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versally execrated it. It must have done murder pretty openly, and actually, or it would not have suffered abolition after having performed sundry cures, of which the following is a specimen. It is recorded in the "Med. and Phys. Journal" for 1803 (forty years before Priessnitz turned quack, and found plenty of bankrupt somebodies to join him), vol. ix., P. 549:

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Nearly two years ago," says the narrator, a respectable surgeon, "after a day of great fatigue, I had occasion to walk, au soir, over a considerable extent of pasturage land, the grass of which was wet. I had not proceeded far before I began to feel uneasiness in my right ankle and foot, which, before the end of my ambulation, became so very painful that I was unable to walk without frequent haltings. I obtained no remedy from rest, for, the next day, the complaint appeared to be aggravated. The foot was swollen and turned awry, bending inwardly; this deformity was so great that a medical acquaintance affirmed there must be a luxation of bone. I knew, however, the complaint was only muscular. The ankle and foot were coloured with a rheumatic redness. In a few weeks erratic rheumatism afflicted every

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MEDICAL REFORM.

LETTERS

TO THE MEMBERS OF

THE PROVINCIAL MEDICAL AND
SURGICAL ASSOCIATION.
BY A GENERAL PRACTITIONER.

LETTER VII.

GENTLEMEN,-Although I intend that this letter shall close the series, in which I have exposed the short-comings and the political profligacy of the Council of the Provincial Association, yet I shall not fail to keep a vigilant eye upon all questions that involve the interests of the general practitioners, and shall, on all proper occasions, give you such counsel as I may deem necessary for the maintenance of your honour and the safety of your privileges. Whether the Editor of your transactions yet choose to consider me well or ill informed upon the complicated questions that have been embraced in these letters, I care not, and I am content to stand or fall in public estimation by what I have written. Whether a man acknowledge the authority or not, this is, after all, the tribunal which must pass judgment upon his labours. I am perfectly satisfied

with the arbitrator.

Grosser acts of misgovernment, of betrayal of interests, of artful tampering with great public prin

exertions to compass private and sectional advan-
tages, have never, perhaps, before been exhibited to

the reproach of an intelligent public. Yet these

Mr.

tion, and dropped stillborn from the womb. How did the Council act in reference to Mr. Daniell's Benevolent Fund? The same arts were put into play-a committee, a report, and a speech-and then sentence of condemnation was pronounced. The Council repudiated a scheme which I earnestly trust will flourish without their support. Daniell is right in withdrawing it wholly from their patronage; their assistance would be an incubus which would stifle it in its infancy, and leave it, like everything else they have fostered, an exanimate corpse. Their own Benevolent Fund is another failure, and, but for the unremitting exertions of one or two individuals, must have long since become defunct.

These, gentlemen, are the results of fourteen years' labours, and of the ANNUAL expenditure of two thousand pounds of public money. Yet I charge you more than them: it is your apathy, indifference, and want of attention to your public duties and private interests that have been the cause of such a profligate and unfruitful expenditure. The Council now follow out a system-they are bound by its chains, and walk in the track that fourteen years' of circumambulation have beaten out for them; it is your business to break up this useless combination, to excise the malignant tumour that now consumes the nutriment that should supply the wants of healthy structure.

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the abettors of the ancient régime, the self-interested

Young Physic" must measure its strength with

patrons of exclusive laws, and jobbers in corporate

guilt. In speaking of "Young Physic," I do not

mean the Young Physic of that Quixotic philosoare all-" all honourable men"! They are respectable in their private character, courted for their phist and pedantic drudge, the Editor of a certain influence, and eulogized for their urbanity and learn- quarterly journal, and also a member of the Council of the Provincial Association, who has lately ening; yet this does not prevent them from perform-deavoured, in his extreme ambition to be brilliant, ing, in a public capacity, acts the most scandalously and extreme fondness for speculation and literary mean and degrading, and of betraying, for personal casuistry, to elevate two systems of quackery into benefit, a public trust. In reading their documents, the dignity and respect of authorized science. I and tracking the sinuosities of their career, I have mean "Young Physic" in the full demonstration been struck with their inferiority of intellect― with of its working powers-in its aspiration for true of intricate affairs, and of that quick-sighted and the want of those comprehensive and masterly views science, and professional independence and honour, searching intelligence that unravels difficulties, deas they are daily exhibited in the growing intelligence and power of a large section of our legallytects the result of unexpected combinations, and applies its exhaustless resources to meet every practising members. It is in our own ranks that hazard with celerity, confidence, and skill. They define the idea, it is especially in the ranks of the we must look for Young Physic; and, if we would are manifestly and deplorably wanting in all these general practitioners. qualifications for leadership in a great public movement; but they are, on the other hand, adroit proficients in every juggling turn and secret ambuscade that can promote their own little interests. They have also sufficient plausibility to deceive whom they intend to betray.

