Daniel Noble

THREE LECTURES ON THE CORRELATION OF PSYCHOLOGY AND PHYSIOLOGY

01N RIOTIONAL SUNSIBKLITY, AND MS RACTIONS. Tauma is a senibility more elevated in the psychical scale than either external se tion or the ph7sical appetites, I afer to that all-p vading sense of bodilyestence which the German psychologists havenamed C-general f..1in, and sometimes sf-feeling (&Jst-geflA). This sensibit connects itself; apparently, with the peripher termination of nerves throu hout the. whole body, but more particularly of those supplying the thoracic and abdominal

Some Particulars of Treatment in a Case of Pneumothorax

an accident wound, or washing an operation cut, with carbolic acid lotion has been the rule ; whilst, over the immediate dressing of lint charged with carbolised oil, a covering of cotton-wool has served the purpose of protection and warmth-giving; but it is doubtful if it has assisted much in preventing contamination, as most of the cases of compound fracture *have convalesced without its use. With these measures, my antiseptic treatment ends; and I have the strongest belief that success in the ,management of operation and other wounds is chiefly, if not entirely, ensured by extreme care and gentleness in the manipulation of the parts, by r;igid maintenance of rest, and by providing free exit for all kinlds of discharge. Thus, I hold that results quite as favourable as the best whiclh are claimed for antiseptic treatment, can be obtained by a plan of management which is so simple, that the means for carrying it out are always at hand, and are thus available for any emergency. f: Finally, I state that, with the exercise of proper care and supervision, patients do as well in a large hospital as anywhere else, and, in proof of this, I refer to the table which accompanies this communicatioin.

Cholera and Diarrhœa

lignancy, and death ? Why, then, is cholera an opprobrium medici, any more than phthisis, cancer, scrofula, or any other disease whose tendency is less frequently, but still often as surely, towards a rapidly fatal termination ? I wish not to be misunderstood. These views are not necessarily those of therapeutic scepticism, or a want of faith in the true mission of the physician. Although we can seldom, very seldom, or at least in only a very limited number of maladies, cure the disease, we may do much to allay suffering; and not unfrequently, by directing the avoidance of what is hurtful, or by collateral aid (so to speak) to Natures operations, may turn the scale in critical cases. Further, in the case of cholera, we may, setting out with the impression that at present we have no specific, follow the very creditable example of Dr. Johnson, and, by careful observation and patient investigation, endeavour to lay down sound principles for the more suitable management of the disease that we are unable to cure. I am, etc., A. B. STEELE. Liverpool, June 2nd, 1866.

A Question as to Pathological Distinctions in Cases of Diabetes

upper eyelids, which were of a livid red colour. They overlapped the lower lids, and projected considerably be. yond them. The tumescence arched up the lid from one canthus to the other, and extended from the brow to the tarsal margin. Thlere was cotisiderable mucopurulent discharge. The eyelids, when everted (which was effected with difficulty), presented a concaved semi. circle. The conjunctiva was of a dirty light red colour, eroded, and covered at points by false membrane (?). The sclerotic conjunctiva was slightly congested. The inferior eyelids were healthy. The patients constituitional power was below par. Dyspepsia and constipation were present. The appropriate treatment of this class of cases consists in the application of collodion to the skini of the lid, inDjections of niitrate of silver to the conjunctiva, and the administration of tonics, etc. CAsE iII. A fat infant, 2 months old, was brought to the Eye Hospital on November 18th, 1852. The upper lids were much swollen and indurated from infiltration. On eversion, which was performed with difficulty, the conjunctiva presented a jaundiced hue and patchy redness; it was covered by a film of lymph, which was removed with some difficulty. The surface was excoriated in places, and exuded a straw-coloured serum. The cornea of the worst eye, which had been affected seven days, was slightly turbid-opalescent. The other eye was only attacked the day before the patients ad. mission. In answer to questions, the mother said she was now, as previously to her confinement, suffering from a vaginal discharge, and scalding during.micturition. She had no reason for believing that any of the discharge had come into contact with her infants eyes. The palpebral conjunctiva was brushed over with a ten-grain solution of nitrate of silver, and small doses of calomel with quinine were ordered to be taken twice a day. Under this treatment the case did well.

On the Exaggeration of Ideas Relative to Certain Sanitary Topics

decay. In some cases the former has the preponderance, when the surface of the ulcer is raised, granular, or warty, with an everted edge; perhaps the mass shoots forth through the skin as a large and overhanging fungus, or it forms a great tumour extending for a considerable distance under the skin. When, on the other hand, the decay and ulceration proceed rapidly, a large excavation, with raised sharp edges, is the result.