the mother, and often regarding the husband as an incumbrance instead of treating him as the chief, the real, the only one requiring her care and love. But, after all, men must remember that women have many sorrows and much suffering to contend with, peculiar to themselves. The small cares and domestic troubles of life fall largely upon them, and they require much love and affection to enable them to bear up against the vicissitudes of life. Men are the oak-women the ivy. APPENDIX C. Supra, p 114. I have thought it better, for many reasons, to collect a few of the more usual prescriptions in an Appendix, than to encumber the Text with them. R. Ferri Citratis c. Strychniâ, gr. iij ; Quinæ Disulp., gr. j. M. fiat pilula ter die sumend. B. Ferri Citratis c. Strychniâ, g. xvj; Aquæ ad. živ. M. fiat mist. cujus cap. coch. ampl. ex cyath. vin. aquæ ter die. B. Ferri Ammon. Citratis, 3j; Ammon. Sesquicarb., 3j; Sp. Lavandula C., 3vj; Aquæ Piment. ad. 3vj. Sumat coch. j amplum ex cyath. vin. aquæ horâ 11 a.m. et horâ M. fiat mist. cap. coch. j min. ter die ex cyath. vin. aquæ. B. Syrup. Ferri Superphosph., 3j; Acid. Phosp. dilut., 3iss; Mist. Acacia, ziij: Sp. Aurant., 3ss; Aquæ Anethi ad. viij. Two table-spoonfuls to be taken twice a day, at eleven and four, with a table-spoonful of Cod-liver Oil. B. Soda Hypophosph., 3vj Syrup. Aurant., zij Aquæ, ad 3vj. Capeat Cochl. Med. j ter die. B Ext. Cinnabis Indicæ, gr.j R Ol. Phosphuret., 3j Ol. Morrhuæ, 3vij. M. A teaspoonful, gradually increased, for a dose. B Tinct. Cantharid., 3iss Sp. Lavendulæ co., 3j Etheris Chlorici, 3j Aquæ, ad 3viij. M. ft. mist. Two table-spoonfuls to be taken three times a day; at eleven, four, and at bed time. In cases where a local stimulant is necessary, I have found the following answer well: B Tinct. Sinapis Comp. 3ss Eau de Cologne, 3j. M. ft. Embrocatio. APPENDIX D. Supra, p. 125. I had hoped to have been able to give some additional and valuable facts on this part of my book. Their arrangement would, however, have so long delayed the issue of the volume, that I have been compelled to postpone their insertion until the appearance of a new edition. W. A. APPENDIX E. EXPOSURE OF THE QUACK SYSTEM. BLOOMSBURY COUNTY COURT. July 30th, 1857. (BEFORE MR. LEFROY, DEPUTY-JUDGE.) V. KAHN. This was an action brought by the plaintiff, a clerk in a mercantile house, against the defendant, Dr. Kahn, proprietor of the Anatomical Museum in Coventry Street, to recover the sum of 207., alleged to have been fraudulently obtained under the following singular and extraordinary circumstances. The case has excited a great degree of interest in the medical world, and the court was crowded with spectators, anxious to hear the result of the trial. Amongst the company were several eminent medical practitioners. Mr. BOWEN MAY, solicitor, of Russell Square, appeared for the plaintiff; and Mr. BARNARD, counsel, conducted the defence. In opening the case, Mr. MAY said,—This action is brought to recover the trifling sum of 20%. The particulars of the plaintiff's demand set out that it is for damages occasioned by the defendant's improper treatment during the months of August and September, 1856, whilst employed by the plaintiff to cure him of a complaint under which he was then labouring, whereby the plaintiff was put to useless expense and pain, and the plaintiff claims the said sum of 201. for money had and received, and fraudulently obtained of the plaintiff by the defendant. The learned counsel for the defence here suggested the propriety of all females leaving the court, which having been complied with, Mr. MAY proceeded. The action is to recover the sum of 20%., fraudulently obtained from the plaintiff, but in spirit it is brought for the good of the public and society at large. The plaintiff is clerk to an eminent firm in the city, and is a very respectable man. The defendant is one of those gentlemen who live upon human nature, by frightening weak-minded people, and reducing them to such a state of alarm as to be enabled to act upon their credulity. He is not a qualified practitioner, but avows to the world that he is a physician, and it is under that representation, I shall show, that the public are induced to go to him. Directly he obtains his fee, he does not care one farthing for the cure of the patient, and he also presupposes that persons are labouring under "spermatorrhoea." Now, your Honour, this young man in a weak moment went to Dr. Kahn, and the first thing Dr. Kahn said to him was, "You have spermatorrhoea; what money have you? You see this is a very dangerous disease, and I am the only one who can cure it; but if I cure you, it must be for a good amount. However, as you are a poor man, I'll do it for 201.” And nothing more was said then, but a panacea was given-supposed to contain antimony, the effect of which is to depress the patient to such an extent, that a person labouring under its influence for any period would believe anything. Then by a microscope the doctor discovered some animalculæ. This is one of the microscopic dodges, which frighten nervous people. He produces this before the man, who said, "What am I to do ?" He answered, "I shall want 50l." Then when he finds this poor young man is acted on in this way, who could not give 501., as he said, the doctor exclaimed, “Your brains are passing out into your water, and you will die." (Laughter.) And thus the young man was reduced to that state of melancholy that he would believe anything that was told him, and when he came again, he found that he was worse instead of better. No man goes to these quacks unless his mind has been acted upon previously, and then nothing is too gross for him to be made to believe. Now, it is a singular fact, that directly the plaintiff left off the medicine, he got better. He went to a regular practitioner, and in about three weeks he was well. Sir, I will show to you that this is a common occurrence with Dr. Kahn. I shall show you a case where he got a heavy sum of money from a person under precisely similar circumstances. The DEPUTY-JUDGE.-No, no; that will be quite unnecessary, because we are trying this case upon its merits. Mr. MAY.-But, your Honour, I shall show complicity, not only that this case is a fraud, but that it comes forth with a fraudulent intent. I shall satisfy you that this defendant lives upon the vitals of young men by the money that he obtains in this identical way. I shall examine Mr. Hancock, a gentleman of great repute as surgeon to the Charing Cross Hospital— The DEPUTY-JUDGE.