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several cases of diseased spleen were brought up for advice. For the test purposes, however, these were not counted, but the bystanders examined just as they casie to hand. Till a village was reached three miles from the "nulla," and to some extent influeneed by its inundation, no case of spleen was found by an examination so conducted. In this village, however, 60 per cent, had spleen.
On reaching the " nulla" this rate kept up, and in one village (Chandous) which had suffered most from fever, 80 per cent, of the remaimng inhabitants were found afflicted with diseased spleen! This at onee indicated a severe form of intermittent fever, and many other circumstanees combined to confirm this belief—viz.:
1. Three escape channels from the New Ganges Canal enter the "nulla" above the village of Chandous, and fill it to overflowing, even in the cold or dry season, for a distanee of some ten miles. During the periodical rainy season this prevented the water from finding an escape, and the country was consequently greatly flooded.
2. The villages above Chandous suffered to no unusual extent from fever.
3. The villages Ok the "nulla" or inundations formed by it, have suffered out of all proportion to the rest of the country.
4. At Chandous itself, where the canal water enters, 3000 people out of a population of 3600 have been carried off. This mortality was greatly assisted by the flood entering a "Jhecl" or shallow lake, and thus inereasing the malarious surface to a great extent.
5. The side or sides nearest the "nulla" of other large villages opposite a less extent of inundation, suffered most. The centres and other sides seem to have been protected. This suffering of particular sides of villages was distinetly seen from the tops of the "zemindar's" houses, as on those sides the houses of the villages were observed to be in ruins.
6. Smaller villages close by were overwhelmed by the malaria—that is, were, with here and there an exception, a mass of roofless houses.
. 7. At about ten miles below Chandous the bed of the "nulla" is larger, or the flood had expended itself in spreading right and left, and there there was no unusual fever.
8. In the district generally people died in from five to fifteen days from fever last year. At the village three miles from the "nulla" (where 60 per cent. of spleen disease was found) they died in three days. On the "nulla" (where the percentage of spleen disease among the survivors amounted to eighty) they died in twenty-four hours during the ague or cold stage of the fever.
Some other points of interest were observed, but enough has been stated to prove the accuracy of the test I proposed, and its practical utility in leading at onee to the right conelusions in investigations of this nature, in certain provinees of our Indian dominions.
In my appendix to the Canal Sanitary Report I showed why the large military station of Kurnaul had been abandoned.
For a great many years a canal had flowed in the immediate vicinity of that large cantonment, and yet, according to Colonel Tulloch's tables, it ranked in point of salubrity for European troops second or third among all the military stations of the Bengal Presideney. This canal (the Delhi) was an old Mahomedan's work, and only re-opened and improved by us. It occupies the bed of a large "nulla"—the natural drainage channel of that part of the country—and follows its most tortuous windings. So Ion" as the highest level of the water in this canal was below the lowest ground in the neighbourhood of the cantonment, it still performed its office of a natural drain; but when— with the most humane and benevolent intentions—the level of the water in the canal was raised so high that it could deliver water on the low ground opposite Kurnaul, for the purposes of irrigation, it is obvious that no more drainage could escape by that channel. No other existed; and when the periodical rains came, all the low ground in the vicinity of the cantonment became an extensive swamp, and the troops, European and native, were universally prostrated by fevers of the most virulent type.
A remedy—an expensive one, it is true—might have been applied; but Kurnaul was no longer the important military position it was onee esteemed, and Lord Ellenborough abolished it altogether as a cantonment for European troops.
Precisely the same thing has now occurred in the case above related. The Great Ganges Canal is itself constructed on proper prineiples. It passes along the '* Watershed line" of the country through which it flows, and can never interfere with its natural drainage, whatever amount of water it may carry down to fertilize the land. But it appears it lately became necessary to expose a part of the bottom of this new canal, and this was effected by turning three escape channels into the "Kurram nulla," by which it was filled to overflowing, and no other drain for the country being provided, all the low ground in the neighbourhood was swamped during and after the periodical rainy season.
The fatal results of this mistake have been fully detailed above. The whole of this subject has an important bearing on all questions relating to the medical topography of a great part of the Bengal Presideney.
