Testudo, or by the simple spiral turns, 31, 32, 33, 34 and 35, in the cut. Having cleared the femuric condyles, you then make spiral reverses to the hip, where you confine the bandage in the usual way.

USES. For all the multitudinous purposes that an injured or diseased member may demand. The same caution should be observed here as was spoken of under the Reversed Spiral of the Superior extremity.

CAPUTINA (ROSETTE STUMP DRESSING.)

DESCRIPTION.-Take from nine to fifteen strips of cloth (according to the size of the stump), having each one and threequarter inches in width, by two and a half feet in length.

These strips are to be placed in two groups. One set should be so arranged as to form a half rosette, A, whilst the others should be arranged in a parallel group, B, each strip slightly overlapping its fellow. The half rosette, including one strip parallel with the second set, is made secure with a pin, or stitches, at the point of radiation of the different pieces, called its center, as A. The horizontal strips of parallels may now be

Diagram of the Caputina. stitched together at their centers, though this is not necessary. The whole bandage is then spread upon a newspaper. The horizontal strip, C, of the rosette is laid upon the first piece of the parallel strips, (so that the set of parallels becomes but an extension of the rosette), and fastened to it. The object of

spreading it upon the paper is only for convenience in carrying

and handling.

APPLICATION.-The stump is now made ready for this final

FIG. 87.

Caputina applied.

bandage. The center, A, figure 86, is placed opposite the median line of the under surface of the stump, at a point some six inches from its end, and confined there by the long cross strip, c-c, which encircles the member. The remaining portions of the rosette are then laid, smoothly and successively, over the stump, covering the end completely. The bandage is then finished by passing the horizontal parallel strips, B, over the remaining portion of the limb, securing the free ends of the rosette that are folded over its anterior surface,

thus completing the dressing which is represented, as applied to a thigh-stump, in figure 87.

These parallel strips may be used more or less extensively upon the limb, as the exigencies of the case may seem to demand. This bandage is really but the extension of the principle of that of Scultet's the whole upper portion, B, figure 86, being but the bandage of Scultet.

USES.-This bandage is used only in the dressing of stumps; and it is particularly valuable where pressure is required-as when the flaps retract, making the wound gape, thus leaving the bone exposed. In its application the stump needs be lifted but once, i. e. when the bandage lying upon the paper, is first slipped under-a desideratum wanting in all other stump-dressings.

SCAPULO-TIBIAL TRIANGLE AND CRAVAT-(SLING FOR THE INFE

RIOR EXTREMITY.)

A cravat or scarf, two yards in length.

Scapulo-Triangle and Cravat.

II. A triangle whose base measures one and one-half yards, and whose height is two feet.

APPLICATION. Tie the scarf

over the shoulder opposite the injured leg, as A. Place the base of the triangle, near its middle, at anterior surface of the leg, B, and carry the two ends upwards and tie into the "sling" formed by the cravat. Then pin the apex of the triangle at the outer side of the leg, to the base of the triangle, as at C, folding it across the front of the knee, so as to prevent the member slipping too far forwards, and out of its support.

USES.-To support either lower

extremity, when injured; or to hold moderately flexed the leg upon the thigh. Is a very convenient and useful dressing.

(To be continued.)

AMPUTATION OF CARBUNCLE (Trans. of the Med. Soc- of the District of Columbia).

Dr. Triplett, at a recent meeting of the Society, called attention to his mode of treatment of carbuncle, which is by amputation, and cited two cases in which this method seemed to have produced excellent results. In the debate which ensued, he held that nothing in the principles or practice of surgery forbade the operation, and that it was only aiding and anticipating natural processes to remove the slough as soon as possible.-Medical

Times.

Ars, ante omnia veritas.

Editorial,

TRANSACTIONS OF STATE MEDICAL SOCIETIES.

The following editorial from the Philadelphia Medical Times is very appropriate. The suggestions therein contained, as a remedy for the evil touched upon, must commend themselves to all medical journals having, as at least one of their objects, the best interests of the profession, and if followed the consequent reduction in the number of journals issued, would perhaps not be an unmitigated evil. It is a notorious fact that this country has more publications of this nature than are adequately sustained. We do not say that, properly speaking, there are too many, for there are physicians enough to give both a liberal pecuniary and literary support to all. The fault lies not so much with the journals as with the profession, who are too largely neglectful of their own interests, in the backwardness with which they contribute to medical periodical literature. We presume that the profession of Michigan is as actively alive to such of its interests as are not directly connected with money-making, as is the profession of any other state, and yet out of its two thousand odd members it is probably safe to say that not over forty per cent. patronize their home journals, and that not over fifty per cent. take any journal whatever, whether published at home or outside of the state. This being the case, it would seem much the better plan for state and local societies, instead of expending annually so much money in the publication of their transactions, to put it where it would do the most good and to extend their moral as well as their pecuniary and literary support to the fostering of home institutions :

There lie upon the table before us a number of volumes and pamphlets, which have been received within a very short time— Transactions of State and County Societies-outrunning in num

ber the most agile reviewer, and rising in dignity from the report of a County Society to the Centennial Publication of the New Jersey State Medical Society, in which is given to the world a full abstract of the manuscript minutes from 1766 to 1866. Nearly all of these volumes contain a good deal of matter which is of interest and well worthy of publication; but, on the whole, the chaff is in such abundance as to make gleaning laborious. The amount of money which is yearly expended upon the printing of Transactions, of very little or no value, in the United States, must be enormous. It seems to us that it would be far better if every County and State Society would subscribe to some journal, to be supplied en masse to its members, printing nothing but the merest outline and business minutes, and turning into a useful channel the yearly sum now bestowed upon the typographer. A-live weekly or bi-weekly journal would be a continual stream of light to many a place now sitting in darkness, and one year of trial would, we are convinced, render the present plan utterly obsolete. The success of the British Medical Association dates from the time when it created and furnished to its members the British Medical Journal. By massing numbers it becomes possible to furnish a costly journal at a very small price per copy. Ten thousand subscriptions at two dollars make twenty thousand dollars, and would support a much more princely journal than could be furnished to three thousand subscribers at four dollars. The strength of numbers is nowhere more apparent than in journalistic enterprises, and, in spite of the enormous amount of journals published in the United States, the need of journalistic light was never greater than at present. The number of journals published, instead of making them superior, through the stimulus of competition, renders them weaker, through the want of food. The subscription list being

small, the outlay upon the journal must be proportionate. Let us hope, then, for a consolidation of American journals, and also for the abandonment of the transaction publication, and the adoption, by State Societies, of general subscription to journals in behalf of members.

HOMEOPATHY IN THE UNIVERSITY.

The communications on this fruitful subject, this month, will be read with interest. We are pleased to learn, both from letters published and others whose publication a want of space forbids, that the revulsion of opinion which we predicted would follow the outburst of indignation which naturally greeted the