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264 Corps Diplomatique does not fall within the jurisdiction of the Court of Arches. The transition from Jacob’s ladder to a report on the culture of oysters by M. Quatrefages struck me as some- what abrupt ; but the shock was much mitigated by the cheer- ing account given by that gentleman relative to the progress of aquiculture-a word recently acclimatized by the Society. Henceforth the man who shall inherit a puddle will be fully as pleased with his patrimony as if it had been a plot of cabbage- bearing ground. The kailyard must ever be a kailyard ; but the puddle may become a Lucrine lake, and teem with enough aquatic produce to supply the larder of a Carthusian convent. Oysters as big as soup-plates, Chinese fish as big as horses, the delicate American clam,-all these and numberless others may people the aforesaid puddle, and gladden the heart, whilst they fill the pocket, of the future water-farmer. Amongst the prizes awarded, one was decerned to M. Dutrône for the intro- duction of a variety of the bovine race, without horns-an in- novation which strikes hard at the house which Jack built, or at one of its stories at all events. The big gold medal is halved between a titled lady (Countess of Corneillan) and a doctor, M. Forgemol, as reward for a new method of winding off silk; and a M. Hardy is also recompensed for acclimatizing the African ostrich, whether for kitchen purposes or not has not been stated. Nevertheless, I have grave misgivings on the subject, and, horresco referens, when the horse-steak banquet comes to my mind, with its equine sirloin and horse radish sauce. I have narrowly questioned one or two hippophagi of my acquaintance, and although all were unanimous in their praises of that celebrated entertainment, I confess that their testimony inspired me with little confidence, and do not think we shall ever see the day when a Newmarket trainer will in- vite his friends to a saddle of his own killing. A confrère, who recently went to Vienna for the purposes of study, writes me from thence a few details which may not be without interest to your readers. " The hospital," he says, "is of immense size, and contains at present about 2500 patients. From eight to ten A.M. I follow Oppolzer-a first rate physician apparently; from ten to eleven I attend a private course on the laryngoscope by Dr. Stork ; eleven to twelve, grub [probably another private course, including the physiology of degluti- tion] ; twelve to two, midwifery, Dr. Braun; half-past two to four, skin-diseases, Dr. Hebra; four to five, syphilis, Sigmund. The medical practice resembles that of England in its simpli- - city, absence of bleeding and depletion generally. The sur. gical practice also, which I have seen under Schuh, appears to me very good-simple and homelike. The obstetric deptrt- ment is most curious-most unlike anything I ever witnessed, and no doubt highly useful to the student. Fancy a large ward, with twenty beds in it, and in those beds twenty women constantly in labour day and night. Three hours after the birth, mother and child (or children) are conveyed to another part of the hospital, and their place taken by a parturient suc- cessor, and so on without end and always. The noise in the ward when all twenty have the preliminary cuttings and grind- ings at once is inconceivable; and all in German, too, to add to the complication. Nearly 6000 labours take place here during the twelve months. The cutaneous department is likewise curiously managed. In the middle of Hebrn’s male ward is a .chair and table for the professor, surrounded by an iron balus- trade, outside which are seats ranged in tiers for the students. The professor arrives, and a list of the new cases is handed to him. He seats himself, and calis out the name of the first. Immediately the man, stark naked, appears at the end of the ward, walks up to the professor, mounts the table, and under- goes a minute examination from head to foot, Hebra describing every symptom in succession. The patient then walks round the table, and, if required, round to the seats, so that all may inspect him closelv. Another name is called, and so on till all are seen, when Hebra lectures for three quarters of an hour, the inmates of the ward of course hearing every word he says. - Scabies, as one might have supposed, predominates. Sigmund and Rokitansky are both ill, and I have not seen them yet. Another peculiar feature of the hospital is the deadhouse-a large ward in which all the bodies are laid for twenty-four hours .after death, each having a string attached to the hands and communicating with an alarum, in the event of a return to life occurring. The people of the town are allowed to send their dead there previous to burial; and a somewhat similar practice obtains at Munich, where the salles set apart for this purpose .are within the precincts of the cemetery. M. Civiale has published his compte.rendu of lithotrity for 1861, in the form of a communication to the Academy of Sciences. It appears that he treated during the past year 66 persons aBlicted with stone ; 49 being private and 17 hospital patients : of the latter, 2 were females. 