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the disease being greater or less after one or the other method of removal-for as to this we have as yet no facts, and to speculate would be worse than useless-we may safely assert that the plan which Mr. Stanley is trying possesses some very important advantages. Nor is it among the least of these that it may be expected to prove useful in certain cases not well suited for the knife, as, for instance, where the cancer is deeply ulcerated and borders upon important parts. In some regions of the body it will be particularly appropriate for it. On the tongue, in the cheeks, on the lips, etc., it can manifestly be used but very imperfectly, and will probably never supersede the knife; while it may be applied with ease and efficiency to cancers of the breast, or indeed of any well-exposed surface, and particularly to those of the penis or of the extremities.

"While on this subject we may just notice as an additional fact a case in which Mr. Hutchinson has been employing a solution of the strength recommended by Mr. Stanley against a large recurrent fibroid tumour of the uterus. The woman an out-patient at the Metropolitan Free, had been twice operated upon during the past year, but after each the tumour had again appeared and increased with great rapidity. At the time the trial of the solution was made it had grown to the size of an infant's head, and filled the uterus, projecting a little at the open os. The plan adopted was to pass a small catheter into the middle of its structure, and gradually inject into different parts about two ounces of the solution (one ounce of Sir W. Burnett's fluid to eight of water.) This was repeated every third day for about three weeks, and had the effect of causing some fragments of the growth to slough and come away. They were, however, of but small size when compared with what remained; and as the tumor went on increasing it was at length desisted from. No ill symptoms had been caused, although a good deal of smarting would generally follow the injections."-[Med. News and Library.

Belladonna in Incontinence of Urine.

L. B., aged 8 years, was admitted as an out-patient at the Hospital for Sick Children, under the care of Mr. Athol Johnson, in July last, on account of incontinence of urine. This infirmity had existed since birth, and she had frequently been under treatment for it, both in private and at St. Bartholomew's Hospital, without however, deriving any material benefit. At the time of her admission, the urine was acid, and nothing particular was observed as to its composition. She used to pass it frequently in the day, and usually wetted her bed two or three times during the night. She was treated at first, up to October 29th, with purgatives, alkalies, and blisters to the sacrum, but without any improvement being thereby obtained. It may be observed that there was no worms. At the above date, she was ordered one-eighth of a grain of extract

of belladonna night and morning. On November 22d, it is noted that the child had been doing very well since the use of the belladonna, and that she only passed urine in bed about once in a week. After this, she did not attend regularly; and on February 11th, after an absence of more than a month, she again presented herself in much the same state as at first, the urine being again passed frequently. The belladonna was resumed, and the incontinence again materially checked, especially at night. On February 25th, the quantity of the drug was increased to one-sixth of a grain; and on March 18th, when last seen, she had not passed water in bed since the previous date.

Remarks. This case, though it cannot be said to be perfect, in consequence mainly of the inattention of those who had care of the child, illustrates forcibly the good effect which the use of belladonna unquestionably has, in many cases, of irritability of the bladder. The affection appears to have been congenital; all kinds of other remedies had been adopted without effect, and the improvement following on the administration of belladonna was as marked as the relapse which ensued on the omission of the treatment. It is offered, not as an instance of perfect cure, but as a well marked example of the power of the drug over this particular symptom. No other effect was observed to follow its administration.—[British Medical Journal.


We here present to our readers the minutes of the 10th Annual Meeting of the American Medical Association, copied from extra sheets of the Nashville Journal of Medicine and Surgery, kindly forwarded to us by the Editors. To allow space for our Original and Eclectic departments, we have been constrained to leave out the excellent address of Dr. Pitcher, the retiring President, but hope to give it in a future number.

SPECIAL REPORTS.-INFANT MORTALITY.-It will be seen by reference to the proceedings, that an unusual member of special committees have written after them “No report”—“ Continued." We may, therefore, expect the next volume of American Transactions to be one of small size, and we do not altogether regret it, as, from the abstracts, read in our hearing, of several of the forthcoming reports, we have every reason to expect that quality will more than compensate for any deficiency in quantity.

