that this experiment will result in failure, as it will be almost impossible to find properly qualified physicians in our large cities who will be willing to make the long journeys necessary to reach most of our insane hospitals, which are frequently situated at remote points. In order to be of much service as consultants they should make very frequent visits ; as only in that way can they get much knowledge of the condition of patients. A much better system than a board of physicians making

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... its of long intervals would be a board of attending physicians who should daily visit patients at the hospital, and take the whole responsibility of their treatment, giving instructions to the medical internes as to treatment during the intervening time between their visits. Unfortunately, however, this system cannot be generally practiced, for the same reason of the distance of the hospitals from large cities, as referred to above. Suggestions VIII. and IX. refer particularly to the State of New York, and need not be considered befe. Suggestion X., recommending the examination and licensing of physicians desiring to keep private institutions for the treatment of insane persons, is an excellent one, and should be adopted in all States. The neurological portion of the work is valuable, and of interest to all persons engaged in the study of nervous diseases ; but the portion treating of insanity is quite foreign to the subject, and a decided injury to the entity of the volume. Take that out, publish the book as a monograph, with strong linen covers, and it would be well worth a place on the library shelves of the progressive physician. York: G. P. Putnam's sons. 1880. Eleven cases of anaemic patients are reported in detail, and we cannot read this report without commending in high terms the patience and faithfulness with which the authors have recorded their observations. This carefulness allows a very thorough criticism, and the sincerity, patience, and close attention is worthy of imitation by other medical writers. We, however, carrnot attempt to give even an outline of the deductions which Drs. Jacobi and White have drawn from these cases, because a fair recapitulation would occupy too much space ; yet the attention of readers is necessarily arrested by the fact that four of these anaemic patients had obstinate constipation or colitis, and four had decided uterine complications ; the treatment was very properly directed to the relief of these complications and not until their removal did the patients show any improvement in general health. Iron was freely administered to seven of the patients from the very outset of the treatment; yet it is fair to remark that the ferruginous tonic had been used prior to the treatment of the pack and massage without any material advantage. similation and general tissue nutrition might be promoted. The details of urea elimination as given in tabular form are not of much use, because no comparison is made of its elimination by amount of food aud drink before and after treatment. The summary of scientific information upon the variations in capillary circulation of organs and tissues which is given in this book is prolix and extremely valuable to any one who will patiently master the technical terms and wearisome verbiage.