joint of my body. I had sometimes lumbago, ciples, of stealthy hopocrisy, and of persevering
at other times rheumatism in my shoulders, so
badly that it was with difficulty I could put on
my coat; in my wrist, that I could not supinate
my hand; in my knuckles, that I could not
pare an apple. In truth, for upwards of a year,
I was lame and decrepit. To be plain, my in-
firmities began at last to acquire me the
odious appellation of the lame doctor.'
You may justly suppose I was solicitous
to get rid of my vexatious companion'
rheumatism. I used most of the medicines
commonly prescribed for that disease, and
also electricity. As for electricity, I should
have been equally benefited had I merely
rotated the electrical wheel. It is worth re-
marking, that, soon after the accession of rheu-
matism, I removed to another part of the globe.
I dwelt four months within the Tropic of Can-
err; yet a hot climate, and all the medicines
I had taken, did not procure me a remission of
the disease. Returning to England, I deter-
mined to try the effects of immersion into
cold spring-water. I continued, indefatigably,
the use of immersions nearly four months. I
constantly bathed once, frequently twice, and
sometimes three times, a day. At each immer-
sion, I usually swam about in the water for a few
minutes. For the first month the bathing
seemed to have no other effect upon me than a
remission of rheumatism while I was in the
water. In the course of the second month I
was more encouraged to proceed in my cold
plan. At last I relinquished the cold bathing,
because it was unnecessary to seek further for
what I had already found—a perfect recovery."
We challenge novel hydropathy to furnish a
cure like that; and, if our pages permitted the
room, we could provide parallel instances of
killing by cold water, which the present system
can hardly transcend.

APOTHECARIES' HALL.-Gentlemen admitted members Dec. 10:-Julian Watson Bradshaw, Wm. Philson, Edward L. West, and Jonathan Barber.

Although possessed of an annual income of nearly two thousand pounds, they have done nothing for science, nothing for the social benefit of their brethern, nothing for their political amelioration. The money has been squandered, and at this

moment there is not one result at which we can

point and say, "This is the memorial of the labours
of the Provincial Association"! They have raised
for us no marble monument to commemorate their
learning or their patriotism; when they shall have
disappeared from the scene of action, all that will
for the undying scorn of posterity.
remain will be the record of two names cut in brass

What, gentlemen, has become of the " SCHOOLS
for the education of the sons of medical men,"
which Mr. Martin so zealously sought to establish?
They have no existence: committees were appointed,
reports made, and speeches delivered in eulogy of
their advantages; but the Council took no decisive
step to encourage their establishment. They were
conceived, passed through a short period of gesta-

designation of that large class who form the ad"Young Physic" is an appropriate title for the vanced guard of medical regenerators. They should embrace it, and league themselves together in the spirit which the appellation so strikingly expounds to the public ear. It is the spirit of scientific inquiry, of zeal for truth, of respect for the distinctions of merit, and the resolution to acquire them, of social advancement and professional emancipation; it is the spirit that shakes off the

scaly incrustations of ancient abuses, and mounts unrestrained and pure with a panting desire to ally itself with all that is just, and wise, and universal. Its sympathies are in unison with the glorious revelations of moral greatness, with the potential determinations of will, with the undeveloped essentialities that are now breathing out their inspiration, and animating us to the achievement of the greatest enterprise which the professional masses have ever undertaken.

There are powers in the younger components of our profession which authorize the noblest anticipations of our future eminence and influence as a section of society. Our science associates us with every great improvement in the arts, and with every attempt to ameliorate the political condition

of the people. We send forth a greater number of labourers to the fields of philosophical research than any other department, and some of the most brilliant and useful discoveries of modern times have been made by our brethren. Political science, in its present experimental state, is a nullity without the information and opinion of medical men ; no social reorganization can be effected until counsel be taken from our experience, and principles be adopted in conformity with the sanctions of our science. In the same degree that the health and social comfort of the people become the object of legislation will the science of medicine be recognised as the lawgiver to the state.

Our strength is in civilization, in advancing knowledge, and public enlightenment. We flourish not upon abuses, nor do we loom into magnitude from the shadow of darkness. As the truth shines upon the regions around us, it brings into prominence our superior claims. Truth is our friend, and let us be ever a friend to truth.

Now, gentlemen, I must conclude this series of letters. Some of you may think that I have dealt harshly with the offenders who have been the objects of my censure, but none of you can say that I have not exposed facts that have warranted the most indignant reproaches. It does not fall in the way of every man to become acquainted with the cunning and malversation of public bodies, nor is it necessary that every man who knows the wrong should be a voluntary prosecutor. The duty, however, must be done by individuals, and it is more incumbent on some than others; but whoever undertakes it must perform it in a truthful, unsparing, and unblenching spirit. In this spirit I have acted, and I do not think that I have brought one charge that I have not proved, nor hurled one denunciation that has not derived its force and sting from the evidence.

I must state to you again, however, that when my duty terminates, yours begins. You must repeat the blow that I have struck; and, if you believe that what I have written is true, you cannot, without a blush, consent to be the associates, supporters, and puppets of men who have so long used you for the advancement of their own interests. If you do, then I have mistaken your temper:-instead of writing to men, I have been addressing eunuchs whom party connection and weak prejudices have emasculated. I shall not believe that you are thus degraded until you prove it by your own act. No: I have entire confidence in your manliness and independence, and believe that you will not hesitate to withdraw from so injurious an alliance.

