the patient, without being subjected to any new contagion, may have all the symptoms of a new attack of acute gonorrhoea. Chronic or granular urethritis may also be communicated in the quiescent, or almost latent, form without the patient ever passing through the symptoms of ordinary manifest clap.. Hence many persons will give gonorrhoea to others, who are utterly unaware that they have ever had the disease themselves. In the French and Prussian official examinations the quiescent form of the disease has until lately escaped notice; for granulations were not looked for, nor appreciated, but only the more noticeable phenomena of ordinary gonorrhoea and syphilis. Hence the license system for a long time proved very inefficient in restraining the spread of gonorrhoea.

The tendency of the granular disease is also gradually to infiltrate the mucous membrane with permanently organized plastic lymph and thus lead to stricture. Hence the vulgar opinion that stricture is generally due either to acuteness of the first inflammation, or to the injudicious use of nitrate of silver and other injections, must be considered erroneous. Granular urethritis tends towards stricture in all cases, though the narrowing is not always so great as to trouble the patient's urination. Med. Gazette.

Ligature of the Common Carotid Artery.

THE last number of Langenbeck's Archiv contains a long article from Dr. C. Pilz of Breslau, on ligature of the common carotid. Included in this, are statistical tables of 586 reported cases, which are arranged in the following manner: ligature for haemorrhage 220 cases: ligature for aneurism, 86 cases; ligature for tumors, 138 cases; ligature before and during the removal of tumors, 69 cases; ligature for nervous affections 35 cases; ligature for Brasdor's operation, 38 cases. The total amount of cases is further increased to 600 by others, of which full details are not given. In 29 instances the common carotid was tied on both sides, in 57 on the right side, and in 194 on the left. The sex of the patient is not given in every case, but of 537 patients 403 were males and 134 females. The sympathetic nerve was in one instance. included in the ligature. Affection of the nervous system followed the operation in 160 cases; hemiplegia occurred in 8 per cent., and 76 per cent. of the patients so affected died. Of the 600 cases, 319 were cured after the operation, and

259 died; the result in the remaining being unreported. The ligature in the majority of cases came away between the thirtieth and fortieth days after the operation. The nervous symptoms following deligation of the common carotid, are attributed by Dr. Pilz to deficiency of arterial supply and to venous congestion, and also to nutritive changes brought about by the establishing of the collateral circulation. In cases of aneurism, Dr. Pilz advocates the application of digital and mechanical compression, and holds the opinion that deligation of the carotid should be performed, only as a last resource when all other methods of treatment have failed.— Archiv fur Klinische Chirurgie, Bd. ix. 1868.

EDITORIAL.

Concentrated Eclectic Medicines.

ALTHOUGH We have for many years as a journalist, called the attention of our readers to this subject, we feel that it is worthy of all that can be written in its favor.

These remedies have been the great characteristic feature of the therapeutic department of our school of medicine, and now almost the entire list has been adopted by the Homœopathic practitioners, and is to be found in their later works on Materia Medica.

They are now in general use by the Allopathic physicians, and are embodied in their recent works on Materia Medica and the Practice of Medicine. These facts are a source of great satisfaction to every person who has been in any way connected with the developing the new remedies and creating a position for them in the confidence of the medical profession.

The field for investigation by our organic chemists was never greater, and it is hoped they will continue to labor successfully until they make still greater discoveries than those which already give to the American Eclectic medical profession their distinctive and wellearned position. The mercurial preparations are now being abandoned even by Allopathic physicians, recent experiments having proven that they produce no cholagogue action, as was formerly supposed. Podophillin will soon take the place of mercurials generally. This combined with the Stillingin, will, no doubt, entirely supersede them in the treatment of the whole class of syphilitic diseases. We might consider the relative value of more or less of the whole

class of new remedies by comparing them with the pernicious agents formerly in use, but we do not think it necessary, as many physicians of all schools of medicine are convinced of their superiority. B. Keith & Co., of this city, are now supplying the European drug markets with the concentrated medicines. The demand for these medicines are so great that many thousand dollars worth of crude articles are yearly required to supply it. The commission appointed by the English Government to test these medicines in hospital practice, after a careful examination, reported that they found them to "do all the American Eclectics claimed."

The Eclectic Medical College of New York.

THE Winter Session of this College is now in successful operation. There is a larger attendance than upon the former sessions. Several States are represented at this time, among which are Maine, New Hampshire, Massachusetts, Connecticut, New York, New Jersey, and others.

Our Faculty is full, and every lecturer is at his post. The lectures begin in the morning at 9 o'clock, continue until 12 o'clock, after which there is an intermission of one hour; the class then enter the Hospital and remain until three o'clock. When they assemble again in the College, after this, there are two lectures in the afternoon. The college closes at 5 o'clock. Each member of the Faculty delivers four lectures each week.

