884

Medical Diary for the ensuing Week.Monday, November 9.

ROYAL LONDON OPHTHALMIC HOSPITAL, MOORFIELDS.—OPERATIONS,10.30 A.M., and each day at the same hour.

ROYAL WESTMINSTER OPHTHALMIC HOSPITAL.—Operations, 1.30 P.M.,and each day at the same hour.

ST. MARK’S HOSPITAL.-Operations, 2 P.M., and on Tuesdays at thesame hour.

HOSPITAL FOR WOMEN, SOHO-SQUARE.—Operations, 2 P.M., and onThursday at the same hour.

METROPOLITAN FREE HOSPITAL.-Operations, 2 P.M.ROYAL ORTHOPEDIC HOSPITAL.-Operations, 2 P.M.MEDICAL SOCIETY OF LONDON.-8.30 P.M. Clinical Evening. Dr. T. D.

Savill: Case of Myxcedema in the Male.-Mr. E. H. Fenwick: Caseof Extensive Varicosity of Abdominal Veins.-Mr. John H. Morgan :Case of Abdominal Tumour in a Boy.-Dr. J. K. Fowler: Case ofBullet Wound of Thorax. (Living Specimens at 8 P.M.)

Tuesday, November 10.GUY’S HOSPITAL.-Operations, 1.30 P.M., and on Friday at the same hour.

Ophthalmic Operations on Mondays at 1.30 and Thursdays at 2 P.M.ST. THOMAS’S HOSPITAL.-Ophthalmic Operations, 4 P.M. ; Friday, 2 P.M.CANCER HOSPITAL, BROMPTON.—Operations, 2.30 P.M.; Saturday, 2.30 P.M.WESTMINSTER HOSPITAL.—Operations, 2 P.M.WEST LONDON HOSPITAL.—Operations. 2.30 P.M.CENTRAL LONDON OPHTHALMIC HOSPITAL.—Operations, 2 P.M., and on

Friday at the same hour.ANTHROPOLOGICAL INSTITUTE OF GREAT BRITAIN AND IRELAND.—8 P.M.

Opening Remarks by the President.-Mrs. Bryant: Experiments onTesting the Characters of School Children.—Mr. Joseph Jacobs:A Comparative Estimate of Jewish Ability.

ROYAL MEDICAL AND CHIRURGICAL SociETY.—8 P.M. Dr. StevensonThomson: Scarlatinal Albuminuria and the Pre-albuminuric Stage

Studied by Frequent Testing.-Mr. Arthur Barker : On some Pointsregarding the Distribution of the Bacillus Anthracis in the HumanSkin in Malignant Pustule.

Wednesday, November 11.NATIONAL ORTHOPÆDIC HOSPITAL.-Operations, 10 A.M.MIDDLESEX HOSPITAL.-Operations, 1 P.M.ST. BARTHOLOMEW’S HOSPITAL.—Operations, 1.30 P.M., and on Satur-

day at the same hour.-Ophthalmic Operations on Tuesdays andThursdays at 1.30 P.M.

ST. MARY’S HOSPITAL. -Operations, 1.30 P.M. Skin Department:9.30 A.M., on Tuesdays and Fridays.

ST. THOMAS’S HOSPITAL.—Operations, 1.30 P.M., and on Saturday atthe same hour.

LONDON HospiTAL.—Operations, 2 P.M., and on Thursday and Saturdayat the same hour.

UNIVERSITY COLLEGE HospiTAL.—Operations, 2 P.M.; Saturday, 2 P.M.Skin Department: 1.45 P.M. ; Saturday, 9.15 A.M.

ROYAL FREE HOSPITAL.-Operations, 2 P.M.KING’S COLLEGE HOSPITAL.—Operations, 3 to 4 P.M.ROYAL MICROSCOPICAL SOCIETY.-8 P.M. Mr. W. B. Turner: On some

New and Rare Desmids.-Dr. E. Giltay: On the Amplifying Powerof a Lens or Objective.-Mr. F. Crisp: Limits of Resolution in theMicroscope.-Dr. E. Crookshank: Micro-biological Technique.

