been given to understand that if there was a department me in the department under my supervision and care. in the college which was successfully conducted, it was the Department of Anatomy, and that I, so to speak, was the right man in the right place. The honorable professor, dean, etc., was here again the victim of another elision of his cerebral convolution, or perhaps was unwilling to remember, certainly to say that the petition was headed by Dr. E. E. Marcy. How is it now with him? What relation does he bear to the college? Dr. Wildes has thoroughly exposed that little game. And now I proceed to uncover what in my judgment is the most pitiful part of this very pitiful business. To his question, "Was it signed by the students themselves?" and to which he replies in the negative, I respond that the question is a perfectly silly and irrelevant one. The petition in my behalf was, as I have before stated, proposed and signed by physicians of the best standing in the community. It was never designed to be signed by students. It derived its special value to me from the fact that, though unsolicited by me, it was so generously responded to; and I here record the pride and gratification I have ever since experienced when I have recalled this kind and friendly act. It did not suit, however, the purpose of the very honorable professor, dean, &c., to be defeated in carrying out his nefarious design. Then came the story of my interfering with the harmony of the Faculty. This honorable professor, dean, &c., did not say to these gentlemen of the Board of Trustees that the real causes for my removal were: First, that he had to remunerate me-however inadequately-for my labors, for the work could be done, or rather tried, at a cheaper rate; second, that even before I entered the college, there was a small and petty hostility to me, unworthy of men and gentlemen; third, that my examinations were too rigid; fourth, that I taught too much, viz. : histology, &c.; fifth, that I described anatomy too minutely. Oh no, he did'nt dare to do that, but he succeeded by the cry of no charges, no charges, only want of harmony, and now let us see if it has filtered out of his cribriform cerebral -convolution, that at a subsequent date, when I informed And now, with a great flourish of trumpets, the him that these gentlemen had told me of their unwill- honorable professor, dean, etc., produced a petition that ingness for my removal, and their desiring reasons why was said to have been signed by seventy or eighty I should be removed, and only acceding thereto when junior students to the effect that I should not be reinthe changes were rung upon the lack of harmony, &c., stated. Let us look a little into this and see if it will I say that with his usual mnemonic facility, it has doubt-bear the searching light of truth any more than the less filtered away from his leaky organization, both various other assertions made by this very honorable moral and physical, that he quietly and coolly informed professor, dean, etc., etc. Did he inform his audience me that the Board of Trustees were merely the agents that previously to the getting up of that petition that of the Faculty, to do their behests, mere figure-heads, two meetings had been held by the students-my former automatically, as it were, complying by their organiza- | pupils-the object of which was to request my reintion with the legal requirements imposed upon them, &c. How does the poet portray such a character as this, I will tell you: "Like one, who having unto truth By telling of it, made such a sinner Of his memory, to credit his own lie." statement, because of their desire to have me recalled, as also that my name, as professor of anatomy, should be written upon their diplomas. Did he never hear of these meetings or did he, as is most probable, conceal this fact? Why was not the object of these meetings carried into effect? It was because certain of the timid among them were prevented from expressing their I pass over with scarcely a comment the imperturb-sympathy through fear of having it visited upon them able audacity with which it is announced that the col-at their final examinations. Threats to that effect had lege is not run in the interest of a clique. It would be been already sounded in their ears. Of these facts I to belittle the intelligence of the profession in general to have had various and indisputable proofs. How, then, attempt to prove the contrary. But let us see how the was this petition, which was displayed with so much honorable professor, dean, &c., was affected when he self-satisfaction and delight, procured? Was it started was told that "those who signed that petition--here by the honorable professor, dean, etc., seconded by his referring to the petition for my reinstatement, as will be colleagues, and fostered by certain of my former pupils remembered, and which was started and promoted by who were disaffected to me by the means already shown my friends in the profession-are powerless in the face to have been practised? Again, the petition was signed of the organized set who run the college.' How was he by junior students-doubtless by many who had never affected? The tears were stimulated in his lachrymal been under my tuition, and therefore had no interest in laboratory, their fountain stirred to its deepest depths, the matter, one way or the