The average number of clear days are: January, 23; February, 22; March, 24. In winter the sun is a great invigorator to the invalid, and the benefits of sun baths are of great value to the patient, especially consumptives. While there is a thick growth of pine around the city, it has been thinned out in places sufficiently to admit the sun. Parks made, and benches have been placed in all parts of these, so that the invalid may rest and enjoy the pine breezes. There is a mild, equable temperature during the day, ranging from 40 to 70 degrees, with cool nights, rare showers, whose moisture rapidly disappears from the sandy, porous soil; even after a heavy rainfall water is never seen to stand in pools. Perhaps nowhere in the country will you see more perfect Italian skies than here.

The prevailing winds are from the south and south west, are mild and balmy; high winds are seldom experienced.

There are few days during the entire winter when the most delicate of invalids cannot practically live out-of-doors, taking walks or drives through the interminable pines. No resort in the south affords better natural roads than Thomasville. They go out from the city like the spokes of a wheel, and are about as numerous. At two miles distance there is a boulevard which completely encircles the city and is 14 miles in length. These roads are smooth and free from stone, inviting riding, driving and bicycling. There are a number of parks, which are open to the public and are kept in most excellent condition, the roads being a chief feature of them.

Very Truly Yours,

W. H. PHILIPS.

THOMASVILLE, Ga.

BOOK REVIEWS.

THE PRACTICE OF MEDICINE. By Wm. C. Goodno, M.D., Professor of Practice of Medicine in the Hahnemann Medical College of Philadelphia. With Sections on Diseasesof the Nervous System. By Clarence Bartlett, M.D. Volume II, Hahnemann Press, Philadelphia, 1895, Pp. 981.

The second volume of this important work has appeared with reasonable promptness, and will be welcomed by all those physicians acquainted with the merits of volume one.

Careful examination of the first volume convinced even the captious. that a work of exceptional value had been written, and it may in all candor be said that the reputation of the work is not lessened in any way by the second volume. The pathology receives competent consideration, the symptomatology is full, clear, and yet concise; the diagnostic points are skillfully stated and arranged, and the treatment is carefully and judiciously outlined. It would be strange indeed in a work of such magnitude if some errors or omissions could not be discovered: but the great value of the volume so much overweighs these trivial matters that there is no disposition to criticise on minor points.

Every page bears silent witness to the persevering, untiring, and able work of Dr. Goodno who brought to his editorial work, besides literary

ability, the enthusiasm of the scientist, the skill of the teacher and the extended and profound experience of many years. The present volume considers diseases of the circulatory, respiratory, urinary and digestive systems, diseases of the blood, and constitutional and parasitic diseases. The complete work will, we believe, take rank in the homœopathic school as the best work of the kind ever issued. It is easily the first, and it may be compared with the leading works of the allopathic school without fear of results. The volume is handsomely bound and printed, and we heartily commend it to our readers.

AN AMERICAN TEXT-BOOK OF OBSTETRICS FOR PRACTITIONERS AND STUDENTS. Edited by Richard C. Norris, M, D., with nearly 900 Colored and Half-Tone Illustrations. W. B. Saunders, 925 Walnut Street, Philadelphia, Pa., 1895, Pp. 1009.

This magnificent volume will deservedly sustain and increase the already high reputation of the series of American Text-Books issued by the liberal and enterprising publishing house of W. B. Saunders The various writers contributing to the volume are all teachers of eminence, and their experience in the subjects which they discuss, enables them to reflect all recent progress made in the theory and practice of obstetrics, and makes the work standard in character. It may be said of this book that the effort made to correlate the subject-matter, so as to preserve throughout the text a logical sequence has been very successful. The book is not a number of disconnected articles loosely thrown together, but it so well edited and arranged that the division of topics and their treatment by various authors is little noticed. Among the contributors to the volume may be noted: J. Chalmers Cameron, M.D.; McGill University, Canada; Henry J. Garrgues, M.D.; Rush Medical College, Chicago; Barton Cooke Hirst, M.D. University of Pennsylvania; Howard A. Kelley, M. D., Johns Hopkins University; Theophilus Parvin, M. D., Jefferson Medical College, Philadelphia, and others nearly as well-known. The special aim of the authors was to make clear those departments of obstetrics that are both important and yet generally so obscure to the student. Therefore the obstetric emergencies, the mechanics of normal and abnormal labor, and the various manipulations required in obstetric surgery are all described in great detail, the text being elucidated with many illustrations and diagrams. But the most conspicuous feature of the volume is its wealth of illustrative matter. It is indeed a sumptuously illustrated work, and an entire department of medicine may be said without much exaggeration to have been reillustrated. It is a work that the general practitioner cannot afford to be without, and can be unqualifiedly praised and commended.

