596 THtE BIRITISII M1EDILAL JOURNAL. [Sept. 12, 1891.

fession first and the public afterwards might know its limita-tions. He gave particulars of cases in which he had foundhypnotism of use. Ile asked if it waspossibletoprotectapersonfrom beinig bypnotised.--i)r. WILIERFORCE SMITH tloUghtthat hypniotisin mnight, like morphlinae, be treated as a valuablerelne(ly which was equally liable to be abused, and should beplaced und(er wise restrictions.-Dr. OUTTERSON WooD said liewouldanswer I)r. D)ouglas's questionbystatingthat hehadhyp-notised a patient W110o was said to lhave been protected. Sincethe meeting at Birminglham last year, when he was placed onthe committee- appointed by the Section to investigate thephenomenia of hypnotism, lhe had conducted a number of ex-periments, and lie was bound to confess lie had found hlyp-notism of therapeutic value in certain cases. With regard tothe experiments related by M. Voisin, wlherein he lhad madepatients under hypnotic influence commit imaginary crimes,he was strongly inclined to accept Dr. Regnier's view thatthese were sitnple *'exp9riences de lahoratoire," anid could nothave happened in reality. lie was of the opinion that nopublic exlhihitions of hypnotism shouild be tolerated in thiscountry.-1)r. NEECH said they mtust Inot confoundl hypnotismwith suggestionts1 under lhypniotic influence. He believedwith Mr. Ernest Ilart that the phenomena were actual andreal.-Dr. Bar DGWATER warned the members against going toextremes in this matter. That liypnotism shouild be em-ployed every now and then by an intelligent medical manmust be admitted.--Dr. NICOLSON said that personally hewould object to use hypnotism for the detection of crime.He thought, however, they should bring an unbiassed mindto the considerationi of the matter, and be willing to give thefacts laid before them due consideration.-The PRESIDENTsaid he did not profess to have any experience of hypnotismexcept from lhaving witnessed some of those degrading per-formances, which he hoped would soon be a thing of the past.His feeling witlh regard to its use medicinally was that theymust not only be satisfied as to its benieficial effects, but thatsimilar results could niot be effected by the other means atour commancd. He supported the suggestion that meansslhould be taken to stop public exlhibitions of hypnotism.He concurred wvitl the opinlion expressed by Mr. Ernest Hartthat there was nio tranisfereince of will power in producinghypnosis. lie beg(rged to propose the following resoluition:"That, in the opimilon of this Section, popular exlhibitions ofhypnotisnm anid of persons under the intluence of hypnoticsuggestion slhould be prolhibited, and tllat the Council of theAssociation be requested to make represen-tations to theproper autlhorities urging, the necessity of such prohibition."--This was seconded by Mlr. ERNEST HART, and after somediscussioin was carried.

FRZIDAY, JUlIY 31ST, 1891.P. MIAt-URY DEAS, M.B., President.

0raniectomif.--Mr. VICTOR H)RISLEY read a paper on thissubject, which is published at p. 579.

Sai;gica/l Y'reait;ment of General Paralysis of the Insane.-Dr.CLAYE SHAw read a paper on this subject, whiclh is publislhedat p. 581.-AMr. \ICTOR [IORSLEY congratulated Dr. Claye Shawupon the favourable results wlhiclh had followed the operationsin the cases lie menitioned in his paper. He personally had noexperience in operating in a case of general paralysis of theinsane. He gave>, however, particulars of a case wherein epi-lepsy witlh headache had been completely cured by the opera-tion.-Dr. AIERCIER considered thie proposed operation aserious one, and tliought it should not be undertaken withoutstrong reasons. Again, if relief of pressure only was sought,wliy not bore a small lhole in the skull? Whiy deprive thepatient of so much bone? IBeyond the relief of pressure, hefailed to see what good could ac crue, aiid thecureofgrand iose de-lusions seemed to hiim improbable. He considered tlhpy mightas well attninp[ Lo improve the ritual of a church by taking afew slates oft the root of tlle building.-Professor BENEDIKTthought wvhat wvas wanted was more practical result and expe-rience, not mere surgical theories.-'The PRESIDENT said theywere naturally at present in a state of suspense, and theylooked for further information upon this most interesting sub-ject. A point of much practical interest was the continuanceof the improvement in the symptoms long after the cicatrisa-tion of the wound.-Dr. HAcn TUXE said that in approachingthe subject they must ask themselves two questions : first,

Is the operation justifiable'? and, secondly, Is there any like-lihood of benefit accruing? He said that if these operationswere undertaken by capable men, he could see no reason whythey should not be performed.-Dr. -MACPHERSON would pointout that in general paralysis remissions occurred often with-out apparent cause. He mentioned a case of general paralysiswhere the symptoms became arrested upon the deposit oftubercle in the apex of one lung. He failed to see how theremoval of fluid could cure nerve degeneration. - Dr. HERBERTSNOW remarked that operations in other parts of the body re-sulted at times in the cure of symptoms, although notlhingwas discovered to account for them at the time of the opera-tion.-Mr. JOHN EWENS mentioned the case of a phthisicalwoman who was insane and suicidal. She seized a seythe,and with it hacked through her skull. A large exfoliation fol-lowed, and during the healing of the wound the chest sym-ptoms were in complete abeyance; when the wound closedthey returned.-Dr. NICOLSON thought the statement that tlhemental condition of a person improved so mucll after anoperation such as had been described as to make a valid willwould be doubted by the public and the lawyers.-Dr. NEED-HAM1 pointed out one difficulty which required careful con-sideration. It was that the earlier stages of general paralysiswere so frequently simulated by other forms of mental disease,and cases ultimately turned out not to be general paralysisat all. -Dr. CLAYE SHAW, in reply, stated he did not considerthe operation a serious one, and he did not think a punctureany less serious than the operation itself. He was inclined totlhink good might be done in relieving pressure symptomswhen recognised in the earlier stages.

Cancer in its Relations to Insanit?y.-Dr. HERBERT SNOW reada paper on this subject. His investigations had led him toinfer that cancer was rare in asylums, and as far as he couldgather there was no evidence to show there was any tendencyto an increase of that disease in proportion to the insanepopulation. He considered that in some cases he could tracethe mental unsoundness as being secondary to cancer. Oneinteresting poil-it was the absence of evidence to show thatcancer ever occurred among congenital idiots. He advocateda more careful observation of any facts relating to cancer oc-curring in our lunatic asylums.-Dr. DOUGLAS pointed outthat insanity was known to occur after operations other thanthose for cancer, and thought they should carefully distin-guish betweenl cases which might appear as secondary tocancer and those which might have followed an operationunder an ansesthetic.-Dr. HACiK TUKE concurred in Dr. Snow'ssuggestion that they should have carefully prepared statisticsof the cases of insanity occurring in cancerous cases.-ThePRESIDENT concurred in the opinion that cancer was rareamong the insane. He gave particulars of a case wlhere themental symptoms with delusionis were based upon the exist-ence of malignant disease before the disease was diagnosed.

Spinal Adynamia.-Professor BENEDIKT read a paper on thissubject. Spinal weakness must be differentiated from para-lysis; it was more common than was generally supposedamong working people. He pointed out tllat Nature providedshort muscles to lift heavy weights, and long ones to liftliglhter weights to greater heights, so that in testing contrac-tility they must also test the strengtll of the contraction, as itmight be possible for muscles to make every movement,though there might be great loss of power wlich mightescape observation. In the cases he had seen, the knee-jerkswere exaggerated, the pupil reflex unaltered, and there wasoften vertigo. Time did not allow of the discussion of thisinteresting paper.

MEMORANDA,MEDICAL, SURGICAL, OBSTETRICAL, THERA-

PEUTICAL, PATHOLOGICAL, ETC.

"AN UNDESCRIBED LIGAMENT OF THE HIP."Is Article 105 in the SUPPLEMENT to the BRITISH MEDICALJOURNAL, July 25th, 1891, Dr. NI. Bellini, of Athens, is re-ported to have described " a new ligament of the hip," whichhe ha8 christened " the tendino-trochanterian " ligament.

e. 1 .I BRITISI MEDICAL JOtiRNAL.

It affords me great pleasure to acknowledge the part takenby Dr. Bellini in the baptism, though hardly in the birth-that is the discovery-of this structure. Dr. Bellini may bethe first to have given a name to these fibres of the capsule,but not the first and only description of them.In my wvork on the Jnlatomny of the Joinits, publislhed by

Messrs. J. and A. Churchill, in 1879, after describing thetlhree thickl;ened bands of the capsule well known as the ilio-femoral, ischio-femoral, and pectinieo-femoral, I was carefulto describe in sorne detail this which is now called a new

ligament.To convince the reader that Dr. Bellini and I have been

considerinig the same structure I will give, side by side, ex-

tracts from the article in the SUPPLEMENT, and from pages

323, 326 of my ownv11 book.DR. IIELLINI'S l)ESCRIPTION. IR. MfORRiS'S DESCRIPTION.

The n-iew ligamiienit conIsists of a Betweeni the ilio- anid ischio-hand of fibrous tissuie which arises femoral banids tlle capsulle is stouitabove at the lower border of tie and strong, and with it lhere, near

reflected tenldoni ol the rectus the acetabulum is incorporated thefeimioris, an(l runls downwalvrdsand lonig tenidoln of the rectuis, while atforwards towvavds the iiitec-iial an- thie feinioral en(l the loingitudinalterior border of the great trochan- fibres composing it are concen-

ter, below and a little in fi-onit of trated to a narrow insertioll intothle tendon of the ,lulteus miniimus. th(e ridge on tlhe front border of thewitlf wvhiiel it lhas a tendency to troclhanlter close to tlle gluteusblend.Its upper partistriangular iininimus. It is this Portion ofand large. but it becomes rouinded tlhe capsud /tchich, is f/reatilat its lowNer attachmuent. Its *s-l)igthenired k (t stroa fascicudli'strengtlh variies, but it cani always ot' flbres pass;0.I?g ftro17i the under'res-ist (onsiderable ti'ac(tion. *s/1rlIC' of (the qluiteus niOnim s to

the capsule half iray liCtuw'w theiaje mnd f1emoral attacehm itswhlile furtlher forward, and near tothe ouiter edge of the ilio-femoralligament, a ten1dinous band, closelyblended withl tlle surface of thecapsule, str etches between theupper extremiiity of the tendon ofthe vastus externus and tlhe longtendon of the ectus. By this bandtraction on either of tllese tendonsmoves the other.

