Gynecologist and
Pathologist to Dewitt Dispensary, New York. Small 8vo. pp. 203 ;
illustrated. Price. $1.76. New York: E. B. Treat, Publisher, 5
Cooper Union. 1894.

It is important to arm the student of obstetrics, as well as the
young practitioner of the obstetric art, with ample instructions on
the subject of the forceps. It is an instrument in more general
use than any other in the lying-in chamber, and it is one in which
an astonishing amount of ignorance prevails regarding the meth-
ods of its application. It would seem as though a question so
entirely governed by mechanical laws ought to be of universal
and uniform application. It is to be feared that obstetric teachers
have not always been clear enough in their instruction regarding
the use of the forceps, hence students, in many instances, have
gone out from the schools with indifferent, imperfect or false
notions concerning the proper application of this humane and
important aid to delivery.

The book before us has been in the hands of the profession
since 1880, hence is no stranger seeking introduction through
formal and technical review. While it is probable that the dis-
tinguished author, were he living, would modify some of the state-
ments made in his valuable book and would elaborate others^
it must ever remain to his credit that he was the first American
author to present a monograph on the subject that the title of his
book bears. It is a work full of useful information, and suggests
the propriety of greater elaboration both in text and in illustra-
tion. There are some very good outlined drawings illustrative of
the passage of the fetal head through the pelvis, but much more
might be done to illustrate the text through the aid of the photo-
graph and the heliotype. The editor has made a few additions to
the work, in an attempt to bring it forward to the present period.

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bat there remains vet much to be done to make it all that coald
be desired in this respect. Notwithstanding its imperfections, it
is the best book of the kind and should be possessed by all obstet-

Holden's Anatomy. A Manual of the Dissections of the Human Body.
By John Langton, F. R. C. S., Surgeon to, and Lecturer on, Ana-
tomy 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
American Anatomists, etc. Sixth edition ; 311 illustrations. Small

8vo, pp. XX 803. Price. $3.00. Philadelphia: P. Blakiston,

Son & Co., 1012 Walnut street. 1894.

The sixth edition of this work, now before as, is an index of
its popularity. The first edition was issned in 1851, and while
six editions of an ordinary medical work in forty-three years are not
many, yet for an anatomy it speaks volnmes. The human body is
not changeable as to its form or functions, yet new anatomical
features are occasionally coming to light, and methods of teaching
are constantly changing. Hence, an occasional new edition of a
treatise on anatomy becomes necessary.

The special purpose of the author in issuing this manual was
to place in the hands of the student a suitable working book for
the dissecting-room. In it he has endeavored to direct attention
to the prominent facts of anatomy and to teach the ground-work
of the science ; to trace the connection and to point out the rela-
tive situation of parts without perplexing the student with minute
descriptions. It is in no sense intended to supplant the more com-
plete anatomical works or to fill the place for which they are
intended. It is an excellent working book for the dissecting-room
and is not excelled by any extant with which we are familiar.

The editor of the sixth edition has taken great pains to bring
the work abreast of the present time, and has put an enormous
amount of labor into its revision, for which he deserves great

Transactions of the American Association of Obstetricians and
Gynecologists. Volume VI. for the year 1893. Edited by
William Warren Potter. M. D., Secretary. Philadelphia:
William J. Dornan. 1894.

This volume, like its predecessors, is full of interest to the
obstetrician, gynecologist, abdominal and pelvic surgeon. The
president's annual address, entitled The Present Position of Pelvic

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Sargery, by L. S. MoMartry, M. D., Louisville, Is an interesting
and able exposition of the subject, and deserves to be carefully
read by every interested physician. One of the attractive features
of the transactions of this association, and the present volume is no
exception to the rule, is the great strength of the discussions.
These serve to make the text of the papers stand out in bold relief,
and are full of instruction, as all just criticisms are and ever must
be. As illustrating this point, we may instance the discussion on
the papers of Drs. Longyear and Reed, relating to the closure and
management of the abdominal incision. The text of both papers
is strong and the discussions are searching.

