Chapter XVIII: Preface (18)

Cockle, Dr., on the circulation in the coronary arteries, 262

Cocks, Mr. W. G. H., on treatment of laryngismus stridulus with
chloroform, 332

Colston, Mr. G. Q., administration of nitrous oxyde by, 14–15

Combination of chloroform and ether, 369–71

—— case of supposed death from inhalation of, 370

Consciousness, recovery of, after chloroform, 98

Consumption, treatment of, by ether, 14, 360

Convulsions, epileptiform, in fatal case from chloroform, 191

—— infantile, use of chloroform in, 332–3

—— puerperal, use of chloroform in, 337–9

—— treatment of, with ether, 359

Corfe, Dr., report of a post-mortem after death from chloroform, 181–2

Countenance, expression of, under amylene, 401

Crockett, Dr., on a case of supposed death from combination of
chloroform and ether, 370

Croup, spasmodic, use of chloroform in, 331–2

D.

Davy, Sir Humphrey, experiments of, with nitrous oxyde, 14

—— suggested use of nitrous oxyde by, to remove pain of operations, 14

Death from chloroform without insensibility, 79–133

—— cause and prevention of, from chloroform, 107–20

—— under chloroform from paralysis of heart, 131, 138, 141, 143, 151,
156, 165, 178–9, 181, 186, 189, 196

—— two modes of, from chloroform, 135

—— from chloroform, cases of, 120–200,
_see Operations, fatal_

—— symptoms of, from chloroform, 124, 127–28, 130, 131, 135, 137,
139–41, 142, 143, 144, 146, 147, 148, 149, 151, 153, 154, 155–6,
157–8, 159, 161, 162, 163–4, 165, 166, 167–8, 170–1, 172–3, 174–5,
175–6, 176–7, 177–8, 178–9, 180–1, 182–3, 185–6, 187–8, 189, 190,
191, 192–4, 195–6, 197

—— from chloroform, cases of alleged, 201, 203, 204, 205, 209

—— mode of, in accidents from chloroform, 217

—— supposed causes of, from chloroform, 228–45;
age, 230–31;
idiosyncracy, 231–2;
impurity of chloroform, 233;
apparatus employed, 233;
exclusion of air, 233–4;
closure of the glottis, 234–8;
exhaustion from struggling, 238–9;
sitting posture, 239–40;
effect of surgeon’s knife, 240–3;
sudden death from other causes, 243–5;
falling back of the tongue, 245

Death, sudden, from other causes during inhalation of chloroform, 244–5

—— during operations without anæsthetics, 245

Debout, Dr., on amylene, 375, 406, 418

Delarue, M., on titillation of the uvula during accidents from
chloroform, 257–8

Delirium cum tremore, treatment of, by chloroform, 333–4

—— in fever, 334–5

Delphos, Priestess of, intoxicated by narcotic fumes, 11

Demarquay, M., on closure of the glottis by chloroform, 234

Diagram of chloroform inhaler, 82

—— of ether inhaler, 349

Dinners, late, a cause of hæmorrhoids, 307

Dioscorides, on decoction of mandragora, 1

—— on symptoms from mandragora, 3

Discovery of anæsthetics, importance of, 1–2

Dislocations, reduction of, under chloroform, 302–3

Devergie, M., on closure of the glottis by chloroform, 234

—— on death from amylene, 415

Dominus Hugo, his recipe for a narcotic, 5–6

—— his prescription for a local application, 6

Dumas, M., on analysis of chloroform and name, 27

Duroy, M., anæthesimeter of, 85

—— on amylene, 375–6

Dutch liquid, nature of, 27

E.

Ear, operations on, under chloroform, 298

Eastment, Mr., case by, of alleged death from ether, 368–9

Effect of chloroform on the results of operations, 263–70

Elbow, excision of, under chloroform, 279–80

Electricity, use of, in a fatal case from chloroform, 166

—— value of, during accidents from chloroform, 261–2

—— use of, in case of death of from amylene, 413

Emphysema, in a fatal case from chloroform, 148

Epilepsy, influence of chloroform on, 52

—— use of chloroform in, 336–7

Esdaile, Dr., on hypnotism in the Hindoos, 10

Ether, _sulphuric_, or ether, 15 to 27, 345 to 371

—— effects of, vapour, described by Faraday, 15

—— effects experimentally shewn by Professor Turner, 16

—— vapour as an anæsthetic, discovery of, 15, 16, 17

—— application of, summary, 17, 18

—— treatment of diseases by, 19

—— supposed death from, 20

—— use of, in Massachusetts Hospital, Boston, Philadelphia, New York,
Naples, and Lyons, 23

—— action of, on nervous centres, 45

—— administered for operation for removal of pus from frontal sinus,
302

—— history and composition of, 345

—— chemical and physical properties, 345–9

—— physiological effects of, 349–55

Ether, _sulphuric_, administration of, 356–8

—— —— in medical cases, 358–61

—— great safety of, 22–3, 362

—— alleged deaths from, 362–9

—— chloroform and amylene, effects of, compared, 403–5

—— saturation of the blood with, 354;
flavour of, 357;

—— quantity of, inhaled to produce insensibility, 356–7

—— operations under, 357–9

—— and chloroform, combination of, 369–71

—— —— analogous action of, 349–50

—— _chloric_, composition of, 20

—— chloric, introduction of, as an anæsthetic, _ib._

—— its relation to chloroform, _ib._

—— author’s experiments with, 21;
named by Dr. Thompson, 27

—— alcoholic solution of, made by Guthrie, 27

—— known as a diffusible stimulant, 27

Eupion, properties of, 377

Excitement, muscular, under chloroform, 93

Exhaustion from struggling, a supposed cause of death from chloroform,
238–9

Experiments with chloroform, mode of conducting the, 59, 60

—— on animals with chloroform, 60–74

—— illustrating modes of dying from chloroform, 109

—— with ether, 350–5;
with amylene, 378–386

Eye, operations on, under chloroform, 295–8

Eyelids, sensibility of, under chloroform, a test, 88

F.