It will be s5en from the above that I liave described twobands, both of which might be included under the name of"tendino-trochanterian" thickenings of the capsule. I have,moreover, given a figure illustrating these bands.In an interestillg artiele on the subject in the BRITISH

MEDICAL JOURNAL, August 29thi, 1891, p. 477, ProfessorCleland, of Glasgow, contends that this "new ligament " isnot a ligament, but a part of the insertion of the gluteusIninimus muscle, and tllat it has "no action whatever inlimiting the movements of the hip-joint.'

I am not quite satisfied that Dr. Bellini and ProfessorCleland are referring to the same structure: but to my mindthere is a muclh closer connection between the "new liga-ment" and the capsule than between it and the gluteusminimus tendon. After perusing Mr. Bland Sutton's in-genious and suggestive articles "On the Nature of the Liga-ments," I am inclined to think it very probable that thelig,amentous bands, both in their relation to the gluteusminimus and to the reflected tendon of tlle rectus, are thefibrous representatives of the gluteus quartus (musculusscansorius).As regards their action on the movements of the joint I was

led, from very careful examinations made for my work on thejoints, to the followingI conclusion-that besides a,sistingthe ilio-femoral band to limit extension, the segment of thecapsule which is thickened and strengthened by these bands" is made tight in adduction, especially adduction combinedwith slight flexioii: for example, in the stand-at-ease positionof the lirnb upon which the weight of the body is not sup-ported at the time."

Cavendishi SCquare, W. HENRY MORRIS.

PRIMARY CAN-CER OF THE LEFT OVARY RESULTINGRAPIDLY IN EXTENLSIVE DISORGANISATION

AND I)EATH.E. T., sent by Dr. Jolnes, of Leman Street, was seen byme on July 15th. She is 43 years of age, and has been marriedfourteen years. She has never been pregnant. Since the ageof 17 slhe had menstruated regularly every month until sevenweeks ago, since wlhich time there has been no recurrence.

Joutrnial ofA7natomy and Physiology, vol. xxii.

For one montlh she has complained of " passinig by tlle frontpassage motions instead of water," and also of pain which,starting in the lower part of the abdomen soon after food istaken, shoots down the front passage. Towards the end ofmicturition the pain is very intense. During the last fourweeks motion has only passed from the back passage when anaperient has been taken. The patient affirms she was per-fectly well until fourteen weeks ago when she got wet whilstmenstruating, and that ever since then she has complained ofpain in the lower abdomen, especially on the left side.

Physical Signs.-There is nothing to note abdominally.Vaginal _Ecamination.-The cervix, which is healthy, is

located towards the right side of the pelvis. In front of thecervix and on the left side is felt a hard deposit, which issomewhat globular. By the bimanual examination this pel-vic swelling can be felt abdominally on the left side. Theurine drawn off by the catheter was faecal in odour andappearance. The patient died on August 29th, the diseaselhaving apparently run its course in twenty weeks.Post Mortem.-There was general peritonitis, and several

secondary nodules of cancer in theperitoneum and liver. Inthe pelvis on the left side was a swelling which was really acavity formed by pelvic peritoneum, uterus, bladder, sigmoid,a portion of the jejunum, and a portion of omentum. Thiscavity contained ftecal matter and a soft solid mass in a stateof necrosis, wlicllwas the left ovary. It communicated withthe sigmoid and also with the bladder, the opening in thebladder being large enough to admit an ordinary quill. Theright ovary contained one very small cancerous nodule. Theuterus was normal, but in the vagina close to the cervix werefound a few small cancerous nodules. The lumbar glandswere enlarged.Gordon Square, W.C. JAMIES OLIVER, M.D., F.R.S.ED.

A CASE OF PULSATION OF THE ORBIT.ON April 3rd a single woman, aged 38, came to the Southamp-ton Eye and Ear Hospital and gave the following history:Last November, on going out in the morning, when the groundwas covered with snow and the sun shining, she observed thatthe hedges appeared double. and she has been more or lesstroubled by things appearing double since, particularly in abri-ght light. She has lhad no pain and no injury or accidentthat she can remember.The cause of the diplopia was at once apparent, for the right

eye pulsated to suchl an extent that its movements were quiteobvious wlhen she came into the room.On the occasion of her first visit, on April 3rd, the lids ap-

peared natural, andthe eye itself to outward appearance wasalso natural. Wrhen the left eye was covered the patient saidshe could see quite well with the right. At each systole ofthe heart the eye came forward about one-eighth of an inehand then returned to its natural position. Her health hasbeen good and she has had no serious illness.As I wished to examine the case carefully I arranged for the

patient to come into the hospital for a day, and did not makea more thorough examination at the time. The patient didnot come at the appointed time, and in answer to a letter saidshe was better and that as she had got some work she wouldnot come if all went on well.

I hear(d no more of her till July 21st, when I went to seeher, and made the following note: Since seeing her last shehas had no pain and she is less troubled by double images -in fact, she only very occasionally suffers from diplopia. Therehas been no pain and there is no swelling of the lids. Theeye pulsates just as it did in April, there is no proptosis, butat each systole tlle eye comes forward about one-eighth of aninch.The pulsation is not of great force, for the eye can be kept

in its place by an amount of pressure which causes no painwhatever. I could detect no bruit. The movements of theright and left eye arm equal. With the ophthalmoscope thetwo eyes appear alike, and no abnormal appearance is dis-covered. When the left eye is covered objects seen with theright appear to move up and down. With coloured glassesthere is homonymous diplopia of distant objeets.Vision: R., -lzg; L., 2g.It is quite possible that the pulsation may have been going

on before Novembe' q.nd that she then for the first time be-

Sept. 12, 1891. ] o"f9QF

It EtB uRIlSIt MEDICAL JOURNAI. [Sept. 12, 1891.

came conscious of the diplopia on account of the bright snow,for she did not at that time notice it except in a bright light.

Soutlhamptoni. J. F. BULLAR.

ABORTION W1rITh TRIPLETS.ON August 25tli I was called to see a lady who was sufferingfrom pain in the back. On inquiry I foundl she was fourmonths pregnant. OIn arrival I found the patient lying onthe sofa in the dining room, suffering from pain in the backand abdomen.

I made a vaginal examination and found a fo.tus in thevagina; this I removed. Then another presented, feet first,whiclh was delivered without any trouble; she then had asevere pain wlhich brought two placentEe away; there was nohlemorrhage. I waited some few minutes, when she criedout that there was something else coming. I made an exa-mination and found another fcetus in the vagina, smaller thantlle preceding ones, which I removed. The placenta cameaway a few minutes afterwards. She lost very little bloodand is now on a fair way to recovery.

P. B. BENTLIF, M.R.C.S.,Ilonorary Medical Officer, Jersey Infirmary

and Dispensary.

TILE TRZEATM\ENT OF LUIPUS BY LYSOL.LYsOL is a saponified phenol derived from tar oils, or, rather,from cresols by the action of nascent soap; it is a liquid con-taining the higher homologues of carbolic acid. Lysol differsfrom creoline, to whlich it is related, by its most perfect solu-bility in all proportions of water. Comparative bacteriologicaltests have proved it to possess higher antimycotic powersthan carbolic acid or creoline, while it is less variable in con-stitution than the latter, and less poisonous than either.The liquid is well worthy of extended use by dermatologists

and others called upon to treat lupus, for a short period oftreatment by it suffices to produce a marked improvement inthe appearance of the disease, and the results are so pro-nounced as to suggest a permanency, the reality of whichonly the lapse of time can, of course, determine. The sur-geon, guided by a clear conception of the necessity forassiduous or watchlful perseverance in the treatment of thisdisease, will perceive that this substance gives promise ofameliorative, if not of curative, power.My plan is to apply, or direct the patient to apply, the lysol

freely to the surface of the lupus patch by means of cottontwisted around a probe or wooden match, and to allow it todry on. As in the employment of any other remedy intendedto attack lupous nodules, it is first necessary to remove crustsand d6bris by the usual means. If this has been done, and itis found that tlle lupus is ulcerated, the lysol may be equallyapplied to the ulcerated and sound surface of the patch; it isnot essential to first heal the ulcers, although if this be doneby means of a simple ointment, the pain of tlle application issomewhat less than if made to the ulcerated surface.Having applied the remedy myself, to show the patient how

to proceed, I usually direct him to repeat the process once aday, or every otlier day, or less frequently if its use gives riseto much cracking of the epidermis or other inconvenience.Too frequent application is not desirable, besides being un-necessarily painful; for instance, if it be used at intervals oft%velve lhours, the second application is much more painfultVian the first. Its too frequent use causes either the forma-t;on of an impermeable and undesirable pellicle, as the resultoF its caustic action: or gives rise to superficial cracks in theepidermis, especially if the lupus is situated on a part of theskin naturally subject to tension. The immediate result ofits application is to redden the parts, and sometimes to causea slight cedema. This redness, with the overlying undriedfilm of the drug, gives the part a peculiar, translucent, moist,glistening, erythematous appearance, which gradually sub-sides after the drying of the lysol. After a few days the scaris pliable, smooth, and of a good appearance from a cos-metic point of view, approximating the tint of healthyskin. The resulting scar seems even superior to that obtainedafter multiple scarifications.The pain of the application is acute for half or three-qua

ters of an hour, quite disappearing in from two to three hours.This pain is less than that caused by the use of the multiplescarifier, and is not seriously objected to by patients to whosecourage the prospect of the deforming sequelhe of lupus actsas a tonic.In lupus of the nose or lips, since it is not easy to surmise

how deep is the invasion, the disease should be attacked fromboth skin and mucous surfaces. The pain of application tothe skin is much less than that to the nasal mucous mem-brane, and here the prior use of strong cocaine pigments hasnot appeared to reduce the pain. Dr. Unna has used lysol inthe form of a plaster mull, and appears to have been favour-ably impressed with it. It is classed by him among sub-stances which do not produce pain, and he asserts that theuse of the mull is nearly painless.

LESLIE PHILLIPS, M.D.Brux.,Surgeon Birminghanm Skin and Lock Hospital.

