The Dublin journal of medical science. Volume 83, January - June 1887.
The Dublin journal of medical science.
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Digitized by the Internet Archive in 2020 with funding from Wellcome Library https://archive.org/details/s2400id1378638 THE DUBLIN JOURNAL > OF t MEDICAL SCIENCE. EDITED BY JOHN WILLIAM MOORE, B.A.,M.D., M.Ch.,Univ. Duel.; FELLOW OP THE KING AND QUEEN’s COLLEGE OF PHYSICIANS IN IRELAND ; PHYSICIAN TO THE MEATH HOSPITAL AND COUNTY DUBLIN INFIRMARY. VOL. LXXXIII. JANUARY TO JUNE, 1887. DUBLIN : FANNIN AND COMPANY, GRAFTON-STREET. LONDON: LONGMANS & CO.; SIMPKIN, MARSHALL & CO. EDINBURGH: MACLACHLAN AND STEWART. PARIS: HACHETTE & CO. 1887. DUBLIN: PRINTED BY JOHN FALCONER, 53 UPPER SACKVILLE-STREET. i VvllLCUME LIBP INSTiTUTi &:ry Coll. welMOmec THE DUBLIN JOURNAL OF MEDICAL SCIENCE. CONTENTS. Third Series, No. CLXXXL — JANUARY 1, 1887, Part I._0RIGINAL COMMUNICATIONS. PAGE Art. I _ A Case of Myxoedema. By C. J. Nixon, M.B,, LL.D., Univ. Dubl. ; Fellow of the Royal University and of the College of Physicians ; Senior Physician, Mater Misericordise Hospital ; Con¬ sulting Physician, Central Criminal Asylum, Dundrum, - - 1 Art. II _ Micro-Organisms in Relation to Surgery. By Francis T. Heuston, M.D. ; Master in Surgery; Fellow of the Royal College of Surgeons in Ireland ; Surgeon to the Adelaide Hospital ; Lec¬ turer on Anatomy and Registrar to the Carmichael College of Medicine ; Fellow and ex-Chairman of the Anatomical and Phy¬ siological Sub-Section of the Academy of Medicine in Ireland; Member of Convocation, Royal University of Ireland — (Illustrated), 10 Art. Ill — On the Toxicity of Silicon Fluoride. By Sir Charles A. Cameron, M.D. ; S.Sc.C., Camb. Univ. ; M.K.Q.C.P. ; Past- President and Professor of Hygiene and Chemistry, R.C.S.I. ; Examiner in Sanitary Science in the University of Cambridge and the Royal University of Ireland, &c., - - - - 20 Art. IV _ The Present Position and Prospects of the Domain of Therapeutics, with a Glance at its Relations to the Neighbouring Sciences. By William Whitla, M.D., Physician to the Royal Hospital, and Consulting Physician to the Ulster Hospital for Women and Children; President of the Ulster Medical Society; Fellow of the Royal Medico-Chirurgical Society of London, &c. ; Examiner in Botany and Materia Medica for the Pharmaceutical Society of Ireland; Member of the Senate of the Royal University, 27 Art. V — Exostosis in the Auditory Meatus. By John B. Story, M.B., F.R.C.S.I. ; Surgeon to St. Mark’s Ophthalmic Hospital — (Illustrated), 45 Art. VI — Aspiration of the Stomach. By George Foy, F.R.C.S., Surgeon to the Whitworth Hospital, Drumcondra, - - 48 Contents. # « 11 Art. VII _ Select Clinical Keports on Cases of— (1.) Obstinate Vomit¬ ing, tbe Kesult of Land-Sickness ; (II.) “ Mistaken Identity ” on the part of Four Persons; (III.) Acute Articular Gout ; (IV.) Sub¬ jective Osmidrosis. By Arthur Wynne Foot, M.D., Univ. Dubl. ; Senior Physician to the Meath Hospital ; Professor of Medicine in the Royal College of Surgeons in Ireland ; Fellow of the King and Queen’s College of Physicians, &c., _ - - - Art. VIII. _ On Excision of the Rectum. By Kendal Franks, M.D., Dubl. ; F.R.C.S.I. ; Fellow and Member of Council of the Surgical Section of the Academy of Medicine in Ireland; Fellow of the Royal Medico-Chirurgical Society of London; Vice-President, University Biological Association of Dublin; Surgeon to the Adelaide Hospital, Dublin, _ _ - - - Art. IX _ Remarks on the Causation of Pain referred to the Left Side, and of Pain in the Epigastric Region. By Wallace Beatty, M.D., M.K.Q.C.P.I. ; Senior Assistant Physician, Adelaide Hospital, Part II _ REVIEWS AND BIBLIOGRAPHICAL NOTICES. 1. The Principles and Practice of Medicine. By the late Charles Hilton Fagge, M.D., F.R.C.P. ; Physician to, and Lecturer on Pathology at, Guy’s Hospital ; Examiner in Medicine in the University of London. Edited by P. H. Pye-Smith, M.D., F.R.C.P. : Physician to, and Lecturer on Medicine at, Guy’s Hospital, - - _ - . - - 2. Sulphur Spring and Iodine- Sulphur Bath, Iron Springs, and Water- Cure Establishment of Laurvik. By Dr. J. C. Holm, 3. The Hygiene of the Eye in Schools. By Hermann Cohn, M.D., Professor of Ophthalmic Science in the University of Breslau. An English Translation. Edited by W. P. Turnbull, formerly Fellow of Trinity College, Cambridge, and afterwards Fellow of St. Catherine’s College, Cambridge, - . -. 4. Lays of the Colleges ; being a Collection of Songs and Verses, by Members of the iEsculapian, Medico-Chirurgical, and other Pro¬ fessional Clubs in Edinburgh, - - _ _. 