In conelusion, I would respectfully urge on the Indian Government the necessity of strictly enforcing the limits of the sanitary zones recommended by our committee, and of prohibiting canal irrigation within five miles of all large military stations occupied by European troops. If the prineiples on which these zones were defined be correct, their strict observanee becomes of greater importanee than ever, now that so large and permanent an addition is about to be made to our European troops in Bengal.
I remain, yours faithfully,
T. E. Demfster, Bengal Medical Service
August 31st, 1897.
An American Opinion of Dr. Fell.
In the ' American Medical Monthly' for July, 1857, we read some remarks upon the Fell treatment of cancer, of which it "may not be mal a propos to present a portion to our readers:—
*' Quite a commotion has been produced in the London medical world by J. Weldon Fell, M.D., who has asserted that he could remove caneerous disease without using the knife. As we understand the matter, by some hocus
focus he succeeded in pursuading the authorities of the Middlesex Hospital, joudon, to assign him certain patients to be subjected to his treatment. The 'Laneet' immediately came down on the whole arrangement, as violating by its secrecy the very prineiples of professional ethics, and deprecated the position taken by the surgeons of the institution. For this, or for some other reason, Dr. Fell has published a book on caneer and its treatment, in which he gives the formuhe which he uses, and thus pricks his own gas-bag, which must at onee collapse and shrink to flatness itself. Will our readers oe so kind as to pause a moment, and if absolutely necessary, take something to strengthen
them before they read that Dr. Fell's remedy is puccoon !.'—that is to say, in
English, Bloodroot, in botany, Sanguinaria Canadensis. Hear what Dr. Fell says: 'Many remedial agents were tried without producing the desired effect, and all efforts to cure the disease were for a long time unsuccessful, and apparently hopeless, until I heard of a root used by the North American India** Oh the shoret of lake Superior, which the Indian traders told me was used by them with success in these affections And no doubt some poor squaw, suffering from
this dreadful disease, was the first who applied it, after having tried all the simple herbarium of the uneducated savage without success, and then in despair applied the bruised bloody pulp of the white flowering puccoon.' This is the old dodge of 'Indian doctors' which with us in America is at once understood, deceiving none but the most ignorant. In sooth, if all the wonderful remedies ascribed to the Lake Superior Indians had been discovered by them, it would be abundant evidence that they were a most industrious set of men in the study of remedies. We remember to have read of an expedition for determining the boundaries of one of our Southern States, which on emerging from the untenanted forest, fouud an Indian settlement, where the women used puccoon to colour the areola about the nipple as an addition to their beauty. The number of similar spots on the shirt bosoms of the party the next day was noted as remarkable. Can Dr. Fell's theory have sprung from this P"
The paper concludes with some reflections upon our gullibility, which a certain feeling of self-love prevents our transferring to these pages.
BOOKS RECEIVED FOR REVIEW.
A Treatise on the Cure of Stammering. By J. Hunt, Ph.D. Third Edition. 1857.
On the Urinary Secretion of Fishes. By John Davy, M.D. Trans. Roy. Soc. Edin. Vol. XXI. Edinburgh. 18.57.
General Board of Health. Papers relating to the History and Practice of Vaccination. Presented to both Houses of Parliament. London, 1837.
The Structure and Functions of the Eye, illustrative of the Power, Wisdom, and Goodness of God. By George Spencer Thomson, M.D. London, 1867.
The Principles of Moral Insanity. A Lecture by John Hitching. York, 1857. (Reprint.)
The Asylum Journal of Medical Science. Edited by J. C. Bucknill, M.D. July, 1857.
The Baths of Germany, France, and Switzerland. By Edwin Lee, M.D. Third Edition. London, 1857.
Essay on the Mechanism and Management of Parturition in the Shoulder Presentation. By \V. M. Boling, M.D. Montgomery, Ala.
The Medical Profession in Great Britain and Ireland. By Edwin Lee, M.D. London, 1857.
The Retrospect of Medicine. Edited by W. flraithwaite. January—June, 1857.
The Liverpool Medico-Chirurgical Journal. No. %. 1857.
The Half-Yearly Abstract of the Medical Sciences. Edited by W. H. Ranking.M.D., and C. B. Radcliue, M.D. Jau.—June, 1857.
The Assurance Magazine. No. 28.
