Chapter 25

THE END.

MEDICAL AND SURGICAL BOOKS.PUBLISHEDBYLEA & BLANCHARD,PHILADELPHIA.THEAMERICANJOURNAL OF THE MEDICAL SCIENCES,EDITED BY ISAAC HAYS, M. D.SURGEON TO WILLS HOSPITAL, &c. &c.TERMS.Each number contains 260 pages, or upwards, and is frequently illustrated by coloured engravings. It is published on the first of November, February, May and August. Price Five Dollars per annum, payable in advance.Orders, enclosing the amount of one year’s subscription, addressed to the publishers, or any of the agents, will receive prompt attention. The year of this work commences with the November number.Persons sending Twenty Dollars will be entitled to five copies of the work, to be forwarded as they may direct. All persons desirous of advancing the interest of medical science, are requested to use their efforts to increase its circulation.The postage per number is, within 100 miles, about 16 cents; over 100 miles, about 28 cents.A few complete sets may be had at a large discount from the subscription price. Odd numbers can be furnished to complete sets.The following Extracts show the estimation in which the Journal is held.“Several of the American Journals are before us. * * * Of these, the American Journal of the Medical Sciences is by far the better periodical; it is, indeed, the best of the trans-atlantic medical publications; and, to make a comparison nearer home, is in most respects superior to the great majority of European works of the same description.”—The London Lancet.“We need scarcely refer our esteemed and highly eminent contempory, [The American Journal of Medical Sciences,] from whom we quote, to our critical remarks of the opinions of our own countrymen, or to the principles which influence us in the discharge of our editorial duties.”—“Our copious extracts from his unequalled publication, unnoticing multitudes of others which come before us, are the best proof of the esteem which we entertain for his talents and abilities.”—London Medical and Surgical Journal.“The Medical Journal of Medical Sciences is one of the most complete and best edited of the numerous periodical publications of the United States.”—Bulletan des Sciences Medicales, tome xiv.“The Medical Journal of Medical Sciences is conducted with distinguished ability. Published in one of the most literary cities in our country, and supported by a number of her most gifted and best educated physicians, its reputation is deservedly high as well abroad as at home.”—Transylvania Journal.MANUAL of MATERIA MEDICA and PHARMACY, ByH. M. Edwards, M. D.andP. Vavasseur, M. D.CHEMICAL MANIPULATION. Instruction to Students on the Methods of performing Experiments of Demonstration or Research, with accuracy and success. ByMichael Farriday, F. R. S. First American, from the second London edition, with additions by J. K.Mitchell, M. D.A FLORAOFNORTH AMERICA, with 108 coloured Plates. By W. P. C.Barton, M. D. In 3 vols. 4to.A MEDICAL ACCOUNT OF THE MINERAL SPRINGS OF VIRGINIA. By Professor Gibson. (In preparation.)A MANUAL OF MEDICAL JURISPRUDENCE. By Professor R. E. Griffith. In one volume. (Now preparing.)THE PRINCIPLES AND PRACTICE OF MEDICINE. By professor Dunglison. In two volumes, octavo. (In preparation.)A NEW DICTIONARY,OFMEDICAL SCIENCE AND LITERATURE.A NEW EDITION,Completely Revised, with Numerous Additions and Improvements,OFDUNGLISON’S DICTIONARYOFMEDICAL SCIENCE AND LITERATURE:CONTAININGA concise account of the various Subjects and Terms, with a vocabulary of Synonymes in different languages, and formulæ for various officinal and empirical preparations, &c.IN ONE ROYAL 8vo. VOLUME.“The present undertaking was suggested by the frequent complaints, made by the author’s pupils, that they were unable to meet with information on numerous topics of professional inquiry,—especially of recent introduction,—in the medical dictionaries accessible to them.It may, indeed, be correctly affirmed, that we have no dictionary of medical subjects and terms which can be looked upon as adapted to the state of the science. In proof of this the author need but to remark, that he has found occasion to add several thousand medical terms, which are not to be met with in the only medical lexicon at this time in circulation in the country.The present edition will be found to contain many hundred terms more than the first, and to have experienced numerous additions and modifications.The author’s object has not been to make the work a mere lexicon or dictionary of terms, but to afford, under each, a condensed view of its various medical relations, and thus to render the work an epitome of the existing condition of medical science.”“To execute such a work requires great erudition, unwearied industry, and extensive research, and we know no one who could bring to the task higher qualifications of this description than Professor Dunglison.”—American Medical Journal.“This is an excellent compilation, and one that cannot fail to be very much referred to. It is the best medical lexicon in the English language that has yet appeared. We do not know any volume which contains so much information in a small compass. The Bibliographical notices, though so short, are very important and useful; and altogether we can recommend to every medical man to have this work by him, as the cheapest and best dictionary of reference he can have.”—London Medical and Surgical Journal.“So far as we have been able to examine this Dictionary, it is exceedingly thorough and correct, not only in matters purely medical, but in whatever can fairly be arranged in the various branches of science, collateral or contributary to Medicine and Surgery.”—Medical Magazine.“So well known are the merits of this valuable work, that, in noticing a second edition of it, it will suffice to extract the remark of the author in the preface, ‘that it will be found to contain many hundred terms more than the first, and to have experienced numerous additions and modifications.’ It has been got up by the publishers in very handsome style, and must command, as it deserves, an extended circulation.”—Medical Examiner.“It is wholly unnecessary, we apprehend, to enter into a long or formal statement of the fact, that Dr. Dunglison’s Dictionary, from the first day of its appearance, has been regarded with peculiar favour. And we have now a revised edition, constructed under the immediate eye of the author, who is most favourably circumstanced for adding to the previous edition whatever could give it additional claims on the score of accuracy. Here are eight hundred and twenty-one pages, large octavo, in double colums, distinct type, of which no one ought to complain. Finally, although most of our readers may be owners of the first edition, we cordially and conscientiously recommend to all future purchasers to procure this in preference to any medical lexicon extant. Its true and sterling value as a key to medical science, and its moderate price, are so many common-sense recommendations which should not be forgotten.”—Boston Medical and Surgical Journal.A NEW AND VALUABLE WORKFORPHYSICIANS, APOTHECARIES, AND STUDENTS.NEW REMEDIES,The Method of Preparing & Administering them;THEIR EFFECTSUPON THEHEALTHY AND DISEASED ECONOMY,&c. &c.BY ROBLEY DUNGLISON, M. D.Professor of the Institutes of Medicine and Materia Medica in Jefferson Medical College of Philadelphia; Attending Physician to the Philadelphia Hospital, &c.IN ONE VOLUME, OCTAVO.“The value of this book is hardly to be estimated; to be without it, would be very much like obstinacy, and amount to the same thing as saying, like the Austrians in regard to their government, nothing can be improved, for we already live in a state of perfection. Dr. Dunglison, the author, has done an essential service to all classes of practitioners. It is creditable to the industry and wise discrimination of the author, and quite necessary to the libraries of those who feel the necessity of keeping pace with the improvements and discoveries in the broad but imperfectly exploded domain of medicine.”—Boston Medical and Surgical Journal.A Third Edition, Improved and Modified, ofDUNGLISON’SHUMAN PHYSIOLOGY:Illustrated With Numerous Engravings.IN TWO VOLUMES, OCTAVO.