5. Report of the Surgeon -General with the Government of Bombay on the Civil Hospitals and Dispensaries in Bombay Presidency, Part III — HALF-YEARLY REPORTS. Report on Nervous and Mental Disease. By Ringrose Atkins, M.A., M.D. ; Resident Medical Superintendent, District Lunatic Asylum, Waterford (continued) : _ 2. Anatomy and Physiology of the Nervous System, - pagb 51 65 74 84 91 93 98 100 y 102 ContenU. lii Part IV.— MEDICAL MISCELLANY. PAGE Academy op Medicine in Ireland: — PATHOLOGICAL SECTION. The Inaugural Address. By Dr. Walter G. Smith, - - 108 Liver with two Gall Bladders. By Dr. Purser, - - - 108 Perforation of the Stomach. By Dr. Quinlan, - - - 109 Colloid Carcinoma of the Stomach. By Mr. Kendal Franks, - 111 Fibroma of the Cornea. By Dr. A. H. Benson, - - - 112 MEDICAL SECTION. The Inaugural Address. By Dr. James Little, -  Compiled by J. W. Moore, M.D., Univ. Dubl. ; F.K.Q.C.P.; F.R. Met. Soc. ; Diplomate in State Medicine and ex-Sch. of Trin. Coll. Dubl. : — Vital Statistics for Four Weeks ending Saturday, December 4, 1886, -------- 117 Meteorology — Abstract of Observations  an averagd sample of human milk.”— Med. Jour. FOR INFANTS, INVALIDS, AND DYSPEPTICS. MAIiT SCJGrAR versus DEXTRINE. The introduction of Soluble Food during the past summer has convinced us that it will agree with 399 out of 400 children, whereas foods composed of Malt Sugar cause fermentation in the stomach and disagree with a very large percentage. Believing that one of the principal reasons for this great difference was that in Soluble Food the starch of the wheat is in the form of dextrine and dextrose, we wrote Prof. Duggan (the best authority on fermentation in the world), and received the following : — Johns Hopkins University, Baltimore, Md. Messrs. Carnrick & Co., London. Dear Sirs, — In reply to your inquiry as to whether Dextrine or Malt Sugar is best suited for digestion by children, I must say that I think Dextrine is undoubtedly preferable. The two following reasons will, I think, convince anyone that this conclusion is well founded : — In the first place, Dextrine will not undergo alcoholic or acid fermenta¬ tion, as will Malt Sugar and other forms of sugar. It is well known that children are apt to have acidity of the stomach after eating sweet things this is, of course, due to the fermentation of the sugar in the stomach. In addition to this, Pavy has recently shown (London Lance^ 1885) that carbohydrates are converted in the alimentary canal into Dextrine or a similar substance that has no reducing action on Fehling’s solution. From this it would appear that Dextrine is, of all the carbo¬ hydrates, the most nearly ready for absorption by the system. The success that has recently attended the use of Dextrine in Dyspepsia gives strength to this view. — Very respectfully, J. R. DUGGAN, M.D., Ph.D. CARNRICK’S SOLUBLE FOOD contains 50 per cent, of the solids of milk, the caseine being rendered as soluble as in human milk by means of pancreatine. CARNRICK S SOLUBLE FOOD contains 50 per cent, of the finest quality of wheat. By a process, known only to ourselves, the starch is converted into Dextrine and the gluten rendered easy of digestion. Dextrine not only cannot ferment, but further has the property of stimulating the digestion^ Tyi Bottles, X/6, S/6, & 4/6. Samples and Reports sent free to Medical Men. CARNRICK & CO., 24, 25 Hart-st, Bloomsbury, W.C. THE DUBLIN JOURNAL OP MEDICAL SCIENCE. CONTENTS. . Third Series, No. CLXXXII.— FEBRUARY 1, 1887. Part I _ ORIGINAL COMMUNICATIONS. PAOE Art. X — The Treatment of Vaginismus. By Thomas More Madden, M.D., F.R.C.S.Ed. ; Obstetric Physician, Mater Misericordise Hos¬ pital ; Consultant, National Lying-in  By Alexander Porter, M.D., F.R.C.S.I., M.R.I.A. ; Brigade Surgeon, I.M.S. ; Fellow of the Madras University, and Professor of Medical Jurisprudence, Madras Medical College — (continued)^ - - - - 134 Part II _ REVIEWS AND BIBLIOGRAPHICAL NOTICES. 1. The Functions of the Brain. By David Ferrier, M.D., LL.D., F.R.S. Second Edition, re-wriiten and enlarged, - - 151 2. Notes on the Physical Diagnosis of Lung Diseases. By J. Magee Finny, M.D. Dubl. ; Fellow and Vice-President of the King and Queen’s College of Physicians in Ireland ; King’s Professor of Practice of Medicine in the School of Physic, Ireland ; Clinical Physician to Sir Patrick Dun’s Hospital, - - - - 158 3. The International Encyclopaedia of Surgery. Edited by John Ashhurst, jun., M.D. Vol. VI., _ . _ - 159 4. Diseases of the Mouth, Throat, and Nose. By Dr. Philip Schech, Munich. Translated by R. H. Blaikie, M.D., F.R.C.S. Edin. ; Surgeon to the Edinburgh Ear and Throat Dispensary, - - 160 5. Lectures on Medical Pathology, delivered at the London Hospital in