left lung was invaded while the right remained clear; though occasionally the patient complained of severe neuralgic pains in the back, head and extremities. There was little expectoration, with a hacking cough at the onset of the disease; but as it advanced the expectoration increased, and changed from a tough mucus to a thick, dark-colored, and in some instances bloody character. There were often large clots of bloody muco-purulent matter expectorated, and blown from the nose; and in some cases epistaxis occurred. The lips, mouth and teeth were covered with sordes. The patient soon became depressed, but only in a few cases was stupor a marked symptom.

The physical signs were of the utmost importance — without them the diagnosis would have been impossible. Auscultation revealed a diminution of the respiratory murmur in the lower and posterior part of the lung, while the mucus sounds, bronchial respiration and the crepitant râles were rendered very audible, and continued through the course of the disease until the lung again resumed its healthy functions, when these sounds were supplanted by the natural respiratory murmur. The lower and posterior part of the affected lung emitted a dull sound on percussion.

The disease was not very fatal; it ran its course in from three to six weeks, with profuse perspiration and daily chills occurring as the patient became convalescent.

The treatment varied, in order to meet different indications in the course of the disease and to combat the various symptoms as they presented themselves, no regular or routine course being adopted. I shall therefore only give an outline of the treatment pursued and the leading remedies employed, and which appeared best adapted to the nature and symptoms of the disease, and to conduct the patient through it. The treatment was generally commenced by administering a gentle purgative, after which a mild antiphlogistic course was steadily pursued until the pulse was sufficiently reduced and the inflammation overcome; in some instances this was a very difficult point to arrive at, for the pulse would continue wiry and rebounding when at the same time the patient was very much depressed and debilitated. The remedies more generally used to combat the inflammation consisted of veratrum viride, ipecacuanha, calomel, and potassæ nitras, and in some instances, when admissible, antimony, with different adju

vants. Bleeding from the arm was resorted to in one case, and that with good effect; leeches were also used in one instance, locally, over the region of the affected lung. Sinapisms and poultices were applied over the affected lung in all cases, and over the bowels when they were irritable and tympanitic, with marked advantage. In but one case, which had gone into suppuration, was cantharides blistering, followed by croton oil counter-irritation, resorted to; and by persistence in these applications, in connection with supporting internal remedies perseveringly used, this patient, after going through a long stage of suppuration with very copious expectoration, finally recovered, and is at present enjoying good health. I regard calomel as indispensable in this disease; and when pushed so far as to make its constitutional effect just perceptible upon the system, without producing marked ptyalism, and controlling and assisting its action with opium and ipecacuanha, the disease appears to give way, when no other treatment will make a marked impression on it; after this effect is produced, the inflammation gradual subsides, the excessive action of the heart and arteries ceases, the pulse becomes soft and less frequent, loses that wiry and rebounding thrill, and now a condition arises calling for supporting remedies, stimulating expectorants and tonics. Among this class I regard carbonate of ammonia, with squill and seneka, wine-whey, iron and quinine, as the most valuable in the whole materia medica. These remedies, with adjuvants which it is unnecessary to mention, constituted the course of treatment pursued in those cases which fell to my care. The first indication was to subdue the inflammation; secondly, to arouse and establish the dormant secretions; and in the last place, by stimulation and tonics establish convalescence.

In conclusion, it might be necessary to state, that in the majority of cases females were more generally attacked than males. When the disease first made its appearance, it was almost wholly confined to young females from the age of twelve years up to twenty; in a few instances aged women were attacked. As the disease progressed it appeared more generally to attack both sexes, but more particularly was it confined to puberty than to any other age, and those cases were mostly females. I have met with cases of this disease up to the present time also typhoid fever in which the bronchial and pneumonic symptoms were very promi

nent characteristics in the course of the disease, rendering the complication very serious.

Several members of the society made remarks upon the paper and the subject treated of in it, and occupied the time until adjournment.

Correspondence.

BOSTON, MASS., July 7, 1860.

Messrs. Editors :-Since my last, our State Medical Society has held its annual meeting. Papers were read on neuroma, the zymoses of 1859, and upon the subject of vaccination. Resolutions were adopted to defray the expenses incurred by Drs. Carpenter, Bell and Storer, defendants, in suits of Dr. Ira Barrows, for libel. Dr. O. W. Holmes delivered the annual address. It was, of course, spicy, pungent, and at times humorous. His attack upon the system of drugging was quite severe; and the society subsequently entered a protest upon its records, to be published along with the address and transactions.

Nearly every physician in Boston has subscribed one dollar, the maximum demand towards a memorial to Dr. John Hunter, in Westminster Abbey. Subscriptions are being taken up all over the State.

Dr. Hayes sails to-day on his Arctic Expedition from this port. Interesting farewell exercises were held on the 5th inst., in relation to his sailing to the ice-bound regions of the North. The "Springhill," which is to convey the exploring company, is an object of considerable interest just now. The Doctor has a select party of tried men to go with him, and he feels almost confident that he will be able to reach the North Pole, and add another laurel to Dr. Kane's memorable expedition. Thousands of warm hearts will go with him on his perilous journey.