EPIDEMIOLOGICAL SOCIETY OF LONDON. - 8 P.M. The President(Dr. Walter Dickson) will deliver an Inaugural Address on "RecentEpidemics at Home and Abroad."

HUNTERUN SOCIETY. - 8 P.M. Mr. Fendick : The Treatment ofGonorrhoea.

BRITISH GYNÆCOLOGICAL SocrETY.—8.30P.M. Specimens by Mr. LawsonTait and others.-Dr. Imlach: Treatment of Prolapsed Ovaries byOöphorraphy.—Dr. R. T. Smith : Fissure of the Cervix.

Thursday, November 12.ST. GEORGE’S HOSPITAL.—Operations, 1 P.M.ST. BARTHOLOMEW’S HospiTAL.—Surgical Consultations, 1.30 P.M.CHARiNa-cposs HospiTAL.—Operations, 2 P.M.NORTH-WEST LONDON HOSPITAL.-Operations, 2.30 P.M.OPHTHALMOLOGICAL SOCIETY OF THE UNITED KlNGDOM. — 8.30 P.M.

Dr. Sharkey: A case of Locomotor Ataxia with OphthalmoplegiaExterna and Interna.-Mr. Lang: Pemphigus of Conjunctiva.-Mr. Snell: Foreign Bodies in the Back Part of the Eye withPreservation of Sight.-Mr. Jessop : On a case exhibiting DefiniteMovements of the Pupils in association with the Extrinsic Move-ments of the Eye.-Mr. Nettleship: Note on Gelatine Discs ofCocaine.-Dr. Samuel West : Case of Double Optic Neuritis after aFall; perfect vision throughout; recovery.-Mr. Higgens : Neuro-paralytic Ophthalmia. (Living Specimens at 8 P.M.)

Friday, November 13.ST. GEORGE’S HOSPITAL.-Ophthalmic Operations, 1.30 P.M.ROYAL SouTH LONDON OPHTHALMIC HospiTAL.—Operations, 2 P.M.KING’S COLLEGE HOSPITAL.-Operations, 2 P.M.CLINICAL SOCIETY OF LONDON.-8.30 P.M. Dr. Samuel West: A case of

Idiopathic Purulent Peritonitis in a Child of Ten, with Autopsy.-Mr. Rivington : Two cases of Ligature of the External Iliac Artery

. for Femoral Aneurysm.-Dr. Dyce Duckworth: A case of NitricAcid Poisoning.-Mr. Barwell : A case of Gastrostomy. LivingSpecimens :-Dr. Kingston Fowler: A case of Pseudo-hypertrophicParalysis in an Adult.—Mr. Bernard Roth : A case of Severe LateralCurvature of the Spine.-Dr. Crocker: A case of General Discoloura-tion.-Dr. Colcott Fox: A case of Pigmentary Disorder.-Mr. JohnMorgan : (1) A case of Gastrostomy ; (2) An Unusual Form of SpinaBifida.-Mr. Clutton: (1) Cervical Spina Bifida undergoing Spon-taneous Cure ; (2) Tubercular Ulceration of Palate.-Mr. Walsham:A case of Acute Spreading Obliterative Arteritis.

OPHTHALMOMaiOAL SOCIETY OF THE UNITED KINGDOM.—9 P.M. SpecialMeeting. The Bowman Lecture by Dr. Hughlings Jackson.

Saturday, November 14.KING’S COLLEGE HOSPITAL.-Operations, 1 P.M.BOYAL FREE HOSPITAL.-Operations. 2 P.vr.MIDDLESEX HOSPITAL.-Operations, 2 P.M.

METEOROLOGICAL READINGS.(Taken daily at 8.30 a.m. by Steward’s Instruments.)

THE LANCET OFFICE, Nov. 5th, 1885.

Notes, Short Comments, & Answers toCorrespondents.

