No. 948.

LONDON, SATURDAY, OCTOBER 30, 1841. [1841-42.

BRITISH MEDICAL ASSOCIATION.

FOURTH ANNIVERSARY MEETINGAND DINNER.

OCTOBER 21ST, 1841.

Dr. WEBSTER, the President, in the chair.TUE fourth annual meeting of this associa-

tion was held at the London Tavern, Hishops-gate-street, on Thursday, the 21st inst. Theattendance was very numerous.The PRESIDENT, on taking his seat, said,

that he was happy to have the honour ofpresiding on the fourth anniversary of theassociation. He was the more gratified be-cause, when the association was formed, not Ionly had it to contend with considerable oppo-sition, but no little ridicule was cast upon it.It was both said that there was no necessityfor forming the association, and that those whoproposed it were neglecting more importantduties ; but the association replied, that

they promoted the utility and science oftheir profession by removing the many bar-riers which opposed both. Various other

objections were also urged. Its principles,however, had since been adopted throughthe length and breadth of the land, showingthat the obiects it first contemplated, and towhich it rigidly adhered, were legitimate,right, and necessary. He would, at therisk of repetition, briefly enumerate thoseobjects. The FIRST was to uphold the dignityof the profession, which, he considered,would best be done by increasing its useful-ness and its respectability. They were atthe present moment without anything like a z,

medical government, and therefore, to beginat the beginning, the first thing they requiredwas a representatire medical government.That would be effected by incorporating alllegally-qualified members of the professioninto one faculty, with a representative coun-cil. It was desirable that the education, thequalification, and the examination of all thosewho in future should practise medicineshould be uniform, and that uniformity oughtto constitute the basis of equal rights andprivileges. The SECOND object they had jll

view was to obtain, as lie had stated, equalprofessional rights and privileges. Havinguniformity of qualification, that would followas a natural circumstance. But in touchingupon the uniformity of qualification andequal rights and privileges, he must be al-lowed to say, that the association had not the

slightest intention of doing away with thedistinctions, now existing, of consulting andgeneral practitioners. The THIRD object was,the removal of professional grievances. He

referred, as examples, to the present unjustand unfair appointments to hospitals, publicofi’ices, lectureships, inspectorship of prisons,&c., down to parish unions and workhouses.Were those appointments now bestowed ac-cording to merio ? ’? Were they given to thosewho were best qualified to hold them ? Hethought that every gentleman present wouldanswer,

" Certainly not." The FOURTH ob-

ject was to amend the constitution of theexisting medical corporations. The membersof this association had been called destruc-

tives-destroyers of the corporations ; butthat was not their character. They wishedto see a representative system of governmentintroduced into the corporations ; that those

corporations should exercise.and enjoy theirfull privileges apart and distinct from the

general incorporation of the profession, and,instead of the self-government and self-elec-tion to the different offices in those institu-

tions, election by the commonalty or mem-bers at large. The FIFTH point was the for-mation of a benevolent fund. He alwaysfelt a degree of jealousy in contemplating itas a benevolent fund. It ought to be an an-nuity fund, to which the applicants shouldgo as a matter of right. Rut until such a

plan was carried out, he had no objection toa fund that would relieve the distresses oftheir less successful brethren, their widowsand orphans. The SIXTH point they had inview was, to promote union and cordialityamongst themselves, and honourable feelingstowards each other. He trusted that themembers nnistered on the present occasion,-the harmony, unanimity, and social feelingwhich would be exhibited during the even-ing,-would show that the members of theBritish Medical Association were united

sincerely, heart and hand, in the objects they

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had in view. He congratulated the meeting satisfy the just requirements of the profes-upon the success which bad already attended sion and the public ? Certainly not. Whattheir exertions, and he was perfectly sure then should be done ? The council are ofthat before long they would attain all the opinion that the principles which have beenends they had in view. (Hear, hear, and always held by this association, and thoseapplause.) The worthy president concluded which have been lately recognised by theby reading the names of the council and numerous other reform associations in con-officers who had been elected by ballot for ference assembled, should be laid before thethe ensuing year, as delivered in by the Ministers of the Crown, and that they bescrutators. requested to take up medical reform as a

Mr. HARRISON the zealous and indefati- government question, upon those principles.gable secretary, then read the report, which At the same time it should be clearly ex-we give very fully. It commenced with the plained, that such principles do involve nei-

congratulations of the council to their fellow ther the destruction nor the injury of existingmembers on the progress of the association, institutions, nor the extinction of the presentand to the profession generally, on the ad- orders of the profession, of consulting andvancement of the great questions of medical general practitioners, as has been too fre.

reform, in which, in fact, every individual in quently, but unjustly, alleged by the enemiesthe empire was deeply interested. The re- of reform. port then proceeded thus —

Should the Government refuse to under-take this duty, then the profession must in-

NEW MEMBERS AND AUXILIARY BRANCHES, trocluce a measure during the next session

Since the last anniversary meeting 52 new of Parliament, for which the way has beenmembers have been admitted, and within prepared by the promises of support receivedthe year three new auxiliary associations from numerous members during and since

have been formed viz., the Cornwall, the the late elections. As co-operation and una-South Devonshire, and the West Somerset nimity are of vital importance in furtheringcomprising a large number of members in the cause, it is highly desirable that a per-each of those counties, pledged to promote manent joint committee should be formed inthe respectability and the reform of the pro- London, composed of delegates appointed byfession in their respective localities. The the numerous associations which now exist

numerous other associations previously in the three kingdoms (in short, a generalformed in England, Scotland, and Ireland, representative medical council), to take suchhave been actively engaged in the good steps as occasion may require, not only on

cause, and there are prospects of similar this but on other important questions con-associations being formed in counties where nected with the profession. The council,none at present exist. therefore, suggest that such a general plannone at present exist. of co-opel’ation should be recommended toof co-operation should be recommended to

MEDICAL REFORM. the various medical associations of the

It is unquestionable that medical reform has empire.made more rapid and substantial progress, QUACKERY AND ILLEGAL PRACTICE.both in and out of the profession, during the past year than in all the preceding years of its These questions, though naturally allied,existence. The first great move was made by

are yet considerably different Quackerythis association at its last anniversary, by may

be practised by either legal or illegalproposing that a medical conference should practitioners ; while illegal practice is carriedbe held in London, to promote the cause of on by the unqualified, such as chemists, andreform both in and out of Parliament. This other }retende1’s to medical knowledge. The

was promptly responded to by the different council have always considered that the ef-associations of England, Ireland, and Scot- fectual suppression of both these evils must

land; and the conference, consisting of twenty- greatly depend on the better regulation of thefour delegates from eleven associations, in- profession; m other wo-ds, on the success

eluding some of the brightest ornaments of of medical reform. It is believed that

medical science, assembled at Exeter Hall, quackery, in the sale of quack and patenton the meeting of Parliament, in February medicines, is much less injurious to the pub-last.

