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 44. Nearly all the chloroform used in Great Britain and her colonies is made in
Edinburgh, where the spirit duty is lower than in England. The London druggists
have almost ceased to make it, as they find it cheaper to get it from the trade in
Edinburgh.
45. The Edinburgh druggists suffered a great loss in 1850 from purifying their
chloroform in this way on the recommendation of Dr. Gregory, who was not aware
of the consequences, although they had been stated by Dumas (Ann. de Chim. et de
Physique, t. lvi, p. 117).
46. I have seen some specimens of chloroform that left a white, limy-looking
stain on the hand, which I believe was a minute quantity of crystalline chloride of
carbon. These specimens were unobjectionable for all practical purposes, and had
the merit of keeping remarkably well.
47. See Med. Gaz., vol. xl, p. 1092.
48. Dr. Letheby in Med. Gaz., vol. xlvi, p. 1037.
49. Lancet, Feb. 12, 1848.
50. Since the above was written, I have met with an instance in which the
pulse was only 40 in the minute, as the effects of the chloroform were subsiding.
There was neither sickness nor loss of blood. The case was that of a gentleman in
good general health, who inhaled chloroform whilst Mr. Brodhurst endeavoured to
make forcible flexion of the femur on the pelvis. He woke without any unpleasant
symptoms, and the pulse resumed its natural frequency.
51. Gazette des Hôpitaux, 20 Mars, 1847.
52. Medical Gazette, vol. xli-ii.
53. According to Professor Miller, chloroform was given, at one time, in the
Royal Infirmary of Edinburgh, in a somewhat slovenly, and not very cleanly
manner; he describes the means of applying it as, “anything that will admit of
chloroform in vapour being brought fully in contact with the mouth and nostrils; a
handkerchief, a towel, a piece of lint, a worsted glove, a nightcap, a sponge.” He
says, “In the winter season, the glove of a clerk, dresser, or onlooker, has been not
unfrequently pressed into the service.... The object is to produce insensibility as
completely and as soon as we can; and there is no saying, à priori, whether this is
to be accomplished by fifty drops or five hundred. We begin with generally two or
three drachms spilt on the handkerchief or lint; and we refresh that, or not, from
time to time, as circumstances require.” Surgical Experience of Chloroform, Edin.,
1848, pp. 16 and 17. The italics are not in the original.
54. Curious arguments are sometimes used in support of the idea of
peculiarities and idiosyncrasies. A medical man informed me, one day, that he had
seen a patient inhale an ounce of chloroform without any effect. I expressed my
opinion that if she had taken the vapour of one drachm into her lungs within four
minutes, or the vapour of a little more than half a drachm within two minutes, she
would have been insensible; and that the chloroform had mostly evaporated into
the room, without entering the patient’s lungs. Then, he said, it would have made
all of us insensible. Now to charge the air of a moderate sized room of twenty feet
square and ten feet high, uniformly with only a grain and a half of chloroform to
each hundred cubic inches, so that, if all the crevices were closed, a person inside
might, in course of time, absorb about eighteen minims of the medicine, and be
rendered insensible, would require nearly fifteen pounds of chloroform.
55. The increase of effects of chloroform after the inhalation is discontinued,
was pointed out by Prof. Sédillot of Strasbourg and myself almost simultaneously. I
explained the circumstance in a paper read to the Westminster Medical Society, on
January 8th, 1848, and M. Sédillot announced it to the Academy of Sciences of
Paris, on January 10th. My remarks were published in the Medical Gazette of
January 14th, and those of M. Sédillot in the Gazette Médicale of January 15th.
56. I have reason to conclude that the increased secretion of saliva is caused,
not so much by the action of the chloroform on the mucous membrane of the
mouth, and the extremities of the gland ducts, as by its action on the capillary
circulation of the glands themselves; for on inhaling the vapour carefully by the