-Your case is, that he really obtained money by fraudulent pretences. Mr. MAY.—If I bring an action against an unqualified man, I must show that he professes that for which he is not legally qualified. The DEPUTY-JUDGE.-But you have no right to go into other cases where he obtained money; that has nothing to do with the present case; and if you prove what you have opened, I do not see that it is necessary to prove anything more. You surely have opened quite enough. Mr. MAY.-This is a matter of public importance. It is not merely a question of 201., which only forms a little ingredient. The sum obtained was 517.; the first sum was 17., and he gradually gets money until he obtains that amount in the aggregate, which is the customary practice of these charlatans. If he were a qualified man, then he would not be entitled to what he has charged. I shall show that the most he can charge is a guinea; whereas we pay 507. for not being cured, but, on the contrary, actually being made infinitely worse. The fact is, he is one of these advertising quacks, and it is not for the trifling sum that we come here to-day; but we wish, by the judgment of your Honour, which I have no doubt will be in favour of the plaintiff, to suppress this monstrous system of traffic and trading upon young men. I shall prove to the court that he is in the habit of getting thousands of pounds from clergymen and other young men who are ashamed to state what their cases of disease are. I shall also prove that the plaintiff had scarcely any malady upon him at all; but that he was reduced to this state merely for Dr. Kahn's purpose, that of putting money into his pocket. First, I shall call the plaintiff, to show your Honour that he was to be cured for 207.; that there was a compact; and medical evidence to prove that the patient's symptoms could only be produced by the medicines administered to him by the defendant; and I shall satisfy you that when persons labour under disease produced by such treatment, they fall into a state which occasionally leads to insanity. Perhaps the most atrocious part of this case is, when the young man said, "You've not cured me; give me back my money!" and the doctor replied, "If you dare ask for that, I shall accuse you of masturbation" (sensation), which was utterly false, and a piece of rascally conduct on the part of the defendant. The DEPUTY-JUDGE.-Oh! even if it were true, it would be a monstrous thing for a medical man to assert. (A burst of applause for a moment followed this remark from the Bench, but which was immediately repressed.) I say, whether it be true or not, it is a breach of confidence, and a monstrous assertion to make. The plaintiff was then sworn, and examined by Mr. May. I believe you went to consult Dr. Kahn ?—I went in the month of August, 1856. Did you believe he was a regular practitioner ? Mr. BARNARD.-I object to that question. Mr. MAY.-In what capacity did you go to him ?—I went to consult him about my health. But for that you would not have gone to him?—No; and I waited an hour before I could see him. He asked me what was the matter; and I told him that I had had the "clap," and that I did not think that I was cured of it. Was there anything important the matter with you at that time ?—Nothing at all, TREATMENT.-In strong robust young men the surgeon would do well not to treat as disease emissions coming on once or twice a week, but recommend the patient to avoid suppers, to abstain from tea, coffee, and tobacco, and to lie on hair or spring mattresses, instead of feather beds. I recommend my patients to drink no fluid after dinner, supposing that meal to be taken at 6 or 7 o'clock. This, and regular evacuation of the bladder at bedtime, will singularly assist the treatment. A very little weak tea will be sufficient to relieve any great thirst, but more than this should be avoided. Another very valuable suggestion is to desire the patient to get into the habit of waking early in the morning, turning out of bed, and emptying the bladder. It is in the early morning, when the bladder is full, that emissions and erections take place. In such cases, if a patient rises at 5 or 6, and goes to bed early, he may altogether avoid emissions. I believe this precaution of keeping the bladder empty at night to be more important than almost anything else in these simple cases, and that it will be usually successful. I have known an enema of half-a-pint of cold water, used at bedtime, to work well where other means have not produced satisfactory results. It has been said that sleeping between the blankets will prevent emissions, but I cannot say that I have any experience as to this remedy. The tying a towel round the waist, so as to bring a hard knot opposite the spine, will, by protecting the patient from lying on his back, often prevent emissions at night. It is doubtless quite true that the close observer of his own symptoms finds himself generally lying on his back when the emission takes place, but it is equally certain that emission may occur when the patient lies on his side, as in the following case. One of my most intelligent patients notices, that on suddenly awaking on the occurrence of an emission, he finds himself lying on his left side, his legs and knees firmly drawn up against the abdomen, and the penis firmly impacted between the knees and abdomen. Trousseau, in the Gazette des Hôpitaux,' Mai 15, 1856, recommends an instrument to pass up the rectum to press on the vesiculæ, and mechanically prevent the emissions. I have tried the plan on one or two patients, but was obliged to leave it off, as I found that it produced considerable irritation; and even if such clumsy contrivances answered, it would only be by causing the semen to pass back into the bladder, and make its exit when the patient micturated. In the more obstinate cases, mentioned under the head of Prognosis, page 141, the greatest watchfulness over the thoughts and actions during the day is absolutely essential. I find that there are patients (and very intelligent ones) who have had the greatest difficulty in surmounting the disposition the brain has to summon up and apparently revel in lascivious images. Such persons are not gene |