side and unable to speak. Desiring to see his tongue, he was unable to protrude it, and I had actually to bring it forward with my fingers-it was coated with a white fur to its edges, which were preternaturally red. His pulse beat 115 strokes in a minute. The expression of his countenance was rather idiotic. During the day, before my arrival, he had vomited four or five lumbricoides.

"I immediately ordered an emetic, which caused the discharge of several additional worms, with some bile. I then administered a dose of calomel and jalap, eight grains each; and left two additional portions of the former medicine, each nine grains, to be exhibited at intervals of two hours.

"When I called the next day, my patient was able to walk about and speak. I prescribed a dose of castor oil; and when I saw him a few days afterwards, he was quite well."

D.

PROGRESS OF THE TEMPERANCE REFORM.

Within the last six months, we have had ample opportunities of observing the present state of the temperance reform in the Valley of the Ohio-emphatically the heart of the West. Everywhere the friends of temperance appear to be languid, and, in most places, absolutely inert. This does not strike us as remarkable; for nothing is more difficult than to sustain an associated benevolent effort for a great length of time. All such efforts are essentially intermittent. We look for a revival at no distant day. Some new influence will arise, and reproduce the noble warfare of the past.Meanwhile, we are enabled to say, that in almost every part of the West, that warfare, has been most effective. A careful inquiry of physicians, and intelligent observers of all classes, has convinced us, that the amount of drinking is far less than it was twelve years ago, when the first combinations against it were organized among us. Few or no families now take their morning bitters and, yet, the ague and fever is rather on the decrease than the increase; the practice of offering intoxicating drinks to visiters, has signally declined; the amount drunk at the tables of our taverns and steamboats, has diminished in an equal degree; labouring men take far less than they formerly did-a great number of farmers even give none in harvest time, and still find their operatives much more effi

cient and enduring, than under the old regimen; at our Fourth of July celebrations, but little is drunk compared with what our fathers consumed on that national festival; the great political meetings of both parties have been characterized by temperance in drinking, whatever may have been the intemperance of their partisan feelings; finally a "drunken doctor" is becoming a phenomenon, which the boys are beginning to chase in the street!

Such are the fruits of a few years exertion, and we conscientiously believe them as rich and abundant as the most sanguine friends of reform ever anticipated. We must not forget, however, that the disease remains uneradicated. The inflammation has been subdued into a subacute and chronic form; but such a morbid action may do the work of destruction, and is at all times liable to be awakened into activity. We call upon our brethren, especially, to be vigilant and tireless in this labour of love and duty. Of all the professions, theirs is the one which may exert the greatest corrective power, and therefore lies under the heaviest responsibility. D.

LOUISVILLE MARINE HOSPITAL.

It is pretty universally conceded, we believe, that Clinical practice cannot be rendered of much avail to a large medical class, where the patients are examined and prescribed for in the ordinary wards of a hospital. But few, comparatively, of such a class, can see either the patient or the medical attendant, and all interest is soon lost in the case where the ear alone is addressed and the symptoms cannot be noted. Impressed with this disadvantage, and regarding the Hospital as the right arm of the Medical Institute, the Faculty determined, last winter, on erecting a Lecture and Operating Room in connexion with the main building. This room is now in progress and will be in readiness for the class by the last of October. It is placed a few feet south of the old building, of which it will form a wing, being connected with it by a gallery, along which the patients, either for medical or surgical treatment, will be carried on their beds from the wards without exposure or inconvenience. The room will the be capable of seating four hundred persons, and being arranged in form of an amphitheatre, with sky-lights, will afford to each student a full view of the patient while undergoing examinations or opera

tions. In this arrangement, the well-founded objection against the usefulness of hospitals to large classes of medical students, that they can neither see the sick, nor distinctly hear the prescriptions for them, will be wholly obviated. The Institute will be fully in possession of this most important element of medical instruction.— A sufficient number of patients is always found in the medical and surgical wards to give interest and value to clinical lectures. Y.

TEA AND COFFEE, AS THE CAUSE OF SICK-HEADACHE.

