tissue between them, or from the fascia covering the deeper set-that, in its characters, it approaches nearer to fungus hæmatodes than any other morbid growth-and, from the event of three of the cases, that it is a very dangerous disease.

III. OBSTINATE ULCERATION IN THE GROIN.

We think the following cases not devoid of practical utility. It is true that they are not all of a similar description, and it is not strictly philosophical to bring them thus together in a lump. But this may be exeused in a rambling report like the present.

CASE 1.-Obstinate Ulceration in the Groin -Death from Coma-Sinus found leading to bare Os Pubis.

This patient was under the care of Mr. Walker, surgeon of the Lock Hospital, and was in that establishment. He was a Greek courier, about 30 years of age, or somewhat older, apparently broken in health, and of an irritable habit.

In the commissure of the right groin was an indolent ulceration-skin around the uleeration rather elevated, warty, whitish, semi-organized-sore not very deep, irregular, with dull red, glassy granulations, and islets of cuticle here and there-sore very irritable and painful. Pulse always frequent -skin rather warm.

This sore had existed for some time, little benefitted by treatment. We saw the oxymuriate employed, but the ulcer became worse under its use. Various other means were employed, and in the latter end of February he seemed better, and was allowed to get out of bed. Two or three days afterwards, the house-surgeon, Mr. Clarke, was called to him suddenly, and found him in a state of coma. He soon died.

DISSECTION. Cranium.-A considerable quantity of serum in the ventricles of the brain, which seemned enlarged, and the white substance forming their boundaries was soft. Substance and membranes of the brain perhaps rather more vascular than natural.

Thorax and Abdomen.-Nothing particular.

Sore. This is extended into the adipose and cellular tissues, and seemed to involve, though not to penetrate, the fascia lata, particularly that portion covering the pectinæus muscle. From the sore a sinus extended inwards in the cellular membrane above the fascia, then penetrated the latter, and passed to the tubercle of the os pubis, which was carious. There was not great induration around the sore.

CASE 2.

Obstinate Ulceration between the Scrotum and Thigh-cure.

A man, young, and though of scrofulous aspect, not otherwise unhealthy in appearance, had been an in-patient of St. George's under Mr. Brodie for six or seven months, when we had the honour of becoming housesurgeon to that gentleman. A long, dangling, irregular sore occupied the space between the right side of the scrotum and the right thigh. It had a very similar appearance to that of the sore in the preceding case the same high, and, as it were, wetted and warty margins—the same glassy, dull red, small granulations. Skin occasionally formed and again ulcerated. He was put on porter, more generous diet, sulphate of iron and other tonics, with local stimulants, as the tinct. benz. comp. &c. The improvement was soon remarkable, and though it did not continue uninterruptedly, the cure was completed in the course of a month or two. Once or twice the sides of the sore became united superficially, while a sort of sinus or gutter ran beneath. It was then necessary to break up the new skin and begin afresh. After cicatrization the scrotum was puckered into the thigh.

We are not sufficiently acquainted with the early history of either of the preceding cases to warrant us in saying any thing about it. We would be as accurate as possible. Where we entertain any doubt we express it.

CASE 3. Sore on the Penis-Murcury used— Phagadenic ulceration in the Groin-Tonics. A young man, from Putney, was admitted

into the hospital on the 21st Feb. 1832, under Mr. Hawkins.

In the right groin was a large, flat, irregular ulceration-its edges rather undetermined, blueish red-its surface of a dirty yellow colour, with here and there slight ecchymoses-ulcer extending into the cellular membrane, but not apparently through the fascia no diseased gland observable much pain in the sore. Looks ill-face pallid-tongue slightly furred-pulse frequent, irritable.

Three months previously he contracted a sore upon the penis. In a fortnight after that a bubo appeared in the right groin. In five or six days after that he went to Mr. Shillito, a very respecti le surgeon at Putney, who gave him mercurial pills, and kept his mouth sore for five sx weeks. The quantity of mercury taken daily was varied a little, acco ding to the state of the mouth. At the end of this course the sore was healed; its exact time of healing we do not know. In a week or ten days after commencing the "the bubo broke.' mercury When the mercury was discontinued there was a sore in this situation larger than a crown piece. Various draughts w re taken, but his health became more severely implicated and the sore increased. Uuder these circumstances he entered the hospital.

24th. Hyd. sub. gr. v. h. s. H. senna

cras.

26th. Sore spreading-very low.

Mist. camph. c. Ammon. carb. gr. vii. Tinct. opii, 1x. 6lis. horis. Cat. douci. Ol.

ric. cras.

March 1st. Sore spreading downwards on the thigh and inwards towards the perinæum. Constitutional symptoms as before. Looks pinched and anxious.

