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596 ,] NOTES, SHORT COMMENTS, AND ANSWERS TO CORRESPONDENTS. Notes, Short Comments, and Answers to Correspondents. AN ADAPTABLE REMEDY AND A FAMOUS QUACK. IN the July number of the St. Mary’s Hospital Gazette is a letter from Mr. R. S. Wilkinson inclosing an advertisement from the last page of "The Compleat Practice of Physick," in 18 volumes, by Lazarus Riverius, London, 1655, which Mr. Wilkinson believes to be the first medical book published .in English. It is a translation of a Latin work, which we take to have been that made by Nicholas Culpeper, Abdiah Cole, and William Rowland, and a popular work which went through many editions. The advertisement is such an excellent example of the claims of the eternal quack that we quote it in full :- The Vertues, life and variety of Operations of the True and Phylosophical AURUM POTABILE, Attained by the Studies of Doctor Freeman, and Dr. Culpeper, and left with his Widdow, and administred by a Physitian in her House neer LONDON, on the East side of Spittlefields, next door to the red Lyon. The Vertues are as follows :- It Cures all Agues, whether Quotidian, Tertian, or Quartan; as also it cured divers people of that most horrid putrid Feaver, which so violently siezed on mens Bodies (both before and after Michaelmas, 1653), to the great admiration of many; and when the parties Diseased have been both senceless and speechles, for that neither that, nor any other Medicine or PANACEA, though never so gentle, could safely be administred into the Body, it hath beyond all hopes, by external application on the stomack revived them. It cures the Gout of all sorts perfectly being ad- ministred as the Physitian shal advise. It causeth Women subject to Abortion, or Miscarriage, to goe their time; and yet being given when the time comes, it causeth a spedy and easie delivery. It is an infallible cure for the French Pox and doth it with such speed, ease, and Secretness, that none of the nearest relation shall take notice thereof. It cures the Green-sickness and all sorts of Jaundice. It provokes the Terms. It is good for Aches and all affiictions coming of cold. It helps the Rickets. But to what purpose do I nominate diseases in particular, when it is an universall Remedy for all diseases being administred as the Physitian shal advise? For its chief aim is exhilarating the vital spirits and heart. It both binds and stops Fluxes, yet Purges; it both Vomits, and stays Vomiting; it causes sweat, yet cures preternatural Sweatings, and performs all its operations as Nature itself would have it, because it only fortifies her in her Centre. We doubt whether even the columns of a modern newspaper trading in quack advertisements could match the effrontery of this, the com- pleteness of which, indeed, almost compels admiration. For the credit of seventeenth century medicine in England it is gratifying to record that Nicholas Culpeper, who was a notorious quack and astrologer, incurred the severe displeasure of the College of Physicians, whose Pharmacopoeia he translated under the title of "A Physical Direc;tory," a book of which, according to the Dictionary of National Biography, the royalist periodical, "Mercurius Pragmaticus" (Pt. II., No. 21, 1649), wrote that it "was done (very filthily) into English by one Nicholas Culpeper who ...... is arrived at the battlement of an absolute Atheist, and by two yeere’s drunken labour hath Galli- mawfred the apothecaries book into nonsense, mixing every receipt therein with some scruples, at least, of rebellion or atheism, besides the danger of poysoning men’s bodies. And (to supply his drunken- ness and trachery with a thirty shilling reward) endeavoured to bring into obloquy the famous societies of apothecaries and chyrurgeons." We fear that the tenderness of the modern law renders this robust statement of opinion an undesirable model for the castigation of a modern quack. But the phrase "hath Gallimawfred the apothecaries book into nonsense deserves rescuing from oblivion. We commend it to any examiner in materia medica who may be casting about for a phrase that shall express a candidate’s insufficiency in vigorous but still dignified language. NEW ZEALAND SUBSIDISED APPOINTMENTS. To the Edito1’ of THE LANCET. SIR,-Occasionally an advertisement occurs in the home papers for a medical man for a sparsely populated district in New Zealand. A guarantee of E300 per annum is usually offered, part of which is a grant from the New Zealand Government, and part made up by subscrip- tions from the settlers. The writer has had personal experience of one