Face, division of nerves of, under chloroform, 294–5

Faintness from chloroform, 103–4

Faraday, Professor, description of effects of ether vapour, 16

Farr, Dr. Arthur, on hysteria treated with chloroform, 341

Fatal cases from inhalation of chloroform, 120–200

—— alleged, from chloroform, 201–12

—— alleged, from inhalation of ether, 362–8

Fear, effects of, 77;
subsides with unconsciousness, 77

—— possible cause of death, cases of, 203, 209–12

Femur, excision of head of, under chloroform, 279

Fenwick, Dr., statistics of operations since the introduction of
anæsthetics, 267–70, 278

Fergusson, Mr., on utility of chloroform in lithotrity, 274

—— improvement of operation by, for removal of jaw, 281–2

—— operation by, for hare-lip, 292

—— observations of, in case of death from amylene, 408–11

Fibrine separated after application of galvanism, 181–2

Fife, Sir John, on the _post-mortem_ appearances in a case of death
from chloroform, 125

Flourens, M., experiments by chloroform, 21

—— on the action of sulphuric ether, 45

Frogs, experiments on, with chloroform, 71, 72, 112

—— mode of action of chloroform upon, 71–2

—— modified by different temperatures, 72

Further remarks on the prevention of accidents from chloroform, 248–51

G.

Galvanism applied in cases of death from chloroform, 144, 151, 167–8,
181, 183, 197

Garner, Mr., on treatment of neuralgia with chloroform, 344

Garrod, Dr., report of _post-mortem_ after a death from chloroform,
171–2

Giraldis, M., on use of amylene, 419

_Glasgow Herald_, report by, of case of death from chloroform, 136

Glottis, closure of, during inhalation of chloroform, 234–38

Glover, Dr., first experiments with chloroform, 112

—— report of _post-mortem_, appearances after death from chloroform,
124, 125

Gorré, M., on death from chloroform, 131–2

Guineapigs, experiments on, with chloroform, 60–67

—— experiments on, with amylene, 378–385

Guthrie, Mr., method of obtaining chloric ether, 27

H.

Hall, Dr. Marshall, reference to the author, 109

—— description of his “ready method”, 260–1

—— his “ready method” of artificial respiration tried in fatal cases
from chloroform, 194, 196, 197

—— “ready method” applied in cases of death from amylene, 410–13

Haller on influence of the blood in the heart, 223

Hæmorrhage, a cause of death during inhalation of chloroform, 205,
282–4, 370–1

—— death from, during removal of tumour from jaw, 284–5

—— secondary, after operations, prevented by chloroform, 318

Hæmorrhoids, operations for, under chloroform, 305–7

—— why prevalent in the upper classes, 307

Hard drinkers, effects of chloroform on, 57–8

Hare-lip, operations for, under chloroform, 291–3

Harlequin, a, note concerning, 50

Harrison, Mr., observations by, in fatal case from chloroform, 175–6

Hawkesley, Dr., invention of mouth-piece for an inhaler by, 83

Hawkesworth, Mr. C. A., on tetanus treated with ether, 360–1

Hayward, Dr., operation by, on a patient narcotized by ether, 16

Head symptoms supposed as result of chloroform, 106–7

—— condition of, after death by chloroform, 246

Heart, diseases of, in relation to chloroform, 54

—— symptoms during recovery from chloroform, 56

—— fatal cases from chloroform inhalation during diseases of, 162, 165,
206

Heart, special influence of chloroform on, in different animals,
112–13, 114, 117, 122

—— human, special influence of chloroform upon, 115, 164

—— sudden death from paralysis of, from chloroform, 131, 138, 141, 143,
151, 156, 165, 178–9, 181, 186, 189, 196

—— condition of, during syncope, 223–5, 228

—— condition of, after death, from chloroform, 246

—— circulation in coronary vessels of, 262

—— paralysis of, in case of death from amylene, 409, 413

Hernia, strangulated, operations for, under chloroform, 304–5

Herodotus on inhalation of narcotic vapours, 10, 11

Hewitt, Mr. Prescott, report of fatal operation for removal of tumour
from jaw, 282–4

Hillier, Dr., report of a fatal case from chloroform, 170–2

History of anæsthetics, 1, 24

Hoa-tho, his use of Indian hemp for deadening pain, 4, 12

Hoffberg, use of mandrake as a narcotic, 4

Holmes, Mr. Thomas, on pyæmia and chloroform, 267

Hooping-cough, treatment of, by chloroform, 332;
by ether, 360

Housz, Dr., oxygen inhaler of, 83

Hunter, Mr. John, death of, 227

Hydrocephalus, treatment of, by chloroform, 335

Hysteria, influence of chloroform in, 51–2

—— cases of, in which chloroform was administered, 51–2

—— after chloroform, 104–7;
after amylene, 406

Hysterical paralysis and contractions treated by chloroform, 339–40

I.

Idiosyncrasy, supposed case of, 96

—— supposed cause of death from chloroform, 231–2

Indian hemp as a narcotic, 4

—— fumes of, inhaled by Hindoos, 5

Inhalation, definition of, 25;
reasons for, 26

—— agents administered by, 26;
how to be performed, _ib._

Inhalers for chloroform, description of, 81–86;
diagram of, 82

—— of M. Charrière and Duroy, 85

—— of the author, use of, 86

—— for ether, diagram of, 349

Insanity, use of chloroform during, 57

Insensibility by chloroform, a _process_, 80

—— signs of, under chloroform, 87, 88

—— eyelid test of, 88

J.

Jackson, Dr. Charles J., assertion of priority of application of ether
as an anæsthetic, 16, 17

Jaw, upper, removal of tumours of, under chloroform, 280–5

—— lower, removal of tumours of, under chloroform, 285

Jeffreys, Mr. Julius, inhaler of, 349

Joints, stiff, forcible movement of, under chloroform, 303

Jones, Mr., of Jersey, report of operation by, under amylene, 402–3

Jorden, Mr., operation by, in fatal case from chloroform, 163

Jugular, external, opened in deaths from chloroform, 151, 159, 168, 174

—— value of opening the, during accidents from chloroform, 261

Julien Stanislaus on Chinese medicine, 4

K.

