Transactions / Medical and Physical Society of Calcutta. Volume 3, 1827.
Transactions / Medical and Physical Society of Calcutta.
« WEL,M piW? i '^’'y' - ■ _5te>-/ FvHb* * .‘Jr .'- . ziw* 4&jtV • ''19ffi|^< '•'5wf :-^5Skw8‘k'; ■$&>■ • / f « • \ I TRANSACTIONS OF THE MEDICAL AND PHYSICAL SOCIETY OF CALCUTTA. VOLUME THE THIRD. CALCUTTA : PRINTED FOR MESSRS. THACKER AND CO. ST. ANDREW S LIBRARY ; AND SOLD BY MESSRS. PARBURY, ALLEN, AND CO. LONDON. 1827. F I l \ \ LIST OF THE MEMBERS OF THE / IWrtiical ana OTjjeifal ^octets. Adam, John, M. D. Asst. Surgeon Bengal Establishment , Secretary MedU cal Board. Adam, John, Esq. Asst. Surgeon Madras Establishment. Alleyn, Thomas, Esq. Surgeon H. C. Ship General Kyd. Angus, George, Esq. Surgeon 27th N. I. Bengal Establishment. Annesley, James, Esq. Surgeon Madras Establishment. Atkinson, James, Esq. Surgeon Bengal Establishment. Babington, Henry, Esq. Assistant Surgeon 2d Light Cavalry , Bengal Establishment. Baillie, George, Esq. Surgeon to the King of Oude, Bengal Establishment. Baker, Thomas, E. Esq. Surgeon 10 th Light Cavalry , Bengal Estab - lishment. Barber, James, Esq. Assistant Surgeon Bengal Establishment. Barker, James, Esq. Assistant Surgeon Poorneah, Bengal Establishment. Barker, Thomas Brown, Esq. Assistant Surgeon Bengal Establishment. Bathgate, James, Esq. Surgeon, Calcutta. Beadon, Hugh, Esq. Asst. Surgeon with the Governor General’s Agent N. E. Frontier, Bengal Establishment. Bell, William, Esq. Asst. Surgeon Moradabad, Bengal Establishment. Bell, Henry Peile, M. D. Second Asst. Garrison Surgeon, Fort William. Bird, James, Esq. Surgeon Residency Sattara, Bombay Establishment. , Birmingham, W. P. Esq. Asst. Surgeon H. M. Cbth Regiment. Bogie, William, M. X). Asst. Surgeon 2d Local Horse, Bengal Establish - ment. Brander, James M., M. D. Asst. Surgeon Cuttaclc, Bengal Establishment. VI LIST OF THE MEMBERS. Breton, Peter, Esq. Surgeon Bengal Establishment , Superintendent of School for Native Doctors. Browne, Robert, M.D. Calcutta. Browne, G. G., M.D. Asst. Surgeon 66th N. I. Bengal Establishment. Bryce, Alexander, M. D. Asst. Surgeon Bengal Establishment , Chinsu - rah Depot. Burke, William, M. D. Inspector of Hospitals King’s Troops. Burnard, Richard, N. Esq. Asst. Surgeon Benares, Bengal Establish¬ ment. Burt, Benjamin, M. D. Asst. Surgeon Moorshedabad, Bengal Establish¬ ment. Butter, Donald, M. D. Asst. Surgeon Ghazeepore, Bengal Establishment. Cameron, William, Esq. Asst. Surgeon Bengal Establishment, Surgeon to the Free School, and Female Asylum. Cameron, J. L., M. D. Asst. Surgeon Bombay Establishment. Campbell, John, M. D. Asst. Surgeon H. M. 30th Reg. A Campbell, Donald, Esq. Asst. Surgeon, Civil, Bengal Establishment, Mirzapore. Carte, William Edmond, A. B. Asst. Surgeon 63d N. I. Bengal Esta¬ blishment. Carruthers, Peter, Esq. Asst. Surgeon 51 st N. I. Bengal Establishment. Castell, Jehosaphat, Esq. Surgeon 7th Light Cavalry, Bengal Estab¬ lishment. Cathcart, Mathew, Esq. Surgeon H. M. 38 th Reg. Foot. Chalmers, William, Esq. Surgeon Bengal Establishment. (Retired.) Chalmers, Alexander, M. D. Asst. Surgeon 3d Eoctra N. I. Bengal Establishment. Chapman, Henry, Esq. Asst. Surgeon, Civil, Bengal Establishment, Chit¬ tagong. Charters, William S., M. D. Asst. Surgeon Bengal Establishment, Scindhiah’s Auxiliary Horse. Cheek, George Nicholas, Esq. Asst. Surgeon, Civil, Bengal Establishment, Bancoorah. Clapperton, J. B. Esq. Surgeon 6th Light Cavalry, Bengal Establishment. Clarke, Hezekiah, Esq. Asst. Surgeon , Civil, Goruckpore, Bengal Esta¬ blishment. Clarke, Alexander McKenzie, Esq. Asst. Surgeon 1 5th N. /• Bengal Establishment. Clarke, James, Esq. Asst. Garrison Surgeon Monghyr, Bengal Esta¬ blishment. LIST OF THE MEMBERS. vii Cockerell, William, Esq. Asst. Surgeon Horse Artillery , Bombay Esta * blishment. Colquhoun, A. Esq. Veterinary Surgeon. Colvin, John, M. D. Asst. Surgeon, Civil, Bengal Establishment, Azimghur. Cooper, Henry, Esq. Surgeon 63d N. I. Bengal Establishment. Corbyn, Frederick, Esq. Surgeon 63th TV. I. Bengal Establishment. Cotton, T. F. Esq. Asst. Surgeon H. M. lUh Regiment Foot. Crawfurd, John, Esq. Surgeon Bengal Establishment. (Retired.) Dalrymple, John, Esq. Asst. Surgeon 56th JV. I. Bengal Establishment. Darby, William, Esq. Surgeon 4 5th N. I. Bengal Establishment. Dartnell, G. Esq. Surgeon H. M. klst Regiment. Davidson, John, Esq. Asst. Surgeon JVagpore Service , Bengal Establish * ment. Dempster, John, M. D. Asst. Surgeon H. M. 38 th Regiment Foot. Dempster, T . Erskine, Esq. Asst. Garrison Surgeon , Bengal Establish * ment , Buooar. Donnoghue, M. O., M. D. Asst. Surgeon , Civil, Bengal Establishment, Commercolly. Downes, Ezra Thomas, Esq. Asst. Surgeon, Civil, Bengal Establishment, JVuddeah. Drever, Thomas, M. D. Asst. Surgeon 53 d JV. I. Bengal Establishment. Dwyer, John O. Esq. Asst. Surgeon 27th JV. I. Bengal Establishment. Duff, William, Esq. Asst. Surgeon , Bengal Establishment. Duncan, James, Esq. Asst. Surgeon, Civil, Bengal Establishment, Agra. Duncan, Alexander C., M. D. Asst. Surgeon 6th Light Cavalry, Bengal Establishment. Durham, Samuel, Esq. Superintending Surgeon, Bengal Establishment. Eckford, John, Esq. Surgeon 1 2th JV. I. Bengal Establishment. Egerton, Charles Chandler, Esq. Asst. Surgeon, Bengal Establishment. Oculist and Superintendent Eye Infirmary , Presidency. Evans, James, Esq. Surgeon 9th JV. I. Bengal Establishment. Everest, Charles E. Esq. Surgeon 67th JV. I. Bengal Establishment. Fallowfield, Jonathan, Esq. Surgeon 65th JV. I. Bengal Establishment. Fender, John, Esq. Asst. Surgeon Bengal Establishment , 36th N. I. Findon, William, Esq. Surgeon 3 5th JV. I. Bengal Establishment. Fleming, Robert, Esq. Surgeon, Calcutta. Forrest, Thomas, Esq. Asst. Surgeon 4 6th JV. I. Bengal Establishment. Forsyth, John, Esq. Asst. Surgeon Bengal Establishment, Mundlaisir , Political Agency. Fornom, James, Esq. Asst. Surgeon Bombay Establishment. Vlll LIST OF THE MEMBERS. Frith, Robert, Esq. Surgeon , Calcutta. Garden, Alexander, Esq. Surgeon