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While willingly admitting the candour and sincerity of each, it may be permitted me to make the following remarks on the error which the opposer of Hahnmann is said to have committed, and from which the esteemed friends, as yet tyros in this school, are lamented not to have escaped. body to be in the best possible state of probation Your allopathist, on the one hand, declared his for experiment, and courageously exposed it to the entire range of Hahnemann's infinitesimal battery; your homœopathist, on the other, so far from feel ing disposed to give due merit to this voluntary martyrdom in the cause of science, rather grumbles, that the doctor did not previously mortify the flesh and present himself a more appropriate and meet offering at the shrine of his revered master.

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Your Norwich correspondent then asserts, for he does not attempt to prove, that it is only in cases of disease, where morbid symptoms are present, that their medicines prove homoeopathic, and, cousequently, that it is absurd to expect any effects from them, unless those pathological symptoms are apparent, or the experimentalist's body so prepared as to be delicate, irritable, and sensitive to their minute doses. An illustration is advanced to enforce the weight of the assertion, and agents from every kingdom of Nature are invoked. The homoeopathist here, however, altogether forgets that some of these substances-"musk," aroma of hay (anthoxanthum odoratum, L.), &c., will positively not affect the body when in an abuormal state, for instance, when the mucous membrane of the nares is inflamed, as every one who has had a "cold in the head" must have experienced. We perceive, then, that so far, at least, as regards the substances mentioned, health is no obstacle to the action of these medicinal agents; nay, on the contrary, that it is absolutely essential to their action. If, therefore, health be a paramount requisite in producing medicinal symptoms from substances taken in an extreme state of dilution, the rational experimentalist body when trying the effects of other attenuated would naturally choose the same normal state of substances on the same. He never could infer that his body, preparatory to the experiment, should be in a state of disease. The allopathist, then, having observed no symptoms from the diluted medicines he took, was borne out in the conclusion solely to their inertness, for he could, at will, prohe drew, that their absence was to be attributed duce effects by simply increasing the dose. As to the abnormal symptoms which the experimentalist said he felt after taking a large number of globules -viz., heat, dryness of throat-I look on these as either purely accidental, or produced from the spirit of wine in which the medicines were diluted. Each globule contains six drops of strong rectified spirit; now supposing he took, at least, twenty globules, he would then have taken about two teaspoonfuls of spirits-a quantity sufficient to produce the above symptoms on a person who declares he has abstained, for many years, from all stimulants. To ask, why, if these infinite minute particles [To the Editor of the Medical Times.] affect the body even in apparent health, other par"Doctors dispute with rancour and illwill; ticles of matter should be deemed incapable of actThey form systems, doomed too sure to kill." on the body in a state of disease; to this, I reply, SIR, The discovery of truth must always afford that as the terms contained in the question are not unmixed pleasure to an intellectual mind. How-correlative, it is impossible to give an answer. ever tedious and perplexing may be the process which elicits that truth, a successful result will more than amply repay the toils of investigation. Medical science, more, perhaps, than any other, demands a cautious and doubting temper: for, as it has no fixed premises on which to base its reasoning, we must be often obliged to hesitate in considering the due relation between cause and effect, and, therefore, frequently disposed to arrive at

I have the honour to be, Gentlemen,
Yours very faithfully,

VOX VERITATIS.

MISCELLANEOUS CORRESPONDENCE.

conclusions far from truth, the correction of which requires much time and patience. So long as the

What can be predicated of the one-health-cannot
be predicated of the other, viz., disease.

It is to be regretted that the allopathist did not
commence his ordeal by taking the bark, in the
usual doses, and observing if intermittent fever was
produced for this alleged result is the key-
stone on which Hahumann's entire medical fabric
is supported; from this he proclaimed to the
world his great evрņka, "similia similibus curan-
tur." With regard, however, to this vaunted dis-
covery, it must be lamented that we are left so much

in obscurity: the doses, the time of taking them, the peculiar type of fever produced, are carried with Hahnmann to the grave. One might suppose that the founder of a system would have been most scrupulous in noting the particulars of an experi ment, on which not only his own fame and repu tation depended, but which if true, would prove so very beneficial to mankind. The allopathist may, indeed, try the experiment, but I fear he will find himself in the same position, and require the same patience as the rustic immortalized by the Roman bard A

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"Rusticus expectat, dum deffluit amnis, at ille 79 Labitur et labitur in omne volubilis ævum." Leng I cannot conclude without expressing my grati fication to your allopathic correspondent for the and exposed the "disjecta membra,” the “ similia very able and lucid manner in which he dissected similibus," of Hahnmann.

Sir, apologizing for the length of these remarks, I beg to subscribe myself, to your useful paper; always

TENAX

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16

"Candidus" sets out by assuming what has no existence, and then passes judgment upon the ge neral practitioner, by calling him in no very ambia guous terms, "Thief." I must hope that Can didus" sent you his name before you admitted his letter; and I have not much doubt that so directly personal is his epistle in some parts as to justify a belief that he is amenable to the usual forms of society for the coarseness of his attack.

I gather from "Candidus" these charges against the general practitioner:-Ist. That he sends mach more medicine to patients than their condition and disease require; 2nd. That he is not the friend of the poor which he pretends to be. “Candidus" has given us nothing but general censure, un supported by one single fact. I shall not follow dence which cannot be disputed, that his assump so bad an example, but endeavour to show, by evi tion is false, and his judgment malignant. His first assertion is, that we give drugs in excess merely for the purpose of obtaining a greater amount of remuneration than the nature of the dicus," and proceed to the evidence in support of services justify. Now, here I join issue with "Canmy denial."

