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656 DR. WALSHE’S CLINICAL LECTURES. JOHN CHIPPENDALE. New Cavendish-street, Portland-place, June, 1849. 7 the Editor of THE LANCET. SIR,-I crave permission to direct the attention of Dr. Walshe, through the medium of your journal, to the follow- ing extract from the number of THE LANCET" of the 2nd .of June, p. 575, col. 2 : " 16th.—Chest measures, (an inch and a half below nipple,) - semicircular, right side, sixteen inches and three-eighths, left, sixteen inches and a half." May I be further allowed to ask Dr. Walshe how he accom- plished this extremely accurate admeasurement, which should - detect a difference of the one-eighth of an inch between the two sides of the chest in the circumferential dimensions; and how he assured himself that such difference was not a natural conformation ? I remain, Sir, faithfully yours, COD-LIVER OIL. WILLIAM S. CORTIS, M.R.C.S.E. & L.A.C. To the Editor of THE LANCET. SIR,—I beg to inform your correspondent, " Medicus," that, 11S I live in a fishing town, I make my own cod-liver oil, or rather, have instructed a person how to make it, who, as he -can make much more than I can consume, would be glad to supply " Medicus," or any one else, with the finest oil at 3s. per pound. Oil perfectly genuine, but somewhat coloured, he - can have at a much lower price, as it is not all livers which produce the finest oil; in fact, from some it is so dark as not to be worth more than 1s. per pound, although its medical properties are equal to those of the finest. T am q;v x-niiv obedient. anrva.nt_ Filey Bay, Yorkshire, 18t9. To the Editor of THF LANCET. SIR,—In reply to your correspondent, uMedicus," the fol- lowing anecdote suggests at least one of the sources of the adulteration of cod-liver oil. An order was lately presented at one of our leading drug houses for "four gal. ol. amygd.," when the following con- versatin passed between the clerk and the bearer of the order, and from which I will allow your readers to draw their own inferences. Clerk.—Who is this for? Lad.-Mr. ——. Clerk.-Is he a druggist? Lad.—No, Sir. Clerk.—What is he, then. Lad.—Cod-liver-oil maker, Sir. Perhaps I may be allowed to state that the present price of almond oil is ls. per pound, and remain, yours, &c., London, June, 1849. CHEMICUS. MALIGNANCY OF SCARLATINA. A CORRESPONDENT who signs himself " Krites" remarks, re- specting the paper of Mr. Welch on the Malignancy of Scarlatina &c., iu THE LANCET for May 26th, p. 557:- " Mr. Welch makes the great error of mistaking a non- connotative for a connotative name-viz., in using the abstract name,’ malignancy,’ as a being, entity, or thing. His words are as follow: ’The appended case, illustrative of malignancy, vividly portrays its effects upon scarlatina.’ Is it not evident that he considers malignancy as an entity superadded to the disease, constituting, with the scarlatina, that form of the malady ordinarily termed scarlatina maligna? Further proof is afforded by the tenour of the whole of his subsequent re- marks. Thus, he says, In some the malignancy sweeps on with remarkable rapidity and vigour, producing such a revo- lution of changes, as almost to make a perfect chaos of dis- .ease,’ &c. ! Other examples are unnecessary. 11 I need scarcely ask any of your readers whether such statements as these are in accordance with the logical mean- ing of the word malignancy,’ or with the sense in which it is ordinarily employed in the profession ?" After some criticisms on the literary style of the paper in question, our correspondent continues’:*- " I will conclude by extracting two of his physiological I speculations : That it (pus) exerts a corrosive influence, is obvious from the carious state which the circumjacent bones .are liable to, and become.’ Very true, and very lucidly ex- ’I pressed. ’Unless, perhaps, the circulatory fluid in the regions ’, of joints has to pass through more dense and unyielding ’’ structures, which compress the sides of the vessels, made dis- tended by the globular and congestive state of the blood, and which, owing to the excited condition of the system, will not so readily allow the blood and its vessels to be transmitted through these structures.’ ’ Serious comment is almost un- necessary; but that the globular and congestive state of the blood (!) should not allow the blood and its vessels (!) to be transmitted through the joints is so novel that I could not help bringing it thus prominently before the notice of physio- logists and of the medical profession. I would, however, ask what is meant by a globular aad congestive condition of that part of the mass of the blood which is near the joint, (or, indeed, of any part of it ?) and how, allowing that this con- dition existed, could it prevent the blood and vessels being transmitted through the joint ? Also, how bloodvessels are transmitted through joints ?" Medical Rems. APOTHECARIES’ HALL.:-Names of gentlemen who passed their examination in the science and practice of medicine, and received certificates to practise, on Thursday, June 7th, 1849. BEATTY, THOMAS CARLYLE, Easingdon, Durham. Dix, FREDERICK WILLIAM, Long Buckby, Northampt on shire. Ev ANS, GEORGE, Northover, Somersetshire. HAYMAN, CHARLES CHRISTOPHER, Axminster, Devon. LuDLOW, THOMAS SUTTON, Leire, Leicestershire. MARTYN, JAMES GILBERT, Camelford, Cornwall. SHACKLES, SAMUEL STANDIDGE, Hull, Yorkshire. TESTIMONIAL To DR. BIGNELL, OF BARNSTAPLE.-In aclinow. ledgment of his services to the poor of the town and neigh- bourhood, as physician and principal manager of the Barn- staple and North Devon Dispensary, since its formation in 1832, £50, collected from his friends, in subscriptions limited to 10s. 6d. each, has lately been spent in the purchase of a silver salver and other plate, which were publicly presented to the doctor, in the past month of May. NEW MEDICAL JOURNAL IN PRUSSIA.—The medical staff of the Charite Hospital, at Berlin, are going to publish a journal, which is to appear three times a week, under the title of Annaleaz der Berliazer Gharité Krankenhauses, Reports of the Charite Hospital at Berlin. OBITUARY.-Died on the 22nd February, 1849, at the Par- sonage, Poynton, Cheshire, Joseph Bellott, Esq., aged 82, Con- sulting Surgeon to the Stockport Infirmary; House-Surgeon to the Westminster Hospital, London, 1787. Passed the Cor. poration of Surgeons, London, for assistant-surgeon in H. M. Royal Navy, Feb. 5,1789; passed for his promotion as surgeon, June 3,1790. Served in H. M. ship Pegasus, on the coasts of Spain and North America; retired from the service. Received his commission, as surgeon to the " Stockport Volunteers;’ from his late Majesty George the Third, June 3,1795. Re- ceived his commission, as surgeon to the Stockport regiment of the 11 local Militia," from the Lord Lieutenant of the county, Sept. 21, 1808.-[This notice has been delayed until the present time, in order that accuracy might be ensured in the various dates above mentioned.] THE CHOLERA IN PARIS.—June 8, 1849 : Cholera is making fearful ravages in Paris. Amongst the victims has been Marshal Bugeaud. The cases admitted in the civil hospitals have increased rapidly since the lst of June; they are as follow: Cases. Deaths. Discharged. I June 1 ... 95 ...... 49 ...... 23 " 2 ... 134 ...... 54 ...... 54 " 3 ... 208 ...... 119 ...... 36 i " 4 ... 295 ...... 112 ...... 55 " 5 ... 274 ...... 133 ...... 41 " 6 ... 331 ...... 138 ...... 30 " 7 ... 296 ...... 162 ...... 58 It appears that the very hot weather which set in towards the 2nd of June has had much influence on the rapid spread of the epidemic. The fatal termination of the attacks has become awfully sudden; on this subject, L’Union Médicale says:-" It is of no use to conceal that the disease has acquired for the last two days a very grave character; nothing so fear’ ful had been seen since the breaking out of the scourge. There is an almost total absence of premonitory symptoms, and the progress of the malady is in most cases quite appalling.
Transcript
Page 1: Medical Rems

