484

Notes, Short Comments, and Answers toCorrespondents.

It is especially requested that early intelli,gence of local eventshaving a medical interest, or which it is desirable to bringunder the notice, of the profession, may be sent direct to thisOffice.

All communications relating to the editorial business of thejouraw must be addressed " To the Editor."

Lectures, original articles, and reports should be written onone side only of the paper.

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

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

be mxrlced.Letters relating to the publication, sale, and adnertisingdepartments of THE LANCET to be addressed " To thePublisher. "

COMPARATIVE STRENGTH OF MEN AND WOMEN.

THE rival though essentially divergent merits of the two sexes have beendiscussed so often and so differently that a few new facts will not beunwetcome. We will not pretend to say what use may be made ofthese facts in argument, but they will at least help to define themuscular superiority which even the most advanced women acknow.ledge men, at all events for the present, still possess. From Paris we

receive the report of experiments conducted with an instrument onwhich the palm of the hand is placed, and a downward pressureexercised. Sixty-four men, aged from twenty-five to forty-five years,belonging to the middle classes, and whose ordinary occupation didnot necessitate any sort of manual work, were prevailed upon to trytheir strength. The strongest man was able to produce a pressureequivalent to 85 kilogrammes, the weakest to 40 kilogrammes ; and theaverage was 56 kilogrammes. There was also an average difference of

10 kilogrammes between the strength of the right and left hand ; butthe shorter men were nearly as strong as the tall men, as an averagedifference of only 3 kilogrammes was noted. The number of womenwhose services were secured for exactly the same trial of strength wasunfortunately not the same. There were only fifty-two women, butthese were taken from the same class of society. The force of the

strongest woman amounted only to 44 kilogrammes, and that of theweakest to 16 kilogrammes ; while the average was 33 kilogrammes.Thus it may be said that, in this particular form of exercise, womenonly possess three-fifths the strength of men. The difference of the

right hand over the left in women amounted to 5 kilogrammes 500grammes, while the smaller women proved to be a little stronger thantheir taller sisters.

Mr. R. Durdin.-The question is a nice one and essentially a legal onewhich we are not entitled to answer dogmatically. If the owner ofthe pony-cart was to blame, and the blind man’s friends were notnegligent of him, there is much to be said for making a demand formedical charges on the owner.

Professor Pzetro Albertoni.-We cannot exchange.

SUPPRESSION OF URINE.

To the Editor 0/THE LANCET.

SIR,-In your last issue a case of total suppression of urine lastingseventy-five hours, with recovery without a bad symptom, is reported byDr. Donovan, of Cork. In answer to his invitation to a report of asimilar case, I may perhaps be allowed to submit to you the outlines ofa case which has recently been under my care.A boy six years of age was brought to me suffering from complete sup-

pression of urine, which lasted for five days, and was attributed to hishaving "caught cold." I administered chloroform, and passed a gum-elastic catheter with no result. After repeated hypodermic injectionsof pilocarpin, the use of the warm bath, and the ordinary diuretics, thenormal renal action was restored, with the occurrence of a relapse lastingtwenty-four hours, when the injection was repeated, with the sameresult.At a future opportunity I hope to be able to give a detailed account of

this interesting case.-I am, Sir, yours faithfully,Lichfield, March 13th, 1833. HERBERT E. PAXON.

CHINA.

To the Editor oj THE LA.NCET.

SIR,-Will any of your readers kindly let me know what chances thereare for the practice of medicine in China ? What sort of climate is it ? ?Is there any European society, and are there any medical appointmentsto be had? Indeed, any particular in reference to the above subject willbe hailed with thanks. I am, Sir, yours faithfully,March 12th, 1883. SHANGHAI.

I "AN OBSCURE CASE."