nostrils, so that none enters the mouth, I still find that there is an increased
secretion of saliva.
57. London Journal of Medicine, April 1852.
In one of the latest communications of Dr. Marshall Hall to the Lancet, he did
me the honour to quote the account of the three following experiments, together
with some accompanying remarks from the London Journal of Medicine, and to
make the following observation respecting the pages from which he quoted.
“I have no hesitation in affirming that the first three pages of this paper are
amongst the most able and valuable in physiology, and I beg to be allowed to
reproduce them in the pages of the Lancet.” (Lancet, April 18th, 1857, p. 397.)
58. Edin. Med. and Surg. Journal, vol. lviii.
59. Lond. Med. Gaz., vol. xlii, p. 414.
60. London Journal of Medicine, April, 1852.
61. London Medical Gazette, vol. xlii, 1848, p. 109.
62. On the Inhalation of the Vapour of Ether, p. 82.
63. Medical Gazette, vol. xlii, p. 415.
64. See l’Union Médicale, 1855, No. 13.
65. London Medical Gazette, vol. xli, p. 255.
66. Opus cit., p. 253.
67. Opus cit., p. 341.
68. London Medical Gazette, vol. xli, p. 75.
 69. London Medical Gazette, vol. xlii, p. 80, from Western Lancet, and Phil.
Med. Exam. April 1848.
70. Vol. xliii, p. 682.
71. Gazette Médicale, 8 Juillet, 1848; and London Medical Gazette, vol. xlii, p.
211.
72. Proceedings of Academy on Feb. 6th, 1849. See London Journal of Med.,
1849, p. 307.
73. London Journal of Medicine, 1849, p. 324.
74. Lond. Med. Gaz., vol. xliii, p. 694.
75. London Med. Gaz., vol. xlii, p. 84.
76. Bouisson, Traité de la Méthode Anesthésique, p. 398.
77. London Med. Gaz., vol. xliii, p. 41.
78. Ibid., p. 712.
79. Ibid., p. 747, from l’Union Médicale.
80. Lancet, 1849, vol. i, p. 205.
81. L’Union Médicale, Sept. 8th, 1849; and Med. Gaz., vol. xliv, p. 478.
82. Lond. Med. Gaz., vol. xliv, p. 757.
83. Journal of Prov. Med. and Surg. Assoc., 1849, p. 698.
84. Casper’s Wochenschrift, Jan. 12, 1850; and Lond. Med. Gaz., vol. xlv, p.
483.
85. Edin. Monthly Journal, April 1850, p. 377.
86. Hygiea, October 1850, p. 602.
87. Lond. Med. Gaz., vol. xlvi, p. 39.
88. Lancet, 1850, vol. ii, p. 21.
89. L’Union Médicale, January 29, 1852.
90. Medical Times, 1851, vol. ii, p. 98.
91. Medical Times, 1851, vol. ii, p. 620.
92. Medical Times and Gazette, vol. i, p. 293.
93. Medical Times and Gazette, p. 318.
94. See a clinical lecture by Mr. Stanley, Med. Times, Nov. 22, 1851.
95. Gaz. Médicale, 1852, p. 630, from Medicinisches Correspondenz Blatt.
96. Medical Times and Gazette, 1852, vol. ii, p. 531.
97. Monthly Journal of Med., vol. xv, 1852, p. 377.
 98. Lancet, 1853, vol. i, p. 21.
99. Lancet, 1853, vol. i, p. 307.
100. Med. Times and Gaz., 1853, vol. ii, p. 47.
101. Monthly Journal, Nov. 1853, p. 427.
102. Since writing the above, I have noted by the watch the time which a
surgeon occupied in shaving the perinæum before the operation of lithotomy; it
was twelve seconds.
103. Medical Times and Gazette, 1853, vol. ii, p. 422.
104. Medical Times and Gaz., 1853, vol. ii, p. 449.
105. Ibid., p. 450.
106. Edin. Monthly Jour., vol. xix, 1854, p. 372.
107. Med. Times and Gaz., 1854, vol. i, p. 19, from Med. Zeitung von den
Vercine für Heilkunde in Preussen, No. 44, Berlin, Nov. 2, 1853.
108. Association Med. Jour., 1854, p. 109.
109. L’Union Médicale, 1854, p. 171.
110. Ibid., p. 187.
111. Association Medical Journal, 1854, p. 315.
112. Medical Times, 1854, vol. i, p. 572.
113. Medical Times and Gazette, 1854, vol. ii, p. 86.
114. Med. Times and Gaz., 1854, vol. ii, p. 390.
115. Ibid., p. 442.
116. Med. Times and Gaz., 1854, vol. ii, p. 501.
117. Medical Times and Gazette, 1855, vol. i, p. 363.
118. Edin. Med. Jour., 1855, p. 524.
119. 1855, vol. ii, p. 479.
120. Medical Times and Gazette, 1856, vol. ii, p. 442.
121. Association Med. Jour., 1856, p. 903.
122. Medical Times and Gaz., 1856, vol. i, p. 236.
123. Lancet, 1857, vol. i, p. 429.
124. Med. Times and Gaz., 1857, vol. ii, p. 171.
125. Med. Times and Gaz., 1852, vol. i, p. 627.
126. Gaz. Médicale, 1853, p. 304.
 127. Lancet, 1848, vol. ii, p. 47.
128. Bouisson, Méthode Anesthésique, p. 398.
129. Casper’s Wochenschrift, September 6, 1850; and London Med. Gaz. vol.
xlvii, p. 261.
