flap must attach itself to the bone. After this there can be no possibility of any traction upon the lip below. The accompanying wood cuts, Figures 1 and 2, illustrating a case of extreme eversion of the lip, and its complete restoration, may help to make the explanation more clear. The dotted line indicates the place of incision. The plan was not thought of until after other methods of sustaining the lip had failed. In order to show how great an advance this simple expedient is upon anything which had preceded it, the next two cuts, Figures 3 and 4 are introduced. This is Teale's operation for eversion of the lower lip. A new lip is made upon the top of the old one. A B A Figure 4. The heavy black line, A, B, C, shows the place and direction of the incision. The parts above this line are freely dissected up from the bone, and brought together, the vertical lines coming together at the middle line of the new lower lip. The corners of the mouth are extended by Dieffenbach's method, and the spaces C, C, are left to be covered by granulations. A horrid deformity must always remain; while, by the plan introduced by the writer, no deformity whatever can be seen upon the face, and the bridles upon the neck are not made any worse by the restoration of the lip to its proper position. The remaining deformities of the neck and chest can be treated by subsequent transplantations of integument. If this treatment for the neck and chest should not be attempted, or if it should be unsuccessful, the most important object, the restoration of the lip will have been accomplished. This communication might seem unnecessary, and it would be, except for the fact that proper credit has been withheld by high authority. A Boston reviewer of the Report on Plastics, in which the operation was first carefully described, said of the report, in substance, that the portions which were claimed as new were not new, and what were admitted to be old had been better written in books everywhere accessible. The operation is understood to have been very successfully repeated in Chicago, in a public institution, without any notice. of its origin. The readers and reviewers of this article will confer a favor upon the writer, by showing that with regard to this operation the Boston reviewer was right. ARTICLE III. THE BROMIDES. BY F. K. BAILEY, M.D., Knoxville, Tennessee. In prefacing a few observations upon the bromides, it may not be amiss to allude to bromine as a therapeutical agent. It was extensively used as a topical application in hospital gangrene, during the war. In 1863 and 1864, a good many cases came under my care and observation, and nothing could be more obvious than its value in arresting the spread of the morbid influence, and placing the parts in a condition for healing. Pure and undiluted, it did not fail in a single instance, and many an ex-soldier can now attest its virtues, and will also say, that like the rod in the hands of a parent, it caused a smarting "while it made him better." Of the bromide of sodium I have seen but little in its action upon the animal economy. By some it is more highly esteemed than the bromide of potassium. tassium The bromide of ammonium I have used somewhat in the last year, and found it very useful in some forms of nervous disturbances. It acts more directly upon the nervous system, and is valuable when stimulation is required. In my practice, during the last two or three years, I have used bromide of povery freely. Among the first cases I treated after coming to this city, was that of a lady aged about 35, married, and mother of one child, which died some years ago. I saw her in November, 1867, and found that during the spring previous she had an attack of acute cystitis. After the violence of the symptoms subsided, dysuria followed, continuing all sum mer, together with facial neuralgia. When I first saw her she was suffering from chronic inflammation of the mucous coat of the bladder. The urine was alkaline, and was loaded with a thick mucus, which filled sometimes one-half of a vial in which it had been collected. There was severe pain referred to the fundus, besides great irritation along the urethral canal, and at the external meatus. There was also a good deal of pain in the region of the kidneys, caused by sympathy, as well as some local congestion. There was emaciation; some cough, and great depression of spirits. There was a dark, yellowish hue to the skin, and troublesome constipation. Her former medical attendant, who was leaving the city, informed me that he had a short time before commenced the use of bromide potassium, with tonics and mild alteratives. I prescribed as follows: M. F. Mix. Sig. Teaspoonful morning and night. The above was taken for several weeks, with the alternation at times, of syrup of iodide of iron. During the winter there began to be some improvement. But it was nearly a year before the mucus ceased to be voided. At times, when the urine was most alkaline, the mucus would be most abundant, and the distress in the bladder and dysuria would be aggravated. During the summer of 1868, she became quite comfortable, and took little or no medicine. In the autumn, there were some indications of a relapse, but a return to the bromide, with tonics, soon averted the disease. During the past year she has been scarcely at all troubled, and considers herself cured of cystitis. During the autumn of 1867, I met with a case of epilepsy, which seemed a favorable one for the trial of the bromide. It was a colored man, of 50 years or more, and possessing more than the ordinary amount of intelligence for one of his race. He purchased his freedom, and that of his wife, some years before the war, and worked on his own account as a tinner. Up to 1861, he had acquired some property, which, with his prospects for the future, soon vanished as the war began. Poverty and disappointment, consequent upon his reverses, caused a depression of spirits. Being something of a preacher as well as mechanic, in 1865 he began to be particularly interested in measures for the good of his fellow blacks. Mental excitement soon began to increase a former tendency to cerebral disturbance, which culminated in epilepsy, and in the summer of 1867 he had the first fit. He had taken bromide potass. for a short time before I saw him, and I continued its use, together with tonics and laxatives. For a year or more, the disease seemed stayed; but since last spring the fits have come on again, at long intervals, with the lesser symptoms intervening. Gave one and a In the August number of the Examiner, are some cases reported by Salvator Cass, M.D., upon the use of this salt in summer complaint, and I prescribed it for a patient then under my care. It was a female child, 10 months old, that had suffered from difficult dentition for some weeks. quarter grain, in mucilage, every four hours. and found no diarrhoea, and that the child night. Scarified the gums, and discharged the little patient as convalescing. I was told that the diarrhoea returned in about a week, but was promptly stopped by a resort to the syrup. Next day called, had slept well all September 5. Called to see a female infant, 10 months old, that had been sick with cholera infantum about eight weeks. The little creature was emaciated, with profuse evacuations every few minutes, attended with nausea and vomiting. The tongue and mucous lining of the mouth were deep red, with intense thirst, and a burning heat of the skin. It had suffered long from tenesmus, and tormina, which were only relieved, as I was told, by injections of tinct. opii. Five or six teeth had already appeared, and more still coming. I prescribed bromide potassii at once, in one and a-quarter grain doses, with syr. aurantii, four times daily, alternated with four drops liq. iodidi ferri. Having been nursed from birth "upon a bottle," I di |