a deep, coarse voice, a masculine frame and face, with all the characteristics of an ordinary coarse woman. A careful examination revealed the following condition:

The mamma were undeveloped; the clitoris, resembling a penis in flaccid state, was two inches long, and half an inch in diameter, with well developed gland and foreskin. No orifice was discovered. A vagina two inches deep, well formed, existed, but a closer examination per rectum and bladder could not discover any trace of a uterus; the meatus urinarius and vestibule were perfect; the right labium major was quite natural and of usual size; the labia minora were traceable, but in the folds of the left labium there appeared a large pendent tumor, resembling the left testicle of a man, with a well developed scrotum of usual size, of some four inches in length, resembling in every respect the scrotum. Tracing what appeared to be the cord up, I found it made its exit from the external abdominal ring, and having every indication of a spermatic cord; the epididymis appeared to be natural; in fact, everything resembled a testicle.

To my question as to how long the tumor had existed, she stated that she had noticed nothing until she was ten years of age.

Her object in coming to me was, she said, to see if I would remove the tumor, as it annoyed her.

After removal, the tumor was examined by Dr. Lord, Dr. E. W. Avery and myself, with a microscope magnifying 350 times, when cellular structure and convoluted tubes were visible, with rudimentary spermatozoa; in fact, it was declared a testicle.

This being the only case, I believe, on record, where a testicle has been discovered in a woman, it will naturally interest many. The fact can now be settled, that such a thing as a hermaphrodite has existed.

Modern Pharmacy.

If the vast benefits of reform practice attest the labors of Eclecticism a success, they do no less proclaim the remedial agents in use, the motive-power to that success. All good that can be derived from thought or theory, must come through action and practical labor. The conception of refor matory practice could not, of itself, be practical until substance, in the shape of new combinations and a wider range of remedial agents, bore up and carried out the design.

Argument is not essential to prove that vast changes have

been effected, in our own recollection, in the general theory of practice, and particularly in the administration and choice of medicines. If the medical world would ascribe radical changes in medication to equally radical changes of the human constitution and necessities, for the sake of humanity, allow it. If the general opinion has changed relative to the choice of medical agents, and the vegetable kingdom, rather than the mineral, is now the subject of investigation and of peculiar interest, allow that. Then the point of fact and date of these changes, are in time with the rise and progress of Eclecticism. That being the element of warfare upon the past, it is reasonable to argue that reform practice is the power that has exposed in all its repulsive nakedness the imperious medication of fifty years ago. This fact is all the more pertinent from there having been no encouragement offered by the established practice for the advancement and development of such changes and reforms. Medical statistics have fixed the success of reform theories based upon the introduction of modern remedies. Many of these remedies have now a place in the recognized Pharmacopoeia, and are agents for good. The source from whence they came is unnoticed, but the history of their origin cannot be concealed. While Eclectic practice and its pharmacy are so inseparably connected, there can be no more important undertaking than a medium of perpetuity to the remedies so potent in the hands of reform, upon an established pharmaceutical basis.

We would not build up distinctions between schools, but rather level all to one general spirit of harmony. Yet since Eclecticism has been made to stand alone, it is proper that its remedial agents should constitute it own peculiar Pharmacopoeia. There are reasons why it should be established aside from its distinctive position; and there can be none more vital, than that our compounds may be spared the prevailing disposition for change, in that which experience has decided as effective and perfect. Confusion threatens to involve our established agents into an inextricable mass, and unless order is thus assured, there can be no certainty in the name and no efficacy in the preparation. It has so far become the disposition of physician and druggist to raise each his own standard, that it is now a necessity in self-protection to both the honest pharmaceutist and the successful practitioner, that there should be an unerring guide.

No practical pharmaceutist or well-informed physician would claim that all of our preparations have reached a state of essential perfection. Of many articles time, intelli

gence and zeal must operate in their behalf. The universal demand for medicines in a concentrated form, made a general list of resinoids a natural result. The demand was met by manufacturers in many impure, unreliable and unscientific preparations. They produced resinoids that science will never approve, because such preparations cannot be obtained. They are made to-day, and sold because the profession will have them. If one pharmaceutist does not make them, another will. The profession must be enlightened, false teachings corrected, speculators discountenanced and Eclectic pharmacy elevated to a science before reliability can be established and imposition be prevented. Already

the disappointment resulting from many of the resinoids has given birth to that most perfect system of remedial agents, essential or concentrated tinctyres, than which no form will meet more indications.