Bengal Establishment , Medical Store « keeper , Saugor. Gibb, Alexander, Esq. 2c? Member Medical Board, Bengal Establishment. Gilmore, Allan, M. D. Assistant Surgeon , Bengal Establishment. Gibson, A. Esq. A&stf. Surgeon, Bombay Establishment. Glass, Walter, M. D. As.??. Surgeon 42 d N. I. Bengal Establishment. Glen, Joseph, Esq. Ass?. Surgeon Bombay Establishment, Ahmednuggur. Gold, Francis, Esq. A&??. Surgeon SUh IV. 1. Bengal Establishment. Govan, George, M. D. Surgeon Bengal Establishment, Zoologist and Bota¬ nist to the Survey under Captain Herbert. Graham, Archibald, Esq. Asst. Surgeon, Bombay Establishment. Graham, James, M. D. Asst. Surgeon, Civil, Bengal Establishment, Ma- hidpore. Graham, William, M. D. Surgeon, Calcutta. Grant, John, Esq. Asst. Surgeon Bengal Establishment, Acting Assistant Assay Master, Calcutta Mint. Gray, D. Macqueen, M. D. Asst. Surgeon Sirmoor Battalion, Bengal Establishment. Gray, William, Esq. Surgeon Bombay Establishment. Griffith, John, Esq. Asst. Surgeon 5th 2V. I. Bengal Establishment. Greig, John, Esq. ditto ditto Civil, Bengal Establishment, Banda. Grimes, William, Esq. ditto ditto Civil, Bengal Establishment, Bareilly. Grierson, James, Esq. Surgeon Bengal Establishment, Garrison Surgeon Fort William. Guthrie, Hugh, M. D. Asst. Surgeon, Civil, Allahabad. Hathway, L. Esq. Surgeon Bombay Establishment, Civil, Tannali. Hamilton, William, M. D. Asst . ditto, Bengal Establishment , Political Agency, Bhopaul. Hamilton, J. Henry, Esq. Surgeon His Majesty’s Service. Hardie, James, Esq. Asst. Surg. Oodepore Residency, Bengal Establishment. Hare, James, M. D. Surgeon Bengal Establishment. Harper, Edmund T. Esq. Asst. Surgeon Ramgurh Local Battalion, Bengal Establishment. Harcourt, John, Esq. ditto ditto, His Majesty’s 11 th Light Dragoons. Harlan, John, M. D. Officiating ditto, Bengal Establishment, Kurnuul. Henderson, John, M. D. Surgeon His Majesty’s 8 9th Regiment. Henderson, John, Esq. Surgeon Bengal Establishment. Henderson, Thomas, M. D. Assistant Surgeon, Civil > Bengal Establish¬ ment, Gyah. LIST OF THE MEMBERS. IX Hewett, William W ., M. D. Asst. Surgeon, S underbund Commission, Bengal Establishment. Hoare, Charles B. Esq. Asst. Surgeon 3 9th JV. I. Bengal Establishment. Hunter,, Charles, Esq. Superintending Surgeon Saugor Division , Bengal Establishment. Hutchison, James, Esq. Assistant Surgeon, Civil, Bengal Establishment, Midnapore. Inglis, Thomas, M. D. Assistant Surgeon, Bengal Establishment. Inglis, J., M. D. Asst. Surgeon, Bombay Establishment. Innes, James, M. D. Asst. Surgeon Katmandoo Residency, Bengal Esta¬ blishment. Jackson, Alexander R., M. D. Assistant Marine Surgeon, Calcutta, Ben¬ gal Establishment. Jackson, Thomas, Esq. Surgeon His Majesty's Service. Jackson, William, Esq. Surgeon 1 9th N. I. Bengal Establishment, Au¬ rangabad. Jameson, C. Esq. Assistant Surgeon Madras Medical Establishment. Jeffereys, Julius, Esq. Assistant Surgeon, Civil, Bengal Establishment, Furruckabad. Johnston, James, Esq. Superintending Surgeon, Bengal Establishment. Johnstone, James, M. D. Assistant Surgeon, 2d Nusseree Battalion, Ben¬ gal Establishment. Kemball, V. C.Esq. Superintending Surgeon, Bombay Establishment. Kennedy, Richard, M. D. Surgeon, Baroda Residency, Bombay Esta¬ blishment. King, George, Esq. Surgeon, Civil, Bengal Establishment, Patna. Lambe, George, Esq. Surgeon, Civil, Bengal Establishment, Dacca. Langstaff, Joseph, Esq. Superintending Surgeon, Meerut, Bengal Esta¬ blishment. Law, John, Esq. Superintending Surgeon, Berhampore, Bengal Establishment. Lawrie, J. A., M. D. Asst. Surgeon 53 d N. I. Bengal Establishment. Leese, John VAux,Esq. Asst. Surgeon 10 th Light Cavalry, Bengal Esta¬ blishment. Leslie, John, Esq. Asst. Surgeon 2d Battalion Artillery, Bengal Establish¬ ment. Leslie, William, M. D. Surgeon 21 st N. I. Bengal Establishment. Lindsay, Alexander Kyd, Esq. Asst. Surgeon 32d N. I. Bengal Esta¬ blishment. Livingstone, John, Esq. junior, Surgeon, Canton. Macdonald, Ewen, Esq. Surgeon 9th Light Cavalry, Bengal Establishment. X LIST OF THE MEMBERS. Macdowell, James, Esq. Superintending Surgeon , Berigal Establishment. Macgaveston, John, Esq. Asst. Surgeon, Civil, Bengal Establishment, Meerut. Macgregor, W. Lewis, M. D. Asst. Surgeon 21 st N. I. Bengal Esta¬ blishment. Macisaac, Robert, Esq. Asst. Surgeon Bengal Establishment, 54 th N. I. Mackinnon, Charles, Esq. Sen. Asst. Surgeon, Civil, Bengal Esta¬ blishment, Tirhoot. Mackinnon, Charles, Esq. Jun. Asst. Surgeon , Civil, Bengal Establish¬ ment, Allggurh. Macpherson, G. G. Esq. Asst. Surgeon Civil, Bengal Establishment, Bau- leak. Maclennan, J. Esq. M. D. Asst. Surgeon Bombay Establishment. McLeod, Bannatyne W., M. D. Surgeon 5th Battalion Artillery, Bengal Establishment. McLeod, Charles Murdock, Esq. Asst. Surgeon, Civil, Bengal Establish¬ ment, with the Commission at Bettoor. McMorris, J. Esq. Surgeon Bombay Establishment. Macqueen, Kenneth, Esq. Asst. Surgeon 9th N. I. Bengal Establish¬ ment. Manley, Joshua, Esq. Surgeon, 10 th N. 1. Bengal Establishment. Marden, Thomas Todd, Esq. 1s2 (late ) Member Medical Board, Bombay Establishment. Martin, James, R.Esq.