the Summer Session, 1885. By Henry Gawen Sutton, M.D., F.R.C.P., 161 6. Manual of  of the Surgeon -General s Office, United States Army. Vol. VII. Insignares-Leghorn, 8. The Modern Treatment of Stone in the Bladder by Litholapaxy. By P. J. Freyer, M.A., M.D., Bengal Medical Service, &c., 9. Ambulance Work. By R. Lawton Roberts, M.D. Second Edition, -------- 10. A Manual of Diseases of the Nervous System. By W. R. Gowers, M.D., F.R.C.P. Vol. 1. Diseases of the Spinal Cord and Nerves, 11. Beobachtungen iiber die beim k.k. Quecksilber-werke Idria vor- kommenden Erkrankungen an Mercurialismus. Von Dr. Johann Baaz, _------- 12. Outlines of Lectures on Physiology, with an Introductory Chapter on General Biology, and an Appendix containing Laboratory Exercises in Practical Physiology. By T. Wesley Mills, M.A., M.D., - - -. 13. Practical Pathology: an Introduction to the Practical Study of Morbid Anatomy and Histology. By John Lindsay Steven, M.D.,. 14. Transactions of the Clinical Society of London. Vol. XIX., 15. La Limonea Cloroidrica nell I’ultima Pandemia di Colera; Esame delle Statistiche del dottor Romeo a Marsiglia e del dottor Virgilio a Pizzone a Volturno ; con una Appendice di altre Statische ed un esame critico di quelle pubblicate dal  Lower Extremity. By F. A. SouTHAM, M.A., M.D., ----- 17. A Manual of Animal Vaccination ; preceded by Considerations on Vaccination in General. By Dr. E. Warlomont, Member of the Royal Academy of Medicine, Belgium, &c. Translated and Edited by Arthur J. Harries, M.D., Senior Assistant-Physician and Joint-Lecturer to St. John’s Hospital for Diseases of the Skin, &c., 18. The Colloquial Faculty for Languages; Cerebral Localisation and the Nature of Genius; Tentamen Physiologicum. By Walter Hayle Walshe, M.D. Second Edition, greatly enlarged, 19. How to Use a Galvanic Battery in Medicine and Surgery. By Herbert Tibbits, M.D. Third Edition, - -. 20. Journal of Cutaneous and Venereal Diseases. Edited by Drs. PiFFARD and Morrow, ------ Part III — HALF-VEARLY REPORTS. Report on Nervous and Mental Disease. By Ringrose Atkins, M.A., M.D. ; Resident Medical Superintendent, District Lunatic Asylum, Waterford {concluded) : _ 3. Neuro-Pathology and Pathological Anatomy, - -. 4. Neuro-Therapeutics, PAGE 164 164 165 165 167 169 169 170 172 174 175 176 178 178 179 189 Contents, iii Part IV.—MEDICAL MISCELLANY. PAGE Academy or Medicine in Ireland:  of Lungs of Sheep. By Dr. Henry Bewley, - 195 Stricture of the (Esophagus. By Mr. Edgar Flinn, - - 196 Adenoma from the Mammary Gland of a Rat. By Mr. J. A. Scott, 198 Simultaneous Fracture of both Clavicles. By Dr. E. H. Bennett, 199 Cerebral Meningitis and Abscess. By Dr. Quinlan, - - 200 medical section. Addison’s Disease. By Mr. Doyle, _ - _ _ 201 Select Clinical Reports. By Dr. A. W. Foot, - - - 201 Sanitary and Meteorological Notes. Compiled by J. W. Moore, M.D., Univ. Dubl. ; F.K.Q.C.P.; F.R. Met. Soc. ; Diplomate in State Medicine and ex-Sch. of Trin. Coll. Dubl. : — Vital Statistics for Four Weeks ending Saturday, January 1, 1887, 204 Meteorology — Abstract of Observations made at Dublin for Month of December,  Scientific Inventions : — Strophanthus, 215 Geddes’ Fluid Extract of Hemlock Bark, - - - - 216 “Carnrick’s Soluble Food closely imitates in composition an average sample of human milk.”— Med. Jour. FOR INFANTS, INVALIDS, AND DYSPEPTICS. MAIiT SUOAR versus DEXTRINS. The introduction of Soluble Food during the past summer has convinced us that it will agree with 399 out of 400 children, whereas foods composed of Malt Sugar cause fermentation in the stomach and disagree with a very- large percentage. Believing that one of the principal reasons for this great difference was that in Soluble Food the starch of the wheat is in the form of dextrine and dextrose, we wrote Prof. Duggan (the best authority on fermentation in the world), and received the following : — Johns Hopkins University, Baltimore, Md. Messrs. Carnrick & Co., London. Dear Sirs, — In reply to your inquiry as to whether Dextrine or Malt Sugar is best suited for digestion by children, I must say that I think Dextrine is undoubtedly preferable. The two following reasons will, I think, convince anyone that this conclusion is well founded : — In the first place. Dextrine will not undergo alcoholic or acid fermenta¬ tion, as will Malt Sugar and other forms of sugar. It is well known that children are apt to have acidity of the stomach after eating “ sweet things this is, of course, due to the fermentation of the sugar in the stomach. In addition to this, Pavy has recently shown (London Lancet^ 1885) that carbohydrates are converted in the alimentary canal into Dextrine or a