Animal Substances.-1, Tendinous parts. 2, Bones. 3, Oily or fatty parts. 4, Hard boiled white of egg. 5, Skins of fishes. Vegetable Substances.-1, Oily seeds. 2, Expressed oils of different nuts and kernels. 3, Dried grapes, raisins. 4, Rind of farinaceous substances. 5, Pods of beans and peas. 1, Skins of stone fruits. 7. Husks of fruit with grains or seeds. 8, Stones of fruit. II. Substances partly soluble and partly insoluble. Animal Substances.-1, Pork dressed in various ways. 2, Black puddings. 3, Fritters of eggs, fried eggs and bacon. Vegetable Substances.---1, Dressed salads of various kinds. 2, White cabbage less soluble than red. 3, Beet root, onions and leeks. 4, Roots of red and yellow carrots. 5, The pulp of fruit with seeds. 6, Warm new bread and sweet pastry. 7, Fresh and dried figs. Of all these substances there were parts which were not digested in the stomach, but which were digested, however, while passing along the intestines, though at the expense of irritation there. III. Substances soluble and easy of digestion, requiring an hour or an hour and a half for their reduction into a pulp in the stomach. Animal Substances.-1, Veal, lamb, mutton, and the flesh of young animals in general, are more easy of digestion than that 3, of the old. 2, Fresh eggs. Cow's milk. 4, Perch boiled. Vegetable Substances.-1, Cele ry, tops of asparagus. 2, Botoms of artichokes. 3, Boiled pulp of fruits. 4, Pulp or meal of farinaceous seeds. 5, Different sorts of wheaten bread, without butter, the second day after baking, the crust more so than the crumb. Brown bread, in proportion as it contains more bran, is less digestible. 6, Turnips, mealy potatoes, parsnips not too old. IV. Substances which appeared to facilitate the power of the gastric juice. Salt, spices, mustard, hore radish, capers, wine and spirits in small quantities, old cheese, sugar in small quantity, bitters. Gentle exercise. V. Substances which retard ed the power of the gastric juice in the stomach, and occasioned some of the food to pass undigested into the intestines. Water, particularly when tak en hot and in large quantity, ac ids, astringents, oily substances strong and violent exercise. ---Ik. Johnson on the Stomach, 4th edition. HIRUDO MEDICINALIS. Mr. R. Dietz gives, in the Philadelphia Journal of the Medical and Physical Sciences, a few brief observations on the mode of propagating and preserving this important therapeutic agent. It appears that Mr. Achard, of Martinique, W. I., has satisfactorily proved the leech to be oviparous. The cocoons, as the ova are termed, contained from ten to fifteen young. In warm climates, they are said to perforate the cocoon at the expiration of twenty or twentyfive days. Bronchotomy successfully performed for Laryngitis.-Dr. William Cullen, being consulted on the 14th of March in a case of laryngitis which had commenced in November, and in which the symptoms were now very urgent, resorted immediately to the operation of laryngotomy, to prevent the consequences of impeded respiration. A small vessel was opened, too small for a ligature, so that "at each inspiration some blood was sucked in by the wound, but luckily it did not annoy the patient;" a tube was inserted, and, after a paroxysm of coughing, was tolerated,-respiration became quite free, and the other symptoms more favorable. An antiphlogistic course was pursued with advantage, and, by the 28th of March, the tube was removed; no cough or difficulty of breathing remaining. The opening into the larynx gradually closed, and by the 20th of April was perfectly healed. Ed. Med. & Surg. J. for July, 1827. A little daughter of Mr. Lyman B. Smith, of Saratoga, N.Y. about 3 years of age, was recently burnt to death, in consequence of her clothes, which were of cotton, taking fire. Woollen stuffs should be the dress of children in the winter season. The Taunton Reporter states that a woman in a neighboring. town afflicted with the toothache, had re BURYING IN CHURCHES. The burying in churches is forbiden in the Netherlands, after January, 1829. excepting in parishes where the population does not exceed one thousand persons. This is only doing tardily and by halves, that which should be done more speedily and entirely. In no civilized country should any dead body be permitted to be deposited in any church, dwelling, populous place, or anywhere else, so near the living as to interrupt the improvement of cities and villages, to offend the senses, of those who still breathe, to injure health or shorten life. The Smallpox is prevailing in Philadelphia and various other places at this time. Several deaths have occurred. So it must and will be till the unvaccinated will condescend to take the preventive. Died recently, in this city, Dr. SAMUEL DANFORTH, aged 88 years. DICTIONARY. Marasmus, a wasting away, emaciation. Canalis choledochus, the bile duct leading from the liver to the upper portion of the intestine. Jejunum, a portion of the intestinal tube. Muciparous glands, such glands as secrete mucus, wherever situated. Chylopoietic organs,such as produce chyle, a milky fluid formed from the food. Valvula, valves. SURGICAL INSTRUMENTS, ADVERTISEMENTS. CHARLES WHITE, Corner of Washington and Winter Sts., DRUGS, &c. AVID & JOHN HENSHAW & CO., D33, India Street, near the head of Central Wharf, have for sale, a very large of Instruments, Has received, by the gland, his fall Drugs, Paints, Dyestuffs, Window Glass, supply of DRUGS, MEDICINES, and SUR GEONS' INSTRUMENTS; among them are, delphine, brucine, emetine, strychnine, morphine, veratrinc, narcotine, sulphate of quinine, sulphate of rhubarb, drop glasses, stomach tubes, needles for acupuncture, &c. &c. &c., at very low prices. Gentlemen wish- 6mo. has relinquished it, and opened an Apothecary's Shop at the head of Poplar Street, where he will keep the best of Medicines and devote his personal attention to the preparation and delivery of the same.The Prescriptions of Physicians will be accurately put up and Families may depend on correctness; he therefore solicits a share of public patronage. Medicines may be obtained in the night as well as by day. Boston, Aug. 30, 1827. W. WEBSTER, M.D., Adjunct Irving Professor of Chemistry in Harvard University. This work has been adopted as a textbook in the University at Cambridge: at the United States Military Academy, West Point; at Amherst, Burlington, Williams' and Washington Colleges & Castleton Medical School, and at several other Colleges and Medical Schools in the United States. Orders for the work received by the publishers, Published weekly, by John Cotton, 184, Washington St. corner of Franklin St. -The price of this paper will vary with the time of payment. If paid on subscribing, or within 3 months after, the price will be 3 dollars per annum ; if paid after 3 months but within the year, it will be $ 3,50; but if not paid within the year, it will be 4 dollars. No paper to be discontinued till arrearages are paid.