other, beyond doing his gentle heart pierced by this incisive shaft, found as they were instructed to do. If my interpretavent for its emotion by the deprecating cry: Such tion of this dirty piece of business be correct, kind, such courteous language." Upon recovering from then shame upon this honorable professor, dean, etc., his tearful condition what does he do? He summons his wonted effrontery and replies by an untruth pure and simple. I quote: Why was he not reinstated in answer to that petition? By whom was this petition signed? Did it emanate from those directly interested in the welfare of our students? No. Was it signed by the students themselves? It was not. Why was this petition not acted upon? I will tell you why. Because the Trustees received another petition which was signed by those most deeply interested, signed by the students themselves, all of them, &c.' I have quoted thus at length in order to respond to the various statements made by the honorable professor, dean, etc.; and first, the reasons why I was not reinstated I have already given in the matter of salary, examinations, personal spite, etc., etc.; second, the petition for my reinstatement was signed by over sixty of the most respectable and prominent homeopathic physicians in the cities of New York and Brooklyn, and it was because of their interest in the welfare of the students and of the college, and their belief that the welfare of the students was being duly considered by for practising such deception and enforcing it with-false coy modesty of his heroine, thus tells of her yielding "And whispering I will ne'er consent, consented." Although I did speak of his brilliant course of lectures." A little further he says: When he claims I spoke of his brilliant course of lectures, I quote this merely to give another evidence of that faulty cerebral convolution, "If we had no reason for the change, the deportment of Professor Carmichael since his connection with the college ceased has been such as to convince every member of the faculty that no mistake had been made, etc. I entertain no malice towards him, but must acknowledge no special fondness for him ever, and but recognized his ability, and I had hoped he would be present to-day, etc., etc. As I was driv. ing through Fifth avenue I met Dr. Carmichael, and, as is my custom under such circumstances, I politely lifted my hat and bowed. He looked at me as if he had been insulted, and accompanied that look by no mark of recognition.-poor me!" To all of which I respond. The change in deportment, of which the honorable dean, professor, etc,, complains, was due to a very simple fact. In the days of ancient Rome, her sculptors, before selecting a piece of marble, from which, under their cunning hands, their pregnant thoughts and artistic conceptions, were to leap into living immortality, were in the habit of passing the nail over it in order to detect the flaw in the yet cold and dull material which nature had been silently and for centuries concealing in her bosom; and when found to be imperfect by this crucial test, the ineffectual marble was rejected or fitted for baser uses. From this test grew the old Roman apothegm, "Homo factus ad urguem," which I will again translate for the benefit of the crudite and distinguished professor, dean, etc. The man made to the nail, or, in our more modern vernacular, the perfect gentleman, in this instance the nail test was a little too crucial and too searching, and here the honorable professor, dean, etc., may find a solution of the difficulty of which he complains. "I entertain no malice," etc., "but must acknowledge no special fondness," etc., etc. Again, does that faulty cerebral convolution bring its unhappy possessor into an abnegation of himself. In the beginning of his remarks he thus declares: "Now, Mr. President and members of the society. I wish it distinctly understood that in the remarks 1 shall make I am actuated by no feelings of malice, no feelings of anger towards any one. And yet he could not remember these declarations, or could not help indulging his little fling against your humble servant, which, by the way, was about as harmful as the buzzing of a gnat; and the words "no special fondness for," etc., was a convenient term to hide a heart full of malice and hate, and which perhaps will not be eased when he reads these lines. Most heartily do I echo his wish that I had been present, etc. Gods it must have been a goodly sight-most exquisite enter tainment-to see him strut his brief little hour. To his exclamation "Poor me!" which was, no doubt, said in derision of my non recognition of him, and the reason for which has already been told. I reply, first, in the words of two patients of a professional friend, who, on reading this part of his remarks, said : What a silly fellow." And I will add, in response, poor Poll, as she swings in her lonely cage, reiterates: " Poor Poll! poor Poll!" and in her melancholy maunderings, if she shall have been taught to deride the weaknesses and follies of human nature, she may be heard to sigh: "Poor fool! poor fool! lackaday !" "Prosperity of the college owing to hard work and a lack of disturbing elements.' Who does the hard work, Messrs. Editors? Certainly not this honorable pro fessor, dean, etc. Two or may be three lectures a week, collated, as we know, from Ziemssen and others, and his department