similar substance that has no reducing action on Fehling’s solution. From this it would appear that Dextrine is, of all the carbo¬ hydrates, the most nearly ready for absorption by the system. The success that has recently attended the use of Dextrine in Dyspepsia gives strength to this view. — Very respectfully, J. R. DUGGAN, M.D., Ph.D. CARNRICK’S SOLUBLE FOOD contains 50 per cent, of the solids of milk, the caseine being rendered as soluble as in human milk by means of pancreatine. CARNRICK S SOLUBLE FOOD contains 50 per cent, of the finest quality of wheat. By a process, known only to ourselves, the starch is converted into Dextrine and the gluten rendered easy of digestion. Dextrine not only cannot ferment, but further has the property of stimulating the digestion. In Bottles, 1/6, 2/6, & 4/6. Samples and Reports sent free to Medical Men. CARNRICK & CO,, 24, 25 Hart-st., Bloomsbury, W.C. THE DUBLIN JOURNAL OF MEDICAL SCIENCE. CONTENTS. Third Series, No. CLXXXIII.— MARCH 1, 1887. Part I._0RIGINAL COMMUNICATIONS. PAGE Art. XII _ Conservative Surgery in Diseases of the Foot and Ankle- joint. By W. I. Wheeler, F.R.C.S.I. ; M.D. and Master of Surgery, Dublin University; M.K.Q.C.P.I. ; Member of Council, R.C.S., and' of the Surgical Section of the Academy of Medicine; Past President, R.C.S. ; Surgeon and Lecturer on Clinical and Operative Surgery, City of Dublin Hospital; Consulting Surgeon to the National Lying-in Hospital — (Illustrated), - - - 217 Art. XIII _ Variations in Form of Mental Affections in Relation to the Classification of Insanity. By Conolly Norman, F.R.C.S.I. ; Medical Superintendent, Richmond District Lunatic Asylum, Dublin, 228 Art. XIV — The Present and the Future of State Medicine. By John William Moore, B.A., M.D,, M.Ch., Univ. Dubl. ; Fellow and Registrar of the King and Queen’s College of Physicians ; Physician to the Meath Hospital, and formerly Senior Physician to Cork- street Fever Hospital; Chairman of the Sub-Section of State Medicine in the Academy of Medicine in Ireland ; ex-Scholar and DIplomate in State Medicine of Trinity College, Dublin, - - 235 Art. XV. — Notes on Famine Diseases. By Alexander Porter, M.D., F.R.C.S.I., M.R.I.A. ; Brigade Surgeon, I.M.S. ; Fellow of the Madras University; Professor of Medical Jurisprudence, Madras Medical College ; and  An Outbreak of Cerebro-Spinal Fever. By T. J. Maclagan, M.D., M.R.C.P. ; Physician-in-Ordinary to their Royal Highnesses the Prince and Princess Christian of Schleswig-Holstein, - - 267 2. The Sanitary Record and London Medical Record Diary for 1887, » 272 11 Contents. 3. Report of Veterinary*Surgeon J. H. Steel, A.V.D., on his Investi¬ gation into an Obscure and Fatal Disease among Transport Mules in British Burma, ------- 4. Report to Trustees of the Gesto Hospital, Isle of Skye. By R. M‘Neill, M.D. Edin., Resident Medical Officer, - - - 5. The Treatment of some of the Forms of Valvular Disease of the Heart. Being the Lettsomian Lectures delivered before the Medical Society of London in  Cases. Edited by James Finlayson, M.D. Second Edition, - . -. 7. Penny Dinners ; and the best means of Dealing with Children who are Ill-fed and who do not pay. Prize Essays issued by the Central Council for Promoting Self-supporting Penny Dinners,* Part III.—HALF- YEARLY REPORTS. Report on Diseases of Women. By William J. Smyly, M.D., Univ. Dubl. ; F.K.Q.C.P.l. ; Gynaecologist to the City of Dublin Hospital; Fellow and Censor, King and Queen’s College of Physicians : — Menstruation, ------- The Condition of the Mucous Membrane in Cases of Myoma Uteri, The Diagnosis of Cancer of the Fundus Uteri, - - - The Mechanical Treatment of Backward Displacements of the Uterus, -------- Tubal Disease, ------- Part IV.—MEDICAL MISCELLANY. Academy of Medicine in Ireland: _ surgical section. Conservative Surgery in Diseases of the Foot and Ankle-joint. By Mr. Wheeler, ------ OBSTETRICAL SECTION. Ovarian Tumour. By Dr. A. V. Macan, - - - On the Treatment of Vaginismus. By Dr. T. More Madden, - Case of Porro’s Operation for Rupture of the Uterus. By Dr. S. Mason, ------- PATHOLOGICAL SECTION. Aspergillus Nigricans. By Mr. Story. - - - _ Dermoid Tumour growing from the Corneo- Scleral Margin of the Left Eye. By Mr. Story, - - - _ _ (Edema Glottidis. By Dr. C. J. Nixon, - _ PAGE 273 274 275 276 277 279 283 285 286 287 292 296 297 297 299 300 300 Contents, PAGE Sanitary and Meteorological Notes. Compiled by J. W. Moore, M.D., B.A., Univ. Dubl. ; F.K.Q.C.P.; F.R. Met. Soc. ; Diplo- mate in State Medicine and ex-Sch. of Trin. Coll. Dubl. : — Vital Statistics for Four Weeks ending Saturday, January 29, 1887, - 303 Meteorology — Abstract of Observations made at Dublin