lesion on the right side. "The occurrence of paralysis or of convulsions on the same side as the brain lesion, is, with our present knowledge, quite inexplicable." But the author suggests that it might be explained by supposing some vice of development had led to a failure in the perfect decussation of the fibres in the motor tract, and thinks it better to entertain the possibility of such an event than to distrust the regularity of the phenomena produced by brain lesion. He says the habit of bleeding and purging is now so completely abandoned that it is needless to object to it— in which statement he is in some degree mistaken, at least so far as this country is concerned. He advises strongly against the early use of faradization of the muscles, and condemns the sending of galvanic currents through the head at any stage. He is not aware of any sound principle upon which such haphazard attempts can be commended. In the rare cases of the early wasting of muscles "much good may be done by faradization." With this brief reference he dismisses the subject of electricity. It is to be regretted that more of the author's sensible notions on treatment are not given. Yet this defect we can hardly complain of as the major promise was to discuss clinical considerations, and as upwards of 200 pages are devoted to a review of symptomatology and original diagnosis. What the lectures omit, rather than any statements they contain, will be a disappointment to the reader. The treatment of the subject is so admirable that one instinctively finds himself wishing more had been said on some points, where space and time seem to have compelled the author to abbreviate. Altogether the book is an excellent one. The profession can well bear to be given more books of this kind; they are needed. We need more monographs generally, and we can particularly profit by more books like this which amounts to a digest of the best studies on the subject it treats, condensed into a small space by an able hand, with his own studies and opinions to tone the whole. CLINICAL LECTURES and ESSAYS. By Sir James Paget, F.S.R. Edited by Howard Marsh, F.R.C.S. New York: D. Appleton & Co. 1875. Price, $5.00. Although most of these lectures have already been published in various medical journals, the profession is greatly indebted to Mr. Marsh for having collected them into one volume. Paget's writings are of more than a transient interest, and this book is a valuable contribution to medical literature. We admire the rich experience and keen observation as well as the great sincerity of the eminent surgeon. It is a pleasure indeed to read a book which, on every page, leaves the stamp of truthfulness and wise judgment. Distinguished by his operative skill he does not underrate the minor parts of surgery in their influence upon the ultimate success of operations; speaking of the calamities of surgery he graphically demonstrates the great importance of carefully dressing the wounds and looking to all the seemingly little things that, after an operation, minister to a patient's comfort and welfare. And he also gives the sound advice that before deciding upon an operation, "you should examine the patient with at least as much care as you would for a life-insurance." But we need not enter into the details of the contents of a book every physician ought to read in full. F. C. H. THE MULTUM IN PARVO REFERENCE AND DOSE BOOK, By C. Henri Leonard, M.A., M.D. Second Edition. Detroit. Paper, 60 cts.; cloth, 75 cts. Table of contents contains-List of Doses, Officinal Preparations, Rules of Pronunciation and of GenitiveCase Endings, Incompatibles, Poisons, Antidotes and Tests, Urinalysis, Obstetric Syllabi, Visceral Measurements, Epitomizations of the Exanthemata, Pronunciation of Medico-Biographical Names, Ethics, Fee-bill and Emer gency Expediencies. Mindful of, and appreciating the thousand-and-one "Casebooks" and "Handbooks" for Physicians, still every one must acknowledge that this author has compressed an immense amount of ready, practical information into the minimum space. BOOKS RECEIVED. THE TEST POCKET ANATOMIST, (founded on Gray). By C. Henri Leonard, A.M., M.D. Detroit. PAMPHLETS RECEIVED. 