Imatges de pàgina

To exalt one at the expence of the other is to depreciate invention, and lavish all praise on improvement. Who can read with patience the following, amongst many similar remarks?

• Aristotle locked up the temple of knowledge and threw away the key, which, in the absurd and superstitious veneration of his authority, was lost for many ages. It was found, at lait, by a native of our own country, whose name as a philosopher and particularly as a logician, does more honour to England than his did to Stagyra; who threw open the prison in which science had been held captive, and once more ser her free ; and, who with a bold and virtuous facrilego, tore the laurel from the brow of that uark and deified p!ilosopher, which he had so long and so injurioully worn.'

But we shall conclude this ungrateful subject, and the review, of the first volume, with observing that Bacon is the philofopher deified by Dr. T. which is not surprising, when it is considered that from his works the most essential part of the present performance is derived.—The observations relative to the desirable change of scholastic discipline at Oxford, are juft; but they affect not the excellence of the Aristotelian system, which might be employed to good effect, whatever were the objects of mitruction.

(To be continued.)

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Medical Communications. Vol. II. 8vo. 7s. Boards. John

fon. 1790. JF we should blame the Society for their delay of this second

volume, some complaint may be retorted on ourselves, in not noticing it on its first appearance. Both have been faulty in this respect, and, while we confess our own errors, (au apology will be useles;) we trust they will in effect confess theirs, by repairing the fault, and more actively exerting their powers in pushing forward another volume with greater rapidity.

I. Case of a Recovery after a Ball had passed through the Lungs. By Mr. Edward Rigby, Surgeon at Norwich.---This is another instance, in support of the opinion, that wounds of the lungs will heal readily, where there is no conftitutional taint. The recovery, in a great measure, depended on Mr. Rigby's judicious conduct in cloling the external wounds, properly bleeding his patient, and giving cooling and anodyne medecines. The piltol was so near, that the ball seems to have carried the cloaths before it, and lodged the cloth under the íkin of the breast, for it went first through the back.

II. A Case of retroverted Uterus, in which the Paracenteas Velice was successfully performed. By Richard Browne

CRIT, Rev. N. AR. (IV.) 7.n. 1792. D Cheftcil,

Cheston, M.D. F.R.S. Physician to the Gloucester Infirmary.--The paracentcsis veficæ was performed just above the pubes. As the catheter should, for obvious realons, be short, à long canula, or a flexible catheter, should be in readiness to be introduced. This case, which we do not enlarge on, only because it cannot be read with propriety or advantage but in the author's own language, deserves much attention. It contains many valuable practical remarks.

III. Account of a Case in which the Tendon of the Biceps Muscle was punctured in bleeding. By Mr. Thomas Colby, Surgeon ar Torrington in Devonshire.—The tendon was evidently punőtured, and occasioned symptoms of irritation, with the first appearances of a locked-jaw. Opium was igven plentifully, and an erysipelas came on, which was cured by the bark. The cafe is related rather indistinctly. The symptoms of the 13th may have been those only of incipient erysipelas; and if they were not, we cannot easily determine whether the synıptoms of irritation were relieved by opium or bark, or whether the erysipelas may not have been owing to the opium.

IV. Case of a Child born with Symptoms of Erylipelas followed by Gangrene. By the late Robert Bromfield, M. D. F. R. S. Phylician to the British Lying-in Hospital.