656

DR. WALSHE’S CLINICAL LECTURES.

JOHN CHIPPENDALE.New Cavendish-street, Portland-place, June, 1849.

7 the Editor of THE LANCET.SIR,-I crave permission to direct the attention of Dr.

Walshe, through the medium of your journal, to the follow-ing extract from the number of THE LANCET" of the 2nd.of June, p. 575, col. 2 :

" 16th.—Chest measures, (an inch and a half below nipple,)- semicircular, right side, sixteen inches and three-eighths,left, sixteen inches and a half."May I be further allowed to ask Dr. Walshe how he accom-

plished this extremely accurate admeasurement, which should- detect a difference of the one-eighth of an inch between thetwo sides of the chest in the circumferential dimensions; andhow he assured himself that such difference was not a naturalconformation ? I remain, Sir, faithfully yours,

COD-LIVER OIL.

WILLIAM S. CORTIS, M.R.C.S.E. & L.A.C.

To the Editor of THE LANCET.

SIR,—I beg to inform your correspondent, " Medicus," that,11S I live in a fishing town, I make my own cod-liver oil, orrather, have instructed a person how to make it, who, as he-can make much more than I can consume, would be glad tosupply " Medicus," or any one else, with the finest oil at 3s.per pound. Oil perfectly genuine, but somewhat coloured, he- can have at a much lower price, as it is not all livers whichproduce the finest oil; in fact, from some it is so dark as notto be worth more than 1s. per pound, although its medicalproperties are equal to those of the finest.

T am q;v x-niiv obedient. anrva.nt_

Filey Bay, Yorkshire, 18t9.

To the Editor of THF LANCET.SIR,—In reply to your correspondent, uMedicus," the fol-

lowing anecdote suggests at least one of the sources of theadulteration of cod-liver oil.An order was lately presented at one of our leading drug

houses for "four gal. ol. amygd.," when the following con-versatin passed between the clerk and the bearer of theorder, and from which I will allow your readers to draw theirown inferences.

Clerk.—Who is this for?Lad.-Mr. ——.Clerk.-Is he a druggist?Lad.—No, Sir.Clerk.—What is he, then.Lad.—Cod-liver-oil maker, Sir.Perhaps I may be allowed to state that the present price of

almond oil is ls. per pound, and remain, yours, &c.,London, June, 1849. CHEMICUS.

MALIGNANCY OF SCARLATINA.A CORRESPONDENT who signs himself " Krites" remarks, re-

specting the paper of Mr. Welch on the Malignancy ofScarlatina &c., iu THE LANCET for May 26th, p. 557:-

" Mr. Welch makes the great error of mistaking a non-connotative for a connotative name-viz., in using the abstractname,’ malignancy,’ as a being, entity, or thing. His wordsare as follow: ’The appended case, illustrative of malignancy,vividly portrays its effects upon scarlatina.’ Is it not evidentthat he considers malignancy as an entity superadded to thedisease, constituting, with the scarlatina, that form of themalady ordinarily termed scarlatina maligna? Further proofis afforded by the tenour of the whole of his subsequent re-marks. Thus, he says, In some the malignancy sweeps onwith remarkable rapidity and vigour, producing such a revo-lution of changes, as almost to make a perfect chaos of dis-.ease,’ &c. ! Other examples are unnecessary.

11 I need scarcely ask any of your readers whether suchstatements as these are in accordance with the logical mean-ing of the word malignancy,’ or with the sense in which it isordinarily employed in the profession ?"

After some criticisms on the literary style of the paper inquestion, our correspondent continues’:*-

" I will conclude by extracting two of his physiological Ispeculations : That it (pus) exerts a corrosive influence, isobvious from the carious state which the circumjacent bones .are liable to, and become.’ Very true, and very lucidly ex- ’Ipressed. ’Unless, perhaps, the circulatory fluid in the regions ’,of joints has to pass through more dense and unyielding

’’

structures, which compress the sides of the vessels, made dis-tended by the globular and congestive state of the blood, andwhich, owing to the excited condition of the system, will notso readily allow the blood and its vessels to be transmittedthrough these structures.’ ’ Serious comment is almost un-necessary; but that the globular and congestive state of theblood (!) should not allow the blood and its vessels (!) to betransmitted through the joints is so novel that I could nothelp bringing it thus prominently before the notice of physio-logists and of the medical profession. I would, however, askwhat is meant by a globular aad congestive condition of thatpart of the mass of the blood which is near the joint, (or,indeed, of any part of it ?) and how, allowing that this con-dition existed, could it prevent the blood and vessels beingtransmitted through the joint ? Also, how bloodvessels aretransmitted through joints ?"

Medical Rems.

