86 



aggregate 1 cells of a globular form, which, treated with acetic acid. 

 showed large nuclei. There were also numerous blood corpus* 

 The i'at cells were few and of a particular Bhape. The whole cell- 

 wall was separated from the usual homogeneous contents, and the 

 interval thus formed filled with oily granules. Occasionally a little 

 spot of yellow was seen among the dirty red colour, which indicated 

 the presence of normal fat cells. The reddened portions were dotted 

 with tubercular spots which were sharply circumscribed. The car- 

 tilage was in many places irregularly thinned, especially at the 

 margin of the joints. On examining the hones of non-rheumatic 

 persons, Hasse could not distinguish any of these change-. 



TO. Dr. Latham has drawn attention to the connection hot ween 

 acute rheumatism and diseases of the heart. Out of 136 cases of 

 til- former he found the heart affected in 90. Of the 00, the endo- 

 cardium alone Avas the seat of disease in 63, the pericardium in 7. 

 In 11 cases both of these membranes were affected. From this it is 

 concluded that the complication is the rule; the exemption, the 

 ception. Thai the endocardium is the seal of disease nine times, where 

 the pericardium is once. That acute rheumatism, then, is not a 

 trivial disease, since it is so often complicated with disease of the 

 heart, and since this organ is but rarely restored to health after- 

 wards. {Lectures on Subjects Connected with Clinical Med.) 



In the treatment of these diseases, Dr. Latham thinks bleed- 

 ing of doubtful advantage, if, indeed, it be not really injurious. It 

 should only be used as accessory to other treatment, polchicum 

 he thinks useful in cases of relapse, and he uses it uncombined. 

 This principal dependence is on mercurial purgatives given accord- 

 ing to circumstances. 



71. Dr. Corrigan recommends firing, which he performs by heat- 

 ing a button-shaped instrument, in the flame of a spirit-lamp, to the 

 temperature of boiling water; the instrument is tapped on the part 

 and quickly withdrawn, the manipulation being rapidly and fre- 

 quently repeati d. 



The pain <>!' this operation is trifling, the effect being only a slight 

 and transient redness of the skin. ELaciborski recommends galvan- 

 ism and cod-liver oil. Dr. Ruschenberger, in his quarterly report 

 of diseases and injuries at the iXaval Hospital, New York, says: "I 

 have keen in the habit of treating acute rheumatism upwards of two 

 years, hy cold applications to the hot and swollen joints, and admin- 