Kittens, experiments on, with amylene, 385–6

Knee, excision of, under chloroform, 280

Kobelt, M., prosecution of, for fatal case from chloroform, 154

L.

Labour, cases of, in which chloroform may be used, 319–20

—— consciousness need not be destroyed during, 318

—— period of, for exhibition of chloroform, 320

—— mode of administering chloroform during, 320–4

—— use of chloroform during operations in, 324–6

Labour, use of amylene during, 394–7;
use of ether during, 359

Lamballe, M. Jobert de, on use of amylene, 419

Lansdown, Mr. W., on ether in midwifery, 359

Laryngismus stridulus, treatment of, by chloroform, 332

Laryngotomy, operation of, under chloroform, 312

Lawrence, Mr., on chloric ether, 20

Lefevre, Sir George, case of syncope, related by, 223

Leg, amputation of, under chloroform, 277

Letheon, Morton’s term for ether, 18

Liebig, Dr. Justus, on analysis of chloroform or liquid chloride of
carbon, 27

—— proposed name of perchloride of formyle, 28

Liégard, on deadening pain by compression, 9

Ligature of arteries under chloroform, 289–91

Limbs, state of, under chloroform, 89

Linnets, experiments on, with ether, 352–3;
with amylene, 381–2

Lip, cancer of, operation for, under chloroform, 294

Liston, Mr., first operations on patients etherized, 18

—— case of fatal operation from hæmorrhage, 284

Lithotomy, administration of chloroform for, 271–4

Lithotrity, administration of chloroform for, 274–5

Lonsdale, Miss, first patient who inhaled ether in England, 18

Lopez, Dolorès, supposed death of, from ether, 369

Lungs, diseases of, administration of chloroform during, 53

—— condition of, after death from chloroform, 245–6

M.

Mackenzie, Dr., of Kelso, on a case of death from chloroform, 200

Majer, Dr., on a fatal case from chloroform, 161

Malgaigne, M., opinion of, on the case of Mdlle. Stock, 133

—— case by, of death from chloroform with exhaustion, 204

Mandragora, narcotic effects of, 1, 2;
antidote for, 2

Mandrake, once used as a narcotic, 4

Mania, treatment of, with chloroform, 342

Marshall, Mr. Peter, the author’s experiments with, 117–20

—— on case of death from fright, 203

Masson and Triquet, action brought against, for causing death by
imprudent use of chloroform, 200

Maygarth, Mr., on a case of death from chloroform, 147

Meals, rules regarding the, before inhalation of chloroform, 75

Medical cases, inhalation of chloroform in, 329–44;
in neuralgia, 329–31;
in spasmodic asthma, 331;
in spasmodic croup, 331–2;
in laryngismus stridulus, 332;
in hooping-cough, _ib._;
in infantile convulsions, 332–3;
in delirium cum tremore, 333–4;
in delirium in fever, 334–5;
hydrocephalus, 335;
in tetanus, 335–6;
in epilepsy, 336–7;
in puerperal convulsions, 337–8;
in hysterical paralysis and contractions, 339–41;
in mania, 342;
in spasmodic pain, 342–3;
in frequent and long continued use of chloroform, 343–4

Medical cases, inhalation of ether in, 359–61;
in convulsions, 359–60;
in asthma, 360;
in hooping-cough, 360;
in consumption, 360;
in tetanus, 360–1;
in neuralgia, 361

Meggison, Dr., on a case of death from chloroform, 124

Meissner, A. G., sketches by, 8

Menstruation, use of chloroform during, 53

Mesmerism, presumed effects of, 9

Mice, white, experiments on, with chloroform, 60, 61, 64, 65, 67, 68

—— quickly affected by chloroform, 70

—— experiments on, with ether, 350–1;
with amylene, 386–7

Miller, Prof., on modes of administering chloroform in Edinburgh, 79

Modes of death in accidents from chloroform, 217

Monochlorurretted chloride of ethyle, 420–3

—— discovery and preparation of, 420

—— chemical and physical characters of, 420–1

—— supplied to author by Mr. Mason, _ib._

—— administration of, by author, as an anæsthetic, 421–2;
effects of, 421–3

—— quantity inhaled to produce insensibility, 421–3

Moore, Mr. James, on compression of nerves to deaden pain, 9

Morbid appearances in cases of death from chloroform, 229–30

Morton, Dr., first application of sulphuric ether by, for removal of
pain; his dispute with Dr. Jackson; his claims for priority, 16–18,
78

Morion, a kind of mandragora used before operations, 2

Mouth, operations in, under chloroform, 299–300

N.

Nævi, operations on, under chloroform, 289

Nails, evulsion of, under chloroform, 311

Narcotics, nature of, 35

Narcotism, degrees of, from chloroform, 35–43

—— amount of vapour of chloroform absorbed to cause the various degrees
of, 58–74

Necrosis, operations for, under chloroform, 278–9

Nerves of sensation, division of, under chloroform, 294–5

Nervous system, action of chloroform upon, 44–8

Neuralgia, inhalation of chloroform for relief of, 189, 329–30

—— treatment of, by ether, 361

Nose, operations on, under chloroform, 298–9

Nunn, Mr. Roger, on case of alleged death from ether, 365

O.

