Imagens das páginas

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.


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.

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On tbe Caoae of tbe Rhythmic Motion of the Heart. By James Paget, F.R.S. (Proceed. Roy. Soc. 1857.)

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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.

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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.)

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(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.





Aberle on the arteries 242

Abortion by impalement .... 276
Absorption, Hollander and Moles-

chott on 239

Absorption of fat, Donders, &<.-., on . 239
Achillea millefolium an emmena-

gogue 557

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
Annan, on retarded delivery . . . 554
Arsenical solution, inflammation of

skin by 522

Arseniurettedhydrogen,poisoningby 521

Arteries, Aberle on 242

Ashton on Diseases of the Rectum . 188
Assimilation of oil, Berthe on . . 239
Asylum Journal of Mental Scienee. 175
Atropia in eye diseases .... 235

- valerianate of 556

Baillie on meta bish 523

Bakewell on the Sick-room . . .188
Bamberger on renal disease . . . 257
Barensprung on herpes in animals . 263
Barnes s Reports on Midwifery 272, 548

Batho on creasote 529

Bauer on cartilage 511

Bayne on rupture of uterus . . . 276
Becker on ciliated epithelium . . 513
Bee, death from sting of ... . 531

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

phlegmon 272

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
Bladder, foreign bodies in the . . 264

Blistering cervix uteri 272

Bran-bread 557

Breast, Velpeau on the .... 369
Breslau on retro-uterine haematocele 548
Bright's disease and cardiac affec-
tions 257

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
Caesarean section, Clay on . . .410
Complin on bran-bread .... 557

Caneer of Stomach 476

Fell on . 369

Cape of Good Hopo, its climate . . 529
Carbonic acid, poisoning by . . . 522
Carbonic oxide, action of ... . 232

Carotid, ligature of 543

Cartilage, ossification of . . . .511
Casper on Forensic Medicine . . 383
Cavernous degeneration of heart . 258

Cellulitis, abdominal 548

Cerebellum, anatomy of ... . 509
Chatto's Surgical Reports . 264, 541
Chauveau on spinal marrow - . . 250
Cheeks, redness of, in pneumonia . 255

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

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