of these appointments and thinks it his duty to place it before intending applicants. The scale of fees is very high compared with home charges, but the fewness of patients and the dearness of living more than outweigh any apparent advantage, and ;C300 in these parts of New Zealand does not go as far as £150 in the United Kingdom. In winter the main roads were mud up to the horse’s knees and frequently to its girths, while the bush tracks were, even to an experienced rider, dangerous and often impassable. Ile was under the domination of a committee of settlers, some of whom could neither read nor write, before whom he Was liable to be hailed on the most trivial pretext. Recently a medical man holding one of these appointments had to go through the insolvency court because the settlers tailed to pay their subscriptions. Space forbids further details, but I woulcl advise any medical man to make every inquiry before accepting one of these appointments. I am, Sir, yours faithfully, August 17th, 1908. ALTRUIST. INFECTION AND THE TELEPHONE. OF the several devices for the prevention of infection through the use of the unprotected telephone mouthpiece which we have been callect upon to notice in our columns the best yet submitted to us seem to be those founded on the principle of preventing germs from entering the mouthpiece by means of a covering of fabric impregnated with an antiseptic. Messrs. Jeyes have submitted to us an " Antiseptic Telephone Cap " which is sold at the price of 3d. and consists of a metal ring and rim with the annular space filled by a diaphragm of gauze. This diaphragm is intended to be occasionally moistened with a solution of Jeyes’ fluid. The cap is adjusted to the telephone by means of fine wire springs, which, it seems to us, however, may break away from the rim. In the Times of August 12th a correspondent makes the suggestion that users of public telephones might "fit a piece of thin but tough paper (good typewriting paper does well) over the mouthpiece of the receiver, so as to form a little tight drumhead to it. If the paper be strong enough it will suffice to crumple it tightly round the neck of the cup, but a small elastic band holds better. The paper is fitted in a few seconds and removed as quickly. The user speaks against it, but without touching it." I This is the adoption of a suggestion made in these columns that public call offices should be supplied with some kind of aseptic paper mouthpieces which could be destroyed after use. THE MANGO FRUIT. IN olden days Anglo-Indians whose lot had been cast in the Western Presidency used to say that the queen of all fruits was the mango and that it could only be obtained in perfection in Bombay and Goa. The fruit that occasionally appeared on English dessert tables was a mango only in name, flavour and aroma being both absent. To obtain the supreme luxury in its prime it was absolutely necessary that the sybarite should cross the sea. It seems, however, according to the Pioneer Mail, that there is some chance of the Alfonzo mango find- ing its way to the Covent Garden fruit stalls, for Florida has lately been importing grafts of the Bombay stock and the promoters are confident of their ability to supply the English markets, in the near future, with as many mangoes in perfect condition as there may be a demand for. As might be expected, too, continues the writer of the article in our contemporary, the flavour and quality of the Alfonzo will be greatly improved through the introduction of the parent tree into American soil. R. H.-We do not see that the words of the surgeon reported in THE LANCET are at variance with the medical advice. Our corre- spondent had better follow his physician’s counsel and keep his physician informed as to his health. Enquirer.—From what our correspondent tells us the election seems to have been highly irregular. COMMUNICATIONS not noticed in our present issue will receive attention in our next. M ETEOROLOG ICAL READINGS. (Taken daily at 8.30 a.m. by Steward’s Instruments.) TEE LANCET Office, August 20th, 1908. During the week marked copies of the following newspapers , have been received :-Daily Telegraph, Portsneouth Evening News, Lancashire Post, Daily Chronicle, Daily Mirror, Daily Graphic, f Western Chronicle, Christchurch Times, Scieatific American, Literary Digest (New York), Broad Arrow, Coventry Times, Edinburgh Evening s News, Hereford Tinaes, Wimbleclon Gazette, Jlotor Car Journal,, Liverpool Daily Post, Liverpool Daily Courier, Cardiff Timea, Ely o Gazette, Alnwick Express, &e.
Transcript
Page 1: Notes, Short Comments, and Answers to Correspondents