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Some time ago I required a consultation with Dr. Bright, and we met according to appointment. After seeing our patient we retired into another room, und, having agreed upon the mode of treat to write his prescription, I stopped him and said ment, the doctor took up his pen, and, being about "You know my plan is never to send medicine merely for the sake of having an opportunity to make a bill, but always to charge for my profes sional visits where medicine is not required, or, if required, not in such quantity as to pay me for my time." His reply was-"Well, that is all very correct, but really the public is very much abused on this point. In consequence of this notion, that medicines are given in excess, the wealthy part of the community does not get one half the quantity which is absolutely necessary in the treatment of disease, and I can assure you that my hospital patients get double the medicines that the rich do, because I am unshackled in my treatment by any erroneous feeling; and no one can suppose that we prescribe more drugs for hospital patients than are absolutely necessary."

I presume that "Candidus" will not doubt Dr. Bright's honour, call in question his experience, of dispute his judgment; and I appeal to the reports of cases in your journal for the confirmation of this fact that in all the hospitals of this kingdom the poor receive more drugs in the treatment of their maladies, than the rich do in their private dwellings.

In support of this statement, I know that the medical department of one of our large hospitals cost the friends of that institution more than £6,000 in

one year for drugs and medicaments.

purpose.

If any one doubt these statements, let him go to the wards of any of our hospitals, and examine the treatment as recorded in the books kept for that sellaving disposed of one part of the charge against us by evidence of an unanswerable and public nature, I proceed to adduce another refutation from a private source. 18 took the first ten names entered upon my daybook of this the 30th of November, and having made an aggregate of the medicines sent to these ten persons all occupying stations of great respectability, and perfectly ready to take what ever was sent them I found the amount to be 26s., giving something more, upon the average, than 29, 6d. each; one of these patients living three miles and a half from my door.

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belt can be said that I am an exception. Sir, I know that I am no exception, but that all my professional brethren are more anxious to hold the confidence and affection of their friends, than to rob them of their money by sending drugs. The gratuitous and ill-placed attack of "Candidus," as to our devotion to the poor, and our motives, exhibits the very grossest ignorance.

Did "Candidus" ever hear of the cholera? Is he old enough to remember the visit which that frightful | malady made to this country some years ago? Does he remember or forget how many of his order ran away from their post, and left the poor to the tender mercies of the general practitioner? and does he know how the general practitioner met the pesti lential curse over the whole length and breadth of the land? I will tell him-just as poor Sidney Bernard, of the Eclair, did-by devoting himself to the wants and necessities of the poor, and in supplying him not only with those horrid drugs which 9 shock the delicate sensibility of "Cundidus," but with food and money also.

Je I have been mixed up with the poor, more or less, for nearly forty years, and during all that period I have seen enough to convince me that no law ever has been, or ever can be, passed by the Legislature of this country, which will do other wise than leave the poor, in their hour of sickness and destitution, to the benevolence and kind feeling of the general practitioner. And I will add more, that during all that time I have never met with one single instance of gross ingratitude from any of the poor, towards whom I had ever shown offices of kindness.

9. Every simpleton must be aware that the Poor Law has failed, in consequence of the framers of the bill having misunderstood the relation in which the poor stood to the general practitioner. So far from feeling any degradation from using and compounding my own drugs, I really feel that it gives us an immeasurable superiority. Many of my friends to whom I have given prescriptions on their leaving home, have declared that they have never been able to get them made up twice alike; and every one must be aware how ignorant the other classes in medicine and surgery are of all that belongs to the very instruments by which they hope to effect the cure of disease. 【*

Is this wise? is it honest? No, Sir, it is false

pride, and deserves contempt. It is, in fact, another phase of quackery, substituting parchment and assumption for that elementary knowledge which is essential to the formation of a perfect medical education. SENEX.

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974

THE COLLEGE OF SURGEONS.

[To the Editor of the Medical Times.] SIR,-The great question of Medical Reform, which the profession have now determined to take up in earnest, is one so inseparably mixed up with the regulation and conduct of our colleges that it is impossible to enter upon the one without involving the other. No one can have the effrontery to say that our colleges represent the heads of the profession. As well might the Dean and Chapter of Westminster try to convince us that they represent the heads of the Church, or that the Society of Lincoln's Inn represents the head of the Law.

I am sure I can most faithfully say, as regards the College of Surgeons, that it is a complete

!