REPORTSON

MEDICAL & SURGICAL PRACTICE IN THE HOSPITALSAND ASYLUMS OF GREAT BRITAIN, IRELAND,

AND THE COLONIES.

LONDON HOSPITAL.CASE OV MILIARY CARCINOMA OF THE PERITONEUM1. WVITif

CH'YLOU5 ASCITES.(Under the care of Dr. FEN\\IcE.)

[Reported by ELIOT CURWEN, M.B., B.C., House-Physician.]G. G., aged 67, schoolmistress, single, was admitted on July8th, 1890. She said that, till the previous year, she had hadno definite illness, but that she had never had robust healthhad always been dyspeptic, and suffered much from dysmen-orrhcea, the pain at the periods being referred chiefly to theright iliac region. She stated that in May, 1889, the sense ofheaviness after food, to which she was so accustomed, becameactual pain, and that, in August of the same year, the abdo-men began to swell, but whether this was from flatulence orascites could not be determined. About the same timeshe began to lose flesh, so 'put herself under medical treat-ment, with the result that by March, 1890, she consideredherself fairly well again. Two months later, however, thepain after food returned. There was no vomiting, but theabdomen began to swell, as it had done the previous year.This swelling was at first slight, but it gradually increased,and by the end of June the legs had become dropsical. Whenshe was admitted on July 8th she was a good deal wasted,there was some dyspncea, the heart's apex beat was feeble,displaced upwards and outwards, the pulse small and regular,and the urine apparently normal; the abdomen was consider-able distended and uniformly dull on percussion in front.On July 14th the abdomen was tapped and 114 ounces of amilk-like fluid withdrawn. The fluid was neutral, had aspecific gravity of 1020, clotted a little on standing, and con-tained a great quantity of fine fat globules. After the tappinga movable nodular mass was felt under the right hypochon-drium and a hard irregular swelling to the right of the um-bilicus; Per vaginam a large nodular mass was felt filling upthe pelvis posterior to the uterus, the nodules varying inhardness, some being softer than others. The ascitic fluidrapidly reaccumulated, and on July 25th 135 ounces of simi-larly chylous fluid were withdrawn. She did not lose fleshquickly, however, and seemed very much relieved after thesecond tapping, the ascites only slowly reaccumulating. Sheleft the hospital for a few weeks, and returned at the end ofSeptember with the abdomen much distended and the surfaceveins enlarged. To the right of the umbilicus was a feeling of anodular mass. The percussion note over the whole of the abdo-men was uniformly dull; when she turned on to either side theflanks remained dull, and when she was placed in the genu-pectoral position, the space below and to the outer side ofeach kidney, where a clear note is usually obtained, was dullon the right side, but tympanitic on the left. There was nopain complained of, merely a feeling of distension after food,

612 THE BRITISH MEDICAL JOURNAL. [Sept. 12, 1891.

MEDICAL DEFENCE UNION, LIMITED.A COUNCIL meeting was held at the registered offices, Bir-mingham, on August 28th, Mr. Lawson Tait in the chair, andthe following is an epitome of the business transacted:-New Members.-The applications from fifty-seven new mem-

bers were accepted.Hour of Coutncil meetinye.-In future, meetings were directed

to be called for 5 P.m.Action for Libel against at Vember.-In the application of a

1Scotch member tlhreatened with a libel action for expressinghis opinion that a club member was loafing and malingerinig,it was decided to instruct solicitors to defend.

Action for Libel bqj ac Meni)er.-In the application from amember in Staffordshire based upon the circulation of state-ments in a quack pamphlet reflecting upon his professionalability, it was resolved : " That the solicitors be instructed totake proceedings witlh the utmost rigour against the pub-lisher, printer, or circulator, or all of these."Two applications of a debt-collecting character were refused.The action of the Secretaries was confirmed in (1) threatening

to report a surgeon for newspaper advertising; (2) in request-ing apology and payment of a donation to a hospital by a manwho circulated a serious libel against a member.

R?eportinq an Offender to General Medical Council.-The Secre-taries were directed to report a practitioner to the MedicalCouncil for newspaper advertising.

Prosecution of an Unqualified Practitioner.-The prosecutionunder the Miedical Act and under the Apothecaries' Act of anunqualified practitioner in WVorcestershire who held club andother appointments was unanimously authorised.

E.x.clusion ov ac Member.-It was moved by Mr. LAWSON TAIT,seconded by Dr. LESLIE PHILIIPS, and resolved: " That, inaccordance with Article 45, Caleb Charles Whitefoord be ex-eluded from memberslhip of the Union." The Secretary re-porting that this man had been condemned to five years'penal servitude for abortion-mongering, that lie had appliedto the Union for assistarice in his defence, and that that ap-plication had, with the approval of the Metropolitan Branch,been refused.The ORGANISING SECRETARY (Dr. Leslie Phillips) reported

that lie had effected a fidelity guarantee policy for £200 inthe name of the clerk. He also reported that he had sum-moned and attended a meeting of the profession of the fournorth of England coulities at Newcastle under the presidencyof Dr. Philipson, and that an important branch of the Unionhad then beeni formed. Also that a branch for Dorset andW'est Hants had been formed during the Bournemouth meet-ing. The thainks of the meeting were given to the Council ofthe University of Durham College of Medicine for the use oftheir Council (haamber, and also to the Bournemouth LocalBranch of the British \[edical Association.Dr. Square's Case.-The SECRETARY reported that the woman

who persecuted Dr. Square by anonymous letter writing hadbeen successfuilly convicted (by the action of the Union) atlast Durham assize.Metropolitan Division.-A communication from this branch

was received.Dr. LESLIE PIHILLIPs reported that thle rapid growth of the

Union had rendered mtiany of the articles of association un-workable, and expressed his opinion that, for the easy carry-ing on of the work of the Union, a reconsideration of manyof its by-laws was essenitial; for example, twenty days onlywas allowed for the preparation of anniual reports, auditing,printing of reports and list of members, at a time when allbusiness matters were largely dislocated; all companiesknew that January was the very worst month for annualmeetings, The present miaclhinery for the authorisation ofprosecutions of irregular practitioners was costly and cum-bersome, and the collection of arrears, the desirability ofhaving power to refuse admission to a notorious black sheep,the conduct of branches, and other matters required specific-ally defining. A committee of nine was appointed to considerand report on the subject.

PROFESSOR VON HELMIHOLTZ has been elected an honoraryburgess of Potsdam, hlis native town, in honour of his seven-tieth birthday.

ASSOCIATION INTELLIGENCE,LIBRARY OF THE BRITISH MEDICAL

ASSOCIATION.MEMBERS are reminded that the Library and Writing Roomsof the Association are now fitted up for the accommodation ofthe Members in commodious apartments, at the Offices ofthe Association, 4209, Strand. The rooms are open from 10A.M. to 5 P.M. Members can have their letters addressed tothem at the Office.

NOTICE OF QUARTERLY MEETING FOR 1891.ELECTION OF MEMBERS.

A MEETING of the Council will be held on October 21st, 1891.Candidates for election by the Council of the Associationmust send in their forms of application to the GeneralSecretary not later than twenty-one days before that meeting,namely, September 30th, 1891.Any qualified medical practitioner, not disqualified by any

by-law of the Association, who shall be recommended aseligible by any three members, may be elected a member bythe Council or by any recognised Branch Council.Candidates seeking election by a Branch Council should

apply to the Secretary of the Branch. No member can beelected by a Branch Council unless his name has been in-serted in the circular summoning the meeting at which heseeks election.

BRANCH MEETINGS TO BE HELD.EAST SUSSEX DISTRTCT.-A meeting will be held at the Station Hotel,

Haywards Heathl, on Thursday, September 24th. Mr. Gravely of Newickwill preside. Notice of communications should be sent to the HonorarySecretary, T. JENNER VERRALL, 97, Montpellier Road, Brighton.

SOUTH-EASTERN BRANCH: EAST KENT DISTRICT.-The next meetingwill be held at the Victoria Hospital, Folkestone, on Thursday, Septem-ber 17th, at 2.45P.BI., Dr. Tyson in the clhair. Agenda: Mr. W. K. Treves:The Duration of Tuberculous Disease, and its Periods of Activity, ofQuiescence, and Decline. Mr. Whitehead Reid: A Rare Surgical Case.Dr. Thomas Eastes: Ten Cases of Abdominal Section. Cases and Patho-logical Specimens will be exhibited by the mledical staff.-THOS. F. RAVEN-Honorary Secretary, Barfield House, Broadstairs.

NORTH OF ENGLAND BRANcX.-The autumnal meeting will be held atMiddlesbrough, on Tuesday, September 29th. The Secretary will be gladto receive niotice of papers or specimens.-G. E. WILLIAMSON, M.A.,F.R.C.S., Honorary Secretary, 22, Eldoni Square, Newcastle-on-Tyne.

SOUTH MIIDLAND BRAN'CH.-Tlhe autumnal meeting will be lheld atNortlhamptoni on Tuesday, October 6tlh, in the Committee Room of theGenieral Infirmary, at 2.:30. Tllc president, MIr. George H. Percival,requests the pleasure of the comiipaniy of the member-s at lunclhcon pre-viously to the meeting, aind will be obliged by an early reply. Pro-grammiie: Mr. Evanis wiil1 propose the following alteration of Rulc : of theby-laws of the Brancll. Presenit rule: " 3. That in order to carry out theobjects of the Branclh, tlhei e be appointed annually a president, a presi-dent-elect, an honorary secretary, anid a treasurer; eight other im;embers,witlh the ex-President, to coinstitute a coiimmittee of mnanagement, anid onerepresentative on the General (,ouncil." Proposed alteration: " That, inorder to carry out the objects of tlle Branchl, tllerc be appoilnted annually,at a general imieeting to be lheld in the spring, a presidenit, a president-elect, an lhonoralry secretary. an] lionorary treasurer, and a representativeoni tlle General Council anid Parliamentary Bills Committee; also eighltotlher members, to be elected by ballot, who shall retire annually but beeligible for re-election, to conistitute a committee of management."Gentlemen wishing to read any paper or cases at the meeting are re-quested to communiicate with the Honorary Secretary as soon as possible.Tlle followVing have been promised:-Dr. A. HI. Jones: A shior-t Study ofEpilepsy froimi a Practical Standpoint. Mr. R. A. Milligan: The Imme-diate Suture of Ruptured Perinieum. Mr. T. A. Durrant: Cases of Dis-ease of the Cerebellumn. Dr. Walker (Peterborough): Notes on (1) Caseof Biullet wound of Brain, with specimen -(2) Severe Ptyalism followingiise of Lotio Hydrarg. Nigra-0(3) Severe Poisoning (almiost fatal) fromAbsorption from a Belladonna Plaster. Dr. Thomson (Luton): A Paper.-C. J. EVANS, Honorary Secretary, Northiainpton.

