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MEDICAL

IT

is mortifying for physiology to reflect that, after all our researches into the laws of life, we are still not even skin-deep in the science of structure and functions, We stumble at the very threshold, and have yet much to learn before we can say with truth, that even the common integu, ments of the bodies' surface are correctly understood, either as to their organization or their properties. Against medicine an objection has been advanced, that neither pathologist nor practitioner sees his way before him; and some individuals have antithetically preferred the art of surgery, on account of its dealing with demonstrable matter; but even the "visible things" of therapeutic science are found as debatable as the more hidden. At this moment, two of the ablest surgeons in the country are high in dispute respecting doctrines and facts which, à priori, one should suppose would be easily set at rest by an appeal to the instructions of sight and sense; and who does not know that disorders of the skin, both as to their rationale and remedies, are amongst those maladies about which medical principles and practice are the farthest removed from unanimity or uniformity. Under all this uncertainty, the writer of the present paper felt gratified in perusing a philosophical treatise from the able pen of his friend Mr. Chevalier, on the anatomy and physiology of the common integuments; which, had it no other merit than remind ing the profession of its ignorance, and pointing to the proper path of pursuit, would be entitled to considerable praise. But the tract in question possesses positive as well as negative worth; and the reader of it will find the puzzling question of the permeability of the outer skin to transpired fluid, while it retains the results of inflammation, treated of, to say the least, with much ingenuity and acumen.*

Now, with respect to those morbid affections which present themselves on the superfices of the body, what discre

* References to matters of taste in a Medical Report may be considered out of place, but the writer cannot forego the opportunity of objecting, in the present instance, to the occasional illegitimacy of expression, and even coinage of words, which will be found to mar the otherwise excellent matter and manner of Mr. Chevalier's treatise. It is the same in the elaborate and admirable work of Dr. Good; writers such as these ought to be especially on their guard against sins in composition, since their influence and authority must necessarily be extensive.

pancy, as just intimated, do we find both in theory and practice; and we need only take cancerons change of structure in proof of this aliegation. Some tell us that cancer is a local disease, acknowledging a constitutional origin; others say that it is ab origine ad finem, a topical, and a merely topical, affection. One tells you that it is of hydatid origin, and tubercular essence; another says, and perhaps says truly, that both its specific nature and absolute locality, have been judged of with too much respect to the limits of nosology and nomenclature; that cancareous disorganization may implicate other than mere glandular structure; and that what the stickler for nosological niceties should hesitate in calling schirrous or carcinomatous, is in strict propriety, and especially in regard to its remedial demands, often the same with actual cancer; and to be arrested in its progress by the due application of that principle, to which the Reporter has referred in preceding papers, as in his mind worthy of more sanction and encouragement than it has hitherto met from the profession. The naturam expellus furcà charge has been brought against the propriety of treating caucerons, and other cutaneous or glandular disorders, by bandaging and pressure; but a most respectable female, who formerly had a schirrous breast, has just called upon the Reporter actually in rude health, and "without a vestige remaining (to use her own expres. sions,) of those symptoms which used to excite so much alarm." "I was told (she adds,) by one of the most respectable surgeons in London, that no remedy could be found for me but the knife, but I preferred the plan of pressure and bandaging as recommended by Mr. Young, and it is now two years since I have found myself free both from local and general complaint." The case of Mrs. Desormeaux, to which allusion has before been made, is proceeding to the satisfaction and surprise of the parties concerned; and the partial good operated in some other forlorn cases, which the Reporter has recently seen, certainly favour, as far as they go, the rectitude and practical value of the principle.

Rheumatism has proved the prevailing disorder of the past month; but it has not in general been marked by a regular, or, so to say, articular character,-it has for the most part been more deep-seated among the muscular fibres, and when the especial locality of the complaint has proved that of the breast-muscles, the practitioner has found the disorder not very easily distinguishable from p

pleurisy: this distinction, however, it is always of moment to make, since the remedies in one case and the other are considerably different.

The writer has dwelt too much on the advantages of wash-leather, as a preventive of colds and rheumatism, to make the repetition of the advice here needful; but there is another practice which it would be a dereliction of his duty not to recommend, that is, sponging the surface of the body every morning throughout the year with cold water, before putting on the clothes. An individual well sponged, and afterwards encased in leather, may march out on his way, fearlessly, among the war

ring elements, feeble though he may ber and unfit for the fight, without the defences referred to.

A case of St. Vitns's dance, that suc ceeded to scarlet fever, has just yielded to gradually-increased doses of the nitrasargenti. The writer mentions the cirenmstance because, although there is nothing novel in this especial manifestation of the medicine's power, in the present case it was particularly pleasing to witness the success of its exhibition, in consequence of the virulence of the malady having been such as to menace the life or the intellect of the little sufferer. D. UWINS, M.D. Bedford-row; Nor. 20, 1823.

evening one of the most beautiful specimens of the coloured discoid halo was exhibited that ever I remember. It appear ed above the moon at half after 9 P.M. and consisted of six concentric circles, viz. pale white, orange, purple, violet, green, and vermilion; the latter, which was the outermost, subtending an angle of ten degrees. At times there was a seventh circle, of a paler kind, added, subtending seventeen degrees. There was a fog at the time, which appeared to be stratus; but, though the fog remained, the phenomenon changed (indicating a change in the structure of the refracting medium,) at 11 P.M. there being no traces of it except a pale corona.

in my "Researches about Atmospheric The above terms for halos are described Phenomena," third edition, London, 1823, page 98, where I have described various refracted images of a similar kind.

work, page 419, I have accidentally regis Blue Colour of the Sun.-In the above sun, as having happened on the 19th of tered the remarkable blue colour of the Angust. This phenomenon was, in fact, ster, of Walthamstow, on the 18th of seen and noted down by Mr. B. M. ForAugust, 1821, being the anniversary of the great meteor of 1783. I have no doubt that you will allow me to correct this error in your widely circulated Magazine.-T. F.

PRICES OF MERCHANDIZE.

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Coffee, Jamaica, ordinary 3

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