^4^. Surgeon Bengal Establishment, and 3d Per. Asst. General Hospital. Maxwell, J. A., M. D. Superintending Surgeon , Bombay Establishment. Maxwell, Charles, Esq. Asst. Surgeon 18 th N.I. Bengal Establishment. Meik, James, Esq. 1s£ Member of Medical Board, Bengal Establishment. Mellis, James, M. D. Presidency and Marine Surgeon, Bengal Esta¬ blishment. Menzies, John, Esq. Asst. Surgeon, Salt Agency, Hidglee , Bengal Esta¬ blishment. Mercer, Hugh S. Esq. Surgeon to the Sanatorium, and to the Officers of the General Staff, 3$c. Presidency. Mitchelson, William, Esq. Asst. Surgeon 23 d N. I. Bengal Establish¬ ment. Montefiore, A. J. Esq. Asst. Surgeon Bombay Establishment. Montgomerie, W illiam. Esq. Asst. Surgeon, Bengal Establishment. Morton, James, Esq. Asst. Surgeon, Civil, Bengal Establishment, Rung- pore. LIST OF THE MEMBERS. xi Mowat, James, M. D. Surgeon H. M. 14 th Regiment of Foot. Munro, Thomas Munro, M. D. Asst. Surgeon Kemaoon Local Batta¬ lion, Bengal Establishment. Munt, C., M. D. Surgeon, ( late ) Serampore. Murray, Andrew, M. D. Surgeon, m N. I. Bengal Establishment. Muston, William Pitt, Esq. Surgeon and Apothecary General Bengal Establishment. Newmarch, Henry, Esq. Asst. Surgeon, Bengal Establishment. Nicolson, Simon, Esq. Presidency Surgeon and Surgeon Native Hospital. Night, J. Esq. Surgeon, Madras Establishment. Nisbet, James, Asst. Surgeon, Bengal Establishment. Nisbet, Mathew, M. D. Asst. Surgeon, Civil, Bengal Establishment, Shaje - hanpore. Ogilvy, Alexander, Esq. Officiating Superintending Surgeon, and 3d Member Medical Board. Ogilvy, George, Esq. Superintending Surgeon, Bombay. Panton, William, Esq. Surgeon Residency, Scindea’s Court, Bengal Esta¬ blishment. Paterson, John James, Esq. Surgeon 20 th N. I. Bengal Establishment. Paterson, George Murray, M. D. Asst. Surgeon, Bengal Establishment. Pearson, Alexander, M. D. Surgeon to the H. C.’s Factory, Canton. Pearson, John Thomas, Esq. Asst. Surgeon, Civil, Bengal Establishment, Ramghur. Penman, J. A. Esq. Surgeon, Calcutta. Pennington, R. B. Esq. Surgeon Bengal Establishment, 1st Brigade Horse Artillery, Cawnpore. Philips, Benjamin, Esq. 1st (late) Member Medical Board, Bombay. Playfair, George, Esq. Surgeon Bengal Establishment. Porteous, Alexander, Esq. Surgeon, Calcutta. Ramsay, David, Esq. Asst. Surgeon 7th N. I. Bengal Establishment. Rankine, James, M. D. Surgeon, JHalwah and Rajpootanah Residency , Bengal Establishment. Ray, Charles, Esq. Surgeon 48 th N. I. Bengal Establishment. Reddie, George, Esq. Superintending Surgeon Cawnpore, Bengal Esta¬ blishment. Renny, Charles, Esq. Surgeon 6 9th N. I. Bengal Establishment. Renton, David, Esq. Surgeon, 1st Light Cavalry, Bengal Establishment. Rind, J. N. Esq. Surgeon Ben. Estab. Superintending Lithographic Press. Robertson, A. J ., Esq. Asst. Surgeon, Bombay Establishment. EoBiNsoN, Charles, Esq. Superintending Surgeon , Bengal Establishment. LIST OF THE MEMBERS. xii Hoe, Henry, Esq. Asst. Surgeon, Civil, Bengal Establishment, Tipperah. Ronald, James, Esq. Asst. Surgeon Board of Revenue, Central Provinces, Bengal Establishment. Ross, Andrew, Esq. Asst. Surgeon 37th N. L Bengal Establishment. Row, John, Esq. Asst. Surgeon 5th Extra N. I. Bengal Establishment. Royle, John Forbes, Esq. Asst. Surgeon, Civil, Saharunpore, Bengal Esta- blishment. Russell, William, M. D. Surgeon General Hospital, Presidency Surgeon, and Superintendent Vac. Inoculation. Savage, John, Esq. Surgeon, Civil, Bengal Establishment, Moorshedabad. Scott, Alexander, Esq. Asst. Surgeon 60 th JV. /. Bengal Establishment. Scott, Charles, Esq. Asst. Surgeon, Bombay Establishment. Scoular, Thomas, Esq. Asst. Surgeon, Bombay Establishment. Sheppie, F. Esq. Surgeon, Bombay Establishment. Shaw, Robert, Esq. Asst. Surgeon, Civil, Bengal Establishment, Shahabad. Shutter, Thomas, Esq. Asst. Surgeon, Bengal Establishment. Simms, George, Esq. Asst. Surgeon, Bengal Establishment. Simson, Andrew, M. D. Asst. Surgeon, Bengal Establishment. Political Agency, Jeypoor. Sievwright, Francis, Esq. Su?'geon His Majesty's Depot , Chinsurah. Skipton,George, Esq. Superintending Surgeon, Agra, Bengal Establishment. Small, Beaumont D. Asst. Surgeon 8th Eight Cavalry, Ben. Estab. Smith, John, Esq. Surgeon 42 d N. I. Bengal Establishment. Smith, Alexander, M. D. Asst. Surgeon, Civil, Dinagepore, Bengal Esta¬ blishment. Smith, Alexander, M. D. Surgeon His Majesty's 44 th Regiment Foot. Smytton, George, M. D. Surgeon, Bombay Establishment. Spens, Thomas, M. D. 1st Asst. Garrison Surgeon, Fort William. Spilsbury, George Green, Esq. Surgeon Political Agency, Saugor, fyc. SproUle, Samuel, M. D. 2 d Member Medical Board, Bombay. Stark, John, M. D. Asst. Surgeon, His Majesty's 44 th Foot. Stenhouse, Alexander, M. D. Asst. Surgeon 6th JV. I. Bengal Establish¬ ment. Stevenson, William, Esq. Senior, Asst. Surgeon 2 d Local Horse, Bengal Establishment. Stevenson, William, M. D. Junior, Asst. Surgeon 14 th N. I. Bengal Establishment. Steuart, James, F., M. D. Asst. Surgeon 59th JV. I. Bengal Establishment. Stewart, James, Esq. Asst. Surgeon, Bengal Establishment. Stewart, Duncan, M. D. Asst. Surgeon, Civil, Howrah, Bengal Establishment. LIST of the members. Xill Small,, B. D. Esq. Asst. Surgeon, Bengal Establishment. Spry, H. H. Esq. Asst. Surgeon, Bengal Establishment. Strong, Francis Pemble, Esq. Asst. Surgeon, Mysore Princes, 24 Per • gunnahs , Suburbs Calcutta, Bengal Establishment. Stuart, J. G. Esq. Asst. Surgeon, Ahmeclabad, Bombay Establishment. Sully, C. B., M. D. Asst. Surgeon, Bengal Establishment. Swine y, John, M. D. Surgeon, Bengal Establishment. Taylor, James, Esq. Asst. Surgeon, Civil, Dacca Jellalpore , Bengal Es - blishment. Thomas, William, Esq. Surgeon 28 th N. /. Bengal Establishment. Thompson, William, M. D. Surgeon His Majesty’s 1th Dragoons. Thompson, James, Esq. Surgeon 50th JV. I. Bengal Establishment. Thompson, William, Esq. Jun. Asst. Surgeon 4 5th JV. I. Bengal Establish-* ment. Thompson, James, Esq. Asst. Surgeon His Majesty’s 38 th Regiment. Todd, David, Esq. Superintending Surgeon, Barrackpore, Bengal Esta¬ blishment. Tore, John Syme, Esq. Asst. Surgeon 43d N. I. Bengal Establishment. Turnbul, Gavin, Esq. Asst. Surgeon, Northern Division, Bundlecund , Bengal Establishment. Tweddell, H. M. Esq. Asst. Surgeon, Civil, Bengal Establishment, Bar - ripore. Twining, William, Esq. Asst. Surgeon, Surgeon to the Commander in Chief, and Offg. Assistant to General Hospital, Bengal Establishment. Tytler, John, Esq. Surgeon Presidency, Bengal Establishment • Tytler, Robert, M. D. Surgeon, Bengal Establishment , Naturalist, Mi¬ neralogist, and Surgeon to the Expedition proceeding on a Voyage of Dis¬ covery. Waddell, George, M. D. Asst. Surgeon Bengal Establishment, Deputy Apothecary General. Wallich, Nathaniel, M. D. Surgeon Bengal Establishment, Superin¬ tending Honorable Company’s Botanic