smaller and softer than is natural: and such changes could not have taken place on a sudden.

Whilst he lived regularly as to his meals, and the peristaltic motion was not disturbed, this unusual state of the viscera produced no remarkable symptoms; but if at any time he ate a larger meal than ordinary, he was subject to costiveness, and to a pain which he always referred to the epigastric region. At such times, it is probable that a larger quantity of fæces than usual was forced into the protruded gut, and against the perforation through the diaphragm, by which their passage was for a time impeded.

This cause appears to have laid the foundation of his death. He had eaten voraciously, and had accelerated the passage of the food by a purgative; by which means a strangulation was brought on, so obstinate as to resist all the medicines employed for its removal.

It is farther to be observed, that (considering the nature of the disease) the symptoms were more mild than is usual in cases of fatal constipation from strangulated hernia, introsusception, &c.—and that, although the portion of intestine and epiploon found in the cavity of the thorax, and a large part of the contents of the abdomen, were in a high degree of inflammation, yet the cavity of the thorax partook but in a slight degree of the disease."

A case in which the omentum was pushed through an opening of the diaphragm, into the thorax, has been described by Dr. Ferriar, in the second volume of his "Medical Histories and Reflections;" (p. 43.) which seems to confirm Dr. Clarke's opinion, that this species of hernia may exist without producing any specific symptoms.

This paper is illustrated by two engravings.

On the Effect of the pure fixed Alkalis, and of Lime Water, in several Complaints. By G. Blane, M. D.-In consequence of finding strangury often relieved by the exhibition of pure kali, in cases in which the complaint arose merely from irritability, Dr. B. has been led to suppose that this remedy lessens the acrimony of the urine, by diminishing the quantity of lithic acid which it contains. Lime water, we are told, has a similar effect.

In indigestion, Dr. Blane, like most other practitioners, has employed these substances with success. He attributes their efficacy to their action on the gastric acid. Lime water is said to be very useful as a lotion in the gutta rosea, which Dr. B. seems to attribute to an acid excretion.

An Account of a singular Disease in the great Intestines. By M. Baillie, M.D. &c.-In this extraordinary case, after violent pains in the stomach and bowels, and bloody purging, a portion of the colon was discharged by stool, three weeks before the patient's death. What particular change had occured in the cavity of the abdomen could not be ascertained, as an inspection of the body was not permitted.

REV. SEPT. 1800.

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An Account of an uncommon Tumour, formed in one of the Ax illary Nerves. By Everard Home, Esq. &c. Every fact, which extends our knowlege of the diseases of the nervous system, is valuable; these cases, therefore, merit the attentive perusal of medical readers. We shall insert the concluding remarks on this species of tumours:

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They may be distinguished from other tumours by a pain which is felt in the direction of the tumour, and in the part beyond it, even at the time when the tumour itself is moveable laterally in the sur rounding parts. They may be also distinguished by the motion of the tumour, being chiefly in a lateral direction, but not in the direc tion of the nerve to any extent; and by the attempt to produce this longitudinal motion, being attended with considerable pain.

In the removal of such tumours, we find that so far as we are justified in drawing conclusións from two instances, the taking away three inches of a nerve is productive of less violent effects than are occasioned by inflammation and suppuration in the substance of the Herve for an equal extent.

The inflammation of a nerve like that of a tendon, appears to affect the general system in a greater degree than would be expected, by a man unacquainted with pathology, from the little severity of the symptoms, or sensation in the part affected."

On the Use of the Application of Gastric Juice to Sores. By John Harness, M.D. Physician to the Fleet-The efficacy of the gastric juice of bullocks and sheep, externally applied to irritable sphacelated ulcers, is placed in a strong point of view in these cases.

The Case of a Person who was shot through the Lungs, and survived for thirty-two years; with an Account of the Appearance of the Contents of the Thorax after Death. By Everard Home, Esq. &c. This is the first account of the appearances after death, in the lungs of a patient who had survived their penetration by a shot. The description is very accurate, but cannot be abridged so as to enable us to insert it.

An Account of the Case of a Man who had no Evacuation from. the Bowels for nearly fifteen Weeks before his death. By M. Baillie, M.D. &c.-A stricture at the beginning of the rectum was discovered on the dissection of this patient.

A Case of Rupture of the Uterus, from which the Woman recovered. By Thomas Haden, Surgeon at Derby.This is a well-described case, in which Mr. Haden appears to have acted very judiciously. It gives additional support to the opinion that a rupture of the uterus is not inevitably fatal.

History of some Cases of Disease in the Brain, with an Account of the Appearances upon Examination after Death, and some general Observations on Complaints of the Head. By G. Blane, M.D. &c. -These cases, though they lead to no practical conclusion,

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are worthy of preservation an account of their singularity. In one of them, aneurismal affections of the carotid arteries within the head were discovered; the patient had been maniacal. In the other, where death had been preceded by chronic head-ach, a tumour about the size of a nutmeg was found in the place of the pineal gland.-There is nothing which requires observation in Dr. Blane's remarks on these appearances: but it is certainly proper for the physician to keep in view the possibility of such occurrences, in forming his opinion of affections of the head.

Observations on the Erysipelas. By William Charles Wells, M.D. &c. The tendency of these remarks is to shew that erysipelas sometimes proves contagious; and the facts mentioned by Dr. Wells render this opinion sufficiently probable.

Observations on the Management of Cases in which the Face of the Child presents towards the Os Pubis. By John Clarke, M.D. -Dr. C. has discovered that a change of the position of the child's head may be readily effected in this troublesome case. We shall extract a short account of his method.