52 cases of the whole number had never undergone previous treatment; whilst in 14 instances, operations, successful at the time, had been per- formed, but had been followed by relapse of calculous symp. toms. Out of 61 patients who actually underwent operation, in 51 lithotrity was resorted to, and in 10 recourse was had to lithotomy : of the former, 49 cases were successful; of the latter, 6 only, the remaining four dying. In the 5 out of the 66 not operated on, the contra indication consisted either in the magnitude of the calculus or the diseased condition of the organs; and of these, 2 are dead, and 3 still alive. In nearly half of the total number the stone was small, and constituted, so to speak, the whole malady; and in these cases the cure was rapid and complete, as it always is when the operation is performed carefully and early. In the account given last year of the statistics of 1860, it may be remembered that reference was made to the case of a female from whose bladder several calculi, containing hairs, teeth, and morsels of bone, were re- moved : these foreign substances were supposed to have been conveyed into the bladder by the establishment of a communi- cation between this viscus and an ovarian cyst. In a more recent instance, that of a woman received last year into M. Civiale’s wards at the H6pital Necker, several small pebbles were extracted from the vesical cavity, which had undoubtedly been thrust into that organ through the urethral canal. M. Civiale is of opinion that out of a given number of cases of stone, three-fourths may be successfully dealt with by litho- trity, but that in the remaining quarter lithotomy will be found necessary. The Minister of the Interior has named Dr. Blanchet, already surgeon to the Imperial Asylum for the Deaf and Dumb, chief medical officer of this institution. This gentleman consequently unites the two offices, as well as their emoluments, in his own person-a well-merited recompense for the important amelio- rations which he has introduced into the treatment and educa. tion of the deaf and dumb. M. Jonlin submitted to the Academy of Medicine on Tues. day an instrument of his invention destined to assist in the accomplishment of delivery by the forceps. This contrivance consists of a cross-piece in steel, padded to fit the tuberosities of the iscbium, and of sufficiently unyielding character to serve as point d’oppuz for the sort of capstan fitted to it, and in- tended to furnish the extracting power. The latter, worked like the êcraseur, is in connexion with a firm cord turning round the lower border of the point tl’cippiti a fulcrum, which cord is itself passed through the openings in the blades of the forceps, and brought back to the point whence the traction is exerted, and there made fast. M. Joulin has, by the aid of this mechanical contrivance, been enabled to effect delivery under circumstances where cephalotripsy would otherwise, from de- formity of the pelvis, have been deemed indispensable. Paris, March 4th, 1862. Parliamentary Intelligence HOUSE OF LORDS. THURSDAY, FEB. 27TH. LAW OF LUNACY. LORD WESTBURY called attention to the Lunacy Law, pro. posing to introduce a Bill to carry out various important changes. Among them he observed that a radical evil to be grappled with was the mode in which scientific evidence was used upon such inquiries. He thought the more their lordships considered the matter, the more they would see the justice of his remarks. By the present mode of conducting lunacy com- missions (the result of which might involve the liberty of a fellow-subject for life) medical men could be found to come and give evidence founded upon theories entirely opposed to each other. But was that the way in which such solemn in- quiries should be conducted? When medical men gave general results, they ought to be provided with a large basis of cases, all tendiug to the same conclusion. Unfortunately, however, one physician would have half a dozen cases of one kind; another would have the same number of another kind; and upon those few cases they founded theories of a most contra’ dictory character, simply because their experiences had been of different kinds. In the matter of criminal lunatics, there was no proper provision with respect to the custody of their property. This he likewise proposed to remedy, and also to arrange for the proper visitation of lunatics, every one of whom he considered ought to be visited, at all events, twice a year.
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Page 1: HOUSE OF LORDS