Operations, surgical, author’s experience of chloroform during,
271–318;
lithotomy 271–4;
lithotrity, 274–5;
stricture, 275–6;
amputation of thigh, 276–7;
amputation of leg, 277;
amputation of arm, 277–8;
amputation of ankle, 278;
amputations, other, _ib._;
for necrosis, 278–9;
excision of head of femur, 279;
excision of elbow, 279–30;
excision of knee, 280;
excision of wrist, _ib._;
for tumours of jaw, 280–7;
for other tumours, 287–9;
for nævi, 289;
ligature of arteries, 289–91;
tumour of bone, 291;
hare-lip, 291–3;
cancer of lip, 294;
division of nerves, 294–5;
on the eye, 295–8;
on the ear, 298;
on the nose, 298–9;
in the mouth, 299;
plastic operations, 300–1;
raising depressed skull, 301–2;
for ununited fracture, 302;
for dislocations, 303;
extension of stiff joints, _ib._;
tenotomy, _ib._;
strangulated hernia, 304–5;
hæmorrhoids and prolapsus, 305–7;
fissure of anus, 307–8;
fistula _in ano_, 308;
ovarian tumours, 308–9;
cancer of vagina, 310;
rupture of perineum, _ib._;
removal of testicle, 310–1;
phymosis, 311;
enlarged bursa, _ib._;
evulsion of nails, _ib._;
laryngotomy, 312;
extraction of teeth, 313–18

Operations, surgical, repetition of chloroform during, 97

_Operations fatal_ under chloroform, 120–200

—— of removing toe-nail, 123–7

—— of tooth extraction, 127–30

—— for fistula, 130, 132

—— of opening a sinus, 131–35

—— of removing middle finger, 135

—— of transcurrent cauterization of wrist, 135–6

—— intended, on great toe, 136

—— on rectum, 136–8

—— amputation of middle finger, 138–41

—— amputation of a toe, 141–2

—— for tooth extraction, 142–3

—— for onychia of great toe, 143–5

—— excision of eyeball, 145–6

—— of extraction of tooth, 146–147

—— intended, case not described, 147

—— for removal of portion of middle finger, 147–8

—— intended for hydrocele, 148–50

—— detection of vesical calculus, 150–1

—— for removal of portion of right hand, 151–2

—— amputation below the knee, 152–3

—— intended, on penis, 153–4

—— for removal of testicle, _ib._

—— of tooth extraction, 155–7

—— for removal of fæces from rectum, 157–8

—— on an aneurism, 158–60

—— intended extraction of tooth, 161

—— intended, for fistula _in ano_, 162–3

—— application of caustic to an ulcer, 163

—— removal of a tumour, 163–4

—— application of nitric acid to an ulcer, 165

—— removal of a tumour, _ib._;
of perineal section, 166–70

—— intended, for hernia, 170–72

—— application of actual cautery, 172–4

—— for extension of an anchylosed joint, 174

—— to remove a lipoma, 174–5

—— for reduction of a dislocation, 175–6

—— removal of uterine polypus, ditto, 176–7

—— removal of tumour, 177–8

—— for phymosis, ditto, 178–80

—— amputation of the thigh, 180–2

—— intended catheterization, 182–4

—— intended amputation of leg, 185–7

—— intended excision of eyeball, 187–8

—— for facial neuralgia, 188–9

—— dental, 189–90

—— removal of necrosed bone, 190–2

—— removal of tumour, 192–4

—— amputation of the thigh, 195–6

—— application of nitric acid, 196–9

—— various, details imperfect, 199–200

Operations alleged fatal from chloroform, 201–212

—— of intended tooth extraction, 201–3;
on shoulder joint, 204;
for removal of breast, _ib._;
amputation of leg, _ib._

—— for removal of tumour, 204–5

Operation of lithotrity, 205–9

—— for removal of tumour, 209–12

Operations, the effect of chloroform on results of, 263–70

—— statistics regarding, before and after chloroform, 264–9

—— administration of chloroform in the different kinds of, 271–318

—— performed under ether, 357–9

—— in which ether is preferable to chloroform, 361

—— attended with alleged death from ether, 362–9

—— _under the influence of amylene_, 387–400

—— of extraction of teeth, 387–9, 394

—— for removal of tumours, 389–393

—— for tenotomy, 389, 391–2

—— for lithotomy, 389

—— for resection of knee, 389–90

—— for resection of head of femur, 390

—— for amputation, 390–1

—— on the eye, 391

—— for lithotrity, 391

—— for forcible extension of joints, 392

—— for reduction of dislocation, 392–3

—— for fistula, death from amylene during, 408–11

—— for removal of tumour, death from amylene during, 411–15

—— under the monochlorurretted chloride of ethyle, 421–3

Oxygen gas, artificial respiration of, in case of death from
chloroform, 144

P.

Paget, Professor, on a fatal case from chloroform, 172, 192

Pain, effects of, on operations, 55

Parkinson, Ann, death of, alleged from inhalation of ether, 365–8

Partridge, Professor, performance of laryngotomy by, under chloroform,
312

Parturition, use of chloroform in, 318–29

—— use of amylene in, 394–7

Patients, varying sensations of, under chloroform, 45–8

—— susceptible to chloroform, 50

—— fears of, regarding chloroform, 76

Patients, treatment of, during recovery from chloroform, 99–100

Pearson, Dr. Richard, use of ether by, in consumption, 14, 360

Pearson, Mrs., description of a case of death from chloroform, 127–8

Perinæum, operations on, under chloroform, 310

Persian Pharmacopœia, recipe for a remedium odorativum somniferum, 13

Phthisis pulmonalis, inhalation of chloroform during existence of, 53

Phymosis, operation for, under chloroform, 311

Pliny on use of mandragora in operations, 2

Porta, John Baptista, on effects of the somniferous menstrua, 12

Post-mortem rigidity produced by chloroform, 43

—— appearances after death by chloroform, 110, 111, 124, 125, 128–9,
130, 132, 137, 140–41, 142, 146, 147, 148, 149–50, 152, 154–5,
156–7, 159–60, 161, 162, 164, 166, 168–9, 171–2, 173, 176, 177, 178,
179, 181, 183, 186, 188–90, 191–2, 197–8

—— in cases of alleged death from chloroform, 203, 207–9, 210–12

—— appearances after alleged death from ether, 363

Post-mortem appearances after death from amylene, 410–11, 414

Posture, sitting, supposed cause of death during inhalation of
chloroform, 239–40

Pregnancy, administration of chloroform during time of, 53

Preparations for inhaling chloroform, 75

Prevention of accidents from chloroform, further remarks on, 248–51

Prolapsus ani, operations for, under chloroform, 305–7

Propert, Mr., case of, where lithotrity was performed under chloroform
after apoplexy, 56–7

Pupils, state of, under chloroform, 93–4, 158

Pulse, effect of chloroform on, 43–4, 77, 89

—— before and after inhalation of chloroform, 77–8

R.