APOTHECARIES’ HALL.:-Names of gentlemen who passedtheir examination in the science and practice of medicine,and received certificates to practise, on Thursday,

June 7th, 1849.

BEATTY, THOMAS CARLYLE, Easingdon, Durham.Dix, FREDERICK WILLIAM, Long Buckby, Northampt on

shire.Ev ANS, GEORGE, Northover, Somersetshire.HAYMAN, CHARLES CHRISTOPHER, Axminster, Devon.LuDLOW, THOMAS SUTTON, Leire, Leicestershire.MARTYN, JAMES GILBERT, Camelford, Cornwall.SHACKLES, SAMUEL STANDIDGE, Hull, Yorkshire.

TESTIMONIAL To DR. BIGNELL, OF BARNSTAPLE.-In aclinow.ledgment of his services to the poor of the town and neigh-bourhood, as physician and principal manager of the Barn-staple and North Devon Dispensary, since its formation in1832, £50, collected from his friends, in subscriptions limitedto 10s. 6d. each, has lately been spent in the purchase of asilver salver and other plate, which were publicly presentedto the doctor, in the past month of May.NEW MEDICAL JOURNAL IN PRUSSIA.—The medical staff of

the Charite Hospital, at Berlin, are going to publish a journal,which is to appear three times a week, under the title ofAnnaleaz der Berliazer Gharité Krankenhauses, Reports of theCharite Hospital at Berlin.OBITUARY.-Died on the 22nd February, 1849, at the Par-

sonage, Poynton, Cheshire, Joseph Bellott, Esq., aged 82, Con-sulting Surgeon to the Stockport Infirmary; House-Surgeonto the Westminster Hospital, London, 1787. Passed the Cor.poration of Surgeons, London, for assistant-surgeon in H. M.Royal Navy, Feb. 5,1789; passed for his promotion as surgeon,June 3,1790. Served in H. M. ship Pegasus, on the coasts ofSpain and North America; retired from the service. Receivedhis commission, as surgeon to the " Stockport Volunteers;’from his late Majesty George the Third, June 3,1795. Re-ceived his commission, as surgeon to the Stockport regimentof the 11 local Militia," from the Lord Lieutenant of thecounty, Sept. 21, 1808.-[This notice has been delayed untilthe present time, in order that accuracy might be ensured inthe various dates above mentioned.]THE CHOLERA IN PARIS.—June 8, 1849 : Cholera is making

fearful ravages in Paris. Amongst the victims has beenMarshal Bugeaud. The cases admitted in the civil hospitalshave increased rapidly since the lst of June; they are asfollow:

Cases. Deaths. Discharged.I June 1 ... 95 ...... 49 ...... 23

" 2 ... 134 ...... 54 ...... 54

" 3 ... 208 ...... 119 ...... 36

i " 4 ... 295 ...... 112 ...... 55

" 5 ... 274 ...... 133 ...... 41

" 6 ... 331 ...... 138 ...... 30

" 7 ... 296 ...... 162 ...... 58It appears that the very hot weather which set in towards

the 2nd of June has had much influence on the rapid spreadof the epidemic. The fatal termination of the attacks hasbecome awfully sudden; on this subject, L’Union Médicalesays:-" It is of no use to conceal that the disease has acquiredfor the last two days a very grave character; nothing so fear’ful had been seen since the breaking out of the scourge.There is an almost total absence of premonitory symptoms,and the progress of the malady is in most cases quite appalling.

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The different stages are mixed up, or follow each other with,such rapidity, that it is by no means rare to see patients die’without having had, properly speaking, hardly any of theusual symptoms of cholera." The most exaggerated rumourshave been afloat respecting the mortality in private life, prin-cipally because the authorities persist in not publishing- regular reports of the cases. No less than 600 deaths weresaid to have taken place on the 5th, whereas the reality,which, however, is a very high figure, is but 330. The follow-ing numbers are given by L’ Union Médicale:—

Mortality in Private Life.Deaths from other Deaths from

Diseases. Cholera.

