Issue 10, pp. 753-832, October 1861, SMSJ

i orL] ria. 787baring had several relapses, and resisted the action of sulphateof quinine, and presented the ana?mia, emaciation,anorexia, &c. seen in those who have long been affected byague. Three douch< required in two of these eases,and five in one other to remove the fever, hut from eight toeleven were necessary to cause the splenic engorgement andthe cachectic symptoms to disappear. In one case the liverwas very greatly enlarged, but this condition disappearedby perseverance with the affusions.M. Fleury arrives at the following conclusions : 1. Inthe treatment of recent intermittent fever, simple and withlittle or no engorgement of the spleen, cold douches maybe substituted for quinine.2. In the treatment of old-standing ague, where severalrelapses have occurred, and there is considerable enlargementof the spleen, or of the liver, with a cachectic condition,cold affusions are to be preferred toquinine, for theycut short the fever, restore the viscera to their natural volume,and remove the cachexy more safely than quinine, thelatter in large doses, not unfrequently acting injuriouslyupon the nervous system, or on the digestive organs. — (Bulletindes Aeadem. and Lancet.) Kanking's Half YearlyAbstract of the Medical Sciences, Xo. vii. Jan. to June,1848, p. OS.DiphtJuThe following practical observations upon the treatmentaken from a very interesting paper lead>re the New York Academy of Medicine, by Dr. JamesWynne.After giving an elaborate history of the epidemicsof this affection, he proceeds t}n\< :1) — -It la not a difficult matter generally t give acorrect diagnosis in diphtheria, especially when the practitioneris cognizant of the fact that a false membrane hasis forming. The diseases with which it is possible