for Month of January, 1887, 308 Periscope: — Acute Melancholia caused by Impacted Faeces, . - -  will be inserted as “ Original Communications ” except on the distinct understanding that they are sent for publication to this Journal alone, and that only abstracts of them (with due acknowledgment) shall afterwards appear elsewhere. Authors of “ Original Communications ” will please consider themselves bound in honour to a strict observance of this understanding. Authors of Communications are requested to write the prescriptions in their paper in full, and in English. Books and Periodicals published in Northern Europe and the German State, titended for our Journal, should be transmitted “For the Editor of the Dublin Journal of Medical Science, care of Messrs. Teubneb and Co., London^' through the following Houses, viz.: — Messrs. Schneider and Co., Berlin; Messrs. Braumullee and Son, Vienna; M. P. A. Brockhaus, Leipzig; and also their Correspondents in the principal Towns on the Continent. Our Correspondents in France, Belgium, Italy, and Spain, are requested to communicate with us through Messrs. Haohette and Co., 77, Boulevard St. Cermain, Pafis. AMEBICAN Books and Journals often come to hand With such an amount of Charges on them, that we cannot release them. It is requested that all communica¬ tions from the United States shall be forwarded to Mr. John Wiley, New Yorlc ; or Mr. Henry C.Lba, Philadelphia, directed to us, to the care of Messrs. Teubneb and Co.j London. THE DUBLIISr JOURNAL OF MEDICAL SCIENCE. CONTENTS. Third Series, No. CLXXXIV. — APRIL 1, 1887. Part I _ ORIGINAL COMMUNICATIONS. PAGE Art. XVI. — On Cocain. By Henry Burden, M.A., M.D., M.R.C.S. Eng., M.R.I.A. ; Pathologist to the Belfast Royal Hospital, &c., - 313 Art. XVII _ On the Clearance of an Unhealthy Area, under the Pro¬ visions of the Public Health Act. By Sir Charles A. Cameron, ex-President and Professor of Hygiene and Chemistry, R.C.S.I. ; Superintendent Medical and Executive Officer of Public Health for Dublin, 395 Art. XVIII — Fixed Delusions in Mental Disease. By John Molony, M.K.Q.C.P., L.R.C.S.I. ; Medical Superintendent of St. Patrick’s Hospital, Dublin, 333 Art. XIX A Year on the Belooch and Afghan Frontier. By P. H. Fox, F.R.C.S.I. ; Surgeon, Army Medical Staff, - - . 34I Art. XX _ On an Outbreak of Diphtheria. By Albert Mouillot, M.B., Gorey, 352 Part II.— REVIEWS AND BIBLIOGRAPHICAL NOTICES. 1. Recent Works on Indian and Tropical Diseases: — 1. A Commentary on the Diseases of India. By Norman Chevp:rs, C.I.E., M.D., F.R.C.S. Eng. ; Deputy Surgeon-General, H. M. Indian Army, &c. 2. Diseases of Tropical Climates : Lectures delivered at the Army Medical School. By William Campbell Maclean, M.D., C.B. ; Surgeon-General, late of H. M. Indian Army, &c. 3. A Manual of the Diseases of India, with a Compendium of Diseases generally. By W. J. Moore, C.l.E. ; Surgeon-General with the Government of Bombay, &c., ------- 356 2. The Hamilton Association for Providing Trained Male Nurses : the Annual Report and Balance Sheet, and Report of the Annual Meeting, 37q 11 Contents. Part III—HALF-rEARLY REPORTS. PAGE Report on Surgery. By Wm. Thomson, M.A., F.R.C.S.L, Surgeon to the Richmond Hospital. Dublin ; General Secretary to the Academy of Medicine  in Ireland:  Mr. Conolly Norman, - - 382 Transactions of the Ulster Medical Society: — Nocturnal Enuresis. By Alexander Harkin, M.D., F.R.C.S. ; Consulting Physician, Mater Infirmorum Hospital, Belfast ; Membre de la Societe Fran<^aise d’Hygiene, Paris, - - 384 The Lagan Nuisance. By Charles Kevin, M.D., - - 391 Sanitary and Meteorological Notes. Compiled by J. W. Moore, M.D., B.A., Univ. Dubl.; F.K.Q.C.P.; F.R. Met. Soc. ; Diplo- mate in State Medicine and ex-Sch. of Trin. Coll. Dubl. : _ Vital Statistics for Four Weeks ending Saturday, February 26, 1887, -------- 395 Meteorology — Abstract of Observations made at Dublin for Month of February, 1887, ------ 399 Periscope: — Actinomycosis Hominis, ------ 379 Plaster Mull, ------- 333 Hydrogen Peroxide in Whooping-cough, - - - - 333 Examination of Candidates for Her Majesty’s Army, Indian, and Naval Medical Services, - - _ - _ 49.2 The Army Medical Service, ----- 499 Test for Cocain, ------- 499 Mentholeate, ------- 497 New Preparations and Scientific Inventions: _ Extractum Cinchonaj Liquidum (de Vry), - - - 407 Perfect Health Biscuits (de Miel), - - - _ 493 THE DUBLIN JOURNAL OF MEDICAL SCIENCE. » - ^ - CONTENTS. Third Series, No. CLXXXV.