752 pulmonary symptoms, and very much increased in strength and flesh. I was determined to add other successful cases to the above list, but the limits of a periodical suggest the propriety of my not infringing on the privileges to which others have an equal claim with myself. In accordance with the principles I entertain, 1 shall, in conclusion, give a quotation from the lectures of Professor Graves, whose great abilities have shed a lustre on every department of medical science. After

more »

... to a tonic treatment, &c., he proceeds to say, " In the month of January last, I recommended this prescription and general treatment to the eldest son of a gentleman of rank. His state was exactly what I have above described; and several of his mother's family had died of consumption. In a few days, his motherin-law called at my house, and in the course of our conversation it became clear that she entertained very strong prejudices against the treatment I had recommended. Such persons, gentlemen, are all well acquainted with sulphate of quinine; ladies of fashion use it constantly to wind themselves up, when reduced to a little below par, by dissipation and late hours. What use could sulphate of quinine be to a cough? Might he not catch fresh cold from driving out at this season ? Would not the meat diet tend to increase the pectoral affection ? Luckily for me, this lady lived at the time in a country-house; the nearest place to which had, many years ago, been the residence of one of our richest merchants, a gentleman with a very numerous family, eleven of whom have since died I of consumption. My answer to the lady, therefore, was obvious : I replied, to prevent consumption, or remove its first stages in that family, the most eminent physicians recommended a certain regimen and mode of treatment. They were anxiously confined within I doors during winter, kept wrapped up in flannel in rooms maintained at a Madeira temperature, were not allowed animal food, and were bled to the amount of a few ounces at each accession of fresh cold. You, yourself, know the result, madam, they all fell victims to the complaint, and appeared to I i droop more rapidly in consequence of the treatment: I am pursuing in the case of your I son-in-law an opposite course. She was I satisfied ; and the young man is now strong and healthy." 21, , of middle age, rather fullsized body, called upon me on Sunday, the 19th of December, 1841, requesting to have a tooth removed, that had given some uneasiness for a length of time ; upon examination, I found the dens sapientiae of the right side of the lower jaw loose, the crown gone, and removed it without difficulty with a pair of forceps, generally used for extracting the temporary teeth of children. It had three small fangs, the anterior one being the longest ; the haemorrhage nothing more than usual, had ceased ere he left, the alveolus being plugged with lint, wetted with the camphorated spirit of wine. At half-past four of the same day Mr. P. called again, the blood running in a continuous stream, evidently from the anterior alveolus-cleaned it out from the bottom, and filled it up firmly with a strip of lint, pressed down with a curved instrument; when full, applied a compress of cork, fitted to the part, and pressed upon firmly by the dens sapientiae of the upper jaw ; likewise securely bandaged the jaw. Ordered astringent lotions, for the haemorrhage was again checked, the saliva coming away unstained. At this visit the patient informed me that he had a tooth taken out a few years ago, which was followed by copious haemorrhage for nearly three days, but was checked by the application of caustic; as also that lately his gums had bled to a considerable extent, and for a fortnight at a time. Of all this I unfortunately was ignorant until after three hours had elapsed from the removal of the root. There was nothing indicating any hsemorrhagic tendency at the time I saw him first, and, being a stranger to me, I was consequently not acquainted with the history of his habit of bod v. I was sent for early on the Monday morning, and found the haemorrhage had continued without intermission through the night. He had deferred sending for me, unfortunately, as I had requested, supposing the bleeding would stop of itself. I found no coagulum about the mouth, or in what he had spat out, as in ordinary haemorrhage, the alveolus being as clear as when the stump was first taken away. I put a piece of lunarcaustic, the size of a pin's-head, into the bleeding alveolus, pressed it down, and plugged with sponge tent, and bandaged as formerly. The bleeding was again stopped. Styptics, lotions of kino, and alum, were used with benefit. For more than an hour after this all appeared safe. In the course of the day, Dr.