Garden. Walker, J. O. Esq. Asst. Surgeon, Bombay Establishment. Wardrop, Alexander, M. D. Asst. Surgeon 11th N. I. Bengal Esta¬ blishment. Warlow, W illiam. Esq. Asst. Surgeon Bengal Establishment. Watson, W illiam. Esq. Surgeon Bengal Establishment, Board of Reve¬ nue Western Provinces. Webb, William Taylor, Esq. Surgeon, Garrison, Chunar. XIV X.IST OF THE MEMBERS. Webster, Alexander B., M. D. Asst. Surgeon 2d Extra N. 1. Bengal Establishment. Welchman, C. W., M. D. Asst. Surgeon , Civil, Tumlook. Whitaker, Stephen, Esq. Asst. Surgeon, Penang Establishment. White, W. R. Esq. Surgeon , His Majesty’s 31^ Regiment Foot. Wight, R. Esq. M. D. Asst. Surgeon and Naturalist, H. C. Madras. Williams, Richard, Esq. Superintending Surgeon, Nusseerabad. Wkson, Horace Hayman, Esq. Surgeon and Assay Master, Calcutta , Bengal Establishment. Wilson, Benjamin, Esq. Asst. Surgeon 31st N. I. Bengal Establishment. Wood, Andrew, Esq. Surgeon 66th Regiment N. I. Bengal. Woodburn, David, Esq. Surgeon' 7 th N. I. Bengal Establishment. Woodhouse, Charles Theodore, Esq. Asst. Surgeon, Bengal Establish¬ ment. Woolley, Joseph, Esq. Surgeon 8 th Light Cavalry, Bengal Establishment. Young, D. S. Esq. Asst. Surgeon Madras Medical Establishment, Nizams Service, Aurungubad. CORRESPONDING MEMBERS. G. Anderson, Esq. F. R. S. and F. A. S, E. Secretary to the Northern Institution, Inverness. W. H. Benson, Esq. Honorable Company’s Civil Service. Ramcomel Shen, Baboo, Calcutta. HONORARY MEMBERS. Major General Hardwicke, Bengal Artillery. Honorable Sir C. E. Grey, Knight, Chief Justice, Bengal. Sir Jas. McGregor, M. D. Knight, Director General of the Army Medical Department, London. Andrew Duncan, Junior, M. D. Professor of Materia Medica, University of Edinburgh. J. Abercrombie, M. D. Physician, Edinburgh. / XV OFFICE BEARERS ELECTED FOR 182 7* ALEXANDER GIBB, Esq. president. HORACE HAYMAN WILSON, Esq. vice-president. JOHN ADAM, M. D. secretary and treasurer. WILLIAM TWINING, Esq. ASSISTANT TREASURER. JOHN GRANT, Esq. PETER BRETON, Esq. JAMES GRIERSON, Esq. WILLIAM GRAHAM, M.D. JOHN GRANT, Esq, PETER BRETON, Esq. JAMES GRIERSON, Esq. JAMES MELLIS, M. D. WILLIAM GRAHAM, M.D. ASSISTANT SECRETARY AND MEMBERS OP THE COMMIT- ► TEE OF MANAGEMENT. MEMBERS OF THE COMMIT- * TEE OF PAPERS. J I *v CONTENTS. Page. I. On Diarrhoea Hectica. By J. Tytler, Esq. . . 1 II. Account of the Mineral Spring of Sonah. By S. Ludlow, Esq. 1 9 III. Sketch of the Medical Topography of Arracan, and Obser¬ vations on the Diseases prevalent there. By N. Burnard, Esq. 25 IV. Remarks on the Sickness which prevailed among the European Troops in Arracan, in ] 825, and on the Medical Topography of that Country. By W. Stevenson, Esq. jun. 86 V. A Case of Tumor, successfully extirpated from the Face of a Native. By J. Hutchison, Esq. . . 128 VI. An Account of an Epidemic Malignant Ulcer, or Hospital Gangrene. By J. Adam, M. D. . . 132 VII. On Gangrenous Ulcer. By J. Leslie, Esq. . . 151 VIII. Cases of Phthisis Pulmonalis. By J. Bird, Esq. A. M. . 190 IX. Remarks on the Sickness which prevailed among the Troops at Goruckpore, in 1825. By D. Butter, M. D. . . 207 X. On the Grass Oil of Nemaur. By J. Forsyth, Esq. . . 213 XI. Description of a Case of Fungus Hsematodes. By G. MacPherson, Esq. . . 219 XII. Case of a singular Tumor in the Eye of a Native Child, successfully extirpated. By H. Clarke, Esq. . . 228 XIII. Case of Fungus of the Globe of the Eye. By W. Twin¬ ing, Esq. . . 233 XIV. Case of Tumor of the Orbit. By C. C. Egerton, Esq. . 236 XV. On the Diseases which prevailed among the British Troops at Rangoon, By G. Waddell, M. D. • . 240 t • CONTENTS, xviii Page. XVI. Case of Lepra Mercurialis. By J. Johnstone, M. D. . . 281 XVII. Remarks on the Native Drug called Gulancha. By Ram Comol Shen, • • 295 XVIII. On Public Health in India. By James Ranken, M. D. 300 XIX. Observations on Diseases of the Spleen, particularly on the vascular Engorgement of that Organ common in Ben¬ gal. By W. Twining, Esq. . . 351 XX. On the Native Treatment of diseased Spleen. By H. H. Wilson, Esq. . • 413 APPENDIX. Extract from a Medical Report on Sloughing Ulcers, from J. Langstaff, Esq. Superintending Surgeon, Benares Division, dated 10th June, 1826. . . 419 Extract of a Report on Cholera Morbus, occurring at Buxar. By T. E. Dempster, Esq. . . 420 On Small Pox after Vaccination. By G. G. Spilsbury, Esq. . 422 Extract of a Letter from Dr. R. H. Kennedy of Barodah, on the Carnelians, &c. of Guzeratte, dated 20th Sept. 1826, . 425 Ex met of a Letter on the Treatment of Indian Rheumatism. By J. Henderson, Esq. dated June, 1826, . . 428 Letter from H. Piddington, Esq. Superintendent of Neemtollah Factory, on a new Preparation from the Neem-tree, dated Jrfne, 1826. . . 430 Extract from a Letter from D. Scott, Esq. to Mr. G. Swinton, dated Assam 28th July, 1826. . . ib. Extract of a Letter from R. Mclsaac, Esq. describing a medici¬ nal Root, in use among the Natives of Assam, dated May 6th, 1827. . . 432 Remarks on the Papeeta, or St. Ignatius’s Bean, recommended as a Specific in spasmodic Cholera. By J. Vaussell, Esq. . ib. Extract from a Communication on the Himalayan Rhubarb. By Mr. Royle, Superintendent Botanic Garden, Shaharunpore, 436 Report on the above Rhubarb, as administered in the Presiden¬ cy Hospital. Drawn up by Mr. Twining, . . 441 Extract of a Letter from Lieutenant Colonel Hazlewood of the Madras Establishment, on a reputed Remedy for Cholera, 445 CONTENTS. XIX Page • Mr. Sievwright on Cholera Morbus, and the Employment of the above Remedy, . . 446 Four Cases of Cholera, treated with the Cape Remedy, or Mo¬ ravian Specific; at the General Hospital, Calcutta. By Mr. Twining, . . 448 Notice of a Hot Spring in Ramghur. By H. H. Wilson, Esq. . . 450 Notices of two Hot Springs, situated in the valley of the Ner- budda, at the Northern Base of theMahadeo Hills, with Spe¬ cimens of the Waters from each. By G. G. Spilsbury, Esq. . . 450 List of the Donations for the Library, . • 453 List of the Donations for the Museum, . . 