596 ,] NOTES, SHORT COMMENTS, AND ANSWERS TO CORRESPONDENTS.

Notes, Short Comments, and Answersto Correspondents.

AN ADAPTABLE REMEDY AND A FAMOUS QUACK.IN the July number of the St. Mary’s Hospital Gazette is a letter fromMr. R. S. Wilkinson inclosing an advertisement from the last pageof "The Compleat Practice of Physick," in 18 volumes, by LazarusRiverius, London, 1655, which Mr. Wilkinson believes to be the firstmedical book published .in English. It is a translation of a Latinwork, which we take to have been that made by Nicholas Culpeper,Abdiah Cole, and William Rowland, and a popular work which wentthrough many editions. The advertisement is such an excellentexample of the claims of the eternal quack that we quote itin full :-

The Vertues, life and variety of Operations of the True and

Phylosophical AURUM POTABILE, Attained by the Studies ofDoctor Freeman, and Dr. Culpeper, and left with his Widdow, andadministred by a Physitian in her House neer LONDON, on theEast side of Spittlefields, next door to the red Lyon.The Vertues are as follows :-

It Cures all Agues, whether Quotidian, Tertian, or Quartan; asalso it cured divers people of that most horrid putrid Feaver,which so violently siezed on mens Bodies (both before and afterMichaelmas, 1653), to the great admiration of many; and whenthe parties Diseased have been both senceless and speechles,for that neither that, nor any other Medicine or PANACEA,though never so gentle, could safely be administred into the Body,it hath beyond all hopes, by external application on the stomackrevived them. It cures the Gout of all sorts perfectly being ad-ministred as the Physitian shal advise. It causeth Women subjectto Abortion, or Miscarriage, to goe their time; and yet being givenwhen the time comes, it causeth a spedy and easie delivery. It is aninfallible cure for the French Pox and doth it with such speed, ease,and Secretness, that none of the nearest relation shall take noticethereof. It cures the Green-sickness and all sorts of Jaundice. It

provokes the Terms. It is good for Aches and all affiictions comingof cold. It helps the Rickets. But to what purpose do I nominatediseases in particular, when it is an universall Remedy for alldiseases being administred as the Physitian shal advise? For itschief aim is exhilarating the vital spirits and heart. It both bindsand stops Fluxes, yet Purges; it both Vomits, and stays Vomiting;it causes sweat, yet cures preternatural Sweatings, and performsall its operations as Nature itself would have it, because it onlyfortifies her in her Centre.

We doubt whether even the columns of a modern newspaper tradingin quack advertisements could match the effrontery of this, the com-pleteness of which, indeed, almost compels admiration. For thecredit of seventeenth century medicine in England it is gratifying torecord that Nicholas Culpeper, who was a notorious quack andastrologer, incurred the severe displeasure of the College of Physicians,whose Pharmacopoeia he translated under the title of "A PhysicalDirec;tory," a book of which, according to the Dictionary of NationalBiography, the royalist periodical, "Mercurius Pragmaticus" (Pt. II.,No. 21, 1649), wrote that it "was done (very filthily) into English byone Nicholas Culpeper who ...... is arrived at the battlement of anabsolute Atheist, and by two yeere’s drunken labour hath Galli-mawfred the apothecaries book into nonsense, mixing every receipttherein with some scruples, at least, of rebellion or atheism, besidesthe danger of poysoning men’s bodies. And (to supply his drunken-ness and trachery with a thirty shilling reward) endeavoured to bringinto obloquy the famous societies of apothecaries and chyrurgeons."We fear that the tenderness of the modern law renders this robust

statement of opinion an undesirable model for the castigation of amodern quack. But the phrase "hath Gallimawfred the apothecariesbook into nonsense deserves rescuing from oblivion. We commendit to any examiner in materia medica who may be casting about for aphrase that shall express a candidate’s insufficiency in vigorous butstill dignified language.