The manner of effecting the change is, by introducing one or two fingers between the side of the head, hear the coronal suture, and the symphysis pubis, and pressing steadily against the parietal, or frontal bone, during a labour pain. When this is done, it will be found, in most cases, that the head yields to the pressure, till at length the occiput is brought to the groin. This being effected, the rest should be left to the natural efforts of the woman,

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Additional Cases to illustrate Mr. Hunter's Method of performing the operation for the Cure of the Popliteal Aneurism. By Everard Home, Esq.-This is merely a supplement to a paper which we have already noticed in the 1st vol, of this work. ༤༥༣ ༢

The Case of Paunchoo, an Inhabitant of the Village of Gundassee, in Pergunnah Humnabad, and Province of Tiperah, Bengal. By John Corse, Esq.-There was a prodigious enlargement of the scrotum in this case, with a confusion of the external parts. An affection somewhat resembling this has been ob served among the natives of the coast of Africa. Paunchoo's disease was found incurable.

An Instance of the entire Want of Hair in the Human Body. Communicated by W. C. Wells, M.D.-The only singularity in this case consists in the patient having enjoyed good health, while the depilatory process continued.

History of a case of Aneurisms cured by a natural Process By John Major Wilson, House Surgeon to the Westminster Hos pital. The subject of this paper is uncommonly interesting and important. That a disease so intractable as aneurism should sometimes be spontaneously removed by the gradual action of the system, though not a novelty, is at least an assertion of rare

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occurrence in medical books; and as the proofs of it are still very. few, every addition to them is a very valuable acquisition. This was a case of popliteal aneurism originally, but the femoral artery of the other limb was enlarged in two places; the tumour in the ham burst, and discharged a large quantity of blood: instead of destroying the patient, however, the wound healed, and the aneurisms in the other limb spontaneously disappeared.

Experiments and Observations on the Growth of Bones, from the Papers of the late Mr. Hunter. By Everard Home, Esq.-The drift of this paper is to controvert the claims of Dr. Monro of Edinburgh to certain discoveries on this subject, and to oppose some doctrines formerly advanced by him. Concerning this anatomical warfare, we thought the public had long ago. decided, and we are sorry to see it renewed in any manner. It is high time that a peace should be established between the contending parties.

Case of an Extra-Uterine Fœtus discharged by the Rectum. By Mr. Mainwaring, Apothecary.-We have here a very minute and satisfactory detail of an uncommon case. The process of expulsion occupied two years and about two weeks!-Yet the patient recovered, and enjoyed uninterrupted good health after the termination of the discharge.

Case of Pregnancy, in which the Ovum had become diseased, and was entirely filled with small Hydatids. By Everard Home, Esq. -It is here supposed by Mr. Home, that the growth of the foetus was prevented by the formation of hydatids in the amnion, as no fœtus could be discovered in the ovum.

Gase of a strangulated Hernia, where the Operation succeeded after the Obstruction had continued eight Days. By Henry Fryer, Surgeon at Stamford. The success of the operation, in this case, was very remarkable. Mr. Fryer did not see the patient till the eighth day after the obstruction; and the patient's life appears to have been saved by the judicious use of cathartics subsequent to the operation.

Account of a singular Disease in the Upper Maxillary Sinus. By John Abernethy, F. R. S.-This disease was an exostosis. of great size, accompanied with a fungus. It was of several years standing, and admitted of no relief.

Some Observations on the Combination of Medicines. By George Fordyce, M. D. &c.-If we wished to exhibit the mode of delivering truisms, with some appearance of order and science, we might extract many curious specimens from this paper. The result of the whole is, that, when the combination of two or more medicines is found by experience to answer a particular purpose better than either of the ingredients singly given, the combination ought to be preferred. Some useful practical remarks,

remarks, however, appear in this waste of words; like the islands of grass amid the desarts of Arabia.

The Operation of puncturing the Bladder above the Pubis, and through the Rectum, illustrated by Cases. By Everard Home, Esq. -The cases in which this operation becomes necessary are fortunately rare. Mr. Home's particular details of the symp. toms which demand it, and of the mode of performing it, will be very useful to those who may be called to put it in practice.

On the whole, this volume contains much useful and interesting matter; and we recommend it to the attention of our professional readers.

ART. XV. A Review of the Origin, Progress, and Result of the late decisive War in Mysore, in a Letter from an Officer in India, with Notes; and an Appendix, comprising the Whole of the Secret State Papers found in the Cabinet of Tippoo Sultaun, at Seringapatnam; taken from the Originals:-Containing, his Correspondence with the French, Zemaun Shah, &c. from the Year 1796, with a View to the Overthrow of the British Empire in India; the separate written Opinions of his principal Officers of State on that Measure; and an Autograph of the Sultaun's Hand writing, in his last Letter to the Governor General: also a Dedication to the Right Honourable Henry Dundas, &c. &c. By M. Wood, Esq. M. P. Colonel, and late Chief Engineer, Bengal. And a Map shewing the Extent of the Dominions of Tippoo Sultaun, and their Partition between the allied Powers, the Eng`lish, the Mahrattas, and the Nizam. 4to. 15s. Boards. Cadell jun. and Davies. 1800.

T may truly be urged that the Marquis Cornwallis displayed great magnanimity, by entering (in 1792) into negotiations with the Sultan of Mysor, before the gates of his capital; when a short time must probably have reduced the place, and left the vanquished Prince no alternative but unconditional submission. It was a magnanimity, however, and an instance of mercy, which produced no suitable effect on the Sultan's vindictive mind. The loss of territory, of treasure, and of fame, (the consequence of his unprovoked and unsuccessful hostilities,) incessantly urged him to attempt their recovery, with additional means and more extensive resources. debarkation of a French army on the coasts of the Decan, and an invasion of Bengal by the forces of Zeman Shah, from the north, were the measures which he contemplated for that purpose. The papers found in his cabinet, while they elucidate his machinations designed to accomplish those ends, convey

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