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INDEX.

JULY-DECEMBER,

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Clinical: Delivered at Guy's Hospital. By John Hilton, Esq., F.R.S., Surgeon to the hospital.

Lecture III. Fractures of ribs connected with emphysema; case of fractured ribs from severe blows on the chest; emphysema manifested very rapidly, and as rapidly subsiding; complete recovery; mechanism of the escape of the air; why does the air not pass into the pleural cavity; influence of old adhesions in preventing the cavity of the pleura from filling with air; advantage of strapping in cases of fractured ribs with emphysema; escape of air into the areolar tissue without any external wound; possibility of air being admitted through the wound, as in fracture of the skull, thigh, &c.; more or less certainty as to the fact of the lung being injured; various ways in which emphysema may occur independently of broken ribs, air in the cavity of the pleura; air in the anterior and pos

terior mediastina.-Case of a boy who had emphysema, but no fracture of ribs, in whom the air occupied the posterior mediastinum.-Case of a young man with whom straining caused the rupture of pulmonary cells and diffusion of air into the posterior mediastinum; post-mortem examinationThe tracing of the course of the air when the pleura pulmonalis is not ruptured; causes of the symptoms manifested when air has penetrated the posterior mediastinum; the most common cause of emphysema is fracture of ribs, with laceration of the pleuræ; possible consequences of a severe blow upon the chest; the most frequent causes of emphysema; extent of the emphysematous distension; rapid disappearance of emphysema; the manner in which the air escapes, unknown to the surgeon; prognosis of fractured ribs, with emphysema; analogy with anasarca; treatment of traumatic emphysema, 158

Lecture IV.-Case in which the patient died with the calculus in the bladder; exhibition of the preparation; details of the case. The symptoms of stricture of the urethra and those of stone in the bladder com

pared. The pathological significancy of an habitually hot and dry skin. The importance of consultations. Should, in the present case, lithotomy or lithotrity be performed? Circumstances favourable to lithotrity. Question of the quantity of water which should be in the bladder during the operation of lithotrity. Appearance of the urine; microscopical examination. Determination of the lesion which produces hæmaturia. Reasons for not using leeches in peritonitis connected with diseased kidney. The advantages of washing out the bladder; quotation of a case in which this practice was especially useful.Symptoms of urea in the blood. Somnolency. Irritable bladder. Good effects of chloroform applied to the hypogastrium. Nervous irritability brought on by poisoned blood. Death by coma; post-mortem examination; urine in the cavity of the abdomen; pus in the kidneys; parietes of the thickened bladder of a green colour; attempt at an explanation of this phenomenon; cause of the thickening of the bladder, and of the formation of sacculi; decomposition of the urine retained in these sacculi, 334

Lecture V.-Remarks on the|
case of calculus in the blad-
der related in the last lec-
ture; recapitulation of the
facts of this case; consider-
ations touching the amount
of dilatation which the ure-
thra should undergo by the
use of catheters; rules re-
garding this dilatation,
which is generally carried
too far; the meatus urina-
rius is the criterion or
guage; case in which over-
dilatation might have done
much harm; another case
in which over dilatation and
slitting up of the meatus
failed to effect a cure; good
results in the same case ob-
tained by a second surgeon
in adopting an opposite
course; remarks on this
case. Question as to when
a stricture of the urethra
may be considered cured;
distinction to be made as to
the age of the patients.
Enumeration of the signs
which point out that a stric-
ture is quite cured-viz.,
1, unobstructed passage of
the instrument; 2, nature
of the stream; 3, complete
emptying of the bladder;
4, no ammoniacal odour;
5, absence of mucus or pus;
6, absence of any discharge.
Remarks on the causes of
constitutional disturbance
in cases of stone in the
bladder; disease of the kid-
ney one of the principal
causes; danger of resort-
ing to operations of any
kind with patients labour-
ing under disease of the
kidney; parallel between
the symptoms produced by
the presence of a stone in
the bladder and those de-
pending on diseased kid-
ney; symptoms exclusively
owing to the presence of the
calculus; case illustrating
such influence formerly
treated by Mr. Aston Key.
The operation of punctur-
ing the bladder through the
rectum for complete reten-
tion of urine; dislike of
some surgeons to the ope-
ration. Case of complete
retention of urine. Enu-
meration of the various
symptoms of stricture, and
remarks touching their
cause. Tumours in the
perinæum; necessity of
opening them early. Fis-
tulous apertures. Com-
plete retention. Bleeding
from the urethra from forc-
ed attempts at catheterism;
evil effects of this practice,
415
ecture VI.-Continuation of
the case of retention of
urine in which the bladder
was punctured through the
rectum. Fruitless attempts