RELATIVE to the case mentioned by a correspondent in our last issue,Mr. Louis Birch is inclined to believe it to be a case of gastric ulcer,and, from its long duration, evidently occupying the pyloric orifice.The real etiology he thinks is due to suppression of menstruation.The brown vomit spoken of would, if carefully examined, be found toconsist, he believes, in part of blood, due to capillary rupture. The,treatment he suggests is complete rest, attention being given to diet,which should entirely consist of milk, light puddings, white fish, andfood of an entirely digestible character; avoidance of sugar, beer,spirits, &c.; and, as far as drugs are concerned, a mixture containingbismuth, soda, and Scheele’s acid.—M.D. regards the complaint asprobably a cancerous obstruction at the pylorus, and suggests the useof half a grain of opium and one grain of carbolic acid three times’a day. Diet : Puddings, boiled broccoli, &c.; and to withdraw accu.mulation and wash out by means of the stomach-pump.-Dr. Usher B.Eaton refers to a case published in the Practitioner for December, 1878,by Dr. Edward Mickey, of Brighton, on the value of spiritus nucisjuglandis in the treatment of vomiting, and advises a trial of the follow.ing : fifteen grains of salicylate of soda to be given (for the present) fourtimes daily in an effervescent mixture, one drachm of spirit of walnut(Southall’s) being added to each dose, it being presumed that no objection exists to the use of the salicylate. In addition to this, afterbreakfast and dinner, a small wineglassful of green chartreuse, or, if

the cost of the liqueur absolutely forbid its use, a drachm of thespirit of walnut in simple water, the six administrations being sotimed as to divide the day as equally as possible.

Medical Etiquette.-The pressure on our space will not permit us topublish the letter. A showed a proper reluctance to take the case ofanother medical man. It would have been magnanimous had B actedfor A in the emergency. Something must be allowed for his feelingsin the circumstances. But A’s duty will be to attend when againsummoned by C.

Chirurgien.-We think the high character of the examiners is a suffi.cient guarantee for the fairness of their decisions. We cannot inserta letter which implies a charge of dishonourable conduct on theirpartmerely because our correspondent is dissatisfied with the results ofthe examination.

Mr. E. Williams has omitted to forward his address.

THE HINDRANCES TO GENERAL PRACTICE.To the Editor of THE LANCET.

SIR.—Two authorities have lately spoken on various points connectedwith medical practice in this country. Dr. Hickman, in his able andthoughtful address to the Harveian Society, pointed out some of thepractical grievances of the general practitioner, arising from indiscrimi-nate gratuitous medical aid supplied by hospitals and dispensaries, fromthe too cheap medical attendance given bv provident dispensaries, andfrom various modes of low practice pursued by men who live by under.selling their medical brethren.Mr. Burdett, in the Nineteenth Century, advocates various reforms in

the working of hospitals, which at present defraud the profession and.the public; for a large and increasing proportion of the patients arequite unworthy of charitable aid, and such patients defraud the hard-worked junior members of the staff of the remuneration which is due toskilled work; they defraud the general practitioner of his fees by leavinghim and getting gratuitous medical aid; they defraud the subscriberewho give their money to be expended solely for the benefit of the needy.After due consideration of the various aspects of the question, Mr.Burdett thinks that medical men should refuse to do gratuitous work.The expenses of medical education and of living have greatly increasedduring recent years, and yet medical fees are sinking lower and lower.Men older than I am tell me that the very moderate fees formerly paidcheerfully or gratefully are now given grudgingly or objected to. The

public go to the cheapest medical market. Hospitals and dispensariesgive them what they want for nothing. Provident dispensaries supplythem at a price less than is paid for beer, and numerous cheap dis-pensaries give for sixpence or a shilling what used to cost from half acrown to five shillings. The effect of all this on general practice isevident. Many medical men hardly know how to make a living. Thevalue of medical attendance is lowered in the eyes of the public, andan honoured and learned profession sinks to the level of a badly payingtrade.My object in asking space for these remarks is to seek a remedy.

Mr. Burdett, I think, wisely advises medical men to cease gratuitouswork. As regards the vexed question of provident dispensaries, I wouldsuggest that greater discrimination should be exercised regarding theadmission of members, and the remuneration to the medical officersshould be increased.Regarding low practice, I think the various licensing bodies should

fully exercise the power of punishing unprofessional conduct on the partof men holding their diploma. And on the question of medical feesgenerally, I would suggest that the ill-paid family doctor should followthe example of his consulting brother, and double his fees. Even thenhis remuneration would not be excessive. Apologising for the length ofthis letter, I am, Sir, yours faithfully,March 6th, 1883 A GENERAL PRACTITIONER.