V. An Account of the Species of Erysipelas described in the preceding Paper, as it has appeared in Infants at the Britih Lye ing-in Hospital. By Maxwell Garthshore, M. D. F.R. S. and S. A. Fellow of the Royal College of Physicians in Edinburgh, and Physician to the British Lying-in Hospital.—The disease is almoit peculiar to lying-in hospitals, and not very frequent in these: it has been attribuced to the free use of fpirituous liquors in the mother, with some degree of probability. The remedy is obvious, viz. the bark, with warm fpirituous embrocations. It is only surprising how it could ever have been overlooked. Dr. Garihshore seems to wonder that Dr. Cullen could ever consider any kind of erysipelas as phlegmonic; but the profeflor feenis scarcely ever to have seen it in any other fom; and we do not recollect above one instance of the discafe that required bark: we have seen many benefited by bleeding. An uncommon case of peritonitis in a young child is mentioned: the exudation is described as purulent, limilar to what had been observed in a puerperal • fever;' but in that disease the exudation is gluten or albumen. If it is in some instances pus, these are by no means the greatest number,

VI. Cale of an unusually large Abscess, feated between the Peritonzum and Abdominal Muscles, from which the Matter appeared to be discharged, sometimes by the external Opening, and at another Time by. Expectoration. By Mr. Charles Kite, Surgeon at Gravesend, in Kent. From the proper exa


mination not having been made after death, we are in doubt respecting the extent of the abscess. There is, however; great reason to believe that the expectoration was owing to a metaftafis, in confequence of a consumptive habit. The abscess extended fo far downward as to prevent a prolapsus uteri from being easily reduced.

VÌI. A'Case of total Extirpation of the external Parts of Generation. By William Scott, M. D. Physician at Stamfordham, in Northumberland. --The operation was performed by the patient himself, a man seventy-five years old, in a tit of melancholy. The hæmorrhage was slight and transitory. We have formerly remarked that, except when the vessels are enlarged by disease, it is never dangerous; and, at that period of life, it must have been less fo. • VIII. Observations on the Use of Opium in the Venereal Disease. By Mr. John Pearson, Surgeon to the Lock Hcca pital, and to the Public Difpenfary.--Mr. Pearson found, that by no means one half of the cases yielded to opium, and it may be still doubted, if in those, where the disease appeared to yield, the cure was permanent. He adds too, what is ftrictly true, that the inconveniences from this medicine were greater than from mercury. Opium, however, we have reason to think, in its largest doses, leflens the inconveniences of mercury, and adds to its powers.

IX. An Account of the favourable Termination of a Wound of the Stomach. By Mr. William Scott, Surgeon of the Navy.-The immediate consequences of the wound were debility in its highest degree, constant hiccough and vomiting of blood. It was cured pretty easily, and the patientt nourished by glyfters only for some days. It appears highly probable, as our author hints, that an antiperistaltic motion took place in the intestines, as the glysters, though unusually large, were generally retained.

X. A Cafe of Suppression of Urine, in which the Puncture of the Bladder in the Regio Pubis was performed with Sucó cess. By Mr. James Lucas, Surgeon of the General Infirmary at Leeds.- In this initance, there was an abfcefs also in the perinæo, through which the urine for some time came. We know not why the attempt to puncture the bladder was not made through the bottom of the abscess, unless it was, that the wound of the bladder would more readily heal above the pubis. But the probability of the urine allo finding its way through the abscess, as actually happened, was very great.

XI. The History of a Disease in the Head of the Tibia, with an Account of some remarkable Appearances which presented themselves on the Dissection of the Limb, By Mr. John Pearson, Surgeon of the Lock Holpital, and of the Pub.

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lic Dispensary. The case is very instructive. The diseafe was at the head of the tibia, and it was a large abscess, which had corroded the anterior and posterior part of the bone, fo that the pulsation of the large vessels was felt through the tumour, and led to the suspicion of an aneurism. Instances of pulsation, communicated to tumours, are not uncommon, and the chance of error should be carefully guarded against.

XII. A Case of Hernia Femoralis, with practical Observations. By Mr. Henry Watson, F.R.S. Senior Surgeon of the Westminster Hospital.-In this case, the sphacelated part of the intestine sloughed off, and it united, in the usual way, to the peritoneum. When the spacelus is more complete, our author recommends separating the mortified part, having first tied the mysentery, and uniting the edges of the sound part by some stitches, supported by a solid cylinder of isinglass, previously introduced into the canal. The idea is a bold one; but it has succeeded in an experiment on a dog. Isinglass is prefered, because it will be easily dissolved by the fluids; but we would recommend a small perforation, which, without detracting from its resistance, would facilitate solution and suffer the thinner fluids to pass. It may, after it is caft, be easily bored with a fine awl: but, perhaps, surgeons may be terrified with the apparent boldness of the attempt, and, till actually tried by the author, as he has promised in the first proper instance, will scarcely think it admissible.