shared by another-a conscientious and honorable gentleman, Dr. Bradford constitute the hard work, so far as the lecturing is concerned. Perhaps he might claim the onorous duties of his position as dean : registrar, etc., in the performance of which he has, to Enos Hall is now in his grave, to which he was has tened, as I verily believe, by the meanness and indignities to which he was subjected by this very honorable professor, dean, etc. If the cerebral convolution of the honorable professor dean, etc., can hold anything, which its cribriform character would seem to make impossible, he will remember that in spite of the opposition of the whole faculty, Enos Hall was restored to his place in the dissecting room because of his remarkable efficiency there, and because of the urgency with which I seconded his recall. I had known him, for he had been in my service for years in the old college. I knew well his unusual fitness for the place he occupied, and never had occasion | to complain of his want of faithfulness in the performance of his duty to me. If he ever slackened in the faithful discharge of his duty after I left the college, or, rather, after I was turned out of it, the cause must be looked for elsewhere. His admirable dissections are no doubt well remembered by very many of my pupils. During the winter months, when in the employ of the honorable professor, dean, etc., at a pittance; during the spring and summer succeeding, he was left to starve or subsist as best he might; and many a time have I aided him to the best of my ability (and know you have done it also, Mr. Senior Editor), to tide over the intervening time until the succeeding winter, when he might hope to wrest something for his arduous services from the hard grip of the honorable professor, dean, etc. Of the remaining portion of his remarks and his couleur de rose representations of the useful and successful career of the college, I shall waste no time in discussing. I think I have exposed enough of his folly and misstatements, and here gladly take my farewell of him. JAMES A. CARMICHAEL, M. D. Messrs. Editors: It is possible that my experience here in the cold climate of Minnesota practicing amongst Danes, Germans, Swedes, Norwegians and Americans may have been an exceptional experience, or it may be that my early efforts as an allopath have left me incapable of grasping true homoeopathic principles; but of this fact I feel satisfied, that prompt success in grappling with disease is not obtained by any internal medication with highly potentized single remedies. In the practice of our profession we must give full scope to the exercise of that indispensable aid "Common Sense." Guided by it, no hesitation should be felt in impressing into the service any legitimate means to the end, nor in exhibiting remedies or a combination of remedies, accord ing to the exigency of the case. Judgment first and the books afterwards. Not that our faith in "Similia" should be less, but that our readiness to cluster around it every reinforcing agent within our reach should be greater. There is always danger in extremes; strength lies not so much in the sole reliance upon a single resource as in a choice or combination of many resources; and the curse of homœopathy in this Western country is the influence of those practitioners who have been taught and never forget that "Similia Similibus Curantur" means the homœopathic remedy, whether it be the mother tincture, 10th, 30th or 3000th, dissolved in half a glass of water, and then a waiting for results. If the patient grows worse it may be a medicinal aggravation, but no aggravation to them; have they not prescribed according to the law?" This method is to them the only "orthodox" way; anything else is allo pathy. This kind of practice seems sometimes to succeed, but the sad and almost criminal failures which are constantly being made seem to leave them nothing, while the true progress of the study of medicine is retarded, and its adherents brought to grief. The object of the Congress is to be, “ interchange and comparison of views on the part of the different Colleges, promotion of unity of matriculate and doctorate requirements, and the improvement of the I am satisfied that no progress can be made here until modes and standard of medical education." Any recomphysicians come to see the necessity of broadening out,mendations adopted by the Congress shall be binding and appropriating to their use every crumb of knowl-upon the individual Colleges, provided that said recomedge, every bit of experience, every fact, from whatever mendations shall have been ratified by a majority of the storehouse of learning it may be obtained, that com several faculties and written notice of such ratification mends itself to their "Common Sense" and good judg- shall have been sent to the secretary of the Congress. ment; until they learn that the law of Similia is the best general rule of practice, and not the only rule. Fraternally yours, M. M. DODGE, M. D. ALBERT LEA, MINN. Editors HOMOEOPATHIC TIMES: GENTLEMEN: Realizing the interest felt by the profession at large in the asylum under our care, we take pleasure in presenting a few facts showing gratifying progress during the past year. The following recommendations were then unanimously adopted: 1. That the time of study required of candidates for graduation shall have been three full years, (It was moved and carried that it is the sense of this Congress that the words "three full years" required that the applicant for graduation shall give authentic evidence from one or more reputable physicians that he has prosecuted the study of medicine three (3) full years including three (3) courses of lectures in a reputable medical college.) 