485

ANTIQUITY OF VACCINATION.

ACCORDING to the Bombay Catholic Examiner, the Rev. Dr. A. Fabrerhas called attention to a passage in the Sakteyagrantha, a work onmedicine ascribed to the "divine" physician, Dhanvantari, which

ought to convince Hindoos of the folly of objecting to vaccination onreligious grounds. Indeed, if anything, they ought to be proud of thediscovery that vaccination had been known and practised in theircountry centuries before it was heard of in Europe. The translation

of the passage alluded to purports to be as follows :-" Take on thetip of a lancet the lymph of the pox from the udder of a cow, or fromthe upper part of the arm of a man, and puncture therewith the upperarm of another until the blood flows. Through the mixture of humourand blood the vaccine will be generated."

District Medical Officer.-Under an Order of the Local Government

Board, dated Feb. 14th, 1879, every medical officer appointed by theGuardians after the 28th of that month, whether for a district or aworkhouse, is required, immediately upon the occurrence of any caseof contagious, infectious, or epidemic disease of a dangerous characteramongst the pauper patients under his care, to give notice thereof tothe clerk of the sanitary authority of the urban or rural district, as thecase may be, within which he acts as medical officer, or to the medicalofficer of health of such authority. He is also required to make suchreturns of sickness and death amongst paupers as the Local Govern-ment Board may direct for any of the purposes specified in Section 134of the Public Health Act, 1875, and when so directed to furnish themto the medical officer of health.

Practitioner.-We fear a claim on the dispensary for a fee conld not besustained. Our correspondent’s chief satisfaction will be in havingdone an act of kindness for both a sick person and a medical brother.He would be right, however, in intimating the failure of the dispensaryarrangements to the committee.

POISONING BY BELLADONNA. ’

To the Editor of THE LANCET.

SiR,-The following case may be interesting from the fact of the

poisoning having been produced by what very many people imagine tobe quite harmless remedies.A few days ago I was summoned in great haste by a man to see

his nephew, a child aged three years, who had been suffering fromwhooping-cough, and to whom, an hour and a half previously, he hadgiven three hom&aelig;opathic pilules of belladonna. On my arrival, a fewminutes afterwards, I found the child comatose, pupils widely dilated-in fact, the iris was a mere circle-pulse scarcely perceptible, gaspingrespiration, and skin bathed in perspiration. I applied mustard overthe heart, used the stomach-pump, first to wash out the cavity of thestomach, then pumped in a little brandy-and-water. I then administeredahypodermic injection of 1-32nd of a grain of morphia, and rubbedbrandy over the abdomen, which was tympanitic. In about half an hourthe little patient recovered so as to be able to swallow a little beef-teawith port wine. A few minutes after swallowing it I observed twitchingof the right eyebrow, and both eyes jerking to the right side. Then themuscles of the right hand and right leg became implicated, there beingabout four or five spasmodic contractions to the minute and synchronouswith the jerking of the eyes. None of the muscles on the left side wereaffected. I kept the patient partially under the influence of chloroformfor over an hour, when the spasms became relaxed. I then administeredan enema of warm water, which brought away a large quantity ofextremely offensive fa?ces; then gave an <enema of beef-tea. The childby this time was quite conscious and extremely thirsty. I gave it alittle milk with yelk of egg. A second attack came on about an hourafterwards, but was subdued by the chloroform in a quarter of an hour.I gave it another hypodermic injection of morphia (1-32nd of a grain),after which it fell asleep for a couple of hours, and had no return of themuscular contraction. The pupils were regaining their normal state,though the eyes were occasionally turned to the right side. There wasno delirium in this case, as is usually observed in cases of poisoning bybelladonna; and the unilateral muscular contraction was rather an un-usual symptom. The child has now (three days after) quite recoveredexcept for some slight aphonia.

I am, Sir, yours, &c.,Brynmawr, Feb. 17th, 1883. G. HENRY BROWNE, L.R.C.P.E., &c.