Rabbits, experiments on, with chloroform, 117

Recovery from effects of chloroform, 97, 98, 99, 100

Regnault, M. M. G., discovery of the monochlorurretted chloride of
ethyle, 420

Reichenbach, discovery of eupion, 377

Respiration modified by chloroform vapour, 69–70

—— quantity of chloroform sufficient to arrest the, 74, 115

—— artificial, its use, 121

—— artificial, applied in cases of death from chloroform, 139, 144,
150, 159, 163, 166, 167–8, 173, 179, 181, 183, 185, 187–8, 190, 191,
194, 196, 197, 207, 210

—— artificial, value of, in accidents from chloroform, 251–7

—— artificial, applied in case of death from amylene, 410, 413

Richardson, Dr. B. W., on syncope, 223

—— on the cause of the fluidity of the blood, 248

Ricord, M., on artificial respiration in accidents from chloroform, 252

Ridge, Dr. Joseph, on the death of John Hunter, 227

Rigaud, M., mode of administration of amylene, 417–18

Riggs, Dr., extraction of tooth for Horace Wells without pain, 15

Robert, M., on a case of death from syncope, 203

Roberts, Dr., reference to a death from chloroform, 200

Robinson, Mr., first administered ether in England, 18

—— case narrated by, 48

—— on case of alleged death from chloroform, 201

Robbs, Dr. William, on a case of alleged death from ether, 365–8

Rudge, Mr. Henry, on treatment of puerperal convulsions with
chloroform, 337–8

S.

Saliva, increased flow of, from chloroform, 95

Sassard, Ambroise Tranquille, on narcotics before operations, 8

Scythians inhaled narcotic vapours, 11

Sequelæ of the inhalation of chloroform, 100–7;
sickness, 100–3;
faintness and depression, 103–4;
hysteria, 104–6;
head symptoms, 106–7

Serum of blood, absorption of chloroform by, 69

—— amount of, in blood, 74

Sibson, Dr., experiments with, on dividing pneumogastric nerves, 58

—— his mouth-piece for inhaler, 83

—— treatment of neuralgia by inhalation of ether, 361

—— experiments with chloroform, 119, 120

Sibson, Dr., on cause of death from chloroform, 121, 122

—— on blood in the heart after death, 134

Sideration, 133

Signs of insensibility under chloroform, 87

Silliman on chloric ether as a stimulant, 27

Simpson, Dr., on history of anæsthesia, 1

—— his introduction of chloroform, 17

—— on use of ether during parturition, 19, 359

—— first administers and recommends chloroform, 21–2

—— on the death of Hannah Greener, 126

—— on a supposed death from chloroform, 199

—— on sudden death during an operation without an anæsthetic, 245

—— statistics of operations after chloroform, 264–5

Sitting posture supposed cause of death during inhalation of
chloroform, 239–40

Skull, raising depressed, under chloroform, 301–2

Society of Emulation of Paris, on death by chloroform, 122

Solly, Mr., on a case of death from chloroform, 143–5

Soubeiran, M., on analysis of chloroform, or chloric ether, 27

Spasm as preceding death from chloroform, 129

Spasmodic pain, treatment of, with chloroform, 342

Squire, Mr., invention of an ether inhaler by, 18

Stafford, Mr. Augustus, treatment of case of, 342–3

Stertor under chloroform how to be met, 90

St. Louis Hospital, surgeon of, on number of deaths from chloroform,
200

Strabismus, operation for, under chloroform, 297

Strength and debility in relation to effects of chloroform, 50

Stricture, operations for, with chloroform, 276

Struggling and rigidity under chloroform how to be met, 91, 92, 93

—— and rigidity under amylene, 401–2

—— exhaustion from, a supposed cause of death from chloroform, 238–9

Supposed causes of death from chloroform, 228–45

Surgeon’s knife, supposed effects of, during inhalation of chloroform,
240–3

Sylvester, Dr., on anæsthetics, 7

Symptoms in cases of death from chloroform, 124, 127–8, 130, 131, 135,
137, 139, 142, 143, 144, 146, 147, 148, 149, 151, 153, 154, 155–6,
157–8, 159, 161, 162, 163, 163–4, 165, 166, 167–8, 170–1, 172–3,
174, 174–5, 175–6, 176–7, 177–8, 178–9, 180–1, 182–3, 185–6, 187–8,
189, 190, 191, 192–4, 195–6, 197

—— in alleged cases of death from chloroform, 201–205, 206–7, 209–10

Symptoms in fatal cases of inhalation, summary of, 212–17

—— to be attended to during administration of chloroform, 249–50

—— in cases of death from amylene, 409–10, 412–13

Syncope sometimes prevented by chloroform, 77–8

—— after chloroform, 104

—— possible deaths from, independently of chloroform, 204–9, 211–12

—— anæmic, distinguished from cardiac, 204;
description of, 222–4

—— the two kinds of, 222–8

—— condition of heart during, 223–6

—— does not commence at the brain, 223

—— during disease of the heart, 227

—— from mental emotion, 224–5;
from anger, 227

—— from muscular exertion, 228;
from pain, _ib._

T.

