Bibliographical Notices On Winter Cough , &c. A Course of Lectures by Horace Dobell, M.D. New and enlarged Edition, with colored Plates. Philadelphia: Lindsay & Blakiston. 1872. pp. 258

1872 Boston Medical and Surgical Journal  
1872. Pp. 943. Dr. Hamilton has again placed the profession under an obligation in the form of a new text-book, designed both for the medical student and as a direct guide to the surgeon. It is true, we have been liberally supplied with simple text-books, perhaps too freely ; but each one of those recently given to the public has had its own advantages which have recommended it. We have already expressed the view that a text-book proper is generally of little value, except for the primary
more » ... r the primary instruction of the younger men, simply touching, as it does, on all the topics of surgery, but failing to furnish to the working man the minutiae of each subject which he needs in actual practice. To a certain extont and necessa-. rily the work of Dr. Hamilton is susceptible of this criticism ; it is strictly a textbook ; but the full discussion which is given to the more important topics of surgery fit it more completely than usual as an aid to the practising surgeon. "Whenever it seemed necessary to a thorough comprehension of the subject, a more minuto description of the surgical anatomy and of the most approved operative procedures than is usually found in similar treatises " has been employed. It is, in this respect, not less valuable to the student, and to the practitioner takes the place of the more elaborate monographs which are beyond the reach of many. We wish that our text-books on all the subjects of medical literature might, in like manner, cease to be mere leading strings for the youngest, but helps to thought, and working tools in the hands of the maturer men. . The book is divided into two parts : the first on general and the second on regional surgery. It is subdivided into chapters, much as is done in general treatises on the Bubject of surgery. The author allots more space than usual to gun-shot wounds, fractures, dislocations and amputations, to aneurisms and hernia, subjects in which he has been more particularly interested and in which his reputation is well known. In the treatment of these topics especially the author has employed precise and clear language, and, without entering into undue discussion of the views expressed by other men, gives sufficiently thorough and practical information. In almost every respect, the book is thoroughly reliable ; the care and thoroughness with which the more important points are treated give it a good character, and the smoothness of its composition renders its perusal most agreeable. X. On Winter Cough, &c. A Course of Lectures by Horace Dobell, M.D. New and enlarged Edition, with colored Plates. Philadelphia: Lindsay & Blakiston. 1872. Pp. 258. Tins work treats of catarrhal bronchitis, emphysema, asthma, and tho relation, especially that of the first three, to each other. In the preliminary discussion as to the production of emphysema, the author rejects the current hypothesis-that it may be due to forcible expansion of the pulmonary vesicles during inspiration, or to a compensatory dilatation of the vesicles rendered necessary by the collapse of neighboring portions of the lung, or to a degeneration of the tissue of the vesicles, which renders them unable to withstand the normal dilating influences of respiration, and regards emphysema as caused by the forcible expansion of the lung during the expiratory act. Any obstruction to the expiratory tide which may arise favors tho production of the emphysematous condition, whether it be a sudden strain, as from parturition, lifting heavy weights, fits of convulsive coughing, &c. ; or from ordinary acts of coughing, sneezing, nose-blowing, &c, when the naso-pulmonary passages have been narrowed from previous disease. Tho writer dwells at length on the evils arising from neglected winter coughs; showing that from year to year the attacks return, giving the patient increasing discomfort, causing congestion and thickening of the naso-pulmonary mucous membranes. This narrowing of the respiratory tubes becomes more persistent with each successive cold, until at length comes a combination of somo or all of the evils resulting from such repetitions, viz. dilated right heart, collapsed lung, emphysema, &c. Three chapters are devoted to the hygienic and medicinal treatment of winter cough. A few lines opposing a popular delusion, and one which we fear physicians are not careful enough to expose" are as follows (p. 184) :-" It is quite astonishing what follies are committed with regard to the temperature of sleeping-rooms. On
doi:10.1056/nejm187210170871606 fatcat:ojzfbabptjcbbepcp2text2zh4