IN the preparation of this work it has been my object to give a faithful reflection of the state of medical science and art at the close of the present century. While attempting to reach an adequate explanation of every subject attended by diffi culty, my chief care has been to keep before me throughout the aim of practical utility. With this end in view the different aspects of disease have been illustrated by clinical examples, and the various details of treatment have likewise been exhibited in typical cases. Whenever possible these have been taken from the results of hospital experience, and only when such instances were not obtainable have private case-books been utilised.

References to previous authors have been given with a freedom which may possibly be considered profuse. We are all, however, under a debt of gratitude to those into whose labours we have entered, and it is accordingly our bounden duty to render suitable acknowledgment.

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