June 1 . 66 ............... 77" 2 ... 64 ............... 136" 3 ... 43 ............... 324

" 4 ... 82 ............... 318" 5 ... 69 ............... 330

Nothing less than the awful mortality now recorded wouldhave induced the prompt establishment of public dispensariesfor the immediate assistance of the sick. The prefect ofpolice has just announced that such dispensaries, which were, infact, previously organized, are now open in the different dis-tricts of the capital. This measure was very urgently calledfor, since it is said that in the ninth and tenth districts ninetypersons out of a hundred died without any medical assistancewhatsoever. If this be strictly true it is hardly pardonable,-and betokens shocking negligence on the part of government.The Sisters of Charity are mostly called to the sick, but they-are themselves dying off so fast, that their number is no longer- adequate to the task. Much discussion has taken place amongmedical practitioners as to the propriety of allowing coldbathing during the prevalence of the epidemic; the majority- seems to incline to the innocuity, and even advisability of thepractice. Opinions are, however, unanimous in condemningthe use of iced or cold drinks which are so eagerly resorted to-during the hot weather. We conclude our notice with the totalamount of cases and deaths. From the beginning to the 8th ofJune there have been,in the asylums and civil and military hos-pitals, 8923 cases and 4409 deaths. In private life, up to thefifth of June, 4435 deaths. Mr. Rothschild has sent X400 tothe Prefect of the Seine, to be distributed to the families de-prived of their means of support by the large mortality from cholera. The Minister of the Interior has visited the H6telDieu in person, to ascertain whether the cholera patients areduly taken care of. The Secretary at War has done the samein the military hospitals. Both have expressed themselveshighly satisfied with the manner in which these establish-ments are conducted.HUNGARIAN HOSPITALS.-The sister of Kossuth has been

appointed inspector of all the military hospitals, and has pub-lished a proclamation, addressed to the ladies of Hungary,wherein she invites them to -join her in her endeavours to,carry out her benevolent intentions towards the sick andwounded.MEDICAL SOCIETY OF TOULOUSE.—This Society held its an-

mual public meeting on the 20th of May last. After a state-ment by the secretary of the transactions of the Society,different prizes were awarded. To M. Dorvault, pharmacienat Paris, a gold medal, of the value of £8, for his memoir onMagnesia. To M. Borelli, professor at the University ofTurin, a gold medal, £8, for his paper on Injections of Iodine;and two lesser prizes, to M. Abeille, and an anonymousauthor, on the same subject. The subject for the prize to be- awarded in 1850 is the following: " Describe the effects pro-duced on the economy by auaesthetic agents, according asthey are employed internally or externally. Point out themorbid states in Which they may be indicated, or counter-in-dicated, and fix heir therapeutic value :’ The prize is agold medal of £12.DR. BARON, physician to the Paris Foundling Hospital, has

just died in that city. By this death the members of theAcademy of Medicine are again reduced, and as only oneappointment is made for every three vacancies, that companywill soon have returned to the number of a hundred members,which is henceforth to be the maximum.

APPOINTMENT.-Dr. Brown, for eight years physician to theStanford Infirmary, was lately elected physician to the SussexCounty Hospital by a majority of seventy-four, after theseverest contest ever known in Brighton.BOTANICAL MEMOIR OF THE LATE JOHN ROBERTS, SURGEON,

OF BANGOR.-As a botanist Mr. Roberts possessed talents ofno common order, and his love of plants, which was almostunbounded, was manifested in early life while he was yet an

apprentice at the Bangor Dispensary. About that period hebecame known to the Rev. Hugh Davies, author of " WelshBotanology ;" but their intercourse was soon terminated byhis death ; and Mr. Roberts was left to pursue his studiesalone until he found a congenial spirit in Dr. Pring, then or-ganist of the cathedral of Bangor. A proof of Mr. Roberts’sattainments, while yet a very young man, in the outset of hisprofessional career, is given in the " Llanberis Guide," of theRev. Mr. Williams, where an accurate and concise list of theplants found in the vicinity of Llanberis, witli the habitats inmany instances, from personal observation, is from the pen ofMr. Roberts. About 1820, Mr. Roberts had formed a consi-derable herbarium of dried plants, gathered on Snowdon,and the districts around Bangor, it having been his constantpractice to avail himself of the opportunities furnished byhis professional avocations, when called to visit patients dwel-ling near the mountains. During one of his rambles, thereal anthericum serotinum, may be said to have been redis-covered on the rocks of Twylldy Cwm Idwell, for, ever sincethe time of Griffith, the plant had been gathered by no livingbotanist, and the fact of its growing there had become merelytraditional. Nearly all the specimens possessed by botanistsin Britain were obtained either then or during subsequentvisits by Mr. Roberts, provided with quarrymen and ropes forthe special object. Mr. Roberts’s attachment to botany con-tinued unimpaired to the last, and of late lie became muchinterested in the study of the kindred science of geology. Thecontemplation of the works of nature was doubtless a solaceto him during many a gloomy hour, and it is to be hoped,that in this respect the example of the deceased and theauthor of " Faunuld Grustensis," will be followed by manywho will experience the benefit of devoting a portion of theirleisure time to such humanizing pursuits.-Carnarvon Herald.THE SERPENTINE RIVER.—We extract from the Standard