— MAY 2, 1887. Part I _ ORIGINAL COMMUNICATIONS. PAGE Art. XXI _ The Common Tape-worm. By Arthur Wynne Foot, M.D., F.K.Q.C.P. ; Professor of Medicine, Royal College of Sur¬ geons ; Senior Physician, Meath Hospital, &c., - - - 409 Art. XXII _ On the Reparative Treatment of some of the Graver Forms of Vesico-Vaginal Fistula. By Thomas More Madden, M.D., F.R.C.S. Edin. ; Obstetric Physician, Mater Misericordise Hospital; Consultant Obstetrician, National Lying-in Hospital; Physician, Hospital for Sick Children, Dublin ; formerly Examiner in Obstetrics and Gynaecology, Queen’s University, &c., - - 419 Art. XXIH _ A Year on the Belooch and Afghan Frontier. By P. H. Fox, F.R.C.S. I. ; Surgeon, Army Medical Staff — (continued)^ - 425 Part II _ REVIEWS AND BIBLIOGRAPHICAL NOTICES. 1. Researches upon the Venom of Poisonous Serpents. By S. Wier Mitchell, M.D., and Edward T. Reichert, M.D., Washington, 442 2. The Diagnosis and Treatment of Diseases of the Kidneys amenable to direct Surgical Interference. By W. Bruce Clarre, M.A., M.B. Oxon., F.R.C.S. ; Assistant-Surgeon to St. Bartholomew’s Hospital, ------- - 446 3. The Medical Annual  H. E. Roscoe, F.R.S., and C. ScHORLEMMER, F.R.S., Professors of Chemistry in the Victoria University, Owens College, Manchester. Vol HI. The Chemistry of the Hydro-Carbons and their Derivatives or Organic Chemistry. Part HI., - 449 11 Contents. PAGE 6. Elementary Practical Biology, Vegetable. By Thomas W. Shore, M.B., B.Sc. (Bond.), Lecturer on Comparative Anatomy at St. Bartholomew’s Hospital, ------ 460 7. On Aphasia: being a Contribution to the Subject of the Dissolution of Speech from Cerebral Disease. By James Ross, M.D., LL.D., 461 8. A Text-book of Pathological Anatomy and Pathogenesis. By Ernst Ziegler. Translated and Edited for English Students by Donald Macalister, M.A., M.D. Part II. Special Pathological Anatomy. Sections XI.-XII., ------ 453 9. Ambulance Lectures ; to which is added a Nursing Lecture, in accordance with the Regulations of the St. John Ambulance Asso¬ ciation for Male and Female Classes. By John H. Martin, M.D., Honorary Surgeon, Blackburne and East Lancashire Infirmary, and Honorary Member of St. John Ambulance Association, - 454 10. Coca, Cocaine and its Salts. By William Martindale, F.C.S., - 456 11. The Diagnosis and Treatment of Syphilis. By Tom Robinson, M.D., -------- 456 12. Elements of Materia Medica and Pharmacy. By A. W. Gerrard, 456 13. Guy’s Hospital Reports. Vol. XLIIL, - - - - 457 14. Royal University of Ireland. The Calendar for the Year 1887. Examination Papers, ------ 459 15. Transactions of the Pathological Society of London. Vol. XXXVII., 460 16. Insomnia, and other  Forensic Medicine. By H. C. Tweedy, M.D., Univ. Dubl. ; M.K.Q.C.P. ; Diplomate in State Medicine, Trin. Coll. Dubl. ; Fellow and Examiner, Royal College of Surgeons; Physician to Steevens’ Hospital  Detection of Chloroform, _ - - 468 Part IV — MEDICAL MISCELLANY. Academy of Medicine in Ireland: _ SURGICAL section. Trephining for Mastoid Disease with Paralysis and Aphasia. By Mr. Fitzgibbon, ----__ 472 OBSTETRICAL SECTION. Fibroid Tumour. Exhibited by Dr. M^Mordie, - - - 476 Ovarian Tumour. Exhibited by Mr. Lane, - - - 476 Ovariotomy. By Dr. W. K. M‘Mordie, - - - - 476 Contents. SUB -SECTION OP ANATOMY AND PHYSIOLOGY. The Marsupial Heart. By Dr. Cunningham, - - - Absence of the Internal Iliac Artery. By Mr. Ledwich, Variations in the Nerve-supply of the Lumbrical Muscles. By Dr. Brooks, Exhibitions. By Dr. Cunningham, . - . - Sanitary and Meteorological Notes. Compiled by J. W. Moore, M.D., B.A., Univ. Dubl. ; F.K.Q.C.P.; F.R. Met. Soc. ; Diplo- mate in State Medicine and ex-Sch. of Trin. Coll. Dubl.: — Vital Statistics for Four Weeks ending Saturday, March 26, 1887, Meteorology — Abstract of Observations made at Dublin for Month of March, 1887, Periscope: — Poisoning by Iodide of Potassium, _ _ _. Ninth International Medical Congress, Wasliington, Sept. 5, 1887, School Myopia, Hydatid Cyst of the Scrotum, _ _ - - _ Tincture of Strophanthus, ------ Cinchonidin, _______ • • • 111 PAGE 479 480 482 484 485 489 484 492 493 494 495 496 NOTICES TO COKRESPONDENTS. In future no papers will be inserted as “ Original Communications ” except on the distinct understanding that they are sent for publication to this J ournal alone, and that only abstracts of them (with due acknowledgment) shall afterwards appear elsewhere. Authors of “Original Communications” will please consider themselves bound in honour to a strict observance of tbis understanding. Authors of Communications are requested to write the prescriptions in their paper in full, and in English. • Books and Periodicals published in Northern Europe and the German State, intended for our Journal, should be transmitted “For the Editor of the Dublin Journal of Medical Science, care of Messrs. Trubneb and Co., London” through the following