Dr. Brooks, of Harrisonville, Mo., demolishes the theory of Dr. Burbell, noticed in our July No., that the use of tea and coffee is the source of the accumulating anguish which flows from this disease. He proceeds on this wise:

"I was brought up in Kentucky in early times when it was not easy to procure tea and coffee, and when, consequently, they were little used. Those who lived most luxuriously drank coffee once a week, but then it was not made strong, as now, but was frequently mixed with parched rye or wheat. In those days, I had around me a connexion of about a thousand souls, all of whom, except one, were more or less addicted to this complaint. Since that time, my family connexion has inuch increased, and from all I can learn sick-headache has diminished amongst them, notwithstanding that, like most other people, they have fallen into the habit of drinking tea and coffee, many of them to excess. I do not wish to be understood as expressing a belief, that these beverages are remedies for the disease, but only that they are not the most common cause of it, and that total abstinence from them will not relieve every case. I have had a fair opportunity of knowing something about this matter-I am upwards of fifty-two years of age, and have been engaged in the practice of medicine for nearly thirty years.

"I wish to make an enquiry about a change which sometimes takes place in children after birth, commonly called double lip. I have seen no mention of it in any medical work, nor have I ever heard a medical man speak of the infirmity. Within the last three and twenty years I have met with it in thirty-one children, who were born without it, which I believe is always the case. The deformity commences generally a little to one side of the lip, and gradually

the inside protrudes downwards. I believe it is confined to the upper lip. What is the cause of this affection? Can it be prevented, or cured when it has become confirmed."

Y.

VELPEAU'S OPERATIVE SURGERY.

A translation of this work is now in progress by John R. W. Dunbar, M. D., Professor of Surgery in the Washington Medical College, Baltimore, and will be published in the course of next spring. Velpeau's Surgery is one of the ablest works on that subect extant in any language. It will be accompanied by notes on American Surgery by the Translator, and executed with the ability of which the character of Professor Dunbar gives promise, will no doubt prove highly acceptable to the American profession. It should be mentioned, that this is the second edition of Velpeau's Surgery, much enlarged and improved. Y.

HEALTH OF LOUISVILLE.

From the unusual quantity of rain which fell in this city in the last Spring, and first Summer months, it was apprehended that the Fall would be sickly. Up to this time, we are happy to say, these apprehensions have not been realized. The cases of Fever have not been numerous, and, generally, those which have presented have been of an uncommonly mild and manageable character. Upon the whole, it is the opinion of the oldest physicians of the city that few more healthy seasons have passed over Louisville. Y.

DEATH OF DR. PERRINE.

The readers of this Journal, and of its predecessor in Cincinnati, the Western Journal of the Medical and Physical Sciences, will regret to hear that Dr. Henry Perrine, whose interesting communications have often met their eye, is no more. He was killed by the Indians during the night of the 6th of August last, at Indian Key, South Florida, where his last communication to the Journal was dated.

Dr. P. was a native of New Jersey, and received his professional education, we believe, in one of the New York schools. The commencement of his professional career was in the state of Indiana, whence he removed to Mississippi. In both states he distinguished himself by the successful energy of his practice in the malignant intermittents, which from fifteen to twenty years ago prevailed in the West and South. Accounts of his treatment of such cases, by scruple and even drachm doses of Sulphate of Quinine, were published soon afterwards in the American and the Western Journals. While residing in the state of Mississippi, he received the appointment of Consul to the Mexican city of Campeachy, in the province and peninsula of Yucatan, where, during a residence of several years, he made the natural productions and diseases of that region a subject of special study. When the epidemic Cholera reached it, his superior skill and benevolence rendered him a public benefactor. His account of the disease was published soon afterwards in the Western Journal.

During his residence abroad, his active and patriotic mind conceived the design of transplanting into the southern part of Florida a great number of tropical plants, useful in medicine, dietetics, and the arts. To accomplish this, he returned to the United States, and presented to Congress a memorial, praying for the grant of two townships of land in South or Tropical Florida, on which to make the experiment. A report in favor of his application was made, but not acted upon at that session. With indomitable energy, he pressed into his service a great number of his brethren and other scientific men, in different parts of the Union, and at the next or a subsequent session, new and elaborate reports in favor of the object having been made to both Houses of Congress, he obtained the grant of one township.

Although his constitution had been greatly injured by a residence in hot climates, he repaired forthwith to the scene of his future operations, and entered upon them, with his characteristic zeal. He had fixed his residence with a few families at Indian Key, which in the darkness of the night was attacked by 100 or 150 Indians. He went to the cupola of his house and spoke to them in the Spanish language, when he was shot, or at least did not return. His wife and three children effected their escape. His house was burned up, and all his valuable notes and papers, on the production and diseases