130. Medical Times and Gazette, 1854, vol. i, p. 516.
131. Ibid., p. 517.
132. Chloroform: How shall we ensure Safety in its Administration? Pamphlet.
London: 1855.
133. See some interesting papers on the value of recumbent position in
syncope, by Dr. Richardson, in the Association Medical Journal for 1854. I entirely
agree with Dr. Richardson that no kind of syncope commences at the brain, and
that, during recovery, the heart always resumes its functions before consciousness
is restored. The restoration of the heart’s action in ordinary syncope by the re-
supply of blood to its cavities, without any alteration in the condition of the brain,
was well proved by Dr. Richardson by means of some interesting experiments on
animals which I had the opportunity of witnessing.
134. Oration before the Hunterian Society. Pamphlet, 1855.
135. Hydrochloric acid gas and ammonia are no exceptions to this rule, for
they cease to exist as gases so soon as they come in contact with the moist lining
membrane of the air-passages. Carbonic acid gas will be treated of in another part
of this work.
136. See Med. Times and Gaz., 1853, vol. ii, p. 562.
137. See above, p. 75.
138. Edin. Monthly Jour., 1853, vol. xvii, p. 220.
139. Med. Times and Gaz., 1852, vol. i, p. 627.
140. L’Union Médicale, 1850, p. 411.
141. Lond. Med. Gaz., vol. xliii, p. 230.
142. Medical Times and Gaz., 1856, vol. ii, p. 413.
143. Med. Times and Gaz., 1856, vol. ii, p. 478.
144. Ib., 1857, vol. i, p. 559.
145. Page 648.
146. Practical Surgery, 3rd ed., p. 682.
147. I never allow of a cork or any such substance being put into a patient’s
mouth when insensible unless it is well tied to a string, lest it should be swallowed.
148. Fourth edit., vol. ii, p. 467.
 149. It was made by Mr. Matthews, Portugal Street. It was not contrived by
me.
150. London Journal of Medicine, vol. i, pp. 54, 976.
151. See Medical Times and Gaz., 1855, vol. i, p. 361.
152. Dr. Watson defends the original name of this complaint, delirium
tremens. He says:—“But they who object to delirium tremens appear to see no
harm in delirium ferox: whereas it is just as incorrect to say delirium is fierce, as to
say that it trembles: it is the patient who is furious, even as it is the patient who
trembles.” Now, in speaking of a patient, we may speak either of his mind or his
body: we may say that a person is learned, or that he is fat. A patient may be fierce
on account of the kind of delirium with which his mind is affected, and the term
ferox applies both to him and the complaint; but the act of trembling affects only
his body.
153. Med. Gaz., vol. xli, 1848, p. 102.
154. Association Med. Jour., 1853, p. 706.
155. See Med. Times and Gaz., 1853, vol. ii, p. 412.
156. Med. Times and Gaz., 1857, vol. ii, p. 553, and 600.
157. Med. Times and Gaz., 1856, vol. ii, p. 528.
158. Brande’s Chemistry, 5th ed., p. 1274.
159. Lond. Med. Gaz., Feb. 1842.
160. On the Inhalation of the Vapour of Ether in Surgical Operations. London,
1847.
161. Papers on Narcotism by Inhalation. Lond. Med. Gaz., vol. xli-ii.
162. Lancet, Jan. 1, 1848.
163. Vol. xxxix, p. 271.
164. Medical Gazette, vol. xxxix, p. 358.
165. Gaz. Médicale, Mars 4, 1848, p. 170.
166. Gaz. des Hôpitaux, Juin 18, 1853.
167. Medical Gazette, vol. xxxix, p. 414.
168. Ibid., vol. xxxix, p. 585.
169. Medical Gazette, vol. xxxix, p. 631.
170. Méthode Anesthésique, p. 394.
171. American Journal of Med. Science, July 1857, p. 284.
172. Annales de Chimie et de Physique, 3ème série, tom. xii, p. 320.
 173. 15, Hanover Street, Hanover Square.
174. Bulletin Général de Thérapeutique, t. lii, p. 312.
175. L’Union Médicale, p. 175.
176. Less than an ounce of amylene was poured out, and it was not all used.
177. Medical Times and Gazette, 1857, vol. i, p. 84.
178. British Medical Journal, March 28th, 1857.
179. Bulletin Général de Thérapeutique, t. lii, p. 223.
180. Gazette Hebdomadaire, 1857, p. 164.
181. In the act of writing this last sentence, Dr. Snow was seized with his fatal
illness. The sentence required, however, but the addition of a word or two, to
render it complete.—[Editor.]
London, New Burlington Street,
September, 1858.
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 A CLASSIFIED INDEX

