ALTHOUGH at the opening of a new med ical year we are denied the satisfaction of congratulating ourreaders on the successful settlement of the great national question of Medical Reform, yet, assuredly, there is ample ground for exultation on witnessing the rapid and extraordinary progress which that subject has made in the minds of the entire people of this empire. When the first number of this work was published, on the 5th of October, 1823, sixteen years ago, the medical profession in this

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... ntry presented a moral and a plysical chaos, which it would be impossible to find language to describe. Amongst that body there was no unity of purpose, no controlling opinion, no harmony of interests, and not a single medical corporation which ever consulted, or thought of consulting, the general medical body on any question of professional polity or government. How great, how vest, how universal, the change that has been effected! Discussion, and an useful