at passing a catheter; dis-
charge of pus through the
meatus urinarius. The use
of opium in cases of reten-
tion. The surgeon should
endeavour to give relief
without an operation.
Symptoms of a full and dis-
tended bladder; distinction
between suppression and
retention. Anatomical rea-
sons why the bladder dis-
tends in a particular direc-
tion. Parallel between the
urinary apparatus and the
hydraulic press. Opera-
tion of puncturing the blad-
der through the rectum.
Description of the opera-
tion. Precautions to be ta-
ken when the patient re-
turns to his bed. Progress
of the case after the opera-
tion. Great improvement.
Blood in the urine; removal
of the canula. Severe con.
stitutional symptoms, death.
Remarks upon the likeli-
hood of peritonitis having
taken place; safety of the
operation. Post-mortem ex-
amination. Anatomical pre-
paration showing the course
of the trocar. Pathologi-
cal peculiarity of this pa-
tient's bladder. Consider-
ations about the cause of
death in this case. Reasons
why this patient's bladder
was punctured through the
rectum. Review of the
several methods of punc-
turing or relieving the
bladder distended with
urine-1, by forcing a ca-
theter into the bladder.
2, By puncturing above the
pubis. 3, By puncturing
through the perinæum. 4,
By puncturing through the
rectum. Recapitulation of
the reasons which support
the operation of puncturing
the bladder through the
rectum. Analogy with tra-
cheotomy in disease of the
larynx, and rest to the
strictured oesophagus in
giving nourishment by the
lower bowel. Case of pa-
tient nourished by enema-
ta for thirty-four days, 419
On lithotomy and lithotrity. By
William Coulson, Esq.

Lecture I., 83
Lecture II., 235
Lecture III., 315
Lecture IV., 387
Lecture V., 394

Lecture VI., 399

Lecture VII., 403

Lecture VIII., 408

On the psychological character of
the physician. By Forbes Wins-
low, M.D., F.R.C.P.

Lecture I., 91

Lecture II., 245
Clinical On disease of the glands
of the neck in children. By
Tyler Smith, 102

On diseases of the joints. By Sam-

uel Solly, Esq, F.R.S.
Lecture I., 104
Lecture II., 163

Lecture III., 338, 412
On a case of gonorrhoeal ophthal
mia. By John Adams, Esq., 342
On apoplexy and epilepsy; and on
an hospital for epileptics. By
Marshall Hall, M.D., F.R.S.
Lecture II.-On laryngismus
and tracheotomy, 3
Lecture III.-On an hospital
for epileptics, 155
On some of the more important
points in surgery. By J. G.
Guthrie, Esq., F.R.S.

Lecture IV., 13
Lecture V., 96

Lecture VI., 327

Lettsomian: Delivered before the
Medical Society of London. By
Henry Hancock, Esq., F.R.C.S.

Lecture III.-On abnormal
micturition, 19
On operations for the removal of
cancer. By John Simon, F.R.S.
Lecture I., 27

Lecture II., 167
Introductory: Delivered at the
various medical schools in Lon-
don. At the opening of the ses
sion 1852.

St. Bartholomew's Hospital,
372

St. George's Hospital, 378
Guy's Hospital, 373
King's College Hospital, 374
Middlesex Hospital School of
Medicine, 375

St. Thomas's Hospital, 375
University College Hospital,
378
Westminster Hospital, 378
School adjoining St. George's
Hospital, 379
Hunterian School of Medicine,
379

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A remarkable case of hirsute
growth in a female; with obser-
vations on certain organic struc-
tures and their physiological in-
fluences. By W. D. Chowne, 45,
172

Dislocation of both humeri, with
fracture of the femur. By
Charles S. Webber, 47
Displacement of both humeri. By
Hamerton Greenwood, 48
Practical remarks on eye diseases.
By James Dixon, 106, 429
On ovarian dropsy, treated by
pressure, &c. By I. B. Brown,
112, 266