Table of fatal cases of inhalation of chloroform, 218–22

—— shewing ages of fatal cases from chloroform, 230

—— Dr. Fenwick’s, on result of operations after chloroform, 270

—— shewing quantity of chloroform vapour in air at various
temperatures, 33

—— relating to ether, 347–8

—— shewing evaporation of amylene, 377

Teeth, extraction of, under chloroform, 313–18

—— number of, extracted under, 314

—— extraction, mode of administering chloroform for, 315

Tenotomy, performance of, under chloroform, 303–4

Tetanus, use of chloroform in, 335–6

—— treatment of, by inhalation of ether, 360–1

Testicle, removal of, under chloroform, 310–11

The administration of chloroform in the different kinds of operations,
271–318

The inhalation of chloroform in medical cases, 329–44

Theodoric on prevention of pain in operations, 5

—— his directions for securing patients during operation, 7

Thigh, amputation of, under chloroform, 276–7

Thompson, Dr. Thomas, chloric ether, 27

Tobacco smoke inhaled in Asia and Eastern parts of Europe, 12

Tongue, falling back of, supposed cause of death during inhalation of
chloroform, 245

Tourdes, Professor, on amylene, 418

Treatment of suspended animation from chloroform, 251–62

Triquet and Masson, action brought against, for causing death by
chloroform, 200

Trismus, occurrence of, in fatal case from chloroform, 174

Tumours, ovarian operations of, under chloroform, 308–10

—— of upper jaw, removal of, under chloroform, 280–5

—— of lower jaw under chloroform, 285

—— of the female breast, removal of, under chloroform, 285–7

—— other, removal of, under chloroform, 287–9

—— of bone, removal of, under chloroform, 291

Turner, Professor, experiments on inhalation of ether vapour, 16

U.

Uvula, titillation of, practised in an accident from chloroform, 257

V.

Vagina, cancer of, operations on, under chloroform, 310

Valentin, M., on amount of blood in the body, 73

Vapour of chloroform, amount of, absorbed to cause the various degrees
of narcotism, 58–74

—— absorption of, by fluids, laws which govern the, 59

—— absorption of, in the lungs, formula for expressing quantity of, 59

Venesection tried in fatal cases from chloroform, 151, 159, 168, 174

—— value of, in accidents from chloroform, 261

Vomiting caused by chloroform, 74, 100–3

—— prevention of a treatment, 75, 101

—— after inhalation of ether, 361

—— rarity of, from amylene, 406–7

W.

Wakley, Mr. Thomas, experiments by, 122

Waldie, Mr., on chloroform, 17, 21–2

Warren, Dr. J. C., operation by, on a patient narcotized by ether, 16

—— report of death of Patrick Coyle from chloroform, 130

—— report of death of John Griffith from chloroform, 136–8

Water, application of, during accidents from chloroform, 258

—— bath of chloroform inhaler, uses of, 84

Watson, Dr., on dentistry and longevity, 313

Waugh, Mr., on a mouth-piece inhaler, 83

Wells, Mr. Horace, on effects of nitrous oxyde, 14, 15

Wilks, Dr., report of post-mortem after death from chloroform, 186

Willis, Dr. Robert, on treatment of hooping-cough by inhalation of
ether, 360

Wilson, Dr., Lumleian lectures of, 73

Wine of mandragora given before operations, 2

Woodville, Dr., on use of mandragora, 3

Wrist, excision of, under chloroform, 280

T. RICHARDS, 37, GREAT QUEEN STREET, LINCOLN’S INN.

-----

Footnote 1:

Messrs. Maule and Polyblank have an excellent photographic portrait of
Dr. Snow in their “Scientific Portrait Gallery” series. Mr. Empson has
also a bust, which has been greatly admired for its correctness and
for its superiority as an artistic work.

Footnote 2:

Dr. Murchison, who with Dr. Budd rendered Dr. Snow all that able
assistance which the best of medicine can offer, has kindly given me
several particulars in regard to the fatal illness, which I embody in
the text, with many thanks.

Footnote 3:

Dr. Murchison has also given me an outline of the _post-mortem_
appearances, which is subjoined. “The _post-mortem_ examination
revealed slight white softening, only detectable by the microscope, in
the right corpus striatum and optic thalamus, and fatty degeneration
of the minute cerebral vessels. The heart was slightly fatty, but
there was no valvular disease, nor atheromatous disease of aorta. The
lungs were congested, and showed marked evidence of old disease at the
apices. Both the kidneys were much contracted and granular, with
numerous cysts, the right organ being almost entirely converted into
cysts; with the uriniferous tubes either denuded, or containing
granular disintegrating epithelium. There was distinct cicatrix of an
old ulcer in duodenum, and the stomach was much congested, with
numerous hæmorrhagic spots.”

Footnote 4:

See Monthly Journal of Med. Sc., vol. viii, p. 452.

Footnote 5:

Liber iv, cap. 76.?

Footnote 6:

Loc. cit.

Footnote 7:

Natural. Hist., lib. xxv, cap. 13.

Footnote 8:

De Herbarum Virtutibus, cap. 131.

Footnote 9:

Medical Botany, p. 236.

Footnote 10:

De Causis Morb. Diut., lib. i, cap. 6.

Footnote 11:

De Morbis Acutis, lib. i, cap. 4.

Footnote 12:

Vet. Acad. Handl., 1763, vol. xxiv, p. 229.

Footnote 13:

Comptes Rendus de l’Acad. de Sc., t. xxviii, 1849, p. 195.

Footnote 14:

See Herodotus, book iv, 73–5.

Footnote 15:

Lib. iv, cap. 8.

Footnote 16:

Med. Gaz., vol. xli, p. 515.

Footnote 17:

Observations sur la Physique, tome xvi (1780), p. 256.

Footnote 18:

Method of preventing or diminishing Pain in several Operations of
Surgery. Lond. 1784.

Footnote 19:

Gazette des Hôpitaux, 1st April, 1854.

Footnote 20:

Hypnotism is the term employed by Mr. Braid of Manchester for the
peculiar sleep produced by the Mesmerists.

Footnote 21:

Record of Cases treated in the Mesmeric Hospital. Calcutta, 1848.

Footnote 22:

Cary’s Herodotus, book i, 202.