NEW ZEALAND SUBSIDISED APPOINTMENTS.

To the Edito1’ of THE LANCET.SIR,-Occasionally an advertisement occurs in the home papers for

a medical man for a sparsely populated district in New Zealand. Aguarantee of E300 per annum is usually offered, part of which is agrant from the New Zealand Government, and part made up by subscrip-tions from the settlers. The writer has had personal experience of oneof these appointments and thinks it his duty to place it before

intending applicants.The scale of fees is very high compared with home charges, but the

fewness of patients and the dearness of living more than outweigh anyapparent advantage, and ;C300 in these parts of New Zealand does notgo as far as £150 in the United Kingdom. In winter the main roadswere mud up to the horse’s knees and frequently to its girths,while the bush tracks were, even to an experienced rider, dangerousand often impassable. Ile was under the domination of a committee of

settlers, some of whom could neither read nor write, before whom heWas liable to be hailed on the most trivial pretext.

Recently a medical man holding one of these appointments had to go

through the insolvency court because the settlers tailed to pay theirsubscriptions. Space forbids further details, but I woulcl advise anymedical man to make every inquiry before accepting one of theseappointments. I am, Sir, yours faithfully,August 17th, 1908. ALTRUIST.

INFECTION AND THE TELEPHONE.OF the several devices for the prevention of infection through the use

of the unprotected telephone mouthpiece which we have been callectupon to notice in our columns the best yet submitted to us seem tobe those founded on the principle of preventing germs from enteringthe mouthpiece by means of a covering of fabric impregnated with anantiseptic. Messrs. Jeyes have submitted to us an " AntisepticTelephone Cap " which is sold at the price of 3d. and consists of a

metal ring and rim with the annular space filled by a diaphragm ofgauze. This diaphragm is intended to be occasionally moistened witha solution of Jeyes’ fluid. The cap is adjusted to the telephone bymeans of fine wire springs, which, it seems to us, however, may breakaway from the rim. In the Times of August 12th a correspondentmakes the suggestion that users of public telephones might"fit a piece of thin but tough paper (good typewriting paper doeswell) over the mouthpiece of the receiver, so as to form a little tightdrumhead to it. If the paper be strong enough it will suffice tocrumple it tightly round the neck of the cup, but a small elasticband holds better. The paper is fitted in a few seconds and removedas quickly. The user speaks against it, but without touching it."

I This is the adoption of a suggestion made in these columns thatpublic call offices should be supplied with some kind of aseptic papermouthpieces which could be destroyed after use.

THE MANGO FRUIT.IN olden days Anglo-Indians whose lot had been cast in the WesternPresidency used to say that the queen of all fruits was the mango andthat it could only be obtained in perfection in Bombay and Goa. Thefruit that occasionally appeared on English dessert tables was amango only in name, flavour and aroma being both absent. To obtainthe supreme luxury in its prime it was absolutely necessary that thesybarite should cross the sea. It seems, however, according to thePioneer Mail, that there is some chance of the Alfonzo mango find-ing its way to the Covent Garden fruit stalls, for Florida has latelybeen importing grafts of the Bombay stock and the promoters areconfident of their ability to supply the English markets, in the nearfuture, with as many mangoes in perfect condition as there may be ademand for. As might be expected, too, continues the writer of thearticle in our contemporary, the flavour and quality of the Alfonzowill be greatly improved through the introduction of the parent treeinto American soil.

R. H.-We do not see that the words of the surgeon reported inTHE LANCET are at variance with the medical advice. Our corre-

spondent had better follow his physician’s counsel and keep his

physician informed as to his health.Enquirer.—From what our correspondent tells us the election seems tohave been highly irregular.

COMMUNICATIONS not noticed in our present issue will receive attentionin our next.

M ETEOROLOG ICAL READINGS.(Taken daily at 8.30 a.m. by Steward’s Instruments.)

TEE LANCET Office, August 20th, 1908.