264

Corps Diplomatique does not fall within the jurisdiction of theCourt of Arches. The transition from Jacob’s ladder to a reporton the culture of oysters by M. Quatrefages struck me as some-what abrupt ; but the shock was much mitigated by the cheer-ing account given by that gentleman relative to the progress ofaquiculture-a word recently acclimatized by the Society.Henceforth the man who shall inherit a puddle will be fully aspleased with his patrimony as if it had been a plot of cabbage-bearing ground. The kailyard must ever be a kailyard ; butthe puddle may become a Lucrine lake, and teem with enoughaquatic produce to supply the larder of a Carthusian convent.Oysters as big as soup-plates, Chinese fish as big as horses, thedelicate American clam,-all these and numberless others maypeople the aforesaid puddle, and gladden the heart, whilstthey fill the pocket, of the future water-farmer. Amongst theprizes awarded, one was decerned to M. Dutrône for the intro-duction of a variety of the bovine race, without horns-an in-novation which strikes hard at the house which Jack built, orat one of its stories at all events. The big gold medal is halvedbetween a titled lady (Countess of Corneillan) and a doctor,M. Forgemol, as reward for a new method of winding off silk;and a M. Hardy is also recompensed for acclimatizing theAfrican ostrich, whether for kitchen purposes or not has notbeen stated. Nevertheless, I have grave misgivings on thesubject, and, horresco referens, when the horse-steak banquetcomes to my mind, with its equine sirloin and horse radishsauce. I have narrowly questioned one or two hippophagi ofmy acquaintance, and although all were unanimous in their

praises of that celebrated entertainment, I confess that theirtestimony inspired me with little confidence, and do not thinkwe shall ever see the day when a Newmarket trainer will in-vite his friends to a saddle of his own killing.A confrère, who recently went to Vienna for the purposes of

study, writes me from thence a few details which may not bewithout interest to your readers.

" The hospital," he says, "isof immense size, and contains at present about 2500 patients.From eight to ten A.M. I follow Oppolzer-a first rate physicianapparently; from ten to eleven I attend a private course on thelaryngoscope by Dr. Stork ; eleven to twelve, grub [probablyanother private course, including the physiology of degluti-tion] ; twelve to two, midwifery, Dr. Braun; half-past two tofour, skin-diseases, Dr. Hebra; four to five, syphilis, Sigmund.The medical practice resembles that of England in its simpli-- city, absence of bleeding and depletion generally. The sur.

gical practice also, which I have seen under Schuh, appears tome very good-simple and homelike. The obstetric deptrt-ment is most curious-most unlike anything I ever witnessed,and no doubt highly useful to the student. Fancy a largeward, with twenty beds in it, and in those beds twenty womenconstantly in labour day and night. Three hours after thebirth, mother and child (or children) are conveyed to anotherpart of the hospital, and their place taken by a parturient suc-cessor, and so on without end and always. The noise in theward when all twenty have the preliminary cuttings and grind-ings at once is inconceivable; and all in German, too, to add tothe complication. Nearly 6000 labours take place here duringthe twelve months. The cutaneous department is likewise

curiously managed. In the middle of Hebrn’s male ward is a.chair and table for the professor, surrounded by an iron balus-trade, outside which are seats ranged in tiers for the students.The professor arrives, and a list of the new cases is handed tohim. He seats himself, and calis out the name of the first.Immediately the man, stark naked, appears at the end of theward, walks up to the professor, mounts the table, and under-goes a minute examination from head to foot, Hebra describingevery symptom in succession. The patient then walks roundthe table, and, if required, round to the seats, so that all mayinspect him closelv. Another name is called, and so on tillall are seen, when Hebra lectures for three quarters of an hour,the inmates of the ward of course hearing every word he says.- Scabies, as one might have supposed, predominates. Sigmundand Rokitansky are both ill, and I have not seen them yet.Another peculiar feature of the hospital is the deadhouse-alarge ward in which all the bodies are laid for twenty-four hours.after death, each having a string attached to the hands andcommunicating with an alarum, in the event of a return to lifeoccurring. The people of the town are allowed to send theirdead there previous to burial; and a somewhat similar practiceobtains at Munich, where the salles set apart for this purpose.are within the precincts of the cemetery.

