DUBLIN MEDICAL PRESS. “s ALUs PopuſLI suprexia LEx." No. coclxvi.] Wol. xv. DUBLIN: WEDNESDAY, JANUARY 7, 1846. PRICE SIXPENCE, 8TAMi’ED. Appress. Address of Doctor Jacob to the Subscribers to the Medical Press.................................... ORIGINAL, COMMUNICATIONS. - Notice of an interesting case of Attempted Suicide, in which a large portion of the thyroid cartilage was removed. Communicated by Dr. Kirby............... Case of Bleeding Polypus Uteri extracted by the Forceps—Cure. By }. Colvan of Armagh.......... 8 Report of the Trough Baronial Fever Hospital and ºlasslough and Emyvale Dispensary. By Dr. , Maffett of Glasslough............... --------------- ----------- ib. MEETINGS OF SOCIETIES. Royal Academy of Medicink of PARIs.- On the treatment of hydrarthrosis by iodine injec tions “................................ * * * * * * * * * * * - - - - - - - - - - - - - - - - - * * * * * * * *-* * * * * * * * ib. Royal. MEDICAL AND Chihungical Society.— Account of two Vascular Tumours developed in the substance of Bone.......................................... G Case of Punctured Wound................................... ib. ANALYSIS OF MEDICAL, JOURNALS On Abscess of the Tibia.......................................... 9 Resection of the entire Upper Jaw........................... ib. REVIEWS, AND NOTICES OF BOOKS. An Essay on the Use of Narcotics and other Reme dial Agents calculated to produce Sleep in the treat ment of Insanity. By Joseph Williams, M.D......... 10 INQUEST.S. Death from the Negligent Administration of Strych- 11 filne . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ................................ . To Correspondents............... - - - - - - - - - - - - - - - - - 13 LEADING ARTICLES. PREFACE to our FIFTEENTH Volume................... ib. THE PRoposed New College of GENERAL PRActſ TroNEus of England.......................................... 14 “Repudiatios” of MEDICAL DEITs my the LAW Authorities..............................................…. '" REDUCTION of the WAccINATIon FEE IN ENGLAND. ib. CoNFEssions of AN Accouch EUR........ .................. ib. THE SURGEoN-DRUcqIST.............. ............... ib. METEOROLOGICAL, TABLES. ADDRESS. ADDRESS OF DR. JACOB TO THE SUBSCRIBERS TO THE MEDICAL PRESS. As announced in the last number, I propose to publish in the ensuing volume of the Paess a series of articles on Diseases of the Eye, but I cannot promise to give them in any very regular order, and perhaps so much the better, for formal and laboured compositions are often of less value than extemporaneous contributions given without delibe ration. This is the reason why the unwritten lectures of practical men are of more value than their books. I have, however, the greater part of a treatise on Cataract written, which, when finished, I will print without interruption. I am anxious to place in the hands of the readers of the Phess all the detached essays I have published on dis taks of the eye, most of which are printed in transactions of societies and periodical journals inaccessible to the majority of practitioners, and especially to those in the Provinces. In republishing these, I will, however, add their appearauce. In whatever shape I treat of diseases of eye, I wish the surgeon to understand that I treat of them as I would any other surgical diseases, and in nowise * presenting any essential peculiarity in their nature, or * any respect differing from the diseases of other parts, *ept so far as change in the delicate structure of the ºrgan entails peculiar consequences. Inflammation in the *Y* is in its nature the same as in other parts, although its *ts are different. There is increased vascularity, pain, "meſaction, altered secretions, effusions, adhesions, and ºther changes, as in other parts; but transparent refracting bodies are rendered opaque, defined apertures irregular, *nd a nerve becomes insensible; hence opacities of the ºrnea, closed pupil, cataract, and amaurosis; just as in inflammation of the chest the bronchial tubes are obstructed, tle air-cells obliterated, or the cavity of the pleura filled "ith fluid. The same inflammation causes blindness in one **, and perhaps death in the other, but still it is the same imilammation. If the conjunctiva becomes altered in strue Vol. XV. - -- ture and function, it is to be treated on the same principles as alterations of other mucous membranes. We cndeavour to reduce the undue vascularity remaining after purulent ophthalmia, and to restore the natural secretion, as we do to remove a similar state after bronchitis, dysentery, or inflammation of the bladder. One is as much the province of the physician or surgeon as the other. Obstructions, dilatations, and altered secretion in the lachrymal passages, with or without external fistulous opening, are treated, or rather should be treated, on the same principles as stricture of the urethra, glect, or fistula in the perineum. Even the operation of extracting a cataract may be compared to that of extracting a stone from the bladder; they are both operations of manouvre, and are both to be performed by surgeons. Diseases of the eye are also so mixed up with other diseases that no practitioner can cscape from the treatment of them, as in scrofula, syphilis, gout, rheuma tism, certain forms of fever, small-pox, measles, and cutaneous diseases in general. Even diseases of the heart, liver, stomach, intestines, kidneys, uterus, and generative whatever additional information I may have acquired since organs in both sexes, are often accompanied by defective sensibility of the retina, and diminished muscular con tractility of the pupil causing impaired vision. Diseases of the brain or its membranes, entailing, as they frequently do, defect of sight, are often first detected in consequence of such defect. It is, indeed, in such cases that a know. ledge of disease of the eye proves eminently serviceable towards a correct diagnosis. But it is superſluous to urge these arguments. Diseases of the eye are now admitted on all hands to be the legitimate province of physicians and surgeons, and it is on that account that I venture to recal their attention to the subject. Irrespective of these considerations, however, I consider myself called on to communicate the result of my experience in this department of surgery to the readers of the Mepic AI, PREss. I heretofore promised to do so, and it is high time to redeem that promise. But in doing so, I wish i. to be distinctly understood, that I address myself to them exclusively, and that I do not pretend to assume the thankless and unprofitable office of instructing the A