Tinct. opii, mxx. in. H. ol. ric.

3rd. Cat. lini. c. Liq. plumb. acet. Cal. pulv. ant. àã gr. iij.—Pulv. opii, gr. j. h. s. s. 6th. Lot. acid. nit. (gtt. ij. ad aq. 3j.) H. Senna cras. Rep. H. 4tis. hor. c. Tr. opii, mxxv. Vini rubri. Ziv.

8th. Sore has spread very considerably in extent, and is now larger than the palm of one's hand. Sore of the same character as before-not materially increased in depth.

Pulse frequn,

-tongue moist, whitish-looks pinched and blueish.

Rep. Haust. c. Tr. opii, 1xxx. Mist. camph. Dec cinch. āā Conf. arom. Ammon. carb. gr. v. Tr. opii, Mxl. 6tis. hor. Vini. rubri, žviii. Ol. ric. cras.

Dj.

10th. Improved-granulations in the sore, which has ceased to spread, and in parts shews florid edges. Looks better.

Hyd. sub. gr. ij. Opii, gr. iss. o. n. H. Sennæ stat.

19th. Rep. Haust. c. Tinct. opii, Mxviii. tanto. 23d. Hyd. sub. gr. j. Opii, gr. 1o. n. 25th. Sore healing rapidly-health much improved.

H. cinch. c. Ammon. carb. gr. v. Conf. arom. Dj. l. d. s. Cerevis. fort. Oj. quotid. Haust. anod. o. n.

Om. alia medica. et vinum.

On the 17th the ulcer was nearly healed; on the 24th it was quite so. We should

state that the diet in the first instance consisted of beef-tea, arrow-root, and food of that description, and subsequently of animal food, when the patient's appetite was equal to it.

Our narrow limits prevent us from noticing some other cases, which we had intended to report.

LXVIII.

PART V. OF THE ANATOMICAL ATLAS OF DR. M. J. WEBER, Professor at the Royal Prussian University, Frederick William, at Bonn.

We have noticed with much commendation the previous parts of this anatomical atlas. In our favourable opinion of it we have not stood alone, many of our best anatomical teachers and surgeons having given their testimony to its merits. The present part consists of 13 folio plates, the representations being, in most instances, nearly as large as life, and in many larger. Some are lithographic-others, for instance, the delineations of visceral structure and of the nerves, are engravings. The vessels are coloured. The Part displays the whole anatomy of the ligaments-two plates, from Scarpa, of the Nerves of the Neck and

⚫Chest, and three Plates, displaying the anatomy of the male generative and urinary organs, and the female generative organs and mamma. We can speak of them in very commendatory terms, and not less commendatory than merited. We may give a sample of the whole, by mentioning the manner in which the ligaments are delineated. An anterior and a posterior view being given, separate views of the individual ligaments are added, and thus a complete representation is presented. The plates are accompanied by a letter-press explanation, in German and in English. The price of each part is one guinea. We beg again to recommend the work to those who are anxious to acquire, or to maintain anatomical knowledge.

LXIX.

PRINCIPLES AND ILLUSTRATIONS OF MORBID ANATOMY, ADAPTED TO THE ELEMENTS OF M. ANDRAL AND TO THE CYCLOPEDIA OF PRACTICAL MEDICINE, WITH WHICH IT WILL CORRESPOND IN SIZE; BEING A COMPLETE SERIES OF COLORED LITHOGRAPHIC DRAWINGS, FROM ORIGINALS, BY THE AUTHOR; WITH DESCRIPTIONS, AND SUMMARY ALLUSIONS TO CASES, SYMPTOMS, TREATMENT, &c. DESIGNED TO CONSTITUTE AN APPENDIX TO WORKS ON THE PRACTICE OF PHYSIC, AND TO FACILITATE THE STUDY OF MORBID ANATOMY IN CONNEXION WITH SYMPTOMS. By J. HOPE, M.D. F.R.S. Physician to the St. Marylebone Infirmary, &c. London, Whittaker

and Co. 1833.

THE following is the plan on which this work is to be conducted.

"The work will consist of Twelve Monthly Numbers, each containing 25, or more, highly finished, coloured Lithographic drawings, from originals by the Author, executed with a view to the exhibition of the minute structure, no less than of the general characters of the several morbid alterations. The quantity of Letter-press will be adapted to the subject. The size Royal Octavo.

The arrangement will be according to or gans, as being best adapted to the study of the diseases of organs; but the lesions of each organ will be considered in reference to the particular tissues which they occupy on the principles of General Anatomy..

The descriptions will be, for the most part, copies of those taken from the original specimens; but reference will be made, where necessary, to the corresponding descriptions of Andral, of other authors, and of the Cyclopædia.