During the week marked copies of the following newspapers, have been received :-Daily Telegraph, Portsneouth Evening

News, Lancashire Post, Daily Chronicle, Daily Mirror, Daily Graphic,f Western Chronicle, Christchurch Times, Scieatific American, Literary

Digest (New York), Broad Arrow, Coventry Times, Edinburgh Evenings News, Hereford Tinaes, Wimbleclon Gazette, Jlotor Car Journal,,

Liverpool Daily Post, Liverpool Daily Courier, Cardiff Timea, Elyo Gazette, Alnwick Express, &e.

Page 2: Notes, Short Comments, and Answers to Correspondents

597DIARY.-EDITORIAL NOTICES.-MANAGER’S NOTICES.

Medical Diary for the ensuing Week.LECTURES, ADDRESSES, DEMONSTRATIONS, &c.POST-GRADUATE COLLEGE, West London Hospital, Hammersmith-

road. W.MONDAY.-12 noon, Lecture :—Dr. Low : Pathological Demonstra-

tion. 2 P.M., Medical and Surgical Clinics. X Rays. Opera-tions. Mr. Dunn : Diseases of the Eyes. 3 P.M., Lecture :-Dr.Saunders: Medical Cases.

TUESDAY.-10 A.M., Dr. Moullin : Gynaecological Operations.2 P.M., Medical and Surgical Clinics. X Rays. Operations. Dr.Davis: Diseases of the Throat, Nose, and Ear. 2.30 P.M., Dr.Abraham: Diseases of the Skin. 5 P.M., Lecture: Dr. Abraham:Cases of Skin Disease.

WEDNESDAY.-10 A.M., Dr. Saunders: Diseases of Children.Dr. Davis: Diseases of the Throat, Nose, and Ear. 12.15 P.M.,Lecture :-Dr. Pritchard: Practical Medicine. 2 P.M., Medicaland Surgical Clinics. X Rays. Operations. 2.30 P.M., Dr.Robinson: Diseases of Women. 5 P.M., Lecture:-Mr. Pardoe:The Diagnosis of Surgical Diseases of the Kidney.

THURSDAY.-2 P.M., Medical and Surgical Clinics. X Rays. Opera-tions. Mr. Dunn: Diseases of the Eyes. 4 P.M., Lecture::-Mr.Armour: Surgical Cases. r -..

FRIDAY.-10 A.M., Dr. Moullin: Gynaecological Operations.2 P.M., Medical and Surgical Clinics. X Rays. Operations.Dr. Davis: Diseases of the Throat, Nose, and Ear. 2.30 P.M., Dr.Abraham: Diseases of the Skin. 5 P.M., Lecture:—Dr. Davis!Medical Cases. ,!

SATURDAY.-10 A.M., Dr. Saunders: Diseases of Children.Dr. Davis: Diseases of the Throat, Nose, and Ear. 2 P.M.,Medical and Surgical Clinics. X Rays. Operations. 2.30 P.M.,Dr. Robinson : Diseases of Women.

OPERATIONS.METROPOLITAN HOSPITALS.

MONDAY (24th).-London (2 P.M.), St. Bartholomew’s (1.30 P.M.), St.Thomas’s (3.30 P.M.), St. George’s (2 P.M.), St. Mary’s (2.30 P.M.),Middlesex (1.30 P.M.), Westminster (2 P.M.), Chelsea (2 P.M.),Samaritan (Gynaecological, by Physicians, 2 P.M.), Soho-square(2 P.M.), City Orthopedic (4 P.M.), Gt. Northern Central (2.30 P.M.),West London (2.30 P.M.), London Throat (9.30 A.M.), Royal Free

(2 P.M.), Guy’s (1.30 P.M.), Children, Gt. Ormond-street (9 A.M.),St. Mark’s (2.30 P.M.), West London (2.30 P.M.).