a paragraph relative to the improved state of the Serpentine.Our contemporary is not correct in stating that the Serpentineis now supplied with water from the artesian well in Trafalgar-square, but we may safely affirm, that the plan of supplying.the Serpentine with water has been adopted by the Woodsand Forests, and that when the pipes have been laid down,2000 tons of water will be daily thrown into this ornamentalpiece of water during the summer months.-’’ It is pleasing toobserve that this extensive piece of water, contributing solargely as it does to the beauty of Hyde-park and Kensington-gardens, and to the enjoyment and recreation of so large andimportant a portion of the metropolitan population, is now re-stored to its purity and wholesomeness. Dr. Tilt has at leastdone this good by his last year’s pamphlet; lie has obtainedfrom the Woods and Forests the partial closing of the sewerwhich used to empty itself into the Serpentine, and also amuch greater supply of water, which the Earl of Carlisle,according to Dr. Tilt’s suggestion, now causes to be drawnfrom Trafalgar-square. From the wholesome condition of thewater, the watermen now find a daily increase of employment;and the amateur rowers resume their healthful exercise, andenliven the scene by calling into requisition the various lightand elegant boats which are afloat in constant readiness."

UNIVERSITY OF CAMBRIDGE.-The degree of M.B. was, onMonday last, conferred on Waller Augustus Lewis, B.A.,Caius College, Lecturer on Botany at the Hunterian School ofMedicine.SANITARY STATE OF CARDIFF.-A writer in The Times of

Thursday last, complains bitterly of the uncleanliness of thattown, which has from 12,000 to 14,000 inhabitants. " Youcannot walk through a single street in Cardiff, without havingyour nose assailed by stenches; at least, such was the caseuntil within a week or two :’ No wonder that in this towncholera has re-appeared with violence. The Cardiff peopleare now, however, whitewashing and draining, under theorders of the Board of Health.UNIVERSITY COLLEGE HOSPITAL.—Her Majesty has given

£100 from the privy purse in aid of this institution.-Times,June 16th.MORTALITY OF THE METROPOLIS.—Deaths in the week ending

June 9th, 971, an increase of nearly 80 on each of the two pre-ceding weeks, and also a small increase of eight on the averageof five springs. Mortality from diseases of the respiratoryorgans decreases in the week, 102; the average is 131. In-crease is principally in zymotic or epidemic diseases ; theaverage is 198; the deaths in the last three weeks have beensuccessively 233, 209, and 251. Deaths from diarrhoea and

. dysentery, 25, or 11 above the average; from cholera, 22; from’ hooping-cough, 58; from scarlatina, 40, or eight more than the

average; from typhus, 38. Mean of barometer in the week. was 29.908. Mean temperature of the week 590.7.

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An old subscriber begs to forward to the Editor of THELANCET, the enclosed singular specimen of Irish blarney, ex-tracted from Saunders’ News Letter, Dublin, June 2nd, 1849:-The advertisement forwarded is headed " Elegant Extracts,"

and contains the following :-" THE GENERAL MEDICAL PRACTITIONER; OR, THE NEW AND SUIT-

ABLE SYSTEM ADOPTED BY G. T. HAYDEN,Physician and Surgeon, 82, Harcourt-street, Dublin; Bachelor

of Arts and Medicine, Trinity College, Dublin; Licentiateand Ex-Fellow of the Royal College of Surgeons in Ireland;Lecturer on Anatomy and Surgery, and Surgeon to the An-glesey Hospital.

xrevnrv em HOME

A correspondent, desirous to give publicity to works ofgenius, which, from being anonymous, might otherwise sharethe fate of some " gems of purest ray" and flowers 11 boron toblush unseen," desires us to insert the following circular inour " quackery column."