“We are happy to believe that the rapid sale of the last edition of this valuable work may be regarded as an indication of the extending taste for sound physiological knowledge in the American schools: and what we then said of its merits, will show that we regarded it as deserving the reception it has experienced. Dr. Dunglison has, we are glad to perceive, anticipated the recommendation which we gave in regard to the addition of references, and has thereby not only added very considerably to the value of his work, but has shown an extent of reading which, we confess, we were not prepared by his former edition to expect. He has also availed himself of the additional materials supplied by the works that have been published in the interval, especially those of Müller and Burdach. So that as a collection of details on human physiology alone, we do not think that it is surpassed by any work in our language: and we can recommend it to students in this country (England) as containing much with which they will not be likely to meet elsewhere.”—British and Foreign Medical Review.“This work exhibits another admirable specimen of American industry and talent, and contains an account of every discovery in Europe up to the period of a few months prior to its publication. Many of the author’s views are original and important.”—Dublin Journal of Medical Sciences.GENERAL THERAPEUTICS;OR,PRINCIPLES OF MEDICAL PRACTICE.With Tables of the Chief Remedial Agents and their Preparations, and of theDifferent Poisons and their Antidotes.By Robert Dunglison, M. D., &c., &c.One Volume, large 8vo.“There being at, present before the public several American works on Therapeutics, written by physicians and teachers of distinction, it might be deemed unjust in us, and would certainly be invidious, to pronounce any of them superior to the others. We shall not, therefore, do so. If there be, however, in the English language, any work of the kind more valuable than that we have been examining, its title is unknown to us.“We hope to be able to give such an account of the work as will strengthen the desire and determination of our readers to seek for a farther acquaintance with it, by a candid perusal of the volume itself. And, in so doing, we offer them an assurance that they will be amply rewarded for their time and labour.”—Transylvania Journal, Vol. IX, No. 3.THE MEDICAL STUDENT; or, Aids to the Study of Medicine. Including a Glossary of the Terms of the Science, and of the Mode of Prescribing; Bibliographical Notices of Medical Works; the Regulations of the Different Medical Colleges of the Union, &c. By Robley Dunglison, M. D., &c., &c. In one volume, 8vo.ELEMENTS OF HYGIENE; on the Influence of Atmosphere and Locality; Change of Air and Climate, Seasons, Food, Clothing, Bathing, Sleep, Corporeal and Intellectual Pursuits, &c., on Human Health, Constituting Elements of Hygiene. By Robley Dunglison, M. D. &c., &c. In 1 vol. 8vo.MEDICAL ESSAYS.THE CYCLOPEDIA OFPRACTICAL MEDICINE AND SURGERY,Or Essays on ASTHMA, APHTHÆ, ASPHYXIA, APOPLEXY, ARSENIC, ATROPA, AIR, ABORTION, ANGINA-PECTORIS, and other Subjects Embraced in the Articles from A to Azote, prepared for the Cyclopedia of Practical Medicine byDr. Chapman,Dr. Jackson,Dr. Horner,Dr. Hodge,Dr. Wood,Dr. Dewees,Dr. Hays,Dr. Dunglison,Dr. Mitchell,Dr. Bache,Dr. Coates,Dr. Condie,Dr. Emerson,Dr. Geddings,Dr. Griffith,Dr. Harris,Dr. Warren,Dr. Patterson,Each article is complete within itself, and embraces the practical experience of its author, and as they are only to be had in this collection will be found of great value to the profession.⁂ The two volumes are now offered at a price so low, as to place them within the reach of every practitioner and student.GIBSON’S SURGERY.A NEW EDITION OF GIBSON’S SURGERY.THE INSTITUTES AND PRACTICE OF SURGERY; being the Outlines of a Course of Lectures. By William Gibson, M. D., Professor of Surgery in the University of Pennsylvania, &c. &c. Fifth edition, greatly enlarged. In 2 vols. 8vo. With thirty plates, several of which are coloured.“The author has endeavoured to make this edition as complete as possible, by adapting it to the present condition of surgery, and to supply the deficiencies of former editions by adding chapters and sections on subjects not hitherto treated of. And, moreover, the arrangement of the work has been altered by transposing parts of the second volume to the first, and by changing entirely the order of the subject in the second volume. This has been done for the purpose of making the surgical course in the university correspond with the anatomical lectures, so that the account of surgical diseases may follow immediately the anatomy of the parts.”DEWEES’S WORKS.A PRACTICE OF PHYSIC, comprising most of the diseases not treated of in Diseases of Females and Diseases of Children. By W. P. Dewees, M. D., formerly adjunct professor in the University of Pennsylvania. In one volume, octavo.A COMPENDIOUS SYSTEM OF MIDWIFERY.ByDr. Dewees.Chiefly designed to facilitate the Inquiries of those who may be pursuing this branch of Study. Illustrated by occasional cases and with many plates. The ninth edition, with additions and improvements. In one vol. 8vo.DEWEES ON THE DISEASES OF FEMALES.The seventh edition. Revised and Corrected. With additions, and Numerous plates. In one vol. 8vo.DEWEES ON THE PHYSICAL AND MEDICAL TREATMENT OF CHILDREN.With Corrections and Improvements. The seventh ed. In one volume, 8vo.The objects of this work are, 1st, to teach those who have the charge of children, either as parent or guardian, the most approved methods of securing and improving their physical powers. This is attempted by pointing out the duties which the parent or the guardian owes for this purpose, to this interesting but helpless class of beings, and the manner by which their duties shall be fulfilled. And 2d, to render available a long experience to these objects of our affection when they become diseased. In attempting this, the author has avoided as much as possible, “technicality;” and has given, if he does not flatter himself too much, to each disease of which he treats, its appropriate and designating characters, with a fidelity that will prevent any two being confounded together, with the best mode of treating them, that either his own experience or that of others has suggested.HORNER’S SPECIAL ANATOMY.A Treatise on Special and General Anatomy. By W. E. Horner, M. D., Professor of Anatomy in the University of Pennsylvania, &c. &c. Fifth edition, Revised, and much improved. In two volumes, 8vo.ELLIS’ MEDICAL FORMULARY.The Medical Formulary, being a collection of prescriptions derived from the writings and practice of many of the most eminent Physicians in America and Europe. To which is added an appendix, containing the usual Dietetic preparations and Antidotes for Poisons, the whole accompanied with a few brief Pharmacuetic and Medical observations. By Benjamin Ellis, M. D., Fifth edition, with additions. In one vol.Broussais on Inflammation, 2 vols. 8vo.Broussais’ Pathology, 1 vol. 8vo.Colles’ Surgical Anatomy, 1 vol. 8vo.Costers’ Physiological Practice, 1 vol. 8vo.Greys’ Chemistry applied to the Arts, 2 vols. with numerous plates.ELEMENTS of PHYSICS, or NATURAL PHILOSOPHY, GENERAL and MEDICAL, explained independently of TECHNICAL MATHEMATICS, and containing New Disquisitions and Practical Suggestions. ByNeil Arnott, M. D. In two volumes, octavo.“Dr. Arnott’s work has done for Physics as much as Locke’s Essays did for the science of mind.”—London University Magazine.“We may venture to predict that it will not be surpassed.”—Times.“Dr. A. has not done less for Physics than Blackstone did for the Law.”—Morning Herald.“Dr. A. has made Natural Philosophy as attractive as Buffon made Natural History.”—French Critic.“A work of the highest class among the productions of mind.”—Courier.ROGET’S PHYSIOLOGY AND PHRENOLOGY.OUTLINES OF PHYSIOLOGY;WITH ANAPPENDIX ON PHRENOLOGY;BY P. M. ROGET., M. D.Professor of Physiology in the Royal Institute of Great Britain, &c. &c.FIRST AMERICAN EDITION,Revised, with numerous notes,In one volume, 8vo.From the American Preface.