M. Civiale has published his compte.rendu of lithotrity for1861, in the form of a communication to the Academy ofSciences. It appears that he treated during the past year 66persons aBlicted with stone ; 49 being private and 17 hospital

patients : of the latter, 2 were females. 52 cases of the wholenumber had never undergone previous treatment; whilst in 14instances, operations, successful at the time, had been per-formed, but had been followed by relapse of calculous symp.toms. Out of 61 patients who actually underwent operation,in 51 lithotrity was resorted to, and in 10 recourse was had tolithotomy : of the former, 49 cases were successful; of the

latter, 6 only, the remaining four dying. In the 5 out of the66 not operated on, the contra indication consisted either inthe magnitude of the calculus or the diseased condition of theorgans; and of these, 2 are dead, and 3 still alive. In nearlyhalf of the total number the stone was small, and constituted,so to speak, the whole malady; and in these cases the curewas rapid and complete, as it always is when the operation isperformed carefully and early. In the account given last yearof the statistics of 1860, it may be remembered that referencewas made to the case of a female from whose bladder severalcalculi, containing hairs, teeth, and morsels of bone, were re-moved : these foreign substances were supposed to have beenconveyed into the bladder by the establishment of a communi-cation between this viscus and an ovarian cyst. In a morerecent instance, that of a woman received last year into M.Civiale’s wards at the H6pital Necker, several small pebbleswere extracted from the vesical cavity, which had undoubtedlybeen thrust into that organ through the urethral canal. M.Civiale is of opinion that out of a given number of cases ofstone, three-fourths may be successfully dealt with by litho-trity, but that in the remaining quarter lithotomy will be foundnecessary.The Minister of the Interior has named Dr. Blanchet, already

surgeon to the Imperial Asylum for the Deaf and Dumb, chiefmedical officer of this institution. This gentleman consequentlyunites the two offices, as well as their emoluments, in his ownperson-a well-merited recompense for the important amelio-rations which he has introduced into the treatment and educa.tion of the deaf and dumb.M. Jonlin submitted to the Academy of Medicine on Tues.

day an instrument of his invention destined to assist in theaccomplishment of delivery by the forceps. This contrivanceconsists of a cross-piece in steel, padded to fit the tuberositiesof the iscbium, and of sufficiently unyielding character to serveas point d’oppuz for the sort of capstan fitted to it, and in-tended to furnish the extracting power. The latter, workedlike the êcraseur, is in connexion with a firm cord turninground the lower border of the point tl’cippiti a fulcrum, whichcord is itself passed through the openings in the blades of theforceps, and brought back to the point whence the traction isexerted, and there made fast. M. Joulin has, by the aid of thismechanical contrivance, been enabled to effect delivery undercircumstances where cephalotripsy would otherwise, from de-formity of the pelvis, have been deemed indispensable.

Paris, March 4th, 1862.

Parliamentary IntelligenceHOUSE OF LORDS.

THURSDAY, FEB. 27TH.LAW OF LUNACY.

LORD WESTBURY called attention to the Lunacy Law, pro.posing to introduce a Bill to carry out various importantchanges. Among them he observed that a radical evil to begrappled with was the mode in which scientific evidence wasused upon such inquiries. He thought the more their lordshipsconsidered the matter, the more they would see the justice ofhis remarks. By the present mode of conducting lunacy com-missions (the result of which might involve the liberty of afellow-subject for life) medical men could be found to comeand give evidence founded upon theories entirely opposed toeach other. But was that the way in which such solemn in-quiries should be conducted? When medical men gave generalresults, they ought to be provided with a large basis of cases,all tendiug to the same conclusion. Unfortunately, however,one physician would have half a dozen cases of one kind;another would have the same number of another kind; andupon those few cases they founded theories of a most contra’dictory character, simply because their experiences had beenof different kinds. In the matter of criminal lunatics, therewas no proper provision with respect to the custody of theirproperty. This he likewise proposed to remedy, and also toarrange for the proper visitation of lunatics, every one of whomhe considered ought to be visited, at all events, twice a year.