Mr. C. Theodore Ewart.-Generally speaking only the members of theUniversity Council have the Parliamentary vote.

H. IV. should communicate with a respectable instrument maker.

Alpha.-Yes. !

INFANTS’ ABDOMINAL BELTS. ’

To the Editor Of THE LANCET.

SIR,&mdash;The usual manner of rolling infants and young children roundthe abdomen with a stiff non-expanding piece of flannel is uncomfort-able as it is inelegant. I have recommended for some time with greatsatisfaction expanding flannel bands which are woven in one piece, andmay be had of any size. They are comfortable, easily drawn on, fltclosely, and are warm. I have had them made by a hosiery manufac-turer here, but I suppose they could be procured through any hosieryagents. I am, Sir, yours truly,Hawick, N.B., March 13th, 1883. JOHN R. HAMILTON, M.D.

MENSTRUATION AT THE ARE OF SEVENTY-SIX.

DR. W. S. HIGGINS, of Penfleld, Ill., U.S.A., contributes to the NewYork Medical Record the history of a case in which a woman employedon a farm in Kentucky continued to menstruate up to the age ofseventy-six. The catamenia did not commence till she was eighteen.She married at twenty, and at the age of forty-six had had twelvechildren. For seven years after the birth of the last child the men.

strual flow was irregular and very copious, but since then has beenregular and natural, and always preceded by the feeling of malaisethat characterised the on-coming of the periods in early life.

PUBLIC MORTUARIES.

WITH a view of diminishing the sanitary evils likely to result in crowdeddistricts from keeping corpses in dwelling houses until burial, themunicipal officials of Berlin have published a list of the mortuarieswhich belong to the various divisions of the city. The charges for theuse of this accommodation are low, and in the case of persons of smallmeans these charges are dispensed with altogether.

Justitia.-We do not think the publication of the letter in its presentform would in any way serve the cause of our correspondent. Itwould be necessary to state the name of the hospital and to sign theletter ; it would then have some weight. Presuming that the facts areas stated, it is quite right to call attention to the abuse.

Subscriber (Bermuda) might apply to Sister Superior, All SaintsChildren’s Hospital, Margaret-street, London, W. Failing this, thecase might be taken into a general hospital temporarily till a suitablepermanent ho-ne could be found by the friends or hospital authorities.

"ON RETRACTION OF THE FLA.P AFTER SYME’SAMPUTATION."

To the Editor of THE LANCET.

SIR,-During four years’ attendance at the wards of the Royal In-firmary, Edinburgh, I have observed and followed up to complete con-valescence over twenty cases of Syme’s amputation. Most of them weredone by Mr. Joseph Bell. All these cases were most satisfactory, thecicatrix being well formed, and the whole weight of the body support-able with comfort on the heel-pad.Mr. Bennett May lays stress on having carried the incision "right

across the sole, and not backwards," but he does not say anything abouthis method of forming the anterior incision. May I be allowed to askhim if he carried it at all forwards-i.e., made a semilunar anterior in-cision 1 If so, it would be easy to account for the retraction of his

cicatrix, for the powerful sural muscles would then have some scope foraction. Mr. Syme directed that this incision should join the extremitiesof the first one by a transverse cut right across the instep.

It may be that the capital results obtained by Mr. Bell are partly dueto his practice of scraping all the periosteum off the os calcis and retain-ing it in the heel-flap.-I am, Sir, your obedient servant,

GEORGE DOUGLAS MACKINTOSH, L.K.Q.C.P.I.Edinburgh, March 8th, 1883.

G. B. K.-The title is not registrable in England. In a legal certificatethe only essential thing is the registered qualification ; the un-

registrable title would be surplusage.Hippocrates.-Such details should be arranged by contract or under-standing. There is no rule.

Nerno.-It is said to be attainable without great difficulty. It is not a

very high degree. COLECTOMY.COLECTOMY.

