Olei cinnamonii Zeylandici, gtt. vj. Olei cari, gtt. j. Olei aurantii, ♏︎xl. Spiritus Curaçoæ, f. ℥vj. Alcoholis deodorati, Aquæ rosæ, Aquæ, āā Oj. Caramel, ℨiij. Misce secundem artem! _Conservative Surgery, with Reports of Cases._ By ALBERT G. WALTER, M.D. Pittsburg: Johnston. This is a very verbose treatise on the mode of dealing with lacerated wounds, &c. The author recommends free incisions along the whole length of the limb, and the subsequent application of poultices and fomentations, assisted by general and local supporting measures. As is usual in such cases, he cites a vast series of cases, which, as is equally usual, might be cited in evidence of a very large number of different and conflicting propositions. There is some sense in the author’s practice, but a terrible deal of nonsense in certain of his physiological speculations. Clinic of the Month. =The Pressure and Ligature Methods of treating Aneurism.=—In the course of a lecture on aneurism of the femoral artery Mr. Paget, adverting to these two methods, speaks of them thus: “Taking large numbers of cases of aneurism together, they are very nearly balanced, on the one side for pressure, and on the other for ligature. In favour of pressure there is the experience of the surgeons in Dublin. They seem to have a much larger number of aneurisms, especially of aneurisms of the popliteal artery, to treat than we have in England, and they have certainly a large amount of success. I have no doubt this is in part due to a well-arranged system, and to the house-surgeons and dressers acquiring a more special skill than we have yet achieved. On the other hand, there is the remarkable success attained by surgeons who have constantly practised, with great skill, the ligature. The success of Mr. Syme in the ligature of the femoral artery for popliteal aneurism has been so great that any one who might fairly expect to attain nearly the same measure of skill would undoubtedly follow the ligature rather than the pressure. I would prefer, however, to leave the subject open for your own observation, and say, endeavour to ascertain, as far as you may be able, which are the cases for the ligature and which are those in which pressure is more likely to lead to a good result. And in many cases in respect of which you are doubtful, pressure may be tried first and the ligature afterwards.” (See _Lancet_, April 24.)