TUESDAY (25th).-London (2 P.M.), St. Bartholomew’s (1.30 P.M.), St.Thomas’s (3.30 P.M.), Guy’s (1.30 P.M.), Middlesex (1.30 P.M.), West-minster (2 P.M.), West London (2.30.P.M.), University College2 P.M.), St. George’s (1 P.M.), St. Mary’s (1 P.M.), St. Mark’s(2.30 P.M.), Cancer (2 P.M.), Metropolitan’{2.30 P.M.), London Throat(9.30 A.M.), Samaritan (9.30 A.M. and 2.30 P.M.), Throat, Golden-square (9.30 A.M.), Soho-square (2 P.M.), Chelsea (2 P.M.), CentralLondon Throat and Ear (2 P.M.), Children, Gt. Ormond-street(9 A.M. and 2 P.M., Ophthalmic, 2 P.M.), Tottenham (2.30 P.M.).

WEDNESDAY (26th).-St. Bartholomew.’s (1.30 P.M.), University College(2 P.M.), Royal Free (2 P.M.), Middlesex (1.30 P.M.), Charing Cross(3 P.M.), St. Thomas’s (2 P.M.), London (2 P.M.), King’s College(2 P.M.), St. George’s (Ophthalmic, 1 P.M.), St. Mary’s (2 P.M.),National Orthopaedic (10 A.M.), St. Peter’s (2 P.M.), Samaritan9.30 A.M. and 2.30 P.M.), Gt. Northern CentralJ (2.30 P.M.),West-minster (2 P.M.), Metropolitan (2.30 P.M.), London Throat (9.30 A.M.),Cancer (2 P.M.), Throat, Golden-square (9.30JA.M.), Guy’s (1.3O,;P.M.),Royal Ear (2 P.M.), Royal Orthopaedic (3 P.M.), Children, Gt.

. Ormond-street (9 A.M. and 9.30 A.M., Dental, 2 P.M.), Tottenham(Ophthalmic, 2.30 P.M.), West London (2.30 P.M.).

1IURSDAY (27th).-St. Bartholomew’s (1.30 P.M.), St. Thomas’s

(3.30 P.M.), University College (2 P.M.), Charing-cross (3 P.M.), St.George’s (1 P.M.), London (2 P.M.), King’s College (2 P.M.), Middlesex(1.30 P.M.), St. Mary’s (2.30 P.M.), Soho-square (2 P.M.), North-WestLondon (2 P.M.), Gt. Northern Central (Gynaecological, 2.30 P.M.),Metropolitan (2.30 P.M.), London Throat (9.30 A.M.), Samaritan(9.30 A.M. and 2.30 P.M.), Throat, Golden-square (9.30 A.M.), Guy’s

.(1.30 P.M.), Royal Orthopaedic (9lA.M.), Royal Ear (2 P.M.), Children,Gt. Ormond-street (9 A.M. and 2 P.M.), Tottenham ;(Gynæcological2.30 P.M.), West London (2.30 P.M.).

FRIDAY (28th).-London. (2 P.M.), St. Bartholomew’s (1.30 P.M.), St.Thomas’s (3.30 P.M.), Guy’s](1.30 P.M.), Middlesex (1.30 P.M.), CharingCross (3 P.M.), St. George’s (1 P.M.), King’s College (2 P.M.), St. Mary’s(2 P.M.), Ophthalmic (10 A.M.), Cancer (2 P.M.), Chelsea (2 P.M.), Gt.Northern Central (2.30 P.M.), West London (2.30 P;M.), London

, Throat (9.30 A.M.), Samaritan (9.30 A.M. and 2.30 P.M.), Throat,

, Golden-square (9.30 A.M.), City Orthopædic(2.30 P.M.), Soho-square(2 P.M.) Central London Throat and Ear (2 P.M.), Children, Gt.Ormond-street (9 A.M., Aural, 2 P.M.), Tottenham (2.30 P.M.), St.Peter’s (2 P.M.).

SATURDAY (29th).-Royal Free (9 A.M.),London (2 P.M.), Middlesex(1.30 P.M.), St. Thomas’s (2 P.M.), University’College (9.15 A.M.),Charing Cross (2 P.M.), St. George’s (1 P.M.), St. Mary’s (10 A.M.),Throat, Golden-square (9.30 A.M.), Guy’s (1.30 P.M.). Children, Gt.