"16, King-street, Covent-garden.Gratuitous medical advice to the working classes every day

from ten till twelve o’clock, by an Experienced Physician,retired from the more active duties of the profession.

Medicines at cost price: adults, one shilling; children, six-pence. Patients to find bottles. ’

Patients afflicted with internal diseases of long standing inthe lungs, or who suffer from palpitation of the heart, obstinateor mismanaged stomach and liver complaints, nervousness,rheumatism, neuralgic pains, blood to the head, or suspectedaffections of the spine, will find it greatly to their own advan-tage to bring a written statement embodying the symptomsand leading features of their respective cases.

Attention to this suggestion will not only save a vast deal oftime, (valuable to the patient as well as to the adviser,) butwill otherwise promote that degree of care and thorough in-vestigation, by which consultations for the restoration ofhealth should always be characterized."

SIR,—The enclosed handbill was thrust under my door afew mornings since: I have taken the liberty of requesting aninsertion of it at your earliest convenience.

1 am, Sir, your obedient servant,Gateshead, June 5, 1849. G. DjXON, M.D." C. D. Henderson, M.D., Member of the Royal College of

Surgeons of Edinburgh and London, and late of the RoyalNavy, by the request of a number of respectable families ofGateshead, has commenced his profession, and begs most re-spectfull,y to inform the ladies and gentlemen of Gatesheadand its vicinity, that he has commenced the practice of medi-cine, surgery, and midwifery; and from his experience in theprofession, and attention to business, hopes to merit a share ofpublic favour.

Dr. Henderson, while in the royal navy, visited North andSouth America, the West Indies, Coast of Africa, &c., andhas had the honour of administering medicine in almost everyclimate, and marking its effects and operations on the humanbody, especially in cases of cholera.Mr. Bell, Chemist, Bottle Dank, having informed Dr. H. of

his valuable and successful discovery in the treatment of cho-lera, intends to adopt Mr. Bell’s practice, being convinced ofits superiority to any other treatment hitherto discovered.

Dr. IIandorson will give advice to poor families gratis, whocannot afford a medical attendance.

*..* Residence, No. 31, Melbourne-street, Gateshead. Ob-serve plate on the door. Entrance to the surgery by the backdoor.On Mr. Henderson’s absence from home, apply to Mr. Dell,Chemist, Bottle Dank, Gateshead."

TO CORRESPONDENTS.Wg wish that the author of the paper on the Ordnance Medical Departmentwould privately authenticate his communication, by forwarding to us hisname and address in confidence.

To the Editor of Tnz LANCET.SIR,—If "Cambrensis" can prove that the statements I have made are

false, he will do more service to his friend, than in indulging in the extrava-gant and hyperbolical eulogiums with which his letter abounds.

Prizes and mednls would no more avail an illegal practitioner in the eyeof the law, than would the sai-diseint cures of a Morrison or a Holloway, ifeither of those philanthropists were to present themselves as candidates forthe office of surgeon to a Union. Thanking you for your kind insertion ofmy former communicattons, which I flatter myself have been, and yet willbe, of some service, I herewith close the controversy.

Yours, most respectfully,June, 1849. LIBERTAS.

WE have not received the book mentioned by Blr. Cleudurick. If we do so,it shall receive due attention.

Ti!H remarks of 11 One who Keeps Neither Shop nor Open Surgery," appearat first sight to be very caustic. They shall receive our consideration, andbe inserted entire, or in part, if deemed admissible. We have no

partialities; our columns, if opened to a charge, are also open to the reply.All we desire is to give " a clear stage, and no favour."

To the Editor of THE LANCET.SIR.—Your correspondent whose note regarding the amount of ear-

bonic acid exhaled in phthisis, appeared on the 2nd inst., will find all thatis known on the subject in the following memoirs :-

1. " De quantitate re!a!iva et absoluta acidi carbonici ab homine sanoet asgroto exhalati, auctore Adolpho Hannover." Hanniae, 1845.

