3. An increase in the elimination of nitrogen and nitrogenous substances.

4. The disappearance of glycogen from the the liver, which has been used up to support this increased combustion and which cannot be replaced by the addition of glycogen forming substance to the diet, and last, an increased consumption of proteids and fats. All of the various conditions just noted have their special significance and require a thorough understanding in order to correctly apply remedies to the alleviation of these changed conditions. I regret that I have not the time to enter more fully into the changes occurring in this faulty metabolism, but to do so would require a paper of greater length than we have just read. Having promised in the commencement of this paper to attempt a definition, I will say, that fever is a disorder of tissue metabolism, attended with a rise of internal temperature and changed conditions of the superficial blood vessels.

Clinical Reports.

HYSTERECTOMY FOR CANCER OF UTERUS.

BY T. J. BIGGS, M.D.,

Sound View Hospital, Stamford, Conn.

Mrs. T., aged 47, American. Diagnosis, carcinoma of uterus. Entered hospital October 10, 1901, in a greatly run down condition. She was put on an absolute bovinine diet, until October 14th, when at 1 o'clock she was given a high rectal injection of bovinine and salt solution, three ounces of each, and at 2 o'clock, under ether anaesthesia, I performed an abdominal hysterectomy. Just before the uterus was detached from the vaginal wall, the patient showed considerable shock, and consequently the nurse was ordered to give her another high rectal injection of bovinine and salt solution, two ounces each. She responded to this beautifully. The

operation was completed by the closure of the abdominal wound, the pelvis being drained through the vagina. Patient was put to bed with the pulse weak and 112. She was given another high rectal injection of bovinine and salt solution, three ounces of each. In twenty-five minutes she was conscious, pulse greatly improved, being 100, and full in character. No nausea, thirst or vomiting. The second day the vaginal drain was removed, the wound and the vagina treated by injections of bovinine pure, employed t. i. d. Previous to every injection of bovinine into the vagina, the cavity was washed out with borax solution. The injections were continued three times a day up to October 16th, when twice in twenty-four hours was deemed sufficient. She was now allowed a light general diet together with bovinine. October 24th, the stitches were removed and the abdominal wound found to be healed. From this time on her recovery was uninterrupted and she was discharged cured, November 16th.

SEEMINGLY ASTOUNDING, YET USUAL.

BY DR. R. C. BURROW, OF MAXON MILL, KY.

Miss L. H. has been confined to her bed for three months, suffering with malarial fever. When I was called, I found fever broken, but patient had hardly strength enough to sit up. As she had never menstruated, her mother thought this, in a great measure, the cause of her trouble. After three months' treatment she was again in fair good health, her menses also appearing, but very painful and scanty. I rested treatment for three months more, hoping that good nourishment and nature would re-establish all functional activity. Her suffering, however, grew worse at each menstruation. I then prescribed Ergoapiol (Smith), one capsule four times a day, beginning three days before the expected period. This treatment gave immediate relief and resulted in regular and perfect menstruation. It is now four months since the administration with Ergoapiol (Smith) has been stopped, and she has had no indication of the previous trouble.

Mrs. C., married, had severe attack of La Grippe last winter. Had not menstruated for the past four months. I prescribed Ergoapiol (Smith), one capsulse every three hours. Menses appeared on the third day, and again at the last menstrual period.

Mrs. F., married, consulted me in January. Said she had not menstruated for two months. I suspected pregnancy and declined to treat her. She called again in May and declared positively she was not pregnant. I then prescribed one capsule of Ergoapiol (Smith) before meals and two at bed time. Menses appeared on the third day.

B. S.. single, teacher. Mestruation began at the age of 13. Each period, however, was accompanied with the most excruciating pain, compelling her to take to bed for two or three days. This patient, who was large and in good health, said menstruation was free enough and all would be well but for the terrific pain which usually set in after menstruation had started. While attending school last spring, the pains at each period were particularly severe, resulting in convulsions each time. Her physician advised her to discontinue teaching and return home, which she did. During her last menstruation I prescribed Ergoapiol (Smith), with the happy result of no pain or inconvenience whatever, and she is again attending her regular duties.

