tion some of the more rare affections are briefly described. Among the latter are hydroa vacciniforme, blastomycetic dermatitis, erythema induratum, hydrocystoma, phlegmonosa diffusa, hydradenitis suppurativa, etc.

In addition to exhaustive quizes on, first, the Anatomy of the Skin, second, Symptomatology, Diseases of the Skin are treated of by questions and answers in the following order and classes: I, Disorders of the Glands; II, Inflammation; III, Hemorrhages; IV, Hypertrophies; V, Atrophies; VI, New Growths; VII, Neuroses; VIII, Parasitic Affections. Appended is a table of the relative frequency of the various diseases of the skin as shown by the statistics of the American Dermatological Association for the decade following 1878.

CHILDREN, ACID AND ALKALINE. By Thomas C. Duncan, M.D., Ph.D., LL.D., Professor of Medicine and Diseases of the Chest, Dunham Medical College. Philadelphia: Boericke & Tafel. 1900. pp. 148. Price, cloth, 75 cents, net.

Dr. Duncan divides children who depart from the normal into two disease classes, namely, acid and excessively alkaline, and sets forth his ideas concerning them in the above "separate and convenient work." As it is neatly put in the preface: "The author does not claim originality except in the elaborating the idea and demonstrating by original research that it has a pathological basis."

The method of diagnosis of each class is given and the treatment medicinally and hygienically. The reader is instructed also in methods preventive and methods curative, of pre-natal and postnatal defects and diseases, as adopted and followed by the writer. "The elaborating the idea," presumably the idea of a universal acidity or alkalinity, will undoubtedly furnish physicians food for thought, though very possibly thought not confined within the boundaries of the author's unique and Duncanesque demonstrations. THE EMPIRE OF THE SOUTH - ITS RESOURCES, INDUSTRIES AND REBy Frank Presbrey. Published by the Southern Railway Co. 1899. Quarto, pp. 184. Price, 15 cents.

Outlined both verbally and pictorially, much information may here be found concerning the principal interests of the South, cotton, tobacco, fruit, rice, iron, coal, and timber. Its climatic advantages and various health resorts are entertainingly described, and its wonderful resources and capabilities clearly set forth.

The man with capital and the man without will both find much to stimulate interest in this section of our country and provoke a desire to at least visit it.

BOTANICAL MATERIA MEDICA AND PHARMACOLOGY. By S. H. Aurand, M.D., Lecturer on Botany, Pharmacology, and Physiological Materia Medica, and Instructor in Medicine in the Chicago Homœopathic Medical College. Chicago: P. H. Mallen Company. 1899. pp. 406. Price, $2.50.

There is cause for regret in the fact that the title of this book is somewhat misleading, by no means because it asserts anything but the truth, but rather because it sets forth too little of it. Its subtitle, "Drugs Considered from a Botanical, Pharmaceutical, Physiological, and Toxicological Standpoint," really enlightens one but little more as to its true scope. Thus the work outside of botanical descriptions is preeminently instructive in remedies viewed from the homoeopathists' standpoint, and prepared in accordance with the accepted standard of homoeopathic pharmaceutical methods, yet nothing indicative of this fact appears on the title-page.

For the plan of the work, however, we have a word of praise. It seems desirable that something of the botanical story and history of each drug should be told in connection with its preparation and application as a remedial agent. There can be no good reason why a physician should not have a knowledge of the sources from which his remedies are taken, and an intelligent comprehension of how the skilled pharmacist makes his tinctures, triturations, etc. Such a knowledge is suggested on the pages of Dr. Aurand's little work.

One hundred and eleven of our chief remedies derived from the vegetable kingdom are described botanically somewhat at length, but rather too briefly from a physiological and therapeutical standpoint.

In fact, desire rather outruns performance, and we venture to predict that a second edition will contain more materia medica and therapeutics with the elision of little, if anything, of the matter now presented, and this without materially increasing the bulk of the volume, which now presents many a blank page.

These friendly strictures notwithstanding we are sure that physicians, unable to own a copy of the Pharmacopoeia of the Institute with its wealth of information concerning all our remedies, will obtain many excellent points concerning the remedies Dr. Aurand mentions by purchasing his Botanical Materia Medica and Pharmacology.

THE MINERAL WATERS OF THE UNITED STATES AND THEIR THERAPEUTIC USES, WITH AN ACCOUNT OF THE VARIOUS MINERAL SPRING LOCALITIES, THEIR ADVANTAGES AS HEALTH RESORTS, MEANS OF ACCESS, ETC., TO WHICH IS ADDED AN APPENDIX ON POTABLE WATERS. By James R. Clark, A.M., M.D. Lea Brothers & Co. 1899.

This book of nearly six hundred pages is a carefully compiled directory of all the principal mineral springs in the United States, which is prefaced by several chapters on mineral waters and their therapeutic uses.

Part I comprises in ten chapters the origin, source, classification, solid and gaseous components, therapeutics of mineral waters, and a chapter on various medicinal douches and baths.

Part II names the States in alphabetical order, and under each State a most thorough account of the medicinal springs within its borders, their means of access, and an analysis of the water.