. Ormond-street (9 A.M. and 9.30 A.M.), West London (2.30 P.M.).At the Royal Eye Hospital (2 P.M.), the Royal London] Ophthalmic

(10 A.M.), the Royal Westminster Ophthalmic (1.30 P.M.), and the

, Central London Ophthalmic Hospitals operations are performed daily.

EDITORIAL NOTICES.IT is most important tnat communications relating to tne

Editorial business of THE LANCET should be addressed

exclusively " To THE EDITOR," and not in any case to anygentleman who may be supposed to be connected with theEditorial staff. It is urgently necessary that attention shouldbe given to this notice.

--

It is especially req2cested that early intelligence of local eventshaving a medical interest, or which 2t is desirable to bringunder the notice of the profession, may be sent direct tothis office.

Lectures, orginal articles, and reports should be written onone side of the paper only, AND WHEN ACCOMPANIEDBY BLOCKS IT IS REQUESTED THAT THE NAME OF THE

AUTHOR, AND IF POSSIBLE OF THE ARTICLE, SHOULDBE WRITTEN ON THE BLOCKS TO FACILITATE IDENTI-

FICATION.

Letters, whether intended for insertion or for private informa-tion, must be authenticated by the names and addresses oftheir writers-not necessarily for publication.

We cannot prescribe or recommend practitioners.Local papers containing reports or news paragraphs should be

marked and addressed " To the Sub-Editor."Letters relating to the publication sale and advertising

departments of THE LANCET should be addressed To the

Manager."

We cannot undertake to return MSS. not used.

MANAGER’S NOTICES.TO SUBSCRIBERS.

WILL Subscribers please note that only those subscriptionswhich are sent direct to the Proprietors of THE LANCET attheir Offices, 423, Strand, London, W.C., are dealt with bythem > Subscriptions paid to London or to local newsagents(with none of whom have the Proprietors any connexion what-ever) do not reach THE LANCET Offices, and consequentlyinquiries concerning missing copies, &c., should be sent tothe Agent to whom the subscription is paid, and not toTHE LANCET Offices.

Subscribers, by sending their subscriptions direct toTHE LANCET Offices, will insure regularity in the despatchof their Journals and an earlier delivery than the majorityof Agents are able to effect.THE COLONIAL AND FOREIGN EDITION (printed on thin

paper) is published in time to catch the weekly Friday mailsto all parts of the world.The rates of subscriptions, post free, either from

THE LANCET Offices or from Agents, are :-FOR THE UNITED KINGDOM. To THE COLONIES AND ABROAD.One Year ... ... ... £1 12 6 One Year ... ... ... £1 14 8Six Months......... 0 16 3 Six Months ......... 0 17 4Three Months ...... 0 8 2 Three Months ...... 0 8 8

Subscriptions (which may commence at any time) arepayable in advance. Cheques and Post Office Orders (crossed"London and Westminster Bank, Westminster Branch ")should be made payable to the Manager, Mr. CHARLES GOOD,THE LANCET Offices, 423, Strand, London, W.C.

TO COLONIAL AND FOREIGN SUBSCRIBERS.SUBSCRIBERS ABROAD ARE PARTICULARLY REQUESTED

TO NOTE THE RATES OF SUBSCRIPTIONS GIVEN ABOVE. Ithas come to the knowledge of the Manager that in somecases higher rates are being charged, on the plea that theheavy weight of THE LANCET necessitates additionalpostage above the ordinary rate allowed for in the terms ofsubscriptions. Any demand for increased rates, on this or onany other ground, should be resisted. The Proprietors ofTHE LANCET have for many years paid, and continue to pay,the whole of the heavy cost of postage on overweight foreignissues ; and Agents are authorised to collect, and generallydo so collect, from the Proprietors the cost of such extrapostage.The Manager will be pleased to forward copies direct from

the Offices to places abroad at the above rates, whatever bethe weight of any of the copies so supplied. Address-THE MANAGER, THE LANCET OFFICES, 423, STRAND,LONDON, ENGLAND.


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