SANDER & SONS' Eucalyptol (pure Volatile Eucalypti Extract).Apply to Dr. Sander, 88 Lincoln Ave., Chicago, Ill., for gratis supplied sample and literature of Sander's Eucalyptol. It is invaluable in inflammations of the mucous membranes and in all septic and infectious diseases. Meyer Bros. Drug Co., St. Louis, Mo., sole agents.

NEW ORLEANS POLYCLINIC.-Sixteenth annual session opens November 3, 1902, and closes May 30, 1903. Physicians will find the Polyclinic an excellent means for posting themselves upon modern progress in all branches of medicine and surgery. The specialties are fully taught, including laboratory work. For further information address NEW ORLEANS POLYCLINIC, Post-office box 797, NEW ORLEANS, La.

Records, Recollections and Reminiscences.

GENERAL T. J. JACKSON (STONEWALL), AND HIS MEDICAL DIRECTOR, HUNTER MCGUIRE, M.D., AT WINCHESTER, MAY, 1862.

AN IMPORTANT INCIDENT OF THE SHENANDOAH VALLEY CAMPAIGN.

PREPARED BY SAMUEL E. LEWIS, M.D., OF WASHINGTON, D.C. First Vice-President of the Association of Medical Officers of the Army and Navy of the Confederacy.

In the Medical and Surgical Journal of the Confederate States I found about ten years ago a long overlooked and almost forgotten incident of the famous Valley Campaign which I deemed of sufficient importance to again bring to the light of day, and endeavored to trace the order therein referred to, but unavailingly. Being under the impression that the occurrence and its importance are not generally known this paper has been prepared to be read at the Dallas Reunion of the Association of Medical Officers of the Army and Navy of the Confederacy.

In further preface to the subject matter the writer begs leave to refer to the letter of Herr Hans Zeimer, dated Heiden, Appenzell, Switzerland, January 2, 1902, regarding M. Henri Dunant; and to glean a few facts relating to the whereabouts and condition of that devoted humanitarian. M. Dunant, born May 8, 1828, Geneva, Switzerland, appears now infirm, venerable, with white hair and beard and benevolent face. He was found in a poor little cabin, a dependency of the pauper farm belonging to the village of Heiden, in which he found a home more than twenty years ago when he had become sick, penniless, and friendless, after having given the prime of his life, health and wealth to the cause of humanity. There he had been cared for entirely at the expense of the village, till in 1896 the Empress of Russia granted a pension which enabled him to defray it in part.

Herr Zeimer had called to inform him that the Administrators of the Nobel fund for the advancement of scientific and humanitarian propaganda and investigation had selected him. (M. Dunant) and Frederick Bassy to divide between them the Annual Prize of one hundred thousand francs for the most useful efforts to promote the cause of peace. The information was received with great calmness - almost indifference-with the remark that it would be declined if it were to be required that he should leave his present abode, as he had become greatly attached to the poor people who were caring for him, but upon reflection said he would be glad to receive his proportion as it would more than defray the expense of his keeping and relieve those upon whose kindness he had so long been a burden.

Unhappily there is a condition attached to the prize which would entail great hardship upon him should its enforcement be insisted upon. It is that "every prize winner shall appear in Stockholm within six months after acceptance to deliver a lecture upon the subject that gained him the prize;" and as he has been so long infirm and confined as to be unable and unwilling to comply with these terms, he may at last be deprived of even this slight recognition. In his behalf his friends now propose that a medical certificate as to his physical condition shall be sent to Stockholm, countersigned by the Mayor and the village priest; and at the same time an appeal be made to King Oscar. It is sincerely to be hoped their kindly efforts may prove successful; and here we will leave consideration of his present circumstances, to briefly refer to his noble efforts to alleviate suffering induced by warfare and the promotion of progress of humanity in war.

On June 24, 1859, M. Henri Dunant, physician, of Geneva, was present as a spectator at Solferino when more than three hundred thousand. men were engaged in combat, where the line of battle extended to more than fifteen miles, and the fight lasted more than fifteen hours. When the losses of the allied French and Sardinians were 18,000 killed and wounded; and those of the Austrians 20,000 killed and wounded, 6,000 prisoners, and 30 cannon. He saw there during the following days the sufferings and privations of the wounded lying on the field or hurried into improvised hospitals, devoured no longer by fire