The report of D. Meredith Reese, M.D., LL. D., of New York, on the momentous subject of INFANT MORTALITY, was decidedly the report of our last meeting, and will go far to vindicate the next volume of our Transactions from the charge, made by the British Reviewers, of being "a big

book with nothing in't." Dr. Reese's conclusions are based upon careful statistical observations, and the developments are truly startling. He has examined the subject in all its bearings, from the causes which are inimical embrionic as well as extra-uterine infantile existence, and his report, when published, must necessarily awaken attention in a field of observation comparatively new, and heretofore very much neglected. We hope that this report will be given to the profession in a separate form, in order that it may fall in the hands of a greater number, than the readers of the Transactions.

Dr. R. D. Arnold, presented an abstract of a highly creditable report from Dr. J. F. Posey, of Savannah, which we hope to notice more fully hereafter. VOLUNTARY CONTRIBUTIONS.-The report of "A new principle of Diagnosis in dislocations of the shoulder joint," by our colleague, Professor L. A. Dugas, recommended as first among the voluntary contributions, we hope to present shortly to our readers, together with the artistic illustrations furnished in photograph by the reporter to the Association.



NASHVILLE, May 5, 1857.

The Association met at 11 o'clock, in the Representative Hall of the State Capitol, the President, Dr. Zina Pitcher, of Michigan, in the chair, and upon his right, Dr. W. K. Bowling, of Tennessee, one of the Vice-l'residents. Dr. Wm. Brodie, of Michigan, and Dr. R. C. Foster, of this city, Secretaries, were present.

The meeting having been duly organized, the first business in order was stated by the chair to be the reception of the report of the Committee of Arrangements.

Dr. C. K. Winston, chairman of the Committee of Arrangements, on behalf of the committee and of the medical profession of the city generally, extended a sincere and cordial welcome to the members of the Association, in a few pertinent and appropriate remarks, as follows:

Mr. President and Gentlemen of the American Medical Association:

This, I believe, is the Tenth Annual meeting of this Association. As chairman of the Committee of Arrangements and Reception, I am charged with the agreeable duty of welcoming you to the State of Tennessee and the City of Nashville I regret that I have not language to express this sentiment with sufficient cordiality. 1ouly add, gentlemen, in common phrase, "You are more than welcome."

You are the representatives of a profession, distinguished alike for its antiquity, its scientific attainments, and its usefulness. It constitutes the true link between science and philanthropy-science and philanthropy, moral, intellectual and physical. You come from every portion of this glorious republic-from the Kennebec to the Rio Grande-from orange groves and golden sands-from mountains clad in eternal snow, and valleys smiling in perpetual verdure. You come not for purposes of self-aggrandizement or personal ambition, nor yet to advance the schemes of parties or stir up the antipathies of sections. "You know no North, no South, no East, no West;" but you come as a company of philanthropists, a band of brethren, that you may pour the acquisitions of another year into a common treasury, kneel side by side at a common altar-and drink the living water as it gushes from a common fountain. You have come to maintain the dignity, to elevate the ensign of a pro

fession, to which you have devoted your lives, and to which you have linked your fortunes.