failure. I have no desire to belong to such a college, nor are they acknowledged as the head; neither should I feel the smallest honour in being elected to its councils: for what honour is it to elect yourself, and what honour is it to be associated with infidels and open revilers of revelation-with men who not only have no bowels of mercy for their poor and destitute professional brothers, but who use the lowest qualities of mind to deceive the public into the delusion that their own members are inferior to them?" The eye cannot say unto the hand, I have no need of thee; nor again, the head to the feet, I have no need of you." Are colleges practising such ignoble conduct as this, to be called the head of a profession? Was it for the manifestation of such unusually sordid and detestable conduct, as the Council of the College of Surgeons have been guilty of, that the heads of other professions have been brought down to posterity, riding on bronze chargers and standing on the tops of Corinthian columns? I have been taught otherwise. Let me ask a question: what constitutes, in any profession, a great man? When Rome was in its zenith, what was the highest reward given to those citizens who, by their deeds, had made themselves great? Did the mural or the naval crown precede the civic? By no means; on the contrary, he who wore the civic crown had the right of sitting in the public theatres, on the bench adjoining those allotted only to senators, who all stood up in deference, on the entrance of him who wore it. Thus, he who regarded the life of a fellow-citizen was more highly esteemed than he who could take a city or gain a battle. We are thus led to understand, that when the greatest city of the world was in her highest glory, the development of the noblest feelings of our nature was more highly distinguished than the mere naked talent. But in this country a man may be a perfect misanthropist, an infidel, a manslayer; but none of these are a barrier to the self-elected Council of the College of Surgeons, who, pure in their own estimation as the vestals of old, and, as if to mock their purity, have the maces of the Prætors borne before them.

pupil and assistant, and, therefore, had the opportunity of carrying into practice his instructions, and also of assisting him to carry out those principles practically to his class-to say that, if Dr. Torbock will refer to Dr. Campbell's work on Midwifery, &c., published in 1833, he will find that, years previously to that date, stimulants were employed by him in extreme cases of uterine hemorrhage; which practice I then pursued, and still continue whenever a case presents itself, never having used any stimulant but the Ol, terebinth., and that more or less diluted (its effects always proving highly satisfactory to me). Other stimulants might prove equally efficacious and safe, and I think the suc cess which has attended Dr. Radford's cases may very properly be attributed to the stimulant effects of galvanism. I have always considered that, in the extreme cases of uterine hemorrhage arising from exhaustion and a relaxed state of the uterus, local stimulants are indicated, and I should be very much more disposed to place confidence in them for their speedy, permanent, and safe action, than to any other means with which I have been made acquainted.

The subject is of such vital importance that I trust Dr. Torbock will not neglect to favour us with his cases. GEO. WOOLLAM, M.D., &c. Ashton-under-Lyne, Dec. 14.

EXTRAORDINARY CORONERS' INQUESTS.

[To the Editor of the Medical Times.] SIR, I send for your perusal the reports of two inquests, held last week at Stratford-on-Avon, extracted from Berrow's Worcester Journal.

The first case is remarkable, as showing with what impunity chemists and their assistants are permitted to practise in this locality.

You will observe, that not one word of caution to the chemist, nor one word of comment on the illegality of his conduct, escaped from the coroner, whose duty it obviously was to warn him against, in future, ignorantly trifling with the lives of the public.

The second case reported is notable from the extraordinary evidence of the medical witness.

But, Sir, does not the deformity of these very men attract the notice of all around them? What Now, here is a clear case for the Apothecaries' would you say if it were possible to meet a person Company, with the best evidence of infringement walking in the streets, with one side of his body of their laws by an unlicensed man, ready presymmetrically formed, while the other was dis-pared for them. Will they take cognizance of it? torted and shrivelled? Would you not behold him I fear not. with wonder, keeping your eye upon him as Hunter did on O'Brien, if haply a time might not arrive when such an object would be a fit subject to figure in the In answer to a very pertinent question by one Museum? And yet, if the bodily conformation can be of the jury, he observes, that "if life had been so much a matter of astonishment, how is it that a destroyed previous to immersion, the deceased's similar deformity of mind gets overlooked? The body would have been warm, or warmer than it truth is, it is not overlooked, and for twenty long was.' Now, this sounds so very like an outrage years we have openly protested against the evil; on common sense that it appears to me incredible but the glory of greater nations than our own has that a coroner, possessing the most rudimentary passed away because they fostered similar injustice, and, if we cease to be a nation, it will be be-knowledge of medical jurisprudence, or even ordinary intelligence, could allow such an observation to pass for evidence, without requiring further explanation of so singular a phenomenon.

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"He

cause our counsellors have turned away their ears from the cry of injustice and oppression. hath showed thee, O man, what is good: and what doth the Lord require of thee but to do justly, and

to love mercy, and to walk humbly with thy

God?"

I am, Sir, your faithful servant,
A GENERAL PRACTITIONER.

* Why do not the Council of the College of Surgeons resign? Why are they so anxious that the Minister of State should be brought round to believe their college is all perfection? Because their by-laws are unjust, and, their reputation being built upon them, they must fall to their proper level whenever they are rescinded. Fear not, my brother practitioners, though your necks are at present under the feet of your most malicious eneniies. Fear not, for it is impossible to last.

UTERINE HEMORRHAGE.

[To the Editor of the Medical Times.] SIR, Permit me, through your pages-with all due deference to Dr. Torbock, but in justice to my much-respected preceptor, Dr. Wm. Campbell, of Edinburgh, to whom I was many years ago both

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I think, Sir, you will agree with me, that inway in which these have evidently been, can only quests conducted in the loose and inefficient be regarded as so many judicial farces, and as a wanton expenditure of the public money: moreover, that they cannot fail to bring the coroner's court into greater contempt than recent notorious events have already involved it in.

I am, Sir, your obedient servant, A. H. H.

QUALIFICATIONS AND TITLES.

[To the Editor of the Medical Times.]