454 1 o ON DIARRHOEA HECTICA. By J. TYTLER, Esa. Presented July 1, 1826. - i it m n— imii wtwm k**-*™*^ ^ * mmSSSSm £555 ■■ ■ * If the importance of a disease is to be estimated by its frequency, its fatality, and the difficulty of its cure, there are few that have greater claims to tiie attention of the medical public of India, than that on which 1 am about to attempt a few observations, and to which 1 have ventured to give the name of Diarrhoea Hectica, because that, like its synonymous fever, it seems to obtain habitual possession of the constitution, to operate upon it with scarcely any perceivable intermission, and in general to defy the most powerful remedies for its removal. It is perhaps not an exaggeration to say, that of the total deaths among the lower orders of the natives of Hindostan, three fourths are the effect of this disease, either idiopathic or as a terminating symptom. It is the scourge of crowded jails, and of hospitals filled with harassed and fatigued Sipahees, and is the great avenue through which the swarms of naked and famished paupers and miserable in¬ fants that occupy the native bazars are continually vanishing. At the same time, as the subject is in a great measure new, it is not to be wondered at if Von. III. B 2 ON DIARRHOEA HECTICA. my description be in many parts erroneous or de¬ fective. My intention will be sufficiently fulfilled, if what is here said shall draw a greater degree of attention to this formidable malady than it has hi¬ therto received. For while we are in this country continually on the outlook for new and wonderful diseases, which must be the less important as they can happen but to few, we are apt to overlook those which are constantly before our eyes, and for which we are daily and hourly called upon to prescribe, and which so much the more deserve to be studied, as they are th e disease, not of a particular district or a parti¬ cular caste, but of the whole country and the whole population. Diarrhoea Hectica is most common about the mid¬ dle and end of the rainy season, and in the intensi¬ ty of the cold weather. During the rains, the tran¬ sitions of temperature are very great. In August, September, and October, the sky is at intervals un¬ clouded, and the sun shines with excessive brilli¬ ancy and power ; whilst at the same time the wind ceases, and a suffocating heat prevails through the air: this is succeeded by a sudden collection of clouds, that pour forth an inundation of rain, ac¬ companied with a gale of chilling wind. In addition to atmospherical causes, the disease is at this season much aggravated, particularly in children, by the quantities of raw and indigestible vegetables, which ON DIARRHOEA HECTICA. 3 the natives are in the habit of eating themselves, and giving to their infants, the moment they are able to chew. Besides the present disease, a common effect from this food is the production of an incredible number of round worms in the bowels, forty or fif¬ ty of which are sometimes voided at once, and occasionally two or three creep up into the stomach, and are discharged by vomiting. Mesenteric disease also is a common result from the same cause. In winter again, the clothing, the habitations, and the general habits of the natives are so little calculat¬ ed to resist the comparatively severe cold of De¬ cember, January, and February, that it is not to be wondered at, if this disease should be more preva¬ lent and destructive among them during the very months that prove most refreshing and restorative to Europeans, whose modes of life are so different. The common history of Diarrhoea Hectica is as follows : — A native, previously in apparent good health, is observed to appear languid, and unable to perform his usual labor. When questioned, he al¬ lows that he feels weak, but denies having any dis¬ ease. On examination, his pulse is found feeble, and a little accelerated ; and at last he will state himself to have two watery stools in the course of the day, and two or three in the night. Shortly af¬ ter this, his body begins to appear emaciated ; the calves ot his legs, particularly, fall away. The flesh, more especially about the wrists, has a peculiarly flabby and inelastic feel, as if the muscles had lost b 2 4 ON DIARRHOEA HECTICA. their tone, and the skin, like a loose bag, weie too large to contain their diminished bulk: the cuticle peels off in patches, chiefly about the abdomen, fore¬ arms, and lower parts of the legs, so as to give the skin a faint mottled appearance. Collections of black sordes appear scattered up and down the body, which with a little care may be washed off', leaving the skin beneath of its usual color, so as to induce a belief that they are the consequences of the neglect of cleanliness, produced by the lan- gour always accompanying the malady. Nothing particular is observable in the perspiration, except perhaps its being more scanty than usual. In the course of the disease, the pulse generally becomes more natural; though low and weak, it is slow and regular. The tongue also is quite clean, lather more so indeed than usual, and generally continues so all through the complaint; but the appetite be¬ gins to be impaired, the patient leaves half his com¬ mon quantity of food uneaten, and complains that what he eats will not digest. He now confesses that “ pet chely ,” he has a looseness; that he has three or four stools in the course of the day, and as many in the night \ on examining these, they are found to consist of a semi-liquid matter of two seemingly heterogenous ingredients, one a pulpy mass approaching to a grey color, the other of bright yellow, intermixed with the former in streaks. To these are added occasionally, but not always, small quantities of blood. The stools are very co¬ pious, and have a peculiar odor, quite different ON DIARRHCE A HECTICA. 