’ j lic health, than the illegal practice of chemists

The report next stated the lieads which and other unqualified practitioners. IfThe report next stated the heads wliieh quackery slays its thousands, illegal prac-

were agreed to by the conference, and the tice kills its tens of thousands. This state ofgeneral proceedings of that body, which things we owe almost entirely to the culpablehave already appeared in TatE LANCET, supineness of the College of Physicians andThe report then proceeded as follows :- the Apothecaries’ Company. The Coliege

The question now is, What future steps of Surgeons, it is generally believed, has noshould be taken to promote the cause of power to interfere, though in referring tomedical reform? Will it be proper to wait for their last charter and the previous Acts ofthe promised measure of the corporations ? Parliament on which it is founded, this isWould that measure be sufficiently liberal to very doubtful ; but the other two bodies pos-

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sessed sufficient powers to abate all such wherever there are chemists’ shops. It is togrievances, if they had exerted them, as it be hoped that a system which has proved sowas their bounden duty to have done ; for injurious to the public will not longer be en-it should be observed, that all their charters, dured, and that nothing more will be heardActs of Parliament, or privileges, proceed of 11 the right to prescribe" for the poor, andupon the principle of their providing quali- in minor ailments for all classes, which che-fied and competent medical practitioners for mists and druggists have been recently sothe service of the public, and of suppressing boldly claiming. The recent decision will, noall illegal practitioners and quackmongers as doubt, have a very salutary effect in check-injurious to the welfare of the community. ing illegal practice ; and it is much to be re-On carefully examining every Act of Parlia- gretted that the Apothecaries’ Company hadment and charter which has ever been not long since tried the question ; but it isgranted to the medical corporations, the pub- obvious that the present machinery by anlic health is the sole and ostensible object on action at law is much too expensive and di-the one hand, while the punishment of latory.quacks and illegal practitioners is enjoined A very simple and efficient mode of dealingon the other. But the present state of me- with quacks and illegal practitioners mightdicine in this country most lamentably shows be followed : first, let the Government at oncehow these powers thus ceded to them for the withdraw its sanction of a stamp-dutypublic good have been abused or neglected : from quack medicines, and forego the triflingit may be that the two Royal Colleges consi- revenue derived from such a dishonest source,der it below their dignity to protect the pub- which only amounts to 31,4001. on the ave-lic or their members from the effects of rage of the last five years; secondly, no Re-quacks or illegal practice ; but the fact is form Bill will be perfect which does not pre-certain, that they have allowed their powers vent any but the legally-qualified and dulyto become obsolete, and no prosecution has licensed practitioner from undertaking thebeen instituted for this salutary purpose for responsible duties of the medical profession;many years. thirdly, let a clause be inserted allowing aThe Apothecaries’ Company, however, the common information for illegal practice to

youngest of the corporations, has been more be laid before any magistrate, who shouldactive in discharging its duties in this, and, have power to summarily fine and imprison,with praise be it said, in many other respects, unless the accused can produce proof ofthan either of the Royal Colleges. It is being a legally-qualified practitioner. Shouldtrue that actions have as frequently been an efficient Reform Bill encounter unforeseen

brought against really qualified practitioners difficulties, it will then become a question(graduates in medicine and members of the whether a separate measure should not beCollege of Surgeons) as against the really sought from the Legislature, with the view of2enqualifred, the ignorant, and the uneducated; removing some of the crying evils of quackeryand the letter of the law has been enforced and illegal practice.too often against its spirit. An important In concluding this subject, the councildecision has recently been obtained, which cannot help alluding to the unwearied exer-reflects great credit on the company for the tions of Dr. Cowan, of Reading, and to hisperseverance and spirit with which it has valuable pamphlet against quackery.been pursued to a successful issue. It has

POOR-LAW RoESTioh.been at length solemnly decided, after two POOR-LAW QUESTION.

trials and an argument in the Court of It is greatly to be lamented that this ques-Queen’s Bench, that chemists and druggists, tion, so important to the public and to medi-who have been long usurping the duties of cal practitioners, should still remain in thethe qualified medical practitioners, are not present unsettled and unsatisfactory state.entitled to adrise, administer, or pr’escribe The council have directed their best eXer-

medicinesfor the sick, but only to buy, pre- tions during the past year to obtain an

pare, compound, dispense, and vend drugs, amended system of medical relief, and theymedicines, and medicinal compounds, whole- appointed a Poor-law Committee to watchsale and retail. Though the practice has the subject in Parliament. The Poor-lawbeen acquiesced in, it is also very doubtful Committee of the Provincial Medical Asso-whether chemists and druggists have any ciation transmitted certain clauses on this

legal right to dispense the prescriptions of subject for consideration ; these were similarphysicians and surgeons, and a clause in the in principle to the plan formerly adopted byApothecaries’ Act specially assigns this this association, and laid before the Poor-lawduty to the duly qualified and examined Commissioners (see report for 1840), beingapothecary. founded mainly on the recommendations ofMany most flagrant and afflicting cases of the medical evidence taken by the Parlia-

the mal-practices of the lower classes of che- mentary Committee in 1838. After carefulmists in pretending to treat disease have examination, some alterations in the detailscome within the cognisance of members of were proposed by this council, and agreedthe council; indeed, they every day become to by the Provincial Association, when a con-cognisant to medical men in their practices, ference took place between Mr. Sergeant

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Talfourd,M.P., and Mr. Wakley, M.P., and their sympathies should overcome theirjudg-deputies from the British, the Provincial, ment. Such trifling is lamentable, and it isand the North of England Associations, earnestly to be hoped that something decisiveBoth the members of Parliament were of will be done, in next session of Parliament,opinion that the clauses were too numerous to improve the system of medical relief, andand complicated to have the slightest chance to ensure a sufficient quantity of proper nou-of passing the- Legislature, and recommended rishment to paupers both in and out of thethat a simple plan should be prepared that workhouse.

could be readily understood by the House; VACCINATION QUESTION.but on carefully going over the clauses seria- VACCINATION QUESTION.

