time. Dr. MacCallum ordered the present treatment to be suspended and quinine sulph: gr. v. to be given every fourth hour.

July 30th.-No paroxysm to-day. Says he feels stronger and better than he has for some time. Has taken 12 doses of quinine (60 grs.) As he complains of slight headache and nausea, the dose is reduced to 2 grains of quinine three times a day.

August 1st. No paroxysm. Is quite cheerful, and confident that he is again able for his duties. Discharged.

REVIEWS AND NOTICES OF BOOKS.

Anatomy, Descriptive and Surgical. By HENRY GRAY, F.R.S., &c., &c. The drawings by H. V. Carter, M.D., late Demonstrator of Anatomy at St. George's Hospital, &c. Edited by T. Holmes, M.A., Cantab; Surgeon to St. George's Hospital, &c., &c. A new American from the fifth and enlarged English edition, with four hundred and sixty-two engravings on wood, pp. 876. Philadelphia: Henry C. Lea, 1870. Dawson Brothers, St. James Street, Montreal.

Gray's Anatomy has been a favorite text book ever since its first appearance in 1858, and has been in very general use by student and practitioner. A fifth edition of this valuable work will be welcomed by those who, during the past year or two, found some difficulty in obtaining a copy.

The editor has somewhat altered the plan of the work, as he has collected that portion on General Anatomy which, in former editions, was scattered throughout the book, and formed of it an introductory chapter. This introductory chapter has been re-written, and gives the student a succinct but clear view of the study of Microscopic Anatomy. To this has been added a short description of the processes which mark the development of the ovum from fecundation to maturity. This portion of the work is new material, as, although it may be regarded as pertaining to general Descriptive Anatomy, it has been omitted in previous editions. We next have, as necessarily accompanying a description of the development of the ovum, a chronological table which has been translated from the work of Beaunis and Bouchard, with some slight alteration. This introductory material is not intended to supersede or in any way interfere with works on physiology, nor does it dip into doubtful subjects of Microscopic Anatomy. The object of the editor is to give to the student in a small compass, and in simple language, a plain account of

facts universally admitted, and which, with industry and moderate work he can demonstrate for himself. The illustrations in the chapter on General Anatomy have been borrowed from the works of Kolliker, Todd and Bowman, Wagner, Harley and Brown, Beaunis and Bouchard, and other well-known authors.

The rest of the work is brought down to the present day, and is illustrated throughout. The illustrations are beautifully executed, and render this work an indispensable adjunct to the library of the surgeon. This remark applies with great force to those surgeons practising at a distance from our large cities, as the opportunity of refreshing their memory by actual dissection is not always attainable. The work as issued from the press of Mr. H. C. Lea, is highly creditable to that well-known firm, the paper is all that can be desired and the type is clear and well impressed. It is to be had of Dawson Brothers, St. James Street.

A Guide to the Exumination of the Urine-for the practitioner and student. BY J. WICKHAM LEGG, M.D. Second edition. Philadelphia: Lindsay and Blakiston, 1870. Montreal: Dawson Brothers. The important part which the urine now plays in the diagnosis of many diseases renders it necessary that every physician should be familiar with the examination of this fluid in its normal and abormal condition. As a guide to those who are engaged in the study of this subject whether student or busy practitioner, we do not believe they can find a work more suited to their wants than the one now before us. A mass of most valuable information is condensed within a limit that is simply surprising. We have read it carefully from the commencement to the end, and can easily understand how, within two months from its first appearance, the whole of the first edition was sold and a new one demanded. We need scarcely add that we cordially recommend the little volume to the notice of our readers.

A Practical Treatise on the Diseases of Children. By ALFRED VOGEL, M.D., Professor of Clinical Medicine in the University of Dupat, Russia, translated and edited by H. RAPHAEL, M.D., late House Surgeon of Bellevue Hospital, New York. From the fourth German edition, illustrated by six lithographic plates. New York: D. Appleton & Co., 1870. Montreal: Dawson Brothers.

Within the last few years works upon the diagnosis and treatment of diseases peculiar to infantile life have multiplied to a miraculous extent.

A field of study, peculiarly hard to work in, and with but few workers, has of late years been filled with observers and we are every now and again getting their results in works published. Upon the continent of Europe Dr. Vogel, the author of the work now before us, has a high reputation in this particular department of medical science, and his book has been translated into Russian, Polish and Dutch. The present is the first English translation which has appeared, and if we may judge from its style we should say that it was an admirable one. Anything coming from the pen of a man so distinguished as is Dr. Vogel must be worthy of commendation, and it is especially in the diagnostic and pathological part of the work that this volume exists. Nothing could be more admirable than the description of the pathological appearances observed they are admirably full and clear-the veriest tyro in medical science can comprehend them. In the treatment of infantile diseases, we must confess we find Dr. Vogel's work decidedly weak-many of the most famous remedies in certain diseases not being even alluded to-for instance, under the head of treatment of pertussis we do not find the slightest notice of the use of bromide of potash, bromide of ammonia, or nitric acid-all remedies which have been found decidely useful in this disease. In noticing the treatment of scarlet fever, there is no mention of the use which the sulphites may be put to; and without arguing the point, as to the usefulness in this disease, the simple fact that they are so employed by many should at least have caused the fact to be noticed. We simply take these two as illustrations. We find many omissions quite as striking-but those we have mentioned will suffice; while therefore we willingly admit that from the work as a whole, there is much information to be gained, we cannot recommend it as a text book—such as we could Churchill or West. To the student of infantile diseases it will be welcome, for, as we have already mentioned, on the pathology it is exceedingly complete. It has several admirable lithographic plates, one of them showing very clearly the foetal circulation.

