been erroneously termed "worm fever," and it is sometimes difficult to convince "old women" that it is not a case of worms.

But one death occurred out of all my cases (75), and that was a feeble old lady (over sixty years of age). Her disease assumed a continued form; and to increase her chances for departure an Eclectic physician was called in, and relieved me of the case. I am sorry to say, that under his course of gelseminum and podophyllin, she gave up the ghost. He pronounced her disease typhoid fever-poor fellow. A year has since elapsed, and his familiar countenance has not made its appearance in that vicinity. A writer in the E. M. Journal, for January, claims to have cured one hundred cases in a given time (for particulars see small bills). If not trespassing too much on your pages, I will give his remedies for simple remittent fever, viz: lobelia, capsicum, asclepin, gelseminum, tinct. veratrum, aconite, quinine, prussiate of iron, leptandrin, podophyllin, hydrastin, lime water, milk, brewer's yeast, oleum morrhuæ, glycerine, bromide potass., iodide potass., alkaline bath, iron and phosphorus.

If any of his patients are "left to tell the tale," they deserve the congratulations of their friends for their narrow escape. It is fortunate for them that their medical attendant did not possess any nitric acid, as he would have certainly formed a compound that would have ended the disease by blowing up the patients. He has no doubt practiced in China, where a multiplicity of remidies is the rule.

Medical Societies.

CINCINNATI ACADEMY OF MEDICINE.

W. W. DAWSON, M. D., PRESIDENT,

M. A. WILSON, M. D., SECRETARY.

Dr. E. B. Stevens made the following report of recent cases in his practice:

CASE I. SHOULDER PRESENTATION.-Called February 18th, to attend a young woman in her first confinement; pains irregular,

and case progressing slowly. This state of things continued until the 21st, without material change. On the morning of the 22d, called in haste; "waters had broke" several hours previously, and found labor pains to be very energetic. On examination dis covered a shoulder presentation, left shoulder presenting, and vertex to the left.

I made some manipulation, hoping to effect cephalic version, but, either unavoidably, or as the result of awkwardness, only succeeded in having the arm come completely down. I then made an effort to turn. I had no difficulty in introducing the hand fully into the uterus for that purpose, but found myself unable to effect my purpose without greater force and persistence than I was willing to use without chloroform. I sent for chloroform and the aid of Dr. Bonner, Sr., at the same time, and after full anæsthesia, Dr. Bonner completed the operation for me with out great delay, delivering a still born child. The mother made a prompt and satisfactory "getting up.'

CASE. II. PROBABLE UREMIA.-DEATH OF MOTHER AND CHILD -I was called several weeks ago to see a lady expecting to be speedily confined; fourth labor, but the last previous one seven years ago. At present has troublesome epistaxis and asthmatic breathing and cough, so that she is frequently distressed for breath if she lies down. Face has a slight oedematous appear ance. The epistaxis was easily controlled, and simple remedies so materially relieved the breathing, that I did not see her again until labor set in, and, therefore, was led to neglect a careful examination of the condition of the heart or the character of the urine.

March 6th.

Pains regular, decided; os dilated to size of a dollar, but rigid; general oedema, especially the feet and limbs to the knees, are puffed and doughy. Breathing still hurried and asthmatic, apparently increased by the occurrence of labor pains Accouchment failed to proceed to completion; pains becoming slight, and labor then progressing irregularly for several days the patient having intervals of entire suspension of pain, and snatches of imperfect rest.

March 13th. Waters broke this morning; but find the pains. rather inefficient, and os still imperfectly dilated, gradually in creasing in force, however, during the day, until completion of delivery at 6 P. M. Child dead, but apparently only recently so

Mother greatly exhausted; wheezing and gasping for breath ; purple, making it necessary to admit abundance of fresh air, and prop her up in a semi-erect position with the pillows. Gave stimulants, ether, valerian, morphia, and at 10 o'clock left her ap parently becoming comfortable, and breathing with ease. Hoped that a few hours of rest would complete the reaction.

She died at 2 o'clock in the morning. Family report that she continued in this condition of comparative comfort, so far as her breathing was concerned, but failed gradually, becoming cold with failing circulation; about mid-night having a slight convulsion.

I have supposed this case to be one of uremic poisoning, and that, probably, the pulmonary trouble was of this uremic origin -an oedema, perhaps, of the lungs. I regret, however, that the circumstances of attendance led me to neglect the careful exami nation of the heart, and testing the condition of the urine. I also very much regret that no opportunity for post-mortem was afforded.

