ture of the body after death.' Dr. Buszard, of Northampton, who assisted at the post-mortem examination (after exhumation), corroborated Mr. Walker's statement of the anatomical appearances. Mr. J. D. Rodgers, lecturer on toxicology at the London Hospital, testified that he had examined the stomach and its contents, the heart, and the kidneys; that in the stomach and its contents only he found minute traces of morphia, which were not weighable, and certainly not sufficient to cause death. With the state of heart described, he would have expected Mrs. Gulliver to have had fainting attacks, and at any time a fatal syncope. When asked, however, whether he thought that Mrs. Guilliver's death arose from syncope, he said, ‘No, certainly not syncope. Mr. Walker tells me that there was a high temperature after death; and that would negative the idea that she died from syncope. Further, I would state that, in consequence of this high temperature, I am of opinion that she died from some volatile noxious substance given to her immediately prior to death, but which I am unable to detect.' Upon that evidence, a verdict was found that Mrs. Gulliver died from poison, but by whom administered there was no evidence to show; and then a warrant was made out for the apprehension of Mrs. Waters, who had been one of the persons in attendance on Mrs. Gulliver during her last illness. Mrs. Waters, who had been in a private room adjoining, on hearing this intelligence, took poison; and a jury, subsequently impanelled on the body of this unhappy victim of an overwhelming blow, enough to overturn a well-balanced mind, returned a verdict of felo de se, necessitating her burial without clergy' within three hours, the service being read by her husband. "Two more monstrous verdicts were, we believe, never delivered. The inference that an elevated temperature after death —which, by the bye, was only a vague statement-was evidence that death had been caused by some volatile poison is too absurd to require serious consideration." Drink and Health.-The article in Good Words (for Feb.), written by the Rev. CANON KINGSLEY, with the quaint title "The Tree of Knowledge," is one well deserving the attention of every medical man and sanitarian. In his characteristic way the writer casts aside the conventional opinions of the period, and the fruitless talk about the evils of drunkenness, and the much-bepraised remedy of total abstinence. He is ready to admit that drunkenness is on the increase in this island, because he finds its causes on the increase "overwork of body and mind; circumstances which depress health; temptation to drink, and drink again, at every corner of the streets; and finally, money, and ever more money in the hands of uneducated people, who have not the desire, and too often not the means of spending it in any save the lowest pleasures." In these circumstances does he find the true causes of drunkenness, and draws the important general inference that "the craving for drink and narcotics, especially that engendered in our great cities, is not a disease, but a symptom of disease—of a far deeper disease than any which drunkenness can produce; namely, of the growing degeneracy of a population, striving in vain by stimulants and narcotics to fight against those slow poisons with which our greedy barbarism, miscalled civilization, has surrounded them from the cradle to the grave." The conditions of life of too many of our working classes are such as depress vitality, and are not counteracted in their effects by the good food and ample wages most of those classes can now command. These people in their mental and moral condition are unhappily in harmony with the wretchedness around them. They know no recreation beyond low animal pleasure; they drink for the brutalizing excitement to be got from their liquors, to drive away care, and often simply to drive away dulness. "But if the craving for stimulants and narcotics is a token of deficient vitality, then the deadliest foe of that craving and all its miserable results is surely the sanitary reformer; the man who preaches, and, as far as ignorance and vested interests will allow him, procures for the masses pure air, pure sunlight, pure water, pure dwellinghouses, pure food. Not merely every in a few seconds clutched the hand that fresh drinking-fountain, but every fresh public bath and washhouse, every fresh open space, every fresh growing tree, every fresh open window, every fresh flower in that window-each of these is so much, as the old Persians would have said, conquered for Ormuzd, the god of light and life, out of the dominion of Ahriman, the king of darkness and death; so much taken from the causes of drunkenness and disease, and added to the causes of sobriety and health." Much else breathing eloquence and truth may be read in the article from which we have quoted, and may be pondered upon advantageously by those who fain would coerce their fellow-men to become sober and it being once explained, the subject ceases religious, or work out their reformation by preaching and " spiritual exercises." -Med. Times and Gazette, March 7, 1874. Recent Experiences of Spiritualism.