—“Of the Author’s qualifications as a physiological writer it is scarcely requisite to speak. The fact of his having been selected to compose the Bridgewater Treatise on Animal and Vegetable Physiology, is sufficient evidence of the reputation which he then enjoyed; and the mode in which he executed the task amply evinces that his reputation rested on a solid basis.“The present volume contains a concise, well-written epitome of the present state of Physiology—human and comparative—not, as a matter to be expected, the copious details and developments to be met with in the larger treatises on the subject; but enough to serve as an accompaniment and guide to the physiological student.“The attention of the American Editor has been directed to the revision and correction of the text; to the supplying, in the form of notes, of omissions; to the rectification of some of the points that appeared to him erroneous or doubtful, and to the furnishing of references to works in which the physiological inquirer might meet with more ample information.“In Phrenology, the Author is a well-known unbeliever, and his published objections to the doctrine have been regarded as too cogent to be permitted to pass unheeded. It will be seen on farther examination in the interval of many years, which has elapsed since the publication of the sixth edition of the Encyclopædia, has not induced him to modify his sentiments on this head. On the contrary, he appears to be as satisfied at this time, of the fallacy of the positions of the Phrenologist, as he was at any former period.”☞This work will be introduced into many of the Medical Colleges of the union as a Text Book, it being a cheap volume, and well fitted as an introduction to the larger works on Physiology.COATES POPULAR MEDICINE:POPULAR MEDICINE;OR, FAMILY ADVISER.Consisting of outlines of Anatomy, Physiology, and Hygiene, with such Hints on the Practice of Physic, Surgery, and the Diseases of Women and Children, as may prove useful in families when regular Physicians cannot be procured: Being a Companion and Guide for intelligent Principals of Manufactories, Plantations, and Boarding Schools: Heads of Families, Masters of Vessels, Missionaries, or Travellers, and a useful Sketch for Young Men about commencing the Study of Medicine.BY REYNELL COATES, M. D.Fellow of the College of Physicians of Philadelphia—Honorary Member of the Philadelphia Medical Society—Correspondent of the Lyceum of Natural History of New York—Member of the Academy of Natural Sciences of Philadelphia—Formerly Resident Surgeon of the Pennsylvania Hospital, &c.Assisted by several Medical friends. In One Volume.“It is with great satisfaction that we announce this truly valuable compilation, as the most complete and interesting treatise on Popular Medicine ever presented to the public. Simple and unambitious in its language, free from the technicalities, and embracing the most important facts on Anatomy, Physiology and Hygiene, or the art of preserving health; and the treatment of those affections which require immediate attention, or are of an acute character, this should be in the hands of every one, more particularly of those who, by their situations are prevented from resorting to the advice of a physician, nor would the careful perusal of its pages fail to profit the inhabitants of our cities, by giving them a more accurate knowledge of the structure of the human frame, and the laws that govern its various functions; whose perfect integrity is absolutely essential to health, and even to existence; the various systems of medical charlatanry, daily imagined to take advantage of the credulity and ignorance of mankind, would be rendered far less prejudicial to the community than they now are. We would particularly direct attention to the Chapter on Hygiene, a science in itself of the utmost importance, and ably treated in the small space allowed to it in this volume.”—New York American.DR. CLARK ON CONSUMPTION.A Treatise on Pulmonary Consumption, comprehending an inquiry into the Nature, Causes, Prevention, and Treatment of Tuberculous and Scrofulous Diseases in General. By James Clark, M. D., F. R. S.“As a text-book and guide to the inexperienced practitioner we know none equal to it in general soundness and practical utility—to the general as well as to the professional reader, the work will prove of the deepest interest, and its perusal of unequivocal advantage.”—British and Foreign Medical Review.“The work of Dr. Clark may be regarded as the most complete and instructive Treatise on Consumption in the English Language.”—Edinburgh Medical and Surgical Journal.CHITTY’S JURISPRUDENCE.A Practical Treatise on Medical Jurisprudence, with so much of Anatomy, Physiology, Pathology, and the Practice of Medicine and Surgery, as are essential to be known by Members of the Bar and Private Gentlemen; and all the laws relating to Medical Practitioners; with explanatory plates. By J. Chitty, Esq. Second American edition: with Notes and Additions, adapted to American works and Judicial Decisions. 8vo.A TREATISE ON THE PRACTICE OF MEDICINE, or a Systematic Digest of the Principles of General and Special Pathology and Theraputics. By E. Geddings, (now preparing.)SMITH ON FEVER.A Treatise on Fever. By Southwood Smith, M. D., Physician to the London Fever Hospital. Fourth American edition. In 1 volume 8vo.FITCH’S DENTAL SURGERY.A Treatise on Dental Surgery. Second edition, revised, corrected, and improved, with new plates. By S. S. Fitch, M. D. 1 vol. 8vo.ABERCROMBIE ON THE BRAIN.Pathological and Practical Researches on Diseases of the Brain and Spinal Cord. Second American, from the third Edinburgh edition, enlarged. By John Abercrombie, M. D. In 1 volume 8vo.ABERCROMBIE ON STOMACH.Pathological and Practical Researches on Diseases of the Stomach, the Intestinal Canal, the Liver, and other Viscera of the Abdomen. By John Abercrombie M. D., third American from the second London edition enlarged. In 1 vol. 8vo.EWELL’S MEDICAL COMPANION.The Medical Companion or Family Physician: treating of the Diseases of the United States, with their symptoms, causes, cure, and means of prevention.BERTIEN ON THE HEART.A Treatise on Diseases of the Heart and Great Vessels. By J. R. Bertien. Edited by G. Bouillaud. Translated from the French. 8vo.BOISSEAU ON FEVER.Physiological Pyretology; or a Treatise on Fevers, according to the Principles of the New Medical Doctrine. By F. G. Boisseau, Doctor in Medicine of the Faculty of Paris, &c. &c. From the fourth French edition. Translated by J. R. Knox, M. D. 1 vol. 8vo.HUTIN’S MANUAL.Manual of the Physiology of Man; or a concise Description of the Phenomena of his Organization. By P. Hutin. Translated from the French, with notes, by J. Togno. In 12mo.BELL ON THE TEETH.The Anatomy, Physiology, and Diseases of the Teeth. By Thomas Bell, F. R. S., F. L. S. &c., third American edition. In 1 vol. 8vo. With numerous plates.WILLIAMS ON THE LUNGS.A Rational Exposition of the Physical Signs of Diseases of the Lungs and Pleura; Illustrating their Pathology and facilitating their Diagnosis. By Charles J. Williams, M. D. In 8vo. with plates.THE BRIDGE WATER TREATISES, COMPLETE IN SEVEN VOLUMES, OCTAVO. Embracing.I. The Adaptation of External Nature to the Moral and Intellectual Constitution of Man. By the Rev. Thomas Chalmers.II. The Adaptation of External Nature to the Physical Condition of Man. By John Kidd, M. D., F. R. S.III. Astronomy and General Physics, Considered with References to Natural Theology. By the Rev. Wm. Whewell.IV. The Hand: Its Mechanism and Vital Endowments as Evincing Design. By Sir Charles Bell, K. H., F. R. S. With numerous wood cuts.V. Chemistry, Meteorology, and the Function of Digestion. By Wm. Prout, M. D., F. R. S.VI. The History, Habits and Instincts of Animals. By the Rev. Wm. Kirby, M. A., F. R. S. Illustrated by numerous Engravings on Copper.VII. Anatomy and Vegetable Physiology Considered with Reference to Natural Theology. By Peter Mark Roget, M. D. Illustrated with nearly Five Hundred Wood Cuts.VIII. Geology and Mineralogy, Considered with Reference to Natural Theology. By the Rev. Wm. Buckland, D. D. with numerous engravings on copper, and a large coloured map.⁂ The work of Buckland, Kirby and Rojet may be had separate.