The Spring Session commences immediately upon the close of the Winter Session, which will be about the middle of February, 1869.

Personal.

PROF. J. R. BUCHANAN, who was for many years connected with the Eclectic Medical Institute at Cincinnati, as Professor of Physi ology and the Institutes of Medicine-author of a work on Anthropology, Editor and Publisher of Buchanan's Journal of Man-has purchased a large estate near this city, with the view of making it his permanent home. Prof. B., who comes to New York with ample means, and surrounded by a large circle of influential friends, will not fail to succeed in his scientific labors.

SANFORD BELL, M. D., one of the original co-workers in Medical Reform with the late Profs. I. G. Jones and T. V. Morrow, we

learn is about to return to New York, his native city. Dr. Bell after graduating in this city, visited Europe and graduated at one of the medical universities of London. After traveling over the continent and spending several years in the various hospitals, returned to his home. Soon after this he was appointed surgeon in the regular army, where he served for many years. He settled in Iowa, and was made Professor in the Medical Department of the University. When the late war commenced he again entered the army as surgeon, and filled with great distinction that position. He then settled in Memphis, Tenn., where he has ever since resided. Dr. Bell, as one of the true and tried Eclectic Physicians and Surgeons, will be a great accession to our ranks in this city.

On the 25th No

W. R. MERWIN, M. D.-This gentleman graduated in the Eclectic Medical College of New York City in 1866. He is a good practitioner, and is well informed in his profession. vember he left our city to form a copartnership with J. A. Reid, M. D., of Davenport, Iowa. Dr. Reid is one of the very best Eclectic practitioners in that State, and has at this time a large and lucrative practice.

To our Subscribers.

WE desire to remind many of our patrons that their subscriptions for the current year have been due for some time, the prompt payment of which would prove very acceptable.

We would also take this occasion to ask the coöperation of our readers to extend the circulation of the Review. With a little effort each subscriber could send us a new one. Shall we have the effort?

Acupuncture Instrument.

WE are requested to announce to the profession that the partnership heretofore existing between Brown & Herrick has been dissolved, and that the business will be hereafter conducted solely by Dr. A. R. Brown.

We understand that Dr. Brown will soon have ready for use a new and greatly improved acupuncture instrument, entirely devoid of all objectionable features, together with improved fluids to employ with the instrument. A new work, revised, enlarged, and rendered more specific in detail, with a treatise on the most important female discases appended, will soon be issued.

REVIEWS AND BIBLIOGRAPHICAL NOTICES.

A VALUABLE BOOK.

We have had an opportunity of hastily glancing at a work recently issued from the London press. It is from the pen of "W. A. Browne, LL.D.," and is entitled "The Merchant's Handbook." From the examination we have been able to bestow upon this treatise, we regard it as an admirable book, and one eminently useful to those who are engaged in mercantile pursuits. To the banker and merchant and general trader it will especially recommend itself. We notice that the British press speak of it in terms of high commendation, and are unanimous in pronouncing it a work at once useful, accurate, comprehensive and complete. For ourselves we are so much pleased with it that we should be glad to see it republished in America. "It purports," says the author in his preface, to be a book of reference for the use of those engaged in domestic and foreign commerce. It states under each country the denomination of money used in keeping accounts and shows their British value. It enumerates, under distinet heads, the gold and silver and copper coins, and the measures and weights of each country, and gives their English, as also their French or metric values. This information is, to a great extent, official. It is mainly based upon the authority of gentlemen who have long resided in the countries treated of. A series of questions on the coinage and metrology of the several countries was addressed to the Foreign Ministers and Consuls in the United Kingdom, and to the English Ministers and Consuls abroad. In almost all cases clear and satisfactory answers were promptly and courteously afforded." The contents of the "Handbook" seem to have been compiled with great care, and, as they were prepared chiefly from official sources, may be regarded as perfectly reliable. The work is neatly and perspicuously written, and contains a vast amount of varied information which the banker and merchant cannot find elsewhere. It certainly supplies a want that has long been felt-here as well as in Europe-and hence our earnest desire to see it, as we said before, republished in America.

NEWS AND MISCELLANY.

NEW YORK CITY ECLECTIC MEDICAL SOCIETY ANNUAL MEETING.--The Annual Meeting of the New York City Eclectic Medical Society took place at the college building, eight o'clock Wednesday evening, Nov. 18th, the President, Dr. E. Whitney, in the chair.

The minutes of the preceding meeting were read and approved. An entertaining essay of a general character was then read by