NORTH OF ENGLAND BRANCH.THE twenty-seventh annual meeting was held in the Libraryof the Royal Infirmary, Newcastle-on-Tyne, on Thursday,July 23rd. In the absence of the President, the chair wastaken by Dr. PHILIPSON. It was resolved that a letter of sym-pathy be sent to the President (Dr. Middlemiss) on accountof the illness of his wife, which prevented him from presiding,at the meeting.

Installation of New President.-After some routine business,.

'Sept. 12, 1891.] THE BRITISH MEDICAL JOURNAL. 613

Dr. PHILIPsON inducted the President, Dr. DRuiJiMOND, whodelivered the annual address. It was resolved that the heartythanks of the meeting be accorded to Dr. Drummond for hisable and interesting address; and it was further resolved tllatit should be printed and circulated amongst the members ofthe Branch.Nevt Annual Mleeting.-It was resolved that the annual

meeting in 1892 take place at Sunderland.Ofticers of Council.-It was resolved that Dr. Murphy be the

President-Elect; that the Council be re-elected, with the ad-dition of Dr. Squance, of Sunderland; that Dr. Philipson bere-elected the Representative of the Branch on the Parlia-mnentary Bills Committee; that Dr. Drummond and Mr.Williamson be the Representatives on the Council of the As-sociation; and that Mr. Williamson be re-elected Secretaryand Treasurer of the Branch.Dinner.-The dinner after the meeting took place at the

Douglas Hotel.

BORDER COIUNTIES BRANCH.TH-E twenty-fourth annual meeting was held at MTaryport, onJuly 16thl, 1891. Dr. ABLETT, of Whitelhaven, occupied thechair at the commenicement of the meeting.Prize.-The PRESIDENT announced that Dr. Grieve, of Dum-

fries, had been awarded the £10 prize for an essay upon " TheDiazo Reaction: Upon Wlhat does it Depend? with a NewApplication for the Test." It was resolved that a prize of£10 be offered for competition among the members of theBranch on the usual conditions.

Newv Members. The following gentlemen were electedmembers of the Branch: J. W. Crerar, Maryport; James B.Bird, Carlisle; J. Shields, Skelton; R. Mair, Hawick; andThomas Fleming, Wigton.Report of Co7uncil.-The report of the Council was read and

adopted.Officers and Council.-The following gentlemen were elected

to fill the various offices for the ensuing year: President: Dr.J. Crerar, Maryport. President-elect: Dr. Somerville, Gala-shiels. Council: Dr. Thomson, Penrith; Dr. Hamilton,Hawick; Dr. Campbell, Carlisle; Dr. Mitchell, Cocker-mouth; Dr. Maclareii, Carlisle; Dr. Macdonald, Kirkoswald;Dr. Thomas, Selkirk; Dr. Connel, Peebles ; Dr. Grange, Moffat..Representative on CoAncil and Parliamentary Bills Committee:Dr. Barnes, Carlisle. Secretary andl Tlreasurer: Dr. Altham,Penrith.

Additional General JMeetinqs.-It was resolved to hold generalmeetings at C(arlisle in the autumn and Dumfries in thespring, in addition to the annual meeting.

Presidential Address.-Dr. CRERAR then took the chair, and,delivered his presidential address on "NNatural Analogy, con-sidered in Relation to Diseases produced by Micro-organisms,with Special Applicatioin to the Effectual and Speedy Cure ofInfluenza." A vote of thlanks was accorded to the President-for his address.

_Dinner.-The memnbers subsequently dined togetlher in thehiiotel.

SPECIAL CORRESPONDENCE,MANCHESTER.

Another Death from Chloroform.-Purification of the Ir?vell.-The Case (jt Strychnine Poisoning.-Appointments at theInfirmary.

AT the Coroner's Court recently an inquest was held concern--ing the deatlh of a gentlemani, aged 62, at Stockport. Thedeceased suffered from hlemorrhloids, for the cure of which anoperation was considered necessary. Chloroform was admin-istered, and just when Mr. Whitehead was about to com-mence the operation, it was noticed by the son of the deceased<Dr. Frank L. Wood, of Coiwyn Bay) that his fatlher's facewas blue and that his breathing had stopped. Death wasattributed to failure of the heart's action owing to the effects.of chloroform, and a verdict was returned in accordance withthe medical testimony.The authorities of the watersheds of the rivers and streams

above Manchester are actively engaged in carrying out

arrangements for the purification of these rivers and streamas,in view of the opening of the Ship Canal. The ManchesterCorporation are also pushing forward their sewage works,which will be finished by the end of next year, corre-sponding to the time of the opening of the Ship Canal, sothat the sewage will then be turned into the Irwell in a puri-fied state.What was called the "Moss Side," or Manchester case

of strychnine poisoning, already reported in the BRITISHMEDICAL JOU4NAL of August 29tlh, has now been completed.Evidence wa4 given in the defendant's favour, and hewas discharged.The following appointments have been made at the infirm-

ary:-Dr. Johnston was reappointed Resident Medical Officerat Monsall Fever Hospital for one year, at a salary of £250.House Physicians: E. M. Brockbank and W. B. Warrington.House Surgeons: W. J. Howarth, Richard Clegg, Thomas W.Iddon, and Albert E. Berry. Resident student at Cheadle: J.Gray Clegg. Female Superintendent of Nurses at RoyalInfirmary, at a salary of £100: Miss Florence M. Calvert, nowFemale Superintendent at Monsall Fever Hospital. JuniorAdministrator of Anaesthetics: Mr. F. J. Wlheeldon.

CORRESPONDENCE,THE IRISH DISPENSARY DOCTOR.

Sin,-" Not a Dispensary Doctor," argues from the parti-cular to the universal, therefore illogically, and to attribute tothe general body callous neglect, not of duty alone, but of theordinary dictates of humanity, because he knows one sinner,is a cruel libel on the vast bulk of the profession in Ireland.For what is expected of them, or what is demanded of them,no body of meu discharge their duty more faithfully than thedispensary doctors of Ireland.This is no unsubstantial boast, but a thing whieh can be

proved. Tickets requiring the doctor to visit patients areissued not alone by the various relieving officers, but by eachmember of the dispensary committees, bodies sometimesnumbering twenty to thirty members. If the doctor neglectshis duty, any of the persons issuing a ticket, or of thepatients for whom a ticket is issued can report him to hiscommittee or to the board of guardians, the board of guar-dians reports to the Local Government Board, and the latterdirects its inspector to hold a sworn inquiry. That so fewinquiries are held, and that in the majority of cases the resultis to acquit the doctor, is strong testimony to the efficiencywith whiclh they do their duty.But, Sir, if we consider what a dispensary doctor has to do,

and what he is paid for it, as well as the vital importance thatthe health of the poor is to the community, then I think wemust agree with " Not a Dispensary Doctor," and " A Poor-law Guardian," that the work cannot be thoroughly well doneuntil the dispensary doctor's whole time is given to the publicservice.He is elected by the committee medical officer of a district,

varying in size but always extensive; his duty maybe dividedinto two divisions: affording medicine and advice (1) at thedispensary or (2) at the patient's home. In both eases hemust register the case-that is, enter in a book provided forthe purpose the number of ticket, date of issue, name, age,and address of patient, name of issuer of ticket, the disease,and prescription. If the dispensary is situated in a townwith an outlying district, 60 patients of a morning would bean average attendance, If he gives three minutes to each, itmeans three hours' work to start with.At any hour of the day or night he must go to patients on

whose behalf visiting tickets are presented. He is a luckyman if he finds the road or even a lane, reaching the patient'shouse-and this though the drive be five, ten, or fifteen Irishmiles-as often as not he has to leave his car and wadethrough a bog or climb a mountain side. The journeys areso long and so frequent that he must keep a horse and car.Then-as in very few instances do the guardians run to the

expense of an apothecary-he must compound the medicines,and this, too, necessitates that he must make out lists ofdrugs required, check off drugs with invoices, and report toguardians. He' is also ex officio medical officer of health for

Sept. 12, 1891.] THE BRITISH MEDICAL JOURNAL. 621

others of the great masters of the medical and surgical art inParis, then the leading medical school of Europe. He gradu-ated AM.D. of Paris with distinction in 1843, and soon after-wards settled in London, where he became obstetric physicianto the Royal Free Hospital. He was practically the intro-ducer into England of vaginal examiniation for uterine disease,and of the surgical me.thods of treating it. Together withTyler Smith and R1obert Barines lhe waged for a long time afierce battle against the prejudices of the older school ofpractitioners wlho freely denounced the use of the speculum,and treated Bennet and his investigations as things deserv-ing not only of scientific opposition but of moral reprobation.His work on U~terine and (harian Injlam2nations passed throughfour English editions, was twvice translated into French, thesecond time by Dr. AI. Peter, Professor of Pathology in theParis Faculty: it was also translated inlto German, and haspassed through five American editions.No one can doubt the valuable influence of Bennet's

courage, sincerity+, an-d unflinchling vigour. If, as is nowgenerally admitted, he dwelt too much upon the importance ofinflammnation, an(d, as suggested in an able obituary which ap-pears of him in the .Jomrnal of the British Gyncecological Society,Yhe did not sufliciently recognise the importance of displace-ments, it is certain that even in this respect the error wasrather that of too distinct an accentuation of one part of hisscience and art; even in this, however, he is outdistanced bysome of the best known modern professors of gynTecology.After some, years of active an(l highly successful practice he

found himself compelled by impending lung disease to takerefuge in a milder climate. He removed from London toMIentone, retaining a lhome in the fir district of Weybridge.In his new sphere, also, he proved himself a pioneer, and maybe truly called the creator of AMentone, wlhich owes to him adebt whichl can never be repaid. At Mentone he discoveredwliat lie loved to describe as " a concentrated marine atmo-sphere-a subtropical winter climate, alias a cool I'atagoniansummer." He was one of those men who think clearly andoriginally, who express themselves with vigour, and set be-fore themselves a definite object, w'hich is attained by activityand sincerity of research anid observation. The material re-wvard of his labour and of his intelligence was restoration tohealtli and the attainmenit of fortunie. No one can doubt thatthe attention which lie drew to the Treatment of PulmonaryConsunmption by Iqygiene, Oiinate, atnd Medicine-the title of oneof his most valuable works -and the information which hesupplied concerning the Alediterranean and the character ofthe winter and spring on its shores and islands, have, by theinformation wlich they conveyed and the influence whichthey have exercised on the thought and practice of a wholegeneration of physicians, proved a life-giving boon to manythousands of invalids.

