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Seguin, and of the "American Clinical Lectures," edited by Dr. Seguin, and aims to be a very scientific journal. Its best original articles are 66 A New Method of removing Interstitial and Submucous Fibroids of the Uterus," by T. G. Thomas, M. D., and "The Aid which Medical Diagnosis receives from Recent Discoveries in Microscopy," by C. Heitzman, M. D. Each number has 112 pages.

The same house will begin in March the publication of a new quarterly to be called "Neurological Contributions," by Prof. Wm. A. Hammond, M. D., assisted by W. J. Morton, M. D. Each number will be complete in itself, will contain at least ninety-six pages handsomely printed, will be freely illustrated, and will cost $1.00. It will be devoted to diseases of the mind and nervous system.

ELLIS'S DISEASES OF CHILDREN. Third Edition. Wm Wood & Co.

This forms the second volume of Wood's "Library of Standard Medical Authors," noticed at length in last October's Gazette, and a very creditable issue it is too; printed on handsome, cream laid paper with long primer type. It is sold only by subscription for the whole series, as already explained, and is a marvel of cheapness.

INDEX MEDICUS, Vol. I., No. 1.

Ir is generally known to the medical profession and those interested in bibliography that Dr. John S. Billings, Surg., U. S. A., in charge of the National Medical Library at Washington, is now ready to print his great "National Catalogue of Medical Literature," as soon as Congress grants an appropriation for the purpose. This indexes under subjects and by authors, books, pamphlets, and original papers in nearly all the medical periodicals of the world; including over 400 000 subjects entries, and making ten volumes royal 8vo of 1000 pages each. This will be of the greatest value to physicians the world over, as it enables them to find analogues for peculiar and difficult cases, and thus often to save lives. In continuation of this work, it is now proposed to publish monthly, under the editorship of Dr. Billings and of his assistant, Dr. Robert Fletcher, M. R. C. S., a current medical bibliography under the title of the Index Medicus. It will be issued by F. Leypoldt, the bibliographic publisher, 37 Park Row, New York, at $3 per year, and will enter all medical books and index the leading medical journals and transactions in English and other languages. A full list of the latter, numbering over 600, forms a part of the specimen. number of the Index now issued under date of Jan. 31, 1879, which is a very creditable production and shows an enormous amount of work, which, however, will be appreciated by those who have occasion

to resort to the needle-in-the-haymow task of hunting over our current periodical medical literature for articles on special subjects. We wish the new enterprise success.

A TREATISE ON THE HORSE AND HIS DISEASES. By B. J. Kendall, M. D., Enosburgh Falls, Vt. 25 cents.

This pamphlet seems to be mainly an advertisement of "Kendall's spavin cure," which is recommended for so many diseases that it must be a universal panacea. Diseases which this does not reach-if there be any - are treated in a very heroic manner. We are glad, however, that he advises against bleeding in pneumonia and actually uses aconite, though in twenty-five-drop doses every four hours. There are several wood-cuts from Mayhew and others, showing the positions which horses assume when sick.


Reported by Geo. B. Peck, Jr., M. D., Secretary.

THE twenty-ninth annual meeting of this society was held on Friday evening, 3d inst., in the apartments of Drs. Barrows, Wilcox, and Green, on Mathewson Street. The most important item was the consideration of a new constitution and code of by-laws, reported by Drs. Sawin, Budlong and Knight. These were finally adopted as presented. Their only point of general interest is found in the preamble, which states that "the subscribers, practitioners of medicine, residing, etc., believing the law propounded by Hahnemann, 'Similia similibus curantur,' to be a fundamental truth in the science of medicine; and further believing that the best method of advancing the science of homoeopathy in this State is by the effective organization and co-operation of its adherents, do agree to form an association," etc.

It is a little singular that the reading of this paragraph caused no discussion, for by its adoption the last condition of exclusiveness was removed. The old constitution contained the words "and the only safe guide in its practice," which might be objectionable to some as savoring too much of dogmatism. But now a statement is made whose accuracy is indisputable, for the most bitter enemy of Hahnemannism admits that some medicines act in accordance with the law of similars. To discover how many remedies may be used in this manner, and under what conditions, is henceforth the object of the Rhode Island Homœo

pathic Society. It devotes itself to the culture of a certain department of the healing art, and therefore, like gynecologists, oculists, aurists, and surgeons, its members are entitled to be considered specialists, not separatists.

The following officers were chosen for the ensuing year: President. - William von Gottschalck. Vice-President. — I. W. Sawin. Secretary.

Censors.-F. W.

G. B. Peck, Jr. Treasurer. G. D. Wilcox.

Bradbury, E. B. Knight, T. H. Mann.

Dr. Charles L. Green presented a long and interesting essay on Pyæmia and Septicemia.

Dr. Ira Barrows read a paper "On the Question of Potencies," showing that the quantity of a remedy given is no index of a physician's fidelity to homœopathy.

Dr. Gottschalck reported a singular case of twin molar pregnancy, exhibiting the second specimen preserved in alcohol.

