trated and black or of a port wine color, and highly albuminous. There is sudden chill, with a fever usually of 103°, but not sweating. There is dark jaundice, black and tarry stools; rapid, sighing respiration; rapid, feeble pulse, and more or less nausea. The red corpuscles of the blood are very rapidly diminished during the attack. This form of the disorder is due, says the writer, to the dilatory and improper use of quinine in the face of a malarial cachexia. Sharp elimination constitutes the best treatment. If the plasmodia persist and give rise to fever, which is rarely the case, methylene blue or sodium thiosulphate may be employed. The editor of the Lancet has never seen a case of this nature recover when treated with quinine.

Treatment

In that class of cases who have seminal of Seminal emissions, usually during sleep, without Emissions. any erection to speak of, B. K. Twitchell (Buffalo Medical Journal) prescribes a solution of a grain of strychnine in two ounces dilute phosphoric acid, of which 25 drops are given in water after each meal. In the form of emissions which occur during erection, following mental or physical irritation, he gives a mixture of hydrobromic acid and the bromide of sodium or lithium. Strictures must be attended to, if present, and strict hygiene enforced. The patient should use a hard bed, not too heavy bedclothes, light supper and little meat, keeping the bowels open and avoiding all sexual excitement.

Treatment For the pain and itching of the early of Variola. stage, J. C. Slack (Medical News) prescribes a solution of 30 grains each of carbolic acid and iodine in a pint of glycerin, to brush over eruption three or four times a day. To prevent pitting he applies to exposed parts twice daily an ointment of one part each of tar and carbolized vaselin, with three parts of lanolin. In the initial stage, 1 to 5 grains of acetanilid every hour is helpful in reducing

temperature, inducing sweating and bringing out the eruption. Mild purgatives are also of service. The diet should consist largely of milk and eggs.

Symptoms of
Floating Kidney.

The chief symptoms are in many cases referable to the nervous system, and vary from slight degrees of nervousness to a marked neurasthenic state, says A. E. Halstead in Medicine. Pain is a very constant symptom and is referred to lumbar portions of the spinal column, radiating along the branches of the lumbar and sacral plexus. Intercostal neuralgia sometimes accompanies and menstruation aggravates, causing pain in the lower abdomen. Gastric disturbances are frequent and jaundice is an occasional symptom. Attacks of giddiness, with cardiac palpitation, is another common manifestation. The urine is seldom abnormal, unless pyonephrosis or a calculus complicates. Dietl's crises of vomiting, severe abdominal pain and possibly collapse, are usually observed after violent exercise or heavy lifting, and are attributed to kinking or twisting of the renal vessels. During these attacks one may find the renal tumor sometimes enlarged and very tender, with scanty and perhaps bloody urine during the first few days. As for treatment, the writer is convinced that a cure can be effected only by extraperitoneal fixation of the kidney to the abdominal wall.

EDITORIAL ITEMS.

Hysterical Bladder Paralysis.-An effective combination is strychnin with fluid extract of ergot in chloroform water.

The Sea-Board Medical and Surgical Journal.-This is the name of a crisp new publication published at Norfolk, Va., and edited by Dr. L. Lofton.

The Boer Surgeon-in-Chief.-According to La Clinique, the surgeongeneral of the Boer army is Dr. Reinhart, a graduate of the University of Munich.

Pernicious Anemia. According to Cabot this disease is probably an autointoxication. No treatment is curative, only laxatives seeming to do any good.

"Livening Up the Liver."-Dr. I. N. Love recommends when giving calomel to wash the dose down always with one to three glasses of hot water.

One in Twenty. The Doctors' Magazine states that in upwards of 10,000 physicians in Illinois only about 500 are members of the state medical society.

Enteritis of Children.-Rochlowsky (quoted in New York Medical Journal) reports good results from calcium peroxide, 3 to 9 grains daily in milk. It acts both as a slow oxidizer and an antacid.

Room on Top in Porto Rico.-The Medical Standard is our authority for the statement that there are only about 125 licensed physicians in the island of Porto Rico, with a population of 975,000.

Menstrual Hemicrania.-Dujardin-Beaumaetz (Journal of Medicine and Science) says that tincture of gelsemium in doses of 2 or 3 drops every two to four hours is a valuable and reliable remedy.

Cancer and Acidity.-A. L. Benedict gives numerous facts and statistics (Medical News, April 28) to prove the connection of acid media, such as the gastric juice and cervicovaginal mucus, with the localization of cancer.

Jacobi's Way. At the recent celebration in New York of Dr. Jacobi's fifty years in medicine he said: "Where you cannot save, you can still comfort. I never told a patient he had to die of his illness, and I hope I shall never be so careless or so indolent as to do so in the future."

Editorial Items continued on Page 663.

BOOKS.

The Pathology and Surgical Treatment of Tumors.-By N. Senn, M. D., Ph.D. LL.D., Professor of Surgery, Rush Medical College, in Affiliation with the University of Chicago; Professor of Sur- . gery, Chicago Polyclinic; Attending Surgeon to Presbyterian Hospital, Chicago. Second Edition, Revised. Illustrated by 478 Engravings and 12 Full-Page Plates in Colors. Price in Cloth, $5.00 net; Half-Morocco, $6.00 net. Philadelphia: W. B. Saunders, 925 Walnut Street. 1900.

Senn's is the standard American work upon tumors, and is indeed a masterpiece of honest effort and thorough knowledge. The origin and relationship of tumors is fully discussed, and sharp lines of distinction are made between true tumors, inflammatory swellings and retention cysts. Special attention is given to clinical diagnosis and surgical treatment. Microscopic diagnosis is rendered comparatively easy by the great variety of plates and photogravures that embellish the text. In this new edition a careful revision with many additions, especially of original illustrations, has been made. A new section on sarcoma of the decidua is included. Concerning the parasitic theory, the author says: "The parasitic origin of tumors continues to attract the attention of pathologists and surgeons, but we have made very little progress in establishing this theory by actual facts.". An account of recent work along this line is given, however. Students, physicians and sugeons will find this book the best of its class for practical purposes.

Suggestive Therapeutics and Hypnotism.-Being a Special Mail Course of Thirty-Eight Lessons on the Uses and Abuses of Suggestion. By Herbert A. Parkyn, M. D., C. M., Principal and Founder of the Chicago School of Psychology. Chicago: Suggestion Publishing Company. 1900.

It is only a few months since we had the pleasure of reviewing the first edition of this work. The author is well known as the founder of the first school of psychology in America and as the editor of the monthly magazine, Suggestion. The gratifying reception that attended the first edition of his work in pamphlet form has led him to greatly enlarge it as a handsome bound volume. The amplification of the text is mainly along the lines of actual hypnotism, the methods of producing stage effects, etc. The text is profusely illustrated with full-page plates. The study and practice of a com