2. That all matriculates, except graduates of regular colleges and high schools, shall be required to pass a preliminary examination upon English scholarship, elements of Chemistry and Physics. The census to-day numbers a total of 174-of these 97 are females, and 77 males. This is a marked and satis factory increase, showing a healthful and steady growth. During the winter an appropriation of $75,000 has been secured from the Legislature, with which to begin 3. That the annual courses of lectures previous to the erection of a new pavilion for female patients. graduation be three in number, each course to be gradAnother wing to the asylum is a pressing need, as theed, with a minimum session of twenty-two weeks in wards for female patients are already full. It speaks each year. well for the institution, and for the energy of its man-i 4. That an examination be instituted at the end of the agers and friends, that so large a sum could be secured first and second year's courses, and no student be perfor building purposes at a time when "economy and mitted to enter the succeeding year until he has passed reform" are the watchwords of all parties. a satisfactory examination in the curriculum of the preceding year. Messrs. Grinnell Burt and Uzal T. Hayes, the present Vice-President and Treasurer, have been reappointed by the Governor and Senate as trustees for another term. William Herring takes the place made vacant by the resignation of H. M. Paine, M. D., and Hiram T. Sibley is appointed to a position on the board in place of A. E. Sumner, M. D., whose term of service expires June 1, 1879. Financially and curatively the asylum is sailing in prosperous and successful courses, and the utmost harmony of feeling and action prevails between the Superintendent and the Board of Trustees. The officers for the ensuing year are, President, Prof. J. C. Sanders; Vice-President, Prof. A. C. Cowperthwaite; Secretary and Treasurer, Prof. W. H. Woodyatt. The Congress adjourned to meet at Lake George, N. Y., June 25th, at the time of the meeting of the American Institute of Homeopathy. An urgent invitation is extended to all Homœopathic Colleges to be represented by delegates at that time. W. H. WOODYATT, Secretary. 90 East Washington st., Chicago, Ill. The present staff of medical officers consists of Dr. Selden H. Talcott, Medical Superintendent; Dr. William M. Butler, First Assistant Physician, and Dr. N. Emmons Paine, Second Assistant Physician. Miss Georgie Horton continues to make special examinations of female A patients, and perform such other gynæcological work as | the Superintendent may direct. These are all earnest and enthusiastic in the trying and delicate work to which they are devoting the best years of their life. DR. ALONZO P. WILLIAMSON, formerly first assistant physician at the N. Y. State Homeopathic Asylum for Bibliographical. DISEASES CLINICAL TR. ATISE OF OF THE LIVER, BY DR. FRIED. THEOD. FRERSCHS; IN THREE VOLUMES. NEW YORK: WILLIAM WOOD & co. 1879. This book was written many years ago and entered fully into a careful scientific discussion of the subjects treated. It is now issued in a revised form as a part of Wood's library of standard medical authors. We have no work in the English language to take the place of this important treatise in the minuteness and correctness | ponent of the general truths of chemistry, but is writte of its pathological information. vance. MESSRS. BOERICKE & TAFEL announce that they will issue July 1st the first number of "The Am. Jour. of Electrology and Neurology," under the Editorship of Dr. John Butler. Quarterly; $2 per annum in adDEMONSTRATIONS OF ANATOMY; BEING A GUIDE TO THE KNOWLEDGE OF THE HUMAN BODY IN DISSECTION, BY GEORGE VINER ELLIS. From the eighth and revised English edition. Illustrated by two hundred and forty-nine engravings on wood. Philadelphia: Henry C. Lea. 1879. Dr. Ellis's very excellent work has been so long a text book with students in the dissecting room as to render any extended notice unnecessary. As a guide in dissection it is unequalled. The work is brought fully up to the times, and is issued in the elegant style for which the house of Henry C. Lea is celebrated. CHART OF THE IMPORTANT SKIN DISEASES. BY T. S. HOYNE, M. D. Arranged according to class; dis- AN ILLUSTRATED REPERTORY OF PAINS IN CHEST, TER CONFIRMED BY CLINICAL CASES. BY ROLLIN Duncan Brothers, pp. 100. SEWER GASES-THEIR NATURE AND ORIGIN, AND HOW n solely for the pupils, assistants and principals engaged in medicine and pharmacy. It will be found equally useful as a reading book for gentlemen having no opportunities of attending lectures and performing scientific experiments, or on the other hand, as a text book for college pupils; while its comprehensive index containing six thousand references will fit the work for after consultation in the course of business or professional practice. The work now includes the whole of the chemistry of the U. S. Pharmacopoeia, of the British Pharmacopoeia, and of the