At ten o'clock more than twenty-five members, with their friends, passed across the hall to the reception-room, whose folding-doors had been opened wide, and found a table groaning beneath the weight of Tillinghast's best endeavors. Here, in almost tropical heat, amid the fragrance of sweetest flowers, and later of the choicest Havanas, two hours were delightfully passed in feasting, story-telling, and speechmaking.

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DR. J. C. GANNETT has removed from Waterville, Me., to Yarmouth, Me. J. H. WOODBURY, M. D., on account of an asthmatic difficulty, has been obliged to leave Boston and has gone to Colorado.

J. E. SLAUGHT, M. D., of the class of '78, Cleveland, O., has located at Hamilton, N. Y., in company with G. L. Gifford, M. D.

HARRY H. CUSHING, M. D., has removed from 34 Lambert Street, Boston Highlands, to Needham, Mass. P. O. address, Grantville.

SARAH J. HUTCHINSON, M. D., has removed from Chelsea to 1222 Washington Street, Boston, under the new name of MRS. J. S. SHAW, M. D.

H. P. Bellows, M. D., who spent six months abroad last year, devoting himself to special study in Prof. Ludwig's physiological laboratory at the University of Leipsic, has located at Auburndale, Mass.

The annual meeting of the Alumni Association of the Boston University School of Medicine will be held at the Revere House, Boston, on Thursday, March 6, at 4 P. M. Dinner at 6 P. M. Dinner tickets $1.50.

There will be a reunion of the class of '77, B. U. S. M., at Hotel Bellevue, 17 Beacon Street, on Wednesday, March 5, at II A. M. Lunch at 12 M.



No. 3.

MARCH, 1879.




[Case conducted and reported by George R. Stearns, M. D. (Interne).]

CASE I. DR, age nineteen, single, nativity New York, entered the hospital July 23, 1878, giving the following history: In February, 1874, she fell three times on the ice, and injured the left hip and leg. She says there was five (5) inches shortening of the leg with eversion of the foot. Was taken to Roosevelt Hospital, where she had plaster of Paris bandage to the hip for six weeks; then an abscess formed over the hip, and broke. After this she had extension with weight and pulleys for six months, and with a long splint for three months. Another abscess formed on the outer side of the thigh and was opened, and she also had an attack of erysipelas in the leg. Then she had more extension with weight and pulley for three months, and with long splint eight months. Having been in that hospital for two years she left, being then able to walk with assistance, though the leg was still somewhat short, and there was considerable pain on trying to use it to any extent. She continued slowly but gradually to improve till July 19, 1878, when she fell down stairs, and injured the leg again severely.

On entering this hospital (four days later) she could not step on the left leg without very great pain and a feeling as of a grating in the hip. There was then three and one quarter (31) inches shortening of the leg, the foot pointing directly forward but slightly downward. There was no deformity of the hip, no preternatural mobility or immobility, no crepitus. She complained of constant and severe pains in the hip and knee, aggravated by



any attempt at motion of the leg or foot. The pains were sharp and shooting in character, with a spasmodic jumping, jerking, and twitching of the muscles of the thigh, especially at night. At this time there had been no discharge from the hip for two years. Extension with pulley and weight (at first of nine pounds and increased afterward to fifteen) was tried for four months, with the effect of relieving the sharp pains in and about the hip, but seeming rather to aggravate the pains in the knee. Then hot poultices of flaxseed were applied, encircling the hip and thigh, but also without permanent relief in any degree. On Oct. 24 the patient was etherized, and Dr. Helmuth passed the needle of an aspirator down to the bone in two localities, over the great trochanter of the femur and into the hip joint, but no pus or fluid of any kind was found, and the bone and periosteum felt firm and healthy when scraped with the point of the needle. The internal medical treatment comprised Silicea, followed by Kali bichromicum2, and later by Rhus1 and Mercurius solubilis. The pains were controlled by hypodermic injections of the sulphate of morphia. This condition of affairs remained much the same, or slightly less favorable, up to December, when Dr. Helmuth decided to operate by cutting down on the sciatic nerve and stretching it thoroughly. The time of the operation was so deferred on account of the former unwillingness of the patient to submit to such an operation. At this time the pains, when not controlled by narcotics, were constant and very severe, being felt mostly in and under the hip joint, under and at the sides of the knee, and running, at times, upward into the spine and downward to the foot. There was, also, the spasmodic jumping and twitching of the leg at night and excessive aggravation of the pains on any motion of the leg or foot. The shortening of the leg had reduced to one and seven eighths (13) inches. To deaden and allay the pains the patient required daily four hypodermic injections, each containing from twelve to fifteen (12 to 15) minims of Majendie's solution of morphia. Aside from the pains the general condition of the patient was good, body well developed and well preserved, appetite somewhat capricious but on the whole good, sleep restless and broken. The operation was performed by Dr. Helmuth at the clinic in the hospital amphitheatre at four P. M., Dec. 14. While the patient was being brought under the influ

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