To the Editor of THE LANCET.SIR,-In your issue of March 10th you give a short account of a case

which I read before the Medical Society of London. In that account yousay " that I suggested colotomy for cases of vesico-rectal fistula." Thistreatment was suggested and practised long ago. I proposed colectomy,not colotomy ; and shall be much obliged by your correcting what isdoubtless a printer’s error in your next number.The suggestion which I made was that in those cases in which the

lower part of the large intestine communicated directly or indirectlywith the bladder, the exciting cause not being malignant growth, aradical cure might be obtained by the performance of colectomy, or thecomplete division of the bowel above the disease, the proximal portionof the gut being stitched to the abdominal wound and the distal portionreturned into the abdominal cavity after its cut margins had been unitedby suture. I am, Sir, yours faithfully,

Harley-street, W., March 12th, 1883. CHARLES A. BALLANCE.

Skinned.-Specialists have sometimes a special set of ethics, but suchpractices are not usual among consultants.

A Medical Student will find the information in our Students’ Number,published in September last.

An Intendtng Tricyclist may refer to THE LANCET of Oct. 28th, 1882.J. D.-We have no experience of the system.

VERMUTH.To the Editor of THE LANCET.

SIR,-Would any of your numerous readers kindly give me some infor-mation regarding the properties and nature of a wine called " Vermuth " ? ?Is it a harmless sort of wine, or is it allied to absinthe in its effect uponthe nerve centres ? I am, Sir, yours truly,March 14th, 1883. S.

486

THE AGITATION AGAINST THE CONTAGIOUS DISEASES ACTS.

THE Queen, of March 10th, comments as follows on the way in whichcirculars are distributed by the opponents of the above Acts :-

" Complaints have been made in the newspapers of the circulation,sometimes even without being enclosed in envelopes, of letters andpapers relating to an Act dealing with a subject of which all respect-able and decent women must be of necessity totally ignorant ; and, farworse than this, of the intrusion into the privacy of dwelling-houses,during the absence of the master, of women who introduce this sub-ject, in its most offensive form, under the plea of advocating therepeal of an Act of Parliament to which they have a sentimental oppo-sition. The women who are moving in this matter either do or do notknow the real facts of the matter which they are agitating. If they do,we can only express our pity for them; if they do not, they cannotcommand our respect for moving in a matter of which, we repeat, it isimpossible for a respectable women to have any knowledge whatever.The intrusion of advocates of this kind into the privacy of our homesis an outrage on common decency, and it cannot be too stronglyreprehended."

H. E. G.-We do not think he would, but if he feels doubtful on the

subject he had better state the case to the Director-General, when hewill receive an authoritative answer.

"RAPIDLY SUCCESSFUL TREATMENT OF ERYSIPELAS."

To the Editor of THE LANCET.

SIR,-In your issue of this date Mr. Barwell calls attention to thevalue of white lead paint in the treatment of erysipelas. He states thathe first heard of the use of the article about twenty years ago from Mr.French, then of Marlborough-street. Mr. Barwell, by referring to p. 610,vol. i., of THE LANCET, 1859, will find an article on the subject by A.Freer, Esq., M.R.C.S., in which that gentleman states that he learnedthe use of white paint in erysipelas, &c., from his father. Mr. Freer

speaks highly of its use in eczema in its different forms. We are toldthat the " manner of applying it is by means of a feather, painting theaffected parts and a little beyond, and laying on a fresh coat every twohours or so until a thick layer is obtained, and then sufficiently often tomaintain a covering." I am, Sir, yours, &c.,March 10th, 1883. M.D.

COMMUNICATIONS not noticed in our present number will receiveattention in our next.