Dr. Bennet's old age was passed chiefly in Italy in a period ofrepose beginninig in 1887, wlich lie described in his own pic-turesque style as " mentally a geological denudation with thereappearance of early sympathies, literary and artistic, ob-scured by a long and arduous professional career." To theend of his life his sympathies were warm, his intellect clear,and his affections tenacious. His frequent reappearances atthe annual meetings of the Britislh Medical Association werealways greeted with pleasure by a host of friends to whom hehad endeared himself not less by his intellectual qualitiesthan by his social kindness and amiability. He was hiospit-able, independent, serviceable to all, and without a tinge ofbitterness, althouglh hle had encountered severe and evenunifair oppositioIn in the earlier part of his career.For many years in London Bennet was one of the editors of

the Laincet, and contributed under the late Mr. Wakley muchto its reputationi for vigour and freshness of thought. Forthelast fifteen or twenty years lie has been a frequent contributorto our columns on subjects which lay within his immediateken, or with wlhichl hiis experience and knowledge induced himto sympathise. His later years were cheered by the affec-tionate attendance of his niece, Mrs. Hearn. He was particu-larly proud of the professional success of a favourite nephew,Dr. Joubert, now one of the leading practitioners of India. Dr.Henry Bennet will be mourned by many, and his services tohis profession are such as cannot be forgotten in any historicalrecord of the progress of medicine, and in the department inwhich he laboured during the last half century.

MEDICAL NEWSIST. Louis MEDICAL COLLEGE (U.S.) lhas been made the

medical department of the University of AWashington.DR. CARL MAYDL, extraordinary professor of surgery in the

University of Vienna, has been appointed ordinary professorof the same subject in the Czech Medical Faculty of the Uni-versity of Prague.

l\IEDICAL MIAGISTRATE.-Mlr. John James Flinn, M.R.C.P.,MI.R.C.S., L.S.A., has beeln appointed by the Chancellor ofthe Duchy of Lancaster a magistrate for the city of Liver-pool.DR. HEINcOKE, who was a short time ago appointed Custodian

of the Royal Library at Berlin, has been chosen as theDirector of the newly establislhed Biological Station inHeligoland.THE Italian Minister of Public Instruction has granted a

subsidy of 500 francs (J20) to Professor Augusto Tamburinifor the Rivistac Sperimentale di Fireniactria e .Mledicina Leale-and one of 200 francs (£t8) to Professor Luigi Paulucci for hiswork Flora iTlarch/qiana.ANTIVACCINATIONISTS IN KENT.-As a sequel to the outbreak

of small-pox at Ashford, Kent, the magistrates on September8th granted sunmmonses against eleven parents who refusedto have their children (amountinig in the aggregate to 93)vaccinated.CHARING CRoss HOSPITAL.-In the Students Number of the

BRITISH MEDICAL JOURNAL we omitted to state that the feefor a course of Hlygiene and Public Health is £3 3s., if takenlseparately. This fee, however, is included in the general feepayable for the regular curriculum.SMALL-POX AT LEEI)s.-There are at present twenty-six

cases under treatment in the Small-pox Hospital at Leeds, allof which are stated to be doing well. The authorities areconfident that they will be able to clheck the further spread ofthe disease.PASTEURISM AT BUDAPEST.-Between August 15tlh and Sep-

tember 1st of the present year the number of new patients ad-mitted to the Pasteur Institute at Budapest was 37, makingthe total number treated since the foundation of the institute980.TEE Duchess Eugenia Litta Bologninii has given 500,000

francs (£20,000), the proceeds of the sale of lher jewels, inconsequence of the death of hier husband and son, to theOspedale Maggine, Milan, with a special request that themoney may be applied for the benefit of the surgical depart-ment for children.1NEW HOSPITAL AT LIiJGE.-A new hospital is about to be

erected at Liege at an estimated cost of 1,380,000 francs(£55,200), to replace the old H6pital de Bavihre. The newstructure is intended to be a model clinical hospital, all thedifferent medical and surgical departments being separateand independent. Each department will have its own lectureroom, its own wards, etc., and its own out-patient rooms.DEATH UNDER CHLOROFORMt.-An inquest was held on

September 7th, on a youth named Walton, who died at theBlackburn Infirmary while clhloroformii was being administeredpreparatory to amputation of smashed fingers. The medicalevidence showed that the deceased was suffocated by pieces-of undigested food which fell inito tlle windpipe during effortsat vomiting. A verdict of "1 Suffocated during the adminis-tration of chloroform," was returned.CHILDREN'S HOSPITAL, MOOR EDGE, NEwCASTJ,E-UPON-TYNE.

-Among the provincial hospitals which offer special facilitiesfor clinical instruction, the Fleming Memorial Hospital forSick Children, Moor Edge, Neweastle-upon-Tyne, was omittedin the Students' Number of thle BRITISH MEDICAL JOURNAL.The hospital contains 60 beds, and has a large out-patientdepartment. The medical staff visit the hospital twice dailyand give clinical instruction. There are clerkships and dres-serships open to students. Operations are performed twice aweek.

B1E BRITISHZ MEDICAL JOURNAL.

A SEVERE epidemic of influenza is raging in the Spanishprovinces of Caceres, Jaen, and Cordova.ACCIDENT TO A MEDICAL MAN.-We regret to learn that

Surgeon-Captain W. A. Morris, Adjutant of the LondonVolunteer AMedical Staff Corps was thrown out of a dogcart onLlangulloch Bridge, near Crickhowell, Breconshire, on Sep-tember 1st, and sustained a fracture of the femur, with severeshock to the system. He was at once attended by Dr. Hill,of Crickhowell, and other professional friends, and is doingwell.PRESENTATION.-Mr. E. Snell, of Ketton, was, on August

27th, presented with a handsome silver tea and coffee service,a massive silver tray, and a liqueur stand on the occasion ofhis leaving Ketton, where he has been in practice since 1880.In addition to the esteem hle has won as a successful medicalpractitioner, Mr. Snell has gained more than local fame as abreeder of prize poultry, having won altogether over 150 cupsby his exllibits at the principal shows.MEDICAL STUDENTS IN SWITZERLAND. In the summer

session of 1891 the total number of students in the variousmedical faculties in Switzerland was 965, distributed as fol-lows: Basle, 127; Berne, 276; Geneva, 201: Lausanne, 78;and Ziurich, 250. In 1890 the total number was 881. In thepresent year Lausanne shows an increase of 78, as against 32-in 1890; the only school which shows any falling off innumbers is Ziurich, which lhad 280 students this year, asagainst 300 in the corresponding session of 1890.MORTALITY FROMI ALCOHOLISM IN SWITZERLAND.-From

statistics relating to the fifteen largest towns in Switzerland,which lhave receintly been published by thfe Federal Depart-ment of the Interior, it appears that between January 1st andMarch 31st, 1891, the number of deaths of persons over 20years of age in these towns was 1,869. Of these, 102, or 5.4per cent., were the result of alcoholism. Of that number, 88,or 86.2 per cent., belonged to the male, and 14, or 13.7 percent., to the female sex.

DEATHS IN THE PROFESSION ABROAD.-Among the membersof the medical profession in foreign countries who have re-cently died are Dr. Testelin, Senator of France, an ophthalmicsurgeon of note, but perhaps better known as a politician andone of the founders of the IR6publique Franfai8e; Dr. JohnLedyard Vandervort, for more than fifty years librarian of theNew York Hospital, aged 83; Dr. Ovid P. Wells, one of thefounders of the New York Academy of Medicine, aged 86; Dr.iHuet, formerly Professor of Clinical Medicine in the Uni-'versity of Leyden; and Dr. Scheremetiewsky, Professor ofPhysiology in the University of Moscow.BETTING AS A HANDMAIDEN OF CHARITY.-Thle Conseil

Gene'ral of the Lan(les Department, having had the sum of45,000 francs (E1,800) assigned to it by the Minister of theInterior as its share of the revenue accruing from the tax onthe Pari Mutuel (the legally recognised form of betting inFrance), has decided to apply it to the formation of a fund forthe maintenance of four beds for incurables, preference beinggiven to those suffering from pellagra, which is relatively com-mon in some parts of the department. A small tax on allbetting transactions in this country would produce a revenuewhich, if handed over to the hospitals, would probably ren-der unnecessary th.e l)iteous appeals to the public with whichwe are only too familiar.VOLUNTEER A31BULANCE SCHOOL OF INSTRIUCTION.-The

next course of lectures on the subjects of the ProficiencyExamination for Volunteer Medical Officers will be given atthe headquarters of the 2nd Middlesex Artillery Volunteers,Leonard Street, City Road, E.C., by permission of ColonelM. B. Pearson, commencing on Monday, September 28th, at2.30 P.M. Officers desirous of obtaining further informationabout the class should apply to Surgeon R. R. Sleman, M.A.,20th Middlesex " Artists " R.V., 7, St. Bene't place, Grace-church Street, London, E.C. The following members of the-school have recently passed the proficiency examination:Surgeon F. P. 1'. Ransom, M.D., 3rd Y.B. Suffolk Rlegiment;Surgeon .1. 11. Hougli, MA., Cambridge Universitv Rifles;Surgeon R. J. Maitland Coffin, F.R.C.P., 3rd VA.R. " TheQueens " Royal West Surrey Regiment; Surgeon Edgar

Hughes, F.R.C.S., London Rifle Brigade; Surgeon G. W.French, F.R.C.S., 3rd Middlesex R.V.; Acting Surgeon C.Swaby-Smith, 2nd Cadet Battalion "The Queens" RoyalWest Surrey Regiment; Acting-Surgeon G. Okell, 3rd V.B.Cheshire Regiment; Acting-Surgeon A. H. Marsh, 3rd V.B.Cheshire Regiment; Acting-Surgeon Tatham Thompson,M.B., 3rd V.B. The Welsh Regiment: Acting-Surgeon D.Rice, 1st Worcester Artillery Volunteers; Acting-Surgeon J.A. Rigby, M.D., London, 5th Lancashire Artillery Volunteers.

