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Pneumonia of the Apex-Union of Wounds.



LUNG. By Wm. BOLING, M.D. The experience of Dr. Boling is confirmatory of the opinion that, when pneumonia commences at the apex of the lung it is especially fatal; and his object in the present communication is to indicate a physical sign which may lead to its earlier diagnosis. “This is a fine mucous or crepitant rhonchus, seemingly seated in the larynx, loud enough to be heard distinctly at the distance of two or three feet from the patient, and so persistent, that it is not removeable, or but momentarily, by any effort to expectorate which the patient may make, while at the same time there are present none of the signs of bronchitis or laryngitis.” Though seeming to the by-stander to arise from mucus in the larynx, the indifference manifested by the patient proves this is not the case ; and on applying the stethoscope just above or below the clavicles it will be found to proceed from the apex of the inflamed lung. “ It would seem that the sound there produced in the pulmonary vesicles must be conveyed by the larger bronchial ramifications, numerous and superficial at this point, to the larynx, where, in consequence of the thinness of the tube, or rather the thinness of its covering, and its proximity to the surface, the deceptive impression of its production in this organ, from the presence of a small quantity of viscid mucus, is created. It is the indifference of the patient to the presence of the sound, but still more especially, its persistence, which constitutes its peculiar and distinctive feature, and upon which its value as an evidence of pneumonia commencing in the apex of the lung depends.”American Journal Med. Sciences, July 1847.


M. Amussat has of late procured the union of large wounds by the first intention by means of the following suture. He passes several very fine steel sewing needles through the cutaneous edges of the wound, and having twisted a waxen thread around them, breaks off their extremities by means of a forceps, and leaves them to fall out of themselves, which they do in a few days, just as ligatures of vessels are allowed to do.Gazette des Hopitaux, No. 69.

M. Baudens employs the following means for bringing together the edges of wounds. Speaking of that resulting from an amputation for example, he directs a circular bandage to be placed above the stump, and two strong pins fixed into this, one before and one bebind, in such a manner as to leave their heads and points exposed. A double point of support is thus got, around which strong cotton threads are passed; these are crossed over each other towards the face of the stump in such a manner as to draw the integuments together with any desired force, after the manner of an uniting bandage, terminating with a figure of eight, just as in the operation for hare-lip.-Comptes Rendus, T. 24,

p. 1018.


M. Cazenave recommends the following formula as of excellent service in chronic dartrous eruptions, as impetigo, eczema, lupus, and all diseases of the skin allied to the lymphatic and scrofulous constitutions. Crystallized Chloride of Lime .

15 parts.
Distilled Water

A tablespoonful three times daily in some bitter infusion.



The Readers of the Medico-CHIRUGICAL Review will perceive, by the

Prospectus which accompanies the present Number, that it has been de

termined to incorporate with it, in the future publication, The BRITISH

AND FOREIGN MEDICAL REVIEW, hitherto conducted by Dr. FORBES.

By this arrangement the Proprietors have the gratification of being able

to state, that the services of the most valued Contributors to both of

these Reviews will be combined—and that there is every reason to believe

that the result will be the production of a work second to none in Europe

for the soundness, depth, and variety of its Medical and Chirurgical



September 30, 1847.


Bibliographical Record.



1. The Retrospect of Medicine ; being a Half- 13. Proceedings of the National Medical Conyearly Journal, containing a Retrospective ventions, held in New York May 1846, and in View of every Discovery and Practical Im. Philadelphia May 1847. 8vo, pp. 175. Philaprovement in the Medical Science. Edited by delphia, 1847. W. Braithwaite. Part 15. Jan.-June, 1847. Svo, pp. 483. London.