This contains twenty-nine observations on five cases of phthisis. It isbriefly noticed in the Report on Animal Chemistry m the third volume ofthe haif-yearly Abstract of the Medicai Sciences.

2. A Memoir by MM. Hervier and St. Lager "on the Exhalation ofCarbonic Acid in Health and Disease." This may be seen in the GazetteMédicale, No. 9, 1849; and an abstract is given in the Retrospect attachedto the Monthly Journal for the present month.For much general information on the chemistry of respiration I mayrefer your correspondent to the admirable articles on that subject by Dr.John Reid and by Yierordt in Todd’s "Cyclopaedia," and in Wagner’s" Handworterbuch der Physiologie," and to the ist volume of Vatentin’sLehrbuch der Physiologie des Menschen."Upper Seymour-street. G. E. D.

Chirurgus.-The letter is much too long and diffuse in its arguments forpublication in our pages. Besides, we are of opinion that Mr. Guthriedeserves praise for the frank and bold manner in which he expressed hisviews. The MS. is left at our office.

THE letter of A Student on the objectionable state of affairs at St. lbonmlsHospital, shall be published next week.

F. F. S.-No.

IN consequence of indisposition and pressing engagements, Dr. Walshe hasbeen unable to revise a lecture this week.

Sum qui Sum.-The letter and iticlosure shall be published.S. 0. G.—The College would not have the power to exclude him from re.

gistering as a physician. This is the best answer we can give to thequestion.

A Country Surgeon.-We should be glad to see the whole of that evidencepublished in a separate form. Mr. P. Cartwright was an excellent wit-ness ; he is not only a very hard hitter, but always hits in the right place.He has rendered a great service in the good cause.

WILL an Ex-Guardian favour us with his present address? A letter waitsfor him at our office.

A Sufferer, &c.—Proteine has nutritive, not medicinal qualities. The ques-tion shall be more fully answered next week.

A Subsc)-iber, (Rams bury.) — We will publish the communication nextweek.

Mr. Poyser’s letter shall be published in the next LANCET.THE General Board of Health has issued a circular, dated June 1 ith, in con-sequence of the increase of cholera. We will give an abstract of it inthe next number of this journal, in which also dlr. Freke’s letter on thePathology of Cholera shall appear.

A Young Student.-,’ Hooper’s M’edical Dictionary."WILL a Man of Business furnish us m confidence with his name and ad-

dress ? We cannot publish charges against individuals without knowingwith whom they originate.

RECEIVED, the " Royal Shaving Cream," invented and manufactured byBKWLEV, FISHER. & Co., Chemists, Dublin. This is a very beautiful,elegant, and useful preparation. It acts admirably on the skin, and faci-litates most effectually the operations of the razor.

ERRATA.-In p. 614. col. I, gth line from bottom, for " were" read " was;"col. 2, 17th line from top, for " excision" read "incision;" p. 6t5. col, i,3rd line from bottom, for " gastronomic" read gastrocnemius ;" col. 2,27th line from bottom, for 11 previoas," read " pervious."

COMMUNICATIONS have been received from-Mr. Broxholme; Chemicus;G. E. D.; Mr. Cortts (Filey;) Machen; Dr. Savage; Mr. Chadwick, (Bury;)Mr. Lyell, (Newburgh, Fifeshire;) Llbertas; Mr. W. Davis, (Heytesbury;)F.R.C.S.E.; A Man ot Business; Mr. O’Shea; Mr. E. G. Steele, (Aber-gavenny;) Mr. Alaop, (Uttoxeter;) Mr. Knight, (Rochester;) An OldSubscriber, (Liverirool;j A Subscriber from the Commencement; Onewho Keeps Neither a Shop nor Open Surgery; The Secretary of theNational Institute; Dr. Massey, (ivottingham;; Mr. Machell ; Inquirer;J. 0. N.; Dr. F. J. Brown, late R.N., (Devonport;) A Suffercr, &c.; ASubscriber, (Ramshury ;) Mr. Poyser. (Wirksworth;) Dr. Chambers; AnOld Subscriber ; A Young Student ; Mr. Atkinson; Dr. Williams, (Swan-sea ;) Mr. Edwin Lee.


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