Clinical illustrations of sub-acute
ovaritis. By E. J. Tilt, 114,
184, 270

Clinical remarks on a case of
empyema. By C. J. B. Aldis,
118

On an interesting case of gun-shot
wound. By H. Parker Lau-

rence, 118
The policy and pathology of in-
sanity. By Joshua Burgess,

119

Simultaneous dislocation of the
humeri. By Geo. Yeates Hun-
ter, 120

Malformation of the genital organs
and bladder. By Benjamin
Dulley, 120

Illustrations of the successful
treatment of cleft palate. By
John Avery, 177

On two cases of ovarian abscess.
With remarks. By H. Tanner,
180

A case of rupture of the jejunum,
caused by a kick from a horse.
Peritonitis; death in thirty-six
hours; autopsy; remarks. By
M. J. McCormack, 182
On a new-method of treating
dyspepsia. By J. Spurgin, 183
On some of the more important
points in the physiology, patho-
logy, and practice of midwifery.
By J. Power, 186, 256
Cases of hernia. By B. B. Cooper,
192, 262

On the employment of chloroform
injections in the treatment of
gonorrhoea. By Henry Behrend,
195

Case of puerperal convulsions from
cerebral congestion, treated by
bleeding and tartarized anti-
mony. By J. B. Mawer, 196
Report of an interesting case of
vaccinia and variola in an in-
fant. By T. C. Beatty, 197
Poisoning by strychnia; recovery.
By J. Cooper Forster, 198
On a case of vaccinia and variola.
By G. H. Hopkins, 199
Singular case of asphyxia By
George Parker May, 199
On a case of tumour obliterating
the vena cava, &c. By William
J. Cox, 261
Report of a

case of catalepsy
illustrating some new principles
of treatment in convulsive and
spasmodic diseases. By C. B.
Radcliffe, 265

Remarks on the effects of clothing
on cutaneous exhalation. By
Hayes Kyd, 348

On carbuncles and boils; with
especial reference to their pre-
valence as an epidemic. By
Thomas Hunt, 268, 355, 430
A contribution to clinical mid-
wifery. By N. J. Highmore,
269

On the triple or ammonio-magne-
sian phosphate occurring in the
urine and other animal liquids.
By. J. W. Griffith, 271
Cases of fissure of the anus and
ulcer of the lower part of the
rectum. By T. J. Ashton, 272
Case of bothriocephalus latus,
(Russian and Swiss tape-worm,)
occurring in an English child,
cured by the oil of male fern.
By Wm. Withey Gull, 274
Case of diseases of the aorta, and
hypertrophy of the left ventricle

of the heart; with remarks.
By John Topham, 275

Case of death from the formation
of a fibrinous concretion in the
heart. By Walter Garstang,
277

Removal of a carious os calcis. By
A. G. Field, 277

On a case of phlegmasia dolens of
the upper extremity, occurring
after parturition. By J. M.
Winn, 278

Case of rupture of the peritoneal
coat of the uterus. By Richard
Lee, 278

Cases of ovarian dropsy. By T.
H. Tanner, 334

On topical medication in the treat-
ment of diseases of the mucous
membrane of the air-passages.
By Horace Green, 346
Remarks on the effects of clothing
On certain important points in the

chemistry and pathology of the
urine. By Arthur Hassall, 197
Gout and trismus following injury
of the foot. By J. M. Salter,
349

Case of placenta prævia. By Geo.
Bennet, 350

Questions for medical jurists. By
Robert Molloy, 351

The cotyledon umbilicus in epi-
lepsy, By J. Grieve, 352
Fatal case of variola cotempora-
neous with vaccinia. By Robert
Fowler, 353

Case of ranula, successfully treat-
ed on the principle of mechanical
pressure By William Mac-
donald, 353
On the treatment of popliteal
aneurism by pressure. By W.
K. Swettenham, 354

On the treatment of diarrhoea by
sulphuric acid. By C. M. Miller,

424

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MEDICAL SOCIETIES :
ROYAL MEDICAL AND CHIRURGI
CAL SOCIETY :—
Remarks on hydrophobia, 48
A case of hæmorrhage from in-
version of the uterus, in which
the operation of transfusion
was successfully performed;
with remarks on the employ-
ment of transfusion generally,
50