—Let our reader peruse the recent experiences of Spiritualism recorded in the Fortnightly and New Quarterly Magazine, for the narratives are well calculated to dispel all illusions about the mystery or power of the forces manifested in the phenomena of our modern spiritualism. The Socrates of the spirit-world, according to one medium, had a straight Grecian nose, among his other characteristics. As some doubt existed as to his identity, Viscount Amberley suggested that he should prove it by speaking in Greek, which had the effect of immediately stopping the mouth of that otherwise loquacious philosopher. Another medium, gifted with intuitive powers of discovering and healing maladies, found distinct evidences of a disease that the Viscount had never had, and of an operation he had never suffered. On the extraordinary credulity of the spiritualists and that of the mediums, so well pointed out by Viscount Amberley, we need not dwell. Mr. William Hipp has also recounted in the Echo his experience of a séance, with the celebrated Miss Cook as a medium. Among other manifestations the time arrived for the spirits to sprinkle the guests with water, a tumbler having been placed on the table for that purpose. The room was darkened and expectation was on tiptoe, but the sceptical Mr. Hipp grasped the tumbler, and to possess any interest for educated and intelligent people. Discussion of such a topic affords neither instruction nor entertainment. Obstetrical Society of London.-This Society, at a large special meeting held on the 4th of March, decided, with but a single dissenting voice, against the admission of women to Fellowship in the Society. Sir George Burrows, Bart.-The honour of a baronetcy has been conferred on Dr. BURROWS, President of the Royal College of Physicians, and Physician Extraordinary to the Queen. OBITUARY RECORD.-Died, at Brighton, on the 3d of March, FORBES WINSLOW, M.D., after a few days' illness, of bronchitis and pneumonia, in the 64th year of his age. Dr. W.'s name has been long associated with psychological medicine. He established the Quarterly Journal of Psychological Medicine, and conducted it for seventeen years, only giving it up when professional engagements became too pressing. - In London, March 2d, NEIL ARNOTT, M.D., F.R.S., generally known through his admirable popular work on physics. He was also the inventor of "the water bed," and various other useful mechanical contrivances. For many years Dr. Arnott had given up medical practice in order to devote himself to scientific subjects. BELLAMY'S SURGICAL ANATOMY-Now Ready. THE STUDENT'S GUIDE TO SURGICAL ANATOMY: Being a Description of the most Important Surgical Regions of the Human Body, and intended as an Introduction to Operative Surgery. By EDWARD BELLAMY, F. R.C.S., Senior Assistant Surgeon to Charing Cross Hospital, etc. With Fifty Illustrations. In one handsome royal 12mo. volume; cloth, $2 25. From Prof. A. B. CROSBY, Bellevue Med. Coll., New York. From Prof. C. F. BEVAN, Coll. of Phys, and My examination of it, not yet complete, will enable me to recommend it most favorably to the profession, and our medical students generally. suggestions add largely to the interest attaching to its technical details.--Chicago Med. Examiner, March 1, 1874. We would suppose that such a work would be in demand by all students, and by all those desiring to qualify themselves to operate in surgery. Every region is briefly and accurately described, and instructions given as to surgical operations in the part - Cincinnati Med. News, March, 1874. Hitherto there has been no handbook by any English teacher on surgical-or, as Mr. Bellamy descriptions are, as might be expected from the terms it-"Applied Anatomy." The anatomical author's experience as a teacher of anatomy, We welcome Mr. Bellamy's work, as a contri- reliable and good. On the whole, the book is a bution to the study of regional anatomy, of equal very creditable performance, and we cordially value to the student and the surgeon. It is writ- congratulate Mr. Bellamy upon having produced ten in a clear and concise style, and its practicalit.