- SIR,-Observing among your answers to correspondents in the number of your journal for 31st October two replies which I believe calculated to convey erroneous impressions, I take the liberty of supplying what appears to me the necessary correction. The matters referred to are, the respective characters of the examinations for the intra and extra-urban license of the College of Physicians, and the kind of examination required for a diploma at St. Andrew's,

With respect to the first of these points, I have good reason to know-my information being derived from trustworthy licentiates of each classthat you were wrong in stating that "the examination of extra-urban licentiates does not materially differ from that of intra-urban licentiates." The candidates for the extra-license do in fact undergo a very trivial examination, neither in severity, extent, or duration equalling that required of candidates for the license of the Apothecaries' Company; while the intra-urbans are exposed to a very careful and complete ordeal, on three separate days, in writing, besides being frequently called upon to answer viva voce questions, some of which are put and required to be answered in Latin. A knowledge of this difference in the qualifications demanded of the two classes of candidates has led to a corresponding demarcation as to the qualifications required to be possessed by candidates for the office of physician in many of our provincial hospitals; licentiates being in many cases admissible, but extra-licentiates, unless furnished with other degrees, not so.

death was inflammation of the lungs, and had no doubt, if proper medical advice had been obtained a fortnight sooner, the child's life would have been saved.-Verdict," Died from inflammation of the lungs."-The coroner afterwards addressed the mother of the child, and said it could not be too widely known amongst the poor, that medical aid could at any time be obtained by applying to any of the district medical officers of the union. Another inquest was held, at the Falcon Tavern, on the same day, before the same coroner and a respebtable jury, on the body of a man named Skinner, who was found drowned, on Friday morning last, close to the floodgates of a weir that is thrown partly across the Avon, opposite the village of Luddington, near to Stratford-on-Avon. The deceased was of very intemperate habits, and, after indulging in drink, became much depressed in spirits, frequently complaining that his head was affected, and during the last twenty years had made two previons attempts to drown himself. He was a tailor by trade, and in the habit of going to the different farmers in the country to make clothes, Next, as to the examination at St. Andrew's. and always bore a good character for honesty and Here again your reply would lead to a very unjust general inoffensive manners.-Richard Riley was estimate of the true character of the examinations. the first witness sworn, who deposed to the finding I have learnt the particulars of several examinations of the body when he went down to draw Mr. Bodundergone by candidates for the degree of M.D. at dington's eel-traps at the floodgates; did not know this university, and feel very confident that they who he was.-Thomas Dyke deposed that he was are calculated thoroughly to test the competency of constable of the hamlet of Luddington; was present those who submit to them. The proportion of re- when the body was taken out of the water; knew jected candidates there, is, I believe, larger than at him to be John Skinner, a tailor, who lodged at any other of the Scotch universities; and those who Shottery; his fingers were slightly contracted. have presented themselves for examination, in ex- Perceived a boat belonging to Mr. Coles a short pectation of such a gentle test as it has pleased distance below; the lock with which it had been some detractors to assert is all they have to expect, fastened to the post had been taken away. Saw have gone away again, convinced to their cost of the the boat secure at about six o'clock the previous error into which they have been drawn. I would evening. The body discovered nearly twenty yards refer such of your readers as may be interested in from the boat. The coroner inquired, if the the matter to a refutation, published in the early floodgates were closed, could a person walk over part of last year, by the Senatus Academicus of St. them?-Mr Boddington: It was quite impossible. Andrew's, of certain aspersions which had been cast-F. Pritchard, Esq., on being sworn, stated that upon their system and practice, in the granting of on Friday afternoon he had made an external examedical degrees. Your "worthy friend hard by" mination of the body. Found no marks of violence is as far out in the pounds, shillings, and pence or bruises; noticed a slight abrasion of the cuticle part of his answer, as in the sneer implied in his ex- of the forehead; the body was extremely cold; clusive reference to the amount of the fees, which, froth issuing from the mouth and nostrils. Saw instead of being from "seven to ten pounds," is the body twelve hours after it had been taken out; twenty-five or twenty-six pounds. the hands were slightly clenched. He had no doubt the internal appearances would, on examination, correspond with the external.-One of the jury: Did the body present appearances similar to those of persons accidentally drowned ?-Mr. Pritchard considered it did. If life had been destroyed previous to immersion, the body would have been warm, or warmer than it was, and would not have had the appearances it exhibited on his examination of it.-John Pace deposed that the deceased had lodged with him fourteen years; he would have been sixty-one years of age shortly after Christmas; saw him last alive on Wednesday night. The deceased was in the habit of early rising. When the witness passed through Skinner's room, he found he was not there. About twenty years since he attempted to commit suicide; repeated the attempt seven years ago. Always considered he was of a quiet disposition, but given to drinking.-In answer to a question from a juror, the witness said he did not hear any noise in the night.-Mary Robins was the last witness called. She was first cousin to the deceased, and corroborated Pace as to the deceased's drinking propensity, and his attempts at self-destruction. Saw him last alive on Sunday, when he took shelter in her house from a shower of rain, and partock of some dinner.

I am, Sir, your obedient servant,

Nov. 17. X. Q. Z. We retain our opinion both on the merits of St. Andrew's and the distinction between the examinations at the London College of Physicians.

GOSSIP OF THE WEEK. INQUESTS AT STRATFORD-ON-AVON.