5 from that of natural foeces, and indeed so distinctly their own, that I could almost engage to tell from the smell of an apartment, whether it contained a patient laboring under Diarrhoea Hectica. In this state matters go on for days and weeks, even sometimes for months ; the emaciation increasing, the appetite and strength diminishing, and the stools becoming more numerous, especially during the cold of the night. Then the feet, the hands, and at last the face, begin to become cedematous ; the abdomen sinks; the eye loses its healthy lustre, the red vessels disappear from the conjunc¬ tiva, and it assumes that pearly whiteness so well known in phthisis, and long protracted disease of the liver. It is also frequently dimmed by a sor¬ did exudation from the eyelids. Then the appe¬ tite totally disappears, scarcely any food is taken at all ; and the patient, before too weak to walk, is now unable to sit up : he passes the greatest part of his time in a state of dozing, during which his eyes are always half open, probably from weakness of the sphincters ; the cornea is hid beneath the up¬ per eyelid, and the white conjunctiva only appears. From this state of imperfect slumber, the patient, as long as his strength lasts, is perpetually roused to evacuate the contents of his irritable and rest¬ less bowels, which become more and more copious as his emaciated body can less and less afford them. At length the strength is too much diminished even for this, and the fceces come away involuntarily, and without intermission. The emaciation increases 6 ON DIARRHOEA HECTIC A. to a frightful degree, the superficial bones appear almost as distinct as in the skeleton, and the whole powers of life fail, except the incessant ac¬ tions of the bowels, which seem impatient to hurry on the fatal event, and to labor as it approaches with increased irritability and vehemence. To close the narrative, the miserable patient, com¬ pletely exhausted, expires in a flood of alviue dis¬ charge. In this state of things, another symptom makes its appearance, of a different character from those of most diseases. Attracted by the peculiar odor noticed above, swarms of flies incessantly surround the patient, settle on his body, and in his state of debility greatly augment his distress. To defend himself from these insects, which in this case may justly be called the harbingers of death, the suf¬ ferer is forced to cover every part of his body and face : whenever, therefore, we enter a native hos¬ pital, and behold a motionless figure stretched on a charpaee , involved completely in his blanket, co¬ vered with these swarms of fatal flies, and exhaling the deadly characteristic foecal odor, we can be at no loss as to the nature of the disease, and but little as to its result. Such is the general outline of the disease; but except in the case of confined persons, we have seldom an opportunity of observing its first stage, as native patients generally delay application for re- ON DIARRHCEA HECTICA. 7 medies till a far advanced period of the malady. Of course variations from the usual train of symp¬ toms occasionally occur. Sometimes Diarrhoea Hec- tica commences with considerable fever, and it may even be accompanied throughout with a quick pulse and hot skin. Sometimes the foeces are mixed with blood. In particular cases there is no oedema at all ; in others it is partial, affecting only the hands or feet, or face alone; and sometimes the oedema suddenly and totally disappears a few days be¬ fore death. The skin then appears wrinkled into folds, and in the manner formerly noticed, as if it were too large for the parts it contained. In the same manner the stools themselves sometimes al¬ most entirely cease about the same period, giving a delusive hope that the patient is recovering, when in truth he is just in the jaws of death. Acciden¬ tal exacerbations of the purging also take place; the stools become so frequent, that, to use the pa¬ tient’s expression, they cannot be counted : then for a few days their frequency diminishes. Sometimes there are obscure and wandering pains about the abdomen, and sometimes it becomes tumid, and re¬ mains so to the last. There is also much variation in the duration of the complaint. In some instan¬ ces, it is so violent as to destroy the patient in two or three weeks: there is then less time for emacia¬ tion to take place. In others it is protracted to many months, and the emaciation is then extreme and horrible. In other cases, it seems to hold tem¬ porary truces with the constitution : during the cold 8 ON DIARRHCEA HECTICA* weather, the patient labors under a considerable degree of this disease; but at the approach of the hot, it gradually leaves him, and he continues quite well till the ensuing rains, when the disease again makes its appearance. He may even struggle through a second cold season with this renewal of the complaint, and revive again in the hot weather, till in the returning rains he sinks under a third and aggravated attack. In certain cases, it seems still more singularly to assume the characteristic of intermittent fever. The stools intermit or cease for two or three da^s and this for a length of time till the disease be ful¬ ly formed. As might be expected, the progress is generally more rapid in young children and very old persons than in those of more robust age. ■»* But few post-obit symptoms are supplied by dissection. Sometimes a partial redness, scarcely amounting to inflammation, is to be found in dif¬ ferent parts of the small intestines. In some, the me¬ senteric glands are much enlarged, and apparently diseased ; and this, upon the whole, is, I think, the most constant morbid appearance. In others the spleen is greatly increased in bulk, occasion¬ ally to a bulk much exceeding that of the liver, and of a very dense and compact structure. In one much emaciated female, a number of cretaceous substances, about the size of two peas each, were dispersed throughout its mass, and lodged in small ON DIARRHOEA HECTICA. 