Houses, viz.: — Messrs. Schneider and Co., Berlin; Messrs. Bradmuller and Son, Vienna; M. F. A. Brockhaus, Lei-pzig ; and also their Correspondents in the principal Towns on the Continent. Our Correspondents in France, Belgium, Italy, and Spain, are requested to communicate with us through Messrs. Hachette and Co., 77, Boulevard St. Germain, Paris. AMERICAN Books and Journals often come to hand with such an amount of Charges on them, that we cannot release them. It is requested that all communica¬ tions from the United States shall be forwarded to Mr. John Wiley, New York ; or * Mr. Henry C.Lba, Philadelphia, directed to us, to the care of Messrs. Trubner and Co,, London. THE DUBLIN JOURNAL OF MEDICAL SCIENCE. CONTENTS. Third Series, No. CLXXXVI. — JUNE 1, 1887. Part I.—ORIGINAL COMMUNICATIONS. Art. XXIV _ The Surgical Treatment of Tubercular Consumption, and of some of the Tubercular Affections frequently associated therewith. By Thomas Sinclair, M.D., F.R.C.S. Eng; Surgeon to the Ulster Hospital, and Assistant Surgeon to the Royal Hos¬ pital, Belfast, ------- Art. XXV _ Pylorus Resection. By J. S. MArdle, F.R.C.S.I. ; Lec¬ turer on Surgery, St. Vincent’s Hospital — (Illustrated), - Art. XXVI _ A Year on the Belooch and Afghan Frontier. By P. H. Fox, F.R.C.S.I., L.K.Q.C.P. ; Surgeon, Army Medical Staff — (concluded)^ ------- Art. XXVII — A Case of Calculous Pyelitis, followed by Albuminoid Disease. By John William Moore, B.A., M.D., M.Ch., Univ. Dubl. ; Fellow and Registrar of the King and Queen’s College of Physicians ; Physician to the Meath Hospital, and formerly Senior Physician to Cork-street Fever Hospital; ex-Scholar and Diplo- mate in State Medicine of Trinity College, Dublin, Part II.— REVIEWS AND BIBLIOGRAPHICAL NOTICES. 1. Some American Periodicals: — 1. Transactions of the American Sur¬ gical Association. Vol. IV. Edited by J. Ewing Mears, M.D,, Recorder of the Association. 2. Medical Communications of the Massachusetts Medical Society. Vol. XIII., No. 5. 3. Trans¬ actions of the Medical and Chirurgical Faculty of the State of Maryland. Eighty-eighth Annual Session, held at Baltimore, Md. 4. St. Louis Courier of Medicine. Vol. XVI., No. 3. 5. Progress. Vol. L, No. 3. 6. The Medical Herald. Vol. VIII., No. 89. 7. The American Practitioner and News. Vol. II., No. 19. New Series. 8. The Western Medical Reporter. Vol. VIII., No. 9. 9. El Monitor Medico, Organo de los  2. The Revolution in Medicine; being the Seventh Hahnemannian Oration. Delivered October 5, 1886, at the London Homoeopathic Hospital. By John H. Clarke, M.D. ; Physician to the London Homoeopathic Hospital ; Lecturer on Materia  on the part of the Public and the Profession. By James Erskine, M.A., M.B. ; Surgeon to the Ear Department of Anderson’s College Dispensary, and late Assistant-Surgeon to the Glasgow Ear Hospital, - - - 542 4. New Theory and Old Practice in Relation to Medicine and certain Industries ; being an Analysis of Current Literature of these Subjects. By Surgeon- General C. A. Gordon, M.D., C.B. ; Retired List, Army Medical Department  Nomenclature of Diseases. By A. Rabagliati, M.A., M.D. ; Senior Surgeon, Bradford Infir¬ mary, and Surgeon to the Children’s Hospital, - - - 544 7. Outlines of the Pathology and Treatment of Syphilis and Allied Venereal Diseases. By Hermann Yon ZteissL, - - - 545 8. Method in Medical Study. By Charles H. May, M.D. ; Instructor in Ophthalmology, New York Polyclinic ; Clinical Assistant in the Department of Diseases of the Eye and Ear in the College of Physicians and Surgeons, New York, - - - . 547 Part III _ MEDICAL MISCELLANY. Academy of Medicine in Ireland: _ SUB -SECTION OF STATE MEDICINE. The Present and the Future of State Medicine. By Dr. J. W. Moore, 543 Inexpensive Clearance of Unhealthy Areas. By Sir Charles A. Cameron, 543 PATHOLOGICAL SECTION. Spindle-celled Sarcoma. By Mr. E. Hamilton, - - - 550 Congenital Stricture of the Urethra in an Infant. By Dr. Macan, 551 Cerebro-Spinal Meningitis. By Dr. Quinlan, - _ _ 554 Aneurysm of the Abdominal Aorta. By Dr. Foot, - - 554 Congenital Defect in the Ventricular Septum (Cordis). By Dr. .. Transactions of the Ulster Medical Society:— Report upon a Case of Cleft Sternum exhibited by Dr. Scott. By Dr. Thomas Sinclair, Pathological Secretary, - - 557 Phthisis. By Alexander Harkin, M.D., _ . 553 Some Local Meteorological Notes. By F. Howard Sinclair M.D., L.K.Q.P.I., &c., . - 562 Contents, 111 PAGE Sanitary and Meteorological Notes. Compiled by J. W. Moore, M.D., B.A., Univ. Dubl. ; F.K.Q.C.P.; F.R. Met. Soc. ; Diplo- mate in State Medicine and ex-Sch. of Trin. Coll. Dubl. : — Vital Statistics for Four Weeks ending Saturday, April 23, 1887, 565 Meteorology — Abstract of Observations made at Dublin for Month of April, 1887, 570 Periscope: — .  