MEDICAL VACANCIES.The following Vacancies are announced:

BETHLEM HOSPITAL, S.E.-Two Resident Clinical Assistants. Apart-ments, rations and attendance provided. Applications, endorsed" Clinical Assistantship," to the Treasurer before October 5th.

CHARING CROSS HOSPITAL, Strand, W.C.-Surgical Registrar. Salary,£40 per annum. Applications to the Mledical Committee by Sep-tember 26th.

CITY OF LONDON HOSPITAL FOR DISEASES OF THE CHEST, Vic-toria Park, E.- House-Physician. Board and residence provided.Appointment for six months. Applications to the Secretary, 24, Fins-bury Circus, E. C., by September 19th.

CITY DISPENSARY, 46, Watling Street, E.C.-Surgeon. Applications tothe Secretary by September 12th.

DENTAL HOSPITAL OF LONDON, Leicester Square.-An.sthetist;must be registered. Applications to J. F. Pink, Secretary, by October5th.

DENTAL HOSPITAL OF LONDON, Leicester Square.-Assistant Anfes-thetist; must be registered. Applications to J. F. Pink, Secretary, byOctober 5tlh.

EASTERN COUNTIES ASYLUM FOR IDIOTS, *olchester.-ResidentMedical Attendanit: doubly qualified; unmairied. Salary, £100 perannum, with furnished apartments, board, and washing. Applicationsto Johni J. C. Turner, Superintendent, by September 26tli.

GREAT NORTHERN CENTRAL HOSPITAL, Holloway Road, N.-Anues-thetist. Applications to tle Secretary by September 21st.

GREENWICH UNION INFIRMARY.-Assistant Medical Officer; un-narried. Salary, £120 per annum, with board, lodging, washing, andattendance. Applications to Samuel Saw, Clerk, Union Offices, Green-wich, S.E., before September 17th.

HALIFAX INFIRMARY AND DISPENSARY.-Assistant House-Surgeon;unmarried; doubly qualified. Salary, £50 per annum, with residence,board, and washing. Applications to Oates Webster, Secretary, bySeptember 16th.

HEREFORD GENERAL INFIRMARY.-Resident Dispenser; fully quali-fied. Salary. £50 per annum, with board and washing. Applicationsto the Secretary, 37, Bridge Street, Hereford.

ISLINGTON DISPENSARY, .303, ITpper Street, Isiington. ResidentMedical Officer; doubly qualified, and not more than 40 years of age.Salary, £200 per annum. with furnished apartments, coals and gas,and allowance of £26 per annum for cab fares. Applications to theHonorary Secretary by September 2.3rd.

KENT COUNTY ASYLUMI, Barming Heath, 'Maidstone.-Senior AssistantMedical Officer, uinmarried. Salary, £250 per anni-um, increasing bytwo annual instalments of £23 each to £:300. Applications to Dr. F.Pritchard Davies, Superintendent, by September 2:3rd.

KING'S COLLEGE, London.-Demonstrator of Bactcriology. Applica-tions to J. W. Cuniningham, Secretary.

LEICESTER UNITED FRIENDLY SOCIETIES' MTEDICAL ASSOCIA-TION, 114, Highcross Street, Leicester.-Second iMedical Officer;doubly qualified, and not under o30 years of age. Salary, £200 perannumn, and midwifery fees. Applications, endorsed " Medical Of-ficer," to the Secretary by September 21st.

NEWPORT PAGNELL UNION. -Medical Officer for No. 3 District.Salary, £63 per annum, exclusive of surgical and midwifery fees.Elected candidate will be appointed Public Vaccinator for the sameDistrict. Applications to Charles W. Powell, Clerk, by Septem-ber 15th.

PARISH OF ST. LEONARD, Shoreditch.-Resident Assistant MedicalOfficer for the Workhouse and Infirmary; doubly qualified. Salary,£120 per annum, rising £10 annually to £150, with rations, furnishedapartments, and washing. Applications, on forins to be obtained atthe Clerk's Office, to Robert Clay, Clerk, 213, Kingsland Road, N.E., bySeptember 14th.

QUEEN'S COLLEGE, Birmingham.-Lecturer on Operative Surgery. Ap-plications to B. A. C. Windle, M.A., M.D., Dean of the Medical Faculty,by September 12th.

QUEEN'S COLLEGES, Ireland.-Professor of Chemistry for Queen's Col-lege, Cork. Applications to the Under-Secretary, Dublin Castle, bySeptember 12th.

ROYAL NATIONAL HOSPITAL FOR CONSUMAPTION, Ventnor, Isle ofWight.-Resident Medical Officer, unmarried. Salary, £100 per an-num, with board and lodging in the hospital. Applications to theBoard of Management, 34, Craven Street, ('hariDg Cross, by Sep-tember 21 st.

ROYAL PORTSM4OUTH HOSPITAL.-Junior House-Surgeon. Appoint-ment for six months. Board, washing, and residence provided, andhonorarium of 15 guineas at expiration of terimi of office. Appli-cations to J. A. Byerley, Secretary, 137, queen Street, Portsea, bySeptember 17th.

622 [Sept. 12, 1891.

Sept. 12, 1891.] THE BRITISH MEDICAL JOVRNAL.

ROYAL SURREY COUJNTY IhOSPITAL, Guildford.-Clinical Assistantunder the Hou-se-Surgeon; appointment for six, months. Board,lodging, and washing provided. Applications to the HonorarySecretary befor e September 14th.

SCARBOROUGIT IIOSPITAL AND DISPENSARY. - House-Surgeon.Salary, £C80 per annium, with board and lodging. Applications to the

Secretary by September 12th.

SINGAPORE, Straits Settlements.- Health Officer, to act also asMedical Officer to the staff and employes of the municipality. Salary,t300 dols. per mensem, and house allowance. Applications to Dr. W.Gilmore Ellis, St. Bartholomew's Hospital, E.C., or to Mr. C. C.Lindsay, M.Inst.C.E., 167, St. Vincent Street, Glasgow, by September:4otli.

STOURBRTDGE DISPENSARY.-IHouse-Surgeon and Secretary; doublyqualified. Salary £1:30 per annum, with furnished rooms, coal andgas, and allowance for travelling expenses. Applications to T. F.Bland, Noiton, Stourbridge, by September 15th.

UNIVERSITY OF ABERDEEN.-Six Examiners in Medicine. Appoint-tiuent for one year. Grant of £3o. Application to Robert Walker,Secretary of the University Court, by October 3rd.

WEST LONDON HOSPITAL, Hammersmith Road. W.-House-Physician.Appointment for six months. Board and lodging provided. Applica-tions to R. J. G(ilbert, Secretary Superintendent, by September 23rd.

IN'EST LONDON IIOSPITAL, Hammersmith Road, W.-House-Surgeon.Appointment for six montlhs. Board and lodging provided. Applica-tions to R. J. Gilbeit, Secretary Superintendent, by September 23rd.

WESTERN OPHTHALMIC HOSPITAL, 153, Marylebone Road, W.-

Assistant Surgeoni. Applicatiouis to the Secretar-y of the MedicalComllmittee by September 30th.

WESTEItN OPHTHALMIC HOSPITAL, 153, Marylebone Road, W..-Assistant Surgeoui, to act as Clinical Assistant to the Surgeonls.Applicatioins to the Seec-etary of the Aledical Committee by Sep-tenmber 30th.

WEST.MINSTER HOSPITAL, Broad Sanctuary, S.W.-Second DentalSurgeon. Applications to the House Committee by September 29th.

MEDICAL APPOINTMENTS.

AD.klf, John Law. Mt.B., (C.M.Aberd., appointed House-Surgeon to theGeneral Infirmary at Glotucester and Gloucester Eye Institutioni, viceJolhn Fonrester- WNood, AM.R.C.S., L.R.C.P., resigned.

BROCKBANK, Edward Mansfield, M.B., Ch.B.Vict., appointed House-Phy-sician to the Monisall Fever Hospital, Manchester.

CARROLL, Josepli, M.B., C.M.Glas., reappointed Medical Officer of Healthfor Ilkeston.

CHEPMErL, Charles, MI.D., M.R.C.S.EnD., appointed Surgeon in Ordinaryto the Briglhton and Hove Ihospital for Women.

CLEOGG, Richard, 1..R.(.P., L.-M., L.R.C.S.Edin., appointed House-Surgeonto the Monsall Fever Ilospital, Mitanchester.

COOK, Johni WV., Ml 1).Aberd., Ml.R.C.S.Eiig., appointed Medical Officer ofIlealtlh for Clarton.

Cox. Walter J. Roalfe, M.R.C.S.Eng., L.R.C.P.Lond., appointed MIedicalOfficer for the Fourth Distriict of the Br adfield Union.

FAIRBROTHER, Jacob, M.D., M.Ch.Irel., appointed Medical Officer for theLatugliton District of the Rotherhanm Union.

FINLAY, David W., B.A., M.D., C.M.(Glasg,., F.R.C.P.Lond., D.P.H.Camb.,appoiuted Pirofessor of tlhe Practice of Medicine ini the UTniversity o1Abet-deen, iic 1Professor Smith-Shalid, deceased.

Fos13RoKE, Geo1r'e 11., M.R.C.S.Eng., L.SA., D.P.H., reappointed MedicalOfficer of lealth for the WVorcestershire Parislhes of the Alcestei-

HlAYDON, Williaiii RUn dali, -M.D., M.B., C. M.Glasg., reappointed MedicalOfficer for the Wahllfield District of the Tiverton Union.

IIOWARTm, Williaiii James, L.R.C.P., L.R.C.S.Edin., appointed House-Surgeon to the Monsall Fe-er Hospital, .Manchester.

IDDON, Thlomas WlIittaker, M.B., C1.M.Edin., M.R.C.S.Eng., appointedhLouise-Sultgcol to tlle Monsall Fever Hlospital, Manchestet.

