losis, having for its keynote, "Colorado for Health, Colorado for Wealth, Colorado for Happiness."

The first part of the book contains a series of articles by Colorado physicians "an endeavor to set before the profession the correct position of the state with reference to tuberculosis." They contend that the climatic attributes of Colorado-sunshine, cold, dryness, moderate winds, and high altitude-offer unusual advantages for suitable cases, namely, all those in the early stages of the disease. On the other hand advanced cases, with marked tissue destruction and enfeebled vitality, as well as the victims of emphysema or pronounced disease of the heart, arteries, or kidneys, do better as a rule in warm, moist, and more equable climates. "Generally speaking, invalids, with moderate tuberculous infection, but with sufficient financial resources, may be encouraged to avail themselves of the advantages to be obtained in Colorado.”—Bonney.

About one-fourth of the book is given to the valuable Climatic Charts of the United States, representing the general averages of some 8,000,000 observations by the Signal Service. These colored charts graphically portray by seasons the mean temperature, humidity, prevailing winds, and percentage of cloudiness, in other words the weather conditions, in all sections of the United States.

The agricultural, industrial, mineral, educational, climatic and scenic resources of the state are then set forth in glowing terms by various writers.

In conclusion, a brief description is given of the many sanatoria for the treatment of tuberculosis for which the state, particularly in the neighborhood of Denver and Colorado Springs, is so noted.

While evidence of local pride runs strongly throughout the book, it can well be recommended to the profession as a valuable reference book on matters pertaining to Colorado.

Arteriosclerosis: Etiology, Pathology, Diagnosis, Prognosis, Prophylaxis, and Treatment, by Louis M. Warfield, A. B., M. D., Instructor in Medicine, Washington University Medical Department; Physician to the Protestant Hospital: Adjunct Attending Physician to the Martha Parsons Hospital for Children, St. Louis, Mo. Formerly Medical House Officer at The Johns Hopkins Hospital, Baltimore, Md. Member St. Louis Medical Society, Missouri State Medical Society, and American Medical Association, etc. With an introduction by W. S. Thayer, M. D., Professor of Clinical Medicine, Johns Hopkins University. Eight original illustrations. C. V. Mosby Medical Book Co., St. Louis, Mo. 1908.

This little volume of 165 pages quite fully considers arteriosclerosis in its various relations. The anatomy and physiology of the circulatory system are briefly presented, as incidental to the subject. The influence of adrenalin and the chromaffin cells in maintaining arterial tone is noted as well as the experimental indications that adrenalin may produce lesions resembling to some extent those of arteriosclerosis in man. As to racial influence the disease is more frequent in the Negro than the Caucasian

and the age of onset is much earlier. "The prophylaxis of arteriosclerosis is moderation in all the duties and pleasures of life." As to the action of alcohol as an etiologic factor, the author is inclined to agree with the former position according it a place as one of the most common causes of arterial disease, rather than with that of Cabot who has recently shown that alcohol has no effect in such production. As to treatment, the value of prophylaxis is especially emphasized and both hygienic and dietetic lines are amply considered. As to medicinal agents, he believes there is no doubt that the iodids are remedies of great value when blood-pressure is high and when headache and precordial pain are present. Vascular depressants are represented by the nitrites, of which he prefers the sodic salt, and aconite and veratrum viride. The latter should only be used when a trained assistant is at hand but aconite may be used for several weeks with but little risk. The book is a convenient and valuable monograph on the subject.

General Pathology, by Ernst Ziegler, Professor of Pathologic Anatomy and of General Pathology in the University of Freiburg in Breisgau. Translated from the eleventh revised German edition (Gustav Fischer, Jena, 1905). Edited and brought up-to-date by Aldred Scott Warthin, Ph. D., M. D., Professor of Pathology and Director of the Pathologic Laboratory in the University of Michigan, Ann Arbor, Michigan. Six hundred and four illustrations in black and in colors. William Wood & Co., New York. 1908.