Another source of evil to the profession presents itself in this, that what are called Eclectic preparations often differ from pure chemicals or chemical compounds in being simply mixtures. True, these have been legalized or established by the American Dispensatory, and should be as invariable as the active principle of a known agent or the result of a strictly chemical action. But the pharmaceutist is called upon to make a compound after a recipe given by some obscure writer; or is called upon to meet the suggestion of another who would experiment; or supply an article like that of a manufacturer in New York, or St. Louis, or Chicago, or Cincinnati, or perchance in an unknown village, and from an unknown source. The purity of the compound is lost in the multitude of suggestions and improvements; and it cannot be surprising that dissatisfaction and unreliability should be the result. One man may have an equal right with another to set up a formula for the profession, but is the public benefited, and is success insured to the physician by changes and variety in the same compound? Worthless remedies must, in this manner, become confused with those of established reliability. With this view, is it possible for Eclectic practice to maintain its identity but by an absolute pharmacy? Whether this object be reached by a conference of practitioners and druggists from every point of the American compass, or by the effort of an individual aided by competent pharmaceutists, is of little moment. That Eclectic compounds may be established upon an unchanging basis, not subject to the vagaries of fancy, and such as shall only receive the countenance of the profession, is the desired and mportant end.

But not the intelligence of the past, nor the demands of the future will insure success, save that a wider spirit of liberality shall exist within Eclecticism itself. Competition has depreciated the pecuniary value of Eclectic preparations, and that competition in the hands of the unscrupulous has depreciated their medicinal value, until dishonesty would seem a reward and deception a virtue. The honest pharmaceutist is thus denied the specific encouragement he should receive, and the well meaning practitioner the success he should naturally expect. Cheap medicines at the expense of purity and potency, have so far been the choice, that the support of impurities would seem to have received the countenance of Eclecticism itself. It is wise in the profession to protect itself from imposition and extortion, but is it not rather wisdom to make sure of remedial agents that will certainly meet the indications they require, though it be at the expense of a fraction more? A knowledge of the embarrassments under which the conscientious pharmaceutist labors has called up the subject, and I cannot conceive that it can be more in place than before this body and under the present circumIts introduction to Eclecticism everywhere is vital. Eclecticism has been a triumph and its remedial agents have been no less a success. Once without the old highway of medication, and adrift upon the wide ranges of reform, not the established remedies nor the unchanging modes of preparation could longer restrain. Freedom from the absolutism of the one claimed an equal freedom in the other.-Dr. Abner Thorp, in the Ohio E. M. Jour.

Syphilis Communicated to a Wet-nurse.

DR. HENRY LEE, of London, in the Lancet of June 13, records a case in which there is no doubt that secondary syphilis was communicated to a wet-nurse by a babe. The report says:

Some spots appeared on the child's mouth when a fortnight old; and it subsequently had eruptions in other parts of the body.

I saw the wet-nurse five months after she had commenced nursing the child. There was a circumscribed, oval, elevated, discolored patch, covered with thick epithelial scales, an inch below and to the outer side of the left nipple. This was of much firmer consistence than the surrounding parts, but wanted the characteristic induration of primary syphiVOL. IV. NO. 4.

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litic sores on other portions of the skin. A gland in the axilla was considerably enlarged, very hard, and accurately circumscribed. The remains of a well-marked, copper-colored eruption were distinctly visible on different parts of the skin, especially upon the arms. The spot on her breast had commenced, she said, soon after taking the child to nurse. Her own child, which was quite healthy, she had not nursed. She had never suffered from any enlargement of the glands in the groin, nor from any local symptom. Her husband, whom I saw, appeared a perfectly healthy man.- Medical Record.

Swallowing of a Fork, Perforation of Stomach and escape through Abdominal Walls.

A

A MOST remarkable case of traumatic abscess is reported in the Medical Gazette of Strasburg, as occurring in an insane asylum at Zutphen. The patient was a woman 64 years old, affected with lypomania, who had swallowed a silver fork for the purpose of committing suicide. She was received into the asylum two days after accomplishing this feat, and the physician had no difficulty in detecting the foreign body in the stomach. The teeth of the fork were in the cardiac portion, directed upwards and forwards, the handle lying backwards, in the pyloric extremity. The patient complained of no pain, only a sensation of weight and oppression at the stomach. During the first days, she was submitted to entire repose, severe diet, and expectation. slight febrile reaction gradually established itself, and the patient at last complained of pain in the left epigastric region. These symptoms continued without aggravation during three months, and then gradually subsided. At this time the teeth of the fork disappeared from the place where for so long they had been plainly perceptible, and instead was discovered a singular tumor in the abdomen, to the left of the umbilicus, which occasionally had the air of a gravid uterus at four months. It was impossible to decide upon the nature of the contents of this tumor, in which no sign of the fork could be perceived. The pain was trifling, the pulse at 72; stools easily obtained by enemata. A slight febrile reaction occurred later, but the digestion always remained undisturbed.

Five months later, the tumor, which till then had been quite round, began to point. The abdominal walls were not adherent. In the course of the following month an abscess