The Practice of Medicine. By THOMAS HAWKES TANNER, M.D., F.L.S., Member of the Royal College of Physicians, fifth American -from the sixth London edition, enlarged and thoroughly revised. Philadelphia: Lindsay & Blackiston, 1870. Montreal: Dawson Brothers.

The name and the fame of Dr. Tanner, as one of the most active, searching, and successful physicians of the present, day is becoming thoroughly known and appreciated wherever the English language is

spoken. First and perhaps best known as the author of "Tanner's clinical medicine," a work in the hands of nearly every medical student of the present day, he is now becoming equally well known by his extensive work upon the practice of medicine, which has within the last ten years run through some five editions. Each one has outgrown the other in size, till the present volume is so ponderous as to be almost unwieldy, it having attained the enormous number of twelve hundred pages. Some idea of the amount of new matter in the present edition may be had when we state, that it contains four hundred pages more than the edition bearing the imprint of 1866, the last previous one issued. After having made this comparison we can easily believe what Dr. Tanner states in his preface, viz:—that every page has been carefully and deliberately revised. We especially notice that the treatment of diseases has received, perhaps, more than any other portion of the work the attention of the author, and we can readily understand why it should be so; for since the edition of 1865 passed from his hand our knowledge of disease and its treatment has been steadily advancing. The style adopted by Dr. Tanner is one peculiarly his own, being true and concise; at times we think too much so, for we fancy we notice instances where the subject has in some measure been sacrificed for the sake of conciseness. Altogether the work is one that the practitioner will find exceedingly valuable to have in his library, as a volume for reference. The subject desired is easily found, and there is no doubt left on the mind as to the treatment to be pursued, for Dr. Tanner is, to use his own term, somewhat dogmatic under this head; but he thinks that twenty years of daily observation have given him the right to utter no uncertain sound. We need hardly say anything with regard to the "get up" of the volume-which has been produced in an exceedingly creditable manner by Messrs. Lindsay & Blackiston.

On the Wasting Diseases of Infants and Children. By EUSTACE SMITH, M.D., London, Physician to the Northwest Free Dispensary for Sick Children. Philadelphia: Henry C. Lea, 1870. Montreal: Dawson Brothers.

Ordinary systematic works upon the disorders of childhood but imperfectly sketch the clinical condition of chronic wasting, and the brief details to be found under the heads of "Marasmus," " Tabes," "Atrophy," &c., &c., give but a meagre outline of the prominent symptoms of these disorders. In the study of this class of affections peculiar to childhood, Dr. Smith, early in his career, found ample scope, and that he has dili

gently pursued his researches the little volume now before us amply testifies. It consists of an introduction and nine chapters, the whole embracing very nearly two hundred pages. The introduction contains many general practical suggestions-such, for instance, as information to be derived from the face of the infant, breathing, cry, importance of diet, external applications, baths, &c., and much more equally important to become acquainted with as general principles. Chapter 1, deals with atrophy from insufficient nourishment. The various causes which give rise to wasting, under this head are noticed, and numerous methods of appropriate treatment are detailed. Chapter 2 treats of chronic diarrhoea, a complaint which, so far as experience goes, is fortunately comparatively rare in this city. Chapter 5, upon congenital syphilitis, is very well written, though not by any means exhaustive of its subject. The last three chapters are upon tuberculosis, acute and chronic, and we notice that Dr. Smith has endeavored to utilize recent views on the nature of the phthisical process. This is the only portion of his book which is at all specuative in its character, the rest being, so far as we can judge, thoroughly practical. We feel sure that no one can rise from its perusal without having gained information, and that too of a useful character.

PERISCOPIC DEPARTMENT.

Medicine.

THE USE OF HYDRATE OF CHLORAL AS A REMEDY IN EPILEPSY.

Dr. WEIDENER, of Jena, relates an interesting case of a lad, 19 years old, a gardener by occupation, who, since his sixteenth year, had been the subject of epileptic attacks. The fits, according to the patient's account, occurred at irregular intervals. Occasionally they would recur two days consecutively, in other cases not until after the lapse of several weeks. The countenance of the patient exhibited an expression of terror or affright. There was from time to time a rapid alternation in the temperature of the surface. Each epileptic paroxysm was ushered in by an aura of short duration, resembling a rush of cool air along the entire extent of the spine. Shortly after, the patient, with a loud shriek, was seized with epileptiform convulsions, which held him apparently breathless for some five to ten minutes. With almost every paroxysm the tongue was bitten;