The volume is well illustrated, though there is room for further
olaboration in this department. It contains a memorial of Dr.
George Jackson Fisher, accompanied by a full-page lithographic
portrait of this remarkable man.

Those who desire to obtain this volume should make early
application for it, as the edition is limited.

Thb Yeab^Book of Tbeatment fob 1894. A Comprehensive and
Critical 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.

This book has appeared with promptitude for the last ten
years, so that now it has become firmly established as a reference
book of treatment, which is, as its title indicates, a critical review
of that subject in its broadest sense. It is a valuable aid to every
physician who would keep abreast of the progress making in
knowledge relating to the management of disease.

It consists of twenty-four chapters, each contributed by a writer
eminent in his assigned subject. These are grouped mainly from
English sources, but their work is of such a nature as to embrace
the literature of the world. Some of the articles are written in
much detail, but references to the original source are given in all
instances, making it convenient to pursue extended research when-
ever desired. The book contains a selected list of new books, new
editions and translations, and the volume is closed by an index of
authors quoted, as well as an index of subjects. Those who have
possessed themselves of the previous volumes will make haste to
obtain this, while all will find it an exceedingly useful book of

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A Practical Treatise on the Diseases of the Hair and Scalp.
By George Thomas Jackson. M. D., Professor of Dermatology.
Woman's Medical Collef^e. New York Infirmary ; Chief of Clinic
and Instructor in Dermatology, College of Physicians and Surgeons ;
Consulting Dermatologist. Presbyterian Hospital ; Visiting Derma-
tologist, Randairs Island Hospital ; Member of the American Der-
matological Association, etc. New revised and enlarged edition.
Small 8vo, pp. 414. New York : E. B. Treat, 6 Cooper Union.
1893. Price. $2.76.

The proper care of the hair is a very important part of the
knowledge that should be possessed by the dermatologist, and to a
very large extent by the general practitioner of medicine. The
author of this book is well known to the profession as a competent
teacher as well as practiser of dermatology. When the first edition
of his work was issued, it was about the first scientific treatise
known on the subject. Since it was issued in March, 1887, knowl-
edge on the subject has increased in a vast degree, rendering a
new edition absolutely necessary to keep up with the advances
making in this department of medicine.

The author states that every page of the old edition has been
revised and corrected ; that new articles upon folliculitis decal-
vans, lepothrix and aplasia pilorum propria, and many new sec-
tions to the old chapters, have been added ; that the bibliography
has been brought down to January, 1893, and nine new illustra-
tions have been inserted in the text.

This work deserves to be found on the book-shelves of every
progressive physician.

A Practical Treatise on Nervous Exhaustion (Neurasthenia) :
Its Symptoms, Nature, Sequences, Treatment By George M.
Beard. A. M., M. D., Fellow of the New York Academy of Medi-
cine, of the New York Academy of Sciences ; Vice-President of the
American Academy of Medicine ; Member of the American Neuro-
logical Association, of the American Medical Association, the New
York Neurological Society, etc. Edited, with notes and additions,
by A. D. Rockwell. A. M., M. D., Professor of Electro-Therapeutics
in the New York Post-Graduate Medical School and Hospital ; Fel-
low of the New York Academy ; Member of the American Neuro-
logical Association, of the New York Neurological Society, etc.
Third edition, enlarged. Small 8vo, pp. 262. Price, $2.75. New
York : E. B. Treat, 6 CJooper Union. 1894.

After five years, a new edition of this instructive and readable
book makes its appearance. When Beard first called attention to
neurasthenia in a paper published in the Boston Medical and Sur-
gical Journal^ April, 1869, it attracted absolutely no attention
whatever. Now, after twenty-five years, so-called nervous prostra-

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tion has become almost a fashionable disease. At all events, a
certain group of symptoms commonly so termed, bat profession-
ally named as neurasthenia, is met by almost every physician in
his daily practice.

The author is especially clear and succinct in dealing with the
diagnosis of neurasthenia, while the editor has succeeded in bring-
ing the work well down to the present through his own contribu-
tions and additions to the subject. It is an excellent treatise for
the general practitioner to possess, and the specialist cannot afford
to be without it.

