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of the book; and so to keep the description of mere details in subordination to those aspects of disease important in an ordinary physician's practice: indeed the space available for these subjects forbade any attempt to deal with them in full detail. Certain parts of the clinical investigation were likely to be neglected in the plan of such a book, if a more general view of the aspect and physiognomy of the patient were not also supplied to meet this want an introductory chapter on the Physiognomy of Disease has been furnished by Professor Gairdner, who has throughout given much assistance in the rest of the work. A concluding chapter on the Method of performing Post-mortem Examinations has been added by Dr. Joseph Coats: imperfect methods of examining the body after death often lead to the practical loss of most important and laborious clinical investigations.

No attempt has been made to follow out any very strict nosological plan or classification of subjects. The guiding considerations have always been convenience and utility. The limitations of space forbade any attempt to deal with the treatment of disease, although occasional allusions are to be found to the effect of remedies. When the nature of a case has been thoroughly mastered, so as to afford a trustworthy guidance to its position in respect of a true diagnosis, the whole literature of medicine is laid open for our assistance in the treatment.

Many portions of this book are adapted more for reference than for reading in a continuous manner; but others, it will be easily seen, can be read best in sequence. Some subjects are dealt with more fully than others: this has been determined, in large measure, by considering what were the parts of the clinical inquiry in which the student required most assistance, or in which his present books seemed defective for clinical purposes.

Some references have been given at the openings of most of the chapters for the benefit of beginners, who might not know the names of special treatises dealing with the various

subjects in detail. To prevent repetition of the titles, a list of
these is given separately after the table of Contents. It has
not been thought desirable, as a rule, to cite authorities for the
statements in the text. Numerous references to foreign books
and to periodical literature would have been required in doing
so, and it was feared that these would only confuse many
readers. Occasionally a name has been introduced, in special
circumstances, for the sake of clearness, and to avoid any
mistakes which might arise from such an omission. In the
absence of such citations, care has been taken, in the sections
dealing with subjects on the borderland of medicine, to have
them revised by those familiar with these departments.
Various friends have kindly done this, and their names are
omitted here simply to avoid attaching a responsibility to
them which mere revision in this way scarcely imposes.

In the illustrations the aim has been to supply those which
the student is likely to feel the want of in his actual bedside
investigations. To keep the volume from being too expensive,
no attempt has been made to illustrate those subjects which
require color for their proper representation: it was thought
better to omit such altogether. Instruments have likewise
been omitted: the reader is supposed to be engaged in using
those referred to. The illustrations are partly new and partly
borrowed from recognized authorities. In particular, acknow-
ledgment must be made of those obtained by the Publishers
from the valuable work of Dr. Gee, and from the well-known
book of my friend Dr. Wm. Roberts. Several have also been
copied from Dr. Gairdner's Clinical Medicine. A list, with
details of the sources of the illustrations, is given elsewhere.
Dr. John Wilson (whose illustrations of the cutaneous para-
sites are already well known to the profession) has supplied
several new microscopic drawings of great value.

351 BATH CRESCENT, GLASGOW,

August, 1878.

J. F.

LIST OF ILLUSTRATIONS.

FIG.

1. Diurnal range of the temperature in hectic fever,

PAGE

71

2. Unusually high temperature just before death, 3. Very low temperature just before death,

73

73

4. Gradual rise of temperature at the beginning of enteric

fever,

5. Temperature in tertian ague,

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6. Remitting lysis in enteric fever,

7. Collapse of the temperature in phthisis, simulating an
improvement. Comparison of axillary and vaginal
measurements of the terminal temperatures,

(These diagrams of temperature were obtained from
patients under Dr. Finlayson's care.)

8. Diagram of the various parts of a pulse-wave (based on

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13 and 14. Right and left radial pulses from a case of thoracic aneurism, showing a marked difference on the two

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17. Pulse-tracing from a case of Bright's disease, showing increased arterial tension,

86

(These pulse-tracings were taken by Dr. Gemmell chiefly
from patients under the care of Dr. Gairdner.)

18. The Itch insect-Acarus Scabiei. Female-ventral as-
pect. Drawn by Dr. John Wilson from a specimen in
his possession,

98

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