-Lond. Med. Times and Gaz., Dec. 27, 1873. FENWICK'S DIAGNOSIS-Just Issued. By SAM due to him to state that we have rarely seen so much positive instruction concentrated in clear, as well as in concise, form, in so small a book. It is most cordially and conscientiously recommended to all medical students, whether they have or have not as yet gained their M.D.-Chicago Med. Journal, Jan. 1874. THE STUDENT'S GUIDE TO MEDICAL DIAGNOSIS. UEL FENWICK, M.D., Assistant Physician to the London Hospital. From the Third Revised and Enlarged English Edition. With eighty-four illustrations on wood. In one very handsome royal 12mo. volume, of 320 pages: cloth, $2 25. This little book ought to be in the possession | ing under review is admirable; and while we reof every medical student, who will find in it a gret the necessity felt by the able author of keepvaluable assistance, to enable him to study suc-ing the volume within such modest limits, it is cessfully the diagnosis of the principal medical diseases. It contains directions for the proper method of clinical study, and a sketch of the chief symptoms of each disease, particular attention being paid to the methods of physical examination, whenever available in diagnosis. The present edition contains everything which the most recent advances of medical science have contributed to the improvement of diagnosis. Although intended for the use of students, the book will be found very convenient to the prac-philography, Jan. 1874. titioner as a condensed manual of diagnosis.-Bost. Med. and Surg. Journ., Jan. 15, 1874. So far superior to any offered to students, that the colleges of this country should recommend it to their respective classes.--N. O. Med. and Surg. Journ., March, 1874. It is thoroughly, and we might almost say, intensely, practical throughou. By the aid of its numerous genuine illustrations, the text is rendered comprehensible, almost at a glance. The order of the exposition of the varied topics com Of the many guide-books on Medical Diagnosis claiming to be written for the special instruction of students, this is the best.—Am. Journ. of Sy We do not know a better little book on the subject of Medical Diagnosis than the one before us. Explanations of difficult points are given in the simplest manner possible, and technical language only used where it was not possible to avoid it We commend the book to the beginner, as well as to the practitioner whose mind needs refreshing upon the leading facts in medical diagnosis.-Nashville Med. and Surg. Journ., Jan. 1874 WELLS ON THE EYE-New Edition-Just Issued. A TREATISE ON DISEASES OF THE EYE. By J. SOELBERG WELLS, Professor of Ophthalmology in King's College Hospital, &c. Second American, from the Third and Revised London Edition, with additions; illustrated with numerous engravings on wood, and six colored plates. Together with selections from the Test-types of Jaeger and Snellen. In one large and very handsome octavo volume of nearly 800 pages: cloth, $5 00; leather, $6 00. As it stands to-day, there is no other work on diseases of the eye comparable to it. It is clear, concise, comprehensive, practical, and emphatically modern.- Detroit Rev. of Med, Dec. 1873. The work of Mr. Wells has no superior in the English language. - Buffalo Med and Surg. Journ., Feb. 1874. This work merits the designation of being the most valuable one in the English language for the general practitioner.-Chicago Med. Examiner, Jan. 15, 1874. Decidedly the most complete and valuable in the English language.- Western Lancet, Feb. 1874. HENRY C. LEA-Philadelphia. CLINICS. CLINICAL LECTURES. A Clinical Lecture on Rötheln or German Measles. Delivered at Middlesex Hospital. By ROBERT LIVEING, M.D., Physician to the Hospital. troublesome errors of diagnosis in the practice of your profession. The disease we are speaking of was first described by German writers more than half a century ago, under the name of " rubeola," by which name it is still known in Germany. Unfortunately the same name has been applied in this country to common measles, or morbilli, so that we are obliged to introduce a new name, such as "German measles," "rötheln," or "hybrid measles," or "hybrid scarlatina." The two latter names are most objectionable, inasmuch as they give colour to the erroneous notion that the disease is a combination of measles with scarlatina. GENTLEMEN: In April, 1870, Dr. Murchison directed attention in this theatre to two cases of German measles then under his care. Since that time until the present summer (1873) I am not aware that any similar cases have been admitted into our hospital; indeed, the malady is generally of so mild a character that it is not commonly seen in our wards. It is therefore all the more important that you should turn your attention to it whenever Jane B- -, aged twenty-seven, adoccasion offers; for ignorance of its pecu-mitted June 10th, 1873, housemaid. This liarities may hereafter involve you in case was placed under my care by Dr. Published monthly by HENRY C. LEA, Nos. 706 & 708 Sansom Street, Philadelphia, for One Dollar a year; also, furnished GRATUITOUSLY to all subscribers of the "American Journal of the Medical Sciences," who remit the Annual Subscription, Five Dollars, in advance, in which case both periodicals are sent by mail free of postage. •In no case is this periodical sent unless the subscription is paid in advance. VOL. XXXII.