The National Quarantine and Sanitary Convention held its fourth meeting here in June. About two hundred delegates were present, including many physicians from distant States. Reports, resolutions, debates, excursions, eating and drinking, constituted the leading features of the occasion. The Convention is evidently

enlarging its field of operations from year to year, and will soon be stealing the thunder from the Pharmaceutical and Medical Associations. Space will not allow me to give the speeches and a detailed account of the daily business of the Convention, but only some of the subjects brought before this body of Sanitarians. The following are the officers elected for the coming year: President Dr. Jacob Bigelow, of Boston. Vice Presidents-Hon. R. D. Arnold, of Georgia, A. H. Stevens, M.D., of New York, H. G. Clark, M.D., of Boston, John F. Lamb, M.D., of Penn., Judson Gilman, M.D., of Md., Hon. Moses Bigelow, of N. J., Hon. J. C. Knight, of R. I., Robert Thompson, M.D., of Ohio, C. B. Guthrie, M.D., of Tenn., Thomas Stewardson, M.D., of Penn., Alderman Charles Starr, of New York, Hon. Thomas Aspinwall, of Boston, J. W. Houck, M.D., of Baltimore. Secretaries-Calvin Ellis, M.D., of Boston, J. B. Jones, M.D., of Brooklyn, William Taylor, M.D., of Penn., Alderman David C. Dadd, Jr., of N. J.

Dr. C. B. Guthrie, of Tennessee, presented a report upon legal restrictions for the control of the sale of poisons and dangerous drugs, ending with the following proposed form of law and list of medicines :

SECTION 1. No person shall be allowed to sell or dispense any of the following articles named in this act, and known as " Poisons or Dangerous Drugs," except that they shall hold the diploma or certificate of membership of a College of Pharmacy, or the certificate of the American Pharmaceutical Association, or the certificate of two or more physicians in regular or active practice in the town where they reside and propose to do business, certifying to their acquirements as apothecaries and integrity as men, which diploma or certificate shall be exhibited in a conspicuous place in their stores. This act shall not be considered as applying to practitioners of medicine in selling or dispensing to their patients.

SEC. 2. The following named articles shall be deemed poisons; and the persons authorized to sell or dispense the same shall keep a book of registration, in which the name of the article and the quantity sold, and the name and sex of the purchaser, shall be duly entered; and it shall not be lawful to sell or dispense the same to minors, or persons of unsound mind :

List of Poisons.-Atropia and its Salts; Aconite and its preparations; Arsenic; Corrosive Sublimate; Cyanide of Silver, Mercury, Zinc, and Potassium; Cannabis Indica and its preparations; Cocculus Indicus and its preparations; Cantharides; Deadly Night-Shade; Digitalis; Daturia; Delphinia and its Salts; Ergot and its preparations; Gelseminum and its preparations; Henbane; Nux Vomica; Nicotine ; Opium and its Salts; Essential Oil of Bitter Almonds, Rue, Tanzy, Savin; Prussic Acid; Picrotoxin; Poison Hemlock;

Strychnine; St. Ignatius Bean; Tartar Emetic in more than six grains; Veratria.

SEC. 3. This act shall not be taken to apply to such as are engaged in the mannfacture or wholesaling of any of the above articles, except when sold in small quantities to others beside the trade.

SEC. 4. All such articles shall be clearly and distinctly labeled with the name of each article; and such as are commonly used for the destruction of vermin shall also be labeled Poison, before leaving the hands of the apothecary. SEC. 5. All persons offending against the provisions of this law shall be subject to a penalty of- for each and every offence.

Finally, the whole subject was indefinitely postponed. But the report will be printed with the Transactions of the Convention.

Dr. Alexander H. Stevens, of New York, presented a report on the utility of wet docks in connection with quarantines, and the propriety of placing the entire establishment under the jurisdiction of the United States government. He also thought a law needed requiring cellars to be ventilated.

Dr. A. W. Bell, of Brooklyn, presented a report in print on external hygiene.

Dr. Snow, of Providence, submitted one on registration. Mr. Kimball, of Boston, offered the following resolution, but the Convention deemed it inexpedient to legislate upon it.

Resolved, As much panic now exists in view of the prevalence of pleuropneumonia in this and other States, and in view of the uncertain knowledge now existing in relation to the subject, its nature and cure, a committee of this Convention be appointed to consider and report upon the same.

The following declarations preceded the "Code of Marine Hygiene," as prepared by Drs. Bell, Harris, and Jewell:

1. Every organized government has the right of protecting itself against the introduction of infectious diseases, and of putting any country, place, or thing in quarantine which would introduce infectious diseases; provided, however, that no sanitary measure shall go so far as to exclude or drive from port a vessel, whatever may be her condition.

2. The only diseases at present known, against the introduction of which general quarantine regulations should be enforced, are plague, yellow fever, and cholera. In addition to these, however, all ports have the right of providing against a ship having typhus fever on board, and of applying prophylactic measures against small-pox. And, as regards the plague, the European Congress at Paris had the right to settle the question for the nations there represented; and that inasmuch as they and the other nations of the Eastern continent have reason to subject the plague to quarantine restrictions, the States of America yield implicit obedience to that convention.