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BOOK REVIEWS variety under the care of the author or of colleagues on either side of the Atlantic. The comic aspects are furnished or reinforced by numerous sketches of cartoon-type, or caricatures, by Raymond Hellier. Type faces are large, and the text is spread thinly over the pages, so that the whole can be perused, even though not fully digested, by the casual reader in less than half an hour. Part I, about half, is concerned with etiol ogy, including some statistics, with the quite proper conclusion that, despite what is known, there are factors of mystery in this subject which await final solution. Part II concerns management and, since the question of surgery is by-passed or ig nored entirely, it should be a fair assumption that the book is intended only for patients with the variety of peptic ulcer which is amen able to medical management. Those with a severe form of the disease, or with complica tions requiring surgery, would also require a larger book. Flexibility and tolerance may be said to characterize the author's plan of medical management, which is thus at variance with the once famous "sippy method." The gen eral plan is supplemented by a limited amount of detail on dietary and other factors. Addi tional comments could be made but the re view should not be longer than the book. At any rate, the author has produced a witty essay containing some wise philosophy, and the illustrator rates something more than honorable mention. William F. Moncreiff.
HEADACHE:
DIAGNOSIS AND
TREATMENT.
By Robert E. Ryan. St. Louis, C. V. Mosby Company, 1957, edition 2. 407 pages and index. Price: $6.75. Headache, a perennial problem to the ophthalmologist, is well covered in this mono graph by Ryan, now in its second edition. New chapters have been added on the tranquilizers, histamine, temporomandibular joint syndrome, and facial neuralgia. The influence of Horton is evidenced by the emphasis on the histamine headache and its treatment. While but a small percentage of headaches can be blamed on an ocular origin the oph thalmologist is frequently the first physician to be consulted by the patient suffering from this common symptom and he should there fore be in a position to advise the patient as to possible causes after eliminating the eye as the source of trouble. This book will do much to increase his understanding of the subject and it is therefore recommended to the practising ophthalmologist. The chapter on ophthalmologic head pain is written by Leslie C. Drews, who has covered the subject well and presented ju dicious advice as to "eyestrain headaches" as well as those caused by glaucoma, mi graine, and various oclular diseases. Cer tainly the internist or general practitioner reading this chapter will develop a more realistic idea of the role of the eye in the production of headache than he is likely to have had up to that time. William A. Mann.