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rate of safeguarding the purity of the milk supplied. In reference to
animals the remedies he suggests among others is that disease should be
eradicated by breeding it out, that cows suffering from advanced disease
should be slaughtered at once, that calves should be tested when .two or
three months old with tuberculin, that animals should be tested before
being allowed to mix with others, and that healthy stock should be retested
twice during each year.

London, September, 1899.



For Periodic Neuralgia. —

R Quitiinae valerianat, , gr. xlv ;

Extr. juniperi, q. s.

M. Ft. pil. No. XXX. Sig. Five to ten pills a ^oy.—Bouchardai,

For Uricacedemia.—

B Lithii citratis, gr. viii ;

Ac. citrici, ..,.,. gr. iss;

Oleosacchar. citrici, gr- iv. •

M. To make one compressed pastille. Sig. One dissolved in water three
times a day. — Peters.



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The American Practitioner and News. 265



A Manual of Diseases of the Nervous System. By Sir W. R. Gowbrs, 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, Queen Square.
Third edition. Revised and enlarged. Edited by Sir W. R. GowBRS and Jambs
TAYI.OR. M. A., M. D., F. R. C. P., Senior Assistant Physician to the National Hos-
pital for the Paralyzed and Epileptic, Queen Square; Physician to the North-
eastern Hospital for Children and to the National Orthopedic Hospital. Volume
I, Diseases of the Nerves and Spinal Cord. With one hundred and ninety-two
illustrations. Octavo. Price, $4.00, net Philadelphia: P. Blakiston*s Son & Co.

In 1886 the first edition of Dr. Gowers* work was given to the profession,
with the modest preface that the volume contained the first part of an
attempt to give an account of diseases of the nervous system sufficiently
concise to be within the compass of the time-pressed student or busy prac-
titioner, and yet adequate in its outline of a subject which had become
wide and deep beyond any other part of medicine. Since then a world of
work has been done in connection with diseases of the nervous system, and
numerous authors have entered the field, but in its successive editions
Gowers has held easily the lead. It is easy at any given date to gather
all the known facts and present them to the public in a well-printed and
well-bound book. But it not easy to find an author or an editor so discrim-
inating in his judgment of phenomena, so rich in expression, so apt in
description, so accurate in the use of words as the gifted author of these
volumes. Gowers is one of the few classical authors . in medicine whose
work is both a literary and scientific model. The reader feels that the
author has a distinct grasp of his subject, and that he is capable of pre-
senting it in such a way as that the student must grasp it likewise.

The association of Dr. Taylor in the work, while an appropriate one and
doubtless rendered necessary by the maj2:nitude of the task of complete
revision, may be expected to add more to its scientific than its literary excel-
lence. We are liable to become partial to books as to people, and to
estimate them above their worth, but if the judgment of the reviewer does
not err, the book on nervous diseases that is to be preferred before this
has yet to be written. d. t. s.

A Compend of Diseases of the Eye and Refraction, Including Treatment and
Surgery. By George M. Goui,d, A. M., M. D., formerly Ophthalmologist to the
Philadelphia Hospital, etc., and Wai^TER L. Pvle, A. M.» M. D., Assistant Surgeon
to the Will's Eye Hospital, Philadelphia, etc. Quiz Compends No. 8. Second
edition. Revised and enlarged. One hundred and nine illustrations, several of
which are in colors. 295 pp. Price, 80 cents. Philadelphia: P. Blakiston's Son
& Co. 1899.

A large edition of this compend having been sold within two years, the
authors have corrected, revised, and enlarged the text as much as is corn-



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266 The American Practitioner and News.

patible with the limited space, until now the volume far exceeds the ordinary
size and scope of a compend. The section on Local Ocular Therapeutics
has been increased to include all the recent mydriatics, miatics, local anes-
thetics, and ocular antiseptics.

It is a fortunate circumstance for any one when his name alone comes
to be regarded as a guarantee of the highest excellence, and this is what is
illustrated in this little book. The fact that George M. Gould is associated
in its production and has passed upon it is of itself a guarantee of excel-
lence that excuses review. It is full as to matter, clear as to presentation,
and thorough in the treatment of the subject, the authors having put lexicon-
making experience to use in order to make their subject as plain as pos-
sible and with the fewest words. d. t. s.