During the last two days of the labor, I dreaded the occurrence of convulsions as liable at any time, and in the concluding hours I was arranging to send for forceps to expedite the delivery, on account of this anticipation, when a few expulsive pains terminated the labor as stated. It is probable, that had I resorted to forceps a few hours in advance of this time, I might have saved the child, and possibly given the mother a better chance for her life, by saving her that much of exhausting tax on her lungs.

CASE III. STERILITY.-SUPPRESSION OF CATAMENIA, &c.-This patient is now about twenty-four years old; was married when only about sixteen, at which age she was perfectly regular in all respects and continued so for several years, but without becom ing pregnant. Four years ago she had erysipelas of the face and scalp, treated, however, by another physician, since when she has had no catamenial show, and no monthly period of pain or trouble of any kind in the slightest degree corresponding to such period. Two years ago she had another erysipelatous attack of the face, when I was called upon, and when I learned in general terms the history of the case. Subsequently I was occasionally consulted at irregular intervals, for advice as to the suppression of her menses, and within a few days I made a more particular and careful examination.

Her present condition is, general health apparently good; fleshy; no trace of monthly period; physically well developed; to the digital examination there is a sense of imperfectly developed uterine structure, and the speculum shows a small os and cervix and minute orifice, admitting with difficulty the slight entrance of the uterine probe; nothing to suggest the retention of any menstrual fluid.

Is this a case for dilatation of the os with tangle tent or sponge? scarcely, because it is not one of difficulty, but arrest, and no evidence of retention. Is it a case for general medication? scarcely, because the general health in all other respects appears faultless. Dr. Elstun's Case of Foreign Body-Singular Journey and Exit After a Year.

Dr. Carson stated, that at a former meeting of the Academy he had reported from memory a case of singular travel and exit of a foreign body. He now had the pleasure of reading the following letter from the physician in charge of the case, Dr. Elstun, of Columbia.

DEAR SIR: I Some time ago promised to furnish you the report of an anomalous case of the travel and exit of a foreign body from the stomach of a patient of mine; but in moving my residence had mislaid my old note-book, and did not find it urtil recently. On the 6th of March, 1855, I was called to see Mr. Wm. K a mechanic, about thirty-eight years old; had been a strong, healthy man, but of dissipated habits, which showed plainly in his appearance. He complained of a severe pain in his right side, about the margin of the ribs; had general fever, with considerable nervous excitement. On examination found considerable fullness and hardness in right hypochondriac region, attended with great tenderness, extending from the epigastrium backward along the margin of the ribs. The urine was found high colored and scanty; bowels constipated; tongue dry, with considerable thirst.

Prescribed cathartic, and ordered twelve leeches on the side. On the next day found the cathartic had operated well, and the febrile symptoms abated.

The patient was placed on low diet, demulcent drinks and diuretics, under which the local symptoms of inflammation gradually subsided. About the fifth day a blister was applied, and by the tenth day most of the swelling had disappeared. The secretion

of the kidneys continued high colored and scanty; a decoction of buchu and juniper berries was ordered, and the secretion gradually became normal; and at the end of two weeks he was considered convalescent, and discharged with strict orders to refrain from drinking.

On the 10th of April my attention was again called to the patient, when I found all the general febrile excitement that attended the first attack, but with the pain referred to the right lumbar region. On examination found considerable swelling and hardness about the outer edge of the right kidney, very sensitive to the touch, but the swelling apparently deep-seated. Urine very high colored and scanty. The local inflammation was this time referred to the kidney, there being no appearance as before of any enlargement of the liver, nor any tenderness in the hypochondriac region.

Leeches were ordered over right lumbar region, and a general antiphlogistic treatment adopted to reduce the inflammatory symptoms. Convalescence again occurred in about ten days, and the patient was again discharged.

On the 26th of April I was again called to see the patient. By this time he had become considerably emaciated; had not been able to work, but had been walking around; had been entirely abstemious, and said he had not been free from pain and soreness in the right side, but that it was lower down.

I re

On examination found a deep seated swelling and hardness in the right iliac region. Found the secretion of the kidneys natural, and the secretions generally in good condition, and but little febrile excitement. Applied Iodine externally, and put the patient on tonics of bark and Iron, with nutritious diet. For two or three days, there seemed to be but little change, except that the local inflammation was spreading downwards, having now reached the inguinal glands and Poupart's ligament. quested a consultation, and the late Prof. Jesse P. Judkins was sent for. We saw the patient together on the 29th of April. Dr. Judkins expressed the belief that there was an iliac abscess forming, and proposed using the exploring needle to determine or not the existence of pus. But upon hearing the further history of the case, that the local inflammation first appeared in the right hypochondriac region and had gradually travelled down through the right lumber with evidence of its still progressing