The present revision has additional interest from the fact that it is of necessity the last which will have the personal supervision of the author. The book, both in its German and English editions, has been so long a standard that it scarcely needs review. The German edition is thoroughly revised to 1904 and Warthin has carried the revision to the present year, bringing in all the recent work on opsonins, etc. The translation preserves well the breadth of view of the author, and is of extreme value in placing the book in the hands of those who are unable to read the work in the original. The illustrations have been somewhat increased, and the whole book has been amplified.

Handbook of Suggestive Therapeutics, Applied Hypnotism, Psychic Science, by Henry S. Munro, M. D., Americus, Georgia. Second edition. C. V. Mosby Medical Book and Publishing Company, St. Louis, Mo., 1908.

This volume is in its second edition within a year. This is probably attributable to the fact that the subject is presented in a manner equally fascinating to the layman as well as the physician. The author is intensely enthusiastic and, better still, he has unbounded confidence in the efficacy of psychotherapeutic measures.

Suggestive therapeutics is as old as the hills. It may be traced as

far back as the history of man permits. Consciously or unconsciously, it has been practised since the beginning of time. Only in recent years has it received from the medical profession the attention it deserves and had it not been that various cults, "isms" and other placebo influences have sprung up about us, psychic science would still be a latent asset. And so this little book has many features to commend it. It is a practical exposition of the subject and no one can peruse it without receiving inspiration and help. Psychotherapy is here to stay. It must, however, be controlled by the physician and its application always under his directon. Any attempt to disturb the relation of doctor and patient will, in most cases, prove disastrous.

The profession have had a prejudice, a fear, an antipathy towards the use of the psychologic factor in medicine, but as broad-minded men we must admit that human suffering can be alleviated and disease cured by conforming to this law. The achievements made in surgery, bacteriology and pathology have attracted the admiration of the world. But, while pathology and bacteriology can detect and surgery remove diseased parts, there are other elements which these agencies cannot reach. Surgeons with reputations for conservatism must become more flexible. It is well to do conservative surgery but patients must not be permitted to approach the operating table in a state of fear and uncertainty, but with the hope of cure strongly inculcated into their minds. The most successful physician and surgeon of the future will be the one that most strongly develops the "psychotherapeutic personality" and if our prestige as physicians is to be retained, we must cultivate a better understanding of the technic and practical application of this form of treatment. The book is written in an attractive style, imparting reliable information and stimulating one's interest in this rapidly advancing branch of medicine. Such a volume would grace any medical library.

Intestinal Auto-Intoxication, by A. Combe, M. D., Professor of Clinical Pediatry at the University of Lausanne (Switzerland); Chief of Clinic for Children's Diseases; President of the Swiss Pediatric Society; together with an Appendix on the Lactic Ferments with particular reference to their application in Intestinal Therapeutics, by Albert Fournier, formerly Demonstrator at La Sorbonne, Paris. Only authorized English adaptation, by William Gaynor States, M. D., Cinical Assistant Rectal and Intestinal Diseases, New York Polyclinic; Member of American Medical Association; Member of State and County Medical Society of New York, West Side Clinical Society, etc., with 18 figures in the text, 4 of which are colored. Rebman Company, 1123 Broadway, New York.

The scope of this work is limited by the author to a discussion of intoxications due to those poisons formed in the gastro-intestinal tract through the influence of the vital processes of the organism. Under the term "vital processes" are included not only the so-called physiologic agents, such as digestive enzymes, but also the various microbes which normally find their habitat in the intestine. Toxinemias by infection such

as in scarlatina, toxinemias from absorption as from a tuberculous cavity, and alimentary intoxications due to the ingestion of tainted foods, etc., are not considered. In fact, the subject practically resolves itself into a consideration of the effects of the harmful proteolytic bacteria, which are responsible for the formation of toxic substances, and of the antagonistic action of the beneficent lactic acid-forming organisms.

The normal digestion by the proteolytic enzymes is first reviewed and compared with that effected by the proteolytic bacteria which carry the process farther than do the enzymes with the formation of certain toxic bodies, such as ptomaines and derivatives of the oxyacid, phenol and indoxyl groups; these substances represent not only a destruction and actual waste of amino derivatives of the protein molecule, which would be of value to the organism, but they are actually harmful in the extreme. The means of defence against these poisons, the antitoxic functions of the organism are described, and include not only the liver and other antitoxic glands, but also the factors which limit intestinal putrefaction, such as diet, rate of absorption, action of digestive juices and the antagonistic action of other types of bacteria.