MEDICAL AND SURGICAL BOOKS.

PUBLISHED

LEA & BLANCHARD,

PHILADELPHIA.

THEAMERICANJOURNAL OF THE MEDICAL SCIENCES,EDITED BY ISAAC HAYS, M. D.SURGEON TO WILLS HOSPITAL, &c. &c.

TERMS.

Each number contains 260 pages, or upwards, and is frequently illustrated by coloured engravings. It is published on the first of November, February, May and August. Price Five Dollars per annum, payable in advance.

Orders, enclosing the amount of one year’s subscription, addressed to the publishers, or any of the agents, will receive prompt attention. The year of this work commences with the November number.

Persons sending Twenty Dollars will be entitled to five copies of the work, to be forwarded as they may direct. All persons desirous of advancing the interest of medical science, are requested to use their efforts to increase its circulation.

The postage per number is, within 100 miles, about 16 cents; over 100 miles, about 28 cents.

A few complete sets may be had at a large discount from the subscription price. Odd numbers can be furnished to complete sets.

The following Extracts show the estimation in which the Journal is held.

“Several of the American Journals are before us. * * * Of these, the American Journal of the Medical Sciences is by far the better periodical; it is, indeed, the best of the trans-atlantic medical publications; and, to make a comparison nearer home, is in most respects superior to the great majority of European works of the same description.”—The London Lancet.“We need scarcely refer our esteemed and highly eminent contempory, [The American Journal of Medical Sciences,] from whom we quote, to our critical remarks of the opinions of our own countrymen, or to the principles which influence us in the discharge of our editorial duties.”—“Our copious extracts from his unequalled publication, unnoticing multitudes of others which come before us, are the best proof of the esteem which we entertain for his talents and abilities.”—London Medical and Surgical Journal.“The Medical Journal of Medical Sciences is one of the most complete and best edited of the numerous periodical publications of the United States.”—Bulletan des Sciences Medicales, tome xiv.“The Medical Journal of Medical Sciences is conducted with distinguished ability. Published in one of the most literary cities in our country, and supported by a number of her most gifted and best educated physicians, its reputation is deservedly high as well abroad as at home.”—Transylvania Journal.

“We need scarcely refer our esteemed and highly eminent contempory, [The American Journal of Medical Sciences,] from whom we quote, to our critical remarks of the opinions of our own countrymen, or to the principles which influence us in the discharge of our editorial duties.”—“Our copious extracts from his unequalled publication, unnoticing multitudes of others which come before us, are the best proof of the esteem which we entertain for his talents and abilities.”—London Medical and Surgical Journal.

“The Medical Journal of Medical Sciences is one of the most complete and best edited of the numerous periodical publications of the United States.”—Bulletan des Sciences Medicales, tome xiv.

“The Medical Journal of Medical Sciences is conducted with distinguished ability. Published in one of the most literary cities in our country, and supported by a number of her most gifted and best educated physicians, its reputation is deservedly high as well abroad as at home.”—Transylvania Journal.

MANUAL of MATERIA MEDICA and PHARMACY, ByH. M. Edwards, M. D.andP. Vavasseur, M. D.

CHEMICAL MANIPULATION. Instruction to Students on the Methods of performing Experiments of Demonstration or Research, with accuracy and success. ByMichael Farriday, F. R. S. First American, from the second London edition, with additions by J. K.Mitchell, M. D.

A FLORAOFNORTH AMERICA, with 108 coloured Plates. By W. P. C.Barton, M. D. In 3 vols. 4to.

A MEDICAL ACCOUNT OF THE MINERAL SPRINGS OF VIRGINIA. By Professor Gibson. (In preparation.)

A MANUAL OF MEDICAL JURISPRUDENCE. By Professor R. E. Griffith. In one volume. (Now preparing.)

THE PRINCIPLES AND PRACTICE OF MEDICINE. By professor Dunglison. In two volumes, octavo. (In preparation.)

A NEW DICTIONARY,OFMEDICAL SCIENCE AND LITERATURE.

A NEW EDITION,Completely Revised, with Numerous Additions and Improvements,OFDUNGLISON’S DICTIONARYOFMEDICAL SCIENCE AND LITERATURE:CONTAINING

A concise account of the various Subjects and Terms, with a vocabulary of Synonymes in different languages, and formulæ for various officinal and empirical preparations, &c.

IN ONE ROYAL 8vo. VOLUME.

“The present undertaking was suggested by the frequent complaints, made by the author’s pupils, that they were unable to meet with information on numerous topics of professional inquiry,—especially of recent introduction,—in the medical dictionaries accessible to them.It may, indeed, be correctly affirmed, that we have no dictionary of medical subjects and terms which can be looked upon as adapted to the state of the science. In proof of this the author need but to remark, that he has found occasion to add several thousand medical terms, which are not to be met with in the only medical lexicon at this time in circulation in the country.The present edition will be found to contain many hundred terms more than the first, and to have experienced numerous additions and modifications.The author’s object has not been to make the work a mere lexicon or dictionary of terms, but to afford, under each, a condensed view of its various medical relations, and thus to render the work an epitome of the existing condition of medical science.”“To execute such a work requires great erudition, unwearied industry, and extensive research, and we know no one who could bring to the task higher qualifications of this description than Professor Dunglison.”—American Medical Journal.“This is an excellent compilation, and one that cannot fail to be very much referred to. It is the best medical lexicon in the English language that has yet appeared. We do not know any volume which contains so much information in a small compass. The Bibliographical notices, though so short, are very important and useful; and altogether we can recommend to every medical man to have this work by him, as the cheapest and best dictionary of reference he can have.”—London Medical and Surgical Journal.“So far as we have been able to examine this Dictionary, it is exceedingly thorough and correct, not only in matters purely medical, but in whatever can fairly be arranged in the various branches of science, collateral or contributary to Medicine and Surgery.”—Medical Magazine.“So well known are the merits of this valuable work, that, in noticing a second edition of it, it will suffice to extract the remark of the author in the preface, ‘that it will be found to contain many hundred terms more than the first, and to have experienced numerous additions and modifications.’ It has been got up by the publishers in very handsome style, and must command, as it deserves, an extended circulation.”—Medical Examiner.“It is wholly unnecessary, we apprehend, to enter into a long or formal statement of the fact, that Dr. Dunglison’s Dictionary, from the first day of its appearance, has been regarded with peculiar favour. And we have now a revised edition, constructed under the immediate eye of the author, who is most favourably circumstanced for adding to the previous edition whatever could give it additional claims on the score of accuracy. Here are eight hundred and twenty-one pages, large octavo, in double colums, distinct type, of which no one ought to complain. Finally, although most of our readers may be owners of the first edition, we cordially and conscientiously recommend to all future purchasers to procure this in preference to any medical lexicon extant. Its true and sterling value as a key to medical science, and its moderate price, are so many common-sense recommendations which should not be forgotten.”—Boston Medical and Surgical Journal.

It may, indeed, be correctly affirmed, that we have no dictionary of medical subjects and terms which can be looked upon as adapted to the state of the science. In proof of this the author need but to remark, that he has found occasion to add several thousand medical terms, which are not to be met with in the only medical lexicon at this time in circulation in the country.

The present edition will be found to contain many hundred terms more than the first, and to have experienced numerous additions and modifications.

The author’s object has not been to make the work a mere lexicon or dictionary of terms, but to afford, under each, a condensed view of its various medical relations, and thus to render the work an epitome of the existing condition of medical science.”

“To execute such a work requires great erudition, unwearied industry, and extensive research, and we know no one who could bring to the task higher qualifications of this description than Professor Dunglison.”—American Medical Journal.

“This is an excellent compilation, and one that cannot fail to be very much referred to. It is the best medical lexicon in the English language that has yet appeared. We do not know any volume which contains so much information in a small compass. The Bibliographical notices, though so short, are very important and useful; and altogether we can recommend to every medical man to have this work by him, as the cheapest and best dictionary of reference he can have.”—London Medical and Surgical Journal.

“So far as we have been able to examine this Dictionary, it is exceedingly thorough and correct, not only in matters purely medical, but in whatever can fairly be arranged in the various branches of science, collateral or contributary to Medicine and Surgery.”—Medical Magazine.

“So well known are the merits of this valuable work, that, in noticing a second edition of it, it will suffice to extract the remark of the author in the preface, ‘that it will be found to contain many hundred terms more than the first, and to have experienced numerous additions and modifications.’ It has been got up by the publishers in very handsome style, and must command, as it deserves, an extended circulation.”—Medical Examiner.

“It is wholly unnecessary, we apprehend, to enter into a long or formal statement of the fact, that Dr. Dunglison’s Dictionary, from the first day of its appearance, has been regarded with peculiar favour. And we have now a revised edition, constructed under the immediate eye of the author, who is most favourably circumstanced for adding to the previous edition whatever could give it additional claims on the score of accuracy. Here are eight hundred and twenty-one pages, large octavo, in double colums, distinct type, of which no one ought to complain. Finally, although most of our readers may be owners of the first edition, we cordially and conscientiously recommend to all future purchasers to procure this in preference to any medical lexicon extant. Its true and sterling value as a key to medical science, and its moderate price, are so many common-sense recommendations which should not be forgotten.”—Boston Medical and Surgical Journal.

A NEW AND VALUABLE WORKFORPHYSICIANS, APOTHECARIES, AND STUDENTS.

NEW REMEDIES,The Method of Preparing & Administering them;THEIR EFFECTSUPON THEHEALTHY AND DISEASED ECONOMY,&c. &c.

BY ROBLEY DUNGLISON, M. D.

Professor of the Institutes of Medicine and Materia Medica in Jefferson Medical College of Philadelphia; Attending Physician to the Philadelphia Hospital, &c.

