The injections, combined with air-pressure, were effected by means of his pharmaco-koniontron.

Among numerous other papers presented to the sub-section, was one on "Tinnitus Aurium," by Dr. Laurence Turnbull, of Philadelphia, giving the statistics of 166 cases in which it appeared as a prominent symptom. Mr. W. D. Hemming also read a paper on the subject. In the discussion which followed, electricity was generally recognized as useless, while hydrobromic acid has a positive value.

Section of Obstetric Medicine.-Dr. George H. Kidd, of Dublin, in the chair.

Dr. Robert Battey, of Georgia, introduced to the Association. his use of iodized phenol, already familiar to the American profession.

Dr. E. J. Tilt, though not much in favor of intra-uterine injections, admitted, however, that intra-uterine medication was wanted in the following cases. 1. Incoercible blood-loss, resisting all remedies and menacing life. 2. When life or reason is menaced by the intensity with which internal metritis reacts on the system, rather than by the amount of purulent discharge to which it gives rise. 3. When internal metritis causes an aggravated complication of dysmenorrhoea by menorrhagia independent of ovaritis, and menacing life or reason. 4. Membranous dysmenorrhoea. 5. In habitual abortion, independent of syphilis and ovaritis, and seemingly caused by some morbid state of the lining membrane of the body of the womb. When internal metritis led to dangerous flooding, and in cases of membranous dysmenorrhoea, Dr. Tilt recommended intra-uterine injections with undiluted tincture of iodine. He deprecated the injection of a solution of nitrate of silver in such cases, and in other cases of internal metritis requiring intra-uterine treatment, on account of the severe pelvic diseases and death which had succeeded. In such cases he preferred to place in the womb five or six grains of solid nitrate of silver; but, as he had seen this followed by severe peritonitis, and as he knew this to have caused death, he expressed himself ready to welcome a better plan of treatment.

Dr. Byford, of Chicago, believed that intra-uterine medication could be adopted in a great many instances with safety. When he applied it, he looked a good deal to getting the patient into a proper condition; made her live quietly for some time beforehand; and kept her in bed for two or three days after the ap

plication, which measures he found to secure success invariably. He thought that the application should be delayed after menstruation. He should hesitate to make an application of nitric acid to the uterus in a case where the canal and mouth of that organ were very much diminished in size; and he did not believe that this was the class of cases to which it was applicable. This treatment should be succeeded by more constitutional means. He used glycerine and extract of belladonna.

Dr. R. Battey gave an account of 15 cases of Battey's Operation. The mortality had been 133 per cent. Regarding the results obtained at the end of six months, separating the recovered cases into three classes, there were three cases (a) of removal of but one ovary, three cases (b) of imperfect removal of both ovaries, and seven cases (c) of complete removal of both ovaries, which compared as follows: Morbid conditions wholly disappeared in class a, 1; in class c, 6: partly disappeared in class a, 1; in b, 1: not benefited, class a, 1; class b, 2: too recent to determine, class c, 1.

Present Condition.-Perfect health, class a, 1; class c, 4: comfortable health, class a, 1; class b, 1; class c, 2: not benefited, class a, 1; class b, 2: too recent to determine, class c, 1.

Dr. Graily Hewitt spoke of vomiting in pregnancy. He believed that the vomiting of pregnancy was one of the reflex disturbances produced by resistance to the normal expansion of the tissues at and immediately surrounding the internal uterine orifice. The success that had attended dilatation by Dr. Copeman's method was to be explained in two ways: (1) by the change of the flexed condition of the uterus-which the author had pointed out to be a usual cause of the sickness-to a condition of comparative straightness; (2) by the relief of the compression and condensation of the tissues by the artificial dilatation. Relief from vomiting during pregnancy might be obtained (1) by elevating the body of the uterus, and thereby taking off the pressure at the internal os; or (2) by dilatation of the cervix, after the method of Dr. Copeman. His own opinion, based on observation, was that the postural treatment was generally sufficient.

The President said he had learned at the beginning of his career, from Dr. Henry Bennet's book, that inflammation of the cervix uteri was a frequent cause of the excessive vomiting in early pregnancy; and he had since made it a rule to examine the uterus in such cases, and frequently found the condition

described by Dr. Bennet; and, on touching the inflamed surface freely with the solid nitrate of silver, the vomiting generally ceased.