TO

MR. CHURCHILL’S CATALOGUE.

 ANATOMY.
PAGE
Anatomical Remembrancer 1003
Beale on Liver 1005
Hassall’s Micros. Anatomy 1014
Holden’s Human Osteology 1015
Jones’ and Sieveking’s Pathological Anatomy 1017
Maclise’s Surgical Anatomy 1019
Paget’s Catalogue 1021
Sibson’s Medical Anatomy 1025
Toynbee’s Catalogue 1028
Wheeler’s Handbook 1030
Wilson’s Anatomy 1031

CHEMISTRY.

Abel & Bloxam’s Handbook 1004

Bowman’s Practical Chemistry 1007
Do. Medical do. 1007
Chalmers’ Electro-Chemistry 1008
Fownes’ Manual of Chemistry 1012
Do. Actonian Prize 1012
Do. Qualitative Analysis 1012
Do. Chemical Tables 1012
Fresenius’ Chemical Analysis 1012
Galloway’s First Step 1012
Do. Analysis 1012
Do. Diagrams 1012
Griffiths’ Four Seasons 1013
Horsley’s Chem. Philosophy 1016
Jones.—Mulder on Wine 1017
Odling’s Practical Chemistry 1021
Plattner on Blowpipe 1022
Speer’s Pathol. Chemistry 1026
 CHOLERA.

Acland on Cholera at Oxford 1003

Baly and Gull—Reports 1004
Snow on Cholera 1026

CLIMATE.

Francis on Change of Climate 1012

Hall on Torquay 1014
Haviland on Climate 1014
Lee on Climate 1018
Martin on the Undercliff 1019
Martin (J. R.) on Tropical 1020

DEFORMITIES, &c.

Bigg on Deformities 1006

Bishop on Deformities 1006
Do. Articulate Sounds 1006
Brodhurst on Spine 1007
Do. on Clubfoot 1007
Hare on Spine 1014
Hugman on Hip-Joint 1016
Inman on Spine 1016
Tamplin on Spine 1027

DENTISTRY.

Blundell’s Painless Extraction 1007

Clark’s Odontalgist 1009
Gray on the Teeth 1013
Odontological Soc. Transactions 1021
DISEASES of the URINARY and GENERATIVE ORGANS, and SYPHILIS.

Acton on Reproductive Organs 1003

Coote on Syphilis 1009
Coulson on Bladder 1010
Do. on Lithotomy 1010
Egan on Syphilis 1011
Judd on Syphilis 1017
Milton on Gonorrhœa 1020
Parker on Syphilis 1022
Todd on Urinary Organs 1028
Wilson on Syphilis 1031

DISEASES OF WOMEN AND CHILDREN.

Bennet on Uterus 1005

Do. on Uterine Pathology 1005
Bird on Children 1006
Brown on Women 1007
Do. on Scarlatina 1007
Eyre’s Practical Remarks 1011
Hood on Crowing 1016
Lee’s Ovarian & Uterine Diseases 1018
Lee on Diseases of Uterus 1018
Do. on Speculum 1018
Roberton on Women 1024
Rowe on Females 1024
Smith on Leucorrhœa 1025
Tilt on Diseases of Women 1027
Do. on Change of Life 1027
Underwood on Children 1028
West on Women 1029
Whitehead on Abortion 1030
 HYGIENE.