IN ONE VOLUME, OCTAVO.

“The value of this book is hardly to be estimated; to be without it, would be very much like obstinacy, and amount to the same thing as saying, like the Austrians in regard to their government, nothing can be improved, for we already live in a state of perfection. Dr. Dunglison, the author, has done an essential service to all classes of practitioners. It is creditable to the industry and wise discrimination of the author, and quite necessary to the libraries of those who feel the necessity of keeping pace with the improvements and discoveries in the broad but imperfectly exploded domain of medicine.”—Boston Medical and Surgical Journal.

A Third Edition, Improved and Modified, ofDUNGLISON’SHUMAN PHYSIOLOGY:Illustrated With Numerous Engravings.IN TWO VOLUMES, OCTAVO.

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“This work exhibits another admirable specimen of American industry and talent, and contains an account of every discovery in Europe up to the period of a few months prior to its publication. Many of the author’s views are original and important.”—Dublin Journal of Medical Sciences.

GENERAL THERAPEUTICS;OR,PRINCIPLES OF MEDICAL PRACTICE.

With Tables of the Chief Remedial Agents and their Preparations, and of theDifferent Poisons and their Antidotes.

By Robert Dunglison, M. D., &c., &c.

One Volume, large 8vo.

“There being at, present before the public several American works on Therapeutics, written by physicians and teachers of distinction, it might be deemed unjust in us, and would certainly be invidious, to pronounce any of them superior to the others. We shall not, therefore, do so. If there be, however, in the English language, any work of the kind more valuable than that we have been examining, its title is unknown to us.“We hope to be able to give such an account of the work as will strengthen the desire and determination of our readers to seek for a farther acquaintance with it, by a candid perusal of the volume itself. And, in so doing, we offer them an assurance that they will be amply rewarded for their time and labour.”—Transylvania Journal, Vol. IX, No. 3.

“We hope to be able to give such an account of the work as will strengthen the desire and determination of our readers to seek for a farther acquaintance with it, by a candid perusal of the volume itself. And, in so doing, we offer them an assurance that they will be amply rewarded for their time and labour.”—Transylvania Journal, Vol. IX, No. 3.

THE MEDICAL STUDENT; or, Aids to the Study of Medicine. Including a Glossary of the Terms of the Science, and of the Mode of Prescribing; Bibliographical Notices of Medical Works; the Regulations of the Different Medical Colleges of the Union, &c. By Robley Dunglison, M. D., &c., &c. In one volume, 8vo.

ELEMENTS OF HYGIENE; on the Influence of Atmosphere and Locality; Change of Air and Climate, Seasons, Food, Clothing, Bathing, Sleep, Corporeal and Intellectual Pursuits, &c., on Human Health, Constituting Elements of Hygiene. By Robley Dunglison, M. D. &c., &c. In 1 vol. 8vo.

MEDICAL ESSAYS.

THE CYCLOPEDIA OFPRACTICAL MEDICINE AND SURGERY,

Or Essays on ASTHMA, APHTHÆ, ASPHYXIA, APOPLEXY, ARSENIC, ATROPA, AIR, ABORTION, ANGINA-PECTORIS, and other Subjects Embraced in the Articles from A to Azote, prepared for the Cyclopedia of Practical Medicine by

Each article is complete within itself, and embraces the practical experience of its author, and as they are only to be had in this collection will be found of great value to the profession.⁂ The two volumes are now offered at a price so low, as to place them within the reach of every practitioner and student.

Each article is complete within itself, and embraces the practical experience of its author, and as they are only to be had in this collection will be found of great value to the profession.

⁂ The two volumes are now offered at a price so low, as to place them within the reach of every practitioner and student.

GIBSON’S SURGERY.A NEW EDITION OF GIBSON’S SURGERY.

THE INSTITUTES AND PRACTICE OF SURGERY; being the Outlines of a Course of Lectures. By William Gibson, M. D., Professor of Surgery in the University of Pennsylvania, &c. &c. Fifth edition, greatly enlarged. In 2 vols. 8vo. With thirty plates, several of which are coloured.

“The author has endeavoured to make this edition as complete as possible, by adapting it to the present condition of surgery, and to supply the deficiencies of former editions by adding chapters and sections on subjects not hitherto treated of. And, moreover, the arrangement of the work has been altered by transposing parts of the second volume to the first, and by changing entirely the order of the subject in the second volume. This has been done for the purpose of making the surgical course in the university correspond with the anatomical lectures, so that the account of surgical diseases may follow immediately the anatomy of the parts.”

DEWEES’S WORKS.

A PRACTICE OF PHYSIC, comprising most of the diseases not treated of in Diseases of Females and Diseases of Children. By W. P. Dewees, M. D., formerly adjunct professor in the University of Pennsylvania. In one volume, octavo.

A COMPENDIOUS SYSTEM OF MIDWIFERY.

ByDr. Dewees.

Chiefly designed to facilitate the Inquiries of those who may be pursuing this branch of Study. Illustrated by occasional cases and with many plates. The ninth edition, with additions and improvements. In one vol. 8vo.

DEWEES ON THE DISEASES OF FEMALES.

The seventh edition. Revised and Corrected. With additions, and Numerous plates. In one vol. 8vo.

DEWEES ON THE PHYSICAL AND MEDICAL TREATMENT OF CHILDREN.

With Corrections and Improvements. The seventh ed. In one volume, 8vo.

The objects of this work are, 1st, to teach those who have the charge of children, either as parent or guardian, the most approved methods of securing and improving their physical powers. This is attempted by pointing out the duties which the parent or the guardian owes for this purpose, to this interesting but helpless class of beings, and the manner by which their duties shall be fulfilled. And 2d, to render available a long experience to these objects of our affection when they become diseased. In attempting this, the author has avoided as much as possible, “technicality;” and has given, if he does not flatter himself too much, to each disease of which he treats, its appropriate and designating characters, with a fidelity that will prevent any two being confounded together, with the best mode of treating them, that either his own experience or that of others has suggested.

HORNER’S SPECIAL ANATOMY.

A Treatise on Special and General Anatomy. By W. E. Horner, M. D., Professor of Anatomy in the University of Pennsylvania, &c. &c. Fifth edition, Revised, and much improved. In two volumes, 8vo.

ELLIS’ MEDICAL FORMULARY.

The Medical Formulary, being a collection of prescriptions derived from the writings and practice of many of the most eminent Physicians in America and Europe. To which is added an appendix, containing the usual Dietetic preparations and Antidotes for Poisons, the whole accompanied with a few brief Pharmacuetic and Medical observations. By Benjamin Ellis, M. D., Fifth edition, with additions. In one vol.

Broussais on Inflammation, 2 vols. 8vo.Broussais’ Pathology, 1 vol. 8vo.Colles’ Surgical Anatomy, 1 vol. 8vo.Costers’ Physiological Practice, 1 vol. 8vo.Greys’ Chemistry applied to the Arts, 2 vols. with numerous plates.

ELEMENTS of PHYSICS, or NATURAL PHILOSOPHY, GENERAL and MEDICAL, explained independently of TECHNICAL MATHEMATICS, and containing New Disquisitions and Practical Suggestions. ByNeil Arnott, M. D. In two volumes, octavo.

“Dr. Arnott’s work has done for Physics as much as Locke’s Essays did for the science of mind.”—London University Magazine.“We may venture to predict that it will not be surpassed.”—Times.“Dr. A. has not done less for Physics than Blackstone did for the Law.”—Morning Herald.“Dr. A. has made Natural Philosophy as attractive as Buffon made Natural History.”—French Critic.“A work of the highest class among the productions of mind.”—Courier.

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“We may venture to predict that it will not be surpassed.”—Times.

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“A work of the highest class among the productions of mind.”—Courier.

ROGET’S PHYSIOLOGY AND PHRENOLOGY.

OUTLINES OF PHYSIOLOGY;WITH ANAPPENDIX ON PHRENOLOGY;BY P. M. ROGET., M. D.Professor of Physiology in the Royal Institute of Great Britain, &c. &c.FIRST AMERICAN EDITION,Revised, with numerous notes,In one volume, 8vo.