On fibrinous deposits of the li-
ning membrane of veins, 51.
Case of inversion of the uterus
after parturition, proving fa-
tal in eighteen months, with
a tabular statement of the re-
sults of cases treated by oper-
ation, 52

On some of the principal effects
resulting from the detach-
ment of fibrinous deposits
from the interior of the heart,
and their mixture with the
circulating blood, 132

On the protection against small-
pox afforded by vaccination,
illustrated by the returns of
the army, navy, and the royal
military asylum, 134

On the diminution of the chlo-
rides in the urine, or their
absence from that fluid, in
cases of pneumonia; and on
the chemical composition of
the sputa in that disease, 135
On the structure, function, and
diseases of the liver; and on
the action of chologogue med-
icines, 136

A memoir on the pathology and
treatment of leucorrhoea, ba-
sed upon the microscopical
anatomy of the os and cervix
uteri, 138

An analysis of one hundred
cases of cancerous disease of
the uterus, 140

An account of a case of pulsa-
ting tumour, in which the
urine contained cancer cells,
140
Remarks on the pathology of
hydrophobia, with an account
of a case of that disease,
140

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A MIRROR OF THE PRACTICE
OF MEDICINE AND SURGERY
IN THE HOSPITALS OF LON-
DON, &c.

ST. GEORGE'S HOSPITAL:-
Removal of a tubero-cystic
tumour of the breast, 61
Supposed disease of hip-joint;
death from meningitis; au-
topsy, 123

Hernia of the cæcum and its
appendix; strangulation;
foreign body in the vermi-
form process; removal of
the latter; death; autopsy,
124

Apparently idiopathic teta-

nus; death; autopsy, 216
Encephaloid disease of the
lower portion of the femur;
amputation; recovery, 217
Supposed spina bifida in a
young man; enormous size
of the tumour; puncture;
tetanus; death; auptopsy,
217

Encephaloid disease of the

testicle presenting an en-
chondromatous induration,

219

Disease of the hip-joint of
several years' standing;
death; examination of the
joint, 298

UNIVERSITY COLLEGE HOSPI-

TAL:-

Lithotomy upon a child two
years old, 67
Impaction of a calculus in the
urethra of a little boy, 67
Case of a cyst filled with
watery fluid projecting into
the anterior chamber of the
eye; punctures; recovery
with perfect sight, 120
Successful rhinoplastic opera-
tion, 122

LONDON HOSPITAL:-

Aneurism of the abdominal
aorta, connected with pain
in the inferior extremity,
supposed to be rheumatic;
death; autopsy, 68
Cases of urinary calculus in
the female; lithotrity and
lithotomy, 122

Abscess of the lung following
pneumonia; death; au-
topsy, 215

Inguinal hernia; imperfect
descent of the testicle;
strangulation ; reduction

without operation, 362
KING'S COLLEGE HOSPITAL:-
Two cases of vesical calculus
in boys; lithotomy; re-
covery, 65

Talipes equinus; tenotomy,
rectification of the de-
formity, 66
Simple sarcomatous tumour
in the axilla; spontaneous
cure by disintegration, 125
Tumour in the axilla, 126
Operation for cicatrices from
burns, 210

Caries of the tuberosity of the
ischium; removal of ne-
crosed bone; caries of a
portion of the ilium; with-

drawal of a loose portion of
bone through an opening
made at a distance from the
fistulous tract, 210
Strangulated femoral hernia;
operation, 210
Encephaloid cancer of the

testicle; removal of the
organ, 211
Treatment of ununited frac-
ture by the introduction of
ivory pegs into the frag-
ments, 280

Scirrhus of the testis; re-
moval, 286

Gout from infancy, 287
Melanotic tumours in differ-
ent parts of the trunk, 288
Recurrence of an osteo-
cartilaginous tumour, con-
nected with the nasal pro-|
cess of the superior maxilla;
second removal, recovery,
288

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Acute inflammation of the
knee-joint and the whole

shaft of the tibia, in a
young subject; rapid sup-
puration and destruction of
part; amputation; reco-
very, 130
Carcinoma of the rectum;
artificial anus by Amussat's
method; temporary relief;
death; autopsy, 200
Traumatic tetanus; death;
autopsy, 201
Encephaloid disease of the

pelvis and upper part of the
femur, 203

Encephaloid disease of the

femur and ilium, 203
Fracture of the skull in a
child; hernia; cerebri ; re-
covery; subsequent death,
203