Pharmacopoeia of India. The eighth edition has been carefully revised by the anthor, and brought fully up to the advanced standing of the science. NERVOUS DISEASES-THEIR DESCRIPTION AND MENT. TREAT BY ALLAN MCLANE HAMILTON, M. D., FELLOW OF THE N. Y. ACADEMY OF MEDICINE, ETC., WITH FIFTY-THREE ILLUSTRATIONS, PHILADELPHIA, 1878. HENRY C. LEA, PP. 505. This well arranged volume with its excellent illustrations and cream-tinted paper, contains quite a complete summary of most that is known in the branch of medical science of which it treats, the matter being arranged systematically and well described. Cerebral Hemorrhage, Cerebral Tumors, Spinal ScleroWe have marked for notice certain chapters upon sis and Epilepsy. That upon Tetanus is of especial interest, on account of interesting investigation in regard to the endemic influences which enter into its causation. Good articles upon neuralgia, chorea, and functional spasm make the book valuable to the general practitioner, while directions for making post-mortem examinations and the use of certain instruments in diagnosis add to its completeness. There is a conspicuous absence of that dogmatism which is so common in other treatises upon the subject, and many portions of the book bear the impress of practical experience and familiarity of the author with his subject. We notice that the homeopathicity of Shyclave in certain forms of epilepsy is known to the author, and that several plans of treatment employed by our school are highly recommended. There is a liberal and scientific spirit pervading the book which does credit to the author and will not only enhance his reputation, but This little volume has been condensed from lectures on sanitary science delivered by the author before var-will materially add to the sale of the work. ious medical societies and colleges. Part 1 treats of necessity of sanitary measures, composition of sewage, sewer gases, relation of sewer gases to disease, sewers, size of sewers, situation of sewers, shape of sewers, materials of sewers, construction and ventilation of sewers, house drains. Part II discusses the system of sub-soil drainage, relations between ground water and disease, the isolation of buildings and other protective measures, ventilation of buildings, and disinfection. Each subject is illustrated in all its details by careful drawings, and is de: scribed in a plain, practical and thorough manner. If the author's suggestions were carefully followed we should find a decrease in epidemic diseases and a marked diminution in death rates. We recommend it to the student and practitioner. H. the Abuses of Medical Services" has been elaborated in a paper before the N. Y. County Society by Dr. F. R. Sturgis, and the following resolution adopted, the effect of which should extend to every Dispensary and Hospital in the city. "THE RESPONSIBILITY of the Medical Profession for the attending physicians and surgeons of the various disResolved, That it is the sense of this meeting that pensaries and hospitals should diligently inquire with reference to the financial circumstances of all patients in those institutions, and should refuse to treat those whom they believe to be able to pay small fees." CHEMISTRY: GENERAL MEDICAL AND PHARMACEUTICAL, HOMOEOPATHIC MEDICAL SOCIETY OF THE INCLUDING THE CHEMISTRY OF THE PHARMACOPOEIA -A MANUAL ON THE GENERAL PRINCIPLES OF THE By JOHN ATTFIELD. Eighth edition. The plan of the book is best given in the author's words: "This manual is intended as a systematic ex STATE OF NEW YORK. Upon motion Dr. John J. Mitchell was elected chairman of the bureau of Materia Medica for the ensuing year. Upon motion the dues of Drs. T. J. Pettet & W. B. REPORT OF THE BUREAU OF MENTAL AND NERVOUS Dr. S. H. Talcott, Chairman. Dr. Talcott read a paper entitled "Medical Notes on forts, great dyspnoea. This has continued up to the the Treatment of Mental and Nervous Diseases." Dr. Wildes: Dr. Ermentraut has stated that he relied on three remedies alone in all of the sixteen cases, he also states that life has been saved in every case that he has treated with the thirtieth potency-even in cases pronounced incurable by health officers present time. The following is the result of the physical examination made by Dr. Dowling, in company with other members of the society. Upon inspection, a marked elevation of the left shoulder, and of the left scapula, was noticed; slight lateral curvature of the spine to the left. The inner edge of the left scapular everted. Marked fullness, and bulging of the axillary and infra-axillary region of the left side with bulging of the inter-costal spaces. No costal respiration of the left side. Respiration apparently performed entirely with right lung. Right supraclavicular fossa well marked, less marked on the left. side. Fullness in the infra clavicular region of the left side. Violent pulsation noticed in the right mammary region. Prominence of the epigastrium, and the right hypochondrium. Patient generally emaciated; skin pale; veins full; countenance cachectic; respirations hurried, and at the present time, fifty to the minute, probably owing to excitement. Palpation.-Exaggerated vocal fremitus on right side, over entire right chest. Vocal fremitus in left chest entirely wanting. Pulsation in right mammary region from the third to the fifth rib distinctly felt. No cardiac pulsation felt on left side. Percussion.