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

All communications relating to the editorial business of thejournal 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 necessarily for publication.

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

be marked.Letters relating to the publication, sale, and advertisingdepartments of THE LANCET to be addressed " To the

’ Publisher." ___

THE DANGERS OF VACCINATION SHIELDS.

MR. LAWRIE GENTLES, public vaccinator, South District, Derby Unionwrites to draw our attention to the dangers likely to arise from theuse of the appliances so frequently seen on the arms of babies duringthe progress of the vaccine vesicles, and which, Mr. Gentles is of

opinion, are germ breeders of no little potency. Many vaccinatorsmust, he imagines, have seen the wadding and soft cotton tape withwhich the edges of the shields are usually bound soaked with escapinglymph, and encrusted in many places with pieces of scab from thevesicles, thus producing a condition of things eminently calculated toset up septic action. In addition, these shields are frequently lentabout amongst the babes of working men. In conclusion, our corre-spondent expresses his firm conviction that some cases of bad armswhich have come under his observation were due to the dirty con-dition of these arm protectors, and advocates as a substitute for theseappliances the use of a clean linen rag bound lightly round the arm,and renewed four or five times a day, each piece of rag as it is takenoff being committed to the flames.

Prof. Ray Lankester.—We quite agree with our correspondent that theSenate should have the statistics he mentions laid before them, but weconsider it would not be advantageous to publish them. It has been

deemed advisable to stop the publication of the returns of the Collegeof Surgeons.

THE ALPINE WINTER CURE.THE ALPINE WINTER CURE.

To the Editor of THE LANCET.SIR,—In a review in your issue of Oct. 24th on Dr. Wise’s book,

"Alpine Winter in its Medical Aspects," it is stated that he hasomitted to inform us whether the promises regarding the improvedsanitary arrangements at Wiesen ...... have been fulfilled." The pro-jected improvements were carried out in the autumn of 1883, and haveanswered perfectly. The sewage, after passing through two largesyphons, is discharged into a covered cesspool at a great distance from.and below, the hotels. From the nature of the slope (which is about 35°)on which these are built, and from the character of the soil, all drainagematter, as well as the rain and melted snow, is readily carried off. The

water-supply, coming from a considerable elevation above the hotels, isgood and abundant. The skating-rink and a well-sheltered balcony willbe in use this winter for the first time. A small colony of English peopleare wintering here, some of whom have spent the preceding winters atSt. Moritz and Davos, and find the climate and conditions of Wiesenbetter suited to their needs. One of them, after losing ground and 17 Ib.in weight last winter in a high Alpine health resort, on coming toWiesen in the spring gained strength and put on weight at the rate ofhalf a pound a day for the first two or three weeks, and the improvement

thus begun has since been steadily maintained.-Yours truly,’ Wiesen, Oct. 30th, 1885. JoBN F. MAIN, M.A., D.Sc.

885

THE MEDICAL PROFESSION AND " PUNCH."

To the Editor of THE LANCET.

SIR,—I have received a cutting from THE LANCET of Oct. 31st (p. 817)concerning my sketch of "Comforting in Pitnc7i of Oct. 24th. After

reading the Jirst half of the article, I feel that, most unintentionally,the legend may have wounded the feelings of a large body of

gentlemen who are as good and as kind as they are overworked.The legend was sent to me by a friend. I certainly never saw it inthe light that THE LAXOET views it, or I should have refrained

from sending it to ftMcAy and even if an artist showed a want of

kindly feeling towards his fellows, my experience of many years withPunch has shown me that to wound is not the purpose of the paper. Wehave several doctors in our family, and my experience of them and

others is all THE LANCET says. I sincerely hope that my regrets for thisseemingly ungenerous (though quite unintentional) hit may be madepublic, lest silence on my part may be taken as heartlessness.As to the latter part of the annotation in question, I will not discuss it in