The Journal of Psychological Medicine and Mental Pathology. Edited by Forbes Winslow, M.D. July, 1857.
History of Civilization in England. By H.T.Buckie. Vol.1. London, 1857.
Medical Reform a Social Question. Two Letters. By Joseph Sampson Gamgee, StafT-Surgeon, &c. London, 1857.
Professorship of Materia Mcdica in the Queen's College, Belfast. Testimonials in favour of Henry M'Cormac, M.D. Belfast, 1857.
Thirtieth Annual Report of the Directors of the James Murray's Royal Asylum for Lunatics, near Perth. Jan., 1857.
Testimonials in favour of Charles Wilson, M.D.
Waverley Journal, conducted by Women. Vol. IV. No. 37. July 11, 1857.
The Dial Register. No. 1. July, 1857.
Annual Report of the Royal Edinburgh Asylum for 1856.
On the H.Tiiiantlion, an Instrument to facilitate the Examination of Blood in Disease. By Horace Dobell, M.D. (From the Journal of Arts.)
How to Work with the Microscope. By Lionel S. Beale, M.D. London, 1857.
The Use of the Microscope in Clinical Medicine. Illustrated. By Lionel S. Beale, M.D. London, 1857.
The Doctrine of the Duration of Labour. By J. Matthew Duncan, M.D. (Reprint.)
The Druggists' General Receipt Book. By Henry Beasley. London, 1867.
Hydropathy, or the Natural System of Medical Treatment. By E. W. Lane, M.D. London, 1867.
Suggestions for Observations on the Influence of Cholera and other Epidemic Poisons on the Lower Animals. By Lauder Lindsay, M.D. (Reprint.)
Rifleasioui aopra alermi Praiti reutrri alia Einoplastia. St Paolo Fabrizj, D.M. Nixza, 1856.
Resume da Lecons de MeVtecine Operatioae Aeoustiqae. Par Paul Fabrizj, D.M. ISM.
Salle Forbic i Chirurgichi. De Paolo Fabrizj, D.M. Valletta, 1857.
Letter* del Prof. Antonio Scarpa, diretu al Dr. P. Fabrizj, eopra la Perforarsone del la Membrana del Tympana
Intorno ad on VIeggio Fatto a pro degU Interni Indigesti della Corsica. Da Dr. Faolo Fabrirj. Nizza, 1856.
Report on the Formation and General Management of Kenkioi Hospital. Addreawd to tbe Right Hon. the Secretary of State for War. By £. A. Partes, M.D.
An Elementary Conrae of Botany. By Arthur Henfrey, F.R.S. London, 1857.
On tbe Caoae of tbe Rhythmic Motion of the Heart. By James Paget, F.R.S. (Proceed. Roy. Soc. 1857.)
Handbach der Hygiene, Yon F. Oesterlen, M.D. Zweite Auflage. Tubingen, 1857.
Mlnntes of Proceedings of the Quarantine Convention held at Philadelphia. Philadelphia, 1857.
Annual Report of tbe Royal Lunatic Aaylnm. Aberdeen, 1857.
The Western Times. August, 1857.
Iowa Medical Journal. Editors T. C. Hughe*. M.D., and W. E. Marsh, M.D. Keokuk, Iowa, 1857.
Discussion 1 det Norske Medieinske Selskab i Christiania, angaaende Syphilisatlonen. Christiania, 1857.
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On the Fatty Matter of Human Excrements in Disease. By W. Marcet, M.D.
Oratio Harveii Institnti in .ftdibus Collegii Kegalis Medicorum habita. A Jac . Copland, M.D. Londini, 1857.
On Mineral Waters; their Physical and Medicinal Properties. By R. M. Glover, M.D. London,1857.
Eighteenth Annual Report of the Registrar-General of Births, Deaths, and Marriages in England. London, 1857.
Contributions to Pathology. By William Altken, M.D. (Reprint.)
Annual Report of the Grant Medical College. Session 1856-57.
Gazette Medieale tTOriente. So*. 1—5.
A Key to tbe Adulteration of oar Daily Food, compiled by Wilham Dalton. London, 1657.
On tbe Medical Estimate of Life Assuranee. By Stephen H. Ward, M.D. London, 1657.
