716 
state of the skin, previous to the affusion 
being employed, and hence the necessity 
of giving the emetic a considerable time 
previous to the washing, that the condi- 
tion of the skin, from perspiration, &c. 
nay not render it unfit for the applica- 
tion of the cold water. 
6. “ History of a remarkable case of 
diabetes, treated in the Royal Infirmary 
of Edinburgh, and extracted from the re- 
cords of that hospital.” 
This is the detail of a case, mentioned 
in the last volume of the Annals of Me- 
dicine, as having been cured by the use 
of lime water and powder of galls. 
7. * History of a considerable wound of the 
brain, attended with singular circumstances. 
By Mr. Fuward Barlow, student of medi- 
¢ine at Edinburgh, from Westmeath, Ire- 
Jand.” 
The patient, a boy of about 14 years 
of age, received a kick from a horse 
aboye the orbit, by which a large frac- 
ture was’ produced, and many of the 
broken pieces of the skull driven into the 
substance of the brain. Portions of the 
brain also escaped through the opening. 
The symptoms were very unfavourable 
during the first week, but in the second 
they began to improve. Early on the 
third, however, the suppuration, gradu- 
ally increasing, became profuse, and as 
-it was undiminished by the use of bark, 
an examination became necessary into 
the circumstances which kept it up. This 
examination discovered, that the dis- 
charge which wetted the bandages, night- 
cap, and even the pillow, ‘ was distinct 
from the purulent matter which the ulce- 
rated surface afforded.’ 
«* —— That it came from the internal 
part of the wound, and was perfectly watery, 
as it now appeared distilling in quick suc- 
cessive pellucid drops from the eye-brow, 
ein ipe with any purulent matter, which 
would naturally have impaired its trans- 
parency.” 
_ Various speculations on the source of 
this discharge were made ; but the only 
probable one seemed to be, that a piece of 
the bone had penetrated the left ventri- 
cle of the brain, and that the fluid dis- 
‘charged was an increased secretion from 
its cavity. Calomel with opium, and af- 
“terwards peruvian bark were employed 
to remove it, and with success. The boy 
recovered his health, but his vision re- 
mained in a slight degree affected. 
- 8. Case of a guin-shot wound, with a divi- 
sion of the femoril artery, By Mr. David 
MEDICINE, SURGERY, ANATOMY, &e, 
Aitken, assistant-surgeon -of his majesty’> — 
ship O+eryssel.” 
The termination was fatal, and the- 
circumstance chiefly remarkable in the 
case, was the state of the wounded ar- 
tery. 
« The artery, just about te enter the 
ham, was completely divided by the ball, its 
two ends fairly separated from each other,’ 
yet accompanied by no immediate hamor- 
thagy, nor followed by that whieh was to be 
dreaded after the sloughs had been thrown 
off. ‘There was not even any internal bleed- 
ing; there was no aneurism ; but the divided 
artery was shrunk, and closed ; the cireus 
lation was destroyed in the limb, and the 
leg perished before nature had forced opem, 
other channels for conveying bleod to the, 
parts below the wound.” 
_ 9.“ A Letter from Dr. G. D. Yeats, physi- 
cian at Bedford, to Dr. Dancan, giving an: 
account of the good effects obtained from a 
combination of calomel and opium 3 inflam- 
matory diseases ; with observations on efleets: 
arising from the acetite of copper, and on 
some other important subjects in the practice 
of medicine.” 
The author was led to the employment 
of calomel and opium conjoined, in ine 
flammatory complaints, from the recoms 
mendation of Dr. Hamilton, of Lynn 
Regis, who wrote a paper upon the sub- 
ject in the ninth volume of the Medical 
Commentaries. Acute rheumatism, en- 
teritis, and pleurisies, were the complaints 
in which this combination was found 
most useful. A case is given in which 
bleeding, blistering, nitrous and antimo; 
nial medicines had all been employed 
without advantage, for very viclent 
pneumonic symptoms, indiczfed by ine 
cessant cough, acute pain of the side, 
strong, full,-and quick pulse, with vio, 
lent exacervations of fever. Repeated 
doses of calomel and opium were then had 
recourse to, which, ina short time, gave 
great relief, and as soon as the mouth 
became sore, produced a cessation of 
every bad symptom, 
Another case is annexed, to shew the 
ineficacy of nitrous acid in syphilitic 
complaints, and of mercury without a 
due regard to diet. 
Some yery serious symptoms are men- 
tioned, as having occurred ina family 
who had eaten pickled salmon, supposed - 
to have had an impregnation of verdi- 
gris. They went off by the use of sule 
phur given in large doses, A case of 
diseased liver is also inserted, in which 
ra 