From the American Preface.—“Of the Author’s qualifications as a physiological writer it is scarcely requisite to speak. The fact of his having been selected to compose the Bridgewater Treatise on Animal and Vegetable Physiology, is sufficient evidence of the reputation which he then enjoyed; and the mode in which he executed the task amply evinces that his reputation rested on a solid basis.“The present volume contains a concise, well-written epitome of the present state of Physiology—human and comparative—not, as a matter to be expected, the copious details and developments to be met with in the larger treatises on the subject; but enough to serve as an accompaniment and guide to the physiological student.“The attention of the American Editor has been directed to the revision and correction of the text; to the supplying, in the form of notes, of omissions; to the rectification of some of the points that appeared to him erroneous or doubtful, and to the furnishing of references to works in which the physiological inquirer might meet with more ample information.“In Phrenology, the Author is a well-known unbeliever, and his published objections to the doctrine have been regarded as too cogent to be permitted to pass unheeded. It will be seen on farther examination in the interval of many years, which has elapsed since the publication of the sixth edition of the Encyclopædia, has not induced him to modify his sentiments on this head. On the contrary, he appears to be as satisfied at this time, of the fallacy of the positions of the Phrenologist, as he was at any former period.”☞This work will be introduced into many of the Medical Colleges of the union as a Text Book, it being a cheap volume, and well fitted as an introduction to the larger works on Physiology.

“The present volume contains a concise, well-written epitome of the present state of Physiology—human and comparative—not, as a matter to be expected, the copious details and developments to be met with in the larger treatises on the subject; but enough to serve as an accompaniment and guide to the physiological student.

“The attention of the American Editor has been directed to the revision and correction of the text; to the supplying, in the form of notes, of omissions; to the rectification of some of the points that appeared to him erroneous or doubtful, and to the furnishing of references to works in which the physiological inquirer might meet with more ample information.

“In Phrenology, the Author is a well-known unbeliever, and his published objections to the doctrine have been regarded as too cogent to be permitted to pass unheeded. It will be seen on farther examination in the interval of many years, which has elapsed since the publication of the sixth edition of the Encyclopædia, has not induced him to modify his sentiments on this head. On the contrary, he appears to be as satisfied at this time, of the fallacy of the positions of the Phrenologist, as he was at any former period.”

☞This work will be introduced into many of the Medical Colleges of the union as a Text Book, it being a cheap volume, and well fitted as an introduction to the larger works on Physiology.

COATES POPULAR MEDICINE:

POPULAR MEDICINE;OR, FAMILY ADVISER.

Consisting of outlines of Anatomy, Physiology, and Hygiene, with such Hints on the Practice of Physic, Surgery, and the Diseases of Women and Children, as may prove useful in families when regular Physicians cannot be procured: Being a Companion and Guide for intelligent Principals of Manufactories, Plantations, and Boarding Schools: Heads of Families, Masters of Vessels, Missionaries, or Travellers, and a useful Sketch for Young Men about commencing the Study of Medicine.

BY REYNELL COATES, M. D.

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Assisted by several Medical friends. In One Volume.

“It is with great satisfaction that we announce this truly valuable compilation, as the most complete and interesting treatise on Popular Medicine ever presented to the public. Simple and unambitious in its language, free from the technicalities, and embracing the most important facts on Anatomy, Physiology and Hygiene, or the art of preserving health; and the treatment of those affections which require immediate attention, or are of an acute character, this should be in the hands of every one, more particularly of those who, by their situations are prevented from resorting to the advice of a physician, nor would the careful perusal of its pages fail to profit the inhabitants of our cities, by giving them a more accurate knowledge of the structure of the human frame, and the laws that govern its various functions; whose perfect integrity is absolutely essential to health, and even to existence; the various systems of medical charlatanry, daily imagined to take advantage of the credulity and ignorance of mankind, would be rendered far less prejudicial to the community than they now are. We would particularly direct attention to the Chapter on Hygiene, a science in itself of the utmost importance, and ably treated in the small space allowed to it in this volume.”—New York American.

DR. CLARK ON CONSUMPTION.

A Treatise on Pulmonary Consumption, comprehending an inquiry into the Nature, Causes, Prevention, and Treatment of Tuberculous and Scrofulous Diseases in General. By James Clark, M. D., F. R. S.

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BOISSEAU ON FEVER.

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THE BRIDGE WATER TREATISES, COMPLETE IN SEVEN VOLUMES, OCTAVO. Embracing.

I. The Adaptation of External Nature to the Moral and Intellectual Constitution of Man. By the Rev. Thomas Chalmers.

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III. Astronomy and General Physics, Considered with References to Natural Theology. By the Rev. Wm. Whewell.

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⁂ The work of Buckland, Kirby and Rojet may be had separate.

Footnotes:

[1]On the Ova of Man and Mamiferous Animals, &c.: by T. Wharton Jones. (Med. Gaz.)

[2]“Inde vero cum viderum viviparorum testes ova in se continere, cum eorundem uterum itidem in abdomen, oviductus instar apertum notarim, non amplius dubito quin mulierum testes ovario analogi sint, quocunque demum modo ex testibus in uterum, sive ipsa ova, sive ovis contenta materia transmittatur, ut alibi ex professo ostendam, si quando dabitur partium genitalium analogiam exponere, et errorem illum tollere quo mulierum genitalia genitalibus virorum analoga creduntur.” (Nicolai Stenonis Elementorum Myologiæ Specimen, &c.Amst. 8vo. p. 145.)

[3]“Ova in omni animalium genere reperiri confidenter asserimus, quandoquidem ea non tantum in avibus, piscibus tam oviparis quam viviparis, sed etiam quadrupedibus ac homini ipso evidentissime conspiciantur.” (Regner de Graaf de Virorum et Mulierum Organis Generationi Inservientibus.Lugd. B. and Roterod. 1668. 8vo. p. 299.)

[4]Anat. Descript. of the Human Gravid Uterus: by W. Hunter, M. D.

[5]An Exposition of the Signs and Symptoms of Pregnancy, &c.: by W. F. Montgomery, M. D. p. 226.

[6]Phil. Trans. 1797.

[7]Purkinje and Valentin, de Phœnomeno generali Motus vibratorii. Wratisl. 1825.

[8]W. Hunter, Anatomical Description of the Human Gravid Uterus, &c. p. 13.

[9]Vesalius, Malpighi, Morgagni, Diemerbroeck, Vieussens, Ruysch, Monro, Heister, Haller, Rœderer, Meckel, Hunter, Wrisberg, Lobstein, C. Bell. (Meckel’s Anat.vol. iv.)

[10]C. Bell, On the Muscularity of the Uterus. (Med. Chir. Trans., vol. iv.)

[11]Leroux, Sur les Pertes de Sang.

[12]The tortuous serpentine course which the arteries of the uterus take, is not, as has been generally supposed, a provision of nature against the increase of size which the uterus has to undergo during pregnancy, but is the result of the structure in which they ramify, having already undergone these changes during a previous pregnancy.

[13]Anatomical Description of the Human Gravid Uterus, &c.: by W. Hunter, M. D.

[14]The axis of the brim of the pelvis runs in such a direction, that if a line were drawn from its centre, it would pass upwards and forwards through the umbilicus: the gravid uterus has its axis rarely or never inclined less than this, and usually much more, especially in multiparæ in whom the fundus is occasionally inclined so strongly forwards as to receive the name of pendulous belly.

[15]We are inclined to think that the soft feel of the portio vaginalis is one of the earliest signs of pregnancy which can be detected by examination. Our attention was first drawn to it in an obscure case of early pregnancy, complicated with extensive disease, which we examined with Mr. Ingleby of Birmingham, and where we gave a wrong diagnosis, not considering the patient to be pregnant. If we had placed as much confidence in this symptom as we are now inclined to do, we should probably have formed a more correct view of the case. Since this we have, on several occasions, found that attending to this circumstance has considerably assisted us in determining cases of doubtful pregnancy at an early period.

[16]This description is given according to the lunar not calendar months, of which there are necessarily ten during the forty weeks of pregnancy.