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Lord ST. LEONARDS observed that his noble friend proposedto a certain extent to exclude medical testimony. He quiteagreed that nothing was more dangerous than that theoreticalopinions should be applied to the given acts and deeds of anyman; but the difficulty was to draw the line where scientificevidence should be admitted and where excluded. He would

give the proposition his best consideration, and also the otherprovisions of the Bill, which seemed to him to be an extensionof that of 1853.Lord CRANWORTH observed that it was impossible for their

lordships safely to discuss the subject until they had the detailsof the measure before them. He was inclined to concur inmost of the propositions of his noble and learned friend on thewoolsack, with the exception of that in reference to the exclu-sion of medical testimony.Lord CHELMSFORD saw great difficulty in limiting the extent

and character of the evidence.

HOUSE OF COMMONS.

THURSDAY, FEB. 27TH.MEDICAL OFFICERS OF THE INDIAN ARMY.

Mr. BAZLEY asked the Secretary of State for India, when hispromise to place the medical officers of her Majesty’s Indianarmy on a perfect footing of equality with the medical officersof her Majesty’s British army would be carried into effect;and also inquired the reason why medical officers of herMajesty’s Indian army had been so long deprived of commis-sion, substantive pay, furlough pay, and retiring pensions,according to their relative rank, but which had been grantedto the medical officers of the British army, both at home andin the colonies, ever since the 1st day of October, 1858.

Sir C. V’ooD replied that both classes of officers had beenput as nearly on a position of equality as the circumstanceswould allow, and that it was impossible to go further with thematter until they had received information from India, forwhich the Home Government had called.

FRIDAY, FEB. 28TH.HEALTH OF THE ARViY.

Sir G. C. 1-E’wis, in moving the Army Estimates, said-"There have been a, large number of improvements introducedfor the purpose of bettering the moral and sanitary conditionof the private soldier. In the first place, there has been agreat improvement in liarraclis ; and I am happy to say thatthese improvements in barracla have not been unattended withimportant results. I will read for the committee some statis-tical returns, which J believe to be authentic, and which willshow a marked improvement as regards the rate of mortalityin the army. The returns are taken for two periods for anaverage of six years-1830-36, and 1854 60, giving the numberper thousand. The annual mortality of the household cavalryfrom 1·30 to 1836 was at the rate of 14 per 1000 ; in the latterperiod it was only 5 per l000. In other cavalry it was at thefirst period 15 per 1000; in the latter only 6 per 1000. RoyalArtillery, 15 per 1000 in the first period ; in the latter only 7per 10uO. Foot Guards, 21 per 1000 in the former period ; andonly 9 in the latter. The Infantry of the Line, 17 per 1000 inthe former period; and only 8 per 1000 in the latter. Thereturns for the colonies, of all forces, for the same periods,showed that for the former-namely, from 1830 to 1836--themortality at Gibraltar was 22 per 1000; but in the latter periodonly 9. Malta showed a diminution from 18 to 14 per 1000 ;Ionian Islands, from 27 to 9 per 1000 ; Bermuda, 35 to 11 per1000; Canada, 20 to 10 per 1000; Jamaica, from 128 to 17;Ceylon, from 74 to 27. These are great results, and they areowing to the changes made in the sanitary condition of the army."

MONDAY, MARCH 3RD.REGISTRATION OF BIRTHS AND DEATHS (IRELAND) BILL.Mr. HENNESSY gave notice that, instead of moving that the

second reading of this Bill be deferred for six months, he shouldmove, " That, in the opinion of this House, it is not expedientto employ the police as registrars of births and deaths inIreland. "

ROYAL INSTITUTION OF GREAT BRITAIN. - At thegeneral monthly meeting, held on the 3rd inst., William Pole,Esq., M.A., F.R.S., Treasurer and Vice-President, in thechair, the following amongst other gentlemen were electedmembers : - John Birkett, Esq.. F.R.C.S., F.L.S.; A. C.Brisbane Neill, M.D.; Edward Henry Sieveking, M.D.; andAlexander John Sutherland, M.D., F.R.S.

Medical News.APOTHECARIES’ HALL.-The following gentlemen passed

their examination in the science and practice of medicine, andreceived certificates to practise, on the 27th ult. :-

Arnott, James W., York-street, Portman-square.Blackburn, John, Barnsley, Yorkshire.Drinkwatcr, James Pratchett, Daugotlen, Denbighshire.Fnrbes, William, Paddington.Hensman, Frank Henry, Kimbolton, Hunts.Major, George Aylwin, Guy’s Flospital.Stephenson, William, Hull Bridge, Yorkshire.Weekes, William Hampton Carlile, Hurstpierpoint.

