This work will fill a useful place in the hands of the practitioner who reads the language in which it appears. Though written by a Brazilian physician it is published in France and is, therefore much more accessible, as there are comparatively few readers of the Portuguese language. The author has brought together with much industry the principal symptomatology and arranged it in a natural classification so that any particular symptom can be readily found. The book is fully illustrated and the cuts are generally good and instructive. Each chapter has attached to it a bibliography, and while we think more American authorities might have been quoted with advantage, nevertheless it shows that the author's reading has been very extensive and that he has taken his facts from all sources.