Encephaloid disease of the
humerus; amputation of
the shoulder-joint, 206
Strangulated hernia in a child
ten weeks old; operation;
recovery, 289
Strangulated hernia in a child
five months old; operation;
recovery, 289
Strangulated congenital her-
nia in a child ten weeks
old; operation; death, 290
Epidemic of carbuncular in-
flammation of the lip, 291

Second case.-Illustrating the
mild variety, 291
Third case.-Illustrating the

very simple variety, 291
Encysted hernia in the right
inguinal canal; abnormal
situation of the right testi-
cle; strangulation; opera-
tion; recovery, 358
Inguinal hernia of the right
side; imperfect descent of
the testicle on the same
side; strangulation; forms-
tion of a watery cyst: ope-

ration; recovery, 859
CHARING-CROSS HOSPITAL:-
Removal of one-half of the
lower maxilla for Be-
condary cancerous mani-
festation, 132
Hysterical paralysis, 223
Rapid necrosis of the tibia;
amputation above the knee.
according to Mr. Luke's
method, 284

Fissure of the soft and hard
palate; operation, 286
Medullary tumour of large
size, situated in the right
inguinal region; partial re-
moval; death; autopsy, 362
ROYAL FREE HOSPITAL:-
Fissure of the soft and bard

palates, and of the aveclar
arch; operation upon the
velum and osseous parts,
64

Cases of stricture of the
urethra treated with the
urethral guide and tubes,
131

Case of bite from a viper ;
severe symptoms; recove-
ry, 216
Irreducible femoral hernia;
severe pain occasioned by
the truss; removal of the
adherent omentum and s
portion of the sac by ope-
ration, 436
WESTMINSTER HOSPITAL.—
Treatment of ulcers by the
exclusion of atmospheric
air, 69
MIDDLESEX HOSPITAL:-
Fracture of the tubercle of
the tibia. Case of fracture
of the patella, with an
anchylosed knee, 70

Two cases of scirrhous cancer
of the breast of twelve
years' standing; former ab-
lation of the organ in the
first case; non-interference
in the second, 297
ST. THOMAS's HOSPITAL:-
Gangrene of the feet from ex-
posure; amputation of both
legs; recovery, 206
Encephaloid disease of the
testicle; removal of the
organ, 208
Encephaloid disease of the
testicle; post-mortem ex-
amination, 208

Severe neuralgia arrested by
surgical operation, 209
Melanotic tumour growing
from the heel; amputation
of the leg, 294

GUY'S HOSPITAL:-

Carcinomatous tumour at-
tached to the uvula and pos-
terior pillar of the fauces;
removal; recovery, 63
Aneurism of the aorta, en-
croaching both on the chest
and abdomen; death; au-
topsy, 129
Encephaloid disease of the
lower portion of the femur;
amputation high up; new
tourniquet; recovery, 219
Cases of amputation at the
shoulder joint, 221
Severe injury to the upper
part of arm by machinery;
amputation at the shoulder-
joint, 221
Encephaloid disease of the
clavicle and scapula, 222
Treatment of ununited frac-
ture by the introduction of
ivory pegs into the frag-
ments, 279

Amputation of the little

finger; dangerous symp-
toms manifested after the
administration of chloro-
form; resuscitation by gal-
vanism, 283

Cysts of the female breast in
communication with a lac-
tiferous tube; operation;
microscopic investigation,
433

Kick on the abdomen; pre-
vious reducible inguinal
hernia; anomalous symp-
toms; perforation of intes-
tines; peritonitis; death;
autopsy, 435

ST. MARY' HOSPITAL:-
Lithotomy on a little boy, aged
one year and eleven months,
62

Severe hæmorrhage from the
gums in a little girl, 62
Removal of a large intra-
uterine polypus, 127
Traumatic stricture of the
urethra; treatment by di-
latation, and subsequently
by incision; chorea; death;
autopsy, 211

Fracture of the humerus;
delirium tremens; death;
auptosy, 213

Aneurism of the left carotid

artery close to the origin
of the vessel; Brasdor's
operation, 213

Injury to the upper part of
the left arm; amputation
at the shoulder-joint;
death, 214
Compound fracture of the

hand, with extensive lacera-
tion of the integuments and
tendons; recovery without
amputation, 293
FREE CANCER HOSPITAL:-
Large medullary cancer of
the superior maxilla and
malar bone; death; au-
topsy; transformation of
both bones into medullary
substance, 292
PECKHAM HOUSE ASYLUM :-
Extract from the
book," 295

"case-

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EDITORIAL.