-All communications relating to the present or future concerns of this paper, to be addressed, always postpaid, to John G. Coffin. Advertisements, 1 dollar a square. MEDICAL INTELLIGENCER. JOHN G. COFFIN, M. D., EDITOR. DEVOTED TO THE CAUSE OF PHYSICAL EDUCATION, AND TO THE MEANS OF PREVENTING AND OF CURING DISEASES. VOL. 5. TUESDAY, DECEMBER 4, 1827. NO. 29. From the Philadelphia Medical Recorder. principles are kept in view, they PHILIP ON INDIGESTION. Concluded from page 441. Of the principles of the Medicinal Treatment in the more protracted cases of Indigestion.-From what has been said, it appears, that when the second stage has formed, the more permanent effect of stimulants is always hurtful, and are only to be used for the relief of the sense of depression, and because the habit acquired in the early part of the disease renders them more or less necessary. For this purpose the more temporary stimulants are preferable; simple stimulants are better than what are called' tonics. When, however, we have relaxed to a certain degree the sanguiferous system and secreting surfaces, the more permanent effect begins again to be beneficial, and the relaxed state of the system demands it. "As there is a period in the progress of the disease at which the more permanent stimulants can no longer be borne, so there is a period in the progress of the recovery at which they may again be employed with advantage. They require greater caution in the last than in the first instance, for fear of a relapse. No general rule can be laid down; but if the foregoing will point out what is requisite ; our practice, however, should bear as much as possible to the tonic plan as the nature of the case will admit. We should combine the lighter bitters, as chamomile and orange peel, the warmer gums, and the preparations of ammonia with the appropriate treatment of the second stage, unless where the tendency to fever is considerable, being careful to keep within the limits at which a tendency to increased oppression or heat of skin is manifested; and it is not unusual to be under the necessity of laying aside every medicine of this nature, even chamomile tea. When the constitution has to a certain degree been affected by the alterative, we may combine with it the mineral acids, iron, bark, or sulphate of quinine, according to circumstances. But even at this period, if tonics produce dryness of skin, tightness of pulse, increased heat, sense of oppression either general or referred to the stomach, or any symptom which characterizes the second stage of indigestion, the dose must be lessened, or if requisite, laid aside. The acids can be borne most frequently, next to them the chalybeates, and least frequently the bark, though most efficacious if it can be administered. The early use of tonics is "demanded and is more admissible in cases where the usual course of the disease is disturbed, and the debility of the surface appears in a relaxed rather than a constricted state." When these means are had recourse to in the second stage of indigestion, a free state of the bowels is essential. After this stage has been nearly removed, great benefit is often derived from the preparations of iron combined with mild aperients, using the alteratives "at intervals of shorter duration in proportion to the tendency to relapse." Though rarely, it sometimes happens, that a patient accustomed to a certain degree of tightness in the pulse, cannot, even for years, be brought to bear one as soft as the pulse of health. The means proper for producing such a pulse also occasions such a degree of depression, as disqualifies them for the active duties of life, which, however, they can perform, and enjoy a share of comparative health, if some tightness is allowed to remain. In such cases, the best plan is occasionally to resort to medicine, when there is an exacerbation of symptoms, and to trust to a proper diet, regularity of the bowels, and exercise in the open air, proportioned to the patient's strength and feelings. In proportion as "the symptoms which constitute the second stage of the disease become established, the original symptoms often become milder, and sometimes almost disappear," "and in progress of the cure, as the former are relieved, the latter are apt to increase or return," and the patient complains that his old stomach disorders begin to trouble him. This observation requires great attention, for if we neglect this warning the first stage will again be established, and be with greater readiness than formerly changed into the second. Strict attention to diet and exercise, a cautious use of tonics, and occasional mild alteratives, to protect against a recurrence of this stage, even where the bile appears but little, if at all deranged, constitute the proper treatment. Dr. P., after speaking of the lingering character of some cases, makes use of the following encouraging language. Experience has taught me to despair of no case in which a change of structure in a vital part has not made considerable progress," and, fortunately in this disease, serious functional disorder may exist for a long time, without structural derangement occurring. There are three medicines of great importance in the treatment of indigestion, none of which have been generally employed in this disease. They are nit. potassæ, tart. antimony, and ammonia. Of the Nitrate of Potash.-Our author has found no saline medicine, and they are essential in the second stage of this disorder, -so beneficial as the nitrate of potash; it enables us to lessen the quantity of mercury; and if the latter be increased, it will not produce the good effects of combining it with this nitrate. This remedy is indicated, when there is a tendency to increased heat in the evening, or during the night, and particularly to a burning in the hands and feet. It is not, however, confined to such |