Footnote 23:

Book iv, 73–5.

Footnote 24:

Liber viii, cap. 1.

Footnote 25:

Translated into Latin by Father Angelus, Paris, 1681, p. 21.

Footnote 26:

P. 287.

Footnote 27:

P. 88.

Footnote 28:

See Medicinal Use of Different Kinds of Airs, by Dr. Pearson.
Birmingham, 1795.

Footnote 29:

Researches concerning Nitrous Oxide, p. 556.

Footnote 30:

See 32nd Congress, 2nd Session [Senate] Rep. Com. No. 421, p. 17.

Footnote 31:

Vol. iv, p. 158.

Footnote 32:

A Defence of Dr. Charles T. Jackson’s Claims to the Discovery of
Etherization. Boston, 1848.

Footnote 33:

The Inhalation of the Vapour of Ether in Surgical Operations. By John
Snow, M.D. 1847.

Footnote 34:

Pharmaceutical Journal, Feb. 1847, p. 357; and Med. Gaz., 1847, vol.
xl, p. 939.

Footnote 35:

Quoted in Med. Gaz., 1847, vol. xl, p. 1153.

Footnote 36:

Lancet, Nov. 27, 1847, p. 575; and Med. Gaz., 1847, vol. xl, p. 1031.

Footnote 37:

Dr. Pereira in Pharmaceutical Journal, March 1846, vol. v, No. 9.

Footnote 38:

Silliman’s American Journal of Science and Art, vol. xxi, p. 64, Jan.
1832.

Footnote 39:

Ann. de Chim. et de Physique, t. xlviii, p. 131.

Footnote 40:

Ibid., t. xlix, p. 146.

Footnote 41:

Ibid., t. lvi, p. 134.

Footnote 42:

Formic acid is so named because it was originally obtained from the
red ant (_Formica rufa_). It is now made from starch.

Footnote 43:

Turner’s Chemistry, 8th ed., p. 1009.

Footnote 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.

Footnote 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).

Footnote 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.

Footnote 47:

See Med. Gaz., vol. xl, p. 1092.

Footnote 48:

Dr. Letheby in Med. Gaz., vol. xlvi, p. 1037.

Footnote 49:

Lancet, Feb. 12, 1848.

Footnote 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.

Footnote 51:

Gazette des Hôpitaux, 20 Mars, 1847.

Footnote 52:

Medical Gazette, vol. xli-ii.

Footnote 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.

Footnote 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.

Footnote 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.

Footnote 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.

Footnote 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.)

Footnote 58:

Edin. Med. and Surg. Journal, vol. lviii.

Footnote 59:

Lond. Med. Gaz., vol. xlii, p. 414.

Footnote 60:

London Journal of Medicine, April, 1852.

Footnote 61:

London Medical Gazette, vol. xlii, 1848, p. 109.

Footnote 62:

On the Inhalation of the Vapour of Ether, p. 82.

Footnote 63:

Medical Gazette, vol. xlii, p. 415.

Footnote 64:

See l’Union Médicale, 1855, No. 13.

Footnote 65:

London Medical Gazette, vol. xli, p. 255.

Footnote 66:

Opus cit., p. 253.

Footnote 67:

Opus cit., p. 341.

Footnote 68:

London Medical Gazette, vol. xli, p. 75.

Footnote 69:

London Medical Gazette, vol. xlii, p. 80, from Western Lancet, and
Phil. Med. Exam. April 1848.

Footnote 70:

Vol. xliii, p. 682.

Footnote 71:

Gazette Médicale, 8 Juillet, 1848; and London Medical Gazette, vol.
xlii, p. 211.

Footnote 72:

Proceedings of Academy on Feb. 6th, 1849. See London Journal of Med.,
1849, p. 307.

Footnote 73:

London Journal of Medicine, 1849, p. 324.

Footnote 74:

Lond. Med. Gaz., vol. xliii, p. 694.

Footnote 75:

London Med. Gaz., vol. xlii, p. 84.

Footnote 76:

Bouisson, Traité de la Méthode Anesthésique, p. 398.

Footnote 77:

London Med. Gaz., vol. xliii, p. 41.

Footnote 78:

Ibid., p. 712.

Footnote 79:

Ibid., p. 747, from l’Union Médicale.

Footnote 80:

Lancet, 1849, vol. i, p. 205.

Footnote 81:

L’Union Médicale, Sept. 8th, 1849; and Med. Gaz., vol. xliv, p. 478.

Footnote 82:

Lond. Med. Gaz., vol. xliv, p. 757.

Footnote 83:

Journal of Prov. Med. and Surg. Assoc., 1849, p. 698.

Footnote 84:

Casper’s Wochenschrift, Jan. 12, 1850; and Lond. Med. Gaz., vol. xlv,
p. 483.

Footnote 85:

Edin. Monthly Journal, April 1850, p. 377.

Footnote 86:

Hygiea, October 1850, p. 602.

Footnote 87:

Lond. Med. Gaz., vol. xlvi, p. 39.

Footnote 88:

Lancet, 1850, vol. ii, p. 21.

Footnote 89:

L’Union Médicale, January 29, 1852.

Footnote 90:

Medical Times, 1851, vol. ii, p. 98.

Footnote 91:

Medical Times, 1851, vol. ii, p. 620.

Footnote 92:

Medical Times and Gazette, vol. i, p. 293.

Footnote 93:

Medical Times and Gazette, p. 318.

Footnote 94:

See a clinical lecture by Mr. Stanley, Med. Times, Nov. 22, 1851.

Footnote 95:

Gaz. Médicale, 1852, p. 630, from Medicinisches Correspondenz Blatt.

Footnote 96:

Medical Times and Gazette, 1852, vol. ii, p. 531.

Footnote 97:

Monthly Journal of Med., vol. xv, 1852, p. 377.

Footnote 98:

Lancet, 1853, vol. i, p. 21.

Footnote 99:

Lancet, 1853, vol. i, p. 307.

