a twenty-five cent piece. At times the pain was intense and
excruciating: and about a week from admission this spot seemed quite
tender to the touch. After the use of a blister and tincture of iodine for
a week, he was somewhat relieved. Not entirely, however, for at times the
pain was very severe. On Aug. 7th, he left the hospital thinking he could
do some work. The next day, while attempting to climb a fence, and while
in the act of raising the body by the arms, the left humerus was fractured
transversely at the exact point of his previous suffering.

He was again admitted to the hospital, and the fracture dressed in the
usual manner. After five or six days a gutta percha splint was used which
encircled the arm. Bony union was slow in taking place. However, on Oct.
3d, nearly two months from the date of the fracture, he left the hospital,
the union being complete, and he being entirely relieved from his pain; in
fact, he was relieved from the moment of the fracture.

This case presents a question in pathology which is of interest. Was there
a localized periostitis at this point? If so, why was it not entirely
relieved by the treatment which consisted of blisters and iodine,
externally, and mercury and iodide potassium internally? Was there a
deficiency of nutrition at this point? or anemia from some change in the
nutrient artery,--the result of the periostitis of the long bones? Or was
it incipient necrosis? Prof. Hamilton gives the record of a case of
fracture of the humerus, from muscular action, taking place three several
times in the same individual, each time in a different place.

CASE THIRD.--Dec. 29th, 1878, was called to see Mr. ----, male,
married, aged about 40 years. Has led an out-door, active life. Has always
been healthy. No venerial taint. Nervous temperament, spare built, and
weighs about 140 pounds. Present condition: Has been sick two or three
days; the attack commenced with a chill, followed by fever; has had fever
ever since the chill; complains of pains in the back and legs; has vomited
considerable; bowels costive; tongue coated; severe pain in right side
corresponding to lower part of the lung, which I found solidified; there
is considerable cough.

Ordered a cathartic; to be followed by an anti-pyretic of acetate of
ammonia and aconite, and a blister over the lower part of the right lung.
Continued this treatment for three or four days, when the pneumonia began
to subside, and at the end o