COMMUNICATIONS, LETTERS, &c., have been received from-ProfessorP. Albertoni, Genes; Dr. Morton, London ; Dr. Atthill, Faversham;Mr. Pink; Mr. Craven, Thurso; Mr. Macintosh, London ; Mr. PuginThornton, London; Rev. E. Thwing, Brooklyn; Rev. Dr. Hobart,Londonderry; Dr. S. Rotaiski, Berlin ; Dr. Samuel West, London ;Dr. M. Hay, Edinburgh; Mr. James Wyld, London; Dr. Atkinson,Kingston ; Mr. Harding, Westgate-on-Sea; Mr. Durdin, Desford ;Mr. Jordan Lloyd, Birmingham; Mr. Edwin Cox, Birmingham;Mr. Beardsley, Grange; Dr. Bendall, Edinburgh; Dr. Julius Mickle,London; Dr. Chepmell, London; Dr. Carter, Billericay ; Dr. Whitson,Glasgow; Mr. Stanley, Cape Colony; Mrs. M. A. Brines, London;Dr. Pollock, London ; Mr. Bernstein, Birkenhead; Messrs. Smith andElder, London; Dr. Thorburn, Rusholme ; Mr. Paxon, Lichfield ;Mr. Roberts, Uxbridge ; Mrs. Briggs, West Bournemouth; Mr. Judge,Madras; Mr. Mannathanath, India; Messrs. Bradshaw, Nottingham ;Mr. Stephens, London; Mr. Berthier, Paris; Mr. Pdlay, Berrar,India; Miss Whitmore, Derby; Messrs. Smith Brothers, Bourne-mouth ; Mr. Milner, Godalming; Messrs. Thompson and Son, Liver-pool ; Mr. Heywood, Manchester; Dr. Ward, Oxford; Mr. Priest,Hertford; Mr. Kennedy, Glasgow; Messrs. Oppenheimer and Co.,London; Messrs. Edisbury and Co., London; Mr. Battie, Dunbarton ;Mr. Waugh, Ben Rhydding; Messrs. Turnbull and Wood, Newcastle-

on-Tyne ; Mr. Cookson, Totnes; Dr. Mitchell, Nelson; Miss Archer,Anerley; Mr. Morgan, Lichfleld ; Mr. Rosenthall; Messrs. Warrenand Son, Loughborough ; Mr. Lunn, Grafton; Messrs. Burgoyne andCo., London ; Mrs. Moore, Milan; Messrs. Klohne and Co., London;Messrs. Isaacs and Co., London ; Messrs. Harvey and Reynolds,Leeds ; Mr. Henry; Mr. Newcombe, Boston; Mr. Hughes, Ponty.pridd ; Dr. Bateman, Norwich; Mr. Scott, Holloway; Dr. T. F. Pearse,Liphook; Mr. Henry Smith, London; Mr. Young, London; Dr. BellTaylor, Nottingham; Mr. A. Moss, London; Dr. Alex. Morison,London; Dr. Keith Macdonald, Cupar ; Mr. C. E. Harrison, London;Dr. Weaver, Beckenham ; Dr. Sydney Ringer, London; Mr. Schacht,London; Dr. Eaton, Mitchelstown ; Dr. Brookhouse, Nottingham;Dr. Elder, Nottingham; Mr. Flack, London; Dr. Gottardi, Lucca;Dr. Rae, London ; Mr. Kemp, London ; Dr. Hope, Wolverhampton;Mr. J. W. Barrett, Melbourne ; Mr. Simonds, London; Mr. G. Bland,Minster; Mr. Louis Birch, Epperstone ; Mr. Simeon Snell, Sheffield ;Mr. Kirby, Beckenham ; Mr. Pepper, London; Messrs. Robertsonand Scott, Edinburgh; Dr. Woodroffe, London; Messrs. Eade andCaulfield, London; Mr. Elmslie, Shrewsbury; Mr. Sampson, York;Mr. Hamilton, Douglas ; Dr. Ralfe, London; Messrs. Orridge andco.,London ; Dr. Greenfield, Edinburgh ; Mr. Reade, London; Mr. Pope,Gainsborough; Mr. Bennett, Liverpool; Messrs. Kirby, Beard, andCo., London; Dr. Hamilton, Hawick ; Dr. Wesley Miller, New York;Dr. Rattray; An Irish Dispensary Medical Officer; E. A. G. D.;P. L., Market Rasen ; E. T. T. ; Physician, York; A. B., London; S.;Fairplay; Justitia; J. D. ; An Intending Tricyclist ; Hippocrates;0. R. T. ; District Medical Officer; G. B. R. ; Surgeon, York; J. H.,Bristol; Mother of Ten; Perplexed; Volvans; Iconoclast; &c.,&c.