Quiz-Compends No, 7. A Compend of Gynecology. By Wili^iam H. Weli^, M. D.,
Adjunct Professor of Obstetrics and Diseases of Infancy in the Philadelphia
Polyclinic, etc. With illustrations. 279 pp. Price, 80 cents. Philadelphia : P.
Blakiston's Son & Co. 1899.

In this the second edition of Dr. Wells' book a considerable number of
changes have been made, particularly in the field of operative gynecology,
these being rendered necessary by the rapid advance in this branch of
surgery.

Several recent methods of diagnosis and treatment have either been
added or substituted for those in vogue when the first edition was printed.
The subject is treated in a concise and yet very clear manner, nothing of
marked value being left out. The illustrations are full and well chosen, and
in every way the book sustains the character of uniform excellence
established for Blakiston's Son & Company's Quiz-Compends. d. t. s.

Over 1,000 Prescriptions or Favorite Formulae of Various Autliors and Practicing
Physicians. The whole being carefully indexed and including most of the newer
remedies. Cloth. 300 pp. Price, $1.00. The Illustrated Journal Co., Publishers,
Detroit, Mich.

In the drama of a doctor*s life there is probably no feature that under-
goes so complete a metamorphosis as the regard in which he holds formulae
for prescriptions. At first they begin to be unfolded to him as a mine of
wisdom in which he begins to delve almost hopelessly. How can he ever
hope to master so much knowledge ? He writes and copies and preserves,
and then tries, and with broadening light he finds his awe was misplaced,
his study largely wasted, and he begins to wonder by what fool the half of
them was written, or how they ever came to be preserved. Indeed, not a
few who have experienced the usual share of disappointments come to
wonder why some one has not invented a doctor constructed on the prin-
ciple of the slot-machine, which will respond to a moderate fee with a pre-
scription. If four fifths of medicaments in the dispensary were eliminated
and young physicians were taught to memorize the dosage and uses of the
others as they would the tables in arithmetic, there would be little need of
memorizing or copying even good prescriptions.



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The American Practitioner and News. 267

This book, however, to such as need such help, is about as good as
any, and better than bigger ones. It is nicely gotten up with attractive
binding and interleaved, so that the owner can add something of his own
production in case of need. d. t. s.

Enlargement of the Prostate : Its Treatment and Radical Cure. By C. Mansbi«i«
MouLWN, M. D. (Oxon.), P. R. C. S., Surgeon and Lecturer on Surgery at the Lon-
don Hospital; Examiner in Surgery in the University of Oxford; Hunterian
Professor at the Royal College of Surgeons. Second edition. 205 pp. Price,
$1.75. London : H. K. Lewis. Philadelphia: P. Blakiston*s Son & Co. 1899.

The publication of the first edition of MouUin's Enlargement of the
Prostate marked a new era in the treatment of the diseases of that organ.
It took its position at once as a classic. In this edition many of the opera-
tions upon the prostate described in the first one have been omitted as
chiefly of historic interest.

The author now expresses himself convinced that there is no case of
enlargement in which perfect relief can not be obtained, provided only the
secondary consequences which so often and so entirely unnecessarily follow
it, and which are due in the vast majority of cases to the careless use of
catheters, have not been allowed to work irreparable harm upon the walls
of the bladder. The work is exhaustive as to the development, structure,
and function of the prostate, and the nature and treatment of its diseases,
and even to the non-surgeon is extremely interesting reading, d. t. s.

3urgical Nursing. A Compilation of the Lectures upon Abdominal Surgery, Gyne-
cology, and General Surgical Conditions and Procedures, Delivered to the Classes
in the Training School for Nurses Connected with the Woman's Hospital of
Philadelphia. By Anna M. Fui;i*erton, M. D., Clinical Professor of Gynecology
in the Woman's Medical College of Pennsylvania; Obstetrician, Gynecologist, and
Surgeon to the Woman's Hospital of Philadelphia. Third edition. Revised and
enlarged. With illustrations. 294 pp. Price, $1.00. Philadelphia : P. Blakiston's
Son & Co. 1899.

This work formerly appeared under the title, " Nursing in Abdominal
Surgery and Diseases of Women.'* In the revised edition the author in-
cludes also a consideration of nursing requirements in general surgery, and
has therefore changed the title.

As befits such a work, particular stress and much space are given to
whatever relates to asepsis. A dietary for the sick is appended, and, taken
altogether, a helpful guide is supplied to those whose calling is in the field
with which it is concerned. D. T. s.