tim, there was great difficulty in omitting This, like the poor-law question, requiresany of them without destroying important complete remodelling ; the pittance allowedparts of the plan agreed to. It was then for the operation, regulation, &c., by the

proposed, that the deputations, accompanied commissioners, especially to our Irishby Messrs. Wakley and Talfourd, should wait brethren (being no other than 6d. per case),on Lord John Russell, which they accord- is disgraceful to the country and to the profes-ingly did, with the view to obtain, if possi- sion. Instead of contracts with a few, theble, his sanction (as mover of the Poor-law practice of vaccination should be open to allBill) to the amended plan. His lordship ob- legally-qualified practitioners, and not lessjected to a medical director and to other pro- than 2s. 6d. should be offered as the mini-

posals, but promised to give the subject his mum remuneration. Unless this he adopted,best consideration. Messrs. Talfourd and the Vaccination Act will prove a heavy blowWakley then undertook to watch the subject, and great discouragement to the practice.and agreed to place certain of the clauses on The question must not be lost sight of inthe notice-book of the House : Mr. Wakley connection with poor-law amendment pro-also provided for another plan being brought ceedings.before the House, should the more extended ,- , .one be thrown out. This plan of allowing CERTIFICATES TO LIFF.-ASSURANCE OFFICES.

the poor to choose their own attendants from The opinions and practice of the councila list of legal practitioners in their neigh- and members of the association have not

bourhood, by tickets bearing a fixed value, altered on this subject: they continue to re-had also been proposed by this association as turn unanswered all applications from assur-plan No. 2, in their report to the poor-law ance offices for certificates of health whichcommissioners in 1839. It was printed in the do not contain a fee. This is now acting verysecond report of the commissioners for 1840, beneficially, by forcing attention to the subjectand was much simpler, and, it is believed, on on the offices and on the public, and all thefurther consideration, would prove much newly-formed offices and several of the oldmore satisfactory both to the poor themselves ones are adopting the plan of allowing feesand to the members of the profession than in all cases where medical gentlemen are ap-any other. Neither of these plans was, plied to.however, brought under the consideration ofthe House, in consequence of the postpone- FINANCES.

ment of the general question, The council take this opportunity of im-In the last report of the poor-law commis- pressing upon the members of the association

sioners a more conceding spirit is evident in the absolute necessity of punctually payingtheir words, but as heretofore their deeds have up their subscriptions. Without attentionended in nothing; firstly, they have repeat- to pecuniary matters there can be no stabi-edly recommended to the guardians that lity, and as the association will be calledmedical tenders should be abolished ; se- upon in the coming session of Parliament forcondly, that the pauper list and payment-per- increased exertions, there will necessarily becase system should be adopted. But it increased expense. The treasurer is not inseems that the guardians have paid no atten- advance to the association, but were the out-tion to either recommendation, or rather they standing subscriptions paid up, there wouldare averse from both ; and the commissioners, be a considerable balamce in its favour.apparently, have not the power to enforce the Members are reminded that by one of the

plans they approve of, or they do not choose fundamental laws notice must be giren illto exert it. They notice also the extent and writing to the secretary by any gentlemanpopulation of overgrown districts, but think who may wish to retire.it would be impossible to establish limits by

BENEVOLENT FUND.direct enactments ; and they approve of union BEKEVOLENT FUND.

officers having the double qualification of This fund is in a prosperous state, but assurgeon and apothecary, but they do nothing’ its chief support is derived from the thirdto carry out so desirable an object. part of all the annual subscriptions of theNo little jea’ousy is shown as to medical members, if these are not punctually paid

officers possessing power to order extra nou- the fund must suffer in proportion. Manyrishment to sick paupers ; this is in future applications have been made for relief duroto be denied to them ia out-door cases, lest ing the year, some of which, on strict in.

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quiry, were unworthy of attention; but large. Much had been done towards effect-several deserving cases have been selected ing it, particularly in the attention paid toand relieved with sums of various amounts, legislative enactments and the suppression ofwhich proved of the greatest service to the quackery. (Applause.)individuals. Some of these were widows of Mr. W. EALES moved-medical men. "That Dr. R. D. Thomson (now of Glas.

GENERAL PROCEEDINGS. gow); William Tucker, Esq., Market Lav-There are many other proceedings of the ington, Wilts ; J. Burrowes, Esq, of Stone-

council aie many otiiei be separately consi- house, secretary to the South Devon Medicalcouncil which cannot be separately consi- Association; J. H. Nankivell, Esq., of St.dered, First, delegates were appointed to attend the medical conference. Secondly, Columb, secretary to the Cornwall Medical

petitions have been presented to Parliament Association; and C. H. Higgins, Esq., of

for medical reform, and for amendment in Taunton, secretary to the West Somersetfor medical reform, and for amendment in Medical Association, be elected correspond-the poor-law. Thirdly, deputations have

Medical Association, be elected correspond-waited on Lord John Russell, on the poor- ing members of this association.law question ; on Messrs. Warburton, Wak- Seconded by Mr. C. H. HOYLAND, and car-ley, Hawes, and others, on medical reform, ried unanimously.and on all the metropolitan candidates on Mr. EALES said, on making the motion,the same subject, during the late election, that it must be obvious to every one that itand many of our country members have fol- was very desirable that the secretaries oflowed our example. Fourthly, the council other associations should be in constant com-have anxiously cultivated friendly relations nlunication with this; and therefore theywith other associations, and have assisted by should be corresponding members of it, toall means in their power the formation of draw closer the bonds of fraternity.similar societies in new localities. The CHAIRMAN, in submitting the aboveA deputation, consisting of the President, resolution, said, that the first gentleman pro

Dr. Marshall Hall, and Mr. Bottomley, at- posed (Dr. Thomson) had received an ap-tended the meeting of the Provincial Asso- pointment in connection with the Universityciation at York, to induce an active co-ope- of Glasgow. Every one present, who knewration on medical reform. The result has the zeal, the assiduity, and the attentionbeen laid before the association in a separate which that gentleman had given to the busi-report, which appeared in THE LANCET for ness of this association when their colleaguethe 4th of September last. and associate, would cordially support the

In conclusion, the council again congratu- resolution. This was not the time to alludelate the members and the profession on the to the high professional qualifications of Dr.progress of liberal and just opinions, and en- Thomson; all he (Dr. W.) could say was,treat them not to relax in their laudable and that he wished him every success in thezealous efforts till they have placed the pro- sphere in which he was now gone to shine.fession in the position of respectability and (Applause.)public usefulness which it ought ever to

Mr. E CRISP moved-occupy. (Loud cheers.)

