is in press (Lippincott & Co.) Wood & Co. announce a book with an interesting title: GARROD, The Value of Medicine in the Treatment of Disease. Lindsay & Blakiston have undertaken to publish a translation, by Dr. M. J. DE ROSSAT, of Bouchardat's Annuaire de Thérapeutique (for 1867), an annual enjoying an extended circulation in France.- Wood & Co.'s list of works in press contains also: MORGAN, Electro-Physiology and Electro-Therapeutics.

Cholera Statistics. - We are indebted to Dr. W. W. GRISSOM, our efficient Health Officer, for the materials embodied in the table below. The figures relating to the deaths from cholera in the past year are abstracted from the extensive report of that officer to the Board of Health for 1867, and were compiled with assiduous care and industry, independent of the records of the Board. Those for 1866 are likewise collected by Dr. GRISSOM, and taken from the official record. The others are from Dr. THOS. REYBURN's report on previous epidemics. (St. Louis Medical Reporter, Dec. 1, 1866.) For calculating the ratio of deaths per mille of inhabitants for 1866 and 1867, we have assumed the number of inhabitants of St. Louis as 220,000 and 230,000, respectively.

Deaths from Cholera in the City of St. Louis in the Epidemics which have occurred from 1849 to 1867.

Errata.-A compositor's error occurred in the last sentence of Dr. Montgomery's article on Dysentery, in No. 6, 1867, perverting the author's meaning. We beg the reader to substitute mercurials for "minerals," in the last line but one.

We also beg the reader to correct the absurd error on page 63, 3d line, of this number; for "guest" read "fact.”

St. Louis Summer School of Medicine.-We call the attention of students and preceptors to the announcement of this institution, which will be found in our advertising columns. The lecturers, who in the past year have inaugurated systematic summer instruction on special branches of interest and importance to the student, have permanently associated under the above name, and will commence their second course on March 16th, 1868.

Prof. C. A. Pope-For the information of his many friends, we are requested to state that Dr. Pope is at present residing in Paris, and will remain there for some length of time.

We are compelled to omit an acknowledgment of books and pamphlets received, for want of space.

MORTUARY STATISTICS.

Number of Deaths in the city of St. Louis, 1867.

THE SAINT LOUIS

Medical and Surgical Journal.

MARCH 10, 1868.

Original Communications.

ST. LOUIS HOSPITAL REPORT, WARD NO. XI.

By JAMES W. Clemens, M.D., Attending Physician.

Ward No. xi of the St. Louis (Sisters') Hospital is devoted to the treatment of medical cases almost exclusively. It contains at present thirty-nine beds, and during the past year has been nearly always well filled with cases of disease, some of which have been very interesting. As will be seen by the appended yearly report, the number, for a single ward, is quite large, and the variety of disease presented is sufficient to keep up an unwearied interest in the mind of an attending physician. Hoping that it may prove advantageous, as well as interesting, to the readers of the Journal, it is proposed to offer from time to time a résumé of the cases as they occur, the peculiarities presented, the course of treatment adopted, and other points of interest, for publication. No regularity can be promised in the appearance of the reports, as their preparation will depend, for the most part, on the material furnished by the ward; and although this is often of an interesting character, yet as often nothing beyond the most common diseases are admitted.

The past year, with the exception of that portion during which cholera prevailed, has been comparatively a healthy one. In the latter part of spring and early summer this was particularly to be remarked, but as midsummer approached cases of malarial disease rapidly multiplied, until during July and August every available foot of space in the ward was occupied, and continued so during the greater part of September. These cases were for the most part mild in their type, and easily subdued by medicine, and as a rule the patients remained but a few days before feeling sufficiently well to be impatient to leave the hospital. There is nothing peculiar in the treatment of malarial diseases as adopted in the ward beyond what is used by every physician, except in the use of one medicine, and as its good results have now been thoroughly tested on a broad scale, the manner of using it will be detailed, so that others not so familiar with it may know when and how to use it, and how far it is to be relied on. Quinine, of course, is always employed, and, like the well tried veteran, rarely does it fail to do the work expected from it. Cases, however, now and then occur in which it fails, but more rarely, I believe, when used in conjunction with acetate of potash. This latter remedy has seemed to me to be of wonderful service, not in cutting short the disease, but, apparently, in rendering the system more susceptible to the peculiar influence of quinine, and in almost every case of malaria received in the ward it is ordered with confidence that it wili fulfill the expectations now formed of it. Dr. GOLDING BIRD was the first to point out its efficacy as an eliminative, and from an experience of some years in its use, I can fully corroborate the opinion of that accomplished physician.

If used at all it should be in large doses, frequently repeated and largely diluted with water. In the ward it is usually given in half drachm doses, repeated every two hours, and diluted with five or six ounces of water.

It may be given at any time, either during the pyrexial or apyrexial stage, and continued until the urine becomes not only free

but light colored. The only conditions to its successful employment necessary to be observed are, that there should be no diarrhoea or irritability of the bowels, and that the urine should be dark or brandy colored. With any diarrhoea or irritability of the bowels, the medicine given in the above dose will act as a purgative, instead of producing its special influence through the system before it finally passes away by the increased secretion of urine. It is useless to combine opiates with it, under such circumstances, with the view of checking the bowels, as in my experience the peculiar and beneficial influence of the acetate is prevented by any combination with opium, and in cases where there is diarrhoea or any tendency to it, it is best not to use it at all. It is also useless to give it where the urine is free and light colored, as under such circumstances the urine is simply rendered alkaline, without any perceptible effect being produced on the disease. Remembering these two conditions, then, the acetate may be given freely, and with confidence that, with rarely an exception, it will act well. In remittent it is scarcely less effective than in intermittent fever. In the ward it is the usual prescription, and always goes hand in hand with quinine. Often have I known cases with the fever running very high during the whole twenty-four hours, so continuous and uniform, indeed, that a remission could scarcely be said to exist; with this there would be violent headache, suffusion of the face and eyes, so as to make me dread giving quinine; but the potash mixture, with or without a mercurial cathartic as was indicated, would in a short time produce a positive remission, during which decided doses of quinine could be administered without fear, and in two or three days the patient would be ready to be discharged. I usually give quinine at any period of remittent fever, but I prefer to select a remission if I can, believing that its peculiar effects are more marked and permanent than at any other period. Given freely at this time, very many of the cases will need no other medicine, and recover without further attendance. The action of the