9 cells, whilst the mesenteric glands were much en¬ larged. In an old man, the whole of the colon was completely stuffed with a white substance of a stea- tomatous appearance; the rectum was empty, and much inflamed. This patient was said to have been much addicted to the use of opium. But all these appearances are to be regarded as accidental accompaniments, and throw but little light on the real nature of the complaint. From a consideration of the above history, it will be seen that this disease is closely allied to the Diarrhoea Biliosa of Cullen and other writers ; and it may therefore be asked, why this well known name should not have been employed, rather than anew and perhaps superfluous appellation invent¬ ed. To this I have to answer, that Cullen’s name is founded solely on a hypothesis which may be true, but which is as yet but slenderly supported by facts. In support of the name, Cullen merely tells 11s, that “ it is sufficiently probable that in some cases the bile, without having been acted upon by the heat of the climate or season, may be redundant and acrid, and prove therefore a particular cause of Diarrhoea.” And Good, in his late masterly work, “ The Study of Medicine,” says : 44 From the highly bilious tincture of the dejections, there can be no doubt that the bile in this species is secreted in a greater quantity than usual, and perhaps with an unusual degree of pungency, and hence the excess c 10 ON DIARRHOEA HECTICA. of peristaltic activity.” Bat not a single fact is pro¬ duced by either of these authors in support of their opinion, and it seems to rest merely on the popular notion, that the color of the fceces is derived from the bile. But this is a doctrine which is rather taken for granted than proved, and which physiologists have as yet failed to establish completely. It still remains to be determined, what share the large intestines have in producing the fee cal tinge ; and till this point be decided, it seems preferable to form the name from an evident symptom, rather than from a supposed cause. The dejections in this malady, like the fever in phthisis, are continual and habitual ; and it is but a small violation of lan¬ guage to extend the epithet of the one to the other. 1 have therefore called the present disease Diar¬ rhoea Hectica ; and indeed it in some measure seems to be the substitute of phthisis, which is comparatively but a rare disease in India : this Diarrhoea supplies its place, and is equally com¬ mon, incurable, and fatal. The remote causes of this disease may in gene¬ ral be stated to be poverty and fatigue, the want of good and sufficient nourishment, and exposure to rapid atmospherical vicissitudes, or unaccustomed degrees of cold. The proximate cause seems to consist in an excessive and morbid excitement of the great intestines, by which they are perpetually disposed to evacuate their contents, mixed up with ON DIARRHOEA HECTICA. 11 copious secretions from themselves, and perhaps from other parts of the intestinal canal. Many the¬ ories might be started to connect this with the dis¬ eased appearance of the mesenteric glands, which is mentioned above as the most common morbid ap¬ pearance afforded by dissection; but I shall forbear these, in the first place, as being necessarily very imperfect for want of sufficient data, and in the next, as not at present leading to any practical re¬ sult. Dr. Scudamore, in his Treatise on Gout and Rheumatism, p. 84, Ed. 3d, observes: “ It may be stated, that a bright yeliow appearance (of fceces) indicates a fresh and hurried secretion of bile, and shews irritation rather than regular healthy action. A clay-like appearance is a sure indication of an obstruction of the bile, so that it does not enter the duodenum.” These remarks may be applied to explain the compound nature of the fceces in this disease, described before, in which both the appearances noticed by Dr. Scudamore are to be found ; and from his premises we may be led to infer, that in Diarrhoea Hectica an extremely irre¬ gular action of the liver takes place, an exeeed- ingly hurried and imperfect secretion at onetime, and an obstruction at another, so as to vacillate between the extremes of redundancy and defi¬ ciency, in the manner described by Dr. James John¬ son, in his work on tropical climates, p, 15, Ed. 2d, c 2 12 ON DIARRHOEA HECTICA. That is, the liver, roused to preternatural activity by the stimulus of the disease, pours forth a redun¬ dant supply of imperfect bile, till fatigued by the over-exertion, it falls into a state of utter inactivi¬ ty, in which it remains till the stimulus of the dis¬ ease becomes again sufficiently active as to rouse it to the same circle of actions as before. Though milch may be said on the treatment of this melancholy disorder, yet of this much there is but little satisfactory. The great remedy would, of course, be the removal of the remote cause by the supply of good and sufficient food, warm clothing, and comfortable lodging. These, however, it is seldom in a surgeon’s power to afford ; and even were it more frequently so, the control which any European has over the habits of the natives is so small, and exercised with so much difficulty and un¬ certainty, that be his intentions what they may, he is scarcely ever able to carry them into execution ; but when it accidentally happens that he can, it is wonderful from what an extreme stage of debility native patients may be recovered. A miserable w oman once applied to me with an infant of about two years old, reduced by this disease to such a degree of emaciation as scarcely to promise two days more life. The mother was supplied with pice for her own food, and to the infant half a seer of cow’s milk was given daily, and, as medicine, from 5 to 10 drops of laudanum in sugar, two or three ON DIARRHOEA HECTICA. 