Dr. W. II. Byford, of Chicago, read a paper on "Treatment of Fibroid Uterine Tumors by Ergot." His positions were-1. When properly administered, ergot frequently very greatly ameliorates some of the troublesome and even dangerous conditions of fibroid tumors of the uterus, e. g., hemorrhage and copious. leucorrhoea. 2. It often arrests their growth, and checks hemorrhage. 3. In many instances it causes the absorption of the tumor, occasionally without giving the patient any inconvenience; while, at other times, the removal of the tumor by absorption is attended by painful contractions and tenderness of the uterus. 4. By inducing uterine contraction, it causes the expulsion of the polypoid variety of the submucous tumor. 5. In the same way, it causes the disruption and discharge of the intramural tumor. He said that, in administering ergot in cases of fibrous tumor, the action of the drug would depend on the degree of development of the fibres of the uterus, and on the position of the tumor with reference to the serous or the mucous surfaces; the nearer the mucous surface, the better the effect. A good result might be expected under the following conditions: smoothness of contour of the tumor, denoting uniform development; hemorrhage; a lengthened uterine cavity; and elasticity of the tumor. He would expect large fibro-cystic tumors to resist the action of ergot; and a good result was not to be expected in cases of uneven nodulated tumor, absence of hemorrhage, shortness of the uterine cavity, and hardness of tumor. It was not essential to give ergot hypodermically, though this was a very efficacious method; it might be given by the mouth, in suppositories, etc. If the object were to cause painless absorption of the tumor, the dose should be moderate, and not too frequently repeated; if it were desired to have the tumor expelled, full and increasing doses should be given often, and continued till the object was attained. The preparation which he used was Squibb's fluid extract of ergot. He said, in conclusion, that he disclaimed any expectation that ergot would supplant all other modes of treatment.

The President stated that he had tried the ergot, but had no good result from it in this class of cases.

Dr. J. T. Hodgen, of St. Louis, presented a paper and a specimen of fibro-myoma of the placenta.

On Tuesday, August 5, 1879, there was a reception by the President of the Association, and the Local Reception Committee at Queen's College.

On Wednesday, August 6, a conversazione by the Mayor, Corporation, and citizens of Cork.

On Thursday, August 7, there was a public dinner, which was in every way a success, and the "menu" all that could be desired by the most fastidious epicure. There were some most excellent after-dinner speeches. Without desiring to be invidious, we cannot help speaking in high terms of praise of those of Dr. Alfred Carpenter, in response to the toast of the British Medical Association, he having the happy faculty of always making a good extempore speech; rather a rare gift in England. "Our Guests" was a most witty effort, proposed by Dr. Andrew Clark, and most worthily responded to by Dr. Sayre, of New York.

On Friday, we had two entertainments, a garden party, and a grand concert given by the President and Reception Committee in the assembly rooms, the band and chorus numbering 130 performers. It was highly creditable to the musical talent of Cork, and gave much enjoyment to the delegation.

This is but a tithe of the many valuable papers received, read, and discussed, and of the private and public entertainments, dinners, luncheons, etc., which fully and most agreeably occu pied our visit. There were also five excursions: to Killarney, the Blackwater Valley, Lismore Castle, the river, Queenstown and Harbor, Blarney Castle, and Donegal; each one selecting the one which he fancied. Your Secretary, Dr. Sayre, and others had a most delightful ending to our visit by a charming sail up the Blackwater, and lunch at Lismore.

REPORT OF DR. LAURENCE TURNBULL, SECRETARY OF THE FOREIGN DELEGATION AT AMSTERDAM, HOLLAND.

SIXTH INTERNATIONAL MEDICAL CONGRESS.

THE following delegates from the American Medical Association presented themselves: Drs. Lewis A. Sayre, Charles H. Sayre, and E. Seguin, of New York, and Dr. Laurence Turnbull, of Philadelphia. We arrived at Amsterdam Sept. 6th, and proceeded the same evening to the "Zeemanshoop," which is a club of six hundred members of the élite of the mercantile and shipping classes of Amsterdam, who had politely given their rooms up to the Committee of Registration. Professor Stokvis received us with much courtesy, and we each inscribed our names for membership of the congress, and for the various excursions and farewell dinner. In the evening there was a reunion of the members of the congress in the grand hall of the Zoological Gardens (Artis). Next day, Sunday, at two o'clock séance d'overture took place under the presidency of Professor Donders, of Utrecht, in the grand salle du parc, and was attended by most of the élite of Amsterdam and neighborhood, both ladies and gentlemen.

The hall was artistically decorated with the colors and flags of all nations represented at the congress, and with shields on which were inscribed the names of the cities in which the former meetings of the congress had been held. The report of the general secretary, Dr. Guye, was then read, and in it were set forth all the labors that had been accomplished up to the time of the opening of the present congress. After the reading of the general report had been concluded, there followed the nomination of the bureau définitif or presidents from each country represented. Conspicuous among them were Professors Lister and Ernest Hart, of England, Warlomont, of Belgium, Marey, of Paris, and Professor Sayre, of New York. Professor Donders