An inquest was held on Saturday last, at the Falcon Tavern, before H. O. Hunt, Esq., coroner, and a very intelligent jury, on the body of an infant, aged three months, the son of some labouring people named Taylor, living by the water-side in that town. After the jury had been duly sworn, they proceeded to view the body; on their return, the first witness called was the mother of the infant, who stated that her name was Caroline Taylor, wife of John Taylor. The child was about twelve weeks old, and had been unwell a fortnight; on Wednesday it was worse, and she went to Mr. Kendall's, a chemist, whose assistant gave her a cough mixture, and requested her to call again in the evening, when Mr. Kendall would be at home: she did so, and received another mixture, which appeared to relieve the child. On Thursday evening she thought the infant so much better that, with the advice of a neighbour, she went to bed early; about five o'clock in the morning she awoke, and perceived a change in the appearance of the child, and called up a young woman who slept in the same room, and who knocked against the wall for a neighbour, but before she could come in the child died.-F. Pritchard, Esq., in his evidence, said he had made a post-mortem examination of the body; found the lungs inflamed, and in a state of congestion, the viscera and bowels in a healthy state. He considered the immediate cause of the child's

The coroner inquired from the Luddington constable if any money was found on the deceased?-Mr. Dyke said that nothing but two or three pieces of chalk were found on him.-The coroner very clearly summed up the evidence, and the jury returned a verdict," Found drowned, but how he got into the water there was no evidence to show."

PROMOTIONS AND APPOINTMENTS.-H. D Shea, Surgeon and Medical-storekeeper, at the Cape of Good Hope. A. R. R. Preston, Acting-AssistantSurgeon, to the Bramble. Salter Livesay, Surgeon, to the Albatross.

NAVAL APPOINTMENTS.-John Wilson (B.), surgeon, to the Caledonia. Charles S. Lester, as sistant-surgeon, to the Recruit. Henry Wellings, acting assistant surgeon, to the Albatross. Bernard Delaney, acting assistant-surgeon, to the Caledonia.

ROYAL COLLEGE OF SURGEONS.-Gentlemen admitted members on Friday, Dec. 11 :-H. Hay craft, R. M. Craven, C. Palmer, G. Holland, H. Sutherin, W. H. Clarke, M. Francis, R. Allen, J. S. Beale G. H. Edwards, C. R. Robinson, and J. Kidd. Members admitted fellows by examination on the 10th inst.:-Messrs. R. W. Bloxam; Isle of Wight; G. B. Childs, Fore-street, London, J. Jones, Judd-street, Brunswick-square; F. J. Toulmin, Upper Clapton.

FERRUGINOUS REMEDIES.-It is a remarkable fact, in relation to ferruginous remedies, that they were used by the ancients in chronic enlargements of the spleen. Jackenius, quoted by Orfila, says, "Ferrum ab antiquis celebratum in splenis affectibus, qua et hodie non sine fructu utimur." (Hip. Chym. Præf.) This practice is still followed in Italy, not only in this disease, but also in all chronic visceral enlargements. The soluble salts of iron are chiefly used, as the sulphate, in doses of from three to eighteen or twenty grains, or more, in the day. In the latter doses the sulphate of iron lowers the pulse remarkably, like digitatis or sulphate of quinine; and it is really incredible how the physicians of Paris retain with such obstinacy the opinion that chalybeates are tonics and excitants. Nothing is easier than to convince oneself to the contrary. Give a patient from acute rheumatism, or other inflammatory disease, twenty,forty, sixty grains of sulphate of iron in six ounces of water (a spoonful each hour), and observe its effects. There is not the least danger." Ann. de Thérapeutique," Dec., 1846.~[Although ferruginous remedies are great favourites with us, and we constantly employ them in a variety of chronic diseases, yet we must range ourselves with the obstinate physicians of Paris in rejecting them in acute affections, until better evidence has been given of, at least, their innocuous nature under such circum stances.-ED.]

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Physician to Queen's Hospital, and Professor of Clinical Medicine in Queen's College, Birmingham; Physician to the General Dispensary; Extraordinary Member, and formerly Senior President, of the Royal Medical, Royal Physical, Hunterian Medical, and Cuvierian Natural History Societies of Edinburgh, &c.

Morbid states of the tongue; artistical illustrations | alimentary organs; but its evidences are not unthereof; furred tongue, unconnected with dyspepsia, often seen in nervous subjects; clean tongue in dyspeptics; examples; furred tongue from an empty or a full stomach; mental emotions affect the visible condition of the tongue; examples; cautions respecting the examination of this organ; physical states of which it is an evidence; improvement of its appearance, and inferences therefrom; examples. The pulse as a pathognomonic sign; cautions respecting examining it early in consultation, or when the patient is hurried or excited; idiosyncrasy in reference to the pulse; habitual intermission, quickness, or slowness, of the heart's action. Necessity of inquiry concerning the secretions; manner of making it; physical diagnosis, how and where to be made.