The book altogether shows a vast amount of painstaking investigation and compilation, and in these days, when the use of medicinal mineral waters is so prevalent, is an almost necessary addition to every physician's library.

AN AMERICAN TEXT-BOOK OF SURGERY. By Eleven Eminent Professors of Surgery. Edited by William W. Keen, M.D., LL.D., and J. William White, M.D., Ph.D. Philadelphia: W. B. Saunders. 1899. pp. 1,230. Price, cloth, $7.00, net; sheep or half morocco, $8.00, net.

It is a pleasure to give space to a notice of a third and admirable edition of a work of such magnitude written by representative American surgeons. The 29,000 copies already sold are an unmistakable evidence of popular favor, while 100 medical colleges, by adopting it as a text-book, have thus practically set the seal of their approval upon it. The four principal sections on, respectively, General Surgery, Special Surgery, Regional Surgery, and Operative Surgery but barely indicate the scope of the work, which is further outlined by nineteen chapters under the first, ten under the second, nine under the third, and eight under the fourth of the general headings above mentioned.

In the present edition much new matter naturally finds place, for progress touches surgery almost more often than any other branch of

the practice of medicine. Among the new topics introduced are orrho-(serum-) therapy, leucoxytosis, post-operative insanity, the use of dry heat at high temperatures, Krönlein's method of locating the cerebral fissures, Hoffa's and Lorenz's operations for congenital dislocations of the hip, Alis' researches on dislocations of the hip joint, lumbar puncture, the forcible reposition of the spine in Pott's disease, the treatment of exophthalmic goitre, the surgery of typhoid fever, gastrectomy and other operations of the stomach, several new methods of operating upon the intestines, the use of Kelly's rectal specula, the surgery of the ureter, Schleich's infiltration method and the use of eücaine for local anesthesia, Krause's method of skin-grafting, the newer methods of disinfecting the hands, the use of gloves, etc.

The sections on appendicitis, on fractures, and on gynecological operations have been thoroughly revised and considerably enlarged. In these and other portions of the book appear frequent illustrations, among them forty colored and half-tone plates of unusual merit.

We observe with regret the omission of two chapters included in former editions; namely, those on the surgery of the eye and ear. The necessarily extended consideration of other more general topics doubtless justifies their exclusion. In all other directions the policy has been to expand and enlarge the work in so far as this could be advantageously accomplished with the not too narrow limits of a single volume.

BACTERIOLOGY IN MEDICINE AND SURGERY. A Practical Manual for Physicians, Health Officers, and Students. By William H. Park, M.D., Associate Professor of Bacteriology and Hygiene in the University and Bellevue Hospital Medical College, New York. Philadelphia: Lea Brothers & Co. 1899. pp. 688. Price, cloth, $3.00, net.

There is certainly a great deal of truth in the statement that "it is only by the practical application of the principle and methods of bacteriology that many diseases can be positively diagnosed or the problems which present themselves to the sanitarian be certainly solved." At the present day when the study of micro-organisms is receiving so much attention it is a necessity that the physician should seek instruction in this direction if he wishes to keep abreast of the times. Much of such instruction will be found between the covers of Park's Bacteriology, a work in which laboratory technique is given in its essentials and to such an extent as is necessary to

make bacteriological methods plain to the physician, to guide him in making the simple examinations possible in his office, and to show him under what conditions he can obtain diagnostic or other helps from bacteriological examinations in laboratories. The fact has been considered and must necessarily be admitted, that while the physician can readily understand and apply the essentials of bacteriology, the actual carrying out of the more difficult examinations should be left to the trained bacteriologist.

In the work in question the methods used in the laboratory for the isolation and identification of the typhoid, tubercele, and diphtheria bacilli have been given with especial fulness to the benefit of physician and sanitarian both.

We also note that such subjects as the chemical changes produced by bacteria, infection, immunity, the nature and use of protective serums, and the diagnostic value of bacteriological cultures are particularly emphasized. The prominence given to these topics is fully authorized by the importance which attaches to an intelligent conception of the nature of infectious diseases. The writings of representative authors have been freely consulted, yet the results of considerable original research and investigation have been incorporated in the text, lending it additional interest and value. The majority of the illustrations are from photographs taken from cover-glass preparations and cultures by Dr. E. R. Leaming, Instructor in Photography in the Medical Department of Columbia University. A special index of "Diseases and the Bacteria Found in Them " accompanies the ordinary general index, and is a new and desirable feature.

OPERATIVE SURGERY. By Joseph D. Bryant, M.D., Professor of the Principles and Practices of Surgery, Operative and Clinical Surgery, University and Bellevue Hospital Medical College, etc. Third edition in two volumes. Illustrated. New York: D. Appleton & Co. 1899.

Volume I. General Principles, Anæsthetics, Control of Hemorrhage, Treatment of Operation Wounds, Ligature of Arteries. Operations on Veins, Capillaries, Nervous System, Tendons, Ligaments, Fasciæ, Muscles, Bursa, and Bones. Amputations, Deformities. Plastic Surgery.

This work carries the reader nearer to the operating-room and actual surgical procedures than the ordinary text-book of surgery.