detail, though I cannot help feeling that the pure and simple protest ofthe former part of the article would have been sufficiently to the pointwithout the latter. As an artist I have my own views, from carefulstudy, on the actions and positions of my horses and figures. Concerningthe background, I take it as a somewhat puerile and unfair criticism todiscuss details, where nothing is defined except the sunflowers (I maysay that I saw sunflowers in bloom on Sunday near Folkestone). I feelsure the readers of THE LANCET will not sympathise with the writerof the annotation in picking petty holes in the artist’s work justbecause he has happened to make a mistake (which all are apt to do),but which he feels very keenly, and for which he offers his most sincereregrets.Apologising for the length of this letter, and trusting you will do me

the favour to publish it, I am, Sir, yours faithfully,Pembroke-road, W., Nov. 3rd, 1885. A. CHANTREY CORBOULD.

*,* We insert Mr. Corbould’s note with great pleasure. Our respectedcontemporary, Pllnch, on nearly all occasions, treats our professionwith fairness, and even generosity.-ED. L.

Mr. R.Suzor, M.B., C.M.—The diagnosis of leprosy in oxen would not beaccepted without the strongest proof, clinical and pathological. Hansensaid, at the late International Medical Congress at Copenhagen, thatinoculated animals have not shown any morbid phenomena, and that,with the exception of the human organism, no being is known to besusceptible to leprosy. See also back number of THE LANCET forKobner’s experiments on fish, and Neisser’s article in Ziemssen’s

Encyclopaedia.HYDRASTIS IN DYSPEPSIA.

To the Editor of THE LANCET.SIR,—The American remedy, hydrastis, though not officially recognised,

has, more especially of late, been successfully employed in various diseases.That in this drug we have a therapeutic agent of great precision, efficiency,and manifold virtues, I have not the slightest doubt. Permit me todirect attention to its value in small doses in certain forms of dyspepsia.Given in drop doses of the tincture (made with proof spirit) three orfour times daily, between meals, is the mode of administration I wouldrecommend. Larger doses often produce aggravation of the symptomsand diarrhcea. In my experience there are three kinds of dyspepsia towhich it is applicable. The first is the dyspepsia of females, characterisedmainly bypain and sinking at the epigastrium, nausea, and constipation,and associated with general debility, nervousness, wandering pains, andpossibly leucorrhoea. The subjects of this variety are often intolerant oflarge doses of bismuth and other orthodox remedies; but, unless markedanæmia exists, they will speedily regain health and strength under theinfluence of hydrastis, which acts like a specific. The second form of

dyspepsia which is often greatly relieved by this drug is that associatedwith certain constitutional diseases, particularly phthisis and malignantdisease. Lastly, it is of signal benefit in the dyspepsia resulting fromthe abuse of drugs and alcoholic stimulants.-Yours truly,Wick, Oct. 26th, 1885. A. G. AULD, M.B., &c.

Mr. J.Laffan.-The best known is the Dalrymple Home, Rickmansworth ;but there are many others, for information concerning which we mustrefer to our advertising columns, or to the Charities Register. publishedby Longmans.

"MEDICAL STUDENTS."

To the Editor of THE LANCET.SIR,-I have read with much pleasure your article of Oct. 31st on the

subject of the medical students of the present time. Great interest inhospital work takes me very frequently into the society not only ofresidents whose student-days are recent, and in whose " passes" I havetaken a lively interest, but also into that of others engaged as dressers, &c.,whose Final has yet to be passed, and nowhere is it possible to meet withgreater courtesy, geniality, and good feeling. As I do not see thesegentlemen at work only, but also after it in their rooms, and when nooutsider is present but myself, I claim to know them better than mostlaymen have opportunities of doing ; and I can safely say that, go whereI may, the good qualities I have mentioned are conspicuous, and makethe hours I spend in hospitals the pleasantest of my life.

I am, Sir, your obedient servant,Wakefield, Nov. 3rd, 1885. LIONEL M. SWINNERTON PILKINGTON.

MEDICAL EXTERPRISE AT BUENOS AYRES.