14. The American Journal of the Medical

Sciences Edited by Isaac Hays, M.D. 8vo, 2. The Half-yearly Abstract of the Medical pp. 284. July, 1847. Philadelphia. Sciences; being a Practical and Analytical Di. gest of the Contents of the principal British and

15. The Human Brain; its Structure, PhyContinental Medical Works published in the

siology, and Diseases, with a Description of preceding Six Months. Edited by W. H. Ran- the Typical Forms of Brain in the Animal Kingking, M.D. Vol. V. Jan.-June, 1847. 8vo,

dom. By Samuel Solly. Second Edition. Svo. pp. 424. London.

pp. 684. London, 1847. 3. The Medica Examiner an

of Me

16. On the Causes and Treatment of Abordical Science. Edited by Robert M. Huston,

tion and Sterility; being the Result of an ex. M.D. No. 29—30, May and June, 1847. Phila

tended Practical Inquiry into the Physiological delphia.

and Morbid Conditions of the Uterus, with re

ference especially to Leucorrheal Affections, 4. An Experimental Inquiry into the Func- and the Diseases of Menstruation. By James tions of the Great Sympathetic Nerve. By C. Whitehead, F.R.C.S. 8vo, pp. 426. London, 1847. Radcluffe Hall, M.D. Part I. 8vo, pp. 126. Plates. London, 1847.

17. The Microscopic Anatomy of the Human

Body in Health and Disease. Illustrated with 5. A Guide to the Use of the Buxton Waters. numerous Drawings in Colour. By Arthur Hill By William Henry Robertson, M.D. Fourth Hussall. Parts 10 and 11. London, 1847. Edition, revised. Foolscap 8vo, pp. 32. London, 1847.

18. An Account of a Simple Means of Mode

rating the Effects of Fire upon the Human 6. A Copy of Reports on Sir William Burnett's Body. By Mr. F. A. Bulley, F.R.C.S., Surgeon Disinfecting Fluid. Ordered by the House of

to the Royal Berkshire Hospital, Reading. (ReCommons to be printed, 20th July, 1847. Pp. 14. printed from the Medical Times.) 7. Cholera, Dysentery, and Fever, patholo

This paper gives an account of the benefit its gically and practically considered; or the Na. author has derived from the employment of ture, Causes, Connexion, and Treatment of

Treacle diluted with three parts of water, at a these Diseases in all their forms. By Charles

temp. of 989, as an application to Burns of vari. Searle, M.D. 8vo, pp. 140. London, 1847. ous degrees of intensity. Lint soaked in the 8. A Treatise on Diet and Regimen. By Wil.

mixture is to be kept constantly applied to the liam H. Robertson, M.D. Fourth Edition, Part part, renewing morning and evening, and moisIII., 8vo. London, 1847.

tening at intervals. 9. Twenty-seventh Annual Report of the Di.

19. On the Use of Nitrate of Silver in the rectors of the Dundee Royal Asylum for Luna

Cure of Erysipelas. By John Higginbottom. tics, submitted, in Terms of their Charter, to a F.R.C.S. E. Nottingham. (Read before the General Meeting of the Directors, 21st June,

Provincial Medical and Surgical Association.) 1847. With the Report of the Medical Officers.

The Profession is much indebted to Mr. Hig8vo, pp. 62. Dundee, 1847.

ginbottom for having many years since called 10. Seventeenth Annual Report of the Belfast

its attention to the valuable properties of the District Asylum for the Insane Poor of the

Nitrate of Silver, and especially to its power in Counties of Antrim and Down, and of the Town

arresting the progress of Erysipelas. In the of Carricfergus. For the Year ending 31st present communication he recommends the apMarch, 1847. Drawn up by the Resident Phy. plication at a far earlier period of the disease sician. 8vo, pp. 43. Belfast.

than he formerly deemed advisable; such mode

of using it, with attention to the digestive organs, 11. A Letter to Benjamin Rotch, Esq., Chair. often rapidly cutting short its progress. He emman of the Committee of Visitors ; on the Plan ploys the following solution :- Årg. Nitr. four and Government of the Additional Lunatic scruples, Nitric Acid six drops, Distilled Water Asylum for the County of Middlesex about to four drachms, previously well washing the part be erected at Colney Hatch. By John Conolly, first with soap and water, and then with pure M.D. 8vo, pp. 27. London, 1847.

water. So used, it is especially beneficial in

erysipelas, threatening to spread over the scalp, 12. The Consciousness of Right and Wrong

to which it may be freely applied without ina just Test of the Plea of partial Insanity in ducing vesication. Criminal Cases. Illustrated by the Case of William Stalker, indicted at the Cumberland 20. The Preservation of Infants in Delivery. Lent Assizes, 1847, for the wilful Murder of his Being an Exposition of the Chief Cause of MorWife. By c. Lockhart Robinson, M.D. 8vo, tality of Still-born Children. By Richard King, pp. 18, Edinburgh, 1847.