Work, Fresh Air, Exercise, essential to Health and Happiness. A Lecture by C. Kadclyffe Hall. M.D. Torquay. 1857.
On Gastrocolic Fistula. By C. Murchiaon, M.D., fcc. (Reprint.)
Kort Ofversigt af Epidemiaka Sjukdomar i Sverige under er 1855. Af Dr. A. Tiaioleon Wistrand. (Reprint.)
A Case of Excision of tbe Entire Os Caleis. By J. M. Carnochan.M.D. New York, 1857. (Reprint.)
On tbe Structure of the C y-ticercn* Cellulosae, as found in tbe Muscles of tbe Pig. By George Rainey, M.R.C.S. (From Trans. Roy. Soc.)
Nouvelle Comparaison des Membra Pelriens et Thoraciqnes ebei l'Homme et chex lea Mammiferes, par Charles Martins, Professenr d'liiatoire Katnrelle Medieale, &e. Montpellier, 1H57.
Phrenology made Practical, and Popularly Explained. By Frederick Bridges. London. 1857.
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Report on the origin of the Yellow Fever in Norfolk during tbe Summer of 1855. Richmond, V., 1857.
Durch Reibungselectricltat alle Wohlgeriiche in widerliche Geriiche, und alle widerlichen in Wohlgeriiche zu verandem. Von Hermann Horn, Ph.D., und MJ). Nenntes, Heft. Munich, 1856.
(Accidentally omitted from former Number) Experienees of a Civilian in Eastern Military Hospitals, with Observations on tbe English, Freneh, and other Medical Departments, and the Organization of Military Medical Schools and Hospitals. By Peter Pineofis, M.D. London, 1857. pp. 202.
North American Medico-Chirurgical Review. Vol. I. No. 3.
The American Journal of Insanity. xiii., i.
INDEX TO VOL. XX.
BRITISH AND FOREIGN MEDICO-CHIRURGICAL REVIEW.
Aberle on the arteries 242
Abortion by impalement .... 276
chott on 239
Absorption of fat, Donders, &<.-., on . 239
Acton on the Reproductive Organs. 176
Adulteration of Food 49
Aitken. See Lyons
Albumen, determination of, in urine 539
Alcohol, Bernard on 247
Ammonia, poisoning by ... . 557
Amylene, use of 234
Amyloid degeneration of the female
sexual system 272
Aneelet on fistula-lachrymalis . . 545
Andre1 on tracheotomy 268
Aneurisms, Broca on 415
Cox on 411
Angina, Gueneau de Mossy on . . 143
skin by 522
Arteries, Aberle on 242
Ashton on Diseases of the Rectum . 188
- valerianate of 556
Baillie on meta bish 523
Bakewell on the Sick-room . . .188
Batho on creasote 529
Bauer on cartilage 511
Bayne on rupture of uterus . . . 276
Beigel on urine 247
Bell on abdominal cellulitis . . . 548
Benjamin on neuroma 518
Berard on sugar 247
Bergmann on cerebellum and cord . 509
Bernard on respiration 242
on the influenee of alcohol
and ether 247
Bemutz and Gonfil on peri-uterine
Berthe on assimilation of oil. . . 239
Berthel on tannin 557
Bertram! on extra-uterine gestation 553
Bird on erysipelas 409
Bismuth, carbonate of 230
Blackburn on Excision of Joints . 286
Blistering cervix uteri 272
Breast, Velpeau on the .... 369
Brinton on Caneer of Stomach . . 476
on Ulcer of the Stomach . 442
Broca on Aneurism 415
Bronzed skin 535
Broughton on criminal abortion . 276
Brown on club-foot 541
Bryant on hernia 134
Budge on the Iris 352
Butcher on Excision of Joints . . 285
Caneer of Stomach 476
Fell on . 369
Cape of Good Hopo, its climate . . 529
Carotid, ligature of 543
Cartilage, ossification of . . . .511
Cellulitis, abdominal 548
Cerebellum, anatomy of ... . 509
Chevallier's Dictionary 49
Churchill on Diseases of Women .171
Circulation of fetus 552
Wagner on .... 242
Clay on Caesarean section . . . 410
Cloetta on uric acid 247
Club-feet, treatment of .... 541
Coccyx, luxation of 544
Cock on myeloid tumour .... 133