Mr. E. CRISP moved-occupy. (Loud cheers.) to move- " That this association being desirous ofMr. JOSEPH CURTIS rose to move- cultivating union with the other medical re-

"That the report of the council be re- form associations in England, Ireland, andceived; and that the thanks of the meeting Scotland, resolved that they be invited tobe given to the officers and council for their appoint representatives to act with the coun-services during the past year." cil of this association in London, as a perma-Seconded by Mr. SEPTIMUS READ. Car- ment joint committee, in taking such steps as

ried unanimously. may be necessary for promoting any I-larlia-Mr. CURTIS said, on making the motion, mentary measure, and the various questions

that he was sure that all the gentlemen pre. connected with the dignity and welfare of thesent would feel great pleasure in passing profession."that resolution. It might be said that the Seconded by Mr. GEORGE BOTTOMLEY, ofprofession had not yet derived a great amount Croydon, and carried unanimously.of practical benefit from the formation of .this association; but they must remember Dr. JORDAN LYNCH felt great pleasure inhow many clifficulties it had had to overcome, proposing the fourth resolution :-and then they would find every reason to be That the principles of this associationsatisfied with what had been already done. contained in its outlines of medical reform,The first thing which the council had to do and those recognised by the Medical Confer-was to unite the profession, and obtain as ence of Great Britain and Ireland, compris-many co-operators as possible ; and he was ing incorporation of the -whole profession,happy to find that there had been so large an representative government, and uniform qua-accession to their numbers during the past lifications and equal privileges, be laid beforeyear. Their next duty was to lay down a the Ministers of the Crown, and that they beplan in order to benefit the profession at requested to bring the subject of medical

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reform before Parliament, on these princi- would fain conceal ; their fears, signals ofples, as a Government measure." distress, signs of capitulation, are hoisted

Seconded by Dr. IFILL and carried una- from the fortress of corruption. Until re-

nimously. ’

cently they rested their defence upon theirDr. LYNCH said, on making the motion, presumed perfections; they tried to convert

that the speech in which the indefatigable their vices into virtues ; now they stand self-

president opened the business in the report convicted, condemned by their own reports.which he submitted to the meeting, he entered One goose, alone, of the name of Guthne,into a full explanation of the term incorpora- who (they say) loves siller or pelf more thantion, as he understood it, thereby implying principle, waddles about the citadel, and gab-union, and comprehending all, without de- bles out no surrender, and, fancying himself astroying any of the existing medical institu- duodecimo edition of the illustrious Welling.tions. The association never desired, never ton, declares that no reform is needed ; that

contemplated, ’ the corporations are mirrors of administrative

excellence; that the oligarchy of which he« rash equality, but equal rights, is the head is the least rapacious of its

Proportioned like the column to the temple, species. (Laughter.) Advance to the attain-Giving and taking strength reciprocal, . species. (Laughter.) Advance M Uie attain-And making firm the whole with grace and ment of your rights ; cry justice, reason,

beauty, . experience. Halt! says Corporal Guthrie;

So that no part could be removed without stand at ease : it would be democratic, itInfringement of the general symmetry. would be dangerous; it would lessen my fees,

They were desirous that merit, varied ac- limit my power. Gentlemen, the foundationquirement, great practical utility, should be is sapped--the train is laid ; we have only torespected ; that all ranks or grades should be move together with one simultaneous step,accessible ; that the present impassable and and the work is consummated-the fortressilliberal barriers to talent and industry should is taken, like the execution of Napoleon’sbe removed ; that the principle of self-govern- will through his imperial guard, " trois pas-ment should be extended to every member of en avant, c’est fait." (Loud cheers.)the different corporations, with a view to Dr. MARSHALL HALL rose to move-ultimate and general incorporation, upon thebasis of equal and uniform education in That as many persons from ignorance ormedicine and surgery. (Cheers.) In this design speak of the destruction of existingthere was nothing novel or startiing. Lite- medical institutions, and of the present dis-

rary, like their prototypes, municipal, corpo- tinctions of the profession into consultingrations, when they were first established, in and general practitioners, as principles of

the middle ages, were essentially republican this association, resolved that such a state-

institutions ; and even in some of the most ment is a complete and unjustifiable misre-exclusive of the present day, the professors presentation of those principles.’are elected by the graduates. They did not Carried unanimously.seek this representative principle from ca- Nothing, said Dr. Hall, can be more ex-price, or change, or a morbid antipathy " to pressive than the words of this resolution:things that are :" they sought it as a means with them we began our association, and withto open to them the prospect of honourable them I doubt not it will continue. At oneambition-to place them in their proper posi- of our first meetings some gentlemen said,tion in the profession-to crush monopoly " Pray what will happen with the existingand usurpation-to give them a control over institutions ?" I replied, " Nothing, unlesstheir own property-to have their voires, our own eclipses them, as the sun does thetheir wishes, heard in their own halls, and to stars." Our object is, the incorporation ofput an end at once and for ever to the irre- the whole profession into one faculty or me-sponsibility and self-election of a few who dical body, not abolishing existing naturalhad assumed the governing power; and, distinctions. Those who choose to practiseto the deep degradation of intelligent men, physic generally may do so; those whosubmitting, in servile and permanent acqui- choose to join the ranks of the pure physi-escence, to men who have neglected their cian and surgeon have the same liberty.interests-who had encouraged absurd divi- Every man should choose that departmentsions for the purposes of gain, and had tried which he likes best. (Cheers.) The medi.to rend in twain the most noble and useful cal faculty would incorporate every legally-of all professions, and tried to confound its qualified practitioner in the kingdom. Gen-advancement with the interest of mercenary tlemen now in practice will at once constitutecorporations.-[Finding it impossible to de- that faculty, and all who afterwards entervote sufficient space to do justice to the en- the profession will be examined by it, thetire eloquence of the worthy physician, we education being perfectly free, the examina-add only his concluding remarks.] - tions uniform. The term apothecary shouldHesiod notices the cry of the crane as be abandoned as one that is not worthy of theindicative of the departure of winter. profession. Every successful candidate forThe ignominious and inefficient conces- the diploma should be regarded as a mem-sions of the corporators reveal what they ber of the faculty, becoming a consulting

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physician or a surgeon, as he likes, or prac- (Cheers.) All I can add is, that the Collegestising medicine generally, without being of Physicians and Surgeons might be madethereby esteemed as belonging to an inferior sources of honour, and every man in the pro-class. The Colleges of Physicians and Sur- fession should have it in his power to devote