AT Buenos Ayres a notice signed by eight medical men has recentlyappeared, to the effect that connexion by telephone will, on applica-tion, be made to the residences of any patients likely to need attendanceat night. Such a convenience, if offered, would doubtless be highlyprized and proportionately made use of in England, where the nightfees are not so high as they appear to be at Buenos Ayres.

Mr. J. M. Bain. - Ehrenberg’s Die Infusions-thierchen (1838), andTyndall’s lecture at the Royal Institution on Dec. 10th, 1877, will

probably afford the information required.Mr. W.R. Maguire—The matter shall be borne in mind.

BEER ACCOUNT AT EPSOM BENEVOLENT COLLEGE.

To the Editor of THE LANCET.

SIR,—To guard against prejudice I may preface this short letter bystating that I am not a total abstainer. I have read with great pleasureyour very sensible leading article of October 17th, on the use of alcoholin hospitals, and in which you admit the dispensableness of alcohol forordinary people, especially all young people in ordinary health." I amreminded in perusing that article of what has for years seemed to me aglaring example of its unnecessary consumption. I refer to the RoyalMedical Benevolent College at Epsom. I am a subscriber to thatexcellent school, and in reading the annual reports I find they join inthe general complaint of want of funds which is indulged in by nearlyall similar institutions. I have before me, however, the reports for thelast four years, and I find that in 1881 the expenditure under the itemof beer was £ 2.85 12s. ; in 1882, .6159 16s.; in 1883, £ 206 lls.; and in 1884,.823218s.; giving an annual average consumption for these four years ofjg221 4s. 3d. Had the College at Epsom been a convalescent home or ahome for the reception of invalids, the sum of C221 would still haveseemed a lavish expenditure in stimulants.. When, however, weremember that this school is attended by boys in good average health,and at an age when the use of alcohol is of very doubtful advantage; andwhen, moreover, habits of dependence on stimulants are so easilycontracted-it does seem to me from every point of view a dangerousand unwarrantable outlay. I am, Sir, yours obediently,November 3rd, 1885. RETRENCHMENT.

Mr. Molony.-We are unable to devote more space to the subject atpresent.

PILOCARPINE AS A GALACTAGOGUE.

To the Editor of THE LANCET.SIR,—The following case, confirmatory of the effect of pilocarpine in

restoring the secretion of milk, may be worth insertion in your columns.An infant of three months having contracted severe capillary bron-

chitis, the mammae were relieved by the breast-pump, and in a day ortwo gave no trouble. The child made a good recovery, when it wasfound that the milk had almost entirely ceased, rendering artificialfoods necessary. There being no sign of amendment, after some days Idecided to try the drug, and prescribed eight doses of gr. each of thenitrate. These were all taken in twenty-four hours without any observedeffect. A further eight doses were then prescribed of 1 grain each,three times a day. It was stated next day that these caused no moreeffect than before ; but there was certainly more milk, and draught feltstrongly. Eight further doses were then prescribed of gr. each-i.e., six grains in all. It appears that the patient took at bedtime thelast two doses of the second mixture together (= T8. gr.), and brought onthe peculiar effects of the drug very freely, which she described verygraphically. Nevertheless, the next morning she took a dose of gr.,with again some constitutional effects. The dose was thereupon reducedto gr., which caused no unpleasantness, and was accompanied by abun-dant secretion of milk. I am, Sir, yours obediently,Oct. 30th, 1885. A. G. B.

HOUSE-SURGEONS.To the Editor of THE LANCET.