The lesions caused by the intoxication and the actual causes which contribute to the increased production of intestinal toxins are then discussed.

The symptomatology in its varied manifestations is well presented and under this heading, as well as in the chapter on diagnosis, great stress is laid upon the urinary findings which furnish the most important criterion as to the existence of an auto-intoxication. The various coefficients for comparing the excretion of different bodies in the urine and their technic are fully detailed.

The chapter on treatment explains the modification of the intestinal culture medium, so as to inhibit the action of the proteolytic bacteria by the giving of a lactofarinaceous diet, by the introduction into the digestive tract of antagonistic bacteria, such as the lactic acid organisms, or by the administration of bacterial ferments, by the use of germicidal medicines, and by intestinal lavage.

The far-reaching effect and oftentimes obscure manifestations of digestive auto-intoxication, even in the absence of symptoms referable by the patient to the digestive tract, make the subject one of great importance to practitioners in all fields. The arrangement of the work in orderly form under headings and subheadings, with occasional summaries, furnishes a very convincing and logical argument. The references are exceedingly numerous although, as is common in foreign works, allusions to work done in this country are noticeable by their entire omission.

Gonorrhea in Women, by Palmer Findley, M. D., Professor of Gynecology in the College of Medicine of the University of Nebraska, Omaha; Gynecologist to the Clarkson Memorial Hospital and Wise Memorial Hospital; Fellow of the American Gynecological Society. C. V. Mosby Medical Book Company, St. Louis, Mo., 1908.

This monograph, as the preface states, is intended to present to the

As a

profession the subject of gonorrhea in the female in its entirety so that its supreme importance may be realized. The subject is handled briefly but in a convincing manner. The limits of the book do not permit of exhaustive details or of an extended review of the literature. guide to diagnosis and treatment, the work is decidedly of value. Stress is laid upon the great importance of latent infections and their relation to those puerperal infections which occasionally occur quite unexpectedly, and even when a most careful aseptic technic has been observed. The sociologic aspects are reviewed and the necessity of publicity as to the extent of this disease, and its terrible results in women in particular, are emphasized. Since regulation and suppression of prostitution have proved useless in diminishing the prevalence of gonorrhea, education of the young in sexual matters, public knowledge of the existence of the disease in those affected, and the liberation of the physician from the bonds of professional secrecy in such matters are suggested as the only methods of lessening the spread of the disease. Operative procedures are not discussed, nor is this necessary in a work of this nature, intended, as it is, more to indicate how best to limit the spread of the disease by prophylactic measures and early treatment than to enter at length into a discussion of the unusual complications or of surgical measures necessary in advanced cases.

Obstetrics for Nurses. By Joseph B. DeLee, M. D., Professor of Obstetrics in the Northwestern University Medical School, Chicago. Third Revised Edition. 12 mo. of 512 pages, fully illustrated. Philadelphia and London: W. B. Saunders Company, 1908. Cloth, $2.50 net.

This book, which is written especially for the use of nurses, is so arranged as to serve as a textbook of obstetrics and at the same time. cover in a most practical manner the subject of obstetrical nursing. In the present edition a few changes, chiefly additions, have been made which make the work thoroughly in accord with the present day methods, although it may be said that few changes were necessary.

As a textbook on obstetrics it is very complete and concise and compares very favorably with many of the smaller textbooks written for medical students. As a work on obstetrical nursing it contains a wealth of most practical suggestions for the care of the patient which are not found in the usual works on obstetrics, but which are equally useful for the physician and nurse.

In considering the obstetrical operations the author describes an operation in detail and then takes up the duties of the nurse in preparing for and during this particular operation. The directions for the after care are especially thorough. In the treatment of mastitis a notable addition in the present edition is a detailed description of Bier's method. Considerable space is given to the care of the child during the nursing period and a special chapter devoted to the care of premature infants. In the chapter on the care of the child the latest ideas of infant feeding