A Text-Book on the Diseases of the Nose and Throat. By D. Bradbn Kvi<e, M. D.,
Clinical Professor of Laryngology and Rhinology, Jeflferson Medical College ;
Consulting Laryngologist and Otologist, St. Agnes Hospital, etc. With one hun-
dred and seventy-five illustrations, twenty-three of them in colors. 646 pp.
Price, cloth, $4.00 ; sheep, $5.00. Philadelphia : W. B. Saunders. 1899.

It is to the credit of this work that no large claims of originality are
made by the author, his avowed aim being to present to the reader the sub-



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268 The American Practitioner and News,

ject of the diseases of the nose and throat in as concise a manner as pos-
sible. The aim has been to make each chapter complete in itself, so that
the reader, on turning to a given subject, may find under that heading all
the matter desired ; at the same time, since the work has been written for
students and general practitioners as well as specialists, a special fullness
and even apparent repetition characterize certain parts.

The illustrations are marked by the excellence that characterizes all the
work of the enterprising publishers, a task made easy by the recent
great advances in color printing. d. t. s.

Materia Medica, Therapeutics, Medical Pharmacy, Prescription-Writini:, and
Medical Latin. A Manual for Students and Practitioners. By Wii^liam Schleip,
Ph. G., M. D., Instructor in Pharmacy in the University of Pennsylvania. One of
Lea's Series of Pocket Text-Books. Edited by Bern B. Gai,i<audet, M. D.,
Demonstrator of Anatomy and Instructor in Surgery, College of Physicians and
Surgeons, New York, etc. 352 pp. Price, $1.50. Philadelphia and New York : Lea
Brothers & Co. 1899.

In a work of the scope of this nothing more can be expected than a
succinct and condensed statement of the best ascertained knowledge of the
action and uses of medicines.

This volume supplies such a work of reference and text-book compre-
hensive and at the same time condensed, and also embracing such
related subjects as may be included with obvious advantage. In addition
to the paragraphs covering the physical properties, physiological action,
therapeutics, and toxicology of each medicinal agent, chapters are added
on prescription-writing, medical Latin, medical pharmacy, and practical
anesthesia. Tables of doses, of poisons and antidotes, and of incompatibles,
and a therapeutic index of diseases and remedies conclude the volume.

The binding and letter-press are attractive, and on the whole the
authors have succeeded in producing a useful and convenient book.

' D, T. s.

A Treatise on Human Pliyaiology. For the Use of Students and Practitioners of
Medicine. By Henry C. Chapman, M. D., Professor of Institutes of Medicine
and Medical Jurisprudence in Jefferson Medical College, Philadelphia; Chairman
Board of Curators, Academy of Natural Sciences of Philadelphia; Member of the
College of Physicians, of the Zoological Society, Philadelphia ; of the American
Philosophical Society and the American Physiological Society. Second edition.
Philadelphia : Lea Brothers & Co. Price, in leather, $6.50; in cloth, $5.50.

This is the second edition of Professor Chapman's most excellent
work on physiology. The book remains much the same as the first edition,
with the exception of the changes in the chapters on the nervous system
and physiological chemistry, which were necessitated by the rapid advances
in our knowledge on these two important subjects. It is one of the very
best books of its class, and is written in a most charming style, that makes
it a great pleasure to read. It contains no superfluous matter, and its chief
points are forcibly and plainly stated, making it an excellent book or the



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The American Practitioner and News. 269

student. It is one of the very best books for the practitioner to buy, as
there is much detail in it that he will need that is not found in many of the
recent works on physiology.

A Manual of Diseases of the Nose and Throat. By Cornbuus Godfrey Coak-
lyEY, A. M., M. D., Clinical Professor of Laryngology in the University and Bel-
levue Hospital Medical College, New York City ; Larygologist to the Columbus
Hospital, the University and Bellevue Hospital Medical College Clinic, and the
Demilt Dispensary; Member of the New York Academy of Medicine, Society of
the Alumni of Bellevue Hospital, Medical Society of the County of New York,
etc New York and Philadelphia : Lea Brothers & Co. 1899.

This is a neat volume of five hundred and thirty-six pages recently
issued by Lea Brothers & Co. It is really a work of art as well as of
science. The engravings and other illustrations are among the best that
we have seen in recent years. The subject-matter of the work is admir-
ably arranged, and it has an excellent index, which is always an important
thing in any book.