SIR,-Allow me to address you on a common subject—namely,medical etiquette. I should like to remind certain gentlemen attachedto the staff of hospitals that very often they are greatly indebted tohouse-surgeons for the subsequent treatment and the laborious task ofcompiling some of their cases. It is in my experience as a long-standinghouse-surgeon, and that of others, that too often surgeons and physiciansneglect common politeness, and little credit is given to the house-surgeonfor his assistance, labour, care, and attention. Probably some valuablesuggestions have materially affected the result of a case. Most capitaloperations with the results depend a great deal on the way in which thehouse-surgeon and his assistants, the nurses, perform their responsibletask. However skilful and scientific the operator, it does not follow thatthe operation will be favourable; much depends upon the after-treatment.I pen these lines as it is not an uncommon grievance, and, reading THELANCET, an old interesting case of mine turned up, having been read atone of the Societies. Although I had done a good deal in the case nomention of the house-surgeon was alluded to.-Yours obediently,

Oct. 24th, 1885. HousE-SuRGEON.THE BRADLEY FUND.

To the Editor of THE LANCET.SIR,—As the following two subscriptions arrived too late for insertion

in;your last week’s issue, I hope you will kindly permit me to acknowledgethem in your issue of this week :-Dr. L. Nugent MacDermott, £ 1;Mr. J. Roche Lynch, 10s.-I remain, Sir, yours faithfully,Eastwood House, Chesterfield, Nov. tth. 1885. RICHARD JEFFREYS.

886

DEAFNESS IN LABIO-GLOSSO-LARYNGEAL PARALYSIS.

To the Edztor of THE LANCET.SIR,—I send you the following notes of a rather interesting case.T. H-, an old soldier aged about sixty, came to my surgery com-

plaining of deafness and singing in the right ear. I examined it, to seeif there were any cerumen, and found it absent. I asked a few questionsfurther, and noticed that his speech gradually became worse, and sodrew his attention to it. He replied that he had been troubled sometime with it, also with difficulty in raising his tongue and masticatinghis food, and that when he got his food to the top of his throat he hadto take some fluid so as to enable him to swallow it. Without detailingfurther the symptoms, I may say I diagnosed this as a case of labio-glosso-laryngeal paralysis, and from the history probably syphilitic. Thedeafness being so prominent on the same side-i.e., the right,-led me tothink that the sclerotic process was affecting the auditory nerve bymeans of the communicating filaments from the facial. I should be

glad if some of your readers would explain this.-Yours truly,Bury, Oct. 20th, 1885. JOHN B. KERR, M.B.

Mr. J. Hughes.—The information is scattered about in pamphlets and themedical journals, and has not, so far as we are aware, been publishedin a collected form.

S. L. might obtain information by advertising.Dr. E. Do)zaldso2?..-Yes.

SLEEPLESSNESS IN AN INFANT.

To the Editor of THE LANCET.SIR,-In reply to "Subscriber," who writes under the above heading

in your last issue (p. 838), asking for a line of treatment in a case he hasunder his care, I beg to say that for this very common and frequentlydangerous complaint I find the hydrate of chloral answers admirably. I

always prescribe it in cases where I see parents and nurses have consultedthe local druggist, and. as usual, procured one of the many preparationsof opium under the name of "soothing syrups." I give from two tothree grains for a dose, in simple syrup, every night when needed, andrepeat it in a hour or so if sleep should not be induced; but this isseldom necessary. The danger of continued sleeplessness lies in theprobability of its inducing meningitis, particularly during teething. Inthe event of this supervening, as indicated by rise of temperature,starting from sleep of a fitful character, general irritability, andfrequently convulsions, I have found the biniodide of mercury act like acharm in rapidly curing the affection. I prescribe it in solution in

potassic iodide, with grain doses of chloral, every two hours. Thus : -.R Sol. hydrarg. bichlorid., 3ii.; potass. iodid., gr. x.-xv. ; chloral,gr. xv.; syrupi, aquam ad, . Mix. One teaspoonful to be takenevery two hours. I am, Sir. your obedient servant,November 4th, 1885. C. R. ILLINGWORTH. M.D.

Mr. L. Farnzer (Port-au-Prince).-We cannot depart from our rule.Mr. Rideal.—The subject is under consideration.Dr. J. A. Sezcell.-Next week.