M.D., M.R.C.S. 8vo, pp. 60. London, 1847.

21. The Chemistry of Vegetable and Animal gratulate the author on the success of his at. Physiology. By Dr. G. J. Mulder. Translated tempt. Much of what he says is altogether beside from the Dutch, by Dr. P. F. H. Fromberg. his argument, and the tendency of some of his With an Introduction and Notes, by J. F. W. observations is altogether very objectionable. Johnstone, F.R.S.L. & E. Part III. 8vo, pp. 267. Eight coloured Lithographs. Edin. 1847.

26. Unhealthiness of London, and the Neces

sity of Remedial Measures. By Hector Gavin, 22. Contributions to the Pathology and Treat- M.D., F.R.C.S. E. Pp. 70. London, 1847. ment of the Scorbutus which is at present pre

Contains much useful information respecting valent in various parts of Scotland. By Charles

the state of health in the metropolis, the fearful Ritchie, M.D. (From the Monthly Journal of

amount of disease that might be prevented, and Medical Science.)

the simple and efficient means of attaining this Dr. Ritchie has here drawn up a very excellent

most desirable object. The lecture is exceedingly account of this formidable disease as it has pre

well adapted for a popular audience vailed in Scotland-in common with entire Eu

27. Consumption of the Lungs and Asthma, rope-during the late Spring. For reasons stated

arrested and cured, in the Majority of Cases, by in our Periscope we cannot however agree with

Inhalation and other Rational Means, By him in referring its production exclusively to de.

Daniel Carr, M.D. 12mo, pp. 200. London, fective diet, exposure to severe weather and the

1847. like ; and we are among those whom he speaks of as turning away from what is known and

A work that is altogether discreditable to the tangible, to seek the causes of the epidemie in the

writer (whose address is Birmingham), if he be unknown and impalpable obscurities of an aerial

a regularly-educated member of the profession. constitution.'

What shall we say of an M.D., who appends "a

series of questions on Consumption and Asthma, 23. Anecdota Sydenhamiana: Medical Notes which will enable patients, who are desirous of and Observations. By Thomas Sydenham ; hi. consulting a physician, to state their symptoms therto unpublished. Second edition, pp. 80. clearly, either personally or by letter i 'Need Oxford, 1847.

we say more respecting the style and purport of

the book? We are glad to observe that these Notes, &c." of a cotemporary and acquaintance of Sydenham 28. Theorie des Neuro-viscerites ou Fieyres himself have reached a second edition. Our

Primitives. Par Ant. Hugon. 8vo, pp. !11. readers are probably aware that the profession Paris, 1847. is indebted to Dr. Greenhill of Oxford for the possession of this little work. As a matter of

The author is a decided anti- Broussaist, and course, all the members of the Sydenham Society

an energetic advocate of the essentiality of severs. should have a copy of it.

His views are generally sound and practical, and

we have derived much pleasure from the perusal. 24. On the Duties of Physicians, resulting from the Physician. By the late Rev. Thomas

29. Gazette Medicale, July to September. Gisborne, M.A. Pp. 66. Oxford, 1847.

In exchange. A re-print of a portion of the author's well. 30. L'Union Medicale. known and useful work, Enquiry into the

In exchange. Duties of Men in the higher and middle classes of Society in Great Britain, resulting from their

31. Dublin Medical Review. respective Stations, Professions, and Employ.

In exchange. ments," 6th Edit. 1811. We all stand in need of being reminded of our duties towards those who 32. Edinburgh Medical and Surgical Journal commit their health, and often their happiness for July. too, to our keeping. To those beginning the prac

In exchange. tice of the medical profession, much of the ad. vice in these pages may be truly useful.

33. British and Foreign Medical Review for

July. 25. A few Remarks on the Expectant Treat

In exchange. went of Diseases. By AKEXTH. Pp. 16.

These remarks are intended as a defence of 34, Edinburgh Monthly Journal of Medical legitimate medicine," and in answer to certain Science, for July, August, and September. recent heresies in a cotemporary Journal on the

In exchange. subject of what has been called the natural methodof treating diseases. We cannot con

ERRATUM. Dr. E. Kennedy's paper, referred to in page 405, appeared in the number of the Dublin Medical Journal for February, not May, last.