This work is intended for practitioners and students of medicine, and is
one of the very best that it has been our good fortune to see. The style
is plain, terse, and altogether the book is a very readable one. We com-
mend it to our readers, feeling sure that they will not be disappointed in it.

Progressive Medicine. A Quarterly Digest of Advances, Discoveries, and Improve-
ments in the Medical and Surgical Sciences. Edited by HobarT Amory Harb,
M. D., Professor of Therapeutics and Materia Medica in the Jefferson Medical
College of Philadelphia; Physician to the Jefferson Medical College Hospital;
Laureate of the Royal Academy of Medicine in Belgium, of the Medical Society
of Loudon; Corresponding Member of the Sociedad Kspanola de Hygiene of
Madrid ; Member of the Association of American Physicians, etc. Volume iii,
September, 1899, Diseases of the Thorax and Its Viscera, including the Heart,
Lungs, and Blood-vessels; Diseases of the Skin, Diseases of the Nervous System,
and Obstetrics. Philadelphia: Lea Brothers & Co., Publishers.

This book is one of a series edited by Dr. Hare, and is well written and
thoroughly up-to-date. There is no excessive verbiage to tire the reader.
It is a presentation of new clinical facts in the most practical manner pos-
sible. It gives a clear and concise idea of what the masters deal w4th, for
after all every practitioner who establishes any fact in medicine or surgery
becomes a master to that degree of that particular subject* It is facts that
are needed, and particularly with practitioners and surgeons, whose time
will not permit of elaborate reading, and this series of books will enable
them to cover the entire field without excessive labor. They can be read
by all with profit*

A Diaphoretic Powder. —

B Pulv. camphor, gr. iss;

Pulv. opii, gr. ss;

Potassii nitrat., gr. v;

Sacchar. alb., • . . 3 ii.

M. Ft. pulv. Sig. To be taken in a hot drink at bedtime.— r. Graefe.

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270 The American Practitioner and News.

Ohsixacis an5 Selections*



Typhoid Fever as a Systemic Disease op Manifold Manifesta-
tions. — It has become so common to regard typhoid fever as a local affec-
tion, the lesions of which are situated in the lower part of the small and
the beginning of the large intestine, that the essentially systemic character
of the disease has been more or less lost sight of. Of course it is clearly
understood that the absorption of toxines from the typhoid ulcers in the
bowel gives rise to very prominent constitutional symptoms, while the
occurrence of spots on the skin shows a cutaneous attempt at one stage of
the disease at least to eliminate certain toxic substances, biological or chem-
ical in nature, from the circulation.



Drawing of the pyloric end of the stomach in a case of enteric fever, a— acute perforatingr
ulcers with clean bases ; ^— an ulcer with adherent slough.

Most of the pharmaceutic schemes of treatment planned for typhoid
fever, however, are limited to the use of drugs which act upon the intestinal
tract. Intestinal antisepsis has been a favorite catchword of the ambitious
therapeutist in many diseases beside typhoid, though each new attempt to
create this condition has proved as ineffectual as the last. Further thera-
peutic claims in this line gain a ready hearing if they but seem to be bol-
stered up by a successful clinical experience. Of late years, however, we
have come more and more to the realization that typhoid fever is as char-
acteristically a constitutional disease as measles or scarlet fever. The main
lesions in both of the latter diseases are situated in the upper air-passages.



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The American Practitioner and News-. 271

but we by no means consider that the angina of scarlatina or the severe
coryza in measles constitutes the essence of either disease, or furnishes the
only indications for treatment. Prof. Chiari's work at Prague has shown
that typhoid not infrequently limits itself to the bile passages, and this not-
withstanding all that we have recently learned about the bactericidal power
of bile. Osler*s work in this country, besides confirming Chiari's observa-
tions as to t3rphoid localization in the bile passages, has served to show
that, exceptionally at least, the lesions of typhoid fever are limited to other
localizations — the spleen, for example. Certain French clinicians claim to
have observed typhoid fever of the meninges, or a febrile disease in which
the only possible cause discoverable was the presence of Eberth's or Jaflf ky*s
bacillus on these membranes.