Footnote 100:

Med. Times and Gaz., 1853, vol. ii, p. 47.

Footnote 101:

Monthly Journal, Nov. 1853, p. 427.

Footnote 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.

Footnote 103:

Medical Times and Gazette, 1853, vol. ii, p. 422.

Footnote 104:

Medical Times and Gaz., 1853, vol. ii, p. 449.

Footnote 105:

Ibid., p. 450.

Footnote 106:

Edin. Monthly Jour., vol. xix, 1854, p. 372.

Footnote 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.

Footnote 108:

Association Med. Jour., 1854, p. 109.

Footnote 109:

L’Union Médicale, 1854, p. 171.

Footnote 110:

Ibid., p. 187.

Footnote 111:

Association Medical Journal, 1854, p. 315.

Footnote 112:

Medical Times, 1854, vol. i, p. 572.

Footnote 113:

Medical Times and Gazette, 1854, vol. ii, p. 86.

Footnote 114:

Med. Times and Gaz., 1854, vol. ii, p. 390.

Footnote 115:

Ibid., p. 442.

Footnote 116:

Med. Times and Gaz., 1854, vol. ii, p. 501.

Footnote 117:

Medical Times and Gazette, 1855, vol. i, p. 363.

Footnote 118:

Edin. Med. Jour., 1855, p. 524.

Footnote 119:

1855, vol. ii, p. 479.

Footnote 120:

Medical Times and Gazette, 1856, vol. ii, p. 442.

Footnote 121:

Association Med. Jour., 1856, p. 903.

Footnote 122:

Medical Times and Gaz., 1856, vol. i, p. 236.

Footnote 123:

Lancet, 1857, vol. i, p. 429.

Footnote 124:

Med. Times and Gaz., 1857, vol. ii, p. 171.

Footnote 125:

Med. Times and Gaz., 1852, vol. i, p. 627.

Footnote 126:

Gaz. Médicale, 1853, p. 304.

Footnote 127:

Lancet, 1848, vol. ii, p. 47.

Footnote 128:

Bouisson, Méthode Anesthésique, p. 398.

Footnote 129:

Casper’s Wochenschrift, September 6, 1850; and London Med. Gaz. vol.
xlvii, p. 261.

Footnote 130:

Medical Times and Gazette, 1854, vol. i, p. 516.

Footnote 131:

Ibid., p. 517.

Footnote 132:

Chloroform: How shall we ensure Safety in its Administration?
Pamphlet. London: 1855.

Footnote 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.

Footnote 134:

Oration before the Hunterian Society. Pamphlet, 1855.

Footnote 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.

Footnote 136:

See Med. Times and Gaz., 1853, vol. ii, p. 562.

Footnote 137:

See above, p. 75.

Footnote 138:

Edin. Monthly Jour., 1853, vol. xvii, p. 220.

Footnote 139:

Med. Times and Gaz., 1852, vol. i, p. 627.

Footnote 140:

L’Union Médicale, 1850, p. 411.

Footnote 141:

Lond. Med. Gaz., vol. xliii, p. 230.

Footnote 142:

Medical Times and Gaz., 1856, vol. ii, p. 413.

Footnote 143:

Med. Times and Gaz., 1856, vol. ii, p. 478.

Footnote 144:

Ib., 1857, vol. i, p. 559.

Footnote 145:

Page 648.

Footnote 146:

Practical Surgery, 3rd ed., p. 682.

Footnote 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.

Footnote 148:

Fourth edit., vol. ii, p. 467.

Footnote 149:

It was made by Mr. Matthews, Portugal Street. It was not contrived by
me.

Footnote 150:

London Journal of Medicine, vol. i, pp. 54, 976.

Footnote 151:

See Medical Times and Gaz., 1855, vol. i, p. 361.

Footnote 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.

Footnote 153:

Med. Gaz., vol. xli, 1848, p. 102.

Footnote 154:

Association Med. Jour., 1853, p. 706.

Footnote 155:

See Med. Times and Gaz., 1853, vol. ii, p. 412.

Footnote 156:

Med. Times and Gaz., 1857, vol. ii, p. 553, and 600.

Footnote 157:

Med. Times and Gaz., 1856, vol. ii, p. 528.

Footnote 158:

Brande’s Chemistry, 5th ed., p. 1274.

Footnote 159:

Lond. Med. Gaz., Feb. 1842.

Footnote 160:

On the Inhalation of the Vapour of Ether in Surgical Operations.
London, 1847.

Footnote 161:

Papers on Narcotism by Inhalation. Lond. Med. Gaz., vol. xli-ii.

Footnote 162:

Lancet, Jan. 1, 1848.

Footnote 163:

Vol. xxxix, p. 271.

Footnote 164:

Medical Gazette, vol. xxxix, p. 358.

Footnote 165:

Gaz. Médicale, Mars 4, 1848, p. 170.

Footnote 166:

Gaz. des Hôpitaux, Juin 18, 1853.

Footnote 167:

Medical Gazette, vol. xxxix, p. 414.

Footnote 168:

Ibid., vol. xxxix, p. 585.

Footnote 169:

Medical Gazette, vol. xxxix, p. 631.

Footnote 170:

Méthode Anesthésique, p. 394.

Footnote 171:

American Journal of Med. Science, July 1857, p. 284.

Footnote 172:

Annales de Chimie et de Physique, 3ème série, tom. xii, p. 320.

Footnote 173:

15, Hanover Street, Hanover Square.

Footnote 174:

Bulletin Général de Thérapeutique, t. lii, p. 312.

Footnote 175:

L’Union Médicale, p. 175.

Footnote 176:

Less than an ounce of amylene was poured out, and it was not all used.

Footnote 177:

Medical Times and Gazette, 1857, vol. i, p. 84.

Footnote 178:

British Medical Journal, March 28th, 1857.

Footnote 179:

Bulletin Général de Thérapeutique, t. lii, p. 223.

Footnote 180:

Gazette Hebdomadaire, 1857, p. 164.

Footnote 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.]

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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.