The following gentlemen also on the same day passed theirfirst examination :-

Colden, Edward, St. George’s Hospital.Mackintosh, H., Cheltenham.Efynolds, John, Truro, Cornwall.White, Arthur C., Eaton-place South.

UNIVERSITY OF LONDON.-After a service of more thantwenty years, Sir J. G. Shaw Lefevre retires from the office ofVice-Chancellor. He is succeeded by Mr. George Grote, thecelebrated historian of Greece.

l OYAL COLLEGE OF SURGEONS.-Professor Gulliver willconclude the first portion of his course of lectures on the Bloodto-day (Saturday); and on Tuesday next Professor Hilton willcommence his course of six lectures on the "Influence ofRest." It may be interesting to the profession to know thatthe new and amended regulations of the Council respectingthe education and examination of candidates for the diplcma ofmember may now be obtained at the College. By theseregulations it will be perceived that on and after the 1st ofJanuary next Latin will be made compulsory in the preliminaryliterary examination for the diploma of membership, and, incompliance with the recommendations of the General Councilof Medical Education and Registration, all candidates will berequired to produce satisfactory evidence of the place andperiod of their birth.MEDICAL SOCIETY OF LONDON.-The following is a list

of officers elected for the ensuing year at the general meetingheld on the 3rd inst. :-Dr. Sibson, President; Dr. Mackenzie,.Mr. Henry Lee, Dr. Bird, and Mr. Thomas Bryant, Vice-Presidents ; Mr. Rogers Harrison, Treasurer; Dr. Cockle,Librarian; Dr. Gibb and Mr. G. Lawson, Secretaries in Ordi-nary ; Dr. Davidson, Secretary for Foreign Correspondence ;Dr. Althaus, llr. Birkett, Mr. Coulson, Mr. Alder Fisher, Dr.Greenhalgh, Dr. Hardinge, Dr. Hawksley, Dr. Headland. Dr.A. Henry, Dr. Jephson, Mr. Love, Mr. de Méric, Dr. W. R.Rogers, Dr. Routh, Dr. Hyde Salter, Mr. S. J. A. Salter, Mr.Henry Smith, Dr. Stocker, Mr. Henry Thompson, and MrJames Townley, Councillors; Dr, Habershon, Orator.PURULENT OPHTHALMIA. - It is stated in the German

journals that 4798 soldiers of the Prussian army are at presentlaid up with purulent ophthalmia.KING’s COLLEGE HOSPITAL. - The annual court of the

governors of this hospital was held last week. The Secretaryread the report, from which it appeared that the number ofin-patients during the year had been 1332, and the out-patients37,567; the midwifery cases attended at the patients’ ownhomes were 624. The total receipts for the past year (ex-cluding legacies above £100, and a sum of X1900 borrowedfrom bankers) amounted to X5962 3s. 10d.; and the total ordi-nary expenditure to .S7575 13s. 4d. The out-standing trades-men’s accounts on the 31st of December last were .S1592 13s. 3d.The amount of stock standing in the name of the Corporationat the close of the year was E7077 10s. 6d, The legacies be-queathed during the past year were—£50 by the late Mrs. JaneGawen; £10 by the late Hon. Lady E. T. Wathen; .6250 bythe late Miss Emily Bordien; £500 by the late C. C. Hyde,Esq.; X300 by the late John Clark, Esq.; and £500 by thelate R. Forest, Esq. Edward Wigram, Esq., was electedTreasurer for the ensuing year. The Medical Committee werethen nominated, and the Dispensary Committee and Auditors.Votes of thanks were awarded to the lady superintendent ofthe nursing department and the members of the St. John’sHouse, the treasurer, the medical officers, the dispensary com-mittee, &c., for their services during the past year. TheChairman then moved a vote of thanks to Miss FlorenceNightingale for her liberality in having endowed a ward in thehospital, called the "Nightingale Ward," containing ten beds,for lying-in women. The resolution, having been seconded,was carried unanimously. A vjte of thanks to the Chairmanclosed the proceedings.


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