1876. Tenth Edition. 306 pages. Dark green cloth with fold out black and white medical diagram to title page. black and white illustrations throughout. Minor tanning to pages with heavier tanning and foxing to pastedowns and endpapers. Inscription to front endpapers and last page. Hinges are cracked with exposed netting with visible cracking to gutters. Light fading and bleach spotting to front and rear with visible bumping to corners and moderate crushing to spine ends. White paint mark to rear bottom edge with board hinges creased and fading.