Excerpt from Medical Notes and Reflections

Sixteen years have now been added to a period of practice, already long when the first edition of this work was published. In these times of rapid and incessant change - of medicine as of other sciences and professions - such a period becomes a little his. Tory in itself, and no one of common observation can have gone through it without gathering up, not merely insulated cases and facts, but also many general conclusions and principles, of still greater concernment to the interests of the profession. Such knowledge, as derived from my own experience, it has been my endeavour to convey in the clearest and most practical form in the following chapters, which must be regarded, however, not as formal treatises on the several topics discussed in them, but simply as selections from what I have noted in practice, embodying in this form some out of the numerous materials which are yet required for future and more complete research.

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