geons might become literary and scientific his industry to the attainment of those ho-bodies,-sources of additional honour to nours, without a difference being made be-those who obtain their diplomas; honours, tween him and his compeers. It is no partat present I say not that they are. (Hear.) of the principles of this association to destroyIn the oration which I delivered at our last the existing corporations, but to reform themanniversary, I used words which, if I ever into what they ought to be. Even as closehad a chance of being admitted to the fellow- corporations they are liable to every possibleship of the College of Physicians, were objection, and, amongst other things we wantlikely to scatter that chance to the winds. I in them, open dooi’s. (Cheers.)said, that if I were offered the fellowship Ml’. CRIsr, in seconding the resolution,- an event most improbable, if from no said, that much injury had been attemptedother cause, from the frank and candid ex- to be done to the association by its oppo-pressions contained in that very address,-I nents representing that its members were de-certainly would not refuse it; but I would structives, designing to do away entirelyraise my feeble voice within the college, and with consulting physicians and surgeons.plead there the cause which I advocate Such a notion never was entertained by anyamongst you this day-the cause of equal member of the body. They contended thatrights and privileges to all in our profession. all men on entering the profession shouldI thank God, I am myself independent enough undergo a searching examination as to theirto be personally indifferent to the advantages medical knowledge, to ensure to the publicof any changes ; but I have a keen sense efficient practitioners, each choosing whatof injustice to others, and I therefore feel department of the profession he preferred.indignant, whilst I am indifferent." It has In fact, the changes contemplated wouldhappened to my surprise, and to the surprise make no alteration whatever respecting theof many others, that since that day I have choice of grades now in existence. (Hear,been offered the fellowship of the college, hear.)which I have accepted. (Hear, hear.) On Mr. JOSEPH HOWELL moved-a late occasion, when I formed part of a de- 11 That this association will not relax theirputation to York, I read to the meeting these efforts to obtain an amended system of poor-words:—" Under this impression, this con-

effort to obtain an amended system of poor-words :—" Under this impression, this con- law medical relief, and improvements in theviction, I have not hesitated to accept the vaccination Act, during the ensuing sessionfellowship of the Royal College of Physi- of Parliament." g y ensuing sessioncians. I have been arraigned for my con- Carried unanimously.duct in this instance. But, Gentlemen, I Carried unanimously.beg leave to state to you that, as hitherto, so He knew (Mr. Howell said) very littlehenceforth I shall maintain my indepen- about the working of the new poor-law, butdence, my right to judge for myself, and act so far as his observation had extended hefor myself. I do not think that I ought to believed that it was bad, both for the poorbe called upon for the motives of my conduct; and the profession. He and his friend, Mr.but as I have no objection to give them, I Eales, resided in part of a union where onehere lay them before you frankly and freely. of the medical officers was not even a residentI chose, then, to accept the fellowship be- in that union. As for the poor-law commis-cause it was my right-(Hear, hear,)-be- sioners, they had either no control or theycause it disarmed any from saying that my did not exert it in removing the evils com-efforts for reform were stimulated by disap- plail1ed of. He (Mr. H.) had performed apointment,—because it gave me the oppor- certain part of the vaccination in the union,tunity of pleading, where it ought to be and another gentleman the other part. He

pleaded, the cause of medical reform,-be- did not refer to it out of disrespect to that gen-cause I saw no good arising from a contrary tleman, but it was a disgraceful fact that thatcourse, pursued by several others, however other gentleman was neither a member of theapplauded,-because I had publicly pledged College of Surgeons, nor a licentiate of themyself to do so, in my oration before the Apothecaries’ Company, nor, indeed, a mem-British Medical Association at its last anni- ber of any corporation. Complaints had beenversary. Then, if ever, should exceptions made on the subject, but the only reply washave been taken to my views. I accepted that the authorities were satisfied with him.the fellowship, because I did not choose that The qualifications required for vaccinatingany one should dictate the course which I were not high, but the medical professionought to pursue ; and lastly, because I think possessed a legal claim to the execution ofunion and fellowship in the profession pro- the duty, and therefore ought to insist uponductive of good. I regard the present divi- performing it. (Cheers.)sions and ranks as I did at the delivery of Mr. REGINALD READ seconded the motion.the oration,-divisions which, as they deform Mr. JOSEPH CURTIS, in supporting it, saidour profession, should cease for ever !" that, although he was a parish surgeon, lie

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could give but little information as to the The motion was instantly carried by loudpoor-law commissioners ; for his parish (St. acclamation, after which a numerous com-Pancras) had succeeded in keeping them pany sat down to a splendidout. Fixed salaries were given to the sur- DINNERgeons, but inadequate ; his own amounting DINNERS,

only to 2s. 5d. per case. That, from the in- at which Dr. Webster presided, the companycreased population, being now only one-third being so numerous that additional tablesof the sum he received when first appointed, were obliged to be suddenly provided forhe had memorialised the authorities on the their accommodation. The usual loyalsubject, but had not yet received their reply. toasts having been drunk with the customaryThe Vaccination Act had been productive of honours,positive mischief : an Act might have been The CHAIRMAN proposed « The Armyframed which would have altogether stopped and Navy." They happened to hold theirthe small-pox, instead of which the bills of meeting on the anniversary of the battle ofmortality proved that that disease had been Trafalgar. He trusted that that was omi-so raging for several months during the last nous of the victory over bad governmentwinter, that the deaths were upwards of now being contended for in the medical pro-twenty per week, and at the present time fession. (Loud cheers.)they were from four to ten. Being a regis- Dr. HULL briefly returned thanks in thetrar of births, he drew out from his books a name of the Army, and Dr. CLARKE (oflist for the year 1839-they amounted to Camden Town) on behalf of the Navy.one hundred and sixty. After striking out The CHAIRMAN, craving a full bumper,the deaths and removals, the number of liv- rose and spoke to the following effect:—Theing children was reduced to one hundred and next, the most important toast of the even-twenty-one. He sent out circulars to ascer- ing, is, " The British Medical Association."tain how many of these had been vaccinated, (Loud applause.) I-lad I the eloquence ofand why the others had not undergone that Professor Grant, the abilities of Dr. Hall, oroperation, and he found that upwards of the oratorical powers of Dr. Lynch, I mightseventy of them had been vaccinated, and do justice to this toast. But, without them,that the parents of forty more were willing I will, with your kind indulgence, merelyto submit their children to it if he went make a few remarks as briefly as I can. Iround with a lancet. (A laugh.) Only two think one gentleman has said to-day thatpositively opposed it, while four cared no- hitherto not much has been effected in the

thing about it. Thus, if medical men re- way of reform. That is comparatively true ;ceived such a remuneration as would induce but he forgot, perhaps, that we have at leastthem to go round and vaccinate, there would been the means of organising the profession,have been only two unvaccinated children in -the first and greatest movement of thethat district. He had forwarded a petition whole,-the means of effecting all the otherto Parliament on the subject, but he was ends that we have in view. (Cheers.) Me-not aware that any notice had been taken of dical reform, and all the great interests con-its prayer. The Act, therefore, had merely nected with our profession, are now well un-prevented a better one from being passed. derstood in the three kingdoms. Moreover,(Applause.) the subject has again and again been mootedThe resolution having been put and agreed in Parliament, and is becoming familiar to

to, the general public. Not only the metropo-Professor GRANT then delivered the an- litan but the provincial newspapers* are dis-