[17]We are aware that the plan which we follow, in considering the development of the ovum, is very different to that usually adopted, and will probably be open to some objections on the score of defective arrangement; but it must be remembered that this is a work intended for students, where complete and perfect arrangement must, to a certain extent, be sacrificed in order to place an acknowledged difficult and complicated subject in the clearest and most intelligible light. We have, therefore, preferred describing first the coverings of the ovum during those periods of pregnancy at which they are most frequently seen, and shall delay its minute consideration until we come to the description of the fœtus itself, the development of the one being so essentially connected with that of the other, as to render a separate description of them impossible. By this means the reader, by having the general details first brought under his notice, will be enabled to enter with more ease and advantage upon the consideration of those which are obscure and difficult.

[18]Siebold’s Journal für Geburtshülfe, vol. xiv. heft. 3. 1835.

[19]On the Signs and Symptoms of Pregnancy, p. 133.: by W. F. Montgomery, M. D. In a note to the above quotation, the learned author very properly calls themdecidual cotyledons, “for to that name their form, as well as their situation, appears strictly to entitle them: but from having, on more than one occasion, observed within their cavity a milky or chylous fluid, I am disposed to consider them reservoirs for nutrient fluids, separated from the maternal blood, to be thence absorbed for the support and development of the ovum. This view seems strengthened when we consider that, at the early periods of gestation, the ovum derives its support by imbibition, through the connexion existing between the decidua and the villous processes covering the outer surface of the chorion.”

[20]Observations by Dr. Baillie, in the posthumous work of Dr. W. Hunter, on the Anatomy of the Gravid Uterus.

[21]Observations on Certain Parts of the Animal Economy, p. 134.

[22]It has lately been supposed that the irregular nodules of wax in the Hunterian preparations were merely the result of extravasation, a rather hazardous conclusion against the authority of such men as the Hunters. Mr. J. Hunter has, however, expressly met this objection in the following observation:—“this substance of the placenta, now filled with injection, had nothing of a vascular appearance, or that of extravasation; but had a regularity in its form which showed it to be a natural cellular structure, fitted to be a reservoir for blood.” (Observations on Certain Parts of the Animal Economy, p. 129.)

[23]In offering these observations on the placenta, we have purposely quoted, wherever it was possible, from the admirable essays of the Hunter’s, on this subject. These works, more especially that of Dr. W. Hunter, are becoming too scarce to be easily attained by the student; and yet it is more peculiarly important to this class of our readers, that they should not only be aware how much we are indebted to these illustrious men for what we know upon the subject; but also that they should be as familiar as possible with their very words and expressions. The essays in question are master-pieces of original observation and correct description, and we may safely assert, that the one by Dr. Hunter is so complete, as to leave us little or nothing more to be wished for on this subject. With such feelings we cannot conceal our surprise, to find that an author like Dr. Burns should have passed over the whole subject of the placenta without once alluding to the name of Hunter; this omission is the more marked in the last editions of his work, where he has furnished the reader with copious references, &c. in the notes. One would have thought that Dr. Burns would have felt pride in acknowledging the merits of his distinguished countrymen.

[24]We said, “oneof the earliest changes.” Mr. Jones considers that “the breaking up of the surface of the yelk into crystalline forms,” is the first change which he has observed.

[25]Allen Thomson on the Development of the Vascular System in the Fœtus of Vertebrated Animal. (Edin. New Philosop. Journ.Oct. 1830.)

[26]Pander. Beiträge zur Entwickelungs-gesechichte des Hünchens im Eie. Würzburg, 1817.

[27]In making these observations upon the formation of the ductus arteriosus, we must request our readers to consider this as still an unsettled question.

[28]The vernix caseosa is a viscid fatty matter of a yellowish white colour, adhering to different parts of the child’s body, and in some cases in such quantity as to cover the whole surface; it seems to be a substance intermediate between fibrine and fat, having a considerable resemblance to spermaceti. From the known activity of the sebaceous glands in the fœtal state, and from this smegma being found in the greatest quantity about the head, arm-pits, and groins, where these glands are most abundant, there is every reason to consider it as the secretion of the sebaceous glands of the skin during the latter months of pregnancy.

[29]Fourcroy, it is true, has shown that the fœtal blood is not only of a darker colour, but incapable of becoming reddened by the contact of atmospheric air, and that it coagulates very imperfectly. Others have shown that there is no perceptible difference in the colour of the blood of the umbilical arteries from that of the umbilical vein. Still, however, this by no means disproves what we have now stated, and which is now generally allowed to be the office of the placenta during the latter periods of pregnancy.

[30]“A gentleman,” says Dr. Montgomery, “lately informed me that, being afflicted with a stepmother naturally more disposed to practise thefortiter in rethan to adopt thesuaviter in modo, he and all the household had learned from experience to hail with joyful anticipations the lady’s pregnancy, as a period when clouds and storms were immediately changed for sunshine and quietness.” (Exposition of the Signs and Symptoms of Pregnancy, p. 9.)

[31]Dionissays, that “women of a sanguine complexion, who form more blood every month than is necessary for the nourishment of the fœtus whilst it is small, discharge the overplus by the vessels which open into the vagina during the first months.”

[32]The menstrual blood is more pale and sparing: it usually comes from the hæmorrhoidal vessels of the vagina, or at most, from those of the cervix uteri. (Levret,Art des Accouchemens, § 233.)

[33]Should the vessels of the cervix uteri take upon them the secretion of the menses, this discharge can thus continue through pregnancy. (Carus,Lehrbuch der Gynakologie, bd. ii. p. 67.)

[34]L’Art d’Accouchemens, § 369. (note;) also Deventer, Novum Lumen Obstet. chap. xv.; Perfect’s Cases of Midwifery, vol. ii. p. 71. [Meurer, American Journ. Med. Sc., April 1841, p. 494.]

[35]This fact was observed so long ago as by Aristotle, also by Schenk, as quoted by Mauriceau, lib. i. chap. 1. Mauriceau himself mentions having seen several cases, one of which forms the subject of his 393d observation. “Le 8 Juin, 1685. J’ai vu une jeune femme agée seulement de seize ans et demi, marié depuis un an qui était grosse de cinq mois ou environ, quoiqu’elle n’eut jamais eu ses menstrues, à ce qu’elle me dit aussi bien que son marie, qui ne pouvait pas se persuader qu’elle cût pû devenir grosse, n’ayant pas encore eu ce premier signe de fécondité; m’alleguant, pour soutenir son opinion, qu’on ne voyait jamais de fruit d’un arbre qui n’eut été précédé de sa fleur. Mais je lui dis qu’il était certain, comme il reconnut bien par sa propre experience en voyant accoucher sa femme d’un enfant vivant quatre mois ensuite, que les jeunes femmes pouvaient bien quelquefois devenir grosses, ainsi qu’il était arrivé à sa femme, sans avoir jamais eu leur menstrues, si elles usaint du coit dans le temps méme quelles étaient sur le point d’avoir effectivement cette evacuation naturelle pour le premier fois.”

[36]Rœderer, Elm. Art. Obst. p. 46. The original is a masterly specimen of description, not less remarkable for its singular comprehensiveness than the beauty of the style. “Menstruorum suppressionem mammarum tumour insequitur, quocirca mammæ crescunt, replentur, dolent interdum, indurescunt; venæ earum cœruleo colore conspicuæ redduntur; crassescit papilla, inflata videtur, color ejusdem fit obscurior; simili colore distinguitur discus ambiens qui in latitudinem majorem expanditur, parvisque eminentiis quasi totidem papillulis tegitur.”

[37]“In women with dark eyes and hair, this discolouration is very distinct; in women with light hair and eyes, it is often so slight that it is difficult to tell whether it exists or no.”... “In brunettes who have already borne children, the areola remains dark ever afterwards, so that this ceases to be a guide in all subsequent pregnancies.” (Gooch,on some of the more important Diseases of Women, p. 201 and 203.)

[38]We had, at the moment of writing the above, a patient just recovered from her first labour, in whom the discolouration extended nearly over the whole breast: it was darker in some spots than in others, and presented a variety of shades not unlike a large bruise of some days’ standing. Dr. Montgomery mentions a case where the areola was almost black, and upwards of three inches in diameter. A similar case occurred not long since.