JEPHcoTrT. Robhert William, L.R.C.P., L.M., L.R.C.S.Edin., reappointed.Mledical Oilicer ol ilealtli for the Warwickshirc Parishes of theAlcestert- io

JOHNSTi,ON, Alexander. M.D., M.B., C.M.Glasg.. eappointed ResidentMedical Oflicer to the Monsall Fever- Hospital, Manchester.

JoNEs, Rtichard, MI\.R.C.S., L.R.C.P.Lond., appointed Assistant MedicalOficer to the lsetlhnal Grieen Inifirmary, Victoria Park, E.

LiN(O, Clharles Artliti- Sqjuirc. M.R.C S.Eng., L.S.A., reappointed MedicalOfficer of Healtlh for (Xolchtester Port.

Lucy, Sidney II. R .R.U.S., L.R.C.P.. appointed llouse-Surgeon to the(ounty and (ouinty of the Bor oucrh Itlfirriary, Carmartlhen.

MAcEVAsN, David, M D.. M.D., C.M.Edin., appointed Lecturer in Syste-matic Sui-gery ind Moon Lecturei in Clinical Surgery at UniversityCollege, Dundee.

MACKENZIE, Thoints, M.A., M.D.Edin., appointed Deputy Surgeon toGovernment Ifouse, to the lsle of Mani Gaol, and to tlle Police,Douglas, Isle of Maii, rice Erniiest Bl3ack, resigned.

MCLEOI), Joliin B.. M.D., C.M.Aberd., appointed Lecturer in ClinicalMedicinie at U nix ersity (ollege, Duindee.

MOORE, S. C.. 1\.B., Chlii., appointed Assistant Medical Officer to theWN'olrklhouse Inifiirmiiary of the Leeds U'nion, vice Tlhomas S. Worboys.

MORRIs, William Jon1es, L.R.C.P., L.-M.Edin., M.R.C.S.Eing., appointedMedical Officer to the Festiniog Union Workhouse and District, andMedical Officer of the Tremadoe District of the Festiniog Union, iceR. Roberts, M.R.C.S., deceased.

NESBITT, Robert, L.R.C.P., L.R.C.S.Irel., reappointed Medical Officer ofHealth to the Sutton-in-Ashfield Urban District.

PARSONS, George G., L R.C.P., M.R.C.S., L.S.A., appointed House-Suirgeon to the Coventry and WIarwickshire Hospital, vice Dr. C. A_Ilswlett.

PENROSE, George Rooke, M.D.IIeidelb., L.R.C.P., L.R.C.S.Irel., appointedMedical Officer of Health for the Burton District of the Kendal Union,vice Dr. Foster, resigned.

PHILLPOT, George Frederick, M.R.C.S.Eng., L.R.C.P.Edin., appointedMedical Officer to Her Majesty's Convict Prison at Aylesbury, andtCertifying Factory Surgeon, vice Robert H. Hilliard, M.D.Glasg.,deceased.

POWERS, Charles Henry, L.R.C.P.Lond.,M.R.C.S.Eng., appointed MedicalOfficer for the Gosforth District of the Whitehaven t'nion.

REYNELL-BELLAMY. Henry, L. R.C.P., L.R.C. S.Edin., L. F.P. S.Glas., ap-pointed House-Surgeon to the Stockport Infirmary.

SMITH, Frederick J., M.A., M.B., F.R.C.S., appointed Assistant Plhysicianto the London Hospital, vice Charlewood Turner, M.A., M.D.Cantab.

SOMERSET, Edward, L.R.C.P.Lond., M.R.C.S.Eng., appointed House-Surgeon to the Newport Infirmary, vice C. S. Bowker, L.R.C.P.Edin.

SPURR, J., M.R.C.S.Eng., L.S.A., appointed Medical Officer for the LymeRegis District of the Axminlster Union.

STALKER, Alexander Mitchell, M.A., M.D., C.M.Edin., appointed Lecturer-in Clinical Medicine at University College, Dunclee.

STEEL, Dr., appointed Moon Lecturer in Clinical Surgely at ULniversityCollege, Diundee.

TEARE, John. AMB., Ch.B.Vict., appointed Resident Medical Officer to the&Liverpool Lock Hospital.

THURSFIELD, William N., M.D.Edin., M.R.C.S.Eng., reappointed MedicalOfficer of Health for Newport.

TOMLINSON, H. E., L.S.A., appointed Seconid House-Plhysician toi[the-Leeds General Infirmnary.

TURNER, Francis Charlewood, M.A., M. D.Cantab., F. R. C. P.Lond., M.R. C.S.,appointed Plhysician to the London Hospital, vice H. G. button, M.B.,F. R.C. P. Lond., deceased.

TwvI(oG, Fre(derick Grahiam, L.S.A., appointed Medical Officer of Healthfor Mexborough, vice William Sykes, L.R.C.P.Edin.

WARRINGTON, W. B., appointed House-Physician to the Monsall FeverHospital, Manchester.

WEBISTER, Dr., appointed Medical Officer for the Dudley District of theAlcester Utnion.

WHEELDON, Frederick John, M.R.C.S.Eng., L.S.A., appointed JuniorAdministrator of An,esthetics at the 'Monsall Fever Hospitatl, Marchester.

WICKHAM, Gilbei-t H., B.A., M.B., B.C.Cantab., appointed Ifouse-Surgeonand Secretary to the Royal Victoria Hospital, Bournemouthi, viceTheodor Lund, M.B., B.S.Durhl.

BlRTHS, MARRIAGES, AND DEATHS.The charge for inserting annousncements of Births, fIarriages, and Deaths i&

Ss. 6d., which sum should be forwarded in Post Office Order or Stamps withthe notice not later than Wednesday morning, in order to inlsure insertion inthe current issue.

BIRTHS.EADTE.-On September 8tlh, at West Coker, Somerset, the wife of John

Eadie, M.D., of a daughter.GOODMAN.-On August :31st, at .:3, Bt-idge Street, Brigg, Lincolnsltire, the

wife of Godfrey Goodiiiain, L.R.(. P.I., L.R.C.S.I., etc., of a daughlter.TAYLOR.-On September utli, at 23, Rodiley Street, Lix-erpool, the wife of

G. G. Stopford Taylor, M.D., of a soIi.THOmISON.--On September 4th, at Westridge Lodge, Newbury, the wife of

Douglas L. Thomson, L.R.C.I>., L.R.C.S., of a son.

MARRIAGES.CANT-TURNER.-On Septemlber sth, at All Saints, Marga-et Sticet, W.,

by the Very Rev. the Dean of Lincoln, assisted by the Rev. EdwardBate, Curate of All Saints, William Jolhn Cant, M.R.C.S., L.R.C.P.,Lincoln, to Ethel AMary Florence Turner, only child of the late JohnTuirnier, Esq., Penidlebury, Manchester, and granddaughter of the lateJames Aspinall Turner, Esq., M. P., D.L., Manichester. No cards.

CROOK-HENE13ERY.-On August 26th, at the Clhurel of the Sacred Heartof Jesus, Quex Road, Kilburin, N.W., Artlhur Crook, L.R.(. P.Lond.,M.R.C.S.Eng., youngest soIn of William Gustavus Crook, of N'o-orwich,to Kathleen Josephine Mary, third daughter of the late RichardIHenebery, of Watem-ford, Ireland.

SHEPPARD-FREER.-On August 27tli, at St. Jolhn's Clurcch, Stourbridge,by the Rev-. L. B. Penley, Vicar, the Rexv. Samiiuel Sheppard, Vicar ofWingates, Lancashiie, to Margaret Ada, eldest daughlte- of AlfredFreer, M.R.C.S.L., L.S.A., J.P1. co. Worcester, of Green Close, Stour-bridge.

WEIR-HILL.-On September 2nd, at Holy Trinity Chmurch, Malvern, bythe Rex. Canon Gregoiy Smitlh, L.D., Vicar of Malvern, assisted bythe Rev. Archibald Day, Vicar of AMalvem-i Link, and the Rev. R. G.Brown, curate of the church, Ai-chibald M. \VNeir, L.R. C. P.&k S. Edin.,of St. Giles's, MIalvei-n Linlk. second soII of Dr. WN eir, of Malvern,to Edith Rosa, third daughter of R. P. Hill, Esq., of Goodrest,Malverli.

DEATH.DAVIES.-At 1, Higlham Place, Newcastle-on-Tyne, the residence of lhis

son, on August 27th, in his 83rd year, Hugh Davies, M.R.C.S.E., L.S.A.,ODly survi 'g SOUof te late Hugh Davies, of Maesgammedd, Corwen,J.P. and1).hL. for l, Xerionetllshire, N. ales.

623

626 THE BRITISE MEDICAL JOURNAL. [Sept. 12, 1891.

insufficient care taken of the husband. who is coddled up still more forevery ache anid pain lIis wife suffers. Tlis statement is opposed to theremark: "In tlis in(tuiry the suifferings of the wonman mtiay tlereforebe neglected." I amii sorry that I do not possess an indexed Goldsmith,and am unable to refer to tIre paragraph, but ani certain that one orboth of these authors mention the impeded convalescence, as I havefrequently recited the story when delayed at a conifinement. That ourLancashire matronis have not taken kindly to the idea of such a custoiiiI scarcely need remiiark

MR. GEORGE Foy (D)ublin) writes: The author of the article " couvade'expresses a general dissatisfaction with all existing tlheories offered asexplanations of tllis peculiar custom. I would like to know what areIris objections to tire tlheory of E. Reclus, to wit, that it is a ceremonialact to establisli the right of parentage over the newly born child, which,if wye accept it, ivould naturally lead to the conclusion that the customatrose ainongst a polyandrous commiunity. In Connection with thisntuestion tlhetre is mtiuchl itnformationi in Mr. Ilerbert Spencer's Polyandry.second editioni, 1877, and his Crrcmonirtl Irstitfttiorrs, 1883, Williams andNorgate.

*** Most of tIre explanations of tihe custom giveni, and amongst otherstlrat of Reultis, are unsatisfactory because comparative study of themaniners, ctnstoir-s, and modes of thotglit common to savages slhows itto be iniconisistenit wvitlh tie menital processes which obtaini among thenm.it is Inot imiiprobable tlhat wvlhen the custoImi is met witli aniong civilisedraces it miiay have soirre referenec to right of parentage over the child.Isolated instances are fouild where the custom occurs even in Englandat the presenit day.

