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placement was temporarily effected. The delirium of the patient was an obstacle to her co-operation, and her movements constantly tended to reproduce the abnormal position. Pledgets of anointed cotton were from time to time introduced to aid in correcting the descent and retroversion. Vaginal suppositories, containing borate of soda, morph. mur., and pulv. assafœt., were occasionally employed. To quiet excitement, larger doses of pot. brom., and hydrat. chloral, to which tr. opii deod. was added, were given when necessary. In addition, morph. acet. gr. j, was administered every two to four hours to compel sleep. A dry cup was also applied upon her neck, as near the medulla oblongata as we could get it.

29th. Patient slept considerably, and seemed calmer when awake. Having been compelled to remain with the patient nearly all the time since the 27th, I wholly attended to the administration of remedies. Whenever the effects soon began to wear off, I repeated doses according to effects, sometimes administering the anodyne every fifteen minutes until the patient became quiet. Repeated repositions of the uterus were made, and means of relief employed.

30th. An improvement perceptible. When calm, would ask for her children. I now began the use of sponge baths. Bowels regular to this time. Marked indications of inactivity of liver presenting, gave mass. hydrarg. grs. vj in pill, with benefit.

mon.

June 4. Put her on use of syr. phos. comp. c. p. after each meal; elix. phos. ferri quin. et strych. c. p. twice a day; potass. brom. amBy June 13th, she had sufficiently recovered to be removed to her home. Advised the continued use of the phosphates, a ride every pleasant day, entire relief from anxieties of all kinds for at least a month; and, I am happy to add, that she rapidly progressed to a full and complete recovery.

REPORT OF THE YORK COUNTY MEDICAL SOCIETY.

YORK COUNTY is the oldest county in the State west of the Susquehanna River, and its entire eastern boundary is washed by the waters of the Susquehanna; on the north and west it is bounded by the counties of Cumberland and Adams, and on the south by the State of Maryland.

The area of the county is 925 square miles, containing a population of eighty thousand. York Borough is the county seat, having a population of about fifteen thousand; there are many other towns throughout the county, large and small, numbering in population from two thousand down to two hundred. The county is abundantly wooded and watered, and is diversified with hills, rich and majestic; and valleys fertile and beautiful. The soil is variously composed of limestone, slate, gravel, and red shale; and the productions of the county for the markets are flour, grain, beef, pork, tobacco, iron-ore, slate, granite, and sandstone, etc. The people are industrious, intelligent, healthy, and temperate, and generally live to a ripe old age; their modes of life are active, and of a mixed character-paying marked attention to business-their occupations being chiefly agricultural and mechanical pursuits.

The prevailing diseases in the county are intermittent, remittent, and typhoid fevers; pleurisy, pneumonia, and rheumatism.

The general health of the people during the past year has been good, and remarkably free from epidemic diseases.

The York County Medical Society was organized in the year 1873, and now makes its first report to the State Medical Society. The undertaking to establish a society, with hopes of giving it permanency and success, has been more than realized by its friends; at first the meetings were held semi-annually, but now they are held monthly; they are well attended, and increasing in membership, and are of a very instructive and interesting character. The Society's meetings are held on the first Thusday afternoon in each month, and generally last from two to four hours, the time is occupied by running discussions on the diseases of the past month, as they occur in practice, and their treatment; and by the reading of original papers

on various topics connected with medicine and surgery. During the past year, papers were read on the following subjects: On Cataract, with mode of operation, by Dr. Hay; On the Infrequent Use of Venesection, in certain inflammatory diseases, as compared with the practice of thirty years ago, by Dr. McKinnon, and a reply to it by Dr. B. F. Spangler; On Acute Rheumatism, successfully treated with Salicin, by Dr. Wiest; On Irreducible Strangulated Hernia, by Dr. Kerr; On Lister's Antiseptic Treatment of Wounds, illustrated by a number of cases, by Dr. W. C. Stick.

We mourn the loss of one of our members during the year, Dr. C. S. PICKING, who died on the 25th of May last, aged 54 years; he was a popular and respectable physician.

WM. S. ROLAND,.
M. J. MCKINNON,
JAMES W. KERR.

YORK, June 4, 1877.

CONSTITUTION AND BY-LAWS

OF THE

Medical Society of the State of Pennsylvania,

AND

CODE OF MEDICAL ETHICS,

WITH A

CATALOGUE OF THE PERMANENT MEMBERS, THEIR POST-OFFICE ADDRESS AND DATE OF MEMBERSHIP,

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