Thb Micboscope and Micbosoopical Methods. By Simon Hbnbt
Gage, Associate Professor of Anatomy, Histology and Embryology
in Cornell University, Ithaca, N. Y. Fifth edition, rewritten,
greatly enlarged and illustrated by 103 figures in the text. Part I.
of The Microscope and Histology. Ithaca, N. Y. : Comstock Pub-
lishing Co. 1894.

The fourth edition of Professor Gage's Histology was reviewed
at some length in the January (1892) number of the Joubnal, and
its many excellent qualities there set forth. The fifth edition has
been in part rewritten and enlarged, so that it is nearly one-half
larger than the preceding edition. This has been done to bring the
subject up to the present state of the science and to incorporate a
new chapter on photography and photo-micrography. The
importance of photography to a microscopist is becoming every
day more apparent, and the able treatment of this chapter in
Professor Gage's book will help materially to bring the two
sciences in closer relation.

On the whole there is, perhaps, no book that will ground the
beginner so thoroughly in microscopy as this work of Professor
Gage. W. C. K.

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

The Modebn Climatic Tbeatment of Invalids with Pulmonabt
Consumption in Southebn Calipobnia. By P. C. Remondino,
M. D. Member of the American Medical Association, American
Public Health Association, etc., etc. Physicians^ Leisure Library.
Price, paper, 25 cento; cloth, 50 cento. Detroit, Mich.: Greorge
S. Davis. 1893.

I. Antiseptic therapeutics is forming a large part in the
practice of medicine as well as surgery. Many of its conditions

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are as yet unsettled, but it is well to have occasional expositions
noting progress on the subject that shall keep pace with the
advances in bacteriology. These two volumes by Trouessant^
forming a portion of the Physicians' Leisure Library, will amply
repay perusal, and are a remarkably cheap edition of valuable

II. The recent studies in tuberculosis, that have shown it to
be a communicable disease, lends added interest to any literature
that is published regarding its treatment. If it is communicable,
which cannot be denied, it is preventable, and if preventable it is
or ought to be curable. Climate has always played an important
part in its cure, and California within the last few years has
attracted much attention in this regard on account of its salubrious
climate. The author has set forth its claims in a readable fashion.


Gonorrhea: Beiug the Translation of Blenorrhea of the Sexual
Organs and Its Complications. By Dr. Ernest Finger, Doceut at the Uni-
versity of Vienna. One volume, of 330 pages, octavo, illustrated by
numerous wood engravings, and by seven chromo-lithographic plates.
Third revised and enlarged edition. Bound in muslin, gold lettered,
$3.00. New York : William Wood & Company. 1894.

The Johns Hopkins Hospital Reports. Volume IV., No. 1. Report
on Typhoid Fever. Quarto, pp. 167. Baltimore ; The Johns Hopkins
Press. 1894.

Transactions of the American Dermatological Association at its
seventeenth annual meeting, held at the Hotel Pfister, Milwaukee,
Wis., on the 5th and 6th of September, 1893. Edited by George
Thomas Jackson. M. D., Secretary. Octavo, paper, pp. 82. New
York. 1894.

Clinical Diagnosis. By Albert Abrams, M. D., Heidelberg ; Pro-
fessor of Pathology, Cooper Medical College, San Francisco ; Patholo-
gist to the City and County Hospital, San Francisco, etc., etc. Third
edition, revised and enlarged. Illustrated. Small 8vo, pp. 273. Price,
$2.75. New York : E. B. Treat, 5 Cooper Union. 1894.

A Manual of Practical Obstetrics. By Edward P. Davis, A. M.,
M. D.. Professor of Obstetrics and Diseases of Infancy in the Philadel-
phia Polyclinic ; Clinical Professor of Pediatrics in the Woman's Medi-
cal College ; Clinical Lecturer on Obstetrics and Gynecology in the
Jefferson Medical College, etc., etc. Second edition, revised and
enlarged. With 134 illustrations and sixteen full-page plates, several
of which are colored. Small 8vo, pp. xii.— 351. Price, $2.50. P.
Blakiston, Son & Co., 1012 Walnut street. 1894.