nual Oration on Medical Reform, which, like cussing it, and we are exceedingly indebtedeverything emanating from the pen of the to the political press for advocating a causelearned doctor, proved to be an eloquent and which we have so much at heart. (Cheers.)masterly performance. It was listened to But it is not a professional question alone;with profound attention by a crowded audi.. it is, emphatically, a public question. (Hear,ence, who frequently attested their opinion hear.) Our labours are beginning to tell,of it by loud applause. As it will be and whatever cloud, as some suppose, mayprinted immediately, we shall take another have passed over the political horizon, I

opportunity of noticing it. know that the question of medical reform wasDr. MARSHALL HALL moved and Dr. HULL never in so forward and favourable a posi-

seconded- tion as at this moment. When we com-" That the best thanks of this meeting be menced our labours we were sometimes

given to Professor Grant, M.D., F.R.S., for sneered and laughed at. To think of ma-his luminous and excellent oration on medi- naging our own affairs,—to think of comingcal reform." ————————————————————————————

cal reform." * The editor of the Gateshead Observer of* The petition was duiy presented, and the week before last devoted four of his un-

mentioned next day in the " votes and pro- usually ample and handsome columns to theceedings," and subsequently named in the proceedings of the North of England Medi-periodical summary of such documents, cal Reform Association, at Durham, of theprinted by the House. same week.

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forward, like men are accustomed to do in plause.) The corporations, if they really re-other civil relations of the state, and inquir- formed themselves, and acted with liberalitying into matters which deeply concern us, and justice, might still be made temples ofwas considered preposterous. But I con- honour and of science. Reference has beentend that the public also are deeply con- made this afternoon to wilful misrepresenta-cerned in the matter, because we are the ap- tions of our objects by interested parties ;pointed and proper conservators of the pub- butthere have,no doubt, been misunderstand-lic health. There have been great commo- ings also, and among these I would classtions, I was going to say, in the bowels of that of the president of the College of Phy-the corporations. (Laughter.) The corpora- sicians, who, in giving his official answer totions are in a perfect ferment ; they have all the conference, stated, " that the collegebecome, in some way or other, reformers. could not sanction an amalgamation of the(Hear, hear.) In fact, at one time I posi- existing orders of the profession into one

tively thought that they would have ex- faculty, and the consequent extinction ofceeded us in offers and plans of reform; that salutary division into physicians, sur-but reforms which emanate from bodies that geons, and apothecaries, which has, in thehave been so well described by Professor opinion of the college, contributed for so longGrant this afternoon, must be taken cunc a period to uphold the scientific character ofgrano salis, and with a very great deal of the profession." Now the president andsuspicion. I am glad, however, that they officers of the college ought to have knownare taking up the question; it is an evidence that no such an amalgamation as that re-of the necessity, and will additionally serve ferred to was contemplated by the conference,to bring it before the public and the Legisla- as at the interview I took especial pains toture. But let us watch them very narrowly. apprise them that such was not our object.As it is not in the nature of corporate bodies (Hear, hear.) The requirements of theto reform themselves, for they possess not the public, the application and abilities of dif-elements of reform, suspicious, indeed, ferent men, the varieties of genius and talentshould I be of reforms that come from those would make a sufficient difference, even if allwho have so long injuriously wielded mis- others were destroyed ; but the distinction ofgotten power, and who, we know, from our consulting and general practitioners wouldcommunications with them, are very unwilling still remain. The necessities of the publicto give it up. Let us, however, hear what demand that it should. What is the case inthe corporations have to say,-what they Scotland ? There no Apothecaries’ Companypurpose to do,-meeting them half way if exists, but gentlemen are educated both asthey will give us the basis of all medical re- surgeons and physicians, and they are thusform, - the representative principle. (Ap- prepared to take any branch of the profes-plause.) I differ from Dr. Grant when he sion that circumstances or fortune may ren-thinks that the corporations cannot be re- der desirable. We hear a great deal of theformed; for I imagine that that opinion was grades, as they are called, of the professionthe result of his examination of these bodies. in London, and some of the large provincialI think they might, with new parliamentary towns, but where do they exist in the coun-constitutions, be so reformed as to render try? The country practitioner must ampu-them useful and honourable. But a reform tate limbs, cure fevers, and treat every dis-of the corporations would not be sufficient ; ease that comes before him; such distinc-that would only be a reform of separate tions are not known in any kingdom butranks and gradations. If the three corporate this. In Italy, Germany, and France, a manbodies were reformed to the utmost extent becomes a doctor in surgery and a doctor inthat they propose, yet where would be the medicine, and may practise indiscriminately ;union of the profession? They would still and so in America. I do not like the wordbe studying to serve their own individual in- grade, it conveys to my mind an idea of de-terests ; and, after all, a great number of gradation. (Hear, hear.) Is not the generalprofessional men, such men as Professor practitioner of the present day the best edu-Grant, and others who do not belong to cated man in the whole profession, as regardsthem, but to corporations in the sister or practical acquirements ? and yet he is of thenorthern kingdoms, and not be benefitted by lower g’!’6tdc, forsooth! I say this withoutit. We should still have opposition,-the any disrespect for the pure surgeon or phy-physicians, as a corporation, opposing the sician. Could the president of the Royalmeasures of the surgeons, and the surgeons College of Physicians amputate a leg?looking down with contempt ou the measures Nay, I ask, could he bleed a patient? (Criesof the Apothecaries’ Company—(Hear, hear,) of " No, no.") A case in point rushes un-- we, therefore, must have an incorporation bidden to my remembrance, which tells with

. of the whole profession ; that is, one faculty such fearful truth and force that we canof medicine, with an identity of interests, of never forget it. (Ilear, hear.) That is the

privileges, and of qualifications,-a locits result of having half-educated men phy-standi, where all may meet on neutral or sicians ignorant of surgery, and surgeonscommon ground, and each have a vote in who know nothing of medicine. Do wethe management of our own affairs. ( Ap- find these differences in the church, or in the