LETTERS, each with enclosure, are also acknowledged from-Mr. Clay,Edinburgh; Mr. Warburton, Treherbert; Mr. Rainer, Ipswich;Dr. Fisher, Brighton; Mr. Day, Dorchester; Dr. Lawson, Huntly;Mr. Pentland, Edinburgh; Dr. Dowse, London; Dr. Lane, Victoria-park ; Mr. Middleton, Grimsby ; Mr. Jamieson, Richmond; Dr,Hem,Darlington; Mr. Hodgson, St. Helens; Dr. Jeffries, Burton-on-Trent ;Dr. Eberle, Thirsk; Mr. Wilson, Birmingham; Mr. Chester, Liver.pool ; Mr. Mortimer, London ; Mr. Bonning, Cambridge; Mr. Godwin,Hackney ; Mr. Littlechild, Cambridge ; Rev. P. Lawrence, MarketRasen ; Dr. Royle; Mr. Price, Wolverhampton; Mr. Nunn, London;Mr. James, Belfast; Mr. Henken, Swansea; Mr. Farnell, Upperton ;Dr. Buchanan, Claverley ; Mr. Foulkes, Sheffield; Messrs. Hall and

Palmer, Newtown ; Mr. Briggs, Bournemouth ; Mr. Stocker,London;Mr. MacCormac, Lindley; Dr. B. Squire, London; Dr. Middleton,Great Alton ; Dr. Medwill, Christchurch, New Zealand; Mr. Harland,Uxbridge ; Mr. Graham, Wigan; Mr. Reynolds, Felixstowe; Dr. Wood,Burton-on-Trent; Mr. Smith, Burnley; Dr. Coombs, Castle Cary;Dr. Cooke, Southport; Mr. Smith, Linkinhorne; Messrs. Maclachlanand Co., Edinburgh ; Mr. Bryan, Hornsey; Mr. Creswell, Billericay;Mr. Scott, Manchester ; Mr. Dingley, London ; Messrs. Johnson andCo., Southport ; Messrs. VIappin and Co., Birmingham; Mr. Johnson,Sparkbrook; Mr. Lacay, Woolwich; Mr. Smith, Bristol; Mr. Burkitt,London ; Mr. Thompson, London ; Messrs. Williams and Co., Swansea;Mr. Tude, Beccles ; Dr. Hogue, Camberwell; Mr. Field, London;J. W., Burton-on-Trent ; Verihs, Exeter ; Medicus, Crockherbtown;B. B. ; Yorks, M.D.; Fern, Liverpool ; A. B. ; Alpha, Nottingham;M.B., Bristol; Principal, Seaford ; Alcalon, Swansea; E. W.; Beta;J.S.B.; A. B. C. ; Fibroma; W. S., Fareham ; Medicus, Torquay;M.D., London; N. K. ; G. T. ; F. G. N., Brixton ; Doctor, Cumber.well; A. Z., Hanley; Chirurgicus ; Medicus, Eastwood; Surgeon,Leeds ; J. R., London ; B. D., Norwood ; &e., &c.

Morning Light, Reading Mercury, Eastern Morning News, MctrgcttaandRamsgate Gazette, Jewish Times, Glasgow Herald, Scctrborough DailyPost, The Englishman, &c., have been received.

An original and novel feature of "THE LANCET General Advertiser" is a special Index to Advertisements on page 2, which not only &9otd)a ready means of finding any notice, but is in itself an additional advertisement. -

Advertisements (to ensure insertion the same week) should be delivered at the Office not later than Wednesday, accompanied by a remittance.Answers are now received at this Office, by special arrangement, to Advertisements appearing in THE LANCET.Terms for Serial Insertions may be obtained of the Publisher, to whom all letters relating to Advertisements or Subscriptions should be addrellled.Advertisements are now received at all Messrs. W. H. Smith and Son.3’ Railway Bookstalls throughout the United Kingdom, and all other

Advertising Agents.Tables of Contents, with the Index of Advertisements, for each Number can be had on application to the Publisher.

Agent for the Advertising Departmant in France&mdash;J. ASTIER, 67, Rue Caumartin, Paris.