13 times a dav. In a month, the emaciated infant became an exceedingly stout boy, and every trace of the disease vanished. % But if we confine ourselves to the remedies sup¬ plied by the materia medica, the methods proposed for the cure of this malady may be reduced to two classes. The first is analogous to the treatment of European dysentery ; that is, to premise one or two doses of purgative medicine, with a view to the expulsion of irritating matter, and then to intro¬ duce into the system small and repeated doses of mercury, till gentle salivation be produced, when it is hoped the symptoms will be relieved, and the salivation is to be kept up as long as may appear necessary. The second plan considers this dis¬ ease as arising from debility, which it therefore proposes to remove by the liberal use of wine, opium, bark, and as far as practicable, by generous diet. The first of these plans may perhaps be tried with a little advantage, in the very beginning of the disease, especially if it be combined with fever ; but in the more advanced stages, it must not be at¬ tempted. Not even the mildest purgatives can then be borne. I have found a small quantity of castor oil, or a few grains of blue- pill or rhubarb, produce a most distressing aggravation of all the symptoms, without the smallest subsequent bene¬ fit. The second plan is better intended, but is 14 ON DIARRHOEA HECTICA. unhappily too often unsuccessful. Wine in large quantities seldom agrees with native constitutions, it seems constantly to produce acidity and de¬ rangement of the bowels. Bark also, in almost every form, appears in this disease to increase the purging. It is on opium alone that we can with any con¬ fidence relv in Diarrhoea Hectica ; and this noble medicine may be said in all cases to alleviate the sufferings, in some to prolong life, and in a tew to effect a permanent cure. But for this purpose it must be employed early in the disease, and with a liberal hand. Forty or fifty drops of laudanum may be given twice a day, or one or two grains of solid opium morning and evening; and even this allowance may be increased, if required. By these means the disease may be sometimes entirely con¬ quered, and frequently, in unhealthy seasons, may be checked and kept at bay, till more favourable weather come round to give the patient a better chance of final recovery. Nor are the bad effects which sometimes follow the exhibition of opium to Europeans to be much apprehended in this native disease. For, from whatever cause it may arise, it is wonderful how much more opium a Hindostanee constitution can bear than a Euro¬ pean. A quantity which would produce the most violent effects on the latter, seems to have scarcely any at all on the former; and I have seen a native, for a trifling rheumatic pain, go on day after day ON DIARRHOEA HECTICA. 15 taking quantities of opium, which in a European would be justifiable only by the most serious dis¬ ease ; and this without the least inconvenience. Whether such a difference arise from the greater familiarity of the natives with the use of this drug, or from any real peculiarity of constitution, may be worth enquiry : but 1 am satisfied of the truth of what is here advanced. But though I have thus eulogized opium, and though I might strengthen what is here asserted by the authority of Cullen, who in the 1503d section of his First Lines, and 6th Chap. Part II. of his Ma¬ teria Medica, recommends its use in Diarrhoea in the warmest terms, it is not hence to be conclud¬ ed, that 1 consider the whole treatment of this disease to consist in giving a sufficiently large quantity of that drug, and that no farther discri¬ mination of any kind is required. It has too often occurred, that even opium, incautiously given, has added to the distress. In some cases, I have suc¬ ceeded in restraining the Diarrhoea by its adminis¬ tration; but this apparent advantage has been fol¬ lowed by so sudden and great increase of anasarca, and such distressing flatulence and oppression about the stomach and bowels, that 1 have been compelled to leave it off, and have recourse to mild aperients, for the purpose of restoring the original disease, as a less evil than that produced by the remedy ; and this more than once in the same pa- 16 ON DIARRHOEA HECTICA. tient. At other times, I have seen the purging quite sufficiently restrained by opium, and yet the weak¬ ness and emaciation go on increasing, almost as rapidly as if no remedy whatever had been employ¬ ed. Of such unfortunate cases as these, the treat¬ ment is yet to be determined. 1 have combined opium with a variety of other remedies, but not very successfully. I have tried Pil. Hydrarg. Rhubarb and Pulv. Ipecac. Corap. but every one of these, however cautiously used, seems to irritate and to increase what may be call¬ ed the purgative diathesis ; and indeed, if the last of these medicines is only to be administered w ith the laborious preparation recommended by Dr. Cullen in his Materia Medica, it will not, I think, be easy to introduce it generally into native prac¬ tice. In general, in advanced stages, mercury in every form and dose is pernicious. Whether this may strengthen the conjecture of the connection of this disease with derangement of the mesenteric glands, I shall leave to farther investigation. It is certain, that mercury is very little capable of re¬ lieving such derangement, when it is known to oc¬ cur. In great debility, I have sometimes thought a combination of tincture of bark with laudanum of use, a dram of the former and 40 drops of the latter given in water twice a day ; but even this is uncertain. Iron I have also tried, in every form, without success. ON DXARRHCEA HECTICA. 17 A few minor remedies may be noticed, as being sometimes proposed. Soothing, sedative, and as¬ tringent glysters. These may occasionally be be¬ neficial; but the aversion of the natives to such re¬ medies is generally too great to allow of their fre¬ quent employment ; and 1 cannot say that 1 have ever observed greater good effects from them than from similar medicines given by the mouth. An- timonials are sometimes tried, but their tendency to irritate the bowels renders them inadmissible. The warm bath has been highly praised by some, but 1 must confess it seems to me to have no other effect in this disease than that of distressing the patient, and fatiguing his attendants. 