Even where the lesions of typhoid fever are limited to the digestive
tract we are gradually being brought to realize that they need not neces-
sarily be localized within the immediate neighborhood of the cecum, but
under special conditions of poorly resistive vitality typhoid ulcers may
occur in other parts of the gastro-intestinal tract. A striking illustration
of this is aflForded by one of the plates in Prof. Hare's new book on the Med-
ical Complications of Typhoid or Enteric Fever.* The illustration which
we present herewith reproduces a set of typhoid ulcers that had developed
in the stomach of a young girl, who succumbed during the third week of
her attack. Four well-defined ulcers were noted in the pyloric region, one
of which presented a loosely adherent slough. It appears that under cer-
tain circumstances, not well understood as yet, a diseased condition of the
solitary glands of the gastric mucosa may give rise to a form of perforating
ulcer of the stomach which closely resembles the idiopathic ulcer of typhoid
fever, as that lesion is usually observed in the ileo-colic region of the intes-
tine. It is interesting to note that in this case there was no hematemesis
to arouse suspicion of ulcers of the stomach.

The great diversity of t3rphoid complications has by no means received
the general attention the importance of the subject deserves, and we ven-
ture to predict that by their more diligent study many dark places in both
diagnosis and treatment will be made plain. In this connection Dr. Hare,
with characteristic energy, has taken a long step.

Joint Disease in Infants Dub to Ophthalmia Neonatorum.—
In a paper read before the Royal Medical and Chirurgical Society at the
last meeting, held on January 24th, Mr. Clement Lucas directed attention
afresh to an original observation which he made in the year 1885, that the
purulent ophthalmia of newborn infants was liable in certain instances to
produce inflammations of joints similar to the gonorrheal rheumatism of
adults. Mr. Lucas, in the year alluded to, published three cases in support
of his views, and in his first communication, published on February 28,
1885, he made the following statement: " I am not aware that any connec-

* The Medical Complicatious, Accidents, and Sequelce of Typhoid or Enteric Fever, by H. A. Hare,
M. D., with a special chapter on the Mental Disturbances Following Typhoid Fever by F. X. Dercum,
M. D. Lea Brothers & Co., Philadelphia and New York. 1899.



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272 The American Practitioner and News,

tion between ophthalmia neonatorum and synovitis has ever been observed
or described, but there seems no just reason if, as is generally supposed,
the synovitis of gonorrhea is the result of absorption of morbid products
from the urethral mucous membrane, why the conjunctival mucous mem-
brane should not oflFer an equally favorable absorbing surface. It is scarcely
probable that the inflammation of these two joints could be referred to any
other. cause, and in my own mind there exists no doubt whatever that this is
a case of gonorrheal rheumatism consequent upon absorption from the con-
junctival surface.*' Little attention appears to have been paid to the obser-
vation in this country, but abroad it was at once recognized as a form of
joint inflammation in infants previously undescribed, and Mr. Lucas was
able to found his recent paper upon twenty-three published cases. The
correctness of the clinical observation has been submitted to bacteriological
proof. Darierj in 1889, found the gonococcus of Neisser in the secretion
from the conjunctiva, and Deutschmann, in 1890, by aspirating the inflamed
knee of an infant three weeks old, suffering from purulent ophthalmia, was
able to show the presence of the gonococcus in the secretion taken from
the joint, thus completing the chain of evidence. Mr. Lucas shows that
the date at which the joint inflammation most commonly appears is at the
end of the second week or during the third week of the ophthalmia. The
joints most liable to be affected are the knees and wrists, more especially
the left; but any joint may be attacked, and in some cases the tendon-
sheaths have shown signs of inflammation. Although the inflammation
may be intense, there is little tendency to suppuration, and when it occurs
Mr. Lucas asks the interesting question as to whether another microbe may
not be associating its effects with the gonococcus, for in two cases in which
suppuration took place the gonococcus was found to be associated in one
instance with the staphylococcus, and in another with the streptococcus.
In reference to treatment, Mr. Lucas suggests that as the infecting source
is the conjunctiva, the most important thing is rapidly to disinfect this
mucous surface, and with the cure of the ophthalmia the joint inflamma-
tion will generally rapidly subside. — Lancet,

Ulcerative Membranous Tonsillitis. — H. de Stoecklin {Ceniraldi.
fur BakterioL, xxiv, 17) records a case having all the characters of diph-
theria without presenting Loeffler*s bacillus, but instead spirochetes and
bacilli larger than the diphtheria organisms, broad in the center and taper-
ing toward the extremities, and staining well with methyl violet; with
Gram the bacilli stain imperfectly, while the spirochetes are decolorized.



Online LibraryUniversidad de Buenos Aires. Facultad de Derecho yThe American practitioner → online text (page 85 of 109)