A TEXT-BOOK OF PRACTICAL MEDICINE FOR THE USE OF STUDENTS AND PRACTITIONERS OF MEDICINE. By Alfred L. Loomis, M.D., LL. D., Professor of Pathology and Practical Medicine in the University of the City of New York. New York, William Wood & Co., 1895. Pp., 1134.

The eleventh edition of this standard text-book, revised and enlarged, illustrated with over two hundred cuts, is offered to the profession. That it will be welcomed there can be no question.

The revision of the present volume was well under way when Dr. Loomis was stricken down with his last illness. He intended to make it the masterpiece of his life, and it contains the results of his later studies in the diseases to which he devoted his life-work, viz.. the diseases of the heart and lungs. The articles on Endocarditis, Cardiac Fibrosis, and Cardiac Palpitation have been rewritten. Arrhythmia, Tachycardia, and Brachycardia have been added to the list of cardiac

50

Book Reviews.

MAR 7 1920

neuroses. The classification of the Pleurisies has been altered and simplified. Dysentery has been placed among the infectious diseases, Acute Infectious Jaundice has been added the introduction to Malarial Fever has been brought into accord with the present status of our knowledge. As in the past, especial prominence has been given to the differential diagnosis of diseases, and this forms one of the book's most important features, being valuable alike to student and practitioner.

It is probably safe to say that no American text-book of medicine has been so widely read, or has had a more prominent place among the books which the practitioner constantly consults.

A TREATISE ON NERVOUS AND MENTAL DISEASES FOR STUDENTS AND PRACTITIONERS OF MEDICINE. By Landon Carter Gray, A.M., M.D., Professor of Diseases of the Mind and Nervous System, in the New York Polyclinic. Philadelphia Lea Brothers & Co., 1895, Pp. 728.

That a second edition of this excellent work has been called for within three years attests its popularity with the profession at large. And that a cordial reception was given the work is not surprising when we remember that in the first edition the author stated that "this volume is addressed especially to the general practitioner present or future, and its theme is rigidly therapeutical." In this edition this practical idea still controls, and the following extract from the preface indicates the plan of the work: "The therapeutical sections were developed with full detail in the first edition, and they have been enlarged wherever advisable in the present issue. In every case I have recommended only those procedures which have been tested by experience. The word 'treatment' has been construed in its broadest sense to include not only medicinal and non-medicinal agents, but also those hygienic and dietetic measures which are often the physician's best reliance." Every portion of the work has been revised and five new chapters added; viz., those on Dementia, Dementia Paranoides, Confusional Insanity, Delirium and Massage. The volume is illustrated by 172 engravings and three colored plates.

AN INTRODUCTION TO PATHOLOGY AND MORBID ANATOMY. By T. Henry Green, M.D., F.R.C. P., Physician and Special Lecturer at Charing Cross Hospital. Seventh American from the eighth English edition. Revised and enlarged by H. Murray, M.D., F.R.C.P. Philadelphia, Lea Brothers & Co., 1895, Pp. 595.

Green's Pathology and Morbid Anatomy has long been the leading text and reference book in all English-speaking countries, a fact indicated by the number of editions demanded. A knowledge of the subjects covered by its title is essential to graduation and not less so to the practitioner, who must understand the nature of a disease as a prerequisite to rational curative measures. Thanks to the tireless industry of laboratory workers and clinicians these sciences are in a state of constant development, and in order to represent their existing position, this volume has been thoroughly revised and new chapters have been added. The previously rich series of illustrations has been increased with sixty new engravings and a colored plate.

APPENDIX TO DUNGLISON'S MEDICAL DICTIONARY, New (21st) Edition. Lea Brothers & Co., Philadelphia, Pa., Pp. 1225.

To the new edition of Dunglison's Medical Dictionary is now added this Appendix, containing many new terms and definitions. The dictionary, always valuable will be rendered more so by this addition to its pages, and will not only retain but increase its already great popularity.

HORTON'S PHYSICIAN'S PERPETUAL DAILY, WEEKLY AND MONTHLY POCKET RECORD SHEET.

This visiting list is unique in its arrangement and plan. It consists of a handsome leather case, made to hold what is termed a Record Sheet. This sheet is reversible, may be extended its full length, will accommodats thirty names for two months or sixty for one month, and is perpetual. The old bulky book is no longer needed: the thin case with its handy record sheet takes its place. When full, a fresh record sheet is slipped in the case: or the sheets, as they are made with stiff backs, may be used alone. It is a decided improvement over old styles and is rapidly growing in popularity.