Present position of vaccination, 79
Inoculation for small-pox, 306
The Suffolk imposture, 306
The pathological formation of fat,
308

Blood-changes in disease, 309
Condition of the blood in starving
animals, 309

The Hunterian museum, 364
French lunatic asylums, 364
Address to students, 365
The medical treatment of the late
Duke of Wellington, 439
Specialism in medicine, 440
The recent occurrence at Bethle-
hem, 442

Drunkenness and its cure, 443

REVIEWS AND NOTICES OF
BOOKS.

The diseases of the bladder and
the prostate gland, 76
The pestilence in England, 77
On fatty degeneration of the
placenta, 78

Homœopathy unveiled, or ob-
servations on Hahnemann, his
doctrines and treatment of
disease, 78

A practical treatise on chemical
analysis, including tables on
calculation, 79
Class-book of botany; being an
introduction to the study of the
vegetable kingdom, 79
Animal electricity; being an
abstract of Dr. Du Bois-Rey-
mond's Discoveries, 144

On the anatomy and physiology
of the male urethra; and on
the pathology of strictures of
that canal, 144

On diseases of the liver, 146
Physiological researches, 147
The medical manual for apothe-
caries' hall and other medical
boards, 149

Pathology of the human eye, 149
The stomach and its difficulties,
149

On rheumatism, gout, and neu-
ralgia, as affecting the head
and ear; with remarks on
some forms of headache, 226
The physical diagnosis of dis-
eases of the abdomen, 226
Lectures on clinical medicine,
227
Insanity; its causes, preven-
tion, and cure, including apo-
plexy, epilepsy, and conges-
tion of the brain, 228
Cyclopædia of anatomy and
physiology, 228

Disease in childhood; its com-

mon causes, and directions for
its practical management, 229
On the diseases of the kidney,
their pathology, diagnosis and
treatment; with an introduc-

tory chapter on the anatomy
and physiology of the kid-
ney, 300

A practical treatise on diseases
of the skin, 302
Great artists and great anato-
mists, 303

The spirometer, the stethoscope,
and scale-balance; their use
in discriminating diseases of
the chest, and their value in
life offices, &c., 303
Lectures on the principles and
practice of midwifery, 368
A compendious history of small-
pox; with an account of a
mode of treatment, constitu-
tional and local, which ren-
ders the disease comparative-
ly harmless, and prevents
those deformities occasioned
by the ulceration of the skin,
371

Report of the proceedings of the
Pathological Society of Lon-
don, 444

Facts and observations on the
physical education of chil-
dren, &c., 444

A commentary of medical and
moral life; or, mind and the
emotions considered in rela-
tion to health, disease, and
religion, 444

Handbook of natural philosophy
and astronomy, 444

Practical observations on dis-
eases of the lungs and heart,
445

Lectures on the physical diag-
nosis of the diseases of the
lungs and heart, 445
Practical remarks on palpitation
and other functional diseases
of the heart, 445

The nature, symptoms, and
treatment of consumption; be-
ing the essay to which was
awarded the Fothergillian
gold medal of the Medical So-
ciety of London, 445
The journal of psychological
medicine and mental patholo-
gy, 448

A manual of elementary chem-
istry, theoretical and practi-
tical, 448

The cyclopædia of anatomy and
physiology, 448

On corns, bunions, and in-grow-
ing of the toe-nail, 448

FOREIGN DEPARTMENT.
New mode of treating varicose
aneurism, 149

A West Indian remedy for tænia
solium, 149
Amputation of a healthy upper-
jaw, as a preliminary step to the
removal of a fibro-plastic tumour
of the pharynx, 330

A new way of taking cod-liver oil,
231

Occulists in Turkey, 231

Baneful effects of hard cider in
Paris, 231
Chloroform ointment for hemi-

crania and neuralgia, &c., 231
Curious case of neuroma pervading
all the nerves of the economy,
303

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