You are the cultivators of a profession eminently progressive, admitting to the fullest extent the spirit and genius of enterprise. So much may not be so fully said of others. Who could expect at this or any other day, to embellish the Commentaries of Blackstone, or improve the pleadings of Chitty, or re-poise the scales of justice? Where are the men with commissions never so divine, who would attempt to re-cast the logic which made Felix tremble, or adorn the doctrines of justification by faith? Who hopes now to shed additional light on the pathway to the skies, or sing in strains more immortal than the triumphs of the cross? Not so with Medicine. Yours is a rising orb-magnificent in its proportions-while others have reached the zenith, yours has but begun to mount the heavens-while others have begun to fade, yours knows no eclipse nor decline. You revere the names of Hippocrates and Sydenham, of Brown and Cullen, with a host of others; you treasure up their maxims, and admire the genius with which they struck out new truths, but you acknowledge no master, you fall down at the feet of no Gamaliel. You have come to the day of free thought, of free investigation and free speech. You call in ques tion the most hoary, as well as the most recent fact, and you are floods of light, principles hid from the foundation of the world. You are eminently the students of nature. While others may be led along dubious paths by mortal pedagogues, your teacher dwells in the realms of eternal light, and guides with hand unseen and unerring to essences and first causes. The formative chrystal and germinal dot are alike transparent before you. You are taught the mysteries of the living principle; the scalpel and retort are your companions, while you revel in the wonders of the microscopic world. You understand, somewhat, the laws by which a mote or a mountain is formed, a monad or a man is made. The spear of grass which lifts its head in the distant solitude, the lordly oak and imperial cedar, instruct you, while air, and earth, and sea, with the creeping multitude, yield treasures at your command.

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You are the veterans of a thousand battle fields, not of mortal strife where man meets man in sanguinary conflict; but where a secret and impalpable foe-a tyrant who has reigned from Adam till now-disposes his secret forces and directs their deadly shafts. When others have turned back affrighted and aghast, you, singlehanded and alone, have met " the pestilence which walketh in darkness," and the destruction" which wasteth at noonday," despoiled them of "the armor wherein they trusted," and have driven them ignominious, from the field.

Were the victories which you have won, the conquests which you have achieved known, you would be crowned with laurels more unfading than those which entwined the brows of Greek or Roman conquerors.

But more and better than all, you are the lovers of your race, the friends of humanity. Scattered about all over this happy land, you emphatically “go about doing good." Your hearts beat in unison with human woe-your ears are open to the cry of distress, whether it come from hovel or palace-you "wipe away the orphan's tear and cause the widow's heart to sing for joy,"-upon your heads daily descend "the blessings of those who were ready to perish."

To such a body of men thus actuated, thus coming, we extend a cordial welcome. We feel honored by your presence, and expect to be improved and elevated by your intercourse. We throw wide our doors and invite you to the hospitalities of our homes, and to the kinder affections of our hearts.

Dr. Winston then proposed that the roll of delegates, who had registered their names, should be read. The roll having been called, it appeared that twenty States were represented.

Upon the suggestion of Dr. C. K. Winston, our venerable fellow-citizens, Drs. Felix Robertson, John Shelby, and James Overton were made permanent members of the Association.

The following list comprises the names of all delegates, permanent members, and members by invitation in attendance during the session:

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New York-James R. Wood, D. M. Reese, Geo. N. Burwell, Alden March, Samuel St. John.

New Jersey-Richard M. Cooper.

Pennsylvania-R. Dunglison, B. F. Schneck, Casper Wister, P. Cassidy.

Georgia-Henry F. Campbell, C. R. Walton, N. F. Powers, A. H. Means, Joseph P. Logan, M. H. Oliver. Thomas S. Powell, J. Gordon Howard, R. D. Arnold, Geo. P., Padelford, Pike Brown, Jesse Boring.

Alabama-G. M. Merriwether, W. P. Reese, A. F. Alexander, S. W. Clanton, W. II. Thornton, P. C. Winn, T. Stith Malone, W. J. Bass, G. D. Norris, J. F. Sowell, J. W. Morris.