E. B. TREAT, PUBLISHER, NEW YORK,

has in press for early publication the 1896 International Medical Annual, being the fourteenth yearly issue of this eminently useful work. Since the first issue of this one volume reference work, each year has witnessed marked improvements; and the prospectus of the forthcoming volume gives promise that it will surpass any of its predecessors. It will contain reports of the progress of Medical Science at home and abroad, together with a large number of original articles and reviews on subjects with which the several authors are especially associated. In short, the design of the book is, while not neglecting the Specialist, to bring the General Practitioner into direct communication with those who are advancing the Science of Medicine, so he may be furnished with all that is worthy of preservation, as reliable aids in his daily work. price will remain the same as previous issues, $2.75.

The

TRANSACTIONS OF THE HOMEOPATHIC MEDICAL SOCIETY OF THE STATE OF NEW YORK. Edited by the Secretary, John L. Moffat, M.D. 1894. Pp. 410.

This volume for 1894, although delayed beyond the usual time, is edited with the same care and thoroughness that characterizes all of Dr. Moffat's literary work. The book contains the proceedings and papers of the Annual and Semi-annual meetings of the State Society in 1894. We regret that the likeness of President Schley, which appears as a frontispiece, does not present that gentleman more as his numerous friends remember him; it certainly cannot be called a good likeness. The volume concludes with the State Directory revised, and an excellent' index.

NINTH ANNUAL REPORT OF THE STATE BOARD OF HEATH AND VITAL STATISTICS OF THE COMMONWEALTH OF PENNSYLVANIA.

This report contains as usual much valuable information. We note among the members of the Board, Drs. Pemberton Dudley and J. H. McClelland, both of whom have been reappointed since this report was issued. Dr. Dudley elected as President of the Board becomes a member of the Medical Council of Pennsylvania.

TRANSACTIONS OF THE MAINE HOMEOPATHIC MEDICAL SOCIETY.

This neat volume containing an account of the twenty-ninth annual meeting of the society at Augusta, June 4th, 1895, does credit to the organization. The business report shows that the society is alive to the interests of the school and is endeavoring to have the new Bangor Insane Hospital placed under homœopathic care. The next meeting will be at Portland,

TRANSACTIONS OF THE HOMEOPATHIC MEDICAL SOCIETY OF PENNSYLVANIA, 1894. TRANSACTIONS OF THE HOMEOPATHIC MEDICAL SOCIETY OF OHIO, 1894.

The Pennsylvania Society has again published a very creditable report. It is much above the average and shows that the society takes a just pride in its own work. The Ohio report is also an improvement on preceding ones.

TWENTY-FOURTH ANNUAL REPORT OF THE MIDDLETOWN STATE HOMEOPATHIC HOSPITAL.

This report is something more than the usual array of musty figures and tables. In presents in interesting form the history and needs of the asylum and contains much valuable information in the shape of specially prepared essays written by Dr. Talcott and his associates. The condition of the hospital is at present very gratifying.

ANNALES D'OCULISTIQUE. English Edition. Edited by George T. Stevens, M.D.

This well-known periodical begins its fifty-eighth year as an actual international journal being published simultaneously each month in the French and English languages. Dr. George T. Stevens, the well-known oculist, is the New York editor. Among the staff correspondents are Van den Berghe, Buorrels, Mulermilch, Warsaw, and Snell Sheffield. It is published by the Transatlantic Pub. Co., 63 Fifth Ave., N. Y.

Conducted by

DISEASES OF CHILDREN.

MARTIN DESCHERE, M. D.

ENURESIS IN CHILDREN.

BY MARTIN DESCHERE, M.D.

Whoever has treated many cases of Enuresis nocturna has also meet with disappointments. In the opinion of the writer these may be to a great extent prevented by taking more care with the examination of the patients before subjecting them to treatment.

The large array of remedies presented in our text-books, with a very vague attempt at differentiation, is by no means encouraging, and the various causes and combinations which result in a condition of which Enuresis is but a symptom, demand a careful and corresponding classification of drugs.

A distinction is made between the involuntary and unconscious urination. The former taking place even if the will-power is brought to bear against it; while in the latter the individual is entirely unconscious of the act, as during profound sleep. Conditions which may be well controlled, therefore, while awake during the day, will work unhindered while asleep at night. Hence Enuresis nocturna occurs much more frequently than diurna; and while all possible causes may induce Enuresis nocturna, the elements entering in the production of Enuresis diurna are but limited.

The Aetiology of Enuresis is, therefore, of first importance and it is surprising to find so many factors entering upon the production of this condition, and how much the result of treatment depends upon their proper consideration.