COMMUNICATIONS, LETTERS, &c., have been received from-Sir HenryThompson, London ; Prof. Buchanan, Glasgow; Prof. Gairdner, Glas-gow ; Mr. Erichsen, London ; Dr. 0. Sturges, London; Dr. Gowers ;Surgeon-Major Black, London; Dr. Steavenson, London ; Mr. LawsonTait, Birmingham; Mr. A. Wiffen, Brighton; Dr. J. A. Sewell,Folkestone ; Mr. J. F. Main, Wiesen; Mr. Myers, London ; Dr. J. H.Aveling, London ; Dr. Botsford, New Brunswick ; Mr. W. A. Duncan,London; Mr. Molony, Arklow; Dr. Sykes, Southsea ; Mr. Bruce

Clarke, London; Mr. W. Stewart, Burnsley; Mr. A. C. Corbould,London; Surgeon-Major Stevenson, Jullundur; Mr. J. G. Rogers,Cairo; Dr. C. Kelly, Worthing ; Mr. C. F. Rideal ; Mr. G. Brown,London ; Dr. Illingworth, Clayton-le-Moors ; Mr. Nelson Hardy,London ; Mr. J. Craig, Llandudno ; Sir L. M. S. Pilkington, Wake-

field; Dr. R. J. Lee, London; Mr. H. Belcher, Brighton; Mr. ShirleyDeakin, Southsea; Dr. W. M. Collins, London; Mr. W. A. Ellis,London; Mr. Reid, Chatham; Mr. H. Roberts, London; Dr. Pye-Smith, London; Dr. Menzies, Venice; Mr. Philip, London; Dr. B.

Beer, Vienna ; Mr. Hileken, London; Mr. M. B. Jackson; Dr. Jos.

Rogers, London ; Dr. Robinson, Dunscar ; Messrs. Hildesheimer and

Faulkner ; Messrs. Service and Co., Glasgow; Prof. McKendrick,Glasgow ; Mr. Blomfield, Paris ; Prof. Humphry, Cambridge ; Dr. F.Orton, London; Mr. T. L. Gentles, Derby; Mr. M. J. Bernstein.

Liverpool; Dr. S. West. London ; Mr. C. Roberts, London ; Mr. J. E,Cooney, London; Mr. Willett, Hove; Messrs. Grosvenor, Chater, andCo., London ; Mr. Woodland, London; Messrs. Clark and Co., London;Mr. Marder, Martock; Mr. Hope, Bloomsbury; Mr. Roberts, Rams-gate ; Dr. Dowding, Bournemouth ; Mr. Holmes, Staines ; Mr. Mapp,New Jersey ; Mrs. Motterson, Knowle ; Mr. Overton, Newton-le-Willows ; Mr. Bates, New York ; Mr. Beevor, Bingham; Dr. Hassall,San Remo; Messrs. Christie and Co., London; Messrs. Russell and

Co., Leith; Mr. Collins, London; Mr. Pratt, Cardiff; Mr. Maclehose,Glasgow; Messrs. Debenham and Co., London; Messrs. Kegan Pauland Co., Norwicli; Mr. Attley, Camberwell; Messrs. Hall and Co.,Birmingham; Dr. Blomfleld, Exeter; Mrs. Mittram; Mr. Kinder,London ; Mr. Wills, Newton Abbott; Mr Clarke, London; Dr. Saba,Cairo; Mr. Fairgreaves, Edinburgh; Dr. Thomas, Glasgow; Dr. Finch.Salisbury; Mr. Midgley; Dr. Jagielski, London; Messrs. Slinger andCo., York ; Mr. Oakley, Holloway; Messrs. Smith and Son, Birming-ham ; Mr. Newill, Bishop’s Castle; Mr. Harper; Mr. Lownds, New-castle-on-Tyne ; Miss Philbrick, C olchester ; Mr. Mitchell; Dr. S. T.

Anderson, Bloomington, U.S.A.; Dr. Brailey, London; Mr. Milner,Chiddingford ; Justice ; Ne quid nimis; House-Surgeon; Lady Super-intendent, Bath Hospital; Retrenchment; Medicus, Barnes; Nemo;Enquirer.