Tennessee Frank A. Ramsey, James Rodgers, R. O. Currey, B. B. Lenoir, J. L. C. Johnston, J. M. Boyd, Geo. R. Grant, T. A. Atchison, S. S. Mayfield, J. D. Kelley, T. L. Maddin, J. D. Winston, J. E. Manlove, G. A. J. Mayfield, Richard Owen, W. P. Jones, J. P. Ford, Robert C. Foster, Jno. II. Callender, Jno. II. Morton, A. II. Buchanan, James W. Hoyte, N. C. Perkins, J. Berrien Lindsley, C. K. Winston, Paul F Eve, W. P. Moore, Milo Smith, Wallace Estill, B. W. Avent, H. H. Clayton, H. M. Whitaker, H. B. Malone, T. M. Woodson, A. B. Ewing, Robert Martin, W. K. Bowling, P. S. Woodward, R. F. Evans, Thomas Lipscomb, M. Ransom, J. A. Long, John M. Watson, W. D. Haggard, Jno. S. Park, D. B. Cliff, T. G. Kennedy, T. R. Jennings. Ira Conwell, J. S. Burford, W. H. Childress, W. A. Cheatham, J. F. Towns, J. M. Brannock, B. C. Jillson, P. W. Davis, G. F. Smith, W. D. Senter, J. W. McNutt, R. G. P. White, J. P. Epperson, S. L. Wharton, T. C. Murrell.

Louisiana-S. O. Scruggs, Robert A. New, Cornelius Beard, E. D. Fenner. Kentucky-Samuel Annan, R. W. Gaines, J. B. Flint, J. W. Singleton, R. J. Breckinridge, S. C. Porter, W. S. Chipley, S. M. Bemiss, L. G. Ray, W. A. Atchison, E. G. Davis, L. E. Almon, Jno. T. Fleming, C. P. Mattingby, D. W. Yandell.

Indiana-W. H. Byford, W. W. Hitt, Isaac Mendenhall, T. Bullard, N. Johnson. Illinois-J. C. H. Hobbs, A. H. Luce, James M. Steel, E. K. Crothers, T. K. Edmiston, W. A. Hillis.

Missouri S. Pollak, E. S. Fraser, Jno. S. Moore, C. A. Pope.

Michigan-A. B. Palmer, L. G. Robinson, Zina Pitcher, W. Brodie, L. H. Cobb, M. Gunn, Lewis Davenport, P. Cline, M. D. Stebbins,

Iowa-Asa Horr, Wm. Watson, D. L. McGugin, J. C. Hughes.

Ohio-Henry F. Koehne, J. M. Mosgrove, B. S. Brown, D. Ferris, A. W. Munson.
Wisconsin-Hays McKinley, J. K. Bartlett.

South-Carolina-E. R. Henderson, M. S. Moore, R. W. Gibbes, R. S. Bailey.
Mississippi-F. B. Shuford, J. S. Cain, J. T. Lowe.

Arkansas-F. Grundy McGavock.

After a customary recess of fifteen minutes, the Association was called to order. The State Delegations then reported their choice respectively of delegates to serve on the Nominating Committee, which was constituted as follows:

Connecticut, Chas. Hooker; New Hampshire, A. Smalley; Indiana, W. W. Hitt; Wisconsin, J. K. Bartlett; New York, Jas. R. Wood; Michigan, A. B. Palmer; Missouri, J. S. Moore; Illinois, T. K. Edmiston; Kentucky, R. J. Breckinridge; Arkansas, F. G. McGavock; Ohio, B. S. Brown; South Carolina, R. W. Gibbes; Alabama, W. P. Reese; Mississippi, F. B. Shuford; New Jersey, R. M. Cooper; Louisiana, S. O. Scruggs; Pennsylvania, P. Cassidy; Georgia, Thomas S. Powell: Tennessee, J. B. Lindsley; Iowa, Asa Horr.

On motion of Dr. Hooker, of Connecticut, it was resolved that the President, Dr. Pitcher, be now requested to deliver his annual address.

[This excellent address we will present to our readers in a future number.] On motion of Dr. Flint, of Ky., the thanks of the Association were tendered to the President for his very able address, and the same was referred to the Committee on Publication.

The chairman of the Committee of Arrangements announced that the sessions of the Association would be from 9 A. M. to 2 P. M.

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