exceptionable. A furred tongue, for instance, is a common indication of dyspepsia, but it is not a constant one. You sometimes meet with irritable, nervous subjects, whose tongues are habitually furred, yet without any signs or symptoms what ever of gastric derangement. Others, again, will have clean tongues, and of natural redness, whilst they are suffering from severe stomach disorder. I called your attention to a case of this kind the other morning, in the person of a female, the subject of very severe pyrosis. During the three weeks that she has been under my care, the tongue has never lost its cleanliness or good colour. I once had a dispensary patient afflicted with scirrhus of the pylorus, of which he died, yet up to the time of his death the tongue was scarcely ever furred or dry. Various circumstances exert a reGENTLEMEN,-At the conclusion of our last markable influence upon this organ. Some people, lecture, I remarked to you how numerous, and otherwise healthy, get a furred clammy tongue if how necessary to be known, are the pathological their stomachs are empty a little longer than usual; relations of the stomach to other organs. I it is the case with myself: I invariably exhibit cantioned you, to be ever careful in investigating this peculiarity in a morning, if I go supperless the condition and function of the alimentary to bed. Others have their tongues furred always apparatus. To this end, amongst other matters of when their stomachs are full; the coating continues inquiry, the appearance of the tongue claims your only during digestion, and passes off as this funcparticular attention. This organ, as you know, tion ceases. Mental and moral emotions affect the performs a very significant part, as well in our condition of the tongue in a singular manner; moral as in our material nature; it represents, perhaps it never becomes morbid without the nerwith almost equal fidelity, the condition of our vous function, in its higher offices, being somewhat physical and immaterial entities. In all ages its implicated. This would explain why a furred importance and power have been acknowledged-tongue is so rarely met with in the inferior from the period when Fulvia tore it from the mouth of the martyred Roman orator, and bored it through with a bodkin, up to the present day, when whole books are filled with wonders concerning it. Even the fine arts have been laid under contribution to its pathological definition and display, for we have elaborate paintings representing tongues of all sizes and hues, of all degrees of moisture and dryness, with coatings of fur of all depths, and of any colour you like. Plaster casts of this said organ are also provided, to show how morbid (materially I mean) it may become; and it will be no wonder if, in this age of illustration, we some day see it flattered in papier mâché, or even in marble.

Whilst some are disposed, in a prodigality of prejudice, to look upon the tongue as pathognomonic of nearly all the "ills that flesh is heir to," others make comparatively light of it, and consider its testimony as little trustworthy. To be amongst the best judges on the subject, is to belong to neither of these parties. As a rule, the tongue is a very faithful indication of the condition of the

animals. It may happen, and I think not unlikely, that in dyspepsia, the disorder the brain suffers, sympathetically with the stomach, has as much share as this organ itself in giving the tongue its characteristic coating. Certain it is, as I have said, that the feelings of the mind will, in a very few minutes, render a clean tongue a foul one. This is a subject which I have been induced curiously to inquire into for some years past, and I have seldom met with an exception to what I have just observed. Among the profoundly studious, amongst those terrified by sudden apprehensions, or shocked by the sudden advent of ill news; among the hypochondriacal, hysterical, gloomy, and desponding, you will find many examples of the mind's influence, in this particular, upon the body. A patient of mine, living near this town, will well illustrate what I say. He is a man of remarkably good constitution, and moulded like a miniature Hercules. Moreover, he has no encumbrances; an excellent mercantile business, that takes up little of his time, is partial employment for him, leaving him many leisure hours in every day that he has

some difficulty in disposing of. These he chiefly occupies in fancying himself the victim of all possible kinds of ailment. There is no disease in the nosology too much for his imagination. Of course, these things are all imaginary, and tiresome enough to listen to, when your judgment and sense of justice tell you that it is not a case for "physic and a physician." You will anticipate my saying that this gentleman is possessed of a most unfortunate nervous sensibility, which chiefly manifests itself in an ideal pathology, all reflected upon his own person. The peculiarity in point, however, which I chiefly wish to speak of, refers to his tongue. I have never yet seen him with this organ quite clean (although I have not once attended him for dyspepsia), yet the readiness with which it acquires a fur is very remarkable. Many times have I examined his tongue, and found it comparatively what it ought to be, before hearing a recital of his imaginary maladies; and after this, in some quarter or half an hour's detail, that same tongue has put on an aspect almost like that of flannel. I am at this time attending, with Mr. Carter, a patient, one amongst the pitiable many, who have seen better days. I shall take occasion hereafter to give you his case in due detail, but, for the present, I may observe that his tongue has the peculiarity characteristic of the one just spoken of. I should premise, however, that there is a fancied trouble in the one instance, and a matter-of-fact one in the other. Four days ago, in calling upon the gentleman I am now alluding to, one of the first things I did was to look at his tongue. I found it, as usual, very pale, flabby, and moist, but without any coating. After having made other necessary inquiries, I was informed by my patient that his heart, which has long been disturbed by mental emotion, the other night beat with unusual vehemence and irregularity. On my asking if he could account for it, he told me that he had just then received the distressing intelligence that an uncle, from whom he expected a competency, had not left him a shilling! This pitiable tale, told with much earnestness and visible feeling, occupied little more than twenty minutes; at the end of that time I again looked at his tongue, and found it coated with a thick white fur!

I mention these things, thus generally, to you, not only as items in pathology with which you ought to be made familiar, but also as suggestive of a discreet rule of practice, viz., to let the examination of a patient's tongue be one of your first duties at his bedside. My own experience, perhaps not inconsiderable on this point, enables me to say that in nine cases out of ten, and more especially

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