The Author having, with few exceptions, taken the histories of the cases personally, he will, from the funds thus supplied, render the Work as practical as is compatible with its character, adverting very succinctly to the nature of each instructive case, and to the connexion between the lesion and the symptoms.

The price of each Number, coloured, will be Eight Shillings and Sixpence; and the several subjects will be complete in their respective Numbers, in order that, if desired, a portion only of the Work may be accessible to purchasers."

Such is the plan of the work. By the kindness of Dr. Hope, the first part is now before us, although it will not be actually published till the 1st of Jan. 1833.

On the importance of morbid anatomy we need say nothing; neither need we stop to discuss the extent to which it may be carried with advantage. We are not among those who anticipate evil from the zeal with which this portion of medical science is studied. False theories and brilliant hypotheses may be prejudicial to the cause of truth; the pursuit of exact investigation never can be so. Individuals may be led away, may be rendered ridiculously sceptical or overweeningly arrogant, according to the state of mind in which they examine and argue on facts; but exact knowledge, we repeat, can never be extensively or permanently injurious. Morbid anatomy has been as the spear of Ithuriel to medicine; has disclosed what is demonstrable and what is vague; and given, and will give, to our science alt of the genuine inductive character of which it is susceptible. We hail, then, the appearance of good works on morbid anatomy with unfeigned gratification, and we feel assured that they will be productive of that best of all effects, the general diffusion of scientific information.

At this late period of the quarter we can

do little more than direct attention to the work before us. Let us look at it a little in detail.

The present, or first part consists of four lithographed coloured plates, and 23 pages of letter-press. The subject to which it is devoted is pulmonary disease, and the particular affections delineated and described are-acute and chronic peripneumonygangrene of the lungs-abscess of the lungs and pleurisy.

Each plate contains several figures, severally representing particular lesions or varieties of lesions. The size of the plate is, as has been mentioned, what is technically termed royal octavo, that is, about the size of the Cyclopædia of Practical Medicine. The size of the particular figures varies according to the character of the lesion; thus a drawing of gangrene of the lung occupies nearly two-thirds of the first plate, whilst Fig. 19, shewing tubercles passing from the grey to the yellow state, is not an inch

square.

The execution is extremely good-the outline clear-the tints distinct yet not overcharged-the character of the lesion defined yet not exaggerated. As drawings, these delineations possess high merit, and yet that almost irrepressible sense of the beautiful, the Tokaλov, which animates all who pursue the lovely art, has not seduced Dr. Hope into sacrificing truth for its sake.

The present part contains 30 figures. Amongst the best we would venture to point out the representations of diffuse gangrene of the lung-purulent infiltration -pulmonary granulations of Bayle-cavern in the lung with bands-and some of the delineations of tubercle. All lesions are not represented with equal facility; those offer least difficulties in which the tints are most uniform and present most body, or in which the contrasts are definite and decided. Thus the lobular hepatization seen on the pleura, and the purulent infiltration in its most advanced stage, (figs. 9 and 8,) are so characteristic, that they would convey to the mind of the most inexperienced student an image, the reality of which

would be immediately recognized when the actual lesion came before him. We do not think the purulent deposites after injuries (fig. 10) so plainly drawn, and some of the designs of tubercular infiltration do not appear to us to have that instantaneous force of truth, possessed by those we have particularly commended. But

"He jests at scars who never felt a wound; and the critic in his easy chair may point out defects that all the limner's art could never rectify.

The price of each part is eight shillings and sixpence, and the general feeling will be one of surprise at the extreme cheapness. We know that Dr. Hope can receive no pecuniary remuneration from the work. He labours for fame. Dr. Hope is right. At the present period it would be utter folly to expect that a work which could pay would sell. The man who embarks in such undertakings as these must be content with the solid reputation which merit will confer upon him, and the indirect emolument that reputation will draw after it. It must not be the speculation of a bookseller; it must be the careful anxious production of an able and industrious man, willing to take the chance of ultimate advantage, or, even if that fail, not utterly disappointed at obtaining the solitary recompence of well-earned, and freely accorded fame. This may be discouraging to mere speculators. We do not care if it be so. We are sure that it is not discouraging to him of a true philosophic spirit, a spirit, we regret to say, more prevalent abroad, than in this commercial and too sordid country.

Did we address after this any personal commendation to Dr. Hope, we lay ourselves open to the imputation of indulging in panegyric. We shall say no more than that we are glad to find the work in his hands, and that we shall feel great pleasure in bearing ample testimony to its merits. We again regret that our crippled limits, and the late period of the quarter prevent our noticing it more fully, and particularly from referring to the letter-press.