Recent Literature The Dispensatory of the United States of America . By Drs. Geo. B. Wood and Franklin Bache. Seventeenth edition, thoroughly revised and largely rewritten, with Illustrations. By H. C. Wood, M.D., LL.D., Joseph P. Remington, Ph.M., F. C.S., and Samuel P. Sadtler, Ph.D., F.C.S., 8vo; pp. xliv, 1930; Patent Index. Philadelphia: J. B. Lippincott Co. 1894

1894 Boston Medical and Surgical Journal  
patella tendon is struck is not an extension of the leg bo much as an adduction of the thigh (vastus internus and crureus). The best attitude for eliciting the movement is not that which permits the freest kneejerk, but demands rather more ease of lateral motion of the thigh. This is accomplished very well by seating the subject at ease in a chair with the body erect and the knees ten or twelve inches apart with the knee-joint at rather an obtuse angle, the feet being advanced a few inches. The
more » ... phenomenon is observed in a small proportion of normal persons aud in from twenty to thirty per cent, of the cases coming to a clinic for nervous diseases. It is distinctly proved not to be due to a communicated shock or jar to the pelvis, by reason of its absence in all cases of locomotor ataxia and its production in favorable cases on suspending the subject from the floor and observing the adduction of the thigh on tapping the patellar tendon, or, as in one case observed, tapping the tendo-Achillis. Crossed knee-jerk is also found to be reinforceable. Tracings were shown which recorded in a normal subject an adduction in crossed knee-jerk of a sixteenth of an inch in a spastic quarter-inch, and in the latter case, under reinforcement, half an inch. Reinforcement produces the movement in some cases where it is not otherwise evident. A case was related in which a very slight tap on the patellar tendon caused violent contractions of both legs, causing the knees to smite together or cross over ; a larger tap will cause, in addition, crossing of both arms in a sort of lock spasm, requiring aid afterward in stretching out the limbs. The reflex arc involved in movements of this kind is held to embrace the cerebrum. Dr. P. C. Knapp, of Boston, read a paper on recurrent oculo-motor paralysis.1 Dr. Mills had observed several cases of recurrent ocular palsy with involvement of the fifth nerve. He had also seen cases of recurrent facial paralysis. The only probable explanation in most cases is that of organic lesion. He thought Dr. Knapp's cases were probably due to lesion of root fibres. Dr. Morton Prince agreed with Dr. Knapp in believing that these cases were caused by organic lesion. He believed that pain as a localizing symptom possessed very little value. He would rather depend upon motor and sensory paralysis. Dr. Walton thought all cases could not be classed together. While many were of nuclear or basal origin, possibly some of the less grave cases were due to recurring edema or possibly vascular disturbance at the cortex, which would probably explain the coincidence of motor and sensory disturbance. Possibly some cases were allied to the severer form of hysteria. Dr. Knapp, in closing the discussion, said that there w^s no case of complete recovery on record where there had been both motor and sensory involvement. In cases of syphilitic origin, where only one or two branches were involved, it was more likely to affect the nerve after it had left the pons. (To be continued.) A Chinese proverb says that a druggist who buys and sells drugs should have two eyes, a physician who gives drugs to patients should have one eye, and a patient who takes drugs should be blind. sixty years has been the work upon materia medica most familiar to all American physicians and pharmacists, has now again appeared in a new and seventeenth edition. In this it has closely followed the last revision of the United States Pharmacopoeia, of which work it was for nearly fifty years the chief commentary. As in the last edition, the work is divided into three parts. Space for the new matter in this edition has been gained by increase in the size of the page ; and this, that the volume might still fit into the ordinary bookshelf have been almost entirely in the width of the page. In Section 2 of Part II, where about one thousand not official drugs are treated of (or nearly twenty-five per cent, more than in the last edition), as smaller-sized type is used, the page has been broken up into a double column, to prevent the lines becoming too long for the eye to easily follow. A new Index of Diseases has been introduced, and it has been placed immediately before the main text of the work, that it might not in hurried consultation be confounded with the general index. The titles of articles are printed in bolder type ; but otherwise the general style and make-up of the book is of the accustomary excellence of previous editions. This work, as one of the best recognized treasurehouses of pharmacological lore, is one of which no physician or pharmacist desiring to keep abreast with the times can afford to be without a copy. B. f. d. A Text-Book of the Diseases of Women. By Henry J. Garrigues, A.M., M.D. Containing three hundred and ten Engravings and Colored Plates. Philadelphia: W. B. Saunders. 1894. Dr. Garrigues's large experience in the treatment of the diseases of women warrants us in expecting a practical aud interesting book from him on the subject, nor are we disappointed. He aims to present a . concise but full exposition of the nature and treatment of the diseases peculiar to women, especially adapted to the wants, first, of the physicians who have not had the advantage of hospital traiuing, and who go to a post-graduate school; second, to those who cannot leave their practice but need information about the present state of gynecology ; and, third, to undergraduates studying in medical colleges. All these claims for recognition are substantiated by a somewhat careful examination. Especially does it seem admirably adapted for a text-book. While written in a concise way, it is exceedingly full, and covers the whole ground of gynecology. The section on the development and anatomy of the female genital organs, both as regards the text and the illustrations, is the best exposition we know ; and the fulness of detail in comparison with other parts of the book is excused when we consider how incomplete the descriptions of these organs are, even in books of anatomy.
doi:10.1056/nejm189409271311307 fatcat:uhlzmuqvebeelbq2ei5ccdigim