Armstrong on Naval Hygiene 1003

Beale’s Laws of Health 1004
Do. Health and Diseases 1004
Blundell’s Medicina Mechanica 1006
Carter on Training 1008
Cornaro on Long Life 1009
Hartwig on Sea Bathing 1014
Do. Physical Education 1014
Hufeland’s Art 1016
Lee’s Watering Places of England 1018
Do. do. Germany, France, and Switzerland 1018
Lee’s Rhenish Watering Places 1018
Pickford on Hygiene 1022
Robertson on Diet 1024
Roth on Movements 1024
Rumsey’s State Medicine 1024
Van Oven’s Decline of Life 1029
Wilson on Healthy Skin 1031
Do. on Mineral Waters 1031

MATERIA MEDICA and PHARMACY.

Bateman’s Magnacopia 1004

Beasley’s Formulary 1005
Do. Receipt-Book 1005
Do. Book of Prescriptions 1005
Lane’s Materia Medica 1017
Pereira’s Selecta e Præscriptis 1022
Pharmacopœia Londinensis 1022
Prescriber’s Pharmacopœia 1023
Royle’s Materia-Medica 1024
Spurgin’s Materia Medica 1026
Squire’s Pharmacopœia 1026
Steggall’s Materia Medica 1026
Do. First Lines for Chemists 1026
Stowe’s Toxicological Chart 1027
Taylor on Poisons 1027
Wittstein’s Pharmacy 1031

MEDICINE.

Adams on Rheumatic Gout 1004

Addison on Supra-Renal Capsules 1004
Addison on Cells 1003
Alexander on Rheumatism 1003
Arnott on a Local Anæsthenic 1003
Barclay on Diagnosis 1005
Barlow’s Practice of Medicine 1004
Beale on Urine 1005
Billing’s First Principles 1005
Bird’s Urinary Deposits 1006
Bird on Charcoal 1006
Brinton on Ulcer 1007
Budd on the Liver 1007
Do. on Stomach 1007
Camplin on Diabetes 1008
Chambers on Digestion 1008
Davey’s Ganglionic 1010
Eyre on Stomach 1011
Fuller on Rheumatism 1012
Gairdner on Gout 1012
Garrett on E. and N. E. Winds 1012
Granville on Sudden Death 1013
Gully’s Simple Treatment 1013
Habershon on Stomach 1013
Hall on Apnœa 1014
Hall’s Observations 1014
Harrison on Lead in Water 1014
Headland on Medicines 1015
Hooper’s Medical Dictionary 1016
Hooper’s Physician’s Vademecum 1013
Jones’ Animal Chemistry 1017
Lugol on Scrofula 1019
Peacock on Influenza 1022
Do. on Heart 1022
Pym on Yellow Fever 1023
Roberts on Palsy 1024
Robertson on Gout 1024
Savory’s Compendium 1024
Semple on Cough 1025
Shaw’s Remembrancer 1025
Steggall’s Medical Manual 1026
Do. Gregory’s Conspectus 1026
Do. Celsus 1026
Thomas’ Practice of Physic 1027
Wegg’s Observations 1029
Wells on Gout 1030
What to Observe 1019
Whitehead on Transmission 1030
Williams’ Principles 1030
Wright on Headaches 1030

MICROSCOPE.

Beale on Microscope in Medicine 1005

Do. How to Work 1005
Carpenter on Microscope 1008
Schacht on do. 1025

MISCELLANEOUS.

Acton on Prostitution 1003

Atkinson’s Bibliography 1004
Bascome on Epidemics 1005
Bryce on Sebastopol 1008
Cooley’s Cyclopædia 1009
Forbes’ Nature and Art in Disease 1011
Gully on Water Cure 1013
Guy’s Hospital Reports 1013
Haycock’s Veterinary 1015
Lane’s Hydropathy 1018
Marcet on Food 1019
Massy on Recruits 1020
Oxford Editions 1021
Part’s Case Book 1022
Pettigrew on Superstitions 1022

NERVOUS DISEASES AND INDIGESTION.

Anderson on Nervous Affections 1004

Arnott on Indigestion 1003
Carter on Hysteria 1008
Child on Indigestion 1008
Downing on Neuralgia 1011
Hunt on Heartburn 1016
Lobb on Nervous Affections 1019
Radcliffe on Epilepsy 1023
Reynolds on the Brain 1023
Rowe on Nervous Diseases 1024
Sieveking on Epilepsy 1025
Todd on Nervous System 1028
Turnbull on Stomach 1028

OBSTETRICS.

Barnes on Placenta Prævia 1004

Lee’s Clinical Midwifery 1018
Pretty’s Aids during Labour 1023
Ramsbotham’s Obstetrics 1023