Pain in its Neuro-Pathological, Diagnostic, Medico-Legal and
N euro-Therapeutic Relations. By J. Leonard Corning, A. M., M. D..
Consultant in Nervous Diseases to St. Francis' Hospital, St. Mary's Hos-
pital, the Hackensack Hospital, etc.. etc. Illustrated. Small 8vo,.
pp. 328. Philadelphia : J. B. Lippincott Company. 1894.

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A Manual of Nursing in Pelvic Surgery. By Lewis S. McMurtry,
A. M., M. D., Professor of Gynecology in the Hospital College of Med-
icine, Louisville ; Surgeon-in-Charge of the Jennie Cassady Infirmary
for Women ; Gynecologist to Sts. Mary and Elizabeth Hospital, etc.
Duodecimo, pp. 92. Morton^s Pocket Series, No. 8. Louisville : John
P. Morton & Company. 1894.

Transactions of the Southern Surgical and Gynecological Associa-
tion. Volume VI. Sixth session. Held at New Orleans, La. , Novem-
ber 14, 16 and 16, 1893. Octavo, pp. xlvii.— 392. Edited by W. E. B.
Davis, M. D., Secretary. Publbhed by the Association. Philadelphia:
W. J. Doman. Printer. 1894.

Essentials of Practice of Pharmacy, arranged in the form of Ques-
tions and Answers. Prepared especially for pharmaceutical students.
Saunders^ Question Compends, No. 18. Second edition, revised. By
Lucius E. Say re, Ph. G., Professor of Pharmacy and Materia Medica
of the School of Pharmacy of the University of Kansas. Duodecimo,
pp. ix.— 200. Price, $1.00. Philadelphia: W. B. Saunders, 925
Walnut street. 1894.

Asepsis in der Gynakologie und Geburtshulfe. Von Dr. M. Sanger,
ausserordentlioher Professor an der Universitat, Leipzig, und Dr. W.
Odenthal, in Hanover, friiher Assistenzarzt an Prof. Sanger^s Heil-
anstalt. With two plates and forty-two illustrations in the text.
Leipzig : C. G. Naumann. 1894.

bilerar^ flofeib.

Civil Service Examination for Women Physicians. — An open
competitive examination for the position of woman physician in
the state hospitals, will be held at the office of the State Civil Ser-
vice Commission, Albany, Wednesday, May 23, 1894, at 9 o'clock

A. M.

Applicants must be residents of the State of New York, grad-
uates of a legally incorporated medical college, and mast have had
one year's experience in a hospital, or three years' experience in
the general practice of medicine. Limits of age, 21 to 50. Salary^
$1,200 per annum and maintenance.

For application blank, address New York Civil Service Com-
mission, Albany, N. Y.


Chief Examiner.
Albany, N. Y., April 13, 1894.

The New York State Medical Reporter made its appearance in
March, 1894. It is a monthly journal of medicine and surgery,
edited by H. Bronson Gee, M. D., and published at Rochester,
N. Y. It is a handsomely printed double-columned magazine of

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thirty-two pages, imperial octavo in size, and judged by its first
number it will become a valuable addition to periodical medical
literature. Its initial number contains an article by Dr. Louis A.
Weigel, of Rochester, on the orthopedic treatment of deformi-
ties of paralytic origin, that is well written and handsomely

The Plimpton Manufacturing Co., of Hartford, Conn., publish in
convenient form, a Physicians' Bedside Record with Dietary,
edited by Gideon C. Segur, M. D. Each book is designed for use
but in a single case, and the physician writes his directions for the
treatment of the patient at the bottom of the page each day. The
nurse is to record each and every event connected with the patient
at the time of its occurrence. The price of this record is ten
cents each, or one dollar per dozen, to be had on application to
the publishers.

The Rbfbactionist, a journal of practical ophthalmology,
intended to be an exponent of the refraction world, has just
appeared. Published monthly. Editor, Francis F. Whittier, A. M.,
M. D., Professor Clinical Ophthalmology, College of Physicians
and Surgeons ; Ophthalmic Surgeon St. Elizabeth Hospital ; for-
merly on Resident Staff Manhattan Eye and Ear Hospital, etc., 74
Boylston street, Boston. With associate editors. Subscription
price, $2 yearly.