[39]Bibliothèque Universalle, t. ix. p. 248; also in the Isis for 1819, part iv. p. 542.

[40]“Mémoir sur l’Auscultation appliquée à l’étude de la Grossesse, ou Recherches sur deux nouveaux Signes propres à faire reconnaïtre plusieurs Circonstances de l’Etat de Gestation; lu à l’Academie Royale de Médecine dans la Séance Générale du 26 December, 1821. Par J. A. Lejumeau de Kergaradec.”

[41]Dr. Evory Kennedy, Observations on Obstetric Auscultation, &c. 1833.

[42]H. F. Naegelé, Die Geburtshülfliche Auscultation, 1838; also Dr. Corrigan, Lancet.

[43]Die Geburtshülfliche Exploration, von Dr. A. P. Hohl.

[44]This sign of pregnancy has very recently excited some attention, and the researches of M. Tanchou of Paris, (seeAmerican Journ. Med. Sc.Feb. 1840, p. 483,) Golding Bird, (Ibid., Aug. 1840, p. 501,) and Drs. McPheeters and Perry, (American Medical Intelligencer, March 15th, 1841, p. 350,) conclusively establish, that taken in connexion with other symptoms, it forms a very valuable aid to diagnosis.

The following is the description given by M. Tanchou of the changes which the urine during pregnancy exhibits, and of the characters by which its peculiar ingredient, named by M. NaucheKiesteine, may be recognised.

The urine of a pregnant woman, collected in the morning, is usually of a pale yellow colour and slightly milky in appearance; it is not coagulable by heat, or by any of the tests which indicate the presence of albumen. Left to itself and exposed to the air after the first day, there begins to appear suspended in it a cottony-looking cloud, and, at the same time, a flocculent whitish matter is deposited at the bottom of the fluid. These phenomena are not of constant occurrence, and, moreover, healthy urine sometimes exhibits analogous phenomena.

From the second to the sixth day, we perceive small opaque bodies rise from the bottom to the top of the fluid; these gradually collect together so as to form a layer which covers the surface: this is thekiesteine. It is of a whitish or opaline colour, and may be very aptly compared to the layer of greasy matter which covers the surface of fat broth, when it has been allowed to cool. Examined by the microscope, it exhibits the appearance of a gelatinous mass, which has no determinate form. Sometimes small cubical crystals can be perceived in it, when it has become stale.

Thekiesteinecontinues in the state we have now described, for three or four days; the urine then becomes muddy, and minute opaque bodies detach themselves from the surface and settle at the bottom of the vessel: the pellicle thus becomes soon destroyed.

The characteristic feature, therefore, of the urine during pregnancy consists in the presence ofkiesteine. It deserves, however, to be noticed, that the urine, in some cases of extreme phthisis pulmonalis, and also of vesical catarrh, will be found to exhibit on its surface a layer or stratum which is not unlike to that now described as peculiar to the state of pregnancy. But with proper attention we may easily avoid this mistake. The stratum, in the cases alluded to, does not appear so quickly on the surface of the urine as thekiesteinedoes; and also, instead of disappearing, as it is found to do, in the course of a few days, it (the former) goes on increasing in thickness, and ultimately becomes converted into a mass of mouldiness.

Of twenty-five cases, in which M. Tanchou detected the presence ofkiesteinein the urine, seventeen occurred in women who were pregnant from four to nine months, four in women who had not quickened, and who considered themselves as labouring under disease of the womb, and the remaining four in patients who had been under treatment for casual complaints—one for sciatica at the Hôtel Dieu, another for ascites in the city, a third for an ulcer in the neck at La Pitié, and the last had been cauterized twice a week for a pretended disease of the uterus. In none of these cases had the existence of pregnancy been suspected, although in every one of them the fact was soon placed beyond doubt.—Editor.

[45]Baudelocque wrote an account of it to Professor Naegelé of Heidelberg, from whom we received the particulars.

[46]See Treatise on the Diseases of Females, 6th ed. p. 46. Ed.

[47]Ovum deforme, in quo partes embryonis et secundarum distingui vix possunt, molam vocabimus. (Rœderer,Elementa Artis Obstetricæ, § 738.)

[48]Dr. J. Y. Simpson on the Diseases of the Placenta. (Edin. Med. and Surg. Journal, April 1, 1836.)

[49]“One must be careful not to mistake these clots of blood, which being washed by the reddish serosities which flow from the womb, harden in the vagina, or womb itself, and look exactly like false conceptions.” (La Motte.)

“Every mole is a blighted ovum which has been the product of conception. We are not justified in classing under the head of moles every mass which is produced and lodged within the uterus.” (Froriep’sHandbuch der Geburtshülfe, § 180.)

[50]Our friend, Dr. Nebel, of Heidelberg, has a preparation of a fœtus which was retained for fifty-four years in the abdomen. This is the longest period on record of a fœtus being retained in the cyst of a ventral pregnancy. Many other cases have been described. (SeeBurns, 9th edition, where the notes contain very ample references.)

[51]We had lately a case of this kind. The patient had been under our care for inflammation of the cervix uteri. There was that general enlargement of the uterus which attends this condition; and, on endeavouring to lift a heavy weight, she was seized with violent pain in the pelvis, great difficulty in passing fæces and urine, and, on examination, the uterus was found retroverted. The bowels were well opened with castor oil, and in a day or two it recovered its natural position.

[52]Dr. W. Hunter has evidently taken the same view of the case, and invariably considers retention of urine as an effect, not the cause, of this displacement. (Med. Observ. and Inq.vol. iv.)

[53]We were once misled in a case of this description. The os uteri lay close behind the symphysis pubis, and its opening, as well as so much of the neck as we could feel, looked straight downwards. We were unable to pass the finger sufficiently high to trace the continuity between the neck of the uterus and tumour in the hollow of the sacrum formed by the fundus; and the haggard aged appearance of the woman put all suspicion of pregnancy out of our mind.

[54]Dr. Burns makes a similar observation. “In most cases the cervix will be found more or less curved; so that the os uteri is not directed so much upwards as it otherwise should be.” (Principles of Midwifery, p. 281. 9th edit.)

[55]“Sometimes it is perhaps better to introduce the fingers into the vagina only, and not into the rectum, not merely because, we can act better and more directly upon the uterus here, but also because if we press the posterior wall of the vagina upward towards the sacrum, and thus stretch the upper part of it which is between the fingers and the os uteri, it will act upon the uterus like a cord upon a pulley, and greatly favour its rotation.” (Richter,op. cit.vol. vii. sect. 57.)

[56]Among others, we may mention an exceedingly interesting case recorded by Mr. Baynham, in theEdin. Med. and Surg. Journ.April, 1830. The real nature of the case was not ascertained for six weeks, the catheter only being used night and morning. Even when the bladder was empty, the fundus resisted every attempt to return it. The most prominent part of the tumour in the rectum was punctured with a trocar, and about twelve ounces of liquor amnii, without blood, were drawn off: the reduction followed in about a quarter of an hour. A full opiate was given, and the patient passed a better night than she had done before. Twenty-five hours after the operation, the fœtus, was expelled; it was fresh, and about the size of a six months’ child. The patient recovered.

[57]Dr. Cheston’s case, where the child was afterwards carried the full time, and born alive. (Med. Communications, vol. ii. p. 6.)

[58]Merriman, Med. Chir. Trans. Vol. xiii. p. 338.

[59]Exposition of the Signs and Symptoms of Pregnancy: by W. F. Montgomery M. D. p. 253.

[60]Dewees, Compendious System of Midwifery, sect. 408. A similar case is recorded by Dr. Montgomery.

[61]“Qui inter septimi et noni mensis, à prima conceptione, finem contingit partus,præmaturusvocatur:abortusvero quando ante dictum tempus embryo excidit; id quod circa tertium graviditatis mensem ut plurimum accidit. Vitalem esse præmaturum fœtum observatio nos docet, embryonem autem non manere superstitem constat.” (Rœderer,Elem. Artis Obst.cap. xxiii. § 716.)

[62]During the great influenza epidemic, abortions were remarkably frequent.

[63]This is nearly the same arrangement which has been followed by Dr. Copland, in the articleAbortion, in the Dict. Pract. Med.

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