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other learned professions? Did the bishop, may at all times obtain the advice of a qua-when he entered the church, receive a qua- lified and experienced practitioner, withoutlification different from that of the curate ? any charge; -and that MedicallIall will beUndoubtedly not. He entered by the same found the best place to purchase all kinds ofdoor, and his subsequent elevation must de- medicines, as every article will always bepend partly on his talents, his knowledge, kept of the best and purest kind, and sold at-and his abilities, though too often, I fear, the lowest possible price. Particular atten-more on his interest. (Laughter and cheers.) tion paid to the diseases of children."And now I wish to say a few words on the Then follows a list of certain pills, withsubject of quackery. It has been said that their prices, from threepence to sixpence perit is very indelicate for medical men, inte- box. " N. B.—All the approved patent me-rested as they are, to oppose quackery ; but diciizes. Physicians’ prescriptions and familythat the public are much more deeply inte- recipes carefully prepared on reasonablerested in this subject than the profession. terms. Patent trusses for ruptures accu-Be that as it may, we are the appointed, the rately fitted, on the lowest terms. Hair,lawful guardians of the sick, and especially tooth, and nail-brushes, combs, perfumery,of the sick poor. But there is quackery in bear’s grease, cold-cream, fine Windsorthe profession as well as out of it. I hold in soaps, fish-sauces, fine London vinegar atmy hand a table, giving an extensive calcu eightpence per quart, spices, &c. &c. War-lation, which I have reason to believe is ranted genuine teas and coffees. Finestperfectly accurate, as to the amount of duty tobacco, Havannah cigars, and snuffs.

paid to Government for stamps and quack Sperm oil, best Kensington candles ;" and somedicines within the last ten years. From on, ad infinitum. (Great laughter.) Pass-1830 to 1835 it was, on the average, upwards ing through one of the squares the other day,of 41,COOL per annum ; but during the last I saw on a door-plate the following choicefive years it has fallen off 10,0001. a-year, inoi-ceazt:-" Medical and surgical establish.making the average about 31,00Ol. [A gen- ment for the definitive cure of scrofuloustleman here made an observation.] My affections, scurvy, cancer,tumours, abscesses,friend, Mr. Davidson, remarked, that the re- white swelling of the knee, and all mannerduction may be attributable to the formation of diseases of the joints and spine. Theof our association. (Laughter and cheers.) gout effectually cured. Paralysed limbs re-This table, which shall be laid before the stored. The various diseases of the eyeprofession, may be received as an evidence most successfully treated, by Dr. T-."of extra-professional quackery : I will now (Loud laughter.) I cannot say whether thisadvert to an instance or two of intra-profes- renowned and miracle-working doctor is asional quackery. I do not mention names, qualified man or not; but it does appear totruth being sometimes called a libel; and I me that we want a medical police, in thedesire not to be a martyr to the cause of re- most forcible sense of the word. Some re-form on that score. The first is that of a formers have said that the cause of medicalperson who sells a specific solution of the reform is at present clouded ; that is not mybalsam of copaiba, and I am ashamed to say opinion : but if so, then it presents a greateris certainly a licentiate of the Apothecaries’ field for exertion during the ensuing sessionCompany, if not a member of the College of of Parliament. I hope, therefore, that ourSurgeons. I am happy, however, to find efforts will not relax, and that we shall en-from my table that there is a considerable deavour not only to enlist the profession butfalling off in the amount of duty paid by the public on our side. I trust that eachhim. But I ask here, what the College of gentleman amongst us will bring on this dayPhysicians is about? for there is another twelve months at least one recruit to theman in that college-a worthy succe-sor of cause. (Cheers.) I am delighted to see soSt. John Long-who is constantly advertis- numerous a company to-day,-so many gen-ing that consumption is curable, and thus tlemen banded together for the accomplish-preys upon the ignorant and unwary. If our ment of noble, honest, and just objects, con-corporations have not power to expel such tending for those rights which our professionmen as these, are they fit to perform their ought ever to have enjoyed. I conclude byduty to the public and the profession? giving you " The British Medical Associa-(Hear, hear, and cries of " No, no.") I tion."will give another instance : I hold in my The toast was then drunk with enthusias-hand two papers, which are a little curious, tic cheering.as examples of intra-professional quackery : Dr. MARSHALL HAI.L rose and said, fortu-« Just opened, Medical Hall, conducted nately the toast which I am about to proposeby (I shall say) A. B. (member of the Col- does not require any remarks to recommendlege of Surgeons, and licentiate of the Wor- it to your affections ; it is that of " Medicalshipful Company of Apothecaries, of Lon- Reform." (Load cheers.) This subject is

don), apothecary and druggist, who, in becoming old, and, like good wine, it is therespectfully soliciting a share of public sup- better for age. I will date its second birth

port, begs to state that the inhabitants of from the origin of this association. It is a

(so and so) and the surrounding country good stripling, and, no doubt, it will become

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a vigorous man. If there be any one part cal profession, and that in testimony of hisof the proceedings to-day in which I do not gratitude he was anxious to give one hun-quite concur, it is in a part of the recommen- dred guineas to that body for promotingdation that we should try to obtain the co- scientific, and ten guineas for benevolent pur-operation of other associations. Without poses. I laid my hands on the latter sum,designing to give offence, I would except and now present it from Mr. Dodson as afrom this effort the Provincial Medical Asso- contribution to our benevolent fund. (Loudciation, some acting members of which do applause.)not like medical reform, and under whose in- Mr. R. DAVIDSON said, at the request offluence the discussion of the subject has been the president, I have to propose the next

postponed by the association sine die, I think toast, Our Friends in Parliament." Withtherefore that it is hopeless to appeal to them great deference, I think that the toast mightagain. (Hear, hear.) Moreover, they say with propriety have been worded, " Ourthat they were not formed for reform pur- late and present Parliamentary Friends,"poses. There are one or two other points to for we have, unfortunately, to record the losswhich I will briefly refer. No profession from the House of Commons of several gen-has done so much on the pure principles of tlemen who took an active and prominentcharity and benevolence as the medical pro- part in the questions of medical reform. Ifession. No men who have rendered their can appeal to many gentlemen present whoservices to such an extent gratuitously as witnessed the zeal of those members duringmedical men, and I think we have gone too the last session, and who were in the Housefar in this,-so far that the public are, not when that extraordinary mass of petitionsaware of what they owe to us, and therefore was presented from the chemists and druggistsare not as _grateful as they ought to be. residing in all parts of the kingdom, claim-(Hear, hear.) None of you will suspect me ing, as a matter of right, that to which theof mercenary motives, when I say that we judges of the land have, as if in mercy toshould do nothing without being paid for it. our degraded profession, now decided thatThis has become at last a matter of justice to they never had any claim. (Cheers.) It wasourselves. I lately received a letter from a not at all to be wondered that Mr. Hawes,life-assurance office-and really there is great who introduced the Medical Reform Billassurance about these offices—asking my into the House, should be somewhat dauntedopinion respecting a gentleman, without a at having to grapple with so formidable anfee. I replied that, belonging to this asso- opposition, especially on the near approachciation, I was pledged not to comply with of a general election. On the night onthe wishes of the office gratuitously, and which the House was counted out, there wasthen, signing my name with all my honours, a perfect scramble on the part of members toI returned the application. I have not heard present the petitions entrusted to them byfrom the parties since. (Hear, hear, and the chemists and druggists,-not well calcu-cheers.) Further, Gentlemen, I am of opi- lated to heighten public respect for the Housenion that, as a measure of medical reform, as a deliberative assembly. I sincerelyevery man on entering the faculty should de- hope that things are now changed, and thatposit a certain sum-a small one might be a better dawn appears in the approachingsufficient-towards forming a fund for the session. All that medical reformers desiredsupport of its members when shattered in was a fair hearing for all parties, and thatconstitution, or otherwise incapacitated from the subject of reform should be discussedpursuing their avocations. The subscription with the gravity and judgment which a mea-should be regarded as a species of insurance sure of such vital importance to the commu-.money, and as a matter of self-protection nity and to the well-being of society de-rather than of benevolence. However, until manded ; but from the want of a good case,a plan of this kind is arranged, I do not the trick of counting the House was resorteddespise a benevolent fund. A gentleman to, and unfortunately succeeded. However,named Dodson, a baker, in Blackman-street, when the subject comes again before theSouthwark, called upon me the other day, House, the chemists and druggists musthaving previously waited on Dr. Prout and change their mode of opposition, because,other medical gentlemen, to ascertain the from the number of members in the presentgoodness of unfermented bread as an article Parliament who have pledged themselves toof food; and from them he had many testi- support medical reform, I doubt not that ourmonials in its favour. If it be more whole- demands will be fairly heard. Though wesome than ordinary bread it is desirable that have to regret the loss of the able advocacyit should be patronised. It is said that fer- of Mr. Sergeant Talfourd and other gentle-mentation destroys one sack of flour in men, we have still many left to advocate our