Abdomen, wounds of, Guthrie on.... 88 Blisters, effect of on the Blood......

Abdomen, wounds of, sutures in 91 Blood, Polli's Researches on the 303
Abdomen, effects of blows on the.... 95 Blood, formation of the buffy coat of 303
Abdomen, treatment of injuries of 97 Blood, density of the.......... 306, 321
Abortion, habitual, Assafætida in 266 Blood, causes of the coagulation of the 308
Abortion, habitual, induction of pre- Blood, Plethoric and Anæmic

....., 309
mature labour in

545 Blood, Period of Coagulation of the.. 310
Abortion and Sterility, Whitehead on 377 Blood, condition of, in inflammation 314
Abortion, statistics and causes of,... 395 Blood, coagulation within the body.. 461
Accidental Productions.,

40 Blood, effects produced on the, by
Acid, Hydrocyanic, Nunneley's experi. bleeding

ments on....
....... 116 Bloodletting, Guy Patin on

Acid, Hydrocyanic, modus operandi of 118 Bloodletting from the Jugular Vein .. 252
Acid, Hydrocyanic, treatment of poi- Bloodletting, Tanchou on .,

soning by
120 Bloodletting, Regulation of

Africa, Bryson's Report on Diseases Bloodletting, effects of, on the mass of

431, 449
the blood..

Aged, frequency of pulse in

523 Bloodletting, indications and contra-
Albuminuria in Pregnancy
277 indications of....

320, 323
Albuminuria induced by blisters 540 Bloodletting, formation of dropsy after 325
Alkalis, Mialhe on..
552 Bloodletting, habitual

Alum, Mialbe on the action of ...... 554 Bloodletting, effect of excessive .... 325
Amputation, employment of the Sawin 372 Blood-vessels, Crisp on the diseases of 42
Amputation, Results of....... 373 Bone, Owen on the Structure of 156
Amygdalæ, extirpation of ...... 51 Bone, Owen's description of a ...... 158
Anæmia, cerebral

... 297 Bone, Flourens on the formation of.. 426
Analysis, insufficiency of ultimate.... 407 Bowman's Physiological Anatomy 326
Aneurism, liability of various arteries to 45 Brain, Solly on the Human

Aneurism, predisposing and exciting Brain, mode of study of the

causes of..

45 Brain, Physiology of the

....... 293
Aneurism, Bellingham on Compression Brain, Ramollissement of the


46 Brain, Nature of Congestion of the .. 301
Animals, Experiments on

518 Breast, question of removing for can-
Anus, Artificial

Aorta, Inflammation of the

43 Breast, Velpeau on Abscess of the 543
Apoplexy, Grisolle on ...

34 Brookes on Inhalation of Ether...... 246
Apothecaries, Guy Patin on the 175 Bryson, Report on Diseases of African
Army-Surgeons, Douglas on the


Claims of
245 Burnett's Disinfecting Fluid

Arsenic, Poisoning by
36 Burns, treatment of

Arsenic, employment of, in diseases of Callus, formation of

the skin..,

247, 267 Cancer, Question of operating for.... 370
Arteries, deposits in the coats of 44 Cardialgia, Seymour on..

Arteritis, Crisp on,.
43 Catamenia, Nature of the

Arteritis, Chronic diffused..

257 Catamenia, age at appearance of .... 382
Arthritis Puerperal

555 Cells, Mulder on animal and vegetable 414
Asylums, Lunatic, Conolly on 128 Cerebellum, Relation of, to the Spinal
Asylums, Lunatic, improved state of 416 Cord

Auscultation, Depaul on Obstetrical.. 495 Chancre, Marchal on

Barber-Surgeons, Guy Patin on 177 Chelius' System of Surgery

Bellingham on Compression in Aneu- Chemistry, Animal, Liebig on the
46 Study of,

Bischoff on the Ovum
5 Chemists, Guy Patin on

Bladder, Wounds of the

96 Children, bleeding from the jugular vein 252
Bladder, Inflammation of, from Blisters 540 Children, Trousseau on the dentition of 275
Blisters, Rules for the application of.. 371 Children, Still Born .....

Blisters, Induction of Strangury by.. 540 Cholera, Andral on the intestinal secre-
Blisters, Mialhe on the composition of 542 tions in



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