50 cts. RELATIONS OF THE NERVOUS SYSTEM TO DISEASES OF THE SKIN. By L. D. Bulkley, A.M., M.D. TRANSACTIONS OF MEDICAL ASSOCIATION OF ALABAMA. AMERICAN CLINICAL LECTURES: Capillary Bronchitis of Adults. By Prof. Calvin Ellis, M.D. FRACTURES OF THE INFERIOR MAXILLARY Jaw. By Dr. J. F. Montgomery, Sacramento, Cal. EXCHANGES. Cincinnati Lancet and Observer-September. Richmond and Louisville Med. Journal-August. Canada Lancet-July. Boston Med. and Surg. Journal-Aug. 26, Sept. 2, 9, 16. Chemist and Druggist. Med. and Surg. Reporter-Aug. 28, Sept. 4, 11. New York Med. Journal-Sept. Nashville Med. Journal-Sept. American Med. Weekly-Aug. 28, Sept. 4, 11. Atlanta Med. and Surg. Journal-Sept. Allgemeine Medicinische Central Zeitung-62, 63, 64, 65, 66. Allgemeine Wiener Med. Zeitung, 31, 32, 33, 34, 35. Photographic News-August. Boston Journal of Chemistry-Sept. Virginia Med. Monthly-Sept. The Druggists' Circular-Sept. Nashville Journal of Med. and Surg.-Sept. The Med. Herald-Aug. The Pharmacist-Sept. Detroit Review of Medicine-Aug. and Sept. The Doctor-Sept. The Dental Cosmos-Sept. Am. Dental Journal-Sept. Progres Médicale-July 28, Aug. 7, 14, 21, 28. Memorabilien-Aug. 26. Irrenfreund, No. 6. Pacific Med. and Surg. Journal-Sept. London Lancet-Sept. La France Médicale-Aug. 25, 28. FROM A Translations. HERMAPHRODISM, MEDICO-LEGAL POINT OF VIEW. Translated from the French of Basile Poppesco, BY E. WARREN SAWYER, M.D., LECTURER ON OBSTETRICS, RUSH MEDICAL COLLEGE, CHICAGO. III. NEUTER HERMAPHRODISM. A third variety of hermaphrodism is that which is designated under the name of neuter hermaphrodism; it has been attempted to include in this variety two different categories: 1, the persons whose sex is not easily determined, well pronounced; 2, those persons in whom one observes the simultaneous existence of the organs of both sexes; this variety is also called the bisexual hermaphrodism. The first variety does not exist; there are no beings absolutely neuter, not having one sexual attribute; and nearly all the cases reputed to be such, should be included in the apparent hermaphrodism of the male sex. Such is, at least, the opinion of the medical jurist, and it is certain that in consultations that which is demanded of him in law should be adopted. Prof. Tardieu does not admit a single authenticated instance of bisexual hermaphrodism, with coexistence of all the essential and accessory organs of the male and female sex. The fact has been admitted, however, by such authors as Maret, Meckel, Dugès, Is. Geoffroy Saint-Hilaire, Dutrochet; but it is true that, at this epoch, they were limited to an anatomical examination of the organs. We will make known our observations, however, in which the histological examination having been made by competent men, the simultaneous existence of the ovaries and testicles was established beyond question. Maret* reported an instance of the simultaneous existence of the organs of both sexes; on one side, said he, the labium contained a veritable testicle, with the cord of the spermatic vessels, the vas deferens, and a seminal vesicle full of spermatic fluid. The right labium enclosed a membranous pouch, in which descended, when the abdomen was compressed with the hand in the right iliac region, an ovoidal body which was recognized as a uterus, without any communication with the external parts, but having one Fallopian tube and one ovary. "Hubert," says this author, "though he had the essential organs of both sexes, was not able to fill the functions of either; in vain did the testicle elaborate the semen when an imperforation of the penis opposed its emission; a Fallopian tube embraced in vain a well formed ovary, when the uterus was enclosed in a pouch without opening." This singular variety in which the individual is found on one side of the body constructed after the type of the male sex, and on the other after that of the female sex, has * Maret Mém. de l'Acad. de Dijon : Vesiculas seminales et ovarium habens. VOL. XXXII. No. 10. 5 |