twelve, and, if that be the case, it is most claims, amongst whom I may mention Mr.desirable for this corn-law-ridden country Wakley and Mr. Hawes. (Cheers.)that a saving of one-twelfth should be ef- The CHAIRMAN next proposed, "Professorfected in its bread. Mr. Dodson, in speak- Grant, the Orator of the Day ;" upon whoming of the success of his scheme, said, that he passed a very high encomium for thehe was under great obligations to the medi- splendid reputation he had achieved in

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science and for his many private virtues, andregretted that a peremptory engagement hadcompelled him to leave their company beforethe present opportunity occurred. After

referring to the gratification which all hadfelt in hearing the oration, the toast was drunkwith much enthusiasm.Mr. WILLIAM FARR proposed the health

of their President. The rapid progress ofthe cause of medical reform was in a greatmeasure owing to the honest advocacy ofthat gentleman. He had made sacrifices inpromoting it, which none but the members ofthe council could appreciate. (Loud ap-plause.) He trusted that he would be longspared to continue his valuable exertions inso noble a cause as the. good of the profession.(Cheers.)The toast having been drunk with reite-

rated plaudits,Dr. WEBSTER in returning thanks said, it

was true that he had taken a great interestin medical reform. He had seen it progress-ing first through and around the metropolis,then in different directions in the country.and then extending into Scotland and Ireland,It was now spreading its roots like theBanyan tree-(Cheers),-which had the

power of striking them into the earth fromits very branches, and so covered a largespace. Right principles never could be putdown. He felt, however, that he must be re-lieved from some of the duties which he hadhitherto discharged, but he hoped to be ableto labour among them until he saw completesuccess attending their laudable exertions.

(Cheers.)Dr. CLARKE proposed the health of the

" Vice-Presidents and Council of the Asso-ciation," for whomMr. HOWELL returned thanks.The CHAIRMAN, in proposing cc The Medi-

cal Reform Associations of England, Scotland,and Ireland," observed, in reference to whathad fallen from Dr. Hall, that the ProvincialMedical Association was established, in thefirst instance, for scientific purposes, and that ’,reform had been rather forced upon them.Its formation, however, was not only a proofof the want of reform, but was in itself areform. Medical men finding that theywere neglected by the colleges were obligedto associate for their own protection. Al-though one association did not run so fast asthe others, or took a different view of a ques-tion, they were not on that account to despiseit. (Hear, hear.) He believed there weresome very zealous and honest reformers inthe Provincial Association, and he shouldbe happy to work with them. Dr. W. thenalluded to the exertions of the Irish andScotch Associations as well as the North ofEngland and the young English societies.

R. WALLACE, Esq., proposed" The healthof the Treasurer, Officers, and Trustees ofthe Association ;" to which E. EVANS, Esq.,responded in a humorous and excellent

speech, and reminded the members of thenecessity of keeping him well supplied astheir treasurer.The CHAIRMAN then gave " The health of

Mr. HARRISON, the Honorary Secretary, andMr. DAVIES, the Honorary Solicitor," whoseverally acknowledged the honour, whichwas awarded to them with acclamation.

Mr. R. INNERARITY, of Baldock, cordiallyproposed " The health of the Stewards," forwhich Mr. EALES returned thanks.The CHAIRMAN said, that letters had been

received from many gentlemen regrettingtheir inability to attend ; among others, fromProfessor Kidd of Oxford, Sir James Clark,Mr. Hawes, M.P., Mr. Wakley, lfLP., Dr.Cowan of Reading, Dr. John Webster, Pro-fessor Sharpey, Dr. Bedingfield of Stow-market, and Mr. Ceeley of Aylesbury, &c.&c.Mr. J. BRYANT proposed, as the last toast,

The Visitors who have honoured us onthis occasion."

H. BURFORD, Esq., returned thanks, andexpressed the gratification he had experi-enced, and wished every success to the ob-

jects of the association.The company then separated a few minutes

after twelve o’clock.

WESTMINSTER MEDICAL SOCIETY.

Saturday, October 23, 1841.

Mr. GREGORY SMITH, President.NEW PRESIDENTS.—TWIN CASE.

Dr. Golding Bird was elected president,and Dr. Reid vice-president, of the society.Mr. STREETER related some particulars of

a twin case which had just occurred to Mr.Hughes, of Holborn. The child was bornalive at the full term of the pregnancy, whilethe other, which had perished at about thethird month, had been retained in the uterusnearly six months after its death, withouthaving undergone much decomposition. Theblighted foetus had been squeezed quite flat,probably during the labour, and was expelleda few minutes before the placenta. The partswere on the table ; the blighted foetus mightbe seen still attached to that portion of theamnion which had covered the foetal surfaceof the placenta. The membranes were im-perfect and considerably torn, but enoughremained to show that the foetuses had beeninclosed in one common decidua and onecommon chorion, and that each had its ownamnion. The placenta had been injectedfrom the unibiiical vein of the chord of thefull-grown child ; and one vein, as large as agoose-quill, could be seen arising near theinsertion of the funis in the placenta dis-tinctly anastomosing with the umbilical veinof the funis of the smaller foetus : a circum-stance which probably accounted for no part