-5 Harling, who had recognized it as one of German measles. When about eight years old the patient had a sharp attack of measles. On Sunday morning, the 8th of June, at 7 A. M., she had a feeling of nausea, which lasted during the morning, but passed off after dinner. On Monday morning, the 9th, about seven o'clock, the same feeling returned, accompanied with headache. At breakfast she found that her throat was sore on swallowing, and also noticed lumbar pains. At about 2 P. M. she saw that her face was red and a little swollen, then that her neck, back, and chest were flushed in a similar manner. She went to a doctor the same evening, who stated that in his opinion her complaint was measles. On the 10th, she noticed that her legs were affected, being red all over. She felt feverish. On admission, the whole body of the patient was covered with small patches of a red papular eruption, most marked on *the back, where it was more or less confluent. There was slight sore-throat, and the fauces were red. The conjunctivæ were somewhat suffused; the tongue was marked by the teeth, and of a brownish colour in the centre. The physical signs of the chest were fairly good; the bowels rather confined. The urine contained no albumen. June 12. The rash is beginning to fade, and is slight on the hands and feet. 13th. The tonsils are rather swollen, the left more than the right. There is a slight trace of albumen in the urine. 14th. The left tonsil is ragged and painful; the vessel can be distinctly seen running over the posterior surface of the pharynx, which has scattered over it patches of a whitish-yellow colour. The rash is fading, but has not quite disappeared, and the temperature is normal. The bowels open freely. some weeks after her discharge; there was a very slight branny desquamation of cuticle. [Four other cases are related by Dr. Liveing, the details of which it is unnecessary to give here.] Remarks. The following points are especially worthy of note:— 1. The premonitory fever in German measles is generally mild, and resembles in many respects, though not in duration, that of common measles. There is more or less pain in the limbs, slight shivering, sore-throat, and often, though by no means always, coryza, redness of the conjunctivæ, and sneezing. All these symptoms were present in some of the cases I have had under my care. The characteristic features, however, of the premonitory fever, as contrasted with that of measles, is its duration, which is seldom much more than twenty-four hours, whereas in measles, it is from three to four days-that is, the eruption of the latter disease appears on the fourth or fifth day. Dr. Murchison remarks on this point, that "most authors fix the duration of this stage at about three days, the eruption being said to appear on the third or fourth day. In my experience, its duration, as in the cases you have seen in the wards, is much shorter, the rash appearing on the second day, or even within the first twenty-four hours." Dr. Murchison's experience is entirely borne out in this respect by my own, and that of many other observers. Indeed, I consider the short duration of the febrile attack before the eruption appears as one of the most constant and distinctive features in which this fever differs from ordinary measles. 2. The character of the eruption when it first appears is almost always described as "measly"—that is, in small reddish patches. In the first instance the rash 16th. The urine is acid, 1032, and consists of small rounded collections of loaded with urates; no albumen. 17th. The throat is rather better, and there is no pain, and no rash to be seen. 25th. The patient was discharged convalescent. The eruption lasted seven days, but never became thoroughly confluent. minute red papules, which after a time coalesce and form larger irregular patches, just as in measles, but with apparently less tendency to become of a horse-shoe or crescentic shape. After a time the patches may all unite, and then the skin becomes to the naked eye of a uniform red colour, The patient was under observation for closely resembling that in scarlet fever. |