ASyrLUMr FOR THE INSANE IN CA'NTON.DR. C. WVENYON (F'atshiar, (CAiia) writes: Soire weeks ago I saw areference iii the lIlirIrIrst MIEDICAI, JOUIrNAL to the proposed establish-rnent of air asyliior foro the insane in Cantoni. I have just learned froman Amierican puiblication that an appeal for funds in aid of thisobject has alreacdy beeni irrade iii America, and that a similar appeal isabout to be irrade in Eniglanid. Some persons from wliom subscriptionsliave been solicited liave applied to me for informiiation, and, for thebenefit of otiers ivlro may be simiiilarly situated, I give you here thesubstance of iriy reply.Insaniity is rrot irearly so prevalent in Cliina as in Europe and

America. ('Cses of iurania are extremely rare. Life generally here isfree fromii tire nievxouts strain wllichl in the West so ofteni destroys thebalaniec of tire rrnilrd. Cases of melancholia are occasionally irret with,and some hrave beeni treated in oirr lhospital here, but irry experiencesliowvs that irr corriiiemiient these patients go froml- bad to worse. Mlen-tal disease in ('hinamiIost commnonily occurs in the forml of idiocy ordementia. (0wvirrg to the simplicity of life hiere and tlle clan system ofsociety, imatny persoirs tllus afflicted are able to do something for theirliving, 'ird if irot0 tliey freely and safely go in and out among theirrelatives aird an e witli few exceptions, kindly treated.Asylums for tire iinsane in China sliould be provided by tlle Chinese

tireniiselves. As a riiatter of fact, taking tire liint from the asylum inthe Britiqli colonry of llong Kong, tire Chinese did establisli air institu-tiorr of tlis kinid im tire town fr oimi wlinch I write six years ago. I havepaid several r-iits to this institution, but hav-e never found a singlepatient in it Tirere is roon, no doubt, for a luniatic asylumn in thelarge provirriral city of Canton, but the need is not of suflicient urgencyto jinstify a'i appe nl for funds to foreigniers.

It is espe ially to be hoped, in the interests of the safety of Europeanand Anrerionrir residents in China, tllat no foreign missiorrarysocietyvill be delud(ecl irnto connecting itself wvitli sucli an inistituition as tiratproposed. Tire prevarlenrce of iiifaniticide, arid the possibility of train-inig up tire rescued c lildren in tlle Cliristian faith, have led self-denyingRoman ( atirolic imiissioniar-y sistersto establishr i'efuges for or-plhans aildfoundlings iii marry parts of tlis country, but the iievitably severemortality minorn niiotlierless infanits lhas been so fruitful in evilrrunrrours that .all st every anti-foreign riot whichl lhas occurred inClliia lias Origindted in tre neighbourlhood of these orphlaniages. Forasylums for tire iinsanie the same necessity cannot be urged; tlcy, more-over', oiler few or rio facilities for evangelical instructiol, wliile, on theotlier liand tlicy are of all institutiorns tire most exposed to obloquy.Even in Erralaird scarrdals in connection wvitlh asylumns still sometimesrise. In Chinima tlie liability to irriscoriception is greater, and the con-

sequeicies of slch roiisconceptiol are certain to be inuch more serious.Tire hospital of which I lhave chiarge hlas been sever'al tirrres in dangerof destr uctioir at tire liands of tire frienids arid neighlbours of a melan-cliolic paticot wvlioiiir I had for' several irroritlis under roy care, and wlotlhein wvenit liorrie to give Iiis friends all sorts of fabulous accounlts ofour brutal ity.

LETTERS, COMMUtTNICATIONS, ETC., received:(A) Mri. J. Anclerson, London; Dr. Allan, Tonbiidge; M'. EdaijeeCawasjee Appir, Ihorniray; Anglia; A. M. (1B) Mr. A. Burke, Lonldon;Mr. P. B. Ilentlif, Jersey; Dr. J. H. h3layney, London; Dr. Beverley,Norwvich Dr. II. Btirdeir, Belfast; Dr. Balding, Roystoni; Mr. Cress-wvell Baber. 1r igit oii; Mr. J. Buck, Leicestei' ; Dr. H. Barnes, Carlisle;Dr. F. Beacl, I)artford; Sir James C. Browne, Dumfries; Mr. W. F.Brook, Fareluhmn; l1ev. 1. J. Ballard, Newton Hamilton; Dr. D. Biddle,Kingston-on-Tlhrrinies; Dr. F. Bisshopp, Tunbridge Wells; Mr. S. InnesBlaker, Abingdorr. (C) Mr. D. Canty, Colchester; Mr. Calderwood,Plymouth; Dr. C. (Charles, London; Mr. A. Cooper, London; Dr. C.Chepmell, lrighiton;rMr. C. R. Coghlan, London; Mr. H. W. Craik,Londoni; A (Country Surgeon; Dr. T. Churton, Leeds. (D) Dr. T. Dil-worth, Fermoy; The Director-General of the Army Medical Depart-ment, Londoni; Dr. Wiirn. Duncan, London; Deputy Surgeon-GeneralRetired; Dr. D. G. Davidson, Edinburgh; W. Duncan, M.B., London;

Doctor. (IC) Mr. W. S. Eccles, UJpper Norwood; Enqjuirer; Dr. J.Eadie, West Coker; Messrs. Elliott, Son and Boyton, London; Etliic-(F) Mr. J. Fryer, Batley Carr; Mr. G. Foy, Dublin. (G) Mr. G. Good-man, Brigg; Mr. F. S. Gramshaw, Stillington; Mr. R. J. Gibson, New-castle-on-Tyne; Dr. Major Greenwood, London; Mr. B. Gordon, Ley-ton; Mr. E. Greenwood, London; Miss A. Gill, Lancaster; Mr. F. G.Gardner, Stourbridge; Mr. J. S. Green, Maudsley. (H) Mr. W. B.Hemsley, Kew; Dr. de H. Hall, London; Dr. NV. Hunter, Balgreddan;Mr. S. R. Harrison, Hull; Professor V. Hoi sley, London; Mir. W. S.Haughton, Dublin; Hakimii; Dr. G. E. Hermnan, Loiidon; Mr. D. L.Hubbard, Lynton; Mr. W. H. Haley, Wakefield; Dr. G. F. Hodgson,Briglhton; Mr. W. W. Heelas, Newcastle-on-Tyne; Mr. E. G. Ihunt,London. (I) Dr. V. Idelson, Berne. (J) Mr. R. Jaynes, Leeds; Mr. J.J. Jackson, Hereford. (K) Dr. R. Kiiikead, Galxvay; Mr. E. Knight,.Gravesend; R. T. Kent, M.A., London; Mr. H. Ml. K-ing, London; Dr.N. Kerr, London. (L) Mr. Lockwood, London; Mlr. S. H. R. Lucy,Carmarthen. (M) Mr. J. McMunn, Croucli End; Mr. R. J. McCormack,Omagh; Dr. Mickle, London; Mr. J. A. Morris, Newport; The Mili-tary Secretary. India Office; J. E. Maclennan, M.B., Sydney; Mr. W.Jones Morris, Portmadoc; Mr. F. Marsh, Birmingham; Dr. P. Manson,Yarrow. (N) A Neiglhbouiring Practitioner; Mr. P. W. G. Nunn,Bournemouth. (0) One of These; Dr. J. Oliver, London; An OldSoldier. (P) Mr. J. L. IParke, hluddersfield; Mr. J. Powell, Pontrilas.;Mr. C. J. Power, Stroud. (Q) Sir Richard Quain, London. (R) Mr. H.Rainsford, London; Mr. A. Roche, Dublin, Mr. G. Q. Roberts, Lon-don; Red Guide; Mr. J. Ringwood, Kells; Mlessrs. RichardsonBrothers and Co., Liverpool; Dr. D. A. Robertson, Edinburglh. (1) Dr.Squire, London; Mr. A. W. Sheperd, Cowbridge; Mr. WV. G. Spencer,London; Mr. T. Smooker, London; Mr. R. R. Slemnan, London; Mr.Morton Smale, Henley-on-Thames; Mr. R. McC. Service, Denniston;Dr. R. Saundby, Birminglham; Subscriber; Messrs. Sumiiner and Co.,Liverpool; Mr. P. R. Stevens, Staplelhurst; Dr. Sanders, Penmaen-mawr. (T) Dr. Trevelyan, Lceds; J. Teare, M.B., Liverpool; Sir J.Tilley, London; Dr. T. Tinley, Whitby; Dr. Thorne Thorne, London;Mr. E. Tomiilinson, Upper Tootinig; Dr. G. Turner, Broxbourne; Mirs.A. Thomtison, London; Dr. E. Tuxford, 13oston. (W) ProfessorWindle, King's Norton; Mr. WV. F. Walker, Wcobley; Surgeon-Major H.WVaghorn, Newvport: Mr. _. Wlhite Wallis, London; Dr. C. J. Whuite,Bourneiiiouth WVest; Dr. Hugh Woods, Londonl; Dr. Whitelegge, WVells,etc.

BOOKS, ETC., RECEIVED.

Aix-la-Clhapelle Yuille D'Eaux. Aix-la-Chapellc: Ruidolf Barthi. 1891.The Piractitioner's Vade Mecum. By EdaIjee Cawvasjee Alipu (Tukina),

L.M. anid S. Bombay: Plinited at the limperial Press. 1Tjol.Report on Clholera in Europe and Inidia. By Edward 0. Slhakespeare,

M.D. Washington: Giovernment Printiing (Ollice. i1S.4.The Practice of Hypnotic Suggestion. By George C. Kinigsbury, Mf.A.,

M.D. Bristol: Jolihn WrightI anid Co. i.o1.Geburtshiillliche Taschen-Illianitomeic. Von D)r. Med. 1K. Shibata. AlMinchen

J. F. Lehmiiann. 1(81.The Care of the Sick. Translated from the German of Professor von

Esmareib by James Meinzies, AI.D. Galashiels: Jolihn M'Queen.Seventlh International Congress of Hygiene anid Demi1ographly. Reports of

the Meetings anid lDisCussiolis lheld in Londonl, August loti to 17ti,1891. London: E. A\. Alleim.

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