LisTOL Chemical Compant, of Chicago, offer to the profession a
new chemical compound of thymol and iodine, called listol, for
surgical purposes. It is claimed to be a valuable surgical dressing
in surgery, dentistry, bed sores, burns and all erosions of the skin
or mucous membrane. Their advertisenient will be found on page
zxxiii. of this issue.

Mbssbs. 0. W. Clabk & Son, of 59 Seneca street, Buffalo, have
sent out their annual catalogue for 1894. It is a handsomely illus-
trated paper of forty-eight pages, with illuminated cover, that tells
all about farm, field, vegetable and fiower seeds, and we advise
those who need any of these to consult the Messrs. Clark.

Taylob Bbos. Company, of Rochester, N. Y., appear in our adver-
tising columns on page xi., offering to the profession something
of great usefulness and value.

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Buffalo Medical .-Surgical Journal

Vol. XXXIII. JUNE, 1894. ' No. 11.

©rigiriaf (©ommuriicatlioriA.




Bt CHARLES GARY, M. D., Buffalo, N. Y.

In discussing the cause of typhoid fever at this time we want no
originality or extravagant views, and with this thought in mind I
have gathered from the most reliable of the authorities all the
material which I here present, quoting from them witho ut hesita-
tion, so that statements herein made, unless my authority be
questioned, are not open to cavil.

Typhoid fever can occur only from infection of the body with
the typhoid bacilli, and is never incurred in any other way. Bad
water, the products of decay and decomposition, tainted food,
sewer gas, wet cellars and the like cannot of themselves produce
the fever, unless the specific microorganism of typhoid be present.
It is, however, none the less true that these surroundings do fur-
nish a place for the accumulation of infection, or render persons
susceptible by depressing their vitality. Furthermore, the intro-
duction of the bacilli into the body does not necessarily produce
the disease ; for natural resistance to this, as to all disease, will
often avoid infection. So that the vitality of the microorganism,
and the vulnerability of the individual will determine the develop-
ment of typhoid fever. These statements plainly point out the
rational method of surveying the ground that I shall cover in my
portion of the discussion — nameliy, the character of this so-called
typhoid bacillus ; second, its common means of introduction into
the human body ; and third, differing susceptibility of individuals
as determined by climate, age, and the like.

1. Discussion of typhoid fever, before the BufTalo Academy of Mtnllcine, April, 18W.—
Part I.

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Has it been proved that the bacillus is the sole cause of typhoid ?
It has been so demonstrated by the cracial bacteriological test. It
is as fully proven as that the comma bacillus of Koch is the
etiological factor in Asiatic cholera. It has been proven by satis-
fying the necessary two out of the three Eoch laws ; it is con-
stantly present in every case of typhoid fever ; it does not occur
with other diseases as a harmless organism ; it grows outside the
body in a specific manner, but like cholera, leprosy and relapsing
fever, the lower animals are not susceptible to the disease, and the
final demonstration by inoculation is necessarily wanting.

I will not enter into the full description of this bacillus, but
briefly, as pictured by Eberth, Eoch, Gaffky and Frankel, it is one-
third |he size of a red blood corpuscle in length, one-third as thick
as it is long, rounded at the extremities, and sometimes exhibiting
at the center a shining rounded body, possibly a spore. It occurs
singly or in filaments composed of a number of separate bacilli
joined end to end. It is to be found in all the lesions of typhoid ;
it is chiefly found in the spleen, intestinal and mesental glands,
enormous numbers of them are present in the passages from the
eleventh to the seventeenth day of the disease, and they usually
disappear after the twenty-second. Outside the body the bacilli
will produce pure cultures on potato, gelatine, agar, blood serum,
and bouillon. They grow rapidly in sterilized milk, and, in fact, there
is scarcely any article of diet which does not form an excellent

Online LibraryJ. A. (Joel Asaph) AllenBuffalo medical journal → online text (page 64 of 78)