Dr. Sihler has appeared before the profession before, as an advocate of the methods of Brand, in the treatment of typhoid fever. He certainly deserves great credit for his earnestness, but he is certainly misinformed as to the stand which the American profession has taken with regard to the treatment of typhoid fever by cold water. The method is well known to them and thoroughly understood by them, and if it has not obtained the extensive use which Dr. Sihler thinks that it ought to have, the reason is to be found in the peculiar practical nature of American physicians. The severely logical arguments of Dr. Sihler, which are too rigid to reach the whole truth in so flexible a subject as medicine, appeal more to the German than to the American mind. The exceedingly practical nature of American physicians, and their actual success as practitioners, ought to show Dr.