of Albuminuria not Dangerous to Life, - - 573 An Experimental  In future no papers will be inserted as “ Original Communications ” except on the distinct understanding that they are sent for publication to this Journal alone, and that only abstracts of them (with due acknowledgment) shall afterwards appear elsewhere. Authors of “Original Communications” will please consider themselves bound in honour to a strict observance of this understanding. Authors of Communications are requested to write the prescriptions in their paper in full, and in English. Books and Periodicals published in Northern Europe and the German State, intended for our Journal, should be transmitted “For the Editor of the Dublin f Journal of Medical Science, care of Messrs. Trubner and Co., London,' through the following Houses, viz.: — Messrs. Schneider and Co., Berlin; Messrs. Braumuller and Son, Vienna; M. F. A. Brockhaus, Leipzig; and also their Correspondents in the principal Towns on the Continent. Our Correspondents in France, Belgium, Italy, and Spain, are requested to communicate with us through Messrs. Hachette and Co., 77, Boulevard St. Germain, Paris. AMERICAN Books and Journals often come to hand with such an amount of Charges on them, that we cannot release them. It is requested that all communica¬ tions from the United States shall be forwarded to Mr. John Wiley, New York ; or Mr. Henry C.Lba, Philadelphia, directed to us, to the care of Messrs. Trdbner and Co., London, THE DUBLIN JOURNAL OP MEDICAL SCIENCE. JANUARY 1, 1887. ■ PART I. ORIGINAL COMMUNICATIONS. - ^ - Art. I. — A Case of My xoedema.^ By C. J. Nixon, M.B., LL.D., Univ. Diibl. ; Fellow of the Royal University and of the College of Physicians; Senior Physician, Mater Misericordige Hospital; Consulting Physician, Central Criminal Asylum, Dun drum. A FEW years ago, through the courtesy of Dr. Ord, I had an opportunity of seeing some cases of myxoedema which were under his observation in St. Thomas’s Hospital. The symptoms of this disease are so characteristic and so uniform in their occurrence that it may, ordinarily, be recognised de visu. At first the oedematous condition might be regarded as an evidence of renal or cardiac disease ; but the history of the case, the characters of the oedema, the peculiar facies, the mental and nervous symptoms present, and the atrophied condition of the thyroid gland, all constitute an affec¬ tion of a specific and distinctive type. I am not sure that any example of myxoedema was ever brought before the members of my profession here, hence I thought an instance of it of sufficient interest to bring before the Medical Section of the Academy. The notes are compiled from particulars furnished to me with great care and accuracy by my resident, Mr. Thomas Carr. Case. — Anne P., aged forty, married, was admitted into hospital on the 1st of November last. She is the mother of seven children, two of wliom died in infancy^ from croup ; the surviving children are strong and a Read before the Medical Section of the Academy of Medicine in Ireland, Friday, November 19, 1886. VOL. LXXXIII. — NO. 181, THIRD SERIES. B 2 A Case of Myxoedema. healthy. The family history is a satisfactory one ; her parents, brothers, and sisters, being free from disease ; there is no syphilitic taint in the case. Until three years ago the patient’s health was exceptionally good. About this time she began to suffer from profuse menstruation, which recurred at intervals of three weeks during a year, and, subsequently, at intervals of six weeks. The discharge usually lasted for eight days. Some time after the menstrual disturbance had set in she noticed, and her friends remarked, a change in the expression of her face. It got very broad, her lips became thick and pendulous, and she experienced a difficulty in speaking and in making herself understood by others. Her voice became thick and guttural, and she had a difficulty in raising it. She next noticed that her hands became swollen, quite rough, altered in appearance, and clumsy in movements. She found a difficulty in sewing, in making some home-made bread, and in writing. Her memory became defective, particularly with regard to recent events : if she read a book or a newspaper, and left down either, she entirely forgot what she had just been reading about. She, moreover, had a great difficulty in adding figures together, although before her illness she was rather quick in this respect. Getting frightened about her altered appearance and the general condition of her health, she presented herself for admission to the hospital. 