-Exaggerated pulmonary resonance over right chest, laterally, posteriorly and anteriorly, to the lower border of the third rib, where flatness commenced and extended to the lower border of the fifth rib, and from the right edge of the sternum to the inner axillary line of the right side. Exaggerated pulmonary resonance from the lower border of the fifth to the upper border of the second rib. Right side-Flatness over entire left chest, anteriorly, laterally and posteriorly. Mensuration.-Chest measured, right side in the mammary line, from spinous process to the median line, 144 inches. Left side, 16 inches, notwithstanding the left lateral spinal curvature. Dr. Waldo said: I desire to call the attention of the society to a method of treatment which is not new, but which I think has not received that attention from the profession which it deserves. I refer to the local application of the properly selected homœopathic remedy in the treatment of nasal catarrh, acute and chronic; influenza, and the ordinary cold in the head. I have been treating most of these cases for the last two years, by giving the patient a vial of the proper remedy, in powder, and directing him to use it as a snuff, once in two hours in acute cases, and three or four times a day in chronic cases. The remedy is taken in the same manner as snuff is taken by ordinary snuff takers. I have found remedies to act much more rapidly when used in this way, and have been frequently able thus to cure, in a few hours, a case that I am confident would have required several days of treatment by any other method. I have used with success: Calcarea jod., Cal-ination. While at rest, said to be from 85 to 90. Heart carea carb., Graphites, Kali bi., Hepar sulph, Sulphur, Arsenite of Quinine, Arsenicum, Mercurius vivies, Mercurius corrosicus, Mercurius porto., Mercurius biniodide, Mercurius sol., Silicea. I am confident that a trial of this method of administration will convince any physician of its superiority. Auscultation.-Exaggerated vesicular breathing heard posteriorly and laterally on right side, and anteriorly, except in location where dulness was found. Total absence of respiratory sounds in left chest. First sound of the heart heard most distinctly in the fifth intercostal space of the right side, about two inches to the right of the sternum. Heart pulsating at the rate of 132 to the minute, probably owing to the excitement of the exam sounds normal, but exaggerated. No murmurs. Second sound over pulmonary orifice intensified; much louder than that heard over aortic orifice. Bronchophony marked on right side. Diagnosis.-Chronic pleuritis, with exudation, filling the entire left thoracic cavity, with compression, and almost total obliteration of the left lung. Dislocation of the heart, and mediastinum to the right. The patient, Mr. L. G. W., whom I now introduce, came under my treatment in March, 1877. At that time his left pleural cavity was rapidly filling with serum in Dr. Dowling, in his remarks, spoke of this case being consequence of a recent attack of pleurisy. The en- one of great interest from the fact of its insidious betire left lung was compressed and the heart crowded ginning, its long continuance and its comparatively into the right infra-mammary region, so that the apex-trifling impairment of the patient's health during the beat was felt about two inches below and one inch to the entire course of the disease. He analyzed many of the right of the right nipple. Remedies failing to stop the symptoms, and spoke particularly of the total absence accumulation of fluid or to produce absorption, part of of vocal fremitus of the left side. He said this was one the fluid was removed by aspiration on the following of the most characteristic indications of hydro-thorax. dates: May 25, 1877, three pints; June 27, 1877, eight Where the flatness arose from lung solidification the pints; August 17, 1877, seven pints; January 12, 1878, vocal fremitus was always intensified, and bronchial nine pints; August 18, 1878, seven and one-half pints; respiration and bronchophony were well marked, but in The operations were performed by Dr. Mc. Lean of hydro-thorax these physical signs never accompanied Troy. At the first operation, the fluid was purely se- the absence of pulmonary resonance. He spoke of the rous, but at each subsequent operation it became more exaggerated pulmonary resonance and vesicular breathand more purulent, till at the last one it appeared to being on the right side, and accounted for it by the fact almost pure pus. A great many remedies were employed but none of them seemed in any degree to prevent the accumulation of the fluid. His age is 28,, occupation, clerk. Two years ago patient had a slight cough, with some pain in left chest, the condition was not severe enough to confine him to bed or house, but shortly after was troubled with rapid breathing, and upon any violent physical or mental ef that the right lung, which was undoubtedly in an enphysematous condition, was performing the function of both lungs. The prominence of the epigastrium and of the right hypochondrium were owing to hyperemia of the liver, owing to imperfect emptying of the right heart consequent upon obstruction in the capillary circulation of the lungs. He had learned that upon five occasions the left chest had been partially emptied of |