XIII. A remarkable Case of Abstinence. By Robert Willan, M.D. - The duration of the abstinence was fixty-one days: the drink was water, from half a pint to a pint each day, with a little juice of orange: two oranges lasted a week. When food had been given gradually, the patient secmed to recover, but five days after the recovery had gone on, he was seized with mania, from which he was relieved, to sink into a fullen state; and he died, seemingly from weakness, about seven days afterwards. In the progress of his abstinence he had one stool, the second day, and no other till the fortieth. He lept very little, and used no exercise. As he wrote much, it appeared that his ideas were soon obscured, and his mind, not long afterwards, confused. Perhaps the whole was a cafe of mania, repressed only, but not cured, by abstinence.

XIV. Case of a Dropsy of the Ovarium; with Remarks on the Paracentesis of the Abdomen, By Mr. Edward Ford, (Surgeon of the Westminster General Dispensary.—In this in

stance, the most remarkable circumstance is the sudden filling, which, at last, amounted to three pints, three ounces, daily. . But, in this respect, as well as in the quantity of water evacuated by tapping, we have seen accounts of patients who have exceeded Mrs. Ann Mason in the rapidity of accumulation, as well as the quantity of accumulated fluids. During eighteen days, the inhalation amounted to at least 137 pints. The general remarks are judicious and practical. The inconveniences of the operation are properly pointed out, and among these our author mentions the wounding of some branch of the epigastric artery. A little bloody matter following the water is a circumstance, in general, of no importance; and, when a hardness is felt round the former wound, it is not always (perhaps scarcely ever) an indication of cohesion. One instance is mentioned, where a tumefied spleen was wounded by the trocar.

XV. Observations on the Effects of Camphor, applied externally, in some Cases of Retention of Urine. By Mr. John Latham, F. R. S. Surgeon at Dartford.-Camphor, it is well known, is a powerful corrector of irritability or inflammation in the urinary organs; but it was not so well known that its effects were the same, when introduced into the blood by the absorbents. In these instances, however, it was useful when rubbed in at some distance from the organs affected.

XVI. Case of an Injury of the internal Table of the Scull, successfully treated. By Mr. Charles Brandon Trye, Surgeon of the Gloucester Infirmary.—The case is singular. From a blow the internal part of the table of the scullwas injured without any apparent injury of the external, and a part of the former was absorbed : the life of both seems to have been destroyed to a certain extent. The symptoms were pain, irritation, chronic inflammation, a thickening of the pericranium, &c. We cannot approve of the language of the remarks, where so much knowledge and design are attributed to nature: the effects in all these circumstances are necessary consequences of the prior change.

XVII. Case of a Rupture of the Corpora Cavernosa Penis. By Mr. Charles Brandon Trye, Surgeon of the Gloucester Ina firmary.--The rupture was occasioned by a blow, when the cells were fully distended : the symptoms were not singular, and no inconvenience seems to have followed.

XVIII. Account of a mortified Hand, which was taken off at the Joint of the Wrist. By Mr. John Latham, F. R. S. Surgeon at Dartford in Kent.--This case is in no respect extraordinary.

XIX. Of the different kinds or Species of Inflammation, and of the Causes to which those Differences may be ascribed. By James Carmichael Smyth, M. D. Fellow of the College of Physicians, and of the Royal Society; and Physician extraordinary to his Majesty.-Dr. Smyth divides inflammations according to their causes, the fundtions of the parts inflamed, their natural texture, or a texture induced by disease. The D3


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