LETTERS, each with enclosure, are also acknowledged from-Mr. Player,Rushden ; Mr. Tanner, Wanglebury ; Mr. Smyth ; Messrs. Black

and Co., Brechin ; Mr. Ealand, Epsom ; Mr. Donovan; Dr. Harding,Wigglesea ; Dr. Pavy, London ; Dr. Lareux ; Mr. Stevenson,Folkestone; Dr. Wallen, Peterboro’; Mr. Marsh, Hindley; Dr. Eberle,Thirsk; Dr. Lovegrove, Hythe; Dr. Saul, Lancaster; Mr. Helsington,Bournemouth; Messrs. Lee and Martin, Birmingham; Mr. Stock.Bristol; Messrs. Bullock and Reynolds, London ; Miss De Luttichau.Holloway ; Dr. Oxley; Mr. Wheeler, Ilfracombe ; Messrs. Epps andCo., London; Mr. Sergeant, London; Mr. E. N. Smith; Mr. Bigmore.Haverhill ; Mr. Gallaher, Bishop Auckland; Messrs. Goddard and

’

Massey, Notts; Mr. Davies, Llandrindod; Mr. Bott, Bolton-le-

Moors ; Mr. Kinder, Leicester ; Mr. Marks, London; Dr. Needham,Gloucester; Mr. Clarke ; Mr. Brockelbank, London; Dr. St. George.Lisburn; Dr. Liveing; Mr. Murton, Shirley; Mr. Brown, Westgate-on-Sea ; Mr. Godfrey, Northampton; Mr. Taylor, Notts; Mr. Bird,Thrapstone ; Mr. Van Praagh, London ; Mr. McDonald ; Mr. Wolff.London; Mr. Orchard, Ebbw Vale; Messrs. Bennett Bros., London;Dr. Heelas, Bonchurch; Mr. Kirkley, South Shields ; Miss Sidney,Brighton; Messrs. Paterson and Co., London; F. W. B., Putney:Spero; C., Accrington; Alpha, Walsall; Milton Chemical Co., Glas-gow ; Medicus, Clapham ; H. R., London; Q.C.; B. A. H. ; Medicus,London; Patient; Medicus, Reading; Lomex; E. F.; Medicus,Brighton; C. J. G.,’Bristol; Medicus, Canterbury; Tenax; Medictis,Mottram ; Medicus, Bristol; Medicus; A. R., Salisbury; Medieus.Ebbw Vale ; J.M.; N. M., Bayswater; J. F. M., Southampton ; Alpha,Kettley Bank; Rectory, Bromyard.

Aberdeen Evening Express, West Briton and Cornwall Advertiser, SouthWales Echo Leytonstone Express and Independent, Barnsley Chronicle.YY’ales Echo, Leytonstone Evpresg and Independent, Barnsley Chronicle.Brixton, StreathaTn, and Norwood Times, Topical Yimes Manchester

Courier, Birmingha7n Daily Gazette, Invergordon Times, Hyères Journal,Musical Opinion, Animal World, 6-c., have been received.

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Post Office Orders should be addressed to JOHN CROFT, THE LANCETOffice, 423, Strand, London, and made payable at the Post Office,Charing-cross.

Notices of Births, Marriages, and Deaths are charged five shillings.Cheques to be crossed " London and Westminster Bank."

ADVERTISING.

The Publisher cannot hold himself responsible for the return of testl.monials, &c., sent to the office in reply to advertisements; copies onlyshould be forwarded.NOTICE.-Advertisers are requested to observe that it is contrary to

the Postal Regulations to receive at Post-offices letters addressed toI initials only.

An original and novel feature of .. THE LANCET General Advertiser" is a special Index to Advertisements on page 2, which not only affords aready 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, t o 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 addressed.Advertisements are now received at all Messrs. W. H. Smith and Son’s 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 Department in France-.T. ASTIEB. 66, Rue Caumartia. Paris.